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RF-14-1385` Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 (� Tel: (305) 795.2204 Fax: (305) 756.8972 U INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: �1 ill 1 It, �cE ��r�ra ruH zouI Y- o FBC 20t u Permit No. Master Permit No. - 14`� City: Miami Shores County: Miami Dade Zip: c3 Folio/ParceW l I — 3 2 0 5- C) ( 2.0 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): l\1 0 40n �^► � / Phone#: 3 0,5715-1 -T7 8 Address: Woo N>5 i p 5 �► � � � City: State: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Z Address: 7Z000 gA) ZU City: State: Qualifier Name: State Certification or Registration�A#: �'�+ G r����oCL Certificate of Competency #: Contact Phone#.. ,LEmail Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 3 j, �-k O E7 Square/Linear Footage of Work: Type of Work: ❑Addition OAlteration ®New kepair/Replace ODemolition Description of Work: Color thru tile: Submittal Fee $Sa Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 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 \[icy d Signature �\►—�`t-Y�'`°��- Si afore Owner or Agent Con actor KV The foregoing instrument was acknowled ed before me this 10 day of�J ,20Aby who is personally known to me or who roduc L As identification and who did take an oath. NOTARY PUBLIC: 0 ° s O R, 0 Sign:; n Print: 41 °® n� My ComLi ssion Expires:' a ®,4 4f�4LiC, The fork ing instrumentwas acknow ged befo me this -1 day o 20 —/# by who onallu Irnnum f me or who has produced as identification and who did take an oath. NOTARYPUBLIC:- Xg%X �� B0igRo II *v,,, SIO/V9 ° �SF •. O ®®®® 8.2p�6' ® 6 Sign Print: My Co ssion Expires: °°?or. gonded'h���em oho PL 0CUX) ev,, 'ds+'y{y".9ltQ�ifl`0 Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 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 Date: 10050 NE 2nd Ave . Miami Shores, FI 33138 f r Re: Owner's Name: W o Iln, LC&w- J &*i Property Address: Iof)_�.1�.1' L— 10,3 rcl . �3�w e'+ Roofing Permit Number Dear Building Official: I tvSAVr, 1.. B_wecka n certify that I am not required to retrofit the roof to wall connections of my building because: f Q The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad v 'Orem 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 �v��BOR R®�;'�Print Name K°��i��•�n��\SSIO E���O��, State of Florida ®®® N e County of Dade S -Z, #EE 17763E ® JZ % The undersigned, being the first duly svii;� 'en M'a s that he/she is the owner for the above property mentioned. Sworn to and subscribed before me thday of A4 Notary Public, Sate of Florida at Larg • When the just valuation of the structure for purpose M taxation is equal to or more than $300,000.00, and the buildng was not constructed with FBG nor a 1994 SFBC. Then you must provide a build'mg application from a General Contractor for the Roof to Wall connection Hurricane Mtigation. Revised on 5/21/2009 Property Search Application - Miami -Dade County Page 1 of 2 aft &Ift ""m Tn't� rmftHurEHTY AnpftPRAISt�R UF{ Summary Report Generated On: 6/11/ Property Information Folio: 11-3205-031-0120 Property Address: 1600 NE 103 ST Owner NORTON L BARCHAN &W MARGARET BARCHAN Mailing Address 1600 NE 103 ST MIAMI SHORES, FL 33138-2672 Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 5/6/2 Floors 2 Living Units 1 Actual Area 8,263 Sq. Ft Living Area 6,540 Sq.Ft Adjusted Area 6,733 Sq.Ft Lot Size 20,534 Sq. Ft Year Built 1959 Assessment Information Year 2014 2013 2012 Land Value $1 $1,026,700 $985,632 Building Value $869,226 $880,537 $939,576 XF Value $20,199 $20,295 $25,187 Market Value $1,916,125 $1,927,532 $1,950,395 Assessed Value $1,916,125 $1,927,532 $1,950,395 Benefits Information Benefit Type 2014 2013 2012 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 5 53 42 RE -PLAT OF TR C MIAMI SHORES BAY PARK ESTS PB 64-97 LOT 21 LESS BEG WLY COR SELY30FT NELY33.60FT NWLY45.05FT TO POB http://www.miamidade.gov/propertysearch/ 6/11/2014 Property Search Application - Miami -Dade County 2 of Taxable Value 1 $1,866,1251 $1,877,5321 $1,900,395 School Board Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value 1 $1,891,1251 $1,902,5321 $1,925,395 city Previous OR Book- Exemption Value $50,000 Price $50,000 Qualification Description $50,000 Taxable Value 1 .$1,866,125 $1,877,532 $2,500,000 $1,900,395 Regional Exemption Value 1 $50,000 $800,000 $50,000 2008 and prior year sales; Qual by $50,000 Taxable Value 1 $1,866,1251 exam of deed $1,877,5321 $477,500 $1,900,395 Sales Information Previous OR Book- Price Qualification Description Sale Page 05/01/2004 $2,500,000 22327-2753 2008 and prior year sales; Qual by exam of deed 01/01/1995 $800,000 16646-2556 2008 and prior year sales; Qual by exam of deed 09/01/1987 $477,500 13419-2010 2008 and prior year sales; Qual by exam of deed 2008 and prior year sales; Qual by 08/01/1982 $400,000 11535-0845 exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This webs(te may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp (httpJ/www.miamidade.gov/iinfb/disciaimer.asp) Version: http://www.miamidade.gov/propertysearch/ 6/11/2014 DAME: 954 -792 -ROOF (7663) N. BROW: 954 -566 -ROOF (7663) S. BROW: 954 -981 -ROOF (7663) DADE: 305 -981 -ROOF (7663) FAX: 954 -964 -ROOF (7663) 1 -877 -981 -ROOF (7663) fad'3aage �ro�o�ai STATE CERT. CC C033691 LICENSED AND INSURED 7000 S.W. 21 ST PLACE DAME, FLORIDA 33317 Member of Better Business Bureau PROPOSAL SUBMITTED TO fONG DATE /. � co PH }} V C 2 NAMERC JOB NAME 1t a STREET / / r STREET /6C)o q , Io 3�sA�E CITY q ` fie q ew NATE zip 92 CIT . r Y . elf �i`V J�or s • We hereby submit specification and estimate for 9 I We hereby propose to fumGsh 6 or and materials complete in ac�rdam with tt� above spedMors for the sum of f , d F� dollars ($ l 9 ) payment to be made as follows: METHOD OF PAYMENT: NOTE TO BUYER, GENERAL CONTRACTOR OR OWNER: Paul Bahge Roof g In . by -proposes to furnish the above labor 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 be made upon completion of 7ejob. WARRANTY TO ORIGINAL OWNER: haul Sange Roofing Inc. warrants workmanship for a period of- years, but reserves the right to supervise or Inspect all work subsequently performed by other parties to the roof, for a reasonable fee. Without this supervision or inspection, all warranties are null and void. Warranty is transferable to new owner upon written application (subject to approval) and payment of 10% 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 Stange Roofing, Inc. will exercise reasonable care when performing the work, but cannot be held responsible In any manner for damage to driveways, 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 responsibility for any damages done . roof?anf�thar tradesmen or parties. Paul Stange Roofing, Inc. cannot be held responsible for damage done to arty lumber by termites, carq` t j=. wood boring insects. Such wood will be at an additional charge.11'� THIS CONTRACT IS SUMECT TO OFFICE APPROVAL k9atted Signature ACCEPTANCE OF PROPOSAL l l The above prig, spedflcaUons and conditions are satlsfactory and are hereby accepted. Paul Bange Roofing, Inc Is authorized to do the work as spedfled. Payments will be made as oud1ned above. the of a contract when signed and accepted. I have read and agree to the bans and conditors as