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RF-18-2499Miami Shores Village , . g�) Building Department SEF 9 018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ' Tel: (305) 795-2204 Fax: (305) 756-8972 'EY INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. -- - - -- PERMIT APPLICATION Sub Permit No.-------------------------- F-]BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL DPUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9322 NE 6 Avenue City: Miami Shores County: Miami Dade Zip: 33138-2837 Folio/Parcel#:11- 3206-014-0910 Is the Building Historically Designated: Yes NO X ------------------------------------- Occupancy Type: RES Load: - Construction Type: Flood Zone: BFE: - FFE: ------- OWNER: Name (Fee Simple Titleholder): Omar O. & Marianella B. Solis Phone#: (305) 773-2422 Address 9322 NE 6 Avenue City: Miami Shores State: FL Zip: 33138-2837 - ---------------------------------------------------------------- Tenant Lessee Name: -----------Phone#:------------------------- Email: -------------------------------------------------------------------------------------------------------------------------------- CONTRACTOR: Company Name All Florida Construction Co Phone#: (305) 799-7507 Address: 3701 W McNab• Road, Suit2'E•368 City: Pompano Beach State: FL Zip: 33069 Qualifier Name: Charles E. Joseph, Sr. Phone#: State Certification or Registration#:_CGG005798—,' Certificate of Competency #: ---------------------------- DESIGNER: Architect/Engineer: ----------------------------------------------------- Address: City: - State: ----- Zip: ------------ Value of Work for this Permit: $ 28,0 00 Square/Linear Footage of Work: 4,000 d Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition Description of Work: Tile Re -roof' Specify color of color thru tile: Terracotta �, Zip Submittal Fee $ '50 1 Permit Fee $ Z �' C Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $, v:*' 1-4 CO/CC $ DBPR $ '—f • Fi' �:3 Notary es_f/k, Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1/ .1:73 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. _ OWNERSign at u Signature . ,, The foregoing instrument was acknowledged before me this day of 20 ,( g . by who is personally known to me or who has produced FDL as identification and who did take an oath. NOTARY PUBLIC: 4 Sign: gY Pue�, JORGE ZARAGOZI Print: r° Seal: �Q EXPIRES: January 17, 2021 9,;OF 0 04oBonded Thru Budget Notary Se1VIO95 The foregoing instrument was tySowledged before me this day of ��R. 20 Charles E. Joseph, Sr. wh is personally know o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Ya Seal: +*MYCOMMISSION #GGD56711 N� Pr EXPIRES: January 17, 2M1 FOF F%-0 Bonded Thru Budget NotarySends APPROVED BY ll//dd//VVO)G/� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ACOREN CERTIFICATE OF LIABILITY INSURANCE FDATE oi,2i2o2 a ) 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 have ADDITIONAL INSURED provisions or 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 Arthur J. Gallagher Risk Management Services, Inc. 2850 Golf Road Rolling Meadows IL 60008 CT NAME Ricardo Silva Pllo"N 630-285-4465 (AM No): E-MAIL ADDRESS: Ricardo Silva@ajg.com INSURE S AFFORDING COVERAGE NAIC# INSURERA: Old Republic Insurance Company 24147 INSURED Employer Solutions Staffing Group II, LLC 7480 Flying Cloud Drive, Suite 200 INSURER B: American Guarantee and Liability Ins Co 26247 INSURERC: Eden Prairie MN 53344 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1355327028 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 LTR TYPE OF INSURANCE ADDL POLICY NUMBER MMn)DP yyCY MMMOIPOLICY EXP LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1-x-1 OCCUR PRA969868006 10/1/2018 10/1/2019 EACH OCCURRENCE $1,0D0,000 DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $ 10,00D PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO X POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,0D0,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L PRA969868006 10/112018 10/1/2019 COMBINED SINGLE LIMIT Ea acdderrt $1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ i $ UMBRELLA LI1B EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED9 (Mandatory In NH) If yyes, describe under DESCRIPTION OF OPERATIONS below N / A MWC31263400 3/1/2018 3/1121319 X PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE - E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1,000,000 $1,000,D00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Work is being performed by All Florida Construction Company EIN 81-5318967. Staffing services are provided through Echo Group under the Staffing Agreement with regard to Assigned Employees of the insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN (ECH) Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Avenue Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE / MIM ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A`�® COOR V CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYY1� 2/27/2018 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 have ADDITIONAL INSURED provisions or 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 endorsemen s . PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 2850 Golf Road Rolling Meadows IL 60008 NAME: Ricardo Silva PHONE 630 285�465 Fax At EbDJLESS, Ricardo_Silva@ajg.com INSURE S AFFORDING COVERAGE NAIC p INSURERA:Zurich American Insurance Company 16535 INSURED INSURERB:OId Republic Insurance Company 24147 Employer Solutions Staffing Group II, LLC 7480 Flying Cloud Drive, Suite 200 INSURERC: Eden Prairie MN 53344 INSURERD: INSURER E : INSURER F : CnVFRAnFA CFRTIFICATF NIIMRFR• 42826624 RFVI_CIAN NI IIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICY EFF MW POLICY EXP MWO LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y PRA969868005 10/1/2017 10/1/2018 EACH OCCURRENCE $1,000,000 DAMAGES Ea RENTED PREMISES occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY Y PRA969868005 10/1/2017 10/1/2018 Eaaccdent $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PR PERTY DAMAGE Per accident $ b UMBRELLA LIAB EXCESS LIHB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y f N ANY OFFICERIMEMBEREXCLU ED ECUTIVE � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A MWC31263400 3/1/2018 3/1/2019 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Staffing services are provided through Echo Group under the Staffing Agreement with regard to Assigned Employees of the insured. All Florida Construction Company is included as Additional Insured with respect to general liability and Auto Liability coverage on a primary and non-contributory basis as evidenced herein as required by written contract with respect to the work performed by the named insured (ECH) All Florida Construction Company 3701 W McNab Road