RD-15-1279 O \
Miami Shores Village 7�y� E
10050 N.E.2nd Avenue NE YID t �T
Miami Shores,FL 33138-0000
""g t �ta� /►Pi��Ep
��E a Phone: (305)795-2204
FtoRYVA � ,�
f„ �ltilt}15 Expiration: 12127/2015
Project Address Parcel Number Applicant
8737 NE 4 Avenue Road 1132060460840
MARILYN KIPPLE
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
MARILYN KIPPLE 8737 NE 4 AVE RD
MIAMI SHORES FL 33138-3174
Contractor(s) Phone Cell Phone Valuation: _ $ 3,025.00
ISAACS ROOFING&INSULATION COI (305)234-5234 (786)277-9756
Total Sq Feet: 350
Type of Work:Re Roof Available Inspections:
Additional Info:TEAR OFF EXISTING SHINGLE ROOF SYST Inspection Type:
Classification:Residential
Up Lift Report
Scanning:3 Tin Cap
Final Roof
Tile In Progress
Renailing Affidavit
Review Roof
Review Roof
Cap Sheet
It
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40
Invoice# RF-5-15-55741
DBPR Fee $3.75
DCA Fee $3.75 06/30/2015 Check#:9862 $222.90 $50.00
Education Surcharge $0.80 05/27/2015 Credit Card $50.00 $0.00
Permit Fee-New Roof $250.00
Scanning Fee $9.00
Technology Fee $3.20
Total: $272.90
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 for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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. F ewer2 1'2tr rize the above-named contractor to do the work stated.
June 30, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 30, 2015 1
Miami Shores Village
Building DepartmentuG za15
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 a/�
Tel: (305)795-2204 Fax: (305)756-8972 (`J'"IO�`.
IE111� PHONE NUMBER:(305)762-4949
MKXV
. FBC 2010
BUILDING Rc V1 mr-mic ster Permit No. � •S•�S • �Z��
PERMIT APPLICATION ""° Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFINGVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1B]
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: / —Flood Zone: BFE: FFE:
_ ,
OWNER: Name(Fee Simple Titleholder): 4 nn i �f�1-on--c S (V.04 S Phone#:
Address: g-2 2)7 t Lf Ac,
City: a)!. S State: �' ( Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: `S 4"0 S '40 Phone#:
Address: 5 .
City: /� i�}„al State: Zip:
Qualifier Name: 11L,A- z.4-C-c.Z Phone#:
State Certification or Registration#: e_c.c-t324SS C.i Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ '�c7 O C� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ` AP Repair/Replace ❑ Demolition
Description of Work: ARtV !7)1'4 o a p !S `J
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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 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 �-�c� .l�/ s� Signature Q
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3 day of P!' !!*OSS 20 1 '> by day of PCkD�USA— 20 �J by
who is personally known to A[/,t1 Vv0z---U4— who is nprsonally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLI
r
Sign: Sig .
Print: ,65v.."'& TAMARA DIAZ Print: !%7'.4•
Commission#FF 242658 . r, Commission#FF 242658
al:
Se � � Expires June 29,2019 Seal: ; Expires June 29,2019
BoMeC Thu Tmy Fein IMwena 90038ST079 Bonded Thu Troy Fen Insww4e 8OMW7019
=.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
♦SN�RFs Miami shores Village
loop Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
ORiDp Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit# 9-P - S DATE: P rs
INSPECTION AFFIDAVIT
I -� licensed as a (n) Contractor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspectorf
License#: c--C-c 1 3 as's S (p
On or about $ 2 4 I f I did personally inspect the roof deck nailinq
(Date&time)
work at �"t�-� Ne yrs -ve LoA,�
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
Signature
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property
mentioned.
Sworn to and subscribed before me this _day of +1U Go 9
Notary Public, Sate of Florida at Large
?p� ��R Sii i" lvarezu f Florida
ndia A
oa My Commission FF 156750
Expires 0910312018
'General,Building,Residential,or Roofing Contractors or any individual certified u r o es h an inspection. nc u e photographs of each plane of the roof with
permit#and address#clearly shown marked on the deck for each inspection
Alain@IsaacsRoofing.com
From: Ismael Naranjo <NaranjoI@miamishoresvillage.com>
Sent: Friday,July 17, 2015 9:25 AM
To: Alain@IsaacsRoofing.com
Subject: Miami Shores condo
Follow Up Flag: Follow up
Flag Status: Flagged
The existing building code section 601.2 does not allow the building to be made less energy efficient. Consequently,the
insulation needs to go back.
There is a prescriptive installation in section 1520.5.7 which can be used to put the insulation back with a plywood sub-
roof and you may do under your license without the need for a GC.
1520.5.7 Suitable nailable decks installed over rigid board roof insulation in buildings of mean roof height of 35 feet(10.7 m)or less,
shall be a minimum of 15/32-inch(12 mm)exterior grade plywood sheathing.These decks shall be fastened to every structural roof
frame member or to the existing deck under the insulation,at intervals of not more than 24 inches(6 10 mm)apart,with a minimum
#12 approved insulation fastener spaced at a maximum of 12 inches(305 mm)apart in one direction with a minimum penetration of
11/2 inches(38 mm)into the structural member or deck. In these cases the maximum thickness of the rigid insulation board shall not
exceed 2 inches(51 mm). An alternate method of attachment may be proposed,provided it is in compliance with Chapter 16(High-
Velocity
High-
Vel c ty Hurricane Zones),and it is prepared,signed and sealed by a Florida-registered architect or a Florida professional engineer,
which architect or engineer shall be proficient in structural design. ....
