RF-16-1678 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-261099 Permit Number: RF-6-16-1678
Scheduled Inspection Date:August 01,2016 Permit Type: Roof
Inspector: Mesa, Michel
Inspection Type: Final Roof
Owner: RIBETTI,EDORADO$CATHERINE Work Classification: Flat
Job Address:889 NE 97 Street
Miami Shores,FL 33138- Phone Number (305)609-7323
Parcel Number 1132060142650
Project: <NONE>
Contractor: SKYTOP ROOFING LLC Phone:(954)663-7287
Building Department Comments
RE ROOFING FLAT Infractio Vassed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed IV
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
� l
July 29,2016 For Inspections please call: (305)762-4949 Page 10 of 43
peri# � "
Miami Shores Village lfft?1 TJ7t3 �CIoI
10050 N.E.2nd Avenue NE r ', Wd, be Flat
Miami Shores,FL 33138-0000
Permit stat/ RPPR{yV�t
yvsN Phone: (305)795-2204
fi� ta� Ex iration: 12113/2016
I° 1 /2ti p
Project Address Parcel Number Applicant
889 NE 97 Street 1132060142650
EDORADO&CATHERINE RIBET
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
EDORADO&CATHERINE RIBETTI 889 NE 97 Street (305)609-7323 (786)612-9664
MIAMI SHORES FL 33138-
889 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 21,000.00
SKYTOP ROOFING LLC (954)663-7287
Total Sq Feet:
... _.__ 3600
Type of Work:Re Roof Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Tin Cap
Scanning:4 Final Roof
Roof in Progress
Renailing Affidavit
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# RF-6-16-60221
CCF $12.60
DBPR Fee $4.88 06/16/2016 Credit Card $885.36 $0.00
DCA Fee $4.88 Bond#:3115
Education Surcharge $4.20
Notary Fee $5.00
Permit Fee-New Roof $325.00
Scanning Fee $12.00
Technology Fee $16.80
Total: $885.36
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 AFFIDAVI : Ice hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constru io and zoni . Futh ore,I rize the above-named contractor to do the work stated.
June 16, 2016
orize / Applicant / Contractor / Agent Date
Building Depa ment Copy
June 16,2016 1
' Miami Shores Village
Building Department JUN 16;201b
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 13 Y'
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20> V
BUILDING Master Permit NOh�,lG"
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP
/� yQ CONTRACTOR DRAWINGS
JOB ADDRESS: �-! � `� Sfi
City: Miami Shores County: Miami Dade Zip: I
Folio/Parcel#: 1 P- 3 20,,6 —01 4-`2-G ,�-C) Is the Building Historically Designated:Yes NO
Occupancy Type: g5 Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): -E'DOr�'P�r�(� �.\ l Phone#: o� 6®Q 73 3
Address:_ Cr 1 __
City: WaAAAA � Vr � State: � Zip:
3313
Tenant/Lessee Name: Phone#:
Email: n +�-r1
CONTRACTOR:Company Names K q70 P �jo i-t oL I— �- Phone#: `1 V` - 6163 72-
Address: 2 6r4 0 '11 QJ ( 02- 77f /Y
City: hAt,Aey-oi4 A✓l PFJ State: Zip:
Qualifier Name: U e- Phone#: Q14 tet- Cab 728 7)
State Certification or Registration#: (2-CL i b 2. 37 3 Certificate of Competency#:
DESIGNER:Architect/Engineer: A7 ' Phone#:
Address: ity: State; ip:
Value of Work for this Permit:$ I ®® 0 Squar Linear+ootagemfWo[Z!! o .`
Type of Work: ❑ Addition ❑ Alteration ❑ Newrf,BepslZ! molition
Description of Work: 0.,V
Specify color of color thru tile:
Submittal Fee$ 6 Permit Fee$ �� �� CCF$ / -,699 40/CC$
/
Scanning Fee$ Z Radon Fee$ DBPR$ 6 Notary$ >!n a 0
Technology Fee$ 16.Y® Training/Education Fee$ / z 40 Double Fee$
Structural Reviews$ Bond$ _-15-fW-0 99
TOTAL FEE NOW DUE$ 3;F10f 36
(Rev1sed02/24/2014) 'Po
f s, 6
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 4 V Signature I Av
OWNER or AGENT �NTRAOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2-6day of ��/" ��1l� .20 ( by ®� day of U 20 by
F,d o rdd IuIod ,who is personally known topersonally known to
me or who has pro s me or who has produced
LW—W-e ! I N as
""y o��.,� INIRIDA GUEVARA
identification and adilats#Vublic-State of Florida identification and who did take an oath.
• C0111111111111110 i FF 947032
NOTARY PUBLIC: ,,� MY Contin.FROM Jan 24 2020 NOTARY PU IC:
"" ' lNnded mmum NOVA Notary AM.
Sign: Sign: 11 rr nn��
Print: Print:
o-agY°ua, Notary Public State of Florida
Seal: Seal: ? Sindia Alvarez
g Wca My Commission FF 156750
94,F�-I Expires 0910312018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Base 00000 Miami shores Village
Building Department
'p,
ZOR 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795-2204
Fax: (305) 756.8972
CONTRACTORS' REG IST TI
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE*
D. ✓ COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME:
BUSINESS ADDRESS: 1®Z 7[eif CITY j k�VTATE'. Pt zlp-�95ID2,j(�
BUSINESS PHONE:
?7 K? FAX NUMBER (
CELL PHONE (%� QUALIFIER'S NAME:C�nlhn )I —
QUALIFIER'S LIC NUMBED: C C-C � 2- 6)
C.1932
B®6® a®aea Miami shores Village
Building I ent
N-OR`]l�� 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. s 440.0
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
.obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees,including the owner,must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if-
i. The officer owns at least 10 percent of the stock of the corporation. or in the case of
an LLC;a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State.Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State.Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
I be the only person allowed to work on your project.In these circumstances,.Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENI'S.
