RF-15-3205 Aft
Miami Shores VillageM It
10050 N.E.2nd Avenue NW fob Flit
"• Miami Shores,FL 33138-0000
Phone: (305)795-22048� 1~tt
APPROVED
1 ' Expiration: 06/2612016
Project Address Parcel Number Applicant
126 NW 104 Street 1121360131450
Miami Shores, FL Block: Lot: DALE OSTROWSKI
Owner Information Address Phone Cell
DALE OSTROWSKI 1130 NE 100 ST
MIAMI SHORES FL 33138-2602
Contractor(s) Phone Cell Phone Valuation: $ 4,680.00
DALEY ROOFING INC (305)754-9892
Total Sq Feet: 700
Type of Work:Re Roof Available Inspections:
Additional Info:FLAT ROOF Inspection Type:
Classification:Residential Tin Cap
Scanning:3 Final Roof
Roof in Progress
Renailing Affidavit
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# RF-12-15-58192
CCF $3.00 12/30/2015 Check*2617 $50.00 $729.50
DBPR Fee $3.75
DCA Fee $3.75 12/31/2015 Check*2618 $729.50 $0.00
Education Surcharge $1.00 Bond#:2942
Notary Fee $5.00
Permit Fee-New Roof $250.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $779.50
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructionaoning. uth ruthAe the above-named contractor to do the work stated.
al. December 31, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 31,2015 1
Miami Shores Village ---
�1 bCC 3 0 2615
Building Department
` 10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 ----__ —
INSPECTION LINE PHONE NUMBER:(305)762-4949
��FB��C 20\Li
BUILDING Master Permit No. a77f`" i Z3 2o5
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
1 �� ) 10 ,V
t� CONTRACTOR DRAWINGS
JOB ADDRESS: 1 Z& Nom-/ / 0 7'
City: Miami Shores County: Miami Dade Zip: �,�--V I
Folio/Parcel#: Is the Building Historically Designated:Yes NO C/
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Dg L 67 Phone#:
Address: .12,& /lA l) I D 7' S I
A4/,6m
City: I SH-0 State: Zip:
Tenant/Lessee Name: Phone#:
Email: ��11 n
CONTRACTOR:Company Name: �TTI.� 7 /�� �� ��� Phone#:8or ISY '9"2-
Address:
/� /� /nlej®6 S l
V/
City: / /�.9m,) l State: Zip:
Qualifier Name: 1e4"j i-e'� DMO Phone#:,30,(- 76V5/e'01'2-
State
6V5/e'0 ZState Certification or Registration#: Q 0 6 D Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: ,/ City: State: Zip:
Value of Work for this Permit:$ `7�0 Square/linear Footage of Work: %®0 5P
Type of Work: ❑ Addition ❑ Alteration ❑ New- I�rtepair/Ceplaq� ❑ Demolition
Description of Work: l�' �[ir— �"7' /�1—'
Specify color of color thru tile:
Submittal fee$ 6-0 ° Permit Fee$ ° (X) CCF$ 3- 00 CO/CC$
Scanning Fee$ '9 > 0 0 Radon Fee$ DBPR$ Notary$
Technology Fee$ + oo Training/Education Fee$ I. 0o Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 2-02-9 ,
(Revised02/24/2014)
c '
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.
