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RF-13-1264 kOOF ASSEMBUES AND ROOFTOP STRUCTURES Miami Shores Village APPROVED BY DATE 70NING DEPT Florida Building Code Editio B 00 DEPT s� V�® 9 High-Velocity Hunicarm Zone Uniform Permit Ap S SUBJECT TO COMPLIANCE WITH ALL FEDERAL Section A (Genecal Inform S AND C 11NTY RULES AND REGULATIONS Master Permit No. - 5 1 Process No Contractor's Name a �o IJ Job Address a '�T ROOF CATEGORY Slope 17 Mechanically Fastened Tile Mortnr/Adheshre Set Tile tkValdc O Metal Panel/Shingles 0 Wood Shingles/Shakes 13 Prescriptive BUR-RAS 160 ROOF TYPE o Reroofing O Recovering 13 Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area(SF) ° ,�Lo 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 dimensions of sections and levels,clearly Identify dimensions of elevated pressure zones and location of parapets. 9 s FLORIDA BUILDING CODE—BUILDING Section C MIAM Miami-Dade County HVHZ Electronic Roof Permit Form Section C Page(Low Slope Roof Systems) "Delivering Excellence Every Oay" Fill in the specific roof assembly components.if a component is not required,insert not applicable(n/a)in the text box. ROOF SYSTEM MANUFACTURER: POLYGLASS USA Top Ply: POLYGLASS SA P FR Product Approval (NOA): 12-0815.07 System Type: Ci Top Ply Fastening/Bonding Material: Wind Uplift Pressures,From RAS 128 or Sealed Calculations: I SELF ADHESIVE (P1) Field: -42.8 psf Surfacing: NA SINGLE PLY MEMBRANE: (P2) Perimeters: -71 psf Single Ply Manufacturer!Type: (P3)Comers: -108.0 psf NA Maximum Design Pressure From NOA: 52.5 psf NA NA Single Ply Sheet Width: °1/2 Sheet Width: Roof Slope: 1 0 .:12 Roof Mean Height: 14 ft. No.of Single Ply 1/2 sheets:ED Parapet Walls: 0 No 0 Yes Parapet wall Height: ft. Single Ply Membrane Fastening/Bonding Material: NA Deck Type: --5/8"Plywood-- � �FASTENER SPACING FOR BASESHEET ATTACHMENT Support Spacing: NA "o/c ❑SINGLE PLY MEMBRANE ATTACHMENT Alternate Deck Type: NA 8 3 8 Roof 1.Field: °olc @Laps& rows °o/c Existing Roo NA 2.Perimeter: 6 °o/c @ Laps&E]rows 6 "o/c Fire Barrier: NA 3.Comer 6 °o/c @ Laps& 4 I rows 6 "o/c Vapor Barrier. NUMBER OF FASTENERS PER INSULATION BOARD: NA 1. Field:ED 2. Perimeter.El 3. Comer: NA Anchor Sheet: Insulation Fastener Type: NA NA Anchor Sheet Fastener/Bonding Material: NA WOOD NAILER TYPE AND SIZE: Insulation Base Layer Size&Thickness: NA 1/4"DENS DECK INSULATION Wood Nailer Fastener Type and Spacing: Insulation Base Layer Fastener/Bonding Material: NA #12 DECKFAST SCREW&3"PLATE EDGE&COPING METAL SIZES: Insulation Top Layer Size&Thickness: Edge Metal Material: --Galvanized Metal-- NA Edge Size: --3"face 26 ga.-- Insulation Top Layer Fastener i Bonding Material: Hook Strip Size: --SELECT EDGE METAL HOOK STRIP SIZE-- . NA Edge Metal Attachment: Base Sheet(s)&No.of Ply(s): 1-1/4"RS NAIL 4"OC POLYGLASS SA V Base Sheet Fastener/Bonding Material: Coping Material:I--SELECT PARAPET WALL COPING MATERIAL--. SELF ADHESIVE Coping Size: --SELECT COPING METAL SIZE OR THICKNESS-- Ply Sheet(s)&No.of Ply(s): Hook Strip Size: I--SELECT COPING METAL HOOK STRIP SIZE-- NA Pan apet Coping Metal Attachment: Ply Sheet Fastener/Bonding Material: NA NA Insulated Nailable Deck With Edge Nailer HIAMaDY4D ` Miami-Dade County HVHZ Electronic Roof Permit Form "Delivering Excellence Every Day" Illustrate Components Noted and Details as Applicable: Roof Mean Height: 14 ft. Drip Metal: Ea X3 GA 26G Top Ply Continuous Cleat: Interplies NA ' Surfacing: Base Sheet y FNA Top Ply: Anchor Sheet , POLYGLASS SA P FR y � Interplies: Drip Metal FNA 1' Base Sheet: Continuous POLYGLASS SA V Cleat Top Layer of Insulation: .� Wood Nailer NA ' ,, - k Base Layer of Insulation: 4 - 1/4 DENS DECK INSULATION Roof Deck Wood Nailer: Base L r NA of Insulation —� -• - Wood Nailer Fastening: Top Layer NA of Insulation Anchor Sheet: NA Deck Type: PLYWOOD 5/8" TGFU.R14571 - Rootmg Systems raga'+U1 7 Membrane:—"ELASTOFLEX VG FR","POLYFLEX G FR","Xtraflex APP G FR","POLYFRESKO TORCH FR","DUFLEX G FR"(heat fused), "ELASTOFLEX S6 G FR","POLYFRESKO MOP FR"(hot mopped)or"ELASTOSHIELD TS G FR"(heat fused or hot mopped). 14.Deck:C-15/32 Incline: 1 Insulation:— 1/4 in.thick G-P Gypsum DensDeck @,periite,wood fiber or glass fiber, 1 In.,mechanically fastened. Ply Sheet:—Type G2,mechanically fastened. Membrane:—"POLYBOND","POLYFLEX"or"Xtraflex APP S"(modified bitumen),heat welded. Surfacing:—"PG 800 Asphalt Emulsion Roof Coating",applied at 3-4 gal/sq.or Monsey Products"Endure Aluminum Roof Coating", "Weather Check"or"Pro-Grade Aluminum Roof Coating", 1.5 gal/sq; or Brewer"Fortress 5001 Asphalt Emulsion",applied at 4 gal./sq., followed by"PolyPlus 60",applied at V4-1 gal./sq. 15.Deck:NC Incline: 1/2 Insulation(Optional):—Polyisocyanurate,perlite,glass fiber or wood fiberboard,any thickness. Base Sheet:—On ply Type G2,hot mopped or mechanically fastened or"ELASTOBASE",heat fused,hot mopped or mechanically fastened. Membrane:—"ELASTOFLEX S6 G FR","POLYFRESKO MOP FR"or"ELASTOSHIELD TS G FR"hot mopped or heat fused. 16.Deck:C-15/32 Incline: 1/2 Base Sheet:—One ply Type G2 or"ELASTOBASE",mechanically fastened. Ply Sheet:—One ply Type G2(hot mopped or mechanically fastened)or"ELASTOBASE"(hot mopped,heat fused or mechanically fastened). Insulation(Optional):—Polyisocyanurate,perlite,glass fiber,any thickness. Membrane:—"ELASTOFLEX S6 G FR","POLYFRESKO MOP FR"or,ELASTOSHIELD TS G FR"hot mopped or heat fused. 17.Deck:C-15/32 Incline: 1/2 Insulation:—Polyisocyanurate(2 in.min),glass fiber(15/16 In. min),periite/polyisocyanurate composite,perlite/urethane composite(2 In.min). Base Sheet:—One or more layers"DUFLEX","Xtraflex APP S"or"POLYFLEX"(heat fused or mechanically fastened),"ELASTOBASE", "ELASTOFLEX V",'ELASTOFLEX V-C"(hot mopped or heat fused)or Type G2 base sheet(hot mopped or mechanically fastened). Ply Sheet(Optional):—One or more layers"DUFLEX","Xtraflex APP S"or"POLYFLEX"(heat fused),"ELASTOBASE","ELASTOFLEX V", "ELASTOFLEX V-C"(hot mopped or heat fused)or Type G2 base sheet(hot mopped or mechanically fastened). Membrane:—"DUFLEX G FR", "POLYFRESKO TORCH FR","Xtraflex APP G FR"or"POLYFLEX G FR"(modified bitumen),heat fused. 18.Deck:C-15/32 Incline: 1/2 Insulation:—Polyisocyanurate(2 In.min),glass fiber(15/16 in.min),perlite/polyisocyanurate composite,perlite/urethane composite(2 In. min).. Base Sheet:—One or more layers"DUFLEX", "Xtraflex APP S"or"POLYFLEX"(heat fused or mechanically fastened), "ELASTOBASE", "ELASTOFLEX V"or Type G2 base sheet(hot mopped or mechanically fastened). Ply Sheet(Optional):—One or more layers"DUFLEX","Xtraflex APP S"or"POLYFLEX"(heat fused),"ELASTOBASE","ELASTOFLEX V", "ELASTOFLEX V-C"or Type G2 base sheet(hot mopped or mechanically fastened). Membrane:—"ELASTOFLEX S6 G", "ELASTOFLEX S6 G-C"or"POLYFRESKO MOP"(modified bitumen),hot mopped. 