Signature:
Owner
State of Florida
County of NMiami-Dade
The foregoing was acknowledge before me this day of 20--
By _... . .........._........._ who is personally known to me or has produced
as identification.
Notary:_
SEAL..:
V
Pi
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law
EFFECTIVE DATE: 5126120`16 EXPIRATION DATE: 5/2612018
PERSON: RUIZ-LOPEZ CARLOS A
FEIN: 271748238
BUSINESS NAME AND ADDRESS:
SKYTOP ROOFING LLC
2430 NW 102 TER
PEMBROKE PINES FL 33026
SCOPES OF BUSINESS OR TRADE:
LICENSED ROOFING
CONTRACTOR
Pursuant to Chapter 440 0511 St F 5 an officer of a corporation who elects exemption from this chapter by filing a ceNhcate of election under this sechun
may not recover benefits or compensation under this chapter Pursuant to Chapter 440 05(12).F.S.,Certificates of eIW10n to be exempt.. apply only
mthtn the scope of the business or trade listed on the notice of electron to be exempt.Pursuant to Chapter 440 05(13).F .Notices of election to be
exempt and certificates of ejection to be exempt shag be subject to revocation if,at any bme after the fdtng of the notice or the issuance of the certificate
the person named an the nonce or certificate no linger meets the requvements of this section for isww Q@ of a certificate.The department shag revoke a
DFS-F2-0VVC-252 CERTIFICATE OF ELECTION TO 13E EXEMPT REVISED 08-13 QUESTIONS)(8 5014 1 3 1 6 09
�.. � CTATC np i=i r)RIDA
o41,
DEPARTMENT OF BUSIfw-tit Aifvu
PROFESSIONAL REGULATION .
CCC1329373 ISSUED: 0 /08/2010
CERTIFIED ROOFING CONTRACTOR
RUIZ-LOPEZ, CARLOS A
SKYTOP ROOFING LLC
IS CERTIFIED under the provisions of Ch.` 8
P 4 9 FS.
Expiration date : AUG 31, 2016 L1605080001576
� A�i �.►
115 S.Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016
DBA: Receipt#:ROOFING%SHEET METAL CONT CT(
Business Name:SKYTOP ROOFING LLC Business Type:(CERT ROOFING CONTRACTOR
Owner Name:Ruiz LOPEZ,CARLOS A Business Opened:ol/26/2013
Business Location:2430 NW 102 TERR State/County/Cert/Reg:CCC1329373
PEMBROKE PINES Exemption Code:
Business Phone:954-663-7287
Rooms seats Employees Machines Professionals
2
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years I Collection Cost Total Paid
27.00 3.00 0.00 1 0.00 1 0.00 1 0.00 30.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non-regulatory in nature.You must meet all County and/or Municipality planning
WHEN VAUDATED and zoning requirements.This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business Dation.This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
Mailing Address:
SKYTOP ROOFING LLC Receipt #30A-15-00005463
2430 NW 102 TERR Paid 05/26/2016 3.00
PEMBROKE PINES, FL 33026
2015 - 2016
Scanned by CamScanner
z
' ` ' ' CERTIFICATE OF LIABILITY INSURANCE DATE 5/23/'
05/23/ 6
16
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 COME:NTACT CARMEN GRULLON
NA
Super Insurance Service,Inc. PHoNo Ext): (305)262-3443 ac NO: (305)262-5946
7855 SW 40TH ST -MAIL SUPERINSAUTO@GMAIL.COM
Miami,FL 33155-3505 INSURERS AFFORDING COVERAGE _ NAIC#
Phone (305)262-3443_ Fax (305)262-5946 INSURER A: GRANADA INSURANCE COMPANY
INSURED INSURER B:
SKYTOP ROOFING LLC. INSURER C:
2430 NW 102 TERR INSURER D:
PEMBROKE PINES,FL 33026INSURER E:
(954)663-7287
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.
INSR ADDL UBR POLICY EFF I POLICY EXP
LTR TYPE OF INSURANCE INSR I WVD POLICY NUMBER MM/DD MMIDD/YYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 500,000.00
DAMAGE COMMERCIAL GENERAL LIABILITY PREM SESOEa occu encs $ 100,000.00
A
❑ ❑ CLAIMS-MADE Se OCCUR
02/16/2017
OCCUR IG06CO04875-00 MED EXP(Any one person) $ 5,000.00
❑ PERSONAL 8 ADV INJURY $ 500,000.00 ,
❑ GENERAL AGGREGATE $ 1,000,000.00 —�
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00
❑ POLICY ❑ J CT
PRO ❑ LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
❑ ANY AUTO BODILY INJURY(Per person) $
❑ ALL OWNED SCHEDULED
AUTOS ❑ AUTOS BODILY INJURY(Per accident) $
❑ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
AUTOSPer accident)
❑ ❑ $
❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $
❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $
❑ DED ❑ RETENTION$ WC STATU- 0TH-
TORY $
WORKERS COMPENSATION ❑TORY LIMIT ❑ER
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? N/A
(Mandatory In NH) ❑ E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT, $
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addnlonal Remarks Schedule,H more space Is required)
LICENSE#CCC1329373
i
i
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
MIAMI SHORES VILLAGE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS.
