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RF-13-1865 r r Miami Shores Village D ° II Building Department AU 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Yo oo------000000 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(M5)762.4949 FBC 0 L BUILDING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING joB ADDRESS: 75 NE 101 ST City: Miami Shores County: Miami Dade Zip; 33138 Folio/ParceW 113206 013 1550 Is the Building Historically Designated:Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder): f-C L ®f01-&6 Lj Phone#: 'f8 ' q q Address:75 NE 101 ST City. MIAMI SHORES State: FL . 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: S.R.HORRUITINER ROOFING INC phone#: 305 553 3023 Address: 9690 SW 34 ST City: MIAMI State: FL Zip: 33165 Qualifier Name: SERAFIN HORRUITINER Phone#: 305 219 0565 State Certification or Registration#: CCCO26488 Certificate of Competency#: Contact phone#. 305 553 3023 Email Address: srhorruitinerroofinginc @comcast.net DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$14,800.00 Footage of Work: 2534 Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Beplace ❑Demolition Description of Work. TILE AND FLAT Color duw tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ TraininglEd cation Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$_295 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 I� I Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be pasted at the job site for the first inspection which occurs seven (7) days after the building::;w posted notice, the inspection will not be a ov d and a reinspection fee will be charged Signature Si caner or Agent ��e u �� The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before this day of ,20�,by day of 20Q—,by e who is personally known to me or who has produced who is personall me or who has produced As identification and who did take an oath, as identification and who did take an oath. NOTARY LI Y PUBtLIC: `ASV PV6 ELIO VALDES Notary Public-State of Florhla vssy A�eIoN 10011211 40nag1 POPOO •,�, "� .,,� Sign: ► a 7 Print: �F �?;' Commission#F EE 8471 idx3•ww00 AW _• ,��• londea Tnmugh Natimai No Assn. EPi�I�io aIE1S-�tignd %� ..�• My Commis Aires: My Co siongl,3 �'qii i�•d APPROVED BY l L Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/1012009)(Revised 3/15/09) THE LAW FIRM OF KIM & LOWMAN, LLP 8620 NE 2 Avenue Telephone: 305-981-4477 Miami, Florida 33138 Facsimile: 305-981-4478 August 14, 2013 Village of Miami Shores RE: 75 NE 101 Street, Miami Shores, FL 33138 Seller(s): Robert Richardson Buyer(s): Marci M. Lowman and Jennifer D. Davidson Dear Village: Please be advised that this law firm closed on the sale of 75 NE 101 Street, Miami Shores, FL 33138 from Robert Richardson to Marci Lowman and Jennifer Davidson. The original Warranty Deed has been submitted to the Miami-Dade County Recorder's Office. Attached is a true and certified copy. Should you have any questions or concerns, please do not hesitate to contact our office. Thank you. Sincerely, Cind Ki q. Enc. 13-Lowman-3207 Double"rimee Prepared by and return to Cindy Kim,Esq. Partner TRUE AND CER RED COPY Kim&Lowman,LLP 8620 NE 2 Avenue Miami,FL 33138 305-981-4477 File Number: 13-Lowman-3207 Will Call No.: [Space Above This Line For Recording Data] Warranty Deed This Warranty Deed made this 8th day of August,2013 between Robert Richardson,a single man whose post office address is 150 NW 109 Street,Miami Shores,FL 33138,grantor,and Marci M.Lowman,a single woman,and Jennifer D.Davidson,a single woman whose post office address is 8620 NE 2 Avenue,Miami,FL 33138,grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N01100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the recei p t whereof is hereby acknowledged, has granted, bargained, and sold to the said tee and ' gran g d, gran grantee's heirs and assigns forever, the following described land, situate,lying and being in Miami-Dade County,Florida to-wit: Lot 21 and West 1/2 of Lot 22,Block 11, MIAMI SHORES SECTION ONE AMENDED,according to the Plat thereof,recorded in Plat Book 10,Page 70,of the Public Records of Miami-Dade County, Florida. Parcel Identification Number: 11-3206-013-1550 Also known as 75 NE 101 Street,Miami Shores,FL 33138 Subject to taxes for 2013 and subsequent years;covenants,conditions,restrictions,easements,reservations and limitations of record,if any. Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that.the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except matters of record and taxes accruing subsequent to December 31,2012. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleT[mee Signed,sealed and delivered in our presence: Wi ss Name: C.) ma Y) Robert Richardson Witness Name State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me this 8th day of August, 2013 by Robert Richardson, who L] is personally known or[X]has produced a driver's license as identification. [Notary Seal] Notary ublic CINDY KIM printed N * * MY COMMISSION#DD 992953 EXPIRES:July��9�0f Ft�P�op 2 Bidd 1fN Bt Notary sav CS My Commission Expires: Warranty Deed-Page 2 DoubfeTime® r FWAT-CLASS G TAX I�I,LEOT �B PAID MUWAFL 9sYgLQE3R r [+H3 2M A 331311 OUR$" 4 1RT.9�c PER>�iT THIS is NOT A BILL—DO NOT PAY RENEWAL 362723-0 378988-1 FWAMPT 010- S R HORRUITIHER ROOFING INC STATE# CCC826488 9690 Sid .34 ST 33165 UNIN DADE COUNTY SCR HORRUITINER ROOFING INC WOKER/S 96 SPECIALTY BUILDING CONTRACTOR 6 'ti86 !B OaL.Y A tt7CAt tW� ITT t "m worwo fammLiffm an ZONM fAVS OF TO �WCfC R l� 1YAEiD cauuff Cm CnwL Mm wo (f maw TINER ROOFING INC Houng mm alttmt S R HORRUI paws Fmamm sOR um SERAFIN R HORRUITINER PRES Im 9690 SW 34 ST ,was. MIAMI FL 33165 pumffumum- + Ya�c f 07/25/201.2 6A0A0075-00 j 010080143 00 y �tt tt iiit t}!