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RF-15-1280
�s@°REs yf Miami Shores Village f � R 10050 N.E.2nd Avenue NE Miami Shores,FL 33138 0000 F tiFL— a Phone: (305)795 2204ffp \ sry y� 9 Expiration: 12/27/2015 Project Address Parcel Number Applicant 9009 NE 4 Avenue Road 1132060460050 PETEY ADAMS Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell PETEY ADAMS 9009 NE 4 Avenue Road (786)683-6029 MIAMI SHORES FL 33138- 8360 SAND POINT Boulevard TAMARAC FL 33321- 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 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# RF-5-15-55742 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. FuthermoTl=7f-atit orize 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 S Ill 193 . ,K Miami Shores Village logo ,,,,,M Building Department 10050 N.E.2nd Avenue ENs�N® Miami Shores, Florida 33138 ORiDp' Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# ter S - ' ^ 'z Q C' DATE: I VI 8 + INSPECTION AFFIDAVIT licensed as a (n) Contractor/Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#: cc c-t 325 S On or about V f t I did personally inspect the roof deck nailing (Date&time) work at oca-) &JL Lk-1 Avg 11-6 (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) l 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 2 day of U ST —20 Notary Public, Sate of Florida at Large r � State of Florida o Sindia Alvarez My Commission FF 156750 of Fto° Expires 09/03/2018 *General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with permit#and address#clearly shown marked on the deck for each inspection Miami Shores Village � . Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 +I LINE PHONE NUMBER:(305)762-4949 szfto R—M BMW FBC 20aJkE7 BUILDING IVI 1UN a ter Permit No. '(Z�' • S • lS l2-TO PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� o� CONTRACTOR DRAWINGS JOB ADDRESS: I c7 C7 1 �I po"k ';t� 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): M q-.vl i S ,� �� lle� Phone#: Address: `� `f N C y i}✓.�� City: S State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: /S A-yr_s. �fl�� q Phone#: Address: 7 Z-25 S City: 1/J') �Aiw State: Zip: Qualifier Name: -(A.�,� o ,,.I Z,--LL Z_ Phone#: State Certification or Registration#: LGA3 z-c 3Cp Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 2 r(M r •❑ Repair/Replace ❑ Demolition Description of Work: A,Zj_O Z114 Q 11 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 fY-Z44. Signature 1 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _day of S D'� 20 1� by 3 day of VNJ%�!2 g'54- 20 15 by iS,4- ix who is personally nown to AkA_tr tC7a 7joticZ who is_personally 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 PUBLIC: Sign: Sign: Print., ,•�:;�°:" TAMARA DIAZ Print: ,:M�:"'• TAMARA •; Commission#FF 242658 ; Commission#FF 242658 Seal: ° A= Expires June 29,2019 Seal: o' Expires June 29,2019 .All� P Ballad TMu Troy Fain Insurara;e 800.385.7019 Bonded Thro Troy Fain Ineur.,.800JBST019 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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 412 approved insulation fastener spaced at a maximum of 12 inches(305 mm)apart in one direction with a minimum penetration of 1 1/z 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(5 f mm). An alternate method of attachment may be proposed,provided it is in compliance with Chapter 16(High- Velocity 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. ••••• f s4 •r� .i • ` • it • Y� 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: •••• . . 0000 0000.. MIN. 19/32" PLYWOOD •�•• 00 0 0 . 09 0000.. 0000. 0000 Roof Slope: Type Underlayment: ;•� 0 • ASTM D-226 #30 FELT ��•000 0000 . . 4 : 12 0000 ..0. 0000. Insulation: ..••.. 