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RF-10-2254
Permit Number: RF -12 -10 -2254 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 169867 Inspection Date: February 10, 2012 Inspector: Bruhn, Norman Owner: HAMMOND, JAMES Job Address: 535 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: STAR PAINTING AND WATERPROOFING Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060140730 Phone: (954)455 -5421 Building Department Comments RE- ROOFING TILE Passed �d2,10, 1 Inspector Comments CREATED AS REINSPECTION FOR INSP- 155550. CREATED AS REINSPECTION FOR INSP- 155357. CREATED AS REINSPECTION FOR INSP- 155223. CREATED AS REINSPECTION FOR INSP- 154506. No ladder no permit on site. Ladder must be set up and secured. Plans and permit must be on site and posted. Tile and roofing material must be removed. NB Tiles must be marked for uplift test. Ladder must extend 3' above roof. NB INSPECTION CANCELLED BY CONTRACOTR. 2/8/12 CG •L Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 28, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 Job Address: Contractor: Type of Tile: Type of Access: App. Sq.Ft: F.I.E. FLORIDA INTERNATIONAL' ENGINEERING &'TESTING LAB FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 Miami Dade Lab Certification # 07- 0612.11- State of Florida CA # 27273 SITE SPECIFIC INFORMATION N.9. 2098 3 E qc &Iroet., 11/44,1 QS�'eJ w er'sName • Jany .s ria std t•-ttN� raY Scaffolds: cL"f- Req. 1 ermit # RP -12 -13- 21T tall Dated I Approx. Height Floor: Ladder: it, Slope • 3 0 °L Test date: t ( ')- 1 t I Force: 35 lbs. Testing Equipment: F.G.E. 100X.Shimpo Instrument TEST RESULTS P= PASS,F =FAIL 1 2 Pc ss 21 41 try Tic Pees 61 81 22 3 23 42 62 82 43 63 83 4 24 44 64 5 25 45 65 85 6 26 46 66 86 7 27 47 67 87 8 28 48 68 88 9 29 v 49 69 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 93 14 34 54 74 94 15 35 55 75 95 16 36 56 76 96 17 37 57 77 97 18 38 58 78 98 19 39 59 20 s 40 V 60 79 99 80 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Respectfully Submitted By: vt•--k1t1 Vinayagar M. Balakrishnan V, P .E. State of Florida Lic # 63107 MA INTERNATIONAL GOB • Job Address: Contractor: Type of Tile: Type of Access: App. Sq.Ft: c FLORIDA; INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 Miami -Dade Lab Certification # 07- 061211 - State of Florida CA # 27273 SITE SPECIFIC INFORMATION F i4 i b wner's Name : James 4-(GA, 2098 9s eimit # t / -t0 - yinstall Date :I qr t'o l Approx. Height 2. Floor :' S # ffolds: Ladder: Slope: 3 °-1"-- Test date: t i lc)1 t I Req. Force: 35 lbs. Testing Equipment: F.G.E. 100X.Shimpo Instrument TEST RESULTS P = PASS, F = FAIL 1 Pcus 21 22 ;_PraSc 23 fl 41 Pass 61 I' 81 42 62 82 43 63 83 24 84 5 25 65 85 6 86 7 27 47' 67 87 8 28 4$; 9 29 49 68 69 88 89 10 70 31 5 71 91 12' 32 72. 92 13 33 53 73! 93 14 74 15 16 17 18 19 20 35 36 37 38 39 55 56 57' 58 59 75 76 ■77 78 79. 80 95 96 97 98 99 100 'CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. r FLORIDA INTERNATIONAL ENGINEERING &'TESTING LAB mslarr•mNowimm.mmcwatcm FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 Miami -Dade Lab Certification # 07- 0612.11.- State of Florida CA # 27273 Roof Testing and Information Sheet Client: Date: Address: Phone: Fax: Contact: Roof Type Test Requested: Star Painting and Waterproofing 1.20.11 954- 937 -2697 Flat n Slope Uplift Test X Other Moisture Test Checked By: V.M.B. Venkatesan Job Name: Address: 535 NE 95th St Miami Shores, FL 33138 -2731 Occupancy Residential Deck Type Concrete n Gypsum n Wood Pull Test n Verification RE: Permit # 1Z F- 11 -IO' �'3 S Miami Shores Vuiage Building Department INSPECTION AFFIDAVIT (Print name and drcle License Type) License #: CG& 13 2. °i a ei R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 1 /11/61 licensed as a (n) FS 468 Building Inspector Engineer / Architect, On or about , I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at S-3-C q (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) 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. Swom to and subscribed before me this Notary Public, Sate of Florida at Large tD.f 1 day of I , to // NANCY RAFAELOV , Notary Public - State of Florida • , ,. e ' y 3, 2014 *% Bonded Commission # 00 991765 Bonded Through National Notary Assn. `General, Building, Residential, or Roofing Contractors or any individual certified under 466 F.S. to make such an inspection. Include photographs of ea permit # and address # clearly shown marked on the deck for each inspection Revlsed on 5/2112009 plane of the roof with )10,11o.4>( Y Viva, sgomii Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPEC°T-4ON'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 IEUERWIE JAN 1 8 2011 Permit No. 7r- ( 4 0° a. Master Permit No. Permit Type: BUILDING --��°°' OWNER: Name (Fee Simple Titleholder): ) .fr L. S L M'.-Mn all 04 Phone #: Address: 5 3 S Nf. co5 9-� City: A i6-.wl ; S L® S State: r/ Zip: 33 / 3R Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: I S WE S City: Miami Shores County: Miami Dade Zip: )3 / 3$ Folio/Parcel#: Is the Building Historically Designated: Yes (WO J Flood Zone: CONTRACTOR: Company Name: 5 k r ?A ¢ ;►� C,� arrX 00 01 Phone #: � O 5) 770 - 0 /tf 3 Address: 1q►/Ltfl 5,C/ SI fk T err 1 City: I f o /�//d 60 el State: '� Zip: `33v a? Qualifier Name: %' 5r14i k✓Slh +"'- State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Phone #: Value of Work for this Permit: $ e(t 0 0 0.00 Square/Linear Footage of Work: Type of Work: °Address Description of Work: °Alteration ONew °Repair/Replace °Demoli n COLOR THROUGH ROOF TILE IS REQUIRED acknowteed 1iy" "' -° : Submittal Fee $ Permit Fee $ ..?-6 a CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ,� �%' 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 • nspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection l not be approve an a reinspection fee will be charged. Signature f Owner o _ - nt Contractor r L The foregoing instrument was acknowledged before me this `� The foregoing instrument was acknowledged before me this.4 day of 1 , 20 , by 5 -P1 Fi9 L 111111MLND day of / 7 , 20 I( , by who is sonally known o me or who has produced FL. i who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 4ifies‘Ns 4-471. wet APPIZ8VEY WY\`\\ Notary Public • State of Florida •1 My Comm. Expires May 13, 2014 ,? mss;. Commission 8 DD 991765 „,„�'� Bonded Through National Notary Assn. (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Structural Review I, as identification and who did take an oath. NOTARY PUBLIC: Sign: z .t�/ .Print: 4jjitg / L./6✓ My Commission Expires: Zoning Clerk 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 -831 -4000 • VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 • DBA: Business Name: Owner Name: Business Location: Business Phone: Rooms Tax Amount 27.00 STAR PAINTING AND WATERPROOFING Receipt #:185-238290 ROOFING/SHEET 290 METAL CON INC Business Type: ( ) sANDOR KUSHNER MENAHEM EELLELI (QUAL)BusjneSS Opened:o1/05/2011 2412 SW 59 TER State /County /Cert/Reg:ccc1329249 HOLLYWOOD Exemption NONEXEMPT ptlon Code; 954 - 455 -5421 Beats Emptbyeas .l . —Machines Professionals Number of Machines: For Vending Business Only Transfer Fee NSF. Fee • 0.00 Penalty ••0.00 Vending Type: Prior Years • Collection Cost 0.00 Total Paid 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT 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. WHEN VALIDATED Matting Address: STAR PAINTING AND WATERPROOFING IN • Receipt #02A- 10- 00002311 2412 SW 59 ' :'ER Paid 01/05/2011 27.00 HOLLYWOOD, ;PL 33023 ._ .. _ nr _- - - 2010 — 2011 rPe,rm 6 k 4- 10 CTt . abed 0£170- Etr8 -t796 9NLLNIVd 2lV1S !WPM 1-1.0? 90 Uer 1( 9 I Zi.311 yearAdwd_. 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): C..11�Q.. 1- e..6r.�n„v6A Address: S. / V E �g� City: 1 / - ` 4+wn. SirtU tr'e-S State: F- r / Zip: 33/ 38 Permit No. L. Sulu Master Permit No. Phone #: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 535 me_ g s f i City: Folio/Parcel #: Miami Shores County: 11-'5).06-014-6336 Miami Dade Zip: 33/39 Is the Building Historically Designated: Yes NO �i Flood Zone: CONTRACTOR: Company Name: 54-,- [414 44.(2.�/6c Phone #: - "/Y f Address: City: Ra %/pid�G/r 2,.