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RF-10-592Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Expiration: 10 /10/2010 1000 96 Street Miami Shores, FL 1132060143560 Block: Lot: ELIZABETH PRICE Owner Information ELIZABETH PRICE Address 1000 NE 96 ST MIAMI FL 33138 -2552 Phone CeII Contractor(s) ARMANDO'S ROOFING Phone 305 -338 -3831 CeII Phone Type of Work: Re Roof Additional Info: ROOFING Classification: Residential Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $7.20 $2.40 $325.00 $3.00 $9.60 $347.20 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 13, 2010 Pay Date Pay Type Invoice # RF -4-10 -37528 04/08/2010 Check #: 1246 04/13/2010 Credit Card Amt Paid Amt Due $ 50.00 $ 297.20 $ 297.20 $ 0.00 SMONNEEMMEMZIPa RN Valuation: Total Sq Feet: $ 12,000.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. April 13, 2010 Date Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Renailing Affidavit Cap Sheet 1 Scheduled Inspection Date: September 08, 2010 Inspector: Bruhn, Norman Owner: PRICE, ELIZABETH Job Address: 1000 NE 96 Street Project: <NONE> Contractor: ARMANDO'S ROOFING Building Department Comments September 07, 2010 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 150893 Permit Number: RF -4 -10 -592 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060143560 Phone: (305)301 -1621 Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 14 of 20 LOCATION # OF TEST PASS J j # OF TEST FAIL Corner 9 Tests Pass 0 Tests Fail Perimeter 9 Tests 7 k Pass 0 Tests Fail Field Z Tests '' Pass 0 Tests ❑ Fail Ridge 11 Tests C/ Pass 0 Tests Fail Total 55 Tests ' Pass 0 Tests Fail Job Address Owner's Name ERIBERTO CRUZ Type of Tile Roofing Contractor ARMANDO S ROOFING INC Approximate Roof Height A -1 Engineering Inspection Services, Inc 7066 SW 44th Street Miami, Fl 33155 Tel: 786- 326 -9877 Fax: 305 -485 -9011 alroofinspection@gmail.com 1000 NE 96 ST MIAMI SHORES FLAT TILE Approximate Square Footage of Roof 39 ft 2 Date Tested 6/25/2010 Contact Name ARMANDO LAB CERTIFICATION # 10- 0111 -01 SITE SPECIFIC INFORMATION UPLIFT TEST - TAS #106 Permit # feet Roof Pitch 3/12 Type of access to Roof OK Cordia MARTO CONTREEAS P.E P.E # 21522 A -1 ENGINEERING INSPECTION SERVICES INC CERTIFICATION NO 1 -0- 0512.01 Number of Tests 55 Testing Equipment: F.G.E. 100 Phone # (305) 301 -1621 Date Installed IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF NATURAL DISASTERS. 7066 SW 44th Street Miami, Fl 33155 — Telephone (786)326 -9877 « Fax (305)485 -9011 RF-10-592 Required Testing Force 35/bs 4 A -1 Engineering Inspection Services, Inc 7066 SW 44th Street Miami, Fl 33155 Tel: 786- 326 -9877 Fax: 305 -485 -9011 a lroofinspection @gmail.com LAB CERTIFICATION # 10- 0111 -01 SITE SPECIFIC INFORMATION UPLIFT TEST - TAS #106 Roofing Contractor ARMANDO 5 ROOFING INC Job Address .1000 NE 96 ST MIAMI SHORES Owner's Name Type of Tile FLAT TILE Contact Name ARMANDO ERIBERTO CRUZ Approximate Roof Height feet Roof Pitch 3/12 Type of access to Roof OK Approximate Square Footage of Roof 39 ft 2 Date Tested 6/25/2010 Number of Tests 55 Testing Equipment: F.G.E. 100 SKETCH OF ROOF Phone # (305) 301 -1621 t t t t Permit # RF-10-592 Date Installed Required Testing Force 351bs Revised by 4 a /z /V 7066 SW 44th Street Miami, Fl 33155 N Telephone (786) 326 -9877 • Fax (305) 485 -9011 RE: Permit # Rt 4 /10 - 39 - DATE: INSPECTION AFFIDAVIT AwMA,v o.o E Sia-ivy, € z (Print name and circle License Type) FS 468 Building Inspector License #: COB D SE 6 On or about , I did personally inspect the roof deck nailing and (Date & time) secondary water barrier work at /000 N E. q6 act. Al /A ern/ �Lio2ES (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Ba eon 553.844 F.S) State of Florida County of Dade: Miami Shores Viiiage . Building Department , licensed as a (n) Contractor / Engineer / Architect, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. 4' Sworn to and subscribed before me this Notary Public, Sate of Florida at Large Revised on 5/21/2009 day of ��O���t��� LACA ;� ; CRISTINA L A. N otary Public - State of Florida 4 My Commission Expires Jan 9, �, Commission # DD 745671 ;; e ` Bonded Through National N '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 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. R 1=• V /D -5 TAX FOLIO N0 1— 32 b _ O ILI _ 356 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 1©00 ME el ST 2. Description of improvement: fe-. Pjoo 3. Owner(s) name and address: / t?rI JY� Cw . 1 Interest in property: Owner Name and address of fee simple titleholder: Ain/ 4. Contractor's name and address: Armand o' S Roo ling /62go stu 104 place Won' r L,. 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Affil Amount of bond $ 6. Lender's name and address: NA 7. Persons within the state of Florida designated by Owner upon wy provided by Section 713.13(1 (a)7., Florida Statutes, Name and address: NA Mardi' Shores , Florida 33/38 WITNES inc... 33151 bF FLORIDA; COUNT 1111111 1E11 NH 11111 11111MHEIN1111 CFH 2010R0243637 OR Bk 27247 Pe 2408; (1rsY RECORDED 04/13/2010 12:40:36 HARVEY RUVIN► CLERK OF COURT MIAi1I -DADE COUNTY? FLORIDA LAST PAGE 1 k,res / rz . 33138 DADE he er documents may be served as 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Flo l Statutes. Name and address: /V 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a re ate is ( specified) Sworn to and subscribed before me this to 14 day of f7p) I I Notary Public Print Notary's Name My commission expires: Fe) . /4 loI4 123.01 -52 PAGE 4 6108 20 2. Prepared by /4 S /2CAeZ Address: /WO Sty /O ?Pbc Mr4,ni1 FL. 43/54 IA Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING , Permit Nog P10 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building J/ Roofing Owner's Name (Fee Simple Titleholder) fT G2 / 36e- TO Ce_U2. Phone # Owner's Address /0 00 /1/ • 6" '-/ / . / City PT / 09 / SA a e State ,1= L Zip 33/ 3 S Tenant/Lessee Name Phone # Job Address (where the work is being done) /0 OD A/.6. 