RF-17-2999Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)7568972
Inspection Number: INSP-296596
Scheduled Inspection Date: February 05, 2018
Inspector Riveron, Alexis
Owner. ROBSON, MARIE
Job Address: 1084 NE 97 Street
Miami Shores, FL 33138 -
Project <NONE>
Contractor. A-1 PROPERTY SERVICES GROUP INC
Permit Number: RF -12-17-2999
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Tile/Flat
Phone Number
Parcel Number 1132050170200
Phone: (786)419.5041
Building Department Comments
RE -ROOF TILE & FLAT
Infrecdo
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Addaiional inspections can be scheduled une fee is paid
Inspector Comments
CREATED AS REINSPECTION FOR INSP-294452. CANCELLED BY
INSPECTION LINE
GIO MADRUGA
786.419-5041
February 02.2018
For Ing
(305)
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. RF -12-17-2999
Permit Type: Roof
Work Classification: Tile/Fiat
Permit Status: APPROVED
Issue Date: 12/26/2017
Expiration: 06/24/2018
Parcel Number
Applicant
1064 NE 97 Street
Miami Shores, FL 33138-
1132050170200
Block: Lot:
MARIE ROBSON
Owner Information
Address
1064 NE 97 ST
MIAMI SHORES FL 33138-2556
Phone
Cell
Contractor(s) Phone
A-1 PROPERTY SERVICES & GROUP (786)419-5041
Cell Phone
Valuation:
Total Sq Feet:
$ 26,000.00
3175
Type of Work: Re Roof
Additional Info: RE -ROOF TILE & FLAT
Classification: Residential
Scanning: 3
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - New Roof
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$15.60
$4.88
$3.25
$5.20
$325.00
$9.00
$20.80
$883.73
Pay Date Pay Type
Invoice # RF -12-17-65978
12/26/2017 Credit Card $ 833.73 $ 50.00
12/26/2017 Credit Card $ 50.00 $ 0.00
Bond #: 3599
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Up Lift Report
Tin Cap
Final Roof
Tile In Progress
Roof in Progress
Renailing Affidavit
Review Roof
Cap Sheet
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 assu e esponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
require•. r ELECTRICAL, PLU :ING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNER IDAVIT: I certi, that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construct i���- • zoning. Futh I authorize the above-named contractor to do the work stated.
December 26, 2017
Authorized Signature: •wner / App ttt ant / Contractor / Agent
Building Department Copy
Date
December 26, 2017
1
‘sr2A qu Ao-e_
,��,� Miami Shores Village
E +2011 Building Department Questions/Comments/Concerns ?
o c ' \ i 10050 N.E.2nd Avenue, Miami Shores, Florida 3313F
Monique Smith, 786-253-2869
Tel: (305) 795-2204 Fax: (305) 756-8972
Bi : � INSPECTION LINE PHONE NUMBER: (305) 762-4949 Jib
FBfC2014
BUILDING Master Permit No. ft 11 — 2999
PERMIT APPLICATION Sub Permit No.
El BUILDING ❑ ELECTRIC ROOFING 0 REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Mfiamii Shores M/�C-o��unty: Miami Dade Zip: ,r-43 1 3 O
Folio/Parcel#: 1 1-,02 - 01-) " vc)c) Is the Building Historically Designated: Yes NO
Occupancy Type:3 1" Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder) ( rL.i4 IijrnfFIRIThaY) Phone#:
Address:
City: rniCrni 5 7 State: 1 �. Zip: ` ) 3V
Tenant/Lessee Name: Phone#:
Email: `' i
Ai P "y cti Phone#; j 1-41 1 ' ��'S•.1�
ic(� �, o 1.0 woe-/
CONTRACTOR: Company Name:
Address:
City: State: 71.
Qualifier Name:
State Certification or -egistration #:
Zip: a3/44.1
i
ma Phone#: ` Lna
DESIGNER: Architect/Engineer: L)1 A
Certificate of Competency #:
Phone#:
Address: DAPs City: State: Zip:
Value of Work for this Permit: $ (My 000 Square/Linear Foopge of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ ! O 14 Permit Fee $ 3 2S
Scanning Fee $ I Radon Fee $ 3. • ZS
CCF$ IS "(C) co/cc $
DBPR $ 1 • gg Notary $
Technology Fee $ 20 a$0 Training/Education Fee $ 5 - C0 Double Fee $
Structural Reviews $ Bond $ 4-5
TOTAL FEE NOW DUE $ 3 33 .7 3
(Revised02/24/2014)
833013
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 ibe 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven ( days after the building permit is 'ssued. In the absence of such posted notice, the
inspection will not -be approved and a rein pec ion fee g,•,- charged.
1;
Signature/
° AFM'
The foregoing instrument was a . edged before me this The foregoing in
<92'd day of , 20 I-7, by' day of
HOMQVC ' (f%1'
j who is person\`llXtl qyr rho ifk1 �'%_i 1I•$ l . _
me or who has produced •'���,\o,(\d)�V10N . e or who ,s produced
tgnature
CONTRACTOR
rument was acknowledged before me this
,20 J________, by
,0%11111/N/r
who is personallyAFt toN rrriy,
m:4 o$,� cwt
__
.%%:',.(:' ®'''''0:• \ ..
903-
''. 9 • s°'cl , tia ``.
1` �p
identification and who did take an oath. 4 = ab -identification and who did take an
NOTARY PUBLIC:
Sign:
Print:
Seal:
= o OCS' >NOTARY PUBLIC:
,saa?.
oath.
\‘' Print:
Seal:
.k.k.k.k.k.k.k.......Y9..k.k9.9..k.k.k9.#.k.6�..... . *A.# iii .....#......#i.F. ........k.kl.i. ........i##......k.k.k R.k.k.....k....•#•ii•
APPROVED BY
(Revised02/24/2014)
14 (7
Plans Examiner
Structural Review
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION
RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores, FI 33138
Date: Ia-- 9`i-1
Re: Owner's Name: -M S Male! (Y)
Property Address: I Did
Roofing Permit Number:
Dea : uilding Official;
IA IMP
prope, as require Ay the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential
Strucres as adopted by`h Florida Building Commission by Rule 9B-3.047 F.A.C.
certify that I have improved the roof to wall connections of the referenced
Signa 1 re
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.
Swom to and subscribed before me this
Notary Public, Sate of Florida at Large _
(SEAL)
Revised on 5121/2009
day of 20 13
iami Shores Village
Building Department
10050 N.E.2nd Avenue
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: I a
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name:
Property Address:_
Moe g `
Roofing Permit Number:
Dear Building Official:
log because:
ljc rtify that I am not required to retrofit the roof to wall connections of my
he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof_of ad
valorem taxation.
cl The building was construct- in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
edition of the Sou h FI rridajr�%ing Code (1994 SFBC)
Mom/ C -Pt *I -
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 ,(kott t01�ii*J-ty'mentioned,
Swom to and subscribed before me this dayof
Notary Public, Sate of Florida at Large " . N tlli ,o • o
• Menthe just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the bu�rdjrp,4�ia�sH of crAlstructe� vlth FBC nor a 1994
SFBC: Then you must provide a bolding application from a General Contractor for the Roof to Wall connection Hurricane Mitigat�o�n!1J/fllItIN,r���`
Revised on 5!2i/2009
Property Search Application - Miami -Dade County
,0114
OFFICE
RF THE PRAPPRAISER
http://www.miamidade.gov/propertysearch/#/report/summary
Summary Report
Property Information
Folio:
11-3205-017-0200
Property Address:
1064 NE 97 ST
Miami Shores, FL 33138-2556
Owner
ROBSON FAMILY REV LIVING
TRUST
THOMAS E & MARIE E ROBSON
(BEN)
Mailing Address
1064 NE 97 ST
MIAMI SHORES, FL 33138-2556
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds/Baths/Half
3/2/0
Floors
1
Living Units
1
Actual Area
3,120 Sq.Ft
Living Area
1,951 Sq.Ft
Adjusted Area
2,556 Sq.Ft
Lot Size
7,950 Sq.Ft
Year Built
1948
Assessment Information
Year
2017
2016
2015
Land Value
$286,036
$266,033
$242,697
Building Value
$177,898
$177,898
$177,898
XF Value
$1,534
$1,553
$1,336
Market Value
$465,468
$445,484
$421,931
Assessed Value
$206,089
$201,851
$200,448
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$259,379
$243,633
$221,483
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
REV PL MIAMI SHORES SEC 8
PB 43-51
LOT 8 BLK 181
LOT SIZE 75.000 X 106
OR 16836-2795 0695 1
Generated On : 12/25/2017
Taxable Value Information
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$156,089
$151,851
$150,448
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$181,089
$176,851
$175,448
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$156,089
$151,851
$150,448
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$156,089
$151,851
$150,448
Sales Information
Previous
Sale
Price
OR Book -
PageQualification
Description
07/01/2003
$0
21500-1386
Sales which are disqualified as a
result of examination of the deed
06/01/1995
$135,000
16836-2795
Sales which are qualified
09/01/1971
553,000
00000-00000
Sales which are qualified
Tho (lffira of tha Prnnarhr Annraicar is rnntini sally ariitinn anri i inriatinn tha tav rnll Thic 1.vahcita mM\, not raflart tha mnct ri irrant infnrmatinn nn rarnrri Tho Prnnartkr Annraicar
Marie E. Robson
1064 NE 97 St.
Miami Shores, FL 33138
Monique H. Smith
1000 Quayside Terr., #1210
Miami, FL 33138
November 1st, 2017
Monique Smith has the right and power of attomey to sign for me, Marie E. Robson, regarding
permit applications for my property located at:
1064 N.E. 97th St.
Miami Shores, 33138.
Monique Smith will have the power of attomey related to work involved, including but not
exclusive to, applying for/obtaining any necessary permits needed as follows:
1) New roof permit
2) Exterior paint permit
3) New impact windows and door permit
4) New bathroom & kitchen permit
Marie E. Robson
Swom & subscribed to me this 1st day of November 2017, by Marie E. Robson, who produced
identification and who did take an oath.
PRIYEN KHAMA R-
NOTARY PUBLIC
REGISTRATION y'7736695
COMMONWEALTH OF VIRGINIA
MY COMMISSION EXPIRES
JANUARY 31, 2021
iI/DI / 2o14
MEMORANDUM OF TRUST
The undersigned hereby certify that they created a Revocable Living Trust.
A ement is entered into by and between THOMAS E. ROBSON and MARIE E.
This Trust gre
e Cou n of MI-D`U'DE, State of Florida, hereinafter referred to as "Grantors", or
ROBSON, of th tY s
usband" and "Wife", and THOMAS E. ROBSON and MARIE E. ROBSON, whose
separately, H
residence and post office address is 1064 NE 97TH ST.,
MIAMI SHORES, FL 33138, hereinafter
referred to as "Co -Trustees."
ce in this Trust to the "Trustee" shall be deemed a reference to whomever is serving as
Referen
Trustee or Co -Trustees, whether original, alternate, or successor.
