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RF-09-1422 # t s WOW to ° Miami Shores Village 10050 N.E. 2nd Avenue y!' t oo Miami Shores, FL 33138-0000 T t Phone: (305)795 -2204 E , .0212712010 Project Address Parcel Number Applicant 10618 10 Place 1122320280830 ROBIN AVERY Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ROBIN AVERY 10618 10 Place MIAMI SHORES FL 33138 -` Contractor(s) Phone Cell Phone Valuation: $ 12,000.00 QUALITY ROOFING CONTRACTORS 11 305451-0382 Total Sq Feet: 1700 Type of Work: Re Roof For Inspections please call: Additional Info: COLOR THRU TILE (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Renailing Affidavit Cap Sheet Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $7.20 RF -8-09 -35719 $ 300.47 $ 250.47 Education Surcharge $2.40f'Q - "- Permit Fee - New Roof $275.00 RF-M9 -35719 $ 300.47 $ 300.47 $ 0.00 Scanning Fee $9.00 Check #: 25751 Submittal Fee $50.00 Submittal Reversal Fee ($50,00) Technology Fee $6.87 Total: $300.47 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 September 09, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy September 09, 2009 1 Miami Shores Village Building Department . 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 B Y Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. OM — 14W PERMIT APPLICATION Master Permit No. FBC 2004 1 %. Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) R Avery Phone* j 3 0 5) 8 91 - 4 0 84 Owner's Address 10618 N E 10 Place City Miami Shores State Florida Zip 33138 Tenantq -essee Name Phone # Job Address (where the work is being done) 10618 N . E . 10 P lace City Miami Shores Village County Miami -Dade Zip 3 31 3 8 FOLIOIPARCEL# 11 - 2 23 2 - 0218-08 Is Building Historically Designated YES - NO X Contractor's Company Name (Lialit y Roofing Contrant ar Phone# ( 3 -3333 Contractor's Address .1 3 8 0 o N .1'r,T - 1 18 t- Avenue City Miami State Florida Zip 33168 Qualifier Name Carlos Arocho _ Phone# ( 786) 367 -2029 State Certificate or Registration No. _RC 0 0 5 8 6 2 7 Certificate of Competency No. 0 0 0 01- 7 8 8 9 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 12 , 0 0 0. 0 Square/ Linear Footage Of Work: 1 7 0 0 s 9 f t . Type of Work: Addition nAlteration []New ®X Repair/Replace [] Demolition Describe Work: Reroof to a new Double Roll concrete colorthru tile. u mittal Fee $` Permit Fee $ �— CCF $ �' Cam Notary $ ' Training/Education Fee $ Q 4 0 Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ n Structural Review. $ Total Fee Now Due $ �� See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 n 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 proved and a rei ection fee will be charged Signatur Signature Owner or Agent Contractor The foregoing instrument was acknowledged be /ore me this _1 The foregoing instrument was acknowledged before me this l3 day of �„_, 20V °l , by 2 ©h : rt A?C/ -fit day of I 20 P, by [ o o An 4 , who is personallg known to me or who has produced who is personall awn-to me or who has produced As identification and who did take an oath. as identification and w did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: i ® ® �p ign: d �' �� �� ®a a ° d e• ° DIY ® ` O •`( ®� Print: +��Rrint ay. co •. (i My Commission Expires: a y Commission Expires: w ® ® y o `;V* Z� 0 APPLICATION APPROVED BY: Plans o Engineer Zoning (Revised 07/10/07) 111111111111 1111111111 l 1111 11111 11111 1111 1111 NOTICE OF COMMENCEMENT OR Bk�26993 s 8 s ��"� A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 08/27/20139 12:32:10 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA PERMIT NO. TAX FOLIO NO. 11- 2232 - 028 -9830 LAST PAGE STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / address: 10618 N.E. 10 Place 2. Description of i provement: Reroof to a new Tile roof. 3. Owner(s) name and address: Robin Avery Interest in property own pr Name and address of fee simple titleholder: 4. Contractor's name and address: Quality Roofing Contractor, Inc. 13800 N 1st Avengp Miami PloridA 33168 5. Surety: (Payment bond required by owner from contractor, if any) Name and Add __ N/A Amount of bond $ 6. Lender's name and address: . N/A 7. Persons within t ie 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: N/A 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.1 (1)(b), Florida Statutes. Name and Address: N/A 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 Print Owner's Name V Prepared by Carlos Arocho Sworn to and subscribed before me this n3day 20 9 Q uality Roofing Contractor Address: 13800 N.W. 1st Avenue Notary Public: i� ®s Miami F Print Notary's Name: +• + ++++ G ae� My commission (305) �� , (3 `� 5) STATE OF FLORIDA, COUNTY OF DADS _ HERESY CERTIFY Pha. Phis IS ajcu0 tA - y of the ff ,� cceaa C. g J ile 'n Phis o on O day cif 1 WG 20tolra1 0 1 V/7WESS ry and and ( , „roi S. ^al. J6, 1ARV I E ,K, of Circuit and County By COU1fu �''af ig � rv¢ narsr 4 10050 NE 2"d Ave ° Miami Shores, FI 33138 some per "' Phone 305 - 795 -2204; Fax 305 - 756 -8972 �tOR' OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: August 13, 200 10050 NE 2 Ave Miami Shores, Fl 33138 Re: Owner's Name: Robin Avery Property Address: 10618 N.E. 10 Place Miami Shores, Fl 33133 Roofing Permit Number: Dear Building Official: I Robin Avery certify that I am not required to retrofit the roof to wall connections of my building because: )dJ The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1194 edition of the South Florida Building Code (1994 SFBC) S Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for th ve o��� OJO` property mentioned. ®,� ® ®�p,RY�OUy��, � e� 2 Sworn to and subscribed before me this 13 day of ; ° o � Vt Notary Public, Sate of Florida at Large ®��; ;;Gdtnm� ` " When the just valuation of the structure for purpose of ad valorem taxation is equal to more than $300 .00, and the building was no�Q¢ ® ® FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the of to Wa11 connection Hurricane Wigs t101Nt8, ®® Property Information Map Page 1 of 1 My Home Miami -Dade County, Florida MIAMI- Property Information Map W Summary Details: Folio No.: 11- 2232 -028 -0830 Property: 10618 NE 10 PL Mailing ROBIN AVERY A ddress: 10618 NE 10 PL MIAMI SHORES FL F` 1 133138-2104 m Property Information: .: 1000 SINGLE FAMILY y Primary Zone: RESIDENCE x � n CLUC: 0001 RESIDENTIAL - -y` SINGLE FAMILY Beds /Baths: 212 Floors: 1 Livin 4952 d' S ,919 Lot Siz750 SQ FT ear B 1�3T IAMI SHORES ESTATES PB 47 -58 LOT Legal 12 BLK 5 LOT SIZE 5.000 X 130 OR 20083- Description: 971 11 2001 1 COC 12 1925-1867 12 2003 1 OR 21925 -1867 1203 00 Sale Information: [Sale ale O /R: 21925 -1867 ale Date: 12/2003 Amount: 1$330,000 Digital Orthophotography - 2007 0 113 ft Assessment Information: rBuilding ar: 20 AM This map was created on 8/21/2009 2:49:46 PM for reference purposes only. d Value: $132 Web Site © 2002 Miami -Dade County. All rights reserved. Value: $172 rket Value: $304 sessed Value: $304 Exemption Information: ear: 1 2009 2008 Homestead: 1 $25,000 $25,000 2nd Homestead: I YES I YES Taxable Value Information: Y ear: 2009 2008 Applied Applied T axing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,000/ $254,714 $236,871 County: $50,000/ $50,000/ $254,714 $236,871 City: $50,000/ $50,0001 $254,714 $236,871 School Board: $25,000/ $25,000/ $279,714 $261,871 http: / /gisims2.miamidade. gov /myhome /printmap. asp? mapurl = http: / /gisims2.miarnidade.go... 8/21/2009 I� AUu 2 5 2009 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ) B vo_______ -v_- - ®_o Florida Building Code Edition 2004 �l High - Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name O uality R00fincr Contractor Inc. -� Job Address s ROOF CATEGORY s m 0 Q ri_ ❑ Low Slope ❑ Mechanically Fastened Tile Mortar /Adhes vy w � � Ile CL ❑ Asphaltic 13 Metal Panel/Shingles 13 Wood Shingle ° " Shingles ❑ w CL a g W ° w ❑ Prescriptive BUR -RAS 150 p ° C� LJ u ROOF TYPE I _ a _ ❑ New Roof JXReroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) N /A Steep Sloped Roof Area (SF) 1 7 0 0 sqf t . Total (SF) 17 0 0 sqf t. 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. •••• • • • • • gyp. r • ,,a 4. :" • • • •:\ " a • •,•� • 0 *vIe • • wr •• • : *600 : 15.31• • ' . i . • • • FLORIDA BUILDING CODE — BUILDING • •••• • •• ••• • •••• •• ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: Hanson Roof Tile Notice of Acceptance Number: 07- 0914.06 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): 1: - 45.1 1 - 78.6 P3: - 116.2 Maximum Design Pressure (From the Product Approval Specific System): 8661 Steep Sloped Roof System Description Deck Type: Wood 1 x 6 Type Underlayment: (1) 301b. ASTM D -226 Roof Slope: - - -- - - - - _ - -- 3 12 - - - Insulation: N/A Fire Barrier: a V e & S acin n " 0 jc @ �a g .y jA YP p 9 1 1 /4 RjS nails 5 ro ws 'f 2 g7c Rid Ventilation? Fastener Adhesive Type: Typ 111 mopping asphalt Type Cap Sheet: ( 901b AS rM Mean Roof Height: 13 Roof Covering: Hanson Hacienda Tills Type & Size Drip 3 X 3 2 6ga . Edge: ga lv . %0 ..• • . .::: ':.' .. .. **so,: 15.34• o . i • . FLORIDA BUILDING CODE — BUILDING • 0000,0 0 00 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based file systems. choose either Method 1 or 2. Compare the values for M with the values from Mf. 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. Method I "Moment Based Tile Calculations Per RAS 127" (P °d5 1 ;� - M =18 - 03 M9 - . Mrt 6.2 Product Approval Mf,__86 - 1 (P2:- 7B. -& ;. 28- = 2,2_ ! - M j6 0 - Mr2j -5 9-2 Product Approval Mf 86 r61 (P ;: 116 289 33.5 M •. 82 = M Product Approval Mf 86.6 Method 2 "Simplified Tile Calculations Per Table Below' Required Moment of Resistance (Mr) From Table Below Product Approval M M required Moment Resistance* Mean Roof Height Roof Slope 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32A 7:12 24.4 25.9 27.1 282 30.0 *Must be used in conjunction with a list of moment based file systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based the systems use Method 3. Compared the values for F with the values for Fr. If the F values are greater than orequal to the Fr values. for each area of the roof. then the the attachment methyl is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 12T' (P x I, = x w: _ ) - W: x cos 8 = Frl Product Approval F (P x L = x w: = } - W: x cos H = F,, Product Approval F (P x L = x w: _ ) - W; x cos b = Fr3 Product Approval F Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 8 Job Site Aerodynamic Multiplier A Product Approval Restoring Moment due to Gravity M Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance M Calculated Minimum Attachment F Product Approval Resistance Required Uplift Resistance Fr Calculated • • • • • • • • • Average Tile Weight W Product Approval •••••• ••••• •••• • 1,= length • • • • • *Tile Dimensions Product Approval • • • W = width 000"0 AlrclULRe)�i�tts must be submitted to the building official at the time of permit application. • • •••• • ••• ••••• •••••• %0": OLt%IPA BUiL,IM"gODE - BUILDING 15.35 • • •••• • • - •• • 