96 City Miami Shores Village County Miami -Dade FOLIO /PARCEL# //- 39-O6 - 0/ Is Building Historically Designated YES NO X Value of Work For this Permit $ // zT.• BY:_ j ?S - 3es-- zip 33/36 30.r- 76-6.33o a 301 --1 a1* CELL- Contractor's Company Name A/2/61 A /V 13 0 S 2 0 f &/Ya .Z.ve. Phone # Contractor's Address /69. 4l° 2.W. 10 7 .9L City /A # 7 fl / S t a t e Zip 3 3 / S 7 Qualifier Name 4 g./n/ 4 AI ti ® € . Awl-Fez Phone # p - .301-16 'a- State Certificate or Registration No. e C a9 O a: 7 /,?U Certificate of Competency No. 0 Z. B S 0 o S 6 6 Architect/Engineer's Name (if applicable) Phone # A Square / Linear Type of Work: DAddition ❑Alteration ❑New Repair/Replace ❑ Demolition Describe Work: a * *** *, **** *** *** * ** **** ** ** ** * ** ** *F * ** * * ***** * * *, *, *, * ** ******** * ** ** ** ** *** ** � ^ Submittal Fee $ 1 • Permit Fee $ }� Od CCF $ LO CO /CC Notary $ Training/Education Fee $ . L C) Scanning $ .0 Radon $ DPBR $ i Technology Fee $ q . (QC) Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ l..• CD 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 • sued In the absence of such posted notice, the inspecti will not be approved and a reinspection fee will be charged Signatur (Revised 07/10/07) who is personally known to me or who has produced As identificati NOTARY PUBLIC: APPLICATION APPROVED BY: Signattit Owner or Agent , Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �� , 20 / V, by Hen 6erIo en' t , day of AP h 1 , 20 / 0 , by who is personally kno vS -sue- NOTARY P CRISTIN artithi bcPdfQIda1etan 6t*1Orida .1 My Commission Expires Jan 9, 2012 � _ ;o� Co Isslon # DD 745677 �3i,°j,`� . ° .P•� .:, h National Notary Assn Sign: Q Print: /-A iv0 L fh e- Sign: Print:.l ltL S C', i '`` 1 My Commission Expires: F m /20/ 4 My Commission Expires: f Plans Examiner Engineer Zoning T . : . traF 10 .... ..., i Shores Village Vam APPROVED BY DATE 70foNG DEPT G DEPT on orm. S'c5:;JECT 10 CGMFLIANCE TE ND CC, UN WITH Al I FEDERAL « HULES AND REGULATIONS ROQF ASSENIBUES AND ROOFTOP STRUCTURES p r 4 71E11777W, A At'R 0 8 2010 A Florida Building Code Edition High-Velocity Hurricane Zone Uniform Permit Appl ay 4 ,:. •Lt....mm •Sql1V246.# Master Permit No. Process No. Contractor's Name Ifrilando's R00171 .7tic. Job Address 1000 ivr (16 ST Shores, L. 33/3R 0 New Roof 0 Low Slope 0 Asphaltic Shingles FLORIDA BUILDING CODE — BUILDING Section A (GeneraLlnformat ROOF-CATEGORY O Mechanically Fastened Tile O Metal Panel/Shingles 0 Prescriptive BUR-RAS 150 ROOF TYPE Reroofing 0 Recovering 0 Repair Maintenance go, ROOF SYSTEM ■ INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (S9 - M Section B (Roof Plan) 1=A Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scum" Include dimensions of sections and levels, clearly identify dimensions of elevated presse parapets. I 1 I I I I I I I I I I I 0 • 0 • • • • • • • • • • • • lb • • • • • • • • • • 0 • 0 • • 0 0 0 • • • X Mortar/Adhesive Set Tile 0 Wood Shingles/Shakes . 6,9x as 2',Ax c9or a,./6 s 0 • 0 0 0 • • • • • • • • • • .. •_.• • • • • • a • • • 000000 • • 0 • 0 0 • 0 • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 1 • • • 0. • • 0 1 1• ••• r.. :t • 11 . • • 0 0 0 • • • • • • ' • • • • • • • 0 0 • 1 0 • 0 • • ROOF ASSEMBLIES AND ROOFTOP STRUCTURES r + Roof System Manufacturer: i Kopf Ti /e, Notice of Acceptance Number: toe 080 / Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): . 83 P2: /2 g9 P3. 30. 0 Maximum Design F ressure (From the Product kpproval Specific System): 3/. 3 Roof Stope: Ridge Ventilation? iv/4 Mean Roof Height: /lo FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. • 1 D - • • • - • • - 11 9 Deck Type: E ' /ycvooD Sg Type Underlayment: 3 0 ASrrt 13A� \ Insulation: Fire Barrier: r 47_0 \ Fastener Type & Spacing: \ Adhesive Type: Type Cap Sheet: Lo s�r,e% 0.4.e/Ass !a /,4ss Y �' Roof Covering: :S n�i�� • s4 one 4a - ow` 'TWO Biwa / 9' O.e. f• a fa sa /,o AlEasb ,9i l/SON /4 T T r/6 1 •• ••• • • . .. Ty* & Sizt Drje • • • itai VAN+ZEil• ( Edg @; 4o • • •. . . • . • • . • ••• • • • 0 • • • • • • • •. • • • • • • • • • • • • • • • • • • • . • 0 • • • • .. • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • • • • • . . . • • • • • . 0 •• • • • 0 .. • 0 — • cos v = r Where to Obtain Information Where Product Air to find F' 20' 2 Description Symbol 2 :12 Design Pressure P1 or P2 or P3 H RAS 127 Table 1 orhxan engineering analysis prepared by PE based Job Site 3 :12 on ASCE 7 Mean Roof Height Roof Slope 0 Job Site 412 384 329 -0 338 X7.4 39.8 5 12 Aerodynamic Multiplier A Product Approval 341 37.3 6:12 28.4 28.0 29.4 22.8 30.5 Restoring Moment due to Gravity M L Product Approval 25.9 27.1 28.2 32.4 30.0 Attachment Resistance M Product Approval Required Moment Resistance M Calculated • .•• Minimum Attachment Resistanx • ! • Product Approval • • • • • • • • • • • .. • Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval • • • 4. • t • • • Tile Dimensions L = length W = width • • • • • • • Product Approval • • • • • • - • • • • • • • • • • • • • • ••• • • • • • • • All calculations must be submitted to the building official at the time of permit application. Iw required Moment Resistance* ' Mean Roof Height -'> Roof Slope .1, 15' 20' 2 30, 40, 2 :12 34 -4 36.5 38 2 3 :12 1 32.2 34.4 36 __9 -7 42.2 412 384 329 -0 338 X7.4 39.8 5 12 98.4 X0.1 31.8 341 37.3 6:12 28.4 28.0 29.4 22.8 30.5 34.9 7:12 24.4 25.9 27.1 28.2 32.4 30.0 Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Permit Application Form. Sectinn F (Tile Ca1CUlationS) For Moment based tile systems. choose either Method 1 or 2. Compare the values for M with the values from Me if the Me values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127 - (P 4 t./ x AQ.380 = ) - M $.dr . 4.s a Product Approval Mf 3/. 3 (P,: /19. 