RF-08-2055Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: January 08, 2009
Inspector: Rodriguez, Jorge
Owner: AUVERT, DIANA
Job Address: 1223 NE 102 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: ADVANCED CONSTRUCTION SERVICE GROUP, INC.
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Roof - New
Phone Number
Parcel Number 1132050250140
Phone: 305/244 -7501
Building Department Comments
Wednesday, January 7, 2009
Page 1 of 1
Passed
Inspector Comments
cc
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Wednesday, January 7, 2009
Page 1 of 1
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
NOV nuM
P.
Permit Type (circle): Building Electrical
Permit No.
aster Permit No.
Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) ,b//gAJ4 Ao y k r Phone # g?$(s • 34i /4,38
Owner's Address %3 iV E lea �aE €T
CityM,A1.'(1 SilokCS State FL.
Tenant/Lessee Name ---- --
Zip 331 3S'
Phone # ---
Job Address (where the work is being done) 1Z Z3 ti 102. —r
City Miami Shores Vill. e County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO t'
Contractor's C o m p a n y Name Po V Po-lc-Ex) P m , di p N.1 Sex- e Q cj . Phone #
Contractor's Address Sel I o el 3 P L,
City y ;, State t .
'
Qualifier Name d " 1�' ' � �v Phone # l'1 (
3 - 21(- 0(. 3
Zip 33 i °13
State Certificate or Registration No. C.,(0, c- 0 r l
Architect/Engineer's Name (if applicable)
Certificate of Competency No.
Phone #
Value of Work For this Permit $ / 9', 4-0o. 00 Square / Linear Footage Of Work: 27 V 4
Type of Work: ['Addition ['Alteration ❑New
Describe Work:
lRepair/Replace ❑ Demolition
6
CAAA
111Z5�0�
Submittal Fee $
***** *** * * * * * * **** * ****** ter * ** *,r***** * *�FFee��s ***** t******** * * *** * * * * ** *** * ** * * * * * * * * * * ****
w
Permit Fee $
CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ DPBR $
Bond $ G % :F ' e Double Fee $
Structural Revie ?.:S 7C . Total Fee Now Due $
Zoning $
ea
MIAMI SHORES VILLAGE
See Reverse side —>
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all.work will be done.in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of 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
Owner or Agent
The foregoing instrument was acknowledged before me this 2 9
day of P%b , 20 a` by
who is personally known to me or who has produced 812,0 —
if 3 — l ".. $ ?y -OM identification and who did take an oath.
NOTARY 'r;�x„urt<'�
_* m . -MY #DD529131
EXPIRES: M h 15, 2010
Sign: 'viii aqs,,, BandedThru (r.:r bileUndenwn'mrs
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of Pe , 20 by V ,g°
who is personally known to me or who has produced
as identification and who did take an oath.
NO
S.
Prin
My Commission Expires:
t�tl%1�L
R. SOUS
ION #DD 529131
IRES: � . 5, 2010
M2Plans Examiner
Engineer
Zoning
Reileh Engineering Corp.
(Consulting Engineer)
P.O. Box 22011
Hialeah, Florida 33002
Tel : 305-823-8008
Fax: 305-823-3300
January 6, 2009
Advanced Construction
645 West 65 Drive
Hialeah, Florida 33112
Project:
Dear Sirs;
ROOF TILE UPLIFT TEST REPORT
Residential Home
1223 Northeast 102 Street
Miami Shores, Florida
Information provided by client:
Permit Number: RF 11 -08 -2055
Date Completion: December 31, 2008
Roofing Contractor: Advanced Construction
Project Number: 09 -0021
(Testing Laboratory Certificate #06- 0501.15)
In accordance with your request and authorization, a representative of Reileh Engineering Corporation
completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general
accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification
of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof
systems.
The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof
is less than 40 feet above ground surface. The type of tile used for this proj ect was reported to be Flat
Concrete Roof Tile. This tile was reported to have been foamed in place.
At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one
(1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter
and comer areas were physically examined. A minimum of one (1) test per every two (2) squares in the
field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted.
l on our test esults. we co
is the test requirement ou`
test report for'your review
Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have
any questions or if we may be of further assistance, please do not hesitate to contact the undersigned.
Respectfully submitted;
Reileh Engineering Corporation
ohamad Sonny Salleh, P.E.49014
roject Manager
TILE UPLIFT TEST
Residential Home
1223 Northeast 102 Street
Miami Shores, Florida
Reileh Engineering Corporation -- Project Number - 09 -0021— Page 2 of 5
Report of
TILE UPLIFT TEST
for
Residential Home
1223 Northeast 102 Street
Miami Shores, Florida
Project Number: 09 -0021
1
35
Pass
2
35
Pass
3
35
Pass
4
35
Pass
5
35
Pass
6
35
Pass
7
35
Pass
8
35
Pass
9
35
Pass
10
35
Pass
11
35
Pass
12
35
Pass
13
35
Pass
14
35
Pass
15
35
Pass
16
35
Pass
17
35
Pass
18
35
Pass
19
35
Pass
20
35
Pass
21
35
Pass
22
35
Pass
23
35
Pass
Re ileh Engineering Corporation -- Project Number - 09 -0021— Page 3 of 5
Test Number
e Load (lb
24
35
25
35
26
35
27
3.5
28
35
29
35
30
35
31
35
33
33
3 5
36
37
3„
39
4 !)
41
4 2
4 1.
