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RF-13-541 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 187618 Permit Number: RF -3 -13 -541 Scheduled Inspection Date: June 13, 2013 Inspector: Rodriguez, Jorge Owner: SCHAFER, KATHERINE Job Address: 912 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: Z ROOFING INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number (305)778 -5103 Parcel Number 1132060010010 Building Department Comments RE ROOF TILE ROOF COLOR THRU Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 12, 2013 For Inspections please call: (305)762 -4949 Page 7 of 36 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: rvww reilehengineering.com June 12, 2013 Z Roofing and Waterproofing, Inc. 2525 West 3 Court Hialeah, Florida 33010 Project: Dear Sirs; ROOF TILE UPLIFT TEST REPORT Residential Home 912 Northeast 95 Street Miami Shores, Florida Information provided by client: Permit Number: Not Provided Date Completion: June 3, 2013 Roofing Contractor: Z Roofing and Waterproofing, Inc. Project Number: 13 -0390 (Testing Laboratory Certificate #11-0715.04) 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 ofthe bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total ofthe 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 Entegra Bermuda Roof Tile, This tile was reported to have been foamed/screwed 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) 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 ofthe roof the 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 Corporation WOK/ ohamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 912 Northeast 95 Street Miami Shores, Florida Reileh Engineering Corporation -- Project Number - 13 -0390 — Page 2 of 7 Report of TILE UPLIFT TEST for Residential Home 912 Northeast 95 Street Miami Shores, Florida Project Number: 13 -0390 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 - 13 -0390 — Page 3 of 7 Test Number Test Load (Ib!) 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 - 13 -0390 — Page 4 of 7 Test Number Test Load (ib!) 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 - 13 -0390 — Page 5 of 7 Test Number Test Load (lbf) 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 96 35 Pass 97 35 Pass 98 35 Pass 99 35 Pass 100 35 Pass 101 35 Pass 102 35 Pass 103 35 Pass 104 35 Pass 105 35 Pass 106 35 Pass 107 35 Pass Reileh Engineering Corporation -- Project Number - 13 -0390 — Page 6 of 7 Test 1 -30 Corner, 31 -39 Ridge Caps, 40 -80 Perimeter, 81 -132 Field Reileh Engineering Corporation -- Project Number - 13 -0390 — Page 7 of 7 Test Number Test Load (ibi) Test Status • 108 35 Pass • 109 35 Pass 110 35 Pass 111 35 Pass 112 35 Pass 113 35 Pass 114 35 Pass 115 35 Pass 116 35 Pass 117 35 Pass 118 35 Pass 119 35 Pass 120 35 Pass 121 35 Pass 122 35 Pass 123 35 Pass 124 35 Pass 125 35 Pass 126 35 Pass 127 35 Pass 128 35 Pass 129 35 Pass 130 35 Pass 131 35 Pass 132 35 Pass Test 1 -30 Corner, 31 -39 Ridge Caps, 40 -80 Perimeter, 81 -132 Field Reileh Engineering Corporation -- Project Number - 13 -0390 — Page 7 of 7 NOMI 4 5 6 . • ° 70 82 7716 69 15 16 46 50 29 41 28 27 6? 112 �%I) >2 119 132 131 61 7 6k 12 65 93 63 94 45 44 IIO III 109 108 120 119 67 66 111 118 114 91 92 86 85 95 101 115 51 88 90 89 14 19 50 26 15 rV 80 106 51 25 60 24' B II / 129 9 O 116 Io 96 98 97 74 16 105 78 23 7I 72 43 99 100 121 122 52 31 42 102 101 124 124 53 127 128 104 103 58 59 21 125 126 55 17 57 18 19 56 i 68, 1t5T 11L rtkint11;P = 21005F 0 PIfn CAP 11:51' LOCATION F11,17 = 52 COPN�P - 300 5F MIMtk 41 NO. SST LOCATION COPNk G 30 1'LPIMesP 1215TANC�, a = 3' L 1itNOT5 DOSS 111.