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RF-18-2476Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:10/18/2018 Parcel Number Permit No.: RF-9-18-2476 Permit Type: Roof Work Classification: Tile Permit Status: Approved Expiration: 03/18/2019 Project 117 NW 101 ST, Miami Shores, FL 33150 1131010220150 <NONE> Contacts GHAZAR KOLIAN Owner GHAZAR KOLIAN Applicant 117 101, MIAMI SHORES, FL 33150 117 101, MIAMI SHORES, FL 33150 SAFEGUARD ROOFING INC Contractor KHALED HALWAJI 1319 S POWERLINE RD 121, BROWARD, FL 33069 Business: 8887843348 Description: RE -ROOF TILE Valuation: $ 16,980.00 Inspection Requests: 1305-762-4949 Total Sq Feet: 1,400.00 Fees Amount CCF $10.20 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $3.40 Permit Fee - New Roof $275.00 Scanning Fee $12.00 Technology Fee $13.60 Total: $321.08 Building Department Copy Payments Date Paid Amt Paid Total Fees $321.08 Check # 224551 09/18/2018 $50.00 Check # 224902 10/18/2018 $271.08 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. DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws : 7cc ie nd zoning. Futhermore, I authorize the abov lnamed contractor to do the work stated. L 76V,��� Owner / Applicant / Contractor / Agent October 18, 2018 Page 2 of 2 4ZA Miami Shores e Villa c yrvo g �0 Building Department s i zoos 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 $Y: Tel: (305) 795-2204 Fax: (305) 756-8972 j INSPECTION LINE PHONE NUMBER: (305) 762-4949 Yl t�— FBC 20 1 BUILDING Master Permit Noy— V ` 2 r9� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑E ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 117 NW 101 St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3101-022-0150 Is the Building Historically Designated: Yes NO Occupancy Type: 1 Load: Construction Type: SFR Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): GHAZAR KOLIAN Phone#: Address: 117 NW 101 ST City: Miami Shores State: FL Zip: 33150 Tenant/Lessee Name: Email CONTRACTOR: Company Name: SAFEGUARD ROOFING Address: 1245 S POWERLINE RD #304 City: Pompano Beach State: FL Qualifier Name: State Certification or Registration #: 1325695 754-366-2450 33069 Certificate of Competency #: 0072930 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1 �DQ�().UU Square/Linear Footage of Work: I Lipp Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition Description of Work: RE -ROOF / Tt LE Specify color of color thru tile: Submittal Fee $ ' Q Permit Fee $ 2_:� Scanning Fee $ Technology Fee $_ Structural Reviews $ Rad CCF $ CO/CC $ on Fee $ .2� DBPR $ 13 Notary $ Training/Education Fee $ Double Fee $ Bond $ S M • Q TOTAL FEE NOW DUE $ '2-1 - C'�a (Revtsed02/24/2014) zz! l O 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 WE Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature V 7 OWNER or AGENT RI'n Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _ A day of �//22�0 l 1 by _ day of (� 20 by o is perso ly known to who is personally known to me or who has produced as me or who has produced i Know) as identification and who did take an oath. r+ identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Cheri K. Martinez Cheri K. Martinez Seal: ! t�R NOTARY PUBLIC Seal: % NOTARY PUBLIC ESTATE OF FLORIDA STATE OF FLORIDA Nb i Comrn# FF986796 Comrn# FF986796 APPROVED BY / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 I Al PERTY OFFICE OF TH­ PRO Summary Report Property Information Folio: 11-3101-022-0150 Property Address: 117 NW 101 ST Miami Shores, FL 33150-1213 Owner SERGIO NOGUEIRA GHAZAR KOLIAN Mailing Address 117 NW 101 ST MIAMI SHORES, FL 33150 USA PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths I Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,571 Sq.Ft Living Area 1,030 Sq.Ft Adjusted Area 1,254 Sq.Ft Lot Size 8,100 Sq.Ft Year Built 1941 Assessment Information Year 20181 2017 2016 Land Value _ $178,398 $178,398 $178,398 ......... Building Value $109,725 $103,279 _....._._ ._ $104,734 XF Value $0 $0 $0 Market Value $288,123 $281,677 $283,132 Assessed Value $287,592 $281,677 $283,132 Benefits Information Benefit ;Type 2018 2017 2016 ......... Save Our Homes Assessment _._... ......... ................ $531 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption .....__ $25,000 ... ._..............._ $25,0001 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). IShort Legal Description 1 5341 GOLD CREST A SUB PB 21-56 LOT 9 & W1/2 OF LOT 8 BLK 2 LOT SIZE 75.000 X 108 COC 25823-0406 06 2007 6 Generated On : 9/18/2018 Taxable Value Information 2018 20175 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $237,592 $231,677 $233,132 School Board Exemption Value Taxable Value $251000 $262,592 $25,000 $256,677 $25,000 $258,132 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $237,592 $231,677 $233,132 _._........................................ .................. __ Regional Exemption Value _..._._ _... ......_ Taxable Value $5Q000' $237,592 $50,000s $231,677 $50,000 $233,132 Sales Information PrevSale Price O Qualification Description PBook Page 9e 06/26/2015 $360,000 29676-2269 Qual by exam of deed 03/31/2010 $210,000 27239-0247 Qual by exam of deed Corrective, tax or QCD; min 02/24/2010 $100 27194-4872 consideration 11/13/2009 $90,000 27140 3833 Qual by exam of deed 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 9/18/2018 a"A�rREGUARD State Licensed • #1326695 ♦ insured Residential Roofinq Estimate 1245 S. Powerline Road 9J04 Pompano Beach. FL 33069 1-888-784-3348 Salesna.SafeguardRoofinpiet Name: GHAZAR KOLIAN Contact Person: GHAZAR KOLIAN Billing Address: ' 117 NW 101 S7 Miami Shores, FL 33150-1213 Business Phone: Fax Number: Ceti Phone: _ 305-024-1083 Home Phone: Email: ghazarkolian@gmail.com Project Address if diBeren? from above') Shingle Roof PRE-EXISTING DAMAGE(S) Leaks - Mold • Stains - Cracks, Etc. 1, Modify roof to a workable surface. Renail all wood Nail and Tin tap 2. Replace up to 100 ft. of rotted decking. ;aver 10011.S3svaer h.