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RF-16-1795 (3) B i T TAS 106 TEST RESULTS REPORT GENERAL INFORMATION Testing Agency Name: A+ Engineering Testing Lab, LLC. Certification No. 16-0413.03 Address: 7066 SW 44 St Miami F133155 Telephone: 305-668-5792 Fax: 786-513-3754 Email: aplluserl( yahoo.com Representative Name: Eng. ABDIAS H. SAENZ Title: P.E# 69687 SITE SPECIFIC. INFORMATION Roofing Contractor: PALMER ROOF TECH INC. Permit#: RF-6-16-1795 Job Address: 10305 NE 2 AVE., MIAMI SHORES, FL 33138 Contact. Name: SUYAPA PH: 305-582-9764 Owners Name: MUMFORD TRUST/BONNIE MUMFORD Type of Tile: ENTEGRA Date Installed: Roof Height: 12 feet Roof Pitch: 3/12 Job Access: LADDER Gate: NO Approximate Square Footage of Roof: 43.00 ft 2 Date Tested: 01/23/17 Required Testing Force: 35 LBS Testing Equipment: M2-100,S-3741465 TEST LOCATION PASS FAIL CORNER 13 - PERIMETER 58 - RIDGE 51 - FIELD 131 - TOTAL: 253 - •Vt {poi v t No 6968 . • :C ��. STATE OF . A; P,•: � . S IN ACCORDANCE WffA" i0RF'r RIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY,WITH NO DEVIATIONS THIS REPORT IS NOT GUARANTEED IN CASE OF NATURAL DISASTERS. A+ En ing eerin Testing esting Lab ROOF DIAGRAM 10305 NE 2 AVE., MIAMI SHORES, FL 33138 (PERMIT#RF-6-16-1795) N 19 20 21 185 184 2 18 186 23 22 30 29 28 27 26 25 24 8 17 189 18 179 175 165 169 159 155 149 148 147 182 190 188 180 176 166 170 160 156 15'I 150 0 146 15 3 183 19119 4 193 181 177 167 171 161 157 152 145 144 14 196 195 194 178 168 172 162 158 153 142 140 71 173 174 84 164 163 154 70 200 199 198 197 138 143 141 a5 69 204 203 202 201 6 236 237 244 245 139 '137 135 68 207 206 205 7 235 234 238 243 247 246 136 134 233 239 67 211 210 224 225 08 240 242 248 115 132 133 5 232 241 66 209 208 223 6 226 09 50 250 249 116 131 130 5 5 231 251 65 213 212 21 222 227 10 49 252 2 17 12 129 128 127 217 5 13 11 23 47 18 125 1 64 21 2 216 219 4228 1 19 124 12 215 220 221 7 46 45 63 62 61 60 7066 SW 44 St Miami FL 33155 PH: 305-668-5792 Fax: 786-513-3754. aplusetl@yahoo.com Aa++ 7 3 Miami Shores Village ■ t 3 IF MM s� 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 � N Peittrf Status: V� Phone: (305)795-2204 - x � Expiration: 01/02/2017 Project Address Parcel Number Applicant 10305 NE 2 Avenue 1121360130390 BOBBIE MUMFORD Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell BOBBIE MUMFORD 10305 NE 2 AVE MIAMI SHORES FL 33138-2056 Contractor(s) Phone Cell Phone $ 31,500.00 Valuation: PALMER ROOF TECH INC (305)582-9764 (305)232-4777 Total Sq Feet: 38 Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification:Residential Up Lift Report Scanning:4 Tin Cap Final Roof Tile In Progress Review Roof Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $19.20 Invoice# RF-6-16-60363 DBPR Fee $3.75 07/06/2016 Check*2197 $270.70 $50.00 DCA Fee $3.75 Education Surcharge $6.40 06/28/2016 Check#:2187 $50.00 $0.00 Permit Fee-New Roof $250.00 Scanning Fee $12.00 Technology Fee $25.60 Total: $320.70 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin uthe uthorize the above-named contractor to do the work stated. July 06,2016 Authori d Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 06,2016 1 - Miami Shores Village Building a art t JUN 3 o nm 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tei:(305)79S-2204 Fax:(305)756-8972 _ F INSPECTION LINE PHONE NUMBER:(305)762-4949 F BU ILDIMaster Permit No. RF S PERMIT APLIC TI Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING REVISION ❑EXTENSION RENEWAL ❑PLUMBING MECHANICAL F-1 PUBLIC WORKS [] CHANGE OF ❑CANCELLATION ❑ SHOP I CONTRACTOR DRAWINGS JOB ADDRESS: City Miami Shares County Miami Dade Zip' / J Folio/Parcel#: ,✓ �f Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ' �cam, g OWNER:Name(Fee Simple Titleholder): 9'+Aid Address City: '�t tx Wi i t 0 C�e.� State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: `lMgt b -�te_ Phone#: Address: �� ` r"� '� � vim f State: �-— Zip: City: l L' `�v ¢�c� ir�1aN� Phone#: �= - (— �� Y Qualifier Name: _ p State Certification or Registration#: 22 Certificate of Competency#: g( Phone#: DESIGNER:Architect/Engineer: z9 ;rr� �r�+ ✓ Address: 9 13 �' / /�`� City: lel &Lmi State:l"� Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: tca Type of Work: ❑ Addition ❑ Alteration ❑ New q ❑ Repair/Rep{ace El Demolition R +d`�U Description of Work: d u ver + J P Specify color of color thru tole: ° � (� Permit Fee$ `�l �'® - CCF$ CO/CC$. Submittal Fee$ n Scanning Fee$ s� .00 Radon Fee$ DBPR$ Notary$' Technology Fee$ Training/Education Pee$ Double Fee$ t, Bond$ �'' I `7 Structural Reviews$ TOTAL FEE NOW DUE$ Q (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) 1 Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$ 500, 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 mustbe 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. Sign ature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The,fJ; strument in was acknowledged before me this lfc� ' 'day of �`�' 20 / 5 byf �2L v)f 20 7 by 9iC�iiBli � 1 � who is personally known to _13U4Q,2CA 13)1 T?eY who i rsonally known to me or who has produced � >`�°>� �'�'� t s me or who has produced ;Per-st-ol li` knic wig as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: , �✓f �'' Print:l'rJV,I v P,0,Yy�%rt� Seal: Seal: NOW Call. eua =�t,, A lic State of Fbnda omano APPRO047 Plans ExaminerZoning y� J08/2018 7� Clerk 5bVMUrM (Revised02/24/2014) STATE OF FLORIDA DEPA97ME,.