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RF-16-1391 9t" 6Dc O A ENGINEERING & TESTING, INC. Phone: (866)781-6889*Fax: (866)784-8550 www.floridaengineeringandtesting.com 250 S.W.13t'Avenue Pompano Beach,FL 33069 August 19,2016 Job Order No.: 16-2598 Permit No.: RF-5-16-1391 Brunel Dominique 1 10545 N.E.Yd Court �� Miami Shores,Florida RE: TAS-106 TILE UPLIFT TESTS Proposed Roof 10545 N.E.Yd Court Miami Shores,Florida Dear Sir or Madam: In accordance with your authorization, Florida Engineering&Testing Inc.,has performed Tile Uplift Testing in compliance with Testing Application Standards TAS-106 and the Florida Building Code High Velocity Hurricane Zone on August 17, 2016, at the above referenced project. The purpose of our inspection was to determine the uplift capacity of the roof tiles for the proposed addition at the above referenced project. This inspection does not include the roof tiles for the existing structure. The subject roof consisted of Clay s shaped tile foam set. The pitch of the subject roof is 4/12. Our field engineer's representative visited the site and conducted eight (8) uplift tests on the roof tiles. All tests were performed according to the Florida Building Code High Velocity Hurricane Zone and protocol TAS-106 using an Intercomp scale model CS200. The following is a summary of results: Field Test Results Test Number Test Location Field Uplift Pull Test Test Result 1 Corner See Attached Diagram 35 f 5 pounds Passed 2 - 5 Perimeter See Attached Diagram 35 f 5 pounds Passed 6 - 7 Field See Attached Diagram 35 t 5 pounds Passed 8 Ride See Attached Diagram 35±5 pounds Passed 1fp*Q Qwaft � ��r9.4murance Page 2 T August 19,2016 Job Order No.16-2598 FILOIVIPA Brunel Dominique 10545 N.E.3'd Court Miami Shores,Florida: All test results were found to be in compliance with TAS-106 and the Florida Building Code (see attached field sketch). The test results are limited to the tested areas. If other roof areas exhibit different conditions, it should be brought to our attention for remedial work. This uplift test is not a final roof inspection. A final roof inspection must be conducted by the building official for approval. The test results presented reflect the condition of the roof system at the time of the test. These results are time and sample dependent since roof conditions are continuously changing due to exposure to the elements. Florida Engineering & Testing, Inc. (FE&T) is an independent third party providing un- biased testing information and results. FE&T is not affiliated with our client nor do we have any financial interest in the project or determination of the test results. As mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. Florida Engineering & Testing, Inc., appreciates the opportunity to be of service to you at this phase of your project. If you have any questions or comments, please give us a call. We would be pleased to help in any way we can. It has been a pleasure working with you and look forward to doing so again in the near future. Sincerely, Mark A. Mesiano,P.E. Florida Engineering&Testing, Inc. Florida Reg.No. 48202 Certificate of Authorization No. 6923 9 t i ° " 1 4 1 n{ Field Sketch-Not to Scale Approximate Dimensions a=o.lw=o.1 x 4=0.4' 10545 N.E. 3rd Court a=0.4H=0.4 x 30=12' Perimeter Dimensions=3' Miami Shores Florida ,gams y�� Miami Shores Village 10050 N.E.2nd Avenue NEwo all 3 Miami Shores,FL 33138-0000 Phone: (305)795-2204 3 ,. -. toum _. N � Expiration: 1112712016 51-777 Project Address Parcel Number Applicant 10545 NE 3 Court 1122310130250 Miami Shores, FL 33138- Block: Lot: BRUNEL DOMINIQUE Owner Information Address Phone Cell BRUNEL DOMINIQUE 10545 NE 3 CT MIAMI SHORES FL 33138-2009 Contractor(s) Phone Cell Phone Valuation: =300.00PYRAMID ENGINEERING&CONSTRUTotal Sq Fe Type of Work:Repair Available Inspections: Additional Info:REPAIR FLASHING AT EDGE OF ROOF Inspection Type: Classification:Residential Roof Repair Scanning:3 Final Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# RF-5-16-59866 DBPR Fee $2.00 05/31/2016 Credit Card $ 114.