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RF-18-1893�sKORhs r, Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 LORID� Perl"11"t Issue Date: 7/2412018 Permit NO. RF-7-18-1893 Permit Type: Roof Work Classification: Tile Permit Status: APPROVED Expiration: 0112012019 Project Address Parcel Number Appncam: 549 NE 106 Street 1122310140130 NICOLAS GERTIE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell NICOLAS GERTIE 549 NE 106 Street (305)609-8461 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ROOFS TO GO INC (954)573-3532 /pe of Work: Re Roof dditional Info: TILE ROOF REPLACEMENT ONLY lassification: Residential canning: 3 Fees Due Amount CCF $8.40 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $2.80 Permit Fee - New Roof $275.00 Scanning Fee $9.00 Technology Fee $11.20 Total: $313.28 Valuation: $ 13,500.00 Total Sq Feet: 1845 Pay Date Pay Type Amt Paid Amt Due Invoice # RF-7-18-68222 07/13/2018 Credit Card $ 50.00 $ 263.28 07/24/2018 Credit Card $ 263.28 $ 0.00 Available Inspections: Inspection Type: Up Lift Report I ne In rrogress Renailing Affidavit Review Roof Cap Sheet In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that a, work will be done in compliance with all applicable laws regulating construction and zonin ore, I authorize the above -named contractor to do d ated. 7 (P July 24, 2018 Authorized i ature:OWner / p licant /, Contractor / -A-g—eV 7 Date Building Department Copy July 24, 2018 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC El"ROOFING :I\ L I JUL 13 2018 BY�— FBC 20 (O�l Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 1Q CONTRACTOR DRAWINGS JOB ADDRESS: 549 1 fiy e l O CD Sf- City: Miami Shores County: Miami Dade zip: 3 3 3g Folio/Parcel#: ilt- 2231 " b (L4 - 030 Is the Building Historically Designated: Yes NO _k Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): fV co I aS Phone#: 3e_ - 64 z% " O "L �l Address: 33 O O Dszv- Cr e-ek h w C, r City: VA2,Cc-Q: e�A (>P_0_60'� State: Zip: Tenant/Lessee Name: Email: Nz C,ak er Vi CONTRACTOR: Company Name: KockS (-;:> 4y I Phone#: q54 S-73 33�3a Address: 3 3 O O fJb 1,3 [ err cc-9 City: ` 0�1P c,v�� LN,_N State: F-L Zip: 33 oc'y Qualifier Name: State Certification or Registration #: C-c- C 13 a-'9 -1 U oD Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: sin E Address: City: State: Zip: Value of Work for this Permit: $ 31 S-0 a - — Square/Linear Footage of Work: 1 $46' Type of Work: ❑ Addition ❑ Alteration ❑ New 1 [Repair Replace ❑ Demolition Description of Work: !E" (—O O i l �vC'Q�'1Q ✓��' f'� Specify color of:color thru tile: _-)4IV `% Eg Tl1 Tf °E r Submittal Fee $ Permit Fee $ '� CCF $ CO/CC $ Scanning Fee $ Radon Fee $� DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $(2-C'1 G, (�q TOTAL FEE NOW DUE $ 2G (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 Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 1_� Signature Signature -/ OWNER or GE T CONTRACTAR The foregoing instrument was ackn edged before come this ,� ry day of // LA/\-� , 20 o by ►y �CA(cL S i'-u At who is personally known to me or who has produced F L- , b. L as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this vZ� day of (A -,-A Q`, 20 t' by 7S'D5A ` -"—C 0 who is personally known to me or who has produced F L • P , L_ as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: -e-Q Print: f`Q. Seal: A� .4 Loreley Greene Seal: � V'¢P�,,, loreiey Greene `Commission GG025350 _ �' = Commission 0 GGOZ350 �R Expires: August 28, 2020 Expires: August 28, 2020 I/ /fnuN nvwl l APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2231-014-0130 Property Address: 549 NE 106 ST Miami Shores, FL 33138-2045 Owner NICOLAS GERTIE Mailing Address 3300 DEER CREEK ALBA CIR DEERFIELD BEACH, FL 33442 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,845 Sq.Ft Living Area 1,537 Sq.Ft Adjusted Area 1,691 Sq.Ft Lot Size 9,150 Sq.Ft Year Built 1946 Assessment Information Year 2018 2017 2016 Land Value $205,735 $228,594 $191,724 Building Value $117,694 , $117,694 $117,694 XF Value $0 $0 $0 Market Value $323,429 $346,288 $309,418 Assessed Value 1 $323,429 $108,167 $105,943 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $238,121 $203,475 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 31 52 42 PB 10-47 AMD PL MIAMI SHORES SEC 5 LOT 19 & W1/2 LOT 20 BLK 109 LOT SIZE 75.000 X 122 CF 73R56858 Generated On : 6/22/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $50,000 $50,000 Taxable Value $323,429 $58,1671 $55,943 School Board Exemption Value $0 $25F,000 $25,000 Taxable Value $323,429 $83,167 $80,943 City Exemption Value $0 $50,000 $50,000 Taxable Value $323,429 $58,167 $55,943 Regional Exemption Value $0 $50,000 $50,000 Taxable Value 1 $323,429 $58,167 $55,943 Sales Information Previous Price O Book- Qualification Description Sale Pa e 9 Corrective, tax or QCD; min 01/24/2018 $100 30841-2164 consideration 01/17/2018 $330,000 30837-1665 Qual by exam of deed Corrective, tax or QCD; min 02/01 /2017 $0 30406-1566 consideration 03/01/1973 $46,000 00000-00000 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: 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: (0 l 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: N \, cot &,S C e