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RF-14-85
Y Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-205843 Permit Number: RF-1-14-85 Scheduled Inspection Date: August 11, 2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: D'ALACIO, DIOGENES Work Classification: Tile Job Address: 10816 NW 2 Avenue MIAMI SHORES, FL 33168-4302 Phone Number Parcel Number 1121360020160 Project: <NONE> Contractor: LAURUS MANAGEMENT CORP Phone: (786)338-0440 Building Department Comments RE-ROOF TILE TERRACOTA Infractio Passed Comments INSPECTOR COMMENTS False permit should be attached to the master RC-4-14-765 Inspector Comments Passed a Failed ` Correction ��� �7-'&AJ Needed owe elb�5e-A Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 10,2015 For Inspections please call: (305)762-4949 Page 2 of 35 _AC132 Engineering Inc. Testing & Engineering Service Certificate of Authorization #8131 Roof Tile Uplift Test Report Tel: 954.245.8976; Fax: 954.301.7776 5230 NE 18 Avenue, Fort Lauderdale, FI 33334 Attention: Miami Shores Village, Building Department 10050 NE 2nd Ave, Miami Shores, FL 33138 Test Date: 8/8/2015 Permit#RF-1-14-85 [Property Address: - 10816 NW 2"d Avenue, Miami Shores FI Roof Pitch: Type of Tile: f.. Roof Area: 3 in 12 Entegra Roof Tile 19.00 squares Tile Attachment Method: Two Component Polyurethane Foam Adhesive-Poly Pro AH 160 Field Instrument : IMADA Force Gauge 0-100 Serial number:243454 Client: LMC Roofing Test Location Total Number of Tests Field UpliftPull Test Test results Perimeter Area: 9.00 sq 9 As per FBC 2014 Passed Field Area: 10.00 sq 10 As per FBC 2014 Passed No.of Corner: 6 6 As per FBC 2014 Passed Ridge Areas: 110 PCs 11 As per FBC 2014 Passed Important: ��11111111/� These��I�b�rowr r� (��change due to future weather impacts and/or unavoidable roof traff �q�}Rfidfe,'fhisN' represents the TAS 106 results at the time of the test. Plga She atV'o6e&e 146.e4—etch for this project. O 'UCa�dlt'jg �j Z o ACB1erre In � g. ,� 09-1005.01) i��� # P R0* \A; Antonio, d0YORI Fla. Reg. No: 36466 Y ACB2 Engineering Inc. Engineering and Laboratory Services 5230 NE 18`" Avenue Fort Lauderdale, Florida 33334 Phone: (954) 245-8976 Fax: (954) 301-7776 i T \ r Sheathing Affidavit/ Secondary Water Barrier �(i ( (FBC 2004) Job Address: � 0 �! `c ` _�)tj U 4kV( Permit No.: �)—� 14 — Name of Roofing Company: V L{ Name of Qualifier: �✓ S f License No.: CCC. — 0 Address: � �� ��012 I, y VS-es V l t �✓ ,do hereby affirm: (Print Name of Qualifier) That I have personally inspected the re-nailing of the existing roof sheathing as required by Florida Building Code (FBC)Section 201.1 for the area covered by the roofing permit referenced above and further state that the re-nailing of the sheathing meets the requirements of the current edition of the Florida Building Code sections FBC Section 201.1. Nail spacing shall be 6 (six) inches on center at panel edges, 6(six) inches on center at intermediate supports, and where applicable 4 (four) inches on center over gable ends and sub-fascia xisting fasteners may be utilized to achieve such minimum spacing. I also r2tl. n tift a secondary water barrier that meets the requirements of F.B.C. Section achieved and hereby provide the accompany photos for verification. Qualifier/C a r g re` Date C , having first been duly sworn, does affirm ( rint Name of Qualifier/ o actor)the statement above to be true and correct by his/her own personal k e� -{r f }��p"� t a `•""'C �' oil, ❑ e I "photo ID- of ID An Owner/Builder acting as contract r is considered the qualifier for this code. Miami Shores Village IC- Building Department DEC 7 014 � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 CA Tel:(305)795-2204 Fax: (305)756-8972 _.______._! INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 10 BUILDING Master Permit No. K F0 q'�� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC OOFING ❑ REVISION ❑ EXTENSION RENEWAL F-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ii CONTRACTOR DRAWINGS JOB ADDRESS: l d t, N� ��� k A M ( S koro S City: � Miami Shores County: Miami Dade Zip: -3316Y Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: i ��11 A OWNER: Name(Fee Simple Titleholder): /) gY'A0�'� A �f'aE1"l� Phone#:7` '-7275' Address. —t Z N 22 Tp� jj City: Uvy\✓fin l `f State: F _ Zip: 2-L tTenant/Lessee Name: Phone#: I Email: , f /� � N (�'C Ct�S ✓�C CONTRACTOR:Company Name: i' ��/L'-�J k1_ e,-' . W / (2d 1 WB4LqC P e#: '� Address: JN9 y Std �-� , _?/ City: /4 h'1 tate: / Zip: J / /,s I ) 12z Qualifier Name: Phone#: 186 S"G- 333 j State Certification or Registration#: c4- 'fi5 7'�L o Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: f City: State: Zip: Value of Work for this Permit:$ ! 2-10 Square/Linear Footage of Work: 1 Type of Work: ❑ Addition ❑ Alteration ) El New ❑ Repair/Replace ❑ Demolition Description of Work: Reneto al �,X p,fe c�! /%(���'�'►� Specify color of color thru tile: Submittal Fee$ Permit Fee$ 2 CCF$ _0 CO/CC$ Scanning Fee$ , CRadon Fee$ (_2_.�> DBPR$ L4 ' _3 Notary$ Technology Fee Training/Education Fee$ q0 Double Feed$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ' VC) (Revised02/24/2014) c 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 wil of be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT Y' / ! COR The foregoing instrument was acknowledged before me this The foregoing instruume_n" ,a'cknowledged before me this — day of �(CM-i41 20 by day of JI eC IF 20 ( cf by who is personally known to ' t'4 who is perso ally known to me or who has produced �'����`'�11C4 as me or who has produced T`����"�M as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: _ _ Sign: Print: »SSG Print: a� Seal: - Iiia Fr`ns:1cti Seal: �z :; 081 ############################################################################################################ APPROVED BY mud'/Q. /y Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) To: Miami Shores Building Dept Page 2 of 2 2014-12-17 17:14:39(GMT) 13054686311 From: Ulises Wiltz v"ERTIFIC IT F L�11 LIT' INSURANCE. 12/15/?014 TW 3 C__91 r1F CIATE 1.a 1SS11Z—R A—S A.MATTER OF INFORMATION ONL:Y:ANlt�C�l!1� VAS-NO Ft10K-T�kJPOK THE 0EJRTW=TZ"OLDER,TMS. CE#tTi1=tCA7 tJU AiaEA6RAT11ftY: A# fAAT11tELY AMERI[f. X9fG.fti �%1.TER Tt1E.:C41Vi°, 3 AFFl7Rt7Et3 BY Thai P{3ttCf �tF CYY. 'Fk k {RTIF ASE iN S tfi Nl C1 3E r i!#DT C.