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RF-16-3410 Permit No. RF-12-16-3410 `ygORFs Miami Shores Village Permit Type:Roof 10050 N.E.2nd Avenue NW Per' � ' Work Ciassificatian: Repair Roof Miami Shores,FL 33138-0000 � � Permit Status:APPROVED oPhone: (305)795 2204Ric>E* Issue Date: 1212012016 Expiration: 06/18/2017 Project Address Parcel Number Applicant 48 NW 100 Street 1131010180450 Miami Shores, FL 33150- Block: Lot: DAVID&NEELE ECHAVARRIA Owner Information Address Phone Cell DAVID&NEELE ECHAVARRIA 48 NW 100 Street MIAMI SHORES FL 33150-1204 Contractor(s) Phone Cell Phone Valuation: $ 900.00 SEGARRA ROOFING INC (305)822-7541 Total Sq Feet: 40 Type of Work:Repair Available Inspections: Additional Info:REPAIR ROOF LEAK AS FOLLOW: Inspection Type: Classification:Residential Roof Repair Scanning:3 Final Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# RF-12-16-62404 $2.00 DCA Fee $2.00 12/20/2016 Check#: 16605 $ 114.60 $0.00 Education Surcharge $0.20 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this 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 ring. Futhermore,I authorize the above-named contractor to do the work stated. December 20, 2016 Authori Signature:Owner / Applicant / Contractor / Agent ate Buildi g Department Copy December 20,2016 1 C I VI L Reileh Engineering Corp. (Consulting Engineer) 2370 Southwest 123`d Avenue �� � / Miami,Florida 33175-1174 �. l �j Tel:305-823-8008/305-397-6414 ENGINEER Fax:305-823-3300/305-884-8834 Website:www.reilehengineering.com January 6, 2017 Segarra Roofing Miami, Florida Project: ROOF TILE UPLIFT TEST REPORT Residential Home 48 Northwest 100 Street Miami Shores, Florida ` Information provided by client: Permit Number: Not Provided Date Completion: December 30, 2016 Roofing Contractor: Segarra Roofing Project Number: 17-0010 (Testing Laboratory Certificate # 11-0715.04) Dear Sirs; In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test for the repaired areas at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be concrete/clay Roof Tile. `Phis tile was reported to have been foamed in place. At the time of our inspection,the entire area of the roof was examined for loose tiles. Not less than one(1)tile in ten(10) of all components in the field area and one(1)tile in five(5)of all tiles in the perimeter and comer areas were physically examined. A minimum of one(1)test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. ;lased on our test results, we conclude that the installation of the-roof tile at the above referenced project meets the test requirement outlined in the above-mentioned protocol. Attached please find a copy of our test report„for your review. f Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation hamad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 48 Northwest 100 Street Miami Shores,Florida Submittals: Cover Page Page 2 thru 3 of 3 Drawing 17-0010 Reileh Engineering Corporation--Project Number-17-0010—Page 2 of 3 Report of TILE UPLIFT TEST for Residential Home 48 Northwest 100 Street Miami Shores, Florida Project Number: 17-0010 Test Number Test Load lb Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass Test 1-2 Corner, 3-6 Perimeter Reileh Engineering Corporation--Project Number-17-0010—Page 3 of 3 NOt?TN z 2' 1 2 lo 5 A § 6 2' 4' NUMM OP s5T MJM�T V - 6 5P O OPCC CAP S5T LOCA110N FEW - O COkM - 4 5P PEOMMCOC;W C; - 2 P�t;IM�V f715fma, a - 5' L P%Or�5 005 TII.�� 11-0010 -0010 t ECAC CAP - O COMW AITA- 5'X 3' AMR.WOW t5t LOCATI0N5,AIA5, ANP IAMMION5 N� V/rE,TD I V L Miami Shores Village DE 0 2016 Building Department BY — 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972h INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. '" 3410 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC Ct/ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: d �S % City: Miami Shores County: Miami Dade zip: Folio/Parcel#: // -31 O/ -O/.7- D 9U-0 Is the Building Historically Designated:Yes NO Occupancy Type: 1%S "Load: Construction Type: Flood Zone: BFE: FFE: L� OWNER: Name(Fee Simple Titleholder): D t/i b tC Y q V,4 Z-i-- A Phone#:. Address: 1 A/ b N C a N-tst-, S0 City: ,i RrZ Alff axlz,State: rL, Zip: a3k�-�4 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ��C 9 lid 1-r n/C 77WPhone#: 3 OCT 00 -7T-11 Address: vd / City: to it if State: 6-R_!2 A Zip: ,_7k3 �1�-� Y Y43 Qualifier Name: IVA /!/I./4KI, G,o Phone#:(36,�-) 3,34--4,1 4'A> State Certification or Registration#: R C Certificate of Competency#: 00 O d O/'fS"O DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 2,0 d b o Square/Linear Footage of Work: A11A Type of Work: ❑ Addition ❑ Alteration ❑ New ®Repair/Replace ❑ Demolition Description of Work: 1294 A 19, 'k.o o LO A C 174 LCa k 'Room 0Y--e -.6 dl-P&P-ZA 1/ TqS �e'AK//�'G' Rend 3) P2IN9C' -:PAA(4W11 NJyO r !r/�C�a� o1.s�,c C( AjgV C,e)a -TD Specify color of color thru tile: i orR,-ffog e v TSA Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) A Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �'�� ` Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 1(-f by day of. 1 kr 20 IG by �c�.aV0.rri� who is personally known to arvc c,— who is personally known to me or who has produced as me or who has producedas identificaY n and vho did take an oath. identification and who did take an oath. NOTAR PUBLIC: NOTARY PUBLIC: Sign: Sign- 0 Print: 1 6% Print: o`' t ;.ro Seal: �„����,,, Seal: ,�, Notary PubliLlonFF Se of FloridaMARY PINEIRO ,� 'MyComm.Eay 11,2018Notary Public State of Florida '�� Commiss121661 i OF f� �� 3. . 11.2018 ,,,,�,��. Pte;:My Comm.Expires May ********** s'► iili$n***s **6* **J************************************************************** film%% APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) NORFS Miami Shores Village ■n. uni Building Department +�, •• 10050 N.E.2nd Avenue Rjpp► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: `/0.v1 1 Property Address: W9 NW loo SA7- Roofing Permit Number: Dear Building Official: I —Da.