Loading...
RF-11-728Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 158757 Scheduled Inspection Date: September 21, 2011 Inspector: Bruhn, Norman Owner: BOERNER, JEFF & NORA Job Address: 9700 NE 12 Avenue Miami Shores, FL 33138 -2544 Project: <NONE> Contractor: JM PROPERTIES OF W PALM BEACH INC Permit Number: RF -4 -11 -728 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132050170010 Phone: (561)804 -1248 Building Department Comments RE -ROOF FLAT TILE Passed ,9/1 Failed S)7479 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 20, 2011 For Inspections please call: (305)762 -4949 Page 3 of 34 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # / 0' % 'Z ( DATE: 9. 21 • l INSPECTION AFFIDAVIT C4iN (o S i 7 licensed as a (n) Contractor / Engineer / Architect, Print name and circle License Type) ype) FS 468 Building Inspector License #: OITC 16/ Z/ On or about 917/i (Date & time) Secondary water barrier work at , I did personally inspect the roof deck nailing and (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553 Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an Inspection. Include ppfio raphs of each plane of the roof with permit # and address # dearly shown marked on the deck for each Inspection Revised on 5/21/2009 f L Root T Scd.v , 14.e. NOA No. 08- 0305.07 Exp: 1/29/2012 TESTING * ENGINEERING CALCULATIONS * INSPECTIONS Since 1998 September 19, 2011 Building Department Official; Florida Roof Testing Services, Inc. has performed a tile uplift test on the building described below. The tile uplift test consists of placing a load test device manufactured by, Chatillon Industries, [Model LG -100] over the tile with an adjustable connector placed under the front lip of the tile and gradually increasing upward pressure until a reading of 35 pounds is obtained. All testing was conducted in accordance with FBC 2007 TAS- 106 -R, (2006 supplement). Gauge Calibration Certificate on Reverse Side. Florida Roof Testing Services Inc. responsibility in this project was specifically tile uplift testing to a specific limit. No other conclusions or observations are expressed or implied. Florida Roof Testing Services is not responsible for any damaged or broken tile during the course of the test. Please note all measurements are approximate. Contractor. Job Address: Permit # Application Method: Test Results: Tech: Report Prepared By: FRT Job # IDT Building_ 9700 NE 12 Avenue. Miami Shores, FI. Foam Set, Monier, 7,375 Sf. 9119/11 Pass FH Fred Hernandez, Senior Technical Analyst 11 -115 Lcsficn :: Field (T) � 4070 _..._ 21 0 FaiNd 0 0 21 Perimeter (T) 6.5' 1 2925 30 0 0 0 30 Comers (T) 9 380 9 0 0 0 9 # Hip (H) 364 19 0 O 0 19 # Ridge R 30 2 0 0 0 2 7. «� ,y/ .ili,,. .°- i� „iS _ 50 • Y R. N. Sailappan, P.E. Florida Registration No. 46696 516 NW 1st Avenue, Fort Lauderdale, Florida 33301 * Phone: 954.975.9010 * Fax: 954.956.0990 TAS -106 -R - Tile Uplift Test Report QUALITY SYSTEMS LAB AN ISO 17025 ACCREDITED LAB CERTIFICATE OF CALIBRATION Certificate No: FRT005:35,635 Performed for: Test Results: Pass Florida Roof Testing 516 NW 1st Ave Fort Lauderdale, FL 33301 Instrument Details: Description: Manufacturer. Model Number Serial Number Equipment ID: Location: PO Number Force Pull Gauge Cha illon LG -100 R04354 N/A Calibration Details: Procedure Used: Temp: Humidity: Calibrated: Frequency: Comments: GIDEP/MFQ's/QSL Procedure 72 "F 43 %RH 07/19/2011 Quarterly Quality Systems Laboratory certifies that the above listed instrument meets or exeeds all specifications as Calibration Results stated in the referenced procedure unless otherwise noted. It has been calibrated using measurement standards traceable to the National Institute of Standards and Technology (NIST), or to NIST accepted intrinsic standards of measurement, or derived by the ratio type of self - calibration techniques. This calibration complies with ISOiIEC 17025:2005. Please note that any Test Uncertainty Ratio (MR) that is less than four to one will appear under the "TUR" column on the data sheet below. ff the TUR meets or exceeds four to one, the column is hidden from view. Uncertainty evaluation includes the instrument under test and is calculated in accordance with the ISO "Guise to the Expression of Uncertainty in Measurement". The uncertainty represents