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898 NE 91 Terr (13)Uplift Report OK, see attached. 10/26/06 CG. Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Project: <NONE> Inspection Number: INSP -30746 Inspection Date: 10/26/2006 Inspector: Grande, Claudio Building Department Comments Thursday, October 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ar 2 Owner: BECK, MICHAEL Job Address: 898 91 Terrace NE Miami Shores Village, FL 33138- Contractor: THE HOME DEPOT AT HOME SERVICES Block: Permit Type: Imported Permit Inspection Type: Final Roof Work Classification: <NONE> Phone Number Parcel Number 1132060050310 Lot: Phone: 954- 979 -2137 Page 1 of 2 TY a v RESEARCH & TESTING INC. FLORIDA BUILDING CODE COMPLIANCE TAS -106 REPORT Standard Procedure for Field Verification of the Bonding of Mortar or Adhesive Set Tile Systems and Mechanically Attached, Rigid, Discontinuous Roof Systems General Information: Customer Name: Sandra Pallo Customer Address: 898 NE 91 St. Miami, FL 33138 Project Manager: Company: Address: raced Mike Bourne The Home Depot 2017 Corporate Drive Boyton Beach, FL 33426 Testing Agency /Equipment Information: The undersigned representative agrees that all testing has been conducted and results have been reported in compliance with Florida Building Code TAS 106 Protocol. Testing Agency Name: Advanced Research & Testing, Inc. Address: 2900 NE 30 Street 3M Ft. Lauderdale, FL 33306 Telephone: (954) 270 -7422 Fax: (954) 561 -6407 Representative: Thomas Steier Test Apparatus: Com -Ten S #54473 BUILDING /ROOF SYSTEM INFORMATION: Roofing System Description; interlocking tile Tile Manufacturer:Monier life tile Installation Attachment:foam & mechanical PERMIT #: DATE: THD #: ART #: NOA# Phone: (561) 536 -1285 Fax: (561) 742 -4078 BP05688 October 24, 2006 1636571 1016806 02- 1205.05 Paul W. Scanlon, PE FL License # 65199 Mean Roof Height: Roof Length: 2nd Largest Dimension: Approx. Roof Area: Approx. Roof Squares: 12 ft. 28 ft. 28 ft. 600 SF 6 TAS 106 TEST REPORT SUMMARY: No. of Tile Test Locations: 12 The uplift test consisted of placing a properly calibrated load test device with an adjustable connector under the front lip of the tested tile, gradually increasing the pressure exerted until a reading of thirty -five (35) pounds force (mortar and adhesive applications)or 80% minimum characteristic resistance load listed in the Product Approval (mechanically attached application) is achieved, then holding that load for five (5) seconds. If > 3% of the tiles within a given roof are found to be loose, the entire system is failed. A minimum of 75% of all tested tiles must pass the static uplift test for the roof to receive a passing score. For roofs > 500 SF in area, a minimum of one uplift test per 200 SF of tile in the Field must be tested, and a minimum of one uplift test per 100 SF of tile in the Perimeter and Corner areas must be tested. This Roofing system has been found to PASS TAS 106. Please see attached table and roof drawing for the test results for specific tiles tested Copyright 2006 Advanced Research & Testing, Inc. Test # Pass Fail Fail Mode Test Location 21 x C 22 x P 23 x F 24 x C 25 x C 26 x F 27 x F 28 x C 29 x F 30 x F 31 x P 32 x F 33 34 35 36 37 38 39 40 Test # Pass Fail Fail Mode Test Location 1 x C 2 x P 3 x F 4 x C 5 x C 6 x F 7 x F 8 x C 9 x F 10 x F 11 x P 12 x F 13 14 15 16 17 18 19 20 Table 1: Uplift Test Results Test Location Legend: C = Corner P = Perimeter F = Field Failure Mode Legend: B = Broken /Cracked Tile U = Underlayment separation from Adhesive or Mortar T = Tile separation from Adhesive or Mortar D = Nose of tile deflects vertically in excess of 2" (Mech. attached only) 11 12 10 Roof Plan 7 Copyright 2006 Advanced Research & Testing, Inc ,%rte �` ✓.. -F �`/ ♦ � � /.� �ti ` „ r rf� .. ��.�^.D! '�h ♦T Yi `' ✓ �" �'', r y r \\ \�' •$j .p s vb es' ` -..V� • CERTIFICA Campesi:u &terarl!1 iirFuirmoul E O AJLBRATION This is to certify that the following Com -1 en rnstnnment was calibrated using loading equipment traceable to NIST through one or more of the listed NIST reports and was found to meet or exceed the staled Accuracy Applirahlc' NIST report numbers: 6641, 9830, 9209 -9211, /31/242697. 6405 49 Street North Pinellas Park, FL 33781 Phone: 727 520 -1200 cy of foil scale ±1 last rini is nt count r' L ' Inspection Date: 10/17/2006 Inspector: Grande, Claudio Owner: BECK, MICHAEL Job Address: 898 91 Terrace NE Project: <NONE> Contractor: THE HOME DEPOT AT HOME SERVICES Building Department Comments Monday, October 16, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -29975 Permit Number: BP2005 -688 Or 8 2000 Block: Permit Type: Imported Permit Inspection Type: Hot Mop Work Classification: <NONE> Phone Number Parcel Number 1132060050310 Lot: Phone: 954 - 979 - 2137 Page 1 of 2 � Passed - t OS° Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 10/17/2006 Inspector: Grande, Claudio Owner: BECK, MICHAEL Job Address: 898 91 Terrace NE Project: <NONE> Contractor: THE HOME DEPOT AT HOME SERVICES Building Department Comments Monday, October 16, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -29975 Permit Number: BP2005 -688 Or 8 2000 Block: Permit Type: Imported Permit Inspection Type: Hot Mop Work Classification: <NONE> Phone Number Parcel Number 1132060050310 Lot: Phone: 954 - 979 - 2137 Page 1 of 2 v7 Inspector l 0 Passed " Comments 1 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -30312 Permit Number: BP2005 -688 Inspection Date: 10/20/2006 Inspector: Grande, Claudio Owner: BECK, MICHAEL Job Address: 898 91 Terrace NE Project: <NONE> Thursday, October 19, 2006 Miami Shores Village, FL 33138- Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 or24 Contractor: THE HOME DEPOT AT HOME SERVICES Block: Permit Type: Imported Permit Inspection Type: Tile In Progress Work Classification: <NONE> Phone Number Parcel Number 1132060050310 Lot: Phone: 954- 979 -2137 Page 2 of 2 NEED • r! ktt /' N' W + / I .