0000 00'00' }, 0t, 3 " ISO WITH #12 SCREWS t'�AS�'�'ENEDr*1G" OC•0 -:� Fire Barrier: •••• 0000.. 0 N/A . . . .. .. Fastener Type & Spacing: 1-1/411 RS NAIL 1211 O.C Ridge Ventilation? 2 ROWS AND 1211 O.C.@ LAP Nip' Adhesive Type: N/A Type Cap Sheet: N/A Roof Covering: ROYAL SOVEREIGN Mean Roof Height: 22 ' SHINGLES Type& Size Drips Edge: 3 11 X 3 11 GALV DRIP EDGE r r Miami Shores Village Building Department MAY zat5 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 � INSPECTION LINE PHONE NUMBER:(305)762-4949 F�BBC 20 BUILDING Master Permit No.,- o./ -2— PERMIT "PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑■ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9009 NE 4th Avenue Road City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-046-0050 Is the Building Historically Designated:Yes NO x Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): PETEY L ADAMS Phone#: Address:9009 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 M DESIGNER:Architect/Engineer: NSA Phone#: Address: City: State: Zip: Value of Work for this Permit:$3,025 Square/Linear Footage of Work: 350 sf Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of work: Tear-off existing shingle roof sys#e.n and install new 3-tab shingle roof. Specify color of colo--rrt�thru tile: _ Submittal Fee$ - '�J _Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Eduration IF,, ; Double Fee$ Structural Reviews$ _ Bond$ TOTAL FEE NOW DUE$ (Revi sed02/24/2014) 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. Signature,�-4 Signature -D OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrumentwasacknowledged before me this GZ day of M AL.4 .20 by ��' day of I"lp�✓��20 by T� kn is personally n to -1 ycti;,� LS7`3 t� � i 2 z-who ersonally kn n 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 PUBLIC: Sign: Sign: 1\ - Print: Print: _ _ 'ro: - _ ,. HANNA FADUL HANNA FADUL Seal ? r Notary Public-State of Florida Seal: n lctlry Public-State of Flortda F t� My Come Expires Apr 30,2018 Cor:n� Expires Apr 39, 2010 EE 193985 Comrriss au (J EF_ 193985 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revi sed02/24/2014) Florida Department of MIAMI QADE FLoRib> Environmental Protection mic Resources �I ment Division Division of Air Resource Management 701 t urt,2nd Floor Florida 33136 NOTICE OF DEMOLITION OR ASBESTOS REIVI�� 2015 TYPE OF NOTICE(CHECK ONE ONLY): ❑ ORIGINAL ❑ REVISED ❑ CANCELLATION ❑ COURTESY TYPE OF PROJECT(CHECK ONE ONLY): ❑ DEMOLITION ❑ RENOVATION E3-ROOFING Air Quality IF DEMOLITION, IS IT AN ORDERED DEMOLITION? ❑YES ❑ NO Management Division IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑YES ❑ NO File# IS ITA PLANNED RENOVATION OPERATION? ❑YES ❑ NO Process# I. Facility Name ••.. Address 0.00 0.00.• City State Zip County •• • •••• • Site Consultant Inspecting Site •••••• •• • •••••• Building Size (Square Feet) #of Floors Building Age in YAats•••• • ;• �; Prior Use: ❑School/College/University 11 Residence ❑SmalPBusiness Other •••• • • • Present Use: ❑School/College/University ❑Residence ❑Small Business ether •••• ••• • ••: • .. . 000000 0000 000.0 It. Facility Owner Phone -W-0)0 • • • Address ' • • • • • City State Zip • • • • • •• III. Contractor's Name Phf)tle( • ) :• ••• • • • • 0000•• Address •• • • ••• • • City State Zip •• • Is the contractor exempt from licerii;ure rjl�d§ion 469.002(4),F.S.? ❑YES ❑ NO IV. Scheduled Dates: (Notice must be pdstmarked't0 working days before the project start date) Asbestos Removal(mm/dd/yy)Start. Finish: Demo/Renovation(mm/dd/yy)Start: Finish: 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): ❑ I Strip and Removal I ❑ I Glove Bag ❑ Bulldozer ❑ Wrecking Ball ❑ I Wet Method ❑ I Dry Method I ❑ I Explode ❑ Burn