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RF-09-2073 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 135081 Permit Number: RF -12 -09 -2073 Scheduled Inspection Date: February 09, 2010 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: INTOYAN, HMAYAK Work Classification: Tile Job Address: 85 NW 102 Street Miami Shores, FL Phone Number Parcel Number 113101018008 Project: <NONE> Contractor: ALL JER CONSTRUCTION Phone: (786)348 -9180 Building Department Comments RE -ROOF TILE TO TILE COLOR THRU Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 08, 2010 For Inspections please call: (305)762 -4949 Page 25 of 25 Sh�R ` FS � Mia s ' V illage ones .��.. Building Department 10050 N.E.2nd Avenue �L�RIDA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # 12 -0 ? DATE: INSPECTION AFFIDAVIT licensed as a (n Contractorngineer / Architect, (Print name and circle License Type) FS 468 Building Inspector License k CC.0 On or about ( ko 10 G '`/ , I did personally inspect the roof deck nailing and (Date & time) secondary water barrier work at 0 A4w t 1 0 2 � (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. ) Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of �°. A/—(/- zold r Notary Public, Sate of Florida at Large At Al q-7_' = ",k ft State of Florida Bertha C Tu f J / p t r My Commission DD854404 ® ` /i! C '~�'r! c1 (� Y 2, j v g O(� OF flo ExPres 01/25/2013 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection Revised on 512112009 C I V I L Reileh Engineering Corp. (Consulting Engineer) ` 2370 S.W. 123 Avenue Miami, Florida 33175 -1174 ENGINEER Te1:305 -823 -8008 Fax: 305- 823 -3300 February 1, 2010 Alljerette Construction Miami, Florida Project: ROOF TILE UPLIFT TEST REPORT Residential Home 85 Northwest 102 Street Miami, Florida Information provided by client: Permit Number: Not Provided Date Completion: January 27, 2010 Roofing Contractor: Alljerette Construction Project Number: 10 -0100 (Testing Laboratory Certificate #06- 0501.15) Dear Sirs; In accordance with your request and authorization, a representative ofReileh 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 of the 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 Flat Concrete 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 werg conducted. la r }e r o is the to equtrern nt outlined in the above rnentione protocol At he p� ' XA a copy o vu�r terpxt °.fqr yar rio 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 M hamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 85 Northwest 102 Street Miami, Florida Reileh Engineering Corporation -- Project Number - 10 -0100 — Page 2 of 4 Report of TILE UPLIFT TEST for Residential Home 85 Northwest 102 Street Miami, Florida Project Number: 10 -0100 Y Number Test L�►ad }.. �'e� 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass Reileh Engineering Corporation --Project Number - 10 -0100 — Page 3 of 4 Test 111u>Enr:r 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass Reileh Engineering Corporation -- Project Number - 10 -0100 — Page 4 of 4 r N0Pl TH 27 26 25 b 7 6 24 16 33 39 9 � 17 34 40 5 28 35 22 16 41 10 52' 21 36 42 15 4 II 29 43 20 14 37 12 m 44 19 13 30 51 32 1 3 2 10 -0100 APPPDX, POOF 1 5f LOCAION5 AMP t9IMM51ON5 Miami Shores Village' C ' , Building Department ON 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 X0 SI REVI _ Tel: (305) 795.2204 Fax: (305) 756.8972 ® ®� INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. I2 0`7'-­ PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING Owner's Name Fee Simple Titleholder) Owner Address / 4142 c �C j City_//_gj(/j — 10i✓ State _ �� Zip MR 3 Tenant/Ussee Name Phone # Email Job Address (where the work is being done) )UCt) 7 City Miami Shores Village County Miami- Dade, FOLIO / PARCEL # s t ee YES NO Flood Zone . Contractor's Company Name JU Phone # d'l G7n Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. _Ctr—= 1 3 Certificate of Competency No; Contact Phone • E -mail Architect/Engineer's Name (if applicable) Phone # Type of Work: EjAddition []Alteration ONew Re _ [] Demolition Describe Work: �R ® �p !�„Q p p air/Re lace r�� x , �* r� ��r �x��• �• x• �• ��ar• � rxua� �* �• r* �• � � x* � v �x ��, ��rF �, a�• ar, �, x, �• x, ��, r���, ��ra��, r��, ��� * *,�,��,�•xaa� *•�•�•�x•����•� d Submittal Fee $ Permit Fee $ © CCF $ CO /CC .