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RF-16-2658 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-268053 Permit Number: RF-9-16-2658 Scheduled Inspection Date: December 14,2016 Permit Type: Roof Inspector: Naranjo, Ismael Inspection Type: Final Roof Owner: Work Classification: Flat Job Address: 186 NE 109 Street Miami Shores, FL 33161- Phone Number Parcel Number 1121360090090 Project: <NONE> Contractor: GOMFZ ROOFING COMPANY Phone: (954)874-4848 Building Department Comments RE-ROOF FLAT ONLY Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed �t Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 13,2016 For Inspections please call: (305)762-4949 -Page 9 of 40 z � t Miami Shores Villageh3 9 10050 N.E.2nd Avenue NE , ' Miami Shores,FL 33138-0000 t °1 "° Phone: (305)795-2204 , % a � (pR{pAef Expiration: 05/30/2017 .> Project Address Parcel Number Applicant 186 NE 109 Street 1121360090090 Miami Shores, FL 33161- Block: Lot: 2015 11H2 BORROWER Owner Information Address Phone Cell 20151 IH2 BORROWER 901 MAIN Street DALLAS TX 75202- 901 MAIN Street DALLAS TX 75202- Contractor(s) Phone Cell Phone Valuation: $ 4,000.00 GOMEZ ROOFING COMPANY (954)874-4848 Total Sq Feet: 560 Type of Work:Re Roof Available Inspections: Additional Info:RE-ROOF FLAT ONLY Inspection Type: Classification:Residential Tin Cap Scanning:3 Final Roof Roof in Progress Renailing Affidavit Review Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-9-16-61491 CCF $2'40 09/27/2016 Check#:9333 $50.00 $722.90 DBPR Fee $3.75 DCA Fee $3.75 12/01/2016 Check#:10305 $722.90 $0.00 Education Surcharge $0.80 Bond#:3270 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $772.90 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 construction and nin Futhermore,I authorize the above-named contractor to do the work stated. December 01,2016 Autho gnature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 01,2016 1 Miami Shores Village �� . F �o e``' Building Department SEP 2r o16 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 20M BUILDING Master Permit No. 11= PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC QOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP /y'' 146 ACONTRACTOR DRAWINGS JOB ADDRESS: /� A ,9' IL City: Miami Shores County: Miami Dade Zi Folio/Parcel#: t( 2(3600 1G 60(p 0 Is the Building Historically Designated:Yes NO r Occupancy Type: Load: Construction Type:'?&OY Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): p� Z Pr' L _ 1 Ln Phone#: Address: b SZ) o S 1®e City: I /"j'J/1 State: Zip: 3�'( Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 0Phone#: 7 _r � IV Address: City:'RA U 4o'CS State: Zip: 3Lb A3 Qualifier Name: .�.C7 t!�*.PZ Phone#: ZT y State Certification or Registration#: QCOZ:701 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 00p Square/Linear Footage of Work: �� i Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: tvlAl L4 Specify color of color thru tile: Submittal Fee$ Permit Fee$ 0 CCF$_ CO/CC$ Scanning Fee$ Radon Fee$ - DBPR$$ �'� Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) --? z r $onding 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 ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 7k. A y ,20 , by day of ,20 L f p , by ��,((.��•�• (,v who issonally known j .�ov Zi ,who is personally known 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 PUBLIC: NOTARY PUBLIC: s Sign: Sign: i;IJ 4A PrinPrint: -,"- RICHARD M JASPER Seal: ;J Seal: • TRISHAPERRY MY COMMISSION#GG008962 F' IMYCOMMISSION#FF23 M a, EXPIRES July 08,2020d -k` EXPIRES:June 2,2019 ,'•,,,, ia'.,il(1 ,` Bonded ThmrosyPublicu m APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 2016 FOREIGN LIMITED PARTNERSHIP ANNUAL REPORT FILED DOCUMENT#813000000065 Apr 30, 2016 Entity Name: I1-12 PROPERTY FLORIDA, L.P. Secretary of State Current Principal Place of Business: CC4674652339 5909 HAMPTON OAKS PKWY.,BLDG.1,STE.G TAMPA, FL 33610 Current Mailing Address: 5909 HAMPTON OAKS PKWY., BLDG. 1, STE. G TAMPA, FL 33610 FEI Number: 90-0939355 Certificate of Status Desired: No Name and Address of Current Registered Agent: CORPORATION SERVICE COMPANY 1201 HAYS STREET TALLAHASSEE,FL 32301-2525 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date General Partner Detail : Document# M13000001460 Name I1-12 PROPERTY GP LLC Address 5909 HAMPTON OAKS PARKWAY BUILDING 1 SUITE G City-State-Zip: TAMPA FL 33610 1 hereby certify that the information Indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the some legal effect as if made under oath;that I am a general partner or the limited partnership or the receiver or trustee empowered to execute this report as required by Chapter 620,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:ERIC JACOBSON AUTHORIZED PERSON 04/30/2016 Electronic Signature of Signing General Partner Detail Date Affidavit of Authorized Signatory And Action Taken by Written Consent May .2016 IH2 Property GP LLC, a Delaware limited liability company (the"General Partner") as the general partner of IH2 Property Florida,L.P.,a Delaware limited partnership("the Partnership"}; IH3 Property GP LLC, a Delaware limited liability company(the"General Partner") as the general partner of HD Property Florida,L.P.,a Delaware limited partnership("the Partnership"}; IH4 Property Level GP LLC, a Delaware limited liability company (the "General Partner") as the general partner of IH4 Property Florida, L.P., a Delaware limited partnership ("the Partnershi "). IH5 Property Level GP LLC, a