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RF-15-2245 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253003 Permit Number: RF-9-15-2245 Scheduled Inspection Date: February 18,2016 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: SANCHEZ,VAL Work Classification: Flat Job Address: 101 NW 102 Street Miami Shores, FL 33150- Phone Number (305)962-9175 Parcel Number 1131010220050 Project: <NONE> Contractor: LIBERTY ROOFING GROUP INC Building Department Comments RE ROOF FLAT infractio Passed Comments INSPECTOR COMMENTS False 01/20/2016-STATE CONTRACTORS LICENSE HAS BEEN REVOKED BY THE STATE THIS IMPACTS BOTH EXSITING AND THE ISSUANCE OF NEW PERMTS. nspector Comments Passed CREATED AS REINSPECTION FOR INSP-252073. CREATED AS E�4 REINSPECTION FOR INSP-246525. CREATED AS REINSPECTION FOR INSP-242764. Missing valley flashing at the connection between the low slope roof and the tile roof Failed ❑ Provide a goodworki g orde ladder. L 1/ �- Ar 4� Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 17,2016 For Inspections please call: (305)762-4949 Page 39 of 52 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253003 Permit Number: RF-9-15-2245 Scheduled Inspection Date: February 18,2016 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: SANCHEZ,VAL Work Classification: Flat Job Address: 101 NW 102 Street Miami Shores, FL 33150- Phone Number (305)962-9175 Parcel Number 1131010220050 Project: <NONE> Contractor: LIBERTY ROOFING GROUP INC Building Department Comments RE ROOF FLAT Infractio Passed Comments INSPECTOR COMMENTS False 01/20/2016-STATE CONTRACTORS LICENSE HAS BEEN REVOKED BY THE STATE THIS IMPACTS BOTH EXSITING AND THE ISSUANCE OF NEW PERMTS. Inspector Comments Passed ❑ CREATED AS REINSPECTION FOR INSP-252073. CREATED AS REINSPECTION FOR INSP-246525. CREATED AS REINSPECTION FOR INSP-242764. Missing valley flashing at the connection between the low slope roof and the tile roof Failed ❑ Provide a good working order ladder. Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 17,2016 For Inspections please call: (305)762-4949 Page 39 of 52 R s` Miami shores Village long Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �ORiDA Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# 4,,V- DATE: Z.-C-o �,L INSPECTION AFFIDAVIT I I � Ga�� ��� o �► licensed as a (n) Contractor/Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#:CCC-- �?YZ- 'E9" On or about 7—c- — V-- , I did personally inspect the roof deck nailing (Date&time) work at m l 'Nw Igo,? � (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual on 553.844 F ) u State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Swom to and subscribed before me this 7—C-- day of *j --2Q1 SL Public, Sate of Florida at Largetcertmed % Jose A.Giron 831656 S:Sept 3,2D16 WWW.AARDNNOTARY.COM 'General,Building,Residential,or Roofing Contractors or any indi68 F.S.to make such an inspection.Include photographs of each plane of the roof with permit#and address#clearly shown marked on the deck for each inspection °3 ° Miami shores Village ones M Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 OR Tel:Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: �L_A d%��'7- Property Address: ® ` Roofing Permit Number: Dear Building Official: I F''v�'kyz" certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Residential Structures as odd ilding Commission by Rule 96-3.047 F.A.C. Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this - day of 1–A 20--L_ Notary Public, Sate of Florida at Large Jose A.Giron 10MMISIOI*E83169 (SEAL) 11'%L seek 3,2116 WWW AruuNoraRr.COM FINAL COMPLIANCE Revised on 5/21/2009 ,SgOREsy, Miami Shores Village Bull" Building Department 10050 N.E.2nd Avenue FLORIDA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: VM �a'� Property Address:_ kms) n, 1 Q�2— Roofing Permit Number: Dear Building Official: I � 2s� certify that I am not required to retrofit the roof to wall connections of my building because: o 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 