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RF-13-1041m8N Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205559 Permit Number: RF -5 -13 -1041 Scheduled Inspection Date: January 13, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: GARZON GARNETT, LARISSA Work Classification: Tile Job Address: 349 NE 96 Street Miami Shores, FL Project: <NONE> Phone Number Parcel Number 1132060135910 Contractor: QUALITY ROOFING INDUSTRIES LLC Phone: (305)681 -1421 Duna comments RE ROOF TILE TO TILE COLOR THRU INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 191327. Several tiles different color Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 10, 2014 For Inspections please call: (305)762 -4949 Page 16 of 23 C I V I L Reileh Engineering Corp. (Consulting Engineer) 2370 Southwest 123rd Avenue Miami, Florida 33175 -1174 Tel -. 305- 823 -8008 / 305- 397 -6414 ENGINEER Fax: 305 -823 -3300 / 305 -884 -8834 Website: www.reilehengineering.com January 9, 2014 Quality Roofing Miat mi, Florida Project: ROOF TILE UPLIFT TEST REPORT Residential Home 349 Northeast 96 Street Miami Shores, Florida Information provided by client: Permit Number: Not Provided Date Completion: January 7, 2014 Roofing Contractor: Quality Roofing Project Number: 14 -0014 (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 Iess :than 40 feet above ground surface. The type of tile used for this project was reported to be Espana Capistrano 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. '�._ A L Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation A`: Lad Sonny Sallph, P.E.49014 Manager THZ uri.Ur TEST Residential Home 349 Northeast 96 Street Miami Shores, Florida Reileh Engineering Corporation — Project Number - 14-0014 — Page 2 of 5 Report of TILE UPLIFT TEST for Residential Home 349 Northeast 96 Street Miami Shores, Florida Project Number: 14 -0014 't 11umbex _ oaf I SS 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 24 35 Pass Reileh Engineering Corporation — Project Number -14 -0014 — Page 3 of 5 Reileh Engineering Corporation -- Project Number -14 -0014 — Page 4 of 5 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 52 35 Pass 53 35 Pass 54 35 Pass Reileh Engineering Corporation -- Project Number -14 -0014 — Page 4 of 5 Test 1 -13 Comer, 14 -21 Ridge Caps, 22 -37 Perimeter, 38 -70 Field Reileh Engineering Corporation — Project Number -14 -0014 — Page 5 of 5 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass Test 1 -13 Comer, 14 -21 Ridge Caps, 22 -37 Perimeter, 38 -70 Field Reileh Engineering Corporation — Project Number -14 -0014 — Page 5 of 5 Af MOX, ROOF 11;51' LOCA110N5 MV 191WN51ON5 29 to 90 69 7 6H Ph 29 46 47 q5 qg 61 60 44 I 50 66 64 62 24 m 51 I 49 52 42 55. 34 43 °aB 41 40 61 M 5Z 53 53 is 55 59 60 56 22 54 I Z 58 59 4 4 6 1 6 t51' 111.E MUM ° 9005F O lance CAP 1*E5r LOCA11ON FEW = 33 Co"k - 90 5F � L 14-0014 COUP - 15 MkIMMR � fMCe, a = 55' MNM5 L00% 11 e lat9a CAI' .- 8 C0M AAA a VX 5' Af MOX, ROOF 11;51' LOCA110N5 MV 191WN51ON5 RE: Permit #R �: -5-13 - 10 LA I Miami Shores Village Building Department INSPECTION AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 01 ° 10 — I L Lo / L f )'Qe, z licensed as a (n Contractor Engineer / Architect, (Print name and " Ucense Type) FS 468 Building Inspector License #: (= C C: / 3 2 9 ©I "4 1 On or about 10 — 0a —13 hA- -Z,* O 0 P m . I did personally inspect the -roof deck fia tir>�anct Nate & tune) Secondary water barrier work at 3 N C g 6 (]Lm ,% 0 re (complete Job Sde Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manpl,ftsed on 553.844 F.S) State of Florida County of Dade: The undersigned, being the first duly swum, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this. 0 —day of ,�, 0 l p°°0YP4., Vicky Santos .%-- L..!