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RF-16-1877 .,... dzFfr16-18 T S) ., 5 Miami Shores Village 10050 N.E.2nd Avenue NEI/bt bis TO; ,•E; Miami Shores,FL 33138-000 0 err perrri .S�s� kl� �i ?�tEi. Phone: (305)795-2204 �tORt� 7I13I4 Expiration: 01/0912017 Project Address Parcel Number Applicant 520 NE 93 Street 1132060141080 MARCIA SAUNDERS Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MARCIA SAUNDERS 520 NE 93 ST MIAMI SHORES FL 33138-2844 Contractor(s) Phone Cell Phone $ 19,972.00 Valuation: EARL W JOHNSTON ROOFING, INC. 954-989-7794 (954)989-5666 Total Sq Feet: 2600 Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification:Residential Up Lift Report Scanning:4 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-7-16-60462 CCF $12.00 07/06/2016 Check*13438 $50.00 $803.00 DBPR Fee $4.50 DCA Fee $4.50 07/13/2016 Check#:13445 $803.00 $0.00 Education Surcharge $4.00 Bond#:3143 Permit Fee-New Roof $300.00 Scanning Fee $12.00 Technology Fee $16.00 Total: $853.00 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 constructio o ng. Futhermore,I authorize the above-named contractor to do the work stated. a July 13, 2016 uthorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 13,2016 1 Miami Shores Village Building Department d JUL 06 20116 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 jP Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2® 19 BUILDING Master Permit NOT PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Sdb AJi j3 S r- City: Miami Shores County Miami Dade Zip: Folio/Parcel#:I/- -7,201-6`V /Vi'o Is the Building Historically Designated:Yes NO Occupancy Type:A-S Load: Construction Type: -101 Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):N9Q.4 5 w a ddks Phone#:-feces '/& f YOp Address: �5�0 A)'6 ��-? �r City: /r1 j.404 d Fl o g ,5 State:_-ji�/ Zip• "T513 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Earl W. Johnston Roofing, Inc. Phone#: 954-989-7794 Address: 5721 Dewey Street City: Hollywood state: FL 33023 ZIP: Qualifier Name: Earl W. Johnston Phone#: 954-989-7794 State Certification or Registration#: CCCO57073 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$—/—U Square/Linear Footage of Work: W00 Type of Work: ❑ Addition ❑ Alteration F-1NewRepair/Replace F-1 Demolition Description of Work: A/&psi 7/a Specify color of color thru tile:oteJNjt� Submittal Fee$ Permit Fee$ c s �• CCF$ C CO/CC$ Scanning Fee$ 12 - Cs) Radon Fee$ �4^ ��_ DBI-PRR$ �® Notary, Technology Fee$ M C�_Training/Education Fee$ 4, Double Fee$ Structural Reviews$ Bond$--Soo ..� TOTAL FEE NOW DUE$ 3 (Revised02/24/2014) U()6 0K) f Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and Installations as Indicated. I certify that no work or Installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information Is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the Issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property Is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site ;cr the first Inspection which occurs seven (7) days after the building permit is Issued. In the absence of such posted notice, the inspecticn will rot be approved and a rel ection fee will be charged. l,. Signature Signature OWNER or AGENT ONTRACTOR The foregoing instrument was acknowledged before me this The 210 ing instrument was acknowledged before me this day ofy t ,20 1� ,by day of t .20 IQ by MARC't d ,5lia)004S ,who is personally known to Earl W. Johnston who is personally kn�un to me or w.)o has produced dX_�_ as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: °°ftn g Sign: Print• ME0 Print: Seal: _�; ;JL , ConunissIan/FF9KW 11M I FF am _0 Expires June 22,2020 Seal: vrExplreeJune22,2020 �N BondedllwTroyFdnlns�ence8 7018 ' .$,,:�', BondedThNTrgfalnlneutetloe9B51e19 APPROVED BY Plans Examiner Zoning Structural Review Oerk (Rev1sed02/24/2014) ,--"MqN EARJO01 OP ID:KM 144COSIPINLY DAY) 16ft � CERTIFICATE OF LIABILITY INSURANCE 07/07/2016 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 Ileu of such endorsement(s). PRODUCER ACT NAME: Phillip Lane J.W.Edens&Company PHONE 321-725-7000 FAX 321-725-7856 Commercial Ins of Brevard,Inc AIc No Ext: AIC No 325 Fifth Avenue,Suite 108 E-MAIL Indialantic,FL 32903 ADDRESS: Phillip Lane INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Knight Specialty Ins Co 15366 INSURED Earl W.JohnstonRoofing,LLC INSURERS: Earl W.Johnston Roofing,Inc. 5721 Dewey Street INSURER C Hollywood,FL 33023-1917 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY MILDI D� LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE TOCCUR KSVENA160065300 07/01/2016 07/01/2017 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ Exclude PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00 POLICY X jECT F-1 LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) ccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached If more space Is required) *Revised COI Dated 6-29-16* Earl W Johnston License # CCCO57073 Blanket Additional Insured applies regarding General Liability with respect to operations performed by named insured as required by contract. CERTIFICATE HOLDER CANCELLATION MIAMISV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. Building Departmenet 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores Village,FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Date CERTIFICATE OF LIABILITY INSURANCE 7n/2016 Producer: Plymouth Insurance Agency This Certificate Is Issued as a matter of Information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727)938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc.&Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement,tens 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. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence $ Commercial General Liability Damage to rented premises(E4 Claims Made 13 Occur occurrence) $ Med Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products-Comp/OP A99 AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) $ Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2016 01/01/2017 x WC Statu- OTH- Employers'Liability I tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1.000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $1,000,000 Other Lion Insurance Company IS A.M.Best Company rated A-(Excellent). AMB#12616 Descriptions of Operations/LocationsNehicles/Exclusions added by EndorsemenUSpeclal Provisions: Client ID: 36-66-176 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Earl W.Johnston Roofing,LLC Coverage only applies to Injuries Incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:Fl- Coverage LCoverage does not apply to statutory employee(s)or Independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. Project Name: ROOFING EARL W.JOHNSTON LICENSE#CCCO57073 AS QUALIFIER. ISSUE 04-06-16(CF)/REISSUE 07-07-16(KR) Bealn Date 1/10/2012 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES 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 BUILDING DEPARTMENT do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. 10050 NE 2 AVE MIAMI SHORES, FL 33138 1 y`r ' N ROOF ASSEWIM AND ROOFTOP sMuCTURijS a , FbNda BuMng Coda Gth Futon(W4) p -- High-Volo ft Huniam Zone UnHon permit Application Form. ! J U L 0 6 2016 1 1 � Section A(Gomral I don.allon) _...._7. - IiJlaeier PseiW No. Process No. -� C0 ftacbr"a Name o 1 Job V6 AAC 9.3 s 7— 1 ROOF CATEUM 1 . 0 Low Slope 0 Mnhm* rty Fastened Th mawmmwo set Tires E 0 fthaft shbVIss 0 Metal Pwmfthom 0 WoodahinpiesShalm 1 0 PMM"M BURSAS 150 1 ROOFTYPE 1 0 New rod 13 Repair C Mahmrmnos jf( Rem** O Rmomang 1 ROOF GVVM INFORMATION 1 Lav Stops Rod Area(BF)_v _ steep NOW Rod AREA(8sF)-2�00 Total(an-L(—OL) 1 . 1 , Section B(Goof Plan) 1 9 s8b� wW Wisis,dearg►Mwft oris t ovetNo a e�dupp and f pwapw dratfta.Include dRnen- 1 pressups zmtes and Ikon of parapets. � I 1 � 1 ...............".........................L.5.1...... �... Z...... � . . .. ........ G o 0 .......... - i �m sl ............ ........ �............................................! .. Co ...M....�.�..w.! (U ....... ..................................... ...................... Rl...ltl.*...�...t.....l....�..�.... ?........ , • • •• • • • • • � •......e..a...•...•�.......•.......... 1 ••, •e• •• • e 1 d 1 r�r 1 FLOWA MALDWGi CODE—BWLORM,t+Yr® BD MN(M4) ••• ••e • • • • • • • • • • 000 0 •. •• •• • • • •• •e ROOF ASMSLMS AND ROOFTOP STRUCTURES f Fkdde BUHdkg Code ath Edition(2014) j HWVGlooity Hurricane Zone UMfam Pennit Application Form 1 Section D(Steep Sloped Roof System) 1 ' 1 Root 8pW.Manufachmsr. Notice of Acoq*tae Number:__ 11Alntmum Design Wind Pressures,B Awe(r-mM RAS 12 or Catculatlons): 1 P1:�_ P1:_ tD •t P1: • 1 ' r DexcTypa: MOO1 Type Underiayrrient: 30 1�S�f1M 1 Roof Sbpe: j 3 - � 12 r — Ineubtfon: N 1 i r Fire Barrier. 1 1 r Ridge etion? FaMeneTlype&Spacing: LLr jar.m CA(�C Adhashe Type: 7I�p21114W ftr AsalAll 1 TWO Cap Sheet: DO- GLS-)Vn 1 ; 1 Mean Roof Height , Roof Covering: CaV1G✓�1�.'� Type&Size Drip 1 • • • . • 00 00 000 so .. . . . . . . . . . . .. . . .. . . . . . . 00 .. • . • . . • FLORIDA BUILDING CODE—BUILDING,Srh EDMON em4t•• • • • • ••• • • 15.E • • • • • • • • • • • •• •• • • • •• •• 000 0 0 0 ••• • • ROOF A881]ABUBti AND ROOFTOP SrROCTUREs ® f ixft BWldyrr9 Code Sth Edition CA 14) 1 � 1 1 High-Veloolty Hurricane Zone Unifonn Permit Application Form. 1 For Moment basad dle WOMM choose either Method 1 or 2.Compere the vatUes for M,with the vatuw from Mr.i _•-'f the vats - 1 are greater than or to the Mres ,vak ,for each area of the root,than 11119 pie attachment metf�d Is acceptable. 