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RF-12-1046Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176344 Permit Number: RF -6 -12 -1046 Scheduled Inspection Date: July 25, 2012 Inspector: Rodriguez, Jorge Owner: Job Address: 166 NW 98 Street Miami Shores, FL Project: <NONE> Contractor: AG STAR CONSTRUCTION INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1131010260040 Phone: (786)431 -5292 Building Department Comments RE -ROOF EXISTING FLAT TILW TO NEW MONIER 13" FLAT TILE COLOR WHITE CONCRETE TILE. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 176107. CREATED AS REINSPECTION FOR INSP- 174542. Provide a sheathing re- nailing affidavit. NB no ladder provided. JR 7/24/12 ,9 rA ` ,a-rf,We's4 0/0Z/fir tJ -/o s July 24, 2012 For Inspections please call: (305)762 -4949 Page 31 of 40 4•1 ONSU r Vif EAME ; hte: A -1 CONSULTING ENGINEERS , INC ROOF STRUCTURES CONSULTING ROOF PROBLEMS ? ?? UPLIFT TEST EXPERTS ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE TAS No. 106 SITE SPECIFIC INFORMATION Owner's Name: Permit #: Job Address: /6:4 dvGtJ 9rg 67' '- Roofing Contractor: ,4 6-4 %fie .4.16, Type of Tiler �/- eee- �a'7° Y Date installed: Approximate Roof Height: /2-- feet Roof Pitch: t, Z /' Type of Access to Roof: Scaffolds Ladder Other Approximate Square Footage of Roof: /5,00 ft 2 Required Testing Force: 35 lbs. Testing Equipment: F.G.E. 100 Date Tested: TEST LOCATION UPUFT PUU. TEST TEST LOCATION UPUFT PUU. TEST TEST LOCATIOD UPLIFT PULL TEST TEST LOCATIO UPLIFT PUU. TEST ST LOCATIO UPUFT PULL TEST TEST LOCATIO UPLIFT PULL TEST 1 26 51 76 101 126 2 27 52 77 102 127 3 28 53 78 103 128 4 29 54 79 104 129 5 30 55 80 105 • 130 6 31 56 81 106 131 7 32 57 82 107 132 8 33 58 83 108 133 9 34 59 84 109 134 10 35 60 85 110 135 11 36 61 86 111 136 12 87 62 87 112 137 13 38 63 88 113 138 14 39 64 89 114 139 15 40 65 90 115 140 16 41 66 1 141 17 42 67 -J 2 —n4 142 18 43 68 9 143 19 44 69 94 119 144 20 45 70 —11 (' � li�M } `,i 1 ul 1116)r ' 145 21 46 V 71 96 121 146 22 47 72 TO o --;,- -air 122 Kr 147 I 23 48 73 r-' 98 123 148 I 24 -4 49 74 99 124 149 25 " - 50 75 100 125, 150 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CON- TROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT SUBM 1, BY: Jose A. Martinez P.E. # 031509 �- A -1 CONSUL ,�IN RS, INC. Lab. Ce tion # 07 - 06.03 Renews: 01- 1224.05 4383 S.W. 70th Ct, Miami, Florida 33155 • Telephone (305)740 -9550 • Fax (305) 740 -9550 ENGLISH: CeII (305) 609 -6388 • SPANISH: Cell (305) 498 -9804 RR 44 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # kF L 2' 10 Y 4 DATE: INSPECTION AFFIDAVIT 1 L Q. i� � licensed as a (n (Print name and drde License Type) FS 468 Building Inspector License #: C i —/ 3 Z° 9 On or about b —leg 2" Iv i.. . '0? ,1 did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at 123/ 2o I v Engineer / Architect, 1/6‘, Pa) ?s S (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual edon, - ; F.S) State of Florida County of Dade: t ,r, +& Nu'rwy Pup li;; ;t'..oQ of Frnrjda r Pedro A Go,iuy My �0 Foyer - P yes Commissi/3R/2015 (R ir19 The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this 1 2. day of 0 t Notary Public, Sate of Florida at Large *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection Revised on 5/21/2009 113112.. Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 (414111),-A0-1-, BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: FBC 20 Permit No. �' Master Permit No.1 i 1 �1 cO BUILDING ROOFING 1.6b Ntti 9 r City: Miami Shores County: Miami Dade Folio/Parcel #: j Q - 1 Di -© ae -- 0 0 40 Is the Building Historically Designated: Yes NO Flood Zone: Zip: d Go OWNER: Name (Fee Simple Titleholder): Address: 3 b ""0°, 11,i W V. MV e City: t 144° 44! Tenant/Lessee Name: ?JReaIi'y �l o ;ed s State: FL Phone#) 403 —4225 Phone #: Zip: 33to7 Email: CONTRACTOR: Company Name: Az), S `c.b (OLS Address: / b 9%-/ /J tt) 1— S City: Qualifier State Certification or Registration #: CCC ( '9O ( C 1O° Phone#: 0) 457 / 6 7 �� �J State: Name: �L J . e cd c a(eL Contact Phone #:(!) t 3 0.497 DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Email Address: I sop °r Type of Work: ❑Additi. ❑Alteration Description of Work: 12. ray 0 jdopt°-eir / i 33125 pho.:0545-)—ff'70 cate of Competency #: loo o. C& Phone #: Square/Linear Footage of Work: ❑New /500' Repair/Replace ODemolition Color thru tile: Ik) ******** * * * * * * * * * * * * * * * ****** **** *0� %.