/B . � COMM�S,SIONIEE109689 Notary Public, Sate of Florida Karge �. IRES: SER 18, 2015 a4+au o° �WAARONNOTARY.cwn `General, Building, Residential, or Roofing contractors or any individual cadit under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permdt # and address # dearly shown marked on the dad for each Inspection Revised on 01=9 C1T1 F COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. fl�-1 TAX FOLIO NO. i13Z0(Q 01.3.5 q l 0 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real Proper ty an jr�in ar rd n writ�i Chpprter 713, Florida Statutes` the,-following information is provided-in this Notice pf•commencerrtmlat. � s q�L°!,A. f I> 1J1iIN, Gi.Eetl{ Cara irs� COW* N &DA sgal description of prop&ty and street/ad 4 2. Description of improvement: 3.Owner(s) name and Interest in property. Name and address of 4. Contractor's name, simple titleholder: Space /(above reserved for use of prepcording office :s l CYPd1� i a 1 � "3' q /V 0 f= L`'1 A%& w &99=W woe r aAea r r r f-%4 1 "erv__ ! � �� a ;Z e RZ a =- r s — Asa Syr r Te r�-i 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB $FGE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager Prepared By Prepared By '7t Print Name '?���� -- �_ Print Name Title/Office - Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this day of L By ❑ Individually, or ❑ as for ❑ Personally known, or Erproduced the following type of id cati Signature of Notary Publi Print Name: x ",°,sck- Santos �••:.e (SEAL) c? ,AMM146N#EE109689 V=D1=1r_®Tinat 1:110M 1AUT rn cWr_TinU 09 401Z ei fman%® �` Pif t S: SEP.18,2015 Under penalties of perjury, I declare that I. have read the foregoiri§tT that the facts stated in it are true, to the best of my knowledge and belief. Sig 7e( Officer/Director/Partner/Manager who signed above: f By `By 123.01 -52 PAGE 3 3/10 L�,�, MAY 11 ZOi3 �111►3 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 �U" B UILDING PERNIIT APPLICATION Permit Type: BUILDING FBC 20 Permit No. Master Permit No ROOFING JOB ADDRESS: _349 OE 9 (o FA M ; ay, i fSkares CL.. 1 City: Miami Shores county: Miami Dade Zip: 3 3 13 Folioftrcel#: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple �W' -)J4$ City: �g % Q lrri ® re S State: erg 10 U l Tap: A 1 $ Tenantff essee Name: Phone#: Email: CONTRACTOR: Company -a city: A J10 rn l a l State: Qualifier Name: State Certification or Registration #. CCU U ] ,'S L x "j :t / jCertificate of competency #: Contact Phone# D5 -,'T 3i2 `j52!5(9 Email Address: G_%__ P—T O .A,- " ,-n e-4- DESIGNER: Architect/Engineer. Phone#: 5w6 kl al Value of Work for this Permit: $ 1 9 , WD . W Square/Linear Footage of Work: 2, 2 *3 O Type of Work: OAddition (]Alteration ONew Description of work: 'Re-- RnnLn & 2-o® i= Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ TranninglEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ ODemolition TOTAL FEE NOW DUE $ �• Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 posted at the job site for the fzr t inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the hupectior ill not be approved and a reinspectiogn fee will be charged /") _ ee Signature V(1% Signature • IL Owner or gent ontractor The foregoing instrument was acknowledged before me this �� The foregoing instrument was acknowledged before me this t day of , 20 L�, by J►°I moo. day of 20 f�, by , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: NOTARY as identification and who did take an oath. My Commission Expiresfi r ; ? 05391 My Commission Ex 7 -715 - =� � wWW.AARONNOTARYcom °9 n.