45
[46
n
9
35
35
35
35
35
35
3)
3.5
35
35
3J
75
35
35
s ai
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Reil fi Engineering Corporation -- Project Number - 09 -0021— Page 4 of 5
• 52 35 Pass
53
54
55
56
57
58
:,9
60
61
35
35
35
35
35
35
35
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Reileh Engineering Corporation -- Project Number - 09 -0021— Page 5 of 5
60'
3
20
2
66
55
57
54
25
56
58
52
66
66
28
6
51
49
50
Z9
41
� e
48
46
10
45
24
44
II
25
12
27 69
61 41
60
59
11
19 18
42
16
15
40
q6
14
26
14
60'
09-0021
APPPDX, POOP t51- LOCATIONS ANI7 PIM�N510N5
NOTICE OF COMMENCEMENT
A RECORDED COPY.MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NOI h TAX FOLIO NO. I' ' 3�o5 4.)C 0J49
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.
111111111111111111111111111111111111111111111,
CFN 2OO8R.i a96s_O88
OR Bk 26666 Ps 2995i alas)
RECORDED 11/26/2008 15 :57.20
HARVEY RUVIl4 CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
it I is "' ice" d
EC622C
1. Legal description of property and street/address: PG '12 2 1 t 5'I r J
1223 s . '4"1t, r3k itft
2. Description of improvement: `r; ?J
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: v to N c.,v Cam, v s--t- RAJ
s�
to 13 P L . f'^^ F- - L 33 113
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: STATE OF FLORInRi =NW
Amount of bond $
6. Lender's name and address:
HEREBY CERTIFY Milt Haas
cr y/;1u! t!_d in "is ',Irk-. c';;
F. DAuE
`ln�
-v of
'•= `.Y;AD Cad £pp, xy
:fy CEE1 1fi't
�
7. Persons within the state of Florida designated by Owner d• n�� •u� y- . t
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
yry�� p1,
1
c:'�LLEl� �`e�U ➢ w e is d
umerits itkybe..4004c1 as
®.G. •
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 date is specified)
ignature of Owner
Print Owner's Name
Poo L;4,04 Ao
,,A N o
Sworn to and subscribed before me this Pf5 day of
Notary Public
Print Notary's N m
My commission ex
. __
Prepared by 4- .mar.' caej
,20 n
Ad ress:
A. Gon 4ez
"to w
123.01 -52 PAGE 4 12/05
Prepared by and Return to:
RICHARD A. GOLDEN ESQ.
FRAMER 6 GOLDEN, >6.A.
1175 NE 125 STREET SUITE
N. MIAMI FL 3316.
RGPA FILE NO #113 -08R
111111 11111111111111111111111111111111111 1111
512' c , x,44.,-
Y�
Parcel ID Number: 11- 3205- 025 -0140
Warranty Deed
This Indenture, Made this 1\ day of
Robert B. Vickers, a married man
of the County of Miami -Dade .
state of Florida , grantor, and
Diana Maria Auvert and Roberto Burguera, her husband
whose address is: 1223 NE 102 Street, Miami Shores, FL 33138
of the County of Miami-Dade ,
State of Florida , grantees.
Witnesseth that the GRANTOR, for and in consideration of the sum of .
S
TEN DOLLARS ($10) whereof is hereby acknowledged DOLLARS,
and other good and valuable consideration to GRANTOR in band paid by GRANTEES, the receipt
granted, bargained and sold to the said GRANTEES and GRANTEES' heirs, successors and assigns forever, the following described land, situate,
lying and being in the County of Miami-Dade State of , Florida towl
Lot 6, Block 186, BAY BREEZE SECTION, according to the plat thereof,
as recorded in Plat Book 42, at Page 25, of the Public Records of
Miami -Dade County, Florida.
A /R /A 1223 N.E. 102 STREET, MIAMI SHORES, FL 33138
November
CFN 200880939449
DRRECORDED 26656 11 Pss 3794 - 3795; /19/2008 12:46;10 2pas)
DEED DOC TAX 2.280.00
il4IANIYDADEICOUNTY, FLORIDA RT
, 2008 AD.. Between
Subject to restrictions, reservations
recorded in Plat Book 42, at Page 25,
Miami -Dade County, Florida, and taxes
The property herein conveyed DOES NOT
property of the Grantor. The Grantor
101 STREET, MIAMI SHORES, FL 33138.
and easements of record, as
of the Public Records of
for the year 2009.
constitute the HOMESTEAD
's HOMESTEAD address is 1401 NE
and the grantor does hereby" y warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever.
In Witness Whereot,the grant has hereunto set his hand and seal the day and year first above written.
Signed, sealed and delivered in o presence:
STATE OF Florida
COUNTY OF Miami -Dade
The foregoing instrument was acknowledged before me this
Robert B. Vickers
he is personally known to me or he has produced his Florida driver s license as identi
NOTARY PDBLICSTATE OF FLORIDA
Richard A. Golden
Commission #DD674209 Pri
Facpir m: JULY 01, 2011 Notary • lic
My Commission Expires:
Gemdcd at, 0 Display Sy,ay ba, 2008 (863)7634555 Farm FLWD$
K-2
Robert B. Vickers
P.O. Address: 1401 NE 101 STREET, Miami Shores, FL 33138
(S)
day of Nov emper , 2008 by
113 -08R
kd
BONDEDTHRn ATLANTIC aeNDIIrG CO., INC.