� �x�a�x�x ****� ********* * *�x�x�a*** * *�x�x****�x *�x�rx�� *** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ a(1/41211(0 TOTAL FEE NOW DUE $ CCF$ CO /CC$ DBPR $ Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City X1� State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State / Zip 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 w.' ch occurs seven (7) days after the building permit is issued In the ab ce of such posted notice, the inspection will no k e roved and a reinspection fee will be charged. Signature , AWAIMIM O er or Agent The foregoing instrument was acknowledged before me this {© day of , 20 / -, by Mtdrig q, rt)14 who i' i ersonally known o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Fe/ 111-. My Commission Expires: Signature The foregoing instrument was acknowledged before me this 6 day of 2 L.. , 20 (Z-, by ,4 e L (2- Cq(ckfri 2 who i(ersonally known to me or who has produced as identification and who did take an oath. APPROVED BY 7/- Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: Pea My Commission Expires: Zoning Clerk • OUNTY D COUNTY Ddrvv g EAceilcuc Elroy Day OWNER'S NOTIFICATION FORM SECTION 1524 RECEIVED JUN 07 112 BY: V HIGH VELOCITY HURRICANE ZONE - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIO 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initials in the designed space indicates that the item has been explained. i1�Y7 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 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). 3 Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants and adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining its 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): ft 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. ft may be necessary to install overflow scuppers in accordance with the requirements of Chapter 15 and 16 herein and 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. Exception: Attic spaces, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, shall not be required. Owner's /Agent's Signatu Contractor's Signature: Property Address. 123_01-197 12/09 re: co Co Jw Date: Permit Number: 1�- q S-- - (Y" ■cam; 3315 -t L Master Permit No. Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section A (General information) Contractor's Name Ikq.1.3 Job Address /66 p 11 Low Slope 1.1 Asphaltic Shingles El New Roof ROOF CATEGORY C. Mechanically Fastened Tile E Metal Panel/Shingles El Prescriptive BUR -RAS 150 ROOF TYPE "Morta El Wood Adhesive Set Tile ng f Re- Roofing LI Recovering ❑ Repair LI Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) hakes Section 8 (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers sfland overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. �D' ' IMP II U u .m... U, :C U. II U. �q pilupo � ail � l C:. 5�. a f :11 ahT �C igati kill! ■:l ::Ui�1�1' i� ewIii I'm Pill Inauggitica Rig - holuaRlI al 1110011%Wsz 01111140 inallars I,..L..9 .1 Lli a. 11189N..'..� •• ma .: . 111 1 —"— (TONING DEPT SU(3JECT TO COMPLIANCE Wf T 1-ti `;rnrr AND C ALL FEDERAL Ol IN7Y RULES AND RECIUlATIONS AFHDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND SECONDARY WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami -Dade County Building Department 11805 Coral Way, Suite 111 Miami, FL 33175 Re: Owner's Name Property Address Roofing Permit Number ikai-/7 /e6 166 pw ?) sT Dear Building Official: I AUL I n - e (464041-e certify that the roof deckin g attachment and fasteners have been strengthened and corrected and a secondary water bather has been provided as required by the "Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Structures" adopted by the Florida Building Commission by Rule 9B -3.047 F.A.C. STATE OF FLORIDA COUNTY OF MIAMI -DADE Sworn to and subscribed before me this day of R- , 20 / Z. (SEAL) /Personally known or Produced Identification OWNER'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami -Dade County Building Department 11805 Coral Way, Suite 111 Miami, FL 33175 Re: Owner's Name 1 L Pt ` ( Property Address 16 6 !v q S r Roofing Permit Number Dear Building Official: bO certify that I am not required to retrofit the roof to wall connections of my building becausb: Nsi The just valuation for the structure for purposes of ad valorem taxation in less than $300,000.00. 