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RF-13-2843Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 204834 Permit Number: RF -12 -13 -2843 Scheduled Inspection Date: February 12, 2014 Inspector: Rodriguez, Jorge Owner: JANETTE O'HARE REM, HELEN H n'uwo' r c Job Address: 1158 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AFFORDABLE ROOFTEC, INC 6miaing uepanment comments TILE RE- ROOF INSTALL TILE OVER HOT MOPPED 90# ASTM AND TIN CAP 30# ASTM COLOR THRU TILE CASA GRANDE Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number INSPECTOR COMMENTS False 1132050180130 Phone: (954)962 -9670 February 11, 2014 For Inspections please call: (305)762 -4949 Page 8 of 39 Inspector Comments Passed I Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 11, 2014 For Inspections please call: (305)762 -4949 Page 8 of 39 RE: Permit # RF. i g - [-3 A45 INSPECTION AFFIDAVIT iami hores Wages- --- Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 1 M i o ri ka M. M a I i n etescu licensed as a (n) Contractor / Engineer / Architect, (Print naive and circle License Type) FS 468 Building Inspector License #: CCC057535 - - -- - On or about I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at 1158 N.E. 99tH ST. MIAMI SHORES, FL. 33138 (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit 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. Sweet to and subscribed before me this V' day of Notary Public, Sate of Florida at Large B.M. Gentile 40-13mded -- B ti,.� W CO WWSSION # FF 028450 Ttn iVoSeptember under 'General, Building, Residential, or RoW1q Contractors or any individual c:ertilied under 488 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 5121/2009 'j'l, February 10, 2014 To: Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 T tt.s Engineering & Testing Co. 7450 GMn Road, Suite 140, Davie, FL 33314 Phone. (954)581 -7115, Fax. (954)581 -2415 www.cebb.net Roof Tile Uplift Test Report Test Date: February 10, 2014 Permit #: 13 -2843 Address: O'Hare Residence 1158 NE 99t` Street, Miami Shores, FL Contractor. Affordable Rooftec Roof Pitch: 3:12 Attachment method: 3M Pol Pro AH 160 Tile Type: Boral Villa 900 Roof Tile Device Used: "IMADA DPS 110" force gauge (Serial # 15 5879) Total Sloped Roof Area: 24.15 squares All Testing is in strict accordance with the Florida Building Code, 2010 Edition, High Velocity Hurricane Zone — Testing Application Standard (TAS) 106. Roof Area: 24.15 squares Total Number of Tests Number of tests Passed % Passed Field Area (1): 11.15 squares 14 (T41 -T54) 14 100% Perimeter Area 2): 13.00 squares 13 3 -T40 18 1000/0 No. of Corner Areas (3): 10 10 1 -T10) 10 100% Rid e/Hi Areas: 137 pcs 12 (Tl 1 -T22 ) 12 1000/0 Based upon the field tests, I certify that 100% of the static uplift tests "PASSED" the testing criteria of 35.0 If load, and meets the attachment resistance for adhesive Set Systems, as specified in the NOA. Should you have any questions regarding the above, or if require additional information, please do not hesitate to contact this office. Sincerely, CeBB Engineering & Testing Co. (NOA 13- 0919.02. revises NOA 08- 0924.12) 02/10/2014 " f.. Eduard Bli� P.E. Fla. Reg. No.. P.E. For The Firm Cc: Affordable Rooftec Enc. Location Sketch Calibration Certificate 16, IT, �+ a� 4b �� 154 75-� Legend: 41 -54 Field tests 23-40 Perimeter tests 1 -10 Corner tests 11 -22 Ridge Tests TAS 106 TESTS LOCATION SKETCH Permit # 13 -2843 O'Hare Residence 1158 NE 99t' Street, Miami Shores, FL Engineering & Testing Co. 7450 Grlfn Road, Suite 140, Davie, FL 33314 Phone. (954)581 -7115, Fax. (954)581 -2415 www.cobb.net HANDLIFT RESULTS: Passed the protocol criteria of less than 3% loose. We performed the up -lift test. T — Tested tiles and Passed; Total Area: 24.15 squares No. of tested Tiles: F — Tested tiles and Failed; - Field Area (1): 11.25 squares - Field Area: 8 M — Missing Tiles; - Perimeter Area (2): 13.00 squares - Perimeter Area: 12 B — Broken Tiles; - No. of Corner area (3): 10 - Comer areas: 4 - Ridge/hip areas: 137 pcs - Ridge/Hip areas: 9 16, IT, �+ a� 4b �� 154 75-� Legend: 41 -54 Field tests 23-40 Perimeter tests 1 -10 Corner tests 11 -22 Ridge Tests TAS 106 TESTS LOCATION SKETCH Permit # 13 -2843 O'Hare Residence 1158 NE 99t' Street, Miami Shores, FL Engineering & Testing Co. 7450 Gnffn Road, Suite 140, Davie, FL 33314 Phone. (954)581 -7115, Fax. (954)581 -2415 www.cebb.net QC MetaHu i al, Inc. Testing & Consulting Services CEEB Corporation P.Q. No. Verbal CAi TBRATION CFRTEnCATF Imada Digital Force Gauge Range 0 -50 kg. Accuracy f 1.5 % @ Full Scale Serial No. 155879 Standard In kg. Instrument Reads in 0 kg 0 10C 20 C 40 C 60 C 80 C 100C 10T 20 T 40 T 60 T 80 T 100 T Scale is witbin f 1.5% at full scale 9.9 19.9 39.9 599 80.0 100.2 -9.9 -19.9 -39.3 -59.3 -79.9 -100.3 