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RF-12-534
0. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 171610 Permit Number: RF -3 -12 -534 Scheduled Inspection Date: June 12, 2012 Inspector: Bruhn, Norman Owner: PAULSON, BJORN Job Address: 725 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LITOWICH CONSTRUCTION COMPANY Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number (305)467 -0521 Parcel Number 1132060141830 Phone: (305)652 -0300 Building Department Comments RE -ROOF FLAT AREA ONLY Inspector Comments Passed��/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 11, 2012 For Inspections please call: (305)762 -4949 Page 6 of 20 AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT (RE- NAILING) FOR HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F. S. To: Miami Shores Village Building Department 10050 N. E. 2nd Avenue Miami Shores, Florida 33138 Re: Mr. Bjorn Pauleson & Mrs. Lolo Forsberg 725 N. E. 93rd Street Miami Shores, Florida 33138 Roofing Permit Number: RF -3 -12 -534 Tax Folio Number: 11- 3206 - 014 -1830 Dear Building Official: I, Joseph A. Litowich, certify that the roof decking attachment and fasteners have been strengthened and corrected as required by the "Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Structures" as adopted by the Florida Building Commission by Rule 9B- 3.047 F. A. C. Q Jos • I A. Litowich CCC1325963 State of Florida County of Miami -Dade Sworn and subs V ROSE SMITH Notary Public, State of Florida CommIssion# DD788852 My comm. expires May 8, 2012 ed before me this 7th day of May, 2012 � „/ `410../ Notary Public 01 3D 12 BULL ING PERM Fsc 2 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. ?...C1 2 Master Permit No. ICATION Permit Type: BUILDING {% OWNER: Name (Fee Simple Titleholder): gJ c i@ t3 ' cQ.�� s ®� d- I. ©f ©RSte j Phone#: �'( °) %7 0 (21 Address: 72S /J € 53 Sr4ee? ROOFING RECEIVED MAR 292012 City: M o Am c, State: Zip: 3 -313 P Tenant/Lessee Name: '® ® Wei Q ° Phone#: Email: to Iarwiskeki f /i'te, , ( e C 001, JOB ADDRESS: `70Z /u ? 5t3 City: Miami Shores County: Miami Dade Zip: .-3343,:r Folio/Parcel #: /1-_3.x. ©6 ° p/ y' / €3o Is the Building Historically Designated: Yes NO ✓ Flood Zone: A FFogbs -, 4-t. C,=...:4 7I&A -rb,e4 c CONTRACTOR: Company Name: d /.0 t dlf1oiel, CQA47A.>ia,J CoNdet7 Phone #: ('0 L2 -0300 Address: 01 ex A Ye / Ps' s -7- .ee-r 029 City: /V I l% State: PAAA.14i4 Zi . 33( 7? Qualifier Name: ®SG-P14 A • L 4 gl i e.k Phone #: . 637--3/03 State Certification or Registration #: C C- G /3 S 7 6 3 Certificate of Competency #: Contact Phone #: C °° ) �-3a- -3/ 03 Email Address: j f / l an � & b�(S °�t © 'net- DESIGNER: Architect/Engineer: N A `l Phone #: Value of Work for this Permit: $ ' -.CO Square/Linear Footage of Work: aZ S `"i Type of Work: UAddition ❑Alteration ONew Repair/Replace ODemolition Description of Work: K "E g. ° ®`P fL 4 AA. EA J 7 ** * *** ** **** *** ******** * ******* :*: * ** Fees * * ** x*****: x*x: ********* ****** ************* * ** Submittal Fee �- to Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 01�`► '3 • �� t Bonding Company's Name (if applicable) Bonding Company's Address ©� City State Zip Mortgage Lender's Name (if applicable) % Mortgage Lender's Address ,,!‘ City i State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absen e of c' posted notice, the inspection will not bi'iproved and a reinspection fee will be charged. Signature Signaturg� ° t✓�s N� Owner or Agent ��f! �° Contractor The foregoing in trument was acknowled ed before me this 2e The foregoing instrument was acknowledged before me this 1 day of kV(,, 20 12 by LaN v56•Vrq , day of Theiaejrt , 20 by f1-01 1.--nriAAPI who is personally known to me or who has produced Flqridc,i)e(v.tviivh o is personally known to me or who has produced t 0 As identification and who did take an oath. as identification and who dic.i. NOTARY PUBLIC: mN 'SIAL4 %��' o ocpQ 5 2p p ;° o wave 8 �a�. • Q %✓�,' Oinroo�````� Sign: Print: My Commission Expires: �Q �' (�^I Z CJ NOTARY PUBLIC: Sign: Print: My Commission Expires: • err' 0612016 r= UBLIC N; Commission # �' /•• EE173059,,. `Q- APPROVED BY Plans Examiner _ Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) A IAMI- DAD1,. :OUNTY. TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 526857 -8 2011 `: LOCAL BU$II'IESS TAXiECEIPT 2012 N#IAMI -fJADE COUNTY -STATE OF FLORIfJA EXPIRES SEPT . 