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RF-16-568 Miami Shores Village R—EE��j39 Wf��Buildin De artmentV11 g p MAR 0 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 Y. — INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC20cLt BUILDING Master Permit No.2 F • PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC T(ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� �/ CONTRACTOR DRAWINGS JOB ADDRESS: l O l /7 A, Z *�V 6 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: tj•2!3(a' 013 - !033 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: // Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): /3 �Vd .Wvo '/'M" Phone#: -?c)S-QZ41'PP04'J- Address City: State: IGL Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ¢t°!j cm-r- Phone#: 3W2tL FZ 67 Address: 2 M W (0 fWC City: State: Zip: 33010 Qualifier Name: d-Se°.4V / .F✓C°� Phone#: State Certification or Registration#: C"C /. j 001 ALI Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: t A,. Type of Work: ❑ Addition ❑ Alteration ❑ New [Repair/Replace ❑ Demolition Description of Work:_ ® 1 &— JO �' 7L%�G 740 T l e- /y U & Specify color of color thru tile: �� Submittal Fee$ Permit Fee$�� `rrW CCF$ 6), CK-) CO/CC$ Scanning Fee {2 '� Radon Fee (3 DBPR xa g S $ �. $ • 13 Notary$ Technology Fee$ -C1J Training/Education Fee$ I Gt) Double Fee$ Structural Reviews$ Bond$ iE:= - co TOTAL FEE NOW DUE$ 269 • 26 (Revisedo2/24/2014) 2G 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. Signature Signature O AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this , day of Z G+�l ,20 L G by 9 day of Z 6+.' ,20 1 6 ,by I6g6L! 4VoR.who i ersonally know to ��,�Snrl �.�Q I�L6C ,who' personallyknow 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: Si n- Sign.• Prin -T>-Q Print: GL" Cr U Seal: Seal: 'WTF4'- ''"°`'�;. DAVID M DIPUGLIA ` "t�t,- DAVID M DIPUGLIA {`'" ' ' * t` MY COMMISSION#FFOti M *( J` MY COMMISSION#FF�ssst3 'A ° ' 2017 *�r*area �aa� ��x��Al+� ��>B* s�+��xss�r��x**��**�s�xw�x�x+��xx��• � �j� � � ��**** 39"183 Florid Nota 3ii8�1t33 FbridallotaryService.com APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application-Miami-Dade County Page 1 of 8 � j�i £Edi ,�, � �f v��;. � � .�,� ,r � �;a•, is`..__ :t ��.i�. mss„. m - r .:: �,, •,, Address Owner Name Folio SEARCH: I 10417 ne 2 av Suite ....................._................_......................._..........._.........................__........................._..._.....................—_ ....... .........................._...................... -_ ....... ..---..... . - _ ..................... Back to Search Results PROPERTY INFORMATION Folio:11-2136-013-0530 Sub-Division: MIAMI SHORES SEC 5 Properly Address 10417 NE2AVE Miami Shores,FL 33138-2058 Owner LUCKY 13 HOME INVESTMENTS INC Mailing Address 8004 NW 154 ST 217 HIALEAH,FL 33016 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 http://www.miamidade.gov/propertysearch/ 3/3/2016 Detail by Entity Name Page 1 of 2 Detail t0 Florida Profit Corporation LUCKY 13 HOME INVESTMENTS, INC Filing Information Document Number P04000167141 FEUEIN Number 20-2009716 Date Filed 12/14/2004 Effective Date 12/13/2004 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 11/16/2015 Principal Address 8004 N.W. 154TH ST., STE 217 MIAMI LAKES, FL 33016 Changed: 01/29/2013 Mailing Address 8004 N.W. 154TH ST., STE 217 MIAMI LAKES, FL 33016 Changed: 01/29/2013 Registered Agent Name&Address RONCA, PAUL 7850 NW 146TH STREET SUITE 513 MIAMI LAKES, FL 33016 Name Changed: 11/16/2015 Address Changed: 04/01/2009 Officer/Director Detail Name&Address Title P HECTOR, RICHARD A http://search.sunbiz.org/Inquiry/CorpomtionSearch/SearchResultDetail?inquirytype=Entity... 