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RF-13-97Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 184335 Permit Number: RF- 1 -13 -97 Scheduled Inspection Date: February 22, 2013 Inspector: Bruhn, Norman Owner: LAZAR, DAVID Job Address: 10635 NE 11 Avenue Miami Shores, FL 33138 -2120 Project: <NONE> Contractor: USA ROOFING SERVICES INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile /Flat Phone Number Parcel Number 1122320280350 Phone: (786)443 -6006 Building Department Comments RE ROOF TILE AND FLAT Infractio Passed Comments INSPECTOR COMMENTS False Failed Ji)G:2--/J3 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 21, 2013 For Inspections please call: (305)762 -4949 Page 3 of 10 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 184335 Permit Number: RF- 1 -13 -97 Scheduled Inspection Date: February 22, 2013 Inspector: Bruhn, Norman Owner: LAZAR, DAVID Job Address: 10635 NE 11 Avenue Miami Shores, FL 33138 -2120 Project: <NONE> Contractor: USA ROOFING SERVICES INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile /Flat Phone Number Parcel Number 1122320280350 Phone: (786)443 -6006 Building Department Comments RE ROOF TILE AND FLAT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 21, 2013 For Inspections please call: (305)762 -4949 Page 3 of 10 ACB2 Engineering Inc. Testing & Engineering Services Certification of Authorization # 8131 Tel: 954 - 245.8976; Fax: 954.301.7776 5230 NE 18TH Avenue Fort Lauderdale, FL 33334 2/20/2013 Roof Tile Uplift Test Report Attention: Miami Shores Village, Building Division, 10050 N.E. 2nd Avenue, Miami Shores, FL 33138 Client: USA Roofing Services, Inc Test Date: 2/20/2013 Permit # RF- 1 -13 -97 Property Address: Lazar Residence 10635 NE 11 Avenue, Miami Shores , Fl Roof Pitch: Type of Tile: Roof Area: 3 in 12 Entegra Roof Tile 23.03 squares Tile Attachment Method: Two Component Polyurethane Foam Adhesive -Poly Pro H 160 Field Instrument : IMADA Force Gauge 0 -100 Serial number: 243454 Test Location Perimeter Area: 10.00 sq Field Area: 13.03 sq No. of Corner: 8 Ridge Areas: 152 pcs Total Number of Tests Field Uplift Pull Test Test results 10 As per FBC 2010 Passed 14 As per FBC 2010 Passed 8 As per FBC 2010 Passed 12 As per FBC 2010 Passed Important: These laboratory results can change due to future weather impacts and /or unavoidable roof traffic. Therefore, this report represents the TAS 106 results at the time of the test. Please see attached a Roof Sketch for this project. Cordially, ACB2 E : , -r'ng Inc. (NOA 09- 1005.01) Antonia , evedo, PE Fla. R-g. No: 36466 ACB2 Engineering Inc. Engineering and Laboratory Services 5230 NE 18th Avenue Fort Lauderdale, Florida 33334 Phone: (954) 245 -8976 Fax: (954) 301 -7776 ze RE: Permit # 3 Mama Voted fatale 660 Defta ime et 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305 - 795 -2204; Fax 305 -756 -8972 www.miamishoresvillage.com INSPECTION AFFIDAVIT bc¥ I-A-QS 0-- , licensed as a (n) Contractor / Engineer / Architect, (Print name and circle License Type) FS 468 Building Inspector License #: C-C-c_ l3 a- Q. ct. 3 t--1 On or about Ve6 \ 5 I did personally inspect the roof deck nailing and /or (Date & time) secondary water barrier work at kOCD 3 V • (1 O Q (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signatu e State of Florida County of Dade: , Iris Lopez '7; ^ COMMISSION#EE210435 '``g EXPIRES:AUG.26,201' UYW V.LAARONNOTARY.cc The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large `General, Building. Residential, or Roofing Contractors or any individual certified und< r 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 7/U4mi .5401a, 'Raw Wolf 7) eiavemeat 10050 NE 2nd Ave * Miami Shores, Fl 33138 Phone 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 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: -bawd v Date: 1) i t 1 2-©13 Property Address: 1 ? 63S- - 1 I Ctui2_ Roofing Permit Number: Dear Building Official: , 1 ,%r �--4 certify that I am not required to retrofit the roof to wall connections of my building because: 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. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature State of Florida County of Dade Print Name Ids Lopez .,COMMISSION # EE 210435 EXPIRES:AL!G. 26, 2016 rW.AAF ONNOTARY.com The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large juS" valki 'i0 i. - s rLJ ; ure for :)irrp(se of =7r' V:ilorerr1 iflx8iion S -. l.2' iC c� i i:,n �3r,C 'i4, - 1 ; !ELM ?y �� oprcioo from Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 B I DIN PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: )0(j,3 e/ 1/ '4'( City: FBC 20 C Permit No. PN' -t -13- 97 Master Permit No. ROOFING Miami Shores County: Miami Dade Zip:/? 2 Folio /Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Dor d c_c-.v Phone #: 9Sti - S 077 V Address: ) 0655 1) City: /`h1 can i S�c YCf S State: Zip:31 i3 t) Tenant/Lessee Name: Ai A Phone #: Email: CONTRACTOR: Company Name: U SSA 'GkJ r, s S ✓ Jkto -S Phone #: 7 7� c, Address: 1 (J 0 1, cc&) 1L me.. . City: 001 n..✓h F State: FL- Zip: 3 -3/&S- Qualifier Name: 9.---0� �`Z\- o ^e_. ' )F's Phone #: ?r6' Lf ! -7 6 C State Certification or Registration #: �Cre C 13 ` G t 1 3. Li Certificate of Competency #: Contact Phone #: 1 QC - 't ifs 60o Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ /tea Square/Linear Footage of Work: ❑New Repair /Replace ❑Demolition /) / r -- a c.) ' t &t 0 OLTZ. Type of Work: ❑Addition Description of Work: ❑Alteration 1-0 Color thru tile: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training /Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a 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. Th Signature Owner or Agent The for il. instrument was ac 4 • wledg be re me this t day off 20 r y o: bl l V{ eC41 sonally kn wnto me or who has produced IQ r hoc's , identification and who did take an oath. NOT Sign: Print: My Commission Ex APPROVED BY /4/7_ dry Comm Expires Sep 23, 2015 Commission # Bonded Through National Notary Assn. Signature Contractor L / The foregoing instrument was acknowledged before me this 7 day y of. -- 4 3 , by /26 !g -e/fv / 'ifs" , ho is personally known to me or who has produced NOTARY P Sign: Print: as identification and who did take an oath. My Commission Expires_ Iris Lopez COMMISSION #EE210435 00 EXPIRES :AUG. 26, 2016 1W.AAR0NN0TARY.com Plans Examiner Zoning Structural Review Clerk (Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: DATE: I, /2, It rQ /44 PP ❑ Contractor Owner ❑ Architect Picked up 2 sets of plans and (other) X1 h Address: _2 6 /4', From the building depart And /or get County stam Shores Village Buildin Acknowledged by: on f� is date in order to have corrections done to plans rstand that the plans need to be brought back to Miami ent to continue permitting process. PERMIT CLE INITIA RESUBMITTED DATE: PERMIT CLERK INITIAL: F LB n Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof Svsteml Roof System Manufacturer: �� ie ar 77‘ / -e Notice of Acceptance Number: / D — / e o 2 Minimum Design Wind Pressures, if Appiicabie (From RAS 12 P2: — IP 8) / P3: /0 0 Maximum Design Pressure �� (From the NOA Specific System): Method of tile attachment: /9tl -u,11 ,PQ14i /1/% Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for Mrwith the valves from M1. If the Mt values are greater than or equal to the Mr valves, for each area of the roof, then the tile attachment method is acceptable. 