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RF-11-239
Inspection Number: INSP - 155961 Permit Number: RF -2 -11 -239 Scheduled Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: HARRIS, SANDRA Job Address: 945 NE 98 Street Miami Shores, FL Project: <NONE> Contractor: J&K ROOFING INC Building Department Comments RE -ROOF TILE TO TILE Passe Failed Correction Needed Re- Inspection Fee March 21, 2011 A-7,2z/ No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060143450 Phone: 954 - 961 -7663 Page 13 of 20 CIVIL Re ENGINEER March 18, 2011 J and K Roofing, Inc. 201 Sherman Street Hollywood, Florida 33020 Project: Dear Sirs; Reileh Engineering Corp. (Consulting Engineer) 2370 S.W. 123 Avenue Miami, Florida 33175 -1174 Tel : 305-823-8008 Fax: 305-823-3300 ROOF TILE UPLIFT TEST REPORT Residential Home 945 Northeast 98 Street Miami Shores, Florida Information provided by client: Permit Number: RF -2 -11 -239 Date Completion: March 16, 2011 Roofing Contractor: J and K Roofing, Inc. Project Number: 11 - 0241 (Testing Laboratory Certificate #06- 0501.15) In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification ofthe bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be concrete /clay Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. Based on our test results, we conclude that the installation ofthe roof tile at the above referenced project meets the test requirement outlined in the above-mentioned .protocol. Attached please find a copy of our test report for your review. Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation ohamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 945 Northeast 98 Street Miami Shores. Florida Reileh Engineering Corporation -- Project Number - 11 -0241 — Page 2 of 6 Report of TILE UPLIFT TEST for Residential Home 945 Northeast 98 Street Miami Shores, Florida Project Number: 11 -0241 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Reileh Engineering Corporation -- Project Number - 11 -0241 — Page 3 of 6 , 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Reileh Engineering Corporation -- Project Number - 11 -0241 — Page 4 of 6 Test Number Test Load (lbf) Test Status , 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass Reileh Engineering Corporation -- Project Number - 11 -0241 — Page 5 of 6 Test Number 80 81 82 83 84 85 86 87 88 89 90 91 92 93 Test Load (lb 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Test Status' Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Test 1 -16 Corner, 17 -27 Ridge Caps, 28 -46 Perimeter, 47 -93 Field Reileh Engineering Corporation -- Project Number - 11 -0241 — Page 6 of 6 NOMI II 12 28 10 9 29 75 16 47 48 74 '19 73 46 13 32 3 45 44 43 8 65' 33 77 80 ? 81 ` 79 1 12 69 70 50 68 42 15 16 36 35 37 78 71 84 61 82 52 53 ti 60 54 ` � 67 56 55 9 57 90 86 58 92 2 89 91 //// 81 63 93 54 66 0 2 38 39 40 to 65 3 4 6 5 92' S91 ITIMM P - 1100 5F 0 C;Ir7a CAP TEST LOCATION Fat? - 41 COPNR - 80 SF COKNFP t; - 16 Lt?IMt11;f? 1715TANC�, a --• 5' � t7 5 005te 111.� 019GE CAP - 11 CON AMA - 5'X 5' I 1 -0241 AP1TOX, P 00F 11;51' ILOCATION5 ANI7 f7IMTN5ION5 Signature Re: Owner's Name: Revised on 5/21/2009 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Property Address: 9' ti E fe Print Name M iami Shores Village Building Department Roofing permit Number: " 11 - 4 Dear Building Official: I :%j l Al( t _S certify that I am not required to retrofit the roof to wall connections of my building because: f 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 1 • •4 &dif of the 7 outh Florida Building Code (1994 SFBC) State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above property mentioned. Swom to and subscribed before me this ( day of Feb ,2 0 / / Notary Public, Sate of Florida at Large • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and *As' SFBC. Then you must provide a building application from a General Contractor for the Roof to WaU connection Hurricane Mitigation. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: FRED J. HERRON 1 Comm# DD0788135 Enke! 3/2112012 Plaids Allan., lnc QttAl °"da itfirl�RGrnr wit RE: Permit # � T _ ' /J ' ;3`) 1 1 1). 