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RF-14-1187BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Master Permit No. 7JUN 0 0 2014 FBC 20 AO Sub Permit No. 1)(-1 vt � l ❑BUILDING ❑ ELECTRIC ® ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: TJ `"� �J _ '"t S LA tG\Un City: Miami Shores County Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): A� C -&QU( Gly Yk. Phone#: Address: '2 9S %S k 91 X S4 City: WA' (kkAAA' Sk&nCR5� State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: q__) • ?• o 41/`.a C_ .�0"0 Phone#: iZL -3�� �l1 Address:2C 2V MW 16 BA Lc. - (off (4 gaz City: f -AA d 6 U4 State: Zip: 315 Qualifier Name: 12-e �,ee- y L Phone#: J)j z6 v State Certification or Registration #: C-' ( (_ —(-37,? ZE Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: c,*r Value of Work for this Permit: $ r ('P00 0 Square/Linear Footage of Work: 2 �5 Type of Work: ❑ Additions F-1Alteration / / 1:1 New ❑ Repair/Replace F-1Demolition Description of Work: /[�z,•� Z� �I Ls2_ d-� Specify color of color thru the: C Submittal Fee $5o ' 2Permit Fee $ Scanning Fee $ Radon Fee $ _ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) a CCF $ DBPR $ Notary $ Double Fee $ Bond $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 nqt be approved and a reinspection fee will be charged. 1,,,-----QVVNER or AGENT The foregoing instrument was acknowledged before me this day of t4/nk- 20 , by s�l;p' . who is personally known to me or who has produced Az- '��'olreas Signatu r CONTRACTOR The foregoing instrument was acknowledged before me this ,3 day of 20 T by R 06@ /' /n t V a @n%, who is personally known to me or who has produced Dr:v2r //'Le -n s -19, as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: n Print: 2O»P`f P4B (��_ Notary Public -State of Florida -`�"' Aga , MARINA E. DOMING' Z Seal: Seal: _ y . o - + . n : Notary Public - State of Florida My Comm. Expires Sep 23, 2016 . • » •= M Comm. Expires Se �o;� Commission # EE 837576 ;�, Qc y p P 23. 2016 ;;.•� •-,.F p°c• Commission # EE 837576 Bonded Thr ugh National Notary Assn. ,o �o�• Bonded Through National N t r APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Sho * res Villa9e Building epartment 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: V10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: .31 . / '-tGr Property Address:_ a9S'NJ C 9,!� A Roofing Permit Number: Dear Building Official: ' b', I Q.` -A Q �9,1 t>�a AN certify that I am not required to retrofit the roof to wall connections of my building because: �he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Ant N�d4e 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 ��° day of 1z "I / -rn4j, MARINA E DOMI N Notary Public, Sate of Florida at Large • ��'+ �a• GUEZ Notary Public - State of Florida My Comm. Expires Sep 23, 2016 --�i��OFF��p�Commission # EE 837576 !a ;I�� W Bonded Through National Notary Assn. When the just valuation of the structure for purpose of ad valorem taxation Is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SF8C. Then you must provide 8 bulkft application from a General Contractor for the Roof to Wan connection Hunrkane Mi%alion. AC#6420580 S!rAM.*OF FLORIDA r1HP M%3rBCUrj0§Z PPRIOP 10 R XON SIAM y 3: I ST MHMNGLAO!MW� SEQPL12092805762 Oki, 10912812012 112-701,09.4.9 ICCCI32783,3".',: The ROOFING -CONTRACTOR Named below :CS MRTIFTED Under the'-proviaiono of* ChaptAift,111*01_ M. xxLpiration date t AVG 31, C 201- mT$ 14M, DUARTB, ROBERTO.. 