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RF-18-1220GV _ )d- dial- 2/A ' / AL- fa'-/ ° 3zi"v 9C� A. - /f- /l/`%- //6C,,Ly n 7C'iliT sz�� `�7' ,% :7Lt- Jcv.D a �, �� b C. - Jul atr-� ��=�.. v I�z, f'eHzz Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address :issue Date: 7/6/2018 Permit NO. RF-5-18-1220 Permit Type: Roof Work Classification: Tile/Flat Permit Status: APPROVED Expiration: 01/02/2019 Parcel Number Applicant 1421 NE 103 Street Miami Shores, FL 33138-2625 1132050310150 Block: Lot: VILMA QUINTANA Owner Information Address Phone CeII VILMA QUINTANA 1421 NE 103 Street MIAMI SHORES FL 33138- 1421 NE 103 Street MIAMI SHORES FL 33138- Contractor(s) MED BUILDERS CORP Phone CeII Phone (786)423-6877 (305)244-0834 (305)527-3904 Valuation: Total Sq Feet: $ 32,000.00 4000 Type of Work: Re Roof Additional Info: RE -ROOF FLAT TILE AND FLAT ROOF POR Classification: Residential Scanning: 4 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Penalty Fee Permit Fee - New Roof Scanning Fee Technology Fee Work without Permit Fee Total: Amount $19.20 $4.88 $3.25 $6.40 $100.00 $325.00 $12.00 $25.60 $325.00 $821.33 Pay Date Pay Type Invoice # RF-5-18-67465 07/06/2018 Check #: 218 05/08/2018 Cash Amt Paid Amt Due $ 771.33 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof in Progress Renailing Affidavit Review Roof Review Roof Review Roof 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 assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELEC ' ` CAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS construct VIT 0 : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ng. more, I authorize the above -name contractor to do the work stated. Eri Ce A • July 06, 2018 Autho zed Signature: Owner / Applicant / Contractor / Agent Date Buildin • Department Copy July 06, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-303521 Permit Number: RF-5-18-1220 Scheduled Inspection Date: August 24, 2018 Inspector: Naranjo, Ismael Owner: QUINTANA, VILMA Job Address: 1421 NE 103 Street Miami Shores, FL 33138-2625 Project: <NONE> Contractor: MED BUILDERS CORP Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile/Flat Phone Number (305)527-3904 Parcel Number 1132050310150 Phone: (786)423-6877 Building Department Comments RE -ROOF FLAT TILE AND FLAT ROOF PORTION. 05-17-2018 This property has a stop work order. no work is to be performed until authorized by the building official. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments C� vtc/ August 23, 2018 For Inspections please call: (305)762-4949 Page 4 of 25 o JL o E o FLORIDA INTERNATIONAL ENGINEERING, INC INSIGHT•INNOVATION•INTEGRATION Florida International Engineering, Inc 6175 NW 167 St., G-20, Miami, FL 33015 Telephone: (305) 378-1991-Fax: (305) 378-1997 Miami -Dade Lab Certification # 07-0612.11-State of Florida ca #27273 Owner's Name: Job Address: Roofing Contractor: Permit Number: Ft- 18 — 1 7-7-40 Type of Tile: \ - -- -i-Okkrk 1 V2- A roximate S uare Footage: L " Q iD ft2 SITE SPECIFIC INFORMATION o/ I (IvG6. Q , +.S ' A.v.JA I�2i �1=E- 10� T> Approximate Roof Height: Type of Access to Roof: \,L%adder Required Testing Force: 3 lbs.+ Date Installed: 2 feet Slope: pp q f Other: Testing Equipment: F.G.E.,t 00x S impo Instrument Date of Inspection: 8 - ' 18 TEST RESULTS P= PASS, F= FAIL Test Location P or F Test Location P or F Test Location P or F Test Location P or F Test Location P or F Q 1 l 42 62 I / 82 3 23 43 63 83 4 24 44 64 84 5 25 45 65 85 6 26 46 66 86 7 27 47 67 87 8 28 48 68 88 9 29 49 69 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 93 14 34 54 74 94 15 35 55 75 95 16 a 36 56 4 76 96 17 37 57 77 97 18 38 58 78 98 19 39 59 / 79 99 20 40 60 r 80 100 / / IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: ' 7 ft Area Units or ft2 No. of Tests Perimeter I I ep -2'Z Field 69 0 1 4" Corners Hips & Ridges .e \.4-0 i RESPECTFULLY SUBMITTED BY: VH %3 (c c� VMB Venkatesan, P.E. Qi Florida Registration No.: 63107 29 0 Job Address: 1 Z Contractor:. 7 U1Z 5 Sketch of Roof (NTS) 0 ev GAT a Tit) Goys BUILDING PER T APPLICATION ILDING ❑ ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 RECETVED Mi30 8 '?018 BY. 614 FBC20l� Master Permit Nola-F. iE ' t C._ L o Sub Permit No. OFING ❑ REVISION Ei EXTENSION El RENEWAL ❑PLUMBING ❑ MECHANICAL ID PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: /'/2/ D5 (0 3 .5r City: Miami Shores County: Miami Dade Folio/Parcel#: ��-- /02� S b 3 0 / 50 • Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: ❑ CANCELLATION ❑ SHOP DRAWINGS Zip: jj3/38 NO G/ BFE: FFE: Phone#: �;� 52?, 3 QO Zip: -P 3 t E'3 OWNER: Name (Fee Simple Titleholder): [sl /fr77e rze...4;yi&la fyar 103 r City: /�G( ?fit-' 5h€J) State: Fe...— Tenant/Lessee Name: Email: Address: Phone#: 19-SO6-G15I CONTRACTOR: Company Name: M (/`./ C ! dX �'� 0.0Y Phone#:l a y//6r/3r , Address: City: Qualifier Name: ab -40.0`-f 3 393 ( /f' Le) l9 5T Sate: Q tvt At (f(ACf),z Phone#: State Certification or Registration #: Cf.a-- / 3 3 / 2 9 Z. Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: n Value of Work for this Permit: $ 30( t�o (% • �;/ t Square/Linear Footage o Work: r/ 00o Type of Work: ❑ Addition ❑ Alteration ❑ New pair/Replace ❑ Demolition Description of Work: /A Q .4(9e ,. 7/ /Q , ,i7-840067 • Zi Specify color of color thru tile: D r co\ y Submittal Fee $ Permit Fee $ 3 2� • CCF $ ` [ CO/CC $ c. Scanning Fee $ Radon Fee $ -3 • as DBPR $ • 8 R Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ 32J • 00 Structural Reviews $ Bond $ Z C 1 E' TOTAL FEE NOW DUE $ 3 �� (•33 (Revised02/24/2014) ********* ......1***W n***1 nr*** (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu In the absence of such posted notice, the inspection will not be approved and a reipspection fee will be charged. Signature_ OWNER or AGENT The foregoing instrument was acknowledged before me this The foregoing nstrument was acknowledged before me this d3 day of , 20 t.' , by (y2 day of / 4 ay a/W A-, who is personally known to Cris. A • Ntc-cllekek Signatur me or who has produced identification and who did take an oath. NOTARY PUBLIC: CONTRACTOR by as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:— Sign: Print: jZ� i9PC41. Print: '"••"'"! ANT AGO MEDINA Seal: I j j`,�, , Seal: "j MY COMMISSION #FF132588 ' •a ,r EXPIRES June 15, 2018 .1(407) 398-0153 Florldallota rMMce.c0m Mr�l * � * �* * iyt Plans Examiner APPROVED BY 7 LRv ref tip;*,-,,,, LAUREN CHRISTINE TOME . � '�'•• Note Public - State of Florida ./ Comm"ss'o M Comm, Expires Sep 13,2021 'FOF bBF@eB through NRrani1%e47Nr• Zoning Structural Review Clerk Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3205-031-0150 Property Address: 1421 NE 103 ST Miami Shores, FL 33138-2625 Owner VILMA QUINTANA Mailing Address 1421 NE 103 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 3,114 Sq.Ft Living Area 1,908 Sq.Ft Adjusted Area 2,431 Sq.Ft Lot Size 9,810 Sq.Ft Year Built 1967 Assessment Information Year 2017 2016 2015 Land Value $353,458 $328,969 $299,582 Building Value $177,657 $179,067 $180,477 XF Value $20,791 $20,960 $14,011 Market Value $551,906 $528,996 $494,070 Assessed Value $266,954 $261,464 $259,647 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $284,952 $267,532 $234,423 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 RE -PLAT OF TR C MIAMI SHORES BAY PARK ESTS PB 64-97 LOT 13 BLK 6 LOT SIZE 90.000 X 109 Page 1 of 1 Generated On : 5/8/2018 Taxable Value Information 2017 2016, 2015 I County Exemption Value $50,000 $50,000 $50,000 Taxable Value $216,954 $211,464 $209,647 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $241,954 $236,464 $234,647 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $216,954 $211,464 $209,647 Regional Exemption Value $50,000 $50,0001 $50,000 Taxable Value $216,954 $211,464i $209,647 Sales Information Previous Sale Price ORBook Pa e 9 Qualification Description 01/09/2018 $677,500 30833-2568 Qual by exam of deed 01/12/2015 $100 29470-0876 Corrective, tax or QCD; min consideration The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 5/8/2018 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: 10050 NE 2nd Ave Miami Shores, Fi 33138 k Re: Owner's Name: f v \ trY-c1 v I ' n Property Address: r It-t 2 I- !A/ E to 3 S 1 A,1.2x f F'i 3 3) Roofing Permit Number: Dear Building Official: I f �� 1 I'Y` "i c certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00, Please attach proof of ad valorem taxation, o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994dition of the Sou t Florida Building Code (1994 SFBC) Signature 1—; V i Igvf Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned, Sworn to and subscribed before me this day of Not Public, Sate Notary ♦ �' ""' SANTIAGO MEDINA 3 ` MY COMMISSION #FF132566 u lic, of Florida at Large��`"'`�' EXPIRES June 15, 201a 40» �1`'� FloridallotaryS?rtce.com • When the just valuation of the structure for purpose of a. alorem taxation is equal to or more than 0,000.00, and the building was not constructed wdh FBC nor a 1994 SFBC. Then you must provide a budding application from a General Contractor for the Roof to Wall connection Hurricane Mitigation, Revised on 5/21/2009 iami 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 Depa 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: Roofing Permit Number Dear Building Official: property as required by the Manual Structures as adopted by the Florida Hurrican Signature State of Florida County of Dade ent Date: certify t at I have improved the roof to wall connections of the referenced Mitiga on Retrofits for Existing Site -Built Single Family Residential ommission by Rule 98-3,047 F.A.C. Print Name The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of 20 Notary Public, Sate of Florida at Large (SEAL) Revised on 5/21/2009 FINAL COMPLIANCE Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. '� COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: N.% E D 13•0 t aerS Carp BUSINESS ADDRESS: let e co s+ CITY iat eali STATE F L ZIP 330t0 BUSINESS PHONE: (3$lc ) L[Z 3 — GB 1 FAX NUMBER ( 3cri) 882 - ((141 CELL PHONE ( 3os) 2-y'-I -o83y QUALIFIER'S NAME: E rick A - i�l�c r ct QUALIFIER'S LIC NUMBER: C CC 13312 92 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 MEDINA, ERICK MED BUILDERS 198 WEST 17TH HIALEAH ALEJANDRO CORP STREET FL 33010 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. 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 DRIVER UCENSE CLASS E M350-201-92.425-0 ERICK ALEJANDR:: MEDINA 198 W 17 ST HIALEAH. FL 33010-266S DOB 11-25-1992 SEX. 11411 ' 11-21.2014►Ir 11-25-2022 SRPtMMIE91 ,- Duster„� .of . maw v.lnc$e censYtows cc..sn* t, .nv sobneel' I.st requsrod by la. STATE OF FLORIDA -'f` DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CCC1331292 ISSUED: 09/05/2017 CERTIFIED ROOFING CONTRACTOR MEDINA, ERICKALEJANDRO MED BUILDERS CORP IS CERTIFIED under the provisions of Ch.489 FS. Expiration date AUG 31. 