Delaware limited liability company (the "Geneml_Partner") as the general partner of IH5 Property Florida, L.P., a Delaware limited partnership ("the Partnership'); IH6 Property Level GP LLC, a Delaware limited liability company (the "General Partner") as the general partner of IH6 Property Florida, L.P., a Delaware limited partnership ("the Partnershiu'); THR Property Holdco GP LLC, a Delaware limited liability company(the"General Partner") as the general partner of THR Property Management L.P., a Delaware limited partnership (the "Partnership"); 2013-1 IH Borrower G.P. LLC, a Delaware limited liability company(the"General Partner") as the general partner of 2013-1 IH Borrower L.P., a Delaware limited partnership ("the Partnership'); 2014-1 IH Borrower G.P. LLC, a Delaware limited liability company (the "General Partner") as the general partner of 2014-1 IH Borrower L.P., a Delaware limited partnership ("the Pa e i "); 2014-2 IH Borrower G.P. LLC, a Delaware limited liability company (the"General_Partner') as the general partner of 2014-2 IH Borrower L.P., a Delaware limited partnership ("the Partnership'); 2014-31H Borrower G.P. LLC, a Delaware limited liability company(the"General Partner") as the general partner of 2014-3 IH Borrower L.P., a Delaware limited partnership ("the Partnership");and 2015-11H2 Borrower G.P. LLC, a Delaware limited liability company(the"General Partner") as the general partner of 2015-1 IH2 Borrower L.P., a Delaware limited partnership ("the Partnership'); Each entity acting without a meeting pursuant to Section 17-405(d)of the Delaware Revised Uniform Limited Partnership Act(6 Del.C§ 17-101,et M. (the"Act"),hereby takes the following action by written consent as of the date set forth above: WHEREAS, COLLEEN YEAGER has been retained to provide certain services to the Partnership;and WHEREAS, the General Partner desires to grant COLLEEN YEAGER the authority to take certain actions on behalf of the Partnership, NOW, THEREFORE, BE IT RESOLVED, that COLLEEN YEAGER, is hereby authorized and directed to do and perform, or cause to be done and performed, all acts and things and to make, execute and deliver, or cause to be made, executed an delivered (including by granting a power of attorney with respect to),such instruments or documents with respect to all real property located in the State of Florida on behalf of the Partnership that may be necessary including but not limited to obtaining and/or applying for Building Permits,Business Licenses and Utility Applications,interacting with Homeowner Associations and all acts necessary to carry out the day-today business of the Partnership. (Remainder of Page Intentionally Left Blank) IN WITNESS WHEREOF,the undersigned has signed this Affidavit as of the date first written above. GENE PARTNER: IH2 Property GP LLC,IH3 Property GP LLC, Ili4 Property Level GP LLC, I115 Property Level OP LLC, IH6 Property Level GP LLC,THR Property Management L.P. 2013-1111 Borrower G.P. LLC,2014-1 IH Borrower G.P.LLC,2014-21H Borrow G.P. LLC,2014-3 IH Borrower G.P. LLC,2015. IH2 Borrower G.P.LLC, f` By: Eric Jacobson Vice President STATE OF TEXAS ) )SS: COUNTY OF DALLAS ) pp ( The foregoing instrument was acknowledged before me this o4ay of May,2016,by Eric Jacobson as Vice President who lqs personally known to me or O who has produced as identification. KIMBERLY DAWN WRIGHT Nokuy Puo tc.State of Texas IIj _• Explies 11.23.2019 4%n°' aotaty ID 3989642 NOTARY PUB , State of Texas of o� STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION �t.. CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GOMEZ, GERARDO E GOMEZ ROOFING CO 1015 NW 31 ST AVE POMPANO BCH FL 33069 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and STATE OF FLORIDA Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. '^b..-'` PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CCC033707 ISSUED: 06/19/2016 to serve you better. For information about our services, please log onto wwrw.myfloridalicense.com. There you can find more CERTIFIED ROOFING CONTRACTOR information about our divisions and the regulations that impact GOMEZ,GERARDO E you, subscribe to department newsletters and learn more about GOMEZ ROOFING CO the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date: AUG 31,2018 L1606190000905 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD � o,�� CCC033707 e � ' a, sk �d �e The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 GOMEZ, GERARDO E GOMEZ ROOFING CO 1015 NW 31 STAVE POMPANO BCH FL 33069 ISSUED: 06/19/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1606190000906 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT _ 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 DBA: Receipt#:ROOFING%SHEET METAL CONTRACTOR Business Name:GOMEZ ROOFING CO Business Type: (ROOFING CONTRACTOR) Owner Name:GERARDO GOMEZ Business Opened:02/18/1993 ,. Business Location:1015 NW 31 AVE State/County/Cert/Reg:CCC-033707 POMPANO BEACH Exemption Code: Business Phone:954-974-4848 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 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 VALIDATED 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 location.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: GERARDO GOMEZ Receipt #WWW-15-00136650 1015 NW 31 AVE Paid 07/05/2016 27.00 POMPANO BEACH, FL 33069 2016 . 