30 , 2012 MUST BE DISPLAYED AT PLAGE OF at1SINESS PURSUANT TO COUNTY CODE CHAPTER oA - ART. 9 & 10 THIS IS NOT A BILL - DO NOT PAY RENEWAL su W v 9 UCTION .COMPANY STATE c8E6 '259635505�47 5 285 NE 185 ST � 24 33179 UNIN DADE COUNTY FIRST -CLASS U.S. POSTAGE MIAMI, FL PERMIT NO. 231 OWXi h'ORDABLE CONTRACTORS sect ige PECIALTY BUILDING THIS IS. ONLY A LOCAL BUSINESS TAX RECEIPT, IT DOES.' NOT PERMIT THE HOLDER- TO VIOLATE ANY ' EXISTING REGULATORY OR ZONINGi. LAWS OF THE COUNTY',: OR CITIES., `NOR DOES'.:: IT... EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED SY:: LAW. ..THIS IS NOT A CERTIFICATION :' OF THE HOLDER'S OUAUFICA PAYMENT RECEIVED COUNTY TAX COLLECTOR; 08 ✓19/2011 60010000351 000075,00 SEE OTHER SIDE INC WORKER'S CONTRACTOR 1 DO NOT FORWARD LITOWICH CONSTRUCTION COMPANY JOSEPH A LITOWICH PRES 285 NE 185 ST 24 MIAMI FL 33179 4191 11 {j111t11 f11Ii14 {uIimIt1 I11111n IIIIhwRtl AC# 50 3531 STATE OF FLORIDA„ DEFAR'rMENT OF BUS:. CONSTRUCTIi ASS PROF4 INEY S.TRY; Li,� SSONAL,REGUATTON EN ING BOAR,I3 SpQ# L100131001152 DATE BATCH NUMBER 08 10 2010 1 07006484 LICENSE' -NBR CCC13 2 596 The ROOFING . CONTRACTOR , Named: below IS 'CERTIFIED Under the provisions of Chapt Expiration date: AUG 31, 2012 LITOWICH, JOSEPH ALEX LITOWICH- CONSTRUCTION COMPANY 285 NE 18.5 .STREET SUITE :;#2.4 MIAMI FL 33179 CHARLIE::CRIST GOVERNOR ISPLAYAS`RQUIRED, &Y LA HA.LIE I SECRLTAR' 12 -06 -2011 JEFF ATWATER 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. EFFECTIVE DATE: PERSON: FEIN: 12/06/2011 EXPIRATION DATE: 12/05/2013 LITOWICH JOSEPH A 421614686 BUSINESS NAME AND ADDRESS: AFFORDABLE CONTRACTORS INC 285 NE 185TH STREET #24 MIAMI FL 33179 SCOPES OF BUSINESS OR TRADE: 1- ROOFING CONTRACTOR 2- GENERAL CONTRACTOR 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 under this section may not recover benefits or compensation under this chapter. Pursuant 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 election 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. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 12/06/2011 EXPIRATION DATE: PERSON: JOSEPH A LITOWICH FEIN: 421614686 BUSINESS NAME AND ADDRESS: AFFORDABLE CONTRACTORS INC 285 NE 185TH STREET 924 MIAMI, FL 33179 12/05/2013 SCOPE OF BUSINESS OR TRADE: 1- ROOFING CONTRACTOR 2- GENERAL CONTRACTOR IMPORTANT r, 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 L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election 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. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 www.sunbiz.org - Department of State e 1 of 1 Home Contact Us E- Fiiing Services Document Searches Forms Help Previous on List Next on List Return to List Filing History Fictitious Name Detail Fictitious Name LITOWICH CONSTRUCTION COMPANY Filing information Document Number G03350900007 Status ACTIVE Filed Date 12/16/2003 Expiration Date 12/31/2013 Current Owners 1 County DADE Total Pages 2 Events Filed 1 FEI Number NONE Mailing Address 285 NE 185TH ST SUITE 24 MIAMI, FL 33179 Owner information AFFORDABLE CONTRACTORS, INC. 285 NE 185TH ST SUITE 24 MIAMI, FL 33179 FEI Number: 42- 161468E Document Number: P03000151539 Document Images 12/16/2003 — REGISTRATION 07/17/2008 -- RENEWAL View image in PDF format View image in PDF format I Note: This is not official record. See documents if question or conflict. I Previous on List Next on List Return to List Filing History Fictitious dame Search 1 Home Contact us Document Searches E- Fling Services Forms iHelp Copyright and Privacy Policies Copyright gi 2007 State of Florida, Department of State. Fictitious Name Search I i1ttX%.//wWVi% SL111h17..C1iA /C( tYlfC if; [`irlPt PVA9antinrt=r1ETDUri vnnnnnn..., Apr. 3. 2012 12: 02PM SDT, INC. No. 4840 P. 1/1 A,✓' CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD1YYYY) 04/03/2012 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(8), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder le an ADDITIONAL INSURED, the polley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER All Insurance Underwriters 2600 Sumerian Dr Suite 101 Land 0' Lakes FL 34638 MACr All Insurance Underwriters '1RNkr,..