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permi0asme sponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIat all the foregoing n is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonre,I authorize the a-name tractor to do the work stated. JN. May 31, 2016 Authorized nature:Owner Appl nt / Contractor / Agent Date Building Department C py May 31,2016 1 Miami Shores Village Building Department MAY 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ' Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201`i BUILDING Master Permit No. vej!�:((0 ' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ® Ci Miami Shores County: Miami Dade zip 9'oTsz: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 13 Uv%.2 1 dz)1-4 (-4 Phone#: Address: City:. tel L'( � Stater Zip: S-3/3 Tenant/Lessee Name: Phone#:�bEmail /' � �Ieil-WJ I CONTRACTOR:Company Name: 1" 1a4t.-K _l 6--kC"1-rNhone#:' C1 S4/1- Lt-/?O7- Address:��� SLe-, gS'!.a '( / City-y— State: �(� Zip: 3 3) 2— Qualifier Name: 01161.40 F fes- C� /z���— Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: //,,� Value of Work for this Permit:$ 30 0 Square/Linear FFoo�tage of Work: 4f/�r® Sy �— Type of Work: F-1AdditionElr Alteration ❑ New �rcepair/Replace ❑ Demolition Description of Work: P r%W#0- 1:1-45hv& 4-1- V-4 C'r. OV— X27 a Specify color of color thru tile: F-17 uss a-7 C-7 -rf« �- Submittal Fee$ Permit Fee$ l JV- CN�, CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ r TOTAL FEE NOW DUE$ , (RevisedO2/24/2014) :t a ► 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property-is subject to attachment. Also,a-certifled copy of-the-recorded notice of commencement-must be posted at the job—sire for the first inspection which occurs seven (7) days after the building permit is issued. In the sence of such posted notice, the inspection will not pp r ed and a reinspection fee will be charged. Signature t Signature OWNER AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing nstrument was acknowledged before me this �day of 20 by 2 D day of ! 20 ,by who is personally known to -,tG1m"1 6%raA� who is personally known to me or who has produced as me or who has produced �Of IVG iACAV7Se, as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: r¢ Print: Notary Public-State of Florida Print: ' - My Comm. Ex fres Jan 2,2017 ��9 Seal: ,o...... Commission#FE 862115 Seal e4° ke Notary PW11C,MOOfRWWB �s Comml*n#FF 85912 NAy Comm.expires Oct 24,2017 a***���►�r*,►*�xr�s��se***��r*t�sr** *�x�x�t *+a*�***r*�s*s***�*.r**�r�ws*s*+rsr*�*�sa�*s�*s**�x�e�r�s��rw**�r*�*er�s�«acre APPROVED BY Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) RICK SCOTT. GOVERNOR _... KEN 11-A'AISON, SECRETAi"`V STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGCO59687 The GENERAL CONTRACTC)R 21,` Named below IS CERTIFIED F Under the provisions of Chapter 489 FS Expiration date: AUG 31 2016 GRANT, MICHAEL A PYRAMID ENGINEERING.&CONSTRUCTIION INC 4541 SW 28 WAY FT LAUDERDALE FL 33312 ISSUED 0$t3 t:2{),G DISPLAY AS REQUIPED BY LAV4 SEQ# L1,10&;10004692 RICK SCOTT. GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC1326975 5 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31. 