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 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) 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, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High - Velocity Hurricane Zones) of the. (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 (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 owner 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 fife expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the • • • • interior of the structural assembly (the building itself). The existing amount of attic ventilation 0 .0 0 shall not be reduced. It may be beneficial to consider additional venting which can result in •� . ••• exfert th service life of the roof. • 0 '000• • • • "••• wrler;s A enrs Signat re to Contractor's Signature ate :0.00: '. • 0 000• 0 • • 00 0 • 0 000000 000000 . 00 MIA M 1 M 4MI•DADE COUNTY, FLORIDA I METRO -DADB FLAGLBR BUILDWO BUILDING CODE COMPLIANCE OFFICE OK=) 149 Wx ST FLAQ= STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAW FLORIDA 33130 -1563 (3057 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) Hansron Roof Tile MO SW W Ave Deerfield Beech, FL 33W SCOPE: This NOA is Ding issued under the applicable rules and regulations governing the use of construction materials. The dacumentati 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 Da& County and other areas where allowed by the Authority. Having Jurisdiction (AM). This NOA shall not be valid after the expiration date stated below. The h is d Dade County Product Control Division (In Miami Dade County) and/or the AM (m 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 accelft d manner, the mangy will incur the expense of such testing and the AM may immediately revoke, modify, or suspend.the use of such product or material within dw* jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by hfiiami =Dads County Product Control Division that this product or material fails to. meet the require is of the applicable building code. This product w approved as described herein,. and has been designed to comply with the Florida Building 'Cods including the High Velocity Hurricane Zone of the Florida Building Cc & DTSCREMON: Hem E(axlenda Double Roll Roof Tile LABELING: Each unit shall bear a pwxnanent label with the mannfacturees 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 aim 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 alur the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. //disuse of this NOA as an endorseaaurt. of any product, for sales, advertising or any other purposes sliall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISE: The NOA number p by the words Miami Dade County, Florida, and followed b the expiration daft ma be displayed in adverts literature. If an Y Y �. Y Y portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspoctim at the job site at the request of do Building Official. • • • .: • • • 7 * 4is NOA consists of pages 1 through 7. • • •... • •' •'phe dociu:uentatson was reviewed by Jorge L. • • • • • a NOA Nba 07 -0914.06 0 0 • • • • • • ESpkation Daft 12/16112 • • • • Approval Dates - 12/06/If7' •••• Page Iof7 640 0 •••••• •••••• •• • ROOFING ASSEMBLY APPROVAL C40 r3's Roofing Sub Categorys Roofing Tile Materials Concrete 1. SCOPE This renews a roaming system using Hanson Hacienda Root Tile, as manufactured by Hanson Roof Tile in H0ae S MM4 Florida and as described in Section 2 of this Notice of Acceptance. For the locatkons where the pressure requirements, do not exceed the v ftw listed In section` 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCt DESCRIPTION Adowafadumd, by Test Product Dbumdow ti n Length: 17 W LOW profile, interlocking, exhuded concrete Hanson "Hacienda" Width: 13" T44S 112 roof tle equipped with two nail hole and Vii" thick doable roll nibs. For direct clock or battened nail -on, mortar or adhesive set applications: Length: varies Accessory true, concrete roof pieces for use Trim Pieces Width: varies TAS 112 at hips, rapes, ridges and valley terminations. varying thickness for each tile profile. 