19. Deck.C-15/32 Incline: 1 Insulation:= 1/4 in.thick G-P Gypsum DensDeck @,perlite,wood fiber or glass fiber, 1 in., mechanically fastened. Ply Sheet:—Type G2,mechanically fastened. Membrane:—"POLYFLEX"or"Xtraflex APP S"heat welded. Surfacing:—Monsey Products"Endure Aluminum Roof Coating","Weather Check"or"Pro-Grade Aluminum Roof Coating", 1.5 gal/sq; or Brewer"Fortress 5001 Asphalt Emulsion",applied at 4 gal./sq.,followed by"PolyPlus 60",applied at V4-1 gal./sq.. 20. Deck:C-15/32 Incline:2-1/2 Barrier Board:—1/4 In.(min)G-P Gypsum DensDeck@ with all joints staggered 6 in.from the plywood joints. Base Sheet:—Type G2,mechanically fastened. Membrane:—"POLYFLEX G FR","Xtraflex APP G FR"or"POLYFRESKO TORCH FR", heat fused in place. 21. Deck:C-15/32 Incline.2 Insulation(Optional):—Polyisocyanurate,perlite,wood fiber or polyisocyanurate/perlite board,any thickness. Barrier Board:—1/4 in. (min)G-P Gypsum DensDeck@,mechanically fastened with all joints staggered 6 in.from the plywood joints. Base Sheet:—"ELASTOBASE"(poly/sand),mechanically fastened or"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or "ELASTOFLEX SA V FR BASE VENT"(self adhered). Ply Sheet(Optional):—"ELASTOBASE"(poly/sand),heat fused or mechanically fastened,or"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or"ELASTOFLEX SA V FR BASE VENT",(self adhered). Membrane:—"POLYFLEX SA P FR","POLYFRESKO APP SA P FR","ELASTOFLEX SA P FR","POLYFRESKO SBS SA P FR","ELASTOFLEX SA V http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/showpage.html?name=T... 3/28/2013 HIAHMMIAMI-DADS COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Strect,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.EOV/economy Polyglass USA,Inc. 150 Lyon Drive Fernley,NV 89408 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 RER-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. RER 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: Polyglass Self-Adhered Roof System 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 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# 11-0425.07 and consists of pages 1 through 26. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0815.07 MIAMIDADEC� Expiration Date: 10/11/13 Approval Date: 09/27/12 Page 1 of 26 Membrane Type: SBS/APP Deck Type 1I: Wood,Insulated Deck Description: 19/32"or greater plywood or wood plank. System Type C(1): All layers of insulation are mechanically attached to roof deck. Membrane is subsequently adhered to insulation. All General and System Limitations apply. One or more of the following Base Insulation Laver Insulation Fasteners .Fastener able 3 Density/fe Any approved Polyisocyanurate listed in Table 2 Minimum 1.5"thick N/A N/A Note: All layers shall be simultaneously fastened; see top layer below for fasteners and density. Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Too Insulation Laver Insulation Fasteners Fastener able 3 Density/ft2 Approved High Density Wood Fiber Minimum'/:"thick 1 1:1.33 W DensDeck Minimum 11411 thick 1 1:1.33 ft2 Note: All layers of insulation shall be mechanically attached using the fastener density listed above. The insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Base Sheet: One or more plies of Elastoflex SA V,Elastoflex SA V PLUS,Elastoflex SA V FR,or Elastoflex SA V PLUS FR self-adhered. Membrane: One ply of Polyfresko SBS SAP,Polyfresko SBS SAP FR,Polyfresko APP SAP,Polyfresko APP SAP FR,Elastoflex SA P,Elastoflex SA P FR,Polyflex SA P,PolyKool or Polyflex SA P FR self adhered. Surfacing: (Optional)Install one of the approved surfacing products listed in Table 4 to obtain desired coating or required fire classification. Maximum Design Pressure: -523 psf; (See General limitation#7.) NOA No.: 12-0815.07 MIAMFDADECOUMY Expiration Date: 10/11/13 JAPPROVE61 Approval Date:09/27/12 Page 14 of 26 WOOD DECK SYSTEM LIMITATIONS: 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 lbs./sq.,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 ribbon 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 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F�value of 2751bf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below 275 lbf.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 nailers,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 shall be 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.) END OF THIS ACCEPTANCE NOA No.: 12-0815.07 ��- Expiration Date: 10/11/13 Approval Date:09/27/12 Page 26 of 26 Miami Shores Village Building Department ^ 83 10050 N.E.2nd Avenue,Nami Shores,Florida 33138 �`�''" lux- Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 �o �:')0 ° ��n�� FBC 20 BUILDING Permit No. �—(�-1 3—"L (,-, 11 PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: S3- PwA 01 S City: County: Miami Dade Zip: G Folio/Parcel#: Is the RUB Yes NO / Flood Zone: :N ee Simple Titleholder): Ql� phone#: rr—i State: #A- Zip: :5-j Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: lorkAA6A. L I� C Phone#: Address: S LA �� 1 City. J Ay,j State: E t Zip: :'-T i 47 "-4 Qualifier Name: 4-f J* : ^- ,L-/1— Phone#: State Certification or Registration#: , 1 fir: Certificate of Competency#: Contact Phone#: U 7 Email Address: A 9 "� DESIGNER:Architect/Engineer. Phone#: T Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: DAddition UAlteration ONew d �tepair/Replace UDemoHtion Description of Work: MD�N ® Zz ,21 ,r NA--. Color d"we: Submittal Fee$ Permit Fee$ a 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 certi;fled copy of the recorded notice of commencement must bepqrted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. I e ab e o ed notice, the inspection ill not be appr ved and a reinspection fee will be charged. Signature Signature er or Agent The foregoing instrument was acknowledged before me this � The fore oing ins'frumA was b' I'd before me this day of ,20 L�,by .I V I D day of L- 20 L.3,by_ ra who is personally known tome or who has produced who is personally known tome or who has produced LL As identification and who did take an oath. �nVCLLknr&as identification and who did take an oath. NOTARY PUBLIC: NOT Y UBLIC: Sign: ` Sign: Print: Print: My Commission Ex ' MYCOMMMHEOM My Co M R1AZ EXPIRES May 9,2015 N�EE091807 • Bonded TMu Notary Peb6o lJndes EXPIRES:Mey 9,2015 ..a Boded TWV NONY PW*it&MAR Bs*wkk*&k&+Hkk*RsA&+k&+k&&kk*+H+l kisB+&ed�Hs+&dHk+kffideRe+kB+k&kk*&RkH+kffi8+k8k*+ASR+k6**kkkdd�k*d*�+k�k*&+k�a&&k+Rekes&eadi+k+k&&k+Ab APPROVED BY ��/J~ Plans Examiner Zoning Structural Review Clerk (Revised 3n2/2012)(Revised 07/10/07)(Revised 06110*009XRev sed 3/15/04) Miami shores Village all Building Department rm 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 663.944 F.S. To: Miami Shores Village Building Department Date: ? 