r V -, e- Property Address: -5 q"( N e7 ( 0('p St Roofing Permit Number: Dear Building Official: I N u CA� G.S Q-r�-,-e— certify that I am not required to retrofit the roof to wall connections of my building because: kilLhe 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 ►J C-0 �a s 12 r-k , e 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 day of `S a k Z Loreley Greene Ex �2q' Commission 0 GG025350 Notary Public, Sate of Florida at Large pires: August 28, 2020 ''dF'' Bonded thru Aaron Notary 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 71 ADOFS 78 98 INC. Florida State Lic. # CCC 1328762 Tax ID# 26-2561635 3300 NE 13th Terrace Pompano Beach, FL 33064 Phone (954) 573-3532 roofstogogamail.com This Proposal is presented for your consideration as of the 16th day of June 2018, between Mr. Nicolas Gertie, the owner representative of the property located at the following address: 549 NE 106 St Miami Shores, Florida, ("The Customer") and Roofs To Go, Inc., 3300 NE 13th Ter., Pompano Beach, FL 33064 ("The Contractor"). 1. Demolition of the old Tile roof, down to the bare wood 2. Replacement of the damaged decking wood, up to three plywoods at no cost Any extra wood decking will be installed at the cost of $ 75.- each, labor and materials included 3. Replacement of the damaged Fascia wood, as needed 4. Installation of the # 30 felt, mechanically fastened 5. Installation of the TU plus polystick 6. Installation of the galvanized 3x3 drip edge metal 7. Replacement of valley metals 8. Replacement to all air vents with goose neck vents for the 9. Replacement of all plumbing lead pipe cove $AAI*rA Yo 10. Installation of the new . panish "S" tile, color Red 60%, Brown 20% and Peach 20%. 11. Tile roof attachment with ICP adhesive polyset AH-160 12. Independent Engineer Up -Lift test on the roof 10 years workmanship guarantee on the Roof 25 Years warranty from the manufacturer on the materials In addition, the Contractor will furnish all permits, material, labor, equipment, tools, dump truck and services necessary for the proper completion of the Roof. All work is performed by our own crew. HIDDEN SITE CONDITIONS: The Contractor is NOT RESPONSIBLE for preexisting conditions. We hereby propose to furnish labor and material complete in accordance with the above specifications for the sum of: S 13,500, — for the Tile roof replacement. with payments to be made as follows: ZQ% deposit upon acceptance of this proposal and the balance will be paid according to the following work schedule: 1. Dry -in, installation #30 felt: 2. Final Inspection: Payment Terms 50 % of total cost 30 % of total cost (AFTER WALK THROUGH) The above prices, specification, conditions, and contingencies set forth above are satisfactory to the Customer and the Contractor and are hereby accepted. Contractor is hereby authorized to do the work as specified. Payment will be made as outlined above. nn Company Representative: .lose Romero � � Date: Property Owner Name & Signature: ,l� I LD C,l�� (o L R 1 /L Date: ZD i8 4 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES u Master Permit Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Process No. Contractor's Name (-�'d fl S t��77 C_- Job Address c54 i� (� t oce _'::S4- ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tile _1 ;C `"-JLp Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes JUL 13 2018 ❑ Prescriptive BUR-RAS 150 • _ _ . ROOF TYPE : . • . • • • • a New Roof 0Repair 11 Maintenance 1/Reroofing I17-76Re180ering •• ROOF SYSTEM .... INFORMATION ' • • • • • • • Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) .TIfSF) � �—1� • Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers add p'Velflow draLps• Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and locattgrl of • parapets. .:..,. •�,._.._.. ,. . L 74. 15.32 FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING ".' ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form. SeCtion C (Low Slope Application) Surfacing: Fill in specific roof assembly components and identify manufacturer Fastener Spacing for Anchor/Base Sheet Attachment: (If a component is not used, identify as "NA") Field: " oc @ Lap, # Rows @ " oc System Manufacturer: Perimeter: " oc @ Lap, # Rows _ @ " oc Product Approval No.: Corner: " oc @ Lap, # Rows @ " oc Design Wind Pressures, From RA 128 or Calculations: Num r of Fasteners Per Insulation Board: Pmax1: Pmax2: Pmax3: Field Perimeter Corner Max. Design Pressure, from the spe ' c Product Approval system: Illustrate C portents Noted and Details as Applicable: 000000 Deck: Woodblocking, G r, Edge Tesmineiien, Stripalhb*, Flashing! • • T.