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RF-14-174Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206409 Permit Number: RF -1 -14 -174 Scheduled Inspection Date: February 12, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: LIVINGSTONE, KERI Work Classification: Repair Roof Job Address: 1140 NE 100 Street Miami Shores, FL 33138- Phone Number (786)218 -0080 Parcel Number 1132050190430 Project: <NONE> Contractor: PAUL BANGE ROOFING, INC. Phone: 3051981 -7663 Isuuamg uepartment comments ROOF REPAIR INSPECTOR COMMENTS False February 11, 2014 For Inspections please call: (305)762 -4949 Page 14 of 39 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 11, 2014 For Inspections please call: (305)762 -4949 Page 14 of 39 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 All�� C6 !AN 30 �.0 �-�. BY.om.. 000am ®® A. t&D L� �1 --� M FBC 20 �® (if BUILDING Permit No. PERMIT APPLICATION Master Permit No. - y Permit Type: BUILDING ROOFING JOB ADDRESS: /pip IU e ll�D'�� Sl�vtxf City: Miami Shores County: Miami Dade Zip: 331 � Folio/Parcelt oys-1010 • Dw30 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Xj r — l KI Phone#: Address: 11 �lD /ye- City: _M ( A m J S hb ms State: %cc.. zip: Tenanftzssee Name: Email: CONTRACTOR: Company Name: Address: IM) 'S !.J a l City: Qualifier Name: M. 9r1 gk1'f3 Fla.. State Certification or Registration #. cri�-__ 3 1 At Certificate of Competency #: Contact Phone#.: Ad Email Address: l-�/A DESIGNER: Architect/Engineer: - bm; / Phone #. 00 Value of Work for this Permit: $� Square/I.inear F0000 ge of Work: Type of Work: OAddition DAlteration ONew ®Repair/Replace ODemolition Description of Work, _ s 2 Color thru tile: Submittal Fee $ -Z • Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ 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 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, BORERS, 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 a reinspection fee will be charged -.-., Signature The foregoing instrument was acknowledged before me this day of 201* byQ6,0tJ KlLn-W , who is personally known to me or who has produced V IQ V NOTARY PUB Sign. Print: My Co Sion ] APPROVED BY Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06 /1012009)(Revised 3115/09) me or who has produced NOTARY PUBLIC:• Clerk 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 Village Building Department Dater 07 ' �y 10050 NE 2nd Ave . Miami Shores, A 33138 Re: Owner'sName�i,'Z4 KI4L1 / L— wIw(tr Property Address: t 1q0 A) C %®O +*76%ined Roofing Permit Number: Dear Building Official: I 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 $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature State of Florida County of Dade "P-i L%VJs &$-r0 ft-' rC Print Name The undersigned, being the first duly swom, deposes and says that he /she is the owner for the Swom to and subscribed before me this 61% day of Notary Public, Sate of Florida at When the just valuation of the structure for SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21009 FBC nor a 1994 DAV1E: 954792 -ROOF (7663) N. BROW: 954566 -ROOF (7663) S. BROW: 954 -981 -ROOF (7663) DADE: 305 - 981 -ROOF (7663) FAX: 954- 964 -ROOF (A63) 1-877- 981 -ROOF (7663) u� 'Bawge Win Propogar STATE CERT. CC C033691 LICENSED AND INSURED 7000 S.W. 21 ST PLACE DAVIE, FLORIDA 33317 Member of Better Business Bureau PROPOSAL SUBMITTED TO DATE 0� y' S` I PHONE ' 21V* NAME SaG� ar � e i � JOB NAME STREET I I q0 Q-fy 5 ( N.E: � `` TZIIP STREET CITY K/� , Ord STATE CITY STATE I ZIP We hereby submit specification and estimate for \411 refct�"r C7► ec� 4��ci �D�I to � � �t�i] 13 S S 6 RetmoVe `01a id .area a 9cwtoyr, dal tat l I;-f roileki pgood avlr� �I�ts�iy(n gs �tete���tr�u• {`C�,aG� r� t�bd� QS HGGe5S4?YS 'TiIG SIo G se s 1 d,,, f OLK5&JOV1 051rIQ � � � c r s •J ...t_vts4a 1l +Z le Qty a etO. avet aPP roJcd (o) _CleA14 a lad dL s c40d 1ebri Tim r ] Well p tq, ish labor and materials complete in aamonkin with the above specifications for the sum of 0 ou sahC] a i u .