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RF-13-243Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 185400 Permit Number: RF -2 -13 -243 Scheduled Inspection Date: February 27, 2013 Inspector: Bruhn, Norman Owner: NIEVES, JOSEPH Job Address: 8937 NE 4 Avenue Road Miami Shores, FL Project: <NONE> Contractor: JALCO CONSTRUCTION INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060460340 Phone: (786)222 -1873 Building Department Comments SHINGLE ROOF Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed c).)7fg Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 26, 2013 For Inspections please call: (305)762 -4949 Page 6 of 25 AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND SECONDARY WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Pas-a 1c- 1 46,c /14.001; Sh ores t 1--6 33 [?� Re: Owner's Name � — °°"�� 7 / e v s Property Address ' 7 .3) Rie (flit/ t/ ' Roofing Permit Number Dear Building Official: I certify that the roof decking attachment and fasteners have been strengthened and corrected and a secondary water barrier has been provided as required by the "Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Structures" adopted by the Florida Building Commission by Rule 9B -3.047 F.A.C. Print Name STATE OF FLORIDA COUNTY OF MIAMI -DADE Sworn to and subscribed before me this. / S day of (SEAL) ducedIde ALEJAF DRA BRITO ary Public State of Florida Comm Expires Jun 10, 2014 Commission # DD 1000541 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 `c FEB 0 7 2013 Permit No. --tom ` Master Permit No. Permit Type: BUILDING (,� ��yy� OWNER: Name (Fee Simple Titleholder): 6 k 11-44 �(OO "a4 -4z'C. Phone #: 4 7S f < 'i63'' X Address: D 90 ( 12 H 41` Prti .2{1 City: Vt. t Pt Vt t �1 1us , State: Zip: 3- 3 % J Tenant /Lessee Name: Phone #: Email: -7 (I JOB ADDRESS: / L Lj `14'UE C� .City: Miami Shores County: Miami Dade Zip: Folio /Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: << / ;1i i r , "' Phone #: (1/37' 0 _ , ,, 26'2,:- I Address: � ,} / 1 . L A L "- City: 6? 1 fri 7' 4 State: - Zip. / 2 5 Qualifier Name: 4_ `J ,%� ,' !•1 11/./.- Phone #: 2L -.1? State Certification or Registration #: Cal /62i, c7 7 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect /Engineer: Phone#: Value of Work for this Permit: $ 2• ®0Q w Square /Linear Footage of Work: 400 e9, Type of Work: ❑Address F�^_ ❑ pAlterat' n ❑New1Repair /Replace ❑Demolition Description of Work: 6 1J ntC fob \\ COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ -- Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 proper is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins ection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection 'ill not be approved and a reinspection fee will be charged. 7( Signature /CiLL/ Owner or Agent Ta41 Lckr l Signature Contractor The foregoing instrument was ackn wledged beforeme this S The foregoing instrument was acknowledgi.d before me this day of &h_- n4 0 /3, by Q,ro r4,o 06 -rt_ , , day of ypreie , 20 /3, by ��a i` OO who is personally nown to me or w o has produced /l, Da 1/w5 who is personally own to me or whief has produced re-061,192-5. /4CF-NS_ Id As identification and who did take an oath. I-1 Ci s f b identification and who did take an oath. NO ARYl LIC: NOTA Sig Prin My F.mmission C: _ otary Put /c - State of Iona sl1111 ��.. -, 4 Si Pri oary hscnc -, aea • i Comm. Ex ;•es Jun 10, 2014 ***************************** * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * *>: * ** APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6 /4/10) Plans Examiner Structural Review Zoning Clerk THE SHORES VILLAS CONDOMINIUM ASSOCIATION, INC A CORPORATION NON - PROFIT 8901 N.E. 4th Avenue Rd, Miami Shores, Fl 33138 January 31, 2013 Miami Shores Village 10050 N.E. 2nd Ave Miami Shores, Fl 33138 Dear Sirs: This is to inform you that the representative from Jalco Roofing