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RF-09-1925 g Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 p Phone: (305)795 -2204 W . Expiration: 1 Project Address Parcel Number Applicant 9546 1 Avenue 1131010240240 Miami Shores, FL Block: Lot: JANICE SALVATORE Owner Information Address Phone cell JANICE SALVATORE 9546 NW 1 AVE MIAMI 38 FL 33150 -1702 Contractor(s) Phone Cell Phone $ 15,600.00 Valuation: OBENOUR ROOFING SHEET METAL f 305 -757 -2612 Total Sq Feet: 2300 Type of Work: Re Roof For Inspections please call: Additional Info: COLOR THRU TILE (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Roof Repair Final Roof Roof Review Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ RF- 11- 09-36465 $ 334.60 $ 50.00 Education Surcharge $3.20 Permit Fee - Repairs $300.00 RF -11 -09 -36465 $ 334.60 $ 334.60 $ 0.00 Scanning Fee $9.00 Check #: 1566 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $12.80 Total: $334.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. December 09, 2009 Authorized Signature: Owner / Applicant / Contractor i Agent Date Building Department Copy December 09, 2009 - M 1 Miami Shores Village S Buildin g Department artment � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 MCC T- 717/ 4t o BUILDING I NOV 1 2009 Permit No.g� �' � ` 1 PERMIT APPLICATION aster Permit No. FBC 2004 BY. .. ®____ _._ Permit Type (circle): Building, Electrical ^° Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) k5d" K CO JJJQ' �G Phone # S 9�- 7 Owner's Address g� � / j A-j- City � hA du t % W e) e) State - Zip 3.,31 Tenant/Lessee Name Phone # /oob Address (where the work is being done) 7 Sm tt.. 4�� City _ Miomi Shores Village County Miami -Dade Zip FOLIO 1 PARCEL # Is Building Historically Designated YES NO 'Contractor's Com vY Q f !� �/ �-- pany Name /to (3 i! Y�'l �} Phone # 945 gC Contractor's Address City lll / tcw q, State Zip 3 (�. Qualifier Name ,fAln Phone CP- 6/ State Certificate or Registration Nc C00 (C Certificate of Competency No. Architect(Engineer's Name (if applicable) Phone # /alue of Work For this Permit $ / _ 061 Square ! Linear Footage Of Work: 6 3 6 e) Type of Work: [Add A � t�l�gration ONew y iRL .,.,� f iD elition Describe Work: Ma M✓ •••• . • . a t>5� 1. �.;. _ "��`' / • • • • • 00 00 *000:0 a Submittal Fee $ • ® Permit Fee $ =' r,< CCF $ • • t;O1CC ..:.. :. a a.: Notary $ Training/Education Fee $ 1 5 - CI O Technology Fee $ • • • • Scanning $ O D Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ TotaliFee Now Due $ ���� See Reverse side -� Bonding Company's Name (if applicable) t Y " Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State/ tate 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 goad 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 inspectioL approved and a reinspection fee will be charged. - -- Signatur Sign p instrument was acknowledged before me The ore Contractor The fore o Owner or Agent g ' edg th go' g instrument was acknowledged before me this day of f 20 by day of 20/5 by e who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 12 • Sign: /mow Print • • • • Print ...: *.VQlmissioitExp ica D My Co ,. 3 rr�rstlt!lst�t �e�rs x�r�ri�r�rt�a�c�rr�r�rrxr�r�r 0000• • . . . 00000 . •0 '.�...• . . • • s 0000.• • •• •. .i �! ��.�/ APPLICATION- APPROVVD•BY• Plans Examiner •.000. 00.0 • : 0000 : • • • • _ Engineer 000 0 ' Zoning (Revised 02/08/06) NOTICE OF COMMENCEMT A RECORDED CO" MUST BE POSTED ON THE JOB SrrE AT 71ME O ENR ST INSP90ON CFN 29- _084 1125 OR Bk 27092 Ps 0841; (IPS) NO. )q[Q2A� RECORDED 11/23/200? 12910:40 PERMIT NO _TAX FOLIO NO. C1 q0 HARVEY RUVIN v CLERK OF COURT MIAMI-DADE COUNTYt FLORIDA STATE OF FLORIDA. LAST PAGE COUNTY OF MIAWDADE: 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 Commence 1. Legal description of prop" and streetladdress: it' 2. Description of improvement: e O e A -.,- y - APA, 9 i9-­ y 3. Owner(s) name and address: (A v e, LL--) � Asv A Interest In property. & W /n e- r Name and address of fee simple titleholder: 4. Contractor's name and address: -15 All A AU i 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name andaddress: X 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 and address:* 9. 1ration date.qf this, Notice of Corn ncement: (the expiration date is 1 year from the date of recording unless a d nt date sp ecftk A. bpi= W LL &Ihado Duft *vAWw-#1 Signature of Owner & Ro. DD80 301 4 Print Owner's Name Prepared b6 ncement (the expiration ii If 7, 0: U . 7 Sworn to and subscribed before me th day of x1ok 20 d ' � ? Address:/ 7" j Notary Public A' I A A,,< I s y e Print Notary's Name My commission expires: EDW A. U LVA ° x Rl� •.. KNOW ALL MEN! BY THESE PRESENTS That I, EDWARD A. SALVATORE, residing at 9046 N.W. 1st Avenue, Miarni Sheres, FL 30100, do make, constitute and appoint: my daughter, DIANE SALVATOREIHERRON, of Miami, Florida, my true and lawful attorney in fact so long as she is living and not incapacitated as hereafter defined. 1. Incapacity. If at any time two (2) practicing physicians shall determine that any attorney in fact then serving, from mental or physical cause, is no longer capable of properly performing his or her duties hereunder, a written statement to that effect, signed by said physicians and delivered to any joint attorney in fact also then serving and to the next successor attorney in fact or attorneys in fact named above, shall serve to terminate the authority of the incapacitated attorney in fact and simultaneously to bring into existence the authority of the successor attorney in fact or attorneys in fact named above. Upon the death or incapacity of an attorney in fact serving hereunder, the successor attorney in fact or attorneys in fact named above shall thereafter have all of the power and authority herein originally granted my original attorney in fact to the same extent as though my successor attorney in fact or attorneys in fact were originally named as attorney in fact hereunder. 2. Durable Power of Attorney In accordance with Section 709.00, Florida Statutes this Durable Power of Attorney shall not be affected by the disability of the principal except as provided by Statute; 3. General Purpose The purpose of this General Power of Attorney is to authorize and empower my attorney in fact named herein to act in, manage and conduct all my estate and all my affairs as fully and effectually to all intents and purposes as I might or could do in my own proper person, if personally present. 