16TOgs D B BR0Tff8RS'C0XSVRt3rCTX0N V 27120 SW.144TH CT Mimi FL 3303 RICK SCOTT rim LAWSON GOVERNOR DISPLAY AS REQUIRED BY LAW SECP=ARY aft. -THE (SINOT 'ik -'bd.da:.N6t. oiy DO. ViEN 7 .322 337 sec. TYPE 0JF:N0mtqxm. "amm CONSMUCrM INC 196 SPECIALTY -"BUILDING C ONTFtACT01i PAYMOT * 13Y TAX:66LLXCTQ • $75.00 6$'/05/20.1.3 1XHSI-43-042089 guem" TO& The tff k*Ww ash Par Tha mnrtt*- amp""*4ftaft Jf^FF ATWATER STATE OF FLORIDA CHIEFFINANCIALOr-FICER DOPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION a. CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers" Compensation law. EFFECTIVE DATE:- PERSON. ATE: PERSON. FEIN: 10/12/2012 EXPIRATION DATE: 10/12/2(3'14 DUARTE ROBERTO ' J 850810492 BUSINESS NAME AND ADDRESS, D s BROTHERS CONSTAIxTION INC 27120 SW 144TH CT, MIAMI FL 33032 SCOPES OF BUSINESS OR TRADE: 1- ROOFING 2- LICENSED GENERAL CONTRACTOR IMPORTART, Pdranaai to tbaptor 410 . Os(14), F,S., an officer of a carporattlan woo eleeta axomptian Iram this chapter by tiling a certificate of aledfae gilder this settiaa may not rwAver heaelits or compensation Nader this thaptter. rorsNaal to Choicer 440.05(12), F.S-, Certificates of elation to be exempt,.. apply only within the scope of tho bastaam or trade listed an tm snots of Walctran to be exempt. Paraanat to Chapter 44M9503). F.S.. Notices of eiecttan to be eappt and eenifinates of election to be exempt shall be mlect to revocation it, of nay time after the filing of the mite or tae fssaawo of Me certificate, the person gamed as the calico at cartilieate ao longer Mavis the requirements of this section for Issuance at a certificate. Tne depaltmeat shall revoke it certificate at say time fat (aildre of the person amped an the cortllicafe to meet the requirements of this soclida. QUESTIONS? 0501 413-1605 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OP I ORIDA D61sARTMENTOIFFViANCWS6WcEs DPASION OF WORKERS' COMPENSAIM CONSTRUCTION INDUSTRY CERTIRCATE OF ELECTION TO BE EXDWT FROM FLORIDA WORKEW COMPENSATION LAW 9 EFFECTIVE 10/12/2012 EXPIRATION DATE: 10/12/2014 PERSON: ROBERTO d DUARTE FEIN: 850810492 gtJSWESS NAME AND ADDRESS: n 0 HROTN6RS CONSTRUMON INC 27120 SW T44TH CT, ANAt1I, Fk 33032 SCOPE OF BUSINESS OR TRADE i- ROOFING 2• LICENSED CeN4RAL CONTRACTOR IMPORTANT F Pursuant to Chapter 44k105(141, F.&, an officer of a corporation who O elects exemption from this tester by filing a certificate of election I- under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter +14(1.05(17), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on Rdie notice of election to be 'exempt E Pursuant to Chapter 440.051131, F.S, Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or tate issuance of the certificate, the person named on the notice or certifitoche no longer meets the requirements of this section for issuance of a certificate The departrnent sfleil revoke a oertificme at any time for failure of the person named on the certificate to meet the requirements of this section. CUT HERE IlUESTIONS? (850) 413-1609 * Carry bottom portion on the job, keep Upper portion for your records. DWC-252 CERTIFICATE OP el-EMON TO BE EXEMPT REVISED 0111 01/06/2014 07:50PM 3052463145 JLISTINSJRANCE PACE 01 z CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 19 NW= AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRIC ITE HOLDER. TmW CMMMTE DOES NOT AFFWAATWELY OR REGATIMY ANOW, EXTEND OR ALTER THE =413RAGE AFFORDED BY THE POLKNS . SELOW. THIS CERTW=TI: OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING- INSURGRWG), AUDIOROW REPRESWA71YE OR PRODUCER, AND THE CERTIFICATE HOLDER. MLpoRTANT: Ifft cofficate holder Is an ADDITIONAL 24SURED, the 