Loading...
RF-10-1085BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): 364 r S M / fr. Address: / a 76 /10 ')3 5°f Is the Building Historically Designated: Yes Contact Phone #: Value of Work for this Perm Type of Work: vAdde- Description o Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 IVEUEIIWZn JUL Y 9 201Q BY: Permit No. ( I 0 10 ac Master Permit No. Phone #: TOTAL FEE NOW DUE $ 4' 0 City: i-t1 a dl? / j7 U °' ' J State: (1,_ Zip: 3 iL: 8 Tenant/Lessee Name: Phone #: 75 I I S'''. O , 0 ')` Email: JOB ADDRESS: / Z 7 & ° ck5 , S+ City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: NO ' Flood Zone: CONTRACTOR: Company Name: /44I nun.] r JT k l Potl6-8- Phone #: 0 S 2i? 3i Address: 7A Li ( LO 1� � I,GI 51 City: i' an& I State: Zip 3 3/5-S Qualifier Name: Phone #: State Certification or Registration #: ( S ° Certificate of Competency #: 3 US g e � 3CD 2.6 Email Address: A. Vi\,l ). �'l)e DESIGNER: Architect/Engineer: �,^ '' jPhone #: Square/Linear Footage of Work: 00f t • ONew t T Tpair/Replace ❑Demolition 00 � L,,, n v� 1` S ° 1 `k) COLOR THROUGH RO F TILE IS REQUIRED acknowledged by: n irir+ r ,t�lNtle*** * *** *9t�k�'r**** *9e� *** *,t,tii�ir�k*** e **** �Y** *3edt** ** *tr+Uir*** * *3t****ik�i ****�t,tlr�h**** ** Submittal Fee $ (('�� Permit Fee $ CCF $ CO /CC $ Scanning Fee $ `1'00 Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ C /Aofd,.P -0/7 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 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 ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Owner or Ag / 9 111 The foregoing instrument was acknowledged before me this /� The foregoin, instrument was acknowle ed before me this day of ,20br C.1by f l 1p /j( (at o , day of / ,20 by i . . who is rsoivn to me or who has produced who is p sonally cn to me or who has produced Sign: Print: NOTARY PU ' C: My Commission Expires: APPROVED BY As identification and who did take an oath. .••fir% ••, Colette largo • . MISS.ON#DD944979 EXPIRES: DEC. 08, 2013 , ONNOTAR+tcam 1 (Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09Xrev6/4/10) Si 0 Plans Examiner Structural Review Sign: Print: Con as identification and who did take an oath. NOTARY PUBLI.:4 ?''• Co?. - p Largo r e ! 1 COM M ION DD944979 'Ail EXPIR : DE �. 08, 2013 oVi` ° WWW :' 0sNOTAR cam My Commission Expires: or Zoning Clerk High Velocity Hurricane Zone uniform Permit Appiication Form 1 Section A (General information) ter Permit No. Process No. '15° Contractor's Name I v A A L._ \I . b Address I )..7 O Low Slope O Asphaltic Shingles ROOF CATEGORY • Mechanically Fastened Tile O Metal Panel /Shingles . . • - • • • • • • • • • • • • • • • • • • •• • • .._ •_ .._- ..••.• • . • • Mortar ood Shingles /Shakes 0 Prescriptive BUR -RAS 150 ROOF TYPE New . Roof XRe-R°Grilig 0 Recovering 0 Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Sloe Roof Area (SF) Steep Stoped Roof Area (SF) Total (SF) 90 90szvi Section B (Roof Plan) Sketch Roof Rae: Illustrate all levers and sections, roof i - i • ; scuppers, overflow scuppers and overflow drains. include a 46.4. s and levels, clearly identify dimensions of elevated pressure z °' ; «: apets. Roof System Manufacturer: 1•-1 `, t•S It �l. L E Notice of Acceptance :umber: 0 9 "' n )8 , Q), Minimum Design Wind Pressures, if Applicable. (From RAS 127 or Calculations): Pritaxi. 5. ( Pi x21 a, P tax3: 1 x um' Pnmsure (From the NOA. Specific System): Z 1 G N.L\f c. WC I� P Roof Slope: 3 : 12 1 1-fgh Very Hurricane Zone tini€orni Permit Application Form Ridge Ventilation? Section D (Steep Sloped Roof System Deck Type: I Mean Roof Height • l ` . Sloped System Description ga ype Undertayment: lnsula►tion: u ' ` Fire Barrier: t/ Fastener Type & Spacing: AdhesYve Type: • . Ype Cap Sheol~ F . c . 1 as .5 Roof lVoverinOt � p A \ Vj \\ SE-A Type & Size Drip • )F-L2 Neitv■ kfo Where to Obtain Information mean R2ooE.l .. _ -i Roof Slope 4, 15' 20' 25 . 30' 40' Description Spnrhro€ 33.4 35.7 37.7 40.7 Where to find 28.7 31.3 33.4 Design Pressure ," PI or P2or ;P.3 RAS1rt7 Tablet orbyancc 7 26.6 ysis racpzecti byt'1:baednnASO Akan Roo/Might. Roo/Might. It !ob tc 5:12 24.5 26.7 28.5 30.0 32.5 612 22.5 24.5 26.2 Roof Mope d. lob Site 20 '^ • 22,6 . 24.1 25.4 27.5 Aerodynamic Multiplier I. WM Restoring Monson due to Gravity bl NOA • Meekness Resistance Mr NOA • •._ -_ - • a Required Moment Resistance M. Colrnl,t.d •• • _ _ _ • • • • • Minimum . Resistance .? - .�.A . Required Uplift Resistac _ F., E+tnat,ewl Average l Weight W NOA Me Dimensions , Pe length w., width • • • ••• • • • • ••• • • • • • • • • • • • • All calculations t be tam o f • Mr Required Moment Resistances mean R2ooE.l .. _ -i Roof Slope 4, 15' 20' 25 . 30' 40' 2:12 34.7 33.4 35.7 37.7 40.7 3:12 28.7 31.3 33.4 35.2 38.1 4:12 26.6 28.9 30.9 32.6 35.2 5:12 24.5 26.7 28.5 30.0 32.5 612 22.5 24.5 26.2 27.6 29.8 • 7:12 20 '^ • 22,6 . 24.1 25.4 27.5 High Velocity Hie Zone Uniform Permit Appfic3tion Form 1 Section E (Tile Calculations) For Mint based tile systems, choose either Method 1 or 2. Compared the values for M the values- from M If the M are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method (P t t x h o3 ( ;ca A. - - , D fir _ Mg: (Ps :fiG x& t Ti : Calculations Per RAS 127" = M 5. 