Book26656/Page3794 CFN #20080939449
Page 1 of 2
•
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS
That DIANA AUVERT, has/have made, constituted and appointed, and by these presents do make,
constitute(s) and appoint(s) DEANNA BELLOSO as her true and lawful attorney for her and in her name,
place and stead for the specific purpose of representing her in the remodeling of the property legally
described as:
Lot 6, Block 186, of BAY BREEZE SECTION, according to the Plat thereof, as recorded in Plat
Book 42, at Page 25, of the Public Records of Miami-Dade County, Florida.
with specific authority to execute any and all documents, including but not limited to, contracts with
contractors, building permits, utility services and any other documents which may need approval and
signature. She is further empowered have any and all communications with the Miami Shores Village
Hall on my behalf;
giving and granting unto the said Attorney full power and authority to do and perform all and every act
and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents
and purposes, as they might or could do if personally present, with full power of substitution and
revocation, hereby ratifying and confirming all that the said attorney or her substitute shall lawfully do
or cause to be done by virtue hereof.
DA'Z'ED, this (q day of /1/0V- , 2008.
JZ:4f
Witness/Print: % % "0J
/
Wiiness/Print: r
DIANA
STATE OF FLORIDA )
)SS:
COUNTY OF MIAMI -DADE )
The foregoing instrument was acknowledged before me this / day
of /'(/" , 2008, by MARIA AUVERT who (V) is personally known
to me or ( ) who has produced ' as ide ifica * : n.
Print Name: „—
Notary Public, State of Florida
My Commission Expires:
Nom' ^" T. BENDS
MY COMMISSION # DD 412645
EXPIRES: Aprn 6, 2002
'' j Eic tedliou Notary P Undanwiters
I
�If Olr O5!5
Florida Building Code Edition 2004
High Velocity Hurricane Zone Uniform Permit Application Form
iJ A d#
j
23 NE 102 ST MIA! SHORES
Section A (General Information)
Process No.
CED CONSTRUCTION SERVICES GROUP
❑ Low Slope
❑ Asphaltic Shingles
ROOF CATEGORY
❑ Mechanically Fastened Tile
❑ Metal PanevShingles
❑ Prescriptive BUR -RAS 150
ROOF TYPE
0
Mortar /Adhesive Set Tile
❑ Wood Shingles /Shakes
❑ New Roof o Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
AP
2744 2744
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, root drains, scuppers, overflow scuppers and
overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated
pressure zones and QC • t1• [LO . •
■■ ■ ■L'Ii7 1YIL11Ci'i fik&Wi divam ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
r�ror... t...........■■■■■ M■■■■■■■■■■!■ M■■.■■ wiilC■■.. i■■A!J■ ■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■ ii■■■■■ ■■ ■ ■ ■ ■ ■■ ■ ■ ■ ■■■ ■ ■A ■ ■ ■ ■ ■W■ ■ ■ ■i ■■ LEIU M..■ ■ ■ ■■ ■E■■■■ ■ ■ ■ ■■■ ■ ■ ■ ■ ■■ ■■ ■ ■ ■ ■ ■ ■■
! EffOgNMEMMEMMEMOMMEMOMMEMMVMMMIIMMEMUMMEMMEMEMIMMMEMMEMMEMMEMMIMMEMMEMEMMEMMEMEM
cammL`"i■II■ ■■■■Vi■...u.••..- ICI■■■■■■■■■■■ 1I■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■
.■........ ...EIE■■ ■ ■ ■■ ■ ■ ■1 ■ ■Ii■ ■■■■■ ■ ■ ■ ■■ III■■■■ ■ ■ ■ ■ ■■■ ■t■ ■ ■■ ■ ■ ■■ ■■■■■ ■ ■ ■ ■ ■ ■■ ■■
■ ■ ■■ ■■ 111■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ II■■■■■ ■ ■ ■ ■ ■ ■■'u■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■■ ■■■
:, o e MEMME■■■■■■■■■■■ ■■■■■■■■■■■■■ I iI ■ ■ ■ ■ ■ ■■ ■■■Iil■■ ■ ■ ■ ■■ ■ ■■ \■III ■ ■■ ■ ■■ ■ ■ ■ ■■■ ■ ■■■ ■ ■ ■ ■■■
■ ■ ■ ■ ■ ■[ ■■aMilmminu ■■■■■ ■m7IL7 NM EMMMIl■■ ■■■■■■ ■ ■■■ ■■■■■■■ ■ ■`� ■u wRi■ ■ ■ ■ ■■■ ■ ■■ ■ ■ ■ ■ ■■ ■ ■■
i ��:, 1■■■■■■■■■■•■■■■■ Ei■■ ■'I ■ ■•i•u■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■■
MUMMEi11 ■••/.i•ii ■ ■ ■ ■ ■I■/ /,UA IMWV III
i i. r '�5r:.rma�.... ■ ■n.rl ■ ■rN ■ ■ ■ ■ ■11
