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RF-08-732Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: February 23, 2009 Inspector: Rodriguez, Jorge Owner: GROMELSKI, ANDREA Job Address: 785 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DALEY ROOFING INC Permit Type: Roof Inspection Type: Final Roof Work Classification: New Roof Phone Number Parcel Number 1132060142170 Phone: (305)754 -9892 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 98135. CREATED AS REINSPECTION FOR INSP- 82186. cc MISSING GAS VENT INSP/PERMIT JR 10/20/08 LETTER OF GAS VENTS APPROVED IN PERMIT PACKAGE. PLEASE BRING IT WHEN APPROVE FINAL INSP. REPLACE BROKEN TILES 10/30/08 February 20, 2009 Page 25 of 26 GEOTECHNICAL ENVIRONMENTAL HYDROGEOLOGY ASBESTOS Ica \\ ►!`n,311\\i AV lmmoimmiswimirdr //III✓L�<r* \t om ti DYNATECH ENGINEERING CORP. TESTING LABORATORIES DRILLING SERVICES INSPECTION SERVICES ROOFING CONCEN I RATED UPLIFT LOAD 'I bSTING ON ROOF TILE TO COMPLY WITH METRO - DADE COUNTY PROTOCOL TAS -106 MIAMI, May 22nd 2008 PERMIT No. CLIENT: DALEY ROOFING, INC. 738 NW 107th Street Miami, FL. 33168. PROPERTY ADDRESS: Roof @ 785 NE 95T11 STREET MIAMI, FL. 33138. TILE TYPE/ATTACHMENT: Double Roll Roof Tile Polyfoam Set Testing Equipment Humboldt Scale Model H-4620 The test results presented here reflect the condition of the roof system at the time of the test. These results are dependent since roof condition are continuously changing due to the exposure to the element and roof top trafn Test No. 01-42 43 -55 56 -78 Inspected By: JM time and sample 0. Test Result Passed Passed Passed Passed Test Location Field Uplift Pull Test Field See Sketch Below > Than 35 LBS Comer See Sketch Below > Than 35 LBS Perimeter See Sketch Below > Than 35 LBS 79 -95 Ridge Caps See Sketch Below > Than 35 LBS ROOF TILE UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS -106 44 58 43 79 59 45 42 39 80 41 56 / X55 40 57 ROOF SKETCH 78 77 76 75 8 60 4 34 35 36 37 38 8 25 90 82 33 32 84 31 85 30 86 29 61 833 4 5 12 11 10 62 13 14 15 17 48 66 67 49 ( 63 65 46 64 47 Sincerely yours, bliss n Naaman YNATECH GINEERING CORP. Florida Reg. No. 39584 Special Inspector No. 757 24 74 8791 6 7 26 8 23 73 92 16 ' 18 68 21 95 27 19 22 72 20 94 28 52 70 71 53 50 51 69 750 West 84 Street, Hialeah, FL 33014 -3618 o Phone (305) 828 -7499 ° Fax (305) 828 -9598 Lasseter Plumbing Company, Inc. 865 Northeast 130th Street North Miami, Florida 33161 (305) 893 -7180 (800) 310 -7180 Fax (305) 893 -7852 June 9, 2008 To: Daley Roofing 738 N.W. 107th Street Miami, FL. 33168 Re: Derrick Edwards Residence 785 N.E. 95th St. Miami Shores, Fl. 33138 To whom it may concern; Please be advised that on 6/6/08 I inspected the gas flue pipe at the above location. I noted that the existing water heater is electric. The flue pipe is not connected to anything in the house. Please feel free to call with any further questions. Sincerely 74l Jo f . Lasseter JML /tp 4A* it Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building oofing Owner's Name (Fee Simple Titleholder) /9-mo ' I- C49%4ealeacione # Owner's Address ? q6 4 r .ti Fryer I APR 2 2 2000 itZkt Permit .No. of132, Master Permit No. Cityt State R Zip 33/3e Tenant/Lessee Name Phone # Job Address (where the work is being done) 7 95S -T City Miami Shores Village County Miami -Dade. Zip ..313g FOLIO / PARCEL # Is Building Historically Designated YES NO ' Contractor's Company Name _ ! _''i °QA16 Contractor's Address 3e- 10-79-1" City I1- ii m' State r` 1 0 Qualifier Name DAM a btiazi • Phone # 3e6" 7J/ 9Q 9.g- Zip 33/6 k Phone # State Certificate or Registration No. 5' / )90 Certificate of Competency No. • Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ U N e 1 Type of Work: ❑Addition DAlteration Describe Work: a-1 2400f 7 171E Square / Linear Footage Of Work: Mod ['New 8 Repair ❑ Demolition Nor d hro /! 6 (4 N V @415 Submittal Fee $ Notary $ Scanning $ Permit Fee $ -7Sifi CCF $ CO /CC Training/Education Fee $ Technology Fee $ DI' 7 $ Zoning $ Bond $ Structural Review. $ Radon $ Code Enforce o Print $ �; duple Fee $ Total Fee Now Due $ c.7 Vs (01/f0DY g1 : FS See Reverse side --� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mo ' a if applicable) MgefndeaAddre s City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signatur Ehoo/Lea, Owner or Agent The foregoing instrument was acknowledged before me this _� day of kiwi 0 , 20 j, by Maga L.rt) 1144Yd3 , who is personally known to me or who has produced f7* 'n1 LQ 11545 0 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature P- Contractor The foregoing instrument was acknowledged before b �ore me this al day of e t , 20(A, by / PA/" / who is personally known to me or who has produced t1vgS L d(' as identification and who did take an oath. NOTARY PUBLIC: * * **** *** *** *** ** ********* *********** *** * * * ******* ** **** * *** ** * * ** ** APPLICATION APPROVED BY: (Revised 07/10/07) ******,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Mafia Sr Wit weett 720setatest 10050 NE 2na Ave* Miami Stores, FI 33138 Phone 305- 795 - 2204; Fax 305-756-8972 floil=112. OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: rWrovED 1008 Date: 1t' -J7Io igAiDe479 Property Address: /SS 'T5e, Aurm/ni sin s, 33/3g Roofing Permit Number: Dear Bu'g Offici : I 4,uhe7- connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is Tess than $300,000.00. Please attach proof of ad valorem taxation. 