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RF-08-1950 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Nu INS -99438 Permit Number: RF -11 -08 -1950 Scheduled Inspection Date: May 17, 2010 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: ROLLE, AHSHA Work Classification: Tile Job Address: 590 NE 96 Street Miami Shores, FL 33138- Phone Number (305)756 -1880 Parcel Number 113206014066 Project: <NONE> Contractor: PRESTO ROOFING CORPORATION Phone: 305 - 822 -5707 Building Department Comments REPAIR ROOF IN 3 DIFFERENT AREAS. TEAR OFF ROTTED AREAS, INSTALL 1 -30 WITH TIN CAPS AND 1/4" NAILS, HOT MOP 1 -90 AND INSTALL NEW FLAT CONCRETE TILES WITH A -H 160 POLYPRO FOAM, MATCHING EXISTING AS MUCH AS POSSIBLE Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 14, 2010 For Inspections please call: (305)762 -4949 Page 32 of 32 Lab Report No. S 10 -291 FLORIDA TEC Providing Solutions to the Roofing Industry C.A.: 26o9s Lab Certificate: 08- 0514.02 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE "1 COMPLY WITH METRO -DADE COUNTY PROTOCOL "LAS -'106 PROPERTYADDRESS: 590 NE 96 St. Miami Shores PERMITNo: RF11 -08 -1950 OWNER: Rolle ROOFING SQUARES: 16 CONTRACTOR: Presto Roofing Corp. ROOF PITCH: 3:12 TILE TYPE: Spanish "S" INSPECTOR INITIALS. 7L ATTACHMENT PolyfoamTM TESTDATE: 4/30/2010 Testin E ui ment: Di ital Chatillon DFIS 200 Test Tabulation Require Force: 35 Ibs No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 6 -10 Passed 11 -15 Passed 16 -19 Passed THIS ROOF HAS: PASSED Q FAILED HE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS 106. "ROOF SKETCH" 46' 17 15 13 12 16 14 11 22' 2 10 8 3 4 7 1 g 5 6 Front Reviewed by: f Alberto 3 d d a, P.E. -Lic 417138 7020 NW. 37` Ct. Tel: (305) 256 -4550 Hialeah, FL 33147 www.floridatec.net Fax (866) 256 -6833 - .. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 129785 Permit Number: DEMO -7 -09 -1154 Scheduled Inspection Date: May 17, 2010 Permit Type: Demolition Inspector: Bruhn, Norman Inspection Type: Final Owner: GOLOFARB, IGHAL Work Classification: Building Job Address: 8849 BISCAYNE Boulevard Miami Shores, FL Phone Number (305)868 -8203 Parcel Number PARC2003 -2 3 Project: <NONE> Contractor: CONSTRUCTION DEVELOPER GROU CORP Phone: (305)215 -1988 Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 14, 2010 For Inspections please call: (305)762 -4949 Page 3 of 32 Miami Shores Village Building Department o 201 g W � 0 J 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 •••••' BUILDING Permit No. PERMIT APPLICATION Master Permit No. �"` f 1 • o� " J. o FBC 2004 Permit Type (circle): Building I Roofin L Owner's Name (Fee Simple Titleholder y Phone # ��6- a�•S` �� Owner's Address 9 1 0 �/ F S City , ' / }'1� e State Zip 33 Tenant/Lessee Name Phone # Job Address (where the work is being done) �� /VIE ! s City Miami Shores Village County Miami -Dade -zip FOLIO/ PARCEL # 8- -3204 - 6 64�0 Is Building Historically Designated YES NO Contractor's Company Name � ' 6 Td ) ;W4-�; Phone # - Its - 30 9 , Contractor's Address -90.19 vto 4, T . / City ' ' / 1 State Zip �b Qualifier Name Phone # State Certificate or Registration No Co' .0 Certificate of Competency No. ; 74 1 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition y ❑Alte ew ❑ Repair/Replace El Demolition Describe Work: _ � r! �• 94 eb l# 7 Submittal Fee $ Permit Fee $ t CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ R 0 Structural Review. $ Total Fee Now Due $ O 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. Signature Signature Owner or Agent tractor The foregoing instrument was acknowledged before me this The for 9p instrument was acknowledged efo e e this day of , 20 _, by day of , 20 1 by � • w `� , who is personally known to me or who has produced who is personally 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: NOT % o f,, Notary Public State of R a dos G Me el Sign: Sign: mi 0 8 Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: �J' _�� Plans Examiner Engineer Zoning (Revised 07110107) 03/04/2010 02:45 3864233590 ACCENT AMS LEASING PAGE 01 CER7IPICATE ND. f DATE AreORDR CERTIFICATE OF LIABILITY INSURANCE A1io- F1aaaai- fl 3J4/zo19 1oi36,4onrs PRODUCER I HIn CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION B ighpoint )Risk Sexvicee LLO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 16160 Dallas Parkway #500 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR Da11aa, TX 75254 (SOD) 632 - 5096 (972) 715 - 0959 INSURERS AFFORDING COVERAGE Fax; (972) 404 -4450 INSURED, AMS 1 / C / f - INSURER A: ty. and PR - ESTO ROOFING CORP. INSURER& 8089 Nut 67 ST, INSURER C: NIAM::, FL 33156 INSURER D: (304) 3929066 Fax: (305) 392 -9086 INSURER E! RA THE POLICIES OF INSURANCE L ISTED BELOW HAVE OFEN ISSUED To THE INSURED NAMED A9oVE FOR THE PouCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION QF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BS ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE pOI.ICY EXP TK) I SR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY FLG2079222 04/1,2/2009 04/12/2010 FE m 1000000 DItRE Rr DAMAGE (Any One Flra) b 0 0 0 COMMERCIAL GENERAL LIABILITY CLAIMS MADE El OCCUR MED EXF' (Any one Peso ^) b G 0 0 A PERSONAL &ADV INJURY IP 10000 QENERALAGOREOATE b 2000000 PRODUCTS- COMPfOPAOG a 2000000 G @N'L AGGREGATE LIMIT APPLIES PER', POLICY PR - LOC AUTOMOBILE LIABILITY COMBINED SINGLE LINT $ (ER mcddenl) ANY AUTO ALL OWNED AUTOS BOOBY INJURY $ (Per Penton) SCHEOULEDAUT09 HIRED AUTOS BODILY INURY b (Par a=ldent) NON -OWNED AUTOS PROPERTY DAMAGE $ (Par aetWere) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC # AUTO ONLY: AGG b EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMSMADE AGGREGATE 5 $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENBATIONAND 04/01/2009 04 /01/2010 X II TA U• O I- I:MPLOYERS' LIABILITY WC77779990901 E.L. EACHAGCIOSNT S 1000000 p, E.L. DISEASE � EA EMPLOYEE $ 1.0 6 30 0 D E.L.D18EASE• POLICY LIMIT b 1000000 OTHER LIMITS 9 LIMITS $ 1, Thta certificate. reMaine in effer-t, the client's account i.S in L7ood Standinq with AMS. I'll App to 100% of of tESTO CORP., /01%200. 