The URL can be used to link to this page

RF-13-28821 Miami ShoKes Village g Buildin g Department P 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 /1 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 6-S A/ W q t a - GAG 201 FBC 20 to Permit No. Master Permit No 7�Z ROOFING City: Miami Shores County: Miami Dade —zip: 33 3 8 Folio/Parcel #: 11. 3101. 03(� • O t Z O Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): SAGE 4k6ffkhrJ Phone #:.30��J�� Q ?% Address: Jrs l� CI L{ ST' City: �°i-%.! CC « ' t State: IZ- L Zip: 1313P Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Z •t-- • A—( (eo,., 9T!)A� V:04 C_ Phone #: Address: Z(. S C--) 3 s51— city: W P.S+ pot" = State: zip: 53 o 2 3 Qualifier ljaTe: P=k4 (gyp • � �4 }� p}lone #:.x°'(02! � � _ State Certification or Registration #: i Y Certificate of Competency #• Contact Phone #: 43ds•� 2► ' SO p_ Email Address:• ( *A II to 1"'�9 @ W.AgawV. • MC- DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit:. $ JOB Square/Linear Footage of Work: G t{() Type of"Work: DAddition DAlteration DNew �Wepair/Replace - ODemolition Description of Work: � AST RAq RdO,'r k (.G(• G lQ.9 Color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $�� Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 isN.Curate =4 that all work will be -done in compliance with all applicable laws regulating construction and zoning. "WART TG' 'TO OWNER: YOUR FAILURE Tn �, C R� NO TICE OF COMMENCEMENT MAY RESULT IN YOUR PA &G � T CE FOR IWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN 906 DER OR AN ATTORNEY BEFORE R1kDB:1%° JR NOTICE OF C6*d9C'�MkW-" Notice to Appl nt.v 4s a condition to the issuance of a building. permit with an estimated value extc�iag $ 500R the p llcant 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 apmmencement thust 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 a reinspection fee will be charged. Signature O or Agent The fore oink instrument was acknowledged before me this day of who is personal}y known tq me pi Who. has.pro4aced MV • Lo C • As identification and �ho did take an oath. NOTARY PUBLIC: Sign: ,Ile �4c, Print: �`°�Y P"B!/ lM/V /�/,�� _ . My Commission Expires: MISSYON # �UaOl18 EXPIRES: August 16, 2015 801ed 71au Budget" semen w Signa Contrae The foregoing instrument was acknowledged before me this e . r !:. . day wf �.0 • 20�� , by Dfp_ Mtec^ , who is personally knov tt me gr yvho h4Toduced as identification and who did take an oath. NOfiARI' PUBLIC: • Sign: MAR0081101 NY Tint; l * Q� * �EX�P.�JRES, Auuggust 16,�2�0.1u5e P . '..� t •! �. i � .. ��tOF F�J• O� WINW I��` WI•!wa 1V�y Commission Expires: APPROVED BY �Ify' -77 � —Plans Examiner 0 Structural Review (Revised 3 /1242012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk tirr . 05 -15 -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 lave. EFFECTIVE DATE: 0611512012 PERSON: ALLEN FEIN: 551641705 BUSINESS NAME AND ADDRESS: O L ALLEN ROOFING INC 5826 SW 23RD ST WEST PARK FL 33023 -4063 SCOPES OF BUSINESS OR TRADE: i — ROOFING EXPIRATION DATE: 06/16/2014 DALE L IMPORTANT: Pursuant to Chapter 440 . 051141. 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 440.05113% F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the Issoanee of the certificate, the person named on the notice or Certificate no longer meets the requirements at this section far issuance of a certificate. The department shall revoke a certificate at any time for (allure n( the poison named on the certificate to meet the requirements of this section. OWE -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413 -16 6ACKftiROUNQ r11CROQRIN l G�'L u_.P °4P • , ! 1FTgMaK OffMi NT6 c �• FLORIDA DEPARTMENT OF BUSINESS . AM PROFESSIONAL REG CONSTRUCTION I) LICENSING i i A'CCrH,N" . 1 0• ROSIN, � t 06/12/20121118202169 ICCC013874 The ROOFING CONTRACTOR. Named below IS CERTIFIED Under the Provisions of Chapter 489 FS. Expiration date: AUG 31,.2014 ALLEN, DALE L D L ALLEN ROOFING INC 5826 SW 23RD ST HOLL,'.