�z dollars ($ to�0 ' )payment to be made as follows. METHOD OF PAYMENT NOTE TO BUYER, GENERAL CONTRACTOR OR OWNER: Paul Bange ReWc. hereby proposes to furnish the abov6bor and material In accordance with the above specifications. A deposit of $ is required upon acceptance and the balance as work progresses in direct ratio to work completed. Payment in full to be made upon completion of the job. WARRANTY TO ORIGINAL OWNER: Paul Bange Roofing Inc. warrants workmanship for a period of— 9W &- years, but reserves the right to supervise or Inspect all work subsequently performed by other parties to the roof, fora reasonable fee. Without this supervision or inspection, all we., an are null and void. Warranty is transferable to new owner upon written application (subject to approval) and payment of 90% of contract price. Warranty is contingent upon job payment in full. All materials furnished will be as specified and work is to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications will become an extra charge over and above the estimate of labor and usual costs of our agreement: Paul Bange Roofing, Inc. will exercise reasonable care when performing the work, but cannot be held responsible in any manner for damage to dHveways, sidewalks, foliage, shrubbery, screening, septic tanks, gutters, pipes or cables, above or below ground. We will not be held responsible for water damage to the exterior or Interior of the premises. CUSTOMER IS URGED TO COVER FURNITURE AND OTHERWISE PROTECT THEIR PROPERTY. We cannot assume respondibility for any damages done to the roof by tradesmen or parties. Paul Bange Roofing, Inc. cannot be held responsible for damage done to any lumber by termites, carper ants or other wood boring Insects. Such wood will be at an additional charge: 7�^ THIS CONTRACT IS MECf TO OFFICE APPROVAL Alrf3mrized Slgnablre ACCEPTANCE Of PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. Paul Bange Roofing, Inc. is autlmrized to do the as spedtied. Payments wlil be made as outlined above. This proposal has the powerafe cDWact when signed and accepted. I have read and agree to the temps and conditions as stated on the front . and back of this coneracL AO[EPM signature p "A Print 9 m )&"0" pate -P! �-1 '2 Summary Details: Folio No.: 11- 3205 -019 -0430 Pro 1140 NE 100 ST Mailing GARY KLEINER Address: KERI LIVINGSTONE BedsBaths: 1140 NE 100 ST MIAMI Floors: SHORES FL Living Units: 133138- :.Pronariv Information- Primary Zone: 1100 SGL FAMILY - LaOd Value: 301 -2500 SQ CLUC: 0001 RESIDENTIAL- Market Value: SINGLE FAMILY BedsBaths: Floors: 1 Living Units: 1 Ad* Foota e: ,555 . Lot Size: 8,925 SQ FT ear Built: 1946 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 Legal LOT 7 BLK 178 LOT Description: IZE 75.000 X 119 OR 120234-3479 02 20021 OR 273234644:0610 01 Assessment Information: ear: 2013 LaOd Value: $1s3,046 Buildin .Value:. 25 8 $421, Market Value: ssessed Value: $421,654 4V 1,C - Exemption Information: mestead: $ This map was created on 1/20/2014 4:25:41 PM for reference 2nd Homestead: Y YES . purposes only. Web Site © 2002 Miami -Dade County. All. rights reserved. Taxable Value Information: e m mestead: $ $ar: 22043 5,000 2nd Homestead: Y YES . '.Safe Information: Fa Date: /2010 Sale Amount: 530,000 LQuIalfficallon e O/R: 27323-4644. - es Sates qualified as a result .. of examination of the scri tion: e� View Additi onal Sales http:// gisims2 .miamida.de.gov /myhome /printmap .asp ?mapurl= htt p: / /gisms2... 1 /20/2014 '.Safe Information: Fa Date: /2010 Sale Amount: 530,000 LQuIalfficallon e O/R: 27323-4644. - es Sates qualified as a result .. of examination of the scri tion: e� View Additi onal Sales http:// gisims2 .miamida.de.gov /myhome /printmap .asp ?mapurl= htt p: / /gisms2... 1 /20/2014 p: / /gisms2... 1 /20/2014 �1 AA It ®Al®�'C' ®SAT High Velocity Hurricane Zone Uniform Roofing Permit ry/p Section A (General Information) AND rOt�N 4 N'CF wB '/ '7/ Master Permit No. Process Nom 'YR�LFSgN ABC FFd�A� Contractor's Name: Job Address: "1 &nqe "may 11Ko rvE ioo Roof Category i r Low Slope Mechanically Fastened Tile Morta dhesive Set Tile r Asphaltic Shingles r Metal Panel/Shingles r Wood Shingles/Shakes r Prescriptive BUR -RAS 150 r Other. ftTF Roof Type r New Roof r Re- Roofing r Recovering Repair r Maintenance AMIL t/ .._:. Aff e r e ks located on the roof? r Yes 'K No If yes, what type? r Natural r LPGX Roof System Information JAN 3 2014 toCEj Lo lope area (ft Steep Sloped area (ft.