619 NOA M�� 6 B C D NOA M 'a S a' r- 1 0 M a:33 NOA Mt Method 2 "'Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr } Mtn be used in conjunction isitb a fist of moment based tile systems endorsed by the Broward County Board of Rules and appeal For Uplift based tile systems use Metluid 3. Compared the value for F with the values for F. If the F values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift ! Based Tile Calculations Per I S- 127" (P : x l: = x sr: = ) - cos a• a F • NOA F' (Pt: x l: = x w: = . ) -W: x cos D-. = F, NOA F' (P : x L = x w: = ) - Wz x cos R = Fa: NOA P • • ••• • • • • • • • • • • • • • •• • • • • •• • • • •• •• • • ••• • • • • • • • • • • • • • • •• •• • • • • MWAM COUNT' DUII.DINC CODE COMPLIANCE O1flcE ( O) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTM CE (NOA Hanson Roof Tile 13411 SW 34 Ave Deerfield Beach, FL 33442 Scorn: This NOA is being issued unclothe applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Muni-Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA.) to be used in Miami Dade County and other areas where allowed blithe Authority Having Jurisdiction (A111). This NOA shall not be valid after the expiration data stated below. The Mimi -Dade County Product Control Division. (In Mani 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 materiel fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AEI may immediately revoke, modify, or suspend the use of such product or materanl within their jurisdictionG. BORA reserves the right to revoke this acceptance, if it is determine[ by Mimi -]lade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the I311h Velocity Hurricane Zone of the Florida. Building Code. DESCRIPTION; won Regal/Spanish "S" II Eoof Tito LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, and following statement: "Ivrtammi -Dade County Product Control Approved ". unless otherwise noted herein. - R,WAL 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 inhere has been a revision or change in the materials, use; and/or manufacture of the product or proms. Misuse of this NOA as un 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 teumination and removal of NOA. ADVERTISIMIIM The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed is advertising literature. retry 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 manufuctumr or ats distributors and shall be available for inspection at the job site at the request of the Building Made". This revises NOA No. 07- 0914.04 and consists of pages 1 through 5... ... • • • • • The submitted documentation was reviewed by Alex Tigers. APPROVED! S00/l00'd 51SOE0050E0(83) MIAMI -DADE COUNTY, 1•'LORU A METRO-DADE FLAMER 8 =I INO 140 wen sum= SYREEt, SUITE 1603 MIAMI, FLORIDA 33130-IS63 (305) 3752901 MX (305) 375.2905 • . • . • .. ... .. • . • ••• • • • • • • • • • •• • ••• • • • ••• • • • ••• • • • .• • • • • ••• • • • NO:A. No._ 096092$.02 Expiration Date:12I16fl2 . '. • • • *pprovsl tat 016109 • • • • • • ¢nyje f ors • • •• • • • • • • • • • • • • • ••• • • • • • • • • 663103W ONH1INNAIS lO:LIO (NOW)0102- 61 -11lf S001200 'd ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This appnwcs a roofing system using Hanson Regal/Spanish '5' It Concrete Roof Tile, es manufactured by Hanson RoofTalc in DcericldBeat, Florida and as described b Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable banding code do not exceed the values listed in soon 4 herein. The attachment calculations shall be done as a moment bared sysDCm. 2. PRODUCT DESCRIPTION Manufactured by Annlicaat Hanson Regal / Spanish "S" II Tile Trim Picks 2.2 EVIDENCE SUBlrtI't"rED Teach IBA Consultants, Inc. American Test Lab ofut Florida American Test Lab of south Florida American Test Lab of south Florida 3. LIMITATIONS 'mere ions Length: 17 t" Width+ 13'A" W thick Length: varies Width: varies SUSOE00SOE(X113) Test b+ Pecificat ions TAS112 TAS 112 Text Identifier Test NarnciRcuart Date 2381 -252 RTI 005.03.09 RT1006.02 -09 RT1006.01 -06 Product Pescrlution High profile concrete roof tile for direct deck or hammed nai1 on, molder or adhesive set applications. Acccsory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. TAS 112 TAS -101 TAS -101 TAS 102 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive act tile applications, a static field uplift test in accordance with RAS 106 may be required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112. appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 N inimum undexlaymont shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may he installed perpendicular to t her roof slope unless stated otherwise by the underlaymeut material manufacturers published liter. 3.6 This ncceptwue is for wood deck applications, Minitassr . elealt raintrignIntp s l be in compliance with applicable building code. • • • ••. • • • • • • • • . . • • • •• • • • • • • • •• •• • . ••• • • . • ... • • • • • • • • • • ••• • 09/20/07 10/19/09 10/13/09 10/13 /09 NOA Noe 09 7 0926.02 . ... Fardsailim Dates 12A6A2 : : : : Appregal Date; l2/l$/09 • • . . . .1agi2 of5 • ... • • • • 1. • 63103W ONN1INNRIS 00:t0 (NOW)0102- 61 -1i1f Table 4: Attachment Resistance Expressed For Nall -On Setams as a Moment Direct Deck (min 15132" plywood) - Mr (R -tbf) m Battens - Tile Profile Fastener Type D tact Deck (min. 19132" plywood) Hanson Regal/Spanish 'S' 11 Two (2). # 8 x 3" Screws 34.558 34.558 Direct Deck N/A Table 1: Average Weight (W) and Dimensions (1 x w ) - .: t i 3: Resborut • Mom_ due to Gran f Tile Profile Weight -W (Ibf) - Width -w (ft) Hanson R=- =WS-- nish'Sill 10.4 1.4375 1.1 Table - .: t i 3: Resborut • Mom_ due to Gran f � f :12" or Tile P� 2":12 Direct Deck M � y �t 3 ":12' � 4 "Niq 2" Direct Deck 5' 12" Dined Dock 6" :12" .sw.. A Hanson R - e1S - . Nth '8' 11 Direct Deck Dint Deck Direct Deck 8.94 8.85 . 8.70 8.52 8.30 1 8.07 Table Ae amic Multi Item - 2 Tile Profile Hanson Regal/Spanish'S' II ). (ftl Batten A • • &cation N/A 1( 1 Direst Deck A . • lication 0.32 1 4. J NSTALLATION 4.1 ikon Regal/Spanish `S' II Concrete tc Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119. and RAS f20. 42 Data For Attachment Calculations Tile Profile Hanson RegalSpanish 1 Clow Chemical Tile Bond" Smell patty of 11g (1 x'Ph x 81) at tad of U1e. !urger patty of 22g (4"w i= 2`h x a"ll nose oldie. Profile Hanson al/SpanIh olyfoam PoPo yl '6'11 2 Larcte paddy placement of 88.58 grams Po1YPry -,r, .•• - -��.