1 1/1. Z � e_00 (Print name and cirde License Type) License #: C C- cos --- 8 1 On or about I INSPECTION AFFIDAVIT (Date & me) Secondary water barrier work at / y S N e ?d Signature State of Florida County of Dade: Revised on 5/21/2009 avvi- /91 M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: licensed as a ( Con�raci FS 468 Building Inspector Engineer / Architect, , I did personally inspect the roof deck nailing and (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Swom to and subscribed before me this a day of F Notary Public, Sate of Florida at Large r,1rfr M /I no "' WIUJAMJ. HART 3.q •:� * MY COMMISSION # DD 894367 .4 h ` a P EXPIRES: May 31,2013 Batvied Thru Notary ub c Ur d erwdters *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection /n) ?-o \ ems BUILDING PERMIT APPLICATION FBC 20007 Permit Type (circle): Building Electrical Plumbing Mechanical Roofin Owner's Name (Fee Simple Titleholder) 61e.,4161 f Sa Ff f Dne # S 3g Owner's Address 4 S - S City / v(eQGet c ; SLf State FL— Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 1 1 -- Master Permit No. County Miami -Dade Zip FOLIO / PARCEL # /1 Za - /4- — 4 a Architect/Engineer's Name (if applicable) qq!'- tiE /C4-(4 5+ Is Building Historically Designated YES NO Contractor's Company Name � K Roof hQ Phone # f9/ 94 7 Contractor's Address y6) (0 .5 L `J +"- City (J: ( E c t-LtJalct ^ State FL_ Zip 33c-) Z v Qualifier Name pori I � S� 4- 11 Phone # c r5 4 9 6 ( " ` (4 g 77 State Certificate or Registration No. (®C - C 0 ST a 3 ) Certificate of Competency No. p0 Value of Work For this Permit $ o 000. /f/./(9- DPBR $ Phone # Square / Linear Footage Of Work: ( 1ST 0 Zip C Phone # Type of Work: [Addition ]Alteration ['New KRepaair/Replac / ❑ Demolition Describe Work: .& roo � s le ,_ __Sao" * ** * * * * *, * * * * ** * * * ** ** * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** O � Submittal Fee � - 3 Permit Fee $ CCF $ Notary $ Training/Education Fee $ Scanning $ Radon $ Technology Fee $ Zoning $ Bond $ Code Enforcement $ Double Fee $ } (� n Structural Review. $ Total Fee Now Due $ ✓ 1 I 1 �J See Reverse side --> CO /CC Bonding Company's Name (if applicable) /WA Bonding Company's Address l 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 of be approv and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 12. The foregoing instrument was acknowledged before me this/ day of brurtri! �7 , 20 /1 , by I e A A A. It et . S day of re-b , 20 /0 , by 0.0n o t 2 4erta .- ' , o wh_ 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: Sign: Print: (Revised 02/08/06) Wr1 tam My Commission Expires: Al 31 2013 APPLICATION APPROVED BY: =+Ei _ WIWAM J. HART 191 r'1! . r_ MY COMMISSION # DD 894367 rosy EXPIRES: May 31, 2013 Bonded Thru Notary Public Underwriters TARY PUBLIC: Print: My Commission nr-- 1 FRED J.HERRON "" Comm# 0D0766135 • Expires 3/21/2012 ,he Florida Notary Ann, Inc L t******************** t************************ * * * * * * ** ** * * * * * * * * *,ltietMIPWWWI PAP a kSeOPxxlyl * ** Plans Examiner Engineer Zoning This space for use by Clerk of the Circuit Court only. Permit Number: Tax Folio No. 11- 3206 -014 -3450 NOTICE OF COMMENCEMENT The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT. 1. Legal Description of property (street address required): Miami Shores Sec 3 P8 10 Lots 19 & 20 BIk 80 Lot Size 100.000 x 103 21003 - 3046 012003 1 COC 21580 2003 1 OR 21580 00 2. General description of improvements: New Roof 3a Owner Name: Glenn A. Harris and Sandra W. Harris Owner Address: 945 NE 98th Street, Miami Shores, FL 33138 3b. Owner's interest in site: Owner 3c. Fee Simple Title holder (of other than owner) N/A Address: 4. Contractor Name: J&K Roofing 1111111111111111111111111111 11111111111111111 %. :FN 2011R01003 r9 OR Bk 27586 Ps 3040; (is ) RECORDED 02, 14/2011 12122/52 HARVEY RUVIN, CLERK of COURT tiIAMI -DADE COUNTYr FLORIDA LAST PAGE Address: 2010 Sherman Street. Hollywood, FL 33020 Phone: 5. Surety Name: N/A Amount of bond: Address: Phone: Lender Name: N/A Contact Address: Phone: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1Xa)7, Florida Statutes. Name: Glenn A. Harris Address: 945 NE 98 Street, Miami Shores, 0 33138 Phone Number. 