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RF-15-979 Permit NO,,,,, F-4.15 919 yf `suonFs y�� Miami Shores Village PE'tlnit rype.Roof 10050 N.E.2nd Avenue NE workQ ificatifl+7."Cite c+ r Miami Shores, FL 33138-0000 P@l7'tlff :APPROVED,,,,, °�FNd Phone: (305)795-2204 Expate.Issue€1ste:5f1912015 p Project Address Parcel Number Applicant 10540 NE 2 Place 1122310130540 SRP TRS SUB LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell _ �_. .� ��.v. .. >.�.�.. .��...., SRP TRS SUB LLC FL (954)671-1400 Contractor(s) Phone Cell Phone Val uation: $ 15,400.00 LANCE CONSTRUCTION, INC. (561)626-2603 (561)236-4470 _ Total Sq Feet: 2800 Type of Work:Re Roof Available Inspections: Additional Info:RE-ROOF TILE TO TILE Inspection Type.- Classification: ype:Classification: Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# RF-4-15-55316 CCF $9.60 DBPR Fee $4.50 04/23/2015 Check#:7081 $50.00 $793.60 DCA Fee $4.50 05/19/2015 Check#:26601 $793.60 $0.00 Education Surcharge $3.20 Bond#:2718 Permit Fee-New Roof $300.00 Scanning Fee $9.00 Technology Fee $12.80 Total: $843.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above-named contra c of work stated. May 19, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 19, 2015 1 eOREs Miami Shores Village SNC.1932 mail � Building Department 10050 N.E.2nd Avenue �-.. .� Miami Shores, Florida 33138 ORIDp` Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# f�/`� �"�� /�9 DATE: INSPECTION AFFIDAVIT I 2 f".- �e S �'L, Flo k e— licensed as �nact /Engineer/Architect, (Print name and cirde License Type) FS 468 Building Inspector License#: G45�C,4 D ZT 3- On or about I did personally inspect the roof deck nailing and (Date&time) Secondary water barrier work at �s�D Ao:/ Z / ice i �r�s lla ma F1 313 (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on 553.844 F.S) i Sigr#ure State of Florida County of Sade:A14 �&Rck The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this 3A day of /77,q0/5 Notary Public, Sate of Florida at Large+ COLLETTA J.STANLEY V"— Notary Public,State of Florida Commission#r FF 180943 My comm.expires Dec.5,2018 *General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with permit#and address#dearly shown marked on the deck for each inspection Revised on 5/21/2009 NMiami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 APR 2 3 2015 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ----- - -' FBC 20 ILD BUILDING Master Permit No. --� �- PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION []RENEWAL PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS �/ JOB ADDRESS: /' �J �o /' City: Miami Shores County: Miami Dade Folio/Parcel#:f/— 2 2 3/-- O Is the Building Historically Designated:Yes NO Occupancy Type:Load: Construction Type: Flood Zone: BFEE:'/ 4'71 FFE: OWNER:Name(Fee Simple Titleholder):�R/ ; �es G l(C Phone#: /D t `/Yo-s- Address: 'Z)Dd �Y�reSJ 64- City: -City: �r ���i c`�l�,/ 'le State: I-IC-1 Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Zan C'2- Lori s frvc Phone#:S-G(--z36- yt -tb Address:_'��r;L Ae..'A4 y;4 City: e1 State: / Zip: ��O Qualifier Name: e S M j Al /t' k` _ Phone#J1t `U L 42 9 State Certification or Registration#:��� l 6 7,13 -7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$�, Square/LinearFFootage of Work: 2 0X90 ScI I Type of Work: F-1Addition ❑ Alteration ❑ New 09otRepair/Replace ❑ Demolition Description of Work: /[ P // 4e Specify color of color thru We.- Submittal ile:Submittal Fee$5L31 G.J0 Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Train!ng/Education Fee$ Double Fee$ Structural Reviews$ Bond$ w TOTAL FEE NOW DUE$ �00' (Revised02/24/2014) —4q 60 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 approve a d a reinspection fee will be charged. Signature Signature OW ER or AGENT CF CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this aLl day of 44 20 1 S by �ry l day of 1r1 20 by o (l m who is ally known �t.! V who is personally known to me or who has produced as me or who has produced �t"1�1,)V as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: QQ Print: "DINE STERFIELD Print:lua "Mie of HUI— Seal: = E<{fires Nov 7,2017 MARIA JOSE RITZEL Seal Notary Public,State of Florida s + FF 55051 Commission#FF 27401 My comm.expires June 13,2017 *******►**************s*s****r***• �*a •**s•*r*s******************�********s*****•s*******s***s**s********** APPROVED BY IJ' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SNoREs y ... „,..� Miami shores Village Building Department OIRIDp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. ✓ COPY OF QUALIFIER'S STATE LICENCES B. _�7_COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. y" COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. ......................................................................................... BUSINESS NAME: La-Z c -e Co'Nr7`✓CIICh, li e . BUSINESS ADDRESS:32 2'erm'-L ;ej CITy--I:'9'-13,Ci . STATE FZIP 3 / c:> BUSINESS PHONE: ) Z 3 6- � rf7 O FAX NUMBER( ) CELL PHONE ) 23(o - 'f � O QUALIFIER'S NAME: C� H.. �S /N. f wz QUALIFIER'S LIC NUMBER: KEN LAWSON, SECRETARY RICK SCOTT, GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGCA02737 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 ftL�FLUKE, JAMES MLANCE CONSTRUCTION, INC. 3248 BERMUDA ROAD PALM BEACH GARDENS FL 33410 ISSUED: 06/18/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1406180001244 Rusines* °i Chadie Crist,Governor Professional Regulation a.,.. Holly Benson.Secretary Division of Pmtessions Phone: 850.487.1395 Construction Industry Licensing Board Fax- 850.921.4216 1940 North Monroe Street nv_hFl ;i oin'c`fir Ta!lahassee,Florida 32399-1039 www, Florio4icr:nsexom February 23, 2007 James M. Fluke Lance Concrete, Inc. 3248 Bermuda Road Palm Beach Gardens, FL 33410 Dear Mr. Fluke, Thank you for your correspondence of February,2, 2007, regarding your initial licensure date and the "pre-1973" roofing exemption. G.W. Harrell, the Board's Executive Director, has asked that I respond to your request. E Pursuant to Section 489.113(3)(8);Florida Statutes, '`no general,building, or residential contractor certified after 1973 shall act as :hold himself/herself out to be, or advertise himself or + herself to be a roofing contractor unless he or she is certified or registered as a roofing contractor." However, any Division I contractor who was licensed by the Florida Construction Industry Licensing Board prior to 1974 may perform all manners of roofing and repair, as referenced in Section 489.105(3)(e), Florida Statutes.. Your original license, number CG C002737, was issued on October 17, 1973. This license is now null and void.