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RF-09-1097Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 118278 Permit Number: RF -7 -09 -1097 Scheduled Inspection Date: July 21, 2009 Inspector: Bruhn, Norman Owner: BRAMSON, MYRNA Job Address: 330 NE 96 Street Miami Shores, FL Project: <NONE> Contractor: WHITE SEAL ROOFING Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132060135970 Phone: (954)922 -7383 Building Department Comments REMOVE EXISTING ROOF DOWN TO DECKING AND INSTALL BASE SHEET II PLY FIBERGLASS FELT IN HOT ASPHALT THEN INSTALL MODIFIED BITUMEN CAP SHEET IN HOT ASPHALT Inspector Comments Passed ge2,24 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. _hdu 7e. 7nna For Inspections please call: (305)762 -4949 Pane. 77 of do litiousd Sly �P&aye 614 Del 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com RE: Permit # Jf,, r — O I ot7 DATE: INSPECTION AFFIDAVIT ��Irlct cl.8e , licensed as a (n) (Print name and circle License Type) FS 468 Building Inspector 4 (3 `, ? S° `t License #: ccc_ 06-6 36-7 iS D On or about 7---fr- (Date & time) secondary water barrier work at 330 N (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based o 553.:44 F.S) Engineer / Architect, , I did personally inspect th nd /or Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large day of *General, Building, Residential, or Roofing Contracto s or any individual certified and Include photographs of each plane of the roof with permit # and address # clearly sho inspection 49x Nti, JAMES M JOHNSON MY COMMISSION • DD523166 to mnixesseonban, pect n - 163 Fl ., _ Service. Miami Shores Village Building Department NmomEwm-, JUL 01 2009 j /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. `feq-10(1 T PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Se./ 1_%7 ,(A//Q 8gAms i/ Phone # (3o5-) -76-7 -' lo l� Owner's Address 330 ,(/6 96 3 lie City Aorrn S1zo4es State Tenant/Lessee Name ply Master Permit No. Zip 33/38 Phone # KM/ Job Address (where the work is being done) 33 0 /(f � 96 Shred City Miami Shores Village County Miami -Dade Zip 33 / c3 6 FOLIO / PARCEL # 11- 3e.96 — 0/3 - 61? '?6 Is Building Historically Designated YES NO Contractor's Company Name Wilde- j ea.( =ix,(G / Phone # /cS� 7 2 �3 �3 Contractor's Address GCJ 9 ago %fare (5-free 7" City Hat A > State!! A Zip 83 0 2v Qualifier Name / 7,DP?.T G-' C�Gjg/c Phone # 954 — 63 6. — -7c49 C State Certificate or Registration No. 2 63 C., 7 Certificate of Competency No. CC--'C. e-76-6 Architect/Engineer's Name (if applicable) P /// Phone # "Ilk 633 Value of Work For this Permit $ 3, Q9S• C`Jt7 Square / Linear Footage Of Work: N6:26• .r7 5 P/ • Type of Work: EAddition [ Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Molle. QXL 4- v 7 goz,E dee-4 9 (r?saifZ If bGse_- b1lee 4 'P% F bec ?ls 41 /14 ho./ czs ha. /eh �.� s / 1/ ,i1od/ c, ea/ eo/e-7 Fire e.� r �+ �%ic�7Gt.�S' lil.2il- P Ins• mittal Fee $ ��� Permit Fee $ CCF $ a . CD/CC Notary $ �� Scanning $ j L' -00 Training/Education Fee $ Radon $ Bond $ Code Enforcement $ Double Fee $ Technology Fee $ DPBR $ j Zoning $ Structural Review. $ Total Fee Now Due $ 1� See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip a/r Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Uiv Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �V eg**ift Contractor The foregoing instrument was acknowledged before me this ca29 The foregoing instrument was acknowledged before me this day of ..