%JOOD FL 33023 -4063 RICK SCOTT GOVERNOR KEN LAWSON DISPLAY AS REQUIRED BY LAW SECRETARY From:JW Edens Insurance Melbourne To:19549891895 12/30/2013 11:08 #735 P. 001/001 DLAR001 OP ID: CK °A LX CERTIFICATE OF LIABILITY INSURANCE °� 1�`'"" /113"Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sj, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, teen polloy(les) must be endorsed. M SUBROGATION IS WANED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this certificate don not confer rights to the certificate holder in lieu of such sndorsemerrt s ). PRODUCER 321 °725 -7000 J.W. Edens & Company 321.725 X856 Commercial Ins of t3revard, Inc 325 Ft th Avenue, Suits 108 Ind)alentic, FL 32803 Theresa C. O'Brien m= P Hr --Pmwr- AMER; MISURERM AFFOROMIS COVERAGE NAK:O INSURERA : Canal Indemnity Company G� * ��+'�� • INSURED D.L. Allen Roofing Inc. A Allen & Daniels Construction 5826 SW 23rd street West Park, FL 33023 INSURER 13: EACH OCCURRENCE INSURERC PRELMES ffin o are Ie WRER MED EXIP one person) INSURER E: PERSONAL BAOVOLRIRY INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shorn Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. PA 0SM3113 O8H3M4 LBRTS A GENERAL LABILITY X COMMERCIAL GENERAL uABWTY CLAIM041ADE ® OCCUR G� * ��+'�� • GLIG4916 EACH OCCURRENCE $ 1,000,00 PRELMES ffin o are $ 60r MED EXIP one person) 3 S PERSONAL BAOVOLRIRY S 1,000,00 GENERAL AGGREGATE 3 2,000,00 GENI AGGREGATE LIMIT APPLIES PER: POLICY Ip LOC PRODUCTS - COMPMPAGG S 2.000,00 3 AUTOMOBILE LIABILITY ANY AUTO ALLOSMO AUTOS SCHEDU' HIRED AUTOS NON-OWNED ooi SI G BODILY MAW (Per Parson) $ BODILY NIURY (per atwerm 3 E $ 3 UIMSRELLALIAB EXCESS LIAR OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ 0 I I RemwncNs 3 WORKERS COMPENSATION AND EMPLOYERS' LIABOM Y N ANY PROPRIETORIPARTNSWEXECUTIVE WFICERlMEMBER EXCLUDED? (Ma ndst" in NH) if yeA dea�I'ibe under OESCRI N OF OP N NIA STATU- OTH- E.L. EACH ACCIDENT 3 E.L DISEASE - EA EMPLOYEE S L DISEASE - POLICY LIMIT 3 DESCRIPTION OF OPERATIONS f LOCATIONS /VEHICLES (AUaeb ACORD 101, AWBUonal Renkft Sdmm*ds, I< ram o spars Is rapdred) CERTFICATE HOLDER CANCELLATION M"Isv SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shorn Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. Building Departmenet 10050 NE 2nd Ave AUTHORS RODY488MAIM Miami Shorn, FL 33138 G� * ��+'�� • 0 iSM2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010108) The ACORD name and logo are registered marks of ACORD ;;P +.lti •I _!r,.,'.'1 3e !asp_, ,,, �ifat��:i,a y-' ;..a.s� BROWVARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954-831 -4000 VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014 ®BA. D L ALLEN ROOFING INC Receipt #:ROOFING %SHEET METAL Business Name: Business Type: (ROOFING CONTR) Owner Name: DALE ALLEN Business Opened:07 /16/1993 Business Location: 5826 SW 23 ST State/County /CertfReg:CCC13874 WEST PARK Exemption Code: Business Phone: 983 -1297 Rooms seats Employees Machines Professionals 10 For Vending Business Only Numhar of Mae_hrnaa• Tax Amount Transfer Fee NSF Fee I Penalty ^a •.1 r —• Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it Is in compliance with State or local laws and regulations. Mailing Address: DALE ALLEN 5826 SW 23 STREET WEST PARK, FL 33023 2013 - iIK1:113I912 rwG ,, c00 MgUR i ail ku1N!E - M...�.h." - -- - - -. —_ Cl1�?1dA /A[�►r1 /+�111A1'fV A PTl+AA A ?I Receipt #038 -12- 00012893 Paid 09/16/2013 27.00 20148 I I011IUr00 TA V CERTIIOICATE OF LIABILITY INSURANCE Date 1/7/2014 Producer: Lion Insurance Company This Certificate is issued as matter of Information only and confers no 2739 U.S. Highway 19 N. Holiday, FL 34691 rights upon the Certificate Holder. This Certificate does not amend, extend oralter the coverage afforded by the policies below. Insurers Affording Coverage NAIL (727) 938 -5562 insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A- uon Insurance Company 11075 2739 U.S. Highway 19 N. Holiday, FL 34691 insurer R: insurer C: Insurer D: Insurer E: Coverages To po Was or nsurance ustecl below have been issuedto the insured named above fort the policy period Indicated. o star ng any rawfirement, term or condition of any contractor other docaumment with respect to which this certificate maybe issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, end conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date Policy Expiration Date Limits (MM/DD/YY) GENERAL LIABILITY Each occurrence mmercial General Liability 11`191 Occur Claims Made Oarregeto rented promises (EA occurrence) Mod EV reneral aggregate limit applies per: Personal Adv Injury Genera! Aggregate cy ® Project ® LOC Products - Comp/Op Agg MOBILE LIABILITY Combined Single Limit Any Auto Ail Owned Autos (EA Accident) Bodily Injury Scheduled Autos (Per Person) Bodily Injury Hired Autos Non -Owned Autos (PerAcddent) I(ParAccident) Progeny Damage EXCESS /UMBRELLA LIABILITY Each occurrence Occur ® Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/012014 01/012015 X I WC Smtu- OTH- Employers' Liability 0 1 to r units ER E.L. Each Accident $1,000,000 Any proprietor/partnedexecutive officer /member excluded? NO E.L. Disease - Ea Employee $1,000,000 If Yes, describe under special provisions below. ' E.L. Disease - Pdicy Limps $1,000,000 Other Lion Insurance Company Is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /Locations/Vehicles/Exclusions added by EndorsemenUSpeclal Provisions: Criers ID: 92- 67-012 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following'Cliett Company': D.L Allen Roofing, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL. Coverage does riot apply to statuEory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employees) leased to the Client Company can be obtained by faxing a request to (727) 937 -2136 or by calling (727) 938 -5562. Project Name: PERMIT N0, RF13 -2882 FAX1305) 758.8972 & 954 - 8891896. ISSUE 0147 -14 (EP) Begin Date 5/30/2013 CERTIFICATE HOL CANCELLATION MIAMI SHORES VILLAGE Should arty of e above described policies be cancelled ore the expirstion date t ereo , ng insurer will endeavor to mail 30 days written notice W the certificate holder named to the left, but feilure to do so shelf impose no obligation or liability of any Idnd upon the insurer, its agents or representatives. 10050 NE 2ND AVE. MIAMI SHORES, FL 33136 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 JANUARY 2, 2014 Permit No: RF13 -2882 Building Critique Review 1. FBC. 2010, SECTION 105.3.5,... EVERY EMPLOYER AS CONDITION TO RECEIVING A BUILDING PERMIT, SHOW PROOF THAT IT HAS SECURED COMPENSATION FOR ITS EMPLOYEES AS PROVIDED IN SEC440.10 AND 440.38. FLORIDA STATUTE Ismael Naranjo Building Official Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. li�rl i�f I��1 [Sol 11111. , took i1 11 iml [NMI N. .wdLJMIbmWMMin 'miewma RIPmr . i 11 11 11 11' � .� 101 Al -Il it I�A1 II I■ rte■ Nl ft C3., I Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low doped Roof SyMem) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer: Design Wind Pressures, From RAS 128 or Calculations: Pmax 1 [ • 1 Pmax2: • (0 Pmax3: y` Max. Design Prew.ure, From the Specific NOA Deck. Gaugeff'hiekness Slope..:" Anchor/Base Sheet 8 No. of Ply(s): Anchor/Base Sheet Fastener/Bonding Material: Insulation Barre layer j�.._ ------- Hase Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness:— ..i___ Top insulation Fastener/Bonding Material: Hesse Sheets) & No. of Ply(s). _ Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s): I'I Sheet F �tenerl nding aterfa� f -- - _��_. Top Ply: i 64s-- liZp.ply Faster►er/Gonding Material: Surfacing: �:: i Fastener Spacing for Anchor /Base Sheet Attachment � } e, Field: _._1 _^ oc @ Lap, # Rows _ _ @ _ __ " oc Perimeter: ,• ° oc 0 Lap, # Rows j. _ @ -oc Corner: _ ° oc 0 Lap, # Rows � @ ^ oc Number of Fasteners Per insulation Board Field: Perimeter . _ Corner 4A Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. � Y � p Ly � FT �j Parapet Height Mean Roof .6X 3 — 2.6 ( Height GAF 1361 Alps Road Wayne, NJ 07470 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: GAF Conventional Built -[1p Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA No. 07- 1219.09 consists of pages 1 through 17. The submitted documentation was reviewed by Juan E. Collao, R.A. NOA No.: 13- 0424.09 e tnVtY Expiration Date ; 1U04 /14 Approval Date: 10131113 Page 1 of 17 Deck Type 1: Wood, Non -insulated Deck Description: t9/3, '° or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShiele Fire Resistant Roof Deck Protection or (optional) SecurockTm Gypsum Fiber Roof Board. - &ase