d in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 199 ition of So lorida ode (1994 SFBC) z nature 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 day of Jose A.Giron I 8310 Notary Public, Sate of Florida at Large a1��3,2016 • When the just valuation of the structure for purpose of av ore on 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 fro General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 sN° A °�oxiN► SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 2. � Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. -,/ Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 6. V Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be nece o-msta f erflow scuppers in accordance with the requirements of Sections R4402, , and Owner/Agent's Signature Date i Date Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; IAC0 SERVICE ER�A1t� 7066 SW 441"Street Miami, FL 33155 Tel:786-398-9179 Fax:786-800-2627 a1 rooflnspection0mmail.com LAB CERTIFICATION #10-0512-01 SITE SPECIFIC INFORMATION UPLIFT TEST—TAS #106 Roofing Contractor LIBERTY ROOFING. Permit# RF-9-15-2245 Job Address 101 NW 102 ST MIAMI SHORES,FL.-33150 Owner's Name VAL SANCHEZ Type of Tile VILLA 900 Date Installed Approximate Roof Height 12' feet Roof Pitch 3112 Type of Access to Roof LADDER Approximate Square Footage of Roof 1.o ft, Required Testing Force 35 Lbs Date Tested 02/16/16 Number of Tests 8 Testing Equipment F.G.E.100 Contact Name MELVIN MARTINEZ Phone# 305-978-6362 LOCATION #OF TEST PASS #OF TEST FAIL Corner 2 Tests 2 Pass Test 0 Fail Perimeter 6 Tests 6 Pass Test 0 Fail Field 0 Tests 0 Pass Test 0 Fail Ridge 0 Tests 0 Pass Test 0 Fail TOTAL 8 Tests 8 Pass Test 0 Fail IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTRY,WITH NO DEVIATIONS,THIS REPORT iS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS.THIS REPORT R 13 NOT VAUD FOR INSURANCE CLAIMS. e f YENAN'1:111'�YVA P.E.#67416 A-1 Engineering Inspection Services, Inc 7066 SW 44 Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 al roofinspection(c gmail.com LAB CERTIFICATION# 14-1215.04 02/15/16 PERMIT. #RF-9-15-2245 101 NW 102 ST MIAMI SHORES, FL. 33150 T T T T T T 7066 SW 44'Street Miami,FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 Miami Shores Village BuildingDepartment p JAN z9 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 BUILDING Master Permit NJ— ' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS [X CHANGE OF ❑ CANCELLATION ❑ SHOP ,Q CONTRACTOR DRAWINGS JOB ADDRESS: I °v� (f c CityXt/tt7, i Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: CConstruction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): Phone#: 354 2u— Address: 9/2�r_ -To AU .7/ &/—P5--7p��/1f City: � ;��o State: 7 Zip:3E�16�5 Tenant/Lessee Name: ` Phone#: Email 1 � G' (r�C� y C, at_t e CONTRACTOR:Company Name: $r�aa0� � � ���u/� Phone#: Address: 515 t City: Ll �� CLCU'L State: C Zip: 13 4 Qualifier Name: Phone#: State Certification or Registration#: 2) /0'9 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition t�o Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: L2 Specify color of color thr..0 We: Submittal Fee$ Permit Fee CCF$ CO/CC$ Scanning Fee$-.Z;• Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ '3 -W (Revised02/24/2014) Bonding Company's Name(if applicable) s 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 occ ev n (7J da after the building permit is issued. In the absence of such posted notice, the inspection will not be approve nd a reinspection ee will be charged. ------- Signature Signature Signature OW r AGENT C OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _day of JA-O'J4.j&14 ,20 l C , by 2 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 as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sigma`" � i Print: Print: 2e RY ^ Notary Pudic State of Florida MIYCORAWON#FF243= Seal: 9 Sinctia Alvarez Seal: T:! . My Commission FF 156750 t x»33 ���9 Av a Expires 09/03;2018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5�oRE'S L