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RF-15-1219 s '564 44 qr Miami Shores VillageIt 10050 N.E.2nd Avenue NEE -d Miami Shores,FL 33138-0000 g ,.11 Phone: (305)795-2204 1 ' � xnR� 5ip15 Expiration: 11122/2016 _ Project Address Parcel Number Applicant 10317 NE 2 Avenue 1121360130380 Miami Shores, FL 33138-2056 Block: Lot: JOSE LUIS&MARICARMEN SAI Owner Information Address Phone Cell JOSE LUIS&MARICARMEN SANCHEZ 10317 NE 2 Avenue (786)717-6690 MIAMI SHORES FL 33138- 10317 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone CUTLER BAY ROOFING INC (786)564-0525 Valuation: $ 11,000.00 Total Sq Feet: 1745 Type of Work:Re Roof Available Inspections: Additional Info:RE ROOF TILE COLOR THRU WHITE Inspection Type: Classification:Residential Scanning:4 Up Lift Report 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 Invoice# RF-5-15-55664 $ .60 05/21/2015 Credit Card DBPR Fee $44 13 $50.00 $T62.86 DCA Fee $4.13 05/26/2015 Credit Card $762.86 $0.00 Education Surcharge $2.20 Bond#:2726 Permit Fee-New Roof $275.00 Scanning Fee $12.00 Technology Fee $8,80 Total: $812.86 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. , t',46u rt a� May 26, 2015 Authorized Signature:Owner / Applicant / Contracto / Agent Date Building Department Copy May 26,2015 1 I� M Id 1111 JI IUI CJ V II IdgC _ v Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUL Q1 v� Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20 t') BUILDING Master Permit No. X F— S—15— R19 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [-]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP p CONTRACTOR DRAWINGS JOB ADDRESS: 10.3 1'4 IV t; a Aye�ye City: Miami Shores County: Miami Dade Zip: 33M Folio/Parcel#: 1 a (o ()1 3 ®3 2 b Is the Building Historically Designated:Yes NO Occupancy Type: Load: -�-ConstructionType:{�j_Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 30s e- Luis 1-iQr�C.orme� JarrlP-2 Phone#: -q% - 312 Address: y e 10313 1 �l vnue L City: I"t i arrl i s h0 re,S State: EL Zip: 3 3 n i _ Tenant/Lessee Name: Phone#: Email: ? �✓kms®.-l__.1 CONTRACTOR:Company Name: Cu ale r 4xvi Ruoflfl% Phone#: Q -Q- Address: QAddress:: I gctoo SL'j 9 City: Culler bom -State: VL Zip: 33111 Qualifier Name: all Lurl -H ar-aJe Phone#: '+K a 6�y-o5qy State Certification or Registration#: CC t 3 a Wil Certificafie of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ OD D o Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New X2kRepai Replace ❑ Demolition Description of Work: T1 Q -k04 Specify color of color thru tile: 11rK C'6cLrco cL 1 Submittal Fee S Permit Fee$ CCF$ CO/CC$ dW U16WE 01 M y Scanning Fee$ Radon Fee$ DBPR$ *ffM FEE VJ-O%ry$ Technology Fee$ Training/Educatlon Fee$ Double Fee$ f CtrrMrnl DnRnure t ClnnA Q Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. d Signature Signature AN V haJAJ &A' C OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 5T dayof lvlw 20Is by IsT- day 2015 by VVL'a r�P SQ,rr.vC who is personally known to km(1 who is personally known to Gr who has produced as me° r who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: C, Sign: 11 Pri Cori —Mar' -Rene. Prin :�Lrinfte Ma g - la 2-o^ y.._.... �;; , croRvave wwne�ROuseeM►�w�ON Seal. °. '' ,a Kc Atrvx►�OM •. /il#AI:3SION EE8401sd ='' ••= MY COMMISSION 8 EE840188 Seal: •ExPIRES tk*t•-.e►.a 2016 w EXPIRES Ocftw06 2018 MMU -isrt a (407 9�-01'� Fbvi�allotmy9errloe.Cam �&�R�RN��B�B�B�HY� 8�ffii�Y89�k�Sd��Bffi�R�k�B�kd«+R�B�R�k�R#��B�R�R�Y�R8�R5�!«&�R&�RS��Bd�E�+Ba&�M��R�BB�&�k�R�R�brieffi�k�k�k�k+RH�+R��k�k�6 711,0 1 APPROVED BY I Plans Examiner Zoning Structural Review Clerk Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248832 Permit Number: RF-5-15-1219 Scheduled Inspection Date: December 07, 2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: SANCHEZ,JOSE LUIS&MARICARMEN Work Classification: Tile Job Address:10317 NE 2 Avenue Miami Shores, FL 33138-2056 Phone Number (786)717-6690 Parcel Number 1121360130380 Project: <NONE> Contractor: CUTLER BAY ROOFING INC Phone: (786)564-0525 Building Department Comments RE ROOF TILE COLOR THRU WHITE Infractio Passed Comments INSPECTOR COMMENTS False CREATED AS REINSPECTION FOR INSP-245949.CREATED AS REINSPECTION FOR INSP-244888.CREATED AS REINSPECTION FOR INSP-235179.CANCELLED BY MADALINE 786-564-0525 1-ricong Wo con- Inspector Comments CREATED AS REINSPECTION FOR INSP-245949. 1 A19 Weatherby Passed REINSPECTION FOR INSP-244888. CREATED AS TION FOR INSP-235179. CANCELLED BY MADALINE 786-564-0525 Nailer around perimeter lacking tao cons Failed cancelled due to weather by B.O 1214/15 Correction Needed ❑ N Re-InspectionCL ❑ Feeo '� a. No Additional Inspections can be scheduled until re-inspection fee is paid o to co C9 c 0 ® uQ. � c December 04,2015 For Inspections please call: (305)762-4949 Page 19 of 28 f � A, A-1 CONSULTING ENGINEERS, INC ROOF STRUCTURES CONSULTING A71 Is, // ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE �. IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE TAS No. 106 UPLIFT TEST EXPERTS SITE SPECIFIC INFORMATION Owner's Name: _ Permit#: Job Address: ��� -�� C — /�All Roofing Contractor:('U 610 „6,4 A1!9 Type of Tile: 9/_210/ 470V ;Z:;�/7__ Date installed: Approximate Roof Height: 02- A/ feet Roof Pitch: ADZ Type of Access to Roof: � Scaffolds Ladder Other Approximate Square Footage of Roof: & • V e ft 2 Required Testing Force:35 lbs. Testing Equipment: F.G.E. 100 Date Tested: �D/T;0�� ST LOCATION UPLIFT PULL TEST rEST LOCATION UPLIFT PULL TEST ST LOCATIOI UPLIFT PULL TEST TEST LOCATIOb UPLIFT PULL TEST rEST LOCAflO UPLIFT PULL TEST ST LOCATIO UPLIFT PULL TEST 1 26 51 76 101 126 2 27 52 77 102 127 3 28 53 78 103 128 4 29 5479 104 129 , 5 30 55 j P 4, 80 105 130 6 31 81 106 131 7 32 57 82 107 132 8 33 58 83 108 133 9 34 59 84 109 134 10 11 1 35 60 85 110 135 11 36 61 86 111 136 12 37 62 87 112 137 13 38 63 88 113 138 14 39 64 89 114 139 15 40 65 90 115 140 16 41 66 91 16 141 17 42 67 92 7 142 18 143 68 93 143 19 44 69 94 AV 144 20 45 70 95 21 46 L73 96 . -mate 121 146 22 47 97 147 23 48 98 , 148 24 49 99 124 149 25 50 100 1 125 150 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CON- TROL TEST.THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT SUB D BY: Jose A.Martinez P.E.#031509 A-1 CONSULI ENGI EERS, INC. Lab. Ce c tion#07-0306.03 Renews:01-1224.05 j 4383 S.W. 70th Ct, Miami, Florida 33155 - Telephone(305)740-9550 - Fax(305)740-9550 ENGLISH: Cell (305) 609-6388 -SPANISH: Cell (305) 498-9804 A-1 CONSULTING ENGINEERSINC. ROOF STL17CTLTRES CONSULTING G UPLIFT TEST MYERTS IAB. CERTIF CATION 1 o.01-1224-5 3 SW 70 CL A°II. 1I FL., 33155 x.305-7 550 F_A.. 5-740-'9550 Ow-.er's name: Pert#: job .address: 10317 NE 2 AVE MIAMI FL. Rooflug contractor: CUTLER BAY ROOFING INC. Type of tile: B-0 RA.L 900. Date installed: Appr to roof helght 12 feet Roof pitch.