10050 NE 2nd Ave Miami Shores,Fl 33 Re: Owners Name: -TAd'i Property Address: ........ Roofing Permit Number Dear Building Official- I— , A certify that I am not required to retrofit the roof to wall connections of my building because: re just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00.Please attach proof of ad valorem taxation. u The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions o f I 4 edition of orda Buildin Code_( (1994 SFBC) 4 40t'j Signatu a Print Name State of Florida County of Dade The undersigned,being the first duly swum,deposep and says thateshe is the owner for the above property mentioned. Swom to and subscribed before me this Aqth day of -P&rs6n*11J hm"n Notary Public,Sate of Florida at Large XD provow • 0 a ft building was not constructed%0 FBC nor a 1994 When ft just valuation of ft struclure for purpose of ad valorem taxation is equal SFBC.Then you must provide a budding appliaft from a General contractor for the Roof to Well connection H WCOMOSIONHEMI Revised on 512112009 EXPIRES:May 9,2D16 SM 1, Tlvv Nfty Aft Undowrilem .............. ................ Property Search- Report Page 1 of 2 , MIAMI-DARE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez-Canters Properly Appraiser Property Information: Folio 11-3206.013-0990 v Property Address 55 NE 97 ST E� Owner Name(s) DAVID BOWARD �J Melling Address 55 NE 97 ST MIAMI SHORES FL 33138-2330 Primary Zone 1100 SGL FAMILY-2301-2500 SO e Use Code 0001 RESIDENTIAL-SINGLE FAMILYy �` ; Beds/Baths/Half 4/3/0 Floors 1 :;. ty l .... Living Units 1 Adj.Sq.Footage 2,361 ` Lot Size 8,625 SO FT Year Built 1938 Full Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 17 W1/2 LOT 18 BLK 7 Aerial Photagmphy2012 LOT SIZE 75.000 X 115 N OR 16447-0765 0794 1 IMPORTANT NOTICE: Taxable Value Information: The 2013exemption and assessment values currently shown are preliminary Current Previous Previous 2 and are subject to change until they are certified on July 1. Assessment Information: Year 2013 2012 2011 Current Previous Previous 2 Exemption/ Exemption/ Exemption/ Taxable Taxable Taxable Year 2013 2012 2011 County $50,000/$217,026 $50,000/$219,881 $0/$247,825 Land Value $112,453 $96,540 $74,261 Building Value $154,573 $173,341 $173,584 School Board $25,0001$242,026 $25,000/$244,881 $0/$247,825 City $50,000/$217,026 $50,000/$219,881 $0/$247,825 Market Value $267,026 $269,881 $247,825 Assessed Value $267,026 $269,881 $247,825 Regional $50,000/$217,026 $50,000/$219,881 $0/$247,825 Benefits Information: Sale Information: Current Previous Previous 2 Date Amount OR Book-Page OualHicatl n Code Benefit Type 2013 2012 2011 7/1994 $122,000 16447-0765 Sales which are qualified Homestead Exemption $25,0001 $25,000 $0 6/1983 $90,000 11817-0133 Sales which are qualified Second Exemption $25,000 $25,000 $0 Homestead Note:not all benefits are applicable to all Taxable Values(le County, School Board,City,Regional). Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property Information and GIS positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or Its Interpretation.Although this website Is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the Information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any Information provided herein.See Miami-Dade County full disclaimer and User Agreement at http://www.miamidade.govPnfb/disclaimer.asp. Property Information inquiries,comments,and suggestions email:pawebmaili@miamidade.gov GIS inquiries,comments,and suggestions email:gis@mlamidade.gov Generated on:Mon Jun 10 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 6/10/2013 a Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-193037 Permit Number: RF-6-13-1264 Scheduled Inspection Date: August 29,2013 Permit Type: Roof Inspector. Naranjo, Ismael Inspection Type: Final Roof Owner: BOWARD, DAVID Work Classification: Tile Job Address:55 NE 97 Street Miami Shores, FL 33138- Phone Number (305)968-2445 Parcel Number 1132060130990 Project: <NONE> Contractor: SPRINGER ROOFING LLC Phone: (786)426-3238 Building Department Comments REROOF ONE STORY TILE RE ROOF Infractlo Passed Comments INSPECTOR COMMENTS False -Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 28,2013 For Inspections please call: (305)762-4949 Page 4 of 26 CIVI L Reileh Engineering Corp. (Consulting Engineer) 2370S. Avenue Miami,Florida.33175-1174 Tel:305-823-8008/305-397-6414 ENGINEER Fay 305-823-3300/305-884-8834 Website:www.reilchenginee6ig.com August 8; 2013 Springer Roofing Miami,Florida Project: ROOF TILE UPLIFT TEST REPORT Residential Home 55 Northeast 97 Street Miami Shores, Florida Information provided by client: Permit Number: Not Provided Date Completion: August 6, 2013 Roofing Contractor: Springer Roofing Project Number: 13-0601 (Testing Laboratory Certificate# 11-0715.04) Dear Sirs; In accordance with your request and authorization,a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106--Standard procedure for field verification 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 Flat Eagle 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 file at the above referenced project meets the test requirement outlined in the above-mentioned protocol. Attached please find acopy of our, test report for your review. s Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have arty questions or if we may be of further assistance,please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation s>: VI L �oha:mad Sonny Salleh, P.E.49014 /Project Manager TILE UPLIFT TEST Residential Home 55 Northeast 97 Street Miami Shores,Florida Reileh Engineering Corporation--Project Number-13-0601—Page 2 of 6 Report of TILE UPLIFT TEST for Residential Home 55 Northeast 97 Street Miami Shores,Florida Project Number: 13-0601 Test Number Test Load (lbf) 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-13-0601—Page 3 of 6 Test Number Test Load (Ibl) 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-13-0601—Page 4 of 6 Test Number Test Loadbt� Testtatius` 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass i 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-13-0601—Page 5 of 6 Test Number Test Load (lb Test Status 80 35 Pass 81 35 Pass 82 35 Pass 83 35 Pass 84 35 Pass 85 35 Pass Test 1-16 Corner, 17-25 Ridge Caps, 26-52 Perimeter, 53-85 Field