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RF-15-1647 Miami Shores Villagepe 10050 N.E.2nd Avenue NW � \ MET', At�CC185Si0lt Miami Shores,FL 33138-0000 �' eN $o° Phone: (305)795-2204 N � Expiration: 12/2912015 Project Address Parcel Number Applicant 265 NW 91 Street 1131010331320 Miami Shores, FL 33138- Block: Lot: GG PROPE=HOLDING Owner Information Address Phone Cell GG PROPERTY HOLDING LLC 1203 ASTURIA Avenue (305)793-0592 &. CORAL GABLES FL 33134- 1203 ASTURIA Avenue CORAL GABLES FL 33134- Contractor(s) Phone Cell Phone Valuation: $ 7,500.00 CELOMAR CONSTRUCTION GROUP C (305)235-4802 Total Sq Feet: 576 Type of Work:Re Roof Available Inspections: Additional Info:RE-ROOF LOW SLOPE FLAT ONLY Inspection Type: Classification: Residential Tin Cap Scanning:3 Final Roof Roof in Progress Renailing Affidavit Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-7-15-56189 CCF $4.80 DBPR Fee $3.75 07/02/2015 Check#:2270 $779.30 $0.00 DCA Fee $3.75 Bond#:2776 Education Surcharge $1.60 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $779.30 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 assu responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, U BING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I e that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. u ore, I authorize the above-named contractor to do the work stated. July 02, 2015 Authorized S:i94 u :Owner / Applicant / Contractor / Agent Date Building Dep rtment Copy July 02, 2015 1 Miami Shores Village Building Department JUL 012015 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 ' Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC ZO l" BUILDING Master Permit No. I S-) lfc) 1 q PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 265NORTHWEST 91 STREET City: Miami Shores County Miami Dade zip: Folio/Parcel#: 11-3101-033-1320 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: CBS Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):GG PROPERTY HOLDINGS LLC Phone#: N/A Address:265 NORTHWEST 91 STREET City: MIAMI SHORES State: FLORIDA Zip: 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: CELOMAR CONSTRUCTION GROUP Phone#: 305-445-0003 Address: 14971 SOUTH DIXIE HIGHWAY City: PALMETTO BAY State: FLORIDA Zip: 33176 Qualifier Name: MARCELO CORTES Phone#: 305-445-0003 State Certification or Registration#: CCC 1328864 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Adc[Less., _ -ft-dk~ -1 Zip: ValN j 9',pr C�% 4 his p�rnt>t r 50 O rquare/ilinearTFootage of Work: 6 ., Spy®of l/pr�c 4.D Additi;* 'F71 Iteration ❑ Ne#4 ©.Repair/Replace W-;' Demolition REROOF LOW SLOPE FLAT ONLY ., AL .: 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$ '�:—;0 TOTAL FEE NOW DUE$ 2-7'9 3Q (Revised02/24/2014) Tn P,�-A-n oi --:F> 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 72Signal ed and a reinspection fee will be charged. f � Signature ' ure R or CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 24 day of JUNE 20 15 by 24 day of JUNE 20 15 by GREG GOLDSTEIN o is personally know to MARCELO CORTES is personally now -to me or who has produced as me or who has produced as identification and who d t oath. IgY Tprpg identification and who di �Y T OVIDS NOTARY PU C: Notary PuNic-State o1 Florid& NOTARY PU LIC: " Notary Public'State o1 FWWe •E My Comm.Expires Dec 14,2018 •s Mfr Comm.Expires Dec 14,2018 ' = Commission I FF 173473 commission#t FF 113473 p�� •• Bon ilml through National Notary Am. nF F\"A', p��,y Nationv.yY.•m. Sign: Sig ro►- N, DYINOY pA{�InFRM�1�ir/V111 Print: Pr•' t: l L (,.3 Seal: Sea . APPROVED BY L2-1(� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CFN: 20150349598 BOOK 29638 PAGE 3035 DATE:06/02/2015 12:51:00 PM DEED DOC 1,357.80 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Prepared By and Return To: Patricia.M.Katz Tyler A.Gold,P.A. 1250 S.Pine Island Rd.,#450 Plantation,FL 33324 File Number:TA1 4-6868 Folio Number: 11-3101-033-1320 Special Warranty Deed THIS INDENTURE,made effective the day ofMay,2015,between U.S.Bank,National Association,successor Trustee to Bank of America,N.A. as lodeessor to Lasalle Banks N.A. as Trustee for the Merrill Lynch First Franklin Mortgage Loan Trust,Mortgage Loan Asset-Backed Certificates,Series 2007-2,whose address is:8950 Cypress Waters Blvd.,Coppell,TX 