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RF-15-1231,t Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 hF Phone: (305)795-2204 rroject Aaaress Parcel Number Applicant 1140 NE 100 Street 1132050190430 KERI LIVINGSTONE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell KERI LIVINGSTONE 1140 NE 100 Street (786)218-0080 MIAMI SHORES FL 33138-2602 Contractor(s) Phone Cell Phone PAUL BANGE ROOFING, INC. 305/981-7663 of Work: Repair onal Info: 4 X 4 REPAIR IN RETURN AREA ification: Residential iin4: 1 Fees Due Amount CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee - Repairs $100.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $113.40 Valuation: $ 3,250.00 Total Sq Feet: 16 Pay Date Pay Type Amt Paid Amt Due Invoice # RF -5-15-55686 06/03/2015 Check #: 1257 $ 63.40 $ 50.00 05/22/2015 Check #: 1215 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Roof Repair Final Roof Review Roof In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility foII work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MEC NI AL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS A AVIT: certi that all th fore ing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio a o in ermore, I au or h above-named contractor to do the work stated. June 03, 2015 Authorized Signa u e: Owner / Appf nt / Contractor / Agent Date Building Department Copy June 03, 2015 1 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 l� BUILDING Master Permit No'z7y--15 —� I PERMIT APPLICATION sub Permit No. BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: I I L DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: I) — 301() -_6lCj—t)LI319 Is the Building Historically Designated: Yes NO Occupancy Type: 3f'-0 Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): GeP_y- ,..A K.1 e.IV\-P_ V Phone#: bCtT- Z 13 Address: ( I LA 0 'N 1; 10 f) City: ba l w (b11 Shi9 ✓2.S State: cam' 1 u... Zip: Tenant/Lessee Name: Phone#: ?s31 - Email: CONTRACTOR: Company Address: �:Jm 9City: State: State: Zip: 'M3z Qualifier Name: State Certification or Registration #:CCf_ b Certificate of Competency #: DESIGNER: Architect/Engineer:{( Phone#: Address: l City: State: Zip: Value of Work for this Permit: $� rel Square/Linear Footage of Work: ,'[Y:l"�� Y' Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work:g X L4 R e40.►1/ 1 f� rce u r n A �rPcx, Specify color of color thru tile: Submittal Fee $ s Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 J Signatur OWNER or AGENT CONTCTOR The foregoing instrument was acknowledged before me this day, of. .20 by 9 ' h kY* , who is personally known to me or who has produced �a I �'� as identification and who did take an oath. NOTARY PUBLIC: TheM-regoing instrument was acknowledged before me this 6 n day �oof 20 by who is pe Wally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sigw2t< Sign: P o o Print: Seal: .�,��°.. ®° 0Seal: o``e��( EBORRC � SSiONF,ip .� ®�� �� ..... 8.20rs 9� J� ,ODM\SSIOyF�; `68,p ®r ® o = a 10 0!c^ #EE 177632 APPROVED BY��^� `°�o u t Plans Examiner rA��.. LIC•4'Sr:..\\�� ®/ice Structural Review (Revised02/24/2014) m .Q� oQ_ Zoning d� Clerk 7 VillageMiami shores 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 Re: Owner's Name: K 1 e, ll y)t y' 6CLV Property Address: J I L4 D it e 1 W Si- Roofing Permit Number: Dear Building Official: I K IcA n e- V' Rte_ certify that I am not required to retrofit the roof to wall connections of my building because: ,,Vhe 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 199 edition of the South Florida Building Code (1994 SFBC) Signature Print me State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this �h day of �\�11111N1".Pfet'jrep B0RRO���F,f� Notary Public, Sate of FloridaISCI `� �' -'0,0 • When the just valuation of the or purpose of ad valorem taxation is a al to or more than $300,000.00, and the building yeas&�0_06tructetiiwitH-mt nor' f SFBC. Then you must provide a building application r for the Roof to Wall connection Hurricane Mitigation. ;%ii��G;O��\®�� s �4°eBfil tiv®fie Revised on 512112009 