stated on the front and back of thLs contrail. ACS Signabae t 92 i • SPI Pn4 rr (P h a6e 9 I We hereby propose to fumGsh 6 or and materials complete in ac�rdam with tt� above spedMors for the sum of f , d F� dollars ($ l 9 ) payment to be made as follows: METHOD OF PAYMENT: NOTE TO BUYER, GENERAL CONTRACTOR OR OWNER: Paul Bahge Roof g In . by -proposes to furnish the above labor 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 be made upon completion of 7ejob. WARRANTY TO ORIGINAL OWNER: haul Sange Roofing Inc. warrants workmanship for a period of- years, but reserves the right to supervise or Inspect all work subsequently performed by other parties to the roof, for a reasonable fee. Without this supervision or inspection, all warranties are null and void. Warranty is transferable to new owner upon written application (subject to approval) and payment of 10% 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 Stange Roofing, Inc. will exercise reasonable care when performing the work, but cannot be held responsible In any manner for damage to driveways, 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 responsibility for any damages done . roof?anf�thar tradesmen or parties. Paul Stange Roofing, Inc. cannot be held responsible for damage done to arty lumber by termites, carq` t j=. wood boring insects. Such wood will be at an additional charge.11'� THIS CONTRACT IS SUMECT TO OFFICE APPROVAL k9atted Signature ACCEPTANCE OF PROPOSAL l l The above prig, spedflcaUons and conditions are satlsfactory and are hereby accepted. Paul Bange Roofing, Inc Is authorized to do the work as spedfled. Payments will be made as oud1ned above. the of a contract when signed and accepted. I have read and agree to the bans and conditors as stated on the front and back of thLs contrail. ACS Signabae ederal & TESTING INC. p Ave Pompano Beach. FL 33469 July 14, 2014 Paul Bange Roofing 7000 SW 21" Place Davie, Florida 33317 RE: TAS -106 TILE UPLIFT TESTS Proposal Roof Repair / Barchan Residence Permit # R176-14-1385 1600 N.E. 103rd Street Miami Shores, Florida 33024 Dear Sirs: Phone 954-784-2941 800-848-1919 Fax 954-784-7875 Order # 14-1957 In accordance with your authorization, Federal Engineering & Testing, Inc. has performed Tile Uplift Testing of the repair areas in compliance with Testing Application Standards TAS -106 and the Florida Building Code High Velocity Hurricane Zone on July 14, 2014 at the above referenced project. The purpose of our inspection was to determine the uplift capacity of the roof tiles for the residence at the above referenced project. The subject roof consisted of Flat Roll Concrete Tile Foam Set. The pitch of the subject roof is 3/12. Our fieldengineer visited the site and conducted 2 uplift tests on the repaired areas of roof tiles. All tests were performed according to the :Florida Building Code High Velocity Hurricane Zone and protocol TAS -106 using an Intereomp Scale Model CS200. The following is a summary of results: Field Test Results Test Number Test LocationField Uplift Pull Test Test Results 1— 2 (Repair Area) See Attached Diagram I > 35 Pounds Passed All test results were found to be incompliance with TAS -106 and the Florida Building Code The test results are limited to the tested areas. If other roof areas exhibit different conditions, it should be brought to our attention for remedial work. This uplift test is not a roof top inspection. A final roof inspection must be conducted by the building official for approval. The test results presented reflect the condition of the roof system at thetime of the test. These results are time and sample dependent