RF-16-434 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-253823 Permit Number: RF-2-16434
Inspection Date: March 08,2016 Permit Type: Roof
Inspector: Rodriguez,Jorge Inspection Type: Final Roof
Owner: GUIDO VARELA,GUY OGRADY Work Classification: Flat
Job Address:570 NE 103 Street
Miami Shores, FL 33138-2522 Phone Number
Parcel Number 1132060170880
Project: <NONE>
Contractor: REBUILD CONSTRUCTION INC Phone: (305)266-8022
Building Department Comments
RE-ROOF OF FLAT Infractlo Passed Comments
INSPECTOR COMMENTS True
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-253779. CREATED AS
REINSPECTION FOR INSP-253116. No permit on site
ROOF OK
Failed Missing renailing affidavit
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please call: (305)762-4949
March O8,2016 Page 1 of 1
Miamishores
Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
(� Tel: (305) 795.2204
Fax:(305)756.8972
... _ /
RE: Permit �F l G �,3 y DATE:
INSPECTION AFFIDAVIT
I licensed as a( Contractor ngineer/Architect,
(Print mune and drde License Type) FS 468 Building Inspector
License#: e&& /3-Z 9 3 Z
On or about Z ZzA I did personally inspect the roof deck nailing
(Date& )
work at ID 3
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual(Based on 553.844 F.
a
{
Signatu
State of Florida
County of Dade:
The undersigned, being the first duly swom,deposes and says that helshe is the contractor for the above property
mentioned.
----
Sworn to and subscribed before me this day of Wco-'
IVIS
COWISSION�
782
BVIRM AMS
Notary Public,Sate of Florida at Large
*General,Buffing,ResidenW or Ro ft contractors or any brdM Ualwxler'466 F.S.to make such an bsPedon.k pWMrsphs of each plarm of the roof w1h
permit#and address#dearly shown marked on the deck for ead►hWecgon
Qe„ro.AM r7+nM4A%Kn4rX=
Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 W 7.
6 Phone: (305)795-2204 ���;��' �ti £��
£ Expiration: 06/17/2016
`tet .. ..i.., ,...,. <.,. a .....,.<.... fix...,
Project Address Parcel Number Applicant
570 NE 103 Street 1132060170880
Miami Shores, FL 33138-2522 Block: Lot: GUY O'GRADY GUIDO VARELA
Owner Information Address Phone Cell
GUY O'GRADY GUIDO VARELA 800 NE 96 Street
MIAMI SHORES FL 33138-2458
800 NE 96 Street
MIAMI SHORES FL 33138-2458
Contractor(s) Phone Cell Phone $ 16,180.00
REBUILD CONSTRUCTION INC (305)266-8022 Valuation:
Total Sq Feet: 3237
Type of Work:Re Roof Available Inspections:
Additional Info:RE-ROOF OF FLAT Inspection Type:
Classification:Residential Tin Cap
Scanning:4 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-2-16-58717
CCF $10.20 02/19/2016 Check#:2051 $873.96 $0.00
DBPR Fee $4.88
DCA Fee $4.88 Bond#:2991
Education Surcharge $3.40
Permit Fee-New Roof $325.00
Scanning Fee $12.00
Technology Fee $13.60
Total: $873.96
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information i accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I aut ' the above-nam ntractor to do the work stated.
February 19,2016
Authorized Signature:Owner / Applicant If Contractor / Agent Date
Building Department Copy
February 19,2016 1
CEIVED
Miami Shores Village B8 2016
Building Department By.
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)7568972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (H
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC 52(ROOFING ❑ REVISION ❑ EXTENSION F-]RENEWAL
❑PLUMBING ❑ MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 95-10 1--Je tC73orw:��
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 1l-32000-'O�"1-080 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 6n AIXO VN1X A Phone#:
Address: F"M' *-Af- %0b ST
City: t ALAR All 4SWWC�0' State: 'FL. Zip: 55%�!s
Tenant/Lessee Name: Phone#:
Email•
CONTRACTOR:Company Name: 4V)Lkz, t> r Phone#: SOS 2-Qc c SOLI
Address: "1250 t.-W Z ST. 9"-* S
City: M IAM 1 State: r1..- Zip: 3312(o
Qualifier Name: 3;—%60L Zile Phone#: Sl7cj 2t9t0 I3Z)Z2-
State Certification or Registration#: cG a %212^1602- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ %to, ktQ- Square/Linear Footage of Work: 3,2^1
Type of Work: ❑ Addition ❑ Alteration ❑ New Ff Repair/Replace ❑ Demolition
Description of Work: 944--- R� O'er VA.A§T
Specify color of color thru tile: r.l(A'
Submittal Fee$ Permlt Fee$ (3 aV 'Z CCF$ (G2-0 CO/CC$
Scanning Fee$ �- Radon Fee$ ( DBPR$ Notary$
Technology Fee$ ® Training/Education Fee$--33 . 40
. 4V Double Fee$
Structural Reviews$ Bond$ �31�J
TOTAL FEE NOW DUE$
(Revised02/24/2014) U�
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application Is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. - IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature � Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this
tdO* day of arta .20 KO by %d' day of 20 IU ,by
&%fto NMXAC% ► who is personally known to 'tic SACwy_4___ .who is personally known to
4
me or who has producedya- "4. 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: 4.4Sign
Print: Print: 1
Seal: IVIS REY Seal: IVIS IVIS REY
MY COMMISSION 4 FF147325
EXPIRES:Au MY COMMISSION ON 8 FF147325
�� est 03,2018 � ,et' $XP1RE5:AuBu>tt 03,2018
6P
1�
APPROVED BY f Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application-Miami-Dade County 2/15/16 3:10 PM
4XV
Fo" APPRAI"ER
OffICE OF I i'mic PROPERTY b
Summary Report
Generated On :2/15/2016
Property Information
Folio: 11-3206-017-0880
ii
570 NE 103 ST
Property Address:
Miami Shores, FL 33138-2458
GUY E O GRADY
Owner GUIDO VARELA
800 NE 96 ST
Mailing Address j
MIAMI SHORES, FL 33138-2522
Primary Zone 1000 SGL FAMILY-2101-2300 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT
Beds/Baths/Half 4/2/0
Floors 1
j
Living Units 1
'
Actual Area Sq.Ft
Living Area Sq.Ft
Adjusted Area 2,462 Sq.Ft Taxable Value Information
Lot Size 12,500 Sq.Ft 2015 2014 2013
Year Built 1950 County
Assessment Information Exemption Value $50,000 $50,000 $50,000
Taxable Value 1 $242,297 $239,978 $235,693
Year 2015 2014 2013
Land Value $270,000 $223,550 $198,050 School Board
Exemption Value $25,000 $25,000 $25,000
Building Value $128,516 $125,193 $125,193
Taxable Value $267,297 $264,978; $260,693
XF Value $909 $912 $916
._......._. ........,_,,...,....................._. ..................................................___ city
Market Value $399,4251 $349,655 $324,159 Exemption Value $50,000 $50,000 $50,000
Assessed Value $292,297 $289,978 $285,693 Taxable Value $242,297 $239,978 $235,693
Benefits Information Regional
Benefit Type 2015 2014 2013 Exemption Value $50,000 $50,0003 $50,000
$239,978 $235,693
Save Our Homes Cap Assessment Reduction $107,128 $59,677 $38,466 Taxable Value $242,297
Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Second Homestead Exemption $25,0001$251,000 11 $251,000 i OR
Note: Not all benefits area licable to all Taxable Values i.e.Coun , Previous
pp � � Sale Price Book- Qualification Description
School Board,City, Regional). III Page
05/01/2004 $350,000 22318 Sales which are qualified
Short Legal Description 3121
MIAMI SHORES SEC 4 AND PLAT 21395-
06/01/2003 $292,500 4770 Sales which are qualified
PB 15-14
LOTS 3&4 BLK 93 07/01/2000 $151,000 19199 Sales which are qualified
LOT SIZE 100.000 X 125 2025
3
http://www.miamidade.gov/propertysearch/#/report/summary Page 1 of 2
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CCC1329302'
The ROOFING CONTRACTOR
Named below IS CERTIFIED
Under the provisions Of Chapter 489 FS.