I Reileh Engineering Corporation--Project Number-13-0601—Page 6 of 6 10 NOM 55 55 54 59 II 5 I2 51 60 55 57 56 3 56 B5 yy 61 I 37 64 62 29 14 � 83 6`t 66 40 BI 63 82 4B 41 65 72 69 15 ` 73 61 16 71 10 60 79 18 15 14 76 I 42 43 68' 13005 0 019a CAP 1�5T LoWON FEW 33 COf? R 120 5' Mf;IWSP - 21 NO,S5T LOCA11ON D MNM5 LVOKN 11L� 1'5-0601 COPM n 16 MRIWSP 1715TANa,a 6 3' L 1XNM5 L005e 1U RIM CAP 9 COUf2 AAA a 515'3' APPt;OX,W0�15T LOCATIONS AN17 f71WN510N5 Miami Shores Village I JLN Building Department ��o 00000W40000000 o4�oao 90050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC ZO 1�D BUILDING Permit No. J° Q PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: S'�- Ll--�' Ar'e City: Miami Shores County: Miami Dade Zip: 12 1 5e Folio/Parcel#: 9 d °II0(o -0 d:5-Q-960 Is the Building Historically Designated:Yes NO Flood Zone: OWNER' Name(Fee Simple Titleholder): 00',24 a6W.A'J Phone#: Address: S-9- O C 1ka S4- City: V'l p Ayy%o S .A State: Or N,ka= Zip: -3 00 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: a L()�tr\g Phone#: Address: k S3-(�Tt,,� City: tqa Awil (. ' State:I 1OriS zip: Qualifier Name: Q.aT2 �, AA\Zen L n C\,roof �✓ Phone#: -V9(9- Lt,- � 3� State Certification or Registration#: U,C,* 1 O p�Q Certificate of Competency#: Contact Phone#: - 7, - Email Address: ( + �9 i DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$_��,Quo SyuarelLinear Footage of Work: I ��• Type of Work: ❑Addition ❑Alteration ON/�ew YRepair/Replace ODemolition Description of Work: A'r6 g� ` 26C' -tl l' LQ Color thru tile: Submittal Fee$ Permit Fee$ ° (33 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ � rr TOTAL FEE NOW DUE$ A1� �� Bonding Company's Name a.i fapplicable 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 aseparate 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 coning. "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(if a building permit with an estimated value exceeding$25N). the applicant must prondse in good faith thw a copy. qJ'1he notice of commencement and construction licit law brochure will be delivered to the person whose property is subject it)attachment. Also, a certified copy of the recorded notice o'commencement must be posted at the job site for the inspection firs 'nspecon which occurs seven (7) days after the building permit is issued. In theebSe (of sit 11 posted notice. the iu:cpection_j�. and a reitutiecrion fee vvill be charged. Signature -1 Signature ONM'--0/1 Agent Co we or The for......ing in... ument was",,,�Iedged 1,,)efOrq i this 9-4(1�lie instrument was acknowfe grid�)efore me this—�7 I for 11 - --V- -- day of .20 13,by day of 20 13,by who is personallp known to me or who has produced_ who is personally known to me or who ha-S produced As identification and who did take an oath, p i ins u i ng .4�ledgedbelore, ffiis-21f �ez�,"for, ---As identification and-A)p did take an o3 L &-ntes NOTARY PUBLIC: N ➢TARY P BLIP: CO MMISSION#EE035841 EXPAES:NOV.06,201-4 I run. A A wwwAARONNOTARYcom Sign: Sign: Cot Print: PriPri nt: My Commission Expires: GEORWO IL RUIZ My Commission Expires: MyC0wA=M#EEMW EAU May 9,2016 MWWn"N"N*WdrAbM APPROVED BY /z ® /3 Plans Examiner Zoning Structural Review Clerk (Revised 3/1 M012)(Revised 07110/07)(Revised 06110/20(9)(Revised MUM) ................................................ ............. ................................ A(°` 41' CERTIFICATE OF LIABILITY INSURANCE DATE 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: H the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CAW,CT Sergio P.Giron Bentley Insurance&Associates PHONE M (305)463-7775 FAX No).. (305)463-7772 No.11402 N.W.41 st Street,Ste#208 ADDRES& sgirongbentleyins.com Miami,FL 33178 INSU S AFFORDING COVERAGE NAIC 4 Phone (305)463-7775 Fax (305)463-7772 INSURER A: Accident Insurance Company INSURED INSURER B: Springer Roofing LLC INSURER C: 15376 SW 9th Way INSURER D: Miami,FL 33194 305 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TRR TYPE OF INSURANCE INSR BR POLICY NUMBER POLICY EFF POLICY ExP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 TO RENTED © COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000.00 A F-1 ❑ CLAIMS-MADE Q 04/18/2013 0411812014 OCCUR CPP 000835900 MED EXP(Any one person) $ 5,000.00 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 E] POLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILITY B0I d SINGLE LIMIT ❑ ANY AUTO BODILY INJURY(Per person) $ ALLOW NED SCHEDULED BODILY INJURY(Per accident) $ ❑ AUTOS ❑ AUTOS r-1 HIRED AUTOS ❑ AAUUT NED PR�OPERdT�DAMAGE $ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION s $ WORKERS COMPENSATION ❑WC ST% ❑OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA @Aenda"In NH) F-1 E.L DISEASE-EA EMPLOYE $ "Ps describe under DESCRIPTION OF OPERATIONS bebw E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Renmrks Schedule,I nror®space Is required) Roofing Contractor CERTIFICATE HOLDER CANCELLATION MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE for Miami Shores Village Building Department THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 N.E.2 Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FI 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)OF The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 " 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SPRINGER,STEVEN ALLEN SPRINGER ROOFING LLC 15378 SW 9 WAY MIAMI FL 33194 Congratulations! With this license you become one of the nearly _ one million Floridians licensed b the Department of tusiness and pa ` -STATE, FLORiDA- Professional Regulation. Our professionals and businesses range DEPA + F BUSINESS AN.D from architects to yacht brokers,from boxers to barbeque restaurants, and they keep Florida's economy strong. PROF rEGULATION Every day we work to improve the way we do business in order to C 33D04 � S;rr 02/01/2013 serve you better. For information about our services,please log onto T° h GERTIFtEt? wwrmyfloridalicense.com. There you can find more information +ry SPRINGER; about our divisions and the regulations that impact you,subscribe to department newsletters and team more about the Department's _ SPRINGER I initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly. y We constantly strive to serve you better so that you Can serve your -IS CERTIFIED under the provisions 6f ChA89 FS. customers. Thank you for doing business in Florida, r ENkauon date AUG 3,112.D14 03=10=723 and congratulations on your new license! The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. t ❑ �p� 44��,, For more information, please go to www.VivaFlorida.org. WA Nli!