11 The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of the 1994 edition of the South Florida Building Code (1994 SFBC). Sign . of Prop rty Owner i Print Name ,e—Y--, • STATE OF FLORIDA COUNTY OF MIAMI -DADE Swom to and subscribed before me this day of , 20 l L (SEAL) 'ersonally known or Produced Identification When the just valuation of the structure for purposes of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed in compliance with the FBC nor with 1994 SFBC, and affidavit of Roof to Wall Connection Hurricane Mitigation Retrofit must be provided. elDocameate sad s flMq M toofin8 Affidavit CompRemo926b7Pi0ebbdx ANFwAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MI'I'1GATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami -Dade County Building Department 11805 Coral Way, Suite 111 Miami, FL 33175 Re: Owner's Name L Property Address 166' ,V& qtl sr Roofing Permit Number Dear Building Official: I ANL P j/t4;/ie 2- , certify that I have improved the roof to wall connections o the re erenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 9B -3.047 F.A.C. Siva ring Agent .Print ame License Number STATE OF FLORIDA COUNTY OF MIAMI -DADE Swam to and subscribed before me this /I day of -2a , 20 (SEAL) 1/Personally known or Produced Identification MOCUMeom and Sari h0e11M9bu rel4mdstic®Qmpbs 2Utoo8og Affidavit Cami 92607Fitla6ia1ba Tile Roof System "Delivering Excellence Every Day" Roof System Manufacturer: Miami -Dade County Building Department Electronic Application Section D Sloped System Description Tile Roof System MONIER LIFETILE LLC Notice of Acceptance Number (NOA): 111-0907.10 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P1: -39.1 P 2: -68.1 P3 Maximum Design Wind Pressures, (From the NOA Specific system): 4U.4 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: Roof Mean Height: "/12" ft. 14 Method of Tile Attachment: -- Adhesive, Medium Paddy Polyfoam Polypro- Alternate Method of Tile Attachment per NOA: N/A Drip Edge Size & Gauge: Drip Edge Material Type: Drip Edge Fastener Type: - -3" face 26 ga. -- 1—Galvinized Metal -- Deck Type: —5/8" Plywood -- Optional Insulation: Optional Nailable Substrate: Optional Nailable Substrate Attachment: N/A Basesheet Type: Fastener Type for Basesheet Attachment: 1 -1/4 RS NAIL & TIN CAP 1 -5/8 Tile Underlayment (Cap Sheet ) Type: Tile Underlayment Attachment Method: HOT MOP ASPHALT TYPE IV Tile Profile: Hook Strip /Cleat gauge or weight: -- Select Hook Strip -- Section E 2 MIAMI "Delivering Excellence Every Day" Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Section E (Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 127" For Moment based tile systems, use Method 1. 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. P1:39I....... x2,, 0.200 =,782 ! - Mg :7.07 =Mr1: P 2. 68 1 x X 0.200 = 13 62 _ Mg 7.07 = Mr2: P 3: ! 100.7 x x 0.200 = 20.14 _ Mg: 7.07 = Mr3: 0.75 6.55 13.07 5 40.4 40.4 40.4 Method 3 "Uplift Based Tile Calculations Per RAS 127" NOA Mf NOA Mf NOA Mf For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. P1: P2: P3: xl: x X w: x w: x w: - W: - W: - W: x cos 0: = Fr1: x cos 0: El Fr2: x cos 0: = Fr3: Where to Obtain Information to complete tile calculations Symbol Where to Find 5 5 NOA F' NOA F' NOA F' Design Pressure P1 or P2 or P3 Table 1 RAS 127, or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7. Mean Roof Height Roof Slope Job Site Job Site Aerodynamic Multiplier Product Approval (NOA) Restoring Moment due to Gravity Attachment Resistance Product Approval (NOA) Product Approval (NOA) Required Moment Resistance Minimum Attachment Resistance Calculated Product Approval (NOA) Average Tile Weight Calculated Product Approval (NOA) Tile Dimensions I = length w = width Product Approval (NOA) M IAMB COUNTY DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 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 PERA - 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 Miarni -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. PERA 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: Saxony (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 perfomance of this product. TERMINATION of this NOA will occur after the expiration diat 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. INSPECTIQN: 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 revises NOA# 07- 0710.05 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315 -2590 F (786) 315 -2599 www.miarnidade.eov /nera 1' NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 1 of 8 ROOFING ASSEMBLY APPROVAL Category: Sub-Ca tegory: Material: Roofing Flat Profile Roofing Tiles Concrete 1, SCOPE This renews and revises a system using Monier Liretile Saxony (Shake, Slate and Split Shake) Concrete Roof Tile, as manufactured Monier Lifetile LLC in Lake Wales, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Monier Lifetile LLC l = 16'W' Saxony (Shake, Slate w = 12-3/8" and Split Shake) Tile .6" thick Trim Pieces 1= varies w = varies varying thickness Test Specifications TAS 112 TAS 112 2.1 EVIDENCE SUBMITTED: Test Aeencv Test Identifier Redland Technologies 7161 -03 Appendix III 94 -084 The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 94 -060A 25- 7183 -6 The Center for Applied 25- 7183 -5 Engineering, Inc. Product Description Flat, interlocking, high pressure extruded concrete roof tile equipped with two nail holes. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing • PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) • Static Uplift Testing PA 102 :(2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Date Dec. 1991 May 1994 March, 1994 Feb. 1 995 Feb. 1995 NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 2of8 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, Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Wacker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineering 25- 7214 -1 25- 7214 -5 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 520109 -1 520111 -4 520191 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Calculations 129 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 Static Uplift Testing • , PA 101 Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Two Patty Adhesive Set System Restoring Moment Due to Gravity TAS -112 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Dec. 1998 March 1999 June 2007 February 1996 April 1996 December 1996 March 1995 April 1999 June 2007 Jan. 2007 NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 3 of 8 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static .field uplift test shall be performed in accordance with TAS 106, 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimtun underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayrnent material manufacturers published literature. 3.6 This acceptance is for wood deck applicatlons. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Monier Lifetile Saxony (Shake, Slate and 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. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w) . Tile Profile Weight -W (Ibf) • ,1 pits: Length -I (ft) • Direct Deck Application Width -w (ft) Monier Lifetile Saxony (Shake, Slate and Split Shake) Tile 11.8 Shake) Tile 1.375 • 1.02 Table 2:' Aerodynamic Multipliers - 7t, (ft3 Tile 7t. (ft3) k (ft3) Profile Batten Application Direct Deck Application Monier Lifetile Saxony (Shake, Slate and Split 0.185 .0.200 Shake) Tile Direct Deck Battens Table 3: Restoring Moments due to Gravity - Ma (ft-Ibf) Tile Profile 2 ":12" 3 ":12" 4 ":12" S "•12" 6 ":12" 7'.12" or greater Monier Lifetile Saxony (Shake, Slate and Split Shake) Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 6.63 7.14 6.56 7.07 6.47 6.97 . 6.34 6.83 6.18 6.66 6.02 6.48 NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 4 of 8 Table 4: Attachment Resistance Expressed as a Moment -•Mf (ft-ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 16/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Saxony (Shake, Slate and Split Shake) Tile 2 -10d Ring Shank Nails 2 Flexible Products Company 'TlleBond Average weight per patty 1.3.8 grams, Pooam Product, Inc. Average weight per patty 8 grams. ,° •! • 40.44 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail • ' 7.3. .. , 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14,0 . 18.8 7.4 14/8 Screw .. 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 •24.4 1 -10d Smooth or Screw Shank Nall (Field Gllp) 24,3 24,3 24;2 • 1 -10d Smooth or Screw Shank Nall (Eave Clip) 19.0 19.0 22.1 2 -10d 'Smooth or Screw Shank Nails (Field Clip) 35.5 .35.5 34.8 2 -10d Smooth or Screw Shank Nails (Save Clip) . 31.9 •31.9 32.2 Table 6: Attachment Resistance ExpreSsr d as a Moment Mf (ft-ibf) for Two Pa tty Adhesive Set Systems Tile Profile T Tile Application Minimum Attachment Resistance Monier Lifetile Saxony (Shake, Slate and Split Shake) Tile Adhesive' •. 