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RF-10-1660Inspection Number: INSP- 151400 Permit Number: RF -9 -10 -1660 Scheduled Inspection Date: November 23, 2010 Inspector: Bruhn, Norman Owner: AVILA, DUBY Job Address: 45 NW 103 Street Miami Shores, FL 33138- Project: <NONE> Contractor: I84M ROOFING Building Department Comments REMOVE EXISITNG FLAT ROOF TO BARA WOOD INSTALL 1 PLY #75 NASE SHEET Passed Failed Correction Needed Re- Inspection Fee November 22, 2010 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments cfc.„ For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number 786/399 -4621 Parcel Number 1121360131110 Phone: (954)588 -2759 Page 11 of 31 '1111MINIUZIORINE11/"..ft.6.31 NOTICE. OF COMMENCEMENT A RECORDED COPitNIOST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NOFF-iq 404 445 TAX FOLIO NO. 11-'01% sp. • STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notioe that improvements will be rnade to certain. real • property, arid in accordance with Chapter 7i3, Florida Statutes, the following infortnation • is provided in thisNotice of Commencement. 1 L al des° "ption of property 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: Contractor's name, address and phone num sr . 5 5. Surety: (Payment bond required by owner from Contractor If an Name, address and phone number. 611— .5 - ;07 Amount of bond $ 8. 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, 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 «he expiration date is 1 year from the date of recording Unless a different date is spetified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) 0 1- Prepared By Print Name Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE The fmaoing instnimelt was acknowledged before me this _II__ day of , tZ By ev\IC LA fividually, or I-1 as for • 31.1<rsonally known, ca CI produced the following type of ldentlflcatlo • Signature of Notary Public: • Print Name: (SEAL) Space above reserved for use of recording office to - e.,ZIT .frA 111111111111111111111111111111111111111111 GEN 2010R046652 OR Bk 27439 Pa 13931 Etas) RECORDED 09/30/2010 13:45:53 HARVEY RUVIN, CLERK OF COURT VIANI--DADE COUNTYI FLORIDA LAST PAGE d street/address: 44 .■7 11117277NYANTICIPIM ELI ner‘s Authorized Officer/Director/Partner/Manager, Prepared By 449Yokk earcalke'ib Wrr o Print Name r Title/Office By STATE OF FLORIDA, COUNT' DADE 11-1EREBY CERTIFY :la ihis 1,3 iitit copy of t original fld in this ciGy _ NOTARY wonIC-STATE OF FtORMA • ur"., Ale A. Garcia )co....,. sten # D198'82228 vm, % Extrir MAY 07, 2013 B01511 ran aver= tIonuvo coon. VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STAT S Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in It are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: + By WIPES HMV By - tied tof StA, 4.1A eai County cotxts BUILDING PERMIT APPLICATION FBC 20 JOB ADDRESS: 4G µW l O3 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 Permit No.' t O _� I (p Master Permit No. Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): 7U '4 V1 Phone #:3 0r r77 3 - 447 cit (e-t rot State: Y 14" Tenant/Lessee Name: Phone #: Email: Zip: .7 2( City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: 11 - fi( +Q(- -1((0 / Is the Building Historically Designated: Yes NO v Flood Zone: CONTRACTOR: Company Name: 1 E M RZIV-P 45 Phone #: Q »5g$ -19 Address: IS-97 M ,' 54 • rej z- City : /� L lTeder self' State: Pi- Zip: 33 g P• Qualifier Name: H8iSc' / e21. LA-S Phone #.95 - $Vg -475? State Certification or Registration #: C ee 13A '75 Certificate of Competency #: Contact Phone#. - ?