+;ash DETACH HERE STATE.OE'FLORIDA REGk#ATIOAPttFESSf®NA-L AlT OF BUSINySS AAD PRTEN , =43TRUCT16 N INDUSTRY LICENSING BOARD" ccet ' 0a4s : . . The ROOFING CONTRACTOR "Named below tS CERTI-18-D �:a''ti6' Under°the pt6visiorls Chapter_489 FS: Expuaf ,date AU O 31,.26u: :.:.:. . PRINER, TEVId ALLEN SPRf1C�1Q00 , 15376:5112 .. AY MIAMI: FL 331 i r - U.S.p�dSCAGE q x PAID u MAidi;T- t r;� r PERMIT g1d.239 THISIsNOTABILL-DONOTPAY NEW 737829-2 71aa29_Q RE�PT NO. 3t1St�ESSialAE1Li1CATldly' STATE CG�I330i148; . SPRINGER ROOFING LLC 15376 SW 9` WAY 33194 ilNIN DADE COUN?Y OVINEF, WORKER/S SPRINGER R00'FING LLC 1 8„ .Type at Business 196 SPECIALTY BUILDING CONTRACTOR YCllS I.5 4P]LV A t16CAl . THE svttaG�r c T-sv oR Do 140T Foftw b pG OF FAVfS 4THA o` °"�` T�°� SPRINGER ROOFING LLC ”, `u STEVEN SPRINGER °f�£°a'A; cw 15376 SW 9 WAY E r aLOCA MIAMI FL 3319 � ,rYtE t�taa4t-o�iPE C T"� coE.e.EeT�ft. :02/05!2013_. 02230017001 ° 1t� ) 1 yes Mill 000075.00 11-21-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/2112012 EXPIRATION DATE: 19121/2014 PERSON: SPRINGER STEVEN A JR FEIN: 461167035 BUSINESS NAME AND ADDRESS: SPRINGER ROOFING LLC 15376 SW 9 WAY MIAMI FL 33194 SCOPES OF BUSINESS OR TRADE: 1- ROOFING - ALL KINDS AND DRIVER IMPORTANT: Pursuant to Chapter 440 . OSt14). F.S., an officer of a corporation who eiects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112) F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1605 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS•COMPENSATION O Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY elects-exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW a D chapter. 1 EFFECTIVE 11/21/2012 EXPIRATION DATE: 11/21/2014 H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: STEVEN A SPRINGER JR exempt... apply only within the scope of the business or trade listed on FEIN: 461167035 R the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(73), F.S., Notices of election to be exempt SPRINGER ROOFING LLC and certificates of election to be exempt shall be subject to revocation 15376 sw 9 WAY and at any time after the filing of the notice or the issuance of the MIAMI, FL 33194 certificate, the person mimed on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the ISCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this 1• ROOFING - ALL KINDS AND DRNER section QUESTIONS? (850) 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. 111A1P-99Z9 PCOTICIPATC r1C CI CPTIMI Tr1 nC CVIZUPT omiierII'nt-i i Miami Shores Village ROOF ASSEMBLIES AND ROOFTOP STRUCTURES APPROVED BY DATE ?ONING DEPT A Q "� �1�i3 �J Florida Building Code Editioq 2 WDG DEPT High-Velocity Hurricane Zone Uniform Permit Appllcat S i TO COMPLIANCE WITH ALL FEDERAL TATE AND COl1NTY RULES AND REGl1LATinNS Master Permit No. Process No. T—T Contractor's Name �1 < L Job Address �� f ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile if Mortar/Adhesive Set Tile ❑Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes Shingles ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ WReroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Roof Area(SF) - Total(SF) �Section R (Roof Plan) Sketch tkl, I t all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains, Include 1 sections and levels,clearly Identify dimensions of elevated pressure zones and location of parapet 3 t FLORIDA BUILDING CODE—BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High-Velocity Hurricane Zone Uniform Permit Application Form. Section n Steep Sinned Roof Sm stem) Roof System Manufacturer: Notice of Acceptance Number: 0--(241 D . b q. Minimum Design Wind Pressures, If Applicable (From RAS 127 or CalculationSA: _�.� 132• , 1 A P3• — I -0 - 0 Maximum Design Pressure (From the Product Appro I Specific System): Steep Sloped Roof System Description y�� \, Deck Type: l�7q- V Type Underlayment: Roof Slope: 6—: 12 \ Insulation: \ Fire Barrier: Ridge Ventil n. \ Fastener Type&Spacing: 1' Adhesive Type: z le Type Cap Sheet: Mean Roof Height: Roof Covering: Type&Size Drip Edge: FLORIDA BUILDING CODE—BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High-Velocity Hurricane Zone Uniform Permit Application Form. Section F /Tile Calculations) For Moment based the systems,choose either Method 1 or 2.Compare the values for Mr with the values from Mr.If the Mf values are greater than or equal to the Mr values,for each area of the roof,then the tile attachment method is acceptable. (�f Method 1"Moment Based Tile Calculations Per RAS 127" O y"_°s��w•0 Mg: M 1° ` Product Approval Mf �J (PZ� x x m� _/�s�V' 'y)'-Mg:�r�=M,,'310' r/ Product Approval Mr Gib. -( (P3 1 Uy x b ati'D U11 6)1-Mg:`�=Mr3 l`�� Product Approval Mf�4�i Method 2"Simplified Tile Calculations Per Table Below" Required Moment of Resistance(Mr)From Table Below Product Approval Mr- M, re uired Moment Resistance* Mean Roof Height Roof Slope 1 15' 20' 25' 30' 40' 7:12 24.4 25, 27.1 T28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based the systems use Method 3.Compared the values for F'with the values for Fr.If the F'values are greaterthan or equal to the Fr values, for each area of the roof,then the tile attachment method is acceptable. Method 3"Moment Based Tile Calculations Per RAS 127" (PI: x L = x w:=_�-W: x cos d =Frl Product Approval F' (P,: x L = x w:= -W:__x cos B =Fr, Product Approval F' (P: x L - x w:_ )-W: x cos B =F Product Approval F' Where to Obtain Information Description S mbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an enizincering analysis Prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Sloe 0 Job Site Aerodynamic Multiplier x Product Approval Restoring Moment due to Mg product Approval Gravity Attachment Resistance Mf Product Approval Required Moment Resistance M Calculated Minimum Attachment F' Product Approval Resistance Required Uplift Resistance Fr Calculated Average Tile Wei ht W Product Ativrovall L=length Tile Dimensions Product Approval W=width All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE—BUILDING MIANII-DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Sheet,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.aov/wera Eagle Roofing Products LLC 1575 East C.R.470 Sumterville,FL 33585 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: Bel Air,Bel Air Double Eagle,Ponderosa,Ponderosa Double Eagle,Golden Eagle Low Profile Concrete Tiles 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 revises NOA# 11-0321.02 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. l� NOA No.:12-0430.04 M1AMFUAOE c431lNT1f Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE: This approves a new roofmg system