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RF-13-960
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 191780 Permit Number: RF -5 -13 -960 Inspection Date: May 21, 2013 Inspector: Bruhn, Norman Owner: KONCHAK, WILLIAM Job Address: 1250 NE 97 Street Miami Shores, FL Project <NONE> Contractor: MURPHY ROOFS Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132050090580 Phone: (305) 892 -1700 Building Department Comments RE -ROOF Infractio Passed Comments INSPECTOR COMMENTS False Passed �/� J Inspector Comments CREATED AS REINSPECTION FOR INSP- 190810. No access, gates locked at front and rear. NB west side gate is open, flat roof in the rear, ladder ready! �'! Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until May 22, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 (Print name and crde License Type) License #: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: e-//6 INSPECTION AFFIDAVIT v� licensed as a (n) Contractor / Engineer / Architect, D g FS 468 Building Inspector On or about S ° I �� }T (29 o \ ,1 did personally inspect the roof deck nailing and (Date & fime) Secondary water barrier work at % (\) € (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Swom to and subscribed before me this i CP day of Notary Public, Sate of Florida at Large CLAUDIA V. CUBILLOS •tar i POW - State o1F3lO a L`umm Exprres Sep 2 Cummtssion # EE 128810 Bonded Through National Notary Assn. *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection Revised on 5/21/2009 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 JOB ADDRESS: 12- S v ADC- FBC 20 C2 Permit No. Master Permit No. 5 _ (0 0 ROOFING City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO 1"�� Flood Zone: OWNER: Name (Fee Simple Titleholder): kJ ®t 1,n,-.1 J ,ter C L /4-, Phone #: 3c5 el C) ' 7/ 0? Address: / -1-3---(D 4' -a--- t 1 % Se-i" City: neN) a�a. ,,-.4..__ sre, state: Zip: 3 3 .32 Tenant/Lessee Name: Phone #: Email: Zip: ?? 1 P P CONTRACTOR: Company Name: 0 Qualifier Name: State Certification or Registration #: Address: City: 0- State: \ S �3� u D6 C 7'/ t Certificate of Competency #: Phone #: '5 ( zip: Phone #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Square/Linear Footage of Work: t 3 "2.2- Pbbne#: Type of Work: °Addition °Alteration _ °New Description of Work: °Demolition Color thru tile: ******** * * ******* *** * **** *** ***** *** * ** Fees************* * * ** ** ***** ** ** **** ****** * ***** Submittal Fee $S-0 °Ot Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ Bond $ TOTAL FEE NOW DUE $ 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 inspection will not be approved and reinspection fee �y.e charged. Signatures -- Owner or Agent The foregoing instrument was acknowledged before me this L? day of ,20 .,byLi)iiU9 r1* who is personally known to me or who has produced r'hr wdu � i ly f`Li c ., As identificatiionoann w14d„,talc, a oglh._ NOTARY PUBLIC: Sign: Print: t CThri 4 is E Print: Si gnature �\ .0111LA Con °°°� The foregoing instrument was ac ged before me this 1 day of PI /4-1/ ,20j3by ,,,U1tl itt,,ii who is personally known to me or w pro¢ "'� " a 1) `� /s iii as identificatio��and;who :4 * c 9`�, a) °°ice . - .,'retY VA,•, CHRISTER E. SCOTT NOTARY PUBLIC: r�.- E Notary Public - State of Florida ir My Comm. Expires Aug 22, 2015 Commission # EE 124279 Sign: My Commission Expires: �, f � 5 My Commission Expires: IIijtllillllN�1�\ :+ x* * * * * * * ** *** *+ e** ******x< **+ x*+ x**x: **** ******* * * * * * * * * ** **** *** + *** ** ** *+ x+ x********+ r** ** ***+xa: **+x*** ******* ***** APPROVED BY '�IV"� f/ Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Miami Shores VHIage 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: 0S- 0 - 2. 