Contractor authorized to apply for /obtain and sign the roofing permits in order to perform the necessary work at the following units: 8937 NE 4th Ave Rd 9019 NE 4th Ave Rd. Thank -you for your attention to this matter. incerely, oteatir k`16 President of the Association N TYPE OF NOTICE (CHECK 0 TYPE OF PROJECT (CHECK 0 IF DEMOLITION, IS IT A IF RENOVATION: IS IT AN EMERGEN IS ITA PLANNED R Facility Name 5' Address City ' Site Building Size Prior Use: ❑ Sch Present Use: ❑ Scho II. Facility Owner C- Address City 11I. Contractor's Name Address U City 9 Is the contractor exempt IV. Scheduled Dates: (Noti Asbestos Removal (mm/d V. Description of planned be used and description Florida Department of I Environmental Protection E'ER 0 ri Miami -Dade DERM Division of Air Resource Management t7 Management Division TICE OF DEMOLITION OR ASBESTOS RENOVA 1'ON II; COURTESY E ONLY): 4tA ORIGINAL E ONLY): ❑ DEMOLITION ORDERED DEMOLITION? REVISED ❑ RENOVATION ❑ YES ❑ CANCELLATION ROOFING ❑ NO RENOVATION OPERATION? ❑ YES ❑ NO NOVATION OPERATION? 0 YES ❑ NO LL S ``1 w s `. te.. I v le I- C �. State ! Zip County File # Process # .W. 1st Court, 2nd Floor Miami, Florida 33136 Consultant Inspecting Site (Square Feet) # of Floors Building Age in Years I/College/University ❑ Residence ❑ Small Business Other VCollege/Uni ersity ❑ Residence ❑ Small Business Other 147)'3 e Phone( State Zip Phone 7 ) [v State Zip om licensure under section 469.002(4), F.S.? ❑ YES ❑ NO e must be Aostap.ar 10 workin days ore the project start date) Vyy) Start nish: �, Demo/Renovation (mm/dd/yy) Start molition or renovation work to be performed apd,rnethoto be employed, including demolitio f affected facility components. ( 140Q Finish: Or renovation techniques to Procedures to be Used heck All That Apply): ❑ Strip and Removal (Print Name of Owner /0,, r tor) ❑ Glove Bag ❑ Bulldozer ❑ (Contact pF r king Ball ❑ Wet Method ID # ❑ Dry Method ❑ Explode ` ❑ Blur Down OTHER: VI. Procedures for Unexpected RACM: VII. Asbestos Waste Transporter. Name Address City VIII. Waste Disposal Site: Name Address City IX. RACM or ACM: Procedu Phone State Zip AIR QUALITY Zip JTY MANAt -including analytical methods, employed to detect the presence of RACM aairWyltlilal, Notfication(s) Regardint Amount of RACM or 'A square feet s linear feet pi rfacing material 1fri teq eA e uired besios have been submitted in Conpl lance with square feet cementitious mmat5A PPli ble regu ations. square feet resi qt1f, cubic feet of RACM off facility components quare feet asphiatt °r©o Date••® 1-4 *Identify and describe surfacing material, and other materials as applicable: I certify that the above infcrmaiion is correct and that an individgar trained in the provisions of this regulatiin (40 CFR Part 61, site during the derrlolition or renovation and evidences -that the required tiainirig has been aoconl!plished by this person will be duri g normal busine s o rs. c. i 1 ` tiN - Subpart M) will be on- Available for inspection (Print Name of Owner /0,, r tor) i — I it '2:272 . i O7? (Signature of Owner /Oper or). , (Date) (Contact pF one #) DERM USE ONLY Postmark/Date Received ID # 161_01-158 4/10 DISTRIBUTION: White -DERM Yellow - Applicant Pink - Reserve Gold- Reserve DE PLAN REVIEW FINAL APPROVAL ONMENTAL RESOURCES COIN INSVIEWEt SIGNATURE DAM t) (P__0/ Florida Department of Environmental Protection Division of Air Resource Management N TICE OF DEMOLITION OR ASBESTOS RENOVATIO MIAMIDADE 1311 COUNTY Miami-Dade DERM Quality Management Division 79.1:N.VV. 1St Court, 2nd Floor • Miami Florida 33136 TYPE OF NOTICE (CHECK 0 ,TYPE OF PROJECT (CHECK 0 IF DEMOLITION, IS IT A IF RENOVATION: IS IT AN EMERGEN IS IT A PLANNED R 1 1. Facility Name Address —11 City Site Building Size Prior Use: 0 Scho Present Use: 0 Sch 11. Facility Owner C Address E ONLY): ti ORIGINAL 0 REVISED 0 CANCELLATION E ONLY): 0 DEMOLITION 0 RENOVATION ROOFING ORDERED DEMOLITION? 