using"Low Profile Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville,FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2.PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Bel Air Concrete Tile L= 17" TAS 112 Flat profile concrete roof tile equipped with two W= 12 I/4" nail holes. For adhesive set,direct deck or Thickness='/2" battened nail-on applications. Bel Air Double Eagle L= 17" TAS 112 Flat profile concrete roof tile equipped with two Concrete Tile W= 12 '/4" nail holes. For adhesive set,direct deck or Thickness=%2" battened nail-on applications. Ponderosa Concrete Tile L= 17" TAS 112 Flat profile concrete roof tile with slate finish W= 12 '/4" equipped with two nail holes. For adhesive set, Thickness='/2" direct deck or battened nail-on applications. Ponderosa Double Eagle L= 17" TAS 112 Flat profile concrete roof tile with shake finish Concrete Tile W= 12 '/4" equipped with two nail holes. For adhesive set, Thickness=%2" direct deck or battened nail-on applications. Golden Eagle Concrete L= 17" TAS 112 Flat profile concrete roof tile brushed finish Tile W= 12 '/4" equipped with two nail holes. For adhesive set, Thickness=%2" direct deck or battened nail-on applications. Trim Pieces 1=varies TAS 112 Accessory trim,clay roof pieces for use at hips, w=varies rakes,ridges and valley terminations. varying thickness Manufactured for each tile profile. NOA No.:12-0430.04 M1AMF E Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 2 of 10 2.1 EVIDENCE SUBNIII CED: Test Aeencv Test Identifier Test Name/Report Date PRI Asphalt Technologies ERPF-001-02-01 TAS 112 Aug.2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II TAS 108(Nail-On) Redland Technologies P0402 Withdrawal Resistance Testing of screw vs. Sept. 1993 smooth shank nails Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108(Nail-On) Redland Technologies P09647-01 Wind Tunnel Testing Aug. 1994 TAS 108(Mortar Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering,Inc. TAS 101 (Mortar Set) The Center for Applied 25-7094-(2,5,& 8) Static Uplift Testing Oct. 1994 Engineering,Inc. TAS 102 The Center for Applied 25-7183-(5 thru 6) Static Uplift Testing Feb. 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7214-(1,5 ,& 8) Static Uplift Testing March, 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7487-2 Static Uplift Testing Dec. 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7496-(1 &4) Static Uplift Testing Dec. 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7804-6 Static Uplift Testing Sep. 1996 Engineering,Inc. TAS 102 Celotex Corporation Testing 520109-1 Static Uplift Testing Dec. 1998 Service 520111-4 TAS 101 Celotex Corporation Testing 520191-1 Static Uplift Testing March 1999 Service TAS 101 Walker Engineering,Inc. Calculations Aerodynamic Multiplier Sep.2006 Walker Engineering,Inc. Calculations Restoring Moments Due to Gravity Sep.2006 MIAMa E NOA No.:12-0430.04 Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 3 of 10 3. LmTATIONS: 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. 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 underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Eagle Roofing Products LLC Bel Air,Bel Air Double Eagle,Ponderosa,Golden Eagle,Ponderosa Double Eagle Flat Concrete Roof Tiles and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight(W) and Dimensions (I x w) Tile Profile Weight W(lbf) Length-I (ft) Width-w(ft) Bel Air, Bel Air Double Eagle, 11.4 1.42 1.03 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Table 2: Aerodynamic Multipliers -A(f e) Tile Profile A(ft ) A(ft ) Batten Application Direct Deck Application Bel Air, Bel Air Double Eagle, 0.301 0.278 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile �� NOo No.:ae:12-0430.04/05/16 � Expiration Date: 10/05!16 Approval Date: 08/02/12 Page 4 of 10 Table 3: Restoring Moments due to Gravity- M9 (ft-lbf) Tile 3":12" 4":12" 5":12" 6":12" Greater than Profile T':12" Bel Air, Bel Air Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Double Eagle, Deck Deck Deck Deck Deck Ponderosa, 7.48 7.71 7.37 7.59 7.22 7.44 7.05 7.27 6.86 7.07 Golden Eagle, Ponderosa Double Eagle Flat Tile Table 4: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Nail-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15132" plywood) (min. 19132" plywood) Bel Air, Bel 2-10d Ring Shank Nails 30.9 38.1 17.2 Air Double 1-10d Smooth or Screw 7.3 9.8 4.9 Eagle, Shank Nail Ponderosa, 2-10d Smooth or Screw 14.0 18.8 7.4 Golden Shank Nails Eagle, 1 #8 Screw 30.8 30.8 18.2 Ponderosa 2#8 Screw 51.7 51.7 24.4 Double 1-10d Smooth or Screw 24.3 24.3 24.2 Eagle Flat Shank Nail Field Clip) Tile 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip) 2-10d 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 Nails 50.3 65.5 48.3 1. Installation with a 4"tile headlap and fastemers are located a min. of 2Y2u from head of tile. NOA No.:12-0430.04 -2,T2Mao�E Expiration Date: 10/05/16 JAPPROVEDI Approval Date: 08/02/12 Page 5 of 10 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Bel Air, Bel Air Double Eagle, Adhesive 31.3 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 13.9 grams. 3MTm 2-Component Foam Roof Tile Adhesive AH-160 Average weight per pa#y 8 grams. Table 6: Attachment Resistance Expressed as a Moment- Mf(ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Bel Air, Bel Air Double Eagle, 3M 2-Component Foam Roof Tile Adhesive AH-160 118.9 Ponderosa, Golden Eagle, 3M 2-Component Foam Roof Tile Adhesive AH-160 40.4 Ponderosa Double Eagle Flat Tile 3 Large paddy placement of 45 grams of Pol Pro"". 4 Medium paddy placement of 24 grams of Pol ProTm. Table 7: Attachment Resistance Expressed as a Moment- Mf(ft-lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Mortar Set5 43.9 Eagle, Ponderosa Double Eagle Flat Tile 5 Tile-Tite Roof Tile Mortar. M�aMF E � NOA No.:12-0430.04 Expiration Date: 10/05/16 APPROVED Approval Date: 08/02/12 Page 6 of 10 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below),or following statement: "Miami-Dade County Product Control Approved". 