305 968 -5381 8. In addition to himself Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name: N/A Address: Phone Number: 9 Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). December 31, 2011 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS t ` THE JOB S 3 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y ER OR + TTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager STATE OF FLORIDA COUNTY OF FED I SBOROUGH The foregoing instrument was acknowledge before me this /2 day of j �r tat /' y 20 � , by & /en ry 4 / Ha,rt'< as �"_. for Personally Known V OR Produced Identification Type of Iden MY COMMISSION # DD 894,367 i l -�� EXPIRES :May 31, 2013 a o4 11, Bonded T ru Notary Public Undenwiters vr. =, Q4 Si Notary Public Under penalties o perjury, ve oregomg and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above (A copy of any band must be attached at the time of recordation of this Notice of Commencement) Updated February 2008 Submitted To f•- . i Street 91-15 pJE ci 3 5 e City. St. ty Zip • Legal Lot 2070 Sherman Street Hollywood, Honda 33020 Will tear off entire existing slope Roof down to deck or smooth workable surface. WILL RENAIL DECKING TO MEET EXISTING CODE. Remove all related roofing debris from premises. Replace any necessary wood V' LF, or Sq. ft for plywood 00 `S�' 1 f r free per ft. thereafter_ VVill apply 30 lb. premium felt, anchored to the deck according to local building code. Will install all new metal flashing and iead stacks. USING HOT ASPHALT, MOP a 36 INCH WIDE STRIP OF 30 LB FELT VERTICALLY AND a 16 INCH WIDE GALV. VALLEY METAL IN ALL VALLEYS. rvlop with Hot Asphalt 301b's. Embed 1 syste V i II I? t lctce ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. I have read & understand the back of this contract. 1 understand the wood clause. � � INITIALX. ( DATE ore Sub ALL ROOFS TO BE DONE AS FOLLOWS SLOPE ROOF ROOFING Seno4v Sacea ?earidet Pon doer 30 '7/ pew Job Name Street i City, St. & Zip to said tile in Clerk' k Will tear off entire existing flat roof down to deck or smooth workable surface. WILL RENAIL DECKING TO MEET EXISTING CODE. Remove all related roofing debris from premises. Replace any necessary wood, free. perf .thereafter. Will accordin p metal fla ❑ Us sh y 1 ply local b f fiber and le Tax Folio# of ba . esheet a 'Wing code. sing HO ass felts to . aid bas d stacks. SPHALT mop fibergla - s. Date 954- 961 -7663 954- 961 -9879 Fax 954 -925 -8015 Phone 1 ( o5� Phone 2 (7ha Logy" (15-66 LF, or Sq. ft for plywood ed to the deck HALT, will mop Install all new y fibe glass cap ❑ U - ing HOT PHALT, mop ply MO ' IFIED BITUMEN to said fib rglass felt. ❑ Will flood coat with of asphalt and embed arock. " hereby propose to furnish labor and ma rials - complete in accordance with the above specifications, for the sum of I iLe") I dollars ($ f2 O t ) with payment to be made as follows: © No car entry work, woodwork o painting unless pecifi ally stated in this c•ntract. in the event payment is not make as stated in payment schedule, All fees incurred in collections, such as, but not limited to, attorney fees, court costs and collection agencies, are to be paid by signer or owner. EXCLUSIONS *- vi I 1 reyr° VC- c`nc p (a.ct pi( This guarantee does not cover: l{,.3Ct 3Coff (: rb(1Y �( /J -- 7✓t f 1. Leaks or other damage caused by: co (-AAA ( V�L� Y C Vt 13 a. Natural disasters, including but not limited to floods, lightning, hurricanes, hail, windstorms, earthquakes, tornados, dry rot, etc. b. Structural failures such as cracks in decks, walls, partitions, foundations, windows, stoppage of roof drains or gutters, etc. c. Changes in the original principal usage to which of the building, unless approved by the contractor in advance in writing. d, Erection or construction of any additional installation on or through the roofing felt after the date of completion. e. Roof or flashing repairs by others, painting or coating without approval. (iny ' - S v eil -to b c / / r -h- f. Riots or vandalism. 1 + be g. Termites or other insects. 2 f 9 1'iS h. Penetration of the roofing from beneath by rising nails. // 2. Damage to the building or its contents, roof insulation, roof deck or�other base over which roofing felt is applied. ACTION Ve fn -'- -I +o b" u..., 1 f` C i SIGN TUR (Own SIGN URE (Ow' r) thorized Signature A ft COVERAGE The roof applied to the building described above is guaranteed for E-A years from the date of completion upon final payment in full. This guarantee is TRANSFERABLE AT NO CHARGE to new owners of property. Under this guarantee, the roofing contractor will, at its own expense make any repairs necessary to correct roof leaks resulting from the following causes: 1. Failure of roofing felts or base flashing resulting from usual and ordinary effects of wear and weather. 