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RF-14-24J s Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 207385 Permit Number: RF- 1 -14 -24 Scheduled Inspection Date: February 19, 2014 Permit Type: Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: BYRNE, JOHN Work Classification: Tile Job Address: 9413 N MIAMI Avenue Miami Shores, FL 33150- Project: <NONE> Phone Number Parcel Number 1132060130520 Contractor: ROOFING 'R' US SYSTEMS INC Phone: (407)435 -3433 lsuumng uepartment comments RE- ROOF TILE TO TILE Passed Failed Correction Needed Re- Inspection Fee INSPECTOR COMMENTS False nspector Comments .0- A le- 44ole- No Additional Inspections can be scheduled until re- inspection fee is paid. February 18, 2014 For Inspections please call: (305)762 -4949 Page 52 of 53 ' � t Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 207385 Permit Number: RF- 1 -14 -24 Scheduled Inspection Date: February 19, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: BYRNE, JOHN Work Classification: Tile Job Address: 9413 N MIAMI Avenue Miami Shores, FL 33150- Project: <NONE> Phone Number Parcel Number 1132060130520 Contractor: ROOFING 'R' US SYSTEMS INC Phone: (407)435 -3433 comments RE- ROOF TILE TO TILE INSPECTOR COMMENTS False February 18, 2014 For Inspections please call: (305)762 -4949 Page 52 of 53 Inspector Comments Passed El Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 18, 2014 For Inspections please call: (305)762 -4949 Page 52 of 53 � b � 7066 SW 4,C Street Miami, FL 33155 Tel: 786 -398 -9179 Fax 786 -MO -2627 a 1 roofinspectioriftimaii.com LAB CERTIFICATION #10- 0612 -01 SITE SPECIFIC INFORMATION UPLIFT TEST — TAS #106 Roofing Contractor ROOFING'W US Permit # RF -1 -14.24 Job Address 9413 N MIAMI AVE MIAMI SHORES FL Owner's Name BYRNE JOHN Type of Tile FLAT CONCRETE TILE 13" Approximate Roof Height 12 feet Roof Pitch 3/12 Approximate Square footage of Roof 16 ft, Date Tested 02/17/14 * Number of Tests 57 Contact Name HUGO Date Installed Type of Access to Roof LADDER Required Testing Force 35 Lbs Testing Equipment F.G.E.100 Phone # 305- 240 -89 -35 LOCATION # OF TEST PASS # OF TEST FAIL Corner 7 Tests 7 Pass Test Fail Perimeter 13 Tests 13 Pass Test Fail Field 29 Tests 29 Pass Test Fail Ridge 8 Tests 8 Pass Test Fail TOTAL 57 Tests 57 Pass Test Fail. IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOFASSEMSLY HAS PASSED THE STATIC UPUFT QUAUTY CONTROL TEST. THLS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTRY, WITH NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS. THIS REPORT IT IS NOT VAUD FOR INSURANCE CLAIMS. A 'N T. P.E. #.67416 A -1 Engineering Inspection Services, Inc 7066 SW 44 Street Miami, FL 33155 Tel: 786 - 398 -9177 Fax: 786 -800 -2627 alroofins ectionggmail.com LAB CERTIFICATION # 10- 0512.01 February 17, 2014 PERMIT # RF- 1 -14 -24 9413 N MIAMI AVE MIAMI SHORES FL Miami shores Village Building Department ____7�R,er,nil ® INSPECTION AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: Z / I AY /S41d4A A rn n 045 licensed as a (n) Contractor/ Engineer/ Architect, (Print name and c We License Type) FS 468 Building Inspector License #: o 163 oC z ]y On or about Z /� ,1 did personally inspect the roof deck nailing and (Date & time) ` Secon er work -� "0 (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 )&—day of Z-o u+t+�oxIDn `, .1t � bra Notary Public, Sate of Florida at Large' > 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with perrnit # and address #clearly shown marked on the deck for each irtisp mlion Revised on 5/21/ 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: (385) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: BUILDING JAN 0 7 2014 FBC 20 Permit No. Master Permit No. ROOFING City: _ Miami Shores County: Miami Dade Zip: X31 9 Fo1io/Pa=1# 1) -.,3.206 - 01 - 0,620 Is the Building Historically Designated: Yes NO ✓� Flood Zone: OWNER: Name (Fee Simple Titleholder): JOIJ N ,...1 YR M a Phone#) l X ) b N6 `f -V !J Address: qcl 13 1J. 8 ! Art 1 AV city: " I l M I 15R U RF_'S State: Zip: Tenant/I.essee Name: Phone#: Email: CONTRACTOR: Company Name: ?J02 0 E N'N 4 Phone#: 0% -34,33 Addri City: \,...... State Certification or Registration #: C C1 1 Sid 6 X IX Certificate of Competency #: Contact Phone#: Email Address: DESIGNER Arcbitect/Engineer. N Phone#: Value of Work for this Permit: $ 90,2 gQ • (20 Squarell inear Footage of Work: Type of Work: DAddition DAlteration DNew ` *pair/Replace DDemolition Description of Work: PC E- ralar &"', ttl¢? 