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RF-14-2130 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235349 Permit Number: RF-9-14-2130 Scheduled Inspection Date: August 10, 2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Cap Sheet Owner: PROPERTIES LLLP, HB GROWTH Work Classification: Tile Job Address:278 NE 103 Street Miami Shores, FL 33138-2431 Phone Number Parcel Number 1132060134860 Project: <NONE> Contractor: ADVANCED CONSTRUCTION SERVICE GROUP, INC. Phone: 305/244-7501 Building Department Comments REMOVE EXISTING ROOF BEING REPLACED WITH Infractio Passed Comments BARCELONA TILES ( CASA GRANDE BLEND) INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-233376. CREATED AS REINSPECTION FOR INSP-229256. CREATED AS REINSPECTION FOR INSP-220592. Pending revision fro low slope roof. Failed ❑ Provide City approved engineer detail for the repairs of the wood joist. Repairs to rafters must be per Eng. drawings Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 07, 2015 For Inspections please call: (305)762-4949 Page 6 of 29 C I V I L Reileh Engineering Corp. (Consulting Engineer) Ra2370 Southwest 123rd Avenue m Miami,Florida 33175-1174 Tel:305-823-8008/305-397-6414 EN6INEER Fax:305-823-3300/305-884-8834 Website:www.reilehengineering.com August 5, 2015 Advanced Contractors 8004 Northwest 154 Street#260 Miami Lakes, Florida 33016 Project: Visual Roof Inspection Existing Building 278 Northeast 103 Street Miami Shores, Florida Project Number: 15-0366 (Testing Laboratory Certificate# 11-0715.04) Dear Sirs; In accordance with your request and authorization, on August 4, 2015, a representative of Reileh Engineering Corporation performed a visual roof inspection for the entrance porch roof at the above referenced project. This inspection was performed,by means of visual observations and conducting roof field evaluation, to examine the repaired roof rafters. At the time of our inspection, the installation of the new wood rafters had been completed. The deteriorated wood rafters were noted to have been replaced with new PT wood member. Metal straps were also noted to have been provided to secure these new wood rafters to the supporting beams. Based on our findings, it is our professional opinion that the repaired work performed is acceptable and in accordance with the Florida Building Code. Attached are Photo 1 thru 6 for your review. Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. Please review the result reported and if you have any questions or if we may be of further assistance,please do not hesitate to contact the undersigned. Respectfully submitied; Reileh Engine n 'Corporation 9 M amad Sonny Salleh, P.E.49014 Project Manager t�} q, a v f • .ji i , .�v y4jC1041 ONYX! Y x�e � � p rye� a K�y�e��r��,!✓ r Au f ac ' p4 W ,,rxt �, �. � W;= On Fill 3' afit : Vol Y' t yk t1 "Sw NOW 'a tie. i �e x v. '�F -� t "`a ,�„ +P '�- y,3w§ f .-*'`�g, ,•''+''r �`.ri r°k s �t aow- r 601 r bn; d zrF�, Wt ✓"€' e a � h t 'P2 R�x All' wi ; 3 1w 3 SAMf a AIR a Ar „ x Off� g e� y 4 � a I dij u� �F= •s � jll 6 y a I E E Moll Jk 10 p tit � . >414 r 4"'MMI j y`'a.a�l�ll � �,�p ;°" likh'�a � .1 ia S OF y� .� ti r' i ctl �a pi Gl�' ai .•i o- x, i hiVl�,l a s�^ ." 1(—lot i4 g ii it l�lx c` s' RhO up z .*y * I t�tiT h i il` k rrv, � ti-�+aa, a r � !i 4N i:r 2�' i ii t��iGii l�a�ii r�k7H°•r�fir' � � i� ��;nr ', ip `'� lli so- € EtVP is a r•�d)'a� I a`i ,�" ?3 ii��'_� ��M�, �I�,�,� `� C�x�"��i �J" rtr�a� ::,�` r a .�� I..: � i�'�`i �5�, � 7: sih MIN rax rG., maaatl!&:.x- .' .. `n -.;l di o-."`Ah tiy`s, 4�A M skor, lVM "`� �" mo r: " vr-'? $ +MW maw c l x ° _ y.�,a x'�.��n, a�'; #�*" � Nk 9. Mme. r�� °'4^Ra•: M:`�'� $s �t �, j 5 .q � > x r Aw NEMORECIT WIN TWO toy i ,.. N ll ..p r."tea �•I F �> ��'� '�. �,Y � 3 i Y Z s 3..�..� �• � its � �� tri k 4 to 5 p V � -t ' +aFp3 r h' rt rC, r a�, h x INShEC'90N RECORDPOST ON SITE Permit NO. RF-9-14-2130 yHOR£q �<< Miami Shores Village 10050 N.E.2nd Avenue Petnlit Type:Roof ....... � Miami Shores,FL 33138-0000 Cu b,EN � Phone: (305)795-2204 Fax: (305)756-8972 ft* 331f8ttOf1;Tiie Issue Date: 11/10/2014 Expires: 10/12/2015 INSPECTION REQUESTS: (305)762-4949 REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Roof Parcel #:1132060134860 Owner's Name:HB GROWTH PROPERTIES LLLP Owner's Phone: Job Address: 2Z8 NE 103 Street Total Square Feet: 1800 Miami Shores. FL 33138-2431 ' Total Job Valuation: $ 11,100.00 Bond Number: 2530 WORK IS ALLOWED MONDAY THROUGH SATURDAY, Contractor(s) Phone Primary Contractor 7:30AM-6:OOPM.NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. ADVANCED CONSTRUCTION SERA 305/244-7501 Yes BM GENERAL REPAIRS LLC (786)395-5135 No BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. Z Z/ nV} JOB R COLOR THROUGH CONCRETE TILE OR SOLID CLAY TILE REQUIRED. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. APR 2 'D 2015 Reileh Engineering Corp. , P , C I V i L Consultin En eer ; ---.Y V --_------I ( g gin ) - -------- 2370 S.W.123 Avenue Miami,Florida 33175-1174 14-"2i 30 Tel:305-823-8008/305-397-6414 ENGINEER Fax:305-823-3300/305-884-8834 � � Website:www.reilehengineering.com 3--35 --791- I c� 2:3 April 27, 2015 Advanced Contractors 8004 Northwest 154 Street#260 Miami Lakes, Florida 33016 Project: Visual Roof Rafter Inspection (Permit No. RF-9-14-2130) Residential Home 278 Northeast 103 Street Miami Shores, Florida p Project Number: 15-0366 (Testing Laboratory Certificate # 11-0715.04) Dear Sirs; In accordance with your request and authorization, on April 24, 2015, a representative of Reileh Engineering Corporation performed a visual roof rafter inspection for the entrance terrace at the above referenced project. This inspection was performed, by means of visual observations and conducting field measurement,to provide a detail drawing and specification for the repaired rafter ends. At the time of our inspection, four (4) of the entrance terrace 4x6 rafter ends were repaired. The approximate locations of these rafters are noted in the attached roof sketch. We recommend that two pieces of 2x6 PT be scabbed onto the existing rafters. Attached please find Drawing marked 1-A showing our recommendations and our field taken photographs for your review. Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. Please review the result reported and if you have any questions or if we may be of further assistance,please do not hesitate to contact the undersigned. .. ... . . . . . .. Respectfully submitted- Reilch ubmitted:Reilch Enginee Corporation . ... .. ... . . hamad Sonny Salleh, P.L.49014 ... . . . . ... . . roject Manager . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . NORM 120 ...... . . . . ...... . .. .. .. • • • •••obi•• •••••• •••• ••• •• • 278 NOM; AST 103 5TtTFf, MIAMI 9VIT5, F�RIPA �X15-r 4X6 woos 1�1a 1-YP, N�W2X6 P1-5�CUPt� 1-0 Wl-rH t2pIL-1——T�C 412 5COW5 Af 6 0,C, 5-rAe5i. (001H 5112r5-) n u 0000•• 00:•09 00 0 0*000 9 *go*: 0 so *000 W0012 Ot�AM • Nr W 4X6 Pl- �\.c 1�x-r Nt�w 5IMP50N 51P,ON612� m-r5l*-A70-rv/-rH 1-4-10d NA11-5 Mi-520 W11" 1-4-10d NAIL-5 (UPL-1F-r060L,0-F-) OP UPI-IF1-060 �CUIVA1-Mf �CUIVAL-M-r �7 '�' �� MO,dAWLAD 8 SAJ-LEH,ME 4E014 RrEILEH ENTRANCE TERRACE 278 NORTHEAST 103 STREET, MIAMI ENGINEERING CORP. SHORES, FLORIDA 2370 SOUrMEST 123 AMUE.MkUk nOMM SCALE: 1/4"= 12" Ph:305-823-8008 Fax:305-823-3300 ENGINEERING EVALUATIONS t. Sy lit x k i t .r n It p. _ i tt v n` - S �,.�, '� r �� ,ra �� b„ kx, aM� c✓� ,��"yar � 'Y A° zti"«. � ,Fr +k 2 " e K . { �phs+'spoil 4 I � MD V4 � S E � st s e uuV§ Po6 i I t NAP t J 'n^ • � ",ate^ a �-> a, 1 . t` .e 0,Y* ilk r IN s i i �HVA r rfc � y 5 a ti i l i vq e r ��I i 4� r r a in > I ly • Miami Shores Village Building Department artment APR 1 z 15 � 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 lL� 2 BUILDING Master Permit No. � 1 —t J PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑■ ROOFING ❑ REVISION ❑ EXTENSION E]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKSHANGE OF E]CANCELLATION ❑ SHOP *CONTRACTOR DRAWINGS JOB ADDRESS: `x-73 , e it� � 5 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): L1�Or' / �E S Phone#: Address: AJ Z City: /1�'I i S l7 6 G' S state: CIO 4/V4 " Zip: Tenant/Lessee Name: / Phone#: Email: CONTRACTOR:Company Name: ADVANCED CONSTRUCTION SERV GROUP phone#: Address: 5910 SW 93 PL City: MIAMI State: FL Zip: 33173 Qualifier Name: HIRAN GONZALEZ Phone#: State Certification or Registration M CGCO01773 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition' Description of Work:_ C A-j 41,s-4 lc rCMZ Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ (" TOTAL FEE NOW DUE$ �9 (Revised02/24/2014) L ` Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for 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 not be approved and a reinspection fee will be charged. / 1 Signature V Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me a this The foregoing instrument was acknowledged before me this --day of A P-,-/L 20 /J ,by / day of A10y'�— 20 / S by -14 va ;6 N o who is personally known to l�l `o;1 C o,u,�,Z ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did e n oath. NOTARY PUNOTARY P LIC: Sign: Sign: // „�' Prin . 0 h Y Y�L' Prin . O / _ COMMISSION 0 EE831658 Seel:j' =,� . Jose A- G ;-, oSe �CQn S 1: � = EXPIRES: Sept. 3, 2016 COMMISSION#EE831658 www.AARONNOTARY.COM EXPIRES: Sept. 3, 2016 www.AARONNOTARY.COM APPROVED BY (s Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) • Detail by Entity Name Page 1 of 2 F Detail by Entity Name Florida Limited Partnership HB GROWTH PROPERTIES LLLP Filing Information Document Number A13000000318 FEI/EIN Number 80-0933999 Date Filed 06/17/2013 State FL Status ACTIVE Effective Date 06/17/2013 Principal Address 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Mailing Address 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Registered Agent Name &Address UZARROWSKI, BARTOSZ 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 General Partner Detail Name &Address Title G UZAROWSKI, BARTOSZ 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Title G NAHON, JAMES 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Title G MANELA, YOSEF Y http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domlp... 