. . .... ......
Thank you, Please let me know if you need additional information. •• •••�•� •�
...... .. . ......
Ismael Naranjo BO CFM. ••••••
Building Director. t-, �,. .... .....
.: ft
e
x4 •• •
I,
i
Florida Building Code Edition 2007
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System
Roof System Manufacturer: GAF
ProductApproval Number: 14-1022 . 16
Minimum Design Wind Pressures, If Applicable(From RAS 127 or Calculations):
P1: -48 . 8 P2: -85 . 0 P3: -125 . 7
Maximum Design Pressure N/A
Product Approval Specific System:
Method of Tile Attachment: N/A
Steep Sloped System Description
Deck Type: "
MIN. 19/32" PLYWOOD lee
•.•
Type Underlayment: ••••••
Roof Slope: ASTM D-226 #30 FELT •••••� •• •••
4 : 12 .. .... .....
Insulation: •• •• •••• •• .•.
3 " ISO WITH #12 SCREWS •A9T NED 1*2" OC I•
...
000000
Fire Barrier: .. 90;
N/A '
Fastener Type & Spacing: 1-1/411 RS NAIL 1211 O. C
Ridge Ventilation? 2 ROWS AND 1211 O. C.@ LAP
N/A Adhesive Type:
N/A
Type Cap Sheet:
N/A
Roof Covering: ROYAL SOVEREIGN
Mean Roof Height: 22 ' 1 SHINGLES
Type& Size Drips
Edge: 3 11 X 3 11 GALV
DRIP EDGE
Miami Shores Village
c-F-l'T ,
Building Department MAY 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 LBY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 ib
BUILDING Master Permit No.za—
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 8737 NE 4th Avenue Road
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-046-0840 Is the Building Historically Designated:Yes NO x
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Marilyn Kipple TRS Phone#:
Address:8737 NE 4th Avenue Road
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Isaacs Roofing & Insulation Corp. Phone#: 305-234-5234
Address: 17225 S. Dixie Hwy., Suite 200
City: Palmetto Bay State: FL Zip: 33157
Qualifier Name: Alain I. Gonzalez Phone#: 305-234-5234
State Certification or Registration#: ccc1325556 Certificate of Competency#:
DESIGNER:Architect/Engineer: NSA Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$3,025 Square/Linear Footage of Work: 350 sf
Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition
Description of Work: Tear-off existing shingle roof system and install new 3-tab shingle roof.
Specify color of color thru tile:
Submittal Fee$ W Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ _ DBPR$ Notary$
Technology Fee$ Training/Education Fe e Double Fee$
Structural Reviews$ _ _ _ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State Zip
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 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.
r'
2, 7�)
Signature Signature C�
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
21 -12—day of AAA 20 (S by day of MAL4 1201S , by
6u)STnJ O �, who is ersogally know to 4A ,.�
„! who is p(sonally known
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si,.. Sign:
Pr'.t: Print: h�+► u'�,��erac,�a�
5` I HANNA FADUL Seal: `- HANNA FADUL
Notary°tib,ic-state of Flc ida
Notary Public-state of Florida
P+i, Corn�� Eaoiius Aor 30 2016 ,
-�, Prty Comm. ExpiresApr 30, 2016
C0IT!missio
** '**********
.,,PPROVED BY Plans Examiner Zoning
Structural Review Clerk
102/24/2014)
Florida Department of MI®'
,. FLORIb- Environmental Protection • Resources
i Division
Division of Air Resource Management 1 nd Floor
NOTICE OF DEMOLITION OR ASBESTOS RENO ION Mi a33136
TYPE OF NOTICE(CHECK ONE ONLY): ❑ ORIGINAL ❑ REVISED ❑ CANCELLATION JUN 3�o&jjsy
TYPE OF PROJECT(CHECK ONE ONLY): ❑ DEMOLITION ❑ RENOVATION aROOFING
Air Quality
IF DEMOLITION, IS IT AN ORDERED DEMOLITION? ❑ YES i�'NO y
IF RENOVATION: Management DIVISION
IS IT AN EMERGENCY RENOVATION OPERATION? ❑ YES Q-NO File#
IS IT A PLANNED RENOVATION OPERATION? ❑ YES ❑ NO Process#
1. Facility Name
Address
City StateZip County
Site Consultant Inspecting Site
Building Size (Square Feet) #of Floors Building Age in Years _••••
Prior Use: ❑School/College/University ErResidence ❑Small Business Other : .0.
•••• •"'••
Present Use: ElSchool/College/University _ ElResidence ElSmall Business Other •• • .••:•• ••
II. Facility Owner Phone(�J •
Address : - i ,,: •••.•
City -State• Zip •.•• •• •• ••.••
III. Contractor's Name ' Phone( •.)...• .•..
Address •• •• ..•• ••.••.
•
City State Zip •••••• • •
Is the contractor exempt from licensure under section 469.002(4), F.S.? ❑YES ❑ NO • ' ;,••;• *00000
IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date) : .•• • ;..0•;
Asbestos Removal(mm/dd/yy)Start: Finish: Demo/Renovation(mm/dd/yy)Start: •• Vin sh: ' •
V. Description of planned demolition or renovation work to be performed and methods to be employed,including demolition or renovation techniques to
be used and description of affected facility components.