2.1 COMPOMM OR PRODUC= MAM)PACTUMM BY OTHM Teat Product r ct phMnsion NWmufactnrer Wood Battens Min. I x 4 Wood Preservers Salt " pregame treated Giermric j Horizontal - Institute LP -- 2 or decay resistant {Wirth current NOA) MhL 1 "x 4" for use lumber battens with vertical baftm or Mb. 1"x 2" for use ` alone TAS114 Corrosi0nresistant Tile Nails Min.10dx 3" Appendix E screw cc smooth Creneric shank nails With current NOA) VOA loos 0749UA6 ' • PTIOU A Test Product Product pbROW Snedfirotions ' a�a►ofacturer ##8x 2 W' long Corrosion resistm Tue 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 woad screws dia. Clips Corrosion resistant Hurricane Clip & mm W width TAS 114 clips with corrosion (uric Fasteners Min. 0.060 thick App mft E resistant nails. (With current NOA) Clip Faasteners Min: 8d x 1 Ala" 22 EMENCE SUmburm Test Agenc Test Mentifter Feat Namammort Deft. 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 Lehr Dated Aug. 1, 1994 PA 108 Aug. 1994 Professional Service 22447099 PA 112 Sept. 1994 hwustries, Inc. The Center for Applied 94-MA PA 101 March, 1994 Englneg, Inc. 94-084 PA 101 May 1994 25- 7094 -1 PA 102 Oct. 1994 25- 7094 -7 PA 102 Oct. 1994 25- 7094.4 PA 102 Oct. 1994 Project No.,307025 PA 100 Oct. 1994 Test 4MDC -76 25- 7183 -1 PA IO2 Feb. 1995 25 -71832 PA 102 Feb. 1995 25- 7214 -2 PA 102 March, 1995 25-721" PA 102 March, 1995 ` Celotex comoration 528454-2-1 PA 101 Sep. 1998 Testing Services 520109-2 Dec. 1998 Walker Engineering, Inc. Calculations Aerodynamic: Multiplier March 1999 • .Consultants,.bsc. 2381249 TAS 112 O 20/07 • N OA No» 074914A6 • Op Exphation Mateo 12(16/12 • • • • ,• Approval Dates 12M6W • '••• Page3of7 3. LOWATiOM 3.1 Fuu classification is not part of this acceptance 3.2 For mortar or adhesive at file applications, a static field uplift test in accordance with RAS 106 may be rapdred, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County tftti8ed Laboratory to Mann quarterly test in accordance with TAS 112, appendix W. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Mbuimum underlsymont shell be in compliance with the applicable Roafing Applications Standards listed Eton 4.1 herein. 3.5 3WO hot mopped undwhymsnt applications may be installed perpendicular to the roof slope unlew stated oftmise by the underlayment material manufacturers published literature. ' 3.6 This acceptance is for wood deck applications. hfinimum. deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4:1 Manson `Hacienda' Roof Tile and its components shall be installed in strict compliance with Roofng Application Standard RAS 118,119. & 120. 4.2 Data For Attachment Calculations Tame 1: mi Mull lees -.% Tile I ( Profile Batten AvIleaftn Dlrw,.t Deck Application Hadenda THe 0.267 0.289 Table 2: no Momsi is due to G - M. M bft Tile' S ":12" 4 ":12" 5 ":12" 8":12° 7": 12" or Profit® D Hanson Bottom Dired Battens it�ot Battens DUet Battens Direct Battens Dineot Hacienda Deck Deck Deck Deck peck 'fie 5.92 & 801 &82]-&69 5.70 O.W &W 6.39 5.41 6.22 6 00 00 • . • •• 0000•: ••• • 000 ADD JOA 1!tiD.i 07- y tt � 9 p l � $. M � � G • • • Now -An )E�cpltlt bats: ifeii�►i! • • • • • • App;gval.Uata: MUM ... • • 0 000.• Pagadfit! 0000. 00.0 0 • •, 0 000• • 00.0 • y 00.0.0 • 0000:. 00 .0•0.