• MS 1 fl 'i4. - / ( /6- tnfractio Passed Comments y =' �f LEFT �` i "�, t � TIN CAP SPACEING True G Passed 1 I o Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 10/11/2006 Inspector: Grande, Claudio Owner: BECK, MICHAEL Job Address: 898 91 Terrace NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: THE HOME DEPOT AT HOME SERVICES Building De u tment Comments Tuesday, October 10, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -29505 Permit Number: BP2005 -688 CC 12 MO Block: Permit Type: Imported Permit Inspection Type: Tin Cap Work Classification: <NONE> Phone Number Parcel Number 1132060050310 Lot: Phone: 954 - 979 -2137 Page 1 of 2 Bill To MICHAEL BECK 898 NE 91 TERR MIAMI, FL 33138 -3218 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date 07/26/2006 07/26/2006 Wednesday, July 26, 2006 Fee Name Renewal /Extension Fee Other Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax:1 05)756 -8972 Invoice Number: imp -7 -06 -25695 Invoice Date: July 26, 2006 Permit Number: BP2005 -688 ' ermit Type: m Pd rte d Perri ric Ci assifictio :NON E> Fee Type Calculated Calculated Total Fees Due: Fee Amount $250.00 $20.00 $270.00 Payments Date Pay Type Check Number Amount Paid Change 07/26/2006 Check 7072 $270.00 $0.00 Total Paid: $270.00 Total Due: $0.00 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION TAX FOLIO NO. I 1 ` b ? e t O PERMIT 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 (p� 1. Legal description of property and street/address: 01.,17 i% N 1' I, G�C'l'� J 1 rqU k) (L. Ci ( \ E \V 2. Description of improvement: <.e. Q L 3. Owner(s) name and address: 1' 1 C 0 P t L Interest in property: Name and address of fee simple titleholder: W / 4. Contractor's name an ■ dress: Ec 5. Surety: (Payment bond required by o wner from contractor, if any) Name and address: w / 4-- Amount of bond $ 6. Lender's name and address: 111111 1 11111 11111 11 11111110 CFN 200 OR P.k 23354 F'9 4782; (.1n9 RECORDED 05/10/20 12:36:46 HARVEY RUV'IN► CLERK. OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE 7. Persons within the state 9f Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida d . tatutes, 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 diffe date is 'rfi ) Signature of Own r Print Owner's Name Sworn to and subsc Notary Public Print Notary's Name My commission expires: 123 01-52 PAGE 4 8/02 date is 1 year from the date of recording unless a Prepared by 1(.. j( 045. — Address: % C q, �� /? BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address k(lE . \ - ke,'c'c . City I. A_ S State F Tenant/Lessee Name U F\ Job Address (where the work is being done) P 3 �Q, Q , '� �( City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name L LQ \' (1(1Q J Phone # Contractor's Address t . r Citj' C YOLJl Qualifier i 1 A KCit1'n Type of Work: ❑Addition Describe Work: Submittal Fee $ Notary $ 1 0 State State Certificate or Registration No.C,CC Certificate of Competency No. Architect/Engineer's Name (if applicable) N � $ Value of Work For this Permit U Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) • Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 r CI"M Permit No. O.Co�6g a 2 6 Z�� aster Permit No. Alteration 0New Zoning Structural Plan Review. $ BY: -------------------- - -- - -- -- - - - - -- -- Electrical Plumbing Mechanical Phone # Zip 33 County Ili-Dade NO j * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ CCF $ Phone # L f Technology Fee $ Zip "31 Zip `-1u L r Phone # N Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Bond $ CO /CC Mortgag Mortgage City Lender's Name (if applicable) nder's Address Bonding Company's Name (if a icable) Bon.'ng Company's Address City 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 Owner or Agent The foregoing instrument was acknowledged before me this.)3 day of 7 , 20 t<' , by S who is personally known to me or who has produced T L My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Zip Signature C My Commission Expires: Contractor The foregoing instrument was acknowledged before me t isay day of ..- _ , :. , by cl L_ (D who is personally knowne or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: I loin;y .'.a , .7 ***************** * * * * * * * * * * * ** * ** * * * * * * * * * * * * * * * ************ ** ************ * * * * * * * * * ** * * * * * * * * * * * * ** * * * * ** ***************************************************************************** * * ** * ** * ** * * * *** *** * ** * * ** ** * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/31/2005 Applicant: MICHAEL Owner: BECK JOB ADDRESS: 898 Contractor Local Phone: 954 - 979 -2137 Parcel # 1132060050310 Signed: NE 91 (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -688 BECK MICHAEL TERR THE HOME DEPOT AT HOME SERVICES Contractor's Address: 1250 LINTON BLVD Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 1 E25FT OF LOT 2 BLK 3 LOT SIZE Fees: FEE2005 -6833 FEE2005 -6834 FEE2005 -6835 FEE2005 -6836 FEE2005 -6837 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $250.00 $4.20 $1.40 $6.25 $6.00 $267.85 Total Fees: $267.85 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $6,295.00 Work: RE -ROOF COLOR THRU 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 responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2001 Tenant /Lessee Name .lob Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Qualifier S Value of Work For this Permit Total l Fef.• N nv Dorf:. (' , !!►tint , •• , or ()worst!" siiv: ids i�tiiii 311101 e• v in ige Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fa • (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) M64 p.L� L Ect Phone # Owner's Address *Ft ei k) C °( i -- rte e._ City Miami S -y)zes State Vp County Miami -Dade NO Contractor's Company Nanie �� 'Y11✓ Con! • cIor's Address 1 L try \ 1/6 City e St T� � Zip Phone # n OE 9ITwee Phone Zip Zip 7c( - c (' State Certificate or Registration No. CCC-- \3DS 0 \ OP Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Type of Work: �ddil' a ❑Aheration ❑New Describe Work: l p tId — 1 -7 ;-6-1.r . Square Footage Of Work: d .00 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee S � Permit Fee 5 2!)0 O 1. CCF s Notary 5 Training /Education Fee 5 Technology Fee S Repair /Replace ❑ Demol' 'on E?