<;PF BUSINESS AhlD pROF`E ! R GULATION CCC1330700 �:7 3U t1l27lQ15 CF.RTIFIED ROO O O WTRA PALMER.. U`! t PALMER R-06 R IS CERTWAED Under the pruvi4tons of Ch,489 F8 Lu tirn deSsY, AUGS1,.201e ce miarni -Da `0 1,ountyr State;of Florida THIS IS NOTA SILL>W NOT tsAY 5076179 L J A EsS ft"WILOGATI(M RVJCvtPT NO. EXPIRES PALMER ROOF TECH ltd: RENEWAL SEPT, BER 3G,2€196 1 T�i5,I we I! 51'3=31? Mint i dIsIA lyjnEk ftIa e of bualn MIAMI,FL' 3���' Pos)'Qnt to County code Chest r,AA 3 Art �St Tn SEC TvpE OF BUSINESS eatR ernrFnEtEsT RE"tvEn PALMER ROOF TECH IN 196 SPECIALTY BUILDING BY TAX COI tECMR CONTRACTOR 82,517 10/05/2015 lfilpticerfs} 03BS00373 0221.16-OW120 TWs Lorat HWumw Tax Fevoiptawy co4rou pomw of ow West Business Tax,no Receipt is rmi a license, g rit,or a katiea of the tiptitei's Epi thea taft,to do bestows.ItntdaF mast c"Iy t ony govemtnunitd Ili "govio i M" turf,Iwa nod r eimmontsthi apply to the trvvhrflms. -- The RECtIpt No.e6nra tart be d4lito an a ial votoolos-Miniet-Me Cade Sec Sb-27C fy Tier more intawmliou.visit vrww Iiptnad # 4I. I9t PLEASE CUT OUT CARO BELOW AND RETAIN FOR FUI URE REFERENCE IMPORTANT to£;ttegfer A�4h,'U>{9A}, an utll"r cl a mrprrm ion pue<_ee.�x F.S, STATE OF FLORIDAti vAt•7 Q;&-Iseeenrplorr Darn ttua Lnuprtet ley 6 o eef"4;we of DEPARTMENT OF FINANCIAL SERVICES �_ cttectton sanEfat teas as ise:mer nit MCQVor benefit er DIVISION OF WORKERS"COMPENSATION ' O wmwerss,3.ron u u r Ellis ci atrtur CONSTRUCTION INDUSTRY EXEMPTION L Rn^sant to Chupwt 4400502t F 5.Gsntd",caia4 ot GkIction w CER Ur6a,A r8 or VLECM4 TOM F.%CREPT FROM FLORETEA D he exe,wt.. ap"onty morin te,scute of the busmass m ire 4o V'ORKM C,impr'NSArmF;LAW F.%FIRATI@N nAT6 :r$tExf on Inc 0w,l"f efec`"'11 iC be.eKeevi, 7'r Et¢i'nVE taARt: 11,77 cHro e1�pVdx6t9 ceRstaN 04lJd20. t r YA.A H pe,w Int to Chapter 440.05031.F M,.NCreaeS of of n to be FEW ,�r.`xsra+ :E o,e00*t"'3 carllticawc of election to be exempt $hoti be Snbti';i to r%mation it,nr any"ime altw the Shall Of€h5+tnnre BUSINESS NAME AND ADDRESS= R or the isS"Iance of the rvatt(dtcate.Iho lzerson nen;ed or the PALMER ROOF TECH INC g rzrttcra 1=1,..- t:,atc ra,Cn ser ntetta thN raqutrsmorts 7t nus gOCtiGr1 Bei ysp�,;an4e�!8 rC rtrfzrttir1I,.B r�r�tTntfnent 5h,'lil•Cvnk>: 9 T$3i 5014TH F?tR1E HW'r tam'tear fariuto W the gegen taln'd I',,n,,. .phot cele r ar.r 41.A �qu.r»rnen 'A the lac rllAn MIAMIFL 931$7 sOop"s Or s-:SINESS OR TRA LICENSED ROOFING CONTRACTOR B/23/2016 02 : 48 PDT TO: 13057568972 FROM:5203065961 Page: 2 A4C R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) �►✓� 06/23/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME. Raleigh Gibson Custom Contractors Insurance LLC ,,M.N P.O BOX 3430 EMAIL (888)662-4513 Fa/^XC N„(888)274-7438 Sedona,AZ 86340 ADDRESS: InfO�CttStOmCOntr2CtOnSinSUranCe.COm Phone:(888)652-4513 Fax;(888)274-7438 INSURERS AFFORDING COVERAGE MAIC# INSURER A: Preferred Contractors Insurance Co. INSURED Palmer Roof Tech Inc. INSURER e: INSURER C: 17832 S.Dixie Highway INSURER D: MIAMI FL 33157- INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADDt SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM OCD”EFF MPO IC EXP LIMITS A X CDMMERCULL GENERAL LIABILITY PC79282-06 06/25/2016 06/25/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 50,000 ,REMISES(Ea Q=nnce) $ MED EXP(Any oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 X POLICY JECOT EILOC PRODUCTS-COMP/OP AGG $ 1,000.000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ AER ANY AUTO ALL OBODILY INJURY(Per person) $ WNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED ._........M_.... ...�. ROPER AUTOS ..{Q4S.