(877) 977.2667 f Td. Mk Agin, Certs@aiuinc.com INSILRERB)AFFORDINGCOVERAGE - NAP e 'Maim AI Companion Property and Casualty LIABILITY r• MERCIALGENERALUABILTIY INBURR'D Affordable Contractors, Inc dba Litowich Construction 285 NE 185th St Suite 24 Miami FL 33179 nom. ,rr . w1. INSURER R t FLGL106110 INSURER O: 1111111 ..1 000 000 INSURER D I .100 000 INSURER E I CLAIMS -MADE [J OCCUR INSURER F 15,000 • .\i.. POWIN 1141110FIN, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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, LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. k,: TYPE OF[REDRAWN ADDL BR .. POLICr NU B �;. POLL EFF 12105/11 POLICY LIMITS A GENERAL X LIABILITY r• MERCIALGENERALUABILTIY FLGL106110 12/05/12 1111111 ..1 000 000 .r1'li _ 1 -0 -1 �7:- !�',!'II.J� .100 000 CLAIMS -MADE [J OCCUR MED EXP An Cue .:: . 15,000 PERSONAL & ADV INJURY GENERAL AGGREGATE . • •t- - , • , - : $1,000,000 $ 2,000,000 BERL MICR= POUXYIX IJMIT AP ,F, PER: 1.00 2 000 000 AtrrOMDBILE LIASILnY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON.OWNED AuTOg BODILY INJURY (Per parson) $ BODILY INJURY (Par eaddanD $ PROPERTY DAMAGE 5 RI UMBRELLA LIAR EXCESSLIAB ■ OCCUR CLAIMS -MADE _ O _,,. UR ., . 101.11111111=1111_ ■ter•' +' +�''��•� MIME .Y., WORKERS COMPENSATION AND EMPLOTERRWLLIIA�BIIUTY YrN EXCLUDE ECG ANY lM FI NE NH) If es *WO . d- • ° • ` • •' � - •' :. ; "' NIA E.L, EACH ACCIDENT . $ ^- -- E.L. DISEASE • POLICY LI IT 5 DESCRIPTION OP OPERATIONS! LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schadul0. K InorN MN Id v* idtod) DTICI!!ATUPInee - - I C - �- -. - - - - - - - - Vlilage of Miami Shores, Florida 10030 N.E 2nd Ave Miami Shores, FL 33138 Phone: (305)795.2204 Fax: 305 7558972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTIOE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REpRE$ENTATIVEr 00,0 RJS> ACORD 25 (2010105) ®18854010 ACORD CORPORATION. All ri The ACORD name and logo are registered marks of ACORD hte reserved. OWNER'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F. S. March , 2012 To: Village of Miami Shores Building Department 10050 N. E. 2nd Avenue Miami Shores, Florida 33138 Re: Bjorn Paulson & Lolo Forsberg Residence 725 N. E. 93rd Street Miami Shores, Florida 33138 Dear Building Official: Tax Folio # 11- 3206 - 014 -1830 I, Lolo Forsberg, certify that I am not required to retrofit the roof to wall connections of my building because: The jus ationfor the structure for purposes of ad valorem taxation is less than $ 300,000.00. v Si a tune of Property 0 er Vr4h 1/4 Cc cum ' ca 1 -5a - 2 •55- -0 Lolo Forsberg Printed Name of Owner State of Florida County of Miami -Dade Sworn to and subscribed before me this E V day o II IIB 41 U otary Public` • v 15.494$ 1 , . 'EE26515 it. When the just valuation of the structure for purp bl, o �> xation is equal to or more than $ 300,000.00, and the building was not constructed.i . .� , ®with the FBC nor with 1994 SFBC, the Affidavit of Roof to Wall Connection Hurricane Mgt Retrofit must be provided. Miami -Dade My Home My Home Show Me: Property Information Search By: Select Item Text only 13 Property Appraiser Tax Estimator 13 Property Appraiser Tax Comparison E Portability S.O.H. Calculator Summary Details: Folio No.: 11 -3206 -014- 1830 Property: 725 NE 93 ST Mailing Address: BJORN 0 PAULSON LOLO FORSBERG 725 NE 93 ST MIAMI SHORES FL 33138- Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,350 Lot Size: 10,320 SQ FT Year Built: 1943 $50,000/ $264,841 5 -6 53 42 MIAMI City: SHORES SEC 3 PB 10- $50,000/ $296,634 37 LOT 29 & LOT 30 Legal LESS E2OFT BLK 65 Description: LOT SIZE 80.000 X 129 COC 23565 -4688 06 2005 1 OR 27892 -1258 1011 01 Assessment Information: Year: 2011 2010 Land Value: $125,190 $156,690 Building Value: $189,651 $189,944 Market Value: $314,841 $346,634 Assessed Value: $314,841 $346,634 Exemption Information: Year: 2011 2010 - lorneste:ad $25,000 $25,000 .2nd Flom+ steacl: YES YES Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $50,000/ $264,841 $50,000/ $296,634 County: $50,000/ $264,841 $50,000/ $296,634 City: $50,000/ $264,841 $50,000/ $296,634 School Board: $25,000/ $289,841 $25,000/ $321,634 Sale Information: Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 My Horne 1 Property Information 'Property Taxes 1 My Neighborhood 1 Property Appraiser 0 113 ft Home !Using Our Site 1 Phone Directory !Privacy 1 Disclaimer l.1 If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Legend N Property Boundary N Selected Property