((sT -- T - 1lki2S erece CO /CC Scanning S Radon 5 Zoning Bond 5 Code.. Enforcement: S Structural Plan Review. 5 Bonding Company's Name (11 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 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 01? COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, lire inspection will not be approved and a reinspeclion fee will be charged. Signature ArA NOTARY PUBLIC: Sign:` Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * ** who is personally known to me or who has produced As identification and who did take an oath. ;�. 1CIMHERLt A41. .:Notary Public • SS1310 it € ell∎ ••F my Canis sion Expiniit Jur S * VO emission *i ' tg( 1 ******* * * * * * * * * * * * * * * * * * * * * * * * * * * *jg** * * * * * * * * ** APPLICATION APPROVED BY: Ch:: 05/13/0. Signature NOTARY PUBLI Sign: Print: Owner or Agent The foregoing instrument was acknowledged before me this . The foregoing instalment was acknowledged before me this 7 day of ` , 2(6 , by en t(..1.-t 0 t= `` C C� day of f Y? - , - 20 - 4- by ✓ 1 /.4'/L- who is personally known tom r who has produced_ My Commission Exj>I * * * * * * * * * * * * * * * * * * * * * * ** Con tor as identification and who did take nn oath. SUSt N C. SH Notary Public - Stu a of HnrIcic Ex( I - ,.h� 25.'.0 = MyCommi:_br d Commission # t ,1)217720 ■°•' Bor Idea By Nation° Notary Assn. * * * * * * * * * * * * * * * * * * ** * * * * * * * *' * *$ * * * * * * *aI.+ + 4 ✓� /�, lams Examiner " Engineer Zoning 1 High Velocity Hurricane Zone Uniform Permit Application Form Master Permit No. Contractor's Name Job Address L ,, ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof scuppers and overflow drains. Include dimensions of identify dimensions of elevated pressure zones and Iocati 1 • 1 e 1 1 1 1 1 .. (: e 1 ! 1 1 ! I 1 1 1 1 1 1, 1 1 1 1 l ± a1 KRUM ■11•ta t111at111ta111 ■111111•1•11•u 1s1Qaa11Oata ■1Q1•1••1i •a=•1111t1a•■ 11•1•tt111•/11 1111ta11•t11t WE EMI II a1<1.1 tt11 aalaatlEl 11HIIH/1l1/1f111 wllUt1l? IMIllall.1111111.111111111111 11 Mal .RUM mur[a/1 1•11111111111111111 RIXI 17i1111i1a 11 1 111ta11n•1n• a/•111mt 1•♦/t1/ 11••11■ t101a1tM m1 ■1S I11 •111• MEM • II MTh lal=111 NM ME 111111N11•••••••••• t11at111/t11 MMUS • SU WEI 1111.1111•1•1111111111111 1•••11111••11111 ■•111t••11■ /11111/1111 111111111111111111111 u•a1111 mousse niriwi>� ilt.N1lu1mra 1i.mmurmanumnulim owswimmumaillommism.limmilmmil•Imeiman lou■aal■m> iumauusmiluni m ismum■ liiSii iilitiIl>111•t 111•t lls •U1 /1••aLI•>fln al�ut1[t0milua U uiilil•111i1ut1i1 1 11111111t• ■I1■1i1•1L1ut1t10111.1ftlu tl[1/11[1t11•1 •lUtllt•1111t1[l l<nl•i•u■ 1111•11•11111111•111.1111111111•11111.1•111[1111/1111111:10111111111111111•101C11111•11111111N BIM RHEUM I1n111u ■ alt11 iii 11t111n a mu an Inn nalf ini iu elm tInta 1W•1/1 •m miimmismi110001• intro ft•fti0ll•Of tumor iTaii00i sagaim i Section A (General Information-) - 1 ), s / 4 ❑ Mechanically Fastened Tile £l /Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles/Shakes Re- Roofing ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION • 11 ROOF CATEGORY ❑ Prescriptive BUR -RAS 150 ROOF TYPE , lJ 1 1 1, 1 t ' 1 1 1 1 1! 1 1 I( 1 1 Z i a I I 1 1= 1 -! el, 1 1 1 1 1 1 1 1 1 rn Process No. 1 1 1 i yes o { 1 ❑ Maintenance Aj overflow s, clearly r+ 1 08/08/01 08:34 FAX 305 375 2908 BLDG. CODE COMPLIANCE -. SWEETWATER Roof Slope: 7 : 12 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: Mt ,' t Lc Notice of Acceptance Number: 0 a — 1 D--C) '. 0 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): G Pmax2: — t��a Pmax3: — c 95 0 Pmax1: `A Maximum Design Pressure (From the NOA Specific System): fflET\ -}ob cc �� inn cN rni n i Deck Type: Ridge Ventilation? / A Sloped System Description ype Undertaymen Insulation: Fire Barrier: Mean Roof Height: w ooc " Q 3Q ASinn Join "3 Fastener Type & Spacing: Adhesive Type: (1 3 - T - i YE Li ype Cap Sheet: Roof Covering: 1fnl• rdAoSLb d'i Cu,_ �? (& L Rao t= Type & Size Drip Edge: GrAC Vj�}i 1' Er7%L.. F90 A ST�I �3 x3 : /06'01 08:34 FAX 305 375 2908 _ BLDG. CODE COMPLIANCE + SWEETWATER T High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tilt systems, choosc either Method 1 or 2. Compared the values for M with the values from Mr. ff the M values arc greater than or equal to the Mr values, for each arca oldie roof, then the tile attachment method is acceptable- 5 Method 1 "Moment Based Tile Calculations Pcr RAS 127" x A. •lgc( =1 — Mg: i4 J C = M,1 (? NOA Vi ��•i xA(), 7c1= t1� —Mg: =M,- 175 NOA 5, (P) :—S I 3 ,0, —Mg: Wit)' fr I,t NOA Mr _•_s Method 2 "Simplified Tile Calculation Pcr Table Below" L(5,5 Required Moment of Resistance (M,) From Table Below u g NOA M Mean Roof Height —*- Roof Slope 4, 2:12 3:12 d :12 5:12 6:12 7:12 'Must be used in conjunction with n list of moment based 11 c systems endorsed by the Brownrd County Board of Rules and Appeals. For Uplift based the systems use Method 3. Compared the values for F' with the values for F,. If the F' values are greater than or equal to the F, values, for cach area of the roof, then the tilt attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Pcr RAS 127" NOA r WI, x1: x w:_ ) —W: xcos =F,.: X tt; ��, —W: N xcos = F, 2 : OA F" (r_ x I: ___._) — W: x Cos o_' = Fr,: NOA F' (P� , x I: x w: Description Design Pressure can Roo I (eight Roo S pc Aerodynamic Multiplier Restoring Moment due to Gravity Attachment Resistance Tile Dimensions Where to Obtain Information Symbol Where to find r P2 or P RAS 127 a• c or y an engineering analysts prepared by PL based on AS E 7 Job Sac t7 Job Site NOA Sy Pie NOA Ca cu ntctl NOA Required Moment ' cSI%I4nee Minimum Attachment kcsistance NOA 'a cu atcd Itcqutrcd Uplift Rcstatancc W cngtn NUA w — Width All calculations must • su tarot to the Rut! • ins Utltcml at rite 100c 01 ru:n(Ul oppltcaUat Q008/008- j Moment Resistance° M, Required 15 20' 25' 30' 40' 33.4 35.7 37.7 40.7 \ J 28.7 31.3 33.4 35.2 38.1 28.9 30.9 32.6 35.2 6 • 26.7 28.5 30.0 32.5 2 29.8 