Expiration date: AUG 31,2016
SICRE, DAX C
REBUILD CONSTRUCT
7250 NW 8TH STREET Blyoft"", v
MIAMI FL 'I26:
ISSUED: 08117 14 DISPLAY AS REQUIRED BY LAW SEQ# 1.14061*70002Ws
slam is
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RE$Ut113 COMMUCRON INC 996 GENERA!sUIL131 A'TOR av TY cau
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$75.0) 07/13/2015
CHECK2I-15-090619
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Ac� CERTIFICATE OF LIABILITY INSURANCE F
09122/2015
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
IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WANED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Pablo M Conde
MA Underwriters,Inc. SNE . 305-220-7447PAX .305-220-4821
8778 SW 8th St4ML _I
DDRE aaunderwdters.com
Miami,FI 33174 AMRDING COVERAGE NAIC o
INSURER A:United Specialty Insurance Company
INSURED INSURER B•
Rebuild Construction Inc INS IRER C.
INS RER D•
7250 NW 8th St#5
INSURER E
Miami FL 33126 UISURMF,
COVERAGES CERTIFICATE NUMBER. 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 IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE POLICY NUMBER POLICY OF POLICY EXP
LIM LIMIns
A X COMMERCIAL GENERAL LIABILITY —CMD-W005055-01 MINOR, 09/1812016 EACH OCCURRENCE $ 1,000,000
ansasawADE occuR rw= $ - 50,000
MED EXP WW ogre $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY❑jE& E7 Loc PRODUCTS-COMPIOPAGG $ 2,000,000
OTHER: S.I.R. $ 2,500.00
AUTOMOBILE LIABILITY gr
S $
ANY AUTO BODILY INJURY(Per pmsm) $
AAUUTOS OVMED AUUTT'OS LED BODILY INJURY(Per awkw t) $
HIRED AUTOS NON-OYYNED PROPERTY DAMAGE $
AUTOS
$
UMBRELLA UAB HOCCUR EACH OCCURRENCE $
LIAS CLAIMS-MADE AGGREGATE $
DED I ON $
WORKERS COMPENSATION I P
AND EMPLOYERS'LIABILITY Y I N
ANY PROPRISTOROPARTNERIEXECUTIVE E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? DN I A
(Mwwmwy in NMI E.L.DISEASE-EA EMPLOYE $
a
yy�e�d�a,e under
DESC ION OF ERA below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remeft Schews,may be a H more space M requb"
Roofing Contractor
CERTIFICATE HOLDER CANCELLATION
Miami Shores Village TTHEUEXPIRRATIANY ON DATHE TE DESCRIIXED THEREOF, NNOTICE SWILL BE DEL�NEIM IN
Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2nd Ave
AUTHORIZED REPRESENTATIVE
Miami Shores, FL 33138 L�
®1088-2013 ACORD CORPORATION. All rights reserved.
ACORD 25(2013104) The ACORD name and logo are registered marks of ACORD
ACOR.R CERTIFICATE OF LIABILITY INSURANCE703/16/2015
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Miami International Inauraaaa, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2200 SW 16 ST SUITE 212 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami FL 33145-
INSURERS AFFORDING COVERAGE
Pismo INSURER A FLORIDA W.C. JUA
REBUILD CONSTRUCTION, INC. INSURERS
7250 N.W. 8 STREET BAY #5 INSURER
INSURER D:
MIAMI FL 33126- 1 INSURER
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY
REQUIREMENT.TERRA 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.
im TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
PIRATION LIMITS
GENERAL tJABRLITY DATE LMMMWY-Y) DATE EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE jAny one tae) S
CLANS MADE ❑OCCUR / / / / MED EXP(Any aaa perwn) $
PERSONAL 9 ADV INJURY s
GENERAL AGORECATE e
GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS•COMP/OP AGG $
POLICY PTT M LOC
AUTOMOBILE LIABILITY I I I I COMBINED SINGLE LIMIT
ANY AUTO tEaaeckwitt $
ALL OWNED AUTOS / / / / BODILY INJURY .
SCHEDULED AUTOS (PwpM'wt $
HMO AUTOS I I / I BODILY INJURY
NONOWNED AUTO$ (Pw acaaent) g
I I I I PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY-EA ACCiDE NT S
ANY AUTO I I I I OTHER THAN EA ACC $
AUTO ONLY AGG 6
EXCESS LIABILITY I I I IFACHOCCURRENCE a
OCCUR CLAIMS MADE AGGREGATE 5
s
DEDUCTIBLE
RETENTION 8 $
ZSI&OC LII3�T)O1 AND
E L EACH ACCIDENT S 100,000
A 6FR13U8-2857C60-4-15 03/09/2015 03/09/2016 EL DISEASE-EAEMPLOYEE t 100,000
E L DISEASE-POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONSILDCATX*MNSWLESIEXCUAPONS ADDED By ENDORBEMENTISPEC%L PROVISIONS
GM42RAL CONTRACTOR, SUBJECT TO POLICY ISSUE TSRMS AM CONDITIONS. THIS CERTIFICATE SUPERCEDES ANY PRIOR CERTIFICATE.
CERTIFICATE HOLDER ADDITIONAL ML9URED•INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Miami Shores Village EXPIRATION DATE THEREOF, THE ISSUtNG INSURER tARLL ENDEAVOR TO MAIL
Building Dept. 15 DAYS wRaTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TC THE LEFT.PUT
10050 NE 2nd Ave. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Miami Shores, FL 33138 ITS AGENTS Oft REPRESENTATIVES.
AUTHORIZED REPRESENTATiME eR/`I�
2 �7} (, 7 0.)ACORD CORPORATION 1988
14.,,-INS02M(9910)Ot ELECTRONIC LASER FORMS INC-(!0327.0545 Page 1 of 2
Flodds Building Code 5th Edition(2014) �
High-Veloclty Hurricane Zone Uniform Permit Application Form. �
0000 �
Section A(General Information) '
�-f- (� �3�
Master Permit No. Process Ngo
0000.
00.900 . 1
Contractor's Name 11� Gbh. s�'itZtJ CT1t71.! .0000• 0 0 :0909: 1
9999
.�7'iZT
•999•
Job Address, . 5 1 y%T. Z �1. ••�••� .00-0- •0:0•'
99 9 999999 1
• 1
ROOF CATEGORY 0 0
sr/ 0000..
tow Slope Q Mechanically Fastened"file ® I rtaOwAdhe Set Tiles :
Q Asphaltic Shingles C! Metal Panel/Shingles 0 Wood Shingles4;;;1 0 1
b Prescriptive BUR-RAS 150 ti
ROOF TYPE 11
® New roof ❑ Repair 17 Maintenance Reroofing 0 Recovering 1
ROOF SYSTEM INFORMATION �
Low Slope Roof Area(SF).2LZA1 Steep Sloped Roof AREA(SSF} Total(SF)-5-2-3- �
Section S(Roof Plan) 11
Sketch f3oof Plan: Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains,Include dimen- 1
sions of sections and levels,dearly identify dimensions of elevated pressure zones and local on of parapets. 1
1
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FLORIDA BUILDING CODE—BUILDING,Stir ECIMON(2014) � 1S.
