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RF-12-1655Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 178117 Permit Number: RF -9 -12 -1655 Scheduled Inspection Date: September 13, 2012 Inspector: Bruhn, Norman Owner: STOBS, BETH ANN Job Address: 9031 NE 4 Avenue Road Miami Shores, FL Project: <NONE> Contractor: JALCO CONSTRUCTION INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number (786)236 -1198 Parcel Number 1132060460160 Phone: (786)222 -1873 Building Department Comments RE ROOF SHINGLE Inspector Comments Passed 772-(1J_ 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 26 of 31 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 BUILDING PERMIT APPLICATION Permit Type: BUILDING sEP 0,6201Z BY: J �s �cl2o I(cf3S Permit No. Master Permit No. ROOFING JOB ADDRESS: Ci'b 3 f N `7 t/ ',Ate F-0 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ' 0 fa- de - Phone #: Address: 9'A/' 1/ /4 .4' City: kiioCU^ State: ri d r1 O& Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: jCompanyName: CT; � =` �J�C� 26 Address: �`' / / �° & ` ° ,4 V9 Phone #:( )222 City: HO k2t2e` State: Qualifier Name: 0;11 /4. ar Phone #: State Certification or Registration #:Ca 21239 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Zip: 33/2,e— Value of Work for this Permit: $ 2?000 Type of Work: ❑Addition • UAlteration UNew ❑Repair/Repiaee: ❑Demolition Description of Work: � 9 -rzQcyr 5h1 1� Square/Linear Footage of Work: `L, O'er 5t Color thru tile: ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fe s******************************************** 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 $ all l ` j t 0 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 the absence of such posted notice, the inspectionfwill not be approved and a reinspection fee will be charged. Signatur tAP Signature Owne or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this S day of ,7,2 , 20 J?tby , day of .S 17-2 , 20 idTby who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: PATRICIA KRAUSE Sign: • ATRICIA KRAUSE Print: COMMYSSION # EE086522 Print: MY CdN9NYSS10N # Emma EXPIRES :April 25,2015 EXPIRES : April 25,2015 My Commission Expires: Bonded This Notary public underwriters My Commissioi U Notary Public under,, . fs APPROVED BY ,/2-1� Plans Examiner Zoning Structural Review Clerk (Revised 5 /2/2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) Florida Department of Environmental Protection Miami -Dade DERM MIAMI•DADE COUNTY Air Quality Management Division Division of Air Resource Management 701 N.W. 1st Court, 2nd Floor Miami, Florida 33136 OTICE OF DEMOLITION OR ASBESTOS RENOVATION 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 EMERGEN Y RENOVATION OPERATION? IS IT A PLANNED ENOVATION OPERATION? / 1. Facility Name "� Y -( Address ti / ' > ;` � � _ 1 V ❑ REVISED ❑ RENOVATION ❑ YES ❑ YES ❑ YES ❑ CANCELLATION ❑ ROOFING ❑ NO • No D NO ❑ COURTESY Fite # Process # City /4 /{° , °,a4 ` sn� State77 Zip A °- County Site Consultant Inspecting Site Building Size ,4 (Square Feet) , # of Floors 1-•- Building Age in Years School Prior Use: ❑ Schol /College/University ❑Residence ❑ Small Business Other Present Use: ❑ School/Colle.e/University ❑ Residence ❑ Small Business Other 11. Facility Owner ``�--° f40 a a0 ,ea f o- i t-e Phone ( ) Address d °a9 Aga" et. '7' A Ay"- / City ,A ��a �' /E1 t :o / re e'� i State 17 Zip 5473,-3g" 111. Contractor's Name �,i E /'L L 'I S� t/ Ci/ 4 AI ,. 41( Phone ( } ) Air z Address !l `(9 ,/74./ 2g 4V'e' City ti.°`. i 6:, x_24 e State -A v Zip 3 -3 /, 4 ❑ YES Is the contractor exempt from licensure under section 469.002(4), F.S.? ❑ NO IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date) Asbestos Removal ( mm/dd/yy) Start:67 /5 /a /Finish: /i- /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 (heck All That Apply): Procedures for Unexpeclted RACM: 5174,P / l,ie)J C-4 // D(-7P/1.4 Asbestos Wa_ ste Transporter: Name Li/#4 SAC' 0'I• f z` Ye 6;1-7=-1-- Phone (= ) i' Address City -j2 i(.7 ,.a VIII. Waste Disposal Site Name 4 i eP a Address °� d City pia' d "v' State 747 Zip/v \ G11ikA AG 1;69p DMEION IX. RACM or ACM: Procedu-e, including analytical methods, employed to detect the presence of RACM arriA4tegergv,\51,1,1,0pflfgl#1,$.4r01. =State 71 Zip 33 Amount of RACM or AC square feet