- - Z Email Address: DESIGNER: Architect/En i e : ' C 041 M° 9 Phone #: 1 C Value of Work for this Permit: $ 5 . tfie Square/Linear Footage of Work: 3 1 0' Type of Work: Address DAlteration ❑N .Repair/Replace ❑Demolition Description of Work: RieLOVs e,K{ -t 1-4& f$ a.* eipq 4b lactrt t.,Jbo.b 4 -q// 1 ge /. $` se e . ! � 'ber - t ' LI) e, COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: * ** * * * * * * * * * **************** *` ***Fe es** ******** **********)******* ************p * Submittal Fee $ Permit Fee $ � CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ �// C�yy TOTAL FEE NOW DUE $ O1401 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 RICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature wner or Agent The foregoing instrument was acknowledged before me this 17 day of _� , 20 V by �c.i+� /41) who is personally known to me or who ha produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUNIC-8TM QQ FLOWN, Jose A. Garcia My Commission Expire , Commission # 1)1)882228 Expires: MAY 07, 2013 BONDED THRII ATLANTIC BONDING CO., INC. APPROVED BY NOTARY PUNIC-STATE OF ?LO t!DA My Commission Expires: ,.•.., Jo$e A. Garcia ;, ) Comrrl ission #DD882228 °•,, Expires: MAY 07, 2013 ****************************************************** ****** * * *****+** * *** **** * *** * B0-.141,„), * * * *a** ** * ***** ***4s * ** Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Signature // 1---.." 1 — r,L- Contractor The foregoing instrument was acknowledged before me this r7 day of 20 �, by foit:14. , who is personally known to me or who has produced as identification and who did take an oath. NOTARY $UBLIC: Sign; Print: Plans Examiner Zoning RECEIPT PERMIT #: , C/ l K-j C) DATE: a,,21/6.) 1, /4L-1- Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) o Address: 4 /70.1 /CD J ' 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. Acknowledged by: PERMIT CLERK INITIAL�� %% RESUBMITTED DATE: PERMIT CLERK INITIAL: M iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Master Permit No. 11 Contractor's Name L Lc Job Address ❑ New Roof Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes Shingles Low Slope Roof Area (SF) 127;0 FLORIDA BUILDING CODE — BUILDING Ii Fs� SU[3JECT COMPLIANCE WITH ALL FEDERAL. • r ANn COUNTY RULES AND REGULATION. Florida Building Code Editio High - Velocity Hurricane Zone Uniform Permit Ap 51-Prescriptive BUR -RAS 150 ROOF TYPE Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) Total (SF) 0 (Web er Process No. Sprtinn R (Rnnf 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. 'ik cfp] oviv-r. 6746 r 6,444, 3 .... .Il 1 1 yd. ____.4c ...,„_. iri 1 _./ 1 I I ' IN i , vi , , ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Master Permit No. 11 Contractor's Name L Lc Job Address ❑ New Roof Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes Shingles Low Slope Roof Area (SF) 127;0 FLORIDA BUILDING CODE — BUILDING Ii Fs� SU[3JECT COMPLIANCE WITH ALL FEDERAL. • r ANn COUNTY RULES AND REGULATION. Florida Building Code Editio High - Velocity Hurricane Zone Uniform Permit Ap 51-Prescriptive BUR -RAS 150 ROOF TYPE Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) Total (SF) 0 (Web er Process No. Sprtinn R (Rnnf 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. 'ik Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Surfacing: �f '�^'U LAW.. Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA ") System Manufacturer: Product Approval No.: o$ _012, .0/ Design Wind Pressures, From RAS 128 or Calculations: Pmax1 F • Z Pmax2: St •' Pmax37 1 Max. Design Pressure fro the s ecific Product Approval system-. 