°;,�a:� w Y.6w,AAmoNNOTARcom Structural Review Clerk (Revised 3/12120120evised 07 /10/WXRevised 06/10/AWXRevised 3/15/09) Property Search -Report �2 Wip ri Property Information: Follo 11- 3206-013 -5910 Property Address 349 NE 96 ST Owner Name(s) LARISSA GARZON GARNETT JTRS MIGUEL MARIANO PINA JTRS Mailing Address 349 NE 96 ST MIAMI SHORES FL 33138- Primary Zone 1400 SGL FAMILY - 3001 -3250 SQ Use Code 0001 RESIDENTIAL -SINGLE FAMILY BedsBaths/Half 3/2/0 Floors 1 Living Units 1 Ad). Sq. Footage 2,293 Lot Size 11,500 SQ FT Year Built 1949 Full Legal Description 1534165342 MIAMI SHORES SEC 1 AMD PB 10- 70 LOT 19 & 20 BLK 43 LOT SIZE 100.000 X 115 Assessment Information: Current Previous Previous 2 Year 2013 2012 2011 Land Value Date $164,836 $143,336 F. Building Value 8/2010 $175,367 $175,389 Market Value $340,203 $318,725 Assessed Value $328,286 $318,725 Benefits Information: Current Previous Previous 2 Benefit Type 2013 2012 2011 Save Our Homes Assessment Reduction $11,917 $0 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Note: not all benefits are applicable to all Taxable Values Pe County, School Board, City, Regional). Disclaimer: Page 1 of 2 MIAMI-DARE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez-Canters ProPerty.4ppralsor Aerlat Photography 2012 Taxable Value Information: Current Previous Previous 2 Year 2013 2012 2011 Exemption/ Taxable Exemption/ Taxable Exemption/ Taxable County $50,000/$278,286 $50,000/$268,725 School Board $25,000/$303,286 $25,000/$293,725 City $50,000/$278,286 $50,000/$268,725 Regional $ 50,000/$278,286 $50,000 /$268,725 Sale Information: Date Amount OR Book -Page ualification Code 8/2010 $325,000 27425 -1050 eds to or executed by trustees in nkruptcy , executors, guardians, tD receivers The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roil 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 webstte 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 .goviinfo /disclaimer.asp. Property Information Inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS Inquiries, comments, and suggestions email: gis(i miamidade.gov Generated on: Mon May 13 2013 http: / /gisweb. miamidade. gov /PropertySearch/printMap.htm 5/13/2013 OL State License CCC1328971 Construction Contract Agreement 2013 -0229 Between Larissa Garzon 349 NE % ST Miami Shores, FI 33138 Tel: 305 - 297 -1148 And Quality Roofing Industries, LLC 20 Years Experience 430 NW 129* Street North Miami, FL 33168 Tel: 305 - 6814421 Fax: 305 - 681 -1422 Project Location 349 NE 96 ST Miami., FL 33138 Bid on May 6- 2013 A. SERVICE TO BE PROVIDED Standard white Spanish S Concrete Tile Roofing System B. OUTLINE OF WORK DEFINED PROVIDE ALL LABOR AND MATERIALS FOR THE FOLLOWING: 1. Provide all labor and materials for a complete concrete Tile roofing System. 2. All work to be done an a workman like manner of the highest standard Work Preparation Remove existing roofing materials to a workable surface Remove and replace all rotten wood up to a 100 LF without charge. additional wood will be charge a per Lf replacement cost of : 1x6@2.00 - 1x8@2.50 - 1x10@3:00 4D.00 each sheet..+t.�. 2x4@2.00 - 2x6@2.50 - 2x8@3.00 Re- nail all the sheathing according to Miami Dade code code. Scope of work at the Slope roof Area Tin cap a layer of 30 #felt to the wood deck Install all the necessary flashings and plumbing lead stacks. Apply one layer of Polystick according to Miami Dade code. Install standard white Spanish S concrete file with Polyfoam according to Miami Dade code. r. ". a E Law, .Licenses, Permits, Royalties and Fees Contractor will obtain all necessary permits to perform the job Contractor will provide workman compensation and liability insurance. Contractor will clean area around building of all related debris each day WARRANTIES The contractor shall warrant all labor and workmanship for a period of ten Years from the completion of the job JOB SITE PROTECTION AND SAFETY The contractor shall be fully responsible for all clean up and removal of debris. The contractor agrees to follow and abide by all safety programs set up by the State of Florida Industry Commission WORKING CONDITIONS SUPERVISION: The Contractor shall at all times have a competent supervisor at the job site. LABOR: Contractor agrees to furnish workmen and supervisors who are skilled in their respective trade. MATERIAL: Material supplied to the job site shall be new and applied to specification CONSTRUCTION INDUSTRY