1 C_ i 1 10 Submittal Fee $, (% tom_ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ S A, . Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address 0 Zip 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 AWROVEMENTS 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 er or Agent Co The fore omg mstrutnent was acknowledged before me this _(2 The foregoing instrument was acknowledged before me this;JL day of WV Fri 20 3 by J D N �. �lJ,RNe day of O V 0 20 �, by AL 00 ek fRRA who is personally known to me or who bas produced who is personally known to nor who has produced r As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print•. L.t% My Commission Lpire APPROVED BY l JGYCl IW * MY COMMISSION A EE 164923 EXPIRES: April 19, 2016 BonMT1wBuWN0Wy8ffVhS Of. Plans Examiner Structural Review (Revised 3n2=12)(Revised 07110W)(Revised 06110t2009){1evised 3/15/09) NOTARY PUBLIC: Sign: P'i., UC C. IGIL/to My Commission Expires: �o��;: " °ei,�, U)Cy CKajp MY COMMISSION S EE 164923 Q EXPIRES: April 19, 2016 9ir,,.r eR'U Bmtd� 71an B�aet Ndary Services Zoning Clerk 9 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. � OPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. :COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ............................................................ ............................... (� COMPLETEUS CONTRACTOR'S INFORMATION BUSINESS NAME: 1k D ®rmj G I(ell BUSINESS ADDRESS: A IQ6, ✓ J0o60®5E1_j4. CITY l ��l. STATE Ft-- ZIP CODE.-3a 4 BUSINESS PHONE: C_) FAX NUMBER (nn) CELL PHONE n% 35- 3 QUALIFIER'S NAME: ITLEX�1� hS _T- R,R.A QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE): t2A oFt tJG I2t a�C�'i'- • RR . GO M Created on 3119109 BY MUN 1 RV 3/A" MWV t t , f 0 T aO ' #f jkRo B:�I.O� :AN* ff�f iAfAl Fo* Fu�`ui�:�. EiEfER;i~�C� L E fiF 00000" t. TIM A f titl rt to Eh tter 4465041. F:,S. t o0leer of Cerparauim who efects exemtptrpr� ftam its a by f Certr tc ' of i W11AA4 �I.OFtltGA �d fxtr k#tt5a { nat bent cpiaa th§ :Trvr €#rst.`: ►r �a is »�ta y f to aaaasttizl F:s certificates of eieCtian to ON AL widtitl tits spe of the: busitress ar trlei 1t1 on tP� . lwt * of eletCtian to bvexernpt P4r. t to thapter 440.090 1, M, Nat;ees of el eCtian to be exempt Rtrxs susens ntc and Ceutificates of eietrtioa to be exempt s#tMl be strjeCt to:rewmatian spa Stt ec sr t if, 0..er►Y th" after the filin of the r ae r the Isswce of ft- ' t*e rtr ;FS 32rag C it e, the:pairM lu on tha MM or Certi #ice no � meets the etp<tremants':pf this &ectloti for t of a sal# +cats', I ' itCeri¢ie n o . ,r or- F er ta; r aur ttts a ibis t� � �tC K�S AN9 t+IgtvER r 5 ' I {86Q� : 4f'3 I1�19 t .. rd s i M� r AWif F *sal•:; ypy{ ya KRP T. @ ! ' 'P iMR•' Y F f$, '.Y :?f"` pp�, �+rt p tf�yyr,� f e�ey�y� sos per, �yynev�� �5 Aar iN iAJ4 `i ��F "f+f4t C: W4 Fici�7':i 7i: fArrG? RLN3i561! V- .1 '1 ,,,.. �r e 7y,. >Fd rt �: >r -. . -.'1•l is z. 1 qr : �?x^y'.. �. I,7 .. ,:',:.,<!, - i .: ,:., .. ..:. t •RyS} ��.. �? ?N+ �. �, ;' � L : L` F.0. i %. � / r4��q? soy t :�as� � &�s'` �✓ n '�'s r' ...; : a! ' r.,:^ >�r�he11 r 1 � �y r ,� � I e;:x^ � . ^e . ACOR 7 CERTIFICATE OF LIABILITY INSURANCE DATE (MMID1111" ) 1/3/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE -ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER (' F Insurance .ti' @rV3.0 @S, Inc. P.O. BOX 1189 Apopka FL 32704 -1189 CONTACT House Agent PNQNE (407) 884-7643 F Ic:. (407)884 -6014 POLICY EXP tNmmrfyyyi INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Atlantic Casualty Insurance INSURED ROOFING R QS SYSTEMS INC. 2726 Snow Goose Lane Lake FL 32746 INSURER 13: 0/10/2013 INSURER C: EACH OCCURRENCE INSURER D: PREMISESO RENTED — TO (Ea hence INSURER E MED EXP (Any one fin) INSURER F: PERSONAL 8 ADV INJURY COVERAGES CERTIFICATE NUMBER-CL1311114616 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR am TYPE OF INSURANCE ADM SUOR POLICY