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RF-15-1525 '1`54 525 Permit No. 111 6" 'oR;s yt Miami Shores VillagePerrnitType.'Rflp 10050 N.E.2nd Avenue NW M1f W Miami Shores,FL 33138-0000 WrrrOt #asfr0trarl.Tile er 1 emmlt Status:APPROVED `tips Phone: (305)795-2204 1"Oe Date:71612015 Expiration: 01/02/2016 Project Address Parcel Number Applicant 126 NW 100 Street 1131010220350 KENNETH FILL i Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell KENNETH FILL 126 NW 100 Street (305)754-2134 MIAMI SHORES FL 33150- . Contractors) Phone Cell Phone PR-ESTO ROOFING CORPORATION (305)392-9081 Valuation: $ 12,000.00 Total Sq Feet: 1922 Type of Work:Re Roof Available Inspections: Additional Info:RE ROOFING:TEAR OFF EXISTING ROOF[ Inspection Type: Classification:Residential Up Lift Report Scanning:4 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-Contractors Bond $500.00 CCF $7 20 Invoice# RF-6-15-56045 DBPR Fee $4.13 07/06/2015 Check#:2776 $764.46 $50.00 DCA Fee $4.13 06/22/2015 Check#:2729 $50.00 $0.00 Education Surcharge $2.40 Bond#:2779 Permit Fee-New Roof $275.00 Scanning Fee $12.00 Technology Fee $9.60 Total: $814.46 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,PLUMBI G,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFI AVIT: I certify th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a d zo i . Futherm e,I th ' the above-named contractor to do the work stated. July 06, 2015 Authorized Signature: er / A cant / Con ractor / Agent ate Building Depart ent py July 06,2015 1 Florida International Engineering and Testing Lab LLC FeleEe 7500 NW 25 Street,#241, Miami, FL 33122 FLORIDA INTERNATIONAL ENGINEERING Telephone: (305)378-1991-Fax: (305)378-1997 &TESTING LAB INSIGHT-INNOVATION-INTEGRATION Miami-Dade Lab Certification#07-0612.11-State of Florida ca#27273 --------------------------------------------------------------------------------------------------------------------- t� SITE SPECIFIC INFORMATION Owner's Name: 6s � k _ Job Address: 1 Pyc--� t t Roofing Contractor: S © Permit Number: ?t_- 5L- Cl Type of Ti le: S+��(��.. ��tJ�t r-' �Cp,��.-t �% Approximate Roof Height: 12. feet Slope: ?a . l Z Approximate Square Footage: oa ftz Type of Access to Roof: / Ladder Other Required Testing Force: 5 lbs. Testing Equipment: F.G.E.100x Shim o Instrument Date Installed: & S Date of Inspection: 10 14 I S t - - F------------------------------- ----------------------------------------------- TEST RESULTS P=PASS,F=FAIL Test Test P or F Test P or F Test P or F Test P or F Por F Location Location Location Location Location 1 47 21 4 e7 41 V2 61 81 2 22 t42 62 82 3 23 43 63 83 4 24 44 64 _ 84 5 25 _ 45 65 85 6 26 46 66 86 7 27 47 67 87 8 28 48 68 88 9 29 49 69 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 93 14 1 34 54 74 94 15 35 55 75 95 16 36 56 76 96 17 37 57 77 97 18 38 58 78 98 19 39 59 79 99 20 40 60 80 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width:_sft RESPECTFULLY SUBMITTED BY: Area Units or ft2 No.of Tests Perimeter q a-p 1 Field ,0 1 v Corners Hips& Ridges < Vinayagar M.Balakrisfinan V 10 JU l [19- State State of Florida Lie#63107 ll FLORIDA INTERNATIONAL ENGINEERING&TESTING .AB, LLC Job Address: Von Contractor: - , Sketch of Roof (NTS) i am, 4FF =.±FFH F 1 1 Notes Q Miami Shores Village _ C��� � Building Department JUN 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 Pny_ INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 201® BUILDING Permit No. PERMIT APPLICATION Master Permit No:I?F Permit Type: BUILDING ROOFING JOB ADDRESS: /(;Z& l Q ST City: Miami Shores County iami Dade Zip: Folio/Parcel#: �l. �j�o�- ®�� " Is the Building Historically Designated:Yes NO Flood Zone: p^ OWNER:Name(Fee Simple Titleholder): �/�7 ���� e Phone#:% �4 J I ZI Address: City: Mm State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Com� Company Name: Tf? v�� Phone#: � �-ego Address: V 91 Ak) 6-7— City: 1 State: Zip: Qualifier Name: / AfI A1�0 — Phone#: '�� State Certification orReeggistratio #: 0 ✓� Certi ate of� etency#•X71 Contact Phone#: � %��Email Address: DESIGNER:Architect/Engineer: Phone#: 90 Value of Work for this Permit:$ o(fW Squar inear Footage of Work: Type of Work: ❑Additio ❑Alteration L'ilZepaieplace Demolition s e06 A(6 , Description of Work: �� /—:�!p 6ff�Y -re-197f, 4L�C-ZA -4e. /W-5� �1G6�Color thru tile: MF5 Submittal Fee$ Permit Fee$ Q� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ SM \ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$2-G'--4 • 4 h 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 Molding 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,#e a roved and a rein ction fee will be charged. Signature Signature Owner or Agent Contractor p�y The f reg in�instrume�ytt<as a owledged a re e — The f reg 'ng'nstrument cknow a ged r e hiday of20 by day of ,20 by �!!� who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTY UBLIC: NOT Y P LIC: l Sign: Sign: e•.,, LOS 0.MENZEL Print: ?°• `' Notary Print: +°. •` =, ary Public-State of Florida •• .• My Comm. "26.2018 '-• .•e M Comm.Expires May 26,2018 My Commission Expires: "•, des My Commis 'Cs ° Commission#FF 126292 • d.• �Si0N/FF 1282f32 '•.F ,••• BOibed 1hra*Netimal Notary Asset iwtstlOrW WoMry Aiitl, a•m APPROVED BY ' Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) f167i/ i&&��Irl om Wartmii;,FL 3MOS sate UiClUlmd a lbsumd coldractor T lL iinallt #Crcaffim PR �® 2 R O O F I N G To:'Kenny'FM Date:June 8,2tMS Attn: Same Kind of Work: Re-Roofing Job Location: 126 NW 100 Street City: Miami,FL pbojw Xk5 4"5171 Email: We are pleased to submit the foillowing Proposal and Contract: Specificadons TILE ROOF 1. Remove existing roofing systerm down to the wood deck. 2. Replace up to 200' lineal ft. of damaged wood. Any additional wood replaced will be charged at $4.75 per lineal ft. Additional shleets of plywood to be replaced at$75.00 per sheet. 