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RF-10-1035BUILDING PERMIT APPLICATION FBC 20 Tenant/Lessee Name Email Job Address (where the work is being done) 3g ( cam s r— City Miami Shores Village County FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name f f-efvt Contractor's Address O Y?1 51-4 (gl` $1 4e City r f°d" ' State F • Qualifier Name l �,'ytos ., wQS State Certificate or Registration Nc C 5 22� Contact Phone 105 5 c 1 ? ®n Value of Work For this Permit $ — 434 8 " Type of Work: ❑Addition DAlteration :New c/ 711 Describe Work: iV Ti2✓i • Submittal Fee $ Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit ,1 U o �� Perms N. Master Permit 14o. Permit Type: BUILDING ROOFING I (Fee Simple Titleholder) Orvi- " L erel Pho I �� Owner's Name p ) Z Owner's Address 3g I °1, cC (®g 5 City /'®/ ( CI , `` State Zip 3T 32 Phone # Miami -Dade it Zip 33 /36 Flood Zone Phone # 3 ®S Sv/7c'® Zip 3 3 Phone # 3 5,800 Certificate of Competency No. CCF $ See Architect/Engineer's Name (if applicable) Phone # Square / Linear Foots ! Work: " V Jul 1 9 MCI v CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: � Structural Review. $ Total Fee Now Due $ / l'00 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, P LUMBING, 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 t e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. NOT The foregoing instrument was dayot ,20 a, by who it personally kno � o me or who has produce )5 ) c( 'oZ1 • Y PUBLIC: Sign: Print: My Commission'txpires: identification and who did take an oath. Y $ `� *` 4‘C. sag.. y0 LIRERTAD VEGA PULLES MY COMMISSION 9 DD791630 EXPIRES: May 26. 2012 nn• ' a Y R Nosy I%sw�A�Oo.Cs. * * * * * * * * *********** ********** *** *• Ate ******** *** ******** (Revised 07 /10 /07)(Revised 06/10/2009) APPROVED BY ' t yd Plans Examiner Signature Contractor The foregoing instrument was acknowledged before me this' day of L7 , 20 ix, fl , by who is personally known to me or who has produced '- as identification and who did take an oath. P l '` A 1 "v s NOTARY Sign: Print: LI • My Commission Expires: Zoning Engineer Clerk checked Roof System Manufacturer: Lamoti Roof Tile Notice of Acceptance Number: 06- 1214.07 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations: .45.1 786 116.2 _ P3: ' 1: P2: . Maximum Design Pressure (From the Product Approval Specific System): 77.87 t ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Steep Sloped Roof System Description Deck Type: 1x8 T & G Type Underlayment: 1 Ply 30# ASTM Fire Barrier: n/a DATE Adhesive Type: Self Adhered Roof Covering: Lamoti Barrel Tile • t 0 00000 • Fastener Type & Spacing: ' 1/4 RS -5/8 Tincap 6° OC Lap 17OC Field Type Cap Sheet: Polystick TU I ^T i O'cr.N,IP!V WITH ALL FEDERAL 15.34 Florida Building Code Edition 2004 High - Velocity Hunlcane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) L ND REGU L TI0NS FLO • •• FCMICMEN Nt JUL 1 92010 BY:__ • • •• DING •• • • •••• 000000 • • • 00000 000000 • • •.•.• • • •••. 000000 • • •...•. • • •••••• • • MIAM MpADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 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). his NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polystick MTS, IR Xe, TU, TU Plus and TU Polyester 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 Officia t • • • • • .. • • ••• • .• .• • •••••• •.•• • • This NOA revises NOA No.07- 1025.10 and consists of pages 1 through 6. The submitted documentation was reviewed by Jorge 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 • • • • NO 08- 4206.93 . Page i.oii Expiratagii • ipYe: 09/13/1.1 Appro, al Base: 01/88/09• • .6 • • • • • ••••• •• • • • •� 00000 • • ..•• -. 0000 • • ••••• •••••• • • • 000000 • • •••••• • • ROOFING COMPONENT APPROVAL Cateeory: Sub - Category Material: PRODUCTS DESCRIPTION: Product Polystick MTS underlayment Manufacturing Location #2 Polystick IR Xe underlayment Manufacturing Location #1 & #2 Polystick TU underlayment Manufacturing Location #1 Polystick TU Plus underlayment (Facer of Membrane Labeled in Orange or Black Ink) Manufacturing Location #1 & #2 Polystick TU Polyester Manufacturing Location #3 Dimensions Roll: 65'8" x 3'3- 60 mils thick Roll: 65'8" x 3'3 80 mils thick Roll: 32'10" x 3'3 100 mils thick Roll: 65'8" x 3'3 80 mils thick Roll: 32'10" x 3'3 -3/8" 130 mils thick Roofing Underlayment SBS , APP Self- Adhering Modified Bitumen Test Specification TAS 103 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 MANUFACTURING PLANTS: 1. 