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RF-15-557
ENGINEERING ederal R-C�5-555 & TESTING INC. 250 SW 13th Ave Pompano Beach, FL 33069 Dated: Thursday, October 19, 2017 Eagle Concrete Corp. 3389 Sheridan Street, #154 Hollywood, FL 33021 RE: TAS -106 Tile Uplift Test ^, A� Proposed Roof: Esteban Residence 5 NW 106th Street Miami Shores, FL 33138 2f 15-55-4 Phone 954-784-2941 800-848-1919 Fax 954-784-7875 fed-eng.com RECEIVED OCT 252017 Order Number R17-691 In accordance with your authorization, Federal Engineering & Testing, Inc. has performed Tile Uplift Testing in compliance with Testing Application Standards TAS -106 and the Florida Building Code High Velocity Hurricane Zone on October 18, 2017 at the above referenced project. The purpose of our inspection was to determine the uplift capacity of the roof tiles for the residence at the above referenced project. The subject roof consisted of S -Shaped Clay Tile Foam Set. The pitch of the subject roof is 4/12. Our field engineer visited the site and conducted 3 uplift tests on the roof tiles. All tests were performed according to the Florida Building Code High Velocity Hurricane Zone and protocol TAS -106 using an lntercomp Scale Model CS200. The following is a summary of results: Field Test Results Test Number Test Location Field Uplift Pull Test Test Results 1 - 2 Corner See Attached Diagram 35 ± 5 Pounds_ Passed 3 Perimeter See Attached Diagram 35 ± 5 Pounds Passed N/A Field See Attached Diagram 35 ± 5 Pounds N/A N/A Hip/ Ridge See Attached Diagram 35 ± 5 Pounds N/A All test results were found to be in compliance with TAS -106 and the Florida Building Code The test results are limited to the tested areas. If other roof areas exhibit different conditions, it should be brought to our attention for remedial work. This uplift test is not a roof top inspection. A final roof inspection must be conducted by the building official for approval. The test results presented reflect the condition of the roof system at the time of the test. These results are time and sample dependent since roof conditions are continuously changing due to exposure to the elements. Federal Engineering & Testing, Inc. is an independent third party providing un -biased testing information and results and is not affiliated with our client nor do we have any financial interest in the project or determination of the test results. As mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. We appreciate the opportunity to be of service to you at this phase of your project. If you have any questions or comments, pleasegive us a call. It has been a pleasure working with you and look forward to doing so again in the near future. Keith LeBlanc, P.E. Federal Engineering & Testing, Inc. Florida Reg. .N6. 59394 Certificate of Authorization # 5471 Miami -Dade County Certification # 16-0203.07 Construction Material Engineering Council American Concrete Institute MIAM S COUNTY Miami Dade Florida Department County of Transportation a= 0.1 (w)= 0.1( 38 ') = 3.8 ' a= 0.4 (h)= 0.4( 12 ') = 4.8' Perimeter Dimensions = 4.0 ' Figure R301.2(7) Componet & Cladding Pressure Zones Corner Area: 32 S.F. = 2 tests Perimeter Area: 18 S.F. = 1 tests Field Area: N/A S.F. = N/A tests Ridge Caps: N/A = N/A tests Total Tests Performed: = 3 *All dimensions are approximate* Test Location Sketch ENGINEERING A N Federal Engineering & Testing Inc. 250 SW 13th AVE Pompano Beach, FL 33069 (954) 784-2941 Client: Eagle Concrete Corp. Test: TAS -106 Tile Uplift Test (Test location sketch is not to scale) Project: Proposed Roof: Esteban Residence Project Address: 5 NW 106th Street Miami Shores, FL 33138 J Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Issue Date: 4127/2016 Permit NO. RF -3-15-557 Permit Type: Roof Work Classification: Tile Permit Status: APPROVED Expiration: 10/24/2016 Parcel Number Applicant 5 NW 106 Street Miami Shores, FL 33150- 1121360060240 Block: Lot: ESTEBAN MATIAS STAVILE