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RF-17-1707 3 Miami Shores Village e:1 ` 10050 N.E.2nd Avenue NE Tile Miami Shores,FL 33138-0000 ` '• � � h ` Phone: (305)795-2204 F'et tf S i Al PR EQ tOR Isrue�.751201 Expiration: 01/012018 Project Address Parcel Number Applicant 1160 NE 98 Street 1132050180390 Miami Shores, FL 33138- stock: Lot: FRANCES P ALLEGRA&MARYI Owner Information Address Phone Cell FRANCES P ALLEGRA&MARYBELL 1160 NE 98 Street (305)609-0091 - - -- --- - --- - MIAMI SHORES FL 33138- 1160 NE 98 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 7,740.00 J M ROFFING PROFESSIONALS INC (305)825-2128 Total Sq Feet: 600 Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification:Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.80 Invoice# RF-6-17-64462 DBPR Fee $3.75 07/05/2017 Check*3983 $229.30 $50.00 DCA Fee $3.75 Education Surcharge $1.60 06/30/2017 Check M 3982 $50.00 $0.00 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $279.30 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 ELECTRICA LUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERSIDAVIT: ce ify that all tFt foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio an z inin re I a horize the above-named contractor to do the work stated. July 05, 2017 Aut - d :Ow e / Applicant / Contractor / Agent Date Building Depart e t Copy July 05,2017 1 Miami Shores Village 1 g RECEIVED Building Department JUN 3 0 2017 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 20 I BUILDING Master Permit Noxc/--1'7-5 PERMIT APPLICATION Sub Permit No. 12(='k-I -~ r+0--4- ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I! b D �g / a Cr City: (Miami Shores d County: Miami Dade Z113: Folio/Parcel#: *3L�" d o -D-a�o Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: '�(��� Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titlehalder):_OG/��ftiGQi� ��C. /C�•►Q Phone#:,30 6 ,13-2- 329 01 Address: 4Z I,e2 /2E 92 SY City: ` / 'CAOKE5 State: Zip: Tenant/Lessee Name: Phone#: Email: ,/� ,-� CONTRACTOR:Company Name:�JJ� r�-l�,}J" 0f IN 1 �rrWd n�"t S Phone#:�kps as Address: -- Mi Vj �l t ��'r r,�1oI City: �k(2 WQ h State: _7FL-11 Zip: !�)'30 1 _ Qualifier Name- I w j 6 (1 C a-kii .Qre SPhone#: State Certification or Registration#: 6-nC) Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ®• ��,—,� Square/Linear Footage of Work: I Type of Work: ❑ Addition ❑ Alteration Uv'New ❑ Repair/Replace ❑ Demolition Description of Work: IJ UAJ - Specify color of color thru tile: Submittal Fee$ so'�� Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ®1 (Rev1sed02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature 0 R or AGENTNTRACTC The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledged before me this day of_ �� f 11.,E 20 ' l by � day of(J�A" 20 1 by wh s personally kno to (JVt(/Y ® 1 Cg aM I who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: � �� 4JXk0 Sig� Sign• � ,p Print: On i �-� CprC� Print:( a� �.AL)f o. W„R ® �alsJw- Seal: NOTARY PUBLIC Seal: �$� '�'� CommlSion;g GG00303 STATE OF FLORIDA Expires:" Expires:June 20,2020 . Ca miW FF101601 ''� .�`� Bonded thm AM NOMI APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) c�t10 1 yi IYI iami shores Village fig;,,, I RECEIVED Building Department JUN 3 0 X017 10050 N.E.2nd Avenue Miami Shores, Florida 33138 C/? )t 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: s �� 10050 NE 2nd Ave f 0.00 ••0000 Miami Shores, FI 33138 •• •.'.•' • ...... . ...... Re: Owner's Name: Y0 """ • ...... Property Address: I I LOU LJ- cl C6 `�� " '• ••• _. see** o Roofing Permit Number: f 0 • f so Goof ...... Dear Building Official: 1 •cello certify that I am not required to retrofit the root'tb wall con'h'e'otois of my so buildin ecause: he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of WC7 et,, Juan Carlos Morelos t Commission#GGOU383$ 020 Notary Public Sate of Florida at Large E��irt : ,►�na 2Q, n Bonded thru Aaron Notary° f When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC 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 When buying real estate property,you should not assume that property taxes will remain the same.Whenever there is a change in ownership,the IMPORTANT assessed value of the property may reset to full market value,which could remit in higherpropertytaxes,Please use our Tax Estimator to MESSAGE approximate your new property taxes. The Properly Appraiserdoes not send tax bills and does not set or coiled taxes.Please visit the Tax Collector's website directly for additional information. a i Address ! Owner Name Subdivision Name Folio SEARCH. marybell Rajo 4 PROPERTY INFORMATION 8 Zoom J i di f//1/NAHYd///V/ Ik T Folio:11-3205-018-0390 e Sub-Division: MIAMI SHORES SEC 8 REV IN PB 4369 i Fp rw�„rk cN • Property Address rn"1180NE98ST1Miami Shores,FL 33138.2508 '" •••••• ! _ _ �•�i♦ - ads.". • • Owner �Z �' • • ' JTR8 MARYBELL RAJO JTR3 ' �'^'"' �.' ••••• Malting Address � �"� '� �._.