unit E365 Pompano Beach FL 33069 Lh_1.1"a 14 t._1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Florida IA _ �J h [ STATE OF FLORIDA 0 91 DEPARTMENT OF BUSIN CONSTRUC31t THE GENERA CT PROVIS O O J },S PC FESSIONAL REGULATION r SING BOARD r :ER • F�raa,,.. �D UNDER THE )R, UTES �r Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. ACbROe CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/19/2018 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 pollcy(ies) must have ADDITIONAL INSURED provisions or 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 CONTNAME: Stephanie Harrison PHON ; Ell, 954-966-5533 No): 954-989-8208 Finney Insurance Corporation 5601 Sheridan Street E-MAIL steph@finneyinsurancecorp.com INSURER(S)_ AFFORDING COVERAGE NAIC S Hollywood, FL 33021 INSURERA: colony Ins. INSURED INSURER B INSURERC: All Florida Construction Company INSURERD: 3701 W. McNab Road, Unit# E365 INSURERE: Pompano Beach, FL 33069 INSURER F : COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 54 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 101 GL 0091775-00 02/08/2018 02/08/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO R PREMISES EaENTED ocaarence $ 100.000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PC7 LOC OTHER: GENERAL AGGREGATE_ _ PRODUCTS-COMP/OPAGG $ 2,000,000 $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOSONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea ac.deM BODILY INJURY Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ $ $ UMBRELLA LIAB EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ r $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Charles Joseph, Grandfathered General Contractor CCGO05798 Miami Shores Village Building Department 10050 NE 2 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. REPRESENTAttYE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by SMH on September 19, 2018 at 1:35 PM 12-28-2016 4L^ JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS- COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 12/26/2016 EXPIRATION DATE: 12/26/2018 JOSEPH CHARLES E 650327731 BUSINESS NAME AND ADDRESS: ALL FLORIDA CONSTRUCTION COMPANY 3701 W MCNAB RD STE E365 POMPANO BEACH FL 33089 SCOPES OF BUSINESS OR TRADE: 1- LICENSED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . OSf14l, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.0502), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.. The department shall revoke a certificate at any time forfeiture of the person named on the certificate to meet the requirements of this section. ULIESTiONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 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 DBA: Receipt #:G8ERA 0 CONTRACTOR ALL FLORIDA CONSTRUCTION COMPANY CONTRACTOR) Business Name: Business Type: Owner Name: JOSEPH CHARLES Business Opened:o8/25/2004 Business Location: 3701 W MCNAB RD UNIT E-365 StatelCounty/Cert/Reg:CG000570 POMPANO BEACH Exemption Code: Business Phone:786-547-9327 Rooms Seats Employees Machines Professionals 1 For Vending Business Only u....,fin...S IU�rfiinn�• Vending Tvoa: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Pald 27.00 0.00 0.00 1 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that It is in compliance with State or local laws and regulations. Mailing Address: JOSEPH CHARLES 3701 W MCNAB RD UNIT E365 POMPANO BEACH, FL 33069 2017 - 2018 Receipt #iCP-16-00026947 Paid 09/26/2017 27.00 Miami Shores Village 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. . •. •..' • • 09/05/2018 • •' • To: Miami Shores Village Building Department Date. • 10050 NE 2nd Ave •�;;;• Miami Shores Fl 33138 • ...... ..... Omar O. & Marianella B. Solis • • • • ...... Re: Owner's Name: • • •... 9322 NE 6 Avenue, Miami Shores, FL 33138-2837 ' Property Address: ' Roofing Permit Number: •� :"": Dear Building Official: I certify that I am not required to retrofit the roof to wall connections of my building because: e 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. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edi ion of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes Sworn to and subscribed before me this 5th Notary Public, Sate of Florida at Large says that he/she is the owner for the above property mentioned. Ely of Sept. 2018 JORGE ZARAGOZI * MY COMMISSION # GG 056711 F EXPIRES; January 17, 2021 Bonded Tlau @uapt Nbimy services • 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 Property Search Application - Miami -Dade County Page 1 of 1 t�OFFICE OPROPERTY APP Summary Report Property Information Folio: 11-3206-014-0910 Property Address: 9322 NE 6 AVE Miami Shores, FL 33138-2837 Owner OMAR O SOLIS &W MARIANELLA B Mailing Address 9322 NE 6 AVE MIAMI SHORES, FL 33138-2837 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use Beds / Baths / Half 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT 5/3/0 Floors 2 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,964 Sq.Ft Lot Size 13,414.4 Sq.Ft Year Built 11938 Assessment Information Year 2018 2017 2016 Land Value $402,163 $402,163 $335,664 Building Value $251,190 $252,642 $254,096 XF Value $6,414 $6,493 $6,572 Market Value $659,767 $661,298 $596,332 Assessed Value $284,875 $279,016 $273,278 Benefits Information Benefit_ Type 201 2017 2016 Save Our Homes Assessment $374,892 \$2,282 $323,054 Cap Reduction Homestead Exemption $25,000 $25,Nk $25,000 Second Exemption $25,000 $25,000 25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Generated On : 9/5/2018 Taxable Value Information • • • • • • • "" 28?8 2 O 7 ; 261-0 County •• ' Exemption Value $50,000 $50600� $50,000 Taxable Value $234,875 $229,016 i $223,278 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $259,875 $254,016 $248,278 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $234,875 $229,016 $223,278 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $234,875 $229,016 $223,278 Sales Information Previous Sale Pricei OR Book -Page Qualification Description 09/01/1993 $105,000 16053-1314 Sales which are qualified 06/01/1983 $63,000 11814-1672 Sales which are qualified 01/01/1978 $45,000 09931-0600 1 Sales which are qualified Short Legal Description MIAMI SHORES SEC 2 PB 10-37 LESS THAN $300,000.00 LOTS 1 & 2 BLK 56 LOT SIZE 104.800 X 128 OR 16053-1314 0993 1 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/info/disclaimer.asp Version https://www.miamidade.gov/propertysearch/ 9/5/2018 Florida Building Code 6th Edition (2017) High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: BORAL ROOFING, LLC Product Approval Number: 16 - 0 711.0 4 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: -39 .1 P2: -68 .1 P3: -100 . 7 '••• ...... .... Maximum Design Pressure • • • • • • Product Approval Specific System: 26.1 Method of Tile Attachment: ICP ADHESIVES POLYSETO AH-160"" ..