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RF-17-2376iami Shores Viiiage Building Department RE: Permit# F- 10-11-231(j INSPECTION AFFIDAVIT -ThoN 1 Gl 1banc , licensed as a (n (Print name and circle License Type) License #: C.-CC I'330Co 2-q On or about (0 / 12- 1 (Date 8 time) work at Z Z. NW 105 Stir ee-t- , M i 0.rrt i bhp rCS (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 10 / 121 11 FS 468 Building Inspector ngineer / Architect, Signature State of Florida County of Dade: , I did personally inspect the roof deck nailing The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large 12 day of OM be r Gretchen MeY1efd NOTARY PUBLIC STATE OF FLORIDA Comm FF916579 Expires 9/9/2019 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection aei,iccrl nn /7/1/1/')111A\Ff)1/'N111O ENGINEERING ederal 8 TESTING INC. 250 SW 13th Ave Pompano Beach, FL 33069 Dated: Friday, December 8, 2017 David Bange Roofing, Inc. 6851 SW 21 st Court, Suite #1 Davie, FL 33317 RE: TAS-106 Tile Uplift Test Proposed : Pat Whalen Permit'-10-17-2376 22 NW 105th Street Miami Shore gj. 3 Phone 954-784-2941 800-848-1919 Fax 954-784-7875 fed-eng.com Order Number R17:805 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 December 7, 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 Flat Concrete Tile Foam Set. The pitch of the subject roof is 5/12. Our field engineer visited the site and conducted 51 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 Intercomp Scale Model CS200. The following is a summary of results: Field Test Results Test Number Test Location Field Uplift Pull Test Test Results 1 - 13. Corner See Attached Diagram 35 ± 5 Pounds Passed 14 - 34 Perimeter See Attached Diagram 35 ± 5 Pounds Passed 35 .- 45 Field See Attached Diagram 35 ± 5 Pounds ,° Passed 46 - , 51 Hip/ Ridge See Attached Diagram 35 ± 5 Pounds Passed 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 cominents, p1eace give us a call. It has been a pleasure working with you and look forward to doing so again in the near future. Sihct;rely, 1;4_ .-Keith LeBlanc, P:E Federal Engineering & Testing, Inc. Florida`'Reg. No'. 59394' 'Certifieate;of Authorization # 5471 :Miami -Dade CountyCertification # 1670203.07 Construction Material Engineering Council American Concrete Institute Miami Dade County Florida Department of Transportation _a -_ .1 - _1 ---.4_ J 4---1.._1 i_..,_l !"_._{P }. , 11 I I ! t- titer i 1 )1 , 1) I 1i f i .3d 1 I i 1 3r'. i I s r c1,r a= 0.1(w) = 0.1( 47 ') = 4.7 ' a= 0.4 (h)= 0.4( 20 ') = 8.0 ' Perimeter Dimensions : 4.0 ' Figure R301.2(7) Componet & Cladding Pressure Zones Corner Area: 208 S.F. = 13 tests Perimeter Area: 600 S.F. = 21 tests Field Area: 1292 S.F. = 11 tests Ridge Caps: 116 = 6 tests • Total Tests Performed: = 51 ENGINEERING d N *All dimensions are approximate* Test Location Sketch Federal Engineering & Testing Inc. 250 SW 13th AVE Pompano Beach, FL 33069 (954) 784-2941 Client: David Bange Roofing, Inc. Test: TAS-106 Tile Uplift Test (Test location sketch is not to scale) Project: Proposed Roof: Pat Whalen Project Address: 22 NW 105th Street Miami Shores, FL 33150 j Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. RF-10-17-2376 Pennrt Type: Roof Work Classification: Tile Permit Status: APPROVED Issue ate: 10/5/2017 Expiration: 04/03/2018 Parcel Number Applicant 22 NW 105 Street Miami Shores, FL 33150-1242 L 1121360131170 Block: Lot: WHALEN GROUP, LLC Owner Information Address Phone Cell WHALEN GROUP, LLC 22 NW 105 Street MIAMI SHORES FL 33150- (305)710-6801 22 NW 105 Street MIAMI SHORES FL 33150- Contractor(s) DAVID BANGE ROOFING Phone (954)435-7663 CeII Phone Valuation: Total Sq Feet: $ 18,000.00 25.83 Type of Work: Re Roof Additional Info: RE -ROOF TILE Classification: Residential Scanning: 3 Fees Due Bond Type - Contractors Bond CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - New Roof Scanning Fee Technology Fee Amount $500.00 $10.80 $3.75 $2.50 $3.60 $5.00 $250.00 $9.00 $14.40 Total: $799.05 Pay Date Invoice # 10/05/2017 10/05/2017 Bond #: 3519 Pay Type RF-10-17-65243 Check #: 1348 Cash Amt Paid Amt Due $ 749.05 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Renailing Affidavit 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 and zonin. uthermore, I authorize the above -named contractor to do the work stated. October 05, 2017 Autho nature: Applicant / Contractor / Agent Date Building Department Copy October 05, 2017 1 BUILDING PERMIT APPLICATION 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 5 (-4 FBC 20 l"L{ Master Permit No P Sub Permit No. El BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 2 2 N IN) 105 Str t City: Miami Shores(_ C') County: Miami Dade Zip: 33 15 Folio/Parcel#: I I 2136 re-015 - 1 1710 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: , `'. Flood Zone: ,� BFE: FFE: OWNER: Name (Fee Simple Titleholder): N1 t C 1' ► . i vV r L� \..+ 'Phone#: Address: 22 V) t1`,1�i ) Strf7a _ City: l`� l )l rn\ Sf o(C State: E L Zip: 331O Tenant/Lessee Name: Phone#: Email: CONTRACTOR:/,Company Name: » l ` JU J(I Phone#: q 55.7 L963 Address: (tf Com) I 5 W\ 2t st C- ) % I / City: Tx1V t C State: FL zip: 314351003 3± U 1 Qualifier Name: �• JCS id E?jO p ►7y( Phone#: Q5'1 g State Certification or Registration #: CCC I ��x)(L 2,(7 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Type of Work: 0 Addition Description of Work: Alteration ❑ Nev! 2� rapt -F f Square/Linear Footage of Work: 25.b ?j i` ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: V Submittal Fee $ 50 co Permit Fee $ Z.SO * ts? CCF $ (0 ^ SC) Scanning Fee $ 9 Radon Fee $ Z . SO Technology Fee $ 14 -40 Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) 3.6c CO/CC $ DBPR $ 3 -1 S Notary $ 15 • O7 Double Fee $ ACZ Bond $ TOTAL FEE NOW DUE $ O 9 9' 0 S 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 inspect' wiH ne . e approved and a reinspection fee will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this El day of `Sepm bcY, 20 1A , by �.Al�l hlJ Cf,INho is personally known to me or who has produced V tI-- identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ewe_t _r 41. 1`M dut 1 1Vir d Seal: APPROVED BY (Revised02/24/2014) NOTARY PUBLIC STATE OF FLORIDA Comnm FF916579 as Signature NTRACTOR The foregoing instrument was acknowledged before me this .2:1 day of SCO-C. Y11)'r0 1 , by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner I+�I (e,�c'� Nc.)..trAck �d Gretchen Maynard NOTARY PUBLIC STATE OF FLORIDA E)tM111# feip eery******************** Expires 9/9/2019 Zoning Structural Review Clerk OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-013-1170 Property Address: 22 NW 105 ST Miami Shores, FL 33150-1242 Owner JOSEPH MARIN &W ALBA Mailing Address 22 NW 105 ST MIAMI SHORES, FL 33150-1242 PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/2 / 0 Floors 1 Living Units 1 Actual Area 2,138 Sq.Ft Living Area 1,834 Sq.Ft Adjusted Area 1,981 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1939 Assessment Information Year 2017 2016 2015 Land Value $198,007 $166,118 $166,118 Building Value $137,878 $137,878 $137,878 XF Value $3,792 $3,841 $3,108 Market Value $339,677 $307,837 $307,104 Assessed Value $115,515 $113,140 $112,354 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $224,162 $194,697 $194,750 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 5 PB 10-47 LOT 6 & E1/2 LOT 7 BLK 125 LOT SIZE 75.000 X 123 OR 11738-854 0383 1 Generated On : 9/28/2017 Taxable Value Information 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $65,515 $63,140 $62,354 