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RF-17-540 Nth RF4 ` _7 Miami Shores Village R@f7t1 7ypB:i00 10050 N.E.2nd Avenue NETile Miami Shores,FL 3313&0000 q, Pe Phone: (305)795-2204 #PROVED �'+CORNp' issue elate:31212017, Expiration: 08/29/2017 Project Address Parcel Number Applicant 138 NE 106 Street 1121360050050 COREY MANION JTRS Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell COREY MANION JTRS 138 NW 106 Street MIAMI SHORES FL 33138- 138 NW 106 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 DAVID BANGE ROOFING (954)435-7663 ........ ... ..... ..... Total Sq Feet: 357 Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification:Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# RF-3-17-63121 DBPR Fee $3.75 03/02/2017 Credit Card $50.00 $226.10 DCA Fee $3.75 Education Surcharge $1.20 03/02/2017 Check#: 1204 $226.10 $0.00 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $4.80 Total: $276.10 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 cert' at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F ore,I authorize the above-named contractor to do the work stated. March 02, 2017 thorized Signature-.-owner / Applicant / Contractor / Agent Date Building Department Copy March 02,2017 1 �' Phone 954-784-2941 ederal 800-848-1919 8 TESTING INC. Fax 954-784-7875 250 SW 13th Ave Pompano Beach FL 33069 fed-eh .com Dated: Thursday,April 27, 2017 \ Order Number R17-319 David Bange Roofing, Inc. A 6851 SW 21st Court, Suite#11 Davie, FL '33317 1 �l \ RE: TAS-106 Tile Uplift Test Proposed Roof: Corey Manion 138 NE 106th Street Miami Shores, FL 33138 In accordance with your authorization, Federal Engineering & Testing, Inc. has performed Tile Uplift Testing in compliance with Testing Application Standards TAS-106 and the Florida Building Code High Velocity Hurricane Zone on April 26, 2017 at the above referenced project. The purpose of our inspection was to determine the uplift capacity of the roof tiles for the residence at the above referenced project. The subject roof consisted of S-Shaped Clay Tile Foam Set. The pitch of the subject roof is 4/12. Our field engineer visited the site and conducted 14 uplift tests on the roof tiles.All tests were performed according to the Florida Building Code High Velocity Hurricane Zone and protocol TAS-106 using an Intercomp Scale Model CS200. The following is a summary of results: Field Test Results Test Number Test Location Field Uplift Pull Test Test Results 1 -2 Corner See Attached Diagram 35±5 Pounds Passed 3-7 Perimeter See Attached Diagram 35±5 Pounds Passed 8-10 Field See Attached Diagram 35±5 Pounds Passed 11 -14 Hip/Ride I See Attached Diagram 35±5 Pounds I Passed All test results were found to be in compliance with TAS-106 and the Florida Building Code The test results are limited to the tested areas. If other roof areas exhibit different conditions, it should be brought to our attention for remedial work. This uplift test is not a roof top inspection. A final roof inspection must be conducted by the building official for approval. The test results presented reflect the condition of the roof system at the time of the test. These results are time and sample dependent since roof conditions are continuously changing due to exposure to the elements. Federal Engineering & Testing, Inc. is an independent third party providing un-biased testing information and results and is not affiliated with our client nor do we have any financial interest in the project or determination of the test results. As mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. We appreciate the opportunity to be of service to you at this phase of your project. If you have any questions or comments, please give us a call. It has been a pleasure working with you and look forward to doing so again in the near future. Sincerely, Kaith. LeBlanc, P.E. Federal Engineering&Testing. Inc. Flc;ida Reg. No.59394 Certifirate of Authorization#5471 Miarrol-Dade County Certification#16-0203.07 MIAMFQADE Construction Material American Concrete Miami Dade Florida Department Engineering Council Institute County of Transportation N s a=0.1 (w)= 0.1(24')=2.4' a=0.4(h)= 0.4(15')=6.0' Perimeter Dimensions= 4.0' Figure R301.2(7)Componet&Cladding Pressure Zones Comer Area: 32 S.F. = 2 tests Perimeter Area: 208 S.F. = 5 tests Field Area: 260 S.F. = 3 tests Ridge Caps: 66 = 4 tests Total Tests Performed: = 14 *All dimensions are approximate* Test Location Sketch Federal Engineering & Testing Inc. 250 SW 13th AVE Pompano Beach, FL 33069 (954) 784-2941 Client: David Bange Roofing, Inc. Project: Proposed Roof: Corey Manion Test: TAS-106 Tile Uplift Test Project Address: 138 NE 106th Street (Test location sketch is not to scale) Miami Shores, FL 33138 Warm Shores Viflage RECEIV50 ,�,�` Building Department 0� \e 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 F BC 20 BUILDING fluster Permit No.Q'(-- t-7- 514 C) PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING [] MECHANICAL [--]PUBLIC WORKS [] CHANGE OF ❑CANCELLATION ❑ SHOP �1 CONTRACTOR DRAWINGS JOB ADDRESS: I�� N ( 0 Co �T re-�� 9!YL Miami Shores County Miami Dade Zip: Folio/Parcel#:11-21-540 00 5--025® Is the Building Historically Designated:Yes NO Occupancy Type: ✓ Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): o�? 6�l/1 Q 0 Phone#: �S �� Address: �J F \- O 112 ,� I 1 �3 City: �I I PI yV\ I ��}'�®►�2 State: �� Zip: 3 c� Tenant/Lessee Name: 41 Phone#: Email: CONTRACTOR:Company Name: � �� p-�t�M �e ®®�`�"`� Phone#:LfS-_Il`e, �76?/—z Address: ')5 City: k- a,1td C— State, Pk Zip: :,7S Qualifier Name: J lA fps A ��AA Phone#:q)-q5D State Certification or Registration#: l �� "I Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ r OO® Square/Linear Footage of Work: r S ^7 Type of Work: ❑ Addition N Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:2e v'va Specify color of color thru tile: C_� e. Submittal Fee$ CSD- , oD- Permit Fee$ v CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ tA Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 thisjurisdiction. 