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RF-10-2079Inspection Number: INSP- 153615 Permit Number: RF -11 -10 -2079 Scheduled Inspection Date: December 08, 2010 Inspector: Bruhn, Norman Owner: LORVINSKY, LUCKNER Job Address: 65 NW 107 Street Project: <NONE> Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: TRI STATE ROOFING & GENERAL CONTRACTORS LLC Building Department Comments December 07, 2010 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1121360070430 Phone: (561)337 -7718 RE -ROOF FLAT ROOF Passed] Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 10 of 13 License #: L h 2. 1 (61,c Based upon that examination I have de Manual (Bas =x • 553.844 F.S Signature RE: Permit # State of Florida County of Dade: Revised on 5/21/2009 (Print name and circle License m G+n,k WA. INSPECTION AFFIDAVIT M iami Shores Village Building Department (Complete Job Site Address) licensed as a FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 n r DATE: ry Engineer / Architect, - � On or about , I did personally inspect the roof deck nailing and (Date & time) ✓ / Secondary water barrier work at � ��� ' I � ��' 1 % Z 14 , ned the installation was done according to the Hurricane Mitigation Retrofit The undersigned, being the first duly swom, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of Notary Public, Sate of Florida at Large iz" ' iv -44 LORI -ANN CHADWICK Notary Public - State of Florida My Comm. Expires Nov 14.2014 Commission 0 EE 33347 Bonded Through National y Assn. *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): UWE FRICKER Phone #: 305.757.0511 Address: 65 NW 107 ST City: MIAMI SHORES State: FLORIDA Zi 33168 -4306 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 65 NW 107 ST, MIAMI SHORES, FLORIDA 33168 -4306 City: Folio/Parcel #: Contact Phone #: 561.337.7718 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Miami Shores County: Miami Dade Zip: 33168 -4306 11- 2136- 007 -0430 Is the Building Historically Designated: Yes ND Flood Zone: CONTRACTOR: Company Name: TRI STATE ROOFING & GENERAL CONTRACTORS LLC Phone #: 561.337.7718 Address: 609 SEA PINE WAY, SUITE G2 �Vfta* Ci WEST PALM BEACH State: FLORIDA Qualifier Name: OLIVER FOGMANN State Certification or Registration #: CCC1329105 Certificate of Competency #: Value of Work for this Permit: $ 20062 Email Address: Permit No. Master Permit No. DESIGNER: Architect/Engineer: — Phone #: Square /Linear Footage of Work: Type of Work: Address ❑Alte ion j ❑New 4Repair/Replace Description of Work: RE -ROOF G eke I 0-247n Zip: 33415 Phone #: 561.337.7718 Lo Z010 ❑Demolition COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: * ** ** * * * * * *** * ** * * **** * * * * * *** * * ** * ** F * * *** * ** * * * * * * * * * * * * * * * * * * * * * ** *** Submittal Fee $ I . Permit Fee $ f 4.) 0 ® CCF $ CO /CC $ Scanning Fee $ C' � Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ &2 1 v� • 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: 1 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 su .sted notice, the inspection will e approve and a reinspection fee will be charged. X Signature Owner or Agent The foreg i g instrument was ackgowledged me this 22 day of Ai 1444 , 20 0 by ( i , / 4Lt �. who is personall own to As id NOTARY PUBLIC: x „zt Through Nc $ry r r � Aesn. \ \���UUUUr n " i Sign: Sign: te a` xpij' Z' r°, * ''�� . Print: i ` Ci sr 41 Print: _? .6 12 e s . d 'NO 011 My Commission Expires: IARY PUBLIC �, :Commission '• D0165 * * * * * ** * * *, * * * * * * * * *, * *, * * ** *** *** * * * * * * * * *** * * *** * * * * * * ***, *** *,lam, * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY `2 c) (Revised 07/1 0/07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Signature Contractor The foregoing instrument was acknowled_ - before m e this 23 day of , 2010 by° LTV ea— RX9. m 1�}NN is personally known to me or who has produced i ) as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: • Zoning Structural Review Clerk THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADo'L INSRD T YPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYYYY POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS A • GENERAL LIABILITY 0 COMMERCIAL GENERAL LIABILITY PC71529 - 02 04/13/2010 04/13/2011 EACH OCCURRENCE 1,000,000 DAMAGE TO PREMISES (Ea occurrence) 50,000 • III CLAIMS MADE 0 OCCUR MED EXP (Any one person) 5,000 . PERSONAL & ADV INJURY 1,000,000 • GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 0 POLICY • PROJECT • LOC PRODUCTS - COMP /OP AGG 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1 ANY AUTO • ALL OWNED AUTOS BODILY INJURY (Per person) • SCHEDULED AUTOS • HIRED AUTOS BODILY INJURY (Per accident) • NON OWNED AUTOS PROPERTY DAMAGE (Per accident) • • GARAGE LIABILITY 1 ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC • AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY • OCCUR • CLAIMS MADE • DEDUCTIBLE