2, TOR SZO PURPOSES ONLY. ** *PLEASE SEE ATTACHED EMPLOYEE ROSTER. * ** CERTIFICATE MOLDER ADDITIONAL INSURED;INSURERLETTER: CANCELLATION OATETMEREOF, THE ISSUING INSURO WILL ENDEAVOR TO MAIL 30 0AY9 WRrrMN NOTICE To THE CERTIFICATg HOLEMA NAMED TO THE LEFT, BUT FAILURE TO 00 SO SMALL M1AMJI gHOREG VILLAGE BUILDING DEPT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, 1T9AGENTSOR 10050 N.E. 2ND AVE. MIAMI 8HORF;8, rL 3313E REPRESENTATIVES, AUTNORIEFO REPRESENTATIVE ACORD 25 -S (7197) p ACORD CORPORATION 19813 oFv STATE OF FLORIDA 0 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION F - ka °CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET (a50) 487 -1395 WE TALLAHASSEE FL 32399 -0783 ZUNINO, ADOLFO MARCELLO PR -ESTO ROOFING CORPORATION 8089 NW 67TH STREET MIAMI FL 33166 Congratulations! With this license you become one of the nearly one million \ stare oF.FUORioa AG # Yt 4 Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT _OT' BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from�T PROFESSIONAL REGULATION c; boxers to barbeque restaurants, and they keep Florida's economy strong. CCCO55581 0�/09J,08 080094035,; 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.myfloridalicense.com. CERTIFIED :ROOFING .CONTRACTOR There you can find more information about our divisions and the regulations that ZUNINO, ADOLFO MARCELLO impact you, subscribe to department newsletters and learn more about the PR -ESTO ROOFING, "CORPORA'I =fJN - - 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! ?s CERTIFIED' under the Provisions,. " of Zh 485 Fs _Expi =ation _ �date: AUG 31 - .:2010' d+0809fl90233 -� DETACH HERE AC# _ = STATE -OF FLORIDA -' DEPARTNTEN3' "�F BUSINESS AND PROFESSIONAL REGULATION 13 NSTRUCTOI�T= INDI3ETRY- LICENSING BOARD "SEQ #:LQSO9'o9o23�s = • - LICENSE TTBR- � _.�09J0 "9J20Q8,08009.4035 = .CCCO55�8� � n - _ The ROOFING CONTRACTOR° = p Named''3�elpw 'rS CERTIF�D ' ITnder the' prov2s`i,,ons of Chaptex 489 Expirataon ;dat: e,. "AUG 3;1, 2010 ZUNI ADOLF0 =MAR; ELLO P2- ES'3'O206FIN6, CORPORATTON,� 8D89 - NW "67TH._STREET .MIAMI FL 3 3.16 CHARLIECRIST = _ GOVERNOR _ CHARLES V` Dt PI A-Y 0#h a1RFn l Rv i AxAr °SECRETARY MIAMI -DADS COUNTY 2009 °° LOCAL BUSINESS TAX RECEIPT 2010 € FIRST -CLASS TAX COLLECTOR MIAMI -DADE COUNTY - STATE OF.FLORIDA U - S. POSTAGE 140 W. FLAGL ER ST EXPIRES SEPT. 30, 2010 , `- PAID . 1st FLOOR + "MUST BE DISPLAYED AT PLACE OF BUSINESS 'MIAMI, FL MIAMI, FL 33130 �` ' PURSUANT TO�COUNTY.CODE CHAPTER 8A ART °9 I PERMIT NO'13 THI lS NC1TA SILT 026246 9 RENEWALS BUSINESS NAME /LOCATION : RECEIPT NO. =' 026246 9 PR ESTO ROOFING °CORP,` STATE #`:CCCO55581 8089 NW 67, .ST 33166 �UNIN DADE 'COUNTY OWNER PRESTO ROOFING�CORP Sec: T e *SPECIALTY f Business ' WORKER /S 1V6 BUILDING CONTRACTOR10 `)T IiS IS ONLY A LOCAL • °, ' BUSINESS TAX RECEIPT R DOES NOT PERMIT -THE HOLDER TO VIOLATE MANY,,. ;. EXISTING REGULATORY OR ..,_ ._. _�.�...�, __.... ,._..-3 _.�.c.. . _....x.�...�. L .`.,._..- ...�.�.� - ,... .�.�.,..�._� >. zZONING -LAWS OF THE DO NOT FORWARD .COUNTY OR CITIES. NOR DOES IT ' EXEMPT '.THE.' ;t HOLDER FROM ANY OTHER PR ESTO ROOFING CORP PERMIT REQUIRE BY ADOLFO ZUNINO PRES OF THE HOLDER'S QUAL - -' ? 8089 NW 67 ST TloNS.,. MIAMI FL 33166 PAYMENT RECEIVED., -' .` COUNT`�.TAX - �..=LLECTOR: 07/30/2009' ' 6001,UOAD94 �> OOOOZ5 00 = jj jjj j j( p J j j j p 1i.- - ,,. -.� - -- - - ,n- �i231i ifi ��liill fi�llil� }Fi4�S11iFi #4�3i13i851 F ?�i P51 #St�7 i1I SEE OTHER SIDE �;yNbas`�t Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �RMies tN �� oRtoP Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/0512008 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Tin Cap Owner: ROLLE, AHSHA Work Classification: Roof - New Job Address: 590 96 Street NE Miami Shores, FL 33138- Phone Number (305)756 -1880 Parcel Number 1132060140660 Project: <NONE> Block: Lot: Contractor: PRESTO ROOFING CORPORATION Phone: 305 - 822 -5707 Building Department Comments REPAIR ROOF IN 3 DIFFERENT AREAS. TEAR OFF ROTTED AREAS, INSTALL 1 -30 WITH TIN CAPS AND 1/4" NAILS, HOT MOP 1 -90 AND INSTALL NEW FLAT CONCRETE TILES WITH A -H 160 POLYPRO FOAM, MATCHING EXISTING AS MUCH AS POSSIBLE ' Inspector Comments Passed T F�q CREATED AS REINSPECTION FOR INSP- 100570. MISSING VAMEX M ETAL J R 11 /24/08 cc 2-- v r... -- C a'' , E:1 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, December 4, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL FcoRm�* Phone: (305)795 -2204 Fax: (305)756 -8972 2 Inspection Date: 12/05/2008 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Hot Mop Owner: ROLLE, AHSHA Work Classification Roof - New Job Address: 590 96 Street NE Miami Shores, FL 33138- Phone Number (305)756 -1880 Parcel Number 1132060140660 Project: <NONE> Block: Lot: Contractor: PRESTO ROOFING CORPORATION Phone: 305 -822 -5707 Building Department Comments REPAIR ROOF IN 3 DIFFERENT AREAS. TEAR OFF ROTTED AREAS, INSTALL 1 -30 WITH TIN CAPS AND 1/4" NAILS, HOT MOP 1 -90 AND INSTALL NEW FLAT CONCRETE TILES WITH A -H 160 POLYPRO FOAM, MATCHING EXISTING AS MUCH AS POSSIBLE V Inspector Comments Passed cc 2.-- 0 !— OT . Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, December 4, 2008 Page 2 of 2 w .. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL ' rr � f �tORmp` Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/24/2008 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Tin Cap Owner: ROLLE, AHSHA Work Classification: Roof - New Job Address: 590 96 Street NE Miami Shores, FL 33138- Phone Number (305)756 -1880 Parcel Number 1132060140660 Project: <NONE> Block: Lot: Contractor: PRESTO ROOFING CORPORATION Phone: 305 - 822 -5707 Building Department Comments REPAIR ROOF IN 3 DIFFERENT AREAS. TEAR OFF ROTTED AREAS, INSTALL 1 -30 WITH TIN CAPS AND 1/4" NAILS, HOT MOP 1 -90 AND INSTALL NEW FLAT CONCRETE TILES WITH A -H 160 POLYPRO FOAM, MATCHING EXISTING AS MUCH AS POSSIBLE Inspector Comments Passed El Failed Correction . Needed Re- inspection I Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, December 2, 2008 Page 2 of 2 Pert k6, R 4 -08-1 5 X 5H °RCS y� Miami Shores Villagea . 10050 N.E. 2nd Avenue v Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Pem* ttiahi APPROVED ' imm bats: 11at1912 8 Expiration: 0 5/18 / 200 Project Address Parcel Number Applicant „ .. _ .._. _ _...... „ . .... .. 590 NE 9 6 Street 1132060140660 AHSHA ROLLE E Miami Shores, FL 33138- Block: Lot: Owner Information Address �µ m Phone ..e _ Cell AHSHA ROLLE 590 NE 96 Street (305)756 -1880 MIAMI SHORES FL 33138 -2736 Contractor(s) Phone Cell Phone Valuation: $ 3,700.00 PRESTO ROOFING CORPORATION 305 - 822 -5707 i Total Scl Feet: 250 I Type of Work: Repair Available Inspections: Additional Info: COLOR TTHRU REPAIR Inspect Type: Classification: Residential Final Roof Roof Repair Fees Due Amount Total Amt Paid I Amt Due CCF $2.40 Education Surcharge $0.80 $ 0.00 $ 0.00 Permit Fee - New Roof $275.00 Scanning Fee $9.00 Payment Type: Technology Fee $6,88 Total: $294.08 le 99 m 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. November 19, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday, November 19, 2008 1 Miami Shores Village Department 1 � a98 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. .V� Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 0 06 no PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building oofing Owner's Name (Fee Simple Titleholder) ) 0 F, Phone # • Z "" "' Owner's Address ' 0 & Cit �[ State Zip I Tenant/Lessee Name Phone # Job Address (where the work is being done) s T City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # //— _ ✓ — e <✓ oe Is Building Historically Designated YES NO Contractor's Company am Phone # Contractor's Address' City State � Zip � Qualifier Name N- � 1(L/� 6 Phone # State Certificate or Registration No. 49 I Certificate of Competency No 4?? , A� Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ �� Squara Linear Footage O Work: Type of Work: ❑Addition ❑Alte ❑Ne�y Repa' eplace �.❑ Demolitio Describe Work: !FX1s1 C.�' L Submittal Fee $ Permit Fee $ �� CCF $ C /rte Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -4 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. Signature Signature Owner or Agent �p Cfor The foregoing instrument was acknowledged before me this The The foregoing nstrument was me this 14 day of (/. 20 Ca. by bwC day of 20`, by who is personally known to me or who has produced who is personally known to or who has produced As identification and who did take an oath. as identification and who did take an oath. \ NOT PUBLIC: NOT PUBLIC: ► ublic State of Florida Sign: Sign: • Notary P blic State of FWida Menzel Print: My Commission DD5077 88 Print: °F a Pkes 01/17/2010 My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) 10050 NE 2nd Ave * Miami Shores, Fl 33138 Phone 305- 795 -2204; Fax 305- 756 -8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2n Ave Miami Shores, Fl 33138 Re: Owner's Name: clzfel Property Address: Roofing Permit Number: Dear Building O icial: certify that I am not required to retrofit the roof to wall con ections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) (�" kD- S I� Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above property mentioned. Sworn to and subscribed before me this ! day of 14W �e �OW ^!,y Notary Public State of Florida Carlos G Menzel Notary Public, Sate of Florida at Large c MY Commission D050 When the just valuation of the structure for purpose of ad valorem taxation is equal to 0 ore than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Co ractor for the Roof to Wall connection Hurricane Mitigation. .:. AM 8089 NW 67 Street Presto Roofing Corp. Miami, FL 33166 State Licensed & Insured Contractor Web Site: www.PrestoRoofingCorp.com Telephone: 305 392 -9081 State License # CC- CO055581 E -Mail: PrestoRoofing(a�Yahoo.com Fax: 305 392 -9088 t To Aasha Rolle Date: November. 2008 Attn: Same Kind of Work: Re- Roofing Job Location: 590 NE 96 Street City: Miami Shores, F1 Phone: 786 285 0034 Fax: 305 754 2777 Ct 9 We are pleased to submit the following Proposal and Contract: Specifications TILE ROOF ONLY 1. Remove existing roofing system down to the wood deck. 2. Replace up to 100' lineal ft. of damaged wood. Any additional wood replaced will be charged at $ 4.75 per lineal ft. Additional sheets of plywood to be replaced at $ 75.00 per sheet. 3. On top of the wooden deck, we shall install an anchor sheet vapor barrier #301b. felt 4. Install one layer of 90# Mineral Cap Slate with hot asphalt as per code. 5. Replace all old flashings, vents, and lead caps on pipes to guarantee against leakage. 6.' "` Install a 26 Ga. galvanized metal on all drip edges and valleys. 