an expanded uncertainty using a coverage factor k=2 to approximate a 95% confidence level. In tolerance conditions are based on teat results falling within specified limits with no reduction by the uncertainty of the measurement. Quality Systems Laboratory's responsibility shall in no event, nor for any cause whatsoever, exceed the purchase price of this certification. This report may not be reproduced, except in full, unless permission for the publication of an approved abstract is obtained in wilting from the calibration organization issuing this report. Calibration Standards Test Instrument ID Description QSL021 CompressioniTension Tester (As Of Cal Entry Date) Manufacturer Serial Number Cal Date Due Date Thwing Albert 61544 10/10/201010/10 /2011 Group # Group Name Stated Accy 1 Force Test Pct of Range Calibration Results Nom In Vat / In Val In Type Out Val Out Tvoe 10.00110.00 Lbs 10.0 Lbs 50.00 / 50.00 Lbs 50.0 Lbs 75.00 / 75.00 Lbs 75.0 Lbs 100.00 / 100.00 Lbs 100.0 Lbs Fed As 10.1 50.1 75.2 100.2 Range Acc % Reading ACC % Pins/Minus 0.2500 0.0000 0.0 W AB Low Hieb pase/Fau 10.1 9.8 10.3 Pass 50.1 49.8 50.3 Pass 75.2 74.8 75.3 Pass 100.2 99.8 100.3 Pass Metrology Manager. Edward Brown . Signature: Jwara $Town Quality Manager: Signature: Dr. Cheryl Thibodeau 7604 NW 6th Ave • Boca Raton, FL 33487 • TEL: 561.999.1896 • FAX: 661.999.1897 QuafitySystab@beflsouth.net • www.QSL- Inc.com Page 1 of 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 9700 NE 12 Avenue Miami Shores, FL 33138 -2544 1132050170010 Block: Lot: JEFF & NORA BOERNER 1 Owner Information Address Phone Cell JEFF & NORA BOERNER 9700 NE 12 Avenue MIAMI SHORES FL 33138 -2544 Contractor(s) Phone JM PROPERTIES OF W PALM BEACH (561)804 -1248 Cell Phone Valuation: Total Sq Feet: $ 15,000.00 4000 1 Type of Work: Re Roof Additional Info: Classification: Residential Scanning: 4 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $9.00 $4.88 $4.88 $3.00 $325.00 $12.00 $12.00 $370.76 Pay Date Pay Type Amt Paid Amt Due Invoice # RF -4 -11 -40719 06/01/2011 Check #: 1791 $ 370.76 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Renailing Affidavit Cap Sheet In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. June 01, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 01, 2011 1 8S- 111 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: q-700 NE City: SLer-es ROOFING rijiM@TZEWM ta APR 2 6 Dill BY:... Permit No. Master Permit No. State: o�(io/(--C/` Phone #: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 9/0 U 0 »' i City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: () �y � pO f�i/l�S O IA-) p* Phone #: - — ► %y s Flood Zone: Address: / 0 lier5a /Ie City: State: Zi y I tat . ! Zip: Qualifier Name: 0 Y)1i -4- Pte/(/ /' I Phone #: g State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ' �� Square/Linear Footage of Work: §Q 'l Type of Work: DAddition Description of Work: ❑Alteration New URepair/Replace P--(00 f "F(k (542...o—W\ TI( ODemolition * * *** x***** **** x********* ** ** ** ** **** Fees******* ***** ********* * ***** *a:*******x:a:****** Submittal Fee $ -- _ - = -' ermit Fee $ 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ t� "ek0 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 day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) 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. 1 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: 1 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 not ce' ' commence must be posted at the jot site for the first inspection which occurs seven (7) days after the building permit is issued tnsp e of such posted notice, the inspection will not be approved and a reinspection fee will he charged. Signature Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was ac -.ged before me day of i,, 1 0 1 , by _erg- Fj , day of /l✓t-k , 2011 , by 4 r LLt A who ' per onally known . me or who has produced (---who is personill to me or who has produced as identifi lion an, who did take an oath. NOTARY PUB Sign: Print: NOTARY PUBL Sign: Print: 1)-} i✓ My Commission Expires: My Commission E ' PUBLIC- S��T��ATE OQ�F+..F,,L,O,RIDA mmtss1on # EE018426 (Certificate of Competency Holder) Expires: AUG 1: 2014_ non iIMATLL\ N , • „ State Certificate or Registration No. Certificate of Competency No. -fC " 7 APPLICATION APPROVED BY: chc 10/14/03 ,alef Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. `-// COPY OF QUALIFIER'S STATE LIC CARD B. [/ COPY OF LOCAL BUSINESS TAX RECEIPT C. ✓+ COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. t// COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: . ,° i YC. M � -S c6oL7�1�rt: , BUSINESS ADDRESS: Y1) CITY C &. 