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RF-13-2760
MBN Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 204211 Scheduled Inspection Date: February 24, 2014 Inspector: Rodriguez, Jorge Owner: FERNANDEZ, MARIA & MANUEL Job Address: 1131 NE 91 Terrace Miami Shores, FL Project: <NONE> Permit Number: RF -12 -13 -2760 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132050010160 Contractor: M R SANCHEZ CARPENTRY INC Phone: (786)355 -0212 sumung loepartment comments RE -ROOF TILE INSPECTOR COMMENTS False Inspector Comments Passed�Z- Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid February 21, 2014 For Inspections please call: (305)762 -4949 Page 7 of 24 C I VI L (Consulting Engineering Corp. 2370 Southwest 123rd Miami; Florida 33175 -1174 Tel c 305 -823 -8008 / 305- 397 -6414 ENONEER Fax: 305- 823 -3300 /305- 884 -8834 Website: www reilehengineering.com February 20, 2014 Mr. Sanchez Carpentry Miami, Florida Project: ROOF TILE UPLIFT TEST REPORT Residential Dome 1131 Northeast 91 Terrace Miami, Florida Information provided by client: Permit Number: Not Provided Date Completion: February 18, 2014 Roofing Contractor: Mr. Sanchez Carpentry Project Number: 14 -0141 (Testing Laboratory Certificate # 11- 0715.04) Dear Sirs; In accordance. with your request and authorization, a representative of Reileh . Engineering Corporcid n completed the Roof Tile Uplift Test at the above referenced project. This esting was . perfarmed 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 aboveground surface. The type of tile used for this project was reported to be Flat Roof Tile,, This tile was reported to have been foamed in place. At the time. of our inspection, the entire area of 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. 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 Sonny Salleh,.P.E.49014 TILE uPIMr TEST Residential Home 1131 Northeast 91 Terrace Miami, Florida Reileh Engineering Corporation — Project Number -14 -0141— Page 2 of 4 Report of TILE UPLIFT TEST for Residential Home 1131 Northeast 91 Terrace Miami, Florida Project Number: 14 -0141 Test, dumber 4 Test Stag - ~f 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 1 Pass Reileh Engineering Corporation — Project Number -14 -0141— Page 3 of 4 yyk {a� 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 Test 1 -11 Corner, 12 -16 Ridge Caps, 17 -31 Perimeter, 32-47 Field Reileh Engineering Corporation -- Project Number - 14 -0141— Page 4 of 4 9 2 �y 28 � � 8 8 7 7 z z5 6 6 � � 34 ` `fl � � � I I t5f 111.E I'�JMmk ° 15� O JDI.� CAP t5f LOCA110N FEW 0 16 COUP - 110 5f � L n CMOJuf; a 11 MJMMk 1715 ANa, a 3' NOBS � Sr Mra W 5 COUP;AAA - 3'X V 9 2 28 � � 8 8 7 7 z z5 6 6 � � 34 ` `fl � � � I I � 35 � z4 to n n z n l le s� � � ab I I I � � as m � � � �z � z m m g g � � z zz y y N510N5 RE: Permit # r Z.' 3 ' Z7 6 O Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION AFFIDAVIT DATE: TES . Z4 , Zp o4 licensed as a (n) Contractor /Engineer / Architect, (Print name and &de License Type) FS 468 Building Inspector License k On or about , I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at W1 \ 0 ®E (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) lop, Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Swom to and subscribed before me this day of SAioA 0L Notary Public, Sate of Florida at Large M" t' NAY W.tdo��Y+ A�� 'General, Building, Residential, or RooliN Contractors or any individual oertirted under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection Revised on 5121120M �' x . w�\ » »w 7 >��� »< .,�4�Q2 � �� � f \2����,�f�. y /� \` BUELI)kG Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (3055) 762.4949 Permi PERMIT APPLICATION „E 093 ',�'° FBC 20 CO t No. Master Permit No. 04_— 15— ? -7 60 Z:) Permit Type: BUILDING ROOFING JOB ADDRESS: ��\ , \ V e'�. \��' C City: Miami Shores County: Miami Dade Zip: 'S_!A1F ' Folio/Parcel #: 32,p5 °0 p'\ - o Is the Building Historically Designated.: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): _" nxnm --` A N,_-Z Phone#: Address: V'5 (�T ` 7- Yom. City: h��► `�-� !> \.k osL'Z State: 'N:_- Zip. 