� Total (ft.� Ew; 0:\B & Z Forms\Roofing Packet\roofing packet complete.&6/7/2012 II. PROPOSED ROOF: SHOW ENTIRE ROOF AGAIN, BUT INCLUDE PROPOSED WORK. INDICATE WHICH PART OF ROOF IS HIPPED /GABLED AND WHICH PART IS FLAT, IF APPLICABLE. IF A FLAT ROOF IS BEING PROPOSED, PLEASE INDICATE WHAT TYPE OF ROOM FLAT ROOF WILL BE CONSTRUCTED OVER, IF THE ENTIRE ROOF IS BEING REPLACED, PLEASE INDICATE SO. Contact Name Contact Phone Number O:\B & Z Forms\Roofing Packet\roofing packet complete.doc3 /7/2012 M1AMl' ® MAUI -DADS COUNTY PRODUCT CONTROL SECTION DEPARTt►IENT OF PER1IITrING, ENIIRONIIENT, AND REGUTA.TORY AFFAIRS (PERA) 1 I80S SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) .in) lapiidade.eaijiera 3M Company 3M Center Building 0220- 05 -E -06 St. Paul, MN. 55/44-1000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 3MT" 2- Component Foam Roof Tile Adhesive AU-160 LABELING: Each tilt shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miahni -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 ofNOA. ADVERTISEMENT: The NOA number preceded by the words Miatni -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 and revises NOA# 11- 0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0228.18 Gxplratton Date: 05/10117 Approval Date: 05/10/12 Page 1 oil ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof Pile adhesive Materials: Polyurethane SCOPE: This approves 3MT" 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, acid high profile roof tiles system using 2- Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Descilntion Specifications 3M'fm 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF1000 NIA Dispensing Equipment ProPaek® 30 & 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use oft- Component Foam Roof Tile Adhesive AK-160 roof the adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Pronerty Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.6 lbs./ft? 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Fe 3.1 Perm / Inch +0.07% Volume Change @ 40' F., 2 weeks +6.0% Volume Change @158 °F., 100% Humidity, 2 weeks 86% NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: 04/30/93 Southwest Research Institute Test Agency Test Identifier Test Name /Report Date Center for Applied Engineering 494 -060 TAS 101 04/08/94 257818 -1 PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 1 1/16/94 01- 6739- 062b[lj ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not pail of this acceptance. Refer to the Prepared Roof Tile Assembly for fife rating. 2. 3M"' 2- Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTh' 2- Component Foam Roof Tile Adhesive AN- 160 roof tile adhesive with their file assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of NANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. 2 Fl— MS NOA No.: 12- 0228.18 #A •DA OF Expiratlon Date: 05/10/17 ,,, Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MT"' 2- Component Foam Roof Tile Adhesive AH- 160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MT11' 2- Component Foam Roof Tile Adhesive AH -160. 2. 3MT"' 2- Component Foam Roof TIle Adhesive AN-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MT 1,1 2- Component Foam Roof Tile Adhesive AH -160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof file assembly NOA. 3. 3MT6' 2- Component Foam Roof Tile Adhesive AH -I60 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTU 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualifed Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A): 1.0 (B). The dispense timer shall beset to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTm 2- Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF 1000 or ProPackO 30 & 100 dispensing equipment only. 7. 