{}AiSTiitl :.A COMMA.C" 9M, .EjW TNN R. A.�j_?M:jNS{JA S{, X4.{1 #t4 R'A f & NTYk11tI pyFtftt/:C1i, lO 1 M(1rtE#i3IiCA .Ll « t1Y piRT Alli[: It 1Nr�tlai hAx1c{wr ffi:art Jbfli ITiCYf�+ i` 1W, JREC3,#ti3 l p � Is)tIYMEi$3 b+3:04M it 1f$104no"'10 14 WANED,sub has tMMa,garmta tlArbd.cx�A d ifvttal of ttna 1 1 1r.Caar. .pai# vaR rnny raq{u1a r roomoft t. A starafhtnt an tale ZWOflaata age*root confor r1�1su to tlte- cAunrt #ctttx{n Aar:pcleh.anslt►rsabtalrbt ;'. R7 -691-4381 AEW-0.4 i l "MAnuel insurance&AswcjW6s,.Inc. MOW 7.1:East Sth:A" . .s...arA.0,*rtmartue{insurame com ' ,- 1pAFS�3•rt��AF�a�rftC1�`i 4� bih �r �t.l !!C • ',? rl AlVSTtArbS rA w aum Wnagement Corp DBA LNIC I13 € $c f.C5 ��0 fC1 uw1499-11 $W13 -L. H _ r. COVERAGES CF-AT F't+�dkMNUM 1 EVt£1o1Y 11ti11NEY1 1; _011STl? TtF!Y TRA:T nfle F`�.4CKS 10F'INSUP.4WE t.l.""Tr;D BELG+W WESEEN! T�S'I't�E 9tV�LI��G4!"9.�ht iDABOVE FOA TYE poweY Pfy"M00 11+#tt +artw #i{k 14 FN T CtMW A1f� t t.CtUi1 MEfsf1. TL tRMt tart CONDMT N.OF'ANY CCt�Yrt OT Oft�7r4?LR DbGUMERrr 4A�7Ft fl� �Ct TO 4��#k�hr ti��C. CtrAt:xtFlCAttr EAI1Y 18SA1ED Ct{#1F1Ay PE 1x1t11N, ltl Std A y1FwtlW APFORDED'SY THE PC7LtG E:$R3EfiCF EBCA HEREIN:3 Elwfi?(}.ALL TSE TEFtAt ,. EXClik$XWS AND C[S3Jt'3NTt NS SUCH POLICIES.LAN ITS�i4o m WMA-y�A VE MEEK FiFt7CICErA.&A�P�tlG]E&AAtp�t t. ta1YPEp(J ............ „fsYb{t3'.. gra �frr ' `rrJiP kktYB 'EMEBRC Ui11tB n'Y I - .. A R�ICkSUCG111gHENG�' 3 ( � Y IkeF . .'„ RCCi�IM�t z �ka� i,t�xvtA _ I Pce-197 01/16/2014110111 612015 A a apt.��r�care;•!+t�r�niiA: r �Aa cx's � �+<t� _ �1 tam.. :. ..- '�� : J A 1 I ...... `hiATai' Pgr"mctr? t#�bFaCJt'+.Ai?;FpIFAI+ "�'A# rtt�tR:t3 AiX7�lu .»..„� W. elmUAW N W�N^gSk �i'EilfAM1E�A)'►p!b � --'.�...�,,.�.�,,.,w�. 1 1s Olt+REAL'P£l�dPr,�'klt�Ni��tE�4f..f' E # 5 5 .. { raabn Pw+� AfAACYE >h § "rMpr`tl lL +k7'tlGM$tlY1 :.f �, 40x.R FAiona r#e+xwuAca�fActiyoduraitwi��,lNbx#40w:to W-0 ... Roil ential&CommerCiat Roofing,Contraott�r� �:r��del1��t~v� 1��p�€r i� lan tl��t�d� CCC057201 c�1T1�1cA�►TE.r�1s�t.k�!EA . ' . C1 NCEt LATilpF1 Miami Shores Village Hall SHOULD A:NYOFViE.ABOVE OfMAXEDPO,teMSOf CANCELLED 004M 10050 NE 2nd AvenueFx?Ct*MT10; DATE THS060 NOTICE ; C1T3CE 4Yk . K. DE41yE1iP1 0 .I#V +SCUrtt�Gx#1lbC "Ni1#F 1 P Y1? I Miami Shores Fl 33138 305-795-2207 1888201Q Atxt71Rt9Ctt3it17-1iTthOAt A111 AhI ' s; A GO(9D 5bC2att] S Tile A►CQ1iL1 r10C11+�ww.ja p e r*gl$;terod tnat#ra jDf ACORD To: Miami Shores Building Dept Page 1 of 2 2014-12-17 17:14:39(GMT) 13054686311 From: Ulises Wiltz J •. Date CERTIFICATE OF LIABILITY INSURANCE 17I9i7t714 Producer: Lion i11S.uC8flC6 C471Tipany .This iClarti£caft.is issued:as a matter of Information only and confers no 2739 V.S.Fi.IgbWay 1$N, igtrts upon.the f caterHolder. This Certificate:does not att�rtd,mdand 11PUda. rFL::34691 or alter'the colierage afford ad by the policies below. � . 721)938-5562 Insurers Affording Coverage NAIC# Insured... Insurer A: Lion Insurance Comoany 11675 Sout East Personnel Leasing,enc.& Subsidiaries - 2739 U.$ Ht4lhway 19.b1, (ngurar..6: Holiday,.FL 34691 Insurer C: Insureir D: Insurer E: _ Coverages The policies of 0,4urar*0dated belowheue.hean issued to the insured naaned above tdr the policy ga=ol irWirated Notwithstanding any requirement,termor common of any contraca or other.do@urneni: with respect to which thls cerlllicate lr�y.pe issued ormay per,the insuranoe afforded by the pollcies described herein ie subject io all the terms,exclusions,and rx nditions or such policies.Aggregate iirrids shown ma:y.na:ve been redueed.py.paid C3.8i1T1$- y. p... INsat. AaDL Policy Erfectl:ve Polis Expiration LTR irvSRD Type of insurance Policy Number Date Date i-imi#s (i�itvlIDONr) �ri�lIDomy) ENE€3AL LIABILITY Each oecurrame Commercial.General Liability DamaOe to rented:prerruse5(EA GlaimS Made f7CCtjF occurrence) Med Exp General aggregate limit applies per: Personal Adv Injury Policy Q Prc)pct ❑ LOC General Aggregate __. Prnduct9-CemNp::!99 AUTOMOBILE LIABILITY COrlyNned Single umM Any Auto (EA Aeddent) All Owned Au1gs Bodily Ino ry: Sdwduled Autos (PerParsw) Plical Autos Eodila,':1ry-urry.. Rion-Owned Autos (Par Acodedt) aroperty:Pama_.W.. (Per AGCI deni.) EXCEsS(meRELLA LIABILITY Each occurrence occur Chinas blade Aggregate Deductible A SNoaksrs:.Comp nrat an srtp 11VG71949 0110172014 49/01/2015 J!"Urnits WC$tat"- 0TH_ Etitp;pyBr$'Liabil[ty Eft AnyProprietadWtrwiexecsrtive.officwJrnember E.L,Each A=dent 5a,00e.Dott excluded? No Ir Yes„describe under special provisions Maw. E,L,disease-Ea Employee S11000,000 E.L.Disease-Polloy Limits T1,00o.o0o Other Lion Insurance Company aln is A.M.Best Cote 'n rated A-(Excellent). AMB#1261Cx t?escriptions.of.Operatianell.oc8tior!BN*hICImel'EXCIuBiong Ad"d hyr Endorsem0r►tfS ieCiBi Pravia:ions: Qient zQ; 04-65-724 CON:rdge Qniy:appiies.to active ternployee(s)of 5ottdl East Leasing,int, Subs jdlwms that are leased to the follgwing. tient Carrrpariy"s Laurus Monagemont Corporation:DDA LUC Roofing.&inspwcttean,*Inc. Coyerage.oniyapplies to injuries incurred bysouth East Personnel Leasing,Inc..&SubSidiaries.active empigyree(s),wtd(e wgrking fn:'R, Coveragedoes-not apply to statutoryPby (s)pr fndependErlt cpniraeppr(5)of i3ie CatOmpanY 4r�i.nyakt+er entiL}, A 8st of the active employe*)}eased to the Client'Company can be.obtained by'fp4ng a mquest.to(727').937-2138 or by calling(727)938-5562. project Name: ULISES R.WILT7-LICENSE NO.C00057201 AS QUALIFIER.FAX:305489-25151 ISSUE 12498 14(TD) CERIit=1£ATE tiQLD♦tiA ... CANCELLATION .. in bate Miami Shores Village Hall should Any',0rthe above desaribedpol.idesDecancalledbefore%asxWatignslatatif8raoftheissutg nsu:rer will endeavor to rW 30 days written notice to the ceroficate holder narned'to the left,but fiviure to 10050 NE 2nd Avenue da so shalt Impose no obrigatlm Of Uabittyoranyktnd upon Rha insurer,11sagenm at representatives. Miami Shores FI 33138 305-795-2207 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 WILTZ, ULISES R LMC ROOFING&INSPECTIONS INC. 14221 SW 120 ST SUITE 125 MIAMI FL 33186 - - r 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 + STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTNi _ USINESS AND and they keep Florida's economy strong. ! PROF:-;PO.