75063,hereinafter called the Grantor,and GG Prope3rty Holdings,LLC,a Florida Limited Liability Company,hereinafter called the Grantee,whose address is: 1203 Asturia Ave.,Coral Gables.FL 134. (Wherever used herein the terms "Grantor and Grantee"include the parties to this instrument and their heirs, legal representatives and assignees of individuals,and assigns of corporations) WITNESSETH:the Grantor,for and inconsideration of the sunt of'TEN AND 00/100 DOLLARS($10.00)and other good and valuable consideration,receipt whereofis hereby acknowledged by these presents does grant,bargain and sell, alien,remise,release, convey and confirm unto the Grantee,all that certain land situate in MIAMI-DADE County, Florida,viz: Lot 16 and the West 1/2 of Lot 17,Block 136,Miami Shores Section 6,according to the plat thereof, as recorded in Plat Book 10,page 39,of the Pu bile Records of Miami-Dade County,Florida. AKA.265 NW 91 St.,Miami,FL 33150 Subject to:Restrictions,limitations,conditions,reservations,covenants and easements of Record,if any,all applicable zoning ordinances,and Taxes for the current year and all subsequent years. TOGETHER I HER with all the tenements;hereditaments and appurtenances thereto belonging or in otherwise appertaining. AND the Grantor hereby covenants with said Grantee that it lawfully seized of said land in fee simple,that it has good right and lawful authorltyto sell and convey said land„that it hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by,through or under the said Grantor, IN WITNESS WHEREOF the Grantor has caused these presents to be executed in its'name,and its'corporate seal to be hereunto affixed,by its proper officers thereunto duly authorized,the day and year first above written. Our File No.:TA146868 CFN: 20150349598 BOOK 29638 PAGE 3036 Wherever the text in this Deed so requires,the use of any gender shall be deemed to include all genders,and the use of the singular shall include the plural. Signed,sealed and delivered U.S.Bank,National Association,successor in our Bence; Trustee to Bank of America, N.A. as successor to Lasalle Bank,N.A.as Trustee for the Merrill Lynch First Franklin Mortgage Loan Trust, Mortgage Loan s•y� .` �" Asset-Backed Certificates,Series 2007-2, • ted Si a \,,h by Nationstar Mortgage, LLC, as Attorney. act Sandra DOMIno (Printed Signature) Print name: Suninder cflM Title: Sl rit SlIf'otary State a County of Surinder COO The foregoing instrument was ackuowiedged before me thiIs—Attorney day of May,2015 by as Assistant S ee rr'ta RtNatlonstar Mortgage,LLC, In Fact for U.S..Bank,National Association, successor Trustee to Bank of America,N.A.as successor to Lasalle Bank,N.A.as Trustee for the Merrill Lynch First Franklin Mortgage Loan Trust,Mortgage Loan Asset-Backed Certificates,Series 2007-2,who is personally known to me and who did take oath. (SEAT.) Lary Public(Signature)' �q1\\\11bc'l\'O.11N^ttwlQVnSOP.NrT�V�nnA�e�i�.t� s \ ;,` • t R3rc`:IA�'l�CE11r'?4t�! r a,s; FiC�C i�u "Ctfec Tr.t S J� v l l 3I;1;t:f3F 05, v $ Our File No.:TA 146868 .SNoREs�t Miami Shores Village •�„ �_ uall Building Department 10050 N.E.2nd Avenue L' ary� Miami Shores, Florida 33138 �oRIDp` Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 06-24-2015 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: GG PROPERTY HOLDINGS, LLC. Property Address:265 NORTHWEST 91 STREET MIAMI SHORES FL. 33150 Roofing Permit Number: Dear Building Official: I GG PROPERTY HOLDINGS LLC certify that I am not required to retrofit the roof to wall connections of my building because: m The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1 e ition of the South Flor' a Building Code (1994 SFBC) GREG GOLDSTEIN Si tur , Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 24 day of JUNE YANEISY TOY08 Notary Pubk-State of FWWa My Comm.ExpNes Dec 14,2015 Notary Public, Sate of Florida at Large _= Commisston#FF 173473 a.�,,.a am" Nomw Notary Assn. • When the just valuation of the structure for purpose of ad re taxation is equal to or more than$300,000.00,and the building was not constructed Huth FAC nor a 9, SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 512112009 5�►ORFS Dr Miami shores Village Anve0 � Building Department ��OR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* _ D. COPY OF WORKERS COMPENSATION INSURANCE* o/� (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER for and Co ractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FO Certificate Holder: CMIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ............................................................................................ BUSINESS NAME: CELOMAR CONSTRUCTION GROUP BUSINESS ADDRESS: 14971 SOUTH DIXIE HWY CITY PALMETTO STATE FL Zip 33176 BUSINESS PHONE: (305 1445-0003 FAX NUMBER(305 ) 442-8889 CELL PHONE 3( 05 ) 525-9523 QUALIFIER'S NAME: MARCELO CORTES QUALIFIER'S LIC NUMBER: CCC 1328864 MCK SCOTT. GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC 1328864 The ROOFING CONTRACTOR .". Named below IS CERTIFIED ` Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 0. I"0 CORTES, MARCELO CELOMAR CONSTRUCTION GROUP CORPORATION 14971 SOUTH DIXIE HIGHWAY t PALMETTO BAY FL 33176 I ISSUED 08103/2014 DISPLAY AS REQUIRED BY LAW SEQ# 1-1408030003099 t Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT ABILL-DO NOT PAY LBT 5829529 !_j BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES CELOMAR CONSTRUCTION RENEWAL SEPTEMBER 30, 2015 GROUP CORP 6078117 14971 S DIXIE HWY Must be displayed at place of business PPursuant to County Code PALMETTO BAY, FL 33176 Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED CELOMAR CONSTRUCTION GROUP 196 GENERAL BUILDING BY TAX COLLECTOR CORP CONTRACTOR cin MARrFI 0 rORTFS PRFS 45.00 08/03/2014 Worker(s) 1 CGC055883 CREDITCARD-14-031147 This local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is fret a license, permit,or a certification of the holders qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and required which apply to the business. The RECEIPT N0.above raw be displayed on all commercial vehicles-Miami-Dade Code Sec Sa4m n®.=j For more information,visit www.miamidede.goyhaxcollector CERTIFICATE OF LIABILITY INSURANCE DATE r 033/20/20//22015015 Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Insurance Consultants of Dade AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 12530 SW 8 Street CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Miami,Florida 33184 COVERAGE AFFORDED BY THE POLICIES BELOW, Phone:(305)406-1659 Fax:(305)559-3281 Email:consultantsins aol.com INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: WESTERN WORLD INSURANCE Celomar Construction Group COMPANY(GL)) A+IX 14971 SOUTH DIXIE HIGHWAY INSURER B: PALMETTO BAY,FLORIDA 33176 INSURER C: 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. NSR ADD' POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE MM/DD/YY LIMITS A ❑ GENERAL LIABILITY NNP8149997 03/07/2015 03/07/2016 EACH OCCURENCE $1,000,000.00 ®COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED $100,000.00 ❑❑CLAIMS MADE ®OCCUR PREMISES Ea occurrence ❑ MED EXP(Any one person) $5,000.00 ❑ PERSONAL&ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑POLICY F_]PROJECT LOC PRODUCTS-COMP/OP AGG $2,000,000.00 ❑ $ ❑ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ANY AUTO (Each Occurrence) ❑ALL OWNED AUTOS BODILY INJURY $ ❑SCHEDULED AUTOS (Par MoD) ❑HIRED AUTOS BODILY INJURY $ ❑NON-OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGEIn $ (Per accident) ❑ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ❑ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ F1EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ❑OCCUR ❑CLAIMS MADE AGGREGATE $ ❑DEDUCTIBLE $ ❑RETENTION $ $ ❑ WORKERS COMPENSATION AND WC STATU-❑TORY LIMITS ❑ T EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECU- E.L.EACH ACCIDENT $ TIVE OFFICER/MEMBER EXCLUDED? ff yes,describe under E.L.DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ ❑ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS GENERAL&ROOFING CONTRACTOR HIRED AND NON-OWNED VEHICLES ADDED ON THE GL LIABILITY CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BUILDING&ZONING DEPARTMENT EXPIRATION DATE THERE7RERESENTA RER AFFORDING COVERAGE WILL ENDEAVOR TO 10050 NORTHEAST 2ND AVENUE MAIL 30 DAYS WRITTEN NO THa FICATE HOLDER NAMED TO THE LEFT,BUT MIAMI SHORES,FLORIDA 33138 FAILURE TO DO SO SHALLE NO OTKON OR LIABILITY OF ANY KIND UPON THE PH#305-795-2207 INSURER ITS AGENTS OR FAX#305-756-8972 AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 Date CERTIFICATE OF LIABILITY INSURANCE 3/30/2015 Producer. Plymouth Insurance Agency nes Certitte me tis teased as a nor of trrfonnatlon only and Borders no 2739 U.S. Highway 19 N. rights upon the Ce et Heeler. T6li;tem does not arrtendr extiend Holiday, FL 34691 or after the eoveraW afforded Ig►the poiicies below. (727)938-5562 1 Insurers Affording Coverage NAIC# Insured: South East Personnel leasing, Inc.