1 1"Moment T�C.aksrlatlone Per RAS 127` d 9 (P1 '� x kCt7'i a —Mg; = Product Approval M,_ (�1.1 r 1 �.�j�'i��• _����I—MI�.�Z,�=Ms�'p ' Product i4pprovaR M1 P t 1 MoMW 2 09tnrpp}ted TNe Caalculdats Per Table Be Requlmd Moment of Toa(MJ Fran Table eelaw 52, Z.= Productt Approval� d 1 M,required Moment Reelstance• 1 Mom Roof HeW Roof S h" 16' 21Y 25' 80' 40' 1 212 34.4 89.5 38.2 39.7 42.2 1 5:12 322 34.4 30.0 37.4 . 39.8 1 4:12 W.4 97 2 33.8 35.1 37 1 8:12 28.4 30.1 81.8 32.8 34.8 { 1 8:12 26.4 28.0 29.4 SH 32.4 1 7:12 24.4 25.9 27.1 282 30.0 'Must be used In 1 wIth a set of moment based tk systems endorsed by the Broward County Board of Rules and f Appeals 1 For UpHit based go WMM use Method 3 Cornpared the values for P w8h the values for Fr.If the P values we greater than or � 1 equal to the Fr vafuas,for each area of the roof.thetl the We atfadmi t method Is acceptable. � 1 I � Method 3%Wft Based Tpe Cabulatlona Per RAS 12T 1 (P1: x L =_.x vr.__J—W:_x oos A._,=F,,_, Product Approval P 1 (P2:_x L =,x w.=--J—W:—x eros 8•_,._=F,a_. Product Approval P Product Approval P 1 1 Where to Qbtrde Irdbrmallon 1Description syn" Where tO ihrd 1 Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an wolneering analy9ls pre- 1 pared by PE basad an ABLE 7 1 Mean Root HeIght H Job SRe 1 Roof Slain A Job Site 1 Aerodynamlo RWI— Product Approval 1 Restoring Moment due to aravthr Ma Product Approval My 1 Attachment Resfatarroe M, Produest Approval 1 Ftequked Moment ReaIshmos 1 MkImum Attecbym t Reetslmce P 1 Required Uppit Resie*m F, Calculated 1 Average TIe Weight W Product Approval i 1 Tpe Dlntertebns L =length^- pd delpproW •. All aftftilone mat be submitted to the bull ft oltcal er of penNLapplf pen. • lam 0:0 • FLDRI)/CBt BMO CO*—BUILtXNQ,61h FA=N(2M4) . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R44OZ13.1 Supe.As it pertains to the section,it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofs Additionally,the following items should be addressed as part of the agreement befit even teminstallations. o or ant� contractor.The owner's initial in the designated space indicates that the item has been explained. 1• Aesthetics•Workmanship:the workmanship provisions of Section R4402 are for p viding that the roof system meets the wnd resistance and water instruction performance standards of Aesthetics(appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues such as color or architectural appearance,that are not part f a zoning code,should be addressed as part of the agreement between the owner and the contractor. 2. Renaifing wood decks:When replacing roofing,the existing wood roof deck may have to be Walled in accordance with the current provisions of Section R4403.(The roof deck usuaNy concealed prior to removing the existing roof system). 3. ' ZCommon roofs:Common roofs are those which have no visibl delineation units(i.e.,townhouses,condominiums,etc.)In buildings with common roofs,theroofing contractor and/ororing owner should notify the occupants of adjacent units of roofing to be performed. 4. LY_L�> Exposed Ceiling:Exposed,open beam ceilings are where be viewed from below.The owner may wish to maintain the architectural underside of the roof decking can penstratfon of the underside f the decking may not be acceptable.This provides option08 ere ore, roofing ng ill appearance. the 5• LLPondlng water:The current Mof system and/or cause water to pond(accumulate)In low-lying areas f the roof.P Pounding can be an ndicatfomay not n of fs�tru�ra�y distress and may require the review of a professional structural engineer.Pounding may shorten life the expectancy and performance f the new roofing system. Pounding conditions may not be evident until the originrooffng system is removed.Pounding conditions should be corrected. 6• Overfiow scuppers(wall outlets):it Is re overloaded from a buildup of water.Perimeter/edge walloror other Mof exuired that rain�tensilon may bloows Off so ck er dish Is not overflow scuppers(waft outlets)are not provided.it may be necessary to install overflow scuppers discharge if accordance with the requirements of Sections R4402, R4403 and R4413. in 7• h` � Ventifation:Most roofstructures Marson of the structure asse should have some abifit�r to vent natural airflow throw mbly(the gctfltlirtg itseE� the o g the reduced.It may ficial to consider•additi v ni 9n unt f�e ventilation shall not be Qn q vvn j�vjitb cah reesult In extending the service life of the er/Ag s Signature Date :�0 �0 � Goo lwa �gn.a� r�•: .. F . . Date .. . .. . ... . Revised on 7/9/2009 LD ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . Miami shores Village Building Department 10050 N.E.2nd Avenue �oR Miami Shores, Florida 33138 Tel: (305) 795.2204 Faz: (305) 756.8972 OWNERS'S AFFIDAIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2rd