� Rai ai•hkUVEC I Table 5: Attachment Resistance Expressed as a Moment •- M (ft4bf) F Two Patty Adhesive SetSysteme Tile Application Minimum Attachment Resistance 2$.137 Tile Bond • - • • • • • • • • .• • •• • • • • . ••• • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • ♦ •• •• • • • •• ••• • • • ••• • Table 6: Attachment Resistance Expressed as a Moment - Mt (ft lbf) For Sin Ie Pa Adhesive Set toms Tile Tile Application Minimum Attachment Resistance 39.887` �!� NU. No.: 0M9228.02 • •.• Epir unnBat�t12 • ", • • • • . Apprantallt 1+x/146/09 •. • • • . . • • • • • • • • • • �eSbt`5 . . • • •• • • • • • • , • • • • • ••• • • • • • • • • S001E00 •d SVS0E88SOE(X133) fi31O3W ON81INN11S 80:LO (NOW)0102- 61 -1flr 5. LABELING AU tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Beta Below). or following statement: "Miazni Bade County Product Control Approved ". HANSON HANSON Rl' GALISPANISH "S" 11 ROOF TILE IDENTIFICATION MARK (LOCATED UNDERNEATH TILE) 6. BUILDING mbar REIM:W ENTS 6.1 Application for building permit shall be accompanied by copies of the following 6.1.1 This Notice ofAccoptanc4 . S001V00 d SVS0E00S0E(XN3) 6.1i Any ether documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. •• •• • • • • • • • • • • ••• • • • • • • • •• ••. • • • • • • • NOA No 8974928.02 • • • • Expliodion Date 2711.6/12 t Spnval Data • • •• • • : • � a 4ot$ • • • • ••• • • • •• • •• • • • • • • • • ••• • • • • • • • • • • • • • • • ••• • • • • • • • h3103W 0N131INN0S 60:tD (NOW)0102- 61 -1fr JUL- 19- 2010(MON) 0 ?;09 SUNNILRND MEDLEY • OS • • • • • .. • • • ... .. • • • .. .. • • . • • • • • • • • • ... • • • • • • . . • • • ... • • • • . • ... • • • . • • • • .. • • zz rizr tetam uuri!ds',� ZO Se60 60 roN vow • • • • • • •• • • • • • • • • • • • • • • .. . . 7N LJ XW SIM 3O QISI (FRX)3058830545 P. 005/005 ' 00 3MI NCO II cSI HSDIVJS/"I I OSN.Y . 1I uS HSliarJS' IV on So1JMVUQ TfliO (6421 /to rcn Miami Shores Village g Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. g \ O ) 0 5 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) Sc ro h J h e p h Q l c1 Owner's Address (a 7 & /v ,, g OP a_ -1- City 1 £1/ Zttate P Tenant/Lessee Name Job Address (where the work is being done) 070 Smiled ed City Miami Shores Village County Miami -Dade Zip L3 9 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name t a J (,e t 70 6f _ d v Phone # 'OS / r" J-- Contractor's Address ■ 7q/ � $19 W1 h GJ J City "l ` t OM) State PL Zip 3/ IS Qualifier Name Cl n 'e / Jay q! Phone # 66, / Si - 5-7 State Certificate or Registration No. t✓CL QS 9 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ '960 . 00 Square / Linear Footage Of Work: / O([t 0 • Type of Work: Describe Work: EAddition * * * * * * * * ** Submittal Fee $ Notary $ Scanning $ V a; Bond $ Structural Review. $ DAlteration * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Training/Education Fee $ Radon $ W Zip ?g Phone # F s Repair/Replace ❑ Demolition Phone # COL ■ 9(pt) slie 00- 0 Code Enforcement $ ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 00 DPBR $ CCF $ i J' 00 CO/CS Technology Fee $ 41 Zoning $ Double Fee $ 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 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 `4. Signature_. --.— Owner or Agent The foregoing instrument was acknowledged before me this day of ' ,20 0 by who is NOTARY PUBLIC: My Commission Expires: (Revised 07/10/07) The foregoing OA) Lt ot , day of to me or who has produced who is As identificatign and wlo did take oath. ` ,, YPV ol a M rgo • ' `,'?COM MISSION #DD944979 =`A. � �� .• , EXPIRES: DEC. 08, 2013 ''il6iVrS + ONNOTARY.com Sign: ti Print: 24// APPLICATION APPROVED BY: or strument was acknowledged before me this 20 /0 by ea tee -e e. wn to me or who has produced as identification and who did take an oath. ,,, . Colette Largo ` �� � t Y PV � -. x°. 1 ,c COMMISSION #DD944979 � "� `= EXPIRES: DEC, 08, 2013 S itaV .AARONNOTARYcom NOTARY PUBLIC: Sign: Print: �� 7e, My Commission Expires: Plans Examiner Engineer Zoning THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM. INSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YYYY) POLICY EXPIRATION DATE (MMIDD/YYYY1 LIMITS A INSURER A: Colony Insurance Company GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL3832250 08/27/2009 08/27/2010 EACH OCCURRENCE $1,000,000 $50,000 X DAMAGE SO RENTED PREMISES (Ea occurrence) CLAIMS MADE X OCCUR MED EXP (Any one person) $1,000 X BI/PD Ded: $1,000 PERSONAL & ADV INJURY $1,000,000 $2, 000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECT n LOC PRODUCTS - COMP /OP AGG $Included 7 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ 1 $ WORKERS EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE (Manda R/M If es, describe SPECIAL COMPENSATION AND LIABILITY in NH R EXCLUDED? I W CY LIMITS I I E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ under PROVISIONS below E.L. DISEASE - POLICY UMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Property Address: 1276 NW 93rd St, Miami Shores, FL 33138 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 5/26HOLSA PRODUCER Advanced Insurance Underwriters 3250 North 29th Avenue Hollywood, FL 33020 -1313 954 963 -6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Manuel Joya Roofing, Inc. 7241 SW 42nd Street Miami, FL 33155 INSURER A: Colony Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES CERTIFICATE HOLDER Client#: 88252 Miami Shores Village Hall 10050 NE 2nd Ave Miami Shores, FL 33138 CANCELLATION AUTHORIZED REPRESENTATIVE MANJO3 10 Days for Non - Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. i ' -.1 ACORD 25 (2009/01) 1 of 2 #S643775/M602806 o 1988 -2009 AC D CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LSA THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NFTICE TO.THE CERTIFICATE HOLDER NAMED TO THE LEFJ, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. M II TYPE OF INSURANCE POLICY NUMBER P n O A