�..' ',;.�• TWO PADDY SYSTEM (8 grams ea) : �':': • Steep Sloped System Description Deck Type: Roof Slope: 3 : 12 Ridge Ventilation? N/A 5/8" CDX PLYWOOD Underlayment: #30 ASTM D226 TYPE II nsulation: N/A -------------------------------------- Barrier: F tener Type & Spacing: 11/4" RING SHANK NAILS 7 6" o/c Q LAPS & 2 ROWS 12" o/c Mean Roof Height: 131 611 give Type: SELF -ADHERED, Type Cap Sheet: OWENS CORNING WEATHERLOCK SELF -ADHERED UNDERLAYMENT Roof Covering: VILLA 960 CONCRETE ROOF TILE Type & Size Drips Edge: 3 " FACE 26 ga I1� GALVANIZED METAL Florida Building Code 6th Edition (2017) 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 M,with the values from M,. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P,:-39.1 XA0. 3 15=12.32) -Mg:7.62 =Mr, 4.70 Product Approval , 26.1 ."••• 0000 (P2: - 6 8.1 x 0.315= 21.4 5 - Mg: 7 . 6 2 = Mr213 . 8 3 Product Approval14f• 2 t . 1 (P3:-1 00. 7 x X 0 . 315= 31. 72 - Mg: 7 . 62 = Mr, 2 4 . 10 Product Approva1J11,. o . 1 ' 0000 • Method 2 "Simplified Tile Calculation Per Table Below" . ; • �; Required Moment of Resistance (Mr) From Table Below Product ApPiNkMfT�• M Re uired Moment Resistance' • • • • • • Mean Roof Height --lo- Roof Slope 15' 20' 25' ' 30' : ; • • • '. 40• 2:12 34.4 36.5 38.2 39.7 .. 42.2 • 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 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 1 25.9 27.1 28.2 30.0 'Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P,: x 1: = x w:= - W: x cos 0: - = Fr, Product Approval F (Pz: x 1: = x w:= ) - W: x cos 0: - = Fn Product Approval F (P3: x 1: = x w:= ) - W: x cos 0: - = Fr3 Product Approval F Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier Product Approval Restoring Moment due to Gravity My Product Approval Attachment Resistance M, Product Approval Required Moment Resistance Mr Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions I = length w = width Product Approval All calculations must be submitted to the Building Official at the time of permit application. SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. .... Additionally, the following items should be addressed as part of the agreement between th$ oyM ant A- • • • • contractor. The owner's initial in the designated space indicates that the item has been explblhed' • • • • /n •••••• .... I. X C �. Aesthetics -Workmanship: the workmanship provisions of Section R44W4e for the Purpose of providing that the roof system meets the wind resistance and water instruction performip standart , • : • Aesthetics (appearance) are not a consideration with respect to workmanship provisiggg.} thetic jssue such as color or architectural appearance, that are not part of a zoning code, should bo'hMessed tis ppowof the agreement between the owner and the contractor. • . . 2. X g. Renailing wood decks: When replacing roofing, the existing wood roof depk jnay have tote renailed in accordance with the current provisions of Section R4403. (The roof deck is•Qsuafly con~Urior to removing the existing roof system). • • • 3. # (). 5' 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 to be performed. 4. x l S Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. X - 0. —5� Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. X.al„... 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 wall or other roof extension 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 Sections R4402, R4403 and R4413. 7. X . Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduce It may be beneficial to consider additional venting which can result in extending the service life of the r '^ Owner/ nYs Signa Date Contractor Signa re to Revised on 7/9/2009 I.D MIAMI-DADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy Owens Corning One Owens CorningParkway Toledo, OH 43659 SCOPE: This NOA is beingissued under the applicable rules and regulations governing the use of co4Utcton meter ls. Theo •":' PP t� g g � 1� documentation submitted has been reviewed and accepted by Miami -Dade County RER - Predw6t.Contrdl.Se4lbn to plr•„� used in Miami Dade County and other areas where allowed by the Authority Having JurisdieSen (AHJ). o. .... ...... This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product CoUrM Vection..... (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve thElta to h1ve^ • •:..' product or material tested for quality assurance purposes. If this product or material fails to perform in thd'ACCepted ... • • - manner, the manufacturer will incur the expense of such testing and the AHJ may immediatily re ;oke, modi�, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke tllisumeptance ,00 • if it is determined by Miami -Dade County Product Control Section that this product or material'fails to rrWet the • • • • • • requirements of the applicable building code. 00000.• 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: WeatherlocV Specialty Tile & Metal Underlayment LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 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 and revises NOA# 17-0522.01 and consists of pages l through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.: 18-0523.02 Expiration Date: 07/31/23 Approval Date: 08/02/18 Page 1 of 4 ROOFING COMPONENT APPROVAL Category: Sub -Category: Material: Roofing Underlayment SBS TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specification Description Weatherlock® 36" x 66.7' rolls TAS 103 SBS self -adhering asphalt sheet matey ial wvith a Specialty Tile & ASTM D 1970 white or green glass reinforced polyest8f Surfacing • • • Metal Underlayment fabric; for use as an undeFtayment mesloped roof ' • 000000 assemblies. • • • •.•••• . .... ..... MANUFACTURING LOCATION: 1. Brentwood, NH. • • • • • • .' 2. Houston, TX. . . ....' .. . . EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Construction Materials OCF-312-02-01 ASTM DI 623 07/03/17 Technologies, LLC. OCF-320-02-01 TAS 103 06/28/17 OCF426-02-01 ASTM D1970 07/12/18 OCF426-02-02 TAS 103 07/23/18 OCF-426-02-04 ASTM D1623 07/12/18 NOA No.: 18-0523.02 Expiration Date: 07/31/23 Approval Date: 08/02/18 Page 2 of 4 APPROVED ASSEMBLIES: Deck Type 1: Wood, non -insulated, new construction Deck Description: 15/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck, membrane adhered. Base Sheet: One or more plies of ASTM D226 Type II or ASTM D2626 with a minimum 4" side lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the laps and two staggered rows 12" o.c. the field of the roll. Membrane: One or more plies of Weatherlock® Specialty Tile & Metal Underla3�negt!yvith almk i4um 3':..... side lap and 6" end lap. Place the first course of membrane parallel to the lave, rolling the • • membrane to obtain maximum contact. Remove the release membrane as fhe mem8?a'he is • • • • • • applied. : • : • 0. .... .... . ..... Note: When used in Tile roof systems Weatherlock® Specialty Tile 1% Metal Unde layment ..... • shall be back nailed to deck with approved annular ring shank nails thd't4 caps at s•ma*ximuui .... 