MIAMI SHORES,FL 33038 AUTHORIZED REPRESENTATIVE
I
@ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD
Mlattil Shoro6vilap
-� BuIlding Department
1000 N V Miff Avorrtio
Moto fifil44, Howila `I. 1E1
T01; CM)) A44,2204
Fad;(300) 101 I1f112
Notoce to Owner- Workers' Com oneation Inti ur n o Exam tlon
Florida l,ttw requires 4Vntkrts' t irtittarrsnatirrrt tntssnats;r 4"twtra of toplet t IsalotF:t 440 tot tho 11sitirla %jail ties f lit `stat 4401A
alio—rOrlxoraite re'he'ars in tfie 04#11rttoan,n onttrostry It.r•tssrntlot flo'roar 1 spa fr,nti'Iola t y,itr staaeot fpr#ati +;r,a trs ;tl,rn Izre,)OA firirn u,
obtaining a building permit, Purauarit its the 1'It1104 1rlvisI'm tit Wswitrrn' I'rn;ta jtlr,�J„rr�
An ompffoyet in 'lora r r,normlio,n itsdustt y Moto 'ntrof,Ifryo s,nr rte tti,,tf, hart trot#, to troll tress
emplsoyerrs,mo;fu4ing tlt,owner,mud obtAiro w,otkrra' o'Vetaw t.orrlowwr erroram
fx meitil to of a l'ad'ed liability ttonpany (I.,I,r.l its f1w, ctonifslo.ti�m irulotany ttwy r1 _t b) to
I, T Ito soflu r rawun at frost 10 pevrfit orf rbr st,,,it fst tlsr�,rtlaoransrri,m in dw fav,for
an 11C.a statraa'nt armstilig too the,nutiirrtntn f tt lf;'Ifn ooww wmioip
7 .1 he 'officer is ItatC4 as an tAN rf fol Ike x.rrita,rratioan in tiros trdMflot<$I 11w, 1'I4414ir
Departrrfarrl f4filalr,Divifilom sof t qtr tfratioortrs,nool
3 Iter G4gr aatiom to rr fstf rel and IlAwl as mows with tlrr 1''"184 Itr psitft nt of
State,f3ivititfrn oft'trrptoratufna.
No Moe tfian three r;s,rprorare fArkero per s,farpo,ration fir loijow liability foolspat y tiortnl,rtd are
allowed to be exempt. Ceoroatt tion 9A4mr4JfM4 We valid tier a prrirxd orf tv f, years ter until a
voluntary fever-ati€on in filed or eommptifon to revrow by flea thViatorn:
Your coo*acttor is r attnll a permit under titin wools 'vutnpenoation 04ompfirm and Inas a*flfiwf0AZP(if t lir for sltr will nf,t am
; ,ray labor,part-time emfiloyco4 at vubcrontr tors lot YOM project "the rt,nftas.ttw hoar provtolett all 41144vit stating tho Ire€ot'she will
be the toady person allowed tea wmk on yraur project,In'Mon ciurumstar a,Miami�iltrr PA V11144r,4t*4 neat rarluorr veritfF aitun fit
wrorkem'ctimpenautiton insurance Coverage friar the Gfoolractot°o stompaay liar clay labor,Pat time ruiptsoyo a for surto trntrar tffrs.
By 51Ci?41NG SELDOW YOU I.E EJ(3f THAT YOU HAVE, AVAP f ill% N(�t lt.l Aral UNDE RSTAtll) ns
�t�aturr
d
`t orf f 1rr
£:'aunty of Miarm-Dade
The tor {,tug was acknowWge ire me this day fol _ 'N Y1
by_ who
ribill k rniava Ifi stop rtr bas prrAu"A
z
as id ifiicaitto . INIRPM GUEVARA
O.-mr.)
Notary Public-State of Florida
Commissian N FF 947032
IMy Curtner.Ex as Jan 24,2020
mbrAw MMO Nfttt waryPaw
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2430 NW 102nd Ter. Pembroke Pines, FL 33026
Skytop Roofing Lic Certified Roofing Contractor CCC 1329373
skytoproofsa-gmail.com
Cell: (954)663 7287
DATE: 06/08/2016
STATE OF FLORIDA
COUNTY OF MIAMI DADE
Before me this day personally appeared 0 ow �en Oe-Zwho
being duly sworn, deposes and says:
That he will be the only person working on the project located at:889 ne 97 th st Miami Shores FI 33138.
Sworn to and subscribed before me this /6 day of U/!f� ,2Q1,by
Personally known
or produced Identification
Type of ID Produced ��
Print,Type or stamp name o no ary
sept vuo N=Pubfic of Floridar°,,�r- no�4�, a F 082753
yobof:40 8
.r yb
i;
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
High-Velocity Hurricane Zone Uniform Permit Applicatio i Form
JUN 16 2016 �
Section A(General Information)
Master Permit No. Process No.
Contractor's Name_ ®!jj�I qJ A
Job Address__��� E �7 �"- Ak�t ��
ROOF CATEGORY
Low Sloe
A ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set tiles �
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes it
❑ Prescriptive BUR-RAS 150
ROOF TYPE
0 New roof ❑ Repair ❑ Maintenance °)IS Reroofing ❑ Recovering �
�b(�{� ROOF SYSTEM INFORMATION
Low Slope Roof Area(SF)'�-� Steep Sloped Roof AREA(SSF) Total(SF) ®
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,clearly identify dimensions of eevated pressure zones and location of parapets.