\u4.e- ,20oQ,by day of ,.Su✓te ,20�,by c7beCt �' �' e (who isersonally kno o me or who has produced who is per4ally known me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: A( avt.2_ • My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** Carlene Nelson 1,4 -r 0T My,.fC�ogmmi�spsiijo�n 00885509 * . ,t !...' * ** *�ir*,ti*�r T213* ** * * *r*** APPLICATION APPROVED BY: (Revised 07/10/07) ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** tidizf Plans Examiner Engineer Zoning Naiad Siow4Vdlalegeolfpontoteme 10050 NE 2nd Ave * Miami Shores, FI 33138 Phone 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. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Seer o N LA /g 2Ar�lsO) I Property Address: 33o C q �'' $iGee 7L ,4' arni Shoes 'l 8313S' Roofing Permit Number: Date: 061Z4 /09 Dear Building Official: I Seri 9 figterifi Zarnso c/ certify that I am not required to retrofit the roof to wall connections of my building because: El The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. 0 The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) State of Florida County of Dade Print Name 3u -ihso' The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of rte moo' Notary Public, Sate of Florida at Large * When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mdigatio NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTE ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO 11- 3206-013 -5970 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. 111111111111111111111111111111111111111111111 CFI," 2009R10.4-7551.2 OR Bk 26923 Ps 4720; (fps) RECORDED 07/01/200? 10:17:18 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office 1. Legal description of ��r and street/address: 330 NE 96th Street, Miami Shores, FL 33138 -2718 Miami Shores Sec 1 a mil PB 10-70 Lots 5 8t a 15 ft Lot 6 Bik 44 2. Description of improvement: Re roof flat roof only 3.Owner(s) name and address: Seth & W: Myrna Bramson, 330 NE-96th Street, Man Shores, FL 33138 -2718 Interest in property: own Name and address of fee simple titleholder. Seth & W. Myrna Bramson, 330 NE 96th Street, Miami Shores, FL 33138 -2718 4. Contractor's name, address and phone number.. White Seal, Inc. dba Wh e^ ti,• tfr, any 2008 Coolidge Street, Hollywood, FL 33020 »{ • Y '-"k f �yj ,.Rs� , rl N , :o site 5. Surety: (Payment bond required by owner from contractor, it filed INi l Name, address and phone number n/a / r, D 20 tad Amount of bond $ nia 6. Lender's name and address: n/a 7. Persons within the State of Florida designated by Owner limp Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number n/a 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1Xb), Florida Statutes. ' Name, address and phone number n/a 9. Expiration date of this Notice of Commencement June 29, 2011 (the expiration date is 1 year from the date of recording tailess a different date is specified) 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. Signatures of! : s) or By Print Name Tttle/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE ' Authooriiz:.• Officer/Director/Partner/Manager �,L...r /I�i� //< fir. yR 3.Q401svw By Print Name Title/Office The foregoing instrument was acknowledged before me this 29th day of JUNE . . 2009 By Seth or W Myrna Bramson a Individually, or ❑ as for Personally known, or ❑ produced the following type of identification Signature of Notary Public: t9®/ corn / ;/, f l Print Name: ` /A ?e"--6 /1 J,1 yr�erca� VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I 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 (ner(s)'s Authorize /Director/Partner /Manager who signed above: �� ��I�j� eat� BY ` By 123.01.62 -'.c. 13 1 1)07 Name Siotte4Viatie 614 D 10050 NE 2nd Ave * Miami Shores, FI 33138 Phone 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. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Se -/h m /l ieAllq �(�Ailso�l 9 Property Address: 330 6 l d' cYeree /- gJ-wae .s P1 ff. 13' Roofing Permit Number: Date: 06 4/09 Dear Building Official: 1 SeVA /V/oe/1A certify that I am not required to retrofit the roof to wall connections of my building because: Z1. The 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 of 1994 edition of the South Florida Building Code (1994 SFBC) State of Florida County of Dade fl t' 1ti C3tz4-'M sod Print Name The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this e , day of JGcrce ao Notary Public, Sate of Florida at Large *When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigatio Section A MIAMI DIADE COUNTY "Delivering Excellence Every Day" Master Permit No: Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Section A (General Information) Contractor's Name: Process No: White Seal, Inc dba White Seal Roofing Company Job Address: 1330 NE 96th Street, Miami Shores, FL 33138 -2718 0 Low Slope ❑ Asphaltic Shingles ❑ Sprayed Polyurethane Foam Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Other: Roof Type ❑ Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes ❑ New Roof 0 Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes 5 No If yes, what type? ❑ Natural ❑ LPGX Low slope roof area (ft.2) 623 Roof System Information Steep Sloped area (ft.2) 00000 Section B (Roof Plan) Total (ft.2) 623 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 -- __. _. _ ipets. Perimeter Width (-" -�� SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE A �I •1 SECTION 1524 HIGH - VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building 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 designated space indicates that the item has been explained. -)//96 1. Aesthetics-workmanship: The workmanship provisions of Chapter 15 (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) 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. `7// 6 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High - Velocity Hurricane Zones) of the. (The roof deck is usually concealed prior to removing the existing roof system.) 2?? 6 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (Le., 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. The �% owner provides the option of maintaining this appearance. ��%/ 6 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. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 27.6 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the �Y u9 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 life of the roof. 1 IP__L4207 Agent's Signature D e 471' Contractor's Signatu Da e 1 Section C MIAMFnE Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form "Delivering Excellence Every Day" Section C page (Low Slope Roof Systems) Fill in the specific roof assembly components. If a component is not required, insert not applicable (n /a) in the text box. Top Ply: COUNTY ROOF SYSTEM MANUFACTURER: Product Approval (NOA): Polyglass USA, Inc 07- 1030.05 System Type: Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Field: (P2) Perimeters: (P3) Comers: psf psf psf Maximum Design Pressure From NOA Roof Slope: mon " : 12 Roof Mean Height: psf Parapet Walls: No 0 Yes Parapet wall Height: Deck Type: Support Spacing: Alternate Deck Type: Existing Root —5/8" Plywood- " o/c ft. wood Fire Barrier. Vapor Barrier. Anchor Sheet Ln/a Anchor Sheet Fastener / Bonding Material: M 1 1/4" R/S nails /1 5/8" Tin Caps Insulation Base Layer Size & Thickness: Insulation Base Layer Fastener / Bonding Material: Ln/a Insulation Top Layer Size & Thickness: Insulation Top Layer Fastener / Bonding Material: Base Sheet(s) & No. of Ply(s): 75# Base 1 PIy Base Sheet Fastener / Bonding Material: I11/4 " R/S nails /1 5/8" Tin Caps per code PIy Sheet(s) & No. of Ply(s): Type IV 2 Plys PIy