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $90,515 $88,140 $87,354 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $65,515 $63,140 $62,354 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $65,515 $63,140 $62,354 Sales Information Previous Sale Price OR Book -Page Qualification Description 03/01/1983 $73,000 11738-0854 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/iinfo/disclaimer.asp Version: Prepared by and return to: Kevin Daniel Plotkin, Esq. Managing Attorney Plotkin Law Firm, PA 2500 Hollywood Blvd., Ste. 411 Hollywood, FL 33020 954-541-9888 File Number: Whalen Group 22 (Space Above This Line For Recording Data] Warranty Deed This Warranty Deed made this / day of S , 2017 between Joseph Marin and Alba Marin, husband and wife whose post .office. address is PO Box 530853, Miami Shores, FL 33153, grantor, and Whalen Group, LLC, a Florida limited liability company whose post office address is 250 NE 191st St., Miami, F'I 33138, grantee: L+, (Whenever used herein the terms "grantor"; and "graltee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and'aisigns of corporations; trusts and trustees) N., Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor inhand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 6 and the East 1/2 of Lot 7 'Block 125, AN:AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES, according to the plat .thereof, as recorded in Plat Book 10, Page 47, Public Records of Miami - Dade County, Florida. Subject to taxes for 2017 and subsequent years; covenants, conditions; restrictions, easements, reservations and limitations of record, if any. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor . hereby . covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the : lawful claims of all persons whomsoever;" and that said land is free :.of all encumbrances, except taxes accruing subsequent to December 31, 2016. Double11mee Whalen Group 22 Warranty Deed Pg. 1 Whalen Group 22 Warranty Deed Pg. 2 In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above ..writteii Signed, sealed and delivers in'our presence:.x" Witness Name: Witness Name: State —Of Florida Count'ofBr'oward The foregoing instrument was. acknowledge be Marin, who.[_] is/are personally known or Alba Marin emethis / .. day of have/has produced a. government issu 1, o Printed Name: , w I •-;';'Fi.r.,„ . ., . ` °%s KEVIM.PWTKH4 i` 1"i. MY' COMMISSION.#.f?F11 3 EXPIRES.Apri1 21, 2018 No7I:396-0t59 FlorldallotarySenicecom ,sat Seal)' .,'�.• . . `(Seal) Q 17, by Joseph "Marin and Alba Y Jr cat1on. HUD-1 A. Settlement Statement U.S. Department of Housing and Urban Development OMB No. 2502-0265 E Type of Loam Q 1. FHA O4.VA O 2. FmHA Q 5. Conv. Ins. 0 3. Conv. Unins. 6. File Number Whalen Group 22 ID: 7. Loan Number e. Mono. Ins. Case Num. C. NOTE: This form is few to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked '(p.o.or were paid outside the closing: they are shown here for informational purposes and are not included Inthe totals.- D. NAME OF BORROWER: Address of Borrower E. NAME OF SELLER: Address of Seller. F. NAME OF LENDER: Address of Lender. Whalen Group, LLC, a Florida limited liability company 250 NE 191 st St., Miami, Florida 33138 Joseph Madn and Alba Malin. husband and wife 9966 Boynton Gardens Way, Boynton Beach, Florida 33437 G. PROPERTY LOCATION: 22 NW 105th St., Miami Shores, Florida 33150 H. SETTLEMENT AGENT. Plotldn Law Firm, PA Place of Settlement 2500 Holywodd Blvd., Ste. 411, Hollywood, Florida 33020 1. SETTLEMENT DATE: 9/1/17 DISBURSEMENT DATE: 9/1/17 J. Summary of bo rrowe' s transaction 100. Cross amount clue from borrower: 101. Contract sales price 102. Personal property 103. Settlement charges to borrower (Line 1400) 104. 105. 0cljustmenls for items paid by seller in aclvunce: 355,000.00 2,946.50 K. Summary of seller's tr:^.nsaclion 400. Gross amo:m: due to sever. TIN: T1N: 48-3312130 Phone:954-541-9888 401. Contract sales price 402. Personal property 405. Adjustments for items pa enri.'rn se „,., s ueo�• I by seller i0 advance. 107. County:taxes 407. County taxes . 108. Assessments 408. Assessments 109. 409. 110. . 410. 111. 411. 112. 412. . 120. Gross amount due from borrower 357,948.50 420. Grossamount due to seller. 200. Amounts paid or in behalf c.' `.>orrotver• 500. Reductions in amount due to seller: ' 201. Deposit or earnest money 10,000.00 501. Excess deposit (see instructions) 202. Principal amourht of new loan(s) 502. Settlement charges to seller (line 1400) 203. Existing loan(s) taken subleict to 503. Existing tangs) taken subject to . ' t 204. Prindpal amount of second mortgage 504. Payoff of first mortgage ban 205. • 505. Payoff of second mortgage ban 206. 508. Deposits held by sever 207. Principal emt of mortgage held by seller 507: Principal ant of mortgage held by seller 208. 508. 209. 509.. Adjustments for items 0noaid by seller: Adjustments for items unpael by seller. 210. City/town tables 510. City/town taxes 211. County taxes from 01/01/17 to 09/01/17 1,575.07 511. County taxes from 01/01/17 to 09/01/17 212. Assessments 512. Assessments - 213. 513. 214. 514. . 215. 515. 216. . - 516. . 217. 517. .. 218. . 518. 219. 519. 220. Total paid by/for borrower. . 11,575.07 620. Total reductions in amount duesetler. ; 300. Cash at settlement (romlin borrower 000. Cash at settlement tc'from seller: 301. Gross amount due from borrower • (line 120) 357,946.50 801. Gross amamt due to sever (Ana 420) 302. Less amount paid by/for the borrower (Me 220) .. • (11,575.07) 802. Less total reductions In amount due seller • (line 520) . .• 346,371.43 303. Cash ( i4 From • To ) Borrower. 603. Cash ( • To • From ) Seller. Substitute Form 1099 Seger Statement The i formatlon contained in blocks E, G, H, and 1 and on One 401 Is knportant tax Information and is being furnished to the IRS. 1f you are required to tile a return, a negligence penalty or Other sanction will be imposed on you if this Item is required to be reported and the IRS determines that it has not been reported. • Seger Instructions: If figs real estate was your principal residence, tl1e Form 2119; Sale or Exchange of Principal Residence, for any gain with your tax return; for other transactions, complete One applicable parts of Ram 4797, Eorm 6262 and/or Saedule 1) (Form 1040).. , . ' - . Page 2 U.S. Department of Housing and Urban Development L. Se1;leiren c nre s .._ = r e r -00 all�r ',CO Paid from Pell from Seller's Funds at Settlement 7f10.' otal Sales/Brokers Com. based On price $355,000.00 6 %= Borrowers 701. % to Funds at Settlement 702. % to 703. Corrimissron paid at settlement 704. lo &0G lie,rs n. vahlr• c; rnnne. yen .ruh Ioan _ .. -.. For -err 1-'.;;CSr.er BOG 801. Loan origination fee % to 802. Loan discount % to 803. Appraisal fee to 804. Credit report to 805. Lender% inspection fee to 808. Mortgage insurance apptcatlon fee to 807. Assumption Fee to 808. to 809. to 810. to 811. 