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RF-14-929
r ` % �glw Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING Permit No, 5 - 7—/Z/ FBC20ID Master Permit No.M/-//— qa9 ROOFING JOB ADDRESS: /90 / N C ) O 9 .5T City: Miami Shores County: Miami Dade 4p: 33 13 S Folio/Parcel#: // - 3 00 0 e 0 61 S- 0/ G Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): M19 CI904 r1') C—L I AW Phone#: 3/c2 -07d-9060 Address: laol Nd / U a 5 r. City: MIAM) v1JO2e6 -State: PL zip: 33130 Tenant/Ussee Name: Phone#: Email: CONTRACTOR: Company Name: EARL W. JOHNSTON ROOFING Phone#: 954-989-7794 Address: 5721 DEWEY ST. City: HOLLYWOOD State: FL Zip: 33023 Qualifier Name: EARL W. JOHNSTON Phone#: 954-989-7794 State Certification or Registration #: CCC057073 Certificate of Competency #: Contact Phone#: 954-989-7794 Email Address: MEG@JOHNSTONROOFING.COM DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ i'9/a3' 00 Square/Linear Footage of Work: 130,90 Type of Work: DAddition +Alteration ONew ORepair/Replace ODemolition Description of Work: geRcoF T / k C Submittal Fee Scanning Fee $ Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 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 b, approve nd a reinspection fee will be charged A /f �� _ rte A 1 Owner or Agent The foregoin(nstrumen1t0 'was acknowledged before me this� day of I , 201 `'I , by M&CAA&Y) 6- i 10 iN , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: a o ry Public State of Florida Sign: ission EE 202823 Print: My Commission Ex 'K It l APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 14, by who is personally known to me or who has produced Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTARY PUBLI:®�E Sign: Print: My Commission Expires: Notary Public State of Florida Meg A Romeo my commission EE 202823 FYniresANW22/2016 Zoning Clerk CERTIFICATE OF LIABILITY INSURANCE le 5/5/2014 producer; Lion Insurance Company This Certificate is Issued as a matter of Information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend Holiday, FL 34691 or alter the coverage afforded by the polides below. Insurers Affording Coverage NAIL # (727) 938-5562 insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurers: Insurer C: Insurer D: Insurer E: Coverages 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 oarty 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 INSIPID Type of Insurance Policy Number Policy Effective Date Policy Expiration Date Limits (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each occurrence Commercial General Liability Claims Made 13 Occur Damage to rented prendses (EA occurrence) Mad Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ Loc Products - CorWOp Agg AUTOMOBILE LIABILITY Combined Single umlt Any Auto (EA Accident) b Bodily Injury All Owned Autos Scheduled Autos (Per Person) Bodily Injury Hired Autos Non -Owned Autos (Per Accident) Property Damage (Per Accident) EXCESSIUMBRELLA LIABILITY Each occurrence Occur ❑ Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2014 01/01/2015 X WC Statu- I OTH- Employers' Liability tory Limits ER E.L. Each Accident $1,000,000 Any proprietor/partner/executive officer/member excluded? NO E.L. Disease - Ea Employee $1,000,000 If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company Is A.M. Beat Company rated A- (Excellent). AMB # 12616 Descriptions of OperationsfLocaUonsNehicles/Exclusions added by Endorsement(Special Provisions: Client ID: 36-66-176 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc & Subsidiaries that are leased to the following "Client Company": Earl W. Johnston Roofing, Inc. Coverage only applies to Injuries Incurred by South East Personnel Leasing, Inc. & Subsidiaries acute employee(s), while working In: FL 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 Name: ROOFING EARL W.JOHNSTON LICENSE # CCCO57073 AS QUALIFIER/ FAX 305-758-8972 / ISSUE 05-05-14 (TLD) Benin Dabs 1/1012012 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES Should any of the above described policies be cancelled before the expiration date thereof, the Issuing BUILDING DEPARTMENT Insurer will endeavor to mall 30 days written notice to the certificate holder named to the let but failure to do so shall Impose no obligation or liability of any Idnd upon the Insurer, Its agents or representatives. 