$ Notary $ Trainin /1{+ du Fe Technology Fee $ Scanning $ Radon $ B Bond $ Doable Fee $ ��o� ���• A Structural Review. $ Total Fee Now Due $ , lJl✓ MIAMI SHORES VILLAGE See Reverse side -> I Bonding Company's Name (if applicable) Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify, that. all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO , YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is. issued. In the sence such posted notice, the inspection will be appro d, and a reinsp ion fee will be charged.. Signature Signature - - =y Owner or Agent ontractor The foregoing instrument was acknowledged before me this ® The foregoing instrument w acknowledged before me this day of 0� , 20 -o by 1 7 ,4 1 01<W r" day of / , 20 who is ersonall known to m r who roduced who is personally known to me or ' o has roduced personally p p Y P �i/ 0� - -La4 As identification and who did take an oath. as identification and who did take an oath. NOTARY PU UC: NOTARY PU$L�IC: Sign: Sign: / 4A-L/ (0 isst �i - - -- - , , Print:. C= �� E r P - PAPVJM E Notary 9c Ufa * ON 864713 My Co My ` n Apdi 2013 A„, BAndBd No�ryPubl��huien+nttara APPROVED BY ��(�. Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) M.MM +�* This Instrument Prepared uMSSM �- Na me �Cz -p_�j { • ....,. C-- Address Permit No.- -4 - 2 OV - 2e 7 3 mom Tax Folio No. STATE OF �I NOTICE OF COMMENCEMENT - '' COUNTY OF mom � ` THE UNDERSI GNEO hereby gives notice (hat improvement will be made to certain real property, and in accordance with a�w ; Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. air •- � ca ! 1. Description of property: (legal description of property, and street address it available) w m 2. General description of improvement: ��� �� /VW / J� / reaM 3. Owner information rW � a. Name and address; /���n � `P-; ,., ...e.. 0 b. Interest in property: r la S (j/t i1/ / f (O Y 1 332- ,-a Cl c. Name and address of fee simple titleholder (if other than owner): -' 4. Contractor: _ u?c s t a. Name and address: RIL SG�D ��� ! ✓1��� - j �� �/ - ?4'9c < 0 o•- o0 u - ` X I ` b. Phone number: r, j C-a .. _.. C-4 ' --. Hi S- Surely - a. Name and address: Cr- u •? b. Amount of bond $ :t z — ;=, c. Phone number: C 1 1` I.L. 6. Lender .s {..J U? = UJ `z `X a. Name and address; -j b. Phone number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713 .13(1)(a)7•, Florida Statutes: a. Name and address: b. Phone number: a. In addition to himself, Owner designates the following persons) to receive a copy of the Llenoes Notice as provided In Section 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: 9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date Is specified) 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 I, 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 POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COM491gn ECEMENT. of Owner or Owner's Authorized O ice ff r /Director anager Signatory's Tille /Office EY , > � The fQr instrument was acknowledged before me tM Aof, C DAtL T :; fAr� f (year) by authority, ...e.g. officer, trustee, attorney in fa t) for as (type' of behalf of whom Instrument was executed). _(name of party on NOTARY FUBUC —STATE OF FLOWS: = . Willa j,alani nature of Notary Public -State of Florida -- Print, Type, or Commissioned Name of Notary Public '.Commission, #DD842267 ss r ' DEC.02, 2012 Commission Number BONDEDTHRIIA7I�iCBONUINOCO•,1 Personally Known _or Produced Identification-- Verification Pursuant to Section 92'525 Florlda Statutes Under penalties of perjury, I declare that 1 have read the foregoing and that the facts knowledge and belief. stated in it are true to the best of my Signature of Natural Person Signing Above Perl;lrt �F�1 S�oR hl Miami Shores Village Roof 9 10050 N.E. 2nd Avenue VV0* Glaser Tile Miami Shores, FL 33138 -0000 y @y 8 Phone: (305)795 -2204 .. .. - *�• to�tv>* Expiration: 06/191201 Project Address Parcel Number Applicant 85 102 Street 1131010180080 Miami Shores, FL Block: Lot: HMAYAK INTOYAN ASSIR Owner Information .._ Address Phone Cell HMAYAK INTOYAN 85 NW 102 ST MIAMI SHORES FL 33150 -1229 Contractor(s) Phone Cell Phone Valuation: $ 8, 000.00 _ ...._ ALL JER CONSTRUCTION (786)348 -9180 Total Sq Feet: 1600 Type of Work: Re Roof For Inspections please call: Additional Info: TILE COLOR THRU (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Renailing Affidavit Cap Sheet Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $4.80 RF -12 -09 -36669 $ 299.80 $ 50.00 Education Surcharge $1.60 Permit Fee - New Roof $275.00 RF - 12 - 09 - 36669 $ 299.80 $ 299.80 $ 0.00 Scanning Fee $12.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $6.40 Total: $299.