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RF-10-899Inspection Number: INSP - 144013 Permit Number: RF -5 -10 -899 Scheduled Inspection Date: June 25, 2010 Inspector: Bruhn, Norman Owner: NUNEZ, EDUARDO Job Address: 10361 NE 4 Avenue Project: <NONE> June 24, 2010 Miami Shores, FL Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Passed el: Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ec_ For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1122310150120 Phone: 786- 277 -9540 Page 7 of 12 Job Address: Contractor: Type of Tile: Type of Access: App. Sq.Ft: • - J u FLORIDA INTERNATIONAL ENGINEERING & TESTING LAB Itetalr*INWVAIION•INTEGRATION SITE SPECIFIC INFORMATION N2 1899 /0 3o A JE 4 4^• o , / re4 '9 �Ownees am e .4;6 £' *A7 },c.h t, 7QL7 Fi &J FL ' Permit # " Pig Install Date: -21 ® 104, IUOA'`i9e l ° 1 T Approx. Height / Floor: f Scaffolds: Ladder: Slope: 412 Test date: ' 24 2a Req. Force: 35 lbs. Testing Equipment: F.G.E. 100X.Shimpo Instrument 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PAAE1' 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Respecfhdly Sub Vinayagar M. Balaluishnan V, P State of Florida Lic # 63107 FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 Miami Dade Lab Certification # 07 -0612.11 - State of Florida CA # 27273 TEST RESULTS P= PASS,F =FAIL Job Address: /t73 / /t/'• 4 vec `�/ ' Alm till = &fi FC o Contractor: 2ppt i.J4 (, T5) Other: Sketch of Roof ■ ■ ■ ■® ■ ■ ■■i®■ ■ ■ ■ ■iiiiiiiiiiiiiii ■iii■ ■ ■■■ ■ ■ii ■iii■ ■i ■i■ uii■■i■ ii■iii.iiiii■ ■■■ ■>■■■■i■■ i iiiiii■iiiii• ■ii ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■■■ ■ ■ ■i■ ■■■■ ■ ■ ■ ■■E■ .■ i ■i ■ii ■ii ■ ■i■■■ ■■■■■ ■ ■ ■■ ■ ■iiiii ®iiiiiiiiiii ■iiiiiiii■■■■ua ■■•i■iiii■■■ i■iuu■ii ■i■EM■iii ■iiiia■ ■■ ■ ■ ■ ■ii ■ii®■ iii i■ ii`■ IMii ■iii'iiiii■ii■■ ■■ ■■ ■ ■ ■ ■ ■ ■■ ■ii ■i ■■ii ■1111■■■■■ ■■111.1 ■ ■ ■ ■■■■ ■i■■i■iiiliiilRWREER!i 1111 i ? i 1E■N■E■ smornimaisammuiatutimmamialirmamm ■■■■■■■■■ iii ■i ■1[s 3747® /i®iiii' l li /iii ■■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ii ■' 1111■ il■ liiil�i 'i% %'ii�i'ii��lti ■ ■ ■ ■ ■ ■ ■■ ■■ ■ ■■■E ■iili■iii'11i.\/ ISMINiiiE■Ti11iE■■E ■■ ■ ■■■■■i1'i■1i■ ■1iC L`' UZIA■ ERAMMi■Mi■■E ■■ MINE ■■■1 ■ilii11E ■i1111WR®L MEr! ` IEMEi■i ■ ■■ ■■■ ■■■ ■E ■Ei!3 ■' ■i,i' ■1'�,'ri' i` ■i ■ ■' ■ ■■ ■■E■ ■■■■■■■■iiivu!iIIII firli11V11■ 1l1 ■i■E ■■ ■■ ■ ■ ■ ■ ■ ■■ii■■■■ii■I'v MI E■iiiw: ziui iili ■ ■ ■■ ■■■ ■ ■ ■Eiiiii11i1111ili`lIMIR l ■■iii ■■■MINE■ ■ ■■■■■■■ii■ii■■ ®oim[fn■i■iiwF ■■■■■■■■■ •••■■ ■NE■ ■i ■ ■■■■ term■Miii■i■IMM■■■NN■■■■■ IMNIIIMMEil WEIMINIIIIMUSVVMRIMIIIMM ■■■■■■i■i ■■■11i■►l 111 11 11 L EM MEN! ■ ■ ■ ■ ■■■ ■ ■ ■ ■ ■ ■■i ■■i■ E11■`■ii ENNEEN■■■ ■ ■ ■■ ■MI ■ ■■■E■liiiiiiiIENI il■ ■a■MERERIE■EN -------- ■i■i'■ i11 I]1 - -(. iiili11E■ ■■ 111••••••■■■ ■ ■Ei■ ■iEE■Ii■■■i1Ei■■E■E■■■•■■■ ■ ■ ■ ■ ■ ■i ■■■ ■MINE ■ ■ ■ ■ ■I ■ ■■■■i ■i■UEE■■ ■E■ ■ ■■ ■ ■ ■i ■1111■iEii■iiliii1111 i■iiiiiiii ■■ ■ ■■ 1111•11111111111111111•11111111111111111111111111111111111111111111111111111 ■■■■ i■i■ ii■ i iiiiiiiii�i'iiii ■ ■' ■■ii ■ii• ■ ■E■ ■ ■i ■ ■ ■ ■E■ ■iii■ ■ ■ ■ ■ ■ ■ ■■iii■i■iiiii■■■ ■ ■■■ ■ i■■■■ iii Elil ii■iE1■■iililii ■i■1iiEE■■ •11 ■•■•■ i■■ i ■i ■iiuua ■■ ■iiiiiiiiii■iiiii■■ ■■ ■ii iiii iiiii i■ ii ii■uii'ii�iii' ■i■ ■ ■i■ ■■■E■ ■■iiE 1■■■ iii i■■i■ii■'■iii ■iii'■'ii ■■i■■■■■■ Notes ?cLkk\K Signature RE: Permit# RF -10— �� 1 License #: Ob g5 0000 9 10,4 awas-ck Wei4Oti VtIfte4 ti 'ed, Vey 10050 NE 2 Ave Miami Shores, Fl 33138 Phone 305 - 795 -2204; Fax 305 - 756 -8972 www.miamishoresvillage.com INSPECTION AFFIDAVIT DATE: b/4=114 ] 10 , licensed as a (n) Contractor / Engineer / Architect, (Print name and circle License Type) FS 468 Building Inspector On or about 618110 moo k °M ,1 did personally inspect the roof deck nailing and /or (Date & time) �� V� secondary water barrier work at 103 b 1 NE (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large day of rv'r ° iic ^� ***** o °� t, ��:�• � moo. *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection Protect Address 10361 NE 4 Avenue Miami Shores, FL 1122310150120 Block: Lot: EDUARDO NUNEZ Owner Information EDUARDO NUNEZ Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $9.00 $3.00 $300.00 $12.00 $12.00 $336.00 Address Contractor(s) Phone Cell Phone KAWALEK ROOFING & PAINTING, INC 786- 277 -9540 (305)754 -0191 Type of Work: Re Roof Additional Info: COLOR THRU TILE Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 28, 2010 Parcel Number 10361 NE 4 AVE MIAMI SHORE FL 33138 -2011 Phone Amt Paid Amt Due Pay Date Pay Type Invoice # RF -5 -10 -37947 05/28/2010 Check #: 7629 $ 336.00 $ 0.00 Expiration: 11123/2010 Applicant May 28, 2010 Date Cell Valuation: Total Sq Feet: $ 14,200.00 2650 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Renailing Affidavit Cap Sheet 1 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property_ street/address: �ta l shores iL 3313Z 2. Description of improvement: ne7r0OT 3. Owner(s) name and address: 4 UAr O Iv L&.4 Pik. 103 6) 1-tth Ave. M iam i Shores 1 33 13 5 Interest in property: OVIne ` Name and address of fee simple titleholder: 4. Contractor's name and address: 4 Ai) \ k1a 1O e et 01 Box 53 105 I MI oom i, a 33153 5. Surety: (Payment bond required by owner from contractor, if STAJE of RT!F DA, COUNTY OF tl46E EBY CERTIFY that this is a tr y of the ric Name and address: original :led in this office an day n0 , A 0 200 W!TNES my hand and Official Seal. 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 and. address: 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. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owner's Name ED 46-,The) A14 E T Sworn to and subVittli e me this / 7 day of /4/ C..,to �*,SIOIVa.2 Notary Public a t,2° ': % Print Notarys4lame ••• _ 4 7 X ( My commissi�>,}�p►. • • cam°` 113_01 =38 8104 PAGE S /��, 103bl lvE r r Ave 20 b. Prepared by POLO , <Ul•1.n/4‘ �� 1 I lI111II1II ONNININ11I1ff1 CFN 2O10Ro36o33:, OR Bk 27301 Ps 0989; C1os) RECORDED 05/28/2010 12:52:56 HARVEY RUVIH, CLERK. OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE F A . CORD ,,, CERTIFICATE OF LUAISILITY INSURANCE 1 _ o_n3/10 PROOUCiJt Atrium General Insurance 1 TFAS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6191 Washington Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Hollywood, FL 33023 ALTER THE of APPORD0D .MY THE Inal B UEW L (> 14)888.2333 INSURERS AFFORDING COVERAGE _ 1 HYAIC P INSURED IURiN6 ERA: Preferred COntradors Insurance CO j Paul Kawaiek Roofing Co fi iN _ ; 17443 SW 4781 Ct INSURER C: Miramar, FL 33029- 1 INSURER D: &SURER F: _ THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO me INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDMON 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AMYL I . POLICY ErilaCTIPE POLICY EXPIRATIM U E TYPE OF INSURANCE POLCY NUMBER DATE DATE EACH OCCURRENCE _ 10000 GENERAL LIABILITY 1 ►7 r • - e. ` • 50000 f $ Ea? o canenoe) - F 10/28/09 10/28/10 LIM EXP (A Y one ) OCCUR II—, 1 CLAIMS 1 !BADE I PERSONAL & ADV INJURY 1000000 GENERAL AGGREGATE 1000000 PRODUCTS - COMPIQP AGO 1000000 DEDUCTIBLE 50(X) COMBINED SINGLE UNIT BODILY INJURY r few I) BODILY INJURY J L GEN%AGGREGATE UNIT APPLES PER: J POUCT 0 PROJECT `i LOG - AUTOMOBILE mature I Ci ANY AUTO I J ALL OWNED AUTOS B I SCHEDULED AUTOS Li HIRED AUTOS C NON OWNED AUTOS D I CERTIFICATE HOLDER 1 I I MIAMI SHORES VILLAGE 10050 NE 2ND AVE I MIAMISHORES, FL 33136 i AcORD 2S (200116) tPer acddent) i PROPERTY DAMAGE (Par =Went) _ AUTO ONLY - PA ACCIDENT OTHER THAN EA ACC 1 AUTO ONLY: AGO T��_ EACH OCCURRENCE AGGREGATE GARAGE UMW( C 0 fr i I r ANYAUTO � I EXCESS LIABILITY 10 OCCUR ❑ CLAIMS MADE o El I I D DEDUCTIBLE 1 I ] RETENTION -- wotati6 cQMp NSAw,lAt N Al ---- EMPLOYERW LIABILITY E ANY PROPRIETOR / PARTNER E.L EACH ACCIDENT 1 EXECUTNE OFFICER 1 MEMBER EXCLUDED? I .E.L DISEASE - EA EMPLOYEE ryes. dew under I E.L DISEASE - POLICY MT —I F srEcAI. RQVISTONSEaIow .s— _ - —•-- F OTHER -� 1 DESt tIPTION OF OPERATIONS l LOCATIONS f VEHICLES J EXCLUSIONS ADDED BY ENDS I SPECIAL PROVISIONS ROOFING AND PAINTING IT; 0 FR -- CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T E E)CVIRATION DATE TNERIrOF, THE I9901Na INSURER WILL ENDEAVOR TO MAtL 10 DAYS WRITTEN. NOTICE TO ,' GATE MOLDER NAMED TO THE LET, PAIWRE TO Do IMPOEI NO ODUI A'TION OR UAEIUTY OF ANY i U ITS AOEN49 OR REPRESENTATNES. EFFECTIVE DATE: PERSON: FEIN: BUSINESS NAME : AND ADDRESS: PAUL R KAWALEK ROOFING & PAINTING INC DBA PAUL KAWALEK ROOFING CO 17443 SW 47TH CT HOLLYWOOD FL 33029 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 11/29/2009 EXPIRATION DATE: 11/29/2011 KAWALEK PAUL 800070495 SCOPES OF BUSINESS OR TRADE: 1- RESIDENTIAL CONSTRUCTION 2- REGISTERED ROOFING CONTRACTOR CUT HERE 02 -01 -2010 ALEX SINK STATE OF FLORIDA CHIEF FINANCIALOFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' CQMPENSATION. LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an off icer of a corporation who elects exemption from this chapter by tiling a certificate of election under this section may not recover beast its or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to he exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt: Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the (fling of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shalt revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES . DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 11/29/2009 PERSON: PAUL KAWALEK FEIN: 800070495 BUSINESS NAME AND ADDRESS: PAUL R KAWALEK ROOFING & PAINTING INC DBA PAUL KAWALEK ROOFING CO 17443 SW 47T14 CT HOLLYWOOD, FL 33029 EXPIRATION DATE: 11/29/2011 SCOPE OF BUSINESS OR TRADE 1- RESIDENTIAL CONSTRUCTION 2- REGISTERED ROOFING CONTRACTOR IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant. to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no Longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 * Carry bottom portion on the job, keep upper portion for your records. tM BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Value of Work For this Permit $ I'i Ja Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) t 0 3 b 1 N5 5 �� Ave, City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # GRAY 1 9 210 Permit No. ' . 1 0 ' Master Permit No. Owner's Name (Fee Simple Titleholder) al Ular do 1 V Ux\ez. Phone # 305 5 b © 1 - A 0 $D Owner's p ss lO3 b I W Cit y I' Ir % State I'L Zip 33138 8 Tenant/Lessee Name Phone # Is Building Historically Designated YES NO J Contractor's Company Name VekkkgkleY 1kOD % POj Phone # 3v5 954 Contract�or'sAddress Vt01 fox 53151 City IV\iNMI State 0-- zip 331 Qualifier Name P 1 1&W0,\€ Phone # State Certificate or Registration No. Certificate of Competency No. ! 0 b 8 S 0000 17 Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: 0 11750 Type of Work: ['Addition ['Alteration ❑New [ Repair/Re i lace ❑ Demolition Describe Work: rep10 o ¥ new Monier co 1or & h 'Concre -e- re t 4-i 1e s \)s ere, � v» d. renovI m rr +1\e, €4.15 11 + roo ;4& ***** *** * * * *** *** * * * ******** * * * ** x***** F ees **** x****** * * ****** * * ** * *** * *** ****** * *** Submittal Fee $ Permit Fee $; a CIc! CCF $ CO /CC Notary $ Training/Education Fee $ 3'iO Technology Fee $ )a CO Scanning $ 1 aiDO Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ "�'�7�;;7�yy Structural Review. $ Total Fee Now Due $ Mgr) See Reverse side - * Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 9 0»' Contractor The foregoing instrument was acknowledged before me this 1 day ofr £ k 1 ,20 who is personally known to me or who has produced w is personally known to_tae or who has produced j2 e 044R- l oCet eAs identification and w 0 �yoath. as identification and who did take an oath. ®• \``3 31% S / "4 APPLICATION APPROVED BY: (Revised 07/10/07) Signature Owner or Agent The foregoing instrument was acknowledged before me this day of 7 PI, 20 /C, by �" L7 �t U UMb W IC, NOG NOTARY PUBLIC: ` `� ` : "issioNA FF :2* : o. ; * I r Sign: "�sy d` ..� Sign: — - _ - ��.. Print: �` o itCC'X (CC. V 4 :00.e• ;� � Print: s •: 1� �`n My Commission Expires: ' ��i /o f Higi 4 � , \ ���� My Commission Expires: ti Sal ~ **************************************.****************** * * * * * * * * * * *. * * * ** *** ** * * *** * * ** v**Mais ***** , oeecnulowee e NOTARY PUBLIC: ` ott91111I ►/l Plans Examiner Engineer Zoning ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami -Dade County Building Department 11805 Coral Way, Suite 111 Miami, FL 33175 Re: Owner's Name Property Address Roofing Permit Number Dear Building Official: I w ille.eQEz- OWNER'S AFFIDAVIT OF EXEMPTION connections of my building because: IY( 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). Signature of Property Print Name er N it.JE STATE OF FLORIDA COUN A(0j0111, II DADE Sworn to and subscribed be Fiis.. A /�'if ..