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RF-15-1751 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240645 Permit Number: RF-7-15-1751 Scheduled Inspection Date: August 20, 2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: GROUP, LLC, ROCKSTREAM Work Classification: Tile WILICCTIIACIJTC Job Address: 580 NW 113 Street Miami Shores, FL 33168- Phone Number (305)799-8034 Parcel Number 1121360210810 Project: <NONE> Contractor: ESPIRITU SANTO DEVELOPEMNT AND CONSTRUCTION GF Phone: (786)953-3264 Building Department Comments RE-ROOF (SHINGLE & LOW SLOPE) Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-239004. mISSING RENAILING JU AFFIDAVIT Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 19,2015 For Inspections please call: (305)762-4949 Page 19 of 41 AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND SECONDARY WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami-Dade County Building Department 11805 Coral Way, Suite 111 Miami, FL 33175 Re: Owner's Name Property Address Roofing Permit Number Dear Building Official: I 60. 6 L@--L"— certify that the roof decking attachment and fasteners have been strengthened and corrected and a secondary water barrier has been provided as required by the "Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Structures" adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C. Qualifyi Age Signa re o ua ifying Agent ;joC�Q bo Q-0 Lo Print Name STATE OF FLORIDA COUNTY OF MIAMIDADE Sworn to and subscribed before me this / day of ,20 (SEAL) o Personally known Produced Identification CLAUDIA T. ROCHA SILVA Notary Public-State of Floriaa My Comm. Expires Oct 15,2016 Commission# EE 843831 CADocuments and SmingsUtc I\My DocumenM\StarisncsGraphs_2Utnnfing Affidavit Compliance-9 26 07HIable.doc 3iS Permit NdF- -" ; s °mss Miami Shores Village Permit l'P � 10050 N.E.2nd Avenue NW work ... .,,. * work Ci;�$01cation -tit� Miami Shores, FL 33138-0000 fi�Ot "Vt,Ststus APi C?VEC! Phone: (305)795-2204 ek*EB N 6 FCORLDA � ` ueflag:711512015 Expiration: 0111112016 Project Address Parcel Number Applicant 580 NW 113 Street 1121360210810 ROCKSTREAM INVESTMENT sc Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell m .m .. ............, _., _. ._ ., .. ROCKSTREAM INVESTMENTS GROUP, 15 NE 115 Street (305)799-8034 - MIAMI FL 33161- 15 NE 115 Street MIAMI FL 33161- Contractor(s) Phone Cell Phone Valuation: $ 6,80 .00 ESPIRITU SANTO DEVELOPEMNT AN (786)953-3264 Total Sq Feet: 1272 Type of Work:Re Roof Available Inspections: Additional Info: RE-ROOF(SHINGLE&LOW SLOPE) Inspection Type: Classification:Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# RF-7-15-56327 CCF $4.20 DBPR Fee $4.13 07/15/2015 Check#: 1116 $500.00 $303.46 DCA Fee $4.13 07/14/2015 Credit Card $ 50.00 $ 253.46 Education Surcharge $1.40 07/15/2015 Check#: 1117 $ 175.00 $78.46 Permit Fee-New Roof $275.00 07/15/2015 Credit Card $78.46 $0.00 Scanning Fee $9.00 Bond#:2791 Technology Fee $5.60 Total: $803.46 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 IDAVIT: I certify th6Lall the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const on a d zoning. Futher ore l authorise the above-named contractor to do the work stated. Ulalps July 15, 2015 :rg orized Signa re:Ow?ter / pp t / Contractor / Agent Date Buil Department C y July 15, 2015 1 Miami Shores Village • Building Department JUL 10,5 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S TN FBCii 20 11- BUILDING Master Permit No. 1 �� 1 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: L-) 0 \AJ 2) 3'V- City: SV- City: Miami Shores Countv: 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):Roc-kg�reo Py -717ngC'S mey\tS C-VbLt� LLC_ Phone#: 4-305 _7q'? 00.3�f Address:k j5 �4li 16 ST- City: State: vR, zip:,,(, 1 Tenant/Lessee Name: "' Phone#: Email: A-Q0U 3�>2—k &NIao( . CTj M CONTRACTOR:Company Name: 6:> ti QA Phone#: (9-6o) ctS 3-32ery<f' Address: j Su-- -4 S(I City: '1'F•t'�' G 1i� 1 State: r i Zip: 3 Qualifier Name: _X�_) LA n A , Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 6,ROO Square/Linear Footage of Work: 2 4 Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Demolition Description of Work: Specify color of color thru tile: P-0 pin Submittal Fee _Vy Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ f�CC' 2a7 TOTAL FEE NOW DUE$ ex -. D J (Revised02/24/2014) ­75-3 , C--l Co 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 reins ec ion fee will be charged. Signature Signature OWNER I A T CONTRACTOR The foregoing instrument was ackno0liledged before me this The foregoing instrument was acknowledged before me this day of 120 by (-3 day of �`' �- 20 by who is personally known to who is personally known to me or who has produced �� as me or who has produced C� � �'�' as identification