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RF-12-354
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 170571 Permit Number: RF -2 -12 -354 Scheduled Inspection Date: May 03, 2012 Inspector: Bruhn, Norman Owner: KAY, PATRICIA Job Address: 795 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: Z ROOFING INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060142360 Building Department Comments RE ROOF TILE ROOF Inspector Comments Passed 12/2_,,4 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 02, 2012 For Inspections please call: (305)762 -4949 Page 8 of 19 RE: Permit # Miami Shores Village Building Department INSPECTION AFFIDAVIT u i &xposito (Print name and circle License Type) License #: 13AgL00-3 On or about 3-29—/2— licensed as a (n FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: Engineer / Architect, , I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at • 7-(15 Ne Or- career (Complete Job Site Address) Based upon that examinati• I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on .S) S' ature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this 2 9 f L day of /4/6"0- Notary Public, Sate of Florida at Larg *OJ'pony =cam tie 'ON'Id AIM-ON-NON SIOZ'go elm( :S3NIdX21 a # NOISSIKINOJ A■I ODaH3b'd *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection, Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection Revised on 5/21/2009 Reileh Engineering Corp. (Consulting Engineer) 2370 S.W. 123 Avenue Miami, Florida 33175 -1174 Tel : 305- 823 -8008 / 305 - 397 -6414 Fax: 305- 823 -3300 / 305 - 884 -8834 Website: www.reilehengineering.com May 1, 2012 Z Roofing and Waterproofing. Inc. 2525 West 3 Court Hialeah, Florida 33010 Project: Dear Sirs; ROOF TILE UPLIFT TEST REPORT Residential Home 795 Northeast 97 Street Miami, Florida Information provided by client: Permit Number: Not Provided Date Completion: April 27, 2012 Roofing Contractor: Z Roofing and Waterproofing, Inc. Project Number: 12 -0383 (Testing Laboratory Certificate #06- 0501.15) In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project.. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be Barcelona Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the above - mentioned protocol. Attached please find a copy of our test report for your review. Reileh Engineering Corporation appreciates the opportunity ofassisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation ldohamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 795 Northeast 97 Street Miami, Florida Reileh Engineering Corporation -- Project Number - 12 -0383 — Page 2 of 6 Report of TILE UPLIFT TEST for Residential Home 795 Northeast 97 Street Miami, Florida Project Number: 12 -0383 Test Number Test Load (Ibf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass Reileh Engineering Corporation -- Project Number - 12 -0383 — Page 3 of 6 Test Number Test Load Obi) Test Status ' 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass Reileh Engineering Corporation -- Project Number - 12 -0383 — Page 4 of 6 Test Number Test Load (lb!) Test Status ' 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 .Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass Reileh Engineering Corporation -- Project Number - 12 -0383 — Page 5 of 6 Test Number Test Load (IV) Test Status ' 80 35 Pass 81 35 Pass 82 35 Pass 83 35 Pass 84 35 Pass 85 35 Pass 86 35 Pass 87 35 Pass 88 35 Pass 89 35 Pass 90 35 Pass 91 35 Pass 92 35 Pass 93 35 Pass 94 35 Pass 95 35 Pass Test 1 -12 Corner, 13 -24 Ridge Caps, 25 -46 Perimeter, 47 -95 Field Reileh Engineering Corporation -- Project Number - 12 -0383 — Page 6 of 6 75' 12 34 0 35 38 71 14 0 67 65 68 64 6 69 70 75 CD 94 65 12 61 75 62 59 58 0 95 32 30 92 93 91 51 54 56 16 55 53 90 0 89 52 88 50 17 51 18 79 80 81 0 81 4 83 era 85 84 `0 41 2 43 44 45 25 15 151' 111.E PmMe1rp ° I0005 FEW a 49 COMM' = 60 SF MINtif ; = 22 NO. TE5T LOCATION CON : 12 PPpIMMI:1715TANCt, a = 3' PIP a CAP = 12 CONNN? AMA - 3'X 3' O f;IPa CAP Tt5f LOCATION 1317PNOT513f;OKN 111.E MNOTP51.005� 111.E APPPDX, fz00r T51' ILOCA11ON5 AN12 t2IM N510N5 Reileh Engineering Corp. (Consulting Engineer) 2370 S.W. 123 Avenue Miami, Florida 33175 -1174 Tel : 305 -823 -8008 / 305 -397 -6414 Fax: 305-823-3300 / 305-884-8834 Website: www reilehengineering.com May 1, 2012 Z Roofing and Waterproofing. Inc. 2525 West 3 Court Hialeah, Florida 33010 Project: 7.S77" Dear Sirs; ROOF TILE UPLIFT TEST REPORT Residential Home 795 Northeast 97 Street Miami, Florida Information provided br` client: ,Permit Number: Not Provided Date Completion: April 27. 2012 Roofing Contractor: Z Roofing and Waterproofing. Inc. Project Number: 12 -0383 (Testing Laboratory Certificate. 