2017 J N ACORO® DATE(MM/DD/YYY1) �� CERTIFICATE OF LIABILITY INSURANCE 9/27/2016 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 Annette Griffin NAME: The Fairway Insurance Group, LLC PHONEAX (954)772-9819 FNQ:(954)772-9564 5461 North Federal Highway E-MAJL Annetteg@tfigins.com INSURERS AFFORDING COVERAGE NAIC 9 Fort Lauderdale FL 33308 INSURERAAdmiral Insurance Company INSURED INSURER B Old Dominion Insurance Company 40231 Gomez Roofing Co INSURER Evanston Insurance Company 1015 Nw 31st Ave INSURER D: INSURER E: Pompano Beach FL 33069 INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 COI REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LT POLICY NUMBER D D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE a OCCUR DAMAGE TO RENTED 50,000 PREMISES Ea occurrence) $ CA00000672512 3/14/2016 3/14/2017 MED EXP(Any one person) $ excluded PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 % POLICY❑JE00T- F—]LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED INGLE LIMIT $ 300,000 Ea accident BANY AUTO BODILY INJURY(Per person) $ ALL OWNED % SCHEDULED DITS497S 6/25/2016 6/25/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Peraooident $ X UMBRELLA LIAR R OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION MKLV20LE107465 4/18/2016 10/18/2016 $ WORKERS COMPENSATION PER OTH - ANDEIAPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECU nVE 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 (ACORD 101,Additional Remarks Schedule,may be attached N more apace is required) Certificate is Subject to Policy Forms & Endorsements. RE: Contractor's License Number CCC033707 CERTIFICATE HOLDER CANCELLATION silveraa@miamishoresvillag SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Edward Brown/AG — �iz .. �.�sv. -' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 rpni4nii _ Issue Date:S/27/2O1G FLORIDA ROOFING,SHEET METAL&AIR CONDITIONING CONTRACTORS ASSOCIATION,INC. 112 RSA , 1-800-767-3772 FAX(407)671-2520 CERTIFICATE OF INSURANCE ISSUED TO: COPY PROVIDED TO: Miami Shores Village Gomez Roofing Company 10050 NE 2nd Ave. 1O16NVV31odAvenue Miami Shores, FL 33138 Pompano Beach, FL33OGB Attention: Gomez RomfingCompany This ywtmCertify that: 1O15NVV31otAvenue Pompano Beach, FL33U8B being subject tothe provisions ofthe Florida Workers'Compensation Act. hmmmmcunedthm paymentof compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL&AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND,4O8QMetric Drive,Winter Park, FL32782. COVERAGE NUMBER: 870-032858 LIMITS EFFECTIVE DATE: 1/1/2016Workers'Compensation: Statutory-State of Florida Employers' Liability: $100.000.00 Each Accident EXPIRATION DATE: 1/1/2017 $100.000.00 Disease, Each Employee $500.000.00 Disease, Policy Limit REMARKS: Non-cancelable,without 30 days prior written notice, except for non-payment of premium which will be o1Oday written notice. L|o#"CCCO337O7. Gerardo Gomez" This certificate is issued as a matter of information only, is not a policy and of itself does not afford any inunanna Nothing contained mthis certificate shall omconstructed amextending coverage afforded oythe poncy(/em)shown above oraaaffording insurance boany insured not named above. This provides coverage for Florida policyholders and Florida domiciled employees only. By: By: &1A Brett Sbmgm|.Administrator Debra Guidry, CPCU. Ing Manager FR@A-SIF FRSA-SIF O Miami shores Village lilt pl#/ Building 10050 N.E.2nd Avenue fitpR ► 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:A/77/ lb 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address:_ 19(0 10 Ilk s�" Roofing Permit Number: Dear Building Official: I (-' -E. 6 ov-J Z certify that I am not required to retrofit the roof to wall connections of my building because: KIThe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. Q The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1991 edition of the South Florida Building Code(1994 SFBC) t/ 6,t5- - (7owre2— SI ature Print Name State of Florida County of Dade The undersigned, being the first duly sworn,deposes and says that he/she is the owner for the above property mentioned, Sworn to and subscribed before me this "'. Z day of w,, 7RISHAPERRY Notary Public, Sate of Florida at Large MYcoMMISSION#FF 236408 • EXPIRES:June 2,2019 °�' Bonded Thru Pbtlry Pubr Uml®twrileB .R;fk•• When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and th nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to wall connection Hurricane Mitigation. Revised on 5/21/2009 9/2012016 Property Search Application-Miami-Dade County yr 0"FFIC' E OF THE PROO"PAERTY APPRAISER Summary Report Generated On:9/20/2016 Property Information Folio: 11-2136-009-0090 186 NE 109 ST Property Address: Miami Shores,FL 33161-7042 IH2 PROPERTY FLORIDA LP Owner C/O INVITATION HOMES-TAX DE Mailing Address 1717 MAIN STREET SUITE 2000 DALLAS,TX 75201 USA Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT Beds I Baths I Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,708 Sq.Ft - ---------- Living Area 1,316 Sq.Ft Taxable Value Information Adjusted Area 1,564 Sq.Ft Lot Size 9,300 Sq.FtCounty 1 20161 20151 2014 lYear Built 11951 Exemption Value 1 $01 $01 $0 Assessment Information Taxable Value 1 $310,8871 $275,3941 $263,644 Year 2016 2015 2014 School Board Land Value $199,874 $164,822 $155,872 Exemption Value $0 $0 $0 Building Value $108,854 $108,854 $106,039 Taxable Value 1 $310,8871 $275,3941 $263,644 XF Value $2,159 $1,718 $1,733 City Market Value $310,887Exemption Value $0 $0 $01 $275,394 $263,644 1 1 ,Assessed Value 1 $310,8871 $275,3941 $263,644 Taxable Value 1 $310,8871 $275,3941 $263,644 Regional Benefits Information Exemption