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RF-10-873Inspection Number: INSP - 145140 Scheduled Inspection Date: June 10, 2010 Inspector: Rodriguez, Jorge Owner: BURKE, CHARLES Job Address: 1279 NE 97 Street Project: <NONE> June 09, 2010 Miami Shores, FL 33138 -2559 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: ACCORD ROOFING & CONSTRUCTION CORP Building Department Comments For Inspections please call: (305)762 -4949 Permit Number: RF -5 -10 -873 Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1132050090440 Phone: (305)803 -2169 Passed ti Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 143598. No ladder NB Page 11 of 17 Project Address Owner Information May 27, 2010 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 1279 NE 97 Street Miami Shores, FL 33138 -2559 1132050090440 Block: Lot: r CHARLES BURKE CHARLES BURKE 1279 NE 97 Street MIAMI SHORES FL 33138 -2559 Valuation: Total Sq Feet: $ 825.00 145 Contractor(s) Phone Cell Phone ACCORD ROOFING & CONSTRUCTIOI (305)803 -2169 (305)443 -7611 Type of Work: Repair Additional Info: ROOF REPAIR Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Repairs Scanning Fee Technology Fee Total: Amount $0.80 $0.20 $100.00 $8.00 $0.80 $107.60 Address Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Parcel Number Phone Pay Date Pay Type Invoice # RF -5 -10 -37914 05/27/2010 Check #: 096 05/17/2010 Check #: 094 Amt Paid Amt Due $ 57.60 $ 50.00 $ 50.00 $ 0.00 Expiration: 11123/2010 Applicant Cell Available Inspections: Inspection Type: Roof Repair Final Roof Roof Review 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. May 27, 2010 Date 5.20. --° Jug BUILDING PERMIT APPLICATION FBC 20 Job Address (where the work is being done) Miami Shores Village Building Department BY:� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. g Master Permit No. Permit Type: BUILDING ROOFING C-it , + /� (� Owner's Name (Fee Simple Titleholder) M ir(�,\ V r t�1�'t x e„m ne # 3c5• 2 - 3 Owner's Address P. r) , ESOK) City State A - 7 Zip 3 • SO Tenant/Lessee Name Phone # cs 01)- 2.3 -3 Email l City Miami Shores Villa <e County FOLIO / PARCEL # it-a91:5 Is Building Historically Designated YES NO Contractor's Company Name 4 , c o.e D "-Art ON. / QA57 C Phone # Contractor's Address 15 2 .6 6 Stt) 23 S- • Miami -Dade Zip 2(j1 Flood Zone 30C- 4 -`j (o t ( D . 803 Z Ifo1 City 4 t ArM l State 3 3 J g'5 Zip 35 1$ Qualifier Name iC /C4-R-38 1,41.,0E Z ... Phone State Certificate or Registration No. CC /3 2 'RCS Certificate of Competency No. Contact Phone S-A-mE E -mail Architect/Engineer's Name (if applicable) . Phone # Value of Work For this Permit $ oD Square / Linear Foot�a Of Work: / Z" Type of Work:, D.Addition ['Alteration ❑New ft - Repair/Replace ❑ Demolition Describe Work: 4I f G F'4-I‹ ********* ** * * * * * * * * * * ** ** * ** ** * * * * ** * * *F ******** * * * * * * * * * * * * * * * * * * * * ** * * ** * * * ** *max ** ash Submittal Fee -�� Permit Fee $ e.:1C> CCF $ Q '(0 O CO /CC $ Training/Education Fee $ Q� 0 Technology Fee $ V Radon $ DPBR $ Bond $ Violation date: Notary $ ,, ll Scanning $ (Q BO Double Fee $ Structural Review. $ Total Fee Now Due $ 3 <00 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 ,$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged APPROVED BY W (Revised 07 /10 /07)(Revised 06/10/2009) Plans Examiner Engineer Owner or Agent The for oing instrument was acknowledged before me this 2'l The foregoing instruient was acknowledged before me this ,I V day of t l . , 20 JAI, , by C 1rj t,u F�G?�n -F11� day of 4 20 la, by // ko4-o who is personally known to me or who has produced who is perso ally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY. PUBLIC: NOTARY PUBLIC Contractor Sign: -Print: 0 I CO t - t \<,1(W - kc) NICOLE P OLE fWMWI My Commission Expires: MY COMMISSION # DD 040713 My Commissi EXPIRES: November 24, 2012 mj 9 07,0 Banded Tin Budget Nosy Service Zoning Clerk checked DATE ' &t y \ < BATC; � !IM \E.R � . . REGULATION \ / \�\ Sq$ t0 0 3 k SEE OTHER SIDE DO NOT FORWARD ACCORD ROOFING AND CONSTRUCTION CORP RICARDO E GAMEZ PRES 6279 SW 9 ST WEST MIAMI FL 33144 8 ........ • • . . ." : • , . . . . . • .... PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 10/14/2008 EXPIRATION DATE: PERSON: RICARDO E GAMEZ FEIN: 611458395 BUSINESS NAME AND ADDRESS: ACCORD ROOFING & CONSTRUCTION CORP 15250 SW 23RD STREET MIAMI, FL 33185 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED ROOFING CONTRACTOR 10/14/2010 IMPORTANT 0 F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who 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. H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on R the notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation . if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 CUT HERE PRODUCER • Morgan Insurance Group 13155 SW 42nd Street, Suite #107 Miami, FL 33175 Phone (305)99 Fax (305)222 -9006 INSURED Accord Roofing & Construction Corp 15250 SW 23 St Miami, FL 33175 1(305) 803 -2169 COVERAGES 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 TFIS CLRTIFICATE 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 L>nNTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TR A ADD'L lawn TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1003002 0 CLAIMS MADE WI OCCUR ❑ 0 ❑ OTHER CERTIFICATE OF LIABILITY INSURANCE 0 GEN'L AGGREGATE LIMIT APPUES PER: ❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS 0 GARAGE LABILITY ❑ ANY AUTO ❑ EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? iI yes, describe under SPECIAL PROVISIONS below POLICY NUMBER THIS CERTIFICATE IS ISSUED ASIA MATTER OF INFORMATION' ONLY AND CONFERS NO RIGHTSIUPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE ' NAIC # INSURER A: MAXUM SPECIALTY INSURANCE CO INSURERS: INSURER C: INSURER D: INSURER E: INSURER F: Po LICY EFFECTIVE DATE (MMIDD/YYI 03/11/10 POUCY EXPIRATION DATE IMMIDD/YYI 03/11/11 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea ocoLyence) MED EXP (Any one person) PERSONAL & ADVINJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LMT (Ea accident BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident AUTOEONLY - EA ACCIDENT OTHER THAN EA ACC AUTO :ONLY' _AGO gptcH;OCCURRENCE AGGREGATE ❑ TORYUI/TS ❑ ER E.L. EACH ACCIDENT EL DISEASE - EA EMPLOYEE E.L DISEASE - POUCY LIMIT DATE (MMIDD/YY) 05/17/10 1,000,000 100,000 1,000 1,000,000 2,000,000 1, 000,0 00 CERTIFICATE HOLDER ACORD 25 (2001109) CIF 2006 6LS'ON CANCELLATION • • • • MIAMI SHORES 10050 N.E. 2N0 AVE MIAMI SHORES, FL 33138 FAX: (305)756 -8972 SHOULD ANY OF THE ABOVE DESCRIBEDIPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRI1TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OP ANY KIND UPON THE INSURER, Ifs AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE • OACORD CORPORATION 1988 EL689SLS02 F 30NUWISN I Nd9HOW 917 :IT @TOE /LT /S0 Permit No: 10 -g7J Job Name ,s l? ,2010 %7c' ,-- Norman Bruhn CBO 305 - 795 -2204 INildin / Critique Sheet M iami Shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. / 14( Vy - (Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) /279 AE '7 7 Address: Ackn . edged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 5 )( t 1(b PERMIT CLERK INITIAL: RECEIPT PERMIT #: RF -`co - g 13 DATE: Nye y 20, 201-'0 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 M iami Shores VHIage Building Department From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI -DADE COUNTY, FLORIDA CENTRAL MORTGAGE COMPANY ; CENTRAL MORTGAGE COMPANY Plaintiff(s) / Petitioner(s) VS. BURKE, CHARLES L , et al. Defendant(s) / Respondents(s) CERTIFICATE OF TITLE GENERAL JURISDICTION DIVISION Case No: 08076780CA01 Section: 08 The undersigned clerk of the court certifies that a Certificate of Sale was executed and filed in this action on March 29 2010 , for the property described herein and that no objections to the sale have been filed within the time allowed for filing objections. The following property in Miami -Dade County, Florida: LOT 19, BLOCK 3, OF EARLETON SHORES, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 43, PAGE 80, OF THE PUBLIC RECORDS OF MIAMI - DADE COUNTY, FLORIDA. Rev. 10512009 Properly address: 1279 NE 97TH ST., MIAMI SHORES, FL 33138 was sold to: CENTRAL MORTGAGE COMPANY 11111111111111111 11111 1 111111111 111111111 1111 CFN 201080272586 OR 8k 27260 Ps 22991 (fps) RECORDED 04/23/2010 12 :05:01 DEED DOC TAX 1,260.60 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE WITNESS my hand and the seal of this court on Aoril 15. 