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RF-15-2735 f1l Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-257818 Permit Number: RF-10-15-2735 Scheduled Inspection Date: May 02,2016 Permit Type: Roof Inspector: Naranjo,Ismael Inspection Type: Final Roof Owner: RODRIGUEZ,ARTURO Work Classification: Flat Job Address:10618 NE 11 Court Miami Shores, FL Phone Number (305)877-0897 Parcel Number 1122320280420 Project: <NONE> Contractor: JIREH ROOFING SERVICES INC Building Department Comments RE ROOF/FLAT ROOF Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Efr CREATED AS REINSPECTION FOR INSP-246688. i Failed Correction D Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 29,2016 For Inspections please call: (305)762-4949 Page 18 of 25 "• '�s� - £e a "`` 3p Jif'' `�" 3£ �.,kzd�£ 't ,aid£ E v3l C Miami Shores Village _£ ' a' 10050 N.E.2nd Avenue NE FL Shores, 33138-0000 Miami Sh ; Phone: (305)795-2204 Expiration: 10/15/2016 Project Address Parcel Number Applicant 10618 NE 11 Court 1122320280420 Miami Shores, FL Block: Lot: ARTURO RODRIGUEZ Owner Information Address Phone Cell ARTURO RODRIGUEZ 10618 NE 11 Court (305)877-0897 MIAMI SHORES FL 33138- 10618 NE 11 Court MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 5,000.00 JIREH ROOFING SERVICES INC (786)253-0508 Valuation: w_....:.._.,_.. �, :... _.: _ A:u. ., __._..................a.. Total Sq Feet: 500 Type of Work:Re Roof Available Inspections: Additional Info:RE ROOF/FLAT ROOF Inspection Type: Classification:Residential Tin Cap Scanning:3 Final Roof Review Roof Roof in Progress Renailing Affidavit Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# RF-10-15-57568 DBPR Fee $3.75 10/27/2015 Check#:1330 $50.00 $224.50 DCA Fee $3.75 Education Surcharge $1.00 04/18/2016 Cash $224.50 $0.00 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $274.50 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the fore oing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut ntractor to do the work stated. April 18, 2016 Authorized Signature:Own0T / Applicant / Contractor / Agent Date Building Department Copy April 18,2016 1 f f.l Miami Shores Village 1,``_- _u, V' Building Department OCT 2 7 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 fW: !�EL Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20jq _ BUILDING Master Permit No (J" 7 S PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC r'ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING F-] MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP dCONTRACTOR DRAWINGS JOB ADDRESS: /040 10 City: Miami Shores County: _ Miami Dade Zip: 9aIdIk Folio/Parcel#: ��' �23Z ' 99270-CIM Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: 'fFFE: vU OWNER:Name(Fee Simple Titleholder): �12✓ -04y a �•-�.��/Z Phone#: Address: City: State: ` Zip: '3'avAop, Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �� '�'y Phone#: Address: 0�1 ��i0�'✓Q13/�O �� City: CS. � "/ -State: Zip: Qualifier Name: /u Phone#: State Certification or Registration M Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: -city- Value ity:Value of Work for this Permit:$ Square/Linear Footage of Work-..., ® F r Type of Work '❑ 'Addition ' ff Alteration ❑ New Repair/Replace ' ❑ Demolition Description of r 1 Specify color of color thru tile: Submittal Fee$ Permit Fee$ QQ) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) ' v 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 Sk absence of such posted notice, the ins ection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CO OR The foregoing instrument was acknowledged before me this The foregoing instru n s acknowledged before me this -� day of /O ,20 Y" ,by x day of /d ,20 S" ,by AR id?o d�vav" o is personally known to D_ ,who is personally known to 7 me or who has produced as me or who has produced as identification nc(.a ( ,did take aNllMN ISARRA identifi ioho did t"#MQ0RWRA ion ''•. Public-State of Florida Public-State of Florida NOTARY PUB I = ommission#t FF 906782 NOTAR ' ommission#►FF 906782 m.Expires Aug 4.2019 . xp res Aug 4,2019 its, B=M ftmo National Notary Assn nuoi� I Bmxied ttrongb t Notary AwL Sign Sign: Print: Print: Seal: Seal: *s*•��#��s�**��*�*�**�� ee��x��*s�es��e**��x*�**s��**��*a�w**��*��***��sa�s**�x��*x��x*s��s�a��x��*��*��x*x�w APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) � a ? 4 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 DIAZ, MARISOL JIREH ROOFING SERVICES, INC. 1414 SAN BENITO AVENUE CORAL GABLES FL 33134 _.Congrawwonst w"is`I::nse yoffbecome-one-oMe-near -_ one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF from architects to yadit brokers,from boxers to barbeque restaurants, STATE AflE FLORIDAL RI BUSINESS AND and they keep Florida's economy strong. PROFDEPARTMENT SMENT OF BUSINE S ON Every day we work to improve the way we do business in order to CCC1325736 1SUED;' 06/10J2014 serve you better. For information about our services,please log onto www myfforidatiaert &com. There you can find more information CERTIFIED ROOFINd[ZONTRACTOR about our divisions and the regulations that Impact you,subscribe , to department newsletters and learn more about the Department's p1AZ,MARISOL Initiatives. JIREH ROOFINGSEf.MCES,iNC Our mission at the Department is:License Efficiently,Regulate Fairly. We constantly strive to serve you better so that you can serve youry customers. Thank you for doing business in Florida, IS CERTIFIED under the,-provisions of Ch.489 FS. and congratulations on your new license! Expkalbn thft:-AUG 31,2016 11406100001839 ncrwt+t t t trnr CITY OF CORAL GABLES,FLORIDA CUST.NO.220M Rif-0107 6M LOCAL BUSINESS TAX RECEIPT 2015-2016 THIS IS NOT A BILL-DO NOT PAY 61.1804E98 NAME. JIREH ROOFING SERVICES INC LOCATILIN; 1200 ANASTASIA AVE e 09ANAMM MARISOLARSOLEDA DIAZ 207 CLASSIFICATION: NO.OF UMTS uNR ogecRwnpN AMOUNT PAW,$ 21&M 1 ROOFING CONTRACTOR I 2 3 4, 6 BUSINESS TAX RECPT RENEWAL VAUD ONLYAT LOCATION ABOVE. { RECEIPT EXPIRES 09130=16 This receipt dose not constitute authority to begin operating at this location withmd a � CertiBoate of Use and Inspection Approval*"" F s ODOM _ f �" k r ldSi`i �lti it fit l.:=13It)`#'A1f 7171up 87!3 11ZC lCsc a 1 �NA51;l�1�aif�5�207 �► �� ► �r� � erSl~kX3.34. fordtb r;Code . sR-A�g�za ovim R RNQ TYPE OP BlNMN6g8 PAYNRiNT SIG ( SPECIALTY B�L I LS JCC .0 OR BY TALC COLLRCiAB �►oir (s) 1 ' 95011101/2015 �`.