Village Miami Shores Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR I ARCHITECT "Permit N.2,rr-q1 5Z I c4r Owner's Name(Feesimple rate Holder) \L� Phone#: Owner's Address: _ City: CLState : 1� Zip Code: � Job Address(of where work is being done):,� 2 ;4u-a City: Miami Shores State:—Florida Zip Code-2 r, Contractor's Company Name: jL� ���rc Phone#: Address: 2P-1-1 City: e l (,4 .44 ; State: �- Zip Code: Qualifiers Name : Lic. Number: Architect/Engineer of Record Name: Phone#: Address: City:_ �� State: Zip Code: Describe Work: d � � I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to e e e contract. I hold the Building Official and the hores rmless for all legal involvement. Signature . Signature op+iit r Agent :ontractor or A h The foregoing instrument was a nowledged before me The forego g instrument was ak wledged before me this�:—1 day of 0' 20/r;,by this 2 day of U j by Who is personally known to me or who has produced who isr pe sonally kn wn to me or who has produced as indentification. as indentification. JORGE ROSSEAU Notary Publi . Notary Publi + cOUMION VF119045 Sign: EXPIRES May-4,2018 Sign: (407)39&0153 FWWaNOt OServica.— Seal. g1r°ye Notary Puuiic state of Florida o° y; Sindia Alvarez Seal: c c4 My commission FF 188780 -1,o@ Expires 09/03/2018 ' r I Ysy� Zola ,g n111--_,: t:'­:'� Qun 'Y �`1f 1 y { p?'s�' z 1 :,t G'.e .6 x .dc 4,. .q r tJ' i'✓. ,'yr'r t r.ya: 95 y q s rg 7 2E3 ';54 jai r �j q� � KL WW" ----- 4", aan 'txr r zr ',7 t i ✓'4 c 3 , �� >»S a� '�:s'Gdk A* v b iU AM t: 00 i 1 �h,`raz"�v3• r-1, a� i >`ar ..Yr r W yr r�'b� ��"y, -r ��RA 10, SEt 7�'¢ _ F- � Y �c,v, y�,4 ^tar✓A� ' '�� fW --`7f oay SUN ate€ r C1 -N y` , yr _.l.y•r 5 pC. t, wz,k , I The R S r, a J Y -gym f "�`' $H as $£ ..,,, .. ��✓-:' .' ri...:- agi4} f<� tl .9 MZ, .s tA � 40A$ MVS. r z - 11R) I3 40 womAoid ato Awwn a4ItIM *, IQ POLMN ON- gra �ry " - 4 AaUtMG UV 1 S4, 1014 46 1 �mvdao >PSP�J.^•�d. Valvirs Jan, 29. 2016 10: 07AM Prime Insurance Solutions No- 6086 P. 1 CERTIFICATE OF LIABILITY INSURANCE DA1/29/DD/201166 1/29/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ,CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain P01101e6 may require an endorsement. A statement on this certificate does net confer rights to the Certificate holder In Ilau of such endorsement(s). PRQVUCER CONTACT Prime Insurance Solutions,Inc. PHONE 321)2J9-7920 FAz 3040 N.Wickham RD. MaL Arc 321 259-7921 $ut18 8 fmRE Melbourne FL,32835 INSURERS)AFFORDING COVERAGE NAIL p INSURED I14SURERA:AXIS INSURANCE COMPANY LIBERTY ROOFING GROUP INC INSURER 8! 5151$W 6 ST INSUKERC; CORAL GABLES, FL 33134 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBED: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVp BEEN REDUCED BY PAID CLAIMS. - TYPE OF IN ADDt. UBR POLICY EFF POLfCYNUMBER MM(pplYYyY MMrO UM17S GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ✓ COMMEROIAL GENERAL LIABILITY PRE MA131--T KE MI ED $ SO,000 A cuaMs^1PDE ©OCCUR FLCLN01328AX 03/03/15 03/03/16 MED EXP(Any one Person) s 5,000 PERSONAL&ADV INJURY s 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE OMIT APPLIES PER: 7.( POLICY M PRO" LOC PRODUCTS•COMPIOPAGO S 2,000,000 AUTOMOBILE LIA81u'rr COM61 d S �LIMIT JAUTOS UTO ALL OWNED SCHEDULED BODILY INJURY(Pgrpgrsort) $ AUTOS BODILY INJURY(Peraoeidenl} S AUTOS NON OWroNEO PROP -DAMAGE $ AUTOS s EUA UAB OCCUR UAB EACH OCCURRENCECIaIMS-MADEAGGREGATE S EHfIONS WORKERS COMPENSATIONNY PRIARTNER5 AND EMPLOYERS•UARILITY WtiC 9TATU- OTH- OFFIP0REWMEMneREXCLU0EE EXECUTIVE El N f A E.L.EACH IQENT (Mandatory In NH) ACCS If yea,descnbe under EL.DISEASE.EA EMPLOYE $ DESCRIPTION OF OPE TI bmaw E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(Attean ACORD enf,Ad014lonel Remarks Schedule,irmore space Is required) ROOFING CONTRACTOR LICENSE#CCC1328968 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES BUILDING DEPT. 10050 N.E.2ND AVE SHOULD ANY OF THE ABOVE DESCRIBED (CIES BE CANCELLED BEFORE MIAMI SHARE, FL 33138 THE EXPIRATION DATE THEREOF, OT B WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY P ISI $. AYTHOREZED REPRESENTATIVE ACORD 26(2010105) The ACORD name and lagp dre registered marks of ACOA 0 CORPORATION. All rights reserved- FrankCrum 1/29/2016 10:34 Page2/2 ' CERTIFICATE OF LIABILITY INSURANCE »e 2 �6' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 1111PORTA14T-If the Certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollclaa may require an endorsemem.A statement on this cerdflowa does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE A1C No Etd: 1-900-277-1620 x48M FAX Ar,No): 2 797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 South Missourl Avenue INSURER AFFORDING COVERAGE NAIC# Clearwater FL 33756 INSURER AI Frank Winston Crum Insurance Co. 11600 INSURED INSURER S: INSURER C: FrankCrum UC/F Liberty Roofing Group,Ina INSURER 0: 100 South Missouri Avenue INSURER E: Clearwater,FL 33756 INSURER F: -.OVERAGES CERTIFICATE NUMBER: 354152 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONOTTION 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 TERUS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAM CLAIMS. mit TYPE OF INSURANCE � p PDUCY NUMBER WAD FFP PGUCY EXP LINrfB GENERAL LIABILITY Dr?" EACH OCCURRENCE b COMMERCIAL GENERAL UASIUTY DAMAGE TO RENTED PREwesEs R CLAIMS-MADE =OCCUR NED EXP(Arry nne poreonl S PERSONAL B ADV INJURY S GENERAL AGGREGATE $ GENL AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AVG $ FOUCf PROJECT 71LOC S AUTOMOBILE IJABLLRY CONSWEOSINGLE Lour $ ANY AUTO En eaidcN ALL OWNED BrJi8XILED GODLY INJURY er s AUTOS AUTOS BODILYINJURY eratddem $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ UMRRFI I e LIAR OCCUR El(CESS LU16 GABLfMA� EACFI OCIIRPENOE L AGGREGATE DED RETENTION$ S WORKERS COMPENSATION AND WC201600000 01/01/2016 01/01/2017 X WC STATUTORY GTH- A EWL.DYERS'UASIUrY YIN uMITs ER ANY PROPRIETORIPARTNERIEXECurNE OFMCERIMENBER EXCLUDE 17 NIA El.EACH ACCIDENT (MandAury in NH) 000000 If yes,describe under DESCRIPTION OF OPERATIONS below El.DISEASE-EA EMPLOYEE 1099090 E.L.DBEASE4aCUCY LIMIT 1 pp0 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES putaah ACORD 101,Additnal Remarks,Schedule,H more apace Is requked) Effective 01/18/2016,coverage Is for 100%of the employees of FrankCrum leased to Uberty Roofing Group,Ina(Client)for whom the client Is reporting hours to FrankCrum.Coverage Is not extended to statutory employees.RE:Roofing Contractor Licenses#1328968. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. Miami Shores Village Building Department AUTHORMED REP BBNTA7M 2nd Avenue Miami Miami Shores,FL 33138 ACORD 2srese 2010/0 ©1988-2010 ACORD CORPORATION.Ali rights reserved. ( `�) The ACORD name and logs are registered marks of ACORD FrankCrum 1/29/2016 10:34 Pagel/2 Your requested Certificate is attached. DO NOT REPLY TO THIS EMIL Send request to Certs@frankcrum.com Permit Na RF= 9.154845 MU,�,� Miami Shores Village ■ PermltTYpe:Roof 10050 N.E.2nd Avenue NW � WL>rkMsSiftCtlYflt Flat •• """' Miami Shores,FL 33138-0000 PermitSta4aAPPRCtEi! �tis= d� Phone: (305)795-2204 issue Date.91912015 Expiration: 03/07/2016 Project Address Parcel Number Applicant 101 NW 102 Street 1131010220050 VAL SANCHEZ, LLC Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell VAL SANCHEZ, LLC 3125 SW 80 Avenue (305)962-9175 MIAMI FL 33150- 3125 SW 80 Avenue MIAMI FL 33150- Contractor(s) Phone Cell Phone _. $ 2,800.00 AMENGUAL ELECTRIC INC Valuation: Total Sq Feet: 300 I Type of Work:Re Roof Available Inspections: Additional Info:RE ROOF FLAT 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 CCF $1.80 Invoice# RF-9-15-56934 DBPR Fee $3.75 09/09/2015 Credit Card $224.30 $50.00 DCA Fee $3.75 Education Surcharge $0.60 09/02/2015 Cash $50.00 $0.00 Permit Fee-New Roof $250.00 Scanning Fee $12.00 Technology Fee $2.40 Total: $274.30 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 assume responsibility for all work done by either myself, m sery nts, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,R I and SWI MING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is a r that all wo will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-name r o do the w stated. September 09, 2015 Authorized Signature:Owner / Applicant / Co actor / Agent Date Building Department Copy September 09,2015 1 JBY: � +; lo Miami Shores Villagej ���� Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/y BUILDING Master Permit No.� �� PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC 'ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:/pz /N/m/ City: Miami Shores County: Miami Dade Zip: l�'� Folio/Parcel#: / �9�,�� �- ��-Dz2' "uJ O Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction �T�yp�e:: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): UO-1 f9cky ,k/—"n_- Phone#: Address: /D1 IyW `®2- city: City:�X/Li CGW D7i'`� State: Zip: 1 T Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:�nl�dU(�G� l�fi� �� Phone#:a/ Address: 3g S( a- ►� City: \\_/lwi Ca.r State: L Zip: 67--1z14:r Qualifier Name: 13e4nc J AVW&A-v� Phone#: State Certification or Registration#: (ffy 50?njZg*1 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: o� Value of Work for this Permit:$ ri g88 Square/LinearFoot e of Work: —3'm Type of Work: El ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: 9-,--4h , f l� Specify color of color thru tile: Submittal Fee$, 22 P ou Permit Fee$t)-S(1) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ P- (Revised02/24/2014) Bonding Company's Name(if applicable) i 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 oc r ven 7 after the building permit is issued. In the a nce of such posted notice, the inspection will not be a ove a a reinspection fe will be charged. Signatu Signature OWNER or AGENT CONTRKCfZOR The foregoing instrument was acknowledged before me this The foregoing instrument was ackn ledge before me this `01 day of AR,F�4 _.20�. ) by _day of z° 20 „`� ,by /TTL S11�Z ,who �ispersonally known to `�(F/'�a �nL.a o is personally known to me or who has producedT�- Vl,sp — L� me or who has produced ��L�� as identification and who did take an oath. identification and who di NOTARY PUBLIC: NOTARY PUB Sign: Sign:( Print: rrnt Notary Pu Seal: Seal: a4�" Joanna M Feliciano �°�i4 Notary Public State of Florida a M Commission FF 082753 c Sindia Alvarez , Expires 01112!2016 o MY Commission FF 156750 er p Explces 0910312018 ffi &k Ie ***k# kk k k k k k k+k k kffi&k Nk�k Keck&kk k k k k k k ab Ne k NNe Ne k k k k k k k k k+k+k k k k k k#k k k kk k k#k+k APPROVED BY C Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t I W —­7 \� L2015 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 9 7BY: Flo 5th Edition (2014) 1 High-Velocity Hur�'cane Zone niform Permit Application Form. 1 1 Section A(General Information) 1 i Master Permit No. Process No. 1 Contractor's Name erg 1 Job Address 16 A-44) /6 Z 5 1 1 ROOF CATEGORYOe' 1 Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 1 ❑ Prescriptive BUR-RAS 150 1 ROOF TYPE 1 ❑ New roof t=P'Repair ❑ Maintenance f'�1"'R"eroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF)3)a ' Steep Sloped Roof AREA(SSF) 4UU Total(SF) 1 1 1 Section B(Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 cn 1 1 1 W*SZN�r 1 =7 3 a 1 e� 1 m cD ' � < 1 . . Q 1 • ci i . . C z to 1 . ... .. . .. • 10 .. . . • . . . . • ••• • • • ■ ... . . . . •.• . . j • . . .. • FLORIDA BUILDING CODE;BU (s•, h DI!N 014} 15.37 •Cdpyrightto,orleensl'd%ICC(ALL•RIGHTS RESERVED);accessed by EGezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. t Florida Building Code Editioi.(2014) High-Velocity Hurricane Zone Uniform Permit Application 1-orm. Section C(Low Slope Application) Top Ply Fastener/Bonding Material: FRI in specific roof assembly components and HOT MOP ASPHALT identity manufacturer(if a component Is not used, Identify as"NA") " Surfacing:GRANULES System Manufacturer. GAF Fastener Spacing for Anchor/Base Sheet Attachment: Product Approval No.: 13-1022.15 Feld: 9 "oc @ Lap,#Rows 2 @ 2 -oc Perimeter.6 "oe @ Lap,#Rows 4 (a 6 "oc Comer. 