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RF-06-1687Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 01/09/2007 Inspector: Grande, Claudio Owner: HURST, THOMAS Job Address: 822 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: WHITE SEAL ROOFING Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number (305)756 -8191 Parcel Number 1132060142910 Lot: Phone: (954)922 -7383 Building Department Comments RE -ROOF TILE 3M 1 1 2007 Passed Inspector Comments Replace broken tile by ladder area. 1/9/07 CG. la Failed Fa Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, January 9, 2007 Page 1 of 1 1480 SW 96TTERR. DAVIE, FL 33324 October 23, 2006 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 1.311D dJ• INSPECTION, STUDIES, DESIGN & TESTING SERVICES www.cebb.net Roof Tile Uplift Test Report Phone : (954) 581 -7115 Fax: (954) 581 -2415 Test Date:. October 23, 2006 Number of tests Passed Permit #: RFG 06 -1687 5 Address: Hurst Residence 822 NE 96th Street, Miami Shores, FL. Perimeter Area: 12.80. squares Contractor: White Seal, Inc. 100% Roof Pitch: 3 :12 7 Attachment method: Two Component Polyurethane Foam Adhesive — PolyPro AH 160 (NOA 06- 0201.02) Tile Type: Altusa "S" Clay Roof Tile (NOA 05- 0901.06) Device Used: "IMADA DPS 110" force gauge (Serial # 157778) Total Sloped Roof Area: 21.00 squares All Testing is in strict accordance with the Florida Building Code, 2004 Edition, High Velocity Hurricane Zone — Testing Application Standard (TAS) 106-95. Roof Area: 21.00 squares Total Number of Tests Number of tests Passed % Passed Field Area 8.20 squares 5 5 100% Perimeter Area: 12.80. squares 13 13 100% Comer Area: 7 7 7 100% Based upon the field tests, 1 certify that 100% of the static up -lift tests "PASSED" the testing criteria of 35.0 lbf load, and meets the attachment resistance for adhesive Set Systems, as specified in the NOA. Should you have any questions regarding the above, or if require additional information, please do not hesitate to contact this office. Sincerely, CeBB, Corp. (NOA . -,03 0.14 revises NOA 03- 1112.02) 00,. /1 I 16 Edua ;d C. I3adiu, P.E. Fla. Reg. No: 59997 Cc: White Seal, Inc. Enc. Location Sketch Calibration Certificate O 0 • INSPECTION, STUDIES, DESIGN, AND TESTING SERVICES. 54511 Griffin Road, Davie, 11 33314 PHONE (954) 581.7115 FAX (954) 581.2415 CA: 00009807 • � T:•e4fedtdes.ancl 'assed;., . :Total.�rea::::: .squares:..140.:of rl Tiles: :— :xes£ed taies.and Fauted; • • - Eielo area " • ::: • &. • squares = Field..Area:::::::::: :: .... 1 t i l ' T Mlssi g 1 i 1 e � ; ....... -:Pei i n n e t r . A r e a : • ....... 2=$(J s q u a r e s • - ; ; ; ; • . 1 •a • • ' 1 • . ; • .... . •i §- Broken i11es,.....: : : -No: of Corner 7ss : : : : 7 . : : . : : ••• •Coftierii fi: • • • • • • • : • • • • • "l ::: • • • JOB: SHEET NO: ° ° OF: CALCULATED BY: DATE: CHECKED BY: i DATE. SCALE: .•i i • • • ... • 4.. • • • • • • • • • • • • • • • • • 3 • • ST 0/4134 k • • • • . PeYxriix#��F•06 =1G8:t ••.•......••..• • ••••• Certificate#:30854 Calibration Performed By: Quality Systems Laboratory 3650 Hacienda EiNd. Suite C Ft Lauderdale, Florida 33314 954-370-5700/ Ext 229 qsl©scalemen.com Manufacturer IMADA Model Number: DPS110 Serial Number: 167778 Received Condition: GOOD Received: In Toleranca, Returned: In Tolerance Cal. Date: 9/11/2006 Cal Due Date: 9/11/2007. e of Cali. For: CEBB 6450 GRIFFIN RD DAVIE, FL 33314 954-254-5571 QSL ...the single source for all of your calibration needs Description: DIGITAL FORCE GAUGE Equipment ID: 157778 P. O. Number: None Temp./RH: 73 F 44 Test Results: Passed Cal Procedure: WAR 17-20MF-09 Cat, ta 12 MONTHS Performed By: D. RHODES • 1. 