since roof conditions are continuously changing due to exposure to the elements. Federal Engineering & Testing, Inc. is an independent third party providing un -biased testing information and results and is not affiliated with our client nor do we have any financial interest in the project or determination of the test results. As mutual protectionn to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. We appreciate the opportunity to be of service to you at. this phase of your project, If you have any questions or comments; please give us a calla It has been a pleasure working with you and look forward to doing so again in the near future. Sincerely, Keith LeBlanc, P.E. 7/0 2 /y Federal Engineering & Tesang, Inc. 7 Florida Reg. No. 59394 Certificate of Authorization # 5471 Miami -Dade County Certification # 11-0407.01 4 ` j Mi®QADE Construction Material American Concrete Miami bade Florida Department Engineering Council Institute County of Transportation tN 0 B -r -7, A=O.1W = O.lx7l=0.7' A=0.4H = 0.4x26'=10.4' Perimeter Dimensions = 3.0' No corners Field Sketch Location 1- 90 Location 2 -10 NOt t0 ►SCSIe 1600 N.E.103r' Street Miami Shores, FL Qo m --12 M Z , m :jp ZZ 0- c) CETN7. JUN277 ROOF A88V-M 3LiUS AVID ROOFTOP $THu TUAHS BY:— Florida Y: Florida Building Cade Edition 2 High-Yetooity Hur; omo Xone unwomi Permit Apnlie Miami Shores Village APPROVED BY DATE .?DNING DEPT BLDG DEPT ` > "BJECT TO COMPLIANCE WITH ALL FEDERAL 1 JAi4D COUNTY RULES ANO REGULATIONS OC O er[ Info • of o, Master Permit No, Process No. 1 4 Contractorrs Name 155-+ r — JobAddress NG I D,-- — - --- — -- - ---- �_ - — --. r ROOF CAzUaoRY Q Low Slope 0 Mechanically Fastened 7111 M PWAortar/Adhesive set e El Asphaltic Shingles 11 Metal panel/Shingles D Mood ; hingtesfShake 13 Presorlptive 13UR•13AS #RO ROOF 7YPR R Now #toot fl i3erooftng 1 p Recovorincg Rap a�ir d Maintenance ROOF SYSTOM INFORMATION LOW Slope Roof Area {5Fj Steep Sloped Roof Area {RFj Total (al) SetYis{On 0 (Roof Plan) 44— Sketch hoof Man: Illustrate all levels and sections, roof drains, scuppers, overftok" scuppers and 0veril0w drains. ; Include dimensions of sectlons and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. 15.34 • • •• • • 28fo FLORIDA SUILDINQ CODS-�13tiQ.DlV . : . •: • •• •••• •i• 000 0 0 t • • • • • •• • • 28fo FLORIDA SUILDINQ CODS-�13tiQ.DlV . : . •: • •• •••• •i• 000 0 0 Li 14001' A901Vtil the AND 1100110if3TfiHI3'pt RPS ` FlOrickl Bullrllng Code Witieit 2010 111011*16oily #Ittrrfaatto 2900 tialf9rol POOR Apnitaallon Porro. Not, Jts�r31laat ani >;fI! !ti i:poa3tta raaf aot#satbly t#ootttftnttottts kind fifottliv ptanutaoturar n03i pogent Is 1101 itsed, MAGIR9y oa uNA13) , Hyd3tc�n1 MatmfaotuYort ��� �.ltt t ��;fLY+ PrOttuot ApprcW it 14 Dosign WhiddWassouroP{ Etrom PAS -tip or CalDulailojnoi t�rdentt f I�ttta11pM , I3ntt►MAa Ma�t.I7ealgtt NrQasitrg,Yi t�tia ePaofP[a �radu0t Aeattt ttattdell'!doltnea�st Slope: tawhorlt#ase Shoot A No. of Ply(s) � G �it�gh4 trp• hof 8I0orMonnjtInU R 3t ¢tnstatatEanAaeirLoy:}r:, r"7l ow In aitlatian 13310 sttd 7fttolmoss3 #3At;o I0a0ftittvn,�narla0nding tl9gtorial3 Too fneillstian I.ayeri�l#rf`7 ,� f Top Inavtnlfon $16 anif'i'iitoEttisbe Top Insulation Va lit 111101141fiftWatortall Ottee �hao1(a) of No. of 1iiy�o}t Duo 4haat 174816norlCanditip matarfaf r Pry 1311081(s) R No. of Ply(v)IRP/I # i l hod t7 1071 Y#pa tdf ter( c Top Plyt 1� Yt� 133 I'aala flt�o t Wit PtAff PLORlDA aulGUa4tf GUt3liwt3UILDIN(4 8utfa011101how Faatanae�r Opsaing forAinihotina g ObastAilaufmtetth Ptold 1, l� u 0 0 La N iiov,83� 0 -1100 PeYltnateYt" as O Lap, f# Rot+Js ® td 1100 CoYitar3�'� —11 as Q txtla, tt Rovin L's. Nittttbar of Paatoners Iyer Insiitafta3i taoar�lt Plaid Parintotar comor Iffuelrato oonipaiianta Noted and uateflo imp Apptiaablef WaOdb�oatcta�, t�tifiai; Hd,ggo 9brrtdnatton, i3htnA, t�tttsfd0y, Gonllnuovs Gloat, Out Sitlp, ©ass Plafti& (lfpppauntat- Plashlttg, COphtg, oto. Itldf ata; Mean Aoef Helgftf, Parapet Het lt17h1t, Hablit of aw fta�ltttil#, QomPoltanlMaRattslr MaEerfeckttese, t�astanar 9jtpo, aslener8pa4btlEot8ofam�l n . 