•• M�4''•. day of '# ;� y Z : � o �� ssro 0 , 14j 4 ` s :/ a : S. (SEAL): Si*! •'. N : *= A #DD 736711 : Q.? o. A X Personally known �� •. ��\ or Produced Identification 1 1 0 11111 H���� certify that I am not required to retrofit the roof to wall 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. CADommaffi ®d 3ettmgshtoltMy Documents \ StatistfasGraphs 21Roofmg Affidavit Compliance-9 2607Fillabladoc Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 312 Floors: 1 Living Units: 1 AdJ Sq Footage: 2,728 Lot Size: 8,250 SQ FT Year Butt 1953 Legal Description: 31 52 42 MIRROR LAKE SUB PB 58-15 LOT 12 LOT SIZE 75.000 X 110 OR 17217 -0205 0598 2 (2) OR 17217 -0205 059802 Folio No.: 11 - 2231 - 015 - 0120 Property: 10381 NE 4 AVE Mailing Address: EDUARDO NUNEZ 10381 NE 4 AVE MIAMI SHORES FL 33138 -2011 Sate Date: 5/1998 Sate Amount $125,000 Sate O/R; 17217 Sales Qualification Description: Deeds which include more than one pares View Additional Sales Year 2009 2008 Land Value: $140,374 8193,784 Building Value: 8251,858 $255,013 Market Value: $392,032 $448,797 Assessed Value: $150,080 $149,931 ear. 2009 2008 H omestead: $25,000 525,000 2nd Homestead: YES YES Property Information Report • My Home Property Information Report Summary Details: Property Information: Assessment Information: Exemption Information: Year Taxing Authority: Regional: County: City: School Board: 2009 Apples Exemption/ Taxable Value: $50,000/$100,080 $50,0001$100,080 $50,0001$100,080 $25,0001$125,080 2008 Applied Exemption/ Taxable Value: 550,000499,931 $50,000499,931 550,0001$99,931 $25,000I$124,931 (Close window', Taxable Value Information: Sale Information: [Click here to Printl This report was created on 5/18/2010 10:25:10 AM for reference purposes only. Web Site 02002 Miami -Dade County. All rights reserved. Page 1 of 1 IAMI.DADE ! http: / /gisims2.miamidade.gov /myhome /proptext_ print .asp?folio= 1122310150120&cmd= 5/16/2010 • • • ••• • • •• • • • •• • • • APPRC' « � v r�- 1,0`0q,g ROOF ASSEMBLIES AND ROOFTOP STRUCTURE Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of/ parapets. 15.32 • • • • � • • • • •• • • "v1HIJANCE WITH ALL FEDERALSec ion A (General Information) ES AND REGULATIONS ❑ Low Slope ❑ Asphaltic Shingles DAIS= Master Permit No. 1 Process No. Contractor's Name VcLW0‘ I � 1 o hg Job Address 1 & / 1 ' ' 1 h J Ve, Low Slope Roof Area (SF) 0 Florida Building Code Edition 2004 i ttEity Hurricane Zone Uniform Permit Application Form. ROOF CATEaQBY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes fla .J 2016 ❑Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof 'Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION 50 Steep Sloped Roof Area (SF) .2,6 5 Total (SF) J.175 f"LORIDA BUILDING CODE -- BUILDING 1 lir . • • r'' -. MEM • ,R1lr r •• •• 1 I: • girl • • • • • • • • • • • • • • ••• • • •• • • • •• • • • APPRC' « � v r�- 1,0`0q,g ROOF ASSEMBLIES AND ROOFTOP STRUCTURE Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of/ parapets. 15.32 • • • • � • • • • •• • • "v1HIJANCE WITH ALL FEDERALSec ion A (General Information) ES AND REGULATIONS ❑ Low Slope ❑ Asphaltic Shingles DAIS= Master Permit No. 1 Process No. Contractor's Name VcLW0‘ I � 1 o hg Job Address 1 & / 1 ' ' 1 h J Ve, Low Slope Roof Area (SF) 0 Florida Building Code Edition 2004 i ttEity Hurricane Zone Uniform Permit Application Form. ROOF CATEaQBY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes fla .J 2016 ❑Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof 'Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION 50 Steep Sloped Roof Area (SF) .2,6 5 Total (SF) J.175 f"LORIDA BUILDING CODE -- BUILDING 1. Fire Directory Listing Page Attachments Required See List Below Low Slope Application 2. From Product Approval: Front Page Specific System Description • • • • Specific System Limitations • • General Limitations • Applicable Detail Drawings •• •• • • • • • ■ 3. Design Calculations per Chapter 