- 3/12 Tipe of access to roof: Scaffold: Ladder: Other. Apprwdmate square footle of roof: 18 ft2 Required testes force: 315 lb Date tested: lumber of tests: 55 SKETCH OF ROOF L3 51 52 53 5 55 4.2 1 40 .3 32 34 35 37 39 1 2 3 4 5 \ Sell 1 3 3: p 6 15 11 12 13 141 15 1� 20 3 2 31 5 29 3 Repriced„ .I M M Date: 9/15/2015 s ,5�izc I93 Miami zihores Villa e uglier" Budding Department 10050 N.E.2nd Avenue 65 J* Warrd Shores, Florida 3313€5 �IpRIpP► Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# K F" — 0,19 DATE: 06-IR- 9-015' INSPECTION AFFIDAVIT t I I - Hqw.Ae Licensed as a(n)Contractor/Engineer/Architect, (fMit MM and drcls UMM T FS 468 Building Inspecbr License#: C CC 13 2`3 D 99 On or about T)ne- 0 ,201 Y C!1 a�� , I did personally inspect the roof deck nailing and Pale"ne) q Secondary water barrier work at 1019 N 2"� 7 the , I ,m S re S r L , 3-�)In (Complete Job Site Address) Based upon that examination 1 have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on 553. F.S) Signature on P P, stela VU*AW State of Florida w ter COMMISSION 0 EEW018d El(PfRES octr W 06 2016 County of Dade: Isq morww gm The undersigned, being the first duly sworn,deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subs ribed before me this 8 day of In Notary Public, Sate of Florida at Large 'General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with permit#and address#clearly shown marked on the deck for each inspection A �I - c" Mlaml Shores Vlilage � Building Department MAY 2 1.X815 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(305)762-4949 FBCfl 20 0® BUILDING Master Permit Novi—_ PERMIT APPLICATION Sub Permit No. []BUILDING ❑ELECTRIC ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP oL A r v� CONTRACTOR DRAWINGS JOB ADDRESS: I b'b�� I V r- f"A R U City: Miami Shores County: Miami Dade Zip: 331 3� Folio/Parcel#: 11-o 1 bG- 013 - 03 q0 is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: I OWNER:Name(Fee Simple Titleholder): J051 P LIS %AAQ.z K HQn Address: 103 12 NE gra N?, [ _ City: rl l o yn'k Ss r2 S State: i t- Zip: 313 0 Tenant/Lessee Name: Phone#: Email: 11� (� Q T CONTRACTOR:Company Name: ,Ar' 60.4 � 0011na 'The- Phone#: Address: �y O ckoo SW q). Ve City: ( C-17 sCUA State: E L Zip: J Qualifier Name: t- la i e, ri - Phone#: -Is(a' S�q-®5a5 State Certification or Registration#: Cc 13,1 80cI Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ { 0 0® Square/Linear Footage of Work:�7� 45- Type SType of Work: ❑ Addition ❑ Alteration ID New A'Repair/Replace ❑ Demolition Description of Work: Mip t e �2- o Specify color of color thru tile: w ie Submittal Fee$ ®®' Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ CLJldJV TOTAL FEE NOW DUE$2G 2•C9(b (Revised02/24/2014) � ?L ,C93,,— Bonding Company's Name(if applicable) Bonding Company's Address City State Tip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. A /4 Signature Signature dra&atu '�—M OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this lb" day of_ MCS 20 by ( day of �Q 20 JS by Q6JiJ5� {�oi5 �n c�ez_ who i ersonally known to ae 44TriKaran e ,who is dersonallyknown to ne or who has produced as rr�i or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Ili nV'� Ap Sign: tU Pr �Or InnZ Ihgrif -i1nn2 Qto�sse4u-V 1'42on Print: r n r 1 n -�nnt Js - U;W2-.1 Seal: Seal: coftemmoitolom oo�we�uuaE,vsEaousor�uvauisoir =•: •*: MY COMMISSION 0 EES40M ��' •'� MY COMMISSION•EES40111114 EXPIRES Odobw 0d,1014 sssssssss � 'sss��l'l�ri4ss ssssssssssssss•ss � seas ass*s ssesssss es APPROVED BY , Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CFN:20150321667 BOOK 29622 PAGE 4227 DATE:05119/2015 04:31:37 PM DEED DOC 1,530.00 HARVEY RUVIN,CLERK OF COURT.MIA DADE CTY Ra um To: CasaLlntlTitle&£snow,Ina 2005 W.Cypress Creek Road#21Q Ft Lauderdale,FL 33309 This luftment Prepared By. Steven a.Dotchin,Esq. 3864 Sheridan Street Hollywood,rioddes 33021 LD,(Folio)No.: 11-2136.013.0380 s u fbr. WAY DEED TIRS INDENTURE,made this 19"h day of March,2015,between Patremanda Gardiner and Kenneth D. Dixon, individually and as Co-Successor Trustees under the Patrick Dixon Living Trust dated February 6, 1998,as restated on May 14,2001 and on July 1,2011*,of the County of Miami-Dade,as"Grantor-,to Jose Luis Sanchez,a married man and Maricarmen A.Sanchez, a single woman,taking title as joint in tenants with rights of survivorship,whose post office address is: 10317 NF.2°d Ave. Miami Shores, FL 33138,as"Grantee". *gJiflz the power and authority to protect,conserve, sell and convey, to lease, to encumber and to otherwise manage and dispose of the following real property, (W&aw"r used herein the'TePm= ctis°Orwuer°aad°GraMx•ship Include ah�lar and plural,heirs,legal tedM wd assigns m indiWaah,and the sueeesson wed resigns or eorponifa s,whemer the eoatattso admits ewmgjk=.) V TINESSE M, that the said Grantor for and in consideration of the sum of TEN DOLLARS ($10.00) to me in, band paid by the Grantee, the receipt whereof is hereby acknowledged, and other good and valuable consideration, has granted, bargained,and sold to the said Grantee,his heirs and assigns forever,the following described land, situate,and being in the County of Miami-Dade,State of Florida,to wit: Lot 12 and the North 23 feet of Lot 13,Block 119,An Amended Plat of Section No.S of Miami Shores,a Subdivision according to the Plat thereof as recorded in Plat Book 10,page(s)47,of the Public Records of Miami-Dade County, Florida. And,the Qmnwr does hereby fully wauratrt the title to said land,and will defend the some against the lawful claims of all persons whomsoever. �•d nL£:60 9 6 I Z AeW CFAs:201513321667 BOOK 29622 PAGE 4228 LN WITNESS WHEREOF,the Grantor having signed the date and year first above written. Signed,sealed and delivered in the presence of. < Witness S' /ILA A GARDMEJ;, /y f'1f Individually and as Cc-Successor Tnntm nU' under the Patrick Dixon Living Trust dated vrgfiess Na';';� February 6,1998 as restated on May I4,2001 and on July 1,2411 iirress Signature Address: Building 38,Apt 310 !ZRPQ:,1 0. VJ1-C.1�-�► 411 South FlollybrookDrive Pembroke Fines,Fl.33025 Printed Witness Name Vj~J �\6��- A_iLA �) JYj7. Signatnne TH D.DIXON, vidually and LehGt-1 as Co-Successor Trustee under the Patrick Y l'LQ Dixon Livid Trust dated February 6,1998 as ted itness Name rotated on May 14,2001 and on July 1,2001 Address: 28230 Riverbridge Drive W ess S�gnsilnu Romulus,K.48174 Printed Witness Name STATE OF FLORIDA ) )ss: COUNTY OF BROWARD ) I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the Siete aforesaid and in the County aforesaid to take a 1mowledgments, personally appeared PATREMANDA 0ARDMIt,to we known(or who produced hL as identification) to be the person described in and who executed the foregoing instrument and they acknowledged that she executed the same. 2 1 Z'd nL£:60 9� LZ ABA CFN: 20960321667 BOOK 29622 PAGE 4229 VMN&SS my Izand and official seal m the County and State last aforesaid this day of .2015. . Signature s My Commission Expires: •../��gw�apo+ .