//, S. -qt, 1Ee/fa /�o /rvko Qualifier Name: Stint,- ,'h 5 State Certification or Registration #: 6C 130L'7Q ).q( Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: State: c/ Zip: Phone #: 3'o z -®t9.3 Value of Work for this Permit: $ Type of Work: OAddress Descriptiin 1 f Work: 2_0 Ot). 6 Square/Linear Footage of Work: ❑Alteration erNe v URepair/Replace 4' ODemolition F COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: CA.) V► + -%€ / ******** * * * * * * * * * * * * * * * * * * * * * * * * * * *** ** Fees * * * * ** * ** * * * * * * * ** * * * ** * * * * * * * * * * * * * * * ** o� Submittal Fee $ O - Permit Fee $ ?O0'� Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 i— :LELA Owner or Agent The foregoing instrument was acknowledged before me this 17 day of Dzc , 20 1 0, by who is personally known to me or who has produced As identification and who did take an oath. N S ARY PUBLIC: H S5 3- LSd, -38- 148 0 NANCY RAFAELOY �.,,,;:��, •. N : Public - State of Florida Contractor The foregoing instrument was acknowledged before me this ?7 day of bec . ,13.e t-, 20 i e, by 5v 11 IX 10,--'et, who is personally known to me or who has produced 'sakit 116,„4dA as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co 'r 'irMComm. Expires May 13, 2014 , c� ommission AF 00 991765 Bonded Through National Notary Assn. * * * * * * * *****sett *,r, tie **** ** ** r* **** ,xrrt*****t*,ir,r*** *** r,r****, *** ter * * **** **** * ***,r**** t *,r**t******* ******* ** APPROVED BY % (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Structural Review Zoning Clerk DBPR - BELLELI, MENAHEM; Doing Business As: STAR PAINTING & WATERPR... Page 1 of 1 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: County: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business 8:02:33 AM 1/5/2011 BELLELI, MENAHEM (Primary Name) STAR PAINTING & WATERPROOFING INC (DBA Name) 1860 NW 109TH AVE PLANTATION Florida 33322 BROWARD 2412 SW 59 TERRACE HOLLYWOOD FL 33023 BROWARD Certified Roofing Contractor Cert Roofing CCC1329248 Current,Active 10/12/2009 08/31/2012 Qualification Effective 10/12/2009 View Related License Information View License Complaint ( Terms of Use 1 1 Privacy Statement ( https:// www. myfloridalicense .com/LicenseDetail.asp? SID= &id= F84C484424BD0486B579... 1/5/2011 Miami -Dade My Home My Home rni midadc. ov Show Me: Property Information Search By: Select Item • Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11-3206-014 -0730 Property: 535 NE 95 ST Mailing JAMES L HAMMOND Address: 1 Living Units: 535NE95STMIAMI AdJ Sq Footage: SHORES FL Lot Size: 33138 -2731 Proaerty Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/1 Floors: 1 Living Units: 1 AdJ Sq Footage: 1,945 Lot Size: 10,725 SQ FT Year Built 1950 $50,000/ $78,873 MIAMI SHORES SEC 2 City: PB 10-37 LOT 17 & E1/2 Legal LOT 16 BLK 54 LOT Desalption: SIZE 75.000 X 143 OR 14535- 1914 05901 OR 14535 - 1914 0590 00 Assessment Information: Page 1 of 2 Examgtion Information: ACTIVE: TOOL: SLLLL;I angll 2010 2009 2009 tL DIMUMME0151■114q1 ti 'x r L : : Exemption/ Taxable Exemption/ Taxable Examgtion Information: ACTIVE: TOOL: SLLLL;I angll 2010 2009 Homestead' $25 000 $25 000 Taxing Authorfy: Exemption/ Taxable Exemption/ Taxable Taxable Value Information: Year. 2010 2009 Applied Applied Taxing Authorfy: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: 050,000/ $78,873 $50,000/ $75,485 County $50,000/ $78,873 $50,000/ $75,485 City: $50,000/ $78,873 $50,000/ $75,485 School Board: $25,000/ $103,873 025,000/ $100,485 Sale Information: e Date: 15/1990 it et fa Aerial Photography - 2009 0 My Home 1 Property Information 1 Property Taxes 1 My Nelahborhood 'property Appraiser Home 1 Using Our Site' Phone Directory I Privacy 1 Disclaimer 115 it If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please emall us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Legend Property Boundary Selected Property ee 1 Street Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 1/5/2011 NOTICE OF COMMENCEMENT A RECORDED tow MUST DE POSiED ON THEM SITE AT TIME OF FOIST PERMIT NO TAX FOLIO NO. a-31OG O Pk— 093 a STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that innprovtres will be made to certain real property, and In accordance with Cites 