`nL ECL."01' %C— certify that I am not required to retrofit the roof to wall connections of my 7builg because: just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attachp roof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1994 edition of the South Florida Building Code(1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn,deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this dau of" t •l,RY Pf18, MARY PINEIRO '�•_� "_ Notary Public-State of Florida Notary Public, Sate of Florida at Large ,9 '�_My Comm.Expires May 11,2018 ,,, �F,•,• o #FF 121661 oy,,,n• • When the just valuation of the structure for purpose of ad valorem taxation is equal o or a 3 ,0 .o0,an a building was not constructed with FBG nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) DEC 2 p H' -Velocity Hurricane Zone Uniform Permit Application F rm. 206 1 Section A(General Information) 1 1 usP N . Process No. 1 Contractor's Name g IJV�I Job Address 1 1 ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile L9' Mortar/Adhesive Set Tiles t ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR-RAS 150 1 ROOF TYPE 1 ❑ New roof Repair ❑ Maintenance ❑ Reroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION — Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF)� 'Total(SF)40 1 I Section B(Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. 1 000*90 1 • ••••N• Q • 0 ... :Oslo• s x > U) ...�.. CIO L) '' ' s U) ...�.. U) • . . Ll � 1 L)C ° z 1 W 'L — 1 ELI, I a o 1 1 [0- - I t - -- FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 1 I l I I I Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form Section D(Steep Sloped Roof System) Roof System Manufacturer: Santafe Tile Notice of Acceptance Number: 15-0915.09 Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations): P1: 39.1 P1: 68.1 P1: 100.7 Deck Type: — Plywood 5/8" --— Type Undedayment: 1 ASTM 30 i Roof Slope: I -- 3 12: Insulation: N/A Fire Barrier: N/A Ridge Ventilation? Fastener Type&Spacing: Z 1.1/4 R.S. Nail N/A \ Adhesive Type: f AH 160 l Type Cap Sheet: Polyglass TU Plus _ l Mean Roof Height: 12" Roof Covering: •••••'a 0000.. 9 i 9 Santafe Spagish S • '�. -_...�.��• 0000:. Type&Size Drip eq("mves Drill Edge. Z6 41"4m_ ___• :0 0 0 0: 0000 .. 0000.. 0000 0000. 0000.. 0000.. .. 0000 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.39 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form. Section E(Tile Calculations) For Moment based the systems,choose either Method 1 or 2.Compare the values for M,with the values from Mr If the M,values are greater than or equal to the Mr values,for each area of the roof,then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P1: 39.1 x X .297= 11.61)-Mg: 5.82=Mr, 5.79 Product Approval M, 28.5 (P2: 68.1 xX .297= 20.23-Mg: 5.82=M2 14.41 Product Approval M, 28.5 (P3:100.7xX .297= 29.91-Mg: 5.82=M,3 24.09 Product Approval M, 28.5 Method 2"Simplified Tile Calculations Per Table Below" Required Moment of Resistance(M)From Table Below Product Approval M, M,required Moment Resistance' Mean Roof Height 15' 20' 25' 30' 40' Roof Slope 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 'Must be used in conjunction with a list of moment based the systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based file systems use Method 3.Compared the values for F with the values for Fr.If the F'values are greater than or equal to the Fr values,for each area of the roof,then the tile attachment method is acceptable. Method 3"Uplift Based Tile Calculations Per RAS 127" (P1: x L = x w:_ )-W: x Cos 0 =Fr, Product Approval F' . "•••• •••••• (P2: x L = x w:= )-W: x Cos A =Fr2 Product Approval F ' ' ' •• .. . .. • • (P3: x L = x w:= )-W: x cos 6 =F, Product Approval F • • ...... . .. ...... Where to Obtain Information Description Symbol Where to An ' . ana .... ..... Design Pressure Pi or P2 or P3 RAS 127 Table 1 or by an eVMgLgffhg ysis pre- •••••• pared by PE based on ASCE I• •• .' Mean Roof Height H Job Site ; . . • •••••• Roof Slope A Job Site • • ' ' Aerodynamic Multiplier 7l Product Approval • Restoring Moment due to Gravity Mg Product Approval Attachment Resistance M, Product Approval Required Moment Resistance Mo Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance F, Calculated Average Tile Weight W Product Approval Tile Dimensions L =length W=width Product Approval All calculations must be submitted to the building official at the time of permit application. 15.40 FLORIDA BUILDING CODE-BUILDING,5th EDITION(2014) MIAMI. k ML4,MI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.Eov/economv Santafe Tile Corporation 8825 NW 95"Street Medley,FL 33178 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami-Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section (in Miami-Dade County)and/or the AHJ(in areas other than Miami-Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Santafe Spanish `S' Clay 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. 1...:. RENEWAL of this NOA shall be considered after a renewal application has been filed anq thejt has bden no change**0* 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 revs"O or change in the :'0**: materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endarsement of any product,••;••• for sales,advertising or any other purposes shall automatically terminate this NOA.Failure 4o:omFly with ml'y "'•' 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 f61WwL4by the •••. expiration date may be displayed in advertising literature. if any portion of the NOA is elMaSed, thea.it.shall be•••• done in its entirety. 0900 ..• 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 renews NOA No. 12-0210.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Gaspar J Rodriguez. �J i --= NOA No.: 15-0915.09 Mu►MHu�eCOurrrY Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Catezory: Roofing Tiles Material: Clay Deck Tyne: Wood 1. SCOPE This approves a roofing system using Santa Fe"Santafe `S"Clay Roof Tile,as manufactured by Ladrillera Santafe S.A. in Bogota,Colombia and distributed by Santafe Tile Corporation as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements,as determined by applicable Building Code,do not exceed the design pressure values obtained 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 Test Product Applicant Dimensions Specifications Description Santaf6 `S' Clay Roof L= 18" TAS 112 One piece high profile clay roof tile equipped with Tile W= 11.1" Type I two nail holes. For nail-on,mortar set and adhesive Thickness=0.39" Grade 1 set applications. Trim Pieces 1=varies TAS 112 Accessory trim,clay roof pieces for use at hips, w=varies rakes,ridges and valley terminations. Manufactured varying thickness for each tile profile. 