12" o.c. at the side laps. No nails or tin caps shall be exposed. : • •:'; • • .... % ...... Surfacing: Approved for Adhered Roof Tile using TILE BOND or AH-160, Mtrba4ally fastened Roof....: Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingle assemblieg . . • • NOA No.: 18-0523.02 Expiration Date: 07/31/23 Approval Date: 08/02/18 Page 3 of 4 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. Weatherlock' Specialty Tile & Metal underlayment shall be installed in strict compliance with applicable Building Code. 3. Weatherlock' Specialty Tile & Metal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. 4. Weatherlock' Specialty Tile & Metal underlayment shall not be applied over an existing roof membrane as a ee recover, but may be applied over roofing Base/Anchor sheet underlayment. 0 0 . " .... ...... 5. Weatherlock' Specialty Tile & Metal underlayment shall not be left exposed as a temporary roof for bngar. han . • 90 days of application. • • •; • • • 0 • • ....:. ...... 6. The standard maximum roof pitch for Weatherlock' Specialty Tile & Metal underlayment.%ball be 6.12 Nyhen tills • • • are loaded directly to the Weatherlock' Specialty Tile & Metal underlayment; loacing•boards U V ttens ater. ...... . .. .. required on roof pitches greater than 6:12". 0 � � � � • 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed apytq-4W.of this prpcluct wiT4 0 specific prepared roofing products. • 8. Tiles shall be stored on battens on roof pitches greater than 6:12". ' ; V 0 0 6 9. Weatherlock' Specialty Tile & Metal underlayment may be used with any approved roof covering Notice of Acceptance listing Weatherlock® Specialty Tile & Metal underlayment as a component part of an assembly in the Notice of Acceptance. If Weatherlock' Specialty Tile & Metal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 11. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Weatherlock' Specialty Tile & Metal underlayment shall be applied over the underlayment. 15. 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. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. END OF THIS ACCEPTANCE MIAMbDADE COUNTY NOA No.: 18-0523.02 . � Expiration Date: 07/31/23 Approval Date: 08/02/18 Page 4 of 4 rn] MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv ICP Adhesives and Sealants, Inc. 12505 NW 44' Street Coral Springs, FL. 33065 SCOPE: 0 • • • • This NOA is being issued under the applicable rules and regulations governing the use of �Wtti¢tion materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-ProdW4ontro;$r:den to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdictionkmi). • • !� Y •.•.• This NOA shall not be valid after the expiration date stated below. The Miami -Dade Count:P,fpduct C60ca-Section ' (in Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve thrl�ggt to haye tb, product : • % or material tested for quality assurance purposes. If this product or material fails to perform inn?ha.accept84.%4 der, tz� :•: • manufacturer will incur the expense of such testing and the AHJ may immediately revoke, jnolifl, or suspend the use . • of such product or material within their jurisdiction. RER reserves the right to revoke this, acce ie if it •ie.•:. determined by Miami -Dade County Product Control Section that this product or material fats to tueet th2 requiremegt� . 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: ICP Adhesives Polyset® AH-160 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 16-0315.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY ume l NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset' AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing .. Application Standard RAS 127. For use with approved flat, low, and high profile roof tile syiem.using IQ • • • Adhesives Polyset' AH-160. 000 . . .. � � � � • ...... .... •• ...... PRODUCTS MANUFACTURED BY APPLICANT: """ • .... Product Dimensions Test ProductlRemlptioiZ ...... .. • Specifications 000000 • .. ..... ' 640009 ... .. ICP Adhesives N/A TAS 101 Two component pol}i jWAVne foa.m. oadhesive.... 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 NOA which list attachment resistance values with the use of ICP Adhesives Polyset' AH-160 roof tile adhesive. MANUFACTURING LOCATION: Tomball, TX. PHYSICAL PROPERTIES: Proper Test Results Density ASTM D 1622 1.6 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Fe Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 17-0322.03 MAWDaoe COUNTY 11 Expiration Date: 05/.10/22 �rj.. .• Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency 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-IPA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB-589-631 9637-92 01-6743-011 01-6739-062b[l ] 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 ASTME 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 I1/16✓94 b11M5 .. OV?4/96 04/?8/12 !k?f3;A 2 10/23/98 12/28/98 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 61G20-3 of the Florida Administrative Code. 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 maybe 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 aggklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by.W AdhdIs188s and •.. • Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicator's o*the atitho't} having • jurisdiction. • • • • 0 • : � • 5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is j-egt irgd befJ�e.licativn • of any adhesive. The mix ratio between the "A" component and the "B" component shUlTe maintained between:*.. 1.0-1.15 (A): 1.0 (B). ...... . .. ..... .. .. .... ...... 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam DispensoroRT&1000 or IGP . • 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 the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches .34. Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches J... * 12 gram's per padd}r" head of tile 9-11 sq. inches at • ...... .... ... overlap 000000 Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal. • •".17 grams {per bead' edge) 20-25 sq. inches each 00 0 • ...... bead • . .. ... • • • 0000 • Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches ; • 4 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" or the Miami - Dade County Product Control Seal as shown below. hEAli1 E MNTr Uual BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 17-0322.03 MIAMMADE COUNTY Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 K W*=h�`stkc.ewat dely(EtnoaAh4ih1 Ut1d►�4ymtnt ' jar` ,� • 101 11aRt•rfs OPOMM f•scla Ewt Closure Nall through,ptastic cement lwhen required) lolrLX--,� 4 21Rwlda e!L5 optaanal p.ddy 4O"otth rd.1 j CM clasura Fascia RWA !bough plaslle ('whenral�r•dt Ph t!4O•nowthiiW Ubdt`liyf r t a � torn.. 2 In. w6da �attxns optional R w Ea"Cours. Each ,0 Weephok I ine In. Inc closurr ,�. ONpedg• 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 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile.****. • • ..•• .•..•• ..••.• ..•• ••.... •••• • ••••• Medium Profile / Double fkt r Wile • • • • • • • • • •t •• •••• •••••• 1. Starting at the eave coursye UMly a minilnum 2" • (50.8 mm) x 10" (254 lnm) x 1" (25:4 mm� foam paddy onto the underlayV�nt positioned as shower • • • under the pan portion of the tile closet tq the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. 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. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cmZ) 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 ADHESIVE PLACEMENT DETAIL # 2 W1 threwph plwtic mmen# twhen regmiredl Paddy 19en•ath 111a) unarlayi.,.ne .,,,�y l ie.In Ba"em opd onal 10 Earn coorlr F**da Flat/Low Profile Tile 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 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. At the second course, apply a rt 'nimunt2,1�6.8mrro..... x 7" (177.8 mm) x 1" (25.4tnrh)%am paddy onto the underlayment positioned asckevm under ....:. strengthening rib closest tdttt4averlock of -the tile • being set. "" • .... . ..... 3. Continue in same manner. •; su'r*aapproK �ma*1 •®ly 10 • • • • • (64.5 cmZ) - 12 (77.4 cm2)�re inch adheslve •• contact with the underside, of th4ile. . • • • • ; • •••..• Medium Profile / Double Pan Tile • • • 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 cmZ) — 23 (148.4 cmZ) 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 12" (77.4 cm2) - 14 (90.3 cm) 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 ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) Hall rhaough $a tk cc }When requlrodj PA441P lRotuwh TOO 1U+►dshy�+�++ne • 4 Damns optional , Ease Go,ssa 101M 2In. Earecbosure 1 Wip edge 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 the closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm') square inch adhesive contact with the underside of the tile. . .... ..... 2. At the second course, appl; �.mr>Zimurr>+2%�0.8mm) • • x 7" (177.8 mm) x 1" (25.4" foam P444x Into the • • ; • underlayment positioned as ckovai under the pan portion of the tile closest to the Overlock of tke tile : • • • • being set. •••• • ••••• ...... . .. ..... 3. Continue in same manner. nsure approximately ] 7 ,...... (109.7 cm2) - 19 (122.6 crTF) squire inch adhesive • • • • contact with the underside of t1V tile. ' • • •' • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 Nail through plastic cement Paddy lbetween tiles) (when required) ttaitens optional ` ° Paddy (order tile) Single paddy an top oftie �-.:ain �'. rtrn 9le paddy on r`2X [kMhFascia 2 in. Pare clop" NEWMEMMO Rat/Low Profile Tile Nazi through plastic cement Single paddy under tale (when required) Paddy (between tiles) Battens Paddy(under dw Skxfie on topof Single paddy an loin. ' Sin. Eme Closure Eave Course Fasda Medium Profile Tile I . On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x I " (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 in (109.7-148.4"11�.of adhesive contact with the uadelside of tlie'tile ' • • • ; • ...... .... ...... 2. Apply a4"(101.6mm) x.4".Q01.6W)x1"(254.*•••; mm) foam paddy onto tRa md'erlayfrie'nt Nt beloj4... the second course line pc6i iowd foam paddy ..... under the strengthening Ttb fctr flat tile,"rounder t+ie• • • • pan portion of the tile, c=dScZt Io the und2rlock for •. the second course tile to be installed; dartire approximately 8-9 in' (�1..6•�5.I 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) Nall Usou0 plastic 5infie paddy under We twhen required Paddytbecween tiles) Battens apdonal. Paddy (under tile) ndeIb "4 x 4 in. single 2:4 piddy an. top o#ae Ewe Course Weephole loin. in Eave tiosare High ProtlleTile 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4" (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 cm') - 11 (71 cm2) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm2) - 9 (58.1 cmZ) squareiiwk adhesive contact with thr urLdelside of the the at • • • • • • the head of the tile. Contihtte ih same rr &ftWr. • • •••• • ••••• •• •• •••• •••••• • . . . . ...... NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL t) Place enough adhesive to achieve 65 to 70 sq. in. Steep pitch applications in contact with the pan tile. (when required) 2) Turn coven upside down. Place adhesive in to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 25sq.in. contact area, IUnderlayment 1 Eave closure (motar shown) Fascia 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 rile 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. •r•• 2. Continue in same marirer,jftging tWdpan • • • • • • courses up toward the ridge.Insure: . approximately 65 (41 70 �45� 66 cmZ)�"' • square inch adhesive cg4gg t with qie urgdersid; .... of the pan tile. • ....r •••••r 4 0000 • • • • • r 3. Turn covers upside damn exposing t�nndersid& • • • • of the tile. Apply a mi ff4q 1" (25.4 trim) x 10" •, (254 mm) bead of adhesive directl;"6U innef' • •' • edge of each side of tl;e cover tile. Leave :*a**: approximately 3/4" (19 mm) to 1"�JJ 44 rnm) • from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm') - 25 (161.3 cmZ) square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required, 2" (50.8 mm) x 4" (101.6 mm) nailers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 11 of 11 MIAMI-DADE COUNTY MIAM PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.aov/economy Boral Roofing, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 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.y i"tion to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdirtion4AHJ).•.,..• This NOA shall not be valid after the expiration date stated below. The Miami -Dade Count.%PiQduct Coftbj.