2018 L1709050000422 DETACH HERE JONATHAN ZACHEM, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER CCC1331292 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 MEDINA, ERICK ALEJANDRO MED BUILDERS CORP 198 WEST 17TH STREET HIALEAH FL 33010 ISSUED: 09/05/2017 DISPLAY AS REQUIRED BY LAW SEQ # L1709050000422 I DEPARTMENT OF THE TREASURY • INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 MED BUILDERS CORP 198 W 17TH ST HIALEAH, FL 33010 Date of this notice: 06-23-2017 Employer Identification Number: 82-1957535 Form: SS-4 Number of this notice: CP 575 =_ For assistance you may call us a 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTIC:. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 82-1957535. This EIN will identify vou, your business accounts, tax returns, and documents, even if you have no employees. Please keepthis notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very imoortant that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delayr *'� in processing, result in incorrect information in your account, or e;,en cause you to be assigned more than one EIN. I_f the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from vou or your representative, you must file the following form(s) by the date(s) shown. Form 940 Form 944 Form 1120 01/31/2018 01/31/2018 04/15/2018 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If -;oL; need help in determining your annual accounting period (tax year), see Publication538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and i� not binding on the IRS. If you want a legal determination of your tax classification., is may request request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional informatio^_ IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7232045 BUSINESS NAME/LOCAUON RECEIPT NO. MED BUILDERS CORP RENEWAL 198 W 17 ST 7517386 HIALEAH FL 33010 LBT� EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS MED BUILDERS CORP 196 SPECIALTY BUILDING CONTRACTOR C/O ERICK MEDINA CCC1331292 Worker(s) 2 PAYMENT RECEIVED BY TAX COLLECTOR $45.00 09/23/2017 CREDITCARD-17-061508 This Local Business. Tax Receipt only cwfinns payment of the Local Business Tax. The Receipt is not a license, permit, er a certification 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 NO. above must be displayed on all commercial vehicles — Miami —Bade Code Sec 8a-276. For more information, visit www.miamidade.govhaxcollector ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/02/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. : IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Best Quality Insurance Group Lic 8181 N.W. 36nd Street, Suite #1010 Doral, FL 33166 Phone (305)597-7787 Fax (305)597-6477 INSURED MED BUILDERS CORP LICENSE # CCC1331292 198 W 17 St HIALEAH FL 33010- PAI,Hivqp, ext), (305 )597-7787 — - FAX (tvg, No}: (305)597-6477 Aooeess: best9ualityinsurance@gmall.com INSURER(S) AFFORDING COVERAGE 1 NAIC # INSURER A WESTERN WORLD INSURANCE COMPANY INSURER B: INSURER INSURER 0 : 01s14Rgli. ,„ . ... INSURER F • COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL(CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .. , INSR ADDLSUBR POLICY EPF POLICY EXP ' .. • LTR TYPE OF INSURANCE INSR .Wv1)., POLICY NUMBER , IMM/C:10/YYYY) (MM/DO/YYYY), .3_7 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE LIMITS . $ 1,noo,000.00 1 CLAIMS -MADE k OCCUR LiANIAGE fd RENTED A F9Emisp (py occurrenco) $ 100,000,00 MED EKP (Any one person) S 5,000.00 NPP8440275 GEN'L AGGREGATE LIMIT APPLIES PER. I", PRO. n , L.....i POLICY L.,-; JEcT i-..,i LOC OTHER . . . ' AUTOMOBILE LIABILITY 1 ANY AUTO ,•--1 OWNED AUTOS ONLY fl AUTOSONLY , L., ......, [-I UMBRELLA LIM! T„,1 OCCUR EXCESS LIAB Li CLAIMS -MADE L.,.1 two ....RETENTION $ . . WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ! i ! ANY PROPRIETOR/PAIRTNER/EXECUTIVE— •••. ! i OFFICER/MEMBER EXCLUDED'? , 1: N / A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below ri SCHEDULED AUTOS Li NON•OWNED AUTOS ONLY 09/18/2017 09/18/2018 PERSONAL & ADV INJURY $ ,up0,0u0,00 GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS COMP/OP AGG $ 2,000,000.00 $ COMBINED SINGLE LIMIT $ LEA accident) BODILY INJURY (Per person) $ • BODILY INJURY (Per accident) $ pROPERTY DAMAGE (Per scot:lent) $ _ . . EACH OCCURRENCE AGGREGATE r"-) PER Ofi+. :1,-.1TrAtuTE c-„-„,, ER ELEAcH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ .• • • • DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) MED BUILDERS CORP: LIC #: CCC1331292 CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2016/03) OF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988-2015 ACORD 0610tIRAPPION. All rights reserved. The ACORD name and logo are registered marks of ACORD A litii CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/03/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE (A/C, No, Ext): (800) 277-1620 X 4800 FAX (NC, No): (727) 797-0704 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Frank Winston Crum Insurance Company 11600 INSURED FrankCrum UC/F Med Builders Corp 100 South Missouri Avenue Clearwater, FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: • r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY. PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSRD SUER WVD POLICY NUMBER POLICY EFF (MWDD/YYYY) POLICY EXP (MWOD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ f CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ GEN'L MED EXP (Any one person) $ PERSONAL B ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ - - BODILY INJURY (Per acddent) $ PROPERTY DAMAGE (Per accident) $ - UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below �r/N N/A WC201800000 01/01/2018 01/01/2019 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1.000.000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 51.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required Effec ive 11/20/2017, coverage is for 100% of the employees of FrankCrum leased to Med Builders Corp (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. Re License No:CCC1331292 ncnncr nnn r c- CAT= Miami Shores Village Bldg., Dept. 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE •+ '''. I'�'W'.-.1✓' -- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD © 1988-2016 ACORD CORPORATION. All rights reserved. Property Search Application - Miami -Dade County Page 1 of 3 IMPORTANT MESSAGE When buying real estate property, you should not assume that property taxes will remain the same. Whenever there is a change in ownership, the assessed value of the property may reset to full market value, which could result in higher property taxes. Please use our Tax Estimator to approximate your new property taxes. The Property Appraiser does not send tax bills and does not set or collect taxes Please visit the Tax Collector's website directly for additional information. Address Owner Name Subdivision Name Folio SEARCH: 1421 NE 103 St PROPERTY INFORMATION 0 Folio: 11-3205-031-0150 Sub -Division: MIAMI SHORES BAY PARK EST REPEAT OF TR C Property Address 1421 NE 103 ST Miami Shores, FL 33138-2625 Owner VILMA QUINTANA Mailing Address 1421 NE 103 ST MIAMI SHORES, FL 33138 PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 312 / 0 Floors Living Units 1 Actual Area 3,114 Sq.Ft Living Area 1,908Sq.Ft Adjusted Area 2,431 Sq.Ft Lot Size 9,810 Sq.Ft Year Built 1967 Featured Online Tools Comparable Sales Tax Comparison Glossary Tax Estimator Non -Ad Valorem Assessments TRIM Notice Suite PA Additional Online Tools Property Taxes Value Adjustment Board Property Record Cards Report Discrepancies ASSESSMENT INFORMATION 0 BENEFITS INFORMATION 0 Year 2017 2016 2015 Land Value $353,458 5328,969 $299,582 Property Search Help Report Homestead Fraud Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $284,952 $267,532 $234,423 https://www.miamidade.gov/propertysearch/ 5/8/2018 Property Search Application - Miami -Dade County Page 2 of 3 IA Building Value Extra Feature Value Market Value d Value $177,657 $179,067 $180,477 Homestead Exemption $25,000 $25,000 $25,000 $20,791 $20,960 $14,011 Second Homestead Exemption $25,000 $25,000 $25,000 $551,906 $528,996 $494,070 ,y 3266,954 ... $261,464w$259,647 TAXABLE VALUE INFORMATION 0 COUNTY Exemption Value Taxable Value SCHOOL BOARD Exemption Value 2017 2016 2015 $50,000 $50,000 $50,000 $216,954 $211,464 $209,647 $25,000 $25,000 $25,000 Taxable Value $241,954 $236,464 $234,647 CITY Exemption Value Taxable Value REGIONAL Exemption Value Taxable Value SALES INFORMATION 0 $50,000 $50,000 $50,000 $216,954 $211,464 $209,647 $50,000 $50,000 $50,000 $216,954 $211,464 $209,647 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). FULL LEGAL DESCRIPTION RE -PLAT OF TR C MIAMI SHORES BAY PARK ESTS PB 64-97 LOT 13 BLK 6 LOT SIZE 90.000 X 109 Previous Sale Price OR Book -Page Qualification Description Previous Owner 1 Previous Owner 2 01/09/2018 $677,500 30833-2568 Qual by exam of deed ALBERT R TOUSSAINT LE REM JANET LEE TOUSSAINT 01/12/2015 $100 29470-0876 Corrective, tax or QCD; min consideration ALBERT R TOUSSAINT For more information about the Department of Revenue's Sales Qualification Codes. 2017 2016 2015 LAND INFORMATION 0 Land Use GENERAL Muni Zone PA Zone Unit Type Units Calc Value R-20 1100 - SGL FAMILY - 2301-2500 SQ BUILDING INFORMATION 0 Front Ft. 90.00 $353,458 Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adj Sq.Ft. Calc Value 1 1967 3,114 1,908 2,431 $177,657 <9, Building Sketches Available! EXTRA FEATURES 0 Description Year Built Units Calc Value . Chain -link Fence 4-5 ft high 1968 56 $308 Patio - Concrete Slab 1967 964 $2,333 I Pool 6' res BETTER 3-8' dpth, tile 250-649 sf 1967 $18,150 ADDITIONAL INFORMATION • The information listed below is not derived from the Property Appraiser's Office records. It is provided for convenience and is derived from other govemment agencies. https://www.miamidade.gov/propertysearch/ 5/8/2018 Property Search Application - Miami -Dade County Page 3 of 3 S i LAND USE AND RESTRICTIONS Community Development District: NONE Empowerment Zone: NONE Urban Development: INSIDE URBAN DEVELOPMENT BOUNDARY Govemment Agencies and Community Services OTHER GOVERNMENTAL JURISDICTIONS Business Incentives Florida Department Of Revenue School Board Childrens Trust Florida Inland Navigation District South Florida Water Mgmt District Community Redevelopment Area: NONE Enterprise Zone: NONE Zoning Code: R20 - Existing Land Use: City of Miami Shores PA Bulletin Board Tax Collector 10 - SINGLE-FAMILY, MED.