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RF-12-1651Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178089 Permit Number: RF -9 -12 -1651 Scheduled Inspection Date: September 13, 2012 Inspector: Bruhn, Norman Owner: SMITH, SHARON Job Address: 8707 NE 4 Avenue Miami Shores, FL Project: <NONE> Contractor: JALCO CONSTRUCTION INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060460690 Phone: (786)222 -1873 Building Department Comments RE -ROOF SHINGLE Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 12, 2012 For Inspections please call: (305)762 -4949 Page 22 of 31 CITY OF MIAMI - BUILDING DEPARTMENT NOTICE OF COMMENCEMENT Please file at 22 N.W. 1st Street, Miami PERMIT NUMBER: FOLIO NUMBER. State of Florida County of Miami -Dade 11111111111111 (111111111111111111111111111111 CFN 2012R0644-576 OR Bk 288266 Ps 2860; Ups; RECORDED 09/11/2012 14:34:33 HARVEY RUVIHv CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST F'AGE The undersigned hereby gives notice that improvements will made to certain real property, and in accordance with Chapter 713.23, Florida Statuses, the following in provided in this Notice of Commencement. Street address•8 ?C ? //A 0%C' d and Legal description of property.2?19 #V '%L Description of improvement: II?f --x EM i--42 7 Interest in property. Name of fee simple titleholder (if other than owner) and address. Contractor's name. ' ''Q / C Phone number. weed S 6eide"4knd address: 9 , 2-C , in;a4 6233/26 Amount of Surety bond- .(Payment bond required by owner from contractor, if any) Surety's name• and address: Phone number: Lender's name' and address: Phone number: Persons with the state of Florida designated by Owner, upon whom notices or other documents may served as provided by Section 713.13(1)(a)7, Florida Statues, Name• and address: Phone number. In addition to himself, Owner designates the following person(s) to receive a copy of a Uenor's Notice as provided in Section 713.13(1)(b)7, Florida Statues, Name• and address: Phone number Expiration date of this Notice of Commencement- unless - ,different date is specified) (the expiration date is one [1] year from the date of recording ecereircra dr aQ -�-r- Owner's Sig =cure Owner's Name (printed) dayof.q 200�� Personally Knowrl, or Produced ID Prepared By Qze-x II"-' S Address' A/ Swopo-and subscribed before - e on t is By. --6 1 -,- e! ea Notary Public* Print Notary Pub am_ Oath taken Commission 117.„, , Xavier Rueda Palacios -+• COMMISSION #00944984 G j 147f D(IRRES:DEC. 08, 2013 ubs ) RQWImy.con' 2_ Rev. Dec/21 /2010 Generated on Sep /05/2012 1:00 PM 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 REC SEP 062012 FBC 20 1(05) BUILDING Permit No.1) — PERMIT APPLICATION Master Permit No. Permit Type: BUILDING JOB ADDRESS: 7"0 TA! C 1' 4 A"' City: Miami Shores County: ROOFING Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO v Flood Zone: OWNER: Name (Fee Simple Titleholder): &+arO 0 L t c 7i-coda Phone #: Address: 9.7- ®7 At a % 1-4 . City: S State: r10 C& Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Comp ny Name: Address: T 7 9 , 260 City: H� °°fl�� 1 �' Qualifier Name: C/70�a- 4. V GGl carau inc. Phone #('78) — Q 73 State: 7 - Zip: 33 1 2 5- Phone #: State Certification or Registration #: �•t t,i 2/��3 ` Certificate of Competency #: Contact Phone 0--' Email Address: b n %✓6J ri u" S° t' AVE,. c IA-i DESIGNER: Architect/Engineer: / c/ Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddi • n UAlteration ONew ' l .epairIReplace Description of Work: �'` .' ®f t°"i/ Color thru tile: **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Q ... eeS************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 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 $ a19..