0 The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or certify that I am not required to retrofit the roof to wall with the provisions of 1,94 edit'. • f the S • . Fior' • a Building Code (1994 SFBC) .1 I apaLecr Signature Andrea L, 6r0fytiskt---17c1(.04 Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the M for the above property mentioned. Sworn to and subscribed before me this [(. Notary Public, Sate of Florida at Large * When the just valuation of the structure for purpose of ad val+ em taxation is day of i it.„ MONICA USSETHDIAi TA MY COMMISSION # DD 483995 EXPIRES: October 20, 2009 re or more than .,...:., :.in. was not constructed with FBC nor a 1994 SFBC. Then you must provide a bulidino application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. RE: Permit # C%g- -739 -- Vow ' WIa,e E if Veftatterage 10050 NE 2nd Ave Mani Shores, Fl 33138 Phone 305- 795.2204; Fax 305.756 -8972 www.miamishoresviliage.com bawd cide,11 (Print name and circle License Type) License #: 0.9067) 90 DATE: INSPECTION AFFIDAVIT , licensed as a (n) FS 468 Building Inspector On or about 4 f)42/ (Date & time) secondary water barrier work at q/v/de / Engineer / Architect, , I did personally inspect the roof deck nailing and /or 7/S- 9( $$ (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) �.4 P. oe_- Signature State of Florida 3ounty of Dade: fhe 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 dotary Public, Sate of Florida at Large General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. lclude ohntnarenhs of earth nlanp of them rnnf with nemrmit it onrr crirlrnee 40 nin.,ri....h..:........+- i....t .... at,.- r__r_ :__ _ - _.. • • ••• •• •• • • II Mail Vatocity Hurricane Zone Uniferm,Roolfng Pty Aoproglorirtn ,....L _MOM) Slinks .e. t UR •RAS 1Sa .. '* i;'• • •• • •.. Section A ( Inform **OF!j: "[:.; • • • • • 4 . • • • • • Yi • • «i . *6 7 °/1 /c4- •tr • • • • • • • • • ••• 'Roar Category •• • • • • • ••• ••• ..., . RI The ...MoilditAdhaidge Set TR. .W61 Pandeillniles ttls • YY,o�er;, Roof Type .,. tltlann ....ReQarailti9 Y.. 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'". "111111iIREN; sisamillliiimass1 litiiiiinuesi11.11M1111511 inil1ii!AmIRiiliilm Iliil il■■ Ciali ■iIMMIilli /INMSAINRMIRKIN1it SIfill'Ili1I11 INSMIR II11115!igeserl.' 2122. a. - ...ammo 1151111111111111 111R11l1Iii1111111151; �i XIBMii iiiiiin iii ,iiiiniiiiiiiii_i,iiiiiiiiiii iiliintiiifii k 'PROVED ZON!NG DEPT BLDG DEPT S'nores viii :L1e ' • DACE BY 14117ffe � SUBJECT TO €OMPLIAN:: I 11-1 ALL EDERAL STATE AND COUNTY RULES AND REGULATIONS •v• .. It {� d W bvG + •.— 4 •• • HIGH-VELOCITY HURRICANE ZONES • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • 0 Florida Building Code Edition :Ott • • • • • • , • •IllgiiVeio9iteurricane Zone UniferniPennlip bill4m7 • • , • • ; • • ••• ••• •• • • • • Section (Stepp SI:oppci Ro9f System) •0 • • • • • • • . . • • • • • ---. ... • • • •• .. ". Roof System linanufacturer: EArrE6249 -- ' °°°° . ° • .. • • •• • • • ... ..' Product Approval Number: oto - 03/0, DC Minimum Design Wind Pressures, if Applicable (From .RAs .i7 or Calculations): 21—...-132-1–,-IgtkE.31 16€.----- Maximum Design Pressure Product Approval Specific System: ef6 47 Method of tie attachment: Roof Slope; :12 acaPjaperiDescriplati Peek Type:. .ype Underlayment: •Insulation: Ffr 13arrier: Ridge Ventilation? Pl" A)/ Fa$tener Type & S pacing: Adhesive Type: Mean Roof Height: 11 '1 ktlitars, Piq rsS.ix.frAs ?D 1VOA1 i, ype Cap Sheet: Po 0/ sfick_ _n) Roof Govering: --or-444d Type e, Size Drip dge: 3)13 210 evgi • • • • • • F11H-VELOgITI1-1•URRICANE ZONES •. -* • • • • • ••• • • • , • • • • • • • • • • •• • • • • • • • • • • • • • • • • 00• • • • • •0• • • • • Florida Stitliting Code. Eori Alt4 . • • • • • • • • • • • • • • . !,ilph Veloefty.14Aireicaria:Zone.UrilfOrraTierraitApplliati7A term., *. .• °, ., „, • . • • - • , • • -• • • ••• - —0.4 Section E (Tile.Calculatipsi • • • .. • : • : • • For Moment based lile systems, choose either Method 1 or 2, ceolptired tuemalues• for Mrwith the va1ues' from Mr. If the Mr values are greater CliUa ("ragtag tub; . values, for eacharea efthe-reof,lhen the tile attachment methd.d is 'acceptable. •0 • • • • • Method 1 "Moonlit Based Tile Calculations. Per RAS 121" x X 0 = az)- Mi 4 -4"1,1N3 Product Approval M, Kb 10/ N 4 2: Mg My, ProductApproval m, '24,r)- M; lifill mM,2.133 Product Approval M, if,-,. 