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RF-14-88Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION Permit Type: BUILDING Permit No. JAN Z 12014 FBC 20 Master Permit NoAF H -SS ROOFING JOB ADDRESS: , Z3► S N E- q 3 SSC, City: Miami Shores County: Miami Dade Zip: 3 $� Folio/Parcel#: l %- %2-106- b Zl - 0 b Lt D Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder) t�'�."C� S► t 1E�Ca Phone#: `$U�'22,$•b�� g Address: 013 S� City:State:` Tenant&zssee Name: Phone#: Email: CONTRACTOR: Company Name: 1 Address: q'Sw tq W 1%k City: Qualifier Name: r_� Zip: '5-5l ?i!j'T r State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ JZ �5�000 ' '=— • Square/Linear Footage of Work: M QS * Type of Work: ❑Additioon ❑Alteration ❑New fRepair/Replace ❑Demolition Description of Work: \ZC P �-kA_4zLj Color thru tile: •x.x��a�x.x�x�x�xm�x�x�x�x�xx�x�a��xx�.x�x��xx��x��xx��x��x��xFees�x �n��x�x��x�x�xm�x�x��xa��xx��n�x�x�x��a�.x.xx��xx.m��x�xx�x� �n��x Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 2i L jd I A 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, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �CUSA" r Owner or Agent The foregoing instrument was acknowledged before me this 7-0 day of20'! �k , by G�L aVL,9.✓Ja e , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this Lb day of �%1%& , 20 )A, by kP9 R H--(- &C k 5o who is personally known to me or who has produced as identification and who did take an oath. Sign- I r Print: My Commission Expires: a&.0' * DEMAA0DR1t3U MY COMM6100 EE 033858 EXPIKS: Ne -bv 30, 2014 9 Bow T11 ;0 Notary servkes ebekk�kk�Rkak+R�k�k+kak��k+k�k�$�k•R•k�Rk�kA��kF �k�kk k�R$��kk�kk�k�ksk.k�N��kkk�ksk APPROVED BY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign• Print: My Commission Expires: Aotoa DM80DAIQUEZ a * MYCOMMISSION'#EE0M w,4 oQ EXPIREber 30, 2014 I le -1 Zoning Clerk i7 i My Holme A �a�� l� Show Me: Piopetylriormaton y Search By: Sled tem Text only Report Homestead Fraud Property Appraiser Tax Estimator LJ Property Appraiser Tax Comparison Summary Details - Folio No. 11-3205-027-0040 Property: 1235 NE93ST Mailing RICHARD SUERO Address: SINGLE FAMILY Beds/Baths 1235 NE 93 ST MIAMI Floors: SHORES FL Living Units 3138- Pronertv Informatinn- Primary Zone: 1300 SGL FAMILY - $187,317 2801-3000 SQ CLUC: 0001 RESIDENTIAL - $327,620 SINGLE FAMILY Beds/Baths 2/2 Floors: 1 Living Units 1 dl Sq 1,893 Footage: Lot Size: 10,275 SQ FT Year Built: 1951 BAY LURE PB 44-63 LOT 4 LESS W25FT & Legal 25FT LOT 5 BLK 1 Description: LOT SIZE 75.000 X 137 OR 21027-4653 12 2002 1 COC 21392- 06 2003 1 Assessment Informatinn- ear: 2013 Land Value: $187,317 Building Value: $140,303 Market Value: $327,620 Assessed Value: $299,710 Exemption Information: Year: 2013 Homestead: eµ$25,000 2nd Homestead: YES Taxable Value Inforrnntinn- ear: 2013 Taxing Authority: Applied Exemption/ Taxable Value: Regional: $50,000/$249,710 County: $50,000/$249,710 Ci ty: $50,000/$249,710 School Board: $25,000/$274,710 g i si ms2.miami dade.g ov/myhome/propmap.asp M iami-Dade My Home Aerial Photography -2012 0 113 ft My Home I Property Information I Property Taxes I My Neighborhood I Property Appraiser Home I Using Our Site I Phone Directory I Privacy I Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at gis(a)miamidade.gov. Web Site © 2002 Miami -Dade County. All rights reserved. Legend *440 Property Boundary Selected Property .00 Street Highway Miami -Dade County Water N W+ Y E S 112 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B.� COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT e C. ` j COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (,EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ........................................................................................... COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Vc=X �cx BUSINESS ADDRESS: `I S'1® N,� L --s \L\ %\ -% \`\ CITY X!4 STATE V \ ZIP CODE S3 �2(® BUSINESS PHONE: 0 SFAX NUMBER (3) S"l Z? - CELL PHONE �_) QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: E-MAIL ADDRESS (IF APPLICABLE):�s Created on 3119109 BY MLDV I RV 3126109 MLDV STATE OF FLORIDA DEPARTMENT -OF BUSINESS AND PROFESSIONAL REGULATION atr .. CONSTRUCTION INDUSTRY LICENSING BOARD A m (850) 487-1395 940 NORTH MONROE STREET TALLAHASSEE FL 3 2 3 9'9'- 0 7 8 3 PACHECO, LISSETTE DEL SOL ROOFING ENTERPRISE INC 2525 W 3 CT HIALEAH FL 33010 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! STATE OFFLORIDA. AC-#.'. 6 'L F311.4 -9W `DEPARTNtENT:.:OF ;3USINESS AND' ,PROF;ESSION YL_:k.kGULATION.._ CCC132'8657 :0:'fs J13'%:12 110429002 CEiRTIFIED TG CO- RA .PACHECO., LZ;SB1;yTE DEL' SOL ROOg iG°: %; RPR ISE. INC IS CERTIFIED under -the provisions of.Ch.4'$9 FS Expiration date: AUG .31', `2014 - L12016130-0765 06/13/2012 111042002: �CCG132865.7 The ROOFING CONTRACTOR Named below .IS CERTIFIED. Under the provision's of Chapter:- 4$ FS _ Expiration date: AUG 31, 2014 PACHECO, LISSETTE DEL SOL ROOFING ENTERPRISE INC 2525'W 3 CT HIALEAH FL 33010 RICK SCOTT KEN LAWSON r_MTFurTnu gRrRRTARV I 4 Local: Business Tax Receipt mtanii-rDadeQ6unty, State of Florida. —THIS -IS NOT A BILL —D6 NOT PAY 5854642 BtJ51NESS NAIV1.6/t Ot A-hgN RECEIPT NO. orZ Say R0®0Nc. �r�t� 5 WC Rr it;iEl is 7570.NW 14• $T 1.6266 MMIJI 33-126 �,XR�Fi�s f`RTtI� dF 30;; 2014 Must bedisplayed ®t. plane of business Pursitaint to County Code Chapter 8A — Art. e & 10 OWNER SEC. TYPE OF BUSINESS DELSOLROOFlNG ENTEE2PRISE INC PAYMENT RECEIVED 196 SPECIAL.IYBLALDING BY TALC coj.ecrbR Worker(s) MIAMMFRM [Y1DE PONMCTOR 45.00 0-'/09%2013 $ CCC1328657 TXHS1-13-019105 This Local Bits Bess Tax lieooipt only confirmt;..payuleut of the Local Buslaess Tax. the Receipt is nota license, permit, org certification of the holder's gualifichtions,te do business. Holder must comply with any governmental or non goverbmental regulatory laws and regniruuieutswhich apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles �Miamf=Dade Code Seo 8a 276. For more information, visit WWw.miamidade.gcv/taxoofleeter k I.. e'® CERTIFICATE OF LIABILITY INSURANCEDATE 01'3"'' TYPE OF INSURANCE INSR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: LUIS DE LA LLERA DELTA INSURANCE UN DERWRITERS. INC. (AIExt 305-269-1107 C, Noy 305-269-110a 777 N.W. 7AVENUE, SUITE 3133 ADDRESS: DELTAINSUND@AOL.COM MIAMI, FLORIDA 33126 WSURER(S)AFFORDING COVERAGE NAIC 0 INSURERA: ARCH SPECIALTY INSURANCE COMPANY 21199 GENERAL AGGREGATE $ 2,000,000. INSURED INSURER B DEL SOL ROOFING ENTERPRISE, INC. INSURER C: 7570 N.W. 14 STREET, SUITE 111 INSURER D., MIAMI, FLORIDA 33126 INSURER E : PH 305 228 0218 FAX 305 229 5722 INSURER F : C;UVERAGkS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICYNUMBER (MM/D MMA) LIMITS FA GENERALLIABILITY J COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR LUIS DE LA LLERA At-nan 9A virmnrnet AGL003211-00 08/09/2013 08/09/2014 EACH OCCURRENCE $ 1,000,000. PREMISES Ea axurrerxe $ 100,000. MED EXP (Arty one person) $ 10,000. PERSONAL$ ADV INJURY $ 1,000,000. GENERAL AGGREGATE $ 2,000,000. GEN'LAGGREGATE LIMITAPPLIESPER: POLYFV1 ECT1:1 LOC PRODUCTS -COMPIOPAGG $ 1,000,000. $ AUTOMOBILE LIABILQY ANYAUTO ALL AUTOS AUTOSSCHEDULED HIREDAUTOS NON -OWNED AUTOS tsiNho SINGLE LIMIT$ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ FKOPEK I Y LYWAAUt $ Per accident UMBRELLAUAB EXCESS L1AB ri IOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION$ g WORKERS COMPENSAnON1M1C AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ii Him describe under DESCRIPTION OF OPERATIONS below NIA AR} TH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERMONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addidonel RemarkeSchedule, If more space is required) ROOFING CONTRACTORS LICENSE NUMBER CC C1328657. k,r-n i irta.Ai t nvurtk r_earrcl t ertnu ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE / BUILDING DEPT. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORIZED REPRESEWATNE PH 305 795 2204 FAX 305 7568972 LUIS DE LA LLERA At-nan 9A virmnrnet ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . .1 Issue Date: 12/3/2013 0 FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION, INC. 1-800-767-3772 • FAX (407) 671-2520 ISSUED TO: COPY PROVIDED TO: Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores, FL 33138 Attention: Del Sol Roofing Enterprises, Inc. This is to Certify that: 7570 NW 14th St., #111 Miami, FL 33126 Del Sol Roofing Enterprises, Inc. 7570 N.W. 14th Street, #111 Miami, FL 33126 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND, P.O. Box 4907, Winter Park, FL 32793. COVERAGE NUMBER: 870-033587 EFFECTIVE DATE: 1/1/2014 EXPIRATION DATE: 1/1/2015 LIMITS Workers' Compensation: Statutory- State of Florida Employers' Liability: $100,000.00 Each Accident $100,000.00 Disease, Each Employee $500,000.00 Disease, Policy Limit REMARKS: Non -cancelable, without 30 days prior written notice, except for non-payment of premium which will be a 10 day written notice. Lissette Pacheco as Qualifier, License #CCC1328657 This certificate is issued as a matter of information only, is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be constructed as extending coverage not afforded by the policy(ies) shown above or as affording insurance to any insured not named above. This provides coverage for Florida policyholders and Florida domiciled employees only. By. By. c Brett Stiegel, Administrator Debra Guidry, CPCU, Un erwriting Manager FRSA-SIF FRSA-SIF judgment and knowledge of local/regional wage scales can provide additional guidance to determine reasonable labor rates for professional trades (i.e. electricians, plumbers, block masons, framing, HVAC). SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE ITEMS TO BE INCLUDED (Please check off each line) ALL STRUCTURAL ELEMENTS INCLUDING: [ ] Spread or continuous foundation footings and pilings [ ] Monolithic or other types of concrete slabs [ J earing walls, tie beams and trusses Wood or reinforced concrete decking or roofing [ ] Floors and ceilings [ J Attached decks and porches [ ] Interior partition walls [ ] Exterior wall finishes (e.g., brick, stucco or siding) including painting and decorative moldings [ ]Windows and doors [ ] Re -shingling or re -tiling a roof [ J Hardware ALL INTERIOR FINISH ELEMENTS, INCLUDING: [ ] Tiling, linoleum, stone or carpet over sub -flooring [ ] Bathroom tiling and fixtures [ J Wall finishes (e.g., drywall, painting, stucco, plaster, paneling, marble or other decorative finishes) [ ] Kitchen, utility and bathroom cabinets [ J Built-in bookcases, cabinets and furniture [ ] Hardware ALL UTILITY AND SERVICE EQUIPMENT, INCLUDING: [ ] HVAC equipment [ ] Repair or reconstruction of plumbing and electrical services [ J Light fixtures and ceiling fans [ ] Security systems [ ] Built-in kitchen appliances [ ] Central vacuum systems [ ] Water filtration, conditioning or recirculation systems ALSO: [ ] Labor and other costs associated with demolishing, removing or altering building components [ ] Overhead and profit ITEMS TO BE EXCLUDED Plans and specifications Survey costs Permit fees Debris removal, (e.g., removal of debris from building or lot, dumpster rental, transport fees to landfill and landfill tipping fees), clean-up (e.g., dirt and mud removal, building dry out, etc.) Items not considered real property such as: throw rugs (carpeting over finished floors), furniture, refrigerators, appliances which are not built-in, etc. OUTSIDE IMPROVEMENTS, INCLUDING: Landscaping Sidewalks Fences Yard lights Swimming pools\spa Screened pool enclosures Sheds Gazebos Detached structures (incl. garages) Landscape irrigation systems Docks and Davits Seawalls Driveways Decks ITEMS REQUIRED TO EVALUATE YOUR APPLICATION APPLICANT MUST SUBMIT ALL OF THE FOLLOWING (please check off each item): 1. Completed and signed application for substantial damage/improvement review (included in this package). 2. Elevation certificate if property is located above base flood elevation. 3. Property Owner's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 4. Contractor's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 5. Estimated Cost of reconstruction/improvement form (included in package) and all required backup. Include subcontractor's bids and itemized cost lists (see footnote on Cost Estimate Form). 6. This checklist. 7. Copy of construction contract. If the owner is the contractor, submit all subcontractor bids to document the cost estimate. SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT REVIEW Property Address: Property Owner's Name: 0i Property Owner's Address: 0357 W, Property Owner's Phone Number: Contractors Name: S so Contractor's Address: Contractor's Phone Number: Flood Zone BFE Lowest Floor Elevation (Excluding garage or carport) Check one of the following: [ ] I am attaching a State Certified Appraiser's report, valuing the structure at: I 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 County Property Appraiser's Office. SIGNATURES: Property Owner: ' Date: Contractor: Date: d SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE PROPERTY OWNER'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: 15 - AI 43 Contractor's Name: D/ Property Owner's Name: Property Owner's Address l • 4? -3 'S �' �I✓ Property Owner's Phone Number: 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 the result of Substantial Damage, this work will return .the structure at least to the "before damage" 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 than what has been included in the attached list I 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 COUNTY OF kf- Before me this day personally appeared,who, being duly swom, deposes and says that he/she has read, understands, and agrees to comply with all the afore ne conditio Propertf Owner's Signature Sworn to and subscribed before me this day of WS, , 20zk. Notary Public State of My commission expires �tppY p�,BGo ODRIOM2 ,MYGOMMISSIONItE032% EXPIRES: NOMW 30, 2014 p�9lFOF F10�`OP Boded 1".»-u 6_;,yet Nojp Serve, SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE CONTRACTOR'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: Contractor's Name: Contractor's Company Name: b(- ,7 -le - Contractor's Address: Contractor's Phone Number. 3®5 o2-2-�?