2. Poor workmanship of roofing contractor in applying roofing and flashing materials. Method of Payment: El CHECK ❑ CASH f .-.)1 0 MONEY ORDER CIA) collfreACT prii,t0 CREDIT CARD in the event leaks from roofing should occur, owner shall notify contractor promptly. Contractor will inspect the roof, and if cause of leak is within the coverage as stated above, the contractor will arrange for repairs to be made at no cost to the owner. If cause of leak is not covered, contractor will not be responsible for cost of any repairs. In the event leaks are not covered under the terms of this guarantee, a service charge will be invoiced to the owner. The guarantee will become null and void if payment of the service charge is not made within 30 days of the billing date. WE MAKE NO GUARANTEES OF ANY KIND, EXPRESSED gRUVIy,t IED EKCfPT AS STATED HEREIN. IR.K Rnnfino /Prnnncal Fnrm C - 09/06 {; Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 4/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,608 Lot Size: 10,300 SO FT Year Built: 1953 $25,000/ $330,487 MIAMI SHORES SEC 3 PB 10-37 LOTS 19 & 20 BLK 80 LOT SIZE Legal Description: 100.000 X 103 21003- 3046 01 2003 1 COC 21580-3787 08 2003 1 OR 21580-3787 0803 00 Year: 2010 2009 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $305,487 $50,000/ $298,104 County: $50,000/ $305,487 $50,000/ $298,104 City: $50,000/ $305,487 $50,000/ $298,104 School Board: $25,000/ $330,487 $25,000/ $323,104 Year: 2010 2009 Land Value: $154,967 $161,932 Building Value: $200,520 $214,212 Market Value: $355,487 $376,144 Assessed Value: $355,487 $348,104 Year: 2010 2009 $25,000 $25,000 YES YES Miami-Dade My Home N My Home Show Me: Property Information Search By: Select Item Summary Details: Folio No.: Property: Mailing Address: 945 NE 98 ST GLENN A HARRIS SANDRA W HARRIS 945 NE 98 ST MIAMI SHORES FL 33138-2534 Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: ACTIVE TOOL: SELECT Aerial Photography - 2009 Horr .Propeety P I Properly Taxes tee4Peor he,wi' Prcyperry Appraiser 1 O'' r.... 1 Phor:ry c..TrrecYor; 1 Privacy 1 Disciarrier If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at sVeb rnstt VVeb Site C 2002 Miami-Dade County. All rights reserved. 4111111111111MININIMMAY•:..r:•••:. • 111 ft Page 1 of 2 MIAMI.DADE 4 t Ct M =II Legend Property / Boundary Selected Property Street dir Highway Miaml-Dade County Water http://gisims2.miamidade.gov/myhome/propmap.asp 2/14/2011 it Applicatidrfll ; ;i ?Qres Village - APPROVER B BY D DATE at � t7 New Roof • Low Sloped Roof Area (SF) `� Steep Sloped Roof Area (SF)t LK - cD Total (SF) ‘a D 0 4 i FEB 1 4 2011 BY:— Master Permit No. Contractor's Name rC ea 1i AC, Job Address 993 /or . 7j S f ROOF CATEGORY • 0 Low Slope 0 Mechanically Fasteried Tile Mortar /Adhesive Set Tile • 0 Asphaltic 0 Metal Pane]iSbingles 0 Wood Shingles /Shakes . Shingles /No D Prescriptive BUR -RAS 150 00 Vent . 0 Yes ROOF TYPE. Sketch Roof Plan: Illustrate all levels and sections, roof drains rains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify 1im nsions of elevated pressure zoned and location of parapets. $iglh- Velocity. Zone Uniform Per Section. A (General ;'Re- roofing !0 Re- covering �0 C4Dowmaors and ScaingsvhodgsonWy DowmcntsWiw ildl ida Bung Cod Edition =don a n b.dac Florida Buirding Code Bdi» 7001 r ROOF SYSTEM INFORJ.IA„TION. Section B (Roof Pan) Roof System Manufacturer: Notice of Acceptance Number: 7- / Dot 3-/-2 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: 1 15 - - 1 P2: 2 P -4 P3: N . '? Maximum Design Pressure J c (From the NOA Specific System): o Method of Tile Attachment p 01, /odic / ! Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Roof Slope: :12 Section D (Steep Sloped Roof System) Steep Sloped Roof .System Description Ridge Ventilation? /j M Mean Roof Height: Deck Type: Underiayment Type: Insulation: 1 dMI; 7`yp . �1 3v i b Fire Barrier: Fastener Type & Spacing: Adhesive Type: Cap Sheet Type: I_I1u4 IS I4p5 / /2w le "IL -/ A' S g't.