The URL can be used to link to this page

RF-13-2859r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 204983 Permit Number: RF -12 -13 -2859 Inspection Date: February 14, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: WINOGRAD, JEFFREY Work Classification: Tile Job Address: 1020 NE 105 Street Miami Shores, FL Phone Number Parcel Number 1122320280030 Project: <NONE> Contractor: BUILDING UNLIMITED Phone: (305)278 -8188 Buildino Denartment Comments RE- ROOF TILE TO TILE Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 February 14, 2014 Page 1 of 1 �r W Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 204983 Permit Number: RF -12 -13 -2859 Inspection Date: February 14, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: WINOGRAD, JEFFREY Work Classification: Tile Job Address: 1020 NE 105 Street Miami Shores, FL Phone Number Parcel Number 1122320280030 Project: <NONE> Contractor: BUILDING UNLIMITED Phone: (305)278 -8188 Buildino Department Comments RE- ROOF TILE TO TILE Infract(o Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed El Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 February 14, 2014 Page 1 of 1 4ft F.I.E. FLORIDA INTERNATIONAL ENGINEERING &TESTING LAB INSIGHT- INNOVATION•INTEGRATION Owner's Name° Job Address: Roofing Contractor: Permit Number: A Florida International Engineering and Testing Lab LLC 16701 SW 117 Avenue, Miami, FL 33177 Telephone: (305) 378 - 1991 -Fax: (305) 378 -1997 Miami -Dade Lab Certification # 07- 0612.11 -State of Florida ca #27273 SITE SPECIFIC INFORMATION • 3 I 1> c t Type of Tile: L I- c Approximate Roof Height: (7- feet Slope: m l-L Approximate Square Footage: t ft2 Type of Access to Roof: Ladder OtherRequired Tes in Force: 35 lbs. Testing Equipment: F.G Ox Shim o Instrument Date Installed: CO 1-0- ID W- M Date of Inspection: 'Z o t �_R ------ - - - - -- --- ----------------------------------- F�"�w TEST RESULTS P= PASS, F= FAIL -----------=-------- - - - - -- --------.---------------------=------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,.THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: 4 ft Area Units gr ft2 No. of Tests Perimeter Field ® p Corners 15 ty Hips & Ridges Lo or- �_�m�� ®mom -----------=-------- - - - - -- --------.---------------------=------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,.THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: 4 ft Area Units gr ft2 No. of Tests Perimeter Field ® p Corners 15 ty Hips & Ridges Lo ► 11 ► ►►1'1118®® RESP ESC ! � #1VfED BY: E N +S /`r�S ® ®® No 63107 v Uj �' •. SKATE Vfii ' /aNM -' "fillew% RE: Permit # Miami shores Village Building Department INSPECTION AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: I� 7-/ licensed as a (n) Contractor / Engineer / Architect, (Print name and drde License Type) FS 468 Building Inspector License #: � c � 0'r -T4- On or about , I did personally inspect the roof deck nailing and (Date & time) �- Secondary water barrier work at 110 2!o 1 tr, (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) 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. Sworn to and subscribed before me this ��' rj Notary Public, Sate of Florida at Large 'General, Building, Residential, or Roofing Contractors or any individual certified permit # and address # dearly shown marked on the deck for each inspection Revised on 5/21/2009 of J /-� ��tipRY PVe �� GUILLERMO VALENCIA °, .`�•; Notary Public - State of Florida • . • My Comm. Expires Aug 22, 2014 !3�'• „„.... an I imimuldN4 hs o ch plane of the roof with Bonded Through National Notary Assn. Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit No. DEC 2 4.2013 FBC 20 Master Permit No.O/ /3'' 2zV Permit Type: BUILDING ROOFING JOB ADDRESS: 1 Q 2,C) A! 106--s 7 City: ZLeMiami Shores County: _ Miami Dade 7,ip:..3�/ Folio/Parcel #: Is the Budding Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): t % LXVC,4, W rnonwn Address: I SE c�;I City: nl A M *l f240 P E -State: E-4--0 212>A zip: TenanAzssee Name: Phone#: Email: CONTRACTO' Address: City: Qualifier Name: �69 State Certification or Registration #: C-�� D,�~ 3 7� _Certificate of Competency #: Contact Phone#: k'O. =oO Email Address: !Jh DESIGNER: Architect/Engineer: l . oa Phone#: Value of Work for this Permit: Square/Linear 7epatrieplace e Work: ,2 500 Type of Work: OAddition LI lteration ONew ODemolition Description of Work: C�) � Color thru tile: Submittal Fee $ 0 -66 Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $62 3 - I Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be 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 Signature Signature Owner or Arent Contractor The foregoing instrument was acknowledged before me this day of , , 20�', by Ui� w o is personally kno to me or who has produced As identification and who did take an oath. Sign: Print: My Commission Expir.d �a�eauQuaua��eaeauaua��ua��+ APPROVED BY Notary Public - State of Florida Commission # EE 19417 Bonded Through National Notify Aiin. The foregoing instrument was acknowledged before me this day of , 20 �-� by &4ef,17'D & r , who is onall kn me or who has produced as identification and who did take an oath. 7 Plans Examiner Structural Review (Revised 3 /1212012)(Revised 07 /10 /07)(Revised 06J10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: My � flA Notary Public - State Of F10fldd bras A — ,,,,9��,�mission # EE 18417 boded Through National Notary A1tn, Zoning Clerk 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 10050 NE 2^d Ave Miami Shores, Fl 33138 Re: Owner's Name: J zllzv�� Property V'_ Roofing Permit Number: Dear Building OfFicial: certify that I am not required to retrofit the roof to wall connections of my building because: ❑ 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 S th Florida Building Code (1994 SFBC) 'ex �-�v k)lljoal�q Signature Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he /she is the owner for the above property mentioned. Sworn to and subscribed before me this � day of , 2&1-4 Notary Public, Sate of Florida at Large V�6e.0as4pno VALENCIA "` • eny Comm. Expires Aug 22, 2014 • When the just valuation of the structure for p d valorem taxa n • 3rrore tl $ a 111491g011ding s not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Co ctoi9�N ie Rooi1RP IIT AN t t?IiPr li Revised on 6121009 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET .`"�� `- - TALLAHASSEE FL 32399 -478.3 CURI, MARTIN BUILDING UNLIMITED 24477 SSW 8 ST #188 INC FL 33130 STATE OF•FLORI.pA AC # 6 20 2 3E 7 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. , PROFESSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. CCC051374 07/14/12 128009001 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIF EA ROOFING CONTRACTOR There you can find more information about our divisions and the regulations that CU1tY , PRA)•2TIN impact you, subscribe to department newsletters and learn more about the BUILDING UNLIMITED INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. =g c�RTIFxr�n under the provi -eions •pf :Ch,+i89 �s Thank you for doing business in Florida, and congratulations on your new license!' zvg ration date. AUG 31, 2014. L12071460i66 DETACA AERE QuiYtrAS .co �0 .. Ac WOM A. 1 0 _. FLORIDA DEPARTMENT OF BUS NESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY L•ICENSIXG BOARD SEM L12071400266 • - LICENSE NBR 07 14 2012 128009001 CCC057374 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisio>t1s of Chapter 489 FS. Expiration date: AUG 31, 2014 CURI , MARTI-N BUILDING UNLIMITED INC 247 SW 8TH STREET #188 MIAMI FL 33130 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAIN ACGPR0 CERTIFICATE OF LIABILITY INSURANCE DATE OAMMOhYM 11 01/25/2013 THIS COMFICATE 18 ISSUED AS A MATTER OF INFORIIIATION ONLY AND CONFERS NO MGM UPON THE CERTIACATE HOLDER. THIS CERTIFICATE DOES NOT AFFMATNMY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE cmnNCA-M HOLDER. OMRTAKr- if the tedifficalim hakier is an ADDITIONAL INSURED, the pollcy(les) atpNt be 6"OnmML 9 SUBROGATION 13 WAPM. subjed to the Wmm and comfidons of do pufficy, cadmin policies aM mquire an endorseumint A oblamwit on this ceiftcoft dam not cmder floft to the cedtfteft hotdor In Dam of Such enifammengs), PRODUCER (305) 418-8411 305-418-8413 CO1VTACT t&viin parBZ FAX Westward Insurance Services, Inc (305) 418 43411 30a- 418 -8413 2500 NW Tft Avenue We§!wardIr!s@411scuth.net Suite 283 Dgrja-EL--32-j2Z-.