- ULATION Every day we work to improve the way we do business in order to CCCO57201 ac - �'` 2/02/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED R about our divisions and the regulations that impact you,subscribe WILTZ,ULISE to department newsletters and learn more about the Department's LMC ROOF JN- � initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly. P y We constantly strive to serve you better so that you can serve your r Y customers. Thank you for doing business in Florida, IS CERTIFIED under tha provisions tlr Cfi 489-FS and congratulations on your new license! puc a+ los L441i +++' DETACH HERE -RICK SCOTT,GOVERNOR _ --_ . KEN LAWSON,_SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ".CCC057201_ a:•�"� The ROOFING CONTRACTOR - Named below IS CERTIFIED, Undaer he_provlslons of'Chapter 489 _Expiration date: AUG�l1, 2016-- iV I � - ' ,'M 7,A LISES R k {r _LIVJC"EtODFIyGS�INSl� }}'"'tel � .� �, r—J y � � \����� i,� •� ; � lti ISSUED: 12/0212014 DISPLAY AS REQUIRED BY LAW SEQ# L1412020001992 miamDade.+Gav Tax Collector Hot-no •• •• • Cart 2015 Details — Business Tax Account LAURUS MANAGEMENT CORP, DBA: LMC ROOFING • • —WAccount details Jlelccount history 2015 2014 2013 2012 2011 2010 Paid Paid Paid Paid Paid Paid Account number: 5666079 Owner(s): LAURUS MANAGEMENT CORP Business start date: 11/01/2005 C/O ULISES WILTZ, PRESIDENT Business address: LAURUS MANAGEMENT CORP 14221 SW 120 ST#125 DBA:LMC ROOFING& INSPECTIONS MIAMI, FL 33186 INC Mailing address: LAURUS MANAGEMENT CORP 14221 SW 120 ST#125 C/O ULISES WILTZ, PRESIDENT MIAMI, FL 33186 14221 SW 120 ST#125 Physical business location: UNIN DADE COUNTY MIAMI, FL33186 Print account application(PDF) ReceiptsOccupations Receipt 5909990 Paid 2014-11-06$7.50 Contracting 10101t2014— NAICS code: Receipt#CREDITCARD-15-003725 Print this SPECIALTY BUILDING 09/30/2015 238990 bili CONTRACTOR Units:1 CERTIFIED ROOFING CONTRACTOR Additional documentation required:CCCO57201 State/County License or Certificate Miami Shores Village ii IAAi Building Department = � I 10050 N.E.2nd Avenue,Miami Shores,Florida 33138\� Y,Tel:(305)795.2204 Fax:(305)756.8972 -- _-_-__- �\ INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. 14 Permit Type: BUILDING ROOFING JOB ADDRESS: os 1 (,, K)I ,I V) L—) & ., City: Miami Shores County: Miami Dade Zip: 3 316 Folio/Parcel#: I L_ a 13 a 0M-a(rn J Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fele Simple Titleholder): G Phone#: 9 - Address: I DA 6 City: M 1 G rYl �J a tState: I Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: LXL"Ttl✓, �1' a L2hone#: Address: Jq 1r, Cl r 5 (Aj 1 j City: State- Zip: -3318(0 Qualifier Name: rSL/L 1Ff� Phone#:_3o�"-aSif D`tq State Certification or Registration#: CC-C- Q SQ�. 0 , Certificate of Competency#- Contact Phone#:_ `) 76 �' r `� Email Address: u.1 c,� i m t!'roo Y1 rn DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ � 'lam' I V Square/Linear Footage of Work: 00 i 5 Type of Work: ❑Addition ❑Alteration L2New )4Repaireplac ❑Demolition Description of Work: f Color thru tile: —12 c CaC.O �-G Submittal Fee$ 'U J Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE ,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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value ceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement�nd construction lien law bro ure will be delivered to the person whose property is subject to attachment. Also, a certifi o y of the recoCd ce of comm cement must be posted at the job site for the first inspect' n which occurs seven (7) days the ing k� a,t ' issued. 1 e ab uch posted notice, the inspection wi no roved and a reinspection f e wii b c l \�\ Signatu a Signature Owner or Agent Wtct The foregoing instrument was acknowledged be ore me this The foregoing in a was ac wledg/ed before me this �� day of 20 by day of ►� 20�,by ( l rS C,S �r�Z who is personally known to me or who has produced wh ' personzill mown to me or who has produced As identification and who did take an oath. ��as identification and who did take an oath. NOTARY PU _,. NOTARY PUB IC• Sign: _,. Print: G Print: � YU, onse J ' PUS. aga y anseca My Commission xpi `� Baa EE 192081 My CommissiQ "it` � ;S;GrI EE 192081 �x FR.24,2016 y ._,RES ,F�t.24,2016 �9 .. ��oFff0i F ,N'NW r...�GNNOTARY.com WWWAARONNOTARY.com APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ,MIAMWADE COUNTY PROPERTY APPRAISER n�- Carlos Lopez-Cantera PROPERTY APPRAISER Property Information: Folio 11-2136-002-0160 r •: Property Address 10816 NW 2 AVE Owner Name(s) DIOGENES D ALACIO Mailing Address 10816 NW 2 AVE MIAMI SHORES FL 33168 Primary Zone 0800 SGL FAMILY-1701-1900 SQ Use Code 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 2/2/0 Floors 1 Living Units 1 Adj.Sq.Footage 1330 Lot Size 8750 SQFT Year Built 1945 Full Legal Description SHORELAND HGTS PB 43-85 LOT 14 LOT SIZE 70.000 X 125 �/� COC 23548-0493 23861-3353 06 05 1 N Aerial Photography 2012 Assessment Information: Taxable Value Information: Year 2013 2012 Land Value 34a4OO $43400 Year 2013 2012 Building Value 91148 $101951 Exemption/ Exemption/ Taxable Taxable Market Wits $1 B $145351 County $0/$134548 $0/$145351 Assessed Value $134548 $145351 School Board $0/$134548 $01$145351 Benefits Information: City $0/$134548 $0/$145351 Benefit Type 2013 2012 Regional $0/$134548 $01$145351 Sale Information: Date Amount OR Book-Page Qualification Code 12/19/2013 $108000 28966-1760 Qual by exam of deed 06/01/2005 $355000 23548-0493 2008 and prior year sales;Qual by exam of deed 01/01/2005 $249000 23052-3546 2008 and prior year sales;Qual by exam of deed 03/01/2004 $185000 22245-2168 2008 and prior year sales;Qual by exam of deed 10/01/2001 $132000 20027-2445 2008 and prior year sales;Qual by exam of deed 05/01/1999 $0 18724-0058 Qual by exam of deed 10/01/1982 $52900 11628-0924 2008 and prior year sales;Qua[ by exam of deed 12/01/1980 $55000 10952-2263 2008 and prior year sales;Qual by exam of deed 11/01/1976 $33500 00000-00000 2008 and prior year sales;Qual by exam of deed Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation.Although this website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any information provided herein.See Miami-Dade County full disclaimer and User Agreement at CONTRACT --1f�_i}�_.__.. BBB �.