-DENSITY (2-5 DU/GROSS ACRE). Environmental Considerations Non -Ad Valorem Assessments The Office of the Properly Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:llwww.miamidade.gov/info/disdaimer.asp For inquiries and suggestions email us at http://www.miamidade.gov/PAPortal/ContactForm/ContactFormMain.aspx. Version: 2.0.3 EXEMPTIONS 6 REAL ESTATE TANGIBLE PERSONAL PUBLIC RECORDS ONLINE TOOLS TAX ROLL BENEFITS PROPERTY ADMINISTRATION Deployed Military 40 Yr Building Appealing your Address Blocking Property Search Appealing your Re -Certification Assessment Assessment Disability Exemptions Change of Name Property Sales Appealing Your Assessment Reports Homestead Assessment Information Search Change of Address Tax Estimator Institutional Defective Drywall Exemptions Change of Ownership Tax Comparison & Title Senior Citizens Folio Numbers Extension Requests Homestead Declaration of Exemption and Mortgage Fraud Filing Returns Condominium Portability More > More > More > More > More > More > Home Privacy Statement Disclaimer About Us ADA Notice Contact Us © 2014 Miami -Dade County. AO rights reserved. https://www.miamidade.gov/propertysearch/ . 5/8/2018 Master Permit No. Contractoes Name Job Address Izoi 57-- • Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form Section A (General information) Process No. ROOF CATEGORY "..ow Slope 0 Mechanically Fastened Tile AsphaMc 0 Metal Panel/Shingles Shingles B EIRTreRraw Roof Y 0 8'20 I Me KIM • • • • • • • 000.0. 000 000, • • • • •.- • • • • • • • • • • • • • • • • • • Adhesivii,dit Tile • o Wobti Miingleinitalkes • CI Prescriptive BUR-RAS 150 ROOF TYPE • Ant these . gas.ligent Stbblre? elfesb N. Type: Natural Cr L.P.GX LI e-Roofing 0 Recovering CI Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 7 4/009 hod 3 god • • Section B (Roof Rani Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 111 1111111:1101:1 II • MMUS 1 111111::11111111111111MINN:1111116 / 1 INNIINENNOMMUN M BEINNWNNUMUMNIIMMIINNIII WIN& , !APWM'tIIr1I-.Ui:i-.lililis,l,inMmi,ia,ag,,Onill Il. M •niMuNOIN.ISftai.f_Uil..6MleM Mm•zI,Mil.lI ,,-i2N0r-nO2.N1 r-r.pN9I i-.M l-- mNI-ln.FOm-Ur-I-rNN-r:. iV-rn-pE-.pn1-a --m-..-.,....•+....w. -1w10-1-n a-o--•- .--i -i-. .- -.- ...n. 1 1enur-migIIs" rt 1t , O. ranmli_ J1i,__ii.r IM NMOIS a a wi 1' 1 . I amw 4LM111° 1gr.vre m _ • 4I111•IMain iNtw12.6!IIIl t4 A plum.isr-.I: iT niMEF---11 ii irrrrnq ni-2111 parjigVj;rrmai ors numln •marammelp ii1r ast I:aw MAIei a:n ow,1fitrraki "r:;1::klal :VI il.::;;I" suris .:kuo ri amlom tla 14111 :„.rp•".., 1iO71 P ..............„....7Ulu74. r; -4iu-I1.0•,.-.i.- 1 PORMMmoimPMIIIMUNNIM XikiqMeli• -_.„.. RMrUi"I19W1lil1..A In1.n11.1. u6nyiv ...Alainmpg: m" 47t_ _11711 gir31 RIi1 F-- a• 1IMPMA mMP1I_ 1iI IN• NI II__A ih1__4_ tlli4 l.• 1pr Ul 111.11111111111 __ __ r .p.. 11441 n112_ ---_, :IN x rs IMll7--1 l'LIi aum ri"fm ilh7F161WIit6MI i - ri 1ib 11 I_EMI wi11i1i... 4 ir, • liiiiiii; ..6.kre. Tt4r.„ia1 • 3 -- .--- i:WIil.i A 11L. ltti41l::1l_1t.ri1 f—If _t1i1_11_LL1I1i_i rilt4,_NM iNIPArIlale ioMM11_ -a"iit.i_ ._1 1 m .1 4amtfnow :21Yr tL__ 1NU 1t 0.••tM a I11 1aON W_i_I' I 11I H J1t11r l4_LLA.H.. ± — _ I a. w 0 • 1 Section(' ROOF SYSTEM MANUFACTURER: Product Approval (NOA); MIAM COUNTY Miami -Dade County HVHZ Electronic Roof Permit Form Section C Page (Low Slope Roof Systems) "Delir'erirrg Excellence Every Day' Fill in the specific roof assembly components. it a component is not required. insert not a;pli ub1+r'a) in the text box. Top Ply: 14-1030.02 System Type: Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Field: 1-42.8 (P2) Perimeters: (P3) Corners: psf -71.7 1-108.0 psf psf Maximum Design Pressure From NOA: -52.5 Roof Slope:10.50 " : 12 Roof Mean Height: psf Parapet Walls: 0 No 0 Yes Parapet wait Height: Deck Type: Support Spacing: Attemate Deck Type: Existing Roof: —5/8" Plywood — NA " o/c ft. SAME Fire Barrier: INA Vapor Barrier: Anchor Sheet: NA Anchor Sheet Fastener / Bonding Material: NA Insulation Base Layer Size & Thickness: NA Insulation Base Layer Fastener / Bonding Material: Insulation Top Layer Size & Thickness: NA Insulation Top Layer Fastener / Bonding Material: NA Base Sheet(s) & No. of Ply(s): GAF GLASSBASE 75# (2) PLIES Base Sheet Fastener / Bonding Material: I 1-1/4" RS NAIL & TIN CAP 1-5/8" Ply Sheet(s) & No. of Ply(s): INA Ply Sheet Fastener 1 Bonding Material: NA ft. GAF RU8EROID HEATWELD FR Top Ply Fastening / Bonding Material: HEAT FUSED • • • • Surfacing: I NA SINGLE PLY MEMBRANE: Single Ply Manufacturer / Type: NA Single Ply Sheet Width: NA No, of Single Ply 1/2 sheets: • •••• • • •••. " 1 /2 Sheet lAfidtia A • • • NA •••• • • • • • • • • • •• • • •••• • • ••• •• • • • • •• • • • • Single Ply Membrane Fastening / Bonding dat91'i l: ; • • INA ••• 0 FASTENER SPACING FOR BASESHEET ATTACHMENT ❑ SINGLE PLY MEMBRANE ATTACHMENT 1. Field: " o/c @ Laps & 2. Perimeter: " ale @ Laps & • • rows F 1 " o/c rows 1 1 " o/c 3, Corner: " o/c @ Laps & i '. I rows t i " o/c NUMBER OF FASTENERS PER INSULATION BOARD: 1, Field: 2. Perimeter: NA Insulation Fastener Type : 3. Corner: • • • • INA WOOD NAILER TYPE AND SIZE: 1" X 8" FASCIAL BOARD Wood Nailer Fastener Type and Spacing: #12 WOOD NAIL 16"0C EDGE & COPING METAL SIZES: Edge Metal Material Edge Size: Hook Strip Size: --Galvanized Metal- -3" face 26 ga.-- SELECT EDGE METAL HOOK STRIP SIZE— [— Edge Metal Attachment: 1-1/4" RS NAIL 4"OC Coping Material: Coping Size: • • • —SELECT PARAPET WALL COPING MATERIAL- -SELECT COPING METAL SIZE OR THICKNESS -- Hook Strip Size: J-SELECT COPING METAL HOOK STRIP SIZE — Parapet Coping Metal Attachment NA Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers Details that Comply with RAS-111 and Chapter 16. . Toil Piy tnterpties Base Sheet Roof Deck 'a. 5. Drip Metal Roof Mean Height: Drip Metal: Edge Nailablc Dcck M1AM! COU'ifY Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Rooting Permit Application Form "Delivering Excellence Every Day Illustrate Components Noted and Details as Applicable: • • • • • • ••.• Woodblocking, Gutter, Edge Terminations/Stripping/Flashing, Continuous Cleat, Cant Strip' Bes4Ftashigg,... Counterflashing, Coping, Etc.• ' • ..• Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Mater ,•t41•ajerial .•••• • •••••••• . . •• •• • • • •• •• . ••• 10 ft. •• • • . • ••• • •• . • • • •• • 3" Face - 26 gauge galvanized metal Surfacing: :nia Top Ply: RUBEROID SBS HEAT WELD 170 FR Interplics: nla Base Sheet: 2 Plies # 75 Gtassbase sheet Deck Type: 5/8" plywood • • • . • • • • • TGFU.R1306 - Roofing Systems Page 20 of 50 Primer: --'TOPCOAT® FireOur" Fire Barrier Coating", applied at a rate of 1-ga1./100•ft.1. Slip Sheet (Optional): — One ply 'StormSafe"" mechanically fastened. Base Sheet (Optional): — One ply liberty," MA Base Sheet', mechanically fastened. Ply Sheets — One ply "Liberty," SBS Self -Adhering Base/Ply Sheet" or "Ruberold® SA Base/Ply Sheet", self -adhered. Cap Sheet — "Ruberolde SA Cap FR Sheet", self -adhered. 54. Deck: NC Incline: 1 • • • • • • • • • • • • Barrier Board (Optional): — One or more layers Georgia-Pacific Gypsum LLC "DeneDec k(® Raotboard" or "DenspeckeP • Roofboard" or "oensDedc® OuraGuaro"" Roofboard", minimum 14-1n. thick, or United States Gypsum Co. "SECUROCKe Roo • • • • • Board" (Type FRX-G) or "SECUROCK® lass -Mat Roof Board' (Type SGMRX), mitnlmum "k-in. thick. • .. •• • Insulation (optional): — Peritte or fiberglass or polyisocyanurate or urethane or perlite/polytsocyanurate composite. • Base Sheet — One or more plies Type G2 "GAFGLASer if75 Base Sheet" or "Trf-Ply® *75 Base Sheet" or'GAFGtAS€i 9A eterlia"" • Base Sheet" or'GAFG.AS® Stratavente, Eliminator"' Venting Base Sheet (Perforated or Mailable)" or Type G3 "GAFGLASibeenerai • • • • Surfaced Cep Sheet' or MI -Pipe Mineral Surfaced Cap Sheet", mechanically fastened or fully adhered with hot roofing asphalt. • • • Ply Sheet (Optional): — One or more pies Type GI 'GAFGLASie Ply 4` er "Trl-Ply® Ply 4" or "GAFGLRSe Flex Ply 6' oi•"TWMyie Ultra- • • • • Flexible PIy 6', fully adhered with hot roofing asphalt. Membrane: — One ply "Ruberofd® Torch Smooth" or "TH-Ply® TP-4", tomb appied or "Ruberold® Mop Smooth" or "i ejcZd� • • • . • . Smooth 1.5" or "Risberold® Mop Smooth Pars" or "Ruberoid® Oval Smooth", fully adhered with not roofing asphalt. • • • • • • • Membrane: — "Ruberold® Mop FR" or "Rubemide EnergyCap'" Mop FR", fully adhered with hot rooting asphalt 55. Deck: NC Incliner 1 • • • • . • • • •• • • • • •• Barrier Board (Optional): — One or more layers Georgia-Pacific Gypsum LLC "Oensbeck® Roofboard" or "DensDeck Prime* • • • Roofbo rd" or "Desistecke OuraGuard•" Roofboard", minimum W-in. thick, or United States Gypsum Co. "SECUROCK • Board' (Type FRX-G) or "SECUROCK® Glass -Mat Roof Board" (Type SGMRX), minimum V-kr. thick. g • • • • • • • • • Iasulation (Optional): — Poly/sacraria-Me or wood fiber or perk: or glass fiber, any thickness, rnethanlcafy fastened or fully adhered • • • with hot roofing asphalt. Base St»at: — One or more piles Type G2 'GAFGLAS® *75 Base Sheet" or "T 1-Ply® *75 Sage Sheet" or "GAFCL4S® *BO Ultima"' Base Sheet" or "GAFGLASie Stratavent® Eliminator"' venting Base Sheet (Perforated or Naliabte)", mechanically fastened or Ivey adhered with hot roofing asphalt. Ply Sheet : — One or More piles "Ruberold® 20" or "Ruberoide Mop Smooth' or "Ruberokd® Mop Smooth 1.5" Or "Rubemide Map Smooth Plus' or "Ruberold® Dual Smooth', fully adhered with hot roofing asphalt. Membrane: — `Ruberoid® 5B5 Heat weld plus FR" or'Ruberold® 58S Heat Weld 170 FR" or "Ruberolde EnergyCap," SBS Heat Well Plus FR" or "Ruberotd® SBS Heat Weki Pius" or "Rube/oldie SBS Heat Weld Granule", torch applied. 56. Deck: C-15/32 incline 1/2 Base sheet — Two or more piles Type G2 "GAFGLAS® *75 Base Sheet" or-Til-Pty® *75 Base Sheet" er "GAFGU.AS® if80 Ultima," Base Sheet" or'GAFGLAS® Stratav80t® Eliminator," Venting Base Sheet (Nattablep, mechanically fastened. Membrane:—'Ruberold® SBS Heat Weld Plus PR" or "Ruberoid® SBS Heat Weid 170 FR" or "Ruberoide EnergyCap"" S85 Heat Weld Phu FR' or "Ruberofde SBS Heat Weld tarn' or "Rubemlde MIS Heat Weld Granule', torch applied. S7. Deck: NC Incline: 1/2 Bata Sheets — "RUberoide Mop Smooth" or'Ruberoid® Mop Smooth 1.5" or "Ruberokie Mop Smooth Plus' or "RuberekKii Dual Smooth', MN adhered with hot roofing asphalt or "Ruberoldt® SBS Heat Weld Smooth', torch applied Membrane: — "Ruberolde SB5 Heat Weld WUS FR" or "Ruberold® SBS Heat Weld 170 FR" or "Ruberold® EnergyCap"' 585 Heat Weld Phis FR" or'Ruberokie SB5 Heat Weid Granule" or "RUberotd® SBS Heat Weld Plus", torch eppted. 