C \
Signature or•�---- c Signature D � nk
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged befq�e me this The foregoing instrument was acknowledged before me this
day off 2 Yn ,20�� ,by �day of OAC J_YM lR2 - ,20 J< ,by
1 ow S w o is personally know to ) ,who' ersonally ttvrto `n to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY ELIC: NOTARY PUBLIC:
Si /i J-' Sign
Print: Print: r
r° v'4e4� FRE. M,NOVAK 4).BERG =a .�y �' C _
Seal: % Seal:
MY COM SION#fFOo6428 i Firs
4 of,' EXPI 7 Juiy 9, �7
ie
(47)39" 53 Florida 8ry-6—! om ��'� p.......• �
#+kik+k�k�k�k&�k�k�k�kw�k�k�k�k�k�k �k�k�k�k�k " �k+k�k�k�k�k�k'ik��kM�k�It�kNcffi**9��k�k�M�k�kN��k�k�F�k�k+k�k�k�k�k�k�k+k�k�k�k�k�kffi�k>Kk�k�k�k�k�K+��+R&��►�k+k�k�erlk���k�k�k�k�k+k�k�F�k�k�k�k
/Illllllllll,\�\
Plans Examiner Zoning
APPROVED BY 0 1
Structural Review Clerk
(Revised02/24/2014)
V1--e Miamishores Village
uu Building Department
�.� 10050 N.E.2nd Avenue
R 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 DepartmentDate.• r /
�. �
10050 NE 2nd Ave
Miami Shores, Fl 33138
Re: Owner's Name: 1:)4w 0-'"t'ds(-1
Property Address:— 1-2-&
Roofing Permit Number:
Dear Building Official:
I � 0 S77W GJS k1 certify that I am not required to retrofit the roof to wall connections of my
building because:
b-T�ie just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Pleaseproof of ad
9999..
valorem taxation. •••• ; •• ••
o The building was constructed in compliance with the provisions of the Florida Building Code-(FSG)or with the provlmQgg„
•9999. .' . :
of 1994 edition of the South Florida Building Code (1994 SFBC) 9999 9999 9999.
9999.. 9999 9999.
00 90 9000 900..0
9999..
Signature Print Name ; ;.•..;
00 . 0 000 :0004:
0 .
State of Florida
County of Dade
The undersigned,being the first duly swom,deposes and says that he/she is the d.
Swom to and subscribed before me this y of ' ' MY COMMISSION#FF006428
._
EXPIRES July 9,2017
orF �oa
(407}398-0153 FloridallotaryServtco.com
Notary Public, Sate of Florida at 1-46 �c�
• When the just valuation of the struc lum for purpose of ad valorem tazatlon is equal to or more x,1)00.00,and the buliding was not constructed with FBC nor a 1994
SFBC.Then you must proves a bulgy application from a General contractor for the Roof to wall connection Huftme W%atlon.
to
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. V\Iy"� 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. V° Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking
can be viewed from below.The owner may wish to maintain the architectural appearance;therefore,
roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of
maintaining the appearance.
6. fP 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.
Owner/Agent's Signature Date Contractor Signature •• at@ ;••••;
.... ....:
.....
• . •
.. .. .... ......
Property Address Permit Number :":•: •,
. . . . ......
Revised on 7/9/2009 LD;07/01/2015; •
09s
DEC 3 015
ROOF ASSEMBUES JfND RP FTp p ES
•`� �1 Fes, �. ,� \,
Florida Building Code 5th Edition 2014
Ak
HI Velocity Hurricane Zone Uniform Permit A llcatioForm'."
pp n
d
Section A(General Information) (� - �r"t<
Master Permit No. Process No.
Contractor's Name �/_ 1
Job Address_ �/�(!/ �? 1
1
ROOF CATEGORY 1
ow Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles 1
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1
1
❑ Prescriptive BUR-RAS 150 1
ROOF TYPE 1
❑ New roof ❑ Repair ❑ MaintenanceReroofing ❑ Recovering 1
ROOF SYSTEM INFORMATION 1
Low Slope Roof Area(SF) 0 Steep Sloped Roof AREA(SSF) Total(SF)--,*2—dO 1
1
1
Section B(Roof Plan) 1
Sketch Roof Plan:Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen-
sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets.