and who did take an oath. S S �3(�O3] identification and who did take an oath. NOTARY PUBLIC: S 07hUi��l U 1� NOTARY PUBLIC: ���•. ��'eg�� •, ', Sign: Sign: Print: Print: Seal: Cammlt�oll/FF209430 � Seal: 7A TF My oomnm www Msr.12,2019 APPROVED BY -7 l � � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) .meq. JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 11/20/2013 EXPIRATION DATE: 11/20/2015 PERSON: BLANCO JULIO FEIN: 270754176 BUSINESS NAME AND ADDRESS: ESPIRITU SANTO DEVELOPMENT&CONSTRUCTION GROUP INC 11565 SW 7 ST MIAMI FL 33174 SCOPES OF BUSINESS OR TRADE: ROOFING-ALL KINDS AND DRIVER Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the soope,of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 Local Business Tax Receipt rn 0 Miami-Dade County, State of Florida m Z , -THIS IS NOT A BILL-00 NOT PAY ' '�n LBT Drn COM co N rn ;0 M 6526413 r D r ,..� p-0 D BUSINESS NAME/LOCATION RECEIPT NO. :EXPIRES C -°,C 5'Lt �,T D m ESPIRITU SANTO RENEWAL SEPTEMBER 30, 2015 0CL9 , o DEVELOPMENT& 6796776 Must be displayed at place of business °' I CONSTRUCTION GROUP INC Pursuantto County Code m Z r 11565 SW 7 ST Chapter SA-Art.9&10 Y11 O SWEETWATER,FL 33174 < :rr� }s O 22 SEC.TYPE OF BUSINESS PAYMENT RECEIVED C D OWNER ESPIRITU SANTO DEVELOPMENT& 196 SPECIALTY BUILDING BY TAX COLLECTOR o ',:{1 4 C Cn CONTRACTOR 45.00 09/26/2014 ='=%0 0 r Z 0 0 °D >M Worker(s) 1 CCC1329265 0224-14-007219 0� Z j cn O U)co This Local Business Tax Receipt only confimen e payment of the Local Business Tax.The Receipt is not a license, O to N Z D permit,or a certification of the holder's qualifications.to do business.Holder must comply with any governmental 8 _n I 0 Z or nongovernmental regulatory laws and requirements which apply to the business. J y, 0 The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 88-276. MI® For more inlormation,visit www miamidade govltaxcolleclor TE 1® CERTIFICATE OF LIABILITY INSURANCE DA 0707/2015 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Senic Insurance Group,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13200 SW 128 St Ste E-4 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami,FL 33186 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Endurance American Specialty Ins Com an ESPIRITU SANTO DEVELOPMENT 8t CONSTRUCTION GROUP,INC INSURER B: 11565 SW 7 St INSURER C: Miami,FL 33174 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR WERLFFECTrVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RERTE-9 PREMIE Ea occurrence $ 100,000 CLAIMS MADE XO OCCUR CBC10000114100 02/15/201502/15/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $1.000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 P LIC J CT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION TATNS AND EMPLOYERS'LIABILITY T RY LIM S ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Roofing Company CERTIFICATE HOLDER CANCELLATION lams.Shores Villages Building Department. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1W50 Nordumst 2M Avenue DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN hkaffti Shores,Florida 3313$ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Julio Sanguineti ACORD 25(2009101) ©1988-2014 ACORD CORPORATION.All Aghts reserved. �C ESPIRITU SANTO DEV. & CONST. Roofing License#CCC 1329265 (305)446-7663 (786)953-3264 State of MIAMI-DADE COUNTY County of FLORIDA Before me this day personally appeared Julio A. Blanco who, being duly sworn deposes and says: That Julio A. Blanco will be the only person working on the project located at 580 NW 113 ST MIAMI, FL 33168 Sworn to(or affirmed)and subscribed before me this 13th day of July 2015, by Julio A. Blanco Personally know Or produced identification Type of identification produced ���� l 40, pdrr4� Notary Public State of Florida Sindia Alvarez My Commission FF 156750 ► Expires 09/03/2018 Print,type name of Notary Y ,5NOR93 G� mile, ® ,,,,,M Miami Shores Village yn +g�►�o Building Department �l0R1Dp` 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore, oy u may be personally liable for the worker compensation injuries of any person allowed to work under this permit Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Contractor Print Name.