5B. Deck: NC Incline: 1/2 Inadatlen (Optional): — Potylocyenurate, uniform thid:rues of tapered minimum IVt-in., mechanically fastened or adhered with "LRF Adhesive Mt" «OMG Inc. "Olybond Fastening System", wed as a nominal i1-I n. bead or "GAF 2-Part Roofing Adhesive", applied as a installation nominal 2 nomad . bead With a maximum on -center spacing of 12-in. or any UL Classified Insulation adhesive, appned per the manufacturer's Barrier board, — Minimum 5-in. thick Georgia-Padfc Gypsum LLC "DensDedc® Roofboerd" or'Densoec k® Prime Roolboard" or "Omisteck® Dun:Guard"' Roolboard" or minimum N-In, thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G) or "SECUROCKe (pass -Mat Roof Board' (Type SGMRX), mechanically fastened or adhered with OMG Inc. "Olybond Fastening System". Base Sheet — One ply "Liberty"' S85 Self -Adhering Base/Ply Sheet" or "Ruberold® SA Base/Ply Sheet", self -adhered. Ply Sheet: — One ply "RUber kie SBS Heat Weld 25", torch applied. Membrane: — "Ruberolde S85 Heat Weld thus FR" of "Ruberotde SOS Heat Weld 170 FR" or "Ruberoid® EnergyCap'" 515 Heat Weld Plus FA" or "Ruberoldei SBS Heat Weld Granule' or "RuberWde SBS Heat Weld Plus", torch applied. 59. Deck: C-15/32 Incline: 1/2 Insulation (Optional): — Polylsocyanurate, uniform thickness of tapered minimum 1W-In., mechanically fastened or adhered with OMG Inc. 'tlybwnd Fastening System". Barrier Board: — Minbnum %-ln. thick GP Gypsum Corp. "OensDeck® Roolboard' or "DensDeck® Prime Roolboard" or "DensDeck® OuraGuard'" Roo/board' or mbemum vean. thick linked States Gypsum Co. "SECUROCK® Roof Board" (Type F RX-G) or "SECUROCKe Glass -Mat Roof Board" (Type SGMRX), with ell butt joints in the barrier board staggered a ndntnium of 6-in. from plywood deck butt joints, mechanically fastened or adhered with OMG Inc "Olybond Fastening System". Base Sheet — One ply "Liberty*" S85 Self -Adhering Base/Ply Sheet" or "Rubcrold® SA Base/Ply Sheet , self -adhered. PIy Sheet — One pry "Ruberold® SBS Heat Weld 25°, torch applied. Membrane: — "Ruberoid5, SBS Heat Weld Plus FR" or "Ruberolde SBS Heat Weld 170 FR" or "Ruberold® EnergyCap"' SBS Heat Weld Plus FR" or'Ruberold® 585 Heat Weld Granule" or "Ruberoid® S85 Heat Weld Plus", torch applied. 60. Decks C-15/32 Indina 1/2 Barrier Bearrb — Minimum 1-ln. thick GP Gypsum Corp. "DensOeck® Roofboard' or "DensDedc® Prime Re:Aboard' or "OensDeck® DuraIuard"" Roofboard" or mir8rnwn IA -in. thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G) or "SECUROCK® Glass -Mat Rood Board" (Type SGMRX), with air butt joints In the barrier board staggered a minimum of 6-in. from plywood deck butt Joints, mechanically fastened. htto://database.ul.corn/cgi-bin/XYV/template/LISEXT/1F1 AMF,Ishowpage.html?name=T... 9/23/2014 Home Quick Guide Contact Us UL.com TGFU.R1306 Roofing Systems See General Information for Roofing Systems GAF 1 CAMPUS DR PARSIPPANY, NJ 07054 USA 56. Deck: C-15/32 Incline: ' • • • • •• •• • • •... •••• • •• •• • •. Rr306 .• •• •••• •• . • • • • • • • • • • •••• • • • • •. .• • • • • Base Sheet:f :Two or more plies Type, G2 GAFG 75f " or "Tri-Ply® #75 Base Sheet" or "GAFGLAS® #80 UltimaTM Base Sheet" or "GAF(LAS® • •' • Stratavent® Nailable Venting Base Sheet", mechanically fastened. Membrane: — "RUBEROID® HW Plus Granule FR" or "RUBEROID® HW Granule FR" or "RUBEROID® EnergyCapTM HW Plus Granule FR" or "RUBEROID® HW Plus Granule" or "RUBEROID®HW Granule'; torch applied. Last Updated on 2016-07-21 Questions? Print this page Terms of Use Page Top © 2016 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (files) must be presented in their entirety and in a non - misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "© 2016 UL LLC". •' • • • DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF 1 Campus Drive Parsippany, NJ 07054 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.ot eonstrclgtJpn• materials. The documentation submitted has been reviewed and accepted by Miami-ada County,EER - Product Control Section to be used in Miami Dade County and other areas where alhiwedby the • • • • • Authority Having Jurisdiction (AHJ). . • This NOA shall not be valid after the expiration date stated below. The Miami -Dada County PrdddC• r • Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami'Dade County . • reserve the right to have this product or material tested for quality assurance purposes. If this protltict or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. 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 and revises NOA No. 14-0611.01 and consists of pages 1 through 30. The submitted documentation was reviewed by Jorge L. Acebo. MIAMI.D LDE COUNTY APPROVED NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 1 of 30 ROOFING SYSTEM APPROVAL Category: Sub -Category: Material: Deck Type: Maximum Design Pressure: -75 psf. Roofmg Modified Bitumen APP/SBS Wood • • • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPIfCANT: •' Product Dimensions Matrix" 102 SBS Membrane 5 gallons Adhesive GAFGLAS® #75 Base Sheet GAFGLAS® #80 Ultima' Base Sheet GAFGLAS® FlexPly' 6 GAFGLAS® Ply 4 GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® EnergyCap"" BUR Mineral Surface Cap Sheet GAFGLAS® Stratavent® Eliminator"" Perforated Venting Base Sheet GAFGLAS® Stratavent® Eliminator' Perforated Nailable Venting Base Sheet Ruberoid® SBS Heat -Weld' Smooth Ruberoid® SBS Heat -Weld' Granule RoofMatch' SBS Modified Granular Ruberoid® SBS Heat -Weld"" 170 FR MIAMFDADE COUNTY APPROVED 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide (1 (1 (1 (1 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 107 sq. ft. (9.9 m2) 39.37" (1 meter) Wide • • •••• • TABLE 1 • • Test Specification ASTM D3019 ASTM D4601 ASTM D4601 ASTM D2178 ASTM D2178 ASTM D3909 ASTM D3909 ASTM D4897 ASTM D4897 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 • • Pioctuet • • Description • If,. • Fiber reinforced rubb&fized coltl'applied adhesive for modiftect t tumen •roaf systems. • Type II asphalt impsegriated and.cQated glass mat base sheet. • • •' •' Type II asphalt impregnated and coated, fiberglass base sheet. Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied EnergyCote" Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. A nailable, fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -woven polyester mat coated with polymer -modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer -modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with SBS polymer -modified asphalt and surfaced with colored mineral granules. Non -woven polyester mat coated with fire retardant polymer -modified asphalt and surfaced with mineral granules. • • • NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 2 of 30 • Product Ruberoid® SBS Heat -Weld' Plus Ruberoid® SBS Heat -Weld'" Plus FR Ruberoid® EnergyCap " SBS Heat -Weld' Plus FR Ruberoid® SBS Heat -Weld' 25 Ruberoid® Mop Granule Ruberoid® Mop Smooth Ruberoid® Mop Plus Ruberoid® Mop 170FR Ruberoid® Mop FR Ruberoid® Torch Smooth Ruberoid® Torch Granule Ruberoid® EnergyCap- Torch Granule FR Ruberoid® EnergyCap- Torch Granule Plus FR RoofMatch' APP Modified Granular Ruberoid® Torch FR MIAMI.t DE COUNTY APPROVED Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 107 sq. ft. (9.9 m2) 1 meter (39.37") Wide Test Specification ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6163 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 Product Description Non -woven polyester mat coated with polymer -modified asphalt and surfaced with mineral granules. Non -woven polyester mat coate4 Kith fire retardant polyme i modsf ed asphalt. and surfaced with minertl gtanulee • • • Non -woven polyesteitrrat coatdd with fire retardant polymer-pgci1'ied asgtilt and 1 surfaced with mi$& gtanule$,aj 4 With factory applied Eneggy$ote. , .. . • Non -woven polydStef heat coated with polymer -modifier as,h$lt a•nd snfooth •surfaced. • • • Non -woven polydstee rat coatal with polymer -modified asphalt andiseina'ced with mineral granules. Non -woven polyester mat coated with polymer -modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer -modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with fire retardant polymer -modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with APP modified asphalt and smooth surfaced. Non -woven polyester mat coated with APP modified asphalt and surfaced with mineral granules APP modified cap membrane with a torch grade bottom surface and a mineral granular top surface coated with factory applied EnergyCote'*'. APP modified cap membrane with a torch grade bottom surface and a mineral granular top surface coated with factory applied EnergyCote"''. Non -woven polyester mat coated with APP polymer -modified asphalt and surfaced with colored mineral granules. Non -woven polyester mat, coated with fire retardant asphalt modified bitumen membrane with granule surface. NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 3 of 30 • • Product Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR Ruberoid® EnergyCap" 30 FR SBS Membrane Ruberoid® Dual FR Topcoat® Elastomeric Roofing Membrane Topcoat® MB Plus Topcoat® Surface Seal SB FireOut" Fire Barrier Coating VersaShield° Fire -Resistant Roof Deck Protection MIAMFDADE COUNTY APPROVED Dimensions 1 meter (39.37") Wide 1 meter (39.37") Wide 1 meter (39.37") Wide 1 meter (39.37") Wide 39.37" (1 meter) Wide 1, 5 or 55 gallons 5 or 55 gallons 5 gallons 5, 55 gallons 42" x 100' rolls Test Specification ASTM D6163 ASTM D6163 ASTM D6163 ASTM D6163 ASTM D6162 ASTM D6083 Proprietary ASTM D6083 Proprietary ASTM D226 Product Description SBS modified asphalt ease shelf ieififorce with a glass fibermat.: • • • • Non -woven fibergte rnat coatiertaith polymer modified a NAlt and surfaced • with mineral granules • Non -woven fiber,ghwinat coaaicT with fire • retardant, polymsi► •nodified dzpl2alt and surfaced with mijfer41•granules. • . • Non -woven fiberglass flat cQUed.