� ! Roofing & Inspections Inc'. MEMBER www.lmcroofing.ccml CCC-057201 ' South FFlondaa 1499i SW 13iRUS1Nt3 3y yN ( t::. r� .. ONS GF iHE. Miami Florida 33186 01'2s RoorING coNTRA�:IOW,ItT 14:-r.c7RTuA rc>u Phone 305-254-2424 i"ex .v5 .tih ?j 1 zuo�crone.zoos n.oto AH '+NI APY 8 21;1,1 DESCRIPTION AMOUNT Remove existing roof and replace with Cement Flat or Roll Tile Roof(Your Choice Of Color) S ?1,210.00 Specifications of Tile Roof To Be Installed: • One Layer of 30#Felt • One Layer of TARCO PS200 Rain Barrier(SWB with 30 year Manufacturers Warranty) • Cement Tile (Your choice of Color) i Additional Terms for options above: 1 • Permit, Inspections,and Processing , I. • Continuous Glean Up and Haul away with Dump Tmcks • Install proper ventilation • Replace all Metals and Flashing j • Replacement of Rotted Wood Included • 10 Year(No Leak)Warranty(Warranty transferable to now horneowners) Payment;Lerms;for Tile roof: 30% Deposit on signing-----_•— - -- - ------ --3 30%Deposit day of demolition/dry-in- »---�-- -- —w�,l 30% Upon Tile Delivery------ 10% elivery----10% Due upon Completion— FINANCING ompletion FINANCING AVAILABLE for those who q, Major credit cards accepted li v, '>5s r . S t� OWNER'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. P Re: Owner's Name 16019pno PIQC4 D Property Address ID 1i Roofing Permit Number Dear Building Official: I aCt 0certify that I am not required to retrofit the roof to wall connection of my building because: The just valuation for the structure for purposes of ad valorem taxation in less than $300,000.00. UThe building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of the 1994 edition of the South Florida Building Code (1994 C). � Notary Public State of Florida Joanna M Fallasno ErneCommission iss n Fa 0e2153 nature of Proper t Owner 10 a/OL& 3 a6 Print N me STATE OF FLORIDA COUNTY OF MIAMI-DADE Sworn to and subscribed before me this 6 day of rJ a/- �� 20�, ,,�ttlllllli I ^r (SEAI,�'�r�r.� ;� �� eft t, 5r�' ,,! '.t. •,,,vIdOYARY.CotR Personally known or Produced Identification When the just valuation of the structure for purposes of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed in compliance with the FBC nor with 1994 SFBC, and affidavit of Roof to Wall Connection Hurricane Mitigation Retrofit must be provided. C`Docu .,and Set gsvt FMy IhxumenLv\SmtisticsGraphs_2 Reuling Affidavi t Compl...re92607HI].W.doc ORE p Miamishores Village Building Department logo , H- BIMI.I" 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �'`Fti'rE 10 Tel: (305) 795.2204 ORIDp` Fax: (305) 756.8972 JANUARY 21, 2014 Permit No: RF14-85 Building Critique Review 1. Owners signature on the owner's affidavit and on the consideration form do not match with owners signature on the permit application. Ismael Naranjo Building Official Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. Date CERTIFICATE OF LIABILITY INSURANCE 01/162014 producer: Lion Insurance Company This Carlifkate is Issued as a matter of Information only and mWem no eVhb 2739 U.S. Highway 19 N. upon dw Certificate Molder. This Cerdnate does not amend,owl x 'or after Holiday, FL 34691 the coverage'Handed by the P°ncle'belOM. (727)938-5562 Insurers Affording Coverage NAIC Imnared: South East Personnel Leasing, Inc &Subsidiarie "°1ef : X011 fnsumnce Company IN7 2739 U.S. Highway 19 N. Insurer Holiday, FL 34691 Inum assurer : Insurer E: Coverages apo cra, rtrararKo 3w - .s mzr m .o♦rre puna c ea ngdnyroq,n .omjac on rlscerpnceteMaybe eSU*dmMay perteN.gbv!,rylceafora" the gra"aeunwrteeerrss a�lc u Rr .a rospo ►. tq' V upe(I t0 dr M.tenni.e.cULCTS.a's�Cor4dtltW U StKll p paH "]ctsnAgjreyat!trnCS JUra1 may nB.d pelt teJJl9 M LTR #ISSM Type of Insurance Policy Number Ode ate Umits (MMIODNY) (MM/DD/YY) ENERAL LIABILITY EacnOccunerce Cemmeraai Cseneral Uabl6ty Lam rS a tp rdread pdmSrS(EA Clafrtls Mede 13 Oeeur occman_e) I gtea Erp 1 aggpegate frNt applies per. Pervanal Adv Injury roxy 1:1 Ro;ocr � t.s?C Gwmvto x"eyaw PrW.Kh Cor9PC9 AW UTOMOBILE UABIUTY Conwrrted Smge Cant Aiw AtU IEA Acuoerr) t Al C.vred AttcS M rWy Scnwwd ALM (Fen Person) Him Autos Barry" Non Ovned AaaS (Pat Acadent) Prcpery[wmape :Gtr AcvdVti EXCEMUMBRELLA LIABILITY EacnCrcurrerce Occur Czars Macro Awecwe Dcox:ble A Workers Compensation and MC 71949 01/16/2014 01/16/2015 X I Vic Slat► OM Employers'UabfUy tory Lirt3s ER Any propriemr/paitedexewlve ortoerknember E.L.Each Accident f 1000 oco exducbd9 It Yes,describe larderE.L.Disease-Es Employee f t MONO spseid prowsione below. E.L.Disoase-PakV Limits t10W.W Odwf Lion insurance Comparty Is A.M.Best Compeov rated A- Excellent AMB it 12616 Descriptions of Opsratlo;;a allansNaIddosftciuslons added by EndorsernwWspecial Provisions: Client m: e445-72+ Coverage ordy applies to active employee(s)of South East Employee Leasing Services,Inc.that are leased to the following"Client Cortpany': Laurin Management Corporation dbe LNC Roofing and Inspections Coverage only applies to W*Mes incurred by South East Personnel Leasing,fnc-&Stdssldfarles active employee($) ,WWe worldng in Ronda. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any otlter entity. Becin Date: 1/0112013 Aeaml Shores VII �as a tnc above 0"010e0 poactes be cam~betore sw a>mlraban dze tnefed the lstunp rns nor del �e Hall enyeavor to ma 130 days emcee nate to ro cembcafe tek*w narrod to rte teR,b u taus to do so V--3 impose m 10050 NE 2nd Avenue QW9X01 V uasvy of Pry sand Wan rre fairer 4s Dyers a repose Utes Mand Sham FI 33133 305.7452207 ACOROfI CERTIFICATE OF LIABILITY INSURANCE0111612014snot161201"" 4 TINS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NOLDISR.THIS CERTIFICATE DOER NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCHES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREWSL AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. GWORTANT: 0 an aTggatf h-1d,r to an ACCIT10NAL INSURED.Um PWCy(lo.)must be andaToad. H SUBROGATION IS WAIV=subject to no to"M slid condigana of an po ft.Cortmn PWICIOo WWY MQWFO An andorGonU L A 61OtOTTIQf11 an Oft c=W"fa do=not Gondar rVa Io We aflBlWto hoNa to Ilou of suCh endo e. 