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RF-16-669 °i�St Ph 3 'S x E7 His:31 _ ��� a'' � 3� � . .� Miami Shores Village Atm TSB - 10050 N.E.2nd Avenue NE " Miami Shores,FL 33138-0000 � Phone: (305)795-2204 � � � ���� #TTJ � � "s Expiration: 0912012016 Project Address Parcel Number Applicant 325 NE 95 Street 1132060136020 Miami Shores, FL Block: Lot: ALAN RANDOLPH Owner Information Address Phone Cell ALAN RANDOLPH 325 NE 95 Street (305)613-2605 MIAMI SHORES FL 33138- 325 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 11,000.00 A M JULIEN CONTRACTING INC (305)662-1792 Total Sq Feet: 2537 Type of Work:Re Roof Available Inspections: Additional Info:FLAT RE-ROOF Inspection Type: Classification:Residential Scanning:3 Tin Cap Final Roof Roof in Progress Renailing Affidavit Review Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.60 DBPR Fee IIIVOICe# RF-3-16-59010 $4.50 DCA Fee $4.50 03/24/2016 Credit Card $335.60 $0.00 Education Surcharge $2.20 Permit Fee-New Roof $300.00 Scanning Fee $9.00 Technology Fee $8.80 Total: $335.60 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 AFFIDA T:I certify that th foregoin ' formation is accurate and that all work will be done in compliance with all applicable laws regulating construction and ring. Futhe orize t ab ve-named contractor to do the work stated. March 24, 2016 utho ed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 24,2016 1 Miami Shores Village -- - - - - - Building Department MAN i19, 20r0 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �� INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2011-1 s+� BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION F-]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _325 N67 C15 ST-, City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): PA,_jyita Phone#: :305 • &15 • 060"5- Address: /!I �5 — City: State: 4!!Z- _ Zip:?eg3' 10 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Ai A • P L R3 C00TCA-C'0/J6h Phone#: '30.s• CPG 2. 17qZ Address: _15-S-0 SO 5 7'rh AIV_ * 706 City: S.M kNAA( State: TL zip: 33 H 3 Qualifier Name: 50L*g10 LIrLEYVEFS Phone#: q•�Z�8Co6356 State Certification or Registration#: C C-C- 132 9eVek i Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: ^^ ii City: State: Zip: Value of Work for this Permit:$ V l 1 U 0 P1Square/Linear Footage of Work: T 1 S-3 7 o Type of Work: ❑ Addition J<Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: F Lo T R-c— 9,a0 P 21 �-3'1 S•�• Specify color of color thru tile: Submittal Fee$ C-0 Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ '3' J 3 J -�L 0 (Revised02/24/2014) t t 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 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 day of _ —F'� 120 k�,0 by day of /� 20 f i� by 1GQ(��1 ,,who is personally known to ��lJl� � (_�QL'�/'E?Sho is personally known to me or who has produced ��.. as me or who has produced E�✓® as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: QSig Print: Print: Seal: 2� su Notary Public State of Florida PAOLA S.CONCEPCION Seal. a°� �`� ,Joanna?,A Feliciano MY COMMISSION#EE829487 a My Commission FF 082753 °? P EXPIRES:August 23,2016 Q Corvti° Expires01112f2018 v' APPROVED BY � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) rtwn��.v► ►,wvcm►vurt Rt--N LAVVbUN,Jt_L;KtIAKY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Fti CONSTRUCTION INDUSTRY LICENSING BOARD The R FING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 ac CACERES, SERGIO ALBERTO A M JULIEN CONTRACTING INC19701 SW 110 CT UNIT 739 MIAMI FL 33157 ISSUED: 09/0712014 DISPLAY AS REQUIRED BY LAW SEQ# 1-1409070002907 STATE OF FLORIDA D5� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CCC1328991 ISSUED: 09107/2014 CERTIFIED ROOFING CONTRACTOR CACERES,SERGIO ALBERTO A M JULIEN CONTRACTING INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration dale:AUG 31,2016 1.1409070002907 Local Busi ness Tax f:bcei pt Miami-Dade County, State of Florida -THIS IS NOT A BILL DO NOT PAY RT 6422463 BUSINESS NAM E/LOCATION RECEIPT NO. EXPIRES A M JULIEN CONTRACTING INC RENEWAL SEPTEMBER 30, 2016 7550 SW 57 AVE 218 6690631 SOUTH MIAMI, FL 33143 Must be displayed at place of business Pursuant to County Code Chapter 8A Art.9& 10 OWNER SEC TYPE OF BUSINESS PAYMENT RECEIVED A M JULIEN CONTRACTING INC 196 GENERAL BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 07/06/2015 Worker(s) 1 CGC1508950 CREDITCARD-15-033081 This Local Business