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RF-12-1727Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178568 Permit Number: RF -9 -12 -1727 Scheduled Inspection Date: April 04, 2013 Inspector: Bruhn, Norman Owner: GALLAT, PAUL Job Address: 1130 NE 91 Terrace Miami Shores, FL Project: <NONE> Contractor: GLANER CORP Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132050010410 Phone: (786)586 -2790 Building Department Comments RE -ROOF FLAT WITH POLYGLASS Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments April 03, 2013 For Inspections please call: (305)762 -4949 Page 5 of 26 04 -09 -2012 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: 04/09/2012 EXPIRATION DATE: 04/09/2014 PERSON: TUNDIDOR TEODORO J FEIN: 651037427 BU'IINNFe NAME AND ADDRESS: GLANER CORP 5790 WEST 14TH LANE HIALEAH FL 33012 SCOPES OF BUSINESS OR TRADE: 1— DRAFTING 2— INSPECTION IMPORTANT: Pursuant to Chapter 440. 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 ao, 505,..1 5 11: a1 • 55 E. OT '1 aasnc.sc,a., In-s rrorr,. ,w.s.m_ OP ID: SISI A C.C.Ut ° CERTIFICATE OF LIABILITYINSURANCE DATE (INMIDDIYYYY) 03/12/2013 THIS CERTIFICATE I8 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(3), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED, the pollcy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s PRODUCER Phone: 305 -223 -2533 ISure Insurance Brokers 2700 SW 137 AVE Fax: 305 - 220 -0765 Miami, FL 33175 Teresa R. Carmona, Agent ` HO Ex; NC, Not: R ss: PRODUCER GLANS -1 CUSTOMER ID O. INSURERS) AFFORDING COVERAGE INSURER A:Accident Insurance CO. NAIC o INSURED Glaner Corp. Teo Tundldor 6790 W. 14 Ln. Hialeah, FL 33012 INSURERS :Travelers Indemnity Co of Fia INSURER C: INSURER D : 01126/2013 • INSURER E : ) INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY • CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED ISSUED TO CONTRACT THE POLICIES BY ICTEFT L.W THE INSURED OR OTHER DESCRIBED PAID CLAIMS t• D,`A,♦e NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LTR TYPE OF INSURANCE pDDL 1+6a POLICY NUMBER LIMBS A I GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CPP0000588 01 , 01126/2013 01/28/2014 01/28/2014 EACH OCCURRENCE $ 1,000,000 IllEareell $ 100,001. 1 CLAIMS -MADE X OCCUR MED Ei P (Anv,, one person) $ 5,00'' PERSONAL 8• ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEM_ AGGREGATE UMITAPPLIESPER FOLIC!' PRO, LOC PRODUCTS- COMPXDPAGG $ 2,000,00 $ B AUTOMOBILE I X _ FFL__ LIABLITY .ANY AUTO ALL OWNED AUTO$ SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BA2B39930412SEL 02/17/2013 02/17/2014 COMBINED SNGLE LIMIT (Ea accident) $ 100,001 BODLY INJURY (Per person) $ BODILY INJURY (Per eccidenr) $ PROPERTY DAMAGE Per ecciuert) $ PIP $ 10,00' $ 20,00& UI1 UMBRELLALLAB OCCUR EKCESSLIAB I CLAIMS -MADE "—^ I(^�• N I A I EACH OCCURRENCE $ AGGREGATE $ , DEDLCTIBLE RETENTION $ I $ A■ $ AND AND ANY OFFICER/MEMBER (Mendetory II es,descnbeunder DESCRIPTION RS COMPENSATION COMPENSATION EMPLOYERS' LIABILITY PRQPRIETORIPARTNEREXECUTIVE Y EXCLUDED? In NN) OF OPERATIONS belov E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF CPERATIONS 1 LOCATIONS 1 VEHICLES. (Attach ACORD 101, Addllonel Remarks Schedule, N more apace *required) General Contractor CERTIFICATE HOLDER CANCELLATION MIAMI S MIamI Shores Village fax: 306 758 8972 10060 NE 2 Ave. Miami Shores, FL 33138 -2304 SHOULD ANY OF THE ABOVE OESCRIBBD POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BEI DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE ACORD 25 (2009108) 1988-2009 ACORD CORPORATION. NI rights resery The ACORD name and logo are registered marks of ACORD d. Ted. Tundidor Engineer G LAN ER CORP.. Engineers 8t Contractors Back Flow Inspections Member American Society of Civil Engineers S790 W. 14 Lane Hialeah, FL 33012. Tel: 3(35.82 1974 Fax: 3o5-822-8454 Cell: 786- 553 -9988 TedTundidor@comeast.net tb)(01.1Z \t4\ VS5 (1 al AtAk UILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: /iI 3 fit/ E 9 / ,/77° City: Miami Shores Folio/Parcel #: County: if/ W 372 0 / q;/ 2 FBC20) Permit No. ; 6`"' Master Permit No. ROOFING Miami Dade Zipr Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): P r v : (/a- / Phone #: Address: / 0 ,O " 9 City: Tenant/Lessee Name: Phone #: Email: State: Zip: CONTRACTOR: Company Name:' , 7 /2 /' c ©f�p Address: 5 7 . �N © /67 / J ite / /ea. State: City: Qualifier Name: State Certification or Registration #: Contact Phone #: /7/ 'red 7;iii[At iad7o2.7�'T c Phonet / '7 /1 C , 07 790_4 lt(12 n5 99Y Zip: ,33Z7/aZ Phone #: 7f4 55-3 - 77 2f Certificate of Competency #: Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit Type of Work: ❑Addition Description of Work: ® ® Square/Linear Footage of Work 7 S q ,i Alteration, CINew Repair/Replace ®Demolition Phone #:. §- f Color thru tile: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees*** 0********** * * * *** * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ DPermit Fee $ SO° CCF $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 2,1tc' Bonding Company's Name (if applicable) .N ,. 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 inspection will not b pproved and a, einspection fee will be charged. " Signature ' �.% � -t' Signa Owner or Agent 1 i ( c _6 gg _5-307)0-6 Contra for The foregoing instrument was ac owle�ged before me this /0 The foregoing instrument was acknowledged before me r y f l F.�I be 20 to by day oJf ��1 yl (i4, 20 Lam, by au/ �(� rig day of>�e , who is personally known me or who has produced r Z OI. , who is personally known to me or who has produced 6 too " ,6 ki -6 % °3 iden?fication and who did take an oath. NOTAR Sign: Print: My Commission xpires: � 11.1)0 90118 ,wadi 10, 2614 U APPROVED BY 5-7,r as identification and who did take an oath. NOT Sign. Print: My Commission Expires: Plans Examiner Zoning Structural Review Clerk (Revised 5 /2 /201E5(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) RECEIPT NO. 30- 7014608 BUSINESS NAME / LOCATION GLANER CORP 5790 W 14 LA OWNER :GLANER CORP THIS IS NOT A BILL — DO NOT PAY CC NO: E747 SEE BACK OF RECEIPT FOR A LIST OF NON- PARTICIPATING MUNICIPALITIES Receipt holder must register in the city where work is to be done. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX 0O11FO` 0.20/2012 02220025005 000200.00 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 FIRST-CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY BUILDING CONTRACTOR DO NOT FORWARD GLANER CORP TEODORO J TUNDIDOR V PRES 5790 W 14 LA HIALEAH FL 33012 11.111111111111111111111. 111111111 1111111111111111.11111111111 4 275787 -1 BUSINESS NAME / LOCATION GLANER CORP 5790 W 14 LA 33012 HIALEAH OWNER GLANER CORP Sec. Type of Business 2012 LOCAL BUSINESS TAX RECEIPT 2013 MIAMI-DADE COUNTY f STATE OF FLORA EXPIRES SEPT. 30, 2013 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL - DO NOT PAY RENEWAL RECEIPT NO. 701460-8 CC B E747 THIS Is jN2Y6A 1'OECIALTY BUILDING CONTRACTOR 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 UCENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S OUALIFICA- nONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 08/20/2012 02220025001 000045.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD GLANER CORP TEODORO J TUNDIDOR V PRES 5790 W 14 LA HIALEAH FL 33012 iii1i1I11151111tff .111i1111i111111111111111111� d u 11 ". 1iii Asti MIAMI-DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2012 LOCAL BUSINESS TAX RECEIPT 2013 MIAMI *DADS COUNTI"" -STATE OF FLORIDA EXPIRES SEPT. 30, 2013 MUST BE DISPLAYED AT PLACE OF BUSINESS ' PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL — DO NOT PAY 275787 -1 RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 288928-6 GLANER CORP 5790 W 14 LA 33012 HIALEAH OWNER GLANER CORP Sec. Type of Business an is O T I L ' Y 6 A ( ERA L 3USINESS TAX RECEIPT. IT 30ES NOT PERMIT THE 4OLDER TO VIOLATE ANY ,IXISTNG REGULATORY OR !ONNG LAWS OF THE :OUNTY OR CITIES. NOR 3OES IT EXEMPT THE 4OLDER FROM ANY OTHER 3ERMIT OR LICENSE iEQUIRED BY LAW. THIS IS 4OT A CERTIFICATION OF IHE HOLDER'S QUALIFICA- noNs. 'AYMENT RECEIVED (IIAMI -DADE COUNTY TAX .OLLECTOR: 08/20/2012 02220025002 000045.00 SEE OTHER SIDE CC # E747 WORKER /S ENGINEERING CONTRACTOR 3 DO NOT FORWARD GLANER CORP TEODORO J TUNDIDOR V PRES 5790 W 14 LA HIALEAH FL 33012 1.111 n III {S1IIi 1i31iIF1 „I, 1.1 .1 11 IllFFiilff1l fllllI }f�' 5 RECEIPT NO. 30- 2889286 BUSINESS NAME / LOCATION GLANER CORP 5790 W 14 LA OWNER :GLANER CORP CIPALf 1NTRAGTi, TAX- RECEIP'> „., 'PAO COUNTY' STATE OF SUMMIT) COUNTY COPES PIMPS SEPT 30, oil THIS IS NOT A BILL - DO NOT PAY CC NO: E747 SEE BACK OF RECEIPT FOR A LIST OF NON-PARTICIPATING MUNICIPALITIES Receipt holder must register hi the city where work is to be done. PAYMENT ED MIAMI -DADE COUNTY TAX GO1'L - U20/2012 02220025004 000300.00 FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. GENERAL ENGINEERING CONTRACTOR DO NOT FORWARD GLANER CORP TEODORO J TUNDIDOR V PRES 5790 W 14 LA HIALEAH FL 33012 1 II II Ei F Ili 11 I Fi m ilEf In id Ei}1i1}EI11I1III1IEI,II,I1 PaIR11,51,71,,OVVA,W.0,,,* , , ev. AC# 5819389 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L1110100154 STATE OF FLORIDA DATE BATCH NliiVIBEft LICENSE NBR 10/10/2011 110132361. RG291103814, The GENERAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS, Expiration date: AUG 31, 2013 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) TUNDIDOR, TEODORO J GLANER CORP 5790 WEST 14TH LANE .HIALEAH FL 33012 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY lillnKrat% .fikepocoptkr,:las VC..011tIEMDEM4GR60 5Sfii1C1300,11iNITINbtilfsErtifAWNTEOtEb1.144REpi LAC# 5819388 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING :,BOARD SEQ#L11101001542 LICENSE NBR DATE 4 tb, BATCH NUMBER 10 10 2011 110132067 RC2902745SN The ROOFING CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 4 FS. Expiration date: AUG 31, 2013 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING -IN ANY AREA). TUNDIDOR, TEODORO J GLANER CORP. 5790 WEST 14TH LANE HIALEAH RICK SCOTT GOVERNOR FL 33012 KEN LAWSON SECRETARY DISPLAY AS REQUIRED BY LAW JEFF ATWATER CHIEF FINANCIAL OFFICER p. STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 04 -09 -2012 * * 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: 04/09/2012 EXPIRATION DATE: 04/09/2014 PERSON: TUNDIDOR TEODORO J FEIN: 651037427 Btu. SAME AND ADDRESS: GLANtK CORP 5790 WEST 14TH LANE HIALEAH FL 33012 SCOPES OF BUSINESS OR TRADE: 1- DRAFTING 2- INSPECTION IMPORTANT: Pursuant to Chapter 440 . 05 {14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05 {13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 FSC Mixed Sources grow 400nhs !m 1, kmsu mtl aRm mmrouaa saucas City of Hialeah Business Tax Receipt Mayor Carlos Hernandez PRINTED WITH �co„ no. scstCoycoonl2st�q (OLD_1541 -170) FRIENDLY GREEEN IMMO: °i+� �:2 G 16 ` e person, firm or core. listed here ha iaid the business tax required to eu ations and 'restrictions of City of Hialeah, Florida Owner,. GLAI Business: Industrial Building Construction. GLANER CORP 5790 W 14 LANE HIALEAH FL 33012 QUESTIONS? (850) 413 -1609 2011 -12 Amount: 200.00 Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home I Product Control I Contractors Building Officials I Contact us Contractor License Information E747 GLANER CORP. 3468 WEST 84 ST STE B109 HIALEAH (786) 553 -9988 Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: D /B /A: Contractor Status: (305) 822 -8454 NATIONS BROADBAND ACTIVE FL 33015 Class Category Category Description Expiration Date BLDG 1 GENERAL (COUNTY) 09/30/2014 BLDG 44 ROOFING 09/30/2014 BLDG 55 SWIMMING POOL 09/30/2014 ENGR 1 GENERAL ENGINEERING 09/30/2013 CONTRACTOR INQUIRY COMPLETE Contractor Inauiry and Complaint Search 1 Home Pane 1 State License Search Menu }tome 1 Using Our Sitg 1 AUat ti 1 phone Directory 1 Privacy 1 pisolaimer E -mail your comments or questions to BLDGDeotOmiamidade.aov © 2001 Miami -Dade County. All rights reserved. http: / /egvsys. metro- dade.com:16O8 /W W WSERV /ggvtBNZAW941.DIA ?CNTR =E747 9/17/2012 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: i. ' , //02- 10050 NE 2nd Ave Miami Shores, Fl 33138- r' Name: a tJ 6,Lioc Re. Owner's 7— Property Address: 1/3 0 A/ F 9/ 7 i Roofing Permit Number: Dear B '!ding 0 rcial: C' /t/ t certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o 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) Sig ' ature State of Florida County of Dade The undersigned, being the first duly s . '.m, d siomsand says that h is t e owper for the above property mentioned. Sworn to and subscribed before me . - h day o L, v--- P\O WicLLIEr Print Name Notary Public, Sate of Florida at Lar • When the just valuation of the structure for purpose of ad valorem r a on . 