1'at at #r - Hubit . I Mean L Roof ' Halliiit 8,g1,� I1 m map •• .. . .- •l• •-••• • •141' • 0*0 r• MIAMI•DAD NUAWDADE COUNTY o PRODUCT CONTROL SECTION 11805 SW 26 Street, Roam 208 DEPARTIIENT OF REGULATORY AND ECON01iIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADIN11M TRATION DINT SION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA) lecononty CertainTeed Corporation 1400 Union Meeting Road, P.O. Box 1100 Blue Bell, PA 19422-0761 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 M anti -Dade County RER - P.roduct Control Section to be used in Miami bade 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 perforin 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: CertainTeed Conventional Built -Up -Roof Systems 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.perfoiinance of this product. TERMWATION 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 Oficial. :06.. This NOA renews and revises NOA No. 08-0410.07 and consists of pages 1 through 16. The submitted documentation was reviewed by Jorge L. Acebo. 1 APPRovEE? 9 000 : • 1Uo 13.1204.14 • ' .: NOA • bate: &A/18 • • . • • Expiration Approval Date: 115/30113 • ..' Page 1 of 16 0 ROOFING SYSTEM A.rrRoVAL Catesory,, Roofing Sub Cateaorv: Built -Up Roofing Material: Fiberglass Declt Type: Wood MaximumDesizn Pressure: -60 psf TRADEN.AmEs OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions ftecification Dcscriution All. Weather/Empire 361'x65'10";' ASTM D 4601. Asphalt coated, fiberglass reinforced base Base Sheet Roll weight: 86 lbs. Type 11 sheet. (2 squares) UL Type I5 FlintglasS Mineral 36" X 32'10"'- ASTM D 3909 Asphalt impregnated and coated inorganic Surfaced Cap Sheet Roll Weight: 79 lbs. glass fiber surfaced with mineral granules (1 square) used as the top ply in conventional built-up roof membranes. Flintglas® Mineral 36" X 32'10"'; Surfaced Cap CoolStar Roll Weight: 78 tbs. (I square) Flintglas® Ply Sheet Type IV or VI Flex I-Glas Base Sheet 36" x 1647'; Roll weight: 40/55 lbs. (5 squares) 36" x 9819"; Roll weight: 90 lbs. (3 squares) ASTM D 3909 Asphalt impregnated and coated inorganic glass fiber surfaced with mineral granules used as the top ply in conventional built-up roof membranes. Covered with reflective. CoolStar Coating. ASTM D 2178 Fiberglass, asphalt impregnated ply sheet. Type IV or VI UL Type 01 ASTM D 4601 SBS Modified, fiberglass reinforced base Type H sheet. UL Type 02 Flex-I-Glas FR Base 36" x98'9"; ASTM D 6163 SBS Modified, fiberglass reinforced base Sheet Roll weight: 90 lbs. Grade S sheet. (3 squares) Type I G1asBaseTM Base Sheet Black DiamondTM Base Sheet MIAMMME CQUNrY �Filwwafwij� 36" x 98'9"; ASTM D 4601 Asphalt coated, fiberglass base sheet. Roll weight: 69 lbs. UL Type 02 (3 squares) 36'x 687"; Roll ASTM D 1970 Self -adhering fiberglass reinforced 00 weight: 78 lbs. modified bitumen base sheet • (2 squares) • • NOA NA:13-0204.14 • Expiratiou DA6: 6111/1&0 : ' • • Approval Dafa; {P5/36f13' • • • Page 2 of 16 APPROVED INSULATIONS: Product Name MtBoard ISO ACFoam H High Density Wood Fiberboard Periite Insulation H -Shield DensDeck, DensDeek Prime ENRGY 3, ENRGY 3 25 PSI Multi -Max -3, Multi -Max FA -3 TABLB 