( EDiTCARD--16—t�463 � amt � � d ..- �► , ' R CERTIFICATE OF LIABILITY INSURANCE °"� °"5 THIS CE FICATE 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: N the certificate holder is an ADDITIONAL INSURED,the pollcypes)must be endorsed. B SUBROGATION IS WAIVED,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 CONTACT Hemisphere Insurance Group PHONE (305)501-2801 FAX No, (305)553-9010 _LM NCLNIAIL 11401 SW 40 St Ste 340 hemisphersinsgrp@aol.com Miami,FL 33165 INSURERM AFFORDING COVERAGE NAIC$ Phone (305)501-2801 Fax (305)553-9010 INSURERA: FWCJUA INSURED DIRER B JIREH ROOFING SERVICES INC INSURER C: 1200 ANATASIA #207 INSURER D INSURER E MIAMI FL 33134 INSURER F: 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. ILISSR ADDLBUTR TYPE OF INSURANCE wvD BR POLY NUMBER POLICY EFF POLICY EXP LJMFi3 ❑ COMMERCIAL GENERAL LLAaury EACH OCCURRENCE $ DA AGE TO RENTED ❑ CLAIMS-MADE ❑ OCCUR PREMISES ocamence $ ❑ MED EXP(Any one Person $ A ❑ 7 PERSONAL&ADV INJURY $ GEMLAGGREGATE LIMIT APPLIES PEP, GENERALAGGREGATE $ ❑ POLICY 1:1 SECT ❑ LOC PRODUCTS-COMP/OP AGG $ ❑ OTHER $ AUTOMOBILE LIABILITY Rim?INGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Pe person) $ ❑ SOWNED ❑ SCHEDULED BODILY INJURY(Per a t) $ ❑ HIRED AUTOS ❑ AUTOS NA NED UTOS (,UPER7Y_DAMAGE $ El E] r $ ❑ t=RELLA Lab ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAR ❑CLAIMSWADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORIO:RS COMPENSATION OPER ❑OTH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVED E.L EACH ACCIDENT $ 1,000,000.00 A OFFICERIMEMBEREXCLUDED? N/A 57438402 12/11/2014 12/11/2015 (AAarrdetM in NH) E.L.DISEASE-EA EMPLOYE $ 1,0W,000.00 If yes'describe under DESCRIPTION OF OPERATIONS bebw EL DISEASE-POLICY LIMrr $ 1,0W,0W.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 1(1,AddhkmW Remarks Schodul%I more specs 1s required) ROOFING LIC#CCC1325736 CERTIFICATE HOLDER CANCELLATION MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL.BE DELIVERED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED RE14 ESENTATME ®1986.2014 ACORD CORPORATION. All rights reserved. ACORD 25(201401)OF The ACORD name and logo are registered FTlaft of ACORD CERTIFICATE OF LIABILITY INSURANCE 10126/15 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 policy()must be endorsed. If SUBROGATION IS WAIVED,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 Lucia Estrella Accurate Group Lk: ( ?268727 e (305)226-8767 8300 West Flegler Suite 114 WassirellsoellsoLftnet Miami,FL 33144 AFFORDING COVERAGE N=# Phone 305 226-8727 Fax 305)226-8767 INSURERA: UnitadSpedaltyInsurance Company INSURED INSURER 8: Jireh Roofing Services Inc INSURER C: 8341 SW 31st Street INSURER D: Mimi,FL 33155- 786-253-0508 INs E: IN8 F: COVERAGES CERTIFICATE NUMBER: REVISION NIRABER: 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 POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCEADDLSUBR cY POLICY POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 ® COMMERCIAL.GENERAL UABLr Y MISD $ 100,000.00 A ❑ ❑ CLAIMs.MADE ❑ OCCUR CGD00D05102-01 NEDExP ones) s 5,000.00 ❑ 09/ 2015 09!05/2016 PERSONAL a ADV NJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GENT.AGGREGATE LWIi APPLIES PER: PRODUCTS-COMPIOP AGG s 1,000,000.00 ®POLICY 11Re ❑ LOC $ AUTOMOBILE LIABILITY MB SINGt E Lana ❑ ANYAUTO BODLYINJURY(Perpenam) $ ❑ LL UTO ❑ S OS ULED BODILY INJURY(Per acc $ E] HIRED AUTOS ❑ AUTOSWN� P AMAGE $ ❑ ❑ no $ ❑ UMBRELLA LIAR ❑occuR EACH OCCURRENCE $ ❑ EXCESS UAB ❑CLAMS-MADE AGGREGATE $ El Pep ❑ RETENTION$ $ MRKERS COMPENSATION ❑WC BTATU OTH- AND EMPLOYERS'LIABILITY Y I NER ANY PROPRETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ElNIA E.L.EACH ACCOENT _� $ (Mandatory NIWer E.L.DISEASE-EA EMPLOYE $ IffDES IPTION OF OPERATIONSbeknv E.L.DISEASE-POLICY LIMIT s 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VONCLE.R(Attach ACORD 101,Ad"onai Remarks Schedule,H more space Is requhed) Roofing Lie#CCC1325736 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRWO POLICIES BE CANCELLED BEFORE Miami Shores Mitage THE EXPIRATION DATETHEER F TI WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE OVI NS. Miami Shores,F133138 AUIH�REPRESE"A 306-756-8972 Lucia Estrepa ®1988- ORPORATION. All rights reserved. ACORD 25(2010/05)OF The ACORD reale and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 01/15/2016 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: It the certificate holes Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. B SUBROGATION IS WAIVED,subject to the terms and conditions of the poft certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsenem(s). PRODUCER A Hemisphere Insurance Group N (305)501-2801 Fax No (305)553-9010 MAIL 11401 SW 40 St Ste 340 hemisphersinsgrp(aoi.com Miami,FL 33165 1115 AFFORDare COVERAGE NAI:s Pyne (305)501-2801 Fax (305)553-9010 Ie3URERA: FWCJUA INSURED INSURER 8: JIREH ROOFING SERVICES INC INSURER C: 1200 ANATASIA #207 INsuRER D: INSURER E: MIAMI FL 33134 IdSUREA F 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. TYPE OF INSURANCE ADDLSUBR POLICY NUMBER EFF yam LUM ❑ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ❑ CLAIMS-MADE ❑ OCCUR PREMISES ENTED aarerrce $ A ❑ MED EXP(Any one person $ ❑ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ElPoucY ❑ JECT ❑ LOC PRODUCTS-COMPIOP AGG $ ❑ OTHER $ AUTOMOBILE LIABILITY Rm.