3 Meztehod 1 (Pt: z 2?1cj (P2' I' /z m (ps: /6'r 0 2 `1 "Moment Basedffile Calculations Per RAS 127" /AZ 99j9 Mg: % y =M., °�' 51) go NOA Mr- 1 (d 4 Mg: '7 9 -11 f / • ? �1 NOA Mr - Mg: 7. / = Mr, 2 / • 3 / NOA Mr Yom' 9 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below 5.2' 0/ NOA Mr Mean Roof Height Mr Required Moment Resistance* 15' 20' 25' 30' 40' - Roof slope ' 2:12 34.4 36.5 38.2 39.7 42.2 CErb (01"." Restoring Moment due to Gravity 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 tile 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 valves for F. If the F' values are greater than or equal to the Fr valves, for each area of the roof, then the the attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (Pi: x J: = x w: = ) - W: z cos 0: = Fri: NOA F' (P2 : x I: = x w: = ) - W: x cos 0: = Fr2: NOA F' (P3 : z I: = z w: = ) - W: z cos 9: = Frg: NOA F' Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineeaing analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier x NOA Restoring Moment due to Gravity MB NOA Attachment Resistance Mr NOA Required Moment Resistance Mr Calculated Minimum Attachment Resistance F NOA Requited Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time ofpenmit application. 123_01-48 12/09 PAGE 5 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile, Inc. 1289 NE 9th Ave Okeechobee, FL. 34972 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails 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 Division 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Plantation Roof Tile LABELING: Each unit shall bear a permanent label with the manufactu following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA No. 10- 0804.15 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE: This renews a roofing system using Entegra "Plantation" concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Plantation Tile Length: 16'/2" Flat concrete roof tile for direct deck or Width: 13" TAS 112 batten nail -on. Trim Pieces Length: varies Accessory trim, concrete roof pieces for Width: varies TAS 112 use at hips, rakes ridges and valley Thickness: varies terminations 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 Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION: 4.1 Entegra Roof Tile, Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119, & 120 4.2 Data For Attachment Calculations MIAM I:ADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 2 of 5 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Plantation Tile 11.6 1.375 1.08 Table 3: Restoring Moments due to Gravity - Mg (ft -Ibf) Table 2: Aerodynamic Multipliers - X (ft3) 2 "• 12" Tile 4 "• 12" X (ft3) 6 "• 12" X (ft3) Profile 38.1 Batten Application Direct Deck Application Plantation Tile 9.8 0.267 2 -10d Smooth or Screw Shank Nails 0.289 Table 3: Restoring Moments due to Gravity - Mg (ft -Ibf) Tile 2 "• 12" 3 "• 12" 4 "• 12" 5 "• 12" 6 "• 12" Greater than Profile 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 7": 12" 2 -10d Smooth or Screw Shank Nails Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 24.3 24.3 Deck 1 -10d Smooth or Screw Shank Nail (Eave Clip) Deck 19.0 Deck 2 -10d Smooth or Screw Shank Nails (Field Clip) Deck 35.5 Deck 2 -10d Smooth or Screw Shank Nails (Eave Clip) Deck Plantation 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Tile Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) For Nail -On Systems Tile Profile .Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19132" plywood) Battens Plantation Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14,0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails1 50.3 65.5 48.3 1 Installation with a 4" tile headlap and fasteners are located a minimum of 2/" from the head of tile. MIAMIDADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 3 of 5 Table 5: Attachment Resistance Expressed as a Moment Mr (ft -lbf) For Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.33 2 See manufactures com•anent a..royal for installation re•uirements. 3 Flexible Products Company TIIeBond Average weights per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) For Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile PolyProTM 118.94 PolyProTM 40.4° 4 Large paddy placement of 45 grams of PoIyProTM, 5 Medium *add • Iacement of 24 !rams of Pol Pro TM. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance See specific mortar manufacturer's Notice of Acceptance. 5. LABELING 5.1 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 ". 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following markings: USA "E" USA, "E", Entegra "E ", where the E is a stylized logo. 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 7. MANUFACTURING LOCATIONS 7.1 Okeechobee, FL MIAMI•RADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 4 of 5 PROFILE DRAWING PLANTATION FLAT CONCRETE TILE END OF THIS ACCEPTANCE MIAMI•DADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 5 of 5 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 B �IN PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: CJ / CI 4-- City: Miami Shores County: F o l i o / P a r c e l # : `' ° C9GP 3 a -6 • ®c3S Is the Building Historically Designated: Yes ey 20 10/7,1 Permit No. Master Permit No. Miami Dade zip: 3 OP Flood Zone: OWNER: Name (Fee Simple Titleholder):—DC? VS 44 Ca K Phone#: Address: ' 6.3S /2' r ®/ City: /6//ate/ 14A' State: Zip: 33/ ier Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: el b9 2470 SerV ' Phone #: 14 ' «�,"J ' 60 d Address: /D10 -? S ' - / / City: /4/ ei 7/ 6,40 f'-' State: rz- Zip: Qualifier Name: / /`k�J G"--- Phone#: State Certification or Registration #: CG C l' c) 99-e `% Certificate of Competency #: Contact Phone#: 7 er ' 'c-C4'66) 0 4 Email Address: f , DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ .9©J quare/Linear Footage of Work: .%/ D Type of Work: UAddition DAlteration Description of Work: DNew I,epair/Replace DDemolition ,OF 11-e -4 f"\G. Color thru tile: *************** * ***************** * **** *F **** ** ** ****w+ x*** *******+s********** ***a*, *** Submittal Fee $ Permit Fee $ ,3O® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 FT.F.CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a 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 ab ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was • owledg b re me thi day , 201,x, by� v� who is . onall known to me or who has produced •2S NOTA ; Y ' UBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknoyyl ged ' - fore me day of , 20 , by ur/o o is personally known to me or who has produced 'P dentification and who did take an oath. Mewl• • l• 73•tf6 identification and who did take an oath. NOTAR PUBLIC:.. Sign: Print: My Conunissi **************************** * **+************* ********************* ******* r APPROVED BY /7 L /JPlans Examiner Nota<�1niTi xp,fes Sep 2 MY ` ion # EE 128810 Comm�ss Assn. Bonded Itoougn National Notary * * * ** ** **** * * * * * * * * * * ** Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. - TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: STATE_OF FLO HEREBYCERIIF origins, filed M M 1111111111111111 11111111111111111111 1111 1111 CFN 201 3801 Q56963 OR Bit 28455 P9 0401; (1P9 ) RECORDED 01/23/2013 09.35:45 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE COUNT OF DARE !UMW is a flue copy Who office on _-. day of ,AD20 and Official Seal. WITNESS my ha THE UNDERSIGNED hereby gives notice that improvements wail be madjtMJl, property, and in accordance with Chapter 713. Florida Statutes. the folioro ;. -• information is provided in this Notice of Commencement. Comfy Coats O.C. TANASH ° ARNOLD 1144 1 Space above reserved for use of recording office 1. i_Rgat description of prnr.ty a str t;address: /463 5- 4. 