6 x AA 330 -' % - M g D. / = Mr , 17.9 Product Approval Me 34 (P3: i!4.2.x p SP = 3 2 3r) - Mg: .O.L' = 1,4 30.1 .0 Product Approval Mf 31. 3 Method 2 "Simplified Tile Calculations Per Table Below" R uired Moment of Resistance (Mr) From Table Below Product A y. o val M ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 447f yam! e P4 7 .Y$ "Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. if the F values are greater than or equal to the Fr values. for each area of the roof. then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P x L = x w: = ) - W: x cos 0 = F Product Approval F x L = x w: _ ) - W: x cos 0 = F Product Approval F (P ;: x L w. FLORIDA BUILDING CODE — BUILDING ••• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • •• 00 • • • 0 • • 1. SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 owner ant the contractor. Tie owners initial in the designated space indicates that the item has been explained. Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction 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 renaile in accordance with the current provisions of Section R4403. (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.., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing to be performed. 4. � Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be view- • from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. Ponding water: The current roof system and /or deck of the building may not drain well and may cause w. er to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. 4 ` , Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloa ed from a buildup of water. Perimeter /edge wall or other roof extension 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 Sections R4402, R4403 and R4413. 7. % ! Ventilation: Most roof structures should have vie eltlitxtovent. atural airflow through the interior f the structure assembly (the building itself). The eXi$ting : MoLrntol at c , tilapon shall not be reduced. It ma • e be neficial to consider additional venting whTc . ° v Ina b)der*lirag the service life of the . of. i Owner /Agent ` ignat e Date Revised on 7/9/2009 LD _C —/o Contra; • — . . ..Z.24te • .. • • • • ... • • • • • • • • • • • • • • • • • • • • • . . . • • • .. .. 0 • • • 0011 • • M 1 A M 1•DAt3f BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Hanson Roof Tile 1340SW34Ave Deerfield Beach, FL. 33442 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control .Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Ranson Flat 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. 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 revises NOA #08- 0229.14 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Ti era. • • ••• • • • • • • • • • • •. .•• 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 • • • • • • • • • • • • • • • ••• • • • • • • • • •. .. • . • • • • • .. • • • •• • • • • •�• ••. NOANo.:'U$- 0804.12 • 6 . W.piintl D$te: 04/10/13 • • • . • • • • • .EtpprovaCDate•. 09/04/08 Page 1 of 6 • • • • • • • • • • • • • • • • •• •. ROOFING ASSEMBLY APPROVAL Category: Sub- Category: Material: 1. SCOPE This is a new system using Hanson Flat Tile, as manufactured by Hanson Roof Tile Inc. in Deerfield Beach, Florida and described in Section 2 of this Notice'of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Aunticant Dimensions Hanson Flat Tile 1= 17.25" w = 13" Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agencv IBA Consultants, Inc. Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 21I'•1c��7Xd.��i:�i! APPROVED Roofing Flat Profile Roofing Tiles Concrete 1= varies w = varies varying thickness Test Identifier 2381-265 7161 -03 Appendix III 94 -084 94 -060A 25- 7094 -2 The Center for Applied 25- ?094 -8 Engineering, Inc. Test Specifications TAS 112 TAS 112 Product Description Flat, interlocking, concrete tile equipped with two nail holes. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report TAS 112 Static Uplift Testing TAS 102 & TAS 102(A) Static Uplift Testing TAS 101 (Mortar Set) Static Uplift Testing TAS, 101 (Adhesive Set) Static Uplift Testing TAS 102 (4" HeadIap, Nails, Direct Deck, New Construction) Static Uplift Testing TAS 102 ( 4" Headlap, Nails, Battens) •• ••• • • • • • .. • • • • • • • • • • • • • •• • • • • •• ••• •• • • • • •• • • • • • •• • • • • • • • •• •• ••• • • • • •• • • • ••• • • • • • • • • ••• • •• •: • • • • • • • NOA No :'U8- 0804.12 : • •. • X4ieatraDlite; 04/10/13 • • • • • • d pprovaCDite! 09 /04/08 Page2of6 • • • • • • • • • • •• •• • ,s • Date Feb. 2008 Dec. 1991 May 1994 March, 1994 Oct. 1994 Oct. 1994 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. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Nutting Engineering Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 25- 7094 -5 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1,1994 P0631 -01 PO402 Project No. 307025 Test #MDC -77 13343.1 520109 -1 520111 -4 520191 -1 Calculations Calculations Evaluation Calculations Evaluation Calculation's Evaluation Calculations Evaluation Calculations Calculations Static Uplift Testing • Oct. 1994 TAS 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Static Uplift Testing TAS 102 (2 Quik Drive Screws, Direct Deck) Static Uplift Testing TAS 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing • TAS 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain TAS 100 Physical. Properties TAS 112 Static Uplift Testing TAS 101 Static Uplift Testing March 1999 TAS 101 Aerodynamic Multiplier .May 2006 Restoring Moments May 2006 25 -7094 February 1996 25 -7496 April 1996 25 -7584 December • • . • • .. 2 1996 25- 1 f : : -18` 84 : : '. • • • • /5 -11 • • • ' • March 1995 Two Patty Adhesive Set System April 1999 ••• • I. • • • • • • • • • • • •• •• e•.