-40als Contractor's State Registration or Certification Number: /-3 X906 5 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. I 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 ,Ae COUNTY OF�'� Before me this day personally appeared s; 'V®c��, who,, being duly swom, deposes and says that he/she has read, understands, and agrees to comply with all the aforementioned conditions. Contractor's Signature Sworn to and subscribed before me this Z� of Notary Public State of: My commission expires: N�"rF R EXPIRES: So ��4 N�v�m S@ Application Number Cost Estimate of Reconstruction / Improvement /2-F /y_ 8_? 11 MIM This cost estimate of reconstruction/improvement must be prepared by and signed by the contractor or by the owner if the owner acts as the contractor. Owners who act as their own contractors must estimate their labor cost at the current market value for any work they intend to perform. Sub -Contractor Bids Contractor or Owner Estimates ,�& �/J/xj•C)Q Bid Amounts (see note "D") 1. Masonry 2.. Carpentry Material (rough) 3 abor (rough) L4. Roofing 5 n and Weather-strip 6. Exterior Finish (stucco) 7. Doors, Windows & Shutters 8. Lumber Finish 9. Hardware 10. Drywall 11. Cabinets (Built-in) 12. Floor Covering 13. Plumbing 14. Shower/Tub/Toilet 15. Electrical & Light Fixtures 16. Concrete 17. Built-in Appliances 18. HVAC 19. Paint 20. Demolition & Removal 21. Overhead & Profit Materi Labor Gotitp, Cos � s RbOF ASSEMBLIES AND ROOFTOP STRUCTURES Jr $off Florida Building Code Edition 2007 High Velocity Hurricane tone Uniform Permit Application Form. Section A (General Information to OP Master Permit No. Process No. Contractor's Name ® V. Ste` n o0� \N� 9 tie Ib AO ion � l 40 --- 3p�---- t ___�__,�rj' 31 a0' FLORIDA BUILDING CODE —BUILDING - ROOF CAXr-GOPX Q Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tile \ As haltic X67 Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 gigs J P Z o ❑ Prescriptive BUR -RAS 150 m < ROOF TYPE 13e U �� oi9 Reroofing 13Recovering ❑ Repair ❑ Maintenance .orc Z_ ROOF SYSTEM INFORMATION D I— _0 ea (SF) Steep Sloped Roof Area (SF) Total (SF) z by z�q� 0 p m Q SpCtinn R (Rnnf Plan) S c PP ari Ili ate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include d mens ctions and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 9 tie Ib AO ion � l 40 --- 3p�---- t ___�__,�rj' 31 a0' FLORIDA BUILDING CODE —BUILDING 4 Florida Building Code 2010 Edition High Velocity Hurricane Zone Uniform Permit Application Form ........::..ectl®n =C IL®w SloRed-Roof Sy—stem-1.: Fill In Specific Roof Assembly Components Fastener Spacing for AnchorlBatse Shoot and Identify Manufacturer Attachment Of a component is not used, identify as 'I* -) y Field: a_' oc ® Lap. # Rows ®� Z4.4 ` Perlmeter4 ' oc ® Lap, # Rows a oc Comer: 40 ' oC ® Lap, f/ Row, oc Design Wind Pressures, Frorti RAS 128 or Calculations: Prnaxl. 1- i� Pmax2: �} ' 1 Pmax3: l ba •0 Max Design Press r From the Specific NOA s; -...... . Deck. Gauge/Thickness; sloes:. AnchodBase Sheet & No. of Ply(s Anchor/Base Sheet Fastener/ ng Insulation Bese.]LAyer Base Insulation Size and Thickne Base Insulation Fastener/Bonding Me Top Insulation L€ty=. Top lnsulationSize and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Pty(s):- M hw1 Fastener/B ming M e. is ` p�t��p Ply Sheet(s).& o. of Ply(s):. _. Number of Fasteners Per Insulation Board Field.,-. Perimeter w141-1Comer� 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 Co plywith RAS 111 and Chapter 16. '0 LOX L) k9 V -5 � FT. y L)0 Q Parapet 10 fj k Height .4 hJ FT -1 1 Z k J i�144 Mean Roof 3 -� �l `►�\ V • Height Ply Sheet Fastenert6ondirIg t.F,erial: �- Top Ply C, t,(�- \g.14;:.C`b .- Surfac og: 4 0 ° 4 Florida Building Code 2010 Edition High Velocity Hurricane Zone Uniform Permit Application Form ........::..ectl®n =C IL®w SloRed-Roof Sy—stem-1.: Fill In Specific Roof Assembly Components Fastener Spacing for AnchorlBatse Shoot and Identify Manufacturer Attachment Of a component is not used, identify as 'I* -) y Field: a_' oc ® Lap. # Rows ®� Z4.4 ` Perlmeter4 ' oc ® Lap, # Rows a oc Comer: 40 ' oC ® Lap, f/ Row, oc Design Wind Pressures, Frorti RAS 128 or Calculations: Prnaxl. 1- i� Pmax2: �} ' 1 Pmax3: l ba •0 Max Design Press r From the Specific NOA s; -...... . Deck. Gauge/Thickness; sloes:. AnchodBase Sheet & No. of Ply(s Anchor/Base Sheet Fastener/ ng Insulation Bese.]LAyer Base Insulation Size and Thickne Base Insulation Fastener/Bonding Me Top Insulation L€ty=. Top lnsulationSize and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Pty(s):- M hw1 Fastener/B ming M e. is ` p�t��p Ply Sheet(s).& o. of Ply(s):. _. Number of Fasteners Per Insulation Board Field.,-. Perimeter w141-1Comer� 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 Co plywith RAS 111 and Chapter 16. '0 LOX L) k9 V -5 � FT. y L)0 Q Parapet 10 fj k Height .4 hJ FT -1 1 Z k J i�144 Mean Roof 3 -� �l `►�\ V • Height Ply Sheet Fastenert6ondirIg t.F,erial: �- Top Ply C, t,(�- \g.14;:.C`b .- Surfac og: 4 0 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High -Velocity Hurricane Zone Uniform Permit Application Form. R ofSystem M n fa turn• t �/ Notice of A ceptanceNumber; Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations S1 • 3 P2: -- 4$ • P3: —100 • Maximum Design Pressure (From the Product Approval Specific lyst ,L Deck Type: S \ Type Underlayment:� fi 0 Roof S�ope: 12 Insulation: — Fire Barrier: NJn Ridge Ventilation? Fastener Type & Spacing: j it y S A-V'",L N.:,r Adhesive Type: Type Cap Sheet: Mean Roof Height: - Roof Covering: -5-1390 /4 Type & Size Drip 3 "4 (4m, Edge: FLORIDA BUILDING CODE — BUILDING TGFU.R18970 - Roofing Systems Page 1 of 1 Pace Bottom See General Information for Rooftno Systems ENGLERTINC 1200 AMBOY AVE PERTH AMBOY, M 08861 USA TGFU.R18970 Roofing Systems Roofing Systems OTHER SYSTEMS Class A 1. Deck: C-15/32 or spaced sheathing Incline: Unlimited Underlayrneatt — One layer "VerseShield Underlayment", mechanically fastened. Ply Sheets — One layer Type 30 base sheet or "VersaMleld", mechanically fastened. 94 Panelst — "Series 1100, 1300, 2000 or 2500". 2. Deckt C-15/32 or spaced sheathing Incline: Unlimited R18970 UnderlaymenC — One or more plies'VersaShleld Undedayment', mechanically fastened. Panels: — 'Series 1100, 1300, 2000 or 2500-. LM Updated an 2004-09-01 Ouestions7 Notice of Disclaimer Pace Too 009 Underwriters Laboratories Inc.0 The appearance of a company's name or product In this database does not In itself assure that products so Identified have been manufactured under UVs Follow -Up Service. Only those products bearing the UL Mark should be considered to be Usted and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained In the Online Certification Directory subject to the folklwhV conditions: 1. The Guide Information, Designs and/or Ustings (files) must be presented In their entirety and in a non -misleading maturer, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with,pemdsslon ttrom Underwriters Laboratories Inc.' must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: 'Copyright ® 2009 Underwriters Laboratories Inc.