4/ Caleu t*E.Per -115quirccilViorucitt of:Resistance (1%1„).from Table Below Product Approval M - Ntrfietyldrod Morrie. ittio$stanco° *Main Roofl-leight –iir... Rcrot'Stope lir 15 20' 25' 3fly .40' 212 .34.4 .35.6 * 38,2 . . . . 357t 42.2 3::12 32:2. .344 36:6 . •ilia4hmettt Resistince. . Nit . , 4:12 '30;4 32.2 33;8 .313m. *37..3 -0:12 11,4 . ac,:i - .31..6 *32*.8 ,344,5 - 6:12 16;4 .2840 • 224 112 .24:4 26'..9 *271 *Mut be used iis* emiunetiou 0.'rAoroent...base.t1: tile..5y31.etnventioMed'ily:the Browar41 County Roar& ofIttiles For 1301.ift based tile systems use -comporeid.ille-valaesslor witliAbe -velyeS forF,If the:F.4 values are..greatertbanser oqualle. the F, .Values, fer omit area of the..roof,..tben theAlleuttacloneutmethod. is,acceptable. Method -3 ."Uplift BasedTile CalculatioriS.Per RS L27' x - w: )-W cos 0: (P2 : w: x •cos -0,• Fa; (P3 : ) x cos Product Approval Product Approval Product Approval F . . •NV. • i , bta' ' - r zi: ' D scriptiorl ST.11141 'Wiiereffiui ]r:?ur * Pi 'or P2.01-7.3 IW' 0,7 Tabre,Vtdr*Toy..e/ighleering.rundyiis prepared . 'PE • ad on:ASCE 7 MearrRogIste. ht .Jbli:Site Itote .lo e 11.• ,.)crti:Sitz Aeioclyntimigieultipifer, • NI, . . Product Approval . • Product Approval lcsoriogN4.offrertt:due.to:Oravitt . •ilia4hmettt Resistince. . Nit . , - Product A .. royal . le dire,d Mordent Reistanee, '11, . .. Cateplated Product A royal . . . Minimum A tritchment Rtsistwice. Re. • kid:: ..' Iiii.ltrisibine 1111111.1111101110ELIMMErn TitDimson W . • .r. alcul,aled .. , .. .... Product A. royal . -1,4 tenth vt=•Wfilth Product Approval Al ktrIci'l I at ton s:.M.1 IS t bessub Kt tied tp the'BuitdinpOffieliit;a1:the;tut-Oft-tergrit;'Sitilitieatioil. FLORIDA BUILDING CODE — RESIDENTIAL 44.23 MIAMU COUNTY BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Fategra Sales, Inc. 819 N. Federal Highway, Suite 310 Stuart, FL. 34994 • • •• •• • • • • • • • • ••• ••• ••• • • • • ••• • • • • • ••• • • • • • ••• •• •• • • • • • • • • •• • • • BithemtlitkralegopNviiirgiboaiDA apAre • A hu twin 3 v• • • 140 WEST FLAGLER STREET, SUITE 1603 • • • • MIAMI, FLORIDA 33130 -1563 • (3o5j3!380i • *Mg t300175-29°8 •• •• • • to • • ••• •• SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Estate "S" Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA # 01- 0703.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No. 06-0310.05 Expiration Date: 08/23/11 Approval Date: 07/27/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete • • •• •• • • • • s • • • • ••:; • • • ••• • • • •• •• • • • • • • • • • ••• • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • • • • • • ••••• • • • • • • • • • • ••• ••• • L SCOPE • ••••••••• • • • • • This renews a roofing system using Entegra Estate "S" Concrete Roof :Tile' as 'manned Entegra Roof Tile Corporation in as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code, 2004 Edition for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the design pressure values obtain 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 • • • • • •• •• • • • • • •• •• • •• • • • •• ••O •• system. 2. PRODUCT DESCRIPTION Manufactured by Analicant Dimeffiions Entegra Estate 'S' Roof Tile Trim Pieces 2.1 Product Rainproof II Ice and Water Shield Wood Battens 1 = 16 -1/2" w = 13" min. 1/2" thick 1= varies w = varies varying thickness Test Suec3Hcations TAS 112 TAS 112 Product intian Low profile, interlocking, extruded concrete roof tile equipped with two nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Components or products manufactured by others Dimensions 30"x75' roll 36 "x75' roll or 60" x 75' roll 36 "x75'roll Vertical Min. 1"x 4" Horizontal Min. 1 "x 4" for use with vertical battens or Min. 1 "x 2" for use alone Test Stations TAS 104 TAS 103 Wood Preservers Institute LP — 2 Product Descrintion Single ply, nail -on underlayment with 2" self - adhering top edge. Self- adhering underlayment Salt pressure treated or decay resistant lumber battens Manufacturer Protect -O -Wrap, Inc. (with current NOA) W.R. Grace Co. (with current NOA Generic (with current NOA) NOA No. 06- 0310.05 Expiration Date: X123/11 Approval Date: 07/27/06 Page 2of7 Product Tile Nails Tile Screws Roof Tile Mortar ('TileTit&11") Roof Tile Mortar (" Quikrete® Roof Tile Mortar #1140") Roof Tile Mortar ("BONSAL® Roof Tile Mortar Mix") Roof Tile Adhesive ("Polypro® A11160 ") Roof Tile Adhesive TileBond Hurricane Clip & Fasteners Dimensions Min. lOdx 3" #8x 21/1" long 0335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A N/A N/A Factory premixed canisters Clips Min. 1" width Min. 0.060" thick Clip Fasteners Min. 8d x 11 /a" • • • •• • • • • • • • • • • • ••• • • • ••• • • • • •• •• • ,• • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• Test j� P;ooductt�,, ►S gfiggii • •'. • of ' • TAS 114 Corrosion r tart:.. •. Genetic: ; •: Appendix E screw or smooth (with current NOA) shank nails • TAS 114 Appendix Corrosion• $it; : :. Generic • E coated, Kant : ' • ('wj h ept4N6A) drive, galvanized, coarse thread wood •• • • • •• ••• •• screws TAS 123 Prepared mortar mix designed for mortar set roof tile applications. TAS 123 Prepared mortar mix designed for mortar set roof tile applications. TAS 123 Prepared mortar mix designed for mortar set roof tile applications. See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. See PCA Single component polyurethane foam roof tile adhesive TAS 114 Appendix E Corrosion resistant clips with corrosion resistant nails. Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with current PCA Polyfoam Products, Inc. Flexible Products (with current NOA) Generic NOA No. 06- 0310.05 Expiration Date 0$123/11 Approval Date: 07127/06 Page 3 of 7 • • ••• • •• •• • • • • • • • • • • • • • • • • ••• • • • ••• • • • ••• •• •• • • • • • • • • • • • • • • ••• 3. LIMITATIONS • • • • • ••. • ••.. 3.1 Fire classification is not part of this acceptance. : ; • %•: •' • • • • • •. 3.2 For mortar or adhesive set tile applications, a static field uplift testail%perfaa6ed yd accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County •Cerlifie4 L atory to perform quarterly test in accordance with TAS 112, appenclii ': Sic$ tees qgg salt. be submitted to the Building Code Compliance Office for revjew; • • • •' ' 3.4 Minimum underlayments shall be in compliance with the appRicab%' 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. 4. INSTALLATION 4.1.1 Entegra Estate "S" Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w Tile Profile Weight W (Ibf) Length-I (ft) Width -w (ft) Entegra Estate `S' Roof Tile 10.0 1.375 1.08 Table 2: Aerodynamic Multipliers - 1 (fts) Tile Profile 3 (f 3) Batten Application 1(M Direct Deck Application Entegra Estate 'S' Roof The 0.267 0.289 Table 3: Restoring Moments due to Gravity% -- Mk, (ft -Ibf) Tile Profile 3 ":12" 413:12" 5 ":12° 6 ":12" 7 ":12° or greater Entegra Estate 'S' Roof Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Dint Deck Battens Direct Deck 5.91 6.74 5.82 6.64 5.70 6.50 5.56 6.33 5.40 N/A NOA No. 06-0310.05 Expiration Date: 08/23/11 Approval Date: 07/27/06 Page 4 of 7 • • •.. • • • .• •• • • • . •. ,. .. • • • • • •.• • • • • • • • • • • • • • ••• • • • Table 5: Attachment Resistance Expressed as a Moment Mr (ft Ibf) for Two Patty Adhesive Set Systems Table 4: Attachment Resistance Expressed as a florid: It (!1'dbf)' • for Nail -On Systems • • ••• • • 4.° ••• • • • • • • • Tile Profile Fastener Type -- Direct Deck (min 15/32" plywood) "erect beck:. • (min.19/32" plywood) : • • ohs- • • Entegra Estate 'S' Roof Tile 2 -10d Ring Shank Nags 27.8 37 4 i • • • • : 8.6'' 1 -10d Smooth or Screw Shank Nail 8.8 • ! 1 • • .. .. • • • • • • • • ....... _' 4.1 • • 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2-10d Ring Shank Nails' 43.0 67.5 50.9 1 Installation with a 4° tile headlap and fasteners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mr (ft Ibf) for Two Patty Adhesive Set Systems P�fe 111e Application Minimum Attachment Resistance Entegra Estate `S' Roof Tile Adhesive 86.614 26.1' 2 See manufactures component approval for Installation requirements. 4 Large paddy placement of 54 grams of PoIyProTM. 3 Flexible Products Company TileBond Polyfoam Product, Inc. Average Average weight per patty 11.4 grams. weight per patty 8 gram. Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Estate `S' Roof Tile Polyfoam PoIyProTM 86.614 Polyfoam PolyPro" 45,5' 4 Large paddy placement of 54 grams of PoIyProTM. 5 Medium paddy placement of 24 grams of PolyPro . Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Mortar or Adhesive Set Systems Tile Profile Tile Appilcadon Minimum Attachment Resistance Entegra Estate `S' Roof Tile Assiek Mortar Set 20.60 NOA No. 06- 0310.05 Expiration Date: 08/23/11 Approval Date: 07/27/06 Page 5 of 7 • • ... • • • ... • • • • • • • • • • • • • • • • ... • • • • • • • • • • ... • • • • • • .. 5. LABELING • • • • • • • ... •... • All tiles shall bear the imprint or identifiable marking of tip a;usfacturr's name dr Zito at Detail Below), or following statement: " Miami -Dade Count,, Proddct Conirol•Approvetr. OR ENTES • • . • .. ... .. • • • • .. • • • • • ... .. ESTATE "S" TILE LABEL (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. NOA No. 06-0310.05 Expiration Date: 08/23/11 Approval Date: 07/277/06 Page 6 of 7 Nail Holes PROFILE DRAWING • . ••• • • .• •• • • • ... • • • • • • •. • • • • • • • • • • • • • • • • ••• • • • • • •• • • • • •••.•••e ••..•• . • • • • • .