10050 NE 2 AVE MIAMI SHORES, FL 33138 rl_ EARJ001 OP ID: KM CERTIFICATE OF LIABILITY INSURANCE DATE(bIYYY) 1 05/005/15114 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 321-725-7000 J.W. Edens $ Company Commercial Ins of Brevard, Inc 321-725-7856 325 Fifth Avenue, Suite 108 Indialantic, FL 32903 Phillip Lane CONTACT PHONE FAX Alc No Ext : A/c No): MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Canal Indemnity Company INSURED Earl W. Johnston Roofing Inc. 5721 Dewey Street Hollywood, FL 33023-1917 INSURER B: INSURER c INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTSRR TYPE OF INSURANCEWOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SUER POLICY NUMBER POLICY EFF D POLICY EXP MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR GL104800 07101113 07101/14 EACH OCCURRENCE $ 1,000,000 DAMAGETO 'm PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1.000,00 GENERAL AGGREGATE $ 2,000,000 GENT. AGGREGATE LIMIT APPLIES PER: X POLICY PRD LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea eTd. BODILY INJURY (Per person) $ BODILY INJURY (Per ecdderd) $ PROPERTY DAMAGE Per accident) ccident $ UMBRELLA LIAB EXCESS LIAR Ld OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) H yes describe under DESCRIPTION OF OPERATIONS below N / A I I WC STATU- OTH- TORY LIMA ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.1- DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATION l LOCATIONS I VEHICLES (Attsch ACORD 101, Additional Remarks Schedule, if more space Is required) Work Performed - Roo ng License 0 CCCO57073 CERTIFICATE HOLDER CANCELLATION MIAMISV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village g Building Departmenet THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores Village, FL 33138 AUTHORIZED REPRESENTATIVE ��7rILZ�it;�" ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Miami shores Village INSPECTION AFFIDAVIT Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:3 ( 05) 795.2204 Fax: (305) 756.8972 DATE: -avhq-� IBad � - f ' 1 licensed as a (n)tontrac)'Oor/Engineer /Architect, (PrUht none and chore �,� Trv�) FS 468 Building Inspector License #: Jl Di On or about 6(* ( I did personally inspect the roof deck nailing and (Date 8 MM) Secondary water barrier work at—jQ Ap dl °) NN ®-- Based upon that examination I have determined the installation was doe according oto the Hum Manual (Based on 553.844 F.S) cane Mitigation Retrofit W Signature State of Florida County of Dade: The undersigned, ging 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 ofA $®� No. Notary Public State of Florida Meg A Romeb Notary Public, Sate of Florida at Large My Comminnion EE 202923 '®R F4® Expirea 00/22/2018 `General, Bdit, Residential, or Rooft Contradom or Orly IndMdcntl cef ied under 468 F.S. to male such an hepeftn, tndude photographs of each plOre of Bre root wflh peal d and address d dearly shown Marked on the dedc for each tnspec8on ReWwd on S2100 -P. AC132 Engineering Inc. Testing & Engineering Services Certificate of Authorization# 8131 Tel: 954-245.8976; Fax: 954.301.7776 5230 NE 18th Avenue Fort Lauderdale ,FL 33334 Roof Tile Uplift Test Report Attention: Miami Shores Village, Building Division, 10050 NE 2 Avenue, Miami Shores Fl 33138 Client Earl W Johnston Roofing, Inc Test Date: 5/28/2014 Permit # RF -5-14-929 Property Address: Glinn Residence 1201 NE 102 Street, Miami Shores, Fl Roof Pitch: Type of Tile: Roof Area: 31n 12 Entegra Roof Tile 30.5 squares Tile Attachment Method: Two Component Polyurethane Foam Adhesive -Poly Pro H 160 Field Instrument : IMADA Force Gauge 0-100 Serial number: 243454 Test Location Total Number of Tests Field Uplift Pull Test Test results Perimeter Area: 12.05 sq 13 As per FBC 2010 Passed Field Area: 18.00 sq 18 As per FBC 2010 Passed No. of Corner: 13 13 As per FBC 2010 Passed Ridge Areas: 100 PCs 8 As per FBC 2010 Passed Important: These laboratory results can change due to future weather impacts and/or unavoidable roof traffic. Therefore, this report represents the TAS 106 results at the time of the test. Please see attached a Roof Sketch for this project. Cordially, ' ACB2 E i ri g Inc. (NOA 09-1005.01) Antonio vedo, PE Fla. Reg. o: 36466 &14_210/ ACB2 Eng cerin Inc. EnganMM9 and .L, at . 