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 ' nspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection ill not be approved and a reinspection fee will be charged. Signature The foregoing instrument was acknowledged before me this day of , 20 y who is ers� known to me or who has produced P Y P As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss APPROVED BY Expires: PATRICIA KRAUSE MY C SSION # EE085622 S : April 25,2015 'fl' fed Thru Notary Public underwriters Contractor The foregoing instrument was acknowledged before me this 5 day of .31-p , 2, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Plans Examiner Structural Review Print: My Com 'fission Expires: PATRICIA KRAUSE COMMVSSION # EE086622 S : April 25,2615 Bonded Thru Notary Public dnderwriters (Revised 5 /2 /2012XRevised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) Zoning Clerk THE SHORES VILLAS CONDOMINIUM ASSOCIATION, INC A CORPORATION NON - PROFIT 8901 N.E. 4th Avenue Rd, Miami Shores, Fl 33138 September 4, 2012 Miami Shares Village 10050 N.E. 2nd Ave Miami Shores, Fl 33138 Dear Sirs: This is to inform you that the representative from Jalco Construction Inc.) is authorized to apply for /obtain and sign the roofing permits in order to perform the necessary work at the following units: 8707NE 4th Ave Rd 8709 NE 4th Ave Rd: 8713 NE 4th Ave Rd- 8717 NE 4Th Ave Rd 9031 NE 4th Ave Rd Thank -you for your attention to this matter. incerely, e baik resident of th- Association rniur L44 Gr 1-c-ocia. F Z7-6 (ifF� cY�J THIS'DOCUMENT,HAS A COLORED: BACKGRQUND jNICROP}3fNTINGt AC #6240247 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L1208010209 DATE BATCH NUMBER LICENSE NBR 08/01/2012 120002999 CCC1328839 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 VARGAS, JOSE ALBERTO JALCO CONSTRUCTION INC 749 NW 26TH AVENUE MIAMI FL 33125 RICK SCOTT. GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 599424 -0 2012 LOCAL BUSINESS TAX RECEIPT 2013 MIAMI -DADE COUNTY- STATE OF FLORIDA EXPIRES SEPT. 30, 2013 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 THIS IS NOT A BILL - DO NOT PAY RENEWAL BUS5WEIIffiION INC STATEE28839 749 NW 26 AVE 33125 MIAMI OHCO CONSTRUCTION INC SeelYie§tOgrAtTY BUILDING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/12/2012 60020000479 000045.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD JALCO CONSTRUCTION INC JOSE A VARGAS PRES 749 NW 26 AVE MIAMI FL 33125 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 625404-9 1111111111111111IIIIIIIII1 1111111111111111 III III I111 '. Yd 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. 02 -28 -2011 EFFECTIVE DATE: 02/21/2011 EXPIRATION DATE: 02/20/2013 PERSON: VARGAS JOSE A FEIN: 205964182 BUSINESS NAME AND ADDRESS: JALCO CONSTRUCTION INC 749 NW 28 AVE MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: 1— CERTIFIED ROOFINQ CONTRACTOR 2— CERTIFIED 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 440.05112), 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? (8501 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 4WRL CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 09/04/12 PRODUCER Florida Bankers Insurance 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 7278 SW 8 Street I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND Miami, FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLIC OR ES BELOW. Phone (305)266 -6493 Fax (305)262 -0679 r i INSURERS AFFORDING COVERAGE NAIC # INSURED JALCO CONSTRUCTION INC 1876 NW 6 St MIAMI, FL 33125 I INSURER A: ESSEX INSURANCE COMPANY CO INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (MMIDDIYY) POUCY EXPIRATION DATE (MMIDDIYY) 03/13/13 LIMITS EACH OCCURRENCE 1,000,000.00 �LTR A • ❑ GENERAL V ❑❑ ❑ LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE d OCCUR 3DF4154 03/13/12 PRA M SES EaEoccurence) 50,000.00 MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY 1,000,000.00 GENERAL AGGREGATE 2,000,000.00 ❑ PRODUCTS - COMP /OP AGG 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PROJECT ❑ LOC ❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS ❑ COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ ❑ OTHER THAN EA ACC AUTO ONLY: AGG C ❑ EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE ' WORKERS COMPENSATION AND 1 EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? if yes, describe under SPECIAL PROVISIONS below ❑ WC STATU- ❑ OTH- TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2nd AVE MIAMI SHORES, FL 33138 ACORD 25 (2001 /08) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE © ACORD CORPORATION 1988 Division of Air Resource Management Florida Department of Environmental