4 /3 10050 NE 2nd Ave Miami Shores, Fl 33138 �, (� Re: Owner's Name: ti l �' frt. di `-''� 'A k Property Address: I 5- 0 is • C - , (QP'1 c VW re R3.313 Roofing Permit Number: Dear Building Official: �n I S2 R c ,zn certify that I am not required to retrofit the roof to wall connections of my b ;; Id'ng because: he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. 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 Sou Florida Building Code (1994 SFBC) VO C 4- IC Signature State of Florida Print Name CHRISTER E. SCOTT 1 Notary Public State of Florida o My Comm. Expires Aug 22. 2015 Commission # EE 124279 County of Dade • trait The undersigned, being the first duly swom, s eposes and says that he/she is the owner for the above property mentioned. 6447 day of _fl W t 3 Swom to and subscribed before me this Notary Public, Sate of Florida at Large r • When the just valuation of the structure for purpose of ad valorem taxation Is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 Page 1 of 1 MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez - Cantera Property Appraiser Property Information: Folio 11- 3205 - 009 -0580 Property Address 1250 NE 97 ST Owner Name(s) WILLIAM H KONCHAK &W SUSAN S Mailing Address 1250 NE 97 ST MIAMI SHORES FL 33138 -2560 Primary Zone 1400 SGL FAMILY - 3001 -3250 SQ Use Code 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Adj. Sq. Footage 2,972 Lot Size 9,537.50 SQ FT Year Built 1950 Legal Description EARLETON SHORES PB 43-80 W5OFT LOT 15 & E1 /2 LOT 16 BLK 4 LOT SIZE IRREGULAR OR 13766 -1413 07881 OR 13766 -1413 0788 00 Assessment Information: Current Previous Year 2012 2011 Land Value $165,709 $138,091 Building Value $229,546 $229,872 Market Value $395,255 $367,963 Assessed Value $248,137 $240,910 Exemption Information: Current Previous Year 2012 2011 Homestead $25,000 $25,000 2nd Homestead $25,000 $25,000 Senior $0 $0 Veteran Disability $0 $0 Civilian Disability $0 $0 Widow(er) $0 $0 Disclaimer: Aerial Photography 2012 Taxable Value Information: Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $50,000/$198,137 $50,000/$190,910 School Board $25,000/$223,137 $25,000/$215,910 City $50,000/$198,137 $50,000/$190,910 Regional $50,000/$198,137 $50,000/$190,910 Sale Information: Date Amount OR Book -Page Qualification Code 7/1988 $189,000 13766 -1413 Sales which are qualified 5/1977 $82,500 09721 -0167 Sales which are qualified 3/1977 $1 00000 -0000 Sales which are disqualified as a result of examination of the deed 12/1975 $80,000 00000 -0000 Sales which are qualified 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 .govMfo /disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS inquiries, comments, and suggestions email: gis@miamidade.gov Generated on: Tue May 7 2013 http: / /gisweb. miamidade .gov /PropertySearch/printMap.htm 5/7/2013 CIT Y HURRICANE ZONES Edition4010 Rem* Form. 11V ectoGentIatinfonnation), 41 4 WI aster Permit No. o ntractoes Name 1.**?\ urA. Job Address / i. Process No. ,64.0 ROOF CATEGORY 0 Mechanically Fastened Tile 0 MortadAditesive Set Tile Asphaltic 0 Metal Panel/Shingles 0 Wood Shingles/Shakes Shingles 0 New Roof 0 Prescriptive SUR-RAS150 ROOF TYPE 0 Recovering 0 Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped R9of Area (SF) Total (SF) . /372.- Section B (Roof Plan) Sketch Roof Plan: illustrate an 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. • ... t • • • "T ..... t S .. • . . . i i 1. 7- 471 t ,.. • 1. 1 -.-i...,„ . ... „:“.. )...., . • -. 1 ' i : , -t,-.: • -t. - - ., -••• 4--1-. t. . ..4. i -4 t .. i —4- . 4 4 , , . • ....... . ...I i ?- ,- : . 4 ! i i . . ....! .. ..; _I • Section C 1-CIAIDE '1:elil.,erittG Excellence Every Dav" Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Section C page (Low Slope Roof Systems) =11 in the specific roof assembly components. 