�� 9'111 L. t11N50M, STATE OF MICHIGAN ) )ss: COUNTY OF WAYNE ) I FUMMY CERTIFY that on this day, before me, an officer duly authorized in tlae State aforesaid and in the County aforesaid to take acknowled ents,personally appeared .KENNETH D. DIXON,to me known(or who produced M'CW Aon i w CM l.sU^L- as identification)to be the person described in and who executed the foregoing instrument and they acknowledged Haat she executed the same. WiTi<iESS may hand and official scat in the County and State last aforesaid this t T- day of QW-6k. ,2015. r Not Public Signature eck- M. Printed Notary Name My Commission Expires: $f 31r3O19 .IaSsiCA RP .� NOTARY PUBLIC-STATE OF MaCHIQAN' COUNTY OFYMMMCOMM. Aedn In thelgwa Yp . 9 _ 3 E'd 1890:609l lZ AeA STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 LEPRI-MARANTE, NATHALIE CAROLINE CUTLER BAY ROOFING INC 19900 SW 92ND AVE CUTLER BAY FL 33157 Con ratulat!ons is i n -_you-become one of-the-near) 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. �^IN-. PROFESSIONAL REGULATION -Every day we work to improve the way we do business in order to CCC1328097 ISSUED:`, .09/07/2014 serve you better. For information about our services,please log onto www.myfloddalicense.com.,There you can find more information CERTIFIED RKJOFINf CONTRACTOR about our divisions and the regulations that impact you,subscribe LEPRI-MARANTE,'fN T}1ALIE CA40LINE to department newsletters and learn more about the Departments CUTLER,BAY.ROOFING INC initiatives. 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. ,x and congratulations on your new license! � ExPbatFon date:AUG 31,2016 uaosm000zeas DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA s DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION a s� CONSTRUCTION INDUSTRY LICENSING BOARD �. CCG9328097 The ROOFING CONTRACTOR - d Named below IS CERTIFIED s Under the provisions of Chapter 489 FS. -- : Expiration date: AUG 31,2016 LEPRI-MARANTE, NATHALIE CAROLINE ti; - • CUTLER BAY ROOFING INC f-x 19900 SW 92ND AVEX_ CUTLER BAIL o FL 317 . 5 001131 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOTA BILL DO NOT PAY ILB 6047674 BUSINESS NAMSILOCATION RECEIPT NO. EXPIRES CUTLER BAY ROORNG INC RENEWAL SEPTEMBER.30, 2015 19900 SW 92 AVE 6308712 Must be displayed at place of business CUTLER BAY FL 33157 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OR BUSINESS PAYMENT RECEIVED 196 SPECIALTY BUILDING CONTRACTOR By TAX 0OLLECTOI1 CUTLER BAY ROORNG INC CCC1328097 $49.50 10/15/2014 Worker(s) 1 CREpR'CARD-15-001453 som This Local Business Tax Receipt cola confirm payment of the Local Basiness Tax.The Receipt is not as era { permit,we cwtiiticadon of the fwider a gnelifioadoas.to do h epplV tgs.tW 66vsJn11 PN 9 or somgovemmemel regulatory laws amd requirements whichapply The REM"No.above most he displayed on an commercial vehicles-Miami-0ade Cede Sec 88-27L Fer mora imfommtion,visa y;;-bunidgd nRvha_:mReCta-r Ac R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 05/19/2015 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Noel Brown A0325M Brown Insurance Inc. PHONE 941-493-1888FaX N 941-497-8325 1872 Tamiam(Trail S. PIRell-4noel@brownins.net Suite G INS S AFFORDING COVERAGE NAIL 8 Venice FL 34293 INSURERA: ARCH SPECIALTY INSURANCE CO 21199 INSURED INSURER B CUTLER BAY ROOFING INC INSUPXRC: 19900 SW 92ND AVE INSURER D: INSURER E: CUTLER BAY FL 33157 INSURER F: COVERAGES CERTIFICATE NUMBER N 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. ILTRNSR TYPE OF INSURANCE B POLICY NUMBER POLICY EFF � EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 300,000 CLAIMS-MADE 0 OCCUR PREMISESGET°RENTED 100,000 MED EXP oneperson) 10,000 A AGL0018030-00 10/02/2014 10/02/2015 PERSONAL$ADV INJURY 3_00,000 GEN'LAGGREGATE LIMIT APPLIES PER* GENERAL AGGREGATE S 600,000 X POLICY EIJECT 1:1 LOC PRODUCTS-COMP/OP AGG $ 600.000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ntl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED Y BODILINJURY(Per $ AUTOS AUTOS ( ) HIREDAUTOSNITON-O,SWNED PROPERTY acdYDAMAGE $H $ UMBRELLA LIABOCCUR EACH OCCURRENCE EXCESS LI►B HCLAIMS-MADE AGGREGATE DED I I RETENTION ORKERS COMPENSATION PER OTH D EMPLOYERS'LIABILITY YIN T liT PROPRIETORIPARTNEWEXECUTIVE FFICERIMEMBER EXCLUDED? NIA EL EACH ACCIDENT (Mandatory In NH) E.L DISEASE-EA EMPLOYEE If yes,descrilm under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sehedul%may be alached I more space Is required) ROOFING CONTRACTOR STATE OF FLORIDA.NATHALIE CAROLINE LEPRI-MARANTE LICENSE#CCC1328097 ICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Miami Shores Village BLDG Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Ne 2Nd Ave AUTHORED REPRESENTATIVE Miami Shores FL 33138-2304 Noel Brown/A032583; / +s 4o_- 0 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD JEFF ATWATER CMEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW " CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers Compensation law. EFFECTIVE DATE: I1E5=14 EXPIRATION DATE: 11/4IZ018 i j PERSON: MARANTE NAR FEIN: 223948225 g BUSINESS NAME AND ADDRESS: CUTLER BAY ROOFING INC t+ 19900 SW 92ND AVE j CUTLER BAY FL 33157 SCOPES OF BUSINESS OR TRADE: f LICENSED ROOFING y CONTRACTOR i P�aeuenl a Chepta•4a0.05{14)„F.S,an oaloer of W wrporadon,xho efeeto oxemptan►rom pilocnaplor by R&�a eertlfleab Nale�tion undr tivs secuen may nat nscower benems m'compensation ueMerihis chapter Pursuani m Chaptar440.05(72),F.S..CehlSeatea of election b be exempt...aPPN only t wiUun�fe ewpe of Ne bwinesa or hada listed on the eroteo of election to bo Pursuaal 10 Chaplet 440.OS(13),F.S,Notkes of e'ea9on to bo emmpi a�tl oetEReaba of elaetiea to ba exempt aT.aO De subjeet b�rrowllon d et any time ager the TIDng otttm noome orthe lesuaneo oftha certlfleele, the person nerved do fhe twtirs er ce+tiGeate m bnget moots ttre rbeyuirernanla a`.tlris see8on toriesuance of a eatfifirab.TFm depacNrtent shat rows®e DFS-F2-DWC-252 CERTIFICATE OTr ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-IBD9 3 4 h �' d 890:60 9� 6Z ASIN I I I II u UA i ? JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION *r CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW•• CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 10/16/2014 EXPIRATION DATE:: 90110/2016 I g PERSON: LEPRI-MARANTE NATHALIE C FEIN: 223948225 BUSINESS NAME AND ADDRESS: 9 1 l CUTLER BAY ROOFING INC 1 i 19900 SW 92ND AVE CUTLER BAY FL 33157 SCOPES OF BUSINESS OR TRADE: l c LICENSED ROOFING i CONTRACTOR pi i Pursuant bCdiaplerM(1.05(14).F.B.,an otlker ofa corporation rvho elects omn�ronirom Mla ctiaptar bbyy fl6ng a certsirem