Tax Fdacei pt only con"rrts payment of the Local Business Tax.The Receipt is not a license, permit,or acerb"cation of the holder's quad i"cations,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirerrentswhich apply to the business. TheRE" PT NO.above must be displayed on al I commercial vehicles-Miami-Dade Code Sec 8a-276. MIAMI.OADE For more information,visit www rri artidede gov/toxcod lector ACC> DATE(MMIDDIYYYf) �- CERTIFICATE OF LIABILITY INSURANCE 03/21/2016 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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain 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 NAME: Lucia Estrella PHONE Accurate _(Q9,yo, , (305)226-8727 ac No: (305)226-8767 8300 West Flagier Suite 114 L luciaestrella@beilsouth.net Miami, FL 33144 INSURER(S)AFFORDING COVERAGE NAIC p Phone (305)226-8727 Fax (305)226-8767 INSURERA: United Specialty Insurance Company INSURED INSURER B: A.M Julien Contracting INSURER C: 7550 SW 57 Ave #218 INSURER D: Coral GablesINSURER E: FL 33143- 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. ILTR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS © COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 ❑ CLAIMS-MADE © OCCUR DAMAGE TO RENTED 50,000.00 PREMISES Ea o encs $ A ❑ MED EXP(Any one person) $ 5,000.00 ❑ _ SII1003820296 11/12/2015 11/12/2016 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 POLICY ❑❑ PECOT- 11LOC OTHER PRODUCTS-COMP/0P AGG $ 1,000,000.00 $ AUTOMOBILE LIABILITY Ea BI ED SINGLE LIMIT $ ❑ ANY AUTO 80DILY INJURY(Per person) $ ALL❑ AUTOS ❑ AUTOSULED I BODILY INJURY(Per accident s ❑ HIRED AUTOS ❑ AUT SEED P�eOPE�RJYnt AMAGE $ ❑ ❑ $ ❑ UMBRELLA LIAO ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑PERT EJORH- AND EMPLOYERS'LIABILITY Y/N TA UTE _ ANY PROPRIETORIPARTNERJEXECUTIVEEj E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A — _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) CGC 1508950/CCC 1328991 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLI CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF,NOTICE W1 ERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONf. Miami Shores,FL 33138 AUTHORIZED REPRESENTATNE Lucia Estrella ©1988.2014 ACORD CORPORATION. k1l rights reserved. ACORD 25(2014101)CIF The ACORD name and logo are registered marks of ACORD PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE F — - — — — — — IMPORTANT STATE OF FLORIDA I Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation DEPARTMENT OF FINANCIAL SERVICES who elects exemption from this chapter by filing a certificate of election under this section may not recover benefRs or DIVISION OF WORKERS'COMPENSATION A I F compensation under this chapter. CONSTRUCTION INDUSTRY EXEMPTION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA I L Pursuant to Chapter 440.05(12),F.S.,Certificates of election to I WORKERS'COMPENSATION LAW D be exempt...apply only within the scope of the business or trade EFFECTIVE DATE: 10212015 EXPIRATION DATE 10202017 I listed on the notice of election to be exempt. PERSON: CACERES SERGIOALBERTO H Pursuant to Chapter 440.05(13),F.S.,Notices of election to be FEIN: 263273482 I E exempt and certificates of election to be exempt shall be BUSINESS NAME AND ADDRESS: R subject to revocation If,at any time after the filing of the notice A M JULIEN CONTRACTING INC 1E or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke 2227 SW 80 TERR I a certificate at any time for failure of the person named on the MIRAM AR FL 33026 I certificate to meet the requirements of this section. I SCOPES OF BUSINESS OR TRA LICENSED GENERAL LICENSED ROOFING LONTRACTOR CONTRACTOR DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)4131609 Date ' CERTIFICATE OF LIABILITY INSURANCE 3123,2016 Prodillcer: Lean.Insurance Company This Certillicate Is Issued as a matter of Information only and confess no rights 2739 U.S. Highway 19 K upon the Certificate Holder. This certificate does not amend,etxteod or atter Holiday, FL 34691 the coverage of forded by the polis below. .... ._.._. (727)938-5562 Insurers Affording Comte NA1C# Insured, South East Personnel leasing, Inc, Subsidiaries ""sum A: Lion im,irance Company It075 2739 U,S, Highway 19 K Insurer 8: Holiday, FL 34691 Insurer C, Insurer DJ Inslitpr E: Coverages The policies of InWraftM fisted Ww—ha-mban—mmed to M insurednarried ame F e Pory period ImIlated, any r rm at can iron of any con factor ernes cavemen# vAth