-&-you remain licensed under license number CG CA02737 today,the Board still considers your licensure date to be October 17, 1973. As such,you may perform roditng work under your current license. If you should have any ad}itionai questions regarding this matter, please feel free to contact me at 850.922.2887. Sincerely, J4 Andy Janecek Government Analyst I Construction Industry Licensing Board Licensure & Education Report Unlicensed Activity Toll-Free at 1.866.532.1440. ANNE M. G A N N O N P,O.Box 3353,West Palm Beach,FL 33402-3353 "LOCATED AT"" CONSTITUTIONAL TAX COLLECTOR www.pbctax.com Tel:(561)355-2264 3248 BERMUDA ROAD Serving Palnr Beach County PALM BEACH GARDENS, FL 33410 Serving you. TYPE OF BUSINESS OWNER CERTIFICATION# RECEIPT#/DATE PAID AMT PAID BILL 23-0102 CW GENERAL CONTRACTOR FLUKE JAMES M CGCA02737 U14.670183-08108114 $369.60 640104397 This document is valid only when receipted by the Tax Collector's Office. STATE OF FLORIDA PALM BEACH COUNTY 2014/2015 LOCAL BUSINESS TAX RECEIPT LANCE CONSTRUCTION INC LBTR Number: 200005929 LANCE CONSTRUCTION INC EXPIRES: SEPTEMBER 30, 2015 3248 BERMUDA RD PALM BEACH GARDENS, FL 33410-2423 This receipt grants the privilege of engaging in or managing any business profession or occupation within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. ANNE M. G A N N O N P.O.Box 3353,West Palm Beach,FL 33402-3353 —LOCATED AT"" J CONSTITUTIONAL TAX COLLECTOR •WWW-pbctax.com Tel:(561)355-2264 3248 BERMUDA ROAD Serving Palm Beach Comity Serving you. PALM BEACH GARDENS, FL 33410 TYPE OF BUSINESS OWNER I CERTIFICATION# 1 RECEIPT#/DATE PAID AMT PAID I BILL# 23-0051 GENERAL CONTRACTOR FLUKE JAMES M I CGCA02737 I U114.670183-08108114 $27.50 1 840104398 This document is valid only when receipted by the Tax Collector's Office. STATE OF FLORIDA PALM BEACH COUNTY 2014/2015 LOCAL BUSINESS TAX RECEIPT LANCE CONSTRUCTION INC LBTR Number: 2Q0005928 LANCE CONSTRUCTION INC EXPIRES: SEPTEMBER 30, 2015 3248 BERMUDA RD PALM BEACH GARDENS, FL 33410-2423 This receipt grants the privilege of engaging in or managing any business profession or occupation within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. A C" DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/09/2015 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(ies)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 KIMBERLY M ADAMS NAME: Pyramid Insurance,Inc. PHONE (561)842 8868 No; (561)842-8161 700 Old Dixie Hwy Suite 104 E-MAILESSO kimbedy@mypyramidinsurance.com Lake Park,FL 33403 INSURERS AFFORDING COVERAGE NAIC# Phone (561)842-8868 Fax (561)842-8161 INSURER A: ARCH SPECIALTY INSURANCE COMPANY INSURED INSURER B Lance Construction,Inc. INSURER C 3248 Bermuda Road INSURER D INSURER E: Palm Beach Gardens FL 33410 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD UBR POLICY EFF POLICY EXP LIMITS LTR INR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000.00 PREMISES Ea occurrence $ ❑ ❑ CLAIMS-MADE 7-/ OCCUR MED EXP(Any one person $ 5,000.00 A ❑ AGL0011063-01 03/27/2015 03/27/2016 PERSONAL BADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 ❑ POLICY ElPRO- ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ❑ AUTOS ❑ AUTOS NON-OWNED PROPERTY DAMAGE $ F-] HIREDAUTOS ❑ AUTOS Pereccident ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑PER T ❑ORH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXE CUTIV E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CGCA02737 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ATTN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES,FL 33138 { r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01)QF The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACOPREP CERTIFICATE OF LIABILITY INSURANCE ofi/zs/2o1a 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 NAME: PHONE FAX Automatic Data Processing Insurance Agency,Inc. A/C' .. Ext): A/C,No): E-MAIL 1 Adp Boulevard ADDRESS: Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A: NorGUARD Insurance Company 31470 INSURED INSURER B: LANCE CONSTRUCTION INC INSURER C: 3248 Bermuda Road Palm Beach Gardens,FL 33410 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 260633 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MM/DDNYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RFNTFD— CLAIMS-MADE E OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRC- [7 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SING E Ea accident) LI $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peracddent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONX - AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBER EXCLUC a N/A N LAWC640743 06/21/2014 06/21/2015 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 500��� DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) license#CGCA02737 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Dept. 10050 N.E.2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores Village,FL 33138 A©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Payments& Transfers#makepayments Page 2 of 2 https:/%online.bbt.com/olbsys/bbtolbweb/main/paymentsntransfers/home?random=43336 4/22/2015 INSTR # 112912902 Page 1 of 2, Recorded 04/08/2015 at 10:22 AM Broward 'County Commission, Deputy Clerk ERECORD SRP TRS SUB,LLC CERTIFICATE AS TO ADOPTION OF COMPANY RESOLUTION November 11,2014 The undersigned, being a duly authorized officer of SRP TRS Sub, LLC, a Delaware limited liability company (the "Company"_), does hereby certify that the following resolutions have been duly adopted by the Company, in accordance with the provisions of the Company's Certificate of Formation and Limited Liability Company Agreement: RESOLVED, that each of the persons set forth on Exhibit A attached hereto shall be designated as Authorized Agent for the Company;and FURTHER RESOLVED, that each Authorized Agent, individually, be, and hereby is, authorized and empowered, on behalf of the Company, to execute and deliver contracts, deeds, closing statements, and other documents necessary, including but not limited to Affidavits of Title and Franchise Tax Indemnity Agreements, to settle and close on the purchase,sale or lease of real estate(such documents, the"Real Estate Documents") on behalf of the Company, and to take such further action as may be necessary to accomplish such settlement or closing(any such Authorized Agent's approval of the form, consent or necessity of any such Real Estate Document to be conclusively evidenced by such Authorized Agent's execution and delivery thereof for and on behalf and in the name of the Company). I hereby certify that the foregoing resolutions have been duly adopted and remain in full force and effect on the date hereof. IN WITNESS WFIEREOF,the undersigned,intending to be legally bound hereby,have duly executed this certificate as of the date first set forth above. By: ��. Ta B wne Secretary INSTR # 112912902 Page 2 of 2, End of Document EXHIBIT A AUTHORIZED AGENT • Larry Baum • Stephen Petrucci • Liz Cundall Detail by Entity Name Page 1 of 2 FLORIDADEPARTMENTOF Detail by Entity Name Foreign Limited Liability Company SRP TRS SUB, LLC Filing Information Document Number M12000004126 FEI/EIN Number N/A Date Filed 07/20/2012 State DE Status ACTIVE Principal Address 1999 Harrison St Oakland, CA 94612 Changed: 03/17/2014 Mailing Address 1999 Harrison St Oakland, CA 94612 Changed: 03/17/2014 Registered Agent Name &Address Corporation Service Company 1201 Hays St Tallahassee, FL 32301 Name Changed: 03/17/2014 Address Changed: 01/21/2015 Authorized