�. �� ,,�a� •••••• 1160 NE 98 ST ,u 1: e • MIAMI SHORES,FL 33138 «�" °� •••• a� •• 1 PA Primary Zone hs n s ��� .w • • 1100 SGL FAMILY-2301-2500 SOs Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT I Bede/Baths/Hag 3/3/0 ! ... Floors 1 Living Unite 1 Actual Area 3,068Sq.Pt LMngArea Z176Sq.Ft 3 Adjusted Area 2,499 Sq.Ft ;.c Lot Size 8,040 Sq.Ft Year Built 1948 Featured Online Tools Comparable Sates Glossary Non-Ad Valorem PA AddiOonal Onfine Tools Properly Record Cards Property Search Help Assessments Property Taxes Report Discrepancies Report Homestead Fraud Tax Comparison Tax Estimator TRIM Notice Value Adjustment Board ASSESSMENT INFORMATION 9 BENEFITS INFORMATION O 2017IMPORTANT NOTICE:The assessment and exemption values currently shown are preliminary and are subject to change until they are carti0ed on July 1. Benefit Type 2017 2016 2015 Year 2017 2016 2018 i Save Our Hosea Cap Assessment Reduction $88,873 $54,337 $31,174 Land Value $325,477 $303,134 $275,576 Homestead Exemption $25,000 $25,000 $25,000 Building Value $187,499 $188,091 $189,681 I Second Homestead Exemption $25,000 $25,000 $25,000 Extra Feature Value $1,104 $1,121 $882 0 :R�all benePos are applicable to a0 Taxable Valdes p.e.County,School Board, Market Value $514,080 $492,348 $488,139 --.�.------- - --------� Assessed value $447.207 -- $01311,009 ...._—x,965! -FULL LEGAL DESCRIPTION 0 -------- - A A TAXABLE VALUE INFORMATION 0 6-6 53 42 PS 43-69 2017 2016 201$ REV PL MIAMI SHORES SEC 8 COUNTY LOT 22 BLK 180 Exemption Value $50,000 $50,000 $50,000 'LOT SIZE IRREGULAR Taxable Value $397,207 $388,009 $384.985 OR 21110-4147 03 2003 1 SCHOOLBOARD Exemption Value $25,000 $26,000 $25.000 Taxable Value $422,207 $413,09 $409,965 CITY Exemption Value 550,000 $50,000 $60,000 Taxable Value $397,207 $388,009 $384.965 REGIONAL Exemption Value $50,000 $60.000 $50,000 Taxable Value $397,207 $388,009 $384.966 SALES INFORMATION 0 Previous Sale Prim OR Book-Page Qualiftcation Description Previous Owner I 10/282013 $191,187 28898.1256 Corrective,tax or QCD;min consideration FRANCES P ALLEGRA 03/01/2003 S350,000 21110-4147 Sales which are qualified 00 04/01/1986 $135.000 12892-2373 Sales which are ququalified4,0*10 07/01/1978 $75,000 10099-1812 Sales which are qualified 064106 For more Information about the Department of Revenue's Sales QuallficatlDn Codes. 00 2017 2016 2015 ......................................... ............ LAND INFORMATION 0 00:00: Land Use Muni Zone PA Zone Unit Type 84. Calc Value, • GENERAL R-20 1100-SGL FAMILY-2301-2600 SO From Ft. $3. -0.00 0 GENERAL R-20 1100-SGL FAMILY-2301-2500 SO Fmnl Ft. 5.00 ......................................... BUILDING INFORMATION 0 • Building Number Sub Area Year Suitt Actual Sq.Ft Luting Sq.FL Adj Sq.PL Calc Value 1 1 1948 1,719 1,719 1,719 $119.642' 1 2 1979 928 268 539 $41,5781 1 3 2010 419 189 241 $28.279 Building Sketches Available! EXTRA FEATURES 0 Description Year Built Units Calc Value Wood Fence 1988 37.5 $444 Wood Fence 1979 12.5 $130 Chain-link Fence 4-5 It high 1971 93 $530, ADDITIONAL INFORMATION The Information listed below Is nut derived ftorn the Property Appraiser's Office records.it Is provided for convenience and Is derived from other government agencies. • c P, LAND USE AND RESTRICTIONS Community Development District: NONE Community Redevelopment Area: NONE ! Empowerment Zone: NONE Enterprise Zone: NONE Urban Development: INSIDE URBAN DEVELOPMENT Zoning Code: R20- BOUNDARY Existing Land Use: 10-SINGLE-FAMILY,MED.-DENSITY(2-5 DU/GROSS ACRE). Government Agendas and Communhy Services OTHER GOVERNMENTAL JURISDICTIONS Business Incentives Children Trust City of Miami Shores Environmental Considerations Florida Department Of Revenue Florida Inland Navigation District PA Bulletin Board Non-Ad Valorem Assessments School Board South Florida Water Mlgn t District Tax Collector The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on recons.The Property Appraiser and Miami-Dade County assumes no liability,see fun disclaimer and User Agreement at http:I www.miamidade.govMfo/disclaimer.asp For Inquiries and suggestions email us at http//www.miamidode.gov/PAPortaVComactFomdConmdFomMain.aspz Version:2.0.3 4141•• EXEMPTIONS b REAL ESTATE TANGIBLE PERSONAL PUBLIC RECORDS ONLINE TOOLS Tax ROLL ••41.41' .••••• BENEFITS PROPERTY •• 4OWNISTRATIOI..41 41' Deployed Military 40 Yr Building Appealingyour Address Blocking Properly Search "' 0000:0 ••A'pp'ealing your • • Re-Certification Assessment 41•••A%Assment • 41.41. •4141• • • Disability Exemptions Change ofName Property Sales 41 41 • • Appealing Your Assessment • Reports • • • Homestead Assessment Information Search Change ofAddress Tax Estimator •'::::o • '41 " •• •• •41414141• ••4141 4141 •414141• Institutional Defective Drywall Exemptions Change ofOwnership Tax Comparison •4141• '4141••' •41414141• &rile • Senior Citizens Folio Numbers Extension Requests Homestead 000000 • '41 tion and Declaration of Exem ' ' ' P • 41 • • •41.414141 Mortgage Fraud Filing Returns Condominium Portability •••'•' • • o 41 41••••41 4141 • Go* • 41 41 More> More> More> More> More> more�•� Home PrivacyStatarn Disclaims About Us ADA Non Contact Us v 02014Miami-DadeCounty.All rights reserved. Local Business Tax Receipt Miami—Dade County,State of Florida -TMS IS NOTA BILL-00 NOT PAY LBT 6878020 BUSUMM NAPAMACATtoN FWCEWT WO. RES J a4 ROOFING PROFESSIONALS INC RENEWAL SEPTEMBER S 2017 1779 W 37 STRAY 17 7183182 HIALEAH(133012 Must 6e displayed at place Of business Pursuant to County Code r Chapter SA-AM 9 b 10 OWN@R SEC.TYPE OR BUSINEW 1 M ROOFING PROFESSIONALS INC 196 SPECIALTY BUILDING CONTRACTOR PAYMERr RICERFED JUAN CARLOS CANIIARES QUALIFIER CCC1326M BY TAX COLLECTOR Worker(s) 1 845.00 07/15/2016 CREDRCARD-16-041110 We Laval9a>nm Tax RwWpeuho tum of dna Lewd 0=WmTax T1sRawtltbodsncow. Pwmk