%ction,...;. (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve *c 4gltt to have 6his product or material tested for quality assurance purposes. If this product or material fails to pCtbtui in tl;e� japted • manner, the manufacturer will incur the expense of such testing and the AHJ may immediate) Pfe*voke, nYodify, or suspend the use of such product or material within their jurisdiction. RER reserves the right r• •; • •. ... . .o r'.erevoke tlxs e! ceptanc. .ce.... o if it is determined by Miami -Dade County Product Control Section that this product or matgW ffi is to meetitlie • requirements of the applicable building code. ....;, This product is approved as described herein, and has been designed to comply with the Florida Buildin; Lode including the High Velocity Hurricane Zone of the Florida Building Code. • • • • • DESCRIPTION: Boral Villa 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.12-0308.20 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY ...0 1 NOA No.: 16-0711.04 Expiration Date: 09/21/21 Approval Date: 09/01/16 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Catezory: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Boral Villa 900 Concrete Roof Tile, as manufactured Boral Roofing, LLC in Lake Wales, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Boral Roofing Villa 900 Length = 17" TAS 112 Width = 13" Type 1 b '/2" thick Class III Trim Pieces 1= varies TAS 112 w = varies varying thickness 2.1 PRODUCTS MANUFACTURED BY OTHERS Product Name ICP Adhesives Polyset AH-160 ICP Adhesives Polyset RTA-1 TILE BOND' Roof Tile Adhesive "Tile Tite" Roof Tile Mortar Product Description . . .... ...... prl ct •••• •••��• 000000 DesV112tion ; • • • • Low profile, interlock Mg,'high pr;ssure extruded • • • concrete roof tile egt?iT*MVith three hail holtg * ..... ... ..... and double rolls. Fo; dire't deck, Batten, mortar •. or adhesive set appliCatiamt • Accessory trim, concrete. Ppof pieties for use at • ; ridges, hips and rakes * • . • • ' Two component polyurethane foam adhesive. Single component polyurethane foam roof tile adhesive. Single component polyurethane foam roof tile adhesive. Premixed, pre -bagged roof tile mortar. 2.2 MANUFACTURING LOCATION 2.2.1. Lake Wales, FL Manufacturer (With Current NOA) ICP Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. The Dow Chemical Company Bermuda Roof Co. Inc. NOA No.: 16-0711.04 Expiration Date: 09/21/21 Approval Date: 09/01/16 Page 2 of 7 2.3 EVIDENCE SUBMITTED Test Azency Test Identifier Test Name/Report Date Nutting Engineers 13343.1 TAS 112 Apr. 2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II TAS 108 (Nail -On) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails The Center for Applied 94-060B Static Uplift Testing l Wjh, 1994 Engineering Inc. TAS 101 (Adhesive Spt) . The Center for Applied 94-084 Static Uplift Testing" : Va-y.1994 '. Engineering, Inc. . . ... TAS 101 (Mortar Set • .... ...... Redland Technologies P0631-01 Wind Tunnel Testino • • • • : .Ji&. 1994 : • • • • : TAS 108 (Mortar Sett • •' ...... • •; • • . Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing,'..' .. ..... '.1�ug' 1994.... •. TAS 108 (Nail-Ont • • . The Center for Applied Project No. 307025 Wind Driven Rain : •Oj-1994: • • • Engineering, Inc. Test #MDC-76 TAS 100 • , • • ; • • • • ; The Center for Applied 25-7183-1 Static Uplift Testing �'FeB. 1995 Engineering, Inc. 25-7183-2 TAS 102 (2 Quik-Drive Screws, Direct Deck) The Center for Applied 25-7214-2 Static Uplift Testing March, 1995 Engineering, Inc. 25-7214-6 TAS 102 (1 Quik-Drive Screw, Direct Deck) (1 Quik-Drive Screw, Battens) Celotex Corporation 528454-2-1 Static Uplift Testing Sep. 1998 Testing Services 520109-2 TAS 101 Dec. 1998 Walker Engineering, Inc. Evaluation Calculations 25-7183 March 1995 Walker Engineering, Inc. Evaluation Calculations 25-7094 February 1996 Walker Engineering, Inc. Evaluation Calculations 25-7496 April 1996 Walker Engineering, Inc. Evaluation Calculations 25-7584 December 1996 25-7804b-8 25-7804-4 & 5 25-7848-6 Walker Engineering, Inc. Evaluation Calculations Aerodynamic Multipliers 09/01/16 Walker Engineering, Inc. Evaluation Calculations Two Patty Adhesive Set System April 1999 Walker Engineering, Inc. Evaluation Calculations Restoring Moment Due to Gravity 09/01/16 American Test Lab of South RT0617.02-16 TAS 112 06/29/16 Florida NOA No.: 16-0711.04 MIAMI•DADE COUNTY Expiration Date: 09/21/21 Approval Date: 09/01/16 Page 3 of 7 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 shall be performed in accordance with TAS 106. 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 Building Code Compliance Office 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 Aall.... .. •se in compliance wi i•:• applicable building code. • .... .... ...... 4. INSTALLATION • • • • • .... . ..... 4.1 Villa 900 Concrete Roof Tile and its components shall be installed in strict.00MFliance with RooQaA..• 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 (lbf) Length-1 (ft) Widfh-W (ft) Villa 900 Concrete Tile 10.90 1.42 1.08 Table 2: Aerodynamic Multipliers - (ft3) Tile Profile A, (ft3) Batten Application )L (ft3) Direct Deck Application 1 Villa 900 Concrete Tile 0.291 0.315 Table 3: Restoring Moments due to Gravity - M9 (ft-lbf) Tile Profile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or greater Villa 900 Concrete Tile Direct Deck Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.70 7.62 1 6.56 7.50 6.42 7.34 6.26 7.15 6.08 6.95 NOA No.: 16-0711.04 Expiration Date: 09/21/21 Approval Date: 09/01/16 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mechanically Fastened Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15132" plywood) (min. 19/32" plywood) Villa 900 2-10d Ring Shank Nails 27.8 37.4 28.8 Concrete Tile 1-10d Smooth or Screw 8.8 11.8 4.1 Shank Nail 2-10d Smooth or Screw 16.4 21.9 7.1 Shank Nails 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1-10d Smooth or Screw 24.3 24.3 ...24.2 Shank Nail Field Clip)• • • • • • • 1-10d Smooth or Screw 19.0 19.0 ;�;� Shank Nail Eave Clip) �•�� •�22.1 2-10d Smooth or Screw 35.5 35.5 • • ;4.8 ; • • Shank Nails Field Clip)• • • • • • 2-10d Smooth or Screw 31.9 31.9 ...... .32.2 ..: Shank Nails Eave Clip900000 • • • • ... Table 5: Attachment Resistance Expressed as a Moment Mf•(ft-lb ; • • • • • for Two Paddy Adhesive Set Systems • • • Tile Tile Application Minimum Attachment Profile Resistance Villa 900 Concrete Tile Adhesive' 26.12-3 1 See foam adhesive manufacturer's component approyal for installation requirements. 2 The Dow Chemical Company TileBond one -component foam, minimum weight per paddy 11.4 grams. 3 ICP Adhesives Po yset® AH-160 two -component foam, minimum weight per paddy 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Paddy Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Villa 900 Concrete Tile ICP Adhesives Polyset® AH-160 two -component foam 86.614 ICP Adhesives Polyset® AH-160 two -component foam 45.55 4 Large paddy placement of minimum 54 gEams. 5 Medium paddy placement of minimum 24 grams. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Villa 900 Concrete Tile Mortar Seth 20.60 Tile-Tite Roof Tile Mortar. NOA No.: 16-0711.04 Expiration Date: 09/21/21 Approval Date: 09/01/16 Page 5 of 7 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved". LABEL FOR BORAL VILLA 900 CONCRETE TILE (LOCATED ON THE UNDERSIDE OF TILE • • • • • • • • • 0 0 • • 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 Building Official or Applicable building code jn Urder td p;verly • •' • • evaluate the installation of this system. .. .. .... ...... , . . . . ...... NOA No.: 16-0711.04 MW41-DADE COUNTY Expiration Date: 09/21/21 Wj ..., Approval Date: 09/01/16 Page 6 of 7 Nail holes PROFILE DRAWING .12911 �S- 1112" VILLA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE Y • • � L��11 •..