refit to which thu cedlficate may be issued or may pertain,the insuranceattardad by pre policies described herein 13 WNW waft ties terms,exclusions,end condiaians of such pussies Aggregate limits shown my have been reduced by paid chaos. INSR ADOL �YpO of Insurance I�tili Number RdlLy Ef olive P014 Expiration 5atw L irrttts t.TR INSRrt Policy Crate (MWDD"yy) (MM1DDiYY) GENERAL LIABILITY Earp Occurrence Commercial General Liability Oemoge to rented pfnft& (E6e Claims Made1:3 Occur accurrsncei Med Exp pu, eral aggregate limit applies Personal Adv Iniury per- Policy t�'�act LOCG"ral Ag M94te U E3 Products-CotnpiOp A" OMOBILE LIABILITY Combiried S ttate Unapt Any Auto Accident} AO Owned Autos eaft injury Scheduled Autos r ar Person) Hirod.Aulos &Wiry injury tdottd wited Autos IN(Awdetl) Rny Damage dyer Accident) EXCESSIUMBRELLA LIABILITY Each Occurrence Occur Claims reads Atiliegato Deductible A Workers Compensation and WC 71949 0110112016 01101,12017 x we smtu4 07w Employers'Liability I tat Lrrnits, Ell Any propnetoripartnertexecutive officeftmember E L EaCt1 Accident sl,aoa,aoo excluded? NO E-L_mare Ea Employee s1.04,000 If Yes,describe under special provisions bei, E.L.Disease-Policy Limits $1,000,000 e>pier Lion instirame Oair�pan Is A.M.Best Orin n rated A-(Exceftent). AMB#22616 Descriptions of Operations/LocationslVWclestExelusions added by EndorsomentfSpeeial Provisions: Client JD) 91-67-374 Coverage only applies to u1nie empiny (s)of South E&A Employee LeWng LeasingSues,Inc,that are leased to the Ulowing'Client Company% Top seal services Corp. CCC1330119 Coverage only applies to In)uites incurred by:Matta East Personnel Leas",Inc.&Subsidiaries active amp s),while vvotichg in:PL. coverage dues not apply to statutory employee(s)or independent contractrar(s)or the int company or any obler entity. A list of 0V active employ (s)teased to the client terry can be obtainers by faxing a request to(727)937.2139 or by calling(727)938-s562. project Name: ISSUE 08-01.13(CF) n Date:Y 2Y 2 I3 CEit'T1ftCATE HOLDER CANCELLATION Stttaild any rat the siva tt 70 trout s rum p brttofp the exprr Mon eta lheersdf, tis issuhig A.M.J U LIEN CONTRACTINGInsofar vwgi exidtaavut res m»it d atiaYexa nodav to pre ewrttti its noidsm named to the haft,but fallurn to 7550 S W 57 AV EIV U E do so snarl Impose no otiilpation of liability at any kind upon the irisurar,its a nsa of seeprasantativu� MIAMI,FL 33143 Policy Numberz,GL0012767-01 Date Entered:5/11/2016 '`��C,��Q® CERTIFICATE OF LIABILITY INSURANCE MIODIYVYY, 033/23/23/2p16 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(les) 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 CONTACT De Zayas insurance PHONE10110 SW 101 Ave- LAX,No. .(305)274-1234 �No:(766)472-6807 E-MAIL ,ALEX@DBZAYASINSURANCB«+EOM MIAMI, FL 33176 INSURERS AFFORDING COVERAGE NAIC S INSURER A:XCh Specialty insurance Company 21199 INSURED Tog Seal Services Corp INSURER 0: Mr Ronald Medina INSURER c: 5025 SW 75 St INSURER D: Miami, FL 33143 INSURER E: 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 HA BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD POLICY NUMBERPOLICY EFF POLICY EXP LIMITSA >< COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000_ IM CLAS-MADE ®OCCUR X X AM001,2767-01 5/06/2018 &/05/2016 pR AG TO RENTED MISES a $100,000 — MED EXP(Any oneperson) $10,000 PERSONAL&ADV INJURY S1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E;210001000 POLICY❑JECQT LOC PRODUCTS•COMP/OP AGG $1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT-LEit $ a d ANYAUTO BODILY INJURY(Per person), $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS AUTOS NED APROPERTY DAMAGE AUTOS Peracciden $ UMBRELLA WAS OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION s $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY YIN STATUTE E ANY PROPRIETORIPARTNERJEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in u E.L.DISEASE-EA EMPLOYE $ H yes,deseribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTK)N OF OPERATIONS I LOCATIONSI VEHICL S(ACORD 101,Additional Remarks Sohodule,may be attached M more space Is required) Commercial cad Residential Roo ing Contractor Waiver of Subrogation and Blanket Additional Named Insured Endorsement included. CERTIFICATE HOLDER CANCELLATION A.M.JULIEN CONTRACTING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7550 SW 57th AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.Y MIAMI, FL 33143 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014(01) The ACORD name and logo are registered marks of ACORD Produced using Forms Bass Plus software.www.FOrmsBOSS,Com;Impressive PublisAing 800-208-1977 i&- 6rct Miami Shores Village �• Building Department -- 10050 N.E.2nd Avenue 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: 312-112,01 10050 NE 2nd Ave Miami Shores,Fl 33138 Re: Owner's Name: Property Address: 3 e- e iSh-bffiffi f 3313 Roofing Permit Number: Dear Buildi g Ofyic'al : certify that I am not required to retrofit the roof to wall connections of my building because: >(The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00.Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Budding Code(FBC)or with the provisions of 1994 ed! South Florida Building Code(1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duty swom,de d says that he/she Is the owner for the above property mentioned. Swam to and subscribed before me this P I day of , .`o� e.;., STEPHANIE SMITH .` Notary Public-State of Florida 'sa, J My Comm.Expires Dec 11,2017 Notary Public,Sate of Florida at Large "°•;F 6��P� Commisslon 70 FF 075960 y • vlfen 9ie just valuation d tlgr s for Puepos➢e dad ralo<en Ionian is eQus1loor more ftm S=.w0.00,NW get boftg was not Wooded wM FOC norm 1991 SM Taen You no Pontle a WAb8 appriion rima a General N 6actoHorme Radio wall opreltxdfort Mmi;MM10tion, Revised on 5I11rM Propqqy Search Application- Miami-Dade County Page 1 of 1 9FFICE OF THE PROPERTY* APPRAISER Summary Report Generated On:3/24/2016 Property Information_ �' Folio: 11-3206-013-6020 tE Property Address: 325 NE 95 STS Miami Shores,FL 33138-2713 E u Owner ALAN G RANDOLPH Mailing Address 325 NE 95 ST s� MIAMI SHORES,FL 33138 USA Primary Zone 1400 SGL FAMILY-3001-3250 SQ \; Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNITE 3a' Beds/Baths I Half 2/2/0 Floors 2 "•' ' a Living Units 1 Actual Area 2,817 Sq.Ft Living Area 2,362 Sq.Ft -` Adjusted Area 2,434 Sq.Ft Taxable Value Information Lot Size 11,178.24 Sq.Ft 2015L_______2014 2013 Year Built 1948 - - - ---- - County Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2015 2014 2013 Taxable Value 1 $349,491 $346,321 $340,465 Land Value $268,375 $234,828 $207,827 School Board Building Value $177,877 $175,154 $176,533 Exemption Value $25,000 $25,000 $25,000 XF Value $26,826 $27,122 $27,419 Taxable Value $374,491 $371,321 $365,465 ._..__............._....... _._...__.....____...___....._.. ..._._...___..._......._._._._...e.... Market Value $473,078 !$3 37,104 $411,779 City Assessed Value $399,491 96,321 $390,465 Exemption Value $50,000 $50,000 $50,000 Taxable Value $349,491 $346,321 $340,465 ._....._...._................_......................................................................................................._........................... ...... Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value 1 $50,000 $50,000 $50,000 Save Our Homes Assessment $73,587 $40,783 $21,314 Taxable Value $349,491 $346,321 $340,465 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 Price$25,000 $25,000 Previous OR Book- Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sale Pae School Board,City,Regional). 05/14/2015 $760,000 9623 Qual by exam of deed 3362 Short Legal Description 05/01/2005 $679,000 23354 Sales which are qualified MIAMI SHORES SEC 1 AMD PB 10-70 1 4099 LOT 13 BLK 44 04/01/2002 $0 20351- Sales which are disqualified as a result LOT SIZE 78.720 X 142 2454 of examination of the deed 10/01/2001 $281,000 20013- Sales which are qualified CF 738160011 0333 OR 20351-2454 04 2002 4 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Properly Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 3/24/2016 5�1oREs D� �t KENN signor" � Miami shores Village z-- �� Building Department I�lORID�► 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT* DATE: X 2- (,6 I, S eg66 CeYl�—s Contractor ❑ Owner ❑Architect Picked up 2 sets of plans and (other) Address: 3 a-S N6 qg �" ST- From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by:— Jt� 666,0 . PERMIT CLERK INITIAL:_ RESUBMITTED DATE: 0 ka PERMIT CLERK INITIAL: r MAR 1.S 2016 OF ASSEMBLES AND ROOFTOP STRUCTURES BY: EM 77, Rordde Building Code Sth Edition(2014) N High-Velooity Hurricane Zone Uniform Permit Application F 4 1 L, Section A(General Intonmation) Master Permit No. Process No. ; ! Contractor's Name A ,.I)• J V L 1" GO rJ T F-A'LT)N6 1 1 � Job Address3 2 S IVF- C I- Srr. 1 ROOF CATEGORY 1 Low Slope ❑ Medumically Fastened Tile ❑ Mortar/Adhesive Set Tiles 1 _ Ac n9 WOWhelWood ShirgleSh es. _... ! I ❑ Prescripthre BUR-RAS 150 1 ROOF TYPE 1 ❑ New roof Q Repair ❑ Maintenance Reroofing ❑ Recovering ! ROOF SYSTEM NMRLJATION 1 Low-Slope Roof Area(M-245--37 Steep Sloped Roof AREA(SSF) Total(SF) 1 1 1 ,. Section B(Roof Plan) 1 Sketch Roof Pian:Illustrate all levels and sections,roof drains,scuppers, overflow scuppers and overflow draIM irlbAlbie dimen. 