RECOVERY FUND Construction industry recovery fund payment may be available from the construction industry recovery fund ifyou loose money on a project performed under contract, where the loss results from specified violations of Florida Law by a State license contractor. For information about the recovery fund and filling claim contract the Florida Construction Industiiy Licensing Board. Constr ndWn Industry Recovery Fad 1490 North Monroe Street Tallahassee, n 32399 ($0) 921593 2 C. CONTRACT PRICE ROOF SYSTEM PRICE Standard concrete flat Tile Roofing System $.18,300,00 Total $ D. PAYMENT SCHEDULE 10% upon signing contract 30% upon I provide the roofing permit and started work. 40•/o upon first inspection 20% upon completion and final inspection ACCEPTANCE OF PROPOSAL: The above prices, specification and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be as outline above and all payment shall be made to Quality Roofing Industries LLC. This proposal is subject to revision or cancellation unless accepted within thirty (30) days, and does not become a biding contract until signed by an officer of the Quality Roofing Industries LLC. Owner /Agent 1 I I n60 Print Name l_Cx r (2;rQr r Owner /Agent stet re Date Accepted 3 A� °® CERTIFICATE OF LIABILITY INSURANCE 5t9/2o( " THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the po lcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policy may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 CNAORZ7 Marta Barrionuevo PHONE (305) 630 -4777 (305) 278 -3022 .martab @gga9g.00m WW AFFORDING COVERAGE NAIC A INSURER A:Internat.i.onal Insurance Comparnr INSURED Quality Roofing Industries LLC 430 NW 129 St. Miami FL 33168 INSURER 0; /7/2013 INSURER C: EACH OCCURRENCE INSURER D: a ca PREMISES ccu � INSURER E MED EXP one ) INSURER F PERSONAL &ADV INJURY COVERAGES CERTIFICATE NUMBER- CL135903926 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. LSR TYPE ar INSURANCE N ro IeFF EXP Yyrf, unars A GENERAL LIABILITY X COMMERciAL GENERAL LIABILITY I CLAIMS -MADE ❑X OCCUR 150=6165502 /7/2013 /7/2014 EACH OCCURRENCE $ 1,000,000 a ca PREMISES ccu � $ 100,000 MED EXP one ) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO AALLOOYWNED ASCHEEDDULED HIRED AUTOS NON -OWNED AUTOS COMBINED softent BODILY INJURY (Per person) $ BODILY INJURY (Pera t) $ PROPERTY DAMA P $ $ LIAS EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ ,UMBRELLA AGGREGATE $ D $ WORKERS COMPENSATION AND EMPLOYEW LUIBIUTY YIN ANY PROPRIETORIPARTNERIEXECUIIWE ❑ OFRCERIMEMBER EXCLUDED? ( yeahyea, In Wo Diest OFOF OPERATIONS below N /A WC STATUS OTH- E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ r EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (A#wh ACORD 101, AMIlwal Remarlm Sdtedol% If more space is regal City of Miami Shores 10050 NE 2nd Ave. Miami Shores, FL 33138 ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gil /1M 1988.2010 ACORD CORPORATION. All r(ehfn m aA;;A-d INS025 rmirm nr Thn AC Mn name and Innn sire rnndefsrad rmr)ra of AP.npn �� CERTIFICATE t'�F LIABILITY INSURANCE a3� 013 0 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 SCM E IMPORTANT: tilecerffeste holderls an ADDITIONAL INSURED, the policy es must be endorse , subject to the terms and conditions of the policy, certain policies may require an endorsement a statement on this certificate does not confer rights to to certificate holder In lieu of such andorsement(s). PRODUCER 9SOt ointBYis , vices 1200 Dallas, TZ 782 aoamarama VAfW e* (OW) 723,0= pier (972) 404-OM eaos: INSURERSAFFORDING CC VERAGE NAIC # WSURERA: coapsaon smarty ma casualty nmwm m cam 12157 IN Aspen Staff Leasing, Inc. 1 /c /f: 1314ERALD BUILDING SOLUTIONS 1070 NE 123 8D ST MI MI, FL 33161 Phone: (305) 360 -6216 Fans 0 - INSURER B: INSURER C: EACH OCCURRENCE INSURER D. OA61A RTOAENTs Samoa $ NBD EXP (Anr we perm) INSURER r; PERSONAL & ADV INJURY NVYCISPk�4C0 VCRl R'14AIC IYU�6GR: [s�:13-6g9VVigq- 119g9LR KevinIUm NUf1 NEE NOrMTHWANDINGAW REWIRBIIENT, 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 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES. LRd n SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TYPE OF INSURANCE I. MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVENUE POLICY NUMBER OA M/DD DA LINTS AUTtiORIZED1TATIVE�e�'��_` GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAM MADE ❑ OCCUR ❑ ❑ EACH OCCURRENCE $ OA61A RTOAENTs Samoa $ NBD EXP (Anr we perm) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ A F LOC PRODUCTS - COAIPIOP AGG LLAN ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS NON4VMEDAUTOS ❑ ❑ COMBINED SINGLE LIMIT (Ea SMICIMM $ BODILY INURY (PW WWQ4 S PROPERTY GE $ UMBRELLA L1AB MM u s OCCUR EACH OCCURRIM $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WU CUM 0513F111MM AND EMPLOYERS' LIABILITY ANY PROPERlEE1R)RCtiTIVE YIN EXCLUDED? ® Ift WOW NIA ❑ DPE26272740360 04/01/2013 00/01/2014 EL EACH ACCIDENT $ 1000000 EL,D - EAEWLOYEE $ 1000000 EJ_ DISEASE - POLICY LIMIT $ 1000000 ❑ DI I DESCRIPTION CF OPERATIOlO3fLOCAT I=E4(Aftdmd ACARD101, Adds MW Remarks Schedule. I more spm ls re"md 1. This g certificate remains in effect, provided the client's account is in good standing with nAAspen nesStaff pen SOL�ON3s Leasing, 3:nc.. 0A lies t provided 0 of the emplooyeees Of for Aspewhich taff Leasing, client Inc lease�rto EMERALD SUILDit&t3 GKRTIFlGATE MOLDER CANCELLATION ry �wr,wvvr W7VOO -AYTV AUVKU WKr'VKATKJN. All ngM 1198erVed. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVENUE THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTtiORIZED1TATIVE�e�'��_` ry �wr,wvvr W7VOO -AYTV AUVKU WKr'VKATKJN. All ngM 1198erVed. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: Permit No: 6C- /.? ®lam ,41 0d'Z 1 U e-- im Jorge Rodriguez Plan Reviewer Building Critiaue Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. k ROOF ASSEMBLIES AND ROOFTOP STRUCTURES CITY Florida Building Cod td High- VeloeW Hurricane Zone UMform OpFon m . Master Penult Con Job CMR 31013 ByG OmmOO ®mOmomoOm000 000 ❑ Low Slope Q Mechanically Fastened 7119 ❑ Asphaltic ❑ Metal PanellShinghm Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof XR10rooflng ❑ Recovering ROOF SYSTEM INFORMATION MortedAdhesive Set Tile ❑ Wood ShinglesiShakes ❑ Repair ❑ Maintenance Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) NfiA • —f% 4 45 :2, �b an R (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. FLORIDA BUILDING CODE — BIULDMIG ti 4 -/ � 6 .. � ) m.': _ i �. P -� ti T.., m.': '' P -� ' �, 6 a���ttt '_'�._ �A " t ti ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High -Veto ft Hurricane Zone Uniform Permit Appkation Form. Spetlon F (Ilia [`alrrrlational For Moment based tile systems• choose eitherMethod I or 2. Compare the values for Mr with the vahm fiom Mf. if the Mf values are greater than or equal m the Mr values, for each area of the roof, then the Ale attachment method is Acceptable. Method 1 "Moment Based Tile Calculations P 7" °er RAS 12 (pt'°0' Q �x,2�a �s R-! M84A6 = Ml —5.5L Product Approval Mf � �'Z�[ M8j �j= LY�24LJaZ� Prodtipproval A (P3:• 1©' _ ) - M8: "' 7= Mr3Z5 l q Product Approval M f Method 2 "Simplified Tile Cahatletions Per Table Below" aired Moment of Resistance (Mr) From Table Below Product Approval wired Moment Reslstame• !lean Root Height -0, Roof Shme 1V 2e' 26' gW 40' A-49 29A 14.6 22ft °Must be used in conjunction with a list of moment based Ale systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile system use Method 3. Compared tie values for F' with the values for Fr. lftheF' values am greater than or equal to the Frvalues. for each area of the roof, then the the anaclment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (Pl: x L = x w: _ _) - W: - x cos B = Fri Product Approval F' (P2: x L x w: _ _� - W; x cos 8 = Fi2 Product Approval F i.j.1F 