of electron weer:nts saclon may rrot recover benells or eomparmaHon under Mia theppta.Pursuant to ChaPler'4411-65[t2),F.S.,Certdieales of electron to Ee armmpk..eppt7Y any ulldrl the Sipe of the basiness S'tfade 061ed on the IptlCB�BISCtlOn to be e�empL PursaeM to �+'44C.05(1F.6.,NCtice6 of el�licn to ba exanpl antl Cerlheelee Melecticn to he mmmpt ahel De eubJect m revaeation If al any9me brute Hung of the or Rre heuanea aftha car115cate, qa rhe person named on fie tmGoa a eertTicete nc mngermeehUro requlrementa of Mia ssGlon mr issuance 01 a oedliwte.The departrnaM malt nf+alca a H RDFS-F'2-OWC452 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 d e 4 5 F f ((t yyf tt t i I I I 5d 138£:60 9 L LZ AaW c, R�S E,,, ,,,,,tin Miami shores Village � NiNp� Building Department �ORID 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: Celt 04 4i4— Owner State of Florida County of Miami-Dade The foregoing Ly acknowledge before me this I8�' day of '�am 20J. By �os� lu i 5 JQ nc1�e-Z who is ll known to me r has produced as identification. NotaryUA ;`' ', s Comm amneem soi,esyw,rt MY COMMISSION 0 EES40106 SEAL: EXPIRES Oat W t6,2014 • 30135 Rlaid�p �, Contractor Affidavit-Workers' Compensation Exemption Nathalie Lepri-Marante a roofing contractor and Ivar Marante who are both exempt from Workers'Compensation and are both officers of Cutler Bay Roofing, Inc are the only two individuals allowed to work on the project at 10317 SW 2nd Ave,Miami Shores,FL, 33138 Signature &a Al 0 �P.QAj. Contractor State of Florida County of Miami-Dade The foregoing was acknowledge before me this Igo' day of a . 206 By I V ��a��e. Leri _t`1 ar cJe_ who is ersonally known to mfr has produced as identification. Notary: V.X - SEA COMM wAR*.u.E Aa,sKu,.vuA=U MY COMMISSION 0 EES40156 EXPIRES OftW 06,20/6, .oriasa.a�ss .� S OR.s Miami shores Village Building Department 10050 N.E.2nd Avenue R ; Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 0'5 'I$- 9-013 10050 NE 2nd Ave Miami Shores, FI 33138 I Re: Owner's Name: Jose Luis Son Ae 2 Property Address: 1031-- Ne 2"°i ve , Mlan'l Aore-5, FL 33131 Roofing Permit Number: Dear Building Official: I , ose. Ls Sp nAe-Z. certify that I am not required to retrofit the roof to wall connections of my building because: Y\The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o 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) d X - U I,)se. L15 SgaAe-Z Signature Print Na 1 d. •.; s � CoRmf W01E•A4W. It EE8a110 p4m�SSION +s MYCOMMISSIItRnC J eIIe.vnnt tiMr .2State of Florida c6on EXPIRES ocloh-.nF ?°'s County of Dade �OLOI�.t f iwas�LL,+.�a+vice.mai The undersigned, being the first duly swom,deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 1 day of Mau 2r®IT Notary Public, Sate of Florida at Large U • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with F8C nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. IIS .; Address Owner Name Subdivision Name Folio Q SEARCH. 10317 NE 2nd Ave,Miami Shores,FL,33138 Suite D sects to Search Results PROPERTY INFORMATION Folio:11-21136-013-03110 Sub-Division: MIAMI SHORES SEC 5 - Prop"E� 1 2 AVE MImN Mom,FL 33135-2056 I 6 - 4 7 - o a ler PATRICK DIXON TR s ` F 1 MailhrgAddress 10317NE2AVE MIAMI SHORES,FL 33138.2056 Primary Zone 10!10 SGL FAMILY-2101-2300 SQ ' Primary Lend Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT <_ Beds/Baths/Half 3/2/0 Floors 1 1 Living Untie 4S ,F Actual Area 1,628 Sq.R LivingArea 1,3%S%Ft * 932 fl Adjusted Area 1,511 Sq.Ft y Look ? w Loi SKe 8,750 Sq.Ft Year Bulit 1939 Featured Online Tools Comparable Sales Glossary Non-Ad Valorem Assessments PA Additional Online Tools Properly Record Cards Property Search Help Report DlscreReport Homestead Fraud Tac Comparison Tax Estimator TRIM Nothle View Taxes ASSESSMENT INFORMATION a BENEFITS INFORMATION 0 Year 2014 2013 2012 Barium Type 2014 2073 Lard Value $163,185 $92,598 $79,240 save our Homes Cap Assessment Reduction $71, 1 $7. Building Value $102,448 $102,448 $113,398 Homestead Exemption $25,000 $2 Extra Feature Value $4,744 $4,788 $5,722 - — Second Homestead Exemption $25,000 $2 Market Value $270,376 $199,832 $198,360_ Note:Not all berafiffi we applicable to all Taxable Values p.e.Cam1Y,School Board.CItY,Regiwal). Assessed Value $270,375 $128,231 $126,088 FULL LEGAL DESCRIPTION TAXABLE VALUE INFORMATION MIAMI SHORES SEC 5 PB 10.47 21/14 2013 2012 LOT 12&N23FT OFLOT 13 COUNTY BLK 119 z Exemption Value $0 $50,000 $50•I)DO LOT SIZE 75.000 X 130 Taxable Value $270,375 $78,231 $78,088 .. . OR 188844083 05200'15 SCHOOL BOARD Exemption Value $0 $25,000 $25,0W Taxable Value $270,375 $103,231 $101,088 CITY Exemption Value so $50,000 $50,000 Taxable Value $270,375 $78,231 $78,088 REGIONAL Exenplion Value $0 $50,000 $50,000 Taxable Value $270,375 $78,231 $78,088 SRLES INFORMATION Previous Sale Price OR Book-Page Qualification Description Q5/01awl $0 198844089 Qualbyexam of dead 08101/1999 $0 18738.4270 Qual by exam of dead 01/01/1991 $72,000 14859.1834 2008 and prior year sales;Oust by exam of deed For more information about the Department of Revenue's Sales Qualification Codes. 2014 2013 2012 LAND INFORMATION 8 Land Use Muni Zone PA Zone Unit Type Units Calc r GENERAL R-17.5,R-1&5 1000-SOL FAMILY-2101-2300 SQ Front Ft 75.00 $18 BUILDING INFORMATION Building Number Sub Area Year Bullt Actual Sq.FL Living Sq.FL Adj Sq.FL Cato r 1 1 1939 1,828 1,395 1,511 $1Q <e Building Sketches Availablel EXTRA FEATURES Description Year Built Units Calc t Chatn-Nude Fence 4-5 it high 1997 310 $ Patio-Concrete Slab 1m 1,089 $ ADDITIONAL INFORMATION `The infomration listed below is not derived from the Property Appraiser's Office records.It is provided for conveNence and is derived from other govemmerd agendas. LAND USE AND RESTRICTIONS Community Development District: NONE Community Redevelopment Area: NONE EmpowemmntZone. NONE Enterprise Zone: NONE Urban Development INSIDE URBAN DEVELOPMENT BOUNDARY Zoning Code: R17.5- ExisBng Land Use: 10-SINGLE-FAMILY,MED:DENSITY(2-5 DU/GROSS ACRE). Gom mment Agendas and Community Servicee OTHER GOVERNMENTAL JURISDICTIONS Business Incentives Childress Trust City of MIand Stores Environmental Coralderatiorm Florida Department Of Revenue Florida Inland Navigation District Miami-Dade County BuBetln Board Non-Ad Valorem Assessments School Board South Florida Water Mgmt District Tax Collector The Office of the Property Appraiser Is c r tnually editing and updating the tau roll.This webstto may not reflect the most current Information on record The Pmpety Appraise and Miami-Dade County assumes no 0ability,sea full diad: mud Use'Agreement at ht !www.Mamldade.govMfofdisdalmer.asp For inqutries and suggestions email us at htlp7Mnvw.miamidede.gov/pa/emaPJASPHorrnNew.asp. Version:2 0.3 '+ EXEIAPTIONS S BENEF TS REAL ESTATE TANGIBLE PERSONAL PUBLIC RECORDS ONLINETOOLS TAX ROLL ADMINISTRATII PROPERTY Deployed Military 40 Yr Building Appealing your Assessment Address Blocking Property Search Appealing your Assesamer Re-Certification Disability Exemptions Assessment Information Change of Name Property Sales Reports Appealing Your Assessment Search Homestead Change of Address Tax Estimator Defective Drywall Exemptions Institutional Change of Ownership&Title Tax Comparison Folio Numbers Extension Requests Senior Cit¢ens Declaration or Condominium Homestead Exemption and Mortgage Fraud Filing Returns portability, More> More> More> More> More> Mor Hama Privacy Statement Disclaimer About Us ADA Notice Contact Us N'1 0 2014 Miami-Dade `r Courtly.All rights reserved. 