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. December 22, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Cop December 22, 2009 1 Miami Shores e Villa `" v\ Village T it Building p D e artment �' DE 17 2006 161 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING permit No. PERMIT APPLICATION Master permit No. IBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) r5 r o e e tc , r , Owner's Address - Q 1 17 IVtI j, 5T Ci ty 1(-44,A/ 2i aey State z EL,,24 Zip -333 Z Tenant/Lessee Name Phone # Email Job Address (where the work is being done) 1V Uj 1 2- -i;r City Miami Shores Village County Miami -Dade Zip 3 ^� FOLIO / PARCEL # /1 — j / 0 / OzR —oo < ;-?io Is Building Historically Designated YES NO X Flood Zone Contractor's Company Name 4t ` J02. eo/' • Phone # 7 y & 9 6 Contractor's Address 1 2Z9 4 AW .2q Yerr. m City State _ j : - ( Zip Qualifier Name ere Phone # 7J& e State Certificate or Registration No t,EJI. °3 .2 7 Certificate of Competency No. Contact Phon Q1 61262 E -mail 0(/ Architect /Engineer's Name (if applicable) Phone # SF + + Value of Work For this Permit 0,00• P, Square / Linear Footage Of Work: /,�®O Type of Work: ❑A ition ❑Alteration []New Repair/Replace ❑ Ddoolition . Describe Work: t�. Submittal Fee $ Permit Fee $ _/�� CCF $ CO /CC $ Notary $ Training /Education Fee $ '• �V� Technology Fee $ Scanning $ L L2 Radon $ DPBR $ Bond $ Double Fee $ Violation date: nn Structural Review. $ Total Fee Now Due $ O� See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that. all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT: ' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction ; lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. 1 the absence of such posted notice, the inspection will not be approved and a reinsp n fee will be charged.. Signature Signature Owner or Agent Contractor The foregoing instrument was ackno le ed before me this i' The foregoing ins went was acknowled before me this day of 20 0 1, by day of X , 20 22, by who is personally known to me or ho has produced who known to me or" o has produ Poe Sb As identification and who did take an oath. f 7 as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: f y � Sign: _.. _ -- Sign:° Print: ? �=! A Print: f ti •_ My Commission Expires: a' z MY 4DD864713 My Commi sio MY 0DD884713 e FMAES: April 28, 2013 Y� MWftS: April 28, 2013 u. Betided Thm N0Y PWM tlnA , 8ondod lhlu tioG�y puMlo Underwdten APPROVED BY y ;1`7 Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009)' Property Information Map Page 1 of 1 My Home Miami -Dade County, Florida MIAMI-DADE Property Information Map Summary Details: Folio No.: 11- 3101 - 0 - Pro e 5 NW 102 ST Mailing HMAYAK INTOYAN ddress: 5 NW 102 ST MIAMI S HORES FL 3150 -1229 Property Information: rimary Zone: 800 SINGLE FAMILY RESIDENCE LUC: 0001 RESIDENTIAL - INGLE FAMILY Beds /Baths: /2 Floors: 1 Living Units: 1 d' Sq Footage: 11,125 Lot Size: 7,560 SQ FT Y ear Built: 1979 NAVARRO SUB PB 12- `.- 9 LOT 17 &W15FT LOT Legal 18 BLK 1 LOT SIZE Description: 70.000 X 108 OR 16553- 687 0994 4 OR 16553- 687 0994 01 Assessment Information: F 2009 2008 $124,879 1311,95 208,131 ue: $102,587 103,820 e: $227,466 311,951 Digital Orthophotography - 2007 0 14 ft alue: $227,466 This map was created on 12/17/2009 10:48:20 AM for reference purposes only. Taxable Value Information: Y ear: 2009 2008 Web Site © 2002 Miami -Dade County. All rights reserved. Applied Applied T axing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Ichoo ional: $0/$227,466 $0/$311,951 oun $0/$227,466 $0/$311,951 i $0/$227,466 $0/$311,951 Board: $0/$227,466 $0/$311,951 " " '" Sale Information: "View /1994 0 16553 - 2687 ales which are isqualified as a result of xamination of the deed w Add Sal http: / /gisims2 .miamidade.gov /myhome /p , �intmap.,i.sp? mapurl = http: / /gisims2.miamidade.g... 12/17/2009 STATE OF FLORIDA - = -_- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET W TALLAHASSEE FL 32399 -0783 A B REMODELING INC 5605 WEST 12TH COURT HIALEAH FL 33012 STATE OF FLORIDA - Ad# �► F, 4 Congratulations! With this license you become one of the nearly one million C BUSINESS Al Floridians licensed by the Department of Business and Professional Regulation. D R- P AR TM EPARTMENTEN7 O i B N Our professionals and businesses range from architects to yacht brokers, from _ boxers to barbeque restaurants, and they keep Florida's economy strong. QrB58S$8 01/18/08 070289 Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. BUSINESS ORGANIZATION There you can find more information about our divisions and the regulations that A' B REMODELING INC - impact you, subscribe to department newsletters and learn more about the - Department's initiatives. ° (NOT k - LICENSE TO PERFORM WOE. ALLOWS COMPANY TO DO BUSINfiESS IF Our mission at the Department is: License Efficiently, Regulate Fairly. We IT HAS A LICENSED QUALIFIER.) constantly strive to serve you better so that you can serve your customers. I'3 QVALIETSD •under- she graysioxas. of. th.. Thank you for doing business in Florida, and congratulations on your new license! �ai�a€�rnr aat.AtTfa {�;, ;_ >7EIIbt>'?3 Sincerely, Holly Benson Secretary, Department of Business and Professional Regulation DETACH HERE A c# Q u STTEF' �E:t RIDA DEPARTMENT`- OF &U SINES �D SRO S��ONAL REGULATION CQNSTRUC' ZON INi� BTRY D E T7 B JARI� ' + Q# L0 8 4118tt 0I S3 D ATE BATCH �CENSE =NBR = _ 01/18/2008 074 $9999 B5S888* The BUSINESS E3RGANIZAT203� Named below IS Q'UALIFrib Under the provisions- .3f Chap X89 =FS . Expiration date:: BUG, .31, 200-9` -' (THIS IS NOT A. LICISE 70 PERFOR!