555 Oakridge Road, Hazelton, PA 2. 621 Sniveley Avenue, Winter Haven, FL 3. 150 Lyon Drive, Fernley, NV Product Description A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A non - wicking fabric surfaced, self-adhering, APP polymer modified, fiberglass reinforced with a high strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt waterproofing membrane, glass- fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. • • • •• •• • •.••.• • .••.•• •••• • • •••• ••• • • • ••• • •• • • • •••.•• • •• NO4Npe 08-09. 9.413• • Ezpiratipp Q te: 09 /13/1 t Approval Date: 01/08/91:„ • .Page2of 6 • • • •.•..• • • • ••.•.. • • •...•• • • •.•.• • • ....• 000000 • •• •.••.• • • •.•••. • • EVIDENCE SUBMITTED: Test Agency Exterior Research & Design, LLC Trinity ERD PRI Asphalt Technologies Momentum Technologies, Inc. INSTALLATION PROCEDURES: Deck Type 1: Base Sheet: Fastening: Membrane: Surfacing: Test Identifier #11756.04.01 -1 #11756.08.01 -1 #02202.08.05 #P5110.08.07 P10870.09.08 -R1 PR101111 PUSA- 005 -02 -01 PUSA - 018 -02 -01 PUSA- 035 -02-01 PUSA- 033 -02 -01 PUSA - 055 -02 -02 PUSA - 083 -02 -01 JX20H7A Test Name/Renort Date TAS 103 04/27/01 ASTM D 1970 08/14/01 TAS 103 08/29/05 TAS 103 08/29/07 TAS 103 12/04/08 ASTM D 4977 04/08/02 ASTM D 4977 01/31/02 ASTM D 2523 07/14/03 TAS 103 09/29/06 ASTM D 1970 01/12/06 TAS 103 -95 12/10/07 TAS 103 -95 06/30/08 ASTM D 4798 /ASTM G 155 04/01/08 Wood, non - insulated One or more plies of ASTM D 226 Type II or ASTM D 2626 or Polyprotector UDL or Polyprotector UDL AS. Nails and tin caps 12" grid, 6" o.c. at laps. (for base sheet only) Polystick membranes self - adhered. None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3 -W' and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. •••• 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly currelit.• • • Product Control Notice of Acceptance. • .. • • . .• .• 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment • iftrflashing • tape shall be pressed in place and formed around the protrusion to ensure a tight fit' Lt %econd, layer of Polystick shall be applied over the underlayment • • • • • • • Y Y app yment. •••• •.•• • .. •. • NOP,Np/ 08- 0919:06• ExpiratiiopAtte: 09/13/14 Approjal Dat$: 01/08/02: , • ,, Page 3•of 6 • • • • •••• .. • • • •.•.•. • • • •••••• • • •...•• • • ...•. • • ••..• •..••. • .....• • • ••..•• • • Tile Profile Polystick MTS Polystick IR -Xe Polystick TU, TU Plus TU Polyester No limitation Flat Tile Prohibited without battens 5:12 Profiled Tile Prohibited without battens Prohibited No limitation GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS and TU Plus may be used in asphaltic shingles, wood shakes and shingles, non- structural metal roofing, roof tile systems and quarry slate roof assemblies. IR -Xe, TU, and TU Polyester may be used in all the previous assemblies listed except metal roofing. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick membranes shall not be adhered directly over a pre- existing roof membrane as a recover system. 6. All Polystick MTS, 1R-Xe, TU, TU Polyester and TU Plus (manufactured in Winter Haven, FL Plant) shall not be left exposed as a temporary roof for longer than 30 days after application. Polystick TU Pl us(manufactured in Hazelton, PA Plant) shall not be left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU and TU Plus may be used in both adhesive set and mechanically fastened roof file applications. Polystick IR -Xe is limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU Polyester may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof file underlayment for (direct - to-deck) tile assemblies shall be as follows: (See Table Below) The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Polystick MTS shall not be used in direct -to -deck applications. Battens are required for both loading and installation of tiles at all times. 