1c. • . .L '. lll ' 1 ! .l. .. c:'I! ' R 'a � W��� � ._ c : ys:.;�r ice• tit �, L •.. � � 7 1 1.R -dr it FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - velocity Hurricane Zone Uniform Permit Application Form. Roof System Manufacturer:Q�F� e �� �itK�► _ter Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations 1-1• -4,501 P2: -W• fa Maximum Design Pressure (From the Product Approval Specific System): Medium poctlq pet1 Pr-0 Deck T�pe: It/woo Type Underiayment: i 7 aE 3� e (� pt m Roof Slope: 12 Insulation: Fire Barrier: IN/ Ridge 'Ventilation? Fastener Type & Spacing: �I la a 'ee s Adhesive Type: Type Cap Sheet: Mean Roof Height'-' I Roof Covering: Type & Size Drip Edge: FLORIDA BUILDING CODE — BUILDING SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsbbbllty of roofing contractor to provide the owner with the required roofing pemhlt, and to explain to the owner the content of the section. The provisions of motion R4402 govern the minimum requirements and standards of the industry for roofshg system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. �T�he owner's Initial in the designated space indicates that the item has been explained. 1. )Q � ° A roics- Workmanship: the workmanship provisions of Sion R4402 are for the purpose of Providing that the roof system meets the wind resistance and water Instruction 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 part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wed roof deck may have to be renailed in accordance with the current provisions of Section R4403. (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 r9 9 units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4• Exposed Ceiling: Fused, open beam ceilings are where the underside of the roof decking can the v'19w0i from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the ap rance. 5. Ponding water. The current roof system and/or deck of the building may not drain well and may cause r to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not the evident until the onRinal roofing system Is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not oven from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. it may be necessary to install overflow scuppers in 3rdance with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof strictures should have some ability to vent natural airflow through the r of a structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial consider additional venting4hich can result in extending the service life of the roof. w1� Owner /Agents Sig re Dahe I r Signatu Data Revised on 719/2009 I MIAMI DADS COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 11805 SW 26 Stmt, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Mor€& 33175-2474 T (786) 315-2590 F (786) 315 -2549 NOTICE OF ACCEPTANCE (NOA) www mWrAldad$,w w/b#Udlna� Eagle Roofing Products LLC 1575 East C.R. 470 Sumtervilte,1PL 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 BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. if this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Capistrano Concrete Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: " Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for germination and removal ofNOA. 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 #07- 1018.89 and consists of pages I through 7. The submitted documentation was reviewed by Alex Tigera. WRt 1 0( a NOA No. :11- 021.03 Expiration Date: 10/05/16 Approval Date: 05/12111 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Roofing Sub Categorf►_ Roofing Tiles Mafi&h Concrete I. SCOPE: This approves a new roofing system using "Capistrano Concrete Tile" as manufactured by We 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 DESCRIPTIONS Momufactund by Test Product Aunlicant Dinpensious sawag9m Description Capistrano Concrete L= jr TAS 112 High profile concrete roof tile. For direct Tile W= 12 