16, or If Applicable, RAS 1a ? erfflAS 128 •••• A,B,D 4. • Other Component of Product Approval A,B,D,E • 5. Municipal Permit Application • •. • • 6. Owners Notification for Roofing Considerations (Reroofing Only) Other As Applicable 7. Any Required Roof Testing /Calculation Documentation Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 HIGH- VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: •. •. •••• • • •• • • • • •• • • • • ••• •••• • .. • • • • • • •• • . • FLORIDA BUILDING CODE — BUILDING 15.31 Roof System Manufacturer: r Y ®� Notice of Acceptance Number: nn . t 0, II Oil Minimum Design Wind Pressures; If Applicable (From RAS 127 or Calculations): : P1: I' P2: . 100.17 P3: 1001b Maximum Design Pressure (From theggd�ct Approval Specific System): e • •• • • • • • • • • • ROOF ASSEMBLIES AND ROOFTOP STRUCTURES • • • • • • • • • •• • 15.34 Ridge yr ation? • • ••.•-. • . • •• • • • • • • •• • • • • •• • • • • • • • • • • • • • • • Mean Roof Height: la •••• • • • • • •• • • • • • Florida Building Code Edition 2004 High- Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Steep Sloped Roof System Description \ Deck Type: \) t7 V io►Y+ wood, Type Underlayment: Insulation: Fire Barrier: 430 �t-� NIP' Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: /L4 Nal IS i on � a c P 04,-T W Itelosixte Drip 13A3 sale Type & Size Dr Edge: FLORIDA BUILDING CODE — BUILDING Section C (Low Slope Application} Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA ") System Manufacturer: Product Approval No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: Max. Design Pressure, from the specific Product Approval system: Deck: Type: Gauge/Thickness: Slope: Anchor /Base Sheet & No. of Ply(s): Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener /Bonding Material: Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener /Bonding Material: Top Ply: Top Ply Fastener /Bonding Material: FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2004 High- Velocity Hurricane Zone Uniform Permit Application Form. Field ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment: Field: " oc @ Lap, # Rows @ " oc Perimeter: " oc @ Lap, # Rows _ © " oc Corner: " oc @ Lap, # Rows @ " oc Number of Fasteners Per Insulatioh Board: Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit .• • • • • • • .. •• • • • FT. LFT. • ...• • _- ••.• • • • • Mean •• ••• • Roof • • • Height • . I . • • • • •• • • • • •• •f •.i•• • • • Parapet Height • • • • • 15.33 •• • • • • • • • • • • • •• • • • • • • • • • • FLORIDA BUILDING CODE - BUILDING Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mc) From Table Below Product Approval Mf M required Moment Resistance* ROOF ASSEMBLIES AND ROOFTOP STRUCTURES For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mr. If the M values are greater than or equal to the M values, for each area of the roof. then the tile attachment method is acceptable. 1 ,a�7 1 QQ M M ethod 1 "Moment Based Tile Calculations Per RAS 127" �•� (P1: 4916.10c1. 13t{{' 1 }5Mg: 5t'Qn1-1= M I4 ' J Product Approval Mr 4J 5 ( P 2 : L® ®I b x ?..asq tt09 Mg: 51 q�] =1vf s3i l P roduct Approval M 4 5 0 (P3 : 01 b x » iq 1q1 � - g M � .Si 1- M a3s 1® Product Approval Mf y ga 5 1 - rJ Mean Roof Height Roof Slope ,I, 2:12 3:12 4:12 5:12 6:12 7:12 15' 34.4 32.2 30.4 28.4 26.4 24.4 20' 36.5 34.4 32.2 30.1 - 28.0 25.9 25' 38.2 36.0 33.8 31.6 29.4 • 27.1 30' 39.7 37.4 35.1 32.8 30.5 28.2 40' 42.2 39.8 37.3 '34.9 32.4' 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F with the values for Fr. if the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P x L =. xw: =-,- W: x cos B = F Product Approval F W. x cos 0 = F Product Approval F (P3:' x = xw: = -_)- W: • x cos B = Fr3 Product Approval F Where to Obtain Information Description • Design Pressure Mean Roof Height •• • •• • • %oof Slope • • • • • : Aerodytlamic Multiplier • • • RestoritgAipiat due to • • • • • •Gravity • • • • • Atiac!iRadn? Rel istance • •••• • fteZuired hero ijliee'istance • • • Mi niTmttai • • • •1?el'istance • •• • • • RequiredtJQ ft Resistance • • Average Tile Weight Tile Dimensions Symbol . P1 or P2 or P3 H B 1 M m M Fr \ \r L= length W = width All calculations must