•Y • f .•...• 1:A. NOA No.: 16-0711.04 MIAMMADECOUNTY Expiration Date: 09/21/21 �Fjjua• Approval Date: 09/01/16 Page 7 of 7 CONSTRUCTION CO PROPOSAL SUBMITTED TO CUSTOMER NAME Omar O. Solis Marianella B. Solis ADDRESS 9322 NE 6 Avenue CITY, STATE ZIP Miami Shores FL 33138-2837 TE L / FAX EMAIL CHARLES E. JOSEPH, Contractor State Cert. CGCO05798 PROPOSAL # 2018-GS-0901 DATE 09/05/2018 JOB LOCATION 9322 NE 6 Avenue CITY, STATE ZIP Miami Shores FL 33138-2837 SCOPE OF WORK 4,000 ft' Tile Re -roof ❑✓ Take off existing roof down to workable surface and dispose of debris ✓ Replace u to 150 0000 ❑ ep p square feet of rotten wood included in contract price. Arty sheathing exceeding ttpp adoigped amouli>:ipfijl bg 000000 charged $ 5.00 per square foot extra. Fascia to be replaced at $ 4.00 per lineal foot. Rafter ends to be re'airer at $ 7eo �pmeal foot. • • • i • • LOW SLOPE FLAT •••••• •... ...... ❑ (FLAT) ^ : 12" � StEEP storE 3 Deck Type ❑ Non-nailable ❑Naitable Deck Type Plywood ❑ insulated Thickness Type ❑ Base/Anchor Q Base ❑ Interply Q Interply ❑ Interply •••i'J7 a1:30 Base Sheet• • • •••• • •• •• Self Adherent ❑ Focal Roof Cover Q Final Roof Cover ❑ Install new 26/24 gauge galvanized metals on eaves drip, valleys, gravel stops. Q All soil stacks/plumbing pipes probvding through the roof shall receive new covers. R 7 Year Contractor Warranty on Labor I Manufacturer warrants materials Customers will procure tile directly from supply house • Concrete Tile • :""• • • • •• • All material is guaranteed to be as specified, and the above work Is to be performed in accordance to specifications submitted. Work shad be completed in substantial workmanlike mariner for the sum of $ 22,000.00 , with payments to be made as foliowsi NOTE: CASH PAYMENTS OR DIRECT PAYMENTS TO SUPPLY HOUSES WILL BE DEDUCTED FROM BALANCE OUTSTANDING $ 2,800 @ Acceptance of proposal $ 10,000 @ Start-up and mobilization S 4,000 Q First inspection approval $ 3,200 @ Interply dry4n S S � $ 2,000 @ Final inspection I job completion NOTICE TO OWNER YOU, THE BUYER MAY CANCEL THIS TRANSACTI ON AT ANY TIME PRIOR TO THE THIRD BUSINESS DAY AFTER THE DATE OF PROPOSAL ACCEPTANCE. CONTRACTOR WILL USE ESCROW OR POST BOND FOR DOWNPAYMENT, ADVANCES, AND ANY PAYMENT RECEIVED PRIOR TO SUBSTANTIAL JOB COMPLETION. All material is guaranteed to be as specified All work is to be completed in a workmanlike manner according tostandard practices. Any ailsration, deviation or addition tiom the above will involve extra costand will be executed only upon written work orderfrom the owner, and you must carry fire, tornado and other necessary insurance for the above work (right of subrogation waived). We will provide Public Liability Insurance. You, the owner, will be responsible for all legal e)senses thatmay occur or emerge in case of litigation or dispute over any aspect of this contract. ACCEPTANCE OF PROPOSAL 1, the owner, understand that upon endorsement by Contractor, the proposal wil be con"red accepted and becone binding on Contractor and Owner under tie terms and agreements as outlined in the proposal. 1 consider the above prices, specifications and conditions satisfactory. (here y accept the proposal. You, the Contractor, are authorized to do the work as specified. Payment wil be made as outlined above. All amounts a I%% interest r month. Date of Acceptance: 09/05/2018 Owners or Representative's Signatu7e t. Acceptance of Proposal and tie above prices, specifications and conditions must be approved by Contractor's endorsement below: Accepted by: _ ii _ Date: 09/05/2018 3701 W McNab Road, Suite E-365, Pompano Beach, FL 33069 ((305) 799-7507 ADDITIONAL TERMS AND CONDITIONS 1. No carpentry work, woodwork or painting is included in this contract unless mentioned in specifications. 2. ALL FLORIDA CONSTRUCTION CO. carries full insurance as required by Florida law, but shall not be held responsible for damage either before commencement of or during said work caused by strikes, war, acts of God, sudden rains, windstorms, or any event beyond our control. 3. The only work to be done or guaranteed is as set forth in this contract, no promise verbal or otherwise will be valid. 4. ALL FLORIDA CONSTRUCTION CO. does not guarantee against leakage due to footwear, building construction, fire, hall, hurricanes, termites, etc. or any events beyond our control. 5. In the event leakage occurs in work completed by ALL FLORIDA CONSTRUCTION CO., contractee must notify ALL FLORIDA CONSTRUCTION CO. ALL FLORIDA CONSTRUCTION CO., will then repair said leak at no charge to contractee, providing Article #4 of this section doesn't apply and said job completed and has been promptly paid in full and warranty is in effect. 6. Work done, or attempted to be done, on this roof by other than ALL FLORIDA CONSTRUCTION CO. or their authorized agents relieves the warrantor from any obligation hereunder. 7. ,AWPI!ORIDA CONSTRUCTION CO. will not be held responsible for damage to sidewalks lawns, fences sprinkler systems, etc. where • she mist be crass% jjtlain access to Building. • •;. 8. Tl r,wMantee i%*4 iasignable and is not subject to alterations, except by written agreement executed by an officer of the warrantor. • • 9. In the event payRJ MR rot made as stated in specifications, costs of collection including all attorney's fees, court costs, and collection • • • •. • ilft"fges are ip%*e*p id by owner's or owner's agents. • i • 10. Any interruption in the work which is the fault of owner or owner's agent will be billed according to time and materials lost, and such costs ••••• •• • nd;; •••••• • • • • • • sh�� QS oue a*pan receipt of bill. • • 11. Duesto the nature"goofing ALL FLORIDA CONSTRUCTION CO. shall not be liable for damages to walls, ceilings, interiors, furniture, •: •• • • fixtures decorations, stook or equipment, air conditioners, solar heaters, screening, swimming pools, patios, etc. Either before, during or • after the toofing prgWss gas been completed. • • 12. Dusto the nature of roofing work, on any job with exposed ceiling we strongly recommend that the following be completed by the customers • •• prior to our commencing work. a. Cover furniture with a drop cloth b. Remove any lamps, art objects, or other breakable items from room c. Although we take all due care ALL FLORIDA CONSTRUCTION CO. cannot be responsible for any dirt or small debris that might fall through sheathing on exposed ceiling type roofs, therefore there may be some clean up (vacuuming, dusting, etc.) required of� the customer after completion of the job. 13. All unpaid balances are subject to the maximum interest allowed by law. 14. Enforcement of this Agreement if it becomes necessary to hire an attorney to enforce any provision of this agreement, the prevailing party shall be entitled to recover their costs and attorney's fees incurred prior to suit, as well as litigation, appeal and any arbitration, bankruptcy or administrative proceedings, Any legal proceeding concerning this Agreement shall be brought in the Circuit Court in Miami -Dade, Broward and Palm Beach County, Florida, and shall yield the highest interest rate allowable by law. 15. Any unpaid balances shall void the guarantee of this contract 16. There will be a 25°% liquidation fee for cancellation of this contract 17. ALL FLORIDA CONSTRUCTION CO. will not be responsible for asbestos removal or surveys. 