/rl.rtttl t�ti`i}�ftttttitt!}thyil}}11}iA"I Sm OTMR ME _ V' A o o A S4. . Ora DEPAR : OF�tITS�� y��5Mg bO� SE(#t,120808Q336$ bTS' R-W,rI SS NS& a 2:. 12POZ1-828 ; 026 �s laced lOw.35 C ' IFI 485 �S.* finder the -prov►isiaas of P B iratian date:. BIIG .31, . 201 � ks k ,,.e S R IIQI2RUI Z `RflaFMG � g6g0 41 34TB ST gy 33 �.5' KnQ SSCRKTARY CERTIFICATE OF•LIABILITY INSURANCE C` THIS CERTIFICATE Is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLMR THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,©cTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(ft AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE I!#IPORTANT:If the cartPflcals holder Is an ADDITIONAL INSURED,the policy(has)must be endinsed.If SUBROGATION IS WAIVED,subjectta the tem s and conditions of the p*IW certain policies may require an endorsement*A stat9ment on this cerWIcate does riot confer doff to the cartillcub holder In bu of such '- Y PRODUCER nor Apo 1-WO277-9820 X48W 72X7 /-0�44 f FRANKCRUM INSURANCE AGENCY,INC. 100 S.MISSOURI AVE. INS AFFORDING COVERAGE HAM CLEARMTER FL 33768 IIEUREt a FRANK VIANSTON CRLIM INSURANCE CO. 91000 INSUR® ► lk i INSURER C: J I FmnkCnnn 1-NO-UT-1620 IUD: IOC)S MISSOURI AVENUE INSURER E CLEARWATER FL 33756 INSURER F: Cr1VERAGE3 OERTIWATE NOtIIBm. 229194 PINPa N Nummu 77981870 CERTIFY THAT THE POLK=OF INSURANCE t=W BELOW HAVE BEEN WMIED TO THE INS4JRED NAMED ABM FOR THE POLICY PERIOD YMM7ED. � N(nWrIH8TANINNG ANY REQUIREMENT,MW OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTMUN RESPECT TOIf*M Ting CERTIFICATE MAY 17E MUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES GIBED HEREIN IS SUBJECT TO ALL THE TETRAS,EXCLUSION ANDCONDTRONS OF SUCH POL[Cm LIIIUTS BHCNNN I MAYHAVEBEM REOUCM OY PAP)CL41116. F TMOFUMINKNOR VO FOiA:YNumm POIACifaFP Lmas DIM Lmsum EACN00WOMM $ DAWAGETO pGul + IALt,YRpr.IJAmnY 3ES $ QaCmjR i PION°&ADMAARY t AOWtEBATEUPAI'APPUPS Pty - AOe $ Pa1WY — $ CO AVOINOMUROM emaG1 + ADO aOD9.YWRAtYIPw'�N $ fjij t �O.YkN,RlRYQwaad $ I NtWI-OiARO PROPEWMAWASE ►OtEDAUfO, AUTOS 01wambmm $ $ u .La L" t EACHOOMWt MM $ + MOMUAS I CL49494@AOE AGGREBWE DgD1 I (tE mnoNS $ --rVWVTATU-T Out. A voomumcawwm7mmm MKS20130 11112013 111/2014 % 17mytom I 1 i ENPtomrs•uA6Umr f ttralE FLEACHRi , ?0 000 { EXCLUDED? WA I IfmdeawW DISEASE-Fll@B+LOYEE � t 18PirOd10F0PEPAV= ww-mm-FOUDYr$@T 1tI00 I t DENWil 11OFOPEMATMOLOCAYIONSIVMBM,ES(A At RO7e1,AddiHwwlR aakaSaha e,9smm apamb " .� EFFECTIVE 040/2007,COVERAGE IS FOR 100%OF THE EMPLOYEES OF FRANKCRUM LEASED TO S.R.HORRUMNER ROOFING.INC.(CL.RM FOR WHOM THE CLIENT 18 REPORTING HOURS TO FRANKCRUM.COVERAGE 18 NOT EXTENDED TO STATUTORY EMPLOYEES. , :i J CERIWICATEHOLUM CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED PM=Et BE CA MLED BEFORE{ THE EO+IRATION DATETHEREOF,NOTICE WILL BE DELIVERED 99 ACCORDANCE WrHI THE POLRrir PROVISIONS° MIAMI SHORES VILLAGE t3UILDINT DEPARTMENT ;I 10060 NE 2 avrxciaiXSe MAIMI SHORES,FL 33189 019MI WO ACORD CORPORATION. A9 dgivIa resmad. ACORD JE CM9W) The ACORD runs mid fags are rsgbdmd marlt&o9ACORD i 5 DATERAW""m CERTIFICATE OF UABILITY INSURANCE r 0811312013 THMS CERTIFICATE IS ISSIMO AS A MATTER OF INFORMATION ONLY AND COWERS NO RIGWS UPON TV rE I-Ol R TM CERTIFICATE DOES NOT AFFIRMATIVELY OR NOGATIVELy AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES W3.0W. TNS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE MUING INSURER(Sh AUTHORtZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If We ce#Wk:ato hotdor is an ADDITIONAL INSURED,the polleyfles)must be endomxL If SUBROGATION Is WAIVED,subl8a to the b" and cwMom of ow pol",cartmin poncles way require an endorsentaiL A statement an date cordricale does not confer dgtft to the certificate tiolder In Neu of such I'mmucat STUART K STA R.AGENT ONE STOP INSURANCE AGENCY INC 9Lj:305-949-9M 49-3D13 17088 W DWE HlGt-WAY ONESTOPII�SQYA�qq-Cq!� i- NORTH MIAMI BEACH.FL 33160 race HERMITAGE INSURANCE COM S-R.HORRUITINER ROOFING INC "unfimc: 9690 SW 34 ST INSUFtEft D- MIAMI,FL 33165 DralRER E I UISURER F: ESVERAGES CERTIFICATE NUMBER: PXVISM NtRABER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOWV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NGTVATHSTANDING ANY RECMRFMENT. TERM OR CONDITION OF ANY COMMACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERMFICATE MAY BE ISSUED OR MAY PERTAIK THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOM MAY HAVE BEEN REDUCED BY PAID CLARAS voucy Eff I POLICY ow Lim.; TYPEOFUNHIRAX010 "fffm Pmx.ywjmm amp-c-annnm�'- � 'I' UMITS HGU570657-13 04IM01304/0912014i EAwoccumwom $ 1.0m.000 A TORE COMMERCIAL GENERAL LIABILITY 100.000 CtAIMS44AUE 7x 1 OCCUR 1,000 X BI/PD$500 DED 10WOM PERSONAL&ADVNJURY S AGGREGATE S 2,000 GDO GEla AW&GATE LIMIT APPLIES PER PRODUCTS-COUPW AW 2,000.000 --�x micy F-1 PR F-"-',,oc S NIA N/A NIA LOW sormLy Njufty(Pw pwsml S AM AUTO ALL OWNED SCWAIULE0 SOMY NAM#hw amlowo S AUTOS AUTOS PROPERTY mREvAuTOS r— , S AUTOR S UMURRIAALIAll NIA WA WA C-ACHOCCURRENCE S OCCUR EXCESS LL48 CLAWSAIAM ASC41EIGATE OW I 'i RETENTION S S NOf0(EftC0lIPEMT= N/A WA NIA ick AM EMPIJOYEW LIASWrY Yin" i ANY PROPRiETOWARTMERIEXECUTWE �NIA E L EACH ACX30ENT S OPRCER4MEMMEXCLU!*W E-L.DISEASE-EA EMPLOYEE S U0"F'WbPERATKW4S 11. E,L MSEASE-POLICY LkWT 3 CgSCMPTIONOPOPEItATMS(L*CATXMIVEHSCL=VftfthAC0ReM ROOFING CONTRACTORS CEIRTIFICATE HOLDER CANCELLATION SHOULD AM Or-THE;AWVE 01ESWUSED POLICIES BE CANCAELLM BEFORE THE EXPIRATM DATE THEREOF. NOT= VrA.L BE DEUVERED IN VILLAGE OF MIAMI SHORES ACCORDANCE VOTH THE POLICY BUILDING DEPT. 10050 NE 2 AVE AUTft0RlZEDREPltESEWAW9 MIAMI SHORES FL 33138 STUART A.STARR,AGENT v 0 ISM2040 ACORD CORPORATION. All r4oft reserved. ACORD 25 iWIGIM The ACORD nanm and loao are realstered nmft of ACORD Miami Shores Village .... ®�. Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: (V L 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: AA fAr--,- (_C=' _ Property Address:75 NE 101 ST Roofing Permit Number. Dear Building Official: I � ((Z�"J. certify that I am not required to retrofit the roof to wall connections of my 7 Thing because: e just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. ❑The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1994 edition a uth Florida Building Code(1994 SFBC) Signature O��Pdnt Name State of Florida County of Dade The undersigned, being the first duly swom,deposes and says that he/she is the owner for the above property mentioned.In d Sworn to and subscribed befor e" °�� day of o Euo VALDES Notary Public-State of Florida •, •: My Comm.Expires Feb 2.2017 Commission#EE$47130 Notary Public, Sate of Florida a nded Through National Notary Assn. • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,OOO.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wag connection nection Hurricane Mitigation. Revised on 5121r2(J09 Miami-Dade My Home Page 1 of 1 My Home - MIAMI-DADE Show Me: Property information v Legend Search By: �.rs Property Boundary Select item v t _ ' - ; r ### Selected .' m A /01 Property _.ext o'iiY ,e Reoort Homestead Fraud E 1 n Ft Street rope y Appraiser Tax Estimator t. J t- ° 'I, i° — , Highway rtv Appraiser Tax 1 z . y f'`' Miami-Dade _ t r County �N Calculator r Water i t. a7 4 s ems. 3W NE 1075157 Summary Details: ., ' _ } _• N !ailing io No.: . :- ' SNE101ST ` W E OBERT RICHARDSON t ress: t 5 NE 101 ST MIAMI FL S 4; t 138-2318 Property Information: i 1 - rt° . rimary Zone: 000 SGL FAMILY »f 100TH 5i 101-2300 so - 1 RESIDENTIAL- # a LUC: INGLE FAMILY ° eds/Baths: 2 hors: _iving Units: 1 d'Sq Footage:11,7 10 Aenal Photography-2012 0 - 112 ft of Size: 625 SQ FT ear Built: 1949 IAMI SHORES SEC 1 MD PB 10-70 LOT 21& egal 112 LOT 22 BLK 11 I ';.�perty information I Property Taxes scription: OT SIZE 75.000 X 115 1 sghborhood I Pra erty Appraiser R 18362-2687 0898 4 R 18362-2687089801 1 rsin 9 Our Sete Phone G±reci rmvacv Drsci. Assessment Information: ---—_I I',"'. _cy I ear: 2013 1 2012 = and Value: $112,453 $96,540 uildin Value: $116,670 1$129,4001 If you experience technical difficulties with the Property Information application, arket Value: $229,123 225, or wish to send us your comments,questions or suggestions ssessed Value: $116,399 114, please email us at Exem lion Information: ear: 2013 2012 Web Site $25,000 $25,000 ®2002 Miami-Dade County. YES YES All rights reserved. Taxable Value Information: Year: 2013 2012 Applied Applied Taxing Authority: Exemption/ Exemption/ g ° Taxable Taxable Value: Value: Regional: `$-x0,000/ $50,0001 $66,399 $64,454 ounty: $50,000/ $50,0001 $66,399 $64,454 lty. $50,000/ $50,000/ $66,399 $64,454 chool Board: $25,000/ $25,000/ $91,399 $89,454 Sale Information: ale Date: /1998 Pale Amount: KO http://gisims2.miamidade.gov/myhome/propmap.asp 8/14/2013 ` t ' Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-200061 Permit Number: RF-8-13-1865 Scheduled Inspection Date: September 30,2013 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Owner: RICHARDSON, ROBERT Work Classification: Tile/Flat Job Address:75 NE 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060131550 Project: <NONE> Contractor: SR HORRUITINEN ROOFING INC Phone: (305)553-3023 Building Department Comments RE ROOF FLAT&TILE COLOR THRU Infractio Passed Comments INSPECTOR COMMENTS False 08/20/2013- PENDING NOC 08/2012013-RECEIVED Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 27,2013 For Inspections please call: (305)762-4949 Page 23 of 30 a Florida International Engineering and Testing Lab LLC F * 1 * E * 16701 SW 117 Avenue, Miami, FL 33177 FLORIDA INTERNATIONAL ENGINEERING Telephone: (305)378-1991-Fax: (305)378-1997 &TESTING LAB INSIGHT-INNOVATION-INTEGRATION Miami-Dade Lab Certification#07-0612.11-State of Florida ca#27273 ----------------------------------------------------------------------------------------------------------------- SITE SPECIFIC INFORMATION Owner's Name: ® Job Address: 1 A,#--t,l Roofing Contractor: Lam- L9 1 'r t Y.! a: 4 rr' i Permit Numbed?, ( �« j $�o rJ' Type of Tile: Approximate Roof Height:_feet Slope: % ')2 Approximate Square Footage: "41 2 ® ft2 Type of Access to Roof: madder OtherRequired Testing F rce: 35 lbs. Testing Equipment: F.G.E. 100x Shimoo instrument Date Installed: QI fi Date of Inspection: TEST RESULTS P=PASS,F=FAIL Test Test Test Test Test Location Location°r F Location 1'or F Location 1'or F Location P or F Location I'or F 1 21 V771 41 61 81 2 22 42 62 82 3 23 43 63 83 4 24 44 64 84 5 25 45 65 85 6 26 46 66 86 7 27 47 67 87 8 28 48 68 88 9 29 49 69 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 1 73 93 14 34 54 74 94 15 35 55 75 95 16 36 56 76 96 17 37 57 77 97 18 1 1 38 1 58 78 98 19 39 59 1 79 99 20 40 60 1 80 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION ®`oe1trrrrrr Perimeter Width: ft RESPEoED BY: Area Units or ft2 No.of Tests ®®'%-,,, �iC E IV S ��y2®®® P o Perimeter 1 . 1400 �; No 63107 ••,92 Field Corners Hips&Ridges V� TO St R V at° "�.� ®7 ®®d', ON A`"�®1�,e Mel a'r. ■■■■■OM■OE■MEEM■■■■■■■■�■O■I■■ ■ O ■■■'■■■■■■■ ■■■■■■■■■■■■■■ '■O.�■■■■M■RVE7�M WEEMMEM MIMMUMEMSEMEMMERNMARWO ■■■■■■■;■■■■■'■■PIMPS rj7 0■L■0■■■■■ ■■■■■■■■■■■■■■ ■■mm■■ ■■�■ rLC�! �■■�■■■■■■ SEMEN Monona ONES O■O■MOO 1'1JA�OOAVILOI■■■■■■MEMO ■■■s■■MME■r��■■MO■■,■■OOM■,M�■�■r��■��■■■■■■ MEMO■■■■■■■M■■MOROSE ONES■f-4�jO0,'2RIP•7!,■■■■■■ ■■■■■MM■MM■■■■MM■■■®■■�■■.