W 0 CNd ieatiw of do troldar s to de taw Haldarmwt wa widt ap 9eraasaatN �raytdatmrlsms�r+rbtmths�rdem TCe�t ND.siwra mou dbptared w aR sommrreW nubs-AtJmmi-0ada Coda 9se Its-M Q For mmeh wLWW r�•ncTeRY RicK SCOTT,GOVERNOR KEN LAVVSOR4 SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC1325770 The ROOFING CONTRACTOR Named below IS CERTIFIED •,ti �'s 4 Under the praftons of Chapter 489 FS. • Expiration date: AUG 31,2 18 .. CANiZARES,JUAN CARLO$ Q' J M ROOFING PROFESS OVALS INC 19334 4 ST 19334"SW 4 ST �. •,� , r �, PEMBROKE PINES FL 33828 � e • 1 `'. ISSUED: 0811012016 DISPLAYAS REQUIRED BY LAW SE09 LIW8100001386 � l City of City of Hialeah HIA L E A H Business Tax Receipt 2016--17 M•yor Carlos H ernandez No: 238160-4 (OLID-17 The person,firm or corp.list�l here hes (OLD-1761-452) regulations and restrictions of the City of Hialt��on��`"O�ired to engage in or OPMUe y� °"nr S Iso.00 business, Mirwd suhjm to the M Tape o,/•Bnsraess.•RooEilxg Contractors ��MARIA F_k'IOREJON.J ROOFING PROFESSIONALS.1 J M ROOFING PROFESSIONALS, INC. 658 W 34 ST HIALEAH, FL 33012 Business Location: No.: 0000 1779 W 37 ST 17 �'alidatin� Expires TATS IS 1 dOT A BILL SePLet/ber 30.2017 Date CERTIFICATE OF LIABILITY INSURANCE 6/23/2017 producer. Plymouth Insurance Agency This certificate Is Issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rigs 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 1 Insurers Affording Coverage MAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries insurer A: Uon 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 narned above for the policy period indicated. Notwithstanding any requirement,tens or condition of any centrad or other ocument with respect to which this certificate may be issued or may pertain,the insurance afforded by the polices 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 rne—ral mmercial General Liability Damage to rented premises(EA Claims Made 0 Occur occurrence) Med Exp Personal Adv Injury aggregate limit applies per. cy 1:1 Project ❑ LOC General Aggregate Products-Comp/Op Agg MOBILE 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) EXCESSAIMBRELLA LIABILITY Each Occurrence Occur 13 Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2017 01/01/2018 X we Statu- OTH- Employers'Liability tory Limits I ER Any proprietor/partner/executive officer/member E.L.Each Accident $1.000,ODO 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.Beat Company rated A-(Excellent). AMB#12616 Descriptions of Operations/LocationsNehicies/Exclusions added by Endorsement/Special Provlslons: Client ID: 93-68-001 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": 7.M.Roofing Professlonals,Inc. Coverage only applies to Injuries Incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working In:FL Coverage does not apply to statutory employee(s)or Independent contractors)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: ISSUE 06-23-17(TD) Begin gate:l 20 2014 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 2ND AVENUE MIAMI SHORES, FL 33138 '� � A Q CERTIFICATE OF LIABILITY INSURANCE DATE(MMI DI 7rn 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). NTA CT Jessica Perez PRODUCER COME IPC Insurance of Florida LLC PH Na.E , (305)273-4530 ac No): (305)273-4409 10481 SW 88TH ST STE D204 AE-MAIL jDDRESS* MIAMI,FL 33176-1528 INSURERS)AFFORDING COVERAGE _ NAIC# _ Phone (305)273-4530 Fax 305 273-4409 INsuRER A: Endurance American Insurance Company INSURED INSURER 8: J.M.Roofing Professionals,Inc INSURER C: 1779 West 37th St.,Bay#17 INSURER D: INSURER E: Hialeah,FL 33012 INSURERF, 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. ILT R ADDTYPE OF INSURANCE INSR UBR POLICY NUMBER MOM/DDY EFF Myo EXP LIMITS L 0 COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000.00 ❑ CLAIMS-MADE Q OCCUR DAMAGE ZErrence $ 100,000.00 ❑ MED EXP(Any one person) $ 5,000.00 A ❑ CBC20000678700 08/20/2016 08/20/2011 PERSONAL 1£ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 ❑ POLICY ❑ JECOT- ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000.00 ❑ OTHER $ AUTOMOBILE LIABILITY aaccident MBINED SINGLE LIMIT ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AALL UTOS OWNED ❑ SCHEDULED BOOILY INJURY(Per accident) $ AUTOS HIRED AUTOS NON-OWNED PROPER Y DAMAGE $ F-1 HIRED AUTOS Per acct ant ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑PERTUTF ❑OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVEU� E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CONTRACTOR LICENCE#CCC1325770 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE jj� Miami Shores,FL,33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01)QF The ACORD name and logo are registered marks of ACORD ROOF A8SEMBL'W QSAND ROOFTOP STRUCTURES CEIVED R R E p g Code 5th Edition (2014) _017 1 JUN 3 0 High-Veloci Hurricane Zone Uniform Permit A catloro tY PP'�A, \=,� Section A(General Information) ° Master Permit No. -C " -. 1', Process No. ' n?, F .� Contractor's Name j V Job Address O �r Y/ 1 ROOF CATEGORY •• • .0 ••1 ❑ Low Slope ❑ Mechanically Fastened Tile 9'O'Mortar/Adhoolve SelJsiAs: 000001 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood SA;tlbs/Shakes' •••• ❑ Prescriptive BUR-RAS 150 0000 .. .0 0000. ROOF TYPE •••••• •••• ••�••� .. .. 0000 .....