- (,N Print Name: 1 -0 C, Signature: Signature: State of Florida) State of Florida County of Miami-Dade) County of Miami-Dade) Sworn to an bs ib d before me (1 Sworn to and ubscribed before me this day of \ ( � 0, day of 20LILAct . / B •T 1!IVII111 J/ y By c '\1yer,7 (SEAL) K RLINE$LICKIE 9/11 (SEAL) > Type of Ide t' c o c' _ Type of Identification used My co e r Oct 81 2017 \» \Yo 'o X� O`\' A . ,SNORF� Miami Shores Village logo , N..." Building Department Lzy 10050 N.E.2nd Avenue IrLORI�p• Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: 305 7 7 Fax: (305) 56.89 2 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 0 to 12-°1 10050 NE 2nd Ave Miami Shores, FI 333138 Re: Owner'sName: +� c' �n�c'SI�v�L Nis (j- tf,� LLG Property Address: u N w 11SSG t X3(1 r Roofing Permit Number: Dear Building Official: I )VIA-iv; S /N � 'f certify that I am not required to retrofit the roof to wall connections of my building because, he just valuation for the structure for purpose f o ad valorem taxation is less than 300 000.00. Plea h p p $ se attach proof of ad valorem taxation. ❑The building was constructed in compliance with the provisions of the Florida Building Code (FBC)or with the provisions of 1994 edition of the South FI Ida Building Code(1994 SFBC) r F_ Signature Print Name State of Florida County of Dade The undersigned, being the first duly swdm, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this; l day f s �a A KURUNK$UCKIE Notary PubHo,8tete of Florida l Notary Public, Sate of Florida at Large f & Commlts1W FF 61175 my comm. Woes Oct. 8, 2017 • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 CFN: 20150351039 BOOK 29639 PAGE 2109 DATE:06/02/2015 04:25:31 PM DEED DOC 479.40 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY THIS INSTRUMENT PREPARED BY AND RETURN TO: Ava Blumerithal Title Guaranty of South Florida Inc. 4430 Weston Road 954-389-9483 Davie, FL. 33331 Property Appraisers Parcel Identification(Folio)Number: The actual pure} a price or other valuable consideration paid for the real property or interest conveyed by this instrument is$M 0,41lorida Documentary Stamps in the amount of$q-8 q 0 have been paid hereon. 1 Space above This Line for Recording Data THIS WARRANTY DEED,made the 27th day of May,2015 by BERL DUNKLIN,A SINGLE MAN,whose post office address is 3221 NW 94TH TERRACE,SUNRISE,FL 33351 herein called the grantor,to ROCKSTREAM INVESTMENTS GROUP,LLC,A FLORIDA LIMITED LIABILITY COMPANY,whose post office address is 15 NE 115TH STREET,MIAMI,FL 33161,hereinafter called the Grantee: (Wherever used herein the terms "grantor"and'grantee"include all the parties to this instrument and the heirs,legal representatives and assigns of individuals,and the successors and assigns of corporations) W I T N E S S E T H: That the grantor,for and in consideration of the sum of TEN AND 00/100'S($10.00)Dollars and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises, releases,conveys and confirms unto the grantee all that certain land situate in MIAMI-DADE County,State of Florida,viz.: Lot 2,Block 5,WEST SHORES,according to the map or plat thereof as recorded in Plat Book 42,Page 18,of the Public Records of Miami-Dade County,Florida. a/k/a:580 NW 113TH STREET,MIAMI,FL 33168 Subject to easements,restrictions and reservations of record and taxes for the year 2015 and thereafter. TOGETHER,with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD,the same in fee simple forever. AND,the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances,except taxes accruing subsequent to December 31,2014, IN WITNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first above written. File No: 115-0413 CFN: 20150351039 BOOK 29639 PAGE 2110 2"d page of Deed Signed,sealed and deliv in the presence of Wi #1 Siggnnatu a ERL DU LIN Witness#1 Printed Name ess 92 Signature JET.A) I&F- i n S in v1 Witness#2 Printed Name STATE OF COUNTY OF The foregoing instrument was acknowledged before me this 27th day of May, 2015 by�BERL DUNKLIN who is personally known to me or has produced VL- bAJ60e W cE as identification. ERICH THURNELL VE SMA NOTARY PUBLIC-ARIZONA Pinel Cou otary Public My 00;%elonre8 August 31,201 / U� v11WAAEu— Printed Notary Name My Commission Expires: AtVb6c t Pile No: 15-0413 Detail by Entity Name Page 1 of 2 e'Rt" Detail by Entity Name Florida Limited Liability Company ROCKSTREAM INVESTMENTS GROUP, LLC Filing Information Document Number L14000099550 FEI/EIN Number 47-1177647 Date Filed 06/23/2014 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 06/30/2014 Event Effective Date NONE Principal Address 15 NE 115TH ST MIAMI, FL 33161 Mailing Address 15 NE 115TH ST MIAMI, FL 33161 Registered Agent Name &Address SINGH, HEMANT 15 NE 115TH ST MIAMI, FL 33161 Name Changed: 06/30/2014 Authorized Person(s) Detail Name &Address Title MGR SINGH, HEMANT 15 NE 115TH ST MIAMI, FL 33161 Title MGR SINGH, ANTHONY 15 NE 115TH ST MIAMI, FL 33161 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResu]tDetail?inquirytype=Entity... 