January 14, 2014 QCM Job No. 14AM 29 r CahbmW with Insuon ToWa MwImm, Load Cck SIN 936, QCM414, 2 pieces. Range 0-1000 Lb. e. Awnwy at t1.0%m N.I.S.T.0 Cert. 9RP1004200009. Dam V9)2012 VW0 1 3. Calibrated I.A.W. ANSYNCSLZ540.1 The accuracy and calibration of this instrument are traceable to the National Institute of Standards & Technology and are guaranteed to meet published specifications. Date Calibrated 1114/2014 � � - -- Date Due 1/14/2015 Kevin Grate _ Q. C. Metallurgical, Inc. 2870 Stirling Road * Hollywood, Fl. 33020 -1199 * (954) 88940089 a Fax (954) 362 -5742 E -mail: fgrate@gcmet.com BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 �5`U ,y,o� . FBC 20 Permit No. PERMIT APPLICATION Permit Type: JOB ADDRESS: WELDING 1158 N.E. 99 ST. Master Permit No. l" 13— o23 4/-3 OOFING City: Miami Shores County: Miami Dade Zip: 33138 Folio/ParceW 11 -3205- 018 -0130 Is the Building Historically Designated: Yes NO , Flood Zone: OWNER: Name (Fee Simple Titleholder): Helen O'Hare & Janette O'Hare Phone* _954-8&1.74114 Address: 1158 N.E. 99 St. City: Miami Shores State: Fl. Zip. 33138.2641 Tenant/Lessee Name: Phone# Email: CONTRACTOR: Company Name: Affordable Rooftec, Inc Phone#: 954.962.9670 Address: 2117 S.W. 57 Ave City: West Park State: Fl. Zip. 33023 Qualifier Name: Miorika M. Malinetescu Phone#: State Certification or Registration #: CCC057535 Certificate of Competency #. _ Contact Phone#: 954.962.9670 Email Address: affordable inc@belisouth.net DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 14,560.00 Square/I.inear Footage of Work.. 2,415' Type of Work: OAddition Alteration ONew ❑Repair/Replace C7Demolition Description of Work: Tile Reroof. Install tile over hot mopped, 90# Astm and Tin Cap_30# Astm. .V Submittal Fee $ 4G)-0()' Permit Fee $ Scanning Fee $ CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ , W Bonding Company *s Name (if applicable) Bonding Coi'ttpany,'s Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City a' ° N State zip Application is. hefty made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER XOR 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 inspection will not be approved and a reinspection fee will be charged. ignature 9 Owner or Agent Contractor The foregoing instrument was acknowledged before me this day of ,� > 20 .ILLaa, by-T KE who ill personally known to me or who has°produced As identification and who did take an oath. NOTARY PUBLIC: Sign: 1, JfA ,.�-�-1 -x4t Print: J .� My Commission Expires: APPROVED BY B. R OEN'11LE MY COMMISSION Ii FF 0280 EXPIRES: September 24, 2017 Bonded Thru Notary PAS Undemita e The foregoing instrument was acknowledged before me this tv day of 20.0y by who is personally known to me or who has produced as identification and who did take an oath. 64 11 Plans Examiner NOTARY PUBLIC: A / My Commission Expires: B. R GBMLE Bond ed Thru Notary Punic Underartiters Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) 0 u ALL CONTRACTORS MUST PROVIDE COPIES OF SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE A. X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE CE( RTIFIC, D. X COPY OF WORKERS COMPENSATION (En Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ON FORM CES AND INSURANCES EACH TIME A PERMIT IS YOUR INFORMATION FOR A $30.00 FEE PER YEAR. A. COPY OF CERTIFICE OF COMPETENCY OF QUA LIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE CERTIFICATE H LDER MUST BE MIAMI SHORT D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION MIAMI SHORES VIL GE BLDG DEPT 10050 NE ND AVE MIAMI SHORE $, FL 33138 ■ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr� BUSINESS NAME: Affordable Rooftec, Inc BUSINESS ADDRESS: 2117 S.W. 57 Ave STATE FI - . ZIP CODE 33023 BUSINESS PHONE: 9( � 962 -9670 FAX CELL PHONE (9 ) 931.8458 QUALIFIER'S QUALIFIER'S LIC NUMBER: CCCO57535 E -MAIL ADDRESS OF APPLICABLE): affordable_i Created on 3119109 BY NOV / RV 322 NLOV West Park R 9( 54 1518 -0075 Miorika M. Malinetescu .net AU# blb;�b�d b I A I t: U1- t- LUKIUA DEPARTMENT OF AND PROFESSIONAL R! B.Oi SEQ#LI2061400744 KEN LAWSON SECRETARY 115 S. Andrews Ave., Rm. A -100, rt. Lauderdale, FL 33301-1895 — 954831-4000 VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014 Business NDa BA: AFFORDABLE ROOFTEC INC me: 11 ReMlpt #- -R1 00 85 RNG35KEET METAL Busln"S Type: (ROOFING' CONTR) Owner Name: NIORIKA MONICA mALINETZscu Business Opened:11/06/1998 BUSIneSS Location: 2117 SW 57 AVE State/County/CertReg:CCC057535 WEST PARK Exemption Code: Business Phone: 954-456-0217 Rooms Seats: Employees 11111achiries Professionals 3 fWnh, kh"nhar nf ?Jkaehinm- Vandina Tvne. - Tax Amount Transfer Fee NSF Fee Penalty Prior Years C011wWrl Cost Total Paid 27.00 0.00 , I r , . .:r 0:00 :, - 1 0.90 0.00 1 0.001 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: MIORIKA MONICA MALINETESCU 2117 SW 57 AVE HOLLYWOOD', FL 33023 2013 .2014 Receipt #0IA-12-00011306 Paid 08/12/2013 27.00 i CERTIFICATE OF LIABILITY MURANCE URTIRMTS IS ISSUED AR A MAI rmrc ur mrvFm... �w..w.