TP I POLICY ( MM/AA I n W O .) n LIMITS • GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE $ FIRE DAMAGE (Arty One Fire) $ CLAIMS MADE [J OCCUR MED EXP (Any one person) $ PERSONAL & ADV PIJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPUES PER: — I POLICY n .PIFrO.T n LOC PRODUCTS - COMP/OP AGO $ AUTOMOBILE — — — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY WIRY (Per accident) $ PROPERTY DAMAGE (Per accdent) $ GARAGE LIABILITY ANY AUTO ' ■ . • AUTO ONLY - EA AGCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ — DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND CPFL10308 EMPLOYERS' LIABILITY A 11/23/2009 11/23/2010 X l WRuAram41 icai EL EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.LDISEASE - POUCYLIMIT $ 1000000 OTHER LIMITS $ LIMITS $ utb\ F nun Ur urtrtAI IUnbILut,nr w en Arna;Lksitxt.Luonons auur�ror enuonseslennsPEC.uu�raUVrsro 1. This certificate remains in effect, provided the client's account Leasing, Inc. Coverage is not provided for any employee for which to Howard Leasing, Inc. Applies to 100% of the employees of Howard Roofing, effective 11/23/2009. •� is in good standing with Howard the client is not reporting wages Leasing, Inc leased to Manuel Joya A VDI7 Q4 CERTIFICATE OF LIABILITY INSURANCE SHOULD OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NFTICE TO.THE CERTIFICATE HOLDER NAMED TO THE LEFJ, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. C 10- 39400005 - 05970 AC10- 39900005 - 885970 5/27/2010 2:02:37PM PRODUCER Highpoint Risk Services LLC 14160 Dallas Parkway #500 Dallas, TX 75254 (800) 632 -5096 (972) 715 -0959 Fax: (972) 404 - 4450 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES . NOT AMEND, EXTEND OR Al TFR THF Cf1VFRAIIF AFFfRnFn RY THF Pfli ICIFR RFI TWIN INSURERS AFFORDING COVERAGE INSURED: HOWARD LEASING, INC - 500 l /c /f: Manuel Joya Roofing 7241 SW 42nd St • Miami, FL 33155 Fax: • INSURERA: companion Prnnerty and Caaiialty Insurance C INSURER B: INSURER C: INSURER D: INSURER E: MIAMI SHORE VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE. MIAMI SHORES, FL 33138 SHOULD OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NFTICE TO.THE CERTIFICATE HOLDER NAMED TO THE LEFJ, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE COVER CERTIFICATE HOLDER 1 1 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION © ACORD CORPORATION 1988 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: cc- r (-Lk rtte Property Address: Roofing Permit Number: Dear Building Official: 5 C& V - -L S kP ( 4certify that I am not required to retrofit the roof to wall connections of my building because: r 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. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) State of Florida County of Dade The undersigned, being the first duly swom, Swom to and subscribed before me this Notary Public, Sate of Florida at Larg • When the just valuation of the structure for pu Revised on 5/21/2009 Print Name M iami Shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 d •oses and says that he/she is the owner for the above property mentioned. i day of 714-Le, / /b $ �t'RY pV n hIENISSF CARRER,4 MY COMMISSION it DD 980941 !'' EXPIRES: April 19, 9 0 1 4 -rpo Bonded Thru Budd Notary Services of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Section A (General Information) n Low Slope Cl Asphaltic Shingles iL =. o al( Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Master Permit No. Process No. Contractor's Name Job Address / t • • :. • • • • • • • • ••• • • • •••; . •.•. • •• •• •• ••• • e ROOF CATEGORY E. Mechanically Fastened Tile C Metal Panel /Shingles 0 Prescriptive BUR -RAS 150 ROOF TYPE 0 New Roof kr Re- Roofing Li Recovering 0 Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 400 ):Morta n Wood Shi 0 Maintenance No VAS v$ Total (SF) 9c 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. ■ ■ ■ # ■ \ \ \ ■!! \ \ \ ■!! ■ \ ■ ■! ■! \ ■ ■# 111111•• ■•!.• \ \ii.. \•! 1111• ■ ■! ■ \ ■ \ \! #!!! # ■!! ■ \ \ \!!! ■ ■ ■ ■ \ ■■ \■ ••■.■•. 111!11••••1 ■!•••1•! \•.1■!! ■11.11 ■ ■•••!■ ■ ■ ■ ■ ■•! ■1111 #1111■!!!!■ \!1 ■ 1111 ■ ■ • 1 ! 111 1111111111 ■11■ 1111111111■1111 ••11••11 ■■11!■ 1111111111! 1111111111!11 ■11111111••••••••••••••••••! ■ • 1 ! 1111 11••••11 ■11■11 ■11 •• ■■11■11!1111 ■\#■11■■■ •111.11■ 1111■1111■ 111111■11111111■ ■111111••■ ••1111 ■11111 ■ 1111111111 ■ 11111111 1111\ 11!11 ■111111!11! ■■■\1111■ 111111111111 \11■ ■. ■11■•11111111111! 11111111■•! 111■ ■11111111• ■•11•!••11•• 11 1111■11!111111■l 11111111111111■ 1111 ■• ■■ 11111111••1111 ■111111111111111111!11 1111 ■••11.11 ■■ \■\11111111■ ■11#1 ■ 1111 • 1 . ■ ■ ■1111\11■11!1111111.1111.1111 #!11.1111 ■1111!\ ■111111! ■111111111111■11111111!11# ■11111111\11 11!1111 ■11!111111111111 ••111111111111 1111111111\1111111111■ 11111111 ■■•■ \111111■■ 111111■ 1111■ 11111111■ ■ •111•1!1111.1 ■!••••••••11 ■• ■ ■ ■ ■ ■••• 11 ■ 111111 ■ \ 11 ! 11111111 1111111111\.■......■..... i■••• ••••••1 ■ ■■ ■.UU1W111•UI.1111■...I.. 11111111!■ ■■ ■11111111•1111111!111111111111 1111■ ■••. ■. ■■ ■•1111• ■• ■• ■11■! 1111■111111!11■11111111\11■ 1111111111 !■11I11••■1111 :II•■■■l..11 ■•■ # 11111111 \ 11 ■ 11■ ■ ■11 ■11■11■11 ■11■11 ■. #1111!1111!11.11■ ■111 lumn -x.21111 ■1111!11111111 ■■ ■••••11\!111111 ••1111■ ■1111.11111• ■•!1111 ■1111••! ■1111 ■ ■ ■ [.......1•.u•au ■11• il1.11111.. ■011.11•.11■11\11 ■ ■11.•• ■ ■l• •iuuuu111111111111u•u.uu•1111 u1C1••111•1iiuu1�iii 1111111111111111111•11•11111111•11•11•111111W111111111111 1. I 1 111 •....• ■!11111111 ■•••111•■■ ■■.•111• ■11 111 ■■11■ 1111■ 1111', ■■luu•u •i 1111111. ■••.■.•.1111111.•11• ■!•1111■11l •■■umauu..11■ma..0 .■1111•!■! i.!1\••u■ •u■.ii ■U••••R.111■t11.11 ■1.■••■• ■111 11. ■!•\11..•••11..•... ■..••••••• ii•..uiu•u•111 ■11■.•■•11 111■ryi.•u111■111111.11111111•11111111■ •••11 1111111111■111111.11■.11111W ■1 ■!