Owner Information Address Phone Cell ESTEBAN MATIAS STAVILE 2723 NE 6 Lane WILTON MANORS FL 33334- Contractor(s) LELACK CONSTRUCTION Phone (954)263-7120 Cell Phone Valuation: Total Sq Feet: $ 300.00 45 Type of Work: Re Roof Additional Info: 45 SQ FT ROOF SANTA FE TERRACOTTA C Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $0.60 $3.75 $3.75 $0.20 $250.00 $9.00 $0.80 $268.10 Pay Date Pay Type Amt Paid Amt Due Invoice # RF -3-15-54791 03/13/2015 Credit Card $ 50.00 $ 218.10 04/27/2016 Credit Card $ 218.10 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Review Roof Cap Sheet In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction 'ng. Futhermore, I authorize the above-named contractor to do the work stated. April 27, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date April 27, 2016 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2010 BUILDING Master Permit No:211 1c ^ ,6-576— PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC EOOFING Sub Permit No.1J Ej REVISION El EXTENSION El RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION El SHOP CONTRACTOR DRAWINGS JOB ADDRESS: °S Y1w City: to (}1^ S e-ck Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: "'1ff&w`%Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): E S S 4.k Phone#: Address: S huo f OG �' S T v -'t- City: 1MAam Loer�S State: r(.. Zip: 33 /So Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: t Cc LAS hi C 0-« h Address: 588 [/lam (h" �' W �r`1 Phone#: (4S/1 ` City: Pa.1-LlGvi State: t L Qualifier Name: V*11� c k -e 1 l� P C�_ Phone#: Zip: 330C4‘ State Certification or Registration #: o&C,(' i c- jV/ C LC. l3a"t )08 Certificate of Competency #: DESIGNER: Architect/Engineer: k.0 oe. . 3- P(,)()1 Phone#: 30 S 9C8 =-- a/ $' Address: I 3-31 sW SON {')^ 1 --eft c., C e_ ad City: (MX a i 1 State: r(.. Zip: ,3,3�`? Value of Work for this Permit: $ AiC,(ye%ati iN square/Linear Footage of Work: YS"ST Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ' sr vtaa C. Specify color of color thru tile: 54 ' I i.. $ t C ��`� ?',e f iot L s t' f Q c d i Submittal Fee $ v`' ' W Permit Fee $ de -0 W CCF $ 0. 60CO/CC $ 95 t� C' Scanning Fee $ ' ��) Radon Fee $ ' � � DBPR$ 3 `� J Notary $ 230 Technology Fee $0' 0 Training/Education Fee $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ .1 -- S55 TOTAL FEE NOW DUE $ 218, ( 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 a' ' a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this cr4IN day of M.4rc1' , 20 1< , by �Skerl C.Auct t , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print Seal: ei ++,% KYLE C HAMBRICK • ' •••c MY COMMISSION 0 EE861056 P1- • January 22. 2017 tact) + ts3 r,..kumot«rSKviaoo• Cr ****************************** APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this cD4r1 day of %./lci'cv‘ , 20 17 , by Le..1uck_ , who is per 1j known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ;,,tii•'�;.y:, yV1.F. C HAMBRICK EE867056 Sign: `'fr Pit:.5 January 22: 2017 �p ♦pt 163 Flcticiallot Service earn Print: t Seal: ***************************************************************************** Plans Examiner Structural Review Zoning Clerk BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 DBA: LELACK CONSTRUCTION Business Name: Owner Name: MICHAEL J LELACK Business Location: 6574 N. STATE RD 7 #160 COCONUT CREEK Business Phone: 954-234--117.0 Rooms Seats. Receipt #:2.