�....... __•.. —� - -- - - - -- - - - AFFIRMATIVI&T OR NEGATIVELY AWIEWs EXTEND OR ALTf:R TIg COVERAGE AFFORDED BY THE POLICIES BELOW. TIC CER1YfgCATE Oft IRANCB OOES NOT CONSTITUTE A CONTRACT BETWEEN TW ISSIIBIit6 WSURER(S?. At1YHOR'MD REPRMWATM OR PRA AND THE 7C IT: R a1a tariSiaata ham Is an AosrriONaL IIWuR®. the t>ONCY (iea) moat be Snaareed. if BUBROQATiON 19 WAIVED, OVISINA 18rina of the panty. oamm poIiat" IM mwlti an endorsement. A etat9aWSnt an thk =AmCate dwo nag comer rights to the Wfli leaQa haldw In lieu Of 1WiCRUM WSURANCE AGEtCy. VC S. frIIS801IRI AVE. ARWATER FL 33756 IOW t- e0t1.2T/ -7= S MISWURI AVENUE TmS W- TbCERfa'Y TMAT TPN SCI® yr NOTW11 WANDUiiti ANY REMOROMI NT. TORN OR CONOMW OP ANY CONTRACTOR OTHER OOCI R@SPECT TO VOUCH TKW GgRWGATE WAY IM ISSUED OR MAY pERTA01. Ta DURMARGE AFFORDED BY THE POLNM DESCRIBED 119REb113 SUBMT TO ALL TWTOOL EXCLUSHMAND CO*WfW Y8 OF SUCH FOLWIUL LOtrrS SKOT/N MAY NAVE OM O MCEO OT PAID OLAIII Troaase a► e> 1 wars son Op A I WA vjIm3IIl, 1 woma I 1N/2014 Iv«oem1 tooftaftm gQOFOVTJNT rot1®r►pP+u®aiYer.S.a�snSwww. +mow.,.....,...... _..�.�.... -.— _.-- .._ - -- We 0311812007. COVERAGE IS i'OR 10% OF THE WKOYEIES OF FR/WKCRUM LEASED 10 AFFORDABLE ROOFTEC. INC (WENTI FOR VIHOM THE IS REPORTbiG HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES- MI MI SHORES VILLAGE BLDG DEPT. 10050 N.E. 2ND AVE• MtAMI SHORES. FL 33198 ACORD 26120/0ta9) OF 711E ABOW DINCINISM POUOIES 05 CANOWAAM B&M ION DAIS 7MERE0➢, NOTICEWILL BE DEWEREO IN imm THE PDLICV PROYMONS. saw xerRe�ra7lre TIm ACORD name ow ious an mg1m nd malt W ACORD 6 7961 -Ea111 ACORO CORPORATtOK AtI Hphb roMP" . OEE- 12- 2013(THU) 15 :20 FED U50 RETRIL CORPORRTE (FRX)9545890488 P.001 /001 CERTIFICATE OF LIABILITY INSURANCE 1211?:J13 iE IS ISSUED AS A MATTER MtPORMATION ONLY AND C NO �A om UPON THE 111ATL HOLDER. f CERMCM DOES NOT AMAMATWELY OR NEOAT WELT I MMA EXTEND OR ALTER THE CO1l 409 AFFORDED BY THE POLICIES BELOW. TW CEMICATE OF MURANCE DOES NOT CONFFI1UT6 A COWRACT BETUVON THE MSUNG WURgSj. AUyt== REPaESl WATNE OR PRODUCER, AND THE CERYMCATE HOLDEI L IAA . 0ow commie mw Isa ill owim. the poi 4iii roust be eaaommL n Tai lsVW lBn, suWteec to the tannsmW carldmo nsefum po ey. com Widen my mqtft an elift AMWmaen U&gotMcaft does no =nfer ft we, to, no earth holes in ffam ormrel►arulorsem�gs}. nnarowsen Fed USA Red. M& (834? 4048472 � 19M E Hagan M Bch Bud Me 806 AM - HaA ndde Bowl% FLSNXM Pharr ES 4t*W2 aP��e alga Pit [ 884.Q48t3 A : tsmu i+yd M ttb Ift Co 2M s:• �8r�tva 10103 Afimd" RtaMcr ft. 10103 2117 SW S78r Pom c: - Vftd Pmk, FL 3= MIN ■ ■ r � i Eno •. ;, ,y. ' oPt>�rAta»rr.�a►'r�sierve�m.� � AA�mI ft= VMR8$ swkb9 0"ibrWo 10050 NE 2nd aVW= mirw ihfflm� FL Mm ACM26 8818" OF • r ...r..r,.y . Immroi1$ 1 11121=4 Rya add, Mmmo rypevts rwJ�►aa1 ramsm i ADV S 304.0.00 _ s 1. omw POMP s •' NUE LM 10QtXA7.� ff P-PUMVi s ntP��a�s} s •- ... s 8 s S a �,r a .r► MMAW a - PO=uwr s CANCELLATION _. sHC=AW tP TtMA809BO D PCLMM 88 BEFORE TNB 87�IRA7WMl IUiTE', P■7iQH Vt'4.L � 08LNBtiED INt • -• WTH WM POLICY PROVM0W A�RQ&a REi:I'INtYH ■ "ACM CORPORATION. AR rhtds tfmarved. The ACORD n■ne oral Logo Are d nePricq o1ACM Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DECEMBER 23, 2013 Permit No: RF13 -2843 Building Critique Review 1. Section D is incomplete, provide minimum design pressures. 2. Section E, Provide calculations based on method 1. 3. Miami Shores Village requires the tiles to be color through. 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. IE51P CERTIFICATE OF LIABILITY INSURANCE I um 12130h013 THIS - CERTIFICATE I8 ISSUED AS MAIM OF IINF0R00ATI0N ONLY AND CONFERS NO Rti#I78 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIV&Y OR NEGATIV&Y Ate, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TI-1118 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETVf1EEN THE W=NG 111115UREMSj. AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT K the cwNHaaie hoMw is an ADDITIONAL INSURED, the policy (I" must be eruiore®d. If SUBROGATION N SrWAIVED Conditions of the . gabled to Nm terms and pocky, certain policlEey require an enderaemenL A statement on tills certiflceta & not confer Hghts to the cer8flcais hohier In Ilea of such wfik a 1- 8W2T7 -18M X48W M. 727- 79T4M —� FRANKCRUM INSURANCE AGENCY. INC. -- 100 S. MISSOURI AVE. WNFOWAFFORDINGOOVERAQU CLEARWATER FL 33756 FRANK WINSTON CRUM INSURANCE CO. Rcmm 1-WO- 277 -1620 8 � S MISSOURI AVENUE NOTMHSTARMOANYRr BrT, TI NAOItlOMtrWOFANYCMTRACTOROTItERDOgI!