Sheet Fastener / Bonding Material: Hot Asphalt ft. Elastoflex S6 G FR Top PIy Fastening / Bonding Material: Hot Asphalt Surfacing: SINGLE PLY MEMBRANE: N/A Single PIy Manufacturer / Type: N/A Single PIy Sheet Width: No. of Single PIy 1/2 sheets: Single PIy Membrane Fastening / Bonding Material: N/A " 1/2 Sheet Width: GI FASTENER SPACING FOR BASESHEET ATTACHMENT ❑ SINGLE PLY MEMBRANE ATTACHMENT 1. Field: 2. Perimeter. " o/c @ Laps & " o/c Laps & rows rows " o/c "o/c 3. Comer. ice; " o/c @ Laps & rows " olc NUMBER OF FASTENERS PER INSULATION BOARD: 1. Field: ',ice 2. Perimeter. Insulation Fastener Type : il�ail! 3. Comer: N/A WOOD NAILER TYPE AND SIZE: N/A Wood Nailer Fastener Type and Spacing: N/A EDGE & COPING METAL SIZES: Edge Metal Material: Edge Size: Hook Strip Size: Edge Metal Attachment: — Galvanized Metal- -3" face 26 ga.— — SELECT EDGE METAL HOOK STRIP SIZE- 11 1/4" R/S Nail 98" OC Coping Material: Coping Size: 1— PARAPET COPING METAL N /A- - COPING METAL SIZE N /A- Hook Strip Size: Parapet Coping Metal Attachment: - COPING METAL HOOK STRIP N /A— 1N /A Section C2d MIAMI -DADS COUNTY "Delivering Excellence Every Day" Miami-Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping/Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers Details that Comply with RAS -111 and Chapter 16. S - 1 ?13gSE- 114-`{ l! — z poi E t.A-St D FISK � c' e. • Parapet Wall Height Mean Roof Height MIAMIDAQE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA, Inc. 150 Lyon Drive Fernley, NV 89408 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: Polyglass Modified Bitumen Roof System 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 the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 06- 0410.06 and consists of pages 1 through 25. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1030.05 Expiration Date: 09/13/11 Approval Date: 04 /10/08 Page 1 of 25 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Modified Bitumen Materials SBS /APP Deck Type: Wood Maximum Design Pressure -112.5 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Polyflex Test Product Dimensions Specification Description 32' 10" x 3' 3- ASTM D 6222 Torch applied, polyester reinforced, APP 3/8" modified bitumen membrane with a burn off polyethylene back face and a smooth or sanded top surface. Polyflex G 32' 10" x 3' 3- ASTM D 6222 Torch applied, polyester reinforced, APP 3/8" modified bitumen membrane with a burn off polyethylene back face and a granule top surface. Polyflex G FR 32' 10" x 3' 3- ASTM D 6222 Torch applied, polyester reinforced, APP 3/8" modified bitumen membrane with a burn off polyethylene back face and a granule top surface and fire retardant chemistry. Polybond 32' 10" x 3' 3- ASTM D 6222 Torch applied, polyester reinforced, APP 3/8" modified bitumen membrane with a burn off polyethylene back face and a smooth or sanded top surface. Polybond G 32' 10" x 3' 3- ASTM D 6222 Torch applied, polyester reinforced, APP 3/8" modified bitumen membrane with a burn off polyethylene back face and a granule top surface. Elastoflex S6 32' 10" x 3' 3- ASTM D 6164 Torch, hot asphalt or cold adhesive applied, 3/8" polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a polyethylene or sanded top surface. Elastoflex S6 G 32' 10" x 3' 3- ASTM D 6164 Torch, hot asphalt or cold adhesive applied, 3/8" polyester reinforced, SBS modified bitumen membrane with a bum off polyethylene or sanded back face and a granule top surface. Elastoflex S6 G 32' 10" x 3' 3- ASTM D 6164 Torch, hot asphalt or cold adhesive applied, FR 3/8" polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface and fire retardant chemistry. NOA No.: 07- 1030.05 Expiration Date: 09/13/11 