12,Zee STATE r ZIP CODE )! 4 L c7 I � BUSINESS PHONE: ( G I) S' v T / 2 (-L FAX NUMBER (J2 j) r CELL PHONE ri,9 I ) J S 7 V "y QUALIFIER'S NAME: Liu Pr g-Al A ,v 7'' C ?f M� QUALIFIER'S LIC NUMBER: C 5-7S- E-MAIL ADDRESS (IF APPLICABLE): 3N ' fnQ0ejn75�' C in'1 Ch 5) • i/t�' Created on 3119109 BY MLDV 1 RV 3126/19 MLDV ACg STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SAINMERVIL, DARMA JM PROPERTIES OF W PALM BEACH INC 10606 VERSAILLES BOULEVARD WELLINGTON FL 33467 Congratulations! ',^iith this h e,nse you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professJanals and businesses range from architects to yacht brokers, frorn boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridaticense.com. There you can find more information about our divisions and the regulations that impact you. subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! ' r7 t"' DETACH HERE REGULATION (850) 487 -1395 } STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION AC* 5 CCC1326578 07/02/10 100007109 CERTIFIED ROOFING CONTRACTOR SAINMERVIL, DARMA JM PROPERTIES OF W PALM BEACH IN IS CERTIFIED under the provieione of eh.989 Fs sxp,retion dote, AUG 31, 2012 L10070200E31 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ #L1fl070200s31 DATE BATCH NUMBER LICENSE NBR 07/02/2010+100007109 CCC1326578 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 SAINMERVIL, DARMA JM PROPERTIES OF W PALM BEACH INC 10606 VERSAILLES BOULEVARD WELLINGTON FL 33467 CHARLIE CRIST GOVERNOR nlep Y AC REAP IIRFf RY 1 AOf CHARLIE LIEM INTERIM SECRETARY Al EX SINK CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. 10 -06 -2009 EFFECTIVE DATE: PERSON: FEIN: 12/05/2009 EXPIRATION DATE: 12/05/2011 SAINMERVIL DARMA 200831871 BUSINESS NAME AND ADDRESS: UM PROPERTIES OF W. PALM BEACH INC 10606 VERSAILLES BLVD WELLINGTON FL 33467 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED BUILDING CONTRACTOR 2- CERTIFIED ROOFING CONTRACTOR IMPORTANT- PuIStIant to Chapter 440 055141. F.S., an officer of a corporation mho elects exemption from this chapter by filing a certificate of election under This section may not recauer benefits 01 compensation under this chapter. Pursuant to Chapter 440.051121, F.5., Certificates of election to be exempt... apply only within the scope of the business or trade listed an the notice of election to be exempt. Pursuant In Chaplet 440.051131, F.S., Notices of eletlioo to be exempt and Cellilicates of election to be exempt shall be subject to revocation it, at any limo atter the tiling of the notice or the issuance of the certificate, the person named on the notice of eertnccate no longer meets the requirements of this section for issuance of a certificate. The department shall reaobe a certificate at any time for lailnte of the person named an the certel ■cafe to meet the requirements at this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE QUESTIONS? (850) 413-1609 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 12/05/2009 EXPIRATION DATE: PERSON: DARMA SAINMERVIL FEIN: 200831871 BUSINESS NAME AND ADDRESS: MI PROPER Tt S OF W. PALM REACH INC 1 35 VERSAtr LES tll'r i7 V1Fli iNGTON Ft 3346 12/05/2011 SCOPE OF BUSINESS OR TRADE: r- CrRT FiE❑ LOUR DING CONTRACTOR 2- CERTIFIED ROOFING CONTRACTOR: IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of electio. L under this section may not recover benefits or compensation under t. D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. H E R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE Of ELECTION TO BE EXEMPT REVISED 09 -06 GUUN 1 T LCTGAL BUSINESS I AX RECE 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2Q10 THROUGH SEPTEMBER 30, 2011 DBA: Receipt #:18 5 -14 3 6. Business Name: uM PROPERTIES OF W PALM BEACH INC Business Type :(ROOFING FING /SCONTRACTOR) CONTt CTOR Owner Name: DARMA SAINMERVIL Business Opened:06 /01/2006 Business Location: 750 E SAMPLE RD BDG rt2- 208 