100. Ile:r',s regrurvr1 by lender c. he 5e<1 in a'vanC. 0c'ro8OCS elir:r PO:' 901. Interest from to 902. Mortgage Insurance premium for months to 903. Hazard insurance premium for. years to 904. Flood insurance premium for years to 905. years to .000. Res,:ives :eoosrterl rnlh Ionde,. r ,va, n000niler 1 O0 1001. Hazard insurance months fp per month 1002. Mortgage insurance months © per month 1003. City property taxes months 6.. per month 1004. County property taxes months ® per month 1005. Annual assessments months 0. Per month 1006: Flood Insurance months 6 per month 1007. months 6 per month 1008. months © per month 1009. Aggregate accounting adjustment 1100. TGO c ,i0les U , r> r- P'.:CS I ,-DC 1101. Settlement or dosing fee to 1102. Abstract or title search to Express Title Services, LLC 1103. Title examination to 1104. Tdle insurance binder to. 1105. Documentpreparatbn to PtothiLaw Firm, PA 1106. Notary fees to 1107. Attorneys Fees to .Plotkin Law Firm, PA 895.00 (Includes above item numbers: ) -- 1108. Tide Insurance to Old Repibtc Nat. Title/Express Title 1,850.00 (includes above item numbers: 1109. Lender's coverage (Premium): 1110. Owner's coverage (Premium): $355,000.00 ($1,850.00) 1111. Endorse: 1112. Lien Search to Plotkin Law Fkm,.PA 1113. to 1200 0uve n Pen( recerd;nr, anti transLir c:uaq:es - - - 1201. Recording fees Deed $22.50 Mortgage(*) - Releases . 32 50 ' 1202. City/county tax/stamps Deed Mortgages) 1203. State tax/stamps Deed $2,130.00 Mortgage(s) 1204. Electronic Archiving to Mlaml-Dade County Cleric of Courts r 95.00 1205. Recording Continuous Marriage Affidavit to Mla i-Dade County Clerk of Court 1300 d, onnl Settlement cherrp=s 2orro•:e•P0S -=0C 1301. Survey 1302. Pest Inspectton to 1303. Fedex/Couner to Plotkin Law Firm, PA 49.00 1304. Wire Fee to Plotkin Law Firm, PA . 35.00 1305. Final Water Bill to Miami -Dade Water 3 Sewer Department 1308. to 1307. to 1308. to 1309. .1,100. IOU8I nellle,neni c11a ire S'.. ( Enter on Ines 103, Section J and 502, SectionK) 2,948:50 DoubteTime® HUD-1 A. Settlement Statement U.S. Department of Housing and Urban Development OMB No. 2502-0285 B� Type of Loan Q 1. FHA 0 2. FmHA 0 3. Conv. Unins. Q 4. V.A. Q 5. Cony. Ins. 8. File Number VNralen Group 22 ID: 7. Loan Number 8. Mortg. ins. Case Num. C. NOTE: Tits form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items matted "(p.o.c.)" were paid outside the closing: they are shown here for hdormatlonal purposes and are not included in the totals. D. NAME OF BORROWER: Address of Borrower: E. NAME OF SELLER: Address of Seller. F. NAME OF LENDER: Address of Lender: G. PROPERTY LOCATION: H. SETTLEMENT AGENT. Place of Settlement: 1. SETTLEMENT DATE: Whalen Group, LLC, a Florida united liabiiyr company 250 NE 191 st SL, Miami, Florida 33138 Joseph Marin and Alba Marin, husband and wife 9988 Boynton Gardens Way, Boynton Beach, Florida 33437 22 NW 105th St., Miami Shores, Florida 33150 Plotkin Law Firm, PA 2500 Hollywood Blvd., Ste. 411, Hollywood, Florida 33020 9/1/17 DISBURSEMENT DATE: 9/1/17 TIN: TIN: 48-3312130 Phone: 954-541-9888 J. Summary of borrovier's transaction 100. Gross amount clue front borrower: K. Summary of seller's L•aus action 400. Gross; amount clue to seber. 401. Contract sates price 355,000.00 101. Contract sales price 102. Personal property 402. Personal property 103. Settlement charges to borrower (Line 1400) 403.. 104. 404. 105. 405. Adjusintents for items baud by seller in advance: Adjustments for items paid by seller in advance' 108. Clty/town taxes 408. City/town taxes 107. County taxes 407. County taxes 108. Assessments 408. Assessments 109. 409. 110. 410. 111. 411. 112. 412. 120. Gross amount due from borrower. 200. Amounts paid or in behalf of borrower: 201. Deposit or earnest money 420. Gross amount due to seller. 500. Reductions in anunant duo to seller 501. Excess deposit (see instructions) 355,000.00 202. Prncipel emoint of new loan(s) 502. Settlement charges to seller (sne 1400) - 3,821.50 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to . 204. Principal amount of second mortgage 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 208. 508. Deposits held by seller 207. Principal art of mortgage held by seller 507. Principal and of mortgage held by seker 208. 508: . 209. Adjustments for Items ;inpaid by seller: 210. City/town taxes 509. Adjustments for items I. t by seller, 510. Coy town taxes 211. Comity taxes from 01/01 /17 to 09/01/17 511. County taxes from 01/01/17 to 09/01/17 1,575.07 212. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 218. 516, 217. 517. 218. 518. 219. 519. borrower: 820. Total reductions In amount due seller. 5.196.57 220. Total paid by/for 300. Cash at settlement fromlto borrower: 600 Cash at settlement tnifront sailer: 601. Gross amount due to seller (line 420) 355;000.00 301. Gross amount due from borrower (line 120) 302. Less amount paid by/for the borrower pine 220) • 802. Less total reductions in amount due seller 520) (5,198.57) 349,803.43 303. Cash ( U From • To ') Borrower. 603. Cash ( 4 To 0 From ) Seller. Substitute Form 1099 Seller Statement The information contained in blocks E, G, H,-and I and on One 401 is important tax information and is being furnished to the IRS. If you are required -to file a return, a negligence penalty or other sanction will be knposed on you if this item is required to be reported and the IRS determines that it has not been reported. Seller Instructions: I this reef estate was your principal residence, file Fonn 2119, Sale or Exchange of Principal Residence. for any gain, with your tax return; for other transactions, complete the applicable parts of Form 4797, Form 8282 and/or Si hedule D-(Form 1040). • HUD-1 U.S. Department "of Housing and Urban Development Page 2 I. Sel'lerren c "rib.-g 700. Total Sales/Brokers Corn. based on price S355,000.00 0 % = P7ne_!P:.:CS ,=r PO;. paid f n Borrowers Funds at • Settlement Paid from Salters • • Funds at Settlement 761. ' % to 702. • % to 703. Commission paid at settlement 704. ro ar 4. rv". ,ls Oavntle in 004ne' ten "/.t7 loan - _.. os r 'der on0Seler ='i11... -801. Loan origination fee %ro 802. Loan discount % to 803. Appraisal fee to 804. Credit report to . 805. Lender's inapedbn fee to 808. Mortgage insurance application fee to 807. Assumption Fee to 808. to 809. to 810. to 811. ro 900. Items required Sy lender l0 be 1 FI,d sit tu!vznre. 90" ,. ?OCSelln. -; 11' 901. Internet from to kley 902. Mortgage insurance premium for months to ' 903. Hazard insurance premium for years to 904. Flood Insurance premium for years to 905. yeas to 1000 Reserves UCpoSr ,cj vnih lender ;o oc;ar FOC,Serler Pr.; 1001. Hazard insurance- months tgt - -:per month 1002. Mortgage insurance months © per month 1003. City property tarries months © per month 1004. Carty property taxes months 6 per north 1005. Annual assessments months © par month 1006. flood insurance months ® per month 1007. months eg per month 1008. rnonths 6 per month 1009. Aggregate accounting adjustment 11 0. Title chonoos - - Borrow, PC: r ?C,C 1101. Settlement or dosing fee to.' 1102. Abstract or title such ro Express Title• Services, LLC 250.00 1103. Title examination to 1104. Title insurance binder ', to 1105. Document prepetason . • to Plotkin Law Finn, PA 795.00 1106. Notary fees .10 1107. Attorneys Fees 16 Plotkin Law Firm; PA (Includes above item numbers 1108: Title Insurance to Old Republic Nat Tide/F_xprpss Title • (includes above item numbers: .. ) 1109. Lender's coverage. (Premium): 1110. Owners °overage (Premium): $355,000.00 ($1,850.00) 1111. Endorse: 1112. Lien Search . . to •Ploticin Law Firm, PA 240.00 1113. to 200 CIo,.ei nrnelt records no and Oar s c.".ur nes- 1201. Recording fees . . Deed . ` $22.50: Mortgage(s) Releases:' 1202. Clylcou my taxlstamps Deed Mortgages) 1203. Statetax/stemps Deed •$2,130:00 Mortgage(s) 2,130.00 1204. ElectronicArdhlving . . . to Miami -Dade County Clerk ofCourts . 1205. Recording Continuous. ManiageAlndavk to Kona -Dade Candy Clerk of Courts • . . 22.50 300:=:l1.!mo,al sni ieme.nt charq,-s - El.,- : P OCS .:er i'OC 1301. Survey ro - 1302. Pest Inspection to " 1303. Fedex/Courier to Piotldri Law Fin'', PA 49.00 1304. Wire Fee to Plotkin Law Fim, PA 35.00 1305. Final Water BIB to Miami -Dade Water & Sewer Department 100.00 1308. to 1307. to 1308. to . 