1181100 6) must be wldarsad. E SURROf3ATWH IS WAIYEIk su to the to. and condlplon9 of the polios►, aettaln pollow may mquhe an ondomenaent- A etaament on this does not owder rW tsss to the Womb holder in Ilett of such altdmsemotta(s} aG01frA= JUST INSURANCE SERVMS 28931 SOM DOQE HWAY HOMESTEAD, FL 33033 oun MARTINEZ $06-248-3163 305-246.3145 s MIMNA A t GRANADA WFURANCB COMPANY DB BROTHERS CON6STRUCTIONB 27120 SW 144 CT WARAN^ FL 33082 e c' plimma: d P THIS IS TO C q,W-Y THAT -ME POUQU OF NWW.NCE IJWW WaM HAVE BEEN MW T© WE IN18UPM NAMED ABOVE FCR THE POLICY PEIWO INDMTM WCiiWITHSTANDING ANY RMIRa:Dt U, TERM OR CMITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO "iWH THIS CERTIFICATE MAY BE ISSUED OR MAY MITAIN, THE NICE AFFORDED BY THE POUGES DESCRIBED HTREN 18 SUBJECT TO ALL THE TO AS, EXCL 00fdS AND COMNTION8 OF SUCH POLICIES. LNITB 8KCWN MAY HAVE BEEN REDUCED BY PAID CLAN& TrQFvl'VIaAME s EAddi =LWtSVtd a I300,1�D X cfMMWI PAL Ba�L UtMMY „ e a s s 100,000 X E] ] Mw ERP S $ADO A 70i$WLO00397132 00312013 1DfOCM14 Fw&w&&mwNA0ir 8 SAW aENEWALACt6REiN► 5W+000 Q@PL 41MRAPPLIESAEi� PM=M-CCMFWAIM9 F-1 l� a UW pAAUT�N�Y AY1 O !�Y BVJUIiY (P6r 96n�a 8 I e0D9Y'MJIAY(Psraae 8 •a Wffio FIIIwmnw AUTOS 5 UM8114 J AUAB oc= Exam LOW KGmRH6ATfi $ am I I MMM -1 5 immuomt70t YRN I mo 01189 M vim pOFCP81A410N8tlCrJ1710pl31VB1t4Rib(A�t1tAl�iaj,Ad�knall;do.UmasBq�bis�99�1 RESIDENTIAL CONSTRUCTION ANY OF TM AI3 N Ills$ MW PO aE CMC& M B$RORE. 'nib MMATidtA OATS THAI. NOTICE WRL BE RUNE= IM CRY OF MIAMI SHOI�E.9 RiDp11IC6 WITH THE CY PROYtr MM , BUILDING DEPAFUMEN T A 289 NE IIS ST MIAMI SHORES, FL 33138 888 201 TlQpl. AO tigtft fas&-" ACORD 25 {2810105) The ACORD »one and logo am Tagls tnW merles 4f AC Ll D� 0 �COR1Up' Miami V Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, you may be personally liable for the worker compensation injuries of M person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Contractor Print Name::Print �/d NamIrt e — Signature: Signature: C__ Pt RY PVe(C State of Flori ) ����`������� `Z�Y P48,� CLAUDIA T. ROCHA SILVA State of Fl - CLAUDIA T. ROCHA SILVA County of Mi a-; Notary P blic to of Florida County of ea Notary Public - Stat Florida e MW%ll Sworn to day of o ;��9i�� 2016 Ni ion # Sworn cF day of o d .2016 "' � # EE 843831 EE 843831 By By (SEAL) • (SEAL) Tvne of Identification produced Tvoe of Iden cation produced • of A?"HOVER By DATE 17'f7",fIN'G DEPT Ah `3"_GG D =PT HURRICANE ZONE! SUBJECT TO COMPLIANCE WITH AL� FEDERAL T ANT) Cnf INTY RULES AND REGULATIONS Florida Building Code Edition 2010 Section A (General Information) Master Permit No. Process No. Contractor's Name11-43-g Job Address q'R S+ ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile 13 Asphaltic Mortahehe Set Th e 13 s MetalPaneliShingle13 WoodinglShingles es/Sha as ❑ Prescriptive BUR -RAS 1s0 ROOF TYPE ❑ New Roof Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 2!)2 -C.)® ? -®®r Section B (Roof Plan) • •....• Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers; overuse; • • scuppers and overflow drains. include dimensions of sections andelevels, cleaMy • identify dimensions of elevated pressure zones and location ofPara•: • • • ,'t • •, • • '+ •Oise• • *Osseo 0 e •o••OO • • •0000• •ecce • ••Doss HIGH -VELOCITY HURRICANE ZONE Florlda Building Code Edition zoo Ht h Ve Hurricane Zone Uniform Permft APPIleadon, Form, Section D (Steen Slowed Roof System) Roof System Manufacturer: C -L. -t_ C��" IIZ�- - Product Approval Number: Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): P1: 02: it 'Ra P3: -I, Maximum Design Pressure Product Approval Specific System.