7/14/2015 Detail by Entity Name Page 2 of 2 Title MGR SINGH, ANTONETTE 15 NE 115TH ST MIAMI, FL 33161 Annual Reports Report Year Filed Date 2015 04/30/2015 Document Images 04/30/2015 ANNUAL REPORT View image in PDF format 06/30/2014 LC Amendment View image in PDF format 06/23/2014 Florida Limited Liability View image in PDF format and Priv"-"cvP'? Swte of f lo'lda' http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/14/2015 A I ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 2015 Florida Building Code Edition 2010 j JUL _ High-Velocity Hurricane Zone Uniform Permit Application For COPY L'-'_`�- - Section A(General Information) Master Permit No. Process No. Contractor's Name: Espiritu Santo Dev. & Const. Group, Inc. Job Address: 580 NW 113 ST MIAMI, FL 33168 0000 ROOF CATEGORY • .• • .•• • ✓ Low Slope ❑Mechanically Fastened Tile ❑Mortar./AQapsive Set Tile • ✓Asphaltic 11 Metal Panel/Shingles ❑ Wood�6 iggles/rotes ..... Shingles �� ...... .... ..... .. .. .... ...... ❑ Prescriptive BUR-RAS 150 ROOF TYPE ; .�• •••••• ❑ New Roof ✓ Re-roofing ❑ Recovering ❑ Repair ❑Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 286 986 1,272 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. P 23' APPPOW-D BY DATE i--- - I DIEPT ) t 1 :�;�i3J( CT TO COMM IANCE WITH ALL FEDF HAL i `� /' i i\`'�C,C)l!N?Y RIJI_ES AND RLGLII ATIC)NS 11' Low slope 26' Section C Miami-Dade County HVHZ Electronic Roof Permit Form Section C Page(Low Slope Roof Systems) "Delivering Excellence Every Day" Fill in the specific roof assembly components.If a component is not required,insert not applicable(n/a)in the text box. jF Top Ply: ROOF SYSTEM MANUFACTURER: ,GAF - ._-...._..._..-_________.__-__�_�_—_-�__—__._ Product Approval (NOA): 15-0203.20 System Type:r Top Ply Fastening/Bonding Material: Wind Uplift Pressures,From RAS 128 or Sealed Calculations: IF (P1) Field: 42.8 psf Surfacing: SINGLE PLY MEMBRANE: (P2) Perimeters: '71.7 psf _ Single Ply Manufacturer/Type: (P3)Comers: !108.0 psf GAF EVERGUARD TPO Maximum Design Pressure From NOA: x97.5 psf r too" _ Single Ply Sheet Width: X60 "1/2 Sheet Width: • ••• •••••• Roof Slope: 1�2 ": 12 Roof Mean Height: 10 ft. • ... •• No.of Single Ply 1/2 sheets: 0• 0 ..:go •• : • •• 000.0. Parapet Walls: ❑No ❑Yes Parapet wall Height: 0 ft. Single Ply Membrane Fastening/Bonding VaVrial: • DRILL-TEC#14 AND ACCUTRACK PMTS • :••• Deck T -1"x6"T&G-- 0000 0000• Type: ❑ FASTENER SPACING FOR BASESHEET ATTACHMEyj 0 0 00000 0000•• Support Spacing: 16 "o/c ❑SINGLE PLY MEMBRANE ATTACHIask. •0:00•90:0 Alternate Deck Type: I 48 �1_ li • 1.Field: i "o/c @Laps& rows 11 o/c 0 0 ....•• Existing Roof: - - _ - 2.Perimeter: 30 "o/c @ Laps&u- r rows- "qc • " • 0 Fire Barrier: •0 0 0 - -- 3.Corner: ;30 "o/c @ Laps&l rows "o/c (FIRE OUT Vapor Barrier: NUMBER OF FASTENERS PER INSULATION BOARD: 11 1. Field:© 2. Perimeter:F7 3. Comer: Anchor Sheet: Insulation Fastener Type: i Anchor Sheet Fastener/Bonding Material: -- -- ---- - WOOD NAILER TYPE AND SIZE: Insulation Base Layer Size&Thickness: -- Wood Nailer Fastener Type and Spacing: Insulation Base Layer Fastener/Bonding Material: ------ EDGE&COPING METAL SIZES: Insulation Top Layer Size&Thickness: Edge Metal Material: -SELECT EDGE METAL MATERIAL- - Edge Size: -SELECT EDGE METAL WEIGHT OR THICKNESS- Insulation Top Layer Fastener/Bonding Material: Hook Strip Size: -SE EL CT EDGE METAL HOOK STRIP SIZE-- Edge Metal Attachment: Base Sheet(s)&No.of Ply(s): Base Sheet Fastener/Bonding Material: Coping Material: i--SELECT PARAPET WALL COPING MATERIAL-- - y Coping Size: [-SELECT COPING METAL SIZE OR THICKNESS- Ply Sheet(s)&No.of Ply(s): Hook Strip Size: -SELECT COPING METAL HOOK STRIP SIZE- Parapet Coping Metal Attachment: Ply Sheet Fastener/Bonding Material: Florida Building Code Edition 2004 High-Velocity Hurricane Zone Uniform Permit Application Form. Section D ($teeg Slo ed Roof System) Roof System Manufacturer: OWENS CORNING Notice of Acceptance Number: 12-1204.03 minimum Design wind Pressures,If Applicable(From RAS 127 or Calculations): P1: N/A P2: N/A P3:N A Maximum Design Pressure • • From the Product Approval Specific System): N A ••"" " • Method of Tile attachment: N/A •""' ••••• ...... .... ..... Steep Sloped Roof System Description •••••• • . . . ... ..... .. . . ... .. Deck type: F5/8- Wood structural panels(plywood) I I Roof Slope: Type Underlayment: #30 ASTM D-226 Felt 3: 12 Insulation: N/A Fire Barrier: N/A Ridge Ventilation? N/A Fastener Type & Spacing: 1-1/4"26 Ga.R.S.nails w/tin � caps.6"lap 12"field Adhesive Type: N/A Mean Roof Height: 13' Type Cap Sheet: N/A Roof Covering: SUPREME ARS(3-TAB) Type & Size Drip Metal galvanized Edge: 26 ga.3"xY 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 owner with the required roofing permit,and to explain to the ownerthe 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. _1.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. v M 2.Renailing Wood Decks:When replacing roofing,the existing wood rooldesq!nay have to tie •' renailed in accordance with the current provisions of Section R4403.