31.3` 1 ' See manufactures sonironent approval far Insfailation rectul(errients. . 2 Flexible Products Company 'TlleBond Average weight per patty 1.3.8 grams, Pooam Product, Inc. Average weight per patty 8 grams. ,° •! • Table 6: Attachment Resistance for Single Patty Expressed as a !Moment - Mf (ft -Ibf) Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Saxony (Shake, Slate and Split Shake) Tile PolyProTM 118.9'' PolyProTM 40.44 3 Large paddy placement of 45 grams of Pal /From'. 4 Medium paddy placement of 24 grams of PolyProTM. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-ibf) for Mortar or Adhesive Set Systems Tile Profile ; Tile Application Attachment Resistance Monier Lifetile Saxony (Shake, Slate and Split Shake) Tile Mortar Set$ ' 43.9 5' Tile-11th Roof Tile Mortar. NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 5 of 8 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". o B MONIERLIFETILE LLC, SAXONY TILE (LAKE WALES FL) LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 6 of $ PROFILE DRAWINGS 1 3/10 " (elate 18/1 " (ehak WATERLOO( OVERLAY MONIERLIFETILE SAXONY CONCRETE ROOF TILE (SLATE MODEL) NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 7 of 8 MONIERLIFETILE SAXONY CONCRETE ROOF TILE (SPLIT SHAKE MODEL) MONIERLIFETILE SAXONY CONCRETE ROOF TILE (SHAKE MODEL) END OF THIS ACCEPTANCE NOA No.: 11- 0907.10 Expiration Date: 12/16/12 Approval Date: 12/01/11 Page 8 of 8 DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 3M Company 3M Center Building 0220- 05 -E -06 St. Paul, MN. 55144 -1000 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.mia midade.gov /pera 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 PERA - 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. PERA 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: 3MTM 2- Component Foam Roof Tile Adhesive AH -160 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 and revises NOA# 11- 0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MANMADE COUNTY APPROVED NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive Polyurethane SCOPE: This approves 3MTM 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company 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 2- Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF1000 ProPack® 30 & 100 N/A N/A Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content MIAMI-DADE COUNTY APPROVED Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs. /ft.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% NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 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. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1 PA 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. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 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 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. S. 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'— MS F \2I —W MIAMI.DADE COUNTY APPROVED NOA No.: 12- 0228.18 Expiration Date: 05 /10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160 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. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF 1000 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 (8). 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. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 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 3MTM 2- Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 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 MIAMI•DADE COUNTY APPROVED NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 LABELING: All 3MTM 2- Component Foam Roof Tile Adhesive AH -160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. Nail through plastic cement ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Paddy (Beneath The) Eave Closure Eave course only: Keep adhesive ap rox. 41n. up from wee holes Paddy ( Benoath Tile) Nall through plastic cement NoN7 Eave Course soft/ Underlayment 1 Paddy (Beneath Tile) 10In. Eave course only: Keep adhesive approx. 