■� � ■,■�! ! ■:_■MOM■■ C!I='N 2013RO651932 OR a is 28778 Ps 0750; (1 r+s 5 NOTWE OF COMMENCEMENr RECORDED 08/19/2013 09:23:0 HARVEY RLI4'IFda CLERK OF COURT AREW111W MrUI BE IMINJOBSFIEmr7011EaFF=#=W= MIAMI-BADE COUNTYr FLORIDA LAST PAGE PBWT NO I _ TIC FOLIO NO. STATE OF FLt : STATE OF Fl. Qk COUNTY OF�E CO- COUNTY OF ADE: I HEREBY CE R uW WS 0 a of original Ned k► ®n �or c► � THE UND hereby gives a fhat will be made to+fir real �' .A.D.a^0� sr properly,and In acx Ice with 71%Fiarlde Statuit%the aaad Ofilcdal c Is provided it this Notes of CamraweateM HARVEY RUVI ,C arz Couely Courla BY D.C. ®��ctalrat d`�• Space above mouved for use of mcoKlIng otltee 1.Le-ast of property and SUBWaddress: 9 101 57 lk r-A.,s S L C re j FL ) _2 of linpavellmit.. rlarrte anal ad�ess:- �� 1 �'`'° ss"I A ee In �property: Mt erne and address Of�shnple tinder: � . 5.Surety.(PaYmer�bond required by ownex'tiaara cor►�fior,if any) Name,address and phone number: Amount of bond$ 8.Lends name and address: 7.Persons win*the State of Florlda designated by Owner upon whom or other doCmmmnts may be served as povlded by Section 713.13(1Xa*7.,Florida SWute%- Name,address and phone manber 8.In addition to hbml,Ors desWtales the fad pers0n(s)to recCIve a C06 of the t i 's NoflCe as provided In Section 713.13(1)00*,Florida Statutes. Name,address and phone rnanber: 9.EVIration date of this Notice of Cotwnertowleft (the ambom ate is 1 yaw fr m um state of moorft u*=a dffwmt dds Is spedW WARNM TO OWNM ANY PAYMENTSMAM SYTH[E OWNERAFTERTHE OFTHE NOTICEOFCONVWEt4CELiENTAFIECCRMERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 71343.FLORIDA smim%AND GAN RE ULT IN YOM PAYING TWICE FOR WPOVEMEhn TO YOUR 114 NNOTICE OF COMMENCEMENT MUST BE RWORDED AND POSTED ON THE JOB SITE W:0W THE FIRST INSPECTION.�'YOig GBMUM F& 4m4%CONSULT vwH Y.ouR L84m of AN ArTof jEY BARE COMMENCING WORK OR RECORDING Y NT.By rued Qfft Pmpared Ely % C pu o C Prlrlt Nam Paint Name Tit[efollice T{tie STATE OF FLORIDA COUNTY OF MIAMI-DADS The foregoing Wa&ument was a&axmdbdged before rm the day U P1101dually,or U as rtaliy Wow,or Ck Wadutc:ed fits Mowing type of tart„ 11.10 Yet of Mary Rdmo� `" ""� Print Nears: Notary Pubk-State of FhWb WAL) °°o •E y Oman.Exphu Feb 2,2017 }�� pptt Comnisaida EE 847130 o1B'1+IN-ttt Under penalties of perjury,I deciane tW I have read the fregoing arxi that the facts trtm,to the best of my Wowledge and bond. or O fDlmcWdParirrer who alp BY BY '123 O1�?PA3E3 *119h VekFbirlda m*y Mmicane Zme Unfom Permt App Form AlO n C (Low-Sioeed Roof Syeftm) FM in Specific Roof Asswnbly Components Fadener Spacing for AnchorlBase shoot and Idenift#muftc�jer n -EJ--00o Lop.#Rowe Design W� ,F RI4S 1 �rner'�•°a�Lam.#Rmrs �, •oc Nmnber of Fadums Per Irmdadan Bow d Max.Design Presw%Frorn the Specific NOA S Fri Perkneter Comer Dedc Mustrate Components Noted awl Details as Applicable: cta�ess: c11 Woodb9. Gutter, Edge Termination. Skipping. , Continuous Chw% Cant Z Strip, Bass Flashing. Coroner- Flashing, ArchOrBass Sheet&No.of MS): Coping,Insficate Mean Root HeI^ Parapet Height. Height of Base Fling, Component Material, And wBase Sheet F=WwdBwWft Materfal ThIdavess, Fastener Type, Fastener Sorg or Submit ManubmAurers Detaffs that hm Baw Comply with RAS 111 and Chapter 16. Base lnstdation Size Bass hmdation F art regng Matedak Top Ira�tton Top Size arf Third 1 l Parapet T FaswterlBonding Material: HeW �t — 57a� Base Sheet(s)&No.of pv ): ¢- 6 q�' Fi: V O � $)-a�-��'f!►(s)�,�,1�t=.s Q(.� � �� Root PIyShW on 0 T, —MftMt!5 Tap Top I 12301-48 1113 PAGE Florida Buiking Cole Eamon 2D10 HWh Nebeity Her mlow a Zone unmwm Permit Appocaum Form -Smfflon D (IU o Sfo_ d Roo�F,M ems Roof System ufaatunrc .of r Oq�Oq 1S' �Number:_ 1� Mlnimwn Deaftn Wind Pressures,N AppReabie(From RAs 127 or CaicWagonsj: Maw mm Dmlp Pressure mn the NOAH S mod of"is dis cfatne& m �' �►' -$- ��- �.°' c5 z� m2p Sloped Roof ft em„_RONWotlon i Dm*7VW , y Ul !lox � r � Roof sue: . 12 re . y Rye Venulnu n? Type&Spadng: y'`j j Y p Typo f A Cap ghost I Mean Roof oof Cover�g: cc-� Type&She Drip f T,�') 12301-0 1/13 PAGE 4 F e Nkh Cub Efton 2Dto ►Hurricane ms F= *Mat be und is aNjusedon wft a Mt at WWWW bond tib syatwas mdowmed by So Bmwwd Cwxaty Dowd Of Ruin and A . Fw UpER boW db 9YAOM use Me&W 3.CAaWWOd dw vahm for Ir wMh de Wm'sfdwrGOf,dmdleMegftftleotmediedbuceptmbk NWhod 3 Band Tne Cdcub&m 11gr RAS 1271' Fa NGAF- SECTION R440213 HIGH VELOCITY HURRICANE ZONES—RE QUIRDO OWNERS NOTIFICATION FOR ROOFING Co R4402.13.1 Scope.As it pertains to the section,it is the responsibility of roofing contractor to provide the owner and to explain to the owner the content of the section.The Pins of Section with the required rooting;psrmit, dilations. R4402 govern the minimum r 'retie[ i ant the Additionally,the [#erns should be addressed as part of the agreement between'th contracto. owner's initial in the designated space indicates that the item has been expk�in cs Workmanship:the wiirtananstup provisions of Section R4402 are for the purpose of 1' and water instruction perinrmance standards. providing that tits roof system meets the wind resistance Aesthetics(appearance)are not a consideration with nit to workmanship proves.Aesthetic rues such as color or ardhitectural appearance,that are not part of a zoning code,should be addressed as part of the agreement between the owner and the contractor. �e rg wood roof decd may have to be 2 ending wood decks:When replacing roofing, renailed in accordance with the current provisions of SecfiGn R4403.(The roof deck is usually concealed prior to removing the eAsting roof system). 3, _ Comrrnar refs:Common refs are those which have no visible delineation�tracta-andlor neighboring r unitss(i.e.,townhouses,condominiums,etc.)to buildings write common mot,the roof owner should notify the occupants of adjacent units of roofrrig to be performed open beam ceflirngs are where the underside of the roof decking can 4. _ Exposed!Ceffing:Ex�sed, the arcftit ciui-A aura=;therefore,roofing nail be viewed from blow.The owner may wish to maintain .