713, Florida Statutes, the following information Is provided In tits Notice of Cornmencrunent 1111111111111111111111111111 111111111 1111 1111 CFN 2010R0853095 OR Bk 27529 Ps 1844; (1ps) RECORDED 12/21/2010 15:30:37 HARVEY RUVIH, CLERK OF COURT MIAMI -DADS COUNTY, FLORIDA LAST PAGE 1. Legal description of property and street/address: frl l + J Ito r S JLCS 2. Description of knp rovement: 3.Owner(s) name and address S / 14. Mah4,t 'r Interest in fir: (ICQ : Roo Name and address of fee simple title: 4. Contras creme and fA Pet: 4: 5. Surety: (Payment bond required by owner from contractor, Name and addre Amount of bond $ 6. Lender's name and address: an STATE OF FLORIDA, COUNTY OF DADE 111EREBY CERTIFY the thl = > .. .1 the ,AD20 WITNESS my hand and Official SeaL day of lEOP • 7. Persons within the state of Florida designated by Owner upon whom notices other • • may be served as provided by Section 713.13(1)x)7., Florida Statuutes, Name and 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: iik Expiratlon date of this Notice of Corrunencement (the expiry ion date is .1 year from the date of recording unless a .4 .:- ' . 1 is /*;4" . Vt iVJ. /. € 1!i // I Print Owner's Name -,i 1475 L, UI K4ONO p by itet^� i' V ilii S dy of QC -ef, 20 _0 Address: '-).410, S tJ SO Notary. Public - _.� mil► • i'„e iv - •) -to llymi►on 'Fi � Print Notary's Name ��.�rr�a � � r � � , � � 1. f73 . AAy'corrur>n 123.01-52 PAGE 410104 P Higopoint Risk Bervioas ram 14160 Dallas Parkway #500 Dallas. 75284 (800) 632 -5098 (972) 715 -0959 INSURED: 4819 1 /o/fr ETAS PAINTING & DATITRINCOPING INC 2432 8►T 69 TERRACE IIOLLYBOOD, VG 33023 (950) 498 -9421 Awl (954) 843 -0430 AQQRD CERTIFICATE OF LIABILITY INSURANCE PRODUCER THE POLICIES OP INSURANOS LISTED BELOW NAVE =MN ISSUED TO THE ENSURED NAMPO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 79231 OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MTh RESPECT TO WHICH THIS CERTD70A7E MAY 89ISSUED OR MAY P927491, THE INSURANCE AFFORDED BY THE POLICIES 098021950 HEREIN IS SUBJECT TO ALL THE TERMS, �LUSIONSAND CONDITIONS OFSUCH POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE 310.10479 RCLO- 16006000 - 068112 THIS ONLY AND CONFERRS NO RIGHTS UPON E(CERTIFICATE __HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR INSURERS AFFORDING COVERAGE INSURER A: INSURER 8 Caeoanio2 Property and Casualty INSURER C: INSURER 0:. INSURER E Ineuranca C ER I. LJABILITY COMMERCIAL GENERAL LIABIUTY CLAWS MADE OCCUR GEM AGGREGATEr LUORN�T APPLIES PER: N I 1 lr i°t 1 1 ^ LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDAUIOS 80HB31AED AUTOS HIRED AUTOS NONOWMFD AUTOS MEMO (■• GARAGE LIABILITY ANY AUTO A EXCESS LIABILITY 000UR ❑CaARASMADE DEOUCTBLE RETI8J1'IO9 $ WORKERS COMPENSATION AND EMPLOYERS' UA8IUTY OTHER R -zAN:r it' I: q.114/PlAil EACW000URREICE FISH DAL E(ArtyOrm1 ) ERL'D OP (AIN ore PRODS) $ 0 0 PERXONAL 8408INJU31Y a GENERAL AGGREGATE PRODUCTS- C=1=PA E3 a a CO$ERNED SINGLE NWT (E0 moeladl0 90D9.Y INJURY SAN pancen) 4 S BODILY /NUM, Mar so$0441) $ WC77779991701 04/01/2010 04/01/2011 PROPERTY DAMAGE par 10 AUTO ONLY -EA ACCIDENT 4 6 creme THAN AUTO ONLY: PA ACC AGO EACH OGcumeascE 8 i 3 AGOREOATE a a 5 x 14431:001 I° EL. EACH ACCIDENT $ 1000000 DESCRIPTION OF OPBtATNiamoCAT ToNSNEH:CLEBININCLU810)8 ADDED BY ENDOREENEN=FEcIAL FROMONB 1. Thia certificate r ins in effect, provi the 1iasee no provided A 1 tor which the c1 Lent account no is in o g4o8 Btu with ANTS, he fS r any off myel cr wto the client ie not re rein wages f cti 1 1009 Of t tm��ppSyyaIooYlder 4q 431 ee9aAgo4 to STAR waiver ot3 s r< ogation°pp�� egg ectwre 04/131/2010 a. Certificate older 18 rnyiclad with a waiver of subrogation ere see;uired )Dy written contract. 