@. TM.9SZ AMAGE.. .,,. $ F LA LIAB OCCUREACH OCCURRENCE $ LIAR CLAIMS•MADEAGGREGATERETENTION S WORKERS COMPENSATION $ AND EMPLOYERS•LIABILITY PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ER OFFICER/MEMBER EXCLUDED? El NIA4 E.L.EACH ACCIDENT $ (Mandatory In NN) If as,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORO 101,Additional Remarks Schedule,may be attached if more space is required) licenses number CCC1330700 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 N.E.2nd Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores FI.33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD (MWDD .4 CERTIFICATE OF LIABILITY INSURANCE DATE 06/28/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE A/C,No,Ext): 1.800-277-1620 x4800 FAX A/C,No): 727 797-0704 FrankCrum Insurance Agency,Inc. E-MAILADDRESS: 100 South Missouri Avenue INSURER(S)AFFORDING COVERAGE NAICA Clearwater,FL 33756 INSURER A: Frank Winston Crum Insurance Co. 11600 INSURED INSURER B: INSURER C: FrankCrum UC/F Palmer Roof Tech,Inc. INSURER D: 100 South Missouri Avenue INSURER E: Clearwater FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 364951 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRD WVD (MMIODIYYYY) (MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -AMS-MADE F—IOCCUR DAMAGETO RENTED $ PREMISES Ea occurtence MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY =PROJECT =LOC PRODUCTS-COMP/OP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ONLY AUTOS ONLY Per axident UMBRELLA LIAB OCCUR EACH OCURRENCE $ EXCESS UAB H CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION AND WC201600000 01/01/2016 01/01/2017 X PER STATUTE ER A EMPLOYERS'LIABILITY Y/N ANY PROPRIErORlPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? Q N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1.000.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Effective 12/14/2015,coverage is for 100%of the employees of FrankCrum leased to Palmer Roof Tech,Inc.(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory employees. (Client reference:License Number:CCC1330700) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Villages Building Department AUTHORIZED REPR.ESENTATIVE 10050 NE 2 Ave. Miami Shores,FL 33138 ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD ' --- -- — -- -- -- -- — --- -- --- — -- --- -- -- --- IMPORTANT — --- 0 STATE OF FLORIDA Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation DEPARTMENT OF FINANCIAL SERVICES who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or DIVISION OF WORKERS'COMPENSATION : F compensation under this chapter. CONSTRUCTION INDUSTRY EXEMPTION 'O L Pursuant to Chapter 440.05(12),F.S.,Certificates of election to CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW D be exempt..apply only within the scope of the business or trade. EFFECTIVE DATE: 11272015 EXPIRATION DATE: 11/262017 listed on the notice of election to be exempt. PERSON: PALMER SUYAPA H FEIN: 900066341 Pursuant to Chapter 440.05(13),F.S.,Notices of election to be i ,E exempt and certificates of election to be exempt shall be BUSINESS NAME AND ADDRESS: R subject to revocation if,at any time after the filing of the notice PALMER ROOF TECH INCE 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 17832 SOUTH DIXIE HWY a certificate at any time for failure of the person named on the MIAMI FL 33157 certificate to meet the requirements of this section. I SCOPES OF BUSINESS OR TRA I ILICENSED ROOFING CONTRAC:TnR RECEY�1` I S&ion AB MIAMI-DABE Mia4PjHZ �,Nlrni shoe�s VII 17;e "Delivering Excellence Every Day" TM141G VE0 0V OATE Section A(General InforDEPT Master Permit No: Process No: -7u Cv ;31_OCi OrPT Contractor's Name: Palmer Roof Tech Inc of T TO COMPLIANCE WITH ALL FEDERAL Job Address: 110305 N.E. 2 Ave Miami Shores FL ,,TATE r.rn Cnt INN Rul_FS AND RFci_rl-ATInNS Roof Category ElLow Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tile ❑ Asphaltic-Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes ❑ Sprayed Polyurethane Foam 11 Other: 0 ""'• • Roof Type0000*0 • • ❑ New Roof 21 Re-Roofing ❑ Recovering ❑ Repair ❑ Maintenanoe" . ;•• • •": •••• • .• Are there Gas Vent Stacks located on the roof? ❑Yes 0 No If yes,what type? 'Q'Vtural• I.PGX •�;••• Roof System Information •••••• • ' 2 0- z 000 sq ft Total ft.2 Low slope roof area(ft. } Steep Sloped area(ft. ) _ ( ) •••••• Section B(Roof Plan) 00 •••• 09000, Sketch Roof Plan: Illustrate all levels 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. Perimeter Width(a'): Corner Size(a' x a'): 21 46 5 5 20 - I(` 6 +9 18 1 t 24 -'- -----.J File Roof System MIAMbDADE ® Miami-Dade County HVHZ Electronic Roof Permit Form Section D Tile Roof System "Delivering Excellence Every Day" Roof System Manufacturer: Entegra Roof Tile LLC Notice of Acceptance Number(NOA): 14-1120.08 Minimum Design Wind Pressures,If Applicable(from RAS 127 or Calculations): P1: ._5 P2: 78.6 P3: 116.2 Maximum Design Wind Pressures, (From the NOA Specific system): _5 5 psf Fit/in the specific roof assembly components.If a component is not required,insert not applicable(n/a)in the text box. Soo Plywood— • . •... see*:* DeckType: �! • . y • •••••• 000000 Optional Insulation: P fd� I • • n/agoose • • • Voo alar si •• •• ••• . • • Optional Nailable Substratp�• 6606 • { • • so 0 Optional Nailable Substrate Attachment! 0 ' • Roof Slope: "/12" n/a Roof Mean Height: 2 _ _ ft. Basesheet Type: Method of Tile Attachment: one#30 astm tincapped Adhesive, Medium Paddy Polyfoam Polypro- ' Fastener Type for Basesheet Attachment: Alternate Method of Tile Attachment per NOA: 1"1/4 ring shank and tincap 4"on lap 12"oc. n/a _ _ Tile Underlayment(Cap Sheet)Type: -3"face 26 ga.