�- Method of file attachment: - 1� — wN� Roof Slope: 12 Steep Sloped Roof System Descrintien Deck Type: 9 ype Underlayment• • 0•• 000004— 00 06:6 Insulation: • • • • • •- • ..... 00000000 •0000• •0000• 0000 Fire Barrier: • • • • • • • i1 0 000000 . • Fastener T • Ridge Ventilation? Type &Spacing: 00000 dhesive Type; ype Cap Mean Roof Height: %S Covering: Type & Size Drip dge: � HIGH -VELOCITY HURRICANE ZONES Florida Building Code Edition 2010 _._ - . _ Section E (Tile Calculations) For Moment based file systems, choose either Method 1 or 2. Compared the values for M, with the values from Mt. If the Mt values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method Is acceptable Method 1 "Moment Based Tile Calculations Per RAS 127" p',:39• / x7�®.zap ='o--� .)_ M � (Px: �• i x x�, _ _ -Aft = M,� Product Approval Mr.9• 3 (P.,: 10 0- I x 1104 21-1 = 23, 2 91— M� G • 19 - M, .9-3 ` Product product Approval M, �-4 Approval M, 3�• Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M j From Table Below Product Approval M. 'Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. Goes For Uplift based tile systems use Method 3. Compared the values fc r F41th the e G G G • values for F,. If the F values are greater than or equal to the F. v , area of the roof, then the the attachment method is acceptable. fAr eaclf . s' G s GGOG0 G Method 3 "Uplift Based Tile Calculations Per RAS = ' (P,:_xl•_= x w:=_J—W'_xcos ( B.• = Fn:___,_ G.G.G. x H•: - _) - W: X cos i9.t = f n: Go so ' x w: _ ._ ) — W: x cos 0--= F,3: ...... . . GOO* 0000 0 .00000 e GGosoe G 000ee 000 ..... e G 00 FO --.Osseo tr 0000 G Goo: SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements andstandards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1 • 'L h Aesthetics-Workmanshlp: the workmanship provisions of Section R4402 are for the purpose of provid ng that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. C 1 c Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be ren sled in accordance with the current provisions of Section R4403. y to removing the existing roof system).e roof deck is usually concealed prior 3• C C 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 g owner should notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where be viewed from below. The owner may wish to maintain the architectural appearance; underside of the roof decking can ppearance; therefore, aofing nail penetration of the underside of the decking may not be acceptable. This provides the option of m"ining the• •; • appearance. .. 6666 .006.0 •..• : 6606:. 5. 1 CM Ponding water: The current roof system and/or deck of the buildini tray- of drain 6 • ca se water to pond accumulate in low-lying areas of the roof. Pounding can be atswnd may • • • (accumulate)9 �,ipdicatiort otst�lctural..... distress and may require the review of a ro ssional structural engineer. Poundirimay shorteA 41p Ve • • • • • expectancy and performance of the new roofing system. Pounding conditions mapnotbe evident'untM the • • • •: • original roofing system is removed. Pounding conditions should be corrected. • • • • • • • . . . . 666666 6. Overflow scuppers (wall outlets): It is required that rainwater flow; pffso that the rept is not . 