(D Mo40.5 /A � 1 1)f, i A5/6)14 �-� Roof Covering: 1 ?alt 17)t L Ader1 ' 4i h1 e 1 t Monier 3X3 - ZGjav 1 -aa ✓- Drip Edge Type & Size: t) J `bi" ,4/.5 ,va. L 1"0/c- M Required Moment Resistance* Description Design Pressure 15' 20' 25' 30' 40' • Mean Roof Height --► Roof Slope - 2 :12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4 :12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Where to Obtain Information Description Design Pressure Symbol P1 or P2 or P3 Where to Find RAS 127 Table 1 or by an engineering analysis prepared by PE based an ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier 1 NOA Restoring Moment due to Gravity M, NOA Attachment Resistance Mr M NOA - - Calculated Required Moment Resistance Minimum Attachment Resistance F' NOA Required Uplift Resistance F Calculated Average Tile Weight W NOA Tile Dimensions 1.... lcngth w = width NOA All calculations must be submitted to the Building Official at the time of permit application. - 1 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mf. If the Mrvalues are greater than or equal to the M values for each area of the roof, then the tile attachment method is acceptable. _ Method 1: Moment Based Tile Calculations Per RAS 127 • (P L/5.1 • he = )-K: 4-1/ = M 3- 2 7 NOA M (P 7& x = /l - ) -M 4°•11 = /t7. 23 NOA Mr (P3: )1 xA -- = a 4 / ) -M lip -)) =Me NOA 2: Simplified Tile Calculation Per Table Below - Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list ofmoment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compare the values for F' with the values for F If the F' values are greater than or equal to the F values for each area of the roof, then the tile attachment method is acceptable. Method 3: Uplift Based Tile Calculations Per RAS 127 (P xl: - xw:= ) -W: xcost): =F NOA F' (P2: x 1• = x w: _ ) - W: x cost): = F NOA F' (P3: x 1: = x w: _ ) -W: x cost): = Fa: NOA F' MIAMhDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. 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 #02- 1211.08 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMI DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub- Category: Material: 1. Trim Pieces SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC in Boca Raton, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifetile I =16" TAS 112 Atlantis Shake and w =10" Slate Tile 1 'A" thick 2.1 SUBMITTED EVIDENCE: Test AEency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing Flat Profile Roofing Tiles Concrete 1= varies TAS 112 w = varies varying thickness Test Identifier 7161 -03 Appendix III 94 -060A 94-084 25- 7094 -2 25- 7094 -8 25- 7094 -5 Product Description, Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 2 of 7 Test A>i<enev The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineerins Test Identifier 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 Test #MDC -77 224 -47099 520109 -1 520111 -4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations TAS -112 Test Name/Reuort Static Uplift Testing PA 102 (2 Quit Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quilt-Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quilt Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System 13343.1 Date Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 October 2007 August 2007 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 June 2007 NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 3 of 7 Table 3: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 2" :12" 3 ":12" 4 ":12" 5":12" 6 ":12" 7":12" or greater Monier Lifetile Atlantis Shake & Slate Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck N/A 6.17 N/A 6.11 N/A 6.01 N/A 5.89 N/A 5.75 N/A 5.59 Table 1: Average Weight (W) and Dimensions (I x w) . Tile Profile Weight -W (ibf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.33 0.833 • Table 2: Aerodynamic Multi . Hers -1 ft') X (ft3) Direct Deck Application Tile Profile ?. (ft3) Batten Application N/A Monier Lifetile Atlantis Shake & Slate Tile 0.208 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufac to ors 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 with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete 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 NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Na__il -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Ring Shank Nails 30.9 38.1 N/A 1 -10d Smooth or Screw Shank Nail 7.3 9.8 N/A 2-10d Smooth or Screw Shank Nails 14.0 18.8 N/A 1 #8 Screw 30.8 30.8 N/A 2 #8 Screw 51.7 51.7 N/A 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 N/A 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 WA 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 N/A 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 N/A Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Pa Adhesive Set - stems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3 1 See manufactures co ... ent a • • • :1 for installation :: • uirements. 