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 Search: .1130 N,,E. 91 Teri. Enter either folio, owner name, or address. i sa Selected Property Information Property Information Full Legal Description Assessment Information Exemption Information Sales Information Additional Information Featured Online Tools Tax Comparison Tax Estimator r TRIM Notice View Taxes .n Additional Online Tools Rx:k to Reoi4t4 Folio: Property Address: Owner: Mailing Address: 11- 3205 -001 -0410 1130 NE 91 TER RAYMOND P GALLAT TRS PAUL HENRI GALLAT TRS. 500 MOKENA DR MIAMI SPRINGS FL 33166- Assessment Information Year 2012 Land Value: $162,000 Building Value: 6215,571 Market Value: 6377,571 Assessed Value: 6345,784 Taxable Value Information County: School Board: City: Regional: Exemption /Taxable Value $50,000 /$295,784 $25,000 /$320,784 $50.000 /$295,784 $50,000 /$295,784 2011 $135,000 $216,864 $351,864 $335,713 Exemption /Taxable Value $50,000 /$285,713 $25,000 /$310,713 $50,000 /6285.713 $50,000 /$285,713 Street Map Aerial Map The Office of the Property Appraise and Miami-Dade county are ;ontin001 , editing cad r �. or implied. are provided for data and the positional or thematic accuracy of the data nere n or file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County ass.rh - such or for any decision made. action taken. or action not taken by the user in reliance upon any Tao, See Miami-Dade County full disclaimer and User Agreement at http:nlwww. miamidade.00vlinfoi drsci, Property information :inquiries. comments. and suggestions email pa webriialamrarnldade.gov. GIS inquiries. comments, and suggestions email'. a,sOmiamidade.pov. Home Privacy Statement Disclaimer About Us ADA Notice Phone Directory Contact Us at 2010 Aerial Photogtaphy CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: PERMIT # -) 0\ A_ a L c, ADDRESS: , FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): 1/0)0°--- / d 0 ®- COST OF PROPOSED IMPROVEMENTS: - =_il„ (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): 3 , C(o2 VALUE OF PRINCIPAL STRUCTURE (attach appraisal) 1, r, OWNERS SIGNATURE: PLANREVIEWER: PLAN SIGNATURE: DATE: REVIEWER SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool A "substantially improved" structure in a Flood Zone must be brought into compliance with Miami Shores Village Flood Damage Prevention Ordinance for new construction. This means a residential structure must be elevated to or above the level of the 100 -year or base flood and a commercial structure must be effectively "flood proofed" and meet other applicable requirements. These regulations are based upon the Federal Emergency Management Agency (FEMA) requirements and affect your flood insurance costs. Existing residential structures can be "substantially improved" by interior renovations or new additions or other improvements. EXAMPLE: In order to determine whether a proposed construction project would be classified as a substantial improvement, the market value of the building needs to be determined. This value is found on the official tax assessor's card for the property or may be obtained by a licensed property appraiser. That number is then divided by 2 to determine the substantial improvement threshold. Therefore, a home with a market value of $100,000.00 could have no more than $50.000 worth of new construction /renovations and /or repairs before the house would have to be elevated above the 100 year base flood elevation as shown on the Flood Insurance Rate Maps. It is the responsibility of the Building Department staff to ensure that the market value estimates are accurate and the cost estimate reflects the actual costs to fully repair the damage and make any other improvements to the structure. The staff requires that the permit applicant or owner of the building supply the proposed construction cost estimate, or contractor's contract, to make the determination. The staff then uses the latest "Means Square Foot Costs" and "Means Construction Cost Data" books to determine the accuracy of the estimate. These are nationally accepted manuals, which itemize all components involved with construction. The manual provides adjustment rates to handle the varying construction costs throughout the country. Q: What should be included in a contractor's estimate? A: Basically, the only items that are not included in the cost include plans, specifications, surveys and permit fees. All materials that are permanently a part of the structure should be included in the cost estimate. These items include, but are not limited to: windows, doors, hardwood floors, wall to wall carpeting, sheetrock, lumber, roofing material, footings, pilings, kitchen cabinets and counter tops, bathroom vanities, tiling, plumbing fixtures, new furnaces, hot water heaters, heating and air conditioning systems, electrical work and labor. The cost of all materials involved in new construction or replacing and restoring a structure to its pre- damaged condition must be included. Even if volunteer labor or self -labor is used, it must be estimated based on minimum -hour wage scales for the type of construction work that is done. Created on June 2009 IVliami Shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Several properties in Miami Shores Village are located in a Special Flood Hazard Area (SFHA) as determined by the Flood Insurance Rate Map (FIRM). Development in a SFHA requires special attention to help protect life and property in the unfortunate event of a flood. Miami Shores Village Flood Damage Prevention Ordinance requires that the Building Department determine if a structure will be "Substantially Improved" prior to issuing any permits for improvement or repair. "Substantial Improvement" is defined in Miami Shores Village Flood Damage Prevention Ordinance as follows: "any reconstruction, rehabilitation, addition, or other improvement of a structure, the cost of which equals or exceeds 50 percent of the market value of the structure before the "start of construction" of the improvement. This term includes structures that have incurred "substantial damage" regardless of the actual repair work performed." The starting date to determine cumulative costs will be 12 months prior to the issuance of any permit under consideration. All future work considered would require appropriate approvals prior to construction. All cumulative costs will be re- evaluated at the time the permits are issued. Q: Why was the 50% figure chosen as the substantial improvement threshold? A: The 50% threshold was chosen as a compromise between the extremes of 1) prohibiting all investment to structure in SFHA and 2) allowing structures to be improved in any fashion without regard to the hazard present. In the first alternative there is potential for causing hardship to those who have located in a SFHA without knowledge of the risk because the structure was constructed prior to the designation of the area as flood prone. These individual could not improve their structures as damage or age contributed to their deterioration. The second alternative provides no mechanism to ensure that increased investment in SFHA will receive needed protection from flood risk, thus contributing to the increased peril of life and property. The threshold is thus a compromise at a halfway point. "Market Value" is defined in Miami Shores Village Flood Damage Prevention Ordinance as follows: " the building value, which is the property value excluding the land value and that of the detached accessory structures and other improvements on site (as agreed to between a willing buyer and seller) as established by what the local real estate market will bear. Market value can be established by an independent certified appraisal (other than a limited or curbside appraisal, or one based on income approach), Actual Cash Value (replacement cost depreciated for age and quality of construction of building), or adjusted tax - assessed values." Note: The "Market Value" does not include the value of the land or other improvements on the property. (ie: pool, gazebo etc.) Created on June 2009 Folio 11- 3205 -001 -0410 Property Address 1130NE91TER Owner Name(s) RAYMOND P GALLAT TRS PAUL HENRI GALLAT TRS 500 MOKENA DR MIAMI SPRINGS FL 33166 Primary Zone 1100 SGL FAMILY - 2301 -2500 SQ . ............................... Use Code 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths/Half 3/2/0 Floors Living Units 1 Adj., 2,549 Lot Size 9,375 SQ FT Year Built 1955 Legal Description 5 53 42 WATERSEDGE PB 9 -141 LOT 16 & W1/2 LOT 17 BLK 2 LOT SIZE 75.000 X 125 COC 21959 -2609 09 2003 4 OR 21959 -2607 0903 01 Current Previous Year 2012 2011 Land Value $162,000 $135,000 Building Value $215,571 $216,864 Market Value $377,571 $351,864 Assessed Value $345,784 $335,713 Current Previous Year 2012 2011 Homestead $25,000 $25,000 2nd Homestead $25,000 $25,000 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 Widow(er) $0 $o Disclaimer: MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser Aerial Photography 2010 Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $50,000 / $295,784 $50,000 / $285,713 1 B $25,000 / $320,784 $25,000 / $310,713 City $50,000 / $295,784 $50,000 / $285,713 Regional $50,000 / $295,784 $50,000 / $285,713 Date Amount Recording Book -Page Qualification Code 9/2003 $0 21959 -2609 Sales which are disqualified as a result of examination of the deed 9/2003 $0 21959 -2607 Sales which are disqualified as a result of examination of the deed The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http: / /www.miamidade .gov/info /disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Monday, September 17, 2012 Permit No: 12 -1727 Job Name: September 18, 2012 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Section A and B are incorrect. The wrong address and square footage. The roof plan las instruction, please follow them. 2) Section C is incomplete. Provide the design wind Toads and the product max Toads. Complete the illustration. 3) Provide a moisture test per FBC Res 4402.10 and an uplift test per FBC Res 4402.10. 4) Provide evidence that the roof sheathing is attached per the FBC 4410. 5) Provide a fire directory listing page. 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 ail include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: eAria - t1 1-4" DATE: /SA 1 j12_— 1, A(CK 14/ce ontractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) 4 ri Address: 1 - I 7Z- 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 Depart . -nt to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: S t PERMIT CLERK INITIAL: C.O._ Miami Shores V Building Department RECEIPT PERMIT #: 2:1 DATE: I, Contractor ❑ Owner ❑ Arc Vlo OV, Picke 22 sets of plans and (other) Address: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PD rro--1-m, alS ac rt � a Rep ,*trirc 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 Departm:it to continue permitting process. ..1y) te Acknowledged by: PERMIT CLERK INITIA RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 February 25, 2013 Permit No: RF12 -1727 Buildinq Critique 1. The permit application and the High velocity application do not match. The permit application shows a Sealoflex Recover. The High Velocity Roofing Application appears to be a re -roof with Polyglass. Please provide a complete and consistent roofing permit package for review. NB Norman Bruhn CBO 305 - 762 -4859 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. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES F EB 1 �13 L.+ . P;�; \ /ED BY -` N0 DEP Florida Building Code E High - Velocity Hurricane Zone Uniform Pe IfA' o4 :1PLIPNCE MITI Al I FEDERAL STATE ANu C IjNi t' RULES AND REGULATIONS Spctinn A (Gpnprai Info knit— C:(64,1 Master Permit No. Pro Contractor's Name Job Address ek Corp. _ /P(7 E 114- Ierc, Process No. 7 *, ...,,,,,,4I. 52 iLow Slope ❑ Mechanically Fastened Tile ❑ Mortar/ ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingies/Shakes Shingles ❑ New Roof ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) )j `-f Steep Sloped Roof Area (SF) IKRepair ❑ Maintenance Total (SF) 3'-(7 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 19 FLORIDA BUILDING CODE — BUILDING tff ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 4402.14 HIGH - VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A.B.0 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4.5,6,7 Wood Shingles and Shakes A,B,D 1.2,4,5,6.7 Other As Applicable 1,2,3,4.5.6.7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing /Calculation Documentation FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Iication Section C (Low Slope Application) Fill In specific roof assembly components and Identify manufacturer (If a component is not used, Identify as "NA ") System Manufacturer t iv (a_63 �3 A Product Approval No.: �^ �a /5-' 07 PP Design Wind Pressures, From RAS 128 or Calculations: Pmax1r l a Pmax2: °' �D Pmax3: — � V- Max. Design Pressure, from the peciflc Product Approval system: —4-2 9 Deck: /th -f Type: (/�� Gauge/Thickness: `3/Li Slope: Anchor/Base Sheet & No. of Ply(s): A/ /A Anchor/Base Sheet Fastener/Bonding Material: Ai/A Insulation Base Layer: /V / A Base Insulation Size and Thickness: /1) Base Insulation Fastener/Bonding Material: N J /i !I/ r� Top Insulation Layer: Top Insulation Size and Thickness: /V /i-� Top Insulation Fastener/Bonding Material: //� Surfacing: Al Fastener Spacing for Anchor /Base Sheet Attachment: Field: L" oc @ Lap, # Rows3 " oc Perimeter: jj " oc @ Lap, # Rows `I @ (i7 "oc Comer: (O " oc @ Lap, # Rows 7 @ " oc Number of Fasteners Per Insulation Board: qq,, Field A Perimeter .V/4- Comer'U4 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 Base Sheet(s) & No. of Ply(s): (1) 17 (0.94 Ai5L.CAPe0 I) ELQ 5 fb i a 5 -r? Base Sheet F stener on lln attrial: Ply Sheet(s) & No. of Ply(s):(() fl a310 P/ SA (. Ply Sheet Fastener/BSlnr irk M e,11 1: r. Top Ply: /h2Ie< Top Ply Fastener/Bonding Material:e (t 144,feep FLORIDA BUILDING CODE — BUILDING • Z FT FT Parapet Height Mean Roof Height ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Permit Application Form. Sectinn D (Steep Slnppd Rnnf SyStQm) Roof System Manufacturer: Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: P2: P3: Maximum Design Pressure (From the Product Approval Specific System): Roof Slope: : 12 Steep Sloped Rnnf System Description Deck Type: Type Underlayment: Insulation: Ridge Ventilation? Fire Barrier: Fastener Type & Spacing: Adhesive Type: Mean Roof Height: Type Cap Sheet: Roof Covering: Type & Size Drip Edge: FLORIDA BUILDING CODE — BUILDING • 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. Additional) , the following items should be addressed as part of the agreement between the owner ant the contra' • The owner's initial in the designated space indicates that the item has been explained. 1. I ..../ Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of p • vidi • that the roof system meets the wind resistance and water instruction performance standards. A= thetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such - color or architectural appearance, that are not part of a zoning code, should be addressed as part of th - - • ++4. ement between the owner and the contractor. it . . . 4� -c Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be re'i -- ‘ in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior �• ving the existing roof system). 3. ii._ Common roofs: Common roofs are those which have no visible delineation between neighboring ;- e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or .hould notify the occupants of adjacent units of roofing to be performed. 4. I Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can bel, ewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail p :; tion of the underside of the decking may not be acceptable. This provides the option of maintaining the nce. Ponding water: The current roof system and/or deck of the building may not drain well and may se 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 ncy and performance of the new roofing system. Pounding conditions may not be evident until the ofing 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 ov rloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if ove w scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in nce with the requirements of Sections R4402, R4403 and R4413. Ventilation: Most roof structures should have some ability to vent natural airflow through the rior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be uced. It may be beneficial to consider additional venting which can result in extending the service life of the r, /1J ► er /Agent's Signature Date Revised on 7/9/2009 LD "To,/ Con -ctor Signat e Date MIAMI. DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA, Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov /economy 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 RER - 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. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Self- Adhered Roof System over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for 'sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA# 11- 0425.07 and consists of pages 1 through 26. The submitted documentation was reviewed by Alex Tigera. THE 'IF MeS 3 MON THE NEV NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 1 of 26 �' OF THUS SALE ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Materials Deck Type: Maximum Design Pressure Roofing Modified Bitumen SBS /APP /TPO Wood -112.5 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR TABLE 1 Test Product Dimensions Specification Elastobase 65' 2" x 3' 3 -3/8" ASTM D 6163, Type 1 Elastobase P 5' 2" x 3' 3 -3/8" ASTM D 6164, Type I Elastoflex SA V FR 32' 6" x 3' 3 -3/8" ASTM D 6163, (1.5 -mm) Type I Elastoflex SA V 32' 6" x 3' 3 -3/8" PLUS FR Elastoflex SA V (1.5- 32' 6" x 3' 33/8" mm) Elastoflex SA V 32' 6" x 3' 33/8" PLUS Elastoflex SA P FR 32' 6" x 3' 3 -3/8" Elastoflex SA P 32' 6" x 3' 3 -3/8" Polyflex SA P 32' 6" x 3' 33/8" Polyflex SA P FR 32' 6" x 3' 33/8" Polyfresko SBS SAP 32' 6" x 3' 33/8" E TER % S ASTM D 6163, Type I ASTM D 6163, Type I ASTM D 6163, Type I ASTM D 6164, Type I ASTM D 6164, Type I ASTM D 6222, Type I ASTM D 6222, Type 1 ASTM D 6164, Type I G CONE W1Oi S ON THE 'S` LABELED BY APPLICANT: Product Description SBS modified asphalt coated fiberglass reinforced base sheet. SBS modified asphalt coated polyester reinforced base sheet. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self- adhered, polyester reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 2 of 26 varisE ME ARE PART F T S SALE Polyfresko SBS SAP FR Polyfresko APP SAP Polyfresko APP SAP FR PolyKool PG325 Cold Process Adhesive PG100 Asphalt Primer PG350 Mod Bit Adhesive PG400 Plastic Roof Cement PG425 Wet /Dry Roof Cement PG450 Flashing Cement PG500 MB Flashing Cement Polyplus 35 Premium Mod Bit Adhesive Polyplus 45 Premium Flashing Cement Polyplus 50 Premium MB. Flashing Cement Polyplus 55 Premium Flashing Cement 32' 6" x 3' 33/8" 32' 6" x 3' 3 -3/8" 32' 6" x 3' 3-3/8" 32' 10" x 3' 3-3/8" 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal, tube or 17 oz. spray can 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or 'THE TERMS AM tube •II11 NI ASTM D 6164, Type I ASTM D 6222, Type I ASTM D 6222, Type I ASTM D6222 Type I ASTM D3019 Type III ASTM D41 ASTM D3019 Type III ASTM D4586 ASTM D3409 ASTM D4586 ASTM D3409 ASTM D4586 ASTM D4586 ASTM D3019 Type III ASTM D4586 ASTM D4586 ASTM D4586 Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface Self - adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a white film laminate on the top surface. A fibered cold process adhesive for use with roll or BUR -roofing. A penetrating solution of solvent and a blend of selected asphalts used to promote adhesion. A fibered rubberized adhesive designed for use with modified bitumen membranes. A thick, fibered, rubberized flashing cement for use in dry or damp conditions. A thick, fibered, rubberized flashing cement for use in dry or damp conditions. A thick, fibered, rubberized flashing cement. A thick, fibered, rubberized flashing cement for use with modified bitumen membranes. A fibered rubberized adhesive designed for use with modified bitumen membranes. A thick, fibered, rubberized flashing cement. A thick, fibered, rubberized flashing cement for use with modified bitumen membranes. A mastic compound for use as a roof flashing adhesivg. NOA No.: 12- 0815,07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 3 of 26 ON THE REVERSE MMOE ARE PART + F THIS S LE APPROVED INSULATIONS: Product Name Polytherm-H Polytherm Polytherm Composite ACFoam II ACFoam III High Density Wood Fiberboard Perlite Insulation Type X Gypsum DensDeck, DensDeck Prime H- Shield H- Shield CG ENRGY -3, JM ISO 3 Fesco Board Multi -Max FA -3 SECUROCK Gypsum -Fiber Roof Board THE TERMS AND C TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite composite insulation. Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite insulation board Fire resistant rated gypsum. Gypsum insulation board Polyisocyanurate foam insulation Polyisocyanurate /perlite composite insulation Polyisocyanurate foam insulation Expanded mineral fiber Polyisocyanurate foam insulation Fiber reinforced coverboard ND9 IONS ON THE REVERSE Manufacturer (With Current NOA) Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Atlas Energy Products Atlas Energy Products Generic Generic Generic Georgia - Pacific Hunter Panels, LLC Hunter Panels, LLC Johns Manville Corp. Johns Manville Corp. RMax, Inc. USG NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 4 of 26 .ARE PART OFTH16SALE APPROVED FASTENERS: Fastener Number Product Name 1. Dekfast Fasteners #12, #14 & #15 2. Dekfast Galvalume Steel Hex Plate 3. Dekfast Dekflat Round Plastic Lock Plate 4. #12 & #14 Roofgrip 5. Flat Bottom Metal Plate 6. Plastic Plate 7. Tru -Fast HD ( #14) 8. Tru -Fast 3" Metal Insulation Plate 9. Tru -Fast TP 10. Polygrip Fasteners #12, #14 & #15 11. Polygrip Hex Plates 12. Dekfast Galvalume Steel 3 in. Round 13. Millennium One - StepTM Foamable Adhesive THE TERMS AND CON TABLE 3 Product Description Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation and membrane fastener A2 -SS aluminized steel plate Polyethylene stress plate Insulation fastener for steel and wood decks Round Galvalume AZ50 steel plate Carbon steel fastener Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. 