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam Insulation Wood fiber insulation board Perlite insulation board Polyisocyanurate foam insulation Water resistant gypsum board Polyisocyanurate foam insulation Polyisocyanurate foam insulation Manufacturer (With Current NOA) CertainTieed Corp, Atlas Roofing Corporation Generic Generic Hunter Panels, LLC Georgia Pacific Gypsum LLC Johns Manville Corp. RMax Operating, LLC, APPROVED FASTENERS: TABix 3 Fastener Product Product Number Nance Description Dimensions 1. Dekfast Fasteners # 14 & Insulation fastener #15 HS • . 2. Dekfast Galvatume Steel Galvalume AZ50 steel plate 2'/$" x 3 Ile Hex Plate 3. Dekfast Dekflat Round Polypropylene plate 3" x 31/V Plastic Lock Plate • • 4. #12 Standard Roofgrip & Insulation fastener for wood • # 14 Roofgrip and steel. NOA Explration DaCh: (01911$.0 S. AccuTrac Hextra Insulation fastener for wood • Approval Date: 05/30113 and steel 6. 3 in. Ribbed Galvalume Galvalume stress plate. 3" round Plate 7. AccuTrac Plate Galvalume stress plate. 3" square 8. 3 in. Round Metal Plate Galvalume AZ50 steel plate 3" round 9. Trufast #12 DPH & Insulation fastener for wood Trufast#14 HD Fastener and steel decks 10. Trufast 3" Metal Galvalume AZ50 steel plate 3" round Insulation Plate NiIAMMADE COUM Manufacturer (Witlr Current NOA) SFS Intec, Inc. SFS Intec, Inc. SFS Intec, Inc. OMG, Inc.,, OMG, Inc. OMG, Inc, OMG, Inc. OMG, Inc. Altenloh, Britnek & Co. U.S., Inc. Altenloh, Brinck & Co. U.S., Inc. • . 0.0 .. .-•.. • • TV C. 134204.14 • NOA Explration DaCh: (01911$.0 �' • • : • • • Approval Date: 05/30113 Page 3 of 16 see 0 EvmENcEi SuBmftTTm: Test Aaencvndentllier TrinitylF,RD Momentum Technologies, Inc. Factory Mutual Research Corp. Underwriters Laboratories, Inc. United States Testing Company PRI Construction Materials Technologies LLC APPRQYED Name TAS 117 (B) TAS 117 (B) TAS 117 (B)/ ASTM D6862 TAS 114 ASTM Physical Properties ASTM D4601 ASTM D3909 ASTM D1970 ASTM D 4601 ASTM D 3909/ D 4897 FMRC 4470 FMRC 4454 FMRC 4470 FMRC 4470 UL 790 ASTM D 5147 ASTM D 5147 ASTM D2178 ASTM D2178 ASTM D6163 ASTM D4601 Report 3503.10.06 06490,44.07 R1 C8500SC.11.07 C8370.08.08 C10080.09.08 -R4 C40050.09.12-1 -C44200.03.-13 C40050.09.12-2 AX31 G8D AX31G8C I.I. #3Y8At.AM J.1.OD3A3.AM I.I.2DOAO.AM J.I. 1D7A4.AM R11656 97457-4 97-457-2R CTC -122-02-01 CTC -123-02.01 CTC -066-02-01 CTC -127-02-01 Date 10/10106 06/27/07 11/30/07 08/19/08 03/2S/10 09128/12 03/22/13 --- 09/28/12 09105/08 09/05/08 03/23/96 04104/97 12/23/98 11/09198. 01111113 06/03/88 12/02/87 03/13/12 03/13112 08109/11 03/13/12 NOA 1'=8,13 V204,14 . • . • ' •: Expiration Dater x/19/1$.. '.� •,• • • Appiwal Date: 05130/13 Page 4 of 16 Deck Type 1: Wood, Non -Insulated Deck Description: 19/32" or greater plywood or wood plank attached using approved nails spaced 4" o.c. at wood joists spaced maximum 24" o. c. System Type E(3): Base sheet mechanically attached. Base Sheet: All Weather/Fimpire Base Sheet, G1asBase base sheet or Flintglas Premium Ply Sheet mechanically attached as detailed below. Fastening: Base sheet shall be lapped 4" and fastened- with l l ga.-annular ring shank nails.and approved tin caps 811o.c. in the lap and three rows staggered in the center of the sheet 8"o.c. Ply Sheet: Two or more plies of Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type VI) or ASTM D226, Type i sheet adhered in a full mopping of approved asphalt at an application rate of 20-40 lbsJsq. Cap Sheet: (Optional) One ply of Flintglas Mineral Surface cap sheet or Flintglas Mineral .. Surfaced Cap CooiStar adhered in a frill mopping of approved asphalt at an NOA Pia13420 J14 • application rate of 20-40 lbs./sq. Surfacing: (Required if no cap sheet is used) Any coating, listed below, used as a surfacing, . ExLpirafiontat: O�b/19/1�.. must be Iisted within a current NOA. Install one of the following. •.