2.1 MANUFACTURING LOCATION 1. Bogota,Colombia •••2.2 SUBUITTED EVIDENCE • •• •• TesgAgeaty Test Identifier Test Name/Report Date •••Tbee Cente;for Applie*J Kil Bering,Inc. 94-156-8 TAS 101 Aug. 1994 :0006: 94-156-9 TAS 102 •0 0 OMe Center:for•Applietl-L*Agineering,Inc. 25-7205-1 TAS 101 March 1995 •••-fhe Censor ixY`Appli�d.Eragineering,Inc. Project: 07-07-00-91 TAS 100 Sept. 1994 • (307023) •*OR*edlandeTeelMologie� 7161-03 TAS 108 Dec. 1991 :0000: Appendix lI (Nail-On) Redland TeMnologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102&TAS 102(A) Redland Technologies P 0402 Withdrawal Resistance Sept. 1993 Testing of Screw vs smooth shank nails Redland Technologies P 0647-01 TAS 108 Aug. 1994 (Mortar Set) NOA No.: 15-0915.09 MIAMNDADECOUNTY Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 2 of 5 A. 2.2 SUBMITTED EVIDENCE Test Aeencv Test Identifier Test Name/Report Date Redland Technologies P 0631-01 PA 108 July. 1994 (Mortar Set) Celotex Corporation Testing Services 520305-01 thru 05 PA 102 June 1999 IBA Consultants,Inc. 2353-4 Restoring Moment Aug. 1999 PRI Asphalt Technologies,Inc. SFTC-003-02-01 TAS 101 12/06/02 IBA Consultants,Inc. 2353-70 TAS 101 09/22/03 IBA Consultants,Inc. 2353-71 TAS 101 09/22/03 IBA Consultants,Inc. 2353-93 ASTM C 1167 07/18/05 American Test Lab of South Florida RT0624.01-15 ASTM C1167-03 07/01/15 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix W. Such testing shall be submitted to the Miami-Dade County 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. 3.7 May be installed on slopes 7:12 and greater. :••• • • 0000.. 4. INSTALLATION • 4.1 Santafe 'S' and its components shall be installed in strict compliance with RooDiE 0 pplicg0onOStanda3d•••: RAS 118,RAS 119 and RAS 120. 000000 : I..* ••••• 4.2 Data For Attachment Calculations 06:69: 000000 0000. •. .v 0000 9•..96 • 969.99 . • • 0 • • ..9.66 .6..6r • • • 9 • • • 69..9• NOA No.: 15-0915.09 MIAMMADE COUNTY Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 3 of 5 Table 1: Average Weight(W) and Dimensions (1 x w) Tile Profile Weight-W(Ibf) Length-I (ft) Width-w (ft) Santafe 'S' 6.7 1.5 0.958 Table 2: Aerodynamic Multipliers—),(ft3) Tile )L (ft3) X(ft3) Profile Batten Application Direct Deck Santafe'S' 0.274 0.297 Table 3: Restoring Moments due to Gravity- M9 (ft-Ibf) Tile 2":12" 3":12" 4"•12" 5"•12" 6"•12" 7':12" or Profile greater Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 1 5.53 5.32 5.29 5.03 5.00 Table 4: Attachment Resistance Expressed as a Moment-Mf(ft-Ibf) for Nail-On Systems Tile Profile Fastener Type Direct Deck Battens Santafe 'S' 2-10d Ring Shank Nails 21.8 N/A One#8 Screw 29.161,2 N/A Two#8 Screws 38.28' N/A One#8 Screw w/Clip 57.311.2 N/A Two#8 Screws w/Clip 57.60' 61.77' 1. Approved screws as noted'Product manufactured by others'. 2. When using one screw it must be installed in the inside hole located nearest to the hump of the tile. Table 5: Attachment Resistance Expressed as a Moment Mf(ft-Ibf) • for Two Patty Adhesive Set Systems Tile►profilb • Tile Application Minimum Attachment Resistance •••Santafe`9i• Tile Bond 38.93 :9000: ••:... Polyfoarn Polypro,AH 160'rm 28.54 ' 2 • See Unnufactures component approval for installation requirements. ,00VIO Flexible-Product, Ino 1 a a e weight per patty 10.4 grams. ••RV• Pol osrm Product,.loa.Avera a weight per patty 9.4 grams. • TAV5A: Attachment Resistance Expressed as a Moment -Mf(ft-Ibf) ••• •• • ' for Single Patty Adhesive Set Systems .TiIQ Profile•, He Application Minimum Attachment Resistance Santafe'—'S'.. Pol oam Polypro AH 160Tm 63.85 Polyfoam Polypro AH 160Tm 61.96 5 Paddy placement of 63 grams of Polypro AH 160'"A. 6 Paddy placement of 24 grams of Polypro AH 160Tm. Table 6: Attachment Resistance Expressed as a Moment -Mf(ft-Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Santafe'S' Mortar Set 23.6 CMIAW&DMADMECOW NOA No.: 15-0915.09 Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 4 of 5 w 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami-Dade County Product Control Approved". SANTA FE TM MADE IN COLOMBIA LABEL FOR SANTA FE SPANISH"S"CLAY ROOF 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 the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING When using one screw use this hole. 18" O 99999. • 9999.. 9999• .. • 9999.. 9000 00 9 9999 . .. 9999. 9999.. 9999 9999. 11.1" 9999 0 9999 9999.. 999999 • 9999.. 9999.. 9 . .0009. .. 9999 000* "SANTAFt S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.:15-0915.09 MIAWDADe COUNTY Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 5 of 5 r "t` MIIAMHNkDE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami.Florida 33175-2474 "C(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidadcxov/economy Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach,FL 33442 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami-Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (in Miami-Dade County) and/or the AHJ (in areas other than Miami-Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has be6•14thang%..... in the applicable building code negatively affecting the performance of this product. ••• • 00 . . ..0000 0 .. 0000.. TERMINATION of this NOA will occur after the expiration date or if there has been a revisiec.ar change in the ;••••; materials, use, and/or manufacture of the product or process.Misuse of this NOA as an endorsemept of a:i pNuct, ' • for sales, advertising or any other purposes shall automatically terminate this NOA. Failure toPCdfiply wi1lh�A section����• of this NOA shall be cause for termination and removal of NOA. . •• ••• •• ••• ADVERTISEMENT: The NOA number preceded by the words Miami-Dade Counv,•Fl(vida, and followed••% 0000 by the expiration date may be displayed in advertising literature. If any portion of tha NOA is dispTaye.d, th4-6...: it shall be done in its entirety. •• 000:00 • 0. 0 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 renews and revises NOA No:14-0717.08 and consists of pages I through 8. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.: 15-0410.04 Expiration Date: 09/13/21 Maaw Approval Date: 08/11/16 Page 1 of 8 ROOFING COMPONENT APPROVAL Cateeory: Roofing Sub-Category: Underlayment Material: SBS , APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick IR-Xe 65'x 3'33/s" ASTM D 1970 A fine granular/sand top surface self-adhering, APP Manufacturing Or 65'x 3' polymer modified,fiberglass reinforced, bituminous Location#1 &#2 60 mils thick sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice&rain shield. Polystick Dual Pro 61' x 3'3 3/8" TAS 103 and A rubberized asphalt self-adhering, glass-fiber/polyester Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a Location#2 metal roofing and roof the underlayment. Polystick Tile Pro 61'x 3'33/8" TAS 103 and A rubberized asphalt self-adhering, glass-fiber/polyester Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a metal Location#2 roofing and roof the underlayment. Polystick TU Max 65'8" x 3'3-3/8" TAS 103 and A rubberized asphalt self-adhering, polyester reinforced Manufacturing 60 mils thick ASTM D 1970 waterproofing membrane. Designed as a a roof tile Location#1 &42 underlayment. Polystick TU P 32'l 0" x 3'33/8" TAS 103 and A rubberized asphalt waterproofing membrane, glass- Manufacturing 130 mils thick ASTM D 1970 fiber/polyester reinforced, with a granular surface Location#2 designed for use as a the roof underlayment. Polystick TU Plus 65'x 3'33/8" TAS 103 and A rubberized asphalt self-adhering, glass-fiber/polyester (Surfacej1:jgtjjg) 80 mils thick ASTM D 1970 reinforced waterproofing membrane.Designed as a metal • Manufacturing• roofing and roof tile underlayment. . � •••• •••!bmatl on#1%*N2 ...... •'Tilystick.A j$ •••9;'8" x3'3_%" TAS 103 A homogeneous, rubberized asphalt waterproofing ••'�?'anufactislin q ••••.M mils thick membrane,glass fiber reinforced with polyolefinic film •.• .....e on the upper surface for use as an underlayment for metal •••�ocatior►�#���. . . •• •• roofing, roof tile, slate tiles and shingle underlayment. •`••Palysti c1rMT6 Plus • 6V8" x 3'33/8" TAS 103 A homogeneous, rubberized asphalt waterproofing • 60 mils thick membrane,glass fiber reinforced with polyolefinic film 1l�rnufacturing "" •• on the upper surface for use as an underlayment for metal LocatioQ#`Z•• roofing, roof tile, slate tiles and shingle underlayment. Elastoflex S6 G 32'10" x 3'3-%" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D 6164 with a sanded back face and a granule top surface. For Location#2 use in roof tile underlayment systems. NOA No.: 15-0410.04 Nurry Expiration Date: 09/13/21 Approval Date: 08/11/16 Page 2 of 8 MANUFACTURING PLANTS: 1. Hazelton. PA 2. Winter Haven,FL EVIDENCE SUBMITTED Test Azency Test Identifier Test Name/Report Date Trinity ERD P10870.09.08-R1 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798 &G 15 5 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.1I TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.1 1 TAS 103/ASTM D4798&G155 09/01/11 P37300.10.11 TAS 1 10/ASTM D4798&D1970 10/19/11 P40390.08.12-2 ASTM D 1623 08/07/12 P37590.07.13-1 ASTM D6164 07/02/13 P45270.05.14 TAS 103, TAS 1 10& ASTM D1623 05/12/14 P46520.10.14 ASTM D1623 10/03/14 P44360.10.14 TAS 103 &TAS .l 10 10/07/14 P43290.10.14 ASTM D 1970&TAS 110 10/17/14 PLYG-SC10130.06.16-3 TAS 103 &TAS 110 06/27/16 PLYG-10130.06.16-1 ASTM D1970& TAS 110 06/27/16 PRI Asphalt Technologies PUSA-035-02-01 TAS 103 09/29/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-089-02-01 TAS 103/ASTM D4798 &G 15 5 07/06/09 Momentum Technologies, Inc. JX201­17A TAS 103/ASTM D4798 &G 15 5 04/01/08 RX14E8A TAS 103/ASTM D4798 &G155 11/09/09 DX23D8B TAS 103/ASTM D4798&G155 02/18/10 DX23D8A TAS 103/ASTM D4798&G 15 5 :•A'18/10 LABELING: • 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacluraer's narite or•logo, city • and state of manufacturing facility and the following statement: "Miami-Dade County Poo, t Control-Approvetl`:". or the Miami-Dade County Product Control Seal as shown below. ****so ••6•. 00000 00. • 00900 0*00:0 MIAMI•DADE COUNTY000 • •• 0•• • • 0996•• •••••6 • • • •6666• BUILDING PERMIT REQUIREMENTS: .. Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 15-0410.04 _��fir Expiration Date: 09/13/21 Approval Date: 08/11/16 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non-insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(1): Anchor sheet mechanically fastened to deck,membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type 1I or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Polystick IR-Xe,Polystick Dual Pro,Polystick Tile Pro,Polystick TU Max,Polystick TU P,Polystick TU Plus,Polystick MTS or Polystick MTS Plus, self-adhered. Surfacing: See General Limitations Below. Deck Type 1: Wood, non-insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(2): Anchor sheet mechanically fastened to deck,membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Elastoflex S6 G, hot asphalt applied Surfacing: See General Limitations Below. Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(3): Base sheet mechanically fastened to deck, subsequent cap membrane self-adhered. ...Apchorf sw9heet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fasteniyg: •; ­Per FBC 1518.2& 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for ••;••base sheet only) :000*: 6666.. ••0 goy Sheet: .. ....Polystick MTS Plus, self-adhered with minimum 3" horizontal laps and minimum 6" vertical ....Paps. 6666. 6666 6666. .6..Membr�ef�• Polystick TU Plus,self-adhered. ` Surfacing. ••See General Limitations Below. 060000 • 0 • • 0666.• • • • • 0666.•• � • � • • 0000 • •• NOA No.: 15-0410.04 Expiration Date: 09/13/21 Approval Date: 08/11/16 Page 4 of 8 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose deck panels,and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 1 11. 3. Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3-'/z" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley,start at the low point and work to the high point,rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick Dual Pro,Polystick Tile Pro,Polystick TU Plus,Polystick MTS and Polystick MTS Plus may be used in asphaltic shingles,wood shakes and shingles,non-structural metal roofing,roof tile systems and quarry slate roof assemblies. Polystick TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof the systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems ••••• •�.... Elastoflex S6 G may be used in roof tile systems only. •••• .. .• 3. Deck requirements shall be in compliance with applicable building code. •••••• •• ••• 0000.. 0000. 