•11111■ 11111..11. ■■• ■■ ■uu ■11.11■ \1111 INV!: 1 ■1111 ■1111!1111!11! ■.11..11111111.■! 11■•■ ■■••■• \1111•111111111111111.1111. ■■ ■!111.111111■ \.11111111 •11 ■arl r:ThuuI•.11.11!!! ■1•.■ ■111111 ••uuuu.. ■1111.■.■..■.. •111••■■ ■1•■ ,_ - - -- ■ •••11! •..••••••••1111111111!■ ••11111111 11.11.11 ■111111!•\ ■!■ •••••••••••••111 11!1111•11. ■.•1111••■ 1111. ■ 1 11•. ■11•■•■.111111■■■••■ ••••••••••• 1111•11111W1111111111•11111111111111111111111•••••111111 !11111.11. ••111111!11 ■• ■#11111 ■•• ■11 ■••••■.■•1111. ■■■ ■111111.■ •■•11 1111\■•■ \11..11#.111111.11■ 1111■ ■11 ■11\11111\ ■11!11111111■ ■.!111 •1• ■u•i•uiuurI 1•■ ■11! ■11■11 ■•11.1111.111111111111111111 11!1111111111 ••1111..!11.•1111 ■■ ■1111 ••11.111 11 ■usuiui••! ■.■■11.1 MEN 111111111111111111•1111111111111111111111•11111•1111111111 11•.ui•u••11111.11•11•u11••••••••••11I 1111111111111111• 1111111•1 /1111111111111111111111 1111111111111111101111111•111•••••111111111111•111111111 11.1111••••••••111#1111•■�[.Nuila71 ■ ■■ ■• ■111 .11•••• 1 •■11 ImIC11•111111•111111•••1111111.111111■11•••• ■• ■1111•■❑011❑.71J11 x1•4111 •1119 ■111]•1.111 1111•••••••••••••••••••• ••y1111. ■111111•••11.11•!11.1 ■•!•■ •11111■ 11■ 111111111 1111 ••fW1 W411111!715• ❑11.1r•L, 0��• ■111.• ■11 •• \11 \• ■.• ■ ■ ■ ■■ ■• ■ ■ •11 ■• ■1 ❑ ■1111111.2•I.0141411r111 9❑■•J11■1111 #■ 1111.•■ 111111.• 1111.11 ■!111111.11■11111WI•11• ■ ■ ■••• 11■!.■ ■.❑111111L6411N•tM•Ma9.❑11❑ ■■ ■61.111■ !1111...•■■ ■..•1111.•!1!1111••11.... ■ 111111 !!. 11 ■•! ■ 111111MI NIMri•6a11M>4/111111111ENILM11J11117•■ 1111•. ■11.9/ \•.••.11•x ■• ■ ■. ■1 ■! ■11 ■■ ■..• ■ ■ ■11••■r uu I1111 111111•••• ■•11 ■•1111111111111111111.11111._ /' _. mar 1 .11#•11■.!1111!.. ■1111.11.11•■■11#1111•. 1111111111111111111111111:21111111111111111.11M111111111••••• L �[ ' ■:1111■11!!!11/11• ■■ ■!1111■1111■ ■1111111111.. 1111111.1114.1111111111.1111111111 ■1111111■ 111111 11.•1•1 ■•11!1111\!11.11\1111•!11.11.11••!1111 ■! • 111 •• 11 . 1111 •!• 1 • ■ 111111■• iii rammiu ■••11.11.11.111.1111 pore.\ ■■■■• •.11111111#!11!■ ■..•111111111111••11.111111!•11 ■111111111111 slime.. ••wsurszarrrarmas •11/Yr• 11111111••1!111111111111 111111111111 ■■1111.1111•■•■■■•11•.•.••1111sum 11!. ■1111�11L1111111■r�11.11cIi! 11.x!- •r•!•ri. ■11■11!■11■1111■•.•111.. 1111.1111•!1111•■ •1 ■. 111111111111 ■• 1111111111111111 i •111111.]11711N11\ 111 /micl \i•ia11•iirerro •■ ■•■•unimu •■ 11111111••••#1111■ •111■■■11■!!11■11.11 IIIMI aa1 i 1 1 NIIII 1111 1r1111111r1r11111M 1I1iA11r ISSI M11�111 Roof System Manufacturer: `/F[F .1. Notice of Acceptance Number: D7_ 0220. OAK Minimum Design Wind Pressures, If A 7pliiccabblle (From RAS 127 or Calculations): Pmax1: 441 / Pmax2: Pmax3: /4,Zi _ Maximum Design Pressure (From the NOA Specific System): Method of Tile Attachment: 0960____Aj 1 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Roof Slope: 12 Ridge Ventilation >f� eck Type: I fizytivao 478 Type Underlayment: Insulation: Fire Barrier: I Mean Roof Height: •. . • •: : . . . • .... • • • • . •• • . . • • . . • . . • • • . • • • • • . •• • • • • • •• • •• • • • • • • • • • • • • • • • • • • • ••• . • •• • • • • •• • • •• • • • Section D (Steep Sloped Roof System) • • • • • . • • • ••• • • • • • • • • • • • ••• • • • • • . • i • • • : .• • • 0 . • • Sloped System Description Type Cap Sheet: Fastener Type & Spacing: I / /Am:7. s. (b ; P-gl) dhesive Type: I Po yMe 4f /bQ 1 I 90 oofing Covering: lippedigavog Type & Size Drip dge: I 3x3 •• • • • • • • •• • • • • • • • • • • • • • ••• • • • • • •• •• ••• • i • • : 000 • • Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment -based tile systems, choose either Method 1 or 2. Compared the values for M with the values from M,. If the M, values are greater than or equal to the M values for each area of the roof, then the the attachment method Is acceptable. Method 1 "Moment -Based Tile Calculations Per RAS 127" (P #6".,/x). .3/3 = /y /Acel - Mg: AS= M • NOA Mr 0 (P • x A - Mg: = M NOA M (P3 A � _ - Mg: 1, = M 2B• 3Llx NOA M PC Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (M From Table Below NOA 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 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment -based the systems endorsed by the Broward County Board of Rules and Appeals. For Uplift -based tile systems use Method 3. Compared the values for F' with the values for F,:: if the F values are greater than or equal to the F,. values for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift- BasedTlle Calculations Per RAS 127" (P,: xI: = W: 9: =F NOA Fl _ xw:= _ )- (P xI: =xw: =_)- W:_xcos 0: =F NOA F' (P xI: xw:= W: 0: =F NOA Fl _ = _ )- Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A NOA Restoring Moment due to Gravity M NOA Ajichrzigrg Resistance : ; M • • : • ;14; • NOA Calculated Required Momer§ Rare Minimum Attaahm�rMRssis�aneg ; ; F; • • . NOA Rall CO Resistance F, Calculated Average Tile Weight W NOA • • ale Diruensio115• • I = ,{en®th• - • NOA • : ••• • th • • • w- %II c; icui�tjont mustbe sismitted Official at the time of permit application. • •• • • • • • • •• • • • • • • • • • • • • • ••• • • • • • •• •• ••• • i • • : 000 • • MIAM COUNi 21411Trigj «& ' r te HIGH VELOCITY HURRICANE ZONE — 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 govem 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 ,, nd the contractor. The owner's initials in the designed space indicates that the item has been explained. / ' 4 " Aesthetics workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for t e 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 Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). `►�s% 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 and 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 side of the decking may not be acceptable. The owner provides the option of maintaining its 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 c. ions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a :uild up 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 er 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 shall not be reduced. Exception: Attic spaces, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, shall not be required. •• ••• • • Owner's/Agents 6i; &O rd 12/09 Contractor's Signat • .