1
1
1
3 1
•
••• •• • •• ••••••
• .1
•• • •• •• •••••
• .1
•• •• • •• ••••••
. 1
• • • •
� ) 1
L P71—
r 1
e 1
1
d � i
1
_ 1
1
1
FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37
t 11 i Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliwa palecio on Jun 8,2015 10:32:12 AM pursuant to License
Agreement.No further reproductions authorized,
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florlda Bullding Code 5th Edition(2014)
1 High-Velocity Hurricane Zone Uniform Permit Application Form.
1
1
1 Section C(Low Slope Application) Top Ply Fastener/Bonding to II
1 Fill in specific roof assembly components and identify Yj
1 manufacturer , /
(If a component is not used,identify as"NA") Surfacing: b
//�J , /
4,,/ Fastener Spacing for Anchor/Base Sheet Attachment:
System Manufacturer. r_'71Tr1
1 Field:J_"oc @Lap,#Rows-3 @ "oc 1
Perimeter:k"oc @ Lap,#Rows'L/ @ k-oc 1
I Product Approval No.: I
Design Wind Pressures,From RAS 128 or Calculations: Comer:I—"oc @ Lap,#Rows Y_@ k—"oc 1
P1:� P2: 0 /t P3: f �i Number of F steners Per Insulation Board:
1
Max.Design Pressure,from the specific product Field Perimeter Comer
1 approval system: "S t Illustrate Components Noted and Details as Applicable:
1 Deck: Woodblocking,Gutter, Edge Termination,Stripping,
Continuous Cleat,Cant Strip,Base Flashing, uterflashing, 1
Type: ✓ ���/t'il.s Coping, Etc.
Indicate: Mean Roof Height, Parapet Height, Height of Base 1
1 Gauge/Thickness: Flashing, Component Material, Material Thickness, Fastener
1Type, Fastener Spacing or Submit Manufacturers Details that
Slope: I'l�'7 Comply with RAS 111 and Chapter 16.
I
Anchor/Base Sheet&No.of Ply(s):
1 t I
1 Anchor/Base Sheet Fastener/Bonding Material:
b FT. 1
Insulation Base Layer. "1 1
/01 •..�..
1 Base Insulation Size and Thickr : .. Parapet •
1 .... : •HQPght .....
Base Insulation Fastener nding Material: . ....
Xnsulation
: •FT. ••.�.•
nd Thickness: •• •••
I.•
. • .
1 an ..1...
1 nerBonding Material: •• aof
•. •
1 BaseSheet(s)&No.of Ply(s): dA- PLY #9_�>
Base Sheet Fas ener/Boriding M ear I: n S I�►����nU 1�j
1 �
S,tft+ n arc i s��77
, I 1
Ply Sheet(s)&No.of Ply(s):
1
1 Ply Sheet Fastener/Bonding Materlpl: 1
1 N Pr 1
Top PIy:I QQ1 0 Q41StfSE;j 17U
1
1
15.38 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) ,
1 1
111
I 1 1 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License
Agreement.No further reproductions authorized.
t
MIAMaQADE°5- 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)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.¢oy/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 pd thei ha;. ••••••
been no change in the applicable building code negatively affecting the performance of this product. .•
....0. . 00 0000..
TERMINATION of this NOA will occur after the expiration date or if there has bggrl;t*,r;vision 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 termindle: *0000
this NOA.Failure to comply with any section of this NOA shall be cause for termimttm#nd regimA f 0of •• ••
NOA. 0000 0000 0000..
0000..
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade Couky,7F1'orida,-and
0000.0
followed by the expiration date may be displayed in advertising literature. If any pgaioj?Qf the MOA is •••
displayed,then it shall be done in its entirety. 0 .• 0.0 0
•
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews and revises NOA No. 14-0611.01 and consists of pages 1 through 30.
The submitted documentation was reviewed by Jorge L.Acebo.
.�J
NOA No.:14-1030.02
MWMMADE COUNTY Expiration Date: 11/06/18
• • Approval Date: 11/05/15
Page 1 of 30
Membrane Type: APP/SBS Heat Weld
Deck Type 1: Wood,Non-insulated
Deck Description: 19/32"or greater plywood or wood plank decks
System Type E(2): Base sheet mechanically fastened.
All General and System Limitations shall apply.