Person(s) Detail Name&Address Title Member SRP TRS Sub Inc. 1999 Harrison St Oakland, CA 94612 Title President Beasley, Gary http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/9/2015 Detail by Entity Name Page 2 of 2 1999 Harrison St Oakland, CA 94612 Title Vice President/Treasurer Tran, Nina 1999 Harrison St Oakland, CA 94612 Title Vice President/Secretary Browne, Tamra 1999 Harrison St Oakland, CA 94612 Annual Reports Report Year Filed Date 2013 07/09/2013 2014 03/17/2014 2015 01/21/2015 Document Images 01/21/2015 --ANNUAL REPORT View image in PDF format 03/17/2014--ANNUAL REPORT View image in PDF format 07/09/2013--ANNUAL REPORT View image in PDF format 07/20/2012 -- Foreign Limited View image in PDF format Coovrioht©and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/9/2015 Florida Building Code Edition 2 14 O r x High Velocity Hurricane Zone Uniform Permit p is eye, * V Y *1 Section A General Infor a ' n" t� r h 'CTT ��r1`•. �y O 'Allaster Permit No. Process'`No ` °'74 Contractors Name 4 K a Job Address ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile grMortar/Adhesive Se) Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Sha'kes Shingles APR 2 32Q15 ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ New Roof eReroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 2$oc� Zoo 0 SECTION B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, oveillaw ....:. scuppers and overflow drains. Include dimensions of sections and Ferefs, clearly :9000: identify dimensions of elevated pressure zones and location of par4es!s. :. .. .'. .' .... .... t Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: cc 4ol-totg Product Approval Number: Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations): P1: .-3 7. / P2: —w/6./ P3: —/00.#7 Maximum Design Pressure �/ Product Approval Specific System: Method of Tile Attachment: S owl /Cvarn ,O....1'7,A ,dc4&-cw e 4,14-16 Steep Sloped System Description Deck Type: GU�o aL Roof Slope: Type Underlayment: : 12 Insulation: • ox • ...... .... ...... Fire Barrier: •••••• Pox .... . .. ..... ...... . . ..... Fastener Type& Spacing: .. .. .. .. ...... Ridge Ventilation? ox • Adhesive Type: Type Cap Sheet: p � Roof Covering: Mean Roof Height: �Z Type&Size Drips Edge: � L Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based the systems,choose either Method 1 or 2.Compare the values for M,with the values from M,. If the Mrvalues are greater than or equal to the Mr values,for each area of the roof,then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P,: x X _ -Mg: =Mr, Product Approval Mf (P2: x A = -Mg: =M, Product Approval M, (P,: x A = -Mg: =Mr, Product Approval M, Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance(Mr)From Table Below 32.2 Product Approval M, 1/01 M Required Moment Resistance* Mean Roof Height--op- Roof -►Roof Slope 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 1 27.1 28.2 1 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the •..• Broward County Board of Rules and Appeals. • For Uplift based tile systems use Method 3.Compare the values for F'with tag jvPJyes fold•:.•• • Fr. If the F'values are greater than or equal to the Fr values,for each area of fagxpof, then. • the tile attachment method is acceptable. .... • ...... .... . .. ..... Method 3"Uplift Based Tile Calculations Per RAS 127" ...... ..:..• . . (P,: x 1: = x w:= )-W: x cos 0: - =Fr, Product Appro P .. .. ...... (PZ: x 1: = x w:=)-W: x cos 0: - =Fn Product Ape"14 F' (P,: x 1: = x w:=)-W: x cos 0: - =F„ Product Approval F • •••••• Where to Obtain Information • • Description Symbol Where to find • Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site C Roof Slope 0 Job Site \ Aerodynamic Multiplier x Product Approval Restoring Moment due to Gravity Ma Product Approval Attachment Resistance M, Product Approval Required Moment Resistance M, Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance F, Calculated Average Tile Weight W Product Approval Tile Dimensions I=length Product Approval w=width All calculations must be submitted to the Building Official at the time of permit application. ROOFING APPLICATION STANDARD(RAS) No.127 PROCEDURE FOR DETERMINING THE MOMENT OF RESISTANCE AND MINIMUM CHARACTERISTIC RESISTANCE LOAD TO INSTALL A TILE SYSTEM ON A BUILDING OF A SPECIFIED ROOF SLOPE AND HEIGHT 1. Scope 2.6 Compare the values for M„with the val- ues for Mf,noted in thoProduct Approval. If the Mf values are greater than or equal to This standard covers the procedure for deter- the K values, for each area of the roof mining the Moment of Resistance (M,) and (i.e., field P.,d(1), perimeter Pd(2) and Minimum Characteristic Resistance Load(F) comer Pad(3)areas], then the file attach- to install a tie system on buildings of a specified went method is acceptable. roof slope and height. Compliance with the re- 3. How to determine the Minimum Character- quirements and procedures herein specified, istle Resistance Load (F)(Uplift Based Sys- where the pressures(P.,d)have been detertnined tem) based on Table 1 or Table 2 of this standard,as applicable,do not require additional signed and sealed engineering design calculation.All other 3.1 Determine the minimum designrpressures calculations must be prepared, signed and for the field,perimeter and comerrareas sealed by a professional engineer or registered using the value and n in T,respectively] : architect.Table 1 is applicable to a wind speed using the values given in Table I or Table of 175 mph,risk category II buildings,and ex- 2,as.applicable,or those obtained by en- posure category C.Table 2 is applicable to a gineering analysis prepared, signed and wind speed of 175 mph,risk category ll build- sealed by a professional engineer or regis- % Ings,and exposure category D. tesed architect based on the criteria set • forth in ASCE 7. 2. How to determine the Moment Resistance 3.2 Determine the angle (0) of roof slope, (M)(Moment Based Systems) from Table 1 or Table 2,as applicable. w • 9999 9999•• 2.1 Determine the minimum design wind 3,3 Determine the length(1)!width (yP)-wd •• pressures for the field,perimeter and cor- average tile weigilt"Osof tile,per od- ••••:. ner area (P,.dl, P�d2 and P,,,3, respec- uct Approval. 9 6 6 0.0 • • • Lively)using the values given in Table 1 or 6••6 •• • :0606: Table 2,as applicable or those obtained • by engineering analysis prepared,signed 3.4 Determine the reWi,d0 Qplift resistance and sealed by a professional engineer or (Ft) . • 6 A ••Per followin g Qrm.,ula: 0 0 0 6 .• •. registered architect based on ASCE 7. • .. .... • 6 0 F,= I(P dXIXWT- 3ACOS0:01.:6 •666.6 2.2 Locate the aerodynamic multiplier(A)in 0 0 file Product Approval. 0 0 0 0 00* • 3.5 Compare the values for F,with the dugs for F noted in the Product Approval. If 2.3 Determine the restoring moment due to the F values are greater than or equal to gravity(Me)per Product Approval. the Fr values,for each area of roof[i.e., field Pd(l)perimeter(P,,,(2)and corner C P,.d(3) areas], then the tile attachment s 2.4 Determine the attachment resistance(Mf) method is acceptable. per Product Approval- 2.5 Determine the Moment of Resistance (Tule)per following formula: Mr—( andX�.)