7-7-77
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FLORIDA BUILDINjCObg- j4 L***N+:�.'5th.'E•t Tt N(2014) 15.97
y y p • CoNrigh?tb,tr Mewedey.ICC(ALL RIGHTS RESERVED);accessed by BOW Palacio on Jun 8.2015 10:32:12 AM pursuant to License
Agreement,No further reproductions authorized.
Swim C
MIAMI-DADS Miami-Dade County HVHZ Electronic Roof Permit Form
Section C Page(Low Slope Roof Systems)
"Deliverins Excellence Eve1-y Day"
Flit In the spec lc roof assembly components.fI a component is not required,insert not applicable()r/a)In the text box,
ROOF SYSTEM MANUFACTURER: I GAF Top Ply:
GAF MINERAL CAP SHEET
Product Approval (NOA,I/11-103L%Oo'1. ystemType: Ei Top Ply Fastening 1 Bonding Material:
Wind Uplift Pressures,From RAS 128 or Sealed Calculations: HOT MOP ASPHALT
(P1) Field: -42 8 psf Surfacing: GRANULES
SINGLE PLY MEMBRANE:
(P2) Perimeters: -71.1 psf
Single Ply Manufacturer i Type:
(P3)Comers: psf NA
Maximum Design Pressure From NOA: 52 5 psf
Single Pty Sheet Width:FNA-1"112 Sheet Width:FNA "
Roof Slope: 0.50 ":12 Roof Mean Height: 14 It.
No.of Single Ply it2 sheais: na
Parapet Walts: o No ElYes Parapet wall Height: ft. Single Ply Membrane Fastening/Bonding Material:
NA
Deck Type: -5/8'Plywood-
� 21 FASTENER SPACING FOR BASESHE£TATTACHMENT
Support Spacing:L'A r-0/0 ❑SINGLE PLY MEMBRANE ATTACHMENT
Altemate Deck Type: NA 1.Field:Q-Ole aQ Laps&F2-1 rows i~ I"alb
Existing Roof:
SAME 2.Perimeter.a"ole{b1 Laps& rows "Ole
Fire Barrier;
3.Comer.F6"ll"ole Q Laps&E-1 rows F6-1"o%
Vapor Barrier. NUMBER OF FASTENERS PER INSULATION BOARD:
NA 1. Field: NA 2. Perimeter.Q3. Comer. NA
Anchor Sheet: insulation Fastener Type:
GAP GLASSBASE-*-- NA
Anchor Sheet Fastener Bonding Material:
1-1/4"RS NAIL&TIN CAP 1-5/8" WOOD NAILER TYPE AND SIZE:
Insulation Base Layer Size&Thickness: NA
NA Wood Nailer Fastener Type and Spacing:
Insulation Base Layer Fastener/Bonding Material: NA
NA EDGE&COPING METAL SIZES:
insulation Top Layer Size&Thickness: Edge Metal Mate -Galvanized Metal-
'is"1 AJSJ!-, POILYISO Edge Size: -3"face 26 ga.--
Insulation Top Layer Fastener/Bonding Material: -SELECT EDGE METAL HOOK RIP SIZE-
ze: ST
Hook Strip Si
-t w GS Edge Metal Attachment:
Base Sheets)&No.of Ply(s): 1 11-1/4'RS NAiL 4-OC STAGGED
fl—M-- R AAJ F rid
Base Sheet Fastener/� _Bonding Material: Coping Material: -SELECT PARAPET WALL COPING MATERIAL-
.. .:..
fo oo SL-M D . Coping Ste; I-SELECT COPING METAL SIZE OR THICKNESS-
Ply Sheet(s)&No.of Ply(s): Hook Strip Size: -SELECT COPING METAL HOOK STRIP SIZE-
f?11 •�o f .' ., Parapet Coping Metal Attachment:
Ply Sheet Fastenerl Bon r*MeteQ .•• • • 119 • •
W111Q • tfii! • i : ••
• • • • • • • • • •
• • • • • • • • • •
000 000 see go@
•• • • •• • • •• • •
0:0 • • • • ••• • •
• • • • • • • • • •
••• • • • ••• • •
Edge Nallable Deck
=1 E Miami-Dade County HVHZ i lectronic Roof Permit Form
°Delivering Excellence Every Day"
Illustrate Components Noted and Details as Applicable:
Top Ply
Interpiies
Base Sheet Roof Mean Height: 14 ft.
Drip Metal:
3"X3"GALV 26 G
Surfacing.-
Drip
urfacing:Drip Metal IGRANULES
Top Ply:
GAF MINERAL CAP SHEET
lnterplies:
GAF RUBEROID 20
s U - Base Sheet:
Roof Deck v - GAF GLASSBASE �
Deck Type:
PLYWOOD 518"
.. ... .. . . . ..
... .
Or
•• • •• • • •
• • • • • • • • • •
Y
MIAMI \�
\� Miami-Dade County HVHZ Electronic Roof Permit Form
Oelivvrit,q A ellenco E erg•Day"
Illustrate Components Noted and Details as Applicable:
Concrete wall
Elastomeric sealant tooled
to facilitate water run-off
Optional:compressible
_-_- Elastomeric sealant
Parapet wall height: ft.
Metal counterflashing mech
attached S"ofc wf washer Roof Mean Height:
t--- Seal top of base flashing wl Base Flashing:
�— comptable material pi r
R4rUV�
Surfacing:
Termination bar mech.