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection'Which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. r f W Signature _ Signature OWNER or AGENT CON CTO The foregoing instrument was acknowledged before me this The foregoing instrument w nowledged before me this day of r—.t -int G 20 17 bytj=tz)�� 20 11 by - sonally known to �,�eij //� ;✓j o is personally known to me or who has produced _ -; as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: S Sign: Sign: Print: Print: a�Pa � ry Public State of Florida Seal: 00 Pi Notary Public State of Florida Seal: : YvetteBorromeo 06� Q My Commission FF 974520 ? Yvette BormMeo Expires o3r2312020 e My Commission FF 874820 cr ao� Expires 03/23/2020 x * �x �xm �x * �x* m * *gym* xa�xe * a�x�x�xa� m * APPROVED BY ri Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) hen 954-435-ROOF(7663) Skh cod. CCC1330629 925 SW 26fk Stud � f4wcaed ad 9toad �a�ud �a�cge R. , Ff 33315 PROPOSAL SUBMITTED TO Kris Ryan DATE 6/3/16 PHONE954-558-7900 NAME JOB NAME N u en & Manion STREET STREET 138 NE 106th St CITY STATE ZIP CITY Miami Shores ISTATE ZIP We hereby submit specification and estimate for Tile addition and tie-in PREP. WORK FLAT 0 Remove existing roof to 00 Replace rotten sheathing ❑ Install# ❑ Install plys clean workable surface at$ 4.00 per foot. base sheet as per code of ply IV fiberglass felt and dispose of debris (Plywood replaced by sq.ft) ❑ Install in. ❑ Install mineral surface Do Install new lead flashing M Install new 26 Gauge 16" eave drip metal capsheet to all plumbing vent galvanized metal to all stacks valleys and tieans M ETA ❑ Exposed M Type of roof to remove ❑ Install# ❑ Install M Not Exposed c Tile tie-in fire barrier under layment ❑ Install ❑ Install SHINGLES eave drip metal metal roof ❑ install# ❑ Install in- TILE base sheet eave drip metal ❑ Install ❑ MFG. M Install# 30 PQ Install Polyglass fiberglass fungus Color base sheet file underlayment resistant shingles Do Install 34 in. PQ Install TBD eave drip metal tilesetin Foam ❑ REPAIRS Re-nail sheathing to building code. We herby propose to furnish labor and materials complete In accordance wth the above speclflrallons for the sum of6 SixThousand----------------------------------------------------------------------- dollars($ 000 > paymentlD be made as follows No deposit: 30% due at start plus wood, 30% due @ the underlayment, METHOD OF PAYMENT 30% due @ the delivery, 10% due @ final inspection. NOTE TO BUYER GENENTRACTOR OR OWNER:Darold Bangs Roofing LLC,hereby proposes to furnish the above labor and materal In accordance with the above spedfications. A deposit of$ RA COIs required upon acceptance and the balance as work porgresses In direct ratio to work completed.Payment In full to be made upon completion of the job. WARRANTY TO ORIGINAL OWNER:David Bangs Roofing LLC,warrants workmanship fora period of Five (5) years,but reserves the nght to supervise or Inspect aft work subsequently performed by other parties to the roof,for a reasonable fee.WIthout this supervision or Inspection,all warranties are null and void.Warranty Is transferable to new owner upon written application(subject to approval and payment of 10%of contract price.Warranty Is contfngantupon job payment In fall.All materials furnished will be as specified and work Is to be completed in a workmanlike me according to standard produces. Any alteration or deviation from above specff ations will become an extra charge over and above the estimate of labor and usual costs of our agreements. David Bange Roofing LLC,will excercise reasonable care when performing thew**,but cannot be held responsible In any manner for damage to d ys, d ,fol bbery,screening,septic Wks, gutters,pipes,or cables,above or below ground.We will not be held responsible for water damage to the exterior or Interior of the premises.CUS IS FU TORE AND OTHERM04DOOTECT THEIR PROPERTY.We cannot assume responsibility for any damages done to the rooiby,other tradesmen or pordes.David Bongo Roofing LLC, a held for ber by termites, capenter ants,or any other wood boring Insects.Such wood will be replaced at an additional charge. THIS CONTRACT IS SUBJECT TO OPACE APPROVAL Authorized Signature ACCEPTANCE OF PROPOSAL The above prices,spedficatlans and condition a so sfacary and are hereby accepted.David Bangs Rooflng LLC,Is authorized to do the work as spedfied.Payment will be made as outlined above.This proposal has the power of a contract when signed and a .!h d an ee to the terms and editions as stated an the front and back of this contrail ACCEPTED Slgnature Print J'� Date ®11 GMiamhoreS Village pi. o�M Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 EN�g N$ �loRIDp 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: 2,7 — 1 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: rl,-4 M'EVAYI Property Address: Le '"�'� Roofing Permit Number: Dear Building Official: I (2t�'-n-� �,g��"� certify that I am not required to retrofit the roof to wall connections of my building because: e"The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. ❑The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1994 e ion of the South Florida Building Code(1994 SFBC) 00-vil"L Signature Print me State of Florida County of Dade The undersigned, being the first duly swom,deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 7 day of- agor Poe Notary Public State of Florida Yvette Borromeo Notary Public,Sate of Florida at Large - Of'o r My Commission FF 974520 20 • When the just valuation of the structure for purpose valorem taxation is e' Ito or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a Genera o or the Roof to wall connection Hurricane Mitigation. Revised on 512112009 2/21/2017 Property Search Application-M iam i-Dade County OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:2/21/2017 Property Information Folio: 11-2136-005-0050 Property Address: 138 NE 106 ST '- .� Miami Shores,FL 33138-2037 Owner COREY ADAM MANION JTRS - , HATHIENNGUYENJTRSF ��. 138 NE 106 ST { Mailing Address MIAMI SHORES, FL 33138 USA Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT , Beds I Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,376 Sq.Ft a x; Living Area 1,103 Sq.Ft Adjusted Area 1,239 Sq.Ft Taxable Value Information Lot Size 9,225 Sq.Ft 2016 2015 2014 Year Built 1939 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Taxable Value $126,727 $125,499 $124,107 Year 2016 2015 2014 School Board Land Value $198,007 $163,894 $154,253 Exemption Value 1 $25,000 $25,000 $25,000 Building Value $86,234 $86,234 $84,004 Taxable Value 1 $151,727 $150,499 $149,107 XF Value $992 $807 $821 - - City Market Value $285,233 $250,935 $239,078 Exemption Value $50,000 $50,000 $50,000 Assessed Value $176,727 $175,499 $174,107 Taxable Value $126,727 $125,499 $124,107 Benefits Information Regional Benefit Type 2016 2015 2014 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Cap Assessment Reduction $108,506 $75,436 $64,971 1 Taxable Value $126,727 $125,499 $124,107 Homestead Exemp-:ion $25,000 $25,000 $25,000 Sales Information Second Homestead Exemp-:ion $25,000 $25,000 $25,000 Previous OR Book- Note: Not all benefits area applicable to all Taxable Values i.e.County,School Price Qualification Description pp � Y Sale Page Board,City,Regional). 