� Iti'a CAP = 9 COM APIA = 5'X 3' 1 -090 APPPDX. POOP T�51 LOCA110N5 ANP I2lM N510N5 RE: Permit ?.F- 3 -13 -V- I INSPECTION AFFIDAVIT laml Shores, Village Building gepa �. ent 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 DATE I �q u r ( 0 S rf-D licensed as a (n) Contractor / Engineer ! Ardu'tect, (Manama and tide Lizorse Two) FS 468 Budding Inspector license : C (32gL 03 On or about , 1 did personally inspect the molded; miffing and (Date boa) Secondary water barrier work at q 12 N q5 (Comble ,sitandd.ss) Based upon that examination I have d < the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553. rI;■ State of Florida County of Dade: •••• • • • •••• • .• The undersigned, Ding the first duly sworn, deposes and says that helshe is the contractor for thaw propett&• • • • • • mentioned. LISSETTE PACHECO MY COMMISSION # EE73987 EXPIRES: June 08,2A15 Raised an 512I 9 •••• • • •••• • • •• •• • • • • • • • •• •••• • • •• • • • • • • • • • • • • • •• • • • • • • •• •• lambda phattgaphis plarteriteranif sib • •• • • • • • • •• • • • Miami Shores Village :. uilding Department 10050 N.E Nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 2204 Fa:: (305) 7561972 INSPECTION'S PHONE NUMBER (30_5) 762.4949 Petrmit No. 1 BUILDING PERMIT APPLICATION C20 Permit Typen ILD'!i' ` is OWNER: Name (Fee Simple Ta!eholder): N� (�. (1 r\ �(.��� i. r Phoe �p .�"1 . d� t�� Address: l 1 aI 5 S C 2. city: Mi u w► at SIN ore S State: FL- Tp: 3313 Tel mrr /Lessee Name: Thou: Master Permit No. Email: JOB ADDRESS: "1 12 NE q5 3r City. Miami Shares County: (1'71dr)11 iami bade 2:iP: _ FollodParceoii: I I- 3 20 0- p 01- Cb i O Is the Building Historically Designate& Yes NO V. CONTRACTOR: Company Name: Z Address:2 5 25 IA . 3 Cr City: 1Ho,f fleah Stare: fl - Qualifier Name: U5`hr) EX p 03 (to Stare Certification ar ftistration CC C 132°I 69O 3 Certificate of Competency if: cont.., Piton. (905>23-1 � 2 Email ,Address: us YQ-17 r9 Pen) Pho: Flood Lane: • Oat a •rt [#A.1111 •' Phone':OCD(2Z J- 7101/›. Zip: 330to rr, )&Za-t (0(03 DESIGNER Architect/Engineer. N ) fl Value or Work for this Permit: S 3000 .'' Sgomre/Uaear F,;:, , ..: , ^^ of Work: 2000 Type off Work: ®Address OAlte ation ONcer ° lace ❑Dernafition Description of Work: IZ>dr1naPe 1'u'WJ R.Qplae,e --hi P Roo t= COLOR THROUGH ROOF TILE IS REQUIRED acbundedged br it graaaa elk***4112...5 z, .a.5 a&dirir39ar33d1.}33Fees381Sa .. aAv 'd$tric**33dri4*La3ksY53rdrirfir& ******tinWr s� Submittal Fee 5 Permit Fee S ...766) CCF 5 CO/CC 5 Scanning Fee 5 Radon Fee 5 DBPR 5 Bond 5 Notary 5 Training/Education Fee 5 Technology Fee S Double Fee S Strum:t at Review S TOTAL. FEE NOW DUE 5 s Bonding Company's Name (if applicable) Bonding Company's Address City State / Zip N/ Mortgage Lender's Name (if applicable) Mortgage Lender's Address City date - 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 ib 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_ OWNERS AFFIDAVIT: I certify that all the foregoing information is actuate and that all work will be done in compliance with all applicable laws regulating construction and wing "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 Ora building permit with an estimated ratite exceed'ng 52500. the applicant nuot promise in good faith that a copy of he notice of cauunenaeurent and construction lien law brochure will be delivered to the person whose pi operte is subject to attarhueon. .4Iso, a certified calm ojthe recorded notice of commencement Must be posted at the job sire far the first inspection which occurs semen (7, don after the building permit is issued In the absence of sod, paved notice, the inspection will not be approved and a reitspection fee will be charged iguature Own or Agent The foregoing instrurnent was aclutowledged before me this 13 day of Nar , 2013 , by traltritle SC r , who is personadly known to me or who has pniduced As identification and who did take an oath. NOTARY PUBLIC: Contractor The foregoing instrument was ac ktowledged before the thisl3 day of MO C1' ,20 j3, by 1'3 111h pm it who is personally known to me or who has produced as identification and who did take an oath. ie, LISSETTE PACHECO MY COMMISSION # EE73987 2015 EXPIRES: June Ft. Noun Discount Assoc. Co. Sign: Print My Commission Expires: 3r&E 2 2 A2 2Z.