Approval Date: 04 /10/08 Page 2 of 25 Elastoshield TS4 Elastoshield TS4 FR Elastoflex V Elastoflex VG Elastoflex VG FR Xtraflex Xtraflex G Xtraflex G FR Elastobase V Elastobase P Cold Process Adhesive PG100 Asphalt Primer PG350 Mod Bit Adhesive PG400 Plastic Roof Cement PG425 Wet/Dry Roof Cement PG450 Flashing Cement 32' 10" x 3' 3- 3/8" 32' 10 "x3' 3- 3/8" 32' 10 "x3'3- 3/8" 32' 10" x 3' 3- 3/8" 32' 10" x 3' 3- 3/8" 32' 10" x 3' 6" 32' 10 "x3' 6" 32' 10" x 3' 6" 65' 2" x 3' 3 -3/8" 65' 2" x 3' 3 -3/8" 1, 5 or 55 gal. 1,5,55 gal. or17 oz. spray can 1, 5.or 55 gal. 1, 5 gal. or tube 1, 5 gal. or tube 1, 5 gal. or tube ASTM D616.4 ASTM D 6164 ASTM D 6163 ASTM D 6163 ASTM D 6163 ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 4601 ASTM D 6164 ASTM D3019 TYpef ASTM D41 ASTM D3019 Type III ASTM D4586 ASTM D3409 ASTM D4586 ASTM D3409 ASTM D4586 Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface. Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface and fire retardant chemistry. Torch, hot asphalt or cold adhesive applied, fiberglass reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a sanded top surface. Torch, hot asphalt or cold adhesive applied, fiberglass reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface. Torch, hot asphalt or cold adhesive applied, fiberglass reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface and fire retardant chemistry. Torch applied, polyester reinforced, TPO modified bitumen membrane with a burn off polyethylene back face and a smooth top surface. Torch applied, polyester reinforced, TPO modified bitumen membrane with a burn off polyethylene back face and a granule top surface. Torch applied, polyester reinforced, TPO modified bitumen membrane with a burn off polyethylene back face and a granule top surface and fire retardant chemistry. SBS modified asphalt coated fiberglass reinforced base sheet. SBS modified asphalt coated polyester reinforced base sheet. A fibered cold process adhesive for use with roll or BUR roofing. A penetrating solution of solvent and a blend of selected asphalts used to promote adhesion. A fibered rubberized adhesive designed for use with modified bitumen membranes. A thick, fibered, rubberized flashing cement for use in dry or damp conditions. A thick, fibered, rubberized flashing cement for use in dry or damp conditions. A thick, fibered, rubberized flashing cement. NOA No.: 07- 1030.05 Expiration Date: 09 /13/11 Approval Date: 04/10/08 Page 3 of 25 PG500 MB Flashing Cement Polyplus 35 Premium Mod Bit Adhesive Polyplus 45 Premium Flashing Cement Polyplus 50 Premium MB Flashing Cement 1, 5 gal. or tube 1,5or55gal. 1, 5 gal. or tube 1, 5 gal. or tube APPROVED INSULATIONS: Product Name Polytherm Al Polytherm Composite ACFoam I1 ACFoam III High Density Wood Fiberboard Perlite Insulation Type X Gypsum Dens Deck or Dens Deck Prime ENRGY -3 Fesco Board Multi -Max Multi -Max FA Hunter H- Shield Securock ASTM D4586 ASTM D3019 Type III ASTM D4586 A thick, fibered, rubberized flashing cement for use with modified bitumen membranes. A fibered rubberized adhesive designed for use with modified bitumen membranes. A thick, fibered, rubberized flashing cement. ASTM D4586 A thick, fibered, rubberized flashing cement for use with modified bitumen membranes. TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate/perlite composite insulation. Polyisocyanurate foam Insulation Polyisocyanurate foam Insulation Wood fiber insulation board Perlite insulation board Fire resistant rated gypsum. Water resistant gypsum board Polyisocyanurate foam insulation Rigid perlite roof insulation board. Polyisocyanurate roof insulation Polyisocyanurate roof insulation Polyisocyanurate