-Ma 2010 FLORIDA EMA DING CODE--'FEST PROTOCOLS HVHZ (RAS)127.1 (RAS)NO.W TABLE 1--RISK CAMORY S EXPOSURE CATMORY MINIMUM DE9KiN WIND UPLIFT PRESSURES IN PW FOR FIELD(P.44 PERIMEMR[p.w42)1 AND CORNER[P.i(8)]AREAS OF ROOFS FOR tXPOSURE C BUILDW69 WITH A ROOF MEAN HEIGHT AS SPECIFIEDe ■ BOOP >2:12to 56:12 >b:12toS12:i2 SLOPE Roof mean height P�(1) Pop) Pd(3)2PMa(1) P.,(3) r 520' -39.1 -68.1 -02.8 -50.0 >20'xos 2S' .9 - .3 -44.8 -52.3>25'to S 30' -42.4 -73.9 -16.4 -54.3. >30'to 5 35' -03.9 -76.6 -113.2 -48.1 -56.2 >35'110540' 45.1 -1163 -49.4 I CaWated In accwdum with ASCE. 2 Por}lip Roofs with elope S 5.5:12,F., )shall be fleeted ae P„d(2)- 3P„d-0.6Pml C TABLE 2--RFK cATEAORY II MCPOSURE QATEODRY AND CORNBR[P..43)1 AREAS OF ROOFS MINIMUM DESIGN WIND UPLIFT PRESSURES IN PSP FOR FIELD(P.d1u,PERIMETER(P..4* FOR EXPOSURE D SUILDINOB WITH A ROOF MEAN HWHT AS 8PWRE& ROOF >2:12 to s 6:12 >6:12 to s12:i2 SLOPE Pd(2)& i Road mean height Po a) P�(2) P�(3)z P'1a(1) P.d(3) -47.0 -81.9 -12].0 1.4 • �f0�1.• .•..•• 5?A' • >ZO'to s 25' -48.8 -85.0 -125.7 -53 4 • -61¢•• •• •..... >25'to S 30' -50.3 -87.7 -129.6 �6[�•• -64.4 . •••••• >30'toe.35' -51.5 -89.9 -132.7i•4'• •-0 .9• • • S >3S to s 40' -52.7 -91.9 -135.8 7 -67.� • • 1 Cakxdated in awxrft=with ASCE 7. •••••• • 2 ft Np Roofs with elope 5 5.5:12,P.(3)shall be treated u P A2). • • • • •••••• • • • 3P,d-0.6Pm, • • • i••••i (RAS)127.2 2MO FLORIDA SUN.DIWI CODE-TEST PROTOCOLS HVHZ + r L r MIAMI, 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) """.miamida`'e.eoN,/nera Eagle Roofing Products LLC 1575 East C.R.470 Sumterville,FL 33585 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County 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: Bel Air,Bel Air Double Eagle,Ponderosa,Ponderosa Double Eagle,GQe�,Eagle,.;.•� •..�;. Low Profile Concrete Tiles ...:.. • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,cAr'4state Jfolltrwing ••;••• 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 uteri 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 changeirn 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# 1]-0321.02 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. MarlFor►oe CourlTv NOA No.:12-0430.04 i Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE: This approves a new roofing system using "Low Profile Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2.PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Bel Air Concrete Tile L= 17" TAS 112 Flat profile concrete roof tile equipped with two W= 12 '/4" nail holes. For adhesive set,direct deck or Thickness='h" battened nail-on applications. Bel Air Double Eagle L= 17" TAS 112 Flat profile concrete roof tile equipp.e d with two Concrete Tile W= 12 '/4" nail holes. For adhesive sett directdKpt .••,•• Thickness='/2" battened nail-on applic4jMs; .... Ponderosa Concrete Tile L= 17" TAS 112 Flat profile concrete roof M&with slate finish • W= 12 '/4" equipped with two nail keksi For zjdljesNe set,• • Thickness='/2" direct deck or battened Clad-lon appltcatrdhs. ". ...... . . ..... . . ...... Ponderosa Double Eagle L= 17" TAS 112 Flat profile concrete roo..fMewith sQe finish /4 •• Concrete Tile W= 12 ' " equipped with two naiMl sy For adhesive set, •••,;. Thickness='/z" direct deck or battened nail pn applMtibhS. .. . ... Golden Eagle Concrete L= 17" TAS 112 Flat profile concrete roof tile brushedt 4A Tile W= 12 '/4" equipped with two nail holes. For adhesive set, Thickness='/2" direct deck or battened nail-on applications. Trim Pieces 1=varies TAS 112 Accessory trim,clay roof pieces for use at hips, w=varies rakes,ridges and valley terminations. varying thickness Manufactured for each tile profile. NOA No.:12-0430.04 rwartFoy4pE couNrr Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 2 of 10 i 2.1 EVIDENCE SUBMITTED: Test Azency Test Identifier Test Name/Report Date PRI Asphalt Technologies ERPF-001-02-01 TAS 112 Aug.2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix 11 TAS 108 (Nail-On) Redland Technologies P0402 Withdrawal Resistance Testing of screw vs. Sept. 1993 smooth shank nails Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108(Nail-On) Redland Technologies P09647-01 Wind Tunnel Testing Aug. 1994 TAS 108 (Mortar Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering,Inc. TAS 101 (Mortar Set) The Center for Applied 25-7094-(2, 5,& 8) Static Uplift Testing Oct. 1994 Engineering,Inc. TAS 102 .... The Center for Applied 25-7183-(5 thru 6) Static Uplift Testing °M.'1995 .... Engineering,Inc. TAS 102 °° 0000 ...... .... ...... The Center for Applied 25-7214-(1, 5 ,&8) Static Uplift Testing ...:.. Maroh, 1995 • • Engineering, Inc. TAS 102 •••• •• • ' .... . .. ..... The Center for Applied 25-7487-2 Static Uplift Testing ..... Qec. 1995 ..; Engineering,Inc. TAS 102 ...... The Center for Applied 25-7496-(1 &4) Static Uplift Testing Dec. 1995 °. . . . . ...... Engineering,Inc. TAS 102 :60606 The Center for Applied 25-7804-6 Static Uplift Testing °.•° Sept-1996 °°• Engineering,Inc. TAS 102 •• • Celotex Corporation Testing 520109-1 Static Uplift Testing Dec. 1998 Service 520111-4 TAS 101 Celotex Corporation Testing 520191-1 Static Uplift Testing March 1999 Service TAS 101 Walker Engineering,Inc. Calculations Aerodynamic Multiplier Sep. 2006 Walker Engineering, Inc. Calculations Restoring Moments Due to Gravity Sep.2006 NOA No.:12-0430.04 MAMMADE COUNTY Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 3 of 10 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set the applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle,Ponderosa, Golden Eagle,Ponderosa Double Eagle Flat Concrete Roof Tiles 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) 9000 Tile Profile Weight-W(lbf) Length-1 (ft) Wid h-w4 ) .... •• Bel Air, Bel Air Double Eagle, 11.4 1.42 1 Q •• . .... . ...... Ponderosa, Golden Eagle, •;•• Ponderosa Double Eagle Flat •••••• Tile ...• •..' ... ...... . . ..... Table 2: Aerodynamic Multipliers -A (ft ) •• •• •' •••• Tile Profile A(ft ) : •A 1w) • . .... Batten Application Direct Deek ApPAULWn •••; Bel Air, Bel Air Double Eagle, 0.301 ----0.278 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile NOA No.:12-0430.04 MAMMAD'COUNTY Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 4 of 10 Table 3: Restoring Moments due to Gravity-M9 (ft-Ibf) Tile 3":12" 4":12" 5":12" 6":12" Greater than Profile 711:12" Bel Air, Bel Air Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Double Eagle, Deck Deck Deck Deck Deck Ponderosa, 7.48 7.71 7.37 7.59 7.22 7.44 7.05 7.27 6.86 7.07 Golden Eagle, Ponderosa Double Eagle Flat Tile 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" plywood) (min. 19/32" plywood) Bel Air, Bel 2-10d Ring Shank Nails 30.9 38.1 17.2 Air Double 1-10d Smooth or Screw 7.3 9.8 4.9 Eagle, Shank Nail Ponderosa, 2-10d Smooth or Screw 14.0 18.8 7.4 Golden Shank Nails Eagle, 1 #8 Screw 30.8 30.8 8.2 Ponderosa 2#8 Screw 51.7 51.7 024. •••• Double 1-10d Smooth or Screw 24.3 24.3 •• :42 •• Eagle Flat Shank Nail Field Clip) •••9.. 