5 . // 2. Description of improvement: fPE° j O s= `I I k /-f4 I- 3. Owner(s) name and addr : /0e.,, 5, d) • E • / / CZ c ep "1i "Q 0 Interest in property: IP Gti pal-4U I-ci (/ ) Name and address of fee simple titleholder. 4Antractor'soine, address and hone number: c.c.s," e-15 if d v 5. Surety: {Payment bond required by owner from rcoontractor if any) Name, address and phone number: Amount of bond 5 6. Lender s name ano address: 7. Persons within the State of Florida designated b Section 713.13(1) {a)7., Florida Statutes. Name, address and phone number: 8. In addition to himself, Owners designates the folio;. 713.13{10b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: .�3 i.3 upon whom ';otices or other documents may be served as provided by esonts! to receive a copy of the Lienor's Notice as provided in Section ffie ra! ui• ;:ste .. year from the aate of recording unldss a different date is speCrfiedi WARNING TO OWNER: ANY PAYMENTS MADE 6Y THE OtVNER APrEP THE E XP;RATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 773. PART 1. SECTioN 713 13 STATUTES ANC CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MU.'T SE RECORDED ANC POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FlNANCitlG, CCNaULT l? eta . CUP LENDER OR AN ATTORNEY BEFORE COMMENCING WORN OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Prepared By _ Print Name 3, Ap� .� .., c / TitleOffice V GU ke„.„--- STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing ins rumen was knowiedged before me By 4, Lira £'4.' q v- J Individually, or as _ Personally known. or ,J produced the fo!iowir,c type of ioentificabr Signature of Notary Public'. Pant Name: t,SEAL;. or Owners) Authcnzed Officer /Director-PartnerManagei Prepa,ed Ec �:.--! ®. Pant Name 'l T tie. Office C LJ %4 1.-7 VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES .Under penalties of perjury. r declare that I have read the foregc:nc and that the facts stated in it are true, 10 the oast of r-; krrowtedne and bete} ROGEUO LUCAS MY COhIMMS040 D0860414 EXPIRES . ; ARRL 26, 2D14 r•... Nptgry l 2- 4.3 Signature(si of Ownertsj or Owners} s Authorize.) Off cer'Gueetur Parir,e' Mana :jar By ) r ho siyneo above. e.. CUMULATIVE SUBSTANTIAL IMPROVEMENT > NT VERIFICATION WORK SHEET , In accordance Anth FE4A regulation an�i,lVlrami Shores Village flood Damage Prevention Ordinance the costs of aJ improvements must lie x4omtored. The costs of any imp�rovements in the Pistil `l months and the costs 'otanYt-rePOSed mrprovemnts be shown on the Worksheet. The cost of rmrovements must include demolition, raw and finished materials (include those donated), labor (including volunteer' and self performed)'coi stniction sdfpervision ind Management, and overhead and profit. A list of items the costs of which are to be included as''well'as'thoseexcluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY :OWNER: L4 i ct v• PERMIT # , ,y ADDRESS: 1 D6 FOLIO NUMBER: 11-0143 2. ()AAA 2 FLOOD ZONE:. 11 Cu4e, . BASE FLOOD ELEVATION. FREEBOARD: EAST OF FL.CCCL COST OF PAST IMPROVEMENTS (12-MONTHS):� COST OF PROPOSED IMPROVEIVIENTS: (ATTACW,COPY OF CONTRACT) TOTAL CUMULA' A Si COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): OWNERS SIGNATURE: PLANREVIEWER: PLAN SIGNATURE: 4ot ffir-edittr rill)(a(do 00 act- �� DATE:)- l - . REVIEWER DATE: �� SUBSTANTIAL IMPROVEMENT / DAMAGE ,,IST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY ,AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCT`1JRL: L MENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile •oasis Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows/Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Fumiture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 All Labor and other Coasts associated with DemolAion,t RemcMng, Repfecing, installing Bp!(din pr i4ltering Building Comporterlts: Constructipn Management / Supervision Overhead and, Profit Equivalent cost for. onated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE E,XCI.UQED Plans and Specifications Survey, Costs; Elevation Certificate Costs Permit fees Debris Reinoial € R Items not aohsideredto`be REAL Property Rugs, Furniture, Refrigerator, Appliances not,Bujlt ;fin Outhide lmprovehients, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool Folio 11- 2232 - 028 -0350 Property Address 10635 NE 11 AVE Owner Name(s) DEBORAH S BARBOUTH DAVID LAZAR Mailing Address 10635 NE 11 AVE MIAMI SHORES FL 33138 -2120 Primary Zone 1000 SGL FAMILY - 2101 -2300 SQ Use Code 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths /Half 3/2/0 Floors 1 Living Units 1 Adj. Sq. Footage 2,105 Lot Size 10,400 SQ FT Year Built 1950 Legal Description MIAMI SHORES ESTATES PB 47 -58 LOT 7 BLK 3 LOT SIZE 80.000 X 130 OR 20215 -4634 01 2002 1 COC 21646 -0606 08 2003 1 OR 21646 -0606 0803 00 Current • Previous Year 2012 2011 Land Value $83,389 $104,438 Building Value $101,666 $101,739 Market Value $185,055 $206,177 Assessed Value $171,603 $166,605 Current Previous Year 2012 2011 Homestead $25,000 $25,000 2nd Homestead $25,000 $25,000 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 Widow(er) $0 $0 Disclaimer: MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Carlos Lopez - Cantera Property Appraiser A Aerial Photography 2012 Current Previous Year 2012 2011 Exemption /Taxable Exemption /Taxable County $50,000 / $121,603 $50,000 / $116,605 School Board $25,000 / $146,603 $25,000 / $141,605 City $50,000 / $121,603 $50,000 / $116,605 Regional $50,000 / $121,603 $50,000 / $116,605 $8 Date Amount Recording Book -Page Qualification Code 8/2003 $297,000 21646 -0606 Sales which are qualified 1/2002 $193,500 20215 -4634 Sales which are qualified 5/2000 $131,000 19113 -1934 Other disqualified 4/1996 $129,000 17169 -0131 Sales which are qualified 8/1991 $0 15153 -2583 Sales which are disqualified as a result of examination of the deed 8/1982 $77,500 11642 -1165 Sales which are qualified 10/1977 $53,000 09837 -0708 Sales which are qualified 6/1972 $47,000 00000 -0000 Sales which are qualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http: / /www.miamidade.gov /info /disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Wednesday, January 16, 2013 USA ROOFING ,DER 'I' 1606 NW 26 AVENUE MIAMI FL 331 PHONE: 786 - 586 -7945 STATE LICENSED CONTRACTOR RESIDENTIAL S COMMERCIAL; S HERRERA ROOFING CONTRACT Proposal submitted to. David Lazar (AME'RICA'S BEST SERVICES) Address: 10635 .E 11 A VE UE Contractor agrees to construct ittlprov =emetrt at Owner's rea'. address according to scope of work describe herewith: PULL PERMITS REQUIRED REMOVE EXISTING ROOF CLEAN COMPLETE ROOF TO A WORKABLE SURFACE REPLACE ROTTED WOOD UP TO 100 SQ. FT AT NO ADDIT1(3NAL CHAGE PLACE A 434 PAPER WITH TIN CAPS PLACE A 490 PAPER WITH TIN CAPS INSTALL NEW DRIP EDGES, 3x3 Meta! 26 GAUGES GALVANIZED PLACE 2300SQUARE FEET OF TILE. PLACE 800 SQUARE FEET OF FLAT ROOF I # 73 TIN CAPP WITH I ;, RS NAILS 1 ? 