� New roof ❑ Repair ❑ Maintenance ❑ Reroofing •••0.0 Recovgnng • ROOF SYSTEM INFORMATION t I ••••• ' .rr 0,,,, 0000.; Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF) Total(SF}y00 •• 1 Section B (Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 7N.oor 1 1 1 1 1 i 1 1 1 1 1 � 1 1 I i 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 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 repmductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form 1 1 Section D(Steep Sloped Roof System) 1 . 1 Roof System Manufacturer.U WA—YA TYo —n'- 1 Notice of Acceptance Number. 15— DcA 195 - 09 1 Minimum Design Wind Pressures,If Ap licable(From RAS 127 or Calculations): 1 P1: wi P1: V% - P1: 7 1 1 0000 1 .0 000 Deck Type: 5 '00 0 0000 1•' . 0 60 0 ..1... Type Underlayment: �•`•• Roof Slope: '� �t'S'fYYI 2 0 066 66 go ..1..• 12 Insulation: N ..�..' 00 00 0000 •0r00• 000000 0 '• Fire Barrier: •••••• 0000.. Ridge Ventila on? ' Fastener Type&Spacing: Z �� 0 '•• • 1 Adhesive Type: I As py)a1 1 Type Cap Sheet: OlO --}- 1 1 � 1 Mean Roof Height: Roof Covering: s -F S' I Type&Size Drip Edge: vans 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.39 ' 1 ' Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) 1 1 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 the values for M,with the values from K. If the M,values are greater than or equal to the M,values,for each area of the roof,then the tile attachment method is acceptable. 1 1 Method 1 "Moment Based Tile Calculations Per RAS 127" Product Approval Mt 1 (P2%QgA xX�=2Qa-Mg: M,V:"I Product Approval 1 (P3 3x,% _'kZ�.�Il-Mg:_�2,Mr,ZA,09 Product Approval M, °°°•• Method 2"Simplified Tile Calculations Per Table Below" " • .";'• '• 1 Required Moment of Resistance(M,)From Table Below Product Approval M, "`: `• • `""` M,required Moment Resistance* .•°° ° . ;"•'; 1 Mean Roof Height ` 15' 20' 25' 30' `•` 40' '• � '0:00• 1 Roof Slope s••• •• 99.91 1 2:12 34.4 36.5 38.2 39.7 •042.2 0001• 109010 1 3:12 32.2 34.4 36.0 37.4 .8 0 1 4:12 30.4 32.2 33.8 35.1 0 .37.3 0 0••••, . •0.• 1 28.4 30.1 31.6 32.8 ° .9 . • 0 :•`0.: 1 6:12X 26.4 28.0 29.4 30.532.4 •• 1 7:12 24.4 1 25.9 27.1 .2 30.0 1 *Must be used in conjunction with ist of V�: ed tile systems endorsed by a Broward County Board of Rules and 1 Appeals. For Uplift based file systems use Method . e values for F'with th alues for Fr. If the F'values are greater than or 1 equal to the Fr values,for each area of the rtile attachment met d is acceptable. 1 Methoded Tile Calcul ons Per RAS 127" (P1: x L = xw:_ )-W: =F Product Approval F' (P2: x L = xw:= )-W: - Product Approval F' (P3: x L = x w:_ )-W: =F,� Product Approval F' 1 1 Wher o Obta Information 1 Description Aymboll Where to find 1 Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis pre- Design by PE based on ASCE 7 1 Mean Roof Height H ob Site 1 Roof Slope 0 Nrodt 1 Aerodynamic Multiplier X proval Restoring Moment due to Gravity M9 prove[ 1 Attachment Resistance M, Product Ap oval 1 Required Moment Resistan M9 Calculated 1 Minimum Attachment R stance F Product Approval 1 Required Uplift Resis'Knce F, Calculated 1 Average Tile Wei W Product Approval 1 Tile Dimension L =length W=width Product Approval 1 All calculatio must be submitted to the building official at the time of permit application. 1 15.40 FLORIDA BUILDING CODE-BUILDING,5th ITION(2014) 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. MIAI+'1 � .+ MIAMI-DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidaae.aov/economy Santafe Tile Corporation 8825 NW 95'Street Medley,FL 33178 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 hayb tl?t. product or material tested for quality assurance purposes.If this product or material fails to gerf%t>3 in the 18d.tted sees:* manner,the manufacturer will incur the expense of such testing and the AHJ may immediated(evoke,mally,or oeoo;• suspend the use of such product or material within their jurisdiction. RER reserves the right 18 iovo�ke this • acceptance,if it is determined by Miami-Dade County Product Control Section that this prod'uc t*gi material,fails to .....o meet the requirements of the applicable building code. ••• ...•• This product is approved as described herein,and has been designed to comply with the Floria.Uvidding C"e• •• •• including the High Velocity Hurricane Zone of the Florida Building Code. *Goes• •*see •"':' .....• DESCRIPTION: Santafe Spanish`S' Clay Roof Tile :sees: LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city'state and f 11% ing • statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No. 12-0210.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Gaspar J Rodriguez. R•, NOA No.: 15-0915.09 twwhtaDt►nE CouPrnr ' _' '',� = _ Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Ca o : Roofing Sub-Cateeorv: Roofing Tiles Material: Clay Deck Tyne: Wood 1. SCOPE This approves a roofing system using Santa Fe"Santafe `S"Clay Roof Tile,as manufactured by Ladrillera Santafe S.A.in Bogota,Colombia and distributed by Santafe Tile Corporation as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements,as determined by applicable Building Code,do not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product •*0 0 Awficaut Dimensions Specifications Descrintiou '•••• •'••'• • Santaf6 `S' Clay Roof L= 18" TAS 112 One piece high profile clay idof file eq 'DoNa with .... ;• Tile W= 11.1" Type I two nail holes. For nail-on'WrUr set a&adhesive• Thickness=0.39" Grade 1 set applications. Trim Pieces 1=varies TAS 112 Accessory trim,clay