1■■■■■►.. ii■■■■■■■ emai ■■■■IICJ■r■■ ■ ■■■■■■■■■■ ■■■■■■■
L_i :■I'I■I(I■M■FAMORO■■ ■■■NAUra ,. 1!1■■■■■ IMEMMI ■■■■■ ■■■■ ■11■■■■■■■■■■■■■■■■■■■■■■■■
■ iliM■ IIf1■■■■■■■■■■■■■■■■■ ■■■ ■II ■II ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■
■■ ■ ■ ■ ■■■ ■■■ ■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■■ III; I■■■■■■■■■■■■■■■■■ ■ ■ ■■11 ■II ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■ ■ ■■
ju'riTOMNTIM UMNTR9[S,d!'IirillllS MEMOC* irM■7■■■■N I■■■■■■■■■■■i■■■■■■■■■■Ii1 ■II ■ ■WO■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■■ ■■
i■ rr lirYW6OMMildriifr ■■rr■■■EE■ ■r■CZG ■ 61■■■■■■■■■■■■■■■■■■■■ ■11 ■III■■wiiW!!Mr ■■ ■■ ■ ■ ■■ ■■ ■ ■■
■■■■■■■■■■■■■■■■■■■■■ r■ iiA ■■ir■Ji■IMME■■■■■■■■■■■■■■■ ■■■E mlA■r■r■■EA■■■ ■r7■■■■■■■
wines rT111mmormnri aRiumpl r ITIfi1mar.rlimmomm i1mo■■■■■■■■■m mum■■■mmmo ■■■ ■EEmwam■■u■■■■■■■■
umumahma l■ maammlimmu mmumsrrrlrii...11■■\\■■■■■■ ■I ■■■■■■■7i■■■■■■■■■■■■rr I■■■■■■■■■ ■■■
.....■ r■ Ert■■■■■■■\ i•■■■■■ II■■■■ of ■■■■■■■■■■■ ■■.dI1iII�IIIIIIIIi
■■■■■■■■■■■ ■■■■�■■I:■i1:'■� ■■ ■■■ ■r ■■■■■ ■■lu■■■■-■■■■■■■■■■■ ■■■a
■■■■i■■U■■■■■•■•■■ ■■■ ■■■■% �•
■ ��■■ o1■. u■ ■■■■■■■■■■■■ri■■■u■■�I■■■■■■■■■
................ ■IH!i iIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIP iIIIIIIIIII�IIIIIIIII
IIIIIIIIIIIIIill IIIIuiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1iIIIIIII IIIPIi!IIIIIII
■■■■■■■■■■■■■ E■■■■► m■■■■■ au■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■��m■■■■■...■■s�■■■i�r:■■■■■■■
■ ■■■■■■■■ ■■■ ■IW I ■ ■■E•■■■■■■.NIii■■■■i■■ II ■ ■■ ■ ■!_.■■■■■ ■1■■ ■ ■■■■■
IIIIIIIIIIIIII! i1II! HHI. IuI► IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1III 11111111/
■■■■■■■■■■■■ OM MI 1■ C_ ir■■■r■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■\■■■■■■■■■■ ■1I..... ■ ■■
�I. I IIIIIIUIIIIIIiihi IIIIIIIIIIIIIIIIIIIIIiII IIIIIIIIIIIIIII
IIIIIIIIIIIIILI�.��I I
■■■■■■■■■■■■■■■ i�... nP■ r■■■■■ L�. ii■■■■■i iElm ENN' i■■. i. .....r�..._m___..r■ ■■G■■■■■■■■■
Florida Building Code Edition 2004
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: EAGLE ROOFING PRODUCTS
Notice of Acceptance Number: 06- 0526.10
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
Pmaxi : 45.2 Pmt: 95.4 Pmax3: 95.4
Maximum Design Pressure
(From the NOA Specific System): 40.4
Method of Tile Attachment: POLYFOAM MEDIUM PADDY
Roof Slope:
3 :12
eck Type:
Sloped System Description
5/8" PLYWOOD
Type Underlayment:
nsulation:
30# ASTM D226 TYPE II
N/A
Fire Barrier:
N/A
Fastener Type & Spacing:
Ridge Ventilation?
N/A
dhesive Type:
11 -1/4" RS NAILS @6- 12 "O.C.
IPOLYFOAM
Type Cap Sheet:
90# HOT MOP
oofing Covering:
Type & Size Drip
dge:
BEL AIR
Mean Roof Height: 10
3X3 GALVANIZED
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. Compared the values for Mr with
the values from Mr If the Mf 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"
(p1: 45.2 x, 0.278 = 12.56 ) _ Mg: 7.71 = Mr, 4.85 NOA Mr 40.4
(p2; 95.4 x ), 0.278 = 26.52 ) - Mg: 7.71 = M2 18.81 NOA Mr 40.4
(p3: 95.4 x A 0.278 = 26.52 ) - Mg; 7.72 = M2 18.81 NOA Mr 40.4
Method 2 "Simplified Tile Calculations Per Table Below"
Required Moment of Resistance (Mr) From Table Below NOA Mr
Mr Required Moment Resistance*
Mean Roof Height
Roof Slope
15'
20'
25'
30'
40'
2:12
34.4
36.5
38.2
39.7
42.2
3:12
32.2
34.4
36.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
*Must be used in conjunction with a list of moment -based tile systems endorsed by the Broward
County Board of Rules and Appeals.
For Uplift-based tile systems use Method 3. Compared the values for F' with the values for Fr.
If the F1 values are greater than or equal to the Fr values for each area of the roof, then the tile
attachment method is acceptable.