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
High Velocity Hurricane Zone Uniform Permit Application Form.
Fill in the speclflc roof assembly components.if a component is not required,insert not applicable(n/a)in the text box.. • •
• • •••• ••••••
ROOF SYSTEM MANUFACTURER: IAF Material Corp Top Ply: •4,0 • .. • •
1 PLY GAF CAPSHEET "':" •• ....:•
Product Approval (NOA): 141030.02 System Type:KI Top Ply Fastening/Bonding Material: ' • •
Wind UpIllt Pressures,From RAS 128 or Sealed Calculations: ASTM Type IV Asphalt •••• "�'•
(P1) Field: psf Surfacing:
WA �••i �• �•� ••i••�
9�
SINGLE PLY MEMBRANE: •••.. •
(132) Perimeters: -71.1 pe{ ; • •
Single Ply Manufacturer/Type: • •••
(P3)Comers: -1 psi I WA •• i i••••i
Maximum Design Pressure From NOA -52.5 psi •• •
Single Ply Sheet Width:El"1l2 Sheet Width: WA "
Roof Slope:1.25 ":12 Roof Mean Height: 10 ft. No.of Single Ply 112 sheets: WA
Parapet Walls: E3 No 0 Yes Parapet wall Height: 2 ft. Single Ply Membrane Fastening/Bonding Material:
WA
Deck T —5l8"Plywood—
�' R1 FASTENER SPACING FOR BASESHEET ATTACHMENT
Support Spacing: 24 "o/c ❑SINGLE PLY MEMBRANE ATTACHMENT
Alternate Deck Type: N/A 1.Field: "oic @ Laps&LLJ rows P 1`01c
Existing Roof:
BUR 2.Perimeter.F67"o/c @ Laps&F7rows "oic
Fire Barrier. 3.Comer r47"o/c @ Laps&r67 rows r47"o/c
WA
Vapor Barrier. NUMBER OF FASTENERS PER INSULATION BOARD:
WA 1. Field: WA 2. Perimeter.rWA 3. Comer. WA
Anchor Sheet: Insulation Fastener Type:
1 PLY GAF Glass Base#75 WA
Anchor Sheet Fastener/Bonding Material:
11I4RS&15/8 TC WOOD NAILER TYPE AND SIZE:
Insulation Base Layer Size&Thickness: 2X6 7
1.5 ENERGYGUARD ISO 4'X4' Wood Nailer Fastener Type and Spacing:
Insulation Base Layer Fastener 1 Bonding Material: #12 SCREWS STAGGERED 8"O.0
ASTM Type IV Asphalt EDGE&COPING METAL SIZES:
Insulation Top Layer Size&Thickness: Edge Metal Material: —Galvanized Metal—
WA Edge Size: ~3"face' ga.—
Insulation Top Layer Fastener/Bonding Material: Hook Strip Size: —METAL EDGE HOOK STRIP N/A—
N/A Edge Metal Attachment:
Base Sheet(s)&No.of Ply(s): 1 1/4 RS 4"OC
1 PLY LOOSE LAID STRATAVENT
Base Sheet Fastener/Bonding Material: Coping Material: ~PARAPET COPING ME7AL4N/A—
L66SE LAID Coping Size: —COPING METAL SIZE WA—
Ply Sheet(s)&No.of Ply(s): Hook Strip Size: --COPING METAL HOOK STRIP N/A-
1 PLY GAF RUBEROID#20 Parapet Coping Metal Attachment:
Py Sheet Fastener I Bonding Material: WA
ASTM Type IV Asphalt
Florida Building Code 5th Edition(2814)
High-V®locity Hurricane Zone Uniform permit Appffcation Form.
Illustrate Components (Voted and Details as Applicable: •• •• •
Woodblockin , Gutter, Edge Terminations/Stripping/Flashing, Continuous Cleat, Cant Strip, B93brikshing,
• • 00.0:0
•,,,,•
Counterflashing, Coping, Etc.
•
Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material,%tgrral Thi�ckiaes,
0000.
Fastener Type, Fastener Spacing •••••• •• . ••
Or: Submit Manufacturers Details that Comply with RAS-111 and Chapter 16. •
0000.
Concrete wall • • • • •••• •
Elestorneric sealant tooled •• • •••• •••• •
to facilitate Mater run-riff •• •
optional:compressible
Elaistorneric sealant Parapet wall height: 2 ft.
Metal counterflashing mach
.= '-s, -�'r y,. • attached S olc w/washer hoof Mean Height: 10 ft.
Seal top of buss flashing wl Base Flashing:
comptable material GAF RUBEROID WHITE MOP
9 Surfacing:
- Termination bar mach.
attached 6"olc N/A
Top Ply:
Feld plies turned up wall 1 PLY GAF CAPSHEET
Inter Ply Sheet:
4 '' Base flashing min. 1 PLY GAF RUBEROID#20.
S"above finished roof Base Sheet:
Mutlple plies of built up 1 PLY LOOSE LAID STRATAVENT.
roofing
Top Layer of Insulation:
Top Layer of insulation N/A
Base Layer of Insulation:
8'• .' Base Layer of Insulation 1.5 ENERGYGUARD ISO INSULATION
Optional Anchor
Sheet Anchor Sheet:
•4 - • ;. - AS Primer 1 PLY GAF#75 BASE
Concrete ;.
Roof Recl
w Cam strip
Ka .
ROOF ASSEMBLIES AND ROOFTOP'SS RUCi1JRES
Florida Building Code 5th Edition (2014) ....
High-Velocity Hurricane Zone Uniform Permit Appilmdon Form ; ,�, •••• ••••••
•••••• • •• •
Illustrate Components Noted and Details as Applicable..••••• ••••••
...... .. . • .
.. .. .. . ......
••• •
Roof Mean Height: ft. •••• •
s •
Drip Metah •• •
3X3_269A U_ GE GALVANIZED
Continuous Cleat:
Tin PlyN/A
Interplies
Surfacing:
Base Sleet N/A
Top Ply:
l�ch�r Sheet 1 PLY GAF CAPSHEET
5 y 44
Interplies:
Drib Metal PLY GAF RUBEROID#20.
Base Sheet:
--n-. Continuous 1 PLY LOOSE LAID STRATAVENT.
Cleat Top]Layer of Insulation:
Wood Nailer NIA
Base Layer of Insulation:
, i 1.5
'`, " ISO ENERGYGUARD INSULATION
Roof Deck � �� - �
- Rood Mailer:
Bass Layer - 2X6" P.T
_ _
auy
of I'tst'Ialtlett � 'mood Mailer Fastening:
of,ns -dion #12 SCREWS 8" O.0
Anchor.Sheet:
fl—PLY#75 BASE SHEET
Deck Type:
5/8 PLYWOOD
M
bOr�ring Exrdrence Emery vsyff
__...- MAM-DA.DE COUNTY
REQUIRED OWNERS NOMMATION FOR;RGOMG CONSIDERATIONS
It is the respanability of the roofing contractor to provide the owner with the required roofing perrni,and to
explain to the owner the content of ibis form. The owner's initials in the designated space indicates that the item
has been explained.