&Subsidiaries l22"rA: lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer 8: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below two been issued to the insilred nerned above for the policy period indicatimi Notwitistandftany requnrertent,term or condition of any contract or other document with respect to which this certificate may be Issred or may paAain.to insurance afforded by the policias described herein Is subject to at tie terns,exclusion&and cwxlgore of such policies.Aggregate tens shown may have leen reduced by paid dam- Pa icy Exptabon Limits ILTR tµ�D Type of Insurance Policy Number p� a Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Darnage to Claims Made 1:1 Occur ranted (EA Med Ehy General aggregate limit applies per. Perscs Adv Injury GenersIAggepete Policy 13 tit 13Loc Products-C A99 AUTOMOBILE LIABILITY Combined singleLlmit Any Auto (EA Accident)My - AD Owned Autos aO '' Sc hedWed Autos (Per ') Hinid Autos Bodily I" Non-Owned Auras (Per Icy Danage 3 (Per Ardent) EXCESSIUMBRELLA LIABILITY Each occurrence occur [:]Claims Made Aggregate Deducible A Workers Compensation and WC 71949 01/01/2015 01/01/2016 X WC 8tatw OTH- Employers'Liability I tory Limits ER Any propnietorlpartnedexamive officarlmember E.L.Each Accident SI.ODD.000 NO E.L_Disease-Ea Employee s1,000,000 If Yes.describe under special provisions below. E.L.Disease-PdG.y Limits S1,000.000 otiw I Lion Insurance Compienly is A.M.Best Company raged A-(Excellent). AMB#12616 Descriptions of OMMUonafLocationslVehic"T-xclusions added by EndorsementlSpecial Provisions: Qfer1C ID: 917-745 Coverage only applies to active emplay e(s)of South East Personnel leasing,Inc&Subsidiarles that are leased to the following"Client Company': Celomar Construction Group Cnveta9e only applies to injuries incurred by South East Personnel Leasi tg,Inc.&Subsidiaries active employee(s,,wtmle worldN in:FL. Coverage does not apply to stabADry employees)or independent contractor(s)of the Client Company or any otter entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 projed Names ISSUE 03-30-15(EP) Begin Dabs 112312015 CERTIFICATE MOLDER CANCELLATION CITY OF MIAMI SHORES VILLAGE should any or the above described policies be cancelled before the expiration date thereof,to Issuing ins rarwlD endeavor to MOD 30days written nonce to to carlifiwde holder named to the telt,but fature to 10050 NORTHEAST 2110 AVENUE do so shat Impose no obligation or liability of any land upon the insrer,its agents or representatives. MIAMI SHORES,FLORIDA 33138 r-,...a. � s � • - rim • • • ' lio1 1 F sTi no ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■ice\■■■■■■■!i■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■fiiiiiiiii■Gr/irii�lir■lir■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet and Identify Manufacturer Attachment (If a component is not used, identify as"NA") System Manufacturer: POLYGLASS USA Field: $ "oc Ca) Lap,#Rows 3 @ $ "oc NOA No.: 13-1217.01 6 4 6 Perimeter: "oc @Lap,#Rows @ "oc Design Wind Pressures, From RAS 128 or Calculations: Corner: 6 "oc @ Lap,#Rows 4 @ 6 "oc Pmax1: -42.1 Pmax2: -71.7 Pmax3: -108.0 Number of Fasteners Per Insulation Max. Design Pressure, From the Specific NOA Board System: -52.5 Field: N/A Perimeter N/A Corner N/A Deck:Type: 19/32 CDX PLYWOOD 19/32" Illustrate Components Noted and Gauge/Thickness: Details as Applicable: 1/2" / .50 Woodblocking, Gutter, Edge Termination, Slope: Stripping, Flashing, Continuous Cleat, Cant Anchor/Base Sheet&No.of Ply(s): N/A Strip, Base Flashing, Counter- Flashing, Coping, Etc. 0000 Indicate: Mean Roof Height, Parapet%iaigM, ...... Anchor/Base Sheet Fastener/Bonding Material: Height of Base Flashing, Cgg1p4ent &Werial, ' N/A 9 9, • Material Thickness, Faste%W..TXpe, FasreAer ....:. N/A Spacing or Submit Manufal;U4TZs Details.that Insulation Base Layer: . Comply with RAS 111 and Cha ter J.f;, 0000 