9/30/2014 Detail by Entity Name Page 2 of 2 6300 WILSHIRE BLVD SUITE 2030 LOS ANGELES, CA 90048 Document Number All 3000000307 Title G HPIGP, LP 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Document Number P12000076069 Title G EAGLE RHGP, INC 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Annual Reports Report Year Filed Date 2014 01/28/2014 Document Images 01/28/2014 -- ANNUAL REPORT View image in PDF format 06/17/2013 -- Domestic LP View image in PDF format .=,rid :v3;vat:Y...::'.rl r...r;:s'. State of Hondl ); Departirent of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domlp... 9/30/2014 ♦SNORES yi ,*eMiami� shores Village dt or Building Department res OR1 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. -z/3 O 1 11 Owner's Name (Fee Simple Title Holder): , 1 - Y'6 ilg f I-oc�V 0 Phone A Owner's Address: a ` r ., i 611 N. D i`a i C "\C411 lj G X Cityll:!�I(AMI ea C.)n State : F:L Zip C de: 331-38 Job Address (Of where work is being done): o2c� a t d 3 S City Miami Shores State:—Florida Zip Code: .3 3 13 g Contractor's Company Name: 'rv0�► yJ,A i it Phone*. Address: 70 6 S City: Al/AM / Staape: Zip Code: 13-11155- Qualifier's 1J5►Qualifier's Name: ' f''U Ar-,-4 ✓ Lic. Number: CCC 13 2 J jr-70 Architect/Engineer of Record Name: Phone A Address: City: State: Zip Code: Describe Work: %�� A0141',- I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. 1 hold the Building Official and the Miami Shores harmless of all legal involvement. Signature Signature Z& -w Owner or Agent Contractor or Architect The foregoing in trument was aknowledged before me The foregoing instrument was aknowledged before me this�1 day of //L ,20 ,by i"t e S i��y9s� this /3 day of 20 S by Ar�c i Who is personally known to me or who has produced who is personally known to me or who has produced j A 6-,A 6,1 tas indentification. �+ 'n,-z as indentifcation. Notary/Pu lic: Notary P li . Sign: t Sign: Seal- �� t"d�. OSB Seal: COMMISSION'GErnV'd ,; -, EXPI $58 _ r_ JOSC A. w►Nw AaROwNora3, 2016 =�:. COMMISSION GE83 Ry.COM '. �?;,: EXPIRES; 831658 ,unina�� Sept 3, 2016 wwWAAROIdNOTA4,COM DATE(MMtOD/YYYY, CERTIFICATE OF LIABILITY INSURANCE 7 PRODUCER 5 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ADVAN'T'AGE INSURANCE OF AMERICA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4520 NW 7th St HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami, FL 33126 305 649-5566 INSURERS AFFORDING COVERAGE NAIC#t j INSURED ADVANCED CONSTRUCTION SERVICES GROUP,INC INSURER ARCH INSURANCE COMPANY 5910 SW 93 PL INSURER B- ASCENDANT UNDERWRITERS MIAMI,FL 33173 INSURER C: INSURER 0: 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 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,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR LTR RD YP F 1 POLICY NUMBER AT Y FDE TIVE DTE M�M/PDD'Y1 N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ l�pp0,000 $ COMMERCIAL GENERAL LIABILITY 13 TO PREMISES RENTED l $ 100,000 CLAIMSMADE OOCCUR MED EXP(Any one Person) $ 5 000 A X 150198 02/10/15 PERSONAL 02/10/168ADVINJURY $ 1 OOfl 000 I I 1 GENERAL AGGREGATE Is 2.000 00O GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ ppp pp POLICY PRO- LOC JECT AUTOMOBILE LIABILITY ANYAUTO COMBINEDSINGLEELIMIT $ 500,000 ALL OWNEDAUTOS $ SCHEDULED AUTOS BOOILYINJURY $ (Per Person) B HIREDAUTOS CA-36903-0 12/09/34 12/09/15 BODILY INJURY NON•OWNEbAU705 (Peraccident) $ PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY i ANYAUTO AUTOONLY-EA ACCIDENT $ OTHERTHAN EAACC $ AUTOONLY: AGG $ { EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR C�CLAIMSMADE AGGREGATE $ ~� DEDUCTIBLE RETENTION $ WORKERSCOMPENSA7tONAND EMPLOYERS LIABILITY T RYLIMITS 96 ANY PR0M1ET0RJPARTNE"xECUTIVE E.L.EACHACCIDENT Is OFFICERWEMSER EXCLUDEM If1q,destrbeunder E.L.DISEASE-EA EMPLOYE $ SPECIAL PROVISIONS below E.L. OTHER --T DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONSADDEO BY ENDORSEMENT/SPECIAL PROVISIONS CONTRACTOR CGCO01773 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Building Department DATE THEREOF,THE 1SUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 10050 NE 2 Ave NOTICE TO THE CE IFI TE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBtTON IOR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Miami Shores Village FL 3313$ REPRESENTATIV AUTHORIZ R EFXrAT ACORD25(2001/08) 0ACORD CORPORATION 1988 Mar 19 15 12;53p Delta Insurance Und Inc. 3052691108 p,1 '4 CERTIFICATE DATE(rAWDDIYYYY) OF LIABILITY INSURANCE 0311912015 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 CONTACT DELTA INSURANCE UNDERWRITERS,INC. NAME: LUIS DE LALLERA 777 N.W.72nd AVENUE,SUITE 3133AIC No Ext. 3D5-269-1107 F No),305-269-1108 MIAMI,FLORIDA 33125 ADDRESS: DELTAINSUND@AOL.COM INSURERIS)AFFORDING COVERAGE NAIC# INSURED INSURERA_ ENDURANCEAMERiCAN SPECIALTY INS.,CO. 41718 B M GENERAL REPAIRS,LLC. INSURER B_- 7737 :7737 SW 162nd PLACE INSURERC: MIAMI,FLORIDA 33193 INSURER D: INSURER E- INSURER F: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVREVISIOFO NUMBER: THE POLICY PERIOD INDICATED.NOTWITHSTANDINGANYREQUIREMENT TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE IN SU RANCE AFFORDED BY THE POLICIES OR OTHER HEREIN IS SUBJECT ITHRE TOALLT WHICH S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVAUUL E BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE INSR WVD POLICYNUMBER MM1D MMIDDIYYYY LIMBS GENERAL LABILITY J COM IERCIAL GENERAL LIABILITY EACH OCCU}R�REENNCE $ 1,000,000. CLAINIS MADE WJ OCCUR PREMISES J a occunrence $ 100,000. A MED EXP(Any one person) $ 5,000, CBC10001372802 12101=14 12/01/2015 PERSONAL&ADVrNJURY $ 1,000,000. GEN UTATAPPLIES PER: GENERAL AGGREGATE $ 2,000,000. POLICY ECJ LOC PRODUCTS-COMP.iOPAGG S 1,000,000. AUTOMOBILE LIABILITY Deductible per Claimant s 2,500. COMBIANYAUTO (Ea accident)ED SIN' -LIMIT g AUTOS ALLO�IVYID SCHEDULED BODILY INJURY(Per person) $ AUTOS HIREDAUTOS NON-O%VNED BODILY INJURY(per accident) $ AUTOS PROPER DAMAGE (Por ac ident) $ UMBRELLA LIAR OCCUR $ EXCESS LIAB CLAIM&MADE EACH OCCURRENCE $ DEC RETENTION $ AGGREGATE t WORKERS COMPENSATION AND $ EMPLOYERS'LJABILITY Y/N ANY PROPRIETO{VPARTNERIEKECUTIVE a TO YLIMRS ER OFFICER/MEMBER EXCLUDED? N!A E.L.EACH ACCIDENT $ (Mandatory in NH) 0 SCRIPTIO OFOundeE.L.DISEASE_EAEMPLCYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES(Attach AOORD 101,Additional Remarks Schedule,if rare apace is required) ROOFING CONTRACTORS LICENSE NUMBER CCC1329870. CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAM I SHORES 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF,NOTICE WILL BE DELIVERED LN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd AVENUE MIAMI SHORES,FL 33138 Fax 305 756 8972 AUTHORRED REPRESENTATIVE LUIS DE LA LLERA ACORD 25(2010105) The ACORD name and logo are registered marks o ACOR2 10 ACORD CORPORATION.All rights reserved. Miami Shores Village rr�_--F-: ifv - , � 1, Building Department Sip jp2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 C INSPECTION LINE PHONE NUMBER:(305)762-4949 \� -- tb �� FBC 20)D BUILDING Master Permit No. 2/30 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ss�� -� CONTRACTOR DRAWINGS JOB ADDRESS: ;9, + I S E /D J,4 . City: Miami Shores County: Miami Dade zip:33 i'3$ a44 3 i Folio/Parcel#:�� -3abio-Ot 3 -4 g(nQ Is the Building Historically Designated:Yes NO V Occupancy Type es Load: Construction Type: -Ro Flood Zone: BFE: FFE: aB (3 rO u1-h L LL.IP OWNER: Name(Fee Simple Titleholder):AbA f Phone#: Address: -I(2St'& m a te$ N C 10 3Sy City: m L0Lr1X k S1 Of-e'z�- State: IF Zip: 33i_VP9 —ay 3i Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 'EM 0-1pneco k 2�,p pa rk r-g LLr_ Phone#: . Address: 11Z-7 S w 1& 0( 9L City: f)q"Cory-) i State: FL Zip: 3__iA y Qualifier Name: Q)p-ek4j _Nc LP*,h e Z. Phone#:1$b~39r:-,--5 t35 State Certification or Registratio CCG \3aot I'7 D rtificate of Competency#: "1 Sig 35 _ DESIGNER.;architect/Engineer: Phone#: Address: City: State: Z;P: Value of Work for this Permit:$ \\ A00 -00 Square/Linear Footage of Work: \ .'6W QA- Type of Work: ❑ Addition ❑ Alteration ❑ New [i?/Repair/Replace ❑ Demolition Description of Work:_VlQrr-yXf-_- e1� �� cc�c�� - � nca re Q K �� W k 1 Specify color of color thru tile: Grar\Aa e)(c-nA CI W Be_S(61 L44 ) Submittal Fee$ �C� 0 0 Permit Fee$ S CCF$ � � CO/CC$ Scanning Fee$ 2 Radon Fee$ + DBPR$ Notary$ Technology Fee$ co Training/Education Fee$ 2, LAC) Double Fee$ Structural Reviews$ Bond$_!E0_0- oc l! TOTAL FEE NOW DUE$ 'D - �4 G / (Revised02/24/2014) ""1 r i. Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for 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 not be approved and a reinspection fee will be charged. /�� -Signature �it/�f ," Signature J OWNER or AGENT CONTRACTOR The Joregoing instrument was acknowledged before this The foregoing instrum as acknowledged befgr(e�me this O day of 20 Ij by day of 20 I \ by _ y�'1/�� ho is ersonallyknow ho is personally known to me or whc has produced as me or who has roduced !as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ♦ NOTARY PUBLIC: � CSign: � Sign: _ Print: L L ., r Print: Seal: Seal: ************************************************************************************************************ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) sw4.• STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MARTINEZ, BORELY ANTONY BM GENERAL REPAIRS LLC 7737 SW 162 PL MIAMI FL 33193 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range z STATE OF FLORIDA from architects to yacht brokers;from boxers to barbeque restaurants, i DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. ` PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CCC 1329870 "ISSUED: 08/31/2014 serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information CERTIFIED ROOFING CONTRACTOR about our divisions and the regulations that impact you.subscribe MARTINEZ, SORELY ANTONY to department newsletters and learn more about the Department's initiatives. BM GENERAL REPAIRS LLC Our mission at the Department is: License Efficiently. Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, Is CERTIFIED under the provisions or ch,4e9 Fs. and congratulations on your new license! Exp rat or.date AUG31.20le u40831000s70o DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ., CCC1329870 The ROOFING CONTRACTOR " Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31; 2016 MARTINEZ, BORELY ANTONY BM GENERAL REPAIRS LLC 4609 SW 71 AVE T �; MIAMI FL 33155 0 ISSUED: 08/3112014 DISPLAY AS REQUIRED BY LAW SEQ# L1408310003700 TF OF FLORIDA- DEpsRTmENT -OF IVINAMIAL SEPNICES DivISM OF WDEWIERS' CGMPENS;�iIOU T -AMPT r'9M RUMIDA WMERS IMP-MATfUrf LAW ICAj W BZTta 10 BE E ON ';eiduz' liste, teVO.' tr45s eILoted. W b-2 ftenp� f-sinq Fivrids a corlpe-�Zaziom law. nein zest the', the �,,di I EFFECTME DATE-- if 113.12012 EXPIRATiON DATE: 11!L31?414 PERSC!W- MARTHIEZ SS t-ND ADDRESS: REPAaris LJLC SW 1.6n, PL FL 33163 Busimss OR qc'3F n TRADE- -UG - ALL KOM Am DRIVER C12 1wwjA)iT-; psrs!5w.Ir ut3pael E.— LI FS- C Ce rrcrcp!--- mpply ,I- secim may 5", L* C;: b° =ezip. -qC ceitai:�;r�- d 1'-149 "tqc- flvlloe I M;e is"Cavc, -,�12 cergificz—�21 Itz :4��to ID. *-e --vicc 'Rcm cenn 'trn�, z zi 40 Uc -3�5= 51b :Pc �zr mtet� Zg, Sdivz a5 �b Kairamwcs- I!-, i _ —-- -ATE 1MM1 ACCMDF CERTIFICATE ETF UABUTY 04SURANCE- o2roW014 THIS CERTtFICAM WISSUMAS A-MAT MIX OF IWOW'Wr' N ONLY AND 7HE��CERnTHE PAATEIiOWMNS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR BELOW.THIS CERTIFICATE OF INSURANCE tQ does not confer THE CONSTITUTE A�L�R A COACT BETWEEN THE ISSUING INSURERM AUTHORIZED REpRE8ENT14TNE6RPRDDUCER, TTlust be endorsed.H8UBROGATION 18 WANED.subjsctto IMPORTANT!NOW cerd4c de i•as ADDITIONA{.HISUREDthe Policy(w) the term and eondMM of the P�WW"Pne" "Ire an endorsemSrlt A sMfSK on rneTt cerdllcatconferhr rfgfds 11Te certlAcaAe holder in lieu of such s LUIS DELA LLERA PRODUCEIt 305-269-1108 ]ELTA INSURANCE UNDERWRrMft,INC. 305-269-1107 777 N.W.72nd AVENUE SURE 3133 DELTAINSUNOQAOL COM I SUFAR )AFFORONG COVERAGE NAIL! MIAMI,FLORIDA 33126 NrauENOUR/CNCE AISAERtC/W SPECIALTY Iti1,GO. 41718 �A nlOURE7R B: INSURED B M GENERAL-REF WRS.LLC. Sa3URER C: 7737 SW 162nd PLACE e40IIIE!Dc MIAMI,FLORIDA 33193 IMSURER E: MUM F: CERTIFY COVERAOSS CERTIFICATE NIBABirR REVISION NWABLI ETHAT THE pOUCIES OF INS URAWM LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR tHE THS is TO CE POLk;Y PERi00 INDICATED. TIMTHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ESC HEREIN IS SUBJECT TO ALL THE TERMS. THE INSURANCE AFFORDED BY THE POLICIES D excuLSION3 AND CONDITIONS OF SUCH POLICIES LIMITS SHOVN4 MAY HAVE BEEN REDUCED BY PND CLAIMS TYPE OF Bim POLIEY fNMF6Mt 1 000,000 EACI+oeeu�RENeE i GENERALLIASLLITYi 100,000. CCWXRIAL GENERAL LIABILITY GIAW MADE tj OCCUR Men �»w+�+>l i X000. 7CBCIOW1372801 12101/2013 12/01/2014 PERSONAL&ADVNUUR1/ i 1,000,000: A 2;080,000. (�M.AGORELiATE i "�= APPLM3 PER PRODUCTS-COMPIOP AGO i 1.000,000. LOC COMM*DWIOLLS AUTONOBS-E LMBAiY COVE* $ ANYAM BODILY IMAIRY(Per PenoN $ SCHEDULED AUTO BDOTLY MJUTPf(Pe► i HIREDAUT05- AUTOS YNEB S {JTOS S UYSRELLALIAB OCCUR EACH OCCURRENCE i _ EXCE811 LIAR CLAe�B-MADE AGGREGATE S S DED RETENTION S S OrIPFliS11T10NAMU Yttf ANYPROPR WBRiHFEIORA'A ITNERIDWCUTNE❑ EL EACH/:GGIDENT S OFROERNBOERC(CLUDED4 NiA ELSNQII>F-HKBIeLtfMff i �y�ap�yoead' IbNM pE OPERATIONS bele« E.L DISEASE-POLICY LNAT i DESCRlTM OFOPETUMO IJOG'ZIONSr v t&Wb ACOM IIKAditlmdla Sdwdw,x ewe erw Ie 0***n ROOFING CONTRACTORS.LICENSE NUMBER CCC1329870. _CEWflfICA-HOLDER A11 ELAMM SIIOULI A Y OF THE AB9YE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE BUILDING DEPARTMENT ACGOROANGeve THE POLICY Patt>tAS11911s._ 10050N E 2nd AVENUE MIAMI SHORES FLORIDA 33138 TEL:305-795-2204 FAX:305-756-8972 AUTHOV49M RS 01SENVOW LUIS DE LA LLERA 0 19118-2010 ACORD CORPORATION.AN rlgh6S reserved. ♦ � trC. !32 a.., agleam Miami shores Village o�e Building Department RIDp 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. f: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 any 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 TTS CONTENTS. Owner Contractor 1 rint Name LAMAJ Print Name: � 3 Signature: Signature: State of Florida) State of Florida) County of Miami-Dade) County of Miami-Dade) I Sworn to and subs ribed before m Sworn to andsubscribed before i day of ,20 day of 20 By BY ,\ (SEAL) _ (SEA;) Type of Identification pro&ttLL, Type of Identification produced s36 1 lfflll fllif flllf 1!!lf Ilfl!!!1!!!l1111lf1!!Il r CFH 21:1 14RO622797 op OR Ok 29300 Fas 0463 - 464; t2aes) RECORDED 09/03/2014 11:30:33 DEED DOC TAX 1r770.00 HARVEY RUVINY CLERK Of COURT KIA11I-RADE COUNTYi FLORIDA THIS INSTRUMENT PREPARED BY AND RETURN TO: LF� a oIG5-1 e.i VA Title Gilaranty of South Florida Inc. 4430 WESTON ROAD DAVIE,FL 33331 Property Appraisers Parcel Identification(Folio)Number: The actual purchase price or other valuable consideration paid for the real property or interest conveyed by this instrument is$320,000.00.Florida Documentary Stamps in the amount of$1920.00 have been paid hereon. Space Above This Line For Recording Data THIS WARRANTY DEED,made the day of August,2014 by Pro Capital Management LLC,a Florida LLC, whose post office address is 10898 NW 7TH AV,MIAMI, FL 33168 herein called the grantor,to HB Growth Properties LLLP,a Florida Limited Liability Limited Partnership,whose post office address is 17071 W Dixie Highway,North Miami Beach FL 33160,hereinafter called the Grantee: (Wherever used herein the terms grantor"and"grantee"include all tire parties to this instrument and the heirs,legal representatives and assigns of individuals,and the successors and assigns of corporations) W I T N E S S E T H: That the grantor,for and in consideration of the sum of TEN AND 00/100'S($10.00)Dollars and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises, releases,conveys and confirms unto the grantee all that certain land situate in MIAMI-DADE County,State of Florida,viz.: Lot 3 and the East One Half(1/2)of Lot 4,Block 36,MIAM 1 SHORES SECTION ONE,according to the Plat thereof,as recorded in Plat Book 10,at Page 70,of the Public Records of Miami-Dade County,Florida. Subject to easements,restrictions and reservations of record and taxes for the year 2014 and thereafter. TOGETHER:with all the tenements hereditaments and appurtenances thereto belonging or inanywise appertaining. TO HAVE AND TO HOLD,the same in fee simple forever. AND,the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances,except taxes accruing subsequent to December 31,2013. IN WITNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first above written. I'de No: 14-0655 Book293001Page463 CFN#20140622797 Page 1 of 2 OR BK 29300 PG 0464 LAST PAGE 2nd page of Deed \ t'Cli`.�t-f:if t. r�.t�r11 Illi•�jt t`�'.;Cr�l'}Of: Pro Capital Management L_LC,a Florida LLC Y Har � r�Manager Sole Member Witness ?t i-'�ilutY- :ansa. Witness#2 S r naTtrz r \r�t--=`amu =t-{+•�_ ��---�`f'� Vutna-s#2 Printed Name STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me lit r• c(<y ofAugust,2014 by Har r-r Sl i,r�c�ti=tl� Manager Sole Member o.t! 1'r t=C illital P=t>,urt;=rrtr'+tt t,f.l .a Flom, I.1,i'on behalf of the==yt r� rr1=,ral;urt. l L "1i,°v.personally known to me=7r ha •ra diki-e l 1--1.�=— t tti ori as r is°�a ..�G� � MARK HOOK37 — `µ hMary Pnt:ac-Slate EM! Of fbriAa kY CtMrnr fspitcs Map 10 20111 �`:.,,�.••, mmissk,rt.e FF I IgQ68 �i�` \' • (). � '�-�,.o F'rin'scd Al.lt,n'v I ti My Commission Expires: (Tile No: 14-0655 Book293001Page464 CFN#20140622797 Page 2 of 2 OWNER'S POLICY OF TITLE INSURANCE (with Florida Modifications) �l VATI+�` Policy Number FL334-14-00118-01 Agent's File No.: 14-0655 NORTNAMERICANTITLEINSURANCECOMPANY Issued North American Title Insurance Company 1855 Gateway Boulevard,Suite 800,Concord,CA 94520(800)374-8475 or(800)669-3434 Any notice of claim and any other notice or statement in writing required to be given to the Company under this Policy must be given to the Company at the address shown in Section 18 of the Conditions. COVERED RISKS SUBJECT TO THE EXCLUSIONS FROM COVERAGE,THE EXCEPTIONS FROM COVERAGE CONTAINED IN SCHEDULE B,AND THE CONDITIONS,NORTH AMERICAN TITLE INSURANCE COMPANY,a California corporation(the"Company")insures, as of Date of Policy,against loss or damage,not exceeding the Amount of Insurance,sustained or incurred by the Insured by reason of: 1.Title being vested other than as stated in Schedule A. 2.Any defect in or lien or encumbrance on the Title.This Covered Risk includes but is not limited to insurance against loss from (a)A defect in the Title caused by (i) forgery,fraud,undue Influence,duress,incompetency,incapacity,or impersonation; (ii) failure of any person or Entity to have authorized a transfer or conveyance; (iii) a document affecting Title not properly created,executed,witnessed,sealed,acknowledged,notarized,or delivered; (iv) failure to perform those acts necessary to create a document by electronic means authorized by law; (v) a document executed under a falsified,expired,or otherwise invalid power of attorney; (vi) a document not properly filed,recorded,or indexed in the Public Records Including failure to perform those acts by electronic means authorized by law;or (vii) a defective judicial or administrative proceeding. (b)The lien of real estate taxes or assessments imposed on the Title by a governmental authority due or payable,but unpaid. (c)Any encroachment,encumbrance,violation,variation,or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land. The term 'encroachment" includes encroachments of existing improvements located on the Land onto adjoining land,and encroachments onto the Land of existing improvements located on adjoining land. 3.Unmarketable Title. 4.No right of access to and from the Land. 5.The violation or enforcement of any law,ordinance,permit,or governmental regulation(including those relating to building and zoning) restricting,regulating,prohibiting,or relating to (a) the occupancy,use,or enjoyment of the Land; (b) the character,dimensions,or location of any improvement erected on the Land; (c) the subdivision of land;or (d) environmental protection if a notice,describing any part of the Land,is recorded in the Public Records setting forth the violation or intention to enforce,but only to the extent of the violation or enforcement referred to in that notice. In Witness Whereof,NORTH AMERICAN TITLE INSURANCE COMPANY,has caused this policy to be signed and sealed as of Date of Policy shown in Schedule A,the policy to become valid when countersigned by an authorized signatory of the Company. Countersigned: NORTH AMERICAN TITLE INSURANCE COMPANY BY Authorized 1:11frc.:or`'Alw r - II:::,?_ :+rrnlir,:? PRF.S111EN1 Ncawaemw:..`. ALTA Owner's Policy of Title 4lsuranca 617-06(with Florida ModflpOons) Irv.+ Form 6402.06 ATTEST, lmwv n,,E Howeth.SECRETARY Form E402.eE!::k 6i;N.nlli:�C?iC.;•:41.