roof pioeaevfor use atop;, ". w=varies rakes,ridges and valley terrftarions. %OLlitifacturecf'••. varying thickness for each tile profile. • 2.1 MANUFACTURING LOCATION -666 1. Bogota,Colombia • 2.2 SUBMITTED EVIDENCE Test Agency Test Identifier Test Name/RenoDate The Center for Applied Engineering,Inc. 94-156-8 TAS 101 Aug. 1994 94-156-9 TAS 102 The Center for Applied Engineering,Inc. 25-7205-1 TAS 101 March 1995 The Center for Applied Engineering,Inc. Project:07-07-00-91 TAS 100 Sept. 1994 (307023) Redland Technologies 7161-03 TAS 108 Dec. 1991 Appendix II (Nail-On) Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102&TAS 102(A) Redland Technologies P 0402 Withdrawal Resistance Sept. 1993 Testing of Screw vs smooth shank nails Redland Technologies P 0647-01 TAS 108 Aug. 1994 (Mortar Set) NOA No.: 15-0915.09 a IMMAD couExpiration Date: 02/01/21 Approval Date: 01/21/16 Page 2 of 5 2.2 SUBMITTED EVIDENCE Test Agency Test Identifier Test Name/Report Date Redland Technologies P 0631-01 PA 108 July. 1994 (Mortar Set) Celotex Corporation Testing Services 520305-01 thru 05 PA 102 June 1999 IBA Consultants,Inc. 2353-4 Restoring Moment Aug. 1999 PRI Asphalt Technologies,Inc. SFTC-003-02-01 TAS 101 12/06/02 IBA Consultants,Inc. 2353-70 TAS 101 09/22/03 IBA Consultants,Inc. 2353-71 TAS 101 09/22/03 IBA Consultants,Inc. 2353-93 ASTM C 1167 07/18/05 American Test Lab of South Florida RT0624.01-15 ASTM C1167-03 07/01/15 3. LIMITATIONSg o e s 0 0604 0906.. 3.1 Fire classification is not part of this acceptance. 0966 .• 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be perforined in acegredaan;e with...: TAS 106. 9 • ...... ...... 33 Applicant shall retain the services of a Miami-Dade County Certified Labomtorytp gerform quarterly test • in accordance with TAS 112, appendix `A'. Such testing shall be submitted t8a#Aiami 109b tount9•;••. Product Control Section for review. •••• 00 000 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applicadons Stazf&l-tls listed e 0 s: section 4.1 herein. ;":': 0 00 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to tfe roof slope;de;?state4 s o o 0. otherwise by the underlayment material manufacturers published literature. 9 :00 :0000: 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Santafe 'S' 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 NOA No.: 15-0915.09 rnar�aniaoecoum�n Expiration Date: 02/01/21 JAPPROVEDI Approval Date: 01/21/16 Page 3 of 5 Table 1: Average Weight(111)and Dimensions (I x w) Tile Profile Weight-W(Ibf) Length-I (ft) Width-w (ft) Santafe'S' 6.7 1.5 0.958 Table 2: Aerodynamic Multipliers—X(ft3) Tile X(ft3) (ft3) Profile Batten Application Dir eck Santafe'S' 0.274 0.297 Table 3: Restoring Moments due to Gravity-Mg(ft-lbf) Tile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or Profile greater Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck I tle--b'k\ Deck Deck Deck Deck Santafe'S'. 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 5.29 5*v• 5.00 Table 4: Attachment esistance Expressed as a Moment-Mf fFi4 4 •••;•• •. for Nail-On Systems •••••• •' •••• Tile Profile Fastener Type Direct Deck .. Battens • Santafe'S' 2-10d Ring Shank Nails 21.8 000004 OWN• ••• One#8 Screw 29.161.2 ..... *N#A •••• Two#8 Screws 38.28' ..•.. •hlMt ••" One#8 Screw w/Clip 57.31' ..... NAA •. Two#8 Screws w/Clip 57.60' . VIM' ••••" 1. Approved screws as noted'Product manufactured by others'. . . • • ..; 2. When using one screw it must be installed in the inside hole located nearest to the hump of the 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 Santafe'S' Tile Bond s Polyfoam Polypro AH 160"" 28.5 2 See manufactures component approval for installation requirements. 3 Flexible Product,Inc.Average weight per patty 10.4 grams. 4 Polyfoam Product,Inc.Average weight per patty 9.4 grams. Table 5A: Attachment Resistance Expressed as a Moment-Mf(ft4bf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe'S' Polyfoam Polypro AH 1607m 63.85 Polyfoam Polypro AH 160Td° 61.96 5 Paddy placement of 63 grams of Polypro AH 1601m. 6 Paddy placement of 24 grams of Pol ro AH 160'"'. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Santafe'S' Mortar Set 23.6 NIDA No.: 15-0915.09 MAMI•DADB COU Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 4 of 5 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami-Dade County Product Control Approved". SANTA FE TM MADE IN COLOMBIA LABEL FOR SANTA FE SPANISH"S"CLAY ROOF TILE 6. BUILDING PERMIT REQUIIt www 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. 000000• PROFILE DRAWING • ...... .. . ...... ...... ...... When using ons screw • • use this holes 000••••" ": 66:69: s000se 18" ' • ...... 00 •• 11.1" "SANTAFE S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 15-0915.09 MRMI-naoecou Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 5 of 5 'rMIAMI-DADS COUNTY MIAMIDAWMII PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.goX1eco1om1 ICP Adhesives and Sealants,Inc. 12505 NW 44'h Street Coral Springs,FL.33065 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 blur,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,njodio,gor susl'd'the use •• • of such product or material within their jurisdiction. RER reserves the right to revoke Mis•llcceptano� �f it is fo m • •• determined by Miami-Dade County Product Control Section that this product or material fails' eet the requirements. of the applicable building code. •• This product is approved as described herein, and has been designed to comply with theo da Buitding`Code":". including the High Velocity Hurricane Zone of the Florida Building Code. "" "'o• . DESCRIPTION: ICP Adhesives Polyset®AH-160 ' *too LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,City, state add fnlldwing' statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. . RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales, advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA 16-0315.