•syith fir:+ • • * • retardant, polymeu modified •I ehalt and • surfaced with mineral granule amd'with • factory applied EnergyCote. Non -woven polyester and fiberglass mat coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. An acrylic, water based elastomeric membrane system designed to protect various types of roofing surfaces. Water based, low VOC primer used to block asphalt bleed -through. Solvent based sprayable thermoplastic rubber sealant designed to protect and restore aged roof surfaces and to increase a roofs reflectivity. Low VOC, water -based fire barrier coating. Non -Asphaltic, fire resistant fiberglass - based underlayment. • • • NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 4 of 30 • • APPROVED INSULATIONS: Product Name EnergyGuard' Polyiso Insulation EnergyGuard' RA Polyiso Insulation EnergyGuard'"' RN Polyiso Insulation EnergyGuarr Perlite Recover Board EnergyGuard' Perlite Roof Insulation EnergyGuard"" RA Composite Polyiso Insulation Structodek® High Density Fiber Board Securock® Gypsum -Fiber Roof Board APPROVED FASTENERS: Fastener Number 1. Product Name Drill -Teem #12 Fastener 2. Drill-Tec""' #14 Fastener 3. Drill -Tee' XHD Fastener 4. Drill-Tec"" AccuTrac® Flat Plate 5. Drill -Teem ASAP 3S 6. Drill -Teem AccuTrac® Recessed Plate 7. Drill -Tee' 3" Steel Plate 8. Drill -Tee' 3" Standard Steel Plate I4AM6DADE COUNTY APPROVED Table 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Perlite recover board Perlite roof board Polyisocyanurate/wood fiberboard or perlite composite High density wood fiber Gypsum board .... . . •.• ••.• ••.M nufactprgg• WipCurrtut NOA) GAF • •... • GAf.... • .. GAF. •••• • • GAF• • • • •GAY' .. . .. . . . . GAP • • Blue Ridge FiberBoard, Inc. United States Gypsum Corp. TABLE 3 Product Description Dimensions Carbon steel fastener used Various in steel or wood decks. Carbon steel fastener used Various in steel, wood or concrete decks. Carbon steel extra heavy Various duty fastener used in steel decks. AZ -SS aluminized steel 3" x 3" plate for use with Drill - Tee' #12 Fastener, Drill- Tec? #14 Fastener and Drill -Teem #15 Fastener. Drill-Tece' #12 fastener Various with Drill -Tee' 3" Standard Steel Plate. Galvalume Steel plate for 3" x 3" use with Drill -Tee' fasteners. Round galvalume steel stress plate for use with Drill -Tee' fasteners. Round galvalume plated steel stress plate with reinforced ribs for use with Drill -Term fasteners. 3" 3" Manufacturer (With Current NOA) GAF GAF GAF GAF GAF GAF GAF GAF NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 5 of 30 EVIDENCE SUBMITTED: (CONTINUED) Test Agency Test Identifier PRI Construction Technologies LLC. GAF-084-02-01 GAF-122-02-01 GAF-245-02-01 GAF-276-02-01 Rev Momentum Technologies, Inc. MIAMI DADE COUNTY APPROVED GAF-306-02-01 GAF-314-02-01 GAF-315-02-01 GAF-369-02-01 GAF-464-02-01 GAF-499-02-01 GAF-500-02-01 AX04C9A Description . . • •..• • ASTM D6083 ovog : TAS 139 • 05M7/0b ASTM D6083 .... 06/•1•11'J 0 ASTM E2178 • • • • . • 0140441 ASTM D6083 • • • • • • • ASTM E96 • • • • 07707/71 ASTM D2178: • ; 08/21/11 ASTM D2178. 0$023f1•1 ASTM C1289.•• : 10122412 ASTM C1289 0.291444 ASTM D6083 03/12/14 ASTM D6083 03/12/14 ASTM D6162 06/05/09 NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 7 of 30 Membrane Type: APP/SBS Heat Weld Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank decks System Type E(2): Base sheet mechanically fastened. • .. • •• . . ..• . • . All General and System Limitations shall apply. • .... • • • • • • • Fire Barrier: FireOut" Fire Barrier Coating, VersaShield® Fire -Resistant lDeck• • • • • • (optional) Protection or Securock® Gypsum -Fiber Roof Board. • • • • • • • Base sheet: GAFGLAS® #80 Ultima' Base Sheet, GAFGLAS® Stratadent® Eliminatgr,; • Nailable Venting Base Sheet, Ruberoid® Mop Smooth, Rul;eroi4 20,1.uberoid® SBS Heat -Weld' Smooth or Ruberoid® SBS Heat -Weld' 25 mechanicaUy, • fastened to deck as described below; Fastening GAFGLAS® Ply 4, GAFGLAS® F1exPly" 6, GAFGLAS® #75 Base Sheet or any Options: of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf. See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS FlexPly" 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill-Tec" #12 Fastener, Drill-Tec" #14 Fastener or Drill-Tec" XHD Fastener and Drill-Tec" 3" Steel Plate, Drill- Tec" AccuTrac® Flat Plate or Drill-Tec" AccuTrac® Recessed Plate 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) GAFGLAS® FlexPly" 6, GAFGLAS® #75 Base Sheet or any of above base sheets 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 —52.5 psf. See General Limitation #7) GAFGLAS® #80 Ultima' Base Sheets, 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 -Tee #12 Fastener, Drill-Tec" #14 Fastener or Drill-Tec" XHD Fastener and Drill -Tee 3" Steel Plate, Drill-Tec" AccuTrac® Flat Plate or Drill-Tec" AccuTrac® Recessed Plate installed 12" 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 —60 psf See General Limitation #7) MIAMI.t 4DE COUNTY APPROVED . NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 28 of 30 .• Fastening Any of above base sheets attached to deck approved annular ring shank nails and Options: 3" inverted Drill -Tee' insulation plates at a fastener spacing of 9" o.c. at the 4" (Continued) lap staggered in two rows 9" in the field. • . • • (Maximum Design Pressure —60 psf See General Limitation #7). • • • • GAFGLAS® #75 Base Sheet or any of above base sheets attacked to deck with Drill -Tee' #12 Fastener, Drill -Tee' #14 Fastener or Drill -e �', XHD Fastener and Drill-TecT"' 3" Steel Plate, Drill -Tee' AccuTrac® Flat Plate.or Drill-'; AccuTrac® Recessed Plate installed 8" o.c. in 4 rows. One reeyis in the'j side lap. The other rows are equally spaced approximately 9" o.b' ifl the fielg1•4 4 .. .. •. • sheet. (Maximum Design Pressure —75 psf. See •General Limitattpn #72 • • Ply Sheet: (Optional except over Ruberoid® Mop Smooth, Ruberoid®1Q eroic SBS Heat -Weld"" Smooth or Ruberoid® SBS Heat -Weld"" 25) One orR•ubmore plies, • GAFGLAS® Ply 4 or GAFGLAS® F1exPly' 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. or Ruberoid® Torch Smooth torch applied according to manufacturer's application instructions. Membrane: One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, RoofMatch" APP Modified Granular, Ruberoid® EnergyCapT" Torch Granule FR, Ruberoid® EnergyCapT" Torch Plus FR, or Ruberoid® Torch FR torch applied according to manufacturer's application instructions. Or One or more plies of Ruberoid® SBS Heat -Weld"" Plus, Ruberoid® SBS Heat - Weld"" Plus FR, Ruberoid® SBS Heat-We1dTM 170 FR, Ruberoid® EnergyCapT" SBS Heat -Weld"" Plus FR, Ruberoid SBS Heat -Weld" Granule, Ruberoid® SBS Heat -Weld' Smooth and Ruberoid® SBS Heat -Weld— 25 applied according to manufacturer's application instructions. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./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® EnergyCap" 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. Topcoat® Membrane, Topcoat® MB Plus (to be used as a primer with Topcoat® Membrane) or Topcoat® Surface Seal SB applied at 1 to1.5 gal./sq. Maximum Design Pressure: See Fastening Options MIAMFDADE COUNTY APPROVED NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 29 of 30 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS® F1exPlyTM 6 when used as a mechanically fastened base or anchor sheet. • • • • • 2. Minimum 1/4" DensDeck® Roof Board or 1/2" Type X gypsum board is acceptable,tb 1e insta.•le�• • directly over the wood deck. • • ••• • • •• • • • GENERAL LIMITATIONS: • • • • • • • • •• • 1. Fire classification is not part of this acceptance; refer to a current Approved Rob'IMg MaterMS • • • Directory for fire •ratings of this product. • • • ••• .. 2. Insulation may be installed in multiple layers. The first layer shall be attached Ai Fpjnpliance Fith • Product Control Approval guidelines. All other layers shall be adhered in a full nnol3ping • of . • • approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,;or weihanioa!iy •' attached using the fastening pattern of the top layer • • • ,19 • 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved' asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing 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 to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical 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 withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and comer 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 Professional Engineer, Registered Architect, or Registered Roof 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 designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). 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 is 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 KAMM:ADE COUNTY APPROVED NOA No.: 14-1030.02 Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 30 of 30 Florida Building Code 5th Edition 2014 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) .. . Roof System Manufacturer: EAGLE ROOFING P RO D UCT Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: :39.1 P2: -68.1 P3: -100.7 .... • • .... .... . . .. .. .-._.. . . . .. . . . . ..• . . • . • . . • . .. . .. • . . • •.• • Roof Slope: :12 -- ---cr2 ®d r y fo a,.? -rig a rite cJ; .r"' PP 4f y' Sloped System Description c/ d •c( Deck Type: PLYWOOD 5/8" Type Underlayment: Insulation: Ridge Ventilation? NA ASTM FELT D226 30# NA Fire Barrier: Mean Roof Height: t 1 NA Fastener Type & Spacing: Adhesive Type: 1-1/4"RS NAIL & TIN CAP 1-5/8 POLYGLASS TU PLUS Type Cap Sheet: SELF-ADHESIVE Roofing Covering: EAGLE BEL AIR FLAT TILE Type & Size Drip Edge: 3"X3" GALV 26g ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) • • • • • For Moment bascd tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from M. If the Mr values are grcaterjhan c • equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. • • • Method 1 "Moment Based Tile Calculations Per RAS 127" (P,: -39.1 x), 0.278= 10.87) - Mg: 7.71 = Mr, 3 16 (P,: 68.1 x ? 0.278= 18.93 - Mg: 7.71 = Mr2 11.22 (P3: 100.7 x ,1 0.278= 27.99 - Mg: 7 71 = Mr3 20.28 Product Approval M( 940.4 • • Prxluct Approval M f�• • • Product Approval M f • 710.4• Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) Front Table Below Pmduc • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • .. •• o Mr required Moment Resistance* • • • • Mean Roof Height -0. Roof Slope ,, 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 38.0 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 8:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction w'th 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 fur Fr. If the F values are greater than or equal to the Pr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (PI: x L (P2: x L (Pt: xL xw:=_)-W: xcos0 x cos 0 )-W: xw:= - W: xw:= x cos 0 =1'rl = Fr2 = F., Product Approval f" Product Approval F Where to Obtain Information Description Symbol Where to find Design Pressure PI 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 0 Job Site Aerodynamic Multiplier 2 Product Approval Restoring Moment due to Gravity M6 Product Approval Attachment Resistance M f Product Approval Required Moment Resistance Me Calculated Minimum Attachment Resistance 1' Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submitted to the building official at the time of permit application. • •• • • • • • • • • • • FLORIDA BUILDING CODE 5th Edition (2014) - BUILDING 15.35 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Eagle Roofing Products LLC 1575 East C.R. 470 Surnterville, FL 33585 SCOPE: MIAMI-DADE COUNTY PRODUCT CONTRMAKTION •11801SW 26 Sir ,Ijdum 208 • • • Mimi, Floriga 63,15-2474 T (786) 315-2590 14(786+ 3+5-2599 ••••.