----'- attached 6"oft GRANULES
Top Ply:
Field plies turned up wall
Wl�v�_v s
Inter Ply Sheet:
Base flashing min. RUBEROID 20
8"above finished roof
Base Sheet:
Mutiple plies of built up
roofing
Top Layer of Insulation:
j\\F Top Leer of In ul:dion APERED
rr,
Base Layer of Insulation:
Base Layer of Insulation
N/A
Optional anchor
Itieet Anchor Sheet:
ASTM Primer 75
- e C' '� Concrete
•• •• • • • • • •• Roof[Deck
•CdW Stap: : :': •Y
.. ••• •Y • • • ••
00 0
••Y • • • ••J • •
• •• •• • • • •• ••
MIAMFDADE MIAMI-DADE COUNTY
o PRODUCT CONTROL SECTION
11805 SW 26 Street,Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE{NOA) www.miamidade.eov/economy
GAF
1 Campus Drive
Parsippany,NJ 07054
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-
Product Control Section to be used in Miami Dade County and other areas where allowed by the
Authority Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product
Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)
reserve the right to have this product or material tested for quality assurance purposes.If this product or
material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing
and the AHJ may immediately revoke,modify,or suspend the use of such product or material within
their jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade
County Product Control Section that this product or material fails to meet the requirements of the
applicable building code.
This product is approved as described herein,and has been designed to comply with the Florida Building
Code including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: GAF Ruberoid®Modified Bitumen Roof System for Wood Decks.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state
and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted
herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has
been no change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or
change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an
endorsement of any product, for sales,advertising or any other purposes shall automatically terminate
this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of
NOA;
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and
followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is
displayed,then it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews and revises NOA No. 14-0611.01 and consists of pages 1 through 30.
The submitted doeumentatiaen was rowisw;d by!Iorge L.Acebo.
. .. . . . . ... .
•• ••• •• • • • ••
••• •�• •.• •�• • ••• NOA No.: 141030.02
MIAMI•DAIDECOt11 • • ••• • • • Expiration Date: 11/06/18
"'• • ••• :' •• • • Approval Date: 11/05/15
Page 1 of 30
Membrane Type: SBS/SBS Cold Applied
Deck Type 1: Wood,Non-insulated
Deck Description: 19/32"or greater plywood or wood plank decks
System Type E(1): Base sheet mechanically fastened to roof deck.
All General and System Limitations shall apply.
Fire Barrier: FireOut'Fire Barrier Coating,VersaShield'Fire-Resistant Roof Deck Protection
(optional) or Securock'Gypsum-Fiber Roof Board.
Base sheet: GAFGLAS®#80 Ultima 7"Base Sheet,GAFGLAS®Strataven&Eliminator'"
Nailable Venting Base Sheet,Ruberoid'24,Ruberoid'&'SBS Heat-Weld'Smooth
or Ruberoid®SBS Heat-Weld'25 base sheet mechanically fastened to deck as
described below:
Fastening GAFGLAS®Ply 4,GAFGLAS®FlexPly'"6,GAFGLAS'#75 Base Sheet or any
Options: of above 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—45 psf.See General Limitation#7)
GAFGLAS'Ply 4,GAFGLAS'FlexPly'6,GAFGLAS'#75 Base Sheet or any
of above base sheets attached to deck with Drill-Tec''#12 Fastener,Drill-Tec'
#14 Fastener or Drill-Tec'XHD Fastener and Drill-Tec'"3"Steel Plate,Drill-
Tec'AccuTrac®Flat Plate or Drill-Tec'AccuTrac®Recessed Plate installed 12"
o.c.in 3 rows. One row is in the 2"side lap. The other rows are equally spaced
approximately 12"o.c. in the field of the sheet.
(Maximum Design Pressure—45 psf.See General Limitation#7)
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 4"lap staggered and in two rows 9"o.c. in the field.
(Maximum Design Pressure—52.5 psf.See General Limitation#7)
GAFGLAS®#80 Ultima'"Base Sheet,Ruberoid®20,Ruberoid'Mop Smooth,
base sheet attached to deck with approved annular ring shank nails and tin caps at
a fastener spacing of 9"o.c.at the 4"lap staggered and in two rows 9"o.c.in the
field.
(Maximum Design Pressure—60 psf.See General Limitation#7)
GAFGLAS'#75 Base Sheet or any of above base sheets attached to deck with
Drill-Tec'#12 Fastener,Drill-Tec'#14 Fastener or Drill-Tec"XHD Fastener
and Drill-Tec'3"Steel Plate,Drill-Tece'AccuTracl Fiat Plate or Drill-Tec'
AccuTracl Recessed Plate installed 12"o.c.in 4 rows. One row is in the 2"side
lap. The other rows are equally spaced approximately 9"o.c.in the field of the
sheet.
(Maximum Design Pressure—60 psf.See General Limitation#7)
•. ... . . . • . ..
A@*o;§e a ja4 jqe attached to deck approved annular ring shank nails and
•. 3"4iv:rted S?rjll--:Mr insulation plates at a fastener spacing of 9"o.c.at the 4"
110%tagttred•in tOvo rotas 9" in the field.
(Maximum:Design Pressure—60 psf.See General Limitation#7)
. ... . ... . .
• • • • • • • • • NOA No.: 14-1030.02
• • • • • • •
Expiration Date: 11/06/18
Minna®urnar :• 0: :. 0: : Approval Date: 11/05/15
.• • ..
Page 26 of 30
Fastening GAFGLASI#75 Base Sheet or any of above base sheets attached to deck with
Options: Drill-Tec"'#12 Fastener,Drill-Tec" #14 Fastener or Drill-Tec'"XHD Fastener
(Continued) and Drill-Tec'3"Steel Plate,Drill-Tec'"AccuTracl Flat Plate or Drill-Tec"
AccuTracl Recessed Plate installed 8"o.c.in 4 rows. One row is in the 2"side
lap. The other rows are equally spaced approximately 9"o.c. in the field of the
sheet.