06/29/2011 $100 27738-3882 Corrective,tax or QCD;min consideration Short Legal Description 06/15/2011 $219,500 27735-0474 Qual by exam of deed DUNNINGS MIAMI SHORES EXT NO 1 11/01/2004 $285,000 22885-2276 Sales which are qualified PB 41-51 08/01/1996 $106,000 17332-3813 Sales which are qualified LOT 5 BLK 201 LOT SIZE 75.000 X 123 OR 17332-3813 0896 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: KIl,l1 JI.V I I,UVVtKIVVK 1%r of I.MVYJVIY,JL:.i.nclrll T '" STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD v n CCC1330629 The ROOFING CONTRACTOR Named below IS CERTIFIED w Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2018 BANGE,DAVID WAYNE DAVID BANGE ROOFING LLC 825 SW 26TH STREET t' FORTLAUDERDALE FL 33315 ISSUED: 08/17/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1608170002355 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave., Rm.A-100,Ft. Lauderdale,FL 33301-1895—954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 E DBA:DAVID BANGE ROOFING LLC Receipt#:ROOFING%SHE DAVID BANGE ROOFING LLC ET METAL CONTRA R If Business Name: Business Type:(ROOFING CONTRACTOR) 1 Owner Name:FLANGE,DAVID WAYNE Business Opened:04/03/2015 !!! Business Location:825 SW 26 ST State/County]Cert/Reg:CCC1330629 FT LAUDERDALE Exemption Code: €� Business Phone:954-850-8754 i i Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 4.05 0.00 0.00 31.05 i i i tI THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and is I non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that It is in compliance with State or local laws and regulations, i tI Mailing Address: DAVID BANGE ROOFING LLC Receipt #02C-16-00000535 825 SW 26 ST Paid 11/07/2016 31.05 FORT LAUDERDALE, FL 33315 r t i1 . i 2016 - 2017 . .. .. WQ N IMPORTANT 41 STATE OF FLORIDA 0:11" Pursuant to Chapter 440.05(14),F.S.,an officer Dfa corporationDEPARTMENT OF FINANCIAL SERVICES } vAloelecmexempdonfromthlscnapterbyfingacertificoteofelection under this section may not recover benefits orDIVISION OF WORKERS'COMPENSATION F compensation under this chapter, I N e CONSTRUCTION INDUSTRY EXEMPTION O 1 W�t ut c r 41 ty , L Pursuant to Chapter 440.05(12),F.S.,Certificates of oleclion to I to CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'CO:APENSATION LAWD be exempt...apply only within the scope of the business or trade J W te EFFECTIVE DATE: MROIS EXPIRATION DATE AlaflfliT listed Orr the notice of election to be exempt 1 PERSON! RANGE DAV® W H .^ , Pursuant to Chapter 440.05(13),F.S.,Notices of election to he (� FEIN: 4e/e91432 E exempt and certificates ofeleciton to be exempt Shan be I 1(} BUSINESS NAME AND ADDRESS: R sub)eet to revocation if,at any time after the filing of the notice Y > DAVID BANGE ROOFING LLC E or the issuance of the certificate.the person named on the notice or certificate no longer meals the requirements of this I +a section for Issuance of a certificate.The department shall revoke t 825 SW 26T H STREET a certificate at any time for failure of the person named on the ` 3 FORT LAUDERDALE FL 33315 certificate to meet the requirements of this section. •'1 Li SCOPES OF BUSINESS OR TRA LICENSED ROOFING CONTRACTOR ACORO0 DATE(MM/DDn'YYY) CERTIFICATE OF LIABILITY INSURANCE 2/28/2017 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 CONTA E:CT Christine Auman NAM Frank H. Furman, Inc. PHONEW. (954)943-5050 FAX (954)942-6310 1314 East Atlantic Blvd. ADDRESS.! Christine@furmaninsurance.com P. O. BOX 1927 INSURERS AFFORDING COVERAGE NAIC 0 Pompano Beach FL 33061 INSURERA:Western World Insurance Company 13196 INSURED INSURER B David Bange Roofing LLC INSURER C: 825 SW 26th Street INSURER D: INSURER E• Fort Lauderdale FL 33315 INSURER F: COVERAGES CERTIFICATE NUMBER:16/17 GL 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. I TR TYPE OF INSURANCE ADSL SUBR POLICY NUMBER MMIDDDY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE XI OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ NPP8353289 4/3/2016 4/3/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYECT F LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTNE N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L DISEASE-EA EMPLO $ If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H mora space Is required) License #CCC1330629 CERTIFICATE HOLDER CANCELLATION 13057568972@efaxsend.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Dirk DeJong/KS 's e ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 r?nl4nti 825 SW 26th St Fort Lauderdale, FI 33315 T 954.435.ROOF(7663) DW"e - 1BOV"�/ C 954.850.8754 �� Date: State of �1dre-o A, County of w�- Before me this day personally appeared ®� � � �° who, being duly sworn, deposes and says: That he or she will be the only p rson working on the project located at Sworn to (or affirmed) and subscribed before me this ' day of PA�-Ittk , 20 81 , by Personally know OR Produced Identification Type of Identification Produced Prin Type or Stamp Name of Notary RH c State of Florida omeo ion FF 974520 9/2020 .... Miami shores Village Building Department �0R1Dp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowe work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation i sur nce coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELO OU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: caner State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of MNN� ,20j:? By m(—)N, L who is personally kn� VWHI p m gas produced MY C0 +a*��t;•''.� 4... Notary: ik, ?' '� ' i Z;c= SEAL: ,a r�hPRf�1/�f� STRUCTURES ROOF ASSEMBLIES AND ROOFYOP "111 Florida Building Codi,SC _ y 7 MpR High Velocity Hurricane Zone Uniforrl►PermCfpbi��t1D� 4��1tiCE fH F,- .RpL Section A JGeneral Information) Master Permit No. Process No. Contractor's Name_ �l 1 °-�'�L' Ufa ko Job Address . . . �. .. A,� 7 0. '� S S � P......... ROOF ceTEGORY E3 Low Sloe 0 Mechanically Fastened Tile MortarlAdh®slue Set Il p ,.��r� "� • a�rar [I Asphaltic [3Metal PanellShingles [3Wood Shin%%dSlsak 111 • , : f ..: , Shingles •••••• •• ••�•�' ❑Prescriptive BUR-RAS 160 •••••• `; i :.r+.j:;• ROOF TYPE ❑ New Roof ❑ Reroofing ❑ Recovering 13 Repair ❑•Ms enance0 ••" •••• ROOF SYSTEM :••:•: • •• INFORMATION ' ' • ' •'•••• ..•••. F) gee Low Slope oof Area(SF) Steep Sloped Roof Area(SF) 3,-7y x 3o`7q P� ..• 0/111, Section B (Roof Plant 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. 0 l t 1 u 18.32 FLORIDA BUILDING CODE Sth Edition (2814) --BUILDING d t s Florida Building Code 5th Edition (2014) High-Velocity Hurricane Zone Uniform Permit Application Form Sect on{91.26OR Sioped Roof S erm Roof-System Manufacturer: Lr,,, -� Notice of Acceptance Number:, ' ` O c� I Minimum Design Wind Pressures,tifApplicable(From RAS 927 or Calculations): P9: � P2: -_S `b oP3: — ) �l) a • • 0000 e••• • Maximum Design Pressure ' From the NOA Specific S stem : ... . **a*: see:•• ..0000 Method of tits attachment: �' ••" "" ' . .... .... ..... St®® Sloped Roof ftst m QRSCLIP lion••: :.. :....: . . Deck Type: \/Q ype Underlayment• V11Roof Slope: nsulation: 12 pIre Ber: Ridge Ve lation? astener Type 8c$pacing: � n �r I �snPAls ahestve Type I 'heet: e Cap oof Covering: 1 S Mean Roof Height: S Type&Slz6 Drip Edge: n Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form s® !®n E !!e gggglations For Moment based tale systems,choose either Method 1 or I Compared the values for Mrwfth tate valises from M,,If the Mi values are greater than or equal to the Mr values,for each area of the roof,then the the attachment method is acceptable. Method 1"Moment Based Tile Calc tions Per RASA 7" h�rx NO14 NOA D* ' toSl it xi,®��g� ,��.�Mg: s`(� =b�ri1��Z ' '� 'a- � NOA Mr Method 2"Slmplftied Tile Calculation Per Table Below" �•*see • From Table Below NOA 1 ...• ...: . Required Moment of Resistance(Mr) .. . .•...• .. .. •••• 0 Mr Required Moment Resistance* • 0000 0 Weany�� Roof 8" g 15' ••;• • � 38.5 0000 .o • • 00 0033 0000 . DA � ••• �• • • • 16-A �8. r4 • • -32W i i :0666: �� • 0• a •• 0. *Must be used in coniunetton 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 F,.If the F'values are greater than or equal to the Fr values,for each area-of the roof,then the file attachment method Is acceptable. Method 3%Uplift Based Tile Calculations Per RAS 127"NOA F' (pis x1' �.