2010 . Harvey Ruvin, Clerk of Courts Miami -Dade County, Florida Book27260/Page2299 CFN #20100272586 Page 1 of 1 ROOF ASSEMBLIES ARID ROOFTOP STRUCTUR {Ay !! APPROVED ZCAflNG DEPTI I Dorida .:Liliding Code Edito‘ik2 APT High- Velocity Hurricane Zone Uniform Permit APP IIoat o n T F Q1CIvlPI IANCE WITH ALL FEDERAL ;** (_ miry 41 iii , ) Master Permit Flo. Process No. Contractor's Name .E'ZI 'op iCi" c f cj^r Job Address 1z 7 q /‘E. 9 7 S¢ • M i min L o e.ei • ❑ Low Slope ❑ Mechanically Fastened Tile atiortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal PaneO /Shingles ❑ Wood Shingles /Shakes Shingles ❑ Prescriptive 1= UR-RAS 150 ROOF TYPE _;rt iN 1Y HUL FS AND REGULATIONS ❑ New Roof ❑ Reroofing ❑ Recovering Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) E M T 74 :er-t0 4 Miami Shores Village Total (SF) fps Ser•$uran R ' ; O NEON Sketch Roof Plan: illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and Bevels, clearly identify dimensions of elevated pressure zones and location of parapets. FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Roof System Manufacturer: Notice f cceptance Number: 3 Eat. 0 0 $4,17. 0 Minimum Desig Wind Pressures, If Applicable (From RAS 127 Calculations): P1: P2: P3: Maximum Design Pressure (From the Product Approval Specific System): Roof Slope: : 12 i Ridge Venthion? 1 fee (11) r Deck Type: Type Underlayment: Insulation: I Fire Barrier: Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: Covering: Afoe lot fitair.4,0,144, Heev-al c Type & Size Drip Edge: OA- FLORIDA BUILDING CODE — BUILDING Fl rida Wing C mde Edition 2007 ro) High-Velocity Hurricane Zone Uniform Permit Application Form. M IA M FDAI� BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NO) The Dow Chemical Company 901 E. Kankakee River Road Wilmington, IL 60481 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 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: Tile Bond-Roof Tile Adhesive 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- 1011.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 06- 0417.02 Expiration Date: 08/23/11 Approval Date: 07/13/06 Page 1 of 8 ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: PRODUCT DESCRIPTION: Manufactured by Applicant Typical Physical Properties: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Roofing 07320 Roof Tile Adhesive Polyurethane SCOPE: This approves TILE BOND as manufactured by The Dow Chemical Company, as described in this Notice of Acceptance, designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. For the locations where the pressure requirements, as determined by applicable building code, do not exceed the design pressure values; as obtained by calculations in compliance with RAS 127, using TILE BOND, and where the attachment calculations shall be done as an uplift based system. Dimensions Product Description Tile -Bond Factory premixed canisters Single component polyurethane foam roof tile adhesive Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of TILE -BOND roof file adhesive. kis ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2842 ASTM E 96 ASTM D 2126 Results 1.91 lbs./ft. 10 PSI @ 10% deflection 17.0 lbf @ 180°F, 65% RH for 90 days, concrete to concrete 3.96% absorbed by Volume 2.67Perm / Inch 1.01% Volume Change ® - 40 ° C., 2 weeks 10.44% Volume Change @70 °C., 97% Humidity, 2 weeks NOA No.: 06- 0417.02 Expiration Date: 08/23/11 Approval Date: 07/13/06 Page 2 of 8 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum patty Weight per tile grams) Flat / Low Profile #1 11.1 Medium Profile #2 11.0 High Profile ( Head) High Profile (Nose) #3 22.0 11.0 Two Piece Barrel #4 11.6 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. TILE BOND shall solely be used with flat, low, medium, and 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 TILE -BOND roof tile adhesive with their tile assemblies shall test in accordance with RAS 101 with section 10.4 as modified herein. 'F w 5. F= i2: MS INSTALLATION: 1. TILE BOND may used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of TILE BOND. 2. TILE BOND 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 TILE BOND shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. TILE BOND roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and The Dow Chemical Company TILE BOND Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by The Dow Chemical Company. 