NUMBER POLICY EFF POLICY EXP tNmmrfyyyi LMNTTS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CIAMNS40DE Ex—J OCCUR L039003358 0/10/2013 0/10/2014 EACH OCCURRENCE $ 1,000,000 PREMISESO RENTED — TO (Ea hence $ 100,000 MED EXP (Any one fin) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO AALL ACTS DUB HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMA BODILY INJURY (Per perm) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE er $ UMgREI1° LIAB EXCESS LIAR OCCUR CLAIMSAME EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORIGM COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRQPRM BER EXCWERIEXECUTIVE ❑ OFFICERIMENIBER EXCLUDED? (Mandatory In NIO M des�Ine DS' ESCRIPTION under OF OPi]PATIONS Flow NIA WC STATU- OTH EL EACH ACCIDENT $ EJ_ DISEASE - EA EMPLO $ E.L. DISEASE - POLICY LIMB $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aflach ACORD 101, AdOlonal Remark; Schedule, K more apace is regufrecQ (305) 756 -8972 Miami Shores Villages Building Department 10050 NE 2 Ave Miami Shores Villag, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE DeClue /TONYA Miami Shores Village Building Department 10050 N12nd 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. 4 To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: o —.I = Ne- Property Address: % 13 N . 1 VE. Roofing Permit Number. Dear Building Official: I .,I ,04ti T BI v k N c certify that I am not required to retrofit the ref to wall connections of my building because: YThe 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 Cale (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) (� � o�AJ &rA—_'-e_ - Signa a Print Name State of Florida County of Dade 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 (a_day of ® 17 LWY CICLIO * My COMMISSIM # EE 184923 Notary Public, Sate of Florida at Large V-t� �,9T EXPIRES: April 19, 2016 FOF �pN Bo➢dd ft Budget Netq Sff ft • When the just valuWon of the sbucWm for purpose of ad valorem s evai to or we then► snum. od the butting was nod txinsbwded wnr Fec nw a 1994 SFBC. Then you must provide a building app8cOlm from a General Caritractor far Are Roof to Web commcbn Hu*m ftedw. W, AM I TIVIN 14 IN., . . . ...... .... ... . ... din . . . . . . . . . . . . . . . . . . . ............... . . . ...... CFN: 20140014412 BOOK 28980 PAGE 1704 �% DATE: 01/08/2014 08:38:25 AM Nn A ( l I iW jo Tin AT 7W OF I = HARVEY RUVIN, CLERK OF COURT, MIA -pADE CTY PERMfT NO. TAx FOLIO NO.. L I ' 0,6'100— 0 So2O M! ! ;i THE UNDERSIGNED hen#yr ghm notice. that Improverm to will be made to certain real property, and In accordance with Chapter 713, Fkxtda Staa,tes, the Wowing Wannation Is provided In this Notice of Comm +t. 1. UQal descriptor of propwiy 2. Description of Impr iOlnent 3.Owner(e) name and ate. --J D Itiv Intend In property:I S b Name and address of tee *nple wahokler 4. Contractor's name, address and phone canny: S. Surely: (Payment bond required by owner f m cxrntracW If any} , Namwh address mid phone number: Amafft of bond A , 6. L arxWe name and adftm 7. Parsons within it* State of Florida wed by Owner upon wham nodoes or odw docurraft mqr be sensed as provided by Section 713.13(1Xa)7„ f1oPda SNabltee, Name, address and phone number. B. in addition to himself, Owners the following mss) to receNe a copy of the Lionor's Notice as provided In Section 713.13(1)ft FloridaStatubN. Name, address and phone number 9. Expiration date of this Notice of Can nencorn (On dderetyaorkan the dfttfteaoFft +mtmaclOmd date le upeoftQ VFAflNMQ'f00WNMtANY PAYMENTS MADE BYTHEOWNER MgER THE EXPIRATION OF THE NOTICE OF OOMMENCBAENrARECONSIDERED IMPROPER PAYMENTS UNDM CHAPTER 713, PAFIT 4 SEC" 71313. R.P4 STATU'T'ES. AND CAN FESUIX IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEMY. A NOTICE OF COWAENDEV04T MIST BE FJ=RDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN PMNCM CONSULT WITH YOUR LENDER OR AN ATTORNEY BIB COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT sfg�ur�s} ) � �rjss�- A�hcrNted Offlo�ltrlParbt�rlMarnager prep�d BY ,�! �1�(( Premed Bf+ Pri<tt Name Y't '�- Part Narrre STATE OF FLORIDA Ail, ...