Fire Barrier: FireOut'Fire Barrier Coating,VersaShield®Fire-Resistant Roof Deck
(optional) Protection or Securock®Gypsum-Fiber Roof Board.
Base sheet: GAFGLAS®#80 Ultima'Base Sheet,GAFGLAS®Stratavent®Eliminator
Nailable Venting Base Sheet,Ruberoid®Mop Smooth,Ruberoid®20,Ruberoid'
SBS Heat-Weld&'Smooth or Ruberoid` SBS Heat-Weld"25 mechanically
fastened to deck as described below;
Fastening GAFGLAS®Ply 4,GAFGLAS®FlexPly 6, AS® 5 se i y
Options: of above base sheets attached to deck with approved ular 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-Tee 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 fin caps at a
fastener spacing of 9"o.c.at the 4"lap staggered and in two rows 9"o.c.-in the
0000..
field. 9.99••
(Maximum Design Pressure—52.5 psf.See General Limitatloh#7) •. •.
0000.. . .. 0000..
GAFGLAS®#80 Ultima' Base Sheets,Ruberoid®20,Ruberc idt-Vlop Smooth, 0 •
000..
base sheet attached to deck with approved annular ring shanj��Mkand tigi'cap$at •
•. 0000.
a fastener spacing of 9��o.c. at the 4 lap staggered and in two r s 9 o.c.In the
. .
9090 0000 0000.
field. •
0000 0000 0000..
(Maximum Design Pressure—60 psf.See General Lim itango A7�. •
GAFGLAS®#75 Base Sheet or any of above base sheets attached to decIwA- •'
Drill-Tec' #12 Fastener,Drill-Tec"°#14 Fastener or Drill-ige)fHD A.VtW ;••••;
and Drill-Tee 3"Steel Plate,Drill-Teo`"'AccuTrac®Flat Plate or Drill-Tec"
AccuTrac®Recessed Plate installed 12"o.c. in 4 rows. One row is in the 2"side
lap. The other rows are equally spaced approximately 9"o.c.in the field of the
sheet.
(Maximum Design Pressure—60 psf.See General Limitation#7)
NOA No.:14-1030.02
rtuvewa�e counir�r Expiration Date: 11/06/18
•••VED Approval Date: 11/05/15
Page 28 of 30
Fastening Any of above base sheets attached to deck approved annular ring shank nails and
Options: 3"inverted Drill-Tec'insulation plates at a fastener spacing of 9"o.c.at the 4"
(Continued) lap staggered in two rows 9"in the field.
(Maximum Design Pressure—60 psf.See General Limitation#7)
GAFGLAS®#75 Base Sheet or any of above 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 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—75psf.See General Limitation#7)
Ply Sheet: (Optional except over Ruberoid®Mop Smooth,Ruberoid®20,Ruberoid®SBS
Heat-Weld"Smooth or Ruberoid®SBS Heat-Weld`25)One or more plies
GAFGLAS®Ply 4 or GAFGLAS®F1exPly 6 sheet adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.or
Ruberoid®Torch Smooth torch applied according to manufacturer's application
instructions.
Membrane: One ply of Ruberoid®Torch Smooth,Ruberoid®Torch Granule,RoofMatch'
APP Modified Granular,Ruberoid®EnergyCap'Torch Granule FR,Ruberoid®
EnergyCap' Torch Plus FR,or Ruberoid®Torch FR torch applied according to
manufacturer's application instructions.
Or
One or more plies of Ruberoid®SBS Heat-Weld"Plus,Ruberoid®SBS Heat-
Weld'Plus FR,Ruberoid®SBS Heat-Weld" 170 FR,Ruberoid®EnergyCap'
SBS Heat-Weldd'Plus FR,Ruberoid®SBS Heat-Weld'Granule,Ruberoid'SBS
Heat-Weld' Smooth and Ruberoid®SBS Heat-Weld'25 applied according to
manufacturer's application instructions.