} 3. Dry -In using felt as per code. Nail & Tin Cap one laver of ASTM-226 930 4 Install new eavedrip metal. New plumping stacks and vents 5, Mecharically fasten new shingles. Type. Color: Or equivalent code compliant method. See back for more details. ❑Flat Roof DPRE-EXISTING DAMAGE(S) Leaks -Mold • Stains - Cracks- Etc. 1 Modify roof to a workable surface 2. Replace up to 100 ft of rotted decking. over I[oft 53.50per h ) 3.7rn-Tag t Ply 43Ib Base Sheet Glass to Sooth Florida Building Code, 4. install new eavecir(p metal.New plumbing stacks &vents. 5. Hot -Mop Modified White Granule. 0, equivalent code compliant method. See back for more details. Leaks PRE-EXISTING DAMAGE(S) Leaks - Mold • Stains - Cracks • Etc. I, Re -Dry in / Re -Sea! 2. Replace rotten wood. 3. Torch down or mop down / Modify with granules Roof Size: Shingle Roof: Flat Roof. Leak Area: IdF]ITileRoof: Tile Roof _ ZPR6EXISTING DAMAGE(S) Leaks - Mold - Stains - Cracks - Etc. I, Modify existing roof to a workable surface and remove debris. 2. 100 sq. ft. of plywood sheathing is included. Replacement of all rotted wood is mandatory as required by State Code, 3. Renail all sheathing to State Code. 4, Nail and tin cap one layer of ASTM-226 030 anchor sheet over the wood decking: per code. 5 Chose white, brown or galvanized drip edge for the perimeter. Copper is available. 16:nch wide galvanized valley metal and ieod stock shields ole included. Wali foshing Oil be tep -oced as needed. 6. Apply solid het mop ASTM #90 or a 490 peel and stick tile underlayment over the roof surface. 7. Existing Crickets ml be fined faith modified bitumen. 8, Roof t;.le will be installed per the Florida State Building Code and rnonufoctow.s soecircotion oco bosed stctndord bcstc')le. Urethane tile adhesive or screws or a combination shall be util)zed to securely fix ±nr the to the roof surfoce. in the event ",of the roofslope exceeds 7112 wood milers will be included. See back for more details. Til ype. Estate Color Category 1 Per Availabilit Contract Amount: S 16,980.00 Contract Total: S 0��nfir9.� a ^e^Is e ade as �w .1 m d ;utal a r rf s cicada x s;•xrg d ttn aweunen i� e ,a na}m d F s u tc ai rtx , to pad m e d per rn: a n bets aet�e7 c i^ t al rwene x pwnnt !eel'-i a'. aoakonal 1, the corntrad. i3i 441d +on l paymant d K% of toid pace mus! ce r-s-e at time of in to 1,00 ^WA u„^rple!ur!, (4) Babes c'tatai xsl ry' let MA be paid ^. q. : r,ng :nw. rai aof final n:atends, ae'rni! p'oc.e oq, & do�-4rza:.on, paper work Ke wduded. 0 r ss"s a-e mi. are due a', payable by llie ai5:za*r,. as SI.'N X-ove. i- M: tier, z vona a N rm .=ed c/ in aslorr!r th w V%w agees to pay of ssd' on *s a• e!et^^ sad war s c:,= p fed. (1) Deposit $ 1698.00�i � l_l_-1-_ (2) ___ _. (3) This estimate includes labor. materials instructions/Notes: ___ Manufacturer's Material Warranty, year labor defects. ..................... Acceptance of Proposal ibe above txcM , i and back spur on are cati;oons are satisfactory and are tereby accepted Yoi are authorized to do the work as spy ed. Payment Abe made as specified above. ayabie d RocdnQ. T^ have read and vmderst nd both sides d this con7act. This is the price for today subject to market price d matenals in future, ��--_,--� t` AucJst /23_ /2018 Buyer's Acceptance Date Xiav Klein Co -Buyer Salesman Miami Shores Village 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, A 33138 Re: Owner's Narr Property Add Roofing Permit Number: I wmll�iz 30, Dear Bu' ding Official: I — certify that I have improved the roof to wall connections of the referenced YO ( 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. ( 9 - Z�, —, Signature State of Florida County of Dade Print Name The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 31 day of A u 20 1 Notary Public, Sate of Florida at Large VIS Cheri K. Martinez (SEAL) <NOTARY PUBLIC --STATE OF FLORIDA maComm# FF986796 Revised on 5/21/2009 Expires 4/27/2020 FINAL COMPLIANCE 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. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Property Roofing Permit Number: Dear Building Official: �.� certify that I am not required to retrofit the roof to wall connections of my building because: V/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) Signature State of Florida County of Dade Print Name 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 -S1 day of Pu intisfinay Cheri K. Martinez e NOTARY PUBLIC _ STATE OF FLORIDA Lomma FF986796 Notary Public, Sate of Florida at Large �s, ` Expires 4/27/2020 When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the budding 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 Mitgatlon. Revised on 5/21/2D09 RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY bpl e STATE OF FLORIDA DEPARTMENT OF BUSINESAIOFESSIONAL REGULATION ' le CONSTRUC IIOUS ING BOARD THE ROOFIN ,�' C -R O01 ERE1[ tS CERT kfl. UNDER THE .3 �, PROVIS 1. U. Rr�$9 FLOFQA T UTES X = _- -: A IN � r r �. 