Ave Miami Shores,Fl 33138 Re: Owner's Name:_ MA&14 $`'40,yd efeS Property Address:_,�;Z 0 AJ g gc� 5 r Roofing Permit Number: Dear Building Official: I M`41Zcl' 4 5°4aAdf`e-5 certify that I am not required to retrofit the roof to wall connections of my building because: $(The just valuation for the structure for purpose of ad valorem taxation Is less than$300,000.00.Please attach proof of ad valoreir,taxation. o Tho bu;lding was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1994 edition of the S Florida Building Code(1994 SFBC) Signature Print Name State of Florida County of Dade .. ... . . . . . .. The undersigned,being the first duly sworn,deposes and;jA jaihisbeis the owner for the above property mentioned. Sworn to and subscribed before me this 6• ••• day 110 of• 0 • • •• •• •.• • •. . :�alt+."u ,� MEGA.ROMEO • • :v,+ Notary Public, Sate of Florida at Large •• : c0"'"�61°° •• • WHOM • • Ba�dedTlnuTroyFelnlnaur�ice93B�7018 • When�Just vaiuetlon of Bre ebuohne for purpose or a *AM is"'to or mora then 5300,DOO.oO,end the building was not wnstN�with FBC nor a 1994 SFBC.Then YOU must Pr"s a buffdtng eppt�dm trom a Genera�Cor�e�or • • 000 •• • • • 4 ingtjVto VeH c$n►rec*Huftne Mitlgetlon. . .. .. . . . .. .. OFTHEPROPIE A,, , P R A IS-,E R S Report Generated On:6/23/2016 roperty Information )110: 11-3206-014-1080 ,operty Address: 520 NE 93 ST Miami Shores,FL 33138-2844 +inner MARCIA J SAUNDERS Wing Address 520 NE 93 ST MIAMI SHORES,FL 33138-2844 Imary Zone 1000 SGL FAMILY-2101-2300 SQ i Imary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT ids/Baths/Half 3/2/0 >Ors 1 ring Units 1 tual Area 1,991 Sq.Ft ring Area 1,991 Sq.Ft lusted Area 1,877 Sq.Ft Taxable Value Information t Size 9,600 Sq.Ft ar Built 1959 2016 2015 2014 County wuf.sment Information Exemption Value $50,000 $50,000 $50,000 ar 2016 2015 2014 Taxable Value $87,1671 $86,2141 $85,133 id Value40, 7 $230,397 $201,692 school Board Wing Value $130,639 $130,639 $127,261 Exemption Value $25,000 $25,000 $25,000 Value $719 $604 $604 Taxable Value $112,167 $111,214 $110,133 rket Value J $371,575 $361,640 $329,557 City :eased Vague $137,167 $136,214 $135,133 Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $87,167 $86,214 $85,133 i3gts Informetion Regional refit _ Type 20161 2015 2014 Exemption Value $50,000 $50,000 $50,000 'P Our Homes Assessment $234,408 $225,426 $194,424 Taxable Value $87,167 $86,214 $85,133 1 Reduction nestead Exemption $25,000 $25,000 $25,000 Sales Information and Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page .Qualification Description nestead 01/01/1988 $114,500 13573-1205 Sales which are qualified a:Not all benefits are applicable to all Taxable Values(i.e.County, 11/01/1983 $91,000 11977-2695 Sales which are qualified Doi Board,City,Regional). art Legal Description � : : . .. . • . . ••• • 42 • • • • • . • • • •• •• •• • • • •• MI SHORES SEC 2 PB 10-37 6&E1/2 LOT 7 BLK 57 SIZE 75.000 X 128 •'• 'i •'• •'• i •'• 13573-1205 0188 1 '•i ' • '•i i i • •' i i • • • • • • • • •• • ••• • iffice 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 liami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidede.gov!info/disclaimer.asp ••• • • • • ••• • In: • a • ••• • • • • • • • • • • • • • //www.miamidade.gov/propertysearch/ ' 0 0' "' ' "' ' 6/23/2016 141TA n RADE COUNTY (+OM� PRODUCT CONTROL SECTION 11805 SW 26 Shvd,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(780 315-2590 F(796)315-2599 NOTICE OF ACCEPTANCE (NOA) giv�v.mtamld dGcovleconomV Entegra Roof Tile,LLC 1289 NE 901 Ave Okeechobee,FL 34972 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-Bade 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 falls 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 hGami-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:Plantation Roof Tile 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 mi anuficture 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. k ADVLRTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then It shall be done in Its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA#14-1120.04 and consists of es 1 through 7. The submitted documentation was reviewed by O aspar J�&IMej : : •�' • • • • NOANa. M t DADS C ••• •;, •Y• i ••• Expiration Dates 12M/20 ••i i •i i • • i i Approval Date:11ASAS ••• i% ••� ••• i•• �•� Page Iof7 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 1 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: Roofing Tiles Material: Concrete 1. PRODUCT DESCRIPTION Manufactured by sions Test Product ADpile�lAt Specifications Description Plantation Tile Length: 16140 TAS 112 Flat concrete roof the for direct deck or Width: 13" battened nail-on,mortar at adhesive set applications. Trim Pieces L=varies TAS 112 Accessory trim,concrete roof pieces for W:varies use at hips,rakes,ridges and valley Varying thickness terminations. Manufactured for each the profile. 