Value $0 $01 $0 Benefit IType 1 20161 20151 2014 Taxable Value $310,8871 $275,3941 $263,644 Note:Not all benefits are applicable to all Taxable Values(i.e.County,School ,Board,City,Regional). Sales Information Previous Sale Price OR Book-Page Qualification Description Short Legal Description 07/1212013 $295,000 28727-3772 Qual by exam of deed DUNNINGS MIAMI SHORES EXT NO 5 02/01/2004 $245,000 22119-0909 Sales which are qualified PB 48-21 10/01/1998 $92,500 18361-4695 Sales which are qualified LOT I BLK 216 05/01/1991 1 $84,5001 15015-3441 Sales which are qualified LOT SIZE 75.000 X 124 OR 18361-4695 1098 1 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 Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp Version: 'W i, • • ••• ;j0;ASSEMBLIES AND R FTOP A0%" W' _S c j Flo a BuildPng G'oaTe ith•Ed lt1olt(?•QI 4)• see 0 go :•. . . High-Velocity Hurricane Zone Uniform Permit Application Form. i Section A(Genera!jn6T&j&lJ`0*•• •• Master Permit No. •• • • • • • "' '• Process No. �^ v Contractor's Name ''< ` Job Address �� S 1 1 ROOF CATEGORY Low Slope 13 Mechanically Fastened Tile ❑ Mortar/Adhesive Tries 1 ti tic Shingles al Pan ❑ Wood Shingles/Sh s • 9 ❑ New roof ❑ Repair ❑ Maintenance Reroofing ❑ Recovering g ROOF SYSTEM INFORMATION Low Slope Roof Area(SF_) IPI0 Steep Sloped Roof AREA(SSI=) Total(SF.) O f 1 t Section B(Roof Plan) 6 ch Roof Pla Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. include dimen- f sio of section and levels,clearly identify dimensions of elevated pressure zones and location of parapets. MptU Wei A La S � � a / � 9 t f FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.87 8 I 0 J t Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License i Agreement.No further reproductions authorized. . . ... . . . ... .. .. % .. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES i ••• • • • • "' ® Florida Building Coda 5th ldifiolt(2Q'P4).•• ;'. 1 High-Velocity Hurricane Zone Unit*P€atnit A plifat'ton F.Qrjm!.' 1 . .. • 1 i •• . • . .. ..• •. ectibn C(Low Slope Application) Top fly PPjfinjr/aor=digg!Aeterlat Fill in specific roof assembly components and identify ; 0—:—:0+—� � �!Z— i 1 manufacturer .. • • . • •• •• „ Surfacing: i (If a component is not used,Identify as" ) a ener Spacing for Ancha ac menta i i System Manufacturer. 1 i F e oc ap, ows „oc 9 -21 1 1 Product Approval No.: 3 P ri s @ "oc Z � 1 Design Wind Pressures,From RAS 128 or Calculations: mer: --acCo)Lav #Ro,ers �^oc P1: P2: (,"7 P3' 0 bar of Fes nsulation Boar 1 ` laid Perimeter Corner Max.Design Pressure, th specific roduct I—S Z'S i approval system:_ a� ilustrate Components Noted and Details as Applicable: 1 1 Deck: Woodblocking,Gutter, Edge Termination,Stripping, Flashing, 1 iContinuous Cleat,Cant Strip,Base Flashing,Counterflashing, 1 i Type:_. ' Coping,Etc. 1 Indicate: Mean Roof Height, Parapet Height, Height of Base i Gauge/Thickness: S Flashing, Component Material, Material Thickness, Fastener 1 i l J �• Type,Fastener Spacing or Submit Manufacturers Details that 1 1 Slope: j Comply with RAS 111 and Chapter 16. 1 1 Anchor/Base Sheet&No.of Ply(s): 1 1 1 i Anchor/Base Sheet Fastener/Bonding terial: 1 1 { � FT. 1 insulation Base Layert �fJ F• 1 Parapet 1 Base Insulation Size and Thickness; � Height 1 g ...._ 1 1 Base Insulation Fastener/Bonding Maters I: 1 1 Tap Insulation Layer: __.____ FT. Top Insulation Size and Thickness: CbA Mean i i Top Insulation Fastener/Bonding Mate r1al: Roof i i Height 1 Base Sheet(s)&No,of Ply(s): l S � 1 Base Shee Fa s enerBonding Material: 1 Ply Sheets)&No.of Piy(s): i i Ply Shut Fastener/ ndins,Material: — 1 4' Top Ply: 1 n• gdf;Crec&t Cwp�1-e�� I 15.38 FLORIDA BUILDING CODE—BUILDING,Sth EDITION(2014) ® 1 ® J 1 1 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,201510.-32:12 AM pursuant to Ucense Agreement.No further reproductions authorized. • ••• •ROO;AS;td L?ES AND ROOFTOP STRUCTURES Florida BuildingComa 9th * Idn( •4 '• ' •: :00 e $ { 1 . . High-Velocity Hurricane Zone Un!►pPm.IjArmlt:4pp4cation1wdern• 1 1 Section D(Steep Slope Roof System) / . . . . . . . 1 . ... . . . . .. Roof System Manufacturer: • • ' �'. i • Notice of Acceptance Number. " / Minimum Design Wind Pressures,If Ap Icabie(From RAS 127 or Calculations): 1 P1: P1: P1: 1 1 1 Deck Type: _..... Type Underlaymen 1 Roof Slope: _ 1 �..._..._ 12 insulation: / Fire Barri Ridge Ventilation? astener Type&S ting: 1 1 E, Adhesive Type: 1 Type Cap Sheet: 1 Mean Roof Height: vering: 1 Type&Size Drip 1 9 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.38 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. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES : : •:• : : : • 0:0 900 0 000 ® Florida Building Code tit Eji1 1,(2;14).•0 • • • 1 .. • 1 . 00 :00 . ... High-Velocity Hurricane Zone Uniform Permit Application Form. 1 1 .. . . . •• .•. •.. 1 Section E(Tile Calculations) :•: : : : : •• • 1 For Moment based tile systems,choose either Method 1 or 2.Compare,�l6 V�luts Tar'M,;wiM tuWalues from M,. If the M,values are greater than or equal to the M,values,for each area of the roof,then the tife attachment method.is acceptable. 1 1 Method 1 "Moment Based Tile Calculations Per RAS 127"-- 1 (P1: x x _ ��-Mg:____=M;, Product Approval M, 1 (P2: x% _ )-Mg: =M2 Product Approval M, 1 (P3 xh - _ l-Mg: =M� Prod u Approval M, 1 Metho "Simplified Tile Calculations er Table Below" 1 Required Moment of Resistance(M,)From Tab Below Prod Approval M, 1 M,itigpired Mome esistance" 1 Mean Roof Height 1 Roof Slope 15' 2 25' 30' 40' 1 2:12 34.4 36 38.2 39.7 42.2 1 3:12 32.2 .4 36.0 37.4 39.8 1 4:12 30.4 32.2 3.8 35.1 37.3 1 5:12 28.4 30.1 31. 