Procedures to be Used(Check All That Apply):
❑
Strip and Removal ❑ Glove Bag ❑ Bulldozer ❑ Wrecking Ball
El t Wet Method ❑ Dry Method ❑ Explode I ❑ I Burn Down
OTHER:
VI. Procedures for Unexpected RACM:
VII. Asbestos Waste Transporter:Name Phone O
Address
City State Zip
VIII.Waste Disposal Site: Name
Address -
City State Zip
IX. RACM or ACM:Procedure, including analytical methods,employed to detect the presence of RACM and Category I and II nonfriable ACM.
Amount of RACM or ACM* This is to certify that the required notification(s)
square feet surfacing material square feet cementitious material regarding asbestos have been submitted in
linear feet pipe square feet resilient flooring compliance with applicable regulations.
cubic feet of RACM off facilitycomponents
p 'square feet asphalt roofing
RER ficial Signature Date
*Identify and describe surfacing material and other materials as applicable:
I certify that the above information is correct and that an individual trained in the provisions of this regulation(40 CFR Part 61,Subpart M)will be on-
site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection
during normal business hours. I have read and understood the additional information provided on the back of this form.
(Print Name of Owner/Operator)
(Signature of Owner/Operator) (Date) (Contact phone#)
RER USE ONLY Postmark/Date,Received ID#
161_01-158 7/13 DISTRIBUTION: White—RER Yellow—Applicant Pink—Reserve Gold—Reserve
^ '
DISCLAIMER
'
This "N{}T|[F OF DEM()L|U(}N ()R /\S8E5l(}S REN(JVA[0N" is xr|uireJ yursuan( kOhe pnv/isions ()I -,to (AFRI
61 Subpart K4 an(] Rule 62-257/ . ))(_)I, F.A.C. in(] Must he subrniUcJ priork. any �eoxJiiiun or /c�u!akzd ashesios
akoLcnnnnt activity. This ducurncn| is xn /\sbcsk`s Notification on!y and is n1Ao pw-rnoii
-]-his ��C} |[E {}F DENAL)L|T|()N OR ASBESTOS KEM(}�/U�|(]N �ncs not (onAilutea xmivero| )r appn»:i for any
-]-his
federal, state, counly, or local permits that may be /equin°d [or |his [ad|ily,
INSTRUCTIONS .—
�r COMPLETING
�
NOTICE 0 F DEMOLITION OR ASBESTOS RENOVATION
The state asbestos removal Vu�grarn nz]uircn/en1* of s. 376.60, [5_ and the renovadon or denvo!i\ion nn{ice
/equinernen1solthe National Emission Standard,,, for Hazardous /\ir Pollutants (NiSH/\P)' 40 (TR PaM 6\' Subpa/i
� °°j�.4scrntIw61;�� in Ru�¥ 63"��7, [A.C.' are inc|udedoil this form.
°
° (:�httktMMUrt| Al�
: 4 �� ��
° � ° ~ ~ -
.0 xvi_�R DERM
° 00S 1`1
ik to i`r��i-*-�_*.iteh
00
°°°~~~ -
(I n addition to the
p4(ow/muort re(g/'cur( W1
°°�°~~.l_ -f -_ ,
of the 0
r4AL
sudden, unexpected evc tit, an(] an eA P.if)f I I R 0-�,V z A-tit isale,ckip(lit ons or WOUld (7aLIS('C(jUi1)11I-1CW
damage or an unreasor able financial burden. It you chq4j,,(.,a renovation lind '4,.js (I planned renovation ooeration,
Ir -I or demohlioll is
1. Complete the fac lit� es the I( lit\, Hic
Y-71-reclu led.This ac dress, vvi I I he used b d D entinspectortolocd ..I I
\/residential u n
or other. If uvm u mr "p'rs ./u v�c.
UL Complete h
Ui Complete h
|\( List e :sbesios /cn'ova> ynAionof
the project and ih
V. Describe and check the rno{hnds an(] procedures to he usn] for a y|ann,d c|cnxJihon nr inchudc
a des( rip\ion of the affected facility connponcnts. (Note: |lic NESU&P1o/ asbusko, v/hich iu zJoVied anJ
� incorpooatec bx reference in Rule 62'204M0, iAI, xsuine oh|ainin8 [ky,arhncnipi ()i kz usinA
a dry removal method in n(oo'Janccvvihh 4U (TR section 61 ]4Sih(c)(i)J
V|. Describe the procedures to be used in the event unexpcckx| KA[«A is found or VnsviouJy csk`s
material becomes Crumbled, pulverized, or ,edoceJ k` powder amer s\art /J !hepnjecL
� N|. Complete |hcasbrstos vvastc <raosVurter iniorrnahon.
VI i Complete the waste disposal yi|e in6ornnabon.
|X. Fist the annount of RA[N1 orA{ Ivi ofmach type ofas|*e�tus to be rennovud AoIn: /\ m`|unne nnoasu^ernen| of
RALM off facility coxoVuncn& is only yc/nnissikl, if |he |enX|k o/ area n'u|d no| |W nneasun,d pnn'ioos{>�)
|dcrkifv and describe the !iskx| surfacing material and other ikied rnaIcriuls as app|ica�|e.