•• ••0 0 •• Table S: Atlachment Re#lstance MWessed as a Moment - Mf (ft -tbf) For Nail -On Tile Fastener Type Direct Deck direct Deck Battens Profile (Min 151W (Min. IQW plywood) phre+6om Hanson 2 -10d Ring Shank 27.8 37.4 28.8 Hacienda Nalls Tile .1 -10d Smooth or 8.8 11.8 4.1 Screw Shank Nall 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 47.1 47.1 49.1 1 -10d Smooth or 24.3 24.3 24.2 Screw Shank Nail Field Cl 1 -10d Smooth or 19.0 19.0 22.1 Screw Shank Nail Save Cli 2 -1 Od Smooth or 35.5 35.5 34.8 Screw Shank Nails Field Cl 210d Smooth or 31.9 31.9 32.2 Screw Shank Nails Eave Cli 2-1 Od Ring Shank 43.0. 67.5 60.9 Nails i Inewwon with a e via headly and fasteners are lost a min. of 2lx" from ho of . Table 4: Attachment Resistance Expreewd as a Moment Mt (ft -lbf) For TwoValty Adhesive Set Systems Tile TEie Application Minimum Attachment Profile Resistance Hanson Hacienda Tile Adhesive 26.1 t 6 2 See manufactures o&rowwd aoProyal for ineWlation reguMmnW 3 Flexible Products Company T%BwW Averse weight per patty 11.4 wama. Pdyfoam Product Inc. A 8 • •... o . • •: •... • Osseo NOA No.: 074914.06 +..... 0 a+ .... Lspiratlon Date: 12 /16112 • •+ :.. .. Approval Daft 12UW 00 • • • • Page 5 of • .... . *:sees • ••+... s o • ..:... Table 4A: Attachment R3eebbInc a Expmesed as a Moment - Mt (ft4bt) For Single Patly Adheaive Ut Systerne Tile Tile Applltmtlon Minimum Attachment Profiler 1Realetanoe Hans' on Hacienda Tile Polyl Pol Pro'' 85.61 Powbarn P Prom" 1 45.6 4 Lam aft of §k M of Po Prom. b M of psi►, Table 40: Attachment Istanpe.Fxpre ssed as a Moment.. M, (&Ibt) For Mortar Set Svsteme ilia Tile Attachment Profile Applicallon Re Hanson Haolern� Tile Mores set 20.60 S. LABELING All Was shall bear the imprint or identifiable making of the manafacattees name or logo (See Detail Below), or following statemwt. Wlanmt Dade County Product Control Approves". H nso HANSON HACIl WA RWF TILE TILE IDENTIFICATION MARE (LOCATED ON U NDERSIDE OF T") 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Noope of Acceptance. 6.1.2 Any odiar duets required by the Building OfflOW or applicable building code in order to properly evaluate the installation of this system. 6 I �• NOA Not d2,4�4A6 • • • • • RgftWb Date: 12V16/12 • • • • • • Dates "MW ••.• • • • • • ••.i•• �••••• •� PR OFILE DRAWINGS HANSON HACIENDA CO NCRETE ROOF TELE FASTENER HOLES OVERLOCK da. UNDERLOCK END OF THIS ACCEPTANCE • NOA No.: 074914.06 • • • • • • H iphation Date: MUM • • • • • Approval Date:12106107 •••� •••• 0 00 Pagel of7 • .. MIAW M0 MIAMI -DADE COUNTY, FLORIDA METRO -DARE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAOLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE MA) Poly€oam 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: Polypros 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. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.61= 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by J rge L. Acebo. • •... 000 NOA No.: 06- 0201.02 ':' • • • '.. • • Expiration Date: 05/10/11 • • • • Approval Date: 04/13/06 •••'•• •••; Page 1of7 • • • • •••••• 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 Polypro® AR 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 Descri lion Specifications Polypro@ AHI60 N/A . TAS 101 Two component polyurethane foam adhesive Foampro® RTF1000 N/A Dispensing Equipment ProPackO 30 & 100 N/A Dispensing Equipment i 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 the adhesive. PHYSICAL PROPERTIES: Emporty 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 ASTkD 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 + Volume Change @158 Humidity, 2 weeks ` Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. 