• •. H'IyiQimidadc zovleconornv . . •••. .... ....• • • • • ••••• •••• � • • • •• •• • • • NOA OA is being issued under the applicable rules and regulations governing the use of co;struotion mareriais.`The • • •documentation submitted has been reviewed and accepted by Miatni-Dade County RER-Proderet Control Seeticm to be • used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (Al tJ). • • • • • • This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,- if it is determined by Miami -Dade County Product Control Section that this product or 'material fails to meet the requirements of the applicable building code. ,This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Bel Air, Bel Air Double Eagle, Ponderosa, Ponderosa Double Eagle, Golden Eagle Low Profile Concrete Tiles •• • • • • ••• • • • 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.15-0223.18 and consists of pages 1 through 9. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 1 09 • ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Rooting Tiles Material: Concrete 1. SCOPE: . . . . . .. • . This approves a new roofing system using "Low Profile Concrete Tile" as manu by E• g • e • Roofin 4f• Products LLC in Sumterville, FL and described in Section 2 of this Notice f � y.Acc�r •.• • • ptanc�.. J'at''use in, locations where the pressure requirements, as determined by applicable. Buildin*.Gods do not exceed the .' design pressure values obtained by calculations in compliance with RAS 127 musing :the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. • • . • .. • • • •.. • • • • • � • 2. PRODUCT DESCRIPTION: Manufactured by Applicant Bel Air Concrete Tile Bel Air Double Eagle Concrete Tile Ponderosa Concrete Tile Ponderosa Double Eagle Concrete Tile Golden Eagle Concrete Tile Trim Pieces MAMFOADE COUNTY APPAOVEJ Dimensions Lenght = 17" Width = 12 '/4" Thickness = Lenght = 17" Width = 121/4" Thickness ='A" Lenght = 17" Width = 121/4" Thickness = %2" Lenght = 17" Width = 12 1/4" Thickness =''A" Lenght = 17" Width = 12'/4" Thickness ='A" Lenght = varies Width = varies varying thickness Test Specifications TAS 112 Type 3a Class Ill TAS 112 Type 3a Class 1I1 TAS 112 Type 3a Class I11 TAS 112 Type 3a Class III TAS 112 Type 3a Class 111 TAS 112 •• • • •• • • • • •.• • Product Description Flat profile concrete roof tile equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Flat profile concrete roof tile equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Flat profile concrete roof tile with slate finish equipped with two nail holes. For adhesive set. direct deck or battened nail -on applications. Flat profile concrete roof tile with shake finish equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Flat profile concrete roof tile brushed finish equipped with two nail holes. For adhesive set, direct deck or battened nail -on applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. NOA No.:16-0314.06 Expiration Date: 10/05/21. Approval Date: 06/16/16 Page 2 of 9 • • • . 2.1 EVIDENCE SUBMITTED: Test Agency PRI Asphalt Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies 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. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. ATL of South Florida MVAMADECOUNTY APPROVED Test Identifier ERPF-001-02-01 7161-03 Appendix 11l 7161-03 Appendix I11 7161-03 Appendix 11 P0402 Letter Dated Aug. I, 1994 P09647-01 94-084 25-7094-(2, 5, & 8) 25-7183-(5 thru 6) 25-7214-(1, 5 , & 8) 25-7487-2 25-7496-(1 & 4) 25-7804-6 520109-1 5201 1 1-4 520191-1 Calculations Calculations RT1214.01-15 Test Name/Report TAS 112 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102(A) Wind Tunnel Testing TAS 108 (Nail -On) • • • • • •• • • .•.• • • • • • • • • •• •• • • •• • • Withdrawal Resistance Testing of.•scr .wv s. smooth shank nails •• • Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Static Uplift Testing TAS 101 (Mortar Set) Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 102 Static Uplift Testing TAS 101 Static Uplift Testing TAS 101 Aerodynamic Multiplier Restoring Moments Due to Gravity TAS-112 .6144e • •rs— A ut• 2006 •15&c. 1991 • ' •Dies• t991 •• • • • • %ec.1991 :gept 1993 •••• Aug 1994 Aug. 1994 May 1994 Oct. 1994 Feb. 1995 March, 1995 Dec. 1995 Dec. 1995 Sep. 1996 Dec. 1998 March 1999 Sep. 2006 Sep. 2006 12/17/15 NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 3 of 9 • • • • • •.••• • • • •••• • • •••••• • • 3 LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 shall be required. refer to applicable Building Code. • • • • •• 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perfo i i.quarterry Pest in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Miami bade County Pso�uct Control Section for review. • • 3.4 Minimum underlayment shall be in compliance with the applicable Rooting Application standards 1i�5te41 section 4.1 herein. . 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the rapt S unles4aated otherwise by the underlayment material manufacturers published literature. . 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be.iwcooropliance wi4h applicable Building Code. • . • 4 INSTALLATION: • • . •. .. . •• • • . . . .. . 4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Concrete Roof Tiles and its components shall be installed in strict compliance with Roofing Application Standard. RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations _ • • • • . • ...• • ••• • • • • • . Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W (Ibf) Length -I (ft) Width-w (ft) Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 11.4 1.42 1.03 Table 2: Aerodynamic Multipliers - A (ft3) Tile Profile A (ft3) A (ft3) Batten Application Direct Deck Application Bel Air, Bel Air Double Eagle, Ponderosa, Golden 0.301 0.278 Eagle, Ponderosa Double Eagle Flat Tile Table 3: Restoring Moments due to Gravity - Mg (ft-Ibf) Tile Profile 3":12" 4":12" 5":12" 6":12" Greater than 7":12" Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.48 7.71 7.37 7.59 7.22 7.44 7.05 7.27 6.86 7.07 MANMADE COUNT? APPAOVWO NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 4 of 9 • Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 2-10d Ring Shank Nails 30.9 38.1 • 17:2 1-10d Smooth or Screw Shank Nail 7.3 . 9.8 • • •.•. • • �•' •• • • 8 • • • • 4•• • •1.4 2-10d Smooth or Screw Shank Nails 14.0 18.8 •••• • •••• ; 1 #8 Screw 30.8 30.8 - • • • •• - • 4&1 • 2 #8 Screw 51.7 51.7 • Q4sg • 1-10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 • • • • • • • _ • 2442 • • 1-10d Smooth or Screw Shank Nail (Eave Clip)•••• 19.0 19.0 ' 6 : • 2221 • 2-10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 -- - •:34 8 2-10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2-10d Ring Shank Nails' 50.3 65.5 48.3 1. Installation with a 4" tile headlap and fasteners are located a min. of 2Y2" from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile Adhesive' 31.32 1 See manufactures component approval for installation requirements. 2 The Dow Chemical Company TileBond Average weight per patty 13.9 grams. ICP Adhesives Polyset® AH-160 Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile ICP Adhesives Polyset® AH-160 118.93 ICP Adhesives Polyset® AH-160 40.44 3 Large paddy placement of 45 grams of PolyProMA. 4 Medium paddy placement of 24 grams of PolyProTM Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Eagle, 'Ponderosa Double Eagle Flat Tile Mortar Sets 43.9 5 Tile-Tite Roof Tile Mortar. NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 5 of 9 •••• •: •••- ••- - • ••• •••- • • • .•• •••• 5. LABELING : All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved". .... • • . . .... • • .. •. . . . . . • ..•..• ..•. EAGLEL- FLORIDA (LOCATED ON UNDERSIDE OF TILE) OR EAGLE FL (LOCATED ON FRONTSIDE OF TILE) • • . . • . • • • .. . .. . . . ... .• • BEL AIR, BEL AIR DOUBLE EAGLE, PONDEROSA, GOLDEN EAGLE, PONDEROSA DOUBLE EAGLE CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1..1 This Notice of Acceptance. 6.1.2 Any other documents required by AHJ or applicable Building Code in order to properly evaluate the installation of this system. NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 6 of 9 PROFILE DRAWING • • • •• •••• • • • •• • • .• • . , .00.0000:. • • •. . BEL AIR BEL AIR DOUBLE EAGLE • ••• • • •. • • • • •••• • • . •••• •• • • • • •• • • • • •• •••• • . • ... • • • • . •. • • • • • • NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 7 of 9 PONDEROSA PONDEROSA DOUBLE EAGLE •.. • • • •••• • • • • •• •.• • ....� .. • • • •.•• •••• I°'• • •••.•• •• •• .• • • • • • • • • • • • • • • ••••. • •• • • • • • • • • •••••• •• • •• • • • • • • •• • NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 8 of 9 GOLDEN EAGLE END OF THIS ACCEPTANCE MWMI WADE COUNTY APPROVED • ... • • •••• • • ••• •• • • ••• • • • • • •••• • • '•• •••• • • • • • • •• • •• • •• • • • • • • . •• • • • • NOA No.:16-0314.06 Expiration Date: 10/05/21 Approval Date: 06/16/16 Page 9 of 9 • • • . • • • SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS .• .. 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor tdr provitle the p4mPtith the required roofing permit, and to explain to the owner the content of the section. The DAWN of Seefon R4402 govern the minimum requirements and standards of the industry for roofing system insfallations. Additiont, the following items should be addressed as part of the agreement between the owner ant tMe cotractor. e owner's initial in the designated space indicates that the item has been explained. "" Eli ' •' • 2. V 4. 5. v u Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not ovetloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It ay be necessary to install overflow scuppers in a &rdance with the requirements of Sections R4 �I► :. t and R4413. 