®" An independent erganiration working loi a safes world with integrity. precision ano knowledge. _1 J httpY/database.ul.com/cgi-bin1XYV/template/LISEXT/1 FRAME/showpage.html?name=T... 3/17/2009 Owner's'Notificatiob Form 07 MIAM . la NUelfvering Excellence Every Dar" SECTION 1524 HIGH VELOCITY HURRICANE ZONES— REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility 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 Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. S1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that 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. {L- S -12. Renailin wood decks: When replacing roofing, the existing wood roof deck may have to be g P g g� g Y renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (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 work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail 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 and 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 conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of. Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: 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. Exception: 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: Contractor's Signature: Property Address: j 2 N Date: / . i d Permit Number: W 0 iami 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: A' 0 \L 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name:az.�� Property Address:__, Roofing Permit Number: Dear Building Official: I-�r�e�r...�.� G,� ��c c certify that I am not required to retrofit the roof to wall connections of my building because: -'-is 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) J Signature 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. Swom to and subscribed before me this day of 'ZD\L\ 2�SP.rt"'�B�iLO �p� /� 11 p-6nR71rLC7IEZ C1 MW Notary Public, Sate of Florida at Largep,9 EXPIAES:Novmber30,20j4 rFOF�,oR' BOWTisaNoisySenbs • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/2112009 BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA Major's Metal Roofing & Custom Sheet Metal, Inc. 406 NW 54 St Miami, FL. 33127 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade.eov/buildine/ 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 BNC - 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. BNC 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: Series 1300 Aluminum Metal Panel 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 j ob site at the request of the Building Official. This NOA consists of pages l through 6. The submitted documentation was reviewed by Alex Tigera. NOA No 11-0627.04 Expiration Date: 10/06/16 Approval Date: 10/06/11 Page 1 of 6 I ROOFING ASSEMBLY APPROVAL Cateeory Roofing Sub-Cateeory: Metal, Panels (Non -Structural) Material: Aluminum Deck Type: Wood Maximum Desien Pressure See Table A Below TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specifications Description Series 1300 l = various TAS 110 Aluminum, preformed, standing seam, w = 16" TAS 125 coated panels. Series 1300 Clip Trim Pieces Thickness = 0.032" 1= 6-'/4" W = 1 '/2" h = 1-11/16" Thickness Min. _ 0.024" 1= varies w = varies Thickness = 0.04" EVIDENCE SUBMITTED Test Agency Test Identifier Architectural Testing, 01-32797.01 Inc. 01-46070.02 Hurricane Test 0155 0404-04 Laboratory, Inc. BASF TAS 114 Corrosion resistant, formed, steel clips for metal panel installation. TAS 110 Standard flashing and trim pieces. Manufactured for each panel width. Test Name/Report Date TAS 100 11/05/08 TAS 125 12/03/03 TAS 125 5/21/04 ASTM G23 11/15/04 ASTM B117 NOA No 11-0627.04 Expiration Date: 10/06/16 Approval Date: 10/06/11 Page 2 of 6 APPROVED ASSEMBLY: SYSTEM A-1: Series 1300 Metal Roof Panels Deck Type: Wood, Non -insulated Deck Description: New Construction or Re -roof 19/32" or greater plywood or wood plank. Slope Range: 2":12" or greater Maximum Uplift See Table A Below Pressure: Deck Attachment: Deck shall be attached in accordance with applicable Building Code, but in no case shall it be less than 8d x 2-1/2" galvanized ring shank roofing nails spaced 6" o.c. at roof perimeter and field. In reroofing, where the deck is less than 19/32" thick (Minimum 15/32") the above attachment method must be in addition to existing attachment. Underlayment: Minimum underlayment shall be an ASTM D 226 Type II installed with a minimum 4" side -lap and 6" end -laps. Underlayment shall be fastened with corrosion resistant 32 gauge tin -caps and 12 gauge 1-1/4" annular galvanized ring - shank roofing nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll. Or, any approved underlayment having a current NOA. Fire Barrier Board: Any approved fire barrier having a current NOA. Refer to a current fire directory listing for fire ratings of this roofing system assembly as well as the location of the fire barrier within the assembly. See Limitation # 1. Valleys: Valley construction shall be in compliance with Roofing Application Standard RAS 133 and with Englert's current published installation instructions. Metal Panels and Accessories: Install the "Series 1300 Panel' and accessories in compliance with Englert's current, published installation instructions and details. Flashing, penetrations, valley construction and other details shall be constructed in compliance with the minimum requirements provided in Roofing Application Standards RAS 133. 1. Each roof panel is attached to the plywood substrate along it's male rib using the approved clips (6-1/4" long x 1 1/Z " wide x IJ 1/16'7 tall) located 3" from each panel end and at a spacing as listed in Table A below. Each clip is attached to substrate with four (4) corrosion resistant #10 self tapping pan head screws of sufficient length to penetrate through the sheathing a minimum of 3/16". 2. Attach adjacent panel by placing the female rib over the male rib and clip. Standing seams shall be mechanically seamed to a full 180 degree seam, (double lock) TABLE A MAXIMUM DESIGN PRESSURES Roof Areas Field Perimeter and Corner' Maximum Design Pressures -55 sf -123.5 sf Maximum Clip Spacing 24" o.c. 8" o.c. 1. Extrapolation shall not be allowed NOA No 11-0627.04 Expiration Date: 10/06/16 Approval Date: 10/06/11 Page 3 of 6 W SYSTEM 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. The maximum designed pressure listed herein shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and comers). 3. Panels may be rolls formed in continuous lengths from eave to ridge. Maximum lengths shall be as described in Roofing Application Standard RAS 133 4. All panels shall be permanently labeled with the manufacturer's name and/or logo, and the following statement: "Miami -Dade County Product Control Approved" or with the Miami Dade County Product Control Seal as seen below. All clips shall be permanently labeled with the manufacturer's name and/or logo, and/or model. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. 