} 2A 2 2 4353inIr&i$2r2r2ritr3i rizeir APPROVED BY a>:fi$irA &2 NOTARY PUBLI Si Punt LISSETTE PACHECO MY COMMISSION # EE73987 e EXPIRES: June 08, 2015 Fl Notary Discount Assoc. Co. 1.00.3- NOTARY My Commission Expires: 2r** 8A,b2Xb.G.:A .�.*** tier griir2 ' *ark* *aria: Aran& in&it2r8 *8sTatrea*V 4 Pi( %.3 Plans Examiner Zoning (Raised 0479110MIR Rec ;f:'.0 Heattewerisa 39t>aprevon l Structural Review Clerk A NO OF CO ENCEM COVIBIOST BE POSIED f 1IE .1118 SITE AF T OF REST PERMIT NO. 1G‘X FOLIO Nall 320fo DOI 0010 SIAI E OF FLORDA: COUNTY OF MIAMI-DADE THE UNCIEFEIGNED hereby &as notbe that impowewents be wade to certain' real pope* and in accootswe nth Ovapter713, nortdaStalutes. the itellowing is provide:din the Nadice of Commencerrrent. 1111111 1111111111 11111 11111 11111 11111 1111 1111 CFN 2013R0199400 OR Bk 28530 Ps 3985; (1130 RECORDED 03/14/2013 t4:4202 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUHTYr FLORIDA LAST PAGE 1. Legal description of property and streel/addresm Ci I 2. NE 615 er nyythm_filorts 1-1F-13 Lot Lai (2..0 irie5uliar or c9(94.rS'- 1151' Id-la Di 2. Description of impn3vernent -Poci0 3. Owner(s) name and address < reffCrl 11C 5e 11 interest In property: 3Fri. qi2 NE q- r. i1.33 1S Name and address of fee simple tBlehokler: 5. Surety: (Payment bond required by owner from contractor, If any) Name and addnsss: Amount of bond $ 6. Lender's name and 7. Persons within the state of Panicle designated by Owner upon whom notices or other docurnents may be served as provided by Section 713.13(1W., Florida Statutes, Name and address: 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 Stahrtes. Name and achires 9. Expiration vl.te of this Notice of Cornmencement (the expiration data is 1 year from the date of recording wises a V Print Owners Name icthiftr-1 e c•-t\ck41.-. 10 ( Ramrod by L Address: 25 3 Cr fah -7) • c;tt STATE OF FLORIDA, COUHTY OF LADE I HEA'EBY CERTIFY OW N's is a jn ccpy of the original filed in thBjctf ay of A D 20/ WITNESS rmy hand ad Ofitial Sint HARVEY RUVIN, C Ceti* Coots /— D.C. ZROOF -1 OP ID: GC ' CPm �„_,- -- CERTIFICATE OF LIABILITY DATE YY) 05/30 /12 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 561 -392 -3300 Workers Compensation Group 561 - 361 -1132 P O Box 410 Boca Raton, FL 33429 -0410 Workers Compensation Group NNAAMEACT Greg Carignan PH °NE 561- 392 -3300 FAX (A/C, No. Ext): No); 561 - 361 -1132 E-MAIL SS: certs@workerscompgroup.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Bridgefield Employers Ins 10701 INSURED Z Roofing & Waterproofing Inc 2525 W. 3rd Ct. Hialeah, FL 33010 INSURER B: INSURER C : INSURER D : $ INSURER E : $ INSURER F : $ 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 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. ILTRR TYPE OF INSURANCE , 'R sWVD POLICY NUMBER (POLICY //YYYY) (MITI/OD/TM) UMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ PREMISES SES Ea occurrence) $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ GENII AGGREGATE POLICY LIMIT APPLIES JEa PER: LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED NON -OWNED AUTOS COMBINED SINGLE UMIT (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 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below Y /" N / A 830 -48391 06/13/12 06/13/13 WC STATU- TORY UMRS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E L DISEASE - POLICY LIMIT $ 500r000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddlUonal 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ZROOF -1 OP ID: CM . 4. +w )Rir ,_,_..- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/17/2013 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 Phone: 561-637-3399 Insurance Services of Delray 409 SE 7th St Fax: Fort Lauderdale, FL 33301 Douglas A. Levy CONTACT pN ONE FAX (A/C. No. EM): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 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 : GL104056 INSURER C : 01/11/2014 INSURER D : $ 1,000,000 INSURER E : $ 50,000 INSURER F : $ 5,000 • 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 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 TURK TYPE OF INSURANCE INSR SUBR POLICY NUMBER (MNWDIYYYY) (MMIDD�) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL104056 01/11/2013 01/11/2014 EACH OCCURRENCE $ 1,000,000 p EM SES occu ence) $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GENII AGGREGATE LIMIT APPLIES POLICY n PE O- PER LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED NON-OWNED AUTOS COMBINED SINGLE UMIT (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 I RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / 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 (2010105) The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 EXPOSITO, AGUSTIN H Z ROOFING AND WATERPROOFING, INC 2525 W 3 CT I IALEAH FL . 3 3.010 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our prbfessionals 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 learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE IiISIODiMENT 11 SAVOL ?} 3E131$ACKGRDUND,MICHURBINI:INGa .liNE1111 r M RATENTEDNA` 14 E OF FL. :t. A;: L7PT `RY 4.4C.P 'DATE BATCH SiLI BER TION S (: #Li2os3oozoio KEN LA'SON S ERETARY THIS IS NOT ASILL- DO NOT PAY RENEWAL 674273-9 RECEIPT NO. . 701619-9 BUSINESS S N NAME / LOCATION Z-ROOFING & WATERROOFING INC 3 STATE# CCC1329603 2525 W 3 CT . 33010 HIALEAH' FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO.. 231 OWNER Z ROOFING & WATERROOFING Ih\C WORKER/S Sec. Type of Business I THIS IS 19v6ASPPECIALTY .BUILDING CONTRACTOR 1 BUSINESS TAX RECEIPT. IT DOES NOT PERMn' THE i HOLDER TO VIOLATE ANY ZONSIG REGULATORY LAAoWS OFA � DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER Z ROOFING & WATERROOFING INC PERMR OR LICENSE REQUIRED BY LAW. THIS. IS AGUSTIN EXPOSITO THE NOT A HOLDER'S iOUAUFICA- 2525 _ W 3 CT 3 HIALEAH FL 33010 PAYMENT RECEIVED MOLLE � COUNTY TAX 09/14/2012 09010210001 7y it ii t} y }} yp 000045.00 �illliti�'�I� tilslili��tiiaiilii iilll�IilIIII�ff1hblirII1178 SEE OTHER SIDE • : FSC Mixed Sources Plod. ptanpfromweZeuroppil *bold Oho ofitetls4 sum. lit$400.0071116 WIAMMILLY SMNINKS No: 8.9303 u1fjd • -- • • s flo*04)*. • ing • - • Lots • • ..• • • -; • 04,- 4±IAu, FL 33010 •• .• . .. • 46.66.13 City of Hialeah Business Tax Receipt Mayor Carlos Hernandez e ofBui 201243 • Locatip I. • CT .40*.$001#bpr:00,q,01. SECTION R4462.13 H VELOCITY H i' ; ;. E Z ES — ` ': ®U ERS NOTIFICATION FOR CONSIDERATIONS 84402.13.1 Scope. As El ,, I r, 1; sedan, . it the of with the �i , 4t 6' 3: Intl and 1 a'41, V'+i4; to hee owner R4402 ,al?r the muer m requirements a ^n Ohl .1.1114 of 11 tryanI ..`II 11 system " ,,, items should be addressed as part of the agreement between the owner ant the r'S i 1 dt iat the 4 , 11,::11 space i f 1 that the r has been .+.`flv.Y�l l ulri9 c1 the g +I 0 III 161 The it the of Salon ray VIII 1+ r -1$ 11111,.1 PA 11 yr . The - e_ 11 11 the workmranship IY'. 4 ,{ dons of that the roof systen meets the wind . such color 1!1111, 1 .11 1;P'.-) am not a ` "ril t0 hip should he such as t tot '� rll' are. not of a /� 1fi 4d ea; shoo d he 11.1m- .4. T4 ;:;a ' 'FJ.',i ( of agreemed between the owner and the the 011 II `u .FN(1'1 Renal fl 9iy efnTl der 51: When replacing 1i1a 1 a the 1i 1i 'I n>ri1 9a!1 molded may have in accontance tit the current provisiorm of Sedan R4403. ;4r,1 ^;, conceal Common roofs: Common roofs are those which have no (Le.. townhouses, condominkuns, etc.) In owner the li C,MI 1 *-.1 of ad ,4l1 wits 1 rrni 1r1 ill h.r:1 corm= roofs, 1 II ;11111.: 1 .s i 1 ;x.11. Ceilings Exposed, if' ?ilE':ii beam calms are where the viewed the bum . owner may wish to the the rite e to Prior 1:WI�PY water: The cement roof system andku deck of may not f I :,fii and may (accum 1, alt ? ^) in r, . of 111T rod. 1x411 wi; can be an it n 1 r.1 hu;+I of ducked may require the review of a professional stmclural engineer. P nmding�ma{y,,,s shorten the ttte rie l ,.,1 f;1, system. r it 1' 1; '.:f. I � il: 3:� may tWdt be evident Ir.