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.:17-0322.03 MADECOUNTY Expiration Date: 05/10/22 Approval Date:04/27/17 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset'AH-160 as manufactured by ICP Adhesives and Sealants,Inc.as described in this Notice of Acceptance.For the locations where the design pressure requirements,as determined by applicable building code,do not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat,low,and high profile roof tile systems using ICP Adhesives Polyset'AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications •••• ICP Adhesives N/A TAS 101 Two component polyiuethane fb&oaAesive••••;• Polyset'AH-160 "00:00 ' ICP Adhesives Foam N/A Dispensing Equipment"':" Dispenser RTF1000 ICP Adhesives ProPacV N/A Dispensing Equipment •••• Pe gel P .. .. ..�..� 30& 100 •••••• ' • PRODUCTS MANUFACTURED BY OTIiERS: •••••• • Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA•Vthi!list Ott "ent ' resistance values with the use of ICF Adhesives Polyset'AH-160 roof tile adhesive. • MANUFACTURING LOCATION: 1. Tomball,TX. PHYSICAL PROPERTIES: Prove Test R sul Density ASTM D 1622 1.6lbs;./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft' Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-40'F.,2 weeks +6.0%Volume Change @1580F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.:17-0322.03 CMIAMLAM MADecouM'ir Expiration Date: 05/10/22 Approval Date:04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Agencv Test Identifier Test Name/Repo rt Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 0141`dms see Trinity Engineering 7050.02.96-1 TAS 114 •• 03N14J46: •.,•:. P36700.04.12 ASTM D 1623 • 04/18/12 P39740.02.12 TAS 101 02/21/12. TAS 123 •.••.• '..'.:000000 ..••• ••0• *fee* Celotex Corp.Testing Services 528454-2-1 TAS 101 10/l3w, ••"" 528454-9-1 .•.••• • •• 528454-10-1 •••• 520109-1 TAS 101 •. 12/28/98 :•••• 520109-2 �' • 520109-3 •• 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating. 2. ICP Adhesives Polysee AH-160 shall solely be used with flat,low,&high file profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polysee AH-160 roof file adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.:17-0322.03 r wtaflaoe CO Expiration Date: 05/10/22 Approval Date:04/27/17 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polyset®AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset®AH-160. 2. ICP Adhesives Polyset®AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof rile assembly's adhesive attachment with the use of ICP Adhesives Polyset®AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. ICP Adhesives Polyset®AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and ICP Adhesives and Sealants,Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by ICP Adhesives and Sealants,Inc.ICP Adhesives and Sealants,Inc.shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the"A"component and the"B"component shall be maintaine �Kveen ••.•. 1.0-1.15 (A): 1.0(B). : ••• . 6. ICP Adhesives Polyset®AH-160 shall be applied with ICP Adhesives Foam Dispenser AT-1000 or IeP• ""' Adhesives ProPack®30& 100 dispensing equipment only. ••0:00 ' :+•••• 7. ICP Adhesives Polyset®AH-160 shall not be exposed permanently to sunlight. ' .... .. .. ..... 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 1 to 2 minute,,P l l+CP A4pes Qs "� • .... ...... Polyset®AH-160 has been dispensed •• •• • •+•••• 9. ICP Adhesives Polyset®AH-160 placement and minimum patty weight shall be in accortlanCe 3+ith the •••• • Placement Details'herein. Each generic rile profile requires the specific placement noted herein. :00000 '0000 ;•• •; NOA No.:17-0322.03 MIAM4DADE COUNTY Expiration Date: 05/10/22 Approval Date:04/27/17 Page 4 of 11 Table 1:Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course-Flat,Low,High All Eave Course 17-23 sq.inches 45-65 Profiles Flat,Low,High Profiles #1 17-23 sq.inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat,Low,High Profiles #3 Two Paddys: 8-9 sq.inches at 12 grams per paddy head of tile 9-11 sq.inches at overlap Two-Piece Barrel(Cap Tile) Two Piece 2 Beads(1 each longitudinal 17 grams per bead edge)20-25 sq.inches each bead Two Piece Barrel(Pan Tile) Two Piece 65-70 sq.inches 34 grams under pan Soso goes:* LABELING: '••' ••0•0 •• All approved products listed herein shall be labeled and shall bear the imprint or identifiable 0 �of the so 0 0 0 PP P �P p?��g manufacturer's name or logo and following statement: "Miami-Dade County Product Control A4W9ved"or the NVami-;•••0 Dade County Product Control Seal as shown below. 0 .: 00900 SSSS.. 99.. 00.00 r carat�-rr .s.. ... .. .. s9. - .0009. 0 0 . . . . . . . BUILDING PERMIT REQUIREMENTS: ;s s..• SSSS.. . . 00..0. As required by the Building Official or applicable building code in order to properly evaluate tlid installatitM 6j*s 0 • system. 