I.Aesthetics-workmmanrihip: The workmanship provisions of Chapter 15(high Velocity Hurricane
Zone)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 wodmmshi#provisions.
Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should be addressed
as part of the agrectnent between the owner and the contractor.
2.Rendbg woad decks: When replacing roofing,the existing wood roof deck may have to be
renailed in ode. (The lance with the current.provisions
Code. ( of Chapter 16(High Velflcity�cane-Zones)of the Florida
Building roof deck is usually concealed prior to removing tho existing roof system).
3. Common roofs: Common roofs are those which have no visible delineation between neighboring
units(Le.townhouses,conte,atc.).In buildings with common roofs,the roofing contractor and/or
owner should notif3rthe occupants of adjacent units of roofing work to be performed '
X4.Exposed ceilings: Exposed,open beam ceilings are where the underside of the roof deckiig.cW be
iewedlfirom below. The owner may wish to maintain the architectural appearance; 6666..
penetrations of the underside of the decking may not be a F1�n t�refore roofing hail
y acceptable.The ownerprovides th'egtien of:•• •• •,
maintoniugthis appearance. •••••• • •• ••••••
•
S.Ponding water: The current roof system and/or deck of the building
maynotch�3 vella&wy 6666.•
cause water to poizd;{accumulate)in low lying areas of the roof. Ponding can be an indica#ostrucfasral. 60:00
distress acid may require the review of a professional stracuiral engineer.Ponding may shorten�he life 0••6•• ••••••
expectancy and performance of the new roofing •
g system. Ponding conditions may not be edftt:Mtil the ciriginal 0•
ro0 system is remove& Ponding conditions Should be corrected. • • 6 •
6666..
• .• : 6..6 :6666:
6.Overflow scuppers(Walt outlets): It is required that rainwater flow off so that t ie roof iss x�,•
overloaded from a build up of water. Perimeter/edgewalls 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 MqU ilments of: Chapter 15 and 16 herein and the.g mIda Building Code,Plr nbing,
7 Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly(the building itself). The existing mount of attic ventilation shalt not be
reduced.
Ownees/Agen is Si d: ' .
gnatur Date,
Contractor's Signature: 1i Permit Number:
E�
Property Address: V-tt- ta5 g
MIAMNDM►DE MIAMI-DARE COUNTY
a PRODUCT CONTROL SECTION
11805 SW 26 Street,Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.ndam1dad&g2X/econo=
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 Ruberoid®Modified Bitumen Roof System for Wood Decks. ••••
. . .... ......
LABELING: Each unit shall bear a permanent label with the manufacturer's name oYJvgo,*city,State . .•
and following statement:"Miami-Dade County Product Control Approved",unless ot►hervise noted ....:.
herein. 09'09' •
RENEWAL of this NOA shall be considered after a renewal application has beenfite 44d thereiiaS•••
been no change in the applicable building code negatively affecting the performance ofihis product.. . ..:..'
.. . ......
TERMINATION of this NOA will occur after the expiration date or if there has be*.n. .r99 sion or �.
change in the materials,use,and/or manufacture of the product or process.Misuse oithis TjOA a.%an
endorsement of any product,for sales,advertising or any other purposes shall automatically tenni4W•• .
this NOA.Failure to comply with any section of this NOA shall be cause for terminaWar d removaled :0909:
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 revises NOA No. 14-0611.01 and consists of pages 1 through 30.
The submitted documentation was reviewed by Jorge L.Acebo.
I
NOA No.:14-1030.02
MIAMI DADS COUNTY Expiration Date: 11/06/18
JAPPROVED1 Approval Date: 11/05/15
Page 1 of 30
i
ROOFING SYSTEM APPROVAL
Category Roofing
Sub-Category: Modified Bitumen
Material: APP/SBS
Deck Type: Wood
Maximum Design Pressure: -75 psf.
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE 1
Test Product
Product Dimensions Specification Description
Matrix's 102 SBS Membrane 5 gallons ASTM D3019 Fiber reinforced rubberized cold-applied
Adhesive adhesive for modified bitumen roof
systems.
GAFGLAS®#75 39.37" ASTM D4601 Type H asphalt impregnated and coated
Base Sheet (1 meter)Wide glass mat base sheet.
GAFGLAS®#80 Ultima."'Base 39.37" ASTM D4601 Type II asphalt impregnated and coated,
Sheet (1 meter)Wide fiberglass base sheet.
GAFGLAS®F1exPly 6 39.37" ASTM D2178 Type VI asphalt impregnated glass felt
(1 meter)Wide with asphalt coating.
GAFGLAS®Ply 4 39.37" ASTM D2178 Type IV asphalt impregnated glass felt
(1 meter)Wide with asphalt coating.
GAFGLAS®Mineral Surfaced 39.37' ASTM D3909 Asphalt coated,glass fiber mat cap sheet
Cap Sheet (1 meter)Wide surfaced with mineral granules.
GAFGLAS®EnergyCap 39.37" ASTM D3909 Asphalt coated,glass fiber mat%p street
BUR Mineral Surface Cap (1 meter)Wide surfaced with mineral granules NiA.• 0 0 0 0..
Sheet factory applied ErIbireCke7 so,
. 0
GAFGLAS®Stratavent® 39.37" ASTM D4897 Fiberglass base sheet,gented orrb6*Ades •••• •
Eliminator Perforated (1 meter)Wide with asphalt.Surf2tft"aft the bottofn side
Venting Base Sheet with mineral granuMlelibedde";0 0 '
asphaltic coating whYfactory perforations.
GAFGLAS®Strattavent® 39.37' ASTM D4897 A nailable,fiber y§s � sheot..c.61ad on
�i� 0000..
Eliminator Perforated (1 meter)Wide both sides with asp}g4.$urfaced op the •
Nailable Venting Base Sheet bottom side with Adn"granules 0.00;0
0..
embedded in asphaltic soating.000
0 .
Ruberoid®SBS 39.37' ASTM D6164 Non-woven polyester m::t coat%&v fftj 00
Heat-Weld'"Smooth (1 meter)Wide polymer-modified asphalt and sitbotlf
surfaced.
Ruberoid®SBS 39.37' ASTM D6164 Non-woven polyester mat coated with
Heat-Weld"Granule (1 meter)Wide polymer-modified asphalt and surfaced
with mineral granules.
RoofMatch'" 107 sq.ft. ASTM D6164 Non-woven polyester mat coated with
SBS Modified Granular (9.9 m2) SBS polymer-modified asphalt and
surfaced with colored mineral granules.
Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with fire
Heat-Weld` 170 FR (1 meter)Wide retardant polymer-modified asphalt and
surfaced with mineral granules.
NOA No.:14-1030.02
MIAM�eCOVMY Expiration Date: 11/06/18
a•n•• w Approval Date: 11/05/15
Page 2 of 30
Test Product
Product Dimensions Specification Description
Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with
Heat-Weld'Plus (1 meter)Wide polymer-modified asphalt and surfaced
with mineral granules.
Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with fire
Heat-Weld"Plus FR (I meter)Wide retardant polymer-modified asphalt and
surfaced with mineral granules.
Ruberoid®EnergyCap°'SBS 39.37" ASTM D6164 Non-woven polyester mat coated with fire
Heat-Weld`Plus FR (1 meter)Wide retardant polymer-modified asphalt and
surfaced with mineral granules and with
factory applied EnergyCote.
Ruberoid®SBS 39.37" ASTM D6163 Non-woven polyester mat coated with
Heat-Weld'"25 (1 meter)Wide polymer-modified asphalt and smooth
surfaced.