Street Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 3/22/2012 Section A "Delivering Excellence Every Day" Master Permit No: Contractor's Name: Job Address: 0 Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Section A (General Information) Process No: AFFORDABLE CONTRACTORS, INC. Roof Category Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel /Shingles ❑ Sprayed Polyurethane Foam ❑ Other: Roof Type ❑ New Roof A Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance RECEIVED 14AR 2 9 2G12 Are there Gas Vent Stacks located on the roof? ❑ Yes IN No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area (ft.2) 782 Steep Sloped area (ft.2) Section B (Roof Plan) Total (ft.2) 782 SF 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: Perimeter Width (a'): Comer Size (a' x a'): Miami Shores Village APPROVED ZONING DEPT BY DATE BLDG DEPT SUBJECT 0 COMPLIANCE WtFH ALL FEDERAL STATE AND LOUN { F{L,LES AND REGULATIONS 1 N. ft)" y6 Miami -Dade County Building & Neighborhood Compliance Department HVHZ Electronic Roof Permit Form B1veliverinR Excellence Every Dar" 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: ROOF SYSTEM MANUFACTURER: Product Approval (NOA): System Type: Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Field: -42.8 (P2) Perimeters: (P3) Corners: Psf psf psf Maximum Design Pressure From NOA: Roof Slope: " : 12 Roof Mean Height: psf Parapet Walls: No 0 Yes Parapet wall Height: Deck Type: — 1 "x6 "T &G- Support Spacing: Altemate Deck Type: N/A Existing Roof: BUR Fire Barrier. N/A Vapor Barrier: N/A Anchor Sheet: "o% ft. Anchor Sheet Fastener / Bonding Material: Insulation Base Layer Size & Thickness: N/A _ Insulation Base Layer Fastener / Bonding Material: i N/A Insulation Top Layer Size & Thickness: N/A Insulation Top Layer Fastener / Bonding Material: �N/A Base Sheet(s) & No. of Ply(s): 1 Ply Polyglass Elastobase Base Sheet Fastener / Bonding Material: 1 -1/4" r/s galy coil nails w/ 1 -5/8" Tin Tabs Ply Sheet(s) & No. of Ply(s): 1 Ply: Elastoflex SAV Ply Sheet Fastener / Bonding Material: LSO_ - Adhering ft. Elastoflex SAP Top Ply Fastening / Bonding Material: Self- adhered Surfacing: SINGLE PLY MEMBRANE: Factory Applied Granules Single Ply Manufacturer / Type: Single Ply Sheet Width: No. of Single Ply 1/2 sheets: " 1/2 Sheet Width: N/A Single Ply Membrane Fastening/ Bonding Material: N/A FASTENER SPACING FOR BASESHEET ATTACHMENT ❑ SINGLE PLY MEMBRANE ATTACHMENT 1. Field: 2. Perimeter 3. Comer: " o/c @ Laps & " o/c @ Laps & " o/c @ Laps & rows rows rows " o/c "o /c " o/c NUMBER OF FASTENERS PER INSULATION BOARD: 1. Field: !N'j 2. Perimeter: Insulation Fastener Type : 3. Comer: N/A WOOD NAILER TYPE AND SIZE: N/A l Wood Nailer Fastener Type and Spacing: N/A EDGE & COPING METAL SIZES: Edge Metal Material: Edge Size: Hook Strip Size: Edge Metal Attachment: —METAL EDGE HOOK STRIP N /A- 1 -1/4" r/s galy coil nails @ 4" c/c ji Coping Material: Coping Size: Hook Strip Size: Parapet Coping Metal Attachment: — PARAPET COPING METAL N /A- - COPING METAL SIZE N /A- - COPING METAL HOOK STRIP N /A- "Delivering Excellence Every Day' Miami -Dade County Building & Neighborhood Compliance Department HVHZ Electronic Roof Permit Form Illustrate Components Noted and Details as Applicable: Top Ply Irderplies Roof Deck 51. ' -m— Drip Metal Roof Mean Height: Drip Metal: ft. 3" X 3" Galvanized Surfacing: Factory- Applied Granules Top Ply: Ployglass Elastpflex SAP Interplies: Polyglass Elastoflex SAV Base Sheet: Velt4.6 S-k_ Deck Type: DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA, Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.gov/pera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section 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 Section (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. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section 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 including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Self - Adhered 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 revises NOA# 08- 0226.06 and consists of pages 1 through 28. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 1 of 28 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Materials Deck Type: Maximum Design TRADE NAMES Product Elastobase Elastobase P Elastoflex SA V FR (1.5 -mm) Elastoflex SA V PLUS FR Elastoflex SA V (1.5 -mm) Elastoflex SA V PLUS Elastoflex SA P FR Elastoflex SA P Polyflex SA P Polyflex SA P FR Polyfresko SBS SAP Roofing Modified Bitumen SBS /APP/TPO Wood Pressure -112.5 psf OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Dimensions Specification 65' 2" x 3' 3 -3/8" ASTM D 6163, Type I 5' 2" x 3' 3 -3/8" ASTM D 6164, Type I 32' 6" x 3' 3 -3/8" ASTM D 6163, Type I 32' 6" x 3' 3 -3/8" ASTM D 6163, Type I 32' 6" x 3' 3-3/8" ASTM D 6163, Type I 32' 6" x 3' 33/8" ASTM D 6163, Type I 32' 6" x 3' 3 -3/8" ASTM D 6164, Type I 32' 6" x 3' 3 -3/8" ASTM D 6164, Type I 32' 6" x 3' 3-3/8" ASTM D 6222, Type I 32' 6" x 3' 3 -3/8" ASTM D 6222, Type I 32' 6" x 3' 3-3/8" ASTM D 6164 Type I Product Description SBS modified asphalt coated fiberglass reinforced base sheet. SBS modified asphalt coated polyester reinforced base sheet. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self - adhered, polyester reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. , Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 2 of 28 Polyfresko SBS SAP FR Polyfresko APP SAP Polyfresko APP SAP FR PolyKool PG325 Cold Process Adhesive PG 100 Asphalt Primer PG350 Mod Bit Adhesive PG400 Plastic Roof Cement PG425 Wet/Dry Roof Cement PG450 Flashing Cement PG500 MB Flashing Cement Polyplus 35 Premium Mod Bit Adhesive Polyplus 45 Premium Flashing Cement Polyplus 50 Premium MB Flashing Cement Polyplus 55 Premium Modified Flashing Cement 32' 6" x 3' 3-3/8" 32' 6" x 3' 33/8" 32' 6" x 3' 33/8" 32' 10" x 3' 33/8" 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal, tube or 17 oz. spray can 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube adhesive. ASTM D 6164, Type I ASTM D 6222, Type I ASTM D 6222, Type I ASTM D6222 Type I ASTM D3019 Type III ASTM D41 ASTM D3019 Type D4586 ASTM D3409 ASTM D4586 ASTM D3409 ASTM D4586 ASTM D4586 ASTM D3019 Type III ASTM D4586 ASTM D4586 ASTM D4586 Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a white film laminate on the top surface. 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. 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. A thick, fibered, rubberized flashing cement for use with modified bitumen membranes. A mastic compound for use as a roof flashing NOA No.: 11- 0425,07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 3 of 28 APPROVED INSULATIONS: Product Name Polytherm -H Polytherm Polytherm Composite ACFoam II ACFoam III High Density Wood Fiberboard Perlite Insulation Type X Gypsum DensDeck, DensDeck Prime H- Shield H- Shield CG ENRGY -3, JM ISO 3 Fesco Board Multi -Max FA -3 SECUROCK Gypsum -Fiber Roof Board TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite composite insulation. Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite insulation board Fire resistant rated gypsum. Gypsum insulation board Polyisocyanurate foam insulation Polyisocyanurate /perlite composite insulation Polyisocyanurate foam insulation Expanded mineral fiber Polyisocyanurate foam insulation Fiber reinforced coverboard Manufacturer (With Current NOA) Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Atlas Energy Products Atlas Energy Products Generic Generic Generic Georgia - Pacific Hunter Panels, LLC Hunter Panels, LLC Johns Manville Corp. Johns Manville Corp. RMax, Inc. USG NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 4 of 28 APPROVED FASTENERS: Fastener Number 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13. Product Name Dekfast Fasteners #12, #14 & #15 Dekfast Hex Plate Dekfast Dekflat Round Plastic Lock Plate #12 & #14 Roofgrip Flat Bottom Metal Plate Plastic Plate Tru -Fast HD (#14) Tru -Fast 3" Metal Insulation Plate Tru -Fast TP Polygrip Fasteners #12, #14 & #15 11. Polygrip Hex Plates Dekfast Galvalume Steel 3 in. Round Millenium One-StepTM Foamable Adhesive TABLE 3 Product Description Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation and membrane fastener A2 -SS aluminized steel plate Polyethylene stress plate Insulation fastener for steel and wood decks Round Galvalume AZ50 steel plate Carbon steel fastener Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. 