13 o P;01�C/ BRtill O . RDt""� FL; 33069 �` EXPIRAT ION1041, WOUST 31, 2020 Always verify licenses online at MyFloridaLicense. corn 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. 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: Business Name: SAFEGUARD ROOFING INC Receipt#:5-271444 Ro FING/SHEET METAL CONTRACTOR Business Type: (ROOFING CONTRACTOR) Owner Name: KHALED HALAWAJI Business Opened:08/28/2015 Business Location: 325 S ANDREWS AVE #202 State/County/Cert/Reg:CCC1325695 POMPANO BEACH Exemption Code: Business Phone:754-600-9722 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Numha_r of Maehinpsc Vendina TVDe: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: KHALED HALAWAJI Receipt #02C-17-00000188 325 S ANDREWS AVE #202 Paid 10/12/2017 27.00 POMPANO BEACH, FL 33069 10/02/2017 Effective Date 2017 - 2018 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: SAFEGUARD ROOFING INC Business Name: Receipt #: 185 - 2 71444 Business Type: ROOFING/SHEET METAL CONTRACTOR (ROOFING CONTRACTOR) Owner Name: KHALED HALAWAJI Business Opened: 08/28/2015 Business Location: 325 S ANDREWS AVE #202 State/County/Cert/Reg: CCC1325695 POMPANO BEACH Exemption Code: Business Phone: 754-600-9722 Rooms Seats Employees Machines Professionals 1 Signature For Vending Business Only Al.mhn. nF Illhrhinnc• Vanrlinn Tvna• Tax Amount I Transfer Fee I NSF Fee I Penalty Prior Years I Collection Cost I Total Paid 27.001 0.001 0.001 0.001 0.001 0.001 27.00 Receipt #02C-17-00000188 Paid 10/12/2017 27.00 10/02/2017 Effective Date SAFEG-2 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 09/18/18 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 endorsements . PRODUCER 954-883-2900 Tanenbaum Harber of Florida 2900 SW 149th Avenue Miramar, FL 33027-6605 Manny T. Altneu CONrncr Manny T. Altneu PHONE g54-883-2900 FAX 954-517-7400 A/c, No, Ext : ac, No E-MAI INSURERS AFFORDING COVERAGE NAIC # INSURER A: Endurance American Specialty 41718 INSURED Safeguard Roofing, Inc. Khaled Halwaji 1245 S Powerline Road #304 Pompano Beach, FL 33069 INSURER B : INSURER C INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMRFR: RFVISInN NIIMRFR- 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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MMIDDNYYYI POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR AGL004971101 09/ 10/2018 09/10/2019 EACH OCCURRENCE $ 1,000,000 PAMAGE TO ISES RENTED currer 100,000 MED EXP (Any oneperson) 10,000 X 2500DIED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PRO- ❑ LOC JECT GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 OTHER: AUTOMOBILE LIABILITY COMS aBINED INGLE LIMIT ccdent$ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- TAT TE I I ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Qualifier Name: Khaled Halwaji and contractor license #: CCC1325695 is covered under the insurance policy. PALMBED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Building THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department 10050 NE 2 Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village FL 33138 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 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 on ADDITIONAL INSURED, the policy lies) 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 dots not confer rights to the certificate holder In lieu of such enclorsernenits). FrankCrum Insurance Agency, inc, I EAM L ADDRESS 100 South Missouri Avenue INSUREWS) AFFORDING COVERAGE Clearwater, FL 33756 hNSU ER A. Frank Winston Crum Insurer INSURED INSURER rt, Safeguard Roofing, Inc iNSURER C FrankCrum UCIF R & F Roofing &ervices. Inc, € INSURER 0 � 100 South Missouri Avenue I INSVJPCR E COVERAGES CERTIFICATE NUMBER: 46 i824 REVISION NLJMIBER. THIS ISTOCERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE, FOR THE POLICY PERIOD iNOMATED. NOTWITHSTANDING ANY REMIRCMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY THE POLICIES OESCRIDEn HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PoLicliss. Lwas "owN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTir Typt (IF INSURANCE A00% WSAO 3URR wvO POLICYNUMBEFt POLICY EFF POLICY Exp COWERCOA. GFNFqAi, LABILITYU, EACH OCCURRFU CLAW&W-rw OAMAGE 10RENTED PRCM-�EII fE. PER&' WAL 9 AMi INJURY 47XNERALAC.GRE6Aft, GOM ACCAFGATE UIM T APPVFS PEA POLICY F--J PROJECT OLOC j PR AUTOMOM1.1 LOAWiATY 54<'LE LVI, ANY Au-'' C)Wlket), AV106 — sew -DIA Ito :AUTOS F'AOP--RTY0A?,!AGE I+IRFOAUFOS MY AIJTOS ONLY UMORELLALIAO H OCCURCX;LIICREt'WE!5 S EXCESS LIAO LAI <,V6-WAOE . A MRKEAS COMPEmSA Ch4 AND T! EMPLOYERS WAS1.4"Y YiN ANY O1rFICC"AEtA3ER EXCLUOF D? JI NI -A . ........ . WC2018M0O1i 01/011�2018 4 ()MV120i9 ER II it Yet. Jaw" nw!4' EL t—FAAr`-FAI-Mft0vF5 DeSCRw rK)N OF OPCRATIONS v4ftw .......... DESCRIPTION Or OPERATIONS I LOCATIONS ?VEHICLES (ACORO 10i. Additionii Rtmarks Schedule, maybe attached If moss space is requited) Effective 10122/2312, coverage is for 100% of the employees of FrankCrum leased to R & F Roofing Servtces, Inc, JClieot) for whom the. client is reporting hours to FrankCrurn. COvefage is not extended 10 statutory employees, Qualifier Name: Khaled Halwaji and contractor license#: CCC1325695 is covered under the worker comp policy. Ili SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED SEMRE I W, FXP:RA'f,,C)N DATE THEREOF, NOTICEW4.1. BE OELTV17R71) IN AC-COROANCE WITH TIE Miami Shores Village POLICY PROVISIONS Building Department 10050 NE 2 Ave AliTHORIZEDRE E$ENTATIVE Miami Shores Village FL 33138 011ISS-2016ACORD CORPORATION, All rights reserved. ACORD 25 (20IW03) The ACORD name and logo are registered marks of ACORD ! 