• 1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat LP 20 of approved asphalt at 60 lb./sq. 2. A two part coating consisting of a base coat of APOC #300 Asphalt Fibered Approval Date: 05/30/13 Emulsion at rate of 3 gal.lsq.; surfaced with 1 gal./sq. APOC#212 Fibered Aluminum Roof Coating. Maximum Design Pressure: -60 psf (See General Limitation 97) NOA Pia13420 J14 • • .. . . . ExLpirafiontat: O�b/19/1�.. '.' •.• • ' LP 20 Approval Date: 05/30/13 Page 15 of 16 WOOD DE, cK SYSTEw LmTATiom: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or, anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT'range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 2751bf., 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 win 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 cornets). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in, accordance with the FlorldW •• • • ' ' • • •. Building Code and Rule 9N-3 of the Florida Administrative Code. •: +• ' • • • •' END OF THIS ACCEPTANCEgoo o'o • • . • • • • • • NOA 1V.*.,13-} 204„14. • • • • r Muust nane courm Expiration Dat. W19114 • • • • • Approval Dates 05/38/13 Page 16 of 16 see 0 A. goo fiber or wood fiber, any thickness. Base Sheet., Type ©2 "Glasbase" base shoot Ply Sheets: Two to three layers of Type Cal "Flintglae ply shoot or'i ype 0-2 "Glasbase" base sheet. Surfacing: caravel or slag. 7. Deck: C-15132 Incline: 3 Vapor Retarder (Optional): Type G2 "Glasbase" or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the follom&V. Poiylsocyanurate,: perfite, glass fiber or wood fiber, any thickness. Membrane; Three or four layers of Type G1 "FUntglae ply sheet. Surfacing: Gravel or slag. 8. Deck: 0-15132 Incline;.7 Vapor Retarder (Optional); Type G2 "Glasbaso" or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the foiiovd ig; Polyfsocyanurate, perilte, glass fiber or wood fiber. Base Sheet: One layer Type ©2 "Glasbase Base Sheet" . Ply Sheets: Two layers Type G1 "Flintgias Ply Shoat'. Cap Sheet: One layer Type 03 "Fflntglas Cap Sheer'. 9. Deck: NO, Incline-. 112 Insulation (Optional): One or more layers or combination of the following; Johns Manville "ENR+GY V', palyisooyanurate, perilte, glass fiber or wood fiber, any thickness. Base Sheet: Two layers Type 02 "Glasbase Base Sheet" or two layers Type 01 "Flintglas Ply Sheet" . Surfacing: Type W "F1lntg1as Cap Sheet" . iii. Deck: C-13116* Incline: 112 *AU joints blocked. Insulation (Optional): One or more layers polyisocyanurate, 2 In. min, wood fiber,:1 in. min, perilte, 314 In. min, glass fiber, 15116 in. min. Base Sheet: Two layers Type 02 "Glasbase Base Sheet" or two layers Type 01 "Flintglas Ply Sheet'. Surfacing: Type G3 "Flinigtas Cap Sheer. 11. Deck: C-16132 incline: 3 Insulation (Optional): Any thickness, one or more layers or combinations. (optional of "Hy-Tharm AP" "Hy -Therm TAPERED", "Hy -Therm COMPOSITEO , "Colo Therm" "NY 'foo (Energy-LOky, , "TRI -Star", wood fiber or glass fiber, mechanically fastened or hot mopped. Base Sheet: Type 15 asphalt organic felt, or "Giassbase Base Sheer, nalied or hot mopped. Ply Sheefs: Min three plies Type 15 perforated asphalt organic felt, "Flintgias Type VI Premium Ply Sheer, "FUntglas Type IV Ply Sheet", hot mopped. Surfacing: Gravel or slag. 12. Deok: NO Incline: 2 Insulation (Optional): Any thickness, one or more layers or combinations (optional) of "Hy -Therm All'. "Hy -Therm TAPEREW , "Hy -Therm. COMPOSITE", "Gelo•There ,'VY Tec (Energy: LOIT , wood fiber or glass fiber, mechanically fastened or hot mopped. Base Sheet: Type 02 "Glassbase Base Sheet" , Type G1 "Flintglas Type Vi Premium Ply Sheet" or "HintglaeType IV P1y Sheet" . Ply Shoot: Min one ply Type 431, "Flintgfas Type VI Premium Ply Sheet" or "Flintgias Type IV Ply Sheer, hot mopped. Surfacing: Type 03 cap sheet, "Hintglas Cap Sheer, hot mopped. Class B 1. Deck*. C-15132 Incline. 