3" round galvalume AZ50 steel plate Insulation Adhesive Manufacturer Dimensions (With Current NOA) SFS Intec 27/8" x 3 1/4" 3 "x3'/4" SFS Intec SFS Intec Various OMG 3" square OMG 3.2" round OMG The Tru -Fast Corp. The Tru -Fast Corp. 3.23 round 3" round Various Various 2 7 /8" x 3 '/4" 3" round Various The Tru -Fast Corp. Polyglass USA, Inc Polyglass USA, Inc SFS Intec Adco Products NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 5 of 28 APPROVED SURFACING: Product Name PG200 Non - Fibered Roof Coating PG300 Fibered Roof Coating PG600 Non - Fibered Aluminum Roof Coating PG650 Fibered Aluminum Roof Coating PG700 White Elastomeric Roof Coating PG800 Non - Fibered Asphalt Emulsion Roof Coating PG850 Fibered Asphalt Emulsion Roof Coating Polyplus 65 Premium Fibered Aluminum Roof Coating Polyplus 60 Premium Non - Fibered Aluminum Roof Coating Polybrite 70 White Elastomeric Roof Coating Mule -Hide 111 Non - Fibrated Roof Coating Mule -Hide 102 Fibrated Roof Coating TABLE 4 Product Description A non fibered 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 - fibered aluminum roof coating. Fibered aluminum roof coating. A premium white elastomeric acrylic based roof coating (water - based). A polyester fabric may be used for reinforcement with this coating. An asphalt base, un- fibered clay emulsion An asphalt base, fibered clay emulsion Fibered aluminum roof coating. Non - fibered aluminum roof coating. 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 Application Rate 11/2-2 gal /sq 11/2-2 gal /sq 1/2-1 gal /sq 11/2-2 gaUsq 1 -11/2 gaUsq Specification Manufactu rer TAS 140 Polyglass USA, Inc. ASTM D4479 Polyglass USA, Inc. ASTM D2824 Polyglass Type I USA, Inc. ASTM D2824 Polyglass Type III USA, Inc. ASTM D6083 Polyglass USA, Inc. 3 gal /sq in ASTM D1227 Polyglass two coats USA, Inc. 3 gal /sq in two coats 11/2-2 gal /sq 1/2-1 gal/sq 1 -1' /2 gaUsq 11/2-2 gal /sq 11/2-2 gal /sq ASTM D1227 Polyglass USA, Inc. ASTM D2824 Polyglass Type III USA, Inc. ASTM D2824 Polyglass Type I USA, Inc. ASTM D6083 Polyglass USA, Inc. TAS 140 Mule -Hide Products Co., Inc. ASTM D4479 Mule -Hide Products Co., Inc. NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 6 of 28 APPROVED SURFACING: Product Name Mule -Hide 416 Standard Non - Fibrated Aluminum Roof Coating Mule -Hide 406 Standard Fibrated Aluminum Roof Coating Mule -Hide 401 Premium Fibrated Aluminum Roof Coating Mule -Hide 410 Premium Non - Fibrated Aluminum Roof Coating Mule -Hide 311 Emulsion Non - Fibrated Mule -Hide 301 Emulsion Fibrated Gravel Slag MIAM1•DADE COUNTY APPROVED TABLE 4 Product Description Non - fibrated aluminum roof coating. Fibrated aluminum roof coating. Fibrated aluminum roof coating. Non - fibrated aluminum roof coating. An asphalt base, un- fibered 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 Application Rate 1/2-1 gal /sq 11/2-2 gal /sq 11/2-2 gal /sq 1/2-1 gal /sq 3 gal /sq in two coats 3 gal /sq in two coats 400 lbs /sq 300 lbs /sq Specification ASTM D2824 Type I ASTM D2824 Type III ASTM D2824 Type III ASTM D2824 Type I ASTM D1227 ASTM D1227 N/A N/A Manufactu rer Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Mule -Hide Products Co., Inc. Generic Generic NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 7 of 28 EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corporation Underwriters Laboratory Trinity 1 ERD PRI Asphalt Technologies Test Name/Report 4470 4470 4470 TAS 114 TAS 114 TAS 114 TAS 114 TAS 117(B) -ASTM D903 TAS 114 TAS 114 TAS 114 -J TAS 114 -J TAS 117(B) -ASTM D6862 ASTM D6164 / ASTM D6222 ASTM D6164 / ASTM D6222 ASTM D6222 TAS 114(D) — ASTM D1876 ASTM D6222 FM 4470 & TAS 114 ASTM D6163 / ASTM D 4601 ASTM D6222 ASTM D6222 ASTM D6163 Report No. J.I.3001334 J.I.3000857 J.I. 3004091 00NK20869 11751.05.03 11758.08.03 P1738.02.07 020841.06.04 11757.12.00 -1 11757.04.01 -1 P9260.03.08 P7860SC.11.08 C8500SC.11.07 P10490.08.08 P10490.10.08-R1 P7400.03.08 -R2 P10070.10.08 P10490.10.08-2 P33970.03.11 P33960.03.11 PUSA - 061 -02 -02 PUSA- 062 -02 -02 PUSA - 064 -02 -02 Date 02.15.00 01.12.00 01.12.00 06.08.00 05.30.03 08.11.03 02.05.07 06.02.04 12.01.00 04.27.01 03.21.08 11.30.07 11.30.07 08.13.08 10.03.08 10/09/08 10/09/08 10/30/08 03/15/11 03/15/11 01.28.08 12.04.08 02.27.08 NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 8 of 28 Membrane Type: SBS /APP Deck Type 1: Wood, Non - Insulated Deck Description: 19/32" or greater plywood or wood plank, fastened with 8d common nails at 4" o.c. or #8 wood screws at 6" o.c. System Type E(3): Base sheet is mechanically attached to roof deck. All General and System Limitations