``,WORK' THIS ALLOWS' COMPANY TO Df3 BTS3NESS ON IF 2'�' =S . QUALIFI;ER�� A B REMODITLING ,INC 6D 5 `WEST 71�TH COURT � � - HIALEAH _ FL 13,,E CHARLIE CRIST - HOLLY BBNsON GOVERNOR, - SECRETARY t�;kSf't�AS f�QtRED BY iAW i P STATE OF FLORIDA AC# 446921 DEPARTMENT OF BUSINESS AND •.P�V PROFESSIONAL REGULATION Q$58864 07/30/09 090045048 QUALIFIED BUSINESS ORGANIZATION ALL JER CONSTRUCTION CORP (NOT A LICENSE TO PERFORM WORK. ALLOWS COMPANY TO DO BUSINESS IF IT HAS A LICENSED QUALIFIER.) IS QUALIFIED under the proviaiona of Ch.489 FS Expiration date.. AUG 31, 2011. L09073000748 I MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES, FL 33138 � (Ph) (305) 795 -2204; (Fax) (305) 756 -8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST SUBMITT COPIES OF ALL LICENCES AND INSURANCES IN ORDER TO BE REGISTER. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFJCE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 FILL OUT WITH ONT TOR'S INFORMATION �1 1 BUSINESS NAME: l 7�, BUSINESS ADDRESS: l?i7i�� �t�( y t`� C1TY IA r STATE t ZIP CODE BUSINESS PHONE: ( 0 ) FAX NUMBER( ) CELL PHONE c7__�) �t QUALIFIER'S NAME: J05e QUALIFIER'S LIC NUMBER: CAC •1 Z����' E -MAIL ADDRESS (IF APPLICABLE): WEBSITE (IF APPLICABLE) l� ��` i�'_°._ Dec, 15. 2009 1:50PM No, 1781 P. 2 AC R ® ' DATE (MM/DOIYY) CERTIFICATE OF LIABILITY INSURANCE 1211 5109 PRODUCER Florida Bankers Insurance THIS CERTIFICATE IS ISSUED Ai - A MATTER OF INFORMATION 7278 SW 8 Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDI=R. THIS CERTIFICATIE DOES NOT AMEND, EXTEND OR Mlaml, FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (305)266 -8493 Fax (305)262 -0679 INSURERS AFFORDING COVERAGE NAIC # INSUREO ALL JER CONSTRUCTION CORP, INSURER A: AMERICAN VEHICLE INSURANCE CO M 12294 SW 29 TERR INSURER B: MIAMI, FL. 33175 INSURER C: — 1(786)34 INSURER Q INSURER E: COVERAGES __ INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWrrHSTANDiNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. q ADVL TYPE OF INSURANCE POLICY NUMBER POLICY EFrEMwE r+oucY EXPIRATSON INSRd _-_ DATE M" DATE MiYIlD LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000.00 ❑Q COMMERCIAL GENERAL LLABIlrFY GI,- 0504003267 -00 10/30/09 10130/10 PREMISES Ea occurence 100,000.00 ❑❑ CLAIMS MAOE Q OCCUR MED EXP (Anyone person) 5,000.00 A ❑ XCU CONTINGENT PERSONAL & ADV INJURY 1,000,000.00 ❑ LIABILITY GENERAL AG GR E GATE _ 2,000,000.00 GEN'LAGGREG CO ATELIMITAPPLIESPER; PRODUCTS•MP /OPAGG 1,000,000.00 POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY T - _mow ❑ E ANY AUTO COMBIND SINGLE LIMIT (Ea accident) ❑ ALL OWNED AUTOS ❑ ❑ SCHEDULEDAUTOS BODILY INJURY ❑ HIRED AUTOS Per [] NON OWNED AUTOS BODILY INJURY ❑ (Per accident) PROPERTY DAMAGE (Par accident) GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ -v ^W- W -_ AUTO ONLY: _ EXCESSIUMBRELLA LIABILITY I I V. EACH OCCURRENCE i i ❑ ❑ OCCUR ❑CLAIMS MADE AGGREGATE R [) DEDUCTIBLE I I - �•••- I ❑ RETENTION S I I _ _ I I WORKERS COMPENSATION AND � . EMPLOYERS' LIABILITY O ❑ OTH-f I TRY LII ffS ..,..,.. T H I. ANY PROPRIETOR I PARTNER 1 EXECUTIVE E EACH ACCIDENT OFFI�:ER / MEMBER EXCLUDED? I If yes, describe under I i I I EL. DISEASE - EA EMPLOYEE I SPECIAL PROVISIONS below I I E.L. DISEASE - POLICY LIMIT i OTHER — — -- - T I i DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I !"7(CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL MIAMI SHORES VILLAGE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO BUILDING DEPARTMENT THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE N O OBLIGATION OR LLA6ILITY 10050 NE 2nd AVE OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. MIAMI SNORES, FL 33138 A zED REPRESENTATIVE I � M ARTA ARTA M ALONSO ACORD 26 (2001108) OF �"° ®ACORD CORPORATION 1988 _15-2008 A S STATE OF FLORIDA w tr DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATI " I'P 'N OF ELECTION TO BE EXEMPT FROM FLORIDA COMPENSATION , CONSTRUCTiON INDUSTRY EXEMPTION TniS ca <,a MSt t;i n6vidual listed below has eiectel to be aftempt from Florida W orkers' k"orriperfsat t law. .. ' 512008 EXPIRATION DATE: 02/14/2010 JEREZ JOSE FEIN; 208427890 BUSINESS NAME AND .DHSS. ALL JER CONSTRUCTTMN CORP 1130 W 54TH ST C �',IALa �; FL 33012 C E I F [" : E' - IA ER R 43._ QWi** r.3, hn p011c¢r of a eorporelioe Wb[ tfa+cfs Axhebavoft from brit wapiti bY f3iiilll a rart{ti"ie, at sgiio = aa9er th's o� �tmwa itlaf tsar obis S,tavte, Nesuern iii commie, 4441 ebf32f.. F's, conA s'tarea if electiaa to be exempt,, . €p ably whfi:m tNh pumain €a tlilxiar 640,0%13:, €.s, sasatas of aw"fiaa to be 42iniqu nil caririaeaiea c �>•, m r er, �.