Florida Department ofM®
yFLOF1I�A - Environmental ProtectiIIAMI
on Resources
Division of Air Resource Mana ementa t Division
g 701W 2nd Floor
J 3 2015 rida 33136
i• - NOTICE OF DEMOLITION OR ASBESTOS RENOF!!U
AVn
TYPE OF NOTICE(CHECK ONE ONLY): Er,OIZIGINAL ❑ REVISED ❑ CANCELLATION ❑ COURTESY
'TYPE OF PROJECT(CHECK ONE ONLY): ❑ DEMOLITION ❑ RENOVATION 2160FING Air Quality
IF DEMOLITION,IS IT AN ORDERED DEMOLITION? ❑YES P"NO Management Division
" IF RENOVATION: "'vim
IS IT AN EMERGENCY RENOVATION OPERATION? ❑YES AVO File#
IS IT A PLANNED RENOVATION OPERATION? ` ❑YES ❑ NO Process#
--sem
I. Facility Name t L.l
Address
City i State 1` ) Zip Corinty'
Site Consultant Inspecting Site =,
Building Size i 71 (Square Feet) #of Floors ? Build ing/�geA Years •••
Prior Use: ❑School/Colle elUniversi Residence • ' •••' �•�•••
g ty � �Small Business �)tberr: s •
Present Use: ❑School/College/University ❑Residence, ❑Small Business . Other •• V. ' _ • • •
II. Facility Owner �1— 1 // ` ' Phone Cr��ltis� •• ••
Address '] �,� t ',R-1r -{ a,i/ •r•' • • +••••�
1 6y t : ate�V,,r- _ -Stt• Zi ,
City �'''_. P !a4•,, •• •• •a•�•
III. Contractor's Name < - k" 'Phone' - •i s-•yr. •••• .....•
Address > 't d k v ah Wit,tr `•�•�•• •�•a••
City I'`-i , State T dip w•is•• •
Is the contractor exempt from licensure under.section 469 002(4),F.S.? YES ❑ No.-
IV.
O IV. Scheduled Dates:. (Notice must be ostmarkkd lQ working da s beforeihi p4 ct 4rl}dafo) +j�•••i
Asbestos Removal(mm/dd/yy)Start:, ' ' r Finish: Demo/Renovation(mmldd/yy)Start: eF ir:sh:
V. Description of planned demolition or renovation work to be performed and methods to be employed,;inclutlil+gdemolition or renovation techniques to
be used and desdription of affected#aciIity components. 1+==
Procedures to be Used(Check All That Appfy):
❑I Strip and Removal I [j,[.Glove Ba ❑ Bulldozer ❑' wreck in :gall i
Wet Method I Lj I Dry Method I ❑ I Explode IF Burn Downi
OTHER:
VI. Procedures for Unexpected RACM : 7_j
VII. Asbestos Waste Transporter:Name ` + .(
``�.� <.:_._ ...:Phone
Address ` t_t ✓, ,
r c
City Stater
VIII.Waste Disposal Site: Names ''' v1 r
Address -} 1 i--I A
City l + 1 , 1 t S` to Zip i
IX. RACM or ACM:Procedure,includi-ii analytical methods,-employed to Aepegt th rresenceV-RACM and:Category,I and II nonfriable ACM.
Amount of RACM or ACM* This is to certify that the required notification(s)
square feet surfacing mat6jrial square feeft ementitf6us material regar :ng bestos have been submitted in
linear feet pipe stluarefeet'res�liehf7f6oring" Co YaVe wifh applicable regulations. 3
cubic feet of RACM off facility components 'i ""'"'�
ty p � _square feet asphalt roofing ; . /5
R R ial Signature D te�
*Identify and describe surfacing material and other materials as applicable:
i
I certify that the above information is correct and that an individual trained in the provisions of this regulation(40 CFR Part 61,Subpart M)will be on-
site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection
during normal business hours.I have read and understood the additional information provided on the back of this form.
(Print Name of Owner/O rator)- - .......... 1
i
`(Signature of Owner/Operator) (Date) (Contact phone#)
FUER USE ON 1Y Postmark/Date Received ID# +
l
161_01-158 7/13 DISTRIBUTION: White-RER Yellow-Applicant Pink�Reserve Gold-Reserve 1
DISCLAIMER '
This "NOTICE OF DEMOLITION OR ASBESTOS RENOVATION" is required pursuant to the provisions of 40 CFR
61 Subpart_M and Rule 6,2-257.301, F.A.C. and must be submitted prior to any demolition or regulated asbestos
abatement--activity.This dm6ment is an Asbestos Notification only and is not a permit.
This NOTICE OF DEMOLITION OR ASBESTOS RENOVATION does not constitute a waiver of or approval for any
federal, state, county, or local permits that may be required for this facility.
INSTRUCTIONS for COMPLETING
NOTICE OF DEMOLITION OR ASBESTOS RENOVATION
The state asbestos removal program requirements of s. 376.60, F.S., and the renovation or demolition notice
requirements of the National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61, Subpart
•M`4 emiyj�'e4in Rulg 62-257, F.A.C., are included on this form.
•the@k to i;diEate whc64Tc*pis notice is an original, a revision, a cancellation, or a courtesy notice (i.e., not required
j4y14w). If th2 notice i'S JWision, please indicate which entries have been changed or added.
. .
..... .. . ..
••�f��ck to ir0j�.ate whe�..er..•th reg' ct i or e t
• If you %decked r��rngliti vsrs i S to a r agecy. If so, in addition to the
JQJQrrnatiorLrec�uired(Znthe:fo 1��owner o germy rdering the demolition,
-the title orthe person;;ting o b rf;oft en t"ritfortheagencytoor4er edemolition the date
•oft;; orddr'�rrdthec?ate•drd ed. by 'Ain. ttached-to th notification.
,..