3" round galvalume AZ50 steel plate Insulation Adhesive Manufacturer Dimensions (With Current NOA) SFS Intec, Inc. 2 7/8" x 3 '/4" 3 "x3'/4" Various 3" square 3.2" round 3.23 round 3" round Various Various 27/ s "x 3 '/" 3" round Various SFS Intec, Inc. SFS Intec, Inc. OMG, Inc. OMG, Inc. OMG, Inc. The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. Polyglass USA, Inc Polyglass USA, Inc SFS Intec, Inc. Adco Products NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 5 of 26 9T ONS OH THE nEVERSE 11 ARE PART OF THIS SALE APPROVED SURFACING: Product Name PG200 Non - Fibered Roof Coating PG300 Fibered Roof Coating PG600 Non - Fibered Aluminum Roof Coating PG650 Fibered Aluminum Roof Coating PG700 White Elastomeric Roof Coating PG800 Non - Fibered Asphalt Emulsion Roof Coating PG850 Fibered Asphalt Emulsion Roof Coating Polyplus 65 Premium Fibered Aluminum Roof Coating Polyplus 60 Premium Non - Fibered Aluminum Roof Coating Polybrite 70 White Elastomeric Roof Coating Gravel Slag THE TE TABLE 4 Product Description A non fibered asphaltic coating used to add life and rejuvenate existing BUR roofing substrates. An asphalt cutback fibered roof coating. May be applied by brush or spray equipment to rejuvenate aged BUR Non- fibered aluminum roof coating. Fibered aluminum roof coating. A premium white elastomeric acrylic based roof coating (water - based). A polyester fabric may be used for reinforcement with this coating. An asphalt base, un- fibered clay emulsion An asphalt base, fibered clay emulsion Fibered aluminum roof coating. Non - fibered aluminum roof coating. A premium white elastomeric acrylic based roof coating (water- based). A polyester fabric may be used for reinforcement with this coating. To be installed in a flood coat of approved asphalt at 60 lbs /sq To be installed in a flood coat of approved asphalt at 60 lbs /sq 1S AND COND TIO Application Rate 11/2-2 gal/sq Specification TAS 140 11/2-2 gal/sq ASTM D4479 1/2-1 gal/sq 1'/2 -2 gal/sq l -1' /2 gal /sq 3 gal /sq in two coats 3 gal/sq in two coats 11/2-2 gal /sq ' /2 -1 gal /sq 1 -11/2 gal /sq 400 lbslsq 300 lbs /sq ASTM D2824 Type I ASTM D2824 Type III ASTM D6083 ASTM D1227 ASTM D1227 ASTM D2824 Type III ASTM D2824 Type I ASTM D6083 N/A N/A Manufactur er Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Polyglass USA, Inc. Generic Generic NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 6 of 26 S ON THE R vEF SE SHOE ARE PART OF T a9S SALE EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corporation Underwriters Laboratory Trinity I ERD PRI Asphalt Technologies THE TE NIS Test Name/Report 4470 4470 4470 TAS 114 TAS 114 TAS 114 TAS 114 TAS 117(B) -ASTM D903 TAS 114 TAS 114 TAS 114 -J TAS 114 -J TAS 117(B) -ASTM D6862 ASTM D6164 / ASTM D6222 ASTM D6164 / ASTM D6222 ASTM D6222 TAS 114(D) — ASTM D1876 ASTM D6222 FM 4470 & TAS 114 ASTM D6163 / ASTM D 4601 ASTM D6222 ASTM D6222 ASTM D6163 CON1 T ONS O� Report No. J.I. 3001334 J.I. 3000857 J.I.3004091 00NK20869 11751.05.03 11758.08.03 P1738.02.07 020841.06.04 11757.12.00 -1 11757.04.01 -1 P9260.03.08 P7860SC.11.08 C8500SC.11.07 P10490.08.08 P10490.10.08 -R1 P7400.03.08 -R2 P10070.10.08 P10490.10.08-2 P33970.03.11 P33960.03.11 PUSA- 061 -02 -02 PUSA- 062 -02 -02 PUSA- 064 -02 -02 Date 02.15.00 01.12.00 01.12.00 06.08.00 05.30.03 08.11.03 02.05.07 06.02.04 12.01.00 04.27.01 03.21.08 11.30.07 11.30.07 08.13.08 10.03.08 10/09/08 10/09/08 10/30/08 03/15/11 03/15/11 01.28.08 12.04.08 02.27.08 NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 7 of 26 THE V -,RE PART OF OS ALE Membrane Type: SBS /APP Deck Type 1: Wood, Non - Insulated Deck Description: 19/3211 or greater plywood or wood plank, fastened with 8d common nails at 4" o.c. or #8 wood screws at 6" o.c. System Type E(3): Base sheet is mechanically attached to roof deck. All General and System Limitations apply. Base Sheet: One ply of Elastobase or Elastobase P fastened to the deck as described below: Fastening: Attach base sheet using 11 ga. annular ring shank and 1 -5/8" diameter tin caps spaced 8" o.c. in a 4" lap and 8" o.c. in three equally spaced staggered rows in the center of the sheet. Ply Sheet: One or more plies of Elastoflex SA V, Elastoflex SA V PLUS, Elastoflex SA V FR, or Elastoflex SA V PLUS FR self - adhered. Membrane: One ply of Polyfresko SBS SAP, Polyfresko SBS SAP FR, Polyfresko APP SAP, Polyfresko. APP SAP FR, Elastoflex SA P, Elastoflex SA P FR, Polyflex SA P, PolyKool or Polyflex SA P FR self adhered. Surfacing: (Optional) Install one of the approved surfacing products listed in Table 4 to obtain desired coating or required fire classification. Maximum Design Pressure: -60 psf; (See General limitation #7.) NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 22 of 26 THE TERMS AND C ND T1ON ON E. R VERSE SIDE ARE PART OF TH1S SALE WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 26 of 26 THE TE S AND CON r nioi s Oil,d THE REVERSE SIDE ARE PART OF THIS SF? LE TGFU.R14571 - Roofing Systems Page 5 of 9 FR HT", (self adhered) or " POLYFLEX G FR ", "Xtraflex APP G FR ", " POLYFRESKO TORCH FR ", "DUFLEX G FR ", " ELASTOFLEX S6 G FR ", "POLYFRESKO MOP FR ", " ELASTOFLEX VG FR" or "ELASTOSHIELD TS G FR ", heat fused. 22. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Polylsocyanurate 1.5 in. (min.) with all joints staggered 6 -in. (min.) from the plywood joints. Base Sheet: — Type G2, mechanically fastened followed by "ELASTOBASE ", mechanically fastened. Ply Sheet (Optional): — " ELASTOFLEX SA V PLUS FR" , " ELASTOFLEX SA V FR" or "ELASTOFLEX SA V FR BASE VENT ", (self adhered) Membrane: — " POLYFLEX SA P FR ", " POLYFRESKO APP SA P FR ", " ELASTOFLEX SA P FR ", " POLYFRESKO SBS SA P FR ", or "DUFLEX G FR ", "POLYFLEX G FR ", "Xtraflex APP G FR ", " ELASTOFLEX S6 G FR ", " POLYFRESKO MOP FR ", " ELASTOFLEX VG FR" or " ELASTOSHIELD TS.G FR ", heat fused. • /` 1 ! (; 23.Deck: NC Incline: 2 �`. • Insulation (Optional): — Atlas Roofing "ACFoam III" or "ACFoam II" or Hunter Panels "H- Shield ", any thickness. Base Sheet: — " ELASTOBASE" (poly /sand), heat fused or mechanically fastened or " ELASTOFLEX SA V FR ", " ELASTOFLEX SA V PLUS FR" or " ELASTOFLEX SA V FR BASE VENT ", (self adhered). Membrane: — " POLYFLEX SA P FR ", " POLYFRESKO APP SA P FR ", " ELASTOFLEX SA P FR ", " POLYFRESKO SBS SA P FR ", " ELASTOFLEX SA V FR HT ", (self adhered) or "POLYFLEX G FR ", "Xtraflex APP G FR ", " POLYFRESKO TORCH FR ", "DUFLEX G FR ", " ELASTOFLEX S6 G FR ", "POLYFRESKO MOP FR ", " ELASTOFLEX VG FR" or " ELASTOSHIELD TS G FR ", heat fused. 