• • • Property Addressr • P .. ` • • •• • • • • • ••• • • • ••• • • • • • • • • • • • .•• • • • • • •• .• •• •• • • •• •• • • OWNER'S NOTIFICATION FORM SECTION 1524 Date: f • • • • • Permit Number: M I ® DADS BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) MonierLifetile, LLC 200 Story Road Lake Wales, FL 33853 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Barcelona 900 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. INSPEO'Ia]y: A copy of thjs eittlre NOA shall be provided to the user by the manufacturer or its distrib4tors an shall ite avail ble .for inspection at the job site at the request of the Building Official. This NOW cbnsists of pages 1 through 6. The submitted documentation was reyiewed by Jor a L. Ace • • ••• • . • . • • • •• • • • • • . • • • • ••• • • • • • ••• • • • OOOO • • • ••••• • •• •• • •• • MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Cat Sub - Category: Material: SCOPE: This new NOA approves a system using MonierLifetile Barcelona 900 Concrete Roof Tile, as manufactured MonierLifetile LLC and described this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations shall be done as a moment based system. PRODUCT DESCRIPTION: Manufactured by Applicant MonierLifetile LLC Barcelona 900 Trim Pieces SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies Redland Technologies Roofing High Profile Roofmg Tiles Concrete Test Product Dimensions Specifications Description 1= 17" w = 13" 1/2" thick 1= varies w = varies varying thickness TAS 112 TAS 112 Test Identifier 7161 -03 Appendix TII 7161 -03 Appendix II PO402 Letter Dated Aug. 1, 1994 P0631 -01 Redland Technologies ..... . • • • . e •• Professsgnal 5cirv 1i t iei, e • . IC- 1320 -94 Inc. •.• •.• .• . . • .. The Center for Applied 25- 7688 -3 Engin .erhajnc.. lie* • • e s. ... 25 7688 -10 • • • • loo, • • • • • • • • • • • • • .. • • .• • •. • • • • • • • . . • • • • • • •• • • • • OO • • • • ••• •. •• •. •• • • • .•. Ilgh profile, interlocking, one-piece, 'S' shaped, high- pressure extruded concrete roof tile equipped with three nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. Accessory trim, Boosted Barcelona, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Date Static Uplift Testing Dec. 1991 PA 102 & PA 102(A) Wind Tunnel Testing Dec. 1991 PA 108(Nail -On) Withdrawal Resistance Sept 1993 Testing of screw vs. smooth shank nails Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Physical Properties Feb. 1995 PA 112 PA 101 (Adhesive Set) June 1996 PA 101 (Mortar Set) July 1996 NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 2 of 6 Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers LINIITATIONS: 1. Fire classification is not part of this acceptance. 2. For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 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. 4. Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 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. 6. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. INSTALLATION: .. •••••• :•••.. 1. :1Vonial ifet leeBpr lQna 9D0 Concrete Roof Tile and its components shall be installed in strict .oSnpliancawvitlfRobfing Application Standard RAS 118, RAS 119, and RAS 120. 2. Data For Attachment Calculations • • • ••• • • • • • • • •••• • • • • • • •. • • • •. • • •. • • •• • • • • • • • • • . . . • •• • . ••• • • • • • •. •• • • • • •• • • Test Identifier 25- 7688 -5 25- 7688 -4 520111 -3 520191 -2 -1 Calculations Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations 122 Test Name/Report Date Static Uplift Testing June 1996 PA 102 (3" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing June 1996 PA 102 (4" Headlap, Nails, Clips) Static Uplift Testing PA 101 Dec. 1998 March 1999 March 1999 April 1999 Aerodynamic Multiplier Two Patty Adhesive Set System 25 -7183 March 1995 25 -7094 February 1996 25 -7496 April 1996 25 -7584 December 1996 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Restoring Moments Due to February 2007 Gravity TAS 112 January 2007 NOA No.: 07-0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 3 of 6 Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Barcelona 900 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 .#8 Screw 20.7 20.7 18.1 2 .#8 Screws 43.2 43.2 29.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" 11.5 7 ":12" or greater Barcelona 900 Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.28 8.13 7.21 8.05 7.10 7.93 6.96 7:78 6.79 7.61 6.61 7.40 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight W (Ibf) Length -I (ft) Width -w (ft) MonierLifetile Barcelona 900 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - X ft Tile Profile A. (ft 3 Batten Application a. (ft Direct Deck Application MonierLifetile Barcelona 900 0.289 0.313 Table 3: Restoring Moments due to Gravity - M_ (ft -lb .. ••• • • • • • •• ••• '. • . •. . • • • • •• • • • s ' ° ° • • • • •• • • • • • • • • • • • •• • • • • • .• • • • .. • • •. • • • • • • • • .•. • • • • • • • • • • ..• • . • • • • • •• • •.• • •• •• • • • • • NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 4 of 6 Table 5: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Barcelona 900 Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Barcelona 900 Polyfoam PolyProng 66.5' Polyfoam PolyProT"' 38.7 3 Large paddy placement of 63grams of Poly Pro TM . 