1 . , J J, • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■�■■■■■■■■■■■■■■■■n�■�Hr■idc■ao■wa■■■■■■■■■�■,�a■�■ice■■■ ■■■■■o■■■■■■�■i.■■■■v■■c■w■H■r��■e■e■coo■■■■■■■■■■■■■■■■■■■■ ■■■■.■■■■■■■■.■■■■■■its■rye■■Coosa■wwiYc■■■■■■■■■■■■■■■■■■■■ Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: i n � n 1 0 0 Product Approval Number: Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations): 131: — 39. E P2:�$ ®�133: - 100,; Maximum Design Pressure c1 Product Approval Specific System: HO Jv Pat �J e S Method o Tjjle {Attachm nt: Me3l u•r I" a���a ' �iCernenr o+ y r4rv�, rM Steep Sloped System Description Deck Type: I wI n Roof Slope: Type Underlayment: �STMD21 304 F�I� ��. 12 Insulation: Fire Barrier: N y Fastener Type & Spacing: ++ t f Ridge Ventilation? I '�S ��„ 1 ��" � F � '�0 C Adhesive Type: Type Cap Sheet:F?O'IAJIA Ropj Covering: •.. ... . • • T,I� Mean Roof Height: Sas 0 ' ' • •• ••• •• Type&Size Drips Edge: 3qQ... ... ... ace. . .. .. . . . . . ... . . . . ... . • . . . . . . . . . . t Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based the systems,choose either Method 1 or 2.Compare the values for M,with the values from Mf. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P,:�)9- 1x3* = la.a4j-Mg: B_ OS =Mr, 4-1 I Product Approval Mf qoA y (P2-k1d1_x aD-,1i 3 = 21.3) -Mg: a.j i =Mr2 13.Zi Product Approval M, L40-4 y (P3pi00.Q x hD.LL = 3L5 -M9: 21 =Mr3 a3,41 Product Approval Mf x 4 0,4 y Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance(Mr)From Table Below Product Approval M, Mf Required Moment Resistance* Mean Roof Height--► Roof Slope 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based the systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3.Compare the values for F'with the values for Fr. If the F'values are greater than or equal to the Fr values,for each area of the roof, then the tile attachment method is acceptable. Method 3"Uplift Based Tile Calculations Per RAS 127" (P,: x 1: = x w:=_)-W: x cos 0: - =Fr, Product Approval F' (P2: x 1: = x w:=_�-W: x cos D. - =F2 Product Approval F' (P,: x 1: = x w:=_)-W: x cos 0: - =Fra Product Approval F Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope B "la . . • •• Aerodynamic Multiplier X • r al. • • • Restoring Moment due to Gravity M, • rolal. . . • Attachment Resistance M, •• rovM Required Moment Resistance M, Minimum Attachment Resistance F' roucro . Required Uplift Resistance F, . calculate • • • • • Average Tile Weight W .. rodret A proftl • •• • Tile Dimensions w_I wi�• 'Product A�provat • All calculations must be submitted to the Building Official at the time of permit application. ••• • • • • ••• • • • • • • • • • • • • ••• • • • ••• • SECTION R4402.13 L 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. _n g;� 1.Aesthetics-Workmanship:The workmanship provisions of Section R4402 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards.Aesthetics (appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should be addressed as part of the agreement between the owner and the contractor. 2. enailed Renailing Wood Decks:When replacing roofing,the existing wood roof deck may have to be rin accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system.) . 3. Common Roofs: Common roofs are those which have no visible delineation between eighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 7L'4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance,therefore, roofing nail penetrations of the underside of the decking may not be acceptable.This provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain 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 architect to eliminate the attic venting,venting shall not be required. r /► �" OwWis/Agent's Signature .. Vate. o. •• Contractor's Signatur 103ii Nc 00 *go so so Property Address Permit Number ago . . . . . . . . . . ... . . . ... . MIAMMADE, MIAMI-DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DMSION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy Boral Roofing,LLC 7575 Irvine Center Drive,Suite 100 Irvine,CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Saxony 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERNMATION 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 u the by the manufacturer or its distributors and shall be available for inspection at the job sits at tAe�eq tst ottlte T141ding Official. This NOA revises NOA No. 12-0222.03 and e8nsistS'of Wage's 1 Vougo 10. The submitted documentation was reviewed by Alex Tigera. Soo 000 '•• • •• NOA No.: 13-0723.05 MIAM4DAD;COUNTY ••• ,• ••i '•' Expiration Date: 04/26/17 Approval Date: 09/26/13 ••• , • ••• • Page 1 of 10 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • ROOFING ASSEMBLY APPROVAL Cat.gory: Roofing Sub-Cateaorv: Roofing Tiles Material: Concrete Deck Tyne; Wood 1. SCOPE This NOA approves a system using Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, FL. and described this Notice of Acceptance. For locations where the pressure requirements,as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Saxony 900-Slate 1= 17" TAS 112 Flat profile,interlocking,high-pressure w= 13" extruded concrete roof tile equipped with thickness= 1-5/32" two nail holes. For direct deck or battened nail-on,mortar set or adhesive set applications. Saxony 900-Split 1= 17" TAS 112 Flat profile,interlocking,high-pressure Shake w= 13" extruded concrete roof tile equipped with thickness= 1-9/32" two nail holes. For direct deck or battened nail-on,mortar set or adhesive set applications. Top surface available in 4 different configurations: 1. Complete tile brushed 2. Right half brushed(shown in drawing) 3. Left half brushed 4. No brush Saxony 900-Shake 1= 17" TAS 112 Flat profile,interlocking,high-pressure w= 13" extruded concrete roof tile equipped with thickness= 1-9/32" two nail holes. For direct deck or battened nail-on,mortar set or adhesive set applications. Trim Pieces Length:varies TAS-112 Accessory trim,boosted Barcelona,concrete Width:varies roof pieces for use at hips,rakes,ridges and varying thickne ss.. .. ••• ••• valley terminations manufactured for