Method 3 "Uplift-Based Tile Calculations Per RAS 127"
(P,:_ xI: )- W:_xcos 0: =Frf: NOA Fl
_= _xw:=
(P2:_ xl: =_xw:= W:_xcos 0: =Fr2: NOA F1
_ _)-
(P3:_ xl:_= _xw:= W:_xcos 0: =Fr3: NOA F1
_)-
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
P1 or P2 or P3
RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
0
Job Site
Aerodynamic Multiplier
.i
NOA
Restoring Moment due to Gravity
Mg
NOA
Attachment Resistance
M,
NOA
Required Moment Resistance
Mr
Calculated •
Minimum Attachment Resistance
F1
NOA
Required Uplift Resistance
F,
Calculated
Average Tile Weight
W
NOA
Tile Dimensions
I = length
w = width
NOA
All calculations must be submitted to the Budding Official at the time of permit application.
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCr 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
Eagle Roofing Products LLC
1575 East C.R. 470
Sumterville, FL 33585
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 NO.\ 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 deterrr fined 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: Bel Air, Bel Air Double Eagle, Ponderosa, Ponderosa Double Eagle, Golden Eagle
Low Profile Concrete Tiles
LAI3E 1,I NG: 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 ", »nless 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 he available for inspection at the job site at the. request of the I3uildine Official.
This NOA consists of pages 1 through 9.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 1 of 9
ROOFING ASSEMBLY APPROVAL
Category:
Sub - Category:
Material:
Deck Type:
Roofing
07320 Roofing Tiles
Concrete
Wood
1. SCOPE
This approves a new roofing system using "Low Profile Concrete Tile" as manufactured by Eagle
Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance.
For locations where the pressure requirements, as determined by applicable Building Code does
nurexceed 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
Bel Air Concrete
Tile
Bel Air Double
Eagle Concrete Tile
Ponderosa Concrete
Tile
Ponderosa Double
Eagle Concrete Tile
Golden Eagle
Concrete Tile
Trim Pieces
Test
Dimensions Specifications
L= 17"
W =12%"
Thickness ='h"
L = 17"
W= 12%"
Thickness ='/z"
L= 17"
W = 12' /4"
Thickness =
W =121/"
Thickness = %"
L= 17"
W= 12'/"
Thickness = Y"
I= varies
w = varies
varying thickness
TAS 112
TAS 112
TAS 112
TAS 112
TAS 112
TAS 112
Product
Description
Flat profile concrete roof tile equipped with
two nail holes. For adhesive set, direct deck
or battened nail -on applications.
Flat profile concrete roof tile equipped with
two nail holes. For adhesive set, direct deck
or battened nail -on applications.
Flat profile concrete roof tile with slate finish
equipped with two nail holes. For adhesive .
set, direct deck or battened nail -on
applications.
Flat profile concrete roof tile with shake finish
equipped with two nail holes. For adhesive
set, direct deck or battened nail -on
applications.
Flat profile concrete roof tile brushed finish
equipped with two nail holes. For adhesive
set, direct deck or battened nail -on
applications.
Accessory trim, clay roof pieces for use at
hips, rakes, ridges and valley terminations.
Manufactured for each tile profile.
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 2 of 9
2.1 SUBMITTED EVIDENCE:
Test Agency
PRI Asphalt Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redlaa Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
l'he Center for Applied
Engineeri ng, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Cc1wex Corporation Testing
Service
Celotex Corporation Testing
Service
Walker Engineering, Inc.
Walker Engineering, Inc.
Test Identifier
ERPF - 001 -02 -01
7161 -03
Appendix III
7161 -03
Appendix 111
7161 -03
Appendix II
P0402
Letter Dated Aug. 1,
1994
P09647 -01
94 -084
25- 7094 -(2, 5, & 8)
25- 7183 -(5 thru 6)
75-7214-(1, 5 , & 8)
25- 7487 -2
25- 7496 -(1 & 4)
25- 7804 -6
520109 -1
520111 -4
520191 -1
Calculations
Calculations
Test Name/Report
TAS112
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102(A)
Wind Tunnel Testing
TAS 108 (Nail -On)
Withdrawal Resistance
Testing of screw vs. smooth
shank nails
Wind Tunnel Testing
TAS 108 (Nail -On)
Wind Tunnel Testing
TAS 108 (Mortar Set)
Static Uplift Testing
TAS 101 (Mortar Set)
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 102
Static Uplift Testing
TAS 101
Static Uplift Testing
TAS 101
Aerodynamic Multiplier
Restoring Moments Due to
Gravity
Date
Aug. 2006
Dec. 1991
Dec. 1991
Dec. 1991
Sept. 1993
Aug. 1994
Aug. 1994
May 1994
Oct. 1994
Feb. 1995
March, 1995
Dec. 1995
Dec. 1995
Sep. 1996
Dec. 1998
March 1999
Sep. 2006
Sep. 2006
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 3 of 9
3. LIMJTATIONS
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 TAS 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 underlayments 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 undcrlayment material manufacturers puUfished literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with chapter 29 of the SFBC.