2016 GRANT. MICHAEL A L PYRAMID ENGINEERING & CONSTRUCTION INC 4541 SW 28 WAY FT LAUDERDALE FL 33312 ISSUED 08/3112014 DISPLAY AS REQUIRED BY LAW SECT# L1408310003611 Local Busi ness Tax Fbcei pt Miami-Dade County, State of Florida -THIS IS NOT ABILL-DO NOT PAY [()BT 7180037 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES PYRAMID ENGINEERING& RENEWAL SEPTEMBER 30, 2016 CONSTRUCTION INC 7460368 19224 NW 48 AVE Must be displayed at place of business MIAMI, FL 33055 Pursuant to County Code Chapter 8A-Art.9& 10 OWNER SEC. TYPE OF BUSINESS PAYM ENT RECEIVED PYRAMID ENGINEERING& 196 SPECIALTY BUILDING BY TAX COLLECTOR CONSTRUCTION INC CONTRACTOR 82,50 10/05/2015 C'1n MIr.HAFI (;RANT PRFR Worker(s) 1 CCC1326975 0223-16-000064 This Local Business Tax receipt only con"mns payment of the Local Business Tax.The Receipt is not a license, permit,or acerb"cation of the holder's qua]i"cati ons,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the busi nesa The FECIEI PT NO above must be di splayed on all commercial vehicles-M iarri-Dade Code Sec 8a-276. MIPIAANIMMADE For more i nformati on,vi sit www mi ami dada goy/WcoIl actor PYRAM-1 OP ID: PP CERTIFICATE OF LIABILITY INSURANCE DATE 05/06/2016Y) 05!06/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT Bullin ton Insurance Group LLC PHONE Brooks-BuFAX _.— 1448 W.Busch Blvd. (alc No,Ext) 813-248-6800 !(acLNo1_813-248-6877 Tampa,FL 33612 E-MAIL Brooks u Ington ---- -- - -- - --- -- - INSURERUAFFORDING COVERAGE NAIC p INSURER A:Western World Inc.CO. INSURED Pyramid Engineering& INSURER B: Construction Inc. 4541 SW 28th Way INSURERC: Davie, FL 33312 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE L POLICY NUMBER 1 guw M DDLICmYY T JMMIDDNYYYJ LIMITS Y COMMERCIAL GENERAL LIABILITY NPP8320132 09!21/2015 i EACH OCCURRENCE $ 1,000,00 A X CO 09/2112016 FD�`GETORENTED—_ CLAIMS-MADE IX OCCUR PREMISES(Ea occurrence) I$ 100100 MED EXP(Any one person) $ 5,00 .-. - — PERSONAL&ADV INJURY $ 1,000,00 _AL _..._ - - - - GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1,000,00 PRO- POLICY, JECT LOC PRODUCTS COMP/OP AGG $ 1,000,00 -- -- —- - OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _(Ea accident) --- --- _------_---_---- rANY AUTO � ' � BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS _j AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE - - '— - i HIRED AUTOS ' AUTOS (Per accident) $ i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS AB !CLAIMS-MADE k AGGREGATE $ U OED �RETENTION$ ; $ WORKERS COMPENSATION 1 PER AND EMPLOYERS'LIABILITY YIN I 1 STATUTE._ ER._— ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $_ OFFICERIMEMBER EXCLUDED) N 1 A --- - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ if yes,describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CGC-059687 CCC-1326975 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2 Avenue Miami Shores,FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE IMPORTANT STATE OF FLORIDA Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation DEPARTMENT OF FINANCIAL SERVICES who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or DIVISION OF WORKERS'COMPENSATION F compensation under this chapter. CONSTRUCTION INDUSTRY EXEMPTION O CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L Pursuant to Chapter 440.05(12),F.S.,Certificates of election to WORKERS'COMPENSATION LAW D be exempt...apply only within the scope of the business or trade EFFECTIVE DATE: 4/13/2016 EXPIRATION DATE: 4/13/2018 listed on the notice of election to be exempt. PERSON: GRANT MICHAEL A H Pursuant to Chapter 440.05(13),F.S.,Notices of election to be FEIN: 650822046 E exempt and certificates of election to be exempt shall