0 YES 0 NO RENOVATION OPERATION? ' :n YES 0 NO NOVATION OPERATION? 0 YES 0 NO („ M A ,;„ e 47; File # Process # COURTESY ,- ,-- '---,' A ,-*-- -a State Zip -, , 5 County Consultant Inspecting Site (Square Feet) # of Floors Building Age in Years 1/College/University 0 Residence 0 Small Business Other I/College/Unirrsity 0 Residence 0 Small Business Other Phone ( ) City 111. Contractor's Name Address City - Is the contractor expmpt IV. Scheduled Dates: (Noti Asbestos Removal (mm/d State 14 < Zip c--t; Phone ( State Zip rom licensure under section 469.002(4), F.4.? 0 YES 0 NO e must be postmarked 10 working days before the project start date) yy) Start: i *C.;:',--1 Finish _, — ,_`-'7` l',:lt, Demo/Renovation (mm/dd/yy) Sta Finish: V. Description of plannedcemolition or renovation work to be performed and meth s to be employed, including demolition r renovation techniques to be used and description of affected facility components. ,!., Procedures to be Used heck All That Apply): VI. Procedures for UnexpecJed RACM: •e7 r4 VII. Asbestos Waste Transporter: Name C /r.--;"- 4" jr7t,:k Phone ( " ) Address City VIII. Waste Disposal Site:‘ ° amq Address City -- IX. RACM �rAC State f _Zip e ing analytical methocIsi-e Amount of RACM or AC * *Identify an square feet r feet p cubit feet o ese ils rfacing material 1 RACM off fa acing mate f te te ilitT components 1 nd ogler materials pplfrabl NIIAMI.DAD AI QUALITY NANA Zip erice of RACM arNIMAgszeligiti Notif • - • " eubmitted in Co square feet cementitioos maten61,,r,orp•Able re square feet resilic t fl I ling uare feet asph' n a D.E. R.M. kniTatisioN the required estoe have been hence with - I certi t at the moo e f sit during the demolition du ing . normal business_h - : Strip and Remova . i eti? the I e re ui nu g h . fl Glove Bag Su M) wi I be on- ava lab e for i _ pection - Bulldozer U Wrecking Ball Wet Method E Dry Method i 0 Explode • Bur li Down OTHER: Postmark/Date Received ,, VI. Procedures for UnexpecJed RACM: •e7 r4 VII. Asbestos Waste Transporter: Name C /r.--;"- 4" jr7t,:k Phone ( " ) Address City VIII. Waste Disposal Site:‘ ° amq Address City -- IX. RACM �rAC State f _Zip e ing analytical methocIsi-e Amount of RACM or AC * *Identify an square feet r feet p cubit feet o ese ils rfacing material 1 RACM off fa acing mate f te te ilitT components 1 nd ogler materials pplfrabl NIIAMI.DAD AI QUALITY NANA Zip erice of RACM arNIMAgszeligiti Notif • - • " eubmitted in Co square feet cementitioos maten61,,r,orp•Able re square feet resilic t fl I ling uare feet asph' n a D.E. R.M. kniTatisioN the required estoe have been hence with - I certi t at the moo e f sit during the demolition du ing . normal business_h r , o i cr and laraq r4enovatiort nd evidence that _,.... rs. ,.. ■ k_ . i eti? the I e re ui nu g h . 4 S tiii re ' : , accornp is d b t 1 , ° rt 1 r n ill fe ..._ Su M) wi I be on- ava lab e for i _ pection - , ¥rInt a ) 1 (Signature of Owner/Oper tor) (Date) (Conta phone #) DERM USE ONLY Postmark/Date Received ,, ID # 161_01-158 4/10 DISTRIBUTION: White-DERM Yellow-rkpplicant Pink-Reserve Gold-Reserve IV. Scheduled Dates: (Noti Asbestos Removal (mm/ Description of planned be used and description Procedures to be Used e must be postmarled 1 0 working days lforethe project start date) { yy) Start - ' Finish: ' ._ " " � ` Demo/Renovation (mrn/dd/yy) Start emolition or renovation work to be performed and methods to be employed, including demoliticn f affected facility compgnents..'.