urfacing material linear feet p pe cubic feet o RACM off facility icomponents submitted in Compliance with square feet cementitious rerrtnbplcable r ulations. square feet resilient floorin square feet aspH I fthg =� *Identify and describe syrfacing material and other materials as apj licable: I certify that the above in4rmation is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on- site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection T during normal business hoursy/ P''- ,/e'"ti el() e'`A./ `/ ' " Strip and Removal ❑ Glove Bag ❑ Bulldozer ❑ Wrecking Ball 2 Wet Method Dry Method ❑ - Explode ❑ Bum Down r OTHER: i : fag 11/ ewe Procedures for Unexpeclted RACM: 5174,P / l,ie)J C-4 // D(-7P/1.4 Asbestos Wa_ ste Transporter: Name Li/#4 SAC' 0'I• f z` Ye 6;1-7=-1-- Phone (= ) i' Address City -j2 i(.7 ,.a VIII. Waste Disposal Site Name 4 i eP a Address °� d City pia' d "v' State 747 Zip/v \ G11ikA AG 1;69p DMEION IX. RACM or ACM: Procedu-e, including analytical methods, employed to detect the presence of RACM arriA4tegergv,\51,1,1,0pflfgl#1,$.4r01. =State 71 Zip 33 Amount of RACM or AC square feet urfacing material linear feet p pe cubic feet o RACM off facility icomponents submitted in Compliance with square feet cementitious rerrtnbplcable r ulations. square feet resilient floorin square feet aspH I fthg =� *Identify and describe syrfacing material and other materials as apj licable: I certify that the above in4rmation is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on- site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection T during normal business hoursy/ P''- ,/e'"ti el() e'`A./ `/ ' " (Print Name ame of Ownerr /Oper to�r)��' ° _ (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 E PLAN REVIEW FINAL APPROVAL DCPA RTMENT OF ENVJROT T,. RESOURCES MANAGEKM. CORE REVIEWER (P SIGNATURE i‘ a f t n � �.� 1 I� o P1 a-ms fLev Ic.W esi s is THIS DO CUMENT HAS A :COLORED,BACKGRO'UND; • M1CR© PRINTINdaLINEMARKyT ';!RY1 +TENTE'DVAPER 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 1`20002999 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 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 BA - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 599424 -0 THIS IS NOT A BILL - DO NOT PAY RENEWAL BUmartaiw AY LTION INC STATEIETEET28839 625404 -9 749 NW 26 AVE 33125 MIAMI OWy,tCO CONSTRUCTION INC Se a iTY BUILDING CONTRACTOR WORKER/S 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. TIOS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED C OLLECIVIt LINTY TAX 07/12/2012 60020000479 000045.00 SEE OTHER SIDE DO NOT FORWARD JALCO CONSTRUCTION INC JOSE A VARGAS PRES 749 NW 26 AVE MIAMI FL 33125 iI, 11,„ 1L,,, II„ I Il1l11„I11IIi„,III „,I „l11,I11111 L141 02 -28 -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: 02/21/2011 EXPIRATION DATE: 02/20/2013 PERSON: VARGAS JOSE A FEIN: 205964182 BUSINESS NAME AND ADDRESS: dALCO CONSTRUCTION INC 749 NW 28 AVE MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED ROOFING 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 ar 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 an 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? 18501 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 ACORO® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YY) 09/04/12 PRODUCER Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)266 -6493 Fax (305)262 -0679 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED JALCO CONSTRUCTION INC 1876 NW 6 St 1 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 LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) 03/13/13 LIMITS A ❑ GENERAL V ❑ ❑ LIABIUTY COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE d OCCUR 3DF4154 03/13/12 EACH OCCURRENCE 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurence) 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) ❑ ❑ GARAGE LIABIUTY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG G ❑ EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LABILITY 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 ESCRIPTION OF OPERATIONS 1 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 POUCIES 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 OBUGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 2 © ACORD CORPORATION 1988 • 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 