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RF-12-847Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 175788 Permit Number: RF -5 -12 -847 Inspection Date: July 12, 2012 Inspector: RIMEig •.ge-o {' Owner: CRUMP, LUIS Job Address: 740 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: J & M CONTRACTORS OF SOUTH FLORIDA Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132060141670 Phone: (561)718 -7040 Building Department Comments RE -ROOF FLAT ROOF AREA AT REAR OF HOME Passed ;; r 7;42_ Inspector Comments CREATED AS REINSPECTION FOR INSP- 175360. CREATED AS REINSPECTION FOR INSP - 173441. No ladder and permits. NB NO RECORD OF INSPECTIONS. PHOTOS ALL GLUED TOGETHER. JR ia Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 July 12, 2012 Page 1 of 1 Permit No: 12 -847 Job Name: June 19, 2012 Miami Shores Village Building Department Building Critique Sheet 2nd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Section C is incomplete. Provide a completed application. 2) The items in section C that are complete do not match the product approval. 3) Provide the fastening pattern for exposed ceiling per FBC RES 4402.8.5.2 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replacewith new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 re )9 )9- aguyA. vYl twat__ slis BUILDING PERMIT APPLICATION FBC 20 le Permit Type: BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PRONE NUMBER: (305) 762.4949 Permit No. RCEIVED MAY 111'12 Master Permit No. OWNER: Name (Fee Simple Titleholder): l,.tat Jh a Phone#: Address: " l40 `� '14114 City: fri t M I (04 State: e Zip:. t € Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 14c) '14 a �T � City: Miami Shores County: Miami Dade zip: 3313 'B Folio/Parcel #: 1 - 32. b(4D 141 61 b Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: k C aAra-AC lzs b'� s °v- 05-11 hone#: ' 6) -1 1 B --/-04c) Address: 2,0`€31 fec.■ CA,.) �` 3�► L bt- City: v-g rcret:Th State: `F 1 Zip: 334b Qualifier Name: 1A l 14327-(-- A - P e /Mt. Phone#: 561 --� t �- 7-s 4-® State Certification or Registration #: CC C 32-9.1 L 0 Certificate of Competency #: Contact Phone#: ' l - 1 l - 1 t%4+0 Email Address: 7 A pJ m CO <v r R WC-r-6 IZ$ Cy A7 C/IST, T DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 1 1 OF,� Square/Linear Footage of Work: Type of Work: OAddition ®Alteration New elRepair/Replace DDemolition Description of Work: Vik -1 -oo €' VIA" Q..t4 A A Acr MA, D( -t-6/4f- 4 � ***+ x****** ****** ********* *** * ***:x+x*****Fees****** * ** x+ x: a****** **** * ************ ** * * *** ** Submittal Fee $ . c.-Permit Fee $ D-527° v CCF $ CO /CC $ Scanning Fee $ v Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0-13 • 10 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In th absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The fore day of who Owner or Agent o I g instrument personall , 20 Imo NOT UBLIC: Signature was . pr.�owled e f .re me this I 1 The forego Y day o to me or who has produced �vho is and who did take an oath. ) �' • ® • Sign: Print: My Commission Expires ** APPROVED BY Ago/€21'12--Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09) N • ent was •i : ed bef. l 1- this N 20� by 1441. A Alltn %. , t own to me or who has ;:roduced n TARY PUBLIC: Print: My Commission 0 wl cation and who did take an oath. • 1 �� tip► "' Public - State of Florida C �� PFtV PUB',,, ./ Wu MY Comm' EE 128810 s i N a"c Commission # Assn. ,'` Bonded Through National Notary Zoning Clerk SUN 0 Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 5 2012 iJi � Miami Shores Viiiage 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, Fl 33138 Re: Owner's Name: Lu I3 VVU , C,ZU M F Property Address: 140 NE S4- SC . Roofing Permit Number: Dear Building Official: Date: ToJC 5t20C 2 . (,t) e certify that I am not required to retrofit the roof to wall connections of my building because: 'he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Luis j1 CRU tit P Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he /s Swom to and subscribed before me this day o Notary Public, Sate of Florida at Large 61 e is the owner for the ab•v- • 0.