7. Install code approved Clay S' Tiles, as specified by Miami -Dade County Building officials, in a workmanlike manner. Warranty: Ten (10) years by Presto Roofing Corp. Note: Price includes permitting fees, notice of commencement fees, and tile certification test by engineer required by the building department. We agree to perform and complete the work in a workmanlike manner within a reasonable time for the sum of: Thirteen Thousand Nine Hundred Dollars ($ 13,900.00) Payment terms: 30% deposit upon signing, 30% after dry-in, 30% after tile delivery, and balance upon completion. (1) No carpentry work, wood work or painting is included in this contract unless mentioned in specifications. (2) Presto Roofing Corp. carries full insurance as required by Florida Law (Property Damage and Workman's Compensation), but shall not be held responsible for damages either before commencement of, during the said work or after said work, caused by strikes, war, acts of God, sudden rains, storms, wind storms, material shortage, or any other event beyond our control. (3) All work to be done or guaranteed shall be set forth in specifications. No promises, verbal or otherwise, will be valid. (4) In the event payment is not made, all fees incurred in collection, such as attorney fees, court costs or collection agencies are to be paid by signer or owner. (5) Any interruption in the work agreed upon in this contract which is not the fault of Presto Roofing Corp, or beyond the control of the same, will be billed. (6) Work done, or attempted to be done, on this roof by others than Presto Roofing Corp. or their authorized agents, relieves the warrantor from any further obligation there under. (7) Should any leak occur, within the period of our guarantee, due to defective materials or workmanship supplied and furnished by us, we hereby agree to repair or replace the same with out charge, upon receipt of proper notice in writing, by certified mail, providing that the job complained of has been promptly paid in full. This guarantee shall apply to labor and materials only and does not cover damage to personal property which occurs as a result of leakage after said roof is installed. We are not responsible for damage caused by termites after job is finished. (8) We do not guarantee against leakage due to; footwear, improper building or roof deck construction, fire, hail, tempest or hurricanes nor to punctures made by fastenings or wire fixtures, nor the erection of any hatchway, pent- house, flagpole, pipe or other structure, support or brace, subsequent to completion of our work to your property. (9) If ventilation is required by the Building Code, it shall be additional to our contract price. (10) If roof deck needs to be re- nailed to meet the requirements of the South Florida Building Code, an additional charge of $25.00 per square will be charged. (11) Gas Vent Caps, Stacks, and Flues: The Construction Trade Qualifying Board ruled the removal and re- installation of flue pipes or vents stacks for water heaters and boilers Not considered incidental work by a Roofing Contractor. Therefore, if the gas vent stack and flue system is disturbed or removed, a permit must be obtained in accordance with 301.1(g), 4001.4(a), and 4703.1 of the SFBC, using a contractor licensed in that trade. (12) Customer is responsible to notify in writing the location of exposed sheathing, septic tank, and drain field. Where exposed sheathing, holes and openings exist, customer shall protect interior and furnishings from falling sediments and debris filtering through roof sheathing. (13) Customer shall remove and replace at its own expense all electrical lines, phone lines, gutters, signs, plumbing, pipes, solar panels, air conditioning units, and any other items attached to the roof. (14) We cannot be responsible for sidewalks, lawns, awnings, and fences for access to the building. (15) We cannot be responsible for ceiling damage during the process of roofing, condition of solars, and mortor matching with colored tile. (16) This bid will be automatically withdrawn if not accepted within 30 days. (17) This contract covers only work which is specifically delineated herein and does not cover any additional repairs which are found necessary after commencement of work. (18) This guarantee is not transferable unless mentioned in above specifications. (19) Presto Roofing Corp. will not be responsible for the bubbling of roofing felts on the roof deck due to heat expansion. (20) Presto Roofing Corp. will not be responsible for any ponding of water on any flat deck. (21) Presto Roofing Corp. will not be responsible for blending of colors of shingle or cement tile roofs due to manufacturer's different runs of materials, (22) Presto Roofing Corp. will not be responsible for any weathering of wood due to leakage that was not reported during the guarantee period. Buyer's Right To Cancel This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller. This notice must be postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may keep all or part of any cash down payment. s o Roofing Corp. 1 have read and understand the above conditions, and agree to the payment terms as pecifie above: By (Contract is Signature) (Owner's Signature) Date: Date: CF14 200 OR Bk •664• Ps 194 (1P3) RE00ED 1 1/13 7 /2008 102027 NOTICE OF COMMENCEMENT HARVEY RUVINI; CLcRK OF COURT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 1 ° 1 T I EA Wl COUNTY- FLOR LAST PAGE PERMIT NO. -TAX FOLIO NO STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be'made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement q& i 1. Legal description of pioperty and street/address: A 11� r i��T _ , 2. Description of improvement: j A 3. Owner(s) name and address: 741ftl 4 �417 r6 Interest in property: I Name and address of fee simple titleholder 4. Contractor's name and address: 7 122 4 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 11" 0 'v 6. Lender's name and address: 8 W i f Ili I , 4 , br 7. Persons within the state of Florida designated by Owner n offices .or.oth 110" ents, may be 0rVe d as'. provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differ t ate specifi * A A fi /? 