PO 5/18/2015 Property Search Application - Miami -Dade County !OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3205-019-0430 Property Address: 1140 NE 100 ST Owner GARY KLEINER KERI LIVINGSTONE Mailing Address 1140 NE 100 ST MIAMI SHORES, FL 33138 Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 3,084 Sq. Ft Living Area 2,376 Sq. Ft Adjusted Area 2,555 Sq. Ft Lot Size 8,925 Sq.Ft Year Built 1946 Assessment Information Year 2014 2013 2012 Land Value $241.308 $163,046 $155,655 Building Value 2 5 7 _ $257,860 $272,375 XF Value $748 $748 $884 Market Value $497,795 $421,654 $428,914 Assessed Value 1 $427,978 $421,654 $416,213 Benefits Information Previous 2014 2013 2012 Benefit Type 2014 2013 2012 Save Our Homes Cap Assessment Reduction $69,817 $12,701 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 MIAMI SHORES SEC 8 REV PB 43-67 LOT 7 BILK 178 LOT SIZE 75.000 X 119 OR 20234-3479 02 2002 1 Generated On : 5/18/2015 Taxable Value Information Previous 2014 2013 2012 County Exemption Value $50,0001 $50,0001 $50,000 Taxable Value $377,978 $371,654 $366,213 School Board Exemption Value $25,0001 $25,000 $25,000 Taxable Value $402,978 $396,6541 $391,213 City Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $377,978 $371,654 $366,213 Regional Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $377,978 $371,6541 $366,213 Sales Information Previous Price O Book - Qualification Description Sale Page 06/16/2010 $530,000 27323-4644 Qual by exam of deed 2008 and prior year sales; Qual by exam 02/01/2002 $270,000 20234-3479 of deed 2008 and prior year sales; Qual by exam 11/01/1992 $122,500 15749-4085 of deed 2008 and prior year sales; Qual by exam 10/01/1983 $95,000 11937-2136 of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: BROW: 954 -981 -ROOF (7663) DADE: 305 -981 -ROOF (7663) FAX: 954 -964 -ROOF (7663) 1 -877 -981 -ROOF (7663) 7000 S.W. 21 ST PLACE DAME, FLORIDA 33317 "�'r_At Offftidw.1 P.'_jrV STATE CERT. CC 0033691 LICENSED AND INSURED S PHONE305• 13: �53� PROPOSAL SUBMITTED TO DATE NAME JOB NAME � STREET 1114 o E. ''O STREET G . spree I'/,. era s. e CITY Hicum; .5 o e STgTE ZIP �L. 33 38 CITY STATE ZIP We hereby submit specification and estimate for RE RZ FRI IMP P. Wil 9— Ide, Uiai it, c a'r lye. Ciao +i �A We hereby propos to and materials complete in accordance with the above specifications for the sum of ` ` • Dove o U �� dollars ($ 3. a 0-00 ) payment to be made as follows: METHOD OF PAYMENT: NOTE TO BUYER, GENERAL CONTRACTOR OR OWNER: Paul Bange Roofing Inc. hereby 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 full to be made upon completion of the job. WAR TO ORIGINAL OWNER: Paul Bange Roofing Inc. warrants workmanship for a period of %�LJO 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 Bange 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 to the roof by tradesmen or parties. Paul Bange Roofing, Inc. cannot behold responsible for damage done to any lumber by termites, rpen r ants, ora y other wood boring Insects. Such wood will be at an additional charge. THIS CONTRACT IS SUBJECT TO OFFICE APPROVAL Authorized Signature — ACCEPTANCE OF PROPOSAL The above prices, spedffcations a d cc did f� are safisfactcry and are hereby accepted. Paul Bange Roofing, Inc Is authorized to do the work as ed. Payments will be made as outlined above. Th poral his the power of a contract when signed and accepted. I have read and agree to the terms and con as stated on the front and back of this contrail ACCEPTED signature ®0 �66 Pdnt A Rk ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(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 WAIVED, 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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 CONTACT AME CT Denise Page PHONE , (954) 943-50501 IAC,FAXNo: (954)942-6310 ADDRESS: denise13furmaninsurance. com. INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Ironshore Specialty Ins 25445 INSURED Paul Bange Roofing Inc. and BD & M Trucking Inc. 7000 SW 21st Place Davie FL 33317 INSURER B North River