-1 i. -. ape d. ,�] ) CLAUDIA V. CUBILLOS '0-1. Notary Public - State of Florida . = My Comm. Expires Sep 23, 2015 4/ Commission # EE 128810 1 �(1.1g?" ; Bonded Through National Notary Assn. 4 • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 Proverty Infognation Report 6/5/12 9:14 AM Property Information Report Summary Details: Folio No.: 11- 3206-014 -1670 Property: 740NE94ST Mailing Address: LUIS W CRUMP RUTH P RIVERA 740 NE 94 ST MIAMI SHORES FL 33138- Primary Zone: CLUC: Property Information: 1000 SINGLE FAMILY RESIDENCE 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: Lot Size: 2,095 9,675 SQ FT Year Built: Legal Description: 1941 MIAMI SHORES SEC 3 PB 10-37 W1/2 LOT 9 & LOT 10 BLK 65 LOT SIZE 75.000 X 129 OR 11314 -276 01821 OR 27791 - 1836 0811 01 Year: 2011 2010 Land Value: $117,366 $146,897 Building Value: $175,463 $175,586 Market Value: $292,829 $322,483 Assessed Value: $141,529 $139,438 EXemabon Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Ho p stead: YES YES Widow: $500 $500 Taxable Value Information: Year: Taxing Authority: 2011 Applied Exemption/ Taxable Value: 2010 Applied Exemption/ Taxable Value: Regional: County: City: $50,500/$91,029 $50,500/$88,938 $50,500/$91,029 $50,500/$88,938 School Board: $50,5001$91,029 $25,500/$116,029 Sale Information: $50,500/$88,938 $25,500/$113,938 Sale Date: 8/2011 Sale Amount: $380,000 Sale O/R: ,2 7791 -1836 Sales Qualification Description: a Sales qualified as a result of examination of the deed Vie Addit o - I Sal. [Close windovij [Click here to Print' This report was created on 6/5/2012 9:13:08 AM for reference purposes only. http:// glsims2. miamldade. gov/ myhhome /proptext_print.asp?folio =1132060141670 &cmd= Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. +1 COPY OF QUALIFIER'S STATE LIC CARD B. ✓ COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTIQN) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPTI D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTIONI YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: t-A C r A-Das 0C- sD° ; ya 'e(ouoA , Tk:_ BUSINESS ADDRESS: 's 'E u (A-1 - DL CITY STATE 1. ZIP CODE 3344 :1 BUSINESS PHONE: (5/-1 ) -,) FAX NUMBER (SCI ) 1.41 - f3C,13 CELL PHONE (t4 ) a `1O4° QUALIFIER'S NAME: tIL(4j L , ✓C QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE): TA u 0 in Go 4 -re, g ta es (GoMG et 6T . Created on 3119109 BY MLDV 1 RV 3126109 MLDV BATCH NUMBER AN N . G 4144 N ON P.O. Box 3353, West Palen Beach, FL 33402 -3353 **LOCATED AT*` www.laxcollectorpbc.com ollectorpbc.c om Tel: (561) 355 -2272 *Aft PAU Mesa &way 8081 PELICAN HARBOUR DR LAKE WORTH, FL 33467 This document Is valid only when rested by the Tax Collector's Office. J & M CONTRACTORS OF SOUTH FLORIDA INC J & M CONTRACTORS OF SOUTH FLORIDA INC 8081 PELICAN HARBOUR DR LAKE WORTH, FL 33467-6845 11Th, iI I. 1I 11 I1IIIII,1ti1II11I11I11I11I1I.I, STATE OF FLORIDA PALM BEACH COUNTY 2011/2012 LOCAL BUSINESS TAX RECEIPT LBTR Nurhber: 200623924 EXPIRES: SEPTEMBER 30, 2012 This receipt does :nut constitute a franchise, agreement, peurtidsion of authority to perform the serves or operate the business described herein when a franchise, agreement or other county commission, state or federal permission of authority is required by county, state of federal law. RL® CERTIFICATE OF LIABILITY INSURANCE OP