5230 NE 186 Avenueerv�ces Fort derdalc, Florida 33334 Pe: (954) 245-8976 Fax: (954) 301-7776 ie aa, � mil ROOF ASG4- ABQ MS AND?ROOFTOP STRUCTURES Florida Building Code Edition 201 High Velocity Hurricane Zona uniform Permit Appllcatl ection A (General informQtl�n� Master Permit No. Proc i Miami Shores Village e APPROVED BY DATE ZONING DEPT .... ...... DLDG DEPT Sl1F3JLCT TO COMPLIANCE WITH ALL FEDERAL Olpf_-aLia nI1NTY RULFS AND RFGUI_ATIONS ContraCtors Name RECEIVED Job Address iao Q Elk 10-A 4%. ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened The ' e Mortar/Adhesive Sot a ❑ Asphaltic Shingles ❑ Metal PaneUShingles ❑ Wood Shingles/ CI Prescriptive BUR -RAS 150 ROOF TYPE .' ❑ Now Roof �4 Reroofing O Recovering 13 Re airp ❑ Malnten00 " . ROOF SYSTEM INFORMATION Low Slaps Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) .900-5 Section S (woof plan) 9006 - Sketch Roof Plan: Illustrate all levels and aeotlons, toot drains, scuppers, . overflow scuppers and overflow drainss Include dimensions of sections and levels, clearly identity dimensions of elser" pressure zones and location . parapets. .................................. ... .. ........................................................................................................................................................:.... .......................................................................................'........................................q.. •.• ................................roP:.........................................qy......................................... ...........0 • 0 • • ............ ........................................................• • • • )(....... X • • • Qa........:..............................:::::........:i; 6 .......... , • ; .........:...� ,...... ........::::.... V. F L : .. .......... :.:.::.:..::.:..::::.::.: ......:...... ................. j&5................ .. :¢:....: .S....::..:.::::.::: ................................................�.. .. . ............................................... ............... ................................... a................ .................................................................................�� ........... ........................................ .......................................... Aas ..........................:.... ....................................................................................................................................... 15.34 2010 FLORIDA BUILDING CODE -- BUILDING .... ...... 0000 • • 0000 :0000 • .•• 0000• • • ••• . 0000•• • • • 0000•• ••000• .0000. 0000 000• ROOF ASSEMBLIES AND ROOFTOP STRUCTURES j Florida Building Code Edition 2010 High-Velooity Hurricane zone Unlibrm permit Appllcattan Form. flection D lSteeg wed Aoo�ye Roof System Manufacturer:Crla2}- Notice of Acceptance Number: i aft , 01 �inlmum Design Wind Pressures if Applicable {From RAS 127 or alculatlons :-' 39 . ! 1. 132: "(0$, 4 p3: -- i 01,7 Q_ep Slogfd Roof System De. rl tion Deck lyps:Wbbb i Type Underlayment: Ro f Slope: ' � 2 lnsutation: NVA 0000 Fire Barrier: �(�• • • �9-0 ... Ridge Ve Ilatfon? Fastener T e & 1 yam^' • • • r"- • yp spacing: 0 000 Adhesive Type: 000 /�,,, Type Cap Sheet - L -G`-- 0 • • 0.0 • . 0000 Mean Roof Height: ___�_____ Root Covering: • • • • 0000 Type &size D , Drip Edge; X010 FLORIDA BUILDING CODE -- BUILDING 000000 i• 0000.. .0000. 00.00. . 0 0000. 0000.0 0000.0 00000. r ROOF ASSEMBLIES AND ROOFTOP STRUCTUREf3 Florida Building Code Edition 2010 H191,441001ty Hurrlrtens Zone UnlfOrm permit Aivaoation Fowl. Seotlon .E Q'ile CaILZulatil I'm Motrtefd based tUaayReata,chooseerdtaMothad I art, CotttPam fit• vslaas forMrwttb the values immMhrf ibeMtvd uwmogmRter than or s*M1 to the Mr vnbres, for aaeh eve cram rsof. Ano dm duo auWun4nt mWW1 fa ooeoptabte. Method I '?AQM6rd Based MCaiouladona Por RAS 127" gyp,-39.� xx.: 9.d PmduotAppmrslMf-1�jL(A I (P1+,,,,,.�i��nv,--•��xb�y�pg��,(�).Mg; t�.,��'% PtodaatMP�bf�� 46� il'7%. trot: t x t n - i )'Mg' S-9 1 -?4321,0 - Product AW.M M f_tjj' lD !! Method 2"8rmplllred 7Ua Csltorredoas per7ahla aglow" Required Mooren ofResfatonoe (M�Pmm WA. a•law' �i�o Produat ApMW Mf . CD Mr regUiredMoment ReetetenW Melttttowslop h -> 1r 0 :w SO 4lN •Must be naafi fn eonjunetion with a psi of nwamsd Lased fire systmm andmnad by tLa Hrowar4 CMOV Board of Rotors and Appesfs. PwUpA6tbesedtrasyamrmuseMetbod3.rxmpamdMnvotttesforPwithdtavalua j*pl.IfftV.Woes arogtant gmcratputltothe Prvaluos. for eseh oras of dm soot. Wan the tRa altsefmmt taetbW Is seaaptabla, Method 3 "UpIM Owed 7113 Caraotdirms Por RAS 127° (Put xL s xw n._,.W xCMa =Prt PmdaatAppmvolle s x w . Ws x cue —.Fa Praduat Appravai !