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. 6 Roofing Tiles (6 Max. Per Stack) 12 •••• • • 1111•• • • 1••• • • • • \ ••• • • • •• • • • • •••••• •••••• • • • • •1111• •••••: • • • ••.•• •1••1• • • •1••• •••• • • • ••••• •••••• • NOUNS: 08-01/29:0 Expirafbn ate: 09/t ) ApprliHHIO$te: 01/08/02 • • Page 4•of•6• • • • • • 1111 •• • • • • • •••1•• • • •111•• • • 11. Refer to prepared roofmg system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus and TU Polyester may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR Xe, TU, TU Plus and TU Polyester as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR -Xe, TU, TU Plus and TU Polyester is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back - nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back - nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified..., Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule-114g.° •••••• 421 Mod Bit Flashing Adhesive Trowel Grade mastic, applied in between the appl ja�atpon of thr. • • • lap. The use of mastic between the laps does not apply to Polystick MTS. •• • ° "• • •••••• • 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlaymeitts!RBfer to the' • • • • • • • • • Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. . • °'. • • • • • • • • • • • • •••• • NOA to i 08- 09nQi • •••••• Expiration' • ate: 09 /13/11 • • • Apprava9late: 01408/0, •••••• ° 'Page I M • • • • • • • • • • •••• 6. Battens and/or Counter - battens, as required by the tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7 "/12" or greater. It is suggested that on pitch/slopes in excess of 6 % "/12 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty-Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL•can be furnished upon request by our Technical Services Department by calling 1 (800) 894 -4563. 13. Polyglass offers a l 0 year Limited Material Warranty on all properly installed Polystick self - adhered underlayments. Warranty must be requested and registered by Polyglass to be in force. 14. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894 -4563. 15. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE C11J CK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE • •••• 1 • • 0 000• • • • • • •• • •• •0000• oo • • • ••1••• •01••00 • • • •••• 0000•• • •• •••• • • • 0000• Netr : 08 -t�29 •• Espir�ttodDate: 09A 71 • 1 Appr►�g�D *te: 01/08709 0 .. 0 00 . • ' Pagei6w1I • • • • • 0 .0.00 • • • • •••• • • •• • • 0 •••• 06/10/2010 10:58 FAX 3055981750 CERTIFICATE OF LIABILITY INSURANCE PRODUCE! Serial # 158598 THIS CERTIFICATE IS ISSUED AS A PLATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FRANKCRUM INSURANCE AGENCY, INC- HOLDER THIS CERTIFICATE DOES NOT AMEND, EXPEND oft 100 S. MISSOURI AVE. ALTER TIME COVERAGE AFFoRUED SY THE POLICIES BELOW. CLEARWATER FL 33756 INSURERS AFFORDING COVERAGE INSURED mpg (MM+D INSURERA FRANK WiNSTON CRUM INSUR4NCE. INR INSURER B: INSURER CI; INSURER D: INSURER DATE OIW) 12/17/2009 FrankCrum 1-800- 277 -1620 100 S MISSOURI AVENUE CLEARWATER FL 33756 ',., THE POLICIES OP INSURANCE LSD D!LOW HAVE BEEN 1BMUED TO THE INSURED NAMED ABOVE OF R THE POLICY PERIOD INDICATE NO °.. 7WrTHSTANDl ANY REQUIR MENT, TERM OR CONDITION OF ANY CONTRACT OF OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE rasa SE ISSUED OR WAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. A SREDATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAMS. PAR '' LTA , Kan TYPE OF INSURANCE • POLICY NtiYB1iR DATE MONDWYY) DATE owno YY1 TRnaLEq CONSMEIIBATION AND A smarm. LABILITY ANYPROPALTORJ 1 / BAIGUTNR WRIER/ MEM BIGWDID? SPECIAL PagwialDNO ONE. OTHER CERTIFICATE HOLDER G@IEAAL UABLJYY 4,ERCIAL GENERAL W1BLITY GERI_ � AGGREGATE LIMIT APPUM PER: L ' 1 . 