Base Insulation Size and Thickness: N/A ••• '••••' ••••• Base Insulation Fastener/Bonding Material: • : •••••• N/A ' • FT. ...... Top Insulation Layer: N/A . , F.NACCuFtC�c �A IP Parapgt 0• Top Insulation Size and Thickness: N/A • Height. ' • 3x3 on�P • Top Insulation Fastener/Bonding Material: Tcq�►S�D>ttE� S {/ N/A N/A Base Sheet(s)&No.of Ply(s): (1) ELASTOBASE - ' FT. COX 011{t�lOOD Mean Base Sheet Fastener/Bonding Material: Roof 1 zs•R/S COIL NAIL&15W nN CAP Height Ply Sheet(s)&No.of Ply(s): (1)ELASTOFLEX SA V/FR 10, Ply Sheet Fastener/Bonding Material: SELFADHERED Top Ply: (1) ELASTOFLEX SA P/FR Top Ply Fastener/Bonding Material: SELF ADHERED Surfacing: N/A LOw SLopE SA MEMBRANE : THIS ASSEMBLY CAN BE INSTALLED ON A ROOF DECK WITH A MAX MW SLOPE 0F.02 OPTIONAL TIE-IN TO SLOPED ROOF 12 SHEET POLYFL.EX SA P FR POLYFLEX SAP FR ELASfOFL.EX SA V FR PLY SHEET EDGE METAL --►� (p `� 'I7 ``" f " VMD DECK ELASTOBASE SHEET SIMULTANEOUSLY FASTENED OVER 6-2 GLASS BASE SHEET THROUGH THE WOOD DECK Roof Mean Height: 12 Feet •••• . . .... ...... Roof Slope: [�S—/12Maximum) '• "' ' .. ...... Drip Edge: .... .... . . 3" Face-26 Gauge Galvanized Metal ' ...... .. . ..... Continuous Cleat: rda Surfacing: n/a ' Membrane(Top Ply): Polyglass Po"ex SA-P FR Inter Ply Sheet: p- yW6ss Elastoflex SA-V FR Base Sheet: Elastobase Sheet Simultaneously Fastened Through a 0-2 Glass Base Sheet Deck Type: 518"Plywood 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 owner the content of this section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor.The owner's initial in the adjacent box indicates that the item has been explained. 1.Aesthetics-Workmanship:The workmanship provisions of Section R4402 are for the purpose of prov 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.Renaiiing Wood Decks:When replacing roofing,the existing wood roof deck may have to be renaLQ in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between neigWcing units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing contrac or and/or owner should notify the occupants of adjacent units of roofing work to be performed. rAY 4. Exposed Ceilings: Exposed,open beam ceilings are where the underside of the roof decking ca iewed from below.The owner may wish to maintain the architectural appearance,therefore, roofing nail pe etrations of the underside of the decking may not be acceptable.This provides the option of ma" "ping this appearance. • . . .... ...... 4� 5. Ponding Water: The current roof system and/or deck of the building rnzy mt drain well-ind •••• • use water to pond (accumulate) in low-lying areas of the roof. Ponding canbe&an indication of • structural distress and may require the review of a professional structural engineer. RonGW g mayeshorien • the life expectancy and performance of the new roofing system. Ponding conditior;6nve not be•evident ••;••• until the original roofing system is removed. Ponding conditions should be corrected ••; ;•- •. •"" .. .. . .. ...... 6. Overflow scuppers (wall outlets): It is required that rainwater flow off the roof is not •• 0 o ed from a build u of water. Perimeter/edge walls or other roof extensions ma block this diseNi e ••• if ove ow scuppers (wall outlets) are not provided. It may be necessary to install:over�Iew scup •• • per�,gn ••••; 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 int r o the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduce . It may be beneficial to consider additional venting which can result in extending the service life of the roof. Exception:Attic spaces,designed by a Florida licensed engineer or registered architect to eliminate the attic v mg, entingpall not be required. 06 /24 /15 Anng "nt's ignature Date Contractor's Signature 265 NW 91 ST Property Address Permit Number ' TGFU.R14571 - Roofmg Systems Page 1 of 11 U` ONLINE CERTIFICATIONS DIRECTORY TGFU.R14571 Roofing Systems Paae Bottom Roofing Systems See General Informat`on for Roofino Systems POLYGLASS USA INC R14571 1111 W NEWPORT CENTER DR DEERFIELD BEACH,FL 33442-7732 USA SINGLE PLY MEMBRANE SYSTEMS Unless otherwise indicated,the insulation and base sheet are mechanically fastened in place;the membrane is heat welded in place. (Optional)Noncombustible deck classifications are applicable for use over combustible(15/32 in.min plywood)decks when 1/2 in.