=? Qm.= INGLE LIMIT ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ A fO$ ❑ SOS SLED BODILY INJURY(Per aaoldent) $ ❑ HIRED AUTOS ❑ �OSWNED P eO=?AMAGE $ ❑ El $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COtlPENSATION ® PERElOTH- AND EMPLOYERS'LUU3LLITY Y/N ATUTE ER ANY PROPRIETOR/PARTNERIEXEC E.LEACHACCIDENT $ 1,x,000.00 A OFFICERAMEMBEREXCLUDED? UTNE❑ N/A 57438402 12/11/2015 12/11/2016 (ttandetory in NIQ E.L DISEASE-EA EMPLOYE $ 1,000,000.00 H SC d�ltN OF O E.L.DISEASE-POLICY LIMIT 1,W0,0W.00 DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS/LDCAMONS/VMW ES(Attach ACORD 101,Addiftnal Remarks Sotredul%If nweepaoe N requb" ROOFING LIC#CCC1325736 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCfABED POLICIES BE CANCELLED BEFORE CITY OF MIAMI SHORES THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISION& MIAMI SHORES,FL 33138 AUTHORIZED REPRESFNTATM 305-756-8872 ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(20'14/01)OF The ACORD now and logo are registered marke of ACORD Propbrty Search:Application - Miami-Dade County 10/6/15, 6:39 PM 1 k , Se f 7ZTIi h4 rr Address Owner Name Subdivision Name Folio ' SEARCH. 10618 ne 11 ct Suite 4 PROPERTY INFORMATION ® 1 Folio:11-2232-028-0420 Sub-Division: MIAMI SHORES ESTS Property Address 10618 NE 11 CT Miami Shores,FL 33138-2123 Owner ARTURO RODRIGUEZ Mailing Address 10618 NE 11 CT MIAMI SHORES,FL 33138 Primary Zone MIAMI 0800 SGL FAMILY-1701-1900 SQ SHORES Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT Beds/Baths I Haff 31210 Floors 1 Living Units 1 Actual Area Living Area Adjusted Area 2,288 Sq.Ft Lot Size 9,750 Sq.Ft Year Built 1955 Featured Online Tools Comparable Sales Glossary Non-Ad Valorem Assessments PA Additional Online Tools Property Record Cards Property Search Help Report Discrepancies Report Homestead Fraud Tax Comparison Tax Estimator TRIM Notice View Taxes ASSESSMENT INFORMATION 9 BENEFITS INFORMATION 8 Year 2015 2014 2013 Benefit Type 2015 2014 Land Value $141,174 $195,063 $136,620 Save Our Homes Cap Assessment Reduction $4' Building Value $140,463 $136,425 $136,686 Portability Assessment Reduction $42,345 Extra Feature Value $2,620 $850 $860 _..__ Homestead Exemption $25,000 $2 Market Value $284,257 $332,338 $274,166 Second Homestead Exemption $25,000 Assessed Value $241,912 $332,338 $224,549 Quadriplegic Exemption $19 IV—NM.11 hprv+rM<am amli—hlo M all Tavahlo Vali doe ti a r`, Cr•MN R—M r.h Rcninnall https://www.miamidade.gov/propertysearch/#/ Page 1 of 3 Propelty Search Application-Miami-Dade County 10/6/15,6:39 PM r -.. ._ - __ -.. - -. _.._ _—"--___. -.-_-..._..--_.__. ._ __-... ...rw.,w....,rwr,r.r....,,,,�w,x.w.s,.w.�a..•...wr l.wvw^h vw,...w..wMv"l"".V."'.'./• TAftABLE VALUE INFORMATION ® ----------- --- 2015 2014 2013 FULL LE R DE�IIPTION 0 COUNTY --- -- 325242 Exemption Value 12;0,000 $0 8224.549 MUtW SHORES ESTATES PS 47.58 Taxable Vahme $191.912 $332.335 so LOT 14 BI K 3 SCHOOL BOARD -------_._^`_—�_ __. _ —_-----------------------_-- LOT SIZE 75.OWx130 ExernpdmVahre $25,000 80 $224.509 OR 20892.4905 09 2002 4 TaxabteValue 8218,912 $332,338 $0 CITY Exemption Value _$50.000 $0 $124.549 Taxabte Value $191,912 $332,338 so REGIONAL _------------------ --�—�—,--- — Ex Value------------ -- $50.000 — — $0 $224,549 Taxable Value $191,912 $352,335 - $0 SALES INFORMATION 0 Previous sale Price OR Book•Page Qualification Description Previous Owner 1 07/182014 $340,000 28237-1505 Netmanite rawric ng or assumption of lesse JACQUELINE MARIE GRENIER 07/182014 $100 29237-1504 Trustees to banloupfcft aecutore or gumdians ADRIANA MARCELA ROSA EST OF 0912002 $0 20892.4905 Quel by exam of deed 101012001 $229,000 198353150 2008 and prior year setas;Qual by am,of deed 05/0111991 $87,000 15041-1331 2006 and prior year sales;Meet by exam of deed 09/0111990 $0 14604-1658 Qual by exam of dead 03!0111967 $78,000 13238.1008 2008 and prior year sus;Qual by exam of dead For morehV .natfonm about tire Depffihnerd of Revanwe%Sales Qualification Codes. 2015 2014 2013 LAID INFORMATION 0 Land use Madzone PA Zoe unit Type Units Cala GENERAL R-14.25,R-15 O00-SCS.FAMILY-1701-1900 SQ Fred FL 75.00 $14 01.DINOINFORMATION 0 Bd am Number BOA= Year Bulb Actual Sq.Ft Uvky sq.PL Adj Sq.FL Cala v 1 1 1965 1,918 $11. 1 2 1959 95 $ 1 3 1996 275 $2 E)GRA FEATURES 0 Description Year Brdk Units Calm Patio-Concrete Slam 2013 150 Sam Enclosure-Avg wood or Alum up to V trgh 2013 210 $ Ch*Wft Fence 4.5 it high 1996 125 ADDITIONAL INFORMATION The mrentadon listed below is not derived from fie Property Appraisers Office recede.It is provided for convenience and Is derived from other governmerd agerxas. LAND USE AND RESTRICTIONS _ !— �--------- ----- CormurdyDevelopment DiePat: NONE ComnmmiftyRedevelopmentAro: NONE Empowerment NONE EnterpoissZons: NONE Urban Development INSIDE URBAN DEVELOPMENT BOUNDARY Zoning Code: R17.5- ExMM Land Ue: 10-SINGLE-FAMILY,MED.