6666.. ov rloaded from a buildup of water. Perimetededge wall or other roof extension may block this6d i charge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the inte 'or of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the Signature Dateor Sign ure Da te Revised on 7/9/2009 LD DE M®AMI- DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA Owens Corning One Owens CorningParkway Toledo, OH 43659 SCOPE: MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.niiamidade.gov/economy 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 RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DUB TION�.:Weat�herloc�kpecialty Tile & Metal Underlayment 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••therc'bas beet? fls'Change• • 110: 0 in the applicable building code negatively affecting the performance of this product. 0 0 0 00 : 0 0 0 0 000000 .. • 000.00 TERMINATION of this NOA will occur after the expiration date or if there has been a rev? 0 or changeetpethe • • • + materials, use, and/or manufacture of the product or process. Misuse of this NOA as an enddrse>v'ht of ahy4v9duct, ..... for sales, advertising or any other purposes shall automatically terminate this NOA. Failure loo samyly with ap section of this NOA shall be cause for termination and removal of NOA. 46900 0 • • 0 0 see*:* 00..00 00 ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Fldrida, U4 fgJlowd& 0 • • • by the expiration date maybe displayed in advertising literature. If any portion of th �NodA, is displayed, tha600. 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 NOA revises NOA# 12-0309.03 and consists of pages 1 through 3. The submitted documentation was reviewed by Alex Tigera. . % . APPROVED J NOA No.: 13-1010.03 Expiration Date: 07/31/17 Approval Date: 01/30/14 Page 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Sub -Category: Material: Roofing Underlayment SBS TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specification Description Weatherlock® 36" x 33.3' rolls TAS 103 SBS self -adhering asphalt sheet material with a Specialty Tile & 36" x 66.7' rolls ASTM D 1970 white or green glass re -enforced polyester Metal Underlayment surfacing fabric; for use as an underlayment in sloped roof assemblies. MANUFACTURIGN LOCATION: 1. Brentwood, NH EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. R14610 Follow up Service 03/28/02 IRT-Arcon, Inc. 02-012 TAS 103 02/28/02 PRI Asphalt Technologies, Inc. NEI -006-02-01 TAS 103 04/01/02 NEI -008-02-01 TAS 114 (H) 07/30/02 PRI Construction Materials NEI -045-02-01 ASTM D 4798 & ASTM G 155 08/08/07 Technologies, LLC. NEI -053-02-01 ASTM D 4798 & ASTM G 155 05/01/08 NEI -076-02-01 TAS 103 / ASTM D4798 02/14/11 NEI -034-02-02 ASTM D 1970 .40428/13 • . 0000 0000•. APPROVED ASSEMBLIES: • • • • • •:' • ' • 0000•• •• • 0000.. Deck Type 1: Wood, non -insulated, new construction *00000 • • • 0000 0000 :900*: Deck Description: 15/32' or greater plywood or wood plank •ego* 0 0 0.0.0 so*** •••••• •••• ••••• System E(1): Anchor sheet mechanically fastened deck, membrane adhered. . 0.0 0 • • 06 0 0 0.0 0 0 Base Sheet: One or more plies of ASTM D 266 Type II or ASTM D 2626 with a WhWn 3" side 1a and a 00 6" end lap mechanically fastened to deck with approved nails and tin caps 6'� o.c. a 4ha ps ant"": two staggered rows 12" o.c. the field of the roll. • 0 • • • • • • gg •• • •••• 0 • Membrane: One or more plies of Weatherlock® Specialty Tile & Metal Underlayment with a rrii$imum 4" side lap and 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with Weatherlock® Specialty Tile & Metal Underlayment is acceptable. Surfacing: Approved for Adhered Roof Tile, Mechanically Fastened Roof Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingle assemblies. NOA No.: 13-1010.03 Expiration Date: 07/31/17 Approval Date: 01/30/14 Page 2 of 3 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. Weatherlock® Specialty Tile & Metal underlayment shall be installed in strict compliance with applicable Building Code. 3. Weatherlock® Specialty Tile & Metal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. 