2.1. MANUFACTURING LOCATION 1. Okeechobee,FL i 2.2 SUBMITTED EVIDENCE: Test Aseney Teat Identifier Teat No Date American Test Lab of South RT0624.05-14 TAS 112 07/03/14 Florida Redland Technologies 7161-03 Static Uplift Testing Dec.1991 Appendix III PA 102&PA 102(A) The Center for Applied 94-060B Static Uplift Testing Mamb, 1994 Engineering,Inc. 94-084 PA 101 (Adhesive Set) May 1994 (Mortar Set) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II PA 108(Nail-On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug.1994 PA 108(Nail-0n) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 PA 108(Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs.smooth shank nails The Center-for Applied Project No.307025 Wind Driven Rain Oct.1994 Englneering,Inc. Test#MDC 76 PA 100 Walker Engineering,Inc. Calculations Aerodynamic Multiplier March 1999 April 1999 Walker Engineering,Inc. Calculations 25-7183 March 1995 25-7094 February 1996 '• •: •': :•: '• 2S-7496 April 1996 . .. ... .. . . . .. NOA No.:15-0721.04 • ••• Expiration Date:12/000 . . . . . . . . . . • • Approval Date.11/05/15 .. . . .. . . . . . . .. . • •• .. . . Page2of7 ... ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . 2.2 SvBmrrTF.D EvrDENCE: Test Agenev Test Identifier Test Name/Report at Walker Engineering,Inc. Calculations 25-7584 December 1996 25-7804b-8 25-7904-4&5 25-7848-6 Walker Engineering,Inc. Calculations Two Patty Adhesive Set System April 1999 Fambaugh Engineering and T295.11 TAS-108 10/05/11 t Testing Inc. Farabaugh Engineering and T306-11 TAS-108 10/04/11 Testing Inc. Farabaugh Engineering and T279-11 TAS-108 09/23/11 Testing Inc. 3. UwTATIONs 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set the applications,a static field uplift test shall be performed in accordance with TAS 106. s 33 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Miami Dade Product Control office for review. 3.4 Minimum undiedayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayinent applications may be installed perpendicular to the roof slops;unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications.Minimum deck requirements shall be in compliance with i applicable building code. 3.7 All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 610320-3 of the Florida Administrative Code. i i .. ... . . . . . .. . . .. . . . . .... . .. ... .. . . . .. NOA No.:15-0721.04 MOON= rrn 0:6 Expiration Date:120120 . . . . . . . . . . Approval Date.11/05/15 .. . . .. . . . . . . • •• Page3of7 .. . .. . ... . . . . . . . . . . . ... . . . ... . . 4. INSTALLATION 4.1 Plantation Roof Tile and its components shall be installed In strict compliance with Roofing Application Standard RAS 118,RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight(W)and Dimensions(I x w) Tits Profile Welght-W(Ibf) Length-[(ft) Width-w(ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multipliers-A.(0) Tile 1L(ft3) ;L(g3 Profile Batten Application Direct Dec ppil Ion Plantation Tile 0.267 .289 Table 3: Restoring Moments due to Gravity-M (ft-lbf) Tile (treater than Profile 2":12" 3":12" 4": 12" 8":12" 6":12" 7":12" Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck OeRk Deck Deck Deck Deck Plantation 7.22 7.91 6.85 7.1171711 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 THe h N NOA No.:15-0721.04 • ••• • Expiration Date:12/08120 • Approval Ditto:WOWS . . . . . . . . . . .. . . .. . . . . . . • •• Page 4 of 7 .. . .. . ... . ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . • i Table 4: Attachment Resistance Expressed as a Moment-Mr(ft-lbn For Nall-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (Min 15132" (Min.19/32" plywood) plywood) Plantation Tile 2-10d Ring Shank 30.9 38.1 17.2 Nails 1-10d Smooth or 7.3 9.8 4.9 Screw Shank Nail 2-10d Smooth or 14.0 18.8 7.4 Screw Shank Nails 1 #8 Screw 30.8 30.8 18.2 2#8 Screw 51.7 51.7 24.4 1-10d Smooth or 24.3 24.3 24.2 Screw Shank Nail Field Clip) 1-10d Smooth or 19.0 1910 22.1 Screw Shank Nall ave Cup) 2-10d Smooth or 35.5 35.5 34.8 Screw Shank Nails field Clip) 2-10d Smooth or 31.9 31.9 32.2 Screw Shank Nails Eave CIl 2-10d Ring Shank 50.3 65.5 48.3 j Nails' 1 Installation with a 4"tqe headly and fasteners are located a minimum of 2W from the head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) For Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.33 2 See manufactures component approval for tnstailation reaukements. 3 FIexiWB Products Company Tiieaond Average weights per patty 13.9 grams. 3M'"2-Component Foam Roof Tile Adhesive Ali-160.Average weight per B crams. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-ibf) For Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile 3M"2-Component Foam Roof Tile Adhesive AH-160 118.94 3M"2-Component FgAfh Ftdq 1:le,AriFTgplo 4Hj= 40.46 4 Lame paddy Placement of 46 grams of 3M"2-C8pponad Fold R3oM"esive AFI-160 5 Medium' dd acement of 24 nems of 3M"2,Co'n int Roof A"Ive AH-leo. NOA No.:15-0721.04 Expiration Date:12/08/20 • Approval Date:IIWAS .. . . .. . . . . . . ..' :• ..' '.' :.. •.• Page 5of7 . . . . ... . . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . Table T%Aftachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance See specific mortar manufacturer's Notice of Acceptance. 5. LABELING All tiles shall bear the imprint or Identifiable marldng of the manufacture's name or logo as seen below or following statement:"Miami-Dade County Product Control Approved". OR ENTEERA PLANTATION ROOF TILE LABEL(LOCATED ON UNDERSIDE OF TILE) 6. Bunaim PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies ofthe following: 61.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. NOA No.:15-0721.04 cm0:0 Expiration Date:12108/20 . . . . . . . • Approval Date:11/05/15 •• •• • Page 6of7 .. . .. . ... . ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . .PROFILE DRAWING I PLANTATION FLAT CONCRETE TILE i i END OF TATS ACCEPTANCE i s .. ... . . . . . .. NOA No.:15-0721.04 .•. •:• .•. .•. .•. Expiration Date:12/08/20 • .. • • Approval Dater 11AS/15 .. . . . . . . . . • •• ..• • • Page 7 of 7 .. . . ... . ... . . . . ... . . . . . ... . . . . . . . . . . . . . . . •• •• . . . •• .. ... . . . ... . . f MUM DADB Lowy D Aty4rlflW OFP W4WZr G,J NVIBOlh9U'dy7',AND PJ90ULATORY AtrFAUS PRODUCT CONTROL 9ZCrWIV BOARD AND CDDZ3ADPANIrrXATM DIVJ�M llsos SW26 street'XOM20S MW4 FWW 33176 2474 NOTICE OF ACCEPTANCE(NOA) T(786)3uas90 F gas)3154M 3M GOmpagy �mtithmrdadevev/asra 3M Center Banding 0220.O&"6 St.Yshal,MN 55144.1000 scorn: T9his NOA is being leaned wider the applieable rules and regnleSoas governing the use of wMhucdon materials.The documentation sobmhilted has ben raviawed and accepted by Miami Dade County PERA_product Control SeWon to be used in Miami Dade Cohmty and other emus where allowed b7 the Autroft Heft Imiadiction(Alm. This NOA ahail not be valid oder the i Section(In Miami Dade °n data clawed below. The Miami-Dade County Product Control ' have thio product ar mateais1 j fwd other(in areas thm Miam9 Dade Coded &fls t the right ito n pwttpoaes.lf thin product or materia(th{fs to perform ba � �t$eh � sn �� e of Such tesdng affil the ARI may imm� ,, enspea i product or material wMk heir jwwcdOL MA reserwA lhe right to revoke.lhis a te. dew mined by Miamie C MW pw&at Control Section that this product of malarial tldls to meat flue tegtlitemmhte ofthe applicable bu d This product Is approved as desk hmt%and has been dealgwd to comply with the Florida Bnift Code inahOWtha Ift Velocity$mrlcane Zone ofdw Blonde.Bub tg Coda Du m ow.==2-Component Femh Roof 1Yie Adbeslm Ag 160 LABIiiIaM-*Hach unit shalt beat a pehmu@mmt label'with the mamtfiacmraes name or logo,ohy,start and tbllo,%J, 9MMeft"Miami-Dade Courtly hodnct Cat tol Approved",unless otherwise noted lhmic, RENEWAL of this NOA @ball be aouddered after a renewal applica ten has been fried and&eta has been no change In the sppllcable btdlding coda negatively a Wft the parfb umcc of this product, ' r TERMMTION oft&NOA wM occur after the expiration date or ifthers has been It reviaton or change in the mabdak use,andlor marht>dio we oftlta product or protean.Misme of this NOA as an endorsammht of sales,adveatift or my other purpose"Iautomatically terminate tis hNOA.Failure to �'product;for Ws MA shall be cam Ar termination andremova�ofNOA. °0��'with amy section of ADVERTISEMENT: The NOA lumber praooded by die words IVltamiDade County,Florida.mud followed by the eacplr anon die map be displa in its emtfraty. yed in adverdsdng]hematite, If MW portion of the NOA is ayeda ,tun it shell be da INBPEt MNI A Dopy oftihis ao**NOA shall be provided to the user by the manutlhaturer oribdistributors and SW be avaWID forhopectioa atthe job sits atthe request afthe Building OSoiaL Thi@ ream and revises MAO 11-0124.04 and owW to ofpages 1 through 7. IUaWmAted documentation was reviewed by Ala Ilgem ; i r .11.11 we 0 oo: i • • • • • &ph%d=DatwOsnon7 . : : : :o: ••Appmsl bates OS OM2 f •• ••• •• • • •• page IofI .. :0 .. 