0' MIAMaDADEC� NOA No.: 17-0322.03 _JAPPROVED Expiration Date: 05/10/22 Approval Date:04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL#1 aff tk4geffpllt pffl"awhr") Flat/Low Pro51e Tile �� eenwe•ap, 1. Starting at the cave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam _ paddy onto the underlayment positioned as shown, .. under the strengthening rib closest to the overlock t i r of the file being set. 2. Continue in same manner.Insure approximately 17 ` (109.7 cmZ)—23(148.4 cm)square inch adhesive _ contact with the underside of the tile. 1lt moi; :"�. Easels Eas•flaiur� Medium Profile/ Double Pan Tile Nail ihrmtgh ptasft cemem Iwher+r"piredl _pas"Y lBFA•rch Tani 1. Starting at the cave course,apply a minimum 2" K. - (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment sitionea as shown . ... ...... F mak under the pan portion of tl)e.!i q closest%o t ie •• • . -:.- r � a overlock of the file beingle.t... .. ...... 110 In 21f unsure approximately 1 Z••••• - _ .. �, ��•� 2. Continue in same manner. . Battens. ,nal tl ��-• }: ,.. 2 °'ia. (109.7 cm)—23 (148.4 c")%quare i"Ok ad�iesive•0.•• -'4 3 i- - " contact with the undersidefft%e tile. •••• ••%••' _ 9uim �'s aan i •• •• 0000•• •••••• �'�,� �u'�4.,r - � 0000•• • •• fans tteaueu • • • • -�' �• '' 000.00 LWO Eau a ___Fascia • • • • • • 0 • •0000• • • NAB Rhy uOplaflic5 - ia•� �1 High Profile/Single Pan Tile ��a�Awo eaatu�edl r' - _ 1. Starting at the cave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown i8 in.x '_ under the pan portion of the the closest to the overlock of the file being set. 2. Continue in same manner.Insure approximately 17 (109.7 cmZ)—23(148.4 cm2)square inch adhesive contact with the underside of the tile. r Eawa Coues• Fly DeiWcdge NOA No.:17-0322.03 MIAMFDADE COt1NTY Expiration Date: 05/10/22 Approval Date:04/27/17 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 r;etYi�.�ybR►ae9loeem•no Nddy1Ek-" 1hTdWj Flat/Low Profile Tile 1. Starting at the eave course,apply a minimum 2"(50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy .;�.._ onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set.Insure approximately 17(109.7 cm2) 23(148.4 cm2)square inch adhesive contact with the underside of the tile. AL V. 2. At the second course,apply a minimum 2"(50.8mm) A ,e :� Fara x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the a . - -�''-�::�= :,•- underlayment positioned as shown under the strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner.Insure approximately 10" (64.5 cm2)- 12(77.4 cm2)square inch adhesive contact with the underside of the tile. . . .... ...... Medium Profile/Double Pan'Itille •••• • Nail thresh p1as4ic wnena •••••• •• • •••••• ,:When Mquiredl • f' 1. Starting at the eave course dl3PlyV minimunf 2"(50.8' • urga�a ..e•', ;' ;..,�.�., __ � mm)x 10 (254 mm)x 1 (23.4'r'hm)foax4f padZy onto the underlayment positioned as shown under the 011'- pan portion of the rile close%t tv tp- overlo7 l of•the •••••• file being set.Insure approxjWtgjy 17(109.7 cm2)– •• 23(148.4 c square inch$dhesi a contact th the • ...... ` underside of the tile. BattM- 5 gna4 1 �` , ap • • • •••••• t •• • ••• • • • 2. At the second course,apply a minimum 2"(Nlmm) x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the ere„ underlayment positioned as shown under the pan portion of the file closest to the overlock of the tile �...c�,r.•_' .:==��•• —Fa.u;. being set. 3. Continue in same manner.Insure approximately 12" (77.4 cm2)- 14(90.3 cm2)square inch adhesive contact with the underside of the tile. (Instructions continued on next page) 19 MIAM4DADE COUNTY NOA No.:17-0322.03 � Expiration Date: 05/10/22 Approval Date:04/27/17 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2(CONTINUED) Nad 0ah P High Profile/Single Pan Tile i = ` 1. Starting at the eave course apply a minimum 2" 50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the the being set.Insure approximately 17(109.7 cm2)— a� -.- �r 23 148.4 cmzsquare inch adhesive contact with the underside of the tile. 2. At the second course apply a minimum 2"(50.8mm) • E.,4.01 '= :P�'" . ��` t'e' "�.,�;. x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the .tea r. underlayment positioned as shown under the pan 2 U,, ,:'.� '" :.s € . .•�, portion of the file closest to the overlock of the tile ''{ =': Ulip edge being set. 3. Continue in same manner.Insure approximately 17" (109.7 cm2)- 19(122.6 cm2)square inch adhesive contact with the underside of the tile. Goes . . fees 0696.6 •. . fee so s ..fess 0. s •6000. .... 9. .f 69ef. ...... 9000 ..... .. .. fee. ...... . . . e ...... ...... . . 000.60 f9 a ef. 9 000000 CSECOUr irr ENOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date:04/27/17 Page 8 of 11 ADHESIVE.PLACEMENT DETAIL#3 ar t ftoug}e ptastic cement Paddy Owmeen Wes) twhen rega#edt\ I 1. On the eave course only,apply a minimum 2"(50.8 satse�o at c I mm)x 10"(254 mm)x V(25.4 nun)foam paddy I P210Y lundff Me) onto the underlayment positioned as shown,under grgJepad# the strengthening rib for flat rile or under the pan antepoliwe portion of the file for low or high profile file closest ice`` o% y .,i to the overlock of the tile being set.Leave x41n. ` S- I.