Protection Division of Air Resource Management NOTICE OF DEMOLITION OR ASBESTOS RENOVATION MIAMt•3 COUNTY Miami -Dade DERM Air Quality Management Division 701 N.W. 1st Court, 2nd Floor Miami, Florida 33136 TYPE OF NOTICE (CHECK ONE ONLY): ❑ ORIGINAL TYPE OF PROJECT (CHECK ONE ONLY): ❑ DEMOLITION IF DEMOLITION, IS IT AN ORDERED DEMOLITION? IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑ REVISED ❑ RENOVATION ❑ YES ❑ CANCELLATION I ROOFING NO ❑ YES 'El NO IS IT A PLANNED RENO ATION PERAT ON? ❑ YES 0 NO I. Facility Name t ' i i (ACS t._ ktm _I P • /'" S;6eA $; Address �p -f: a *_; e q d t+ p,',4o -Q `.:�■ City i "> l' irk 1 ?'4 i >A. c, s State a a Zip . 14 ' County \4, t'_ Site Consultant Inspecting Site Building Size of roc, (Square Feet) # of Floors ' ' Building Age in Years Prior Use: ❑ School/College/University ® Residence ❑ Small Business Other Present Use: ❑ School/College/University ❑'Residence ❑ Small Business Other 11. Facility Owner G- c'r a Y 6,C, c00 r 4 e -VP- Itii, et,.. -E Phone ( ) .eta c Address `�`=� °I 1 °•�, �-_ �._ p1 a La, /�, .fa � . p.. t. City 1-21, i C+ 0 1,i : (A F State 1 Zip -51 � (alb III. Contractor's Name r`• k c� �^.,� r „ �s at ©L� t b c Phone ( ) Address =3 L GQ a t.'+5,° 2 %'4 ❑ COURTESY File # Process # City .1, i c1 i vlr�i, State _ y Zip �!`°- Is the contractor exempt from licensure under section 469.002(4), F.S.? ❑ YES ❑ NO IV. Scheduled Dates: (Not ce must be postmarked 10 working days before the project start date) Asbestos Removal (mm4/yy) Start- I'S ° la Finish:II -1 S 1)--° Demo/Renovation (mm/dd/yy) Start: Finish: V. Description of planned demolition or renovation work to be performed and methods to be employed, including demolition or renovation techniques to be used and description of affected facility components. Procedures to be Used (Check All That Apply): -❑ Strip and Removal ❑ Glove Bag ❑ Bulldozer ❑ Wrecking Ball '(Date) Wet Method ❑ Dry Method ❑ Explode IN Burn Down OTHER: As <,,,iif ae'� A \� 6.s, - j VI. Procedures for Unexpected RACM: 5 cy 4.stt C0.. ?De VII. Asbestos Waste Transporter: Name `e& l� �� )\,=:is a fr© Phone ( ?b7; ) t17-1 - Address 2 i ,as ��i 41'JA 1 C - City 4 4 t_r U A tt� State . , VIII. Waste Disposal Site: Name e rA Le 6 ii t-r -Q i t t Address A3 ■ 1410 Rcl I vJ City ,.0 e j. L -'' v State IX. RACM or ACM: Procedure, including analytical methods, employed D rm .i1fd. ti Zip \IMP QUALITY MANAGEMENT DIVISION to detect the presence of RACM1h114gt s ;ems lil n ir��fr 1. i. Amount of RACM or ACM* square feet Surfacing material linear feet p�pe cubic feet o RACM off facility components Li, ,') 6 *Identify and describe syrfacing material and other materials as applicable: Notiffcati©rl((B Regarding apt rngonsl bavo hoen Submitted in Compliance with square feet cementitious matliCable regulations, square feet reslient�floori square feet as RIMS Date 1 certify that the above information site during the-demolition during normal business hours. I is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on- or renovation and evidence that the required training has been accomplished by this person will be available for inspection (PrintName of Owner /Olieraftor) V.:---, P 7) d j (I y 6j- A / — I r t, r/ f '� e (Signature of Owner /Operator) '(Date) (Contact phone #) DERM USE ONLY Postmark/Date Received ID # 161_01-158 4/10 DISTRIBUTION: White -DERM Yellow- Applicant Pink —Reserve Gold— Reserve DE PLAN REVIEW FINAL APPROVAL DEPARTMENT OF RONME' RESOU RC NAOEMET- CORE REVEriffit StONACIURE SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the contenf of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box 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) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. _4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code 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 Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the tructural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be b: cial to consider additional venting which can result in extending the service life of the roof. ner's /Agent's Sig ature Date Contra or's Signature g707- ,d L/ xiverti Property Address Permit Number Rev:112012005,Computer