(Maximum Design Pressure—75 psf.See General Limitation#7)
Ply Sheet: (Optional)One or more plies GAFGLAS®Ply 4,GAFGLASI F1exPly'"d,
GAFGLASI#80 Ultima Base Sheet,RuberoidO Mop Smooth or Ruberoid° 20
sheet adhered in a full mopping of approved asphalt applied within the EVT range
and at a rate of 20-40 lbs./sq.
Membrane: One or more plies of Ruberoid®Mop Smooth,Ruberoid'Mop 170 FR,Ruberoid'
Mop Granule,RoofMatch'SBS Modified Granular,Ruberoid'Mop Plus
Granule,Ruberoid"20,Ruberoid'30,Ruberoid'EnergyCap"30 FR SBS
Membrane,Ruberoid'30 FR or Ruberoid®Mop FR in adhered in a full mopping
of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.
Or
One or more plies of Ruberoid®Mop Smooth,Ruberoid®Mop Granule,
RoofMatch'SBS Modified Granular,Ruberoid'Mop 170 FR,Ruberoid®Mop
Plus Granule,Ruberoid'20,Ruberoid'30,Ruberoid®EnergyCap-30 FR SBS
Membrane,RuberoidQ 30 FR or Ruberoid'Mop FR adhered in MatrixTm 102 SBS
Membrane Adhesive at an application rate of 1-2 gal./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. GAFGLASI Mineral Surfaced Cap Sheet,Tri-Ply®Mineral Surfaced Cap Sheet
or GAFGLAS®EnergyCap'BUR Mineral Surfaced Cap Sheet adhered in a full
mopping of approved asphalt applied within the EVT range and at a rate of 20-40
lbs./sq.
3. Topcoat'Membrane,Topcoat®MB Plus(to be used as a primer with Topcoats'
Membrane)or Topcoat®Surface Seal SB applied at 1 tol.5 gal./sq.
Maximum Design
Pressure: See Fastening Options
.. ... . . . . . ..
. .. . . . . ..• .
.. ... .. . . . ..
•0• •:• .0• 0:* •0• •0• NOA No.: 14-1030.02
MIAMI•DADECOUN • • : • • Expiration Date: 11/06/18
•'•'� i� ••� i0 ••� �•� Approval Date: 11/05/15
Page 27 of 30
••• • • . . ••• • •
• • . ••• • •
WOOD DECK SYSTEM LIMITATIONS:
1 A slip sheet is required with GAFGLASI Ply 4 and GAFGLAS'a FlexPly'6 when used as a
mechanically fastened base or anchor sheet.
2. Minimum '/4"DensDeckO Roof Board or%z"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 layers shall be adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically
attached using the fastening pattern of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved
asphalt,panel size shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped.If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 1.2"diameter circles,24"o.c.;or strip
mopped 8"ribbons in three rows,one at each side lap and one down the center of the sheet allowing
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be
placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall
be at a minimum rate of 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 of
275 lbf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,
as field-tested,are below 275 lbf.insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based
on a minimum fastener resistance value in conjunction with the maximum design value listed within
a specific system. Should the fastener resistance be less than that required,as determined by the
Building Official,a revised fastener spacing,prepared,signed and sealed by a Florida Registered
Engineer,Architect,or Registered Roof Consultant may be submitted. Said revised fastener spacing
shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS 117.Calculations prepared,signed and sealed
by a Florida registered Professional Engineer,Registered Architect,or Registered Roof Consultant
(When this limitation is specifically referred within this NOA,General Limitation#9 will not
be applicable.)
8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs
shall conform to Roofing Application Standard RAS 1 I 1 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.}'• *a: : : .•. : : .00
10. All products fted hgCbi4 Stall hJvP#VuAUty assurance audit in accordance with the Florida
Building CodgandRijletijr20;?of tl:e 1 Vida Administrative Code.
END OF THIS ACCEPTANCE
O
NOANo.: 14-1030.02
Ea iration Date: 11/06/18
MI14M1•DADE COUi• • •: i• • 0: : : p• •• • •• • Approval Date: 11/05/15
Page 30 of 30
• • • • • • • • • •
• •• •• • • • •• ••
6/16/2016 TGFU.R1306-Roofing Systems
Base Sheet" or"Tri-Ply #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base Sheet", fully adhered with hot roofing asphalt.
Cap Sheet:—Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or"Tri-Ply® BUR Granule Cap Sheet" or"GAFGLAS@ EnergyCapTM
'Mineral-Surfaced Cap Sheet", fully adhered with hot roofing asphalt.
Coating(Optional):— "United CoatingsTM TOPCOAT@ EnergyCoteTM Roof Coating" or"TOPCOAT@ MB Plus Coating" or"United
CoatingsTM Roof Mate MB Plus Roof Coating" applied at a rate of 2-gal./100-ft.2.
16. Deck: NC Incline: 1/2
Insulation(Optional):— Any thickness perlite or wood fiber or glass fiber or polyisocyanurate, mechanically fastened or adhered with
"LRF Adhesive M" or OMG Inc. "Olybond Fastening System", applied as a nominal 3/4-in. bead or"GAF 2-Part Roofing Adhesive",
applied as a nominal 21/2-in. bead with a maximum on-center spacing of 12-in. or any UL Classified insulation adhesive, applied per the
manufacturer's installation instructions.
Base Sheet:— One ply Type G2"GAFGLAS@ #75 Base Sheet" or"Tri-Ply@ #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base
Sheet", mechanically fastened.