�Proms�option of maintaining the penetration of the underside of the deftg may not be acceptable. appearance. 0, Ponding water:The current ref system andfor deck of the building may not drill[weft and may - cause water to pond(accumulate)in low-lying areas of the roof.Pounding can be an indicetion of structural distress and may require the review of a professional structural engineer.Pounding may shorten the fife expecWq and performance of the new roofing system.Pounding conditions may not be evident until the original rooting system is removed.Pounding condition should be corrected. otoft):it is req*W that rainwater flown off so that the roof is not g. Overflow scuppers( wall or other roof extern may btc�k this discharge if overloaded from a buildup of water.P�srimetertedge to ir�stafl overflow scuppers in overflow,scuppers(wall outlets)are riot provided.It may be� accordance with the retuirercents of Sections R4402,R4403 and R4413. JK 7, VenEfiadon:Most roof structures should have some ability to vent natural wirfbw through the Bads"amount of attic ventilation'[ act be interior of the structure assembly(the building which can result in e service fife of the reducs:1be beneficial te consider�fct'itio venting Date rl at ure Date Contractor S�nature Revises on 719iM L"D MIAt1AK)7 souaan�ccc�ocgu +( l INyI PFX)WCTCONTROLDXVMMN RiDA33L�-290 Pt0'Tl[4M(W ACCZPTANCE tOA) GAF XWerid corpolradon 1361 Alp 1 j Wayne,NJ07470 SCOPIft This NOA is being issued under*a rubs and muds. submitted has been-reviewed byte BCCO agd`.:.. *. flw"dmb' Code and Product RejK w Cmmittw to be wed in Ww fi Daft C gnIy and o*w areas v all by dw (AEU). � .0, This NOA not be valid after the eapitatkt date stated below.The 1 - County) Carol (In l l County)and/or do Affi(in areas+ t1a is or rem the right to this +d for juderial fads to pMt=in dw accepted mannM do MMUSGUM will i the expense of Such tOMft and the AIHJ may ' rem aa�Y, the no of suck product or mawial�'in t�' BORA�dw tD this ifit=is by MWw'-Dada Camay Product Control Division d& product or mwaiel fags to melt the vaquirements of the applicable building code. IW9 prodat is MWMW as d=MIIW bey,and ho been degiggrod to oily witb the Flaedda Buildulg Code and the WI&VelocWI3e zone of the Florida,Building Cade. DESCRIF'1TON:GAF SuMMOW*ModMd Witemen BOO h'Weed Decl a. LASUR( a Each nmtt shall bear a pantiment MW with flm mueu sv of'W'dW'state "A�nmi-I?ade Co nW P Ca�OI Anwvar. herein. AL oftbls NOA shall be after a 1 applicsition has been find aucl there has been no dmv in dw applia 6k building code Y dWing the peomaum oftbis product. . ' :NOA wgi acaur after date ar iftbwe Ins been a mvMm or 7[S�ATION�� c in*a�, =&Or - oft1g or ofd=NOAas an o arty produ4 hr sab S,advartitsIngor any atimpurPOM I ll . &wM&Faihueta cOuply with MY Section ofd&NOA"becauni3runninationimilremovW of - NOA. ADVERTAMMUM. 'fie NOA nub precodaid by So words Nffiw -Dade Cawty, Florida, and fallaNVed by#lre=Vkadm date my be dispbymad in advardsing fitorstum ff anY Pmfi°a of*e NOA is d�rlayed,*en it"b in its wfimtY. INSPECTWN:A copy ofthis ande NOA sbadl be FVv de to iln usa l�►ftue au'its distdbutais and sbatl be amble For Stan at the jab silt at&a request Of 6e,Bwlding Official. TWSNOAMhMNOAWo.07-IM.01 and consists ofpqw I dUOD&31. IU was Mviumd by JoW L.Acebo II' NOA Na: +Q1 Date: 1I/M3 Approval Daft Pep I of 31 Membrane TypL. QJMSBS Cold Applied Dmk Type 1: Wood.Rm"Usubted IWOrVGmffPbwOWorwoiDdpjggkdecj3 SYstem Type 9(1): All CveneM gnd SyStem Ijad6dnm sban Opp, y Fh,e B=rbr. VmOUFw Five ftnier Caft VW=ShWeNw-Aaphaftic FR=BWM-B=ed (OP&MO Underkyalea or Secar"*11k Rueskeeb GAFGLASP#go ULTIWA Im Base Sheet.STRATAVEM40 Nml*k RUBEROJIOP Modified Base Sheet RO"WOMP 20.RUBEROIDP SOS Heat-Weleffm SMOO&or RUDEROW�b SBS EWWdduff 25 base sheet medmically hdooed to deck as desmtw below Futening G"GLAe Ply 4.GAMLAr Flex ftTm 6.GAFMAS*#75 Eksw Sheetor my Opflour. ofabove Base shOft aftached lo'deck with appwved anudw ring shank us&and tid'O"at a fiw&mw spaciag()""0-0'at the lap 3089afed and in"m tows 12- O.C.in the fieleL Ww"m D04P Prmwe-45pwf,.qw cmw&Lk*g&w#;), GAFM"PIy4.GAFMASPFkmPjyTm6, - GAFGLA.j*#75 Base Sheet or any Ofaho"Bm sheets attached ID deck wa Dnl-TCOTm#12 SIOndard.#14 or#15 S',and 3"DdU-Tw,slegi phft or DnJI-TeCTu AcwTrw plWkw, I r ox 3 wm- ORO low is im the 2-side lop. 1-he O&w,o are upaBy spaced in VP=dmuWly 14"O.C.in ft field of the sheet (MmWum Data Nenure-45psf,See GwaW.Y"We"17) GAF-GLAe Ffm Plym r,GAFGLAe sheet. Baft dmmts allached to deck with nng na&wd tin cap at a hsWn"Vwimg Of 9m O.C.at Ibe,4-lap A field. -'aP--NVae`4m4 iR WO rOm 9H oc.in the Psf LANNWM R) GAFGLAS*"D ULTJMAII�RUBMOII)P20,RUBEROWMp b.. sheet attached to dock wilb Appoved mnufar rift sbauk nm%and fim caps at a fimwer spaft of go O.C. It 60r UP Stanered and in two Rms 9-Oc.in the Ww&um DA*w Pmmm--Wpsf,See Cmn&Lh*gj*n GAFGLA90#75 Bam Sheet or imy Ofabove Base dwft WwJwd to dak wiffi Dfill-Tec;Tm#12 sftmdafd�#14 or#15 Scmm md 3n Dn-WTecTu stW Phft or Drn-TecTu Ac=Tm FW04 IV 0-c-in 4 row& one row is in the 2"side Up IUother Rms am equally spaced approminmd*go*O.C.in the (M*dmmm Dedga preawav-4#psf 'S offheshmt C.gaff MILka, m V) Any Of alxw Base Amft atlached to deck Mmmd amudw ring dunk anils and 3"iIrvasIedDr&Tecmwhwu%tiOn laPaa=eredintWOWftq._,nL P'RftataftftwVa*90f9"O-C-RtIheV' (Afm Ihe field. MA No.: 994MC01 R*k"n Daft uftW AppwatDaft "U" ft&Vof 31 GAFGLASe#75 Base Sheet or arty of ahoveBase sheetstsuached io deck with Drsr�Tedr*#12 standarcl,#I4 or#15 Scams and 3"Dry-TecTu steel plate or Dritly Tec'ffi Az=Trac Plates,r o c.in 4 roves. Ow rout is in die V side fig. The other rows we equally spaced appmxbnd*r ox,in the field of the . Pr e75M See #71 Ply S (Optional)One or more plies