4. Full General Powers. My attorney in fact named herein, from time to time acting hereunder, shall have full power and authority, for me and in my name, place and stead, and for my use and benefit, and as my act and deed, to do and execute, and to concur with persons jointly interested with myself therein in the doing or executing of, any and every act, deed, matter grid thing whatsoever in and about my estate, property and affairs as fully and effectualy tp-p ••'••• II intenfis and •.•••�• purposes as I might or could do in my own. proper person if personally p resent + .Ire ;folloarw4epecialll enumerated powers being in aid and exemplification of the full, complete and.@"ral power herein granted and not in limitation or definition thereof; and hereby ratifying all that 07 --aid a4©w1W in fact • shall lawfully door cause to be done by virtue of these presents, including arW emcut0rLpf the ;;;;;• powers herein granted in favor of himself or herself, or any transaction, dealing or undertakirig with- ••;• himself or herself by virtue hereof, to wit: • •••• a. Dealing in Property To buy, receive, lease, accept or othVmPse adquft to ;SIT,• rty convey, mortgage, hypothecate, pledge, quit- claim, exchange or otherwise encumber or dispose of; to contract, give or take an option or agree for the acquisition, sale, conveyance, disposal or encumbrance (including the granting of easement or licenses) of any and all property as defined below or any custody, possession, interest or right therein, upon such terms, considerations and conditions as my said attorney in fact shall think proper; and to receive or order disposition of the r prods thereof; b. Dana em t of Pro e T tk, odd, �q, �; I It 4thrvie manage any or all of my property as defined below, or any interest therein; to e j ec t, remove or relieve tenants or other persons from and recover possession of such property by all lawful means; and to maintain, protect, preserve, insure, remove, stone, transport, repair, build on, raze, rebuild, alter, modify or improve the same or any part thereof, including the power to deliver my personal property into storage, e. T'ransaetien of Business To make, do and tr- ansaet all and every kind of business of whatsoever nature, including but not limited to the receipt, recovery, surrender, collection, payment, compromise, settlement and adjustment of all accounts, obligations, legacies, bequests (whether outright or in trust, present, future, life, remainder, vested, contingent or other wise), interest, dividends, insurance policies, annuities, demands, debts and taxes which may now or hereafter be due, owing or payable by me or to me; d. Execution of Instruments To make, alter, amend, endorse, accept, receive, sign, seal, execute, acknowledge and deliver deeds, leases, real estate contracts, mortgages, satisfactions of mortgages, assignments, bills of sale, contracts, agreements, trusts, certificates, hypothecations, checks, notes, bonds, vouchers, receipts, approvals or disapprovals of the action or inaction of or accountings by fiduciaries under formal or informal written or oral arrangements (or any parties to any of the said instruments or arrangements), and such other instruments in writing of whatsoever kind and nature as may be necessary, convenient or proper in the premises; all of such powers to apply to all of my property as defined below; e. Banking - Safe Deposit Boxes To create accounts, and to deposit and withdraw, in either my name or the name of my said attorney in fact or jointly in both our names, in or from any banking institution any of my funds, negotiable paper, monies or credits which I now or hereafter may have on deposit or to which I may be entitled; to sign checks, withdrawal slips and other documents in my behalf; and to have access for all purposes to any or all safe deposit boxes or vaults rented in my name or in the names of any other person or persons and myself, with full power to use the same for safekeeping any securities, valuables or other property and to remove there from at any time or from time to time all or any part of the contents of any such box or vault; f. Contracting Loans To contract loans and to borrow any sums of Awidy in MY ..... name and upon such terms as my said attorney in fact shall see fit, and to pledge or give as security. therefore any or all of my said property as defined below; 000000 0 .... g. Litigation To institute, prosecute, defend, compromise, attrltrate an'd' biherwi;a.. fully dispose of legal, equitable or administrative hearings, actions, suits, att�cMdnts, Watts, ••••• . distresses or other proceedings, or otherwise engage in litigation in connect! ©Fi•vAth the premises an8 * - the powers herein granted, except that my said attorney in fact shall not be authorized to w9ept • • •• service of process from nor to submit me to the personal jurisdiction of any c;gft * ;qs a q feridant lh.,,. any suit, or proceeding pending before the same without further specific, written author4P.O rfMY Pa h. Stocks and Bonds In furtherance of and in addition to the above, to fully act a my attorney in fact or proxy in any and all matters In respect to any stocks, shares, debentures, bonds, options, straddles, commercial paper or other investments of every nature, rights or inter which I may now or hereafter hold, including but not limited to voting in my behalf, buying, selirg /�a+ n } p a,,yy�,p�s glp0IIOIi Oi �0 (ry (� tto ��j s [� fro r fm ce. - � �[i1'.vY$.,.• �64ng th@ §l�C� Q, �0 & 9 �+ta8W 21 91m0.