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 3001bs./sq.respecthtty is a floo6 jp � •,
of Approved asphalt at 601bs./sq. 696:09Of
2. GAFGLAS®Mineral Surfaced Cap Sheet,Tri-Ply®Mineral 1tFa*j* d Cap§heet• ••••
or GAFGLAS®EnergyCap'"BUR.Mineral Surfaced Cap She%#&bred id S tijl, •••••
mopping of approved asphalt applied within the EVT range aud."rate of.2&40 ..%.'
lbs./sq. .. .. ....•
......
3. Topcoat'Membrane,Topcoat®MB Plus(to be used as a prii4eelft Topcoat' •.
Membrane)or Topcoat®Surface Seal SB applied at 1 to 1.5 g1l./sqr'
. . ......
Maximum Design •• • • 000 •
Pressure: See Fastening Options
NOA No.: 14-1030.02
M MMADE C0UNTY Expiration Date: 11/06/18
"'• Approval Date: 11/05/15
Page 29 of 30
WOOD DECK SYSTEM LIMITATIONS:
1 A slip sheet is required with GAFGLAS1 Ply 4 and GAFGLAS®FlexPlyTM 6 when used as a
mechanically fastened base or anchor sheet.
2. Minimum 1/4"DensDeck'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 layers shall be adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically
attached using the fastening pattern of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved
asphalt,panel size shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped.If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 12"diameter circles,24"o.c.;or strip
mopped 8"ribbons in three rows,one at each side lap and one down the center of the sheet allowing
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6"break shall be
placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall
be at a minimum rate of 12 lbsJsq. 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 anchorlbase 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 fastenet$gl(opg
shall utilize the withdrawal resistance value taken from Testing Application Stabdards TAS*105 and
calculations in compliance with Roofing Application Standard RAS 117. •• • •
7. Perimeter and corner areas shall comply with the enhanced uplift pressure r u�•"0** of thes•• :'--0:
P Y P P eq 1`r�l�� �
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in :0009:
compliance with Roofing Application Standard RAS 117.Calculations prepared,•siigned andwaled .••••
by a Florida registered Professional Engineer,Registered Architect,or Registered ftagf Conkifth"I 00000
•
(When this limitation is specifically referred within this NOA,General Lint taHbn#9 wff fibt 9090:4
be applicable.) :00:0: 0•
8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing tegninalion de�gc►s-• ,0*••
shall conform to Roofing Application Standard RAS 111 and applicable wind Mad Te4uirements... :""
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure z0406•6.4
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.: 14-1030.02
MIAMFDADECOUNTY Expiration Date: 11/06/18
o Approval Date: 11/05/15
Page 30 of 30
case Sheet:— One ply "Liberty'" SBS Self-Adhering Base/Ply Sheet" or"LibertyT" SA Base/Ply Sheet", self-adhered.
Membrane:— "Ruberoid@ Torch FR" or"Ruberoid@ SBS Heat Weld Plus FR" or"Ruberoid@ SBS Heat Weld 170 FR" or
"Ruberoid@ Torch Plus FR".
64. Deck: C-15/32 Incline: 1/2
Base Sheet:—Two plies Type G2 or"GAFGLAS@ #75 Base Sheet", or"Ruberoid@ 20" or"Ruberoid@ 20 HT" or"Ruberoid®
Dual Smooth" fully adhered with hot roofing asphalt.
Ply Sheet(Optional):— One or more plies Type G1 or Type G2 or"Ruberoid®SBS Heat Weld Smooth."
Membrane:— "Ruberoid@ SBS Heat Weld 170 FR" or"Ruberoid® SBS Heat Weld Plus FR" heat fused
65. Deck: NC Incline: T/4
Insulation(Optional):— Polyisocyanurate, wood fiber, glass fiber or perlite mechanically fastened, any combination, any
thickness.