32.8 34.9 1 6:12 26.4 28.0 29.4 30.5 32.4 1 7:12 2Y4 25.9 27.1 28.2 30.0 1 "Must be used in conjunction with a I! of moment based tile systems endorsed by a Broward County Board of Rules and 1 Appeals. 1 For Uplift based tile systems use thod 3.Compared the Val for F' th the values for Fr. the F'values are greater than or 1 equal to the Fr values,for each a a of the roof,then the le att hment th Is acceptable. - - Method 3"Uplift Be Tile Iculati s Per RAS 127" (P1: x L_ :- )-W: x Cos 0 Product Approval F' 1 (P2:_x L _= x w:__)-W: x 0 F Product Approval F' 1 (P3:_x L - x w:_ )-W: x 0 =Fr3 Product Approval F' 1 1 kWheqe to Ob ri Information 1 cription mbol Where to find r P2 or P3 RAS 127 Table 1 or by an engineering analysis pre- Design Pressure Pressure P1 pared by PE based on ASCE 7 1 Mean Roof Height H Job Site 1 Roof Slope 0 Job Site 1 Aerodynamic Multiplier Product Approval 1 Restoring Moment due to Gravity Mg Product Approval 1 Attachment Resistance M, Product Approval 1 Required Moment Resistance Me Calculated 1 Minimum Attachment Resistance F' Product Approval 1 Required Uplift Resistance F, Calculated 1 Average Tile Weight W Product Approval 1 Tile Dimensions L =length W=width Product Approval 1 All calculations must be submitted to the building official at the time of permit application. 1 15.40 FLORIDA BUILDING CODE--BUILDING,6th EDITION(2014) Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);seemed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License i Agreement.No further reproductions authorized. y 7 u B;yG� -r T� • 1 7 •, 7; , l 7 ^ l , SECT10N,I Q4, HIGH VELOCITY HURRICANE ZONES--REQLnRErA01Ni4E:1R$1�0t'1FICATION FOR ROOFING CONSIDERATI�)t e-,; 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 84402 govern the minimum requirements and standards of the industry for roofing system installations.Additionally,the following items should ire 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. Renailtng wood decks:When replacing roofing,the existing wood roof deck may have to be renal d in accordance with the current provisions of Section R4403.(The roof deck is usually conoeaf d prior to removing the existing roof system). 4. Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roof decking can fewed from below.The owner may wish to maintain the architectural appearance;therefore, roofing all penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 6. 4lovoaded Overflow scuppers(Wall outlets):it is required that rainwater flows off so that the roof is from a buildup of water.Perimetededge wall or other roof extension may block this overflow scuppers(wall outlets)are not provided.It may be necessary to install overflow scuppers In accordance with the requirements of Sections R4492,8440 and R4413. Owner/Agent's S nate Date dtrctor5i ature Bate ( Y � (0 -40-� Prouty Address Permit Number I i Revised on 7/9/2009 LD;07/01/2015; :090:• see ..••.4 • .•.... ...• •.... • 014114U I U ULFB.R1306-Membrane Roofing OWLINE CERTIFIC TIiCINS DIRECT013Y • • ••• ' • • ••• • • • • —ice-•"• • • • • • • Page Bottom • • • • • • • •• • •• • • • •• ••• •• m See General Information for Mebran Roofing • ••• • • • • •• •• • • • • • • •• • • •• • • • • • ••• GAF 1 CAMPUS DR R1306 PARSIPPANY, N] 07054 USA CSI Code 07 50 00 UL Evaluation Report No: ER1306-01 CSI MasterFormat DIVISION: 07 00 00 THERMAL AND MOISTURE PROTECTION Sub-level 2: 07 50 00 - Membrane Roofing Sub-level 3: 07 54 00 - Thermoplastic Membrane Roofing Sub-level 4: 07 54 23 - Thermoplastic-Polyolefin Roofing Codes and Acceptance Criteria: IBC (2015, 2012, 2009, 2006), IRC (2015, 2012, 2009, 2006), AC75, AC10 Product Covered: EverGuard TPO, EverGuard Extreme TPO EverGuard TPO FB Ultra, EverGuard Extreme TPO FB Ultra EverGuard FreedomT" TPO HW, EverGuard FreedomT" TPO with RapidSeamT"Technology CLICK HERE TO VIEW UL EVALUATION REPORT ER1306-01 UL Evaluation Report No: ER1306-02 CSI MasterFormat DIVISION: 07 00 00 THERMAL AND MOISTURE PROTECTION Sub-level 2: 07 50 00 - Membrane Roofing Sub-level 2: 07 51 00 - Built-Up Bituminous Roofing Sub-level 3: 07 51 13 - Built-Up Asphalt Roofing Sub-level 2: 07 52 00 - Modified Bituminous Membrane Roofing Sub-level 3: 07 52 16- Styrene-Butadiene-Styrene Modified Bituminous Sheet Roofing Codes and Acceptance Criteria: IBC (2015, 2012, 2009, 2006), IRC (2015, 2012, 2009, 2006), AC75, AC10 Product Covered: GAFGLAS Mineral-Surfaced Cap Sheet, Tri-Ply BUR Granule Cap Sheet, GAFGLAS EnergyCapT" Mineral-Surfaced Cap Sheet GAFGLAS Ply 4, Tri-Ply Ply 4, GAFGLAS FIexPIyT" 6, or GAFGLAS FIexPIyT" 6 SL, GAFGLAS #75 Base Sheet, Tri-Ply #75 Base Sheet, GAFGLAS #80 UltlmaT" Base Sheet, GAFGLAS Stratavent Perforated venting Base Sheet, GAFGLAS Stratavent Nailable Venting Base Sheet RUBEROID 20 Smooth RUBEROID Mop Smooth 1.5 CLICK HERE TO VIEW UL EVALUATION REPORT ER1306-02 Last Updated on 2016-02-15 _.._ _...._..... ............ .......... Questions? Print this page Terms of Use Page Top http:fldatabase.ul.com/cgi-bin/XYV/template(LISEXT/1FRAM Etshowpage.htmI?name=ULFB.R1306&ccnshorttitle=Membrane+Roofing&objid=1084968537&cfg 2 ULFB.R1306-Membrane Roofing ` • • ••• • • • ••• 2016 UL LLC at •• • • • •• •• • The appearance of a company's name or product in this database does not in Tse?f 0surt th3l;prc%ucts083o :entified have been manufactured under UL's Follow-Up Service. Only those products bearing the UL Mark should•be c(msi�3�ed�o'•be3Certi3ievl:sed 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 thefellow" conditions: 1. The Gude �r35ent�ci Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (fits) mej)e• in trheir entirety and in a non- misleading manner, without any manipulation of the data (or drawings). 