6 "oc @ Lap,#Rows 4 @ 6 "oc Design Wind Pressures,From RAS 128 or Calculations: Pmaxl: -42.8 Pmax2: -71.7 Pmax3 -108.0 Number of Fasteners per Insulation Board: Max.Design Pressure,from the specific Product Feld N/A Perimeter N/A Comer Wi 06- Approval System: -52.5 Illustrate components noted and details as Deck:. applicable: Type: PLYWOOD Wood blocking, Gutter, Edge Termination, Stripping, Flashing Continuous Cleat, Cant Strip, Base Flashing Gauge/Thickness: 518" Counter-Flashing,Coping,Etc. Slope: 0.50" Indicate: Mean Roof Height,Parapet Height, Height of Base Flashing, Component Material, Material Anchor/Base Sheet&No.of Ply(s): NIA Thickness,Fastener Type,Fastener Spacing or Submit Anchor/Base Sheet Fastener/Bonding Material: FT. N/A Insulation Base Layer. NIA Base Insulation Size and Thickness: NIA GAF CAP SHEET Parapet Height Base Insulation Fastener/Bonding Material: GAF PLY IV NIA GLASSBASE 75 " FT. 14 Top Insulation Layer. NIA PLYWOOD 5/8" Top Insulation Size and Thickness: hJie v Mean RoarHeight Top Insulation Fastener/Bonding Material-NIA E/D GALV 3"X3" BaseSheet(s)&Weal!Ply(s)9 OAF*MAMASE25#(1)PLIES Base Sheet Fastener/ganding•Material: • • ••• • 1-1/4"RSNAIL&TIWdAFL.: ••: •: ••• Ply Sheet(s)&No.of Ply(s): GAF PLY IV (2)PLIES Ply Sheet Fastener/Bond"atel�l! • •• • HOT MOP ASF$i/CLT. •• • Top Ply. GAF Mfl&Al•CAP SKEET• • • Revised 06/OS/12 Page 3 of 6 • • • • • • • • • • 't 1.93oREs Miami Shores V11age p111" Building Department 10050 N.E.2nd Avenue �trpjZjpA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: �_ 2—?mob /C- 10050 NE 2nd Ave Miami Shores, FI 33138/ // Re: Owner's Name: /tel Sfl 0u ek E'er 42o ,P2 A-�-s Property Address:/0 /" iU t.,c> / Roofing Permit Number: Dear Building Official: I certify that I am not required to retrofit the roof to wall connections of my building because: ❑ 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 pliance with the provisions of the Florida Building Code (FBC)or with the provisions of 1994 e ' o f outh Florida uilding Code (1994 SFBC) Signature Print Name Notary Public State of Florida State of Florida Joanna M Feliciano My Commission FF 082753 County of Dade •• ••• • • • • • •• n Expires 01H2/2018 . . . . . . . . The undersigned, being the first�dulX s;vo ;deposes jru Says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this ... . .. . day of � � . ... . . . . . . . . . Notary Public, Sate of Florida&t Larg.e t • When the just valuation of the strud 4Por:)urposJ oCad malorem tairation i 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 aiplisa�j flim;Ge jeral ion%dor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 90 it SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the 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 ant the contractor.The owner's initial in the designated space indicates that the item has been explained. 2. —Y--<> Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. Y`5 Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 6. N-5 Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded frorma-buildup f water. Perimeter/edge wall or other roof extension may block this Z- 0wriierege—rit's ta scuppers(v all outlets)are not provided. It ma .be necessary, install overflow ance with the requirements of Sections R /R4 03 and R4413. Date Contr for Signat Date �D1 w 102 S-�- Property Address Permit Number P.- 33/J Revised on 7/9/2009 LD;07/01/2015; . . . .. . .. . . .. . . . . ... . . . .. ... .. . . . .. . ... ..• . .• . . 000 .. . . .. . . . . . . . . . . . .. . . . . . . . . ... . . . . . ... . . . . ... . . . . . . . . . . . . ... . . 