each • •: •• tile profile. • so 0 • ' • • • • NOA No.: 13-0723.05 MIAMI-UADE COUNTY •• • • • • • •• JAPPROVEDI Expiration Date: 04/26/17 Approval Date: 09/26/13 • • i i i •a o i i Page 2 of 10 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • a 2.1 MANUFACTURING LOCATION 2.1.1 Lake Wales,FL. 2.2 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Renort Date Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102&TAS 102(A) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering,Inc. TAS 101 (Mortar Set) The Center for Applied 94-060A Static Uplift Testing March, 1994 Engineering,Inc. TAS 101 (Adhesive Set) The Center for Applied 25-7183-6 Static Uplift Testing Feb. 1995 Engineering,Inc. TAS 102 (2 Quik-Drive Screws, Direct Deck) The Center for Applied 25-7183-5 Static Uplift Testing Feb. 1995 Engineering,Inc. TAS 102 (2 Quik-Drive Screws, Battens) The Center for Applied 25-7214-1 Static Uplift Testing March, 1995 Engineering,Inc. TAS 102 (1 Quik-Drive Screw, Direct Deck) The Center for Applied 25-7214-5 Static Uplift Testing March, 1995 Engineering,Inc. TAS 102 (1 Quik-Drive Screw, Battens) , Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II TAS 108(Nail-On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 TAS 108(Nail-On) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 TAS 108(Mortar Set) Redland Technologies P0402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails The Center for Applied Project No.307025 Wind Driven Rain Oct. 1994 Engineering,Inc. Test#MDC-77 TAS 100 Atlanta Testing& R1.894 Physical Properties Aug. 1994 Engineering,Inc. R2.894 TAS 112 R3.894 .. ... . . . . . .. Celotex Corporation 520109-1 .; J4c:VVlf$Testing Dec. 1998 Testing Service 520111-4 ... ..; '.: one ZAS•141 Celotex Corporation 520191-1 Static Uplift Testing March 1999 Testing Service • s•• ... ... TAS 1019 •• " ' NOA No.: 13-0723.05 MIAMbDADE COUNTY • .. .. • • • • • •, , ••' Expiration Date: 04/26/17 Approval Date: 09/26/13 ... 000 Page 3 of 10 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . Walker Engineering,Inc. Evaluation Calculations 25-7094 February 1996 Walker Engineering,Inc. Evaluation Calculations 25-7496 April 1996 Walker Engineering,Inc. Evaluation Calculations 25-7584 December 1996 25-7804b-8 25-7804-4&5 25-7848-6 Walker Engineering,Inc. Evaluation Calculations 25-7183 March 1995 Walker Engineering,Inc. Evaluation Calculations Aerodynamic Multipliers January 2007 Walker Engineering,Inc. Calculations Two Patty Adhesive Set April 1999 System Walker Engineering,Inc. Evaluation Calculations Restoring Moments Due to February 2007 Gravity Nutting Engineers 130 TAS 112 January 2007 3. LmrrATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 33 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with the applicable Building Code. .. ... . . . . . .. . . .. . . . . . • . • . . . .. ... .. . . . .. . or ••• .•• . . •• • • • •' . • MNOA No.: 13-0723.05 IAM4DADE COUNTY • •• •• • • • �gj ...e , ••• • '••• Expiration Date: 04/26/17 Approval Date: 09/26/13 ... ... Page 4 of 10 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . e 4. INsTALLATioN 4.1 Saxony 900 (Slate, Shake& Split Shake)Concrete Roof Tile and its components shall be installed in strict compliance with Roofmg Application Standard RAS 118,RAS 119,and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight(UI) and Dimensions (I x w ) Tile Profile Weight-W(Ibt) Length-1 (ft) Width-w(ft) Saxony 900 11.5 1.417 1.08 Slate, Shake & Split Shake Table 2: Aerodynamic Multipliers - X(ft) Tile ;L(ft ) ;L(ft) Profile Batten Application Direct Deck Application MonierLifetile Saxony 900 0.289 0.313 Slate, Shake & Split Shake Table 3: Restoring Moments due to Gravity-M9 (ft-lbf) Tile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or Profile greater Saxony Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 900 Deck Deck Deck Deck Deck Deck Slate, 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65 7.55 6.46 7.34 Shake & Split Shake •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • ••• ••• ••• • • •• " ' NOA No.: 13-0723.05 MIAMI DARE COUNTY • •• " ' ••• "' Expiration Date: 04/26/17 Approval Date: 09/26/13 or ... Page 5 of 10 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . 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 15/32" (min. 19/32" plywood) plywood) Saxony 900 2-10d Ring Shank Nails 30.9 38.1 17.2 Slate, Shake&Split 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 Shake 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 .#8 Screw 30.8 30.8 18.2 2 48 Screws 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail (Field 24.3 24.3 24.2 Clip) 1-10d Smooth or Screw Shank Nail(Eave 19.0 19.0 22.1 Clip) 2-10d Smooth or Screw Shank Nails(Field 35.5 35.5 34.8 Clip) 2-10d Smooth or Screw Shank Nails(Eave 31.9 31.9 32.2 Clip) Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Monierl-ifetile Saxony 900 Adhesive 31.3 Slate, Shake&Split Shake 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc.Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance MonierLifetile Saxony 900 Polyfoarn Pol ProTm 118.9 Slate, Shake &Split Shake Pol oam Pol ProTm 40.4 3 Large paddy placement of 45 grams of Pol ProTm. 4 Medium paddy placement of 24 grams of Pol ProTm. Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar Set Systems Tile Tile Minimum Attachment Profile A• *o • pp�ICIL p ; : : : Resistance MonierLifetile Saxony 900 6 6'IVIrGv aal'Set 43.9 Slate, Shake &Split Shake 5 Tile-Tite Roof Tile Mortar 9 6 6 6 969 000 •; ;. ;. : ': : : NOA No.: 13-0723.05 MIAMI•DAD;COUNTY ... . • • ••• • Expiration Date: 04/26/17 Approval Date: 09/26/13 9.9 • ••• Page 6 of 10 . . . 6 V: . . . . . .6 .. . . . 9999 ... . . . ... . . 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami-Dade County Product Control Approved". LABEL FOR SAXONY 900 TILES (LAKE WALES FL PLANT LOCATED UNDERNEATH TILE 6. BUILDING PERwr 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 Oficial or applicable building code in order to properly evaluate the installation of this system. •• ••• •• • • • •• • ••• ••• ••• • • ': :. :. . •: : : NOA No.: 13-0723.05 MIAMI-DADBCOUNTY ++• • • • "• ' Expiration Date: 04/26/17 Approval Date: 09/26/13 •�• •�• Page 7of10 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • PROFILE DRAWINGS NAIL HOLES • 1-5/32"(Slate) 17" COVERLOCK 13 " UNDERLOCK SAXONY 900-SLATE •• ••• •• • • • •• ••• •• • •• •• ••• • •• • MIAMI•DADE CO • .. .. •• . .•. NOA No.: 13-0723.05 UNTY •.• • • ••• •••• Expiration Date: 04/26/17 Approval Date: 09/26/13 •�• •�• Page 8of10 • • • • • • • • • • • •• •• • • A. .• r• NAIL HOLES 1-9132"(Shake 17" 13 Note: Available Top Surface Finishes 5. Complete tile brushed 6. Right half brushed (shown in drawing) 7. Left half brushed 8. No brush SAXONY 900-SPLIT SHAKE .. ... . . . . . .. •• . . • • • . •. • . • . ..