2 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Produc Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance for Single Patty Expressed as a Moment - Mf (ft-Ibf) Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile PolyProm 118.9 Poll/Prow 40.4 3 Large paddy placement of 45 grams of PolyProTM. 4 Medium paddy placement of 24 grams of PolyProm. Table 5B: Attachment Resistance Expressed as a Moment - Mf(ft-lbf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 5 See specific mortar manufacturers Notice of Acceptance NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 5 of 7 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacture's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MONIER LIFETILE LLC, ATLANTIS SHAKE AND SLATE (BOCA RATON, FL PLANT) LOCATED UNDERNEATH TILE NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 6 of 7 PROFILE DRAWINGS i° • • END OF THIS ACCEPTANCE MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE NOA No.: 07- 1023.12 Expiration Date: 12/16/12 Approval Date: 12/13/07 Page 7 of 7 MIAMID BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 SCOPE: • This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AEI (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 manufactw a will incur the expense of such testing and the ART may immediately revoke, modify, or suspend the use of such product or . material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JRrge L. Acebo. MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: SCOPE: This approves Polypro® A11160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® All 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications N/A TAS 101 Polypro® AH160 FoamproiD RTF1000 ProPack® 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Roofing Roof tile adhesive Polyurethane N/A N/A Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs ft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 2 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34/pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® A11160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polyproli) AHI 60 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. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 4 . Ee ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 v � 6 SECTtuw- 44uh HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsib f the content a of t triis s8ctlon VThe provisions o ems . of the required rooting permit, and to explain to the wequi e Chapter 44 of the Florida Building Code, Building govern the vminim rn s ac m is and sa ad part of m e industry for rooting system installations. Additionally, the fo f g i agreement between the owner and the contractor. The owner.'s initial in the adjacent box indicates that the itemnas been explained. Y _ ! � • -- 1. Aesthatics- Wa•kmanshlp: The workmanship provisions of stem m m ets the wind resistance Hurricane Zone) are for the purpose of providing that the roofing sy and water intrusion performance standards. Aesthetics as color a chitecturt appearancen, that alare respect to workmanship provisions. Aesthetic issues such not part of . zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Remelting Wood Docks: When replacing roofing, the {High Vetoed y Hurricane Zones) of t Florida renailed he _ 14k_ ordance with the current provisions of Section Fld in accordance Building Code. (The roof deck is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no tt common delineation i the e twenn 9 n l ht3oring units (i.e. townhouses, condominiums, etc.) In of roofing work to be performed. contractor andlor owner should notify the occupants of adjacent units 4. Exposed Ceilings: Exposed, open beam ceilings are hi ere the aunderside ta, therefore, odecking roofing can bs vtawed tr om below. The owner may wish to maintain the nail penetrations of the underside of the decking may not be acceptable. ,r' ►� 5. Pending Water: The current roof system and/or deck e roof. Pending can not drain Indication of may cause water to pond (accumulate) in low-lying areas of engineer. Pending may shorten f the life structural a distress and may performance of of the new professional system. Pending