•..n Anchor/Base Sheet & No. of Anchor/Base Sheet Fastens Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding M Top Insulation Lay Top Insulation Size nd Thi Top Insulation Faste er/Bo Base Sheet(s) & No. of Base Sheet Fastener/B Material: Ply Sheet(s) & No. of Ply(s): \' Ply Sheet Fastener/Bonding Material: Top Ply: Top Ply Fastener/Bonding Material: Continuous Cl t, C t Strip, Ba-M FlAshing,`CdWtgr- Flashing, C ing, Etc. Go*:** ••;•• • • ... Indicate: can Roof Hei ht, PMAO?Aeight, Height of Base Flashi , Component Mat rial, fldthtipl Thicl%ess i Fastene'r Type astener Spacing or ubrnit • • ,,.,., .. .. .. .. ... . . • Parapet Mean Roof Height FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING 15.33 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 6th Edition (2017) High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: -41V `� Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations • n' 1: " 3 -t . P2: �" - P3: r ( 0 0 • i Steep Sloped Roof System Description • • • • • • Deck Type: o • Type Underlayment: 0 �� • • • • . Roof Slope: 12 Insulation: Fire Barrier: I rJ/A Ridge Ven 'I ion? Fastener Type & Spacing: `%(,i A 5 s w , l 5,/t Adhesive Type: fac, ✓yi A_ Q Type Cap Sheet: _ 2 Mean Roof Height: :�-O ( Roof Covering: & L A Type & Size Drip Edge: Mira 15.34 FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based file systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mt. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the the attachment method is acceptable. Method I "Moment Based Tile Calculations Per RAS 127' (Pt: x X ) - Mg: = Ma Product Approval M f (P2: x l = ) - Mg = Mr2 Product Approval M f (P3: x X = ) - Mg: = Mr3 Product Approval Mf Method 2-Simplified Tile Calculations Per Table Below" �li Required Moment of Resistance (Mr) From Table Below J�f -� Product Annroval M, e /! q Mr required Moment Resistance* Mean Roof Height -� Roof Slope 15, 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 9 3:12 j 32.2 34.4 i 36.0 37.4 • • • i 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 ' • 32.400004 7:12 24.4 25.9 27.1 28.2 • • • • • 30.0 • •• •• • *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. • • • • For Uplift based tile systems use Method 3. Compared the values for F with the values for Fr. If the Fvalues are greater tian orrg4d to the Fjvalues• for each area of the roof, then the tile attachment method is acceptable. • • • • • • • • • Method 3 "Moment Based Tile Calculations Per RAS 12T' • • • • • • (Pt: x L = x w: = - W. x cos B = Frt Product Approval F • • • (PZ: x L = x w: _ - W: x cos 6 = Fr2 Product Approval F (P;: x L x w: = , - W: x cus B _. = F-, Product Aonroval V Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H lob Site Roof Slope B Job Site Aerodynamic Multpfier x Product Approval Restoring Moment due to Gravity Ms Product Approval Attachment Resistance M f Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F Product Approval Requited Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions = L length W = width ProductApproval All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE 6th Edition (2017) - BUILDING 15.35 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. l� 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 u %ue11y • • concealed prior to removing the existing roof system). .... .. • • • • 1 U 4• Exposed Ceiling:Exposed, •""• p open beam ceilings are where the und*er;& of thg roof decking.* .... can be viewed from below. The owner may wish to maintain the architectural JppeMnce; tcamfdre, 66640* roofing nail penetration of the underside of the decking may not be acceptablet. -RRrovides4he oftion ot. • maintaining the appearance. 60906 • • .. .. ...... (2 6. Overflow scuppers (wall outlets): It is required that rainwater flow§ okF••so thaf the hoof is ....: not overloaded from a buildup of water. Perimetededge wall or other roof extension may bloriC hi;• • discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections RaN44 13. X. Owner/Agent's Signa re Date Contra Date Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; MIAMI.4ADE 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.aov/eeonomv Santafe Tile Corporation 8825 NW 951" Street Medley, FL 33178 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perfcgm in tl� ar 0apted ... • manner, the manufacturer will incur the expense of such testing and the AHJ may immedia&13i feitoke, rnpdify. or • suspend the use of such product or material within their jurisdiction. RER reserves the right to -revoke this ' .: ; • acceptance, if it is determined by Miami -Dade County Product Control Section that this prdtiM bt material -fails to . meet the requirements of the applicable building code. � • • • ...... This product is approved as described herein, and has been designed to comply with the Florida building Code • • • ...... . . ..... including the High Velocity Hurricane Zone of the Florida Building Code. . . .. .. .. .. ...... DESCRIPTION: Santafe Spanish IS' Clay Roof Tile • ...... LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, Oclty, State A#& following 0.0 0 statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No. 12-0210.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Gaspar J Rodriguez. 9 '— NOA No.: 15-0915.09 Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category Roofing Sub -Category: Roofing Tiles Material: Clay Deck Type: Wood 1. SCOPE This approves a roofing system using Santa Fe "Santafe `S" Clay Roof Tile, as manufactured by Ladrillera Santafe S.A. in Bogota, Colombia and distributed by Santafe Tile Corporation as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description '.