• . • . . • . . • . •• ... .• . . . •. . ••• ••• ••• . • NOA No.: 13-0723.05 MIAMMAWE COUNTY ••i i i 0.0 ••i • • � Expiration Date: 04/26/17 Approval Date: 09/26/13 •;• ; ; •;• Page 9 of 10 • %: . . . . . . . . . . *Go 0 . .. .. . . . .. .. NAIL HOLES Y 1-9/32" Shake 17 �n 13 " SAXONY 900-SMUG END OF THIS ACCEPTANCE .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. . ... ... ... . . ': :. :. '; NOA No.: 13-0723.05 IW cou►�rr�r ••• "' Expiration Date: 04/26/17 Approval Date: 09/26/13 ••• ••• Page 10 of 10 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . ' t M'IAMM' MIAMI-DARE COUNTY r PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DMSION Miami,Florida.33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (N" www.miamidade.gov/economy Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,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#12-0713.02 and consists o€Pages 1•tlaro�aL Io: • ! • 0-0 • • The submitted documentation was reviewed by AMrTigera.- • - •• NOA No.: 140717.08 MIAMbDADE COUNTY Expiration Date: 09/13/16 • • Approval Date: 01/22/15 • : :': : Page 1 of 9 . •• .• . • • •. •. . I ROOFING COMPONENT APPROVAL Cateeory' Roofing Sub-Ca=orv: Underlayment Material: SBS ,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous,rubberized asphalt waterproofing Manufacturing Location 6518"x 313/s" membrane,glass fiber reinforced with polyolefinic #2 60 mils thick film on the upper surface for use as an underlayment for metal roofing,roof tile, slate tiles and shingle underlayment. Polystick MTS Plus Roll: TAS 103 A homogeneous,rubberized asphalt waterproofing Manufacturing Location 6518"x 3133/8" membrane,glass fiber reinforced with polyolefinic #2 60 mils thick film on the upper surface for use as an underlayment for metal roofmg,roof tile,slate tiles and shingle underlayment. Polystick IR-Xe Roll: ASTM D 1970 A fine granular/sand top surface self-adhering, Manufacturing Location 65'x 3'33/8" APP polymer modified,fiberglass reinforced, #1 &#2 Or 65' x 3' bituminous sheet material for use as an 60 mils thick underlayment in sloped roof assemblies. Designed as an ice&rain shield. Polystick TU Plus Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,glass- (Surface Printing) 65'x 3'33/s" D 1970 fiber/polyester reinforced waterproofing Manufacturing Location 80 mils thick membrane.Designed as a metal roofing and roof #1 &#2 file underlayment. Polystick TU P Roll: TAS 103 and ASTM A rubberized asphalt waterproofing membrane, Manufacturing Location 32'10"x 3'33/8" D 1970 glass-fiber/polyester reinforced,with a granular #2 130 mils thick surface designed for use as a tile roof underlayment. Polystick Tile Pro Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x3'32/g" D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane.Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,glass- Manufacturing Location 61'x3'3-3/8" . 1; 0-0- : : l er/polyester reinforced waterproofing .. . #2 60 mils thick •• •; ;•; m%mbrane. Designed as a metal roofing and roof •' "' " ' ' ' tele underlayment. . •.• ..• ..• . . .. . . . . . .. .. . . .. .. . . . . . ... . . . ... . NOA No.: 14-0717.08 Muuai�iaoe Counmr Expiration Date: 09/13/16 Approval Date: 01/22/15 • ••• Page 2 of 9 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,polyester Manufacturing Location 65'8"x 3'3-3/8" D 1970 reinforced waterproofing membrane. Designed as #2 60 mils thick a a roof tile underlayment. Elastoflex S6 G Roll: TAS 103 and ASTM Polyester reinforced, SBS modified bitumen 32' 10"x 3' 3-3/8" D6164 membrane with a burn off polyethylene or sanded back face and a granule top surface. For use in roof tile underlayment systems. MANUFACTURING PLANTS: 1.Hazelton, PA 2.Winter Haven,FL EVIDENCE SUBNIITTED: Test Aeencv Test Identifier Test Name/Report Date Trinity ERD P10870.09.08-R1 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798&G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.11 TAS 103/ASTM D4798&G155 09/01/11 P37300.10.11 TAS 110/ASTM D4798&D1970 10/19/11 P40390. 08.12-1 TAS 103 &TAS 110 08/06/12 P40390.08.12-2 ASTM D 1623 08/07/12 P40390.10.12 ASTM D 1970 10/03/12 P37590.07.13-1 ASTM D6164 07/02/13 P45270.05.14 TAS 103,TAS 110&ASTM 05/12/14 D1623 P46520.10.14 ASTM D1623 10/03/14 P44360.10.14 TAS 103 &TAS 110 10/07/14 P43290.10.14 ASTM D 1970&TAS 110 10/17/14 PRI Asphalt Technologies PUSA-035-02-01 TAS 103 09/29/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-089-02-01 TAS 103/ASTM D4798&G155 07/06/09 Momentum Technologies,Inc. JX201-17A TAS 103/ASTM D4798&G155 04/01/08 RX14E8A TAS 103/ASTM D4798&G155 11/09/09 =31D8B. TAS W/ASTM D4798&G155 02/18/10 :DX231WA : TA'Sa03/ASTM D4798&G155 02/18/10 . .. . . . . ... . .. ... .. . . . .. . ..• •.• ..• . . .. . . . . . .. .. . . . .. .. . . . . • ... . . . ... . NOA No.: 14-0717.08 MIAMFDAD;A411 Expiration Date: 09/13/16 Approval Date: 01/22/15 . .. .. . . . .. .. Page 3 of 9 ... . . . ... . . INSTALLATION PROCEDURES: Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(1) Anchor sheet mechanically fastened to deck,membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type R or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12"grid,6"o.c.at a minimum 4"head lap. (for base sheet only) Membrane: Polystick membranes self-adhered. Surfacing: See General Limitations Below. Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(2) Anchor sheet mechanically fastened to deck,membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type H or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12"grid, 6"o.c.at a minimum 4"head lap.(for base sheet only) Membrane: Elastoflex S6 G,hot asphalt applied. Surfacing: See General Limitations Below. Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(3) Base sheet mechanically fastened deck, subsequent cap membrane self-adhered. Anchor/Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12"grid, 6" o.c.at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus,self-adhered with minimum 3"horizontal laps and minimum 6"vertical (Optional) laps. Membrane: Polystick TU Plus,self-adhered. Surfacing: See General Limitations Below. .. ... . . . . • .. .. ... .. . . . .. . ••• ••• ••• . . .. . . . . . .. . . . .. .. . . . . . ... . . . ... . NOA No.: 14-0717.08 MIAMI APPRO COi1NTY Expiration Date: 09/13/16 • Approval Date: 01/22/15 • Page 4 of 9 *no 0. .. .. . . . .. .. w E INSTALLATION REQuimm ENT& 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels,and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3-1/2"and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley,start at the low point and work to the high point,rolling the membrane from the center outward in both directions. 5. For ridge applications,center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special attention to lap areas. 