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RF-15-2354 �sO1S y, Miami Shores Village 7`y Roof 10050 N.E.2nd Avenue NEIR f " Miami Shores,FL 33138-0000 VIM Phone: (305)795-22043» FLORWp' 'N - - / Expiration: 04/05/2016 1 1,64 Project Address Parcel Number Applicant 318 NE 102 Street 1132060135160 SHEILA&PETER BAEDITA Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell SHEILA&PETER BAEDITA 318 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,680.00 DENNIS ROOFING INC Total Sq Feet: 50 Type of Work:Repair Available Inspections: Additional Info:FIX TWO LEAKS IN FRONT OF HOUSE. B Inspection Type: Classification:Residential Roof Repair Scanning:3 Final Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# RF-9-15-57101 $2.00 10/08/2015 Check#: 11721 $66.20 $50.00 DCA Fee $2.00 Education Surcharge $0.40 09/16/2015 Check#: 11679 $50.00 $0.00 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and i rmore, I authorize the above-named contractor to do the work stated. October 08, 2015 orized Sig ure:Owner / Applicant / Contractor / Agent Date Building Department Copy October 08,2015 1 Miami Shores Village qBuilding Department 11,15 (�us 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)'756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201'A BUILDING Master Permit No. `� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CON RACTOR DRAWINGS 3aJ� JOB ADDRESS: / V _— City: Miami Shores 7Coun : Miami Dade Zip: 3 Folio/Parcel#: f /� �� ��C�(� Is the Building Historical{y Desig a d:Yes NO Occupancy Type: Load: fV�7A Construction Type: C` � Flood Zone: ,1 BFE: FFE: OWNER:Name(Fee Simple Titleholder): - P —� IJ Phone#: Address: �) Y j F- O. I City: vQ r State: Zip: 1 Tenant/Lessee Name: Phone#: (ti 1„4 Email: A CONTRACTOR:Company Name: 0Phone#: Address: C� CD) C City: ,(��.�-,� —State: Zip: Qualifier Name: ` p Phone#: State Certification or Registration L� Certificate of Competency#: a00 C) DESIGNER:Architect/Engineer: Phone#: � '"" Address: R` 1 .P, / p City: State: i : Value of Work for this Permit:$_ l7 C��� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New R?/Repla ❑ Demolition Description of Work: - O r Specify color of color thru tile: i t Submittal Fee$ 'W Permit Fee$ "W CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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. I the absen such posted notice, the inspection will not be approved and a reinspection fee will be charged. SignaturIx Signatur OVA ER or AG T ACTOR The foregoing instrument was ackno Iedged before me this The foregoing instrum t was ackn wledged before me this day of 20 �by day of ��' 20 by who isqiEnally known ('Arx�/gin^ f who isovally kno n to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: l � Sign: Si u, Not u e o 0 of FI rda Print: Ic He ley 1 Pri y OF Fro°' Expires 01/17/2016 aA C PQ My commission EE 160088 Seal: Se 9jFcrfloa Expiresol/17/2016 *********rs**s*ss************srs*� •s* ** *ssr***ss*ss:s****�**#****�*rrs*rr•r*r*rs+er#r�****s*ssss***ssss APPROVED BY l Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application- Miami-Dade County Page 1 of 1 ;-leaf= OFFICE QF THE PROPERTY APPRAISER Summary Report Generated On:6/1/2015 Property Information Folio: 11-3206-013-5160 Property Address: 318 NE 102 ST Owner PETER M BAEDITA&W SHEILA M BAEDITA NE 102ND ST Mailing Address 318 NE 102 ST MIAMI SHORES,FL 33138-2429 Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,659 Sq.Ft uJ Living Area 1,285 Sq.Ft Adjusted Area 1,488 Sq.Ft Taxable Value Information Lot Size 8,625 Sq.Ft 2015 2014 2013 Year Bulk 1939 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2015 2014 2013 Taxable Value 1 $187,470 $185,586 $182,105 Land Value $207,224 $181,056 $160,546 School Board Building Value $103, $100,886 $100,886 Exemption Value $25,000 $25,000 $25,000 XF Value 30 $2,361 $2,392 Taxable Value $212,470 $210,586 $207,105 city Market Value $313,119 $284,303 $263,824 Assessed Value $237,47 $235,586 $232,105 Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $187,470 $185,586 $182,105 Benefits information Regional Benefit Type 2015 2014 2013 Exemption Value 1 $50,000 $50,000 $50,000 Save Our Homes Assessment Taxable Value $187,470 $185,586 $182,105 Cap Reduction $75,649 $48,717 $31,719 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 $25,000 $25,000 Previous Price OR Book- Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sale Page School Board,City,Regional). 