< to m it gar gays riffle altar the 10 ,45 of tba neinca of th* isamanea of the taatftttme, Viii paszoa aefluiii as she xarsri ar rf 04 seer €roe r gti wt� €+t a ceffik0e, The Gnelvet 0en 1`#9`00 it w0fireit at any tialt f fa " of rha phr *Fbf QUESTIONS! f850' 413 1 609 s�gvf .� ,«* ::e;3 _r.. :; nr%a, 24a fatl' a8mar8TS xaf riasassrtng. E, Q N Tcl SE EXEMPT REWS D 09...13E PLiA.SE CUT OU7 THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF 71-0F*A IMPORTANT ! DiV.15ic : OF WORKERS' COMPENSATION r PtsrYuant to Chapter 440.0504f, r S., an of fifer Of a CO 4orEt }tP t w CONSTRUCTI 1NOUST Y i:. effects exefitgt an from arts chapter by filing a certificate of eiection Ei ECTiON T- S EXEMPT FROM E.f £lS9,dt e - under this section °` not recover r3Cf9tS or �:fl�rfdjte83$e f3iSn ssnde•r t?'t35 LANV r } a r ^C 2 EXPIRATION DATE: 02/14/2010 Fursualt to C*te 440.05ii2h F,S,. Car "f mes Of filicti h to be 0 iirlsE a JE EZ H exempt... apply only within the scope of the business or sratfe >te <r �qq the nonce cif etection to be exempt. f. e: ra 3 9USI ESS A ;4 E A NC E Pursuant to Chapter 4 D541 F.S., 4ovC45 of eteCtion t,, be exerne anti of election co be exempt shell be Subject to revocation if, at any time after the Bing of the rioti e or the issusirte ra the t certificate, Person. named on the d air r�tro e no =� meetsf site requiremen of th;s Section for issue of a Certificate, The t department shalt re+roa fib a certificate at 40Y time, for fatiure of the t y ``R mRADE, person, itm ed on the certificate to meet the requil trrerrts at this r.: Stittti. ' 01JESTfQNS? (SE) 413 1 CUT HER Cam bottom portions on the job, keep upper portion for your refoords. .01 RE :EXEMPT REVISED 09-06 it A. wx ym f ' . . &i 'y s fir/ y e y d _jH J �� try" A r i I P '3w Y '4 'wi cAt d .l '`� " •� ' r L i' I, f � DO NOT FORWARD OR tMEN, Won v'K9ES iY r r p g g Al JEl ChiST RJ{ TIC3AM URP JOSE A JEREZ PRES �xr 12294 SW 29 TERR MIAMI FL 33175 Tix €ro 114 kl @@ gg gg yy pP ## g$9 q9 060 tsy a.r7 xtz: £E sya ?Ra ima 7. 4t §aba a �4t +4�aS e aFa #s?)Pa 311 SEE O g HEM§ SI STAT5 OF FLORIDA AC* 38 STATE OF FLORIDA 3DEPARTMENT OF BUStNSSS AND DEPARTMENT OF BUSINESS PROFESSIONAL 3 dkL RE ]LAT tJ PROFESSIONAL REGULATION CCC1328675 06/30/08 070522422 QS5886 06/30/08 070522427 CEEB. -F^' 2F) ROOFING CONTRACTOR QUALIFIED BUSINESS ORGANIZATION ,JZRSZ, JOSE ANGEL ALL JER CONSTRUCTION CORE g' L j Ea CONSTRUCTION COR (NOT A LICENSE TO PERFORM WORK. ALLOWS COMPANY TO DO BUSINESS IF IT HAS A L I CENS EID QUALIFI �-q L.Ix D undar tha provisions of ch.489 Fs IS QUA IFUD under the provaasoaa of ch.4E9 Fs ADCs` 31, 2010 L 00063000147 ATD`' 31, 2009 Loso6300109 \ ♦SjOREs M iami S hores V illage soon �� Building Department A .,... 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �IORiDA Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No:0- 6e1ao7f Job Name Page 1 of 1 � Building Critique Sheet Plan review is not complete, when ail items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 � J ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 4402.14 BY: __-----__.-_ l-IMH --V1 ELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION i_ Florida Building Code Edition 2007 -- -High- Velocity Hurricane Zone Uniform Permit Application Form, INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF - T. ' THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Attachments Required Permit Application Form See List Below Low Slo e A lication ABC 1234567 Prescriptive BUR -RAS 150 ABC 4567 As p h Shin les A B D 1 Concrete or Clay Tile A B D E 1234567 Metal Roofs A B D 12 Wood Shin l es and Shakes A B D 124567 Other As A licable 1 2 3 4 5 6 7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16 or If Ap RAS 127 or RAS 128 . • 000 • • ' p s • . .. . . • . 4. Other Com onent of I A s o+e • : 0: 5. Municipal Permit A lication 6. Owners Notification forR fi n ' e •� roofin On[ 7. Any Required Roo1XesiN' /C ti D nlen ion A BUILDING FLORIDA BUILDING CODE — • • •+ • ' • • SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES – REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 ant the contra r. The owner's initial in the designated space indicates that the item has been explained. 1 • Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of 4prin the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the Bement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be rena accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to re ving the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units ' townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or J*d d notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can om below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the arance. 