3. 'int trip rfi lrm-wu diem tm-Ulf,,*we eIrrdh Wdrdh wri aimInu s'rmeh•vatptn trdrt'frr<t V t1tp.Wh nailed to wooden deck. as called for-by code. 4. Install a back-nailed Int)R06 *l nfith double mount on hips and ridges. 5- Replace all old.flashitp. vents,. and.lead.cans an pines to guarantee againsi.laakage 6. Install a 26 Ga. galvanized metal on all drip edges. 7. Install code Approved Concrete Tiles color thru as specified by South Florida Building Code. Warranty: Ten (10)years by Presto Roofing Corp. Note: Price does not include permitting fees, notice of commencement fees,and tile certification test by engineer required6y Me dulial'ng aepart'menf. We agree to perform and complete the work in a workmanlike manner within a reasonable time for the sum of: Twelve Thousand Dollars ($ 12,000.00) Payment terms: $6,000.00,upon signing$1,000.00 per month thereafter. (1)No carpentry work,wood work or painting Is included In this contract unless mentioned in specifications. (2)Presto Roofing Corp.carries full insurance as reytuired by Florida Law(Property Damage and Workman's Compensation),but shall not be held responsible for damages either before commencernent of,during the said work or after sold work,caused by strikes,war,acts of God,sudden rains,stoma,wind storms,material shortage,or any other event beyond our control. (?),All work.to bre done or quaranteed shallbeset.fortil In.agadffcxattions..No gramleas.,verbal.or otherwisa,will.be valid.. (4)in the event payment is not made,all fees Incurred In collection,such as attorney fees,court costs or collection agencies are to be paid by signer or owner. (5)Any interruption In the work agreed upon in this contract which is not the fault of Presto Roofing Corp,or beyond the control of the same,will be billed. (8)Work done,or attempted to be done,on this roof b!y others than Presto Roofing Corp.or their authorized agents,relieves the warrantor from any further obligation there under. (7)Should any leak occur,within the period of our guarantee,due to defective materials or workmanship supplied and fumished by us,we hereby agree to repair or replace the same with out charge,upon receipt of,prgper notice In writing,by certiffed mall,,providing that thejob complained of has been_promptly.paid In full.This guarantee shall apply to labor and materials only and does not cover damage to personal property which occurs as a result of leakage after said roof Is installed.We are not responsible for damage caused by termites after Job is finished. (8)We do not guarantee against leakage due to;footowear,Improper building or roof deck constniction,fire,hail,tempest or hurricanes nor to punctures made by fastenings or wire fixtures, nor the erection of any hatchway,pent-house,flagpole,pipe or other structure,support or brace,subsequent to completion of our work to your property. (9)If ventilation Is required by the Building Code,ft shaall be additional to our contract price. (10)If roof deck needs to be re-nalled to meet the regeuirements of the South Florida Building Code,an additional charge of$25.00 per square will be charged. (11)Gas Vent Caps,Stocks,and Flues:The Construction Trade Qualifying Board ruled the removal and re-Installatlon of flue pipes or vents stacks for water heaters and boilers Not considered Incidental work by a Roofing Contractor. Therefore,If the gas vent stack and flue system is disturbed or removed,a permit must be obtained In accordance with 301.1(8), 4001.4(8),and 4703.1 of the SFBC,using a contractor-licensed in that trade. (12)Customer Is responsible to notify in writing the location of exposed sheathing, septic tank,and drain field.Where exposed sheathing,holes and openings exist,customer shall protect interior and furnishings from falling sediments and debris filtering through roof sheathing. (13)Customer shall-remove and'replace at its own expense all'electrical Ilhes,phone lines,gutters,signs,plumbing,pipes,solar panel's,air conditioning units,andfany other items attached' to the roof. (14)We cannot be responsible for sidewalks,lawns,wvnings,and fences for access to the building. (15)We cannot be responsible for calling damage dur ing the process of roofing,condition of eaters,and mortar matching with colored tile. (18)This bid will be automatically withdrawn If not ace apted within 30 days. 1071'rrlis cansadt rovers oriry waft wMndn'is spedrtrc Mi y tkdhneftib'nordm anti fives ndt cover any abdftra cti repairs wtrit-nn areyounb n»ry Nicer commen cerrnerit or watt. (18)This guarantee is not transferable unless mention ori In above specifications. (19)Presto Roofing Corp.will not be responsible for thea bubbling of roofing felts on the roof deck due to heat expansion. (20)Presto Roofing Corp.will not be responsible for array ponding of ktreter on any flat desk. (21)Presto Roofing Corp.will not be responsible for bilennding of colors of shingle or cement the roofs due to manufacturer's different runs of materials! l'�3�ftents'klttntitg'�^�stp:�vtil'�tt71`4es�snrlttSttMWb'�tsr'ss9yetkxlt'rtatsltg'cit°�nRt',stitl`ttT�bvr!'eg<!