1 1 1 1 1 1 ! 1 1 1 1 ! ! 1 1 ! 1 1 1 1 1 1 ! 1 ROOF ASSEMBLIES AND ROOFTOP STRUC WHES SECTION 1525 HIGH -VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida BuildingCode 5th Edition 2014 i ) High -Velocity Hurricane Zone Uniform Permit Application Form INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMAM=,J APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW. Roof System Required Sections of the Permit Attachments Required Application Form See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR-RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E ya 1,213,4,5,6,7 Metal Roofs A,B,D Wood Shingles and Shakes A,B,D �T 1 2 3 4i5 6 7 • Other . i As Applicable 1,2,3,4V6,=•6 0000 ATTACHMENTS REQUIRED, 0000 1.: Fire Directory Listing Page • • • • 2. ' From Product Approva : ; • •; •; Front Page • • Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4. Other Component of Product A.pprova! 5. Municipal Permit Application 6. Owners Notification for Roofing Consideratiuns (Reroofing Orly) 7� Any Required Roof Testing/Calcu'ation Documentation —Sri,,,, taures Vii Goo .e* .000 0 Zr(y - zy-� lane A-PPROVED BY ATE A D� PX,C, � 7�Ji� NG DEPI � I — r S p�g2018 al r~G iLI'T ' t IANCE WITH ALL FEDERAL BY: t ftlltFS ANi� �7rG,il_A11C'd` _ 15.36 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) TAI ! 1 Copyright to, or lice tscd by, ICC. TALL RiGH; RrSFRVf 1)j; ac�c:'.sed by Fliezer Palacio on Jun E, 20i5 10:32:12 AM pursuant to ucensc Agreement. ^o>utthcr r,praduc,, em; aatit;xijeA ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) i 1 High -Velocity Hurricane Zone Uniform Permit Application Form. 1 Section A (General Information) 1 1 1 Master Permit No. Process No. 1 Safeguard Roofing 1 Contractor's Name 1 .lob Address 117 NW 101 ST, Miami Shores, FL 33150 1 1 ROOF CATEGORY 1 ❑ Low Sloe P ❑ Mechanically Fastened Tile � Mortar/Adhesive Set Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles El Wood Shingles/Shakes 1 1 ❑ Prescriptive BUR-RAS 150 1 ROOF TYPE 1 ❑ New roof ❑ Repair ❑ Maintenance a Reroofing ❑ Resove'rins 1 ROOF SYSTEM INFORMATION • • Low Slope Roof Area (SF) Steep Sloped Roof AREA (SSF) t 400 Total (SF)• 4 • • .... • .... • Section B (Roof Plan) • • • • • • • • • • • ....1 • Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and bjtdrSlaw draiag.1I98wde dimen! • I sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of partrpets. • • • ...... 000010 •••••• .... o , • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I i It . • FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 1S 37 11111.11][911 y 1 1 1 Copyright to, or licensed by, 1CC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jan g, 2015 10:32:12 Alva pursuant to License Agreement. No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Sth Edition (2014) 1 High -Velocity Hurricane Zone Uniform Permit Application Form. 1 1 1 Section C (Low Slope Application) Top Ply Fastener/Bonding Material: 1 Fill in specific roof assembly components and identify 1 manufacturer 1 1 (if a component is not used, identify as "NA") Surfacing: 1 N/A Fastener Spacing for Anchor/Base Sheet Attachment: System Manufacturer: _ Field: —" oc @ Lap, # Rows — @ —„ oc 1 1 ! ! Product Approval No.: Perimeter: " oc La @ P, #Rows _ @ " oc 1 1 1 Design Wind Pressures, From RAS 128 or Calculations: Comer: _" oc @ Lap, # Rows — @" oc ! 1 ! P1: P2: P3: Number of Fasteners Per Insulation Board: 1 ! 1 Max. Design Pressure, from the specific product Field Perimeter Corner 1 ! approval system. Illustrate Components Noted and Details as Applicable: 1 1 Deck: g, 9 Pp+egg.. . Woodblockin Gutter, Edge Termination, Stri 9la�hing, 1 ! Type: Continuous Cleat, Cant Strip, Basj Fla�;hl tg, Courftllttlashing, ..... • 1 Coping, Etc. .. . . .. • i Indicate: Mean Roof Height, Paralpe► Height, H"fit" Base �• • • � • Gauge/Thickness: _ Flashing, Component Material, MaiwieVihickness, Fastener % • 1 Type, Fastener Spacing or Submit Mmawfacturen► Details that ..... : • ! Slope: Comply with RAS 111 and Chapter? J6... * :'' •'' �.... ! Anchor/Base Sheet & No. of Ply(s): ";"; .".'. 1""• 1 Anchor/Base Sheet FastenerlBonding Material: .... . . I... % Insulation Base Layer. I • • • • • • • • I ! 1 Base Insulation Size and Thickness: Parapet Height 1 1 Base Insulation Fastener/Bonding Material: 1 1 1 ! � 1 1 Top Insulation Layer: FT. 1 — 1 1 Top Insulation Size and Thickness: i j Mean ! 1 1 Top Insulation Fastener/Bonding Material: Height 1 ! Base Sheet(s) & No. of Ply(s): 1 i 1 1 Base Sheet Fastener/Bonding Material: 1 1 1 Ply Sheet(s) & No. of Ply(s): 1 i I 1 1 Ply Sheet Fastener/Bonding Material: ! ! —` 1 Tap Ply: 1 _ 1 ! 15.38 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) Copyright to, or licensed by,1CC (ALI.. RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10�32:12 AM pursuant to License Agreement. No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Fiorida Building Cone sth Edition 1,2014) High -Velocity Hurr"cane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: Entegra Notice of Acceptance Number: 1 G-01 12.08 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: -39,1 P 1 : 68.1 P1: -100.7 Roof Slope: 3 : 12 Deck TYip �— _ _...... • 5/8 wood � 1 \ Type Underlaymen#: ASTM�226 -#30 1 Ridge Ventation? ire 3 Insulation: N/A -- — --- --) Fire Barrier: • • • • \ Fastener Type & Spacing: 1.25" RS nails, Caps(ivoytn. 