Y 4j Flex P1vTD!6, GAFGI"#80,RUBE1tOID® 1 OIDe 20 sheet adhered in afili mapping of approved asphalt applied witch NEVI`range and at sa rate of 20-40 lbadssq A+fembran One or more plics of RUBEROID®MOP Smooth,th,RU NW 170 FR, RUBEROID Mop Granules Roof Mat*Tm SBS Mop GOnd op PlwGranutes RUBEROIDe20,RU MOUP30,RUBI1R0IDeEw SBS 30 IRR RUBffit0ID*30 FR or RUBEROIDeMop FR or RUBEROID ULIRACLAD*SBS in&Owed in a full mopping ofapproved asphalt applied within the EVT range and at a raft of20-40lbs lsq. Or, Onwar more plies of RUBEROW*MOP ,RUB$ROMP Mop Granule, Roof Match=SBS Mop RUBEROMP Mop 170 FR,RUBEROIDe Mop Plusaano.K RUBEROIDe20,RUBEROMP 30,RUBMW*E�er SBS 30 FR,RUBBROIDP 30 FR orRUBEROl1PMop FR or RUBF..ROID ULTRACLADe SBS in Leak Buse Mahk7m 102 SBS Adobe at an awn raft of 12 galJsq. S (Optional, required if RUDEROMP MOP Smooth or, RUBEROMP 20 is top m embraw)Install one of the following: 1. �Gaavel or dog applied at 400 lbsJaq.and 300 lbsJuh respectiv*in a Rood =at of gpavedasphalt at 60 lbsJs q or applied in a f Dod coat ofLeak Busterlm Mat kTm 103 Cold er Adhesive applied:at a sate of 3 gaUsq. 2. GAFGLASe Mineral Cap Sheet GAFGLASe Energy Cap Nfineasl Surfaced Capalmset ad1aend in a full n*44=s of appwved asphalt applied within the EVT range and at araft of20-40 Wsq. 3. Leak BultrTm Md&Tm303 Premium Fbered Aluminum Roof Coating,st 1.5 VL/sq. 4. Leak BusterTm MW&Tm 715,Leak Bnsterm MWcTm 322,TOPCOAT* MB+,TOPCOA70 Firwhield Elastamaric Roding M applied at I to 1.5 galdsq. 5. Leak BusterTm Matrix=602 MB Rtra RoaSmg Membmfte, EnetgyCott@ roof coating applied at 1 to 1S Wsgs b. TOPCOAT*Surface Seal,TOPCOAT*Fn*ubnlde SB Solvent based Elastommic Rad'mg Membmw applied at Ito 1.5 gdJs q { 7. Advance Green TedmolooesPholevoltaicLaminate solarenwWwRectur auxiliary roof equipmaxit it s"W in Compliance with ms's Motu aW applicable BuildiagCodes. A+le:inoc>smn Da'� Pressom SF abeve NOA No-, 09402" i Expirs+tian Daft 1118sw Approval Daft "UM e Pap 28 of 31 r; WOOD DECKSYMM Iuu'rATTONS: 1 A slip sheet is required whk Ply 4 and Fleas Ply's 6 war used as a mechanically wed base or anchor sheet. 2. Mminnu V4-Dens Dock or hr Type X Upsum board is amble to be mantled directly over the wood deck. GxN=AL LnwrAmm t 1. Fire d1assification is not pmt of this acceptance,refer to a cunmrt Approved Roofing Mattoials Directory for fire ratings oaf this pw&mt. 2. won may be installed is multiple layers. The fiat layer"be amecihed in compliance with Prod Control Approval guidehiam All other]ayes shall be adhered in a fbv.mopping of approved asphalt ap pHad within tine EVT range and at a rate of244o hs.(sq.,or mechanically attached using the fitsteniing patteaa Of the top 3. All standard pars] sins ate for mechanical attachment. When applied in approved malt, panel size shall be 4'ac 4' i i . 4. An overky an&or recovery board won panel is required on all applications over closed call foam insulations when the buseWumt is folly mapped.If uo recovery board is used lira+b aw shed shall be applied using spat mopping with braved i2"dmnxtw cites,24"ox,or strip mopped 8°n'bbons in three rows, one at each side lap and one down the ceaw of the std allowing a continuous area of ventilatian. Faecircling ofd ships is not cable. A 6°break shall be plat every IT in each ribbon to allow woss venation: Anil apprmtion Ofeitim systm shall he at a minimum roe of 12 lbsJsq. Note: Spot athtched sy►sims shall be Nmaked to a maaimum design pressum of 45 psE 5. Fastener spacing for ikon UNNIMM9 is based on a MWMIM ChamckriSft Force(F)value of 275 lbf.,as lased m co>ttptiancs with Tca6ng Apomdwa d TAS toy. Ifibahstenervalue,as field- testcd,are belm 275 lbE insulation Owbuteut shall not be amble. 6. Fastener spacing%rmccbrawd&#WhMent of MchoryUse,sheet or me Oudinwat is based on a mininnunn fns a resiftw value in with the mu&wra design value Had within a specific sysCezn. Should the �be�ffian itat rte,as determined;by tla Bur'�ng a►fftciai,a revised ftsteuer spacmg,prepared.signed and sear by a Florida Reed Eughim.Awhdmt or jRem Rod Cowmap be submitted. Said rev►int ftftw qming dell uilim the,withdrawal rem value takell fi+oln Testing S�tsndards TAS�105 and in compliance wig I Roofing Application Markhad RAS 117.f 7. Perimeter and corner arawvs shall cootply with the enhuced uplift pressm requhments of thew areas. Fastener domes shall be increased for bolt i u"on.and base shW as ukuhftd in cozoplinow With Roofing Applioatm&=dud RAS 117.Calculations pepgr4 dgwd and settles]by a Florida registered Professional rm&c@4 Resistated Arm, or Regiftred Roof Cassulbut (Wben Ms Bruillultim is spear referred this NOA,Germs]LUdbdies 99wM not he upfficidik.) 8. All aftchment and sizing of pernneternailem mdal.profile,andfor flashmeg ton design stalk cronfomt to Sid RAS 111 a� wind toad requiremmIL Roofing Acafiion 9 The rwamf designed ir lmtaroa listed M be applicable to ra ((1-0 fold. , and comers)L Nother atom analysis,nor caftepolabon,stall be permitted for enhanced fastening at enhanced pressm zmw(i e. cis and emirs).