1PCLIOY nPROJECT ni00 AATrouoOAS LLASILAT AUTO CARED �/u L CANED AUTOS _ Sda AUTOS UREA AUTOS NON QNNID AUTOS GARAGE UAGENV R ANT AUTO RTC J DMBIm.LA waken J CCCYR ❑CLAIMS MADE ALE RETENTION $ WC201000000 ACE 01/01/2010 CANCELLATION 01/01/2011 EACH OcCURR9IM FIRM CARIAG! NG mM ml RED B P IAnycno Awl* PERSONAL &ADY INJURY GRGERN. AGORA:ATE PRCRUGTa-C ompAII4 couluaED 9[NOM UMW Ea as kbetS EERILY &1JURY pouts BODILYINAURV IPer > PROPIRrY DAMAG! rat ) AUTO ONLY_ EAAcG Ewr MIA TITAN • ONLY; EALITOCCURRENCE AGGREGATE E1. EACN ACCIDENT EL U18EABE - EA Bowies. EL. DlEA5I - POLICY IARr a 1 S EA AOC # JUNE $ $ $ el 002/005 ILL I I TORY I $ $ 1.000.000 • 1,000,000 1.000,000 DZSCPTIPITON OP OPERATIONS / LOCATIONS PEMCI S J ENOLMORE ADDED EY I1DOREEME <T J SPECIAL. YEOVisICIa EFFECTIVE 10/09/2008. COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO ACE PROPERTY SERVICES, CORP. (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2ND AVE MIAMI SHORES FL. 33138 SHOULD ANY DP TIM ABM! DESCRIBED POYDEB BE CANCELLED ElroAE THE BIPRATION DATE THEREOF, 711E =ma INSURER WILL ENDEAVORTO lull. SO DAYS VJRJTTIN Noma TO THE LSAIS1FICA1E HOLD NAMED TO no LEFT. Bur FAU TO DO SHALL won NO OBIJ A1ICN OR LIABILITY OP ANY KIND UPON THE *MUREX 1T AGENTS OR RNTA71VES. AUTHOIOI D REPRESINTATRE .b' m LIMITS EACH OCCURRENCE 61000000 1 PREMISES �e ea , �rc fue , $ 50000 MED EXP (My one Dotson) 5 ZXC PERSONAL !A ADV INJURY 510 0 0 0 0 0 GENERAL AGGREGATE $ 2000000 PRODUCTS - COMP/OP AGG 62000000 COMBINED (Ea azidon tt�NGLE UNIT $ BODILY r person) INJURY a (Per aood.nt ) INJURY $ PROPERTY DAMAGE (Peracddenl S AUTO ONLY • EA ACCIDENT 5 OAR THAN EA ACC 5 AUTO ONLY AGO $ EACH OCCURRENCE $ AGGREGATE $ 5 5 $ ITIRY ,11 S I I CI E R E.L EACH ACCIDENT 5 El. DISEASE - EA EMPLOYEE 8 EL. DISEASE -POLI YLIMIT $ 06/10/2010 10:59 FAX 3055981750 ACE A ACQRD CERTIFICATE OF LIABILITY INSURANCE PRODUCER J.W. Edens & Company Commercial Ins of exevard, Inc 325 Fifth Avenue, Suite 108 indialantic Pr, 32903 Ph0ne :321- 725 -7000 Paz :321-725-7856 INSURED OTHER ACORD 25 (2007/08) Ace Pr ert ervice Corp. Ni ' 33157 St. #8-A COVERAGES 1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 711E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RECUIREMENT. TERRA OR CONDITION OP ANY CONTRACTOR OTHER DOCUMENT WITH RESPELL TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE DANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE MIMS, OCCLUSIONS AND ODNDmONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C MS. lAft�'tLDD1 LTRINSRE TYPE OF INSURANCE GENERAL UA U W X COMMERCIAL GENERAL, LIABILITY 1 CLAIMS MADE OCCUR G AGGREGATE UMR APPLIES PER "' 1PO JEC n LOC AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABWty R ANY AUTO !XGE59NMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COWPE NSATNON AND EMPLOYERS' LIABILITY yR� OCCLUDED'? ART IECUTiVE SPECIAL PROVISIONS Wow • CERTIFICATE HoLDER GL98671 Miami Shores Village Building & Honing Departmenet 10050 NE 2nd Ave ....Miami Shores- FL X3 POLICY NUMBER OP ID !EC DATE (UMIDD1YYYY) ACHP001 09/01/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NAIC # ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. — INSURERS AFFORDING COVERAGE INSURER A: Canal Indemnity Coapany INSURER it INSURER C INSURER D INSURER E: DATE .,Y7••. DATE 08 /20 /09 OPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDOR$EENT / SPEW. PROVISIONS *Replaces COX issued 8/24/09 08/20/1 tI003/005 =AMOY CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLN:IE$ BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUNG INSURER WILL ENDEAVOR To MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABaITY OF ANY MD UPON THE ITS AGENTS OR .RIGaRESENTATIVES. AUT OROED REPRESENTATIVE. Aatcini0- �: -E'es -e z ACORD CORPORATION 7988 BUILDING PERMIT APPLICATION FBC 20 Tenant/Lessee Name Phone # Email Contractor's Company Name Ik r Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 10050 Ti7, venue, Miami Shores, Florida 33138 Tel: _ i ) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 e State Contractor's Address / oin1 (f3 City , n t Qualifier Name ra ,(Los Pt \ State Certificate or Registration No. (-CCO 5 Contact Phone 3 S '5°71'1140 E -mail Type of Work: ❑Addition ['Alteration ❑New Describe Work: e P t p -11102- (& 11.144.1 w tf