0.0 0.0 ••• • • • ••• • • T R001MG COMO 'APPROVAL: Category: Roo$ng Sub Catagaryt Rooftile adhesive Materlala: Po)<ymathane iSCOPR: TMs aPpr m 3M°e?rCempmmt Pam Roof The AdMfte AH-16o as meauftotu ed by 3M CompUT as deco abed In Secdon 2 afthls Notice of Acmptanae.For the loaatioas where the design Mame requinmenk as determined by applicable bulldita am%does snot exceed the design pame values obtained by cAmistiom in oOMPHInaa wM RooftgApoesdon Standard RAS 127.for Use whit approved fiat„low,and syatam Usft 20Compcmeat Poem Roof Tile Adheaiva AR-160.Wham dm eltachmeut cdocidum a maotnar3 based system M done as a far niggle patty plaoernett,and as an uplift based system for double patty systema PRODUCTS MANOFACTOBRD By AMXCANT: ' I�radactnmadma MW PredaatDascriotfon oo ffllileAdbtesive Ali CamponeatFoam .N/A TAS 101 Roof TTwo componentpolypt &M8 fOM adhesive 160 Foam D RTP1000 WA Ptopack®30&100 N/A ������ DhpGWftEqu*=d PRODUCTS MAMWACTURaD By QTgERg: Any 110lend0ads Cody Product Control resae values with the use of 2-C.on p `4ca' Roof Tile Assembly�n8 a catrent NOA which lint moment ntataoiden antFoamRoofTile AdheslveAR 160 roof tileMANM?ACTURWG LOCAU0jl p. I. T=bWL TY. PBYSICALPROP8RTIES: lot Rasult ASTMD 1622 1.6lbs./ft3 Compfflesha Stafth ASTM D 1621 18 M pamnal to rise 12 PSI Parpandi Wm to flee Tensile Strano ASW D 16233 28 PSI Parallel to in Water Abeawflon AMU D 2127 0.08 LbMW Moisture'4f4ar TnnI dssion ASTM B 96 3.1 Perm/Inoh Mmansional Stability ASTM D 2126 40.07%Volume Change @-W F,,2 weeks +6.0%volume Chop 158T„100•A Humidity,2 wanks Closed Cell Content ASTM D 2856 86•A .. . . . . .• NOA Moa 12.0226.18 • • • • . • • • • $xpfttku Datet 05/10/17 • •• • • • • • ApprerrlDntet 05110/12 . .. . . . . ... . ..• ..: '.: •.• : : ..• Page2ef7 ..• . • • . . . . . • • • . • •• 000 . • . . . ' T — i Notes The Ph F*d propftGea listed above are presented as OpfM average vaIttes as determined by ac¢eptedAMN test methods and are subject to normal manafadu r&g variation. EVIDSN'CS SUMMTTED: Te Twit Tden tsar --r.--� TestNameJl��*�■* Cantor for Applied Bttginem* #94.060Date257818-IPA TAS 101 04/0894 25-7438-3 TAS 1- 12116/96 25-7438.4 SSM 1IA3 10/25/95 25-7439-7 SSM 1193 11/02/9S a Lebmabodes 25-7492 1Vt SSM 11-03 12/MS Polymers Division ��89-b31 ASTM D 1623 02/01/94 RaattechLabaratodas,&c. M37-92 ASTMS 108 04/30193 SoudmatRuearchkisiftute 01-6743411 A,STME 108 01-6739-062b[l] ASTM B 84 11/16/94 Trinity 7050.02,96-1 TAS 114 01/26/95 03/14/96 Cvlotm Corp.Tasting Services S28454-21.1 TAS 101 528454.9-1 1013/98 I i 528454-IO.1 520109.2 TAS 101 12/2M 520109-2 520709-3 520106 520109-7 520191-1 TAS 101 03/02/n520109-2.1 t LIl1QT'AThDNS: I L Fite chu fieadon is not ptttt of this aoeeptanoe Refer to the Prapaced Roof The Assembly for$re raHn& 1 3WN 2-ComponeatPoamRooMe AdhealveAH 160 shall solely be used withftat,low,&high talo prods& 3. hfinfi utn tmdefta t shell be in complhnoe%*h the Roofing Application Staadatd RAS 120. 4, Roof Tile mstnn&etutee aegtdring B=Wtmm for the use of 3M'm 2-Component Poon►Roof 71Ie Adhesive AH 160 rooftlle adlltve with dWr t1e assemblies shall test in acomdame wltt TAS IOL S, Raaf M mumbo thea aagAft acceptance for the use of RAMI-ST=rooftlle adhesive W%their tie ; essemblias shell test in 20cm4e oe w1W TAS 101 wlfh section 10.4 w modified haoie. LW MS i •• 00: • • • • • •• NOA Pres D4=S.18 000 i •i i hwiradon Dated 05/1047 • •• • • • • ••• • Approve{Date:03/10/12 •• ••• •• • • • •• Pap 3of7 • • • • • • • • • • •• • • •• • • • • • • •• • •• • ••• • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • i i INSTALLATION; L 3Mm 2-Component Poem Roof Tate Adhesive A13160 may be Usedwltt any roof the assembty having a Mment NOA$tat Uses upURresldow vanes with ate use of 3MM 2.Componant Foam Roof Tffe Adhesive AH 160. 7. 3MTx 2.Congmad Poem Roof Tile Adhesive AR-160 shall be applied in oomplbnft with the Component AppHcaticss seotloa and the ooaaspoltdiag PlaoemeutDetaUs noted heron. The rcaf file assembly's ad(tesive attaohmaat with the use of3Mm Mempoaant Foam Roof Tte Adhesive AR-160 abali provide suigalent attachmentredatanee,mtpresaed as as upff t based system,to meet or exceed the npHft resfatence determined in enmpliaaee with M md4)sde Comaty Roofing AppHoatiton Standards RAS 127. The adhesive attachment data,is noted In the mottle ameaLWNOA. 3. 3Mm 2-Componeat Poem Roof Tile Adhesive AH-1 60 and its components shall be installed in amordanos W th Roofing APPlicaton Sfandardd RAS 120,and 3M CompWn 3Mnt 2`Componut Foam Roof Tile Adhesive AH 160 OPul trg butractlan and Maintenuft Booklet. 4. Installation mnstbe by aF A the sorb gP1ft�and Reeaaed by 3M Company. 3M Company strait supply a]iatof M,havingjudediction. S. CaMmMan ofthe Poem DIqmmm RTPI Q00 dispensing*Wpment is required be&"applieaton ofatry a d hesive, The xabcrado between tis"A"eampoment and the"B"componentshaU be meed between 1.0-1.15(A)..1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 paunch pat tUa n debts caUbraton. No cdM settin®s vW be approved. o 6. Pr3M� oPack®2-Com30ponM Foam Roof Tile Adhesiveli 1 A60 shall be appUed WM Foam Dispenser RTF 1000 or A 1�disp�B sq�ptp�only, T. 3Men 2-Compona ntPa m Roof Tile Missive A1-160 shall not be acposW pennumatly to snnligM. if. Titan MUMt be adhered in Dolly applied adhesive.Tile must be sat wltbia 2 to 3 minutes atter 3Mrm 2. ConsP021019Faent ROOMAdhealvs AR-160 has ban disposed. 