1 MI Sign toe of Owner Print Owner's Name, Prepared b A1 / &f0 Sworn toands s i d before me this ' day of 20• Address: *"Alk 7 57 Notary Public I M _rmlc State of 1- Print Notary's Name r, Man7AI My commission expires: My Commission DD507718 123.01-52 PAGE 4 SM "yffuz, V I/ I flzv IV Page 1 of 1 BY - - - -• High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION. FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW. rt :a e Required Sections of the Attachments Required oSyst Permit Application Form See List Below v✓�SXispi� A pl!cation A, B, C 1,2,3,4,5,6,7 G Rc+r aptive OR RAS 150 A, B,C 4,5,6,7 Asphaltic Shingles A. B, D 1,2,4,5,6,7 Concrete R fc,ay TiI A, B, D. E 1,2,3,4,5,6,7 Metal Roofs A, B, D 1,2,3,4,5,6,7 Wood Shingles and Shakes A, B, D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5, 6.7 ATTACHMENTS REQUIRED 1. Fire Directory Listing Page P ERM IT 2. From the Miami -Dade County Notice of Acceptance Miami Shores Villa e NOA Cover Sheet APPROVED BY DATE NOA Specific System Description ZONING DEPT NOA Specific System Limitations ► NOA General Limitations 9LDG DEFT t► Applicable Detail Drawings SUBJECT TO COMPLIANCE WITH ALL FEDERAL. STATE AND COUNIY RULES AND REGULATIONS 3. Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Appendix "F" Form) Re- roofing or Repairs Only 7. Any Required Roof Testing /Calculation Documentation Any other additional data reasonably required by the Building Official to determine the integrity of the roofing system. Pagel Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI•DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section A (General Information) Master Permit No. Process No. Contractor's Name: Job Address: tf-'-11 Roof Category _ L� Low Slope [; Mechanically Fastened Tile Mortar/ dhesive Set Tile \ L Asphaltic Shingles E � Metal Panel /Shingles Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 1 other: Roof Type New Roof Re- Roofing [ Recovering C Repair F Maintenance Are there Gas Vent Stacks located on the roof? I: Yes Ct,�N If yes, what type? L Natural Lj LPGX Roof System Information -- - - --, _ Low slope roof area (ft') Steep Sloped area (ft.') Total (ft ?)' Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identif dimensions of elevated pre ssure zones and location of parapets. — _' Perimeter Width _Corner Size (a' x a'): I — '_t !�' i t t i{ i !- :) i � �� 1 1 ; --- -;' —`— : 1 :...t_ ' S } 1 - � :.� —1 —+ '. t— i £ I € I€ 1 ;_ i t11_ £ 1 1 I i £ !`� I ��r�'� i � � 1� 1 v� s �, J_� £ i f� — 'i i i a 1 i - 1 £ 1 S £ t #` ! i �i £ i - i.. - J }. •- •;•- +.- -.�..- r-{ i- C -i•-/ •i• -•• } i! 1 71 i �? I i� i i t.' F 1 f i — i �i�' I I f t i».(- i+ r' ` I�! i 1� t i i i i 3 I �' t j ";"{ i t- •_a_�,� 1 3 1 ;� i • j £ ! j » ! 1 I ! i i ! •1 i `' 1 1 ! t „_! i_ i - i ._ � � _� " �.__L + — �—€•� I { t i �S i •� r €� � ( I —� i =._.L. 4..' ' i � I l •+ ! � � i r ` . 1 } ! � ..i_ I + �' + � ! £ ' ' i +—! !�� ..�, �� 1 i ! i ! ;�,; I t _{ + { •..� I r :�. �_• f � ' t + �"� i i i [ i ir'—'--`— ' i i ! I ; i i £ j _ i € s + t t '..»..,,. =-•a —t t ' t ! + )�:�.+ t } 7111�d- - I1'I �_• + { W i i i + ' 1' S /"._.� i 1 + ! i 1 i i_ I 1 '_..._.�'• ;'"�_ i + '..5� { I , 5,.,... -S I I } S :..•fir } + ' i 1 - t ' ! L. r ._(� i + i t + ! FY . Page 2 _ ....._.., . Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section D (Steep Sloped Roof System) Roof System Manufacturer: a ~ �li Notice of Acceptance Number: 1 V �C Minimum Design Wind Pressures, If Applicable (from RAS 127 or calculations): P1: "sP2:' P9: Maximum Design Wind Pressures, (From the PCA Specific system):: Sloped System Description Deck Type:! ; 5/8" Plywood Alternate Deck Type: _ und type insulatio Bar Board: Options_ ► Naiiable Su strafe: Fasten rs: Ca he T /A hes�rve T pe: YP E�7 — */f7�lh� Roo C_ overing: � 7 f .� I Roof Co eying Attach n echo : } Roof Slope: j '/12" Roof Mean Height:; ice 26 ga..: Ridge Ventilation ` Drip Edge Size b Gau9 Method of Tile Attachment: — f � � Drip Edge Material Type: GaIVIniZe Metel N! Drip dge Fasl nerType: l/ Alternate Tile Attachment Method: _ �y f,/. /117 ,r �` 4 f f Clip Spacing for Metal Roof Pane Hook Strip /Cleat ga. or weight.; N /A_; Field: :Perimeters: C ners: — Perimeter Width:; Page 4 Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section E (Tile Calculations) For Moment based the systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" NOA Mf: P 1 - x 11G7_ - Mg: 5< `= Mr1 ' x 1\ c ; ? Mg: � ` = Mr1:..i 1 NOA Mf: , P3: � Mg: S =Mr1:r NOAMf: ° Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: NOA Mf: Mr Required Moment Resistance* Mean Roof Height. 15' 20' 25' 30' 40'- in Feet Roof Slope 1 1 1 1 1 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 A49 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 "This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricanq Zone) are or the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues 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 lap addressed as part of the agreement between the owner and the contractor. 9 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may gave to be renailed in z4ccordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building e. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units i.e, townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner Id notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be view d from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the io of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not ove oaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance q th Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the str tural 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 se e life of the roof. wner's /Agent's Signature Date Conti ctor's i ature �S'_qt 4 q6 G7 Property Address Permit Number -_ . Rev: Building Depgrtmenf -- MIAMI- DADE M MIAMI -DADE COUN'T'Y, FLORIDA BUILDING CODE COMPLIANCE OFFICE (BCCO) METRO-DADE FLAGLER BUILDING PRODUCT CONTROL DIVISION 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 NOTICE OF ACCEPTANCE (NOA) (305) 375 -2901 FAX (305) 375 -2908 Clay Forever, LLC 6801 NW 77` Avenue Miami, FL 33166 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 b 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 Miam i - Dad— Count_y-Product- Control - Division -that- this - -product -or - matena 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: Altusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERNIINATION 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. Failuie 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 renews NOA #06 -0706.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. a NOA No.: 07- 0919.05 Expiration Date: 12 /16/12 Approval Date: 12/20/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub- Category: Roofing Tiles Material: Clay 1. SCOPE This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Alfareria Del Turbio, S.A. (ALTUSA) in Venezuela 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 RA 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 Test Product A licant Dim_ ensions Specifications Descriution Altusa One Piece `S' L = 18' /a" TAS 112 High profile clay roof tile. For direct deck or Tile W = 10.5" batten nail -on, mortar set or adhesive set 1 / zhick- mminal applications - with nfi imai o - 2 3.25" high Trim Pieces Length: varies TAS 112 Accessory trim, clay roof pieces for use at Width: varies hips, rakes, ridges and valley terminations. varying thickness Manufactured for each file profile. Clip L = 6" TAS 114 Tile clip D = 0.125" Clip L &h = 2" TAS 114 L Shaped tile clip W =%2 0.05" thick 2.1 SUBMITTED EVIDENCE: Test Agency Test Identifier Test me/Report Date IBA Consultants, Inc. 2397 -116 ASTM C 1167 06/28/07 The Center for Applied 94 -083 Static Uplift Testing April 1994 Engineering, Inc. TAS 101 (Adhesive Set) The Center for Applied 94 -084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) The Center for Applied 25- 7200 -1 Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 (Quick -Drive Screws, Battens) The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -78 TAS 100 Celotex Corporation Testing MTS 520649 TAS 102(A) May 2000 NOA No.: 07- 0919.05 Expiration Date: 12/16/12 ig Approval Date: 12/20107 Page 2 of 7 Test Agency Test Identifier Test Name/Reuort Date PRI Asphalt Technology, Inc. CLF -003 -02 -01 TAS 102 October 2001 Redland Technologies 7161 -03; Appendix III TAS 102 Dec. 1991 Redland Technologies 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix II TAS 108 (Nail -On) Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108 (Nail -On) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Redland Technologies PO402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails Walker Engineering, Inc. Calculations Aerodynamic Multiplier March 1999 Walker Engineering, Inc. Evaluation Calculations 25 -7183 March 1995 Walker Engineering, Inc. Evaluation Calculations 25 -7094 February 1996 Walker Engineering, Inc Evaluation Calculations —_ -- _____25_-7A-96__ April-4-996 Walker Engineering, Inc. Evaluation Calculations 25 -7584 December 1996 25- 7804b -8 25- 78044 & 5 3. LEMTATIONS 25- 7848 -6 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. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 `Altusa One Piece S' Clay Roof 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 o { NOA No.: 07- 0919.05 _ Expiration Date: 12116/12 Approval Date: 12/20107 Page 3 of 7 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight- W'(Ibf) Length -I (ft) Width -w (ft) Altusa'S' Tile 6.9 1.52 0.875 Table 2: Aerod amic Multi hers - 21 ft Tile ). (ft) (ft ) Profile Batten A lication Direct Deck lication Altusa `S' Tile 0.253 0.274 4AMN 3: Restoring Moments due to Gravl - M ft -Ibf 411: 1211 5 " : 12" l) 12" 7": 12" or reater rect Battens Direct Battens Direct Battens Direct Battens Direct eck Deck Deck Deck p�k .35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) Tile for Nail -On Systems Fastener Type Direct Deck Direct D eck __fattens Profile (Min 15/32" (Min. 19/32" -- plywood) plywood) Atusa `S' Tile 2 -10d Rin Shank Nails 28.6 1 -10d Smooth 41'2 19'4 ooth or Screw 5.1 6.8 2.8 Shank Nail 2 -10d Smooth or Screw 6.9 9.2 7.3 Shank Nails 118 Screw 28.7 28.7 N/A 2 48 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw 23.1 23.1 19.0 Shank Nail Field Cli 1 -10d Smooth or Screw 29;3 29 3 24 0 Shank Nail Eave Cli 2 -10d Smooth or Screw 27.6 27.6 38.6 Shank Nails Field Cli 2 -10d Smooth or Screw 38.1 38.1 41.8 Shank Nails Eave Cli 1 Screw with Altusa Clip See cli details Altusa "S" 1 Screw with clip (at the 187.1 187.1 N/A Tile' head of tile Altusa "S" 1 Screw with clip (at the 35.2 35.2 N/A Tile' water course of tile 1. Screw must be installed in the inside nail hole located nearest to the hum of the.tile. NOA No.: 07- 0919.05 Expiration Date: 12 /16/12 Approval Date: 12 /20/07 Y Page 4 of 7 Table 6: Attachment Resistance