� .a►co,RV� CERTIFICATE OF LIABILIT`� INSURANCE DATE °D"Y'"' 1/9/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER C F Insurance Services, Inc. P.O. Box 1189 Apopka FL 32704 -1189 House Agent (407) 884 -7843 (407)884 -6014 Omm INSU S AFFORDING COVERAGE NAIC # INSURERA Atlantic Casualty Insurance INSURED ROOFING R US SYSTEMS INC. 2726 Snow Goose Lane Lake Mary FL 32746 INSURERS: 0/10/2013 INSURER C : EACH OCCURRENCE INSURER D: DAMAGE TO RENTE17- PREMISES INSURER E . MED EXP ( one pewn ) INSURERF: PERSONAL 8 ADV INJURY COVERAGES CERTIFICATE NUMBERCL1311114616 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. INSR LTR TYPE OF INSURANCE PO Y NUMBER LI Omm LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLANiSaNADE XX OCCUR L039003358 0/10/2013 0/10/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE17- PREMISES $ 100,000 MED EXP ( one pewn ) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: X POLICY r Loa PRODUCTS - COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO �� EED SCHEDULED HIRED AUTOS NO D l Re oob 0 BODILY INJURY (Per person) $ BODILY INJURY (Peraoa�M) $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ D $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERtMOCUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) Byes d sarlbewWor DESCRIPTION OF OPERATIONS bebw NIA TORY LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEIilCLE3 (AUsch ACORD 101, Addllorial Remarks Schedule, K more space Is required) business type: roofing, new and repairs (305)756 -8972 Miami Shores Villages Building Department 10050 NE 2 Ave Miami Shores Villag, FL 33138 ACORD 25 (2(10/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE DeC1ue /TONYA IKLRO25 t mnnn rn Tho A(`-nRrt nnma anti Innn arse ►anietarati mar4e of AnnRn rlahts reserved. CERTIFICATE OF LIABILITY INSURANCE Dete 1 1/21/2014 Produaw.. Lion Insurance Company 2739 U.S. Highway 19 N. This Certificate is Issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend Holiday, FL 34691 or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # (727) 938 -5562 Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 Insurer B: 2739 U.S. Highway 19 N. Insurer C: Holiday, FL 34691 Insurer D: Insurer E: Coverages The policies of nsurance listed below nave Dean issued to the insured named above for the policy poi:10d indicated. Notwithstanding any requirement, term or condition o arty 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. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date Policy Expiration Date Limits (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Commercial General Liability Claims Made Occur Each occurrence Damage to rented premises (EA occurrence) Mod Exp eneral aggregate limit applies per: Personal Adv Injury General Aggregate Policy ❑ Project 13 LOC Products - Comp /Op Agg UTOMOBILE LIABILITY Combined Single Limit Any Auto (EA Accident) $ All Owned Autos Bodily Injury Scheduled Autos (Per Person) $ Hired Autos Bodily Injury Non -Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each occurrence Occur Q Claims Made Aggregate Deductible A Workers Compensation and Employers' Liability WC 71949 01/012014 011012015 X wC Statu- to rLimits OTH- ER Any proprietor /partner /executive of6cer/member excluded? NO E.L. Each Accident $1,000,000 E. L. Disease - Ea Employee $1,000,000 If Yes, describe under special provisions below. E.L. Disease- Policy Limits $1,000,000 Sher Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /Locations/Vehicles/Exclusions added by Endorsement/Speclal Provisions: Client M: 93-67 -234 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc, & Subsidiaries that are leased to the following "Client Company Roofing R Us Systems, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiary active employee(s), while working in: R.. Coverage does not apply to statutory employee(s) or Independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Namer FAX: 306- 7668872/ ISSUE 01 -21 -14 (TLD) CERTIFICATE HOLDER CANCELLATION B in Date 1 6 2014 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE Should any of the above described policies be cancelled before the expiration date thereof, the Issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, butfallure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives MIAMI SHORES VILLAGE, FL 33138 �MiMii'7', .