24. Deck: C -15/32 Incline: 3 Insulation (Optional): — Polyisocyanurate, perlite, wood fiber or polyisocyanurate /perilte board, any thickness. Barrier Board: — 1/4 in. (min) G -P Gypsum DensDeck ®, mechanically fastened with all joints staggered 6 in. from the plywood joints. Base Sheet: — " ELASTOBASE" (poly /sand), mechanically fastened. Ply Sheet (Optional): — " ELASTOFLEX SA V PLUS FR" , " ELASTOFLEX SA V FR" or "ELASTOFLEX SA V FR BASE VENT ", (self adhered). Membrane: — " ELASTOFLEX 56 G FR" or "POLYFRESKO MOP FR ", heat fused. 25. Deck: NC Incline: 3 Insulation (Optional) : — Atlas Roofing "ACFoam III" or "ACFoam II" or Hunter Panels "H- Shield ", any thickness. Base Sheet: — " ELASTOFLEX SA V PLUS FR ", " ELASTOFLEX SA V FR" or " ELASTOFLEX SA V FR BASE VENT" (self adhered). Membrane: — " POLYFLEX SA P FR ", " POLYFRESKO APP SA P FR ", " ELASTOFLEX SA P FR" or "POLYFRESKO SBS SA P FR" (self adhered). 26. Deck: NC Incline: 1/2 Base Sheet: — Type G1 or G2, mechanically fastened. Membrane: — " POLYFLEX G ", "Xtraflex APP G" or "POLYBOND G ", heat fused. 27. Deck: NC Incline: 3 Membrane: — " POLYFLEX SA P FR ", " POLYFRESKO APP SA P FR ", " POLYFRESKO SBS SA P FR "or " ELASTOFLEX SA P FR" (self adhered). 28. Deck: NC Incline: 1 Insulation (Optional): — Polyisocyanurate, any thickness. Base sheet (Optional): — " ELASTOFLEX SA V ", " ELASTOFLEX SA V PLUS ", "Xtraflex SBS Base SA" or " ELASTOFLEX SA V BASE VENT ", self- adhered or "ELASTOBASE" (poly /sand), mechanically fastened. Membrane: — " POLYFLEX SA P ", "Xtraflex APP G SA" or " POLYFRESKO APP SA P" self- adhered or " POLYFLEX FG FR ", heat fused. 29. Deck: C -15/32 Incline: 1/2 Insulation: — Polylsocyanurate (2 In. min), glass flber (15/16 In. min), perlite /polyisocyanurate composite, perlite/urethane composite (2 in. min). Barrier Board: — 1/4 in. (min) G -P Gypsum DensDeck ®, mechanically fastened, with 6 in. offset to plywood joints. Base Sheet: — " ELASTOFLEX S6 ", " ELASTOFLEX P -C" (heat fused or mechanically fastened). Membrane: — " ELEASTOFLEX S6 G ", " ELASTOFLEX S6 G -C" or " POLYFRESKO MOP ", (heat fused). 30. Deck: NC Incline: 1/2 Insulation (Optional) — Atlas Roofing "ACFoam III" or "ACFoam II ", any thickness. Base Sheet: — " ELASTOFLEX SA V PLUS FR ", " ELASTOFLEX SA V FR" or " ELASTOFLEX SA V FR BASE VENT ", (self adhered). Membrane: — "POLYKOOL SA" or "XtraKool APP S SA ", (self adhered). 31. Deck: 5/32 Incline: 1/2 http://database.ul.com/egi-bin/XYV/template/LISEXT/1FRAME/sho age.html?name=T... 1/31/2013 HE TERMS AND CON ®8 IONS ON 'irHE REVERSE ME ARE PALAIT 06° T S SALE Lab Report No. 120927 sting Building Solutions For The Construction Industry ineering & nsulting, Inc. 10735 SW 216th St. Unit 416 Miami, FL 33170 C.A. #: 26095 Lab Certificate: 09- 0715.02 MOISTURE TEST SURVEY DATE: Dec. 6, 2012 PROJECT: 1130 NE 91st Ter., Miami Shores CLIENT: Glaner Corp CONTACT: PROJECT DESCRIPTION: Approx. 778 sq. ft. (8 squares + / -) Survey Date: Dec 5, 2012. Starting Time: 12:30 PM Finish Time: 1:30 PM Average Surface Temperature: 78.1°F Approximate Humidity: 64% Dew Point: 64.9 °F PURPOSE: The purpose of this inspection was to determine the moisture content of the existing roof. This evaluation will help the owner determine if replacement is warranted. SUBJECT BUILDING: Residential building consisting of approximately 8 squares of built up roof system over a wood deck. INSPECTION PROCEDURE: A visual inspection was performed in order to consider any actual ponding water that may affect the results of this test. Other climatic conditions were monitored in order to best acquire and report actual roof system conditions. The test was conducted in accordance with standards set forth by the Florida Building Code, Chapter 15 and/or by Metro -Dade County Protocol #126. METHOD OF SURVEY: A. VISUAL: a. This is an existing roof b. No leaks were observed/and or reported at time of survey c. No water ponding at time of survey Voice: 305- 256 -4550 FloridaTec. net Page 1 of 4 Fax: 305 -256 -6833 B. SCAN TEST: Using an impedance meter moisture detector, TRAMEX DEC SCANNER, with a "grid" of 5' measurement matrix system set at a depth between 1" and 4" inches. VERIFICATION AND QUANTIFICATION (TEST CUTS): No less than (3) test cuts were done on the roof field surveyed, using a core sampler of 2" in diameter, in those areas of low, medium and high levels of moisture found during the scan test. Voice: 305- 256 -4550 All samples were transported to our testing facility in watertight containers. All samples were "wet" weighed at the location of testing and the weight of each core sample was properly identified and recorded. All samples were chamber dry at a temperature of 230 °F for a period of 24 hours. A second weight measurement was done; samples were placed into the oven for an additional hour and procedure continued until no weight loss was recorded. GRAVIMETRIC ANALYSIS FOR MEMBRANE SAMPLE WET DRY % RELATIVE ID WEIGHT WEIGHT MOISTURE READING D-1 1408 1246 13.0 35.0 C-4 1050 967 8.6 20.0 B -1 1086 1020 6.5 0.0 1500 1000 500 0 (% moisture = ((Ww - Dw) / Dw) x 100) RELATIVE READINGS MOISTURE LEVEL MOISTURE IN MEBRANE 1 (Low) 0 -30 2 (Medium) 3 (High) 31 -49 50 -100 FloridaTec.net Page 2 of 4 Fax: 305 - 256 -6833 Conclusion: Moisture content in membrane is over 5% which is not an acceptable level. If you should have any questions, please do not hesitate to contact my office. R -wed _'v: Alberto Cardona, P. Lic #7138 / DISCLAIMER All roof penetrations performed by Florida Tec, Inc. in order to perform the required number of tests will ONLY be sealed on a limited and TEMPORARY basis. Contractor and /or owner are responsible to perform permanent repairs to avoid any roof leaks. Voice: 305- 256 -4550 FloridaTec. ne-t Page 3 of 4 Fax: 305 -256 -6833 9 8 7 8 5 4 3 2 E D C B Note • Grid intersections without any notes represent areas in which the reading was " 0" Voice: 305- 256 -4550 FloridaTec.net Page 4 of 4 Fax: 305 -256 -6833