sheet: GAFGLAS"' #80 UltimaTM Base Sheet, Stratavene EliminatorTM Nailable Venting Base Sheet, Ruberoie 20, Ruberoie SBS Heat -Welder Smooth or Ruberoie SBS Heat - WeldTM 25 base sheet mechanically fastened to deck as described below, Fastening Options: GAFGLAS Ply 4, GAFGLAS FlexPlym 6, GAFGLAS #75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -45 psi, See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS FlexPly m 6, GAFGLAS'' #75 Base Sheet or any of above base sheets attached to deck with Drill -TecTM #12 Fastener or Drill -TecTm #14 and Drill - Tecm 3" Steel Plate, Drill. -TecTM AccuTrace Flat Plate or Drill -TecTm AccuTraco Recessed Plate 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psi, See General LimiWon #7) GAFGLAS® Flex PlyTM 6, GAFGLAS' #75 Base Sheet or any of above base sheets attached to deck with approved annular ring, shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure -52.5 psi, See General Limitation #7J GAFGLAS #80 UltimaTM Base Sheet, Ruberoie 20, Ruberoide Mop Smooth, base sheet attached to deck with approved 11 /a" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure -60 psf, See General Limitation #7) GAFGLAS'' #75 Base Sheet or any of above base sheets attached to deck with Drill -Tedm #12 Fastener or Drill -TecTM #14 Fastener and Drill -TecTM 3" Steel Plate, Drill -Tedm AccuTrace Flat Plate or Drill- Tee'11"'' AccuTraco Recessed Plate 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3'" inverted Drill-TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure -60 psf, See General Minidardion #7) s @ C NOA No.: 13-0424.09 ... Expiration Date: 11/04/14 Approval Date: 10/31/13 Page 15 of 17 NOA No.: 13-0424.09 Expiration Date: 11/04/14 APPROVED! Approval Date: 1001113 Page 16 of 17 GAFGLASo #75 Base Sheet or any of above base sheets attached to deck with Drill -Tedm #12 Fastener or Drill-Te6m #14 Fastener and Drill -TecTm 3" Steel Plate, Drill Tedm AccuTrae Flat Plate or Drill -Tecrm AccuTrae Recessed Plate 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Ply Sheet: One or more plies of GAFGLAS'o Ply 4 or GAFGLAS® #80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. Cap Sheet: (Optional) One ply of GAFGLAS0 Mineral Surfaced Cap Sheet or GAFGLASO EnergyCapTm BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. Surfacing: Optional on granular surfaced 'membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions 1. Gravel or slag applied at 400 lbs. /sq. and 300 lbs.isq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. 2. Topcoat® Surface Seal SB applied at Ito 1.5 gat. /sq. Maximum Design Pressure: See Fastening Above NOA No.: 13-0424.09 Expiration Date: 11/04/14 APPROVED! Approval Date: 1001113 Page 16 of 17 VW. 0017 DECK SYSTEM Limmnow I A slip sheet is required with GAFGLASO Ply 4 and GAFGLASO Flex PlyTm 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '/4" Dens Deckrm Roof Board or ' /a" Type X gypsum board is acceptable to be installed directly over the wood deck. 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 ibs./sq., or mechanically attached using the fastening pattern of the top layer s. 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 NAth approved asphalt, 12" diameter circles, 21" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap 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 (FJ 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 comers and comers). (When this limitation is specifically referred within this NOA, General Limitatloa #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 13-0424.09 Expiration Date: 11 /04/14 Approval Date: 10/31/13 Page 17 of 17 j-lottic: Qgjc k.C,uide' Contact I I Lxoly TG U. 1306 Rooting Systems Iaage Bottom Roofing Systems ;��e Get�c�•�.il l��toi'1111�1O11.JU1' IZ()O�:ulfa_��C +�I1lS GAF mATE1UALS CORP R1306 "1361 ALPS RJR WAYNE, NJ 07470 USA Class A 4. heck: C -15/32 Incline: I Slip Sheet (optional): -- Red rosin paper, nailed to deck. Insulation (optional): -- Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" or any IJL Classified insulation adhesive. Base Sleet: --- One ply Type 02 "GAFGLASS #75 Base Sheet" or "Tri -Ply® 475 Base Sheet" (may be nailed). Ply Sheet: -- One