ID NM 1 DATE( 05/08/12 THIS CERTIFICATE IS 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 POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holderls an ADDITIONAL INSURED, the poflcy(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 Ileu of such endorsement(s). PRODUCER Massey, Clark, Fischer, Inc. Massey, 400 Executive Ctr Dr, Ste 205 West Palm Beach FL 33401 Phone:561 -478 -1660 Fax:561- 478 -6876 l.UNIA . r NAME: PHONE °,Este FAX ADDRESS: PRODUCER CUSTOMER to #: J&MC0 -1 INSURER(S) AFFORDWG COVERAGE NAIC# INSURED JS&M Contractors of S. Fla. Inc Miguel A. Espinoza, Jr. 8081 Pelican Harbour Drive Lake Worth FL 33467 INSURERA: Mid- continent casualty company 23418 INSURERS: Vinings Insurance Company INSURER C: 04/27/12 INSURER 0: EACH OCCURRENCE INSURER E : PREMISES rence) INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED 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 POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE mum INSR Sum WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) PODGY EIIP (MMIDDIYYYY) LETS A GENERAL X LABILITY COMMERCIAL GENERALLIABIUTY X OCCUR 04GL000847494 04/27/12 04/27/13 EACH OCCURRENCE $1, 000 , 000 PREMISES rence) $100,000 CLAIMS -MADE MED EXP (Any one person) $ EXCLUDED GEM. 7 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE $2,000,000 AGGREGATE UMIT APPUES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POUCY JE a LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UNBREUA LAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXE OFFICER/MEMBER EXCLUDED? CUTN� (Mandatory lnNH) describe under If DES RIPTION OF OPERATIONS Mow N I A WCV011127500 09/24/11 09/24/12 X ITO VSLITfjfS I OTH- ER E.L EACH ACCIDENT $ 100000 E.L DISEASE - EAEMPLOYEE $ 100000 E.L DISEASE - POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) General Contractor CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg Dept 10050 NE 2nd Ave. Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HIGH- VELOCITY HURRICANE ZONES Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Fastener Spacing for Anchor /Base Sheet Attachment Field: i " oc @ Lap, # Rows 3 @ " oc Perimeter: " oc @ Lap, # Rows . @ ` " oc Comer: " oc @ Lap, # Rows' @ 4 " oc Fill in Specific Roof Assembly Components and identify Manufacturer (If a component is not used, identify as "NA") System Manufacturer (:"--:711.1 7 NOA No.: O,8 D' /o. O9 Design Wind yPressures, From RAS 128loorrCalculations: P1: "4420 P2: "7/'7P3: I S' Max. Design Pressure, From the Specific NOA �Z�S System: Deck: Type: Gauge/Thickness: Slope: / Anchor/Base Sheet & No. of Ply(s): �f✓.�-.t s"�i.S4 ,�clior/Base Sheet Fastenanding Material: ((4 e c?Ots ( g +r(T fi? �1 Insulation Base Layer. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding Material: Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter,. Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean . Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. 5A3 bJLt0 /z ms`s C'l0s Pse L FT. Parapet Height AFT. Ply Sheet(s) & No. of Ply(s): PI" t L/A • (Z. Ustl1-42) PIy Sheet Fastgry�,f/Bo�d �g,1 at a J lvp Top PIy: ��'' PP (j/�� �r /l tv Top PIy Fastener/ Bonding Material: .piiij ul ,14, 5 Surfacing: 4422 • • Mean Roof Height 2010 FLORIDA BUILDING CODE — RESIDENTIAL n',713 ROVED BY DATE '_ONING DEPT BLDG DEPT ‘*s %ljif„1, FEDERAL SUBJECT TO COMPLIANCE WITH ALL STATE AND COUNTY RULES AND REGULATIONS 1 Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Informations Master Permit No Process No. Tit pt Contractor's Name ed''�° ®� �, ti c g ® D.1 1- Job Address .14`) ,3 � 44- 'M ROOF CATEGORY 28 Low Slope ❑ Mechanically Fastened Tile ❑ MortarlAdheslve Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof - Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) ertno Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scup scuppers and overflow drains. Include dimensions of sections and I identify dimensions of elevated pressure zones and location of parapets. 