---... . -- — A L.LMfd6-9( London Insurance -C.QmPnY INSUIVED i!!RRERB.Frma Winston Crum lamma= Comppny BUIW!ng Urdby1fted. Inc _"!p!LRR: 247 SW 8 ST gianoRD: . .-- --.- . Miami, FL 33130 lasum�.k-. — 11111SURIMF; f4=0T1CU-ATC W HOMO- RFIAQIAId minmount- THIS is To a&ffiFy THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDMID ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'am A13 DILIKIER LTR TYPE OF INSURANCE rMiNnarrfm 111111111130mym LIMITS -POLICYMNMM EACNOCCWBwkm sl�om-QQQ A — . PREMISES .CLAWS-MADE %f O=UR FZDHE-V 01/08113 01/08/14 Mr0 P—) s 0p0 PERSONAL &A[WINJINY Sj,0M,000 GE1*fflALAGGRwT!---A-2,000.000 .GEN•AMEMTELIWAPPLIESPER: p0my 79 we A1170MOSILELIABLITY ANY AUTO 90MLY WARY (pupmm) & ALLOMINED SCHEDULED AUTOS — zgm. SOIALY K1URY (per mano. S "RED AUTOS AUTOS : 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS L1A9 CLAR494MDE AGGREGATE S DED RETENTMNS S WORK COMPIEMBATION AND EMPLERS OYERS'LIABLITY 0T1+ ..Twmk 1 ER -1 - - ' YIN B =sqc'mmmmmmum? f7y NIA WC201300000 ' - 01/08/13 01108/14 EL EACH AOCIOENT S Igoo.000 (unoduvinon EL DISEASE - EA EMPLOYEE Wi EL DISEASE - POLICY UWT 5 Certificate Holder Is Listed as Additional Insured. VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT SWUW*%WCWWMMMMCIUMPO=MMCMCELUMNWDM THE EXPIRATION DATE THEREOF, NMICE VA.L 13E oEuvERED IN ACCORDANCEVATH THE POLICY PROVISION& 10050 NE 2ND AVENUE ,MIAMI SHORES FL 33138 AUTHORIZEDRIOWME011TATIVE r, Maylin Perez/q;7-7-,*�� WO 111111116-AIJ1111 ALAAW WrJ*LPKA IVJIL ACPM IIIISBMW. ACORD 2S (26111KIR The ACORD nam and kW are registiamd marks of ACORD 001672 Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 4171963 All BUSINESS NANIVLOCATION RECEIPT NO. EXPIRES BUILDING UNLIMITED RENEWAL SEPTEMBER 30, 2094 12170 SW 128 a 101 3725331 Must be displayed at place of business MIAMI FL 33186 Pursuant to County Code Chapter 8A — Art. 9 & 10 SEC. TYPE OF BUSINESS BUILDING 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED BUILDING UNUMIT ® INC UILD By TAX COLLECTOR Worker(s) 1 CCOD57374 $75.00 09/09/2013 CREDITCARD -13 -007870 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is note license. permit, or a certification of the holders qualifications. to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business The RECEIPT NO. above mast he displayed on all commercial vehicles — Miand —Dade Cate Sec Or -77 For more information. visit www.miamidade.aovitaxcollector j?F / 3 judgment and knowledge of local/regional wage scales can provide additional guidance to determine reasonable labor rates for professional trades (i.e. electricians, plumbers, block masons, framing, HVAC). SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE ITEMS TO BE INCLUDED (Please check off each line) ALL STRUCTURAL ELEMENTS INCLUDING: [ ] Spread or continuous foundation footings and pilings [ ] Monolithic or other types of concrete slabs [ ] Bearing walls, tie beams and trusses [ ] Wood or reinforced concrete decking or roofing [ ] Floors and ceilings [ ] Attached decks and porches [ ] Interior partition walls [ ] Exterior wall finishes (e.g., brick, stucco or siding) including painting and decorative moldings [ ]Windows and Re- shinglin or re- til�ar [ ] Hardware ALL INTERIOR FINISH ELEMENTS, INCLUDING: [ ] Tiling, linoleum, stone or carpet over sub - flooring [ J Bathroom tiling and fixtures [ ] Wall finishes (e.g., drywall, painting, stucco, plaster, paneling, marble or other decorative finishes) [ ] Kitchen, utility and bathroom cabinets [ ] Built -in bookcases, cabinets and furniture [ J Hardware ALL UTILITY AND SERVICE EQUIPMENT, INCLUDING: [ J HVAC equipment [ ] Repair or reconstruction of plumbing and electrical services [ J Light fixtures and ceiling fans [ ] Security systems [ ] Built -in kitchen appliances [ ] Central vacuum systems [ ] Water filtration, conditioning or recirculation systems ALSO: [ ] Labor and other costs associated with demolishing, removing or altering building components [ ] Overhead and profit ITEMS TO BE EXCLUDED Plans and specifications Surrey costs Permit fees Debris removal, (e.g., removal of debris from building or lot, dumpster rental, transport fees to landfill and landfill tipping fees), clean -up (e.g., dirt and mud removal, building dry out, etc.) Items not considered real property such as: throw rugs (carpeting over finished floors), furniture, refrigerators, appliances which are not built -in, etc. OUTSIDE IMPROVEMENTS, INCLUDING: Landscaping Sidewalks Fences Yard lights Swimming pools\spa Screened pool enclosures Sheds Gazebos Detached structures (incl. garages) Landscape irrigation systems Docks and Davits Seawalls Driveways Decks ITEMS REQUIRED TO EVALUATE YOUR APPLICATION APPLICANT MUST SUBMIT ALL OF THE FOLLOWING (please check off each item): 1. Completed and signed application for substantial damage /improvement review (included in this package). 2. Elevation certificate if property is located above base flood elevation. 3. Property Owner's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 4. Contractor's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 5. Estimated Cost of reconstruction /improvement form (included in package) and all required backup. Include subcontractor's bids and itemized cost lists (see footnote on Cost Estimate Form). 6. This checklist. 7. Copy of construction contract. If the owner is the contractor, submit all subcontractor bids to document the cost estimate. SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT REVIEW Property Address: Property Owner's Name: �- s Property Owner's Address: Property Owner's Phone Number: ! , 0 Contractor's Name: Contractor's � �; �,�/ �� Address: � vz"4/�3 C) Contractor's Phone Number: o®ve- le�dc/ V 74 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: [ ] lam not attaching a State Certified Appraiser's report and I accept the use of the valuation of my property that has been recorded by the County Property Appraiser's Office. SIGNATUR Property Ov Contractor: Date: o 2--3 ` /-J / Z— 2-3 73 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE PROPERTY OWNER'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: Contractor's Name: Property Owner's Name: ��WWZ Property Owner's Address: `g ``Z / Az-5oplL Property Owner's Phone Number. 0 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 1 UNDERSTAND THAT I 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 COUNTY OF o " XJ 7' c— Before me this day personally appeared -7 6 )_, who, being duly sworn., de oses and says that he /she has read, understan , and agrees to comply with all the afore e n d or itions. Property Wees;7&g-naturcy �� Sworn to and subscribed before me this 2--3 day of 20 . 'rs e Notary Public State of My commission expires ��s"�Yp;;e,�� GUILLERMO VALENCIA Notary Public - State of Florida • . . • My Comm. Expires Aug 22, 2014 Commission # EE 19417 Bonded Through National Notary Assn. SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE CONTRACTOR'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: Contractor's Name: Contractor's Company Name: 77 AD Contractor's Address: �'® Contractor's Phone Number. —3 ODJ c? Contractor's State Registration or Certification Number: Contractor's We Registration Number (if applicable): I hereby attest that I, or a member 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 on the subject property. If the property sustained Substantial Damage, this list of Work, will return the structure to at least its condition prior to damage and bring the structure into compliance with all applicable codes. I further attest that all additions, improvements or repairs proposed for the subject building are included in this estimate and that neither I nor any subcontractor or agent representing me 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 I 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 COUNTY Re-/'° — Before me t 's day personally appeared �� , who, being duly swor d poses and says that he /she has read, understands, and agrees to comply with all the aforementi conditions. Contractor's I ure Sworn to and scJbed before me this day of Notary Public State of �oo�i�PGe.,, GUILLERM VALE A + °► s`� Notary Public - State of Florida • My Comm. Expires Aug 22, 2014 ��F�F�_"c Commission # EE 19417 '��" Bonded Through National Notary Assn. al .a d Cost Estimate of Reconstruction / Improvement Application l� — �� "/ 3 Number _ _ 