be submitted to the building 01li60 at the time of permit application. Where to find RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 lob Site Job Site Product Approval Product Approval Product Approval Calculated Product Approval Calculated Product Approval Product Approval 15.35 MIAMI.DADE COUNTY 25 elivaaie EpceI ca Even) Tig 1524.1 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 adjacent box indicates that the item 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) issues 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. Renailing Wood Decks: When replacing roofing, he existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). at 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed 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 Florida Building Code provides the option of maintaining this appearance. 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 per- formance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ..•• • • • S erflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded • from a build up water. 'Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (Gall odtlits) Ire not provided. It may be necessary to install overflow scuppers in accordance with the • • Florida iplumbin • • • • • /1.�.•• • SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNER'S NOTIFICATION FOR ROOFING CONSIDERATION • • Z Ventilation : Most roof structures should have some ability to vent natural airflow through the interior of • • the sfracTurel assemIIly (the building itself). The existing amount of attic ventilation should not be reduced. It may • • be beneficial to cbhrefer additional venting which can result in extending the service life of the roof. • • • • • • 123_01 -154 1/07 Owner's /Agent's Signature Date . ,1V Property Address d,.{ (4m ; �'� Permit Number 33'3r Contractor's Signature • .' MIA IDE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 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 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. 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. DESCRIPTION: Vanguard Roll Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with anyssction of this NOA shall be cause for termination and removal of NOA. •ADVEWFISEMMT: 71re NOA number preceded by the words Miami -Dade County, Florida, and followed by • the expiration date'inay be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in ids entihty • INSPEOZION: A'oop of this entire NOA shall be provided to the user by the manufacturer or its distributors • ▪ and shelf beavaildlfl8'Ibt inspection at the job site at the request of the Building Official. • •••• • • • • This NOA &nsistsbreages 1 through 7. • "The submitted doc ngtation was reviewed by Alex Tigers. • • • • •• • . •• • • • •.•• • • • • .•. • MIAMI DADE COUNTY, FLORIDA METRO-DADE FLACiLRR BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2903 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Pane 1 of 7 • • • . • • • • ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Low Profile Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Monier Lifetile Vanguard Roll Concrete Roof Tile, as manufactured Monier Lifetile LLC in Pompano Beach, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does 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 lican Dimensions Monier Lifetile LLC 1= 16 -1/2" Vanguard Roll Tile w =13" W' thick Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies ••• • Adana Teclpmiblies . • • The•Center for .kppcied E3erfin1, The Center for Applied • Einesring, .1'i RgdTggd Techpptggio •• • • •. .. • • • • . • • •• 1= varies w = varies varying thickness Test Identifier 7161 -03 Appendix III 7161 -03 Appendix 11 PO402 94-060B 94-084 P0631 -01 Test Sneciflcations TAS 112 TAS 112 Product tion Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test NamefRermrt Date Static Uplift Testing Dec. 1991 PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail -On) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Wind Tunnel Testing PA 108 (Mortar Set) Dec. 1991 Sept. 1993 March, 1994 May 1994 July 1994 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 2of7 Test Aaencv Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineering ••. • • • •••• • • • • • •• •• • • • .. • • • • • • •• • • • ••• • ••• • • • •••• • .. • • • • • •. • •• . • • •.