4 Medium paddy placement of 24grams of PolyProTm. Table 5B: Attachment Resistance Expressed as a Moment - M for Mortar Set Systems Tile Profile Tile Application Attachment Resistance MonierLifetile Barcelona 900 Mortar Set' 24.5 5. Tile -Tite Roof Tile Mortar LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". BUILDING PERMIT REQUIREMENTS: Application fet b>:ilglirg yei tntt shall be accompanied by copies of the following: 1.: This Notied of AAce: ane; 2. • ttn %pgieldocusneitts 'retelired by the Building Official or applicable building code in order to r r�r±!\ • • • ••• • . .• . • • • • • • • • • • • ••• • • • • • .•'•. • •• • •• • properly evaluate the installation of this system. . • • •• • • • • • • • • • • • .••• • • • • .• • • •• MONIERLIFETILE LLC, BARCELONA 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 5 of 6 NAIL HOLES MONIERLIFETILE BARCELONA 900 CONCRETE ROOF TILE • . • .:.•:��;•; •• • • . . • ..• • •. • •• •••• • • ... • • • ; • • • • • • • • ••• • . • •. . 0 0.0 • •. .• • ; ;• • • w ..:. - , (r1)\\• • • • ••• • • .•. • • • • . • • 0 • •• • . •., ;.•.. • PROFILE DRAWING END OF THIS ACCEPTANCE NOA No.: 07- 0220.04 Expiration Date 04/26/12 Approval Date: 04/26/07 Page 6 of 6 MIAMI•DA1E BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. 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.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by Jhrge L. Acebo. • • • • • • •• •• •• • • • . • • • • •• •.• •• • • • •• ▪ • • • • • • • ..• • • • • • • • • • • • •• • • • • •• • • •. • .•• • • . • • • • • • • • • • • •.• • • • • • • .• • • • �X 1 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 06-0201.02 Expiration Date: 05 /10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® A11160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro® AH 160 N/A TAS 101 Foampro® RTF1000 ProPack® 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property. Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content ASTM D 2856 N/A N/A Note: The physical properties listed above are presented as typical average values as determined by accepted t1S test methods and are subject to normal manufacturing variation. • • • ..' ..: '.• • • • •• • • • • • • • • • • • • • • • • • •. • • • • •• • •• •• • • • • • ••• • • ••• • • • • • • • • • • • • ••• • • • • • • • • • •• • • • • • •• Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBM11"1 F.D: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1 ] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 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 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® 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 Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. • t •. ••• • F« • •: • � � O•:i�,, • W • • . • • • ••• • •'•• .. • ••• •• • F MS • • • • • • • • • • • •• • • •• • • • •• • • ••• • ••• • • • ••• • • • • • ••• • • • ▪ ••• • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® 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. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. PolyproID AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polyproc4 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. LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As requirejlb%% the Building Offfriaror applicable building code in order to properly evaluate the installation of thii s 'strr$. • • • ••' ••• • • • • • .. • • •;• • ••• • • • • • • • • •• • • •• • • ••• • • •�• • • • • • • • • • • ••• • • • • • • • • . • ••'•• • • •• •• • ••• •••• • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4 of 7 • • ••• • • • • • .. • • •• • • • • .• • •• • • • • ••• • • • •• ••• •• • • • ••. • ••• • • • • • • • • • �• • •• • • • • •• • • •• • • • • • .•• • • • • • • . • • • • • • • • • • • • • ••• • • • • • • ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1)PlaCeeaou hadlresive achieve 11to23 t?ptbral2x4'sfor square inches in contact with the pas file \ P � 2) Tum covers upside doom Place adhesive 1t2 In. To 1 in. From outside edge of coverr le. Then hhstaf the tHe. Nall through plastic c nenl tap potion of the ears come cover the. Abut to second course of l pan a n d E n s u e c o v e r � e a e ea re Pot** Mortar nandme &hsh eu eava line. on longitudinal Eave dos=e horny shoo) W ophole Faso' NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 5 of 7 • ••• • • • • • •• i • • •• ••• • • • • • •• •• ••• • •• • • • •• • • ••• • ••• • • • • • • • • • • r•• • • • •• • • •• • • ••• • • • • ••• • • • • • ••• • • • • . • • • • • • • • •. •. • • • •• •• ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04 /13/06 Page 6 of 7 • • •�• • ••• . . 1 i • ••• • •• • • • • • • • • . • ii, • • • •• • • •• • • ••• • • 6 • ••• • • • • • ••• • • • • ••• • • • ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY NaIl through plastk cement Single paddy under Ste Undedayment - _ Single paddy between Ste 2 ht. x 71n. medium size paddy ease course only in. x 3 in. 4In. ■ Single paddy on under- layment Stile paddy on top of the Eave Course • • •• • • • • •• ••• • • : • • • 6. •: ` It TI}; OF THIS ACCEPTANCE •6 ••• •• - Faso Weapon Eave closure Dp skis NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04 /13/06 Page 7 of 7 NOTICE OF COMMENCEMENT A RECORDED COPY BUST BE POSTED ON THE JOB SITE AT TIME OF FIRST IfiVECTICIR PERMIT NO. RP TAX FOLIO NO STATE OF FLORIDA'. COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance wfth Chapter 713, Florida Statutes the following information is provided in this Notice of Commencement 1. Legal description of property and street/address: 2. Description of improvement: 3. Owner(s) name and address: ,S /* 1 -) h Ae.n7( (P E c t 3 SP hc■ c GVrc Vho 9 i3 I 3 8 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: itlan (.4e ( Jb 7 C ) 2 LH ,s (.