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 of Owner Estimates Bid Amounts (see note "D ") 1. Masonry 2. Carpentry Material (rough) Labor (rough) 4. Ro 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. Shower/Tub/Toilet 15. Electrical & Light Fixtures 16. Concrete 17. Built-in Appliances 18. HVAC 19. Paint 20. Demolition & Removal 21. Overhead & Profit Material Laby r Cos Costs �� Se6on A' t DCC 2 4 2013 High Velocity Hurricane Zone Roofing Permit Application Form Section A (General Information) Master Permit No: Process No: Contractor's Name: I BUILDING UNLIMITED Job Address: 1 1020 NE 105TH STREET MIAMI SHORES Roof Category ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Sprayed Polyurethane Foam ❑ Other Roof Type ❑ New Roof ❑✓ Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes ❑✓ No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area (ft.2) N/A Steep Sloped area (ft.-) 1 2500 Total (ft.-) 2500 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): N/A Corner Size (a' x a'): N/A j0 1 Tile Roof System Building & Neighborhood Compliance Department HVHZ Electronic Roof Permit Form Section D Tile Roof System Roof System Manufacturer: I EAGLE ROOFING PRODUCTS, LLC Notice of Acceptance Number (NOA): 1 12- 0430.04 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: -45.1 P 2: -78.6 P 3: -116.2 Maximum Design Wind Pressures, (From the NOA Specific system): 40.4 psf Roof Slope: "712" Roof Mean Height: 18 ft. Method of Tile Attachment -- Adhesive, Medium Paddy Polyfoam Polypro— Alternate Method of Tile Attachment per NOA: N/A Drip Edge Size & Gauge: —3" face 24 7 Drip Edge Material Type: I — Galvinized Metal— Deck Type: --5/8" Plywood -- Optional Insulation: N/A Optional Nailable Substrate: N/A Optional Nailable Substrate Attachment: FN/A Basesheet Type: F#30 ASTM Fastener Type for Basesheet Attachment: 1 -1/4" RS TINCAP 6 "OC LAP 12" OC FIELD Tile Underlayment (Cap Sheet) Type: P-90 ASTM Tile Underlayment Attachment Method: ASPHALT ASTM Drip Edge Fastener Type: 1 12GA. 1 -1/4" R -SHANK NAILS Tile Profile: LOW PRIFLE BEL AIR Hook Strip /Cleat gauge or weight: I —n /a- Section E t a Building & Neighborhood Compliance Department HVHZ Electronic Roof Permit Form Section E (Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 127' For Moment based file systems, use Method 1. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the file attachment method is acceptable. P 1: -45.1 x x 0.278 = 12.54 - Mg: 7.59 = Mr1: 4.95 5 40.4 NOA Mf P 2: -78.6 x ). 0.278 = 21.85 - Mg: 7.59 = Mr2: 14.26 15 40.4 NOA Mf P 3: -116.2 X x 0.278 = 32.30 - Mg: 7.59 = Mr3: 24.71 s 40.4 NOA Mf Method 3 "Uplift Based Tile Calculations Per RAS 127' For Uplift based file systems use Method 3. Compare 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 file attachment method is acceptable. P1: x1: H Job Site xw. -W : Job Site Aerodynamic Multiplier x Cos 0:F-1= Fri: :5 NOAF P2: x1:�= Mg �xw:�= Attachment Resistance -W :� Product Approval (NOA) =� x Cos 0: E] = Fr2: :5 NOAF P3: F x1:�= Required Uplift Resistance �xw :�= Average Tile Weight W -W:� =� x Cos 9:F-1= Tile Dimensions Fr3: Product Approval (NOA) 5 NOAF Where to Obtain Information to complete tile calculations Where to Find Description Symbol Design Pressure P1 or P2 or P3 Table 1 RAS 127, or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7. Mean Roof Height H Job Site Roof Slope 9 Job Site Aerodynamic Multiplier X Product Approval (NOA) Restoring Moment due to Gravity Mg Product Approval (NOA) Attachment Resistance Mf Product Approval (NOA) Required Moment Resistance Mr Calculated Minimum Attachment Resistance F Product Approval (NOA) Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval (NOA) I = length Tile Dimensions w = width Product Approval (NOA) Owner's Notification Farm 07 MIAMFL�DE ° "Deliverini; Excellence, Every Day" SECTION 1524 HIGH VELOCITY HURRICANE ZONES— REQUIRED 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 Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the i s been explained. 