___x w:¢___�-)-�W% xcoso. - Fri: r (pz: —W: z cos B:�� Frz% NOA F z wt w:=____)—W' zeds 8:..r= For NOA F Where to Obtain Information Desai tion S bol Where#o find Owen Fressore for or RAS 127Tablo m an apatyratsprcparodby onASCS 7 Mean Roo He t FI Job Site Roof 8 ob Sito A NO Recto etnent to Cita M NIDA A entRealstenco Mr OA ted Momeai M< Calaila R oa F. Aveaa eTile a NOA e imensions 1= NOA w�wldtb Alicakulatlomenmstbo m totho alar&a o 1 I' 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 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.niianiidade.gov/economy Santafe Tile Corporation 8825 NW 95th 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 Contrpl$pction to be used in Miami-Dade County and other areas where allowed by the Authority Having Jurisdiction(A%4.' .... This NOA shall not be valid after the expiration date stated below.The Miami-Dade Countyd'enoduct Contltol:SectiQs..:. (in Miami-Dade County)and/or the AHJ(in areas other than Miami-Dade County)reserve tlj right to have this a • product or material tested for quality assurance purposes.If this product or material fails tQpVifgrm in She TL%epted• • manner,the manufacturer will incur the expense of such testing and the AHJ may immediafell(evoke,4`188'fy,or ". suspend the use of such product or material within their jurisdiction. RER reserves the rig%U6*revoke 1Aic *. • . .. . .. ....:. acceptance,if it is determined by Miami-Dade County Product Control Section that this p>o.(JjjcJ or materia)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,Buildi** 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. 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 renews NOA No. 12-0210.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Gaspar J Rodriguez. — NOA No.: 15-0915.09 JAPPROVED1Mu1MFDADECOUN7Y ` J Exp iration Date: 02/01/21 Approval Date: 01/21/16 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category Roofing Tiles Material: Clay Deck Type: 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. 0000 . . 0000 0000.. 2. PRODUCT DESCRIPTION ••• • .. .. .. .. 0000.. Manufactured by Test Prowe 0000.. Applicant Dimensions Specifications Desch„ji ion :0000: 0000 Santafe `S' Clay Roof L= 18" TAS 112 One piece high profile clay mof tile egdipped with•;••• Tile W= 11.1" Type I two nail holes. For nail'oICWrtar s4fand adhesi%"' .. .. . .. 0000.. Thickness=0.39" Grade 1 set applications. • 0000.. Trim Pieces 1=varies TAS 112 Accessory trim,clay roof pieces for ase ghips, •••• • 000000 w=varies rakes,ridges and valley=errgitigations! Manufactgcd.•; varying thickness for each tile profile. • 00 2.1 MANUFACTURING LOCATION 1. Bogota,Colombia 2.2 SUBMITTED EVIDENCE Test Agency Test Identifier Test Name/Report Date The Center for Applied Engineering,Inc. 94-156-8 TAS 101 Aug. 1994 94-156-9 TAS 102 The Center for Applied Engineering,Inc. 25-7205-1 TAS 101 March 1995 The Center for Applied Engineering,Inc. Project: 07-07-00-91 TAS 100 Sept. 1994 (307023) Redland Technologies 7161-03 TAS 108 Dec. 1991 Appendix II (Nail-On) Redland Technologies 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 MMMMADECIJ O� Expiration Date: 02/01/21 Approval Date: 01/21/16 Page 2 of 5 2.2 SUBMITTED EVIDENCE Test Agency 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 es American Test Lab of South Florida RT0624.01-15 ASTM C 11 f,7-03• •••0-7701/15•... • ...... .. .. ...... 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 01W ...... .. . ..... TAS 106. ' ' . .. .. . . ...... 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratpy jp.perform quarterly test.' in accordance with TAS 112, appendix `A'. Such testing shall be submitted to 14 Miami-Dade Coin.:. Product Control Section for review. ' 3.4 Minimum underlayment shall be in compliance with the applicable Roofing ApplicAtions Wiad$rds 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. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,RAS 119 and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 15-0915.09 MtA1Ma�AOECouNTY Expiration Date: 02/01/21 APPROVED Approval Date: 01/21/16 Page 3 of 5 Table 1: Average Weight(W) and Dimensions (I 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—X(ft3) Tile X(ft) (ft) Profile Batten Application Direct Deck Santafe'S' 0.274 0.297 Table 3: Restoring Moments due to Gravity- M9 (ft-lbf) Tile 2":12" 3":12" 4":12" 5":12" 6"•12" .X.1:12" or Profile reater-00400 Battens Direct Battens Direct Battens Direct Battens Direct Battery Direct Battens Direct Deck Deck Deck Deck O.0 .Deck X.O .: Dao*. :. Santafe'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.326o;.5.29 5,03 5.00 X Table 4: Attachment Resistance Expressed as a Moment - Vf4iii Sf) ... .0 for Nail-On Systems 00.06• 00so 6.6 Tile Profile Fastener Type Direct Deck B hens Santafe'S' 2-10d Ring Shank Nails 21.8 /A0 :0 One#8 Screw 29.16'2 0 O ...OM,A 0 Two#8 Screws 38.28' 'O O 6 0 0.0 WA 0 0: One#8 Screw w/CliP 57.311•2 '94A Two#8 Screws w/Clip 57.60' 61.77' 1. Approved screws as noted'Product manufactured by others'. 2. When usin one screw it must be installed in the inside hole located nearest to the hum of the tile. Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe'S' Tile Bond 38.93 Polyfoarn Polypro AH 160Tm 28.54 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc.Average weight per patty 10.4 grams. 4 Polyfoam Product,Inc.Average weight per patty 9.4 grams. Table 5A: Attachment Resistance Expressed as a Moment -Mf(ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Atta Resistance Santafe'S' Polyfoam Polypro AH 160TM s Polyfoam Polypro AH 160Tm 61.96 5 P addy placement of 63 grams of Polypro AH 160"". 6 Paddy placement of 24 grams of Polypro AH 160Tm. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Santafe'S' Mortar Set 23.6 NOA No.: 15-0915.09 MADE COUNTY Expiration Date: 02/01/21 ''"' ' Approval Date: 01/21/16 Page 4 of 5 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 C. 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 buildinecode Void*to • properly evaluate the installation of this system. • •.•..• .... .... . . PROFILE DRAWING • • *&a*** *060 ...... When usin .one screw . .' use this hole. •••••• 18" O 11.1" "SANTAFE S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 15-0915.09 MIAMMADECOUNTY Expiration Date: 02/01/21 �FgyaafyjvjApproval Date: 01/21/16 Page 5 of 5 MIAMI-DADE COUNTY M1AMl-0 . , PRODUCT CONTROL SECTION t�l(11111 - 11805 SW 26 Street,Room 208 Miami,Florida 33175-2474 DEPARTMENT OF REGULA'T'ORY AND ECONOMIC RESOURCES(RER) T(786)315-2590 F(786)315-2599 BOARD AND CODE ADMINISTRATION DIVISION i%-tsiv.nilaitildade.gov/econonlv NOTICE OF ACCEPTANCE OA ICP Adhesives and Sealants,Inc. 12505 NW 44'h 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). some This NOA shall not be valid after the expiration date stated below.The Miami-Dade Countyo Prockict Cotit"I*Section ....