8 T'.0 2 PLY OF FIBERGLASS HOT MOPPED I P1 Y OF CAPSHEET HO T MOPPED 3"X3- METAL 26'GALVAN1ZFD r©ert located at the above referenced TI()NAL COMMEtiTS:. SQUARE FEET: 1330 SQI, ARE FEET OF TILE, ;11171 SQUARE F "EF:T OF F'L.A'is ROOF TO F L COST 59.700 L NOTE". ALL NOT RESPON 22. ROOFING CON PERFORMED ALL WORK: RI RLSION'ED lit' 1'•! ROUFIN , ' ER' ICES A\ri IT'S SI "IWO \TRACTORS, t!E. %RE 0 ;tl1 AGE: INSIDE THE PROPER rl DI 1 1. 5TC)RAI SNI1ILE ROOF IS ON REP MR. k 11 KIT )\SI11LF `C "OSI:PER!`ISE 1'HE RE- \:AIL1 \C; INST ;ALL.A`1"IO\ TO BE; NORk CO \TRA( "IOR ! ILI, 11E DONE ACT OkD1 \(; 111 11,A SI FACIA RERS RECOMMEND nos AN s01 TN FLORIDA 111 1LDING CODE, UHF (,I tRA \TEE OF THIS ROOF DO \C17 (:O! 1 J 1 .F>.AkS Di E TO AIII.,SE, !':AIDALIS.:%t, LIGHTING, Hl RIO( .t \E,TOR\ADO. II.0 I .ti'I`ORM, OR OTHER (: LIMA rE PHENOMENA, 'THERE !A ILL RE A II! }; EAR 11,ARkAN7'A" ON L%DOR AND 1/ATER1 "ALS K VOt' FOR YOL'R RI SIN S ° 'OL .lI 1'1 C.:ON1 A€T CS FOR .ALL I%)t'I± R(1 1' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MEJIA LEIVA, ROBERTO ANTONIO USA ROOFING SERVICES INC 1606 NW 26 AVENUE MIAMI FL 33125 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIFIED ROOFING CONTRACTOR There you can find more information about our divisions and the regulations that MEJIA LEIVA, ROBERTO ANTONIO impact you, subscribe to department newsletters and learn more about the USA ROOFING SERVICES INC Department's 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. =s CERTIFIED under the provisions o£ Ch. 489 's Thank you for doing business in Florida, and congratulations on your new license! Expiration date :AUG 31, 2014 L12081701416 (850) 487 -1395 STATE OF FLORIDA AC# 6, 278 2 4 f DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CCC1329934 08/17/12 128043217 DETACH HERE THIS DOCUMENT'HAS A COLORED BACkdiVit 1XND MICRO. tNTING • UNEIVIARKT" PATENTED PAPER kC# 6278248 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12081701416 DATE BATCH NUMBER LICENSE NBR 08/17/201.2 128043217 CCC1329934 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 MEJIA LEIVA, ROBERTO ANTONIO USA ROOFING SERVICES INC 1606 NW 26 AVENUE MIAMI FL 33125 RICK SCOTT GOVERNOR (�ISPI AY AS RFOt IIRFO RY L_AW KEN LAWSON SECRETARY JEFF ATWATER CHEF 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. 06 -01 -2012 EFFECTIVE DATE: PERSON: FEIN: 06/01/2012 EXPIRATION DATE: 06/01/2014 MEJIA LEIVA ROBERTO A 453633728 BUSINESS NAME AND ADDRESS: USA ROOFING SERVICES INC 1606 N.M. 26 AVENUE MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: 1- ROOFING * * IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing 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 of election to be exempt shall be subject to revocation if, 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 failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413 -1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 06/01/2012 EXPIRATION DATE: 06/01/2014 PERSON: ROBERTO A MEDIA LEIVA FEIN: 453633728 BUSINESS NAME AND ADDRESS: USA ROOFING SERVICES INC 1606 N.W. 26 AVENUE MIAMI, FL 33125 SCOPE OF BUSINESS OR TRADE: 1- ROOFING IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, 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 failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 BUSINESS TAX RECEIPT 2013 TAX - COUNTY - STATE OF FLORIDA , W A *IRES SEPT. 30, 2013 114.PLOOR 101SPIA-- YED AT PLACE OF BUSINESS ,1 PLIgirrY CODE CHAPTER 8A- ART. 9 & 10 THIS IS NOT A BiLL - CC NOT FAY 699432-2 RENEWAL 726990-5 33125 A ButgnaffNegf%ICES INC STAT CCC1.529934 RECEIPT NQ. 1606 NW 26 MIMI AVE FIRST-CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 OWNER USA ROOFING SERVICES INC WORKER/S BUILDING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES fT EXEMPT THE HOLDER FROM OW OTHER PERMIT RED OR LICENSE REQUI SY LAW. TICS IS NOT A CERTIFICATION OF THE HOLDERS QUALIFICA- TIONS PAYMENT RECEIVED MIAMI-DA COUNTY TAX COLLECTOR: 09/24/2012 09010512001 000045.00 SEE OTHER SIDE DO NOT FORWARD USA ROOFING SERVICES INC ROBERTO A MEJIA LEIVA 1606 NW 26 AVE MIAMI FL 33125 '� r° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD!'YYYY) 01/16/13 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: IT the certificate holder Is an ADDITIONAL INSURED, the policy(les) must he endorsed, If SUBROGATION I5 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)- PRODUGER USA General Insurance Corp /USA Insu 6841 S.W. 137th Ave. Miami, FL 33183 Phone (305) 388 -3305 Fax (305) 386.6778 CONTACT PHONE 4 (305 386-3305 FAk LAIC, NO (305) 3$6 -6778 E-MAIL _ , , ; gretellgonzalezeyahoo.com �_ INSURER($) AFFORDING COVERAGE NA1Cit INSURER A: American Safety Indemnity Cpmpany INSURED USA ROOFING SERVICES INC 1606 NW 26 AVE Miami, FL 33125 (786) 260 -1006 INSURER B ; INSURER. C: INSURER 0 : INSURER ; 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR MD POLICY HUMBER POLICY EFF (MMIDDIYYYY)MMM 09/13/2012 POLICY EXP /DDjYYYYI 09/13/201$ LIMITS A GENERAL LIABILITY Q COMMERCIAL GENERAL LIABILITY N N 156AUI 62296-00 ACH OCCURRENCE $ 1,000,000,00 $ 100'000,00 DAMAGE TO RENTED PREMISES (Ea occurr ilmr ❑ ❑ CLAIMS -MADE Ei OCCUR _ MED EXP Any one person $ 5,000.00 E LiJ PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000,000.OQ 5 2,000,000,00 $ 2,044,000.00 OEML AGGREGATE LIMIT APPLIES PER: 0 POLICY • PRO- E L4C JFCT PRODUCTS - COMP/OP AGG jai BINEDtMNGLE LIMIT $ AUTOMOBILE LIABILITY ANY AUTO ALLOWNEO • SCMEDULED (• AUT45 ALiTOS 11 HIRED AUTOS . NON -OWNED AUTOS BODILY (Per poison) S amity INJURY (Per 8ctident) 5 - P OPER DAMAGE { er acci�n� $ $ Ei UMBRELLA LIAB II OCCUR C EXCESS UAW • CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE 5 OED 1 RETENTION 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/i(ECUTIVE f N OFFICER/MEMBER EXCLUDED? i (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A _ flf�I WC STATU- OTH LJ 1bRY LIMITS ,Ea E.L. ,ACf -{ ACCIDENT $ E.L. DISEASE- EA EMPLOYE 3 E.L. DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS J LOCATION$1 VEHICLES (Attach ACORD 101, Additional Remarks Scllodula, if more apace la required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE and Ave Miami Shores, FL 33138 ACORD 25 (2010/05) OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTMOR1xECREP,.RESENiAT • Q 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Master Pernik No. Process No. Contractor's Name (11.9 csszrai 045 /013S- 4.5* // - J ' Job Address ROOF CATEGORY tZkLow Slope ❑ Mechanically Fastened Tile le Mortar /Adhesive get Til ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingils/Shakes Shingles Are t3 ❑ Prescriptive BUR -RAS 150 Gas VenSta YesLJ , N( ROOF TYPE Type: Natu ¶¶LPGX m ❑ New Roof ARe- Roofing ❑ Recovering ❑ Repair ❑ 1fdntenan ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 6851 sF Z303'sF Section B (Roof Plant Sketch Roof Plan: Illustrate all Weis and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include, dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. v a. laj > o 0 CC z .29 8R .