��v��da 2����� f a }9,9 tr9 to e (stock and bond powers), executing the certificates themselves and executing such other instruments relating thereto as my attorney in fact may determine to be desirable in his or her sole judgment; i. Maintenance of Securities Margin Accounts To buy, sell, and trade in securities of any nature, including short sales on margin, and for such purposes to maintain and operate a margin account with brokers, to pledge any securities held or purchased by my attorney in fact with such brokers as security for loans and advances made to my attorney in fact; j. Insurance, Annuities, Retirement Plans and Pensions In my behalf, to effect, maintain, amend, alter, cancel, surrender and otherwise deal with any and all pensions and annuities, and any and all (qualified or non - qualified) retirement plans (including, but not limited to, pension and profit sharing plans, defined benefit plans, Keogh plans, IRA's and 401(k) plans), of every type, kind and nature whatsoever, and any and all policies of insurance of every type, kind and nature whatsoever; and, to that end, to sign in my behalf any documents requested by any employer or former employer, whether governmental, corporate or otherwise, by any such retirement plan administrator, trustee or beneficiary, and by any company issuing any such policy, including but not limited to applications, changes of beneficiary, changes of ownership, changes of address, amendments (whether or not the same increase or decrease coverage or benefits or otherwise) and any and all other documents relating thereto, and to cancel and surrender or take the commuted value of any pension benefits or insurance or annuity policies or benefits and, upon any such cancellation or surrender, to receive any refund, dividends, returned premiums, cash surrender values or other monies that may be due, and to give receipt in full discharge therefore; and to exercise any available option to withdraw all or any part of, or accelerate or delay payments from, any such retirement plans. k. Government and Insurance Vouchers and Checks To receive, collect, receipt for, to execute and deliver vouchers in my behalf for any and all allowances and reimbursements properly payable to me by the United States or by any state, county, municipal or other governmental authority or any insurance company and to receive, endorse and collect checks payable to the order of the undersigned, drawn on the Treasury or other Fiscal Officer or depository of the United States or other governmental authority or any insurance company, employee benefit fund, or other issuer; I. Taxes 'To prepare, execute and file income and other tax returns customs declarations and other reports, applications, requests and documents required bylaw ort'agdlationof : . the United States or of any state, county, territory or municipality thereof; to deal oh my :boWf with •' agents of any governmental authority in the audit of such return, agree on any.softjement Qr ; " "; compromise of taxes in dispute, and to receive, endorse and cash any tax refamds.due fpp ; :• • M. Removal and Shipment of Property To take possession,•"brdef 1b&Femoval... and shipment, of any of my property from my residence or from any warehoutld,:btoker, bank, depot,*; dock, fiduciary (including but not limited to trustees, guardians, personal represen atives. "- ;••••; otherwise) or other place of storage or safekeeping, governmental or private;'an'd to exgc.ufe and :" deliver any release, voucher, receipt, shipping ticket, certificate or other instrument nece's's or convenient for such purpose; n. Power to Make Annual Exclusion Gifts To make gifts, grants or other transfers, without consideration, either outright or in trust, including the forgiveness of indebtedness (hereinafter collectively referred to as "gifts "), on the following terms and conditions: () P 6, pse6, gift IJg I0 ORgOtlul It gg income, estate, gift, generation- skipping or other tax planning or in connection with estate planning for my estate, as my attorney in fact, in his or her discretion may determine, after consultation with one or more qualified professional advisers selected by my attorney in fact. (2) Permissible Donees Permissible donees of gifts hereunder shall include: (1) any or all beneficiaries named in my Last Will and Testament or any Codicil thereto; (ii) any or all beneficiaries of outright distributions or of funds held in trust pursuant to any revocable or irrevocable trust agreement of which I am the Settlor or Grantor or under which I am a vested or contingent beneficiary of income or principal or both; and (iii) charitable, scientific or educational institutions or organizations, including, but not limited to, churches, synagogues and other organizations, a contribution to which would qualify for a charitable deduction under the income and gift tax provisions of the Internal Revenue Code as from time to time amended; (iv) and specifically includes any attorney in fact hereunder who is otherwise a permissible donee hereunder. (3) Annual Exclusion Gifts: I specifically authorize my attorney in fact to make gifts (other than gifts of future interests) pursuant to the provisions of Section 2503(b) of the United States Internal Revenue Code of any of my assets to any permissible donee, provided that the aggregate amount of such gifts to any such donee in any calendar .year shall not exceed the amount of the United States gift tax annual exclusion (currently $11,000.00) without my prior written consent. (4) Filing Returns, etc .: My attorney in fact may also prepare, execute and file any gift tax return required by any such gift; and pay any gift tax that may arise by reason of such gift. 5. Protection of Third Party To induce any third party to act in reliance on the continuing effectiveness and absence of revocation of this instrument, I hereby agree that any third party receiving a fully executed copy of this instrument (or any other type of copy of this instrument, certified by a Notary Public or any governmental recording clerk to be a true copy either of the original or of an executed copy of this instrument) may rely on the same and on any act of my attorney in fact taken hereunder; and I further agree that revocation or termination hereof by operation of law or otherwise shall be ineffective as to such third party unless and until actual notice or knowledge of such revocation shall have been received. by such third .party; and I for myself.and for my heirs, executors, personal representatives, legal representatives and assigns, hereby agree tQoinrremnify.... and hold harmless any such third party from and against any and all claims tliat inq arise against such third party by reason of such third party having so relied on the provisions of his iristrumenttd•� its continued effectiveness and absence of revocation. In the event this instrument shag be.recordetf•: in any public records, then as to persons relying on such recorded instrument no a WhC have ctual•• :••, 0000.. .. •d m t 0000. notice or knowledge of revocation, the same may only be revoked by an instrii;;Zrt exeryt 000. same manner as this document and also recorded in the same public recordl-er 4y my death or .. . 