4. Weatherlock' Specialty Tile & Metal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over roofing Base/Anchor sheet underlayment. 5. Weatherlock® Specialty Tile & Metal underlayment shall not be left exposed as a temporary roof for longer than 90 days of application. 6. The standard maximum roof pitch for Weatherlock Specialty Tile & Metal underlayment shall be 6:12 when tiles are loaded directly to the Weatherlock® Specialty Tile & Metal underlayment; loading boards or battens are required on roof pitches greater than 6:12". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 8. Tiles shall be stored on battens on roof pitches greater than 6:12". 9. Weatherlock® Specialty Tile & Metal underlayment may be used with any approved roof covering Notice of Acceptance listing Weatherlock Specialty Tile & Metal underlayment as a component part of an assembly in the Notice of Acceptance. If Weatherlock® Specialty Tile & Metal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 11. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current ProdAef Control 000009 Notice of Acceptance and applicable Building Code. .0. 0000 .. . 0000 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment.eslashing@ Oe shall be.9.:. pressed in place and formed around the protrusion to ensure a tight fit. A second layer trf•W etherlock•Specialty •0 Tile & Metal underlayment shall be applied over the underlayment. 0• • • • 0000 • 0000 0000 0000. 15. All products listed herein shall have a quality assurance audit in accordance with the Florida Buildiy�g.Code and.;•.. Rule 9N-3 of the Florida Administrative Code. 000900 ' ..' 0000.. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manul ciit�r'e�'s name or logo and• 99 06 the following statement: "Miami -Dade County Product Control Approved" or the Miami-12ade CgmOrProduct • Control Seal as shown below. • • • • • • • • :006 ILQM 0000 END OF THIS ACCEPTANCE NOA No.: 13-1010.03 Expiration Date: 07/31/17 Approval Date: 01/30/14 Page 3 of 3 MIAMIiDADE � MIAMI -DADS COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 OF ACCEPT E (NOA) www.miamidade.aov/bulldinel Eagle Roofing Products LLC 1575 East C.R. 470 Sumterville, FL 33585 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County 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 (1n 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. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the Higli_Velo ' urrlcane one a Florida Building Code. DESCRIPTION: Capistrano Concrete Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or %ffip in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an�ibrgement q f gpy 0 0 product, for sales, advertising or any other purposes shall automatically terminate this NOA.69ailure'to dolply .... :. with any section of this NOA shall be cause for termination and removal of NOA. • • • • • • 0 • 6666.. 6060 6666 6 0 ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, frcfrida, andf3lowed by: 66. the expiration date may be displayed in advertising literature. if any portion of the NOA to aisplayad it sha .. ..000008 be done in its entirety. • 6666.. . 0 . 0 6666.9 INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its MilMtors . and shall be available for inspection at the job site at the request of the Building Ofliciak • 6 :066 : . 