(min)gypsum board or 1/4 in.(min)G-P Gypsum"DensDeck @ Roofboard","DensDeck Prime@ Roofboard","DensDeck DuraGuard—Roofboard"or 1/4 in. (min) USG Corp SECUROCKTM Roof Board Type FRX-G are used directly over the combustible deck with all joints staggered 6 in.(min)from plywood joints. Unless otherwise indicated,in any noncombustible roof deck Classification any UL Classified insulation may be utilized underneath a layer of 1/4 in.(min)G-P Gypsum"DensDeck @ Roofboard","DensDeck Prime@ Rooftioard","DensDeck DuraGuard—Roofboard"or 1/4 in.(min)USG Corp SECUROCKTM Roof Board Type FRX-G. General statement for use of vapor retarders and/or deck/insulation adhesives(NC decks only): When such vapor retarders or deck/insulation adhesives are acceptable to POLYGLASS they may be utilized. 0000 "POLYGLASS BASE","MODIBASE","Polyglass G2 Base"may be used in lieu of any Type G2 base sheet in any NC Classification.TIie�S%?rpsucts • ••• may also be used in any C-15/32 Classification in which a generic Type G2 is referenced(i.e.not brand specific). �OLY�lj1SS Ply 4', • "POLYGLASS Ply 6"(Type G1),"POLYGLASS VENTED BASE","XtraFlex Ply IV","XtraFlex Ply VI"and"XtraFlex G2 Ba9@"m9y be uSA iliq aqy NC Classification.These products may also be used in any C-15/32 Classification in which a generic Type G1 is referegre4146%not brand spesific). .•.••• • "BASE PRO"or"POLYFLEX SA BASE"may be used as an acceptable alternate of"ELASTOFLEX SA V"base sheet. """ • ;•••• 0000 0000 • • References to polyisocyanurate insulation may include Polyglass Products"POLYTHERM@"and"POLYTHERM@ Taplre •• • •• • •• • Acceptable alternates to the membranes listed are given below: •••••• .• • ••:••• 0000•• Membrane Listed Acceptable Alternatives • • . • • "POLYBOND" "MODIBOND"or'Torch Pro Smooth" • • ' ' '••• • 0000• "POLYBOND G" "MODIBOND G"or'Torch Pro Granular" • • • •""' "ELASTOBASE" "XtraFlex HT 650 Base"or"Polyglass HT Base 650" •• "Polytherm","Polytherm Tapered"or"Polytherm Composite"insulations may be used wherever polyisocyan u rate insulations are specified in the Classifications below. Insulation may be optional for any non-combustible deck roofing system unless the insulation acts as a coverboard over another insulation. The"Cure Technology"finish may be added to any Polyglass membrane without adversely affecting the UL Classification for that productlassembly.The product/assembly would maintain the same Classification with or without the"Cure Technology"process. SINGLE PLY MEMBRANE SYSTEMS Class A Class A-Ballasted 1.Deck:NC Incline:3 Insulation:—Dyplast Products LLC"Pyrox White Line,"glass fiber,perlite or wood fiber,any thickness. Membrane:—Any UL Classified PVC,mechanically fastened. Surfacing:—"Polybrite 95 Silicone"or"XtraFlex SRC 8000"series applied 1%,-gal/100-ft2. 2.Deck:NC Incline: 1/2 Insulation:—Dyplast Products LLC"Pyrox White Line,"glass fiber,perlite or wood fiber,any thickness. Membrane:—Any UL Classified hypalon,mechanically fastened. Surfacing:—"Polybrite 95 Silicone,""XtraFlex SRC 8000,""Polybrite 90 High Solids Silicone"or"XtraFlex SRC 9600"series applied at 1'/2-gal/100-ft2. http://database.ul.com/cgi-bin/XYV/template/LISEXT/1 FRAME/showpage.html?name=T... 6/30/2015 TGFU.R14571 - Roofing Systems Page 5 of 1 I G FR","XtraFlex APP Dual", "ELASTOFLEX S6 G FR","POLYFRESKO G SBS FR","ELASTOFLEX VG FR","XtraFlex SBS POLY G","XtraFlex SBS POLY G T","XtraFlex SBS GLASS G","XtraFlex SBS GLASS GT'or"ELASTOSHIELD TS G FR",heat fused. 22.Deck:C-15/32 Incline: 1/2 Insulation(Optional):—Polyisocyanurate 1.5 in.(min.)with all joints staggered 6-in.(min.)from the plywood joints. Base Sheet:—Type G2,mechanically fastened followed by"ELASTOBASE","XtraFlex SBS GLASS Base",mechanically fastened. Ply Sheet(Optional):—"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or"ELASTOFLEX SA V FR BASE VENT",(self adhered). Membrane:—"POLYFLEX SA P FR","POLYFRESKO G APP SA P FR","ELASTOFLEX SA P FR","POLYFRESKO G SBS SA P FR",or"DUFLEX G FR","XtraFlex APP Dual","POLYFLEX G FR","XtraFlex APP G HP","Xtraflex APP G FR","ELASTOFLEX S6 G FR","POLYFRESKO G SBS FR","ELASTOFLEX VG FR","XtraFlex SBS POLY G","XtraFlex SBS POLY G T","XtraFlex SBS GLASS G","XtraFlex SBS GLASS GT"or "ELASTOSHIELD TS G FR",heat fused. 