•. Santafe `S' Clay Roof L = 18" 00*0*9 TAS 112 One piece high profile clayAof tile egWpped with • • Tile W = 11.1" Type I two nail holes. For nail -an oliortar set aA;dhesive..:. Thickness = 0.39" Grade 1 set applications. .. • • • • 00 Trim Pieces 1= varies TAS 112 Accessory trim, clay roof pied for *•Ertlfips, w = varies • rakes, ridges and valley ler!nlnations. .1VIaTfactUJ794.. • varying thickness for each tile profile. • • • • • • • • : ...... 2.1 MANUFACTURING LOCATION ' •' • • • 1. Bogota, Colombia • • • • • • • • : "": 2.2 SUBNHTTED EVIDENCE Test Agency Test Identifier Test Name/Report Date The Center for Applied Engineering, Inc. 94-156-8 TAS 101 Aug. 1994 94-156-9 TAS 102 The Center for Applied Engineering, Inc. 25-7205-1 TAS 101 March 1995 The Center for Applied Engineering, Inc. Project: 07-07-00-91 TAS 100 Sept. 1994 (307023) Redland Technologies 7161-03 TAS 108 Dec. 1991 Appendix H (Nail -On) Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) Redland Technologies P 0402 Withdrawal Resistance Sept. 1993 Testing of Screw vs smooth shank nails Redland Technologies P 0647-01 TAS 108 Aug. 1994 (Mortar Set) MIAMFDADE COUNTY NOA No.: 15-0915.09 Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 2 of 5 2.2 SUBMITTED EVIDENCE Test Agency Test Identifier Test Name/Report Date Redland Technologies P 0631-01 PA 108 July. 1994 (Mortar Set) Celotex Corporation Testing Services 520305-01 thru 05 PA 102 June 1999 IBA Consultants, Inc. 2353-4 Restoring Moment Aug. 1999 PRI Asphalt Technologies, Inc. SFTC-003-02-01 TAS 101 12/06/02 IBA Consultants, Inc. 2353-70 TAS 101 09/22/03 IBA Consultants, Inc. 2353-71 TAS 101 09/22/03 IBA Consultants, Inc. 2353-93 ASTM C 1167 07/18/05 American Test Lab of South Florida RT0624.01-15 ASTM C1167-03 07/01/15 3. LIMITATIONS .... 3.1 Fire classification is not part of this acceptance. • 0000 • • • 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in as"dance with . • TAS 106. •••••• • 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform gdarterly to%t • • in accordance with TAS 112, appendix W. Such testing shall be submitted tQ.$j-Miam;•9ada Coudty• Product Control Section for review. ' • • • • 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applimfions Stautiatds ]is* * ea • • section 4.1 herein. • •.... 00 3.5 30/90 hot mopped underlayment applications may be installed perpendicular tdthe .dbf slopg Mgss stato& • :. otherwise by the underlayment material manufacturers published literature. • 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in cvmprance nth ' applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 15-0915.09 Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 3 of 5 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight-W (Ibf) Length -I (ft) Width-w (ft) Santafe 'S' 6.7 1.5 0.958 Table 2: Aerodynamic Multipliers— X(ft3) Tile Profile X (ft3) Batten Application ;L (ft3) Direct Deck Santafe 'S' 0.274 0.297 Table 3: Restoring Moments due to Gravity - M9 (ft-lbf) Tile 2":12" 3":12" 45V:12" 511:12" 6":12" 7":12" or Profile greater Battens Direct Battens Direct Battens Direct Battens Direct I Battens Direct Battens Direct Deck Deck Deck Deck Deck 1 Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 1 5.53 5.32 5.29 5.03 1 5.00 Table 4: Attachment Resistance Expressed as a Moment - Mf�f�lbf) for Nail -On Systems • ; • • • • • • • "`. Tile Profile Fastener Type Direct Deck •"••• Battens • Santafe 'S' 2-10d Ring Shank Nails 21.8 L e e JV/A One #8 Screw 29.161.2 N/A • • • • Two #8 Screws 38.28' NIA "' • One #8 Screw w/ Clip 57.31 1•2 /A Two #8 Screws w/ Clip 57.60' • • • 61.77' 1. Approved screws as noted 'Product manufactured by others'. c �2. When using one screw it must be installed in the inside hole located nearest to the hump of the ti e. • ...... :.. • Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) • • • for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Tile Bond 38.93 Polvfoarn Polypro AH 160'rm 28.54 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc. Average weight per patty 10.4 grams. 4 Polyfbam Product, Inc. Average weight per patty 9.4 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Polyfbarn Polypro AH 160Tm Pol oam Polypro AH 160TTM 61.96 5 Paddy placement of 63 grams of Polypro AH 160TM. Paddy placement of 24 grams of Polypro AH 160'm. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Santafe 'S' Mortar Set 23.6 NOA No.: 15-0915.09 Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 4 of 5 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami -Dade County Product Control Approved". SANTA FE TM MADE IN COLOMBIA LABEL FOR SANTA FE SPANISH "S" CLAY ROOF TILE 6. BUILDING PERNIIT 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 the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING i� "SANTAFt S11 CLAY ROOF TILE END OF THIS ACCEPTANCE .... • • 000 ...... . . When usingto6screw ••• .. . use this hoM�•o.. • ...... ...... . .. .. .. .. . • ...... .. . .. . .. NOA No.: 15-0915.09 Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 5 of 5 MIAMNQADE PRODUCTTY CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 268 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economv Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach, FL 33442 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this aeceptanee * • ; • if it is determined by Miami -Dade County Product Control Section that this product or mate>aiaf fails to aver toe requirements of the applicable building code. .. • • • • • • • ""' This product is approved as described herein, and has been designed to comply with the Fldkl(W NLilding Code ; • • • • including the High Velocity Hurricane Zone of the Florida Building Code. • • • • • • .... . ..... ..:..' DESCRIPTION: Polyglass Polystick Underlayments ' .. .. .. .. ...... LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,;city, state a4d %Ilowing: • • statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein, .' . 