-135 METAL Business Type: Business Opened:05/16/2011 State/County/CertlReg:CCC 13 2 910 8 Exemption Code: Employees • Machines `i5#r + Professionals For Vending Business Only Number of Machines: Vending Type: CONTRACTOR Tax Amount Transfer Fee NSF Fee Penalty. - - Prior Years -. _Collection Cost Total Paid 27.00 0.00 0.00 i 4.05 I 0.00` 0.00 31.05 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: MICHAEL J LELACK 6574 N. STATE RD 7 4160 COCONUT CREEK, FL 33073 This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2014 - 2015 Receipt *03A-14-00000841 Paid 11/06/2014 31.05 rin %%*SA nn nr1$ IMW i nr•A I rai ICIAI=CC TAY P r. IPT '4R o CERTIFICATE OF LIABILITY INSURANCE 3/13/2015DATE D� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 CONTACT Lisa O'Brien NAME: H.ONfJ Fxt)• (954)943-5050 FAX Nol: (954)942-6310 E-MAIL ADDRESS: Ilsa@furmaninsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Int' l Ins Co of Hannover PLC UABIUTY COMMERCIAL GENERAL LIABILITY INSURED LeLack Corporation, DBA: LeLack Construction 5888 NW 66th Way Parkland FL 33067 INSURER B : BINDER INSURERC: 12/3/2015 INSURER D: $ 1,000,000 INSURER E : 100,000Ea $ INSURERF: COVERAGES CERTIFICATE NUMBER:14 /15 GL • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SRN WVD POLICY NUMBER POUCY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITSINSP A GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY BINDER 12/3/2014 12/3/2015 EACH OCCURRENCE $ 1,000,000 PARENTED TX PREEMMI ESESS ((occurrence) 100,000Ea $ CLAIMS -MADE X OCCUR MEDEXP(Anyoneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: '71 POLICY n PR0 n LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB_ EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N/A WC STATU- OTH- TORY UMITS ER E.L. EACH ACCIDENT - - -- - - $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) GC License #CGC1514048 Roofing License #CCC1329108 CERTIFICATE HOLDER CANCELLATION (305)756-8972 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk DeJong/LT ACORD 25 (2010/05) INS02s rpm am) m ©1988-2010 ACORD CORPORATION. All rights reserved. The. A(11Rr1 name. and !nein aro raniefcrcrl marke of arnor1 Notice to Owner — Workers' Com p Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOB ACKNO DGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this By 1`c<3%A0v day of t L ,20 who is personally known to me or has produced SEAL: Jo. Lelack Construction 6574 N State Rd. 7 #160 Info@lelack.com GCG1514048 Coconut Creek, FL Licensed and Insured 954-263-7120 Date: 0'4101 / a.©tic State of Mot ; 3 ct County of paC)(t Before me appeared )-kirlrL(Q.\ who, being duly sworn, deposes and says: That he or she will be the only�V1 person working on the project located at: � Sworn to (or affirmed) and subscribed before me this 1 k4.\ day of hw , 2016 by 1"/\i�1.u-4\ Le\VO( ?; Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Applicatio Section A (General Information) Master Permit No. Process No. Contractor's Name 1,e Lack__ C v1 s k- J Job Address 111A.) b(214" ❑ Low Slope ❑ Asphaltic Shingles ki\k \ kAA‘I SiAtptel 33150 / ROOF CATEGORY CI" Mechanically Fastened Tile 0 Mortar/Adhesive Set Tile 0 Metal Panel/Shingles 0 Wood Shingles/Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ADC:°°° BY: Id New Roof 0 Reroofing 0 Recovering 0 Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) RECEIVED MAR 1 3 2015 ❑—Mails enanc 0 c-/ .5" L/5S3F= SECTION B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. L (f1). ° iNi` -13 1m C _ 111 C] r O —t-$ f1 p 3l: tC Cl . •r 3, (ii r ',s <":3ni i2TT1, • . • . • .. •• . . 11 . • • . • • • • • • • • • . . 1 • . • • L i • . • • D • . . • • • • • • • • alk .• . • • • . • . • • • • • • .. ••• • • . • • • • •lo• . • • • •• .• • • • •• •• ••• • • • ••• • • Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA") System Manufacturer: NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: Max. Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Maters. I: Fastener Spacing for Anchor/Base Sheet Attachment Field: " oc @ Lap, # Rows @ " oc Perimeter: " oc @ Lap, # Rows @ " oc Corner: " oc @ Lap, # Rows @ " oc Number of Fasteners Per Insulation Board Field: Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant , Base Flashing, Counter- Flashing, opi • Etc In ' ica - Mean Roof Height, Parapet Height, Heiof = . - Flashing, Component Material, Ma e al Thickness, Fastener Type, Fastener Spaci or Submit Manufacturers Details that omply 'th RAS 111 and Chapter 16. Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s): Ply Sheej faaepej/Bpndipg Ibatprial; • . . . . . . . . Top Ply...* ... .. . . . .. Top Ply Fastener/Bonding Material: . ... . ... . . . . . . . . . . acg: • •• • • • 0 • • • • Surf .. . ... . .. • . • • • • ... . . . . ... . . • • • • . • • • ... . . • • . • • . . • • . . • •. .. . • • .. .. 000 . . . 000 . . FT. Parapet Height FT. Mean Roof Height -This 15 C Imo- oUe(k.. a Vrew Fv v>> 00 01- Oree,/ Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: Scnta F E Product Approval Number: ' JO v 12--N-10.0 I Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: P2: P3: Maximum Design Pressure ?? Product Approval Specific System: 3/ ` Z8 Method of Tile Attachment: 1-6)0 g SC‘r,r w S Roof Slope: : 12 Steep Sloped System Description Deck Type: IgI�Z C6K elYwud4 Type Underlayment: Insulation: Fire Barrier: la} Ridge Ventilation? .. ... . . . .. .. Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: • ••• •'• • . ••• IA Mdari float; Pe%ht::: ILI• • ... . . •• • .• • . . .. • . . . .. • ... • ... • . •••. • .. • . . • • . .. . ... .• . • ... . . • . • . . • . • • . ... . • . • • . . . . • • • • . • • .. .. • • • .. .. 4000 . . . 000 • . T"rN( 1716-5 Pec4I d- Snick Roof Covering: Type & Size Drips Edge: cx3 �� Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mr values are greater than or equal to the M, values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (PI: x A =) - Mg: = Mr, Product Approval Mf (P2: x X =)- Mg: = Mr2 Product Approval Mf (P3: x A = ___) - Mg: = Mr3 Product Approval Mf Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below 3d, Product Approval Mf 3�• Z€ Mf Required Moment Resistance* Mean Roof Height -- Roof Slope j 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32. 34.4 36.0 37.4 39.8 4:12 (30.9.2 32.2 33.8 35.1 37.3 5:12 . • . E'• • 30.1 31.6 32.8 34.9 28.4 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the F, values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P,: x 1: = x w:= ) - W: x cos 0: - = Fr, Product Approval F' (P2: x 1: = x w:= ) - W: x cos 0: - = F2 Product Approval F' (P3: x 1: = x w:= ) - W: x cos 0: - = Fr3 Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 • • • • • Weary Root Height . • a Job Site • • • • ; RQof iSloQe : •• 0 Job Site • _ Aterfodtnafiic•Multiplr ' •% Product Approval Rssloring•Momentdae toGravity 1 • •M9 Product Approval Attachment Resistance Mr Product Approval Required Moment Resistance M, Calculated f tifipirrlu$r•Attachyri:4t R•eisiance . • . E'• • Product Approval ' • • 110quirgd efQlift Retstange ' • er : Calculated _: • • Aven.gg Tile ?eight 1: • • W • Product Approval Tile Dimensions l =length w = width Product Approval AlLcgajculations rpusLb _sut2rpitted•o the puilding Official at the time of permit application. • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• 4100 • • • 000 • • DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Eagle Roofing Products, LLC. 1575E.CR470 Sumterville, FL. 33585 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami. Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 ww•n-.miamidade.Qov/pera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted maturer, the manufacturer will incur the expense of such testing and the AHJ may inunediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Eagle Seal Underlayment 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. TERRMINATION 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. INSPECTIO.N:: , co y.of this eruire:Y OA shall be provided to the user by the manufacturer or its distributors and shall be avaikble fob i 1s$eltiin t, he job site at the request of the Building Official. •• ••• • •• • • • • •• This NOA consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. • • . . •.. • • . •• •• •• ••.• • • • .. .• • • •• • . • • • .. • . ••.• .•. .• ..