08/01/2003 $333,000 21702-2637 2008 and prior year sales;Qual by exam of deed Short Legal Description 07/01/1993 $127,500 15986-0390 2008 and prior year sales;Qual by MIAMI SHORES SEC 1 AMD PB 10-70 1 exam of deed LOT 10&W1/2 LOT 9 BLK 38 06/01/1989 $90,000 14179-2005 2008 and prior year sales;Qual by LOT SIZE 75.000 X 115 1 exam of deed OR 15986-0390 07931 2008 and prior year sales;Qual by COC 21702-2637 08 2003 1 06/01/1985 $67,000 12575-2437 exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.govfiinfo/disdaimer.asp Version: http://www.miamidade.gov/propertysearch/ 06/01/2015 Y , t CTQ_B y+ Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 000019181 DENNIS ROOFING INC D.B.A.: DIaNCIS EDWARD JR Is certified under the prnvisi sDf Chapter 10 of Miami-Dade County; t STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION r CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 DENNIS, FRANCIS EDWARD DENNIS ROOFING INC PO BOX 924273 PRINCETON FL 33092 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. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to RC0066548 ISSUED: 08/30/2015 serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information REGISTERED ROOFING CONTRACTOR about our divisions and the regulations that impact you, subscribe DENNIS, FRANCIS EDWARD to department newsletters and learn more about the Department's DENNIS ROOFING INC initiatives. (INDIVIDUAL MUST MEET ALL LOCAL Our mission at the Department is: License Efficiently, Regulate Fairly. LICENSING REQUIREMENTS PRIOR We constantly strive to serve you better so that you can serve your TO CONTRACTING IN ANY AREA) customers. Thank you for doing business in Florida, HAS REGISTERED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date : AUG 31,2017 L1508300002336 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD RC0066548 k wa The ROOFING CONTRACTOR '� Y Named below HAS REGISTERED `'- Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2017 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO.CONTRACTING IN ANY AREA) 0• 0 DENNIS, FRANCIS EDWARD �• DENNIS ROOFING INC 14865 SW 161 STREET MIAMI FL 33187 0 ISSUED: 08/30/2015 DISPLAY AS REQUIRED BY LAW SEQ# L1508300002336 Y B' ' T Local Business Tax Receipt Miami—Dade County; State of Florida -THIS IS NOT A BILL-DO NOT PAY 2731371 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES DENNIS ROOFING INCRENEWA 0 - L 10880 SW 186 ST 69 SEPTEMBER 30, 2016 2861574 MIAMI, FL 33157 Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS DENNIS ROOFING INC PAYMENT RECEIVED _ 196 SPECIALTY BUILDING BY TAX COLLECTOR C/O DENNIS,FRANK CONTRACTOR 115.00 09/11/2015 Worker(s) 18 000019181 0247-15-005729 This Local Business Tax Receipt only confirms paymentof the Local Business Tax.The Receipt is nota license, permit,or a certification of the holder's qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above muss be displayed on all commercial vehicles-Miami-Dade Code Sec 86-276. MIMIAM For moreiinformation,visit www.miamidade.goykaxcollector v Municipal Contractor's Tax Receipt , Miami—Dade County, State of FloridaM, -THIS IS NOT A BILL-DO,NOT PAY CC NO: 0000 19 181 i BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES DENNIS ROOFING INC SEPTEMBER 30 2016 10880 SWW 186186 ST 699 7471643 y MIAMI,FL 33157 Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS. - pAYMENTRECEIVED - DENNIS ROOFING INC SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR C/O DENNIS,FRANK 175.00 09/11/2015 0247-15-005729 This receipt is not valid in the following Municipalities:Aventure,Doral,Hialeah,Key Biscayne, Miami Gardeps,Miami Lakes,Palmetto Bay,Pinecrest,Sunny Isles Beach,Town of Cutler Bay. MIAMb. For more information,visit www.miamidede.gov/texcollector DENR001 OP ID: MC ,acoRO° CERTIFICATE OF LIABILITY INSURANCE DATE(M4/20 5 �.