`dila'ma;s'�7uY��st'Ibu'alltfltg'dhs'yuatanitRs`aeltlas! Qr,sa% 3 R^.J Wrny 43. n,1?m6%vtait.wrau-wr vrJwr.1*bib-dgut Jnr+�ittRr. ,-W.r.1 V&,b*Cot ft payment terms as specified ab e: (Contracto s Signataure (Owner's Signature) Date: Date: �, 72�. C.."A 2 531 RECORDED 07/24./2006 10-135-52 DE1:1-D DOC TAX 0.60 OF couRr Prepared by and return to: `Steven K.Baird,Esq. Attorney at Law Steven K.Baird,P.A. 5981 N.E.Sixth Avenue Miami,FL 33137 305-754-8170 File Number: 0642 RE Will Call No.: [Space Above This Line For Recording Data] Quit Claim Deed This Quit Claim Deed made this'21�1day of June,2006 between Norris John Fill and Maxine Bisset Fill,his wife whose post office address is 81 NE 163 Street, North Miami Beach, FL 33162, grantor, and Kenneth Norris Fill and Laura Broderick Fill,his wife whose post office address is 126 NW 100 Street,Miami Shores,FL 33150, grantee: (Whenever used herein the terms "grantor"and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth,that said grantor,for and in consideration of the sum TEN AND N01100 DOLLARS ($10.00)and other good and valuable consideration to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, does hereby remise, release, and quitclaim to the said grantee, and grantee's heirs and assigns forever, all the right, title, interest, claim and demand which grantor has in and to the following described land,situate,lying and being in Miami-Dade County, Florida to-wit: Lot 3 and the East 1/2 of Lot 2,Block 5,GOLD CREST,according to the Plat thereof,as recorded in Plat Book 21,Page 56,of the Public Records of Miami-Dade County,Florida. Parcel Identification Number: 11-3101-022-0350 Subject to taxes for 2006 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record,if any. This Quit Claim Deed is being given for estate planning purposes. There is no monetary consideration being paid on this transfer. To Have and to Hold, the same together -,Tvrith all and singular the appurtenances thereto belonging or in any-Rise appertaining, slid-all the estate,right, title, interest, lien, equity and claim whatsoever of grantors, either in law or equity,for the use,benefit and profit of the said grantee forever. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTimeo FF . n Signed,sealed and delivered in our presence: Witness e: At,cty C W� Norris John Fill Wi ss Name: ire- t 449VIA 4 \ Neal) Witness me: cd�`'"`—� MaxineBisse Fill 47%�:e,, e- 4z4J / Wi ss Name: C r3jjrZ� State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me this,"c6 day of June, 2006 by Norris John Fill and Maxine Bisset Fill,who[)are personally known or[X]have produced a driver's license as identification. ,cam uc Fyea Jrq2 41 6Z14 -e Fc�`L F�ae 630 [Notary Seal] Notary Public Printed Name: A cdwo-z_,T; Cai✓Weo a _.................... J�CON WAY... My Commission Expires: aauuo,,� Corn �1�AY App,yr mission#DD0205486 Expires 8/16/2007 = Bonded through s (800432-42s4) Florida Notary Assn.,Inc. ..................u...............................: Quit Claim Deed-Page 2 DoubleTimeo 01 � 1M • u.11M 10050 NE 2^d Ave*Miami Shores,FI 33138 Phone 305-795.2204;Fax 305.756.8972 -- W e res t OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 653.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 �- Re: Owner's Name: 6&1A,1E7WVnw� / &> T/�, f2(0 Property Address: to 57— Roofing Permit Number: Depr Building Official: certify that I am not required to retrofit the roof to wall :7The ctions of my building because: ec just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. e The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or / with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signat re Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of (14hii14__ //®� nnELxx ��jj Notary PubliC-State of Florida /�jp My Comm.Expires May 26.2018 Notary Public, Sate of Florida at Large s =; Commissba 0 FF 126292 • t_ When the just valuation of the structure for purpose of ad valorem taxation is equal to or o than$300, =Mal FBC nor a 1994 SFBC.Then you must provide a building application from a General Contr ct r for the Roof to Wall connection Hurricane Mitigation. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION a CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ZUNINO,ADOLFO MARCELLO PR-ESTO ROOFING CORPORATION 8089 NW 67TH STREET MIAMI FL 33166 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT.OF BUSINESS AND and they keep Florida's economy strong. PROFE$SIONAL4-REGULATION Every day we work to improve the way we do business in order to CCC055581 •i ISSUED 07/01/2014 serve you better. For information about our services,please log onto www.mytloridalicense.com. There you can find more information CERTIFIED ROOFiNG'C ©Nl RACTOR about our divisions and the regulations that impact you, subscribe ZUNINO,ADOLFO MARCELLq to department newsletters and learn more about the Departments ..PR=ESTO ROOFING CORPQRATION. initiatives. 7 = Our mission at the Department is:License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expira$on'dwe-)AUG 3i,2016- L1407010001186 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION sr CONSTRUCTION INDUSTRY LICENSING BOARD NEW CCC055581 '� _ The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 ZUNINO,ADOLFO MARCELLO PR-ESTO ROOFING CORPORATION 8089 NV\167TH STREET MiF!