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RF-08-1816
Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Parcel Number 1025 NE 97 Street 1132050170110 Miami Shores Village, FL Block: Lot: Expiration: 04125120€ 0 Owner Information Address Phone Cell 1025 NE 97 ST MIAMI SHORES FL 33138 -2555 SPERO & CHRISTINE CANTON Contractor(s) Phone Cell Phone KAWALEK ROOFING & PAINTING, IN( 786- 277 -9540 (305)754 -0191 Type of Work: Re Roof Additional Info: Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - New Roof Scanning Fee Technology Fee Total: Building Department Copy Amount $13.80 $4.60 $5.00 $325.00 $9.00 $8.13 $365.53 Total Amt Paid $ 0.00 $ 0.00 Payment Type : Valuation: Amt Due $ 0.00 Applicant October 28, 2008 Authorized Signature : Owner / Applicant / Contractor / Agent Date SPERO & CHRISTINE CANTON $ 23,000.00 Total Sq Feet: 3200 Available Inspections: Inspection Type : Final Roof Up Lift Report Tin Cap Hot Mop Tile In Progress Nailing Affidavit OCT 2 8 20,03 g.:i C414Z MIAMI SHORES VILLAGE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants , or employes . I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work . OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning . Futhermore , I authorize the above -named contractor to do the work stated . Tuesday, October 28, 2008 1 NO CERTIFICATE AVAILABLE JR 12/04/08 Passed Inspector Comments Failed I I Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: December 04, 2008 Inspector: Bruhn, Norman Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Monday, December 8, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 12( • • -1110 Permit Type: Roof Inspection Type: PE Certification Letter Work Classification: Hurricane Mitigation Block: Phone Number Parcel Number 1132050170110 Lot: Phone: 786- 277 -9540 Page 1 of 1 11111 pg. Permi R1=- tv-og- is/ kr (of c S4r& / d racXe+ De-Fe / p --(o r" S c&mri n o wood -11- 1As S ems. us n Ck �i m p3On 3�frov -{-;e, 1y a, ltion- -14 #P� 1 g � � y— I6 d _ � s nay led i moppet- hra (e* dismifer) cnh cre-+e "rap con so screwed i n+o ,j/ 1 p 15.32 Oz' l 111111111 ®111■■ 111 '111111111'1111tZu ■mw ■1. 1uuri■irmiiiiiii !4 11111111111111111111111g11116 5i111111111MilatinggaUilikligA! 111111111111111111111111111111111111111111111111111111111111111111H1111111 EmEnummErrialumminimai imummum 1111111111111111111111E ii5a111111111111111111111111 ■■111■■■■ 11111111111111111111111111111111111 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FI 33138 `,, ]/ Re: Owner's Name: i7 ex+ M 11 D Property Address: 10a5 WE q I'S! Roofing Permit Number: RE-10-06 -I8I b Dear uildi Official: �� the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 9B -3.047 F.A.C. Tcw4 46ukaQf2) 1 aw0.leK Signature �RL 05r1 89 License Number State of Florida County of Dade (SEAL) Notary Public, Sate of Florida at Large M ame Shales 'Ue aee W Vey et 10050 NE 2 Ave * Miami Shores, FI 33138 Phone 305-795-2204; Fax 305. 756.8972 certify that I have improved the roof to wall connections of The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this 4 111 Print Name day of X, Date: I ;1L) 1 o g 20 fig FINAL COMPLIANCE INSTALL NEW HURRICANE STRAPS ON SLOPED WOOD TRUSSES DEC 0 , !OM Passed Inspector Comments A) D c ,4----A-A L,L f eAt7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until 1 Inspection Date: 10/10/2008 Inspector: Rodriguez, Jorge Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Thursday, December 4, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number inbe Permit Type: Roof Inspection Type: PE Certification Letter Work Classification: Hurricane Mitigation Parcel Number 1132050170110 Lot: Phone: 786- 277 -9540 Page 2 of 2 TEAR OFF EXISTING TILE AND FALT ROOFS. REPLACE W A NEW MONIER 13" FLAT COLOR THROUGH CONCRETE TILE. COLOR TILE IS PALM ISLAND GREEEN LSAXONY 900 SLATE TILE, AND A NEW FLAT BUILT UP ROOF SYSTEM k 10 0 Q Passed Inspector Comments tJ c C., 11 F-i`�a-v- ,,-v c) i e Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 10/10/2008 Inspector: Rodriguez, Jorge Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Thursday, December 4, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New deaf Phone Number Parcel Number 1132050170110 Lot: Phone: 786- 277 -9540 Page 2 of 2 TEAR OFF EXISTING TILE AND FALT ROOFS. REPLACE W A NEW MONIER 13" FLAT COLOR THROUGH CONCRETE TILE. COLOR TILE IS PALM ISLAND GREEEN LSAXONY 900 SLATE TILE, AND A NEW FLAT BUILT UP ROOF SYSTEM O s% `v 4 Passed Inspector Comments 1L Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until lttixtit Inspection Date: 10/10/2008 Inspector: Rodriguez, Jorge Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Thursday, December 4, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Nailing Affidavit Work Classification: Roof - New Phone Number Parcel Number 1132050170110 Lot: Phone: 786 - 277 -9540 Page 2 of 2 TEAR OFF EXISTING TILE AND FALT ROOFS. REPLACE W A NEW MONIER 13" FLAT COLOR THROUGH CONCRETE TILE. COLOR TILE IS PALM ISLAND GREEEN LSAXONY 900 SLATE TILE, ANp A Ui NEW FLAT BUILT UP ROOF SYSTEM ®* 0 Passed j+fr(g2- Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until .. . s ... ......... f >:s :; • :::. Inspection Date: 10/10/2008 Inspector: Rodriguez, Jorge Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Thursday, December 4, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Up Lift Report Work Classification: Roof - New Phone Number Parcel Number 1132050170110 Lot: Phone: 786 - 277 -9540 Page 2 of 2 Test Location Uplift Pull Test (P' or F) Test Location Uplift Pun Test (P or F) Test Location Uplift Pull Test (P or P) Test Location Uplift Pull Test (P! or F) 1 ► 51 V 76 2 27 52 77 3 _ 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 ++ 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 .. 75 100 • F.I.Q. FLORIDA INTERNATIONAL ENGINEERING & TESTING LAB MIGHT •INNOVATION* INTEGRATION 16701 Southwest 117th Avenue • Miami, Florida. 33177 Phone: (305) 378 -1991 • Fax: (305) 378 -1997 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH MIAMI-DADE BUILDING CODE COMPLIANCE PROTOCOL TAS 106 SITE SPECIFIC INFORMATION Roofing Contractor 1C e 1A 1 616 -142- C� C�`� Type of Tile: 3� Approximate Roof Height: V2.-- feet rP 3 = ( 2 . Type of Access to Roof: Scaffolds / Lader Approximate Square Footage of Roof: �(® ®o ft Required Testing Force: 35 lbs. Testing Equipment: F.G.E. 100X, Shimpo Instrument Date: I /- t - Owner's Name: Job Address: TEST RESULTS P= PASS,F =FAIL Date Installed I. Other No 1707 Permit # �-F lQ ° O ?A B Xr) IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. RESPECTFULLY SUBMITTED BY: Via V J C a VInayagar M. Balakrlshnan V. P. E. LIc# 63107 Miami - Dade Lab Certification # 07 0612.11 State of FL Certificate of Authorization # 27273 Scale r i - 5 Sketch of Roof Page 2 of 2 Sheet Number of Job: 101- KI C F 57 - 1.1SIA d JE - Contractor: K. .tJ V--- 0 Wt.t Checked Bv: ■■■■■■ ■■■■■ ■■■ ■ ■■■■■■■■■■■■ ■■■■■■■ ■■■ l IBUU■IEMOMUIl ■■■■■■■■ ■■■■■■■■■■ ■ ■ ■■■■■■ ■■1111■ ■■1■■■■I,■■■■■■■■■■■■■■ ■■ 11111111111111■■ ■1111■■■■ ■■■■■■■■■■ ■ ■■11■■11■1111 ■■■■■■ ■■■■■■t1111■11■■■■■11■■11111111■■■11■111111 ■ ■ ■ ■ ■■■■■■1111U■ ■■ ■■■■1111 ■11■■■■■■ ■11■ ■1111■ ■■■■■■ 11■■■■■■■ ■ ■ ■■11■■ ■■IU■■■ ■■ ■■■■ ■■■ ■ ■■■■■ ■■■11■■11■■■■1111■■■11■11■11■■■ ■■■1111■■ ■ ■ ■ ■ ■■ ■■111111■■■ ■. ■11■ ■■11■ ■■■ ■■1111 ■■ ■11■■■ ■ ■ ■ ■■■■■ ■■■■■■11■■11■■■1111'■11 ■1111■ ■11■11■■1111 ■■■ ■■■ ■ ■ ■i.11■■I■■1111■■11■1111■■1111■■■■■ ■1111 1111■■■■ ■1111■■■11■11■■11■i ■ ■11■■■11■■■■11■■■■■ 1111■ ■•■■ ■■ ■1111■ ■■ ■11■1 ■■■■1111■ ■■■11111■■■■ ■ ■ ■ ■ ■ ■ ■ ■■■1umuummull■■■■■■■■ 1111■•■■ ■1111111■■■■iui11■■■i■i■■■■■ ■ ■ ■ ■■■■ ■ ■11■■11■u1■■11■■■11�■■11 ■■11 ■1111■ ■ ■1■■ ■1111■■■ ■■1111■■11It11■11■■1102ET111111■■ ■11■ ■11 ■■■■11■■■ 1■ ■ ■11i!1�1 ■� ■ ■ ■1!� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■:' 11111�i'■■ 11111111111111111UNIMWMINIIIIIIIIMIUMNallrAZA ■■■■■■■ ■■■■■U■■■■■■■■■■■■■CAPral ■ ■ ■ ■ ■ ■■rnui.1■ ■ ■■■■11■■ ■11■■■■■ r. 1111ai11■ 1111 ■ ■ ■ ■ ■ ■■III6■■I■11 ■U11111111111111U■U ■■ NEMOI■►!11 ■■ 111111111111111111MOMINEW-ulWitiMiMit MUM= ■ ■1111■ ■■uI■■■ ■ NI1111i■11 ■ ■ ■37111M ■11 ►_t ■11'.!■ ■■ ■■■■■11■u1■■■' VBVII MJIPI ►7■■■■EJPA ii U■■ ■■■■■■■111111■■1/5111P IIMM NUM5 P iUI■1111 111111111111111105111111 ■O/11111 I■ ■MILK■ \r ■INAM! 1111 1111■■1■■ 1111■ 11■- V% ■= ■r'U ■\iii ■■!!■ ■ M1iik/■ ■■ 1111■■■ IN[■■■ ■MEIMMV11■ /711 ■LIMMlri11 ' ■ ■ ■11 ■1111111111[ 1111■ I /11iy, X1111: \ ■`111.111111�rr�'�*!�111■ ■11 1111■ ■ ■■ ■III■ ■ ■1 EE11ilial 1111■11111111111rM NIMI ■■ 1111 ■11■ ■■111■ ■ ■EVNWiile 1 IIIII ' '° ■ umet - 11■■■ '^ LM1111I1 ■PE ^'JWE YAM 7 ■■ 111111111111111MUMUIMINIMMIHINiffiritaIrMW:NIMI ■■■■■■■ ■ ■11■>■11■11■1111■11■11■w111a■■■■ ■ ■Ni■ mumminnuammeimmrwraimmams ■1 ■■1HUME■■■11■■■■ ■■ ■■■■■■ ■11■ ■111111■■111111■■■■■■ ■111111■11■11■■■11■ ■■■■ 11■ ■1111■U1111■11■■11■■■■11■11■1■■11■■■■■11■ ■■■■■■ ■■■11■11■11■11■>■11■■■■11■■■11■■■11■■■■ Notes TEAR OFF EXISTING TILE AND FALT ROOFS. REPLACE W A NEW MONIER 13" FLAT COLOR THROUGH CONCRETE TILE . COLOR TILE IS PALM ISLAND GREEEN LSAXONY 900 SLATE TILE, AND A NEW FLAT BUILT UP ROOF SYSTEM 6 0 Passed - -::14/1--. Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 11/24/2008 Inspector: Bruhn, Norman Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Friday, November 21, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1132050170110 Lot: Phone: 786- 277 -9540 Page 1 of 2 TEAR OFF EXISTING TILE AND FALT ROOFS. REPLACE W A NEW MONIER 13" FLAT COLOR THROUGH CONCRETE TILE . COLOR TILE IS PALM ISLAND GREEEN LSAXONY 900 SLATE TILE, AND A NEW FLAT BUILT UP ROOF SYSTEM ®� 0 _ ��� Passed Inspector Comments ' Frc,oJ/ . */__-_ Failed 6,e___ 0 pi-D 'MS Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 11/03/2008 Inspector: Rodriguez, Jorge Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Project: <NONE> Friday, October 31, 2008 Miami Shores Village, FL Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1132050170110 Lot: Phone: 786 - 277 -9540 Page 2 of 2 TEAR OFF EXISTING TILE AND FALT ROOFS. REPLACE W A NEW MONIER 13" FLAT COLOR THROUGH CONCRETE TILE . COLOR TILE IS PALM ISLAND GREEEN LSAXONY 900 SLATE TILE, AND A NEW FLAT BUILT UP ROOF SYSTEM sM " 61% • 4 144" Passed Inspector Comments L0 wv I, ®k - A) �, ` -(F bk. f kg. P4- D`T Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until its i•'•:> iGiiv2: j:: :?: Inspection Date: 11/03/2008 Inspector: Rodriguez, Jorge Owner: CANTON, SPERO & CHRISTINE Job Address: 1025 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Friday, October 31, 2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number 1132050170110 Lot: Phone: 786 -277 -9540 Page 2 of 2 Project Address 1025 NE 97 Street 1132050170110 Miami Shores Village, FL Block: Lot: Owner Information Address SPERO & CHRISTINE CANTON Contractor(s) Phone CeII Phone KAWALEK ROOFING & PAINTING, IN( 786 - 277 -9540 (305)754 -0191 Type of Work: Hurricane Mitigation Additional Info: Classification: Residential Fees Due CCF Education Surcharge Notary Fae Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $100.00 $3.00 $2.50 $111.30 Authorized Signature : Owner / Applicant / Contractor / Agent Building Department Copy Tuesday, October 28, 2008 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Expiration: 04/26/2009 Parcel Number Total $ 0.00 $ 0.00 Payment Type : Amt Paid I Amt Due $ 0.00 Phone Applicant Valuation: Total Sq Feet: ' ? 2008 MIAMI SHORES VILLAGE SPERO & CHRISTINE CANTON 1025 NE 97 ST MIAMI SHORES FL 33138 -2555 $ 1,000.00 0 Available Inspections: Cell Inspection Type : Final PE Certification Letter - In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants , or employes . I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work . OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi3n and zoning . Futhermore , I authorize the above -named contractor to do the work stated . October 28, 2008 Date 1 Permit Type (circle): BUILDING PERMIT APPLICATION FBC 2004 Owner's Name (Fee Simple Titleholder) Owner's Address / City a ,4, SSLJ' Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ffO � /511 Electrical Plumbing Mechanical Roofing ®�, /),, g �/ g 4e) 6 / l 4 C Phone # ?�"�C ( S7 Y7 97; State City Miami Shores Village County Miami -Dade FOLIO / PARCEL # /1 . � (5� — Of) — ®l/ Is Building Historically Desirated9 YES NO City .t "cpeS State r / Qualifier Name 1a)L. K A-kJ A 1__-0 State Certificate or Registration No. rc...)O(o4 (23 Submittal Fee $ Permit Fee $ /L2 °6 Notary $ 6,60 Training/Education Fee $ 0 Scanning $ d a) Radon $ Master Permit No. Zip D3/3 rT Job Address (where the work is being done) /CSc2 r ti 9 7 y 3 Certificate of Competency No. Bond $ Code Enforcement $ Double Fee Structural Review. $ OCT 2 8 2ht;, - 1) ee Now Due $ C (1kLl MIAMI SHORES VILLAGE Phone # Zip 5 Contractor's Company Name '' . 4) Pet k D - ra --G!- Phone # A5S7 73 (1! 9/ Contractor's Address ir , 0- 604 S3 / G .T/ zip 33 / Phone# 7cf ) ?S7d Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: ' Tx ; 11 + new NArri cit -sf '-.ps 0 t\ 6 la p e- woo cL- h' t, * * ** * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * *** * * * * * * * * * * ** CCF $ 6 CO /CC Technology Fee $ Zoning $ See Reverse side -3 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that_no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil .,proved and a reinspection fee will be charged. Signature Owner or Agent .The foregoing instrument was acknowledged before me this day of G , 20 by who is personally known to me or who has produced NOTARY PUBLIC: Sign: As o Notary Public State of Florida E van Den Bergh My Commission DD778217 Expires 04/13/2012 Print: v(A My Commission Expires: 4i, 5 J�O r APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this ID day of 0061 ,20 O 'P & Pct I wale , who personally Icno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: . ,u T,ES %0cto ,, '„ :r Ex . otatY4ueh�c ..�. • Plans Examiner Engineer Zoning nvvr ++wrrnouc0 M1 nUUr 1 LJr b I MIU$. 1 LINES Sketch Include parapet 15.32 minim 1.4 II ail UFO*" - 4 1 1■ 1 1Pla rii•ii ialiii■ iii orsAINIMPIMEEIMPirdif IIIIII 11 111 � �ii•rl�i i t �� go _ - �L��:��/ �I������• T. III Job Address ❑ Prescriptive BUR - RAS 150 / ROOF TYPE ❑ New Roof L9 Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) I y 50 Steep Sloped Roof Area (SF) Section B (Roof Plan) Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overt' dimensions of sections and levels, clearly identify dimensions of elevated �/ ROOF CATEGORY ti Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic ❑ Metal Panel/Shingles Shingles HOLIES 0 Master Permit No High- Process No. Contractor's Name Ka/141(M R©O-P 111 1 D.5 1\i‘ El 97/4\ j- J I6O669LSO£ MOS311 Code Edition 2004 Uniform Permit Application Form. al 1 form - do S39vd 50 saTzas OOTL NrEwxa'I $ ZaPo1r1 ** - - J Od3tl EMUS NOISSIWSNVEL * * 'OCT i iliECEUVET 0 2008 VA/loner/Ad i ive Set Tile ❑ Wood Shi sR _ hakes epair O f aintenance tal (SF) 3200 v w scuppers an verflow drains. pressure zo and location of 011 1 ? .6 Uiu FLORIDA 6 Z6Z6 '' - LLZLT 1 KZ6 =60 o �rLs OS:60 890Z'OT LOP Section C (Low Slope Applications Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA ") System Manufacturer: GAF Product Approval No.: 03-0501.05 Design Wind Pressures, From RAS 128 or Calculations: Pmaxl: — J •SPmax2: 4 3 % 3 Pmax3:- 13) aI/ Max. Design Pressure, from the specific Product Approval system: 5 Deck: Type: Gauge/Thickness: wood Slope: Anchor/Base Sheet & No. of Pty(s): I ply 1' ei ;1eeI" Arichpr/Opsg.Sh_ Q d Material: U IS 4 T n Insulation Base Layer: C Base Insulation Size and Thickness: L 1 X `7 X tot // Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: p %'j .54'f'A'�' ekve'1`i" Base Sheet(s) & No. of PIy(s): P or d Woe sheei Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Piy(s): "ply - � 1 b ere k Ply S et 917/ p ter c c lag Material: Top Ply: 6 AF Miner/Ai Cap ..61tee, Top PN Fastenerf8 n�Material: Abp FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment: Field: `r " oc Lap, # Rows l a @ ! " oc Perimeter: 6 " oc Lap, # Rows ' @ " oc Corner: '7 " oc r Lap, # Rows 4 1 @ q " oc Number of Fasteners Per insulation Board: Field Perimeter Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Gc4 shoe �$ galy dri y-0 bereias fil X6 PST. wood has ier \ er will be,6eared wth O Iy rh' i C. P-1 clecf< sorews, IOng 4-1- &00ered at $ " on c,ente-r Corner 0 Parapet Height Mean Roof Height 15.33 Roof System Manufacturer: 0n_ ()711r (73 Notice of Acceptance Number: C rj _corn I I® 3 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations• ) n P1: l b P2: 100117 P3: 10Qt b Maximum Design Pressure (From the Product Approval Specific System): taq ROOF ASSEMBUES AND ROOFTOP STRUCTURES 15.34 Roof Slope: 3 : 12 Ridge VentalliKin? Mean Roof Height: 1 Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: Type Underlayment: Insulation: I ) v-SQi rt wood Fire Barrier: Ail A- N/A Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: GoI ot-i 6 Type & Size Drip Edge: FLORIDA BUILDIN CODE.— BUILDING -- - -- - - - ri r wan... npproval r Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on CB 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A. Product Approval Restoring Moment due to Gravity Ma Product Approval Attachment Resistance M Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F' Product Approval • Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE - BUILDING Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mf M required Moment Resistance* Method 3 "Moment Based Tile Calculations Per RAS 127" (P x L = x w: = ) - W: x cos 9 = F Product Approval F' (P x L = x w: _ __) - W x cos 0 = F Product Approval F' (P3: x L - xw:= )-W. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES For Moment based tile systems, choose either Method 1 or 2. Compare the values for M, with the values from Mr. If the Mf va ues are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. g Metho "Moment Based Tile Calculations Per RAS 127" / (P1:' P 1 // k 714 Q '3 = ! � 1 �, jQ - M = 1 j ( g77 Product Approval Mf ± 1 7 (P2: I O b.