0000 6000.9 legally declared incompetency. • :• • .. 0000.. 6. Miscellaneous •• a. Definitions of "Assets" "Estate ", "Affairs ", and "Property" The terms "assets ", "estate ", "affairs" and "property" as used herein include and shalt include at all times and places and under all conditions: (i) all real and personal property owned by me; (ii) my interest in all property held in joint tenancy; (iii) my interest in all property held in tenancy by the entirety; property over which I hold a power of appointment; of every kind and description whatsoever and wheresoever situated, including by illustration, but in no way limited to, all lands, buildings, structures, improvements, fixtures, vehicles, appliances, accessories, furnishings, equipment, chooses in action, monies, equities, stocks, bonds, debentures, securities, annuities, policies of insurance of every type and nature, priorities, permits, rations, quotas, rights of way, mineral and oil rights, water rights, easements, licenses, rights and benefits in any trust, future interests, reversions, remainders and all other kinds of property or property rights whatsoever, and specifically includes any homestead real property and every interest, title, equity, tenement, hereditament, appurtenance, right, claim, demand or action therein and thereunto appertaining, and whether said property or property rights be tangible or intangible, jointly or severally owned, or now or hereafter acquired, and specifically includes any homestead real property hereafter acquired. b. Definition of "Attorney in Fact " : The term "attorney in fact" as used herein means the attorney in fact or attorneys in fact, original or successor, serving from time to time hereunder, in accordance with the terms of this instrument. C. Titles. Gender or Number The titles given to the various Paragraphs and Subparagraphs of this instrument are inserted for the purpose of convenience of reference only and are not to be considered as forming a part of this instrument in interpreting its provisions. All words used herein in any gender or number shall extend to and include all genders and numbers when the context or facts so require or permit, and any pronoun shall be taken to refer to the person or persons intended regardless of gender or number. THIS POWER OF ATTORNEY SHALL BECOME EFFECTIVE IMMEDIATELY, AND SHALL NOT BE AFFECTED BY MY DISABILITY OR LACK OF MENTAL COMPETENCE EXCEPT AS MAY BE PROVIDED OTHERWISE BY AN APPLICABLE STATE STATUTE. THIS IS A DURABLE POWER OF ATTORNEY. THIS POWER OF ATTORNEY SHALL CONTINUE EFFECTIVE UNTIL MY DEATH. THIS POWER OF ATTORNEY MAY BE REVOKED BY ME AT ANY TIME BY PROVIDING WRITTEN NOTICE TO MY AGENT. THE FAILURE OF A THIRD PARTY TO HONOR THIS DURABLE MEDICAL POWER OF ATTORNEY WHEN PRESENTED MAY RESULT IN LIABILITY ON THE PART OF THE THIRD PARTY FOR UNREASONABLY FAILING TO ALLOW AN ATTORNEY IN FACT TO ACT PURSUANT TO FLORIDA STATUTES § 709.08(11). IN WITNESS WHEREOF, I have hereunto set my hand and seal on this QSI X-, •�•••• , - ~day of September, 2009 ' ' ' 0000.. 0006.0 666666 0 0000 .60600 0 6 6666.66 0000 . 00669 0000... .. . 66666 0 0 0 0 6 (j 66 ..- . 66 . 666666 000 • 0. . . 0000 0000.. • 0000 EDWARD A. SALVATORE 00 6 • • • • • • 9546 N.W. 1st Avenue •••• Miami Shores, FL 33150 MMMMM - - . T — — �_ -- )N "IR > .ro-tlsi.ia >•� smn. tiw,..ut �a..y..nw:J.r"' �j Printed Name of Witness Printed Name of Witness STATE OF FLORIDA COUNTY OF MIAMI -DARE ) I HEREBY CERTIFY that on this day, before me, personally appeared EDWARD A. SALVATORE, before me known to be the person described in and who executed the foregoing instrument and he acknowledged before me that he executed the same and who has produced as identification and who did take an oath. WITNESS my hand and official seal In the County and State last aforesaid thlsR3 day of September, 2009. NOTARY PUBLIC State of Florida at Large Mtuy Pty„ Sw Flaft My Commission Expires: camdww wr/3161 9999.. 9999.. 9999.. 9000% 9 9999.. 9999.. 9990 a 00e0• 99.00. e0 0 sees. 9999 ... 9999.. 9999.. • . . 9099 00*000. 9999 . e • 9999.. .. . . 00 O WNER'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553 F.S. To: Miami -Dade County Building Department 11805 Coral Way, Suite I I 1 Miami, FL 33175 Re: Owner's Name f;b"/A-X-A 9sM" ®X0 Property Address QS l s1—�/C 1,0w Roofing Permit Number De Building Official: I 1�R �Jt1 s, St.�i►f rL� f(' - certify that I am not required to retrofit the roof to wall connections of my building because: [;( The just valuation for the structure for purposes of ad valorem taxation in less than $300,000.00. ❑ The building was constructed in compliance with the provisions of the Florida. Building Code (FBC) or with the provisions of the 1994 edition of the South Florida Building Code (1994 SFBC). f Signature of Property Owner Print Name • • •66666 STATE OF FLORIDA COUNTY OF MI -DADE 0 0 , • • 0 : • • • : 6 `, f 6 6666•• Sworn to ay subscribed before me this ! • • • • • • 0 • , 6000 , • 6666•• day of GLcA %C /1, , 20 � 6•...' �..... • 0 66666 6 (SE AL) 600006 * 00.60 •6 •6 .� .. 6 06006 •0.60• _t "£11� 6 • 0600•0 �w� r{ Personally known T z r r " • • • • • • • • • • • or Produced Identification "` ✓ • • • • • • V000: MAL When the just valuation of the structure for purposes of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed in compliance with the FBC nor with 1994 SFBC, and affidavit of Roof to Wall Connection Hurricane Mitigation Retrofit must be provided. C:1Dmm —ts mtd &Mingslnol%v y D0wnmMNStatieti0sc w*,2Wxofi% Affidavit Compliaroe 9 7607illabla dw Miami -Dade My Horne Page I of 2 My Home MIAMI -[DADS Show Me: Pro - Info rm ation Legend :X Search By: 0 0 Property Se !!Tm -a Boundary oo Selected Property Tent o nly Property Appraiser Tax Estima pf Street Property Appraiser Tax # W Highway Cornwrison 11111aml-13adle county Portability S,O,H. Calcula water Summary Details: olio No.: . 