be BUSINESS NAME AND ADDRESS: R subject to revocation if,at any time after the filing of the notice PYRAMID ENGINEERING&CONSTRUCTION INC E 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 4541 SW 28 WAY a certificate at any time for failure of the person named on the FT LAUDERDALE FL 33312 certificate to meet the requirements of this section. SCOPES OF BUSINESS OR TRA LICENSED GENERAL LICENSED ROOFING CONTRACTOR CONTRACTOR DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 PYRAMID ENGINEERING&CONSTRUCTION, INC 4541 SW 28 way,Dania Beach,F133312 General Contractor&Roofing 2 (954)274-1807 License# CGC o59687 FAX: (954)989-8605 License# CCC1236897 To Whom It May Concern. Before me this day Personally appeared M l C qO j- ;� C/2- Who being duly Swor deposes and says: That he will be the only person working on the project located at: 10545 NE 3 Ct Miami Shores, FL 33138. Sworn to or ( affirmed) and subscribe before me this day of 1 by !/ �( o� / �Y'�1� Sign; Prod ced identification Type of identification Produced; A�altl�ehl Print, type, or stamp name of Notary UELiN®A EPPS Notary Public,State of Florida Commission#EE 209933 C ty comm.expires July 25,2016 s Miami shores Village "" ""''� Building Department � 10050 N.E.2nd Avenue �LORIUp' 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 BEL YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Ow r State of Florida County of Miami-Dade ,(� The foregoing was acknowledge before me thisAOy of N l ,201 . By f- CQ S who is personally known to me or has produced as identification. Notary: „y�.,,. P.K OUFlIN SEAL: ` i- MY COMMISSION 9 FF 16&3MM EXPIRES:January 27,2o19 V;; Bonded rbN N try Pbs.U11de,.hB XW-01• ® � A q ROOFTOP STRUCTURES \� 4-,'�'S F � da Bulldlrtg Code 5th Ed r 'n / - ;MigF[=Velocity Hurricane Zone Uniform Permit Application Form. 1 - 1 Section A(General Information) 1 Master Permit No. Process No. 1 I Contractor's Name "d 1 Job Address t1 ✓ 11104771 1 � 1 ROOF CATEGORY 1 N�i Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set TilesAsphaltic Shingles ❑ Meta!Panel/Shingtes ❑ Wood Shingles/Shakes❑ Prescriptive BUR-RAS 150ROOF TYPE New roof `t� Repair ❑ Maintenance ❑ Reroofing ❑ RecoveringROOF SYSTEM INFORMATIONw Stupe Roof Area(SF) Steep Sloped Roof AREA(SSF) Total(SF) 1 1 Section B(Roof Plan) 1 Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains.Include dimen- sions of sections and levels,clearly Identify dimensions of elevated pressure zones and location of parapets. 1 1 I Al 1 1 • 1 . . . .. ...... •. • - 9999•• •r•• 00000 . •• 990•.0 I k 0e, .. ••. 1 .• . .. . .0900 . 1 • 1 1 1 1 1 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 I I ( 1 I Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,2015 10:32.12 AM pursuant to License Agreement.No further reproductions authorized. Scction C Miami-Dade County HVHZ Electronic Roof Permit Form MIAMI- E Section C Page(Low Slope Roof Systems) Fill in the specific roof assembly components.If a component is not required,insert not applicable(n/a)in the text box. Top Ply: ROOF SYSTEM MANUFACTURER: GAF - GAFGLAS MINERAL SURFACE CAP SHEET Product Approval (NOA): 13-1022.15 System Type: Top Ply Fastening/Bonding Material: Wind Uplift Pressures,From RAS 128 or Sealed Calculations: TYPE-4 ASPHALT (P1) Field: 42.8 psf Surfacing: N/A... .. _. . SINGLE PLY MEMBRANE: (P2) Perimeters: 71 7 psf Single Ply Manufacturer/Type: (P3)Corners: 108 psf N/A Maximum Design Pressure From NOA: 52.5 psf Single Ply Sheet Width:�"1/2 Sheet Width: " Roof Slope. 