6900 % 00 Tile 1-10d Smooth or Screw 19.0 19.0 000000 22.1 :0000 Shank Nail Eave Clip) •••••• •• • 0 2-10d Smooth or Screw 35.5 35.5 34. • $ 9 . 0000. 0000.. . Shank Nails Field Clip) • .' 0000.: 9900.. 2-10d Smooth or Screw 31.9 31.9 0.0 9 0 0 32.2 •• Shank Nails Eave Clip) 0 . . 000000 • . . 0 . 9 000.. 2-10d Rin Shank Nails 50.3 65.5 0' .048.J.9�9 0 0 0 1. Installation with a 4"tile headlap and fasterners are located a min. of 2'/"from head of tile. NOA No.:12-0430.04 MIAMFDADE COUNTY Expiration Date: 10/05/16 APPROVED Approval Date: 08/02/12 Page 5 of 10 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-Ibf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Bel Air, Bel Air Double Eagle, Adhesive 31.3 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 13.9 grams. 3M TM 2-Component Foam Roof Tile Adhesive AH-160 Average weight per patty 8 grams. able 6/, Attachment Resistance Expressed as a Moment-Mf(ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Bel Air el Air Double Eagle, 3M 2-Component Foam Roof Tile Adhesive AH-160 118 416Merosa, Golden Eagle, 3M 2-Component Foam Roof Tile Adhesive AH-160 0.4 Ponderosa Double Eagle Flat Tile 3 Large paddy placement of 45 grams of Pol ProTm. 4 Medium paddy placement of 24 grams of Pol Pro TM. 0000 0000 Table 7: Attachment Resistance Expressed as a Moment-Mf( ; •• for Mortar Set Systems ' 0000.. 0000 . 0000 Tile Tile "';—Machment •••• Profile Application •Wesista*V6. •• Bel Air, Bel Air Double Eagle, Ponderosa, Golden Mortar Set •••••• 43.9 • '•'• Eagle, Ponderosa Double Eagle Flat Tile •• •• " '• ' 5 Tile-Tite Roof Tile Mortar. :0*:*: •• 0000 0000.. . . .0000. .. 0 ... NOA No.:12-0430.04 MuMAD;cOUN rr Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 6 of 10 5. LABELING : All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami-Dade County Product Control Approved". EA11GLE, FLORIDA BEL AIR,BEL AIR DOUBLE EAGLE,PONDEROSA,GOLDEN EAGLE,PONDEROSA DOUBLE EAGLE CONCRETE ROOF TILE LABEL,SUMTERVILLE PLANT (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS: 000 6.1 Application for building permit shall be accompanied by copies of the following: .• 6.1.1 this Notice of Acceptance. • 6.1.2 Any other documents required by Building Official or Applicable building cod a in order tV jFVperly •••„• evaluate the installation of this system. • .... . .. ..... ...... . . ..... .. .. .. .. ...... . . . . ...... NOA No.:12-0430.04 MwwMEorwe couNrr Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 7 of 10 PROFILE DRAWING s • r 17" 1 2 11 t 3 BEL AIR 0000 • • 0004 0040.• • • . • • •• • 0000 ••44•• ••4444.4•• • 0400•• • • 000000 :0. 00 0000•• •00• • •0 0 0.09 4040•• • • 0000• •• 4• •• •• •4 0 .0.0 004•• • • 0000•• w • • • • • . • 0000•. • • • 0• • 17" 124 t BEL AIR DOUBLE EAGLE NOA No.:12-0430.04 MIAMMADE COUNTY= Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 8 of 10 1 L- l 1 « 174 12% 4k i PONDEROSA ..•... .•.. •..•.. • • 1 T .• • 12%„ PONDEROSA DOUBLE EAGLE NOA No.:12-0430.04 MIAMFDiADE COUNTY Expiration Date: 10/05/16 IAPPROVEDI Approval Date: 08/02/12 Page 9 of 10 17" 12 „ A GOLDEN EAGLE 0000 END OF THIS ACCEPTANCE • •••••• •••••• .. 0000 0000.. 0000 0000.. 0000.. 0000.. 0000 . 60 60 66. . 0000. .. 00 00 60 0000.. 600.66 6 . 6 .000... .0000. 0 . .6006. . . s .0 NOA No.:12-0430.04 MIAMMAD;COUNTY Expiration Date: 10/05/16 Approval Date: 08/02/12 Page 10 of 1.0 MlAMHWnI4DE MIAMI-DADE COUNTY WIN -1 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/economy 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, c4,.skate 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 Mert has been`tb 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 rev;jglt o;changg ill 14e :•••• materials, use, and/or manufacture of the product or process.Misuse of this NOA as an endorsement of al�69focfllct, 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. M r < I NOA No.: 12-0713.02 MIAMFDADE COUNTY Expiration Date: 09/13/16 AD Approval Date: 02/1.4/13 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 3'33/8" 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 3'33/8" 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 3'3-%" ASTM D 1970 polymer modified,fiberglass or polyester 100 mils thick reinforced bituminous sheet material,dor use as Manufacturing Location an underlayment in sloperoa assemblies.. •• • #1 &#2 Designed as a a roof tile.j;V jg4aymepl• • ]underlayYminolystick TU Plus Roll: TAS 103 and A rubberized asphalt selfadhering,glass-. ent 65' x 3'3318" ASTM D 1970 fiber/polyester reinforced!vwAerprootng•Surfac nting) 80 mils thick membrane.Designed as•&stet;l roofling gn j roof•• •• the underlayment. '• •' •• •••••• anufacturing Location • #1 &#2 ' . . . . ...... Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing mernbcene, :•• •: underlayment 32'l 0"x 3'33/8" ASTM D 1970 glass-fiber/polyester reinforced,with agranular 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—_3/8" 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 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. NOA No.: 12-0713.02 MWMFDADECOUNTY • 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"x 3'3-3/8" 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 Agency 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�ef/1 j P37300.10.11 TAS 110/ASTM D4798&D1979% 1071'9/'1 I P40390. 08.12-1 TAS 103 &TAS 110 08/04/12 ...... .... ...... P40390.08.12-2 ASTM D 1623 �;• 08/01/12 • P40390.10.12 ASTM D 1970 .•.• 1.0J0 3/J 2 ;••••; PRI Asphalt Technologies PRI01111 ASTM D 4977 `....` (l4/08/4 ..... PUSA-005-02-01 ASTM D 4977 •••••• O N31/0,2 ..:.. PUSA-018-02-01 ASTM D 2523 •••••• N44 44 •••• • PUSA-035-02-01 TAS 103 09/29/06 •• PUSA-033-02-01 ASTM D 1970 CW12,L6 PUSA-055-02-02 TAS 103 112/10/07 :....: PUSA-083-02-01 TAS 103 oeai%(}8 • PUSA-089-02-01 TAS 103/ASTM D4798 &G 15 5 07/06/09 Momentum Technologies,Inc. JX201-17A TAS 103/ASTM D4798&G 15 5 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 MIAMFQADE COUNTY Expiration Date: 09/13/16 D_ Approval Date: 02/14/13 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type l: 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 Iap 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. Thrks m tope.�-jajl be ... .' pressed in place and formed around the protrusion to ensure a tight fit. A second laye;pf j olystjCshall be applied over the underlayment. .90:00 9999.. 9999 .. 9999 . .. 9999. .. .. .. .. 9999.. 9999.. 9999.. NOA No.: 12-0713.02 MAMMADE COUNTY 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. Ex osure 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 ..0 adhesive set and mechanically fastened roof tile applications.Polystick IR-Xe,and Dual Pro are hmrtea to mechanically fastened roof tile applications.Polystick MTS is limited to mechanically f8stCned with Nivens •••• • roof tile applications.Polystick TU P may be used in both adhesive set and mechaniQW13&faistened cdof tile .... applications with the exception of mortar set tile applications. 0 00:00 0 0 0000.. 9. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)tile assemm'lies sha:rbe as 0000 follows: (See Table Below) - -- . 0000.. . .. 00006 0 . 00.00 Tile Profile Polystick MTS Polystick IR-Xe Polystick TU, f 0• • Polysfick'f U Plus,TVj, if Max• •••0. •..••• 0 0000. Flat Tile Prohibited without 5:12 No limitation 00 0 No littitrthDn battens 1 00 • 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. MIAMFQADE COUNTY NOA No.: 12-0713.02 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. r Roofing riles (6 Max Per Stack) J d 12 L' CL y - 0 6 % m , N Fmof Deck prepared with �- POUMCKTU Plus) 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 compatibili"p f the products,wind uplift resistance,and fire testing results. • • 0••••• •••••• . • .. • 0000 • LABELING: 066:00 "" "•••• .0.000 . • • 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 Ekxty ProducU-0ontrole o o-• 0000.. 0 Approved�� or the Miami-Dade County Product Control Seal as shown below. . 0 •0:00 .. .. 00000 0000.. MiAWDADE COUNTY •••••• •• • • • • 0000•• •••••• • • • • • • • • 0000•• BUILDING PERMIT REQUIREMENTS: •• .00 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 COUNTY Expiration Date: 09/13/16 ,0000 � 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, 11 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 the 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 '/0"/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 valle i.or •or.•• mo ...... exposed roof to wall details. • •• • .. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 5' ?femiurA T1 bdified .... • Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement,Polyglass PUSOd MB Flashil►g Cement to the area in need of repair, followed by a patch of the Polystick material of•lil•Ce kind should ba set • and hand rolled in place over the area needing such repair.Patching membrane shall Pe•.•a.•• mimuo?6 ••••• ..:..• inches in either direction. The repair should be installed in such away so that water NVMLO para1W T9 pr •••••• over the top of all laps of the patch. ...... 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates.*Poly 114656:. •••••• requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrene!Ttand ro lers are :0000: .. ... acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope piQl2it�i15 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 t�u►MMADe COUNTY 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 0000 . . 0000 0000.. .. 0000 0000.• 0000 0000.• • 0000•• • • • 6060.• 0000 •• • • • 0000 • •• •..•0 • 0000•• • • 00000 •• •• •• •• 46.00.• • • • • 0 0000.• • • • •0060• • • NOA No.: 12-0713.02 CMLAWMADEouNrir Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 MIAMFDiADE MIAMI-DADS COUNTY 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) v#-N%'%c.miamidade.1!ov/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. 6666 . . 6666 6666.. DESCRIPTION: 3MTM 2-Component Foam Roof Tile Adhesive AH-160 96 6 ;••• •• 6666.• 6009 609000 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo;9colly state and t'ollowin$.... statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. ••••6• •*•• 00004 6666.. ..:.6' RENEWAL of this NOA shall be considered after a renewal application has been filed and6tr2r�has betpo j%Changs..... in the applicable building code negatively affecting the performance of this product. 000990 6 9 . . 6969.6 6696 TERMINATION of this NOA will occur after the expiration date or if there has been ae ch evisson or a6nge6 in than 9*00 materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorseft en;of anyproftct, foP • sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with ariy'seetion 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. �• NOA No.: 13-0502.02 QMIUA% •D�we COUNrY 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 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 NGA94 rich list moment • resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile adktsitiei •• •• e • MANUFACTURING LOCATION: •• • ••• • .. .. .. .. ...... 1. Tomball, TX. • . . . . ...... PHYSICAL PROPERTIES: • Prom 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./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. NOA No.: 13-0502.02 MIAMbQAD;COUNTY 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 .'. '•" ""0 520109-1 TAS 101 00 0 12/21M 00 520109-2 000:0• 0000 •0000: 0000.. 520109-3 •••••• 0000 .. 520109-6 • 0000 . .. 0000. 520109-7 ,0000. 0 0 0000. 520191-1 TAS 101 .0.00' 01/02794 000000 520109-2-1 •••••• • •• 0 0 0000.. 0000.. LIMITATIONS: ••• :0000: .. . . ••• 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating: 00 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. MIAMMADE COUNTY 3. 3M_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 3MTM 2-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 CMAJID;COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 3 of 11 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). 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 3MTM 2- Component Foam Roof Tile Adhesive AH-160 has been dispensed. •••• 0 . 0 '1000• 000000 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty wei ht shall be i 0• accordance with the'Placement Details'herein. Each generic tile profile requires the speipli pllaceniWO "ted ••• ;• herein. • 0000.. 0000.. 0000 .. . . . .. 00000 0:::: .. 0000. 0 . 00 00 .0 00 000000 . . 0 0 0 ..0000 0000 . . 0000.. 00 0 0 000 0 0 0 NOA No.: 13-0502.02 CMIMAMMADECOUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 4 of 11 Table 1: 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(1 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. 6060 ••••�• .. 6666 6666.. 6666 6666.. BUILDING PERMIT REQUIREMENTS: ""•' :6666: 6666 .. As required by the Building Official or applicable building code in order to properly evaluate the irWAllatiod of this system. 000000 *0 a 0 66:66 6 00000 .. . 6666.. 6666.. • 6666.. NOA No.: 13-0502.02 MAWDAD;courrry Expiration Date:05/10/17 Approval Date: 12/12/13 Page 5 of 11 ADHESIVE PLACEMENT DETAIL# 1 Nail through plastic cement Paddy(Beneath Tile) Flat/Low Profile Tile (when required) Underiayment ° l. Starting at the eave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam j paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock 101n. ° of the tile being set. Battens optional Eave Corse 2. Continue in same manner.Insure approximately 17 (109.7 cm2)—23 (148.4 Cll]2)square inch adhesive ° contact with the underside of the tile. - ', Fascia Ln Eave Closure Medium Profile/ Double Pan Tile Nail through plastic cement (when required) Paddy(Beneath Tile) 1. Starting at the eave course,apply a minimum 2" Underlayment i (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. 10in.x .... 