® BNTYa7H �E CTTD1AWO 'HTH'fRtT�TENAYBEMsMORMAY PERTAIN, THE IHBURANCE AFFDRDED BYTHE POLICIES DESCFAMHOMMSUBJWrTOALL THE TOM% EXCLUMONSAND COMPM OF SUt.Y1 MOM LWM SHMM MAYHAVR BEEN REDUCED BY PAID CLAM& i TMOP aami sum �> r POLMEF PGjkjVWW -. senor fiaLmhFrwm m..xxw, I Lum A WCM400000 ml c�vATE 111@014 ItIPM16 'I'VE 0 311 812 0 0 7, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUIII LEASED TO AFFORDABLE ROOFTEC, INC. (CLIENT) FOR WHOM THE IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT [S M34DED TO STATUTORY EMPLOYEES. MIAMI SHORES VILLAGE SLOG. DEPT: 10050 N.E. 2ND AVE. MIAMI SHORES, FL 33138 ULD ANY OF THE ABOVE DESCRIBED P0LtM 13E 88:0n fJtPMMON DATE THEREOF. N0TICEIABLL Be DELNERED IN ®1988-MO ACORD CORPORAT10L AD dglft reserved. ACORD ze 1M�1 1fiaACORD nm►m � �o ere re0x&red mmte3 orACORD r� SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT REVIEW Property Address: �^ /fs _ �AIL 9 �f ,' Gt s5 -a ( 1-:Z 3313 f Property Owner's Name: C tee_ Y/ Property Owner's Address: Ate: ;i r /2-0 mv 106 4vc Property Owner's Phone Number: Contractor's Name: Contractor's Address: )- /17 S 60 7v /%nn+rft^inr'c Dk— AL —k— �5 -y —q6Z Y& 7e) Flood Zone BFE Lowest Floor Elevation (Excluding garage or carport) Check one of the following: [ ] I am attaching a State Certified Appraiser's report, valuing the structure at: rid ,'k P'''e! 336-2 6 I am not attaching a State Certified Appraiser's report and I accept the use of the valuation of by ropdrty that has been recorded by the County Property Appraiser's Office. SIGNATURES: Date: / -1c,, /� 3 Date: i9l- 06 o j�_ Property Search - Report MIAMI-DADE COUNTY PROPERTY APPRAISER Carlos Lopez-Caniera PROPERTY Disclaimer: Page 1 of 1 AN Aerial Photography 2012 Taxable Value Information: Property Information: Year Folio 11- 3205 - 018 -0130 2012 Property Address 1158 NE 99 ST Exemption/ Taxable Owner Names) HELEN H O'HARE LE JANETTE O'HARE REM Mailing Address 1158 NE 99 ST MIAMI SHORES FL 33138 -2641 School Board Primary Zone 1100 SGL FAMILY - 2301 -2500 SQ $25,000/$160,382 Use Code 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT $50,500/$138,033 Beds/Batha/Half 311/0 Floors 1 Sale Information: Living Units 1 Date Adj. Sq. Footage 1,748 Qualification Code Lot Size 10,400 SOFT 15721 -2050 1 Year Built 1947 Full Legal Description REV PL MIAMI SHORES SEC 8 PB 43-69 LOT 4 BLK 179 LOT SIZE IRREGULAR OR 15721- 20501192 4 Assessment Information: Year 2013 2012 Land Value $18%a-89 $180,972 Building Value $121,477 7 $140,356 Market Value $310,866 $321,328 Assessed Value $188,533 $185,382 Benefits Information: Benefit Type 2013 2012 Save Our Homes Assessment Reduction $122,333 $135,946 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 V1111dow Exemption $500 $0 Note: not all benefits are applicable to all Taxable Values (is County, School Board, City, Regional). Disclaimer: Page 1 of 1 AN Aerial Photography 2012 Taxable Value Information: Year 2013 2012 Exemption/ Taxable Exemption/ Taxable County $50,500/$138,033 $50,000/$135,382 School Board $25,5001$163,033 $25,000/$160,382 City $50,500/$138,033 $50,000/$135,382 Regional $50,500 /$138,033 $50,000/$135,382 Sale Information: Date Amount I OR Book -Page I Qualification Code 11/01/1992 1 $01 15721 -2050 1 Qual by exam of deed The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http:/hvww.miamidade.gov/infh/disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS inquiries, comments, and suggestions email: gis@miamidade.gov Generated on: Mon Dec 30 2013 http: / /gisweb.miamidade. gov /PropertySearch /printMap.htm 12/30/2013 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE PROPERTY OWNER'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: � �'f + /c �L_S 1—k :x,31.) J0 Contractor's Name: Property Owner's Name. Property Owner's Address: 21,26 .1QW Owner's Phone !a -BRUT d I hereby attest that the list of work and cost estimate submitted with my Substantial Damage or Substantial Improvement Application reflects ALL OF THE WORK TO BE CONDUCTED on the subject structure including all additions, improvements and repairs and, if the work is the result of Substantial Damage, this work will return the structure at least to the "before damage" condition and bring the structure into compliance with all applicable codes. Neither I nor any subcontractor or agent will make any repairs or perform any work on the subject structure other than what has been included in the attached list. I UNDERSTAND THAT 1 AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT I, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE OF "—CX-CA 17 Cs COUNTY OF Mx 4+'+^ t o i-,)A 0 Before me this day personally appeared a Aw,&- 'Ziff- C��i , who, being duly sworn, deposes and says that he /she has read, understands, and agrees to comply with all the aforementio on Property O ner's ignature \��` "��'�� "'�� %�,, Sworn t and subscribed before