4. INSTALLATION
4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle,
Ponderosa Double Eagle Flat Concrete Roof Tiles and its components shall be installed in
strict compliance with r oofing 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)
Bel Air, Bel Air Double
Eagle, Ponderosa, Golden
Eagle, Ponderosa Double
Eagle Flat Tile
11.4
1.42
1.03
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 4 of 9
Table 2: Aerodynamic Multipliers - A (ft3)
Tile
A (ft3)
A (ft3)
Profile
Batten Application
Direct Deck Application
Bel Air, Bel Air Double Eagle,
0.301
0.278
Ponderosa, Golden Eagle,
Ponderosa Double Eagle Flat
Tile
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 4 of 9
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
fnr Naii-fln Cvcfomc
Tile
Profile
Table 3: Restoring Moments due to Gravity - Ma (ft-ibf)
Tile
3 " :12"
4 " :12"
5 ":12"
6 ":12"
Greater than
_ _Profle
17.2
1 -10d Smooth or Screw
Shank Nail
7.3
7 " :12"
Bel Air, Bel
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Air Double
2 #8 Screw
Deck
51.7
Deck
24.4
Deck
24.3
Deck
Deck
Eagle,
Ponderosa,
7.48
7.71
7.37
7.59
7.22
7.44
7.05
7.27
6.86
7.07
Golden Eagle,
31.9
32.2
_
2 -10d Ring Shank Nails' 50.3 65.5
48.3
1 Installation with a 3" tile headlap and fasterners are located a min. of 2 %z" from head of tile.
Ponderosa
Double Eagle
Flat Tile
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
fnr Naii-fln Cvcfomc
Tile
Profile
Fastener Type
Direct Deck
(min 15/32" plywood)
Direct Deck
(min. 19/32" plywood)
Battens
Bel Air, Bel
Air Double
Eagl ,
Ponderosa,
Golden
Eagle,
Ponderosa
Double
Eagle Flat
File
2 -10d Ring Shank Nails
30.9
38.1
17.2
1 -10d Smooth or Screw
Shank Nail
7.3
9.8
4.9
2 -10d Smooth or Screw
Shank Nails
14.0
18.8
7.4
1 #8 Screw
30.8
30.8
18.2
2 #8 Screw
51.7
51.7
24.4
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 -1Od Smooth or Screw
Shank Nails (Eave Clip)
31.9
31.9
32.2
_
2 -10d Ring Shank Nails' 50.3 65.5
48.3
1 Installation with a 3" tile headlap and fasterners are located a min. of 2 %z" from head of tile.
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 5 of 9
i dUle 3; Hnacnment Kesistance Expressed as a Moment Mf (ft -Ibf)
for Two Patty Adhesive Set Systems
Tile
Profile
Bel
Tile Application
Minimum Attachment
Resistance
Air, Bel Air Double Eagle,
Ponderosa, Golden Eagle, Ponderosa
Double Eagle Flat Tile
Adhesive2
31.33
_2 __See manufactures component approval for installation requirements.
3 Flexible Products Company TileBond Average weight per patty 13.9 grams.
_ -_ Pol oam Product, Inc. Average weight •er •a 8 'rams.
Table 5A: Attachment
—for Single
Resistance
Patty--Adhesive-Set-
Expressed as a Moment
Systems - -
Tile Application
- Mf (ft-Ibf)
Minimum Attachment
Resistance
Tile Profile
Bel Air, Bel Air Double Eagle, Ponderosa,
Golden Eagle, Ponderosa Double Eagle Flat
Tile
PolyProTM
118.94
PolyProTM
40.4b
4 Lars() 'add •Iacementof45. rams ofPol ProTm.
5 Medium paddy placement of 24 grams of PolyPro TM.
Table 5B: Attachment Resistance
for Mortar or Adhesive
Expressed as a Moment
Set Systems
Tile
Application
- Mf (ft-Ibf)
Attachment
Resistance
Tile
Profile
Bel Air, Bel Air Double Eagle, Ponderosa,
Golden Eagle, Ponderosa Double Eagle Flat
Tile
Mortar Setb
43.9
6 Tile -Tite Roof Tile Mortar.
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See
Detail Below), or following statement: "Miami -Dade County Product Control Approved ".
EAGLE® ,'
FLORIDA
AIR, 13EL AIR DOUIiLF.EAGLE PONDEROSA, GOLDEN;EAGLI<:, l'ONDEROSA DOUBLE,
,
EAGLE CONCRETE ROOF TILE LAI3EL, SUMTERViLLF, PLANT
(LOCATED ON UNDERSIDE OF TILE)
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 6 of 9
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
BEL Am
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 7 of 9
BEL AIR DOUBLE EAGLE
PONDEROSA
PONDEROSA DOUBLE EAGLE
NOA No.: 06-0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 8 of 9
GOLDEN EAGLE
END OF THIS ACCEPTANCE
NOA No.: 06- 0526.10
Expiration Date: 10/12/11
Approval Date: 10/12/06
Page 9 of 9
HUD -1
A.. Settlement Statement
U.S. Department of Housing
and Urban Development
OMB No. 2502 -0265
B: Type of Loan
Q 1. FHA 0 2. FmHA • 3. Conv. Unins.
Q 4. V.A. 0 5. Conv. Ins.
6. File Number
AUVERT - MACARENO
ID:
7. Loan Number
8. Mortg. ins. Case Num.
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked °(p.o.c.)° were paid outside the dosing; they are shown here for informational purposes and are not included in the totals.
D. NAME OF BORROWER:
Address of Borrower.
E. NAME OF SELLER:
Address of Seller.
F. NAME OF LENDER:
Address of Lender.
G. PROPERTY LOCATION:
H. SETTLEMENT AGENT:
Place of Settlement:
I. SETTLEMENT DATE:
DIANA MARIA AUVERT and ROBERTO BURGUERA, her husband
1223 NE 102nd Street, Miami Shores, Florida 33138
ROBERT B. VICKERS
1401 NE 101st Street, Miami, Florida 33138
MERCANTIL COMMERCEBANK, N.A.