� ( ,. .\ � > �- �MiMii'7', .� ( ,. ' ; IV r e, n UyYi tX�F 1 Yp, Beral Reefing LLC. 7575 Irvine Center Drive, Sniff 110 Irvine, CA. 92615 SCOPE: This NOA is being issued under the appli rules and regulations governing the use of conduction matnials. The documentation submitted has been reviewed and accepts by Miami-Dade County RER - Product Control Section to Ix used in Miami Dade County and other areas where allowed by the Authority HavingJurisdiction (AHJ). This NOA shall not be valid after the expiration date sWed below. The Mi County Pxeuct Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this ace if it is determined by Miami -Dade County Product Control Section that this product or material fails to mod 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 Flory Building Code. DESCRIPTION: Saxony (Shake, Slate, Split Shake) Concrete Reef Tile LABELING: Each unit shall bear a permanent label with the manufacturer's nacre or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be cored after a renewal application has been file and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur aftw4he expiration date or if there has been a revision or chang in the materials, use, andlor manufacture of thaptodict or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA# 12 -0348.25 and consists of pages I through l;. The submitted documentation was reviewed by Alex Tira. NOA No.: U Espha 13nt17 Appmval Daft 3 Pap Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. 2. SCOPE This renews and revises a system using Saxony (Shake, Slate and Split ) Comte Roof Tile, as. manufactured Boral Roofing LLC in Lake Wales, PL and described in Section 2 of this Notice of AccepMw., # For locations where the pressure requirements, as determined by applicable Builing Code does not ex ceed design pressure values obtained by cafoulations in compikow with RAS 127 using the values listed in herein. The attachment calculations shall be done as a moment based system. lPRoDUCT D RwnoN Man uf Somw by Test Proiluct ftdiaffit f ' si m 11121JAROM Monier Lifetile LLC 1— 16` /a" TAS 112 Flat, interlocking, high pressure ext uded concrew Saxony (Shake, Slate and w = 12 -3/8" roof tile equipped with two nail holes. For direct Split Shake) Tile .6 "Shick deck or battened nail -on, mortar or wive set applications. Trim Pieces l = varies TAS 112 Accessory trim, concrete roof pieces for fuse at hips, w = varies rakes, ridges and valley terminations. varying thickness Manufactured for each ale profile. 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales, FL. 2.2 EVIDENCE SUBMITTED: LWAMU 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. IS 7161 -03 Static Uplift Testing Dec. 1991 dix III PA 102 dt PA 102(A) 94-084 Static Uplift Testing May 1994 PA 101 (Moues Set) 94 -060A Static Upliftfiesting March, 1994 PA 101 (Adhesive Set) 25- 7183 -6 Static Uplift Testing Feb. 1995 PA 102 (2 Quik-Drive Screws, Direct heck) 25- 7183 -5 Stag Uplift Testing Feb. 1995 PA 102 (2 Quik Drive Screws, Battens) 25- 7214 -1 Static Uplift Testing March, 19 PA 102 (1 Quik4kive Screw, Direct Deck) NOA No.: 124M 12 EWratim ' 12 7 Approval Dabn L l aftt 2.2 Evi[DENCE SvBmrMD: INLAUM The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineering 3. L>fI iunom Tit weaft 25- 7214 -5 7161-03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 PO4€12 Project No. 307025 Test #MDCr77 520109 -1 520111 -4 520191 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Calculations 129 Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (tail -Oct) Wind Tunnel Testing PA 108 (Nail -On) Wind Tumid Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails WindDiriven Rain. PA 100 Static Uplift Testing PA 101 Statics Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -74% 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Two Patty Adhesive Set System Restoring Moment Due to Gravity TAS -112 Dec. 199I Aug. 1994 July 1994 Sept 1"3 Oct.199 ► ;,1113 Much 19 June 2007 February IW— April 1996 December 1996 Mauch 195 April 1999 June 2007 Jan. 2007 3.1 Fire classification is not part -of this acceptance. 