me this day of , 20, Ar��is�''' %, Notary Public Sfa te o = /' X C My commission expires ZZ 12/30/2013 10:08 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES IMO08/009 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE CONTRACTOR'S SUBSTANTIAL_ DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Prooerly Addre -ss: 4 11&2 9. E- I M ;AYK,t contractor's Name V -. „• % GQntrac:tcyr Company Name*. ►�Tl`- 'tJ� _ 1-/y0— Contractor's Address � 119- S - �' �T aw- Contractor *s Phone Number. Contractor's State Registration or4;e44W-xioa Number. PC Contractors We Regfslratron Number (if applicable): ��_M Aug F m c-Gk.1 i hereby St1est that 1, Of a membet of my staff, personally inspected the subject property and produced the attached itemized list of repairs. reconstruction and /or remodeling which are hereby submitted for a Substantial Damage or Substantial improvement Review. The list of work contains ALL OF THE WORK TO BE CONDUCTED cm the subject property It the property sustained Substantial Damage, this list of Work. will return the structure to at least its condition prior to dam�igc and bring the structure into compliance with all applicable codes. I further attest that all additions, improvements or repairs proposed for the subject budding are included in this estimate and that neither I nor any subcontractor or agent represerttinq nee will make any repairs or perform env work on the Subject Structure other than what has been inrJuded to the attached list. I UNDERSTAND THAT i AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT 1, OR MY CONTRACTOR, HAVE MApE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. Scc altar hod ;Iemlzcd list. STATE OF " Q K—t COUNTY OF _ aefore me this day personally appeared 01,11 ho. being duly sworn, deposes 8 Says that he/She has read, and rs ands, and agrees to comply with all the �Ianjractcir*, ag f. Swiorn to and subsctibeci beforc me this day of _ D 2i 0 Notary Public State, of: My commission expires: B. M. t3WLE MY COWASSICN # 1` 028450 EXPIRES: September 24, 2017 1k Bonded Tiuu ?Mary Pubye Umiemom f Application Cost Estimate of -Reconstruction / Impr 4ovv I F 1 15 /2�Q43 Date ' This cost estimate of reconstruction/improvement must be prepared by and signed by the contractor or by the owner if the owner acts as the contractor. Owners who act as their own contractors must estimate their labor cost at the current market value for any work they intend to perform. Sub - Contractor Bids Contractor or Owne Estimates _ Bid Amounts (see note "D ") Material costs 1. Masonry 2. Carpentry Material (rough) 3. Carpentry Labor (rough) aq Roofing 5. Insulation and Weather -strip 6. Exterior Finish (stucco) 7. Doors, Windows & Shutters 8. Lumber Finish 9. Hardware 10. Drywall 11. Cabinets (Built-in) 12. Floor Covering 13. Plumbing 14. Showerfrub/Toilet 15. Electrical & Light Fixtures 16. Concrete 17. Built-in Appliances 18. HVAC 19. Paint 20. Demolition & Removal 21. Overhead & Profit Labor Costs LAW W46M --h-1- —fl. Fbebwd Me Pal W000 PleawlOws, MJRAAS 150 cc ROOFTYPE Type: N Refto** D Recambg p Rep.& u 3 w SYSTM RRMRMATIM ■ gVW" an I wwMMhM&d 0 71W.7 Samoa mSwvS:::!=! .... ----------- kr:lvs w 0 ' t Florida Bung Code 2010 Ern Hkb Velocity NwTkne Zone UnWonn Perim APPI on Fong MoMon D (Stm Qbmd mm..) �1 Minimum Design WInd presMV% IfAWICable (From RAS 127 cw Cet�o _ ! Modwd of too tzogSro". S r. Deft rte: q 1 .1.17) M - f f �Mlp q R rdo mol Roof : 12 o Veetlleffion? No= Roof He FWMa Bu WkW Code 2010 Edition High Velocity Hurricane Zone Uniform Penult Am won E Mle mat_ M Mwmrd Canty be mad in =Wmwm wftamt of =mum zw BYSUM =ftrud by fte Baud +ef Adis aut Apps. For UP'* I *sed tie WOMS Um Mcffied I Co®pamd ag valor for r whit fife vahm for "- If the r vab" wo der tm or eql to tie I& vaum for eR& area•of Se roK am the tip SURChMM ndkod Is i: : Me�tod 3 "OpiB Baal Tie C Per RAS 127" tr {p2: I L* ffi I WS ®�-� w: I C9B �r a F2: NOAF' (p3 • zl a z w! _ _ �! zeds 8: a r NOA P Fre s: NOA I AVomit Md a -e z ice- (— ' -mmtes z n �$ iEdl -a VON :u3 a :QTY i�- {" -ai8� Z o i�Z •�jj� AVON MA ffi :g e�f z :� -� � :e► z � :� Y : =d3 "inM ou pam undf6 9 P9qM i vpppbm i qp�� At q � �g � sM aB vM 7I Mf P' 8.f' n qM Bo O 08 JO UM aM OUPA j S* ja im =u i vpamv Pw =$3a pma fil"Do PJBAMM W#AI alp dQag vqVAHopuBEeq VnKw At I At I ag I At I at iK you moHemZ mom (Wwuwmppmm PLvdwg f�� r►° �t� �. i Iq qPGt`PWG*SgWMZ%` o#► `Z jw I 1i Q qP Vmq JwA IDWMddV:Vumd uu*Mun NwZ um*Wnw AWQPA OOH $iLOZ 9'0 Nd uopJp3 oloz *s ftWon8 eWoW Florida Bu lding Code 2010 Edition High Velocity Hurricane Zone Uniform permit Application Form INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIREn• ptwc i a Sim ID won Derrerai �m, gaSons ApRlWtbl® WWI Drawings •r.ns Ate' Chapter 16, 1f APAlicabie, RAS 127 or ETAS 728 owner's Notification Form 07 u4ap -Delivering Excelipue Every Day° SECTION 1524 HIGH VELOCITY HURRICANE ZONES— REQUIRM OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Codo, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the ,agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purptose of providing that the roofing system meets the wind resistance and water intrusion perfe mi once 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 wood roof deck may have to be renaiied in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed P ewed 4. Exposed ceilings: Exposed; open beam ceilings are where the underside of the roof decking can be fr om below The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. 