• • • • • • • . • • •••• • • ••• • ••. ••• .. • •• ••• •• .. • • • • • • • . . . ••••••. ; ENTEGRA ESTATE "S" CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No. 06. 031005 Expiration Date: 08123/11 Approval Date: 07/27/06 Page 7 of 7 M I BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE OA Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 •• • •• • • ••• ••. •. •• • • • • • • • • • • ••• • • • • • 00. • • • j1ifit I DADS COUNTY, FLORIDA 14E11RO -JADE PLZGLn BNJI D NG • • 140 WEST hAtaza TRIENt Suns _ } * • MIAMI, RIJ5A 33130x1563. • (305) 375 -2901 FAX (305) 375 -2908 •. • • • •• 000 00 • • • • • •• • •..•••� •• • • SCOPE: This NOA is Ding issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polystiek P, Basik, IR/IRX, TU, TU Plus, TU Polyester and MU Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami-Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 06-0505.01 and consists of pages 1 thro : 6. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 1 of 6 ROOFING COMPONENT APPROVAL Cateaorv: ,Sub - Category: Material: PRODUCTS DESCRIPTION: Product Polystick P underlayment Polystick Basic underlayment Polystick IR/IRX underlayment Polystick TU underlayment Polystick TU Plus underlayment (Facer of Membrane Labeled in Orange or Black Ink) Polystick TU Polyester Polystick MU underlayment Roofing Underlayment • • • • SBS , APP Self- Adhering Modified Bitumen • •.. • • • • • • .. • ••• • • •• •• • • • • • • • ••• • . • • • •• • .•. • • •• •• • • . • ••• • • • • 1.1 • • • • • . • • . . - • • • • • • • • • • • • ••• • • • • • •.• • ••• ••• • • • • • ensi ns Roll: 75' x 3' 40 mils thick Roll: 65'8" x 3'3-3/8" 60 mils thick Roll: 65'8" x 3'33/8" 80 mils thick Roll: 32'10"x3'3-3/8" 100 mils thick Roll: 65'8" x 3'3-3/8" 80 mils thick Roll: 32'10" x 3'3 -3/8" 130 mils thick Roll: 65'8" x 3'33/8" 80 mils thick Test Specification Product Descriution •• • • • ••' ASTM D 1970 A polyethylene top surface, self- adhering, SBS polymer modified bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. ASTM D 1970 A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use an underlayment for metal roofing. TAS 103 and A fine granular /sand top surface self- adhering, ASTM D 1970 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 the underlayment. TAS 103 and A heavy granuled surface self adhering, APP ASTM D 1970 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. TAS 103 and A non- wicking fabric surfaced, self - adhering, ASTM D 1970 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. TAS 103 A rubberized asphalt waterproofing membrane, glass- fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. TAS 103 and A non - wicking fabric surfaced, self- adhering, ASTM D 1970 APP polymer modified, fiberglass reinforced, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 2 of 6 •• • ••• • • • ••• • • • • • •• •• • • • • • • • • • ••• • • • • • ••• •. • • • EVIDENCE SUBMITTED: • • • •'• •'.. •. Test Asencv Test Identifier Test NameI1 x rri • Exterior Research Design, LLC #11756.04.01 -1 TAS 103 04/27/01• • #11756.08.01 -1 ASTM D 1974 • • • •08/14/01 #02202.08.05 TAS 103• • • •: • • :00/2W5 • • Trinity ERD #P5110.08.07 TAS 103' • ` • •' :0$/`47 • • PRI Asphalt Technologies PRI01111 ASTM D 4977 04/08/02 PUSA - 005 -02-01 ASTM D 4977 01/31/02 PUSA -01 8 -02 -01 ASTM D 2523 07/14/03 PUSA -035 -02 -01 TAS 103 09/9/06 PUSA -033 -02 -01 ASTM D 1970 01/12/06 Momentum Technologies, Inc. JX20H7A ASTM D 4798 04/01/08 ASTM G 155 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated, new construction Base Sheet: One or more plies of ASTM D 226 Type Il or ASTM D 2626 or Polyprotector UDL or Polyprotector UDL AS. Fastening: Nails and tin caps 12" grid, 6" o.c. at laps. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None L 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 save, 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 -Y2" 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. Polystick TU and TU Plus shall not be left exposed as a temporary roof for longer than 30 days after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 3 of 6 • • ••• • ••••• • • • • •- • •• • • • • • •••• • • • • • • • • • • • • • • ••• • • • • • is • • • • • • : • • • • GENERAL LIMITATTIONS: i • • • • • • • • • • • • • ••• ••• • • •• 1. Fire classification is not part of this acceptance. • • 2. Polystick P, Bash and IR/IRX may be used in asphaltic shingles, wookl.shake s and shingles, non- structural metal roofing, and quarry slate roof assemblies. Polystick P,anctsilc'sha;i•iyoted• as roof tile underlayment. : :: • • • e. 