1309. • 1400 -i-6ini sehlt pent 'wrces ( Ender on lines 103, Section J and 502, Section K) : 3,821 50 Doubtelime® HUD-1 SETTLEMENT STATEMENT ADDENDUM File Number. Whalen Group 22 I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements nude on my account or by me in this transaction. 1 further certify that 1 have received a copy of the HUD-1 Settlement Statement. • Buyer(s) • alen Group, , a Florida limited. liability company BY: Mir :ems Manager r. Alba Marin Settlement Agent The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursp8 In accordance with this statement. Plotkin Law Firm, PA SY; Date: WARNING: It Is a crime to; knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and Imprisonment. For details see: Title 18 U.S.Code Section 1001 and Section 1010. DoubleTlne® Detail by Entity Name Page 1 of 2 Florida Department of State Di,.; ItiION c,r i;oRpoRA' DNS Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company WH_ALENGRO.UP LLC3 Filing Information Document Number L16000170779 FEI/EIN Number 02-3597751 Date Filed 09/13/2016 Effective Date 09/13/2016 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 10/03/2016 Event Effective Date NONE Principal Address 250 NE 91ST ST MIAMI, FL 33138 Changed: 03/02/2017 Mailing Address 250 NE 91ST ST MIAMI, FL 33138 Changed: 03/02/2017 Registered Agent Name & Address WHALEN, M. PATRICK P, JR 10414 N MIAMI AVE MIAMI, FL 33150 Authorized Personts) Detail Name & Address Title MGR L EIALEN MICHAELP .5/0 10414 N MIAMI AVE MIAMI, FL 33150 Title AMBR GLOOR, CHANTAL http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 10/5/2017 Detail by Entity Name Page 2 of 2 605 LINCOLN ROAD STE 230 MIAMI BEACH, FL 33139 Annual Reports Report Year Filed Date 2017 02/13/2017 Document Images 02/131201 i ... ANNUAL REPORT 10103;2016 - LC Amendment 09/1312016 -- Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 10/5/2017 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. .-Expiration date: AUG 31, 2018 ,,`F 825 SW 26TH STREET i s FORT CAUDERDAL FL 33315 ISSUED: 08/17/2016 BANGE, DAVID WAYNE ,.4Y DAVID BANGE ROOFING_,•LhC-t DISPLAY AS REQUIRED BY LAW SEQ # L1608170002355 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 - 954-831-4000 VALID OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018 Done: DAVID BANGE ROOFING LLC Business Name: Receipt #:RooFINc/SHEET METAL. CONTRA Business Type: (ROOFING CONTRACTOR) Owner Name: RANGE, DAVID WAYNE Business Opened:04 /03/2015 Business Location: 6851 SW 21 CT #1 State!County/Cert/Reg:CCC1330629 DAVIE ` Exemption Code: Business Phone: 954-435-7663 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Pnor Years Collection Cost Total Paid 27.00 3 . 00 0.00 0.00 0.00 3.00 30.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: DAVID BANGS ROOFING LLC 6851 SW 21 CT #1 DAVIE, FL 33317 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. 2017 - 2018 RATE OF FLORIDA oeARnIE T OF FNANCUU. SERVICES 541/e10e OF WORKERS. COMPENSATION CONSTRUCTION WOUSTR. ExEMRM)N CERTIRCATE OF ELECTION To SE EXEMPT FROM FLORIDA w0REERs COMPENSATOR LAW EFFECTIVE DATE: 4/612017 EXPIRATION DATE 4EFA19 PERSON: SNIDE OAP, w FEIR: 4.491232 9UBINESS NAME AND ADORESS: DAVID WAX ROOFING LLC an SW 2810 STREET FORT LAt1DE0AALE FL SCOPE OF 13OS1/ES2 OR TRADE: Lm�e w,wgme,afn 33315 Receipt M04B-16-00011971 Paid 09/26/2017 30.00 IMPORTANT i R F Pursuant b Chapter 440.05(14), F.S., en officer of a corporation 0 who F a anglbn from the duplex by filing a certificateofsleds under this section may not recover benefits W compensation Wider this chapter. D Pursuant b Chapter 440.05(12). F.S., Certificates of election to be exempt... apply only within the amps of the business or trade H listed on the noticed election to be exempt. E Pursuant to Chapter 440.05(13), F.S.. Nol8 oo of election to be exempt and certificates of election to be exempt Mall be R .boa lo revocation e, at any time alter the 00ng of the none or the issuance of the certificate, 0e person named on the notice or certificate no longer moots the ,e5uaem ants of this section for issuance of a certificate. The dope sne nt tall revoke a cernrle1 at any Mta ter false of the person named can the certificate to meet tte replaerrena of this section. ACCPREP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYTY) 4/4/2017 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(ies) 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 B. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 CONTACT NAME: Jeanenne Johnson FAX PHONE Fart): (954) 943-5050 (A/C. (954)942-6310 E-M ESq,jeanenne@furmaninsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INsuRERA:Western World Insurance Company 13196 INSURED David Bange Roofing LLC 825 SW 26th Street Fort Lauderdale FL 33315 INSURER B : INSURER C: INSURERD: INSURER E : INSURER F : ERTIFICATE NUMBER:17/18 GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY NPP8444145 4/3/2017 4/3/2018 EACH OCCURRENCE $ 1,000,000 DAMAGEMTO RENTED $ 100,000 I CLAIMS -MADE X OCCUR PREMISES (Ea Documents) MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE LIMIT APPLIES PR,EEa PER: LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE _ _ — UIBILITY 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 LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N /A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) License #CCC1330629 CERTIFICATE HOLDER CANCELLATION 13057568972@efaxsend.com 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/KS -417 ACORD 25 (2014/01) INS025 nnuen# % ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ?Wee 954-435-ROOF(7663) 825 SUS 26& Sheet Ft. hamlets, FCC 33315 Daviittp\)khie SWe eat. CCC1330629 finned aid 9aawied PKopoeae PROPOSAL SUBMITTED TO DATE 9-22-17 ,PHONE 3)710-6801 NAME JOB NAME Patrick Whalen STREET . STREET 22 NW 105th St CITY .t__ _ _.t __..-- _�_ ._ _ 'STATE ,ZIP CITY Miami Shores (STATE 'ZIP PREP. WORK ® Remove existing roof to $1 clean workable surface and dispose of debris 18] Install new lead flashing 183 to all plumbing vent stacks O Exposed ® Not Exposed NGLES ❑ Install base sheet 0 Install fiberglass fungus resistant shingles 0 REPAIRS Replace rotten sheathing at $ 4.00 per foot. (Plywood replaced by sq. ft) $9.00 r0eederFascia Gauge 16" galvanized metal to all valleys and tie-ins • Type of roof to remove ( Tile ❑ Install eave drip metal FG. In. FLAT O Install # 0 Install plys base sheet as per code of ply IV fiberglass felt ❑ Install eave drip metal AL ❑ Install fire barrier in. 0 Install mineral surface cap sheet ❑ Install eave drip metal TILE Dia Install # 30 ❑ Install under layment Install roof Install O/C Co base sheet tile underlayment Install 3x3 in. MI Install eave drip metal tilesetin Foam Re -nail Sheathing as per bldg code. Proposal includes permit, tax, and dump fee's. We herby propose to furnish labor and materials complete in accordance wth Uwe above specifications for the sum of Eighteen thousand dollars($ 18,000.00 No Deposit: 50% due @ start plus wood, 40% due @ tile Toad, 10% due @ Final. payment to be made as follows METHOD OF PAYMENT NOTE TO BUYER, GENERAL CONTRACTOR OR OWNER David Bange Roofing LLC, hereby proposes to furnish the above labor and materal In accordance with the above specifications. A deposit of E 1s required upon acceptance and the balance as work pagresses in direct ratio to work completed. Payment In full to be made upon completion of the job. WARRANTY TO ORIGINAL OWNER David Bange