5. Ponding water: The current roof system and /or deck of the building may not drain well and may cabsehater to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the o ' al roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not ovedo ded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if o erflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in a o ance with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures stmId -have some ability4o vent natural airflow through the inter f the structure assembly (the buildng it JO.'T+ gxijtijg irrhunt of attink ventilation shall not be reduced. It may be benefici - 6onsider addtitigat VW tin§ yOhiCh tap rdsult in a ending service life of the roof. q Agent's Signature Date �: toy recto: Signet; fe Revised on 7/9/2009 LD ; ; •; • ; ; . . . . . . . . . . . .. .. . . . .. .. j ♦ SHoRFS Gi 1 Miami shores V illage s olve �' Building Department ��r M►g� 10050 N.E.2nd Avenue �lpR�pP Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: t; Property Address: S, kxo 1 � Roofing Permit Number: Dear Building Official: N1 ` LO A certify that I am not required to retrofit the roof to wall connections of my building because: X 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 4 44e of the Sout o a Building Code (1994 SFBC) Print Name State of Florida County of Dade ,• The undersigned, being the first duly sworn, deposes ar d.safl' t9at he /Ae;is the owner for the above property mentioned. Sworn to and subscribed before me this f I IY MFE Lip FMA T Notary Public, Sate of Florida at Large � • • When the just valuation of the structure for purpos of ad valorem tax fte is gqual 4orlml) th*al $30:,0004, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Rooflo Wafl connectionKiunicane Mitigation. • •. .• • • • •• •• . .•• . • • ..• . • Revised on 5/21/2009 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name 7 TOS`C A Job Address ( �j / 2— 1 5- — ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) o g / Sect R (Roof Plan) tll� V 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. I 1 • • • • • . . . . . .. . • . . FLORIDA BUILDING CODE — BUILDING : : • : : �: ROOF ASSEMBLIES AND ROOFTOP STRUCTURES [RREQ%C [I/J � 2 2 201 Florida Building Code Edition 2007 -- High- Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steen Sloped Roof System) Roof System Manufacturer: ` �I ��� t Notice of Acceptance Number: t4 o-4 407 - V7/0. 0 -� 7 Minimum Design Wind Pressures, If Applicable (From RAS 127 or CalculationS P2: P3: ( g o - 2 Maximum Design Pressure (From the Pr}rl u ct Approval Specific System): Steen Sloped Roof System Description Deck Type: n -- i Type Underlayment M 3'0 Roos lope -- 3 2� : 12 - - -' Insulation: tj I iSBa ier: Fas ener T e & S acin F�tg�Vgntlation� „T'- yp Spacing r �I Adhesive Type P + f , _._.v �._ ,., m• p / ;o - - Type Cap Sheet -/ p I ....,,;Er. Tw GC}''PLl�`AdC',`_- �/;!('TI-d AU ' . 1.Is�'��L -- I Mean �Rbo�.'t�eGght .. _. n _ Roof Covering: X In �� Type p • Edge: Size Drip '? x 3 . g /r 0:0 • . i s �;. • r�: � • i i • •• •• • • • •• •• FLORIDA BUILDING G7JISE -- BUILDING f ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 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 I or 2. Compare the values for M with the values from M if the M values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. / ��}} ,��M,,,,ethodd I� " Based Tile Calculation Per RAS 127" C /p P x }. ) - Mg: � = M �, 15 Product Approval M � .0 d PO V0 I (F�: fir. }, v +(NV M I � =t"—Z) M9114 = M Product .Approval M r3 Product Approval Al y . y Method ^_ "Simplified Tile Calculations Per'1'able Below" Required Moment of Resistance (Mr) Front Table Below Product Approval M M re uired Moment Resistance* Mean Roof Height Roof Slope 15 ` 20' 25' 30' 40' 2A2 34-4 365 382 9-7 42-2 5A2 28-4 30.1 32.8 349 *Must be used in conjunction with a list of moment based the systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systcnts use Method 3. Compared the values for F with the values for Fr. )f the F values are greater than or equal to the Fr values, for each area of the roof, then the the attachment method is acceptable. Method 3 "Moment Based - File Calculations Per RAS 127" (1' x l: x w: _ ) .. y,' x cos B = F Product Approval F' (P,: x 1., x w::_ ) - W: x cos B = Fr2 Product Approval F' (1, .... x 1- ...._..._....... — — -- x w: _ .- -' - - -.1 W: _ ....... _..