(When OdS 1102118111911 is specificuft refesrrud ar kW n Ob NOA,Gent 11mittaflan#/wilt tot be ) sheik have a a audit is accordance with So Code 10. All products list+�l.hen quality and Rule 98-72 o€the Florida Ave Code. END OF TMS ACCEPTANCE NOA Na: 044224.01 D 11MW Apgtovalftft 04Mt09 Pop 31 of 31 s UN TGMJn3% RMftg System GAF CORP 81306 1361 ALPS RD WAYM,NJ 07470 USA SINGLE PLY 1 BANS R+C OFMG SYSTEMS(MODIFIED BITts MEM Class A-Fully Adhered 10.Deep C-15/32 hwune : l2 Lin(Optional):—Pe dife,fiber glask polyisocyanuraft.urethane or pei ite/polyisocyanurate conposfte• Base Sheet—One or more layers Type 02 RGAFGLAW#75 Base ShoW or"Tri Ply®#75 Base Sheer"or Type G3"GAFGLASO Mineral Surfted Cap Sheer"or"Tri-MyQD bfincral Surfaced Cap SheW hot mopped or meehaaiceily fastened. Ply Slims(Opdonalj:— 'One or mom plies Type 01,hot mopped in place. Membrane;—"Rube miff Mop 170 FR."or"Ruberuid®Dual FR"or"Rube eRM Mop FR"or "RuberoicM Fa►ergyCap Copyright®2011 Unda writers Laboratories Inc.0 The appearance of a company's name or product in this daial>ase does not in itself assure that products so identified have been manufactured under UL's FoIlow-Up Service.Only those beaming the UL Mark should be considered to be Listed and covered under UL's Follow-Up Service.Always look for the Mark on the Wit. UL permits the repo&wtion of the material.contaiaed in the Online Certification Direckry subject to the following conditions: 1.The Guide,Information,Designs and/or Listings(files)must be presented,in their entirety and in a nmt3nisles�ng user,without any mafupulation of the data(or drawings).2. The sU tement RR from.the Online Certifications Directory with permission from Underw ritm Laboratories Ire."must appear adjacent to the extracted material.In addifion,the rqxinted material must include a copyright notice in the following format"Copyright®2M 1 MIAMIaADE PRODUCT CONTROL SECTION DEPARTMENT OF PERMriTING,ENVMON1M ENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) ``,`` rug;`„D T el :'`,c.'-"`,``fp�4:r 3M Company 3M Center Building 0220-05-E-06 St.Paul,MN.551441000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County PERA-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION:3MTM 2-Component Foam Roof Tile Adhesive AH-160 LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA# 11-0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. .Yr NOA No.: 12-0228.18 Expiration Date:05110/17 Mw�aausoe COUNTY � Approval Date:05/10/12 •. Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2-Component Foam Roof Tile Adhesive AH-160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance.For the locations where the design pressure requirements,as determined by applicable building code,does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127,for use with approved flat,low,and high profile roof tiles system using 2-Component Foam Roof Tile Adhesive AH-160.Where the attachment calculations are done as a moment based system for single patty placement,and as an uplift based system for double patty systems PRODUCTS.MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2-Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF 1000 N/A Dispensing Equipment ProPack®30& 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball,TX. PHYSICAL PROPERTIES: Pro Test Results Density ASTM D 1622 1.6 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Fe Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-40°F.,2 weeks +6.0%Volume Change @158°F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% NOA No.: 12-0228.18 MIAMhDADE COUNTY Expiration Date:05/10/17 Approval Date:05/10/12 Page 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10125/95 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 LDMATIONS: 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat,low,&high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof tile adhesive with their file assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F W 2 F'= MS NOA No.:12-0228.18 Expiration Date:a5non7 Muu��•o�e courrry Approval Date:05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160. 2. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof file assembly's adhesive attachment with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient attachment resistance,expressed as an uplift based system,to meet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and 3M Company's 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the"A" component and the"B"component shall be maintained between 1.0-1.15(A): 1.0 (B). The dispense timer shall beset to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam Dispenser RTF 1000 or ProPack®30& 100 dispensing equipment only. 7. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 2 to 3 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH-160 has been dispensed. 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall_be in accordance with the'Placement Details'herein. Each generic tile profile requires the specific placement noted herein. Table 1:Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Two Paddy Weight per Min.(grams) paddy Min.(grams) Flat,Low,High Profiles #1 35 N/A I-ligh Profile(2 Piece Barrel) #1 17/side on cap and 34/ N/A Flat,Low,High Profiles #2 24 N/A Flat,Low,High Profiles #3 8 NOA No.:12-0228.18 Mu�atle cout�rnr Expiration Date:05/10/17 Approval Date:05/10/12 Page 4 of 7 LABELING: All 3MTm 2-Component Foam Roof Tile Adhesive AH-1 60 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 NAftm%h0astlemed Pa*PMw&TM "fhb pla9ft cowt P�dIt TAI UU&"MM o 10 In 2 o EMCOM Fbdo EMCMM Fads WHO* EM CMM 0*. EMCMMOnIr. EMdMM KupWh"*F- Mowww"p— ftedp EMOOM hL Up from wepholes 4hLupfmmweqAWn 00wd We for MA Iftaugh pleft=mA P8*Mw0MTh) J)PItnewoeffiedetandfiml7to2l Pbh*Pkd= Kau 6=0 03de emmut WHIMISY-9 squembdMincoddiffiftPonfe dMP 2)TUM— - - *`1211L TO i I.R..�Po Mdd Z 0 f I rt I L unftflaymwt EmCww W/M EMCIGM Eve cmuse o*. top 110110 Kegaffieft 411LUP Famb 010meave CKMcwMik AbUttosondawad pansIMEMMemeltdol pm mod=wwbln we Pd"Moft 11 at em at em in Emdmn We** ks& (Moftd—) 117LF,W, NOA No.:12-0228.18 1 � 906 9 Expiration Date:05/10/17 !APPROVED! Approval Date:05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nap through PIRS&cment pa"W294 700 ma through pb ttc cement paft(BerWhTile} u� umwdwmt o 7In. 2Im 7 hm EMCMM %EmCmm 0 tie Em Cfew e �WP p9ft P�Too Undobymed ==_ 7 In. rare the Em Comm Famb NOA No.:12-0225.18 t�E COUtm Expiration Date:05/10/17 Approval Date:05/10/12 -IAPPROVEDI_ _-1 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cenieM pyddy Nail tmwgh piaslic cement Single paddy under toe (between tile) llnderlayment Single paddy between the Y MxTkmedhun cmu only in ---__- in.x 3 hL I x 3 in. under the ` ___- -- 4 in. . 