•. (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the Aght A have tkis�pmduct +� or material tested for quality assurance purposes.If this product or material fails to perform i ftrttepted Alltitter,the •••••• manufacturer will incur the expense of such testing and the AHJ may immediately revoke,nfoMq,%r suspend the use;••••; of such product or material within their jurisdiction. RER reserves the right to revoke+flu$'acceptapl~h'.,`%it is• • determined by Miami-Dade County Product Control Section that this product or material fail:� Mmeet the n gllrbrients . . . of the applicable building code. •• •• • 000 •••••• This product is approved as described lierein, and has been designed to comply with di:•F. . Builditrg Code including the High Velocity Hurricane Zone of the Florida Building Code. g .....+ . . ...... .. . %s . . DESCRIPTION: ICP Adhesives Polyset'a AH-160 •" the manufacturer's name or logo, city, state and following LABELING: Each unit shall bear a permanent label with 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 theapplicable building code negatively affecting the peiformauce 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 14-0805.01 and consists of pages I through 11. The submitted documentation was reviewed by Alex Tigera. �- NOA No.: 16-0315.01 MIAMbDADECOUNTIf Expiration Date: 05/10/17 �113%11.Tfym Approval Date:04/07/16 Page 1 of 11 i 1 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset4'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 9999 ICP Adhesives N/A TAS 101 Two component polyuretlWne foatu 041t;sive Polyset'°AH-160 •• • N/A Dispensing Equipment•••;" '•• •• ICP Adhesives Foam ��.�.• • Dispenser RTFI000 ��•�•• 9999 9999 . . ICP Adhesives ProPackg N/A Dispensing Equipment• '9646 ••••• 9999.. .. 30& 100 4 • 44 .. 9999.. 1 PRODUCTS MANUFACTURED BY OTHERS: 9999.. Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NO•A>,v'hir�i list attaehlent • resistance values with the use of ICP Adhesives Polyset'g AH-160 roof tile adhesive. •• MANUFACTURING LOCATION: 1. Tomball,TX. i PHYSICAL PROPERTIES: Results Test Propert i Density ASTM D 1622 1.6 tbs./ft? 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./Ft2 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 @I58°F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% i 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. NOA No.: 16-0315.01 MIAMI-M COUNTY Expiration Date: 05/10/17 "'• Approval Date:04/07/16 Page 2 of 11 �'I i 1 EVIDENCE SUBMITTED: Test Agency 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,laic. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 0 1/1 6 0000.0 Trinity Engineering 7050.02.96-1 TAS 114 ••• 03/14/9 '. P36700.04.12 ASTMD 1623 00';00 04/18112" P39740.02.12 TAS 101 0000" 02/21/12 :•0 0 0 6 6 TAS 123 •0000• •0600• 0000 0000 66600 0000.. 10/�3/9�• 0000. Celotex Corp.Testing Services 528454-2-1 TAS 101 6 6• •••••• 528454-9-1 0000.. 528454-10-1 0 0 9000:0 520109-1 TAS 101 12/18/98" • 520109-2 •• 0 000 ' • 520109-3 00 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating. 2. ICP Adhesives Polyset'g AH-160 shall solely be used with flat,low,&high tile profiles. 3. Minimum underlaymeut shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset' AH-160 roof tile adhesive with their the 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 61G20-3 of the Florida Administrative Code. i i NOA No.:16-0315.01 MIAMMI- Expiration Date: 05/10/17 40 Approval Date:04/07/16 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polysetfl AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset'x 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's•AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value Roofing Application Standards RAS 127. The adhesive determined in compliance with Miami-Dade County attachment data is noted in the roof tile assembly NOA. 3. ICP Adhesives Polysetg 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 maintaingd%tween • 1.0-1.15(A): 1.0(B). • 6. ICP Adhesives Polyset'AH-160 shall be applied with ICP Adhesives Foam Dispenser$TF1000 or ISP.'.: ....:. Adhesives ProPack8 30&100 dispensing equipment only. 906:66 ' 7. ICP Adhesives Polyset'� AH-160 shall not be exposed permanently to sunlight. .sees• 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 1 to 2 minute,%"'.WP Adlresives ..:••• Polyse&AH-160 has been dispensed. •s o 9. ICP Adhesives Polyset'AH-160 placement and mininuun patty weight shall be in accorMir8J CWth the • 'Placement Details'herein. Each generic tile profile requires the specific placement note$herein. •••••• too so NOA No.:16-0315.01 MMFg!cou Expiation Date: 05/10/17 D Approval Date:04/07/16 Page 4 of 11 I i Table 1: Adhesive Placement For Each Generic Tile Profile Minimum Paddy Contact Minimum Paddy Gram Tile Profile Placement Detail 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 #2 10-12 sq. inches 30 #2 12-14 sq. inches 30 Low Profile #2 17-19 sq. inches 30 High Profile � Flat,Low,High Profiles #3 Two Paddys:8-9 sq.inches at 12 grams per paddy head of the 9-11 sq.inches at overlap Two Piece Barrel(Cap Tile) Two Piece 2 Beads(1 each longitudinal 17 grams per be ad edge)20-25 sq.inches each • . . 9999 9999. bead 6 Two Piece 65-70 sq.inches 00` rams uIlder tlan ""' Two Piece Barrel(Pau Tile) • 9999.. 9999 9000 . • 9999 999 6.99. LABELING: •9• • All approved products listed herein shall be labeled and shall bear the imprint or identifiable niArl idg of the "� • 9999.. �� manufacturer's name or logo and following statement:"Miami-Dade County Product Control A*pr®vod or the Miami- •• • .9096. 0 Dade County Product Control Seal as shown below. 9 • . 9999.. MIAMFDADECOUtJTY • • 00i BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. I E NOA No.: 16-0315.01 MIAMI-DADEeouNTY Expiration Date: 05/10/17 Approval Date:04/07/16 Page 5 of 11 ADHESlvE PLACEMENT DETAIL#1 Wthrough plasticcomont '',Paddy(eoflond►TIa) Flat/Low Profile Tile tntusstoqubadta _,�",-.-•- - S undar7symaflt `1� 1. Starting at the eave course,apply a minimum 2" f t (50.8 nuu)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 :.� '••�� '~<>�;, ,t"' �'� _- -`"`•- _ of the file being set. to wte�:.vlt�noi •, �� 2, Continue in same manner.Insure approximately 17 EaVeCourse. Y� $s 2 �` ` 1,.,~''' :rj 'rr-F (109.7 cm )—23(148.4 cm2)square inch adhesive z".".+ ``-s`` „- ,.' contact with the underside of the tile. �z 10 Medium Profile/ Double Pan Tile• 0.0• ••••;• l4ellthrough plastkcement •• • e • so Iwhen required) •••••• - -• __PaddylganaathTil°I 1. Starting at the eave course,spplya in tills " ,i , -• .6�-k- (50.8 mm)x 10"(254 nm�W t''1'25.4 nllll)afbani ••: 1-- o Uednlaymarnt add onto the underlaytnnelif jl8sitioned 9S SR wn Ij, `•="'•-_� _ •,. he pan portion tile'fit under te'closest to tRd 1 1„9 -••..•'•._ .- - •••••• •• • goose Overlock of the tile being set. 0 00• 00 00 • Goose 0 loin,1 zit Vrtd L• , _.''` �'- '' 2. Continue in same nuanner;Insnreappro�Cimatcly 17 •..:• bettensoWlanel ��_ f ye,. (109.7 cm2)—23(148.4 ce)square illcftadhesive g . :*see: contact with the undersidegtdie tiIle. ... •r..'