A" deck or battened nail -on applications. Thickness = K" Trim Pieces 1= varies TAS 112 Accessory trim, clay roof pieces for use at w = varies hips, rakes, ridges and valley varying thickness terminations. Manufactured for each file profile. NOA No.:11- 0321.03 Expiration Date: 10A)5116 Approval Date: 05/12/11 Page 2 of 7 2.1 EVIDENCE SuBMfTTED: TM AgenU Test Identifier Test Name/Renort Date PRI Asphalt Technologies ERPF- 001 -02 -02 TAS -112 Aug. 2006 Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix M TAS 102 & 102(A) Redland Technologies Leer 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) Redland Technologies P0402 Withdrawal Resistance Testing of screw Sept. 1993 vs. smooth shank nails The Center for Applied 94 -083 Static Uplift Testing April 1994 Engineering, Inc. TAS 101(Adhesive Set) The Center for Applied 94 -084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) The Center for Applied 25- 7094 -(3, 6 & 9) Static Uplift Testing Oct. 1994 Engineering, Inc. TAS 102 The Center for Applied 25- 7120 -(1 & 2) Static Uplift Testing Nov. 1994 Engineering, Inc. TAS 102 The Center for Applied 25- 7183 -(3 & 4) Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 The Center for Applied 25- 7214 -(3, 4, &7) Static Uplift Testing March, 1995 Engineering, Inc. TAS 102 The Center for Applied 25- 78044 Static Uplift Testing Sep. 1996 Engineering, Inc. TAS 102 Celotex Corporation 520111 -3 Static Uplift Testing Dec. 1998 Testing Services TAS 101 Celotex Corporation 5201912 -1 Static Uplift Testing March 1999 Testing Services TAS 101 Walker Engineering, Inc. Calculations Aerodynamic Multiplier Sep. 2006 NOA No.:11- 0321.03 Expiration Date: 10/05/16 Approval Date: M2111 Page 3 of 7 3. LnwTATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain tlx: services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such besting shall be submits 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 applicablb building codb. 4. INSTALLATION 4.1 Eagle Roofing Products LLC Capistrano Concrete Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight W (1bf) Length-1 (ft) Width -w (ft) ,Capistrano Concrete Tile 10 1.417 1.04 Table 2: Aerodynamic Multipliers - A ft Tile Profile A (ft)({t Batten AppLication Direct Dock Appftatlon Capistrano Concrete Tile 0.300 0.277 Table 3: Restoring Moments due to Gmv - M ft-I Tile Profile 3 "Ar 4 ":12" 5 ":12" rmr Greater than r: it Capistrano Concrete Tile Battens Direct Deck Battens Direct I Deck Battens Direct I Deck Battens I Direct I Deck Battens Direct Deck 1 6.68 6.99 1 6.67 1 6.88 1 6.4+4 1 6.73 1 6.28 1 6.66 1 6.10 6.38 NOA No.:11-0321.03 Expiration Date:10/0S/16 Approval Date: 05n2/11 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Nh (ft Ibf) for Nail -On Oystems Tile Profile Fastener Type Direct Deck (min 18132" plywood) Direct Deck (min. 191320 pVwood) Battens Capistrano 2 -10d Ring Shank Nails 28.6 41.2 19.4 Concrete Tile 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooch or Screw Shank Nails 6.9 9.2 7.3 1 #8 Screw 20.7 20.7 18.1 2 #8 Screw 43.2 43.2 29.8 1 -10d Smooth or Screw Shank Nall Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nall Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails Eave Clip) 38.1 38.1 41.8 2 -10d Ring Shank Nails 33.1 48.1 45.2 1. Installation with a 4" file headlap and fasterners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mr (ft -lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Capistrano Concrete Tile Adhesive 29.3 1 See manufactures componwit approvW for insfallafion requirements. 2 Flexible Products Company ToleBond Average weight per patty 10.7 grams. Ndyfbam Product. Inn Average we ht per Patty 8 rams. Table 6: Attachment Resistance Expressed as a Moment - Mr (ft -lbi) fnr Single PM Adhesive Set SYstems Tile Profile Tile Application Attachment Resistance Minimum Attachment Resistance Capistrano Concrete Tile Po~ PolyProw 5 Tile -Tate Roof Tile Mortar. 