'Quality Systems Lab. Inc.:certifies that the above listed Instrument meets or exceeds all specifications as stated in the. reference procedure at the points tested (except otherwise noted),It has been calibrated -Wog measurement standards traceable to the National. Irratitide of Standards and technology (NISI), or to NIST ecceptitintrinalc:Standerds of , measurement, or derived by the ratio type of self-camotion techniques. 2. This calibration complies with ISO 17025:2005. Calibration procedures used provide measurement uncertainty ratios of greater than or equal to 4:1 of the specification of the unit under test, Wfth a coverage factor of k=.2 at a confidence level of 95%, unless otherwise noted. -„ I/knifing from Quality Systems Lab. Inc.' in 3. This report may not be reproduced, except in full, unless permission for the publication d abstract is obtained Calibratiop RernaOcs: Service FtePort # 4406 Equipment Used To Catlin* Gage: Metrologist Quality Assurance Manager Serial Number .D88den crip— NISI # Last Calibration 1/12/30057* ' , ' Jaye For Calibration --1/12/2007 VARIO II MULTIPLE vietarraet WASS. FL-05005 Page 1 of 1 - Cert. #: 30854 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 01/12/2007 Inspector: Grande, Claudio Owner: HURST, THOMAS Job Address: 822 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: WHITE SEAL ROOFING Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number (305)756 -8191 Parcel Number 1132060142910 Lot: Phone: (954)922 -7383 Building Department Comments RE -ROOF TILE JAN 16 /007 Passed ! nspector Comments CREATED AS REINSPECTION FOR INSP- 20649. Replace broken tile by ladder area. 1/9/07 CG. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Thursday, January 11, 2007 Page 1 of 1 Miami Shores Village cJJcf s° Z Prn Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel (305) 795.2204 Fax: 305) 756.8972 BUILDING UN 2 2 2006 Permit No, ° ��� PERMIT APPLICATION r Master Permit No. FBC 2004 B Permit Type (circle): Building Ele cal Plumbing Mechanical Owner's Name (Fee Simple Titleholder) \ V\ OM RS C-i U'C 3± Phone # 3O' r-1 J 1p Owner's Address 2-- Z.- 1.I E 91..D ' S� City H M. i 3hO,t' E,5 State S. -- Tenant/Lessee Name zip 33C 3S S Phone # Job Address (where the work is being done) 32_2___ tJ E_ ct L0 S� City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name VJ k t 4 E. 3 C. A k 0 e-C i C\ Phone # 9 5 y q 2_2- 3� 3 Contractor's Address OOP _ \;d • �� City k -\ o f l (v\i3 od tate ft-- Zip 3 30 '1O Qualifier Name"} 010 E p 4 F-, E....-4-v--id C Phone # 9 5c-I 9 2-7_ n 3 e Xi 2_0 1p State Certificate or Registration No. C C (- ®j (-Q 3(.01 Certificate of Competency No. Architect/Engineer's Name (if applicable) /fl- Phone # Value of Work For this Permit $ 04 f S 2 ©c3 Square / Linear. Footage Of Work: 7,.../00 Type of Work: []Addition []Alteration [New lRepair/Replace ❑ Demolition Describe Work: 1i1 E — 9 0 \ F. Submittal Fee $ Permit Fee $ Notary $ Training/Education on Fee $ . Scanning $ (=3)-CDCRadon $ DPBR $ CCF $ ° 0-D CO /CC Technology Fee $ 7 - Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ P See Reverse side -')1U 2 4 P �D CSR S' 1 3 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 it condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20__,by , day of ,20 ,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02108106) Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) \ham A ry sic Phone # 305 ' rl 6lu ° FS1c Owner's Address %2_'L %E % City 1-k‘' pkivtA SCaur ES State �—, Zip -�k ag Tenant/Lessee Name Phone # Job Address (where the work is being done) S A k..0`. City Miami Shores Village County Miami -Dade Zip 33\ Is Building Historically Designated YES NO Contractor's Company Name \KhAE �E�t\ bi� Cl43 Contractor's Address l OQ % C.bc I. d City � ,, vI C XY2k Sae Qualifier' E�r■c\ �.. Phone # Q►��- ��..'