1l4 :12 Roof Mean Height: No.of Single Ply 1/2 sheets Parapet Walls: ID No ❑ Yes Parapet wall Height: __..._ tt. Single Ply Membrane Fastening/Bonding Material: N/A _. Deck Type --1"x 8"T&G-- ❑ FASTENER SPACING FOR BASESHEET ATTACHMENT Support Spacing: 24 "o/c ❑ SINGLE PLY MEMBRANE ATTACHMENT Alternate Deck Type: N/A _ 1.Field: "o/c @ Laps&Elrows El "o/c Existing Roof: NIA 2.Perimeter: "o/c @ Laps& rows "olc _.._......... _..._._0000. . _.._........ . Fire BarrierI CZ 3.Corner: "o/c @ Laps& rows "o/c NIA NUMBER OF FASTENERS PER INSULATION BOARD: Vapor Barrier: N/A 1. Field:E 2. Perimeter: 3. Corner: Anchor Sheet: Insulation Fastener Type 75# N/A Anchor Sheet Fastener/Bonding Material: WOOD NAILER TYPE AND SIZE: ••••• 1-114"R.S. NAILS, 1-5/8 TIN CAPS N/A 0000 0000.. Insulation Base Layer Size&Thickness: • • - Wood Nailer Fastener Type and S ac• • • Yp p IiNJi••• •• • 0000•• N/A N/A 0000•. Insulation Base Layer Fastener/Bonding Material: • • • 0 0006 EDGE&COPING METAL SIZES: • • •••••• N/A .... Insulation Top Layer Size&Thickness: Edge Metal Material: --Galvanized Metal+. •jow .. 0 ..• 0000.. ._...._.._. .._ ._ • .0. _. •.•• 0000 • N/A Edge Size: --3"face 26 ga-- Insulation Top Layer Fastener!Bonding Material: Hook Strip Size:I--SELECT EDGE ETAt HOOK STIJIP SIZE. 00000 N/A Edge Metal Attachment: • • • .0000. Base Sheet(s)&No.of Ply(s): 1-1/4" R.S. NAIL @ 4"O.C. PTIlMtD 0••:•0 0 N/A _ _ . Base Sheet Fastener I Bonding Material: Coping Material: --SELECT PARAPET WALL COPING MATERIAL-- N/A Coping Size: --SELECT COPING METAL SIZE OR THICKNESS-- Ply Sheet(s)&No.of Ply(s): Hook Strip Size: -- SELECT COPING METAL HOOK STRIP SIZE-- 2--PLY GLAS PLY 4 Parapet Coping Metal Attachment: Ply Sheet Fastener/Bonding Material: TYPE-4 ASPHALT Tile Roof System MIAMI•DADE T^ oa "' �' " Miami-Dade County HVHZ Electronic Roof Permit Form Section D Tile Roof System 110el►vering EvellPnce Every Day" Roof System Manufacturer:IBORAL ROOFING LLC. Notice of Acceptance Number(NOA): 12-0308.20 Minimum Design Wind Pressures, If Applicable(from RAS 127 or Calculations): P 1: 39.1 P 2: 168.1 P 3: Maximum Design Wind Pressures, (From the NOA Specific system): N/A psf Fill in the specific roof assembly components.if a component is not required, insert not applicable(nla)in the text box. eckYP tn` T e: Optional Insulation: °a Optional Nailable Substrate: N/A Optional Nailable Substrate Attachment: Roof Slope: '712„ N/A Roof Mean Height: 12 ft. Basesheet Type: Method of Tile Attachment: 30# FELT ASTM D226 TYPE II --Adhesive, Large Paddy Polyfoam Polypro-- ••• •••• ••••;• Fastener Type for Baseshtet Aitachm nt:••• • • Alternate Method of Tile Attachment per NOA: 1-1/4" R.S NAI L , 1-54$TJ N..CAPS••• •••• N/A .... ...... Tile Underlayment(Cap S ee )Type:• 90# • • .... ............ .......... . .. .. .. .... ...... Drip Edge Size&Gauge: --3"face 26 ga.-- - - ••„•• 0. •• . . . . ...... Tile Underlayment Attacf ment Method••••• Drip Edge Material Type: I--Galvinized MetTYPE 4 ASPHALT •••• •••••0 al-- Drip Edge Fastener Type: 1-1/4” R.S. NAILS Tile Profile: CONCRETE LOW PROFILE Hook Strip/Cleat gauge or weight: -- Select Hook Strip R SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section,it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the 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 ant the contractor.The owner's initial in the designated space indicates that the item has been explained. 2. Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be renaiied in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system). 4• Exposed Ceiling: 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 penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 6. Overflow scuppers(wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water.Perimetededge wall or other roof extension 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. 