406-0501.15) In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the RoofTile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification ofthe bonding ofmortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the Mean height of the roof is Less than 40 feet above ground surface. The type of tile used for this project was reported to be Barcelona Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area ofthe roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) ofall tiles in the perimeter and comer areas were physically examined. A minimum o tone (1) test per every two (2) squares in the field. one (1) test per square in the perimeter area, ridge caps and (1) in the corner areas were conducted. Based on our test results, we conclude that the installation of the roofti le at the above referenced project meets the test requirement outlined in the above - mentioned protocol. Attached please find a copy of our test report for your review. Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporcalion ohamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 795 Northeast 97 Street Miami. Honda Rcilch l:nginecring Corporation -- Project Number - 12 -0383 — Page 2 of 6 Report cif TILE UPLIFT TEST for Residential Home 795 Northeast 97 Street Miami, Florida Project Number: 12 -0383 Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass Reifch Engineering Corporation -- Project Number - 12-0383 — Page 3 of 6 Test Number Test Load (Ibf) Test Status 24 35 Pass . 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 3.5 Pass 39 35 Pass 40 35 Pass 41 15 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass Reilch 1;ngincering Corporation -- Project Number - 12 -0383 — Page 4 of 6 Test Number Test Load (Ibf) Test Status 52 35 Pass ' 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 a5 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass Reileh I ?nginecring Corporation -- Project Number - 12 -0383 — Page 5 of 6 Test Number Test Load (Ibf) Test Status 80 35 Pass • 81 35 Pass 82 35 Pass 83 35 Pass 84 35 Pass 85 35 Pass 86 35 Pass 87 35 Pass 88 35 Pass 89 35 Pass 90 35 Pass 91 35 Pass 92 35 Pass 93 35 Pass 94 35 Pass 95 35 Pass Test 1 -12 Corner, 13 -24 Ridge Caps, 25 -46 Perimeter, 47 -95 Field Reilch Engineering Corporation -- Project Number - 12 -0383 — Page 6 of 6 . e NOM 75, II 12 10 9 . 35 36 65 68 64 69 ``L/ eb 95 94 33 32 5/ fib 3i 30 63 62 a; 93 9. 23 4 7^ 6 11 W9 87 51 5•a 26 86 2 90 bi 74 6D 0 77 a 76 79 18 80 19 81 R8 6? 82 83 35 84 0 2 40 al 43 ap 45 25 4 3 79 TEST" 111,E Mt?IMmt? ° 10005r 0 PIt7Z CAP TST LOCATION FIN-12 - 49 COPN 60 SF CO Nip P - 12 PMIMETht 17I5AANC, a 3' 112N01T5 1.005 11L- 1P6e CPF - 12 cow. A MA 5'X 3' 12-0e3 APR OX. t OOF TEST LOCATIONS AM217IM�N5ION5 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 Permit No Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): —Patiel e 1< ay / Address: 795 NE q 7 5Tre. City: pilanAi 5\elOfes State: FL. Tenant/Lessee Name: N f f1 Email: °'—' isFB J :,2 q BY: ----------- Phone #(V 5J q-54- (pct iv Zip: 33 139 Phone #: JOB ADDRESS: 715 NE -1 are el City: Miami Shores County: Folio/Parcel #: 11-3201i9 - 014 - 2300 Miami Dade zip: "33i g Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: 2152 5 f . -3 City: I-I cetf e_a_h Z IZ.0D-Pin3 CT' NO S Flood Zone: tNakrpmAA3 Phone #: Cam° tolb- i0(49.5 State: FL Qualifier Name: u-"h Pl ? postfin State Certification or Registration #: l _ `_C ► 3 2 Q Lo03 Contact Phone #: Email Address: us DESIGNER: Architect/Engineer: Certi Zip: 35010 Phone #:C3O5) 2 t 2(aOS cate of Compi tency #: Z rDCiKl n3 . c o 1 Phone #: Value of Work for this Permit: $ 15 000 9 Footage . S uare /Linear Foota a of Work: 2 .17 Type of Work: UAddress ❑Alteration ONew %Repair/Replace ODemolition Description of Work: COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: 9cdcakic******** 4c'****xxxxaYaYaYaY'x'xakxxxxxx x x x xxFees**** a' cxxxxxxxxat xxxaca4x4cae********xaYxxxxx zxxxx&'x A 043 Submittal Fee $ Permit Fee $ � 0 Q CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 2.