If you checked renovatio , intra emergency r o 'r ion? If so, in add ti to he information required
on the form, the owner/operaor Must provide the r r rhe emergency._ ) rre , the description of the
sudden, unexpected event, an ari exanation of how the event caused unsafe cctndiidns o would cause equipment
damage or an unreasonable f an6al burd"nopo
it is a`p inn d renovation operation,
please note that the notice is ective foraROVAILr of Jail ry through December 31.
I. Complete the facility i ormatio ion describQs.thefacility where tfi; yren vation or demolition is
scheduled.This address ill be used y Fie`1? e the prQjec site. Provide the name of
the consultant or firm th t conduit st e rve /ins esti i. For "prior u e" check the appropriate
box to indicate whethIr
the prior use (lege, or university; residence, as
"residential dwelling" definectjA le A.C.; small business, as defi ed in s. 288.703(1), F.S.;
or other. If "other" is ceked, identify >ne use ri uctions f r "present use."
11. Complete the facility oner MR&APP_RO VAL IS FOR
III. Complete the contract information. ASBESTOS
IV. List separately the sched FermnWoi
�y,�y 'tMbY4s` estos removal portion of
the project and the ren vation or o p c31 .
V. Describe and check thods and M iCMylanned demolit n or renovation. Include
a description of the affected facility componen os, which is adopted and
incorporated by reference in Rule 62-204.800, F.A.C., requires obtaini�Nk- ent approval prior to using
a dry removal method in accordance with 40 CFR section 61.145(3)(c)(i).)
VI. Describe the procedures to be used in the event unexpected RACM is found or previously nonfriable asbestos
material becomes crumbled, pulverized, or reduced to powder after start of the project.
VII. Complete the asbestos waste transporter information.
VIII. Complete the waste disposal site information.
IX. List the amount of RACM or ACM of each type of asbestos to be removed. (Note: A volume measurement of
RACM off facility components is only permissible if the length or area could not be measured previously.)
Identify and describe the listed surfacing material and other listed materials as applicable.
f
AsbeStOS Business _,j cense # ZA-0000218
1A
iold Asbestos Surve_7s & Removal P'-hase I Env?rQ^n
en'�al -��—'-Sessn8'nt * Ai= Ifor--i-toring S,
June 18, 2015
The Shores Villas Condominium
8701-9043 NE 4 Avenue
Miami Shores, FL
0000
RE: The Shores Villas Condominium REPORTi4115-0•4iik•AS
8701-9043 NE 4 Avenue ..• -
Miami Shores, Florida
0000
0000..
Dear Sir : 0000.
0000.. 0000 0000.
Pursuant to your request and our agreement, ETS Environment, Inc. has ped-qn-v-ed an Asbestos 400 00;:0
Survey on June 11, 2015 at the above referenced facility
: 0000%
0000..
SURVEY LIMITATIONS 0• 0 00•0 :0 0 0 0:
0 0 0 000 0 0
0.." :
This inspection report is the result of a diligent search of the facility for asbestos containing
roofing materials (ACRM). All analyzed samples ,A.,e,-- -I-I- A
Cavity CA vatIGIUM to our surveyor, if
in the course of a renovation or demolition activity, additional suspect materials become
exposed, all activities Rhni dri immediately cease and the suspecl: material brought to our
attention for evaluation and recommendation(s) if necessary. The scope of this inspection
to perform P cuinroN, nf 1001 - A
...... - — --, - ^
1 001 Sw lad,tv material's flor suspect ACM. T herefore only roofing
material was sampled and all other building material is NOT included in this inspection
rennr
survey t
1 1-1-...
LABORATORY METHOD.Q.
F,qr.h sample isvas returned to the laboratory at ETS Environment, Inc., logged, and stored
-.. - I--
for analysis. All analyses were performed using the Polarized Light Microscope (PLM)
Method 40 UR Ch.1, 04 -763, " '. F, App. A Pgs. 293-299, 1-1-87 ed.; (Polarized light
Ch I 1 1 1.- 1 v oubt r
microscopy in conjunction with dispersion staining).
The scope of our investigation consisted of the following:
Seven (7) random locations of roof system materials were chosen by our Certified
Technician to secure as bulk samples for analtsi-
Samples for asbestos analysis were taken on any vi,.RiNN/ potential Asbest--Q-
%,%if 19
Materials (ACM). Samples were placed in plastic bags and labeled for further analysis.
All secured bulk samples were analyzed by Polarized Light Microscopy to verify asbestos
content.
Preparation of final report
r. !
SITE DESCRIPTION
The survey was limited to the sloped shingled roofs only of the building. The total roof area
surveyed occupies approximately 26.400 S.F
CONCLUSIONS
F3aReti on our survey and bulk samm.1-analysis, it was eviden!that NO asbestos fibers were
found in any of the samples taken.
4090
0 0
CLOSING REMARKS 0.00 0.00••
.. 4444
ETS Environment,Inc.greatly appreciates the opportunity to provide quality-anvironmental •
services at a reasonable cost. It has been a pleasure working with xin��amd.,.o Inn4 fr,n.,-,9-A
any y questions or commeTRS
4444..
to doing so in the near future. Should you have u ' .. 9peasleas l v�u
e'do h'ot ":".
hesitate to call. 0.00•• 0.00 0.00•
4444 4444 4444..
Respectfully submitted,
ETS Environment, Inc. � ••••••
/ • • • •00000
Dennis Emerson I.H.