� ��TS3 Zip -j6 c Architect/Engineer's Name (if applicable)14 IPc Phone # $ Value of Work For this Permit / Square Footage Of /621) 2 Type of Work: ['Addition ['Alteration ❑New VRepair/Replace ❑ Demolition Describe Work: >~."--0-Np , \V V. ®. IN ****************************Fees****************************** Submittal Fee $ Permit Fee $ CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) • 'Bonding Company's Name (if applicable) >1..11pt Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 1,...t( Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be • roved and a reinspection fe9 will be charged. Signature L— Signature Owner or Agent ,1 Cone '• ctor The foregoing instrument was acknowledged before me this i^I The foregoing instrument was acknowledged before me this '1 1-1'41 day of k-kf» , 20O1Q , by TO®MIAS .. ‘kU'Rb , day of d 2001e , by iklobe. s �'►G c� 4111,1011Mlitwn to me or who has produced NOT Sign: Print: to me or who has produced As identification and who did take an oath. Y ' UBL Mffiliv f'?%. 'I. #DD534040 My Commission Expires: NOTARY PUBLI Sign: Print: My Commission Expires * * * * * * * * * * * * * * * * * * * ** * * ** * ** * ** ** as identification and who did take an oath. (Certificate of Competency Holder) State Certificate or Registration No. e.QC ®5'.e2 3LQ APPLICATION APPROVED BY: Chc 10/14/03 ********************* Certificate of Competency No. Plans Examiner Engineer Zoning Master P e r I n i t No. Contractor's Nan'ie .1o1) Address `612. Li Lowry Slope 0 Asphaltic Shingles 0 Prescriptive P UR- R1\ S 150 N E M rala .1 .1 1_Iiglr- \'e1o�'t BY: tectic WHITE SEA IN •T•UDGE S- HQU!YUVOO� �e 20T r� ROOF CATEGORY El Mechanically .Fa.stened Tile rl Me`tal Panel/Shingles 0 New Roof Re,- roofing UGas Vent ROOF TYPE 0 Re- coverin.g ROOF SYSTEM INFORMATION Mortar/ Wood -S Yes No 1 G8-' fi D Repair. • r 0 Maintenance Low Sloped Roof Area (SF). ', °•(''"- Steep Sloped Roof Area (SF)03). Total (SF1 Section B (Roof Plan). Sket.cli Roof Plan: IIlustra.te all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zoned and location of parapets. 54 rlira Immins Inil arvida MIIIMM tar • • 00000 o ! Ili 11 • • • C.4Doc zmcnts and SeningebbodgponlMy Pon mentslFlaide Budding Code Edition 2004 sections n b.da Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: Cif, ' v �12-- — A 1A-0 5 Pt S - ± `' ‘ E. Notice of Acceptance Number: 0 - ® ©\ 01 ° 0lp Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Pmax1: `'45 Pmax2: 95,1 Pmax3: ck5= r Maximum Design Pressure (From the NOA Specific System): 3 ° `-1 Method of Tile Attachment: ""P®N co Pe t iNk\ 1LQ a Roof Slope: : 12 Steep Sloped System Description Deck Type: W©ocl Type Underlayment: Insulation: 1,1[A Fire Barrier: Ridge Ventilation? 1.1 ®►—t Fastener Type & Spacing: Adhesive Type: Mean Roof Height: 10c+ W 016 ti►ca,i 1$ ei+fs Vo. C.. 2-42,e,05,,..,=:+#26614 asp h • • Type Cap Sheet: : • • • .••. 4q0 c�I-�.Z1J d•E�' (•.I4Y • • Roof Covering: s— d • • • • _Ct Nktny•Ezv j;;;. • • • • • Type & Size Drips • • • • • Edge: •• • • •... • • •••. • • • • •• • •••• • • • • • • • • Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mrwith the values from M,. If the M,values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method Is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (pt�e`t5 x1 °7-'7 = 12 °15) -M9: 5. -55 = Mr, Q.80 NORM, 3 % °� (P2: '9'5°1 x1 °2-'1 = 23•us 1 -M9: °3S= M2 azo -33 NORM, ZS •1 (P3: -q5$ x _ - M9: 5 ° 3 € - = Mr3 NOA Mt fl Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below 32`2- NOA M, 3'6 ° M, Required Mean Roof Height Moment Resistance* r 20' 25' 30' 40' -■ Roof Slope 4, 15' 2:12 Design Pressure 36.5 38.2 30.7 42.2 3:12 ce-r\°.20 34.4 36.0 37.4 39.8 4:12 0. 