•• • • y .. c • .thy tPPRCV D ... • • • • • • • • • • • • • .. • • NOA No.: 11-1011.05 Expiration Date: 03/03/15 Approval Date: 02/02/12 Page 1 of 4 ROOFLNG COMPONENT APPROVAL Cateaor : Roofing Sub-Cateaory linderlayment Material: SBS TRADE NAMES OF PRODUCTS 1LANUFACTURED OR LABELED BY APPLICANT: Product Eagle Seal Test Product Dimensions Specification Description 3' x 33.4' rolls TAS 103 Self -adhering, non -woven fiberglass 3' x66.8' rolls mat reinforced membrane for use as an underlavinent in high temperature sloped roof assemblies. MANUFACTURING PLANT(S): 1. Tuscaloosa. AL EVIDENCE SUBMITTED: Test Avenel- Test Identifier Test Name/Report Date PRI Construction Materials BWR-514-02-01 ASTM D 1970 09/04/09 Technologies (rev) PRI Construction Materials VRMI-011-02-01 ASTM D 1970 03/30/09 Technologies PRI Construction Materials B\VR-511-02-01 ASTM D 1970 09/29/09 Technologies PRI Construction Materials B«R-511-02-01 ASTM D 4798 09/29/09 Technologies PRI Construction Materials BWR-522-02-01 ASTM D 1970 03/16/10 Technologies PRI Construction Materials BWR-513-02-01 TAS 103 02/19/10 Technologies BWR-518-02-01 .. ... . . . • • • • • • • • . • .. ••• .. • • • .. • ••• • ••• • • •• . . •• • • •• • . . • • •• .• • •• • • •• . . •• ••• •. • •• .•. •. ••• •• •••• • ••• • • . • MIAMI ► • * C. • • • f9PRCY°o • • •' • • •.• • • • • ••• • • NOA No.: 114011.05 Expiration Date: 03/03/15 Approval Date: 02/02/12 Page 2 of 4 APPROVED ASSEMBLIES: Deck Type 1: Wood: non -insulated Deck Description: 39I;2" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck, membrane adhered. Base Sheet: Membrane: Surfacing: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4" side lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the laps and nvo staggered rows 12" o.c. the field of the roll. * In the Non-HVHZ area a Base Sheet is optional. One or more plies of Eagle Seal underlavment with a minimum 4" side lap and 6" end lap. Approved Roof Assemblies. See Limitation #3. .. ... . . • . . • . • • . • • •. ..• .• . • . .. • .•• . •.• • • •• . • .• • . •• . . . • • . •• .• . .• • . •• • • •• • ••• .• • •• ... •• ••• • •••• • ... • • • •• M• 6•► C• f • • • • • • t?PRCV'•D • •• •• ••. • . ..• . • \OA No.: 11-1011.05 Expiration Date: 03/03/15 Approval Date: 02/02/12 Page 3 of 4 LIsIITATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimutn deck requirements shall be in compliance with applicable building code. Eagle Seal underlayment shall be installed in strict compliance with applicable Building Code. 3. Eagle Seal underlayment may be used in asphaltic shingles, metal panels, wood shakes and shingles, quarry slate, and tile roof assemblies. 4. Eagle Seal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over a roofing Base/Anchor sheet underlayment. 5. Eagle Seal underlayment shall not be left exposed as a temporary roof for longer than 90 days of application. 6. Refer to Prepared Roofuia system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 7. Eagle Seal underlayment may be used with any approved roof covering Notice of Acceptance listing Eagle Seal underlayment as a component part of an assembly in the Notice of Acceptance. If Eagle Seal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami - Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products: wind uplift resistance, and fire testing results. 8. Eagle Seal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 9. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 10. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 11. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 12. All protrusions or drains shall be initially taped with a 6" piece of underlaytnent. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Eagle Seal underlayment shall be applied over the underlayment. 13. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. 14. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMIOADE COUNTY APPROVED •• • . • ��END OF THIS ACCEPTANCE . • • •. ... .. . . . •• • ... • ••. • •• • . .• . • •• . • •. •. .. . .• • • •• • . •. . ••••. . •. •.. •. ..• . • .•.