2010 FLORIDA BUILDING CODE — RESIDENTIAL • • w• MIAMI.DAI, BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) CertainTeed Corporation (PA) 1400 Union Meeting Road Bine Bell, PA 19422 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563. (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO 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: CertainTeed Modified Bitumen Roofing Systems Over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by 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. 08- 0227.09 and consists of pages 1 through 38. The submitted documentation was reviewed by Jorge L. Acebo 4;1r3:[iah1∎14',E2,1„ i110 APPROVED NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 1 of 38 ROOFING ASSEMBLY APPROVAL Catesorv: Roofing Sub- CateEorv: APP /SBS Modified Bitumen Deck Type: Wood MAXIMUM Design Pressure -60 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification, Description All Weather/Empire Base 36" x 65' 10 "; ASTM D 4601 Asphalt coated, fiberglass Sheet Roll weight: 86 lbs. Type II reinforced base sheet. (2 squares) UL Type 15 Flex- I- G1asTM Base Sheet 36" x 98'9"; Roll UL Type G2 Modified Bitumen coated weight: 90 lbs. ASTM D 4601, fiberglass base sheet. (3 squares) type II Flex- I- GIasTM FR Base 39 34" x 501; Roll UL Type G2 Modified Bitumen coated Sheet weight 90 lbs. ASTM D 4601, fiberglass base sheet. (1.5 squares) type II Flintglas® Ply Sheet Type 36" x 164'7"; Roll ASTM D 2178 Fiberglass, asphalt impregnated ply IV or VI weight: 40/55 lbs. Type IV or VI sheet. (5 squares) UL Type G1 Flintlastic STA 39 3/8" x 33'; Roll ASTM D 6222, Smooth surfaced APP Modified STA Plus 5.0 weight: 90 lbs. Grade S, Type II Bitumen membrane with non- (1 square) woven polyester mat reinforcement for torch application. Flintlastic GTA, GTA -FR 39 34" x 33' 3 "; Roll ASTM D 6222, Granule surfaced APP Modified or Flintlastic Diamond GTA weight: 105. lbs. Grade G, Type II Bitumen membrane with non- (1 square) woven polyester mat reinforcement for torch application. Flintlastic GTS 39 3 /8" x 24'9 "; Roll ASTM D 6164, Granule surfaced SBS Modified weight 92 lbs. Grade G, Type 11 Bitumen membrane with non - (% square) woven polyester mat reinforcement for torch application. Flintlastic GMS, 39 3 /e" x 34' 2 "; Roll ASTM D 6164, Granule surfaced SBS Modified GMS Premium weight 100/105 lbs. Grade G, Type II Bitumen membrane with non- (1 square) woven polyester mat reinforcement for mop application. Flintlastic FR, 39 3 /8" x 34' 2 "; Roll ASTM D 6164, Fire resistant, granule surfaced FR -P Premium weight: 105 lbs. Grade G, Type I SBS Modified Bitumen Membrane (1 square) with non -woven polyester mat reinforcement for mop application. Flintlastic FR Cap Sheet 39 3 /8" x 34' 2"; Roll ASTM D 6163, Fire resistant, granule surfaced weight: 90 lbs. Grade G, Type I SBS Modified Bitumen membrane (1 square) with fiberglass mat reinforcement for mop applications. NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 2 of 38 Flintlastic FR Cap T Flintlastic FR Base T Flintlastic FR Cap CoolStar Flintlastic FR Cap T CoolStar Flintlastic GTA, GTA -FR CoolStar or Flintlastic Diamond GTA CoolStar Flintlastic GTS CoolStar Flintlastic GMS /GMS Premium CoolStar Flintlastic FR P/FR -P Premium CoolStar Flexiglas Premium Cap 960 CoolStar Flexiglas Premium Cap 960 39 -3/8" x 34'2 "; Roll weight 811bs. (1 square) 39 -3/8" x 33'; Roll Weight: 811bs. (LO squares) 39 31; L ; Kol1 weight: 90 lbs. (1 square) 39 3/8" x 34' 2 "; Roll weight: 90 