Insurance Company (us) 21105 INSURER CBrid efield Employers Ins Co es 10701 INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 Liab/WC 14-15 Auto REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD POLICY EXP MWDD LIMITS A R COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Dirk Dejong/DP RCS0012901 4/19/2015 4/19/2016 EACH OCCURRENCE $ 1,000,000 DAMAGET RENTED 100,000 PRE MISES We occurrence)$ MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: POLICY JE OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTSLOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 1337352606 9/24/2014 9/24/2015 Ea COMBINED accid DitSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ Uninsured motorist combined $ 1,000,000 UMBRELLA LIABOCCUR EXCESS LIAB HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ C WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/D(ECUTIVEE.L OFFICER/MEMBEREXCLUDED? N❑ (Mandatory In NH) If yes, as under DESCRIPTION OF OPERATIONS below NIA 083032424 6/16/2015 6/16/2016 OTH- x STATUTE I ER EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) RE: CCC033691 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014101) INS025 t7nta m ©1988-2014 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 Department THE EXPIRATION DATE THEREOF, NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS. BE DELIVERED IN 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 Dirk Dejong/DP ACORD 25 (2014101) INS025 t7nta m ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD V MAY 2 2 ZOIS - �, WARNM High Velocity Hurricano Zone Uniform Roofing Permit Application Form Section A (General Information) Master Permit No. Process -No. Contractor's Name: Job Address: 1114 og iw sem° Roof Category Low Slop Mechanically Fastened Tile Mortar/Adhesiva SoU Asphaltic Shingles r t Metal Panai/Shinglas Wood Shingles/Shaky Prescriptive BUR -RAS 160Other: o�� ly', .4 M Z o o ® ® M Z t� C z P! r mI z � = n G"1 1 O D I z r 1� Mi Lit- RoofTypG r New Roof r- Fie -Rooting r- Recovering Y Repair Y- Maintenance Are there Gas Vent Stacks located on the roof? r- yes r.- No If yes, what type? r Natural r LPGX Roof System Information A Low slope roof area {#t.') Steep Sloped area (fL2) F- Total 42 P1 '" O:iB & Z Porms)Rooftng Packeftoofing packet coinplete.docVVO 12 II. PROPOSED ROOF: SHOW ENTIRE ROOF AGAIN, BUT INCLUDE PROPOSED WORK. INDICATE WHICH PART OF ROOF IS HIPPED/GABLED AND WHICH PART IS FLAT, IF APPLICABLE. IF A FLAT ROOF IS BEING PROPOSED, PLEASE INDICATE WHAT T YPE OF ROOM FLAT ROOF WILL BE CONSTRUCTED OVER. IF THE ENTIRE ROOF IS BEING REPLACED, PLEASE INDICATE SO. - ContactName Contact Phone Number O:1B & Z Forms\R.00fing PaokettroofYng packet wniplete.doc3/7Wu 0000.• • 0000•• •0000• 0000. 0000•• • 0000.• 0000.• 0000 0000 0000•. .• • 0000•. 0000 .• • - 0000 • •. 0000,• .. .. 0000.. 0000.. •. • • ••• O:1B & Z Forms\R.00fing PaokettroofYng packet wniplete.doc3/7Wu 0000.• • 0000•• •0000• 0000. 0000•• • 0000.• 0000.• CHAPTER 16,SECT(ON 1824 HIGH V9LOCllU A HURRICAME-ZONES RKWORED O4P MERS NOTIFICA790H FOR ROOFING CONSIDE RAVONS 1524.11 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 Chaptor 15 of the Florlda Buildlng Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additlonallyr the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initials in the designated space indicates that the item has been explained. i1. AesfheO1os-wcrkman9> p.* The workmanship provisions of -Chapter 15 (High -Velocity Hurricane Zone) are forthe 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. Renalling wood decks; When replacing'roOffng, the existing wood roof deck may have to be renafled In accordance with current provisions of Chapter 16 (High -Velocity Hurricane .Zones) of the FlorfdO Butfding Coder Bullding, (TtTe roof deck is usually concealed prior to Removing the existing roof system.) S. COMmOn 7001s; Common roofs are those which have no visible delineation between nelghbodrng units (ie., townhouses, condominiums, etc.). In buildings with common.roofs, the roofing contractor andlorowneCshould notify the occupants of adjacent units of roofing work to be performed. 