220 Alhambra Circle, 2nd Floor, Coral Gables, Florida 33134
1223 NE 102nd Street, Miami Shores, Florida 33138
Ana Marta Angulo
5975 Sunset Drive, Suite 503, South Miami, Florida 33143
11/14/08 DISBURSEMENT DATE: 11/14/08
TIN:
TIN: 59-2387815
Phone:
1 T.
dOOe:Gi s3arri. ,.. Y::. .m •
' '40p .ti.., ,u ialiab` i a 3
e v
380,000.00
101. Contract sales price
380,000.00
401. Contract sales price
102. Personal property
402. Personal property
103. Settlement charges to borrower (Une 1400)
13,779.96
403.
104.
404.
105.
405.
=,'Ad B$t ifetris; ::1r • 1; " 1l8f s'. a%1 a <'•
106. City/town taxes
,.>
Ad , c ree•. • 47 r- tfb ft1,-- fTi Ohs Zi<
406. City/town taxes
107. County taxes from 11/14/08 to 12/31/08
1,306.95
407. County taxes from 11/14/08 to 12/31/08
1,306.95
108. Assessments
408. Assessments
109.
409.
110. Waste L oeII 11/14/08 to 12/31/08
24.61
410. Waste from 11/14/08 to 12/31/08
24.61
111.
411.
112.
412.
120. Gross amount due from borrower.
395,111.52
420. Gross amount due to seller.
381,331.58
:"200 AirioiTiits old'`di #Tdfi`airaftti6W5VVia r'
,..:WriTin r.
'100 rREdi`idtloir ili"ti`rui'IntdiattdVell frC n '=Vil,- r.
t
201. Deposit or earnest money
38,000.00
501. Excess deposit (see Instructions)
202. Principal amount of new loan(s)
266,000.00
502. Settlement charges to seller (line 1400)
40,950.87
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. Principal amount of second mortgage
504. Payoff: Washington Mutual
320,137.78
205.
505. Payoff: Washington Mutual
3,000.00
206.
506. Deposits held by seller
207. Principal amt of mortgage held by seller
507. Principal amt of mortgage held by seller
208.
508. Overage due to WAMU
17,242.91
209.
509.
X1" ushn�ilb#a -am °li::'air - e
.sA• .? . v ^"
210. City/town taxes
510. City/town taxes
211. County taxes
511. County taxes
212. Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217.
517.
218.
518.
219.
519.
220. Total paid by/for borrower.
304,000.00
520. Total reductions in amount due seller.
381,331.56
X50: +'esa:;f! ' 4ma'1 Mk,
395,111.52
4 e : eie •i :I$
-i:eGi ,dr
301. Gross amount due from borrower
(line 120)
601. Gross amount due to seller
(One 420)
381,331.56
302. Less amount paid by/for the borrower
(line 220)
(304,000.00)
602. Less total reductions in amount due seller
(line 520)
(381,331.56)
91,111.52
0.00
303. Cash ( 0 From • To ) Borrower.
603. Cash ( • To • From ) Seiler:
Substitute Form 1099 Seller Statement The information contained In blocks E, G, H, and I and on tine 401 Is important tax information and is being
furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction will be imposed on you ff this item Is required to be reported and the IRS
determines that it has not been reported.
Seller Instructions: If this real estate was your principal residence, foe Form 2119, Sale or Exchange of Prindpat Residence, for any gain, with your tax
return; for other transactions, complete the applicable parts of Form 4797, Form 6262 and/or Schedule D (Form 1040).
DoubieTime®
HUD -1
U.S. Department of Housing and Urban Development
Page 2
t Sek1ehie) Gil ii -n ''' _
1•.-
Paid from
Borrower's
Funds at
Settlement
Paid from
Seller's
Funds at
Settlement
700. Total Sales/Brokers Corn. based on price $380,000.00 @ 5.0000 % = 19,000.00
701. 9,500.00 2.5000 % to KELLER WILLIAMS EAGLE REAL ESTATE
702. 9,500.00 2.5000 % to DUFFY REALTY
703. Commission paid at settlement ($19,000.00 less deposit held $9,500.00 = $9,500.00)
19,000.00
704. to
�xi�c
:o0 .t- �:.x,. .i, wa n WWF � ;i3a :e.x : ,Yam %tr 4... -,V .'kb � - is .s r
801. Loan origination fee % to MERCANTIL COMMERCEBANK NA
"C.
2,660.00
P
802. Loan discount % to
803. Appraisal fee to CERTIFIED APPRAISAL OF SOUTH FLORIDA 300.00
804. Tax Service Fee to LAND AMERICA
65.00
805. Flood Cert Fee to CBCinnovis
18.00
806. Processing Fee to MERCANTIL COMMERCEBANK NA
300.00
807. Sec. Instrument Prep Fee to MERCANTIL COMMERCEBANK, NA 200.00
808. Attorneys Fees to DE OLIVEIRA & ASSOCIATES, PA
350.00
809. Courier Fees to DIRECT COURIER
50.00
810. to
811. to
r iCir -S' >e i)7 b i aft , :. + ;7 r .: =y ss 1.. F t.> li "04
__
901. Interest from 11/14/08 to 12/01/08 @50.1027 /day
851.75
902. Mortgage insurance premium for months to
903. Hazard insurance premium for years to CITIZENS 5538.00
904. Flood insurance premium for years to
905. years to
1001. Hazard insurance 3 months @ $461.50 per month
1,384.50
1002. Mortgage insurance months @ per month
1003. City property taxes months @ per month
1004. County property taxes 3 months @ $831.07 per month
2,493.21
1005. Annual assessments months @ per month
1006. Flood insurance months @ per month
1007. months @ per month
1008. months @ per month
1009. Aggregate accounting adjustment
1 OOMfg hose§ - ., . ;:. a a A.,..: -; o''
; .