4. Polystick IR-Xe,Polystick Dual Pro,Polystick Tile Pro,Polystick TU Max,Polystick.TU P,Velaystick Tt; • Plus,Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean antl.drysurfac;. Tfit deck ••;•'. shall be free of irregularities. •00.00 .••". '•"s 00 00 0000 000000 5. Polystick IR-Xe,Polystick Dual Pro,Polystick Tile Pro,Polystick TU Max,PolyslWi6T71 P,Polystick TU • Plus,Polystick MTS and Polystick MTS Plus shall not be adhered directly over a prt-existing roof iTbrane••••• as a recover system. f•• ' ' 0000.. 00 . 0000 . • 6. Polystick IR-Xe,Polystick Dual:Pro,Polystick Tile Pro,Polystick TU Max,Polystick TU P,Pt�;Nilk TU Plus,Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Ex osure Limitations(Days MTS IR-Xe Elastoflex TU TU P Tile Pro Dual Pro TU Max MTS Plus S6 G Plus Winter Haven,FL 180 90 180 180 180 180 180 180 180 Hazelton,PA N/A 90 N/A 180 N/A N/A N/A 180 N/A NOA No.: 15-0410.04 Expiration Date: 09/13/21 Approval Date: 08/11/16 Page 5 of 8 T* 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. 8. to roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof the manufacturer's Notice of Acceptance. Polystick Tile Pro,Polystick TU Max,Polystick TU Plus or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof tile applications. Polystick Dual Pro is limited to mechanically fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. When loading roof tiles on roof tile underlayment for(direct-to-deck)tile assemblies,the maximum roof slope shall be as follows: (See Table Below) Tile Profile Polystick MTS Elastoflex Polystick TU Plus,TU P, Polystick Polystick S6 G Tile Pro,Dual Pro TU Max MTS Plus Flat Tile Prohibited 4:12 6:12 6:12 5:12 without battens Profiled Tile Prohibited 4:12 6:12 6:12 4:12 without battens The above slope limitations can be exceeded only by using battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. When battens are required,they shall be utilized during loading and installation of tiles. 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure—two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope,for a total of 6 tiles—for all underlayments except Polystick MTS which shall be loaded onto battens. toot.• .••,.• � 4, toot•• •• • ••telt • • • •• •root toot• toot• :toot• ,/ / t J toot•• toot toot• ° "1 • • tote** F� •tote• • • • • tete•• • • • • • ••t• o—.e.•— • • • NOA No.: 15-0410.04 MMHMane�_ Y Expiration Date: 09/13/21 :approval Date: 08/11/16 Page 6 of 8 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR-Xe,Polystick Dual Pro,Polystick Tile Pro,Polystick TU Max,Polystick TU P,Polystick TU Plus,Polystick MTS,Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe,Polystick Dual Pro, Polystick Tile Pro,Polystick TU Max,Polystick TU P,Polystick TU Plus,Polystick MTS,Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick IR-Xe,Polystick Dual Pro,Polystick Tile Pro,Polystick TU Max,Polystick TU P,Polystick TU Plus,Polystick MTS,Polystick MTS Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction(AHJ)or the Miami-Dade County Product Control Section for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance. and fire testing results. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, I 1 gauge ring shank type, applied with a minimum 1 V metal disk as required in Miami-Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked"nail area, area para clavar" on the face of membrane,with the above stated nails and/or disks. The head lap membrane is to cover the area being back-nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams(selvage laps)must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps,shall have a 6" wide, uniform layer of Pg4YjL ; Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MI Fli.14ing CCment, " 00 XtraFlex 50 Premium Modified Wet/Dry Cement,Polyglass PG500 MB Flashing Cem'At, ftliec n.between •• the application of the lap. The use of mastic between the laps does not apply to Polysticl 11TS. " :• �••••. 000000 ...•.• 5. A maximum of 6 tiles per stack are allowed when loading the on the underlayments. Rofe*oo the Ppfyg? s Till ' Loading Guidelines. See General Limitations#9 and#10. •••• " see** 6. Battens and/or Counter-battens, as required by the the manufacturers NOA, must be usvgia'all proj=ror ••••�• pitch/slopes of 7"/12" or greater. It is suggested that on pitch/slopes in excess of 6 '/4"461:v.ecaution,should be •. taken, such as the use of battens to prevent tile sliding during the loading process. • • ;...;. """ 7. Minimum cure time after membrane installation&before loading of roofing tiles is Fou-ti:ht(4 w6wrs. . . 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement,XtraFlex 50 Premium Modified Wet/Dry Cement,Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. NOA No.: 15-0410.04 PEAKWADE CM Expiration Date: 09/13/21 Approval Date: 08/11/16 Page 7 of 8 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared,before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami-Dade Notice of Acceptance(NOA)approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800)894-4563. 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800)8944563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE ...... .. . ...... ..... .... ...... ...... .... .. .. ...... . . . . NOA No.: 15-0410.04 HOJOCADE Expiration Date: 09/13/21 Approval Date: 08/11/16 Page 8 of 8 f 1 M1AM MIAMI-DADE COUNTY ® PRODUCT CONTROL SECTION r 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv ICP Adhesives and Sealants, Inc. 12505 NW 44"Street Coral Springs,FL.33065 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ (in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: ICP Adhesives Polyset°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 ;ears Zo chanA:••• 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.u&.iision or change in the 00 . materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endgrsemertt of try product,;Or ..• sales, advertising or any other purposes shall automatically terminate this NOA. Failure to d'UMPly with an9•section•dt••• this NOA shall be cause for termination and removal of NOA. ••••0' 4,00000 '••" 00 00 0000 •0000• ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Fjoriday and follo fed by th • expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then 3C91111t be done . 0000.. 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 14-0805.