- fill n.: system . Parading 111 1 1 he 6. Overflow scappets (wall outtetspt is so that tr . l nuiti is rag �,,,,p,�, from a 1 +111ie�liup of water. .P�� -1�! or other MI extension in�ay,,,,q(tly,1.... 1i�,��:.,1l,e if overflow so � t ) are not flg 4 E n::b1 . It may be necessary to 1 ""X6r 1i oD erfiow accordance requirements of Sedans R4402, R4403 k11'' R4413. 7. of structure assembly (the b consider add' reduced. It may be �'or .'n1 4iii nn ii' IiY,,.(" t3 should hem some The I ry rI 111' au which 11,'J IA to vent amnount of • 411 't:'!`I11111 n.IP 7 11!;4 the rut be mg the service li a of the 3`(3/(2 Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Process No Z ROOFING & WATERPROOFING, INC. Master Permit No. Contractor's Name Job Address q 12 is E q5 T' ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles g Mortar /Adhe ❑ Wood Shing ILA ❑ Prescriptive BUR -RAS 150 ROOF TYPE X Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 2000 SECTION B (Roof Plan) Sketch iscf PI n• Illustrate all levels and sections, roof drains, scuppers, overflow scup ers and ove I'• w drains. Include dimensions of sections and levels, clearly id. lim nsio • f elevated pressure zones and location of parapets. J 7 C. C LU 0 (.i Q Q 1--- Z � Q LU Cr) J CC Z ® o ® 0 W � F- 2.00& ttio PIMiliMeilj itlinin yl ��''5 ri��i��>r��_ 1 ■_ ■ - ll ii•F ( _ __ �7: ■ fa riPill �' �I � l ..; ' _ L, UUU iti l_ I r 111111111111111111% 111.... ,p. F 4 ro 4/6 Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: ra 1,on(' Tile Product Approval Number: 11- 0 y 111-. 0 q . Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: '-142. P2: -50.0 P3' 50 .D Maximum Design Pressure Product Approval Specific System: it fl . Method of Tile Attachment: rvitd LU WI paddy Roof Slope: 7 : 12 Steep Sloped System Description Deck Type: 51BY p,ro0d Type Underlayment: Insulation: 1*3o AerM Ttl4. NIA Fire Barrier: Ridge Ventilation? Ni� NIA Fastener Type & Spacing: *1%C, 3aaR 43.9t Nods I2' o .e. Ficlok/W Woo .e . I a p post cornerslpk kt f Adhesive Type: Mean Roof Height: 10 NIA aekakd Pail o C Type Cap Sheet• t o �SFIM f w +it Roof Covering: crm4a , lip Type & Size Drips Edge: 3k,3 gab,. 110 ga. ailatair l '14" R 5 l is IRatled drilo.c • Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application: Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mrwith the values from Mt. If the Mrvalues 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:-.422 x x.205 = $.'q) - Mg: b.35 = Mr1 2.42 Product Approval Mf140,1+ (P2: 710.O x X2_2_05_= 10.25) - Mg: 6.35 = Mr2 3. q Product Approval Mf LION (P3: 750.0 x A .205=10.25)-w 6.3%= Mr3 3.9 Product Approval M140.4. Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval M1 Mf Required Moment Resistance* Mean Roof Height -► 15' 20' 25' 30' 40' Roof Slopes 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. 