EACH OCCURRENCE AGGREGATE • RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below II _ T ORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Miami Shores Building Division 10050 N.E.2nd Avenue Miami Shores, Florida 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE / CERTIFICATE OF LIABILITY INSURANCE PRODUCER Edemnify Insurance 3145 E. Chandler Blvd. Ste. 110 -543 Phoenix, AZ 85048 Phone (800) 620 -4216 Fax (800) 503 -0048 INSURED Tri State Roofing and General Contractors, LLC 609 Sea Pine Way, Suite G2 West Palm Beach, FL 33415 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Preferred Contractors Ins Co. Rrg INSURER B: INSURER C: INSURER D: INSURER E: DATE (MM/DDm) 04/19/10 NAIC # COVERAGES CERTIFICATE HOLDER 5 (2009 /01) QF CANCELLATION © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - rA NOTICE OF COMMENCEMENT A COPY MST BE POSTED ON TIE JOB SITE EVE OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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. Space above reserved for use of recording office 1. Legal description of property and street/address: 65 NW 107 ST, MIAMI SHORES, FLORIDA 33168-4306 DUNNINOS MIAMI SHORES EXT NO 3 PB 42-33 LOT 11 BLK 211 LOT SIZE 75.000 X 122 OR 17007-5263 1195 1 COC 25349 -2640 01 2007 1 2. Description of i m p rovemen t RE -ROOF, HOME IMPROVEMENT ?CPA 3. Owners) name and address: 65 NW 107 ST, MIAMI SHORES, FLORIDA 33168 -4306 Interest in property: OWNER Name and address of fee simple titleholder: 4. Contractor's name. address and phone number: TRI STATE ROOFING & GENERAL CONTRACTORS LLC 609 SEA PINE WAY, SUITE G2, WEST PALM BEACH, FLORIDA 33415, PHONE 561.337.7718, FAX 561.337.4460 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: 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(1Xa)7., Florida Statutes, Name, address and phone number. 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, address and phone number: 9. Expiration date of this Notice of Commencement the expiation date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNIEFt ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENS OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCBAENT. Signature(s) of O p Officer/Director/Partner /Director/Partner ..._ X Prepared By Prepared By ll�/Gn/ Print Name a Ahll�. Print Name TltIWOffice.OWNER STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing was�1 wledged before me this UN � N j (t� _ A ink 1 HER CERTIFY 9raf Ihfs is s Ave copy ei IPte fivii*IMI/V of disif A D 241 ausrAlto HARVEY aid County Co+ucg D.C. Title/Office for day of NOVEMBER lit Personally known, • r 0 produced the following type of identification: Signature of Notary Public f 'IL. . '41" Print Name: k* I' 4- t h (SEAL) VERIFICATION PURSUANT TO SECI1ON . FLORIDA STATUTES Under penalties of perjury, declare that I have read the foregoing and that the facts stated In it are true, to the best of my knowledge and belief. s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager whb 111111111111111111111111111111111111111111111 CFN 2C) 10 RC) 797472 OR Bk 27501 Ps 4502; f1ps) RECORDED 11129/2010 10107:21 HARVEY RUVIN, CLERK OF COURT I1IAMI -DADE COUWTYr FLORIDA LAST PAGE 1 222 —Mc01 tug — „„,, t 144 2010 By a O.. 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 44 of the Florida Building Code, Building govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. r fl 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 44, Section 4402 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 'i11 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. SECTION 4402 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. V 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Sections 4402, 4403 and 4413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service lif the roof. Owner's /Agent's Signature 65 NW 107 ST, MIAMI SHORES, FL 33168 PropertyAddiiess,;. Permit Number 11 / 21 / 2010 Date RVMMI BY: Contractor's Signature APPROVED ZONING DEPT BLDG DEPT Miami Shores Village BY BY Lora A TE ATE 06 SUBJECT TO COMPUANCE WITH AU. FEDERAL. STATE AND COUNTY RULES AND REGULATIONS 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing /Calculation Documentation Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application 1,2,3,4,5,6,7 A,B,C Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 1,2,3,4,5,6,7 Metal Roofs A,B,D Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 1,2,3,4,5,6,7 Other As Applicable SECTION 4402.14 HIGH - VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Permit Application Form. FLORIDA BUILDING CODE — BUILDING INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ATTACHMENTS REQUIRED: 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Master Permit No. Contractor's Name Job Address Florida Building Code Edition 2007 High - velocity Hurricane Zone Uniform Permit Application Form. Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes Shingles ❑ New Roof Reroofing ❑ Recovering Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Raction R (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. FLORIDA BUILDING CODE — BUILDING Section A (General lnfnrmation) ❑ Prescriptive BUR -RAS 160 ROOF TYPE ROOF SYSTEM INFORMATION Process No. ❑ Repair ❑ Maintenance Total (SF)2d/ Section C (Low Slope Application) Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA ") System Manufacturer: Product Approval No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: "` N Max. Design Pressure, frpm the specific,Product Approval system: — Z. fd Deck: Type: Gauge/Thickness: Slope: Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener /Bonding Material: insulation Base Layer: � (J' vd Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: - 4 Top Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Base Sheet(s) & No. of Ply(s): i 1 01 Bas t Fastene :on s nn M. al: vcu itireE A Ply Sheet(s) & No. of Ply(s Ply Sheet Fastener /Bonding Material: Top Ply: 4 Top Ply F erBonding Ma rial: fro r kArr FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment: Field: 1 " oc @ Lap, # Rows @ q " oc Perimeter: " oc @ Lap, # Rows @U " oc Comer: „ �" oc © Lap, # Rows-1 @ oc Number of Fasteners Per Insulation Board: Field / Perimeter Corner ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 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 • FT FT A • Par t fight Mean Roof Height MIAMI•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 TRI STATE Uwe Fricker 65 Nw 107 Street Miami Shores, Florida MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The 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 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 Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. Max. design pressure - 52.5 psf DESCRIPTION: GAF Conventional Built Roof System for Wood Decks. (Page 17/19, Limitation #7) LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 03- 0501.05 and consists of pages 1 thro ygh 19. The submitted documentation was reviewed by Jorge L. Acebo. MIAMIDADE • APPROVED NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 1 of 19 ROOFING SYSTEM APPROVAL Category: Roofing Sub - Category: BUR Deck Type: Wood Maximum Design Pressure -75 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Leak BusterTM MatrixTM 307 Premium Asphalt Primer GAF Mineral ShieldTM Granules Leak BusterTM MatrixTM 305 Fibered Asphalt Emulsion Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating LeakBusterTM MatrixTM 322 Elastomeric Roof Coating LeakBusterTM MatrixTM Select Asphalt Emulsion Fibered 306 Leak BusterTM MatrixTM 204 Wet/Dry Roof Cement RUBERO1D Modified Bitumen Flashing Cement LeakBusterTM MatrixTM 201 Premium SBS Flashing Cement GAFGLAS #75 Test Dimensions Specif 3, 5, 55 gallons 60 & 100 Ib. bags 5 gallons 1, 5 gallons 55 gallons 55 gallons 1, 5 gallons 5 gallons 5 gallons ASTM D 41 ASTM D 1863 ASTM 1227 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral ShieldTM Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. Elastomeric roof coating. Asphalt emulsion fibered. ASTM D -4586 Refined asphalt blended with a mineral ASTM D-3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement 39.37" (1 meter) ASTM D 4601 Asphalt impregnated and coated glass mat wide base sheet. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 2 of 19 Product GAFGLAS #80 ULTIMATM Base Sheet GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4 GAFGLAS Mineral Surfaced Cap Sheet GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet GAFGLAS STRATAVENT EliminatorTM Perforated GAFGLAS® Flashing GAFGLAS STRATAVENT EliminatorTM Nailable RUBEROID SBS Heat We1dTM Smooth RUBEROID SBS Heat- We1dTM Granule RUBEROID ® SBS Heat- We1dTM 170 FR RUBEROID SBS HeatWeldTM PLUS RUBEROID SBS Heat- We1dTM PLUS FR RUBEROID SBS Heat- We1dTM 25 RUBEROID Modified Base Sheet MIAMI•DADECO NTY APPROVED 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 Various 39.37" (1 meter) wide 1 meter (39.37 ") wide 1 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 Test Specification ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 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 II, UL Type G2 BUR Product Description Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied layer of TOPCOAT 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 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 3 of 19 Product RUBEROID 20 RUBEROID Mop Granule 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 TORCH RUBEROID 30 RUBEROID 30 FR RUBEROID ULTRACLAD RUBEROID Dual FR Vent Stacks (metal and plastic) 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" (I meter) wide 39.37" (1 meter) wide 39.37" (1 meter) Wide Test Specification ASTM D 6163 ASTM D 5147 ASTM D 6222 ASTM D 5147 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 TAS 100(A) ASTM D 1929 ASTM D 635 Product Description SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with 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 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 granule's. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, 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. One way valve vent used to relieve built-up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 4 of 19 Product Leak Buster"' MatrixTM 302 Non Fibered Aluminum Roof Coating GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Leak Busterm MatrixTM 602 Leak BusterTM MatrixTM 715 LeakBusterTM MatrixTM 531 WeatherCoteTM SeamCoteTM FireOutTM VersaShield VersaShield FB -IS VersaShield FB -2S TOPCOAT FireShield MB Leak BusterTM MatrixTM 201 SBS Flashing Cement Leak BusterTM MatrixTM 102 SBS Adhesive Leak BusterTM MatrixTM 202 SBS Flashing Cement Leak BusterTM MatrixTM 203 Plastic Roof Cement Leak BusterTM MatrixTM 103 Cold Process Adhesive M WADE . NTY APPROVED Dimensions 5 gallons 1001b. cartons, bulk 60 Ib. kegs 5 gallons 5 gallons 2 gallons 2, 5 gallons 5, 55 gallons 350 sq ft. roll 350 sq ft. roll 350sg ft. roll 5, 55 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test Specification ASTM D312, Types I, II, III and IV proprietary ASTM D -412 ASTM D -21 -96 ASTM D1475 ASTM E -1644 ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D3019 Product Description ASTM D2824, Non-fibered aluminum pigmented, asphalt Type 1 roof coating. Interply mopping and surfacing asphalt. SEBS modified asphalt. 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. Elastomeric roofing membrane. Low VOC, fire barrier coating. Non - Asphaltic Fiberglass -Based Underlayment. Non - Asphaltic Fiberglass -Based Underlayment. Non - Asphaltic Fiberglass -Based Underlayment. Elastomeric roofing membrane Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Cold Applied Asphalt Adhesive. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 5 of 19 Product Leak BusterTM MatrixTM 303 Fibered Aluminum Roof Coating Leak BusterTM MatrixTM 304 Non Fibered Aluminum Roof Coating APPROVED INSULATIONS: Product Name EnergyGuardTM RA, RN Composite A & N EnergyGuardTM Fiberboard EnergyGuardTM Permalite EnergyGuardTM GAFCANTTM EnergyGuardTM Permalite Recover Board EnergyGuardTM Tapered Edge Strip EnergyGuardTM Perlite EnergyGuardTM High Density Fiberboard EnergyGuardTM Composite EnergyGuardTM Composite RA Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck', Dens Deck Prime, Dens Deck Dura GuardTM Structodek SecurockTM MI I'.' ECOUNTY APPROVED Dimensions 5 gallons 5 gallons Test Specification ASTM D 2824 ASTM D2824, Non - fibered aluminum pigmented, asphalt Type I roof coating. Table 2 Product Description Polyisocyanurate /wood fiberboard composite Polyisocyanurate /wood fiberboard composite Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Wood fiber insulation board Fiber reinforced roof board Product Description Fibered aluminum coating. 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 Perlite insulation board High density wood fiberboard insulation. Manufacturer (With Current NOA) BMCA ' 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 generic generic generic G -P Gypsum Corp Knight Celotex USG Corporation NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 6 of 19 APPROVED FASTENERS: Fastener Number Product Name 1. Drill -TecTM #12 Standard, #14 and 415 extra Heavy Duty Fastener , Heavy Duty Roofing Fastener 2. Drill -TecTM ASAP 3. Drill -TecTM #12 or #14 Standard screws with AccuTrac Plate 4. Drill-TecTM Galvalume Plates 5. Drill -TecTM Polypropylene Plates 6. Drill -TecTM AccuTrac Plate EVIDENCE SUBMITTED: Test Asencv Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. IRT of S. F1. • MJAMI DADECOUNTY APPROVED Product Description Insulation fastener and Base Play fastener for steel, wood & concrete decks. Pre - assembled Drill - TecTM Fasteners and metal and plastic plates. Base sheet fastening assembly. Round Galvalume stress plates. Round polypropylene stress plates. Square Galvalume coated steel plate. Test Identifier J.I.2B8A4.AM J.I.3B9Q1:AM J.I. OD0A8.AM J.I. ODIA8.AM J.I. 0Y9Q5.AM 3029832 GAF - 012 -02 -02 GAF - 020 -02 -01 02 -005 02 -014 TABLE 3 Manufacturer Dimensions (With Current NOA) Various GAF Materials Corp. Various GAF Materials Corp. Various GAF Materials Corp. 3" and 3 1/2" GAF Materials Corp. 3" and 3 1/2" GAF Materials Corp. 3" Square GAF Materials Corp. Description 4470 4470 4470 4470 -TAS 114 4470 - TAS 114 4470 - TAS 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 Date 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 05.11.07 11.06.01 02.0I.02 01.18.02 03.22.02 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 7 of 19 APPROVED ASSEMBLIES Deck Type 1I: Wood, Insulated • Deck Description: 19/3 or greater plywood or wood plank System Type A: 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 =S, plastic plate only (Table 3) Density /ft =P) EnergyGuardTM, EnergyGuardTM Composite, EverGuard ISO, EnergyGuardTM RA, EnergyGuardTM RA Composite • Minimum 1" thick N/A N/A EnergyGuardTM High Density Wood Fiber, EnergyGuardTM Recover Board, Wood Fiber, Minimum %2" thick EnergyGuardTM Perlite Minimum 3 /a" thick Fiberglas (Min. 15 / 16 " thick) N/A N/A N/A N/A N/A • N/A Note: All 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 -40 lbs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT EliminatorTM Perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on all isocyanurate applications. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield ® Non - Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Anchor sheet: GAFGLAS #80 ULTIMATM Base Sheet, STRATAVENT® EliminatorTM • Nailable, RUBEROID Modified Base Sheet, RUBEROID 20, RUBEROID Heat- WeIdTM Smooth or RUBEROID Heat- WeIdTM 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS Ply 4, GAFGLAS Flex PIyTM 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. (Maximum Design Pressure —45 psf, See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 8 of 19 Fastening Options: Base Sheet: Ply Sheet: GAFGLAS Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac 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 P1yTM 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 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure - 52.5 psf, See General Limitation #7) GAFGLAS #80ULTIMATM, RUBEROID 20, RUBEROID Mop Smooth, base sheet attached to deck with approved 1 1 A" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure - 60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill-TecTM #I2 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -Teem AccuTrac 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 psi; See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -TecTM 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 psi; See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TeeTM steel plate or Drill-TecTM AccuTrac 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) (Optional) Install one ply of GAFGLAS #75, GAFGLAS #80 ULTllMATM Base Sheet, GAFGLAS STRATAVENT EliminatorTM Perforated, RUBEROID Modified Base Sheet, RUBEROID Mop Smooth, RUBEROID® 20 RUBEROID Heat- We1dTM Smooth or RUBEROID Heat- We1dTM 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 lbs. /sq; (see General Limitation #4). One or more plies GAFGLAS PLY 4, GAFGLAS Flex P1yTM 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 -40 lbs. /sq. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 9 of 19 Cap Sheet: Surfacing: Maximum Design Pressure: See Fastening above. MAMIOAD _ OU TV- APPROVED (Optional) One ply of GAFGLAS'' Mineral Surfaced Cap Sheet or 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 lbs. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs. /sq. and 3001bs. /sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 galisq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbsisq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak BusterTM MatrixTM 715 , Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 gal.lsq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 10 of 19 Deck Type 1I: 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) When applicable: Steel plate only =S, plastic plate only =P EnergyGuardTM, EnergyGuardTM RA Minimum 13" thick • EnergyGuardTM RN Minimum 1.4" thick EnergyGuardrM Composite, EnergyGuardTM RA Composite Minimum 1.5 thick EnergyGuardTM Perlite Minimum %" thick Insulation Fasteners Fastener (Table 3) Density /ft I,2,or3 1:3ft 1, 2, or 3 1:3 ft 3 1:3ft 1S(3.5"), or 3 1:2 ft EnergyGuardTM Fiberboard, EnergyGuardTM High Density Fiberboard Minimum l" thick 1, 2, or 3 1:4 ft Note: Base layer shall be mechanically attached with fasteners and density described. 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 Roofing Application Standard RAS 117 for fastening details). GAF requires either a ply of GAFGLAS STRATAVENT® EtiminatorTM perforated laid dry or a layer of EnergyGuardTM or wood fiber overlay board on all isocyanurate applications. Insulation for Top Layer (Table 2) Insulation Fasteners When applicable: Steel plate only =8, plastic plate only =P (Table 3) Any of the insulations listed for Base Layer, above. N/A EnergyGuardTM High Density Wood Fiber, EnergyGuardTM High Density Wood Fiberboard, EnergyGuardTM Recover Board Minimum %2" thick N/A Note: Optional top layer of insulation shall be adhered with approved asphalt within the EVT range and at a rate of 20 -40 lbs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Composite insulation boards used as a top layer shall be installed with the polyisocyanurate face down. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield Non-Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Fastener Density /ft N/A N/A NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 11 of 19 Base Sheet: (Optional) Install one ply of GAFGLAS +? #75, GAFGLAS #80 ULTIMA' Base Sheet, GAFGLAS PLY 4, GAFGLAS Flex P1yTM 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 lbs. /sq; (see General Limitation #4). Ply Sheet: Two or more plies of GAFGLAS PLY 4, GAFGLAS F1exP1y 6 ply sheet, #80 UItima, 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. (See specification number for appropriate number of plies). Cap Sheet: • (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs./sq. (See GAF applicatipn instructions for approved method of installation). Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs. /sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbsJsq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak BusterTM MatrixTM 715 , Leak Buster"' MatrixTM 322, TOPCOAT MB +, TOPCOAT Fireshield Blastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT' Fireshield SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 gal./sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable BuildingCodes. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 12 of 19 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 Iayer optional. 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 EnergyGuardTM RN, EnergyGuardTM, EnergyGuardTM RA Minimum 1.3" thick N/A N/A EnergyGuardTM Min. 1.4" thick N/A N/A EnergyGuardTM Composite, EnergyGuardTM RA Composite Minimum 1.5" thick N/A N/A EnergyGuardTM Perlite Minimum 3 /4" thick N/A NIA Wood Fiber, EnergyGu ardTM Fiberboard, EnergyGuardTM 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 maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 ' for insulation attachment. GAF requires either a ply of GAFGLAS STRATAVENT® EIiminatorTM perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on all isocyanurate applications. Insulation for Top Layer (Table 2) Insulation Fasteners Fastener When applicable: Steel plate only =S, plastic plate only =P (Table 3) Density /ft EnergyGuard, EnergyGuard RA Minimum 1.3" thick 1, 2, or 3 1:3 ft EnergyGuardTM RN Minimum 1.4" thick 1, 2, or 3 EnergyGuardTM Composite, EnergyGuardTM RA Composite 3 Minimum 1.5 thick EnergyGuardTM Perlite Minimum 3/4" thick Fiberglas Minimum 15 / 16 " thick 1S(3.5 "), or 3 1,2,or3 1:3 ft 1:3 ft 1:2 ft 1:2.67 ft Wood Fiber, EnergyGuardTM Fiberboard, EnergyGuardTM high Density Fiberboard Minimum 1" thick 1, 2, or 3 1:4 ft IAMI.DADE COUNTY APPROVED NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 13 of 19 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 GAFGLAr STRATAVENT® Eliminator Perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on all isocyanurate applications. Fire Barrier: Fire OutTM Fire Barrier Coating, VersaShieid ® Non- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base Sheet: (Optional) Install one ply of GAFGLAS #75, GAFGLAS #80 ULTIMA Base Sheet, GAFGLAS PLY 4, GAFGLAS F1exPly' 6, GAFGLAS STRATAVENT Elliminator"M 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 base 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 FIexP1y 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 or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbsJsq. and 300 lbs. /sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak Buster"' MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak BusterTM MatrixTM 715 , Leak BusterTM Matrix"" 322, TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 galisq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at lto 1.5 galJsq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 14 of 19 Deck Type 1I: Wood, Insulated Deck Description: 19 / 32 " or greater plywood or wood plank System Type D: Insulation and Base sheet simultaneously All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer loosely laid with firmly butted joints. Insulation Fasteners Fastener (Table 3) Density /ft EnergyGuardTM, EnergyGuardTM RA, Minimum 1.3" thick N/A N/A EnergyGuardTM High Density Fiberboard, EnergyGuardTM Fiberboard Minimum 1" thick N/A Fire Barrier: (optional) Base Sheet: Fastening Options: Ply Sheet: FireOutTM Fire Barrier Coating, VersaShield ® Non- Asphaltic Fiberglass -Based Underlayment or SecurockTM. Install one ply of GAFGLAS+14 #75, GAFGLAS #80 Ultima ULTIMA`' Base Sheet, GAFGLAS® STRATAVENT +? EliminatorTM Nailable or RUBEROID® 20 base sheet applied over the loose laid insulation with 2" side laps mechanically fastened as described below; Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill-TecTM steel plate or Drill -TecTM AccuTrac 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 sheet. (Maximum Design Pressure — 45 psf, See General Limitation #7) Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates are installed through the base sheet and insulation in 4 rows 8" o.c. One row is in the 2" side lap. The other 3 rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure — 75 psf, See General Limitation #7) GAFGLAS #80ULTIMATM, RUBEROID RUBEROID Mop Smooth, base sheet attached to deck with approved annular ring shank nails with a minimum embedment of 1" into the wood substrate and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure — 60 psf, See General Limitation #7) Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates in 4 rows 12" o.c. 