< (Pj: x L xvr n �,� . Pit x gas 8 n gA Pm4M Approver V • • 2010 FLORIDA BUILDING CODE -- BUILDING • • 0000 • 0000 • 0000 • 0000 • • • I 1.000•• • • .0000•• '0000•• • •0000 0 • 1000•• '0000•• • 1 • • 0000•• 0640•• • • MMM M1AM1•f=10 now MIAMI --DADS COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMI'NIS7RATION DIVISION Miami, Florida 33173-2474 T(786)315-2590 F(786)313.2399 NOTICE OF ACCEPTANCE (NOA) ww�v miAmidade.¢ov/6a11din Entegra Roof Tile, Inc. 1289 NE 91° Ave. Okeechobee, FL. 34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing. the use of construction materials. The documentation submitted has been. reviewed and accepted by Miami -Dade County BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County product Control Section On 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 incuir the expense of -such testing and the AHJ may Immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material W19 to meet the requiremeitts 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 H16 Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Estate "S" Tile LABELING: Each unit shall bear a permanent label with- the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been tiled and there has been a ee. change in the applicable building code negatively affecting the performance of this product. • ERNIINATION of this NOA will occur after the expiration date or if There has been : • • • • a revisior gf°4,ange in tho materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsenwat of any • • • • : product, for sales, advertising or any other purposes shall automatically terminate this NOA. Falivm*;compfy • • • ° • • • • • 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, Florid f.dW followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is dispi yet then itjsWt • '. «"' 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 # 10-0518.03 and consists of pages I through 6. The submitted documentation was reviewed by Alex Tigera. NOA No. 11-05] 0.02 Expiration Date: 08/23/16 • Approval Date: 06/30/11 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a roofing system using Entegra Estate "S" Concrete Roof Tile, as manufactured by Entegra Roof Tile, Inc. in Okeechobee, FL. as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the design pressure values obtain 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 Manafaetured by Test Product ARplicant Aim or Sp+s lc ficatiorisDescription Entegra Estate `S' I =16-1/2" TAS 112 Low profile, interjocking, extruded concrete Roof Tile w= 13" rooftile equipped with two nail hole and double roll ribs. For direct deck or battened Trim Pieces 1=varies nail -on, mortar or adhesive set applications TAS 112 Accessory trim, concrete roof pieces for use W = varies at hips, rakes, ridges and valley varying thickness terminations. Manufaotured for each tile profile. 2.1 MANUFACTURING LOCATION 2.1.1. Okeechobee, FL. 0 0 • • **so • • 00:6 2.2 EVIDENCE SUBMITTED. ••• • •. . • .• • • •. Fest Agency Fest Ideer 'fest Name/Report o s • • • • ' .. ate. •Soso S • .... ..... Redland Technologies 7161.03 .0:00: S PA 102. *Deb! . • .• •.••• • •' ` •' • • • 7161-03 1991 PA 102(A) : ffC 7991 '. 7161-03 PO4Q2 PA 108 Dec. 199I �•••�• SSSS•• Withdrawal Resistance Testing of St, 993 screw vs. smooth shank nails •.. • P0631-01 PA 108•.•• 3uly ] 994 Letter Dated Aug. I, 1994 PA I08 Aug. 1994 Professional Service 224-47099 PA 112 Sept. 1994 Industries, Inc. The Center for Applied 94-060B PA 101 March, 1994 NOA No. 11-0510.02 r"M coWTYM Expiration Date: 08/2.3/16 Approval Date: 06/30/11 Page 2 of 6 Test Test Identifier Test Namgaeport Date Engineering, Inc. 94084 PA 101 May 1994 25-7094-1 PA 102 Oct, 1994 25-7094-7 PA 102 Oct. 1994 25-7094-4 PA 102 Oct. 199} Project No. 307025 PA 100 Oct. 1994 Test #MDC -76 25-7183-1 PA 102 Feb. 1995 25-7183-2 PA 102 Feb. 1995 25-7214-2 PA 102 March, 1995 25-7214-6 PA 102 March, 1995 Celotex Corporation 528454-2-1 PA 101 Testing Services 520109-2 Sep. 1998 Dec. 1998 Walker Engineering, Inc. Calculations Aerodynamic Multiplier March 1999 IBA Consultants, Inc. 2381-264 TAS 112 01/08/08 3. LIMITATIONS: 3.1 Fire'olassifioation is not part of this acceptance. 