12" dovin . .....6 '.'-- �..—.. �� Adhesive Type: [ ICP Adhesives o - ;et A 0 r --a—r Type Cap Sheet: ASTM #90 .. . .. . Mean Roof Height: _ Roof Covering: ESTATE S Roof the —_ �e •1 . •1 ...... • _ 1 Type & Size Drip ;^ X 3" Galy Edge: _...._._. i 1 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.39 t 1 1 1 Copyright to, or licensed by, iCC (ALL RIGHTS RESERVE!)); accessed by Eiiezer Palacio on Jun 8, 20I5 10:32:12 AM pursuant to License Agreement. No further rrp.odurtions sutheriz .d. i 1 1 1 1 1 1 1 1 1 1 1 i 1 I 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 ii 1 1 1 1 1 1 i 1 1 1 1 i 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 M, with the values from M,. If the M, 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" (P1:� x X = -- _._) - Mg: -- = M,, _ Product Approval M, (P2:_ xX = _____) - Mg: _ = M,2 - Product Approval Mt (P3: xh _` - ) - Mg: = Mr3 _ Product Approval M, Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (M,) From Table Below Product ADDroval M. _ M, required Moment Resistance' �15, Mean Roof Height Roof Slope 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 -J 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 Pp?j9V9BcardttjRU0 and Appeals. For Uplift based the systems use Method 3. Compared the values for Fwith the values for Fr. If the i' valu`1 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 CRICUlations Per RAS 127" • • • ( :_ x L _ = _ x w: =--)-W'--x cos E) _ = Fri_ Product Approval F (P2:_ x L = _ x w: = _) - W: _- x cos o = Frz Product Approval F (P3:_ x L i = _ x w: = `) - W: _____ x cos 0 _ = Fi3 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 pre- pared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope O Job Site Aerodynamic Multiplier Product Approval Restoring Moment due to Gravity MA Product Approval Attachment Resistance M, Product Approval Required Moment Resistance MB Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance F, 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. 15.40 FLORIDA BUILDING CODE - BUILDING, 5th EDITION (2014) 1 � �� 1 Co ti ht to. ar licensed by, WC (ALL RIGHTS RESERVED): accessed by Etiezcr Pataeio on Jun 8, 2015 103112 AM pursuant to License 'I► ` ' 1' ��1'"' �:i iiLi� Agreement. No further reproductions author:ied. SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 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 the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained, 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. _,_-Exposed Ceiling: Exposed, open beam ceilings are where the und2a4f the rgpf d;eking can be viewed from below. The owner may wish to maintain the architectural app"aaw; theralfpk.' roofing nail penetration of the underside of the decking may not be acceptable. This;r4wides the option of maintaining the appearance. 0000 G e 0000es :GGGG* **:so: ee . 6. Overflow scuppers (wall outlets): It is required that rainwater flowstiff�ti that the Teofis not overloaded from a buildup of water. Perimeter/edge wall or other roof extensw[DBt block this • discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install ovjg19 r;. scuppers in accordance with the requirements of Sections R4402, R4403 and R441,% • Owner/Agent's Signature Date C tractor Signature Date l W J . do Property Address Permit Number Revised on 7WO09 l_D;07/01/2015; seeeeG %see: Geese Goes.. G G GGeeee e G GGe o GG CITY OF BOCA RATON REVIEWED _ r MIAMI-DADE cOR CODE COMPLIANCE OUN`TRYT IssuE f"' fAM PRODUCT CONTROL ECWION #+ 11805 SW 26 Street, 6524 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.Qov/economy Entegra Roof Tile, LLC 1289 NE 9" Ave Okeechobee, FL. 34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -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 Coi trel Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the:rig4t tp have flfiS productdf •; • material tested for quality assurance purposes. if this product or material fails to perform in•the•accep:ed Manner, the •. .... . ... manufacturer will incur the expense of such testing and the AHJ may immediately revoke, mo. . . • • or suspend the use.o{ such product or material within their jurisdiction. RER reserves the right to revoke this accep44gge, if it ins deterrnined by • •• Miami -Dade County Product Control Section that this product or material fails to meet the rc'q�ugew 5ents QPttit Iftlic4le .. building code. ...... .. 0 0:6 6 • This product is approved as described herein, and has been designed to comply with the Flo oiaa Building Code including • the High Velocity Hurricane Zone of the Florida Building Code. • . • 0 • . . . ...... • DESCRIPTION: Estate "S" Tile • • • • • 0 • • • • • • • 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. 