-DENSITY(2-5 DUGROSS ACRE). Gme mme t Agendas and Cemu*Services https://www.miamidade.gov/propertysearch/#/ Page 2 of 3 PropdSrtySearch.Application-Miami-Dade County 10/6/15,6:39 PM OTR ReOVERNMENIALd AHMICUMS sumbless Irx Chtkborre Trust CRY of hUard Shares Flwbararretrfel CareWaradmre FWrkle DepwWwft Of Rw mre FkxWa Irdand Nevigebw OWkI MW&Daft Courcy&dean Board NaMd Valorem Assessroards Sc hod Bard Smdh Randa VVeter Mgnd Tax Copector The ORia offt Property Appraiser Is eordmresy edging mid updating the tax vol This webaRs main not Meet the most aeric bin on record.The Rap"Appraiser and MtaN-Dade County asstaoss no gab ft,am AA deck end UswAgremxreM at hWMnwr mi .asp For bxMdes arid gg emd us at ht JAvwvxrxdamid Veraborr:2.0.3 sawmalEm RMERATE Wompffam P=RE= LIEMS TURLAWAIMME PRRM Depbyed Mary 40 Yr BxdMV AppealirV y—Aareswrrerxt Address BbtIft Property Search Appealing you Ass— Re-CerVication Diw l E xarnptora Assesamerd Ir omtetk"t Change of Name Property Sales Reports Ap)edM Vor Assessrwd Search Homestead Change of Addrim Tax Estkrxetor DoWn Drywep Exarrhptarre befitubai Char9 of Ownership&We Tax Comparison FOHO Numbers E dermbn Requests Setdo'CRiaara Dedaradon of OorvdwkU Horrestead Exetnptah and Mortgage Fred Fling Rehara PolabRRy more> An"> fAm> More> Moe> Mc HQ= emu steftmat Aboid ADA NWw CoOKI Lis ®2074 Miwni-0arb Coady.AO 0"reserved. haps://www.mlamidade.gov/propertysearch/#"/ Page 3 of 3 ROOF ASSEMBLIES AND ROOFMP STRUCTURES SECTION 1525 OP 1 HIGH-VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLIC N 1 Flodda Building Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form 1 1 INSTRUCTION PAGE 1 1 COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT 1 APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: 1 Roof System Required Sectlons of the Attachments Required 1 Permit Application Form See List Below 1 Low Slope Application A,B,C 1,2,3,4,5,6,7 1 Prescriptive BUR-RAS 150 A,B,C 4,5,6.7 1 Asphaltic Shingles A,B,D 1,2,4,5,6,7 1 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 1 Metal Roofs A,B,D 1,2,3,4,5,6,7 1 Wood Shingles and Shakes A,B4O I 1,2,4,5,6,7 1 Other As Applicable 1,2,3,4,5,6,7 I ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 1 1 2. From Product Approval: 1 Front Page 1 Specific System Description 1 Specific System Limitations General Limitations Applicable Detail Drawings 1 3. Design Calculations per Cha 1 pter 16,or if applicable.RAS 127 or RAS 128 4. Other Component of product Approval 1 5. Municipal Permit Application 1 6. Owners Notification for Roofing Considerations(Reroofing Only) 1 7. Any Required Roof Testing/CaiculaWn Documentation 1 Miami Shores Village 2�� •• ••• • . • • • • APPROVE® !3Y ®ATE •• •: .•: :.: •. ZONING DEPT L BLDG DEPT I %015SUE3JECTTOCOMPLIANCE WITH ALL FEDERAL - _ ••� ;• �•• ••• ••• LiY�TC ANn COl1NTY RULES AND REGULATIONS ••• • • • • ••• • • • •• •• • • • •• •• FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) IM1• ' 1 I , AgwemwL No fiat w bye a ye RFSERV®):act by FJiGer Palacio 0o Jong.20151fk3212 AM to License ROOF ASSEMBLIES AND ROOFTOP STRUCTURES T Florida Building Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 i Section A(General Information) 1 Master Permit No. Process No. 1 Contractor's Name_ -►�•@^/� 4�Y��w�+ .Q.�p 1 Job Address 1 ROOF CATEGORY 1 jr,"Low Slope ❑ Mechanically Fastened Tile ❑ MOrtSdAdhesive Set Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 ! 1 ROOF TYPE 1 ❑ New roof ❑ Repair ❑ Maintenance ❑ Reroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF)A Total(SF) 'TD® � 1 1 1 Section B(Roof Plan) ! Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains.Include dimen- sions of sections and levels,dearly identify dimensions of elevated pressure zones and location of parapets. 1 1 1 1 1 1 1 1 1 1 1 1 i • 001 1 1 ... . . . . ... . . FLORIDA BUILDING COM—Bt&W6OM{Zp�gj'.: 15.37 M11111411 11 1 t No repud xssatvWr a t,y n r to ra.s,mos ro-az tz nM w u Miami Shores V11age Building Department 10050 N.E.2nd Avenue olpRipA 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 2rd Ave Miami Shores, FI 33138 Re: Owner's Name: �� '�d -�d c-/s iy o F Property Address: A,?,6 i/CT ✓o-�1i Jia-�dt�" Roofing Permit Number: Dear Building Official: I certify that I am not ►may required to retrofit the roof to wall connections of my buil because: 1: 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. o The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1 94 edition of the South Florida Building Code(1994 SFBC) Signature Print Name State of Florida County of Dade 000 0% . . .00 . . . . . The undersigned, being the first duly mm,deposes arld says that he/she is the owner for the above property mentioned. Swom to and subscribed before meet is � JbWAW �;, moi • Of PAft Notary Public, Sate of Florida •T'ice.000 �:X19 ttr*06 a w 1 rtu�urebr Apose advato pn:eiW to or rare than$3W.W0.00.and the bui ares rat cat�trut ed arfth FBC tar a 1994 SFBC.Then you rwp d provide a WWN$pp V0Q$Ut6WWWWr the Roof to wall c mnedm Hurricane Mi Wft. Remi on 5x11/2009 Miami shores Village �...� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ��ORIDA Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE LITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIA TRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Av Miami Shores, FI 3 Re: Owner's Name: Property Address: Roofing Permit Number. Dear Building Official: I ce ' at I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane M' tion Retrofits for Existing Site-Built Single Family Residential Structures as adopted by the Florida Building miss! by Rule 9B-3.047 F.A.C. Signature nt Name State of Florida County of Dade The undersigned, ging th rst duly swom,deposes and says that he/she is the er for the above property mentioned. .. .. . . . . • •• Swom to and subscri fort me ii • • • • • day of 20 .. ... .. . . . .. Notary Public, Sate f Florida at Larqe .. . . • . • . . . . .. . . . . . .. (SEAL) ••• • 000 • ••• • • • ••• • . ... FINAL COMPLIANCE ReWsed on 501112009 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Miami shores V11age Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 RE: Permit# DATE: INSPECTION AFFIDAVIT licensed as a(n) Contractor/Engineer/Architect (Pft narrm and drde Umm TYp) FS 468 Building Inspector License#: On or about I did personally inspect the roof deck nailing (nate&tune) work at /06/olf A;,,!F //U7 40y (Complete Job Ske Address) — Based upon that exa ' anon I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based o 553. .S) Si atu 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. • • • • • • • • . .. . . . . ... . .. ... .. . . . .. Sworn to and subscribed before me this 20 day of 16 Notary Public, Sate of Florida&Lame :•• '•' � �� emy Pda-st do of Rofma • �'PF M782 My Com. C..omy,..Elpa Avg 4,2019 •. i •Bu •. fees , www a.