foam Insulation Fiber reinforced Coverboard Manufacturer (With Current NOA) Polyglass USA, Inc. Polyglass USA, Inc. Atlas Energy Products Atlas Energy Products Generic Generic Generic G -P Gypsum Corp. Johns Manville Johns Manville RMax, Inc. RMax, Inc. Hunter USG Corp. NOA No.: 07- 1030.05 Expiration Date: 09 /13/11 Approval Date: 04 /10/08 Page 4 of 25 APPROVED FASTENERS: Fastener Product Number Name TABLE 3 Product Description 1. Dekfast Fasteners Insulation fastener for wood, steel #12, #14 & #15 and concrete decks 2. Dekfast Hex Plate Galvalume hex stress plate. 3. Dekfast Lock Plate 4. #12 & #14 Roofgrip 5. Metal Plate 6. Plastic Plate 7. Insul -Fixx HD Fastener 8. Insul-Fixx S 9. Insul -Fixx P 10. Tru -Fast HD 11. Tru -Fast Plates 12. Tru-Fast Plates APPROVED SURFACING: Number Product Name 1. PG200 Non - Fibered Roof Coating 2. PG300 Fibered Roof Coating 3. PG600 Non - Fibered Aluminum Roof Coating 4. PG650 Fibered Aluminum Roof Coating Polypropylene locking plate. Insulation and membrane fastener Galvalume AZ50 stress plate Polyethylene stress plate Insulation fastener for steel and wood decks Galvalume AZ55 stress plate Polyethylene stress plate Insulation fastener for steel and wood decks Galvalume AZ55 steel plate Polyethylene plastic plate TABLE 4 Manufacturer Dimensions (With Current NOA) 2 7 /g" x 3 %/" 3 "x3 'A" Various 3" square 3.2" round Various 3" round 3" round SFS Intec SFS Intec SFS Intec OMG OMG OMG SFS Inter SFS Intec SFS Intec The Tru -Fast Corp. 3" round The Tru-Fast Corp. 3" round The Tru-Fast Corp. Product Application Description Rate A non fibered asphaltic 1'A-2 gal/sq coating used to add life and rejuvenate existing BUR roofing substrates. An asphalt cutback fibered 11/2-2 gal/sq roof coating. May be applied by brush or spray equipment to rejuvenate aged BUR Non - fibered aluminum roof coating. Fibered aluminum roof coating. 1/2-1 gal/sq 11/2-2 gal/sq Specification Manufacturer TAS 140 Polyglass USA, Inc. ASTM D4479 ASTM D2824 Type I ASTM D2824 Type III Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. NOA No.: 07- 1030.05 Expiration Date: 09 /13/11 Approval Date: 04/10/08 Page 5 of 25 APPROVED SURFACING: Number Product Name 5. PG700 White Reflective Roof Coating 6. PG800 Non - Fibered Asphalt Emulsion Roof Coating 7. PG850 Fibered Asphalt Emulsion Roof Coating 8. Polyplus 65 Premium Fibered Aluminum Roof Coating 9. Polyplus 60 Premium Non - Fibered Aluminum Roof Coating 10. Polybrite 70 White Elastomeric Roof Coating 11. Mule -Hide 111 Non - Fibrated Roof Coating 12. Mule -Hide 102 Fibrated Roof Coating 13. Mule -Hide 416 Standard Non - Fibrated Aluminum Roof Coating 14. Mule -Hide 406 Standard Fibrated Aluminum Roof Coating TABLE 4 Product Description A premium white elastomeric acrylic based roof coating (water - based). A polyester fabric may be used for reinforcement with this coating. An asphalt base, unfibered clay emulsion An asphalt base, fibered clay emulsion Fibered aluminum,roof coating. Non - fibered aluminum roof Application Rate 1-11/2 gal/sq 3 gal/sq in two coats 3 gal/sq in two coats 11/2-2 gal/sq Specification Manufacturer ASTM D6083 Polyglass USA, Inc. ASTM D1227 ASTM D1227 ASTM D2824 Type III Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. 1/2-1 gal/sq ASTM D2824 Polyglass coating. Type I USA, Inc. A premium white elastomeric acrylic based roof coating (water- based). A polyester fabric may be used for reinforcement with this coating. A non - fibrated asphaltic coating used to add life and rejuvenate existing BUR roofing substrates. An asphalt cutback fibered roof coating. May be applied by brush or spray equipment to rejuvenate aged BUR Non - fibrated aluminum roof coating. Fibrated aluminum roof coating. 