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. �r NOA No.: 16-0315.01 Mu I-DADe COUNTY Expiration Date: 05/10/17 ,0000 • Approval Date: 04/07/16 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset' AH-160 as manufactured by ICP Adhesives and Sealants,Inc. as described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code,do 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 tile systems using ICP Adhesives Polyset® AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications ICP Adhesives N/A TAS 101 Two component polyurethane foam adhesive Polyset'AH-160 ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTFI000 ICP Adhesives ProPack° N/A Dispensing Equipment 30& 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values with the use of ICP Adhesives Polyset®AH-160 roof tile adhesive. ...MANU1;AC-jURINQ LQCATION: 1. 7Uru8$11, )? . • ...... .. . ...... "TUYSICALNROP&MTIES: .•': •• Pro er •• Test Results ..... .... ... ...Aansity'.*0000ASTM D 1622 1.6 lbs./ft.3 • Compressive Strengtk• •• ASTM D 1621 18 PSI Parallel to rise 0:00000:996: 12 PSI Perpendicular to rise ;...T.ensile Strength 0 0 0 ASTM D 1623 28 PSI Parallel to rise ' Water Absorption • ** ASTM D 2127 0.08 Lbs./Ftz 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% 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. DE C MIAMI•DAOUNTY NOA No.: 16-0315.01 A Expiration xpiration Date: 05/10/17 Approval Date: 04/07/16 Page 2 of 11 EVIDENCE SUBMITTED: Test Alzency Test Identifier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-1 PA 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 11/16/94 01-6739-062b[i] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 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 "'•" 0000.. 520191-1 TAS 101 03/02199 520109-2-1 ' 0000.. 0000.. LIMITATIONS: 0000 . 00 00000 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assernblyfgr fire Latf►tg.� 00000 .. .. 0000 0000.. 2. ICP Adhesives Polyset'�' AH-160 shall solely be used with flat, low,&high tile profit**•••• � •• 3. Minimum underlayment shall be in compliance with the Roofing Application Standari RAST 20. ;•••;• ...... 4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset® A'I j.I Qroof ti"44hesive with their tile assemblies shall test in accordance with TAS 101. ' 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 16-0315.01 r IAMI-auneCOUNTY Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 3 of 11 r INSTALLATION: 1. ICP Adhesives Polyset" AH-160 maybe used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset® AH-160. 2. ICP Adhesives Polyset 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 ICP Adhesives Polyset AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof the assembly NOA. 3. ICP Adhesives Polyset' AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by ICP Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives 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). 6. ICP Adhesives Polyset' AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF 1000 or ICP Adhesives ProPack®30& 100 dispensing equipment only. 7. ICP Adhesives Polyset AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives Polyset AH-160 has been dispensed. 9. ICP Adhesives Polyset® 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. ..6666 0.000. . 0 . . .6 .. 0 . 0 .0000. 0 6 0 0000.. .6000. 0000.. .. 0000 . . . 0000. .. . 0000 •000• 6000 .09..• •.000. 0000 .. .. 0000.. . . 6 ...66. 6 0000.. 0000... 0 000 6 6 000. . 00 . 6 MIAMI•DADE COUNTY NOA No.: 16-0315.01 Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 4 of i l Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course-Flat,Low,High All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile 42 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat,Low,High Profiles 43 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two-Piece Barrel (Cap Tile) Two Piece 2 Beads(1 each longitudinal 17 grams per bead edge)20-25 sq. inches each bead Two Piece Barrel(Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami-Dade County Product Control Approved" or the Miami- Dade County Product Control Seal as shown below. MIAMFDY4DE COUNTY �UU..I BUILDING PERMIT REQUIREMENTS: 0000.. As required by the Building Official or applicable building code in order to properly evaluate the installation oTothis 0.. a 9s 000000 000 system. • 0000.. 0000.. 0000 .. 9 sees a .0 90000 0 9 00900. 090. 0000. .. .. 0000 0000.. 0000.. s . . . . .00090 e9eee. 0 0 . 0000.. 00 . 9000 0 . 9 NOA No.: 16-0315.01 MIAMI•DADECOUNTY Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 5 of 11 ADHESIVE PLACEMENT DETAIL# 1 NO through plasticcaiment Wddy(BenomhTft) Flat/Low Profile Tile iwbenrequired) u'ad.d.ym•ot 6 • 1. Starting at the eave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown, -. under the strengthening rib closest to the overlock ° lot �`�� of the tile being set. M"Ms Olotim l E.wco.ru _ 2. Continue in same manner. Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive • `�� contact with the underside of the tile. �2 Uk fascia Em"w•Clawr• Nall throw9h plastic cement. Medium Profile/ Double Pan Tile (when rewired) Paddy ip"*mhTAO 1. Starting at the eave course, apply a minimum 2" 1lnd•Rlaynaent ,ti (50.8 mm)x 10"(254 mm)x l"(25.4 mm)foam ` paddy onto the underlayment positioned as shown o �* under the pan portion of the tile closest to the overlock of the tile being set. id Fn,�c ' 21, wldo t Battentcptianal '-•� 2. Continue in same manner. Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive contact with the underside of the tile. v» Eava Clasura •••••• Eatin�oWrlp • • Fascia • •••••• •• • • ••• �th�gl7Plaolica pii•• l•O High Profile/Single Pan Tile •••••• �udtian rat�ulnad► Paddy i6•n••ehTil.l ••••• •••• �••• l. Starting at the eave course apply a minimum 2" •••••• I •••••• (50.8 mm)x 10 (254 mm)x 1 (25.4 mm)foam •• i t: paddy onto the underlayment positioned as shown •:00 0• a talo.%• under the pan portion of the the closest to the • . . �•.2In wkl'o • \ •// overlock of the the being set. �.ittt'hs * 2. Continue in same manner. insure approximately 17 °weal (109.7 cm2)—23 (148.4 cm2)square inch adhesive ✓ ,`�� contact with the underside of the tile. Eam Course `~} Patch Weeprhak i01n in• Eavrdosure Drip adpa NOA No.: 16-0315.01 MIAMFDAD:COi NlY Expiration Date: 05/10/17 Approval Date:04/07/16 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 WAR through Prrilkw""I Flat/Low Profile Tile twhen mquir•d? o�d.