2 in.wide • • Battens optional 2. Continue in same manner.Insure approximately 17"•'•• • • • • (109.7 cm2)—23 (148.4 cri4l)square inch Adhesive ' contact with the undersid2'UMM tile. """ 10 in. 2in. •••••• • • • Eave Closure • • • • • •••• Eave Course • •• ••••• • Fascia •••••• • • ••••• • • e..".:• • •• •• •• •• •••••• • Nail throughplastic c High Profile/Single Pan Tice • • (when required) Paddy(Beneath Tile) • ••• • •••••• nderlayment 1. Starting at the eave course eapply a migkri jnT' • (50.8 mm)x 10"(254 mm)x ]"(25.4 nIM)foam paddy onto the underlayment positioned as shown 10 in.x - under the pan portion of the tile closest to the 2 in.wide overlock of the tile being set. Battens 2. Continue in same manner.Insure approximately 17 optional (109.7 cm2)—23 (148.4 cm)square inch adhesive contact with the underside of the tile. Eave Course Fascia Weephole 10 in. 2 in. Eave closure 'll Drip edge NOA No.: 13-0502.02 MIAMMADE COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 Nail through plastic cement Paddy(Beneath rile) 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 onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of \ in, 2in. the tile being set.Insure approximately 17(109.7 cm2) Battens optional _ / —23 (148.4 cm2)square inch adhesive contact with the Eave Course underside of the tile. o 2. At the second course,apply a minimum 2"(50.8mm) 10i -_ 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 cm2)- 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) •••,1 Paddy(Beneath riile) 1. Starting at the eave course,apply a minimum •(50.8 mm)x 10"(254 mm)x 1"(2p5 4 qnm)foam••• •••••• Underlayment i• • Q;Iqd • onto the under]ayment positipppd N shom"OiDder the pan portion of the tile closest tAOToverlock of the the being set.Insure approxinW@Ly 17(109.7 om2)— :•••• ''"' 2 in. _ 23 (148.4 cm2)square inch aahs*we contact witA the ••••• underside of the tile. •••••• ••••• Battens optionalof 00 00 00 • • • • • • 2. At the second course,apply 4fttib"um 2"(56.8mm) •. 10 in.-'--,-_ 2 in. x 7"(177.8 mm)x 1"(25.4 r$m)foam padd}onto the •••••• Eave Closure underlayment positioned as stow tinder the pan Fascia �•••• Eave Course portion of the tile closest to the overlock( the tie 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 MIAMFDADE COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2(CONTINUED) Nailthroughplasticce paddy(Beneath Tile) High Profile/Single Pan Tile (when required) Undedayment 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 pan portion of the the closest to the overlock of the the being set.Insure approximately 17(109.7 Cm2)— ''"' 2 in. 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 in. 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 cm2)- 19(122.6 cm2)square inch adhesive contact with the underside of the tile. . . .... ...... ...... .... ...... .... .a .... . .. ..... ...... . . ..... a. 00 0 .. .. .. .. ...... . . . . ...... NOA No.: 13-0502.02 CCU-- COUNTY Expiration Date:05/10/17 ,...• r Approval Date: 12/12/13 Page 8 of 11 ADHESIVE PLACEMENT DETAIL#3 tui dwough plastic Cement Paddy(between tiles) (when required) .� ) 1. On the eave course only,apply a minimum 2"(50.8 sattens optional ` mm)x 10" (254 mm)x 1" (25.4 mm)foam paddy ° ) paddy ltlndwtile) onto the underlayment positioned as shown,under , ; Smglepad* i?� the strengthening rib for flat tile or under the pan IFan top of tie ` portion of the tile for low or high profile tile closest -' to the Overlock of the tile being set. Leave x 4 it•swgle`pad �!� - •�\ approximately 4" (10 1.6 mm)up from the eave tilde► ` � ' single paddy � edge free of foam to prevent the expanded adhesive on undid '� 2 x 41n. from blocking the weep holes. Insure approximately 17-23 int(109.7-148.4 cm2)of adhesive contact with the underside of the tile a 2in..f FaXi7 rave closure 2. Apply a4" (101.6 mm)x 4" (101.6 mm)x 1"(25.4 mm)foam paddy onto the underlayment just below Flat/Low Profile Tile the second course line positioned foam paddy under the strengthening rib for flat tile,or under the Nai through plastic ceinent Single paddy under tie pan portion of the tile,closest to the underlock for (when" iredi Paddy)between tiles) the second course tile to be installed. Insure �` { - `-•._� approximately 8-9 int(51.6-58.1 cm2)of adhesive BattensPaddy(undertile) contact with the underside of the tile. optionalSinoiee-paddy -` IF on topoftie. -. (Instructions continued on next page, l l 2x4in.' 'Y •••••• •••• •••••• SiRmjIle.paddy- in' • Einre Closure Eave Course Fascia •••••• • • • • • • • • • • •••••• Medium Profile Tile • • • • • NOA No.: 13-0502.02 MwMEAPPROVED COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) Mal through plastic Single paddy under tik lw enrequvedl r � 3. Also apply a 2"(50.8 mm)x 4" (101.6 mm)x 3/a" p'jdr1b `"'" � (19 mm)paddy on top of the eave course tile Battens %n ,, �! ljaddy(undertilel surface as shown,on top of the strengthening rib °�'O1il ' for flat tile or on top of the pan portion of the the ti /rll ' closest to the underlock of the first course of tile. s:,gle Q1111e Install second course of tile.Insure approximately K 4x6in. , `� ,``- 9(58.1 cmZ)- 11 (71cm2)square inch adhesive contact with the underside of the tile at the overlap pad511 y on and 7(45.2 cm )-9(58.1 cm )square inch top tie- " ` �` . r adhesive contact with the underside of the tile at the head of the tile.Continue in same manner. Eare Course ' 'i ,+'' f R Fascia W 1" /f Eave closure 10 in., 2 in. Drip edge High Profl{eTile • • •••• •••••• •••••• •••• •••••• • •••• • •• ••••• •••••• • • ••••• •• •• •• •• •••••• • • • • • •••••• ••••% NOA No.: 13-0502.02 MIAMFDADE COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 10 of 11 � r ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 1)Place enough adhesive to achieve 65 to 70 sq.ln. Steep pitch applications Two Piece Barrel(Cap and Pan)Tile in contact with the pan tile. (when required) 2)Tum 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. eThen install the tile.Ensure 20 to (50.8 mm)x 10„(254 mm)x 1„(25.4 mm)foam 25 s%In.contact ara. 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. i - - - - 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. Eaveclosure (motar shown) Optional point-up Mortar 3. Turn covers upside down exposing the underside of Weephole Fascia Board on longitudinal edges of the the tile.Apply a minimum V(25.4 mm)x 10”(254 mm)bead of adhesive directly on the inner edge of Remove top portion of the eave 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.heave 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 end place onto pan tile course. Insure a*minimum•ofi20(129••••;• cm2)-25 (161.3 cm2)squMt inch contaQ*ffCa on •• each side of the cover ti10 td V?epan tiM.'Continue in same manner.Trim aNlay&l} cured exposed :....: foam adhesive.Pointing e1Ton itudinafedges of • ..... the cover tiles are considere..e d o�tlonal. • ..... . . ..... e e ***so .. .. ...... 5. When additional nailing jWaplred,2"(5Q.8 mm) .' x 4"(101.6 mm)nailers 4r tee tae wire system ....:. using galvanized,stainless steel,or copper w)re and• •• compatible nails may be u,"1. • ••• • END OF THIS ACCEPTANCE NOA No.: 13-0502.02 CMLAMADE COUNTY Expiration Date:05/10/17 Approval Date: 12/12/13 Page 11 of 11 r ♦SNoRFSLi Miami Shores Village also Building Department 10050 N.E.2nd Avenue ��NTES IN 9� Miami Shores, Florida 33138 ORNA Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: SRP 7X5* CCG Property Address: /oSy 0 N� 2—AW Roofing Permit Number: Dear Building Official: . . .... ...... certify that I am not required to retrofit the roof to wall connectionso�my •, building because: 0000.0 • X,he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00!""O 2 attacot orppf of ad.....