1 -11/2 gal/sq 11/2-2 gal/sq 11/2-2 gal/sq 1/2-1 gal/sq 11/2-2 gal/sq ASTM D6083 TAS 140 ASTM D4479 ASTM D2824 Type I ASTM D2824 Type III Polyglass USA, Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. NOA No.: 07- 1030.05 Expiration Date: 09 /13/11 Approval Date: 04/10/08 Page 6 of 25 APPROVED SURFACING: Number Product Name 15. Mule -Hide 401 Premium Fibrated Aluminum Roof Coating 16. Mule -Hide 410 Premium Non - Fibrated Aluminum Roof Coating 17. Mule -Hide 311 Emulsion Non - Fibrated 18. Mule -Hide 301 Emulsion Fibrated 19. Gravel 20. Slag TABLE 4 Product Description Fibrated aluminum roof coating. Non- Fbrated aluminum roof coating. An asphalt base, unfibered clay emulsion An asphalt base, fibered clay emulsion To be installed in a flood coat of approved asphalt at 60 lbs/sq To be installed in a flood coat of approved asphalt at 60 lbs /sq EVIDENCE SUBMITTED: Test Agency/Identifier Factory Mutual Research Corp. Exterior Research & Design, LLC Underwriters Laboratories, Inc. Trinity 1 ERD Application Rate 1 'A-2 gal/sq ASTM D2824 Type III Specification 1/2-1 gal/sq 3 gal/sq in two coats 3 gal/sq in two coats 400 lbs/sq 300 lbs/sq Name J.I. 3001334 J.I. 3000857 J.I. 3004091 #11757.12.00 -1 #11757.04.01 -1 #11751.05.03 #11758.08.03 00NK20869 #P1738.02.07 C8500SC.11.07 ASTM D2824 Type I ASTM D1227 ASTM D1227 N/A N/A Report FMRC 4470 UL 790 TAS 114 TAS 117(B) Manufacturer Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Generic Generic Date 02.15.00 01.12.00 01.12.00 12.07.00 0425.01 0530.03 08.11.03 06.08.00 02.05.07 1130.07 NOA No.: 07- 1030.05 Expiration Date: 09 /13/11 Approval Date: 04/10/08 Page 7 of 25 Deck Type 1: Wood, Non - Insulated Deck Description: 19/32" or greater plywood or wood plank. System Type E(3): Base sheet is mechanically attached to roof deck. All General and System Limitations apply. Base Sheet: One ply of CertainTeed Glasbase, Polyglass Base, Elastobase, Firestone MB Base, JM Perma -Ply #28, Tamko Glass Base or GAFGLAS 75 fastened to the deck as described below: Fastening #1: Attach base sheet using 11 ga. annular ring shank and 1 -5/8" diameter tin caps spaced 8" o.c. in a 4" lap an r o' —.c.in three equa y sit paced staggered rows in the cen er o e s eat. Fastening #2: Attach base sheet using Buildex Roofgrip Fasteners and Flat Bottom Plates, Dekfast #14 with Hex Plates or Tru -Fast HD with MP -3 Plates spaced 12" o.c. in a 4" lap and 12" o.c. in two equally spaced staggered rows in the center of the sheet. Ply Sheet: (Optional) One or more plies of Elastobase, Modibase, Perma Ply No. 28, Elastoflex S6, Elastoflex V, Elastoflex V 2.5 or o e or mo ies of T e IV or VI ply sheet adhered in full mopping of approved asphalt applied wit in the EVT range and at a rate of 20-40 lbsJsq. Membrane: One ply of Polyflex, Polflex G, Polyflex G FR, Polybond, Polybond G, Xtraflex, Xtraflex G or Xtraflex G FR torch applied or one ply of Elastoflex S6, Elastoflex S6 G,_Elasto flex G FR, Elastoshield TS4 or Elastoshield TS4 FR torch or hot asphalt applied. Surfacing: (Optional) Install one of the approved surfacing products listed in Table 4 to obtain desired coating or required fire classification. Maximum Design Pressure: -52.5 psf; (See General limitation #7.) NOA No.: 07- 1030.05 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 23 of 25 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- 40lbssq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 121bs. /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 2751bf., 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 Professional Engineer, Registered 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 to 