This Trust shall be known as the:
"ROBSON FAMILY REVOCABLE LIVING TRUST, dated JUL 2 1 2003
The manner in which title to Trust assets should be taken is as follows:
"THOMAS E. ROBSON and MARIE E. ROBSON, as Trustees of the ROBSON FAMILY
REVOCABLE LIVING TRUST, dated JUL 2 1 2003
The mutual primary
beneficiaries of this Trust shall be THOMAS E. ROBSON and MARIE E.
ROBSON.
POWER OF CO -TRUSTEES TO ACT INDEPENDENTLY
other rovision to the contrary, the Grantors specifically authorize either of
Notwithstanding any p
their joint lives and while serving as Co -Trustees, to act independently of
the original Co -Trustees, during eemerit,
the other and
have the authority to perform all powers and acts as granted under this Trust Agr
Memorandum
of the ROBSON FAMILY REVOCABLE LIVING TRUST
1
and shall include the right to contract for and in behalf of the Trust and to execute, negotiate, and
compromise such instruments as may be necessary to carry out the purposes and intent of this Trust.
ORIGINAL TRUSTEES
The original Co -Trustees under this Trust Agreement shall be THOMAS E. ROBSON and
MARIE E. ROBSON, to serve with all of the obligations, powers and authority contained within this
Trust Agreement.
SURVIVING TRUSTEE
In the event of the death of THOMAS E. ROBSON, or if for any reason whatsoever he ceases to
serve as Co -Trustee hereunder, the Grantors nominate and appoint MARIE E. ROBSON to serve as
Trustee hereunder without the approval of any court.
In the event of the death of MARIE E. ROBSON, or if for any reason whatsoever she ceases to
serve as Co -Trustee hereunder, the Grantors nominate and appoint THOMAS E. ROBSON to serve as
Trustee hereunder without the approval of any court.
SUCCESSOR TRUSTEE
In the event of the death of both original Co -Trustees, or if for any reason whatsoever both cease
to serve as Trustee hereunder, the Grantors nominate and appoint CONNIE JOHNSON AND
BARBARA POPOLA to serve as Co -Trustees hereunder without the approval of any court.
When two or more persons are named to act jointly as Successor Trustee, the Co -Trustees serving
must act by majority. This provision does not apply to the Grantors. Should any one or more of those
Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 2
named as a Co -Trustee fail to qualify or cease to act as Successor Trustee, then the Trustee shall be the
other named Co-Trustee(s).
Should all of the above named persons be unable or unwilling to act as Trustee, current income
beneficiaries who are twenty-one (21) or more years of age (and guardians of minor or incapacitated
beneficiaries) holding a majority Trust interest shall select a Successor Trustee.
POWERS OF TRUSTEE
The Trustee shall have the following powers, duties and discretions in addition to those otherwise
granted herein or by law, and except as elsewhere herein specifically restricted.
GENERAL PROPERTY POWER
The Trustee shall have all such powers and is authorized to do all such acts, take all such
proceedings and exercise all such rights and privileges in the management of the Trust Estate as if the
absolute owner thereof, including, without limiting the generality of the terms, the right to manage,
control, develop, improve, sell, convey, exchange, partition, mortgage, assign, divide, subdivide, repair,
and to change the character of any Trust property; to grant options and to sell upon deferred payments; to
dedicate to public use, abandon and otherwise dispose of any Trust property, when, in the judgment of
the Trustee, it is in the interests of the beneficiaries to do so; to enter into any lease as lessor or lessee for
a term within or extending beyond the duration of the Trust to grant or take an option to purchase or
lease; to borrow funds, with or without Trust property as security, for such purposes as the Trustee shall
deem advisable; to invest and reinvest principal and income in every kind of property, real and personal;
to place Trust assets in the hands of agents selected by the Trustee in order to facilitate transactions and
record keeping in connection with those assets and for safekeeping; to create restrictions, easements, and
other servitudes; to compromise, arbitrate or otherwise adjust claims in favor of or against the Trust, to
Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 3
institute, compromise and defend actions and proceedings at the expense of the Trust Estate; and to carry
such insurance as the Trustee may deem advisable. The Trustee has authority to mortgage or pledge
Trust property to secure any personal loan being made to the Grantor(s) in his/her/their "individual"
capacity.
POWER REGARDING SECURITIES
The Trustee shall have, regarding securities, all the rights, powers and privileges of an owner,
including the right to vote stock, give proxies, pay assessments and other sums deemed by the Trustee to
be necessary for the protection of the Trust Estate; to participate in voting trusts, pooling agreements,
foreclosures, reorganizations, consolidations, mergers and liquidations, and in connection therewith, to
deposit securities with and transfer title to any protective or other committee under such terms as the
Trustee may deem advisable; to exercise or sell stock subscription or conversion rights; to open an
account with a brokerage firm of the Trustee's choosing, in the Trustee's name, in the Trustee's own
behalf for the purpose of the purchasing and selling of all kinds of securities and authorizing such
brokerage firm to act upon any orders, including margin orders, options, both covered and uncovered,
instructions with respect to such accounts and/or the delivery of securities or money therefrom received
from said Trustee; and to retain as an investment any securities or other property received through the
exercise of any of the foregoing powers. The Trustee is further authorized to sign, deliver and/or receive
any documents necessary to carry out the powers contained within this paragraph.
Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 4
ARTICLE V DISPOSITION OF TRUST ESTATE AFTER DEATH OF
GRANTORS
Section 5.01
Section 5.02
Section 5.03
Section 5.04
Allocation and Distribution of Trust
Distribution to Issue of Predeceased Beneficiaries
Distribution if Beneficiary is Less than Twenty -One (21) Years Old
Ultimate Distribution
ARTICLE VI SUCCESSOR TRUSTEE AND TRUSTEE'S POWERS
Section 6.01 Original and Surviving Trustee(s)
Section 6.02 Successor Trustee(s)
Section 6.03 Powers of Successor Trustee(s)
Section 6.04 Resignation of the Trustee
Section 6.05 Borrowing
Section 6.06 Investments
Section 6.07 Nominee
Section 6.08 Securities
Section 6.09 Real Estate
Section 6.10 Tax Matters
Section 6.11 Minors and Incapacitated Beneficiaries
Section 6.12 Continuing or Incorporating a Business
Section 6.13 Reliance on Documents
Section 6.14 Income and Principal
Section 6.15 Insurance
Section 6.16 Distribution
Section 6.17 Claims
Section 6.18 Employment of Agents
Section 6.19 Books of Account
Section 6.20 Compensation of Trustee
Section 6.21 Generation -Skipping Transfers
Section 6.22 Payment of Trust Expenses
Section 6.23 Commence or Defend Litigation
Section 6.24 Spendthrift Provision
Section 6.25 Power to Postpone Distribution
Section 6.26 Early Termination of Trust
Section 6.27 General Powers
Section 6.28 Powers of Co -Trustees to Act Independently
Section 6.29 Consolidation of Trusts
Section 6.30 Distribution Election
Section 6.31 Conditional Acceptance of Real Property
Section 6.32 Power to Disclaim Real Property
Section 6.33 Charitable Contributions
SIGNATURE
This is to witness that I, THOMAS E. ROBSON, and I, MARIE E. ROBSON, have read the
provisions of the Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST, dated
JUL 2 1. 2003 and understand the provisions therein.
IN WITNESS WHEREOF, the provisions of the Trust Agreement shall bind THOMAS E.
ROBSON and MARIE E. ROBSON, as Grantors, and THOMAS E. ROBSON and MARIE E.
ROBSON, as Co -Trustees; Successor Trustees assuming the role of Trustee hereunder, and the
beneficiaries of the Trust, as well as their successors and assigns.
This Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST is executed at
MIAMI SHORES,. Florida, on JUL 2 1 2003
•
THOMAS E. ROBSON
GRANTOR
THOMAS E. OBS
TRUSTEE
MARIE E. ROBSON
GRANTOR
MARIE E. ROBSON
TRUSTEE
The undersigned declare that the foregoing instrument was executed by the Grantors and Trustees
on JUL 2 1 2003 , at MIAMI SHORES, Florida.
P.vA.;ett
WITNESS (,jinature
a T n
\I i L1 cc Dc ,, t
WITNESS (Print Name)
WITNESS
J. - tJIGC•t%�. �-C' �.
WITNESS (Signature)
.•, (+.',;;_ L ...--6,51.--Y/'/
WITNESS (Print Name)
Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 6
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
)
)
)
SS:
On JUL 2 1 2003 , before me personally appeared THOMAS E. ROBSON and MARIE E.
ROBSON, husband and wife, as Grantors who are known to me or who produced
as identification and who executed the foregoing instrument, and
acknowledged that Grantors executed the same as Grantors' free act and deed.
Notary Public
STEVEN C. SCHEINFELDT
My commission expires on:
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
)
)
)
SS:
NOTARY SEAL
NSTEVEN C. SCHEINFELDT
MY COMMISSION s CC845069
%I.p� EXPIRES: August 20.2003
1.8003JIOTARY FI. Notary &stoke 8 Bonding Inc.
On JUL 2 1 2003 , before me personally appeared THOMAS E. ROBSON and MARIE E.
ROBSON, as Trustees who are known to me or who produced
as identification and who executed the foregoing instrument, and acknowledged that Trustees executed
the same as Trustees' free act and deed.
STEVEN C. SCHEINFELDT
My commission expires:
NOTARY SEAL
401' STEVEN C. SCHEINFELDT
MY COMMISSION # CC 845069
"?oF0O. EXPIRES: Angus: ZS. 2003
1 g7ARY R NOW/ Service 88ds:rg,Ira
Memorandum of the ROBSON FAMILY REVOCABLE LIVING TRUST 7
Florida Building Code 5th Edition (2014)
High Velocity Hurricane Zone Uniform Permit Application Form
Section A (General Information)
Master Permit No.
ontractor's Name
Job Address
Process No.
A
i ctoU L)E
I ow Slope
O Asphaltic
Shingles
O New Roof
ROOF CATEGORY
Fastened Tile V
❑ Mechanically ar/Adhe*lve SW..TI18
❑ Metal PaneUShingles 0 Wood ghhtgbas/Shakes
•Are there
0 Prescriptive BUR -RAS 150 Gas •Went Stack?,..!
Yes No •.:
ROOF TYPE Type: Natural ❑ LPGX ❑
.. .
....
. .
....
.
•.
• . .
• •
..
...
•. •
• •
•.
••..
12‘e -Roofing
0 Recovering 0 Repair 0 Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)%
000010
•
•
•... ,.
•
. •
•
•
•
40400010
• .
0041010
. .
Rc 12_9
Section B (Roof PIanl
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scup
scuppers and overflow drains. Include. dimensions of sections and
identify dimensions of elevated pressure zones and locatlon of parapets
=v=
rs
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•
•'
• •
Florida Building Code 5th Edition (2014)
High Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
.• •,: VQQAPLETE THE NECESSARY SECTIONS OF
•• Tiff• UNIFORM ROOFING PERMIT
.• ..AEOPCATION FORM AND ATTACH THE
„REaUIRED DOCUMENTS AS NOTED BELOW:
• • • • . •
• •••••
Roof Syst m :
•
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low.Slopd Application
A,B,C
1,2,3,4,5,6,7
Prescriptive BUR -RAS 150
A,B,C
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,6,7
Concrete or Clay Tile
A,B,D,E
1.2.3.4.5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and
Shakes
A,B,D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
ATTACHMENTS REQUIRED:
1.