- �°` �>,, �, approximately 4"(10 1.6 mm)up from the eave sFnglepaddy un edge free of foam to prevent the expanded adhesive oaunderlayment 2X IM from blocking the weep holes. Insure approximately 17-23 int(109.7-148.4 cm2)of adhesive contact with the underside of the tile in. Pastia a. -ravveclosm PP 2. Apply 4 a "(101.6 mm)x 4"(101.6 mm)x 1" (25.4 nam)foam paddy onto the underlayment just below Rat LOW ProtlleTlle the second course line positioned foam paddy under the strengthening rib for flat tile,or under the lepaddyundW Ute pan portion of the tile,closest to the underlock for Raddyl6etweentaesi the second course file to be installed. Insure approximately 8-9 int(51.6-58.1 cm2}of a*&esive Battens paddy[urtderttteF •••• *00%0 contact with the underside gf tie tile. ...... .. . ...... w _ (Instructions continued on nextsaage) ontapdtlle •••••• ' 4X41n. 2x41n.`- R •••••• •••• ••••• tePeddgen �` _`� a� • • • • • • • • 1lD00. ,�".ti ,2 in. mss% • • • • •••••• Eave Closure i .0. i••••i •• • ••• • • • EaveCouFascia •i MWlum Profile THe NOA No.:17-0322.03 ratnrtMADE COutan Expiration Date: 05/10/22 Approval Date:04/27/17 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3(CONTINUED) NO chrw9h plw& Sstg1e paddy mWert& jwhmre"tred) _'�,i 3. Also apply a 2"(50.8 mm)x 4"(101.6 mm)x 3/a" Pa dy1betwamd1m) (19 mm)paddy on top of the eave course tile Mesas � � Paddy(under tl9ea surface as shown,on top of the strengthening rib a for flat the or on top of the pan portion of the tile, closest to the underlock of the first course of tile. ' Sim& y � ` F Install second course of tile.Insure approximately on 4Y4oti 9(58.1 cm2)- 11 (71cm2)square inch adhesive 2x4 t` contact with the underside of the tile at the overlap Won .� ._°' `'�� and 7(45.2 cm2)-9(58.1 cm2)square inch oa�e=- '• �� �- adhesive contact with the underside of the tile at `�' .- '`•, �.,�t the head of the tile.Continue in same manner. Ear Comse ` Famb �Sc� WeephdLe Ea�re dosore 99 inm t ia. �� � `�,� Drip edge High Profile Too sees • • • • sees •ss•es •••s•• •• • sees•• • sees •ses•• • • • • • sees •• •• •••s• •• •• sees ••••♦• • • • • • •0000• sees•• to see 0 s • NOA No.: 17-0322.03 MIAM4DADE COUNTY Expiration Date: 05/10/22 APPROVEDApproval Date:04/27/17 Page 10 of 11 ADHESIVE PLACEMENT DETAm Two PIECE BARREL Two Piece Barrel(Cap and Pan)Tile 1. Starting at the cave course,apply a minimum 2" ld t)Place enough adhesive to achieve Bs to 70 sq in. Steep pitch rion In cowith the pantile. (when required) ed) (50.8 mm.)x 10"(254 mm.)x 1"(25.4 mm)foam 2)Tum covers upside down.Place adhesive in paddy onto the underlayment positioned as to t In.horn outside edge ofcover life. shown under two adjacent pan tiles. Support eave Then install the tile.Ensure 20 to 25 s%In.contact area. -�,-.;° tiles from rocking until adhesive has a chance to undedarment �� ; cure. - '�, 2. Continue in same manner bringing two pan courses up toward the ridge.Insure approximately 65(419.4 cm)—70(451.6 cm2) square inch adhesive contact with the underside ' of the pan tile. Sheathing Eave closure , (mom fin) 3. Turn covers upside down exposing the underside weephole Fascia Board of the tile.Apply a minimum V(25.4 mm)x 10" (254 mm)bead of adhesive directly on the inner Remade top portion of the eave coupe cover tile.Abut to second course of edge of each side of the cover tile.b.4v8�+e4 6 pan tiles.Ensure eave end of pan and cover tiles are flush at ewe nne. approximately 3/4"(19 pm � 1"(2�4 mm) •••��• Two Piece Barrel-High Profile Tile from the outside edge qt 4.4le,i4K4,f=ee of a a 6 a:6 foam to allow for expapjj&. 0 • 8888 .8046. 4. Turn cover file over afforefe&is appliedand place onto pan tile courm..4aVe a minimurn of 20(129 cm)-25(161!3 ct&)square+ilfthi *000:* contact area on each siWdMe cover tie to the •a pan tile.Continue in same mAnner.xtix(aaway any cured exposed foa;a adA*sive.pointing of %4 6 6 646 . 6 longitudinal edges of the..cov.er files area.: considered optional. 5. When additional nailing is required,2"(50.8 mm)x 4"(101.6 mm)nailers or the tie wire system using galvanized,stainless steel,or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.:17-0322.03 f RAMMADEECoufvrr Expiration Date: 05/10/22 Approval Date:04/27/17 Page 11 of 11 SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As if pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations.Additionally,the following items should be addressed as part of the agreement between the owner ant the contractor.The owner's initial in the designated s ace indicates that the item has been explained. 2. Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior removing the existing roof system). 4. Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roaslocking can be viewed from below.The owner may wish to maintain the architectural appearance;thefafe" *09000 roofing nail penetration of the underside of the decking may not be acceptable.This provides the• fi.n of • maintaining the ap earance. •0..•• •0 ..••.• 660.06 • . • •006 • . 0 0 6. Overflow scuppers(wall outlets):It is required that rainwater flows'81%o that the foolls ". not overloaded from a buildup of water. Perimeter/edge wall or other roof eaten lip � block- s "" discharge if overflow scuppers(wall outlets)are not provided. It may be necess�s �tall ove�rfll w 6.66.• grYjg1 4 scuppers in accordance with the requirements of Sections R4402,R4403 and FF413. : . . ...0:• •00006 • . • • .f • • • 060000 Owner/Agents ig atureD to ntrac ignature Date U100 +vi& 66 Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015;