14-1 120.08 and consists of pages I through 6. The submitted documentation was reviewed by Gaspar J Rodriguez. APPROVE[) NOA No. 16-0112.08 Expiration Date: 08/23/21 Approval Date: 02/25/16 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a roofing system using Entegra Estate "S" Concrete Roof Tile, as manufactured by Entegra Roof Tile, LLC in Okeechobee, FL as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For use in the locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be prepared as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Dimensions Applicant Entegra Estate `S' Roof Tile Trim Pieces Length = 16-1 /2" Width = 13" 1 = varies w = varies varying thickness 2.1 MANUFACTURING LOCATION 1. Okeechobee, FL Test Product Specifications DescriptioF • • • • TAS 112 Low profile, KTjertvckingiextraded • • • • Type lb concrete roof We. ;quippet9•,tit, ?two nc il• • ; • Class III hole and doulala IQU ribs. For direct deck or battened naiLoa, mortar or adhesive' • • • set applications'. • • ..... TAS 112 • Accessory trTr% t"6Qcrete ieef pieces fer • • • use at hips, Akeg,'ridges aiid valley • •' •; • terminations: Ma4ufactured'for each tile'. . • . . •••.•• profile. •••••• .. . • • • • . . •• NOA No. 16-0112.08 Expiration Date: 08/23/21 Approval Date: 02/25/16 Page 2 of 6 2.2 EVIDENCE SUBMITTED: Test Azency Test Identifier Test Name/Report Date Redland Technologies 7161-03 PA 102 Dec. 1991 7161-03 PA 102(A) Dec. 1991 7161-03 PA 108 Dec. 1991 P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails P0631-01 PA 108 July 1994 Letter Dated Aug. 1, PA 108 Aug. 1994 1994 Professional Service Industries, Inc. 224-47099 PA 112 Sept. 1994 The Center for Applied 94-060B PA 101 March, 1994 Engineering, Inc. 94-084 PA 101 May 1994 25-7094-1 PA 102 Oct. 1994 25-7094-7 PA 102 Oct. 1994 25-7094-4 PA 102 •:0`T`.•l994 Project No. 307025 PA 100 •. O�Y. 1994 • ' Test #MDC-76 25-7183-1 ...... PA 102 ...:.. .... ...... Feb. 1995. 25-7183-2 PA 102 • • • • F ib.. 1995 • • 25-7214-2 PA 102 • • • • *March, 1999 •; • • 25-7214-6 PA 102 ": ": .. .. Afa N, 1993 • • •' .. . ...... Celotex Corporation Testing Services 528454-2-1 PA 101 SeQ. 1998 520109-2 ;•Dte'1998� Walker Engineering, Inc. Calculations Aerodynamic Multiplier �A.iarch 1999 IBA Consultants, Inc. 23 81-264 TAS 112 01 /08/08 American Test Lab of South Florida RT1210.03-15 TAS 112 12/17/15 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 may 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 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. NOA No. 16-0112.08 Expiration Date: 08/23/21 Approval Date: 02/25/16 Page 3 of 6 4. INSTALLATION 4.1 Entegra Estate "S" Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, I'IAS 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) 1 Length -I (ft) 1 Width-w (ft) 1 Entegra Estate 'S' Roof Tile 10.0 1.375 1.08 Table 2: Aerodynamic Multipliers - X (ft3) Tile Profile X (ft3) Batten Application X (ft3) Direct Deck Application Entegra Estate 'S' Roof Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity - M9 (ft-lbf) 0 ...• Tile 3":12" 421:12" 5":12" 6"Y12'+ - rester than Profile ���••• • •„J;t12" ••• Entegra Estate Battens Direct Battens Direct Battens Direct Battens 'DiMhct Batt2ns Di= 'S' Roof Tile Deck I Deck Deck . *bbck I*K.E3]5.40 :... % Ddck 5.91 6.74 5.82 1 6.64 5.70 6.50 5.56 6. I Table 4: Attachment Resistance Expressed as a Moment - Mq#"f) . for Nail -On Systems • Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct DN4• (min. 19/32" plywood) •j3gttens •..•.• Entegra 2-10d Ring Shank Nails 27.8 37.4 28.8 Estate 'S' Roof Tile 1-10d Smooth or Screw Shank Nail' 8.8 11.8 4.1 2-10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw2 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1-10d Smooth or Screw Shank Nail Field Cli 2 _ 24.3 24.3 24.2 1-10d Smooth or Screw Shank Nail Ea4e Cli 2 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' 43.0 67.5 50.9 1 Installation with a 4" the headlap and fasteners are located a min. of 2'/2" from head of tile. 2 When using only one fastener use the hole that is approximately 4-3/4" away from interlocking edge. NOA No. 16-0112.08 MIAM4DADECOUNTY Expiration Date: 08/23/21 Approval Date: 02/25/16 Page 4 of 6 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Estate 'S' Roof Tile Adhesive 26.14 3 See manufactures component approval for installation requirements. 4 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3M- 2-Component Foam Roof Tile Adhesive AH-160 Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Estate 'S' Roof Tile 3M`" 2-Component Foam Roof Tile Adhesive AH-160 86.615 3W 2-Component Foam Roof Tile Adhesive AH-160 45.56 5 Large paddy placement of 54 grams of 3M- 2-Component Foam Roof Tile Adhesive AH-160 „"". 6 Medium paddy placement of 24 grams cf 3M- 2-Component Foam Roof Tile Adhesive AH-11& . . . Table 7: Attachment Resistance Expressed as a Moment - W(AM) for Mortar or Adhesive Set Systems ..., Tile Tile Application inimum Attachmenf': Profile **••*1••nce see tesista .. .. ... ... Entegra Estate 'S' Mortar Set ; • •; •; 20.609 Roof Tile :.•.:. "' 10* 5. LABELING ' All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami -Dade County Product Control Approved". R AV�7 s;��7 E N T'_--1i APPHOYED ESTATE "S" TILE LABEL (LOCATED ON UNDERSIDE OF TILE) NOA No. 16-0112.08 Expiration Date: 08/23/21 Approval Date: 02/25/16 Page 5 of 6 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 in order to properly evaluate the installation of this system. PROFILE DRAWING Nail Holes • • ENTEGRA ESTATE "S" CONCRETE ROOF TILE END OF THIS ACCEPTANCE . . .... ...... ••• • • • • • • •• • • . • • •• . •• • •• • • • NOA No. 16-0112.08 MuuM�•�08/23/21we couNrr Expiration Date: 08/23/21 Approval Date: 02/25/16 Page 6 of 6 MAM 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) wsvw.miamidade.,_1ov/eeonomv ICP Adhesives and Sealants, Inc. 12505 NW 44' Street Coral Springs, FL. 33065 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to 4teth� product or material tested for quality assurance purposes. If this product or material fails to perform in die. acceptMManner, Ille manufacturer will incur the expense of such testing and the AHJ may immediately revoke, &dT, or pus *iad the use • of such product or material within their jurisdiction. RER reserves the right to revq)L.lAls acceptance, if it is • determined by Miami -Dade County Product Control Section that this product or material fagijq meet tre reguirem(ftS••; of the applicable building code. '....' This product is approved as described herein, and has been designed to comply with"WT:oridaen. iI ing CW99 including the High Velocity Hurricane Zone of the Florida Building Code. • • • • • • • • •: • DESCRIPTION: ICP Adhesives Polyset"'AH-160 .00. 