Base Sheet:—One ply"Ruberoid@ SA Base/Ply Sheet" self-adhered
Membrane:— One ply"Ruberoid@ SA Cap FR"self-adhered
66. Deck: C-15/32 Incline: 1/2
Insulation(Optional):—Any thickness perlite, glass fiber, polyisocyanurate, perlite/polyisocyanurate composite,
mechanically fastened or adhered with any UL Classified insulation adhesive.
Barrier Board(Not required when the roof deck Is noncombustible):— Minimum 1/4-in. thick Georgia-Pacific Gypsum LLC
"DensDeck @ Roofboard" or"DensDeck Prime@ Roofboard" or"DensDeck Dura Guard T" Roofboard" or United States
Gypsum Corp. "SECUROCK@ Roof Board" (Type FRX-G) or"SECUROCK@ Glass-Mat Roof Board" (Type SGMRX) with butt
joints in the barrier board staggered a minimum of 6-in. from butt joints in plywood roof deck
Base Sheet:—Two plies Type G2 "GAFGLAS #75 Base Sheet" fully adhered with hot roofing asphalt.
Ply Sheet:—Two plies Type G1 "GAFGLAS Ply 6" fully adhered with hot roofing asphalt.
Membrane:— One ply"Ruberoid@ EnergyCapT"1 Dual FR" fully adhered with hot roofing asphalt
67. 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 GMsum LLC "DensDeck® Roofboard" or"DensDeck Prime@
Roofboard" or"DensDeck Dura Guard T" Roofboard" or minimum 1/4-In. thick Untied States-Gypsum Corp. "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 or more plies Type G2 "GAFGLAS@ #75 Base Sheet" or"Tri-Ply® #75 Base Sheet" or Type G1 or Type
G2 fully adhered with hot roofing asphalt or mechanically fastened
Ply Sheet:—One or more plies "Ruberoid@ 20" or"Ruberoid@ 20 HT" or"Ruberoid@ Dual Smooth" fully adhered with hot
roofing asphalt or mechanically fastened
Membrane:— One ply "Ruberoid@ 30" fully adhered with hot roofing asphalt.
Surfacing(Optional):— "TOPCOAT@ EnergyCote'" Elastomeric Coating" or"TOPCOAT@ MB Plus" applied at a rate of 2-
ga I/100-ft2.
68. Deck: NC IncUne: 1/2 • •
noon••
• • • noon••
Primer(Optional):—One application '"TOPCOAT@ Surface Seal SB" applied at 1-gal/100-ftt••n s •• • ••
Insulation(Optional):— Perlite, fiber glass, polyisocyanurate, urethane or perlite/polylsocyggygj% comlliosltree •.ne;•
Base Sheet:—One or more layers "GAF Stratavent@ Eliminator'"" Venting Base Sheet(PerfQr� �or"GAF�tratavens@
Eliminator'" Venting Base Sheet(Nailable)", Type G2 "GAFGLAS@ #75 Base Sheet" or"Tri-P y Base Sheet" or Typhon*
G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or"Tri-Ply@ Mineral Surfaced Cap Sheet", hot Wt?)T&O or methgni`ally • '
fastened. ones •• •• 00.00
Ply Sheet(Optional):— One or more piles Type G1, hot mopped in place. •••••• •••• ••:••s
Membrane:— "Ruberoid@ Mop 170 FR" or"Ruberoid@ Dual FR" or"Ruberoid@ Mop FR" or"%64%Nd8 PhNSYCapT I QR•••
FR. • •e
noon••
69. Deck: NC Incline: 1/2 ' ' • • noon••
noon.•
• • • . •
Base Sheet:— One ply of"Ruberoid@ Mop Smooth" or"Ruberoid@ Mop Smooth 1.5" or"RuhatJ@ Mop 6nvaoth Plus or
"Ruberoid@ Dual Smooth" fully adhered with "Matrix'" 101 Premium SBS Membrane Adhesive" applied alo,itat$of 1-1/2-
g a I/100-ft2.