lbs. (1 square) 39 3/8" x 33' 3"; Roll weight: 105 lbs. (I square) 39 3/8" x 24'9"; Roll weight 92 lbs. (3/4 square) 39 34" x 34' 2 "; Roll weight 100 /105 lbs. (1 square) 39 34" x 34' 2 "; Roll weight: 105 lbs. (I square) 36"x34'6" (1 square) 36" x 34'6" (1 square) ASTM D6163 Granule surfaced SBS Modified Bitumen membrane with fiberglass mat reinforcement for torch application. ASTM D6163 Modified Bitumen, coated fiberglass base sheet for torch application. HO 1lva r) 4163 Fire resistant, granule surfaced 13S Modified Bitumen membrane with ,:'-,-rnlass mat reinforcement for mop atm"icanons.:._ -'red with reflect, , . CoolStar Coatul.. ASTM D 6163 Fire resistant, granule surfacer, SBS Modified Bitumen membrane with fiberglass mat reinforcement for mop applications. Covered with reflective CoolStar Coating. ASTM D 6222 Granule surfaced, APP Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Covered with reflective CoolStar Coating. ASTM D 6164 Granule surfaced, SBS Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Covered with reflective CoolStar Coating. ASTM D 6164 Granule surfaced SBS Modified Bitumen membrane with non- woven polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. ASTM D 6164 Fire resistant, granule surfaced SBS Modified Bitumen Membrane with non -woven polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. Covered with reflective CoolStar Coating. ASTM D 6163, Granule surfaced SBS Modified Grade G, Type I Bitumen membrane with fiberglass mat reinforcement for mop application. Covered with reflective CoolStar Coating. ASTM D 6163, Granule surfaced SBS Modified Grade G, Type 1 Bitumen membrane with fiberglass mat reinforcement for mop applications. NOA No.: 08-0410.09 Expiration Date: 06/19/13 Approval Date: 11x20/08 • Page 3 of 38 Ultra Poly SMS G1asBaseTM Base Sheet PoIySMS Base Sheet Yosemite® Buffer Base Sheet Black DiamondTM Base Sheet Flintglas +? Mineral Surfaced Cap. Sheet Flintglas® Mineral Surfaced Cap CoolStar 36"x64'4" (2 squares) 36" x 98'9 "; Roll weight: 69 lbs. (3 squares) 39 3 /8" x 64' 4 "; Roll weight: 90 lbs. (2 squares) 36" x 32'10"; Roll weight: 90 lbs. (1 fie) 36" x 68'7"; Roll weight 78 lbs. (2 squares) 36" X 32'10 "; Roll Weight: 78 lbs. (1 square) 36" X 32'10"; Roll Weight: 78 lbs. (1 square) ASTM D 6164, Grade S, Type I ASTM D 4601 UL Type G2 ASTM D6164 ASTM D 3909 ASTM D 4897 UL Type 30 ASTM D 1970 ASTM D 3909 ASTM D 3909 Smooth surfaced SBS Modified Bitumen Membrane with non- woven polyester mat reinforcement for mop applications. Asphalt coated, fiberglass base sheet. Modified Bitumen coated polyester base sheet. Mineral Surfaced fiberglass reinforced buffer sheet. Self - adhering fiberglass reinforced modified bitumen base sheet Asphalt impregnated and coated inorganic glass fiber surfaced with mineral granules used as the top ply in conventional built -up roof membranes. Asphalt impregnated and coated inorganic glass fiber surfaced with mineral granules used as the top ply in conventional built -up roof membranes. Covered with reflective CoolStar Coating. NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 4 of 38 APPROVED INSULATIONS: Product Name FlintBoard ISO ACFoam II ISO 95+ High Density Wood Fiberboard Perlite Insulation Dens Deck, Dens Deck Prime H- Shield ENRGY -3, UltraGard Gold, PSI -25 Fesco Board Multi -Max, FA APPROVED FASTENERS: Fastener Number 1. 2. 3. 4. 5. 6. 