1f a component is not required, inser not applicable r n /a) in the text box. Top Ply: ROOF SYSTEM MANUFACTURER: Polyglass USA Product Approval (NOA): 1 07-0822.10 System Type: E(3) Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Field: -49:2 (P2) Perimeters: (P3) Comers: psf -82.6 -124.3 psf psf Maximum Design Pressure From NOA: Roof Slope: Parapet Walls: ECM Deck Type: Support Spacing: Aiteirnate Deck Type: Existing Roof: is EEO " : 12 Roof Mean Height: psf ME 0 Yes Parapet wall Height: ! -5/8" Plywood- n/a " olc ft. EMI n/a Fire Barrier: 1 n/a Vapor Barrier: a Anchor Sheet: n Anchor Sheet Fastener / Bonding Material: Insulation Base Layer Size & Thickness: n/a Insulation Base Layer Fastener / Bonding Material: Insulation Top Layer Size & Thickness: �{n /a Insulation Top Layer Fastener / Bonding Material: n/a Base Sheet(s) & No. of Ply(s): 1 Approved Glass Base (G2) & 1 Elastobase Sheet Base Sheet Fastener / Bonding Material: 1 1/4" Ring Shank Nails & 1 -5/8" Tin Caps Ply Sheet(s) & No. of Ply(s): Elastoflex SA V FR Ply Sheet Fastener 1 Bonding Matenal: ISelf- adhered ft. Polyflex SA -P FR To Ply Fastening / Bonding Material: Self- adhered Surfacing: SINGLE PLY MEMBRANE: n/a Single Ply Manufacturer / Type: n/a Single Ply Sheet Width: n/a No. of Single Ply 1/2 sheets: " 1/2 Sheet Width: n/a Single Ply Membrane Fastening / Bonding Material: n/a FASTENER SPACING FOR BASESHEET ATTACHMENT ❑ SINGLE PLY MEMBRANE ATTACHMENT 1. Field: " o/c @ Laps & 2. Perimeter: 17- " o/c @ Laps & 3. Comer. " o/c @ Laps & rows rows rows " o/c " o/c " o/c NUMBER OF FASTENERS PER INSULATION BOARD: 1. Field: El 2. Perimeter: Insulation Fastener Type : 3. Comer. n/a WOOD NAILER TYPE AND SIZE: n/a Wood Nailer Fastener Type and Spacing: n/a EDGE & COPING METAL SIZES: Edge Metal Material: — Galvanized Metal— Edge Size: —3" face 26 ga.— Hook Strip Size: I —METAL EDGE HOOK STRIP N /A— Edge Metal Attachment: 1 1/4" Ring Shank Nails (a 4" o/c Coping Matenal: I— PARAPET COPING METAL N/A— Coping Size: COPING METAL SIZE N /A- Hook Strip Size: — COPING METAL HOOK STRIP NIA— Parapet Coping Metal Attachment: In/a High.v elocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable: Wood blocking, Gutter, Edge Terminations /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 Elasto- base fastened thro- the glass -base thro -the wood deck Mass Base Sheet # 75 Elastofl,ex.S+4, V Flit Wood Deck 3" Face Drip Metal Polyflfex SA -P Fr self adhered Poiytifex SA -P Fr 1/2 sheet r tie -in MAO 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 w ww.miamidadc.eov /economv 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 Root' 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. (y .7c1.1x 1(f APPROVED NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 1 of 26 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Modified Bitumen Materials SBS /APP/TPO Deck Tyne: Wood Maximum Design Pressure -112.5 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Dimensions Specification Description Product Elastobase Elastobase P Elastoflex SA V FR (I.5 -mm) 65' 2" x 3' 3 -3/8" 5' 2" x 3' 3 -3/8" 32' 6" x 3' 3 -3/8" ASTM D 6163, Type I ASTM D 6164, Type I ASTM D 6163, Type I Elastoflex SA V 32' 6" x 3' 3 -3/8" ASTM D 6163, PLUS FR. Type I Elastoflex SA V (1.5- 32' 6" x 3' 33/$" ASTM D 6163, mm) Type I Elastoflex SA V 32' 6" x 3' 33/$" ASTM D 6163, PLUS Type I Elastoflex SA P FR 32' 6" x 3' 3 -3/8" ASTM D 6164, Type I Elastoflex SAP 32' 6" x 3' 3 -3/8" ASTM D 6164, Type I Polyflex SA P 32' 6" x 3' 33/g" ASTM D 6222, Type I Polyflex SA P FR 32' 6" x 3' 33/$" ASTM D 6222, Type I Polyfresko SBS SAP 32' 6" x 3' 33/8" ASTM D 6164, Type I MIAM4DADE COUNTY APPROVED 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 Polyfresko SBS SAP FR Polyfresko