<2 • 3I3 3 h !! , t r/ Product ApprovalM P ! (P3:I sLVLbx X .313 in _ M 8, 03= M r3 '''M+ j 6 Product Approval Mf (/ / Mean Roof Height -> Root Slope 4, 15' 20' 25' 30' 40' 2:12 3:12 34.4 32.2 4:12 5:12 6:12 7:12 30.4 28.4 28.4 24.4 38.5 34.4 32.2 30.1 28.0 25.9 38.2 36.0 33.8 31.6 29.4 27.1 35.1 32.8 30.5 28.2 42.2 39.8 37.3 34.9 32.4 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and ppeals. For Uplift based tile systems use Method 3. Compared the values for with the values for Fr. If the F' values are greater than or ual to the Fr values, for each area of the roof, then the tile attachment method is acceptable. t�N belirerig Excellatic Eve lyzie er's/Agent's Signature l23 01 -154 1/07 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNER'S NOTIFICATION FOR ROOFING CO 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to pr required roofing permit, and to explain to the owner the content of this section. The pr the Florida Building Code, Building govern the minimum requirements and standards system installations. Additionally, the following items should be addressed as part of th owner and the contractor. The owner's initial in the adjacent box indicates that the item 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High are for the purpose of providing that the roofing system meets the wind resistance and wa standards. Aesthetics (appearance) issues are not a consideration with respect to workman issues such as color or architectural appearance, that are not part of a zoning code, sh of the agreement between the owner and the contractor. Q ( 1 "' 2. Renailing Wood Decks: When replacing roofing, he existing wood roof deck m accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zone Code. (The roof deck is usually concealed prior to removing the existing roof system). 1 L 3. Common Roofs: Common roofs are those which have no visible delineation (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing should notify the occupants of adjacent units of roofing work to be performed. )" 4. Exposed Ceilings: Exposed, open beam ceilings are where the undert de of the r from below. The owner may wish to maintain the architectural appearance, therefore, r the underside of the decking may not be acceptable. The Florida Building Code provides this appearance. Ponding Water. The current roof system and /or deck of the building may not water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication may require the review of a professional structural engineer. Ponding may shorten the formance of the new roofing system. Ponding conditions may not be evident until the removed. Ponding conditions should be corrected. Overflow scuppers (wall outlets): It is required that rainwater flow off so that 'rom a build up of water. Perimeter /edge walls or other roof extensions may block t scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppe Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airfl the structural assembly (the building itself). The existing amount of attic ventilation shou be beneficial to consider additional venting which can result in extending the service lif /0 Date Property Address s 33c$' Permit Number Contract SIDERATION vide the owner with the visions of Chapter 15 of the industry for roofing agreement between the as been explained. v elocity Hurricane Zone) r intrusion performance hip provisions. Aesthetic Id be addressed as part y have to be renailed in of the Florida Building een neighboring units ontractor and/or owner f decking can be viewed fing nail penetrations of he option of maintaining ain well and may cause of structural distress and ife expectancy and per - riginal roofing system is e roof is not overloaded is discharge if overflow in accordance with the through the interior of not be reduced. It may of the roof. s Signature 1 MIAM IDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) MonierLifetile, LLC 200 Story Road Lake Wales, FL 33853 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the .expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may imrodiately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the Hlgh Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Saxony 900 (Shake, Slate & Split Shake) Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami-Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA# 07- 0228.03 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMI -DADE COUNTY, FLORIDA METRO -DADS FLAGLER BUJ DING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub - Category Material: SCOPE: This new NOA approves a system using MonierLifetile Saxony 900 (Shake, Slate & Split Shake) Concrete Roof Tile, as manufactured MonierLifetile LLC and described this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations shall be done as a moment based system. PRODUCT DESCRIPTION Manufactured by Annlicant Dimensions MonierLifetile LLC 1= 17" Saxony 900 w = 13" 1 -5/32" thick Slate 1- 9/32" thick Shake & Split Shake Trim Pieces 1= varies w = varies varying thickness SUBMITTED EVIDENCE: Test Agency Redland 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. Roofing Flat Profile Roofing Tiles Concrete Test Identifier 7161 -03 Appendix III 94-084 94-060A 25- 7183 -6 25- 7183 -5 Test Specifications TAS 112 TAS 112 Product Deseriu Flat profile, interlocking, high- pressure extruded concrete roof tile equipped with two nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Date Static Uplift Testing Dec. 1991 PA 102 & PA 102(A) Static Uplift Testing May 1994 PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quik-Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik-Drive Screws, Battens) March, 1994 Feb. 1995 Feb. 1995 NOA No.: 07- 0711.03 Expiration Date: 04126/12 Approval Date: 09/07/07 Pap 2of7 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. Atlanta Testing & Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers Test Identifier 25-7214-1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1,1994 P0631 -01 PO402 Project No. 307025 Test #MDC-77 R1.894 R2.894 R3.894 520109 -1 520111 -4 520191 -1 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Evaluation Calculations 130 Test Name/Report 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 Static Uplift Testing PA 101 Static Uplift Testing PA 101 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Restoring Moments Due to Gravity TAS 112 Date March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Dec. 1998 March 1999 February 1996 April 1996 December 1996 March 1995 January 2007 April 1999 February 2007 January 2007 NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 3 of 7 Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Saxony 900 Slate, Shake & Split Shake Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65 7.55 6.46 7.34 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight W (Ibf) Length -I (ft) Width -w (ft) MonierLifetile Saxony 900 Slate, Shake & Split Shake 11.5 1.417 1.08 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3. Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 4. Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 5. 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 6. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. INSTALLATION: 1. MonierLifetile Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 2. Data For Attachment Calculations NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 4 of 7 Table 2: Aerodynamic Multipliers - A (ft Tile A (ft) A (ft Profile Batten Application Direct Deck Application MonlerLffetile Saxony 900 0.289 . 0.313 Slate, Shake & Split Shake LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3. Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 4. Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 5. 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 6. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. INSTALLATION: 1. MonierLifetile Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 2. Data For Attachment Calculations NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Dirt Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Saxony 900 Slate, Shake & Split Shake 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 .#8 Screw 30.8 30.8 182 2 . #8 Screws 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Feld Clip) 35.5 35.5 34.8 2 -1 Od Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 Table 5: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Applic adon Minimum Attachment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Adhesive 31.3 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5k Attachment Resistance Expressed as a Moment - Mf (ft Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Polyfoam PolyProTm 118.9 Poiyfoam PolyProm' 40.4" 3 Large paddy placement of 45 grams of PoIyProT". 4 Medium paddy placement of 24 grams of PolyProTm. Table 5B: Attachment Resistance .Expressed as a Moment - Mf (ft Ibf) for Mortar Set Systems 'Tile Profile Tile Application Attachment Resistance MonierLifetite Saxony 900 State, Shake & Split Shake Mortar Set 43.9 . 5. Tile -T cite Roof Tile Mortar NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 5 of 7 LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement "Miami Dade County Product Control Approved ". BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following. 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MONIERLIFET LE LLC, SAXONY 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE PROFILE DRAWING WATERLOCK MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SLATE MODEL) NOA No.: 07- 0711.03 Expiration Date: 04!26/12 Approval Date: 09/07/07 Page 6 of 7 PROFILE DRAWING MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SPLIT SHAKE MODEL) MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SHAKE MODEL) END OF THIS ACCEPTANCE NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page7of7 • • • • • • BUILDING CODE comrLIINerfo pRoolaT COwrRoL niktid** NOTICE OF ACCEPTANCE 0 - Polyfoani Products, Lac.. 11715 Boudreaux Road • • • • • Tomball, TX 77375 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • (pc*c(s • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • St. .ortl: This NOA is being issued under the applicable mks and regulations gowning the use of construction materials. tile documentation submitted has been reviewed by the BCC° and accepted by the Building Code and Product Jurisdiction (AHJ). Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Uu NOA shall not be valid after the expiration data mated below. The BCC() Miami Dade County) anal: the AID (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted 111111111BE, tbe manufachner will incur the expense of such testing and the AHJ may inuttediakdy revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO memos the rig* to revoke this acceptance, lift is determined by acco that this product or material fails to meet the requirements order applicable building cede. is approved Zone of the Florida Building Code. fl product as described herein. and has been designed to comply with tlw Righ Velocity Hith DESCRIPTION; Polypro* AHI60 • - • .. • • . • * - change in the applicable building code negatrroly affecting the performance of this Product- • ** RENEWAL of this NOA s be consklmed after I s re application has bummed and i' 61 ; 1 ; a:s "ao. * TERMINATION of this NOA will occur after the expiration date or if there bas been a irevistittiTgsbitoge e•.• materials, use, and/or manufacture of the protest or puma Misuse °fulls NOA as an endorsgmeht bf ° * . inie product, for sales, advertising or any other purposes shall automatically terminate this NOA. Fgilusuto comply with any section of this NOA shall be cause for termination and removal of NOA. 1 - : ADVERTISEMENT: The NOA number preceded by the' words Miami-Dade County, Florida. and followed by be done In ns entirety, the expiratton date may be displayed in advertising literature. If any Portion of the NOA is displayed. then it shall INSPECTION: A copy of this entire NOA shall be providul to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Maud. i ins NOA renews NOA No.01-0521.02 and consists of pages I through 7 Fhe submitted documentation was mimed byi.. L. Moho. MIAAR-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 %yrs? PLAGLER num sum go MIAMI. FLORIDA 3 31304563 ( 375-2901 FAX (305)375-2908 NOA No» 004201.02 Elyikailea Date: 05/10/11 Approval Date: 04/13/86 Page 1017 ■ao eve.' ROOFING ASSEMBJ,y OV !PPRAf..: • • • • ' • • • • • t. ategory: • • . • .Rbofilk • • • . • Sub Category: .• ' '..RootttZe ad a siv •' Materials: Polyurethane SCOPE: Product PHYSICAL PROPERTIES: Density Compressive Strength tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content • • •. • •• •• • • • • • • • • • • • • • • •• • • • • • • • •• • •• • • • • • .. • • • • • • • • • • • • • • • •• • .• • • • •• • •• •• This approves Polypro® $41 lis 3natifakLreillY of this Notice of Accepfance.'F8r tfle l wllbre o Products, Inc. as dasctisod in Section 2 applicable building code, does not exceed the design Pus compliance with Roofing Application Standard RAS 127, for use with approve in profile roof tiles system using Polypro® AR 160. Whore the s hruent Om, low, and high moment based system for single patty placement, and as an uplift based for done y s patty sYstems PRODUCTS MANUFACTURED BY APPLICANT: lid 1'cal rc>® AH t 60 S N/A TAS 101 i - oampro RTF 1 000 N/A t'ruPack® 30 & 100 N/A PRODUCTS MANUFACTURED BY OTHERS: ° •4 •ape Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a ° ° may • list moment resistance values with the use of Polypro AH160 roof tile adhesive. Test ASTM D 16:2 ASTM DI621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 • •• • • • •. • 1'rstest I>tat�e tha Two component � -.� foam adhesive Ding Equipment Dispensing Equipment ftsitt • • • • • •• + • • • • 0 • .00• • 0• « «• • •• •• « .4• • • • • • • • 1.6 lbs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PS1 Parallel to rise 0.08 LbsJFtz 3.1 Perm / Inch +0.07% Volume Change . - 40° F., 2 weeks +6.0% Vohune Change @158 100% Humidity, 2 weeks 86% • • • • 0 0* • • •••• 0 Note: The physical properties listed above are plied as typical average valuta as detereatfted by accepted ASTM test methods and are :abject to nomad aetuufaetering varieties. • •• VOA No.: 06-0201.02 Expiration date: wise I Approval Dates 0443/06 Page 2 of 7 • •0 • 44 . •• • • •m. 0 00 0 « • Ramtech Laboratories, Inc. Southwest Research Institute lnnity Fnguieering Celotex Corp. Testing Services LIMITATIONS: • • • 0• 00 • • • • • • • • • • • • • • • • • 0 0 • • • • • • • ••0 •0 .. • • • • • • • • • • • • • 00• EVIDENCE SUBMHTED: • • • • • • • Te_ jtAggisi :• , • . 900 411001 enter tor Applied Nintering .• Tivabbso #9 • 2 57818-1PA 25-7438-3 • • • • • • • • " four4 • 45-74387 •• • • • • • 1n47492 Miles I .aboratories NB-589-631 Polymers Division 9637-92 01-6743-011 01 -6739-0621*n 7 050.02.96-1 528454-24 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109.6 520109.7 520191-1 5201094-1 IM—Naar TAS 101 TAS 101 ssrp 11-93 SST 11-93 SSTD 11-93 ASTIVI D 1623 ASTM E 108 ASTh4 E 108 ASTIV1E 84 TAS 114 TAS 101 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 0 3/14/96 10/23/98 • . • .... • • • . . • • ° • • • 113102199 • 0 • •0 • * 0 00 000060 • a 0 • 0 0000 0000 . • • • • 1. Fire classification is not pan of this acceptance. Refer-to the Prepared Roof Tile Assembly for fine rating. .. • *00 • • al• 0 2. Polypro® Atli 60 shall solely be used with flat, low, & high We profiles. 3. Minimum underlayment shall be in compliance with the Roo Application Standard RAS l20. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro. A11160 zooftile adhesive with their tile assemblies shall test in accordant* with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDT-STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. A ' F W 2 P= MS NOA No.: 06.0201.02 RimIradas Date: Mien I Approval Date: 84/13/86 Page 3 of 7 • • ••• • • • ••• •• •• • • • • •• •• • • • • • • • • • • • • • • INSTALLATION: : • • • • • • • • 1. Pulypro® AH160 may be used with any roo ststance valuelowitb4he usaof•Pa1y3rA f file ably having a current NOA that lists uplift 2. Polypro® A►H {�' ' ,AHI60. uA � � Placeitient • Jjjie with die Lb Component ' tit attachment the the use of Fol � = The roof tile assembly's � ypm® AHI60 shall provide sufficing based system, to �etrore atta chment ,. wed as an uplift tile assembly N •• RAS.I2I. The is noted 3. Potyprn® AH160 roof tile • • • • ' in roof adhesive and its components shaft installed Roofing Apph g g,S 120, and Polyfoarn Products, Instruction and Main Booklet. Polypi AH1t50 4. Installation must be by a Factory Trained Operating Products, Inc. Polyfoatn Inc. °d' moved and licensed by pviyf� having jurisdiction. supply a list of ap to the authority 5. ibration of Cal the F The mix ratio betty dispensing and the' is required 1 application of any adhesive. c (A): ati between The B i .15 (A: determined at call time shall be set to deliver O.0175 to 0. between ! .0- as 6. Pal ro®A at I ��ron. No other shall be approves. P per ti lt yP shall be applied equipment only. with F RTF1000 or PmPack�130 & 100 7 . Potyp'o® AH 160 shall not be dispensing ... ® . S. Tiles must be in y to sunlight. - • • Polyprri®AH 160 has adhesive. Tile mfrs[ be set within 2 to 3 stinks aft er • • . • • 9. Polypro® AHI 60 placement and minimum • Details' hereon. Each generic tile profile PAY �g$t be in accordance � �.� • to specific • • High Profile (2 Piece Barrel) Flat, Low, Hi ^ Profiles . Table I: Adhelive I'Iltecteia�t F or Each Tle Ply • • - • • • . . • • LABELING: AlI Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to ply evaluate the installation of this system. NOA No.: 96- 0201.0i Rindratise Date: 05/10/11 A!piev+d Data: 04/13/06 Page 4 ••• • • • . • to • 0 . * • • • • • • • .. •. •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• ADIIESPAg PLACEmErrr DETAIL 1 • • Su L PATTY • • • • • • • • • • • • • • • • • • • 11)eM•+migh iwb•HbNflbat suaelidesibmixhiMpolli E4OA N : 064=1M ltaphrallon Date: 01110111 Approval Date: 04/13186 Page 5 af 1 a • 4 mc..e . r •m.r. *ON*** d 000*:. O v t • • • •.. • • • ••• •• .• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• ADHESIVE E PLA DETAIL AIL 2 • • • • • • • • S�JY ZE PATTY • • • •• • • • s • • • • • • • • • ••• • • • • • • • • • ••• • • • • • • •• • • • •• ••• •• • •• • • DOA Ne.: 864261.82 lloptrattoo Date: X16/11 Approval Date: 6411316 Page 6eI7 • • ••• • • • ••• .••• • •••••• • • • • • • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • ••• ADHESIVE PLActikartrr DETAIL 3 • •• •• TI'Y ▪ • • • • • • • • • • • • . • . • • • • • END OF THIS ACCEPTANCE NOA N... 964201.02 Date: *3110/11 Date: 04113106 Page 7 of 7 MIAMIDAQE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI -IADDE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375 -901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade Couity) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the . AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built-Up Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement. "Miami Dade County Product Control Approved ", unless otherwise rioted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA #02- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 1of21 ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Wood Maximum Design Pressure -75 psf Fire Classification: See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (Matrixim Standard Wet/Dry Roof Cement 204) RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 Product Dimensions GAFGLAS #80 Ultima Base Sheet GAFGLAS Flex P1yTM 6 Roofing BUR 5, 55 gallons 60 lb. bags 5 gallons 5 gallons 5 gallons 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37' (1 meter) wide Test Specification ASTMD41 ASTM D 1863 ASTM 1227 Produit Dec -- Asphalt concrete primer aced to promote adhesion of asphalt in bu t up roofing. Granules for surfacing ofd asphalt, cold process cement or eimulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. 