3. insured is afforded Workers C titian and Employers Liability as a co- employer under the policy for employees leased from ANS Sta f Leasing, Inc. EL DISEASE EA EMPLOYEE PL. DBEASE. POLCY 1.1217 $ 1000000 $ 1000000 LIMITS 8 OMITS 6 /ATARI SWABS VILLAGE 14050 HS semen AVE. P9223D5- 756 -8972 MIAMI SNORES, 8L 33138 ACORD 26.5 (MT) • AD01T(ONAL INSURED; INSURER LETTER: BHD(LDANY 0P THE ABOVE DESCRIBED POUOIEO =CANCELLED BEFORE THE EXPIRATION eme-n EREDF, THE I88INGINIRER wit1=FAVOR 10 MAIL 30 GATs NOME NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 710 DO CO SHALT IMPOSE NO OEURAITION OR UANRLITY OP ANY HI N0 UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTH4RIZED RPFAPSENTATIYE £ e6ed 1 ACORD CORPORATION 1984 0E170-En-170 ONI1NPdd 8V1S NdiS£ 01.0Z £Z 'ea CERTIFICATE OF LIABILITY INSURANCE OP ID: TP DATE PV JDDIYYYV1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATF/ELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 11113 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERGIL AUTHORIZED . REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is certain oTIONAL INSURED, the policy(les) must be endorsed R SUBROGATION IS WAIVED, subject to the term and coodtdo s of the I p may require an endorsement. A statement on this certificate does not confer PRODUCER certificate holder In lieu of such endorsemerttlsl, rights to the 800•982 -1895 CyrviaoM Regency Ins. Brok- Rimer 934-4545962 PO Box 190 Hallandale, R. 33009 -0190 INSURED Star Painting & Waterproofing 2412 SW 69th Terrace Hollywood, FL 33023 tor: STARPA4 SISURER(S) AFFORDING COVERAGE MH A: Endurance American Spec Ins. NAIC O M0U1 RB: INSURER C : INSURER D : INSURER E : INSURFMR R • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI D BELOW HAVE BEEN ISSUED TO THE INSURED 1A OED ABOiVE • R THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$. GENERAL LIABILITY _ y .. d: = I L : �� .0 A X COMhERCIAL mew. LIABILITY j CLAIMS-MADE OCCUR 0 GI:WL AGGRE0ATE LIMIT APPLIES PER 7I POLIO' fl. nLOC AUTOMIOELEMUMMY ANY AUTO ALL OWPEDAUTDs CMC10000545801 12/03/10 12/03/11 OCCURRENCE SE /Ea occurntrov . $ IMED ESP (Ary one person) $ PERSONAL & AM INJURY 1,000,001 100,000 11,00 S 1,000, 00 .AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AC,O $ 2,000,00E SCHEDULED AUTOS NU7EDAU•OS NON-OWNED AUTOS UMBRELLA (JAB H occuR EXCESS LIAR CLAIMS-MACE DEDUCTIBLE RETENTI $ WORKERS CDPENsATION AND EMPLOYERS' LIABILITY ORFIC CU(IVQ (Mandatory M n InNun) dor n o COMBINED SINGLE LIMIT • (Eaeadderd) $ $ BODILY RN.AIRY (Per person) $ BODILY INJURY (Per dodder1 $ PROPERTY DAMAGE (Per Sodded) $ $ EACH OCCURRENCE $ ASGREGA1E $ $ NIA 7144 Y IL MrIrTS 1 r E $ E.L. sacs Accc rr $ E.L. DISEASE - EA EMPLOYEE $ DESCRIPTION OP OPERATIONS 1 LOCATIONS/ VEHICLES Mach =MD 901 Addtenry Remarip Madam, Irmsm'paee b TegYEred] Concrete ParyIiildigr StuctUo Repair, Erection of ildin, Painting ExteNoroi Construction, Reconstruction, CERTIFICATE HOLDER E.L. D/SI;'AE! - POLICY WIT $ Mlaml Shores Village 10060 N.E. 2nd Avenue Miami Shores, FL 33138 MIAMSHI VANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BD CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: AUTHORIZED REPRESENTATIVE 1988 -2008 ACORD CORPORATION. All rights reserved. ACORD 26 (2009/00) The ACORD name and logo are registered marks of ACORD Z abed 0EP0- EV8-1756 DNLLNIbd L:itf1S WdiiS :E 01.0? EZ Des SectionA "Delivering Excellence Every Day" Master Permit No: 1-,0)EggEW3 at DEC 2 2010 Miami- Dadle` ourlty.Ruilding Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Section A (General Info Process No: Contractor's Name: 54°C..r wl rN /3 W a Il Job Address: 53SJ ❑ Low Slope ❑ Asphaltic Shingles ❑ Sprayed Polyurethane Foam s rem Roof Category IZI Mechanically Fastened Tile ❑ Metal PanelShingles ❑ Other. +anon) Miami Shores Village APPROVED BY DATE DEPT ZONIN EPT _ � BLDG �i> TO COMI'I IANCF WITH ALL FEDERAL fSANDRFGUI_ATIONS r f ;t 1UJFCT f;!Afl ANI)CC)L)NTYI1) Roof Type ® New Roof ❑ Re- Roofing ❑ Recovering ❑ Repair ❑ Mainten n Are there Gas Vent Stacks located on the roof? ❑ Yes No If yes, what Roof System Information ❑ Wood Shingles /Shakes Low slope roof area (ft.2) 02 Steep Sloped area (ft.2) Section B (Roof Plan) Total (ft.2) 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. Perimeter Width (a'): Corner Size (a' x a'): 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. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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. di 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). 9/4--.. 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (Le. 