114uc 52 /r Owner/Agents Signature Date . . .. . . . . .. •. .. • . . Renailing wood decks: When replacing roofing, the existing wdod r'boedeck ray have to• be rena)led in accordance with the current provisions of Section R4403. (The roof deck is usaialry6 . concealed prior to removing the existing roof system). •••••• Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. (K21 IYE f f/ 33 I �( Permit Number Property Address Revised on 7/9/2009 LD;07/01/2015; Con actor Signature ,g Date DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 1111 W. Newport Center Drive Deerfield Beach, FL 33442 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.aov/economy .... • . .... . • •• .. • . •.. • This NOA is being issued under the applicable rules and regulations governing the use of conatonation niateiials. The • documentation submitted has been reviewed and accepted by Miami -Dade County RER - Pink ttControl Section to•be • used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdic1io'n'(.AHJ). •• • .... •••• This NOA shall not be valid after the expiration date stated below. The Miami -Dade CountiVe duct CortttatSectioii• ' (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve tit% it to have this • • product or material tested for quality assurance purposes. If this product or material fails to:perfo m in the accepted • manner, the manufacturer will incur the expense of such testing and the AHJ may immediately 1 c' oke, i'o�iyy, or . . suspend the use of such product or material within their jurisdiction. RER reserves the right115 revoke tbig gtceptante, 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: 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 and revises NOA No.14-0717.t)8 and consists of pages 1 through 8. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.: T5-04I0.04 Expiration Date: 09/13/21 Approval Date: 08/11/16 • ROOFING COMPONENT APPROVAL Cateeorv: Roofing Sub-Cateeorv: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Polystick IR Xe Manufacturing Location #1 & #2 Polystick Dual Pro Manufacturing Location #2 Polystick Tile Pro Manufacturing Location #2 Polystick TU Max Manufacturing Location #1 & #2 Polystick TU P Manufacturing Location #2 Polystick TU Plus (Surface Printing) Manufacturing Location #1 & #2 Polystick MTS Manufacturing Location #2 Polystick MTS Plus Manufacturing Location #2 Elastoflex S6 G Manufacturing Location #2 Dimensions 65' x 3'33/8" Or65'x3' 60 mils thick 61' x 3'33/8" 60 mils thick 61' x 3'3 3/8" 60 mils thick 65'8" x 3'3-3/8" 60 mils thick 32'10" x 3'33/8" 130 mils thick 65' x 3'33/8" 80 mils thick 65'8" x 3'33 /s" 60 mils thick 65'8" x 3133 /s" 60 mils thick 32' 10" x 3'3 3/8" Test Product Specification Description • • • • • • ASTM D 1970 A fine granular/sand top surfaa.self-adhei 3,'APP polymer modified, fiberglass jr rced, Isitvairous TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 TAS 103 TAS 103 and ASTM D 6164 • • sheet material for use as an uHde$lewment in sloped roof assemblies. Designed as an ipett&•rp.in shield! • • • • • • • • • • • • • A rubberized asphalt self-adl ag,:glass fib nivolyestor: • •' reinforced waterproofing metttbrahe. Desighe 1 as a • metal roofing and roof tile underlayment. A rubberized asphalt self-adl1eriu.g,.glass-Fiber/polyeslig;,. reinforced waterproofing membrane. Designed as a Metal • roofing and roof tile underlayment. • A rubberized asphalt self -adhering, polyester reinforced waterproofing membrane. Designed as a a roof tile underlayment. A rubberized asphalt waterproofmg membrane, glass- fiber/polyester reinforced, with a granular surface designed for use as a tile roof underlayment. A rubberized asphalt self -adhering, glass-fiber/polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefmic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefmic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Polyester reinforced, SBS modified bitumen membrane with a sanded back face and a granule top surface. For use in roof tile underlayment systems. NOA No.: 15 Expiration Date: 09/13/21 Approval Date: 08/11/16 MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL Test Aeencv Trinity ERD PRI Asphalt Technologies Momentum Technologies, Inc. EVIDENCE SUBMITTED Test Identifier P10870.09.08-R1 P10870.04.09 P33360.06.10 P33370.03.11 P33370.04.11 P36900.09.11 P37300.10.11 P40390.08.12-2 P37590.07.13-1 P45270.05.14 P46520.10.14 P44360.10.14 P43290.10.14 PLYG-SC 10130.06.16-3 PLYG-10130.06.16-1 PUSH 035-02-01 PUSA-055-02-02 PUSA-089-02-01 JX20H7A RX14E8A DX23D8B DX23D8A . . • Test Name/Report •' . TAS 103 TAS 103/ASTM D4798 01.51 ASTM D1970 •' • • TAS 103 ASTM D 1623 TAS 103/ASTM D4798 8e Gf5; TAS 110/ASTM D4798 84D1.970 . . . .. . • ASTM D 1623 ASTM D6164 TAS 103, TAS 110 & ASTM D1623 ASTM D1623 TAS 103 & TAS 110 ASTMD 1970&TAS 110 TAS 103 & TAS 110 ASTM D1970 & TAS 110 .. . TAS 103 TAS 103 TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 .... • . .•.. ' • to .. . 1.2/04/08 • •'O P/j3/09 • • W/01/10 . . •, 03f42/11 .44/26/11 . • Q9fQ1/11 • 10/19/11 •: 0i/07/12' 07/02/13 05/12/14 10/03/14 10/07/14 10/17/14 06/27/16 06/27/16 • • • 09/29/06 12/10/07 07/06/09 04/01/08 11/09/09 02/18/10 02/18/10 • • • • LABELING: L All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMFDADE COUNTY APPROVED BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 11.0@4 Expiration Date: 09f13/21 Approval Date: 08/11/16 • INSTALLATION PROCEDURES: Deck Type 1: Deck Description: System Type E(1): Anchor/Rage Sheet: Fastening: Membrane: Surfacing: Deck Type 1: Deck Description: System Type E(2): Anchor/Base Sheet: Fastening: Membrane: Surfacing: Deck Type 1: Deck Description: System Type.E(3): Anchor/Base Sheet: Fastening: Ply Sheet Membrane: Surfacing: Wood, non -insulated Min. 19/32" plywood or wood plank Anchor sheet mechanically fastened to deck, membrane adhered "" • • • • • • One or more plies of ASTM D 226 Type II or ASTM D 2626. • • • • • ••• • • • Per FBC 15182 & 1518.4 Nails and tin caps 12" grid, 6" o_c. at a•niOi ium 4"h4ad lap. (for base sheet only) • •••• •••• • • • • • Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Poly1444 1 EJ Max, glystic1 • ; • • • TU P, Polystick TU Plus, Polystick MTS or Polystick MTS PJJ serf-adh&rcd. •' See General Limitations Below. • • • • • • • • •• • Wood, non -insulated Min. 19/32" plywood or wood plank Anchor sheet mechanically fastened to deck, membrane adhered One or more plies of ASTM D 226 Type II or ASTM D 2626. Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Elastoflex S6 G, hot asphalt applied See General Limitations Below. • •• • • • • •• • • • • •. • Wood, non -insulated Min. 19/32" plywood or wood plank Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. One or more plies of ASTM D 226 Type II or ASTM D 2626. Per FBC 15182 & 1518_4 Nails and tin caps 12" grid, 6" o_c_ at a minimum 4"head lap_ (for base sheet only) Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Polystick TU Plus, self -adhered. See General Limitations Below. NOA No.: I9.94 Expiration Date: 09/13/21 Approval Date: 08/11/16 • INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. •.... • 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain nalx.imum MANI. Remove the release film as the membrane is applied. All side laps shall be a minimgi j 1-'/2" alici en3 laps shall be a minimum of 6". Roll the membrane into place after removing the release strili.. Vertical strapping of . the roof with Polystick is acceptable. Membrane shall be back nailed in accordance;vithiapplicaeblelding• code. .... .... • 4. When applying the membrane in the valley, start at the low point and work to the higlJ t, rolls g ;i8 • membrane from the center outward in both directions. • • • 5. For ridge applications, center the membrane and roll from the center outward in botfi dire�c�ions. •' • • • 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special zttentioa . to lap areas. •. • • 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and Polystick MIS Plus may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof file systems and quarry slate roof assemblies. Polystick TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. Elastoflex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. PolystickIR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick IR Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves .the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations (Days) MTS IR-Xe Elastoflex S6 G TU Plus TU P Tile Pro Dual Pro TU Max MTS Plus Winter Haven, FL 180 90 180 180 180 180 180 180 180 Hazelton, PA N/A 90 N/A 180 N/A N/A N/A 180 N/A NOA No.: 15-0410.04 Expiration Date: 09/13/21 Approval Date: 08/11/16 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick Tile Pro, Polystick TU Max, Polystick TU Plus or Elastoflex S6 G may be used in bot114.clhesive set and mechanically fastened roof tile applications. •• . • .... Polystick Dual Pro is limited to mechanically fastened roof tile applications. • • • • ••• •• ••• • Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with tf� llniitations outlined in • Section 9. • Polystick TU P may be used in mechanically fastened roof tile applications with the •exception ofmiorr set tile... applications. • .....• • 9. When loading roof tiles onroof tile underlayment for (direct -to -deck) tile assemblies, VA t4 x3 imnm rpof slope . • shall be as follows: (See Table Below) :• • :• • Tile Profile Polystick MTS Elastoflex S6 G Polystick TU Plus, TU P, Tile Pro, Dual Pro Polystick: TU Max Polystick MTS Plus Flat Tile Prohibited without battens 4:12 6:12 6:12 5:12 Profiled Tile Prohibited without battens 4:12 6:12 6:12 4:12 • • The above slope limitations can be exceeded only by using battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. When battens are required, they shall be utilized during loading and installation of tiles. 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure — two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, for a total of 6 tiles — for all underlayments except Polystick MTS which shall be loaded onto battens. Roof Deck prepared with POLISTICKTU Ras Roofing Tiles (6 Max Per Stack) 12 NOA No.: IS-0410.04 Expiration Date: 09/13/21 Approval Date: 08/11/16 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR Xe, Polystick DM? Pero, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, PolystlaTS, PoNtisk M 1'S' •: • Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Accept e• , • • • • : • If Polystick.IR Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Poly ek TU P, Polystick • TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, a T&`Qflest mayt?e isle to the • Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for appr�� at provides% • •. that appropriate documentation is provided to detail compatibility of the products, wj0d jijiift resigAge, and. e� • testing results. . • • . • • POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTI& ZEMBRANES • . .. • PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does acceptthe direct application of Polystick underlayment membranes to wood decks_ Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1 /8" metal disk as required in Miami -Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face ofinembrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back -nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter -battens, as required by the file .manufacturers NOA, must be used on all projects for pitch/slopes of 7"/12" or greater. It is suggested that on pitch/slopes in excess of 61/4"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. NOA No.: 15 4Tlktl* Expiration Date: 09/13/21 Approval Date: 08/11/16 10. All self -adhered membranes mnst be rolled to ensure full contact with approved substrates_ Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Pcegiteli membranes commences. An approved substrate technical bulletin can be furnished ihioa request.'If : • • recommended to refer to applicable building codes prior to installation to verify acci$t ji substrptes.:• • 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick mefl8s can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. •""• ."". ' 13. Questions in regards to the application of Polyglass products should be directed to otd;P6cginica! Sbrfies Department at 1 (800) 894-4563. .. .