5. Pondmg water: The current roof system and/or deck of the building may not drain well and may guMsewiater to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a, professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed Ponding conditions should be corrected 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not gearloaded from a build up of water. Perimeter /edge walls or other roof extensions may black this discharge if overflow scuppers (wall outlets) are not provided It maybe necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. P7. Ventilation: Most roof structures should have some ability to vent natural airflow through the oriorf the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced Exception: Attic spaces, designed by a Florid- licensed engineer or registered architect to eliminate the attic venting, venting shall not bg,required. OwneeslAgenfs Signature:I Contractors signature: Property Address: Date: Permit Number: Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 3 Cv 7-0 1 22 10050 NE 21w Ave Miami Shores, A 33138 Re: Owner's Name: Helen O'Hare Property Address: 1158 N. E. 99 St. Roofing Permit Number. Dear Building Official: 1 Helen O'Hare certify that I am not required to retrofit the roof to wall connections of my building because: e The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the Sou6 Florida Building Code (1994 SFBC) State of Florida County of Dade Print Name The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this -day of W Co MIBSIM 9 FFF 028450 EXPIRES: September 24, 2017 Notary Public, Sate of Florida at Large „ , B=w nm, Nfty PIW rs • When the just valuadm of the structure for purpose of ad valorem tacadon is equal to or more ihan $3o0,tdlom, and the budding was not constructed with FBC nor a 1994 SFBC. Then you must provide a WWII app8cation iron a General Contractor for the Roof to Waft corneclion Hurricane MlOgadon. Revisal on 512109 Miami�Dade My Home My Home Ifw 110 Stow Me: Property Information v Seamh By: Select Item v ® Text only Report Homestead Fraud Lj Property Appraiser Tax Estimator Property Appraiser Tax Comparison Sumrrla ► Details: olt0 No.: 11- 3205-01& 130 r15S7NE S HO'HA REM l� ST MIAMI S FL 1 Pro ert :11, X70 Y 1 Luc: 01 - sinEnrrlAL- Nt3LE FAMILY 1 loom: nits: ize: 0. FT egal SHO B PB43� LOT4 179 LOT SIZE RREC3ULAR OR 15721- 1192 4 OR 15721- 1192 01 't. 11 110 iffrj—" �T Y ' IPPI �_NEEEM�i :11, X70 Y 1 s-Mr- nrr.' -r:rr I date: !i D. Amaart Ofit 5721 -2050 Pales ich are uaMcdon MsWaMed as a result of of the deed View dddiona Sales Page 1 of 1 ARM RwWgagft - 2012 0 1 111 it My Home I Property Information I Property Taxes I My Neighborhood I Property Appraiser Home I Using Our Site I Phone Directory I Privacy I Disclalmer if you experience tschnrcal difttauWes with the Property Information applicagon, or wish to semi us your emments, questions or mWestions Please mnaD tm at gis0- miamidademov. Web Site 0 2002 Mme County. AO rights reserved. http://gisims2. co. miami- dade.fl.us/MyHome /propmap.asp Legend Properw N Selected Property Street %1! My Miami -ode counlY Water wake S 12/12/2013 MUM MIAMI -DARE COUNTY PRODUCT CONTROL SECTION DEPARTMFAT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Roan 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) WWW.mi MfA3d-eggv era Bond Roofing LLC. 7575 Irvine Center Drive, Suite 100 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 including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Villa 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA# 11- 0713.