0• • • • • • 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 No.15-0410.04 and consists of pages 1 through 8. The submitted documentation was reviewed by Freddy Semino., cMLAMMrMiZi ADE COUNTYNOA No.: 17-0614.22 • 11 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 1 of 8 MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL Test Agency Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. LABELING: EVIDENCE SUBMITTED Test Identifier Test Name/Report P 10870.09.08-R1 P 10870.04.09 P33360.06.10 P33370.03.11 P33370.04.11 P36900.09.11 P37300.10.11 P40390.08.12-2 P37590.07.13-1 P45270.05.14 P46520.10.14 P44360.10.14 P43290.10.14 PLYG-SC 10130.06.16-3 PLYG-10130.06.16-1 TAS 103 TAS 103/ASTM D4798 & G155 ASTM D 1970 TAS 103 ASTM D 1623 TAS 103/ASTM D4798 & G155 TAS 110/ASTM D4798 & D 1970 ASTM D 1623 ASTM D6164 TAS 103, TAS 110 & ASTM D1623 ASTM D1623 TAS 103 & TAS 110 ASTM D 1970 & TAS 11 a • TAS 103 & TAS 119• • ASTM D1970 & TAS 110" PUSA-035-02-01 TAS 103 • • • • PUSA-055-02-02 TAS 103 "" PUSA-089-02-01 TAS 103/ASTM D4798 rOl�9 M0147A TAS 103/ASTM D4798 4 G153 RX14E8A TAS 103/ASTM D4798 & G155 DX23138B TAS 103/ASTM D4798 &C9159 DX23D8A TAS 103/ASTM D4798 & G155 Date 12/04/08 04/13/09 07/01/10 03/02/11 04/26/11 09/01/11 10/19/11 08/07/12 07/02/13 05/12/14 10/03/14 • • 40/07/14 •*1e117/14"":' 96127/16 • - 09727/16,•0&9 0 ...... ...02/29/06" • 12/10/07,,;,,• (;V01/08 • *11/09/09 . Y12'/18/10 ' b2%18/10 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 3 of 8 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. 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. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. 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 Polystick shall be applied over the underlayment. 69000 .. . . 0 0 • • GENERAL LIMITATIONS: """ • 0 6 • • • 1. Fire classification is not part of this acceptance. � • � � • � • 2. Polystick Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and Pgljn� MTS-Plus may be... • used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, rontiile systems nndeequarr� * slate roof assemblies. • Polystick TU P may be used in all the previous assemblies listed except metal roofing. • • • Polystick IR-Xe may be used in all the previous assemblies listed except metal roofilli axavoof ti'lg systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. ' Elastoflex S6 G may be used in roof rile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polystick IR Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Ea osure Limitations (Days) MTS IR-Xe Elastoflex S6 G TU Plus TU P Tile Pro Dual Pro TU Max MTS Plus Winter Haven, FL 180 90 180 180 180 180 180 180 180 Hazelton PA N/A 90 N/A 180 N/A N/A N/A 180 N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and MIAMF FNWN NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 5 of 8 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks' Irisiallers are cautioned to refer to applicable local building codes prior to direct deck installation & ensure this i &acceptable. � •' • Please also refer to applicable Product Data Sheets of the corresponding products. • ' ..... . . 0 0 0 0 0 •• 2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge Seam as per Polyglas9 • • • • Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimulfl'r %" metal -disk -as • • • • • required in Miami -Dade County or simplex type nail as otherwise allowable in other region§, at a minimum rats:..' of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail "n. area pala dmkr" one • • • • • the face of membrane, with the above stated nails and/or disks. The head lap membrane as to cover the area being • back -nailed (Please refer to applicable local building codes prior to installation.) : • : • • • ""' 3. All seal la seams (selvage laps) must be rolled with a hand roller to ensure full cont.-;I.. • • • ""• • P ( g P) .. . 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of PoNiass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 riles per stack are allowed when loading file on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be used on all projects for pitch/slopes of TV12" or greater. It is suggested that on pitch/slopes in excess of 6 ''/4"/] 2", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. NOA No.: 17-0614.22 MIAMFDADECOUNTY Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 7 of 8 MIAMFO M* 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.aov/economv 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 have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptahce, if it is determined by Miami -Dade County Product Control Section that this product or material foils td meet th00 e requirements of the applicable building code. ' • • • • ...... .. ...... This product is approved as described herein, and has been designed to comply with•the: F4orida Building CO&..: including the High Velocity Hurricane Zone of the Florida Building Code. 066906 ' ..... ..... ...... . . ..... DESCRIPTION: ICP Adhesives Polyset® AH-160 • • • • • • • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city', state tmd:follow�,x►g .. statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein: • • • 0 :"": . 