AHERA Inspector Certificate No. 144519
ZA#0000218
1 hereby certify that the Roof Asbestos Survey conducted on June 11, 2015, at The Shores Villas
Condominium, 8701-9043 NE 4 Avenue, Miami Shares, Florida W=Q rArformoM by D2n,nis Emerscr,, an
E.P.A.Accredited A.H.E.R.A. Inspector utilizing the Code of the Federal Regulation Standards,40 C.F.R.,
Part 763,Subpart E,Section 763.80-763.99 and the State Asbestos Regu!ations Florida Statues 4v^-9.003.
Reviewed bv_ :
Bruce Marchette, C.I.H. -/Date
Florida Certified Licensed Asbestos Consultant No. mn00nnn,
W Ste.Wlt
M Ste. Fl.
TS
BULK SAMPLE TRANSMITTAL FORM
Client Name : The Shores Villas Condominium
Project Name : The Shores Villas Condominium
8701-9043 NE 4 Avenue
Miami Shores, Florida
Report Number: FL15-0469RAS Date Collected: 06/11/15
++..
----L
Sam -e# Location of Sample Description •Condition • •• Asbestos*'
... . . . ....
I 1 Field Asphalt Shingle ....F..�. NAp.. • I
2 Fieid I As halt Snin le I ••••�.E. -*J--: NAD • I
3 Field Asphalt Shingle ••;'Pj^ •+ ••� NAP'P%.
.. ..
ease •.....
4 Field Asphalt Shingle .••aR.C. NAD •1E I
II 5 Field Asphalt Shingle F..C. "' NAD )
6 Field Asphalt Shingle F.C. NAD
Field iys'"liatt Shingle F.C. VNU
I
I I
I I
I
va�m,pied ly:Dennis li i ier son NAD-NO ASBESTOS T OS DETEC, ED
Il SAMPLE CONDITION CODES II
II G.C.Good Condition F.C.Fair Condition P.C.Poor Condition P.D Physical Damage W.D.Water Damage F Friable II
N.F.Non-Friable H.Con.High Contrast M.Con.Moderate Contrast L.Con Low Contrast
TS
12c;34 73 Court North
W.P.B., Irlorida 33412 Project : The Shores Villas Condominium
(954) 236-0053 Lai) Code: 0355
REPORT OF BULK SAMPLE ANALYSIS
Sample Anal. Sample Item Description Asbestos Percentage Percentage &Type Non- Percentage
Number Init. 8,Type Identified Asbestos Fibers Nan-Fiber Mat.
1 DKE Asphalt Shingle NAD 710 Cellulose 60-65 Matrix
28-30 Cellulose
2 DKE Asphalt Shingle NAD 7-10 Cellulose 60-E5 Matrix
28-30 Cellulose
3 DKE Asphalt Shingle NAD 7-10 C.Ilulos,e 60-65 Matrix
28-30 Cellulose
4 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
5 DKE Asphalt :Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
6 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
28-30 Cellulose
7 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix
2830 Cellulose
Vw
.. . . . . ... .
e-
...
w __.... No 5esto. Detected
Dennis Emerson I.M. •• •
... . . ... .. .
Microscopist
... . . . . ... . .
. . . . . . . . . .
. .. .. . . . .. ..
... . . . ... . .
Florida Building Code Edition 2007
High Velocity Hurricane Zone Uniform Permit Application Form
Section A (General Informations
Master Permit No. Process No. _
Contractor's Name Isaacs Roofing and Insulation Corp.
Job Address V,3 C—, &+ A,,). �cJ
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tile
® Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
Shingles
❑ Prescriptive BUR-RAS 150 •
ROOF TYPE �" ••••••
.... ......
❑ New Roof ® Reroofing ❑ Recovering ❑ Repair b•MAintegarWd .....
......
ROOF SYSTEM INFORMATION " '
go
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Tota!(SP). •
•• • • •.•
0 350 350
SECTION B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow
scuppers and overflow drains. Include dimensions of sections and levels, clearly
identify dimensions of elevated pressure zones and location of parapets.
t
-3
r
Florida Building Code Edition 2007
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: GAF
ProductApproval Number: 14-1022 . 16
Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations):
P1: -48 . 8 P2: -85 . 0 P3: -125 . 7
Maximum Design Pressure
ProductApproval Specific System: N/A
Method of Tile Attachment: N/A
...... . ......
.... ......
.... . .. .....
Steep Sloped System Description •••••• ••• ••�••'
.. .. .. ......
Deck Type:
MIN. 19/32" PLYWOOD •
Roof Slope: Type Underlayment: •
ASTM D-226 #30 FELT
4 : 12
Insulation:
N/A
Fire Barrier:
N/A
Fastener Type&Spacing: 1-1/411 RS NAIL 1211 O.C
Ridge Ventilation? 2 ROWS AND 1211 O.C.@ LAP
N/A Adhesive Type:
N/A
Type Cap Sheet:
N/A
Roof Covering: ROYAL SOVEREIGN
Mean Roof Height: 22 ' 1 SHINGLES
Type& Size Drips
Edge: 3 "X 3 " GALV
DRIP EDGE
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
R4402.13.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the
ownerwith the required roofing permit,and to explain to the owner the content of this section.The provisions of
Section R4402 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 adjacent box indicates that the item has been explained.
.Aesthetics-Workmanship:The workmanship provisions of Section R4402 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.
2.Renailing Wood Decks:When replacing roofing,the existing wood roof deck may have to be
renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior
to removing the existing roof system.)