3/3/2016 Detail by Entity Name Page 2 of 2 8004 N.W. 154TH ST., STE 217 MIAMI LAKES, FL 33016 Title VP HECTOR, CRISTINA M 8004 N.W. 154TH ST., STE 217 MIAMI LAKES, FL 33016 Annual Reports Report Year Filed Date 2011 05/23/2011 2014 01/12/2014 2015 11/16/2015 Document Images 11/16/2015--.REINSTATEMENT View image in PDF format 01/12/2014--ANNUAL REPORT View image in PDF format 01/29/2013-- REINSTATEMENT View image in PDF format 05/23/2011 -- Dom/For AR View image in PDF format 05/24/2010--ADDRESS CHANGE View image in PDF for 04/12/2010--ANNUAL REPORT View image in PDF format 04/01/2009--ANNUAL REPORT View image in PDF format 04/28/2008--ANNUAL REPORT View image in PDF format 01/16/2008--ANNUAL REPORTView image in PDF format 03/21/2007--ANNUAL REPORT View image in PDF format 03/15/2006--ANNUAL REPORT View image in PDF format 04/12/2005--ANNUAL REPORT View image in PDF format 12/14/2004-- Domestic Profit View image in PDF format C opyri f`s'and Privacy Pott State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/3/2016 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487.1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399.0783 CLARK,JASON M APC ENGINEERING ENTERPRISES INCORPORATED MOO NW 7 ST PLANTATION FL 33325 Congratulations! With this licenseyou become one of the nearly one million Floridians licensed by the iZariment of Business and Professional Regulation. Our peCOSSlonats and business 6 rare STATE OF FLORIDA from architects to yacht brokers,from boxers to barbecicre restaurants, DEPARTM PT'O USI ESS AND and they keep Florida's economy strong. PROF BSI )J NN 06/26/2014 Every day we work to improve the way we do business in order to CCC1330018 �--', serve you better. For information about our services,please log onto u www.myfloddaticens®.com. There you can find more information CERTIFIED Rd 3 It i RAC7C>R.. about our divisions and the regulations that impact you,subscribeCLARK.,IAgpEj �" + to department newsletters and learn more about Ova Department's APC ENGINE t3 S:IN£ORP initlativ?s. , Our mission at the Department is:License Ef4cierrily,Regulate Fairly. We Con3tanily strive to serve you better so that you Can serve your IS CERTIFIED under ttse provislons of Ch.48e FS. customers. Thank you for doing business In Flodds, ftPWk*4Mo:au041,1018 Lt 118 and co igretuiaifons on your nein Ircensel 1 i , DETACH HERE RICK SCOTT,GOVERNOR IGEN tAWS4N,SECRETARY STATE OF FLORIDA I DEPARTMENT OF BUSINESS AND'PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD s CCC1330016 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 i . , � � hili •i f CLARK, l SPC ENGINEERING ENTERPRiS.1NGORPORAT�EDv �< 1. , 'B11 NW 181 STREET. , za �, r /MIAMI FL 33415 .yam b_ ISSUED., 06!26/2014 DISPLAY AS REQUIRED BY LAW SEQ s L1406280000718 W a z`n op wc IP Tny X" IZAR The M c>r> d two ;r s X43 } r. P�- TAXs } " .; ECK2I 15-131444 3<, ege ME CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE ISISSUED AS A MATTER OF IIFORMA71ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 8 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING SURE S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED,the policy{les)nwet be endorsed. It SU13ROGATM IS WAIVED,aubjoct to the inns and conditions of the en cy,ement(policies may require an endorsement A statement on tits certificate does not confer rights to the certificate holder In i�u of such erulorsem�{s PRODUCER Finney{nsuraInsuranceCorporation PHONE Monica Mendez g54.ggg.g 33 5601 Sheridan Street e ��'�`trex sda-8ss-egos HOI"Ood,FL 33021 ° urancecorp cmn AEFORMW covMa Nalc>r INSURED a: INTE IATJ0 Ali Pro Contracting Group Inc DBA APC Engineering Enterprises Inc. Iastr RC: __ 2150 West 10th Ave. D- Hialeah,FL 33010 £ COVERAGES CERTIFICATE BER: 000egt1e0.2g08gg REVISION DUMBER; 24. THIS!S TO CERTIFY THAT THE-POLICIES OF INSURANCE LISTED BELLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WWII 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.UMITS SHOWN MAY HAVE BEEN}EDUCED BY PAID C�AIMS. ZGME "PE O � MOM RAMM"M POLtcY� tuns "'° '' I4306C001"l-01 to> 1s 1oi20/20t0 EACH Occulr 848 $ 1000000 LA04 - ®OCCUR ,. $ 100,000 _._ MED EV one $ 5 000 PERSONA{.&ADV MUURY $ 1,000,000 EGATE uMlr APPLIESPSR: DNExatAoc�REc3ATE $ _ 2.80000@ � LOC: PRODUM-COMPIOPAM $ 2 000 000 Auroerose.E I.IABIUTY I $ ll ANY AUTO SCHEDLUM SOWLY INJURY(Pet peraw) I .