• 5 ••``� .gI rs`-'` • • �avnclosure scia IEave Ctrl{a' ff�rs. _ Na111hrgughPlastkc hT- paddylEafleathT0a1 High Profile/Single Pan Tile ta'henrequUedl `. _ _ Starting at the eave course,apply a minimum T' ul�aa.layn ►�:�^ i;�' -_ ` , (50.8 min)x 10"(254 min)x Is'(25.4 num)foam ,!,`; `•, r`o paddy onto the underlaynlent positioned as shown under the pan portion of the file closest to the Overlock of the file being set. -_ . '-�••r 2. Continue in same maiuler.Insure approximately 17 Was _ = .�'f (109.7 cnl2)—23(148.4 cm2)square inch adhesive contact with the underside of the tile. @ Alm toON urse %,-. ` [aveclosure 10 in '� :• r' 1311P edge NOA No.:16-0315.01 MIAMI•DADECOUNTY Expiration Date: 05/10/17 t Approval Date:04/07/16 Page 6 of 11 f . � ADHESIVE PLACEMENT DETAIL#2 tW11 ftoughpiatticsamens Raddylgeh•athTilel Flat/Low Profile Tile Int�+requlrodl _ 'ti „<•'•� i 1. Starting at the eave course,apply a minimum 2"(50.8 nun)x 10"(254 null)x 1"(25.4 min)foam paddy : : ''�, onto the underlayment positioned as shown under the ,,ir ;` - •<<;v.. .;<• . shengthening rib of the file closest to the Overlock o the file being set.Insure approximately 17(109.7 em') 2 im ;,;;, .A•; :;:.: +�..�•`` —23(148.4 cn12)square inch adhesive contact with the Batlansopf3anal ''.•� underside of the tile. a minimum T' 50.811ll11 �. .�-._•_�• _ ' :��1_`..�-r::� 2. At the second course,apply ( ) f, '` -`%•'.;i if x 7"(177.8 nun)x 1"(25.4 nmi)foam paddy onto the IOIiC:-••�,'-_.; •• ,-jc. ..' Fascia underla ment positionedasshown under the strengthening rib closest to the Overlock of the the being set. • • • 3. Continue h1 same manner.Insureapwroxima4el•ly 10" 0000:• (64.5 cm2)- 12(77.4 cm2)square inch adhosivs • 6.96, . 6. .. ••6.6• contact with the underside of;hg rile. 0 :000*: 0000 0669 . • • . 6 6666 6666 6666. . . Medium Profile/Double Parr Tile•..6• 6• ••••• Nan/through plastic cement 00000 9 •9 •.••O• tsvhenrectuisedlY'(50.8 • •t _=faQdy Ibanaadsllla) 1. Starting at the cave course,ay�•1�niuium 111n1)X 10"(254 Innll)X 1"(2 .4 rllll! foal/ �d •••••• ndnla »nt\f onto the underlayment positigned ftshowrt under the • • —•t•�'-s '+`•�''.0'0'06•-._.•� •••.•• -••. •-��.,• -+`• pan portion of the file closest t8 the flverloClt bf tl te �. tile being set.Insure approximately 17(109.7 cltt'— Tln in .q r ` ��,�� 4 ` 23(148.4 cm)square inch adhesive contact with the underside of the tile. QattensOptionat � y� ��` -;+sti '••`= :�.. 2. At the second course apply a minimum 2"(SO.8nun) ='s x 7 (177.8 nun)x 1"(25.4 nun)foam paddy onto the `.�� *. xur. „ `-•..ion;~ Fau nderlayment positioned as shown under the pan Y r'�` portion of the tile closest to the overlock of the tile gave Ccurs•:: �°j�P',t ;} F&OU being set. 3. Continue in same planner.Insure approximately 12" (77.4 cm2)- 14(90.3 cm)square inch adhesive contact with the underside of the tile. (lustr•uctious continued on nett Nage) I I i NOA No.: 16-0315.01 MIAMISWA ECExpiration Date: 05/10/17 sApproval Date:04/07/16 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2(CONTINUED) Ne11lhr6uy�1 pR�4ilttQ r�-._, ®�dr1etl ,�hn�a) High Profile/Single Pan Tile fwheneequlred) �/ 1. Starting at the eave course,apply a minimum 2"(50.8 u"d"lAYT1�"+".` nml)x 10"(254 min)x 1"(25.4 mm)foam paddy k onto the uuderlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set.Insure approximately 17(109.7 cm)— 23(148A cm)square inch adhesive contact with the 21.- Battens optionall in.Bauensopcionall •;, �� underside of the tile. 2. At the second course,apply a minimum 2"(50.8nun) x 7"(177.8 nun)x 1"(25.4 mm)foam paddy onto the Eove Course—.,`�v�_"e ��,•� % fattia �r�.a hr<4 underlayin positioned as shown under the pan w,= ?• y C.-.Ioiure portion of the tile closest to the overlock of the tile 1oh,.• 2a� * :-a> 1, P as too being set. 6666 6666.• 3. Continue in same manner.Insure apyroxinvat...e .. • 6646 .1.46. (109.7 cm2)- 19(122.6 cm2)jqV jrg mch adlie,ive • ..•••� contact with the underside oftIle t)•1 e. .••. 000*00 6666 6666. 60.49. .. . ..... 6666.. • 4.669. 90.604 09 90 i i i 1 NOA No.: 16-0315.01 Mu MAoecourmr Expiration Date: 05/10/17 �Fayaxinalj Approval Date:04/07/16 Page 8 of 11 e L � ADHESIVE PLACEMENT DETAIL#3 1Hall wheminimumhroughpiasdccement (.addy(betweentiles) (when 1. On the eave course only,apply a minimum 2"(50.8 requred aanensoptlona ° lnnt)x 10"(254 nmi)x 1"(25.4 min)foam paddy I ° Paddy(under tile) onto the underlayment positioned as shown,under ".t singoepaddy + the strengthening rib for flat tile or under the pan V ;' t p°I�e t portion of the the for low or high profile tile closest to the overlock of the tile being set.Leave axaU. glegad approximately 4"(10 1.6 null)lip from the cave wonder Ifi -a''• Uglepaady --., •' '' edge free of foam to prevent the expanded adhesive on 9 apdayment Y 4In. `� from blocking the weep holes. Insure °t approximately 17-23 int(109.7-148.4 cm2)of '�•''• adhesive contact with the underside of the the 101n - 1 Fascia - --6areclosure 2 Apply a 4"(101.6 imn)x 4"(101.6 mm)x 1"(25.4 f Hill!)foam paddy onto the ttndcrlaylllcnt�j�isl�b 40 the second course line posi4ioned foam paddy+ •••••• Flat/Low Profile Tile •• gi+ullde the under the strengthening rib ft flat tile, • Nati throughplastic cement Single paddy under tile pan portion of the tile,clost;SP othe undef cl4for •••••' lwhenrequired) Pad dylbetweentiles) the second course tile to beffiW bd. Insure• :....: approximately 8-9 int(51.6 Stlf sm)of AaMve Padd (under tile) • ,••• ••••• Battens y contact with the underside o�'�lie tile. • • •• ...... r �� • • onfop�� '`. _• , (hlS!/'l!C/1071Scolllil:lied on nexA,page), • • •••••• �. • • j2Y4In.` 90 • ••• • • • undeepaddyt n ••• •Eave Closure EaveCourse Fascia Medium Pro111e711e I i NOA No.: 16-0315.01 MIAMI•DADEcou Expiration Date: 05/10/17 Appl•oval Date:04/07/16 Page 9 of 11 • V , ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) Nallthroughplasticce �nglepaddyundertile 3. Also apply a 2"(50.8 nun)x 4"(101.6111111)x W Iwhenrequired) PaddyIbetxeentiles) (19 uwn)paddy on top of the eave course file Battens •� surface as shown,on top of the strengthening rib Paddy Optional �'J — for flat file or on top of the pan portion of the tile, closest to the underlock of the first course of tile. singlenaddy- :, Install second course of tile.Insure approximately 9(58.1 cm)- 11 (71cm')square inch adhesive x41n. contact with the underside of the the at the overlap si4le 2X4111 `'�•.r' �' and 7(45.2 cm2)-9(58.1 cm2)square inch Damy'le_— '•.,�.� - adhesive contact with the underside of the tile at lopolti 'y the head of the tile.Continue in same manner. E Course— ':y r Fasda Weephole Eave dosure 00000 10111 ,y11n. Ddpedge • s •0000 0000•• High ProtlleTlle • • • • 0000•• •• •• 0000•• • egos** • • 0.000• see* eggs • • . . 00 0 • of gooses . . 0000•• f • • • • •eggs• • • I NOA No.:16-0315.01 MIAMI-DADEeouMTY Expiration Date: 05/10/17 �Umy Approval Date:04/07/16 Page 10 of 11 s � ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Two Piece Barrel(Cap and Pan)Tile I. Starting at the cave course,apply a minimum 2" i)Place actwitenough adhesive epantile. leve BS to 70sq.In. Steep pitchapplications50.8 min x 10" 254 imn x 1" 25.4 nini foam Incontactwiththepantile. when required) ( ) ( ) ( ) 2)Turn covers upsldedown.Placeadhesive In paddy onto the underlayment positioned as toiln.fromoutside edge ofcovertile. shown under two adjacent pan tiles. Support cave Then Install the tile.Ensure 20 to 25 sq.1n.contact area. �} tiles from rocking until adhesive has a chance to nderlayment 'tercure. 