4In. up from waephoise Fascia Weephole Eave closure Drip edge 1) Place enough adhesive to achieve 17 to 23 square Inches In contact with the pan the 2) Tum covers upside down. Place adhesive 112In. To 1 In. From outside edge of cover tile. Then Install the tile. Underlayment Optional 2x4's for steep pitch applications Nag through plastic cement 101n. Eave Course Eave Closure MIAMI•DADE COUNTY APPROVED Fascia Remov top portion of the eave course cover the. Abut to second course of pan thes. Ensure save end of pan and cover tiles are flush at save line. Eave closure (molter shown) Weephole Fascia Bo Sheathing Optional Point-up Mortar on longitudinal edges of tile NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall through plastic cemem , Tin. 1°/$4*X :in . J.;°477.. Eave Course Underlayment Paddy (Beneath Tile) Fascia Weephole Eave closure Drip edge Nail through plastic cement Paddy (Beneath Tile) Underiayment Eave Closure Eave Course Fascia NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy (between tile) Paddy (under tile) x 3 in. Single paddy on under- layrnent Single paddy under tile Single paddy on top of tile 1%1*. lie, 7 2 In. X 7 in. medium she paddy eave Fascia course only Eave course Nail through plastic cement Undedayment 1 10.4' re, 4 in. Single paddy on under- layment Single paddy between tile course only in.x 3 in. Single paddy under tile 2 in. x 7 in. medium size paddy eave Single paddy on top of tile Eave Course Fascia Weephole Eave closure Drip edge Nail through plastic cement Single paddy under tile Single paddy between tile 3 in. Single paddy on underlayment 4 In. Single paddy on top of tile Eave Course Eave Closure 2 in. x 7 in. medium she paddy eave course only Fascia END OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 NOTICE OF- COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO.I1 -31O0` o ? —OO41O STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 2. Description of improvement: e,sLt6 a ILK - d� • .�z 0 3. Owners) name and address: 1 . r ' 3 nr rnir llningrallibrir Interest in property: OIittOr Name and address of fee simple titleholder. 4. Contractor's name, address and phone number 11111111111111111 1111111111111111111111111111 CEN 201 2801.0 1 X05 OR l3k 28140 Ps 0727; tips) RECORDED 06f07/2012 09:58:51 HARVEY RIJVIN, CLERK OF COURT MIA11I -DADE C.OI:IHTYr FLORIDA LAST PAGE Space recording office 427 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 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, address and phone number. 4 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, address and phone number 4- 9. Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a tdifferent date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE'EXPIRATION OF THE NOTICE 'OFCOMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEN' i 0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORELCOMMENCING WORK OR RECORDING YOUR NOTICE OF I • MMENC:0 Signature(s) of Owne . 11., - /. , - . ' ed Officer/Director /Partner/Mana } . Prepared By , ���i1 Prepared By. f�' Print Name _ � G ' l Print Name . V\Pt01 r 3"i TitIe/Off ce G . �.t. -:r . tlelofnce STATE OF FLORIDA COUNTY OF MIAMI -DADE The . or oirtg instru By ividually, or 7 as Personally known, or CI produced the folk wing.type of.identifr Signature of Notary Public: Print Name: (sEA) VERIFICATION PURSUANT TO. SECTION 92.525. FLORIDA :STATUTES Under penalties of perjury, I. declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief.' Signature(s) of Owner(s) or Ow net(s)'s Authorized Officer /Director/Partner /Manager who signed above: i ctiowIte before me this ' day of By . . ' By 123.01 -52 PAGE 3 11/07 JUTE OF KOWA. ODUN YO OE olgina IOW In this office cwt..,,,,.._.__d8YC? I , ,.Aa120 MJAfSSow hand and i ' Soot 4AAYEYF ttN, « lot Ora* ad County Cards D.C. TANASHIA AR OLD 1144 Return to: EPIC P. STEIN, RA. Attorney- at -l.aw 1820 N.E. 163rd Street, Suite 100 North Miami Reach. Florida 33162 Instrument Prepared By: CHRISTOPHER P. KELLEY, Esquire 11098 Biscayne Boulevard, Suite 205 Miami, Florida 33161 Tax Folio No. 11- 3101 - 026 -0040 1 111111 11111 11111 1 111111111 1111111 111 11111111 t F"H 2O12R039 r7;. %1 OR Elk 28137 Pa 4i•4r4•2; (1as) • RECORDED 06/016/2012 10:03:27 DEED DOC TAX 0.60 HARVEY RUVIHy CLERK OF COURT f MIAMI -DADE COUNTY, FLORIDA LAST PttGE WARRANTY DEED THIS INDENTURE, Made this° day of -ate , 2012, Between LISA CANTAVE, a single woman, as GRANTOR, and B & L REALTY HOLDINGS, LLC, a Florida Limited Liability Company, whose post office address 3900 NW 2 Avenue, Miami, FL 33127, as GRANTEE, WITNESSETH, That said GRANTOR, for and in consideration of the sum of °Ten and No /100 ($10.00) Dollars,. and other good and valuable considerations to said GRANTOR in hand paid by said GRANTEE, the receipt whereof is