� 09/14/2015 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 J.W.Edens&Company PHONE Fax Commercial ins of Brevard,Inc ac No Ext): A/c No). 325 Fifth Avenue,Suite 108 E-MAIL Indialantic,FL 32903 ADDRESS: - Phillip Lane INSURERS AFFORDING COVERAGE NAIC# INSURERA:Axis Surplus Ins.Co. 26620 INSURED Dennis Roofing,Inc. INSURER B: P.O.Box 924273 Princeton,FL 33092 INSURER C: INSURER D: INSURER E: 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. INSRTYPE OF INSURANCE R DL R POLICY EFF POLICY EXP LIMITS POLICY NUMBER MMID MMID GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY FLGLN01758AX 07/23/2015 07/23/2016 PREMISES Ea occurrence $ 50,00 CLAIMS-MADE FX_1 OCCUR MED EXP(Any one person) $ 5,00 PERSONAL RADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 X POLICY PRO LOC $ ACOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNEDI PERACCIDDAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N Y IMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Roofing Contractor RC0066548 and CC000019181 *Replaces COI issued 7.21.15 ( CERTIFICATE HOLDER CANCELLATION VILLMSH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E.2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 14-SEP-2015 14:02 FROM:DENNIS ROOFING INC 305 258 6410 TO:3057568972 P.3 Issue Date: 11/25/2014 FLORIDA ME ROOFINO,SHEET METAL&AIR CONDITIONING CONTRAc roRS ASSOCIATION,INC_ � RSA SELF--- -- "INSURERS - -- _ _ _ D 1-800-767-3772 -FAX(407)671-2520 CERTIFICATE OF INSURANCE ISSUED TO: COPY PROVIDED TO: Village Of Miami Shores Dennis Roofing, Inc. Building Dept. P_O_ Box 924273 10050 Ne 2Nd Ave. Princeton, FL 33092 Miami Shores, FL 33138 Attention:To Whom It May Concem Dennis Roofing, Inc. This Is to Certify that: P.O. Box 924273 Princeton, FL 33092 being subject to the provisions of the Florida Workers, Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL 8 AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND,4099 Metric Drive, Winter Park, FL 32792. COVERAGE NUMBER: 870-007546 LIMITS EFFECTIVE DATE: 1/1/2015 Workers'Compensation: Statutory-State of Florida Employers'Liability. $100,000.00 Each Accident EXPIRATION DATE: 1/1/2016 $100,000.00 Disease, Each Employee $600,000.00 Disease, Policy Limit REMARKS: Non-cancelable,without 30 days prior written notice,except for non-payment of premium which will be a 10 day written notice. This certificate is issued as a matter of information only, is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be constructed as extending coverage not afforded by the Policy(les) shown above or as affording insurance to any insured not named above. This provides coverage for Florida policyholders and Florida domiciled employees only_ BY! By; Y Brett Stiegel,Administrator Debra Guidry,+CPCU, Un erwriting Manager FRSA-SIF FRSA-SI F CC 19181 "FOR THE ROOF OF YOUR LIFE" "OR THE LIFE OF YOUR ROOF" Licensed•Insured 0 HIS1RODFIH r 10880 S.W. 186 St.Miami,FL 3'315' Phone:(305)258-6655 • Fax: (305)258-6410 Bay 69 MAIL-P.O.Box 924273 • Princeton;FL 33092-4273 September 15, 2015. State of Florida County of Miami-Dade Before me this day personally appeared Francis E. Dennis who, being duly sworn, deposes and says: That Dennis Roofing, Inc. will be repairing the roof at address mentioned. That he or she will be the only person working on the project located at: 318 NE 102 Street Miami Shores, F1 33138 Sworn• to (oraffimed) and subscribed before me this 15th day of September 2015 by: Personally Known Or Produced Identification Type of Identification Produced Q-M(j r°� 00#, Notary Notary Public State of Florida Michelle E Hensley c, < My Commission EE 160086 Of PExpires 01/17/2016 Print, Type or Stamp Name of Notary �SNottBs y� '-logo ' Miami shores Village Building Department ��ORiDp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing iwas acknowledge before me this �5� day of 20 By /�/ i ti25L �/ who is personally_known to me or has produced as identification. Notary: �1 SEAL. a,pav ars, Notary Public State of Florida ? Michelle E Heasley a z c My Commiss;or EL 160088 �'Fo ,0 Expires 01/17/2016 REsh Miami Shores Village some 1•.111" Building Department e 10050 N.E.2nd Avenue V Nr Miami Shores, Florida 33138 0Tel: (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, FI 33138 Re: Owner's Name: �f Property Address: Roofing Permit Number: Dear Building Offic' I 1 E certify that I am not required to retrofit the roof to wall connections of my building because: �fhe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC)or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she Lis,the owner for the above property mentioned. Sworn to and subscribed before me this oZ 3 day of 14Vb-)k5 ' '0 =�OaY P%,� Notary Public State!% oFlorida�(// Michelle E Hensleyy Notary Public, Sate of Florida at Large �f My Commission EE 160088 Expires 01/17/2016 J • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more th"a x300,000.00,and 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. 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CCai/a ii�Rr'a1/R■raa/raaRaa CE 0111 iCCCC "C'CCs'CiasoCC CiCCCCCwon CC"UHI CCC"C'C"'CCCCC'�•",�iiiiCCCCai:a doom a C: :Car"CCCa•a:CCC'C • affa as ■C r CRC■ f■iC!•�R!/it ii .,. 1pCC�Cr Iala .riiinaCHE s/ Cr'•:CrraaCaiC"a ■ a_aa�r' ..-=-.�.if.. ■ 4 !C C pro■■ .•.- - .a. .tli�S// �rRR■ ! f ri/"" CCtonsuCCCCC:CCCCC,C'CC��Ciligi"C'C'l i�iIs i ong Ci�vieg■aii'C■"`■■Ci■CCCCCC +L`��if►a C■on 111111:11 a■ ff t iifaiia■ iaCC'it■ fafu■C�rCai/ CC a�al\r.i Florida Building Code 5th Edition (2014) High-Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: �°+ Notice of Acceptance Number: J Minimum Design Wind Pressures,NApplicab/le(From RAS 127 or Calculations): P1: 291 P2: 66�' / P3: o f Maximum Design Pressure M From the NOA Specific S stem Method of file hment: I 1 :Y1 Steep Sloped Roof System Description Deck Type: ', 71 ype Underiayment: Roof lope: S nsulation: � � • 12 Ire er• Ridge V ntilation? astener Type&Spacing: /V dhesive Type cz ype Cap Sheet: .... ... .. .: oof Covering: ...... Mean Roof Height: Type&Size Orip.' ..... �� V Florida Building Code Sth Edition (2014) High-Velocity Hurricane Zone.Uniform Permit Application Form Section E (Tile Calculations) For Moment based the s ystems,choose eltter Method 1 or 2.Compared the values for M,wlth the valves from M,.Tithe Mt valines are greater than or egiW to the Mr values,for each area of the roof,then the Me attachment method is acceptable. (p Method 1"Moment Based Tile Cak ' fns r RAS 127' (P: z 7"1/�� g: _ 9 9 NOA Dft��. (P,;[cln z i�+ g; _ tO:A NOA 144 23 MO od 2"Simplified Tile Cakdation Per Table Below" Required Monent of it 7(K)From Table Below NOA 144 M.Required Moment Resistance* MGM Roof HOWIt — Roof slope 1S' 2W 2W 30' 4W WIF- 25A .1 7-12 2U *Must be used in coaiunetion with a list of mom t ba tile systems endorsed by the Broward County Board of Rales and Appeals. For Uplift based the systems use Method 3. Co the values for F'with the values for F,.If the F•values are greater than sal to the F,values,for each area of the roof,then the the athcbment ' is Method 3"Uplift Based Til Cakuhatio Per RAS 127' w:_____)—W: z cos B:_= Fn: NOA F' w:__)—W: z cos 9: NOA F' r *— NOA F' Wheq6 to Obtain Information' -Description S bo re to find DesipPreemie PIorP2 P3 RAS 127T IorbyaneoRioee� by PS • Mem Roof HoW Job Site • RoofSope g Job Site •••..• ••.• •..•• NOA ••.•.• • • RcftKbg Mammt due to Gravity NOA some ••••• • A#Whma t Raosmoce MNOA • • •••••• Mammt N, *•�•* Mioimam AttsaW=W NOA ••••• F, Calculded • •• •• • •...• Ly=Tfiewd& W NOA **' **• • ** Dimemtaos NOA • we width •.•..• All akadtfims must be submimed to the st dme of • • • • t 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,the following items should be addressed as part of the agreement between the owner and the contractor.The owner's initial in the adjacent box indicates that the item has been explained. 