'R0010V' 305.693-0003 305-891.4381 Emrllafwel In._ .. A Emmanuel Insurance 8 Aseocietes,Inc. 305.893-0000 1 1 2370 East 8th Ave .saraI6emmanuelinsurance.com %rJa a A:pfeleffo 497 D61ptED 0 Laurus Management Corp DBA LMC Rooting&Inspections Inc. aTsusaac _ 14991 SW 138 PL aouafR o -- Miami.FL 33186 o s COVERAGES CERTW=TB NUMBER: REVISION NUMBER: THIS IS TO CERTWY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIRENENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W41CH TWS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLr-[Es cXWRIBEO HEREIN IS SUBJECT TO ALL THE TEAMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LOOTS SHOWN MAY HAVE BEEN REDUCED BY PAI)CLAVAS TYN OF MROANa voucv WOMIS in= LAM GOMM— u+eam EACHOCCLO ENY 111 A ✓ Cornacw L.UtFRAt LLAeam 1,000,00 --1 aAuMWE Q occVR I MED EAPuin an@ nai' f -— PC81972 01/16/2014 0111 W2015 MAW—A ADV—j- 11,001000 —---— GEIIEAAL 04CoWQATE f DENT AGGRE"M I=AM&ES PER I MOYCTS•CCIOVDP AGO f PMs" 12Al� D AUTONCOM1 LIASUftV AWAM _ SODG V DwnT Ww nonan) f AanW [AUf09 tD 6006Y ftAAW Wa swans f .. reatED AUTO$ ! 4nos 1E0 Amos I f if LA�aELLA LIAa OCCUR EACM OCCURREMCE f t1;Clf4lMa CLAAfS+MO! AGONECATE f non TFNTIOM / A Ofl4 AIDICUPLOINN LJAII&M V!M AMI'PA>S�ritTOfUPARTIQAlfA1M1� UL- 1�NIA COE L EACH ADENT 1 'OxsCEAA�fARLIDEO'r i P6�rY is IES E l OasEASE•Ew EIDE f A Areoiaa uAtr El OMAN POLCV t=" f 000W I W OF*PiAgI 6$LOCAT9W0-'K9MW WAKft'0m I*A0©oaul Rt peM9Ag M owA Tppb rq�baq Residential&Commercial Roofing Contractor(RemodeUService Repair is Included) CER704CATIE HOLDER CANCELLATION Miami Shores Village Hail SHOULD ANY OF THE ABOVE DESC IM POLICIES a cANtELLZp BEFORE THE IMPIRATIDN DATE THEREOF. NOTIC8 WILL Be DELMERED Of 10050 NE 2nd Avenue ACCORDANCE WnN THE POLICY PROVISION& Miami Shores FI 33138 305-795-2207 AYMORQIIO ASPAWMA"" ®18082010 ACORD CORPORATION. All r101as TBssevad ACORD 25(201085) Tiro ACORD fwM and t000 aro T OMered msrtw W ACORD �dHA 80K0�Q1��M QWU B�W� ���\m Nil HIRE!mQ�Q��|0t G��;Q0AW Q�W��N0��0/�<0m\ ` '� � �� �~, , ,��� .,� ����U�U������U��0�� xRECORDED COPY MUST ssPOSTED ONTHE JOB SITE AT TIME OFFIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OFFLORIDA: COUNTY OFM|AK8|-OAOE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real pnnperty, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 Legal descri,ption of rroperty and streetj address: — Description— — of improvement: �7r 3. C; CAO Interest in property: Name and address of fee simple titleholder: � � 4- Contractor's name and address: . 5. Surety: (Payment bond requirodbyownbrfrom contractor, ifany) ' Name and Address: Amount ofbond $ OF FLORIDA,COUNTY OF DADE � 6. Lender's name and address: E8 � — ... _ 7. Persons within the state of Florida designated by Owneru 01 u r~~~~~ ~, ' '~ '-`',( )' Florida -- Section Name and Address: °o O. In addition to himself, Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided | in Section 713.13(1)(b), Florida Statutes. � Name and Address: � � � 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a 7----d erent ate is specified) Print Owner's Name Prepared by Notary Public: I Print Notary's Name: My commission expires: 1, • - I: 11• :-L • / 1 F Florida Building Code Edhion 2010 High Velocity Hurricane Zone UnHonn Pennit Appikaum Fom HIM, =- -WE 0 M a M 40 s I � t• M • - - I 4' - rV7, rr 1 Y wlaaR!!aR ialiR■ R ■■ ■■ ■■!!!■!!!#!!!■ moaaw■rs mass man mommamoo �CCCC CCCEC� Ionic CCCCCCC�C EnCCCCCCCC:CCG'C:CCam logCCan CCC■C�CC:malsommmon w■ lCCCCCCCCC.Ca CCCCCCCCC RCCC'CCCCCCE woman CRCCCCCCC■CC■aCCia wCC#�##■ ri m ■ a !orNNN sings ■Ri# r ■ RaoilaRa ■ i#w culow CawwRRao�awC CC�oiC#CCC ' CCC • • iCCi CCCCC�rCCRCCmG�"RC.Ria a ■!!r■iiwiiCCCCC i�iwa waRCon" r w w r ■llmolii CC#CCC ■s!rs ! 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IMMI lC RC ClCCCCC #RaCiriiCCCC Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Appli wam Form Section D (Steep 610 Roof Svsteml PRof System Manufacturer: f C, Notice of Acceptance Number: Q� Minimum Design Wind Pressures,N Applicable(From RAS 127 or Calculations): P1: 3 5'0 P2• 1(, q P3- ° 31 Maximum Design Pressure From the NOA Specific System): Z Method of We attachmentnn: ShOOD SigDed Roof S stem Description Deck Type: Sig (f / � baa yps Underlayment: Roof Slope: nsulatton: 12 Ire Ba or.- Ridge r:Ridge Ventilation? astener Type&Spacing: nGr � 1 !dt�ir dhesive Type YPe Cap Sheet: --U oof covering: Mean Roof Helght: Type&Size Drip dge: I -31X 123_01-48 1/13 PAGE Flodda Building Code Edition 2010 Hilt Velocity Hurricane Zone Uniform Permit Application Form Section E Mle Calculations) For Moment based tile systems,choose either Method 1 or 2.Compared the values for Mr with the values from M r 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 moble. Method 1 "Moment Based Tile Calculations Per RAS 127" ►�2 (Pi. °r , z Z�b • L —Mg: ° -7 5 _r4i 3 i U NOA 11h �w (Pa d-�—� z;L Mg:1. NOA A*t� Method 2"Simplified Tile Calculation Per Table Below" Required Moment of Resistance(M,.)From Table Below NOA N* Mr Required Moment Resistance* Mom Roof Roof Slope IV Yo' 21P 30' 4W 38.2 3:12 34A 36.0 37A 4:12— 30A 32.2 US 373 5:12 ZOA au. 31A 32A 34A &12 211.0 30A *Must be seed is coujunetion with a list of moment based the systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based elle systems use Method 3. Compared the values for F`with the values for Fr H the F values are greater than or NOW to the Fr values,for each am-of the root,than the the attachment method is acceptable. Method 3"Uplift Based Tile Calculations Per RAS 127' w:__)—W: z cos o: = Fn: NOA F (P,:—Il:---x w:___J—W: z cos 9: = Fre: NOA F' Fry NOA F Where to Obtain Information Descripdon S bol Where to find Desip Pie Pl or P2 a P3 RAS 127T"1 or by sn eog6eermg awiysis prepared by NbwedonAS(� Man Roof NW H Joh Site Roof Slope Job Site NOA Mamenf NOA Aftachmat Re Mr NOA ReWhod—Mosnmt Red tam K Cak�>aeed Attwboxet F NOA Fr LatC4labDd A Tile W NOA Mle Dimensions 1=laogth NOA w-width All Wcukti a must be submitted to the Buildim 6W2atthe time of 12301-48 1/13 PAGE 5 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES 0 ES—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. AdMawsr ng items should be addressed as part of the agreement between the owner ant the coinitial in the designated space indicates that the item has been explained. 1. etics•Workmanship:the workmanship provisions of Section R4402 are for the purpose of oof system meets the wind resistance and water instruction performance standards. ance)are not a consideration with respect to workmanship provisions.Aesthetic issues hitectural appearance,that are not part of a zoning code,should be addressed as part of the tween the owner and the contractor. 2.f f ailing wood decks:When replacing roofing,the existing wood roof deck may have to be t in Oaf=with the current provisions of Section R4403.