• • • • • ••• • • • • • • • ••• • • • • • • • • • • • • •• •• • ••• •. • Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 Sept. 1993 Oct. 1994 Aug. 2006 Dec. 1998 • • • • i' •' • •' • NOA Na.: 08-0804.12 • • • • ' • • €xpiue*lenkate:04/10 /13 • i • ' • • • • Appro'ralDite: 09/04/08 • ' • • • " Page3of6 Table 3: Resta g Moments du to Gravity -1111,0 ,,../. Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" • 7 ":12" or g reater Hanson Flat Tile Battens Direct Deck Battens Dir Dec Battens Direct Deck ttens Direct Deck Battens Direct Deck Battens Direct Deck 7.53 8.25 7.46 8.1 7.35 8.05 7.20 7.88 7.02 7.69 6.83 7.48 Table 1: Average Weight (W) and Dimensions (ix w ) Tile Profile Weight -W (Ibf) Length -1(ft) Width -w (ft) Hanson Flat Tile 11.6 1.4375 1.08 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 Hanson Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations •• ••• • •. • • • •• • • • •.••• •• • • • •• • • • • ••• • • • • • • • • • • •• ••• •• • • • •• • • • • • NQA N4,08-0804.12 • • • • • • • 1 xplrt�n fate: 04/10/13 • • • • , 0 • • • • • • •Approli Hale: 09/04/08 Page 4 of 6 ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • •• • • • Table 2: Aerodynamic Multipliers - X (ft) Tile Profile A. (ft Batten A A. lication I (ft ' irect Deck A ' lication Hanson Flat Tile 7 . - s ---- --- ---...„ . 0.304 0.330 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 Hanson Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations •• ••• • •. • • • •• • • • •.••• •• • • • •• • • • • ••• • • • • • • • • • • •• ••• •• • • • •• • • • • • NQA N4,08-0804.12 • • • • • • • 1 xplrt�n fate: 04/10/13 • • • • , 0 • • • • • • •Approli Hale: 09/04/08 Page 4 of 6 ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • •• • • • Table 5A: Attachment Resistance for Single Pate/ Expressed as a Moment - Mf (ft -Ibf). Adhesive Set Systems Tile Profile Tile Application • Minimum Attachment Resistance Hanson Fiat Tile PolyProTm 118.9" PolyProTm 40.4 4 Lame paddy placement of 45 grams of PoyProTM. 5 Medium paddy placement of 24 grams of PolyProN. for Nail -On Systems ' . . Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Hanson Fiat Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth Cr Screw Shank Nail (Field Clip) 24:3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 • 22.1 2 -10d Smooth or Screw Shank Nails (Field CIS) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 _ 2 -10d Ring Shank Nails' 50.3 65.5 i 4A s and fastemers are located a min. of 2' from head of tile. nstallation with Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -lb 4" tile headla Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile iUllnin Hanson Fiat Tile Tile Application Adhesive 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. 31.3 Table 5B: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) four MQ1a or r A h e�iye � qt Systems Tile • • • • • • • Tile Attachment Profile ° A Wcation Resistance f ortar Set Hanson Flat Tile 43.9 6 Tile -rite Roof Tile Mortar. • •• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • •• • • • • • • • • • • • • • •.• • . . . • • • • • • • • • ••• • • • • • • • •• •• • • ••• • • • • • • • • • • •• • •• •• NOA No.: 08-0804.12 Expiration Date: 04/10/13 Approval Date: 09/04/08 Page 5 of 6 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. VTD:Or tm IA3CEP'rANCE • • • • • • •• ••• .. • • • .• • • ••• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • •• • • • • • • • • • • • • • • • • • • •.. HANSON FLAT TILE LABEL (LOCATED ON UNDERSIDE OF TILE) PROFILE DRAWINGS HANSON FLAT TILE . • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • NOA No.: 08-0804.12 Expiration Date: 04/10/13 Approval Date: 09/04/08 Page6of6 • BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL .D N 'U A _EP' I 0 9A ' Polyglana MA lie, • ; • 150 Lyon !Drive Fernley, NV 89 • ••• • • • • • • • • • • • • • • •••• • • • • • • • • • • • • • • • • • • • ••• • • • • • 2, • ••• • • • • • • • ''�NF� :� '.B.SI , B de •• e •• �1 • • eto3t1S • • • MIAl�� COUNTY. FLORIDA METRO FLAGLER BUILDING • 140 WEST JLAGLERSTREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305)375.2908 SCOPE: This NOA is being issued under the applicable rules and reguiatians governing the use of construction materials. The documentation submitted bas been reviewed by Miaani County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in lMMiami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date steed below. The Miami -Dade County Product Control Division (le Miami Dade County) and//or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or materiallested formality assurance putposes. If this product or material fails to perform in the accepted harmer, the manufacturer will incur the expense of such testing and the ARJ may immediately revoke, modify, or suspend the use of such product or material within their, t isdiction. BORA reserves the right to revoke this ace , 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 axle. This product is approved as described heroin, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone of the Florida Building Code. D CRIPTION: P rick P, Baste, HR(JRX TU, TU Plus and MU Vnder eents • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement " Miami -lade 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 of sting the performance of this product TERMINATION of this NOA will occur after the expiration date or if tie has been a revision or change in the mss, use, andfor manufacture of the Faded or process. Misuse of this NOA as any endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section ethic: 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. Jf 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 dim manufacturer or its distributors and shall be available for inspection at the job site at the regal of the Building Ofiicfal, • This NOA revises NOA No, 06 . 