1, 5 gallons ASTM D 2824 Fibered aluminum coatin 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforcer, polymermodified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. NOA No: 03- 0501.05 Expiration Date: 11/04108 Approval Date :10 /23!03 Page 2 of 21 Product GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROID® SBS Heat - We1dTm Smooth RUBEROID® SBS Heat We1dni Granule RUBEROID® SBS Heat - We1dTM 170 FR RUBEROID® SBS Heat - We1dTm PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID® SBS Heat - We1dT' 25 RUBEROID Modified Base Sheet Ruberoid® 20 Ruberoid® Mop Granule Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Various 39.37" (1 meter) wide 1 meter (39.37") wide meter (39.37") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.37") wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Test Specification ASTM D 2178 ASTM D 3909 ASTM D 4897 D 3672 ASTM D 4897 D 3672 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D-6164 ASTM D -6164 ASTM D-6164 ASTM D4601, Type 11, UL Type G2 BUR ASTM D 6163 ASTM D 5147 ASTM D 6222 ASTM D 5147 Product Description Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass 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. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. • Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Non Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non-Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non-Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Premium glass fiber reinforced SBS - modified base sheet SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat Non -woven polyester mat coated with polyner modified asphalt and surfaced with mineral granules. NOA No: 03- 0501.05 Expiration Date: 11/011108 Approval Date:10123/03 Page 3 of 21 Product Ruberoid® Mop Plus (Granule) RUBEROID MOP Smooth RUBEROID® MOP 170FR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FR Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) Wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) • wide 39.37" (1 meter) Wide Test Specification ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 Product Description 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 polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen embrane, smooth surface. Asphalt impregnated, coated felt, surfaced with mineral granule. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non-woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer modified asphalt and surfaced with mineral granules. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23103 Page 4of21 Vent Stacks (metal and plastic) GAF Aluminum Fmnlsion GAF Aluminum Roof Paint (Matrix® System Pro Aluminum Roof Coating Fibered 302) GAF Built-Up Roofing Asphalt RUBEROID MOD 60 lb. kegs Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet 39.37" (1 meter) wide Shingle -Mate m Underlayment TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAP WeathexCote® MB- F(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCoteeM (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid ®MB) Matrix 201 System Pro SBS Flashing (Ruberoid ®MB) Matrix 102 Select SBS Adhesive Product Test Dimensions Specification PA 100(A) ASTM D 1929 ASTM D 635 5 gallons None 5 gallons ASTM D2824, Type I 100 lb. cartons, bulk 39.37" (1 meter) wide 4 sq. roll 30 lbs. 5 gallons ASTM D4601 ASTM D 3909 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons ASTM D3019 5 gallons ASTM D3019 5 gallons ASTM D3019 Product Description One way valve vent used to relieve built-up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non - fibered aluminum pigmented, asphalt roof coating ASTM D312, Interply mopping and surfacing asphalt Types I, MB and W SEBS modified asphalt Asphalt impregnated and coated, fiberglass base sheet Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass reinforced shingle underlayment Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 5 of 21 (Ruberoid ®MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Non - Fibered RUBEROID® Modified Bitumen Adhesive APPROVED INSULATIONS: GAFI EMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N (BMCA)GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTLM GAFTEMP Permalite Recover Board GAFTEMP GAFEDGETM Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA PYROX White Line Product Product Name Test Product Dimensions Specification Description 5 gallons ASTM D4586 Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement Caulk Grade. 5 gallons ASTM D3019 Cold Applied Asphalt Adhesive. 5 gallons ASTM D 2824 Fibered aluminum coating. 5 gallons ASTM D2824, Non-fibered aluminum pigmented, asphalt Type I roof coaxing. 5 gallons ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation BMCA Composite EnergyGuard, RA Polyisocynurate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. • Apache Products Co. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 6 of 21 APPROVED INSULATIONS: Product Name ACFoam b lI & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck ENRG'Y --2 & E NRGY 2 PLUS, UltraGard Gold Fib. erGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number Product Name 1. GAFTITE® (Dril Tec®) #12 Standard & #14 Heavy Duty Roofing Fastener 2. GAFTITE® (Drill-Tec®) ASAP 3. GAFTITE® (Drill -Tec®) Base Sheet Fastener and Plate 4. Galvalume Plates (Drill- Tec® Metal) 5. Polypropylene Plates (Drill-Tec® Plastic) 6. Dekfast Fasteners #12, #14 & #15 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyaninate /perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3 1/2" GAF Materials Corp. 3" and 3 V2" Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. . Firestone Building Products, Inc. generic generic generic G P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. GAF Materials Corp. Construction Fasteners Inc. NOA No: 03. 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 7 of 21 APPROVED FASTENERS: Fastener Number 7. Dekfast Hex Plate 8. Dekfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Product Name Olympic Fastener #12 & #14 Olympic Fastener ASAP Olympic Polypropylene Olympic G-2 Olympic Standard Insul-Ftxx Fastener Insul F xx S Plate Insul Fixx P Plate Tru-Fast Tru Fast Plates Tru -Fast Plates TABLE 3 Product Description Gaivalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Insulation fastener Pre - assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZ50 steel plate Insulation fastener for steel and wood decks 3" round galvalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Dimensions 2 7/8" x 3 3 "x3y" 3" round 3" square 3.2" Manufacturer (With Current NOA) Construction Fasteners Inc. Construction Fasteners Inc. 1TW Buildex Corp. ITW Buildex Corp. 1TW Buildex Corp. Johns Manville Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. 3.25" round Olympic Manufacturing Group, Inc. 3.5" round Olympic Manufacturing Group, Inc. 3" round Olympic Manufacturing Group, Inc. SFS /Stadler 3" round SFS /Stadler 3" round SFS/Stadler The Tru Fast Corp. 3" round The Tru Fast Corp. 3" round The Trn Fast Corp. NOA No: 03 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 8 of 21 EVIDENCE STBMPITED: Test Auencv Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. IRT of S. Fi. IRT of S. FL Test Identifier FMRC 1996 J1.2B8A4.AM J.I.3B9Q1.AM J.I. ODOA8.AM JZ OD1A&AM J.1 0Y9Q5.AM GAF -012-02-02 GAF - 020 -02 -01 02-005 02 -014 Description (went Insulation Attachment Requirements Wind Uplift FMRC 44704 Wind Uplift FMRC 4470 - PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 ate 01.01.96 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 03.0501.05 Expiration Date: 11/04108 Approval Date:10/23/03 Page 9 of 21 APPROVED ASSEMBLIES Deck Type 11: Wood, Insulatidi Deck Description: 19 / 32 " or greater plywood or wood plank System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only , platic plate only (Table 3) Density/ft =P) ACFoam I, ENRGY 2, GAS Isotherm R, E'NRG'Y 2 Plus, pA TEMP Isotheim R ) GAFIEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N, BMCA EnergyGuard, BMCA EnergyGuard Composite, EverGuard ISO, ISORoc, EnergyGuard RA, EnergyGuard RA Composite Minimum 1" thick N/A N/A BMCA High Density Wood Fiber, GAFPEMP® High Density Wood Fiber, GAFTEMP ReeoverBoard, Wood Fiber, GAFTEMP® Fiberboard Minimum i/i" thick N/A • N/A Perlite, GAFfEMP® Pernalite®, Permallte Tapered, Paroc Minimum 34" thick N/A N/A Fiberglas (Km. "4 thick) NIA N/A Note: MI insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20-4011m/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall ie used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply ofG STRATAVENT® Eliminator Perforated laid dry or a layer of GAF1'EMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS #80 UItimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat We1dTM Smooth or RUBEROID SBS Heat-Weld 25 base sheet • mechanically fastened as described below; Fastening