Ruberoid®Mop Granule 39.37" ASTM D6164 Non-woven polyester mat coated with
(1 meter)Wide polymer-modified asphalt and surfaced
with mineral granules.
Ruberoid®Mop Smooth 39.37" ASTM D6164 Non-woven polyester mat coated with
(I meter) Wide polymer-modified asphalt and smooth
surfaced.
Ruberoid®Mop Plus 39.37" ASTM D6164 Non-woven polyester mat coated with
(1 meter)Wide polymer-modified asphalt and surfaced
with mineral granules.
Ruberoid®Mop 170FR 39.37" ASTM D6164 Non-woven polyester max coated with fire
(1 meter)Wide retardant polymer modified asphil wand
surfaced with mingral Uanules.%.::•
Ruberoid®Mop FR 39.37" ASTM D6164 Non-woven polyeftrfhej coateAwitli fire .•
(I meter)Wide retardant polymernedified aspliart.an'd ....:.
surfaced with mined mules. •
Ruberoid®Torch Smooth 39.37" ASTM D6222 Non-woven polyeitCr"4 coatcgy4t 0 •
(1 meter)Wide APP modified asph1?t%bd smodth 00:060
surfaced. *'"" '•000 ""'
Ruberoid®Torch Granule 39.37" ASTM D6222 Non-woven polye o o jj%t coated v!t� :
(1 meter)Wide APP modified asptalt%4 0 000000
surfaced with mineral ganules;'.... .
Ruberoid®EnergyCap"Torch 39.37" ASTM D6222 APP modified cap membrane withaxorch :"":
Granule FR (1 meter)Wide grade bottom surface and a miriev
granular top surface coated with factory
applied EnergyCote°".
Ruberoid®EnergyCap"'Torch 39.37" ASTM D6222 APP modified cap membrane with a torch
Granule Plus FR (1 meter)Wide grade bottom surface and a mineral
granular top surface coated with factory
applied EnergyCote7.
RoofMatcP 107 sq.ft. ASTM D6222 Non-woven polyester mat coated with
APP Modified Granular (9.9 m2) APP polymer-modified asphalt and
surfaced with colored mineral granules.
Ruberoid®Torch FR 1 meter ASTM D6222 Non-woven polyester mat,coated with fire
(39.37")Wide retardant asphalt modified bitumen
membrane with granule surface.
NOA No.:14-1030.02
MIAMI DADS counrnr Expiration Date: 11/06/18
•• ► Approval Date: 11/05/15
Page 3 of 30
Test Product
Product Dimensions Snecincation Description
Ruberoid®20 1 meter ASTM D6163 SBS modified asphalt base sheet reinforce
(39.3T')Wide with a glass fiber mat.
Ruberoid®30 1 meter ASTM D6163 Non-woven fiberglass mat coated with
(39.37")Wide polymer modified asphalt and surfaced
with mineral granules.
Ruberoid®30 FR 1 meter ASTM D6163 Non-woven fiberglass mat coated with fire
(39.37")Wide r6tardant,polymer-modified asphalt and
surfaced with mineral granules.
Ruberoid®EnergyCap"'30 FR 1 meter ASTM D6163 Non-woven fiberglass mat coated with fire
SBS Membrane (39.3T')Wide retardant,polymer-modified asphalt and
surfaced with mineral granules and with
factory applied EnergyCote.
Ruberoid®Dual FR 39.37"(1 meter) ASTM D6162 Non-woven polyester and fiberglass mat
Wide coated with file retardant,polymer-
modified asphalt and surfaced with
mineral granules.
Topcoat®Elastomeric Roofing 1,5 or 55 gallons ASTM D6083 An acrylic,water based elastomeric
Membrane membrane system designed to protect
various types of roofing surfaces.
Topcoat®MB Plus 5 or 55 gallons Proprietary Water based,low VOC primer used to
block asphalt bleed-through.
Topcoat® 5 gallons ASTM D6083 Solvent based sprayable thermoplastic
Surface Seal SB rubber sealant designed to protect and
restore aged roof surfaces and to increase
a roofs reflectivit%. 0*00•
Fire0e Fire Barrier Coating 5,55 gallons Proprietary Low VOC,water-b4VO tre bag er, go** •
coating. 0000•• • •• 0000••
VersaShield® 42"x 100'rolls ASTM D226 Non-Asphaltic,fire roaklant fiberglass-
Fire-Resistant Roof Deck based underlaymept!•••• ;,••;• • •
Protection '•'• ":".
. 00 00 0. 6 ••969•
•00.0• •
0 0 :064:00996:
.
• 0 • .
. 0 0000••
00 0 000• . •
NOA No.:14-1030.02
MIAMI DARE COUtV7 Y Expiration Date: 11/06/18
••• ► Approval Date: 11/05/15
Page 4 of 30
APPROVED INSULATIONS:
Table 2
Product Name Product Description Manufacturer
(With Current NOA)
EnergyGuard&'Polyiso Insulation Polyisocyanurate foam insulation GAF
EnergyGuard"'RA Polyiso Insulation Polyisocyanurate foam insulation GAF
EnergyGuard7 RN Polyiso Insulation Polyisocyanurate foam insulation GAF
EnergyGuard'Perlite Recover Board Perlite recover board GAF
EnergyGuard"Perlite Roof Insulation Perlite roof board GAF
EnergyGuard"'RA Composite Polyiso Polyisocyanurate/wood fiberboard GAF
Insulation or perlite composite
Structodek'High Density Fiber Board High density wood fiber Blue Ridge FiberBoard,Inc.
Securock®Gypsum-Fiber Roof Board Gypsum board United States Gypsum Corp.
APPROVED FASTENERS:
TABLE 3
Fastener Product Product Manufacturer
Number Name Description Dimensions (With Current NOA)
1. Drill-Tec"'#12 Fastener Carbon steel fastener used Various GAF
in steel or wood decks.
2. Drill-Tec"'#14 Fastener Carbon steel fastener used Various GAF
in steel,wood or concrete
decks.
3. Drill-Tec'XHD Fastener Carbon steel extra heavy Various GAF
duty fastener used in steel ••••
decks. •••• ••••••
4. Drill-Tec AccuTrac®Flat AZ-SS aluminized steel 3"x 3" 00 ' GAP.% % ••
.. . .0 . 0000..
Plate plate for use with Drill- 000•
0000.. 0
Tec"'#12 Fastener,Drill- 0•*0 ••••
Tec#14 Fastener and •0000• ;••••• ••,•�
Drill-Tec"'#15 Fastener.
S. Drill-Tec"' ASAP 3S Drill-Tec"'#12 fastener Various ••�••� GA>J'..'.' ......
with Drill-Tec"'3" •••••• •
Standard Steel Plate. 0000.. ••••••
6. Drill-Tec AccuTrace Galvalume Steel plate for 3"x 3" .'. GAF
.. 0000
Recessed Plate use with Drill-Tec"` ••*•
fasteners.
7. Drill-Tec"`3"Steel Plate Round galvalume steel 3" GAF
stress plate for use with
Drill-Tec"'fasteners.
8. Drill-Tec"'3"Standard Round galvalume plated 3" GAF
Steel Plate steel stress plate with
reinforced ribs for use with
Drill-Tec"'fasteners.