� Finish: renovation techniques to heck All That Apply): ❑ Strip and Remova, ❑ Glove Bag "` (' ❑ Bulldozer ■ Wrecking Ball ❑ Wet Method ❑ Dry Method s ❑ Explode ❑ Burn Down OTHER VI." Procedures for Unexpe VII. Asbestos Waste Transpo Address City VIII. Waste Disposal Site Address'' City RACM oft. . °- . RACM: er. Name State _Zip Phone ( Amount of RACM or AC square feet linear feet p cubic f,dC•� *Identify and descr submitted in Com rfacing material I ,square feet cementitious ab' _ reg square feet res i oo _ o components _ -square feet asps ` nd o �; er materials as 4pplicabl Pe CM off facili ing material f resilient flooring_ nare;With ions. 1111111611Wilill I certi that the above of site during the demolition during normal business h lion is or renovatio "an. evid I ce that the requi urs. ll d a', at anlraslividua i the . r,vis:.ns of th s r! latio(1 CF' ini gh.t is naccomp -. by is ers n (Signature of Owner /Ope 161 01- 158 4/10 ostmark/Date Received DISTRIBUTION: White -DERM Yellow- -Applicant DE PLAN REVIEW FINAL APPROVAL DEPARTMENT OF ENVI RESOURCES I A P ENTAL M LP( DATE ROOF ASSEMBLIES AND ROOFTOP STRUCTURES rt11 7 A�� Florida Building Code Editio B High - Velocity Hurricane Zone Uniform Permit A Section A (General Informa Master Permit No. Jatab "" �n Contractor's Name oG `_ oN &T,Q Job Address g93.) /3 - Lt AM-- ~ b ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile Asphaltic Shingles ❑ Metal Panel/Shingles ❑ New Roof I Reroofing ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Recovering ROOF SYSTEM INFORMATION ❑ Repair ❑ Mort ❑ Wood gl h ❑ Maintenance Low Slope oof Area (SF) Steep 5tpped Roof Are (SF) Total (SF) —,r�� 11,00 Section B (Roof Plan) Sketch Roof Plan: Ill strate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 15.34 2010 FLORIDA BUILDING CODE — BUILDING Miami Shores Village •-;'4VED BY DATE Oi2I I RT Vic' i Sh §ug'e Roof Syst p Roof System Manufacturer: HVHZ Ele, tropic •Roof Permit Form Section D Shingle Roof System GAF MATERIAL CORP Notice of Acceptance Number- Fill in the specific roof assembly components. If a component is not required, insert not applicable (n /a) in the text box. Deck Type: 15/8" Plywood Optional Insulation: N/A Optional- Nailable Substrate: N/A Optional. Nailabte Substrate Attachment: N/A Underlayment/Base. Sheet Type: Roof Slope: "/12" Roof Mean Height: a ft:, (Maximum roof mean height 33 ft. ) Optional Ridge Venting:. ()Yes 0 N Ridge Vent NOA Number: Installed Ridge Venting:. Installed Ridge Venting: Existing Soffit Intake: ASTM FELT D226 FELT 30# Fastener Type for Based .eet Attar, rnent: lineal ft. ft.2 Note: In no case shall the amount of exhaust ventilation at the ridge exceed the amount of soffit ventilation. 1 -1/4 RS NAIL AND TIN CA Optional Peel &,Stick Membrane:. Shingle Type: [GAF ROYAL SOV1rR1NG 3 TAB Drip Edge Size:& Gauge: 3" face 26 ga. Drip Edge Material Type:.; Galvin zed Metal . Drip Edge .Fastener Type: 1 -1/4 RS'NAIL 4 "OC STAGGED Hook Strip /Cleat gauge or weight: — Select Hook Strip -- 11101I.1NF ilFRTIFIC. T_I0.MS DIRECTORY Page Bottom TFWZ..R21 Prepared Roof-covering Materials . pre, pared ;Roof - covering Materials See General Information for Prepared Roof- covering Materials R21 GAF MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA Asphalt glass fiber mat shingles "Royal Sovereign," "Sentinel," 'Timberline® HD," "Timberline® Natural Shadow," "Timberline® Ultra HD," "Timberline® Cool Series Timberline.®: Majestic" Tirrtberhne® Majestic 30," American Harvest"," "Timberline® ArmorShield" II," "Marquis® WeatherMa)4," r.Grand Canyon"," Grand_Sequoia ®.," "Camelot ®;" "Camelot® 30," 'Camelot® II," "Camelot® IR, "Capstone® "Capstone® Impact Resistant.IiY. "Country Mansion ®," "Country Mansion® II,' "Grand Slate()", "Grand Slate® II," "Slateline®,' and "Monaco"" for installation : as Class A. prepared roof covering. Suitable for installation on minimum 3 /8 -in. thick plywood roof decks in combination with minimum.one,ply "Shingle- Mate" or Type 15 or Type 30 underlayment. Also Classified in accordance with ASTM D3161, Class F. Also Classified in accordance With .ASTM D3462. Asphalt glass fiber mat shingles - "WeatherBlocker Starter Strip Shingles" and "Pro- Start" Starter Strip Shingles" for