■ i i ■fi li l IIII1C IIIIC �IIIIII I ■III:;■■ FI C IIII I■ aids ii i1:1:iNr:itilr:1l■11I1111�1■i11 '��/i; ■■��r1■iIIIIi�i ■ r *� ■ ■ ■■ ■ ■■ ■ ■ ►. ■ ■ ■m ■ ■ `■■ ■ ua ■� : '. UI1 ■ 16 ;SU•: IUU' IM . uu �muaR 111 1 u� ■ uu ■ ■■■■■■■ uu ►i u 1 ►' ! ■ ■■ ��M l III 110 MOM It INMUMUssU MOAN 0111 I 4• ■i u ••lNo ■■ ■+�■_■_■ '!r l�rr■ ■��■■ ■ ■■ i ■u t ■ ■t ia1- G'�r'■is`•ii■ ■C.. ..i ■ ma: ■ ■■ UI i ■ mili la ■ � �UII RI ■ ■ u 111 I Milli: �u ■I■■ 1 11:111 7 ■ 1 ■ i ■ 1 I ■ U 01 il ■ it :oil !i1.112111% ,,,,, Ili 1 re ill � M■ II nil lI 1 ■ ! ■■ sw12:1121112 ■ i�� V.Aiiligtoli" ii5114-en - WI l' 11 I Niko _If 114111111:11111,191111011:11r, _it. 123_01=48 12/09 PAGE 2 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Re- Roofing Only) 7. Any Required Roof Testing /Calculation Documentation 123_01-48 12/09 PAGE 1 Applicable: 1 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: -77 1r Notice of Acceptance Number: // — 0 W Q'' 0 9 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: --3" / P2: —&d./ P3: / OO r 9 Maximum Design Pressure Y6 _ y (From the NOA Specific System): Method of tile attachment: Mrfk c . /ad& Roof Slope: : 12 Steep Sloped Roof System Description Deck Type: -t- UJ c/ ype Underlayment: nsulation. 4a.c) -lye a Fire Barner. Ridge Ventilation? astener Type & Spacing: dhesive Type: ype Cap Sheet: I ii*sq ' is ( r.G oof Covering: Type & Size Drip dge: g)(3 " - oVo a1J 123_01-48 12/09 PAGE 4 1 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for Mrwith the values from M. If the Alf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Me ho 1 "Mo (PIl 39• "a. 2. 3 �g_6/ (P2r%��z� � 0 s�7 Based Tile Calculations Pvr RAS 127" — Mg: 0'Ra =Mrif• 0Y NOA MI G • q3 _ : 919..3e- NOA Mg: & • err mr ' 6 NOA MM 4/6 r sI Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below 51, cot NOA Mf Mr Required Moment Resistance* Mean Roof Height 15' 20' 25' 30' 40' — Roof Slope I 2:12 34.4 36.5 38.2 39.7 422 3:12 �� 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 7:12 244 25.9 27.1 282 30.0 *Must be used in conjunction with a list of moment based tile 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 valves for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the the attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (PI : z 1: = z w: = ) - W: z cos B: = Fr{ NOA F' (P2 : a 1: = z w: = . ) - W: a cos 0: = Fr2: NOA F' (P3 : z I: = z w: _ ) - W: z cos 6: = Fr3: NOA 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 9 Job Site Aerodynamic Multiplier _, NOA Restoring Moment due to Gravity MB NOA Attachment Resistance Mr NOA Required Moment Resistance Mr Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance Fr Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. 123_01-48 12/09 PAGE 5 er's ication Fonn 11VHZ 2010 SECTION 1524 HIGH VELOCITY HURRICANE ZONES- REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics- workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of prop iding that die ioofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 10-"Cl 3. Common roofs: Common roofs are those which have no visible delineation between neighboring 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 can be vieN'ved 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. The owner 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 isc water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided.. It may be necessary to install overflow scuppers in accordance with the requirements of Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida- licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's/Agent's Signature: . _ Date: Contractor's Signature: Property Address: Permit Number: i'A M ICA,D8 RUILD/ND Done CONtruNNEE ()FREE co; FRoDUCE coNERDD tovisior, Nancy, OF ACC:EP:FAN € (No GAF MeinList Corpora J361 Alps Road Way ne, NJ 074 ADAMLOADE COLbiiTE MOEDA LitETRO-DADE fluarlisER PUILDING ista toEET FL.A.CA„ER STREET, SUITE IDE WAND, FLORIDA isiitIod563 (305) 375-2903 PAX 03.05) 375-2908 SCOPE: NOA is being issued: :Linder the applicable ruies: and regetstions governing the use istennstreetion materials, The documentation submitted has been reviewed by the BCCO and accepted by the .8ding Code and Produet Raless' Committee to he used in Miami Dade Diouray ad other areas where allowed - by the Authority Having Jurisdiction (ABilt, This NOA shaft not be valid after the expiration date stated betitinse Tbe lialiaminDatie County Product Cohn& Division (In Miami Dade County) anifor the AID (i areasoother then Miami Dade County) reserve the right to have this product or material tested :Dr quality assurance puiposes, If this product or material fails to !perform the acti.ated .roadrier the manufacturer will incur tirts expense of such bassaria. and, the Atft may immediately reak moarly, or threpend the hoc of such product or material within their Jurisdiction.. BORA reserves the right to revoke this is accepterme, if it detemined tur Miarni-aule appileattle bung c ode, Comity Product Control Division that this produst or material- fads to meet the requirements el' the Drift product is approved as deseribed nereitte and has been designed to semi* with the Florida Building Code and the High 'Velocity Harracithe Zone of tine Florida :Building Cebu. DESCREP1O0Ni GIF Conventional BuiltsElip Roof System for Wood Decks% LABELING: Each unit shaft baar a piftmanent babel with the: maratfacturefts name :or togo„ city, state herein. arid flidRaying statement: "MiamisDada, Cciady Product Comm Approvistr„ unless otherwise noted RENEWAL of this NOA shall be considered after a renewal abblicatirm has been fired and there Mut Peen no change in the applicable building eche rie:gativeiy affecting the performance of this product TERMINATION of this NOA wiIJ occur after the ex. iraiion -Mb s if saist p card acre has , Nioe a change in the materiels, use„ and lor mearaideture of the product or proceed Misuse of this NOA as an endersernant at any product .for sales, ariverdstapi rie any other purposes shall auttimatically terminate • A. Fadture to comply with any. section. of this :RDA stab C abet ftte termination and remisvat or DERTISMNT: The NCLA number preceded by the words Micraisattap County Florida, and rblionsted by the expiration date may ba displayed in. advertising literaturer If any portion of tha NO.A disolayeth then M shall be done in its entirety INSPECTION: A :0.pry of this entire NOA... shed ix previdt.--;d tiTt beer by' the manufacturer :er its distributors and shall be avada.bla: for inspection at the Ion sitte at the request of the Building Ofildirde This NOA renews and revises NOA 0.3-0501 itid aria Peasista of pageis I through :BE The submitted documentation was reviewed by Jorge L. ameba N NEXA 07-129,09 Expiration Date: 11/04,13 Approval Mac 0352010N Page I of Rr Deck Type 1, Deco. exeroxt °stem T Ate rc Barrier: (optionaj tse ;sheet.: E; Iii;t tons: 2 sheet trteas-: Ica 'ystera Limitations shalt apply, Fire( . nderli `` a t of Sai.'do 20 R g g ,'g qc,, ' .4 €.dT: 25 base sheet meth. } satets attached Pressur of above Base sheets taz A Sarewc as f ,Tm stct Spaced a. Ofaxinumg G a G7 ion TM F e'q' uatay nails arra at Design See apnea-, ton assure ti~ General . hrrrrt, NOA Non f "i219,09 Expiration Date: 11104-112 ,Fp rcayei Date. 03/20108 Paget 7 of 19 Ply Sheet Cap Sheet Surfacing: Design Pressure:. See Fastening Above GAFGLAS4' #75 Base Sheet or eihr of above Base sheets attached to deck with Drill-Teci"-m 4'12 standard„ dr Or Sonows and 35' Drilidreeirx steed plate, or Aecurrae. Plates, V o„.c. in 4 Brea One row is in th 2" side lap, The other rows ar equithy spaced approximately 9" (Lc, in the field of the sheet ildaxinthrtn Design Pressur, -75 psf; See, General .Lfrnitation *7) One or rholirsitirs llil44BlL 224,„ 00 ULTIMA, RUBEROID.4.