7. Product Name #12 & #14 Dekfast Fastener Dekfast Hex Plate Olympic Fastener #12 & #14 Olympic Standard Insul -Fixx Fastener Insul -Fixx S Plate Tru -Fast Fasteners 8. Tru -Fast MP -3 9. Tru -Fast Plates 10. Tru -Fast Plates TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Polyisocyanurate foam insulation Expanded mineral fiber insulation Polyisocyanurate foam insulation TABLE 3 Product Description Insulation fastener Dimensions Galvalume AZ50 steel plate 2' /g" x 3'A" Insulation fastener 3" round 3" round galvalume AZ50 steel plate Insulation fastener for steel and wood decks Galvalume AZ50 steel plate 3" round Insulation fastener for wood and steel decks Galvalume AZ50 steel plate 3" round Galvalume AZ55 steel plate 3" round Polyethylene plastic plate 3" round Manufacturer (With Current NOA) CertainTeed Atlas Energy Products Firestone Budding Products, Inc. generic generic G -P Gypsum Corp. Hunter Panels Johns Manville Johns Manville RMax, Inc. Manufacturer (With Current NOA) SFS Intec SFS Intec OMG OMG SFS Intec SFS Intec The Tru -Fast Corp. The Tru-Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 5 of 38 EVIDENCE SUBMITTED: Test Agency Applied Research Laboratories Factory Mutual Research Corporation Underwriters laboratories, Inc. United States Testing Company, Momentum Technologies, Inc. TrinitylERD Name Physical Properties Current Insulation Fastening Requirements TAS 114 /(FMRC 4470) UL 790 ASTM D5147 ASTM D 4601 ASTM D 3909/ D 4897 TAS 114 (J) TAS 114 (J) TAS 114 (J)/TAS 117 (B) TAS 117 (B) TAS 117 (B) TAS 114 (H) FM 4470, TAS 114 FM 4470, TAS 114 TAS 117 (B) ASTM Requirements Regci 28013 FMRC 1994 J.I. #3Y8A1.AM R11656 97457-4 AX3l G8D AX31G8C #3507.08.99 -1 #3514.02LAB #3515.07.03 3503.10.06 46490.04.07 -RI Letter 3533.01.06 3521.07.04 C8500SC.11.07 C 10080.09.08 Date 06/02/87 01/01/95 03/23/96 07/13/87 06/03/88 09/05/08 09/05/08 04/18/01 11 /11/02 07/22/03 10/10/06 06/27/07 04/05/06 01/06/06 07/29/04 11/30/07 09/04/08 NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/10108 Page 6 of 38 Membrane Type: APP MODIFIED Deck Type 1: Wood, Non - Insulated Deck Description: 19/32" or greater plywood or wood plank System Type E(3): Base sheet mechanically fastened. All General and System Limitations apply. Base Sheet One ply of All Weather/Empire Base Sheet, Glas Base or Flintglas Premium Ply Sheet (Type VI) mechanically attached as detailed below. Fastening Base sheet shall be lapped 4" and fastened with 11 ga. annular ring shank nails and approved tin caps 8 "o.c. in the lap and three rows staggered in the center of the sheet 8 "o.c. Ply Sheet (Optional ) One ply of All Weather/Empire Base Sheet, Ultra Poly SMS, Glas Base, Flex I Glas Base, Flex -I Glas FR Base or Poly SMS or one or more plies of Flintglas Ply Sheet (Type IV) or Flint Premium PIy Sheet (Type VI) adh +n a full mopping of approved as halt a pied within the EVT range and at a rate of , . r one p y o Blame ck Diamond Base Sheet self adhered or Flintlastic STA torch adhered. Membrane: Flintlastic STA, Flintlastic STA Plus 5.0, Flintlastic Diamond GTA, Flintlastic GTA CoolStar, Flintlastic GTA, Flintlastic GTA CoolStar, Flintlastic GTA -FR or GTA-FR. CoolStar torch adhered to base/ply sheet. Surfacing: (Optional) Install one of the following: 1. 400- Ibfsq. gravel or 300-lb./sq. slag in a flood coat of approved mopping asphalt at an application rate of 60 lb./sq. 2. Karnak 97, FlintCoat A -150, APOC 212 Fibrated Aluminum, Henry 520 Aluminum or Grundy AL MB at an application rate of 1 %z gal. /sq. Maximum Design Pressure: -52.5 psf (See General Limitation #7) NOA No.: 08-0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 32 of 38 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- 40lbs.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 Ibsisq. 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 lb£, as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lb£ 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. 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.