^:�'1 9/291201410:51:?9 AM Copyright 2006-2009 American Land Title Association. AN rights reserved. The use of this Fonn is restricted to AL,rA licensees and ALTA members in good standing as or the date of use All other uses are prohibited Reprinted under license from the American Land Title Association. 6.An enforcement action based on the exercise of a governmental police power not covered by Covered Risk 5 if a notice of the enforcement action,describing any part of the Land,is recorded in the Public Records,but only to the extent of the enforcement referred to in that notice. 7.The exercise of the rights of eminent domain if a notice of the exercise,describing any part of the Land,is recorded in the Public Records 8.Any taking by a governmental body that has occurred and is binding on the rights of a purchaser for value without Knowledge. 9.Title being vested other than as stated in Schedule A or being defective (a) as a result of the avoidance in whole or in part,or from a court order providing an alternative remedy,of a transfer of all or any part of the title to or any interest in the Land occurring prior to the transaction vesting Title as shown in Schedule A because that prior transfer constituted a fraudulent or preferential transfer under federal bankruptcy,state insolvency,or similar creditors'rights laws;or (b) because the instrument of transfer vesting Title as shown in Schedule A constitutes a preferential transfer under federal bankruptcy, state insolvency,or similar creditors'rights laws by reason of the failure of its recording In the Public Records (i) to be timely, or (ii) to impart notice of its existence to a purchaser for value or to a judgment or lien creditor. 10.Any defect in or lien or encumbrance on the Title or other matter included in Covered Risks 1 through 9 that has been created or attached or has been filed or recorded in the Public Records subsequent to Date of Policy and prior to the recording of the deed or other instrument of transfer in the Public Records that vests Title as shown in Schedule A. The Company will also pay the costs,attorneys'fees,and expenses incurred in defense of any matter insured against by this Policy,but only to the extent provided in the Conditions. EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of (b) not Known to the Company,not recorded in the Public this policy,and the Company will not pay loss or damage,costs, Records at Date of Policy,but Known to the Insured Claimant attorneys'fees,or expenses that arise by reason of: and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an 1. (a)Any law,ordinance,permit,or governmental regulation Insured under this policy; (including those relating to building and zoning)restricting, (c) resulting in no loss or damage to the Insured Claimant; regulating,prohibiting,or relating to (d) attaching or created subsequent to Date of Policy;or (e) resulting in loss or damage that would not have been (i) the occupancy,use,or enjoyment of the sustained If the Insured Claimant had paid value for the Tide. Land; (ii) the character,dariensions,or location of any 4. Any claim, by reason of the operation of federal bankruptcy, state improvement erected on the Land; insolvency, or similar creditors' rights laws, that the transaction (iii) the subdivision of land; or vesting the Title as shown in Schedule A,is (iv) environmental protection; (a) a fraudulent conveyance or fraudulent transfer;or or the effect of any violation of these laws, (b) a preferential transfer for any reason not stated in Covered ordinances,or governmental regulations.This Risk 9 of this policy. Exclusion 1(a)does not modify or limit the coverage provided under Covered Risk 5. 5.Any lien on the Title for real estate taxes or assessments imposed (b)Any governmental police power.This Exclusion 1(b)does by governmental authority and created or attaching between Date not modify or limit the coverage provided under Covered Risk 6. of Policy and the date of recording of the deed or other instrument of transfer in the Public Records that vests Title as shown in 2.Rights of eminent domain.This Exclusion does not modify or limit Schedule A. the coverage provided under Covered Risk 7 or 8. 3.Defects,liens,encumbrances,adverse claims,or other matters (a) created,suffered,assumed,or agreed to by the Insured Claimant; CONDITIONS 1.DEFINITION-OF TERMS the delivery of marketable title. " The following terms when used in this policy mean: (a)"Amount of Insurance":The amount stated in Schedule A,as may 2. CONTINUATION OF INSURANCE be increased or decreased by endorsement to this policy,increased The coverage of this policy shall continue in force as of Date of by Section 8(b),or decreased by Sections 10 and 11 of these Conditions. Policy in favor of an Insured,but only so long as the Insured retains b "Date of Policy": as The date designated "Date of Poli m an estate or Interest in the Land,or holds an obligation secured by Schedule A. g a purchase money Mortgage given by a purchaser from the Insured, Sc c 'Entity':A corporation,partnership,trust,limited liabilityor only so long as the Insured shall have liability by reason of co warranties in any transfer or conveyance of the Title.This policy company,or other similar legal entity. shall not continue in force in favor of any purchaser from the (d)"Insured":The Insured named in Schedule A. Insured of either(i)an estate or interest in the Land,or(ii)an (i)The term"insured"also includes obligation secured by a purchase money Mortgage given to the (A) successors to the Title of the Insured by operation of law as insured. distinguished from purchase, including heirs, devisees, survivors, personal representatives,or next of kin; 3. NOTICE OF CLAIM TO BE GIVEN BY INSURED CLAIMANT (B) successors to an Insured by dissolution,merger,consolidation, The Insured shall notify the Company promptly in writing(i)in case distribution,or reorganization; of any litigation as set forth in Section 5(a)of these Conditions,(ii) (C) successors to an Insured by its conversion to another kind of in case Knowledge shall come to an Insured hereunder of any claim Entity; of title or interest that is adverse to the Title,as insured,and that (D) a grantee of an Insured under a deed delivered without might cause loss or damage for which the Company may be liable payment of actual valuable consideration conveying the Title by virtue of this policy,or(iii)if the Title,as insured,is rejected as (1) if the stock,shares,memberships,or other equity Unmarketable Title.If the Company is prejudiced by the failure of interests of the grantee are wholly-owned by the the Insured Claimant to provide prompt notice,the Company's named Insured, liability to the insured Claimant under the policy shall be reduced (2) if the grantee wholly owns the named Insured, to the extent of the prejudice. (3) if the grantee is wholly-owned by an affiliated 4. PROOF OF LOSS Entity of the named Insured,provided the affiliated In the event the Company is unable to determine the amount of Entity and the named Insured are both wholly-owned loss or damage,the Company may,at its option,require as a condition by the same person or Entity,or of payment that the Insured Claimant furnish a signed proof of loss. (4) if the grantee is a trustee or beneficiary of a trust The proof of loss must describe the defect,lien,encumbrance,or created by a written instrument established by the other matter insured against by this policy that constitutes the Insured named in Schedule A for estate planning basis of loss or damage and shall state,to the extent possible,the purposes. basis of calculating the amount of the loss or damage. (ii)With regard to(A), (B),(C),and(D)reserving, however,all rights and defenses as to any successor that the Company would have had 5. DEFENSE AND PROSECUTION OF ACTIONS against any predecessor Insured. (a)Upon written request by the Insured,and subject to the options (e)"Insured Claimant":An Insured claiming loss or damage. contained in Section 7 of these Conditions,the Company,at its (f)"Knowledge"or"Known":Actual knowledge,not constructive own cost and without unreasonable delay,shall provide for the knowledge or notice that may be imputed to an Insured by reason of defense of an Insured in litigation in which any third party asserts the Public Records or any other records that impart constructive a claim covered by this policy adverse to the Insured.This obligation notice of matters affecting the Title. is limited to only those stated causes of action alleging matters (g)"Land":The land described in Schedule A,and affixed improvements insured against by this policy.The Company shall have the right to that by law constitute real property.The term"Land"does not select counsel of its choice(subject to the right of the Insured to include any property beyond the lines of the area described in object for reasonable cause)to represent the Insured as to those Schedule A,nor any right,title,interest,estate,or easement in stated causes of action.It shall not be liable for and will not pay abutting streets,roads,avenues,alleys,lanes,ways,or waterways, the fees of any other counsel.The Company will not pay any fees, but this does not modify or limit the extent that a right of access to costs,or expenses incurred by the Insured in the defense of those and from the Land is insured by this policy, causes of action that allege matters not insured against by this policy. {h} "Mortgage": Mortgage, deed of trust, trust deed, or other security (b)The Company shall have the right,in addition to the options instrument, including one evidenced by electronic means authorized contained in Section 7 of these Conditions,at its own cost,to bylaw. institute and prosecute any action or proceeding or to do any (i)"Public Records":Records established under state statutes at other act that in its opinion may be necessary or desirable to Date of Policy for the purpose of imparting constructive notice of establish the Title,as insured,or to prevent or reduce loss or matters relating to real property to purchasers for value and without damage to the Insured.The Company may take any appropriate Knowledge.With respect to Covered Risk 5(d),"Public Records" action under the terms of this policy,whether or not it shall be shall also include