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Fnoe)m e for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as 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 renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida p CeCode. (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 . townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or o e hould notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be 'ewed from 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 ain i g this appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water 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 ro fin system is removed Ponding conditions should be corrected. Kzk- Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if ,overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance requirements of Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced Exception: Attic spaces, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, venting shall riot be required. _ Owner's /Agent's Signature: Date: 12 / 14 ji / 2013 Contractor's Signature: Permit Number: Property Address: 1020 NE 105TH STREET MIAMI SHORES MIAMIMADE MIAMI -DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) Eagle Roofing Products LLC 1575 East C.R. 470 Sumterville, FL 33585 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ), This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Bel Air, Bel Air Double Eagle, Ponderosa, Ponderosa Double Eagle, Golden Eagle Low Profile Concrete Tiles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA# 11-0321.02 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: 1. SCOPE: Roofing Roofing Tiles Concrete This approves a new roofing system using "Low Profile Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Bel Air Concrete Tile L= 1T' TAS 112 Flat profile concrete roof tile equipped with two W =12 I /4" nail holes. For adhesive set, direct deck or Thickness = VT battened nail -on applications. Bel Air Double Eagle L= I T' TAS 112 Flat profile concrete roof tile equipped with two Concrete Tile W =12 %4" nail holes. For adhesive set, direct deck or Thickness =' /a' battened nail -on applications. Ponderosa Concrete Tile L= I T' TAS 112 Flat profile concrete roof file with slate finish W = 12'/4" equipped with two nail holes. For adhesive set, Thickness = %2" direct deck or battened nail -on applications. Ponderosa Double Eagle L= IT' TAS 112 Flat profile concrete roof tile with shake finish Concrete Tile W= 12'/4" equipped with two nail holes. For adhesive set, Thickness =1 /2" direct deck or battened nail -on applications. Golden Eagle Concrete L= I T' TAS 112 Flat profile concrete roof file brushed finish Tile W = 12'/4" equipped with two nail holes. For adhesive set, Thickness = %2" direct deck or battened nail -on applications. Trim Pieces 1= varies TAS 112 Accessory trim, clay roof pieces for use at hips, w = varies rakes, ridges and valley terminations. varying thickness Manufactured for each tile profile. NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 2 of 10 2.1 EVIDENCE SUBMITTED: Test Agency Test Identifier PRI Asphalt Technologies ERPF -001 -02-01 Redland Technologies 7161 -03 Appendix III Redland Technologies 7161 -03 Appendix III Redland Technologies 7161 -03 Appendix H Redland Technologies P0402 Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 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 Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Letter Dated Aug. 1, 1994 P09647 -01 94-084 25-7094-(2,5, & 8) 25- 7183 -(5 thru 6) 25- 7214 -(1, 5 , & 8) 25- 7487 -2 25- 7496 -(1 & 4) 25- 7804 -6 520109 -1 520111 -4 520191 -1 Calculations Calculations Test Name/Report TAS 112 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102(A) Wind Tunnel Testing TAS 108 (Nail -On) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Static Uplift Testing TAS 101 (Mortar Set) Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 101 Static Uplift Testing TAS 101 Aerodynamic Multiplier Restoring Moments Due to Gravity Date Aug. 2006 Dec. 1991 Dec. 1991 Dec. 1991 Sept. 1993 Aug. 1994 Aug. 1994 May 1994 Oct. 1994 Feb. 1995 March, 1995 Dec. 1995 Dec. 1995 Sep. 1996 Dec. 1998 March 1999 Sep. 2006 Sep. 2006 NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 3 of 10 3. LIMITAT1oNs: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Concrete