0.0 ... . . I U r%IJV,tf - twifL.s►�,.,p o:tiu:o , r a t The use Of gypsum bOard under any or the following Class A,B or C systems does not 80verseiy aflect the rating.The use of yr-in.minimum thick gypsum board Is an acceptable alternate for minimum insulation over C-15/32 thick roof decks. The use of polystyrene insulation board between minimum-4-in.thick periite board and dock with rosin paper(penite/rosin paper/polystyrane/perlite)is a suitable alternate for polylsocyanurate board in the following Ciess A,B or C systems. "EnergyGuardO RA"or"Tapered EnergyGuarde RA"or"EnergyGuard@ Composite RA"may be substituted for any Atlas poiyisocyanurate Insulation in any of the following Classifications. Trumbull"Derma Mop"may be utilized with any of the following'Asonalt Felt 5y5tem5 with Hot Rooting Asphalt". "GAFGi ASO 080 Premium Base Sheet"may be used in any of the following systems. "GAFGLASS Flex Ply 6"and'Tri-Ply®Ultra-Flexible Ply G"are suitable alternates to"GAFGLASS Ply 6". "GAFTEMP Permallte Recover Board"may be used In Rau of any partite insulation in any of the following NC Classifications. Unless otherwise indicated,any of the"Asphalt Felt Systems with Flat Roofing Asphalt"may be surfaced with"Fireshield MB"at 21n to 3-gal/t00- rt?. "Ruberoidhll Dual Smooth"may be vsad.as an alternate to"Ruberoid®Mop Smooth"or"Ruberoldtg 20"or"Ruberoid®20 HT" "Ruberold(D Mop Smooth 1.5"may be used as an alternate to"Ruberoid@ Mop Smooth" Class A,8 and C Hot roofing asphalt,for use with organic and glass felts or modified bitumen membranes. "Ruberoid@ Heat weld"SBS rooting membrane may be used in ileo of"Ruberoid8 Mop"SBS products in any applicable Classification. Class A 1.Deck:C-15/32 Incilne:3 Insulation(Optional):=One or more layers periite or wood fiber or glass fiber or polylsocyanurate or urethane or PlylSheoC z Three or more cyanurate piles Type GIor Aoru GAFGLASS ethane ply 4"or or"Tn Ply®Plyg4"or"GAFGLASS Ply 6"hot moppeosite or d.alio thickness. Surfacing:—Gravel. 2.Deck:C-15/32 Incline:2 Insulation(Optional):—One or more layers partite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite/polylsocyanurate composite or periite/urethane composite or wood fiber/polylsocyanurate composite or phenolic,any thickness. Ply Sheet:—Three or more plies Type G3 or"GAFGLASO Py 4"or'Tn-PiytB Pty 4"or"GAFGLASS Ply V. Cap Sheeb—One ply Type G3"GAFGLASS Mineral Surfaced Cap Sheet"or'Tri-Ptye Mineral Surfaced Cap Sheet"or"GAFGtA5t9 EnergyCap" I"BUR Mineral Surfaced Cap Sheet." 3.Decca NC Incline:2 Insulation(Optional):—One or more layers periite,wood fiber,glass fiber,POiyisocyanurate,urethane,periite/polyisocyanurate composite,perlite/urgthane composite,wood fiber/polytsoCyanurate composite,phenolic,2-In.maximum. Ply Sheets—Two or more plies Type G1"GAFGLASS Ply 4",'Tri-Ply®Ply 4"or"GAFGLASS Ply 6", Cap Sheet:—One ply Type G3"GAFGLAS(Ili Mineral Surfaced Cap Sheet"or'Tri-ply(l)Mineral Surfaced Cap Sheer'or"GAFGLAStS EnergYCap"BUR Mineral Surfaced Cap Sheet." 4.Deck:C--15/32 inGinei 1 slop Sheet(optional)-,—Red rosin paper,nailed to deck. Insulation(optidnai)s_Any thickness partite drwood nber o glass fiber or polyi OMG Inc: OlyBond Fastening SysteM or any U C If�ed ttyVWtlon adhesive. socyanurate mechanically fastened or adhered with d3ass Sheets One ply.TypaiG2lrppF ® SibSINet"or-tri-plycip 075 Base Sheet"(may be nailed). Ply Sheet~—an-g or m plies Tyae i• A WS®Ply 4r'or"Try-Ply&Ply 4"or GAFGLAS®Ply 6". Cap Sheet= One ply al SudapeG3"GAfGb15®yiri4rah9itrface b�ap Sheet"or"Tri-Ply@ Mineral Surfaced Cap sheet"or"GAFGLASO t:nergYCaP`"BU0.Mlnerei Suriac���ap5�t�et. , •. . .• . Surfacing(optiortal)s—�OPCOATO energyCate'""applied at a rate of 2-gal/100-1t2. S.Deck:NC • ••• ••• • •• • • . . . • .Incline:3• •• • • • • • • • • • • http://database.ul.com/Cg1.'biIV".&/4e*101'Ate/LlSr*iXT/lFRAME/showpage.htnil?namc=T... 2/23/2012 • . • • . • . . . . •.. . . . .•• . . 