Down OTHER: VI. Procedures for Unexpected RACM ' VII. Asbestos Waste Transporter:Name Phone( . ) 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 notifications) square feet surfacing material square feet cementitious material regardi a estos have been submitted in linear feet pipe square feet resilient flooring com n with applicable regulations. cubic feet of RACM off facility components square feet asphalt roofing R R O ficial Signature D to *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|[L ()F O[N/1(]U[0M OR ASRESK}S RLN(}VAl0N" is nxquircJ pueuani1 / 1ire Pu.visions uf4O [FR 61 Sunyart NA ^nd Ku|c 62'257.301' i/\1 and must be su6nniUrd prior to any Jmno!i|ion ut os|`esk`s abaiennrntac1ivity. This docunnent is an /*�pslos ',,"otifica{ion only and is noL a per -nit. This N(]T|LF OF UFM(}L|T|()N ()KA5H[5T()S R[N{}VA[|(}N (W net consii(u(e a r/aiverofunapprova! for any, federal, ya\e, county, or local permits Wt nay be rcquirW NothisWhy, INSTRUCTIONS for COMPLETING NOTICE OF DEMOLITION OR ASBESTOS RENOVATION ~ e �oie os nogonn requivernuots o[ s. 37660' iS, and /h: renovation or den"`|ihon nodcc ° f (7h *1f1ke Emission Standards for Hazardous Air RJ|utanis (NET IAN, 40 CFR Pad 6\' Subpar( enn ~�u�ip° °J in R°�=��*°2S7° ' [/\I, arc included unthis fornn, ° SAW U) YAWatc,vvh n0ce is an alloruk a revision, a cancellation, or a courtesy notice Ii.e- not rCCjLIir('Cl |[1�"?`Io{icc i,�,l rMision' y|rasc indicate which entries havc been chanAe'| or added. :?Werk �° ° �pc� � �e |ido a ovai� ° �-nc� nron��c n c��er�oc yn1 /s a mo n or nn mn. WAS iiii'orni�itiotii-eCILlire(,Iotitlie )rm SIDidLIii , an H ( aqn( ordering the(baroldkoI, It e t(Z-M-k the deniohtion, the (late be Ade of be person acing "Pola I tl r of the order and -the date _ . � -t P P- VJ4" ,,REYr1 d gliff?,lanation of how the event Tec is )r \V01-Ild C WSC,eqUlpllo'nt damage or an unreasonable fS jurden e d.11 is &L� please not(, that the notice i. efl' ' - 'e'f6t-'a perld J Fo t 111, -A--'L'a`"" an L Con-iplete the facility information. I I p �j(,i 6ty, r novation ()I- demolitio-i i.,, sP Aklocatet -` scheduled.1hisaddre s",4lli*)eLJSCA P)al , I h�_-N:oj t sile. Provide in(,, nanne or VRW WIRV "resideritial (hvelhng is dehned in Rule 62-252,092( S w J d An"I in s. 288.7011 t FS.; or other. If "other" is -heckedWN6�114 71 sarne instruction for "present u�e.` 11. Complete the Awil Ay owner ibATPfi`G L<-bJa-;k3J'1-� 111. Complete the contra tor i IV. List separately Ih(--, sc�-Iedulecl man ancf kti JSJ10115 the shestos removal poriion of the project and the re' novation or den-iolA&RESTIN-e-v ject. e 0 -flYNGCI mitlovivAr ( 'rno ilion ,)I- IeJ-"o\raA()JJ, 1111 V. Descrihe and check thR00 a dry removal nietho(I lfjr- t I o PV, 'i� Vi Ucscrihcthe pnxzeduns1oheused inthe event un,xpnck.JR,ALk1isfound orynOvious|ynon1riabieaske�os rnaierial kecoxoescrunnb|eJ, yulverizn]' orreduced !opovvilrra% sta/1ofthe |m4crL � VU. [onop|elleihc asbestos waste transporter infurnna|inn. VIII. [onopieke [lie waste disposal site information- IX. Lis( Mc announ( of RA[kX orA( N] of each type cfaskms ns to he /ann.,/ed. (Note: A *)1urne nncasurc/nent or RALM off [acili<y components is only pornnissiblc if iiv or arca couhJ no,, |u, rneasured Identify and describe the listed surCacing material and oilier Uskr| nlakria|s as a0p|ica , |e, ~ �► ' " . 4_ Florida Department of MIaME FLO Environmental Protection Resources Division of Air Resource Management Air uaq, , nt Division 701 N.W2nd Floor , rida 33136 NOTICE OF DEMOLITION OR ASBESTOS RENOVAIIP9 3 2015 TYPE OF NOTICE(CHECK ONE ONLY): "ilGINAL ❑ REVISED ❑ CANCELLATION ❑ COURTESY TYPE OF PROJECT(CHECK ONE ONLY): ❑ DEMOLITION ❑ RENOVATION &*bOFING Air Ouallty IF DEMOLITION,IS IT AN ORDERED DEMOLITION? ❑YES ZI-90 Management Division IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑YES CtLNCd _ File# IS IT A PLANNED,RENOVATION PERATION? / ❑`YES 1-1NOProcess# I. Facility Name C 5� «S (/�l�/¢ �t!