_ 33188 7 ry � 77 000140 Local Business Tax Receipt Miami=Dade County, State of Florida —THIS IS NOTA BILL — DONOT PAY 262463 \� LBT BUSINESS NAME/LOCATION RECEIPT NO.. EXPIRES PR ESTO ROOFING CORP RENEWAL SEPTEMBER 30, 2015 -- 8089 NW 67 ST 262469 Must be displayed at place of business MIAMI FL 33166 ` Pursuant to County Code Chapter 8A-Art.9&10 i OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED PR ESTO ROOFING CORP .196 SPECIALTY BUILDING CONTRACTQR 'BY TAX COLLECTOR Worker(s) 10 CCC055581 $75.00,F07/29/20T4 CHECK21-14-037935 r - This Local Business Tax Receipt only confirms payment of the Local Business Tax The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Halder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above mustbe displayed on all commercial vehicles=Miami—Dade Code Sec 6a 276. For more Information vlsitiivww miamidade.goy haxcollector t` Jun, 22, 2015 10: 24AM No. 0430 P, 1 0-1 ppID, LYA QRo° CERTIFICATE OF LIABILITY INSURANCE DAA,`9/20 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION 13 WAIVED,subject to the terms and Conditions of the policy,certain policies may require an endorsement. A statement on this cartlflcate does not confer rights to the eorti8eate holder In lieu of such endorsement(s). PRODUCER CONrACr AhaCOa Insurance Gran MIA N� FAX 8000 NW 7th Street,Suits 202 ONE Miami,FL 35128 Kathleen 134oneourt MER 1D a.PREST•3 INBU S AFFORDING COVERAGE NAIL t INSURm7 Pr-esto Roofing Corp INSURERA-SOCU!'ItYNational Insurance Co Adolfo Zunino 8089 NW 67th Strout INSURER 5: Mlaml,FL 33166 IN3w m a.' INSUR1nR D INSURER 9: auRmRP• 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, Na TYPE OF INSURANCE POLICY NUMGGRPF PC LIMITS GENERAL LUISIU"Y EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL I.IABRITY SEBI122M 03/22/20115 0312PJ2018 "Imamiggs MIMEM S 100,00 CWMS-MADE OCCUR MED MCP WW amoemn) b 6,00 PERSONAL&AIA/INJURY 8 1,000,00 GENERAL AGQRMTE 2,000,00 ©EN'LAGGREGATE LIMIT APPLIES PFR: PRODUCTS-COMPIOPAGO S 1,000,00 POLICY JEOT DLOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANYAUTO (E°°OcIdedO ALL OWNED AUTQB BODILY INJURY(Per prion) $ SCHEDULED AUTOS BODILY INJURY(Per as wwvt) 3 HIR®AUTOS PROPERTYDAMAN 5 (PER ACCOEN'C NON-OWNED AUTO$ 3 a UMBRELLA LIAR OCCUR EACH OCCURRENCE $ GXCrimB L1AB CLANG-MADE AGGREGATE b DEDUCTIBLE 8 RETENTI WORKERS COMPOMTICN TH- AND RMPLOYERS'LIABILITY OFFICEFUANY MEMBM M(CLUDDIED?ECCT"Y7 N IA LL EACH ACCIDENT $ (Madaftry In NK) ILL 013542.EA EMPLOYE 9 DESCR=a�OF opmnag below ELDIN9FASE-POLICY LIMIT S LiD�CCAIiPOM NNPi Ilbe Ar�D CC�C '351VrIcLeS Wfth ACORD 409,AddfflcrAl MmNNO NoWuK it men*pm is mquited) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF Thin ABOVE DESCRIBED POLICIES BE CANCELLED aLKORE Miami Shores Village THE IMPIRATION DATE THEREOF, N011OF WILL BE DELIVERED IN 10060 NE 2nd Ave ACCORDANCE WITN Tt19 POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED R&Rr:.4 WAME Kathleen Betancourt 0 1988.2009 ACORN CORPORATION. All rights reserved. ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/24/2014 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([as)must be endorsed.If SUBROGATION IS WANED,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 A/C,No,Ext): 1-800-277-1620 x4800 FAX'A/C No): 27 797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 South Missouri Avenue INSURER(S)AFFORDING COVERAGE NAIC# Clearwater FL 33756 INSURER A. Frank Winston Crum Insurance Co. 11600 INSURED INSURERS: INSURER C: FRANKCRUM UC/F PR-ESTO ROOFING CORPORATION INSURER D: 100 SOUTH MISSOURI AVENUE INSURER E: CLEARWATER FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 298221 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 ADDL SUER POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER INSRD WVD (MMIDDIYYI^() (INM/DDIYYYY) LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE =OCCUR MW EXP(Any one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY F7 PROJECT F7LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident) ALL OWNED SCHEDULED BODILY INJURY(Par n $ AUTOS AUTOS BODILY INJURY(Pet ecGtlenQ $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per acddent UMBRELLA uAB OCCUR EACH OCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND WC20I500000 01/01!2015 01/01/2016 X UTO WC STATRY OTH- A EMPLOYERS'LIASIUTY YIN ER ANY PROPRIETORIPARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? 0 N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1.000.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $1.000=0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Addidonal Remarks,Schedule,H more space Is required) EFFECTIVE 08/15/2011,COVERAGE IS FOR 100%OF THE EMPLOYEES OF FRANKCRUM LEASED TO PR-ESTO ROOFING CORPORATION(CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM.COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES VILLAGE AUTHORIZED REPRESENTATIVE 10050 NE 2ND AVE. MIAMI SHORES,FL 33138 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Yr • +. E +i: 4J it u - rater„r .. :'� u •-::- � 'yi '.� •a' t ..�a^ WE vi no MAIM"-, w_ • �� !N7lAI fir!_ �i �rrol�f' l� � '� � 'I�i pEilt�1 C1! !N ,'L' ! ���'e f.f►:�' v+3� !!{1I�� A6rt_�IiMI IMl�"� ! 1lill �i d pp1�! ���!(� ■M■11�� M4f�Mt � 1�������.EyW ���,..�1±� A,kkliilRb �1R11 W �. !! �iMlI1131 � lalo! ! �? lrj 9prRflSiiA #ESC P • �f►�'�._a 7 .rl llfllSlk"3e Mkt ! �p lie l •• .e.� rrrn•rrrrrr g i■ii MM 1�k [� y ,f ILd�f -yXs It'�i ■ 0[#. _PF#SIII€91I p� 3�WU11 -NONE [YNf!' �c"'TIMI' p�p M ! It 4I �i I°! AAMC � � a'! I4'm� fPP" if �i ' �• I is � � ��r- � � �,�. � E� �ii� � �I. '.`. ■ _ ! !10 sill in IIIlaw !fi4AM etIPS �> W ! -- ^ir�r lr � Z n �,_� a» SI - �l Tj �! SYR — pp , � Florida Building Code 20IG Edition High Velocity Hurricane Zone Uniform Permit Application Forma Section D 'SID SIOned Roof 8�St ) ®�� yt� ej n Manuft �TL. 19/ NoVes of Acceptance voher kj€nlenurn Design Wind Pressures,If App€€cab€o(From RAS 127 on Calculations)'. .Go . . . (From the NOA 8PeOlflC-;',N"$I9nTh' sees a '00 Goes* • • • •••••• • • • • :so.:. • •••••• t�qp Sloped Roof Mit DeSC X200 •••••• •• ••• :••.