1.Aesthetics-Workmanship:The workmanship provisions of Section R4402 are for the purpose of viding 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 nailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system.) 4 3. Common Roofs: Common roofs are those which have no visible delineation between L"r neighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing Lj contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. �1 4. Exposed Ceilings: Exposed,open beam ceilings are where the underside of the roof decking ca 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. _-/?b 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 Sections R4402,R4403 and R4413. .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. 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 archit Q to S mate t!hb* tic •••••• venting,venting shall not be required. .. .. O er' g s Sig ture Date ntract �WWVre • . . tu � I Property Address Permit Number :""' • MIAMI-DAM MIAMI-DADS COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT(BNC) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NQTIE O PTANCE NOA www.miamidadeg9L/bvJtdlng/ gle Roofing acts L 1 75 East C.R.470 umterville,FL 33585 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County BNC-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (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. BNC reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code includi =Capistrana f the Florida Building Code. ESCRIPABEt 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 Count9„Ftodda, a0d *lowed by,• the expiration date maybe displayed in advertising literature. if any portion of the NOA i*displayed;Wh it shall.:. be done in its entirety. 000:99 • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its"distributors'': go .feet. ffef ..... and shall be available for inspection at the job site at the request of the Building Official'„• t„• ,,,,�. This renews NOA#07-1018.09 and consists of pages 1 through 7. • . . . . ...... The submitted documentation was reviewed by Alex Tigera. :""' _.._... e NOA No.:11'0321.03 M1 abADE COUN Expiration Date: 10/05/16 Approval Date: 05/12/11 Page I of 7 ROOFING ASSEMBLY APPROVAL Catesory Roofing Sub Cateaoa: Roofing Tiles terial• Concrete i.SCOPE: es approves a new roofing system using "Capistrano Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville,FL.and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment c shall be done as a moment based system. 2.PRODUCT DESCRIPTIO . i Manufactured by Test Product scan Dimensions Socci ications Description Capistrano Concrete L= 17" TAS 112 High profile concrete roof tile. For direct Tile W= 12 '/" deck or battened nail-on applications. Thickness='/x" �rimPiec I =varies TAS 112 Accessory trim,clay roof pieces for use at w=varies hips,rakes,ridges and valley varying thickness terminations. Manufactured for each tile profile. .• • . .. 0.0.00 .... ...... •••••• ...... .... ..... . . . . ...... 0000•• NOA No. W-0311.03 NnAMe to Expiration Date:10/05/16 Approval Date: 05/12/11 Page 2 of 7 2.1 EVIDENCE SUBMITT Te, t A enc est Identifier Test Name/Report Date P " Asphalt Technologies ERPF-001-02-02 TAS-112 Aug. 2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & 102(A) Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108(Nail-On) Redland Technologies P09647-01 Wind Tunnel Testing Aug. 1994 TAS 108(Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of screw Sept. 1993 vs.smooth shank nails The Center for Applied 94-083 Static Uplift Testing April 1994 Engineering,Inc. TAS 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) The Center for Applied 25-7094-(3,6 & 9) Static Uplift Testing Oct. 1994 Engineering, Inc. TAS 102 The Center for Applied 25-7120-(1 &2) Static Uplift Testing Nov. 1994 Engineering,Inc. TAS 102 The Center for Applied 25-7183-(3 &4) Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 The Center for Applied 25-7214-(3,4,&7) Static Uplift Testing March, 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7804-4 Static Uplift Testing Sep. 1996 Engineering,Inc. TAS 102 Celotex Corporation 520111-3 Static Uplift Testing Dec. 1998 Testing Services TAS 101 Celotex Corporation 520191-2-1 Static Uplift Testing March 1999 Testing Services TAS 101 Walker Engineering,Inc. Calculations Aerodynamic Multiplier:...'