�rWlgtwm�`°`o�ABSn. `General, ft,ftWentkd,or Rodng 000 • • • Con"w%** l ' 8 F.S.to make such an h pectbn.Indude photographs of each ptarm of the roof afth pem*#and address#dea fir shown rrmrked o'ri t�Ack for'eachtsp= • • ,r 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 govem 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. J 2• Renailing wood decks:When replacing roofing,the existing wood roof deck may have to to renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system). I/ 4. _Exp09e11 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. V/ 6. Overflow scuppers(wall outlets):It is required that rainwater flows off so that the roof is not overloaded from a buildup of water.Perimetededge wall or other roof"%jih may block this discharge if overflow scuppers(wall outlets)are not provided.It may b ry to install overflow scuppers in accordance with the requirements of Sections R4402, 03 a R4413. —626�� 1 D w/5 i r /Agent's Signature Date Con Date /401.9? y Property Address Permit Number Revised on 7/8/2009 LD;07/01/2015; go • .00 •. . •• .. . . . . ... . 00 000 00 . ... . ... . . .. . . . . . . . . •o: . ... ... . . . . ... . . • •.• . . . . . . . . . . . .. •• • . . •• .. ... . . . ... . 0 sum»C IMIAfjFlolaoE Mlaml-Dade County HVHZ Electronic Roof Permit Form " 1111111111111111111V Section C Page(Low Slope Roof Systems) 110clivcring€xcelletaee•Ev ry[lay" Fill in rhe Specific roof assembly e7omponent&if a,component is not required,Insert not applicable fn1b)in the text box. ROOF SYSTEM MANUFACTURER: US PLY INC Top Ply: DURA WELD 4 MFR APP Product Approval (NOA): 10-1123.05 System Type: WOOD Top Ply Fastening/Bonding Material: Wind UpIM Pressures,From RAS 128 or Sealed Calculations: HEAT WELDED (P1) Field: 42.8 PSI` Surfacing: GRANULAR SINGLE PLY MEMBRANE: (132) Perimeters: 71.7 psf Single Ply Manufacturer/Type: (133)Comers: 108.0 PS Maximum Design Pressure From NOA: 60 PSI` „ Single Ply Sheet Width: "1/2 Sheet Width: Roof Slope: 112 ":12 Roof Mean Height: 10 It. No.of Single Ply 1/2 sheets: Parapet Walls: ®No 11 Yes Parapet wall Height: 0 ft. Single Ply Membrane Fastening/Bonding Material: Deck Type: 1—5/8"Plywood— ❑FASTENER SPACING FOR BASESHEET ATTACHMENT Support Spacing: 8 "o% ❑SINGLE PLY MEMBRANE ATTACHMENT Alternate Deck Type: WA 1.Field: "o/c @ Laps& 3 rows "o/c E)dsting Roof. FLAT 2.Perimeter. 6 "o1c Q Laps& 4 rows 6 "o/c Fire Barrier. 3.Comer. 6 "old @ Laps& 4 rows 6 "o% WA Vapor Barrier. NUMBER OF FASTENERS PER INSULATION BOARD: N/A 1. Field: 2. Perimeter. 3. Comer. Anchor Sheet: insulation Fastener Type: PLY OF USP BASE SHEET Anchor Sheet Fastener/Bonding Material: WOOD NAILER TYPE AND SIZE:TIN CAP AND 1 1/4 RS Insulation Base Layer Size&Thickness: WA Wood Nailer Fastener Type and Spacing: Insulation Base Layer Fastener/Bonding Material: NIA EDGE&COPING METAL SIZES: Insulation Top Layer Size&Thickness: Edge Metal Material: —Galvanized Metal— WA Edge Size: --3"face 26 ga.— Insulation Top Layer Fastener/Bonding Material: METAL EDGE HOOK STRIP NIA— WA Hook Strip Size:I— METAL Metal Atta me : Base Sheet(s)&No.of Ply(s): 1 1/4 RS 4 OC ONE PLY USP APP 160 S Base Sheet Fastener/Bonding Material: • • C%pinQM@terigl• _PARAPET COPING METAL WA-- HEAT WELD : • COPING METAL SIZE WA— "n; Ply Sheet(s)&No..of Ply(s): ••• ••: ••: •• •• —COPING METAL HOOK STRIP N/A— N/A Hook?trip Sae: Parapet Coping metal Attachment: Ply Sheet Fastener/Bonding Material: • • • • ✓MA • ••• WA • . • . . • •• • • • • • • • • ••• • ••• • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• 0• iffirt- COUNTY �; 11+RAA4I-D;-. �: PRODUCT CONTROL SECTION DFAWWX I1'OF•REGULATORYAND ZCONOr#BC RBBOURCRS{RM 11805 S@fI26 Street Room 208 BOARD A14D CODE ADI WG8MTION DWMON Imo,Florjit &33175-2474 T(786)315-2590 F P86)315-2599 w�ew NOTICE OF ACCEPTANCE OA ,aiae:uasd .t�'rv�esonom� Us Ply,Inc: 20M E.lile�mond Ave. Fort Wo TX 76104 SCOPEa1 ' This NO i*being issued under the applicable rules and regulations governing the use of anti MMfion materials.The mon sulenicited has�reviewed and�by Miami-Dade County RER-Product Control Section to 1e used in , ; 'Dade County and oihw areas where allowed by the Authority Having Jurisdiction(AHJ}. This N04 shall not be valid after the expiration date stated below.The Munni-Dade County Product Control Section (In Adie Dade County)andlor the AI T(m areas other than Mani Dade County)reserve the right to havelthis product or material 'bested far quality assurance purposes.If this product or material fails to perform in the accepted manner,the manuficujrer 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 tight to revoke this acceptance,if it is determined�y Miami-Dade County Product Control Section that this product or material fails to meet the rcquiremetrts of the appli(Mble building role. This product is approved as described herein,and has been designed to comply with the Florida Building Cede includinSthe High Velocity Hurricane Zone of the Florida Building Code. DUMMEP 'ION:US Ply APP Madified Bitumen Roofing systems Over Wood Docks ; LABFJ IN f:Each unit shall bear a permanent label with the mauifiCdn airs name or logo,city,state and fol lowing sit:"MiamiDade County Product