6. Panels may be jobsite roll formed with machine model #030602, 030501, 0100508, 91610005 from Englert Inc. NOA No 11-0627.04 MIAMFDADECOUNTY Expiration Date: 10/06/16 "' • Approval Date: 10/06/11 Page 4 of 6 1 APPROVED PROFILE DRAWINGS SERIES 1300 METAL PANEL PANEL CLIP NOA No 11-0627.04 Expiration Date: 10/06/16 Approval Date: 10/06/11 Page 5 of 6 - / , FASTENER SERIES 1300 PANEL WITH CLIP AND FASTENER AFTER SEAMING END OF THIS ACCEPTANCE NOA No 11-0627.04 Expiration Date: 10/06/16 Approval Date: 10/06/11 Page 6 of 6 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY 11805 SW 26 Street, Room 208 AFFAIRS (PERA) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/pera GAF Material Corporation 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 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: VersaShield® Fire Resistant Roof Deck Protection and VersaShieldo Solo Fire Resistant Slip Sheet 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 renews and revises NOA No. 10-0331.04 and consists of pages 1 through 3. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 11-1110.09 Expiration Date: 02/07/17 Approval Date: 01/26/12 Page 1 of 3 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Category: Underlayment Material: Fiberglass SCOPE: This acceptance is for VersaShielda Fire Resistant Roof Deck Protection (a.k.a "VersaShiele Underlayment") and VersaShield® Solo Fire Resistant Slip Sheet (a.k.a "VersaShield Solo"), as described in this Notice of Acceptance, for use with approved prepared roof assemblies. Designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION: Product Dimensions Test Product Specification Description VersaShield® Fire 42" x 100' rolls ASTM D 226 Type 11 Non -Asphaltic fiberglass -based Resistant Roof underlayment and/or fire barrier. Deck Protection VersaShieldo Solo 72" x 166.7' rolls UL790 Non -Asphaltic fiberglass -based slip Fire Resistant Slip sheet and/or fire barrier. Sheet MANUFACTURING LOCATION: 1. Conover, NC EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Construction Materials GAF -270-02-02 ASTM D 226 11/15/10 ELK -063-02-01 TAS 100 09/27/01 Underwriters Laboratories Inc. 99NK45831 UL790 03/21/00 I ONK11990 UL790 05/18/11 R19254 ASTM D 226 09/13/01 08CA37926 UL790 09/23/09 08CA49140 PRI Asphalt Technologies, Inc. ELK -069-02-01 TAS 100 03/04/02 BRY-003-02-01 TAS 117(B) 03/19/02 BRY-003-02-01 TAS 114 (H) INSTALLATION: 1. VersaShieldo Fire Resistant Roof Deck Protection or VersaShieldo Solo Fire Resistant Slip Sheet shall be installed in strict compliance with applicable Building Code. 2. VersaShieldo Fire Resistant Roof Deck Protection or VersaShieldo Solo Fire Resistant Slip Sheet shall be installed with a minimum 4 -inch head lap in a shingle layer fashion. 3. VersaShielde Fire Resistant Roof Deck Protection shall be mechanically fastened with approved fasteners in compliance with Florida Building Code 1518.2 when used in lieu of a code prescribed ASTM D 226 Type H underlayment. NOA No.: 11-1110.09 Expiration Date: 02/07/17 Mauhti�aD� �� Approval Date: 01/26/12 Page 2 of 3 LINIITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. VersaShield® Fire Resistant Roof Deck Protection shall not be left exposed as a temporary roof for longer than 30 days of application. VersaShield® Solo Fire Resistant Slip Sheet shall not be left exposed to the weather. 4. VersaShield® Fire Resistant Roof Deck Protection and VersaShield® Solo Fire Resistant Slip Sheet are a component used in roof assemblies. Roof assemblies are approved under specific assembly Notice of Acceptance. 5. VersaShield® Fire Resistant Roof Deck Protection or VersaShield® Solo Fire Resistant Slip Sheet may be used with any approved roof covering Notice of Acceptance listing. VersaShield® Fire Resistant Roof Deck Protection or VersaShield® Solo Fire Resistant Slip Sheet may be used as a component part of an assembly in the Notice of Acceptance. If VersaShield® Fire Resistant Roof Deck Protection or VersaShield® Solo Fire Resistant Slip Sheet is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 6. VersaShield® Fire Resistant Roof Deck Protection and VersaShield® Solo Fire Resistant Slip Sheet are a non -asphaltic underlayment that may be used as a fire barrier for prepared roof assemblies. For fire classification of specific roof assemblies using VersaShield® Fire Resistant Roof Deck Protection or VersaShield® Solo Fire Resistant Slip Sheet refer to a current Approved Roofing Materials Directory for fire ratings of this product. 7. 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 LABELING: All packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and yellow line to identify the ASTM Standard designation; or logo and the following statement: "Miami - Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. END OF THIS ACCEPTANCE NOA No.: 11-1110.09 Expiration Date: 02/07/17 Approval Date: 01/26/12 Page 3 of 3 o a S1300 ROOF PANEL PANEL CLIP WITH SCREWS ONE LAYER OF BUM TAPE UNDER CONTINUOUS VALLEY CLEAT #10 X 1" PANCAKE SCREWS VALLEY FLASHING 5/8"CDX PLYWOOD VERSASHIELD AND #30 PAPER JOB NAME: JOB NAME COM MENTSMESCRIPTION: AN&- �m VALLEY DETAIL - ENGLERT S 1300 - ALUMINUM 406 NW 54 STREET MIAMI, FL 33127 - TEL: (305) 757-3504 FAX: (305) 757-4031- E-MAIL: marvin@majorametaLcom 0 ONE LAYER OF BUM TAPE UNDER "Z" CLOSURE RIDGE / HIP FLASHING "Z" CLOSURE FIELD BEND END CUT PANEL (FORM AND BOX END) 1/8" POP RIVET PANEL CLIP S1300 WITH SCREWS ROOF PANEL PLYWOOD VERSASHIELD JOB NAME: JOB NAME COMMENTSMESCRIPTION: AW - RIDGE / HIP DETAIL - ENGLERT S 1300 - ALUMINUM 406 NW 54 STREET MIAMI, FL 33127 - TEL: (305) 757-9504 FAX: (305) 757-4031 - E-MAIL: marvin@maomnleW.com S1300 FIRST CLIP 3" FROM PANEL END 3" BULLNOSE DRIP EDGE WRAP PANEL--� AROUND BULLNOSE J� 3" RAKE // FLASHING - 5/8" CDX PLYWOOD VERSASHIELD AND #30 PAPER 1 1/4" RING SHANK STAINLESS STEEL NAIL AT 4" O.C. STAGGERED JOB NAME: JOB NAME COMMENTSf DESCRIPTION: EAVE DETAIL - E N G L E RT S 1300 - ALUMINUM A" 408 N STREET MIAMI. FL 33127 - TEL: (305) 757-9504 FAX ( (300 5) 757-4031- E-MAIL: marvin(a3malorsmetelcom 0 0 STUCCO CAULK BEAD DRIVE PIN 12" O.C. SIDEWALL FLASHING "Z" CLOSURE 5/8" CDX PLYWOOD VERSASHIELD ALUMINUM (0.032) STANDING SEAM PANEL JOB NAME: JOB NAME COMMENTSMESCRIPTION: SIDE WALL DETAIL - E N G L E RT S 1300 - ALUMINUM ( 406 N STREET MIAMI, FL 33127 - TEL: (305) 757-9504 FAX: (300 5) 757-0031 - E-MAIL: mervin@majorsmBtel.Com 7/2113 M Page Bottom See General Information for Roofing Systems TGFU.R1306- Roofing Systems TGFU.R1306 Roofing Systems Roofing Systems BUILDING MATERIALS CORP OF AMERICA, DBA GAF 1361 ALPS RD WAYNE, NJ 07470 USA R1306 "Ruberoid@ 20" or "Ruberoid® 20 HT" or "Ruberoid® Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. 1/2 -in. thick (minimum) gypsum board or 1/4 -in. thick (minimum) Georgia-Pacific Gypsum LLC "DensDeck@ Roofboard," "DensDeck Prime@ Roofboard" or "DensDeck Dura Guard' Roofboard" may be used in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 -in. thick minimum) roof decks. However, the butt joints in the gypsum board and Georgia-Pacific Gypsum LLC "DensDeck® Roofboard," "DensDeck Prime® Roofboard" or "DensDeck Dura Guard TM Roofboard" are to offset a minimum of 6 -in. with the butt joints in the roof deck. If polystyrene is part of the roof system, it must be placed belowthe overiayment board. Multiple plies of "GAFGLAS@ Ply 4" or "Tri -Ply® Ply 4" or "Tri -Ply® Ply 6" may be adhered to Georgia-Pacific Gypsum LLC "DensDeck @ Roofboard," "DensDeck Prime@ Roofboard" or "DensDeck Dura Guard TM Roofboard" in hot roofing asphalt. "EnergyGuardT'" Ultra" is an acceptable alternate to "EnergyGuardT" RF" in any applicable Classification. "GAF Stratavent@ EliminatorT"" Venting Base Sheet (Nailable)" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. "GAFGLAS® Pedite Insulation" may be utilized as a cover board over "EnergyGuardT" RF" insulation in any of the following systems. Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping asphalt or urethane insulation adhesive. Polystyrene referenced in any of the following Classifications include "EnergyGuardT" EPS Insulation". References to glass fiber insulation include "EnergyGuard Fiberglass Insulation". "EnergyGuardT"' Tapered" is an acceptable alternate to "EnergyGuardT'"" in any applicable Classification. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ("GAFGLAS@ #75 Base Sheet" or "Tri -Ply® #7S Base Sheet", or "GAFGLAS(D #80 ULTIMA") is a suitable alternate for Type G1 asphalt glass fiber ply sheet ("GAFGLAS® Ply 4" or "Tri -Ply@ Ply 4", or "GAFGLAS® Ply 6") in the Class A, B or C roof systems indicated below. The roof deck may first be covered with one ply Type G2 asphalt saturated glass mat base sheet "GAF Stratavent@ Eliminator m Venting Base Sheet (Perforated)" or "GAF Stratavent@ EliminatorT" Venting Base Sheet (Nailable)." Perforated base sheets to be loose laid or fully adhered with hot roofing asphalt and nailable base sheets are to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ("GAFGLAS@ #75 Base Sheet" or "Tri -Ply@ #75 Base Sheet" or "GAFGLAS@ #80 ULTIMA" or "GAF Stratavent@ EliminatorTM Venting Base Sheet (Nailable)" may be substituted for Type G1 asphalt glass fiber ply sheet ("GAFGLAS@ Ply 4" or "Tri -Ply@ Ply 4" or "GAFGLAS@ Ply 6") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened. "GAFGLAS@ Flashing" or "Ruberoid@" may be used for flashing in any of the Class A, B or C systems listed below. When "perlite" is referenced, this includes "GAFTEMP PERMALITE@" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems listed. Structural cement fiber building units are considered,suitable to be included as a deck in the following Class A, B or C'systems listed over C-15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely affect the rating. The use of 1/2 - in. minimum thick gypsum board is an acceptable alternate for minimum insulation over C-15/32 thick roof decks. The use of polystyrene insulation board between minimum 3/4 -in. thick perlite board and deck with rosin paper (perlite/rosin 7/2/13 TGFU.R1306- Roofing Systems paper/polystyrene/periite) is a suitable alternate for polyisocyanurate board in the following Class A, B or C systems. "EnergyGuardT"' RA" or "Tapered EnergyGuardT' RA"or "EnergyGuardT" Composite RA" may be substituted for any Atlas Roofing Corp. palylsocyanurate insulation in any of the following Classifications. O q 0 Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". "GAFGLASO #80 Premium Base Sheet" may be used in any of the following systems. "GAFGLAS@ Flex Ply 6" and "Tri -Ply@ Ultra -Flexible Ply 6" are suitable alternates to "GAFGLASO Ply 6". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Unless otherwise indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshield MB" at 21/2 to 3-gal/100-ft2. "Ruberoid@ Dual Smooth" may be used as an alternate to "Ruberoid@ Mop Smooth" or "Ruberoid@ 20" or "Ruberoid® 20 HT" "Ruberoid@ Mop Smooth 1.5" may be used as an alternate to "Ruberoid@ Mop Smooth" Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid@ Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid@ Mop" SBS products in any applicable Classification. 1. Deck: C-15/32 Class A Incline: 3 Insulation (Optional): — One or more layers perlite or mod fiber or glass fiber or polyisocyanurate or urethane or perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type G1 or "GAFGLAS@ Ply 4" or "Tri -Ply@ Ply 4" or "GAFGLAS@ Ply 6" hot mopped. Surfacing: — Gravel. 2. Deck: C-15/32 Incline: 2 Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type G1 or "GAFGLAS@ Ply 4" or "Tri -Ply@ Ply 4" or "GAFGLASO Ply 6". Cap Sheet: — One ply Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or "Tri -Ply@ Mineral Surfaced Cap Sheet " or "GAFGLASO EnergyCapT" BUR Mineral Surfaced Cap Sheet." 3. Deck: NC Incline: 2 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perlite/polyisocyanurate composite, perlite/urethane composite, wood fiber/polyisocyanurate composite, phenolic, 2 -in. maximum. Ply Sheet: — Two or more plies Type G1 "GAFGLASO Ply 4", "Tri -Ply@ Ply 4" or "GAFGLASO Ply 6". Cap Sheet: — One ply Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or "Tri -Ply@ Mineral Surfaced Cap Sheet" or "GAFGLASO EnergyCapT" BUR Mineral Surfaced Cap Sheet." 4. Deck: C-15/32 Incline: 1 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 UL Classified insulation adhesive. Base Sheet: — One ply Type G2 "GAFGLAS@ #75 Base Sheet" or "Tri -Ply@ #7S Base Sheet" (may be nailed). Ply Sheet: — One or more plies Type G1 "GAFGLASO Ply 4" or "Tri -Ply@ Ply 4" or GAFGLASO Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or "Tri -Ply@ Mineral Surfaced Cap Sheet" or "GAFGLASO EnergyCapT1 BUR Mineral Surfaced Cap Sheet." Surfacing (optional): — "TOPCOAT@ EnergyCoteTM " applied at a rate of 2-gal/100-ft2. 5. Deck: NC Incline: 3 Base Sheet: — One ply Type G2 "GAFGLASOO #75 Base Sheet" or "Tri -Ply@ #75 Base Sheet". Ply Sheet: — One or more plies Type G1 "GAFGLAS(g) Ply 4" or "Tri -Ply@ Ply 4" or "GAFGLAS@ Ply 6". Cap Sheet: — One ply Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or "Tri -Ply@ Mineral Surfaced Cap Sheet' or "GAFGLASO EnergyCapT" BUR Mineral Surfaced Cap Sheet." 6. Deck: C-15/32 Incline: 2 Insulation: — One or more layers perlite, glass fiber, polyisocyanurate, urethane, perlite/polyisocya nu rate composite, perlite/urethane composite, phenolic, 1 in. minimum (offset a minimum of 6 -in. from plywood deck joints). Base Sheet: - One or more plies Type GI or Type G2 or Type G3. Membrane: — One or more plies "Ruberoid@ Torch Smooth" or "Ruberoid@ Torch Granule" or "Ruberoid@ Torch Granule Plus" or "Ruberoid@ Mop Smooth" or "Ruberoid@ Mop Smooth 1.5" or "Ruberoid@ Mop Smooth Plus" or "Ruberoid® Mop Granule" or "Ruberoid@ Mop Pius Granule" or "ROOFMatchTM SBS Modified Granular" or "Tri -Ply@ SBS Modified Bitumen Membrane" or "ROOFMatchTm APP Modified Granular" or `Tri -Ply@ TP -4G" or "Tri -Ply@ TP -4" or "Ruberoid@ Dual Smooth". Cap Sheet: — Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or "Tri -Ply@ Mineral Surfaced Cap Sheet"or "GAFGLAS@ M CO"U-No MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economv 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 Ruberoid®Modified Bitumen 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 renews and revises NOA No. 09-0224.01 and consists of pages 1 through 29. The submitted documentation was reviewed by Jorge L. Acebo. APPROVED NOA No.: 13-0424.14 Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 1 of 29 ROOFING SYSTEM APPROVAL Cateeorw Roofing Sub -Category: Modified Bitumen Material: APP/SBS Deck TNoe: Wood Maximum Design Pressure: -75 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description Matrix"" 