— One self adhering_ Drip Edge Size&Gauge: ____,__ Tile Underlayment Attachment Method: Drip Edge Material Type: F7 Metal— elf adhering Drip Edge Fastener Type: tagger every 4"with VIA/4 ring sh Tile Profile: nguar Roll s low profile Fa e Hook Strip/Cleat gauge or weight: -n/a- Section E c MIAMI-DADE Miami-Dade County HVHZ Electronic Roof Permit Form "Delivering Excellence Every Day" Section E(Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 127" For Moment based tile systems,use Method 1. Compare the values for Mr with the values from Mf.If the Mf values are greater than or equal to the Mr values,for each area of the roof,then the tile attachment method is acceptable. P 1: 5 x X -Mg: 6.64 =Mr1: 6.36 < 45.5 NOA Mf P 2: -78.6 x X289 = 2.72 -Mg: 6.64 =Mr2: 16.08 < 45.5 NOA Mf 116 2 289 = 3.58 -M 6.64 =Mr3: 6.94 < OA Mf • 5.5 N •••" P3: x� .._.,.,, .. 9 • • 0 0000 0000•• •• • 000• • • Method 3 "Uplift Based Tile Calculations Per RAS 127" "';'• •• 6096:0 0.0".06• • For Uplift based tile systems use Method 3.Compare the values for F'with the values for Fr.If the F'values are greatet jt�a.Cr equal Pthe values!for 0 0 each area of the roof,then the tile attachment method is acceptable. *000: ••••• •• •• • 0 P1: X I: = X w: = -W: = X CCS O: =Fr1: ; _ :5,:[= NB00 0 0 0 0 0' • • • • I•O• • • f • ' • P2: X1: = xw: =®-W: = XCCSO: =Fr2: •• V2. P2: ••00•• • 0 0 • • _ -W: _ X Cos 0:F7=Fr3: <_ NOA F' Where to Obtain Information to complete tile calculations Whereto Find Description Symbol Design Pressure P1 or P2 or P3 Table 1 RAS 127,or by an engineer analysis prepared,signed and sealed by a professional engineer based on ASCE 7. Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier 1 Product Approval(NOA) Restoring Moment due to Gravity Mg Product Approval(NOA) Attachment Resistance Mf Product Approval(NOA) Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval(NOA) Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval(NOA) I=length Product Approval(NOA) Tile Dimensions w=width SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope.As it pertains to the section,it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally,the following items should be addressed as part of the agreement between the owner ant the contractor.The owner's initial in the designated space indicates that the item has been explained. 1" , Aesthetics-Workmanship:the workmanship provisions of Section R4402 are for til@ QUrpose of providing that the roof system meets the wind resistance and water instruction pelona gce standaws' ..•••• Aesthetics(appearance)are not a consideration with respect to workmanship provitIbnse.Aesth4mu es such as color or architectural appearance,that are not part of a zoning code,shouMUfdddress as part of••••:. th reement between the owner and the contractor. ••• •' • .... ...... 2. �� Renailin wood decks:When replacing roofin ,the existing wood-rest ma jvvp to be •': 9 9 9 Y renailed in accordance with the current provisions of Section R4403. (The roof deo is a'sually ew4ated prigr;;;;• to oving the existing roof system). •;•; • ...... ...... 3. Common roofs:Common roofs ars those which have no visible dehggation betw6en n ei hboriry••• u s o e.,townhouses,condominiums,etc.)In buildings with common roofs,the roofing contrNIO;Arid/or • owner-should notify the occupants of adjacent units of roofing to be performed. 4. f 4i) Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance;therefore,roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 5. Ponding water:The.current roof system and/or deck of the building may not drain well and may e water to pond(accumulate)in low-lying areas of the roof.Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life, expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers(wall outlets): It is requited that rainwater flows off so that the roof is not oaded from a buildup of water.Perimetededge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. —,-Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly(the building itself).The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Own /Agent's Sign ture Date Contrac Signature Date Revised on 7/9/2009 LD WN10161MIAMI-DADE COUNTY MI 4 PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy Entegra Roof Tile,LLC 1289 NE 9'Ave Okeechobee,FL.34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Septipp to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdictipn(Mi). -00000 ,•e• This NOA shall not be valid after the expiration date stated below. The Miami-Dade County0EicAwt Cont ol•90ction (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) resenreodw.,right to Dave this •"' product or material tested for quality assurance purposes. If this product or material fails tq perform in 44e accepted;•••• 00 manner, the manufacturer will incur the expense of such testing and the AHJ may immedi8ttfi9 revoke, modify, or:.