6666 . . 6666 6666.. .. 6 . ... • 6 660:69 so6 6666.. Owner/Agent's Signature Date Contractor Signature •••••• Date, 6666.. 6666 6666.. 6666 . 6666. 66 66666 Property Address Permit Number "" ""6'• 6666.. 6 . . . . .6666. 66666. Revised on 7/9/2009 LD;07/01/2015; 6666.. .. 6666 2-Component Roof Tile Adhesive AH-160 ProPack 30/100 Additional 2roduct information available at www.3M.com/Roofingadhesives Product Description 3MTM 2-Component Roof Tile Adhesive AH-160 is a two component polyurethane froth adhesive. 3M 2-Component Roof Tile Adhesive AH-160 is specifically designed to adhere concrete and clay roof tile onto compatible roofing underlayment surfaces.The"A"and "B"components are dispensed utilizing 3M's two-component disposable foam applicator. Basic Use 3M 2-Component Roof Tile Adhesive AH-160 is specifically designed to adhere a variety of concrete and clay roof tiles to various compatible substrates in both new and reroof applications.The adhesive is applied in a previously determined paddy placement location directly to a compatible underlayment surface. The roof tile is placed onto the adhesive paddy. A chemical cure takes place several minutes after application, depending on temperature and weather conditions Listing and 3M 2-Component Roof Tile Adhesive AH-160 is approved by the following Approvals agencies: **so • Miami-Dade County(NOA) • . . 0000 000000 . . • Florida Building Code (FBC) '0 . ..• • 0000.. .. . 00000 . .00.0. 0000 0000.. 0 0 .0000. 0000 . 0000. . . .00000 000 0..00 . . Typical Physical Note: The following technical information and data should be co'lhti(Feted repres(6ative or••••:• Properties typical only and should not be used for specification purpQsblS,•; • . . . . 000000 0 0 . . . Product: A-Component .• . ; B-Conggnent ••: Base: Polymeric Isocyanate Polyol Amines Blowing Agent: 134A 134A Net Weight Ibs.(Propack 301100): 14.0145.3 12.5/40.0 3W 2-Component Roof Tile Adhesive AH-160 ProPack 30/100 Typical Physical Note: The following technical information and data should be considered representative or Properties typical only and should not be used for specification purposes. (continued) Properties Mixed Components Open Time(2-paddy,medium or large paddy): 1 -2 minutes' Work Life in Mixing Nozzle: 1 minute' Set-up Time: 10-20 minutes' Time to Full Cure: 24-48 hours Medium Paddy reld2(Propack 301 Propack 100): 400/1295(30 gram medium paddy) 1 Times may be affected by temperature and weather conditions. 2 The paddy size must be adjusted for various tile profiles to achieve proper contact area and will vary depending on the tile design. Compatible • 3M 2-Component Roof Tile Adhesive AH-160 will adhere to any granulated mineral Underlayments surfaced roll roofing meeting ASTM D 6380. 3M 2-Component Roof Tile Adhesive and Cap Sheets AH-160 will also adhere to modified-bitumen and select polymer-based products. These types of products are usually more critical when determining uplift resistance values, due to the effect of the polymer modifiers contributing to the softening of the top surface when exposed to elevated temperatures. • Please verify compatibility of underlayment and/or cap sheet surface with product manufacturer, 3M Approved Underlayment List on www.3M.com/Roofingadhesives, or applicable product approval in effect with authority having jurisdiction for the product location. •.•• - 0000' 0000.. Compatible • Please verify compatibility of roof covering product with tile;Wriufacturer0o*•� •. Concrete and applicable product approval in effect with the authority having jw "r,i on fo?14C 0.00;• Clay Roof Tile project location. •••••• a • 0000 0000.. 