9646 NW 1 AVE Ing EDWARD A SALVA-URE drew. &W JANICE M W + 9546 NW I AVE MIAMI 38 FL 133160-1702 Proper, Info rmation: Zone: SINGLE FAMILY IDENCE I RESIDEfJlA1-- GLE FAMILY S/Ba ths: loons: 1 nhs: 1 Digital Orthopholograph - 2007 0 112 ft oota a: 1 458 306 SO FT ear lit: 1 947 NMAR PARK PB 17- My Home I Property Information I Proporty Taxes al I LOT 2 & Nl,'2 OF LOT I My Neighborhood I Pro Appraiser Descriptio BLK6 LOT SIZE .500 X113 tLq= I Using Our Site I Abou I Phone Directory, I Privacy I Disclaimer Assessment Inform a -)n: Year: t 2009 ?008 Land Value: $136,857 : Buildin Va ue: $118,098 k: 118,098 If y ou experience technical difficulties with the Property Information application, Market va $264,955 " 146,649 or wish to send us y our comments, q uestions or suggestions .00 0:4 please email us at Webmasta • • • Assessed Value: $803-88 1$80,308 Exam Information: ni • �ear: 2009 2008 Web Site $25,000 - 0 2002 Miami-Dade Count Pgid I YES Y All ri reserved. Tax ih! e Value Inforw fl: T ear: 2559 Applied Taxin A,: iy. Exemption/ L. tion/ • a Taxable • ,ble 00*00• Value: —: 0 Regional- $50,0001 ---jo/ :0000: $30,388 1308 • • Count $501000/ D0/ a • $30,388 City: $60,0001 b, 00/ $30.388 :s08 School J.. $25,000/ 100/ . $65,388 1_ .� 8 AcIditionall Informal http://gl�;t . - 11/18/2009 Owner's Notification Form 07 M IAM WMAD - Delivering Excellence Every Day- SECTION 1524 HIGH VELOCITY HURRICANE ZONES— REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As* it-pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the it9m has been explained. ` � 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be renaVed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Biquilding Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units .e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or wrier should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be view from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of main mining this appearance. [M 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the origins fin tem is removed. Ponding conditions should be corrected. 2 6. Overflow scuppers (wall outlets): It is required that rainwater flow:of� §o thatthe roof is note; • over aded from 'a build up of water. Perimeter /edge walls or other roof extcnsi0wimay blick4ds disgWin if overflow scuppers (wall outlets) are not provided. It may be necessary to install *614 low:scuppers in gppo11lanc 'th a requirements of: Chapter 15 and 16 herein and the Florida Building C479: jPlum4ng:: • • Mof te 7. Ventilation: Most roof structures should have some ability to vent natural airflt;u't�itoug�,�e,- the e structural assemb (the building itself). The existing amount of M Itntilatioo shall not bi reduced. Exception: Attic spa s, designed by a Florida.- licensed engineer or registered apet to e�te the attic venting, venting shal t be requ' ed. • .. Ownees/A Signature: f /1 Date: // / / Contractor's Signature: r Permit Number: Property Address:' 'M A 3 �3� Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Pennit Application Fonn IMAM COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPUCA71ON FORM AND ATf'ACH THE REQUIRED DOCUMENTS AS NOTED BELOW. rr •• Roof System : qA& equired Sections of the Attachments Required ermit Application Form See List Below Low Slope Application B, C 1,2,3,4,5,6,7 L Asphaftic ive BUR RAS 150 A, 8,C 4,5,6,7 Shingles A, B, D 1,2,4,5,6,7 or Clay Tile A, 8, D, E 1,2,3,4,5,6,7 ofs A, B, D 1,2,3,4,5,6,7 ngles and Shakes A, 8, D 1,2,4,5,6,7 Other I As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED 1. Fire Directory Listing Page 2. From the Miami -Dade County Notice of Acceptance ► NOA Cover Sheet ► NOA Specific System Description ► NOA Specific System Limitations ! NOA General Limitations • 0000.. ► Applicable Detail Drawings •' • • • • •' • . 0000.. ° 0000c• 0 •0000• 000 0 • • 0000 0 0 000000 • • 3. Design Calculations per Chapter 16, or N applicable, RAS 127 or RAS•'F2I3 • • • • 0 • 4. Other Component Notice of Acceptances 00 •. ° • •• 0 •• • ° • • • 0 • Municipal Permit Application . 0000* • s o 6. .Owners Notification for Roofing Considerations (Appendix" F" Form) R;Aro ftng pro • • * too:* Repairs Only ***0* • 7. Any Required Roof Testing/Calculation Documentation "" .. .. 0 0 0 0 0000 Any other additional data reasonably required by the Building Official to determine the integrity of the roofing system. Page 1 Sood m A Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Appicurton Form *Delimfng ExWfwe ce Every Days ftedon A (Owwal ImVa Mton) M pa Wo: Pwcew Nos Job Add.... Rood Ca�sBoq► ❑ ww Slope ❑ Mecha "py Faanw T" d MOMWMMOM Set Tile ❑ mosa aftm ❑ Metal Pane Mnw" ❑ Wood Shm►gieslS ton Roof Typ ❑ wN Roof ❑ R*Roofl v Recow" ❑ Repair ❑ MOO=" AretholeOae Yost Bt dw bcated on the roof? ❑ Yes ❑ No H ye$, whet type? ❑ Naww ❑ Lm Roof Syatsm lntonrattlon t ow slope .9 �' fto am (i ) �-az Total (ft.'} • S�►n 8 �Rooi Plan) . afth RoofPlan: S d leas and swoons, root dmft sue . ovwfbw saga NW O"A w "M Include O f "GOD" and h js% dean► WatIfy dhwmm of elevsted p gawe mm and bow h of . Pwbn* WkNh(al: Corner aim (a• a *I: Al G I� a , •0000• .000.0 • e as e : • • • 000 0000.. . 0000. � 0000 a . 40 • P 0a• 0.000 / ff 0000 / 3V EZ�G 0000.. 00 . ..000 .. .. .. a0 . 0000.. 0000• .. 0000 s • e 0000.. .. - • I �,la t � 0000 Tile RoofSyatem MIAMW Miami -Dade County Building Department Electronic Application + Section D Sloped System Description "Delivering Excellence Every Day" Tile Roof System Roof System Manufacturer. Notice of Acceptance Number (NOA): Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: P 2: P 3: Maximum Design Wind Pressures, (From the NOA Specific system): J°,.t psf Fill in the specific roof assembly components. ff a component is not required, insert not applicable (n /a) in the text box. Deck Type: i Ar 0-r -dam _ Optional Insulation: Optional Nailable Substrate: Optional Nailable Substrate Attachment: Roof Siope:.� �(�- 7 /12" Roof Mean Height: ft. Basesheet Type: Method of Tile Attachment: Fastener Type for Basesheet Attachment: Alternate Method of Tile Attachment per NOA: Tile Underlayment (Cap Sheet) Type: Drip Edge Size & Gauge: . '� 2e 4 _t� • Tile Underlayme t Attachme ethod: " "' . • • • • Drip Edge Material Type: 6 �. • . go.: f �- . 0000.. 00000 0000 0 Drip Edge Fastener Type: [ 1 �lY � ,� ° �� c Tile Profile: 0 0 • • o 0 a - • ,0 e •00.00 41 • Hook Strip/Cleat gauge or weight: • . 