environmental protection liens Bled in the records liable to the Insured.The exercise of these rights shall not be an of the clerk of the United States District Court for the district where admission of liability or waiver of any provision of this policy.If the Land is located. the Company exercises its rights under this subsection,it must do (j)'Title":The estate or interest described in Schedule A. so diligently. (k)"Unmarketable Title": Title affected by an alleged or apparent (c)Whenever the Company brings an action or asserts a defense matter that would permit a prospective purchaser or lessee of the as required or permitted by this policy,the Company may pursue Title or lender on the Title to be released from the obligation to the litigation to a final determination by a court of competent purchase,lease,or lend if there is a contractual condition requiring jurisdiction,and it expressly reserves the right,in its sole discretion,to appeal any adverse judgment or order. Page 3 CONDITIONS(con't) 6.DUTY OF INSURED CLAIMANT TO COOPERATE policy. In addition,the Company will pay any costs,attorneys'fees, (a)In all cases where this policy permits or requires the Company and expenses incurred by the Insured Claimant that were authorized to prosecute or provide for the defense of any action or proceeding by the Company up to the time of payment and that the Company is and any appeals,the Insured shall secure to the Company the right obligated to pay;or to so prosecute or provide defense in the action or proceeding, (ii)to pay or otherwise settle with the Insured Claimant the loss or including the right to use,at its option,the name of the Insured for damage provided for under this policy,together with any costs, this purpose.Whenever requested by the Company,the Insured, attorneys'fees,and expenses incurred by the Insured Claimant that at the Company's expense,shall give the Company all reasonable were authorized by the Company up to the time of payment and that aid(i)in securing evidence,obtaining witnesses,prosecuting or the Company is obligated to pay. defending the action or proceeding,or effecting settlement,and (ii)in any other lawful act that in the opinion of the Company may Upon the exercise by the Company of either of the options provided be necessary or desirable to establish the Title or any other matter for in subsections(b)(i)or(ii),the Company's obligations to the as insured. If the Company is prejudiced by the failure of the Insured under this policy for the claimed loss or damage,other than insured to furnish the required cooperation,the Company's obligations the payments required to be made,shall terminate,including any to the Insured under the policy shall terminate,including any liability or obligation to defend,prosecute,or continue any liability or obligation to defend,prosecute,or continue any litigation, litigation. with regard to the matter or matters requiring such cooperation. (b)The Company may reasonably require the Insured Claimant to g,DETERMINATION AND EXTENT OF LIABILITY submit to examination under oath by any authorized representative This policy is a contract of indemnity against actual monetary loss or of the Company and to produce for examination,inspection,and damage sustained or incurred by the Insured Claimant who has suffered copying,at such reasonable times and places as may be designated loss or damage by reason of matters insured against by this policy. by the authorized representative of the Company,all records,in (a)The extent of liability of the Company for loss or damage under whatever medium maintained,including books,ledgers,checks, this policy shall not exceed the lesser of memoranda,correspondence,reports,e-mails,disks,tapes,and (i)the Amount of Insurance;or videos whether bearing a date before or after date of Policy,that (ii)the difference between the value of the Title as insured and the reasonably pertain to the loss or damage.Further,if requested by value of the Title subject to the risk insured against by this policy. any authorized representative of the Company,the Insured Claimant (b)If the Company pursues its rights under Section 5 of these shall grant its permission,in writing,for any authorized representative Conditions and is unsuccessful in establishing the Title,as insured, of the Company to examine,inspect,and copy all of these records (i)the Amount of Insurance shall be increased by 10%,and in the custody or control of a third party that reasonably pertain to (ii)the Insured Claimant shall have the right to have the loss or the loss or damage.All information designated as confidential by damage determined either as of the date the claim was made by the Insured Claimant provided to the Company pursuant to this the Insured Claimant or as of the date it is settled and paid. Section shall not be disclosed to others unless,in the reasonable (c)In addition to the extent of liability under(a)and(b),the Company judgment of the Company,it is necessary in the administration of will also pay those costs, attorneys' fees, and expenses incurred in the claim.Failure of the Insured Claimant to submit for examination accordance with Sections 5 and 7 of these Conditions. under oath,produce any reasonably requested information,or grant permission to secure reasonably necessary information from 9.LIMITATION OF LIABILITY third parties as required in this subsection,unless prohibited by (a) If the Company establishes the Title,or removes the alleged law or governmental regulation,shall terminate any liability of the defect,lien,or encumbrance,or cures the lack of a right of access Company under this policy as to that claim. to or from the Land,or cures the claim of Unmarketable Title,all as insured,in a reasonably diligent manner by any method,including 7.OPTIONS TO PAY OR OTHERWISE SETTLE CLAIMS; litigation and the completion of any appeals,it shall have fully TERMINATION OF LIABILITY performed its obligations with respect to that matter and shall not In case of a claim under this policy,the Company shall have the be liable for any loss or damage caused to the Insured. following additional options: (b) In the event of any litigation,including litigation by flte Company (a) To Pay or Tender Payment of the Amount of Insurance. or with the Company's consent,the Company shall have no liability To pay or tender payment of the Amount of Insurance under this for loss or damage until there has been a final determination by a policy together with any costs,attorneys'fees,and expenses court of competent jurisdiction,and disposition of all appeals, incurred by the insured Claimant that were authorized by the adverse to the Title,as insured. Company up to the time of payment or tender of payment and that (c) The Company shall not be liable for loss or damage to the the Company is obligated to pay. Insured for liability voluntarily assumed by the Insured in settling Upon the exercise by the Company of this option, all liability and any claim or suit without the prior written consent of the Company. obligations of the Company to the Insured under this policy, other than to make the payment required in this subsection, shag terminate, 10.REDUCTION OF INSURANCE;REDUCTION OR TERMINATION including any liability or obligation to defend,prosecute,or contin- OF LIABILITY ue any litigation. All payments under this policy,except payments made for costs, (b) To Pay or Otherwise Settle With Parties Other Than the Insured attorneys'fees,and expenses,shall reduce the Amount of Insurance or With the Insured Claimant. by the amount of the payment. (i)to pay or otherwise settle with other parties for or in the name of an Insured Claimant any claim insured against under this ALTA Owners Policy of Title Insurance 6-17-06(with Florida Modifications) Form 6402.06#5669 NATIC WD CONDITIONS(con't) 11.LIABILITY NONCUMULATIVE 15.LIABILITY LIMITED TO THIS POLICY,POLICN EKMRE The Amount of Insurance shalt be reduced by any amount the Company CONTRACT pays under any policy insuring a Mortgage to which exception is taken (a) This policy together with all endorsements,if any,attached to it in Schedule 8 or to which the Insured has agreed,assumed,or taken by the Company is the entire policy and contract between the subject,or which is executed by an Insured after Date of Policy and Insured and the Company.In interpreting any provision of this which is a charge or lien on the Title,and the amount so paid shall be policy,this policy shall be construed as a whole. deemed a payment to the Insured under this policy. (b) Any claim of loss or damage that arises out of the status of the 12.PAYMENT OF LOSS Title or by any action asserting such claim whether or not based on negligence shall be restricted to this policy. When liability and the extent of loss or damage have been definitely neAny amendment of or endorsement to this policy must be in fixed in accordance with these Conditions,the payment shall be made writing and authenticated by an authorized person, or expressly within 30 days. incorporated by Schedule A of this policy. 13.RIGHTS OF RECOVERY UPON PAYMENT OR SETTLEMENT (d) Each endorsement to this policy issued at any time is made a (a) Whenever the Company shall have settled and paid a claim part of this policy and is subject to all of its terms and provisions. Except as the endorsement expressly states,it does not(i)modify under this policy,it shall be subrogated and entitled to the rights of any of the terms and provisions of the policy,(ii)modify any prior the Insured Claimant in the Title and all other rights and remedies endorsement,(iii)extend the Date of Policy,or(iv)increase the in respect to the claim that the Insured Claimant has against any Amount of Insurance. person or property,to the extent of the amount of any loss,costs, attorneys'fees,and expenses paid by the Company.If requested 16.SEVERABILrIY by the Company,the Insured Claimant shall execute documents to In the event any provision of this policy,in whole or in part,is held evidence the transfer to the Company of these rights and remedies. invalid or unenforceable under applicable law,the policy shall be The Insured Claimant shall permit the Company to sue,compromise, deemed not to include that provision or such part held to be invalid,but or settle in the name of the Insured Claimant and to use the name all other provisions shall remain in full force and effect. of the Insured Claimant in any transaction or litigation involving these rights and remedies. 