31 For mortar or adhesive set ti'ie applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Stang listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless staff otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance wfth applicable building code. NOA Nim VeG90U2 Dab: 1 &17 AWava0aft 12MO2 3 4. IAISTAL%ATioN 4.1 4.2 Saxony (Shake, Slate and Split Slime) Conde Roof Tile and its components shall be ied ie compliance with Roofing Application StwWard RAS 118, RAS 119, and RAS 120. Data For Attachment Calculations Tam 4: A *( } and C mpsw) Tice Profile We%" 4 (ft) WIdOwft Saxony (Shake, Slate and Split .Shake) Tip - _ . - 14.8 ,. 1.375 1.02 Table 2: hNodriarnit Multipliers TH Profile (. Batten Application pack Saxony Shake, Slate and §pM Shake Tile 0.185 0.200 , Table 3: Rmuwbv Mwomb due to Graft - Me (ft-lbf) Tile 2 ".92" 3. ".42" 4".12" 5".42" 6".92" r:ir or Profile ll Saxony Battens Dkect Battens Direct ns Direct Battens Dkwt Battens. Dkt (Shake, Deck D4m* Deck Deck Deck Dec Slate and 6.63 7.14 6.56 7.07 6.47 97 6134 6.83 6.18 6.66 6.02 6.48 Spat Shake) Tip ]NOA No.: 124MK12 Expirafta Daft 12fM7- Aval Vie: ..2 page 4 of8 0 Table 4: Attachment Resistance Expressed as a UonwM - (ft for ms Tile Profile Fastener Type Direct Deck (min MW plywood) Direct Dock (mln. 1913r p Saxony (Shake, Slate and Split Shake) Tile 2 -10d RN Shank Nods 30.9 38.1 1 -10d Smooth or Screw Shank Ned 7.3 9.8 2 -1 tact Smooth or Screw Shank Nab a 14.0 18.8 1 #8 screw 30.8 30.8 2 f8 Screw 511 81.7 1 -1Od Smooth or Screw Shank Nail Field G 24.3 .24.3 1 -10d Smooth or Screw Shank Nail Eave C 19.0 19.0 2 -10d Smooth or Screw Shank Nads Field 35.5 35.5 2 -10d Smooth or Screwy 1 31.9 31.9 Table 7: Attachment. . ` nce Expressed as a Moment - % (i�f`b) for ` Patty Adhesive Sat Systems Tile Profile THe Application Minimum Attactunent Resistance Saxony (Shake, Slate 3M 2 Foam Roof Tim AdhesWe AMa16 118 and S ' Shake ) Tile 3Mm 2- Componrent Foam Roof THe Adhesive AH -180 40.4 NOA No.: 124MM2 Expiratht Date: 12/M? Approval Hang 12ftal pie 3- 4:4 17.2 4.9� ....; 7A 2� 4 .. 22.1 34.1 322 Table 7: Attachment. . ` nce Expressed as a Moment - % (i�f`b) for ` Patty Adhesive Sat Systems Tile Profile THe Application Minimum Attactunent Resistance Saxony (Shake, Slate 3M 2 Foam Roof Tim AdhesWe AMa16 118 and S ' Shake ) Tile 3Mm 2- Componrent Foam Roof THe Adhesive AH -180 40.4 NOA No.: 124MM2 Expiratht Date: 12/M? Approval Hang 12ftal pie 3- NOA No.: 124M4.12 E tiI7 Appr" SaW 120M Page ol:�t NAIL 11 i PROFILE DRAWINGS VftTeWQCK SA xoNY CONCRETE ROOF TILE (SLATE MODEL) SAxoNY CONCRETE ROOF TILE (SPLIT SHAKE MODEL) NOA No.. 1. qy I:2 E 1 !+ " pI U00 Pratgo 7 ef4 t L $3- d 1� _1 3R6 (00 im ow Y { i } +i f SAxoNY CONCRETE ROOF TILE (SPLIT SHAKE MODEL) NOA No.. 1. qy I:2 E 1 !+ " pI U00 Pratgo 7 ef4 SAXONY CONCRETE- Rom TELE (SHAxt MODEL) END OF THIS ACCEPTANCE tl Zal i"Ti 3M Company 3M Center Building flat -E-K St. Paul, MN. 55144 -1 SCOPE: This NOA is being issued-under the WpUcable rules and regulations governing the use of. eonstruction documentation submitted has bow reviewed and accqked try Manxi-Dade Cvuaty REE - Cow Sectiof lit. used in Miami Dade County and other areas where allowed by the Authority Having Jmicdictm(A J). This product is approved as described herein, and has been designed to comply with the Florida Building Ce& including the High Velocity Hurricane Zone of the Florida Building Coda. DESCRIPTION: 3MN 2-Component Foams Roof Tile Adhesive AE 161 LABELING: Each unit shall bear a permanent label with the manufach rWis name or logo, city, state and following statement: "Mranu4Jade County Product Control Approved ", unless otherwise noted herem. RENEWAL of this NOA shall be coAsidered a#lo a renewal application has been file/ and ire has been no chmp in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will armor after the expiration date or if these has been a revision or chasige in the materials, use, and/or manufacture of the ., .. t or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposw ly terminate this NOA. Failm<e to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number prey by the words Miami -Dade County, Florida, and followed by the expiration elate may