t, Submittal Fee $ Permit Fee $ Shores Village ng Department Radon $ DPBR $ Violation date: Permit No. RP 1 O - )O Master Permit No. Permit Type: BUILDING ROOFING Owner's Name (Fee Simple itleho 1 1 (�e y �Qk Phone # Owner's Address 4n t1 ( /00 41 ` City CAM ( a State --+'( Zip 3 3 / t Job Address (where the work is being done) 38 N{;c City Miami Shores Village County Miami -Dade Zip 3 3((01 FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Phone # 5 5/8 ` Zip 3S 1S7 Phone # 3 t ' S W) 7 Certificate of Competency No. Phone # Square / Linear Footage Of Work: 5' g r Repair, C ******** * * * * * ** * * * ** * * * * ** * * * * * * * * * * * ** F * * * * * * * ** ** ** * * * * * * * ** CCF $ v- (0fj Notary $ Training/Education Fee $ Scanning $ (eCO Double Fee $ Structural Review. $ Total Fee Now Due $ Si't,D ISCgj1 JuN a 7 2 iQ EY 3 7cp L - ( ?\ eplla�ce Demolition p� Technology Fee $ Q' yo Bond $ ****************** CO /CC $ See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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. The foregoing instrument was a day of MOVE , 20 I , by who is personally known to me or who has produce As identification and who did take an oath. NOTARY PUBLIC: Sign: Print:' My Commission ( DEL D JIMENEZ += MY rnMMISSION # DD955621 EXPIRES March 21, 2014 3984183 FCor1daN481yService.00 **> ti*****vr********* ********> tire********************** *t********* * * * * ********** ******** *** * *** eve *** * * * ********** APPROVED BY 74X till / U Engineer (Revised 07 /10 /07)(Revised 06/10/2009) State Signature Contractor The foregoing instrument was acknowledged before me this day of J ' , 20 l o , by Cp LO 5 ?C.; who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: • Print: My Co EXPIRES March 21, 2014 es: FloridallotaryServk:e,com Plans Examiner Zoning Clerk checked ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic ❑ Metal Panel/Shingles Shingles ❑ New Roof ❑ Reroofing FLORIDA BUILDING CODE — BUILDING Florida Building Code Editio ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Recovering El Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) High Velocity Hurricane Zone Uniform Permit Ap Iication orm. SUBJECT 1 CCMPI _IANCE WITH ALL FEDERAL ,Section A ((r%neraj Informs iCtrA)E AND CCUN iY RULES AND REGULATIONS Master Permit No Process No. Contractor's Name ACE PROPERTY SERVICES Job Address 38 NE 10 8 ST • • Mortar /AdlI e : :; • • • • ❑ Wood ShirtAles • "" • • •■ (E:a ■ • s.� ,SPCtinn B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. f7 1' 2 2' 2 _t 6 7 7 08 3- 32 1 A WC To BE / g;f4 - 11z, ••• it i • t-1••• Total (SF) • • • • • .••o• • • • • • • • • • • • Roof System Manufacturer: LAMOPI ROOF TILE Notice of Acceptance Number: 06- 1214.07 Minimum Design Wind Pressures, If Applicable (From RAS 127 og , • Calculations): • • P1: -45.1 P2: -78.6 P3: -116.2 • • • ' •• ••' • • • • • Maximum Design Pressure • ��'� • (From the Product Approval Specific System): • • �� ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Budding Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. ,Spr_tinn n (Shan) Sloped Roof System) FLORIDA BUILDING CODE — BUILDING • . • • • • • • • • • Roof Slope: 2- 1/2'12 Ridge Ventilation? n ?a Stepp Sloped Rnnf System Description Deck Type: 1 "x8" T & G Type Underlayment: Insulation: Mean Roof Height 10" Fire Barrier: 1 #30 ASTM n/a Fastener Type & Spacing: Adhesive Type: n/a Type Cap Sheet: Roof Covering: Type & Size Drip Edge: • .• • • • • • • • •• • 26ga • • • • • • •••• 1 -/1/4 RS - TINCAPS 6" OC TAP 12"0C PTP TJ) POLYFOAM POLYPRO AH 160 1# 90 LAMOTI BARREL TILE 2 x 2 METAL • • •• • • • • Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height 11 Job Site Roof Slope 0 Job Site Aerodynamic Multiplier J. Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F' Product Approval Requited Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submited to the building official at the time of permit application. M required Moment Resistance* • • Mean Roof He19ht "• Roof Slope 1 , 15' 20' 25' 30' • •11•• • • r • • •••• 40 ' • • • 2:12 34.4 36.5 382 39.7 I • 42.2 • .. • 3:12 32.2 34.4 36.0 37.4 • • • • 39.8 4:12 30.4 32.2 33.8 35.1 i • • • 37.3. 