17.CHOICE OF LAW;FORUM If a payment on account of a claim does not fully cover the loss of (a) Choice of Law:The Insured acknowledges the Company has the Insured Claimant,the Company shall defer the exercise of its underwritten the risks covered by this policy and determined the right to recover unfit after the Insured Claimant shall have recovered premium charged therefor in reliance upon the law affecting interests its loss. in real property and applicable to the interpretation,rights,remedies, (b) The Company's right of subrogation includes the rights of the or enforcement of policies of title insurance of the jurisdiction Insured to indemnities,guaranties,other policies of insurance,or where the Land is located. bonds,notwithstanding any terms or conditions contained in those Therefore,the court or an arbitrator shall apply the law of the instruments that address subrogation rights. jurisdiction where the Land is located to determine the validity of 14.ARBITRATION claims against the Title that are adverse to the Insured and to interpret and enforce the terms of this policy.In neither case shall Unless prohibited by applicable law,arbitration pursuant to the Title the court or arbitrator apply its conflicts of law principles to deter- Insurance Arbitration Rules of the American Arbitration Association mine the applicable law. may be demanded if agreed to by both the Company and the Insured at (b} Choice li Forum:Any litigation or other proceeding brought by the time of a controversy or claim.Arbitrable matters may include,but the Insured against the Company must be filed only in a state or are not limited to,any controversy or claim between the Company and federal court within the United States of America or its territories the Insured arising out of or relating to this policy,and service of the having appropriate jurisdiction. Company in connection with its issuance or the breach of a policy provision or other obligation.Arbitration pursuant to this policy and 18.NOTICES,WHERE SENT under the Rules in effect on the date the demand for arbitration is Any notice of claim and any other notice or statement in writing made or,at the option of the Insured,the Rules in effect at Date of required to be given to the Company under this policy must be given to Policy shall be binding upon the parties.The award may include the Company at 1855 Gateway Boulevard, Suite 600, attorneys'fees only if the laws of the state in which the Land is Concord, California 94520 Phone: (800) 374-8475. located permit a court to award attorneys'fees to a prevailing party. Judgment upon the award rendered by the Arbitrator(s)may be entered in any court having jurisdiction thereof. The law of the situs of the land shall apply to an arbitration under the Title Insurance Arbitration Rules. A copy of the Rules may be obtained from the Company upon request. 3I Ell 1 111 +S 4!wNATIC NORTH AMERICAN TITLE INSURANCE COMPANY THANKS... We want to express our appreciation of your faith in North American Title Insurance Company. This Policy is valuable and may entitle you to a lower premium on title insurance if you sell or refinance your property. We suggest you keep it in a safe place where it will be readily available. There is no recurring premium for this policy. If you have any questions about your settlement or closing, contact the office that issued your policy. If you have any questions regarding your policy, you can write us at: North American Title Insurance Company 1855 Gateway Boulevard, Suite 600 Concord, California 94520 or call us at: Western States:800-869-3434 Eastern States:800-374-8475 www.natic.com North American Title Insurance Company Owner's Policy Adopted-6-17-06 SCHEDULE A File Number Policy Number Effective Date&Time Policy Amount 14-0655 FL334-14-00118-01 09/18/2014 $295,000.00 1. Name of Insured: HB Growth Properties LLLP,a Florida Limited Liability Limited Partnership 2. The estate or interest in the Land that is insured by this policy is: FEE SIMPLE 3. Title is vested in in the named insured as shown by instrument recorded in Official Records Book 29300, Page 0463, of the Public Records of MIAMI-DADE County, Florida. 4. The Land referred to in this policy is described as follows: Lot 3 and the East One Half(1/2)of Lot 4,Block 36,MIAMI SHORES SECTION ONE,according to the Plat thereof,as recorded in Plat Book 10,at Page 70,of the Public Records of Miami-Dade County, Florida. Title Guaranty of South Florida Inc. 4430 Weston Road Davie Fl.33331 954-389-9483 , FL334-Agent Number 4 JF Authorized 4e)-it- Idly Bookstein AWRICAN LAND rl Tlk ASSOCIATION Copyright 2006-2009 American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and ALTA members in good standing as of the date of use- All other uses are prohibited Reprinted under license from the American Land Title Association North American Title Insurance Company Owner's Policy Adopted 6-17-06 SCHEDULE B File Number Policy Number Effective Date 8 Time Policy Amount 14-0655 FL334-14-00118-01 09118/2014 $295.000.00 EXCEPTIONS FROM COVERAGE This policy does not insure against loss or damage, and the Company will not pay costs, attorneys'fees, or expenses that arise by reason of: I. Taxes for the year of the effective date of this policy or guarantee and taxes or special assessments which are not shown as existing liens by the public records. 2. Encroachments, overlaps, boundary line disputes, and any other matters which would be disclosed by an accurate survey and inspection of the premises. 3. Any lien as provided for by Chapter 159, Florida Statutes, in favor of any city, town, village or port authority for unpaid service charges for services by any water, sewer or gas system supplying the lands described herein. 4. Restrictions (deleting therefrom any restrictions indicating any preference, limitation or discrimination based on race, color, religion, sex, handicap, familial status or national origin), covenants, easement(s), setback(s), if any,as may be shown on the Plat recorded in Plat Book 10,Page(s)70,of the Public Records of Miami-Dade County,Florida. 5. Code Enforcement Lien,recorded on November 28,2007, in Official Records Book 26069, Page 4413,of the Public Records of Miami-Dade County,Florida. 6. Code Enforcement Lien,recorded on January 30,2009,in Oficial Records Book 26735,Page 3387,of the Public Records of Miami-Dade County,Florida 7. Code Enforcement Lien, recorded on February 26,2010, in Official Records Book 27196, Page 1124, of the Public Records of Miami-Dade County,Florida Copyright 2006-2009 American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and ALTA members in good standing as of the date of use All other uses are prohibited. Reprinted under license from the American Land Title Association , �► P HIGH-VELOCITY HURRICANE ZONES nr ^r_i�T t� 11 G 2014 UEJECT 1'0 CGf,,1P ,1`NCE VVI FH ALL r L' - ,1L Florida Building Code Edition 2010 Hi h Vebd Hurricane Zone Uniform Pernik kation Form. : Section A (General Information) Master Permit No. Process No. Contractor's Name Job Address ROOF CATEGORY ❑® Low Slope p 13 Mechanically Fastened TileMortar/Adhesive Set Tile CM 5D CW2 Shingles ❑ Asphaltic ❑ Metal Panel/Shingles 13Wood Shingles/Shakes ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ New Roof *,Reroofln 9 ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION c Low Slope Roof Area(SF) Steep Sloped Roof Area (SF) Total(SF) Section B (Roof Plan, Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow C scuppers and overflow drains. include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of Parapets. F .i _-.1 --- --- I j. t . I.. f -' - Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Foran Section D (Steep Sloped Roof System) Roof System Manufacturer:130octA Rog a, L Notice of Acceptance Number: l a -- 0 a a a - 0 a Minimum Design Wind Pressures, If Applicable(From RAS 127 or Calculations): P1: — V5 i / 132:—'-73, P3:—// 6, a Maximum Design Pressure From the NOA Specific System). Method of the attachment:_3M - Ec (co Steep Sloped Roof System Description Deck Type: woo ype Underlayment: Roof Slope: int �Zz V;,.,\�- nsulatlon: 3 : 12 Fire Barr er: Ridge Ventilation? astener Type &Spacing: FA ns ,1 dhesive Type �- - ype Cap Sh et: `-k No oof Covering: On(k -a zzT�\eS Mean Roof Height: 1 G rar\c\,e ben Type&Size Drip dge: 17-:5 cyj a n \ 123_01-48 1/13 PAGE 4 d HIGH-VELOCITY HURRICANE ZONES Florida Building Code Edition 2070 High Veloci Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based file systems,choose either Method I or 2.Compared the values for A'Ir with the values from Mr.If the Mr values are greater than or equal to the Mr values,for each area of the roof,then the tile attachment method is acceptable. Method I "Moment Based Tile Calculations Per RAS 127" (Pt'-q5-I I A,b•0313=►4. 1 )- M� %.C6 =Mrt w. (-P, B,(v x 1 313= --L�2 Product Approval M,�.d 7 -�-- IZ_ lot? - M-g.05 =Mr, /6, Product Approval Mr 3&07 (P3�I 1 tv.'�x J� C).313 =3h.3'� 1_ Mr g p5_=N1.a Q ProductAPP roval M • , 35,0'7 Method 2"Simplified Tile Calculation Per Table Below" Required Moment of Resistance(Mr)From Table Below Product Approval Mr Mr Required Moment Resistance Mean Roof Height --� Roof Slope 16' 20' • 2:12 34.4 36.b 25' 30' 40- 3:12219.7 38.2 39.7 42.2 32.2 ' 4:12 30.436'0 37.4 39.8 32.2 33.8 36.1 37.3 6:12 28.4 30.1 6:12 31.6 32.8 34.9 26.4 28.0 29A 30.6 7;12 24.4 32.4 26.9 27.1 26.2 30.0 ' *M11ust be used in conjunction With a list of moment based file systems endorsed by the Broward Couiny Board of Rules and Appeals. For Uplift based file systems use Method 3. Compared the values for F'with the values for Fr.If the F' values are greater than or equal to the Fr values, for each area of the roof,then the tile attachment method is acceptable. A'Iethod 3 "Uplift Based Tile Calculations Per RAS 127" =-)-W:---x cos B.•_= Fri: w:=-)-W: x cos B:. - F F (P3: x I: _ - n'--- - -x ~•�--)-�V;_x cos B.