><ED� •••• Address gr �/ �- • • •••a ••aa•• City State oe!��Zip County •� • •••�T�• ; Site Consultant Inspecting Site ••op*• •• • •a•••• Building Size �w (Square Feet) #of Floors Building Age in Years•.• • i••••i Prior Use: ❑School/College/University 2R'esidence ❑Small Business Other 0 • • • • Present Use: ❑School/College/University ❑Residence ❑ 11 Business Other w. • • II. Facility Owner 1,6 MALS, O d Phone( �1• �• •••••• -•a••• Address e.1 • City State Zip i ia•si• �•a•i• III. Contractor's Name5 C�� 1. Phone(- ! • • • • Address - ��• T • ya.,,• • ••• • • City/&A- f l State ^4 .Zip •a • Is the contractor exempt from licensure under section 469.002(4),F.S.? ❑YES, a- ❑ NO IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date) Asbestos Removal(mm/dd/yy)Start, -7 ff—I � Demo/Renovation(mm/dd/yy)Start: Finish: i V. Description of planned demolition or renovation work to be perfocrned.and methods to be employed;,incl/uddin.&dem9lition or renovation techniques to be used and description of affected facility components. wO �/S�/�EY� 174—) Procedures to be Used(Check All That ApPly): ❑ Strip and Removal ❑i Glove Bag ❑ Bulldozer ❑ Wreckin Ball Wet Method ❑ Dry Method I ❑ Explode ❑ Burn Down OTHER: VI. Procedures for Unexpected RACM: VII. Asbestos Waste Transporter:Name Phone(� Address 5 City — _ State Zip VIII.Waste Disposal Site: Name Address M/20 S City 14td��, —State J . Zip IX. RACM or ACM:Procedure, including analytical methods,employed to detect the presence of RACM and Category I and 11 nonfriable ACM. j i Amount of RACM or ACM* This is to certify that the required notification(s) j square feet surfacing material square feet cementitious material regar a esfos have been submitted in 1 linear feet pipe square feet resilient flooring co I' with applicable regu i cubic feet of RACM off facility components' square feet asphalt roofinga �'�7' RER Off 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 R during normal business hours.I have read and understood the additional information provided on the back of this form. �i41 N 60N:�,4-��' � (Print Name of O Opera _atet (Signature of Owner/Operator) (D e) (Contact phone#) ;,.RER USE ONLY Pgstmark/Date Received ID# ' 1 161_01-158 7/13 DISTRIBUVON: White-RER Yellow-Applicant Pink-Reserve Gold-Reserve DISCLAIMER This "NOTICE OF DEMOLITION OR ASBESTOS RENOVATION" is required pursuant to the provisions of 40 CFR 61 SubpIart M and Rule 62-257.301, F.A.C. and must be submitted prior to any demolition or regulated asbestos abatement activity. This document 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 ...... .... . . .11ie state a'sbe'stos rd`moLal program requirements of s. 376.60, F.S., and the renovation or demolition notice re u rement of the .,...1 Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61, Subpart q � � �Ia�4�� p :"7*4 embodied in Ru1"62-257, F.A.C., are included on this form. . . . . ..... .. .. .... "11tttk to iv"tAW wh@$I'4"is notice is an original, a revision, a cancellation, or a courtesy notice (i.e., not required *V, . ... .. ... �, law). If t W notice iso* r�*mon, please indicate which entries have been changed-or added. . . . Cherk to iridi'ca:e whether e .Woje� on/ !XERM If yoti tbetked demol i(A;w h St nt gen y? If so, in addition to the information required on the orrh'•the owner operator must provide the name o t e a�en y ordering the demolition, the title of the person actin o If o a n h e� � �encyfi i-en r the demolition the date of the order, and the date o e.: . :F�eg t rt I? )e attached to the notification. -;_ - .. If you checked renoval on,r tKapmergencr' � ration? If so, in adt'tion o the information required on the form, the owner/op rat*'"Ust pro'vIde t d t he emergency'0. cur ed, the description of the sudden, unexpected event, z nd $__ePlanation of how the event caused unsafe cone ins or would cause equipment damage or an unreasonabl firi�swi`al bur Pt t VaAl�ard it is a.