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: y t i'V Phone#: S5_ oz` Address: City: State: Zip: Qualifier Name: c� . Phone#: IS_ State Certification or Registration #: CC r_ \2_-�`LJ� 6 r- %Certificate of Competency #: Contact Phone#:�Mtr, Email Address: ,+r t \`�•e ` Q_X C_m--',' DESIGNER: Architect/Engineer: 60 Gam- Phone#: �Qr o Value of Work for this Permit: $ % 0 - 'Zh, D `, SauaretUnear Footage of Work: Type of Work: ClAddition UAlteration CINew �ftepair/Replace ODemolition Color thru tile: �������e���• x����������a�����e���s������x��Fees�������+ �������ea�������x�����x������x����ee����� Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ TrAning/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ J Sr- Boa-4' M Company's Name (if applicable) _ Company's Address t 410— State Mortgage Lender's Name (if applicable) d v / Mortgage Lender's Address City State zip 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 1WROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT: Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspe 'll not be approved and a reinspection fee will be charged Signature'`' Signature y„ r Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of / 9, 20/3 y am j Z day of 11 Zc e -4',10 by ure `� - <5" i) n alo L who is personally known to me or who has produced who is personally known to me or who has produced NOTARY Print: my APPROVED BY As identification and who did take an oath. FOW Mll U& I EE Mx? %3 041161 "A Sign: Print: My Co as identification and who did take an oath. Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Reviwd 07 /1007)(RevisW 06/10t2009XReviwd 3/15/09) 1 4 4" C46VAOSM 0 0 985N .t 00 Cftw Foss 00 f Sol 400" bnmt . 2:ns 01 tw" terser RWI# I y I . ' B t' Sol I °� $! V F Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DECEMBER 12, 2013 Permit No: RF13 -2760 Building Critique Review 1. The owner's notarized information on the permit application is incomplete. 2. Certificate of liability insurance is missing the description of the operation 3. FBC. 2010, SECTION 105.3.5,... EVERY EMPLOYER AS CONDITION TO RECEIVING A BUILDING PERMIT, SHOW PROOF THAT IT HAS SECURED COMPENSATION FOR ITS EMPLOYEES AS PROVIDED IN SEC440.10 AND 440.38. FLORIDA STATUTE 4. Tile calculation, section E, the p1, p2 and p3 use in the calculation do not match with the information under RAS 127. 5. Owners affidavit of exemption for roof to wall connections is incomplete. 12 -12 -13 1. Pending item 2, 3 and 5 above Ismael Naranjo Building Official Plan review Is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. 11 Miami Shores Village Building Department RECEIPT PERMIT #: DATE: I 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 • Contractor • Owner • Architect Picked up 2 sets of plans and (other) Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: ` U�1-1 ,, -3 .irk RESUBMITTED DATE: 7 �� '� � 2, PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 December 3, 2013 Permit No: RF13 -2760 Building Critique Review 1. 1. The owners notarized information on the permit application is incomplete. 2. 2.certificate of liability insurance is missing the description of the operation 3. 3. FBC. 2010, SECTION 105.3.5,... EVERY EMPLOYER AS CONDITION TO RECEIVING A BUILDING PERMIT, SHOW PROOF THAT IT HAS SECURED COMPENSATION FOR ITS EMPLOYEES AS PROVIDED IN SEC440.10 AND 440.38. FLORIDA STATUTE. 4. 4. Tile calculation, section E, the p1,p2 and p3 use in the calculation do not match with the information under RAS 127. 5. 5. Owners affidavit of exemption for roof to wall connections is incomplete. Ismael Naranjo Building Official 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. • a . 3 �b() Miami Shores Village --.DEC 1,7 Building Department Y° 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: a 61 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: -"4- � Property Address: f ® ^J 6 ':�/ _ Roofing Permit Number: � Dear Building Official: _7Re_c- N"e,-L_ certify that I am not required to retrofit the roof to wall connections of my building because: KThe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Plead attach p� roof®of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Cale (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that helsh r- a above property mentioned. Sworn to and subscribed before me this day of Aft.. 00 Fftbft Its► rile: ilk Yg 4.2917 fia Ism? Notary Public, Sate of Florida at Large • When the just valuation of the structure for purpose of ad val rem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to wall connection Hurricane Mitigation. Revised on 5/2111009 "V4. 0 �" • Mi d% Property Appraiser '� 4 111 V I Street, Suite 710 ,, Miami, Florida 33128 -1984 NOTICE OF PROPOSED PROPERTY TAXES AND PROPOSED OR ADOPTED NON -AD VALOREM ASSESSMENTS MIAMI -DADE COUNTY TAXING AUTHORITIES 878353 Z7R 1030MIIUIWI!UWINIMMIM311mv 01 0101 FOLIO: 11- 3205 - 001 -0160 MILLAGE CODE: 1100 MANUEL 8 MARIA FERNANDEZ 1131 WE 91 TERR PROPERTY ADDRESS: MIAMI SHORES, FL 33138 -3403 1131 NE 91 TER LEGAL DESCRIPTION: 5 53 42 WATERSEDGE PB 9 -141 LOT 18 BLK 1 ...... . :: »c: < » »:: s >:< <:;: >: < >:; >: >:; »>;; :::::; >;:;> T�xi1'!t:kt3T1EI4Ri.1.. •;;:;... ;::;': ......