23.Deck:NC Incline:2 Insulation(Optional):—Atlas Roofing"ACFoam III"or"ACFoam II"or Hunter Panels"H-Shield",any thickness. Base Sheet:—"ELASTOBASE","XtraFlex SBS GLASS Base"(poly/sand),heat fused or mechanically fastened or"ELASTOFLEX SA V FR", "ELASTOFLEX SA V PLUS FR"or"ELASTOFLEX SA V FR BASE VENT",(self adhered). Membrane:—"POLYFLEX SA P FR","POLYFRESKO G APP SA P FR","ELASTOFLEX SA P FR","POLYFRESKO G SBS SA P FR", "ELASTOFLEX SA V FR HT",(self adhered)or"POLYFLEX G FR","XtraFlex APP G HP%"Xtraflex APP G FR","POLYFRESKO G FR","XtraFlex APP Dual","DUFLEX G FR","ELASTOFLEX S6 G FR","POLYFRESKO G SBS FR","ELASTOFLEX VG FR","XtraFlex SBS POLY G","XtraFlex SBS POLY G T","XtraFlex SBS GLASS G","XtraFlex SBS GLASS GT"or"ELASTOSHIELD TS G FR",heat fused. 24.Deck:C-15/32 Incline:3 Insulation(Optional):—Polyisocyanurate,perlite,wood fiber or polyisocyanurate/perlite board,any thickness. Barrier Board:— 1/4 in.(min)G-P Gypsum DensDeck@,mechanically fastened with all joints staggered 6 in.from the plywood joints. Base Sheet:—"ELASTOBASE","XtraFlex SBS GLASS Base"(poly/sand),mechanically fastened. Ply Sheet(Optional):—"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or"ELASTOFLEX SA V FR BASE VENT",(self adhered). Membrane:—"ELASTOFLEX S6 G FR","XtraFlex SBS POLY G","XtraFlex SBS POLY G T'or"POLYFRESKO G SBS FR",heat fused. 25.Deck:NC Incline:3 Insulation(Optional):—Atlas Roofing"ACFoam III"or"ACFoam II"or Hunter Panels"H-Shield",any thickness. Base Sheet:—"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or"ELASTOFLEX SA V FR BASE VENT"(self adhered). Membrane:—"POLYFLEX SA P FR","POLYFRESKO G APP SA P FR","ELASTOFLEX SA P FR"or"POLYFRESKO G SBS SA P FR"(self adhered). •••• 26.Deck:NC Incline: 1/2 • • Base Sheet:—Type G1 or G2,mechanically fastened. ••••• • Membrane:—"POLYFLEX G","XtraFlex APP G HP TOR","Xtraflex APP G"or"POLYBOND G",heat fused. :•• • 27.Deck:NC Incline:3 •••• •••• • • •••• •••• ••••• Membrane:—"POLYFLEX SA P FR","POLYFRESKO G APP SA P FR","POLYFRESKO G SBS SA P FR"or"ELASOF LEX SA P FR"(self • �' adhered). ; • • • • •• •• • •• •••••• 28.Deck:NC Incline: 1 Insulation(Optional):—Polyisocyanurate,any thickness. • ••.•:• •••••• Base sheetO ional ELASTOFLEX SA V","ELASTOFLEX SA V PLUS","Xtraflex SBS Base SA"or"El2kSTQN..EX SA V'BASE VENT', self-adhered or"ELASTOBASE","XtraFlex SBS GLASS Base"(poly/sand),mechanically fastened. •• • • ••• : • Membrane:—"POLYFLEX SA P","Xtraflex APP G SA""XtraFlex Kooi APP G SA",or"POLYFRESKO G APP SA P"self-adhereb pr•P(I.YFLEX G FR",heat fused. 29.Deck:C-15/32 Incline: 1/2 Insulation:—Polyisocyanurate(2 in.min),glass fiber(15/16 in.min),perl ite/pol yisocya nu rate composite,periite/urethane composite (2 in.min). Barrier Board:—1/4 in.(min)G-P Gypsum DensDeckO,mechanically fastened,with 6 in.offset to plywood joints. Base Sheet:—"ELASTOFLEX S6","XtraFlex SBS POLY Base","ELASTOFLEX P-C"(heat fused or mechanically fastened). Membrane:—"ELASTOFLEX S6 G","ELASTOFLEX S6 G-C"or"POLYFRESKO G SBS",(heat fused). 30.Deck:NC Incline: 1/2 Insulation(Optional)—Atlas Roofing"ACFoam III"or"ACFoam II",any thickness. Base Sheet:—"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or"ELASTOFLEX SA V FR BASE VENT",(self adhered). Membrane:—"POLYKOOL SA"or"XtraKool APP S SA",(self adhered). 31.Deck:5/32 Incline: 1/2 Base Sheet:—G2 Base sheet mechanically fastened followed by"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or"ELASTOFLEX SA V FR BASE VENT",(self adhered). Membrane:—"POLYKOOL SA"or"XtraKool APP S SA",(self adhered). 32.Deck:NC Incline: 1/2 Insulation(Optional):—Polyisocyanurate,any thickness. Base sheet(Optional):—"ELASTOFLEX SA V PLUS","XtraFlex SBS Base SA","ELASTOFLEX SA V"or"ELASTOFLEX SA V BASE VENT', self-adhered or"ELASTOBASE","XtraFlex SBS GLASS Base"(poly/sand),mechanically fastened. Membrane:—"ELASTOFLEX S6 G","ELASTOFLEX S6 G-C"or"POLYFRESKO G SBS",heat fused. http://database.ul.com/egi-bin/XYV/templateALISEXT/I FRAME/showpage.html?name=T... 6/30/2015 MIAM�[aADE 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) www.miamidade.zo%/economj- Polyglass USA,Inc. 150 Lyon Drive Fernley,NV 89408 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. •••• • . .•.. 000..0 DESCRIPTION: Polyglass Self-Adhered Roof System over Wood Decks " ••• • 0000.. 