-:pla ned renovation operation, please note that the notice i effective for pd of Januar 1 through December 31. I. Complete the facility informatTCt' f lit vhere the r novation or demolition is scheduled.This addre will be used by the epar n .n inspector he proje t site. Provide the name of the consultant or firm hat concgCK411Up 0 t Meet' s For "prior se" check the appropriate box to indicate whet er the prior use of t e act ity� a o a school o�of college, r university; residence, as "residential dwelling" is defin(0A'�ul .A.C.; small business, as deined in s. 288.703(1), F.S.; or other. If "other" is checked, identify the use. PI ase fol low the same instructions-for "present use." II. Complete the facility caner PROVAL IS FOR j III. Complete the contrac or information. ASBESTOS OS IV. List separately the sc a r 1 ® (' 3' / g �li Nasbestos removal portion of the project and the re ovation or de I' ' n f t e ro ect. f V. Describe and check t e hods an a e e� lanned demolition or renovation. Include a description of the affected facility components. (Note: The NESHAP for asbestos, which is adopted and incorporated by reference in Rule 62-204.800, F.A.C., requires obtaining Department 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. V�"''''���j Y�"�• Asbestos Business License # ZA0000218 Mold & Asbestos Surveys & Removal * Phase 1 Environmental Assessment * Air Monitoring & Analysis June 18, 2015 0000 The Shores Villas Condominium 0000.. 8701-9043 NE 4 Avenue •• •••• • Miami Shores, FL •••;•• •• •••••• 0000.. 0000.. RE: The Shores Villas Condominium REPORT#'..F.C15-0469RAS 0000.• 8701-9043 NE 4 Avenue 00:09: 9.90 00:00' Miami Shores, Florida •• •• •••• •••••. Dear Sir : ..•.�. 0000.. . . 0000.. Pursuant to your request and our agreement, ETS Environment, Inc. has performed an Asbestos Roof Survey on June 11, 2015 at the above referenced facility. SURVEY LIMITATIONS This inspection report is the result of a diligent search of the facility for asbestos containing roofing materials (ACRM). All analyzed samples were readily available to our surveyor. If in the course of a renovation or demolition activity, additional suspect materials become exposed, all activities should immediately cease and the suspect material brought to our attention for evaluation and recommendation(s) if necessary. The scope of this inspection to perform a survey of roof surfacing materials for suspect ACM. Therefore only roofing material was sampled and all other building material is NOT included in this inspection survey report. LABORATORY METHODS Each sample was returned to the laboratory at ETS Environment, Inc., logged, and stored for analysis. All analyses were performed using the Polarized Light Microscope (PLM) Method 40 CFR Ch.1, Pt. 763, Subt. F, App. A Pgs. 293-299, 1-1-87 ed.; (Polarized light 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 analysis. Samples for asbestos analysis were taken on any visibly potential Asbestos Containing 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 12334 73 COURT NORTH, ROYAL PALM BEACH, FL. 33412 (954)236-0053 (561)333-0624 FAX (561)333-0684 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 Based on our survey and bulk sample analysis, it was evident that NO