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 vi ' wed 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. 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 extending the service life of the roof. is Signature Date S3 s n/4 qS i ck Permit Number Property Address Rev:1/20'2005,Computer Services, Budding Department htractor's Signature _dfsta"/".■--- J Tile Ronf System "Delivering Excellence Every Day" Roof System Manufacturer Miami -Dade County Building Department Electronic Application Section D Sloped System Description Tile Roof System LliOn;rs Notice of Acceptance Number (NOA): Minimum Design Wind Pressures, if Applicable (from RAS 127 or Calculations): P1 uni P 2: 784 P 3: Fla Maximum Design Wind Pressures, (From the NOA Specific system): II= psf Fill In the specific roof assembly components. if a component is not required, Insert not applicable (n/a) in the text box. Roof Slope: 3 Roof Mean Height: "/12" Method of Tile Attachment: ft. -- Select Tile Attachment -- 0e..w\ Alternate Method of Tile Attachment per NOA: Drip Edge Size & Gauge: v2' 4 ri Drip Edge Material Type: 11- OGtll__ j Z._ - Drip Edge Fastener Type: Hook Strip /Cleat gauge or weight: Deck Type: " o& X=. Optional Insulation: Optional Nailable Substrate: Optional Nailable Substrate Attachment: Basesheet Type: Fastener Type for Basesheet Attachment: Tile Underlayment (Cap Sheet ) Type: cto a Tile Underlayment Attachment Method: Tile Profile: 353EV3IR JAN 1 8 2011 Fioricia Building Code E 0.1146114•04 aaaaaa Hurricane Zcna Uniiorrn Per ROOF ASSEMLI B: • i D ROOFTOP STRUCTURES i • Section E (me Calculations). For NI■mient !:;e vi..teins.e;leose Nletitod : Ci..iiiipare :.C.r M. tt id: :he values ff.!;1 ‘1.. :1 the Mt ih:.n or to ;he \ 01 1.0 tn.: row+. thim :tie „at:IL:I:neat memod Method 1 -‘liment Per 1 Pi: _45,1__ - = Mr; C_q3 Produ.:t i4Clq 11):: Ie.() k 0 31'3 =2SLC,V, .\1zA03. = 71,2 Frothict Al'Prti' al ‘lC 114 1P1: 11lx7. 313 = V:14 - 71r3 28. 39. Nooti: Apprvvai O. Method 2 "Simplified Tile Caiculations Per Table Below' Required Moment of Resistance INIr) From Table Below Product A1lnruval M Mrxequirad Moment Resistance* .-:-_-_---.-- - Mean Roof Height --): Root 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 26.1 : 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 tilt systems endorsed hy.the Brtmard County Board of Roles and Appeals. For Uplift based tile systems use Method 3. Compared the values ftr F with the values 6); Fr. if thc V values are :treater than or equal to the Fr ',aloes. for each area of the roof, then the tile attachment method is acceptable. :Method 3 'Mnient Based Tile Calculations Per RAS 127- (Pt: x L x w: = i- W: x cos ti =F (P2t L w: = - X co6 (P 3: x w: = 1 - W: x cr0 PR1ductApprovai F" = Fr2 Product Approval F' = F1, Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE bused on ASCE 7 Mean Roof Height H Job Site Roof Slope 19 Job Site Aerodynamic Multiplier Product Approval Restoring Moment due to Gravity M.. Product Approval • Attachment Resistance ; I Product Approval . Required Moment Resistance M. Calculated Minimum Attachment Resistance 1' Product Approval . Required Uplift Resist:met. Fi Calculated Average Tile Vvejihi W Product Approval Tile Dinicnions L= length o,r = width Product Approval All iakuiuti1111$ !Mg be submit ed to the building official at the time of pencil application. FLORIDA BUILDING CODE - BUILDING 15.35 r} e ROOF ASSEMBLIES AND ROOFTOP mummies Florida Code Edition 2004 Slalom= bleed ine sYsteste.choose eUberMehod1a?. Compere the Woes Su equal to the Mr values, for eac h area of the mot then the method is acceptable. a yl� Metbod�1 "Moment Based Tile McMillan Per (Ptta5j..x ) -Mp: 1(11 @Met C. (p2:3.& X . 3f3 rriL ()) -Mr 8.03 a (Py: .1.1red x71 °313 X:9 Method s "Simplified P eable Below" Regmed Moment of Resisamoe(Mth Prom Table Below -- Product Apptovel Mt airio 27.1 Wes be used In cohh,{mhh;dou with a Oat of moment hued the systems asdocsed by the Browned County Board of Rules and Appeals, based dimwits= use Method 3 Compared therahmsforP•with the values Belk rftheP ' values are greaterthanarequal to the Predam forest area of the root dmo the Otte attachment method to acceptable. Method 3 "Moment Elated The Minded= Per RAS 127" NIL__XW:s 1- X cos t7 -- °Fri ?fading Approval Ire x cpse (P�xL w:.