7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6"piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. GENERAL UwrATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS,Polystick MTS Plus,Polystick TU Plus,Polystick Tile Pro and Polystick Dual Pro may be used in asphaltic shingles,wood shakes and shingles,non-structural metal roofing,roof tile systems and quarry slate roof assemblies.Polystick TU P may be used in all the previous assemblies listed except metal roofmg. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. Elastoflex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth,clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Ex sure Limitations(days) MTS IR-Xe Elastoflex TU Plus TU P Tile Pro Dual Pro TU Max MTS Plus S6 G Winter Haven, 180 90 18q•• 1�80� LI 180 180 90 180 Hazelton,PA. N/A 90 N/4 •; N/A N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Me. .'. .'. .. . . % . . .. . . . . . . . . ... . . . ... . NOA No.: 14-0717.08 MIAMMADE COUNTY Expiration Date: 09/13/16 • • • • Approval Date: 01/22/15 • • ••• Page 5 of 9 ... . . . ... . . 4 , 8. In roof tile application,data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance.Polystick TU Plus,Polystick Tile Pro,Polystick TU Max or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof tile applications.Polystick Dual Pro is limited to mechanically fastened roof tile applications.Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9.Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9a. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)file assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Elastoflex S6 G Polystick TU Plus, Polystick TU Polystick MTS TU P,Tile Pro, Max Plus, Dual Pro Flax Tile Prohibited 4:12 No limitation No limitation 5:12 without battens Profiled Tile Prohibited 1 4:12 No limitation No limitation 4:12 without battens The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. ,The following limitations shall be apply when using Polystick MTS Plus: • Slopes up to those shown in the table above will require stagging of tiles—two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope,for a total of 6 tiles. (See Figure 1 below) • Battens shall be used for stagging of lugged tiles above 4:12 • Battens shall be used for stagging of flat tiles above 5:12 J/Slope J 44 7 y d if aM Figure 1: Stagging Method 9b. There shall be no roof slope limitation for the Polystick MTS Plus/Polystick TU Plus two-ply underlayment system when a applied using the stagging method outlined above. .. ... . . . . . .. . .. . . . . ... . ... ... ... . . . .. .. . . . . • ... . . . ... . NOA No.: 14-0717.08 Mwurtanaa�counrnr Expiration Date: 09/13/16 ® : : •:• Approval Date: 01/22/15 • • • •s• • • • Page 6 of 9 • •• •• • • • s• •• ••• • • • •s• 0 • a n 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment.Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. Roofing Tiles (6 Mex Per Stack) rz � Q ( 12 o 6 N N P m Roof Deck prepared YAM POLWnCK*rU Plus 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products.Polystick MTS,Polystick MTS Plus,Polystick 1R-Xe,Polystick TU Plus, Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick MTS,Polystick MTS Plus,Polystick IR-Xe, Polystick TU Plus,Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick MTS,Polystick MTS Plus, Polystick IR-Xe,Polystick TU Plus,Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G are not listed,a request may be made to the Authority Having Jurisdiction(AHJ)or the Miami-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance,and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo,city and state of manufacturing facility and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. MCA .$COunmr �u BUILDING PERmn REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1.This Notice of Acceptance. 2.Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. . .. . . . . ... . • .. . . . . . .. . . . .. .. . . . . . . ... . . . ... . NOA No.: 140717.08 MtAMM ADE C LINTY Expiration Date: 09/13/16 • • • • • Approval Date: 01/22/15 • • • • • Page 7 of 9 ••• • • • ••• • • POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type,applied with a minimum 1"metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions,at a minimum rate of 12"o.c. Polystick TU Plus should be back nailed in designated area marked"nail area,area para clavar"on the face of membrane,with the above stated nails and/or disks.The head lap membrane is to cover the area being back- nailed.(Please refer to applicable local building codes prior to installation.) 3. All seal lap seams(selvage laps)must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6"wide,uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement,Polyglass PG500 MB Flashing Cement,applied in between the application of the lap.The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments.Refer to the Polyglass Tile Loading Guidelines. See General Limitations#9 and#10. 6. Battens and/or Counter-battens,as required by the tile manufacturers NOA's,must be used on all projects for pitch/slopes of 7712"or greater. It is suggested that on pitch/slopes in excess of 6 1/4"/12",precautions should be taken,such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation&before loading of roofing tiles is Forty-Eight(48)Hours. 8. Polystick membranes may not be used in any exposed application such as crickets,exposed valleys,or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement,XtraFlex 50 Premium Modified Wet/Dry Cement,Polyglass PG500 MB Flashing Cement to the area in need of repair,followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair.Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry,clean and properly prepared,before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request.It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami-Dade Notice of Acceptance(NOA)approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. .. ... . . . . . .. •• ••• •• • • • •• • ••• ••• ••• • • • •• • • •• • • • • • • • •• • • • •• •• • • • • • MuataanE►ue couHnr NOA No.: 14-0717.08 .,.• Expiration Date: 09/13/16 ••• • • • ••• • • Approval Date: 01/22/15 i i • i V: i i • i Page 8 of 9 • •• •• • • • •• •• ••• • • • ••• • • P F � 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800)894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association(NBCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LMUTATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIMEMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE .. ... . . . . . .. . .. . . . . ... . •. . . .• • . . . . . . . .. . . . .. .. ..• . . . ... . . ... . MIAMI•DADE COiJNTY NOA No.: 14-0717.08 . , ••• • • • • ••• • • Expiration Date: 09/13/16 • • • • • • • • Approval Date: 01/22/15 • • • • • • • • • • Page 9 of 9 ••• • • • ••• • • ILII