�,y�•� � ".} 1. Starting at the eave course, apply a minimum 2"(50.8 ` • mm)x 10"(254 mm)x 1" (25.4 mm)foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of g 7rn. the the being set.Insure approximately 17(109.7 cm2) —23 (148.4 cm'-)square inch adhesive contact with the ��.c..�.. underside of the tile. • 2. At the second course, apply a minimum 2"(50.8mm) F„d, x 7”(177.8 mm)x l"(25.4 mm)foam paddy onto the 21nda positioned as shown under the strengthening rib closest to the overlock of the the 6warlosura being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm2)- 12 (77.4 cm2)square inch adhesive contact with the underside of the tile. Medium Profile/Double Pan Tile Nail through piastic cement twhen reglliredl Paddy iNemath1110 1. Starting at the eave course,apply a minimum 2"(50.8 Undirlryrnrnt mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the the being set. Insure approximately 17(109.7 cm2)— ""' 2In. ,, ` 23 (148.4 cm2)square inch adhesive contact with the underside of the tile. •••••• Battens opliooal • • • • 2. At the second course, apps a rrilhimurrt 2"'(50.8mri'f�"" 10ki 2 in. x 7"(177.8 mm)x 1" (25. "MRD foam padly onto Ace F,,,•G*1W# underlayment positioned as W."undjr t4e;pan ,••••• Fast" portion of the tile closest t9 jbI;Averlo ck gltthe tile ' E.vr Cour►r •'••• being set. •• •• •.a• ••.••• 3. Continue in same manner.'Insure appr(WWgly 12"•••'• (77.4 cm2)- 14(90.3 cm2;square inch'adhesive ;....; contact with the underside Mthe tile. . ' (Instructions continued on next page) NOA No.: 16-0315.01 MIAMI-DADECOUNTY Expiration Date: 05/10/17 �Wjum• = Approval Date: 04/07/16 Page 7 of II ADHESIVE PLACEMENT DETAIL#2 (CONTINUED) Hall'hmughptntkc• High Profile/Single Pan Tile twh•nr•qulr•d) Prddpl8•n•ahTole) g g 1. Starting at the eave course,apply a minimum 2"(50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the the closest to the overlock of the the being set. Insure approximately 17(109.7 cm2)— 7`�' 23 (148.4 cm2)square inch adhesive contact with the 2In. asrt•nsaptlanal underside of the tile. 2. At the second course,apply a minimum 2"(50.8mm) ascia x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the w••pha" underlayment positioned as shown under the pan yolk, ]An. ERWdo"We portion of the tile closest to the overlock of the tile Drip edge being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm2)- 19(122.6 cm2)square inch adhesive contact with the underside of the tile. •••••• •• • •••••• • ••••• •• • •••• ••••• •••• •••••• •••••• •••• •• •• • •••••• • • • • MIAMMADECOUNOA No.: 16-0315.01 Expiration Date: 05/10/17 �FjuaalyfflApproval Date: 04/07/16 Page 8 of 11 ADHESIVE PLACEMENT DETAIL#3 14ail through plastic cement Paddy(between tiles) lwhenrequiredi l. On the eave course only,apply a minimum 2" (50.8 Battensoptiona) mm)x 10" (254 mm)x 1" (25.4 mm)foam paddy • Paddy(undertile) onto the underlayment positioned as shown, under osinglepaddy topoftie the strengthening rib for flat tile or under the pan an top of tie � portion of the the for low or high profile tile closest 4 x41n. to the Overlock of the tile being set.Leave 5l approximately 4" (10 1.6 mm)up from the eave umdertiI edge free of foam to prevent the expanded adhesive Single paddy ,�' � g p p onumdedayrn f 2x41n. '" from blocking the weep holes. Insure • `` � approximately 17-23 int(109.7-148A cm2)of 101n. adhesive contact with the underside of the tile Z in. fascia l:aneClosure 2. Apply a 4" (101.6 mm)x 4" (101.6 mm)x 1" (25.4 mm)foam paddy onto the underlayment just below Flat/Low Profile Tile the second course line positioned foam paddy under the strengthening rib for flat tile, or under the Nall through plastic cement Single paddy under tile pan portion of the tile, closest to the underlock for (when required) padaylbetweenciies) the second course tile to be installed. Insure approximately 8-9 int(51.6-58.1 cm2)of adhesive Battens Pad dy(under tile) contact with the underside of the tile. optional oinglepaddy �_ ,�� (Instructions continued on next page) on tap of ti)e., �„ .,� 1 4xaIn. 2x4In. Single paddy on .t un edayment 10 in. 2in. • • Eave Ciasure • • • • Eave Course Fascia •••••• • •• •••••• • Medium Proflie Tile •••• •• • • • 00 •••••• • 6.0 • NOA No.: 16-0315.01 rllaMFDADECOUNTY Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) Nall through plastic Single paddy under the (when required] 3. Also apply a 2" (50.8 mm)x 4" (101.6 mm)x3/4" Paddy(betweentilesl (19 mm)paddy on top of the eave course tile Battens Paddy(undert(lel surface as shown,on top of the strengthening rib optional for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. 5e'gl, oda�' anu Install second course of tile. Insure approximately �': '4xain. 9(58.1 cm'-)- 11 (71cm2)square inch adhesive Shmfiecontact with the underside of the the at the overlap ��, padd y2x4in on and 7(45.2 cm2)-9(58.1 cm2)square inch top oftle adhesive contact with the underside of the tile at the head of the tile. Continue In same manner. Eave Course "� Fascia Weephole Loin. 2 in. Eave closure Dripedge High ProflleTile •••••• •••••• •• • •••••• 0 to *see • ••••• •• • •••• ••••• •••• •••••• so • •••••• • • • • NOA No.: 16-0315.01 MIAMI-Drweeoutr7Y Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Two Piece Barrel(Cap and Pan)Tile 1. Starting at the eave course,apply a minimum 2" 1)Place enough adhesive to achieve 65 to 70 sq.in. Steep pitch applications in contact with the pan tile. (when required) (50.8 mm)x 10"(254 mm)x 1"(25.4 mm) foam 2)Tum covers upside down.Place adhesive in paddy onto the underlayment positioned as to,in.from outside edge of cover tile. shown under two adjacent pan tiles. Support eave Then install the tile.Ensure 20 to 25 sq.in.contact area. /.,° tiles from rocking until adhesive has a chance to Underlayment ' cure. 2. Continue in same manner bringing two pan �""t 0courses up toward the ridge. Insure approximately 65 (419.4 cm2)—70(451.6 cm2) -' - square inch adhesive contact with the underside �-� Sheathin of the pan tile. 9 Eave dosurc (motarshown) 3. Turn covers upside down exposing the underside weephole of the tile. Apply a minimum 1" (25.4 mm)x 10" Fasciaeoard (254 mm)bead of adhesive directly on the inner Remove top portion of the eavecourse cover tile.Abut tosecond course of edge of each side of the cover tile. Leave pantiles.Ensure eave end ofpan and cover tiles are flush ateave line. approximately 3/4"(19 mm)to 1"(25.4 mm) Two Piece Barrel-High Profile Tile from the outside edge of the tile, inward,free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20(129 cm2)-25 (161.3 Cm2)square inch contact area on each side of the cover tile to the pan tile. Continue in jamep anne> •'Frirrraway...... any cured exposed foaplad:esive.Vointing of .e longitudinal edges oftbec"wer tills Ir%• ....;* considered optional. *00:09 00 . 