04 24141411n4 cgnsitts of p .1 trough 6. The submitted documentation w4 e b$1 l ` • • •• •..,• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • N6DA Toe 06-0505.01 Ezim Data: 09/13111 Approval Date: 11/30/06 Page 1 all 1.01 .0 3 900-41100 , N,' Addtbs wiewswinne INOMs1 ROOFING COMPONENT APPROVAL Roofmg Sah � rt�rv:: Underlayment SBS , APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION; Test Product P_cR_ act Dimon Polystick P Roll: ASTM D 1970 A polyethylene top surface, self-adhering, underlayment 75' x 3' SBS polymer modifial bituminous sheet 40 mils thick material for use as an underlayment in sloped mofassemblies. Designed as an ice & rain shield. . Polystick Batik Roll: ASTM D 1970 A homogeneot*rubberlied aSphalt umderlayment • 651" x 3'3- Ming meinbrine, glass .60 mils thick reinforced With palyolefinic film on the upper surface for use an underlayment for metal roofing. • Polystick IRAIRX Roll: TAS 103 and A fine grauulat/sand top s face self- underlayment 65'8" x 3'3 -92" ASTM D 1970 adhering, APP polymer modified, 80 ma t _ hick fibereass rem, bituminous shheeet material for Aeons an underlayheait In sloped roof asst miblies. -Designed as an ice & min shield and as a flat roof tile underlayment. Polystick TU . Roll: TAS 103 and A heavy gunned sigh= self aging underlayment 32'10" x 3'334" ASTM D 1970 APP polymer modified, fiberglai or. 100 mils thick polyester reiafomsd, bituminous sheet material for use as an 'underlayment in sipped roof assemblies. Designed as a a Paddle went.. Polystick TtJ Pius Roll: . TAS 103 and A non- wicking fabric avrlled, self- underlayment nt . 651" x 3 : - ASTM D 1970 adhering, APP polymer 'Modified, ' (Facer of Mews 80 roils thick • aimless reinforced with a high strength Labeled in Orange polyester fabric, bituminous sheet material or Black Ink) , for use an an underlayment in sloped roof assemblies. Diced as a metal roofing and zooftile underlayment. Polystick MU • ROlk 'TAS I03 and A naer•wickiiigfabric , self- underlayment 65'8" x 31- / ASTM D 1970 adherin, API polymer.ntodified, 80 mils thick fiberglass reinforced, bituminous sheet • ... • • . • • • «materrlal for use an an underlayment in . sloped roof blies... Designed-as a •• ... • •, • • • • :•• , i•;*'- 4711•;.:0:' ..••. •. OSS100000QA.09.20AM:0 ' 4161,41411218 • ... • . • • • • • • • • • • • • • • • • • • 0 • ••• • • • .. • • • •. .. • • • • is .• • • .. • • • ... 1' • • • ... • • • • •• • • • • • • • • • ••• • • • • • y .�,�} }} • • • • icturla,t . NOA No 06.0505.01 Expiratkoa 1letes. 09/13/11 Approval Data 11/30/06 PPP 3 of 6 LO L 9i— Oe n Addfls movsanne Nomd EVIDENCt SUBMITTED: Teat likeness T 1i Exterior Research A Design, °L.0 #11756.04.01 -1 TAS 103 04/27/01 #11756.08.01 -1 ASTM D 1970 08/14/01 #02202.08.05 • TAS 103 . 08/29/05 PRl Asphalt Technologies PRX81111 ASTM D 4977 04/08/02 PUSA- O03.02 -01 ASTM D 4977 . • 01/31/02 MA- 018 -02-01 ASTM D 2523 07/14/03 PU'SA- 035.02.01 TAS 103 09/29/06 PUSA -033-02 -01 •ASTM D 1970 01/12/06 INSTALLATION OcEn s: Deck Type 1: Wood, non-insulated, new construction Base Sheet • One oT•more plies of ASTM D 226 Type 11 or ASTM D 2626or Polyprutector UDL or Polctor UDL AS. • • F Nails and tin caps 12" grid, 6" o.c. at laps. (for base sheet only) Membrane: Polystick membranes self-adhered. S Nc e • 1. All nails in the deck shali be carefWly checked for protruding heads. Re-fasten any loose decking panels, and sweep the deck fly to remove any dust and debris prior to application. 2. Place the underlaymett over metal drip edge in accordance with RAS 111. 3. Place the firm comma of membrane parallel to the ewe, rolling the membrane to obtain maximum cones Remove the release film as the membrane is applied.. All aide •laps Met be a minimum of 3-14" and end laps shell be a minimum dd." Roll the men:inane into ply afterrernoving the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back • nailed in accordance with applicable building coda 4.. When applying the membrane in tl ie valley, smart at the.low point and work to the high point, rolling the crane from the center outward in both dir ci s, • S. For ridge applications, center the membrane and roll from the center outward in both diaectlons. 6. Roll or broom the entire membrane. Surface so as to have full contact with the sulface4ivint1 speeial amnion to wrens. Pooys ick TU and TU Plus shall not be the for loner than 110 after application. Polyglots; reserves ies i •ems a p Ito exceed r t ons. win or alter In'S arm time linl i or�a. 7. Flash vent pipes, stacks, chimneys and pe netrat>ions in compliance with Roof Assearibly cmrerat Product Control Notice of Acceptance, . 8. MI protrusions or drains shalt be initially taped with a 6" piece of ui The flashing t a p e s h a l l be pressed in p l a c e a n d f o r m e d a r a m d t h e p r o t r u s i o n to ens r a tight fit. A secod layer of Pot stick *shell be applied aver the urideclayr t, ,..... :... • .. i..i:r•..... • • • •• ••. . :.. iii . • •.•• • • : • :. •i• •. • • • • •••• • • ":' • • • • • • • • •• . . •• .••• •. • • • •• • •••• • • • • • • • • • • • • • . • .. • . • • • • ••• • • - • •. • 4 -}; • • - • • • • • . •.. ... •• 4 : '• • .:.•;•:.: ..:•• • •..• . ••• • • .. • • ".' • • ••• • • • • • • • • • • • • • 1. • • • • ••• • • • • • • • • • • • • -i ce Lai. . i?.e • •• � •• • • • •• •••.. • 1 '068505.01 ri m 09/13/1 • :.> U t30l I! . 3of6 Le�L —sue - B Woad GENERAL LilinTATTIONS: 1. ' Fnse classification is not part of this acceptance. 2. • Po lystick P, Bit and MARX maybe need in asphaltic shingles, wood shakes and shingles, non - structural metal roofing, and quarry else roof assemblies. Poiysdck F and Basik shall not be used as roof tfte underiayaent. 3. Deck regnb mints shall be in compliance with applicable building code. 4. Polystick membranes shali•be applied to a smooth, clean and dry surface. The deck shall be free of hregulasities. • P- obfsticls tip directly over a pre - existing roof membrane as a recover system. 