installation as Class A roof covering. Suitable for installation -on minimum 3 /8 -in. thick plywood in combination with minimum.one ply "Shingle - Mate" or Type 15 or Type 30 underlayment. Also Classified in accordance with ASTM D3161, Class A. Also Classified in accordance with ASTM D3462. • Asphalt glass fiber mat Shingles- "RoyalSovereign," "Sentinel," "Timberline® HD," "Timberline® Natural Shadow," "Timberline® Ultra HD," "Timberline® Cool Series, American Harvest," ."Marquis® WeatherMax ®," "Grand Canyon"," "Grand Sequoia®," and "Camelot®" for installation as Class A prepared roof covering when used with minimum Type 30 underlayment over existing wood shingle roof. Asphalt glass mat and hi,p..and ridge shingles- "TimbertexHip and Ridge" for installation as Class A prepared roof covering. Also been evaluated in accordance with ASTM D:3:161,.Class F when Henkel "PL Roofing and Flashing Sealant" or Sonneborn "NP1 Gun -Grade Polyurethane Sealant" is applied as specified in manufacturer's application instructions." Also Classified in accordance with'ASTM D3462. "Seal -A- Ridge ®," "Seal -A- Ridge® ArmorShield"" and "Z- Ridge" for installation as Class A prepared roof coverings. Last Updated on 2012 -03 -22 Questions? Print this page Notice of Disclaimer Page Top © 2012 UL LLC The appearance of a. company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service Only those products bearing the:UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look for the Mark on' the product. UL permits the reproduction.of: the material contained in the Online Certification.D. irectory subject to the following conditions: 1. The Guide Information, Designs and /or Listings (fii''l.es) must be.p.resented in their entirety arid in a non - misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "© 2012 UL LLC ". http: / /database.ul:col /cgi- bin /XYV% template /LISEXT /1FRAME /showpage.html ?name =T..: 4/18/2012 DEPARTMENT OF PERM ITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Materials Corp. 1361 Alps Rd. Wayne, NJ 07470 MIAMI -DARE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Sireet, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.Eov /pera 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 PERA - 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. PERA 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 Royal Sovereign Shingle LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA #09- 0825.06 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. 11000DADE',Gt3LIRre APPROVED NOA No.: 12-0313.11 Expiration Date: 04/22/13 Approval Date: 06/28/12 Pagel of ROOFING. ASSEMBLY APPROVAL Category: Roofing Sub- Category: Asphalt Shingles Materials 3 -Tab Deck Type: Wood SCOPE This approves GAF Royal Sovereign Shingle as manufactured by GAF Materials Corp as described in this Notice of Acceptance, designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications GAF Royal Sovereign Shingle 12" x 36" TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3 -Tab profile MANUFACTURING LOCATION 1. Savannah, GA. 2. Tuscaloosa, AL. 3. Tampa, FL. 4. Mt Vernon, IN. 5. Mobile, AL. 6. Dallas, TX. 7. Myerstown, PA. EVIDENCE SUBMITTED Test Agency Test Identifier . Test Name/Report Date Center for Applied Engineering TAS 100 02/23/94 PRI Asphalt Technologies, Inc. TAS 100 GAF- 105 -02 -01 11/14/05 PRI Asphalt Technologies, Inc. TAS 100 GAF- 182 -02 -01 02/07/08 PRI Construction Materials Technologies, Inc. TAS 100 GAF- 332 -02 -01 01/17/12 Underwriters Laboratories, Inc. TAS 107 05CA48258 11/28/05 Underwriters Laboratories, Inc. TAS 107 05CA47804 11/11/05 Underwriters Laboratories, Inc. TAS 107 08NK02337 03/12/08 Underwriters Laboratories, Inc. TAS 107 08NK12906 10/10/08 Underwriters Laboratories, Inc. TAS 107 11CA47919 12/03/11 Underwriters Laboratories, Inc. ASTM D 3462 ASTM D3462 09/12/06 Underwriters Laboratories, Inc. ASTM D 3462 08NK02337 03/12/08 Center for Applied Engineering 257966 ASTM D3462 03/21/97 Underwriters Laboratories, Inc. ASTM D 3462 09CA21715 05/20/09 Underwriters Laboratories, Inc. ASTM D 3462 08CA61515 07/15/09 Underwriters Laboratories, .Inc. ASTM D 3462 11CA47919 12/03/11 MIAMEDADE COM4131C_ APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 Approval Date: 06/28/12 Page 2 of 4 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. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall : have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Applications Standard RAS -115. 2. Flashing shall be in accordance with Roofing Applications Standard RAS -115. 3. The manufacturer shall provide clearly written application instruction. 4. Exposure and course layout shall be in compliance with Detail "A ", attached. 5. Nailing shall be in compliance with Detail "B ", attached. LABELING 1. Shingles shall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County Product Control Approved ". BUILDING PERMIT REQUIREMVIENTS 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.: 12- 0313.11 Expiration Date: 04/22/13 Approval Date: 06/28/12 Page 3 of 4 1st Course of Shingles 2nd Course of Shingles 3rd Course of Shingles 6" DETAIL A COURSE LAYOUT • • 5" Drip Edge DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" END OF THIS ACCEPTANCE APPROVED NOA No.: 12- 0313.11 Expiration Date: 04/22/13 Approval Date: 06/28/12 Page 4 of 4 Owner's Notification Form 07 "Delivering Excellence Every Day" SECTION 1524 HIGH VELOCITY HURRICANE ZONES— REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building 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 and the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing woodt,decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code_ (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring zmits (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work Co be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas. of the roof. Ponding c.an be an indication of structural . distress and may require the review of a professional structural engineer. Ponding may shorten the life bxpectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is nOEt overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Cade, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic sp , c: s, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, venting sha , not be require bwner's /Agent's Signature: Contractor's Signature: u_.. 1Droperty Address: Date: / Permit Number: Feb. 13. 2013 2 :04P Nn 1969 P 1/1 A�°R'p CERTIFICATE OF LIABILITY INSURANCE ` "'021'3 /13YY) PRODUCER Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)266 -6493 Fax (305)262 -0679 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED JALCO CONSTRUCTION INC 1876 NW 6 St Q t .) MIAMI, FL 33125 �'` l 2 INSURER A: ESSEX INSURANCE COMPANY CO INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY V COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE OCCUR ❑ 3DF4154 03/13/12 03/13/13 EACH OCCURRENCE 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurence) 50,000.00 MED EXP (Any one person) EXCLUDED PERSONAL &ADVINJURY 1,000,000.00 ❑ GENERAL AGGREGATE 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG 1,000,000.00 V POLICY I PROJECT ❑ LOC ❑ AUTOMOBILE LIABILITY • ANYAUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) (Per cYI ent) (Per accident) PROPERTY DAMAGE (Per accident) ❑ • GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY- EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG C ❑ EXCESS /UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ❑ WC STATU- ❑ OTH- TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE- POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2 AVE MIAMI SHORES, FL 33138 fax 305 - 756 -8972 Ar nan 'S !'mum rnoi ne SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988