Services, Building Department Florida Building Code Ec High Velocity Hurricane Zone Uniform Pe Section A (General info�u Master Penult No. P plicationfthtfides \T! idAAT -id efl) Contractor's Name Job Address ❑ Low Slope Asphaltic Shingles g 7- 4(_ // e- 'lN6 GFP'I 1 sy =14 LANCE SECT � ® CCMPI LANCE 1N1 FN ALL FEDERAL AIL AND CLI N F:=', /2,ND ._J Arr.p,.; ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ ❑ Metal Panel/Shingles ❑ ❑ Prescriptive BUR -RAS 150 ROOF TYPE GI/Re-Roofing Mortar /Adhesive Set Tile Wood Shingles/Shakes Are there Gas Vent Stacks? Yes❑ No 4- Type: Natural❑ LPGX❑ ❑ Recovering ❑ Repair ❑ Maintenance . 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I11111 .■E..■.■■■ ■■...r�■.Ei.■ ■E■■ ■■ MI ■■o.... ■■..=EEi:: ::::1611:isiis I 1 1■■■1iiiOMME`niEEEiEEi■■E.i ONWOMI�1i:.EEi� E�ME��■��■ .E1■■■M1..M11.1m immil m■■ i iUs1. _ en I.. ■s.■ ...u.... umummumumr •s... �■I....auiu1■■E:n # -_I_i III "I ■ .. ■. -viii ■ • r - _ - Eia■�■E • t_ ■� �_ ;_a._■ ■��_ E� 1.. 1. r� FBI ■ .....mo. 1/1 " ' r' E ■ ■i Shingle Roof System "Delivering Excellence Every Day" Roof System Manufacturer: HVHZ Electronic Roof Permit Form Section D Shingle Roof System I GAF MATERIAL CORP Notice of Acceptance Number: 12- 0313.11 Fill in the specific roof assembly components. If a component is not required, insert not applicable (n /a) in the text box. Roof Slope: "/12" Roof Mean Height: 16 ft. ( Maximum roof mean height 33 ft. ) Optional Ridge Venting: 0 Yes 0 No Ridge Vent NOA Number. Installed Ridge Venting: F1 lineal ft. Installed Ridge Venting: ft.2 Existing Soffit Intake: ft.2 Note: In no case shall the amount of exhaust ventilation at the ridge exceed the amount of soffit ventilation. Deck Type: 5/8" Plywood Optional Insulation: N/A Optional Nailable Substrate: N/A Optional Nailable Substrate Attachment: N/A Underlayment/Base Sheet Type: ASTM FELT D226 FELT 30# Fastener Type for Basesheet Attachment: 1 -1/4 RS NAIL AND TIN CAP Optional Peel & Stick Membrane: [NA Shingle Type: GAF ROYAL SOVERING 3 TAB Drip Edge Size & Gauge: 3" face 26 ga. Drip Edge Material Type: Galvinized Metal Drip Edge Fastener Type: 11-1/4 RS NAIL 4 "OC STAGGED Hook Strip /Cleat gauge or weight: — Select Hook Strip- 1 1 11 L.L \:.. 1 1 11.,�a� �. �� • • ......... .b ONLINE CERTIFICATIONS DIRECTORY Page Bottom TFWZ.R21 Prepared Roof - covering Materials Prepared Roof - covering Materials See General Information for Prepared Roof - covering Materials GAF MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA R21 Asphalt glass fiber mat shingles - "Royal Sovereign," "Sentinel," "Timberline® HD," "Timberline® Natural Shadow," "Timberline® Ultra HO," "Timberline® Cool Series," "Timberline® Majestic," "Timberline® Majestic 30," "Timberline® American Harvest' "'," ' Timberlme( AnnorShield "" II," "Marquis® WeatherMax ®," "Grand Canyon' "," "Grand Sequoia ®," "Camelot®," "Camelot® 30," "Camelot® I I," "Camelot® IR," "Capstone® ," "Capstone® Impact Resistant IR" "Country Mansion ®," "Country Mansion® II," "Grand Slate ® ", "Grand Slate® 11," "Slateline®," "Woodlands;," and "Monaco'"" for installation as Class A prepared roof covering. Suitable for installation on minimum 3 /8 -in. thii.k plywood roof decks in combination with minimum one ply "Shingle- Mate" or Type 15 or Type 30 underlayment. Also Classified in accordance with ASTM 03161, Class F. Also Classified in accordance with ASTM D3462. Asphalt glass fiber mat shingles - "WeatherBlocker Starter Strip Shingles" and "Pro- Start "" Starter Strip Shingles" for installation as Class A roof covering. Suitable for installation on minimum 3 /8-in. thick plywood in combination with minimum one ply "Shingle- Mate" or type 15 or Type 30 underlayment. Also Classified in accordance with ASTM D3161, Class A. Also Classified in accordance with ASTM D3462. Asphalt glass fiber mat shingles- "Royal Sovereign," "Sentinel," 'Timberline® HD," "Timberline® Natural Shadow," "Timberline®, Ultra HD," "Timberline® Cool Series," "American Harvest," "Marquis® WeatherMax ®," "Grand Canyon"4," "Grand Sequoia ®," and "Camelot ®'' for installation as Class A prepared roof covering when used with minimum Type 30 underlayment over