112 Base Sheet* Two layers Type 15 "All lftleatherlEmplro Base Sheat" . Surfacing: Type 03 "Hintglas Cap Sheer. 2. Dock: C-16132 Incline: 3/4 • • • • Vapor Retarder (Optional): Type 02 "Glasbase" or UL Classified vapor retarder. • • • 0 : : • Insulation (Optional): One or more layers or combination of the following: Polyisocyanurate, penile♦ Biagi • •. • • • fiber or wood fiber. Base Sheet: One layer Type G2 "Glasbase Base Sheer. Ply Shoats: One layer Type G1 "Flinigfas Ply Sheer'. • • • • •" • COWIOMQ202UndaWtemLabomlWas1"". :•• : • • s • • • • • • • • •• • • • ••• • • • • ••• • • CHAPTER 116, SECTIOM 11824 HIGH V9LOC➢TY HURRICAME XOMES REQUIRED OWMERS NOTIFICATION FOR ROOFIMO CONSIDERAt' ONS . 1524.1 Scope. As it pertains to this section, it Is the responsibility of the roofing contractor to provide the owner with the requ€red roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Bur7ding govern the min€murri requprements and standards of the Industry for rooting system installations. Additionally, the following items should be addressed cis part of the agreement between the owner and the contractor. The owner's Initials In the: esignated space Indicates that the item has been explained. 1. Aesthelios-workmanship: The workmanship provisions of Chapter 15 (HIgh-Vepeclty Hurricane Zone) are for the purpose of providing the roofing 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. Rencalling wood docks; when replacing roofing, the existing wood roof deck may have to be renalled In accordance with current provisions of Chapter 16'(HIgh-Velocity Hurricane Zones) of the Fioridcx Buifding Code, Building. (Tire roof deck Is usually concealed prior to Removing the existing roar. system.) 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units Ile., townhouses, condominiums, etc.). in bu€ldings with common roofs, the roofing contractor andlor owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings. Exposed, open beam ceilings are where the underside of the roof deckirIg -Can be viewed from below. The owner may wish to maintain the archttecturat appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. 5. 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. Ponding can be an Indication of structural distress •anti may require the review of a professional structural engineer, Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding cgnditlons should be corrected. _ . 6. Overflow scuppers (wall oatlef$)o It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeterledge walls or other roof extensions may block this. discharge if overflow scuppers wall outiets) are not parovided. It may be•necessary to Install overflow scuppers in accordance with the requirements of. Chapters 16 ands 16 herein and the Florida Building Code, Plumbing. Ventflcallon: Most roof structures should have some abliily to vent natural airflow through the Interior of the structural assembly (tho building itself). The existing amount of attic venularion shall not be reduced. Excepilon: Attic spaces, designed by a Florida -licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's/Agent's Signature Date Contractor's Sigrrat ; ::: i • • Form Ad -926 (Page 2 of 7) New 3116104 •