(The roof deck is usuali concealedgipr �,••;, to removing the existing roof system.) • 3. Common Roofs: Common roofs are those which have no visible delineation ie*&6 ,,... neighboring units (i.e. townhouses, condominiums, etc. In buildings with common•roofs, the r 9 .0 0 .. q�{flg ..:..• contractor and/or owner should notify the occupants of adjacent units of roofing wor UP Oeperforpl% .,.... 7 4,`L' 4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of tq*e roofVeckipg ,...:. can be viewed from below.The owner may wish to maintain the architectural appearanp,tlerefore:PWi )D nail penetrations of the underside of the decking may not be acceptable.This provides thc*W0orjof mainlaipipg :•• •: this appearance. 0 0 • 5. Ponding Water:The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. IM 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402,R4403 and R4413. 7. Ventilation:Most roof structures should have some ability to vent natural airflow through the interior f 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. Exception:Attic spaces,d igned by a Florida licensed engineer or registered architect to eliminate the attic venting,venting shall not equired. ner's/Agent's ig lure Date 44tat�ure (6 Q CV w 1\�;1,7 k[?r s >tS Property Address , E, Permit Number IMI�lM� E '® MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) w'ww.miamidade.,_,ov/econom, Owens Corning Roofing and Asphalt,LLC 1 Owens CorningParkway Toledo,OH 43659 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Supreme AR 3 Tab Shingles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state an¢fo}lowing statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein; •'•• ••••;• . .. . 0000.. RENEWAL of this NOA shall be considered after a renewal application has been filed and!pee.tas been no change. in the applicable building code negatively affecting the performance of this product. •....• 0000 0000.. 0000 . 96966 TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change 4abe 00000 materials,use,and/or manufacture of the product or process.Misuse of this NOA as an end@me'hent of aay product, 0960:6 for sales,advertising or any other purposes shall automatically terminate this NOA.Failure jd eprly with any section • of this NOA shall be cause for termination and removal of NOA. 6 6 66•••• 0000.. 6 . 9 696696 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida,*and fQ114 3 by tlfe expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it sAall 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 renews NOA#07-1116.12 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. NONO.: 12-1204.03 MI��DEoOtJti1'Y Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category Roofing Sub-Category: Asphalt Shingles Materials 3-Tab Deck Type: Wood SCOPE This approves Owens Corning Supreme AR as manufactured by Owens Corning described in Section 2 of this Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications Supreme AR 12"x 36" TAS 110 A heavy weight,fiberglass reinforced asphalt shingle. MANUFACTURING LOCATION 1. Atlanta,GA. 2. Jacksonville,FL. 3. Irving,TX. 4. Memphis,TN. 5. Medina,OH. EVIDENCE SUBMITTED 0000 Test Agency Test Identifier Test Name/Rwort. &Ae ....•• Underwriters Laboratories,Inc. 02NK45241 ASTM D 34N,... 12/pi/97 ... ;• 05CA53426 000:0: 12/02/05 . 02NK45241 TAS 107 •••• 11/44/02 03NK04954 •0000 WM/03 ••••• 04CA52475 ••;'•; 13/2S/05 ..... • 06CA03524 *03/30/06 "'•;• 04NK40618 :• 11/12/04 0000.. Underwriters Laboratories,Inc. R2453 Reference :'6riM/03 0000.. PRI Asphalt Technologies,Inc. OCF-067-02-01 TAS 100 •01:IV/02 ' OCF-076-02-01 *52/14/04 OCF-094-02-01 08/29/06 OCF-095-02-01 09/22/06 NOA No.: 12-1204.03 iX Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 2 of 4 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 9N-3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 4. Exposure and course layout shall be in compliance with Detail W,attached. 5. Nailing shall be in compliance with Detail W,attached. LABELING 1. Shingles shall be labeled with the Miami-Dade Seal as seen below, or the wording "Miami-Dade County Product Control Approved". MAMQADE 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 000 evaluate the installation of this system. 0000.. 0000.. 0000 69999• 0000 . 00000 00.96. 0006 9009• 69 99 9969 699969 996966 9 0000.. 0000 . 996999 99 6 9 999 0.01, NOA No.: 12-1204.03 awn Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 3 of 4 DETAIL A 6`7 6„ 7 5" DETAIL B •....' ...... .. . ... . . . 5.. NAILS-� .... . 