4. dosed celffngsz Exposed, open beam ceilings are where the underside of the roof dectft9-can be viewed from bel6w; The pwner may wish to maintain the architecturar appearance,- therefore, roofing nail penetrations of the underside of the decking may not be acceptable, The owner provides the Option of maintaining this appearance. a Pondfing 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 sfructural distress'and may require the review of a professional structural engineer. Pondlnd ft?N shorten the life expectancy and performance of the new roofing system. Pondl�g (;ajadltlonlfr"Y • • • • • • not fee evident until the original roofing system is removed. Ponding cgnditions sWlcl lie ' 0 corrected. 000.0• •• 0 0.00•• 6> ®vetfflow scuppers (carni➢ ouffa9s)o It is required that rainwater flow off so that the t'uf'ts hdf • overloaded from a buildup of water. Perimeterledge walls or other roof extensiolt IttV block jhi3 0 0 '- discharge if overflow scuppers wall outlets) are not larovided, it may be•necesstiryt'd Ihstall 0 0 0 09900 overflow scuppers in accordance with the requirements of. Chapters 16 and -16 HdVil txnd f:i% 0 . 0.0 0 0 Florlda Bullding Code, Plumbing 0' 00 ' 00 !000:0 7. Ven licd(on; Most roof structures should have some ability to vent natural alrflow TT80�ti the Interior of the structural assembly (fhe building Itself). The existing amount of attid'venfli tlon 41;99:. 0 0 00 0 not be reduced. 0 :0000: •• . • •0: Exception., AfIIc spaces, designed by a Florida -licensed engineer or registered archite elimlridte' the at7fic venting, venting shall not be required. owner's/Agent's signature Data Ccntr or's Slgnatu Form AB -826 (page 2 of 7) New3/141og .`r" `nevi:',.. 1i1►1f�11AHAMI-RADE COUNTY r PRODUCT CONTROL SECTION DEPARMMEIN'T OF PERMITTING, ENVIRONMENT, AND REGULATOR V AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION MiansJ, Florida 33175-2471 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w%vivauianddade.eottuera Owens Corning One Owens CorningParkway Toledo, OH 43659 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 Counts 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: WeatherlocV Specialty Tile & Metal Underlayment LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miatni-Dade County Product Control Approved", unless otherwise noted herein. 0000 0 RENEWAL of this NOA shall be considered after a renewal application has been filed and the 4i been o � 000080 ag pp n in thea applicable building code negatively affecting the performance of this product. 0 * 6 0 0 0 `�.0 0960:0 966969 0 :0000: TERMINATION of this NOA will occur after the expiration date or if there has been a revis1,mt-eqhang6.iq tlr . ; 000.0 materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endors&TM of an3rprdthict, • • 0 • •. 0000 .. 0000, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure toy oW'311 witliNhij ?Wtion 0 00 0969:8 of this NOA shall be cause for termination and removal of NOA. 0.0.6 0 0 . 9 . 9 9999.9 ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Fiorada, and follbWell'by the. expiration date may be displayed in advertising literature. If any portion of the NOA is displayed tl;en it sImMso done: 0: in its entirety. 00 ` INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA## 09-0908.06 and consists of pages 1 through 3. The submitted documentation was reviewed by Alex Tigera. dam" NOA No.: 12-0309.03 Mu►t7r•flAUEcotirtTtr Expiration Date: 07/31/17 Approval Date: 07/05112. Page 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Sub -Category: Material: Roofing Underlayment SBS ``RADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specification Description WeatherlocV 36" x 33.3' rolls TAS 103 SBS self -adhering asphalt sheet material with a Specialty Tile & 36" x 66.7' rolls white or green glass re -enforced polyester Metal Underlayment surfacing fabric; for use as an underlayment its sloped roof assemblies. MANUFACTURIGN LOCATION: 1. Brentwood, NH EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. R14610 Follow up Service 03/28/02 TRT-Arcon, Inc. 02-012 TAS 103 02/28/02 PRI Asphalt Technologies, Inc. NEI -006-02-01 TAS 103 04/01/02 PRI Asphalt Technologies, Inc. NET -008-02-01 TAS 114 (H) 07/30/02 PRI Construction Materials NEI -045-02-01 ASTM D 4798 & ASTM G 155 08/08/07 Technologies, LLC. NET -053-02-01 ASTM D 4798 & ASTM G 155 05/01/08 NEI -076-02-01 TAS 103 / ASTM D4798 =14/11 • Y 0000 0000•• • APPROVED ASSEMBLIES: .