Roofing LLC, warrants workmanship fora period of Five (5) years, but reserves the right to supervise or Inspect all work subsequently performed by other parties to the roof, for a reasonable fee. Without this supervision or Inspection, all wanantles are null and void. Warranty Is transferable to new owner upon wrhben application (subject to approval and payment of 10% of contract price. Warranty Is contlngentupon Job payment in full. All materials furnished will be as spedfied and work is to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above spedficatlons will become an extra charge over and above Me estimate of labor and usual costs of our agreements. David Bange Roofing LLC, will excercise reasonable care when performing the work, but cannot be held responsible In any manner for damage to driveways, sidewalk lags, shrubbery, screening, septic tanks, gutters, pipes, or cables, above or below ground. We will not be held responsible for water damage to the exterior or Interior ofthe premises. CUSTOMER I ED FURNITURE AND OTHERWISE PROTECT THEIR PROPERTY. We cannot assume responsibility forany damages done to the roof by other tradesmen or parUes. David Bange Roofing/1C, cannot b s damage done nylumber bytermites. capenter ants, or any other wood boring Insects. Such wood will be replaced at an additional charge. THIS CONTRACT/5 SUBJECT TO OFFICE APPROVAL Authorized Signature The above prices, specifications 0" ndltlons are ss has the power of a contract when signed bnd ACCEPTED Slgnaarre Print ACCEPTANCE OF PROPOSAL dory and are hereby accepted. David range Roofing LLC, Is authorized to do the work as specified. Payment will be made as outlined above. fits proposal have read and agree to the terms and conditions as stated on the front and back of this contract `�Jj/ Date f / e Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Date: t O 11.1 I t n Miami Shores, FI 33138 Re: Owner's Name: L4 ic-'at tJ ha I e-r) Property Address: 21 . 651-1-\ <S rCCt t c30v1 St —0 (CZ Roofing Permit Number: Dear Building Official: fUliChOLl Whaltn certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad 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) Mkci whaler) 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 IA day of c-t-O►9C,r 2C51 1 Gretchen Meynard NOTARY PUBLIC ♦ `' Notary Public, Sate of Florida at Large STATE OF FLORIDA • CarxrrAtFF916579 Expires 9/9/2019 • 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 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION,HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: . Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: U 1QV'O:C 1 W k W cn Date: ti /L-1 / I Property Address: 22 Kt 10 cj v' Cf4 w t cuncik OrCs Roofing Permit Number: Dear Building Official: I O.N 1 TPt-faarrle, or u 9certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C. "'Dam iol 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 fi_ day of QCi-13�1_ ( 20 1 n Notary Public, Sate of Florida at Large (SEAL) Revised on 5/21/2009 Gretchen Maynard NOTARY PUBUC STATE OF FLORIDA Cornet# FF916579 Expires 9/9/2019 FINAL COMPLIANCE Miami Shores Vitiage Building Department RE: Permit # INSPECTION AFFIDAVIT 1ak fd Ba e C) r11'lq licensed as a 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: t d /Lk - (Print name and circle License Type) '' FS 468 Building Inspector License #: CC-C 13 3O ---631 / Architect, On or about , I did personally inspect the roof deck nailing (Date & time) work at 2-2— (\lW tO�CL-m 1 S h orr (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of 20 n Notary Public, Sate of Florida at Large 12- N� ARYPM B LIC �;, STATE OF FLORIDA `' Comm# FF916579 Expires 9/9/2019 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection oe fie r n., 17N rirm A1A M1 Y>MD A) Print, ype or S'tamp Name of Notary taui& Bang Ratiiuti WI SW Rd Count, S'wle #1 Oavice. FL 33317 October 4th, 2017 Sate of Florida County of Broward Before me this day personally appeared L7 G&vid 1 OLnBt, who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 29 NSW (1S 5 trCr -, IY1l&,Ym �h()rc_,\ Cont e - President or Signature Sworn to (or affirmed) and subscribed before me this y day of ©C 2017, by Personally Known OR Prouduced Identification Type of Identification Gretchen Meyna d NOTARY PUBUC rF STATE OF FLORIDA ~• �+�` ` Comml* FF916579 Expires 9/9/2019 Notice to Owner — Workers' Com p Miami Shores Village 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 YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: N. Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this IOS. day of ( C5 EP , 20 )' . By NI t & AE_ ' T t O) l/ v #' ho is ersonally known to me or has produced L � (-% •t as identification. Notary: . SEAL: VV'Yr 4 0 Notary Public State of Florida d Sindia Alvarez 4 My Commission FF 156750 pfp` Expires09/03/2018 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name )a,U c13 a-41 C /j�__/_e }��,�n�j nQ` Job Address .Z2 N h1 IOt ` )t 1��.�� N t (O�t y ! i %��lJ O f e.�. 3. iSb .• '• •••• 0 Low Slope CE WEDialtic -Shingles 0 T 05.2017 fl New Roof 7( Reroofing ❑ Recovering ROOF CATEGORY • ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles /J Prescriptive BUR-RAS 150 ROOF TYPE ROOF SYSTEM INFORMATION 7• Mortar/Adhe§iyg•Set Tile . • • • • • • • ❑ Wood Shingl��l5hakes • • • • • • 17 Repair • . . .. •. • . • • • • ••. • . • •. • • • • • • • • . • rT Mlentehance • • • .• Low Slope Roof Area (SF) f CCIAL(GSteep Sloped Roof Area (SF) "2-, 012..81 Total (SF) 2�i gj 2 0 C6 3 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. fr 15.32 225 0 O 0 CO r5 G] C F- L J LU :L > 0 LJ.J 0 `) 0 FLORIDA BUILDING CODE 5th Edition (2014) — BUILDI UG 0 N.1 CC .• • • • • • • •• • • • • • AND CCU TY RULES AND REGULATIONS ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Surfacing: GRANULES Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA") System Manufacturer: Certainteed Product Approval No.: RAS 150 Design Wind Pressures, From RAS 128 or Calculations: Pmax1: N/A Pmax2: N/A Pmax3: N/A Max. Design Pressure, from the specific Product Approval system: Deck: Type: WOOD Gauge/Thickness: 5/8" Slope: 1/8":12" 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 Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): 1 #75 Base Sheet Fastener/Bonding Material: 1 1/4 RS NAP S-OADE CO TIN CAP PIy Sheet(s) & No. of Ply(s): 2 Plys PLYIV PIy Sheet Fastener/Bonding Material: HOT -ASPHALT Top PIy: Fiberglass Cap Top Ply Fastener/Bonding Material: HOT -ASPHALT FLORIDA BUILDING CODE 5th Edition (2014) — BUILDING • • • Corner: 6 " oc @ Lap, # RQWs,a • @ e •::oc • Number of Fasteners Per Insulatioa Board: •. •. . • • Fastener Spacing for Anchor/Base Sheet Attachment: Field: 6 " oc @ Lap, # Rows 2 @ 12 " oc • • Perimeter: 6 " oc @ Lap, #.Rows 2 @: Se oC •' I • • • • • •.•I•• • • •••�•• • • .... .... .. .• • Field Perimeter,,.... Corner. .. If). . . . . .. .. .. . •••..• Illustrate Components Noted and Details as . . • Applicable: • • • • • Woodblocking, Gutter, Edge Tegninajjon, • Stir:CV, flashing. . Continuous Cleat, Cant Strip, Bade Flashing, C o ante r • • ► • • • • Flashing, Coping, Etc. . Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit #75 -• Fiberglass Cap 2 Ply - Ply IV 3x3 26gauge 1 FT. Parapet Height T. Mean Roof Height 20' 15.33 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: Eagle Roofing Notice of Acceptance Number: 16-0314.06 • • • .. . . •. •11 . •l • Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: -39.1 P2: -68.1 P3: -100.7 . . • • • III • • . .. . - . • . . ., • ..• . .• • .• • .. . 