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. APPROVED NOA No.:17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page i of 11 EVIDENCE SUBMITTED: Test Agencv Test Identifier Test Name/Reyort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 -9/1N96 P36700.04.12 ASTM D 1623 .' . A. � ! � 04�18/12 • . • P39740.02.12 TAS 101 02/21412 ....:. TAS 123 ��•;�• Celotex Corp. Testing Services 528454-2-1 TAS 101 %23%98 ••;". 528454-9-1 ...... • • • • • 528454-10-1 .. .. .. .. ...... 520109-1 TAS 101":' 12/2.8J98 520109-2 :..... •,; • 520109-3 520109-6 ' 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. ICP Adhesives 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 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 Profiles All Eave Course 17-23 sq. inches 45-65 Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 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 grgj$ unjier pan . ...... .. ...... LABELING: • • • • .... . ..... All approved products listed herein shall be labeled and shall bear the imprint or identifiable uwking of the • • • • • manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" artli4Miants • • ; • Dade County Product Control Seal as shown below. . • • • • • • . !I MMADE Cso 0 OtJKT7 . . • • • • • • • 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 MIA Fj2U-,Ejg11 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 2 NairthraughPlaAlcc.m.nt P+ddKllan�.shTilrl Kahan rcgoirad) �fr• 'ti undarbymant Tim "tzF& �f ti • 9atbussapt3onal EawCoursa ,rPa� r lair. �,: �,� ,, ` issda EavaCtosweL_�� /,�' Neil through plastic cement twhen requiredl --_,_.,._Paddy (Beneath ?Ile) 7 ]n. Battens optional 10 E4Ve C.urra / y� fascia Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner. Insure approxjWtely 10" (64.5 cm2) - 12 (77.4 cm21 squire inclrgdbOve ease.* contact with the underside pf'the tile.... • • ...... .. ...... .saeae Medium Profile / Double ParTfIea ;. ' gees a ..... 1. Starting at the eave coursd, apply a mimiWalg2" (59A... mm) x 10" (254 mm) x 1' ��2M� jnm) foam paddy onto the underlayment poltiohed as shown under the .... pan portion of the file closest to.the ovarlgc*f of the ; .... ; tile being set. Insure approxinAtoly 17 jt8j.41acm2) ' 23 (148.4 cm2) square inch adhesive conlAct'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 file closest to the overlock of the file being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) -14 (90.3 cm2) square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.:17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 7 of 11 ADHESIVE PLACEMENT DETAIL ## 3 rlailthroughplastkcement Paddy(betweentiles) (when required) Battens optional ° ° Paddy (under tile) r �' * onmpofNe t. Z4 in. l de u Singlepaddy ao undedaym •�Z x 4 in. •.1 Eaveclosure Flat/Low Profile Tile Nall through plastic cement Single paddy under tile [when rego(red) Paddy lbetween tiles) Battens Paddy lundertile) optional - r; Single paddy •. '�. ontopoftde� x 41n. Singlepaddyon utidedayment" - Oin.� `"- tin. Eave Closure Eave Course Fascia Medium ProflleTile 1. On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x V (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 cave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in' (109.7-148.4 cm2) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat iie a % under the pan portion of the tile,••clo§es; to then tlE;rlock fo•? • the second course tile to be idstallea' • rise • • approximately 8-9 in2 t3?.V-48.1 cm2) or adhesive • � • contact with the underside ofthe tile. • • • • • • ••••0*00 • • • ° • ...... ••••• •••••• (Instructions continued on )sertpage) NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 9 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 1) Place enough adhesive to achieve 65 to 70 sq in. Steep pitch applications In contact with the pan tile. (when required) 2) Turn covers upside down. Place adhesive in to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq.In. contact area. . • Undedayment 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 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 riles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm) — 70 (451.6 cm') square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposingAgamderside of the tile. Apply a minimum 1" (25.4011L) x lei • ; • (254 mm) bead of ad %%v* a eiirectly e>p the inner • • edge of each side of thetMtr tile. Leadd approximately 3/4" (r9 fi 1 to 1" (2�4 mm) : • • • • from the outside edge of No -tile, i;vmra,-free of • .... foam to allow for expa; ""' ' .,... *see* e . ... ..e ...... 