•: • • •,' •• • ...Deck Type: Underlay c nt:. 'Roof Slope: i •- a 96r.Type spacing: Pidge Ventilation? _ dhet��Type 61*4 hb 6*of Covering. Mean Roof Haight; l,Z _ Florida Building Code 2010'Fdition High Velocity Hurricane Zone Uniform permit Appiicafion Form section E .1 6QCIculatlons either Method 1 or 2.Compared the vOlues is a f evs e .f�-tr t ltr ze:mr vaues are greeter than or equal to>`ine M.r t ftr . eFt`r >> ti$€tin the tiie mtachment:nethOd is RecePt2ble. 1 tP�Ieffit B sed'�ale Calculations Fey RAS 127" $z _pry:�777g E1 �€ A r {I'3=.LfAL$ e~ " g%J ?9_ R'k N0A rvfethad 2`=SImgiiJr&ed Vibe Calcuktion Per Table ReloW" Required Moment o:Resistance(K)From Fable Below NOA h* , 000000 vp� • • �aaf5(a 96' x • .. �•�e • .40, •r '• i ••••i• 2 92 38.5 . ' 3 3g.0;e' . 000000 -.42� •. :• • • 3:2 32 ••• r• • • • .Z.. __.. 3Qr8 -322 .. 33:� i ••• 0000• • • 2 A 'i 3%7 i'i• •• 00000•••• lei 25 sI Z6.g Z9 �361:5i• • 3 • •• •••••• • - 7:12 4 Z55 27.9 2@ •i'i•i ;6D' • •• .. .. •--- • • 000000 ' . ... .. •• 000000 j 'must be used 11t conjunction vdth s list of moment biased file syst ms endorsed by tie 0•a • 000000 0 Broward County Board•of Rtales and A ppeela. •• • •• 0.0• • •0 0 For Uplift leased tele systems.use Methdd 3. Compared the valves for Ft with the values for F,.Lf the F1 vRlues are greater than or equal to the Fr values,for each sires-of the roo;then the tue attachment ma thud$s acceptible. Method 3"UpIffl Based THe Calcuhtlens Per RAS 1279 —=—a W.- P',1:— NOAF' (.p2._xl:_"_a w:-)—WxeosB: Pre[_ NDA Fr_.._ NOA F1 When✓to Dirge n.-Worog A. . . . Where to fmd DestguPrassuro 'PIorP2orP3' 127 Tab]aIorbyon.ivy}cft -,rrmye�epxe by FEban^donASCE ..7 McanRoofHeidrt Rwfslogg. 8 Job Site NOA. Reetotin t$ameot Gua to anvity f NO k %ittaohttseffi Aeaiatan� Mr NOA - _ Requited MommtYMV= Ixr' Calculated Mi amANachmcdlt Inco. .. ... _�...... . NOA_ R GipliitRistaltet l r Calculated Avera a rlle'Wel t NOA UsDime=ons 1=kngm :NOA +Tie.Alcuiaiduu•riaustb-allmio-cdfathr.B' ' Of zi..Atthetimeofnertnitii li-U ioa, Owner's Notification Form HVHZ 2010 MIAMMCAM "Delivering;Excellence Every Day" SECTION 1524 HIGH VELOCITY HURRICANE ZONES--REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code,Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. 1.Aesthetics-workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. r .2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hulricaip Zone.-Othe F.WIda Building Code. (The roof deck is usually concealed prior to removing the existing rbors�stemj•••• •` 9999.. r 3. Common roofs: Common roofs are those which have no visible delinea�aol3between neighbo;ipg•: units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the rooni f%*contracoo'and/ol••••• owner should notify the occupants of adjacent units of roofing work to be performed...... 00 9 99690 9999 0000 .00000 Y� 4. Exposed ceilings: Exposed, open beam ceilings are where the underside©fxke roof decking can bi viewed from below. The owner may wish to maintain the architectural appearance; 16r`efbre, rbor&4g nail:" penetrations of the underside of the decking may not be acceptable. The owner provitlWille option of maintaining this appearance. •• • 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not 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 that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code,Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida-licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's/Agent's Signature: Date: Contractor's Sianature: F Permit Number: ��� W �� MIMI®D,A�E MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE(NOA) Entegra Roof Tile,Inc. 1.289 NE 90 Ave Okeechobee,FL.34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails W r rform in the accepted manner, the manufacturer will incur the expense of such testing and fh:A'II.I may.pplediately, revoke,modify, or suspend the use of such product or material within their jurisdictions•$P.4A reftw8s:he rigs..:. to revoke this acceptance,if it is determined by Miami-Dade County Product Control 4vAoa that this-product or... material fails to meet the requirements of the applicable building code. ...• •• V • .... . .. ..... This product is approved as described herein,and has been designed to comply with the•k�g14;Jeloctty.Htlricane•`••• Zone of the Florida Building Code. •• •• •• • ...... DESCRIPTION:Plantation Roof Tile • ••• LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA No. 10-0804.15 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 10-1202.01 K.MIAM4DADE couP17Y Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1.SCOPE: This renews a roofing system using Entegra "Plantation" concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Plantation Tile Length: 16'/z" Flat concrete roof the for direct deck or Width: 13" TAS 112 batten nail-on. Trim Pieces Length:varies Accessory trim,concrete roof pieces for Width: varies TAS 112 use at hips,rakes ridges and valley,"". Thickness:varies terminations i • • •• • • .••.•• •• • ...... 3. LIMITATIONS: •• 3.1 Fire classification is not part of this acceptance. •••• •• •••.