Ply Sheet:— One or two plies Type G1 "GAFGLAS@ Ply 4" or"Tri-Ply@ 4" or"GAFGLAS@ Flex-PlyTM 6" or Type G2 "GAFGLAS@ #75
Base Sheet" or"Tri-Ply@ #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base Sheet", fully adhered with hot roofing asphalt.
Cap Sheet:—Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or"Tri-Ply@ BUR Granule Cap Sheet", fully adhered with hot roofing
asphalt.
Coating:— "United CoatingsTM TOPCOAT@ EnergyCoteTM Roof Coating" or"TOPCOAT@ MB Plus Coating" or"United CoatingsTM Roof
Mate MB Plus Coating" applied at a rate of 2-gal./100-ft.2.
17. Deck: C-15/32 Incline: 1/2
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.
Barrier Board:— Minimum 1/4-in. thick Georgia-Pacific Gypsum LLC "DensDeck@ Roofboard" or"DensDeck@ Prime Roofboard" or
"DensDeck@ DuraGuardTM Roofboard" or minimum 1/4-in. thick Untied States Gypsum Co. "SECUROCK@ Roof Board" (Type FRX-G) or
"SECUROCK@ Glass-Mat Roof Board" (Type SGMRX) mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" or
any UL Classified insulation adhesive with butt joints in the barrier board products staggered a minimum of 6-in. from plywood deck
joints.
Base Sheet:— One ply Type G2"GAFGLAS@ #75 Base Sheet",or"Tri-Ply #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base
Sheet", mechanically fastened.
Ply Sheet:— One or two plies Type G1 "GAFGLAS@ Ply 4" or"Tri-Ply 4" or"GAFGLAS@ Flex Ply 6" or Type G2 "GAFGLAS@ #75
Base Sheet" or"Tri-Ply #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base Sheet", fully adhered with hot roofing asphalt.
Cap Sheet:—Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or"Tri-Ply@ BUR Granule Cap Sheet", fully adhered with hot roofing
asphalt.
Coating:— "United CoatingsTM TOPCOAT@ EnergyCoteTM Roof Coating" or"TOPCOAT@ MB Plus Coating" or"United CoatingsTM Roof
Mate MB Plus Coating" applied at a rate of 2-gal./100-ft.2.
18. Deck: NC Incline: 1
Insulation(Optional):— Any thickness perlite or wood fiber or glass fiber or polyisocyanurate, mechanically fastened or adhered with
"LRF Adhesive M" or OMG Inc. "Olybond Fastening System", applied as a nominal 3/4-in. bead or"GAF 2-Part Roofing Adhesive",
applied as a nominal 21/2-in. bead with a maximum on-center spacing of 12-in. or any UL Classified insulation adhesive, applied per the
manufacturer's installation instructions.
Base Sheet:— One ply "GAFGLAS@ Stratavent@ Perforated Venting Base Sheet", loose laid or Type G2 "GAFGLAS@ #75 Base
Sheet" or"Tri-Ply #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base Sheet", fully adhered with hot roofing asphalt.
Ply Sheet:— One or two plies"RUBEROID@ Mop Smooth" or"RUBEROID@ Mop Smooth 1.5" or"RUBEROID@ Mop Smooth Plus" or
"RUBEROID@ 20 Smooth", "Ruberoid@ 20 Plus Smooth" or"RUBEROID@ HW 25 Smooth", fully adhered with hot roofing asphalt.
Membrane:— "GAFGLAS@ Mineral Surfaced Cap Sheet" or"Tri-Ply@ BUR Granule Cap Sheet", fully adhered with hot roofing asphalt.
Coating:— "United CoatingsTM TOPCOAT@ EnergyCoteTM Roof Coating" or"TOPCOAT@ MB Plus Coating" or"United CoatingsTM Roof
Mate MB Plus Roof Coating" applied at a rate of 2-gal./100-ft.2.
19. Deck: C-15/32 Incline: 1
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.
Barrier Board:— Minimum 1/4-in. thick Georgia-Pacific Gypsum LLC "DensDeck@ Roofboard" or"DensDeck@ Prime Roofboard" or
"DensDeck@ DuraGuardTM Roofboard" or minimum 1/4-in. thick Untied States Gypsum Co. "SECUROCK@ Roof Board" (Type FRX-G) or
"SECUROCK@ Glass-Mat Roof Board" (Type SGMRX) mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" or
any UL Classified insulation adhesive with butt joints in the barrier board products staggered a minimum of 6-in. from plywood deck
joints.
Base Sheet:— One ply "GAFGLAS@ Stratavent@ Nailable Venting Base Sheet" or"GAFGLAS@ Stratavent@ Perforated Venting Base
Sheet", loose laid or Type G2 "GAFGLAS@ #75 Base Sheet" or"Tri-Ply #75 Base Sheet" or"GAFGLAS@ #80 UltimaTM Base Sheet",
fully adhered with hot roofing asphalt.
Ply Sheet:— One or two pliP.s"Rllk%10;Dr W5l;S:ndbtq"er"RUBEROID@ Mop Smooth Plus" fully adhered with hot roofing asphalt.
Membrane:— "GAFGLAS@ Mineral Surfaced CSheet"•or"Tri-Ply@ BUR Granule Cap Sheet", fully adhered with hot roofing asphalt.
Coating:— "United Coati ngsTI*TOPCBAJ,@.:ErJr C'p&:m R•opf Coating" or"TOPCOAT@ MB Plus Coating" or"United CoatingsTM Roof
Mate MB Plus Roof Coating" Speplie8*a{'a r•at'e of 2-gN.rLOU'ft.Z.