>: :..` . • ::':: ; `:.... ::•:!;:;:;;: � : ;;:>: <: :: ' :: » ; ::: ;:� ; :::;�::: ;;;::.:.>:: ; :: ;: •: ;;:•;;:•;;;;; �: ::•;;: ; ::•::; 7 7 7 7: :.. ;;• :•;; .;::.:.:. ::::• .: ....: .':#.:.7:.:.•.;.:: iI; I tTe�3R :11!IA'F1O�fiii: i>`:�i;i• :,i:: COLUMN I COLU MN MN 2 ;:::::•:: •7777:: ::•::::;:.::::::::: .:: L tf1�l I ig s Armg ed [AR e c C�# 1J1l6N S +¢: t � :;:: :; i f1: Last Yeas Taxable Vatue Las Year's hate Y our P Property Taxes Lust a^ .... T....1... at xAi ! macx 1#9de T ..... . :. . , :::..;:..::c.oi MIAMI -DADE COUNTY: Countywide 86,399 4.7035 406.38 88,717 4.4097 391.22 4.7035 417. Fire Rescue 862399 2.4496 211.64 88,717 2.3086 204.83 2.4496 217. PUBLIC SCHOOLS: By State Law 1111399 5.5570 619.04 113,717 5.1406 584.57 5.3960 613. By Local Board ca 111,399 2.2080 245.97 113,717 2.0426 232.28 2.2480 255. MUNICIPAL: Miami Shores 86,399 8.0000 691.19 88,717 7.7234 685.20 8.0000 709. WATER MANAGEMENT: SFWM District 86,399 0.3676 31.76 88,717 0.3523 31.25 0.3523 31. Everglades CP 86,399 0.0613 5.30 88,717 0.0587 5.21 0.0587 S. INDEPENDENT DISTRICT: F.I.N.D. 86,399 0.0345 2.98 883,717 0.0332 2.95 0.0345 3. Children's Trust 86,399 0.5000 43.20 88,717 0.4662 41.36 0.5000 44. VOTER APPROVED DEBT PAYMENTS: County Debt 869399 0.2850 24.62 88,717 0.4220 37.44 0.4220 37. School Debt 111,399 0.2330 25.96 113,717 0.3330 37.87 0.3330 37. County Fire Debt 86,399 0.0131 1.13 88,717 0.0127 1.13 0.0127 1. City Debt 86,399 0.7500 64.80 88,717 0.6949 61.65 0.6949 61.. ::: ;: ;:; ;::•:;:•;:•;:.; :.::.::::::::::::: 7 7 : 7 7 ..:::: ::::::: •.:. 1A7tiGS <:. ... 5: �' �#? FAE::. AIi:" �! eti• ba�Vt_:!' llko.' �h�Y . ...............:......::;:..:._ 2, 373.97:::::::::::::: > ? ` > ? ?`'`i 'i>: '222: `: %: 2 316.9 6 , .....:: 2,43.4. i+Rrxif T s2 >:. ........ ............................... ..............................: :::7::777:::::.:::. 3,124.49::: . . <�<:::>::: »:� >::< ::>:::»:::: >:z 3,067. :1 3 1 8 4 ... .. ... .. 7777.. ...._......77..77. 7`i,. m_..a .. •.,.n ..�...... .,d,:..h �.... ....._�. 7777. ,.., 7777 .,._ 7777 777,7.- ..,...,.., .. ._.:n 7777. -._ ... a n..e..,, lr..... . - -.. _ __.... n.. �. _•_ ___, . 7777 .. aauub a:uuavaauw nau...a Lai y. vya.a.J wnco uba.sana Juan ya vya.a ay au avuu u..au r uuaaa, aa.au ua�a w ruvya ...,u6..,n n.:u am aaaw 1ua the next year. The purpose of the Public )leanings is to receive opinions from the general public and to answer questions on the proposed tax change and budget Prior To Taking Final Action Each Taxing Authority may Amend OR Alter its proposals at the hearing. Miami -Dade County 9/10, 5:01 PM, COMMISSION CHAMBERS, ill NW 1 ST, 2ND FL, (305) 499 -8766 Public Schools 9/03, 6:00 PM, SCHOOL BOARD AUDITORIUM, 1450 NE 2 AVE, MIAMI, (305) 995 -1226 Miami Shores 9/04, 7:00 PM, MIAMI SHORES VILLAGE HALL, 10050 NE 2ND AVE, (305) 795 -2207 SFNM Dist & Everglades CP 9/121, 5:15 PM, SFWMD AUDITORIUM, 3301 GUN CLUB RD, B -1 BLDG, WPB, FL, (561) 686 -8800 F.I.N.D. 9/13, 5:30 PM, TOWN OF PALM BEACH SHORES, TOWN HALL, 247 EDWARDS LN, (561) 627 -3386 Children's Trust 9/091, 5:01 PM, UNITED MAY -ANSIN BLDG, RYDER ROOM, 3250 SW 3 AVE, MIAMI, (305) 571 -5700 MIAMI SHORES VILLAGE MIAMI SHORES VILLAGE 2014 STORMWATER FEE 2014 SANITATION FEE (305) 795 -2207 1.00 45. (305) 795 -2207 1.00 705. 45.0( 705.51 :.....,.,, t . ........ 246,502 136, 399 136,399 ' : :•:f:a :; ::.i:.?:. i > ; . ..:: a :: :..z•:.s..i . :.i .. .i:. i : .}." . ::...: 237� 138, 717 138,717 6( �; A. FaDU4T 14N:(?T:(�i�`:�;;>ii:;:`:i::; F1i.1IL1kM9i31�?: z ! Save Our Hones Benefit All Taxes ........ ....... 110,103 98 ,725 First Homestead Additional Homestead All Taxes Nan - School Taxes 25,000 I 25,000 25,000 25,000 If you feel the market value of the property is inaccurate or does not reflect fair market value, Property Appraiser at or if you are entitled to an exemption or classification that is not reflected, please contact the Miami -Dade ( 305) 375 -4712 111 NW 1 STREET 8TH FLOOR (8:00 AM TO 5:00 PH) If the Property Appraiser is unable to resolve the matter as to the market value, classification, or an exemption, you may file a petition for adjustment with the Value Adjustment Board. Petition forms are available online at http:// www. miami- dadecierk.com /property_yab.asp. Petitions must be filed on or before SEPT. 171 2013. (Your final tax bill may contain non -ad valorem assessments which may not be reflected on this notice, such as assessments for road, fire, garbage, lighting, drainage, water, sewer, or other governmental services and facilities which may be levied by your county, city, or any special district. SEE REVERSE SIDE FOR EXPLANATIONS OF THE COLUMNS ABOVE. PTX -6000 R. 07/2013 1211612013 1125 fAX) P.0011001 R it CERTIFICATE OF LIABILITY INSURANCE oATEI 12/V18/18 16113 THIS CERTIFICATE IS ISSUED AS A MAYTER 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 DOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ IMPORTANTI U the aertiBCatS holder Is an ADDITIONAL INSURED, the Pollcl(les) must be endorisil. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, eartMn popsies may require an andoreement. A statement on this c*nM@ate does not confer rights to the eertifloate holder In lieu of such endorsement(s). PRODUOER � !� Beakls Bnmo Excellence Insurance Agency . (306)226 -3900 IT _ 3801 SW 107 Avenue Rau, eru F ►� 22[; ggg7 :__. eeDanasinsurance.rlet Miami, FL 33165 INNUMMS) A DINOCOARAGE NAio# Phone (305)226.3900 Fax (305)228 -3987 INS a ry REPUBLIC-VANGUARD INSURANCE COMPANY 01SURIM INSURER a a PROGRESSIVE EXPRESS INS CO M.R Sanchez Carpentry, Inc. INaURBR o I 13450 N.W. 5th Avenue INSURER D; North Miami,, FL 33188 (305) 889-7924 INSURER a -INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. ix TYPE OF ERAL IN �_ GURANOE pO � GEN Li8&I llf A O ❑ CLANSMAVE ® OCCUR NS1209M 1 GUM AGGREUTE LOoUT APPLM PER © PouCY ❑ F ❑ IAC AUTOMONU IJANUTY ❑ ANYAuro 8 ❑ ALLU" ® SS�CTQOn an 01591673.1 ❑ HIRED AUTO6 [I ID UUMEI.LA LIM ❑ OCCUR I...... EXCEM LUIS I, m Arad . IN B I MISC 01581873 -1 DESrJWq = OF OPERATIONS I LOCAMN61 VMGCt.ES (Mash ACORD 1e1, Roofing Contmctor, Tile Re -Roof at 1131 NE 81 Ter CERTIFICATE Miami Shores Village 10050 NE 2ND Avenue Miami Shore, FL 33138 Fax: 309 - 798-8972 1.000. 09/1811013 05/11312014 —'w" " °"" i " PERSONAL & Am INJURY $ 1 GENOM AGGREGATE S 1 PRODUCTS -COMM AGG 6 1 RODILY INJURY (Per person) 18 05/1@/2014 BODILY INJURY (Per & P a a COMP /COLL DIED s 0511&12013 1 05/1 S /2014 Ran vft 8ehadul% if mere space is requrrael CANCELLATION ELL DISEASE. F- L MPAQP_ INJURY PROTECTION 8 10,000 SHOULD ANY OF CRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WILL BE DELIVERED IN ACCORDANCE W fM,NOTICE PROVISIONS. AUTHOklkap ACORD 25 (201 010a) QF ACO CORPORATION. All rights reserved. Th r-2bkO RD n and logo are registered marks of ACORD 0 0 0F8+74MAr—MCERTW=TE0FeLE=MT0 sEOMMPT e7U mm i w imp STEt78OF1�ZA QUEUMM data -t60 i �-77 - , JEFFAIMIM CHEF FMUUOCL41-OPRCER STATE OF FLORIDA DEPARTAIENTOF FINANCIALSERVIC£S DIVISION OFVWRK FUr COMENSA7M • ° CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKEREr CORIPENSATION LAW" CONSTRUCTION INDUSTRY EXEMMON This COWAS IM the ft*Jk uel IWW below has d3dW to be exempt tram FbWa Worms Cwqmmmdm lain. EFFECTIVE DATE: 5H/2013 EXPOtATIO1N DATE: 5t1t2015 PERSON: SANCHEZ IDES FEIN: 57120501 BUSS NAEIE AND ADDRESS: M R SANCHEZ CARPENTRY WC 13480 Nib SAVE NORTH MIAMI FL 33168 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL ROOFING -ALL KINDS CONTRACTOR AND DRIVER 0F8+74MAr—MCERTW=TE0FeLE=MT0 sEOMMPT e7U mm i w imp STEt78OF1�ZA QUEUMM data -t60 i �-77 - 02-17 -2012 ,lei ATWATER STATE. OF FLORIDA 000 f= MANI faf.OFRCER DEPARTMENT OF FINANCIAL. SERVICES DIVISION OF WORKERS' COMPENSATION . CERTIFICATE OF E.ERION TO BE E MM PT FROM FLORIDA WORKERS C0MPEIISATI0N LAW * � CONSTRUCTION INDUSTRY _ EXEMPTION This certifies that. the individual listed below . has elected to be exempt from Florida Workers" Compensation law. EFFECTIVE DATE '0211712012 SANCHEZ FEK' . 571205691 . BUSINESS NAME 'AND - ADDRESS: NR sANcHEZ. CARPENTRY ZMC - 13460 NM 5 AVENUE .. - NORTH MIAMI FL 33168 EXPIRATION DATE: 0211612014 i TTTT e-II SCOPES OF BUSINESS OR TRADE 1- CERTIFIED ROOFING CONTRACTOR 2- CERTIFIED GENERAL CONTRACTOR IMPOffTANT: ,ftrsnat to ONOW 440 . 05(14 M. ao officer of a corporatieo who elects exemption from .dft c6epier by filing a certificate of electlso ender this sectfao may an recover beeftts or rnmpensatfon ender this chmider. Pursuant to Minor 440.05023. F.S.. Certificates of election to he exempt... apply only 0itifo the .. aeape of the bastaess at trade listed on d notice of election to be exempt. Pmrsaaot to Chapter 440.0bf131. F.S., Notices of electiae to be exempt. .and certificates of eleetton to be •exemgn shalt', be subject to 'macatian B, at any use after the filing of the notice at ibe ismme, of the certificate, the pomp named an the datice or certificate se longer amain the requirements of d fs sedum for Issuance of a certiftcele. The departmeat tali rewire a certificate at any time for idiffe of the patsoa 08wed on dw certificate to meet the regatrearls N Ids sodas. QUESTIONS? 18501 413 -160 OWC -252. 