Options: GAFGLAS® Ply 4®, GAFGLAS Flex P1yrm 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o :c. in the field. (Mm Design Pressure -4S psf, See General Lion #7) NOA No: 03.0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 10 of 21 GAFGLAS® Ply 4 ®, GAFGLAS Flex P1y' 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill-Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf, See General Limitation #7) GAFGLAS Flex PlyTm 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to fleck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. �u Pressure 52.5 See General Limitation 117) GAFGLKS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See General lion #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" invested Drill Tce (GAFT1TE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure -60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of alcove Anchor sheets attached to deck with Drill-Tec (GAHTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -7S p f See General Limitation #7) Base Sheet: (Optional) one ply of GAFGLAS® #75, GAFGLASj#80 Ultima Ultra Base Sheet, GAFGLAS STRATAVENT Eliminator Perforated, RUBEROID Modified Base Sheet, RUBEROID Mop Smooth, RUBEROID® 20 RUBEROID SBS Heat Weld Smooth or RUBEROID SBS Heat Weld directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbsfsq; (see General Limitation #4). Ply Sheet: One more plies GAPGLAS P Y 4®,)GAFGLAS Flex Ply 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bs.sq. Cap Sheet: (Optional) (Onewly of GAFGLAS® Mineral Surfaced Cap SheetOdhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbssq. Surfacing: (Required if no cap sheet is used Install one of the following: Maximum Design Pressure: 1. GAF Special Roofing Bitumen with an application rate of 20 lbsfsq with an application rate of 1.5 gal./sq.; or GAF WEATHER COAT® Emntsion (Matrix 305 Fibered. Rmnlsion) with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal./sq. 2. Asphalt flood coat at an application rate of 601bsJsq. t 20%; plus gravel or slag with an application rate of 400 lbssq. & 300lbs.sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW VOC applied at rate of 1 -1.5 gal/sq. See Fastening above. NOA No: 03- 0501.05 Expiration Dale: 11/04/08 Approval Date:10/23/03 Page 11of21 Deck Type II: Wood, Insulated Deck Description: 19 / 32 ' or greater plywood or wood plank System Type B: Optional base sheet laid dry; base layer of insulation mechanically fastened, optional top layer adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation for Base Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, platic plate only =P) (Table 3) Density/ft ACFoam I, GAFTEMP® Isotherm R, BMCA EnergyGuard, EnergyGuard RA Minimum 1.3" thick 1, 2, 6, 9,13,14 & 21S 1:3 ft E'NRG'Y 2, GAFTEMP Isotherm RN Minimum 1.4" thick 1,2,65,9,13,14 &21S 1:3 ft E'NRG'Y 2 Plus, GAFTEMP Composite N, BMCA EnergyGuard Composite, EnergyGuard RA Composite Minimum 1.5 thick 6S, 9,18 & 21S 1:3 ft PerJte, GAFTEMP® PERMAi ITF: ® Minimum 3/4" thick 15(3.5"), 6S, 9,13 & 1:2 ft 21S Fiberglas Minimum 15 / 16 " thick 1, 2, 6, 9,12,13, 14 & 1:2.67 ft 21S Wood Fiber, GAFTEMP® Fiberboard, GAFF/ MP High Density Fiberboard Minimum l "thick 1,2,6,13,14 &21S 1:4 Note: Base layer shall be mechanically attached with fasteners and density describes. Insulation panels listed are minimum sizes and dimensions; if larger panels are used the number of fasteners per board shall be increased maintaining the same. fastener density (See Roofer Application Standard RAS 117 for fastening details). GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Insulation for Top Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only plane plate only =P) (Table 3) Density/ft Any of the laudations listed for Base Layer, above. N/A N/A High Density Wood Fiber, GAFFEMP® High Density Wood Fiberboard, PERMALITE® Recover Board Minimum 1/2" thick N/A N/A Faroe Minimum 3 /a" thick Note: Optional top layer of insulation shall be adhered with approved asphalt within the ENT range and at a rate of 20-40 lbs/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Composite insulation boards used as a top layer shall be installed with the polyisocyannrate face down. N/A N/A NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 12of21 Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 ULTThile' Base Sheet, GAFGLAS® PLY 4®, GAFGLAS® PLY 60, GAFGLAS Flex Ply 6, GAFGLAS® STRATAVENT® Eliminator Perforated(laid dry), RUBEROID Modified Base Sheet, RUBEROID Mop Smooth or RUBBROIIDO 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbsdsq; (see General Limitation #4). Ply Sheet: Two or more plies of GAFGLAS® PLY 4®, GAFGLAS FlexPly' 6 ply sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a fate of 20-40 lbsJsq. (See specification number for appropriate number of plies). Cap Sheet: (Optional) One .ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq. (See GAF application instructions for approved method of installation). Surfacing: (Required if no cap sheet is used) Install one of the following:) L GAF Special Roofing Bitumen with an application rate of 201bsfsq with an application rate of 1.5 gal /sq.; or GAF WEATHER COAT® Rmnlsion (Matrix 305 Fibered R7nuision) with an application rate of 3 gal/sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Alumimmn Roof Coating Fibered 301) with an application rate of 1.5 gal./sq. 2. Asphalt flood coat at an application rate of 60 lbs sq. ± 20%; plus gravel or slag with an application rate of 400 lbssq. & 300 lbs.sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW VOC applied at rate of 1 -1.5 gal/sq. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 13 of 21 Deck Type 1I: Wood, Insulated Deck Description: 19 / 32 " or greater plywood or wood plank System Type C: One or more layers of insulation simultaneously attached; Base layer optional. All General and System Limftatlons shall apply. One or more layers of any of the following insulations. Insulation for Base Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only plane plate only =P) (Table 3) Density/ft2 ACFoam -I, GAFTEMP® Isotherm R, GAFTEMP Isotherm RA, GAS Isotherm RN, BMCA EnergyGuard, EnergyGnard RA Minimum 13" thick N/A N/A E 2 Mm. 1.4" thick N/A N/A ISORoc, E'NRG'Y 2 Plus, GAFTEMP Composite A, GAFTEMP Composiite N, BMCA EnergyGuard Composite, EnergyGuard RA Composite Minimum 1.5" thick N/A N/A Perlite, GAFTEM P® PERMALITE Minimum SA" thick N/A N/A Fiberglas Minimum' / thick N/A N/A • Wood Fiber, GAFTEMP® Fiberboard, GAFTEMP High Density Fiberboard Minimum 1" thick N/A N/A Note: All layers shall be simultaneously fastened; see top layer below for fasteners and density. Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintain' big the same fastener density. Please refer to Roofing Applicalion Standard RAS 117 for insulation attachment. GAF requires either a ply of GAFGLAS STRATAVENT® perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Insuation for Top Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, piatic plate only =P) (Table 3) Density/i& ACFoam -I, GAFTEMP® Isotherm R, BMCA EnergyGuard, EnergyGuard RA Minimum 1.3" thick 1, 2, 6, 9,13,14 & 21S 1:3 ft E'NRG'Y 2, GAFTEMP Isotherm RN Minimum 1.4" thick 1, 2,.6S, 9,13,14 & 21S 1:3 ft E'NRG'Y 2 Pins, GAFTEMP Composite N, BMCA EnergyGuard Composite, EnergyGnard RA Compodte Minimum 1.5 thick 6S, 9,18 & 21S 1:3 ft Perlite, GAFTEMP® PERMALITE Minimum Vs" thick 1S(3.5 "), 6S, 9,13,14 & 1:2 ft 21S NOA No: 034501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 14 of Fiberglas Minimum ' / thick 1, 2, 6, 9,12,13,14 & 1:2.67 ft 21S Wood Fiber, GAF'TEMP® Fiberboard, GAFTEMP High Density Fiberboard Minimum 1" thick 1, 2, 6,13,14 & 21S 1:4 ft Note: Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 for insulation attachment. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated Laid dry or a layer of GAFFEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 U1tma Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS F1exP1y 6, GAFGLAS® STRATAVENT® Eliminator Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID Mop Smooth or RUBEROID® 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 Ibs sq.. If lase sheet is applied directly to polyisocyanurate insulation only a spot or strip mopped application as detailed in this approval the use of an overlay board is approved; see General Limitation #4. Ply Sheet: Two or more plies of GAFGLAS® PLY 4®, GAFGLAS® PLY 6®, GAFGLAS FlexPly 6 ply sheet, #80 Ultima, , RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs.sq. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibssq. Surfacing: (Requited if no cap sheet is used) Install one of the following.) 1. GAF Special Roofing Bitumen with an application rate of 20 lbsfsq with an application rate of 1.5 gaL/sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gaL/sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal./sq. 2. Asphalt flood coat at an application rate of 60 Ibsisq. ± 20%; plus gravel or slag with an application rate of 400 lbs./sq. & 3001bs./sq., •respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW-VOC applied at rate of 1 -1.5 gal/sq. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 15 of 21 Deck Type 1I: Wood, Insulated Deck Description: 19 /32p or greater plywood or wood plank System Type D (1): Insulation and Base sheet simultaneously All General and System Limitalions shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) Density/ ACFoam-I, E'NRG'Y 2, GAFI'EMP® Isotherm R, E'NRG'Y 2 Pits, GAFI'EMP Isotherm RA, BMCA EnergyGuard, BMCA EnergyGuard RA, GAFfEMP Isotherm RN, GAF EMP Composite, GAFTEMP Composite A, GAFrEMP Composite N loosely laid with `>rmmly butted joints. Minimum thickness, 13". GAFTEMP High Density Fiberboard, GAr Fiberboard, minimum Milckness 1 ". Base Sheet Install one ply of GAFGLAS® #75, GAFGLAS #80 Ultima' Base Sheet, GAFGLAS® STRATAVENT® Eliminator Perforated or RUB O1D® 20 base sheet applied over the loose laid insulation with 2" side laps mechanically fastened as described below; Fastening Options: GAFTTTB #12 or #14 Screws and 3" Plates are installed through the base sheet and insulation in 3 rows 12" o.c. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the suet. (Maximum Design Pressure -45 psf, See General Limitation ) GAFI'ITE #12 or #14 Screws and 3" Plates are installed through the base sheet and insulation in 4 rows 8" o.c. One row is in the 2" side lap. other 3 rows are equally spaced approximately 9" o.c. in the field of the shee. (Maximum Design Pressure -75 psf, See General Limitation t7) GAFTTTE #12 or #14 Screws and 3" Plates in 4 rows 12" o.c. 1 s e row is in the 2" side 2" the lap. The other rows are equally spaced approximately 9 o.c. in the field (Maximron Design Pressure - 6O psf, See ,a Limitation #7) Ply Sheet: One or more plies GAFGLAS PLY 4®, GAFGLAS® PLY 6® ' ly, GAFGLAS FlexPly 6 sheet, #80 Ultim a or RUBEROID 20adhered in a full 1 i of approved asphalt applied within the EVT range and at a rate of ` 1 1 lbsfsq. Cap Sheet: (Optional) One ply of GAFGLAS® dial Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range andt a rate of 20-40 Ibs✓sq. (Required if no cap sheet is used) Install one of the following. GAF Special Roofing Bitumen with an application rate of 20 Jsq with an application rate of 1.5 galisq.; or GAF WEATHER COAT® 'on (Matrix 305 Pibered Emulsion) with an application rate of 3 gal./sq.; or Premium Fibered Aluminum Roof Coating (Matrix System Pro Alumin Roof Coating Fibered 301) with an application rate of 1.5 gal./sq. NDA No: 03-0501.05 Expiration Date: 11/04/08 Appr4ova1 Date:10/23/03 Page 16of21 Maximum Design Pressure: See Fastening Above Asphalt flood coat at an application rate of 60- Ibs./sq. ± 20%; 1us gravel or slag with an application rate of 400 Ibs.sq. & 300 lbs.sq., respecth ely. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat 715 MB Coating), GAF WeatherCote or WeatherCote LOW- of 1-1.5 gal/sq. Plus (Matrix applied at rate N(A No: 03- OSOLOS Expiration Date: 11/04/08 Approval Date :10123103 Page 17 421 Deck Type 1: Wood, Non - insulated Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened. MI General and System Limitations shall apply. Base sheet: GAFGLAS #80 Ultimans Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat We1dni Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.e. in the field. (Maximum Design Pressure -45 psf,, See General Limitation #7) GAFGLAS® Ply 4®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill Tee (GAFTI1E) #12 or - #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf, See General Limon #7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure -52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 pss See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill-Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field (Maximum Design Pressure --60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -7S psf, See General Limitation #7) Ply Sheet: One or more plies of GAFGLAS® PLY 40, GAFGLAS® PLY 6® ply sleet, #80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbsJsq. Cap Sheet (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbssq. NOA No: 03 -0501.05 Expiration Date: 11/0008 Approval Date:10/23/03 Page 18 of 21 Maximum Design Pressure: See Fastening Above (Required if no cap sheet is used) Install one of the following. 1. GAF Special Roofing Bitumen with an application rate of 20 lbsisq with an application rate of 1.5 galJsq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal./sq. 2. Asphalt flood coat at an application rate of 60 lbs sq. ± 20%; plus gravel or slag with an application rate of 400 lbssq. & 300 lbsJsq., respectively. 3. Top Coat Surface Seal SH (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW-VOC applied at rate of 1 -1.5 gal/sq. NOA No: 03-0501.05 Espiratlon Date: 11/04/08 Approval Date:10/23/03 Page 19 of 21 Membrane Type: Deck Type 1: Deck Description: System Type E (2): Anchor sheet: Ply Sheet: Cap Sheet Maximum Design Pressure: Maximum Slope: BUR Wood, Non - insulated 19 / 32 " or greater plywood or wood plank Tile Underlayment, Base Sheet mechanically attached. GAFGLAS® #80 UltimaTM Base Sheet, RUBEROID® 20 or Tile -Mate Base Sheet applied with a minimum 2" side lap and a minimum 6"end lap. Base sheet may be applied at a right angle (90 °) to the slope of the deck with approved annular ring shank nails and tin caps at a fastener spacing of 6" o.c. at the 2" side lap, and two 12" o.c. staggered rows along the center of the sheet. (Optional) One, or more plies GAFGLAS PLY 4® Ply, GAFGLAS F1exP1yTM 6 sheet, GAFGLAS #80 UltimaTM, RUBEROID MOP Smooth or RUBEROID® 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsJsq. One ply RUBEROID® MOP, RUBEROID® MOP PLUS or Tile -Mate Cap membrane may be applied at a right angle (90°) to the slope of the deck* adhered in a full mopping of Type N asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Membrane shall be backnailed to deck with approved annular ring shank nails and tin caps in accordance to applicable Building Cale. No nails or tin caps shall be exposed * Membrane may also be installed parallel to the slope of the roof (i.e. strapping). If membrane is strapped, then anchor sheet and ply sheet must also be strapped Refer to tile manufacturer's NOA. Must Comply with Roofing Application Standard RAS 118, RAS 119, RAS 120 and applicable Building Code. NOA No: 034501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 20of21 WooD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum W' Dens Deck or 1/2 Type X gypsum board is acceptable to be installed directly over the wood deck GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the BVT range and at a rate of 20-40 lbs.sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidedap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs.sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbL, as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as fiel d - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is spedfically 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 Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended . corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03.0501.05 Expiration Date: 11/04108 Approval Date:10/23/03 Page 21 of 21 RSkifiift,Svstems (TGFtt)- •- Contin GAFCLAS *BO Premium Base Sheet mat be used in any of the following st steers. "GA: - 'glass Flea Ply 6" is a suitable alternate to ' G " GAFTE P Permalite Recover Board" ma • be used i Phu 6". uuulation in any of set in lieu of any pertite - the following NC Classificatioru. H ot roofing asphalt. for use N t or a and lass membranes. 8 8 felts or modified bitumen "Ruberoid Heat Weld" SBS roofing membranes mar be used in lieu of .. Ruberoid Mop SBS products in any applicable Classification. 1 Deck: C-15;32 Glass A Insulation (Optional): ()Be ne or more layers perli3 fiber, iso.�-anurate, urethane, pertite! isocyanura e com posite, p Bias/ urethane composite. wood fiber /isoc .anurate composite, P pert a y thickness posits, phenolic, any Ply Sheet: Three or "GAFCLAS Ply 6 ", w . ing: Grave C-13/32 Insulation (Optic hbe :. isocyanurate, urethane composite, thickness. Ply Sheet: Three *GAFCLAS Pie 6 ". Cap Sheet: One lay Sheer". 3. Deck: NC Insulation ( Optional): E.:° o ore to fiber, i . „ o �'anurate urethane, rte, eyppd bee glass urethane composite. w perlite /isocsanurate composite, perlitei man. po ood fiber /isocvanurate composite, phenolic, 2 in. Ply Sheet Two or mortelayers Type G1 "GAFCLAS Ply 4" or "GAF - GLAS Ply 6 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheer. 4. Duck: ls:C Insulation Incline: 1/2 Ply One or two layers "Isotherm R ", 4 in. maa, hot mopp Plat Sh eet: Any CL Classified gravel surfaced Class A asphalt glass fiber system. 3. Dew C -15/32 S> (Optional): Red rosin _ ' Incline: 1 " Shee ' 't One layer of Type G2 " CAFq 075 d_ '' paid (may be Pty �Sheetc One or more layers of Tv ,. GA- FCLAp� Ply 6". Pe G CAR'S pip 4~ or Sheet: One tapes of T Sheet". Cap Sheet: "GAFGLAS Mineral Surfaced Cap S. Deck ::`4C W t: Base Sheet layer ofy y T One to • s iodine: 3 . Sheet: One Type G2 "GAFGLAS 075 Bast Shee . GAFGLAS Ply 6- or more lavers of Type Gt GAFGLAS Ply 9" or Cap Sheet One laver of Type C -3 "GAFGLAS Mineral Surfaced Cap sheer. '- Deck: C -I5/32 Instilatian: One or n a Irttel more iayerspeehte ghost, perlite7is oc y an uratecomposite, rlite u rate, h e- 1.0 in. min (offset from 1 v j I nethane com prate, pe Base Sheet: One or more la o m fit i Membrane: Otte �. C2 or `�- ' granule Otte or more layers of "Ruberoid Torch" (smooth or "Ruberoid torch Plus" ( gragule). "Rum MQ" (smooth or granule ) or "Ruberoid Mop Plus" (granule). i Deck: C -15/32 Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheer, hot mopped - Insulation or (Optional): One IncAne: 2 cgo mo re layers pertite, wood fiber. glass fibeti ' eyanurate, ire >J ure... thane p /isocyanuratt composite, perlite/ composite, wood titer /isocyanurate composite phenolic, any Ply Sh y iNeo or mon► layers of Type G2 o G3. Menu s Meathranc ( , � ' p o1l ail One or more layers of Type Gl. e: n Torch pew yers of "Rube Torch" (smooth or (gr granule) or "Ruberotd Mo (gran anul rid Mo" (twtoot}t or P i'7uat" anule). i. r t fW v esew%... ... :: more layers Type GI "C+AFGLAS Ply 4" or utopped �°� COVLR2N : MATERIALS (TEY7) __ ` t z itoof ng Systems (TGFU)-- Can tint.ei 4 Cap Sheet: "GAFGLAS Mitcra ::,t•rfaced Cap Sheet ", ho: mopped 1. '4 CLec fi: C.1 / 32- - Class R ~ YnstrtaTion f o Incline- 3-1.' fiber. i G..pti ain: One or more havers penile, wood fiber- Eta, socyanurate, urethane, perliteltrc ti•saurate composite pectic urethane composite, wood fiber rate composite, phenolic ar the c'.:nr,ss.