2. =h,4st3te!nant "Rlpr1Ated'fron:th&thine Certifications Directory with permission from UL" must appear adjacent to the extracted material. 13 a:ditibQ, the.rtpririted matetigl Ah St include a copyright nonce :n the following format: " 2016 UL LLC". • •• ••• • •• •• • • • •• ••• •• •• i•i i i i i i• •• •• • • • • • ••• •• http://database.ul.comtcgi-bin/XWRemplaWLISEXT/IFRAME/showpage.html?name=ULFB.Rl306&ccnshorttitie=Membrane+Roofing&objid=1084968537&cfg 2/2 ACB2 ENGINEERING INC Testing and Engineering Services Certificate of Authorization-C.A.#8131 16821 SW 1 Street, Pembroke Pines, FL 33027 Engineering Calculations FLORIDA BUILDING CODE 2010 CALCULATIONS FOR ANCHOR OR BASE SHEET ATTACHMENT BASED ON ROOFING APPLICATION STANDARD(RAS)No. 117 (New Construction/Reroof Applications) PROJECT NAME: Gomez Roofing This calculations is for a Flat Section of a property located at: 186 NE 109 Street, Miami Shores Given by : Gomez Roofing Flat Roof Section Area is: 5.6 Squares Building with a roof mean height less than 12 feet Base Sheet Lap 4 Inches SLOPE( Equal or Lower) Wind Uplift Pressures from Permit Application: 1/2"in 12" Field Area -52.5 psf Perimeter Area -52.5 psf Comer Area -52.5 psf Wind Uplift Pressures from RAS No. 128(See FBC) EXPOSURE D: Field Area -51.4 psf Wind Speed 175 mph Perimeter Area -86.2 psf Comer Area -129.7 psf FASTENERS BY NOA - NOA#13-1022.15 Page 14 of 16 Ring Shank Nails and Tin Caps Base Sheet Fasteners at a fastener spacing of 9'o.c. at the 4"lap staggered and 9"o.c. in two rows in the center of sheet Maximum Design Pressure by NOA: -52.5 psf 0000.. 0000.. Antonio Acevedo P.E. . . Fla. Reg. No: 36466 •••••• 0000.. . 0000.. Page • 0000.. 0000.. 0000 0000.. 0000 . 0000. 0000.. 0000 0000. 0000.. �® r2' � :000:0 0000.. . . . 0000.. 00 0 0000 0 0 . . C AC132 ENGINEERING INC. Ting and Engineering Services CALCULATIONS FOR BASE SHEET Given: Width of Sheet is: Side Lap Width is: 4 inches (In6amation by Roofer) 4 Inches (Informaon by Roofer) A.CALCULATE UBDTH OF SHEET FOR ONE NET SQUARE(1 OQ ) I.Net Width of Sheet(it); Net Wdth(ft)=(Sheet Width)-(Side Lap Wrdth)112 Net Width(ft)= 2,66ggg7 ft OR 32 irk Z Net Length to Make One Square(100 Square Feet) Net Length=(100 ft2)/Net Widtit Net Length= 37.5 feet B.DETERMINE THE NUMBER OF FASTENERS PER SQUARE General I=quation (1 Fastener/A)x(12 in./R)x((B/r,.)x(square)=p Where A=Specified Fastener spacing LAP =Speci"ed Fastener spacing(FIELD/ROW) 9 Inches B=Net Length(in feet)to make one square 8 Inches C--number of rows having spacing A(LAP) 37.5 feet C2=number of mars having spacing A2{FIELD/ROHV) 1 Rows D=number of fasteners Per square 2 Rows SIDE LAP ROW.- 60 OW;50 „=Da ...... Fastens •••••• ►slSquare • ...... . ...... ...:.. CENTER ROW: ...... 100 "=D" Fasteners/Square •••••• •••• ••••• Total Numberof Fasteners ' Per Square(every 100 ft2 •• •• •..• •...�• = 150 ...... . . TOTAL SQUARE • FST PER FASTENER •••••• 0.6""7 Square Feet per Fastener •••' ° • Page 2 ACB2 ENGINEERING INC Testing and Engineering Services DETERMINE THE FASTENER VALUE Given: Calculated Square Feet per Fastener= 0.67 1112/Fastener Maximum Design Pressure From NOA 52.5 psf GENERAL EQUATION Fy=Fastener Value FY=(max design pressure)x(square feet per fasteners) FY= 35.175 Ibf DETERMINE ANCHOR/BASE SHEET SPACING TO MEET PRESSURE GENERAL EQUATION FS=(Fy x 144)/(P x RS) FS= fastener spacing(inches) FY= fastener value(ibf) P= max design pressure(pso RS= row spacing(inches) Note: Row spacing(RS)is the Net Width of Sheet divided by number of rows The Net Wdth is the width of base sheet less the side lap distance Total Number of rows from NOA= 3 Fastener Rows From Previous Calculations: The net width is 32 inches Therefore Row Spacing= 10.66667 inches Wind Uplift Pressures from RAS 128:Exposure D Field Area 51.4 psf Wind Speed 175 mph Perimeter Area 86.2 psf Comer Area 129.7 psf CONCLUSIONS/RECOMMENDATIONS A.FASTENER SPACING FOR PERIMETER AREA FS= 5.508846 inches . . USE MAXIMUM 51NCHES SPACING(Fractions are rounded down per 2014 FBC) •' ' ""�' Minimum 4 Feet Wide Perimeter Width-Use 5"o.c.with 2 rows in Center of Sheet and 1 row in Lap :...:. • B.FASTENER SPACING FOR CORNER AREA •••••• • woo**: • FS= •.••.o 3.661237 inches .•.• • fees USE MAXIMUM 41NCHES SPACING(Min.of 4"Based on Section 8.1 of RAS 117 of 2014 FBC) • • eee.• •••••• . Minimum 4 Feet by 4 Feet Area for Comer-Use 4"o.c.with 3 rows in Center of Sheet and 1 row in(,�? • • C.FASTENER SPACING FOR FIELD AREA FS= 9.23857 i ' i • • ••e.i. USE MAXIMUM 9"LAP AND 9"FIELD SPACING(Based on Product Approval) • f • • Use 9"o.c.with 2 rows in center of sheet and 9"o.c.with 1 row Side Lap e e Page 3 '•e' ; t 1 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 (NOA) www.mianiidade.gov/economy GAF 1361 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. 