NOA No.:14-1030.02
NpAMwADE COUNTY Expiration Date: 11/06/18
•••. Approval Date: 11/05/15
Page 5 of 30
EVIDENCE SUBMITTED:
Test Agency Test Identifier Description Date
Factory Mutual Research Corp. 3001276 FMRC 4470 01/28/99
IB9A8.AM FMRC 4470 09/04/97
3D4Q2.AM FMRC 4470 04/30/97
ODIA8.AM FMRC 4470 04/01/98
Underwriters Laboratories R1306 UL 790 07/22/13
Trinity Engineering 4483.04 97-1 TAS 114 06/06/97
IRT-ARCON Inc. 02-005 TAS 114 03/01/02
02-014 TAS 114 04/08/02
01-039 TAS 114 03/01/02
Trinity ERD G30250.02.10-2 ASTM D6222 11/11/10
G30250.02.10-3-R2 ASTM D3909 06/03/15
G31360.03.10 ASTM D6164 03/31/10
G33470.01.11 ASTM D6164 01/13/11
G34140.04.11-2 ASTM D6163 04/25/11
G34140.04.11-4-R2 ASTM D4601 6/4/2015
G34140.04.11-5-R3 ASTM D4897 6/4/2015
G40620.07.12-2 ASTM D6222 07/17/12
G40630.01.14-1 ASTM D6163 01/06/14
G40630.01.14-2A ASTM D5147 01/07/14
G40630.01.14-2A-1-Rl ASTM D6164 04/10/14
G40630.01.14-2B-Rl ASTM D6164 01/16/15
G40630.01.14-2C ASTM D6164 01/07/14
G40630.03.14 ASTM D5147 03/06/14
G43190.03.14-1 ASTM D5147 03/06414.
G43190.03.14-2 ASTM D5147 ••• 03/0r&)4.0 •••• •
G43190.05.14-R1 ASTM D5147 " 05/2V14.0 00
G43190.11.13-1 ASTM D6222 "**:" 11/15/13' 000000
G43610.01.14 ASTM D5147 000000 01/22/14 :...0:
G46160.02.15-2D ASTM D6163 •,,,,• 02/(J/45:• ,..00•
G46160.03.15 ASTM D6163 ..000. 03/1185. 06:00•
G46160.09.14-2A ASTM D5147 *o0*90 09/OV4 4.' 000000
G46160.09.14-3A ASTM D6164 ••••0. 09/09/14
G46160.09.14-3B ASTM D6164 0 09/(vilk., ••••:•
G46160.09.14-3C ASTM D5147 .•. 09/09/14
G46160.12.14-3E ASTM D6164 12/11/13'. '
G6850.08.08 ASTM D6163 WON
G6850.08.08-R1 ASTM D6164 04/14/11
G6850.10.08 ASTM D6222 10/06/08
G6850.11.08 ASTM D6222 02/17/09
SC6870.08.14-R1 ASTM D3909 09/04/14
NOA No.:141030.02
Expiration Date: 11/06/18
Mte KWUUeCoulu�lr Approval Date: 11/05/15
Page 6 of 30
EVIDENCE SUBMHTED: (CONTINUED)
Test Aaencv Test Identifier Description Date
PRI Construction Technologies LLC. GAF-084-02-01 ASTM D6083 07/08/05
GAF-122-02-01 TAS 139 05/07/06
GAF-245-02-01 ASTM D6083 06/10/10
GAF-276-02-01Rev ASTM E2178 01/04/11
ASTM D6083
GAF-306-02-01 ASTM E96 07/07/11
GAF-314-02-01 ASTM D2178 08/23/11
GAF-315-02-01 ASTM D2178 08/23/11
GAF-369-02-01 ASTM C1289 10/22/12
GAF-464-02-01 ASTM C1289 02/06/14
GAF-499-02-01 ASTM D6083 03/12/14
GAF-500-02-01 ASTM D6083 03/12/14
Momentum Technologies,Inc. AX04C9A ASTM D6162 06/05/09
0000
. . 0000 0000..
0000..
0000..
0000
009.6.
0000 . 00000
0000.. .. 000000
0 .
00 00 00 0 000000
:60:0:
9 so
. 0 0 0 0000.0
.0.000
0
.. 0000 .0000.
0 .
NOA No.:14-1030.02
Expiration Date: 11/06/18
hpaM ,•••E�,� Approval Date: 11/05/15
Page 7 of 30
APPROVED ASSEMBLIES
Membrane Type: SBS
Deck Type 11: Wood,Insulated
Deck Description: 19/32"or greater plywood or wood plank
System Type A(1): Anchor sheet mechanically fastened,all layers of insulation adhered with
approved asphalt.
All General and System Limitations shall apply.
Fire Barrier: FireOut"°Fire Barrier Coating,VersaShield®Fire-Resistant Roof Deck Protection
(optional) or Securock®Gypsum-Fiber Roof Board.
Anchor sheet: GAFGLAS®#80 Ultima'"Base Sheet,GAFGLAS®Stratavene Eliminator
Nailable Venting Base Sheet,Ruberoid®20,Ruberoid®SBS Heat-Weld Smooth
or Ruberoid®SBS Heat-Weld'25 base sheet mechanically fastened to deck as
described below.
Fastening GAFGLAS®Ply 4,GAFGLAS®FlexPly 6,GAFGLAS®#75 Base Sheet or any
Options: of above anchor 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.
(Maximum Design Pressure,45 ps,f.See General Limitation#7)
GAFGLAS®Ply 4,GAFGLAS®FlexPly'"6,GAFGLAS®#75 Base Sheet or any
of above anchor sheets attached to deck with Drill-Tec'#12 Fastener,Drill-Tec
#14 Fastener or Drill-Tec XHD Fastener and Drill-Tec°"3"Steel Plate,Drill-
Tec"'AccuTrac®Flat Plate or Drill-Tec"°AccuTrac®Recessed Plate installed l2"
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.
(Maximum Design Pressure—45 psf.See General Limitation#7)
GAFGLAS®F1exPly 6,GAFIP
LD
aljw•e ancliar••sheets attached to deck with aWd ft caps ht# ••fastener spacing of 9"o.c.at 9 V•o.c.in•the••***so •field. 000
(Maximum Design Pressure •••
.....
GAFGLAS®#80 Ultima Base Sheet,Ruberoid®20,Ruberoid®U80 Smopt %der ••••••
sheet attached to deck with approved annular ring shank nails andtin caps of a '•'•:'
fastener spacing of 9"o.c.at the 4"lap staggered and in two rows9"•••o.c.inrthe• ••• •
field. 0 0 ••••••
(Maximum Design Pressure—60 psf.See General Limitation#.I
GAFGLAS6'#75 Base Sheet or any of above anchor sheets attached to deck with•
Drill-Tec7`#12 Fastener,Drill-Tec#14 Fastener or Drill-Tec XHD Fastener
and Drill-Tec 3"Steel Plate,Drill-Tec'"AccuTracs Flat Plate or Drill-Tec"`
AccuTrae Recessed Plate installed 12"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—60 psf.See General Limitation#7)
NOA No.:14-1030.02
Mu4MFD�4DECou1Vr7 Expiration Date: 11/06/18
• ► Approval Date: 11/05/15
Page 8 of 30
I
Fastening Any of above anchor sheets attached to deck approved annular ring shank nails
Options: and 3"inverted Drill-Tec insulation plates at a fastener spacing of 9"o.c.at the
(Continued) 4"lap staggered in two rows 9"in the field.