0000
3. Common Roofs: Common roofs are those which have no visible QeligeQtion bet*Aeen 0000..
neighboring units (i.e. townhouses, condominiums, etc.) In buildings with commorf roofs, the•iooFi v .'
contractor and/or owner should notify the occupants of adjacent units of roofing work ftf1' 20perforn ed. 0.00%
0000.. � •
Exposed Ceilings: Exposed,open beam ceilings are where the underside Vf w roofMpktg0000..
g •
can be viewed from below.The owner may wish to maintain the architectural appearance Verefore'roaftng ••;•••
nail penetrations of the underside of the decking may not be acceptable.This provides the optior+of mainlhinidg 00000
.. .. ..
this appearance. 0000..
. •
5. Ponding Water: The current roof system and/or deck of the building rripy nqt drain yrL0;hd
may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can.44 * indicQtiQq of
structural distress and may require the review of a professional structural engineer. Ponding may;06rtlpn
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.
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"the requirements of Sections R4402, R4403 and R4413.
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. It may be beneficial to consider additional venting which can result in extending the service life of
the roof.
Ow
At
Signature Date Contractor's Signature
Property Address Permit Number
MIAMI-QADE MIAMI-DADE COUNTY
i 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)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy
GAF
1 Campus Drive
Parsippany,NJ 07054
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 Rerform in the'OcUpted
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 tarAvpke thfj pec. aptance,0
if it is determined by Miami-Dade County Product Control Section that this product or matevW taus to meet the •
.... . ......
requirements of the applicable building code. •
This product is approved as described herein and has been designed to comply with the Flo *.•13uildin Code
P PP g P Y I�t�... ..� � .....
including the High Velocity Hurricane Zone of the Florida Building Code. ..•. •
DESCRIPTION: GAF Royal Sovereign®Shingle •�;
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,lily, Mate aptl fptlpwing• •
statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. 00 0
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA 12-1127.03 and consists of pages 1 through 4.
The submitted documentation was reviewed by Juan E. Collao, R.A.
MIAMI•DADE COUNTY
NOA No.: 14-1022.16
Expiration Date: 04/22/18
r Approval Date: 02/05/15
d Page 1 of 4
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub-Category: Asphalt Shingles
Materials 3-Tab
Deck Type: Wood
SCOPE
This approves GAF Royal Sovereign®Shingle as manufactured by GAF as described in this Notice of Acceptance,
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 Description
Specifications0 0 0•
• • 0000' 00.060
GAF Royal Sovereign Shingle 12" x 36" TAS 110 Fiberglas reinforces+Gie&4 weight 4pbalt roof 6-
shingle,with a 3-Tab ppof le 6;
0000.. • 6 •
MANUFACTURING LOCATIONS '
0000 . .. 0000.
1. Savannah, GA.
2. Tuscaloosa,AL.
.. .. .. 0000..
3. Tampa, FL. 6•' '
4. Mt. Vernon, IN. •• 6 %
0000..
5. Mobile AL. 6 •
.. 0000..
ee
6. Dallas,TX.
7. Myerstown,PA.
8. Fontana,CA.
9. Minneapolis, MN.
EVIDENCE SUBMITTED
Test Agency Test Identifier Test Name/Report Date
Center for Applied Engineering TAS 100 02/23/94
ASTM D3462 257966 03/21/97
PRI Asphalt Technologies, Inc. TAS 100 GAF-105-02-01 11/14/05
TAS 100 GAF-182-02-01 02/07/08
PRI Construction Materials Technologies, Inc. TAS 100 GAF-332-02-01 01/17/12
TAS 100 GAF-376-02-01 10/15/12
TAS 100 GAF-153-02-01 11/30/06
Underwriters Laboratories, Inc. TAS 107 05CA48258 11/28/05
TAS 107 05CA47804 11/11/05
TAS 107 08NK02337 03/12/08
TAS 107 08NK 12906 10/10/08
TAS 107 IICA47919 12/03/11
ASTM D 3161 /TAS 107 09CA41642 ;9/23/10
ASTM D 3161 /TAS 107 09CA38549 !0/3 0/09
NO S No.: 14-1022.16
q 7 Expiration Date: 04/22/18
Approval Dsite: 0Z/05/15
Pa,e 2 of 4
EVIDENCE SUBMITTED(CONTINUED)
Test Aaency Test Identifier Test Name/Report Date
Underwriters Laboratories,Inc. ASTM D 3462 ASTM D3462 09/12/06
ASTM D 3462 08NK02337 03/12/08
ASTM D 3462 09CA21715 05/20/09
ASTM D 3462 08CA61515 07/15/09
ASTM D 3462 11CA47919 12/03/11
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. Shall not be installed on roof mean heights in excess of 33 ft.
3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 61 G20-3 of the Florida Administrative Code.
INSTALLATION ••.. ......
1. Shingles shall be installed in compliance with Roofing Applications Standard RAS 11S •. •
2. Flashing shall be in accordance with Roofing Applications Standard RAS 115. •
3. The manufacturer shall provide clearly written application instruction. •••• •. ;"
4. Exposure and course layout shall be in compliance with Detail"A",attached. •••• •• ••...
5. Nailing shall be in compliance with Detail`B", attached. •••••
.. .. .. ......
LABELING
Shingles shall bear the imprint or identifiable marking of the manufacturer's name or logo,AV,�and f
state o ;...•
. ...
manufacturing facility, and following statement: "Miami-Dade County Product Control Approved" or the h4iami-Daae
County Product Control Seal as shown below.