•-= Fri:i F F Where to Obtain Information jAe S mbol Where to find ' I, ign Pressure Pl or P3 or P3 RAS 127 Tabie 1 or by an en9meenntt analysis prepared by PE based on ASCE • 7 an Roof Hci ht !i lob Site • RoofSlopc 0 Job Site ' Appraval amicMulti lier Prodtttx due to Gravitycnt RrsistanceMrpuct entResistance M Calculatedrnt Resistance F• p� R uired U lift Resistance F Calculated Avera Tile Wei t yy ProduotA pproval Tile Dimensions h-length PmduaApproval w=Width All calculations must be submitted to the Buildin Official at the time of it licati-- 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 govern the minimum requirements and standards of the industry for roofing system installations. Additionall , he following items should be addressed as part of the agreement between the owner ant the contractor T e owner's initial in the designated space indicates that the item has been explained. 1• Aesthetics-Workmanship:the workmanship provisions of Section R4402 are for the purpose of pro d' g th the roof system meets the wind resistance and water instruction performance standards. Ae etics(appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues such for or architectural appearance,that are not part of a zoning code,should be addressed as part of the r ment between the owner and the contractor. 2• Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be ren i in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to ing 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 uld notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roof decking can b vi d from below. The owner may wish to maintain the architectural appearance;therefore, roofing nail penetratio of the underside of the decking may not be acceptable. This provides the option of maintaining the appe e. 5• Ponding water:The current roof system and/or deck of the building may not drain well and may c use at r to pond (accumulate)in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer.Pounding may shorten the life 4red —dfirom y and performance of the new roofing system. Pounding conditions may not be evident until the ofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers(wall outlets):It is required that rainwater flows off so that the roof is not a buildup of water.Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in lVentilation: with the requirements of Sections R4402, R4403 and R4413. 7• Most roof structures should have some ability to vent natural airflow through the structure assembly(the building itself).The existing amount of attic ventilation shall not be 11F� a ay be beneficial to consider additional venting which can result in extending the service life of the Ownignature Date Contractor Sign ture Date Revised on 7/9/2009 LD A MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) Boral Roofing,LLC 7575 Irvine Center Drive,Suite 100 Irvine,CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County PERA-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Barcelona 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA#07-0220.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0222.02 Mwr�FoaoEcoTM Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: Roofing Tiles Material: Concrete Deck Tvpe: Wood 1. SCOPE This NOA approves a system using Barcelona 900 Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, FL. and described 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 the installation section herein. The attachment calculations shall be done as a moment based system.. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Barcelona 900 1= 17" TAS 112 High profile,interlocking,one-piece,'S' w= 13" shaped,high-pressure extruded concrete roof '/2"thick tile equipped with three nail holes. For direct deck or battened nail-on,mechanically fastened,mortar set or adhesive set applications. Trim Pieces Length:varies TAS-112 Accessory trim,boosted Barcelona,concrete Width:varies roof pieces for use at hips,rakes,ridges and varying thickness valley terminations manufactured for each tile profile. 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales,FL. 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Revort Date Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102&TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix H TAS 108(Nail-On) Redland Technologies P0402 Withdrawal Resistance Sept. 1993 Testing of screw vs.smooth shank nails Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108(Nail-On) NOA No.: 12-0222.02 ;coutvnr VEDiExpiration Date: 04/26/17 JAPPRApproval Date: 04/19/12 Page 2 of 7 Redland Technologies P0631-01 Wind Tunnel Testing July 1994 TAS 108(Mortar Set) Professional Service Industries, IC-1320-94 Physical Properties Feb. 1995 Inc. TAS 112 The Center for Applied 25-7688-3 TAS 101 (Adhesive Set) June 1996 Engineering,Inc. 25-7688-10 TAS 101 (Mortar Set) July 1996 The Center for Applied 25-7688-5 Static Uplift Testing June 1996 Engineering,Inc. TAS 102 (3"Headlap,Nails,Direct Deck,New Construction) The Center for Applied 25-7688-4 Static Uplift Testing June 1996 Engineering,Inc. TAS 102 (4" Headlap,Nails,Clips) Celotex Corporation 520111-3 Static Uplift Testing Dec. 1998 Testing Services 520191-2-1 TAS 101 March 1999 Walker Engineering,Inc. Calculations Aerodynamic Multiplier March 1999 Walker Engineering,Inc. Calculations Two Patty Adhesive Set April 1999 System Walker Engineering,Inc. Evaluation 25-7183 March 1995 Calculations Walker Engineering,Inc. Evaluation 25-7094 February 1996 Calculations Walker Engineering,Inc. Evaluation 25-7496 April 1996 Calculations Walker Engineering,Inc. Evaluation 25-7584 December 1996 Calculations 25-7804b-8 25-7804-4&5 25-7848-6 Walker Engineering,Inc. Evaluation Restoring Moments Due to February 2007 Calculations Gravity Nutting Engineers 122 TAS 112 January 2007 CMIAMM NOA No.: 12-0222.02 ADECOUNTY Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 3 of 7 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 shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments 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 the applicable Building Code. 4. INSTALLATION 4.1 Barcelona 900 Concrete Roof 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-I (ft) =Width-w (ft) Barcelona 900 1 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers -A (ft) Tile A (ft ) A (ft) Profile Batten Application Direct Deck Application Barcelona 900 0.289 0.313 Table 3: Restoring Moments due to Gravity -M9 (ft-Ibf) Tile 2":12" 3%4:12" 4":12" 5":12" 6!':12" 7":12" or Profile greater Barcelona Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 900 Deck Deck Deck Deck Deck Deck 7.28 8.13 7.21 8.05 7.10 7.93 6.96 7.78 6.79 7.61 1 6.61 7.40 NOA No.: 12-0222.02 Mu►►�aorPROVED rr Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Nail-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" (min. 19/32" plywood) plywood) Barcelona 900 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 Screws 43.2 43.2 29.8 1-10d Smooth or Screw Shank Nail 23.1 23.1 19.0 Field Clip) 1-10d Smooth or Screw Shank Nail 29.3 29.3 24.0 Eave CG 2-10d Smooth or Screw Shank Nails 27.6 27.6 38.6 Field Clip) 2-10d Smooth or Screw Shank Nails 38.1 38.1 41.8 Eave CG Table 5: Attachment Resistance Expressed as a Moment Mf(ft-Ibf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Barcelona 900 Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 10.7 grams. Pol foam Product Inc.Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment -Mf(ft-Ibf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Barcelona 900 Po foam PolyProTm Po foam Po ProTM 3S. 3 Lar apaddy placement of 63 grams ofPol Pro TM. 4 Medium paddy placement of24 rams of PolyProTm. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Barcelona 900 Mortar Set 24.5 5. Tile-Tice Roof Tile Mortar NOA No.: 12-0222.02 MIAMFDADECOUNTY Expiration Date: 04/26/17 I APPROVED Approval Date: 04/19/12 Page 5 of 7 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below,or following statement: "Miami-Dade County Product Control Approved". LABEL FOR BARCELONA 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH 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 the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 12-0222.02 MIAM4DAD;COUNTY Expiration Date: 04/26/17 APPRApproval Date: 04/19/12 Page 6 of 7 f s PROFILE DRAWING NAIL HOLES OVERLOCK 3 5/8 " 17 " ` 13" UNDERLOCK BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE �� NOA No.: 12-0222.02 Miar�ao�aoe couNrr Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 7 of 7 MIAMFDIADE MIAMI-DADE COUNTY r , PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy 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 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. DESCRIPTION: 3MTM 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. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 12-0228.18 and consists of pages 1 through 11. The submitted documentation was reviewed by Juan E.Collao,R.A. MIAMMU4DECO �• NOA No.: 13-0502.02 UNTY Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2-Component Foam Roof Tile Adhesive AH-160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance.For the locations where the design pressure 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 Dimensions Test Product Descrintion Snecifications 3MTM 2-Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF 1000 N/A Dispensing Equipment ProPack®30& 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball,TX. PHYSICAL PROPERTIES: Property Test Results Density ASTM D 1622 1.6lbs./ft.3 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 Lbs./Fe Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-40°F.,2 weeks +6.0%Volume Change @158°F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% 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. MIAMI•t)ADE COUNTY NOA No.: 13-0502.02 Expiration Date:05/10/17 Approval Date: 12/12/13 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report 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 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 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 fire rating. 2. All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami-Dade County Product Control Approved"or the Miami-Dade County Product Control Seal as shown below. MIAMI•DADE COUNTY 3. 3M"N 2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat,low,&high tile profiles. 4. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 5. Roof Tile manufactures acquiring acceptance for the use of 3M2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 6. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. NOA No.: 13-0502.02 MIAMaDAneCOUNTY Expiration Date: 05/10/17 PPROVEApproval Date: 12/12/13 Page 3 of 11 INSTALLATION: 1. 3MTm 2-Component Foam Roof Tile Adhesive AH-160 maybe used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 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 3Wm 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient attachment resistance,expressed as an uplift based system,to meet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and 3M Company's 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. 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the"A"component and the"B"component shall be maintained between 1.0-1.15(A): 1.0 (B). 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam Dispenser RTF 1000 or ProPack®30& 100 dispensing equipment only. 7. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 1 to 2 minutes after 3MT14 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 Macement Details'herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 13-0502.02 MIAMI•Q0.D;COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 4 of 11 Table l: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course-Flat,Low,High All Eave Course 17-23 sq. inches 45-65 Profiles Flat,Low,High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat,Low,High Profiles #3 Two Paddys: 8-9 sq.inches at 12 grams per paddy head of tile 9-11 sq.inches at overlap Two-Piece Barrel(Cap Tile) Two Piece 2 Beads(I each longitudinal 17 grams per bead edge)20-25 sq.inches each bead Two Piece Barrel(Pan Tile) Two Piece 65-70 sq.inches 34 grams under pan LABELING: All 3M—2-Component Foam Roof Tile Adhesive AH-160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MIAMI•DADE COU NOA No.: 13-0502.02 .,.� Expiration Date: 05/10/17 �FjApproval Date: 12/12/13 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 Nall through plastic cement Paddy(Beneath Tile) Flat/Low Profile Tile (when required) Underlayment 2" (50.8 ° 1. Starting at the eave course,apply a minimum 2 (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock loin. �, of the tile being set. Battens optional ° - EaveCourse // 2. Continue in same manner.Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive ° contact with the underside of the tile. Fascia 2 to Eave Closure Nail through plastic cement Medium Profile/ Double Pan Tile (when required) Paddy(Beneath Tile) I. Starting at the eave course,apply a minimum 2" Underlayment (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. toin.x 2 in.wide Battens optional 2. Continue in same manner.Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive contact with the underside of the tile. loin 2in. Eave Closure Eave Course Fascia Nail throughplasticce paddy(Beneath Tile) High Profile/Single Pan Tile (when required) Underlayment 1. Starting at the eave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown ,o In.x under the pan portion of the tile closest to the 2in.wide overlock of the tile being set. Battens 2. Continue in same manner.Insure approximately 17 optional (109.7 cm2)—23(148.4 cm2)square inch adhesive / contact with the underside of the tile. it Eave Course Fascia Weephole 10 in. 2in. Eaveclosure Drip edge NOA No.: 13-0502.02 MIAMWAD,COUNTY Expiration Date:05/10/17 �FJJVApproval Date: 12/12/13 Page 6 of 11 ADHESIVE PLACEMENT DETAIL #2 Nail through plastic cement Paddy(Beneath Tile) Flat/Low Profile Tile (when required) Underlayment 1. Starting at the eave course,apply a minimum 2"(50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy 1 onto the underlayment positioned as shown under the �� strengthening rib of the tile closest to the overlock of %""• �2in. the tile being set. Insure approximately 17(109.7 cm2) Battensoptional —23(148.4 cm2)square inch adhesive contact with the Eave Course underside of the tile. 2. At the second course,apply a minimum 2"(50.8mm) Fascia x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the strengthening rib closest to the overlock of the tile Eave Closure being set. 3. Continue in same manner.Insure approximately 10" (64.5 cm)- 12(77.4 cm2)square inch adhesive contact with the underside of the tile. Nail through plastic cement Medium Profile/Double Pan Tile (when required) Paddy(Beneath Tile) 1. Starting at the eave course,apply a minimum 2"(50.8 1 Underlayment mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy _ onto the underlayment positioned as shown under the pan portion of the file closest to the overlock of the tile being set.Insure approximately 17(109.7 cm2)— ''"' 2in. _ 23 (148.4 cm2)square inch adhesive contact with the Battens optional underside of the tile. 2. At the second course,apply a minimum 2"(50.8mm) o in. f 2 in. x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the Eave Closure underlayment positioned as shown under the pan Eave CourseFascia portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner.Insure approximately 12" (77.4 cm2)- 14(90.3 cm2)square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 13-0502.02 MIAMI•DADECOUNW Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 7 of 1 I 4 ADHESIVE PLACEMENT DETAIL #2(CONTINUED) Nail throughplasticc. High Profile/Single Pan Tile (when required) Paddy(Beneath Tile) Undedayment 1. Starting at the eave course,apply a minimum 2"(50.8 mm)x 10"(254 mm)x l"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the the being set. Insure approximately 17(109.7 cm2)— ''"' 2in. 23 (148.4 cm2)square inch adhesive contact with the Battens optional underside of the tile. 2. At the second course,apply a minimum 2"(50.8mm) EaveCourse Fascia x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the Weephole underlayment positioned as shown under the pan 10 m. 2 in. Eave closure portion of the tile closest to the overlock of the tile Drip edge being set. 3. Continue in same manner.Insure approximately 17" (109.7 cm)- 19(122.6 cm2)square inch adhesive contact with the underside of the tile. NOA No.: 13-0502.02 MLAMI-RADE COUK ...� � Expiration Date:05/10/17 Approval Date: 12/12/13 Page 8 of 11 y M ADHESIVE PLACEMENT DETAIL # 3 tail through plastic cement Paddy(between tiles) Iwhenrew'rcedl\ I1 1. On the eave course only,apply a minimum 2"(50.8 battens optional mm)x 10" (254 mm)x 1"(25.4 mm)foam paddy ° I Paddy funder tile) onto the underlayment positioned as shown,under singlet the strengthening rib for flat tile or under the pan ontopl - portion of the tile for low or high profile tile closest 4 x 4 in. ` to the Overlock of the tile being set.Leave S lff„`" s unde pad ~` approximately 4 (10 1.6 mm)up from the cave er edge free of foam to prevent the expanded adhesive on 1 wWa 2 x a in. from blocking the weep holes. Insure approximately 17-23 int(109.7-148.4 CM)of adhesive contact with the underside of the tile �y ' n f fascia zi 2. ApPY 1 a 4"(101.6 mm)x 4"(101.6 mm)x 1 ( " 25.4 mm)foam paddy onto the underlayment just below FlaVLow Profile Tile the second course line positioned foam paddy under the strengthening rib for flat tile,or under the Pial through plastic cement iingie paddy under the pan portion of the tile,closest to the underlock for 1whenrecluhedl / Paddy ibetvreen tiles) the second course the to be installed. Insure .�� `>>� ' approximately 8-9 int(51.6-58.1 cm2)of adhesive Battens I ! Paddy Gunder tile) contact with the underside of the tile. �entopoftft -. (Instructions continued on next page) f1r 4xaIn. 2x4in" ` Si"paddy on u yn+errt J loin, ^ .' lin. . Eave Closure w EareCourse- !J/ —Fascia Medium Profile Tile NOA No.: 13-0502.02 MIAMI-RADE COUNTY Expiration Date: 05/10/17 r Approval Date: 12/12/13 Page 9 of 11 r ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) M&a dirowffi plastic Single paddy under file Iwhenrequired! 3. Also apply a 2"(50.8 mm)x 4"(101.6 mm)x 3/4" ` pa�adylnetMeennles) (19 mm)paddy on top of the eave course tile men, ,. Paddy lu,aerWet surface as shown,on top of the strengthening rib °p"O1Sl for flat tile or on top of the pan portion of the tile, V Sim* closest to the underlock of the first course of tile. r' Install second course of tile. Insure approximately ° �. 9(58.1 cm2)- 11 (71 cm2)square inch adhesive ��-�, she 2s4in `j'` ' contact with the underside of the tile at the overlap and 7(45.2 cm )-9(58.1 cm )square inch opJt-le _ adhesive contact with the underside of the tile at *,�•! ,' the head of the tile.Continue in same manner. Eave Coin l' fasaa weephoie loin, Z in. Eave closure Drip edge High Profile TUP NOA No.: 13-0502.02 MIAMEDAD,cc�urmr Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 1)Place enough adhesivetoachieve 65to70sq.in. Steep pitch applications Two Piece Barrel(Cap and Pan)Tile In contact with the pan tile. (when required) 2)Turn covers upside down.Place adhesive In 1. Starting at the eave course,apply a minimum 2" to 1 In.from outside edge of cover tile. Then install the tile.Ensure 20 to (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam 25 sq.In.contact area. paddy onto the underlayment positioned as shown Underlayment , ° under two adjacent pan tiles. Support eave tiles ° from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge.Insure approximately 65 ` (419.4 cm2)-70(451.6 cm2)square inch adhesive Sheathing contact with the underside of the pan tile. Eave closure (motar shown) Optional point-up Mortar 3. Turn covers upside down exposing the underside of Weephole Fascia Board on longitudinal edges of Tile the tile.Apply a minimum 1"(25.4 mm)x 10"(254 mm)bead of adhesive directly on the inner edge of Remove top portion of the cave course cover tile.Abut to second course of pan tiles.Ensure eave end of pan and cover tiles are flush at eave line. each side of the cover tile.Leave approximately 3/4"(19 mm)to 1"(25.4 mm)from the outside Two Piece Barrel-High Profile Tile edge of the tile,inward,free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan tile course.Insure a minimum of 20(129 cm2)-25 (161.3 cm)square inch contact area on each side of the cover the to the pan tile.Continue in same manner.Trim away any cured exposed foam adhesive.Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required,2"(50.8 mm) x 4"(101.6 mm)nailers or the tie wire system using galvanized,stainless steel,or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE rgel MIAMMDADE COUNTY ENOA No.: 13-0502.02 .,•e Expiration Date: 05/10/17 �rjApproval Date: 12/12/13 Page 11 of 11