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12- 0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Mat_ Concrete 1. SCOPE This renews a system using Villa 900 Concrete Roof Tile, as manufactured Boral Roofing, LLC in Lake Wales, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product ADVILcant Dimensions Specifications Deseriution Monier Lifetile LLC Villa 1 =17" TAS 112 Low profile, interlocking, high pressure extruded 900 w= 13" concrete roof file equipped with one nail hole and 'h" thick double roll nibs. For direct deck or battened nail - on, mortar or adhesive set applications. Trim pieces 1= varies TAS 112 Accessory trim, concrete roof pieces for use at w = varies hips, rakes, ridges and valley terminations. varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales, FL. 2.2 EVIDENCE SUBMITTED Test Aeency Test Identifier Test Name/Remrt Date Nutting Engineers 13343.1 TAS 112 Apr. 2006 Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) Redland Technologies 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix 1l TAS 108 (Nail -On) Redland Technologies P0402 Withdrawal Resistance Testing of screw Sept. 1993 vs. smooth shank nails The Center for Applied 94 -060B Static Uplift Testing March, 1994 Engineering, Inc. TAS 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) NOA No.: 12- 0308.20 Cou Expiration Date: 09/21/16 s Approval Date: 06121/12 Page 2 of 7 21 EVIDENCE SUBMITTED Test Agency Test Identifier Redland Technologies Letter Dated Aug. 1, 1994 The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Project No. 307025 Test #MDC -76 25- 7183 -1 25- 7183 -2 25 -7214-2 25- 7214 -6 528454 -2 -1 520109 -2 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Test NameJRenort Wind Tunnel Testing TAS 108 (Nail -On) Wind Driven Rain TAS 100 Static Uplift Testing TAS 102 (2 Quik Dnve Screws, Direct Deck) Static Uplift Testing TAS 102 (2 Quik :Drive Screws, Battens) Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Direct Deck) (1 Quik Drive Screw, Battens) Static Uplift Testing TAS 101 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Aerodynamic Multipliers Two Patty Adhesive Set System Restoring Moment Due to Gravity Date Aug. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1.998 Dec. 1998 March 1995 February 1996 April 1996 December 1996 May 2006 April 1999 April 2006 _]hEl1M iADECOUN7Y NOA No.: 12- 0308.20 APROVED1 Expiration Date: 09/21/16 Approval Date: 06/21112 Page 3 of 7 3.. I.Il WATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 , For mortar or adhesive set the applications, a static field uplift test shall be performed in accordance with TAS 106. 33 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Villa 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 11 S, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w) Tile Profile Weight W (lbfl Length -1 (ft) 1 Width -w (ft) Villa 900 Concrete Tile 10.94 1.425 1.08 Table 2: Aerodynamic Multipliers -;L (f e) Tile Profile A. We) Batten Appil cation 1 2, (f e) Direct Deck Application 1 Villa 900 Concrete Tile 0.289 0.289 Table 3: Restoring Moments due to Gravity - Mg (ft4bf) Tile Profile 3 "Ar C12" 5 ":12" 6 ":12" 7":12" or greater Villa 900 Concrete Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct I Deck Battens Direct Deck 6.79 7.70 6.73 7.62 1 6.63 7.51 6.50 1 7.37 1 6.36 7.21 NOA No.: 12-0308.20 FDaIMPROVED! Expiration Date: 09/21/16 Approval Date. 001/12 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -lbf) for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3Mn'" 2-Component Foam Roof Tile Adhesive AH460. Average weight per patty $ grams. (min 15132" plywood) (min. 19132" plywood) 54grams of PolyProTu. Villa 900 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw 8.8 11.8 4.1 Concrete Tile Shank Nail 2 -10d Smooth or Screw 16.4 21.9 7.1 Shank Nails 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw 24.3 24.3 24.2 Shank Nail (Field Clip) 1 -10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip) 2 -10d Smooth or Screw 35.5 35.5 34.8 Shank Nails (Field Clip) 2 -10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) Table 5: Attachment Resistance Expressed as a Moment Mf (ft4bf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Villa 900 Concrete Tile Adhesive 26.1 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3Mn'" 2-Component Foam Roof Tile Adhesive AH460. Average weight per patty $ grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Villa 900 Concrete Tile 31VI 2- Component Foam Roof Tile Adhesive AH -160 86.61 31YI 2- Component Foam Roof Tile Adhesive AH -160 45. 3 Large paddy placement of 54grams of PolyProTu. 4 Medium paddy placement of 24arams of PolyProTm. Table 8: Attachment Resistance Expressed as a Moment - Mf(ft4bf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Villa 900 Concrete Tile Mortar Set 20.60 5 See specific mortar manufacturer's Notice of Acceptance tance APPROVED NOA No.: 12- 0308.20 Expiration Date: 49/21/16 Approval Date: 06/21/12 Page 5 of 7 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: " EmW- -Dade County Product Control Approved ". LABEL FOR VILLA 900 CONCRETE TILE (LOCATED ON THE UNDERSIDE OF TILE) 6. BummNG PERMIT REQuntEmENT& APPROVED 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 12- 0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 6 of 7 PROFILE DRAWING ..