- ._.i- �:.,,^_ X wed �F��� A+odmtAppeavalp�,+ F9 Product Approval P (Pte x L (P21 FLORIDA BUILDING CODE - BUILDING 11.36 MI�DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) MonierLifetile, LLC 200 Story Road Lake Wales, FL 33853 SCOPE: 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 This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code 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. d,0 NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Pagel of 7 ROOFING ASSEMBLY APPROVAL a_ o t rv: Sub- ate or 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 A licant MonierLifetile LLC Saxony 900 Trim Pieces • Dimensions I = 17" w = 13" 1- 5/32" thick Slate 1- 9/32" thick Shake & Split Shake 1= varies w = varies varying thickness SUBMITTED EVIDENCE: Test - Agey nc 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 Product Specifications Description TAS 112 High profile, interlocking, one - piece, 'S' shaped, high- pressure extruded concrete roof tile equipped with three nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. TAS 112 Test Identifier 7161 -03 Appendix III 94-084 94 -060A 25- 7183 -6 25- 7183 -5 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Date 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 Feb. 1995 PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing Feb. 1995 PA 102 (2 Quik -Drive Screws, Battens) March, 1994 NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 2 of 7 Test t A�en�v 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 II Letter Dated Aug. I, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 83.894 520109 -1 520111 -4 520191 -1 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Evaluation Calculations 130 Test Name/Report 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 MonierLifetile Saxony 900 Slate Shake & S • lit Shake Tile Profile MonierLifetile Saxony 900 Slate Shake & S • lit Shake Tile Profile Saxony 900 Slate, Shake & Split Shake Table 2: Aerod Table 3: Restorin 2 ":12" 3 ":12" Battens 7.16 Direct Battens Deck 8.12 7.08 namic Multi • tiers - 'aft A, (ft) Batten A • Iication 0.289 Moments due to Gravi 4 ":12" Direct Battens Deck 6.97 5 " :12" (ft ) Direct Dt:ck`q, • 'ligation 0:813 3 M. ft-lb 6 " :12" Direct Battens Direct Deck Deck 7.91 6.82 7.74 Battens 6.65 Direct Deck 7.55 7 ":12" or reater Battens 6.46 NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 4 of 7 Direct Deck 7.34 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Nail -On S stems Tile Fastener Type Profile Saxony 900 Slate, Shake & Split Shake 2 -10d Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails 1 .#8 Screw 2 .#8 Screws 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) Direct Deck Direct Deck (min 15/32" (min. 19/32" plywood) plywood) 30.9 7.3 14.0 30.8 51.7 24.3 38.1 9.8 18.8 30.8 51.7 24.3 Battens 17.2 4.9 7.4 18.2 24.4 24.2 19.0 19.0 22.1 35.5 35.5 34.8 31.9 31.9 Table 5: Attachment Resistance Expressed as a Moment Mr (ft -Ibf) for Two Patty Adhesive Set Systems Tile Tile Application Profile MonierLifetile Saxony 900 Slate, Shake & Split Shake 32.2 Minimum Attachment Adhesive 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Po foam Product, Inc Average weight per pa 8 crams. Resistance 31.3` Table 5A: Attachment Resistance Expressed as a Moment - M1 (ft-lbf) for Single Patty Adhesive Set Systems Tile Application The Profile MonierLifetile Saxony 900 Polyfoam PoiyPro Slate, Shake & S • lit Shake Pol oam Pol Prom' 3 Large paddy placement of 45 grams of Pol Prow. 4 Medium paddy placement of 24 grams of PoIyProTM. Table 5B: Attachment Tile Profile MonierLifetile Saxony 900 Slate, Shake & Split Shake 5. Tile -rite Roof Tile Mortar Minimum Attachment Resistance 118. 