1 sions of sections and levels,clearly Identify dimensions of elevated pressure zones and location ofpara�aefs. ...• •••r•• !! ...•.. .. .. .. .. f ITT I 00•.00 0 !•• 0 • • 1 IF 1 i - 1 1 ! j ! I 1 1 - PipDATE I FLORIDA BUILDING CODE--BUILDING,8th EWTION(207 5.37 C1=WITH AI-L FEDERAL n��; Florida Building-Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Stoped Roof System) Fill in Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet and Identify Manufacturer Attachment (If a component is not used,identi as"NA") System Manufacturer: ' Field: ^oc @Lap,#Rows @ oc NOA No. f— -- Perimeter: oc @ Lap,#Rows @ °oc Design Wind Pressures,From RAIR 128 or Calculations: ��; 7 � � Corner: "oc @Lap,#Rows @ _oc Pmax1: Pmax2: Pmax3: Number of Fasteners Per Insulation Max.Design Pressure,From the Specific NOA Board System: Field: Perimeter #IX Corner Deck: Type: v.� Illustrate Components Noted and Gauge/Thickness: Details as Applicable: Slope: , Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Anchor/Base Sheet&No.of Ply(s): trip, Base Flashing, Counter- Flashing, oping, Etc. An or e et F er�erp ndig�terial Indicate: Mean Roof Height, Parapet Height, �� Height of Base Flashing, Component Nakwial, Material Thickness, Fastener •Type, 'FMgrler .••.•. Insulation Base Layer: Spacing or Submit ManufecturePs Detajls t4at • o A Comply with RAS 111 and Chapter 16.• • • • • Base Insulation Size and T � ness: ••••w• •• •• •••••• ••. • • Base Insulation Faste er/Bonding Material: '00000 • ' • • • Top Insulation Layer: F1' Parapet Top Insulation Size and Thickness: • HeiQ • •••• • Top Insulation Fastener/Bonding Material: •� Q�^�••t y� • • %••••� Base Sheet(s)&No.of Ply s): Base Sheet Fastener/Bonding Material: `" Mean Roof Height Ply Sheet(s)&No.of Ply(s): A-e t Ply S erBn ng�faterral: Top Ply �' .�� Top PIy„FAst n /Bond' M rial- Surfacing: MIAMI•DADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99 NOTICE OF ACCEPTANCE OA www.miamidade.zov/economy GAF 1.361 Alps Road Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER- Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the 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. 0000 This product is approved as described herein,and has been designed to comply with the Florida Buo z; ,,Code•••••• including the High Velocity Hurricane Zone of the Florida Building Code, 0,900 ••• •• 0000.. .. DESCRIPTION: GAF Conventional Built-Up Roof Systems for Wood Decks. •••:•• .. 00000 . ;:**so:0 0 0; 0000 0 000000 LABELING: Each unit shall bear a permanent label with the manufacturer's name or fdgo,city,slate and ••:••• following statement: "Miami-Dade County Product Control Approved",unless otherwise�gted heft 0000. • •••••• RENEWAL of this NOA shall be considered after a renewal application has been filad 0501here has teen no •• change in the applicable building code negatively affecting the performance of this prtlduct,• ;•••'• •00.:%••• 0 . 0000.. TERMINATION of this NOA will occur after the expiration date or if there has been a'revision orie in • the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 13-0424.09 and consists of pages I through 16. The submitted documentation wts reviewed by Jorge L.Acebo. NOA No.: 13-1022.15 MIAMFbADECOUNTY Expiration Date: 11/04/18 "JAPPROVED1 Approval Date: 11/06/14 Page 1 of 16 ROOFING SYSTEM APPROVAL Category 'Roofing Sub-Cateeory_ BUR Material: Fiberglass Deck Tyue: Wood Maximum Design Pressure: -75 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description GAFGLAS8#75 Base 39.37"(1 meter) ASTM D4601 Type II asphalt impregnated and coated glass mat Sheet Wide base sheet. GAFGLASO#80 Ultima 39.37"(I meter) ASTM D4601 Type II asphalt impregnated and coated,fiberglass Base Sheet Wide base sheet. GAFGLAS F1exPly""6 39.37"(1 meter) ASTM D2178 Type VI asphalt impregnated glass felt with asphalt Wide- coating. GAFGLAS®Ply 4 39.37"(1 meter) ASTM D2178 Type IV asphalt impregnated glass felt with asphalt Wide coating. GAFGLAS'Mineral 39.3T'(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap street surfaced Surfaced Cap Sheet Wide with mineral granules.: ••• :1009 ••••:• .