0 0 0 0000 This renews NOA #07-1018.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11-0321.03 Expirati(.,on Date: 10/05/16 Approval Date: 05/12/11 Page 1 of 7 ROOFING ASSEMBLY APPROVAL CatKory; Roofing Sub Catetorv: Roofing Tiles Material: Concrete I. SCOPE: This approves a new roofing system using "Capistrano Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by Test Product .... Dimensions Specifications Description Capistrano Concrete L = 17" TAS 112 High profile concrete roof tile. For direct Tile W= 12 '/" deck or battened nail -on applications. •• • Thickness = 1/i" • Trim Pieces l = varies TAS 112 Accessory trim, clay roof pieces for use at w = varies hips, rakes, ridges and valley •••• varying thickness terminations. Manufactured for each tile •••• •••• profile. NOA No.: 11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 2 of 7 . . .... ...... •••••• •• • •••••• • •••• •••• • • •••• •••• ••••• •••••• •••• ••••• •• •• •• • •••••• • • •• • •••••• • • • • • 00 •• • 0010 • • NOA No.: 11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 2 of 7 2.1 EVIDENCE SUBMITTED: Test Aeencv Test Identifier Test Name/Rego rt Date PRI Asphalt Technologies ERPF -001-02-02 TAS -112 Aug. 2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & 102(A) Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108 (Nail -On) Redland Technologies P09647-01 Wind Tunnel Testing Aug. 1994 TAS 108 (Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of screw Sept. 1993 vs. smooth shank nails The Center for Applied 94-083 Static Uplift Testing April 1994 Engineering, Inc. TAS 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) The Center for Applied 25-7094-(3,6 & 9) Static Uplift Testing Oct. 1994 Engineering, Inc. TAS 102 The Center for Applied 25-7120-(1 & 2) Static Uplift Testing Nov. 1994 Engineering, Inc. TAS 102 The Center for Applied 25-7183-(3 & 4) Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 The Center for Applied 25-7214-(3, 4, &7) Static Uplift Testing March,1995 Engineering, Inc. TAS 102 The Center for Applied 25-7804-4 Static Uplift Testing Sep. 1996 Engineering, Inc. TAS 102 Celotex Corporation 520111-3 Static Uplift Testing Dec. 1998 Testing Services TAS 101 Celotex Corporation 520191-2-1 Static Uplift Testing March 1999 Testing Services TAS 101 ' 0000 Walker Engineering, Inc. Calculations Aerodynamic Multiplier %.' 0000' Sep..?A06 . 0000.. .. . 0000.. 0000 0000 0000 goes 0000.. 0000 09 e. 00 0 g.eg.o gee... .. 0 .egg 0000 NOA No.: 11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 3 of 7 0000.. . 000000 g.oeeg 0 0000. 0000. . ..00.0 . .0000. 000000 . . 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to' the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Eagle Roofing Products LLC Capistrano Concrete Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight W (Ibf) Length-1(ft) Width -w (ft) Capistrano Concrete Tile 10 1.417 1.04 Table 2: Aerodynamic Multipliers - A ft Tile Profile A (ft)A Batten Application 1 (ft Creo/tDeck A is on Capistrano Concrete Tile 0.300 0.277,,,,- M Ta le 3: Restoring Moments due to Gravi - M(ft-lbff— Tile Profile 3":12" 4":12" 5":12" 6":12" Greater than 7":12" Capistrano Concrete Tile BattenT6.991 Direc Deck Battens Direct Deck Battens Direct Deck Battens Direct De k Battens •giMgct 6.686.57 •• • •••••• 6.88 6.44 1 6.73 6.28 6. .10 •0000• M NOA No.:11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 4 of 7 0000•• • • • 0000•• 0000•• ...... .... •• •• •• • •••••• • • • • • •0000• • • • •• • 0000 0000 NOA No.:11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 