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 comers and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No.: 07- 1030.05 Expiration Date: 09/13/11 Approval Date: 04 /10/08 Page 25 of 25 TGFU.R14571 Roofing Systems Page Bottom Roofing Systems See General Information for Roofing Systems POLYGLASS USA INC 150 LYON DR FERNLEY, NV 89408 USA SINGLE PLY MEMBRANE SYSTEMS R14571 Unless otherwise indicated, the insulation and base sheet are mechanically fastened in place; the membrane is heat welded in place. (Optional) Noncombustible deck classifications are applicable for use over combustible (15/32 in. min plywood) decks when 1/2 in. (min) gypsum board or 1/4 in. (min) G -P Gypsum DensDeck® are used directly over the deck with all joints staggered 6 in. (min) from plywood joints. Unless otherwise indicated, in any noncombustible roof deck Classification any UL Classified insulation may be utilized underneath a layer of 1/4 in. (min) G-P Gypsum "DensDeck ® Roofboard ", "DensDeck Prime® Roofboard ", "DensDeck DuraGuardT"' Roofboard" or'/ in. (min) USG Corp SECUROCKTM Roof Board Type FRX -G. General statement for use of vapor retarders and/or deck/insulation adhesives (NC decks only): When such vapor retarders or deck/insulation adhesives are acceptable to POLYGLASS they may be utilized. "POLYGLASS BASE ", "MODIBASE ", "Polyglass G2 Base" may be used in lieu of any Type G2 base sheet in any NC Classification. These products may also be used in any C -15/32 Classification in which a generic Type G2 is referenced (i.e. not brand specific). "POLYGLASS Ply 4 ", " POLYGLASS Ply 6" (Type G1) and "POLYGLASS VENTED BASE" may be used in any NC Classification. References to polyisocyanurate insulation may include Polyglass Products "POLYTHERM ®" and "POLYTHERM® Tapered ". "ELASTOFLEX VG" granule surfaced membrane may be used in place of "ELASTOFLEX V" smooth surfaced membrane for existing systems. Acceptable alternates to the membranes listed are given below: Membrane Listed Acceptable Alternatives " POLYBOND" "POLYBOND G" "MODIBOND" "MODIBOND G" "Polytherm ", " Polytherm Tapered" or "Polytherm Composite" insulations may be used wherever polyisocyanurate insulations are specified in the Classifications below. Insulation may be optional for any non - combustible deck roofing system unless the insulation acts as a coverboard over another insulation. 22. Deck: C -15/32 Incline: 1/2 Base Sheet: — One ply Type G2 or "ELASTOBASE ", mechanically fastened. Ply Sheet: — One ply Type G2, hot mopped or "ELASTOBASE ", hot mopped or heat fused. Insulation (Optional): — Polyisocyanurate, perlite, glass fiber, any thickness. Membrane: — " ELASTOFLEX S6 G FR ", "POLYFRESKO MOP FR" or , ELASTOSHIELD TS G FR " hot mopped or heat fused. White Seal, Inc. Job Name: Bramson Job Address: 330 NE 96th Street Miami Shores, FL 33138 Sheet Width Lap 36 Sheet Width One Foot Net Width of Sheet 2.67 One Square Net width `TM 2.67] lfast eq 1ft Net length lfast eq 1ft Net length Net Length of Sheet 1 37.50 # Rows Spacing inch No of faste ners Per Square 7 3 8 # Rows Spacing inch No of fasteners Per Square 3 8 168.75' SquareFeet Fastener Sq Fastener Sq Total Fasten Sq Foot Per Fastener ^sue [68.7 75 337.5 . Sq Ft Per Fa DP of NOA i3 52.5 Fast Value Inches Sq 15 6 Uz i Fastener Value NOA Perimeter Area RAS127 P2 Sheet Width NO of Rows 7row spacing NOA Perimeter Area 82.6 F 9 32i 5 p5m ®.4 Fast Value Inches 528.64 NOA Corner Area 4240.001 RAS127 P3 Sheet Width No of Rows Row Spacing NOA Corner Area 124.3 6 r k �.3 Yellow must be filled in. Perimeter Row Spacing Perimeter 5 Rows 4 Inch OC Corner Row Spacing Comer 6 Rows 3 Inch OC DP = Design Pressure NOA P2 = Perimeter Pressure P3 = Comer Pressure