Expressed as a Moment M (ft Ibf) for Two Patty Adhesive Set S stems Tile Profile Tile Application Minimum Attachment Altusa'S' Tile Adhesive Resistance 29.3 2 See manufactures com onent a roval for installation re uirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Pol oam Product, Inc. Avera a wei ht er a 8 rams. Table 7: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Sin le Pa Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Altusa 'S' Tile Resistance Pol oam Po ProTM 86.5 4 Large add lacement of 63 rams of Pol p�o M PolyProTM 38 5 Medium add tacement of 24 rams of Pol ProTM. Table 8: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Mortar Set S stems - -- -- - - - F 'Altusa Tile Ii1e --- A ttachmen # Profile A lication Resistance S' Tile Mortar Set 24.50 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". ALTUSA MADE IN VENEZUELA IDENTIFICATION MARK FOR ALTUSA `S' CLAY ROOF TILE LOCATED UNDERNEATH TILE 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 NOA No.: 07- 0919.05 Y Expiration Date: 12 /16/12 Approval Date: 12/20/07 Page 5 of 7 PROFILE DRAWINGS A `S' CLAY ROOF TILE .a e CLIP DETAILS "SPANISH S TILE BY ALTOS (TYP.) -113"OVERLAP -- (COVERS PIN HOLE) 0 SCREW IN THE INSIDE HOLE ' o NEAREST TO THE HUMP OF THE TILE DECK' CLIP WITH ONE (1) SCREW ATTACHED TO DECK CUP PLACEMENT DETAIL 0 CLIP NOA No.: 07- 0919.05 Y Expiration Date: 12 /16/12 Approval Date: 12 /20/07 Page 6 of 7 SCREW(HOLD CLIP DETAILS WON'T) "SPANISH S" TILE BY ALTUSA (TYP.) 21/2" OVERLAP (COVERS PIN HOLE) SCREW (HOLDS CLIP ONTO DECK) O SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HUMP OF THE TILE DECK CLIP PLACEMENT DETAIL 1 1/4" 1 3/4" 3/4" 5! " 5/8" __ -- W8. _ GALVANIZED 3.00" METAL CLIP DECK 2 1/2" SCREW END OF THIS ACCEPTANCE NOA No.: 07- 0919.05 Y Expiration Date: 12/16/12 Approval Date: 12 /20/07 Page 7 of 7 MIAMI t7ADE MIAMI -DADE COUNTY, FLORIDA BUILDING CODE COMPLIANCE OFFICE (BCCO) METRO -DADE FLAGLER BUILDING PRODUCT CONTROL DIVISION 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 NOTICE OF ACCEPTANCE ffOA) (305) 375 -2901 FAX (305) 375 -2408 Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, T% 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 he 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 fa ils to mee the requirement"f theappl ;cable - 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(9 AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by J rge L. Acebo. a NOA No.: 060201.02 : Expiration Date: 05 /10/11 Approval Date: 04/13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof the adhesive Materials: Polyurethane SCOPE: This approves Polypro@ AU160 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 b values applicable building code, does not exceed the design compliance with Roofing Application Standard RAS 127,Sfor use w approved fl c at, low, and Profile roof tiles system using polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED By APPLICANT: pry ct Dimensions Test Product Description PolyproQ AH160 Specifications NIA TAS 101 Two component polyurethane foam Foampro® RTF1000 N/A adhesive roPack ®30 & 100 N/A Dispe Equipment Dispensing Equipment 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 OfPolypro AR 160 roof tile adhesive. PHYSICAL PROPERTIES: kM e rt j Test Density Results ASTM D 1622 1.6 lbs. /ft. Compressive Strength ASTM D 1621 18 PSI Parallel to rise Tensile Strength 12 PSI Perpendicular to rise ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 LbsJFt Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change cr -40 F,, 2 weeks +6.0% Volume Change @I 58T., 100% Closed Cell Content Humidity, 2 weeks ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determ by accepted ASTM test methods and are subject to normal manufacturing variation. ined NOA No.: 06- 0201.02 { Expiration Date: 05 110 111 ° Approval Date: 04/13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test A encv --pUgma Test Identifier Test Name /Rent Date Center for Applied Engineering tx94 -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 Miles Laboratories 25 -7492 SSTD 11 -93 12/12/95 Polymers Division NB-589 -631 ASTM D 1623 02/01/94 Ramtech Laboratories, Inc. 9637 -92 ASTM E108 04/30/93 Southwest Research Institute 01 -6743 -011 ASTM E 108 11116194 Trinity Engineering 01- 6739- 062b[1] ASTM E 84 01/16/95 7050.02.96 -1 TAS 114 03/14/96 CelOtex Corp. Testing Services 528454 -2 -1 TAS IOi 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 520109 -2 -1 03102/99 LIMITATIONS: I. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2- Polypro® AH 160 shall solely be used with flat, low, & high the 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 file adhesive with their the assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of their the assemblies shall test in accordance with TAS 101 wit h l section 10,4 as modified adhesive herein. with F. W 2 , F= MS _ NOA No.: 06- 0201.02 { Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 INSTALLATION: 1. Polypro® A.IH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro@ AH160. P 2. P0lypr0@ AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof the ass blemy'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 i the roof the assembly NOA 3. Polypro® AH160 roof the adhesive and its components shall be installed in accordance with Roofmg Application Standard RAS 120, and P®lyfoam Products, Inc. PolyproQ 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 Foamprog dispensing equipment is required before application of any adhesive. The 'nix ratio between the "A" component and the "B" component shall be maintained between 1.0- L 15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0 .15 unds determined at calibration. No other settings shall be approved. P Per file as 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing _ equipment only. ��ypr� A91 �0 shall not be ex osed S. Tiles must be adhered in freshly applied adhesive. Tile sunl must be set within 2 to 3 minutes after Polypro® A14160 has been dispensed_ 9. Polypro(& AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic the profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Single Paddy Two Paddy Weight Detail Weight Min. per paddy Min. Flat, Low, High Profiles #i 35 ( ams) ( arms) AT /A High Profile (2 Piece #1 Barrel) 1? /side on cap and N /p, Flat, Low, High profiles 34 /pan Flax, Low, High profiles # 24 NIA #3 3 $ LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. 