5 .e Deck: Type: WO a — 11964 J 1/A3(.1.1. �Ita Gauge/Thickness: Slope: Anchor /BaL Insulation Base Layer: Top PIy: Anchor /Base Sheet Fast er /Bonding Material: 1 l k 1 41 �y / i -I4 Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: 11/4 A . Top Insulation Layer: Top Insulation Size and Thickness: 1 Top Insulation Fastener/Bonding Material: ,/- Base Sheet(s) & No. of Piy(s): 1 hog Fai tener /Bgnd_ ing M to erial: PIy Sheet(s) & No. of PIy(s): ¢ " 2- PIy Sheet Fastener /Bonding Material: 10-0* V •' 513 Top PIy Fastener /Bonding Material FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Fastener Spacing for Anchor/Base Sheet Attachment: Field: ea " oc @ Lap, # Rows tt @," oc Perimeter. r'O •" oc @ Lap, # Rows _ @ 'gyp " oc Corner: (4O " oc @ Lap, # Rows 1 " oc Number of Fasteners Per Insulation Board: Field Perimeter 1 __ Corner t .44 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 Parapet Height Mean Roof Height `PLC ,�.. '614. `' °L i H +rc e a2 P (a (4c41731 of System Manufacturer: Notice f Acceptance Number: Minimum D ign Wind Pressures, If Applicable (From RAS 127 or Calculations). P1. P2: P3: Maximum Design . essure (From the Product A royal Specific System): , ROOF ASSEMBUES AND ROOFTOP STRUCTURES Roof Slope: : 12 Ridge Ventilation? FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Section n (Steep Slnppt! Rnnf Syctem) ,Steeps . ed Roof System Desrription Deck Type: Type Underlayment: Insulation: Mean Roof Height: Fire Barrier: Fastener Type &Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: Type & Size Drip Edge: Where to Obtain Inform Lion Description Symbol ere to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engineering sis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier x Product Approval Restoring Moment due to Gravity 1\l Product Approval Attachment Resistance Mf 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 Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Sactinn F (Tile C:alculatinnn) For Mo nt based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mt: If the Mf values are greater than or equal to r values. for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" 32.2 30A 34.4 39.9 38 33.8 35.1 37. 2 Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance r) From Table Below Product Approval Mf Mean Roof Height -+ Roof Slope 1 2:12 M required Moment Resistance* 15' 20' 25' 3:12 36.0 5:12 6:12 7:12 28.4 30.1 31.6 26.4 28.0 29.4 24.4 25.9 27.1 30' 39.7 37.4 32.11 30.5 28.2 40' 42.2 39.8 3 34.9 32A 30.0 '''Must be used in conjunction with a list of moment based tile terns endorsed by the Broward County Board of Rules and Appeals. 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 equal to the Fr values, for each area of the roof, then the tile attachment method is acceptab Method 3 "Moment Based Ti . Calculations Per RAS 127" (P1: x L = x w: = _) - W: x cos B = F Product Approval F' (P2: x L = x w: _ - W: x cos 0 = Fr2 Product Approval F' (P 3: xL FLORIDA BUILDING CODE — BUILDING xw: ) - W: ) -Mg =Mrt -Mg: = Mr2 ) -Mg = Mr. x cos 0 ROOF ASSEMBUES AND ROOFTOP STRUCTURES Product Approval Mf Product Approval Mf Product Approval M F.: Product Approval F' 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 A,B,C 1,2,3,4,5,6,7 A,B,C 4,5,6,7 Pre scriptive BUR -RAS 150 A,B,D 1,2,4,5,6,7 Asphaltic Shingles Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 1,2,3,4,5,6,7 1,2,4,5,6,7 Metal Roofs A,B,D Wood Shingles and Shakes A,B,D Other As Applicable 1,2,3,4,5,6,7 ti ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 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: ATTACHMENTS REQUIRED: MIAMS BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Firestone Building Products Company 310 East 96 Street Indianapolis, IN 46240 -3702 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 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 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. DESCRIPTION: Firestone Modified Bitumen Roof Systems over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by theinfinufachrr or,. is distributors and shall be available for inspection at the job site at the request f` h B ui ng M v ial. This NOA revises NOA No. 05- 0830.10 and consists of pages 1 through 3 The submitted documentation was reviewed by Jorge L. Acebo. NOA No. 8- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 1 of 30 ROOFING SYSTEM APPROVAL Category: Sub - Category: Material: Deck Type: Maximum Design Pressure TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Dimensions Specification APP 180 39.4" x 32'10" ASTM D 6222 APP 180 FR 39.4" x 32'10" ASTM D 6222 APP 170 APP 160 MB Base Sheet SBS FR SBS Premium SBS Premium FR SBS Base Sheet SBS Smooth SBS Glass Torch Base Roofing Modified Bitumen APP /SBS Wood -52.5 psf 39.4" x 33'6" 39.4" x 32'10" 36" x 108' MB Base M 39.4" x 98.7' (1 mx30.1 m) SBS 39.4" x 33'10" 39.4" x 33'10" 39.4" x 33'10" 39.4" x 33'10" 39.4 "x50' 39.4" x 33'10" 39.4" x 33'10" ASTM D 6222 ASTM D 6222 ASTM D 4601 ASTM D 4601 ASTM D 6164 ASTM D 6164 ASTM D 6164 ASTM D 6164 ASTM D 6163 ASTM D 6164 ASTM D 6163 Product Description Polyester reinforced modified bitumen, granule surfaced membrane. Torch applied. Polyester reinforced, fire regardant modified bitumen, granule surfaced membrane. Torch applied. Polyester reinforced modified bitumen membrane. Torch applied. Polyester reinforced modified bitumen membrane. Torch applied. Fiberglass reinforced base sheet, asphalt coated on both sides. Applied in hot asphalt or mechanically attached. Fiberglass reinforced base sheet, asphalt coated on both sides. Applied in hot asphalt or mechanically attached. Granule surfaced, modified bitumen membrane reinforced with non -woven polyester mat. Ceramic granule surface, modified bitumen membrane reinforced with non -woven polyester mat. Granule surfaced, modified bitumen membrane reinforced with polyester mat. Applied in hot asphalt. Ceramic granule surface, fire rated, modified bitumen membrane reinforced with non -woven polyester mat. Fiberglass reinforced SBS base sheet. Applied in hot asphalt or mechanically attached. Smooth surfaced, modified bitumen membrane reinforced with non -woven polyester mat. Applied in hot asphalt. Modified bitumen base sheet with a burn- off film and reinforced with non -woven fiberglass mat. NOA No.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 2 of 30 Product SBS Premium FR Torch SBS Glass SBS Glass FR Rhoflex Base Sheet Rhoflex FR Granule Type IV Type VI Type IVM Type VI M Dimensions 39.4" x 33'10" 39.4" x 33'10" 39.4" x 33'10" 33" x 180" 33" x 180" 39.4" x 164.5' (1 mx50.4m) 39.4" x 164.5' (1mx50.1m) Test Specification ASTM D 6164 ASTM D 6163 ASTM D 6163 ASTM D6509 ASTM D6223 ASTM D2178 ASTM D2178 ASTM D2178 ASTM D2178 . • . .. • • • • • • • .. • •• .. • • • •• • ••• • • .. • • • • . . • • • • . • • . .. • . . • • •• • • ••• •••• • • • • • • ••• • • • • • • • • • • • Product Description Ceramic granule surface, fire rated, modified bitumen membrane with a burn- off film and reinforced with non -woven polyester mat. Fiberglass reinforced, granule surfaced, modified bitumen membrane. Applied in hot asphalt. Granular