• valorem taxation. **:*0: 00.00 0 0 0 0.0• 41 ❑The building was constructed in compliance with the provisions of the Florida Building Code(FICC I)TLvith the pr'bvisions '. of 1994 edition of the S®uth Florida Building Code (1994 SFBC) • Signature f Print Name State of Florida County of Dade The undersigned, being the first duly sworn,deposes and says that he/she is th ownpar farna,d. Sworn to and subscribed before me this day of Li o .C...,,SI FI„1J2 _ ..i iJOV i,2017 5351 Notary Public, Sate of Florida at Large e • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. I Revised on 5/21/2009 �o❑om,o�o �>n�ol>�� �oo•�lb���❑■ m ���o�mo�nni. b❑�■�o ��'�nL � ❑� � i h#^ MIAM11.; AD - Address Owner Name Folio SEARCH: 10540 NE 2 PI Suite i q PROPERTY INFORMATION Folio: 11-2231-013-0540 Sub-Division: •. • :.•• •• PASADENA PARK 1ST ADDN *see 00 0 •••:•• •••• ••..•• Property Address 0 • •••. . .• •.•.• 10540 NE 2 PL • Miami Shores, FL 33138-2005 ••'•• •• •: ..•••• • Owner :...:. •••••• SRP TRS SUB LLC • • • Mailing Address 2700 WEST CYPRESS CREEK RD#D-118 FT LAUDERDALE,FL 33309 Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/1 Floors 1 Living Units 1 Actual Area 1,988 Sq.Ft .r��Ol3���••�OjE.�.oO�fr'�npL��o❑❖�00❑OTII,O��^•Ill,sO)1,�,�� .es��.es���.es[`9��8 two❑ornolo 6nLaon)= goo•)(1)rP1)(❑■ �-'knt N ❑xA Report Discrepancies Report Homestead Fraud Tax Comparison Tax Estimator TRIM Notice View Taxes ASSESSMENT INFORMATION Year 2014 2013 2012 Land Value $103,258 $116,484 $86,284 Building Value C$131,532 $131,532 $149,455 Extra Feature Value $2,466 $2,484 $2,880 Market Value $237,256 $250,500 $238,619 Assessed Value $119,475 $117,710 $115,743 TAXABLE VALUE INFORMATION 2014 2013 2012 COUNTY Exemption Value $50,000 $50,000 $50,000 Taxable Value $69,475 $67,710 -"6,443 SCHOOL BOARD �••' : .••. •� Exemption Value $25,000 $25,000:::;:: $2,;,000 Taxable Value $94,475 $92,710*....••..• $90,743 CITY 00:00i •• • i ••i••• as •• •• •• •••••• Exemption Value $50,000 $50,000;'";'; $56,000 '. .••.•. Taxable Value $69,475 $67,710 • •$65,743 ; 0 0 0; REGIONAL •• Exemption Value $50,000 $50,000 $50,000 Taxable Value $69,475 $67,710 $65,743 BENEFITS INFORMATION Benefit Type 2014 2013 2012 Save Our Homes Cap Assessment Reduction $117,781 $132,790 $122,876 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City, Regional). .=1101�1��•••�O�f6s'O�fna�npL�v�❑❖�o0❑0�,o1o•Cn,�011�,r� .���.at���.es��t�8 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to this section,it is the responsibility of the roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of this section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally,th owing item ould be addressed as part of the agreement between the owner and the contractor.T e owner's initia ' e adjacent box indicates that the item has been explained. 1.Aesthetics-Workmanship:The workmanship provisions of Section R4402 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards.Aesthetics (appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should be addressed as part of the agreement between the owner and the contractor. 2.Renailing Wood Decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance,therefore,roofing nail penetrations of the underside of the decking may not be acceptable.This provides the option of maintaining this appearance. 5. Ponding Water:The current roof system and/or deck of the building may.not drain wel:aptl• ..,... may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can 150.8n=ndicatiora41. .• structural distress and may require the review of a professional structural engineer. Pgp"giay sl;gdon ....:. the life expectancy and performance of the new roofing system. Ponding conditions rpall:W be evident until the original roofing system is removed. Ponding conditions should be corrected. ,,,, .. :�•�•� .... .. ... ..... 6.Overflow scuppers (wall outlets): It is required that rainwater flow off so haat," roof is not• ••�•• overloaded from a build up of water. Perimeter/edge walls or other roof extensions may blecloAs discharge 0 ••••;• if overflow scuppers (wall outlets) are not provided. It may be necessary to install over%mN:3cuppers fn •• accordance with the requirements of Sections R4402,R4403 and R4413. • •••••• 7.Ventilation:Most roof structures should have some ability to vent natural afrflow'throuq tv: • interior of the structural assembly (the building itself). The existing amount of attic ventilation shall ndtbe• reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Exception:Attic spaces,designed by a Florida licensed engineer or registered architect to eliminate the attic venting,venting shall not be required. y Owner's/Agent's Signature Date ontractor's Signature lzt�f/b Property Address Permit Number Miami Shores Village ,� m Building Department 10050 N.E.2ndlorida 33138 Tel: (3( ftl =! . 37 6.8972 BUILDING 2001 Permit 0. -13gl o. PERMIT APPLICATION BY...- "Master Permit No. FBC 2004 Permit Type(circle): Building Electrical Plumbing Mech nical LoofiDn . If "o Owner's Name(Fee Simple Titleholder) _ f�n'1 q� �- i 0.�h�Phc,one# W-3 Owner's Address /Q570_AJPZ- ee/ 3a5 S-1 - 3 --,w-7 7 City0.►'►'►c ©reS State FL \ Zip ��139Tenant/Lessee Name S0.yvxe 0.S A _ Phone# Job Address(where the work is being done) 105-(/0 �� a PL- city LCity Miami Shores Villa e County Miami-Dade Zip 3,3 13 FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name - Phone# Contractor's Address City. State Zip Qualifier Name _ Phone# State Certificate or Registration No. Certifi petency No. Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ ,N .5-00 Square/Linear Footage Of Work:"" b W Type of Work: ❑Addition ❑Alteration New Repair/Replace ❑Demolition Describe Work:© Q 2 Submittal Fee$ Permit Fee$ t CCF$ i kou CO/CC Notary$--� _ Training/Education Fee$ _2L�j Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ O Bond$ Code Enforcement$ Double Fee$ QQ•� Structural Review.$ Total Fee Now Due$ ,Cb—, (� See Reverse side-4 ,,Vr� `V`" �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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS.and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for.the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged i aSignature Signature er or Agent Contractor The fy trument was acknowledged befor a this The foregoing instrument was acknowledged before me this day o20 QJb V �� � day of 20 bywho i known to me or who has produced who is personally known to me or who has produced As identification and who did take a-NWM. as identification and who did take an oath. NOTOARB � NOTARY PUBLIC: A Sign: �' Sign: Print: A' f �A Print: My Cos: o �� My Commission Expires: ****** *** **** «*** ,1p ********************************************,�********,� s APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02!08/06)