66 Po~ Po M79 38. 3 Larae w0dy acenwd of 63gmme of Poi Pro*"'. 4 Medium ppddy placament of 24 rame of P Pro**. Table 7: Attachment Resistance Expressed as a Moment - Mf (ft4bf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Capistrano Concrete Tile Mortar Set 24.6 5 Tile -Tate Roof Tile Mortar. NOA No.:11- 4321.03 Expiration Date: 1 W05116 Approval Date: OS42/11 Page 5 of 7 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 ". FLORIDA CAPISTRANO CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT (LOCATED ON UNDERSIDE OF TILE) 6. BUMDXNG PERM][T 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.:114)321.03 Expiration Date: 10/05116 Approval Date: 85/12/11 Page 6 of 7 � • r i PROFILE DRAWING CAPISTRANO CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 114021.03 Expiration Date: 10/0S/16 Approval Date: QS/12/11 Page 7 of 7 „� ,. ��71J�#TY DEPARTMENT OF PERM11'TING, ENVIRONMENT, AND BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE i 3M Company 3M Center Building 0220- 03-FA6 St. Paul, MN. 351441000 MIAMI -DARE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street Room 208 Miami, Florida 33175 -2474 T (7W 315 -2590 F (786) 315 -2599 www.miamidade.gov /pera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code.. DESCRIPTION: 3MTm 2- Component Foam Roof Tile Adhesive 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 jab 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 Tigers. r2mm NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof file adhesive Materials: Polyurethane SCOPE: This approves 3Mrm 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 DO,scription Specifications 3MTM 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF1000 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: Prove Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Resul 1.6 lbs. /ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbsirr 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @I 58°F., 100% Humidity, 2 weeks 86% NOA No.: 12-022&18 Expiration Date: 051/0/17 Approval Date: 05110/12 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 01/16/95 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02195 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 O1- 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 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTm 2- Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the 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 file adhesive with their file assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof file 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: 05/10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that fists uplift resistance values with the use of 3M7M 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 RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A): 1.0 (B). The dispense timer shall 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 Macement Details' herein. Each generic file profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile C2 Piece Barrel #1 17 /side on cap and 34/pan N/A Flat, Low High Profiles #2 24 N/A Flat, Low High Profiles #3 1 8 NOA No.: V,-022&18 Expiration Date: 05/18/17 Approval Date: MOM Page 4 of 7 LABELING: All 3Mrm 2-Component Foam Roof Tile Adhesive AH-1 60 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQuntEmEws: 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 "OMW07" ................ ............ ,NOA No.: 124=18 Expiration Date: 05110/17 Approval Date: 05/10/12 Page 5 of 7 ,NOA No.: 124=18 Expiration Date: 05110/17 Approval Date: 05/10/12 Page 5 of 7 ADHEsivE PLACEMENT DETAIL 2 SINGLE PATTY NOA Ne.: 124=18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DousLE PATTY 1n.x3k 4 snp pa" F. \1� `�_''�•' END OF THIS ACCEPTANCE sho pft rower the . NO Ps* b ent8e 21%x?hmeftm aW dwm ft NOA No.:124 XIS Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7