•. .. ... • • • • • •' .. . ...... Deck Type 1: Wood, non -insulated, new construction • • • Y • • • 0• 0000 IS n Deck Description: /32 or greater plywood or wood plank 000• i 0000• •00100 •• 0.00000 System E(1): Anchor sheet mechanically fastened deck, membrane adhered. • • • • • • • • • • • • • Base Sheet: One or more plies of ASTM D 266 Type 11 or ASTM D 2626 with a mi irmu; 4" silg IrA ind a • • • • % • 6" end lap mechanically fastened to deck with approved nails and tin caps V a.c. at'the laps and ; • • • •: .. . two staggered rows 12" o.c. the field of the roll. . •00 a..* : Membrane: One or more plies of Weatherlock° Specialty Tile & Metal Underlayment with a minimum 4" side lap and 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with Weatherlock® Specialty Tile & Metal Underlayment is acceptable. Surfacing: Approved for Adhered Roof Tile, Mechanically Fastened Roof Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingle assemblies. NOA No.: 12-0309.03 M1AM•DADFCOUNTY Expiration Date: 07/31/17 Approval Date: 07/05/12 Page 2 of 3 E � 1 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. Weatherlock Specialty Tile & Metal underlayment shall be installed in strict compliance with applicable Building Code. 3. Weatherlock Specialty Tile & Metal underlayment shall be applied to a smooth, clean and duy surface with deck free of irregularities. 4. Weatherlock Specialty Tile & Metal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over roofing Base/Anchor sheet underlayment. 5, Weatherlock Specialty Tile & Metal underlayment shall not be left exposed as a temporary roof for longer than - 90 days of application. 6. The standard maximum roof pitch for Weatherlock40 Specialty Tile & Metal underlayment shall be 6:12 when tiles are loaded directly to the Weatherlock® Specialty Tile & Metal underlayment; loading boards or battens are required on roof pitches greater than 6:12". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. S. Tiles shall be stored on battens on roof pitches greater than 6:12". 9. Weatherlock Specialty Tile & Metal underlayment may be used with any approved roof covering Notice of Acceptance listing Weatherlock Specialty Tile & Metal underlayment as a component part of an assembly in the Notice of Acceptance. If Weatherlock Specialty Tile & Metal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (ANJ) 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. 10. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 0000 11. When applying the membrane in the valley, start at the low point and work to the high port, ruling tliepj%ijibrane . from the center outward in both directions. For ridge applications, center the membraneewuf roll fronyt1w renter .' outward in both directions. be**** 0 • 0 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giZ��special �ttei�tiatt to 0••••0 overlap areas. 00.000 i .••. .•••• 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly'c'tQ n Pro4tt Cgntrol ""' Notice of Acceptance and applicable Building Code. 0 • 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. Tl;,fl'asling ta e skall be ••••:e pressed in place and formed around the protrusion to ensure a tight fit. A second layer oP.We0berloeft Specialty; 0; Tile & Metal underlayment00 shall be applied over the underlayment. ' .0 Soo 0 .. . 15. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9W of the Florida Administrative Code. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. M WMI-DADE CQUNTY xsj=t END OF THIS ACCEPTANCE NOA No.: 12-0309.03 Expiration Date: 07/31/17 Approval Date: 07/05/12 Page 3 of 3