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 Conventional Built-Up Roof Systems 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 orcharlge in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an%ndorse4ibM bf any ...... product,for sales,advertising or any other purposes shall automatically terminate this AGA.failure,to comply with any section of this NOA shall be cause for termination and removal of NOA. 009:00 •••••• 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 NOA4 dispinyed,•then ••••• it shall be done in its entirety. • ...... .... ..... .. .. .... ...... INSPECTION: A copy of this entire NOA shall be provided to the user by the manufaetlt;;Por its distributors •� and shall be available for inspection at the job site at the request of the Building Offici2il. •••••• This NOA renews and revises NOA No. 13-0424.09 and consists of pages 1 through 18...'•: •.... :" The submitted documentation was reviewed by Jorge L.Acebo. •••• . NOA No.: 13-1022.15 MWNWX6DEC(, Expiration Date: 11/04/18 ••s Approval Date: 11/06/14 Page I of 16 + r ROOFING SYSTEM APPROVAL Category: Roofing Sub-Category: BUR Material: Fiberglass Deck Tyne: Wood Maximum Desil:n Pressure: -75 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description GAFGLAS®#75 Base 39.37"(1 meter) ASTM D4601 Type 1I asphalt impregnated and coated glass mat Sheet Wide base sheet. GAFGLAS®#80 UltimaT" 39.37'(1 meter) ASTM D4601 Type II asphalt impregnated and coated,fiberglass Base Sheet Wide base sheet. GAFGLAS®FlexPlyT 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 39.37'(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheet surfaced Surfaced Cap Sheet Wide with mineral granules. GAFGLAS®EnergyCap- 39.37'(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheet surfaced BUR Mineral Surface wide with mineral granules with factory applied Cap Sheet EnergyCoteT GAFGLAS®Stratavene 39.37'(1 meter) ASTM D4897 Fiberglass base sheet coated on both sides with EliminatorT Perforated Wide asphalt. Surfaced on the bottom side with mineral Venting Base Sheet granules embedded in asphaltic coating with factory perforations. GAFGLAS®Stratavene 39.37'(1 meter) ASTM D4897 A nailable,fiberglass base sheet impregnated and Eliminator T.Nailable Wide coated on both sides with asphalt. StU"on the Venting Base Sheet bottom side with miner;Zmn;les a jbedged in • asphaltic coating. 000000 •••••• • . 0000.. Ruberoid®SBS Heat- 39.37'(1 meter) ASTM D6164 Non-Woven Polyester ni0000ated with polymer- WeldT•Smooth Wide modified asphalt and sn%gtD purface�•••• 00000 Ruberoid®SBS Heat- 39.37'(1 meter) ASTM D6164 Non-Woven Polyester r$W� ••Med wJrolymer- " . :00 . 000. Weld,�25 Wide modified asphalt and s�oo. .. 0turfaced. Ruberoid 20 39.37'(1 meter) ASTM D6163 SBS modified asphalt base shCet reir=fpwrdwith a•••••• Wide glass fiber mat. 0 • . . 0000.. 00 0 0000 0 0 00 Ruberoid®Mop Smooth 39.37'(1 meter) ASTM D6164 Non-woven polyester mat coated witlfpoiy ner- wide modified asphalt and smooth surfaced. NOA No.: 13-1022.15 MIAMI•DADECOUNTY Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 2 of 16 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 VersaShield®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 roofs reflectivity. APPROVED INSULATIONS: TABLE 2 Product Name Product Description Manufacturer (With Current NOA) EnergyGuarC Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarC RA Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard..RN Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarC Perlite Roof Insulation Perlite insulation board. GAF EnergyGuarC Perlite Recover Board Perlite recover board GAF EnergyGuarC RA Composite Polyiso Polyisocyanurate foam insulation with high GAF Insulation density fiberboard or Permalite perlite insulation Securock®Gypsum-Fiber Roof Board Gypsum roof board United States Gypsum Corp. Structodek®High Density Fiber Board High density fiber board Blue Ridge Fiberboard, Inc. DensDeck®Roof Board Gypsum board Georgia-Paci is Gypsum LLC 6.0.99 • .. . • • • .•96.6 ...... . ...... Dose.. s • • .99.96 • • 66060• .... • 9669• ...... .... ..... 000000 6696 ...... •90.66 so . . . . ...... . . :0000• 00 • 0906 9 • sees NOA No.: 13-1022.15 MIAMMADE CI TY Expiration Date: 11/04/18 • •j Approval Date: 11/06/14 Page 3 of 16 APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 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-Tec""ASAP 3S Drill-Tec""#12 Fastener with Various GAF Drill-Tec"'3"Standard Steel Plate S. Drill-Tec" 3"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-Tec"' fasteners. 7. Drill-Tec"'AccuTrac®Flat AZ-SS aluminized steel plate 3" square GAF Plate for use with Drill-Tec-#12 Fastener,Drill-Tec"'#14 Fastener and Drill-Tec"'#15 Fastener. 8. Drill-Tec"m AccuTrac® Galvalume Steel plate for use 3" square GAF Recessed Plate with Drill-Tec"'fasteners. 000 J.9 0000.. .. . . 0 0 0000.. 0000.. 0 0090.. 099990 9 9 0000.0 9 9 09.9.9 0000 0 0000. ..0... 0... 0000. 0 90 .0 0000 009000 .0.000 00 0 0 . 009090 0 . 0 . . 00000. 0• 0 0000 0 0 . 0 NOA No.: 13-1022.15 MIAMMADECOUNTY Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 4 of 16 EVIDENCE SUBMITTED: Test Agency Test Identifier Description Date Factory Mutual Research Corp. J.I.2B8A4.AM 4470 07/02/97 J.I.3139Q LAM 4470 01/08/98 J.I. ODOA8.AM 4470 07/09/99 J.I. OD 1 A8.AM 4470 07/29/94 J.I. 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 11115110 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 GAF-464-02-01 ASTM C1289 10/22/12 GAF-499-02-01 ASTM D6083 03/12/14 GAF-500-02-01 ASTM D6083 03/12/14 IRT of S.Fl. 02-005 TAS 114 01/18/02 02-014 TAS 114 03/22/02 Trinity ERD G30250.02.10-3-R1 ASTM D3909 11/26/12 G31360.03.10 ASTM D6164 03/31/10 G33470.01.11 ASTM D6164 11/16/11 G34140.04.11-2 ASTM D6163 04/25/11 G34140.04.11-4 ASTM D6401 04/25/11 G34140.04.11-5 ASTM D4897 04/25/11 G34140.04.11-5-R1 ASTM D4897 10/18/13 G40630.01.14-2A-1 ASTM D6164 0107/14 G43610.01.14 ASTM D39096 :�b1712/14 ••••;• G6850.08.07-1 ASTM D3909.6.6 :�Q§1L3/07 •. G30250.02.10-3-RI ASTM D3909000:00 6 11/26/12 "0*6' 006.00 0 . 