4 of 7 0000•• • • • 0000•• 0000•• Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19132" plywood) Battens Capistrano Concrete Tile 2-10d Ring Shank Nails 28.6 41.2 19.4 1-10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2-10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 #8 Screw 20.7 20.7 18.1 2 #8 Screw 43.2 43.2 29.8 1-10d Smooth or Screw Shank Nail Field Clip) 23.1 23.1 19.0 1-10d Smooth or Screw Shank Nail Eave Clip) 29.3 29.3 24.0 2-10d Smooth or Screw Shank Nails Field Clip) 27.6 27.6 38.6 2-10d Smooth or Screw Shank Nails Eave Clip) 38.1 38.1 41.8 2-10d Ring Shank Nails 33.1 48.1 45.2 1. Installation with a 4" the headlap and fasterners are located a min. of 2%2° from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Capistrano Concrete Tile Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Pa Adhesive Set Systems Tile Profile Tile Application Minimum Attachowt. • Re-elptance • • •' Capistrano Concrete Tile PQlyfoam Pol Pow • • see* P am Pol ••• 7 •• • 3 L r ent of 83 rams of Pol Pro*'" • • • • • • • 4 edium paddy placement of 24 rams of Pol Pro . • 24.9 ; • • • 0000 **do Table 7: Attachment Resistance Expressed as a Moment - Mf#f-f) • �:' for Mortar Set Systems • Tile Tile A@aclAent . Profile Application R si nce"• Capistrano Concrete Tile Mortar Set • 24.9 ; • • • sees 6 Tile -Tito Roof Tile Mortar. NOA No.:11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 5 of I ••6666 .6686. 6666. 6666.. 6666.. 666666 e 6 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved". EAGLE FLORIDA CAPISTRANO CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 this Notice of Acceptance. 6.1.2 Any other documents required by Building Oficial or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 11-0321.03 nMUW41=ME eoUNnr Expiration Date:10/05/16 Approval Date: 05/12/11 Page 6 of 7 ...... .. • *beef* e••e•e f ... •.. .... .... . . • ...... .... ..... *see* .. . see*:* • .••.•. • • • • •bee•• ••••e• • • •00 • • 1 000 0 • 0000 NOA No.: 11-0321.03 nMUW41=ME eoUNnr Expiration Date:10/05/16 Approval Date: 05/12/11 Page 6 of 7 I 4 � o PROFILE DRAWING il+liw UM CAPISTRANO CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 7 of 7 . . .... ...... ...... .. . ...... • NOA No.: 11-0321.03 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 7 of 7 F.I.E. FLORIDA INTERNATIONAL ENGINEERING $TESTING LAB INSIGHT -INNOVATION -INTEGRATION Owner's Name:_, Job Address: Roofing Contractor: Florida International Engineering and Testing Lab LLC 16701 SW 117 Avenue, Miami, FL 33177 Telephone: (305) 378 -1991 -Fax: (305) 378-1997 Miami -Dade Lab Certification # 07 -0612.11 -State of Florida ca #27273 SITE SPECIFIC INFORMATION Permit Number: _A_1F �� `� Type of Tile: Ce �s Ny�'— '® aest L Approximate Roof Height: Meet Slope: Approximate Square Footage: 7-�® ft2 Type of Access to Roof: ®✓' Ladder OtherRequired Te ing orce: 3355 lbs._ Testing Equipment: F.G.E 100x Shim po Instrument � � 4'L Date Installed: �t A Date of Inspection: & z-,? !�(- ---------------------- ---- - - -------------------------------------------------------------- ----------------- TEST RESULTS P= PASS, F= FAIL IX IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: ft Area Units or ft2 Test Location Perimeter gV -2-0 Field a Corners Hips & Ridges00 IX IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: ft Area Units or ft2 No. of Tests Perimeter gV -2-0 Field a Corners Hips & Ridges00 a®®eeeeeel�® RESPF�6` .tLYBW�$tTJED BY: Z`7:3:.No 63107 4,:A 13 • 4 S T VV.alOas V Stat'�,7 ®®�r,'10 N A®e ®`�`®®®®