• • MIAM •M. C•U ie A?PRC'/:D • ••. . . • • . • . . • • • • • •. •• ..• . . NOA 'No.: 11-1011.05 Expiration Date: 03/03/15 Approval Date: 02/02/12 Page 4 of 4 MIAMI•CAD€) •r.�,�*� -� \11.\\1I•n\1)t:(Ot r\ i'It01►1 (T ( O\`i ROt..t'("I I(1\ nr1‘ft 1\iI„\"TOUt'1.K\it'r)l\F\\IRO \\IL\1.1\1)Rr(.1 1..1101(\ (Ft•UI( livek.t) i!Sn;'trent. 11(1_Allii VA1)( ()il1•..ADAIIvIsFI1Vl1Ov IPIA INION NOTICE OF ACCEPTANCE (NOA) S:intal'e Tile Corporation 8825 \\\ 95'" Street Hedley. FL 33178 \Mann. I Iona 33 t;;-2474 , t, lad:: 1cr SCOPE: I his NOA is beings issued under the applic,ible rules and regulations governing the use or c(lristructiolm tii.lteri,lls. The documentation submitted Iws been reviewed and accepted by \liami-Dade (.('ini\ I'LI{/\ - Product Control se..l ion to be used in Miami Dade ountt and other areas where allowed by the Authority Having Jurisdiction (A11)t_ Ibis `:C):\ ,hall not be valid atter the es:pir:i':i(i date stated below. The `li:ttni-Dade Counts Product Control Section (In ;Miami Cade County) and'or the .`\11.1 (in ..rreas other than A1tanu Dade County) reserve the right to have this product or material tested t(lr quality asstttanc purposes If ;his product or material fails to i rtiwin in the aceepted market, the manufacturer will incur the expense of such icstin and the A111 may immediately revoke. modify, or suspend the use of such product or material within their Jurisdiction. I'ERA reserves the right to revoke this acceptance. if is determined by :Miami -Dade County Product Control Section that this product or material fails to sleet the requirements of the applicable building code. I his prodiie1 i , approved :is described herein. :Ind has been deiiited iii . 'n1p1� u ih till 1'tot Id:1 Buiktilu code including the High \ elcicit\ F1urrivatie /one ot the Florida Building Code DESCRIPTION: Santafe Spanish `S' Ctav Roof Tile LABELING: Each umt shall bear a permanent label with the marliraiturer's name or logo. env. statelrient: "\lianli-Dade County Product Control Approved". tireless otherwise suited hcretn rid t1)110\\ 1t1_ BENE\\'AL of this NOA shall be considered :after a renewal application has been tiled and there has been no change in the applicable budding code negatively affecting the performance of this product TER\1INATiON of this NOA wtil occur after the expiration date or if there has been a revision or change in the tndteri.tls. use. and.,lr manufacture of the product or process Misuse ot this Nt(.)r\ as an endorsement of any product. for sales. ;id\el:tsing or any other purposes shall automatically terminate this NOA Failure to eompi\ with any section of this NOA shall be cause for termination and removal int NOA ADVERTISE\1ExT: The N(iA number pieveded t*\ the 1N (k '\liatni-D.idc County. I lori.Ia.:end tciiluv\c l I=\ die. evpi aeon dare may be dtspfav ed in .ttiveriisitt literature ifanv portion ot the NOA is dtsplaved. then it shall be done to its entirety 1 \.SPECTION: \ copy of this entite \(.►A shall be provided to the user shall h.' a\ til=t i.te ”.: it:s1':cLitr t t c .earl site at the request of the Builii • • •• • • • • • • •• • • • • ••• • 1 hes repla ccs •\01V I(!-1+)ilk• '> c t lists ot pages 1 throueh the submitted documentation was reviewed h\ Alex Figera, • ••• • ••• • • . •--..,.ti• • • • • • • . • • • • M1AM1•t)At! CO!INT•� • • • • • �:• e •• • • 1 Sl. ••. • ... ••• • • • • ... • . • • • •• • • • • • ••• •• •• . •• • •. • • •••• •• • • . . ... . • • •• ••• . . • • . .• •. [lie inalltna:tuler or its distributors and Mlticiut. \O:'. No.: 12-02111.01 Expiration [),te: 1)2 0I!I( \pprrrval late: 0511r12 Pals 1 of 5 RooHNG ASSES-iBLY APPROVAL Cateaorv: Roofing, Suh-(. tetlorv: Rotting Tiles Material: t''la' Deck Ts pe: Wood . SCOPE This .tppro'es a tooting ')stem using Santa Fe ..Santali: 'S" C lay Roof Tile. as manufactured h) Ladritter.i Santate S A in Bogota. Colombia and distributed by Santale Tilt Corporation .is described in Section 2 ul this Notice of Acceptance. For locations it here the pressure requirements. as determined h' applicable: Budding Code does not exceed the design pressure'atues Obtained h' calculations in compliance vvIth RA' 127 it,int the 'aloe~ listed in section 4 herein l he attachment calculations shall he done as a moment based scarp(. 