Fire Directory Listing Page
2.
From Notice of Acceptance:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or If Applicable, RAS 127 or
RAS 128
4.
Other Component Notice of Acceptances
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Re -Roofing Only)
7.
AnyRequiredRoof Testing/Calculation Documentation
123_01-48 8/15 PAGE 1
SECTION 1524 • •
HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICQTIoP1 FOR F;OOFING
CONSIDERATIONS •• •
•• ••
•
••
•
1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provi.de the owl eP v ith • •
the required roofing permit, and to explain to the owner the content of the section. The provisions of Stctiert R4402 • •
govern the minimum requirements and standards of the industry for roofing system instfllittn. Addiy6rtl19.the
following items should be addressed as part of the agreement between the owner ant tf6 c6rftractor. TM owfier's
initial in the designated space indicates that the item has been explained. !' •
•
• •
••
• • •
�Renailing wood decks: When replacing roofing, the existing wood roof deck may h4V to
•
mailed in accordance with the current provisions of Section R4403. (The roof deck is usually
concealed prior to removing the existing roof system).
Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking
n be viewed from below. The owner may wish to maintain the architectural appearance; therefore,
roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of
maintaining the appearance.
•
Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is i
not overloaded from . buildup of water. Perimeter/edge all or other roof extension may block this
discharge if overflow scupper ,, all outlets) are not provi ed. It may be necessary o install overflow
scuppers in acco d. ce w t requirements of Section R4402, R4403 and R4 3
14U
igna ure Date
Property Address
CaSt
Revised on 7/9/2009 LD;07/01/2015;
C• tractor Signature Date
Permit Number
•
Steep Sloped Roof System Description
Deck Type:
ype Underlayment:
nsulation.
Fire Barrier.
astener Type & Spacing:
dhesive Type
ype Cap Sheet.
oof Covering:
•
.
.
•
•
•
.
.
•
•
•
.
Florida Building Code 5th Edition (2014)
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: PaCji ---- ' '
•.'
i X111 • '
Notice of Acceptance Number: j)' �
._.:
....• . • .. •
Minimum Design Wind Pressures, If Applicable (From RAS 127 olrbSalculations):
P1: 2I ?i 1 P2: CO'. ( P3: IOC' r : ':': •
Maximum Design Pressure ' ' '
(From the NOA Specific •System): ' • •
A -4.4-1(t 0
Method of tile attachment:�i _
)i ori t‘} -c q-5: Xk1 `5 f y ;�: �-i "' 1,-)- - x -t i r) orrti`
Roof Slope:
:12
I S pi wood
. Th(1 # Tom' I k
Ridge Ventilation?
LA A
Mean Roof Height: 1 g'
s
5uony cLD
Type & Size Drip
dge:
1-0:2 go evet
LI tCC
123_01-48 8/15 PAGE 4
•.
.
.
..
•
114
•,
Florida Building Code 5th Edition (2014)
High Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
• For Moment based tile s ystems, choose either Method 1 or 2. Compared the values
M•
are greater than or equal to the Mr
• yglues, for qfh area of the roof, then the tile attachment method is acceptable.
• • • •
• Method 1 "Moment Based Tile Calculations Per RAS 127"
.
0060
.
.000
•
....
.00.
..0.
.
O 0..
.
0000
. (I : ••��
•• (1%2: ••1t•A,
.•;•e•,:—mix
. .. .. ••
—Mg: =144r NOA Mf
=1441 NOA M
- Mg: = M,3 NOA 11�
• .. Method 2 "Simplified Tile Calculation Per Table Below"
•
• • • • mired Vomept of Resistance (Mr) From Table Below NOA M
• •
•.
Mr Required Moment Resistance*
Mean Roof Height
15'
20'
25'
30'
40'
—
Roof slope
2:112
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
244
25.9
27.1
28.2
30.0
*Must be used in conjunction with a list of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compared the values for F' with the
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"
NOA F'
NOA F'
NOA F'
(Pt: z1: z w:= )—W: zcosB: = Fr{
(P2 : z l: = w: _ ) — W: z cos 8: = Fr2:
(P3 : z I: z w: ) — W: z CO3 8: = Fry
Where to Obtain Information
Description
Symbol
Where to find
Design Press
P1 or P2 or P3
RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE
7
Mean Roof Height
H
Job Site
Roof Slope
g
Job Site
Aerodynamic Multiplier
?L
NOA
Restoring Moment due to Gravity
Ma
NOA
Attachment Resistance
Mr
NOA
Required Moment Resistance
Mr
Calculated
Winimum Atm Resistance
F
NOA
Required Uplift Resistance
Fr
Calculated
Average Tile Weight
W
NOA
Tile Dimensions
1= length
w= width
NOA
All calculations must be submitted to the Building Official at the time of permit application.
123_01-48 8/15 PAGE 5
1
Florida Building Code 5th Edition (2014)
High Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Caiculationsl
For Moment based tile systems, choose either Method 1 or 2. Compared the values
for Mrwith the -values from Mr. If the Mr values are greater than or equalto the Mr
valves, for each area of the root; then the tile attachment method h acceptable.l •
• Method 1 "Moment Based Tile Calculations Per RAS 127'1'1' • •
(PI: �- Ji 1 z x e r r I - Mg: l• - ' LI
I NOA h•°. a •• •
• •
•(P2 11 6 - Mg: %0n. - . NOA ht.
. . •
(P3:1W-117 L = 3)-1 )-Mg: ' if.. 'NOA -it •••.
• •
•
I
• •
•
•
••
• ••
Method 2 "Simplified Tile Calculation Per Table Beloit'•
Required Moment of Resistance (Mr) From Table Below NOA Mt
•
• •• 1•
•
•
•
• •
•
••
• •
Moan Roof
Description
Mr Required Moment Resistance*
H.Ight
Roof Slope
Where to find '
15'
20' { 1
25'
300
40'
1
k 2
Rooftops
34A
36.5
38.2
39.'
ELME
MUM
MUM
31232.2
Ms
34.
36.0
37. ,
4t12 1
30.
32.2
33.8
35.E
5:12
28A
30.1
31.6
32.)
6:12
26A
28.0
29A
30.i
yr IN
Main
7:12 _
244
25.9 a
27.1
28.2
*Must be used in conjunction with a list of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals. 1
For Uplift based tile systems use Method 3. Compared the values for F' with /the
values for F. If.the h'' values are greater than or equal to the Fr values, for each
area•of the roof, thenthe the attachment method is acceptable.
Metod 3 "U 1
"Uplift Based Tile Calculations Per RAS 127"
(P1: 11: - 1 w: - ) - W: s cos e: = Fri: NOA. F'
(P2: 11: - _ 1 w: - ) - W: 1 cos e: = Fra: I NOs4 F'
(P3 : 11: - � 1 w: - _) - W: 1 cos B: = Fat NOA. F'_
•
•
• •
•
•.
• .•
• •
123_01-48 8/15 PAGE 5
Where to Obtain Information 1
Description
Symbol
Where to find '
DesignPtessue
PlorP2orP3
RAS 127 Table 1crbyan engineaing analysis psepatedbyPEbased onASCE
7
Mean Roof Height
H
Job Site 1
Rooftops
8
Job Site
NOA•
Restoring Moment due to Gravity
Ms
NOA
_ Attachment Resbaance
Mr
NOA
Required Moment Resistance
14
Calculated
lvfinimum Attachment Resistance
F
NOA i
Requited Uplift Resistance
FF
Calculated �•
Anage Tile iAreight
W
NOA
The Dimmons
I
�1
width
NOA
All calculations must be submitted
to the Building Official at the time of permit application.
•
•
• •
•
•.
• .•
• •
123_01-48 8/15 PAGE 5
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
Boral Roofing, LLC
7575 Irvine Center Drive, Suite 100
Irvine, CA 92618
SCOPE:
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
www.miamidade.2ov/economy
.......
• • •
•
......
••• •. •
•
••••..•
•• .. •••...
This NOA is being issued under the applicable rules and regulations governing the use of constructed$ materials! The •
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Prodtii..(oitrol Stetjoit io be :"'.
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdictipu tap). ' ' • .....
• •••• • •
••• •.• • ••
• •••••
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Prod>;cit•Controlect!on ••••••
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve th;right Co haves this • •
•
product or material tested for quality assurance purposes. If this product or material fails to p form in the $eCeptod ••••••
manner, the manufacturer will incur the expense of such testing and the AHJ may immediatelyTevoke, modify, oL ••••••
•
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acchpfiance,
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: Saxony 900 Concrete 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.13-0723.05 and consists of pages 1 through 8.
The submitted documentation was reviewed by Gaspar J Rodriguez.
AMIDADE COUNTY
APPROVED
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 1 of 8
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Roofing Tiles
Material: Concrete
Deck Type: Wood
1. SCOPE
• •s• '.
te Rai•l? Tile, as
manufactured Boral Roofing LLC in Lake Wales, FL and described this Notice of Acwaani e. Firlpclltions
This NOA approves a system using Saxony 900 (Slate, Shake & Split Shake) (onore.'
where the pressure requirements, as determined by applicable Building Code, do not exGGe:i11e design .....
pYBssure •••.:.
values obtained by calculations in compliance with RAS 127 using the values listed i•
nothe.installationsection ..herein. The attachment calculations shall be done as a moment based system. • • • •
• ••
.....•
.... • •
.. • . . ••••.
......
2. PRODUCT DESCRIPTION
Manufactured by
Applicant
Saxony 900 -Slate
Saxony 900
Split Shake
Saxony 900 -Shake
Trim Pieces
MIAMIOADE COUNTY
A?PROVED
•.....
Test Product : •
Dimensions Specifications Describtiojr. ......
Length = 17" TAS 112
Width = 13"
thickness = 1-5/32"
Length = 17" TAS 112
Width = 13"
thickness = 1-9/32"
Length = 17"
Width = 13"
thickness = 1-9/32"
Length: varies
Width: varies
varying thickness
TAS 112
TAS -112
•.
Flat profile, interlocking, high-pressure ektrVeC1 : • •";
•
•
•
concrete roof tile with two nail holes. For direct deck,
batten, mortar set or adhesive set applications.
Flat profile, interlocking, high-pressure extruded
concrete roof tile with two nail holes. For direct deck,
batten, mortar set or adhesive set applications. Top
surface produced with 4 different configurations:
1. Complete tile brushed
2. Right half brushed (shown in drawing)
3. Left half brushed
4. No brush
Flat profile, interlocking, high-pressure extruded
concrete roof tile with two nail holes. For direct deck,
batten, mortar set or adhesive set applications.
Accessory trim, boosted Barcelona, concrete roof
pieces for use at hips, ridges and rakes.