(The roof deck is usually concealed prior o existing roof system). 3: mmon roofs:Common roofs are those which have no visible delineation between neighboring I houses,condominiums,etc.)In buildings with common roofs,the roofing contractor and/or notify the occupants of adjacent units of roofing to be performed. 4. ed Ceiling:Exposed,open beam ceilings are where the underside of the roof decking can ow.The owner may wish to maintain the architectural appearance;therefore, roofing nail o underside of the decking may not be acceptable.This provides the option of maintaining the a 5. ., Ponding water:The current roof system and/or deck of the building may not drain well and may tond(accumulate)in low-lying areas of the roof.Pounding can be an indication of structural ss an y require the review of a professional structural engineer.Pounding may shorten the life ex n d performance of the new roofing system. Pounding conditions may not be evident until the o 'moi a ng system is removed. Pounding conditions should be corrected. 6. ' rtlow scuppers(wall outlets): It is required that rainwater flows off so that the roof is not fro a buildup of water.Perime=ter/edge wall or other roof extension may block this discharge if ri(o rs(wall outlets)are not provided. It may be necessary to install overflow scuppers in with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to ventlrat I airflow through the rior of the structure the building itself).The existing amount o,�i" ' entilation shall not be uced:-ft may eneficial to c nsider additional venting which cq1ii extending the service life of the Gw r/Ag Sig ure Date Contractor a e Revised on 7/9/2009 LD M AM �,, 11MIAMI-DADE COUNTY ;a PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 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) www.miamidade.eov/eeonomv Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 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: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA#11-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0713.02 MIAMI•DADE COUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Category: Underlayment Material: SBS ,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous, rubberized asphalt underlayment 65'8"x 3'3 3/8" waterproofing membrane,glass fiber reinforced Manufacturing Location 60 mils thick with polyolefinic film on the upper surface for #2 use as an underlayment for metal roofing,roof tile, slate tiles and shingle underlayment. Polystick IR-Xe Roll: TAS 103 and A fine granular/sand top surface self-adhering, underlayment 65' x 3'33/$" ASTM D 1970 APP polymer modified, fiberglass reinforced, Manufacturing Location Or 65' x 3' bituminous sheet material for use as an #1 & #2 60 mils thick underlayment in sloped roof assemblies. Designed as an ice&rain shield and as a flat roof tile underlayment. Polystick TU Roll: TAS 103 and A heavy granuled surface self adhering,APP underlayment 32'10"x 3'33/8" ASTM D 1970 polymer modified, fiberglass or polyester Manufacturing Location 100 mils thick reinforced,bituminous sheet material for use as #1  an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. Polystick TU Plus Roll: TAS 103 and A rubberized asphalt self-adhering,glass- underlayment 65' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing (Surface Printing) 80 mils thick membrane. Designed as a metal roofing and roof Manufacturing Location tile underlayment. #1  Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing membrane, underlayment 32'10"x 3'33/8" ASTM D 1970 glass-fiber/polyester reinforced, with a granular Manufacturing Location 130 mils thick surface designed for use as a tile roof #2 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Manufacturing Location 6 P x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 12-0713.02 MAMMAoeCOUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and A rubberized asphalt self-adhering,polyester Manufacturing Location 65'8"x3'3-3/8" ASTM D 1970 reinforced waterproofing membrane. Designed #2 60 mils thick as a a roof tile underlayment. MANUFACTURING PLANTS: 1.Hazelton, PA 2.Winter Haven, FL EVIDENCE SUBMITTED: Test AgencV Test Identifier Test Name/Report Date Exterior Research&Design, LLC 11756.04.01-1 TAS 103 04/27/01 11756.08.01-1 ASTM D 1970 08/14/01 02202.08.05 TAS 103 08/29/05 Trinity I ERD P5110.08.07 TAS 103 08/29/07 P10870.09.08-R1 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798&G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.11 TAS 103/ASTM D4798 &G155 09/01/11 P37300.10.11 TAS 110/ASTM D4798 &D1970 10/19/11 P40390. 08.12-1 TAS 103 &TAS 110 08/06/12 P40390.08.12-2 ASTM D 1623 08/07/12 P40390.10.12 ASTM D 1970 10/03/12 PRI Asphalt Technologies PRI01 I I I ASTM D 4977 04/08/02 PUSA-005-02-01 ASTM D 4977 01/31/02 PUSA-018-02-01 ASTM D 2523 07/14/03 PUSA-035-02-01 TAS 103 09/29/06 PUSA-033-02-01 ASTM D 1970 01/12/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-083-02-01 TAS 103 06/30/08 PUSA-089-02-01 TAS 103/ASTM D4798 &G155 07/06/09 Momentum Technologies, Inc. JX20H7A TAS 103/ASTM D4798&G155 04/01/08 RX14E8A TAS 103/ASTM D4798&G155 11/09/09 DX23D813 TAS 103/ASTM D4798&G155 02/18/10 DX23D8A TAS 103/ASTM D4798 &G155 02/18/10 -� NOA No.: 12-0713.02 MIAMI•DADe COUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood,non-insulated Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Membrane: Polystick membranes self-adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3-'/2"and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications,center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 12-0713.02 MwMi•wme couN7Y Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS,TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof tile systems and quarry slate roof assemblies. Polystick IR-Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. Polystick TU Max may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations(days) MTS IR-Xe TU TU Plus TU P Tile Pro Dual Pro TU Max Winter Haven,FL. 180 180 180 180 180 180 180 90 Hazelton,PA. N/A 30 30 180 N/A N/A N/A N/A 7. 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. 