Control Approved-,unless otherwise noted herein. RWCCWA.L of this NOA shall be considered after a renewal application has been filed and there has beenlno change in the appili0able building code negatively affecting the performance of this product. ` f TU TION of this NOA will occur afters expiration date or if there has been:a revision or cdnng�in the materials'use,and/or mangy of the product or process.Misuse of this NOA as an endorsement ofaaly product,for sales, `er4smg or any other purposes shall automatically terminate this NOA.Failure to comply with any'section of this NOW shall be cause for termination and removal of NOA. ADVl TMUMENT: The NOA number preceded by the words bliiarm Dade County,Florida, and followed by the expiration date may be displayed in advertising literate. If any potion of the NOA is displayed,then it shfli be done in its entlretiy. I f ' t INSPEk4kON:A copy of this Mire NOA shall be provided to the user by the mam facturer or its distribui ►rs and shall be ayolable for inspection at the job sift atlho of the Bualding Official. ` j This NOrI consists of pages 1 through vi l3...' .. '.' ..' The su itied dcermnes ion was reviewed by Alex�igera. i - ! I 1 ••• NOA No.:j 10-112365 Expiradon 93114/18 l l ••• • ••• Approval 93/14/13 : :•: : jW1of 13 { . .. .. . . . .. .. i � MIAM is Miami-Dade County HVHZ Electronic Roof Permit Form Delivering Excellence Every Day" lustrate Components (Voted and Details as Applicable: Joodblocking, Gutter, Edge Terminations/Stripping/Flashing, Continuous Cleat, Cant Strip, Base lashing, Counterflashing, Coping, Etc. 'dicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material hickness, Fastener Type, Fastener Spacing 'r: Submit Manufacturers Details that Comply with RAS-111 and Chapter 15 HVHZ, FBC. L O-)s t lq�4 'F-L'P '\-b tbp�ll /649 45 ;�Lwet wa 0 ParaW WAN - fL .. ... . . . . .. 7f U:3j 05 so 000 00 /JA C ... ••• . ... • •.•EJ' . . • . • . . .. . . .. . . . . . . .. . . . . . .. ... . ... . . . • •• •• •• ••• A. ••• •• ••• • • • ROOFI (; v NOTICE OF ACCEPTANCE ! Roofing Modified Bitumen ! ' APP ► DeckTerm: wood ; may �IDe n 75 psfN F iZ i TRAM Nis OF PRODUCTS 1MANUFACTURED OR LABELED BY APPLICANT: ' ! I TABLE 1 , 3 7Test Product T USP Base Sheet 36"x 108 ASTM D 4601 An asphaltic,fiberglass reinforced sheet USP Type i i 36"X 180' ASTM D 2178 An asphaltic,fiberglass reim£wwA ASTM D2178 Type IV ply sheet. USP Type 36"X 180' ASTM D 2178 An asphaltic,fiberglass reinforced! ,A TM M178 Type VI ply sheet. { i USP APP f�'S 39-3/8"X 32'9" ASTM D 6222 Polyester reinforced,smooth surfaced,APP Type 1,Grade S modified bitumen base/irxterply{shlox. USP APP 16oS Plus 39-3/8"X 32'9" ASTM D 6222 Torch applied,smooth surfaced,; tyester Type I,Grade S reinforced,APP modified bitumen membrane USP APP l60M 39-3/8 X 329" ASTM D 6222 Polyester reinforced,mineral grana e " Type L Grade M surfaced,APP modified bitamnen cap sheet. SafeWeld 18QS APP 39-3/8 x 32'91* ASTM D 6222 Smooth surfaced,polyester r or�ed APP Type I,Grade S modified bitumen membrane vvitk Mala underside. 4i Sa*Weld SOMM APP 39-3/8 X 32'9" ASTM D 6222 Smooth smfaaed,polyester reimfoAPP Type I,Grade G modified bitw=membrane wfih ts`.lag underside. Yj SafeWeld 86R APP 39-3/8"x 32'Y' ASTM D 6222 Granule sem,Polyester reimfori 1,fire Type I,Grp G resistant,APP modified bitumen& ,membrane ! with slag underside. DuraWeldl4S APP 39-3/8"x 32'9" ASTM D 6222 Smooth sem,polyester reimfbibed,APP 1 Type I,Grade S modified bitumen base/k terpv,,sheet. DumWeldl.5S APP 39-3/8"x 32'Y' ASTM D 6222 Smooth surfaced,polyester MW ion APP Type I,Grade S modified bitumen base!interplyslcet. DuraWeld,4M APP 39.3/8"x 32'9" ASTM D 6222 Polyester reinforced,granule APP ! Type I,Grade G modified bitumen cap sheet. i } DumWeld 4i1+1FR APP 39-3/8"X 32'9" ASTM D 6222 Polyester reinforced,mineral grafi mile ! •• 00: . . a'ype 1,Grade G surf wed,fire resistant,APP moMed • • •. . . . . . bitumen cap sheet. USP#442 F" r5 '• '• ••A"D2324 A hydrocarbon protective coatrn&� Aluminmm ILwf Coating Type III i it • ... . ••• • ... 3k ` •• ' ' ' NOA N'e.. 10-1123.05 ••• ••• 03/14118 tb►n , f) E Approval Dar ez 03114/13 2 of 13 APPROVED INSULATIONS: TABLE 2 nct Name Pjmdad tint Co(po ACFoam-IL:IAC, Foam-M Polyisocyanmift Insulationation Atlas Roofing pqL ACFoam IVITIpm�ACFomn p0jymqmumte insulation with a coated glass Atlas Roofing Cd'y.poration met ENRGY 3, �3 pobrisocyanurato Inmileflon Johns on Fescaoardt: 1 Rigid perthe roof inmilation board Johns Manville Corporation ISO 95+GL � pojyisoate foam insulation Firestone Buildan Products Company C. H-Shield,T-�e,'-.Ired H-Shield,H-Shield- Polyisocuanurift foam insulation HimW Pan els;ILLC. CG,H-Weld*F Multi-Max-3,Multi-Max FA-3 PolyLsocyanurate,Insulation Rmax Opera#ink,1W. : il DensDeck,&�Oe&ffiM water resistant gypsum board Georgia a icG- , YPsum DensDeck D'uraGuard OvaWyment LLC. Board overlpyk mmt Board � SECUROCK United Stete Roof Gypsum board t..f! Corporadqn. Board i H S-tructodek Aigi Density Fibaboani High Density Wood Fiber insulation board. Blue Ridge Fibatpard,Inc. Roof Insuladoii Roof Insulation tiff ; 11 fl i it ji NOAN*'.- U-11=5 NW.- 03n4/13 Approval D66 03/14/13 !Paged of 13 H FASTENERS: TABLE 3 man trer Frastmew Produd N O-A) Nmbow Name Dacdmdm fl 1. it Standard Roofgrip self drilling,carbon steel fm various Omd,Mc with aCR-10coirting ! T- i il I� 2. bi4G 3"Galvalum Steel Galvabune coated steel plate 3"Pound Omd,Eic. 3. rTil tifig 3"11deW Insulation Gdvaluma Md sum Plate 3"Diameter Ahenloh,B#n§ , &CO- U.S i 116c. 4. 