• 3.2 For mortar or adhesive set tile applications,a static field uplift test ih We&danc&%itA. •'•" .. .. . .. ...... TAS 106 may required,refer to applicable building code. •• •• 3.3 Applicant shall retain the services of a Miami-Dade County CertifieV Laboratory to ....:. perform quarterly test in accordance with TAS 112,appendix`A'.Such testing s'h'all'bis :Goes. submitted to the Building Code Compliance Office for review. •• • • ••• 0 • 3.4 Minimum underlayment shall be in compliance with the applicable Roofing sees • Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4.INSTALLATION: 4.1 Entegra Roof Tile,Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119,& 120 4.2 Data For Attachment Calculations NOA No.: 10-1202.01 Expiration Date: 12/08/15 MIAMI-RADE COUNTY...v Approval Date: 12/30/10 I Page 2 of 5 Table 1: Average Weight(W) and Dimensions (I x w ) Tile Profile Weight W(Ibf) Length-I (ft) Width-w(ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multi liers - 0 Tile %(ft3) 1(ft3) Profile Batten Application Direct Deck Application Plantation Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity- M (ft-Ibf) Tile 2": 12" 311: 12" 411: 12" 6": 12" 6": 12" Greater than Profile 7": 12" Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Deck Plantation 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Tile Table 4: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) •••• For Nail-On Systems ease 966666 Tile .Fastener Type Direct Deck Direct Dddk ' Batfe 9 '. Profile (Min 15/32" (Min. 1911!:: • plywood) plywood).. .. :••••: .... . .. ..... Plantation Tile 2-10d Rin Shank Nails 30.9 38.1.6...• a 7.2. •• ••• 1-10d Smooth or Screw 7.3 9.8•• 6• +4.996 666.6 Shank Nail • 2-10d Smooth or Screw 14.0 18.8' :.4•• 600006 Shank Nails a • 1 #8 Screw 30.8 30.8 18.2 : • 2#8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Clip) 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip) 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Cli 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) 2-10d Ring Shank 50.3 65.5 48.3 Nails' 1 Installation with a 4"file headlap and fasteners are located a minimum of 2'/Z'from the head of tile. NOA No.: 10-1202.01 Expiration Date: 12/08/15 Mw��'nnnecOUNrr Approval Date: 12/30/10 Page 3 of 5 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) For Two Pa Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weights per patty 13.9 grams. Polyfoam Product Inc.Avera a weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment- Mf(ft-Ibf) For Sin le Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Pol ProTm 918 9 Plantation Tile Pol ProTm 40.4 4 Large paddy placement of 45 grams of Pot ProTM'. 5 Medium paddy placement of 24 grams of Pol ProTm. Table 7: Attachment Resistance Expressed as a Moment- Mf(ft-Ibf) for Mortar Set Sy stems Tile Profile Tile Application Attachment....• e Dance•••• •••••• Seespecific mortar manufacturer's Notice of Acceptance. 5. LABELING *see •• • • a so 5.1 All tiles shall bear.the imprint or identifiable marking of the manufaptur 's name.or Logo ..:..• as seen below or following statement: "Miami-Dade County Product 4eAlr4)1 Appc+oved" .... •• 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following:hwrgs: USA* "E" •. USA,"E",Entegra"E",where the E is a stylized logo. • • :...:. 000000 6. BUILDING PERMIT REQUIREMENTS • 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 7. MANUFACTURING LOCATIONS 7.1 Okeechobee,FL NOA No.: 10-1202.01 Expiration Date: 12/08/15 �FffimMIAMI•DAD+COUNTY Approval Date: 12/30/10 Page 4 of 5 PROFILE DRAWING PLANTATION FLAT CONCRETE TILE -167 2 , 3�� 0000 . . 0000 0000.. .. 0000 0000.. 0000.. 0000 .. 0000 . 00 00.60 0000.. .. .. 00 . 0000.. . 0 :000:9 0000.. END OF THIS ACCEPTANCE .•. 0 :0669: .. 0000 00 0 NOA No.: 10-1202.01 Expiration Date: 12/08/15 MIAMMAtie courvr�r Approval Date: 12/30/10 Page 5 of 5 MIAM1 MIAMI-DADE 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) www.miamidade.gov/economv 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 ljqging Code including the High Velocity Hurricane Zone of the Florida Building Code. • • 60000 0 000000 •• • ••.6 • 666.40 •• • 0060•0 DESCRIPTION: 3Mrm 2-Component Foam Roof Tile Adhesive AH-160 606000 6 • • 00, LABELING: Each unit shall bear a permanent label with the manufacturer's name or loglaoaix , state and•followi*rg�..• statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein••••• ••0 0 0 •••6• . • •• •6 • •• 06.000 RENEWAL of this NOA shall be considered after a renewal application has been filed aldtIft has beerf no change in the applicable building code negatively affecting the performance of this product. :...:. 0 0. 0 960 • TERMINATION of this NOA will occur after the expiration date or if there has been a revision or Fbftn:e in the • materials, use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 13-0502.02 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. �- NOA No.: 14-0805.01 Mraoane couNry sOPA Expiration Date: 05/10/17 y b Approval Date: 09/04/14 Page 1 of I1 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 this Notice of Acceptance.For the locations where the design pressure requirements, as determined by applicable building code,do 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 tile systems using 2-Component Foam Roof Tile Adhesive AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MT11'2-Component N/A TAS 101 Two component polyurethane foam adhesive Foam Roof Tile Adhesive AH-160 Foam Dispenser N/A Dispensing Equipment RTF1000 •••• ProPack®30& 100 N/A Dispensing Equipmeit • •' •••••• 00 PRODUCTS MANUFACTURED BY OTHERS: •• • .••••. Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current%OA'Wkhich I$f gttarhment resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile ac"etrve. •• •• • •• •••••• MANUFACTURING LOCATION: ...... 1. Tomball,TX. .. . • ••• • PHYSICAL PROPERTIES: 9.4 Prope Test Results Density ASTM D 1622 1.6 lbs./ft.' Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft2 Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-40'F.,2 weeks +6.0%Volume Change @158°F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% 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. -1NTv4 ' • NOA No.: 14-0805.01 JM=1AM1 Dewe couExpiration Date: 05/10/17 Approval Date: 09/04/14 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 0000 528454-10-10000 000000 • • s 520109-1 TAS 101 17.1;&98 .• 520109-2 ' ' 0000.. •• . 0000.0 520109-3 0.0000 0000.. 520109-6 e • 520109-7 •'•' ;1/. 02119 ••••• 520191-1 TAS 101 ""•• 520109-2-1 .. .. . .. 0000.. 0000.. . . . . LIMITATIONS: 0000.. 0000.. . 0000.. 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assenitty for fire i*ati; • 2. 3M""2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat,low,&high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3M" 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 14-0805.01 MLAMI•DADEC®uNTY Expiration Date: 05/10/17 Approval Date: 09/04/14 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 attachment 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 to meet or exceed the resistance value 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. ..•• 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patt;wQiDt shall btlih 0690:6 accordance with the'Placement Details'herein. Each generic tile profile requires the specific placAenfaoted 0 herein. ..... .0 . ...... • 6666.. 6666.. 6666 .. 0 6666 . .. 6666. 6666.. .. . 6666. . 96900 . .. 6666.9 .0.60. 0 00 . . . . 6666.. ...... 0 6 6 .6000. e 0 . . NOA No.: 14-0805.01 MIAM!•DAD®COUNTY Expiration Date: 05/10/17 Approval Date: 09/04/14 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 j 65-70 sq. inches 34 grams under pan LABELING: 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" Off"c liami- . ...... Dade County Product Control Seal as shown below. ••••.: ••...e.iy• •• MIAMIDADE COUNTY •••••• •• • •••••• • sees• • **sees0000 of • • • sees•• • • e • • sees • •• .sees BUILDING PERMIT REQUIREMENTS: ...... .. . ..... As required by the Building Official or applicable building code in order to properly evaluat&#9&iristallat ori of this ...... system. •••••• • . . . . ...... .. • • see 9.9 • fA'a NOA No.: 14-0805.01 MU4MbDADE COUNTY Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 5 of 11 ADHESIVE PLACEMENT DETAIL# 1 t =h plasticCkwam FaddyOwto bUirl Flat/Low Profile Tile 4 re�quirlid�. 1. Starting at the eave course,apply a minimum 2" _ (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam ¢ 4 �. add onto the underlayment positioned as shown paddy Y P , under the strengthening rib closest to the overlock of the tile being set. fA„ , 2. Continue in same manner.Insure approximately 17 (109.7 cm2)—23 (148.4 cm)square inch adhesive �.,, contact with the underside of the tile. 1 4,21r Era•Cluauh•_—� `"aF'.'"�`"r,�s •,"�,y-. r Nail through pS'aaa*cernem Medium Profile/ Double Pan Tile lwhen re ire i Paddy:1 •AehTal 1. Starting at the eave course,apply a minimum 2" uey ,e ' '=� (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. 2. Continue in same manner. Insure apprOM&tely 17 Eatriasaial I�`> u • • •••• •••••• ��,,� (109.7 cm2)—23 (148.4•Wz)tquare ip j4.dhesive •• -� .- . . -, y� contact with the undersi .gthe tile.•.fl ••••;• '"'.,�_.till;�`- Y �n.r." '"�r •••••• • • • ~''�•`�'•+,,, �,,,,{ � ;ter •••• •••••• r acr Ctssura :09 • • • €aiuiar - � 3� •••• • •• ••••• a ®Peseta •••••• •• • ••i••• •• •• • •• •••••• • High Profile/Single Pan'ti a •. &amara�i �F "•+... r P�ldg I�neraeh71ka1 • • • • •••••• 1. Starting at the eave coufsA'apply a mjni;qum 2 • ' (50.8 mm)x 10"(254 mm)x 1"(25.14.0n;foam ' ✓ paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. fl s = 2. Continue in same manner. Insure approximately 17 apfiwnal a h 2 2 (109.7 cm )—23 (148.4 cm )square inch adhesive contact with the underside of the tile. gave s 4R� IMP f2dw NOA No.: 14-0805.01 MIAMFQADECOUN7Y Expiration Date: 05/10/17 uggm; NEWApproval Date: 09/04/14 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 r, g �iam +oi ,..a Flat/Low Profile Tile %; 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 h strengthening rib of the tile closest to the overlock of cmZ )the the being set. Insure approximately 17(109.7 .�i �•.r - `� —23 (148.4 cmZ)square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2"(50.8mm) x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the w ' - underlayment positioned as shown under the strengthening rib closest to the overlock of the tile ��'°�►° �_ Yr h s being set. 3. Continue in same manner.Insure approximately 10" (64.5 cmZ)- 12(77.4 cm2)square inch adhesive contact with the underside of the tile. Nail Arowuhpusliccement Medium Profile/Double Pan Tile lwhep mquira) 1. Starting at the eave course,apply a minima"2"(50.8 mm)x 10"(254 mm)x 1"J25.4•mm)foam9kdy ...... onto the underlayment ositWec�as sh *%ajder the •• ~ ~ pan portion of the tile closAS't'tp'the overltiCk of the •••••• the being set.Insure approMfely 17(1OSP 7 CM)�....; . a ,. �~ 23 (148.4 cmZ)square inch Wesive c4afact with the ' y J ' ~a '� .� •..• • •• 00.00 +• �' � ��_ underside of the tile. • rag�+ rta9 "°•��, ti _ ,�ti •- •0000• •• • 0000• f "" -R:s,, --.,,�. _��'�-,�;r• •• •. • .• •0000• 2. At the second course,applya"uimum 2"(50.8mm) .• x 7"(177.8 mm)x 1"(25.4 mm)foam Gadd}onto tk%..:. ... underlayment positioned aZ shpV under tie pan •• • portion of the tile closest to the oterloc�*otft tile • being set. 3. Continue in same manner.Insure approximately 12" (77.4 cm2)- 14(90.3 cm)square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 14-0805.01 MIAMbDADEeouNTY Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2 (CONTINUED) Neili6augh$sakecomd--.