4hk) EAiGLE, FLORIDA BEL AIR,BEL AIR DOUBLE EAGLE,PONDEROSA,GOLDEN EAGLE,PONDEROSA DOUBLE EAGLE CONCRETE ROOF TILE LABEL,SUMTERVILLE PLANT (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERmrr REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 this Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. �� NOA No.:12-0430.04 MuiM�'o�AOE Co: Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 7 of 10 PROFILE DRAWING " 1 BEL Ant BEL AIR DOUBLE EAGLE NOA No.:12-0430.04 MU�IMF JAPPROVEDI 711 COUNTY Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 8 of 10 4* i ; PONDEROSA t PONDEROSA DOUBLE EAGLE r NOA No.:12-0430.04 MEN W � Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 9 of 10 GOLDEN EAGLE END OF THIS ACCEPTANCE �� NOA No.:12-0430.04 aoe Expiration Date: 10/05/16 Approval Date: 08102/12 Page 10 of 10 NIIAMI-DARE COUNTY MIAWDADEI ® — y PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,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) www.miamidade.gov/pera Eagle Roofing Products,LLC. 1575 E.C R 470 Sumterville,FL.33585 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: Eagle Seal Underlayment 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 NOA consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigers.'' trl NOA No.: 11-1011.05 if Expiration Date: 03/03/15 Approval Date: 02/02/12 Pave I of 4 ROOFING COMPONENT APPROVAL Category Roofing Sub-Category: Underlayment Material: SBS TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Snecification Description Eagle Seal 3'x 33.4' rolls TAS 103 Self-adhering,non-woven fiberglass 3'x 66.8'rolls mat reinforced membrane for use as an underlayment in high temperature sloped roof assemblies. MANUFACTURING PLANT(S): 1. Tuscaloosa,AL EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Construction Materials BWR 514-02-01 ASTM D 1970 09/04/09 Technologies (rev) PRI Construction Materials VRMI-011-02-01 ASTM D 1970 03/30/09 Technologies PRI Construction Materials BVWR 511-02-01 ASTM D 1970 09/29/09 Technologies PRI Construction Materials BWR 511-02-01 ASTM D 4798 09/29/09 Technologies PRI Construction Materials BWR-522-02-01 ASTM D 1970 03/16/10 Technologies PRI Construction Materials BWR-513-02-01 TAS 103 02/19/10 Technologies BWR-518-02-01 NOA No.: 11-1011.05 Expiration Date: 03/03/15 a tat'tuu eRrtz�r- Approval Date: 02/02/12 Pape 2 of 4 APPROVED ASSEMBLIES: Deck Type 1: Wood,non-insulated Deck Description: 19/32"or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck,membrane adhered. Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4" side lap and a 6"end lap mechanically fastened to deck with approved nails and tin caps 6"o.c.at the laps and two staggered rows 12"o.c.the field of the roll. *In the Non-HVHZ area a Base Sheet is optional. Membrane: One or more plies of Eagle Seal underlayment with a minimum 4"side lap and 6" end lap. Surfacing: Approved Roof Assemblies. See Limitation#3. NOA No.: 11-1011.05 Expiration Date: 03/03/15 Approval Date: 02/02/12 Pace 3 of 4 Ln mATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. Eagle Seal underlayment shall be installed in strict compliance with applicable Building Code. 3. Eagle Seal underlayment may be used in asphaltic shingles,metal panels,wood shakes and shingles, quarry slate,and tile roof assemblies. 4. Eagle Seal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over a roofing Base/Anchor sheet underlayment. 5. Eagle Seal underlayment shall not be left exposed as a temporary roof for longer than 90 days of application. 6. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 7. Eagle Seal underlayment may be used with any approved roof covering Notice of Acceptance listing Eagle Seal underlayment as a component part of an assembly in the Notice of Acceptance. If Eagle Seal underlayment is not listed, a request may be made to the Authority Having Jurisdiction(AHJ)or the Miami- Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance,and fire testing results. 8. Eagle Seal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 9. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 10. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 11. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 12. All protrusions or drains shall be initially taped with a 6"piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Eagle Seal underlayment shall be applied over the underlayment. 13. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. 14. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. tr c® END OF THIS ACCEPTANCE NOA No.: 11-1011.05 Expiration Date: 03/03/15 Approval Date: 02/02/12 f Pape 4 of 4 t MUM MIAMI-DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERNJTI'ING,ENVIRONMENT,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) www.miamidade.gov/pera 3M Company 3M Center Building 0220-05-E-06 St.Paul,MN.55144-1000 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. NOA No.: 12-0228.18 Expiration Date:05/10/17 wt a I APPROVED anE u 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 NIANUFACTURED BY APPLICANT: Product Dimensions Test Product Descrintion SgMifications 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 file adhesive. MANUFACTURING LOCATION: 1. Tomball,TX. PHYSICAL PROPERTIES: Prove Provertv 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./Ff 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 @158T., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% NOA No.: 12-0228.18 NT�r Expiration Date:05/10/17 Approval Date: 05/10/12 APPROVED 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 SUBMPITED: Test Agency Test Identifier Test Name/Reuort 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[l] 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 LEwrATIONS: 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 tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F W 2 MS NOA No.: 12-0228.18 E Expiration Date:05/10/17 �...i Approval Date:05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160. 2. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient attachment resistance,expressed as an uplift based system,to meet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and 3M Company's 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the"A"component and the"B"component shall be maintained between 1.0-1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam Dispenser RTF1000 or ProPack&30& 100 dispensing equipment only. 7. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 2 to 3 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH-160 has been dispensed. 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall be in accordance with the Placement Details'herein. Each generic tile profile requires the specific placement noted herein. Table 1:Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Two Paddy Weight per Min.(grams) paddy Min.