0000.. 0000 . 0000. 00:00' Application and • Little to no deck penetrations caused by mechanical fasteners •• •• •••• *00000 0 Product Features •••• • • No fastener back out 0 0 0 0.0:0 0000.. • Very rapid application •0000• •• • 0000 • 20 year adhesive set system warranty available • Achieves maximum wind uplift resistance(HVHZ) • Low slope and steep slope applications • Non-nailable deck options • No electrical power source required • Class A rated, ASTM E-108 - Increased thermal performance above deck R4.3 -2- 3W 2-Component Roof Tile Adhesive AH-160 ProPack 30/100 Limitations • 3MTM 2-Component Roof Tile Adhesive AH-I60 is not recommended for products surfaced with polypropylene or silicone-based surfaces. • 3M 2-Component Roof Tile Adhesive AH-160 is not recommended for tile surfaces that contain silicone or other surface/dipping coating products used for the prevention of mold and mildew growth. • 3M 2-Component Roof Tile Adhesive AH-160 is not recommended for application when ambient or substrate temperatures are below 457. • 3M 2-Component Roof Tile Adhesive AH-160 is not recommended for use during inclement weather. • 3M 2-Component Roof Tile AH-160 is not recommended for use on wet surfaces. • 3M 2-Component Roof Tile AH-160 is not recommended for use on dirty or grease laden surfaces. • 3M 2-Component Roof Tile AH-160 is not recommended for use after the expiration date. • 3M 2-Component Roof Tile AH-160 is to be applied over an underlayment/cap sheet installed in compliance with the underlayment fastening tables published, the FRSA/TRI Concrete and Clay Roof Tile Installation Manual, or Roofing Application Standard(RAS) 120 depending on authority having jurisdiction for your location. • 3M 2-Component Roof Tile AH-160 is to be installed by a factory trained "Qualified Applicator"approved and licensed by 3M. • 3M 2-Component Roof Tile AH-160 test paddies must be dispensed at least every other course of tile and the quality of adhesive verified. • 3M 2-Component Roof Tile AH-160 shall be placed in accordance with our"Paddy Placement Details"as referenced in the installation instructions. 0•••• . . 00.0 00.000 • Underlayment,tile, hip and ridge support member surfaces lie dry,cica and free from any dust, debris, oil, or any foreign matter that will initibtt t bondWha adhesive. "" ....; 0000 • Adhere tile in freshly applied adhesive.The tile must be set priorto adh..ve"sskinni.g... 000 .. 00:00' over usually 1-2 minutes depending on ambient temperatuf0.: .. 0. 0000 ...0.. • 3M 2-Component Roof Tile AH-160 shall not be exposed perintly to ultra-violet . rays (sunlight). Any exposed adhesive is to be cutaway Acovered with mortar or 0000.. 0000.• coated with a quality acrylic paint or paint designed for the:tppjicgtion th polyuretha%��o: foam. .. . 0000 0 0 • • 3M 2-Component Roof Tile AH-160 shall be applied with 3M dispensing equipment only. *Note: 3M recommends verifying the calibration by shooting a test paddy at least every other course of tile. -3 - W" 2-Component Roof Tile Adhesive AH-160 ProPack 30/100 Additional Additional fastening may be necessary on steep pitches. For additional attachment Attachment requirement, please reference the 3MTM 2-Component Roof Tile Adhesive AH-160 Requirements Installation Instructions on www.3M.com/Roofingadhesives Application Equipment 3MTm 2-Component Roof Tile Adhesive AH-160 UPC SKU 3M 2-Component Roof Tile Adhesive AH-160 ProPack 100 Kit 00-051115-65447-3 62-4813-8930-2 3M 2-Component Roof Tile Adhesive AH-160 00-051115-654487-0 62-4813.8910-4 ProPack 30 Kit 