-. High Profile/Single Pan Tile 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 a- pan portion of the tile closest to the overlock of the the being set.Insure approximately 17(109.7 cm)— �, t 23 (148.4 cm)square inch adhesive contact with the .�`' �-•�"�:.�� .�=`° "���'� underside of the tile. e 2. At the second course,apply a minimum 2"(50.8mm) x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the i00ph.u underlayment positioned as shown under the pan portion of the tile closest to the overlock of the the � r t�rl�O ems. being set. 3. Continue in same manner.Insure approximately 17" (109.7 cm)- 19(122.6 cm2)square inch adhesive contact with the underside of the tile. 0000 . . 0000 0000.. .. 0000 0.0.06 06 0 06.00. 666666 . 6 6 0000 .. ..6666 0000 . .6 ..060 66 .. . .. 0000.. 666.66 0 . . . . 0000.. 0000.. 6 . . 6 . 0000.. 00 0 0 600 . 6 0.6 NOA No.: 14-0805.01 rauuwhnaneCovn�Tv Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 8 of I 1 ADHESIVE PLACEMENT DETAIL#3 A1a�"i atu�e�is ia[a�ec�es �daiY ta�1 twimm req&Wdi 1. On the eave course only,apply a minimum 2" (50.8 aaumopdonal m mm)x 10" (254 mm)x 1" (25.4 mm)foam paddy ` Paddy Junder tile) onto the underlayment positioned as shown,under asingle pad# the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the overlock of the tile being set.Leave �� Simgle pad�' �. a approximately 4" (10 1.6 mm)up from the eave singlepaddy ann"Im `-� edge free of foam to prevent the expanded adhesive Zx4hL ' '' from blocking the weep holes. Insure approximately 17-23 in'(109.7-148.4 cmc)of md adhesive contact with the underside of the tile 1n. We ChMM 2. Apply a4" (101.6 mm)x4" (101.6 mm)x 1" (25.4 mm)foam paddy onto the underlayment just below Ratio ProfileTile the second course line positioned foam paddy under the strengthening rib for flat tile,or under the tda€9duough pbsticoemett Single paddy mWertile pan portion of the tile,closest to the underlock for [when irecl) ft&y lbeTween rResi the second course tile to be installed. Insure Paddy approximately 8-9 int(51.6-58.1 CMZ)of adhesive c+a+drt contact with the underside of the tile. swepad an top d (Instructions continued on nextpage) ."". `'� • • 0000 0000•• `r oX41n. . ... •• • •000 • 5 paddyan `` •••a•• •• • 0000•• a� _.2 in. • • • • •�� y� 00.0 • •• 00000 • • ff' Eave(3=re a••••• •• • 0000• •• •• • •• 0000•• Eave Course FaSd3 •••••• • •' • • • 0 MediumPraflleTile • •• �00000 :••••: • • • •0000• NOA No.: 14-0805.01 MSAMi•Dooe :OW" Expiration Date: 05/10/17 Emm Approval Date: 09/04/14 Page 9 of I 1 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) N0 Cl au0 pJwtJc Sime pip imder dfe twhen"Ir 3. Also apply a 2" (50.8 mm)x 4" (101.6 mm)x 3/4" �� (19 mm)paddy on top of the eave course tile mew '� surface as shown,on top of the strengthening rib pad;[undo t[lei for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. 4 Install second course of tile. Insure approximately x4in, ��� ,b 9(58.1 cm)- 11 (71CM2)square inch adhesive �. contact with the underside of the tile at the overlap :ate 3 and 7(45.2 cm2)-9(58.1 cm2)square inch top. We- 4� �"".., •, adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. Ease Ctsurae `T-mda Weeghck 1o6rL Gln. Eave dmote Dripedge High Profit@ Tile • • •••• •••••• as 0 IM •••••• •• • •••••• • •••• • •• ••••• •••••• •• • ••••• •• •• • •• •••••• • • • • • •••••• NOA No.: 14-0805.01 MIAMbDADE COUNN a ,,,• e - Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Two Piece Barrel(Cap and Pan)Tile ppiece enough adhesive to achieve 65 to 70 sq.In. Steep pitch applications 1. Starting at the eave course,apply a minimum 2"ons In contact with the pan tile. when required) (50.8 mm)x 10„(254 mm)x 1„(25.4 mm)foam 2)Tum covers upside down.place adhesive in paddy onto the underlayment positioned as tot in.from outside edge of cover tile. shown under two adjacent pan tiles. Support eave Then install the tile.Ensure 20 to 25 sq.In.contact area. r - ° tiles from rocking until adhesive has a chance to y Underiapment ra�•,� cure. 2. Continue in same manner bringing two pan courses up toward the ridge.Insure - €>� approximately 65 (419.4 cm )—70(451.6 CM2) square inch adhesive contact with the underside C" % Sheathing of the pan tile. �. Sheathing Eave closure (motarshown) 3. Turn covers upside down exposing the underside Weephole Fascia Board of the tile.Apply a minimum 1”(25.4 mm)x 10” (254 mm)bead of adhesive directly on the inner Remove top portion of the eave course cover die.Abut to second course of edge of each side of the cover tile.Leave pan tiles.Ensure eave end of pan and cover tiles are flush at eave rine. approximately 3/4„(19 mm)to 1„(25.4 mm) Two Piece Barrel-High Profile Tile from the outside edge of the tile,inward,free of foam to allow for expansion. 4. Turn cover tile over afrej+fogm is aRQFI%d and •• place onto pan tile cov;4G,•i41sure a plfiioium ol•• 20(129 cm2)-25 (16x1.34»)square finch . • contact area on each sideQf the coder tide to thS* pan tile.Continue in saale-Lamer.1*riwl away••e a 9 any cured exposed foie Rdlesive;Ppif ting of••9•• longitudinal edges oMe'clover tilts 000 606990 considered optional. :":': ' . . . . a..... 5. When additional naillq&is>3-,quir4d.2y'.(�0.8 ;•••• mm)x 4"(101.6 mm)nailers or tffe.&2 i1ire system using galvanized,stainless steel,or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 14-0805.01 MAMI•DADE COUNTY Expiration Date: 05/10/17 x:;. t Approval Date: 09/04/14 Page 11 of 11