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RF-13-810Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C\ Inspection Number: INSP - 192061 Permit Number: RF -4 -13 -810 Scheduled Inspection Date: May 24, 2013 Inspector: Bruhn, Norman Owner: KENNEY, JOHN Job Address: 136 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: J&K ROOFING INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile /Flat Phone Number Parcel Number 1132060132680 Phone: 954- 961 -7663 Building Department Comments RE -ROOF TILE AND FLAT Infractio Passed Comments INSPECTOR COMMENTS False Passed Lec.....34, 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- 189625. May 24, 2013 For Inspections please call: (305)762 -4949 Page 19 of I3- Reileh Engineering Corp. (Consulting Engineer) 2370 S.W. 123 Avenue Miami, Florida 33175 -1174 Tel : 305- 823 -8008 / 305 - 397 -6414 Fax: 305 - 823 -3300 / 305 - 884 -8834 Website: www reilehengineering.com May 21, 2013 J and K Roofing, Inc. 201 Sherman Street Hollywood, Florida 33020 Project: Dear Sirs; ROOF TILE UPLIFT TEST REPORT Residential home 136 Northeast 96 Street Miami Shores, Florida Information provided by client: Permit Number: RF -4 -13 -810 Date Completion: May 16, 2013 Roofing Contractor: J and K Roofing, Inc. Project Number: 13 -0358 (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 i.p general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be Altusa Clay "S" Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the above - mentioned protocol. Attached please find a copy of our test report for your review. Reileh Engineering Corporation appreciates the opportunity 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 'C ,76,(67 ohamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 136 Northeast 96 Street Miami Shores, Florida Reileh Engineering Corporation -- Project Number - 13 -0358 — Page 2 of 6 Report of TILE UPLIFT TEST for Residential Home 136 Northeast 96 Street Miami Shores, Florida Project Number: 13 -0358 Test Number Test Load (1bf) 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 -0358 -- Page 3 of 6 Test Number Test Load (lbf) 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 -0358 — Page 4 of 6 Test Number Test Load (lbf) 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 -0358 — Page 5 of 6 Test Number Test Load (ibf) Test Status - 80 35 Pass 81 35 Pass 82 35 Pass 83 35 Pass 84 35 Pass 85 35 Pass 86 35 Pass 87 35 Pass 88 35 Pass 89 35 Pass 90 35 Pass 91 35 Pass 92 35 Pass 93 35 Pass 94 35 Pass 95 35 Pass 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 Test 1 -20 Corner, 21 -36 Ridge Caps, 37 -64 Perimeter, 65 -104 Field Reileh Engineering Corporation -- Project Number - 13 -0358 — Page 6 of 6 60' 9 10 yg 57 65 56 55 40' 15 16 91 13 14 62 12 11 63 bk 5y 85 12 84 42 a3 81 ► 61 100 99 79 O 11 86 88 10 90 75 68 14 17 66 104 0 82 67 105 1 18 a0 41 98 96 97 0 18 19 95 56 52 21 L7 76 80 92 95 0 91 41 94 I9 0 51 5 6 10 102 46 `I9 50 44 I 45 a S51 111.E mPIMm - I00CH O PItce CAP S51" LOCATION MILI7 - 40 COPN - 100 5F COPN�P P 20 28 NO, S5f PLPIM�1tP 171511ANC�, a - 3' I PtN01t5 005 111.� VIVa CAP - 16 cam APIA - 5'X 5' QQ I `0� U APPPDX, P00F 1' 51" L- 0CA110N5 AN12 PIWN510N5 RE: Permit # .P' "i3' Ft 0 �JOn.t L Ir0» (Print name and drde License Type) Miami Shores Village Building Department INSPECTION AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: S:4-(3 licensed as a (n) Contractor / Engineer / Architect, FS 468 Building Inspector License #: Cc- c os-tD g on or about se'/3 , I did personally inspect the roof deck nailing and (Date & time) �� 9 Sf Secondary water barrier work at J K c 4e 44;a144.1 . Sh errs Fs/ (Complete Jab Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this 8 day of A4 3-0c3 Notary Public, Sate of Florida at Large GD C. ORTIZ MY COMMISSION # EE 133795 EXPIRES: November 13, 2015 *General, Building, Residential, or Rooting Contractors or any individual certified under 458 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 5121/2009 ce-ak I/0 Miami' Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BIDDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 134. /OE 1,p 57 FBC 20/ Permit No. ''�� Master Permit No. PAC- . I ROOFING City: Miami Shores County: Folio/Parcel#: / ' 3a o 6 • 013- 0200 Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): \% erwt i4r /�- Key Phone# c��s (/ ?373 Miami Dade Zip: 3)i31� NO Flood Zone: Address: ��/ /ale AE 96 S. Q City: / / o� ✓vt.; 5k9 NS State: / zip: 3 3 (3 O Tenant/Lessee Name: Phone#: Fmail: CONTRACTOR: Company Name: \g ,;:k h0l 5 Address: 01010 Sh e 'WtOc 1 5� City: /-A,r,J(.) ,Io(1'io— trip 4.) Qualifier Name: State: Phone#: is "l 94f 9p7 2 Zip: q�33 OA 0 Phone#: S 7 Z Pd ? State Certification or 9� Registration #: Contact PhonePhone* / / r 0.13 'D Email Address: Certificate of Competency #: CC C ©SO D-r� L Val 00 • avt-i DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ ` 140- fl 0 Square/Linear Footage of Work: 3°1 Type of Work: °Addition 4 °Alteration y°New :epair/Replace °Demolition Descriptip n of Work: &rao -, S /c� l / t)$ra e/ .S �� i �e a ✓L c 711/e41- G I (€c4a0,1,Leet) ,od; ) EL. C o l o r t h r u t i l e : /414)5c. C 7 Submittal Fee $ L) ' J`' Permit Fee $ CCF $ CO /CC $ Scanning Fee $ ` Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE$ �JO ul.P ti Bonding,Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and MR CONDMONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be proved and ' reinspection fee will be charged er or Agent The foregoing instrument was acknowledged before me this /7 day of 4041/ , 20 , by J @ ✓ti e[ 444 el who ersonally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commissio ,, "�� °uo'•, FRED J. HERRON • ?a : Notary Public - State of Florida s. • My Comm. Expires Mar 21, 2016 i "'' QF Commission # EE 165061 � r� opP� • APPROVED BY Contractor The foregoing instrument was acknowledged before me this! 7 day of 1-i 1 , 20 (, by OPA/t; t` { rca who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC Signs Print .tfpLs FRED J, HERRON � :.. Notary Public - State of Florida My Comnns�=, !�ayT��y��►7,y My Comm. Expires Mar 21, 2016 10;7'' roc Commission # EE 165061 I '" "� Bonded Through National Notary Assn. * * * * ** ** * * * ** * *** * * * * * * *** * * ** (-7J /I Plans Examiner Structural Review (Revised 3/1212012)(Revised 07 /10107XRevised 06/10/2009)(Revised 3/15/09) Zoning Clerk Miami -Dade My Home My Home miami•a•e.•ov Show Me: Property Information Search By: Select Item ■ Text only La Property Appraiser Tax Estimator 1g Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3206 -013 -2680 Property: 136 NE 96 ST Mailing Address: JOHN F KENNEY JR & JENNIFER CROUCH 136 NE 96 ST MIAMI SHORES FL 33138 -2726 Pro perty Information: Primary Zone: 1100 SGL FAMILY - 2301 -2500 SQ CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 4/2 Floors: 2 Living Units: 1 Adj Sq Footage: 2,712 Lot Size: 21,450 SQ FT Year Built: 1928 $50,000/ $157,003 MIAMI SHORES SEC 1 City: AMD PB 10-70 LOTS 9 Legal TO 11 INC BLK 20 LOT Description: SIZE 150.000 X 143 OR 15848 - 0337 0393 1 OR 15848- 0337 0393 00 Assessment Information: Exemption Information: 2012 2011 Trilr3Mt $25,000 ^36?: :v4 9nd Homestead: $206,192 a: 206,19. =MEM $445,864 kTTIJ.1.1' =El $207,003 200,97 Exemption Information: Taxable Value Information: Year: 2012 2011 Trilr3Mt $25,000 $25,000 9nd Homestead: ®® Taxable Value Information: Year: 2012 2011 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $50,000/ $157,003 $50,000/ $150,974 County: $50,000/ $157,003 $50'000/ $150,974 City: $50,000/ $157,003 $50,000/ $150,974 Sohool Board: $25,000/ $182,003 $25,000/ $175,974 Sale Information: Sale Date: 13/1993 ACTIVE TOOL: SELECT Aerial Photography - 2012 My Home I Property Information I Property Taxes I My Neighborhood I Property Appraiser 0 Home I Using Our Site 1 Phone Directory ( Privacy I Disclaimer 115 ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at . aat Web Site C 2002 Miami-Dade County. All rights reserved. Page 1 of 2 MIAMIDADE Legend pBoundary u Selected Property Street Highway Miami -Dade County Water http: / /gisims2.miamidade.gov /myhome /propmap.asp 4/16/2013 LICENSED AND INSURED 2010 Sherman Street Hollywood, Florida 33020 sa,aTo t`�ah11 V, L e t3(o KIP at,hSt.strap i`f1: Ayy- ) ©re_a ROOFING Sortheg Soad 7441.14. Acso 30Itava Jab Lot mk Sob LICENSE # CC-0058051 Tax 954-961 -7663 954-961-9879 Fax ALL ROOFS TO BE DONE AS FOLLOWS ria(L.OPE ROOFT ROOF Will War off entire existing slope Roof down to deck or smooth workable surface. WILL RENAL DECKING TO MEET EXISTING CODE. Remove all related rooting debris from premises,. Replace any necessaly wood, 7 5 LF, or Sq. ft for plywood free. 3"5 perft thereafter. Will apply 30 Ib. premium felt, anchored to the deck according to local building code. Will install all new metal fishing and lead stacks. USING HOT ASPHALT, MOP a 36 INCH .WIDE STRIP OF 30 LE FELT VERTICALLY AND a 16 INCH WIDE GALV. VALLEY METAL IINALLVALLEY . Mop with Hot Asphalt 901.6 Fe f + to said b•s. Al ! tACjct, nay S the In system. RPc (127.1. Will tear off entire existing flat roof down to deck or smooth workable surface. WILL RENAL DECKING TO MEET EXISTING CODE Remove all related rooatg debris from premises. Reel c any necessary wood, % LF, or Sq. ft for plywood free, ice' perft.thereafter. WW apply 1 ply of /j Lushest anchored to the deck according to loth buflding code. Using HOTASPHALT, wW mop . plys of fiberglass felts to said basesheet. Install all new MARI flashing and lead stacks. We hereby propose to furnish labor and a - complete in dollars( sing HOT ASPHALT, mop 1 ply MODIFIED BITUMEN to said fiberglass felt. • �s the above speciticat t ons, for the sum of ) with payment to be made as follows: ,. Bc)k f ly stated in this contra fees Incurred In collections, such as, ton are to bp paid by signer or ?weer. No carpentry work, woodwork ting unless s In the event payment Is not make as stated In payment schedule, but not limited to, attorney fees, court costs and collection pg COVERAGE The roof applied to the building described above is guaranteed fqr 1 C.jJ years This guarantee Is TRANSFERABLE AT NO CHARGE to new owners of the property. expense, make any repairs necessary to correct roof leaks resulting from the following 1. Failure of rooting felts or base reskdting from usual and ordinary effects of 2. Poor workmanship of roofinn contractor In =whams meetina and sashimi dais. EXCLUSIONS Tads guarantee does r` 'a rer: 1. Leaks or other damage caused bj a. Natural disasters, including but nit Bruited to Hea(k, hiltdabilb hurricanes. hag, b. Structural failures such as cracks in decks, walls, part ns,.fau ndations, c. Changes M the original priocipal usage to which of the budldino, unless approved d, Erection or construclion ot any additienal kliStailatiOla en or Weir& the reeling felt e. Roof or flashing , _ b oth £ Riots or 9. Termites or other h. Penetration of the roofing from beneath by rising nails. 2. Damage to the building or Ir r ACTION le the event leaks from rooting should occur, owner shall notify contractor pti�� will Inspect the roof, and If cause of leak Is within the coverage as stated above, the contractor will Dupe for repairs to be made no cost to the owner. 11 cause of leak is not covered, contractor will not be responsible for cost of any repairs. In the event leaks aro not covered under the terms of this gkarakutee, a service cherge will be Invoiced to the owner. The guarantee will become mil and void if payment of the service charge is not made within 30 days of the billing date. WE MAKE NO GUARANTEES OFANYKIND, EXPRESSED OR IMPJ,IED, EXCEPT AS STATED HEREIN. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are story and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined• above. I have read & understand the back of this contract 1 understand the wood clause. DATE =NATURE (owaod () 4M-1",--csOrsk-ite-- J&K 2 sided 11/12 OR THIS ;LnocQMENmHAs cc aREDIBACKeRouNp. MIDNOPF INTING tLINEMA4 KT!' PATENTED 'PAP AC# 61970:36 , STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REG1iLATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ #L12o71101301 • DATE BATCH NUMBER LICENSE NBR 07/11/2012 120023386 CCC058051 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 HERRON, DONNIE S J & K ROOFING INC 2010 SHERMAN STREET HOLLYWOOD FL 33020 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA: Business Name: J & K ROOFING INC Owner Name: DONNIE S HERRON Business Location: 2010 SHERMAN ST HOLLYWOOD Business Phone: 954 -961 -7663 Rooms Seats Employees 5 Receipt #:ROOFING /SHEET METAL Business Type: (SPEC BLDR ROOFING) Business Opened:01 /25/2000 State /County /Cert/Reg:CCC 058051 Exemption Code: Machines Professionals For Vending Business Only Vendin Type: a CONTRA.. 4 Tax Amount , Transfer Fee v vv NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: DONNIE S HERRON 2010 SHERMAN ST HOLLYWOOD, FL 33020 This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2012 - 2013 n neviA1 A nn nr+1 I11TV 1 ON e A l Receipt #05A- 11- 00010039 Paid 07/24/2012 27.00 ref inILIrnt+ 'rA'# ritrsr A Lt CERTIFICATE OF LIABILITY INSURANCE DA 1MMIDD 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 FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33756 CONTACT NAME PHONE (NC, No. F W: 1- 800 - 277-1620 x4800 Irax No: 727-797-0704 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: FRANK WINSTON CRUM INSURANCE CO. 11600 INSURED FrankCrum 1- 800 - 277 -1620 100 S MISSOURI AVENUE CLEARWATER FL 33756 INSURER 8: INSURER C: INSURER D: EACH OCCURRENCE INSURER E INSURER F: $ • REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POUCY NUMBER POLICY EFF (MMMIDPIYY1) POLICY EXP (MM/DDIYYYY) LIMITS GENERAL UABWTy COMMERCIAL GENERAL LIABILITY (CLAIMS -MADE EACH OCCURRENCE 5 DAMAGE TO RENTED PREMISES (Ea ocaurence) $ L OCCUR MED EXP (My one person) 5 PERSONAL. &ADV INJURY $ GENERAL AGGREGATE $ GERIAGGREGATE U(1 MITTAAPIPLIES PER �1LOC PRODUCTS - COMPIOP AGO $ - IPOL1CY ' (PROJECT 5 AUTOMOBILE 111 LIABILITY ANY AUTO ALL OWNED AUTOS FIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LUd1T (Ea accident) $ BODILY INJURY (Per parson) $ BODILY INJURY (Per accident) $ _ PROPERTY DAMAGE (Per accident) $ $ UMBRELLAUAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ , DED I 1 RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPfiIETOR1PARlTiER1EXECUTIYE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) dyes, describe under DESCRIPTION OF OPERATIONS below YI NIA WC201300000 1/1/2013 1/1/2014 X TORYSLIAMITS ER El. EACH ACCIDENT 51,000,000 I EL. DISEASE - EA EMPLOYEE $1,000,000 EL DISEASE - POLICY OMIT 51,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) EFFECTIVE 01/29/2003, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO J & K ROOFING, INC. (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. c CITY OF MIAMI SHORES 10050 NE 2 AVE MIAMI SPRINGS, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFI 1 FD BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE .--7—y- - -/ ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ©1988 -2010 ACORD CORPORATION. All rights reserved. A CORD.. CERTIFICATE OF. LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/12/2012 PRODUCER Public Transportation Specialist, Inc 14100 Palmetto Frontage Rd # 210 Miami Lakes, Fl 33016 305 -818 -9544 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED 3 & K Roofing Inc 2010 Sherman Street Hollywood, FL 33020 9549619879 INSURER & Canal Indemnity Company GENERAL INSURER 5: GL102345 INSURER C: INSURER D: $ 500,000 $ 50,000 $ 5,000 INSURER a 4U V CRI►\7GA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR T�JNSR A D X TYPE OF INSURANCE POLICY NUMBER POLICY MMDD�) E !DE POLICY EXPIRATION D E( N LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL102345 11/15/12 EACH OCCURRENCE $ 500,000 $ 50,000 $ 5,000 X I N PREMISES (Ea occurence) CLAIMS MADE TI OCCUR 11/15/13 MED EXP (Any one person) PERSONAL &ADVINJURY $ 500,000 $ 500,000 $ 500,000 I GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG POLICY I PRO- LOC JECT AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNEDAUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Peraccident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY -EA ACCIDENT $ EA ACC $ OTHERTHAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR I CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below r I TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ EL. DISEASE - POLICY LIMIT $ OTHER i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Roofing Operation CERTIFICATE HOLDER Miami Shores 10050 NE 2nd Ave Miami Shores, Fl 33138 305 -795 -2204 305- 756- 8972(F) ACORD 25 (2001/08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE © ACORD CORPORATION 1988 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA COUNTY OF MIAMI -DADE: TAX FOLIO NO. %/' 3P06- 013 -0?aD 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. 1111111111111111 1111111111 111111111 CFN 201,380305086 OR Bk 28588 Ps 3346; (1Ps) RECORDED 04/18/2013 10:43:50 HARVEY RUVINr CLERK OF COURT MIi III -DADE COUNTYr FLORIDA LAST PAGE ` / 9 Space above reserved for use of recording office 1. Legal description of property and, street/address: 13b Vg- 1 14. //ia, r S{rt p /eS 17 3 3) 3 k a0 /d! apvii Awe( See. / 2. Description of improvement: A t0c9 3. Owner(s) name and address: Interest in property: Oar✓✓ vt-e r Name and address of fee simple titleholder: 4. Contractor's name, address and phone number. f 41 Storrs F 3-30g 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amou bond $ STATE OF FLORIDA. COUNTY OF DA DE 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner ARtiagrigginigititirkle aillifite se Section 713.13(1)(a)7., Florida Statutes, isrlglnal f` y� • y "r . r! ra : of Name, address and phone number WITNF 8. In addition to himself, Owners designates the following pe 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Signature(s) of Ow>(s) or Ow er(s)' Prepared By Print Name .�h Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this /7 day of By eA4' ndividuaily, or 13 as for Personally known, or ❑ produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, l 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 twner(s) or 0 'ner(s)'s A r orized Officer /Director /Partner /Manag orized Officer /Director /Partner /Manager Prepared By i�cr� PlP4� Print Name aDr O Slt er/v1CIA 51 Title/Office Aktid ' 3J0?. O %pr; By 123_0142 " 3 3112 a e., FRED J. HERRON Notary Put* - State of Ra MyC Comm. Expires Mar 21. 0 6 EE 165061 ,FAse, 8atded ; Assn. By SEGTIUro•ajwh HIGH VELOCITY HURRICANE ZONES CONSIDERATIONS RE UIDONERS NOTIFICATION FOR ROOFING 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 44 of the Florida Building Code, Building govern the minimum requirements and standards of the items should be addressed as part of the agreement for roofing eteo system and the. contractor. The owners initial in the adjacent box Indicates that the agreem item has been explained. /' 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 44, Section 4402 (High Ve city Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with not respect art of a workmanship ing cdprovisions. , should be addressed a part of the color or architectural agreement between appearance, the owner and the co tractor. C 2. Ranailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be nailed in accordance with the current provisions of Section R4403 (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 (1.e. townhouses, condominiums, etc.) in buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. (.7 9. Exposed Ceilings: Exposed, open beam ceilings e architectural appearance, the decking can be viewed from below. The owner may wish to nail penetrations of the underside of the decking may not be acceptable. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and bray 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 now roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. s. Overflow scuppers (wall outlets): it is required that rainwater flow off so that the roof is not overt adod from u build up of water Perimeter /edge walls or other roof extensions may block this cil0Char98 if overflow scuppers (wall outlets) are not provided,► it may be necessary to Install overflow scuppers in apcordance with the Florida Building Code, Sections 4402, 4403 and 4413. • 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the / interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Ole •"'per's /Ag s Signature 1t7J 1.3 Date Contractor's Signature Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application � Section A (General Information) Master Permit No y Process No. Contractor's Name &o Job Address /3k 4L 2i yi Low Slope ❑ Asphaltic Shingles ROOF CATEGORY ❑ Mechanically Fastened Tile 121Mortarl4 ❑ Metal Panel/Shingles ❑ Wood ❑ Prescriptive BUR RAS 150 ROOF TYPE ❑ New Roof (Reroofing ❑ Recovering ❑ Repair f. 0 Main' tenante ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Tot it(SF )i wo"" aoo Jaoo /-000 SECTION B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 0 9 Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Sloped Roof System) FRH In Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as -NA' System Manufacturer. i�crl�cr, 1 NOA No.: 40- 0q/0c . d l Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: 7/• 7 Pmax3: /v o Max. Design Pressure, From the Specific NOA System: O. Dedc Type: 40003 Gaugef hictaness:: Slope: 0 P4 1, Anchor/Base Sheet &No. of Piy(s): Anchor/Base Sheet Fastener/Bonding Material: insulation Erase Layer Base insulation Sizeand Thickness: • Base insulation Fastener/Bond Material: Fastener Spacing for Anchor/Base Sheet Attachment F -oc @ Lap, #Rows 3 @_ 8 -oc Perimeter: In -oc @ Lap, # Rows - @ (a -oc Corner: i . * oc @ Lap. # Rows 7 @ So ' oc Number of Fasteners Per Insulation Board Field: Perimeter Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Top insulation Layer J �\ Top insulationSize and Thickness: Top insulation Fastener/Bonding Material: Base Sheets) & No. of Piy(s): 7((- /ASS g45e Bpi f ri F /BOndjng Material: : � Ply Sheet(s) & No. of Ply(s): 14.L ©, Z, f Ph! - "_ F �( t - i Top Fly: fkiRas C F,e Top Ply ,j Fastener/Bonding Material: _e- 44- 4— As�,k4 1-1.- *>,p Z�- Surfacing: A04 Class lose ka oQ RM Height i Florida Builcl'ing Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section DjSteep Sloped Roof System) Root SystemManutacturer: .ifel &eve! Ailirs L J ProductApprovai Number 1/ - £Y7t 7 - 03 Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): , P1: in 0 P2: g!- 9 P3: /a /- 0 Maximum Design Pressure Product App oval SpecficSysiem: 0 Sd AS- . MethodotTiiAtlachmmnt: A 0 ilfzkA.A.4 J r t. Acii7 5Yjra ivt.5 Steep Sloped System Description 04)00€3 s/g p aate Toe .0- zo,13 1 Ridge Vcn? > 1 Fasted' Type & Spacing: gJJ A R.A "1144 IS 1�S 1 t ) 4 � esyttS F41L &AS taps l Tyf 717 het' 4s1tlrrJf Yile cap Sheett4p)h viobritarsie,t÷ 1 Roor Cover. i- :1,4 'so c. +a P-41c°441 16(3' 1 & Size Orlin '` St(i 'Al '; : 13X.3 1 / '` mails 'f '*- 1 Florida Building Code Edition 2010 High Wooly Hurricane Zone Unifonn Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or2. Compare the values for M,with the values from MM. If the M,vaiues are greater than or equal to the M, values, for each area of the roof, then lira tile Gdiaclunent method is acceptable. Method 1 "Moment Based The Per RAS 123" (P1: 47. 0xt, -At =13•ib ) -MA: 647 =M,; 7 g Product ApprovalM (P.: g)- 9 is ,ALk =A7-'.3)_mg: 6,77 =u,,17. kb, Product Approval (Ps: al- xf, -a' =3348 )- Ma:Sa? 10 ;1 product Approvai mt `S?' 03 Method 2 "Simplified Tile Ca Per Table Below" Required Moment of Resistance (M,) From Table Below Product Approval MM M, Required Moment Resistance* Mesas Roof Heitibt -► RoofSlope4 _ 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 312 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 29A M).5 32.4 -7:12 24.4 25.9 27.1 282 30.0 11ust be used in conjunction with a fist of moment based We systems endorsed by the Broward County Board of Rdes 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 F, values, for each area of the roof, then the We atiichment method is acceptable. - Method 3 "Uplift Based Tile Calculations Per RAS 127" (P,: x 1: = xw= )--W: xcosa - = Produ tApprovalF' (Pa: x 1: - x sr.= )-W: xcos a =F, ProdwctApproval F (Psi x 1: = xw:- ) -VW. x cos a - = F4 Product Approval F Where to Obtain kdoimation • SYmbol Design nessmst Pt orP2orP3 Mean Rod Height H Where to fit RAS WI/Mel Irby aneng itig analiiit towered by PE basedonASCE7 Job Site • Roof Slope 0 Job She Keelung Moment due to Granly A Pleats* Approval Ploduct Approval Atiedument Res roe 14 Product Animal Required Moment Resistaree fit Caiaided- Minimum Attadtment Resistance F Required Uplitt Resistance F, Ariatie gza r Us Weight lie Dimensions W PradrrtApproval - length or=fir Al calculations must be wed to the Boling Coal at the timed permit agp_wion. BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) CertainTeed Corporation (PA) 1400 Union Meeting Road Blue Bell, PA 19422 MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: CertainTeed Modified Bitumen Roofing Systems Over Wood Decks 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 ofthis 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 MiamiDade 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 distnbutors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 08- 0227.09 and consists of pages 1 through 38. The submitted documentation was reviewed by Jorge L. Acebo APPROVED! NOA No.: 08. 041009 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 1 of 38 ROOFING ASSEMBLY APPROVAL Category: Sub- Cateeorv: Deck Type: Maximum Design Pressure Roofing APP /SBS Modified Bitumen Wood -60 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product All Weather/Empire Base Sheet Flex I- G1asTa Base Sheet Flex I- GlasTM FR Base Sheet Flintglas® Ply Sheet Type IV or VI Flintlastic STA STA Plus 5..0 Flintlastic GTA, GTA-FR or Flintlastic Diamond GTA Flintlastic GTS Flintlastic GMS, GMS Premium Flintlastic FR, FR -P Premium Flintlastic FR Cap Sheet Dimensions 36" x 65'10'; Roll weight 86 lbs. (2 sq ) 36" x 98'9"; Roll weight 90 lbs. (3 squares) 39 3 4" x 50'; Roll weight 90 lbs. (1.5 squares) 36" x 164'7"; Roll weight 40/55 lbs. (5 squares) 39 3/8" x 33'; Roll weight 90 lbs. (1 square) 39 3/8" x 33' 3"; Roll weight 105- lbs. (1 square) 39 3/8" x 24'9 "; Roll weight 92 lbs. 04 square) 39 3/8" x 34' 2 "; Roll weight 100/105 lbs. (I square) 393/8 "x34'2 ";Roll weight 105 lbs. (1 square) 39 3/8" x34' 2 "; Roll weight 90 lbs. (1 square) Test Spedlcat on ASTM D4601 Type II UL Type 15 UL Type G2 ASTM D 4601, type II UL Type 02 ASTM D 4601, type II ASTM D 2178 Type W or VI UL Type G1 ASTM D 6222, Grade S, Type II ASTM D 6222, Grade G, Type II ASTM D 6164, Grade G, Type II ASTM D 6164, Grade G, Type II ASTMD6164, Oracle G, Type 1 ASTM D 6163, Grade G, Type I Product Description Asphalt coated, fiberglass reinforced base sheet. Modified Bitumen coated fiberglass base sheet. Modified Bitumen coated fiberglass base sheet. Fiberglass, asphalt impregnated ply sheet. Smooth surfaced APP Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Granule surfaced APP Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Granule surfaced SBS Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Granule surfaced SBS Modified Bitumen membrane with non- woven polyester mat reinforcement for mop application. Fire resistant, granule surfaced SBS Modified Bitumen Membrane with non-woven polyester mat reinforcement for mop application. Fire resistant, granule surfaced SBS Modified Bitumen membrane with fiberglass mat reinforcement for mop applications. NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 2 of 38 Flintlastic FR Cap T Flintlasdc FR Base T Flintlastic FR Cap CoolStar Flintlastic FR Cap T CoolStar Flintlastic GTA, GTA FR CoolStar or Flintlastic Diamond GTA CoolStar Flintlastic GTS CoolStar Flintlastic GMS/GMS Premium CoolStar Flintlastic FR P/FR -P Premium CoolStar Flexiglas Premium Cap 960 CoolStar Flexiglas Premium Cap 960 (APPROVED 39 -3/8" x 34'2 "; Roll weight: 811bs. (1 square) 39 -3/8" x 33'; Roll Weight: 81Ibs. (1.0 squares' 39 3/„ .. ,-, ; Roll weight: 90 lbs. (1 square) 39 3/8" x 34' 2 "; Roll weight 90 lbs. (1 square) 39 3/8" x 33' 3 "; Roll weight 105 lbs. (1 square) 39 3 /g" x 24'9 "; Roll weight 92 lbs. (34 square) 393/8" x 34' 2"; Roll weight 100 /105 lbs. (I square) 393/8" x 34' 2 "; Roll weight: 105 lbs. (1 square) 36" x 34'6" (1 square) 36"x34'6" (1 square) ASTM D6163 Granule surfaced SBS Modified Bitumen membrane with fiberglass mat reinforcement for torch application. ASTM D6163 Modified Bitumen, coated fiberglass base sheet for torch application. !to ii., ? 4163 Fire resistant, granule surfaced ' 13S Modified Bitumen membrane with .7,-mass mat reinforcement for mop armucanons. - -red with reflect,.. coolStar Coatm °- ASTM D 6163 Fire resistant, granule surface,. SBS Modified Bitumen membrane with fiberglass mat reinforcement for mop applications. Covered with reflective CoolStar Coating. ASTM D 6222 Granule surfaced, APP Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Covered with reflective CoolStar Coating. ASTM D 6164 Granule surfaced, SBS Modified Bitumen membrane with non- woven polyester mat reinforcement for torch application. Covered with reflective CoolStar Coating. ASTM D 6164 Granule surfaced SBS Modified Bitumen membrane with non- woven polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. ASTM D 6164 Fire resistant, granule surfaced SBS Modified Bitumen Membrane with non -woven polyester mat reinforcement for mop application. Covered with reflective CoolStar - Coating. Covered with reflective CoolStar Coating. ASTM D 6163, Granule surfaced SBS Modified Grade G, Type 1 Bitumen membrane with fiberglass mat reinforcement for mop application. Covered with reflective CoolStar Coating. ASTM D 6163, Granule surfaced SBS Modified Grade G, Type 1 Bitumen membrane with fiberglass mat reinforcement for mop applications. NOA No.: 08- 0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 3 of 38 Ultra. Poly SMS GlasBaseT"" Base Sheet PoIySMS Base Sheet Yosemite® Buffer Base Sheet Black DiamondTM Base Sheet Flintglas® Mineral . Surfaced Cap Sheet Flintglas® Mineral . Surfaced Cap CoolStar 36" x 64'4" (2 squares) 36" x 98'9"; Roll weight 69 lbs. (3 squares) 393/8" x64' 4 "; Roll weight 90 lbs. (2 squares) 36 "x32'10'; Roll weight: 90 lbs. (1 square) 36" x 68'7'; Roll weight 78 lbs. (2 squares) 36" X 32'10"; Roll Weight 78 lbs. (1 square) 36" X 32'10 "; Roll Weight 78 lbs. (1 square) ASTM D 6164, Grade S, Type I ASTM D 4601 UL Type G2 ASTMD6164 ASTM D 3909 ASTM D 4897 UL Type 30 ASTM D 1970 ASTM D 3909 ASTM D 3909 Smooth surfaced SBS Modified Bitumen Membrane with non- woven polyester mat reinforcement for mop applications. Asphalt coated, fiberglass base sheet. Modified Bitumen coated polyester base sheet Mineral Surfaced fiberglass reinforced buffer sheet. Self - adhering fiberglass reinforced modified bitumen base sheet Asphalt impregnated and coated inorganic glass fiber surfaced with mineral granules used as the top ply in conventional built-up roof membranes. Asphalt impregnated and coated inorganic glass fiber surfaced with mineral granules used as the top ply in conventional built-up roof membranes. Covered with reflective CoolStar Coating. NOA No.: 08-0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 4 of 38 APPROVED INSULATIONS: Product Name FlintBoard ISO ACFoam II ISO 95+ High Density Wood Fiberboard Perlite Insulation Dens Deck, Dens Deck Prime H- Shield ENRGY -3, UltraGard Gold, PSI-25 Fesco Board Multi -Max, FA APPROVED FASTENERS: Fastener Number Product Name 1. #12 & #14 Dekfasi Fastener 2. Dekfast Hex Plate 3. Olympic Fastener #12 & #14 4. Olympic Standard 5. Insul-Fixx Fastener 6. Insul Fixx S Plate 7. Tru -Fast Fasteners 8. Tru-Fast MP-3 9. Tru -Fast Plates 10: Tru-Fast Plates TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Polyisocyanurate foam insulation Expanded mineral fiber insulation Polyisocyanurate foam insulation TABLE 3 Product Description Dimensions Insulation fastener Galvalume AZ50 steel plate 2'/8" x 3 ' Insulation fastener 3" round galvalume AZ50 3" round steel plate Insulation fastener for steel and wood decks Galvalume AZ50 steel plate 3" round Insulation fastener for wood and steel decks Galvalume AZ50 steel plate 3" round Galvalume AZ55 steel plate 3" round Polyethylene plastic plate 3" round Manufacturer (With Current NOA) CertainTeed Atlas Energy Products Firestone Building Products, Inc. generic generic G-P Gypsum Corp. Hunter Panels Johns Manville Johns Manville RMax, Inc. Manufacturer (With Current NOA) - SFS Intec SFS Intec OMG OMG SFS Inter SFS Intec The Tru-Fast Corp. The Tru Fast Corp. The Tru -Fast Corp. The Tru-Fast Corp. NOA No.: 08-0410.09 Expiration Date: 06/19/13 Approval Date: 11/20/08 Page 5 af 38 EVIDENCE SUBMITTED: • Test Agency Applied Research Laboratories Factory Mutual Research Corporation Underwriters Laboratories, Inc. United States Testing Company, Momentum Technologies, Inc. Trinity[ERD Name Physical Properties Current Insulation Fastening Requirements TAS 114/(FMRC 4470) UL 790 ASTM D 5147 ASTM D 4601 ASTM D 3909/ D 4897 TAS 114 (J) TAS 114 (3) TAS 114 (J)/TAS 117 (B) TAS 117 (B) TAS 117 (13) TAS 114 (IL) FM 4470, TAS 114 FM 4470, TAS 114 TAS 117 (B) ASTM Requirements Report Date 28013 06/02/87 FMRC 1994 01/01/95 J.I. #3Y8A1.AM RI1656 97457 -4 AX31G8D AX31G8C #3507.08.99 -1 #3514.02LAB #3515.07.03 3503.10.06 06490.04.07 -R1 Letter 3533.01.06 3521.07.04 C8500SC.11.07 C10080.09.08 03/23/96 07/13/87 06/03/88 09/05/08 09/05/08 04/18/01 11/11/02 0722/03 10/10/06 06/27/07 04/05/06 01/06/06 07/29/04 11/3(107 09/04/08 NOA No. 08-0410.09 Expiration Date: 06/19/13 Approval Date 11/20/08 Page 6 of 38 Membrane Type: SBS MODIFIED Deck Type 1: Wood, Non - Insulated Deck Description: Minimum 19 /» thick plywood attached using approved nails spaced 4" o.c. at wood joists spaced maximum 24" o. c. System Type E(6): Base sheet mechanically fastened. All General and System Limitations apply. Base Sheet amply of All Weather /Empire Base Sheet, Flintglas Premium Ply Sheet (Type VI) mechanically attached as detailed below. Fastening. Base sheet shall be lapped 4" and fastened with 11 ga. annular ring shank nails and a G�'oov caps S o c. m and three mws staggered in the centero , sho.c. Ply Sheet (Optional) One ply of All Weather/Empire Base Sheet, Ultra Poly SMS, Glas Base, Flex I Glas Base, Flex I Glas FR Base or Poly SMS or one or more Flint Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type VI) adh n a full mopping of approved asphalt applied within the E _ : a l and at o '0 iamon ' -, -- (for use with a torched cap sheet only) self adhered. Membrane: One ply of Flintlastic GMS, Flintlastic GMS CoolStar, Flintlastic Premium GMS, Flintlastic Premium GMS CoolStar, Flintlastic FR-p, Flintlastic FR P CoolStar, Flintlastic Premium FR-P, Flintlastic Premium m FR P CoolStar, Flintlastic FR Cap Sheet, Flintlastic FR Cap Sheet CoolStar, Plexiglas Premium Cap 960 or Ultra Poly SMS, Flintglas Mineral Surface Cap Sheet, Flintglas Mineral Surface Cap Sheet CoolStar adhered to I sheet with approved mo in :. j s lied within the EVT range and at a rate of 20 to 40 lbs sq. or ' tlastic GTS, Flintlastic TS Coo tar, IffifIRIVERWPrCap T CoolStar torch adhered to ply sheet. Surfacing: (Optional) Install one of the following. 1. 400-1b./sq. gravel or 300- Ibisq. slag in a flood coat of approved mopping asphalt at an application rate of 60 lb./sq. 2. Karnak 97, FlintCoat A450, APOC 212 Fbrated Aluminum, Henry 520 Aluminum or-Grundy AL MB at an application rate of 1 'h gal. /sq. . -IT- a • • RM Maximum Design Pressure: - 60psf. (See General Limitation #7) NOA No.: 08-0410.09 Expiration Date: 06/19/13 Approval Date: 1110/08 Page 3S of 38 WOOD DECK SYSTEM LI ITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory-for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each rcbbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of-45 pit 5. Fastener spacing for insulation attachment is based ona Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 Ibf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be Less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable) 8. All attachment and sizing of perimeter milers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation 02111m permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 913-72 of the Florida Administrative Code. END OF THIS ACCEPTANCg (APPROVED NOA No.: 08-0410.09 Expiration Date: 06/19/13 Approval Date: 11%20/08 Page 38 of 38 TGFU.R11656 - Roofing Systems Page 13 of 25 Membrane: — "Fhntlastic STA ", °FUntiastic STA Plus", "GTA", "GTA Black Diamond" or °GTA White Diamond°, heat fused. Surfacing: — Gravel. 3. Dedn C -15/32 Lmibre: 1/4 Base Sheet — Type 62, mechanically fastened. Membrane: — °FUntIastic STA ", °Flintiasuc STA Plus`, "GTA", "GTA Black Diamond° or "GTA White Diamond ", heat fused. Surfacing: — Gravel. 4. Deck C- 15/32* : 1 *AU joints blocked with 2x4's. Base Sheet — Type 62, nailed. Membrane: — °FUntlastIc GMS °, "GINS Premium ", adhered with hot roofing asphalt. Surfacing: — Gravel. 5. Deck: C -15/32 Incline: 1/4 Insulation: — Celotex "Hy Tec°, 2 in. min, joints in insulation must be offset 6 in. from joints in deck, mechanically fastened. Base Sheet — Type G2, mechanically fastened or adhered with hot roofing asphalt Membrane: — °Fiintlastic GMS °, °GMS Premium", adhered with hot roofing asphalt. Surfadng: — Gravel. 6. Deck: C-15/32 Incline: 1/4 Insulation: — Celotex "Hy Tec°, 2 in. min, joints in insulation must be offset 6 in. from joints in deck, medianlcaily fastened. Base Sheet — Type G2, mechanically fastened or adhered with hot roofing asphalt. Membrane: — "FUntlastic STA ", °Flinttastic STA Plus", "GTA", "GTA Black Diamond" or "GTA APP White Diamond ", heat fused. Surfadng: — Gravel. In lieu of any membrane or membrane/surfacing shown below, "Flintlastic Ultra Poly SMS ", covered with gravel, may be Wilted. 1. Deck NC radine: 1 Vapor Retarder (Optional): — Type G2 °Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): — One or more layers or combination of the following: UitraGard Premier, polyisocyanurate, pe,iite, glass fiber or wood fiber insulation. Base Sheet — One layer Type G2 "Giachace• base sheet Membrane: — One layer "Flintlas is GTA ( -3/4 sq or -1 sq), GTS` (modified bitumen), heat fused or "Mintlas& GINS; hot mopped. Surfacing: — APO °No. 212 Fibrated Aluminum ", at 1 -1/2 gal. 100 sq/ft. 2. Dada NC X3/4 Vapor Retarder (Optional): — Type G2 °f I' arc;° base sheet or UL (fined vapor retarder. Insulation (Optional): — One or more layers or combination of the following: Ultragard Premier, polyisocyanurate, perfte, glass fiber or wood fiber insulation. Base Sheet — One layer of Type G2 "Glasbase base sheet. Membrane: — One layer of °FUntlastic STA (modified bitumen), heat fused. Surfadng: — Karnak "No. 97 Flbrated Aluminum ", at 1 -1/2 gal. per 100 sq/ft. c)tedc 3. C -15/32 Lrdine: 1/2 Insulation any (Optional): — Schuller International "UltraGard Premier°, polylsocyanurate, wood fiberboard, pernte, fiberglass, isocyanurate, Base Sheet — One or more plies of "Glashase °, hot mopped or mechanically fined. Membrane; — One�ty of Intiastic Flt" (modified bitumen), _gjjoeppe+ rn.pl„c 4. Dedc NC Indium 1/2 Insulation: — Polyisocyanurate, glass fiber, perlite, wood fiber, hot mopped or mechanically fastened, any thidcness. Base Sheet — Type G2, mechanically fastened or hot mopped. Membrane: — "Flintiastic GTA or STA ", heat fused. Surfacing: -- Henry Co. "Henry 520 Aluminum", applied at 1 -1/2 gal/sq. 5. Decic NC Udine: 1/4 httpJ /database.ul.com/cgi bin /XYWtempl ate/ LISEXT AFRAMFishowpage.h1nOname =T... 12/3/2012 HU MI- COUNTT BUILDING AND NEIG4BORROOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Clay Forever 6801 NW 77 Avemle, Smile 301 Miami, FL 33166 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.miamidadezov/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 (J)• This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Section (In Miami lade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product of 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 vpitved as described herein, and has been designed to comply with the Florida Building Code including the High tVelocity Hurricane Zone of the Florida Building Code. DESCRIPTION: AAltusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manuthchnnr'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, ililvertising 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 niay be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 9. The submitted doiumentation was reviewed by Alex Tigers NOA No.: 11 -0707.03 Expiration Date: 08/26/14 Approval Date: 10/13/11 Page 1 of 9 ROOFING ASSEMBLY APPROVAL Category: Sub,Categorv. Material:, Deck Trine: 1. Roofing Roofing Tiles Clay Wood SCOPE; This new 'roofing system using Altusa "S" Clay Roof Tile as manufactured by Sulacer, S.A. de C.U. in P1mienta, Honduras and distributed by Clay Forever LLC as described in Section 2 of this Notide. 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 Applicant Dimensions Altusa "S" Clad► Length: .18 -3/4" Roof Tile Width: 10 -3/4" varying thickness Trim Pieces Length: varies Width: varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Agency American Test 1..ab of South Florida American Test Lab of South Florida IBA Consultants, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, htc. The Center for Applied Engineering, Irtc. The Center for'Applied Engineering, Iric. Celotex Corporation Testing Test Specifications ASTM C 1167 TAS 112 Test Identifier RT0426.01 -11 RT0706.01 -11 2397 -116 94-083 94-084 25- 7200 -1 Project No. 307025 Test #MDC -78 MTS 520649 Product Description High profile, one - piece, `S' shaped single roll clay tile with a nominal 2- 16,inch headlap. For adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each file profile. Test Name/Report Date ASTM C 1167 05/07/11 Static Uplift Testing 07/11/11 TAS 101 ASTM C 1167 06/28/07 Static Uplift Testing April 1994 TAS 101 (Adhesive Set) Static Uplift Testing May 1994 TAS 101 (Mortar Set) Static Uplift Testing Feb. 1995 TAS 102 (Quick-Drive Screws, Battens) Wind Driven Rain Oct. 1994 TAS 100 TAS 102(A) May 2000 NOA No.: 11 -0707.03 Expiration Date: 08/26/14 Approval Date: 10/13/11 Page 2 of 9 PRI Asphalt Technology, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. CLF -003 -02 -01 7161 -03; Appendix III 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 P0402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations TAS 102 TAS 102 Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25 -7183 25-7094 25-7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25-7848-6 October 2001 Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 Pot mortar or adhesive set tile applications, a static field uplift test shall be performed in acdthdance with TAS 106. 33 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 Minimum underlayments 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 commpliance with the applicable Building Code. 3.7 May be installed on slopes 7:12 and greater. NOA No.: 11 -0707.03 Expiration Date: 08/26/14 Approval Date: 10/13/11 Page 3 of 9 4. INSTALIL ATION 4.1 Altusa "S" Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 120. 4.2 Date For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w ) Tile P ofile Weight W (lbf) Length -I (ft) Width -w (ft) Altusa "S" Clay Roof Tile 6.5 1.56 0.9 Table 3: Restoring Moments due to Gravity - M. (ft -Ibf Table 2: Aerodynamic Multipliers T X. (ft3) 3 "t 12" or less Tile Profile 5 ":12" A, (ft3) Batten Application ?. (ft3) Direct Deck A plication Altusa °S* Clay Roof Tile Altusa "S" Clay Roof Tile 0.253 Direct Mee 0.28 Table 3: Restoring Moments due to Gravity - M. (ft -Ibf Tile Profile 3 "t 12" or less 4 ":12" 5 ":12" 6 ":12" 7":12" greater Battens or Direct Deck Altusa "S" Clay Roof Tile battens Direct Mee Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 NOA No.: 11-0707.03 Expiration Date: 08/26/14 Approval Date: 10/13/11 Page 4 of 9 Table 4: Attachment Resistance Expressed as a Moment - Mt (ft4bf) for Nail -On Systems Mf (ft-lbf) ..- Tile Profile Fastener Type Direct Deck (Min 15132" plywood) Direct Deck (Min.. 19/32" plywood) Battens Aitusa "S" Roof 2 -1 Od Ring Shank Nails . 28.6 412 19.4 Clay Tile 1 -10d Smooth or Screw Shank Nail 5.1 - 6.8 2.8 `210d Smooth or Screw Shank Nails 6.9 92 7.3 1 .#8 Screw 28.7 28.7 18.1 2 .#8 Screws 582 582 26.8 i 1 -10d Smooth or Screw Shank Nail (Field Crip) 23.1 23.1 19.0 11 -10d Smooth or Screw 1 Shank (Eave Clip) 29.3 29.3 24.0 ,Nail 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d ` Smooth or Screw Shank Nails (Eeve Clip) 38.1 38.1 41.8 1 Screw with Altusa Clip (See clip details) Altusa "S" Clay Roof Tile' 1 Screw with dip (at the head of tile) 187.1 187.1 N/A Altusa "S" Clay Roof Tile' 1 Screw with clip (at the ' water course of tile) 352 35.2 N/A 1. Screw must be installed in the inside nail hole located nearest to the hump of the tile. Table 5: Attachment Resistance Expressed as a Moment for Two Patty Adhesive Set Systems __ Mf (ft-lbf) ..- _ __ Tile Proflo _ ._ .__ Tile Application Minimum Attachment Resistance Altusa "S" Clay Roof Tile Adhesive 29.33 . 2 See manufactures component approval for installation requirements. 3 Flexible Prdduc s Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. NOA No.: 11 -0707.03 Expiration Date: 0816/14 Approval Date: 10/13/11 Page 5 of 9 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Altusa "S" Clay Roof Tile Polyfoam PolyPro"' 66.54 Polyfoam PoiyProm 38.7b Polyfoam PolyProT" 52.056 4 Large paddy placement of 63grams of PolyPro"'. 5 Medium paddy placement of 24grams of PolyProiM. 6 Large paddy placement of 54grams of PolyPro"". Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Altusa "5 Clay Roof Tile Mortar Set' 24.50 5. LABELING 5.1 All tiles civil bear the imprint or idtvitifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami Dade County Product Control Approved ". ALTUSA MADE IN HONDURAS LABEL FOR ALTUSA "S" CLAY ROOF TILE. (LOCATED ON THE 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-the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 11 -0707.03 Expiration Date: 08/26/14 Approval Date: 10/13/11 Page 6 of 9 PROFILE DRAWINGS APPROVED; ALTUSA `S' CLAY ROOF TILE NOA No.: 11 -0707.03 Expiration Date: 08126/14 Approval Date: 10/13/11 Page 7 of 9 CLIP DETAILS APPROVED NOA No.: 11-0107.03 Expiration Date: 081266/14 Approval Date: 10/13/11 Page 8 of 9 CLIP DETAILS (CON'T) END OF THIS ACCEPTANCE NOA No.: 11- 0707.03 Expiration Date: 08/26/14 Approval Date: 10/13/11 Page 9 of 9 DEPARTMENT O . • G, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODt ADM NISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 3M Company 3M Center Building 0220- 05-E-06 St. Paul, MN. 551441000 MIAMI -DADE COUNTY PRODIICT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eovisera. 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 (m areas other than Miami Dade County) reserve the right to have this product or mt aerial 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 , d the use of such product or material within their jurisdiction. PERA reserves the right to revoke this a N ir'ce, if it is determined by Miami Dade County Product Control Section that this product or material fails to meet' +� t~' requirements of the applicable building code. This product is approv as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Budding Code. DESCRIPTION: 3M/1412-Component Foam Roof Toe 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 alter 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 ofpages 1 through 7. The submitted documentation was reviewed by Alex Tigers APPROVED NOA No.: 12-0228.18 Expiration Date: 05110/17 Approval Date: 05/10112 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive Polyurethane SCOPE: This approves 3MT' 2-Component Foam Roof Tile Adhesive A13160 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 The Adhesive All-160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications N/A TAS 101 Two component polyurethane foam adhesive 3M1s1 2- Component Fbam Roof Tile Adhesive Ali 160 Foam Dispenser RTF1000 ProPack®30 & 100 Product Description N/A Dispensing Equipment N/A . Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive All-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Prouerty 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 lbsft.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 valves as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Aaencv Test Identifiier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25-7438-3 SSTD 11 -93 10/25/95 25-7438-4 25- 7438 -7 SSTD 11-93 11/02/95 25 -7492 SSTD 11-93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9-1 528454-10-1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3Mr"M 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. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their the assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. W 2 F= MS 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 rooftile assembly having a cuneut 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 3M110 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 MV1iami Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3■1M 2 omponent 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 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 (8). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per the 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. 3Mr' 2- Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently to sunlight & Tiles must be adhered in fleshly applied adhesive. Tile must be set within 2 to 3 minutes after 3Mrh 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 NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 LABELING: All 3M1M 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 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 APPROVED 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 END OF THIS ACCEPTANCE • APPROVED NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 Inspection Worksheet Miami Shores Village gio 10050 N.E. 2nd Avenue Miami Shores, FL alp Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -1 92019 Scheduled Inspection Date: May 29, 2013 Inspector: Hernandez, Rafael 81 Permit Number: PL -5 -13 -1043 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Owner: KENNEY, JOHN Job Address: 136 NE 96 Street Miami Shores, FL 33138 - Project: <NONE> Q1•01000. Contractor: BIONIC PLUMBING CORP. Phone Number Parcel Number 1132060132680 Phone: 305 -498 -9100 Building Department Comments GAS VENT ON ROOF Infractio Passed Comments INSPECTOR COMMENTS False 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 - 191337. 6U.-3 Lt00/9000d 99ii -J -WOE 6Z : 90 81,-0E-90 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION C EIV . MAY 13 2013 FBC 20 l Permit No. 'Pu p I CY-1 -3 Master Permit No. 2r---= 1 3 - R- t Permit Type: PLUMBING - JOB ADDRESS: / ,/1//, g, 47-46 City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: • Zip:, 8 /3 OWNER: Name (Fee Simple Titleholder):_ r /1 t ,*J N b o j +a/ / Phone#: 1.(.6 157-.56 /9 Address: /36 /1/ . .. q4 City: i92 //9ifl / State: 7:1- Zip: °3 l3? Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: la/ bit) /C- C1I_6 9 62 /) 5 Phone#: State: Address: Yell s-buf City: P11 /4 Ph Qualifier Name: State Certification or Re tration #: Contact Phone#: «- b6 499 $' ' ® Email Addre Raz.ciad-- Zip: / %� 3 Phone#: ode /� 9� �" ff / ery Certificate of Competency #: O 0 J 2h ¥ DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ �0 Square/Linear Footage of Work: Type of Work: OAddress Description of Work: CIAlte96on ❑New LJRepair/Replace Veir- c d erP ODemolition ** * * * * *w * ***** * *** * **** **** **xp * * * **x** * *** ****** •******axe * *** ***** ******** Submittal Fee $ Permit Fee $ / te, � .sue CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded not-ice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature r Signature Owner or Age Contractor t The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this J 3 day of 1 , 20 13, by , day of ith al" , 20/3, by & ` ( aog ldL. who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath NOTARY PUBLIC: ° °° °`°fig Save "'��% �•Q��!4C�Rrr: 3ry Robulock : �z�.t.Q�res t _� � 44693 .``V 4 Sign: i „.,a.:� z...:.n: - ^n Sign: ;' www.AaRCOr� Print = Egtal "1 /1.1 _. Print:: iCl ld ea t/ C C� / L`' My Commission Expires: My Commission Expires: d;• :��I" 059 ' .sr ,,��gTEi 0 Fi F`� ° ° ° °�. NOTARY PUBLIC: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)