Roof Tiles and its comments shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Bel Air, Bel Air Double Eagle, 11.4 1.42 1.03 Ponderosa, Golden Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Table 2: Aerodynamic Multipliers - A (fe ) Tile Profile A (fe) A (ft) Batten Application Direct Deck Application Bel Air, Bel Air Double Eagle, 0.301 0.278 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile NOA No.: 12-0430.04 ME Expiration Date: 10/05/16 e Approval Date: 08/02/12 Page 4 of 10 Table 3: Restoring Foments due to Gravity - M9 (ft -lbf) Tile 3":12" 4 ":12" 5 11:12" 6 ":12" Greater than Profile 30.9 38.1 17.2 1 -10d Smooth or Screwy Shank Nail 7 ":12" Bel Air, Bel Air Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Double Eagle, 51.7 Deck 1 -10d Smooth or Screw Shank Nail Field Clip) Deck 24.3 Deck 1 -10d Smooth or Screw Shank Nail Eave Clip) Deck 19.0 Deck 7.48 7.71 7.37 7.59 7.22 7.44 7.05 7.27 6.86 7.07 Ponderosa, Golden Eagle, with a 4" the headlap and fastemers are located a min. of 2%" from head of tile. Ponderosa Double Eagle Flat Tile Table 4: Attachment Resistance Expressed as a Moment - Mt (ft -lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19132" plywood) Battens Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screwy Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screwy Shank Nails 14.0 18.8 7.4 1 #8 Screwy 30.8 30.8 18.2 2 #8 Screw 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 2 -10d Ring Shank Nails 50.3 65.5 48.3 1. Installation with a 4" the headlap and fastemers are located a min. of 2%" from head of tile. NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08 /02/12 Page 5of10 Table 5: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Application Resistance Bel Air, Bel Air Double Eagle, Adhesive 31.3 Ponderosa, Golden Eagle, Ponderosa 31VI 2- Component Foam Roof Tile Adhesive AH -160 40.4 Double Eagle Flat Tile Ponderosa Double Eagle Flat 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 13.9 grams. 3N17N12-Component Foam Roof Tile Adhesive AH -160 Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Mortar Set Systems for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Application Resistance Resistance Bel Air, Bel Air Double Eagle, 3M 2- Component Foam Roof Tile Adhesive AH -160 118.9 31VI 2- Component Foam Roof Tile Adhesive AH -160 40.4 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 3 Large paddy placement of 45 grams of Pol ProTM. 4 Medium paddy placement of 24 grams of Pol Pro'"'. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft -lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Mortar Seto 43.9 Eagle, Ponderosa Double Eagle Flat Tile 5 Tile -Tite Roof Tile Mortar. NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08 /02/12 Page 6 of 10 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". EArGL�' FLORIDA BEL AIR, BEL AIR DOUBLE EAGLE, PONDEROSA, GOLDEN EAGLE, PONDEROSA DOUBLE EAGLE CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT (LOCATED ON UNDERSIDE OF TILE) 6. BummNG PERMIT REQ TS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 this Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 7of10 PROFILE DRAWING BEL AIR BEL AIR DOUBLE EAGLE NOA No.: 12-0430.04 Expiration Date: 10/05 /16 Approval Date: 08/02/12 Page 8 of 10 F 0 - tir 4a S m ymm os�e :,�v9 eavp� "'6a � °a m"OS:,o °�a•pa°"°w «pa°�"..i ". "x. °', ° °••• °S 5:e° m.. @'a. °5°m •.,,v. ®v we ate! « e�N �w « „� .: ..q � °e4'°w� n ate�.__ �a @ � .'°'�.''�, 5.anm��•q �f4*i's,� R ^m p°'m.e, °°. ° ^ °� u,® � WN",.v Q � ry.. ..'am.. •« �.'ks m°v .. �_ c�Q mom =w,a,, ^.e °q•° .. '��+.'q, �: �° «fie° .