0 0000.. 0000 • 0000.. 0000 . 0000. 0000.. 0000 0000. • ..0.06 0000 0000.. 666666 6 00 . . 0 • 0 .6666. 0000 . 0 . 666666 .. 0000 00 0 NOA No.: 13-1022.15 huaiaaoapEcaurrr�r 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: FireOutTM Fire Barrier Coating,VersaShield®Fire Resistant Roof Deck Protection or (optional) SecurocC Gypsum Fiber Roof Board. Base sheet: GAFGLAS®#80 Ultima"Base Sheet,Stratavent®Eliminator""Nailable Venting Base Sheet,Ruberoid®20,Ruberoid®SBS Heat-WeIC Smooth or Ruberoid"SBS Heat-Weld- 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS®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—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-TecTM #12 Fastener or Drill-TecTM#14 and Drill- Tec3" Steel Plate,Drill-Tec""AccuTrace Flat Plate or Drill-Tec""AccuTrace Recessed Plate 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. (Maxim n Pressure—45 psf.See General Limitation#7) Cat LAS®Flex PlyTM 6,GAFGLAS®#75 Base Sheet or any of above base sheets attached with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. "lap staggered and in two rows 9" o.c. in the field. um 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 1'/4"annular ring shank nails and inverted 3"steel plate at a fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure—60 psf.See General Limitation 17) •••••• 6666.. GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck wAk"A W-TecTM •• #12 Fastener or Drill-Tec"" #14 Fastener and Drill-Tec""3"Steer p;ate,DrilT-TecTM :0096: AccuTrace Flat Plate or Drill-Tec'.'AccuTrac®Recessed Plate IT ec in 4;ows.6 One resW• is in the 2"side lap. The other rows are equally spaced approxihyVgV9"o.dSAW field.4--6 the sheet. 666666 0000 60000 (Maximum Design Pressure—60 psf.See General Limitation#E7� •• •••• ••• 666666 . 6 Any of above Base sheets attached to deck approved annular ring shrank nails.and J" 666000 66666 inverted Drill-Tec""insulation plates at a fastener spacing of 9" o.c.a4 she 4"dap staggere$•0•�; in two rows 9" in the field. •• • 06 6•' 6 (Maximum Design Pressure—60 psf.See General Limitation#7) of 0 NOA No.: 13-1022.15 r�u►htt wEcoUNIYM Expiration Date: 11/04/18 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-Tec' (Continued) #12 Fastener or Drill-Tec" #14 Fastener and Drill-Tec '3"Steel Plate, Drill-Tec' AccuTrace Flat Plate or Drill-Tec""AccuTrace 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 GAFGLAS®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 20-40 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced Cap Sheet or GAFGLAS' EnergyCapTm 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 •060.6 • • • 066660 •6666• • •6.66• 6 •6666• • •6666• 6.69 • • • • • • •6666• 6.66 • •6080 •66.6• 066066660 •• •• ••6• •6.66• • •66••6 • • • • • • •66.6• 6 • • • • • • • 006660 00 0 899:06 0 •• • NOA No.: 13-1022.15 MMMbDADECOUNTY Expiration Date: 11/04/18 • • Approval Date: 11/06/14 Page 15 of 16 WOOD DECK SYSTEM LIMITATIONS: I A slip sheet is required with GAFGLAS®Ply 4 and GAFGLAS®Flex PlyT'6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1/4"DensDecr 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 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 of 275 Ibf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below 275 Ibf, 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 Professional Engineer,Registered 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 Ex i.n Registered Architect,or Registered Roof Consultant(When this limitation is speci f ea Jimy referred within"":* this NOA,General Limitation#9 will not be applicable.) '• '• .. . ...... 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing terminatio..c��s'p.ns shall cpnform tQ • Roofing Application Standard RAS 11 I and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressuit wi t(i.e.re1d," ..... perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted fox"Aanced farstening at••e••• enhanced pressure zones(i.e.perimeters,extended corners and corners). (When this lintitstion is sptel'1Tcally ••••;• 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$uildiri;ocide and•••••• Rule 61 G20-3 of the Florida Administrative Code. ••• '••••• END OF THIS ACCEPTANCE •••• NOA No.: 13-1022.15 rsuaa oEFC' Expiration Date: 11/04/18 "NppFilaa=31J Approval Date: 11/06/14 Page 16 of 16 .SSR G Miami shores Village lose allow Building 10050 N.E.2nd Avenue �� r�s«►ooy� �� Miami Shores, Florida 33138 1OR11 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# DATE: INSPECTION AFFIDAVIT -z— licensed as a(n) Contractor/Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#:(( cc)�3 70 On or about Z 16 , I did personally inspect the roof deck nailing 1 (' Date time) work at �io l�/i'i l Co Iq 'a 4445'rv'e-� (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(B ed on 5 3.844 FS) Si a e C/ State of Florida County of Dade: The undersigned, being the first duly sworn,deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this—0day of Nota Public, Sate of Florida at Lar aL ""°�:. Notary g ='' Q. ti FF 238408 = EXPIRES:June 2,2111 . BanddTtuu Man PubftUftilery `General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspectioninclude photographs of each plane of the roof with permit#and address#dearly shown marked on the dads for each inspection ao I.M—nwnvxt AKOMnnno