or more plies Type G 1 "GAFGLASOD Ply 4" or "Tri -Ply® Ply 4" or GAFGLASQ) Ply 6 . Capp Sheet: --- One ply Type 03 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri- Ply0 Mineral Surfaced Cap Sheet" or "GAFGLASC) EnergyCapTM BUR Mineral Surfaced Crap Sheet." Surfacing (optional): -- "TOPCOAT® EnergyCoteTm" applied at a rate of 2- gal /100 -ft�. Miami shores Village 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 tillage Building Department Date: 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: _ --�� R-6-ttAAzLdi Property Address: Roofing Permit Number: Cf Is--f- . Dear Building Official: I �` —��e- certify that I am not required to retrofit the roof to wall connections of my building because: WThe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions ling Code (1994 SFBC) State of Florida County of Dade Print Name The undersigned, being the first duly swom, deposes and says that he /she is the owner for the above property mentioned. Sworn to and subscribed before me this c day of �'� e..�, '�L6l ?O.�pRY PVB�'c NIAM 811WU MY COMMISSION $ EE 105635 Notary Public, Sate of Florida at Large EXPIRES: August 16, 2015 ry �° (ionded Tleu f Services ® When the just valuation of the structure for pu se of ad vain taxation is equal to or wrote than $300,x00.00, MW the b�n9 was �t t�nstru� � FBC nor a 1994 SFBC. Then you must provide a build-mg applipation from a Genera► contractor for the Roof to Wa0 connection Hurricane Wtailon. Revised on 5121/2009 12130113 PropwtySsarch GOA I i PE MIAMI-DADS COUNTY PROPERTY APPRAISER nv -Cantera arlos Lopez PRO Pf. RTY AK'M I ti f F Property Appraiser Exemptions & Real Estate Tangible Public Online Tax Roll About Us Contact Lis Home Other Benefits Personal Property Records Tools Administration The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collectors website directiyfor additional information. FawWmk TWM., PM 0 E-mall Link --h: Folio, Owner Name or Address yy 000 Selected Property Information 9-4 vizing Ai 1s r)V A I hl t,Fif )RI f L ""o 1,11 Property Information Assessment Information Full Legal Description Year. 21H3 2012 Assessment Information Land Value: $116,104 "MOO Benefits Information BulldlngValue: $278.703 $314,069 Market Value: $392,857 $407.81M Soles Information Assessed Vakie: $392.867 $407.4159 Additional Information Taxable Value Information Featured Online Tools Report Homestead Fraud County: Tax Comparison School Board: Tax Estimator Cky: TRIM Notice 1 Regional. View Taxes Additional Online Tools Comparable Sales cli giswab.rdarftdode.gouVtqxwtySeareN Examptioni atemptiont Taxable Value Taxable Value $50,0001 $5010001 $34207 $367,659 $26,010 0510001 $367.857 $382,669 $501000/ $rAcm $342.867 $357,859 $rAom $50,00W $342,667 $357,659 ,Ilre,tM ; Aerial Map n), 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 Sectio R4402 govem the minimum requirements and standards of the industry for roofing system installations. n 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- Workmanshlp: the workmanship provisions of Section R4402 are for the purpose of provi ing 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 cafe, should be addressed as part of the agreement between the owner and the contractor. 2 Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be renalled 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 should notify the occupants of adjacent units of roofing to be performed. 4. be Vviewed—from Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can 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 appe . nce. 5• 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 expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original rogfing system is removed. Pounding conditions should be corrected. 6• Overflow scuppers (wall outlets): It is required that rainwater water 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 ac ordance with the requirements of Sections R4402, R4403 and R4413. 7• -- rVentilation: 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 beneficial to consider additional venting which can result in extending the service life of the 40r/Agen s Signature Date Contractor Signature Date Revised on 71912009 LD