(grams) Flat,Low,High Profiles #1 35 N/A High Profile(2 Piece Barrel) #1 17/side on cap and 34/ an N/A Flat,Low,High Profiles 12 24 N/A Flat,Low,High Profiles #3 8 NOA No.: 12-0228.18 COUNTY Expiration Date:05/10/17 ... D Approval Date:05/10/12 Page 4 of 7 LABELING: All 3MTm 2-Component Foam Roof Tile Adhesive AH-160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY w"h phaft wMa WOM011106ftcuawd UndwWYMEd 101 ill in. 2 EmCmgm Fmcla EmOmm fts* woode Em tease wdr. Em==Mr. EM dMM b9ame"OPM I(evewdeappm DOM= 4hupf1mmweephols 4huP1mmwn0Ww mail ftough plaft afflud PAftpMeATUO) 1Pv 0*1W Uft fw ) = W Nag ft0*plub COMMd UndeftamM spare buta In I I dwpantb 8"PftlI Mftdm 2)Tum=M * L RM aft8l"12 hL - - - TO I hL F=001=of Cuff th Thal him am tHL 0 Unsroymed 10 In Eml:mm Ears ody topp"llm Kbep allmla appmL 4 UP Fes* d6wom h, OMMOMML AIPA to samond of Dowd pan toes.Ensure em end d Pal"Morter panwWow"ON bd f1whelemum edgesofifle Em do= Weffiepb* Fascla Bo (Moftd=) NOA No.: 12-0228.18 Expiration Date:05/10/17 PR A p�1 PD,n V F r!Q Approval Date:05/10/12 POVED I Page 5 of 7 -A—Dn—EswE PLACEMENT DETAIL 2 SINGLE PATTY NOR through Pbsfic cernwd 13aft(giumathl1b) Nail through pbft ownent Undmi*m►t UndaWymit 71n. i In. 7FhLq Em Cam Fesda Famle % WOO& EmCmm Emdmn Ears Clowns IL— Ddpedp Nd On*pMe commit Unded"Ment I In. IM n. Eats Clams Em Comm Fasda NOA No.: 12-0228.18 Expiration Date:05/10/17 Approval Date: 05/10/12 —JAPPROVE F Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement y Nag through plastic cement Single paddy wider the (between tile) Undedaymenit Engle paddy between tile P8* in.xMmedlum 0 (under tile) stm paddy gave 0 cowse only Single In .x 3 lk 3 Inin. undo the x 3 T 4 In. 2 In. Single paft an 2 In. 4 In. single Under- paddyon layment under- layment Single eddy Fascla 0MM on top of the wselftle Single paddy In.X 7 In.Mean EM Em doswe on top of the paddy eare % CMM 011p edge Fla course only Nall through plastic cement Swope* under the Shigle pa" between tile 31n.x3in. 41n. Single paddy - on undedayment 2 n. 0 Single paddy EweClom on top of the 2 hhL x 7 In.medium size paddy am course only EmCaum Fmb END OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date:05/10/17 1APPROVED1 Approval Date:05/10/12 Page 7 of 7 SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFIN(-.CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the ownc). with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code,Building govern the minimum requirements and standards of the industry for-roofing system installations. Additionally,the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item as been explained. 1.Aesthetics-workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane one are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics(appearance)are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance,that are not part of a zoning code. should be addressed as Rao of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing,the existing wood roof deck may have to be rWailed in accordance with the current provisions of Chapter 16(High Velocity Hurricane Zones)of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring i.e. townhouses,condominiums,etc.). In buildings with common roofs,the roofing contractor and/or 0 .pwqel should notify the occupants of adjacent units of roofing work to be performed. Exposed ceilings: Exposed,open beam ceilings are where the underside of the roof decking can be v NdL m below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of njaintaining this appearance. [W 5. Ponding water: The current roof system and/or deck of the building may not drain well and may &use' water to pond(accumulate)in low-lying areas of the roof. Pending can be an indication of structural distress and may require the review of a professional structural engineer. Pending may shorten the life expectancy and performance of the new roofing,system. Pending conditions may not be evident until the original a r of system is removed. Pending conditions should be corrected. IM6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not derloadcd from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in accordance it he requirements of Chapter 15 and 16 herein and the Florida Building Code,Plumbing. ?. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly(the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces,designed by a Florida-licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's/Agent's Signature: Date: Contractor's Signature: Permit plumber: Property Address: ......................... ...... CFN '2013RO455330 OR Bk 28668 PS' 38317* (1ps) � RECORDED 06/07/2013 13:12909 NOTICE OF COMMENCEMEM HARVEY RUVIN? CLERK OF COURT A RECMDED COPY MT BE POSTED ON THE JOB SITE AT TIME OF FMS7 IWECTION HIAIII-DADE COUNTYP FLORIDA LAST PAGE PERMIT NO. TAX FOLIO NO.J/, STATE OF FLORIDA- COUNTY OF MIAMI-DADE, THE UNDERSIGNED hereby gives notice that improvements will be made to certajn real property,and in accordance with Chapter 713.Florida Statutes,the following information is provided In this Notice of Commencement. Spwe above reserved for use of recording office I.Legal description of property and streettaddress; AZX 2.Description of improvement: Interest in property: ' Name and address of fee simple titleholder 4,Contractor's name.address arid phone number, AP 5.Surety-(Payment bond required by owner from contractor,If any) Amount of bond 6. Lender's name and 7.Persons within the State of Florida designated by Own e urn ts mlyb e S* Section 713.130 Xa)7..Florida Statutes, Narne,address and phone number. 9n Mmiq 8.In addition to himself,Owners desigrates the tollowing pe Name,address and phone 9,Expiration date sf this Notice oYCommencement: .......__________________________________ o"e-pitaltoll date a`year i*m Vle dawc4 tecoiftgmftvsac,ffiv-W 1V%tCiVWi WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION Of,THE NOTICE OF COMMENCE MF.N.7 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER r p*nr 1.SECTION ,m,/x.Fu}moA STATUTES,AND CAN RESULT mYoon PAYING rw/oeFOR /wpamEwswro TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST OF RECORDED AND POSTED ON THE j03 SITE BEFORE THE FIRST.,.-^".'". x ENT OR RECORDING YCVR NOTICE OF Signature(s)of 0 orized Offlogrector/PartnertManager Prepared By wh Orvjr R.,frx Print Name Print Name___ STATE OF FLORIDA COUNTY OFMIAM|'DxoE The foregoing instrum was ackno ged before me this day of V-4ndrvidually,or U as for Q Personally known,or Z%produced the following type of I Signature of Notary Pubil Print Name: ;AX MISSION#EE 841 VERIFICATION PURSUANT TO SECTION 92AZ5.FLOFUDA ST ATUT PIRES:NOV.06 2014 Under benardes! of perjum I fare that I have read the foregoing and NoTARycom that th ,Nts tated in it Aa�rue,to the best of my knowledge and belief. Signatu wner(s)or !s)"sAuthorizedOlfffft r/Director/Partner/Manager who signed above: By By '23,01,62 PAC*3 U10