StatelCounty!Cert/Reg:CCC1326578 POMPANO BEACH EX @mption Cod @:NONEXEMPT Business Phone: 954 - 946 -6738 Rooms Seats Employees 1 Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: DARMA SAINMERVIL 10606 VERSAILLES BLVD WELLINGTON, FL 33467 This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2010 - 2011 Receipt #14A -09- 00006766 Paid 08/26/2010 27.00 04/12/2011 14:01 9549560555 COVER ALL INSURANCE PAGE 02/02 ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER COVER ALL INSUREANCE 5800W ATLANTIC BLVD MARGATE, FL 33083 DATE IME SOPINWI 0111?J2071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLiCIES BELOW. INSURERS AFFORDING COVERAGE NAIC Il INSURED J.M. PROPERTIES OF W. PALM BEACH, INC. 10806 VERSAILLES BLVD. WELLINGTON, FL 33487 e $URAN A 13D-0NTtNENT CASUALTY COMPANY MINER E. INSURER C. WEENIER O INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITMSTAND4NG ANY REOUIREMENT, TERM DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, OCCLUSIONS AND CONDJ?ONS OP SUCH POLICIES. AGGREGATE LIMITS SHOWN MAT HAVE BEEN REDUCED BY PAID CLAIMS A GENERAL WOMAN EACH X a 1,000,0 RCIAL GENERAL LIAMLITY 04GLON106870 trAmAck @ OA e9 0Q4 CLAIMS MADE 11 OCCUR EX MEDPjMNR1gPVnRmt S EXCLUDED PERSONAL 6 ADV ETJ'URY ;1.000.!0 X - - CONTRACTUAL LIAR GRAL AGOREOATE ! 2.810,0 NI. AGGRE UM 1 APP PER PRODUCTS • CONP F AL## S 2.x.000 1111712010 11/1712011 X FOLIC AUTOMOBR,E LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS MIRED AUTOS NON.OWNED AUTOS (E s a1 'saAd.e LRtuT BODILY �URY r11. =MY PROPERTY DAMAGE 1Pei mAldsnO GARAGE LIABILITY ANY AUTO AUTO ONLY - RA ACCIDENT OTHER TINS EA ACC $ AUTO ONLY; AGO S EXgE CUR81EdiJll._.J oCcuR CLAMS MADE H OEDUCTMLE RETENTION S EACH OCCURRENCE 1 AGGREGATE 1 WORKERS COMPENSATION AND EMPLOVERS' LIABIUPY O D CU OFFICEME CL OTHER I4P. i 1 9 E.I_EACH ACCIDENT S ALAMOS -EA EMPLOYEE.) E. LIMIT DESCRIPTION OF OPERATIONS J LOCATIOts I VBIACLSS l EXCLUSIONS ADDED SY ENDORSOR/4T SPECIAL PROVISIONS GENERAL CONTRACTORI ROOFING CERTIFICATE HOLDER CANCELLATION MIAMI SNORES VILLAGE BUILDING DEPT 1005014E 2ND AVENUE MIAMI SNORES FL 33138 FAX: 511.792.4227 ACORD 25 (2001/08) SNOUL0 ANY OP THIAMIN INSCRIBED POUCSMBECANG .ED BEFORETNEIMPIRATION DATE THEREOF, TN! ISSUING INSURER WS,. ENDEAVOR TO MAK. iO DAYS NETTER NOTAGB h CERTIFICATE HOLDER NAMED TO THE LEFT, SUP PSWHE TOO MT BNALL Tt011 OR HIND WON THE PEN NE. ITT AOINTB OR D ACORD CORPORATION 19/M Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 1,1 ' ��� DATE: v 1-2) 1.1 Cr5 ❑ Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Address: C)17/ C� (Z ANI From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to co . tinue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 11 -�0.2& Job Name 6 (.027 ,2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet ,62A-z t / /14(44 ,.[ _.t!,// c Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Miami -Dade My Home My Home ta a IE of _+ Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Eg Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3205 -017 -0010 Property: 9700 NE 12 AVE Mailing JEFFREY BOERNER &W Address: NORA Living Units: 9700 NE 12 AVE MIAMI Adj Sq Footage: SHORES FL Lot Size: 33138 -2544 Property Information: Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/3 Floors: 1 Living Units: 1 Adj Sq Footage: 2,783 Lot Size: 15,990 SQ FT Year Built: 1952 $50,000/ $228,562 REV PL MIAMI SHORES City: SEC 8 PB 43 -51 LOT 1 Legal BLK 180 LOT SIZE Description: IRREGULAR OR 16360- 2446 0594 1 OR 16360- 2446 0594 00 Assessment Information: Year: 2010 2009 Land Value: $191,693 $280,071 Building Value: $251,938 $268,149 Market Value: $443,631 $548,220 Assessed Value: $278,562 $271,239 Exemption Information: Year: 2010 2009 Homestead: 525,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 2010 2009 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $50,000/ $228,562 $50,000/ $221,239 County: $50,000/ $228,562 $50,000/ $221239 City: $50,000/ $228,562 $50,000/ $221,239 School Board: $25,000/ $253,562 $25,000/ $246,239 Sale Information: (c�ie n��e• IGNOOA Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 0 115 ft My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Hamel Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site ® 2002 Miami -Dade County. All rights reserved. Legend Property Boundary