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr . If the F' values are greater than or equal to the Fr value*, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P1: x 1: = x w:= ) - W: x cos 0: = Fri NOA F' (P2: x 1: = x w:= ) - W: x cos 0: = Fr2 NOA P (P3: x 1: = x w:= ) - W: x cow0: = Fr3 NOA F' • Where to Obtain Information Description Symbol Wliere to find • • • • • •' • • I 00 Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared In e$ awed on ASC67 Mean Roof Height H Job Site .... • • • Roof Slope 0 Job Site • .... • • • • Aerodynamic Multiplier I NOA • • • • Restoring Moment due to Gravity M, NOA • _ • • • • • Attachment Resistance M, NOA • • . Required Moment Resistance M, • _ _ Calculated • • • • ... Minimum Attachment Resistance F' NOA • Required Uplift Resistance F, _ Calculated • • • ••-I Average Tile Welght W NOA • • • • • • Tile Dimensions I length w = width NOA • P All calculations must be submitted to the 13uilding Official at the time of permk application. • • • LLA.iG.lt x f D „Ibl Department of Urban Planning and Redevelopment BUILDING COPE SERVICES DIVISION 955 S. Federal Highway • Fort Lauderdale, Florida 33316 Section 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS §1524.1 Scope. As it pertains to this section. It is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of chapter 15 of the Florida Building Code govern the minimum requirements and standards of the industry for roofing system instal- lations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. I. Aesthetics- Workmanship: The workmanship provisions of Chapter 12 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) 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 own and the contractor. ems -- 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accor- dance with the current provisions of Chapter 16 (High Velocity Hurricane Zones). (The roof deck is usually concealed prior to removing the existing roof system.) `- 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., town- houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the under- side of the decking may not be acceptable. This provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate in low -lying areas of the roof). Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may riot be evident until the original roofing system is removed. Ponding condi- tions should be corrected. 7# 6. Overflow Scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall lo/w, , outlets) are not provided. It may be necessary to install scuppers in accordance with the requirements of §1514.4.2 T� 7. Ventilation: Most roof structures should have some ability to vent natural air flow through the interior of the struc- tural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may bedeeneficial to consider additional venting which can result in extending the service life of the roof. ••••• • • • • • • .... • •• • • ••• •• • • • • • • Owner's /Agent's Signature 'j- - 2..0O1/4. • • • •• • Date Contraot ®W ;` eignatute • • , •• •• • •• •••••• • • • • •••• • • Broward County Board of County Commissioners • Josephus Eggelletion, Jr. • Ben Graber ' Sue Gunzburger • Kristin D. Jacobs • Ilene Lieberman • John E. Rodstrom, Jr. • Jim Scott • Dieu • waesermanidbl is Wexler• www.broward.org/building • • • • • • • • M I A M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) 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 Clay Forever, LLC 6645 NW 77a` Avenue Miami, FL 33166 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Altusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 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 #02- 1115.03 and consists of pages 1 through 7. The submitted documentation was reviewed by Jorge Acebo. • • • • • •• • • • •••• • •••• • • •• •• •••• •••• •••• • • • •. • • • • • • • • • • • • •. • • • •• • • • • • •••• NOA No j 05- 0909.. • Expiration 1�at&:12/16/,= .. Approval Date: 12/084)5• Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing Roofing Tiles Clay 1. SCOPE This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Clay Forever, LLC. 