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 2 of 8
2.1 MANUFACTURING LOCATION
2.1.1 Lake Wales, FL
2.2 EVIDENCE SUBMITTED:
Test Agency
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Atlanta Testing &
Engineering, Inc.
Celotex Corporation
Testing Service
Celotex Corporation
Testing Service
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
American Test Lab of
South Florida
MIAMI RADE COUNTY
APPROVED
Test Identifier
94-084
94-060A
25-7183-6
25-7183-5
25-7214-1
25-7214-5
Project No. 307025
Test #MDC -77
7161-03
Appendix II & III
Letter Dated Aug. 1, 1994
P0631-01
P0402
R1.894/R2.894/R3.894
520109-1
520111-4
520191-1
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Calculations
Evaluation Calculations
RT0617.04-16
Test Name/Report Date
Static Uplift Testing May 1994
TAS 101 (Mortar Set) .
Static Uplift Testing : . • . March,' t994
TAS 101 (Adhesive Set) ' • • • • .
Static Uplift Testing TAS 102 °..:" Feb! 1�9i'
•.....
(2 Quik -Drive Screws, Direct Deck)
Static Uplift Testing TAS 102 •.... • Fel 7.995.
• ..
(2 Quik -Drive Screws, Battens) ......
Static Uplift Testing TAS 102 ..'..' Martlii X195
(1 Quik -Drive Screw, Direct Deck)'.•.. •
Static Uplift Testing TAS 102 • • Marsh, 1295
(1 Quik -Drive Screw, Battens): . • : "'
Wind Driven Rain •' • Oe ..1994
•
TAS 100
.
.
Wind Tunnel Testing
TAS 108 (Nail -On)
Wind Tunnel Testing
TAS 108 (Nail -On)
Wind Tunnel Testing
TAS 108 (Mortar Set)
Withdrawal Resistance Testing of
screw vs. smooth shank nails
Physical Properties
TAS 112
Static Uplift Testing
TAS 101
Static Uplift Testing
TAS 101
25-7094
25-7496
25-7584/25-7804b-8/25-7804-4 & 5
25-7848-6
25-7183
Aerodynamic Multipliers
Two Patty Adhesive Set System
Restoring Moments Due to Gravity
TAS 112
Dec. 1991
Aug. 1994
July 1994
Sept. 1993
Aug. 1994
Dec. 1998
March 1999
February 1996
April 1996
December 1996
March 1995
09/01/16
April 1999
09/01/16
06/29/16
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 3 of 8
......
•
•
•
......
......
00000
. .
.....
•.....
•
00000.
. .
......
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 'A'. Such testing shall be submitted to the Building Code
Compliance Office for review.
3.4 Minimum underlayments 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 thema slope upness tated ' • • •; •
otherwise by the underlayment material manufacturers published literature. • • • : • • ; ••.. • •.
......
3.6 This acceptance is for wood deck applications. Minimum deck requirements shaTi compliance with
....•••••••
the applicable Building Code.•
4. INSTALLATION
......
. .
.. •.
• • •
• .•
•••.
• . .
• . .
• 4.1 Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its component shall l.e inst$Iled in strict... . •• •
compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 1294. • . • • •
. ......
4.2 Data For Attachment Calculations .
..•..
• .
Table 1: Average Weight (W) and Dimensions (1 x w )
Tile Profile
Weight -W (Ibf)
Length -I (ft)
Width -w (ft)
Saxony 900
Slate, Shake & Split Shake
10.9
1.417
1.08
Table 2: Aerodynamic Multipliers - A, (ft3)
Tile
X (ft3)
A. (ft3)
Profile
Batten Application
Direct Deck Application
Saxony 900
0.291
0.315
Slate, Shake & Split Shake
Battens
Direct
Deck
Table 3: Restoring Moments due to Gravity - M9 (ft-Ibf)
Tile
Profile
2":12"
3":12"
4":12"
5":12"
6":12"
7":12" or
greater
Saxony 900
Slate, Shake &
Split Shake
Direct Deck
Direct Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
7.70
7.62
6.61
7.50
6.48
7.34
6.31
7.16
6.13
6.95
MIAMI'DADE COUNTY
APPROVED
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 4 of 8
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
for Mechanically Fastened Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
1 See foam adhesive manufacturer's component approval for installation requirements.
(min 15/32"
(min. 19/32"
plywood)
plywood)
Saxony 900
2-10d Ring Shank Nails
30.9
38.1
17.2
Slate, Shake & Split
1-10d Smooth or Screw Shank Nail
7.3
9.8
4.9
Shake
2-10d Smooth or Screw Shank Nails
14.0
18.8
7.4
1 .#8 Screw
30.8
3Q.8 •
:. •1.9;2
2 .#8 Screws
51.7
5f". • :
• 24.4
1-10d Smooth or Screw Shank Nail (Field
24.3
24•%•••
:6.242
Clip)
••••••
1-10d Smooth or Screw Shank Nail (Eave
19.0
19.Q • •
22.1
Clip)
•1111..'
:•• '.
2-10d Smooth or Screw Shank Nails (Field
Clip)
35.5
3,%5•••
''
..
• "II..
1,00411
•
• 400,
2-10d Smooth or Screw Shank Nails (Eave
31.9
31.9...
•• 32:2 '
Clip)
. • •
• .
'
•
••1111..
•
•
•
.1111111111
•
•.0..
•
0011.
• .
0000
•.0..
•
•
0.0•.11
Table 5: Attachment Resistance Expressed as a Moment Mf (ftinpf):�.••
for Two Paddy Adhesive Set Systems ••• '
•
Tile
Profile I
Tile Application
Minimum Attachment
Resistance
Saxony 900 Slate, Shake & Split Shake
i
Adhesive'
31.328'3
1 See foam adhesive manufacturer's component approval for installation requirements.
2 The Dow Chemical Company TileBondT"' one -component foam minimum weight per paddy 13.9 grams.
3 ICP Adhesives Polyset® RTA -1, one -component foam, minimum weight per paddy 8 grams.
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
for Single Paddy Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Saxony 900 Slate, Shake & Split Shake
l
ICP Adhesives Polyset® AH -160
Two -component foam
118.94
40.45
4 Large paddy placement of 45 grams of Polyset® AH -160.
5 Medium paddy placement of 24 grams. of Polyset® AH -160.
Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
I for Mortar Set Systems
Tile
Profile
`
1
Tile
Application
Minimum Attachment
Resistance
Saxony 900 Slate, Shake & Split Shake
Mortar Set6
43.96
6 Tile-Tite Roof Tile Mortar
MIAMLDADE COUNTY
APPROVED
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 5 of 8
•
••.•
•
5. LABELING
5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed
below, or following statement: "Miami -Dade County Product Control Approved".
• •
• • ••..••
• • • •
•• •
•
••.•.. • • •
LABEL FOR1BORAL SAXONY 900 TILES (LAKE WALES I+IE•PL•ANT)• • •
1.11 •• •
• • •
• ••
LOCATED UNDERNEATH TILE
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official
properly evaluate the installation of this system.
NAIL HOLES
PROFILE DRAWINGS
• •
••••
1.1.1.
• •
•••
••
• • •
•• •
••••.. •
of the following: • • •
• • 1111..
•
or applicable build1iig cede in order to
• •
11.1.1
•
•
•
11.11•
• •
•.•.••
• •
11..•
• •
••1..
••.••.
••
•.1..•
• •
1111••
• •
UNDERLOCK
SAXONY 900 - SLATE
MIAMI RADE COUNTY
APPROVED
NOA No.: 16-0711.05
Expiration Date: 04/26/22
' ` Approval Date: 09/29/16
Page 6 of 8
NAIL HOLES
PROFILE DRAWINGS
••
. •.•...
•
• •
•
17"
Note: Available Top Surface Finishes
5. Complete tile brushed 1
6. Right half brushed (shown in drawing)
7. Left half brushed
8. No brush
SAXONY 900 - SPLIT SHAKE
MIAMI. DE COUNTY
APPROVED
•
• •
•
•'•
T3"•
000000
•
• • •
•
• ••••:.
.; 4/32" (Sh3 )..:
• •• •
•
••.•
• • •
•, •
•
• •
• •....
•
.•••.
• •
00000
••••.•
•
•
• •
•l. • ••••••
• • • •
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 7 of 8
NAIL HOLES
PROFILE DRAWINGS
• .
• • •
•• •
.0000.
•
......
0000 •• ••......
• • • • •
• •• .....
OOOOOO
.
0..000
•0 • •
• ••
• •
• .•
.
.00...
••
.
17"
MIAMFDADE COUNTY
APPROVED
SAXONY 900- SHAKE
END OF THIS ACCEPTANCE
13"
•... . •. •
.
OOOOOO
19/32" (Shakae
••..-'- 00.0:0•
OOOOOO
•
NOA No.: 16-0711.05
Expiration Date: 04/26/22
Approval Date: 09/29/16
Page 8 of 8
1'
4
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
ICP Adhesives and Sealants, Inc.
12505 NW 44th Street
Coral Springs, FL. 33065
SCOPE: • ••••••
••
•
This NOA is being issued under the applicable rules and regulations governing the use of, conzl tion materials. The •
1
I MIAMI-DADE COUNTY
PR?DUCT CONTROL SECTION
1 11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T(786)315-2590 F (786) 315-2599
www.miamidade.eov/economy
• •
• • •••.••
•
documentation submitted has been reviewed and accepted by Miami -Dade County RER-Prdduet toptrol Section to be • • ••I�• •
used in Miami Dade County and other areas where -allowed by the Authority Having Jurisdic�tiot3 E)4.1 -1J)!' -' 1' • ' • •
• , •• • •
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County PYgciuct Cot trot Section • • • •,•
(InlMiami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve tI e.rigllt to have•thisproduct • • • •;• •
or material tested for quality assurance purposes. If this product or material fails to performlin.the.4wepted manner, the' • • •; •
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, nnodily,:or suspend, he use •..
of isuch product or material within their jurisdiction. RER reserves the right to revoke this. accept 1?Ct' *if it is• • • • `•
determined by Miami -Dade County Product Control Section that this product or material fails to meet the re4uirements: • • • •
of the applicable building code. t 1 • • • •
t
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. '' 1'
DESCRIPTION: ICP Adhesives Polyset® AH -160 z i
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, stale and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. 1 fi
RENEWAL of this NOA shall be considered after a renewal application has been filed an 1 there has;been no change
in the applicable building code negatively affecting the performance of this product. ii
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 endosement 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
1I
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. f
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.
I ,
This NOA renews NOA 16-0315.01 and consists of pages 1 through 11.
The submitted documentation was reviewed by Alex Tigera.
MANMADE COUNTY
APPROVED
erlo'
,i
NOA No.: 17-0322.03
;i Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 1 o 11
ROOFING COMPONENT APPROVAL:
Category:
Sub Category:
Materials:
SCOPE:
Roofing
Roof tile adhesive
Polyurethane
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 applica121e
building code, do not exceed the design pressure values obtained by calculations in compliancawi th.Roofin:
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
ICP Adhesives
Polyset®AH-160
ICP Adhesives Foam
Dispenser RTF1000
ICP Adhesives ProPack®
30 & 100
Dimensions Test
Specifications
TAS 101
N/A
N/A
N/A
•...•.