22_5 24.5 26.2 27.6 • 27.5 20.8 22.6 24.1 25.4 • : /06'01 08:34 FAX 305 375 2908 _ BLDG. CODE COMPLIANCE + SWEETWATER T High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tilt systems, choosc either Method 1 or 2. Compared the values for M with the values from Mr. ff the M values arc greater than or equal to the Mr values, for each arca oldie roof, then the tile attachment method is acceptable- 5 Method 1 "Moment Based Tile Calculations Pcr RAS 127" x A. •lgc( =1 — Mg: i4 J C = M,1 (? NOA Vi ��•i xA(), 7c1= t1� —Mg: =M,- 175 NOA 5, (P) :—S I 3 ,0, —Mg: Wit)' fr I,t NOA Mr _•_s Method 2 "Simplified Tile Calculation Pcr Table Below" L(5,5 Required Moment of Resistance (M,) From Table Below u g NOA M Mean Roof Height —*- Roof Slope 4, 2:12 3:12 d :12 5:12 6:12 7:12 'Must be used in conjunction with n list of moment based 11 c systems endorsed by the Brownrd County Board of Rules and Appeals. For Uplift based the systems use Method 3. Compared the values for F' with the values for F,. If the F' values are greater than or equal to the F, values, for cach area of the roof, then the tilt attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Pcr RAS 127" NOA r WI, x1: x w:_ ) —W: xcos =F,.: X tt; ��, —W: N xcos = F, 2 : OA F" (r_ x I: ___._) — W: x Cos o_' = Fr,: NOA F' (P� , x I: x w: Description Design Pressure can Roo I (eight Roo S pc Aerodynamic Multiplier Restoring Moment due to Gravity Attachment Resistance Tile Dimensions Where to Obtain Information Symbol Where to find r P2 or P RAS 127 a• c or y an engineering analysts prepared by PL based on AS E 7 Job Sac t7 Job Site NOA Sy Pie NOA Ca cu ntctl NOA Required Moment ' cSI%I4nee Minimum Attachment kcsistance NOA 'a cu atcd Itcqutrcd Uplift Rcstatancc W cngtn NUA w — Width All calculations must • su tarot to the Rut! • ins Utltcml at rite 100c 01 ru:n(Ul oppltcaUat Q008/008- j SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNER NO I1FICATION FOR ROOFING CONSIDERATION 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 box adjacent indicates that the item has been explained. /14' 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. i e 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 Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (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 architectuil 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 performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. j! 6. Overflow Scuppers (Wall Outlets): It is required that rainwater flows 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 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 shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agents S gnature Date / dd orfa3 ctor's Signature MIA M P f_ • i 71f j PRODUCT CONTROL T_ OT i 1 F tt,t,:_c:CEPTANCiff Polyfosan Products, s, l ne. 2461 Spvirag-Stleekter Romei1 spring ,TX 77383-1 13 D The expense of such testing will he incurred by the rot ACCEPTANCE NO.: 18:4521,4 2 EXPIRES: 4)5 /1 t) /24M)6 MIAl<21t -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING Y3'k) ifl BNG CODE COMFLCANCE OFFICE METRO -DALE FLAGLER BUILDING 1 .1:) WEST FLAGLER S I i2EET. SU9. IL 1603 41TARFiI, FLORIDA 33130 -1563 (305) 375 -"2901 FAX (305) 375 -2908 comritAC"I'Oa LICENSING SEC I1LOy (305) 375 - x527 1- (305) 375 -2558 ONT AC OR ENFORCEMIFN I BlvISI s 4 (305) 375-2966 FAX (305) 375 -2408 rMd &,CT C O1 'ROL D.1V$S!ON (305) 375 -2912 FAX (305) 377. -6339 Your application. for Notice of Acceptance (NOA) of Two Component P olynretluene FOEI Adknesi e under Chapter 8 of the Cady: of Miami -Dade County governing the use of Alternate Msaf si i1s and Types of Construction, and completely described herein, has been reeonnmertle.i for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) wider the conditior1s <,;eciflec3 herein. This NOA shall not be valid after the e)Cpi3 date stated below. BCC() reserves the right to secure this product ox material at any time from a jobsite os manufacturer's plant 4<,,r quality control testing. rf this product or )material falls to, perform in the ,p px"o .d manner, BCCO ,sa ,evoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke t its approval, deternnined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Rau) Rodriguez THIS T� 77++�� f 7� �.� I� {� � q C �+ �-,+ Chief Product Control I3ivi:siuta ') IS 4s .n CQ i' ET, SEE fl '» :1<6�IC?�AIt I( AGN 3 FOR sp Ecr�a1I'�'� _ q (�{ ,� P-411 CONDITIONS FriMIDINc COPE & PRODUCT REVIEW W COKI ;T.�� "'t E 'This application for Product Approval has been reviewed by the BCC41 ancI approved by the Building Code and Product Review Committee to be used in Miami- facie• County, °" orida wider the conditions set t"c.)rtlr Ft ove. APPROVED: Qfs A�1f2ID$E'� '. \b045000I Spc2000lItenipiar:>s \notice accepr,.utco paver tiage.dot: i mail adttreas: post r)1 a. stei '@Ita1>fllthigeticiconlias .cc >cal l.acist;c T. Quintana, u.. r.. Director ,. r - i : ' I rni -Dade Co;stu y i? zidcling Coiiy Compliance °filet: i•Ski:;GRTIN6 ASS-OW:131;V Roof S b - Cag, Roof Tile A dbesive Poiyuleeihane SCG4T, This approves Pot;ypr Alii160 as manufactured by lf• _.iroducts, hie, as described in 'Section 2 ofthis Notice of Acceptance. For the where the desip pressure requirements,. as determined by applicable buildii4:,■, cc. does not exceed the design pressure values ohisainexi by calculations in compliance V.11 Roofing Applicatioil Standard RAS 127, far use with .approved fiat, low, and high pri1e of t il es system using POryp0 An 160. Where the ataclunent calculations are cIo s a moment based system for single patty placerncrnt, and as an uplift based system for druii patty systems 1 PRODUCT Diff,SCIRUPILLIAN Mani.3 by Product Polyprog AH.I 60 karqicant NIA PA 101 Two component polyurethane D vett sin,g Fin p En e ni Foamprocg> RTF 1000 proPtxkaz) 30 & 100 2.1 Coiziw:;7:evits priT - :fiLets i ataers.1 Miami County Product Controi Accepted Roof Tile having a current NO.' v, Hs i. uplift ref....:ista_nce values with the use of Polypro A1 rc the adhesive. Typi!ewi rysa RE Properly 'fest 1)ensity ASTM D 1632 Compressive, f&STM D 16 Strength 'Tensile Strength ASTiviD 1623 Water Abso.z .A.STNI: 2127 tvioisnire Vapor AtiSeilvf. E 96 Transmission Dimerisionai ASTivf. D 2126 Stability 1.6 18 PST - Parallel ; rise 12 PST Perpendicular ts Hse 2 8 PSI 1.)nrIle1 to rise 0.01 Lbs./E 1.1 Perm / Inch Apprt i-•;1 Date: June 14. 