MIAMI•DADE COUNTY
BUILDING PERMIT REQUIREMENTS
1. Application for building permit shall be accompanied by copies of the following:
1.1 This Notice of Acceptance.
1.2 Any other documents required by the Building Official or the applicable code in order to properly
evaluate the installation of this system.
NOA No.: 14-1022.16
MIAMbDADE COUNTY:`
Expiration Date: 04/22/18
Approval Date: 02/05/15
Page 3 of 4
DETAIL A
COURSE LAYOUT
1st Course of Shingles
2nd Course of Shingles
3rd Course of Shingles
6"
6" 5"
..••
•••• ••••••
Drip Edge �•• •• • •
DETAIL B •
...... ......
OVERALL DIMENSIONS AND NAILING PATTERN �••• •. ..� ;•"••;
36"
00
LO
LO L6
END OF THIS ACCEPTANCE
NOA No.: 14-1022.16
oaoe couNrr Expiration Date: 04/22/18
Approval Date: 02/05/15
Page 4 of 4
-00 ONLINE CERTIFICATIONS "RECTORY
UL Online Certifications Directory
Prepared Roof-covering Materials
GAF R21
1361 Alps Rd
Wayne,NJ 07470-3700 USA
Asphalt glass fiber mat shingles "Royal Sovereigns" "Sentinel®," "Sentinel®ASTM D3462," ''Timberline®
HD," "Timberline®Natural Shadow," "Timberline®Ultra HD," "Timberline®Cool Series," "Timberline®
Majestic," "Timberline®Majestic 30," "Timberline®American HarvestTM," "Timberline®ArmorShieldTM II,"
"Grand Timberlines" "Marquis®WeatherMax®," "Grand CanyonTM," "Grand Sequoia®," "Grand Sequoia® IR,"
n " " " n " " " " " " rr n
ame of "Camelot*II, Capstone®, Country Mansion®, Country Mansion® II, Grand S�latsTM , Grand
n n " n " n TMn n n
SlateTM II, Slateline®, Woodland®, Monaco and Sienna® for installation as:Cl"A pre roof 0000•0
covering. Suitable for installation on minimum 3/8-in.thick plywood roof decks in compji ation wiOn}`mmum onC,
ply "Shingle-Mate" or Type 15 or Type 30 underlayment.Also Classified in accordance.W:4 ASTM 1)�161, Crass r
Also Classified in accordance with ASTM D3462/D3462M. Also Classified in accordana&with ICCoES,AC43$'••••
0000 . 00 00600
Asphalt glass fiber mat shingles - "WeatherBlocker Starter Strip Shingles", and "Pro-Sf"rf Starfelr'$trsp Short eaff
06 00
for installation as Class A roof covering. Suitable for installation on minimum 3/8-in. tllipp�ywood in combiriatidV
with minimum one ply "Shingle-Mate" or Type 15 or Type 30 underlayment. Also ClaAffl :in accordance w4b6,:6
ASTM D3161/D3161M, Class A. Also Classified in accordance with ASTM D3462/DJ46;1J.
.. 0000..
0000
Asphalt glass fiber matshingles "Royal Sovereign@," "Sentinel®," "Timberline®HD," "Timberline(eNatural
Shadow," "Timberline® Ultra HD," "Timberline®Cool Series," "American Harvest," "Marquis® WeatherMax®,"
"Grand CanyonTM," "Grand Sequoia®," "Grand Sequoia® IR," and "Camelot®" for installation as Class'A prepared
roof covering when used with minimum Type 30 underlayment over existing wood shingle roof.
Asphalt glass mat hip and ridge shingles- "Timbertex Hip and Ridge" for installation as Class A prepared roof
covering. Also been evaluated in accordance with ASTM D3161/D3161M, Class F when Henkel "PL Roofing and
Flashing Sealant" or Sonneborn "NPI Gun-Grade Polyurethane Sealant" is applied as specified in manufacturer's
application instructions." Also Classified in accordance with ASTM D3462/D3462M.
"Z-Ridge" for installation as Class A prepared roof coverings.
"Seal-A-Ridge®ArmorShieldTM" and "Seal-A-Ridge® IR" for installation as Class A prepared roof coverings. Also
been evaluated in accordance with ASTM D3161/D3161M, Class A. Also Classified in accordance with ASTM
D3462/D3462M.
"Seal-A-Ridge®" for installation as Class A prepared roof coverings. Also been evaluated in accordance with ASTM
D316I/D3161 M, Class F when Henkel Corp. ''Loctite PL S30 Roof& Flashing Sealant" is applied as specified in
manufacturer's application instructiors. Also Classified in accordance with ASTM D3462/D3462M.
Last Updated on 2014-06-13
SNOReyes fs
to"I
Miami Shores village
0� Building Department
OR1Dp
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: re r- S - ►s - 11 -r g - DATE. —. y y I
I NEt So►-� wi c Jz A
Contractor (NAME)
o owner
o Architect
Picked up 2 sets of plans and (other)
Address: It-1 3-, �g y-W-+ AV E
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to
Miami Shores Village Building Department to continue permitting process.
Acknowledged by:
ignature)
PERMIT CLERK INITIAL:
RESUBMITTED DAT
PERMIT CLERK INITIAL: ��
SNORES G
Miami shores Village ` 93
Building Department ivvil
10050 N.E.2nd Avenue
Miami Shores, Florida 33138 r ,�t
Tel: (305) 795.2204 �IORiDP'
Fax: (305) 756.8972
JUNE 01, 2015
Permit No: RF-5-15-1279
Building Critique Review
DERM approval required.
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, replace them with new revised sheets and place behind the most
current page.