102 SBS 5 gallons ASTM D3019 Fiber reinforced rubberized cold -applied Membrane Adhesive adhesive for modified bitumen roof systems. GAFGLAS® #75 39.37" ASTM D4601 Type II asphalt impregnated and coated Base Sheet (1 meter) Wide glass mat base sheet. S #80 Ultima 39.37" ASTM D4601 Type II asphalt impregnated and coated, Base Sheet (I meter) Wide fiberglass base sheet. GAFGLAS® FlexPly"" 6 39.37" ASTM D2178 Type VI asphalt impregnated glass felt (I meter) Wide with asphalt coating. GAFGLAS® Ply 4 39.37" ASTM D2178 Type IV asphalt impregnated glass felt (1 meter) Wide with asphalt coating. GAFGLAS®Mineral 39.37" ASTM D3909 Asphalt coated, glass fiber mat cap sheet Surfaced Can Sheet (1 meter) Wide surfaced with mineral granules. GAFGLAS® EnergyCap"m 39.37" ASTM D3909 Asphalt coated, glass fiber mat cap sheet BUR Mineral Surface Cap (i meter) Wide surfaced with mineral granules with Sheet factory applied EnergyCoteT" GAFGLAS® Stratavent® 39.37" ASTM D4897 Fiberglass base sheet coated on both sides Eliminator Perforated (1 meter) Wide with asphalt. Surfaced on the bottom side Venting Base Sheet with mineral granules embedded in asphaltic coating with factory perforations. GAFGLAS® Stratavent® 39.37" ASTM D4897 A nailable, fiberglass base sheet coated on Eliminator Perforated (I meter) Wide both sides with asphalt. Surfaced on the Nailable Venting Base bottom side with mineral granules Sheet embedded in asphaltic coating. Ruberoid® SBS 39.37" ASTM D6I64 Non -woven polyester mat coated with Heat -Weld"" Smooth (1 meter) Wide polymer -modified asphalt and smooth surfaced. Ruberoid® SBS 39.37" ASTM D6164 Non -woven polyester mat coated with Heat -Weld"" Granule (I meter) Wide polymer -modified asphalt and surfaced with mineral granules. RoofMatch"' 107 sq. ft. ASTM D6164 Non -woven polyester mat coated with SBS Modified Granular (9.9 m2) SBS polymer -modified asphalt and surfaced with colored mineral granules. Ruberoid® SBS 39.37" ASTM D6164 Non -woven polyester mat coated with fire Heat -Weld"" 170 FR (I meter) Wide retardant polymer -modified asphalt and surfaced with mineral granules. NOA No.: 13-0424.14 Muuwanaoecowvr�r Expiration Date: 11/06/14 "• 1 Approval Date: 10/31/13 Page 2 of 29 Test Product Product Dimensions Specification Description Ruberoid® SBS 39.37" ASTM D6164 Non -woven polyester mat coated with Heat -Weld° Plus (1 meter) Wide polymer -modified asphalt and surfaced with mineral granules. Ruberoid® SBS 39.37" ASTM D6164 Non -woven polyester mat coated with fire Heat -Weld' Plus FR (1 meter) Wide retardant polymer -modified asphalt and surfaced with mineral granules. Ruberoid®EnergyCap- 39.37' ASTM D6164 Non -woven polyester mat coated with fire SBS Heat -Weld° Plus FR (1 meter) Wide retardant polymer -modified asphalt and surfaced with mineral granules and with factory applied EnergyCote. Ruberoid® SBS 39.37' ASTM D6163 Non -woven polyester mat coated with Heat -Weld"" 25 (1 meter) Wide polymer -modified asphalt and smooth surfaced. Ruberoid® Mop Granule 39.37' ASTM D6164 Non -woven polyester mat coated with (1 meter) Wide polymer -modified asphalt and surfaced with mineral granules. Ruberoid® Mop Smooth 39.37' ASTM D6164 Non -woven polyester mat coated with (1 meter) Wide polymer -modified asphalt and smooth surfaced. Ruberoid® Mop Plus 39.37' ASTM D6164 Non -woven polyester mat coated with (1 meter) Wide polymer -modified asphalt and surfaced with mineral granules. Ruberoid® Mop 170FR 39.37' ASTM D6164 Non -woven polyester mat coated with fire (1 meter) Wide retardant polymer modified asphalt and surfaced with mineral granules. Ruberoid® Mop FR 39.37' ASTM D6164 Non -woven polyester mat coated with fire (1 meter) Wide retardant polymer -modified asphalt and surfaced with mineral granules. Ruberoid® Torch Smooth 39.37' ASTM D6222 Non -woven polyester mat coated with (I meter) Wide APP modified asphalt and smooth surfaced. Ruberoid® Torch Granule 39.37' ASTM D6222 Non -woven polyester mat coated with (1 meter) Wide APP modified asphalt and surfaced with mineral granules Ruberoid®EnergyCap' 39.37' ASTM D6222 APP modified cap membrane with a torch Torch Granule FR (I meter) Wide grade bottom surface and a mineral granular top surface coated with factory applied EnergyCoteT-. Ruberoid®EnergyCap- 39.37' ASTM D6222 APP modified cap membrane with a torch Torch Granule Plus FR (1 meter) Wide grade bottom surface and a mineral granular top surface coated with factory applied EnergyCoteTm. RoofMatch'm 107 sq. ft. ASTM D6222 Non -woven polyester mat coated with APP Modified Granular (9.9 m2) APP polymer -modified asphalt and surfaced with colored mineral granules. Ruberoid® Torch FR 1 meter ASTM D6222 Non -woven polyester mat, coated with fire (39.37') Wide retardant asphalt modified bitumen membrane with granule surface. NOA No.: 13-0424.14 ruartaos+neCouririr Expiration Date: 11/06/14 • Approval Date: 10/31/13 Page 3 of 29 M Protection NOA No.: 13-0424.14 MIAMI-DADSCOUNTY Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 4 of 29 Test Product Product Dimensions Specification Description Ruberoid020 1 meter ASTM D6163 SBS modified asphalt base sheet reinforce (39.37") Wide with a glass fiber mat. Ruberoid®30 1 meter ASTM D6163 Non -woven fiberglass mat coated with (39.37' Wide polymer modified asphalt and surfaced with mineral granules. Ruberoid®30 FR 1 meter ASTM D6163 Non -woven fiberglass mat coated with fire (39.37") Wide retardant, polymer -modified asphalt and surfaced with mineral granules. Ruberoid®EnergyCap- 30 1 meter ASTM D6163 Non -woven fiberglass mat coated with fire FR SBS Membrane (39.37") Wide retardant, polymer -modified asphalt and surfaced with mineral granules and with factory applied EnergyCote. Ruberoid® Dual FR 39.37" (1 meter) ASTM D6162 Non -woven polyester and fiberglass mat Wide coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. Topcoat® Elastomeric 1, 5 or 55 gallons ASTM D6083 An acrylic, water based elastomeric Roofing Membrane membrane system designed to protect various types of roofing surfaces. Topcoat® MB Plus 5 or 55 gallons Proprietary Water based, low VOC primer used to block asphalt bleed -through. Topcoat® 5 gallons ASTM D6083 Solvent based sprayable thermoplastic Surface Seal SB rubber sealant designed to protect and restore aged roof surfaces and to increase a roofs reflectivity. FireOut- Fire Barrier 5, 55 gallons Proprietary Low VOC, water-based fire barrier Coating coating. VersaShiele 42" x 100' rolls ASTM D226 Non -Asphaltic, fire resistant fiberglass - Fire -Resistant Roof Deck based underlayment. Protection NOA No.: 13-0424.14 MIAMI-DADSCOUNTY Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 4 of 29 APPROVED INSULATIONS: Product Name EnergyGuarC Polyiso Insulation EnergyGuard"" RA Polyiso Insulation EnergyGuard"" RN Polyiso Insulation EnergyGuard7 Perlite Recover Board EnergyGuard m Perlite Roof Insulation EnergyGuard"' RA Composite Polyiso Insulation in steel, wood or concrete StructodeO High Density Fiber Board Securocke Gypsum -Fiber Roof Board APPROVED FASTENERS: Table 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Perlite recover board Perlite roof board Polyisocyanurate/wood fiberboard or perlite composite High density wood fiber Gypsum board Manufacturer (With Current NOA) GAF GAF GAF GAF GAF GAF Blue Ridge FiberBoard,Inc. United States Gypsum Corp. Manufacturer Dimensions (With Current NOA) Various GAF Various GAF Various GAF 3" x 3" GAF Various GAF 3" x 3" GAF 3" GAF 3" GAF NOA No.: 13-0424.14 Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 5 of 29 TABLE 3 Fastener Product Product Number Name Description 1. Drill -Tec"' #12 Fastener Carbon steel fastener used in steel or wood decks. 