8. In roof tile application,data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance.Polystick TU,TU Plus, Tile Pro and TU Max may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR-Xe, and Dual Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR-Xe Polystick TU,TU Polystick TU Plus,TU P,Tile Max Pro Flat Tile Prohibited without 5:12 No limitation No limitation battens Profiled Tile Prohibited without Prohibited No limitation No limitation battens The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. NOA No.: 12-0713.02 C-nADECMLAMI�OUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. Roofing Tiles (6 Max Per Stack) 12 sf 6 r N N r imcf heck prepared with POLWnCKTU PIS 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS,IR-Xe, TU,TU Plus,TU P, TU Max,Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR-Xe, TU, TU Plus,TU P, TU Max,Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR-Xe, TU, TU Plus,TU P,TU Max,Dual Pro and Tile Pro is not listed,a request may be made to the Authority Having Jurisdiction(AHJ)or the Miami-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. MIAWDADE COUNTY ,...6 1 BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1.This Notice of Acceptance. 2.Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 12-0713.02 MIAMI•DADE co Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 1 I gauge ring shank type, applied with a minimum 1"metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12"o.c. Polystick TU Plus should be back nailed in designated area marked"nail area, area para clavar"on the face of membrane,with the above stated nails and/or disks. The head lap membrane is to cover the area being back-nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams(selvage laps)must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6"wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations#9 and#10. 6. Battens and/or Counter-battens, as required by the tile manufacturers NOA's,must be used on all projects for pitch/slopes of 7"/12"or greater. It is suggested that on pitch/slopes in excess of 6 '/4"/12",precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation&before loading of roofing tiles is Forty-Eight(48)Hours. 8. Polystick membranes may not be used in any exposed application such as crickets,exposed valleys,or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement,Polyglass PG500 MB Flashing Cement to the area in need of repair,followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request.It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami-Dade Notice of Acceptance(NOA)approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. NOA No.: 12-0713.02 QMIANDMADE COUNTY ..I Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 7 of 8 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association(NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 12-0713.02 MuaMino 0=1 N7�r Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 M��1Ma 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) www.miaini(lade.gov/t)era 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 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: 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 renews and revises NOA# 11-0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0228.18 Expiration Date: 05/10/17 Mlarti•ou►nE COUNTY Approval Date:05/10/12 Page 1 of 7 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 Description Specifications 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 1.6 lbs./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./Ft2 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% NOA No.: 12-0228.18 - Expiration Date:05/10/17 MIAMI•DAD,COUNTY Approval Date: 05/10/12 �uljmPage 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE 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[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 Celotex Corp.Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 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. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat, low, &high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F W 2 F'= MS NOA No.: 12-0228.18 Expiration Date: 05/10/17 Mi vHi•ao oe cOUNTYM Approval Date:05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 may be 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 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient attachment resistance,expressed as an uplift based system,to meet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof 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). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam Dispenser 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 2 to 3 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH-160 has been dispensed. 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall be in accordance with the'Placement Details'herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Two Paddy Weight per Min.(grams) paddy Min. (grams) Flat,Low, High Profiles #1 35 N/A High Profile(2 Piece Barrel) #1 17/side on cap and 34/ an N/A Flat,Low, High Profiles #2 24 N/A Flat,Low,High Profiles 1 #3 8 NOA No.: 12-0228.18 Expiration Date: 05/10/17 MIAMI•DADE COUNTY Approval Date:05/10/12 Page 4 of 7 LABELING: All 3MTM 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. ADHESIVE PLACEMENT DETAIL I SINGLE PATTY Nail through plastic cement Paddy(Beneath Tile) Nail through plastic cement Paddy(Beneath Tile) Undedayment Undedayment 10 in. 10 in. 21n Eave Course . Fascia EaveCourse Fascia Weephcie Eave course only: Eave course only: Eave closure Eave Closure Keep adhesive approx. Keep adhesive approx. Drip edge 4In.up from weepholes 4In.up from weepholes Nail through plastic cement Paddy(Beneath rile) 1)Place enough adhesive to achieve 17 to 23 Optional 2x4's for Underlayment _-_ square Inches in contact with the pan the steep pitch applications Nail through plastic cement 2)Turn covers upside down.Place adhesive 112 in. To 1 in.From outside edge of cover die. Then install the Ole. o Undedayment 10 In. - I o 21n. ---- j Eave Course Eave Closure - Remov Eave course only: top portion == Sheathing Keep adhesive approx.4 in.up Fascia of the save from weepholes course cover Ole. Abut to second course of Optional pan tiles.Ensure save end of Point-up Mortar pan and covertiles are flush at save line. on longitudinal edges of Ole Eave closure Weephole Fascia Bo (mortar shown) NOA No.: 12-0228.18 MIAMI•DADE COUNTY Expiration Date: 