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. Method 3 "Uplift Based Tile Calculations Per RAS 127" x 1: = x w:= ) - W: x cos 0: - = Fr, Product Approval F' (P2: x 1: = x w:= ) - W: x cos 0: - = Fr2 Product Approval F' (P3: x 1: = x w:= ) - W: x cos 0: - = Fri Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance M, Product Approval Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions 1= length w = width Product Approval All calculations must be submitted to the Building Official at the time of permit application. Miami Shores Village Building Department 10050 N.E?sd Avenue Moroi Shores, Florida 33138 Tel: (305) 7952204 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: T' Cr]+ c.Y i Ylt✓ Property Address: q12. NO Roofing Permit Number Dear Budding Official aPer. GI 5 sue. Date: 1 kaVhc ry 5}1Cribr certify that 1 am not required to retrofit the roof to wall comvictions of my bu # because: s�a�fe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. n 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 Budding Code (1994 SFBC) 'KQi'Vteri✓le SeF�cc' Print None State of Florida County of Dade The undersigned, being the fast duly swum, deposes and says that helshe is the ovarer for the above property mentioned. Swum too and su scnbed before me this 13 day of Mel 6N Z h 3 the jut minute rift Amin W als:I edam tuatisi i la ®Pi lbw y®aamt 1ua rairBlinuf i Rainth ae$21 p"r"`% LISSETTE PACHECO MY COMMISSION # EE73987 EXPIRES: June 08, 2015 I,43004TWTARY Fl. Notary Discount Assoc. Co. .. .... _ the oaf canskuukul eel R Cflor a 04 1 Miami -Dade My Home My Home man ida :a ov Show Me: Property Information Search By: Select Item (!1 Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Summary Details: Folio No.: 11 -3116- 001 -0011 j a z y�� 912 NE 95 ST Mailing KATHERINE SCHAFER ddress: 2 Living Units: 912 NE 95 ST MIAMI Adj Sq Footage: SHORES FL Lot Size: 138- Property information: Primary Zone: 1400 SGL FAMILY - 3001 -3250 SQ CLUC: ' 0002 MULTIFAMILY 2 LIVING UNITS • Beds/Baths: 9/6 Floors: 2 Living Units: 2 Adj Sq Footage: 3,479 Lot Size: 17,111.80 SQ FT Year Built: 1935 MARILYN HGTS PB 41-8 Legal LOT 1 LOT SIZE Description: IRREGULAR OR 28433 - 1751 1212 01 Assessment Information: Exemption. Information: arr; 2012 2011 rIIMMEINIIMCIIIII MUM r' EgEringfEill =ENE® rh10 =MM. Mani C•7IYL-L City: $0/$457,153 $1570592 chool Board: $0/$457,153 Exemption. Information: arr; 2012 2011 rIIMMEINIIMCIIIII axing Authority: Exemption/ Taxable $25,000 nd Homestead: =ENE® Regional: $0/$457,153 Taxable Value Information: 2012 2011 Applied Applied axing Authority: Exemption/ Taxable Exemption/ Taxable Value: . Value: Regional: $0/$457,153 $50,000/ $15577,,59592 County: $0/$457,153` 000/ $157,592 City: $0/$457,153 $1570592 chool Board: $0/$457,153 $25 000/ $182,592 Sale Information: Sale Date: 12/2012 ale Amount $392,000 Sale O/R: 28433 -1751 Sales Sales qualified as a result Qualification of examination of the fk"t;,l -WE 4-0 ttL-3S :1TCT,° Aerial Photography - 2012 0 115 ft My Home, I Property Information I Property Taxes I My Neighborhood 1 Property Appraiser Home I Using Our Site I Phone Directory I Privacy I 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. Alt rights reserved: http : / /gisims2.miamidade.gov /myhome /propmap.asp Mt Page 1 of 2 Legend Property Boundary Selected Property geif Street Highway Miami -Dade, ww County Water 3/7/2013 Miami Shores Village Building Department 10050 N.E2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # DATE: INSPECTION AFFIDAVIT f)q U_ Sin rl E Q O3 as a (n) Contractor / Engineer 1 Ar , (Runaway' cide Was! Type) FS 468 Building Inspector License #: Ce,i32giDo3 On or about , I did personally inspect the roof deck nano and (liste A Secondary water barrier work at q2 N' q3 -. (Cowl& Jab sib „) Based upon that =minaIion I have dub:mil it d the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dale: The undersigned, being the first duly swum, deposes and says that helshe is the amtratx for the above property Sworn th and subscribed before me this day of Notary Public, Sate of Florida at Large Memo* Reedenet or ,,.,, , :,, Cadman ireasikalesikrad tufa 4118 ES. to so ei penal A mil Wass A deody shook marked so the deck kr eadi impacice Reese' d en 58211/619 MIAMI COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile, Inc. 1289 NE 9th Ave. Okeechobee, FL. 34972 