0 1 yFast 3"Metal Plate T Galvahnne steel sftm Plate 3"Diameter U.S.Ply,#Inc. t II 5. O�M Heavy Duty Self&dimg fimuma for steel used Various OMG, wood,steel or concrete decks 6. Th fast SIP TP FastenerSelf-drMingcartm steel fistenw Various Altenloh,B !k&CO. i1 ued in steeland wood decks. Tru- USi 9c fi Kone PC-3 coating 3 11 7. fruftst:#15 EHD Fastener' Carbon steel&swm used in Various Altenloh,Bfln*&CO. concrete,steel and wood decks. U.S.i Tm-Kote PC3 coating. 8. 'OyFast#15 Fastener T Heavy duty corrosion resistant Various U.S.PIN I 11� steel fastener. 9. #14 HD Fasww Self-drilling,CarbOn steel fastener Various Aftenlob,B k CO. TruhA used in concrete,awl and wood US.+ ]#C. decks. Thi-Kote PC-3 coating. 10. �,`IyFast#l4FasWwT Fagma used in steel,concrete Various U.S.P I ly"Inc. and wood decks. 11. rIyF=wjL2Fater 0 self drilling,carbon steel fastener various U.S.Plyijlnc. with a OL-10 coating 12. I PIyFast#14 Fastener 0 Self drilling hStm"for steel used Various U.S.VVI,linc. wood,steel or concrete decks 1 NOAN&:1,10-1123.05 00: V :11 010 0,0 Expimilen uaw/m/is Agprnvai 03/14113 49f 13 j i I EVIDENCE WBMnTED: i !; � Teet Nea r 1 —,q ite Tci 2D5A9.AM FM 4450 06 99 Factory MutaReseatch Corp. 68!27/03 j 3014751 FM 4450 3032172 FM 4470 ; =9 3024311 FM 4470 11/,b1l06 3024973 FM 4470 l 1l;IO/t?6 i 3014692 FM 4470 Cs8/,05/Q3 3023458 FM 4450 07/#18/06 Extenor &Design,LLC 2005.U0212.09.05-R1 FM 4470 03 1/i0 U0215A5.06-2 R2 ASTM D6222 08t,Q7J1Q U0210.05.064U FM 4470 1131, 1/10 U11650A7. -1 FM 4470 07115/09 t)4,'Ql/1Q 02762.03.05-R2 FM 4470 , j U41790-05.12-1 ASTM D6222&TAS 110 f}5.' 0/12 U41790.05.12-2 ASTM D6222&TAS 110 05;30/12 035910.12.11-1 TAS 117 12.21/11 } 035910.12.113 ASTM D1878 12�21/i 1 i k i 4i Z { i i } 4 7 ! +t fi li it . . . . . . . . .. ... .. . . . .. j : NOANO.:! 18-1123.05 ••• ••• E*raton Dam W14/13 Approval Dai 03n4n3 ... . . . . ... . . Page S of 13 . ... . . . ... . . i i? MembraneT APP Deck Type iki Wood,Non-Irmlated i I>►eckDOptioH: IVfin.19/32"Plywood or wood plank. ; system 1)- ase Bsheet mechanically fastened. i All Generali,and System limitations apply. is i Base Sheet: _, I of USP Ba$e Sheet shall he mechanically fasted to the deck with 1-5l8" ' iometer I Tin-Caps and 12 SL ring shank nails spaced 8"oc,in the 3"lap and 8"oc.in th equally i spec 4 siagVred c rows. 1: Ply Sheet: ! {Optional)One or more of USP APP 160.5,SafeWald 180S APP,DuraWeldjSS APP or bmVi deWS APP,beat wel ` ! i4 mom brau One ply of USP APP 160K SafeWeld 180M APP,SafeWeld I90FR APP,104viW6Ad 4M APP or 4MFR APP,beat welded. i 3arfadngz; I For use on non FR membranes: i i f USP#442 Fibered Aluminum Rwf Coaxing applied at a rata of 1.5 gallsq. MasimumjB>l -60.0 psf,(See General Limitation P). ! i I, Pressure: i i � k f j s li it til � i t 1 i SI �t ••• • •• •• . : : : NOANb»i+10-112305 C 00: i• i•• 6.0 ••• i• I�xpiiratit�Ha ' 83/14/18 Appro.+al Da;' 03/14/13 NO 11of 13 . ; ia. WOOD DrLt SYsum LIlVIIrmioS: 1. A slip is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet l E GENERAL �IA'1'IONS: 1. Fire cl"Wfica�tion is not part of this acceptance,refer to a current Approved Roofing Materials Directory for fire I� t � 2. Insulati6q,maybe 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 rmat ge and at a rate of 20-401bsJsq.,or mechanically attached using the fastening pattern of the top Dyer 3. All st��dard panel sizes are acceptable for mechanical�chment. When applied in approved asphatt,ipinel size shall 4`x 4'maximum. 4. An ova.. *and/or recovery board insulation panel is required on all applications over closed cell foam insulations when. 'base sheet is fully mopped. If no recovery board is used the base sheet shall be applied ;ting spot moppra with approved asphalt,12"diameter circles,Z4"o c.;or strip mopped 8"ribbons in three rows,ane at each side Ia and one down the r of the sheet allowing a continuous area of ventilation. Encircling of d�e strips is not acep�table. A 6"break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt application Of erth system shall be at a minimum rate of 12 lbsJsq. Note Spot attached systems siaD bet fliuuted to a 10=41[m design of-451 i fl 5. Fastener spacing for insulation attachment is based on a Minimum Charactenstic Force(F)value of 27B 1bf.,as tested�u "rompaac a with Testing Application Standard TAS 105. If the fastener value,as fieldAested,ark below 27519"ton attachment shall not be acceptable. 6. Fastener sing for mechanical attachment of anchor/base sheet or membrane attachment is based on a r innnum fastens value in conjunction with the maximum design value listed within a specific syst m i Should the fasten&res1slarkm be Iess than that required,as determined by the Building Official,a revised fastener spacing, sgned and sealed by a Florida Registered Engineer,Architect,or Registered Roof Consultant m'ay be su iSaid revised fastener spacing shall util=the withdrawal resistance value taken from Testing Apphc?tron Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS ,(17. 7. Peru and corner areas shall comply with the enhanced uplift pressure requirements of these areas*? Fastener densiti�sIshall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Stand"I RAS 117. Calculations prepared, signed and sear by a Florida registered Professio*1113neneer, Registd Architect, or R Roof Consultant (Wien this limitation is smelly referrer Witiin this NOA,.�eral Limitation#9 will not be aM*1ca s:) 8. All attachment and sizing of perimeter natters,metal profile,and/or flashing termination designs shall.conform to Roofing Application.Standard RAS 111 and applicable wind load requirements. 9. The minim designed pressure limitation listed shall be applicable to all roof pressure zones(ie.field, perimateIrs,and corners). Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at 6han.6a premm zones(ie.pis,extended corners and corners).