2001 yx Date7.141:14.v 2006 4 -6.0% Volume Change (.7 +-0.0% Volume - -40 F.. 2 a? TEimidit' 2 weeks „, • Dispensing 1 ix Tuioaga, itRC Control Exarninftr , -: Note: T hysical peopefriies itj atl-ave are prer:eted s typh values as determined by occepted 21"d ,tire vriciation. 1 `.4 17, I i ITAII011.12 Fire classification is not part of this acceptance. Refer ; The Prepared Roof Tile Assembly for fire rating Polypro® ..es-kfil 60 shii solely be- used with flat, low, -t:?.1 tile profiles. 3,3 Miaircium undera3rments shall be in. compliance with Rooiq Application Staridarrl RAS 120. - Roof Tile. manu.factures acquiring acce; 7 tance for the u. of .Polypro® A F11.60 ro tile adhesive; with their the assemblies shall test in accorance with P.A. i 0 3.5 Roof Tile manufactures acquiring acceptance for two p:;. placement with the use of 60 roof tile adhesive with her ti assembhes shall - test in accordance with Pi; 101 and with section 10.4 as moc;iZt herein_ ‘2/ tvi 4 . "J:NSTALIATION Polypro® AT ri be used with any roof tile assembly .!:--rving a current INTOA that lists uplift re-sis values with the use of Polyproe- AH1-60. 4.2 Porypro® A11160 shall be applied in compliance with the -Component Application section and the corresponding Meer Details noted hern. The roof tile assembly's adhesive attachtne with the use of Polyproe shall provide sufficient attachment resistance, expressed as an uplift basec_. .:ystetn, to meet or exceeti the uplift resistance determined in coiripliantg: with Miarni-S.11e County Roofing 4plicabon Stanclas RAS 27. The adhesive attachment data is noted in the roof assemblyNOA .3 Polypre.OD AH160 roof tile adhesive and its components le installed in accordance with Roofing .Application Standard RAS 7.20, Polyfoani Products, Inc. Polypro0 AH160 Operating instruction and Maintenarice73cok-let. 4.4 Installation must be by a Factory Trained 'Qualified Applica approved and licensed by Polyfoarn Products In Polyfoam Products inc shall a list of approved applicators to the authority havina jurisdiction. 4..5 Calibration of - the Fowl:pro® dispensing., equipment is .17 beftwe application of any adhesive. The mix ratio between the "A" component ay::.; ;he "1 component shall he maintainetil..)etween 1.0-1.15 (A) 1.0 (B). The dispens-F. mer shall be. set to deliver 0.0175 to 0. J 5 pounds per the determined at No other .3cttinF..:s shall he approved. po1yDroa0 All I 60 be aDplieo with Peampro RTF /000 .. 30 S.. J00 dispensing equipment 4.7 Polynro® .11:R160 shall not be exposed permanently to sunit, . • • • • . P, RC (:orltrol Tiles must be ath' in freshly applied adhesive. Tile inc. minutes after Polyprofa AH160 has been. dispensed. 4.9 P<Ilypro0 AH5O placeinew and ri2i patty weight the 'Placement Details' herein. each g ene/ G tile profiie noted herein. It: ..45 Pl For Each Generic It -: Profile _ -1 ! TifeProfik.. --! 1 PL 1 Singie Paddy Wei,..,, I Two Paddy Weight' : per pAddy Min. ; I FJ-t I-c FT_Ht Frofilcs /High Profile (2 f-'iecc.; Barroi, I 1: 1 I 7e on cap ano N/A _ 1 Profiles 2 74 N/A LorLfligh Profiles fr 5. LAITAIANG. ! Ai Potypia.)C.') _A:1:1160 . ;:_ - intairiers shall comply with the Standai,i Conditions listed herein 6, ULDThG 15.3. As required by tile. Building 01 ( 2: e ;:4iijrzg Code in order properly evaluate the installaion of this syster . bf:: set within 2 to 3 fl be in accordance \ 1;31.1-es the specific placement RAC Control E-A:arrane- f ;C;U If1 77/1 t.' - 7 .',- ....--'-',. 1 tkilik:14wr ., --- ., - f k' • : •: . .t:„. ,. •,.,. „,, \ t 4 1 ...„, t '..• , ' :.'.'-':/;:' ,., ...-- ---- 11 71:4 LACqf',43*,`NT SiNGL.J: ',.•••■• _ ‘kL / I. • • \ I ;1 1 , i i I - " ) ....7 • .. S 1,1 , . ".• '''.;:...:-:,•;?:: \ -`,.. '... \ ,-,:::.‘-:,,:;: . i •-, `-• , . :: ` :', - -•';' :$ ' N ''' --'1°- '''' i F......e --•••• • , -7< .,- / 1 : ' i , 1 CC. ■'‘' ' ,'-- ... -,- ,,,,..' -,.." ,...../ ,,, \ i", c-F- - .-. 4 11.11 - P4 /.0 .: 1 41.D.t4:ti % ev.•,• , .,-,•-• ,--- .• ' ..„..- I__ -T„I•47L•' . — . —..._.--- ...---„..1. • . • , pu; • a I ii;t47" 17 - : , •'-: a 4. 6. ... 6 . , Pr'•••Tt': .. 1 ...., 1. 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Fr. ,......'-_ -., . i- - ., ■'. •,, '''' >1.- ."....''. ,- ! • , -... -:-,...- :.',, , , 7,......,, e 0 ,„;,-•'..---'-' .,...--- % . Er • • 7 , ; !."0 • , Polyfirma_.2 c. i i r-1,7511 t • 3E411! .,..I . ‘"N.„. P-a:dy 1' • i N. N. - 01.e..V,TEM J t s.. ... ..,.., , i! -\,.. ?, , 7 ,- , i Sin p:„.:d1.• irE ti:!.. -... / i.:_,:,:t.ii.r.,- f ; .-... • - "7, .'''' 'N ■...,:>‹,,.. i r, s, / 11 1 , • ,..-::.=-• ""•,,,:■-.., . ......-,,,,, ' f * , .......... --, . ,... - ..-- • -,„ , / 'N ., -, r:.4)• ,', r5dcy --..-•,:„.-..-.'" - . . / '...., N.:- C. • `....4.,.... s' ' . , / / N , i ..., ,. .. / ...„..,..--",,,, ., . . 1 61 } ... .., , .. . t i ,f/ / • • :,: / ',,, a ,....., .,.. - ''/".'■■'''. - / I i V,Iitt. 1 Sli 1 5gla per o:: r ...‹- ,..) .,.. ' 4 in. -, - \,•-••••-. L , - ,„:1 I • .. „. ,.., , ,, ,, , ; .„- ,23- •:..:;; - - i 4.7 -:'• ..-•.„.....-, , 2fri. ., .„. olr..„ I , 4 -3--;7 ' . 4 : :.:c.dr y on ,,,,....„'!...,-H" •,-;„:•- :r4,.;,...„ iaymerit ,, / -... -,.. \,.. ....--- 7 / ',,, LiyaW111. "•-,,N■'''s,---:;.- . '----,. ...!' 1 - * r. ,.... ''' i . -,.. ----- '..'•-,•:; ,, i ;;.-. -: 1 f on fop of '' fr a r , :,-„.:, „ • 2 in. •:', •:'-'- , - - ' „_.,. .. . .,- .:,, .„,„-- .....„,..-„,- ■.,, „ ,, • • - IN : 0f527 ADIFIESiVE Hall hroiig ce 1 „ •N't I on . • • . ' • ;r5nt1I • . ::. -,... ‘„,-,_„: ir • -..., • -. ..■,, • • • 1 . 