content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. V'" 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). (7 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. (ri _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. C"' 5. Pondirig 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. (CI 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 structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be be ficial to consider additional venting which can result in extending the service life of the roof. / Pr er's/Agent's Si • ature Date Con r' Signatu Property Address Permit Number Rev:112012005,Computer Services, Building Department Florida Building Code Edition High Velocity Hurricane Zone Uniform Pennifftts i Kr-12. --1 (055 Section A (General Inform> l n-l-- L Master Permit No. Process_ No. Contractor's Name J A L Co Job Address 9O A ' /f� if Ye 1 0 CONff-'L;rk HTE I,1 C -! ', ri . !P�C'I Lzac, :`i ill_ La" , ",lif ROOF CATEGORY 0 Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set The m Asphaltic ❑ Metal PaneU3hingles ❑ Wood Shingles/Shakes Shingles Are there \ ❑ Prescriptive BUR -RAS 150 Gas Vent Stacks? •'a. �- ' ' ROOF TYPE Type: Natural ❑ LPGX❑ c. Roof E Re.Rooflng ❑ Recovering ❑ Repair Q maintenance I; ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Section B (Roof Plan) Sketch Roof PI= Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. 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L.�!_. }emu 1111p ■ i■ .ti_.1 - - -■■ .1' i a■s u I: ar111a11■1a11` + t' . —! alaunll■arlalialii 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: Installed Ridge Venting: Existing Soffit Intake: lineal ft. ft.2 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: I 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: 11 -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: IGalvinized Metal Drip Edge Fastener Type: 1 -1/4 RS NAIL 4 "OC STAGGED Hook Strip /Cleat gauge or weight: — Select Hook Strip- a, • 11 rr Z,.1\4— 1 - • .....w..., ....... • .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 HD," "Timberline® Cool Series," "Timberline® Majestic," "Timberline® Majestic 30," 'Timberline® American Harvest' "," fimberline< ArrnorShield'"' II," "Marquis® WeatherMax ®," "Grand Canyon"'," "Grand Sequoia ®," "Camelot®," "Camelot® 30," "Camelot® 1l," "Camelot® IR," "Capstonets ," "Capstone® Impact Resistant IR" "Country Mansion ®," "Country Mansion® II," "Grand Slate ® ", "Grand Slate® 11," "Slatehne®:," "Woodland a;," and "Monaco*" for installation as Class A prepared roof covering. Suitable for installation on minimum 3 /8 -in. thick plywood roof decks in combination with minimum one ply "Shingle- Mate" or Type 15 or Type 30 underlayment. Also Classified in accordance with ASTM D3161, 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 1F 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` "," "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 Hp 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® ArmorShleld' " 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 Too 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 01'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 tc 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 roust appear adjacent to Me extracted material. In addition, the reprinted matenal 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.htmI ?name= -1'... --1 IS! 2() 1 2 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 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www. miamidade.eov /sera 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 12" x 36" TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3 -Tab profile GAF Royal Sovereign Shingle 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 11CA47919 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 1 1CA47919 12/03/11 MIAMI DADE COUNTY APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 ,approval 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. MIAMFDADE 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 7 " -- 6 " -- • • • p 1 5" 5" r- Drip Edge DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" • • • • END OF THIS ACCEPTANCE MIAMI•DADE COUNTY APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 Approval Date: 06/28/12 Page 4 of 4