a*egft fibers Wdre ••••;• found in any of the samples taken. " ' •. ..... .. . ...... CLOSING REMARKS .... .. .. ..... ETS Environment,Inc.greatly appreciates the opportunity to provide qugUNg lvironTpVjVal ...... services at a reasonable cost. It has been a pleasure working with you aridwelook forward .' to doing so in the near future. Should you have any questions or comments, pleaseVP�j9t ••••%• hesitate to call. • Respectfully submitted, ETS Environment, Inc. Dennis Emerson I.H. AHERA Inspector Certificate No. 144519 ZA#0000218 I hereby certify that the Roof Asbestos Survey conducted on June 11, 2015, at The Shores Villas Condominium, 8701-9043 NE 4 Avenue, Miami Shores, Florida, was performed by Dennis Emerson, 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 Regulations, Florida Statues 469.003. eLsReviewed by: .� /S Bruce Marchette, C.I.H. fDate Florida Certified Licensed Asbestos Consultant No. IA0000041 M`�N" 544", FL ETS ENVIRONMENT INC. 2 TS E44vvoIiw*ltoos�, • 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: FL16-0469RAS Date Cglljrtgd: •„e6t11/1�.�;;• Sample# Location of Sample Description 1 4;;ltion Y• ••psbes q.%.. 1 Field Asphalt Shingle Y *•4 os '*** NAa•:09 2 Field Asphalt Shingle NAD 3 Field Asphalt Shingle NA 4 Field Asphalt Shingle F.C. NAD 5 Field Asphalt Shin le F.C. NAD 6 Field Asphalt Shingle F.C. NAD 7 Field Asphalt Shingle F.C. NAD ,F— Sampled By:Dennis Emerson NAD-NO ASBESTOS DETECTED SAMPLE CONDITION CODES G.C.Good Condition F.C.Fair Condition P.C.Poor Condition P.D Physical Damage W.D.Water Damage F Friable N.F.Non-Friable H.Con.High Contrast M.Con.Moderate Contrast L.Con.Low Contrast 3 TS E* /� 404*v , • 12334 73 Court North W.P.B., Florida 33412 Project: The Shores Villas Condominium (954)236-0053 Lab Code : 0355 REPORT OF BULK SAMPLE ANALYSIS Sample Anal. Sample Item Description Asbestos Percentage Percentage&Type Non- Percentage Number Init. &Type Identified Asbestos Fibers Non-Fiber Mat. 1 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix 28-30 Cellulose 2 DKE Asphalt Shingle NAD 7-10 Cellulose 60-65 Matrix 28-30 Cellulose 3 DKE Asphalt Shingle NAD 7-10 Cellulose 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 28-30 Cellulose .. ... .. . . . .. - •,• 3N-916 D.; NQAlblstos Detected Dennis Emerson I.H. ... . . ... .. . Microscopist ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . 4 on ♦ SIC.I s � n Miami shores Village 7:fte Building Department JRt 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: ep - S-I.K ►ZQ 0 DATE _ ��► �►� o Contractor (NAME) o Owner o Architect Picked up 2 sets of plans and (other) Address: qo� of 4T" A'JE r<L 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. b Acknowledged : s y Si nature) PERMIT CLERK INITIAL..- RESUBMITTED NITIALRESUBMITTED DATE: ; PERMIT CLERK INITIAL: e 5t1IR Miamishores Village ` 4 93 Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 FLORIDA Fax: (305) 756.8972 JUNE 01, 2015 Permit No: RF-5-15-1280 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. A Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section A General Information Master i=or mit No. Process No. RT CFJVED I ContraCor's Name Isaacs Roofingand Insulation Corp. MAY 7 2015 BY Job Address Q oo ►.S G �}A�• ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive SetTite IBJ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Sliinglcts/Shako;�g,, 00 :• 00 Shingles 000.0• •• • 000000 ❑ Prescriptive BUR-RAS 150 """ • 0000 .. 0000.. 0000 . .. 0000. ROOF TYPE ' • . . .. .. .. 