••• suspend the use of such product or material within their jurisdiction. RER reserves the right 161814ke this§ee optance,..:..' if it is determined by Miami-Dade County Product Control Section that this product or material fails t0 rAeet the*..... .06.00 requirements of the applicable building code. • This product is approved as described herein, and has been designed to comply with tte Florida BVItIftig Code,0 a•0 including the High Velocity Hurricane Zone of the Florida Building Code. •• ••0. : o o% .. DESCRIPTION: Estate"S"Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be 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 NOA revises NOA# 11-0510.02 and consists of pages I through 6. The submitted documentation was reviewed by Alex Tigera. NOA No.14-1120.08 MIAMI-DADE COUNTY Expiration Date: 08/23/16 ITINTOMA11 Approval Date:06/18/15 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a roofing system using Entegra Estate"S"Concrete Roof Tile, as manufactured by Entegra Roof Tile, LLC. in Okeechobee, FL. as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For 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. Oboe 2. PRODUCT DESCRIPTIONas 600000 .. . •••• as Manufactured by Dimensions Test .Pr9duct Applicant Specifications Bewlawtion • Entegra Estate `S' Roof 1= 16-1/2" TAS 112 Low profile,interloc'`lsing, e>Zt%dC4 +••••: Tile w= 13" concrete roof t�l:•equipped dvitetWo nails*:••• hole and double•rbil ribs. For erect decZ•••• or battened nailer mortar or adhesive set applications. • •••• • • • •••••• Trim Pieces I=varies TAS 112 Accessory trim'Conctete ropk icces for;•••• w=varies use at hips,rakes,ridges andsvalloy varying thickness terminations. Manufactured for each tile profile. 2.1 MANUFACTURING LOCATION 1. Okeechobee,FL. 2.2 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Redland Technologies 7161-03 PA 102 Dec. 1991 7161-03 PA 102(A) Dec. 1991 7161-03 PA 108 Dec. 1991 P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails P0631-01 PA 108 July 1994 Letter Dated Aug. 1, 1994 PA 108 Aug. 1994 Professional Service 224-47099 PA 112 Sept. 1994 Industries,Inc. The Center for Applied 94-060B PA 101 March, 1994 Engineering,Inc. 94-084 PA 101 May 1994 25-7094-1 PA 102 Oct. 1994 NOA No.14-1120.08 MIAMFDADE C0UNTWExpiration Date: 08/23/16 "'' ' Approval Date:06/18/15 Page 2 of 6 2.2 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date 25-7094-7 PA 102 Oct. 1994 25-7094-4 PA 102 Oct. 1994 Project No. 307025 PA 100 Oct. 1994 Test#MDC-76 25-7183-1 PA 102 Feb. 1995 25-7183-2 PA 102 Feb. 1995 25-7214-2 PA 102 March, 1995 25-7214-6 PA 102 March, 1995 Celotex Corporation 528454-2-1 PA 101 Sep. 1998 Testing Services 520109-2 Dec. 1998 Walker Engineering,Inc. Calculations Aerodynamic Multiplier. Msrc`h'T499 • • • 0000 00.000 6• • •99• 6 IBA Consultants,Inc. 2381-264 TAS 112 496006 G WN/18 • 0404.. 000006 0 :See.: 3. LIMITATIONS: •••• •• ' •'•••' 0•09 • 00 00664 3.1 Fire classification is not part of this acceptance. 600000 9 9 . 44:44' 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance v*AN'AS 106'xi .- .•.6 6 6 required,refer to applicable building code. o":'; • 0' 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory t*perfdrm qujrtp;ly test in*9..v. accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Bi;ldi#1g4and Ntighborhood966�. Compliance Department—Product Control Section for review. •0 6 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. qg ?;,� °! NOA No.14-1120.08 MIAINLD E COUNTY Expiration Date: 08/23/16 yms Approval Date:06/18/15 Page 3 of 6 4. INSTALLATION 4.1 Entegra Estate"S"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-1 (ft) Width-w (ft) Entegra Estate 'S' Roof Tile 10.0 1.375 1.08 Table 2: Aerodynamic Multipliers -X(ft3) Tile % (ft3) X (ft3) Profile Batten Application Direct Deck Application ,Entegra Estate 'S' Roof Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity-Mg (ft-lbf) 0000 0 • Tile 3":12" 4":12" 5":12" 6":12" '..• ;Grea4f tflan ••.... Profile 701$ 0 Entegra Estate Battens Direct Battens Direct Battens Direct Battens Dire b 'Battens JeDirect 'S' Roof Tile Deck Deck Deck Q :• Deck •••; 5.91 6.74 1 5.82 6.64 1 5.70 6.50 1 5.56 6 5.40 '6.14 0000. 00'00' • .•� 0000.' Table 4: Attachment Resistance Expressed as a Moment-Mf -.00:0 for Nail-On Systems 0 0� 0 Tile Fastener Type Direct Deck Direct Deck..' attens 000000. Profile (min 15/32" plywood) (min. 19/32" plywood) 00 • •. Entegra 2-10d Ring Shank Nails 27.8 37.4 28.8 Estate 'S' 1-10d Smooth or Screw 8.8 11.8 4.1 Roof Tile Shank Nai12 2-10d Smooth or Screw 16.4 21.9 7.1 Shank Nails 1 #8 Screw2 25.8 25.8 22.9 2#8 Screw 47.1 47.1 49.1 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Cli 2 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Cli 2 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) 2-10d Ring Shank Nails' 43.0 67.5 50.9 1 Installation with a 4"tile headlap and fasteners are located a min. of 2'/2"from head of tile. 2 When using only one fastener use the hole that is approximately 4-3/4"away from interlocking edge. 11FNOA No. 14-1120.08 MIAMFDADE COUNTY Expiration Date: 08/23/16 Approval Date:06/18/15 Page 4 of 6 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Resistance Profile Entegra Estate 'S' Roof Tile Adhesive 26.14 3 See manufactures component approval for installation requirements. 