__. x cos © - - - - -- - F ; Product :> pproval F' - - - -- Where to Obtain Information Description Symbol Where to find Desi Pressure Pt or P2 or P3 RAS 127 Table I or b . an engineering analysis prepared by PE based on ASCF. 7 Mean Roof Ileigtiht H Job Site Roof Slo e p Job Site Aerodvnarnic Multiplier lier A Product A . roval Restoring Moment due to Al Gravity Product Approval Attachment Resistance M Product A troval Rc Rire3R1 mL t >si an•e • M Calculated • • �4iR( fiutti A3;tchirtetit � • � • • • • • • f "• Product Approval • • + • • "%"stance Pl Required tl plift Resistance hr Calculated 0 000 ••• ••• •• • •Avera ve 7 1t Wei t •W • • Product Approval • • • +• 'Pile D}Inen. tons 1 length • Product Approval W = width All calculations nms b .qubauiticil ho tlw buildPh official at the time of permit application, • 0 • • • • • • • ••• • • • • •• •• 00 00 FLORIDA BUILDf "CODE 1 BUILDING • NG MIAMI DADE MIAMI -DADE COUNTY, FLORIDA _ METRO -DADS FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road'i, i Lake Wales, FL 33898p" 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 an 9th llowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami- t od Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade o ) ght to have this product or material tested for quality assurance purposes. If this prod tgri �' t orm in the accepted manner, the manufacturer will incur the expense of such testing a64 the tely revoke, modify, or suspend the use of such product or material within their juIto, rese s the right to revoke this acceptance, if it is determined by Miami -Dade County Product ivision that this product or material fails to meet the requirements of the applicable building code. • • • • This pi o. u t is approved as described herein, and has been designed to comply with the Florida Building Code • • 6 • .mcluding tlp Higts V Ib ity Hurricane Zone of the Florida Building Code. 0 000.. •• D ESCRIPl'IONI Saxony (Shake, Slate, Split Shake) Concrete Roof Tile • 06:00. 0 00000 0000 .. .. 0 0 . . LABEIING: EtI1.444 shall bear a permanent label with the manufacturer's name or logo, city, state and 0000. • • • followijW gatemeau "Miami -Dade County Product Control Approved ", unless otherwise noted herein. • . RENE WAL of this N OA shall be considered after a renewal application has been filed and there has been no 0 chaiM in the apgUC4llg building code negatively affecting the performance of this product. •..... TE1 IZiATIQN NOA will occur after the expiration date or if there has been a revision or change in the 0000 matdtigl!�, use, and/or dianufacture 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 and revises NOA #02- 1205.06 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 07- 0710.05 © Expiration Date: 12/16/12 Approval Date: 09 /07/07 _- .,.n..._ Page 1 of 8 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Flat Profile Roofing Tiles Material: Concrete 1. SCOPE This renews and revises a system using Monier Lifetile Saxony (Shake, Slate and Split Shake) Concrete Roof Tile, as manufactured Monier Lifetile LLC in Lake Wales, 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 Product Applicant Dimensions Specifications Description Monier Lifetile LLC 1= 16'2" TAS 112 Flat, interlocking, high pressure extruded Saxony (Shake, Slate w = 12 -3/8" concrete roof tile equipped with two nail and Split Shake) Tile .6" thick holes. For direct deck or battened nail -on, .. • 0 mortar or adhesive set applications. 000000 0 00 • Trim Pieces • • • 1= varies TAS 112 Accessory trim, concrete roof pieces for use • w = varies at hips, rakes, ridges and valley terminations. ...... . • • • • • • varying thickness Manufactured for each tile profile. ... 0 :00 "• • • 2.1 SUBMITS EVIDENCE: ...... :**Go : Test Asogcy Test Identifier Test Name/Report Date 40 0 ...... ...... Re4land- Tech1d nes 7161 -03 Static Uplift Testing Dec. 1991 • 0 0 Appendix III PA 102 & PA 102(A) Tfie Gariter for Applied 94 -084 Static Uplift Testing May 1994 Engineering, Inc. PA 101 (Mortar Set) The Center for Applied 94 -060A Static Uplift Testing March, 1994 Engineering, Inc. PA 101 (Adhesive Set) The Center for Applied 25- 7183 -6 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Direct Deck) The Center for Applied 25- 7183 -5 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Battens) NOA No.: 07- 0710.05 ON Y Expiration Date: 12/16/12 Approval Date: 09 /07/07 Page 2 of 8 The Center for Applied 25- 7214 -1 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, Direct Deck) The Center for Applied 25- 7214 -5 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, Battens) Redland Technologies 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix H PA 108 (Nail -On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Redland Technologies PO402 Withdrawal Resistance Testing Sept. 1993 of screw vs. smooth shank nails The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -77 PA 100 Celotex Corporation Testing 520109 -1 Static Uplift Testing Dec. 1998 Service 520111 -4 PA 101 Celotex Corporation Testing 520191 -1 Static Uplift Testing March 1999 Service PA 101 Walker Engineering, Inc. Calculations Aerodynamic Multiplier June 2007 Walker Engineering, Inc. Evaluation Calculations 25 -7094 February 1996 Walker. Engineering, Inc. Evaluation Calculations 25 -7496 April 1996 Wa ei- Ongineering,Inc. Evaluation Calculations 25 -7584 December • • • • • . 