apply. Base Sheet: Fastening: One ply of or Etesioilese Pfastened to the deck as described below: Attach base sheet using 11 ga. annular ring shank and 1 -5/8" diameter tin caps spaced 8" o.c. in a 4" lap and 8" o.c. in three equally spaced staggered rows in the center of the sheet. Ply Sheet: One or more plies of[Elastoflex SA VI Elastoflex SA V PLUS, Elastoflex SA V FR, or Elastoflex SA V PLUS FR self - adhered. Membrane: One ply of Polyfresko SBS SAP, Polyfresko SBS SAP FR, Polyfresko APP SAP, Polyfresko APP SAP FR, iElastoflex SA N Elastoflex SA P FR, Polyflex SA P, PolyKool or Polyflex SA P FR self adhered. Surfacing: (Optional) Install one of the approved surfacing products listed in Table 4 to obtain desired coating or required fire classification. Maximum Design Pressure: -60 psf; (See General limitation #7.) NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 24 of 28 r 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 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 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 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 corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) MANMADE COUNTY APPROVED END OF THIS ACCEPTANCE NOA No.: 11- 0425.07 Expiration Date: 10/11/12 Approval Date: 12/22/11 Page 28 of 28 * 4. "Delivering Excellence Every Day" SECTION 1524 HIGH VELOCITY HURRICANE ZONES- REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSEDERATIONS 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 govern the minimum requirements and standards of the industry for roofmg 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. 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. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Code. (The roof deck is usually concealed prior to removing the existing roof system). 3‘goThmon roofs: Common roofs are those which have no visible delineation between neighboring units (he. townioues ; condominiums, etc.). In buildings with common roofs, the roofmg contractor and/or owner should ndjti 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. 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 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 requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 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. Exception: Attic spaces, designed by a Florida-licensed engineer or registered architect to eliminate the attic venting, venting shall not be re ,/ ed. Owner's/Agent's Signature: Contractor's Signature: Property Address: / Date: Permit Number: 725 N. E. 93 STREET; MIAMI SHORES, FLORIDA 11111111111111 , 1 TGF'U.R1459 71 - Roofing Systems Page 7 of 9 41. Deck: C -15/32 Incline: 1/2 Insulation: — Polyisocyanurate, periite, wood fiber or polyisocyanurate /perlite, any thickness. Base Sheet: — " POLYFLEX" or "Xtraflex APP S ", hot mopped. Membrane: — "TPOFLEX G FR ", heat fused. Class B - Fully Adhered 1. Deck: C -15/32 Incline: 1/4 Base Sheet: — Two or more layers "DUFLEX ", "Xtraflex APP S" or "POLYFLEX" (mechanically fastened or heat fused), "ELASTOBASE ", Type G2 GAF Building Materials "GAFGIas #75 ", Johns Manville "GLASBASE" or Celotex "Vaporbar GB" (mechanically fastened or hot mopped in place). Membrane: — "DUFLEX ", "DUFLEX G ", "Xtraflex APP G" or "POLYFLEX G" (modified bitumen), heat welded. 2. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Any thickness, one or more layers UL Classified periite, wood fiber, glass fiber, polyisocyanurate, polyisocyanurate /composite, EPS /wood fiber, EPS /periite or EPS /composite roof insulation. Base Sheet: — One or more layers Type G1 or G2. Membrane: — One or more layers "POLYFLEX G FR ", "Xtraflex APP G FR ", " POLYFRESKO TORCH FR ", "POLYBOND ", " POLYBOND G ", "POLYFLEX ", "Xtraflex APP S ", "Xtraflex APP G" or "POLYFLEX G" (modified bitumen), heat fused. Surfacing: — "PG 800 Asphalt Emulsion Roof Coating ", applied at 3 -4 gal /sq. or Fields "F530 Heat Shield Aluminum Coating" or "F630 Heat Shield Fibered Aluminum Coating ", 1 -1/2 gal /sq; or Monsey Products "Endure Aluminum Roof Coating ", "Weather Check" or "Pro - Grade Aluminum Roof Coating ", 1 -1/2 gal /sq; or Brewer "Fortress 5001 Asphalt Emulsion ", applied at 4 gal. /sq., followed by "PolyPlus 60 ", applied at 3/4-1 gal. /sq. 3. Deck: C -15/32 Incline: 1 -1/2 Base Sheet: — Type G2 or "ELASTOBASE ", mechanically fastened. Ply Sheet: — "Polyglass Base ", heat fused. Membrane: — " POLYFLEX G FR ", "Xtraflex APP G FR" or "POLYFRESKO TORCH FR" (modified bitumen), heat fused. 