5. Pressure treated wood filler block shall be required on all eave course of all tile profiles, except on two piece barrel tile 6. Tiles must be adhered in freshly applied adhesive. Tile must be set within 4 minutes after TILE BOND has been dispensed. 7. TILE BOND placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 06- 0417.02 Expiration Date: 08/23/11 Approval Date: 077/13/06 Page 3 of 8 LABELING: All TILE BOND containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: Any documentation required by the Building Official or applicable building code in order to properly evaluate the installation of this system EVIDENCE SUBMITTED: Test Agency Test Identifier Center for Applied Engineering South Research Institute Walker Engineering, Inc. Celotex Corp. Testing Services 520111 -1 520111-2 520111 -3 520111 -4 520111 -7 520111 -8 520111 -12 520135 -3 520135 -4 520135 -5 Test Name/Report 25- 7512 -1 TAS 101 25-7512-2 TAS 101 25-7512-3 TAS 101 25- 77512 -4 TAS 101 25 -7781 Physical Properties Testing 257794 -2 SSTD 11 -93 01.8366-014 ASTM E108 -95a NIA Evaluation of Test on a Two -pad System TAS 101 TAS 101 TAS 101 TAS 101 TAS 101 TAS 101 TAS 101 TAS 101 TAS 101 TAS 101 Date 01/25/96 01/25/96 01/25/96 01/25/96 11/07/96 10/03/96 February 1997 12/16/97 12/28/98 12/28/98 12/28/98 12/28/98 12/28/98 12/28/98 12/28/98 02/01/99 02/01/99 02/01/99 NOA No.: 06- 0417.02 Ezpirallon Date: 08/23/11 Approval Date: 07/13/06 Page 4 of 8 ADHESIVE PLACEMNT DETAIL LOW (FLAT) PROFILE DETAII. #1 NOA No.: 06- 0417.02 Eapiratlon Date: 08/23/11 Approval Date: 07/13/06 Page 5 of 8 MEDIUM PROFILE DETAIL #2 NOA No.: 06- 0417.02 Expiration Date: 08/23/11 Approval Date: 07 /13/06 Page 6 of 8 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 4 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not b .pr, ' ,,f A , an a reinspection fee will be charged. � r Signature / � ✓ �,I � t Signature oed O r Owner o Ag - ( Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me thi day o '$ ,2O,by it ,] A. who is pers ally known to me or who has produced chc 05/13/03 day o who is pe ally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** APPLICATION APPROVED BY•i Engineer Zoning 2cL , by * * * *, ****************************** * * * * * * ** * * * * * ** * ** * * * ** * * * ** * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** HIGH PROFILE DETAIL #3 NOA No.: 06- 0417.02 Expiration Date: 08/23/11 Approval Date: 07/13/06 Page 7 of 8 BARREL PROFILE DETAIL #4 END OF THIS ACCEPTANCE NOA No.: 06- 0417.02 Expiration Date: 08/23/11 Approval Date: 07 /13/06 Page 8 of 8 Sf OI1V 1f1`✓'-' 1VH7(Hd 1 \1[Id1N70 0! ioErs 1S ■ idJO Ja 19 1d0 ONINOZ ea HIGH VELOCITY fs I;, k.'_ 1(NES}- _ ou ; l�fE S NOTIFICATION FOR OOFING CO51O,1 ' '&541A Se)OWS IL.' '' c� R 02.13.1 Sco e. 7 s'i eritainsiolhesiction, 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. The owner's 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 agree ent between the owner and the contractor. units (i.e., t• •wner shoul Renailing wo.+ decks: When replacing roofing, the existing wood roof deck may have to be renailed in ac•ordance with the current provisions of Section R4403. (The roof deck is usually concealed prior removi g the existing roof system). Common ro fs: Common roofs are those which have no visible delineation between neighboring wnhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or notify the occupants of adjacent units of roofing to be performed. Revised on 7/9/2009 I.D 17 3 3111H k ' Cl NV d1'd1S1 Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can e viewed om below. The owner may wish to maintain the architectural appearance; therefore, roofing nail netratid of the underside of the decking may not be acceptable. This provides the option of maintaining the appearanhe. onding water: The current roof system and /or deck of the building may not drain well and may cause water jo pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress an 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. Overflow scup, = re (wall outlets): It is required that rainwater flows off so that the roof is not overload d 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 accordan e with the requirements of Sections R4402, R4403 and R4413. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. 2e.c►• wner /A : - nt s Signature Date Contractor Signature