9. 3M*"2dlomPonmtt Foam Roof Tile Adhesive AR-160 Placement and mmla m patty weight ahsU be in accordance wt&fire Tlaw aemt D"s'bracts. Bach genede the profile requires rte spedfio placement noted herein. Table is Adkeatve 1'ltteement For Eaafl Geaerle Tile Profile TlleProtQePlttcementDefail t3ltaslepadfdyW eight Two Paddy Weight per Mia.*a=) Paw Min.*XM) Law Bub Profiles #1 35 PVA Pmffie a 1 #1 17Adds as and 34 N/A Law Proffiea 24 N/A Pi Low BRA PION" #3 S •• •.• •.1YOA Nei 12022LIs .: �tpitxdon Date.05/1047 -low .. ... A�►prevat Datet MID= ••� ••: ••: �•� : : •• Page aef7 • • • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• LABELING: All 3bfm Z-Compoaant Poem Roof TYIa Adhesive AH 160 containers•hail comply with t6 Standard Conditions listed herein. BU=ING P=wr RzQunumwm: As by the BWfg official or applicable Wding code fn order to properly evatae tho installation of this AD>XVE PLACMMT DETAIL Z &NGLE PATTY a+mamra ►MhPool" Rah ehpera tr�Y woo* G►ewr�gs ROOM Ln.pra farad /y r e AfrMp No+eeaoorr"r°'.�"c r+r+r/ tMl tl�raw,�oy,Mwar,w«w�.trwn FM VAI MIM ��t gra►1�frfneeM�drlN1l.Nrfr '�N�AMafdei M+��AIhMeaeMr i kq dsmb. 6nei�a. Mfwyh�k Ruh .. ... ..NOA Mai 194?.Za.1B • • POS"on Date..Os OA7 • •• ••• �pr�u nate:osnon2 .. ... .. .. Page 5 of 7 ... -.— . . . . • . . . . . . . . . . . . . . . .• . . .• • . . . . . .. • . • . . • .. . .. . ... . . . . . . . . . . . . •• .• . . . •• •• 000 0 0 . ... . . . • ... . . . •.• . . . . •.. . ..• . •. . .• • . . • . . .. • • .. . . . . . . . . . . go* . . . 000 .:o . . L3�9��d as . . •. ••.i •• iUOT/i0�iDQ�►atdd� i• i i . o • •• bTJOT/S0 �Q �. . .. • • i Y �iU+IM�klw+ ��NIV�o�lf �bt 'tHL I l Auw ADMSM PI&MUNT DETAM 3 DouBLE PATTY FHaUNeoQMPWtlee�nt �n!�) N�{�p�P�a�ynant 81aD1�7�dtYuldtr�l• l�dY 81a {YID'��) dnpaldypp� � 1 �,� ,N► kL ,xf►r� ffiIl�naaral i 8 OL OL Ak II�r� POW Ong 0 sm ems e gl� �pp(djr I � � I • 1 la.xsel, 41 I I awl v��a.ne�r END OF TM ACCEPTANCE •• ••• • • • • • •iNOA No4�071Z8.18 i i i ••i i i i i 1Mgm= Dstet OWO117 ••• ••i ••i ••• i i •• Page 7ofI 4 • • • • • • • • • • •• • • •• • • • • • • • •• • • • ••• ••• or • • • • ••• • • • •• •Y • • • • •• •• ••• • • ••• • 0 C ACB2 Engineering Inc. Testing & Engineering Services Certification of Authorization#8131 Roof Tile Uplift Test Report Tel: 954-245.8976; Fax: 954.301.7776 P.O. Box 823612 Pembroke Pines, FL 33082 Attention: Miami Shores Village, Building Division, 10050 NE 2nd Avenue, Miami Shores, FL 33138 Client: Earl W Johnston Roofing, Inc. U Test Date: 8/4/2016 ermit#RF-7-16-1877 Property Address: Saunders Residence 520 NE 93 Street,Miami Shores,FL Roof Pitch: Type of Tile: Roof Area: 3 in 12 Entegra Roof Tile 26.00 squares Tile Attachment Method: Two Component Polyurethane Foam Adhesive-Poly Pro H 160 Field Instrument : IMADA Force Gauge 0-100 Serial number:243454 Test Location Total Number of Tests Field Uplift Pull Test Test results Perimeter Area: 10.00 sq. 10 As per FBC 2014 Passed Field Area: 16.00 sq. 16 As per FBC 2014 Passed No.of Corner: 4 4 As per FBC 2014 Passed Ridge Areas: 122 pcs 14 As per FBC 2014 Passed Important: These laboratory results can change due to future weather impacts and/or unavoidable roof traffic.Therefore,this report represents the TAS 106 results at the time of the test. Please see attached a Roof Sketch for this project. Cordially, AC62 En ring Inc. (NOA 09-1005.01) An#oe. edo, PE Fla36466 AAC- B2 eelum UC. lRog` 523ONE A�er�ae Fat yklaga 33334 Pte:(954)245,5976 tax(954)3017776 T T � 1 gtr Miami Shores Village soon Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 tORt Tel: (305)795.2204 11 Fax: (305)756.8972 RE: Permit# ®� J lP .7 7 DATE: INSPECTION AFFIDAVIT licensed as a(n)Contractor/Engineer/Architect, (PrW Mne and oWe LW=Type) FS 468 Building Inspector License#: (2,0,"ICY) 03 3 On or about Q I did personally inspect the roof deck nailing rose a � work at M N1E 9--)so S Q') (complete Job site Address) Based upon that examination I have determined the InMation was done according to the Hurricane Mitigation Retrofit Manual(Based on 553.844 F.S) — -.C. L Signature State of Florida County of Dade: j The undersigned,being the first duly swom,deposes and says that he/she is the contractor for the above property mentioned. f Swom to and subscribed before me this day of ;.••�'ct' ,_MEGA.ROMEO Notary Public,Sate of Florida at Large co June FF 986571 Exp 2Z 2020 ''•.Pt;�'r4�BondedTluvTropF:rinh�tSance8003B57018 S 'Genre Buiwo.Rwwn*or Rooting contractors or arty Fr&wuat cerftd ur*r 468 F.S.b make Such an ftedon.Include phofogn$e of each plane of ftni roof wBh ! permh 0 and address#de"shown ma*w on the deck for each leapt t Rsvlsed on p/102014M111068