05/10/17 ...e , Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY I Nail through plastic cement Paddy(Beneath Tile) Nail through plastic cement Paddy(Beneath Tile) Undedayment Undedayment 7In. i 2 in. 7 In%', -" i Eave Course ° Fascia Fascia % Weephole Eave Course Eave closure Eave Closure Drip edge Nail through plastic cement Paddy(Beneath Tile) Undedayment _ - 7In. in Eave Closure Eave Course Fascia NOA No.: 12-0228.18 Expiration Date:05/10/17 rtlartl•IAwE COUNTY Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy Nail through plastic cement Single paddy under tile (between tile)• Undeflayment Single paddy between the Paddy 2 In.x 7 in.medium • (under tile) size paddy eave course only Q-J Single paddy --- n.x 3 in. In under file x3in. 4'in. 2 in. 4 Single paddy on 2 in in. Single under- paddy on layment under- layment Single paddy Fascia Eave course on top of tile Weephole Eav Single paddy in.X 7 in.medium Course Eave closure on top of tile size paddy eave % Drip edge Fascia course only Nail through plastic cement Single paddy under tile Single paddy between tile Jr 3 in.x 3 in. 4 In. Single paddy on underlayment 2 rn. Single paddy Eave Closure on top of the 2 in.x 7 in.medium size paddy eave course only Eave Course Fascia END OF THIS ACCEPTANCE NOA No.: 12-0228.18 MLAMI-DADE COUNTY Expiration Date: 05/10/17 Approval Date:05/10/12 Page 7 of 7 MIAMINI�IgDE ® MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile,Inc. 1289 NE 9th Ave Okeechobee,FL.34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)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 Division (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. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION:Plantation 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 revises NOA No. 10-0804.15 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 10-1202.01 Expiration Date: 12/08/15 lAMaDi14DE COUNTY APPROVED Approval Date: 12/30/10 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1.SCOPE: This renews a roofing system using Entegra "Plantation" concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2.PRODUCT DESCRIPTION: Manufactured by Test Product Aoulicant Dimensions Sagcifications Description Plantation Tile Length: 16'/2" Flat concrete roof the for direct deck or Width: 13" TAS 112 batten nail-on. Trim Pieces Length:varies Accessory trim,concrete roof pieces for Width: varies TAS 112 use at hips,rakes ridges and valley Thickness:varies terminations 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'.Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4.INSTALLATION: 4.1 Entegra Roof Tile,Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119,& 120 4.2 Data For Attachment Calculations NOA No.: 10-1202.01 Expiration Date: 12/08/15 MiartEtx4�e couNTr Approval Date: 12/30/10 Page 2 of 5 Table 1: Average Weight(W)and Dimensions(I x w) Tile Profile Weight-W(Ibf) Length-I(ft) Width-w(ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multi liens -). ft3 Tile A,(ft3) x(ft3) Profile Batten Application Dire t Deck Applkcation Plantation Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity-M (ft-lbf) Tile 231: 12" 3": 1? 4": 12" 501 : 12" 611: 12" Greater than Profile 7": 12" Battens Direct Battens Direct I Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Deck Plantation 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Tile Table 4: Attachment Resistance Expressed as a Moment-Mr(ft-lbf) For Nail-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (Min 15132" (Min. 19132" plywood) plywood) Plantation Tile 2-10d Ring Shank Nails 30.9 38.1 17.2 1-10d Smooth or Screw 7.3 9.8 4.9 Shank Nail 2-10d Smooth or Screw 14.0 18.8 7.4 Shank Nails 1 #8 Screw 30.8 30.8 18.2 2#8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Clip) 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip) 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) 2-10d Ring Shank 50.3 65.5 48.3 Nails' I Installation with a 4"tile headlap and fasteners are located a minimum of 2'/i'from the head of tile. NOA No.: 10-1202.01 Expiration Date: 12/08/15 MIAM4�AbE COUNTY .. , Approval Date: 12/30/10 Page 3 of 5 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) For Two Pa Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weights per patty 13.9 grams. Pollyfoam Product Inc.Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-ibf) For Sin le Patty Adhesive Set System Tile Profile Tile Application Minimum Attachment Resistance Pol ProTM 118.9 Plantation Tile Pol ProTM 40.4 4 Large paddy placement of 45 grams of Pof ProT"'. 5 Medium paddy placement of 24 grams of Pol ProTM. Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Seespecific mortar manufacturer's Notice of Acceptance. 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami-Dade County Product Control Approved". 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following markings: USA "E" USA,"E",Entegra"E",where the E is a stylized logo. 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. 7. MANUFACTURING LOCATIONS 7.1 Okeechobee,FL NOA No.: 10-1202.01 MIAMFI?AI)E COON Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 4 of 5 PROFILE DRAWING PLANTATION FLAT CONCRETE TILE 161�2,� END OF THIS ACCEPTANCE NOA No.: 10-1202.01 MAMMA E NTM Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 5 of 5 % Miami Shores Village miss -m"' Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: I l fn + 1 10050 NE 2^d Ave Miami Shores, F!33 Re: Owner's Name: t\ Property Address: 1,_1 I A LA,-4 Roofing Permit Number: DeBuilding Official: I 0 (4 t,' certify that I am not required to retrofit the roof to wall connections of my building because: )(The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. ❑The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 19P4.editlon of the outh Florida Building Code (1994 SFBC) i t_x ,V-N'kJ ign Print Name State of Florida County of Dade The undersigned, being the first duly sworn,deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this ( _day of Ms galy Fonseca r, q"=,C0MW,,1SSi0N#EE 192081 Notary Public, Sate of Florida at Large f - a e;cF1R�s:APR.2 2016 _. 4�f,OF tjeP,Vk7VW. R-0NNGfAR.COm When the just valuation of the structure for purpose of ad valorem taxation Is equal to or more than$300,000.00,and the building was rat constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.