00 00 Nt&Tin a 06.0201AQ• • • • • • Expiratton Date: 05/10/1!• • • • 0 0 • Appro!al Dane• 04113/06 • • 0000• Wage2.a.17- .00909 . .. . 0 0000. 0 . .000 0 .0.000 •� .0000 00.0 • . .. 9 9 .009# 0000 •000 • •. - 0. 00 • 0909 • •• • • • •• • • 00 0 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 1193 10/25/95 25-7438-4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11-93 12/12195 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[l] ASTM E 84 01/16/95 Testy Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LINIITATIONS: 1. Fire classification is not part of this acceptance. Refer -to the Prepared Roof Tile Assembly for fire rating. 2. Polypror& AH 160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polyprog AH160 roof the adhesive with their tile assemblies shall test in accordance with TAS 101. d 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof file adhesive with their the assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. f � F` W ... • MS • • • • • • . • •. NOA No.: (16-0201.02 • • • • •' CA Expiration Date: 05/10/11 • • • `` • : Approval Date: 04/13/06 0.00• • "• Page 3of7 • • 0000 • • 00 00• 00 00• • • • • • • 000 • •�•••• • 00 0000 • • • • •0 000• 000000 _. • 00 -__ INSTALLATION: 1. PolyproO 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 conespondmg Placement Details noted herein. The roof the 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 file assembly NOA 3. Polypro® AH160 roof the adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polyprog AH160 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. S. 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 the timer shall beset to deliver 0.0175 to 0.15 pounds per the 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. Polypro4D AH160 shall not be exposed permanently to sunlight. 9- Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after PolyproO 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 Placement Single Paddy Two Paddy Weight Detail Weight Min. per paddy Min. sins) ) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece #1 17 /side on cap and N/A Barrel) 34 /pan Flat, Low, High Profiles #2 24 NIA Flat, Low, High Profiles #3 g LABELING: All Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. Esph4tlon Date: 09/16M •• App &vale g $ r te:04/13/06 ....Page-6%M .... • • ...... • •• ..... . ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY tJa@tluaighprsmeat tn'�} t�throughpbaatlooen�eat ° 101n Emcmm ° 14in. 2 e Emocom F bda e•maeonlY E�oaewemip: E�Goswe fmcbete 4bvpbmwmpbft 4kupft= P} 9 }earoaggtoaW4ave1Tto2S �M'si� a" ages bft1uwwwwbftpmtb Pdmh tta$}I hpla o 2) rTm 2h rhenttdetlb. t0 to a a ° Emtme EmmmO . YAP m 4ta +M Fb* SAP tEe AWtasetoadoom of Wea.amema ld paadowt*%s re \ pokkrw &WAateumn6ak ankfi odps dlb ' Eeveebewe Waephole {mmmrsla�m} d� • • • • • • • NOA No.: 06-0 I.02 ' • • • • "' Expiration Date: 05/10/11 • . Approval Date: 04/13/06 Page 5 of 7 • y. ADHESIVE PLACEMENT DETAIL Z SINGLE PATTY 'hL ° 7b "Ith EM Ea►re Earedwa Em D*Bdp Nafl tl►ro�ls p i+i �e? ° . Emcbm EM COM Fasda 1�19'hfN8.:06- t?�rlt►�tl2 • • Ezphlktiton'bate: OSIA40AI4 • +.+ �• al Appiov plate: evu /O6 ` • ••f+• 7 Pag�ei • +•.•• s ADHESIVE PLACEMENT DETAEL 3 DOUBLE PATTY Nan through pbmk content pgr Nan thn qh ply cement Binge paddy under the (betwen too) Died Single paddy between the {° { r tle} 2 In. x 7In. medium paddy a rx' o We x 31n. } �. 3ihh ftle pmt on 2 h►. 