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE IAPPROVEDI NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 38 of 38 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. L £ Rending wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to re oving the existing roof system). 3. k 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 own /err should notify the occupants of adjacent units of roofing to be performed. 4. v v Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing am • nt of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which ca sult in extending the service life of the er /Agent's Signature Date Revised on 7/9/2009 LD S- It —2ot2 Contractor S'. "ature Date 05/15/2012 15:43 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES fj001 *ss TX REPORT * ** TRANSMISSION OK TX /RX NO 2544 RECIPIENT ADDRESS 561 967 7865 DESTINATION ID ST. TIME 05/15 15:43 TIME USE 00'18 PAGES SENT 1 RESULT OK PERMIT AZT- I 166-A, lContractor o Owner o Architect Picke Address: «z� MiamiShores Building uildin Department 10050 N.E.2nd Avenue Miami Shores; Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT DATE: t. From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Depa ent to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: 1y Permit No: 12 -847 Job Name: May 15, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide hurricane mitigation forms. 2) Section C is incomplete. Provide a completed application. 3) The items in section C that are complete do not match the product approval. 4) Provide the limitations page of the product approval. 5) Provide the fastening pattern for exposed ceiling per FBC RES 4402.8.5.2 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 -1:Ax �1'o I - (el - 1 Permit No: 12 -847 Job Name: May 15, 2012 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet ) Provide hurricane mitigation forms. 2) Section C is incomplete. Provide a completed application. f 3) The items in section C that are complete do not match the product approval. vifi 4 Provide the limitations page of the product approval. C -.., ?M �" Provide the fastening pattern for exposed ceiling per FBC RES 4402.8.5.2 Page 1 of 1 Plan review is, not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 u/ -.off oy fe,400-5e 4, in - 54)(- �i (el — -7Zs)S Miami -Dade My Home My Home la►ni•a ®e.mo Show Me: Property Information Search By: Select Item 1( Text only, E+ Property Appraiser Tax Estimator Property Appraiser Tax Comparison 0. Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3206 - 014.1670 Property: 740 NE 94 ST Mailing LUIS W CRUMP Address: RUTH P RR/ERA Living Units: 740 NE 94 ST MIAMI Adj Sq Footage: SHORES FL Lot Size: 33138- Prooerty Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,095 Lot Size: 9,675 SQ FT , Year Built: 1941 $50,500/ $91,029 MIAMI SHORES SEC 3 - City: PB 10.37 W1/2 LOT 9 8 Legal LOT 10 BLK 65 LOT Description: SIZE 75.000 X 129 OR 11314 -276 01821 OR 27791 -1836 0811 01 Assessment Information: ear 2011 2010 i7T x,;.146 89 $25 000 $25,000 MEME2 r reL Exemption/ a e E$292,8y2.9�;x Exematlon Information: Taxable Value Information: Year. 2011 2010 's• °' $25 000 $25,000 nd Homestead: Exemption/ axable Exemption/ a e Value: Taxable Value Information: Year. 2011 2010 Applied Applied Taxing Authority: Exemption/ axable Exemption/ a e Value: Value: Regional: $91,029 $91,029 $50,500/ 188,938 County: $50,500/ $91,029 $50,500/ $88,938 City: $91,029 $91,029 $50,500/ $88,938 Sdhooi Board: $25,500/ $116,029 $25,500/ $113,938 C�In Ininnnethnn• ACTIVE TOO : SELEC Aerial Photography - 2009 My Home I Property Information 1 Property Taxes I My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer 114 ft 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. 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