(Maximum Design Pressure—60 psf.See General Limitation#7)
GAFGLAS®#75 Base Sheet or any of above anchor sheets attached to deck with
Drill-Tec"`#12 Fastener,Drill-Tec'"#14 Fastener or Drill-Tec"°XHD Fastener
and Drill-Tec 3"Steel Plate,Drill-Tec AccuTrac®Flat Plate or Drill-Tec"`
AccuTrac®Recessed Plate installed 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)
One or more layers of any of the following insulations.
Insulation Layer Insulation Fasteners Fastener
(Table 3) Density/W
EnergyGuard'Polyiso Insulation,EnergyGuard'Polyiso RA Insulation,
EnergyGuard'Polyiso RN Insulation,EnergyGuard'RA Composite Polyiso Insulation
Minimum 1"thick N/A N/A
Structodek®High Density Fiber Board,EnergyGuard"'Perlite Recover Board
Minimum%"thick N/A N/A
EnergyGuard'Perlite Roof Insulation
Minimum W'thick N/A N/A
Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt
within the EVT range and at a rate of 20-40 lbs./100 W. Please refer to Roofmg Application
Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used
only as base Iayers with a second layer of approved top layer insulation installed as the final
membrane substrate. Composite insulation panels may be used as a top layer placed with the
polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS®Stratavene
Eliminator"Perforated Venting Base Sheet laid dry or a layer of EnergyGuard'Perlite RODS+++
Insulation or wood fiber overlay board on all polyisocyanurate applications. ; ••• •••••• •••• •
•• . •• • •
Base Sheet: (Optional)Install one ply of GAFGLAS®#75 Base Sheet,GAP' 0 31# • ***@ ••••:•
Ultima"'Base Sheet,GAFGLAS®Ply 4,GAFGLAS F1exPl "'6' A' GLAS® • :0069:
trataven Eliminator Perforated VentingBase Sheet(laid u roi Atop 0
moo u oid 20, u oid SBS Heat-We month cr,4jjWoid®���5 999•0000.
9.
Heat-Weld"`25 directly over the top layer of insulation. AdhwgVYitII any •9 0.0• 009000
approved mopping asphalt applied within the EVT range and arta Waite of 20-40. 9
lbs./sq. (See General Limitation#4). • 0900..
0.....
Ply Sheet: (Optional)One or more plies GAFGLAS®Ply 4,GAFGLAS®%W1PI r'"6, 0 9.0 ;••••;
GAFGLAS®#80 Ultima Base Sheet,Ruberoid®Mop Smooth,Ruberoid®2% 0
adhered in a full mopping of approved asphalt applied within the EVT range and
at a rate of 2040 lbs./sq.
Membrane: One r more plies o uberoid®20, uberoid®30,Ruberoid®EnergyCap"30 FR
SBS Membrane,Ruberoid 3 Ruberoid®Mop Smooth,Ruberoid®Mop 170
FR,Ruberoid®Mop Granule,RoofMatcP SBS Modified Granular,Ruberoid®
Mop Plus,Ruberoid®Mop FR or Ruberoid®Dual FR fully adhered in an approved
asphalt at an application rate of 25 lb./sq.f 15%.
NOA No.:14-1030.02
MlAMFDADE ca�nrnr Expiration Date: 11/06/18
-----IAPPROVEDI Approval Date: 11/05/15
Page 9 of 30
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 400 lbs./sq.and 300 lbs./sq.respectively in a flood coat
of A proved jgRhalt at 60 lbs./s .
2. CLAS®Mineral Surfaced Ca Shee ri-Ply®Mineral Surfaced Cap Sheet
or GAFG AS EnergyCar BUR Mineral Surfaced Cap Sheet adhered in a full
mopping of approved asphalt applied within the EVT range and at a rate of 20-40
lbs./sq.
3. Topcoat®Membrane,Topcoat®MB Plus(to be used as a primer with Topcoat®
Membrane)or Topcoat®Surface Seal SB applied at 1 tol.5 gal./sq.
Maximum Design
Pressure: See Fastening Options
0009
. . 0000 0000..
0000.. •
0000..
0000
0000..
0000 . 0000.
.. .. .. . 0000..
0000..
• 0000..
0000..
.. 0000
0000..
NOA No.:14-1030.02
MIAMbDADB COUNTY Expiration Date: 11/06/18
•• ► Approval Date: 11/05/15
Page 10 of 30
WOOD DECK SYSTEM LmTATiONS:
1 A slip sheet is required with GAFGLAS®Ply 4 and GAFGLAS®FlexPlyTM 6 when used as a
mechanically fastened base or anchor sheet.
2. Minimum W'DensDeck®Roof Board or%i"Type X gypsum board is acceptable to be installed
directly over the wood deck.
GENERAL LimrrATIONS:
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 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)valajof
2751bf.,as tested in compliance with Testing Application Standard TAS 105. Ii the f#stener V" ......
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 att"Incnt is gaged• ••••'•
on a minimum fastener resistance value in conjunction with the maximum desigisva;=4isted within
a specific system. Should the fastener resistance be less than that required,as dejeditftd by 2W'.0:. '
Building Official;a revised fastener spacing,prepared,signed and sealed by a FlofigVRegisteted
Engineer,Architect,or Registered Roof Consultant may be submitted. Said revio&MUS O lener sp00-0
shall utilize the withdrawal resistance value taken from Testing Application Star Jk( .TAS 105 apd
calculations in compliance with Roofing Application Standard RAS 117. ; . •••• •
0000
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of thelc
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in,.•• •
compliance with Roofing Application Standard RAS 117.Calculations prepared,signed and seeltd •
by a Florida registered Professional Engineer,Registered Architect,or Registered Roof Consultant
(When this limitation is specifically referred within this NOA,General Limitation#9 will not
be applicable.)
S. 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 61 G20-3 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
NOA No.:14-1030.02
MWMI MDECOUNTY Expiration Date: 11/06/18
�Fmaltngll Approval Date: 11/05/15
Page 30 of 30
InsuhMOn(Optional):—Any thickness peritte or wood fiber or glass fiber or polyisocyanurate,mechanically fastened or adhered with
"LRF Adhesive M"or OMG Inc."Olybond Fastening System"applied as a nominal 3/4-in.bead or"GAF 2-Part Roofing Adhesive"applied as
a nominal 2412-in.bead with a maximum on-center spacing of 12-In.or any UL Classified Insulation adhesive applied per the
manufacturer's Installation Instructions.
Use Sheet:—One ply"GAFGLASS Stratavent®Eliminator'"Venting Base Sheet"or Type G2,fully adhered with hot roofing asphalt
Ply Sheet:—One or two piles"RuberoidS Mop Smooth"or"RuberoidS Mop Smooth 1.5"or°RuberoidS Mop Smooth Plus"or"Ruberoide
20"or"RubaroidS 20 HT",fully adhered with hot roofing asphalt
Membrane:—One ply"GAFGLASS Mineral Surfaced Cap Sheet",fully adhered with hot rooting asphalt
Surfacing:—"TOPCOATS FnergyCote7"Elastomeric Coating"Of"TOPCOAT®MB Pius"or"TOPCOAT®322 White Elastomeric Coating"
applied at a rate of 2-gal/100-11:2.
19.Dacia C-15/32 Inbiin®:1
Insulation(optional):—Any thickness partite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with
OMG Lie."OlySond Fastening System"or any UL Classified insulation adhesive.
Barrer Board:—Minimum Y4-in.thick Georgia-Pacific Gypsum i.LC"DensDeck(jo Rootboard"or"DensDeck Primes Roofboard"or
"DensDeck DuraGuardm Roofboard"or minimum Ya-in.thick Untied States Gypsum Corp."SECUROCKS Roof Board"(Type MX-G)or
"SECUROCKS Glass-Flat Roof Board"(Type SGMRX)mechanically fastened or adhered with OMG Inc."OlyBond Fastening System"or any
UL Classified insulation adhesive with birtt joints In the barrier board products staggered a minimum of 6-In.from plywood deck joints.