2. Drill -Tec". #14 Fastener Carbon steel fastener used in steel, wood or concrete decks. 3. Drill -Tec"" XHD Fastener Carbon steel extra heavy duty fastener used in steel decks. 4. Drill -Tech" AccuTrac®Flat AZ -SS aluminized steel Plate plate for use with Drill - Tec"" #12 Fastener, Drill - Tee T. #14 Fastener and Drill -Tec"" #15 Fastener. 5. Drill -Tec"" ASAP 3S Drill-Tec#12 fastener with Drill-Tec"m 3" Standard Steel Plate. 6. Drill-TecAccuTrac® Galvalume Steel plate for Recessed Plate use with Drill -Tec"" fasteners. 7. Drill -Tec"" 3" Steel Plate Round galvalume steel stress plate for use with Drill -Tec"' fasteners. 8. Drill -Tec"" 3" Standard Round galvalume plated Steel Plate steel stress plate with reinforced ribs for use with Drill -Tec'. fasteners. Manufacturer (With Current NOA) GAF GAF GAF GAF GAF GAF Blue Ridge FiberBoard,Inc. United States Gypsum Corp. Manufacturer Dimensions (With Current NOA) Various GAF Various GAF Various GAF 3" x 3" GAF Various GAF 3" x 3" GAF 3" GAF 3" GAF NOA No.: 13-0424.14 Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 5 of 29 EVIDENCE SUBMITTED: Test Aaencv Test Identifier Description Date Factory Mutual Research Corp. 3029832 FMRC 4470 05/11/07 3010215 FMRC 4470 03/01/01 3001276 FMRC 4470 01/28/99 1B9A8.AM FMRC 4470 09/04/97 3D4Q2.AM FMRC 4470 04/30/97 OD1A8.AM FMRC 4470 04/01/98 Underwriters Laboratories R1306 UL 790 07/22/13 Trinity Engineering 4483.04 97-1 TAS 114 06/06/97 PRI Asphalt Technologies, Inc. GAF -020-02-01 ASTM D249 02/01/02 ASTM D4977 GAF 306-02-01 ASTM E96 07/07/11 GAF 315-02-01 ASTM D2178 8/23/11 GAF 314-02-01 ASTM D2178 8/23/11 IRT-ARCON Inc. 02-005 TAS 114 03/01/02 02-014 TAS 114 04/08/02 01-039 TAS 114 03/01/02 Trinity I ERD G6850.08.08 ASTM D6164 08/29/08 G6850.08.08 ASTM D6163 08/01/08 G6850.10.08 ASTM D6222 10/06/08 G6850.11.08 ASTM D6222 11/05/08 G40620.07.12-2 ASTM D6222 07/17/12 G34140.04.11-2 ASTM D6163 04/25/11 G31360.03.10 ASTM D6164 03/31/10 G34140.04.114 ASTM D4601 04/25/11 G34140.04.11-5 ASTM D4897 04/25/11 G33470.01.11 ASTM D6164 01/13/11 G6850.08.07-1 ASTM D3909 08/13/07 G30250.02.10 -3-R1 ASTM D3909 11/26/12 PRI Construction Technologies LLC. ASTM D2178 GAF -314-02-01 08/23/11 ASTM D2178 GAF -315-02-01 08/23/11 ASTM D6083 GAF -245-02-01 06/10/10 ASTM D6083 GAF -084-02-01 07/08/05 ASTM D6083 GAF -245-02-01 06/10/10 ASTM D6083 GAF -084-02-01 07/08/05 Momentum Technologies, Inc. ASTM D6162 AX04C9A 06/05/09 NOA No.: 13-0424.14 h►wMMADEcouwnr Expiration Date: 11/06/14 ' ' ' ' • Approval Date: 10/31/13 Page 6 of 29 s Membrane Type: SBS/SBS Cold Applied Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank decks System Type E(1): Base sheet mechanically fastened to roof deck. All General and System Limitations shall apply. Fire Barrier: FireOut"' Fire Barrier Coating, VersaShieie Fire -Resistant Roof Deck (optional) Protection or Securocke Gypsum -Fiber Roof Board. Base sheet: GAFGLAS® #80 Ultima "' Base Sheet, GAFGLAS® Stratavene Eliminator Nailable Venting Base Sheet, Ruberoie 20, Ruberoid® SBS Heat -Weld"' Smooth or Ruberoid® SBS Heat -Weld" 25 base sheet mechanically fastened to deck as described below: Fastening GAFGLAS® Ply 4, GAFGLAS® FlexPlyT" 6, GAFGLAS® #75 Base Sheet or any Options: 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 psf, See General Limitation #7) APPROVED GAFGLAS® Ply 4, GAFGLAS® F1exPly"' 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill-Tec"m #12 Fastener, Drill -Tec"' #14 Fastener or Drill -Tec"' XHD Fastener and Drill -Tec"" 3" Steel Plate, Drill - Tec"' AccuTrace Flat Plate or Drill -Tec'. AccuTrace Recessed Plate installed 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 psf, See General Limitation #7) GAFGLAS® F1exPly"' 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 psf, See General Limitation #7) GAFGLAS' #80 Ultima"4 Base Sheet, Ruberoid® 20, Ruberoid®Mop Smooth, base sheet 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 —60 psf, See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill -Tec"" #12 Fastener, Drill -Tec"' #14 Fastener or Drill -Tec' XHD Fastener and Drill-Tec"m 3" Steel Plate, Drill-TecAccuTraco Flat Plate or Drill -Tec" AccuTrac® Recessed Plate installed 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 -Tec"' 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 Limitation #7) NOA No.: 13-0424.14 Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 25 of 29 GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill-TecT" #12 Fastener, Drill -Tec"" #14 Fastener or Drill -Tec" XHD Fastener and Drill -Tec'. 3" Steel Plate, Drill-TecT" AccuTrac® Flat Plate or Drill -Tec"" AccuTrace Recessed Plate installed 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: (Optional) One or more plies GAFGLAS® Ply 4, GAFGLAS® FlexPlyT" 6, GAFGLAS® #80 Ultima Base Sheet, Ruberoid® Mop Smooth or Ruberoid® 20 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Membrane: One or more plies of Ruberoid® Mop Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, RoofMatchT" SBS Modified Granular, Ruberoid Mop Plus Granule, Rod®20 Ruberoie30, RuberoieEnergyCap' 30 FR SBS Membrane, Ruberoid® 30 FR or Ruberoid® Mop FR in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Or One or more plies of Ruberoid® Mop Smooth, Ruberoid® Mop Granule, RoofMatchT- SBS Modified Granular, Ruberoid® Mop 170 FR, Ruberoid® Mop Plus Granule, Ruberoid020, Ruberoid® 30, Ruberoid EnergyCap �30 FR SBS Membrane, Ruberoid' 30 FR or Ruberoid® Mop FR adhered in Matrix"" 102 SBS Membrane Adhesive at an application rate of 1-2 gal./sq. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. 2. GAFGLAS® Mineral Surfaced Cap Sheet or GAFGLAS®EnergyCapT" BUR Mineral Surfaced ap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbs./sq. 3. Topcoat®Elastomeric Roofing Membrane, Topcoat® MB Plus (to be used as a primer with Topcoat® Elastomeric Roofing Membrane) or Topcoat® Surface Seal SB applied at 1 to 1.5 gal./sq. Maximum Design Pressure: See Fastening above APPROVED NOA No.: 13-0424.14 Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 26 of 29 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS® FlexPly TM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '/4" DensDecko Roof Board or '/Z" 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 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 M 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 Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and comers). (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 Florida Building Code and Rule 9N-3 of the Florida Administrative Code. NOA No.: 13-0424.14 Expiration Date: 11/06/14 Approval Date: 10/31/13 Page 29 of 29