,a € Ham ;;
1101. Settlement or closing fee to
1102. Abstractor title search to ATIF /A.Angulo
125.00
225.00
1103. Title examination to
1104. Title insurance binder to Ana Maria Angulo
295.00
1105. Document preparation to
1106. Attorneys Fees to RICHARD A. GOLDEN, ESQUIRE
2,500.00
1107. Attorneys Fees to Ana Marta Angulo
500.00
(includes above item numbers:
)
sA
1108. Title Insurance to Attorneys' Title Insurance Fund, Inc.
2,000.00
(includes above item numbers:
)
1109. Lender's coverage (Premium): $266,000.00 ($25.00)
1110. Owner's coverage (Premium): $380,000.00 ($1,975.00)
1111. Endorse: 6-25;8.1-25;F9-200.00
250.00
1112. Recertification of Title to Ana Maria Angulo
225.00
1113. to
416 . ,*Ti .a =
a
n S
1201. Recording fees Deed $18.50 Mortgage(s) $231.00 Releases
249.50
1202. City/county tax/stamps Deed Mortgage(s) $532.00
532.00
1203. Statetaxlstamps Deed $2,280.00 Mortgage(s) $931.00
931.00
2,280.00
1204. to
1205. to
''''J 94 gfiE, .i °± x,. T""- k. .' "' ;;ys ti "'
1301. Survey to MOJARENA & ASSOCIATES, INC.
f. 's
Sc: ':b,,:.
400.00
1302. • to
1303. Lien Searches to ABRAMOW ITZ TAX & LIEN SERVICE, INC.
149.00
1304. to
1305. Courier Fees to Ana Maria Angulo
100.00
1308. 2008 real property taxes (Nov. And) to Dade County Tax Collector
9,965.47
1307. Amts. due Waste to VILLAGE OF MIAMI SHORES
206.40
1308. to
1309. Additional expenses (See Attached Addendum)
6,625.00
( Enter on lines 103, Section J and 502 Section K)
13,779.96
40,950.87
DoubleTimee
HUD -1 SETTLEMENT STATEMENT
ADDENDUM
FILE NUMBER: AUVERT - MACARENO
NAME OF BORROWER: DIANA MARIA AUVERT and ROBERTO BURGUERA, her husband
Address of Borrower. 1223 NE 102nd Street, Miami Shores, Florida 33138
NAME OF SELLER: ROBERT B. VICKERS
Address of Seller. 1401 NE 101st Street, Miami, Florida 33138
NAME OF LENDER: MERCANTIL COMMERCEBANK, N.A.
Address of Lender. 220 Alhambra Circle, 2nd Floor, Coral Gables, Florida 33134
PROPERTY LOCATION: 1223 NE 102nd Street, Miami Shores, Florida 33138
SETTLEMENT AGENT: Ana Maria Angulo
Place of Settlement: 5975 Sunset Drive, Suite 503, South Miami, Florida 33143
SETTLEMENT DATE: 11/14/08 DISBURSEMENT DATE: 11/14/08
Itemization of Additional HUD Line Items
Description a ee Borrower POC Seller POC Borrower Seller
Short Sale Processing Fee KRAMER & GOLDEN, PA. 6500.00
Couriers KRAMER & GOLDEN, P.A. 125.00
Total HUD Line 1309 Expense:
0.00 0.00 0.00 6,625.00
This addendum is attached to a HUD -1 Settlement Statement executed by the aforementioned parties and Is attached to said
HUD Statement for the purpose of itemizing expenses reflected on line 1309 of page 2 thereof.
Blower's Initial(s):
Seller's Intttal(s):
DoubleTime®
r
HUD -1 SETTLEMENT STATEMENT ADDENDUM
File Number: AUVERT - MACARENO
I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a
true and accurate statement of all receipts and disbursements made on my account or by me in this transaction.
I further certi that 1 hav1 ceived . copy of the HUD -1 Settlement Statement.
Borrower(s)
ROBERT B. CKERS
�n -Settlement Agent
The HUD- eme to em 'nt which I have prepared is a true and accurate account of this transaction. I
have cause or a the funds to be disbursed in accordance with this statement.
Seller(s)
BY:
will
Maria Angu
i
Date:
/q/0
f
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar
form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code
Section 1001 and Section 1010.
DoubleTime®
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the
required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of
the Florida Building Code, Building govem the minimum requirements and standards of the industry for roofing
system installations. Additionally, the following items should be addressed as part of the agreement between the
owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained.
A1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone)
are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to 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.
S17 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed
in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building
Code. (The roof deck is usually concealed prior to removing the existing roof system).
Ys 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, 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 underside of the decking may not be acceptable. The Florida Building Code 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 not be evident until the original
roofing system is removed. Ponding conditions should be corrected.
43 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
with the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of
the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be
beneficial to consider additional venting which can result in exten • _:.: + - —aE,: ce life of the roof.
wner's /Agent's Signature
1223 , E l02 M. S1104-5,
Property Address
Y
til0y/08
Date
Permit Number
on : - c or's Signature