•ALL OWNED .._. AWDS AUTOS BODILYIMJURY{Pereoddzyt!) $ HIFtEDAUT� A� PR DAMAGE UCLA UAB $ E7DCES8 LIAS OCCUR EACH OCCURRENCE $ �E DED RETENTIONS �Atif,RECiFIT£N S TION AMD�LOYERS'LI&SU Y YIN S ANY PROPRIETOR/PARTW- EXIXWED? ❑MIA(Mandat-y In NIQ F� ELL EACH at:OIDENr $ W=K ,desaibe w E.L.DISEASE-EA EM $ ON OF OPBtAI ROANS __ E.L.DISEASE-POLICY LOAT i ORSCRWITON OF OPERAMONS 1 LOCATIONS 1 VEHICLES V4M 181.AddWAaW Rema"Sdw&dj4 amy 8e d mm spaw is mquEeM General Contactor COC 161a7S7&Roofing Contrator LRC#CCC1330016 C FICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DEvCR OED POLICIES BE CANCELLED BEFORE City of Miami Shores THE maMATION DATE THEIWW,NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PRovMONS. 10050 NE 2 Ave Miami Shores,FL 33138- JAM ®1888.2014 ACORD CORPORATION. Ali rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD PrtntW by MIM on March 08,2018 at 02:59PM JEFF ATWATER CHIEF 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: 03/8/2016 EXPIRATION DATE: 03/7/2018 PERSON: CLARK JASON M FEIN: 200290135 BUSINESS NAME AND ADDRESS: APC ENGINEERING ENTERPR 11200 NW 7 ST. PLANTATION FL 33325 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who efts exemption from this chapter by tiling a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates or election to be exempt shall be subject to revocation 9,at any time after the filing of the notice or the Issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate.The department shall revoke a certificate at any time for faUure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 6 ' t EPttbAiEEititd0 NMI - ��r�Rl'i;lsfs FT AFFIDAVIT 1,Jason M. Clark, will be the only person working on the project at: 9017 Biscayne Blvd Miami Shores, FL 33138 Jason M Clark (305)219-8267 apchomeinspections@gmaii.com Signature: � The foregoing' strument was acknowledged before me this day of girl ,20 By 4*ft) H•tom-.. ,who i ars n"H know to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature: Print: 4 Seal: ,,au�•.,, SANDY ROMERO J`1►�Y P"e��i • 4�-. Notary Public-State o1 Florida • commission#FF 915708 a3 My comm.Expires Sep 7,2019 °` Bonded ttaa�t Natio�l Notary tAt�t APC Engineering Enterprises,inc. 2150 West 101"Avenue•Hialeah,FL 33010.Phone:(30.5)885-5371 m FAX:(305)885-5073-apcengineering@gmaii.com Page 1 of I Miami shores Village Building Department 10050 N.E.2nd Avenue "iCpR�pA 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. Signatue.,i�. Owner State of Florida County of Miami-Dade The foregoing was acknowledge gack��nnowledge before me this 3 day of I� -,201 (0 . By1(Z(&TCA( f C ee:�&<— who is personally known to me or has produced as identification. Notary: �� A. SANDY ROMEO SEAL: ' _ °s Wtary Public-State of FOO SAWY ROMERO 0i :inn N FF91S7011 iP O'8tatlofFWWa -07,2019 p I fF 91 T Ga1S 4 �► 'ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Agaft In AV -,CP-IVF,D Florida Building Code 5th Edition (2014) IT IMAR 0 3 20jS High-Velocity Hurricane Zone Uniform Permit Application Form. L ?y: Section A(General Information) COPY Master Permit No. Process No. Contractor's Name APC en6 I n e ai r%"q Job Address A! E . 2 N d Q U e- ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile B Mortar/Adheslve Set Tile ❑Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes Shingles ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ New Roof O Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area(SF) Steep Sloped Roof Area(SF) Z,S 0 b Total(SF) 2 D Section B (Roof Plan) Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers aid oe o Mini. z Include dimensions of sections and levels,clearly Identify dimensions of elevated pressure zo as d 1 on 1. F F-- parapets. LU cc R. w Ile z Vi ro 0 Z t Q Q ON m u~i 3 ••• • • • • ••• • • • • • • • • • • • • 15.32 FLORIDA BUILDING CODE 5th Edition (2014) —BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ilding =Pertmit 5h Edition (2014) is Zone Un Application Form. Section Q(Low Slope Application) Surfacing: ill in specific roof assembly components d identify manufacturer Fastener Spacing for Anchor/Base Sheet Attachment: ( a component Is not used,Identify as"NA") Field: "oc @ Lap,#Rows @ "oc Sys m Manufacturer: Perimeter: "oc @ Lap,#Rows_@ "oc Produ Approval No.: Corner: "oc @ Lap,#Rows @ "oc Design d Pressures,From RAS 128 or Calculations: Number of Fasteners Per Insulation Board: Pmax1: Pmax2: Pmax3: Field Perimeter Corner Max.Design P sure,from the specific Product Approval system. Illustrate Components Noted and Details as Applicable: Deck: Woodblocking,Gutter, Edge Termination,Stripping,Flashing, TYpe� Continuous Cleat,Cant Strip,Base Flashing,Counter- Flashing,Coping,Etc. Gauge/Thickness: Indicate:Mean Roof Height,Parapet Height, Height of Base Flashing,Component Material,Material Thickness,Fastener Slope: Type,Fastener Spacing or Submit Manufacturer's Details that Comply with RAS III and Chapter 16. Anchor/Base Sheet S No.of Ply ): Anchor/Base Sheet Fastener/Bond Material: Insulation Base Layer: 4 t k f Base Insulation Size and Thickness: FT. - Bass Insulation Fastener/Bonding Material: Top Insulation Layer: Height Top Insulation Size and Thickness: .............__.........._......................... ...—_.._.._...-—._..._ Top Insulation Fastener/Bonding Material: Mean Base Sheet(s)S No.of Ply(s): Roof Height .._._._............... Base Sheet Fastener/Bonding Material: • •• • • • • ••• • Ply Sheet(s)&No.of Ply(s): ' ' ' ' ' • Ply Sheet Fastener/Bonding Material: Top Ply: ..' :� i•• �•• i•• ••• 1 Top Ply Fastener/Bonding Material: • •• •• • • • •• •• IG 15.33 I ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High-Velocity Hurricane Zone Uniform Permit Applicatlon Form. Section D (Steep Sloped Roof Us-tem) Roof System Manufacturer: to A e I la a 1200 f' -T%\e Notice of Acceptance Number: ► �- D1t2. ®9 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations 1• �. 1 P2• P3• I D • Steed Sloped Roof System Description \ Deck Type: G)g Ply w O®CL Type Undedayment: �{30 A ST , N Roof Slop 12 � Insulation: N Fire Barrier: N 1A Ridge Ventilation? Fastener Type&Spacing: � I 4 " 1•� -Z may fe%1,1i Adhesive Type: F}d h ea Q,A Type Cap Sheet: po l u Gt S S p l to S Mean Roof Height: Roof Covering: .. .. Eb*ge:• . . .. . . . . . . . . . . . .. . . . . . . . . . .. . ... . ... . ... . . . . ... . . . .. .. . . . .. .. ... . . . ... . . %34 FLORIDA BUILDING CODESth Edition (2014) —BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Sth Edition (2014) High-Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems,choose eitherMethod 1 or 2.Compare the values for Mr with the values from Mf.If the M fvalues are greater than or equal to the Mr values,for each area of the roof,then the tile attachment method is acceptable. Method I"Moment Based Tile Calculations 7" �s Per RAS 12 xiQF7f-'= Ia' J_Mg:�O�=Mr,T- Product ApprovalMf-k(----61 (P2: 187-I-�,y_z�p9� tAq.618)-Mg: ! =Mr2 a 151 Product Approval Mt i-4 (PI:L01-9- QZ�Q= )-M94&-=Mr3 Z2•Y' Product Approval Mg6.6 Method 2"Simplified Tile Calculations Per Table Below" Required Moment of Resistance(Mr)From Table Below Product Approval Mt Mr required Moment Resistance* Mean Roof Heigh-> Roof Slope 15' 20' 25' 30' 40' 2:12 34A 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37A 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28A 30.1 31.6 32.8 34.9 6:12 26A 28.0 29A 30.5 32.4 7:12 24.4 1 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.Compared 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 file attachment method is acceptable. Method 3"Moment Based Tile Calculations Per RAS 127" (Pt: x L = x w:= )-W. x cos 8 =Frt Product Approval F' (P2: x L = x w:= )-W: x cos 8 =Fr2 Product Approval F (P;: x L = x w:_ )-W: x cos 8 =Fra Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A Product Approval Restoring Moment due to M8 product Approval Gravity Attachment Resistance Mf Product Approval • Required Moment Resistance M Calculated i i •i i i i i i • Minimum Attachment F, Product A approval ••* •i ••• i i ••• Resistance Required Uplift Resistance Fr Calculated ••• • • • • Average Tile Weight W Produd'AArovaC • •• • • • L=length •• • ••• • ••• • Tile Dimensions W=widthProduct Approval All calculations must be submitted to the building official at the W-4-it>1i1' n.•:• • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • FLORIDA BUILDING CODE 5th Edition (2014)-BUILDING 15.35 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. amg .Aesthetics-Workmanship:The workmanship provisions of Section R4402 are for the purpose of at 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 architecturai'appearance,that are not part of a zoning code,should be addressed as part of the agreement between the owner and the contractor. 