5:12 28A 30.1 31.6 32.8 • • •••• 34.9 • 6 :12 28.4 28.0 29.4 30.5 •• • • • 32.4 •••• 7:12 24.4 25.9 27.1 282 ••• 30.0 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section E ITileSalclrla i nns) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mf. If the Mf values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (Pi:4 5.10,0 .2 310 .3 7 Mg.5.6 6=M .71 Product Approval M 77-87 ( p. 2 78.6 x iQ . 2 3 18.07-m 41 Product Approval M7 7. 7 (416.2x 0.23 2 6 .7 $ M 6 = M 1. 0 6 Product Approval M 7.8 7 Required Moment of Resistance (Mr) From Table Below Product Approval M (P2: (P : xL xL FLORIDA BUILDING CODE - BUILDING Method 2 "Simplified Tile Calculations Per Table Below" xw:= ) -W x cos • • • • • •• • • • • • *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F with the values forFt If the values are greaterffian or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (Pl: x L = x w: = _) - W: x cos 0 = Frl Product Approval F' = F Product Approval F 3 = x w: = _) - W: x cos 0 = F Product Approval F' • • • ••• • • • . •• • • ••• +• •• 1 • • • •••••• •11. • ••• • • • • 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 Coda, 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 owners initial in the adjacent box indicates that the itern has been explained. AsesthetIcs-Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for 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 isseleflailship provisions. Aesthetic issues such as color or architectural appearance, that are not part of:a acaling coeld"thould • be addr sed as part of the agreement between the owner and the contractor. •• • Decks: When replacing roofing, the existing wood roof deck rr110 lferve to be ?enatiied. • in accordance with the c...rrent provisions of Chapter 15 (High Velocity Hurricane Zones).drtla Florida • Code. he roof deck is ssually concealed prior to removing the existing roof system). •••• • • • ,•••••• 73. Common Common roofs are those which have no visible delineator! 'bean 41 • • • • • un (Le. townhouses, condominioms, etc.). In buildings with common roofs, the roofing i aqd/ocowner should. the occupants of adjacent units of roofing work to be performed. ke Expose d CeIlIngs: Exposed, open beam ceilings are where the underside of the roof decItioan be • • • • • •• • •••• vislred 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 option ag aintaining this appearance. A.) PondIng Water: The current roof system and/or deck of the building may not drain well and may we water to pond (accumulate) in low-lying areas of the roof. Pondric can be an indication of structural distress and may require the review of a professional structure: engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original =fin em is rernoved. Ponding conditions should be corrected. Over?! vs scuppers (wall outlets): It is required that rainwater flow off so that the roof is not ov from a ouild up of water. Perimeter/edge walls or other roof extensions may biock this discharge if overflow scuppers (wai: outlets) are not provided. It may be necessary to install overflow scuppers in accordance with t lorid Building Code, Rumbing. 3 9 . /tiC Property Address SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS N CONSIDERATI*NS tikes ventlIation: Most roof structures should have some ability to vent natural airflow through the interior of Jur th ucturai assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Retc1/20/2005,Computer Services, Building Department Permit Number TIFIC TION (14 Contr.. .r's Signature R 1 FLING • • • • MIA MIDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Lamotl Roof Tile 1360 N.W. 29 st. Miami, FL 33142 This renews and revises NOA #02 -0205.09 and consists of pages 1 through 4. 