-M013 SB+,71ath or RUBER011ir 20 ad:horrid di a full propping of approved asphalt applied within the EVT ranwe and al a rate od 20-40 Ibetaq, (Optional) Opt phi BICIA1505,,),350! ijpieor Cap_STrIBBI GAFGLAS45Energyeapom Mineral, Suridoect Cep sheet adhered in a Bell moP!3 of approved asphalt app. 2 within the PV-r ramp:pi:Ind at a.. bate. of 2040 iOrrtionah red if BOB)25R.01,1l) MOP Smooth or RUBERCYUD 20 is top membrane) Install one of the 1h:flowing. Gravel 03: Sal.; ari 400 Ems.idd. and 300 lbsesi.B despeerivab, e flood :ricer:I. of pp-droved csona]t iiii 60 irisisq, apribed floodd coat of Lyric BusterTm M4tOxTM 1.03 Co.lci Process Adhesive apdEad at a rate of 3 g 2. SAFGLAS° Mineral Surbabed Can Sliced G.A„FOidil„.S5 Energy 1.701 n Mineral. Our .;; Clagsjosdt sdhegsd 1r: a nit i mopping of apprdvtc appheg within fdd ENT reZige and at a rate of 2,,i3-40 3. Leak Buster-1-m MarrixTm 30.3 Premium hi bored Aluminum Roof Coating; at 1,5 dallsq. 4. Leak austerBm Matrix-5B 7-15 14eak Bdaterml Nfatri,,dr" 327, TOPCOAV- TOPCOA14-'' Firerilbeld ELIstornerie Roofing Membrane% adplier,l di gabeeh 5, Leak Bustern) lidatrix,rm 602 me Xstra Elastomerie "looting -Membrane, FiriergyCore® roof coating applied at 1 to 1,5 gab/se 3OPCOAT5 Surface 30a. T0 N2030B Fires:M0) 501 SCdVen-t based Elashamerir Rodflou fv01 g7fdrane appikai at 1155 1,5 gaidsq Advance Green -fechnoluglsu Idarrinaze sc..U;-jj aUxT:a.7y rcrg equUsdnadr, ..usta fled in Carrlph,71,7„e Manufa.‘,;:t.W'Cr: speCifkatiOnS and applicable Budding Codes, MI - • ., APHttiVED, UN NOA 7,44; 07-1219,09 Expiration Data: It/0413 APPfoval Data: 03101 f30 Pugs 01 of 1 9 WOOD DECK SYSTM. LIMITATIONSt 1 A ado sheet is required with Ply 4 and nos herlit, b witch used as a mechanically fastened base Or anchhe damn 2. Minimum ftla" Dens Elasehml or ttftl Type X gypsum board is acceptable xi be installed directly over the. GENERAL LIMITATIONS: l. , Fire otassitheition is not part of dna scoeutairce refer to a aprierg Approvesi Roofing Materials Directory for fire ratings of this nit-odium .2: insulat on m.ay be installed in multiple layers., The first Mei shall he aitac.hed. h. comelladde with Product Control Approval guideline& AN other layers shell be adhered en a fultoricipping of approved asphalt applied within the EVT ran„ge arid at :a IrtirO Of 2041 lignis or mechanically attached using the fastening pattern of the top layer in iiiiiiiroved unhurt, 3. All standard panel sizes arc acceptable tier merch.anical attachment When ad :u panel size shall be 4' a 41 maximum, An overlay ancigar reocivery board insulation panel is required on ait appticariens over closed ceil fbam. iiationa when. the: hash sideei, is ..fially mopped if no recovery board is used the base sheet shall be applied using spot norpoing with approved asoltaft 12' diameter &Bela's, 24" oico or strip mopped 8" ribbons in three raws„ one at each sidelap and one down the gooier Of the sheist allowing a. continuous area of vent-dation, Encireiing of the strips is not aeeeaeafhhh A de' nragh shah b4 . placed every each ribbon to allow cross verohation. Asphair application or onther system slush be al a minimum rani of 12 Ins„..1sta. Note: Spot attached aystems shall be Iiiiiitial to a maximum design prftisare of -45 psi. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (Eh value 0E275 haftnes tested in 4411 with Testing. Application Standard TAS 105, If the fastener value,. as field- meted, are belcbe 275 lbf. 43.:$1.1.1ation.att1ctmem _shall not be acceptable,. 6. Fastener agreeing lift mechanioal attachment of anciiniribase shbet. Or membrane 3244441 15 .baseg se: a minimum. flesseriei resistance value in cobiunctied. with the bhalarrium desiant value hared within a specifto system... :Statute the fastener resistance be less than that required a.:: rteterramert Dy the. Building Offigice, revised fastener spacing, preparegh algermi. and seated by: a Florida Registered h.rigineeft Architect, or Rd 11 405 Consultant may be submitted, Said revised fastener spacing shall .utilize the, withdrawal resistan4 e. value taken .from. Testing Application Standards TAS 105 snd calculations 11 22111411144 whit Faircfing Application .Standard RAE 11 ii, 'ft Penineter and COrner areas shall comely .with the enharged uplift pressure requirement ithese aeas, Fastener densities shall be increased for both inoidation and i.easir sheet „as calculated in compliance with Rmatimit :AreHeaton Slenearll RS I FR Cithildliont pieraten signed and smith by 11111141414. registered Prolessimai lirtinitier, Recistered Architect tic Itenistered Roof Consultant (When this limitation is specifically, referred .aifthn. this NOA, General Limitation #9 III not be applitable,) 8. Ail anachment and sizina of perimeter nailed., metal prefild, arodeor flashing tismairlation designs shell canform with Roifing Application Standard SAS I i. I and applicable wind Mad reduirements: 9.. The maximum designed hreadure innitatio44 fined shah: be applicable th cal roof pressure zones (Le. acid, perimeters, .ariti -cornerch Neither rational analysis, nor .extrapoistion shall be herrn:tiled fcr enaanhea fastening at enhanced presseire ZOneS tie. permeters, extended comers amd itomersli„ (When Ma limitation is specifically referred within this NO„A, General Limitation 4.'7 will rim. be appligablet) O. Ad products 144114 1454141 shall have :a. ,quality assurance 'iiiii,ieri in accordance with the Florida Building.. 1454 .144 Rule 911172 of the Florida Adronnithative Code, END OF THIS ACCEPTANCE NOA 414,; (17-1.219d:h9 Expiration Date' i 1104113 Appriwbf .Dater 05141NP4 Page 59 of.."13' TGFLLR1306 Roofing Systems Roofing Systems eltairstrattlELSSISEMEISPHSISFIE=ITIEsaltelstsalall SAE MATERIALS CeeqP _ HaP r-l-Hra"sarst car. -Theaserma Hartettat testa Satest- snay. asszata pa 63) T.:,,asSe ,52 teas sheets an 3r66 764,,Q 43-446:666:; lTasarmEaral Paales-Har TP-leta.P "--.:Satea 3-(66k, 0",44:63..,:: )6."44446233-44. :::646;?6,)34:6,7),',; "4 6.36"60:64,64:66 466 LaSe..» aS aria 6464,666,g 63,464.44.,646,46'43416 666,64 Chatatafiraattons ',Paten )".7444. 6.; C16:646, 66e.„ 6,6643737 -"hatless aa as.almEsaPaa, fe":" lr,att 363n. 3:6,7,3646t463. Ha5t32-tra ransassente stsr: Pasts. m,:at."",,,steara. 666 66t1:,3166".64 tarst gyteeter strart ant ra-E latrassaT alesler. %Den-MS-Et-Is ,;:"FSPIETETIT 'per:ErFe"late Frastataillt" Rectappert" TIensalasta. Hasallawne Ressferateres are ta sefset. starsahr.,,et re' ens_ yetn :Se eatt tate; heref ale-pk. etatyptstrarte rtert. ha the nas-F. aystears mast Mt meted Passe thersaverateeste nal aaara. "s-Parall:".. attattar-Ps: 'Ca stEassett. Deis-Geese ,46, .6,46 46,43)46,6) 6,66:6466..„ asses tHsar,tetent Esmatater ventas-g Ease Seeat Fasestems- Hay tat att. est mapprea "seas assararttessertart erasse Pas as t"." sartassa sees exastarg roof systems. Testasitt.p.s. Paralts astasaea-tesa smay ,466,6E441 616 -a saver tstare assa ses.I.P.GrIAEL-E" arestestans, re Pas tea rasesseser, sta'FF Ts, asalaist PrmslalsaPl. Ts-Ea:PIET, tea ."...6-:::'64.,a6',6";."4:6, 61-664,4,316:6616 ::"66t3.6,4,66. 64:6:446:6 4'366 6".3t. 6"066.=.61g: 36264636 4.44 ,436663616 6044-65:4",66. 