3.2 For mortar or adhesive set tile, appliaatlons. 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 Mianti-Dade County Cerdfled Laboratory to perform quarterly test in accordance with TAS 112, appendix "A'. Such testing shall be submitted to the Building and Neighborhood Compliance Department — Product Control Section 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. 0000 • . . 909. 0900.0 ..000 0000 9 0000.. ..9 . 0000.. 0000 0000 0000.. . . 0000 0000 0000. 0000.. 0000 0000. 0000.. 0000.. 41 9 .. 9 0000 0000.. 9 0000 NOA No. 11-0610.02 VADJ Explration Date: 08/23/16 Approval Date: 06/30111 Page 3 of 6 4. INSTALLATION 4.1 Entegra Estate "S" Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 124. 4.2 Data For Attachment Calculations, Table 1: Average Weight (W) and Dimensions (I x W) Tile Profile Weight W (Ibf) I Length4 (ft) Width w 1111 Table 2: Aerodynamic Multipliers .% (e) Tile % (ft) X{ft Profile Batten Application Direct Deck A ilcatlor Entegra Estate's' Roof Tile 0.267 0.289 -------------- Table 3: Restoring Moments due to Gravity - Ms (ft-lbfl Tile 3" :12" 4":12" 6":12" 6":12" Greater than Profile 7":1Z Entegra Estate Battens Direct Battens Direct Battens Direct Baftens Direct Battens Direct 'S' Roof Tile �k ns..,. .. _ _. _ _ NOA No. 11-0510.02 aMi Expiration Dale: 08/23/16 Approval Date: 06/30/11 Page 4 of 6 •9• ... 6.0060 .. • 6666•• ••• • • • 00• •0000 • 9 ••• 6666• • • • • 6666•• • •• • • 0909•• •6•• • 6666•• 0000 • • Table S: Attachment Resistance Expressed as a Moment % (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application I Minimum Attachment Resistance Flexible Products Company TUeSond Average welght per patty 11.4 grams. Polvtoam Rmr/um inn e.....�.. , 000_:_0. _-- -- -•. 0: Attachment Resistance Expressed as- a Moment - Mr (ft-lbf) for Single Patty Adhesive Set Systems Tile Application I • Minimum TPA 7: Attachment Resistance Expressedas a Moment . for Mortar or Adhesive Set systems Minimum Attachment Mortar Set 20.60 5. LABEI,im: All tiles shall bear the imprint or identifiable marking ofthe manufacturers name or logo (See Detail Below), or following statement: "Miatni-Dade County Product Control Approved". OR - 0000 ...rd .-+�.-.�1 • • ... ... • 0000 0000 • • 0000. E--NTESRA ... 0000.. ... 70:: . . • 0..000 0000 0000 . . ESTATE "S"TILELABFIL( 0000 LOCATED ON UNDERSIDE OF TILE) 0000 . • . • 0000• . e i . e 0 .• .. 6. BU LDING PERMIT REQUIREMENTS: 0000.. .. . 0000.. • 6.1 Application for building permit shall be accompanied by copies of the following 0 • 0 "' • 0 0 0 0 0 0 6.1.1 This Notice of Acceptance. � 0 �.•.•0 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. 11-051 0.02 I>ixpiratlon Date: 08/23/16 Approval Date: 06/30/11 Page 5 of 6 PROFILE DRAWING Nail Holes ENTWRA ESTATE"S" CONCRETIC ROOF TILE END OF THIS ACCEPTANCE 0000.. 0000.. 0000 0000 0000.. 0000 0000.. so . . a -NOA No. ii-OS1om Expiration Date: 08tp/t6 Approval Date: 000/11 Page 6 of 6 0000 0000 so . .00. 0000 0000 ...00. 0000 0..0 ...... 0000.. ...... . 0000. 0.000 ...... 0000.. 0000.. 3M Industrial Adhesives & Tapes Division 3M Center Building 220-5E-06 St Paul, MN 55144-1000 651-733-1110 Z -M. March 15, 2012 General Release Roofing Industry Professionals Subject: 3M"" 2 -Component Foam Roof Tile Adhesive AH -160 - Polyset/ Polypro AH. 160 Dear. Roofing Industry Professional, This Is to certify that Polyset/Polypro AH -160 Roof Tile Adhesive manufactured by Poiyfoam Products, Inc, a 3M Company wail be re -branded 3MTm 2 -Component Foam Roof Tile Adhesive AH -160 manufactured by 3M Company. They are both the same formulation and manufactured at the same facility. We are transitioning our customers away from the Polyset/Poiypro AH -160 brand over to the 3MTm 2 -Component Foam Roof Tile Adhesive AH -160 and We Would like to communicate that these two products are Interchangeable in specifications and product usage as current Inventory levels are consumed. 0000 Sincerely, . . 0000 00000 .'. .. . . 00. 0 0000.. .0. 0000.. 0000.. 0000.. 0000 0000 . . 0000 0000 ..... 0000.. 0000 0000. . 0 00 0. 00 0 0000.. Riku Yllpelkonen • • • • • • • 0 Manager of Technical Services 0000.. 3M industrial Adhesives & Tapes Division.. . . ' 0000.. Phone: 954298-0206 0000 E -Mail: rvlinelkonen(&-mmm com 0000 MIA •• MIAMI -DADS COUNTY DEPARTMENT OF PERNITr1NG, ENVIRONMENT, AND REGULATORY AFFAIRS(?ERA) ?ERA PRODUCT CONTROL SECTION BOARD AND CODE ADN1NISTRATION DIVISION i 1805 S W 26 Street„ Room 208 Miami, Mori& 33175-2474 NO'T'ICE OF ACCEPTANCEOA T (786) 315-2590 F (786) 31S-2599 midade eov/nota 3M Company 3M Center Building 0220-05-E-06 St. Paul, MN. 55144-1000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submittedhas been reviewed and accepted by Miami -Dade County PEItA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHI). 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 ofthe 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: 3M"' 2 -Component Foam Roof Tile Adhesive AH -160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 0000 TERMINATION of this NOA will occur after the expiration date or if there has been a revision or 664Cthe • , • , , • , • • materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement ofas w pwduct,'far' sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply wit wKVj:Wtion of • this NOA shall be cause for termination and removal of NOA. • • • • • • • 0000 0000 . . • ADVERTISEMENT: The NOA number preceded by the words Miami • • • • • • -Dade County, Florida, and d by Ae.•• expiration date may be displayed in advertising literature. if any portion of the NOA is displayed, thdhldl in its entirety. emft be dofld 0000.. . INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its dist; bul& and • ..... •••• : • ...: shall be available for inspection at the job site at the request of the Building Official. "" 0 • 0000 This renews and revises NOA# 11-0124.04 and consists of pages I through 7. The submitted documentation was reviewed by Alex Tigera. f P- 11ti i. jAPPROVEW ' NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sib Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTai 2 -Component Foam Roof Tile Adhesive AR -160 as manufactured by 3M Company as described in Section 2 ofthis Notice of Acceptance, For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2 -Component Foam Roof Tile Adhesive AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dima ol" Test Specifications 3MTm 2 -Component Foam . N/A TAS 101 Roof Tile Adhesive AH 160 Foam Dispenser RTF 1000 N/A ProPa" 30 & 100 N/A Rroduct Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2 -Component Foam. Roof Tile Adhesive AH -160 roof the adhesive. MANUFACTURING LOCATION: 1. Tomball, M PHYSICAL PROPERTIES: .... e of ' 0* Pro eTest Results�....• Density ASTM D 1622 1.6 lbsJft.' • • • • •....� • • • • Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise : •':' : ' Water Absorption ASTM D 2127 0.08 LbsJFt2 :...:. Moisture Vapor Transmission ASTM E 96 3.1 Perm /Inch • Dimensional Stability ASTM D 2126 +0.07% Volume Change 0 -40° F,, 2 weeks � • • +6.0% Volume Change @I 580F., ..:. 100% Humidity, 2 wee Closed Cell Content ASTM D 2856 86%ks NOA No.: 12-0228.18 M Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 eeeeee 0 0 000 000 eeeeee e ee00 00000 000000 0 eeeeee 0e 000. 0 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SvBMITTED: Test Agency Test Identifier _Test Nsme/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 Miles Laboratories 25-7492 NB -589-631 SSTD 11-93 ASTM D 1623 12/12/95 Polymers Division 02/01/94 Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 Tin' Engineering 01-6739-062b[1] 7050.02.96-1 ASTM E 84 01/16/95 TAS 114 03/14/96 Celotex Corp. Testing Services 528454.2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: �. 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for firs sat4 •. �... 2. 3MTm 2 -Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat low, & high al Profiles • 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120 ..,. ...... 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2 -Component Foam, Roof Tile AUBive AH • • • • • • • • 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101.e ...... . ... ..... 00 0 96668 5. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof the adhesive with tbs;rSile • assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. .. ; F 2 FI_ .... MS NOA No.: 12-0228.18 C Upiration Date: 05/10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2 -Component Foam Roof TIIe Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTU 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 3Mrm 2 -Component Foam Roof Tile Adhesive AH -160 shall provide sufficient attachment resistance, expressed as an upM based system, to meet or exceed the uplift resistance determined in compliance with Miami Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2 -Component Foam Roof Tile Adhesive AH -1 60 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160 Operating Instruction and Maintenance Booklet, 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. S. Calibration ofthe Foam Dispenser RTF1000 dispensing equipment is required before application of any ad es es The milt ratio between the "A" component and the "B" component shall be maintained between 1.0-1,15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. 3MTM 2 -Component Foam Roof Tile Adhesive AH :160 shall not be exposed permanently to sunlight. S. Tiles must be adhered in freshly applied adhesive. TIIe must be set within 2 to 3 minutes after 3MTm 2. Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. sees•• NOA No.: 12-0228.18 IS D M Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 sees 0000 0000.. • ee• as •• • •0000• 0000.. 0000 • • • • • • • • :900:0 ••••s• • • • sees • • 0000 LABELING: All 3MTM 2 -Component Foam Roof Tile Adhesive Al -1-160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREmxNT5: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY ••• •000 000• 0••0• •• • 0000•• • • • • 00.0.• 0 0000•• 0000 • • fee NOA No.: 12-022s.1g MWh► Ou 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 MrAM6bY1DB uN1Y Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 . . .... ...... •e•••• •• • 00.00• • 000.0• • • • 0000•• 0.0• 0000 • • e • • • ••e• 0000 ••e•• 0000•• • •e• •••e• • • • • • •• •• 0e • 0000•• • • • • 0 000 e• •• • 0000 0 • NOA No.: 12-0228.18 MrAM6bY1DB uN1Y Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 Rag through piaatic cement 81*1 rX' U, jjn a t8e,� SINISPaddy on 2 In., 4 I under. unde• /J' layment on w7E'1ir'jAPPR0VED,p, wzsy�, ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Y Nall wough plastic (between tie) \ (ade r tie) END OF THIS ACCEPTANCE Single paddy under tie Single paddy beim tie 2 U. x Thn, medtum eke paddyeava course only %` Flash W11" ave dMad 04 edge NOA No.:12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 0000 000..0 •00.09 • 0000.. Soso 9066 • 0000 0000 •.•.• 0000.. . •.. 0000. *600 • • 00 .. S .•.•6. 0 . • • S• 66.66• .••OSS . . .0006. .. 0000 0000 NOA No.:12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: G L/ ryN Property Address: 1.90 I 1V(— /a --a 1 , rn A rn) : 5W0,?e5 Roofing Permit Number: Dear Buil ing Official: I .,'.' certify that I am not required to retrofit the roof to wall connections of my building because: 164he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. • 00000 0••••• ❑ The building was constructed in compliance with the provisions of the Florida Building Code (44 with dw-l5rarision9 • • • • of 1994 ed ion of the South Florida Building Code (1994 SFBC) nature State of Florida County of Dade 0000 0000 0000•• Q C �• (� 0000•• 0000•• Print Name : • The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Swom to and subscribed before me this /. 4kloridaa day of A 3 f F Notary Public, Sate of Florida at Large R���Y m44q� Notary Public State o g Mea A Romeo u� c. My Commission EE 202823 y'� of sda Expires 0612212016A • When the just valuation of the structure for purpose of ad valorem taxation Is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a bullding application from a General Contractor for the Roof to Wag connection Hurricane Mitigation. Revised on 5/21/2009 0000•• 0000 • • 0000 0000• • • • ••• 00.00 •• • 0000 •• • •• • • . 00••00 •0000• 0000.. 0000 •0• The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Swom to and subscribed before me this /. 4kloridaa day of A 3 f F Notary Public, Sate of Florida at Large R���Y m44q� Notary Public State o g Mea A Romeo u� c. My Commission EE 202823 y'� of sda Expires 0612212016A • When the just valuation of the structure for purpose of ad valorem taxation Is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a bullding application from a General Contractor for the Roof to Wag connection Hurricane Mitigation. Revised on 5/21/2009 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 item has been explained. 