Selected de" Property Street fine Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 4/27/2011 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES APPROVED ZONING DEPT BLDG DEPT St1R.1FCT TO COMPLIANCE WITH ALL FEDERAL Florida Building Code Edition ,f_ AND COtJN TY RULES AND REGULATIONS High- Velocity Hurricane Zone Uniform Permit Application-Fenn. Section A (General Information) W11 iZ-Y. Master Permit No. Process No. ,/� Contractor's Name 5 M %� �� ! �jl Job Address "100 NE- ' J -4- ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Low Slope Roof Area (SF) ROOF CATEGORY ❑ Mechanically Fastened The Mortar /Adhesive Set T ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE APP2 6 2011 (Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Roof Area (.$j) %Do Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Total (SF) (960 sd� ■1111111!!!!l11111111111111!!!r111111 ■uu•■auu111Lrum11u000__ ■•NR•�.U1G2 U.. 11111111111111 MIN WEI 11111111111110 ■!r!!1111111111l111 !!!rte MIN 11111111EMIZMIIIIIIEM1111411111111111 EMI ■!il\ 1!!!.% I IIIIMI Z!!!! NMI BIM rli!!1111►.0!5!fr!!lii uumu__ lam■ Pr FLORIDA BUILDING CODE —BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High- Velocity Hurricane Zon© Uniform Permit Application Form. Section D. ( Steep Sloped Roof System) Roof System Manufacturer: MOP) t 12- 1 Fe' T 1 C e Notice of Acceptance Number: 0---1-60„).41, 0 3 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): 1: P2: t P3: 114P16 3 Maximum Design Pressure (From the Product Approval Specific System): Steep Sloped Roof System Descri tQ Ion Deck Type: ,^ 0 I� Roof S ope: �►�: 12 Type Underlayment: X0 L Insulation: L / A- Fire Barrier: Fastener Type & Spacing: I Ridge Ventilatj0 Mean Roof Height: i -r t Dal t0 6 1 ,ufitS /a "FAQ I Adhesive Type: Type Cap Sheet: Roof Covering: Ti Type & Size Drip ', Edge: 15.34 FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. ctinn F (Tile Calr-Vlatinns) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from M. lithe Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile auachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (�7 ,41.E /p� y ` %'t (P1:4S . 1 x A_C.l�l %��'7'- MB.� ) r = Mr��� � Product Approval Mr [ l C q (`J✓av x x .213_•;!..A War. Mg :7y' if =114,2%3 j� j' y Product Approval Mr 1 / p� �' (P3: / l,' S f = 33 Me: - V= Mr3 P.L,1) Product Approval Mr 1133 • � Method 2 "Simplified Tile Calculations Per Table Below" e�t,/� 4 Ee Required Moment of Resistance (Mr) From Table Below Product Approval Mr M, re • uired Moment Resistance* Mean Root Height Roof Slope ,1' 2:12 3:12 4:12 5:12 8:12 712 15' 20' 25' 30' 38.5 39.7 32.2 30. 38.0 33.8 31.6 37.4 35.1 328 28.4 28 0 29. 30.5 24.4 25.9 27.1 28.2 40' 42.2 39.8 37.3 34.9 32.4 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of ' »• and Appeals. For Uplift based tile systems use Method 3. Compared the values for F with the values for Fr. If the F' 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 "Moment Based Tile Calculations Per RAS 127" C. (P1: x xw: =_) -W: xcos (P,: x L = xw:_ (P3: x L x cos0 =Fr xw:= ) -W: x cos0 =Fr3 Product Approval F' F' Product Approval F Where to Obtain Information _ Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table I 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 2 Product Approval Restoring Moment due to Gravity M e Product Approval Attachment Resistance Mr Product Approval Required Moment Resistance Ms Calculated Minimum Attachment Resistance r Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L= length W = width Product Approval All calculations must be submiued to the building official at the time of permit application. FLORIDA BUILDING CODE — BUILDING 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, Building govern the minimum requirements and standards of the industry for roofing system installations. Additional, 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. 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) 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. . 