• . • GAFGLAS'EnergyCap"" 39.37"(1 meter) ASTM D3909 Asphalt coated,glass fibw amt capstet surfaced••'- BUR Mineral Surface wide with mineral granules wwi4factory applied Cap Sheet EncrgyCote •••• • GAFGLAS'Stratavene 39.37"(1 meter) ASTM D4897 Fiberglass base sheet coated.®n botli%i4mwith •••••• Eliminator'"`Perforated Wide asphalt. Surfaced on the4at4m side With tninerAr••:' Venting Base Sheet granules embedded in 44ftt4c coating'with factory • perforations. ...•:• GAFGLAScD Stratavene 39.37"(1 meter) ASTM D4897 A nailable,fiberglass bags sheet imp&tlitted and • EIiminator Nailable Wide coated on both sides with asphalt. Surfaced on the Venting Base Sheet bottom side with mineral granules embedded in asphaltic coating. Ruberoid SBS Heat- 39.37"(1 meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- Weld'•Smooth Wide modified asphalt and smooth surfaced. Ruberoid®SBS Heat- 39.37"(1.meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- Weld'25 Wide modified asphalt and smooth surfaced. Ruberoid'20 39.37"(1 meter) ASTM D6163 SBS modified asphalt base sheet reinforce with a Wade glass fiber mat. Ruberoid'Mop Smooth 39.37"(1 meter) ASTM D6164 Non-woven polyester mat coated with polymer- wile modified asphalt and smooth surfaced. NOA No.: 13-1022.15 MiAMMADEcC Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 2 of 16 i TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY.APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description FireOut Fire Barrier 5, 55 gallons Proprietary Low VOC,water based fire barrier coating. Coating VersaShieldo Fire 350 sq. ft.roll ASTM D226 Non-Asphaltic Fiberglass-Based Underlayment. Resistant Roof Deck Protection Topcoat Surface Seal 5 gallons ASTM D6083 Solvent based sprayable thermoplastic rubber SB sealant designed to protect and restore aged roof surfaces and to increase a roof's reflectivity. APPROVED INSULATIONS: TABLE 2 Product Name Product Description Manufacturer (With Current NOA) EnergyGuardr"`Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuardm RA Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarr RN Polyiso Insulation Polyisocyanurate foam insulation CAF. EnergyGuard'-Perlite Roof Insulation Perlite insulation board. .�•. � G F � • 0000.. EnergyGuardT.Perlite Recover Board Perlite recover board GQF.. • 0000.. • EnergyGuard."RA Composite Polyis.) Polyisocyanurate foam insulation with high •••• fol:• • Insulation density fiberboard or Permalite perlite •••• a 00000. insulation 00:00: .' "' •••G 90 06 0 6 0 09.6.9 SecurocV Gypsum-Fiber Roof Board Gypsum roof board Z3rsijeq States Gypsum Core. . 00'00 Structodeko High Density Fiber Board High density fiber board �lue.Ridge ber�ioard,Ips9000 0 •• . . • DensDecko Roof Board Gypsum board Georgia-Pacift;ByAsum LLC NOA No.: 13-1022.15 r�uuyan cout�rr Expiration Date: 11/04/18 APPROVE Approval Hate: 11106/14 Page 3 of 16 APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Narne Description Dimensions Mith Current NOM 1. Drill-Tec"'#12 Fastener Insulation fastener for steel, various GAF wood&concrete decks. 2. Drill-Tec"'#14 Fastener Insulation fastener for steel, various GAF wood&concrete decks. 3. Drill-Tec`" XHD Fastener Carbon steel extra heavy duty Various GAF fastener used in steel decks. 4. Drill-TecT"ASAP 3S Drill-Tec"''#12 Fastener with Various GAF Drill-Tec""3"Standard Steel Plate 5. Drill-Tec3"Steel Plate Round galvalume stress plate 3"round GAF used with Drill-Tec"' fasteners. 6. Drill-Tec' 3"Standard Steel Round galvalume plated steel 3"round GAF Plate stress plate with reinforced ribs for use with Drill-TecT" fasteners. 7. Drill-Tec'"AccuTrace Flat AZ-SS aluminized steel plate 3"square GAF Plate for use with Drill-Tec'" #12 0000 Fastener,Drill-TecTm#14 *see:* Fastener and Drill-TecT'M#15 ' Fastener. ...... '00'00 •0000• 8. Drill-Tec""AccuTraco Galvalume Steel plate for use 3"square •••'•• GA'F :•••• 0000 fasteners. Recessed Plate with Drill-Tecru •.•••• •••, ...... . ... ..... . • 00 000 ...... 