surfaced, fiberglass reinforced, fire regardant, modified bitumen membrane. Applied in hot asphalt. Asphalt coated glass fiber base sheet Glass/Polyester reinforced modified bitumen cap sheet Fiberglass reinforced, asphalt impregnated, roofing ply. Applied in hot asphalt. Fiberglass reinforced, asphalt impregnated, roofing ply. Applied in hot asphalt. Fiberglass reinforced, asphalt impregnated, roofing ply. Applied in hot asphalt. Fiberglass reinforced, asphalt impregnated, roofing ply. Applied in hot asphalt. .. • • . . .. • • •••• • • NOA No.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07 /10/08 Page 3 of 30 APPROVED INSULATIONS: Product Name ACFoam II ISO 95 +, ISO 95+ GL, 95+ GW ISO 95+ Composite Fiber Top Rhoflex Composite Dens Deck ENRGY 3, ENRGY PSI -25, UltraGard Gold II, UltraGard II Fesco Foam High Density Wood Fiberboard Perlite Insulation Board Iso -Lite E Multi -Max FA TABLE 2 Product Description Isocyanurate Insulation Isocyanurate Insulation Isocyanurate Insulation with perlite facer Regular wood fiber insulation Polyisocyanurate foam / perlite insulation Silicon treated gypsum Isocyanurate Insulation Isocyanurate Insulation with perlite facer High Density Wood Fiber insulation board. Perlite Insulation Polyisocyanurate foam insulation Isocyanurate Insulation Manufacturer (With Current NOA) Atlas Roofing Corp. Firestone Firestone Firestone Firestone G -P Products Johns Manville Johns Manville Generic Generic International Permalite Rmax, Inc. NOA No.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 4 of 30 APPROVED FASTENERS: Fastener Number Product Name 1. Firestone All-Purpose Fastener 2. Firestone HD Fastener 3. MB Barbed Metal Seam Plate 4. Hexagonal Plate 5. Seam Plate 6. Metal Plate 7. Dekfast Fasteners 8. Dekfast Hex Plate 9. #12 & #14 Roofgrip 10. Metal Plate 11. Plastic Plate 12. Olympic Fasteners 13. Olympic Standard 14. Olympic 15. Insul -Fixx Fastener 16. Insul -Fixx S 17. Insul -Fixx PG 18. Tru -Fast Fasteners 19. Tru -Fast MP -3 20. Tru -Fast Plastic Plate TABLE 3 Product Description Insulation and membrane fastener Insulation and membrane fastener Metal plates used for membrane securement. Insulation attachment hexagonal plate Membrane seam attachment plate. Membrane attachment plate. Insulation and membrane fastener Insulation and membrane fastener Insulation and membrane fastener Galvalume AZ50 stress plate 3.2" round polyethylene stress plate Insulation and membrane fastener 3" round Galvalume AZ55 stress plate Plastic plates for fasteners. Insulation fastener for use in wood, steel and concrete decks Galvalume AZ55 stress plate Polyethylene stress plate Insulation and membrane fastener 3.23" round Galvalume AZ50 steel plate 3" round polyethylene stress plate Manufacturer Dimensions (With Current NOA) Various Various 2" dia 3- x 2- 7/ ,, s 2 - dia 2" dia Various Various Various 3" square 3" round 3.2" round Various 3" round 3" round Various 3" round 3" round Various 3.23" round 3" round Firestone Firestone Firestone Firestone Firestone Firestone SFS Intec SFS Intec OMG OMG OMG OMG OMG OMG SFS Intec SFS Intec SFS Intec The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. NOA No.