�y� °•�•as.,pJm m s�o'^ °��i� 17' sav�vw �4 Q 4 aeE1 1° % 4 PONDEROSA PONDEROSA DOUBLE EAGLE T NOA No.: 12-0430.04 Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 9of10 V GOLDEN EAGLE END OF THIS ACCEPTANCE NOA No.: 12-0430.04 Mu�ai•aEwecounrrir Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 10 of 10 nDA 111 -DADS COUPffY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Sheet Room 208 HOARD AND CODE ADMINISTRATION DIVISION Mani, W ida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) 6494 t4.78F&allltUatlY.Bus /uera 3M Company 3M Center Building 0220-05 -E-)6 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 MamiDade 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 Mann Dade County) reserve the right to have this product or material testes 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: 3Mrm 2- Component Foam. Roof Tile Adhesive AR-160 LABELING: Each unit shall bear a permanent label with the manufacturers name or logo, city, state and following statement: "Mann Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been fled and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA# 11 -0124.04 and consists of pages I through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: �= 1taofing Sub Category: Roof file 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 requiremeuts, 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 3XITM 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 cu avft 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: Property Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.6 lbs.ffl.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Fe 3.1 Perm / Inch +0.07% Volume Change @ -W F., 2 weeks +6.00/o Volume Change @158°F.,100% Humidity, 2 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 ASIM teat methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Alzency Teat Identifier Test Name/Rep Ort Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 1193 10/25/95 25- 7438-4 25- 7438 -7 SSTD 1193 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, hie. 963792 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -0I1 ASTM E 108 11/16/94 01- 6739-062b {I] ASTM E 84 01/1605 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 12/28198 520109 -2 520109-3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LEl31TATIONS: 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 ice for the use of 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 roof file adhesive with their file assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof file adhesive with their file assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F _w 2 F= MS NOA No.: 12 -0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 3of7 INSTALLATION: 1. 3MTm 2- Component Foam Raof Tile Adh a ive .AH -160 msw be used with any raataaawwmhJyhavMS a current NOA that lists uplift resistance values with the use of 3M3M 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 file 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 3M'M 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Teamed' Wffied Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the, "B" component shall be maintained between 1.0 -1.15 (A):1.0 (B). The dispense timer shall beset to deliver 0.0175 to 0.15 pounds per the as determined at calibration. No other settings shall be approved- 6. 3Mlm 2- Component Foam Roof Tile Adhesive AEI 160 shall be applied with Foam Dispenser RTF1000 or ProPack(3 30 & 100 dispensing equipment only. 7. 3MTM 2- Component Foam Roof Tile Adhesive AH 160 shall not be exposed permanently to sunlight. & 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 m accordance with the Tlacement Details' ham. Each generic tile profile requires the specific placement noted herein Table 1: Adhesive Placeme at For Each Generic Tile Profile Mile Prof le Placement Detaft Stogie Paddy Weight Mm. (grams) Two Paddy Weight per paddy Min- (tms) Mg Low High Profiles #1 35 N/A High Profile (2 Piece Barrel ) #1 17 /side an cap and 34 N/A FIA Low High Profles #2 24 N/A Low Pules #3 g NOA No.: 12 -0228.18 Expiration Date: 05/10/17 Approval Datc: 05/10/12 Page 4 of 7 LABELING: All 311M =omponwd Foam Roof Tile A&aanm AR-160 containers shall comply with the Standard Conditions ESW herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the insu"on of this system. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY --n 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 NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Dutut 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY ENO OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 lilt \ `�. 12-2 ENO OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 lilt \ `�. ENO OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7