I ••••• • •• • .
• •• . '
• • • ••S..
Product Deseription • 00000
• •
•••"..
•
•••:S.
••
• •
000000
Two component polyszrethIne foam adhesive •,.
• • ••••••
. •
•
••••..
•
• • •
Dispensing Equipment • • •
Dispensing Equipment
••• •
• •
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.
MANUFACTURING LOCATION:
1. Tomball, TX.
PHYSICAL PROPERTIES:
Property
Density
Compressive Strength
Tensile Strength
Water Absorption
Moisture Vapor Transmission
Dimensional Stability
Closed Cell Content
Test
ASTM D 1622
ASTM D 1621
ASTM D 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
ASTM D 2856
Results
1.6 lbs./ft.3
18 PSI Parallel to rise
12 PSI Perpendicular to rise'
28 PSI Parallel to rise
0.08 Lbs./Ft2
3.1 Perm / Inch
+0.07% Volume Change @`-40° F., 2 weeks
+6.0% Volume Change @158°F., 100% Humidity, 2
weeks
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.'
MAMI DADE COUNTY
APPROVED
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 2 of 11
EVIDENCE SUBMITTED:
Test Agency Test Identifier Test Name/Report Date
Center for Applied Engineering #94-060 TAS 101 04/08/94
257818-1PA TAS 101 12/16/96
25-7438-3 SSTD 11-93 10/25/95
25-7438-4
25-7438-7 SSTD 11-93 11/02/95
25-7492 SSTD 11-93 12/1x/95 •
• • •
• •••
Miles Laboratories NB -589-631 ASTM D 1623• • 02/CM4 4 • •
Polymers Division •
•••••• •
••••
Ramtech Laboratories, Inc. 9637-92 ASTM E 108 • • 04//19• 3 .
•••••• ••
Southwest Research Institute 01-6743-011 ASTM E 108 ••'••' 11/t�/2••
01-6739-062b[1] ASTM E 84 01/16/9.5
Trinity Engineering 7050.02.96-1 TAS 114 • •• •, 03/�� e'
P36700.04.12 ASTM D 1623 ' • • 04'1.8112.
P39740.02.12 TAS 101 02/21/i:i:
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
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® AH -160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset® AH -160 roof tile adhesive
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 61G20-3 of the Florida Administrative Code.
MIAMI.DADE COUNTY
APPROVED
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 3 of 11
INSTALLATION:
1. ICP Adhesives Polyset® 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® 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 tile assembly NOA. ;
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement Detail
Minimum Paddy Contact
Area
Minimum Paddy Gram
Weight
Eave Course - Flat, Low, High
Profiles
All Eave Course
17-23 sq. inches
45-65
Flat, Low, High Profiles
#1
17-23 sq. inches
45-65
Flat Profile
#2
10-12 sq. inches
30. .
Low Profile
#2
12-14 sq. inches
•......
• • • . •• 301
High Profile
#2
17-19 sq. inches
.. •
•••••• 3Q . . •
Flat, Low, High Profiles
Two Paddys: 8-9 sq. inches at
head of tile 9-11 sq. inches at
overlap
•.. .•
•#3
• � /•grams pe•r Maddy
•••••• • . . i
.•••••
• . •••. ,
•
Two -Piece Barrel (Cap Tile)
Two Piece
2 Beads (1 each longitudinal
edge) 20-25 sq. inches each
bead
• • 17 grams per bead
. • • • •• • •
• .
•• ...•.. •
•
Two Piece Barrel (Pan Tile)
Two Piece
65-70 sq. inches
• • 34•grams•derpan
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.
FUAMIGADECOUNTY
APPP_OYq
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 5 of 11
•
•
•••..
•
••..
• •
••••
.•
•
•••.•
ADHESIVE PLACEMENT DETAIL # 1
1RfJpMow plastisceenen � PadklylB•n•rhT )
tit0i muff** -
ilieelp,tijjm•ne 3> y .• \
MIAMI DADE COUNTY
APPROVED
Flat/Low Profile Tile
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
of the tile being set.
•
2. Continue in same manner. insure approximately 17 ......
(109.7 cm2) — 23 (148.4 cm•.2 s.•qu.. iore incr lhe�ive•
contact with the underside o tkie dile. • • ••
• •
•...
•••••.
•. •.
••••••
Medium Profile / Double Pan rile:
•
•
•• •
• • •
• ••
••..
• • •
•• •
•
• •
1. Starting at the eave course'gpplq a miiti um.2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mmf €oam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
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.
High Profile / Single Pan Tile
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 tile closest to the
overlock of the tile being set.
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.
• •
••••..
• •
•.•..
• •
•••.•
•.•.••
.•
••••.•
• •
••••..
• •
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 6 of 11
ADHESIVE PLACEMENT DETAIL # 2
Mat rtorarpk(Amite crm.nI PA1dylBrnrahTagil
t'dlignrim idrtrd)
MIAMI RADE COUNTY
APPROVED
Flat/Low Profile Tile
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
the tile being set. Insure approximately 17 (109.7 cm2)
— 23 (148.4 cm2) square inch adhesive contstrwith the
underside of the tile.
.. •.. . •
• • . •
•••••• •
• ••
2. At the second course, apply a•mrolirium 2" (504,8mm) •""'
•
x 7" (177.8 mm) x 1" (25.4 nlrnj for paddy onto the ••••
•
underlayment positioned as shtlMrunder tie'..' •••••
strengthening rib closest to tent ock of Mile •• •
•• •. •
•••••
being set. • • • ••••••
•••••• • •
• • •
•
3. Continue in same manner Insure a pproxiUtgly10" • • • • •• •
•
(64.5 cm2) - 12 (77.4 cm2) sgurt ii ch adhesive • • • ••
contact with the underside of the tile. • • • •
Medium Profile / Double Pan Tile
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 tile closest to the overlock of the
tile being set. Insure approximately 17 (109.7 cm2) —
23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 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 tile
being set.
3. Continue in same manner. Insure approximately 12"
(77.4 cm2) - 14 (90.3 cm2) square inch adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 7 of 11
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
MIAMFDADE COUNTY
APPROVED
High Profile / Single Pan Tile
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 tile closest to the overlock of the
tile being set. Insure approxin1 tely•1 7 (109i1c64 —
23 (148.4 cm2) square inch adlieSide3ontac, ith the
underside of the tile. •••••• • •• •
•• .•
•..... •
•.
•
2. At the second course, apply a nsinimum 2".(S0.ijnm)
x 7" (177.8 mm) x 1" (25.4 min) foam pad:1)/14 le the •
••••• •
underlayment positioned as shd•tnder tint p• • • •
portion of the tile closest to the oberlock ott13e tiSe •••••
•
being set. : ";';•• •
• • • •
•••••• ••••••
•
3. Continue in same manner. Insure a�proxitately 17" •
•• ••••.
(109.7 cm2) - 19 (122.6 cm2) square inch ad12P.site • •
contact with the underside of the tile.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
ibt/toW Profile Tile
Medium Profile Tile
MIAMWADE COUNTY
APPROVED
1.
On the eave course only, 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 for flat tile or under the pan
portion of the tile for low or high profile tile closest
to the overlock of the tile being set. Leave
approximately 4" (101.6 mm) up from tlie• g
edge free of foam to prevex t the expanded adhesive • • • • • •
•• •
from blocking the weep hol si Insure . • • • •
approximately 17-23 in2 (1„%1-.148.4 cm2) Ef
adhesive contact with the midetr§ide of the tfle
•••
•• • • •
•••• . •.
•
• •
•
•
•••••• ••••• .
••••••
2. Apply a 4" (101.6 mm) x 4'1 r1Q1'.6 mnfj� f" 125.4
mm) foam paddy onto the.•aXxrlayment just below •• •
the second course line positioner foam paddf
•
•
under the strengthening rib for f1 t tile,ar under the • •
pan portion of the tile, c1ostSt tothe underlock for ; ••••
the second course tile to be installed. Insurer •
approximately 8-9 in2 (51.6-58.1 cm2) of adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
High ProtileZlle
MIAMFDADE COUNTY
APPROVED
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4"
(19 mm) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11 (71 cm2) $quare inch aah•estJe'
contact with the underside ofthe tile at the overlap
and 7 (45.2 cm2) - 9 (58.1 Mil SQuare inch • • •
adhesive contact with the underside of the tale at
the head of the tile. Continue m same rr:atpef..
•••• . •.
•. •.
• . .
• .
• •
• e •
•• •
••.•
• •••
•
•
• •
•
••• •
• •
••
•••••.
•
••
• •
00000
• •
00000
•
••
•
•'••••
• •
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 10 of 11
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
1) peace enough adhesive to achieve 65 to 70 sq. in.
Incontact with the pan tile.
2i Turn covers upside down. place adhesive in
to 1 in.flem outside edge of cover tile.
Then install the tile. Ensure 20 to
25 sq. in. contact area.
eriayrnent
Steep pitch applications
(when required)
Save
(molars own)
47eepha
Fascia Board
Sheathing
Remove top portion of the lave course cover tile. Abut to second course of
pate files. Ensure cave end of pan and cover tiles are flush at eave line.
Two Piece Barrel - High Profile Tile
M!AMFDADE COUNTY
APPROVED
Two Piece Barrel (Cap and Pan) Tile
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 two adjacegt pan tiles. SUppint.eave
tiles from rocking until 2kj esive has : chance to • •
•
cure. • • •
• ••
•
2. Continue in same manneriloiai&ging tvjiq pa▪ n '
•
courses up toward the ridge. iure • • • • ••
r s
approximately 65 (419.4c 2):- 70 (45L.j cm2) ••:•••
square inch adhesive cdtttaohwith the aeletide ......
of the pan tile. ••••••
••.•
• •
•
•
• • •
• •
• •
•
• • ••••i•
3. Turn covers upside down e4&sing tele•underside• •
of the'tile. Apply a minimums" (25'4 film3 x 10'.
(254 mm) bead of adhesive directly on the inner
edge of each side of the cover tile. Leave
approximately 3/4" (19 mm) to 1" (25.4 mm)
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 same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
MIAMI-DADE
cbuN1:Y
"Delivering Excellence Every Day"
Fill in the specific roof assembly components. If a component is not required, insert not applicable (n/a) in the text box.
Miami -Dade County HVHZ Electronic Roof Permit Form
Section C Page (Low Slope Roof Systems)
ROOF SYSTEM MANUFACTURER:
'GAF I
Product Approval (NOA): 14-1030.02Systen Type: E1
Wind Uplift Pressures, From RAS 128 or Sealed Calculations:
(P1) Field:
(P2) Perimeters:
(P3) Corners:
psf
psf
psf
Maximum Design Pressure From NOA:
-52.5..
Roof Slope: i " : 12 Roof Mean Height
Parapet Walls: 0 No 0 Yes Parapet wall Height:
psf
112 1
Deck Type:
Support Spacing:
Alternate Deck Type:
Existing Roof:
5/8" Plywood --
Cal
" o/c
ft.