be displayed in advertising literature. if any portion of the NOA is displayed,, tip it "ll 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 OPficda. This NOA revises NOA 12 -0228.15 and consists of pages 1 through 11. The submitted documentation was reviewed by Juan E. Collao, R.A. �•� ,fir'' c ._ . €� GY'7 . as :SPA OVER S T: rs Category: Roofing Sub Category: Roof file adhesive Materials: P01YUreffiane SCOPE: T 11-1) till" ti A } ;1 4 i. 3MTM 2- Comment Foam N/A TAS 101 Two convoncilt poty x foam abstm Roof Tile Adhesive AH 160 Foam Dispenser R771 000 kA DiMmsing Equipment ProPack& 30 & 100 N/A Dispensing went PRODUCTS MANUFACTURED BY : Any Miami- -Dade County Product Control Accepted Roof Tile Ably having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATIOD ,. 1. Tomball, TX. PHYSICAL PROPERTIES: Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content 0 ASTM D 1622 1.61bSJii.' ASTM D 1621 18 PSI Parallel to rise Note: The pbyded _properties Usted eve are prated as typical average as determined by accepted ASTM test medlods and are subject to normal mmubdoft vwWtion. NOA No.: 1 S2 Fj4dnWm Date: MW17 Approval DaW.1211W13 Pap 2 alt It 12 PSI Perpendicular to rise ASTM D 1623 28 PSI Parallel to rise ASTM D 2127 0.08 LbsJFe ASTM E 96 3.1 Perm / Bch ASTM D 2126 +0.07% Volume Change @ 40° F., 2 weeks +6.00/. Vohune Chars @,158- F.,1000% Humidity, 2 weeks ASTM D 2856 860/6 Note: The pbyded _properties Usted eve are prated as typical average as determined by accepted ASTM test medlods and are subject to normal mmubdoft vwWtion. NOA No.: 1 S2 Fj4dnWm Date: MW17 Approval DaW.1211W13 Pap 2 alt It i EVIDENCE SUBMITTED: TwtAamff Center for Applied Engineering Miles Laboratories Polymers Division Ramteeh Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Smeices L ATIUNSw Test I 257818 -IPA 25- 7438 -3 25- 7438 -4 25- 748-7 25 -7492 NB- 589.631 Y 9637 -92 01- 5743 -011 01- 6739.062b[1] 7050.02.96 -1 P36700.04.12 P39740.02.12 5284542 -1 528454 -9-1 52845410 -1 520109 -1 520109 -2 520109 -3 520109-6 520109 -7 520191 -1 520109 -2 -1 SSM 11-93 SSTI311.3 ASTM 131623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 ASTM D 1623 TAS 101 TAS 123 TAS 101 M��Ki� TAS 101 11/02/95 12/12/95 02/01/94 11/16/94 01/16/95 03/14/96 04/18/12 02/21/12 10/23/98 12/28/98 03/02/99 INSTALLATION: 1. 3A'11w 2- Component Foam Roof Tile Adhesive AH -160 maybe used with any roof We assemblylimvingacurrent NOA that lists uplift resistance values with the use of 3Mm 2 Foam Roof Tile Adhesm M1,10 L 3Mrm 2- 0omponent Foam Roof Tile Adhesive AH -160 shall be applied in complia= with the C Application section and the corresponding S P Mails noted harm. The roof the 's adhedw attachment with the use of 3Mrm 2 Foam Roof Tile Adhesive AR -160 shall provide sufficient attachment resisUnce, expressW as an uplift band system, to meet or excwd die uplift resistance dettamimd in compliance with Msarni -Dade County Roofing Application Standuds RAS 127. The adhesive attar ss noted in the roof We ably NOA. 3. 3lVl 2-Component Foam Roof Tim Adliesm AH 160 and go coMPORCUM shall be MU1110d is Roofer Application Sundard RAS 120, and 3114 Company's -MdTm 2 eut Foam Roof Tale A 160 Opmaing Induction and Maintenance Booklet. 4. installation must be by a Factory Trained `Qualified Applicator' approved anA licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority havingJuradwhan. 3. Calibration of the Foam. Dispenser RTF1000 dispensing equipment is required before application of any► The mix ratio between the -A" component and the -B" component shall be maintained between 1.0 -1.15 (A) 1.0 6. 3MTm 2- Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam der RTFI000 or ProP'aek® 30 & 100 dispensing equipment only. 7. 3MTm 2- Comment Foam Roof Tile Alive AH -160 shall net be exposed pumanently to sunlight~ & Tiles must be adhered in freshly applied aditesive Tile must be set within l to 2 innuttes after 3MTm 2- Component Foram Roof Tile Adhesive AH 160 has been di 9. 