0000.. ElNew Roof IBJ Reroofing 11Recovering ❑ Repair ;d:maintgnZkce •����� 0000.. ROOF SYSTEM INFORMATION •• ••• • Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 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 de dimensions of elevated pressure zones and location of parapets. a Al 0 J_ f f _DT 1 i Florida Buildino Code Edition 20107 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steerczr3,d FcQf SfSflYe� 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 0000 Maximum Design Pressure •••• •••••• N/A .. ... Product Approval Specific System: ______ • 0000.. Method of Tile Attachment: N/A 9000 •• • 0000 0000. .. .. .. 0000.. 0000.. Steep Sloped System Description •••••• . . . 0000.. .. 0000 0 0 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: 311X 311 G,AL DRIP EDGE SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATION'S R4402.13.1 Scope. As it pertains to this section,it is the responsibility of the roofing contractorto 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 roo ing 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 forthe 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 decd may have to-be renailed in accordance with the current provisions of Section R4403.(The roof deck is dsL0lyroncealec1erJor •0• to removing the existing roof system.) 0:0• 0..* : 0•• • 3. Common Roofs: Common roofs are those which have no visible dQGraeation.betw,een ;••••; neighboring units (i.e. townhouses, condominiums, etc.) In buildings with comaorisoofs, tht PQQMg contrand/or owner should notify the occupants of adjacent units of roofing wo&to," performed.* ..:..• ***066 .. ...... 4. Exposed Ceilings: Exposed, open beam ceilings are where the under4depf the roof decking .• can be viewed from below.The owner may wish to maintain the architectural appear&ce,tftereforp.191fing •••• • nail penetrations of the underside of the decking may not be acceptable.This provides tle opftn of m2intaining • thishisa�nce. .. •. �.* .. . 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 thenal roofing system is removed. Ponding conditions should be corrected. -C;X' 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 accordan A With the requirements of Sections R4402, R4403 and R4413. �—C�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. i' Owner's/Agent's Signature Date Contractor's Signature �9 ac 4 c Property Address Permit Number MIAMI•DADE 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)315-2599 NOTICE OF ACCEPTANCE (NOA) wkvw.miamidade.2ov/econ0mv 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 Counfyyl?ro&ct Coutrpl Section •• (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve Oke fight to liana ills o s o o:o product or material tested for quality assurance purposes.If this product or material fails td'Peffb?m in the accepted%•• manner,the manufacturer will incur the expense of such testing and the AHJ may immediattlri4oke,:fglify.or • • suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptanle o if it is determined by Miami-Dade County Product Control Section that this product or mateIN flails to meet le ••••• requirements of the applicable building code. •. •• This product is approved as described herein,and has been designed to comply with the Flbrida Building,Gag •••••• 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,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 revises NOA 12-1127.03 and consists of pages I through 4. The submitted documentation was reviewed by Juan E. Collao,R.A. I MIAMI•DADE COUNTY NOA No.: 14-1022.16 Expiration Date:04/22/18 Approval Date:02/05/15 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: Asphalt Shingles Materials 3-Tab Deck Tyne: 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 Prodect Dmcriptiex' ....:. Specifications 0::::* • GAF Royal Sovereign Shingle 12" x 36" TAS 110 Fiberglas reinforc8d JVaty weight&ajphalt rki. • shingle,with a 3-'Cab profile 00:000 MANUFACTURING LOCATIONS """ • . . . . ...... 