3M 2-Component Roof Tile Adhesive AH-160 00-051115-65467-1 62-9885-1017-8 Mix Nozzles, includes 8 mix nozzles w/wrench 3M 2-Component Roof Tile Adhesive AH-160 00-051115-65645-3 62-9885-1195-2 Applicator and 25'Hose Assembly 3M Polyurethane Solvent Cleaner PS1, 16 fl. oz. 00-051115-65431-2 62-4844-4830-3 Aerosol Can, net wt 11.5 fl.oz., 12 cans per case Storage and Handling The"A"and"B"containers should be stored between 457 and 95°F. The shelf life, at these temperatures, is 12 months from the date of manufacture. The product temperature prior to application should be between 70°F and 90°F. The minimum ambient temperature is 45°F and surface temperature should be 55°F and rising. Cylinder Disposal Disposable cylinders should be disposed of in accordance with local,state•..• .�.•• federal regulations. Consult MSDS or 3M technical bulletin foP#naae inforrvatiiwi. • . ...•.• 0.• . ...... First Aid Inhalation: Remove person to fresh air. Get immediate medica1•2tttention%""` •••.• . . ....•. . .. .•... Eye Contact: Immediately flush eyes with large amounts of W*I"for at lzg•L5 ••.••• minutes. Get immediate medical attention. ...•., Skin Contact: Remove contaminated clothing and shoes. Imp edia;ely flifLus4 a with large amounts of water. Get medical attention. Wash cor;t 1pin;ted clo�hi�r �••••� and clean shoes before reuse. If Swallowed: Do not induce vomiting unless instructed to do so by medical personnel. Give victim two glasses of water.Never give anything by mouth to an unconscious person. Get medical attention. -4- 3TW" 2-Component Roof Tile Adhesive AH-160 ProPack 30/100 Technical Information The technical information,recommendations and other statements contained in this document are based upon tests or experience that 3M believes are reliable,but the accuracy or completeness of such information is not guaranteed. Product Use Many factors beyond 3M's control and uniquely within user's knowledge and control can affect the use and performance of a 3M product in a particular application.Given the variety of factors that can affect the use and performance of a 3M product,user is solely responsible for evaluating the 3M product and determining whether it is fit for a particular purpose and suitable for user's method of application. Warranty, Unless an additional warranty is specifically stated on the applicable 3M product packaging or product Limited Remedy, literature,3M warrants that each 3M product meets the applicable 3M product specification at the time 3M ships the product.3M MAKES NO OTHER WARRANTIES OR CONDITIONS,EXPRESS OR and Disclaimer IMPLIED, INCLUDING,BUT NOT LIMITED TO,ANY IMPLIED WARRANTY OR CONDITION OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY OR CONDITION ARISING OUT OF A COURSE OF DEALING,CUSTOM OR USAGE OF TRADE. If the 3M product does not conform to this warranty,then the sole and exclusive remedy is,at 3M's option,replacement of the 3M product or refund of the purchase price. Limitation of Liability Except where prohibited by law,3M will not be liable for any loss or damage arising from the 3M product,whether direct,indirect,special,incidental or consequential,regardless of the legal theory asserted,including warranty,contract,negligence or strict liability. 0000 • • 0000 0000•• • .• • i ••• • 0.000 •• • •00000 • 060000 • • • 000•• 0000 • • •0 • • • 0000•• 0000 • •• 0 000•0• - •••••• • 000• s • • • • •• •• •••0 0000•• • • • • • • • • • •00000 • •00006 • • • 000 0000•• •• • 0000 • 0 • • Building and Contractor Markets 3M Center,Building 225-3S-06 St.Paul,MN 55144-1000 866-513-4026 www.3M.com/contractor 3Misa (2/14) -5 - Company. 03M 201144 (2/21144) -5 -