APP SAP Polyfresko APP SAP FR PolyKool P0325 Cold Process Adhesive P0100 Asphalt Primer PG350 Mod Bit Adhesive PG400 Plastic Roof Cement PG425 Wet/Dry Roof Cement PG450 Flashing Cement P0500 MB Flashing Cement Polyplus 35 Premium Mod Bit Adhesive Polyplus 45 Premium Flashing Cement Polyplus 50 Premium MB Flashing Cement Polyplus 55 Premium Modified Flashing Cement MIAMI•DADE COUNTY APPROVED 32' 6" x 3' 3-3/8" 32'6 "x3'33 /g" 32' 6" x 3' 3 -3 /$" 32' 10" x 3' 33/8" 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal, tube or 17 oz. spray can 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gal. or tube 1, 3, 5, 50, 55 gat. or tube 1, 3, 5, 50, 55 gal. or tube I, 3, 5, 50, 55ga1.or tube 1, 3, 5, 50, 55 gal. or tube ASTM D 6164, Type I ASTM D 6222, Type 1 ASTM D 6222, Type I ASTM 06222 Type 1 ASTM 03019 Type 117 ASTM 041 ASTM D3019 Type 111 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 adhesive. NOA No.: 12- 0815,07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 3 or 26 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 MIAMJ.DADECOUN Y APPROVED TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite composite insulation. Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite insulation board Fire resistant rated gypsum. Gypsum insulation board Polyisocyanurate foam insulation Polyisocyanurate/perlite composite insulation Polyisocyanurate foam insulation Expanded mineral fiber Polyisocyanurate foam insulation Fiber reinforced coverboard Manufacturer fiVith 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 APPROVED FASTENERS: Fastener Product Number Name I. Dekfast Fasteners #12, #14 & #15 2. Dekfast Galvalume Steel Hex Plate 3. Dekfast Dekflat Round Plastic Lock Plate 4. #12 & #I4 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 -Step Foamable Adhesive MIAMI•DADE • LINTY APPROVED 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 7Is" x SFS Intec, Inc. 3 t'/4" 3" x 3 1/4" SFS Intec, Inc. Various OMG, Inc. 3" square OMG, Inc. 3.2" round OMG, Inc. The Tru -Fast Corp. 3.23 round 3" round Various Various 2 7/8" x 3y" 3" round Various 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 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 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 Application Rate 11/2-2 gal/sq Specification TAS 140 Manufactur er Polyglass USA, Inc. 11/2-2 gal /sq ASTM D4479 Polyglass USA, Inc. 1/2-1 gal /sq 11/2-2 gal /sq 1 -11/2 gal /sq ASTM D2824 Typel ASTM 02824 Type III ASTM D6083 3 gal /sq in ASTM D1227 two coats 3 gal /sq in ASTM D1227 two coats 11/2-2 gal/sq ASTM D2824 Type III 1/2-1 gal /sq ASTM 02824 Type I l -11/2 gal /sq ASTM D6083 400 lbs/sq N/A 300 lbs/sq N/A 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 EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corporation Underwriters Laboratory Trinity 1 ERD PRI Asphalt Technologies MIAMIOADE COUNTY' APPROVED Test Name/Report Report No. Date 4470 J.I.3001334 02.15.00 4470 II. 3000857 01.12.00 4470 II. 3004091 01.12.00 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 00NK20869 06.08.00 11751.05.03 05.30.03 11758.08.03 08.11.03 P1738.02.07 02.05.07 02084I.06.04 06.02.04 11757.12.00 -1 12.01.00 11757.04.01-1 04.27.01 P9260.03.08 03.21.08 P7860SC.11.08 11.30.07 C8500SC.11.07 11.30.07 P10490.08.08 08.13.08 P10490.10.08-R1 10.03.08 P7400.03.08 -R2 10/09/08 P10070.10.08 10/09/08 P10490.10.08-2 10/3 0/0 8 P33970.03.11 03/15/11 P33960.03.11 03/15/11 PUSA - 061 -02 -02 01.28.08 PUSA - 062 -02 -02 12.04.08 PUSA- 064 -02 -02 02.27.08 NOA No.: 12- 0815.07 Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 7 of 26 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 LXMITATIONS: 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 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 Iimitation 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 Membrane Type: Deck Type 1: Deck Description: System Type E(1): All General a Fastening #2: Ply Sheet: embrane: Surfacing: Maximum Design Pressure: -52.5 psf; (See General limitation #7.). SBS /APP Wood, Non - Insulated 19/32" or greater plywood or wood plank. Base sheet is mechanically attached to roof deck. stem Limitations apply. One ply of Elastobase or Elastobase P fastened to the deck as described below: Attach base sheet using 11 ga. annular ring shank and 1 -5/8" diameter tin caps spaced 8" o.c. in a 4" lap and 8" o.c. in three equally spaced staggered rows in the center of the sheet. Attach base sheet using OMG Roofgrip Fasteners and Flat Bottom Plates, Dekfast #14 with Galvalume Steel Hex Plates, Polygrip Fasteners ( #14) with Polygrip Hex Plates or Tru -Fast HD ( #14) Fasteners with 3" Metal Insulation Plates spaced 12" o.c. in a 4" lap and 12" o.c. in two equally spaced staggered rows in the center of the sheet. One or more plies of El flex ast SA V, Ell stoflex SA V PLUS, Elastoflex SA V FR, or Elastoflex SA V PLUS FR self- adhered. One ply of Polyfresko SBS SA APP SAP FR, Elastoflex S FR self adhered. P FR, Polyfresko APP SAP, Polyfresko flex SA P, PolyKool or Polyflex SA P (Optional) Install one of the approved surfacing products listed in Table 4 to obtain desired coating or required fire classification. NOA No.: 12- 0815.07 Expiration Date: 10 /11/13 Approval Date: 09/27/12 Page 20 of 26 POLYGLASS USA INC 150 LYON DR FERNLEY, NV 89408 USA SINGLE PLY MEMBRANE SYSTEMS Class A - Fully Adhered Deck: C -15/32 Incline: 2 tion (Optional): — Polyisocyanurate, perlite, wood fiber or polyisocyanurate /perlite board, any thickness. Barrier Board: — in. (min) G -P Gypsum DensDeck®, mechanically fastened with all joints staggered 6 in. from the p >•d joints. Base Sheet: — "ELASTOBASE" • sand), mechanically fastened or "ELASTOFLEX SA V PLUS FR ", " ELASTOFLEX SA V FR" or "ELA EX SA V FR BASE VENT" (self adhered). Ply Sheet (Optional): — " ELASTOFLEX SA V P R ", " ELASTOFLEX SA V FR" or "ELASTOFLEX SA V FR BASE VENT ", (self adhered). Membrane : -- "POLYFLEX SA P FR ", " POLYFRESKO APP SA ' " "ELASTOFLEX SA P FR ", "POLYFRESKO SBS SA P FR ", " ELASTOFLEX SA V FR HT ", (self adher =r• • " POLYFLEX G FR ", " POLYFRESKO TORCH FR ", "DUPLEX G FR ", " ELASTOFLEX S6 G FR ", YFRESKO MOP FR ", " ELASTOFLEX VG FR" or " ELASTOSHIELD TS G FR ", heat fused R14571 22. Deck: C -15/32 Incline: U2 Insulation (Optional): — Polyisocyanurate 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 0 FR ", " POLYFLEX G FR ", " ELASTOFLEX S6 G FR ", " POLYFRESKO MOP FR ", " ELASTOFLEX VG FR" or "ELASTOSHIELD TS 0 FR ", heat fused. © 2012 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Designs and/or Listings (files) must be presented in their entirety and in a non - misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "© 2012 UL LLC ". SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. T' C 6enaliing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. `common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner shoujd notify the occupants of adjacent units of roofing to be performed. ® 4. posed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the app earan ) e. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original Jopfing system is removed. Pounding conditions should be corrected. ti) 6. ' ' " Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accorda cee with the requirements of Sections R4402, R4403 and R4413. centllation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficia to consider additional venting which can result in extending the service life of the Owner/Agents Signature Date Contract° ignature Revised on 7/9/2009 LD Date