1 MIAMI•DADE MLUV11-DADS COUNTY e 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)31525-99 NOTICE OF ACCEPTANCE (NOA) www.mlamldnde.gov/economv GAF 1361 Alps Road Wayne,NJ 07470 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 AHI 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 Conventional Built-Up Roof Systems for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. if any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and:evises N . NDND y3 2Q09 and consists of pages 1 through 16. The submitted documentlptiott&4 rHevied 6 Jorge L.Acebo. .. ... as • • •• . ... ... . .. . • NOA No.: 13=1022.15 �MIAMMADECOUNTY •• • ' ' Expiration Date: 11/04/18 • • Approval Date: 11/06/14 Page 1 of 16 ••• • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• • ••• • • • ••• • • I y w w Membrane Type: BUR Deck Type 1: Wood,Non-insulated Deck Description: 19/32"or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOut7 Fire Barrier Coating,VersaShiele Fire Resistant Roof Deck Protection or (optional) SecurocO Gypsum Fiber Roof Board. Base sheet: GAFGLAS®#80 Ultima Base Sheet,Stratavene Eliminator""Nailable Venting Base Sheet,Ruberole 20,Ruberoie SBS Heat-Weld'"Smooth or Ruberoie SBS Heat-Weld`s 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS®Ply 4,GAFGLAS®FlexPly 6,GAFGLASO#75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c.at the lap staggered and in two rows 12"o.c. in the field. (Maximiun Design Pressure—4S psf.See General Limitation#7) GAFGLAS®Ply 4,GAFGLAS®FlexPly 6, GAFGLASO#75 Base Sheet or any of above base sheets attached to deck with Drill-TecT" #12 Fastener or Drill-Tec 7U#14 and Drill- Tecr-3"Steel Plate,Drill-Tec",AccuTraco Flat Plate or Drill-TecT"AccuTrac®Recessed Plate 12"o.c.in 3 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 12"o.c.in the field of the sheet (Maximnns Design Pressure-4S psf.See General Linsitation#7) GAFGLAS®Flex Ply""6,GAFGLAS`a#75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c. at the 4"lap staggered and in two rows 9" o.c.in the field. (Maximum Design Pressure—52.5psf. See General Linshadon#7) GAFGLAS®#80 Ulti=Tm Base Sheet,Ruberoie20,Ruberoie Mop Smooth,base sheet attached to deck with approved 1'/+"annular ring shank nails and inverted 3"steel plate at a fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of 9"o.c.in the center of the membrane. (Maxinsum Design Pressure-60psf.See General Limitation#7) GAFGLAS'o#75 Base Sheet or any of above base sheets attached to deck with Drill-TecT" #12 Fastener or Drill-Tec T. 414 Fastener and Drill-Tec" 3"Steel Plate,Drill-Tec" AccuTrac'e Flat Plate or Drill-TecT"AccuTrace Recessed Plate 12"o.c. in 4 rows. One row is in the T'side lap. The other rows are equally spaced approximately 9"o.c. in the field of the sheet. (Maximum Design Pressure—60 psf.See General Limitation#7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" invezteAPrill-Tec:insuletiowplates at a fastener spacing of 9" o.c.at the 4"lap staggered i4two rows 9I'*-ir;� Pthe 4jI*1l.•. (1V�i�rcitl%i�sseDe=sii,►r� s�sju,e.:60 psf.See General Limitation#7) • ••• •,• • •• . _NOA No.: 13-1022.15 • , • • • • . • • • • MIAMI•DACJE GOUNTY � i� ••• ••• ••. •+• Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 14 of 16 •,• • • , • ••, . • • • • • • • • • • • Fastening Options: GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec" (Continued) #12 Fastener or Drill-TecTO#14 Fastener and Drill-Tec '3"Steel Plate,Drill-Tec" AccuTraco Flat Plate or Drill-TecT"AccuTrace Recessed Plate 8"o.c, in 4 rows.One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c. in the field of the sheet. (Maximum Design Pressure—75 psf.See General Limitation:#7) P YSbzet: One or more plies of GAFGLAS�Fly or t :4 GLAS"*80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced C#p:Sheet:oT GAFGLAS® EnergyCapTM'BUR Mineral Surfaced Cap Sheet adhered in a f 11 mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Surfacing: Optional on granular surfaced membranes; required for smooth membranes.Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 4001bs./sq.and 300 lbs./sq.respectively in a flood coat of aTproved asphalt at 60 lbs./sq. Maximum Design 2. Topcoat Surface Seal SB applied at Ito 1.5 gal./sq. Pressure: See Fastening Options see .00 00 • •• • • • . • so • ••• ••• • •• a •• • • • • • • • • • • NOA No.: 134022.15 • •• • • • • • • • s MIAMI-DADECOUTY • • • • ' ' Expiration Date: 11/04/18 Approval Date: 11/06/14 ��• , s�, Page 15 of 16 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • a