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RF-12-1627Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 186551 Permit Number: RF -8 -12 -1627 Scheduled Inspection Date: April 02, 2013 Inspector: Bruhn, Norman Owner: HOLT, JAMES Job Address: 975 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ANTHONY B WILSON ROOFING INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1132060350020 Phone: (305)251 -9123 Building Department Comments REPAIR TILE ROOF IN FRONT WALL OF HOUSE BETWEEN TOWER AND 1 VALLEY Infractio Passed Comments INSPECTOR COMMENTS False Passed/04r 9-JW1 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- 177951. Plans and permit must be posted at site. NB April 01, 2013 For Inspections please call: (305)762 -4949 Page 7 of 21 tly-- \i), Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING AUG 3 0 2012 Permit No. ar'" 12 — 1`0 Master Permit No. OWNER: Name (Fee Simple Titleholder): -e1 A A if s "Cr.' 14 d 4-71' Phone#: Address: �Afa /v, f c ../1-ea 174 A 3 V /4+c -lG or", City: /T * d /G doe-, State: 4b eia it d ti .. 4 Zip: .24 6 0/ Tenant/Lessee Name: Phone- Email: JOB ADDRESS: 9 �C 95" Shz e--74 - -City: - Miami Shores County: Miami Dade Zip: 33 / 3 e Folio/Parcel #: // -33..0 Ga ° 43.5— O 0 J. Is the Bwlding Historically Designated: Yes NO V Flood Zone: CONTRACTOR: Company Name: A J I o Ay ith 4e ✓ "eve /`.7A-� Phone#: 3 d r-- r% Ala 3 Address: /a20 Al e" .3 -5.7 City ,AI 0, 4// 4/ State: r"---1-1* Zip: al / 3 7 Qualifier Name: ®7+ViltoA7 /&' W+ 4a✓ Phone#:34s-- a..C7-9 /.a..3 State Certification or Registration #: (30 ego sap, 70 Certificate of Competency #: Contact Phone#: 3 Dr-- d,s7 912-1 Email Address: ,A'° - a- % G✓ 2. ea /i'.1/45 . Am.,' DESIGNER: Architect/Engineer: Phone#: w Value of Work for this Permit: $ J® / W Square/Linear Footage of Work: /O S� Type of Work: OAddress OAlteration New ll Lpair/Replace ODemolition Description of Work: de./Oi9 r.+t. %.. /t ,e0„,,..-:- /s✓ )'/7 /✓I L L d /1-- /-/u vs t. Sty . e a. / Di...l ea . ,q dJrs / V'ela /lax COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: **************************************** jFe es************* **** **** *** * * ** * * **** ** ***** * ** Submittal Fee $ ),. //c/ Permit Fee $ V CCF $ CO /CC $ Scanning Fee $ ` Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ (.04 ' ?5\.0 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 LATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ,if) if/1 Owner or Agent The foregoing instrument was acknowledged before me this 29' day of /4 vJ ed- , 20 /1, by ..J 4,t4vJ 1SI01-1- , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * irk* * irk * * * * * ** APPROVED BY ** ae`;:„.ZN, DENISE GUFFMITI c_ * MY COMMISSION # EE 115440 EXPIRES: October 24, 2015 i t o m e Bonded Thor Budget NO ary Services a Signature Contractor The foregoing instrument was acknowledged before me this a r day of AIva ,20 /1,by AMy/447 s(d.L' 4-, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Div i .5 G'' 4 My Commission Expires: /1:1m/9 i.s 14 DENISE GUMMED MY COMMISSION # EE 11544a EXPIRES: October24, 2015 Bonded Thru Budget Noisy Sm • **************************************************** ** * * * * * * * * *** * *** * * * * * * *** *** ** 65*-3 a (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Structural Review Zoning Clerk . • f .P<P1,p‘ipP,41.,,P ; • PP "PaPP; fl ht tti1 RE `PP.Ett., Is: 1 rPPP-4 t,t pP. .p.ptiPP.P0.;1•P,t STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 WILSON, ANTHONY BRADFORD ANTHONY B WILSON ROOFING INC 120 NE 23 STREET MIAMI FL 33137 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you bette 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 Departments 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 (850) 487-1395 THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING •.LINEMARK"' PATENTED PAPER of ' thapt ,31 2014 ' ANTHONY B 'WILSON -ROOFING INCV 7450 CHAPMAN FIELD DR - FL,33156-5 K SCOTT VERNOR • DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 241601 -4 BUSINESS NAME / LOCATION ANTHONY.WILSON ROOFING INC 120 NE 23 ST 33137 MIAMI THIS 1S NOT A BILL OWNER ANTHONY WILSON ROOFING INC Sec. Type of Business 196 SPECIALTY BUILDING BUSINESS °rAX RECEIPPTT. LET DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF -THE COUNTY COUS OR CTS' NOR EXEMPT THE IHP A REQUIRED BY LAW. THIS IS 8 OLD QUALINCA- TINS. PAYMENT RECEIVED MI CCOUNTY TAX 0816/2011 60040000068 000045.00 SEE OTHER SIDE - DO NOT PAY RENEW,. RECEIPT NO. 253791 -9 STATE* CCC052470 CONTRACTOR FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 WORKER /S 1 DO NOT FORWARD ANTHONY WILSON ROOFING INC ANTHONY WILSON .120 NE 23 ST MIAMI FL 33137 111111) 1I1it11 711L1111l i11111Ljtiij1 L1111j111114JLfi111 }11J . CERTIFICATE OF LIABILITY INSURANCE Date 1 2/29 012 Producer: Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 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 NAIL # Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurers: Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the pokey period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to vfiich this certificate maybe issued or may pertain, to insurance afforded bythe policies described herein is subject to ati the terms, exclusions, and conditions of such policies. Aggregate Omits shown may have been reduced by paid claims. iNSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date (MM/DD/YY) Limits GENERAL s Commercial LIABILITY General Claims Made Liability Occur Each Occurrence Damage to rented premises (EA occurrence) MedEq Personal Adv Injury General aggregate D Policy ■ limit applies per. Project ❑ LOC General Aggregate Products- Comp/Op Agg am■ciameor.- alwarawangl`, AUTOMOBILE — — ■ — LIABILITY Any Auto At Owned Autos Scheduled Autos Hired Autos Non-Owned Autos air..y .. . -.. _. .+rat• . .. Combined Single Limit (EA Accident) =NCaa' Bodiry liuy (Per Person) �bHuY (Per Accident) Property Damage #FerAtaddsnt) �. .. EXCESS/UMBRELLALIABIUTY Occur ❑ Claims Made ... Aggregate Deductible ;!A ':°WYbrkers CompenSeti6n and Employers' Liability Any proprietor/partner/executive officer/member excluded? NO If Yes, describe under special provisions below. WC_ 71949 01/01/2012 -1)1/01/2013 X WCStatu- tory Limits .:: "oTt I . ER 9 . x E1. Each Accident 81,400,004 T E L Disease - Ea Employee $1,000,000 - E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations!LocationsNehicies /Exclusions added by Endorsement/Special Provisions: Client ID: 84-65 -552 Coverage only applies In active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company ": Anthony Wilson Roofing, Inc. Coverage only applies ID injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: ISSUE 11 -04-11 (SD) / REISSUE 02-29-12 (TD) Begin Date: 10/26/2011 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 2ND AVE MIAMI SHORES, FL 33138 Should any of the above described policies be cancelled before the expiration data thereof, the issuing insurer will - endeavor to mail 30 days written notice to the certificate holler narned to the lett, butfaihae to do so shall impose no obligation or liability of any kind upon the Insurer, its agents or representatives. A °R° CERTIFICATE OF LIABILITY INSURANCE 2J29 DIYYYr 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 poticy(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.certlficafe does not confer rights to the certificate holder In lieu of such endorsements) PRODUCER FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater FL 33756 CONTACT NAME: PA7CNo.Extl: (877)517 -3416 I INC. ' Nol: (727) 412 -7747 Apbmoss, FCIAIFrankCrum. cam INSURE TS) AFFORDING COVERAGE NAIL INSURERA:Starr Indfsmni ty & Liability 38318 INSURED Anthony Wilson Roofing, Inc. 120 NE 23rd Street Miami FL 33137 INSURER EL INSURER C: INSURER D: INSURER E : INSURER F •12/13 Master 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 I8 SUBJECT TO ALL THE TERMSi mEXCL-USLONSAND CON: DI =IONS UOI POLICIMIIMITSOIDWRMAY HAVE BEEN REDUCED BY PAID CLAIMS: = - :1AY HAS INOR vat ° ... 'NMI = = - OFINSURANCE :_ ADDL cm SUER WVD r : -- POLICY NUMBER FOLICTEFP IMM!DD/YYYYI 'POLICY EXP otpucoIYYYYI UMrr8 Yt:i7 F. - A GENERAL LABILITY ' :_ - BIPGi6L0009301 °r: f10 /2012. `r . ^, 3 2/10/2013 EACH OCCURRENCE $ 1,000,000 X' COMMERCIAL GENERAL-UAW Et3 F iEfi eo 9 noel 50,00[ CLAIMS -DAM* U OCCUR MEa EXP one Mean) '- $ , • • • 5, 000 :., PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 • ` ,fl: _,PRODUCTS- COMP /OPAGG $ 2,000,000 ''t-3�ENjtAGGREGATEL0NrrAPPLIESPER Xl POLICY I JEC1 FLOC' T F AUTOMOBILE LIABILITY COMBINED SiNGI E LIMIT' (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED Atrr08 HIRED AUTOS _ SCHEDULED NOiQSWNED AUTOS BODILY INJURY (PsT atx dent) $ - PERTY DAMAGE (Par accident) $ $ UMBRELLALIAB EXCESS LIAR + OCCUR EACH OCCURRENCE $ ^jf CLAIMS -MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS, LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE NIA OFFICERIMEMBER EXCLUDES? (Mandatory in NH) It yes, Casale +radar DESCRIPTION OF OPERATIONS balm/ WC STATU OTH- TORY I BAITS I I FR E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ • DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is requirad) License bolder: Anthony B. Wilson . License Number: CCC052470 CERTIFICATE HOLDER CANCELLATION ;(3055)756 -8972 Village of Miami Shores Building Department 10050 NE 2nd Avenge 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 Matt Crum /JS ACORD 25 (2010105) INS025 (20105).01 0 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD hED EBEENi 241601 -4 BUS�NI �E WILSUNNROOFING INC 120 NE. 23 ST 33137 MIAMI THIS IS NOT A BILL - DO NOT PAY RENEWAL STATEN M2470 253791 -9 O AEITHONY /WILSON ROOFING INC FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 Se9gegr LTY BUILDING CONTRACTOR WORKE1 /S THIS is ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CmES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS E NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 08/30/2012 jjjj {{jj lj jj## jj jj jy jj } jj FFjj 77 jj ((yyii jj 000045.0037 illltlfF llitStiiillililil}JFf�lff tftllll!}tItFlFlilili liiiI25 DO NOT FORWARD ANTHONY WILSON ROOFING INC • ANTHONY WILSON 120 NE 23 ST MIAMI FL 33137 SEE OTHER SIDE , 1J ,f ROOF ASSEMBLIES AND ROOFTOP STRU( TU ` REaA U G 3 0 2012 Ylores Village BY Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. .Section A (newel( Information) NT H ALL FE-I FR,A.L Master Permit No. A �� < / Process No. A Contractor's Name 0 � i� ` / s o ✓ ele/V /Z."; Job Address 97 S74te e e ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE, 1/1 ortar /Adhesive Set Tile ❑ Wood Shingles /Shakes ❑ Reroofing ❑ Recovering [Repair. <>; 0 Maintenance_ ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dime ons of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. f w 4- 5 FLORIDA BUILDING CODE — BUILDING MIAMMADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) 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 Clay Forever, LLC 6801 NW 77th Avenue Miami, FL 33166 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ): • This NOA shall not be valid after the expiration date stated below: The Miami- Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than "Miabiir Dade Cbu gty) reserve=d the right to have this product or material tested -for quality assurance purposes: if this praduef or material fails-to' perform in. the accepted manner, the manufacturer will incur the expense o €-such t s g,and- ithel =Aar iniayi diately-" °`° iiae revoke, modify, or suspend the use of such product or material within theirjutisdictioit • BORA reserVea'the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or ma ria( tails -to Meet' the r'etru eri eats of he applicable building code +' t i -L, F . , = , dA This product is approved as described herein, and has been designed to comply with the Florida°Bniidiiig Code "including the High Velocity Hurricane Zone of the Florida Building Code: DESCRIPTION: Altusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA #06 -0706.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12120/07 Page 1 of 7 r, SC,ImU ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roofing Tiles Material: Clay 1. SCOPE This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Alfareria Del Turbio, S.A. (ALTUSA) in Venezuela and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. PRODUCT DESCRIPTION Manufactured by .:.- Applicant Altusa Ore liege S' Tile Test Pru'ct Dimensions -- Specifications Description W = 10.5" 1" thick nominal___ 3.25" high Clip Clip TAS 112 High profile-clay- roof Ems: For direct decker batten nail -on, mortar set or adhesive set. applications with minimal headlap of 2-'/z" Accessory truid clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Tile clip vanes TAS 112 idth: varies varying thickness L = 6" TAS 114 D= 0.125" L &h = 2" W =1/z" 0.05" thick 2.1 SUBMITTED EVIDENCE: Test Agency IBA Consultants, 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. Celotex Corporation Testing TAS 114 L Shaped tile clip Test Identifier 2397 -116 94-083 94-084 25- 7200 -1 Project No. 307025 Test #MDC -78 MTS 520649 Test Name/Report Date 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 TAS 102 (Quick -Drive Screws, Battens) Wind Driven Rain • Oct. 1994 TAS 100 Feb. 1995 TAS 102(A) May 2000 NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 2 of 7 iic Test Agency, PRI Asphalt Technology, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walks Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier CLF- 003-02 -01 7161 -03; Appendix III 7161-03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 P0402 Calculations Evaluation Calculations _ Evaluation Calculations Evaluation Calculations Evaluation Calculations 3. LIMLTATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 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. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 `Altura One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Test Name/Renort 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 Date October 2001 Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Aerodynamic Multiipl er = March 1999 :t" ca'dtiU'3s ?t'.`. 171; ? , 3,la4c ,cations march 19453- 5= 9 neer:3 . itieFebruary 1L r ?rte 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 1:49Srinfirm CaIcy_ tat, ons April 196 ,e.a:- <..k .za_-__ 'December 1998' NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 3 of 7 ;� ',>1c 3aia; is Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight- W'(Ibf) Length -I (ft) Width -w (ft) Altusa 'S' Tile 6.9 1.52 0.875 Table 4: Attachment Resistance Expressed as a Moment - Mf !ft -Ibf) ' for Nail -On Systems Table 3: 3 ": 12" or less Table 2: Aerodynamic Multipliers -1(ft3) due to Gravity 5 ": 12" Tile Profile 7 ": 12" greater. Battens 4.08'`_- A (ft) Batten Application A. (ft) Direct Deck Application Altusa 'S' Tile Battens Direct Deck 0.253 0.274 Table 4: Attachment Resistance Expressed as a Moment - Mf !ft -Ibf) ' for Nail -On Systems Table 3: 3 ": 12" or less Restoring Moments 4 ": 12" due to Gravity 5 ": 12" - Mg (ft-Ibf 6 ": 12" - 7 ": 12" greater. Battens 4.08'`_- or Tile Profile Altusa 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct" Deck ' Battens Direct' Deck- Direct - _Deck -- 4.89 4.47 5.35 4.40 5.27 4.31 5.16 - - -- -420 -- - - -- 5.03- Table 4: Attachment Resistance Expressed as a Moment - Mf !ft -Ibf) ' for Nail -On Systems Tile Profile -:, = -- Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Batters Aftusa'S' Tile 2 -10d Ring Shank Nails 28.6 3' ` ° ` 41'2 19,4- 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 . #8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Altusa Clip (See c ip details) Altusa "S" Tile' 1 Screw with clip (at the head of tile) 187.1 187.1 N/A Altusa "S" Tile' 1 Screw with clip (at the water course of tile) 35.2 35.2 N/A 1. Screw must be installed in the inside nail hole located nearest to the hump of the tile. NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 4 of 7 Table 6: Attachment Resistance Expressed as a Moment MIt (ft -ibf) for Two Patty Adhesive Set Systems Tile Profile life Application Minimum Attachment Resistance Altusa'S' Tile Adhesive 29.34 2 See manufactures component approval for Installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 7: Attachment Resistance Expressed as a Moment - Mt (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Altusa'S' Tile Polyfoam PolyProTM 66.54 Polyfoam PolyProT"" 38.7b - -- 4 Large paddy placement of 63 grams of PolyProm'. y - -- - 5 Medium paddy placement of 24 grams of PolyProT"". Table a: Attachment- Reeistane Expressed as a Moment -T ff -Jbf for Mortar Set Systems— ° 9 n " Tile Profile Tile Application ' —_ , Attachment _ -. _ Resistance- Aitusa'S' Tile - "` Mortar Set' = = - 24.50 -- — - LULING _._ All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". * * * ALTUSA MADE IN VENEZUELA IDENTIFICATION MARK FOR ALTUSA `S' CLAY ROOF TILE LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 5 of 7 ■ PROFILE DRAWINGS ALTUSA 'S' CLAY ROOF TILE CLIP DETAILS TILE BY ALTUS (TYR) 2-1/2' OVERLAP (COVERS PIN HOLE) CLIP WITH ONE (1) SCREW ATTACHED TO DECK SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE DECK' CUP PLACEMENT DETAIL CUP NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 6 of 7 . 1L 1 SCREW (HO ■■• PIM A. ••■•■•■ !law SCREW (HOLDS CLIP ONTO DECK) °SPANISH S" TILE BY ALTUSA (TYP.) CLIP DETAILS (CON'T) 2112' OVERLAP (xnam PIN HOLE) SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HUMP OF THE TILE CLIP PLACEMENT DETAIL DECK 11/4' 1 3/4" / / END OF THIS ACCEPTANCE NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 7 of 7