0 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city e tate ane#felilgwing•000..• 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 qWg%has been rip change .' in the applicable building code negatively affecting the performance of this product. ••••*• 0000.. • . 000,0. TERMINATION of this NOA will occur after the expiration date or if there has been a revis'ibn or charge KO�e • 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# 13-0514.10 and consists of pages 1 through 33. The submitted documentation was reviewed by Alex Tigera. NOA No.: 13-1217.01 MCI o�e MCO ur�rnr Expiration Date: 10/11/17 Approval Date: 11/06/14 Page 1 of 33 Membrane Type: SBS/APP Deck Type 1: Wood,Non-Insulated Deck Description: 19/32" or greater plywood or wood plank. System Type E(1): Base sheet is mechanically attached to roof deck. 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. Base Sheet: One ply of Elastobase,XtraFlex SBS Glass Base, Elastobase P or Polyanchor fastened to the deck as described below: Fastening#1: Attach base sheet using 11 ga. annular ring shank nails and 1-5/8"diameter tin caps spaced 8" o.c. in a 4"lap and 8"o.c. in three equally spaced staggered rows in the center of the sheet. Fastening#2: Attach base sheet using OMG#14 Roofgrip fasteners and Flat Bottom Metal Plates,Dekfast #14 with Dekfast Galvalume Steel Hex Plates,Polygrip Fasteners#14 with Polygrip Hex Plates or Trufast#14 HD Fasteners with Trufast 3"Metal Insulation Plates spaced 12"o.c. in a 4"lap and 12"o.c. in two equally spaced staggered rows in the center of the sheet. Ply Sheet: One or more plies of Elastoflex SA V(1.5-mm),Elastoflex SA V PLUS,XtraFlex SBS Base SA,Elastoflex SA V FR(1.5-mm)or Elastoflex SA V PLUS FR, self-adhered. .••••. . . ••.• ...... Membrane: One ply of Polyfresko G SBS SA,Polyfresko G SBS SA FR,Polyfr'sto d APP*g k,-•: •„� Polyfresko G APP SA FR,Elastoflex SA P,Elastoflex SA P FR,Xtfgj-'&SBS G SE1,Polyflex SAP,PolyKool,XtraFlex Kool APP S SA,Polyflex SA P FR or Xtra ”APP C,94 self- :***0: adhered. i .... .... ..... Or One ply of Polyflex G,torch-applied. �' •• Surfacing: (Optional)Install one of the approved surfacing products listed in Table 4 to obtain ftlired .•• . coating or required fire classification. •• ••• Maximum Design Pressure: -52.5 psf;(See General limitation#7.). CMIAMMADE couExpiration Date: 10/11/17 Nrr NOA No.: 13-1217.01 ...� Approval Date: 11/06/14 Page 26 of 33 WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: I. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4'maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped.If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles,24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 121bs./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 Ibf.,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. 000000 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachroent ft based(V 51ninimlY•:• fastener resistance value in conjunction with the maximum design value listed within a 1i a cilic system.1hould •• • the fastener resistance be less than that required, as determined by the Building Official:i*TgYrsed fastgper • spacing,prepared, signed and sealed by a Florida registered Professional Engineer,Regiggged ArchjlvGt.or :"'•: Registered Roof Consultant maybe submitted. Said revised fastener spacing shall utilt %90with&&w&4• •••• resistance value taken from Testing Application Standards TAS 105 and calculations ix.omgliancl wjtlt r oofirtg•••• Application Standard RAS 117. •• •• •• owe*:* 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requiremetUlc tSiese areas Fastener •• densities shall be increased for both insulation and base sheet as calculated in:ompfianceiM*r04Roofrgg•••0 Application Standard RAS 117. Calculations prepared, signed and sealed by a Flort4a.1te:istered.Prqfessiotml•••: Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA,General Limitation#9 will not be applicable.) 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e. field, perimeters, and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e.perimeters,extended corners and 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 61G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 13-1217.01 MIAM I-DAD,CouNW Expiration Date: 10/11/17 Approval Date: 11/06/14 Page 33 of 33