Base Ply SSheet—heet: OnOne e or two p�es"RuberotLASO dS Mop tavent Smooth"or or eRubegBan Sheer roi®Mop Smooth Pus"fullhered y with
withot h hothalt
roofing asphalt
Membrane:—One ply"GAFGLASS Mineral Surfaced Cap Sheet"fully adhered with hot roofing asphalt
Surfacing:—'TOPCOATS FnergycoteTM Elastomeric Coating"or"TOPCOATS MS Plus"or"TOPCOATS 322 white Elastomeric Coating"
j applied at a rate of 2-gaIJ100-ft2.
,!20.Dacia C-15/32 gncllcyes�l
Base Street—One ply Type G2"GAFGLASO#75 Base Sheet"or"Tn-PIyS 075 Base Sheet"mechanically fastened.
Insulation(OpMorrai):—Any thickness or combination:perilte or wood fiber or glass fiber or polyisocyanu rate,mechanicaliy fastened or
hot mopped or adhered with OMG Inc."OlyBond Fastening System"or any UL Classified insulation adheslve.
Brass Sheet—One or more plies"RuberoldS 20"or"RuberoidS 20 HT"or"RuberoidS Modified Base Sheet",hot mopped or
mechanically attached.
Cali Sheet c—One ply Type G3"GAFGLASS Mineral Surfaced Cap Sheet"or'"[rt-PIVD Mineral Surfaced Cap Sheet"or"GAFGLAS�+s
EnergyCap BUR Mineral Surfaced Cap Sheet."
Class B
1.Deck C-15/32 ••••
Inellne:3-112 • •
• • 0000 0000••
•
Insulatdoi:(Optional):-One or more layers periite or wood fiber or glass fiber or polylsocyanura a q��ane og•'••• ••00:0
pefttwpolytsocyanurate composite or perlite/urethane composite or wood ftber/polyisocyanurate co�mnpo or phenolic,ray thickness
Ply Sheet&—Two or more piles Type Gi"GAFGLASS Ply 4"or"Tri-PIyS Ply 4"or"GAFGLASS Ply 150 FlItHnicaliy fastened ••••••
Cap Sheet:—Type G3"GAFGLASS Mineral Surfaced Cap Sheet"or"Tri-PIyS Mineral Surfaced Cap SMeW or%AFJWVFVeMyCe$- •
BUR Mineral Surfaced Cap Sheet",fully adhered with hot rooting asphalt • • •••••
•••• 0
2.Dacia C-15/32 ••o••: 00.00• 0000•
Sa:cilne:3-1/2
00 00 00
0-0.00 • ••
Inrsutadon(Optional):—One or more layers partite or wood fiber or glass fiber or potyisocyanura:e or un;hhane or
perltte/polylsocyanurate comppsite or periite/urethane composite or wood fiber/polyisocyanurate codposit;or phengfc,*anythidrn ••••••
Base Shy—Two or more plies Type GI or Type G2 or Type G3. •••••
Membrane:—one or more pttes"RuberoidS Torch Smooth"or"Rubeirolde Torch Granule"or"Rub"d(Oforch Gioinuli Ids"or * •
"Ruberoids Mop Smooth"or"RuberoidS Mop Smooth 1.5"or"RuberoidS Mop Smooth Pius"or"R beroidS Mop GmMft"oi'"RuberoidS
Mop Plus Granule"or"ROOFMatch""SBS Modified Granular"or"Tri-PIyS SBS Modified Bitumen Membrane"or"ROOFMatch m APP Modified
Granular"or"Trl-PIyS TP--4G"or'Tri-PIyS TP-4"or"RuberoldS Dual Smooth
Cap Sheet:—"GAFGLASS Mineral Surfaced Cap Sheet",or'Trl-PIyS Mineral Surfaced Cap Sheet"or"GAFGLAS®EnergyCap°"BUR
Mineral Surfaced Cap Sheet"fully adhered with hot rooting asphalL
3.Decile:C-15/32 Imine:2-1/2
Insulation(Optional):—One or more layers perifte or wood fiber or glass fiber or polyisocyanurate or urethane or
peritte/polyisocyanurate composite or perlite/urethane composite or wood fiber/potytsocyanurate composite or phenolic,any thickness.
Ply Sheet—Two or more piles Type GI"GAFGLASO Ply 4"or"Tri-PIyS Ply 4"or TGAFGLASS PI 64.
Cap Sheet —"GAFGLASS EnergyCapl"BUR Mineral Surfaced Cap Sheer.
y
4.Deck C-15/32 Inc&ne:21/2
i
Insulation(Optional):—One or more layers periite or wood fiber or glass fiber or pofyisocyanurate or urethane or
Bass Sheets y��Two orr morte e plitte or es Type G1 uGAF%ASPlcomposite o"Tri—PP"Ply V or"GAFnGLAS@ Ply 64 o Tosite ype phenolic,any
#75 Base
Sheet°or'Tri-Piye#75 Ban Sheet orType G3%AFGLASS Mineral Surfaced Cap Sheet.or"Tri-PIyS Mineral Surfaced Cap Sheet."
Membrane:—One or more piles"RuberoidS Torch Smooth"or"RuberoidS Torch Granule"or"•RuberoidS Torch Granule Plus"or
"RuberoidS Mop Smooth"or"RuberoldS Mop Smooth 1.5"or"RuberoidS Mop Smooth Plus"or"Ruberoide Mop Granuleor"Ruberoide
Mop Plus Granule or ROORMatch SBS Modified Granular"or'Tri-PIyS SBS Modified Bitumen Membrane"or"ROOFMatch'm APP Modified
http://database.ul.00m/cgi-bbVX V/template/LISEXT/lFRAME/showpage.html?name--T... 2/26/2014
OWNER'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION 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 (s,Utg�Et.Q
Property yAddress 6-10 rte toST
Roofing Permit Number
Dear Building Official: '
1
I &%JIVo XAAA99 .A, certify that I am not required to retrofit the roof to wall
connections of my building because:
The just valuation for the structure for purposes of ad valorem taxation in its?t]Ian$-VO,,089.00. •
•00.40 • •• ..••..
000000
U The building was constructed in compliance with the provisions of the JT%ft BuZdW.Code*•••b•
(FBC) or with the provisions of the 1994 edition of the South Florida f�&1ding CWe•(1994••,..•
••
SFBC). •• •• • ••• �•• • 0000••
•
17
0000•• • •
• • • •
• • • • 0000••
— - 0000•• • •
• • •
• • • 0000••
ignature of Property Owner •• 0000
•
Print Name
STATE OF FLORIDA COUNTY OF MIAMI-DADE
Sworn to and subscribed before me this �O
day 20 M%o
L(SEAMS REY
MY COMMISSION#FF
Wtl .Ash 03,
AM—
Personalty known
or Produced Identifi ' n
Whien the just valuation of the structure for purposes of ad valorem taxation is equal to or more than
$30;0,000.00, and the building was not constructed in compliance with the FBC nor with 1994 SFBC,
and affidavit of Roof to Wall Connection Hurricane Mitigation Retrofit must be provided.
C .mis 4xl�lsyIIoc�bl4m .,21Noo8ng A®devkCon Azd 07MWle.dw