6. Polystick P and Basile shall not be left exposed as a temporary roof for longer than 30 days after . application. Poiystick.IR/1RX, or MU shalt not be left exposed as a temporary roof 90 days after application. Polyglot( TU and TU Plus shall not be left exposed dearer than for longer limn 180 days after application. P a temporary roof >ae t�en not *exceed thy. • °� resaYVas the right to revise or alter product P madmen* time Ihn ons. • • 7. All products listed herein shall hatro a quality assurance audit in accordance with the Florida • Building Code and Rule 98.72of-the Florida Administrative Code. & In roof tile application, data for the went resistance of roof tiles shall be as set forth in the roadie s Notice, Polystick TU, TU Pius and MU may be used in both adhesive set and medically fastened roof tale applications. Polystick ilt/1RX is limited to mechanically roof tile applications. The maximum roof slope for arse as roof tile uncle rlayrnent for (direct to -deck) dlo assemblies shall be as described below: Tile Profile Flat Tile No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Cock requirements. 9. Cara should be taken during the ]oe�diag procedure to keep foot traffic to a minimum and to avoid dropping of tale directly on the underlaym nt. Refer to Polyglast Tile loading detail for loading Polystiek IR/IRX 5:12. Profiled Tile Prohibited Polystlek MU No limitation 5 :1 Pow TU, TU Plus No limitation • ' ••• •. •. • . • • - • •• • • • '• •• '414- • • • • • • ••• • • •. R • • • • • • • •. • ••• '• • 411,11 • • • • •'. ::' : R: i s. • • • • . • • • • • • • • • • • , cA 6100000104 '4:0264ruE, .:. - 16 /@7r :e • d.sioss ez• er!!d'CQ3M) • • 6 Rooting Tilia (6 Max. Per Stack? 12. • • • • • *um) 064505.01 Expinden Dater 09/13/11 Approval Date: 11/30106 • • Paane • L®L9ryf aw. izoei et, F .addflS zrie1dHd'7R9 640 /114 GIMBAL LIBILTArjxo: (COQ, 10. Refer to prepued roofing system Product Control Notice of product with • may be used wl� roofing Po1yatick ��& this `� P0f'oov ofAccep %black P,Bask, •� , TU Pius* MU as part of an a orbit ib the Notioe ofAcceptutce. If Authority . e " /JRL, TU, TU Plus& MU is not listed, a �J'on: (A1�II) ante �� i� artm approval isrov Mate d >r1 for products, wind uplift tesimanceond fire testing restl.� de tail Yorate Ail membranes shall bear tho fraohn or identifiable Mimi -D �. or the fol i�,g M Co c ro logo, the v � Y � Control Approver. Application for buildiripersicit shall be accompanied by copies of the QW ; 2. Any ether dotrumannerequiretl by the Building Official a ova/vane tire 111atim o f t * applicable building oaf in aderto properly 1. is .• • doe aogtthe direct , . • " torefer applicable deck wow asks: to le. aso refer to codes prior t° dto l the ter Ple l appl woblo Data of Z! MI rolls, smith the of Polyst ick T'U Plus and Pdlystiok. !applied with a • ° 1 disk as t3�dde. Nags malt 1;1.11 type P� le at amp rata oft P�TV� face of MU should the k nailed ve 1e des1gt area saved "nail area, a pia i ver" on the e bed �as'wi real nails and/or dim" The lam lap is to carver the ' ' rtd to applicable loll d. All { building codes prlt+r.su inataliatico 4. Marla pier fabrisg be rolled with a load Toiler to erraire f �. • Polyglass 2000 MB and granule flyer f ead P 1 or other � shall 6�� , o f MIVel goads • a made lied bt 1 1 oft lap. ofd the not 5. A minclantni of 6 . 9 aleaper allowed when Polygon Tile Loading Qadobes..1 • tile oafle Refer* • as required by the t0e ma ,Nt o be pad on all lee f12", ct of 7"/12" orgy It is misses:tad taw ,should be • su aff tb9 *oSbatts= to k!e in th le ••• c • *. • .. • P t1 • ...:. • ■ ∎ .• •••• ..• • • • ••• • • • • • • • • • • • • • • • • i •. • • • '• • • • &•• • • • •. • • • • • • • �`� ••• • • -1 • ••• -_odd, + ��dC�' A$ + J•�+i/'t C19 • • • . • • • • ••• • • • •■• • • • ■• • • • •r• • • • • • •• • • • • • • ■■ ■■ • • lib 44505.01 Paw moms 0.0. 4d 7. Mhtimeni mire time alter membrane installation & bean loading °hoofing wan is Forty-Bight (4S) Boor& • . 8. Pot/stick Tti Plus, Polystick MU may not be used br any eiossed application such as crickets, exposed vlley; °respond motto 1,40 details. 9. Repahr ofPotastlek membranes Is to be accomplished by applying Potyglass MB 2000Ps Trowel Grade Mastic or an approved madam SBS modified trowel grade mastic to the area in need of repair, folloind by a patch of die Polystiok material of like kind should be set and bend rolled in place over the area neecanit snob nip*. Patching membrane abed be a minimum of 6 inches in either direction. The trepair shouM be Metalled in such a *ay so that aver will nm parallel to or overtire top clan laps °fib" Fetch. . • • • • . • 104 Ail selfedhened asembsenee nun be rolled Manure full contact with appeved substrates. Polygon requiem a minivan of 40 lbs fora weighted roller for the rolling of the geld membrane. Nand toner e am amptithic fbr rolling ofpatclies or small area °tete roof. • 11. 44.11 approved substrates should be day. Oen and pfloperly papal* bolero any S:Woo of kelystiek membranes ementenoes An approved substrate technical bulletin eara be finished upon r e p e n t I t i s m c o m m e n d e d to refer applkobb bailding codes prier to instal/010n to verify accepuble sgehutea. • . 12. The Polygless h4=1-Dade NoticeafAcoe'prasee (NOA) approval for Uptick membranes and • PolyProtector UM 044 be finished upon request by our Technical Sake s Department by calling 1 (800) 894-4563. . Poly dame 10year Limbed Matoehti Wants on afl ixoperly int"Ood PitesOck saw adhered undedaymemL Watts* must be retread and negioned byPolyglam to in forte. Questkes in mgards to the apprmsdon ofPolygleas produces sdroubl be directed tocur Technical Services Department at 1 (80) 8944563. IS. Pol)gisss reuormnands that applheators ibilow eood roofing practices audapplicable procedures as outlined by the National Roofins Coatracters Association (NRCA). „,. . .