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.miamidadeaov /building/ 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: Bermuda Concrete Flat Roof Tale 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. Many 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 # 10- 0518.01 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. MIAMIOADE COUNTY APPROVED NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: Roofing Roofing Tiles Concrete 1. SCOPE This revises a roofing system using Entegra Flat Concrete Roof Tile, as manufactured Entegra Roof Tile Corporation in Okeechobee, FL. as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the design pressure values obtain 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. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Entegra Flat Tile Trim Pieces I = 16" TAS 112 w =10" 1= varies w = varies varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. Okeechobee, FL. 2.2 EVIDENCE SUBMITTED Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. cou APPROVED Test Identifier 7161 -03 Appendix III 94 -084 94 -060A 25- 7094 -2 TAS 112 Product Description Flat profile, interlocking, high pressure extruded concrete roof tile equipped with two nail holes. For mechanical, 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 IO2 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Date Dec. 1991 May 1994 March, 1994 Oct. 1994 NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 2 of 6 The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, lnc. Professional Service Industries, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, lnc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers MIAMF r r E COUNTY APPROVED 25- 7094 -8 25- 7094 -5 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 83.894 395 - 40011 -1 520109 -1 520111 -4 520191 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations 13343.1 Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Physical Properties PA 112 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 Restoring Moment, Ma Two Patty Adhesive Set System TAS 112 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Feb 2004 Dec. 1998 March 1999 March 2004 Feb 1996 April 1996 December 1996 March 1995 March 2004 April 1999 05/06/08 NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 3 of 6 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 in accordance with TAS 106 may required, refer to applicable building code. 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 and Neighborhood Compliance Department — Product Control Section for review. 3.4 Minimum 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 underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Entegra `Flat' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations. Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight W (Ibf) Length -I (ft) Width -w (ft) Entegra Flat Tile 9.7 1.33 .833 Table 3: Restoring Moments due to Gravity Table 2: Aerodynamic Multipliers - A, (ft3) Tile Profile Tile 4 ":12" I (ft) 6 ":12" X (ft3) Profile Battens Batten Application Direct Deck Application Entegra Fiat Tile Battens 0.189 Battens 0.205 Table 3: Restoring Moments due to Gravity - Ma (ft-Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" Greater than 7 ":12" Entegra Flat Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 6.53 6.97 6.43 6.86 6.29 6.71 6.14 6.54 5.97 6.35 NOA No. 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05126/11 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nall-On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19132" plywood) Battens Entegra Fiat Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4' 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank 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 (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 65.5 48.3 1 Installation with a 4" tile headlap and fasteners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Flat Tile Adhesive 31.