18. ALL FLORIDA CONSTRUCTION CO. does not include costs of mechanical or engineering reports. 19. Call backs will be serviced within 5 working days or in the vent of bad weather as soon as possible. 20. Gutters, especially seamless gutters, should be removed by gutter company before commencement, due to care in avoiding damage to existing gutters will be observed, however ALL FLORIDA CONSTRUCTION CO. will not be held responsible for gutters. 21. Multiple roofs, concealed or hidden roofs under the existing roof must be removed wil be charged to the customer on time and material basis. 22. Ponding water in the event the building department requires tapered insulation to remove excessive ponding water, the customer will be charged for time and material on for the installation of said insulation and roofing. 23. ALL FLORIDA CONSTRUCTION CO. will not be responsible for maintenance items such as pitch pans and coatings. 24. Skylights; existing skylights (not approved) will be utilized, unless replacement is necessary it will be replaced at an additional cost of skylight & labor only. 25. ALL FLORIDA CONSTRUCTION CO. will not be responsible for sheathing nails, backing up through roof or wood destroying organisms. 26. Returned checks will be replaced for like amount plus all bank fees. 27. Warranty does not cover leaks or other damage due to natural disasters (hurricanes, tornadoes and other) Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9322 NE 6 AVE, Miami Shores, FL 33138 Contacts Permit NO.: RF-9-18-2499 Permit IVR !Number: 640516 rg Permit Type: Roof Work Classiffcatiort: Tile Issue Date€10/15/2018 Parcel Number 1132060140910 Permit Status: Approved' Expiration: 03/18/2019 Project <NONE> OMAR SOLIS Owner MARIANELLA SOLIS Owner 9322 NE 6 AVE, MIAMI SHORES, FL 331382837 9322 NE 6 AVE, MIAMI SHORES, FL 331382837 OMAR SOLIS Applicant ALL FLORIDA CONSTRUCTION COMPANY Contractor 9322 NE 6 AVE, MIAMI SHORES, FL 331382837 CHARLES EDWARD SR JOSEPH 3701 W MCNAB RD E-365, POMPANO BEACH, FL 33069 Business: 30S7997507 Description: TILE RE -ROOF Valuation: $ 28,000.00 Inspection Requests: 305-762-4949 Total Sq Feet: 4,000.00 ==j - - - _ Fees Amount CCF $16.80 DBPR Fee $4.88 DCA Fee $3.25 Education Surcharge $5.60 Permit Fee - New Roof $325.00 Scanning Fee $9.00 Technology Fee $22.40 Total: $386.93 Building Department Copy Payments Date Paid Amt Paid Total Fees $386.93 Check # 1910 10/15/2018 $336.93 Check # 1865 09/19/2018 $50.00 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ce that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z3n Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner Applicant / October 15, 2018 Page 2 of 4 NOTICE OF COMMENCEMENT CFN 2013F O551228 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION OR Q K. 31134 Ps 48i �5 (1 Ps s ) RECORDED 09 11 /21-I 8 13:131:12 � �•— ��Jj HARVE'f RUVINY CLERK. OF COURT PERMIT NO. ij AX FOLIO NO. 11-3206-014-0910 MIAMI-DADE COUNTY. FLORIDA STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. La al descri tion of ropert LO�S 1 & 2, BLOCK it 2. Description of improvement: 3. Owner(s) name and address: OMAR & MARI Interest in property: FEE SIMPLE OWNEI Name and address of fee simple titleholder: SAN 4. Contractor's name, address and phone number: Space above reserved for use of recording office VENUE. MIAMI SHORES. FL 33138-2837 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. --------_____—_—_—_____—_____—___--______--___—___—__—_—____________— Amount of bond $ --------- --------__ 6. Lender's name and address:--------------------------------------------------------------------------------- 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1Ha)7., Florida Statutes, Name, address and phone number.------------------'-------______-___-___----------------------------------------- 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number- ----- ___----------------- ------- --------------- -------------------------_ 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSI IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWI( IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOI FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) ne thorized Officer/Director/Partner/Manager Prepared B (U Prepared By Print Name Print Name C.. Title/Office W Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE M The for ing instrument wa, acknowledged before me this 5TH day of _01 By ,� Individually, or ❑ as for Personalty known, or 12 produced the following type of identification: 'FDL Signature of Notary Public: Print Name: N+`''ue (SEAL) , * MY COMMISSION # GG 056711 .Z VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES N� p" EXPIRES: January 17, 2021 C Under penalties of perjury, 1 declare that I have read the foregoing and 'FaF rE� Bonded Thu Budget Notary Services K that the facts stated in it are true, to the best of my knowledge and belief. tC Signatu ner s s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 1".01-52 PAGE 3 3/10 D ` D s 0 0 aro r-+ C V 8 9 RE: Permit # RF-9-18-2499 I CHARLES E. JOSEPH. S (Print name and circle License Type) License #: CGCO05798 Mll i S 11049C &4 z)04%"lr e 10050 NE 2^d Ave Miami Shores, FI 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com DATE: 10/17/2018 INSPECTION AFFIDAVIT On or about 10/16/2018 - NOON licensed as a (n) Contractor / Engineer / Architect, FS 468 Building Inspector I did personally inspect the roof deck nailing and/or (Date & time) secondary water barrier work at 9322 NE 6 AVENUE MIAMI SHORES FL 33138-2837 (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) Signature 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 17TH Notary Public, Sate of Florida at Large day of OCTOBER, 2018 o�Pa� Pue�� JORGE ZARAGOZI * o* MY COMMISSION # GG 056711 RFC' lanuary17,2021 9TFOF F1.�� 90ndad ThFU puoyeF wlery Services *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