00 • V099: .. . 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 l,IOA. 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 Ale,: Tigera. 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 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 foam adhesive 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 NO0r which list attachment• 9 • • resistance values with the use of ICP Adhesives Polyset® AH-160 roof tile adhesive. • • • • •• • • • • •; • ...... MANUFACTURING LOCATION: . . ...... 1. Tomball, TX. " ' ' •• • PHYSICAL PROPERTIES: Proverti, Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content 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 Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier Test Name/Report Date 494-060 TAS 101 04/08/94 257818-1PA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 NB-589-631 ASTM D 1623 02/01/94 9637-92 ASTM E 108 04/30/93 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[ 1 ] ASTM E 84 01 /16/95 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 . . �•�• .... ...... 528454-2-1 TAS 101 •••••• 1'Q(Z�(98 ....;. 528454-9-1 ...:.. 528454-10-1 •••ee: 520109-1 TAS 101 •••••• ):2/28%98 ••�••� 520109-2 ' • "' • " ""' 520109-3 520109-6 �••�•• �• 520109-7 �••••� 520191-1 TAS 101 •••••, 0 (Q2(99 520109-2-1 00 0' 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. 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-l60 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. 000000 S. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutti�Xq ICP tldl*e�sives • • • Polyset' AH-160 has been dispensed. ...... '.:..• ••�•; 9. ICP Adhesives Polyset' AH-160 placement and minimum patty weight shall be in acc'&$' Me with the ;....; 'Placement Details' herein. Each generic tile profile requires the specific placement ncteaVarein. :...:. . ' .. .... ..... ...... .. . ..... .. ..000009 .. . ...... . . . . ...... 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 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge)20-25 sq. inches each bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan . . .... ...... 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�jzzroved"•or the Miami • • • • Dade County Product Control Seal as shown below. 000000 ;""' ..... NdAMf C U1ttiY' • • • • • • • • . • • . • . . . . ...... BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate'the installa0bb.0 this ' system. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 I Nall thmvShpprs* cement 10 hags ^� 2Ift w1do liaete.ts ap+tia.�al ADHESIVE PLACEMENT DETAIL # 1 P41"Os"00h 11 clasur. OW whrr"O pl cNe `A: x aptla'nal C count loin. In E tfas • APPROVED Flat/Low Profile Tile I . 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 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 underla men.t positioNUh show• • • • • under the pan portion 4the tife close st t*o the • • overlock of the tile beirlgS�t+ • • •••• •••••• • 2. Continue in same mannero"ure approximately V'/ . (109.7 cmZ) — 23 (148.4 errrzj squaresiono adhesive: • • • contact with the understdl bf :he tile.00.00 00000 . ...... . . . . . . ..... . ...... .. . .. . . .. . 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 Flat/Lom, 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. 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 cmZ) - 12 (77.4 cmZ) square inch adhesive contact with the underside of the tile. • Y • • sees sees•• Medium Profile / Double Pan T11•e • • • 1. Starting at the eave course's lTl a minimufn 2" (50M...; mm) x 10" (254 mm) x 1"E25.'4'nim) friar ,lWdy onto the underlayment positioned as shown under the*: • *sets* ee a see** pan portion of the tile clos%4%.the ove?LoA(9f the • 0 * • 0 tile being set. Insure approX"jit4y 17 (109.7 cm') — . • 23 (148.4 cmZ) square inclWtTesive contact with the* ..:. underside of the tile. • t • ••set• 2. At the second course, apply a minimum r (30.8mm) 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 cmZ) 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) 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 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 the being set. 3. Continue in same manner. Insure approximately 17" (109.7 cmz) - 19 (122.6 cmz) square inch adhesive contact with the underside of the tile. •••• s • • • •••• •••••• •••••• •••• •••••• • •••• • • • • •••••• •• • ••••• •• •• •• • •••••• • •••••• • • • • • • •••••• •• • as • • • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 MR dwough Pry. (between tffesi (when rewired{ Batters optim • Pad tunes tile) t nglepaddy a,.;� 4x4mn in w, Singh` paddy an 2 x t in. 2 —UveChmme RatALow Profiie