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 South Florida Building Code. (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., 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. Exposed decking can be viewed .posed cerbngs: Exposed, open beam ceilings are where the underside of the roof d tog from below. The owner may wish to maintain the architectural appearance: therefore, roofing nail kpenetrations of the underside 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 not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeterledge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may he necessary to install overflow scuppers in accordance with the requirements of: 4'entilation: 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 extending the service life of the roof Date U''Sand_vR FORMS_ NOTICES, PRDCEDt TRES' STRUCTURAL.RODFINC * +.f'ruferm RRnfing - High Velocity Hurricane Zones Owner's Notification 0L2'- 02 dnc 1 MIAMMADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE NOA' Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375 -2991 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AI -3J). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AFIJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code, this product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Budding Code. DESCRIPTION: Polypro® AHI60 RENEWAI. of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product. for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by 1Frge L. Acebo. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive Polyurethane SCOPE: This approves Polypro® AHI60 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® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro®® AH 160 N/A TAS 101 Foampro® RTF1000 ProPack® 30 & 100 N/A N/A Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AHI60 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs. /Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158 °F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05/10 /11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name /Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Rarntech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01 -6743 -011 ASTM E 108 11/16/94 01-6739-062b[1] ASTM E 84 01/16/95 'Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1 Fire classification is not pan of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Poly-pro l:+ A.11160 shall solely be used with flat, low, & high tile profiles. 3. Minitnum underlayment shall be in compliance with the Rooting Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AP1160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. f 2 F°= MS NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3of7 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Pol ?pro® All 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polyproel Ai-1160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro +. AH 160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro'. dispensing equipment is required before application of any adhesive. The mix ratio between the "A " component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack&) 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro ±2 AH160 has been dispensed. 9. Polyproe AH160 placement and minitnum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail #1 Single Paddy Weight Min. (grams) 35 Two Paddy Weight per paddy Min. (grams) N/A Flat, Low, High Profiles High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4of7 Neil through plastic cement ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Paddy (Beateth Tito) 10 In. FmCattlt„.. Facie Fare wane only: Rasp atlhnha apluoa. a In up from weepholas Nall through plastic cement Paddy jBaneath Tlle) 1) Place enough adhesive to ,,litre 1F to 23 equal, &uetws In carded with the pan 111 2) Turn corers apa*de down. Pltct adlantt 112 To 1 In From ouields edge alma tile. Then emtall the Ilia. Optional 2a4's tor slash pith applwllora Mall through Ostia cement by pin aflhttare course cant tile. Abut to 'nand come of pan urn. Ensure earl and of pat and cow tame ere Rush et can He FJg closure Weep trok Fascia Bo (marttrshown) Ophaaal Peer!