. Se1S.'2006 •••••• • so see:.* sees sees.. sees.. sees.. sees • .sse.e . sees . .e.e. sees.. sees sees. .. .. .e s sees.. sees.. • • sees.. sees.. . . sees.. _ NOA No.:11-0321.03 MAW g Cp Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 3 of 7 �. LIMITATIONS:: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'.Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in iance with applicable building code. 4. INSTALLATi ag a Roofing Products LLC Capistrano Concrete Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight(W)and Dimensions(I x w) Tile Profile Weight-W(Ibf) Length-1(ft) Width-w(ft) ,Capistrano Concrete Tile 10 1.417 1.04 able 2: Aerodynamic Multi liens-A(feW Tile (ft ) Profile Batten Application irect Dec A licatio Capistrano Concrete Tile 0 0.277 rina Moments due to Gravl -M ft- Tile ":12" 4":12" 5":12" 6":12" Greater than Profile 7":12" Capistrano BattensDirect Battens Direct Battens Direct Battens Direct Battens Direct Concrete Tile I Deck I Deck I Deck Deck roft 6.68 6.99 16.57 1 6.88 6.44 1 6.73 6.281-TW-106.10 096.38 ••••;• 0000.. 0000 0000.. 0000.. • 0000.. 0000 • 0000.. 0000 66696 0000.. 0000 000.0 .. .. .. . 9660.. 0000.. • . . . . 00 000000 0000.. 00 . . 090906 NOA No.:11-0321.03 MIMADE COUNTY= Expiration Date: 10/05/16 ®� Approval Date: 05/12/11 Page 4of7 Table 4: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Nail-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15132" plywood) (min. 19132" plywood) Capistrano 2-10d Ring Shank Nails 28.6 41.2 19.4 Concrete 1-10d Smooth or Screw 5.1 6.8 2.8 Tile Shank Nail 2-10d Smooth or Screw 6.9 9.2 7.3 Shank Nails 1 #8 Screw 20.7 20.7 18.1 2#8 Screw 43.2 43.2 29.8 1-10d Smooth or Screw 23.1 23.1 19.0 Shank Nail Field Clip) 1-10d Smooth or Screw 29.3 29.3 24.0 Shank Nail Eave Clip) 2-10d Smooth or Screw 27.6 27.6 38.6 Shank Nails Field Clip) 2-10d Smooth or Screw 38.1 38.1 41.8 Shank Nails Eave Clip) 2-10d Rin Shank Nails 33.1 48.1 45.2 1. Installation with a 4"tile headlap and fasteners are located a min. of 2%from head of tile. liable^6: Attachment Resistance Expressed as a Moment Mf{ - for Two Patty Adhesive Set Systems --T"L-- Tile Application um Attachment ProfileRes ce Capistrano Concrete Tile Adhesive 29.3 1 See Flexible Products CompanyTileBond Average weight per rams. Table 6: Attachment Resistance Expressed as a Moment- Mf(ft-lbf) for Single Patt y Adhesive Set Systems Tile Tile Application Minimum Attachment Profile ResIstanoe'''. Capistrano Concrete Tile Polyfbarn Pol ProTm 6V.5 '•"'• Polyfoam Pol Pro'T" 3$.7 ' .... • 3 Large paddy placement of 63 rams of Pol Proem "•'•• 4 Medium paddy placement of 24 rams of Pol ProTM. •••• .... . ..... Table 7: Attachment Resistance Expressed as a Moment- l%fjfNbf) •••• ••:.•' . . for Mortar Set Systems so 00 •• •••••• Tile Tile A nt •• Profile Application Resistance :••••• , ...... Capistrano Concrete Tile Mortar Set •Q4. ... , . . 5 Tile-Tito Roof Tile Mortar. NOA No.:11-0321.03 MtAMMADE COUNTY Expiration Date: 10/05/16 "• Approval Date: 05/12/11 Page 5 of 7 5. LABELING ar the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below),or following statement: "Miami-Dade County Product Control Approved". A. t® FLOWNIDA CAPISTRANO CONCRETE ROOF TILE LABEL,SUMTERVILLE PLANT (LOCATED ON UNDERSIDE OF TILE) (6. BUILDING PERMIT REQUIREME S: 6.1 Application for building perm" hall be accompanied by copies of the following: this Noti ptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system, • •••.•• •o.