•• • • •••• • • •• • • • • • Test Identit'ier Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -760 25- 7183 -1 25- 7183 -2 25 -7214-2 25- 7214 -6 528454 -2 -1 520109 -2 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations TAS -112 Test Name/Report Wind Tunnel Testing PA 108 (Nail-On) Wind Driven Rain PA 100 Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik-Drive Screw, Direct Deck) (1 Quik-Drive Screw, Battens) Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25-78484 Aerodynamic Multipliers Two Patty Adhesive Set System 13343.1 Aug. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1998 Dec. 1998 August 2007 March 1995 February 1996 April 1996 December 1996 October 2007 April 1999 June 2007 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Pane 3 of 7 Table 3: Restoring Moments due to Gravity - M (ft -Ibt) Tile Proflldr 2 " :12" " . 3 ":12" 4 ":12" 5" :12" 6 ":12" r:12" or greater Monier ` Lifetile \anguard oII Tle - - 'Battens,'Dir ct Degk Battens Direct Deck Battens Direct Deck Battens _ Dint Deck Battens Direct Deck Battens Direct Deck 5.30 :, -. :6.03 • .. 5.24 5.97 5.16 5.87 5.05 5.75 4.92 5.60 4.78 5.44 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Vanguard Roll Tile 9.2 1.38 1.08 Table 2: Aerodynamic Multipliers - X. (ft$ Tile Profile X, (fts) Batten Application a. (ft) Direct Deck Application Monier Lifetile Vanguard Roll Tile 0.266 0.289 • ••• • ... • • •. • •• • • • • • • 3. LIMITATIONS 4. INSTALLATION 4.1 Monier Lifetile Vanguard Roll Concrete Roof Tile 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 • .. .. • • • • • • •• • • • • • ••• • • • ••. • •••• • • • . •••• 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 33 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. • •••• • • •••• • NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 4of7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for NaII -On Systems Tile Profile Fastener Type Direct Deck (min 16132" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Vanguard Roll Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 _ 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1-10d Smooth or Screw Shank Nail (Field Clip) 24.3 • 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails Eave Cli 31.9 31.9 32.2 • • • • • 1 Tile Profile Monier Llfetite Vanguard Roll Tile See manufactures com ' . vent 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. • • .... • f1�1"on�errLifetilp Vlanguard Rolf Tile 3. • •t d ole pad. dy ^ 54gra of Poly Pro 4 • Vellum paddy lifficernent 0124grams of PolyPro • •••• • • • • • • •••• • • • • .• • • • • • ••.. • •- • • • • •••. • • •••• Table 6: Attachment Resistance Expressed as a Moment Mt (ft -Ibf) for Two Patty Adhesive Set Systems Tile Application Tile .. Pro re • Adhesive' royal for installation = uirements. Table 7: Attachment Resistance Expressed as a Moment - Mf (ft -Ibt) for Single Patty Adhesive Set Systems Tile Application Polyfoam PalyProTm Po . - m Po Prom' TPA Minimum Attachment Resistance 261 Minimum Attachment Resistance 86.61 45.5 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 PROP R Table 8: Attachment Resistance Expressed as a Moment - M,(ft -Ibf) for Mortar Set Systems Tile Tile Profile A • Iication Vanguard Roll Tile Mortar Set Monier Lifetile Van g Attachment Resistance 20.60 5 See specific mortar manufacturers Notice of Acceptance 5. LABELING 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 ". 