1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High - Velocity Hurricane Zone) are 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 part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High - Velocity Hurricane Zones) of the. (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 units (i.e., townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed 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 maintaining this appearance. SSSS 5. Ponding water: The current roof system and/or deck of the building mar notedrain 'Sees • well and may cause water to pond (accumulate) in low-lying areas of the roof. PoncRng e• :• can be an indication of structural distress and may require the review of a proiestiemal • • • structural engineer. Ponding may shorten the life expectancy and performanceeafstft • new roofing system. Ponding conditions may not be evident until the original r,ptffRu .••••. system is removed. Ponding conditions should be corrected. *004 •e• 6. Overflow scuppers (wall outlets): It is required that rainwater flow off s•o•4ial-lhe e' : •: roof is not overloaded from a buildup of water. Perimeter/edge walls or other roof•• •• • extensions may block this discharge if overflow scuppers (wall outlets) are noprvviped. •• It may be necessary to install overflow scuppers in accordance with the requirpmepts 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 ilation shall not be reduced. It may be beneficial to consider additional venting extending the servicelife of the r IM er's/Agent's Signature Date Contractor's Signat SSSS.. Sees.. SSSS.. SSSS. SSSS. SSSS.. 0SSS*S eeeeee S S Property.Search Application - Miami -Dade County Page 1 of 2 _F I .OF THE KP'OPE'TY UK A 1i ISER Summary Report Property Information Folio: 11-3205-025-0160 Property Address: 1201 NE 102ST Owner MACADAM GLINN DENISE GLINN Mailing Address 1201 NE 102 STMIAMI, FL33138 Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/210 Floors 1 Living Units 1 Actual Area 2,683 Sq.Ft Living Area 2,016 Sq.Ft Adjusted Area 2,350 Sq.Ft Lot Size 11,690.9 Sq.Ft Year Built 1951 Assessment Information Year 2013 2012 2011 Land Value $212,961 $202,040 $168,367 Building Value $114,210 $191,102 $192,304 XF Value $554 $662 $662 Market Value $327,725 $393,804 $361,333 Assessed Value $327,725 $393,804 $209,675 Benefits Information Benefit Type 2013 2012 2011 Save Our Homes Cap Assessment Reduction $0 $50,500 $151,658 Homestead Exemption $25,006 School Board $25,000 Second Homestead Exemption 1 $25,0001 Taxable Value 1 $25,000 Widow Exemption I City • • • • •••• •••• 1 1 $500 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description PB 42-25 BAY BREEZE SEC MIAMI SHORES LOT 8 BLK 186 LOT SIZE 89.930 X 130 COC 22795-239210 2004 4 Generated On: 5/2/2014 2012 Aerial Photography ZOOtt Taxable Value Information 2013 2012 2011 County Exemption Value $50,000 $0 $50,500 Taxable Value $277,725 $393,804 $159,175 School Board Exemption Value $25,000 $0 $25,500 Taxable Value $302,725 $393,8041 $184,175 City • • • • •••• •••• Exemption Value $50,088 • • • • $50,500, • j:: Taxable Value $277,75 $393,80 � $1 9,175 Regional .... .... ;"' Exemption Value $50,060 ' "Me. sm, Taxable Value $277,j0 :•$3 - ; $1�9�t7,r5 Sales Informationassess Previous Sale Price OR Book:Pa9e Qual kation Descripileft • 10/12/2012 $400,000 28323-0172 Qual by g&n of deed 10/01/2004 $0 22795-2392 Qual by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Properly Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/www.miamidade.govMfoldisciaimor.asp hq://www.miamidade.gov/propertysearch/ 5/2/2014 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 HIGH -VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Cods Edition 2010 High -Velocity Hurricane zone Uniform Permit Applicatidn Form, INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page - 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Duan Drawings 3.1128 Design ign Calculations .per Chapter 16, or if Applicable. RAS 127 or RAS 4. Other Component of Product Approval S. Municipal PermitApplication 6.Owners Notification for Roofing Considerations (Reroofing Oniy) 7. Arty Required Roof Testing/Calculation Documentation 0000.. 0000.. *see • S 0060 00.90• •• •• SSSS•• • • • 00 • i Soso • •; • • • • be .; Sees 00001 • e•$ • • •_ • • C e 2010 FLORIDA BUILDING CODE — BUILDING Ism • • 0000.. 0000.• SSSS• SSSS•• • •