2. Continue in sante manner bringing two pall courses up toward the ridge.Insure s M MWII-RADE COUNTY OMM PRODUCT CONTROL SECTION DEPART1fENT OF REGULATORY AND ECONOIAHC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Nfiami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) ,i-Nsn•.tniamidade.yoN,/econM Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 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 ac c etance, if it is determined by Miami Dade County Product Control Section that this product or material fails to mee�tlO 6• 00@000 requirements of the applicable building code. •..• . This product is approved as described herein,and has been designed to comply with the Floridg aW ding Cq •.; 006000 including the High Velocity Hurricane Zone of the Florida Building Code. .66:09 0 . 0000.. .... .... . . DESCRIPTION:Polyglass Polystick Underlayments sees 0 *see ••••• 000900 .. . 0000. LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,cll�,§fate and Tollfting statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. :0 0 • . . . . ...... 0000.. RENEWAL of this NOA shall be considered after a renewal application has been filed and the ehv been,gq ch§nge ;•••• in the applicable building code negatively affecting the performance of this product. •6. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA#11-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0713.02 WMMADacourlrn Expiration Date: 09/13/16 Approval Date: 02/14/13 Page I of 8 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Category: Underlayment Material: SBS,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous,rubberized asphalt underlayment 65'8"x 3'32/$" waterproofing membrane,glass fiber reinforced Manufacturing Location 60 mils thick with polyolefituc film on the upper surface for #2 use as an underlayment for metal roofing,roof tile,slate tiles and shingle underlayment. Polystick IR-Xe Roll: TAS 103 and A fine granular/sand top surface self-adhering, underlayment 65'x 3'3'18" ASTM D 1970 APP polymer modified,fiberglass reinforced, Manufacturing Location Or 65'x 3' bituminous sheet material for use as an #1&#2 60 mils thick underlayment in sloped roof assemblies. Designed as an ice&rain shield and as a flat roof tile underlayment. • . . .... ...... Polystick TU Roll: TAS 103 and A heavy gramiled surfact.Vtf gdhering.AP$ underlayment 32'10"x 3'3-%" ASTM D 1970 polymer modified,fiberglass or polye%Wr".: ....:. Manufacturing Location 100 mils thick reinforced,bituminous sir Jwmterial for krse as • an underlayment in sloped roof asser�bliesr #1 &#2 • Designed as a a roof file tmtietlaynrent!••• •'�"• ...... .. . ..... Polystick TU Plus Roll: TAS 103 and A rubberized asphalt selfhdfitring,glass" underlayment . 65'x 3'3'/8" ASTM D 1970 fiber/polyester reinforceWl-Meelproofing ' �. (Surface Printing) 80 mils thick membrane.Designed as!metal roofiis aalwoof �•�• tile underlayment. • • • •••••• Mannt facturinng Location •• • 0000 ' ' • #1 &#2 " Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing membrane, underlayment 32'10"x 3'3'/8" ASTM D 1970 glass-fiber/polyester reinforced,with a granular Alannntfacturinng Location 130 nrlls thick surface designed for use as a tile roof 92 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Mannt factor-inng Location 61' x T3-'/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane.Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Manrufactia-I ng Location 61' x 3'32/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 12-0713.02 M►nMIMAoacovrr�r Expiration Date: 09/13/16 + Approval Date: 02/14/13 Page 2 of 8 PRODUCTS DIJSCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and A rubberized asphalt self-adhering,polyester Afann factuiing Location 658"x 3'3-3/8" ASTM D 1970 reinforced waterproofing membrane. Designed #2 60 mils thick as a a roof the underiayment. MANUFACTURING PLANTS: I.Hazelton,PA 2.WinterHaven, FL EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Exterior Research&Design,LLC 11756.04.01-1 TAS 103 04/27/01 11756.08.01-1 ASTM D 1970 08/14/01 02202.08.05 TAS 103 08/29/05 Trinity ERD P5110.08.07 TAS 103 08/29/07 P10870.09.08-RI TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798&G155 04/13/09 P33360.06.10 ASTM D 1970 07W/lb. P33370.03.11 TAS 103 ••• 03141AI •• • P33370.04.11 ASTM D 1623 •••••• 0414hl J 0 ••••,• P36900.09.11 TAS 1031ASTM D4798&Gill:,, 09/01/)I • P37300.10.11 TAS 110/ASTM D4798&DIWDe. 101L9/J1 P40390.08.12-1 TAS 103&TAS 110 6.9 9.6 08746/426 06498 P40390.08.12-2 ASTM D 1623 ••:••: 08J07/1£. ••:•• P40390.10.12 ASTM D 1970 00 •• i OY03At ••••; PRI Asphalt Technologies PRIOI 111 ASTM D 4977 :":0: 04/08102 PUSA-005-02-01 ASTM D 4977 01:3L/OL PUSA-018-02-01 ASTM D 2523 •••6 07714/03 4.4 9 PUSA-035-02-01 TAS 103 09/19/41 , PUSA-033-02-01 ASTM D 1970 01/12/06 PUSA-055-02-02 TAS 103 12/10107 PUSA-083-02-01 TAS 103 06/30/08 PUSA-089-02-01 TAS 103/ASTM D4798&G 155 07/06/09 Momentum Technologies,Inc. JX20H7A TAS 103/ASTM D4798&G155 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 155 02/18/10 NDA No.: 12-0713.02 WAMbDADECOUNW Expiration Date: 09/13/16 Appi°oval Date: 02/14/13 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood,non-insulated Base Sheet: One or more plies of ASTM D 226 Type H 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 membranes self-adhered. Sul-facing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking 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 111. 3. Place the first course of membrane parallel to the cave,rolling the membrane to obtain maximum contact. Remove the release filen as the membrane is applied. . All side laps shall be a minimum of 3i/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 roil 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 specill attention to lap areas. • • ••.• 966606 7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembb.,rpj nt PAtbt; ....;. Control Notice of Acceptance. •••i•• • • • 8. All protrusions or drains shall be initially taped with a 6"piece of underlayment. Tlle'PltiA�ng tage81W1L be • pressed in place and formed around the protrusion to ensure a tight fit. A second layel-VTolysticleNall be °. ...... .. . ..... applied over the underlayment. • .. .. . .. ...... . . . . ...... . . •••••• NOA No.: 12-0713.02 ML8Mtu �u►m Expiration Date: 09/13/16 1 Approval Date: 02/14/13 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS,TU Plus,Tile Pro and Dual Pro may be used in asphaltic shingles,wood shakes and shingles, non-structural metal roofing,roof tile systems and quarry slate roof assemblies.Polystick IR-Xe,TU,and TU P may be used in all the previous assemblies listed except metal roofing. Polystick TU Max may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth,clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polyglass Polystick membranes 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 Iimitations. )i osure Lhultations(days) 1V1TS IR-Xe TU TU Plus TU P Tile Pro Dual Pro TU Max Winter Haven FL. 180 180 180 180 180 180 180 90 Hazelton PA. N/A 1 30 1 30 1 180 N/A NIA N/A N/A 7. 