• .. . . • • 14. Polyglass recommends that applicators follow good roofing practices and applicablelprockures pk.gi fined by • • • • the National Roofing Contractors Association (NRCA). • .. . .• . . • • •• . ••• • PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 15-04 Expiration Date: 09/13/21 Approval Date: 08/11/16 MtAM DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 1€P Adhesives and She 12505 NW 44`6 Street Coral Springs, FL. 33065 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of c • • • • • •t• documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product C&trol aSeotioat bes. e used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Cont?l Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: ICP Adhesives Polyset® All-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal 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 16-0315.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, F1oryill331'1-2474 T (Z86)314-2590 F (766)915-2599 . .. • wwm.miSmidadt.toletanom v • .... . . . . . . . .. . . . . NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: . • . . .. . . .•. . • • ... .. . . This approves ICP Adhesives Polyset® AH-160 as manufactured by ICP Adhesives and SealItt,ellic. as 4.2s• tfibed in this Notice of Acceptance. For the locations where the design pressure requirements, as deter>hhted by applTcabTe building code, do not exceed the design pressure values obtained by calculations in compliance toofing".'. Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systtfhs'using ICP • • . Adhesives Polyset® AH-160. PRODUCTS 1NIANUFACTURED BY APPLICANT: Product Dimensions Test Specifications ICP Adhesives N/A TAS 101 Polyset®AH-160 ICP Adhesives Foam N/A Dispenser RTF1000 ICP Adhesives ProPack® N/A 30 & 100 • • • • . . • • .. • Product Description • • . .. . • • • ..• Two component polyurethane 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 Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Closed Ce11 Content 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. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Ai encv Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier Test Name/Report U• • • #94-060 TAS 101 • • • • • 04/0$I9.4. • 257818-1PA TAS 101 12/'1§496 : 25-7438-3 SSTD 11-93 • 10/25/9.5 25-7438-4 • • • • • • • • 25-7438-7 SSTD 11-93 •. 11/12/4945•• 25-7492 SSTD 11-93 NB-589-631 ASTM D 1623 9637-92 01-6743-011 01-6739-062b[1] 7050.02.96-1 P36700.04.12 P39740.02.12 528454-2-1 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109-6 520109-7 520191-1 520109-2-1 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 ASTM D 1623 TAS 101 TAS 123 TAS 101 TAS 101 TAS 101 12/1iz/95• . ••..• .• .. • 02/01/921 . • • . • • . • • • 04/30/%. • •• • 11 / 16/94 01/16/95 03/14/96 04/18/12 02/21/12 10/23/98 12/28/98 . 03/02/99 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. 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 lilt* • • 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 sect�Qr� anQ the • • corresponding Placement Details noted herein. The roof tile assembly's adhesive attachgej yvith the use jf ICP • • Adhesives Polyset® AH-160 shall provide sufficient attachment resistance to meet or excw4tjie resistaace value • • determined in compliance with Miami -Dade County Roofing Application Standards RAS 1.2.7.'The adhesive attachment data is noted in the roof tile assembly NOA. • • • • 3. • • • • • ICP Adhesives Polyset® AH-160 and its components shall be installed in accordance wilifRbEfing Application • Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and M iniVance Booklet • 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP.Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicator$xoihaautholtpha.ing jurisdiction. •• • 5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPack® 30 & 100 dispensing equipment only. 7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives Polyset® AH-160 has been dispensed. 9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 •.. . • • • Table 1: Adhesive Placement For Each Generic Tile Profile ' • • : • • • • . ... Tile Profile Placement Detail Minimum Paddy Contact Area .O.upum Paddy Gram Eave Course - Flat, Low, High Profiles Flat, Low, High Profiles Flat Profile Low Profile High Profile Flat, Low, High Profiles Two -Piece Barrel (Cap Tile) Two Piece Barrel (Pan Tile) All Eave Course #1 #2 #2 #2 #3 Two Piece Two Piece 17-23 sq. inches 17-23 sq. inches 10-12 sq. inches .... Weight.. .... .. .. .... 45-65• • .. . 45-65 • • - 34 12-14 sq. inches 17- l9 sq. inches Two Paddys: 8-9 sq. inches at head of tile 9-11 sq. inches at overlap 2 Beads (1 each longitudinal edge) 20-25 sq. inches each bead 65-70 sq. inches -.--• • . . .. 30 •. • 30 " 12 grams per paddy 17 grams per bead 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami - Dade County Product Control Seal as shown below. 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 Flat/Low Profile Tile • • •. • .. • • ... .. . .. • • 1. Starting at the eave course,.apply a mininneaiT (50.8 mm) x 10" (254 mm').x 44 (25.4 mmj foam paddy onto the underlaymenj petitionect 9S shown, under the strengthening ribt16s'Cst to the'o'ver7ock of the tile being set. • • • • 2. Continue in same manner:I xifelapproxnatgly 17 (109.7 cm2) — 23 (148.4 cmm) square inc Adbeive contact with the underside of the tile. Medium Profile / Double Pan Tile I. 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 overlook 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 overlook 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 6of11 ADHESIVE PLACEMENT DETAIL # 2 • . .•.• • . . •.• . . .•. •• . Flat/Low Profile Tile • • • • • • • . . 1. Startingat the eave course, • • • • • • • . • mm) x10"(254 mm �P1X � ��WIL2': t50.8 ) x 1" (2„54 pv) foam,paddy onto the underlayment positipgBdaS showhan$er the strengthening rib of the tile cjpsest to the overlock of the tile being set. Insure app4oxiia$ely 17{109.ij cm2) — 23 (148.4 cm2) square inch.adhecive 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 strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm2) - 12 (77.4 cm2) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile 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 nun) 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) • •• • High Profile / Single Pan Tile • • • • • • • • • • • • • • • • • • •• • • ...• •••• • • 1. Starting at the eave course, apfiiya minimutE2" (50.8 mm) x 10" (254 mm) x 1" (2S. mom) foamR4dcby onto the underlayment positionecras shown under the pan portion of the tile closestto the Dverlork of the tile being set. Insure approxii ately 17 (102.7•&k — 23 (148.4 cm2) square inch adllestv4contactwitlt 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 IT' (109.7 cm2) - 19 (122.6 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 8of11 ADHESIVE PLACEMENT DETAIL # 3 Ftat/Low Pronto Tile Medium Profile Tile • . • . •. . • ••.•. . .. . 1. On the eave course only, appl'. minimum2" (50.8 mm) x 10" (254 mm) x 1. 05.4gim) fQgindy onto the underlayment posttitintd as shoWh; tinder the strengthening rib for fl2trft tor under the:pan portion of the tile for low•ot h profile the closest to the overlock of the tile beuig get. Leave approximately 4" (101.6 Jim) up from lie't2pe edge free of foam to prevent the rxpandeii.aclbesive from blocking the weep holes. Insure • • . • approximately 17-23 in2 (109.7-148.4 cm2) of adhesive contact with the underside of the tile 2. Apply a4"(101.6mm)x4"(101.6ram) x 1"(25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat tile, or under the pan portion of the tile, closest to the underlock for the second course tile to be installed. Insure 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.: 17-0322A3 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) ; • • • High Profile Tile •• • •••• • • ••• . • .. . 3. Also apply a 2" (50.8 mm1441: (101.6.r• .3/d' (19 mm) paddy on top otthaea a coursetile surface as shown, on topoftltastrengt}igrib for flat tile or on top of tl patrportion QPthe tile, closest to the underlock cjf•th test course of tile. Install second course of tile. InsQre approxi ately 9 (58.1 cm2) - 11 (71cm2Xsq a inch adhesive contact with the underside or the tile at't overlap and 7 (45.2 cm') - 9 (58.1 cm2) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. 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) Place enough adhesive to achieve 65 to 70 sq. in. in contact with the pan tile. 2) Turn covers upside down. Place m!{,esi.r in to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq. in. contact area. undertayment Eavedosure (motar shown) >IlleePhok Fascia Board Steep pitch applications (when required) Sheathing Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile • • • • • •• • • •••• • • ••• • • • • • • • • •• • • • • • • Two Piece Barrel (Cap and Jieni)Tile •• • • •• • • •••• •••• • 1. Starting at the eave coutse; y a myfifn i 2" • (50.8 mm) x 10" (254 nffi) 1.1" (25.4 ih!n)•foam paddy onto the underla} ietQisitioned as shown under two adjacelit pan ides. Sipperteave tiles from rocking until :dhesn a has a illanne to cure. • • • •• • 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm2) — 70 (451.6 cm2) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) 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 cm?) 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) milers 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 • • • • • • • •