4. Turn cover tile over aftei foam is applied and • place onto pan tile course Insure aMpppum of • • • • • 20 (129 cm') - 25 (16 t.3 qm;) squitre inch :....: contact area on each side of the cov8r 06 to the • pan rile. Continue in same manner. VAI 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) milers 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 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 Name: Property Address: g qC( N " ' 900000 Roofing Permit Number: ••••• Dear Building Official: •' • • • • I u cAlc�S **0996 Cie rk,le_ certify that I am not required to retrofit the roottaIrey connections of my '. building because: • Ae just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please Nab 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) c C-0��s� Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of i � `� loreley Greene Commission i GG=50 st 28, Notary Public, Sate of Florida at Large' Expires. thrgu AaronZ Bonded 020 Notary �' 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 OFFICE Of THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2231-014-0130 Property Address: 549 NE 106 ST Miami Shores, FL 33138-2045 Owner NICOLAS GERTIE Mailing Address 3300 DEER CREEK ALBA CIR DEERFIELD BEACH, FL 33442 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3 / 2 / 0 Floors 1 Living Units 1 Actual Area 1,845 Sq.Ft Living Area 1,537 Sq.Ft Adjusted Area 1,691 Sq.Ft Lot Size 9,150 Sq.Ft Year Built 1946 Assessment Information Year 2018 2017 2016 Land Value $205,735 $228,594 $191,724 Building Value $117,694 $117,694 $117,694 XF Value $0 $0 $0 Market Value 1 $323,4291 $346,288 $309,418 Assessed Value 1 $323,426 $108,167 $105,943 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $238,121 $203,475 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 31 52 42 PB 10-47 AMD PL MIAMI SHORES SEC 5 LOT 19 & W1/2 LOT 20 BLK 109 LOT SIZE 75.000 X 122 CF 73R56858 Generated On: 6/2212018 Taxable Value Information • •••Pill 8 �•••�417 • 2016 County • • AAAALA- Exemption Value •.'..0$0 '.$b,t:D0 .•$50,900 Taxable Value •$3"9 $88,167 $55.943 School Board • • • • • • Exemption Value ' ..' $0 •$25.000 : • $11,400 Taxable Value $323,429 •j83!167 $80,943 City Exemption Value $0 $50,000 $50,000 Taxable Value 1 $323,429 $58,167 $55,943 Regional Exemption Value $0 $50,000 $50,000 Taxable Value $323,429 $58,167 $55,943 Sales Information PrevPrev Price ORBook- Qualification Description Pious 9e Corrective, tax or QCD; min 01/24/2018 $100 30841-2164 consideration 01/17/2018 $330,000 30837-1665 Qual by exam of deed Corrective, tax or QCD; min 02/01 /2017 $0 30406-1566 consideration 03/01/1973 $46,000 00000-00000 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.govriinfo/disciaimer.asp Version: ,BOFS TO ON INC. Florida State Lic. # CCC1328762 Tax ID# 26-2561635 3300 NE 13th Terrace Pompano Beach, FL 33064 Phone (954) 573-3532 roofstop-o@p-mail.com This Proposal is presented for your consideration as of the th day of June. 2018. between Mr. Nicolas Gertie, the owner representative of the property located at the following address: 549 NE 106 St Miami Shores, Florida, ("The Customer") and Roofs To Go, Inc., 3300 NE 13th Ter., Pompano Beach, FL 33064 ("The Contractor"). Description of the work on the tile roof 1. Demolition of the old Tile roof, down to the bare wood 2. Replacement of the damaged decking wood, up to three plywoods at no cost Any extra wood decking will be installed at the cost of $ 75.- each, labor and materials included 3. Replacement of the damaged Fascia wood, as needed 4. Installation of the # 30 felt, mechanically fastened 5. Installation of the TU plus polystick 6. Installation of the galvanized 30 drip edge metal 7. Replacement of valley metals 8. Replacement to all air vents with goose neck vents for tile 9. Replacement of all plumbing lead i e cov $AIV'rA rg 10. Installation of the new . panish "S" tile, color Red 60%, Brown 20% and Peach 20%. . • S • • 0 11. Tile roof attachment with ICP adhesive polyset AH-160 ; .0. 0000 • • • • • 12. Independent Engineer Up -Lift test on the roof • • 0 • • • • • S.o... .. Soso% IO years workmanship guarantee on the Roof .... s.... o. . o 25 Years warranty from the manufacturer on the materials '.... . .' "... S .... o....o o . .S:os• In addition, the Contractor will furnish all permits, material, labor, equipment, tools, dump truck and services necg46r;Vj8r the p?gWl g4mpletigrl4G • o the Roof. All work is performed by our own crew. . o . • . o • • HIDDEN SITE CONDITIONS: The Contractor is NOT RESPONSIBLE for preexisting conditions. • • • • 0 o s s • 0 . .00000 We hereby propose to furnish labor and material complete in accordance with the above specifications for the sum of S 13.500. +%or A& Tile roof replacement. with payments to be made as follows: ZQ% deposit upon acceptance of this proposal and the balance will be paid Vorsing to the following work schedule: 1. Dry -in, installation #30 felt: 2. Final Inspection: Payment Terms 50 % of total cost 30 % of total cost (AFTER WALK THROUGH) The above prices, specification, conditions, and contingencies set forth above are satisfactory to the Customer and the Contractor and are hereby accepted. Contractor is hereby authorized to do the work as specified. Payment will be made as outlined above. Company Representative: Jose Romero Date: Property Owner Name & Signature: j) 1 LD e.A5 (o L Q 1 I L Date: STATE OF FLORIDA j { DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD a_Q,eM` 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 ROMERO, JOSE L ROOFS TO GO, INC. 3300 NE 13TH TERRACE POMPANO BEACH FL 33064 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR LICENSE NUMBER (850) 487-1395 STATE OF FLORIDA r DEPARTMENT OF.WSINESS AND `W PROFgS5IQNAL REGULATION T Vy- CCC1328762% , ISSUED.' .06/06/2017 7 CERTIFIED ROOEING CORAC E LNTTOR; ROMERO, JOS. ROOFS TO GO,. - IS CERTIFIED under the provisions of Ch.489 FS. Expiation date : AUG 31, 2018 L17060600(10666- - DETACH HERE MAT ILDE MILLER, INTERIM SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. �- Expiration date: AUG 31, 2018 ib r II, II, ROMERO, JOSE L ROOFS TO GO INC. 3300 NE 13TH-TERRACE: POMPANO -BEACH— FL 33964 ISSUED: 06106/2017 DISPLAY AS REQUIRED BY LAW SEQ # L1706060000666 Acio)d a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DO/YYYY) 06/25/2018 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 (les) 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 endomement(s). PRODUCER FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE A/C No Exr : 800 277-1620 X 4800 FAX (AIC, No): 27 797-0704 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICN INSURER A: Frank Winston Crum Insurance Company 11600 INSURED FrankCrum L/C/F Roofs To Go, Inc. 100 South Missouri Avenue Clearwater FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: r`nVFRAr_GS CFRTIFICATF NIIMRFR- 4H9230 KEVISIUN NUMBEK: 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 ADOL INGRD SUER WVD POLICY NUMBER POLICY EFF (MMD�n POLICY EXP (MWDDNYY') LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEMAGET f 11 PREMISES RE.� $ CLAIMS -MADE OCCUR MED EXP (Any one penton) $ PERSONAL 8 ADV INJURY $ L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ P POLICY PROJECT Q LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Me accident $ BODILY INJURY Per $ ANY AUTO OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Per accident) f PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED ONLY AUTOS ONLY $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCURRENCE $ AGGREGATE $ EXCESS LIAR DED I I RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N WC201800000 01/01/2018 01/Ot/2019 X PER STATUTE OTH- ER E.L EACH ACCIDENT 1 000 000 ANV PROPRIETOR/PARTNEiLF-JCECUTIVE OFFICER/MEMBER EXCLUDE07 N/A (Mandatory In NH) If yes, describe under E.L. DISEASE -EA EMPLOYEE $1,0D0,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addrdonal Remarks Schedule, may be attached If more apace Is required) Effective 07/27/2015, coverage is for 100% of the employees of FrankCrum leased to Roofs To Go, Inc. (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. f�F1iTIFIf'ATF Nn1 nF,w UANULLA 1IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Department 10050 NE 2nd Ave. AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD JOSEROM-01 ATHANCORB ACORU" DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 06/25/2018 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(iss) 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 a . PRODUCER License #1001090 Commercial Insurance.NET LLC 2420 Springer Drive Suite 100 Norman, OK 73069 CO ACT P No, Exc ; 877 907-5267 (a , No):(405) 366-8817 . certs@commercialinsurance.net MIS", INSURER 3 AFFORDING COVERAGE NAIC S INSURER A:Rockingham Casualty Company 42595 INSURED Roofs To Go, Inc. 3300 NE 13th Terrace Pompano Beach, FL 33064 INSURER B : INSURER C : INSURER D : INSURER E - INSURER F : nw�nwn_�� PCOTICIPATC 6111u CCID RRA/13InN NIIURFR- v 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 LTRA TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR RFLA200316-01 08/12/2017 08/12/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ence)MED $ 50,000 EXP oneperson) 5,000 PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: NPOLICY 0 Fr& LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PROD S - COMP/OP AGG 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS SSWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ BODILY INJURY Per erson $ BODILY INJURY Per accident PerOa�Nlent AMAGE $ UMBRELLALIIB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOERR/PARTNER/EXECUTIVE ❑ % ICE ryE1. MNFFR) EXCLUDED? iiifMMyes, describe user DE RIPTION OF OPERATI S N / A PER OTH- A LITE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H mars space Is nrqulmd) License # CCC 1328762 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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: ROOFS TO GO INC Owner Name: JOSE L ROMERO Business Location: 3300 NE 13 TERR POMPANO BEACH Business Phone: 954-573-3532 Receipt#:ROOFING/SHEET METAL Business Type: (ROOFING CONTRACTOR) Business Opened:04/07/2009 State/County/Cert/Reg:CCC132 8762 Exemption Code: Rooms Seats Employees Machines Professionals 1 For Vending Business only Numher of Machinac- v....ae.... r....... Tax Amount Transfer Fee NSF Fee Penalty Prior Years I 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: JOSE L ROMERO 3300 NE 13 TERR POMPANO BEACH, FL 33064 Receipt #1CP-16-00011518 Paid 07/12/2017 27.00 07/11/2017 Effective Date