0 00• . . *000 NOA No.: 13-1022.15 MU4MbDADECOUNTY Expiration Date: 11/04/18 "'• ' Approval Date: 11/06/14 Page 4 of 16 EVIDENCE SUBMITTED: Test Agent Test Identifier Description Date Factory Mutual Research Corp. J.I.2B8A4.AM 4470 07/02/97 J.I.3B9Q l.AM 4470 01/08/98 J.I.ODOA8.AM 4470 07/09/99 J.I.OD3 A8.AM 4470 07/29/94 J.T. OY9Q5.AM 4470 04/01/98 3029832 4470 05/11/07 UL LLC R1306 UL 790 07/22/13 PRI Construction Materials GAF-012-02-02 ASTM D4977 11/06/01 Technologies,LLC GAF-020-02-01 ASTM D4977 02/01/02 GAF-082-02-01 ASTM D6083 05/07/06 GAF-084-02-01 ASTM D6083 05/09/06 GAF-270-02-02 ASTM D226 11/15/10 GAF-276-02-01 Rev ASTM D6083 12/16/10 GAF-276-02-02 ASTM D226 11/15/10 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-417-02-01 ASTM C1289 05/28/13 GAF464-02-01 ASTM C 1289 10/22/12 GAF-499-02-01 ASTM D6083 .*6� 9112/1 46.0• GAF-500-02-01 ASTM D6093 •. o 0�/I2/14 .' IRT of S. Fl. 02-005 TAS 114 0,0001/18/020..:. 02-014 TAS 114 „�• *03/22/02..,,• Trinity ERD G30250.02.10-3-RI ASTM D3909.... �Ir/26/10 • G31360.03.10 ASTM D616.4.... 03/31 /10':”. G33470.01.11 ASTM D6164••••• 1'17 ' ' 16/1 f•*•O G34140.04.11-2 ASTM D6165•••• •• 04•/25/11... G34140.04.11-4 ASTM D640:00:*: 0 10.4/25/1 l....:. G34140.04.11-5 ASTM D4891 ;••W25/11. . G34140.04.11-5-RI ASTM D4897..• •..40/18/13•0 • 640630.01.14-2A-1 ASTM D6164 ••01107/3 4 G43610.01.14 ASTM D3909 01/22/14 G6850.08.07-1 ASTM D3909 08/13/07 G30250.02.10-3-R1 ASTM D3909 11/26/12 NOA No.: 13-1022.15 PUMwAnecourrnr Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 5 of 16 Membrane Type: BUR Deck Type 1: Wood,Non-insulated Deck Description: 19/32"or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOut'"Fire Barrier Coating, VersaShieldo Fire Resistant Roof Deck Protection or (optional) SecurockT"Gypsum Fiber Roof Board. Base sheet: GAFGLAS'#80 UltimaT"Base Sheet, Stratavene Eliminator"Nailable Venting Base Sheet,Ruberoide 20,Ruberoide SBS Heat-Weld Smooth or Ruberoie SBS Heat-Weld"" 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLASO Ply 4,GAFGLAS"'FlexPly"'6, GAFGLAS*#75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c.at the lap staggered and in two rows 12"o.c. in the field. (Maximum Design Pressure—4S psf.See General Limitation#7) GAFGLAS"'Ply 4,GAFGLASO FlexPly'6,GAFGLASO#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec" #12 Fastener or Drill-Tec"°#14 and Drill- Tee T.3"Steel Plate,Drill-Tec'"AccuTraco Flat Plate or Drill-Tec"'AccuTraco Recessed Plate 12"o.c. in 3 rows. One row is in the 2"side lap. The other rows are0q`u`a1kj spaced•,•, approximately 12"o.c. in the field of the sheet. • (Maximum Design Pressure—45 psf.See General Limitation A� .. • .. . .. .. goose GAFGLASO Flex PIyT"6,GAFGLAS*#75 Base Sheet or any tflabbve base sheets attagW&• to deck with approved annular ring shank nails and tin caps at al'astener spaoi", 9"off.. .... • at the 4"lap staggered and in two rows 9"o.c.in the field. foe*** g ' : (Maximum Design Pressure—S2.5psf.See General Limitatiop.#�,. '.. : e o..•• GAFGLASg'#80 Ultima"°Base Sheet,Ruberoid020, Ruberoid.Wop�moojh,;Ve sheet...:. attached to deck with approved 1'/4"annular ring shank nails and inverted 3%Nel'plate at a • fastener spacing of 9"o.c.at the 4"lap and in two rows stagger8d.Aitli a fastsac!-spacing of • 9" o.c. in the center of the membrane. •• • (Maximum Design Pressure—60 psf.See General Limitation#7) GAFGLAS*#75 Base Sheet or any of above base sheets attached to deck with Drill-TeeT" #12 Fastener or Drill-TecTm #14 Fastener and Drill-Tecem 3"Steel Plate,Drill-Tec'M AccuTraco Flat Plate or Drill-TecT"AccuTrac*Recessed Plate 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) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill-TecT"insulation plates at a fastener spacing of 9" o.c.at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure--60 psf.See General Limitation#7) NOA No.: 13-1022.15 MLAM4DADECOUI Expiration Date: 11/04/18 �Fuyziornlj� Approval Date: 11/06/14 Page 14 of 16 Fastening Options: GAFGLAS'#75 Base Sheet or any of above base sheets attached to deck with Drill-TecT" (Continued) #12 Fasteper or Drill-TecT"#14 Fastener and Drill-Tec'"3"Steel Plate, Drill-TecT" AccuTraco Flat Plate or Drill-Tec""AccuTrae Recessed Plate 8"o.c. in 4 rows.One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c. in the field of the sheet. (Maximum Design Pressure—75 psf. See General Limitation#7) Ply Sheet: One or more plies of GAFGLASO Ply 4 or GAFGLAS®#80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS® EnergyCap7R1 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. 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 approved asphalt at 60 lbs./sq. 2. Topcoat Surface Seal SB applied at Ito 1.5 gal./sq. Maximum Design Pressure: See Fastening Options ••e• • 000. . . • ...