25- 7804b -8 1996 •• ; 25- 7804 -4 & 5 25- 7848 -6 • • • • Walka'r EngineprMinc. Evaluation Calculations 25 -7183 March 1995 • • • •' W .Engine" Inc. Calculations Two Patty Adhesive Set System April 1999 • • • • : Walker Enginemmg, Calculations Restoring Moment Due to June 2007 • • • • • • Gravity • N%d n&nginee 129 TAS -112 Jan. 2007 . *96 000 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. NOA No.: 07- 0710.05 Y Expiration Date: 12/16/12 Approval Date: 09 /07/07 Page 3 of 8 4. INSTALLATION 4.1 Monier Lifetile Saxony (Shake, Slate and Split Shake) 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 Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight -W (Ibf) Length -1(ft) Width -w (ft) Monier Lifetile Saxony (Shake, Slate 11.8 1.375 1.02 and Split Shake ) Tile Table 2: Aerod namic Multipliers - ft Tile X (ft) (ft) Profile Batten Application Direct Deck Application Monier Lifetile Saxony (Shake, Slate and Split 0.185 0.200 Shake Tile Table 3: Restorin g Moments due to Gravity - M ft -ibf Tile 2 "•12" 3 "•12" 4 ":12" 5 11 •12" 6 "•12" 7 11• or Profile g reater Monier —Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct • 0 f+etile • • • Deck Deck Deck Deck Deck Deck :: , Saxony, • ;6.63 7. 6.56 7.07 6.47 6.97 6.34 6.83 6.18 6.66 6.02 6.48 • • (hake, ' 0 % g § e and ' :4 :00 : Ypl�t • 0 0 • o $rake) •••••• Tjle ... .: .. 0000.. 0000 0000.. • 0000.. 00 00000. 600000 000000 . 0 0000 NOA No.: 07- 0710.05 Expiration Date: 12/16/12 Approval Date: 09 /07/07 Page 4 of 8 Table 4: Attachment Resistance Expressed as a Moment - M (ft -lbf) for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" plywood) (min. 19/32" plywood) Monier Lifetile 2 -10d R ing Shan Nails 30.9 38.1 17.2 Saxony (Shake, 1 -10d Smooth or Screw 7.3 9.8 4.9 Slate and Split Shank Nail Shake) Tile 2 -10d Smooth or Screw 14.0 18.8 7.4 Shank Nails 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Cli 1 -10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Cli 2 -10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Cli 2 -10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Cli Table 6: Attachment Resistance Expressed as a Moment M (ft -lbf) for Two Patty Adhesive Set Systems • • •.' Tile Profile Tile Application Minimum Attachment • • • .: 0000. ; Resistance Monier ifetila Saxony (Shake, Slate and Split Shake) Adhesive 31.3 • 0000.. •••••• Tilq • • • • • 1.. • Zee manufac Jel component approval for installation requirements. • • • : • • 2 Flexible Producif Company TileBond Average weight per patty 13.9 grams. • • • • Po oam 0rSddrt, Inc. Avera a wei ht perpatty 8 grams. ••..•• 0000.. • 0000.. 0 0 00000: •0000. 00000, 0000 • • • 0 0 0 0 000* NOA No.: 07- 0710.05 Expiration Date: 12/16/12 Approval Date: 09 /07/07 Page 5 of 8 Table 7: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Single Pattl Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Li tile Saxony (Shake, Slate and Split Pol ProTM 118.9 Shake) Tile Pol ProTM 40.4 3 Large paddy placement of 45 grams of Pol Pro 4 Medium paddy placement of 24 grams of Pol ProTM. Table 8: Attachment Resistance Expressed as a Moment - Mf(ft -Ibf) for Mortar or Adhesive Set Systems Tile Tile Attachment Profile Application Resistance Monier Lifetile Saxony (Shake, Slate and Split Mortar Set 43.9 Shake ) Mm Tile -Tite Roof Tile Mortar. 5. LABELING All tiles shall bear the imprint or identifiable marldng of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". •' • Or BORAL- LIFETILE ...... ...... • ••••• •••• • • • • •••••• • 0 0000 0 • • • • • • • MONiERLIFETII.E LLC, SAXONY TILE (LAKE WALES FL) • " "' LOCATED UNDERNEATH TILE M©NOA No.: 07- 0710.05 EELW , Expiration Date: 12/16/12 Approval Date: 09 /07/07 Page 6 of 8 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 PROFILE DRAWINGS NAIL HOLES 13/16 " (slate: 15/16 " (shak 17" OVERLAY 0000 • '...„ • 12 3/8" s • e 0660.• 6 000.• • 6000.0 •0.. 0 •..• . ... • • 0606.• 0 006• 6000.• 6006 6 600.. • .. • WATERLOCK 0000.. 0000.. . • 0006 4 •..•.• • • • • • .. 000... 0000 see • *000 • MONIERLIFETILE SAXONY CONCRETE ROOF TILE (SLATE MODEL) NOA No.: 07- 0710.05 o Expiration Date: 12/16/12 Approval Date: 09/07/07 Page 7 of 8 ...... ..... 0 . END OF THIS ACCEPTANCE NOA No.: 07- 0710.05 o N Expiration Date: 12116/12 Approval Date: 09 /07/07 Page 8 of 8 MONIERLIFETILE SAXONY CONCRETE ROOF TILE (SPLIT SHAKE MODEL) MONIERLIFETILE SAXONY CONCRETE ROOF TILE (SHAKE MODEL) `gH�RES D1 ! .,. milli" Miami shores Village J Building Department �lORmA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: — 3 DATE: �� � `z � I ontractor Owner� (� ❑Architect Picked up 2 sets of plans and (other) ` (�Q� g& (A4 Address: S� l 'Z S T From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department t inue permitting process. Acknowledged by: PERMIT CLERK INITIAL: e j RESUBMITTED DATE: ( PERMIT CLERK INITIAL: +, . �. f