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 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 g Cdpted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other at+eas +v • here alloWed.'by the Authority Having Jurisdiction (AHJ). • • • .. • • • • • This NOA shall not be valid after the expiration date stated below. The Miami Dade ( Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade Corm/IF:serve thf n to have this product or material tested for quality assurance purposes. If this product or matcgial tits to pgrfopn in the accepted manner, the manufacturer will incur the expense of such testing and the •Anil•$iay ie8lately revoke, modify, or suspend the use of such product or material within their jurisdiction. BO* reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division this whit 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•Eede including the high Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Barrel High Profile Concrete 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 dare 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. NOA No.:06- 1214.07 Expiration Date: 03/14/12 Approval Date: 06/28/07 Page 1 of 4 ROOFING ASSEMLY APPROVAL Category: Roofing Sub - Category: Tile Sub -Type: Concrete 1. SCOPE: This renews a roofing system using Lamoti Barrel Hlgh Profile Concrete Tile, as manufactured by Lamoti Roof Tile, described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code. For the 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 attachepnt calculation :. • shall be done as a moment based system • • • • • • Test Product. •••• • Product Dimensions Specifications Description• • •••• • • Barrel Concrete Tile Length : 18" TAS 112 Iiigh profile, two pi& ttcrete ref. • • • Width : 8 3 4" tile. For direct deck' fdfidsive set • • • . Thickness : " applications only. . • ' ' • Trim Pieces Length : varies TAS 112 Accessory trim, conc /oaf pieeasafor• Width : varies use at hips, rakes, ridgerarid valley.... • Varying thickness terminations. Manufactured for d i,. • tile profile. 2. PRODUCT DESCRIPTION: 2.1. EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date IBA Consultants, Inc. 2358 -54 TAS -101 05/08/07 IBA Consultants, Inc. 2358-50 TAS -112 12/19/06 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. 33 Applicant shall retain the services of a Miami Dade County Certified Laboratory to perform quartely test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Application Standard 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 tmderlayment 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 2 ":12" to 7 ":12" • NOA No.:06- 1214.07 Expiration Date: 03/14/12 Approval Date: 06/28/07 Page 2 of 4 Table 3: Restoring Moments due to Gravity - ), (ft Ibf)� . . • • • - M • Tile Profile 2 ":12" 3 " :12" 4 ":12" 5 ":12" 6":32":": Direct:ppdt Great* than 7:412: Dirg,t • Barrel High Profile Concrete Tile Direct Deck Direct Deck Direct Deck Direct Deck 5.66 5.56 5.43 5.25 5.01 4.72 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Barrel High Profile Concrete Tile Polyfoam Polypro AH 160TM' 77.87' 1 Paddy placement of 37 grams of Polypro AH 160Ta for pan tile, 17.5 grams on each side for cap tiles. Table 1: Average Weight (W) and Dimensions (1 x w) from TAS 112 Testing Tile Profile Weight W (Ibf) Length -1 (feet) Width -w (feet) Barrel High Profile Concrete Tile 8.1 1.50 0.73 Table 2: Aerodynamic Multipliers - A (ft) • •••• Tile A(ft A • •••• • Profile Batten Application Direct DedIf ellcatio'rf Barrel High Profile Concrete Tile N/A 0, • • • • • • e • ' 4. INSTALATION: 4.1 Lamoti `Barrel high Profile Concrete Tile' and its components shall be installed in strict compliance with Roofing Application Standard RAS 120. 4.2 Data for Attachment Calculations: 5. LABELING : All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: " Miami -Dade County Product Control Approved ". LRT LAMOTI BARREL CONCRETE TILE LABEL (LOCATED ON UNDERSIDE OF TILE) ••. • • • • NOA No.:06- 1214.07 Expiration Date: 03/14/12 Approval Date: 06/28/07 Page 3 of 4 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 Building Official or Applicable buildign code in order to properly evaluate the installation of this system. 7 / o � BONDING LOCKS 8.75" ,1 18" PROFILE DRAWING 1 END OF THIS ACCEPTANCE 8.75" 8.75" LAMOTI ROOF TILE "BARREL CONCRETE TILE" .... • • • • •••• • • • • •• •s•. • • • • . •••• I2" • • • • • • • • • 1 •••• •••• t • ::: • • • • • • • • ••.