I'N/A
N/A
SAME
Fire Barrier:
N/A
Vapor Barrier:
IN/A
Anchor Sheet:
N/A
Anchor Sheet Fastener / Bonding Material:
?N/A
Insulation Base Layer Size & Thickness:
N/A
Insulation Base Layer Fastener / Bonding Material:
I N/A
Insulation Top Layer Size & Thickness:
Insulation Top Layer Fastener / Bonding Material:
1144A —
Base Sheet(s) & No. of Ply(s):
+GAF GLASSBASE #75 (1) PLY
Base Sheet Fastener / Bonding Material:
1
_
1-1/4" RS NAILS 7 TIN CAPS 1-5/8"
PIy Sheet(s) & No. of Ply(s):
GAF RUBEROID 20 (1) PLY
PIy Sheet Fastener / Bonding Material:
HOT MOP ASPHALT
ft.
Top Ply:
GAF MINERAL CAPSHEET
Top Ply Fastening / Bonding Material:
HOT MOP ASPHALT]
Surfacing:
GRANULES
SINGLE PLY MEMBRANE:
Single Ply Manufacturer /Type:
N/A
Single PIy Sheet Width:
1 N/A 1
No. of Single PIy 1/2 sheets:
Single Ply Membrane Fastening / Bondtig Qial: • • •. • •
• •4•
••
" 1/2 Skeet:1.441th:
N/A.
•
• • •
•• •
•• •
••
• •
• ••
N/A
••••••
D FASTENER SPACING FOR BASESHEET ATTAC:18/164
❑ SINGLE PLY MEMBRANE ATTACNMfl •
1. Field: II 9 I " o/c @ Laps & 2 rows [i " o/c • -
rows 171 " o/c
3. Corner: 6 " o/c @ Laps &R.] rows F-1" 1 " o/c
NUMBER OF FASTENERS PER INSULATION'BOARD:
2. Perimeter: WA 3. Corner: FA1
•
2. Perimeter:' " o/c @ Laps &
1. Field:
Nho
Insulation Fastener Type :
N/A
WOOD NAILER TYPE AND SIZE:
N/A
Wood Nailer Fastener Type and Spacing:
N/A
EDGE & COPING METAL SIZES:
Edge Metal Material: J --Galvanized Metal --
Edge Size: ';--3" face 26 ga.--
Hook Strip Size: --SELECT EDGE METAL HOOK STRIP SIZE --
Edge Metal Attachment: I�
•
••
•
•
• •
• •
.�
•
•
•
1-1/4" RS NAILS @ 4"OC
Coping Material:
Coping Size:.
--SELECT PARAPET WAIL L COPING MATERIAL --
--SELECT COPING METAL SIZE OR THICKNESS --
Hook Strip Size:
--SELECT COPING METAL HOOK STRIP SIZE --
Parapet Coping Metal Attachment:
N/A
1
MIAMS
COUNTY
"Delivering Excellence Every Day"
Miami -Dade County HVHZ Electronic Roof Permit Form
Illustrate Components Noted and Details as Applicable:
• •
.. .
•
•
.. . .
• •
• ..
•
Top Ply
Interplies
Base Sheet
Drip Metal
. •
•• ••
••
.
• •
•
..
.. •
Roof Mean Height:
Drip Metal:
3"face'26GA Galvanized Metal
••••
• ..
•
• •
•
•
•
• •
••• • • •
..
ft.
Surfacing:
Granules
Top Ply:
GAF Mineral Capshelet
Interplies:
GAF Ruberoid 20 1 ply
Base Sheet:
GAF Glassbase #75 1 ply
Deck Type:
5/8 Plywood
DEPARTMENT OF REGULA'
BOARD AND CODE ADMINII
NOTICE OF ACCE
GAF
1 Campus Drive
Parsippany, NJ 07054
SCOPE:
ORY AND ECONOMIC RESOURCES (RER)
TRATION DIVISION
TANCE (NOA)
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW '.6 Street, Room 208
Miami, Florida 33175-2474
T (786)315-2550 F (786) 315-2599
www.miamidade.gov/economy
This NOA is being issued under the applicable rules and regulations governing the ds,e08f:onstruatioa
materials. The documentation submitted has been reviewed and accepted by Miami -Jade Count; AR. -
Product Control Section to be used in Miami Dade County and other areas where alkrwed'by the •
Authority Having Jurisdictign (AHJ).• • •
•
• •
•
This NOA shall not be valid) after the expiration date stated below. The Miami-Dada'i,ty Produei.
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 Itis product or
material fails to perform in the accepted manner, the manufacturer will incur the exliense df suchhesag
and the AHJ may immediateay revoke, modify, or suspend the use of such product a material within
their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined �y Miami Dads
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: GAF Ruberoid° Modified Bitumen Roof System for Wood Decks.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or log ), 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 re vision 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 t 's entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be avail ble for inspection at the job site at the request of the Building Official.
This NOA renews and revise NOA No. 14-0611.01 and consists of pages 1 through 30.
The submitted documentation was reviewed by Jorge L. Acebo.
MIAMI•DADE COUNTY
APPROVED
NOA No.: 14-1030.02
Expiration Date: 11/06/18
Approval :Date: 11/05/15
1 Page 1 of 30
Membrane Type:
Deck Type 1:
Deck Description:
System Type E(1):
SBS/SBSI Cold Applied
Wobd, Non -insulated
19/12" or greater plywood or wood plank decks
Base sheet mechanically fastened to roof deck.
All General and System Limitations shall apply.
Fire Barrier:
(optional)
Base sheet:
Fastening
Options:
MIAMI-DADE COUNTY
APPROVED
FireOutT" Fire Barrier Coating, VersaShield`' Fire, -Resistant Roof Deck Protection
or Sepurock' Gypsum -Fiber Roof Board.
• •
GAEGLAS® #80 Ultima TM Base Sheet, GAFGLAS(' Stratavvu• &' F2imina• rTM.
Nailable Venting Base Sheet, Ruberoid® 20, Ruberoid® SBS+oat•Weld: S'meoth
or Ruberoidd" SBS Heat-WeLdTM 25 base sheet mechanically fastened to deckeas
described below: • • • • .. •.
••
GAFGLAS' Ply 4, GAFGLAS(' F1exPLyTM 6, GAFIGLAS® #75•$as�� Sheet er ar►y
of above base sheets attached to deck with approved annular ting Shank naflg anti
tin caps at a fastener spacing of 9" o.c. at the lap staggered arid ire rwo rows 12"•
o.c. in the field.•
(Maximum Design Pressure —45 psf. See General Limitatioh.• 47) • • • •
GAFGLAS" Ply 4, GAFGLAS" F1exP1yTM 6, GAF3LAS® #75 BasO Sheet or any
of above base sheets attached to deck with Drill-TecT" #12 Fastener Drill-Tec'
#14 Fastener or Drill-TecT" XHD Fastener and Drill -Tec' 3" Steel plate, Drill-
TecT" AccuTrac'" Flat Plate or Drill-TecT" AccuTrac'' Recessed Platte installed 12"
o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced
approximately 12" o.c. in the field of the sheet.
(Maximum Design Pressure —45 psf. See General Limitation #7) 1
GAFGLAS' FlexPlyT" 6, GAFGLAS' #75 Base Sheet or any of above base sheets
attached to deck with approved annular ring shankinails and tin caps at a fastener
spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field.
(Maximum Design Pressure —52.5 psf. See General Limitation #7)
GAFGLAS''' #80 Ultima' Base Sheet, Ruberoid" 20, Ruberoid`® Mop Smooth,
base sheet attached to deck with approved annular ring shank nails and tin caps at
a fastener spacing of 9" o.c. at the 4" lap staggered, and in two rows 9" o.c. in the
field.
(Maximum Design Pressure —60 psf. See General Limitation #7)
GAFGLAS" #75 Base Sheet or any of above base sheets attached to deck with
Drill-TecT" #12 Fastener, Drill -Tec" #14 Fastener or Drill -Tec" XHD Fastener
and Dtill-Tec" 3" Steel Plate, Drill -Tee' AccuTrae® Flat Plate or Drill -Tec'
AccuTrac" Recessed Plate installed 12" o.c. in 4 rdws. One row is in the 2" side
lap. The other rows are equally spaced approximately 9" o.c. in the field of the
sheet.
(Maximum Design Pressure —60 psf. See GeneraliLimitation #7)
Any of above base sheets attached to deck approved annular ring shank nails and
3" inverted Drill -Tec' insulation plates at a fastener spacing of 9" o.c. at the 4"
lap staggered in two rows 9" in the field.
(Maximum Design Pressure —60 psi: See General Limitation #7)
NOA No.: 14-1030.02
Expiration Date: 11/06/18
Approval Date: 11/05/15
Page 26 of 30
I
Fastening GAFpLAS" #75 Base Sheet or any of above base sheets attached too deck with
Options: Drill»TecT" #12 Fastener, Drill -Tee' ##14 Fastener or Drill -Tec" x:HD Fastener
(Continued) and Drill -Tee' 3" Steel Plate, Drill -Tec' AccuTrac" Flat Plate or Drill-TecT"
AccuTrac` Recessed Plate installed 8" o.c. in 4 rows. One row is in the 2" side
lap. The other rows are equally spaced approximately 9" o.c. in the field of the
sheet,
(Maximum Design Pressure —75 psf. See General Limitation #7)
Ply Sheet: (Optional) One or more plies GAFGLAS ' Ply 4, GAFGLAS® F1exP1yTM 6,
GAFGLAS' #80 Ultima Base Sheet, Ruberoid" Mop Smooth or Riiberoid® 20.
sheet adhered in a full opping of approved asphalt applied withinithe ESM range
and at a rate of 20-40 lbs./sq. ' �•• •
• •.•.• .
•Membrane: One Jr more plies of Ruberoid' Mop Smooth, Ruberoid® Mo .1.l FR, Ruberoid"• .
Mop Granule, RoofMatch1" SBS Modified Granular, Ruberoidg' 4 p Plus: •. •. • •
Granule, Ruberoid® 20, Ruberoid®30, Ruberoid®EnergyCap' 5011/1 SBS • • •
• Membrane, Ruberoid'"' 30 FR or Ruberoid® Mop FR in adhere'd'inn'� futwri$
11 mot •
of aplroved asphalt applied within the EVT range and at a ra: d.:Q-401bs./sio. •
Or •
•
One or more plies of Ruberoid® Mop Smooth, Ruberoid"' Mop Granule, . • .
RoofMatchT" SBS Modified Granular, Ruberoid"' Mop 170 FIS;Ruberoid"04Mop : • •
Plus Granule, Ruberoid® 20, Ruberoid® 30, Ruberoid®EnergyCap'"30 FR SBS • •
Membrane, Ruberoid" 30 FR or Ruberoid" Mop FR adhered in MatrixTM 102 SBS
MemaneAdhesive at an application rate of 1-2 gal./sq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes.