Membrane:—One ply "Ruberoid@ Mop 170 FR" or"Ruberoid@ Dual FR" or"Ruberoid@ Mop FR" or"Ruberoid@
EnergyCapT" Mop FR fully adhered with "Matrix"" 101 Premium SBS Membrane Adhesive" applied at a rate of 11h-gal/100-
ft2.
70. Deck: C-15/32 Incline: 1/2
Insulation(Optional):—Any thickness "EnergyGuardT"" or"EnergyGuardm RA" or"EnergyGuardT RN" or"EnergyGuardT"
RH" or"EnergyGuardT RF" or"EnergyGuardT" Ultra" polyisocyanurate, mechanically fastened or adhered with OMG Inc.
"OlyBondT 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 DuraGuardT" Roofboard" or minimum 1/4-in. thick United States Gypsum Corp. "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 of"Ruberoid@ Mop Smooth" or"Ruberoid@ Mop Smooth 1.5" or"Ruberoid@ Mop Smooth Plus" or
"Ruberoid@ Dual Smooth" fully adhered with "Matrix' 101 Premium SBS Membrane Adhesive" applied at a rate of 11h-
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. v4V Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roof decking
can be viewed from below.The owner may wish to maintain the architectural appearance;therefore,
roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of
maintaining the appearance.
6. ff 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 installoverSow
scuppers in accordance with the requirements of Sections R4402,R4403 andR4413. :""' ••••�•
0 s • •
•00000 00 Mott 0
2��, 5 •• .. , 0030
Owner/Agent's Signature Date Contractor Signature f�
0000 . 0000.
s
0000.. 0000 00000
VLQ
00 A" /V r ! 00� 0000 ...0..
0000..
Property Address Permit Number 000:0
0 . :*000:
00 0
Revised on 7/9/2009 LD;07/01/2015;
♦6 ORE'
Miamishores Village
Building Department
LpRIpA 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. § 440.05
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:
1. 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
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
CONTENTS.
Signature
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day of V<Q ,20
Byl) OS who( ersonally kno to me or has produced
'10
9AEp{M.NOVAK MI{„BERG
NO4
MY COMMISSION*FFOW428
° EXPIRES July 9,2017
SEAL: 3 A153 FlotidaMt Service.com
f 1
DALEY ROOFING INC
78 NE 106 STREET
MIAMI SHORES, FL 33138
305-7549892
daleyroofing0yahoo.com
December 29, 2015
State of 10 el 0 f)
County of
Before me this day personally appeared Daniel Daley who, being duly sworn, deposes and says:
I will be the only person working on the project at 126 NW 104 Street, Miami Shores, FL 33150
Sworn to (or affirmed ) and subscribed before me this 10�day of OeCC m(3LO`,. 2015
by `D A,a t f:L 'O"..F-`P
Personally know ✓�
OR Produced Identification
Type of Identification Produced
AirICD
e�/ s//
Print,Type or Stamp Name of Notes
F� R 1 D P
h%171,1 qP V .
1% 9312 Miami shores Village
... p,.,� Building Department
10050 E.2nd Avenue
`7Miami Shores, Florida 33138
�OR1DA Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit# DATE: "t l
INSPECTION AFFIDAVIT
I Dam licensed as a (n) Contractor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License#:
On or about /l ��/�!o , I did personally inspect the roof deck nailing
(Date&time)
work at—144a o4a / a Z D )o4 91 A//_/_ j/J/ 5 &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)
Signature
State of Florida
County of Dade:
The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property
mentioned.
Sworn to and subscribed before me this I '` day of fe&AA.,-/
Notary Public, Sate of Florida at Large
r�y,'�,, BARBARA A ESTEP
MY COMMISSION tt FF 073975
e�REXPIRES:March 29,2018
`�;Rf `,•` BoWW Ttnu Notary Puft Undmftrs
'General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an Inspection.Include photographs of each plane of the roof with
permit#and address#clearly shown marked on the deck for each inspection