••• • • • •ir•. • • •••• NOA No.:06- 1214.07 Expiration Date: 03/14/12 Approval Date: 06/28/07 Page 4 of 4 M IA M I DADS 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 � pp � gulations governing the use of constructioa �natertals. The documentation submitted has been reviewed by the BCCO and accepted by the Build% bode and er.ohct Review Committee to be used in Miami Dade County and other areas where allowed by tig Aibority f vfng Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami '1ada Count4 r the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested•far aivality • • assurance purposes. If this product or material fails to perform in the accepted manner, themeaufacturer sill incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend to tie pf such pieduct or material within their jurisdiction BCCO reserves the right to revoke this acceptance, if it is det@rmii4 aCCO 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 Iidt?tcane 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 JSrge 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® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® All 160. Where the attachment calculations ale doge as a ' •••• • moment based system for single patty placement, and as an uplift based system for double patty syslem . • PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro® AH160 N/A TAS 101 Foampro® RTF1000 ProPack® 30 & 100 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 Deseriplion ••••• • ••••• Two component polyGfethfine foam • • Results • adhesive • • • Dispensing Equipmegt . • • • • • Dispensing Equipment' • 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. 1.6 lbs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Change @158 100% 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 EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services k 2 MS Test Identifier #94-060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB-589-631 9637 -92 01- 6743 -011 01- 6739 -062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 Test Name/Renort TAS 101 TAS 101 SSTD 11 -93 SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 •••• • • •••• • • • •� 04/30/9 • • 11/16/94... '••••01 /16195.•• 03/14/96 • • • • • • • .... •. • • . :0/23/98 • • • • • • • • • f2/28/0 • 03/02/99 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® A11160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. I F '. NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04 /13/06 Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Opemiin'g • Instruction and Maintenance Booklet. • • • • • 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Poly gam: • supply approved PP � Products, Inc. Polyfoam Products Inc. shall su 1 a list of a roved a • . • p hcators .�A.�,1t uthori tY . having jurisdiction. .... .... • 5. Calibration of the Foampro® dispensing equipment is required before applicati any adhesive.. The mix ratio between the "A" component and the "B" component shall be mains *iae .4,etweea 4.0►- • • 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds pet the as • • • determined at calibration. No other settings shall be approved. • • • • 6. Polypro® A11160 shall be applied with Foampm 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 • YaPPi Polypro® AH160 has been dispensed. 9. Polypro o A11160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official 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 • • • • • • 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 RE INSTALL TILES AT NW VALLEY WITH FOAM AND CEMENT, COLOR THRU WHITE TILE Passed 7747e7 Inspector Comments IC_- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP - 145438 Permit Number: RF -6 -10 -1035 I Inspection Date: July 30, 2010 Inspector: Bruhn, Norman Owner: Wiborg, Brian Job Address: 38 NE 108 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ACE PROPERTY SERVICES CORP Building Department Comments July 30, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1121360110050 Phone: 305 -598 -1700 Page 1 of 1