Chosen components must be applied according 'to manufacture.'r's application
instructions. All coatings must be listed within a current NOA.
1. Grave or slag applied at 4001bs./sq. and 300 lbs./sq. respectively in a flood coat
of Approved asphalt at 60 lbs./sq.
2. GAFGLAS® Mineral Surfaced Cap Sheet, Tri -Ply`"' Mineral Surfaced Cap Sheet
or GAFGLAS`'EnergyCapT" BUR Mineral Surfaced Cap Sheet adhered in a full
mopping of approved asphalt applied within the EVT range and at a rate of 20-40
lbs./sq
3. Topcor Membrane, Topcoat® MB Plus (to be used as a primer with Topcoat®
Membrane) or Topcoat`"' Surface Seal SB applied atI 1 to1.5 gal./sq.
Maximum Design
Pressure: See Fastening Options
MIAMI-DADE COUNTY
APPROVED
NOA No.: 14-1030.02
Expiration Date: 11/06/18
Approval Date: 11/05/15
Page 27 of 30
WOOD DECK SYSTE LIMITATIONS:
1 A slip sheet is require with GAFGLAS" Ply 4 and GAFGLAS`® F1exPlyTM 6 when used as a
mechanically fastened ease or anchor sheet.
2. Minimum 1/4" DensDeck® Roof Board or''/z" Type X gypsum board ,is acceptable to be installed
directly over the wood deck.
GENERAL LIMITATIONS: 1
1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials
Directory for fire ratings of this product. 1
2. Insulation may be installed in multiple layers. The first layer shall be attached in coonplianelevoit r
Product Control Approval guidelines. All other layers shall be adhered in a full padjigting oC • •
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., gr mechanicaily*..'
attached using the fastening pattern of the top layer•
' '
3. All standard panel sizes are acceptable for mechanical attachment. When appli ?iifapprovrtl. •.
asphalt, panel size shall be 4' x 4' maximum. •••• • • •
4. An overlayand/or reco a board insulationpanel is required on all, applications everclosee cell' ••
n' q
foam insulations when he base sheet is fully mopped. If no recovery board is usgii,trlg base shegt •
shall be applied using s of mopping with approved asphalt, 12" diameter circle, 241).c.; or strip
• ..w.
mopped8" ribbons in t res rows, one at each side lap and one down the center.of the sheet ailowmg •
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6"•break shall•be •
placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall
be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited Ito a maximum
design pressure of -45 psf.
5. Fastener spacing for in ulation attachment is based on a Minimum Characteristic Force (F') value of
275 lbf., as tested in co pliance with Testing Application Standard TAS 105. If the fastener value,
as field-tested, are belo4v 275 lbf. insulation attachment shall not be acceptable.
6. Fastener spacing for melchanical attachment of anchor/base sheet or membrane attachment is based
on a minimum fastener resistance value in conjunction with the maximum design value listed within
a specific system. Should the fastener resistance be less than that required, as determined by the
Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida. Registered
Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing
shall utilize the withdralval resistance value taken from Testing Application Standards TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed
by a Florida registered I rofessional Engineer, Registered Architect, or Registered Ro )f Consultant
(When this limitation is specifically referred within this NOA, General Limitation #9 will not
be applicable.)
8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs
shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements.
9. The maximum designedpressure limitation listed shall be applicable to all roof pressure zones (i.e.
field, perimeters, and co ers). Neither rational analysis, nor extrapolation shall be permitted for
enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners).
(When this limitation i specifically referred within this NOA, General Limitation #7 will not
be applicable.)
10. 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.
END OF THIS ACCEPTANCE
•
•
MIAMIDADE COUNTY
APPROVED
NOA Vo.: 14-1030.02
Expiration Date: 11/06/18
Approval Date: 11/05/15
Page 30 of 30
•
•
•
• •
of 47
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Ply Sheet: — One or two plies "fiuberoid® Mop Smooth" or "Ruberoid®iMop Smooth Plus" fully adhered witch hot roofing asphalt.
Membrane: — One ply "GAFGLA ® Mineral Surfaced Cap Sheet" fully adhered with hot roofing asphalt. Ii
Surfacing: — "TOPCOAT® Ener yCote'" Elastomeric Coating" or "TOPCOAT® MB Plus" or "TOPCOAT® 322 White Elastomeric Coating"
applied at a rate of 2-gal/100-ft2
Deck: C-15/32
Incline: 1
Base Sheet: — One plyType G2 "GAFGLAS® I
yp #ZS.�@3��hept" or "Tri -Ply® #75 Base Sheet" mechanically fastened.
Insulation (Optional): — Any thickness or combination: perlite or wood fiber or glass fiber or polyisocyanurate, mechanically fastened
or hot mopped or adhered with 0 SIG Inc. "OlyBond Fastening System" or any UL Classified insulation adhesive.
Base Sheet: — One or more plies "Ruberoid® 20" or "Ruberoid® 20 HT" or "Ruberoid® Modified Base Sheet", hot mopped or
mechanically attached. ._
I
Ener Carfaced Cap Sheet". ® urfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS
9Y p " BUR Mineral Su
Cap Sheet: — One ply Type G3 "GAFGLAS
Class B
• •
1. Deck: C-15/32 • . •
Incline: 3-1/2 • • •
Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate aur thane or •
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate compteitt d1''bhenolic, aril/ thickness ••
PIy Sheet: — Two or more plies Type G1 "GAFGLAS® Ply 4" or "Tri -Ply® Ply 4" dr "GAFGLAS® Ply 6" nresMaiically fa!l ned.
Cap Sheet: — Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -PI •
BUR Mineral Surfaced Cap Sheet", fully adhered with hot roofing asphalt. y® Mineral Surfaced Cap SRS'�Qi�'GAFGI.•ASpGnergyCaAr•••
2. Deck: C-15/32 • ;• • • •
Incline: 3-1/2
•.
i •
Insulation(Optional)O • •
( P )
: — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate ar urethane or • • s
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite 4 phenolie, any thicknessr
Base Sheet: — Two or more plies Type G1 or Type G2 or Type G3.
Membrane: — One or more plies 'Ruberoid® Torch Smooth" or "Ruberoid® Torch Granule" or "Ruberoid® Tcrch Granule Ma or
• •o • ••
••• • •
"Ruberoid® Mop Smooth" or "Ruberoid® Mop Smooth 1.5" or "Ruberoid® Mop Smooth Plus" or "Ruberoid® Mop Granule" or "Ruberoid®
Mop Plus Granule" or "ROOFMatchn' SBS Modified Granular" or "Tri-PIy® SBS Modified Bitumen Membrane" ori"ROOFMatchTM APP
Modified Granular" or "Tri-PIy® TP -4G" or "Tri -Ply® TP -4" or "Ruberoid® Dual Smooth". i
Cap Sheet: — "GAFGLAS® Mineral Surfaced Cap Sheet", or "Tri-PIy® Mineral Surfaced Cap Sheet" or "GAFGLAS® EnergyCapT" BUR
Mineral Surfaced Cap Sheet" fully abhered with hot roofing asphalt.
3. Deck: C-15/32 Incline: 2-1/2
Insulation (Optional): — One or More layers perlite or wood fiber or glass fiber or polyisocyanurate or urethine or
perlite/polyisocyanurate composite Pr perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness.
PIy Sheet: — Two or more plies Type G1 "GAFGLAS® PIy 4" or "Tri -Ply® Ply 4" or "GAFGLAS® Ply 6".
Cap Sheet: —"GAFGLAS® EnergyCapT" BUR Mineral Surfaced Cap Sheet".
4. Deck: C-15/32 Incline: 2-1/2
Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or 3henolic, any thickness.
Base Sheet: — Two or more plies Type G1 "GAFGLAS® Ply 4" or "Tri-PIy® Ply 4" or "GAFGLAS® Ply 6" or Typ! G2 "GAFGLAS® #75
Base Sheet" or "Tri-PIy® #75 Base Sheet' or Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri-PIy® Mineral Surfaced Cap
Sheet".
Membrane: — One or more plies "Ruberoid® Torch Smooth" or "Ruberoid® Torch Granule" or "Ruberoid® Torch Granule Plus" or
"Ruberoid® Mop Smooth" or "Ruberoid® Mop Smooth 1.5" or "Ruberoid® Mop Smooth Plus" or "Ruberoid® Mcp Granule" or "Ruberoid®
Mop Plus Granule" or "ROOFfMatch"4 SBS Modified Granular" or "Tri-PIy® SBS Modified Bitumen Membrane" or "ROOFMatchT" APP
Modified Granular" or "Tri-PIy® TP -4G" or "Tri-PIy® TP -4" or "Ruberoid® Dual Smooth".
Cap Sheet: — "GAFGLAS® EnergydapTM BUR Mineral Surfaced Cap Sheet".
Class C
1. Deck: C-15/32 Incline: 1/2
Insulation (Optional): — One or More layers perlite or wood fiber or glass fiber or polyisocyanurate or uretharie or
perlite/polyisocyanurate composite dr perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness.
Ply Sheet: — Three or more plies Tope G1 "GAFGLAS® Ply 4" or "Tri-PIy® Ply 4" or "GAFGLAS® PIy 6".
Surfacing: — "Special Roofing Bitumen" applied at 20-lbs/100-ft2. '
COgL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR
1. Deck: C-15/32
Class A
Incline: 1/2
Insulation (Optional): — One or More layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness.
Ply Sheet: — Three or more plies Type G1 "GAFGLAS® PIy 4" or "Tri-PIy® PIy 4" or "GAFGLAS® Ply 6" hot mopped with coal tar
bitumen.
4-
•
•
1/1'7/17 I1•17 PA.4
of 47
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Ply Sheet: —One or two plies "Ruberoid® Mop Smooth" or "Ruberoid® Mop Smooth Plus" fully adhered with hot roofing asphalt.
Membrane; — One ply "GAFGLAS
fully
with hot roofing asphalt. I
aU ing. — "TOPCOAT® Energy® eTM ElastomeriMiral SurfacecCoating" orCap Sheet'"TOPCOAT®d MB Plus" or "TOPCOAT® 322 White Elast
pplied at a rate of 2-gal/100+ft2.
omeric Coating
r 20. Deck: C-15/32
Incline: 1
Base Sheet: — One ply Type G2 "GAFGLAS®
Insulationn :Optional : —$12�.i4.$b et" or "Tri -Ply® #75 Bae Sheet" mechanically fastened.
Ano, thickness or combination: perlite or wood fiber or glass fiber or polyisocya,nui^ate, mechanically fastened
or hot mopped or adhered wItli OMG Inc. "OlyBond Fastening System" or any UL Cla$sifled insulation adhelVe.