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 Applicant Dimensions Altusa One Piece `S' L =181 " Tile W = 10.5" 1 /z" thick nominal 3.25" high Trim Pieces Length: varies Width: varies varying thickness Clip L =6" D = 0.125" Clip L &h =2" W =V2" 0.05" thick 2.1 SUBMITTED EVIDENCE: Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing PRI Asphalt Technology, Inc. Test Specifications TAS 112 TAS 112 PA 114 PA 114 Test Identifier 94-083 94-084 25- 7200 -1 Project No. 307025 Test #MDC -78 MTS 520649 CLF- 003 -02 -01 Product Description High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications with minimal headlap of 2 -1/2" Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Tile clip L Shaped tile clip Test Name/Report Date Static Uplift Testing April 1994 PA 101 (Adhesive Set) Static Uplift Testing May 1994 PA 101 (Mortar Set) Static Uplift Testing Feb. 1995 PA 102 (Quick -Drive Screws, • • Battens) Wind Driven Rain PA 100 PA 102(A) PA 102 • • • • • • •. • • • •••• •••• • • • . Oct. 199• • • •••• •• • • • • • May 2000 • • ' •. • 'Qcfober 2b01• • • • • • • •••• NOA Nod: 05-09611,4g.° Expirat519.1 Dale: 12/16,141 • Approval Date:12/d$(QS Page 2 of 7 Test Agencv Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 3. LIMITATIONS Test Identifier 7161 -03; Appendix III 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 P0402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Test Name/Report PA 102 Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Date Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 'Altusa One Piece S' Clay Roof Tile and its components shall be installed in ABM M • compliance with Roofing Application Standard RAS 118, RAS 119, and R ,. 1,2Q. 4.2 Data For Attachment Calculations • • • •••• • • • • •• •• •••• •••• . • • •• • • •• • • • • • • •• •. • • • • • •• • • • • .... NO, Nose 05- 0901.46 • • Expirat4oaDaje:12/1614b • Approval Date: 12/03140 Page 3 of 7 • • • • • ••••. • • • .• • • • • Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Altusa `S' Tile 6.9 1.52 0.875 Table 3: Restoring Moments due to Gravity - M9 (ft -lbf Tile Profile Table 2: Aerodynamic Multipliers - X (ft3) 4 ": 12" Tile 6 ": 12" X (ft3) 1 (ft3) Battens Profile Battens Batten Application Direct D licatlon Altusa 'S' Tile Battens Direct Deck 0.253 0.274 Table 3: Restoring Moments due to Gravity - M9 (ft -lbf Tile Profile 3 ": . 12" or less 4 ": 12" 5 ": 12" 6 ": 12" 7 ": 12" or greater Altusa `S' Tile Battens Direct Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 Table 4: tachment Resistance Expressed as a Moment - Mf (ft-lbf) for Nall -On Systems Tile Profile Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Battens Altusa `S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 . #8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Altusa Clip (See c ip details) Altusa "S" Tile' 1 Screw with clip (at the head of tile) 187.1 187.1 N/A Altusa "S" Tice' 1 Screw with clip (at the water course of tile) 35.2 35.2 • • N/q, • • • • •••• 1. Screw must be Installed in the inside nail hole located nearest to the hump of the tile. • • • • • •••• • •• • • •••• •• • • • • • • •••• • •• •• • • • • * • •• •• • •• • • • • • • • • • • • • • •••• NO% Not 05- 090'„Q4,. • • Expiraton Hap:12/16(Q7.. Approval Date: 12/08#1,S• Page 4 of 7 • • • • • Table 5: Attachment Resistance Expressed as a Moment Mt (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Altusa 'S' Tile Adhesive 29.33 2 See manufactures component approval for installation requirements. 