20. Deck: C-15/32 Incline: 1
Base Sheet:— One ply 1%4 G2;"GVG%4@' 75 j3a%:;hgel or"Tri-Ply@ #75 Base Sheet" mechanically fastened.
Insulation(Optional):—ARy thiekness ore connbination:spellite or wood fiber or glass fiber or polyisocyanurate, mechanically fastened
or hot mopped or adhered with OPG Ince*OlyBond Fastening tystem" or any UL Classified insulation adhesive.
Base Sheet:— One or more plies "RUBEROID@ 20 Smooth", "Ruberoid@ 20oPr'us Smooth" or"RUBEROID@ HW 25 Smooth",
mechanically fastened or full adhered with hot roofing asphalt.
Cap Sheet:—Type G3 "GAM
�XAS� Miger:l Sur?4Ad�ap meet'or"Tri-Ply@ BUR Granule Cap Sheet" or"GAFGLAS@ EnergyCapTM
Mineral-Surfaced Cap Sheet". V:
••• • • • ••• • •
http://database.ul.com/cgi-bin/XYV/template/USEXT/1 FRAM Elshowpage.htmI?name=TGFU.R1306&ccnshorttige=Roofing+Systems&objid=1074351933&cfgi... 5/45
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
'he 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 rn accordance with the current provisions of Section R4403. (The roof deck is usually
concealed prior to removing the existing roof system).
4• Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance;therefore,
roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of
maintaining the appearance.
�l
6. —h-- Overflow scuppers(wall outlets): It is required that rainwater flows off so that the roof i
� S 'll
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
Wner/AgenSignature
rdance with the requirements of Sections R4402, R4403 and R4413.
4�
Date Contractor
n ure Date
� �l ►�� R1 ��� ,� s �L, 33 l3 d
Property Address Permit Number `
Revised on 7/9/2009 LD;07/01/2015; r
`i
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h
MIAM66 DE
� E
'Veliver a g l ac<>f`e rise Every Da,y"
MIAMI-DARE COUNTY
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
It is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to
explain to the owner the content of this form. The owner's initials in the designated space indicates that the item
has been explained.
1. Aesthetics-workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions.
Aesthetic issues such as color or architectural appearance,that are not part of a zoning code, should be addressed
as part of the agreement between the owner and the contractor.
Z. Renailing wood decks: When replacing roofing,the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
3. Common roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs,the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: 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
penetrations of the underside of the decking may not be acceptable. The owner provides the option of
maintaining this appearance.
5. Ponding water: The current roof system and/or deck of the building may not drain well and may
cause water to pond(accumulate) in low-lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original
roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
with the requirements of. Chapter 15 and 16 herein and the Florida Building Code,Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly `gW buildilig Ltse.1f).,The existing amount of attic ventilation shall not be
reduced. `
Owner's/Agent's Signature: Dater
Contractor's Signature: Permit Number:
Property Address: 66
... . . . . ... . .
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0 Miami shores Village
Buldng Department
10050 N.E.2nd Avenue
o�� Miami Shores, Florida 33938
kORtoo
� Tet: (305) 795.2204
Fax: (305) 756.8972
RE: Permit# DATE:
INSPECTION AFFIDAVIT
I '5" TOP Q-D0p o c. LL-C— licensed as a (n) Contractor/Engineer I Architect,
t name and circle License Type) FS 468 Building Inspector
License : GCC- 1 '3 3`7 3
On or about I did personally inspect the roof deck nailing
(Date&time)
wort( at _q`"� S
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
Signatur
=v��
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. .. •
•• ••• •• • • • •• JJ
Sworn to and subscribed before me this d day of 3UN�-- I f°
Notary Public, Sate of Fio,� ;af��arge •* �• •� o#0°Y Notary Public State of Florida
$ Sindia Alvarez
oQ My Commission FF 156750
�bFo� Expireso9to312o18
"General,Buii• r:lq,Residential,or Roofing t:ntrajorra 44%iduj cert"nor 468 F.S.to make such an inspection.Include photographs of each plane of the roof with
• •
permit#arc accress#dearly shown mar*#en tte decMor etch llf$Q�Ctiot� •
1
°R Miami shores village
�P .. 'n "M JUN 19 2016 i 1 BuildingDepartment
—' 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
NERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date:
10050 NE 2nd Ave i
Miami Shores,F133139
Re: Owner's Name: E R� QN 1, 7T-1
Property Address: NE �T J JL if
Roofing Permit Number: '
Dear Building Official:
I �MARD'0 (Z1 E t-�I certify that I am not required to retrofit the roof to wall connections of my
building because:
he just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad
N
valorem taxation.
The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions
of 1994 editioktheutth lorida Building Code(1994 SFBC)
a 0,S
Signature Print Name
State of Florida
County of Dade
The undersigned, being the first duly sworn,deposes and says that he/she is the owner fo o ,Srty mentioned.
o;
day a
�� 4,s
Sworn to and subscribed before me this of � P INIRIDA GUEVARA
. Notary Public-State of f io a.,
Cotnmfasfon N FF 947032
"y Comas.Eltpirea Jan 24,2020
Notary Public. Sate of Florida at Large N alA�ta►r¢ssn.
when J'e.is,valua:ift of tt'e struture for purpose of ad vatoren,taxation is equal to or more than$3 UDO-00,and me biWing�as not Constructed with'FEC not a'994
SFBC vn rw must provide a Widing application from a General contractor for the Roof to"slog c ortaectim H; ricaane Mittation.
Revised on 542IZZi
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