-c't -op Bonding Company's Name (if applicable) Bonding Company's Address Ni City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip N 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 i < posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the abse - . ch 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 Ved.b , 20 12, byP @`C ZQ)( who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sig Print: i lei. A "_!;� My Commission Expires: •03 0000V 00000!Q N'U 51OZ `80 gaff :531IIen(H L86£M # NOISSIMOD AV 03gHDVd aL.L2SSI1 Signatur Contractor The foregoing instrument was acknowledged before me this day of , 20 k , by S`7 - w ix who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex 9 _j'tr4N!4�14;V **lir% AtIVION-E-008-I stoz`SO1r :sattoCa .t rff/ ag # n otsstwtntoo AIN OD HDVd 3.L.L3SSI1 ***** xxxxx********* xxxxxx*** xxxxxx** x************* xxxxx* ie**** xxxx**** xx***** x * * * * * *xxxxxxx**xxxxxxxxx * * *x * ** APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3 /15 /09)(rev6 /4/10) Plans Examiner Structural Review Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO: I I- ZO CO D 04- STATE: OF FLORIDA: • COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements: vviII be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencernent 1111111111111I1I1.11111- th i 11m I 1 11111111 CFN 2012R014-2986 OR Bk:.28014 Ps 0192; (ips). RECORDED :02/29/2012.13 :41:33 HARVEY RUVIN► CLERK OF COURT.. MIAMI -DADE COUNTY, FLORIDA: LAST PAGE 1. Legal description of property and street/address: 7 G G 9' STree r Mtalrni SIfteas ee. 5 Pe ' . 10- 3 3 Lot- *g 811 -lc) 2. Description of improvement: Re k 3: Qwner(s) name and address: PM 60. . 0.y . �11 l'S NE .t I✓I tarn Shores pi . sS rag Interest in property- Name and address of fee simple titleholder. 4. Contractor's name and address: (A), c°?r ttt.Gtittth '3 eta 5. Surety: (Payment b and required by owner from contractor, if any) Name and. address: Amount of bond $ 6. Lender's name and address:l 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713 13(1Xa)7., Florida. Statutes, -� Name and address: IMeS A. a x^`75 NE ' sY" . M ICLPYN. Shar.,g ` R. avai g 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a is spec -.el Sigp_atte of .Owner Print Owner's Name .. � Sworn to and subscribed before me this day of , 20/2 . Notary Public Print, Notary's Name My commission expires: Address: 252 W . 3 CT 33D ifs 123.01 -52 PAGE 4 8/02 WITN MAR .4 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: Pafri Ci kc'v Property Address7q 5 N q7 MIter Roofing Permit Number: Dear Building Official: I Pc-nc.4c Vet y certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Date: 2_ PAT,/&A T /'RY Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that "hem /she is s the owner for the above property mentioned. g day of-r eb 20(Z Swom to and subscribed before me this Notary Public, Sate of Florida at Large ' ' • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building wa o 994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 Miami -Dade My Home My Home ran dade.gov Show Me: Property Information Search By: Select Item ". gl Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11 -3206- 014-2360 Property: 795 NE 97 ST Mailing JAMES A KAY &W PATRICIA ddress: T Living Units: 795 NE 97 ST MIAMI 1AdJ Sq Footage: SHORES FL Lot Size: 33138 -2525 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/2 Floors: 1 Living Units: 1 1AdJ Sq Footage: 1,740 Lot Size: 9,040 SQ FT Year Built: 1953 $25,000/ $103,880 MIAMI SHORES SEC 3 .. PB 10-37 LOT 8 & E 30 Legal FT LOT 7 BLK 70 LOT Description: SIZE 80.000 X 113 OR 14921 -2025 0291 1 OR 14921 - 2025 0291 00 Assessment Information: Year 2011 2010 Land Value: $108,741 $135,554 Building Value: $144,788 $145,680 Market Value: $253,529 $281,234 $126,976 Assessed Value: $128,880 Exemption Information: Year 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Year 2011 2010 Taxing Authority: Applied Exempt ion/ Value: Applied ETaxabl n/ Value: Regional: $50,000/ $78,880 $50,000/ $76,976 County: $50,000/ $78,880 $50,000/ $76,976 City: $50,000 / $78,880 $50,000/ $76,976 School Board: $25,000/ $103,880 $25,000/ $101,976 Sale Information: Ie<b nee• P)/1 001 Fit r ;E TGDL: sEOEcw1 e guteititEE Aerial Photography - 2009 0 s•■■•■•.112ft My Home l Property Information 1 Property Taxes 1 My Neighborhood !Property Appraiser Home l Using Our Site l 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. Page 1 of 2 MIAMI -[ 1[ � ,, Legend • Property • Boundary Selected Property Street owf Highway L County Miami-Dade, ® Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 2/24/2012 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section A (General information) BY:__. ® -m Master Permit No. Process No. Contractor's Name Z ROOFING & WATERPROOFING, Job Address 795 NE 97 STREET 1/ INC. E1?