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 Official or applicable building code in order to properly evaluate the installation of this system. .. . . .... • • • .. • • .... • • • • .. • • VANGUARD ROLL MONIERLIFETILE LLC, VANGUARD ROLL TILE IDENTIFICATION MARK (POMPANO, FL PLANT) LOCATED UNDERNEATH TILE NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20107 Page 6 of 7 •••• • • • • •••• • •• • • • • • • • • • • • • • • • • • • • • •••• • • • •• • • •••• •• •• • • • •••• • • • • •••• • • •• • • • • • ••• • • •• • • • • •••• • • • • PROFILE DRAWING MONIER LIFETILE VANGUARD ROLL CONCRETE ROOF TIDE END OF THIS ACCEPTANCE NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Pane 7 of 7 • .' MIA M I�AI>E BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE OA Polyfoam 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 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. INSP JgN: A copy.of this entire NOA shall be provided to the user by the manufacturer or its distributors and shgl; pMvailab1e for Inspection at the job site at the request of the Building Official. .. This NOA renews ACtA24o.01- 0521.02 and consists of pages 1 through 7 ▪ • "'The subElited doculikt Lion was reviewed by Jorge L. Acebo. • .... • • • • .... • • .. .. • . • • • .. .. • • • MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 1 of 7 • • • ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materlals: 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 Polypro® 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 Specifications Polypro® AH 160 N/A TAS 101 Foampro® RTF1000 N/A ProPack® 30 & 100 N/A 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 file adhesive. PHYSICAL PROPERTIES: Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dirinsional Stabili • . . • • • • • • Closed Cell Coriten! • Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E46 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ - 40 ° F., 2 weeks +6.0% Volume Change ®158 100% Humidity, 2 weeks 86% •••• .. .. Note? • The phhslt6t properties listed above are presented as typical average values as determined • • •.b 1 accepted'ASTM test methods and are subject to normal manufacturing variation. • • • • .• • • • ... • ...• • • •• • • NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11-93 12/12/95 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 03/14/96 Celotex Corp. Testing Services 5284542 -1 TAS 101 10/23/98 528454-9 -1 528454-10 -1 520109 -1 TAS 10I 12/28/98 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. • • 4.. • Rea Tilegpntactures acquiring acceptance for the use of Polypro® A/1160 roof tile adhesive with • • .. tixit tile ademb1ies shall test in accordance with TAS 101. • • 5.. Kopf Tile n;nIItures acquiring acceptance for the use of HANDI- STICK roof tile adhesive with • . llteit tile awe lies shall test in accordance with TAS 101 with section 10.4 as modified herein. • • 2. Polypro® AID 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. • .. • .. • • • • .• • .. • • • . . • • •••• l : w MS .. • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 • • • • • • INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® 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 compliance 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, Inc. Polypro® AH 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 Foampro® 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. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Flat, Low, High Profiles High Profile (2 Piece Barrel) Placement Detail #1 #1 Flat, Low, High Profiles Flat, Low, High Profiles #2 #3 N/A N/A Single Paddy Two Paddy Weight Weight Min. per paddy Min. (g) (s) 35 17 /side on cap and 34/pan 24 N/A 8 • • LABELING:: ". All 6lro®41-1 comply 16p containers shall with the Standard Conditions listed herein. BUNG PT REQUIREMENTS: As soquirdd by tkrlIiiiding Official or applicable building code in order to properly evaluate the • i n s t a l l a t i o n of this; Hi m• • •• • • • ••• • • • •• • • • • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4 of 7 .. .. • • • • .••. • •• • • • • • • • • • • • • • • • • • • • .••• •• • • • • • • • • • • • •••• • • • • • • • • • • • • •• • • • • • ••• • • •• • • • • •• • • • ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 • • •••• . • • • •••• • •• • • • • • • • • • • • • • • 0 • • •••• •• •• • • • • • •• • • 11 • • • • • • •••• • • • • •• • • • • • ••• • • •• • • • 0 • • 0110• • ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 • • • ••.• • •• • • • • • • • • • • • • • • • • • • • •••• •• •• • • • • • • • • • •••• • • • • •••• • • • • • •• • • • • • ••• • • •• • • • • ••• • • • ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05!10/11 Approval Date: 04/13/06 Page 7 of 7