( ST hit t a (nil ( 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Liana's Notice as provided in Section 713.13(1)(), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless et different d Signa Print Owner's siLe Sworn to and subscribed before me this day of Notary Public- • • Print Notary's Name My commission expires.V9A111111111C.W.Y • 123.01-52 PAGE 4 WM P- 1° * )'\ (C&rr Sigare S R 33 Prepared by 20/0 oFt‘ STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CER77FY the fhb Is a y oflhe Wolf* filed in his office on day of ka WINE and and Official anal. HAR fri? , CLERK, of 'wit a o . unty Courts By Ai • D.C. 1 1111 1 1111 111 11111 11 111 11111 11 111 1111 111 CFN 2010R0417122 OR Bk 27327 Ps 0505; (1Ps) RECORDED 06/21/2010 14:3517 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE Hatt - rpre Address: f) 49- YVI. PkArYt ) e- jT RE ROOF TILE TO TILE COLOR THRU TILE Passed ' Inspector Comments CREATED AS REINSPECTION FOR INSP- 146130. 't„.„ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP - 149572 Permit Number: RF -6 -10 -1085 1 Inspection Date: August 02, 2010 Inspector: Bruhn, Norman Owner: SHEPHERD, SARAH Job Address: 1276 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MANUEL JOYA ROOFING Building Department Comments July 30, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132050270230 Phone: 305/661 -5454 Page 1 of 1 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 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: Property Address: k -. ( • ,, e ,1 Roofing Permit Number: gF (0 t 0 I OWS DearTMIdirig Official: I ! PM- L._ certi that I am not required to retrofit the roof to wall connections of my certify Q building because: y„ he 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 1994 = • ' o f the South Florida Building Code (1994 SFBC) State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above property mentioned. Swom to and subscribed before me this r ` day of go [ Zi 0 ,....'e* Colette Largo :mot. sCOMMISSION#DD944979 " ��.. `S EXPIRES: DEC. 08, 2013 • When the just valuation of the structure for purpose of ad valorem taxation is equal too more than $300,000.00, and the building war , st faV x` 94 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Notary Public, Sate of Florida at Large Revised on 5/21/2009 sow SrtL Print �O -/ M iami Shores ViHage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: - Z , z` ((0 RE: Permit # Aav )e I, ,30/CA Ro Signa re (Print name and circle License Type) Swom to and subscribed before me this "1 day of Notary Public, Sate of Florida at Large Revised on 5/21/2009 co 0 D t�' 5 INSPECTION AFFIDAVIT /6 M iami Shores Viiiage Building Department QL / DATE: licensed as a (n) C FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 20 O Engineer / Architect, License #: C C-C 0 Si S .c ° On or about'b ( c ,1 did personally inspect roof deck nailing and �. (Date & time) Secondary water barrier work at e s '\ por■A (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 5 3.844 F.S) State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. SpRYp,,j Colette Largo SO v ��� EXPIRES: DEC. 08, 2013 Imo ;;',5110' WWW.AARONNOTARY.com *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection TEST LOCATION UPUFT PULL TEST "EST LOCATION UPLIFT PULL TEST TEST LOCATOOP UPUFT PULL TEST TEST LOCATE?, UPUFT PULL TEST TEST LOCATION UPLIFT PULL TEST TEST LOCATION UPUFT PULL TEST 1 p("� 26 51 76 101 ' 126 2 27 52 ' 77 102 127 3 28 53 78 103 128 4 29 54 79 104 129 5 30 55 80 105 130 6 31 56 " 81 106 131 7 32 57 82 107 132 8 33 58 83 108 133 9 34 59 84 109 134 " 10 35 60 85 110 135 11 36 61 86 111 136 12 37 62 87 112 137 13 38 63 88 113 138 14 39 64 89 114 139 15 40 65 `� (- ( 90 91 115 116 140 • 141 16 41 17 42 k - / / 7 `„ 92 117 142 8 sp sa 43 L — C �C Ji 93 -- 118 143 F9 44 69 94 119 144 20 45j'1 g g[ 11}�0 W*.JD ilia lAA5 . 120 145 21 46 71 96 121 146 22 " 47 97 97 122 147 23 48 E to z/ 073 98 • 123 148 24 / \ / 49 74 99 124 149 25 50 75 100 125 150 e• 4.4 caw mvisienewes, At: A -1 CONSULTING ENGINEERS f I C / «-.A ROOF STRUCTURES CONSULTING ROOF PROBLEMS ? ?? UPLIFT TEST EXPERTS Owner's Name: Permit #: , C-/a- / W5 • Job Address: /27A rye' ,.9 S7- ,e-a�/ ` " rwci z ...9 / 3 �S Roofing Contractor: ti � o Type of Tile: / Approximate Roof Height: /2' feet Roof Pitch: 0 AZ . Type of Access to Roof: !/ Scaffolds Ladder Other Approximate Square Footage of Roof: ?.'t'o ft 2 Required Testing Force: 35 lbs. Testing Equipment: F.G.E. 100 Date Tested: 74/ / ,'l IN ACCORDANCE W1TI THE CR TERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CON- TROL TEST. TH1 AS 1G6 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS THIS REF UBMITTED BY: Jos ''A. Martinez P #031509 A -1 CONSULTING ENGINEERS, INC. Lab. Certification # 07- 0306.03 Renews: 01- 1224.05 ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE TAS No. 106 SITE SPECIFIC INFORMATION Date installed: 4383 S.W. 70th Ct, Miami, Florida 33155 • Telephone (305)740 -9550 • Fax (305) 740 -9550 ENGLISH: Cell (305) 609 -6388 • SPANISH: Cell (305) 498 -9804 A-1 CONSULTING ENGINEERS INC. ROOF STUCTURES CONSULTING UPLIFT TEST EXPERTS LAB. CERTIFICATION No.01 -1224 -5 4383 SW 70 CT,. MIAMI FL. 33155 TEL.305- 740 -9550 FAX.305- 740 -9550 Owner's name: Peranit #: Job address: 1276 NE 93 ST MIAMI SHORES FL. 33138 Roofing contractor: MANUEL JOYA ROOFING INC. Type of tile: EAGLE Date installed: Approximate roof height: 12 feet Roof pitch: 3/12 Tipe of access to roof: Scaffold: Ladder: Other: Approximate square footage of roof: 9 f12 Required testing force: 35 lbs Date tested: Number of tests: 18 SKETCH OF ROOF 1 R eviced,: J MIrvi Date- 7/21/2010 Scheduled Inspection Date: July 29, 2010 Inspector: Bruhn, Norman Owner: SHEPHERD, SARAH Job Address: 1276 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MANUEL JOYA ROOFING Building Department Comments July 28, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 146130 Permit Number: RF -6 -10 -1085 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132050270230 Phone: 305/661 -5454 RE ROOF TILE TO TILE COLOR THRU TILE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 11 of 25