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Fiat Tile PolyProTM 118.9" PolyProTM 40.4b 4 Large paddy placement of 45 grams of PolyProTM. 5 Medium paddy placement of 24 grams of PolyProTM. MANMADE COUNTY APPROVED NOA No. 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05t26/11 Page 5 of 6 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". ENTEGRA FLAT TILE LABEL (LOCATED ON UNDERSIDE OF 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 Building Official or Applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING ENTEGRA "FLAT" CONCRETE RooF TILE 16" -1 10" FIELD TILE 16" "l END OF THIS ACCEPTANCE MANMADE COUNTY APPROVED NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 6of6 FIIAM 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.miamidade.eov /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 All-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. 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 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 Foam Dispenser RTF1000 ProPack® 30 & 100 Dimensions N/A N/A N/A Test Specifications TAS 101 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 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 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 Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01- 6743 -011 01- 6739- 062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 Test Name/Report TAS 101 TAS 101 SSTD 11 -93 SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95. 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/28/98 TAS 101 03/02/99 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 Roofmg 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. 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. APPROVED (-2F 1 ) F'– MS –W 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 Tnstruction and Maintenance Booklet. 4. Tnstallation 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 RTF1000 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. 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 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. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nail through plastic ceme Paddy (Beneath Tile) Wed 10 11% 2 r 77:•'1 Eave Course Eave course only: Keep adhesive appronc 4 in. up from weepholes 1) Place enough adhesive to achieve 17 to 23 Optional 2a4s for square Inches N contact w it the pantile P Rah aPPilgtiora 2)Tum covers upside down. Place adhesive 112 N. To 11n. From outside edge of cover Olt Than Install the Me. Weephole Eava closure DO MP Nall through plastic cement Underrlayment 1 Eave course only: Keep iveapp�41n.up Re 10P Pato of the save course cover Me Abut to second comae of ��ewer tiles end of are Mush at save tine. Eave closure (modal* shown) Weephola Fascia Sheathing Optional PoNt4up mortar on longitudinal edges of We 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 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 Nall through plastic cement Paddy (between the) Paddy (under tile) Sin. x 3 In. Single paddy on under. layment Single paddy under the Single paddy on top of tile ir* • eEave 2 in. X 7 In. medlum size paddy eave Fascia course only Nall through plastic cement Nall through plastic cement Single paddy under tile Underhhyment Single paddy between tile 2 in. x 7 In. medium size paddy save course only I mr 3 In.x. 41n. 3in Single paddy on under - layment Single paddy on top of tile Course Single paddy under tile Single paddy between tile 1 Aln.x 3 In. Single paddy on underlayment 41n Single paddy on top of tile Eave Course Eave Closure 2 in. x 7 In. medium Fascsize paddy eave course only END OF THIS ACCEPTANCE APPROVED_I Fascia Weephole Eave closure Drip edge NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7