-up Ywht an brtgthaifami edges of tif, th NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5of7 Nail through plastic cemenl ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall through plastic cement NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plaatk cement Paddy (between the Paddy (under tile) Single faddy 3 in. under x3in. Single paddy on under- laymen! Single paddy on lop of the %etare Course 2 I X 7 411101/1/011 size paddy earn Fascia course only Nail through plastic cement Nall through plastic cement Underlayment sNN%4**%/t Single paddy under tie Slagle paddy between tile 21n. x 7 in madam sire paddy Bare course only }e- 3 in.x 3In. Single 41n. PAN on under. laymen! Single paddy on top of die Eire Course Fascia Weephola ENO ctoswe D Single paddy between the 'el. In. x 3 i Single paddy on underiayment Single paddy on top of the Eire Course -�` 2 tin, x 7 Ir. medium Fascssi paddy eave course only Eare Closure END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 7of7 M I A M I.DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) MonierLifetile, LLC 200 Story Road Lake Wales, FL 33853 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and 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 an Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Saxony 900 (Shake, Slate & Split Shake) Concrete 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 consists of pages 1 through 7. The submitted documentation was reviewed by Jorge L. Acebo. (79,-0 NOA No.: 07- 0228.43 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing Flat Profile Roofing Tiles Concrete SCOPE: This new NOA approves a system using MonierLifetile Saxony 900 (Shake, Slate & Split Shake) Concrete Roof Tile, as manufactured MonierLifetile LLC and described 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 the installation section herein. The attachment calculations shall be done as a moment based system. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions MonierLifetile LLC 1= 17" Saxony 900 w =13" 1- 5/32" thick Slate 1- 9/32" thick Shake & Split Shake Trim Pieces 1= varies w = varies varying thickness SUBMITTED EVIDENCE: Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Test Specifications TAS 112 TAS 112 Test Identifier 7161 -03 Appendix III 94 -084 94-060A 25- 7183 -6 25- 7183 -5 Product Description High profile, interlocking, one - piece, 'S' shaped, high-pressure extruded concrete roof file equipped with three nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report D to Static Uplift Testing Dec. 1991 PA 102 & PA 102(A) Static Uplift Testing May 1994 PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing Feb. 1995 PA 102 (2 Quik Drive Screws, Battens) March, 1994 Feb. 1995 NOA No.: 07 -0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 2 of 7 Test Agency Test Identifier The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers 25- 7214 -1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 R3.894 520109 -1 520111 -4 520191 -1 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Evaluation Calculations 130 Test Nanie/Renort Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) 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 Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Static Uplift Testing PA 101 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25-7848-6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Restoring Moments Due to Gravity TAS 112 Date March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Dec. 1998 March 1999 February 1996 April 1996 December 1996 March 1995 January 2007 April 1999 February 2007 January 2007 NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 3 of 7 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 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. 4. Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 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. 6. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. INSTALLATION: 1. MonierLifetile Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 2. Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (lbf) Length -1 (ft) Width -w (ft) MonierLifetile Saxony 900 Slate, Shake & Split Shake 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - a.