0 0000 0000.. • • • . sg 0 0 goes Sectlon E 2 Miami -Dade County Building Department Electronic Application "Delivering Excellence Every Day" High Velocity Hurricane Zone Roofing Permit Application Form Section E (Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 12r For Moment based tie systems, use Method 1. Compare the values for Mr with the values from Mf. if the Mf values are greater than or equal to the Mr values, for each area of the roof, then the the attachment method Is acceptable. P1: S f x . = l - M9: = Mr1 • (�o,� 5 NOA Mf P2: ®xx ` _ .Mg: =Mr2: 5 NOA Mf P 3: x X Mg: _ Mr3: NOA W Method 3 "Uplift Based Tile Calculations Per RAS 127" For UP" based fife systems use Method 3. Compare the values for F with the values for Fr. If the F• values are greater than or equal to the Fr values, for each area of the W. then the tile attachment method is acceptable. x cos B: Fr1: 5 ®NOA F P2: xi; ® = ®xw: ® = ® -W: ® =� x Cos 0: ® =Fr2 • S NOAF P3: ®x1; =�xw : ® = ® -W� =® x Cos 0. Fri: ®S NOAF Where to Obtain Information to complete the calculations Description Symbol Where to Find Table 1 RAS 127, or by an engineer analysis prepared Design Pressure P1 or P2 or P3 engineer based on ASCE 7. , signed and sealed by a professional Mean Roof Hecht H Job Site Roof Slope 9 Job Site ...... ...... Aerodynamic Multiplier Product Approval (NOA) - • • • • Restoring Moment due to Gravity Mg ` • • • • Product Approval (NO/tp • ; • • • • . Attachment Resistance • • • • • • Mf Product Approval (NOAj• • ! • • Required Moment Resistance • • • • • • • • • • • Mr Calculated .. • • • • Minimum Attachment Resistance .. • • F' Product Approval (NOA) • • Required Uplift Resistance Fr Calculated • . Average fie Weight • • • • • W Product Approval (NOA) • ; • • • . Tile Dimensions I = length • • • W = width Product Approval (NOA) MIAMIM MIAMI -DADS COUNTY, FLORIDA MEMO -DADE FLAOLER BURDIW BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -291)8 NQTICE OF ACCEPTANCE (NQA} Hanson Roof Tile 1340 SW 3& Ave 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 by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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 Division (In Miami Dade County) and/or the AM (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. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DFSCRIPTIom Hanson Hacienda Double Roll Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and rempya of • • • • • NOA. 0 • • • ' . • '. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County • FloriQfi • • • • • • followed by the expiration date may be displayed in advertising literature. If any port$i� pf ; the NOA is ; •...: displayed, then it shall be done in its entirety. 0 • • . 0 :..o:. • • • •' INSPECTION: A copy of this entire NOA shall be provided to the user by the manufattditr or it! • . • 00:00 0 0 :0 • distributors and shall be available for inspection at the job site at the request of the Buui' K bfficifit ° • . ` .0.-:- This NOA consists of pages 1 through 7. :609 • • • • The submitted documentation was reviewed by Jorge L. A ho. ' a • * ` 00 0 00 0 NdA•No;. 07- 0914.09 • 0 • Expiration Dates 12fiHJ Approval Date: - 12AK47 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tile Material: Concrete 1. SCOPE This renews a roofing system using Hanson Hacienda Roof Tile, as manufactured by Hanson Roof Tile in Hobe Sound, Florida and as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, do not exceed 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 Auu ndons §g2lfications Mien Length: 1'7V4' Low profile, interlocking, extruded concrete Hanson "Hacienda" Width: 13" TAS 112 roof file equipped with two nail hole and W thick double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications: Length: varies Accessory trim, concrete roof pieces for use Trim Pieces Width: varies TAS 112 at hips, rakes, ridges and valley terminations. Varying thickness Manufactured for each tile profile. 2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTWU Test Product Product Dimensions Suedfications Description Manufacturer Vertical Wood Battens Min. 1 "x 4" Wood Preservers Salt pressure treated Generic Horizontal Institute LP — 2 or decay resistant (With current NOA) Min. 1 "x 4" for use lumber battens with vertical battens or . Afm.1 "x 2" for use • • • • • alone • • TAS114 Corrosion resistant • : • • • • • • • • •: • ••• "' • Tile Nails Min. 10dx 3" Appendix E screw or smooth ...: Cieneric : • • • • shank nails (yfkhVu=nCXGA) 0000 • . •� � «0000 • ... 0000.. • 0000.. • • • .... 0000.. • 0000 0000.. Aft Naf.RTol: 07- UP4.UiG. Y IN Expiration Date:12J2dA2 Approval Date: 12/06W Page 2 of 7 Test Product Product Dimensions Oyemeations Description Manufacturer #8x 2 W' long Corrosion resistant, Tile Screws 0.335" head dia. TAS 114 coated, square drive, Generic 0.131" shank dia. Appendix E galvanized, coarse (With current NOA) 0.175" screw thread thread wood screws dia. Clips Corrosion resistant Hurricane Clip & Min.'s" width TAS 114 clips with corrosion (Generic Fasteners Min. 0.060" thick Appendix E resistant nails. (V1Wiih current NOA) Clip Fasteners Min. 8d x 1 2.2 E v1DENCE SvBMrr m Test en 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 PO402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails P0631 -01 PA 108 July 1994 Letter Dated Aug. 1, 1994 PA 108 Aug. 1994 Professional Service 224 -47099 PA 112 Sept. 1994 Industries, Inc. The Center for Applied 94-MB PA 101 March, 1994 Engineering, Inc. 94084 PA 101 May 1994 25-7094-1 PA 102 Oct 1994 25- 7094 -7 PA 102 Oct. 1994 25- 7094 -4 PA 102 Oct. 1994 Project No. 307025 PA 100 Oct. 1994 Test #MDC -76 25- 7183 -1 PA 102 Feb. 1995 25-7183-2 PA 102 Feb. 1995 25- 7214 -2 PA 102 M"4995 ...... 25-7214-6 PA 102 Mawk 1995 • .. • 00.0 • 0000.. 0000.. Celotex Corporation 528454 -2 -1 PA 101 Sep. 1998 Testing Services 520109 -2 D • 0000 �.14g8 0000. 000 • Walker Engineering, Inc. Calculations Aerodynamic Multiplier o . • : Marsh )429 0 000.. 0000 IBA Consultants, Inc. 2381 -249 TAS 112 091mol • • • • • • 0000 0000.. ft NON N'o.: 07 -$ttg p6 Expiration Dates 12/16112 Approval Date:12J06W Page 3 of 7 3. LINRTATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tale applications, a static field uplift test in accordance with RAS 106 may be required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix W. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30190 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Hanson `Hacienda' Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119, & 120. 4.2 Data For Attachment Calculations Table 1: Aerod amic Multipliers - Tile % ( f e) ( ) Profile Batten Application Direct hack Application Hacienda Tile 0.267 0.289 Table 2: oring Moments due to Gra ft -lbf Tile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ": 12" or Profile g reater Hanson Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Hacienda Deck Deck Deck I Deck Deck Tile 5.92 6.80 5.62 6.69T 6.55 5.56 6.39 5.41 6.22 •• • ...... ...... 000.06 • 4000•0 •••••� 00.0 • 44.4• •• • •0••4 • • ••440• • • • 404•• • • • • 0000 •40.0• • • • ♦ � • • • 0000 •0404• NOA Nd: 0749d.& • " Expiration Date:12f16li}12 Approval Date: l?J0 M Page 4 of 7 i Table 3: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) For Nall -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (Min 15132" (Min. 19/32" plywood) plywood) Hanson 2 -10d Ring Shank 27.8 37.4 28.8 Hacienda Nails Tile 1 -1 Od Smooth or 8.8 11.8 4.1 Screw Shank Nail 2 -10d Smooth or 16.4 21.9 7.1 Screw Shank Nails 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47 47.1 49.1 1 -10d Smooth or 24.3 24.3 24.2 Screw Shank Nail ( Field Cli 1 -10d Smooth or 19.0 19.0 22.1 Screw Shank Nail Save Cli 2 -10d Smooth or 35.5 35.5 34.8 Screw Shank Nails Field Cli 2 -10d Smooth or 31.9 31.9 32.2 Screw Shank Nails Eave CU 2 -10d Ring Shank 43.0 67.5 50.9 Nails' 1 Installation with a 4" file headlap and fasteners are located a min. of 2W from head of tile. Table 4: Attachment Resistance Expressed as a Moment Mf (ft lbt) For Two EaM Adhesive Set §ysterns Tile Tile Application Minimum Attachment Profile Resistance Hanson Hacienda Tife Adhesive 26.1 U . ...... ...... 2 See manufactures paMponent approval for installation requirements. • • 3 Flexible Products Cam • • • • •' parry Tifet3ond Average weight per patty 11.4 grams. see:** . Polyfoarn Product Inc. Ave a weight per paitty 8 grarns. • • •... NOA1ka: 07- 0gigffik • Expiration Date:12/lM Approval Date: 12/06/07 Pap 5of7 Table 4A: Attachment Resistance Expressed as a Moment - Mt (ft -ibf) For Single Pa Adhe sive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Hanson Hacle3nda Tllee Polyf Pol ProTm 86.61 Polyfoam Pol ProTm 45.5 4 Lame paddy placement of 54 rams of PolyPrOTM. 5 Medium p0dy pl acemnt of 24grams of FoIyProTm. Table 4B: Attachment Resistance Expressed as a Moment - M (ft -lbf) For Mortar Set Systems The Tile Attachment Profile Application Resistance Hanson Hacienda Tile Mortar Set 20.60 S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (Sex Detail Below), or following statement: "Miami -Dade County Product Control Approved ". H son HA NSON HACIENDA R OOF TYLE TILE IDENTIFICATION MARK (LOCATED ON UNDERSIDE OF TILE) 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 the Building Officigl or applicable building code in order to properly evaluate the installation of this system. . ...... •..... i 0000•• 004.09 • 440440 44.4•• • • • • 0046 •440•• • • 4.440 ♦444 • • • • •• • 0000• •44.4 � • • 4 •• • •4444• ••440 • • • 4 ••4• •44404 NOa ho.: O?; Og id.06 • Expiration Date: ITZdu Approval Date: 12106107 Page 6 of 7 PROFILE DRAWINGS HANSON HACIENDA CONCRETE ROOF TILE FASTENER HOLES OVERLOCK UNDERLOCK 1 END OF THIS ACCEPTANCE • 0000.. 0000.. .. 0000.. • 0000.. 0000.. 0000.• •s0.•• 0000 0000.• • • 0000. 0000 • • • 00: 00. , 0 • • 0000.• • 0 000.• • • • .•.• •0000. 0000 000000 NORM:o .;47- 09.14.06 0 • Expiration Date: 12Af► Approval Date: 12106/07 Pup 7 of 7 MI�DADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 NOTICE OF ACCEPTANCE (NOA) (305) 375 -2901 FAX (305) 375 -2908 P01yfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 i 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 distrAUsi6 , �.... and shall be available for inspection at the job site at the request of the Building Official. ; , • . 0 . • .. •..•.• ..f... This NOA renews NOA No.0 1 -0521.02 and consists of pages 1 through 7 gas*** ' . The submitted documentation was reviewed by J rge L. Acebo. • • • •' • ;. i" . .... 0 • • / w , ...... ..t.. J .... • 00 00 00 0 0 ...... .... . NOA N IS os. 0- 020X.02.. � 0 � � • •' Expiration Date: 05ilM.• Approval Date: 04/13/06 Page I of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does 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 tiles system using PolyproO AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description ro® AH 160 _Specifications Pol YP NIA TAS 101 Two component polyurethane foam adhesive Foarnpro® RTF1000 N/A Dispensing Equipment Pr o PackO 30 & 100 N/A Dispensin4 Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: hnm Test Results Density ASTM D 1622 1.6 lbs. /ft. Compressive Strength ASTM D 1621 18 PSI Parallel to, rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs. /Ft Moisture Vapor Transmission ASTM E 96 3.1 Perm/ Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40° F., 2 weeks • • +6.0% Volume Change @I 58F., 100 • • • • Humidity, 2 weeks • Closed Cell Cont o • • • • • •' • • • • ASTM D 2856 86% • Note: The physical properties listed above are presented as typical average values ag tldIvninei • • • • by accepted ASTM test methods and are subject to normal ma4ufacturing vary *don. ..:..� ! 00• 00. .. • '00. . • 0 0'000.. .. •• 0000.. • • • • 0000 60010 • 0 0 NOA NVi1Q0201.02 • Expiration Date: 05 /10/11• • • • Approval Date: 04/13/06 Page 2 of 7 i I j EVIDENCE SUBMITTED: Test A ency Test Identifier Test Name /Report Date Center for Applied Engineering #94 -060 TAS ;101 04/08/94 257818 -IPA TAS ,101 12/16/96 25- 7438 -3 SSTD 1 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 - 93 11/02/95 25-7492 SSTD 11 -93 12/12/95 Polymers Division Miles laboratories NB -589 -631 ASTM 1? 1623 02/01/94 Ramtech Laboratories, Inc. 9637 -92 ASTM 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[l] ASTM IE84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 1 14 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS l0l 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 1;01 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 t 520191 -1 TAS 1101 03/02/99 520109 -2 -1 LIMITATIONS: I. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. PolyproO AH160 shall solely be used with flat, low, & high tile proles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro(W A11160 roof the adhesive' i* g' .. ... their tile assemblies shall test in accordance with TAS 101. ' S. Roof Tile manufactures acquiring acceptance for the use of HANDI -TICK roof the 'a with • their tile assemblies shall test in accordance with TAS 101 with section 10.4 as mode' 4 •' fl�,herein. • , f , ...... ,g..• I' F' • W .... ; . . , ..... MS • • '....' t NOA%o,44- 0201.02 •••, ' Expiration Date: 05/10/11 • • • Approval Date: 04 /13 /06 Page 3 of 7 l INSTALLATION: I. PolyproO AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AR 160. 2. Polyprog AH160 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 Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in Oompliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Ind. Polypro D AR 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foamprog 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). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. PolyprolD AH160 shall be applied with Foampro RTF1000 or Proft�kg 30 & 100 dispensing equipment only. 7. PolyproV AR 160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set v�ithin 2 to 3 minutes after Polypro4D AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Macement Details' herein. Each generic tile profile requires the specific placer noted herein. Table 1: Adhesive Placement For Each Generic4ile Profile Tile Profile Placement Single Paddy Two Paddy Weight Detail Weight Min. per paddy Min. (grams) ams) Flat, Low, Hi Profiles #1 35 N/A High Profile (2 Piece #1 17 /side on cap and N/A Barrel) 34/ an Flat, Low, High Profiles #2 24 N/A Flat, Low, Hi Profiles #3 8 LABELING: ti All Polypro® AH160 containers shall comply with the Standard Conditions listed hfreili. •' BUILDING PERMIT REQUIREMENTS: • • •: • • • • • • ' ffff ffffff • ' • A trll � f S Bui Official or applicable building code in order to properly evall atethe „f ...ff 00 00 ffff • NOA:No! 00- 0201A2 • • • • • f Expiration Date: 05/10U • • • Approval Date: 04/13/06 Page 4 of 7 i 4 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1 Uaough pMafrc cement Paddy (Beneath TOe) NaU through plastic cement Undariin'meat Paddyf8eneath Tfle) •� Undetfayment 1 ° 10 tit. ° 101n. Ease cue 21n > Fascia Eavecotese Fascia Eave cowse Ortir. Ewe course 0 *. Weepho� Eavei�aure approx Keepadheshe F dosme 4hr upfromxeepholes 4 uphmweepholes P Na through piasgc cement Paddy tBeneaOt TAe) 1) Place eft adhesive In acmeve IT �O23 OPt�al2x4s for Umted"meot square Mches in cm tactvdth the pan 1119 pitc-h op*oWns Nd ft* *Cc ce=nt 4 Turn wears upside down. Pke adhesive M In. To 1 in. From oulshle edge of cover dl@. Theo Imidtr to toe. 10 ht U46r6airmw 2 hw o r � o Eeveclasure True worse onty: P apprar 4iwwt Fascia offteave Come Cover me. AMdtoseand course of Pan thee. Ensure nave aril of Optional Pan and wvarwon ere point ap Yoder flush m eve one, on Eaveehrsure Weephote Fascia' (MOW shown) .rr•.• i. r,.•• . � i •sir.• I ir.rr. ..air.• I • • r r.rri � ri • .r�r• • • •rr.•• t.re.• • I rrir ��r+ ° •. NOA: Nor 0�6- 0201.02 .. • Expiration ° }ate: 05/10719.. • Approval Date: 04113/06 Page 5 of 7 1 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic cement Paddy (beneath Tile) Nall through plastic cemen Underlaymew Paddy (beneath Tde) �;:.. Underlayment 1 0 Tin ' 7 in. Ew Cowse Y O Y Fascia F asda Waepho(e Face Canna Eave closure Fare Cbsuta Dfip Wile Nall through plastic cement r Paddy (Beneat i Tile) U�t e T In In. a F Eare Eaw" Ceerse Fascia f • • _ NOIL Non,06 -02010 � � ; `r •'; ExpiratiolMade: 05/11/1:. • • Approval Date: OVUM Page 6 of 7 4 ADHESIVE PLACEMENT DET 3 DOUBLE PATTY Nail through plastic cement paddy Nail through plastic cement Single paddy under tile (between tile) Single paddy between tile Undartaymerd g pa y Paddy 21n. x 7 in. medium °. (under tile) size paddy save { 4 ' + ! ' course only in. u dery �In.x 3In. x3hr. ` 4in J ,� Single paddy on 21n. 4 in. Single 2 I" under- ° paddy on M under - e wJ„roM 7 wl„ro Single paddy Fascia Ease course on top of the Weephob o�gopf pad s In. X 7 m• medium Eca Eave closure Faso courseeoonly Drip edge t t Nail through plastic cement S419 paddy under the Singi paddy be n the 3 In. x 3 In. 4in. 1 Single paddy on underlayment 2 n` 0 Single paddy Ea Closure i on top of tie 1 2 in. x 7 in C course Fascia ave ' eave' END OF THIS ACCEPTANCE • "••• : : : : :. . .... ...... NOA 020T.02 �... : Expir n bate: 0Z /] j M Approval Date: 04?M% Page 7 of 7 b y ' o ....Y• •....• •.... COFY V ol • • • ••*• ;�i'ami Shores Villaos BY DATE • • ' ' 70NING DEPT SUDJECT TO COMPLIANCE WITH ALL FEDER,4L STnT A�.;n COUNT! RULES Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 129808 Permit Number: RF -11 -09 -1925 Scheduled Inspection Date: January 19, 2010 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: SALVATORE, JANICE Work Classification: Tile Job Address: 9546 NW 1 Avenue Miami Shores, FL Phone Number Parcel Number 113101024024 Project: <NONE> Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Phone: 305- 757 -2612 Building Department Comments Inspector Comments Passed L � Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 15, 2010 For Inspections please call: (305)762 -4949 Page 9 of 23 FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 E'I.OWDA IN7iHCt"NATIONAL F1* t 6tit 3� NG 1A8 Miami Dade Lab Cerli, wadon # 07- 0612.11 - State of Florida CA # 27273 SITE S PECIFIC EyFORMATION N2 1554 Job Address: ��� Owner's ame : ®jer X�z Contractor: _e Permit # �' t '' Install Date: —e- Type of Tile: ®� L _ '� e Approx. Height l ® Floor: Type of Access: Scaffolds: Ladder: Slope: U1 Test date: App. Sq.Ft: Req. Force: 3535 lbs• Testing Equipment: F.G.E. 100X,ShiMo Instrument ------------------------------------------------------------------------------------------------------- TEST RESULTS P _ PASS, F = FAIL Test T U� 7C,. UPUPt tP Ira 'T ftl . L c T tP F .. Teit (P or TesLCpor F} T (P .., S„ 1 21 41 61 81 2 22 42 62 82 3 23 43 63 83 4 24 44 64 84 5 25 45 65 85 6, 26 46 66 86 7 27 47 67 87 8 28 48 68 88 9 29 49 69 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 1 93 14 34 54 74 94 15 35 55 75 95 16 36 56 76 96 17 37 57 77 97 18 38 58 78 98 r2O 9 39 59 79 99 40 60 80 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. R y P b By: Vinayagar M. Balalrishnan V, P.E. State of Florida Lie # 63107