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 5 of 30 EVIDENCE SIJBIVEITTED: Test Aeencv Factory Mutual Research Corp. Trinity 1 ERD Atlantic & Caribbean Roof Consulting, LLC. PRI Asphalt Technologies Test Identifier 1D5A8.AM 3003597 3004786 3005030 3007328 4810.01.96 -1 4810.10.96 -1 F10370.05.08 ACRC 03 -001 ACRC 03 -007 FBP -018 -02-01 FBP- 011 -02-01 FBP- 008 -02 -01 FBP- 009 -02 -01 FBP- 010 -02 -01 FBP- 014 -02 -01 FBP- 015 -02 -01 FBP- 016 -02 -01 FBP- 017 -02 -01 FBP- 019 -02 -01 FBP - 023 -02 -01 FBP- 007 -02 -01 FBP- 020 -02 -01 Description FM 4470 FM 4470 FM 4470 FM 4470 FM 4470 PA 114(C) & PA 114(D) PA 114(J) ASTM C 1289 TAS 114 TAS 114 ASTM D 6163 ASTM D 6164 ASTM D 6222 ASTM D 6222 ASTM D 6164 ASTM D 6164 ASTM D 6509 ASTM D 6509 ASTM D 6163 ASTM D4601 ASTM D 6223 ASTM D 6222 ASTM D 2178 Date 09/09/98 07/14/99 05/16/00 08/08/00 07/12/02 01/31/96 10/31/96 05/08/08 03/06/03 05/01/03 09/07/04 09/02/04 09/10/04 08/31/04 09/04/04 09/02/04 09/02/04 09/02/04 09/13/04 09/14/04 09/01/04 09/14/04 09/14/04 NOA No.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 6 of 30 Membrane Type: APP Deck Type 1I: Wood, Non - insulated Deck Description: 1942" or greater plywood or wood plank fasten to supports with #8 x 1 -5/8" wood screws at a maximum spacing of 6" o.c. System Type E(3): Base sheet mechanically fastened. All General and System Limitations apply. Base Sheet: One ply of Firestone MB Base or MB Base M mechanically fastened to the wood deck as described below: Fastening #1: Ply Sheet One ply of APP 160, APP 170, APP 180 or APP 180 FR torch applied parallel to the base ply, with overlaps staggered 12 ". Surfacing: (Optional) Install one of the following: 1. Gravel or slag at 4001b. and 300 lb., respectively, set in a flood coat of type III or IV asphalt at 60 lb./sq.. 2. Karnak No. 97, No. 97 AF or No. 169 at an application rate of 1 4 gal./sq.. 3. Fields F900 emulsion, Gilsonite Durakote # 151, Gibson Homans #6192 -900 applied at 6 gal./sq. with 60 lbs. of roofing granules set in the wet coating. 4. Owens Corning Fiberglass Cap sheet GAF Mineral Surface Capsheet or Manville Glaskap in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsisq.. Membrane: Maximum Design Pressure: —52.5 psf (See General Limitation #7) Base sheet shall be lapped 4" and fastened with Firestone #14 AP fasteners 3" Round Metal Plates 12" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c. Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 6" o.c. at the lap and two rows staggered in the center of the sheet 6" o.c. (Optional) One or more plies of Firestone MB Base Sheet, Type IV, Type IV M, Type VI or Type VI M ply sheet or other listed base sheet applied in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.; or one ply Firestone APP 160 or APP 170 torch applied. NOA No.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 28 of 30 • Membrane Type: SBS Deck Type 1I: ! Wood, Non - insulated Deck Description: 19 132" or greater plywood or wood plank fasten to supports with #8 x 1 -5/8" wood screws at a maximum spacing of 6" o.c. System Type E(4): Base sheet mechanically fastened. All General and System Limitations apply. Base Sheet: Fastening #1: Fastening #2: Ply Sheet: Membrane: Surfacing: One ply of Firestone MB Base or MB Base M mechanically fastened to the wood deck as described below: Base sheet shall be lapped 4" and fastened with Firestone #14 AP fasteners 3" Round Metal Plates 12" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c. Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 6" o.c. at the lap and two rows staggered in the center of the sheet 6" o.c. One or more plies of SBS Smooth or SBS Base sheet or Firestone Type IV, Type IV M, Type VI or Type VI M ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. One ply of Firestone SBS, SBS FR, SBS Smooth, SBS Premium, Premium FR, SBS Glass or SBS Glass FR adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsisq. (Optional) Install one of the following: 1. Gravel or slag at 4001b. and 3001b., respectively, set in a flood coat of type III or IV asphalt at 60lb.sq.. 2. Karnak No. 97, No. 97 AF at an application rate of 11/2 gal./sq.. Maximum Design Pressure: —52.5 psf (See General Limitation #7) NOA No.: 08-0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 29 of 30 WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL 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 Ibf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with 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. 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.: 08- 0118.07 Expiration Date: 03/08/11 Approval Date: 07/10/08 Page 30 of 30 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. IS i4 Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. 11 • A — Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. • ice' Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing to be performed. 4. 1) • fi- Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. • H Ponding water The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. • k Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. .1 • Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. 8. Owner/ ' gent's Signature Date Revised on 7/9/2009 LD n't-- III Ism Contractor Signature Date EFFECTIVE DATE: PERSON: FEIN: BUSINESS NAME AND ADDRESS: I & M ROOFING LLC 6809 MERION PLACE NORTH LAUDERDALE FL 33088 SCOPES OF BUSINESS OR TRADE 1— CERTIFIED ROOFING CONTRACTOR 07/16/2010 EXPIRATION DATE: 07/16/2012 TELUS MOISE 204733046 07 -16 -2010 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election ender this section may not recover benefits ar c mpensatiao ander this chapter: Parcoant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of electies to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 QUESTIONS? (850) 413 -1609 ACORD,� CERTIFICATE OF LIABILITY INSURANCE PRODUCER JIM RAY INSURANCE 7879 PINES BLVD. # 101 PEMBROKE PINES FLORIDA 33024 TEL: 954-963-1208/FAX 963 -1211 IN$ 1 9 -30 -10 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 A GENERA rUABIUTY X COMMERCIAL GENERAL LIABILITY ; MP 0 0 0 9 0 0 5 0 0 0 21 CLAIMS MADE j OCCUR GEN'L AGGREGATE UMIT APPLIES PER: X POLICY ' JECCTT t UDC AUTOMOBlLEL{A81UTY _ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON- OWNED AUTOS 4-16-10i4-16- ' EACHOCCUi Z : s3QQ,.QOQ 1 • � m a ra.,ee) $1001000 t MED EXP (Any on$ an) ' $ 5,000 Ir PERSONALEADV INJURY $300 9 0 0 GENERAL AGGREGATE I $3 0 0, 0 0 0 PRODUCTS- COMP/OPAGG $ 0 0, 0 0 0 COMBINED SINGLE LIMIT (Ease dent) . BODILY INJURY (Per person) I (Past RTYDAMAGE ' $ • . ,:..1- 1.,I”,i1711i466 .t r.. Jul.. - 1;1<hbf COVERAGES GARAGE UASBILITY ANY AUTO EXCESSANABRELLA LIABILITY OCCUR ` CLAIMS MADE '• _ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' UABtLf1Y ANY • OFFICER/MEMBER EXCLUDED? ECUTIVE d y describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VIDEO-ES/ EXCLUSIONS ADDED BY ENDORSEMENT !SPECIAL PROVISOES ROOFING • MIAMI SHORES VILLAGE Building Dept. 10050 NE 2 Avenue Miami Shores Fl 33138 ACORD 25 (2001 8) ' POLICY EFFECTIVE i POLICY EXPIRATION POLICY NUMBER 1 AUTO ONLY -EA ACCIDENT 4 $ EA ACC , $ _ �--- AGGI$ — i $ OTHERTHAN 1 , AUTO ONLY 1 EACH OCCURRENCE AGGREGATE LIMITS CSTAT TORY tMtT3 ER ; c EL EACH ACCIDENT • $ ._ £.L DISEASE • EA EMPLOYEE $ E.L. DISEASE • POLICY war CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE LOMA X ENDEAVOR TO MAIL 3 0 DAYS WED DATE: THEREOF, THE ISSUING INSURER WILL ENDER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 50 SI OF �D THE SURER, TES AGENT IMPOSE NO OBUGAATION OR REPRESENT/VMS. tar ® ACORD CORPORATION