• • .. PutAgg Cams BIDILDINa CODE8 REGARDIN LiiivilTAITONS OP SPECIFIC APPlatAlIONS. * LOCAL CODES MAY Slt "aiPOPYGLASS: . . • REQT. AN1D Re•CougambAlIONS. • • END OFTELSAcCEPTANCL'• • ' - • AO 4 • • • ob. • •• • • •• • ■ •• • • • • • • .• • • 11. • • • • de • • • • ;, • • • It • • I- M IA M 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® A11160 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 J . rge L. Acebo. • • • • ••• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • •. • • • • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• .• •.. • • • 000 • • 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: Sub Category: Materials: SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro iI 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® AH160 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 Roofing Roof tile adhesive Polyurethane N/A N/A Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods aud.ane subject to normal manufacturing variation. • • • . • . • • • • .. ••• •• • • • •• • ... • • • • • • • • • • • • • • • • • • • • • . .0• • • • • • • • • • .. • • • • • • • • • • • • • 00 0 • 1 • • ••0 • • • • • • • • • • • • • • .. • • • • • • • • • • • • • • .. . . • • • •. . . 0 .. • • • 0 .. • • Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.61bs. /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 SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01 -6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 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® AH160 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. I F `; •• ••• • • • • • •• • W 1 ,2 F'= , iVIS • ••• •• • • ... • • • • • • • • • • NOA No.: 06- 0201.02 • • • • • • • • . • • • • • • • • • • • • • • • Expiration Date: 05/10/11 • • • • • • • • • • • • • • • • • • Approval Date: 04/13/06 Page3of7 ••• • • • •• • • • • • • • • • • •• • • • • • • • • • • • • •. • • • • • • • •• • • • •. • 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. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official oriapp4i€ able building "drift order to properly evaluate the installation of this system. • • • • • • • • • • • • • • • • • • • • • • • • • • • • •.. • • • • • • • • • •• • • • • • • • • • • • • • •.• • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• .. • • • .• • . •.• • • • 0 00 • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 nderlaymenl Eave Course Nall through plastic cement Underayment • Eave Cmuae e Fula Eave cowseonly EaveCesare _ Ketp e�P 4 in. up from weepholes Nall through plastic cement 10 hi. 10 In. Eave course only: Keep adhesive from manholes 4b. up 2 in Paddy (Beneath Tile) Paddp (Beneath Tile) Fascia EaveClosure ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1) Place enough adhesive oaddeve11to23 nN2K4sfor square h In contact withthe pan tile applications um 2) Turn covers upsidedown. Place adhesive 112 In To 1 In. From . Then Install the tile. outside edge of cower file. j Na0 through plastic owned Rem topper of the eave course CON ilia Abut to second course of pantiles. Ensure eave end of pan and cover tiles are flush at eave fine. Eave closure Weephole Fascia (=du shown) •• ••• • • • • • •• • • • • • • • • •• •• • • • • •. • . • ••• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • •• • . • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • .•• • • • • • • • • • • • • • • •• • • • • •• •• 0 •• • • • ••• • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY .. ••• • • • • • •• • . • • • • • • •• ... .• • • • i. • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • 0 • • • • • • • • • • • • • • •.• • • • • •.• • • • • • • • • • • • • • ••• • • • • • . • • • • • • • • •• •. • • • •• •• ••• • • • 000 • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 Nail through plastic cement Paddy (between tile) Paddy (under tile) . Single Daddy f under We x3In. Single paddy on under- layment Single paddy on top of tile I • , Eave course In X7 in. medium size paddy eave Fascia course only ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement tie- 3 in. x 3 In. Tingle Paddy n underlayment Single paddy on top of tile Eave Course •• •••• • • • • • • • • • • ••• • • • • • • • • • END' QF• ']S5 :AqC: P FANCE • •• ••• •• • • • •• • ••• • • •• • , • • • • • • • • • • • • • • • • • ••• • • • • • • • • • •• • • • • • • • • • • • • • ••• • • • • •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • •,, ••• • • Nall through plastic cement Undmlayment } in.x 3 Single 4 In Paddy under- layment Single paddy under the Single paddy between tile 2 in. x 7 in. medium size paddy eave course only Side paddy on top of tie Eave Course Fascia Weephole Eave closure Drip edge Single paddy between tile Eave Closure 2 in. x 7In. medium size paddy eave course only Fascia NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 CT B Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY' 02BS00686 ARMANDO'S ROOFING INC D.B.A.: Jo, , to' • SAN EZ ARMANDO is certMed under the provisions of Chapter 10 of Miami-Dadko _ . QUALIFYING TRADE(S) 0044 7ROOFING clerminio Gonzalez P.E. fli"VA • Secretary of the BOard . Miami-Dade Carty retains all propettv dotes herein. QUALIFYING TRADE(S) • r MIAMI COUNTY TAX COLLECTOR 140 W. FLAGLER ST. MIAMI; F 33130 RECEIPT NO. BUSINESS NAME / LOCATION ARMANDOS ROOFING INC 16240 SW 107 PL OWNER :ARMANDOS ROOFING INC SEE BAR OF Rti..EI Furs A LIST OF NON- PARTICIPATING MUNICIPALITIES Receipt holder must register In the city where work is to be done. PAYMENT RECEIVED r x° 72019 02270012001 000175.00 30- 5094354 C �S �IOT A BILb2�� SEE OTHER SIDE 2009 MUNICIPAL CONTRACTOR'S 2010 FIRST -CLASS TAX RECEIPT U.S. POSTAGE . MIAMI -DADE COUNTY - STATE OF FLORIDA PAID PURSUANT TO COUNTY CODE SEC. 10-24 MIAMI, FL EXPIRES SEPT. 30, 2010 PERMIT NO. 231 DO NOT FORWARD ARMANDOS ROOFING INC ARMANDO E SANCHEZ PRES 16240 SW 107 PL MIAMI FL 33157 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY BUILDING CONTRACTOR L j j } { t j ` 1 y '{ t { 2 +� ( F�itll1iiit11JAl1 4111 /1�i f�tftl�l! #t {}ft .111lltt9lit{ DO NOT FORWARD ARMANDOS ROOFING INC . ARMANDO E SANCHEZ PRES 16240 SW 107 PL MIAMI FL 33157 1111 11)11 u1111$ 11 14, � lit all 11, ail ■ : ongratulations! With this license you become one of the nearly one million = loridians licensed by the Department of Business and Professional Regulation. Dur professionals and businesses range from architects to yacht brokers, from )oxers to barbeque restaurants, and they keep Florida's economy strong. =very day we work to improve the way we do business in order to serve you better. =or information about our services, please log onto www.myfloridallcense.com. there you can find more information about our divisions and the regulations that mpact you, subscribe to department newsletters and learn more about the Department's initiatives. Dur mission at the Department is: License Efficiently, Regulate Fairly. We ;onstantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ARMANDO'S ROOFING INC 16240 SW 107 PLACE MIAMI FL 33157 DETACH HERE (850) 487 -1395 D9 080499720 IFIED I SS .ORGANIZATION PING, INC STATE OF FLORIDA AC# 4423615 DEPAR TMENT OF BUSINESS AND PROFESSIONAL `,REGULATION STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL. 32399 -0783 SANCHEZ, ARMANDO E ARMANDO'S ROOFING INC 16240 SW 107 PLACE MAIMI FL 33157 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy'strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myflorldalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 STATE OF FLORIDA _ AG# 4 4 7 6 1 43 OP DEPARTMENT BUSINESS AND PROFESSIONAL. RFGUDm'L DN LICENSE NBI CHARLES -'W - SECREi,'AR # 4476463 )7/17/2009 ;08049.9723` RC29027120 he ROOFING C0NTF TOR arced below HAS ISTERED 'rider the provisions of Cha xpiration date: AUG ° 31, 2011 INDIVIDUAL: MUST ALL LOCAIG EQUIREMENTS' PRIOR -TO C SANCHEZ , ` R . 0 0' E ARMANDO' S . +_e ; NG 16240 SW 1 O 7 LACE MAIMI CHARLIE CRZS GOVERNOR Miami Shores Building Dept 10050 NE 2nd Ave Miami Shores, FL 33138 Fax: 305 - 756 -8952 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. • AUTHORIZED REPRESENTATIVE '" �?''irE' , CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYY) 04/07/10 PRODUCER Insurance Professional Consult 10481 SW 88 St Ste. D 204 Miami, FL 33176 Phone (305) 273 -4530 Fax (305) 273 -4409 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIVIATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Armandos Roofing PO Box 972382 Miami, FL 33197- INSURER A: Gotham Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 OF 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 LTR ADD L INSRD T YPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (MMIDIbYY) POUCY EXPIRATION DATE (MMIDDIYY) LIMITS A • GENERAL . ■ GEN'L II COMMERCIAL I♦ LIABILITY GENERAL LIABILITY CLAIMS MADE 'J OCCUR 0909009 09/10/09 09/10/10 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) 100,000 MED EXP (Any one person) 5,000 PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 1,000,000 AGGREGATE LIMIT APPLIES PER. POLICY II PROJECT • LOC III AUTOMOBILE • • • • •--II lJ n LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) • (Per p (Per INJURY son) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) • GARAGE LIABILITY • ANY AUTO ❑ • AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG ■ EXCESSIUMBRELLA LIABILITY ❑ OCCUR • CLAIMS MADE DEDUCTIBLE • RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below • WC STATU- III OTH- TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS .04/0712010 09:29 CERTIFICATE HOLDER ACORD 25 (2001/08) QF 786 230 - 8533 Jessica Perez CANCELLATION Page '1 /1 © ACORD CORPORATION 1988 e • 09 -09 -200 STATE OF FLORIDA ALEX SINK DEPARTMENT OF FINANCIAL SERVICES CHIEF FINANCIAL OFFICER DIVISION OF WORKERS' COMPENSATION * * CERTIFICA TE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION t the individual listed below has elected to be exempt from Florida Workers' Compensation law. This certifies that EXPIRATION DATE: 10/06/2010 EFFECTIVE DATE: 10!0612008 E PERSON: SANCHEZ ARMANDO FEIN: 030478283 BUSINESS NAME AND ADDRESS: ARMANDO'S ROOFING INC P 0 BOX 972382 FL. 33197 MIAMI 1- ReGIS RED ROOFING S. NG CONTRACTOR exemption from this chapter by Filing a certificate of election under this IMPORTANT: Pur to Chapter f compensation F.S., under hisicer t a corporati t o who erects t e I onl within tha 0!11131, f.S., Notices of election to Orsoaoaamtedooacthefaotice or sco may nbt i nes s b a e st n thotic af election to be exempt• t Pur uant Chapter 440.05112), Chapter 1440.0 Certificates � e .s., f of the election election t person pp arson certificate of the business or tra listed on the QUESTIONS? arson 413-1 election to be exempt shell be subject to revocation if, at any time after the filing of the longer meets the requirements of this section ssuence of a certificate. The department shall revoke a certificate at any_ time for failure o the P namificate ao 9 named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DMSION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 10/06/2008 EXPIRATION DATE: 10/06/2010 PERSON: ARMANDO E SANCHEZ FEIN: 030478283 BUSINESS NAME AND ADDRESS: ARMANDO'S ROOFING INC P 0 BOX 972382 MIAMI, FL 33197 SCOPE OF BUSINESS OR TRADE: 1- REGISTERED ROOFING CONTRACTOR IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt•• apply only within the scope of 'the ' business or trade listed o E the notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and teary time after the filing the be of the ta of eection to c, ert i any certificate, the person named on the notice or certificate no longer The the requirements of this section for issuance time fo tificate the department shalt revoke a certificate at any person named on the certificate- to meet the requirements of this section. QUESTIONS? (850) 413-11 CUT HERE * Carry bottom portion on the job, keep upper portion for your records.