4 h Vim► 4 tn. 21n. ° under- laymew Fascia on top of Via Wee on top p of h X 7Is. rt� Eaw mute ske y ewe �p Fascia muse only Nail through plstc:e awd u paddy behareen ble ° / !T'elin.x 31n. 41n. o Single paddy on undkdayment 2 n. ° Si* paddy Eave Closure an top of the 21n.x 7 in. medium Es"Com F paddy am aurae only v END OF THIS ACCEPTANCE • • • • :• • "•• NOA No.: 06- 0201.02 " "•' • Expiration Date: 05 /10/11 ' • Approval Date: 04/13/06 ' "' • 4.19 Page 7 of 7 • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP- 122954 Permit Number: RF -8 -09 -1422 Scheduled Inspection Date: December 14, 2009 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Up Lift Report Owner: AVERY, ROBIN Work Classification: Tile Job Address: 10618 NE 10 Place Miami Shores, FL 33138- Phone Number Parcel Number 1122320280830 Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Phone: 305 - 751 -0382 Building Department Comments RE ROOF TO A NEW DOUBLE ROLL CONCRETE COLOR THRU TILE Inspector Comments Passed d'16- Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 11, 2009 For Inspections please call: (305)762 -4949 Page 6 of 32 -� I v Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 122953 Permit Number RF -8 -0 - 1422 Scheduled Inspection Date: December 14, 2009 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: AVERY, ROBIN Work Classification: Tile Job Address: 10618 NE 10 Place Miami Shores, FL 33138- Phone Number Parcel Number 112232028083 Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Phone: 305 - 751 -0382 Building Department Comments RE ROOF TO A NEW DOUBLE ROLL CONCRETE COLOR THRU TILE 1 Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 11, 2009 For Inspections please call: (305)762 -4949 Page 5 of 32 &4 VgAm"e4 10050 NE 2nd Ave �ORIDp` Miami Shores, FI 33138 Phone 305 - 795 -2204; Fax 305 - 756 -8972 www.miamishoresvillage.com RE: Permit # DATE: 3 ® — INSPECTION AFFIDAVIT C ad - 103 PP( C , licensed as a (n) Contractor/ Engineer/ Architect, (Print name and circle License Type) FS 468 Building Inspector License #: m o n un On or about 9-30-01 , I did personally inspect the roof deck nailing and /or (Date & time) secondary water barrier work at ) 0 6 4 1 0 e j e�c e_ E l 33138 (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) K 7 , � e � �/ �' Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. ® . ®``q°��oU HF '� / -0 - Sworn to and subscribed before me this 3 ® day of �9 ®* ber rp�p�A9�;�� 47 we's o #DD 36 0 Notary Public, Sate of Florida at Large ® A � •�y �; ��° *General, Building, Residential, or Roofing Contractors or any individual certified under 46 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 FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Y ® Telephone: (305) 378 -1991- Fax: (305) 378 -1997 t.LOROA INTERNATIONAL EWNUMNG & I1STING LAB Miami Dade Lab Certif cation # 07- 0612.11- Stye of Florida CA # 27273 SITE SPECIFIC INFORMATION N2 1492 Job Address: ® 6 k A!Z f® f"4. 0114'4 / - j Owner's Name 4010; Contractor: < 00 r I &I4 Permit # Install Date: Type of Tile: D4�- Approx. height Z Floor. Type of Access: Scaffolds: Ladder: Slope: Test date: App. Sq.Ft. /( f 0 - 0 Req. Force: 35 lbs. Testing Equipment. F.G.E. 100X.5, W no Instrument ------------------------------------------------------------------------------------------------------ TEST RESULTS P = PASS, F = FAIL up'aft 1 Tat Bp1tt� T ea 1 ,3 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 J , 66 86 7 27 47 67 .87 8 ® 28 48 68 88 9 29 49 69 89 10 30 d 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 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 19 39 59 79 99 20 40 60 80 100 ------------------------------------------------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSFAMLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Rally Sub 'tteai By: VInayagar M. Babduishnan V, .E. State of Florida Uc # 63107 R L X 06 !d' ASE . I11 C Q¢1-tl S v 4