1 • v, FCC Oorltrol Exanijn P0 Renewal of this Acceptance (approval) shall be coilsiderocl after a. n:•. applicabon has been filed and the original stib.r.aitted dociurnents, including test-sietyporting ....nneering documents. are no - .der than eight 4:8) years. Z. Any and all approved product, pernia labeled N44 nainc. c state, and the lowing staternent: liDade County f'tur.;:-.: Control Approval" or specifically sta ted in the specific conditions of this Renewals of Acceptance will not be considered if: a. There has been a change in the South florida 1.3uilding Code l the evaluation of this product and the prilict is. not in conipliauce with the cede b. The product is tic longer the startle product (identical) as the ort iinaJy approved. c. If the Ai...cept.tuace holder lias complied with all the TC,C , i, - srricitts of this acceptance including the correa installation of the product. Tice cup,ineer who originally prepared, signed and sealed the d documentation initially submitted, is no longer practicing the criEdneering professimi. 4. Any revision or cilia:rage in the materal. , U,SC., andfor runaulactoze cre product or process shall automatically be cause for terrninabtin of this Acceptance, miless wrid.en approval has been requested (through the filing of a rei.ision application with appropr=. fee) and granted by this office. i'uly of the following shall also 'oe grounds ibr removal of this A.cceptiti, :). a_ Unsatisfactory per of this product or p.rocess. b. Misuse of this Acceptance as ar; ericiOnicaleat of any product., other purposes. The Notice .Aoceptance number precalect by the words itliami-Dade by The expiration date may be displayed in advertising literaiarre. Acceptance is displayed, then it shall be done in its entirety. 7. A be copy of this Acceprwice as well as appro dray.ings and other docgii.-2 pre to the user by the man uf ia:turer or its disixibutors and shall the job site at all vitae. The e*ncer. need riot rcal the copies. . Failure to (imply with any section of this Acceptance shall be •Acceptance. 9. TIns Notice of Acceptance consists o.lpages trough CCE:a'TAINC:E adverasing, or any •inty, Florida, and .followeci liortiori of die Notice of _kits, where it applies, shalt available fbr inspection at •rniination and removal (4 RRC T.oritro: Exartair:t.:( Ok l'4.42ti_TPliet;IN:Cl'_:;,.:: El. l'ESTS: T'est A.P•eilev ,__:.,;-:::: ii.ilt:Ai;i1 Tr:-_-st Ns.,:tilier--,:lort Date Cerra:4 fbr App .1:iitd g94-060 1 Dade Prat PA 101 04/08/91 Enidnetring Center tbr Applied 2:1781.S-1PA rviiatni Dade Proto -! PA 101 i 2/1t1/9( Engineering Centel fa: Apr)d 25-7=138-3 SST 1) 11-!....: 10/2_5/95 Engine-ern-kg 35-743-4 Con!er fOr App/id 25-7437 Engineering: Cu- for App 25-792 Engineering Miles 7..a.tairaories t4i1.5-589-63 lviriers Division Laboratories, 1n 963 7-9;' Southwest Research institute i -67434311 slouthwest Rcsearch Institute 01-5739-0626j 1 ! 7 0.50.0 2 .96-1 Celdtem Corp. TC:Sii1152: Services: 52845=1-9-1 *i f.14 C:oqi. Testing Services DR.A.AVINGS7 Eva' . st..3B1 (r F. OT-IL Afot pan' ofNj :520109-) 5201092 320109-'3 5"; i20109-7 ssTo 31107/933 SSTD 32i1 )19f) A S TM D 02/01/94 AsTm F it,: 04/30/Q.1 ASM E i0 k 11/16/94 ASTM 8, 01/16/PS PA 114 h Dadt 1? A 101 10/23/9N Miami Dadc Protocol • 01 12128/98 320191-1 PR.-At:Ica! 1 • .52C:109-2-3 _ 9 ALIOaQ•. Control Examiner ?oivioala NOTICE OF ACC.LEPTAIICE: E. STATEMEN Nc..;rify. ACC:;:', Ador7 EVEDE.?,iNCE STIAMITT■?1) (For File ONLY. 64,2tpan' of:646,44 C. CALCULATIONS: .,'Waiker Etiineeriag, c Evati:11,:: Tes6. , 94/0 7/99 D. MATERITA.L CIERT.MICAIONS: No-417. fc Prol; RRC Prcd.g Ganirol Examiner BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier. Lifeti1 , LLC 135 NW 20' Street Boer Raton, FL 33431 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 area 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 thelJ 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTIION: Milli, Roil, and Capri 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 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. JNSPECTIONI 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 consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloag , RRC MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 6,03 MIAMI, FLORIDA 33130 (305) 375 - 2901 FAX (305) 375 - 2908 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 0pprovaf Date: 01 /02/03 Page 1 ot7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub- Category: Material: 1. 2. PRODUCT DESCRIPTION Manufactured by Monier Lifetile LLC 1= 16Ia" Villa & Roll w = 13" %" thick Monier Lifeitile LLC L = 17" Capri Tile W= 12 '4" Yz" thick Trim Pieces SCOPE This renews a system using Monier Lifetile Villa, Roil, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. or 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. 2.1 SUBMITTED EVIDENCE: Teat Agencv Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied En ! : ering, Inc. Low Profile Roofing Tiles Concrete 1 = varies w = varies varying thickness Test dentifer 7161 -03 Appendix III 7161 -03 Appendix II PO402 94 -060B 94 -084 Test Soecfficatlons PA 112 PA 112 PA 112 Product Description 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. 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 him, concrete roof pieces tor use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test. Narne/lR sport Date Static Uplift Testing Dec. 1991 PA 102 & PA 102(A) Wind Tunnel Testing Dec. 1991 PA 108 (Nail -On) Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails Static Uplift Testing March, 1994 PA 101 (Adhesive Set) Static Uplift T esting May 1994 PA 103 (Mortar Set) NOA No.: 02-1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 2 of 7 Test Agency aedland Technologies Redland Technologies Professional Service Industries, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. "file Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Cel°tea Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Teat identilfier P0631 -01 Letter Dated Aug. 1, 1994 224 -47099 25- 7094 -1 25- 7094 -7 25- 7094 -4 Project No. 307025 Test UMDC -76t_ 25- 7183 -1 25- 7183 -2 25- 7214 -2 25- 7214 -6 528454 -2 -I 520109 -2 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Walker Engineering, Inc. Evaluation Calculations Evaluation Calculations Teat