-Y1r Low Slope ❑ Mechanically Fastened Tile phaltic ❑ Metal Panel /Shingles angles ❑ New Roof ❑ Prescriptive BUR -RAS 150 ROOF TYPE E] Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 2800 Section B (Roof Plan) 1 ElMortar /Adhesive Set Tile ,3 ❑ Wood Shingles /Shakes ❑ Repair ❑ Maintenance Total (SF) 2 -8 ?0 0 a 0 CL_ f 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: 8 CORNER SIZE: 8'X8' 111111111111° 1111511111 I El 11 MEMO EMENIIMENEMIIIMMLIIIIMMIE FLORIDA BUILDING CODE — BUILDING w H 3X3 GALV 26GA ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (,Steep Sloped Roof System) Roof System Manufacturer: MONIER LIFETILE LLC Notice of Acceptance Number: 07- 0220.04 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations) 1: -45.1 P2: -78.6 p3: -116.2 Maximum Design Pressure (From the Product Approval Specific System): 38.7 Roof Slope: 3:12 Steep Sinppd Rnnf System Description Deck Type: 5/8" PLYWOOD Type Underlayment: Ridge Ventilation? Insulation: #30 ASTM FELT NAILED TO DECK P /FBC N/A Fire Barrier: Mean Roof Height: 12 ' N/A Fastener Type & Spacing: 12 "OC FIELD /6 "OC LAP /6 "OC CORNER SIDE LAP Adhesive Type: 1 -5/8" TC 32GA RS NAIL N/A Type Cap Sheet: #90 FELT HOT MOPPED BACKNAILED @12"0.C. \oof Covering: \Type & Size Drip Edge: BARCELONA 900 NAILED @ 4 "O.C. FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section F (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P1:45 • lx ?. 313 =14.1_ mg8 . 05 =Mrt6 . 06 (1278. 6xX. 313 = 24.61 -Mg8 .05 =Mr 6.55 416.2>313 36 .37)_Mg8 . 05= Mr28.32 Product Approval Mf 38 • 7 Product Approval Mf3 8 • 7 Product Approval Mf3 8 • 7 Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval M Mr required Moment Resistance* Mean Roof Height -› Roof Slope 1 15' 20' 25' 30' 40' 2:12 34 4 36 5 38.2 39.7 42.2 3:12 32 2 34 4 3.6..0 37.4 39.6 4:12 30.4 32 2 33.R 35.1 37.3 5:12 2R.4 30 1 31.6 32 R 34.9 6:12 76.4 9R 0 79.4 30.6 32.4 7:12 24 4 26_9 27 1 28.2 30.0 "Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. If the 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" (P1: xL = xw:= ) -W: (P2: (P : xL xL x w: = - W: x cos 0 x cos 0 xw: =) -W: x cos0 = Frl = Fr2 = F_, Product Approval F' Product Approval F' Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P I or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier 2 Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance 1 F' 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 submitted to the building official at the time of permit application. FLORIDA BUILDING CODE — BUILDING SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. PrA Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. P -rX., 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 to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. P77 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. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 4 7. / Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of ventilation shall not be reduced. It may be beneficial to consider additional venting which can re i extending the service life of the roof. Owner /Agent's Signature Date Revised on 7/9/2009 LD 2 2g 12 Contrac ;'Signature Dat M IA DACtE 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 (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: Barcelona 900 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 6. The submitted documentation was reviewed by Jor, e L. Ace NOA No.: 07 -0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing High Profile Roofmg Tiles Concrete SCOPE: This new NOA approves a system using MonierLifetile Barcelona 900 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 Test Product Applicant Dimensions Specifications Des_ cription MonierLifetile LLC Barcelona 900 Trim Pieces 1= 17" w = 13" y" thick 1= varies w = varies varying thickness SUBMITTED EVIDENCE: Test Agency, Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Professional Service Industries, Inc. The Center for Applied Engineering, Inc. TAS 112 TAS 112 Test Identifier 7161 -03 Appendix III 7161 -03 Appendix II P0402 Letter Dated Aug. 1, 1994 P0631 -01 IC- 1320 -94 25- 7688 -3 25- 7688 -10 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. Accessory trim, Boosted Barcelona, 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) Wind Tunnel Testing Dec. 1991 PA 108(Nail -On) Withdrawal Resistance Sept 1993 Testing of screw vs. smooth shank nails Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Physical Properties Feb. 1995 PA 112 PA 101 (Adhesive Set) June 1996 PA 101 (Mortar Set) July 1996 NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 2 of 6 • Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers LIMITATIONS: Test Identifier 25- 7688 -5 25- 7688 -4 520111 -3 520191 -2 -1 Calculations Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations 122 Test Name/Report Date Static Uplift Testing June 1996 PA 102 (3" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing June 1996 PA 102 (4" Headlap, Nails, Clips) Static Uplift Testing PA 101 Aerodynamic Multiplier Two Patty Adhesive Set System 25 -7183 March 1995 25 -7094 February 1996 25 -7496 April 1996 25 -7584 December 1996 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Restoring Moments Due to February 2007 Gravity TAS 112 January 2007 Dec. 1998 March 1999 March 1999 April 1999 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. 2. MonierLifetile Barcelona 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. Data For Attachment Calculations NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (ix w ) Tile Profile Weight W (Ibf) Length -1 (ft) Width -w (ft) MonierLifetile Barcelona 900 11.5 1.417 1.08 Table 2: Aerod namic Multi • filers - X ft3 Tile X (ft3) X (ft3) Profile Batten Application Direct Deck Application MonierLifetile Barcelona 900 0.289 0.313 Table 3: Restorin s Moments due to Gran - M ft-lb Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" greater Battens or Direct Deck Barcelona 900 Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.28 8.13 7.21 8.05 7.10 7.93 6.96 7.78 6.79 7.61 6.61 7.40 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Barcelona 900 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 .#8 Screw 20.7 20.7 18.1 2 .#8 Screws 43.2 43.2 29.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 4 of 6 Table 5: Attachment Resistance Expressed as a Moment Mt (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Barcelona 900 Adhesive 29.3' 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 10.7 grams. Poh+foam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Barcelona 900 Polyfoam PolyProT 66.5' Polyfoam PolyProTM 38.r 3 Large paddy placement of 63grams of PolyProM. 4 Medium paddy placement of 24grams of PolyProm1. Table 5B: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance MonierLifetile Barcelona 900 Mortar Set' 24.5b 5. Tile -Tits Roof Tile Mortar 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, BARCELONA 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. NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 5 of 6 PROFILE DRAWING NAIL HOLES MONIERLIFETILE BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 07- 0220.04 Expiration Date: 04/26/12 Approval Date: 04/26/07 Page 6 of 6 MIAMI COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 248 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.mlaatidade.eov/buildine/ SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section 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 Section (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. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA# 06- 0201.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11- 0124.04 Expiration Date: 05 /10/12 Approval Date: 04/14/11 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® A11160 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: roduc Dimensions Test Product Description Specifications Polypro .s. AH 160 N/A TAS 101 Two component polyurethane foam adhesive Foampro RTF1000 N/A Dispensing Equipment ProPack® 30 & 100 N/A 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 A11160 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 L6 lbs. /ft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% 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.: 11- 0124.04 Expiration Date: 05 /10 /12 Approval Date: 04/14/11 Page 2 of 7 EVIDENCE SUBMITTED: Test Aaencv Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1) ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 • TAS 101 12/28/98 520109 -2 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® AH 160 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) _W 2 F'— MS NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 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. Polypro41) AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and PoIyfoam 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 (14 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{x AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polyproi71 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 Polyproa? A11160 has been dispensed. 9. Polyproo A11160 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. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 LABELING: All Polypro® 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 property evaluate the installation of this system. NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 9) Pace enough adh�reto achieve 17to27 stoop at appffr square Info fns eatvdfbthepanOle P ePPfla 2)7um come upe don. l s adhesive 112 In to 11n. From outside ago of cover OIL Then Instal thotfe. Nail through plank anent toppeAlon althorn mum covet tua. Abut to second con of pan tlIns. Enstno oaere flush ate Tina Eon dome Waptate Fonda lm shown) NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14111 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nag through plastic cement Paddy (between file) Paddy (under tile) Single paddy rx 3I under the x3in. Single paddy on under- layment Shigie Paddy on top of tile 0 COUMMB In. X7 In. medhnn eave elle Fascia course only Nall through plastic cement Nall through plastic cement Underlayment Single paddy under We Single paddy between the 2 hr, x 7la medium eke paddy oava course only tin.x 3 in. 4 In. Single paddyon under. layment Single paddy on top of tile filb Eel Course Fascia Weephole Eava closure Drip edge Slagle paddy between the Pelln.x3 Single paddy on underlaymant Single paddy on top of tale ire Cou m Eave Closure 21a. x 71n. medium the paddy eave course only END OF THIS ACCEPTANCE wl._ ttby,1•7446.I!j ij APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 7 of 7 ZROOF -1 OP ID: CM A .......- a CERTIFICATE OF LIABILITY INSURANCE DATE D,YYYY, 01/1 01/16/12 ITHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES , BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 561 -637 -3399 Insurance Services of Delray 409 SE 7th St Fort Lauderdale, FL 33301 Douglas A. Levy cCa cr PHONE FAX (A/C, No. Ext): (A/C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL 0 INSURER A : Canal Indemnity Co. LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Z Roofing & Waterproofing Inc Lissette Pacheco 2525 W 3rd Ct Hialeah, FL 33010 INSURER B : GL102529 INSURER c 01/11/13 INSURER D : $ 1,000,000 INSURER E : $ 50,000 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHrTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL SUBR AO POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL102529 01/11/12 01/11/13 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED PREMISES T (O Ea occurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY LIMIT APPLIES JECT PER LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS RED AUTOS SCHEDULED NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WCSTATU- TORY LIMITS OTH- ER E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Roofing Contractor CERTIFICATE HOLDER CANCELLATION MIAMISH Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD '42°R° CERTIFICATE OF LIABILITY INSURANCE ZROOF -1 OP ID: G( DATE (MM/DD/YYYY) 07/08/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Workers Compensation Group PO Box 410 Boca Raton, FL 33429 -0410 Workers Compensation Group 561 - 392 -3300 561- 361 -1132 CONTACT NAME: PHONE (A/C. No Ext): FAX (A/C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC INSURERA:Bridgefield Employers Ins INSURED Z Roofing and Waterproofing Inc 2525 W. 3rd Ct. Hialeah, FL 33010 INSURER B INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO' 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO PREMISES EaEoccurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ GEM_ AGGREGATE LIMIT APPLIES PER n POLICY n JEC n LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A 830 -48391 06/13/11 06/13/12 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT 500 00 $ , DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION MIAMIS3 Village of Miami Shores 10050 NE 2nd Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF FLORID;_ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (8500 487 -1395 1940 NORTH.MONROE STREET TALLAHASSEE FL 32399 -0783 EXPOSITO, AGUSTIN H Z ROOFING AND WATERPROOFING INC 2525 W 3 CT HIALEAH FL 33010 Congratulations! With this license you become one of the nearly one million • Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from 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.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly stove to serve you better so that you can •serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE BATCH N11.1PalBER 1 4 MIAMI -DADE COUNTY. TAX COLLECTOR 140 W. FLAGLER ST. tat FLOOR. MIAMI, FL 33130 LOCAL °BUSINESS TIC <RECE MIAMI DADEdCOUNTY STALE OF I EXPIRES SEPT 30, 2O'2 MUST BE DISPLAYED AT PLACE OF BUS URSUANTTO- COUNTY CODB-CLI,AP-'TER 8A fi 6T4273 31f su$JNF�su I NG o &C wAi ERROOFING INC 62525 W 3 CT 33010 HIALEAH FIRST -CLASS U.S. POSTAGE PAID , MIAMI, FL PERMIT NO 231 THIS IS NOT ABILL — DO NOT PAY _ RENEWAL- 1-1 STATE# Cri29603 3 OW EROOFING & WATERROOFING INC secligligeht.TY BUILDING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS DOES NOT �PRERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR THE HOLDER FROM EXEMPT PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 08/24/2011 60000000014 000045.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD Z ROOFING & WATERROOFING INC AGUSTIN EXPOSITO 2525 W 3 CT 3 HIALEAH FL 33010 97