40.44 Resistance Expressed as a Moment for Mortar Set Systems Tile A • lication Mortar Set - Mr(ft-Ibf) Attachment Resistance 43.9 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 " (slate) 1 9/32 " (shake) 17" WATERLOCK 13" OVERLAY MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SLATE MODEL) NOA No.: 07- 0228.03 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) MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SHAKE MODEL) END OF THIS ACCEPTANCE NOA No.: 07- 0228.03 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 7 of 7 MlAM BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polytonal Products, Ise. 11715 Boudreaux Road Tomball, TX 77375 MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product • Review Connnillee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this ptoduct or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or . material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® A11160 RENEWAL of this NOA shall be considered after a renewal application kw 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 pother 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 pivvided 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 Jyarge L. Acebo. NOA No.: 060201.02 Explredon Date: 05/10/11 Approv31 Date: 04/13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category:. Roof file adhesive Materials Polyurethane SCOPE: This approves Polypro® AR160 as manufactured by Polyfoam Products, Inc. as described in Section 2 adds Notice of Acceptance. For the locations Where the design pressure requirements, as determined fined by applicable budding code, does not exceed the design pressure values obtained by calculations in compliance with Rooting Application Standard RAS 127, for use with approved flat, low, and high profile roof tales 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 Specifications Polypro® AH160 N/A TAS 101 Foampro® RTFI000 N/A ProPack® 30 & 100 NIA 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 resislanee values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Pro etE 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 1.6 lbsJfl 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt 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- 9211.02 Expiration Date; 05/10 /11 Approval Date: 04/13/06 Page 2 of 7 , EVIDENCE SUBMITTED: Test Aqemey Test Identifier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11-93 10/25/95 25- 7438.4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454-10-1 520109 -1 TAS 101 12/28/98 520109-2 520109 -3 520109 -6 520109-7 520191 -1 TAS 101 • 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof the adhesive with their the assemblies shall test in accordance with TAS 101. 5. Roof Tile mangy acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. = w • ;2i MS NOA No.: 06- 9201.02 Expiration Date: 05/10n1 Approval Date: 04/13/06 Page 3 of 7 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® A11160 shall be applied in cdmpliance with the Component Application section and the corresponding Placement Details noted herein. The roof file assembly's adhesive attachment with the use of Polypro® A11160 shall provide sufficient attachment rice, eivressed 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 file assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc Polyfoam Products Inc. shall supply a list of approved applicators to the authority having 5. (alibra1 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 shell be set to deliver 0.0175 to 0.15 pounds per file as determined at caption. No other settings shall be approved 6. Polypro® A14160 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® A11160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grails) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34/pan N/A Flat, Low, Nigh 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 PERNIIT 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: 05110/11 Approval Date: 04113/06 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY NOA No.: 04- 0201.02 Expiration Date: 05/10/11 Approval Date: 04113/06 Page 5of7 ADHESIVE PLACEMENT DETML 2 SINGLE PATTY Nee tee* ONO owed Undelayineat Paabiltelae th114 %En Cow Weephole badman ElditedP NQA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 t. ADHESIVE PLACEMErrr DETAIL 3 DOUBLE PAATY END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10111 Approval Date: 04/13/06 Page 7 47