2. P1-0)I)1..Cfi UESCRIP'i'loN Manufactured h. 'rest Product :lppticant Dimensions Specifications Description '.•ntate 'S' C. lay Roof L. = 1F" 1 As 112 he piece high profile cid) 1 poi isle eyuippeJ "itis Tile \1- = 11.1' n.t' nail hold For nail -on. mortar set and aJhca'e set applications. Trim Pieces 1,- varies 'FAS 112 Accessory trim. clay roof pieces for use at (tips. .. = Varies rakes. ridges and valley terminations. \I;tnufactureJ 'an'ine thickness for each the profile. 2.1 'MANUFACTURING LOCATION 1. 1 ognja. t"Olnnthia 2.2 S1'10•11TTED EVIDENCE Test Att encu 1 he Center tot Applied 13ngincering. Inc. The Center for Applied Engineering, Inc The Center for Applied t_ngineering. Inc. Redland Tech 'lollies Redland Technologies Redland l ec;.'='It 1{4- • • • . . • . . . •. • • • • • • • • • •• • M..•R •• • • t:� • • ��Tt .• • . • ... . • • . •.• • • • • • . . . • • • . • ••• • . • • • • • • . • • • • • •. •• • • • .. .• .•• • • • ••. • • Test Identifier Test Name/Report Date o.1 -150-S TA S 101 112, 1994 94-15t,-0 (-As 102 _15-7'05-1 1 AS 101 MAR -11109s Project- 0174)74►t)-+iI TAS 1111.1 Sept. 199-' t_.1't1:1 71(1-0 f AS 108. Dec. I`)t11 Appendix 11 1\ait-C�)nt 710 1-03 Siitic Uplift Testing nee. 1991 Appendix 111 TAS 102 c TAS 1022(A) P 0402 \\'itttcira'st+I Resistance cert. 190 Toting of Sct2.' ' • sn1 )ttih shank nails NO \ No.: 12-021(1.01 L'piration Date: 0201 lr 1 b Approval Date: 05/31112 Page _2of5 2.1 tit BM11TTEI) EVIDENCE Test Allencc Redlatad Technologies Test Identifier P t06 7-01 Redland Techgrtio< les P 0631-01 t. elotex Corporation] esting Ser% ices IBA Consultants. Inc. PRI :Asphalt Technologies. Inc. 111A t iutcultsttt•. inc, 113A t ott,ilihaltts. int IBA t. crnstiltants, Inc 52010;-01 thea 05 2353-4 S1='1'C-0fl):-t0'-01 2)51-91 Test Name/Report hate T \5 10S \ tit! 199-1 t 'Mortar Sie) PA IOS Jul\ 1094 (mortar Set) PA 102 June 19Q0 Resturine \lcintent Auo. I t>oc► fAS 101 12,06'01 FAS 101 rtni,.„ ( 3 1•AS 11': tic)_'2 .0 ,\S1 y1 t_ 111.- 07 IX iii 3. LD1lTATtoNs 3.1 Fire classification is not part cel this acceptance. 3.2 For mortar or adhesive set the applications. a ,tatic field uplift tcs shall he performed in accordance with TAS It1h. 3.3 Applicant shall retain the services of a \liami-Dade Count) Certified 1 thorator) t,.i pertorm quarters) test in ,act•ord Ince ccith 1 AS 1 12. append'v 'A• Sltclt testing: shall he enhluttted to the Building Code C: Cntplitan:e Office for re' iec% 3.4 \finiotuni underla)ment shall be in compliance +cith the applicable Roofing Applications Standards listed se tion 4.1 herein. 3.; 30 00 hilt mopped underlayment applications trate he installed perpendicular to the riot slope unless stated oihemiisc by the to:Jeriacincm material t anulactur-vs published literature. 3.6 Fins acceptance is for wood deck applications. Alimmurn deck requirements Chaff be in compliance ccith applicable building cock. 3.7 Nix.' be installed on slopes 7:12 and }greater. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance ccith Roo 112 .ApplI ation Standard RAS 115. RAS 1 1 9 and RAS 120 4.2 Data 1 or Attachment Calculations ns •• ••• • • • • • •• • • • • • • • • • •• ••• •• • • • •• ••• • ••• • • • • • • • • • • • • • MIAMI -DA.. COtINT? • • • • • • • l iar;I.._, •• • ••• • • • • • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• • • • • ••• • • '.0.1 No.: 12-0210.1)1 Expiration Date: 0211)1'16 :\1proval [).ate: 05(31/12 Page 3 of 5. Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (Ibf) I Length -I (ft) Width -w (ft) Santafe S 6.7 1.5 0 958 •• ••• • • • • • •• • • • • • • • • • •• ••• •• • • • •• ••• • ••• • • • • • • • • • • • • • MIAMI -DA.. COtINT? • • • • • • • l iar;I.._, •• • ••• • • • • • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• • • • • ••• • • '.0.1 No.: 12-0210.1)1 Expiration Date: 0211)1'16 :\1proval [).ate: 05(31/12 Page 3 of 5. Table 2: Aerodynamic Multiplyers-- X(ft3) Tile Pr ofile Santafe 'S' 3F (ft3) Batten Application 0.274 (ft3) Direct Deck 0 2977 j Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile ° 2":12" Profile 3":12" 4":12" 5":12 6":12" 7":12" or greater Battens Direct Battens Direct Battens Direct Battens Deck , t Deck + Deck Santafe 'S. 5.93 i 5.90: 5.85 5.82 ' 5.73 5.69 5.56 Decut Battens i D_rect Battens ; D rect Deck ; Deck Deck 5.53 5.32 5.29 5 03 5.00 Table 4: Attachment Resistance Expressed as a Moment • Mf (ft-Ibf) for Nail -On Systems Tile Profile j Fastener Type Santafe S 2-10d.Ring Shank. Naas One #8 Screw Two #8 Screws One #8 Screw w/ C!ip Direct Deck ( Battens 218 N/A 2916`: NIA Two #8 Screws wI Cllp Approved screws as noted 'Product manufactured by others' 7 Wnen esrn= one screw rt must be installed in ,he "side hole located nearest to the hump of the tile 38.28 5731'` 57.60 N/A N/A 61 77. 1 Table 5: Attachment Resistance Expressed as a Moment Mt (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe S' i Tile Bond_ { 38 9' 28.5- _ __ ..r.�... Polyfoam Polypro AN i50'" __L_ 2 See manufactures component approval for rnstal'auon reaurrements Polyfoam Polypro AH 160'`' 3 Flexible Product Inc Average weight per paity 10.4 ararrzs. Polvfoarn Product Inc. Average we:ctht per patty 9 4 warns_ Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile t Tile Application Minimum Attachment Resistance Santafe S' Polvfoarn Polypro AN 160'x' ? S3.8t 61.9 Polyfoam Polypro AH 160'`' 5 Paady placement of 53 Drams 3f P) ro AH '50-Y 6 Paddy placemenr of 24 crams of Po.'ypre AN '£0-" Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) .. ..• • • • • • •• • 4or Mortar or Adhesive Set Systems Santafe 'S' ..' • .0 •• • •• J.' Tile Profile Application Morar Set Attachment Resistance 23 6 ••. • ••• • • • • • • • . • • •^• • • • • • • • • • • •• . • • •• • ••• • ••• • • • • • • • • • •• • • • ••• • • • • • • • ••• • • • • • • • • • • • • •• •• • ••• • • "OA No.: 12-0210.01 Expiration Date; 022!01116 Approval fate: 05'31/12 Page -1 of 5 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or lot=o as shovn belox%. or folio,,ing statement: ' li;Inti-Uade County Product Control .Approved - SANTA FE TM MADE IN COLOMBIA i.,.ABt.1. WEI S \\ A FL sr.A'tstl •`S.. (*LAI ROOF TtLL 6. Buu.1)iNc 1'F:1tyu`c RI:Qu1Rr.N1F:NTs 6.1 \pplt.ation for building permit shall be t. ompani,d (pies ul the rolto„in 6.1.1 This Notice of Acceptance.. 6.1.2 Any other docuMents required bti the C3utldine,, l )Ificial oI applicable buildtnu rode in order lo properly evaluate the installation of"this s), stern. 18" PROFILE DRAWING When using one screw use this hole. 11.1" "SANTAF `" (Tial RO0F TILE: •• ••• • • • • • •• • •• •• • • • ENDO THIS ACCEPT -NV t • •• ••• •• • • • •• • ••• • ••• • • • • • • • • • • • • • • • M►AMI DAO• CO•INT• • • • • • • •• • • • i•• • ••• • APINAECt ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 'O.% No.: I1-0210.01 EiI)iratittn tate: 021(1I116 \pprrti%al Hate: 05/31/12 Page 5 of 5 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2015 THROUGH SEPTEMBER 30, 2016 DBA: Business Name: LELACK CONSTRUCTION Owner Name: MICHAEL J LELACK Business Location: 6574 N. STATE RD 7 #160 COCONUT CREEK Business Phone: 954-234-1170 Rooms Seats Employees 5 Receipt #:ROOFING/SHEET METAL CO Business Type: Business Opened:o5/16/2011 State/County/Cert/Reg:ccc i 3 2 910 8 Exemption Code: Machines Professionals For Vending Business Only Number of Machines: Vending Tvoe: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it Is in compliance with State or local laws and regulations. Mailing Address: MICHAEL J LELACK 6574 N. STATE RD 7 #160 COCONUT CREEK, FL 33073 2015 - 2016 Receipt *30A-14-00008240 Paid 09/30/2015 27.00 CTOR