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. Polystick P, Basik, IR/IRX, TU, TU Polyester and MU Underlayments shall not be left exposed as a temporary roof for longer than 30 days after application. Polystick TU Plus 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 preceding 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. Polystick TU, TU Plus and MU may be used in both adhesive set and mechanically fastened roof tile applications. Polystick 1R/IRX is limited to mechanically fastened roof file 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. The maximum roof slope for use as roof file underlayment for (direct -to -deck) tile assemblies shall be as described below: Tile Profile Polystick IR/IRX Polystick MU Polystick TU, TU Pius TU Polyester Flat Tile 5:12 No limitation No limitation Profiled Tile Prohibited 5:12 No limitation 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. 9. 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 for loading procedure. 0 0. 0 r Roofing Tiles (6 Max. Per Stock) NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/00 Page 4 of 6 •• •• ••• • • • ••• • ••0 • • • •• • •• • • • • ••• • • • • • • ••• • • • • • •e• • • • • • ••• ••• • • GENERAL LINIITATTIONS: (CONTINUED) • • • • i • • • • • • • • • • • • • • • • • • • 10. Refer to prepared roofing system Product Control Notice of Acceptance for lister ap$Mval of•iis• • • product with specific prepared roofing products. Polystick P, Basik, IR/IRX, TU, TU Plus, TU Polyester & MU may be used with any approved roof covering Notice of Arrepftwe.1 stiug• • • Polystick P, Basik, IR/IRX, TU, TU Plus, TU Polyester & MU as a covipirsingpirtpf gnpsemb y in the Notice of Acceptance. If Polystick P, Basik, IR/IRX, TU, TUPIus,• T J P®iyelta' 4 JjU• ,• 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 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 and Polystick MU 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 and Polystick MU should be back nailed in designated area marked `rail 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 2000 MB Plus trowel grade or other approved premium SBS modified trowel grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick Basile. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. 0577 orwio APPROVED NOA No.: 07- 1025.10 Expiration Date: 09 /13/11 Approval Date: 04/10/08 Page 5 of 6 •. •• ••• • • • ••• • • •••• • • • ' • • • • • • • • • • • ••• • • • • • ••• • • • • ••• • ' • 6. Battens and/or Counter - battens, as required by the tile manufacturjrsNun's, must bed: • • projects for pitch/slopes of 7"112" or greater. It is suggested that oil pitchilslopes•in eUess of be • • "112 ", 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 roofin'pf tites:s3jrt iget. (48) Hours. • • • • '.' ; : :.. ••• 8. Polystick TU Plus, Polystick MU 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 MB 2000 Plus Trowel Grade Mastic or an approved premium SBS modified 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 Ibs 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. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical al 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 10 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 CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 6 of 6 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 • • •• •. • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • • • ••• • • • • • • • ••• •• •• • • • • • • • • • • • • • ••• • MIAMI -DADE COUNTY, FLORIDA • • P4 BA gRQ -' DE FtAGL..R BUILDING 344 WEST.PLA6tESt iniEwtesunm 1603 •. •:QL4MI, i`hRTDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 _• • • •• • • • • • •• • • • • • ••• •• •• • • • SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). • This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 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 JFrge L. Acebo. NOA No.: 06-0201.02 Expiration Date: 05 /10/11 Approval Date: 04/13/06 Page l of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane • • •• •• • • • • • • • • • • • • •• • • • • • • • •• ••• • • SCOPE: • • • • • • • •. This approves Polypro® A11160 as manufactured by Polyfoam Products, tits, es cres;nied iu Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® All 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: ••• • • • • ••• • • • • • • ••• • • • • • • ••• •• •• • • • • • • • • • • • • • ••• • • •••• • • • • • • • ••• ••• •. • •• • • • • • • • • • • • •••• •••• • • ••• •• Product Dimensions Polypro® AH160 N/A Foampro® RTF1000 N/A ProPack® 30 & 100 N/A Test Specifications TAS 101 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Note: Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTME96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs. /ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% 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.: 06-0291.02 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 LIMITATIONS: 1. Test Identifiter #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 • • .. .. • • • • • • • • • .. • • • • • •. • • • • • • 000 • • • • • • ... .. .. • • • • • • • • • • • • ... • • • ••. .... • . . . . . • . • . TestiVatt�e/R.. TAS 101 TAS 101 X11)341:94 : SSTD 11-93 SSTD 11 -93 ASTM D 1623 .. •. •. • . •. • • •••• ••• • •••• • batje 04/08/94 ...124§/96 ;. 