hereby acknowledged, have granted, bargained and sold to the said GRANTEE, and GRANTEE's successors and assigns forever, the following described land, situate, Tying and being in Miami -Dade County, Florida to -wit: Lot 4, Block 2, RESUBDIVISION OF BLOCK 2 OF BONMAR PARK, according to the Plat thereof, as recorded in Plat Book 42, Page 59, of the Public Records of Miami -Dade County, Florida SUBJECT TO: Applicable zoning and /or restrictions and prohibitions imposed by governmental authority; Conditions, Restrictions limitations, reservations, easements, and other matters appearing on records, if any, without intent to reimpose same; Utility easements of record, taxes for the year 2012 and subsequent years. and said GRANTOR does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, GRANTOR, has hereunto set GRANTOR'S hand and seal the day and year first above written. Signed, sealed, and delivered in our presence: Print name STATE OF FLORIDA ) COUNTY OF MIAMI -DADS ) L�= . CANTAVE L4301 (NW 4 Street Pembroke Pines, FL 33025 iC., yj *.rc3acr.�r;nsr �� HERE' Y Y CERT/FY that onlv/rl OF arvE 00PY Oft I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgments, personally appeared LISA CANTAVE, who produced 17 C as identification, and who executed the foregoing instrument and acknowledged before me that she executed the same. WITNESS my hand and official seal in the ounty nd State last afores - id this Li' day of , 2012. (-NOT Y C' C, tat= of FLO: eA at Large My Commission Expires: Notary Publlo State of Florlda Christopher P Kelley c'F My Commission EE 183338 of n.or Expires 05/21/2018 uic P s x sally, PA. Attorney-at-law 1820 N.E. 163rd Stroet, Spite 4Oo North Miami Beach, Fiorldn 33162 This instrument prepared by: Christopher P. Kelley, Esquire 11098 Biscayne Boulevard, SuIte 206 Miami, FL 33161 Tax Folio No. 11 -3101- 026 -0040 11111 1111111111111111111111111111111111111111 C :FEi 2 i12Rn3 73 3 Of: Bk 28137 Ns 4445 - 4446; (2pss) RECORDED 06/06/2012 10:05 :27 DEED DOC: TAiX 0.60 HARVEY RUVIHF CLERK OF COURT MIAMI -DARE COUNTY, FLORIDA SPECIAL WARRANTY DEED THIS QUIT CLAIM DEED executed this 2'4 day of �, CANTAVE, a single man, as GRANTOR, and B & L REALTY HOLDINGS, 2a Fl ri a Limited d Liability Company, whose mailing address is 3900 NW 2 Avenue LMiami, FL 33127, as GRANTEE. WITNESSETH: That the said Grantors, for and in consideration of the sum of Ten and No /100 ($10.00) Dollars in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, does hereby sell, transfer and convey unto the said Grantee forever, all the right, title, interest, claim and demand which the said Grantor has in and to the following described lot, piece or parcel of land, situate, lying and being in the County of MIAMI -DADE, State of Florida, to- wit: Lot 4, Block 2, RESUBDIVISION OF BLOCK 2 OF BONMAR PARK, according to the Plat thereof, as recorded in Plat Book 42, Page 59, of the Public Records of Miami -Dade County, Florida commonly known as 166 NW 98 Street, Miami, FL 33150, TOGETHER WITH all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of the said Grantor, either in law or equity, to the only prior use, benefit and behoof of the said Grantee forever. TO HAVE AND TO HOLD, the same in fee simple forever. AND the GRANTOR hereby covenants with said GRANTEE that GRANTOR has good right and lawful authority to sell and convey said land; that GRANTOR warrants the title to said land for any acts of GRANTOR and will defend the title against lawful claims of all persons claiming by, through or under GRANTOR. and year above written. IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day { Quit Claim Deed - Cantave Estate sit B &L Realty Holdings, LLC Page a Signed, sealed and delivered in our presence: Print na Tdt: PIMP. KELLEY O�l BK '� , r J PG 4446 L_. A S "9'" KERVINS CANTAVE i I.,Sg2 5v) 14 t im\oroko s f PL S3025 STATE OF FLORIDA ) COUNTY OF MIAMI -DADE ) I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgments, personally appeared KERVINS CANTAVE, who produced / De_ as identification, and who executed the foregoing instrument and acknowledged before me that he executed the same. WITNESS MY HAND and official seal in the County and State last aforesaid this 2 Cf4 day of /na , 2012. My Commission Expires ..,,_ _Ai w -- .i 'K NO `Y PU: �C, State of F •RIDA at Large Notary putbtlo State of Florida Christopher P Kelley If My tlE mm1Huwwn SI6103334 er Expires 0e121/201e