3 Flexible Products Company Polyfoam Product, Inc. TileBond Average weight per patty 10.7 grams. Average weight per patty 8 prams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Altusa 'S' Tile Polyfoam PolyProTM �1. Polyfoam PolyProTM 38.7 4 Large paddy placement of 63 grams of PolyProT"'. 5 Medium paddy placement of 24 grams of PolyProN. Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Altusa 'S' Tile Mortar Set' 24.50 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 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 ALTUSA `S' CLAY ROOF TILE •••• • • • • •••• • • • •••• •• • • • • •• • • • •••• • • ••• • • • •• •• •• • • • • • •• •• • • • • • •• • • • • Nth No.' 05- 09Q;t.r • • Expiration 3tatee:12/14/87 • Approdat Date:12/A+8 j Page 5 of 7 °SPANISH S° TILE BY ALTUS (TYR) CLIP DETAILS 2 -1I2° OVERLAP (COVERS PIN HOLE) SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE DECK CLIP WITH ONE (1) SCREW ATTACHED TO DECK CUP PLACEMENT DET CLIP •••• • • • • •••• • • • • •• • •••• • • • • • •• • • •••• •• • • • • • • •••• • •• • • •• •• •• • • • • • •• • • • • • • • • • • • •••• NOA No : 05- 0981186• �.... • • Expiration Date: 124' Ir • • • Approval Date: 12/88/05 • Page 6 of 7 SCREW (HOLDS CLIP ONTO DECK) °SPANISH S' TILE BY ALTUSA (TYP•) CLIP DETAILS (CON'T) 21/2° OVERLAP (COVERS PIN HOLE) SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HUMP OF THE TILE CUP PLACEMENT DETAIL DECK 1 1/4° 1 3/4° 3/4° 51 GALVANIZED METAL CLIP DECK END OF TH S ACCEPTANCE 21/2° SCREW .... • • • •••• • • • • • •• • •••• • • • • • .• • • • • • • • • • .. • • • • • •••• • • •• •• • • • • . • •• •• • •• • • • • • • ••••• ;ski: ,: 05 -09®.M Expiration Pate: 1200/§7 , Approval Date: 121W /O5 • Page 7 of 7 • • • • • BUILDING Cob COMt'LtANcI OPI?ICE (BCCO) PRODt1CT CON'tItOL DIVISION NOTICE OP ACCE.1'TANC1 (NOA) MIAMI - »Abn COUNTY, FLORIDA MRTRO -BADE PLAGLEIt BUILDING 140 WESt ttAcLER a1ht 5 t, SUITE 1603 MIAMI, PLOtuDA 33130 -1563 (305) 375 -2901 PAX (305) 375 -2908 Polyfoatn Products, Inc. 11715 Boudreaux !toad Toniball, TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations govetnlhg the Use of struction materials. The documentation submitted has bear reviewed by the 13CCO and accept by. . the 13tiildir4.g Code and Product Review Committee to be used in Miatrii bade County and other areas whera ttltoweit by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The 1 CCO (tti Miami bade County) and/or the AHJ (hi areas other than Miami bade County) reserve the right to have this product or nfaterlal tested for quality assurance purposes. If this product or material fails to perform in the accepted ttianner, the i 'tanufacturer will incur the expense of such testing and the Atli may immediately revoke, modify, or suspend the use of such product or . material within their jurisdiction. BCCO reserves the right to revoke this aceeptatibe,•igit is determined by BCCO that this product or material fails to meet the requirements of the applicable bttildind 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. I11SC11.I1'T1oN: I'olypro® A##i 6n 1Et1tWAL of this 1•1OA 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 alter 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 140A as an endorsenient of any product, for sales, advertising or any other ptrposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause tot termination find removal of NOA.' ADVERTISEMENT: The NOA number preceded by the words Miami-bade 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 a user by the manufacturer or its distsibbitors and shall be available for inspection tit the job site tit the request or the wilding 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 Nu.: 06 - Q2QILe2 Exldr4do4 bate: 451tQJ11 Approval bat &U fill /Q6 Page i of 1 • • • • • • • • •• • • • • ROOFING ASSEMiiLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: polyurethane SCOPE: This approves Polypro® A1f160 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 attachnient calculations are done as a moment based system for single patty placement, and as an uplift based system for doulir patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro® AH 160 N/A TAS 101 Foampro® RTP1000 ProPack® 30 & 100 N/A N/A Product Description Two component polyurethane foam adhesive Dispensing Equiipment Dispensing Equipment PRODUCTS MANUFACTURED I3Y 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 Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Closed Cell Content ASTM D 2856 Rcsults 1.6 lbs. /ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Pt2 J.1 Pertn / inch +0.07% Volutne Change @ -40° P., 2 weeks +6.0% Volume Change @158°P., 100 %' Humidity, 2 weeks •• • • • • 86% • • • • • . •• • • • •••• • • • Note: The physical properties listed above are presented as typical iverage va1u.4 Petermlmel by accepted ASTM test methods slitd are subject to normal manufacturing vji jation. • • • 1 • • • • • •••• • • •• • • •• •• •. • • • • • • •• • I A•NQ:t 06- 020,0; Ekpit• ttionpate: MOW' Appegyel date: 04 /J340,0 1'age ;,p ' 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 Identifier #94 -060 257818 -1PA 25a7438 -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 It Name/Iteport TAS 101 TAS 101 SSTD 11 -93 SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 1Q8 ASTM E 108 ASTM 13 84 TAS 114 528454 -2 -1 TAS 101 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 ,520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 • Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/2$/98 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro8 A11160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be hi compliance with the koof"mg Application Standard 1.AS 120. 4. Roof Tile manufactures acquiring acceptance for the usevf 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 14ANDI- STICIC root q, ildhesive lviith their tile assetblies shall test in accordance with TAS 101 with seciion 10.4 as ippgitac,c1 herein. . 1F1 w \2,f r1 =.. MS •• •• •••• • • • • • • • • • • •• •. • • • • • • .• • • • • ACA rfo.: 06- 6/117.b txpli;ation'bate: oslfolfi Approval bite: OII7f3.46e Page 3•of • .• • • • • • • • • • • • s • 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® AII 160. 2. Polypro® A11160 shall be applied in compliance with the Coh ponent Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AHI60 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 hoofing Application Standards 1tAS 127. The adhesive attachment data is noted in the roof tile assembly 1•10A Polypro® A11160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® Af11.60 Operating Instruction and Maintenance Booklet. 4. Installation must be by a hactoty, 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 Poampro® dispensing equipment is required before application of any adhesive. The mix ratio between the ''A" cortipotient and the "I3" component shall be inaintaihed between 1.0- 1.15 (A): 1.0 (13). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds pl°r tile as determined at calibration. No other settings shall be approved. 6. Polypro® AI-I160 shall be applied with Poampro ItTT1000 of ProPack® 30,& 100 dispensing equipment only. 7. Polypro® A11160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 td minutes after Polypro® AH160 has been dispensed. 9. Polypro® AI-1160 placement and minimum patty weight shall be in accordance With the 'Placement Details' herein. Each genetic tile profile requires the specific phicentent noted herein: Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy = Weight Min. (Farris) Two Paddy Weight per paddy Mitt.' (gtart) 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 LAI3ELING: All Polypro® AH160 containers shall comply with the Standard Conditions listen hein. BUILDING PERMIT REQUIREMENTS: .. • • As required by the Building Official or applicable building code in order to properly evalmeate4the installation of this system. •••• • • .