1•• • Roof Slope: 4 : 12 Steep Sloped Roof System Description Deck Type: •. • ... . •. Wood Type Underlayment: Ridge Ventilation? Insulation: ATSM #75 N/A Fire Barrier: Mean Roof Height: 20' N/A Fastener Type & Spacing: Adhesive Type: 11/4 Nails Dade Co TinCaps AH-160 Type Cap Sheet: Fiberglass Roof Covering: Eagle Tile - Bel Air Type & Size Drip Edge: 3x3 26 gauge 15.34 FLORIDA BUILDING CODE5th Edition (2014) — BUILDING • • • • • • ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) 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 Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method I "Moment Based Tile Calculations Per RAS 12T' (Pi: xX. = )-Mg: (P2: x? = )-Mg: (P3: x3. = ) - Mg: = Mri = Mr2 = Mr3 Product Approval Mf Product Approval Mt. • • Product Approval Mf •• •• Method 2 "Simplified Tile Calculations Per Table Below"' i Required Moment of Resistance (Mr) From Table Below32- yZ Product Approval Mf 40,14 �l • • • • • • • • • •• •••• • • •••• • •• • • •••• • •• •• •• :•• Mr required Moment Resistance* SOWS •-•••• 30' • • • • • • • • • 40' • • Mean Roof Height -* Roof Slope J, 15' 20' 25' 34.4 36.5 38.2 •••***flip*2:12 39.7 • • • 42.2 • 3:12 32.2 34.4 36.0 37.4 • ••• • 39.8 • 4:12 30.4 33.8 • 35.1 •• • • •37.3 ••• C32.2) 5:12 28.4 30.1 31.6 32.8 34.9 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. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (Pt: x L = x w: = ) - W: x cos 0 = Fri Product Approval F' (P2: (P3: x L = x w: = ) - W: x cos 0 = Fr2 Product Approval F' xL = xw:= ) -W: x cos0 = 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 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A Product Approval Restoring Moment due to Gravity Ms Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance Mg Calculated Minimum Attachment Resistance F' Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE 5th Edition (2014) - BUILDING • • • •• • • • • • • • • • • • • •• •• •• • •• • 15.35 • o• • .• • • • 1•• • 1•• • A. MIAMI-DADE) t t JN"f r DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Eagle Roofing Products LLC 1575 East C.R. 470 Sumterville, FL 33585 SCOPE: MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miantidadc.2ovieconomv • • • • • • • ••• • •••. • • •• This NOA is being issued under the applicable rules and regulations governing the use of cons't?t on materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Prodct Control Sat 2n to bey used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdictipjj HJ). • • • • • This NOA shall not be valid after the expiration date stated below. The Miami -Dade County'Plati 4t Control S8dtion (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the riff t to have this • product or material tested for quality assurance purposes. If this product or material fails to pi rf n?in then cceQted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revpke, md•tlify, m • suspend the use of such product or material within their jurisdiction. RER reserves the right tgevIce this,ac,ceppance,. if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet filch: 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: Bel Air, Bel Air Double Eagle, Ponderosa, Ponderosa Double Eagle, Golden Eagle Low Profile Concrete Tiles • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.15-0223.18 and consists of pages 1 through 9. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 1 of 9 � • ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: Roofing Roofing Tiles Concrete 1. SCOPE: This approves a new roofmg system using "Low Profile Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance;. F4Luse in locations where the pressure requirements, as determined by applicable Building; Cade do not exceed the design pressure values obtained by calculations in compliance with RAS 127 am the val :.s. tieted in section 4 herein. The attachment calculations shall be done as a moment based syste .:.. 2. PRODUCT DESCRIPTION: Manufactured by Applicant Dimensions Bel Air Lenght = 17" Concrete Tile Width = 12 1/4" Thickness = ''/z" Bel Air Double Eagle Concrete Tile Ponderosa Concrete Tile Ponderosa Double Eagle Concrete Tile Golden Eagle Concrete Tile Trim Pieces Lenght = 17" Width = 12 1/4" Thickness = %" Lenght = 17" Width = 12 1/4" Thickness = 'h" Lenght = 17" Width = 121/4" Thickness ='/z" Lenght = 17" Width = 12 1/4" Thickness ='h" Lenght = varies Width = varies varying thickness Test Specifications TAS 112 Type 3a Class III TAS 112 Type 3a Class III TAS 112 Type 3a Class III TAS 112 Type 3a Class III TAS 112 Type 3a Class III TAS 112 .... . • Prgdygr Descrintiin . . • • .... • • •••• • ... .. . .. • • • •• . • . • Flat profile concrete roof tile equippvgl ti#h two* nail holes. For adhesie ret,.direct'deck or . battened nail -on applications "' . : • Flat profile concrete roof tile equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Flat profile concrete roof tile with slate finish equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Flat profile concrete roof tile with shake finish equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Flat profile concrete roof tile brushed finish equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 2 of 9 • • • . . 2.1 EVIDENCE SUBMITTED: Test Agency PRI Asphalt Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. ATL of South Florida Test Identifier ERPF-001-02-01 7161-03 Appendix III 7161-03 Appendix III 7161-03 Appendix 11 P0402 Letter Dated Aug. 1, 1994 P09647-01 94-084 25-7094-(2, 5, & 8) 25-7183-(5 thru 6) 25-7214-(1, 5 , & 8) 25-7487-2 25-7496-(1 & 4) 25-7804-6 520109-1 520111-4 520191-1 Calculations Calculations RT1214.01-15 Test Name/Report TAS 112 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102(A) Wind Tunnel Testing TAS 108 (Nail -On) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Static Uplift Testing TAS 101 (Mortar Set) Static Uplift Testing • TAS 102 •• • • ••• • Static Uplift Testing TAS 102 • Static Uplift Testing • •• TAS 102 Static Uplift Testing • • • • • • TAS 102 • . . •• Static Uplift Testing . . TAS 102 •• ..•• Static Uplift Testing TAS 102 Static Uplift Testing TAS 101 Static Uplift Testing TAS 101 Aerodynamic Multiplier Restoring Moments Due to Gravity TAS-112 Date Aug. 2006 Dec. 1991 Dec. 1991 Dec. 1991 Sept. 1993 Aug. 1994 Aug. 1994 May 1994 LIct:1994 • ..•. •i+eb.T995 • • March? 1995 • • ... € c.:995 • • • • • • • IDP&! 1995 . ... . • Sep' 1996 Dec. 1998 March 1999 Sep. 2006 Sep. 2006 12/17/15 NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 3 of 9 • • 3 LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 shall be required, refer to applicable Building Code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Miami -Dade County Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable Building Code. 4 INSTALLATION: 4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Concrete Roof Tiles and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations • Table 1: Average Weight (W) and Dimensions (I x w) : •'. • • Tile Profile Weight-W (Ibf) Lengtt- i lft) : Wiiditfiw (ft) • Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 11.4 1.42 •: • • •••• 1e03 • • • • • • . .• •••• . •••. • • •••• •4 Table 2: Aerodynamic Multipliers - A (ft3) • • • • • .• .• •• . •I Tile Profile A (ft3) Batten Application • • A (ft3) • Direct Deck Agphgation• Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 0.301 : .•. 