Nana emort Wind Tunnel Testing PA 108 (Mortar Set) Wind Tunnel Testing PA 108 (Nail-On) Physical Properties PA 112 Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction)D Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover /Rerool) Wind Driven Rain PA 100 Static Uplift Testing PA 102 (2 Qui k-Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quite 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- 7848 -6 Aerodynamic Multipliers Two Patty Adhesive Set System Dnte July 1994 Aug. 1994 Sept. 1994 Oct_ 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1998 Dec. 1998 March 1999 March 1995 February 1996 April 1996 December 1996 April 1999 April 1999 NOA No.: 02- 1205.05 Expdretion Date: 12/16/07 Approval Date: 0I/E12103 Page 3 of 7 Table 3: Restoring Moments due to Gravity -1i (ft -lbf) Tile Probate 3 ":12" 4:12° 5'° :12° 6 ":12° T ":12" greater Battens or Direct Deck Monier Lifetile Villa, Roll, and Capri Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 5.57 6.30 5.48 6.18 5.37 l 6.05 5.24 5.90 5.09 5.73 Table 1: Average Weight (W) and Dimensions (l x ti ) Tile Profile Weight - W (Ibf) Length - I (ft) Width - w (ft) Monier Lifetile Villa and Roll Tile 9.1 1.33 1.08 Monier Lifetite Capri Tile 9.51 1.42 1.03 Table 2: Aerodynamic Multipliers - X f) Tile Profile X, (r) Batten Application 0.267 >L (ft Direst Deck Application 0.289 Monier Lifetile Villa. Roll and Capri Tile 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test: shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the 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. 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall he installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 4of7 Tale 5: Attachment Resistance Expressed as a Moment Mr (tit -tbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Ufaga Villa. Roll, and Capri Tile Adhesive 26.I 2 See manufactures component approval for installation requirements. Average weight per patty 11.4 grams. per part rL8 grams. 3 Fiexiblm Products Company Tile/ond I Poiyfoam Product, Inc. Average weight Table 5A: Attachment Resistance Expressed as a Moment - Ati (ft -Ibt) for Single Patty Adhesive Set Symms Tile Profile _ Tile Application Minimum Atchment Resistance Monier Lifetiie Villa, Roll, and Capri Tile Pafyfoam PolyProTll 65.61" Polyfoam PoiyProt*" - 45. -' 4 Large paddy placement of 54grems of PoyPro"^. 5 Medium paddy placement of 249rsms of PotyPro "". Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monte Lifetlle Villa, Roll, and Capri Tike 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -i0d Smooth or Screw Shank Nall 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 -1 Smooth or Screw Shank Nail (Field Clip) 24.3 19.0 35.5 24.3 19.0 35.5 24.2 22.1 34.8 1 -10d Smooth or Screw Shank Nall (Eave Clipj_ 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 43.0 67.5 50.9 Installation with a 4" tile headlap and fastemers are located a nun. of 2W from head of tile. Table S: Attachment Resistance Expressed as a Moment - WI, (ft-1 •• v♦ r • , u v v v ., r- v • • v v . ,• a. v NOA No.: 02- 1205.05 Lapirctiisn Date: 12/16/07 Approval Date: 01/02/03 Page 5 of 7 Table 313: Attechenerea R , ° - x l o t epee IFsrrrees d r- s ^, " rrnment . l'49, (ft -Ilbf) gFT 11 - 17 , twitro. Set Systems The Profile Monier Lifetife Villa, Fall, and Capri Tile 5. LABELING All tiles snail bear the imprint or identifiable marking of the manufacturer's name or logo or following statement "Miami -Dade County Product Control A7provecl ". 6. BUILDING PERMIT REQUIREIMNTS 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. TROFILIT, DRAWINGS Title Aittectionenit Mortar Set 20.60 1 1$J'!! O 4 2 ILI ETIL 6; VILLA CONCRETE ROOF T I1LE 17 r NtA P? o.: 02-1205.03 5.03 PdApirntion Date: 12/I6107 Apprevat Date: 0J82 /03 Page 6 of 7 MONIER LIFETILE ROLL CONCRETE ROOF TILE MONIER LfFETILE CAPRI CONCRETE I 005' TILE ENI) OF THIS ACCEPTANCE up/ 11 /LUU3 U :30 HM Y.1 NOA No.: 02-1205.05 Exp*rattoa Date: 12/16/07 Approval Date: 01 /02/03 Page 7 of 7 Branch Nam Branch Number: Installation Address: Purcbaser(s): Driver's Lic Home Address: 4 . 12— '" Job q: /(O,3 (If different from Installation Address) Date: CONTRACT AMOUNT *LESS DEPOSIT BALANCE DUE ON COMPLETION *Minimum 25% of Contract Amount due upon execution of this contract. Indicate Payment Method For BAL DUE OP9COM /LETION: 79 1 ' /17J'o e14 HOME IMPROVEMENT CONTRACT City 0 /z 7 /47 FL Lic # City [ /y�j1�J�J == =1 Zip te Project Information: I /We /You ( "Purchaser "), the owners of the property located at the above installation address, offer to contract with Home Depot U.S.A., Inc. (" n e D ot") to fur ish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet #: n , incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if, upon re- inspection of the job, Home Depot det cannot perform its obligations due to a structural problem with the home or because work required to co was not included in the contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and /or credit approv 1. Check, Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). 2. Credit Card* and /or Cher payment options - Circle One B.Iow Visa MasterCar Discover American Express The Home Depot Home Impro ement Loan The I -tome Depot Credit Card Available Credit: $ ( IIIL & IIDC'C ONLY) eR 6 005 State Accttf: ■ Exp. Date: Name as it appears on carder -` '\ Cardholder's Signature Sold, Furnished and Installed by: THD At -Home Services, Inc. d/b /a The Home Depot At -Horne Services 1250 Linton Blvd, Delray Beach, FL 33444 42- 1567; Fax: (561) 742 -1568 6 9 ,q -,i Q1 CC 1325818 Date Zip ines tha lete the j -4 0 0 0 *By my /our sikriire below, I /we agree tp allow Home Depot to charge the above referenced credit card for the deposit indicated. Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certifica e and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled -in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY /OUR SIGNATURE BELOW, I /WE AGREE TO BE BOUND BY THE TERMS OF TI -IIS CONTRACT. I /WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF TI -IE NOTICE OF CANCELLATION. BY MY /OUR SIGNATURE BE4 dW, CREDIT HISTORY AND I /,WE AU1 CREDIT RECORD WIT AN I 'P INCURRED FROM IN SUBMITTED BY: ACCEPTED BY: 5 -14 -04 C -SC Homeowner E UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR RIZE HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY /OUR E ENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY OR ERRORS: Date: Date: Date: - 9/g/qc - NOTICE: ADDITIONAL, TERMS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDI? AND ARE PART OF Tins CONTRACT White — Branch File Yellow — Customer Pink — Sales Consultant HIL or HDCC Authorization Codes Deposit Final Payment # # () Branch Nam Branch Number: Installation Address: Purcbaser(s): Driver's Lic Home Address: 4 . 12— '" Job q: /(O,3 (If different from Installation Address) Date: CONTRACT AMOUNT *LESS DEPOSIT BALANCE DUE ON COMPLETION *Minimum 25% of Contract Amount due upon execution of this contract. Indicate Payment Method For BAL DUE OP9COM /LETION: 79 1 ' /17J'o e14 HOME IMPROVEMENT CONTRACT City 0 /z 7 /47 FL Lic # City [ /y�j1�J�J == =1 Zip te Project Information: I /We /You ( "Purchaser "), the owners of the property located at the above installation address, offer to contract with Home Depot U.S.A., Inc. (" n e D ot") to fur ish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet #: n , incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if, upon re- inspection of the job, Home Depot det cannot perform its obligations due to a structural problem with the home or because work required to co was not included in the contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and /or credit approv 1. Check, Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). 2. Credit Card* and /or Cher payment options - Circle One B.Iow Visa MasterCar Discover American Express The Home Depot Home Impro ement Loan The I -tome Depot Credit Card Available Credit: $ ( IIIL & IIDC'C ONLY) eR 6 005 State Accttf: ■ Exp. Date: Name as it appears on carder -` '\ Cardholder's Signature Sold, Furnished and Installed by: THD At -Home Services, Inc. d/b /a The Home Depot At -Horne Services 1250 Linton Blvd, Delray Beach, FL 33444 42- 1567; Fax: (561) 742 -1568 6 9 ,q -,i Q1 CC 1325818 Date Zip ines tha lete the j -4 0 0 0 *By my /our sikriire below, I /we agree tp allow Home Depot to charge the above referenced credit card for the deposit indicated. Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certifica e and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled -in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY /OUR SIGNATURE BELOW, I /WE AGREE TO BE BOUND BY THE TERMS OF TI -IIS CONTRACT. I /WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF TI -IE NOTICE OF CANCELLATION. BY MY /OUR SIGNATURE BE4 dW, CREDIT HISTORY AND I /,WE AU1 CREDIT RECORD WIT AN I 'P INCURRED FROM IN SUBMITTED BY: ACCEPTED BY: 5 -14 -04 C -SC Homeowner E UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR RIZE HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY /OUR E ENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY OR ERRORS: Date: Date: Date: - 9/g/qc - NOTICE: ADDITIONAL, TERMS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDI? AND ARE PART OF Tins CONTRACT White — Branch File Yellow — Customer Pink — Sales Consultant HIL or HDCC Authorization Codes Deposit Final Payment # # Branch Nam Branch Number: Installation Address: Purcbaser(s): Driver's Lic Home Address: 4 . 12— '" Job q: /(O,3 (If different from Installation Address) Date: CONTRACT AMOUNT *LESS DEPOSIT BALANCE DUE ON COMPLETION *Minimum 25% of Contract Amount due upon execution of this contract. Indicate Payment Method For BAL DUE OP9COM /LETION: 79 1 ' /17J'o e14 HOME IMPROVEMENT CONTRACT City 0 /z 7 /47 FL Lic # City [ /y�j1�J�J == =1 Zip te Project Information: I /We /You ( "Purchaser "), the owners of the property located at the above installation address, offer to contract with Home Depot U.S.A., Inc. (" n e D ot") to fur ish, deliver and arrange for the installation of all materials as described on the attached Spec Sheet #: n , incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if, upon re- inspection of the job, Home Depot det cannot perform its obligations due to a structural problem with the home or because work required to co was not included in the contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and /or credit approv 1. Check, Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). 2. Credit Card* and /or Cher payment options - Circle One B.Iow Visa MasterCar Discover American Express The Home Depot Home Impro ement Loan The I -tome Depot Credit Card Available Credit: $ ( IIIL & IIDC'C ONLY) eR 6 005 State Accttf: ■ Exp. Date: Name as it appears on carder -` '\ Cardholder's Signature Sold, Furnished and Installed by: THD At -Home Services, Inc. d/b /a The Home Depot At -Horne Services 1250 Linton Blvd, Delray Beach, FL 33444 42- 1567; Fax: (561) 742 -1568 6 9 ,q -,i Q1 CC 1325818 Date Zip ines tha lete the j -4 0 0 0 *By my /our sikriire below, I /we agree tp allow Home Depot to charge the above referenced credit card for the deposit indicated. Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certifica e and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled -in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY /OUR SIGNATURE BELOW, I /WE AGREE TO BE BOUND BY THE TERMS OF TI -IIS CONTRACT. I /WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF TI -IE NOTICE OF CANCELLATION. BY MY /OUR SIGNATURE BE4 dW, CREDIT HISTORY AND I /,WE AU1 CREDIT RECORD WIT AN I 'P INCURRED FROM IN SUBMITTED BY: ACCEPTED BY: 5 -14 -04 C -SC Homeowner E UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR RIZE HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY /OUR E ENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY OR ERRORS: Date: Date: Date: - 9/g/qc - NOTICE: ADDITIONAL, TERMS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDI? AND ARE PART OF Tins CONTRACT White — Branch File Yellow — Customer Pink — Sales Consultant