(ft3) Tile Profile . (ft3) Batten Application A, (ft3) Direct Deck Application MonierLifetile Saxony 900 Slate, Shake & Split Shake 0.289 0.313 Table 3: Restoring Moments due to Gravity - Ma (ft-lbf) Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 3 ":12" r:12" or greater Saxony 900 Slate, Shake & Split Shake Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65 7.55 6.46 7.34 NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mg (ft-Ibf) for Nall -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Saxony 900 Slate, Shake & Split Shake 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 Screws 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 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 Table 5: Attachment Resistance Expressed as a Moment Mf (ft -1W) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Adhesive 31.31 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum ; ,r: hment istan ,, MonierLifetile Saxony 900 Slate, Shake & Split Shake Polyfoam PolyProTu 118.93 Polyfoam PolyProW ".4' 3 Large paddy placement of 45 grams of PolyProT"h. 4 Medium paddy placement of 24 grams of PolyProm. Table 5B: Attachment Resistance Expressed as a Moment - Mr(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Mortar Set' 43.9' 5. Tile -Tite Roof Tile Mortar NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 5 of 7 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 ". MONIERLIFETILE LLC, SAXONY 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NAIL HOLES PROFILE DRAWING 1 5/32 " (state) 1 9/32 " (shake) 17 " f OVERLAY WATERLOCK 13" MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SLATE MODEL) NOA No.: 07- 022 &03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 6 of 7 PROFILE DRAWING MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SPLIT SHAKE MODEL) MONIERLIFETJLE SAXONY 900 CONCRETE ROOF TILE (SHAKE MODEL) END OF THIS ACCEPTANCE NOA No.: 07- 0228.03 Expiration Date: 04126/12 Approval Date: 04/26/07 Page 7 of 7 4 /. • MIAMI DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING Thomas Jemmett Monter Wattle LLC 200 Story Road Lake Wales, FL - Florida 33853 BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLERWADING 140 WEST FLAMER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305)375 -2901 FAX (305) 375290E NOTICE OF PROPOSED ACTION PRODUCT CONTROL DIVISION (305)395 -2902 FAX (305) 372 -6339 To: Members of the Board of Rules and Appeals and Monlar Wattle LLC, Applicant In accordance with Dade County Administrative Older 10-3, which governs the product review process, the Product Control Division of the Office of Code Compliance, intends to issue a Product Control Notice of Acceptance to Monier Lifetite LLC for Atlantis Shake and Slate Concrete Roof The, No. 09-0 422.11, to allow its use In Dote County and its municipalities. To: Members of the Board of Rules and Appeals: The documentation being provided to you represents the recommendation of the Product Control Division of the Office of Code Comply in rega i s to the submittal of Monier Lifetlle LLC for Atlantis Shake and Slate Concrete Roof Tile, No. 09. 042211. Under the provisions of Dade County Administrate Order 10-3, which governs the product review process. You must review this documental. If within 20 days from the date of mailing, we do not receive any written objection stating the reason(s) for your disapproval, this product w8 be automatically approved. To: Monter Lifedle LLC, Applicant The Product Control Divisbn of the Office of Code Cam, in accordance with Dade County Administrative Order 10-3, which governs the product review process, has issued this notice of proposed action and intends to issue a Product Control Notice of Acceptance for your Atlantis Shake and State Concrete Roof Tile, No. 09- 0422.11, to be used in Dade County and its municipalities, unless a member of the Board of Rules and Appeals or yourself has any objections. Should you not be In accord with this notice of proposed action and wish to appeal our recommendation, you must make a written request, stating the reasons for your objection(s), to our office wthi n.20 days of the date of mailing. Upon receipt of your written request a hearing date will be sat so that you can present your objection(s) to the Board of Rules and Appeals . Sincerely, Jaime D. Gascon, PE Chief, Product Control Division MAY 1 8 2009 BY: --------------- - - - -- DATE OF MAILING: 57/2009 MAILED Ely.: Internet # gev PiontepagyethepOwww.mlaniktaditgensibulkibtgoode Permit No: Job Name 6( 02 Miami Shores Vivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet m ,62.4 ,- / ,(,,r} We- .3--4,.t U A/71/c cD plI i1-o2 ci //t ( ,t ,(e Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 -795 -2204