0•.278 • ;. • • • • • •• Table 3: Restoring Moments due to Gravity - M9 (ft-Ibf) Tile Profile 3":12" 4":12" 5":12" 6":12" Greater than 7":12" Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.48 7.71 7.37 7.59 7.22 7.44 7.05 7.27 6.86 7.07 NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 4 of 9 ... •••• • • • •••• • •••• Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 2-10d Ring Shank Nails 30.9 38.1 17.2 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1-10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2-10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2-10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2-10d Ring Shank Nails' 50.3 65.5 48.3 1. Installation with a 4" tile headlap and fasteners are located a min. of 21/2' from head of tile. • • • Table 5: Attachment Resistance Expressed as a Moment Mf (ff--Tbfl• . ..... .... .. for Two Patty Adhesive Set Systems • Tile Profile Tile Application Attsctment Resistance • • Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Adhesive' 31.32 ... .. .. •..' •• • .. .. 1 See manufactures component approval for installation requirements. . 2 The Dow Chemical Company TileBond Average weight per patty 13.9 grams. .. ICP Adhesives Polyset® AH-160 Average weight per patty 8 grams. . .• . • • • . . Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) • for Single Patty Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile ICP Adhesives Polyset® AH-160 93 ICP Adhesives Polyset® AH-160 40.44 Large paddy placement of 45 grams of PolyProT"". r3 4 %tedium paddy placement of 24 grams of PolyProTM. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Mortar Set5 43.9 5 Tile-Tite Roof Tile Mortar. NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 5 of 9 .• . .••• . .... • ... • • ... 0000 • • • • . . • 5. LABELING : All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved". EAiiifr� FLORIDA (LOCATED ON UNDERSIDE OF TILE) OR • EAGLE FL • •••• • .•..• :• ... ••.. (LOCATED ON FRONTSIDE OF TILE) • 0000 0000 00.09 r . • . 00 • BEL AIR, BEL AIR DOUBLE EAGLE, PONDEROSA, GOLDEN EAGLE, PONDEROSA) QUBi.E EAGLE, CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT • • ; . . • •, • • • • • • • • • • • . • • ••• • • • • • •• 6. BUILDING PERMIT REQUIREMENTS: 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 AHJ or applicable Building Code in order to properly evaluate the installation of this system. PIAMIOADE COUNTY APPROYm NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 6 of 9 1 7+' PROFILE DRAWING BEL AIR BEL AIR DOUBLE EAGLE 12 „ • • • • • • • • • •• P •••• • • • • •••• • • • • •••• •••• •• • • • • •••• •••• • • • ••• • • • • • •• •• •• • • • • • • • • • • • • • • •• • • • • • • • ••• • • • NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 7 of 9 PONDEROSA PONDEROSA DOUBLE EAGLE • • • • • •• • • •••• • • •••• • • •••• • • •••• • � • • • •••• • • • • •••• • ••• • • • • • • • • • • � • ••• • • • NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 8 of 9 GOLDEN EAGLE END OF THIS ACCEPTANCE 1 T',„ • • • • • • • • • •• • •••• • • • • •••• • • • • •••• •••• • . • • •••• •••• • ••• • • • • • ••• •• •• • • • • • • • • • • • • • • •• •• • ••• • • • • • • •• • • • NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 9 of 9 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) ICP Adhesives and Sealants, Inc. 12505 NW 44t" Street Coral Springs, FL. 33065 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 w.miamidade.gov/econonn SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, iodifyi or suspend the use, of such product or material within their jurisdiction. RER reserves the right to revoke •this •acceptance,• if it is determined by Miami -Dade County Product Control Section that this product or material failttbtitCet the regttirement, of the applicable building code. • • . . This product is approved as described herein, and has been designed to comply with tNalptida B'.,j g Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: ICP Adhesives Polyset® AH-160 • . . • • ..• • . . •. . . • • • • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city; state p.l?l following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA 16-0315.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY APPROVED NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 1 of 11 • ROOFING COMPONENT APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive 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 polyurethane form ahesive Polyset®AH-160 • • • • • • ICP Adhesives Foam N/A Dispensing Equipment • • • • • Dispenser RTF1000 • ICP Adhesives ProPack® N/A Dispensing Equipment., • • • • 30 & 100 •• PRODUCTS MANUFACTURED BY OTHERS: • • •• •• •• . . • • Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NQewDDich liCatta cinment. resistance values with the use of ICP Adhesives Polyset® AH-160 roof tile adhesive. •• • • • •••• • ••• • • • • • • • • • • • • MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs./ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 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 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test ASencv Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94-060 257818-1PA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB-589-631 9637-92 01-6743-011 01-6739-062b[1] 7050.02.96-1 P36700.04.12 P39740.02.12 528454-2-1 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109-6 520109-7 520191-1 520109-2-1 Test Name/Report TAS 101 TAS 101 SSTD 11-93 SSTD 11-93 SSTD 11-93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 ASTM D 1623 TAS 101 TAS 123 TAS 101 TAS 101 TAS 101 • • . ..• • • • . .. .. • . • • • • • • . . .. • Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01116/9S' ..., .. • 03`44/06 04/t 2 02/21)112 • • 1(i/23. • 1 i/21349 ... • • . .. 03/02/99 . • . LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. ICP Adhesives Polyset® AH-160 shall solely be used with flat, low, & high tile 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 Polyset® AH-160 roof tile 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. MIAMI•DADE COUNTY APPROVED NOA No.: 17-0322.03 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 tile 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 RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPack® 30 & 100 dispensing equipment only. 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 minutes after ICP Adhesives Polyset® AH-160 has been dispensed. 9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with fr.. ; • 'Placement Details' herein. Each generic tile profile requires the specific placement noted llegNin. • •• • • •••• • • • • • • • • •• •• • • • • • • • • • •• • •••• • • • • • • •••• • • • • • • • • • • • • • ••• • • • • • • • •�• • • • • • • • • • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 t Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Area Minimum Paddy Gram Weight Eave Course - Flat, Low, High Profiles All Eave Course 17-23 sq. inches 45-65 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 head of tile 9-11 sq. inches at overlap 12 grams per paddy Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal edge) 20-25 sq. inches each bead 17 grams per bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" o>:ami- Dade County Product Control Seal as shown below. ' •••• •••• '• • •••• MBAM1 DADE counlrr APPFAY® • •••• BUILDING PERMIT REQUIREMENTS: • • • • • "" • • • As required by the Building Official or applicable building code in order to properly evaluate the•installation o :this .• ••• system. ...... .• • • • • • • •... • • • • • •• • •.• • • • • • • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 Bail through plastic cs rent ¢rMn r.qultod}. _ Undrrtrymrnt ,..y 10 hi: Batraris optional Eave (OW Ern, Clasurs Paddy I8.noanhTao) Nail through plastic cement !when required) Na through pl..tic rrrsrrnt- Lsyhen required; Untied.yMerit Battens optional 10in P.ddp larnrwth Tar} fasba Weephole Eare closure Drip odgt MIAMI•DADE COUNTY APPROVED 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 closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan 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 pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approxin attely 17 (109.7 cm2) — 23 (148.4 c$n2)square inch adhesive contact with the underside o%the tile. • •• • ..•• • • • • • • • • •• •• High Profile / Single Pan Tile • • • . • • • • • • •••. • • •.•. • ••• • .• . .• • • • • • 1. Starting at the eave cours ap ly a minimum 2" (50.8 mm) x 10" (254 mm) er " f25.4 rriftfj.foldm • paddy onto the underlayment positioned as sA3wn under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 6 of 11 1. 0 ADHESIVE PLACEMENT DETAIL # 2 Nail through pbr.aic crmanl (when requnrcd) Undarityment Batten notional Eavt Cour w Eava riosure Paddy avowal's Tl.i Fasda Nail through pirstic cement ?when reguiredl Undrrlaynwn 2 tit. Battens optional ( • Ervr Counr __- Paddy larneath tile) 1 — Lava Cloture F..ri. MIAMI DADE COUNTY APPROVED 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. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the 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 Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 min) x 1" (25.4 aim) foam paddy onto the underlayment positioned as shoyrntilt*tthe •• . pan portion of the tile closeatte the overloelt Uf the tile being set. Insure approxanatety 17 (109.7cm2) — • • 23 (148.4 cm2) square inch a.d ittry conta&fwith the • underside of the tile. • • • • " • • • •••• • 2. At the second course, apply a minimum 2" (SQ.8mm) x 7" (177.8 mm) x 1" (25.4 minj foam paddy ogto the underlayment positioned as shown under 1 R•gdif portion of the tile closest to tin ove;lock ij e• the 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) NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 7 of 11 • • • • • • Nail through plastic co(ueflt-•.. when required) Und.d.yr.»nt ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) High Profile / Single Pan 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 pan portion 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. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 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 tile 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. • • •.•••• • • • • • • •.• .... . •.•• • • •..••• •••. • • • • • • • • • • • • • • • • .•• • • • ••• • • • .• .• • • • • • • • • ••• • • . • • • • • • • • • • • • • • • • • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8 of 11 Hall through plastic cement When required) Battens optional ADHESIVE PLACEMENT DETAIL # 3 Flat/Low Profile Tile Nail through plastic cement (when required) Battens optional Stngie Paddy'` on top of tie ---- in. Single Stnggle paddy on underiayment /— Eave Course Single paddy under tde Paddy {between tiles) / Paddy (under tile) Eave Closure Fascia Medium Profile Tile IIEsoMAPPROVED m IAMIDADE COUNTY 1. On the eave course only, 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 for flat tile or under the pan portion of the tile for low or high profile tile closest to the overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in2 (109.7-148.4 cm2) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1"(25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat tile, or under the pan portion of the tile, closest to the underlock for the second course tile to be installed. Insure approximately 8-9 in2 (51.6-58.1 cm2) of adhesive contact with the underside of the tile. (Instructions continued on next page) • • • • • •• • • • • • • • • • • • • • • •• •• • • • •••• • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • •• • • • • • • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 9 of 11 •• • • • • • • • •• • • ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) High Profile Tile MIAMI•DADE COUNTY APPROVED 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x'/4" (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm2) - 11 (71cm2) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm2) - 9 (58.1 cm2) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. • • • • •• • • • • • • • • • • • • • • •• • • ▪ • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 10of11 ADHESIVE PLACEMENT DETAIL Two PIECE BARREL 1) Place enough adhesive to achieve 65 to 70 sq. in. in contact with the pan tile. 2) Turn covers upside down. Place adhesive in to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq. in. contact area. Underlayment Eave closure (motar shown) Weephole Fascia Board Steep pitch applications (when required) Sheathing Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile MIAMI•DADE COUNTY APPROVED Two Piece Barrel (Cap and Pan) 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 two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm2) — 70 (451.6 cm2) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive directly on the inner edge of each side of the cover tile. Leave approximately 3/4" (19 mm) to 1" (25.4 mm) from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after fq is applied and place onto pan tile cours2.'Insure a n.inunum of 20 (129 cm2) - 25 (1613 .61square mcli contact area on each side o1 a cover �ije to the • • pan tile. Continue in same ma>sner. Tiiry may any cured exposed foam gi erosjve. Poiitiagvf longitudinal edges of thg Foygf tiles ale •' considered optional. • • • •• • 5. When additional nailingas required, 3:' (50 8 mm) x 4" (101.6 mm) nailer; os the tiew►gre: system using galvanised, stainless steel, or'• copper wire and compatible nails may be used. � • END OF THIS ACCEPTANCE NOA No.: 17-0322.03 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 it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. (►n• esthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone' are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. enailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or • owner should notify the occupants of adjacent units of roofing work to be performed. • • • • . • • ..• . •••• • 4 Exposed ceilings: Exposed, open beam ceilings are where the underside of the.roof dacking'oaa�e' • view rom below. The owner may wish to maintain the architectural appearance; therefare,'saofing nail • • • penetrations of the underside of the decking may not be acceptable. The owner provides tho►opti in of . • • • • • • • maintaining this appearance. • • • • • • • • . ... • Ponding water: The current roof system and/or deck of the building may not dffln' ell and iMy • • caul water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indicaAdft jif ltructural • • • distress and may require the review of a professional structural engineer. Ponding may shditen the life ' expectancy and performance of the new roofing system. Ponding conditions may not be e4deat'until the • • original roofing system is removed. Ponding conditions should be corrected. • • : 6 Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7 Ventilation: Most roof structures should have some ability to vent natural airflow through the inte r of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida -licensed engineer or registered architect to eliminate the attic venting, venting sh. • be required. Owner's/Agent's Sign. e: Contractor's Signature: Property Address: lb5 Date: (1 / 2 - / 1-1 Permit Number: kle►'C'S