- - bl" SFr.::; ;T n. `mere lavers or Type 0 'GAR .45 Ph -1 : "GA FC_LJ:S t!h -6" . Cap Sheet: Type 'G "GAFGLAS Mineral Surfaced Cap Sh h., mopped. Deck C - 15/32 }opal): lavers 3 -1. 2 Insulation (Optional): One or more lavers pertite, eio.xf nine. _ko fiber; isocvantuate, urethane• perlite.+hsocvanurate composite, perlite ttfethane composite, wood fiber!isocvanurate composite. phenolic. an- thickness. Base Sheet Two or more lavers of Type c;1, C2 or G3. Membrane: One or more lavers of "Ruberoid Tt r.h - "mooch e granule), "Ruberoid Torch Plus" (granule) "Ruherotd \fop' 'smooth c* granule) or "Ruherciid Mop Plus" (granule). Cap Sheet "CAFCi-AS Mineral Surfaced Cap Sheet hit: ::i. iTed Deck C -19/32 Class C Insulation (Optional): One or inure lave s w cod abbe . slat fiber. isocti•anurate, urethane, pertite; isocyanurate eomposh:e, penile; urethane composite, wood fiberiisocvanurate composite, phenolic am thickness. Ply Sheet Three or more lavers of Tope GI "GAFCI -. \S Pit 4' or "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 Ibs!sq. COAL TAR FELT SYSTEMS WITH IIOT ROOFING CO 1AR Deck: C -15132 Class A Insulation (Optional): One or more aL ern e: 1!3 fiber, isw }spirals, urethane, l ers periite, w fiber. glass peratei urethane corn perlite, isor vanurair composite. posite, wood fiber!isocyantjrate composite. phenolic, any thickness. fly Sheet Three or more Layers of Type GI - GAFGLAS Ply 4" or Pi 6 ..:hot mopped with coat tar bitumen. C ea .eL4- COM131 HO't AND COLD SYSTEMS NC Class A on (Optional): One or more la}•e' perlite, tyc,* t fiber or gl..s Incline: -2 ' : tn. max. Three or more lavers of Type 0 "G. "EGLAS Ply 4" or Ply 6 ". S County Industries 11 'al •''� Atut7±inum Ruaf Loatin7' at • Insad3{{pn (Optional): One or Pa : i fi tTher iSbcyanurate, urethane, more tares ; ••elite, wood fiber, IIto/ etfta com site, w penile /iscicyasurate composite, Fertile/ thickness. !?o cod f iber /isocyanurate camposite, phenolic. any Pty Sheet: 'Three or more layers of Type Gi — GAFGLAS Ply 4" or "GAFCLAS Pty 6". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. 3. Deck: NC Incline 1 /2 Irr,iatinn: Ore or two layers "Isotherm R ", 4 in, hot mopped. PJy Sheet Any t R. . 1a ;si.ed gravel surfaced Class A asphalt glass fiber ma! ryErn:. 4 - . eels: Nt Incline: 2 Insulation (Optional); wood fiber and glass �� pave, anuratepave, wa�•anurate /compo:itf_- Sheol y tl�uess, nsecharsicafy fastened. Base Base d P Type c;i or G2, mechanically fastened or hot P1 Sheet: 'J r„ or n.ore plies T 0 or adhered with hot roofing as1,ltalt. Y1e G2, adh g gal a or d Fibered Aluminum Roof Coating ", 1 -112 "GAF Di - NC Coat mould'. 3 galls. .. Ins`ilatfaa (O tenalh Nth*, . Incline. 1 t tardeaft�• ft tteumd, eau + 1 S __ o ii= __`. BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) eP A-C Phone # � -`'b/ $ Y rf- Owner's Address /6 4,5' A 97 14 .-702 7 City ;Pa, 03 State _�. Zip 3 3/38 Tenant/Lessee Name . Phone # Job Address (where the work is being done) /c&S /tie ?7 41 City Miami Shores Village County Miami -Dade Zip 5 3/ 38 FOLIO / PARCEL # / /— 3'o2 ®s '0/? —® //® Is Building Historically Designated YES NO ? Contractor's Company Name &W/1 &I Apo-P111.5 Phone # 305 .15I/_ail / Contractor's Address floor 8® 5 3105 ) cit State FL Zip 33' 1 Qualifier Name o ckl Phone # 91 b 2 r / h �J Q� 1O State Certificate or Registration No.tC, 0064 e llq0a514 t Artificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ P D o Type of Work: ['Addition Describe Work: er lave sys-I em, Submittal Fee $ Notary $ S. a) Scanning $ cts Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECENED OC 1 0 2008 Permit No. V 11 1 ( 11 6 Master Permit No. Phone # Square / Linear Footage Of Work: 3 00 ['Alteration DNew iRepair/Replace ❑ Demolition alft c14l�r otrf ' r - I&e. wlk elm l -�-- to r +hrotk Permit Fee $ Training/Education Fee $ 4. 6 Technology Fee $ Radon $ DPBR $ CCF $ fa ' O CO /CC Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ N5.53 See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. As NOTARY P : LIC: u, If.% /7 (Revised 02/08/06) APPLICATION APPROVED BY: Owner or Agent The foregoing instrument was acknowledged before me this day of / , 20` rby who is personally known to me or who has produced �� r a Notary Public State of FlOrlai � E van Den Bergh e My CommIseton OD/78219 0./ ExpueS 04113/2012 Signature Si Print: •`‘)/CY\-l 7:: i , 4 1 L, Commission Expires: .4 / 13 0 r 2— My Commission E Contractor The foregoing instrument was acknowledged before me this /6 day of 0C1 20 O6, by'U1 1 ti t a tK to me or who has produced as identification and who did take an oath. Plans Examiner Engineer Zoning Year 2008 2007 Land Value: $216,458 $307,230 Building Value: $278,726 .$278,726 Market Value: $495,184 .$585,956 Assessed Value: $142,285 $138,141 Homestead $25,000 $25,000 Exemption: Total Exemptions: $25,000 $25,000 Taxable Value: $117,285 $113,141 * The market and assessed values are accurately reflected.lnformation related to this property's exemptions and taxable values are being updated as a result of the recent passage of Amendment One and will be available shortly. Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,335 Lot Size: 8,475 SQ FT Year Built: 1952 5-6 53 42 PB 43-51 REV Legal PL MIAMI SHORES SEC Description: 8 LOT 11 BLK 180 LOT SIZE 75.000 X 113 COC 26504-4450 07 2008 6 Folio No.: 11- 3205 - 017 -0110 Property: 1025 NE 97 ST Mailing DAVID L CAPLAN TRS & Address: ROBERT M MACK() TRS 1025 NE 97 ST MIAMI SHORES FL 33138- Miami -Dade My Home vin - vannrn,i naaaaa,Itmcw My Home Show Me: Property Information Search By: Select Item Text only • Property Appraiser Tax Estimator Portability S.O.H. Calculator Summary Detail Property Information: Sale Information: Sale O/R: Sale Date: Sale Amount: 26504 -4450 7/2008 $380,000 Assessment Information: Additional Information: lick hereto see Inf • = "m for this ommunity Development District ommunity Redevelopment Area Empowerment Zone nterprise Zone Land Use Urban Development Boundary oning TT T ,9,0 44 Digital Orthophotography - 2007 0 111 ft My Home I property Information 1 Property Taxes I My Neighborhood I Property Appraiser H orne 1 Uslna Our Site 1 AboA 1 Phone Directory I Privacy I Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site O 2002 Miami -Dade County. All rights reserved. Page 2 of 2 Legend Property Boundary Selected Property Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 10/16/2008 PERMIT #; I` U U 1 DATE: 00 1, &io n'Innot. bad M0 /Contractor ❑ Owner ❑ Architect Picked Address: Acknowledged by: PERMIT CLEARK INITIAL: YipZ RESUBMITTED DATE: A(2.- PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 RECEIPT From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. t1 Miami Shores Village Building Department BUILDING CRITIQUE SHEET -• . 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:1'3O5) 795.2204 Fax: (305) 756.8972 Permit No_ ... 0 •'Job'Name ' /� e� A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. (I - 32C — 011 —dt1O STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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 of Commencement. 1. Legal description of property and street/address: 1 N � i h � 1 1 A PYI I £ Jwre4s, FI_, - C, 6 PE) q3-,6 t \47 _. nruftnu <al-Dec cz 2. Description of improvement: R e,--roo 3. Owner(s) name T1 and address: O b �r�" (4 Kp 1®� 64 re4 33138 Interest in property: own C.r Name and address of fee simple titleholder: [ \ K r ,e J e-K 1 r 0.8O K S 3) OE I m avvti i Ahvr%s, 4. Contractor's name and address: FL 33153 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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: 8. In addition to himself, Owners 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 Print Owner's Sworn to and Notary Public Print Notary's My commission expires: 123.01 -52 PAGE 4 5/08 date is specified) Robe -r+ E n 01 cl-o) Prepared by f G4A) Ve.t z1oz�Iwos= bsc�f�� n e. UWd to / IBIS Owed keloN od o o , Lit ; may L ► the d :y of AD 20 ©6 ea I. r cu r and County Courts 40% ► D.C. STATE OF FLORIDA, COUNTY OF D 1 HEREBY CERTIFY . at this m a try ongmal fil; thralii ; on WITNESS my hand and 0 HARVEY RUVIN By 1 111111 11111 11111111111111 8181111111 81111 CFN 200880861_2 3 OR Bk 26610 Ps 3270 Ups) RECORDED 10/15/2008 15:26:45 HARVEY RUVIU, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST F'AGE Address: ` P %O P ox 53 105/ 1vt li a v . 16IND re.5 33163 1--C tot (