Ttla Nall thromppiasdcceu*W Single paddy under tie twhen required} Pa ddy (between tiles) Banens paddy [under tile} a skmilelpad `• an lop oftse xtin. on singtoyaddy umfeilayment 2x41n. 10 2 in. Eave Ciaksure Eave Course Rack M dlurnProtileTile 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 in (109.7-148.4 cmz) of adhesive contact with the underside of the tile •••• 2. Apply a 4" (101.6 mm).x 4" (101.6 il")x•1" (2544•••• mm) foam paddy onto tWnkrlayroejlr t below •, the second course line IY(MoMed foatYpIddy 00000 •••• • under the strengtheninei-1151V flat tile, or under the. •.. pan portion of the tile, olosest•to the6x"lock for • the second course tile tQ Dginitalled. Insure • •; 0 0 • approximately 8-9 in2 (51%58.I c0jgfjtlhesivC...., contact with the undersi.of the tile. . • . • . . . . ...... (Instructions continued on nd" 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) atafftnrrsOplastk Sint,fePlymWertile twhm mwire4 Piddy 4between cites) Battens Gpdonat Paddy (under Wei x4n. xx4in.= paddy � on tz Save Course''asda Weephote tutu Ear* donee Drip edge N1gh Protlt*Tife Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 1/4" (19 mm) paddy on top of the eave course the 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 10 of 11 1) Place enough adhesive to achieve 65 to 70 ; in contact with the pan tile. 2) Turn covers upside down. Place adhesive in to 1 in.from outside edge of cover tile. Then Insult the tile. Ensure 20 to 25 sq. in. contact area. -+< IUnderlaym�ent (motar shown) Fascia ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Steep pitch applications (when required) 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 save fine. Two Piece Barrel - High Profile Tile 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. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cmz) — 704454.6 cm') square inch adhesive contact withlikek nderside•.... . of the pan tile. • • • • • • • • ...... .... ...... Turn covers upside AM-2posin tht underside... of the tile. Apply a mommutm 1" (U.dl.;*n) x lb" • . W,e. . see.. (254 mm) bead of adbUityi.directly.9nihe inngr.;..• edge of each side of 4V%A�tr tile'Lr,ay2 ,,.,.. approximately 3/4" (19,m vto 1" (25*4 mm) •' from the outside edg© of Tha tile, ixward free oaf• • • foam to allow for exaansloq. • • • Turn cover tile over after foam is alp�0and place onto pan tile course. Insure a minimum of 20 (129 cmz) - 25 (161.3 cm'-) 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 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NA. _ 10 —TAW TAX FOLIO NO. 11-3101-022-0150 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. Legal description of property and street/address: 117 NW 101 ST MIAMI SHORES, FL 33150 1 53 41 GOLD CREST A SUB PB 21-56 LOT 9 & W1/2 OF LOT 8 BLK 2 LOT SIZE 75.000 X 108 COC 25823-0406 06 2007 6 2. Description of improvement: RE ROOF 3. Owner(s) name and address: GHAZAR KOLIAN 117 NW 101 ST MIAMI SHORES, FL 33150 Interest In property: FEE SIMPLE Name and address of fee simple titleholder: N/A 4. Contractor's name, address and phone number: SAFEGUARD ROOFING INC. 1245 S. POWERLINE ROAD #304 POMPANO BEACH 33069 1-888-784-3348 C1-= N 20 1 viF O538301 OR BYE 31127 Ps 55E (IF'ss) RECORDED Clq/0'5/201g 15.07:09 HARVEY RUVINY CLERK OF COURT IIIAMI-DADE COUNTY3 FLORIDA Space above reserved for use of recording office 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: N/A Amount of bond $ N/A 6. Lender's name and address: N/A 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(1)(a)7., Florida Statutes, Name, address and phone number: JOHN WILLIAMS 1245 S. POWERLINE ROAD#304 POMPANO BEACH 330691-888-7B4-3348 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: N/A 754-366-2450 9. Expiration date of this Notice of Commencement: August 23,2019 (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 CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of O r s), or r(s)' Officek/Director/Partner/Manager Prepared By I Prepared By_ Print Name Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE The fore oin instrum nt M B ❑ I dividually, or IDas_ ersonally known, or It before me this —CAL day for produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES Cheri K- Martinez Under penalties of perjury, I declare that I have read the foregoing and i 1t,R1 NOTARY PUBLIC that the facts stated in it are true, to the best of my knowledge and belie -STATE OF FLORIDA Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner G"(fE m ONCE By BY Expires 4/27/2020 123 01-52 PAGE 3 9112 iTATE ,F FLC IIC Z ;6UNT OF DADS tHE I,.y!t.t FYH IM!x-'ru.`yvyc",, Orfr Bd 9r t.i tl"r.►k N (- W—T�1 Ih ,. (W. HARP RUVI , CLERK, of Circuit ar Id County �. D.C. cat-. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # RV_9 ` a — _0_��7 t INSPECTION AFFIDAVIT DATE: `c)' 9.+ I C)i M'1144 + licensed as a (n) Contractor / Engineer / Architect, (Print name and circle License Type) FS 468 Building Inspector License #: C C I)I 5� 9 S On or about \ b `% `e'er_ , I did personally inspect the roof deck nailinq (Date & work at N\ I (Complete Job Site 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 day of OA3 ( i ZG 1 Notary Public, Sate of Florida at Large Cheri K. Martinez oQ. OTARY PUBLIC c '--'STATE OF FLORIDA i Comm# FF986796 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to mas ch an Ar, OWWaphs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection a -a 4.,.,17Annmeun1nnno