existing wood shingle roof. Asphalt glass mat and hip and ridge shingles- "Timbertex Hip and Ridge" for installation as Class A prepared roof covering. Also been evaluated in accordance with ASTM D3161, Class F when Henkel "PL Roofing and Flashing Sealant" or Sonneborn "NP1 Gun -Grade Polyurethane Sealant" is applied as specified in manufacturer's application instructions." Also Classified in accordance with ASTM D3462. "Seal -A- Ridge ®," "Seal -A- Ridge® ArmorShield'" and "Z- Ridge" for installation as Class A prepared roof coverings. Last Updated on 2012 -03 -22 Questions? Print this page Notice of Disclaimer Page To © 2012 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under Ul's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1 the Guide Information, Designs and /or Listings (files) must be presented in their entirety and in a non - misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: " : 2012 UL LLC' http://database.ul.com/cgi-bin/XYV/template/LISEXT/1 FRAM F. /showpage. htm l ?name'= 1.... 4:18,2012 MIAM4DADE DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Materials Corp. 1361 Alps Rd. Wayne, NJ 07470 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 1 1805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov /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: GAF Royal Sovereign Shingle 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 #09- 0825.06 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 Approval Date: 06/28/12 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Asphalt Shingles Materials 3 -Tab Deck Type: Wood SCOPE This approves GAF Royal Sovereign Shingle as manufactured by GAF Materials Corp as described in this Notice of Acceptance, designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications GAF Royal Sovereign Shingle 12" x 36" TAS 1 10 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3 -Tab profile MANUFACTURING LOCATION 1. Savannah, GA. 2. Tuscaloosa, AL. 3. Tampa, FL. 4. Mt. Vernon, IN. 5. Mobile, AL. 6. Dallas, TX. 7. Myerstown, PA. EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering TAS 100 02/23/94 PRI Asphalt Technologies, Inc. TAS 100 GAF - 105 -02 -01 11/14/05 PRI Asphalt Technologies, Inc. TAS 100 GAF - 182 -02 -01 02/07/08 PRI Construction Materials Technologies, Inc. TAS 100 GAF - 332 -02 -01 01/17/12 Underwriters Laboratories, Inc. TAS 107 05CA48258 11/28/05 Underwriters Laboratories, Inc. TAS 107 05CA47804 11/11/05 Underwriters Laboratories, Inc. TAS 107 08NK02337 03/12/08 Underwriters Laboratories, Inc. TAS 107 08NK12906 10/10/08 Underwriters Laboratories, Inc. TAS 107 l 1CA47919 12/03/11 Underwriters Laboratories, Inc. ASTM D 3462 ASTM D3462 09/12/06 Underwriters Laboratories, Inc. ASTM D 3462 08NK02337 03/12/08 Center for Applied Engineering 257966 ASTM D3462 03/21/97 Underwriters Laboratories, Inc. ASTM D 3462 09CA21715 05/20/09 Underwriters Laboratories, Inc. ASTM D 3462 08CA61515 07/15/09 Underwriters Laboratories, Inc. ASTM D 3462 11CA47919 12/03/11 MIAMI.DADE COUNTY APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 pprova.l Date: 06/28/12 Page 2 of 4 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. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Applications Standard RAS -115. 2. Flashing shall be in accordance with Roofing Applications Standard RAS -115. 3. The manufacturer shall provide clearly written application instruction. 4. Exposure and course layout shall be in compliance with Detail "A ", attached. 5. Nailing shall be in compliance with Detail `B ", attached. LABELING 1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County Product Control Approved ". MIAMI -DADE COUNTY APPROVED BUILDING PERMIT REQUIREMENTS 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. MIAMI•DADE COUNTY APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 .Approval Date: 06/28/12 Page 3 of 4 DETAIL A COURSE LAYOUT 1st Course of Shingles 2nd Course of Shingles 3rd Course of Shingles 6" • • • p 1 5" N Drip Edge DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" to i- • • • • • END OF THIS ACCEPTANCE MIAMI DADE COUNTY APPROVED oo U7 I NOA No.: 12- 0313.11 Expiration Date: 04/22/13 approval Date: 06/28/12 Page4of4