1. Savannah, GA. 2. Tuscaloosa,AL. •• ••• 3. Tampa,FL. 4. Mt. Vernon,IN. 5. Mobile,AL. 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 08NK12906 10/10/08 TAS 107 I I CA4 7919 12/03/11 ASTM D 3161 /TAS 107 09CA41642 09/28/10 ASTM D 3161 /TAS 107 09CA38549 10/30/09 C7 r��c rarNOA No.: 14-1©22.16 Expiration Date: 04/22/18 Approval ID n te: 02/05/15 Page 2 of 4 EVIDENCE 'SUBMITTED (CONTINUED) Test A%!ency 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 I ICA47919 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 wil the%lorida BWMing Cede•;• and Rule 61 G20-3 of the Florida Administrative Code. ' • .` :': •• ..•.... .. . ...... . INSTALLATION •'•••• .... . .. ..... 1. Shingles shall be installed in compliance with Roofing Applications Standard RAS,j j�, ••• •• •. 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,city and state of manufacturing facility, and following statement. Miami-Dade County Product Control Approved or the Miami-Dade County Product Control Seal as shown below. MIAMI-DADE COUNTY , ...I YAIJ 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 MIAM12EDE COUNTY Expiration Date:04/22/18 Approval Date: 02/05/15 Page 3 of 4 DETAIL A COURSE LAYOITI' 1st Course of Shingles 2nd Course of Shingles 3rd Course of Shingles •••••• •• • •••••• 5" • • •••• •• • • • Drip Edge :Owes* • • • • • • • • •••••• ••••% 00 a 000 DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" 00 LO L6 END OF THIS ACCEPTANCE NOA No.: 14-1022.16 ��!�*"IDADE COUNTY ... , Expiration Date:04/22/18 Approval Date:02/05/15 Page 4 of 4 ONLINE CERTIFICATIONS DIRECTORY ATL Online Certifications Directo.J; T Prepared Roof-covering, INIL-ateriais GAF R21 1361 Alps Rd Wayne,NJ 07470-3700 USA Asphalt glass fiber mat shingles - "Royal Sovereigng," "Sentinel®," "Sentinel®ASTM D3462," "Timberline® HD," "Timberline®Natural Shadow," "Timberline®Ultra HD," "Timberline®Cool Series " "Timb'eIhUS Majestic," "Timberline®Majestic 30," "Timberline®American HarvestTM," "TimberlitW.0jt rmorSVij1•dTM II,I* "Grand Timberlines" "Marquis®WeatherMax®," "Grand CanyonTM," "Grand Sequoias,::Gran%$tgioiag.W.;• "Camelot®," "Camelot®II," "Capstone®," "Country Mansion®," "Country MansionO*,:-d Grand SlateTM", "Grand �i �i n �i i� n i� i� �� 6.66.9 S1ateTM II, Slatelines Woodlands MonacoTM and Sienna® for installation uTTI3.s A porn' room • covering. Suitable for installation on minimum 3/8-4n:,thick plywood roof decks in com�iina`tion with m nimiir4At. 1 "Shingle-Mate"or Type 15 or T e 30 underla ent.Also Classified in accordanc�d,iOASTM D 9 61, Also �•� ply g YP 3'h. Yn?. 3� �.r��.F.• Also Classified in accordance with ASTM D3462/D3462M.Also Classified in accordanc�voith ICC FSS AC438. .' :000:0 9969.6 Asphalt glass fiber mat shingles - "WeatherBlocker Starter Strip Shingles", and "PrAtmfW Starter Strip Slfagla' for installation as Class A roof covering. Suitable for installation on minimum 3/8-in.thick plywoo4ja ciombinatiori with minimum one ply "Shingle-Mate" or Type 15 or Type 30 underlayment. Also Classified in accordance with ASTM D316I/D316IM, Class A. Also Classified in accordance with ASTM D3462/D3462M. Asphalt glass fiber mat shingles- "Royal Sovereigns" "Sentinel®," "Timberline®HD," "Timberline®Natural 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 existingwood 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 D316I/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 D3161/D3161M, Class F when Henkel Corp. "Loctite PL S30 Roof& Flashing Sealant" is applied as specified in manufacturer's application instructions. Also Classified in accordance with ASTM D3462/D3462M. Last Updated on 2014-06-13