3„ 58 ADHESIVE STRLPf.. ..... T f • EXPOSURE 5" g 1 5 511 ..8 •00• END OF THIS ACCEPTANCE NOA No.: 12-1204.03 TM Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 4 of 4 TFWZ.R2453 - Prepared Roof Covering Materials Page 1 of 1 NL TFWZ.R2453 Prepared Roof Covering Materials Paoe Bottom Prepared Roof-covering Materials See General Information for Prepared Roof-covering Materials OWENS CORNING R2453 1 OWENS CORNING PKWY TOLEDO,OH 43659-1000 USA Asphalt glass fiber mat sheet roofing designated"Mineral Surfaced Roll Roofing",for installation as Class C prepared roof coverings.These rolls may also bear the statement,"Also Classified in accordance with ASTM D3909". Asphalt glass fiber mat and shingles designated Berkshire,Classic,Supreme,Oakridge(Oakridge Pro 30),Oakridge Pro 40,Oakridge Pro 50, Woodcrest,Woodmoor,WeatherGuard HP,Duration,Duration Premium,"TruDefinitionp Duration@","Tru Definition®Duration@ Storm(IR)", "Duration MAX",Skyview,"Devonshire",Starter Strip Plus and Starter Strip,for installation as Class A prepared roof coverings.Suitable for installation on minimum 3/8 in.thick plywood decks with underlayment such as asphalt saturated felt or shingle underlayment classified by UL as a prepared roofing accessory(underlayment not required for hip and ridge shingles)and on minimum 15/32 in.thick plywood decks without underlayment.Asphalt glass fiber mat shingles,for installation as Class C prepared roof coverings on minimum 3/8 in.thick plywood decks without underlayment.Asphalt glass fiber mat and hip and ridge shingles for installation as wind resistant roof coverings.These shingles may also bear the statement"Also Classified in accordance with ASTM D3161,Class F","Also Classified in accordance with ASTM D3462","Also Classified in accordance with CSA-A 123.5"and"Also Classified in accordance with ICC ES AC438".These roofing systems may incorporate starter shingles designated"Strip Shingle"or"TRI-BUILT Shingle Starter". Hip and ridge shingles designated"High Ridge","WeatherGuard HP Hip&Ridge Shingles(IR)","Berkshire","Hip&Ridge shingles with sealant", "Duralkidge"Hip&Ridge shingles with sealant, "LongRidgel"Hip&Ridge with sealant"for installation as Class A prepared roof covgP1r3gs Zhese shingles may also bear the statements,"Also Classified in accordance with ASTM D3161,Class F", "Also Classified A accordance with A91T9 D3462••0*:* • and"Also Classified in accordance with ICC ES AC438",the Hip&Ridge with sealant shingle may bear the stateme%"Afso�lassifigdj%accordance • with CSA-A 123.5". •••• • •••••• •••••• • Hip and ridge shingles designated"RizeRidge","ProEdge"and"ProEdge STORM(IR)"for installation as Class A prepared roof coverings. Suitable••••• for installation on minimum 3/8 in.thick plywood decks and on minimum 15/32 in.thick plywood decks without ung&%f fignt.Alsa CLa&ypd in accordance with ASTM D3161,Class A or Class F,"also Classified in accordance with ASTM D3462"and"Also Classified ineaccordante with ICC ES ••••• AC438". ' ' •••••• •••• ••••• •• •• •••• •••• • Last Updated on 2015-07-07 0 • Ouestions? Print this page Terms of Use Page!Too • • • • ©2015 UL LLC When the UL Leaf Mark is on the product,or when the word"Environment"is included in the UL Mark,please search the UL Environment database for additional information regarding this product's certification. The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow-Up Service.Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow-Up Service.Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1.The Guide Information,Assemblies,Constructions,Designs,Systems,and/or Certifications(files)must be presented in their entirety and in a non-misleading manner,without any manipulation of the data(or drawings).2.The statement"Reprinted from the Online Certifications Directory with permission from UL"must appear adjacent to the extracted material.In addition,the reprinted material must include a copyright notice in the following format: "©2015 UL LLC". http://database.ul.com/cgi-bin/XYV/template/LISEXT/I FRAME/showpage.html?name=TF... 7/7/2015 PILLARMMIAMI-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) w«-si.miamidadc.zov/cconomv 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 perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF EverGuard®TPO,EverGuard Extreme®TPO,EverGuasd®Tp0 FB'1Jitra' ...... and EverGuard Extreme®TPO FB Ultra Single Ply Roofing Saysfems over*••• •, Wood Decks. •""' LABELING: Each unit shall bear a permanent label with the manufacturer's name or logoR c ity,state• •••• and following statement: "Miami-Dade County Product Control Approved",unless oth&*Ase noted ••;••• herein. •0:00: RENEWAL of this NOA shall be considered after a renewal application has been filij j4�4here has, ••••• been no change in the applicable building code negatively affecting the performance 4thN Aroduct. ....:. TERMINATION of this NOA will occur after the expiration date or if there has beeq a rEOision ot" ;....; change in the materials,use,and/or manufacture of the product or process.Misuse of th19 NOA as A :•: • 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 No. 13-0603.08 and consists of pages 1 through 27. The submitted documentation was reviewed by Jorge L.Acebo. NOA No.: 15-0203.20 �!