18/25/95 • • �1 f/b2/95 12/12195 02/01/94 ASTM E 108 04/30/93 ASTM E 108 ASTM E 84 TAS 114 11/16/94 01/16/95 03/14/96 TAS 101 10/23/98 TAS 101 12/28/98 TAS 101 03/02/99 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 cha11 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. / IF4 W F= �2" MS NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04/13/06 Page 3 of 7 • • ... • • • ••. .. .. • • • .. •• • • • • • •.•• • • • • • ... • • • • • • • • • • • • • ... • • • • •.• INSTALLATION: • • • • . • . • •••• 1. Polypro® A11160 may be used with any roof tile assembly14viig c.am; NOA fhaZ 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 adheOiye attpplinApt with the use of Polypro® AH160 shall provide sufficient attachmestreshiper, pxOntis44 as In uplift based system, to meet or exceed the uplift resistance determinedlnrotnlsliicrwitli Miami~Dade County Roofing Application Standards RAS 127. The adhesrlt attdcltme$t data is norm 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® A11160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per the as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. 1 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 LABELING: All Polypro® AH 160 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 DjT41L 2 SINGLE PATTY : : : • • • • ••• • • • • • • • ••• •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • •••• • • • • • • • • ••• ••• 1 • • • • •• • • • 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::: • • ' • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• ••• • • Nail through plc Single paddy between Cite hin.x3In. Single paddy aaundedayment PaddY on top of tie Eave Come Ease Closure 2 in. x710.new Fascia eke paddy ease course only END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10 /11 Approval Date: 04 /13/06 Page 7 of 7 • • ••• • • °, • •••. •• •• • • • •* •• • • • • • • • • • • • ._ • • • ••• • • • ��1g S `IO i R4402.13: : ••• • • • • • • • �s MGR ELO C l� —REQ �jgI NOTIFICATION FOR ROOFING _ "_" V:%•• ••• ••• ••• • • • • • • •• • • • •t • • ••• • • • • • • • R4402.13.1 Scope. As it pedants to the section, it is the responsllalitx6fwatfin Oppratpr to fwevillothe owl wkh the r his) morn permit and to =plan' to the owner tiro content °film section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following its should be addressed as part of the assedielutlethed the Woer'abt the contractor. The owner's initial in the designated space indicates that the t df s i • • • •• • • • • • ••• •• i. A ►eiics- Workm'nship: the workmanship provisions of Section 84402 are or the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. _- Ret na wood decks: When replacing roofing the existing wood roof deck may have to be =WWI in accordance with the current provisions of Section 1(4403. (The f deak is usually concealed prior to removing the existing roof system). 1 Common roo Common roofs are those which have no visible delineation i neighboring units (ire., townhouses, condominiums, eh:.) In buildings with common roofs, the roofing contractor andfor owner should 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 be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may riot be acceptable. The provides the option of maintaining the appearance. Ponding water: The current roof system and/or deck of the building may not well and may cam water to pond (accumulate) in low-lying areas of the roof Pealing can bean ideation of struchmal diskess aim review of pnafessiestal simettand engiteet.Posifing mow Auden die Eft espedanaty pedatreante of** new inefing system& Pending ecumfitions may not be Wawa mild the odigisial roofing system is removed. Ponding conditions should be corrected. • ► Overflow scuppers (wall oudets): It is required that rainwater flow off so that roof is not overloaded from a bulidup of water Perimeter/edge watt or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. it may be necessary to install overflow scuppers in accordance with the requirements nts of Sections R4402, R4403 and 8.4413. 7. at._ Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic vssitilation shall not be reduced. It may be beneficial to consider additional rtsalt g M, • service life oftheroof. ecRit it at)pI::0:L / / / /P� o i Sig late MIA M 4DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or . material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 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, $s change ttju' materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endors'eTnerit of any.; • product, for sales, advertising or any other purposes shall automatically terminate this NOA. �"ih a to comply o 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, F1or u i follcwgd by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, theif it st 11 be done in its entirety. • • •••• • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or ita.digtributo 1 and shall be available for inspection at the job site at the request of the Building Official. • • • • • • . . • This NOA renews NOA No.01 -0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JRrge L. Acebo. NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 1 of 7 000000 • • • 000000 • • •1.1•• • • 1.11• • • •.••• •1•••• • • • 1.1••1 • • •11.11 • • ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane 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 are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Polypro® AH 160 N/A Foampro® RTF1000 N/A ProPack® 30 & 100 N/A Specifications TAS 101 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Results 1.6 lbs. /f1.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm /Inch •��•�• +0.07% Volume Change @ -40° J ., 2 weeks • +6.0% Volume Change @158°F., iSXJ%: •• •.' • Humidity, 2 weeks •' • • • • • • .. • • •.•..• • 000000 •••• . • .•.•.• • • •• •• ••. • • • •••• •••• •••• •• • • • • • • •• •• • • • • • • •• ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM teat 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 000000 • 000000 • •••••• • • ••••.• • 00000 •••.•• • • •••.•• • • 000000 • • EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25-7438-4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454-2 -1 TAS 101 10/23/98 528454-9 -1 528454-10 -1 520109 -1 TAS 101 12/28/98 520109 -2 j 520109 -3 j 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 •••• •••• . LIMITATIONS: • • • •••• . •• • • •••••• 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile AsitEllili for fire • • • rating. • • • • • • ••••• • ••• • • •••••• • 2. Polypro® AH 160 shall solely be used with flat, low, & high tile profiles. .. • • • • • • • • • • .• • • •• •••••• •• •• • • 3. Minimum underlayment shall be in compliance with the Roofing Application Standard /OA 120. • 4. Roof Tile manufactures acceptance "• • •• • "': • acquiring cceptance for the use of Polypro® AH160 roof til0 adh ve witl1 • . 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. / W F= MS NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products .Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "W' component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the' Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Pacldy Weight • per pafdry1V$in. (grans • Flat, Low, High Profiles #1 35 Nov, • • • High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N4,• • • • Flat, Low, High Profiles #2 24 N /Of• •.• Flat, Low, High Profiles #3 ft .•;•: LABELING: • • • .• • • All Polypro® AH 160 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. ••. • • •••• •••• ••• • • • • •• •• • • •• • • • • 000000 • • 000000 • • • • ••••• •••••• • • 000000 ••••• • • • •••• •••••• • • •. • • • . • • • • 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 i ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY • ..... • • • • • ••• • • • .. • • • . •••• .••••• ••••. ...•. .: •• • • •••••• • •••• •.• • •.•• •• • •••.• 000000 • • • ••• • •• •• • • • •..•.• *••••• • • •••• • • ••••• • •••.•• • • • • • • •i • •. • ••• •• • 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 .••••• • . •••••• • • •••.•• • •.•••• • 00000 .••••• • • • ••.••. • • • • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. REOT -712' TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. 11111111111 1 111111111111111111111111111111111 CFN 2OO8RO3117975 OR Bk 26331 Ps 4571i t 1Qs RECORDED 04/17/2008 15 :37:34 HARVEY RUVINP CLERK OF COURT MIAMI - DADDE COUNTYr FLORIDA LAST PAGE r RE APR2 rel 1. Legal description of property and street/address: -7b J 46 $ 2. Description of improvement: le-ltooP 17,1E 3. Owner(s) name and address: r 19-AaF- Oak Interest in property: //� Name and address of fee simple titleholder: N 4. Contractor's name and address: b'? / Ze AM 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of C•m enceme ' e ex •' :tion date is 1 year from the date of recording unless a 0,. , rent•- teiss•Vl`i 1, 1 to o 1 Signature of Owner Print Owner's Nam Swom to and subscribed before me this day of Notary Public Print Notary's N My commission expires: 123.01 -52 PAGE 4 8/02 e /6)404 �� -'�— Prepared by 5G��Y.� L- ,20(2a :/ 016 4G #738 /Ad /17 Lteen41/ pi3 ? /Loq f az LoOrl MONICA LISSETH DIAZ eve;'* MY COMMISSION # DD 483995 ',11 EXPIRES; October 20, Bonded Thru Notary Pubic Underwriters Address: (ATE OF FLORIDA, COUNTY OF D - F I HEREBY CERTIFY that this is a Prue copy ..f the wrgrnal 'Wad rn this cfrrce on 11 day of , AD 20 03 WITNESS y Vi and and -Official Seal. K, of Cr _bit and o a,y COLUTS D.C.