3M"' 2- Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in acemb= with the Tlacement Details' herein. Each generic ale profile requires the specific placement noted herein.. NOA No.:1 E Rata: e/17 Approval Date: M2113 Pup -of 11 W P Table 1: Adhesive Placement For Each Generic Tile' Tile Pro blinhmsm Prey p � �a g Eave Course - Flat, Low, High Profiles AN Eave Course 17 -23 Winches 45-M Flat, Low, High Profiles #1 17 -23 sq 4555 Fiat Profile #2 10-12 sq. inches _ Low Profile #2 12 -14 sq. inches 30 High Profile `#2 17 -19 sq. inches 30 Fiat, Law, High Profiles #3 Two : 9-9 sq. inches at head of tile 9 -11 sq. inchesat overlap 12 NN M per Two-Piece Bartel (Cap Tile) Two Pied 2 Beads (1 each longibulinal edge) 2€1-25 sq. inches each bead 17 gram per bod Two Piece Barrel (Pan Tile) Two Piece 65 -70 sq. inches 34 LABELING: All 3A1t'° 2-Component Fin Roof Tile Adhesive AH -160 cones shall comply with the S =Iwd Conditions listed herein. BUILDING PFjmT REQuntEmENT& As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. N©A No.: L1494M E Date: 091#117 Approval Date: WIM Par 5of 11 TUC 1. Starting at dw cave course, apply a ndflinwWr (50.8 mm) x 10" (254 ) x 1" (25.4 ) paddy onto the underlaymatit positioneds under the streng*g rib closest to the ov of the tie being at 2. Continue in some nianner. Inge approximately 17 (109.7 em) — 23 (148.4 cm) square inch adhesive contact with the underside of the tie. Medium ProSle ! Marble Par 'file 1. Starting at the cave course, apply a 2" (50.8 mm) x I0" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the the closest to the overlock of the the being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm) — 23 (148.4 cm) square inch adhesive donut with the underside of the tile. High Preft ! Shq& Pan Tile 1. Starting at the cave course, apply a minim 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 nun) foanx paddy onto the underlaynieni positioned as shown under the pan portion of the tile closest to the everkck of the tile being set. 2. Continue in sarne mama. Insure approximately 17 (109.7 cm) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. NQA Ne.:1 ERdmdm Daw Owe/17 Aval :1 par of n 1"fie 3. Continue in same manner. Insure approximately 1" (64.5 cm) -12 (77.4 crna) square inch adhesive contact with the underside of the tile. Medium Proffle 1 Double Pon Mle 1. Starting at the cave course, apply a minimum 2" (30.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayrnent positioned as shown under the pan portion of the the closest to the overioek of the the being set. I=ure qWoximately 17 (109.7 cu?) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a mininaim 2" (5@ 3mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment position as shown under the pan portion of the tile chest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) -.14 (90.3 =m) square inch adhesive contact with the underside of the tile. (Instructions coed on next page) WUA No.: 134K42.02 n Datc NOW" Appmval Vie. IW 3 Page 7 of 11 2. 3. Stag at the eave emm, apply a milt r (30.9 NOA No.. O2 Date. ID/17 Approval fate. MUM Page 0 of 11 ADHEsiVE PLACEMFNT IETAH, # 3 MOM PmM1M 1. a. ansiuctions continued on neo page) NOA No.: Explraflon IIate: OWMi Approval lam: 12/11113 Page 9,of it ADHESIVE PLACEwm DETAIL # 3 (CO { D) 3. m Also *1a2 "(50.8 nun) x4 "(101.6 mml x " NOA Ne.:1 Hale: /17 Approval Datc 133 page to of 11 ADREswE PLAcEmzNT DETArL Two PEECE DA 'faro "Ke &am - ft ftoft Tft Two Pkee B=Td (Cap md IF=) ne 1. 2. 0 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm) - 25 (161.3 cm) square inch contact am on each side of the cover tile to the pan tile. Cvnbnue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is requhvd, 2- (50.8 mm) x 4" (101.6 mm) nail= or the tic wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. NOA No.: U4kM)M Expiration DWw OSMn7 Approval Date; 12n2/13 Page 11 0111 jr 11, 11771 17%,777T�,, .4 y r� 715,777-7. 'faro "Ke &am - ft ftoft Tft Two Pkee B=Td (Cap md IF=) ne 1. 2. 0 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm) - 25 (161.3 cm) square inch contact am on each side of the cover tile to the pan tile. Cvnbnue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is requhvd, 2- (50.8 mm) x 4" (101.6 mm) nail= or the tic wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. NOA No.: U4kM)M Expiration DWw OSMn7 Approval Date; 12n2/13 Page 11 0111