0133' RCATE OF ELECTION TO BE OMWPT REVISED 01 -11 F-11 125% O JE FATWATM CHIEF STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS COMPENSATION * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDAWORKERV COMPENSATION LAW • • CONSTRUCTION INDUSTRY EXEMPTION This cerfilfes that the Inchi lttal NsW below has ekDcW to be ewnpt them Florida Workers' Compensation taw. EFFECTIVE DATE 3/fM13 EXPIRATION DATE: 316(2015 PERSON: VARGAS SANTIAGO I FEIN: 550798424 BUSINESS NAME AND ADDRESS: J S SERVICES ENTITY INC 15459 SW 57 ST MWA FL 33193 SCOPES OF BUSINESS OR TRADE: PANTM NOC $ SHOP OPERATIONS rKa few-m- ftpb � Dft I I Pusaas4wtto 44 Gu by c*wwNdn�sr�ope e,fte bus mm er ode bf�i as 8•as naBr a aFeI if to b9 s enVL ftos utM ttm 0wg •'44Q_W13: F.S_ Nagoes of efocum to be m enpl ex ul ceraftates of tabar�z2 s�bS�. torevaw"8 ffimryfane8ft�t he!vrgafL`-3I'Sceor"wst�ofthe %dwpersonteame, as Mes�m aatTea�a>mF,r errrs}!s !*eked dt's sed3m r ks�� of a zergf rm itm dormb. 0 sFm9 ssvaim a mt0kaw at any the for fa®us of Ike ratrda: cs =;ne t: —.& emrawAvveeft ffia&secfts – '^^'*�•"'_��: OF E.ECTM_ TO BEO�P"SED07 -12 QUESTIONS? (850)413-1609 JEFF ATWATER _ ® 02 -17 -2012 - STATE. OF ILOi1DA .... DIVISIDIVM �O�NCL4L.. VICES * conIFICATE F TO COMPF,I�SATION CONSTRUCT 4M n 'T RMOA WOMW LAW This Wtifies that. the ilulividual, listed below has elected to be exempt ftoal Fl04da Worikers` Co F� 77VE DATE; 02 _ m�satia► law,. H7/201 2 • •PEEN: S ANC FEft 31EZ . - .571205M 8l1Si11fESS NAME '"11M., : IFZ: cNtPEBTri i 13w. NM S AVENUE ' .. WRTH WAR FL 33168- EXPIRATION DA* 02/1612014 RAMON SCOPES O . BUSINESS OR. ` • 17, CERTIFIED R00FINB COMRACTM 2` CERTIFIED MINERAL • CaVrRACl'OR 8UIP081'AN15 - � 440.. stave a rsseea� mitts w Obt141, F.S., atftser at. a �Paratloa e� sleets she Pa of tt� mis elecetoa axe Q7 trams Itafep Go tire- Dart&.: er .._:.. m Mentor "a art � .ffi� s ' 6V jjk" 1 03 -07 -2012 JEFF ATWATER STATE OF FLORIDA CHEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL . SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION T0. 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: 03/07/2012 PERSON: VARGAS FEIN: ... 550798424 BUSINESS NAME AND ADDRESS: J S SERVICES ENTITY INC 15459 SW 57TH STREET MIAMI FL 33193- SCOPES OF BUSINESS OR TRADE: 1- REPAIR SERVICE 3- INSTALLATION SERVICES EXPIRATION DATE: 03107/2014 MAURICIO 2- PAINTING 4- TILE IMPORTANT: Pursuant to Chapter 440 . 06114). F.S., an officer of a corporation who elects. exemption from this chapter by filing a certificate of election under W3 section may not recover• benefits or compensation ender Ibis chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only with:m :he scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates election to be exempt shall be subject to revocation if, at any time alter the filing of the notice or [be Issuance of the certificate, the person named on the 30:1ce certificate as longer meets the requirements of this section lot issuance of a certificate. The department shall revoke a certificate at any time for failure 0 the persa- named oa the certificate to meet the requirements of this section. QUESTIONS? (8501 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 DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW ` EFFECTIVE 03/07/2012 EXPIRATION -DATE: 03/07/2014 PERSON: MAURICIO VARGAS FEIN: 550798424 BUSINESS NAME AND ADDRESS: J S SERVICES ENTITY INC 15459 SW 57TH STREET MIAMI, FL 33193 � SCOPE OF BUSINESS OR TRADE: I- REPAIR SERVICE 2- PAINTING 3- INSTALLATION SERVICES 4- TILE b1N., IMPORTANT FO Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E 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 mee 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 -1603 CUT HERE * Carry bottom portion on the Sob, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 9 7 k , loll FAiarni Shore `Village. APPROVED BY DATE ZONING DEPT i a ' BLDG DEPT: SUBJECT TO COMPLIANCE WITH ALL F n STATE AND COUNTY RULES AND REGULATIONS ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile akpo /Adhesive Set Tile E3 Asphaltic E3 Metal Panel/Shingles E3 Wood Shing es ekes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE Q New Roof Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION 9 Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) C 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 para iLL D 61�D St MUST 0-� R R O ®, J..4. 4- . ,.. :. „J r . r , 1� For D r andlorSide tooeprefinal en�ndbOndwks; be or nall soraed f d -' and yarda�rk s 2010 FLORIDA BUILDING CODE — RESIDENTIAL ilk 0 Honda Builder Code Edition 2007 High Velocity Hurrkmw Zone Uniform Permit Application For, Section D (Steen Stoned Roof ftStem) DEC, 1:2 100 Roof SysMm Mftnufacturer: Q N�-- Notice.ofAcceptance Number. Q?-- . Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Modmum Design Pressure room the NOA Specift y l Mediod of ale a Each Roof Slope: :12 Deck Type: ype U- wkymw* lation: 9 r Ri Vendlation? men ®r Types Sp m PC- dheelve Type YPe Cup Mean Roof Iht NS • L 12301-48 12= PAGE 4 Covering: Type $ She Drip Florid Bu-dd M Code Emotion 2007 High Wooty Hwriwm Zone Urdtonn PWh* ApoWataon Form For M0ment based the sydeoiN choose ems? Method l or 2. &r WwM the valucs *am Mt-► Uthe M=vahn are grMw tbot er apd the valaM for sob area ofihe root, then theme nawdiment method is u� Method 1 went Based Tile Cans Per RAS zt. ®3%a- y- —mg-Las �1i�i Z- NOA O (Pa: z A. m A - Mg: Wri�::�-�_ NOA A `its- (P3:z -Mg: NOA A Method Z "SimpMed M Calculation Per Table Bd W" Beqohvd Moment of Resistance M From Table Below NOA Pr *Maw be nod in co4unedon wilh s Mt of moment loved We Sydems endersed by the Browu�l County Bond of Hubs and Awe. For UpHft based dW systems use Method 3. Compared the vahms for F' with tie vahim for Fr. N the F' vdm are greater then or equal to the F, vain, for each area afthe roof, then the Me attachment method 6 Method 3 "UpBB Based Tie CabaMims Per RAS 127" (Fi: zL• z w: =_) -W: zees 8: = F.{ NOAF (Pa : z k z w: m_,}- W: z cos 9: = Fa: NOA F {P3: z l: z w: _ _)- W: z e�is 8: = Fes: NOA F Where to 123_01 -48 121 )9 PAGE 5 to s 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 responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 ant the contract r. T owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics - Workmanship: the workmanship provisions of Section 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 e ag ent between the owner and the contractor. 2. Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be ren i n accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior two em ri g/,the existing roof system). 3. . oCommon roofs: Common roofs are those which have no visible delineation between neighboring units e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or .wner ^ld notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be liewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail pene lion of the underside of the decking may not be acceptable. This provides the option of maintaining the ap 5. Ponddng water: The current roof system and/or deck of the building may not drain well and may cau water 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 expec cy nd performance of the new roofing system. Pounding conditions may not be evident until the ,origin 1 r Q ng 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 ed from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overno uppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in Sacco with the requirements of Sections R4402, R4403 and R4413. 7. 7 Ventilation: Most roof structures should have some ability to vent natural airflow through the int nor of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner /Agents Signature Date Revised on 7/9/2009 LD ° u\ 60 Contractor Signature Date MIAMI- MIAMI -DADE COUNTY ® PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DMSION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 O CE O CEP CE OA www.miamidade.¢ov /sera Boral Roofing, LLC 7575 Irvine Center Drive, Suite 00 Irvine, CA 92618 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 inclu ' i Velocity Hur ne o ITile Building Code. ESCRIPTION: S ony 900 Concrete RLA 't shal l bear a ermane a 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 #07- 0711.03 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. f+' NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 ROOFING ASSEMBLY Category Sub - Category Material: Deck Type: 1. SCOPE l4" M R6-ofing Tiles Concrete Wood This NOA approves a system using Saxony 900 (Shake, Slate & Split Shake) Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, FL. and described 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 the installation section herein. The attachment calculations shall be done as a moment based system.. OUCT DESCRIPTION MIAMFDADE CCtUNTY 'MandfactD Test Prod uct l Dimensns Specifications Description Saxony 9 1= 17" TAS 112 Flat profile, interlocking, high- pressure = 13" pressure extruded concrete roof tile 1- 5/32" thick Slate equipped with two nail holes. For 1- 9/32" thick Shake & direct deck or battened nail -on, mortar Split Shake set or adhesive set applications. Trim Pieces Length: varies TAS -112 Accessory trim, boosted Barcelona, Width: varies concrete roof pieces for use at hips, varying thickness rakes, ridges and valley terminations manufactured for each tile profile. 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales, FL. 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) The Center for Applied 94 -084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) The Center for Applied 94 -060A Static Uplift Testing March, 1994 Engineeri NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 2 of 8 ng, Inc. TAS 101 (Adhesive Set) NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 2 of 8 r The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 25- 7183 -6 Static Uplift Testing TAS 102 (2 Quik -Drive Screws, Direct Deck) 25- 7183 -5 Static Uplift Testing TAS 102 (2 Quik -Drive Screws, Battens) 25- 7214 -1 Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Direct Deck) 25- 7214 -5 Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Battens) 7161 -03 Wind Tunnel Testing Appendix 11 TAS 108 (Nail -On) Letter Dated Aug. 1, Wind Tunnel Testing 1994 TAS 108 (Nail -On) P0631 -01 Wind Tunnel Testing TAS 108 (Mortar Set) P0402 Withdrawal Resistance Testing of screw vs. smooth shank nails Project No. 307025 Wind Driven Rain Test #MDC -77 TAS 100 R1.894 Physical Properties R2.894 TAS 112 R3.894 520109 -1 Static Uplift Testing 520111 -4 TAS 101 520191 -1 Static Uplift Testing TAS 101 Evaluation 25 -7094 Calculations Evaluation 25 -7496 Calculations Evaluation 25 -7584 Calculations 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Dec. 1998 March 1999 February 1996 April 1996 December 1996 NOA No.: 12- 0222.03 I APPROVED Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 3 of 8 Walker Engineering, Inc. Evaluation 25 -7183 March 1995 Calculations Walker Engineering, Inc. Evaluation Aerodynamic Multipliers January 2007 Calculations Walker Engineering, Inc. Calculations Two Patty Adhesive Set April 1999 System Walker Engineering, Inc. Evaluation Restoring Moments Due to February 2007 Calculations Gravity Nutting Engineers 130 TAS 112 January 2007 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with the applicable Building Code. 4. INSTALLATION 4.1 Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (VI) and Dimensions (I x w) Tile Profile Weight -W (lbf) Length -1(ft) Width -w (ft) Saxony 900 Slate, Shake & Split Shake 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - I (f e) Tile (ft) (f e) Profile Batten Application rect Deck Appllcatlon Monierl-ifetile Saxony 900 0.289 0.313 Slate, Shake & Split Shake NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 4 of 8 TabI ng Moments due to Gravity - M9 (ft -lbf) Tile 2 "•12" 3 11•12" 4 "•12" 5 "•12" 6 "•12" 7 "•12" or Profile 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 greater Saxony Battens Direct B al Fe ns t Battens Direct Battens Direct Battens Direct Battens Direct 900 24.3 Deck 1 -10d Smooth or Screw Shank Nail Eave Clip) eck 19.0 Deck 2 -10d Smooth or Screw Shank Nails Field Clip) Deck 35.5 Deck 2 -10d Smooth or Screw Shank Nails Eave Clip) Deck 7.16 8.12 .08 8.03 .97 7.91 6.82 7.74 6.65 7.55 6.46 7.34 Slate, Shake & Split Shake VI Table 4: Attach esistance Expressed as a Moment - Mf (ft -lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 16/32" plywood) Direct Deck (min. 19132" plywood) Battens Saxony 900 Slate, Shake & Split Shake 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 . #8 Screw 30.8 30.8 18.2 2 A8 Screws 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails Eave Clip) 31.9 31.9 32.2 Table 6: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Monierl-ifetile Saxony 900 Adhesive 31.3 Slate, Shake & Split Shake 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Polyfoam Product Inc. Average weight per patty 8 grams. NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 5 of 8 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monierl-ifetile Saxony 900 Slate, Shake & Split Shake P T"' 118 CPolyfoam Pol Pro 0.4 4 Medium paddy placement of 24 gram s of Pol Pro'"'. Mortar Set Table 7: Attachment Resistance Expressed as a Moment - Mf(ft -lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Monierl-ifetile Saxony 900 Mortar Set 43.9 Slate, Shake & Split Shake 5. Tile -Tite Roof Tile Mortar 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved ". LABEL FOR SAXONY 900 TILE (LAKE WALES FL PLANT) LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 6 of 8 1,110I1; V PROFILE DRAWING WATERLOCK SAXONY 900 CONCRETE ROOF TILE (SLATE MODEL) 32 " (slate) 32 " (shake) !LAY MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SPLIT SHAKE MODEL) NOA No.: 12- 0222.03 Expiration Date: 04126/17 Approval Date: 04/19/12 Page 7 of 8 MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SHAKE MODEL) END OF THIS ACCEPTANCE NOA No.: 12- 0222.03 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 8 of 8 �^ ' . ~ w' ' ^ . .� � ~ ^� . '.. " , 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 -0 124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigers. Im APPROVED NOA No.: 12- 0228.18 Expiration Date: 05 /10/17 Approval Date: 05 /10/12 Page 1 of 7 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 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 /sera 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 -0 124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigers. Im APPROVED 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 tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2- Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser 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: Tomball, TX. PHYSICAL PROPERTIES: Prope 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./Ftz Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks Closed Cell Content ASTM D 2856 86% NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 Trinity Engineering 25- 7438 -3 SSTD 11 -93 10/25/95 25-7438-4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 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 tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their file assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. FF —W 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 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. 3M114 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 Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel ) #1 17 /side on cap and 34/ an N/A Flat, Low, High Profiles 1 #2 24 1 N/A Flat, Low, Hi Profiles #3 S NOA No.: 12- 0228.18 Expiration Date: 05/10/17 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 KW through plastic CMnt Pa* *Md7h) umwwwn 1 ,Gin &"Cow • Fas* bommo* EMOMMM L— .0 Keep admdn W- ftupfmmweephols 1 On ---------- ri �� Z--517 R5. 1 NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through PWOC cement pa* Rumm Too) Nail through pbft cement ftft (BUNIII Th) UndedWrod Undedoymnt in. 7 I'Me-42-In. • Em Com Fos* Fank Wn*le EmCmm Emdasum Ea" Chum DO edp NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 Nall through plastic cement 0 1 rxS ingle; '31in. under Single paddy on i under. layment Single pad on top of ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY ft* (between Via) (under 019) Mail through plead: Underlayment \ if plastic cement 0 191-31n.x 3 IrL 4 IQ5.�f 1 Single paddy 4 In. Single MIA, paddyon I - under- r, f� ,I / layment Single paddy on top of die APA, Em /� cam 0. if plastic cement 0,10% 191-31n.x 3 IrL 4 IQ5.�f Single paddy 1 MIA, r, f� END OF THIS ACCEPTANCE Single paddy undergo Single paddy between So 21n. x 71n. medium ohm paddy am course only 000'N F808 %. WeeptWe aim closure Do edge NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 , t t Florida Building Cale Edition 2010 ffurdww Zone Uniform Pelt Appftawn Form, Section D (Steep Sloped Roof System) HIGH- VELOCrrV HtMRICANE ZONES 1 Roof System manufacture Product Approval Number. O`2m' Minimum Design Wind Pressures, N Applicable (From RAS 127 or Calculations): P1 • �' P2: P3: Maximum Design Pressure Product Approval Specific System: � Q `{ Method of die attachment: . Steep Sloped Roof System Description Deck Type: ype Underlayment: Roof Slope: 2.-j- :12 Ridge VVen�tilation? ==h� )dean Roof Height~ wn.e n mama RIM fM* e1�nM — =zNMeernsr lv r. istener Type & Spac Cap 19 0 .. - cI 61 0! 1 a i ; ;i •, 1 Florida Building Code Edition 2010 h VeWft wuaicM zone Ulan Perad Awftatlon Folal. Section E (Tile Calculations) For Moment based the systems, choose either Method Z or 2. Compared the values for K with the values from Mf. If the K values are greater than or equal to the Mr values, for each area of the roof, then the We attachment method Is acceptable. Method I "Moment Based Tile Calculations Per RAS 127" XA V = .t — MjL-D--A - =Mr , Product Approval Mr #ON — Mt .$-553, = Mr� Prodfft Approval Mr � M: VU ® mom— � -M,3 �( Product Approvall►� y j Method 2 "Simplified Tile Cakulation Per Table BdloW" u.imd Mnmani of Raciefanm /M 1 Fr am Tahla Rohm - -- -• A M_____a w� *Must be used in conjunction witb a list of moment based tie systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based We systems use Method 3. Compared the values for F with the values for Fr. If the F values are greater than or equal to the Fr values, for each area of the roof, then the tie attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P,: X1•_= x w.=___)— W_xcosB.• - F,,: w: =_J--W: x cos 8•_= F,3 : F or Information to find M +A C NVw& Olgt ftla"% MAID rbg- l Al