2.Renaiiing Wood Decks:When replacing roofing,the existing wood roof deck may have to be anal ed In accordance with the current provisions of Section R4403.(The roof deck Is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between eigh oring units (i.e. townhouses, condominiums, etc.) in buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of the roof decking 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. S. Ponding Water:The current roof system and/or deck of the building may not drain well and ay 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. .Overflow scuppers(wall outlets):It is required that rainwater flow off so that the roof is not rioaded from a build up of water.Perimeter/edge walls or other roof extensions may block this discharge 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. M.97.Ventilation:Most roof structures should have some ability to vent natural airflow through the ffirerior 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. a Exception:Attic spaces,designed by a Florida licensed engineer or registered architect to eliminate the attic ventin ,venting shall not be required. ees/Agent's ignature --- - =D11! a•qqSS• ;-; ••• tractor's Signature i•i of . . . .. Property Address Permit Number ••• • • • • ••• • • '• '• •} i•• • • • • '••`•i i • 0 •• •• { MIAMI-DADE COUNTY MIMAM PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy Entegra Roof Tile,LLC 1289 NE 90'Ave Okeechobee,FL.34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed 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: Estate"S"Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be prgvidedto tbepspt�};tir qmufacturer or its distributors and shall be available for inspection at the job site at the request Aothe Mldl$gNa" '. a** ••• •• • • : •• This NOA renews NOA No. 14-1120.08 and consists of pages 1 through 6. The submitted documentation was reviewed by GaspgJ Ijgoguej. • • NOA No.16-0112.08 ali�►tH ►ui:Can�mr •• •• Expiration Date: 08/23/21 1APPROVED! • : :•: : : : Approval Date:02/25/16 �•�•� �•�•: Page 1 of ..• . • • ••. • • i l ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a roofing system using Entegra Estate"S"Concrete Roof Tile,as manufactured by Entegra Roof Tile, LLC in Okeechobee, FL as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For use in the locations where the pressure requirements,as determined by applicable Building Code, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be prepared as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Dimensions Test Product Applicant Specifications Descriotion Entegra Estate`S' Roof Length= 16-1/2" TAS 112 Low profile,interlocking,extruded Tile Width= 13" Type lb concrete roof tile equipped with two nail Class III hole and double roll ribs. For direct deck or battened nail-on,mortar or adhesive set applications. Trim Pieces 1=varies TAS 112 Accessory trim,concrete roof pieces for w=varies use at hips,rakes,ridges and valley varying thickness terminations. Manufactured for each tile profile. 2.1 MANUFACTURING LOCATION 1. Okeechobee,FL .• ... . . • . . .. • .. • • ...• . . .. . . . . . . ••. .00 . • . . . • . .. . . . . . . . . . • •. Goo • • so* • • NOA No.16-0112.08 MIAMEDApE COUNTY ..• . . • . ... . . Expiration Date: 08/23/21 JAPPROVED11-1 • • • :0: • • • Approval Date:02/25/16 000 00 so •• • •i• i•• •i PPage 2of6 2.2 EVIDENCE SUBMTMD: Test Agency Test Identifier Test Name/Reuort Date Redland Technologies 7161-03 PA 102 Dec. 1991 7161-03 PA 102(A) Dec. 1991 7161-03 PA 108 Dec. 1991 P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs.smooth shank nails P0631-01 PA 108 July 1994 Letter Dated Aug. 1, PA 108 Aug. 1994 1994 Professional Service Industries,Inc. 224-47099 PA 112 Sept. 1994 The Center for Applied 94-060B PA 101 March, 1994 Engineering,Inc. 94-084 PA 101 May 1994 25-7094-1 PA 102 Oct. 1994 25-7094-7 PA 102 Oct. 1994 25-7094-4 PA 102 Oct. 1994 Project No.307025 PA 100 Oct. 1994 Test#MDC-76 25-7183-1 PA 102 Feb. 1995 25-7183-2 PA 102 Feb. 1995 25-7214-2 PA 102 March, 1995 25-7214-6 PA 102 March, 1995 Celotex Corporation Testing Services 528454-2-1 PA 101 Sep. 1998 520109-2 Dec. 1998 Walker Engineering,Inc. Calculations Aerodynamic Multiplier March 1999 IBA Consultants,Inc. 2381-264 TAS 112 01/08/08 American Test Lab of South Florida RT1210.03-15 TAS 112 12/17/15 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'. Such testing shall be submitted to the Miami-Dade Product Control Section 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 dec4pplic,4id" tlVijm,eck requirements shall be in compliance with applicable building code. •. . . . . . •. .. ... .. . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . ... . ... . NOA No.16-0112.08 Expiration Date: 08/23/21 JAPPROVEDI Approval Date:02/25/16 • • � Page 3of6 . .. .. . . . .. .. ... . . . ... . . t 4. INSTALLATION 4.1 Entegra Estate"S"Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofmg 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 Welght-W(Ibf) Length-I (ft) Width-w(ft) Entegra Estate 'S' Roof Tile 1 10.0 1 1.375 1.08 Table 2: Aerodynamic Multipliers-A.(ft3) Tile A.(ft3) A.(ft3) Profile Batten Application Direct Deck Application Entegra Estate 'S' Roof Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity-Mg (ft4bf) Tile 3":12" 4":12" 5":12" 6":12" Greater than Profile 7":12" Entegra Estate Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct- 'S' irect'S' Roof Tile Deck Deck Deck Deck Deck 5.91 6.74 5.82 6.64 5.70 6.50 5.56 6.33 5.40 6.14 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" plywood) (min. 19/32" plywood) Entegra 2-10d Ring Shank Nails 27.8 37.4 28.8 Estate 'S' 1 A Od Smooth or Screw 8.8 11.8 4.1 Roof Tile Shank Nail2 2-10d Smooth or Screw 16.4 21.9 7.1 Shank Nails 1 #8 Screw2 25.8 25.8 22.9 2#8 Screw 47.1 47.1 49.1 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Clipy 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Cli 2 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip), 2-10d Ring Shank Nails'' •: : : 43b:•: •. 67.5 50.9 1 Installation with a 4"file headlap and fasteners are oca ed a miri of 2Y21'from head of tile. 2 When using only one fastener use the hole that is approximately 4-3/4"away from interlocking edge. . . . . . . . . . . . .. . . . . . . . . . .. . ... . ... . NOA No.16-0112.08 faa�►oE ••• . ... Expiration Date: 08/23/21 OVEDI • Approval Date:02/25/16 • • Page 4 of 6 . .. .. . . . .. .. ... . . . ... . . Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Resistance Profile Entegra Estate 'S' Roof Tile Adhesive 26.14 3 See manufactures component approval for installation requirements. 4 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3M'"2-Component Foam Roof Tile Adhesive AH-160 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 Entegra Estate 'S' Roof 3M1" 2-Component Foam Roof Tile Adhesive AH-160 86.615 Tile 3M" 2-Component Foam Roof Tile Adhesive AH-160 45.56 5 Large paddy placement of 54 grams of 3M'" 2-Component Foam Roof Tile Adhesive AH-160 6 Medium paddy placement of 24 grams of 3M"2-Component Foam Roof Tile Adhesive AH-160. Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar or Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Entegra Estate 'S' Mortar Set 20.60 Roof Tile 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami-Dade County Product Control Approved". OR v.�7ENTEMRR v.�7 .. ... . . . . . .. ESTATE"S"�jLi•+�,*ICL I�,O�PgED SON UNDERSIDE OF TILE) 0. •. • . • • . • .. . ... . ••. . NOA No.16-0112.08 Mum ••• . . . 000 • • Expiration Date: 08/23/21 : Approval.Date:02/25/16 �•�•% 0 0 : :•�•: Page 5of6 ..• . . . ..• • . 6. BUILDING PERNIIT 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 Building Official or Applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING Nail Holes • • 1 ENTEGRA ESTATE"S"CONCRETE ROOF TILE END OF THIS ACC EPXANCE .. ... .. . . . .. . . . . . . . . . . . . .. . . . . . . . . . .. . ... . ... . NOA No.16-0112.08 APPROVED!httAMaOAoB C ... . . . . ... . • Expiration Date: 08/23/21 • . • ... . . . Approval Date:02/25/16 �•�•� % : : :.