3MT "' 2- Component Foam Roof Tile Adhesive AH -160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Wrm 2- Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MT"' 2- Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile 2 Piece Barre[ # 1 17 /side on cap and 34/ an N/A Flat, Low, High Profiles #2 1 24 N/A Flat, Low High Profiles #3 1 8 NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 LABELING'. All 3M"12-ComponentFoam Roof Tile Adhesive AH-160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUMEMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system, ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nall Unughplasilc emat PA*(ge"OhIlle) Uflde&F"l Emam Fat& Eavetours Exmtbsure "aftweappm 4huphommephft NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 0 I si. I Full NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nali through plasla cemont r-,,,, -- paddy w mlh we) •G'i tiareciowe Fmcourse *� \� fascia NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHEsiVE PLAcEmENT DETAIL 3 DOUBLE PATTY Halt through plastic cement P2* Nall through I (between tile) Undedayment PAN/ (under tile) 0"N Singlepaddy (4114, n x 3 la, 3 In x3in. under Ole single paddy I le single paddy 41n. 2 In. single paddy on 210. 4 In. FMCM88 paddyon under- layment under. Single paddy Ea 0 course on top of tile Single paddy In.)(71n.niedlurn Fag course % on top of Ole size "Idy eave Fascla course only Hall through plastic cement Single paddy underfile Single paddy between Ole )9103 ln.x31n, 41 . single paddy anunderlayment single paddy FayeClmure on top of tile I In. medium FMCM88 site paddy eave course only Wo I END OF THIS ACCEPTANCE Single paddy under Ole Single paddy between tile 21ri.x7immedlum sizapaddyeave ,o'% Fascia �, Weepheye avaclosute DrIpedge NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10112 Page 7 of 7 SECTION R4402.14 HIGH VELOCITY HURRICANE ZONES -- UNIFORM PERMIT APPLICATION Florida 1 uliding Code Edition 9-010 Veloolty hurricane Zone Uniform Permit Appllcatton Form INSTRUCTION PACE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION CORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BRlOW'. S atlons of the Attachments Required Roof system Required e Permit A iloation Form 128 List 09110w Low Slope Appiloation A,B,C Proscriptive A,B,C 4,5,8,7 Asphaltic Shingles A,D,D 1,2.415 ►$'7 concrete or Clay 'file A,H,D,i~ 1.2.3,45,6,7 Metal Boos A,B,D A,i3,D 1,2,4,6,6,7 Wand Shingles and $ s As Applicable 1,2��4•s6s7 fllhar _ • ATTACHMENTS RGQUMEDt T SAM110610 Listing Page Of Aocepianoe: e ystem Desortption ystem Limitations imitations 10 Detail Drawings 3. i. Design caicuiallyin RAs 128 4. Other Component A B. Municlpal Permit A $, 0—W.M. ners— NotIfIaat101 7. Anv Required Roof or CHAPTER 16, SECTION 1824 HIGH VELOCITY HURRICANE ZONES REAMED OWMERSS (NOTIFICATION FOR ROOFING CONSUDE RA`l ONO 1524.1 Scope. As It pertains to this section, if is the responslbillty of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Frorlda Buflding Code, Building govern the minimum requirements and standards of the industry for rooting system installations. Additlonaliy, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initials in the designated space indicates that the Item has been explained. 1- Ae $the9Ic8~warkn'¢ansT 1p.* The workmanship provisions of Chapter 15 fifth- Velocity Hurricane Zone) are forthe purpose of providing the rooting system meets the wind resistance and water intrusion 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. ftanuftg wood docks; When roplacing'rooffng, the existing wood roof deck may have to be renailed in accordance with current provisions of Chapter 16 (Nigh - velocity Hurricane Zones) of the Florldcl BufPding Coder Building. pm roof deck Is usually concealed prior to Removing the existing roof system.) 3. CoMmO n Mofs: Common roofs are those which have no visible delineation between neighboring units fie., townhouses, condominiums, etc.). In buildings with common.roofs, the roofing contractor and /orownershould notify the ocaupants of adjacent units of roofing work to be performed. —� �. losecfl ce�ings. Exposed, open beam ceilings are where the underside of the roof decking -can be viewed from below The Qwner may wish to maintain the architecturar appearance; therefore, roofing Hall penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. tv 5. Po¢�cifirn� water: The current rocif system and /or deck of the building may not drain well and may cause water to pond (accumulate) In tow lying areas of the roof. Ponding can be an Indication of structural distress'and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing systern. Ponding eonditlons may not be evident until the original roofing system Is removed. Ponding cgndltlons should be corrected. _ 6. ®vOftw scUfspM Cwal➢ outUds]: It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if bverffow scuppers wall gullets) are not provided, it may be•necesscxry to Install overflow scuppers in accordance with the requirements of: Chapters 16 an d• 16 herein and the Florida Butiding Come, Plumbing, 7. Venfifuf an. Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. ExcePtlaat: Attic spaces, designed by a Florida Ifeensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's /Agent's Signature" Fbrrn A13-S26 lPa9e 2 of 71 New 3116I0r ' SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE ONTRACTO'S SUBSTANTIAL— DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: Contractor's Name: Contractor's Company Contractor's Address: Contractor's Phone Number: Contractor's State Registration or Certification Number: Contractor's We Registration Number (if applicable): I hereby attest that I, or a member of my staff, personally inspected the subject property and produced the attached itemized list of repairs, reconstruction and /or remodeling which are hereby submitted for a Substantial Damage or Substantial Improvement Review. The list of work contains ALL OF THE WORK TO BE CONDUCTED on the subject property. If the property sustained Substantial Damage, this list of Work, will return the structure to at least its condition prior to damage and bring the structure into compliance with all applicable codes. I further attest that all additions, improvements or repairs proposed for the subject building are included in this estimate and that neither I nor any subcontractor or agent representing me will make any repairs or perform any work on the subject structure other than what has been included in the attached list. 1 UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT I, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE OF l/l COUNTY OF Before me this ay persona peare duly swom, deposes n t e/s a has aforementioned con ' o . ihx 86: Contractor's Signatureok ® ®®® Sworn to and subscrit l eo a moo® s* Lo #EE 176116 •a"'Uy��nO�d My commission who, being agrees to comply with all the 2014 -02 -04 14:48 JDCH Peds Immunology 954 893 6301 >> P 5/7 -- 1 ". TV IV r. 1 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address; �•/ � I ®� Contractor's Name: i Number_J� I hereby attest that the list of work and cost estimate submitted with my Substantial Damage or Substantial Improvement Application reflects ALL OF THE WORK TO BE CONDUCTED on the subject structure including all additions. Improvements and repairs and, if the work is tho result of Substantial Damage, this work win return the structure at least to the "before damages condition and bring the structure into compliance with all applicable codes. Neither I nor any subcontractor or agent will make any repairs or perform any work on the subject structure other then what has been included In the attached list, I UNDER'S'TAND THAT 1 AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT 1, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list STATE OF r® 0/ COUNTY OF Before me this y persor►ally appeared duly sworn, pleposes and says that he/she has Sworn to and e i �Gt1� 2, . �� ®® #EE 176116 a see � sees �@ Iq � ���IlttQ &49 � and agrees to commission expires who, being an the 2014 -02 -04 14:48 JDCH Peds Immunotogy 954 893 6301 >> P 4/7 HV --rvry v .. IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE Property Address: OR SUBSTANTIAL IMPROVEMENT REVIP-W i o He )-,)Q k)" e.c. �'' N1 ice. X4,t%. F% KI •jLr- Property Owner's Address: Property Owner's phone Number. Number. Flood zone (Occluding garage or carporo Check one of the following: W Tq.. Lowest Floor Elevation [ J I am attaching a State Certified Appraiser's report, valuing the structure at: am not attaching a State Certified Appraiser's report and I accept the use of the valuation of My property that has been recorded by the Count Pro eK A r RE /1 ��