• •• ••• • • • ••1• •••••• •• . •• • .. • .. • • • • • • • • • • .. •. . • • • • • .• 1vbA Nos 06 -O2Qt tri•. Rxplratiou jte: oMtrit • Approval! bete: O4 /11J0 §•. Page 4 tit I • • .• • • ADHESIVE PLACEMENT DETAIL 1 SINGLE PAI"TI( 1) Place enough adhesive to achieve 12 1029 ' Opttonat hap for Square Inches Ineontactadth the pan tile !leapplhhappUeagons 2) tura coven dpalde dean. In ceadhoetve 112 To 1 hr. Fromoatahte edge ewer 1110. Then had tho(Ie. Nail through plastic cement top otgroeavo course cover tdt Ahdtosecond owe of pan got Ensure owe sod af pan and cover tiles ere flush d the One. Save elosore (mortar shown) • •••• • • • • •••• • • • •• • •••• • • • •• • • • •••• •• • • • • • • •••• • •• •• • • • • • • •• •• • •• • 1 OA• Au 06- uaolin E1p1teatiotl•i) ate: amok' App'r w 1 l'eiate: 04,41696 i'ageubf 7. • • • • • • • • • •••••• • • • • • • • ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic cement Underlayment Paddy (Beneath Tile) 1 in. Eave Course Eave Closure Fascia Nall through plastic cement Underlayment 4111 NN41,1441P, Paddy (Beneath Tile) i ?., Fascia Weephole Eave closure Drip edge Eave Course •••• • • • • •••• • • • • •• • •••• • • • • • •• • • • • • •••• •• • • • • • • • • •••• • •• • • •• • • • • • • •• •• • •• • 40A NA.: 06-00d .02. Expire tio>g Date: 05M/it Approval Date: 04034)8. Page d6f7• • • • • • ADIMSIVt PLACtMENT DETAIL DOUBLE PAITY ••••••110. Nall through Mastic cement Paddy (between tile) Paddy (under Me) x 3 irt. Single paddy on under- layment Singltpaddy on top of Me Single paddy under tile ht. X7 in. medium size paddy roe course only Nail through plastic omen Underlayment Single paddy under the Single paddy between tile 2 In. x 7 in. medium size paddy eave course only re- 3 In.x 3 tn. Single paddy on tmder- layment Single paddy on top °IMO Cowse Fascia Weephole • Eave closure Drip edge Nail through plastic cement Single paddy between tile t- / -4- 3 in.x 3 In. Single paddy on underlayment Single paddy on top of tile wsrid."/ fr-1K 440 2 in. x 7 tn. madiurn Fasci. size paddy eave course only a Eave Closure. Eave Couraa END OF THIS ACCEPTANCE • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • &a A.: otqlete/ Expitratioar bate: 050011 Apiltas.11 bate: %VIVI Pager/sof ? • • • • • • • • • • • • • NOTICE OF ( )MMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. ' - ko c - 2S-1 h 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. 1 .11111111111111 11111111111111111111111111 CFN 200680697602 OR Bk 24669 Ps 2886~: (1s ) RECORDED 06/27/2006 12t56:02 HARVEY RUVII4v CLERK OF COURT MIAMI -DADE CCOUNT'f p FLORIDA LAST PAGE 1. Legal description of property and street/address: hi Mt S CI C5f e -Pb ` l 2. Description of improvement: � � ��ti���C��1��if�� �2 -° "tL ' ■ 3. Owner(s) name and address: \ \ y —.' &.&• Interest in property: L".I' 1 J EAL NOvitAftd address of fee simple titleholder W„S AF I , 1N('_ 2008 COOUDGE St FL 33020 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: 14 Vk Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom noticqs or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 41,, 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different is specified) Signature of Owner Print Owner's Name \\C-1-01..c\ V\ 1/4:i i , Prepared by P+1,AC_ \`k Sworn to and subscribed before me this li day of 20 Address: WHITE SEAL, INC. 2008 COOLIDGE ST. HOLLYWOOD, FL 33020 Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 10/04 CARIDAD CASTELLANOS m ION #D (407) 9980163 Florida Npt4y 3ervice.cam