�.: Page 6of6 ... . . . ... . . r a MIAMa in MIAMI-DADE 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 NOTICE OF ACCEPTANCE (NOA) www.miamidade goy/buildim Polyfoam Products,Inc. 11715 Bordeaux Road Tomball,TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Section and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control 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. BORA 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:Polyset®One Roof Tile Adhesive 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. *0 g e e 0 0 0 • . • • 00 INSPECTION:A copy of this entire RRA 11al 1 Ordvigag toVe user by the manufacturer or its distributors and shall be available for inspection at 1v joVi site at tare requ'ed bf the Building Official. This renews NOA#09-0622.04 and c gnsip of des b throw 5;.. The submitted documentation was t'lry=ewld 1:W 1yox�1t6ga.•� • "' • NOA No.: 10-1112.05 Mt`attt ate, ECExpiration Date:01/03/16 ••• • • • a ••• • • Approval Date:01/06/11 Page 1 of 5 • • ,. .•. . • .••. • ••• . . t ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: 07320 Roof tile adhesive Materials: Polyurethane SCOPE: This approves PolysetO One as described below in this Notice of Acceptance,designed to comply with the Florida Building Code. 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 RAS 127,using PolysetS One,and where the attachment calculations shall be done as an moment based system. PRODUCTS MANUFACTURED By APPLICANT: Product Dimensions Product Description Polyset@ One Factory premixed canisters Single component polyurethane foam roof tile adhesive. MANUFACTURING LOCATION: 1. Norton,OH. PHYSICAL PROPERTIES: Prove Test Results Density ASTM D 1622 1.951bsJft.' Compressive Strength ASTM D 1621 7.8 psi Tensile Strength ASTM D 1623 15 PSI Parallel to rise Water Absorption ASTM D 2842 4.6 LbsJFe Moisture Vapor Transmission ASTM E% 1.94 Perm/Inch Dimensional Stability ASTM D 2126 +0.89%Volume Change Q 70•C.,2 Weeks Closed Cell Content ASTM D 2856 S4.1% EVIDENCE SUBMITTED: Test Amemcv Test Identifier Test Name/Renort Date Southwest Research Institute 01-1208-025 ASTM E 108 06/16/98 PRI Construction Materials FOP-009-02-10 Physical Properties 12/14/10 Technologies,Inc. FOP-009-02-01 TAS-101 11/8/10 FOP-009-02-02 TAS-101 11/4/10 FOP-009-02-03 TAS-101 11/8/10 FOP-009-02-04 TAS-101 11/8/10 FOP-009-02-05 TAS-101 11/8/10 .. ... . . . . . .. . .. . . . . ... . .. ... .. . : . .. . . . . . . . . . . . . .. . . . . . . . . . .. . ... . ... . NOA No.: 10-1112.05 Expiration Date:01/03/16 ... . Approval Date:01/06/11 ' Page 2 of 5 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . LimITATIONS: 1. Fire classification is not part of this acceptance. 2. Polyset®One can be used with flat,low,medium and high file 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 PolyseW One roof tile adhesive with their file assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. 2 F'_ MS INSTALLATION: 1. Polyset®One may be used with any roof tile assembly having a current NOA that lists moment resistance values with the use of Polyset®One 2. Polyset®One 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 Polyset®One shall provide sufficient attachment resistance,expressed as a moment based system,to meet or exceed the moment resistance determined in compliance with Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. PolyseM One roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120,and Fomo Products,Inc.Polyset®One Operating Instruction and Maintenance Booklet 4. installation must be by_a Factory Trained'Qualified Applicator'approved and licensed by Polyfoam Products,Inc. 5. Pressure treated wood filler block shall be required on all cave course of all tile profiles except on two pieces barrel tile. 6. Tiles must be adhered in freshly applied adhesive.Tile must be set within 4 minutes after Polyset® One has been dispensed. 7. Polyset®One placement shall be in accordance with the Placement Details'herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhe'sive Placement For Each Generic Tile Profile Tile Typical Placement Weight per paddy Profile Detail rams Flat,Low&High Profile # 1 12 High Profile 2-Piece #2 12 Barrel LABELING: .•• ". . . .'. . . ." .. . . . . . . . . ... . All Polyset®One containers shall comply ** ply StAdjd�gditons listed herein. . . . . . . . . . . . .. . . . . . . . . . ' :00 ••• NOA No.:10-1112.05 Expiration Date:01/03/16 ... . ... . Approval Date:01/06/11 . . Page 3 of 5 . . . . . . . . . .. .. . . . •• •• ... . . . ... . . BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ADHESIVE PLACEMENT DETAILS �Nvous.