conditions may not be evident the life expectancy and perfor until the original tooting system is removed. Pending conditions should be corrected. not 6. Overflow scuppers (wall outlets): It is requs'e roof extensions may block this discharge overloaded from a build up of water. Perimeter/edge walls or ere it if overflow scuppers (wall outlets) are not provided* it may be and sa 3 to install overflow scupp accordance with the Florida Building Code, Sections 4402, 7. Ventilation: Most roof structures should have some ability to of ent at c t rat airf low shall g in = ririot or of the structural assembly (the building itself). The existing amount . It ma be beneficial to consider additional venting which can result in extending the service life c reduced Y the roof. rlwnsr'f¢ /Aaent's Signature r r a l lr Date Contractor's Signature CITY OF MIAMI SHORES 10050 NE 2 AVE MIAMI SPRINGS, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADM WSR SUER MD POLICY NUMBER POLICY EFF (MMIDD/YYTY) POLICY EXP (MM/DDIYYYII) LIMITS GENERAL UABILI Y COMMERCIAL GENERAL UABWTY I EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ I CLAIMS -MADE IOCCUR MEO EXP (Any one person) $ PERSONAL & AOV INJURY $ $ GENERAL AGGREGATE GENT_ AGGREGATE LIMIT APPLIES PER: [1LOC PRODUCTS - COMP/OP AGG $ --- IPODCY [ ]PROJECT 'Comma $ AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS SINGLE LIMIT (Ea nailed) $ BODILY INJURY (Per pe>son) BODILY INJURY (Peramklent) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DED I I RETENTIONS $ A WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNFRIEXECt1TIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yea describe under balm YIN N/A WC201100000 1/1/2011 1/1/2012 X I TDRV T UMrrs � I ER El. EACH ACCIDENT $1,000,000 $1,000,000 I El. DISEASE - EA EMPLOYEE DESCRIPTION OF OPERATIONS EL DISEASE - POLICY UMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additloaal Remarks Schedule, If more space Is required) EFFECTIVE 01/29/2003, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO J & K ROOFING, INC. (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. ACORO CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s) PRODUCER FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33756 INSURED FrankCrum 1- 800 -277 -1620 100 S MISSOURI AVENUE CLEARWATER FL 33756 CONTACT NAME: PHONE (ANC, No, Eat), E.MNL AODRES8: INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: FAX (NC, Hal, INSURER(S) AFFORDING COVERAGE NAIC# FRANK WINSTON CRUM INSURANCE, INC. 11600 0 I DATE (MMIDDTYYYY) 12/2212010 COVERAGES CERTIFICATE NUMBER: ACORD 25 (2010/05) CANCELLATION The ACORD name and logo are registered marks of ACORD 15041 REVISION NUMBER: O 1988 -2010 ACORD CORPORATION. All rights reserved. THE POUCIES OF INSURANCE USTEDBELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ' DI. , . TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/D •. POLICY EXPIRATION DAT MM/D • LIMITS A X GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY BINDER100353 11/15/10 11/15/11 EACH OCCURRENCE $ 500 0 0 0 •11'i' • I. a11 PREMISES Ea oaauence) $ 100 000 ■ I CLAIMS MADE I A I OCCUR MED EXP (Any oneperson) $ 5 000 PERSONAL&ADVINJURY $ 500,000 $ 500,000 GENERAL AGGREGATE GEN'L AGGREGATE UMIT APPUESPER: PRODUCTS - COMP /OP AGO $ • • • 01 ■ POLICY JE LOC AUTOMOBILE UABIUTY ANYAUTO ALLOWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accIdent) $ ■ GARAGE UABIUTY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ I DEDUCTIBLE RETENTION $ $ 5 WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (ryes. describe under SPECIAL PROVISIONS below TORY LIMITS ER Et EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POUCYLIMIT $ OTHER . DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Roofing Operation ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Public Transportation Specialist, Inc 14100 Palmetto Frontage Rd # 210 Miami Lakes, F1 33016 305 - 818 -9544 INSURED J & K Roofing Inc 2010 Sherman Street Hollywood, FL 33020 19549619879 THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER k Gotham Insurance Company INSURER B: INSURER C: INSURER D: INSURER E DATE (MMUDDNYYY) 11/11/2010 NAIC # COVERAGES CERTIFICATE HOLDER Miami Shores 10050 NE 2nd Ave Miami Shores, Fl 33138 305- 795 -2204 305- 756- 8972(F) ACORD25 (2001/08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT © ACORD CORPORATION 1988