4. Deck: 15/32 Incline: 1 -1/2 Insulation: — Glass fiber (15/16 in. min.), mechanically fastened. Base Sheet: — Type G2 base or "ELASTOBASE ", hot mopped or mechanically fastened. Membrane: — " POLYFLEX G FR ", "Xtraflex APP G FR" or "POLYFRESKO TORCH FR" (modified bitumen), heat fused. 5. Deck: C -15/32 Incline: 1/2 Base Sheet: — Type G2, mechanically fastened. Membrane: — " POLYFLEX G ", "Xtraflex APP G" or "POLYBOND G ", heat fused. 6. Deck: NC Incline: 1 Insulation (Optional): — Polyisocyanurate, any thickness. Base sheet (Optional): — " ELASTOFLEX SA V PLUS ", "Xtraflex SBS Base SA "4 "ELASTOF X SA V" for "ELASTOFLEX SA V BASE VENT ", self- adhered or "ELASTOBASE" (poly /sand), mechanically fastened. Ply Sheet (Optional): — " POLYFLEX" or "Xtraflex APP S ", heat fused. Membrane: — " POLYFLEX SA P ", "Xtraflex APP G SA ", " POLYFRESKO APP SA P ", SBS SA P ", self - adhered or 'POLYFLEX G" or "Xtraflex APP G ", heat fused. 7. Deck: C -15/32 Incline: 1 /2 'Xtraflex SBS G SA ", " POLYFRESKO Insulation (Optional): — Polyisocyanurate, any thickness. Barrier Board: — 1 /4 -in. (min) GP Gypsum DensDeck® or DensDeck Prime ®, mechanically fastened. Base sheet: — " ELASTOBASE" (poly /sand), mechanically fastened. Ply sheet (Optional): — " ELASTOFLEX SA V PLUS ", "Xtraflex SBS Base SA ", " ELASTOFLEX SA V" or "ELASTOFLEX SA V BASE VENT", self - adhered. Membrane: — " POLYFLEX SA P ", "Xtraflex APP G SA ", " POLYFRESKO APP SA P ", " ELASTOFLEX SA P ", "Xtraflex SBS G SA ", " POLYFRESKO SBS SA P ", self- adhered or 'POLYFLEX G" or "Xtraflex APP G ", heat fused. 8. Deck: C -15/32 Incline: 1/4 Base sheet (Optional): -- `„ELASTOBASE' (poly /sand), mechanl liy fastened. Ply Sheet: — " ELASTOFLEX SA V PLUS", " traflex SBS Base SA ", " ELASTOFLEX SA V lor " ELASTOFLEX SA V BASE VENT", self- adhered or "ELASTOBASE ", mechanically fastened. Membrane: — " POLYFLEX SA P ", "Xtraflex APP G SA ", " POLYFRESKO APP SA P ", " ELASTOFLEX SA P" "Xtraflex SBS G SA ", " POLYFRESKO http: // database. ul. com /cgi- bin/XYV /template/LISEXT /1 FRAME /showpage.html ?name =TG... 4/2/2012 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11- 3206-014 -1830 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 111111111111111111111111111111111111111111111 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. CFN 2O12RC238 34 OR -8k 28059 is 38651 Ups) RECORDED 04/04/2012 11:49:13 HARVEY RUVMN? tLER1'. BF COURT i�1IMI —CAE COUNTY. FLORIDA LAST PAGE r 1. Legal description of property and street/address: MIAMI SHORES SECTION 3 SUBDIVISION; LOT 29 & 30; PB 10-37 725 NORTH EAST 12TH STREET; MIAMI SHORES, FLORIDA 33138 2. Description of improvement: RE -ROOF 3. Owner(s) name and address: MR. BJORN PAULSON AND MRS. LOLO FORSBERG 725 NORTH EAST93 STREET; MIAMI SHORES, FLORIDA 33138 Interest in property: FEE SIMPLE Name and address of fee simple titleholder. SAME AS TITLEHOLDER 4. Contractor's name and address: AFFORDABLE CONTRACTORS, INC. 285 NE 185th STREET - SUITE # 24 MIAMI, FLORIDA 33179 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ NONE NONE 6. Lender's name and address: NONE NONE 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address: MR. BJORN PAULSON OR MRS. LOLO FORSBERG 725 NORTH EAST 93 STREET; MIAMI SHORES, FLORIDA 33138 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(1)(b), Florida Statutes. Name and address: JOSEPH A. LITOWICH C/O AFFORDABLE CONTRACTORS, INC. 285 NE 185th STREET - SUITE # 24 MIAMI, FLORIDA 33179 9. Expiratio - . a ; of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different ('specife SIX (6 . MONTHS FROM DATE OF FILING +Sign r- pp� t v1* » Prini Owner', .Name FIOY1rc. om to and sou Notary Public -� Print Notary's Na -, V J i hh r-13( My commission expires: �a ",ttuROOO cared by: Joseph A. Utowlch ` •o�� .� +•'� ° °O °i °o' .285 N.E.185th Street Ste. 24 co 15, 20 %; Miami, FL 33179 .'* > E (305) 652 -0300 O' #EE2651547 6). o • °°%p,. . , Sigt0 '`ye ```�`v :cn- d d • r e m e its 22 day of hieN , STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a tare copy of the original filed in this office on day of APR 0 4 201,E , A D 20 WITNESS m I IARV al S; =I. it and Co (5 dale,/ f 1 ourts D.C.