0000.. 5. When additional nailir""requireti, 2•''(50.8 ••;••e mm)x 4"(101.6 mmj n iNs or Wtite'wire "•" system using d,stainless stee, or • galvanize". ,sta copper wire and compatiblPOnails gray pe used....;• .0000. . 0000.. .. 0000 END OF THIS ACCEPTANCE NOA No.: 16-0315.01 MUIMIFDAD,coUNW Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 11 of 11 RICK SCOTT,GOVERNOR _�. KEN LAWSON,SECRETARY s"✓' - '" "`""-` - ""` �S`fATE OF FL'ORIDA``,`' , w% -, DEPARTMENT OF BUSIAESS ANDRPROFESSIONAL`REGULATIO 'yam — . —CONS'I'RUCTION INdUSTRY;LICENSING.BOARD,-N,�XX,.;-,, �" RCA024333 .- The;ROOFING CONTRACTOR-"'- , Named beiow.'HAS,REGISTERED --ry"- ��^L Uhdertf`ie~pr�ovlsionS,of CliapteF489}FS...�""�-,; . , '` - M �' EXpiratiori date A11G-31 x-2017— --- ,,,T (fNDIVIDUAL-MUST MEET.ALL GENSING �+ `' REQUIREMENT.S.PRIOR SEGIRRA;MANLIJEL �`..�- SEGARRA.R0,OFING 1 ^ t� 7:1751N 4T.H CjT.�-�" ISSUED: 07/26/2015 DISPLAY AS REQUIRED BY LAW SEQ# L1507260000668 Local Busi ness Tax Fecei pt Miami-Dade County, State of Florida -THIS IS NOTA BILL-DO NOT PAY LBT 578592 BUSINESS NAM EILOCATION RECEIPT NO. EXPIRES SEGARRA ROOFING INC RENEWAL SEPTEMBER 30, 2017 7175 W 4 CT 578592 Must be displayed at place of business HIALEAH, FL 33014 Pursuant to County Code Chapter BA-Art.9&10 OWNER SEC,TYPE OF BUSINESS PAYM ENT RECEIVED SEGARRA ROOFING INC 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 08/25/2016 Worker(s) 10 000014509 0224-16-005477 This Local Business Tax Receipt only con"—payment of the Local Business Tax.The Receipt is not a license, pemit,or a cecti'cation of the holder's quali"cations,to do business.Holder must corrply with any governmental orrwngovernrtentalregulatory laws and requlremits which appy to the busirem The RBM PT NQ above mist be displayed anal[conrrtercial vehicles-Miani-Dade Code Sec Ba-21& M® For more information,visit www.r iarridade.ggjg taxcollector i r CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY -x` 000014509 SEGARRA ROOFING INC AD.B.A.: SEGARRA MANUEL E is certified under the provisions of Chapter 10 of Miami-Dade County VALID FOR CONTRACTING UNTIL 09130/2016 SEGR001 OP ID: KO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06128/2016 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 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 CT SCO M.Steele,AAI J.W.Edens&Company PHONE Commercial Ins of Brevard,Inc No .321-725-7000 (FAX AIC No):321-725-7856 325 Fifth Avenue,Suite 108 E-MAIL Indialantic,FL 32903 ADDRESS: Scott M.Steele,AAI INSURERS AFFORDING COVERAGE NAIL S INSURED Segarra Roofing Inc. INSURERA:AXIS Surplus Ins.Co. 26620 Mrs.Segarra INSURER B: 7175 West 4th Court INSURERC: Hialeah, FL 33014 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE -AM ZW POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY I=wvn POLICY NUMBER MM/DD/YYYY MMIDDIYYYYI LIMITS EACH OCCURRENCE $ 300,00 CLAIMS-MADE OCCUR FLGLN02703AX DAMAGE TO REN 06/30/2016 06/30/2017 PREMISES Ea occurrence $ 50,00 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 300,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 600,00 X POLICY❑JEC LOC PRODUCTS-COMP/OP AGG $ 300,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION EPER OTH- AND EMPLOYERS'LIABILITY Y N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ and If yes,describe under N/A E.L.EACH ACCIDENT $ (Mandatory in E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION MIAMISV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Inspection Department 10050 NE 2nd Ave Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE I Yl"r'e, 3*wl ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Data- CERTIFICATE OF LIABILITY INSURANCE 2/4/2016 producer. Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC# insured: South East Personnel Leasing, Inc. &Subsidiaries insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages 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 oontract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is s limits shown may have been reduced object to all the terns,exclusions,and conditions of such policies. e by paid claims. �� INSR ADDL Policy Effective Policy Expiration LTR INSRD Type of insurance Policy Number Date Date Limits (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Claims Made 11 Occur Damage to rented premises(EA occurrence) T MW Exp General aggregate limit applies per: Personal Adv Injury Policy O Project 13Loc G-1 Aggregate Products-ComplOp An AUTOMOBILE LIABILITY Combined Single Lima Any Auto (EA Accident) All owned Autos Bodily Injury Scheduled Autos (Per Person) Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggr Deductible A Workers Compensation and WC 71949 01/01/2016 01/01/2017 X I we Statu-TOTH- Employers'Liability to omits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO If Yes,describe under special provisions below. E.L.Disease-Ea Employee $1,000,000 E.L.Disease-Policy Limits $1.000'000 Other Lion Insurance Company Is A.M.Best Com n rated A- (Excellent). AMB#12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by EndomementfSpecial Provisions: Client ID• 92-67-125 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc&Subsidiaries that are leased to the following"Client Company": Segarra Roofing,Inc. Coverage only applies to Injuries Incurred by South East personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. Project Name: ISSUE 02-04-16(TLD) CERTIFICATE HOLDER CANCELLATION Begin Gate 11212015 MIAMI SHORES VILLAGE Should any of the above described policies be cancelled before the expiration date thereof,the issuing BUILDING INSPECTION DIVISION Ing wit endeavor to mail 30 days written notice to the certificate holder yarned to the lett,but failure to do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. 10050 NE 2ND AVE MIAMI SHORES, FL 33138