Base Sheet: — One or more plies "Ruberoide 20° or "Ruberoide 20 NT' or "Ruberoid® Modified Base Sheet", hot mopped or
mechanically attached. -
Cap Sheet: — One ply Type G "GAFGLAS
EnergycapTM BUR Mineral Surf ced Cap ShMinI,,SjijfaSed Gap Sheet" or 'Tri -Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS®
Class e
1. Deck: C-15/32
• •
Incline: 3-1/2 • •• •
• • • •
Insulation (Optional): — • • • • • • • • • •
Onq or more layers perlite or wood fiber or glass fiber or polyisocYanura • e •••• ane or
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate conli8gtt!�,!or phenolic, any thick Sg! •
Ply Sheet: — Two or more plie Type G1 "GAFGLAS® Ply 4" or 'Tri -PI
Cap Sheet — Type G3 pli Sye PIy 4" or "GAFGLAS® PI 6a • • •
BUR Mineral Surfaced Cap Sheet", e Mineraladheed with hot roofingced Cap t'" or "Tt -PI Y feel for "Gll�,'faseiirid, •
Y® Mineral+Surtaced Cap SheeY'Ior "GAPGLAS® Energyl*gi`
2. Deck: C-15/32•
Incline: 3-1/2
Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polylsocyanurate or urrlRhane •••
Perlite/Potylsocyanurate compo• • • •
Base Sheet: — to or perlite/urethane composite or wood fiber/polyiiss
socyanurate composi• te phen�Elic, any thickn✓• • • •
Two or more Type G3 or Type G2 or •
Membrane: — One or more pH s "Ruberoid® Torch Smooth" orG Ruberoid® Torch Granule" or "Ruberoid®'Torch Granut
"Ruberoid® Mop Smooth" or "Ruberoid® Mop Smooth 1.5" or "Ruberoid® Mop Smooth Plus" or "Ruberoid®� Mop Granule" or "Ruberoid® •
Mop Plus Granule" or "ROOFMatchTM SBS Modified Granular" or "Tri -PI e,�us" or
Modified Granular" or "Tri -Ply® TP -4G or "Tri -PI Y®; SBS Modified Bitumen Membrane" or "ROOFMatch*M APP
Cap Sheet: — "GAFGLASe Min al Surfaced Cap Sheet", orr"Tfl p y® Mineral Surfaced,Cap
Mineral Surfaced Cap Sheet" fuli�y adhered with hot roofing asphalt. P Sheet" or "GAF<il A5® Ene Ca TM
rgY P BUR
3. Deck: C-15/32
••••
• • • • •
•• •• •• •
•
Incline: 2-1/2
Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber orpolyisocyanurate or urethane or
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber Y
I lsoc' anurate composite or phenolic, any thickness.
Ply Sheet — Two or more piles Type Gi "GAFGLAS® PIy 4" or "Td -Ply®' Ply 4" or"GAFGLAS® Ply 6".
Cap Sheet: — "GAFGLAS® Ener�yCap*M BUR Mineral Surfaced Cap Sheet".
4. Deck: C-15/32
Incline: 2-1/2
I
Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or
perlite/PolYisocyanurate compositE or perlite/urethane compositeplied or wood fiber/polylsocyanurate composite or phenolic, any thickness.
Base Sheet" —Two YPe,G1 "GAFGLAS® PIy 4" or "Tri -ply® PIy 4" or "GAFGLAS® PIy 6" or T'
Sheet".Sy® #75 Base Sheet' or Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or 'Tri-PIy®MI neral"Surfaced SCap #75
Membrane: — One or more plies 'Ruberoide Torch Smooth" or "Ruberoid® Torch Granule" or "Ruberoid® Trch Granule Plus" or
"Ruberoid® Mop Smooth" or "Ruberoid® Mop Smooth 1.5" or "Ruberoid® Mop Smooth Plus" or "Ruberoid® Plop Granule" or "Ruberoide
Mop Plus Granule" or "ROoFflwtatchTM SBS Modified Granular" or 'Tri -ply® SBS Modified Bitumen Membrane" or "ROOFMatchTM APP
Modified Granular" or "Tri-PIy® TP14G" or "Tri-PIy® TP -4" or "Ruberoid® Dual Smooth". i
Cap Sheet: — "GAFGLAS® EnergliCapTM BUR Mineral Surfaced Cap Sheet".
Class C
1. Deck: C-15/32
Incline: 1/2
Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polylsocyanurate or urethane or
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness.
Ply Sheet: — Three or more plies Type Gi "GAFGLAS® PIy 4" or 'Tri -ply® Ply 4" or "GAFGLAS® Ply 6".
Surfacing: — "Special Roofing Bitumen" applied at 20-lbs/100-ft2.
COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR
Class A
1. Deck: C-15/32
Incline: 1/2
Insulation (Optional): — One or More layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or
perlite/polyisocyanumte composite Or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness.
PIy Sheet — Three or more plies Type Gi "GAFGLAS® Ply 4" or "Tri-Ply@'ply 4" or "GAFGLAS® Ply 6" hot mopped with coal tar
bitumen.
1/I7/Ii I1.1-7 11)1,
003760
Local Business Tax Receipt
Miami -Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
6123228
BUSINESSNAME/LOCATION" ...
A 1 PROPERTY SERVICES GROUP INC
890 SW 69 AVE
MIAMI FL 33144
OWNER
A 1 PROPERTY SERVICES GROUP INC
Worker(s) 4
RECEIPT NO.
RENEWAL
6386072
EXPIRES
SEPTEMBER 30, 2018
Must bo displayed at place of bustness
Pursuant to County Code
Chapter 8A - Art. 9 & 10
SEC. TYPE OF BUSINESS
196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
eY TAX COLLECTOR
CCC1328326
•''. $75.00 07/26/20.17 _.....
- .. _.._... FPPU02-17-019310
TIAs Local Business Tax Receipt only confirms payment of the Local Business Tex. The Receipt Is not a license,
permit, or cettificatton of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dada Code Sec Ba -276.
For more Information, visit www.mlamfdade.aoypaxcolrector
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
MADRUGA, YOSVANY F
A-1 PROPERTY SERVICES GROUP INC
841 SW 69TH AVENUE
MIAMI FL 33144
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to Improve the way we do business In order
to serve you better. For information about our services please
to w
onto ww.myflorldalicense,com. There you can find more
information about our divisions and the regulations that Impact
you, subscribe to department newsletters and learn more about
the Department's Initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFFSSIQNAL'REGULATION
CCC1328326 "';;,:ISSUED; :.09/14/2016
CERTIFIED ROOkING;CO,NTRACTOR
MADRUGA, YOSVANY F
Al - PROPERTY SERVICES GROUP INC
IS CERTIFIED under the provisions of Ch.489 FS.
Expiration dale : AUG 31.2016 L1609140001739
DETACH HERE
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
L10ENSE.NUMBER
CCC1328326
The ROOFING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2018
MADRUGA, YOSVANY F
A-1 PROPERTY SERVICES GROUP INC
841 SW 69TH AVENUE ,: ::,
MIAMI FL 33144
ISSUED: 09114!2016
DISPLAY AS REQUIRED BY LAW
SEQ N 1.1609140001739
ACaREA CERTIFICATE OF LIABILITY INSURANCE
DATE (NI U7Q/YYYY)
12/22/2017
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 POUCIES
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 cern fcete holder is en ADDITIONAL INSURED, the policy(les) trust be endorsed, If SUBROGATION IS WAIVED, subject to
the terms and corulltIons of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In Iieu of such endorsement(s).
PRODUCER
Frank H. ?urmanr Inc.
1314 East Atlantic Blvd.
P. O. Box 1927
Pompano Beach I+L 33061
CONYACT
NAYS: Sandra LaRue
E (954)943-5050 FXw
1SP)942-6310
NMC 8
jmNI,aandrat?furmaninsurance.cam
INSURER(8) AFFORDING COVERAGE
INSURER A AXIS Su • lus Insurance Co
26620
94 UR613
A-1 Property Services Group, Inc
890 SW 69th Ave
Miami FL 33144
INsueees:Travelers Casualty Ins Co of
Co
19046
19410
INsuRERc:Co000erce 6 Industry Insurance
INSURER O:
EAMAA
PREMISE to awao D
PREMISES IEaOoc�rrancel
PNSW*f e:
elstIRER F ;
d4Eli EXt (Any on. Person)
LATE NUM
Ria
201
GL/AU/UM
REVISION NU
ER:
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 WHCH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN: THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSA
LTR
T YRE OF INSURANCE•
AOOL
SUER
Ialyn
I Ic Ntiads eR
POL Y EFP
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UMTS
X
COMMERCIAL G ERAL UAWUTY
.1!34!1
X
.
FLGLR03$29AX
5/30/2017
4/70/2010
EACH OCCURRENCE
1, 000,000
EAMAA
PREMISE to awao D
PREMISES IEaOoc�rrancel
F 50, 000
CIAITASdMAOE X� OCCUR
d4Eli EXt (Any on. Person)
9 5, 000
PERSONAL A ADV INJURY
$ 1, 000, 000
GEN At, AOAREGATE
« 2,000,000
C
4t N GP 2GATC
POLICY-
SOT ni=R;
U.IIT APPLIES
Xp
'
PER:
LOC
PRODUCTS • C/OF AOII
$ 2,000,000
S
8
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At t OyYNED
AUTOS
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----`
„,.
' �AUTOS
SCHEDUE.ED
mitesaNON
OWNED
Atll�tJ
RA45629064
8/2 /2017
OM /2015
COMDINED SINGLE LIMIT
(Ela aodden4
$ 1,000,000
ODLY INJURY (Pot $41t)
PPx
S
Boot? 1t JURY (Pet e c 1 nt)
S
'Y 0AMA....
PROPERTY
1Pw xdoent)
C
2
UMSRELLA UAe
EXCESS UAO
X
OC4t7R
CLAIMSMA17E
5E02 07545
over GL On 11,
9/30/2037
9/30/2018
EACH OCCURRENCE
5 5 000, 000
AGORFGATE
lr 5,000,000
0
OED RETENTION$
woremeSCOMPENSATION
AND EMPLOYERS' UAINUTY
ANY PROPRETOR+PARINER,E)cECEtTIttE
OFFICE MAE,MEER FXCLUDEO?
(Mandatory In NN)
II yati, doscd'sa undo
DESCRIPTIONOEOPERATIONS bolaw
V/ N
N/A.
P r% OTI4
STATUTt ER
E . EACH AccOExATI'
6
E. L, OISEASI • EA EMPLOYLL
S
EEkal <POL7^B°iIMIT
'3
°ESCRIPPON OF OPERATIONS /LOCATIONS / VEHCLES (ACORD Moi, Addddonat Remarks Setoas6da, Y'tIe a0exhsd It rntare secs #x reGubedl
RE: #CCC1328326
Miami Shores Village Bldg Dept and their partners, employees and agents are included as additionally
insured for general liability as required by written contract.
CERTIFICATE HOLDER
13057568972eofalsaend. c
MIAMI SHORES VILLAGE BUILDING DEPARTMENT
10050 N.E. 2 AVE
MIAMI SHORES, FL 33138
CANCEL
(TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE YYILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHQREtED REPRESENTATIVE
Dirk DeJong/SL
:.�
ACORD 25 (2014/01)
INS025t2Ql4oi)
1988-2014 ACORD CORPORATION, All righ
The ACORD name end logo are registered marks of ACORD
seal
d.