� 13" Vu,LA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE RPPROVEDI J 21/811 J- NOA No.: 12.0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 7 of 7 MIAMI -DADS COUNTY PRODUCT CONTROL SECTION DEPAIM U NT OF PERNOMNG, ENVIRONNUM, AND REGULATORY AFFAIRS (PERA) 11845 SW 26 Strut, Room 248 BOARDAND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2594 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) r wum miamidade eor/aera 3M Company 3M Center Building O=W)5 -E-N St. Pant, MAT. 55144 -10M SCOPE: This NOA is being issued under the applicable nlles and regalations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miiarm Dade County PERA - Product Control Section to be used in Miami Dade County and outer area where allowed by the Authority Having Jurisdiction (AHJ) This NOA shall not be valid after the expiration date stated Flow. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (m 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: 3mm 2- Component Foam Roof Tice Adhesive AH-160 LABELING: Each unit shall bear a permanent label with the manufacturerrs 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. ADVERTISEIMIENT: 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 distn'butors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA# 11 -0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigers FiTom"41i", NOA No.: 12-022&18 Expiration Date: 85/10/17 Approval Date: 85/18/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Categary: Roof the adhesive Materials: Polyurethane SCOPE: This approves 3Mm 2- Component Foam Roof Tile Adhesive AR-160 as manuf ctured 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- Componat 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: Pr� Dimensions Tit pct Description Su�CiBcations 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 8t 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive AH -160 roof file adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: 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 2956 L_�:_ 1.6 lb U&3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFe 3.1 Perm / Inch +0.07'/6 Volume Change @ -W F., 2 weeks +6.06 Volume Change @158T., 100' /6 Humidity, 2 weeks 866/6 NOA No.: 12-0228.10 Expiration Date: 05/10/17 Approval Date: On 0/12 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: Southwest Research Institute 01.743 -011 Test Test J&affa Test Nam art Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 11-93 10/25/95 25 -7438-4 10123/98 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 01.743 -011 ASTM E 108 11/16/94 01- 6739-062b[t] ASTM E 84 01/16/95 Trinity Engineering 7056.02.96 -1 TAS 114 03/14/96 CeIotex Corp. Testing Services 528,454 -2 -1 TAS 101 10123/98 5284454 -9-1 528454 -10-1 520109 -1 TAS 101 12/28198 520109 -2 528109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIlVIITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating, 2. 3Mru 2- Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat, low, & high file 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 toe assemblies shall test in accordance with TAS 101. S. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F �W 2 F'= i MS NOA Nu.: 1218 Expiration Date: 0SA0117 10ROV APProvat Date: MOW Page 3 of 7 INSTALLATION: 1. 3MTa 2- Component Foam Roof Tile Adhesive AH-160 may be used with any roof file assembly having a current NOA that lists uplift resistance values with the use of 3MTa 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 res6tanc- , 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 3MTN 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approval 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 be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approval. 6. 3MTW 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. B. 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 Proffie Tile Profile Placement Detail Single Paddy Weight min- O " M) Two Paddy Weight per paddy Alm. (grates) Fig Low ffigh Profiles #1 35 N/A High Profile Piece Barrel #1 17 /side on cap and 34 an N/A flat, Low jhgh Profiles #2 24 N/A Flat, Low, High Profiles #3 1 g NOA No.:1;GdI MIS Expiration Date: 95/10/17 Approval Date: 85/10/12 Page 4 of 7 LABELING: All 3M'm 2.Component Foam Roof Tile Adhesive AH-1 60 containers shall comply with the Standard Conditions listed herein. MOLDING PutmT 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 NOA No.: 124=18 Expiration Daft: 05/10/17 Approval Date: 05A0/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY IRMO NOA No.: 12-022&18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADn&%W PLACEMENT DETAIL 3 DOUBLE PATTY ice) tw 21LITI . oaf I I% ,i1I.n pfYodY END OF THIS ACCEPTANCE NOA No-- 1240228.18 Expiration Date: 05/10/17 APProval Date: 05/10/12 Page 7 of 7