• • • • •••••• • • • • • ••••% 0000 00 NOA No.:11-0321.03 Mu►M c u Expiration Date: 10/05/16 • Approval Date: 05/12/11 Page 6 of 7 PROFILE DRA,WI G MILMOR 41. Wile as ! �I 660. • . 0000 0000.. . 0000.. 0000 0000.. .. .00666 6066.. 000* • 00.060 00.0. 0000 • 0000.. 0000 0000. • • 6. 6 6 0 6. . 0000.. CAPISTRANO CONCRETE ROOF TIL 6 6, •000*:0 6•• • • END ACCEPTANCE NOA No.:11-0321.03 Mi Mw•co Jnr Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 7 of 7 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODEADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 TILE OF ACCEPT E. NOA www.miamidade.sov/economy The Dow OF Company 1605 Joseph Drive 290 Larkin Center Wand,MI 48674 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 escrl e d has been designed to comply with the Florida Building Code Estatement: "Miami-Dade elocity Hurricane ZoaontrolApproved", Building Code. ILE BONDTm Roo u ' bear a permhe manufacturer's name or logo,city, state and f64(9' kW ••••• e County Product unless otherwise noted herein. •••• • RENEWAL of this NOA shall be considered after a renewal application has been filed and them4W]Ieen 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 chsgnge in tha. ••••• materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorsemppt many prodtict,•for :• sales, advertising or any other purposes shall automatically terminate this NOA.Failure to comply wi&!uiy secticfi of •� • this NOA shall be cause for termination and removal of NOA. • ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Acca' and f Iloveed00 • 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# 11-0616.03 and consists of pages 1 through 9. The submitted documentation was reviewed by Alex Tigera. piraONDo.: 1: 8 MIAMDADECOUNTioC,. lyjvj� tn ate6 P Approval Date: 09/04/14 Page 1 of 9 ROOFING COMPONENT APPROVAL Category: Roofing Sub Category: Roof Tile Adhesive Material: Polyurethane SCOPE: This ap ro LE BONDTm Roof Tile Adhesive as manufactured by The Dow Chemical Company as described in this Notice of Acceptance.For the locations where the pressure requirements,as determined by applicable building code, do not exceed the design pressure values; as obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat,low,and hi profile roof tiles stems using TILE BONDTM Roof Tile PP �P Y g Adhesive. (1RODUCTS MANUFAC D BY APPLICANT: Product imensions Test Product Description " Specifications TILE BONDrm Roof Tile N/A TAS 101 Single component polyurethane foam roof tile Adhesive adhesive PRODUCTS MANUFACTU BY OTHERS: Any Miami-Dade County Prod control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values wi a use of TILE BOND roof tile adhesive. MANUFACTURING LOCATION: 1. Wilmington,IL. 0.0. PHYSICAL PROPERTIES: 9• ••go ••• .0000.0 ego*Proper Test Results••• 0 • Density ASTM D 1622 1.83 lbs./ft.3 • 0000.. 0000.. Compressive Strength ASTM D 1621 14.31 psi .*0000 •.... Tensile Strength ASTM D 1623 31.2 lbf @ 180°F, 65%RH foW20 days,.COxrete 0 0:0 0• 0000.. to concrete •••••• Water Absorption ASTM D 2842 2.21%absorbed by Volumi •. Moisture Vapor Transmission ASTM E 96 3.00 Perm/Inch " • 0000.. Dimensional Stability ASTM D 2126 -0.47%Volume Change @•40°G. 2 weeks 000000 -4.05%Volume Change @W.,f 00%1hittidity, 2 weeks • Closed Cell Content ASTM D 2856 86.3% 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.: 14-0820.08 MOMMADE COUNTY Expiration Date: 08/23/16 Approval Date:09/04/14 Page 2 of 9 EVIDENCE SUBMI D: Test Aaency Test Identifier Test Name/Report Date Center for--� 25-7512-1 TAS 101 01/25/96 Engineering 25-7512-2 TAS 101 01/25/96 25-7512-3 TAS 101 01/25/96 25-77512-4 TAS 101 01/25/96 25-7781 Physical Properties Testing 11/07/96 257794-2 SSTD 11-93 10/03/96 South Research Institute 01.8366-014 ASTM E108-95a February 1997 Walker Engineering,Inc. N/A Evaluation of Test on a Two-pad 12/16/97 System Celotex Corp. Testing 520111-1 TAS 101 12/28/98 Services 520111-2 TAS 101 12/28/98 520111-3 TAS 101 12/28/98 520111-4 TAS 101 12/28/98 520111-7 TAS 101 12/28/98 520111-8 TAS 101 12/28/98 520111-12 TAS 101 12/28/98 520135-3 TAS 101 02/01/99 5201354 TAS 101 02/01/99 520135-5 TAS 101 02/01/99 IBA Consultants Inc. 4848-8 TAS 101 05/19/08 4848-7 TAS 101 05/19/08 4848-6 TAS 101 05/1.'98'. 