�!l�DnoEQOlJr1n Expiration Date: 09/22/15 Approval Date: 04/23/15 Page 1 of 27 Membrane Type: Single Ply,TPO Deck Type 1: Wood,Non-Insulated Deck Description: 19/32" plywood nailed 6"o.c. at the field of the sheet with#8 ring shank nails and 4"o.c. at the perimeter of the plywood sheet with#10 ring shank nails. Plywood installed over wood supports spaced maximum 24"o.c. System Type E(2): Membrane mechanically attached through the wood deck and into the structural wood supports. All General and System Limitations apply.Roof accessories not listed in Table 1 of this NOA are not approved and shall not be installed unless said accessories demonstrate compliance with prescriptive Florida Building Code requirements and are field fabricated utilizing the approved membranes listed in Table 1. Fire Barrier: DensDeck'Roof Board,Securock®Gypsum-Fiber Roof Board, Securock'Glass- (Optional) Mat Roof Board,minimum '/4"thick, secured with preliminary attachment at a minimum application rate of two fasteners per board for fire barrier boards having no dimension greater than 4 ft.and four fasteners for any fire barrier board having no dimension greater than 8 ft. OR VersaShield'Fire Resistant Roof Deck Protection,VersaShield'Solo'Fire- Resistant Slip Sheet or Topcoat'FireOut"'Fire Barrier Coating applied per manufacturer instructions. Membrane: EverGuard'TPO,EverGuard'Extreme'TPO,EverGuard'TPO FB Ultra 5.0.'... wide membranes mechanically fastened through the wood deckinto the woof o=k' ...... supports at a maximum row spacing of 48"o.c.with Drill-Tec"041.4 Fosteners.and. • Drill-Tec"AccuTrac Flat Plates spaced 6"o.c. in the minimum6'•wide side lap of% •••• • the sheets followed by applying a minimum 1'/z"wide heat weld'";Momatic ;• •�; machine welding or a minimum 2"wide heat weld for hand welj"g.*. ;...:. ' .... . ..... Surfacing: Chosen components must be applied in accordance with manufaeturer's ••• ••••• (Optional) application instructions.Any coating listed below used as a 11wifteing mutst;le '•••" listed within a current NOA. •""' ' . . . . ...... 1. Evesr(ard'TPO Batten Seam Profile or EvefGuar&TPO Standing Seuu Pr®File' •• lei• �....: in accordance with manufaettuaees specifications and applicable BuildingCodes. ••• • 2. Topcoat'Membrane applied at 1 to 1.5 gal./sq. 3. Topcoat'TPO Red Primer applied at 0.5 gal./sq. prior to applying Topcoat'Membrane. Maximum Design Pressure: -97.5 psf.(See General Limitation#7) NOA No.: 15-0203.20 14WI000DECOUKY Expiration Date: 09/22/15 Approval Date: 04/23/15 Page 25 of 27 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbs./sq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x T maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows,one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F')value of 275 lbf.as tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below 275 lbf.insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing,prepared,signed and sealed by a Florida Registered Engineer,Architect,or Registered Roof Consultant may be submitted. Said revised fastener sppeW shall utilize the withdrawal resistance value taken from Testing Application Standlyds.TAS 105 9AT calculations in compliance with Roofing Application Standard RAS 117. • . . .. ...... 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirem..�rr..*ts`of these areas. Fastener densities shall be increased for both insulation and base sheet as calcul&A in corgpliartpe ;••••; with Roofing Application Standard RAS 117 and/or RAS 137. Calculations P*rrp4Wtl, sigivif t rh ..... sealed by a Florida registered Professional Engineer, Registered Architect, oreRefistered Roof ..:..• Consultant(When this limitation is specifically referred within this NOA,GeeerabLimitatt(;t#9 •••••• will not be applicable.) ...... 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termiflationtlesignt.1. •00 00' conform to Roofing Application lication Standard RAS 111 and applicable wind load re uirem Ats.PP q • 00000 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure Ozones ,ones(i, e field,perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e.perimeters,extended corners and corners). (When this limitation is specifically referred within this NOA,General Limitation#7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 15-0203.20 pApEn Expiration Date: 09/22/15 Approval Date: 04/23/15 Page 27 of 27 TGFU.R1306 - Roofmg Systems Page 40 of 48 Insulation:—"EnergyGuardTM"or"EnergyGuardTM Ultra"or"EnergyGuard'"RA"or"EnergyGuard'RN"or"EnergyGuardT"RH"or "EnergyGuardT" RF"or"EnergyGuard—RM"or wood fiber or glass fiber or perlite,any thickness. Cover Board(Optional):—'/2-in.thick"EnergyGuardT"HD"or 1/2-in.thick"EnergyGuardT"HD Plus",mechanically fastened. Membrane:—"EverGuard@ TPO"45-mil to 60-mil or"EverGuard Extreme@ TPO"50-mil to 60-mil,fully adhered with "EverGuard@#1121 Bonding Adhesive",applied at a rate of 60-ft.2/gal. 2.Deck:C-15/32 Incline:Unlimited Base Sheet:—One ply"VersaShield@ Fire-Resistant Roof Deck Protection",mechanically fastened. Membrane:—"EverGuard@ TPO"45-mil to 80-mil or"EverGuard Extreme@ TPO"50-mil to 80-mil,fully adhered with "EverGuard@#1121 Bonding Adhesive",applied at a rate of 1-gal./60-ft.2 or"EverGuard@ TPO FB Ultra"45-mil to 80-mil or"EverGuard Extreme@ TPO FB Ultra"50-mil to 80-mil,fully adhered with"EverGuard@ WB 181 Bonding Adhesive",applied at a rate of 120-ft.2/gal.or "EverGuard@ Freedom'"TPO"45-mil to 80-mil or"EverGuard@ Extreme— Freedom'"TPO HW"50-mil to 80-mil,self-adhered. 3.Deck: NC Incline: 1/4 Insulation(Optional):—"EnergyGuardT""or"EnergyGuardT"Ultra"or"EnergyGuard—RA"or"EnergyGuardT" RN"or "EnergyGuardT" RH"or"EnergyGuardT"RF"or"EnergyGuardT"RM"or wood fiber or glass fiber or perlite,any thickness. Cover Board(Optional):—'/2-in.thick"EnergyGuard'" HD"or'/2-in.thick"EnergyGuardT"HD Plus",mechanically fastened. Membrane:—"EverGuard@ TPO"45-mil to 80-mil or"EverGuard Extreme@ TPO"50-mil to 80-mil,fully adhered with "EverGuard@ Low VOC TPO Bonding Adhesive",applied at a rate of 120-ft.2/gal. SINGLE PLY MEMBRANE ROOFING SYSTEMS(TPO) Class A-Mechanically Fastened 1.Deck: NC Incline: 1/2 Barrier Board(Optional):—One or more layers Georgia-Pacific Gypsum LLC"DensDeck@ Roofboard"or"DensDeck@ Prime Roofboard"or"DensDeck@ DuraGuardT"Roofboard",minimum 1/4-in.thick,or United States Gypsum Co."SECUROCK@ Roof Board"(Type FRX-G)or"SECUROCK@ Glass-Mat Roof Board"(Type SGMRX),minimum 1/4-in.thick. Insulation:—"EnergyGuardTM"or"EnergyGuard''" Ultra"or"Energy Guard'"RF"or"EnergyGuardT"RA"or"EnergyGuard—RN" or"EnergyGuard—RH"or"EnergyGuard—RM"or wood fiber or glass fiber or perlite,any thickness,mechanically fastened. Cover Board(Optional):—1/2-in.thick"EnergyGuardT"HD"or 1/2-in.thick"EnergyGuardT"HD Plus",mechanicall?FWtned. Membrane:—"EverGuard@ TPO"45-mil to 80-mil or"EverGuard Extreme@ TPO"50-mil to 80-nyl,mekhanicallyi"aried. •••••• • • • • •• • ••• • • 2.Deck: NC Incline:21/2 •••••• ••o ••••:• *so• Membrane:—"EverGuard@ TPO"45-mil to 60-mil or"EverGuard Extreme@ TPO"50-mil to 60-iilp area�anicallye a sterfed. • • •••• • ••••• • 3.Deleted. • •••••• •••• ••••• 4. Deck: NC Incline: 1/2o****• • •••• •••••• ••• • • • • •• Barrier Board(Optional):—One or more layers Georgia-Pacific Gypsum LLC"DensDeck@ Roof$oard"o*r"Densd"(4Cime •••••• Roofboard"or"DensDeck@ DuraGuard'"Roofboard",minimum 1/4-in.thick,or United States Gypsum Co. s ECVF%CK@ Rgof Board"(Typt••••: FRX-G)or"SECUROCK@ Glass-Mat Roof Board"(Type SGMRX),minimum 1/4-in.thick. s• • • ••• • • Insulation(Optional):—"EnergyGuardT""or"EnergyGuard'" RA"or"EnergyGuardT"RF""EnergyGuard'" Ultra% • • "EnergyGuardT" RN"or"EnergyGuardTM'RH"or"EnergyGuardT"RM"or wood fiber or glass fiber or perlite,any thickness,mechanically fastened. Cover Board(Optional):—'/2-in.thick"EnergyGuardT"HD"or 1/2-in.thick"EnergyGuard— HD Plus",mechanically fastened. Membrane:—"EverGuard@ TPO FB Ultra"45-mil to 80-mil or"EverGuard Extreme@ TPO FB Ultra"50-mil to 80-mil,mechanically fastened. -------------------- 5. \5.Deck:C-15/32 Incline: 1/2 Primer:—'COPCOAT(O FireOutT Fire Barrier Coating",applied at a rate of 1-gal./100-ft.2. Base Sheet a ply Type G2"GAFGLAS@#75 Base Sheet"or'Tri-Ply@#75 Base Sheet"or"GAFGLAS@#80 Ultima—Base Sheet"or"GAFGLAS@ Stratavent@ Nailable Venting Base Sheet",mechanically fastened. Slip Sheet(Optional):—One ply"VersaShield@ SoloT"Fire Resistant Slipsheet,mechanically fastened. Membrane:—"EverGuard@ TPO"45-mil to 80-mil or"EverGuard Extreme@ TPO"50-mil to 80-mil,mechanically fastened. 6.Deck: NC Incline: 1/2 Barrier Board(Optional):—Minimum 1/4-in.thick Georgia-Pacific Gypsum LLC"DensDeck@ Roofboard"or"DensDeck@ Prime Roofboard"or"DensDeck@ DuraGuardT"Roofboard"or minimum'/2-in.thick gypsum wallboard or United States Gypsum Co. "SECUROCK@ Roof Board"(Type FRX-G)or"SECUROCK@ Glass-Mat Roof Board"(Type SGMRX),mechanically fastened. Slip Sheet(Optional):—One ply"VersaShield@ Fire-Resistant Roof Deck Protection",mechanically fastened. Base Sheet(Optional):—One ply Type 15 or Type 30 or Type G1"GAFGLAS@ Ply 4"or'Tri-Ply@ Ply 4"or"GAFGLAS@ Flex Ply 6"or'Tri-Ply@ Ultra-Flexible Ply 6"or Type G2"GAFGLAS@#75 Base Sheet"or'Tri-Ply@#75 Base Sheet"or"GAFGLAS@ #80 Ultima'" http://database.ul.com/cgi-bin/XYV/templateALISEXT/1 FRAME/showpage.html?name=TG... 7/9/2015