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 Limitation #7) One or more plies GAFGLAS PLY 4, GAFGLASI- , GAFGLAS F1exP1yTM 6 sheet, #80 Ultima or RUBEROID 20adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. N/A NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 15 of 19 Cap Sheet: Surfacing: Maximum Design Pressure: See Fastening Above (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbsJsq. and 300 lbsisq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 ibsisq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak BusterTM MatrixTM 715 , Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 galisq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal./sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at lto 1.5 galisq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 16 of 19 Deck Type 1: Wood, Non - insulated Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: (optional) Base sheet: GAFGLAS #80 ULTIMATM Base Sheet, STRATAVENT EliminatorTM Nailable, RUBBRO1D Modified Base Sheet, RUBEROID 20, RUBEROID Heat- We1dTM Smooth or RUBEROID Heat- We!dTM 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.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) MIAMI D COUNTY APPROVED FireOutTM Fire Barrier Coating, VersaShield - Asphaltic Fiberglass -Based Underlayment or SecurockTM. GAFGLAS Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-TecTM #12 standard, 1114 or # 15 Screws and 3" Drill -TecTM steel plate or Drill - TecTM AccuTrac 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 # Flex PLyTM 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 #80ULTIMATM, RUBEROID RUBEROID Mop Smooth, base sheet attached to deck with approved 1'A" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure --60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac 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 Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and:3" inverted Drill -TecTM 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) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 17 of 19 Ply Sheet: Cap Sheet: Surfacing: Maximum Design Pressure: See Fastening Above MIAM • _0 _ _ f LINTY APPROVED GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac 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 — 75 psf, See General Limitation #7) One or more plies of GAFGLAS PLY 4, #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. (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or 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 lbs./sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 Ibs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. or applied in a flood coat of Leak Buster"' MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 galJsq. 4. Leak BusterTM Matrix"M 715 , Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCotel roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at lto 1.5 galJsq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20 /08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with PIy 4 and Flex P1yTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1/" Dens DeckTM or ' /z" 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 EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs.sq. Note: Spot attached systems shall be limited to a maximum design pressure of - 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf, as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 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. X7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform 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.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 19 of 19 To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: ' ?IT)Zf4 141 F'J k4. Property Address: Roofing Permit Number: Dear Building Official: of 1994 ion of t Signature Print Name Revised on 5/21/2009 le South Florida Building Code (1994 SFBC) IVliami Shores Village Building Department P6:51(( Nits . 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. Date: l 1-27-(c) YZ N I L certify that I am not required to retrofit the roof to wall connections of my building because: he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions State of Florida County of Dade The undersigned, being the first duly sworn de oses an says that he /she is the owner for the above property mentioned. Swom to and subscribed before me this Ada of 2-Y 2 LORI -ANN CHAtWiICK Notary Public - State of Florida My Comm. Expires Nov 14. 2014 Commission N EE 33347 Notary Public, Sate of Florida at Large 6-671," Bonded rbroupl►N salWary assn • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.