� acNsenreONneaK. CUT AWAY VIEW NfC'NPitOfi eaNnN�u"ousMPM VM AUHME ON GUM 00 PLACEMENT DETAIL#1 ... • . . • •• • ••• • ••• NOA No.:10-1112,05 CPP Expiration Date:01/03/16 ... . . . ... . Approval Date:01/06/11 • • • • • • Page 4 of 5 . . . . . . . . . . . •• •• . . • •. •• ADHESIVE PLACEMENT DETAILS (CONTINUED) PLACEMENT DETAIL#2 END OF THIS ACCEPTANCE .. ••. • . • . . •• . .• . • . . . . .. . . . . ... . • . . . • . . • . .. ... .. . . . .. . ••• • • • • •. . . . • • . . • • . .. . . . . . . . . . .. • • • . . 00 0 •" ' :00 ' NOA No.- 10-1112.05 MFAMI•DADECO NTY Expiration Date:01/03/16 0010 . . . *:4 • Approval Date:01/06/11 i i i i.i Page 5 of 5 • •• •• • 0 0 •• •• -rcrs, .ruc: A-1 CONSULTING ENGINEERS, INC j ROOF STRUCTURES CONSULTING ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDDIINGGG C DE COMPLIANCE TAS No. 106 UPLIFT TEST EXPERTS SITE SPECIFIC INFORMATION Owner's Name: Permit#: Job Address: ® ��` ✓�� Roofing Contractor: Type of Tile: ;V 7_25-eA4 Date installed: Approximate Roof Height: /2 feet Roof Pitch: 4111z, Type of Access to Roof: � Scaffolds Ladder Other Approximate Square Footage of Roof: 2-'7.®0 It 2 Required Testing Force:35 lbs. Testing Equipment: F.G.E. 100 Date Tested: -23- 20 ST LOCATION UPLIFT PULL TEST MET LOCATION UPLIFT PULL TEST TEST LOCAVOI UPLIFT FULL TEST rw__`N1 OCA UPLIFT PULL TEST rEST LOCAM UPLIFT PULL TEST rEST 1-T-ONi UPLIFT PULL TEST 1 26 51 76 1 101 126 2 1 27 52 1 77 102'- 127 3 28 1 53 78 103 128 4 29 54 79 104 129 , 5 30 55 80 105 130 6 31 1 •56 81 106 131 7 32 57 82 1 107 132 8 33 1 58 11 83 108 133. 9 34 59 84 109 134 10 35 60 1 85 110 135 11 36 61 86 111 136 12 37 87 112 137 13 38 1 63 .88 113 `138 14 39 1 64 89 114 139 15 40 1 1 65 90 5 140 16 41 66 91 141 16 17 42 67 92 142 18 43 68 93 11 143 19 44 69 94 IAA 20 45 70 95 A �wWway'am"Aw 21 46 71 96 121 146 M7 22 47 72 v 97 147 0 23 48 73 98 148 24 49 74 99 124 .149 25 50 75 100 125 150 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 SUBMI E BY: Jose A.M�linez P.E.#031509 A-1 CONSULTI E INEERS, INC. Lab. Certificate n#07-0306.03 Renews:01-1224.05 4383 S.W.70th Ct, Miami, Florida 33155 • Telephone(305)740-9550 • Fax(305)740-9550 ENGLISH:Coll (305)609-6388 •SPANISH:Cell (305)498-9804 1 � A-1 CONSULTING ENGINEERS INC. ROOF STI CTURES CONSULTING C T'FST TS LAB. CERTMCATION No. 11 4-5 4383 SW 70 CTS A41AA II FL, 33155 7 ►550 FAX305-74.0-9550 Owner's e: Pit#: job address: 10417 NE 2.AVEIA I SHORES FL Roofing contractor: REFERS R US INC Type of tile: ENTEGRA Date ' ed• Approximate roof ,eight: 12 feet Roof pitch: 4/12 Tipe of access to roof: Scaffold: Ladder: Other: Approximate square footage of roofi 27,00 ft2 Required testing ford 351 s Date tested; 05/23/2016 Number of tests: 63 SKETCH OF ROOF 44 43 35 4-2 35 33 47 53 5 5 39 4 3 36 so 1 2 53 52 40 34 45 53 51 54 37 5 3 13 30 601 45 27 30 25 25 58 6 31 32 51 55 62 55 Re ' d: ASH Date, 05/23/201L]6 Miami Shores Village M ' 10050 N.E.2nd Avenue NE 1. Miami Shores,FL 33138-0000 to Phone: (305)795-2204 Expiration:09112/2016 Project Address Parcel Number Applicant 10417 NE 2 Avenue 1121360130630 Miami Shores, FL 33138-2068 Block: Lot: LUCKY 13 HOME INVESTMENTS Owner Information Address Phone Cell LUCKY 13 HOME INVESTMENTS 8004 NW 154 Street (305)219-8267 MIAMI LAKES FL 33016- 8004 NW 154 Street MIAMI LAKES FL 33016- Contractor(s) Phone Cell Phone Valuation: $ 15,000.00 APC ENGINEERING ENTERPRISES IN (305)219-8267 1 -- Total Sq Feet: 1800 Type of Work:Re Roof Available Inspections: Additional Info:RE ROOF TILE TO TILE. Inspection Type: Classification:Residential Up Lift Report Scanning:4 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 CCF Invoice# RF-3-16-58880 $9.00 03/16/2016 Check#:2732 $769.26 $50.00 DBPR Fee $4.13 DCA Fee $4,13 03/03/2016 Credit Card $50.00 $0.00 Education Surcharge $3.00 Bond#:3018 Permit Fee-New Roof $275.00 Scanning Fee $12.00 Technology Fee $12.00 Total: $819.26 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 cont ctor to do the work stated. ink I lu� March 16,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 16,2016 1