6666.. 4848-5 TAS 101 •• 05/19108• •• 4848-4 TAS 101 •• • 05/1D/Gd • 4848-3 TAS 101 ••':" 05/1970 • 4848-2 TAS 101 ''••x•' 05/14/08 . • 4848-1 TAS 101 •666005/10%'oo •••••. 6 6000.. 6666 6666. Trinity ERD D9840.09.09 TAS 110 .. 09/17/99• 6666.. • go o MM 6666.. • NOA No.: 14-0820.08 MIAMI•DADE COUNTY Expiration Date: 08/23/16 Approval Date: 09/04/14 Page 3 of 9 LIMITATIONS: Fire ation is not part of this acceptance. 2. TILE BOND Roof Tile Adhesive can be used with flat,low,medium and 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 TILE BONDTm Roof Tile Adhesive roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. IFS W F'= 12 ) __ MS 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and 61 G20-3 of the Florida Administrative Code. INSTALLATION: 1. TILE BOND oof Tile Adhesive may be used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of TILE BOND Roof Tile Adhesive. 2. TILE BOND Roof Tile Adhesive 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 TILE BOND Roof Tile Adhesive 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. TILE BOND Roof Tile Adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120,and The Dow Chemical Company TILE BOND''Roof Tile Adhesive Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by The Dow CWM .... ...... Company. • 5. Pressure treated wood filler block shall be required on all eave course of all tile profiles,e ceo Ash twoueas` •••••' barrel the ` 6. Tiles must be adhered in freshly applied adhesive. Tile must be set within 4 minutes after TILE WND' R4"f .....• Tile Adhesive has been dispensed. • 7. TILE BONDTm Roof Tile Adhesive placement and minimum patty weight shall be in accordance with the•• `•• • 'Placement Details'herein. Each generic tile profile requires the specific placement noted h�reipl; ••••;. TABLE 1: ADHESIVE PLACEMENT FOR EACH GENERIC TILE PRILE • .. • Tile Placement Minimum patty Weight Contact Area Profile Detail per file(grams) (Square inches) Flat/Low Profile #1 11.1 19.5 Medium Profile #2 11.0 19.5 High Profile(Head) #3 22.0 39 --High Profile(Nose) 11.0 19.5 Two Piece Barrel #4 11.6 20 NOA No.: 14-0820.08 MIAMMADe COMM Expiration Date: 08/23/16 Approval Date:09/04/14 Page 4 of 9 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" or the Miami- Dade County Product Control Seal as shown below. MIAMFQADE GOUO B LDING PERMIT REQUIREMENT As required by. p icable building code in order to properly evaluate the installation of this system. 0000 0000 0000.. 0000.. 0000 0000.. 0000.. 0000.. 0000 • 0000.. 0000. 0000 • .....� 0000 0000. 0000.. • • . . 0 0 000000 0000.. • 000000 ..' 0 •.. • 00 � NOA No.: 140820.08 Mu ,APPROVE neCo�� Expiration Date: 08/23/16 Approval Date: 09/04/14 Page 5 of 9 ADHESIVE PLACEMNT DETAIL LOW(FLAT)PROFILE DETAIL#1 6666.. 6666 6666 6666.. 6666.. 6666 6666. 6666.. 6666 6666. 06 00 .. . .0006. 660.6. . ...... 6666.. . . .6000. .. 6666 NOA No.: 14-0820.08 MIAMI•DADECOUN7Y Expiration Date: 08/23/16 Approval Date: 09/04/14 Page 6 of 9 MEDIUM PROFILE DETAIL#2 0000 . . 0000 0000.. 0000 . 0000 0000.. 0000. 0000.. 0000 0000.. 0000 0000. 0000.. 0000 0000. .. .. 00 0 0*0,0,0,0 0000. . . . . .00,00. . . 00000 00 . 0 0 •0,0 00 0 NOA No.: 14-0820.08 MMADE COUNTY Expiration Date: 08/23/16 Approval Date: 09/04/14 Page 7 of 9 HIGH PROFILE DETAIL;#3 . . 0000 0000.. ••.0Y0 0000 0000•• • 0000 • . • • • • 0000•• 0000 • 0000• 0000•• 0000 0000• •• •• •• • 0000.• • 0000•• • • • • • • 0000•• 0000•• • • • •0000• NOA No.: 14-0820.08 M"MADE COUNTY Expiration Date: 08/23/16 Approval Date: 09/04/14 Page 8 of 9 BARREL PROFILE DETAIL#4 0 0 0000.. 0000. 0000 0000.. 0000.. END F THIS ACCEPTANCE0000.. 0000 0000, 0000.. *00 0* 00*00 0 0 00 00 00 0 0680:0 :00:0: 0 90 0 0 0 0 -00--00 :0000: 0000 0000 :0000: 00 0 MLAMI-DADE COUNTY NOA No.: 14-0820.08 Expiration Date: 08/23/16 Approval Date: 09/04/14 Page 9 of 9