2 in Singl le paddy on 2 i 4 in. �� Single el u ° Padyon under- la layment Single paddy Famb Ewe codas on top of tle Weephote Single paddy 2 hL X 71n.mediun Em Em dam m Course on top of tle she paddy am edge Fad course only Nall through plastic Comm angle ply under We Swap" between We ° rin.x3in 41n. ° an� 2 n� Single paddy Ewe Care on top of toe 2 hd x 7 in.medium EwConee Faso paddy 0-mm course Only END OF THIS ACCEPTANCE NOA No.:12-0228.18 Mur4?T,E►uE COUta rY Expiration Date:05/10/17 ... Approval Date:05/10/12 Page 7 of 7 MLAM MiAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE C0MPLI4NC190FFICE(BCCO) 148 WEST FLAGLER.STREET,SUITE 1683 PRODUCT CONTROL DIVISION MIAK FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTAiYCE OA (N ) Entegra Roof Tile,Ina --_ 1289 NE 9a'Ave Okeechobee,FL.34972 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 Bade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami Dade County Product Control Division that this product or material fails to meet the requh=e nts of the applicable building code. This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION:Plantation Roof Tile LABELING:Each unit shall bear a permanent label with the mamifactvrees name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein RENEWAL of this NOA shall U 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 Fail=to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT:The NCA 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 won at the job site at the regnest of the Budding Official. This renews NOA No.09-0803.02 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.:1"804.15 Eiphsdon Date:12/08115 Approval Date.-10120/10 Page 1 of 5 a ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1.SCOPE: This renews a roofing system using Entegra-Plantation"concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Cade, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Plantation Tile Length: 16'h" Flat concrete roof tle-for direct deck or Width: 13" TAS 112 batten nail-on. Trim Pieces Length:varies Accessory trim,concrete roof pieces for Width:varies TAS 112 use at hips,rakes ridges and valley Thickness:varies terminations 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. 3.3 Applicant shall retain the services of a Miami Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix W.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. 35 34/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4.INSTALLATION: 4.1 Entegra Roof Tile,Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119,&120 4.2 Data For Attachment Calculations NOA No.:10-OMIS ERfirstion Date:1VO8115 Approval Date:10t"119 Page 2 of 5 e • Table 1: Average Weight(W)and Dimensions(1 x w) Tile Profile Weight-W(lbf) Length-i(ft) Width-w(ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multi filers-1� ft3 The 7.(�) �(ft3) Profit Batten Application Direct Ic ation Plantation The 0.267 0.2W' Table 3: Restoring Moments due to Gravity-M (ft:lbf) Tile 3": 12" 4": 12" 5": 12" gs; 1� 7": 12"or Profile rester Battens Direct Battens D Battens Dirt Battens Direct Battens Direct Deck eck Deck Dec Deck Plantation Tile 6.85 7.79 6.75 7.67-" 6.61 7.52 1 6.44 7.32 6.26 1 N/A Table 4: Attachment Resistance Expressed as a Moment-Alf(ft lbf) For 1WalWn Svsterns Tile Fastener T Dec Deck Direct Deck Battens Profile (Min 15/32" (Min. 19132" plywood) plywood) Plantation Tile 2-10d Ring Shank Nails 30.9 38.1 17.2 1-10d Smooth or Screw 7.3 9.8 4.9 Shank Nall 2-10d Smooth or Screw 14.0 18.8 7.4 Shank Nails 1 #8 Screw 30.8 30.8 18.2 2#8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Clip) 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave grip) 2-14d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) 2-10d Ring Shank 50.3 . 65.5 48.3 Nails' 1 Installation with a 4"ffl-ehmdlap and fasteners are located a minimum of 2'A°from ft head of tile. NOA No.:10-0804.15 F.apiradon Date:12/08/15. Approval Date;10/20/18 Page 3 of 5 M t Table 5: Atta chment Resistance Expressed as a Moment Mf(ft4bf) For Two P Adhesive Set Systems i Tile Profile Tile Application Minimum Attachment ances Plantation Tile Adhesive Resist 3st 2 See manufactures component aperoval for installation requkements. 3 FleAble Products Company TileBond Average welghts per patty 13.9 grams. Po. barn Prodt4 Inc.Average weight W patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft lbfl For Sl Is Patty Adhesive Set ms Tile Profile Tile Application Minimum Attachment Resistance Po Prom Plantation Tile Polyprow 4p,4 4 Lay-go Paddy plawment of 45 grams of PotyProTm. 5 Medium paddy ptamment of 24 grarns of - Table 7:Attachment Resistance Expressed as a Moment-Mf(ftdbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Sees specific mortar manufacturer's Notice of Acceptance. 5. LABELING 5.1. All tiles shall.bear the imprint or identifiable marking of the manufachuer's name or logo as seen below or following statement:"Miami-Dade County Product Control Approved". 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following markings: USA "E" USA,'T-,Entegra"E",where the E is a stylized logo. 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 outer documents required,by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 7. MANUFACTURIIIM,LOCATIONS 7.1 Okeechobee,PL NOA No.:10-0804.15 tit Esp"flon Date:12/0M5 i • Approval Date:10/20/10 Page 4 of 5 PROFILE DRAWING PLANTATION FLAT CONCRETE TILE f 6j�2a 1 END OF THIS ACCEPTANCE NOA No.:10-OM.15 Mcphsdon Date:12/08115 s Approval Date:10420110 Page 5 of 5