4:V6,66666 6,3!".646:1466636 46, any atrt tare Hastestre Crassertathene e-HEEle TINEE.Seare ErTaS: latesateses. aatrasrastrat las ---;;IEras Eater' ettashatette melatle FiFtersag.W.saaa-ar"."": stestrettas .ameasstarrrat ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT et" ale aeIhtEem g4:4)6S 4'6,6t .i)ase sheet HallaSTEGIAS MIS"; Ease Shaessa tHIS Ease Sheet", er TEAFFSLAS WSTIMAT" 4,66,66,6 seemetre For Type SW asphalt clears Etter. sharat TGEFGLAS Hy 444 —6466',:y i434 .)4 "SeSGLES Ene ..Era SS.S. CASS C" 4446f 63634661',6: a,ata, 7,S,,a, ,,laaaaa Saaa :aSaSST, sIltere EasataYent VE:666,:g. 66:6q, 6.444.:6t Esse, lThael ;:tarle-See).- altarterattart ;syssa asps ataterrarali 6,461 :46:;v6.4b6e 6666,66,6,646 6644.64.6644-:, ""6):: Th6r-4,4 666`h63t ;66$:5 6486 66.6:64 6,6e4i343666"),63:LP,..6 675 6-6:46 666636 c.-.3 --7,--pt-; -4_, TEST Strata-vent Etaanstanar Ventlre; Base Sheet Eleseableas may msw.tahsee trsa T.--Ist; sat its.p.pap ,:;;;s:raz as,e, essras ratteassLart ar• Tapes" P6::-/ 4" 66 "3:34..664;33,,66: 6") as tee retreatt :attest Ess ra" the "'TT's:TT; 63646634-:,46. 6'63 ,asese sae ,aSSraalS araf. aS1S?..S 2 re 64- 5 46: ",'":,5 Tataaes "FSEFT'arsTE 4, 5 tne i45.4,:i". 544:5:4454 k,5:5 :55k55t4.„4.45,5.55 anc5.55.55.1.5 • .55c aa„,s'zaaa-.,s, •-•:l.-7eracA7.:::car,: AAA cc. :5;44:n..":34,„,--i-,-.3:,..5:55:55 '5E--:445.5.54:,,,G.55:54.: ;,„4.. 5,4 ;55 . Dec k C „5:4 32 -ik555,5:4:4e 54k:555:n:55 ;44 445..okian, croc5„4. aaSS A, 8 arid C CtaAS. A Incline:: 7 insulation (Optiona): — (Din: .„45,55 gniss pobnst,-,55,5k4irkoii55 nocionnio. Ply %haat: TAAta rcore pinkk Type C5i„ 443AFG AS PA,': 4." Surfatins: Incitne: ,;• k :55 -43,4;445k.,4kik 5.44 .nasuiation “.aptaonal:A — Cane a.A. PazA-a Aa,aaa aa:A,a" .A7 7caaA apaAsccaraaaanaAa p-77 ,..patinaraa phei55.45„ Shea. Oil 544 "Ciiik:FOLIk; P4i ii, P 0„, r Cap Shat. Tly7aa, Mineral 8:55f,aciii5 Ca.p Sh.ett, Deck: Inciine; Inaniation (Optional Cica :45-5575 .55:,55.55 inkinpii45,55,. 545.5:5 iokirk.554.noncikiiim,iiknik,:: 55,5.544545... 2-55. FP.y Sho.aata — c•Ao r7a,...7;are .i.::, Ca.P. Sheet: — :Za3! Scrfkcii5 .4:„.14i.:55: SC:inn' 55 Cap :n5u ton 1 Any ,44,4.44,-,:alt • TR•,..1 3 • oss Eats- St4:22-24-: - -at afs Ply 3Ocet: :-.777,77:7772777S cse elleco — agau Stifiett -22 P.2.422st tapit 7,2 2.33.22t3T:itt42.4 4275 Bass ' '22.2 222:' Pis Sheet: ahe 777 rere Tyc;e. 1 Cap Sheet: — Ctrte pta Deck.. 1=7 Intsufaticra t):;222-; 4424:4422...: ta.:,42222:22 attut..:44 2:::144t22. f42.2442 2.41a 24 T.,2422:14a.:2;2214:::.:4P42.21:1:2244.424-at..4 "2:1:44.242422241a. Sage Sheet: Cnti ;)7 777:724. Mersarena: — 2.324:44.2a223 7:222,42.414.: P42:2,2" '41i.iatattsurt attai firstiataat 11'42titiet.P.3.2.2 Mop: 2Piaanata2 ''Sattait4.22,41 ;44.4. t2 tat 112,:ita::::::atita 2.22: "tfoafta.atait 5.35 4;42artaPart or 22;22.222.... s1424344.24 aletstr.a.f.e.- 7 APP t22:2214:22.22 244224:234 4.222. TS-42. Cap — Tyae 2a.:224,FSP22.i.A.S ta:242-2222.24 Siptfattat :12;324.42.22 <1:174:224.2.. :41.24:2;22:: .S.22212aptaa Pateat:12 mato...t2s21.. Incline; 2 Insulation (Optii*mal):: — One :242 Pufaits: ast1.4:e .:22.2.3.22241 taut: 224 g.42,42.2. compu.:2e. or patt.422,2:22.4.-fitaria422. 224:244424,:sta :2,44422: SeSe Sheet --- 72ii2.4.. 7.074 -rgtitte ::122 at Tpsai Ply Sheet (Optionalle — Or.:*; .42fite pfap. e -(2,1 Membrane: — f'3.2fe .2.24 247.24te. 74.24f S:.44.2stif4"1 4:22.2422.24.2,4 7.:42:224: 22.242:44:Sti2 2.72:1222ttetgad 4,,ata2-4:-...3e 2R.2.20e4.4441 Pats Stsouff.:.3 titt PRgitistp4.4 it.42,42 CiPara2.422 222.2 -P.2.224:22.22:22: Mop 242.4.2 flp:::::::::42:44.42 124.24.222P4272.2.224: J24.22,41.222:iig SaPP Sttgrtte..:7 ffentittatuat f '4f.c.fafftaa.22::::2 .4t2.722.122:t.2:24 C244.22-4„2222.2 ' ttits.2.4..a., 3.2:42-.2252 att.i2„4.2„„, CeP Sheet — TYPe <3.3 aSseria :54214i22.223.2. Cup :52:1422.4224.21 2:4" 12f.24.2,22:42;21 312....atateat atip IS777,,2:7': 7,77 h7:7777,77* Insulation Optlosalls — Per_;:te ::;•".ess eeer ;;;-. w;;;;....; fe;:tee-es. ae;," Base Sheet:. — :0 Type C.; 2 -GA.F..:7;LAS SPH-!]::: 7 5: , Ply Sheet. saste ypito. 2322 :14,F234:2,..445 ifty - cap Sheet: — a21: " FS LAS ra pta caft Cap a Pat : ' '232 111i Surfacing::: 2:4:::14.fatua'a atia" aaptati art ii3.22 3..23-1:22,2 IC,' -as Inclinet .E•mulation — :Das :42 4722:3:22. Saagua ipaa422.,ta aip.224 .4.42.42:2 g.:::asf: t.2::42.422 77D,',..77,777.,7,77.7Lt.'77,7"-e777. 77the777: ,7777777..:t7,-e 077 pautitattiiratnars 2.2.444: ;242.4.24224.2a4p ar.:2 tiscanesa., Ply Sheet 744s-a ca sapta. pasit Type GI 'GA; T"r"'" Ca.p Sheol; — Insulation (Opttoeaii: a'•le er h'7e eyers perr:te 77'77,77.77a7,7", 224:212-taftgte piartsep uastaasf tt.4s2:72.444 71777 7772'77:77tt7 Piy Shet- e-;;e. paiss Tfpu 3222,..g3L3 S P2.: - 4.22 -:224.41242 Cap. Shet: — 1:12g:24432.p.:2432:22:2, .t4:1.2ter2S 5",;-fa";et Cap Piaspia, „22 Deck: 'u:23 Base Sh:eeti:: TYPe" '1t37 4"2:2-S" 72f :::452f 1:12: -TT Sheet. p;es TY:Pe 31 2,314-FGLaft.: Cap Sheet. Cap Seeet'"' Incilsoi MIAMI :2E TY COUN BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile, Inc. 1289 NE 9th Ave. Okeechobee, FL. 34972 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.iniamidadcgov/buittlingt SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and /or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Bermuda Concrete Flat Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA # 10- 0518.01 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. MIAMI DARE COUNTY APPROVED NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: Roofing Roofing Tiles Concrete 1. SCOPE This revises a roofing system using Entegra Flat Concrete Roof Tile, as manufactured Entegra Roof Tile Corporation 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 the locations where the pressure requirements, as determined by applicable Building Code, does 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 done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Entegra Flat Tile Trim Pieces Test Dimensions Specifications I =16" TAS112 w ^ 10" 1= varies w = varies varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. Okeechobee, FL. 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. MIAMIDADE COUNTY APPROVED 7161 -03 Appendix III 94 -084 94 -060A 25- 7094 -2 TAS 112 Product Description Flat profile, interlocking, high pressure extruded concrete roof tile equipped with two nail holes. For mechanical, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Date Dec. 1991 May I994 March, 1994 Oct. 1994 NOA No. 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 2 of 6 The Center for Applied Engineering, Inc. The Center for Applied Engineering, .Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers MIAMt.DAOE COUNTY APPROVED 25- 7094 -8 25- 7094 -5 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 R3.894 395 - 40011 -1 520109 -1 520111 -4 520191 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations 13343,1 Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, RecoverlReroof) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Physical Properties PA 112 Static Uplift Testing PA 101 Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Restoring Moment, MR Two Patty Adhesive Set System TAS 112 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Feb 2004 Dec. 1998 March 1999 March 2004 Feb 1996 April 1996 December 1996 March 1995 March 2004 April 1999 05/06/08 NOA No. 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 3 of 6 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 Building and Neighborhood Compliance Department — 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 deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Entegra `Flat' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations. Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Entegra Flat Tile 9.7 1.33 .833 MIAM! DADE COUNTY APPROVED NOA No. 11-0414.09 Expiration .Date: 06/07/16 Approval Date: 05/26/11 Page 4of6 Table 2: Aerodynamic Multipliers - A, (ft3) Moments 4 ":12" Tile - Ma (ft -lbf) 6 ":12" X (ft) Tile Profile A, (ft3) Profile Direct Deck Batten Application Direct Deck Application Entegra Flat Tile Direct Deck 0.189 0.205 MIAM! DADE COUNTY APPROVED NOA No. 11-0414.09 Expiration .Date: 06/07/16 Approval Date: 05/26/11 Page 4of6 Table 3: Restoring 3 ":12" Moments 4 ":12" due to Gravity 5 ":12" - Ma (ft -lbf) 6 ":12" Greater than 7 " :12" Tile Profile Entegra Flat Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 6.53 6.97 6.43 6.86 6.29 6.71 6.14 6.54 5.97 6.35 MIAM! DADE COUNTY APPROVED NOA No. 11-0414.09 Expiration .Date: 06/07/16 Approval Date: 05/26/11 Page 4of6 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Entegra Flat Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 19.0 24.3 19.0 24.2 22.1 1-10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails''- 50.3 65.5 48.3 installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Fiat Tile Adhesive 31.33 _ 2 See manufactures component approval for installation requirements. 3 Flexible Products Company Polyfoam Product, Inc. TileBond Average weight per patty 13.9 grams. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance 118.9 Entegra Flat Tile PolyProTM PolyProTM 40.4 4 Large paddy placement of 45 grams of PolyProTM. 5 Medium paddy placement of 24 grams of PoiyProTM MIAMI•DADE COUNTY APPROVER NOA No. 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 5 of 6 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". ENTEGRA FLAT TILE LABEL (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. MANMADE COUNTY APPROVED PROFILE DRAWING ENTEGRA "FLAT" CONCRETE ROOF TILE 1G 1 10• FIELD TILE 16' 10' THICK BUTT TILE END OF THIS ACCEPTANCE NOA No. 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 6 of 6 DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 3M Company 3M Center Building 0220- 05 -E -06 St. Paul, MN. 551444000 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315 -2590 F (786) 315 -2599 ?.ww.rutia€ nda €c e.govipe €'a 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 PERA - 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. PERA 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: 3MTi" 2- Component Foam Roof Tile Adhesive AH -160 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 ofNOA. 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 renews and revises NOA# 11- 0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive Polyurethane SCOPE: This approves 3MT'T 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance_ For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2- Component Foam Roof Tile Adhesive AH-160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 Foam Dispenser RTF1000 ProPack:R 30 & 100 Dimensions Test Product Description Specifications N/A TAS 101 Two component polyurethane foam adhesive NIA Dispensing Equipment N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results I.6 lbs.ift.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs. /Ft2 3.1 Perm I Inch +0.07% Volume Change (d% -40° F., 2 weeks +6.0% Volume Change {ci 158 °F., 100% Humidity, 2 weeks 86`10 NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name /Report Date Center for Applied Engineering 494 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11-93 11/02/95 25 -7492 SSTD 11-93 12/12/95 Miles Laboratories NB- 589 -631 ASTM 0 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b111 ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03102/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MMTM 2- Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F'= MS F 2 — w' NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3M1M 2- Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MT'M 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF1000 or ProPacla- 30 & 100 dispensing equipment only. 7. 3MrM 2- Component Foam Roof Tile Adhesive AH -160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles 4-1 35 N/A High Profile (2 Piece Barrel) 41 17 /side on cap and 34ipan NIA Flat, Low, High Profiles 42 24 N/A Flat, Low, High Profiles 43 8 NOA No.: 12- 0228.18 Expiration Date: 05 /10 /17 Approval Date: 05/10/12 Page 4 of 7 LABELING: All 3MTM 2- Component Foam Roof Tile Adhesive AH -160 containers shall comply with the Standard Conditions listed herein. 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 DETAIL 1 SINGLE PATTY Nail through plastic cement Paddy (Beneath Tile) Undedayntent Nail t rough plastic cement Under ayment Fascia Eave course only: Keep adhesive approx. 4 in. up from weepholes Paddy (Beneath Tile) Nail through plastic cement Undedayment v tin �J 10 in: Paddy (Beneath Tile) Eave Course Eave course only: Keep adhesive approx. 4 M. up from weepholes Fascia eephole Eave closure Drip edge 1) Place enough adhesive to achieve 17 to 23 r Tonal 2x4's for square inches in contact with the pan toe \'yep pitch applications Nail through plastic cement 2) Turn covers upside down. Place adhesive 112 in. l �/� To 1 in. From de edge of cover tile. 1 1 10 in. Eave Course Underlayment I 1 Eave course only: Keep adhesive approx. 4 in. up from weepholes IAMI.DADE COON Fascia ve Closure Remo top portion of the eave course cover tile. Abut to second course of pan Wes. Ensure eave end o pan and cover tiles are flush at eave line. Eave closure (mortar shown] Weephole Fascia Boar Sheathing Optional Point -up Mortar on longitudinal edges of file NOA No.: 12- 0228.18 Expiration Date: 05 /10 /17 Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic cement Underlayment Paddy (Beneath Tile, Tin. Eave Course 4,740 Fascia Eave Closure Nail through plastic cement Underlayment Nail through plastic cement Underlayment Paddy (Beneath Tile) 7 in. 2 in. Eave Course Fascia Weephole Eave closure Drip edge Beneath Tile) 7 in: Eave Course Fascia Eave Closure NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement 0 Paddy (between tile) Paddy (under tile) 3 in. x 3 in. Single paddy on under- layment Single paddy under tile Single paddy on top of tile Eave course 21n. X 7 in. medium size paddy eave Fascia course only Nail through plastic cement Nail through plastic cemenst Single paddy under tile Underlayment vr Single paddy between the size x 7 in. medium ize paddy eave 'NN* x 3 in. course only 4 in. 4 Single paddy on under- layment Single paddy on top of tile Eave Course Fascia Weephole Eave closure Drip edge Single paddy between tile -4"3 in. x 3 in. Single paddy on underlayment Single paddy on top of tile Eave Course Eave Closure 2 in. x 7 in. medium size paddy eave course only Fascia END OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 RF13 -97 10635 NE 11 AVE 01/23/2013 Provide a completed cumulative substantial improvement verification worksheet. The structure has permits issued for improvements. Provide a completed contract. II2`113 aVvor we, .ex a)142.d �, 1., •• Lei so RF13 -97 10635 NE 11 AVE 01/23/2013 Provide a completed cumulative substantial improvement verification worksheet. The structure has permits issued for improvements. Provide a completed contract.