4 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3M'"2-Component Foam Roof Tile Adhesive AH-160 Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment -Mf(ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Entegra Estate 'S' Roof 3M"" 2-Component Foam Roof Tile Adhesive AH-160 86.615 Tile 3M'" 2-Component Foam Roof Tile Adhesive AH-160 45.56 5 Large paddy placement of 54 grams of 3M' 2-Component Foam Roof Tile Adhesive AH-160: �....' 6 Medium paddy placement of 24 grams of 3M'" 2-Component Foam Roof Tile Adhesive AH-166.0 ' ••.. 000.0. .. Table 7: Attachment Resistance Expressed as a Moment -Mf(ft-14fl.. • for Mortar or Adhesive Set Systems �....• 0 . Tile Tile Application MinIrIIILYfl Attaoiwment .. . 0 . . Profile sistanm • • Entegra Estate 'S' Mortar Set 0 •20.60. • Roof Tile 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami-Dade County Product Control Approved". OR E N T E N R R ESTATE"S"TILE LABEL(LOCATED ON UNDERSIDE OF TILE) NOA No.14-1120.08 WMAW Expiration Date: 08/23/16 '!0 4 ' Approval Date:06/18/15 Page 5 of 6 G. 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. PROFILE DRAWING Nail Holes •••• • • 1 ' •••• •••••• ENTEGRA ESTATE«S" CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.14-1120.08 MIAMPDADE COUNTY Expiration Date: 08/23/16 Approval Date:06/18/15 Page 6 of 6 L MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DMSION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/cera Owens Corning One Owens CorningParkway Toledo,OH 43659 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 thij.• product or material tested for quality assurance purposes.If this product or material fails to perform;at he acdggtW• •• • manner,the manufacturer will incur the expense of such testing and the AHJ may immediately ret4e!mod1 9 090 suspend the use of such product or material within their jurisdiction. PERA reserves the right to te-M this •. 0000.. acceptance,if it is determined by Miami-Dade County Product Control Section that this product or malerial fails to • meet the requirements of the applicable building code. 0....• 0 '. 0 �0 This product is approved as described herein,and has been designed to comply with the Florida 1 jujJi ling Code '• **goo 040". • 0 including the High Velocity Hurricane Zone of the Florida Building Code. •• 0000,0••• 00.... 0.00.0 DESCRIPTION: WeatherlocO Specialty Tile&Metal Underlayment . see •00009 0000.. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,'state and feVwww ing s•••.: • . . . 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#09-0908.06 and consists of pages 1 through 3. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0309.03 NIAWDADE COUNTY Expiration Date: 07/31/17 Approval Date: 07/05/12 Page 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: Underlayment Material: SBS TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specification Description Weatherlock® 36"x 33.3' rolls TAS 103 SBS self-adhering asphalt sheet material with a Specialty Tile& 36"x 66.7'rolls white or green glass re-enforced polyester Metal Underlayment surfacing fabric;for use as an underlayment in sloped roof assemblies. MANUFACTURIGN LOCATION: .... H 1. Brentwood,N •.• •• •• EVIDENCE SUBMITTED: 0 0.0•• 0 ...... ...... Test Agency Test Identifier Test Name/Report '•... •DAte • • ...... Underwriters Laboratories,Inc. R14610 Follow up Service 00060••' b372.V)2 ••' IRT-Arcon,Inc. 02-012 TAS 103 •••..' 4f1281.02 ••�•.• PRI Asphalt Technologies,Inc. NEI-006-02-01 TAS 103 04...... •..... /41/02 • PRI Asphalt Technologies,Inc. NEI-008-02-01 TAS 114(H) ;Q7/30/02 .... PRI Construction Materials NEI-045-02-01 ASTM D 4798 &ASTM G 111.• '08/08/07 . . Technologies,LLC. NEI-053-02-01 ASTM D 4798 &ASTM G 155 •t%01/08 :0006: NEI-076-02-01 TAS 103 /ASTM D4798 "02/14/11 APPROVED ASSEMBLIES: Deck Type 1: Wood,non-insulated,new construction Deck Description: 15/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck,membrane adhered. Base Sheet: One or more plies of ASTM D 266 Type H or ASTM D 2626 with a minimum 4"side lap and a 6"end lap mechanically fastened to deck with approved nails and tin caps 6"o.c.at the laps and two staggered rows 12" o.c.the field of the roll. Membrane: One or more plies of Weatherlock®Specialty Tile&Metal Underlayment with a minimum 4" side lap and 6"end lap.Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with Weatherlock" Specialty Tile&Metal Underlayment is acceptable. Surfacing: Approved for Adhered Roof Tile,Mechanically Fastened Roof Tile,Metal Roofing,Wood Shake&Shingles,and Asphaltic Shingle assemblies. NOA No.: 12-0309.03 MIAMMADE COUNTY Expiration Date: 07/31/17 --- ' Approval Date: 07/05/12 Page 2 of 3 ti LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. Weatherlock` Specialty Tile & Metal underlayment shall be installed in strict compliance with applicable Building Code. 3. Weatherlock® Specialty Tile &Metal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. 4. Weatherlock® Specialty Tile & Metal underlayment shall not be applied over an existing roof membrane as a recover,but may be applied over roofing Base/Anchor sheet underlayment. 5. Weatherlock® Specialty Tile & Metal underlayment shall not be left exposed as a temporary roof for longer than 90 days of application. 6. The standard maximum roof pitch for Weatherlock®Specialty Tile&Metal underlayment shall be 6:12 when tiles are loaded directly to the Weatherlock® Specialty Tile & Metal underlayment; loading boards or battens are required on roof pitches greater than 6:12". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this prgdMokVith specific prepared roofing products. 00000 •••... 8. Tiles shall be stored on battens on roof pitches greater than 6:12". "';•• so ...... ...... 9. Weatherlock® Specialty Tile & Metal underlayment may be used with any approved roof0(;overing Notice of • Acceptance listing Weatherlock' Specialty Tile &Metal underlayment as a component part a gdh asse;&y Su the g . Notice of Acceptance. If Weatherlock® Specialty Tile&Metal underlayment is not listed&,aoaeg0uest may b6 made ••;••• to the Authority Having Jurisdiction (AHJ) or the Miami-Dade County Product Control Dtpattment ft ..IVoval • provided that appropriate documentation is provided to detail compatibility of the producV,%i?o uplift resistance, and fire testing results. •• 000000 10. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decIft pan.1: Sweep;0.g the deck thoroughly to remove any dust and debris prior to application. • • • • 11. When applying the membrane in the valley, start at the low point and work to the high point,rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface,giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Weatherlock' Specialty Tile&Metal underlayment shall be applied over the underlayment. 15. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. MIAMI•DADE COUNTY END OF THIS ACCEPTANCE NOA No.: 12-0309.03 MIAM4DADE COUNTY Expiration Date: 07/31/17 Approval Date: 07/05/12 Page 3 of 3 f q MIA #%'" MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamiaade.eov/pera 3M Company 3M Center Building 0220-05-E-06 St.Paul,MN.55144-1000 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) rgserve the riglvo• have this product or material tested for quality assurance purposes. If this product or material%Vi to perforl'f h? ...... the accepted manner, the manufacturer will incur the expense of such testing and the AHJ.may.jmmedi34'e=�. .' revoke, modify, or suspend the use of such product or material within their jurisdiction. PERAaAg4ves the right' ••••:. to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section tkat this pro jilct or ;.••. material fails to meet the requirements of the applicable building code. •••••• '.,• 0 ' This product is approved as described herein and has been designed to comply with the FloridE'B rldtng Code. •"" P PP P Y S� • • 0 0000 including the High Velocity Hurricane Zone of the Florida Building Code. " " •. . ...... ...... DESCRIPTION: 3Mrm 2-Component Foam Roof Tile Adhesive AH-160 s• LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and fdl}gwing • 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 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 MIAMFDADE COUNTY Approval Date:05/10/12 '.mm Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 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 Dimensions Test Product Description .... Specifications • . •0 0000' 0000.. 3MTM 2-Component Foam N/A TAS 101 Two component polygeett ne' foam Tt*, ive •• Roof Tile Adhesive AH- 00000 .. ' •• seee.s • e 160 •e•. •0 ...e.: Foam Dispenser RTF 1000 N/A Dispensing Equipment •••• 0 '*0• ' 000909 0000. ProPack®30& 100 N/A Dispensing Equipment *..a 0*0 0 a 4, ••:.•' .009e0. Osseo* . e 9 9 • e • PRODUCTS MANUFACTURED BY OTHERS: es :....:o •o..:. Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOAOwhich list rnojMnt :sees:' resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 •• roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball,TX. PHYSICAL PROPERTIES: Prove Test Results Density ASTM D 1622 1.6 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft' Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-40'F.,2 weeks +6.0%Volume Change @158°F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% NOA No.: 12-0228.18 Expiration Date: 05/10/17 WMIAMWADE co'NTT Approval Date:05/10/12 INNIN Page 2 of 7 P 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 Azency Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA 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 D 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 4000 01-6739-062b[l] ASTM E 84 ; 01/lAt" ••••.. Trinity Engineering 7050.02.96-1 TAS 114 •..... 03/14r9r�•. •� • ...... Celotex Corp.Testing Services 528454-2-1 TAS 101 ••••• 10/2.3J98. :....: 528454-9-1 60.0• ' 0000. 528454-10-1 00006. •• ••��•• 520109-1 TAS 101 •• *012/28/9 .' goes •• 520109-2 '•• •• . 520109-3 ••••.. 520109-6 '.. ; •••� ;•���� 520109-7 • 520191-1 TAS 101 03/01/99' 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 3MTM 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 _ W 2 F'= MS NOA No.: 12-0228.18 Expiration Date:05/10/17 WAMMAD,COUNTY Approval Date:05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 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 3MTM 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. less 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before appocatpn of an�#*pive. •••••• The mix ratio between the"A"component and the"B"component shall be maintained betv?2en ;.0-1.15.(Ar 1.0 . (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined'nMibratioa.Nd • other settings shall be approved. *:Oleo : .... ..... 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam DispeasgTF 1034 vr'. • ProPack®30& 100 dispensing equipment only. ••••.. . 7. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently t 00sunlight. •• ..• •• 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 2 to 3 minutes-after3MTM 7- • Component Foam Roof Tile Adhesive AH-160 has been dispensed. ••e :"•.• 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall 4e h:•� :"'•; accordance with the'Placement Details'herein. Each generic tile profile requires the specific placemetht noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Two Paddy Weight per Min.(grams) paddy Min.(grams) Flat,Low,High Profiles #1 35 N/A High Profile(2 Piece Barrel) #1 17/side on cap and 34/ an N/A Flat,Low,High Profiles #2 24 N/A Flat,Low,High Profiles #3 8 NOA No.: 12-0228.18 Expiration Date:05/10/17 KAWADE COUNTY 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) Nail through plastic cement Paddy(Beneath Tile) Undadayment • _ Undedaymer --______ •.•..• 66408669 21n ..• • •• •.••• Eave Course ____-__ • • •'• •••••• • Pastae Eave Cum FaVa � • Was phAe• .•• '••••• • Eave course oW. Eave course onl. •' two closure • • Eave Closure Keep adhesive approx 4�uadhomwee approx • DrIP ed98" '• •••.: 41n.upfromweepholes P poles for .• Nail through plastic cement Paddy(Beneath Tile) 1)Place enough adhesive to achieve 1T to 23 Optional U4 Undedaymer == square inches in cornet with the pantile steep pitch appilgtions Nall through plastic tamer 2)Tum covers upside down.Place adhesive 112 in. To 1 in.From outside edge of cover tile. Then Install the tge. o umiedaymer 101n. o Eave Course Bye Closure Rsmov - - Eave couBe onty. taP portion = �� Shading Keep adhesive app 41n.up Fascia 10 theeave hom weepholes course coverts. Alwttoseeondownsoof optional �les.Ens r save end of Point-up Mom on longitudinalflush at save Une. edgesof0le Eave closure Wee is Fool Bo (mortarshown) NOA No.: 12-0228.18 Expiration Date: 05/10/17 MIAMI•DADECOUNTY Approval Date:05/10/12 �uuuafyjq)j Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall through plastic cement Paddy(Beneath Tile) Nall through plastic cement Paddy(Beneath ne) Underlayment Undedayment 71n.qv In. 7 ln 2 In. Eave Course Fascia Foscia Reephte Ivellassre Eave Course sea, 0 0 a a dmdgt 0• 0 Eve Closure a 6 a 0 0 Nall through plastic cement Paddy(Beneath Tile) 0 a • % Undarlayment • 71n. V Eave Closure Em Course Fascia NOA No.: 12-0228.18 Expiration Date: 05/10/17 WAMMADE COUNTY Approval Date:05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Paddy Nall through plastic cement Single paddy under Vie (between tile) Underlayment Single paddy between file Paddy 2 In.x 7 In.medium (under tie) size paddy save course only $1 1 paddy 0,R3 In.x 11 In. r3 I x!3ini und Ole X, n. 1 4 in. 2 In. ------ Single paddy on 2 In. 4 In. Singlepaddy on under• under- layment layment ease*, Single paddy ve course on top of tile Weephols Eave • • : g 0 Single paddy Course • on top of file % "DrIphla -too* Nall through plastic cement Single paddy under tale Single paddy between tile 0 @**see go P�3-ln.x 3 in. 4 In. Single paddy on undedayment 2 n, Single paddy Ve Closure on top of tile 2 In.x 7 In.medium size paddy eave course only Eave Course Fascia END OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date:05/10/17 MLAMMADIE COUNTY M Approval Date:05/10/12 12'12080;11� Page 7 of 7