(Wien this Himitathm is spee fieally refmJed witiin On NOA,General Lhinhatiion#7 will not be applicable.) END OF PHIS.ACCEPTANCE .t t •• • NOANa�: 41,0-1123.95 ••• • ••• • • • Expiradon Dates 03/14/13 Approval Dib M4n3 13 of 13 iVl'V.R<l.1VYlb�'1\WWt�►,7J O�Vita.1 —Q'j= ' TG1FU.R11662 ?� Roofing Systems Roofing Systems See -for gooftno system U s PLY 1 811662 PO BOX 11710 FORT W IjX 76110-0740 USA I I RUM APPLnD CDATVN SVSTEMS i j !1 { CkIt; i 1.Dacia N,9 Indheot No LLQ H y {' Tyro "AU Season S193S Lo Odor Roof CONting",1-1/4 9a/aU cost Co", (4 SHOO .E PLY NNIBRANE SVSTOW Unless {, indicated,membranes used In these systems are mechanically fastened w�h large head metal or P►astic fasteners 18 In. OC and 2�L from no's edge.Adjacent streets we tapped 4 In.,covering fasteners.Laps are then heat sealed. (pp�no { r�cock cations are applicable for t�over combustible root`(minimum 15/32-hh.tWM decks whgn Minimum s/2-inAl fgy�tm board or minimum 1/4-in.thick G-P Gypsum Corp." - R�fboerd"or° Deck PritrteS►R�flso�d"TM or'°Dens- Decc DuraGuaI Rid"are used directly over the plywood rhe deck with all butt joints in the banes board sbggefed a minim6-1n. from piywoW haW deck butt joints. R li Type G2It glassmat base Street(°USP Base Sheet")is a Suitable alternate for Type Gi asphalt glass fiber piy shee4"USP Type!iV!Piy Sheet"orjTYpe VI Premium Glass Ply in the Class A,B!or C roof systems Indicated below. Unless otmhvisE indicated,when rOwrhtg to gypshrm board in the Mowing dessilicatiom,the following will be r md:G-P Gypsumii DensDedO&#4 tn.min,SECUROCIC Glass-Nat Roof Board(Tyle or SECUROCK Gypeurn ter Roof Board(Type FRX-G),minimum 1/4 In.,Regula OYpsurn board(Trot Classified)laid with stoWered joints(6 In.offset)ging 0.463 in.thick min and weigfimg 184 lbs/ 'mtn or �P "5amt►d "Board,measuring Q 2081n.tick min and weighing 109 Wst min.114In.(min)Si aM=GyPOu4-Fiber g� FRX-G)is limited to a maximum 3:12 slope when used as a thermal barrier over a ooribustible deck in a system with any UL Classified except polystyrene,112 In.(adn) C Gypsum-Fiber Rwf Board(7YPe F RX-G)D limited to a m wdmum 1;114dope wfrorh !OIS;a thermal buhier over a combustible deck in a system wttuert Insulation or with any UL Classified polystyrene tr sulatlop. CSA i {a .i 1.Deets f 1x/16 lecO :114 { 15stm m:—Perlte or glass fRw,3/4 to 1-1/2 In.mechanically fastened. i ' i —USP-APP 1605,USP-APP 160K Dhrrawetd"-4S APP,Dhrrewald"-4N APP,AN t81aww APP 4.0 SmwtftAPP Srfoo ,All Weather 4.5 Grarhuied,USP"'TWCaP 190M APP,A6 Weet1w 190 APP Gramdatad,USP"-TWkzp 1905 APP, 190 9� heat fused. —Gtawel loosely aped at 400 i11 I + C A-M�uNy Aid tt I 1.Dedeirci 1=111 1/4 i s 1i em —lam,aim fiber or wood fiber,any ttticlumm ! t —Type G-2,num hankally fad. i S M� —USP"'APP lem,USP-APP 16014,M aweld"-4S APP,Dur oweld4J°411 APP,Alt Weadw APP 4.0 Smooth,All iWaathw APP Sin.AN Weather 4S Grawled,USP"TWtW 190M APP,All Weather 190 APP Granulated,USO"-Trr�ap 190S APP,Ali Weather 190 p�-�'P�-S�m__o��o-t�h,h�fused. a —Karnak Clhernical Corp.s"Kam qft 9?l "tom",1-1/2 tial/Sq. i 2.tkbdo C 35/32 •• .•i i i i i•i •• ! j ' I ••• ••• ••i ••• t t ••• i tl ( :—PdiYTsocyanurate, any trkknesS,mechanically fastened. E Buller Boat*-Minirtaun Vain-thick GP GYPSUM Corp-" Ro�ard"or"mac Pr1me@ Roofboard-or"Den"a E�iraiGtafd"-Rooftmwtr or mihhraan V>"in. goard w%a4W a minimum of 64n.frau top d;&joints• —Orbe P►y Type G2,m echaid W*; � tit. • �• • • • emu .� p� �� /. �.p�+ p� gyp, t!ZgibegIt( :—Oneplyof --TSW ,.9%6 a") VWG)lQJ�7Vl.l t�.7Wt "!' TJW a1�KR ii00 HT TG.SBS Base","w7eu 19th TG 5�8�.91�or 41buraff rc 2545'n t1�t Yielded. " CPR —Oras ply of DU MFIM G4M TSS .*DwV'N 64f*fff-M S 't, "dLreRex G4FR HD TG SBS! �Rac 190F3�'TG SBS, "DuraRex 2SIM TG SBS",uMaarm Dual Cap M-M SBS,"or-oureFlex Dual Cap FR HT TG SBS".Croat m9ded. I • •• •• • • • •• •• is t httpJ/ r E uLcaamicgi-binlXYYhemplaxe/LISEXT/1FRAMFJ9bowpage htm1?b=e^T... 1 k1/3/2014 1� � i s 52:O dci G15/32 Deet 2 { ��F��Iyy,,--'----�� iS 0 P,U (OMMO t—Any tlticlanew Palykw yw e,pwgW or er MCaffy fastened or adhered with UL Ch eri adheslm —114-DL Uft GP GMn corp."D k®Rid"or 8DwmDe&Mmee Rodwarcr or" do Dp*uard- vft bitf Joft In the barrier board staggered a ehrnum of 64n.from plywood deck buttioints medwically fastened or any UL OwssUled huukedon Meese. -SBS CEV-plus"fully adhered witlt Pus 6100SIS Effie"FulFy edi t Witlt hot rO illg asphalt ' { 'i asojelt 53.Dedq iC-.5/32 ZINN=1/2 ;+ 8eis�a TYDe G2,G3 or"USP BaW,mechanlany fastened. i ( _—Q rrrore layers Type GI� ia1[er Of°U�APP 1605:"USP APP 1505 Plrs,`°mrraWeld 4S 1(PP;"•All �WQ� APP 4.0 Smooth","All Weather APP Smootle",�"TufPcsp 19�APP"," Weather 190 APP Smooth",heat find Or i; "P" eld APP Oe,""SBAMWeld 180.5 APP;"SaftWeid MS APP"or"USP APP 160SW heat fused or cid applied with"SafeWeid Pr�*um APA Moffled Adhesye"applied at 1-1/2 gW/sq. ftfi ="D�ALetci 4�"heat fused or"SafeWeld 1SOFR APP'or°SafeWeld X4FR APP,"heat fused or cold appiiekd%uft b*dd Prerrdum APP Paid Ad1 ve"appeed at 1-12 Wl/sq. f 1.Dedc,NC 1 „ et—Dow Chermcal'SWcfb rn"Polystyrene,Cebbeu"Therwee PoWelI ane,glass ltber or perhte,3/4 to 2 le.,to bosely. "LW PVC,"USP FB EV-Ptus"or"USP EV-RW,hdd bosely. t' t—Gravel at 600 M/sq,id!icy: r, 2.Deck,cjZndbm 2 —�PVL7 ParftFS B Plus"� ,AMMw4ed by one krrw D "U-Time 210",1 bD S irt.,laid loos ty.r —River bottom stone(3/4 to 1-1/2 in.dhen)at 1000 lb/sq. f 3.Dedm X15/32 InWree:lit !�—PofPWMIe,i to 3 In.,fall loosely. +, Sl s Sieeeb—Atlas Roiling`FR-50",leld Was* NNeattirae�—*USP PVC,"USP F5 EV-PItW or"USP EV-Plus",kdd basely. i Gravel at 1000 lb/sq. ;s t f �j 11 1 fi �1 ) •• ••d • • • • • •• f+ i ! • • • • • • • • • • • • • • • ! •• • • • • • • • • i • • •• •• ••• • • • zi It ••• • N • • 1 l kC 0:0 000 i ••• lith ••• ... .. . . • • ••• • • 1 r