••• •e .. ...... • • • •ee•ee ...••. • •e• ..... .. .. •• • ••e.e• • • •� • � � •ecce• • • • . • a•eee• •• • 0000 • • • • • NOA No.: 13-1022.15 14MMADECO(JNTY Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 15 of 16 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLASO Ply 4 and GAFGLASO Flex Ply T"`6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '/<"DensDeck7 Roof Board or 1/2"Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other Iayers 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 sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable.A 6" break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F')value ofx.5 lbf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener val4e,as field-t(fted,.are bel@%*0:• 275 IV insulation attachment shall not be acceptable. �,•• • 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachwica4s based ttt Irtninimt" fastener resistance value in conjunction with the maximum design value listed within%•4ttfic system Shouldtl4ts— fastener resistance be less than that required,as determined by the Building Official,9.fd gsd fast6a4pacing,•.•, prepared,signed and sealed by a Florida Registered Professional Engineer,Registered ATNitect,or JteFigtered 0 0:0 0• Roof Consultant may be submitted. Said revised fastener spacing shall utilize the wit(aiwr ;l resistWe titalue ....•• taken from Testing Application Standards TAS 105 and calculations in compliance wij4APAfing Application •0 Standard RAS 117. : • ; . . :0000: 0000.. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of�hgse areas. Fastenei 0 0.0: densities shall be increased for both insulation and base sheet as calculated in compl ianW with Roo(NiXpplication Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engmeer, Registered Architect, or Registered Roof Consultant(When this limitation is specifically referred within this NOA,General Limitation#9 will not be applicable.) 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform to Roofing Application Standard RAS l 1 I and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e.field, perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e.perimeters, extended corners and corners).(When this limitation is specifically referred within this NOA,General Limitation#7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 13-1022.15 � tw�oecoU►vr�r Expiration Date: 11/04/18 .• 'I Approval Date: 11/06/14 Page 16 of 16 K I 0 TGFU.R1306 Roofing Systems GAF MATERIALS CORP 81306 1361 ALPS RD WAYNE,NJ 07470 USA ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Class A 4.Deck: C-15/32 Incline: 1 Slip Sheet(Optional):---Red rosin paper, nailed to deck. Insulation (optional):--Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System"or any UL Classified insulation adhesive. •••• Base Sheet:—One ply Type G2 "GAFGLAS®#75 Base Sheet"or VriO0 Sheet"(may be nailed). •• o Ply Sheet:—One or more plies Type G 1 "GAFGLASID Ply 4"or"T i; Ply 4"or GAFGLAS9 Ply 6". • Cap Sheet:--One ply Type 03 "GAFGLASS Mineral Surfaced Cap$deer"or"�'ri •':". PIy8 Mineral Surfaced Cap Sheet"or"GAFGLAS(g EnergyCapTm BL#R; Literal Surfaced Cap Sheet." •• ••••;• Surfacing(optional):--"TOPCOAT®EnergyCote'rM"applied at a rat'e0(VJ-gal/W0-fe. • Copyright 4 2011 Underwriters Laboratories Inc. @ '••' The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow-Up Service.Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow-Up Service.Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1.The Guide information,Designs and/or Listings (files)must be presented in their entirety and in a non-misleading manner, without any manipulation of the data(or drawings).2.The statement"Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must appear adjacent to the extracted material. In addition,the reprinted material must include a copyright notice in the following format: "Copyright 0 2011 wm on "�ORID1� SECTION 1524 HIGH VELOCITY HURRICANE ZONES-REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations.Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor.The owner's initial in the designated space indicates that the item has been explained. 2. Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. _ ,�;xposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 6. Overflow scuppers(wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. -0 ,�14 Signat Owner/Age- s ure ate ontractor ignature Date 325 N e el Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015;