0 NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4 of 7 ADHESIVE PLACEMENT DETAII. 1 SJNGJLE PATTY Mail through plastic cement Paddy P math no) Nail through rough past, cement ' UmderlaymeW Paddy {Beneath igej !D - - loin. Faye Cause �n Fascia Fave Coone Fasch Sava cwrse o Eavacksem Keep adhesive sppmz EWN Muria e� fave 4 in up from weephnks 4 k up from Repholes Drip edge Nail through plastic cement Undar�yment .-- ----' �ylBeneadrTgej 1 ) Place enough adhesive to achieve !T to 23 8Pt a W its for _ square inches in ramhdctwifh the pan tde Omp pith - U We* plestfc cement -- ZjT--- vers- upsNedam flam a"—"-- I121m. To! im. From outside edge of Myer 8le. Then install the We. 0 Is irk Undtyiaymenl tin. - -: o Ewe Cowie Favecowseonl Eaacciamm Ke ep s ftdm aPPmx 4in.up WeephDW Facia top porti / of Nye nave course cover file . $ Abutto�eondMoseOf Pao h7es. Erteure cave end of PanandeoverLks em Op tional No atom 6ne. P*-* Marts F omdarr sure WeePhole Fascia b off on imatarshavnj NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 mom Page 5 of 7 a, ADHESIVE PLACEMENT DETAI 2 SINGLE PATTY Nail through plastic cement Paddy (Beneath Tice) Nail through plastic cement Underkyment Paddy (Beneath Tile) f Underlayment i o Tin 2 in. 7in. y ,,-- 2 In. Eave Course / e a Frick _ Fascia Via" ole ENO Cosum t ave Cqu B" Closure Drat edge Nail through plastic cement Paddy )Bh Tilt) underkymem 7 in. �in. Ew Cbsm Eave Course Fascia NOA No.: 06- 0201.42 y Expiration Date: 05/10/11 Approval Date: 04/13106 Page 6 of 7 ADkIESlyE PLACEMENT DET41L 3 D OUBLE PATTY Nail through plastic cement Paddy (between tile) Nail through plastic cement Single paddy under til �. Pally U yment ( (under tile) ° Single paddy between die 2 in. x 7In. medium t✓ sin Paddy eave Sing course ony lepadd j x 3 in. tinder Lilo Single Pa m!' on 21 n• 4 in. } in.x 3 in. under• ° / laymant paddy in. on 4 in. under. layinent -- Single Eave course Single Paddy on fop of Fite - - -- — -- on top of file tin ium Fascia Fascia Sim Paddy Dave Weeplu course only Course Eave closure -- Nail through plastic ceme Drip edge Sgle under�d aL. Single paddy the in. x 3 in. 4 in. Single paddy ° on undartayment 2 in. ° Single paddy on top of file Save cies Em Cowse s i x 7 in. medium Fascia eave course only E+ "'D OF THIS ACCEp& _ TA1rL, r ay NOA No.: 06.0201,02 Expiration Date: 05110/11 Approval Date: 04113106 Page 7 of 7 Miami Shores Village Building Department` �H 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: "'"'"-"________ __ ___ BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Sim le Titleholder) �� Ph e # 7 - Q - 967- Owner's Address �) o ' v p_ 14 t�T City 2 State ��- Zip Tenant/Lessee Name one # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # ®/ Is Building Historically Designated YES O Contractor's Company Name hone # ` ! 6) Contractor's Address i (5 (�' / City StateG zip Qualifier Name A10 Phone # %/ State Certificate or Registration No. CO— AP C tificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ '3- / � Square Linear Footag Of Work: Type of Work: ❑A 'tiop ❑Alteration ❑New Repair eplace ❑ Demolition Describe Work: d I� 3 ! * * * * *** ***F *** * * *** Submittal Fee $ Permit Fee $ CCF $ CO /CC . Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be sec 0 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CO TI IO S, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accu to and that al work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A TICE F COMME CEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P PERTY. YOU TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT ORNEY BEF RE CORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a b ldc permit with an e i ed value exceeding $2500, the applicant must promise in good faith that a copy of the notice of comme cemen and constructs lien w brochure will be delivered to the person whose property is subject to attachment. Also, a certi e copy of t e recorde n tice of commencement must be posted at the job site for the first inspection which occurs seven (7) s after bui g permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspe fee will be c rged. r Signature Sig ture Owner or Agent _ C tractor The foregoing instrument was acknowledged efore a this ,`� The foreg�o�i�n,, instrument was acknowledg d b re me this day of � , 2009, by day of t'V • 20A, by 4 " - ll� il who is personally known to me or who has produ ed who is personally known to me or who has produced As i e ification and who d take an oath. as identification and who did take an oath. NOT A UBLIC: NOTARY PUBLIC: Public State of F Sign: Sign: Ca G M zel s My Commission DD507718 Print: Print: � a �° My Commission Expires: Expires 01/17/2010 My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:1305) 795.2204 Fax: (305) 756.8912 Permit Noy .: 1 : 'Job - Name BUILDING CRITIQUE SHEET