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. . . .... ...... 8. In roof tile application,data for the attachment resistance of roof tiles shall be as set fW11 it:the to "Of tile. manufacturer's Notice of Acceptance.Polystick TU,TU Plus,Tile Pro and TU Max 61W68,used fiUlA>: ....:. adhesive set and mechanically fastened roof tile applications.Polystick IR-Xe,and Dm +Oro are limited to mechanically fastened roof tile applications.Polystick MTS is limited to mechanicalL?1ftlhlied w4h btttpns • roof tile applications.Polystick TU P may be used in both adhesive set and mechanicatly'f listened r88f the ••;••. applications with the exception of mortar set tile applications. ...... .. . ..... .. .. . .. ...... 9. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)tile as:;WUes shall bees .' follows:(See Table Below) . . . . ...... Tile Profile Polystick MTS Polystick IR-Xe Polystick TU,Tu. :PolysjWr.Tu :0960: Plus,TU P,Tile Max'.: Pro Flat Tile Prohibited without 5:12 No limitation No limitation battens Profiled Tile Prohibited without Prohibited No limitation No limitation battens The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. NOA No.: 12-0713.02 MfAMMADECOU Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 5 of 8 r 6 GENERAL LImuAnONS: (CONTINUED) 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 for all underlayments except Polystick MTS which slial I be loaded onto battens. 8 Roofing Tiles 8 (8 Max Per Stack) m 12 AA, 6�— to . N r 1 Ibot.DedcM1preyared.q�ilh ...,..POLVSfICK7U,Fjys. 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products.Polystick MTS,IR-Xe,TU,TU Plus,TU P,TU Max,Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS,IR-Xe, TU,TU Pitts,TU P,TU Max,Dual Pro and Tile Pro as a component part of an assembly in the Notice af. Acceptance. If Polystick MTS,IR-Xe,TU,TU Pius,TU P,TU Max,Dual Pro and Ttle Pjt js not lisfet a ••••:• request may be made to the Authority Having Jurisdiction(AHJ)or the Miami-Dade Cbttnt tProdgg Co*rol •• Department for approval provided that appropriate documentation is provided to detail' cHoatibilij of We *sees: products,wind uplift resistance,and fire testing results. •••••• .... .... . . .... .... ..... LABELING: ...... .. . ..... 1. All membranes or packaging shall bear the imprint or identifiable marking of the manut'aclurees name orr logo, •'••:• city and state of manufacturing facility and the following statement: "Miami-Dade Voarite Product'Control •. • • ...... Approved" or the Miami-Dade County Product Control Seal as shown below. 0 :00090 • aMWN�DWDHC0U= *..a • ••• : • • 00 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.: 12-0713.02 MIAWDADII t Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. hrstallers 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, 11 gauge ring shank type,applied with a minimum I"metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions,at a minimum rate of I2"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 Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement,applied in between the application of the lap.The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments.Refer to the Polyglass Tile Loading Guidelines.See General Limitations#9 and#10. 6. Battens and/or Counter-battens,as required by the tile manufacturers NOA's,must be used on all projects for pitch/slopes of TY 12"or greater. It is suggested that on pitch/slopes in excess of 6'/a"/1T,precaution®.• should be taken,such as the use of battens to prevent tile sliding during the loading pr•ocep.• •••• •••• • 7. Minimum cure time after membrane installation&before loading of roofing tiles is Fo1V;Ejght(481 VID.uYs. •• • 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"fTemiumModjfied •„••• Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement,Polyglass PG5000113 Flallrft,' ....•. Cement to the area in need of repair,followed by a patch of the Polystick material ofiWe•loixd should be set and hand rolled in place over the area needing such repair.Patching membrane shall be ainauniurn of 6e• 0906% inches in either direction. The repair should be installed in such a way so that water Jiill Xdij parallel to or :0000: over the top of all laps of the patch. 0* ' ”' ' ' 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. Browning 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 and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. MIAWDADSCOUNMWt NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 7 of 8 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800)894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association(NBCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE ..0. 4. . ..•. 0000.. .. . 0000.. 0000 0000.. 0000.. 0,000. 0000 0000 . . 0.00 0000 00.00 • 009 0 0000.. 0000.. . • • 0000.• • NOA No.: 12-0713.02 MIAMI-DAD>:COUNW Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 MIAMI-DiADE ," • "Delivering Excellence Every Day" --- MIAMI-DARE COUNTY REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS It is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this form. The owner's initials in the designated space indicates that the item has been explained. 1.Aesthetics-workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed asp f the agreement between the owner and the contractor. 12. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Buil 'ng Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring 6066 units (i.e. townhouses, condominiums, etc.). In buildings with common roofs,the ropfing contrap1q;and/ol••••• owtiershould notify the occupants of adjacent units of roofing work to be performed.--* • • 6666.. .0 66 6006.0 4. Exposed ceilings: Exposed, open beam ceilings are where the underside v4d e roof docking o;•n bob viewed from below. The owner may wish to maintain the architectural appearance;•tFijjfore, roofing nai f 66 6•' penetrations of the underside of the decking may not be acceptable. The owner providpitke option of 66:66' main i 6666.. ning this appearance. 6• •• •6 6.6 0:0 5. Ponding water: The current roof system and/or deck of the building mai nofdraiitweaIl6and rfi`ay' cause water to pond(accumulate) in low-lying areas of the roof. Ponding can be an'SaYt ation%iestructurr•••; distress and may require the review of a professional structural engineer. Ponding may shorten the 17fe expectcy and performance of the new roofing system. Ponding conditions may not be evident until the original roofs system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow cuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with th requirements of Chapter 15 and 16 herein and the Florida,building Code,Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Owner's/Agent's Signature: Date: E Contractor's Signature: Permit Number: Property Address: