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RF-18-3332
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-002128-2018 Permit Number: RF-10-18-3332 Scheduled Inspection Date: December 05, 2018 Inspector: Naranjo, Ismael Owner: MARY KESINGER Address: 185 NW 96TH ST Project: Miami Shores, FL 33150 Contractor: PIONEER ROOFING COMPANY INC LANNY GELFAND Permit Type: Roof Inspection Type: Roofing Final Work Classification: Repair Roof Phone Number: Parcel Number: 1131010250150 Phone Number: 9549207688 Building Department Comments ROOF REPAIRS TO THE FRONT PORCH AND OVERHANG ONLY Checklist Item General Comments Passed False Comments Inspector Comments Passed Failed Correction Needed Re -Inspection Fee NoAdditional Inspections can be scheduled until re -inspection fee is paid. December 04, 2018 For Inspections please call: 305-762-4949 Page 16 of 25 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address issue ate:11/07/2018 Parcel Number Permit NOr: RF-10-184332 Permit Type: Roof Work Classification: Repair Roof Permit Status: Approved Expiration: 04/29/2019 185 NW 96TH ST, Miami Shores, FL 33150 1131010250150 1 Contacts MARY KESINGER 185 Owner PIONEER ROOFING COMPANY INC LANNY GELFAND 2026 GRANT ST, HOLYWWOD, FL 33020 Business: 9549207688 AWHARTON20@GMAIL.COM Contractor Description: ROOF REPAIRS TO THE FRONT PORCH AND OVERHANG ONLY Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Roofing Fee Scanning Fee Technology Fee Total: $50.00 $5.40 $3.75 $2.50 $1.80 $200.00 $9.00 $6.25 $278.70 Valuation: Total Sq Feet: $ 8,747.00 200.00 i Inspection Requests: 305=762-4949' Payments Total Fees Check # 16555 Check # 16556 Amount Due: Date Paid 11/07/2018 10/31/2018 Amt Paid $278.70 $228.70 $50.00 $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS re IDAVI struct zed Signatu fy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ing. Futhermore, I authorize the above named contractor t do the work stated. Applicant / Contractor / Agent Date November 07; 2018 Page 2 of 2 vc? BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: 185 NW 96 Street 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 Q ROOFING ❑ PUBLIC WORKS Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL RECEIVED', OCT 31 1018OJ t (Sii PBC 20Z. 1� ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores Folio/Parcel#: 11-3101-025-0150 Occupancy Type: residence Load: County: Construction Type: OWNER: Name (Fee Simple Titleholder): Mary Kesinger Address: 185 NW 96 Street Miami Dade Zip: Is the Building Historically Designated: Yes Flood Zone: BFE: NO X FFE: Phone#: 786-236-6253 City: Miami Shores State: FL Tenant/Lessee Name: Email: marykesinger@icloud.com Phone#: Zip: 33150 CONTRACTOR: Company Name: Pioneer Roofing Phone#: 954-920-7688 Address: 2026 Grant Street City: Hollywood Qualifier Name: Lanny Gelfand State Certification or Registration #: DESIGNER: Architect/Engineer: Address: State: FL Zip: 33020 Phone#: CC-0058041 Certificate of Competency #: Phone#: City: State: Zip: 954-605-5385 Value of Work for this Permit: $ 8747 Square/Linear Footage of Work: 200 Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: Roof repairs to the front porch and overhang only ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 228 ' l (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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature i v( /',%/j(((r(,� Signat The foregoing instrument was acknowledged before me this The foregoing instrument was(( acknowledged before me this 040 day of 0 �'toTJ4 , 20 _11_, by S J day of OCtQ [ , 20 / , by rimy y ke 5I, who is personally known t ""' " , who is ersonally known)o me or who has produced j,5?i`5g5 51 —'«g, as me or who has produced /as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 1. MY COMMISSION # FF988580 „ EXPIRES May 03, 2020 (407) 398-0153 Fbdd.Notary8endos.corn ********************************* APPROVED BY identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 1�+14it_ • Lr MY COMMISSION # FF988580 0 , EXPIRES May 03, 2020 (407 3950153 FbAdallotaryseMoe.com ************************************************************** Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-025-0150 Property Address: 185 NW 96 ST Miami Shores, FL 33150-1714 Owner CARROLL T KESINGER ET ALS Mailing Address 185NW96ST MIAMI, FL 33150-1714 PA Primary Zone 0900 SGL FAMILY - 1901-2100 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2 / 1 / 1 Floors 1 Living Units 1 Actual Area 1,415 Sq.Ft Living Area 1,244 Sq.Ft Adjusted Area 1,330 Sq.Ft Lot Size 8,625 Sq.Ft Year Built 1945 Assessment Information Year 2018 2017 2016 Land Value $189,543 $189,543 $189,543 Building Value $99,750 $92,568 $92,568 XF Value $0 $0 $0 Market Value $289,293 $282,111 $282,111 Assessed Value $91,815 $89,927 $88,078 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $197,478 $192,184 $194,033 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 RESUB OF BLK 3 OF BONMAR PARK PB 42-60 LOT 15 BLK 3 LOT SIZE 75.000 X 115 OR 11213-2479 0981 5 Generated On : 10/22/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $41,815 $39,927 $38,078 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $66,815 $64,927 $63,078 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $41,815 $39,927 $38,078 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $41,815 $39,927 $38,078 Sales Information Previous Sale Price OR Book -Page Qualification Description 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/property search/ 10/22/2018 10/30/2017 i Miami -Dade Official Records - Print Drt-ump"' • 1981. SEP 115 • MI 12 5•I (•rioted her 1.0.,:r.• 'f7tl.. G...,.ot. 1•hn'1; (1r41..t... }-I..ri,l. Warranty Deed 81R2'12:333 (STATUTORY FORM — SECtION 689.02 F.S.) r1— iBI g dlnbrtiturr, • sitlde oil,.: f. / — • Oa ..I Sept'arnb° r itl 81 , ilrtulrrll CARROLL TIIOMAS KES1NGEIL, a binglc woman, also sometimes known as CARROL, T. KESINGER, rr.I ') 1 ? ! 3.72479. 'flit% in.t„nnrirl W.I. 1111r11.ucd I. G. Kenneth Kcm cr- .— (.; . KCNNETII KE511'111 9u 1te 20I). Shower lru. 1I1111.1ln/ 9999 North.n•t 2nd Arrnor MIA1f1 911011,E9, F1.UIDDA 33138 "I thtt I.:minty 1,( Dade . Slalc ul' ' L' 10rida . }.t.",hn •. n1111 CARROLL•T11OMAS KESIN(SER (Mother), (Miss) CARROLL '1'IIOMAS ICES(NIGEH (Daughter)., ..and (Miss) MARY ELiZABE'1'II KESINGER '(Daughter) , as -Joint_ L'cnnnts_ _ with Right of Survivorship ,and not as tenants in common, r w_ I ..•11".,• p,..i tr111a''' tu1,11.•.. I. 185 N.W. 96th Street, Miami Shores , --I'aorida 33 L 38 n1 the ('..,Lily "1 Uade . Sia11. 111 11.tridil Tii(ttirnnrti;, Thai sni.l ',omit, fin unit in ( nt,.l,l,..aliun .11 tin. .nn, nt t.hnarr •, ------Natural Love and Affection owl nlht•1 gnn.i .11111 S.nh1:1111.. c,nlallrautitnn In Said )p."tlua in h.tn,1 1r,6,1 Lt .ahl vtunl'•+• the ,.•r,•il.t ta•he„,ni i. hrr.•1s. acknuttl,•,Igr,l. hue I4nnA1-d. 1.a,14ained :vu1 .nl.l tt. 1it1• ,,.itl q...nl.•.•. null g1.1•.11-r'. hell. :nui :..i.;n. Lnrt':• ILr 1"1. E"t%'ittg dcx'rihrd hood. .1t11n1e. (vIn}4 lull) h1.111g in Dade ( omit Fit In•st it: Lot 15, Block 3 of Resubdivi.sion of Block 3 of DONMAR PARK, according to the Plat the rooC, recorded in Plat nook 42 at Pane 60 oC the Bub]. lc Records of Dade County, Florida. The purpose of this deed is to create a Joint 'Tenancy with the night or Survivorship in Mrs. Carroll 'Thomas Kos inyer and her two (laucihtcr.s, Miss Carroll 'Thomas Kesinger: and Miss Mary Elizabeth Kesinger. IOCUMENu}fY, ,•:.. . f\MP IftY, I ut rt 111tti 1 11f.aul; ,; . a :::: ' - -- ._.�._.. I t•„ _ -.il•,SLI �=�a;; 0 0. 4 5 1 uud salt, gtuniut ,I.,,. hrlchc hilly sv,uuurl Ihr 1i11,• In ,till la"d...,,,I will ,Ivlentl the .aunt• .q.:111.s1 1111• taut„) 01111111 ul all 111•t.1111.. s'1 ' •VI I. • "'(atl.tiu, :11111-Walsh•r- u1r us,•,1 In, .i nlp, i . "t ',lurid, as o.ut11r. 1 .r. wit o.. 111 Ntitllret itif)rrrctf, (anoint Ita. lave r-sill n • yL\uh ,lnt'. nn.1 uu.t .r..1 1 �luv .n.1 irate Iiix+ nhovtwttilvtt. Sig' .ii, vyuled and i • i}p•n•tI 111 61111 Ine.en.•r: 1 \ ) Carroll 'Thomas Kesinder 7Ce, ---. �jl (S.•..1) (Seal) STATE ul: FLORIDA C()UN'rY uh DADE I I IF,IIFaII' (I'.11'1•i I '' shut un ihi% day ln•intr urr. an nl(ir, , th,lt .p,..i.ri.•,I, t,. 1.,1..• ... t.. 'tvlr,lt;rnrnl.. Irt•t. ttrttl% a111•nred CARROL.L TIIOMAS KESLNC; LR, a simile wonuln 11/ 811. knnsvn 1" he the 1n•1%uu ,1r.(•riht•d it, :tto) .elm r.rt 111.,11 1111• 1.11.•.:•anC in.t Is.tn.•ui „r111 .lrktyxSZW tyr(ri$p t• Inc 1ht:t dill r.1•.,111rd iht• stunt•. ;...•••..•.ttJ�t, NVIITIVESS my huud 111111 011iri01 .,•.I it: ,h.• l'"uttit noel tit.,t.• l.,.1 .,In:,•..,/d ihi. /fTf I.it ,IfS416t.i3Tlk?er'''.' •'- 10 81 . /• sI%' cunnnlaa n" .•altile. �l tie, j / , / ✓ 1101.1016 rQ .w..,,Y •:[iron two p, No. (Maas 10•�,'• ▪ 1t00 Nf..1la K. U'Inuat:I I(Ct UR(ra c r. Y1bhc �• 1QN .. s.0t • https://www2•miami-dadecleek.[om/officialrecords/PrintDocument,aspx?QS.,YaoUfOzxryOnSGgzU%2bWOV9p1mr%2fdfPt15)03Gsv7(3u7zxZstUPnerxJ.. 111 3/13/2018 Miami -Dade Official Records - Print Document 22 0 uJ cn uJ cc cc 0 0 Id cc It! -1 0 0 tow 017 3 vt LOCAL FILE NO. OFFICE of VITAL STATISTICS CERTIFIED COPY FLORIDA CERTIFICATE 2 GO - 0 I. OECE DENTS NAME (Ewa. Mackaa. Last, Suhte) • , 4. . Carroll T. • ,!..Kesiiiker.ti,!:.,1qernale 3. DATE OF BIRTH (Month, Oyy, Y"a) 4a. A0E-Lara Emmy 40 UNDF 1 YF,I7 4.1x-tbep DAY ' 6 DA'41:,F DEAT3112400000Y, X44,, ..,,. December 13, 1920 (Y.P..) 88 Mont " tliyt DeCerabee , 2009 6 SOCIAL SECURITY NUMBER • 1. BET HPLACE (City and Slo0e, o, Forug n Country) Zephyrhills, Florida Ia. COUNTY OF DEATH 04,,...,..,:,..r..-: Miami -Dade'. '''ir'04%5 4.::t. ..PtAcE or DEATH HOSPITAL" Inpatient _ Emonbancy RoornIOulomtimet • (Check way ono) NON-e0SoiTAL _..., tiospIem F *day ......„, NursiP9 HoRdIeLon0 T .07, C ,.• F5.1117 - -- Dose On Anton' C'n"n.4' H°a4 — QIN' (Sp".) ce 10 FACILITY ,IAmcal:rfc(inaltubon, pl. sweat address) Vitas'Aialthcare North Shore mec5i641' 6tr , ,.-: ' 1 I a. CITY; Miarnti.,:- TOVyN, OR LOCATION OF CIEA,TH .• ':-,,,,,, 1115. INSIDE Glre,1.141ETS2 . .. • : .......Yoo —L 146 t3 ,... , - ua 12. MARITAL STATUS (Specify) CI .--Mareod —.-liarned. out Soparatoo ..!....,,m000rod ' , -,... Macao ....4.4161/li IdanNwl" • 13:BURVWINCESPOUSE'S NAME 11(.010. 0ENIAMANAWIA7E) . .. . , . . •••1 laa RESIDENCE • STATE u, Florida 140 COUNT' ' Miami -Dade 146.-01tY, TOWN, OR LOCATON , Miami Shores z 0 14O STREET AND NUMBER , t,.. 185 NW 96th Street ' 146/aPT, NO... , 14f , ap c.ppe 33150 14.0. INSIDECrITIAM1111?, ._ 2.1. Yu _Na CR 154 DECEDENTS USUAL OCCUPATION OndlcaN lype o/ work Was donny ROW ot .orkloo S's,/ .,.a Oo• . . ,1.M.. n' Officer 166 KIND OF BUSINESS/INDUSTRY . . • . -Bank!: . 15. DECEDENTS RACE (Swyt44sow4osto Mdato whatdtecthl conwdne4wrsotaftrc• miy be sp409041.) ` ciiroirh -J EL- x w„,„ ..,_, Mack or Arncan Amman _Arnitnzan Incise, or AJaaldin N.W. (SPkil, woo 8 , ' - inden 'Aline/hem OVINA•ian (S230O0Y) L, _ Asian _ Clam. FIVW3 _Atwell. _.. Komar, ...... , ...2;,'..Z,,...., ,,, , DI _ NMAN Hemolan — Cuarnants, or Chamorro .-.....SamON, .....- OInar Pocalo laL (SpaRTY) ' ',r74 -... ' S. '''''' . '„;,. 'It.,;*''• ....' cu 0 il. DECEDENT Or HiePANICA-LAITIAN OfttOIN7 KnR afalizin _, ao ican Cdb ', ...... la'i _L:46h- tralSO; .:' • IA •-• I I decedent traa d Pasponic ARON/ OrVIR) —Yea (II Yos. spacIWI .2-' No (U.,/ or Z• — 01Iw Hiaponlo (Spi;016) ''. .17^ `,.1:7,.• 2 NC , „, DECEDENTS EDLICATION (Specify Ma dacedentl Nee.d• : O,"" 0, Maar or 'thcer 00,0.0 Ni001.0 ofM W) a5C , ,,,,,,, . , •••, r" ' ......... SO or Mi. Hon ochool but no 077orma 1101, Envoi clolorm or DEO " '5 "`"*- cc 0 — Colope eta nO (Norma Campo assaaro (SP.N.W) — Asaocialt ,L bacnolorm — /Moira — Doctoral& 16 SyttASOCCVDS1444, R - OLLECARNE0' FOR,C413! - 1,,r",1,5 ' ''':;•"..7'..."- - Yes ,....., No T•• 20. FATI•ER 8 NAME (Fast Ladd* Las!. Sena') Z 0 Bernard •Athelston Thomas 21 MOINE/FS IONE (FM, 4601" anadie Surnsm.) " Mary Edna Carroll . • I 23. INFORMANT'S NAME O. ,• , Carroll Kesinger , 226 RELATIONSHIP DECEDENT .' Paughter , . ... , 230. INFORMANTS•MAILINO?ST/tTE ' ', '. ; • '„ Florida . , 7..: ' ., :, :::: (9 . 0 inCITY oq TVA E- Miami Shores - 234 frIfWer ADDRESS . I 85 NW 96th. Street -,'• ' `. - - • t -7: , • ,4.tatooe • . ,- . ,. , , . 422 24. PUCE OF DISPOSITION (Nome ol como(ery, crentoroty. or other Gakside Cemetery place) , ,. 28. LOCATION . STATE Florida -. . , - ..•. 250. LOCATION - CITY OR TOWN . Zephyrhilis . ' - ' . . . , . . ',.. . . ,. 266 IF CREMATION. OONATION OR BURIAL AT SEA, WAS MEDICAL EXAMINER APPROVAL GRANTED, _ Yes NO 27a. LICENSE NUMBER/WU:wire/57 ' F046201 379. 6 ft FUNEAAL SERVICE LICENSEE OR" REASON 0. ACTINOOSUCN • 26. NAME OF FUNERAL FACILITY Whitfield Funeral Home 20a, FACILITY'S MAJUNO , ETATII Florida 296 or. OR TOWN Zephyrhills 290 STREET ADDRESS . " ' 5008 Gall Boulevard " •.- -.. -1%,-- ri< 210 C°DE ,'', ' Ir, '''..,4 5.42,r44. 4j 30. cERTIF,Eq C051.4.0311487e.1.140- 8o74bee4 dell. et...e lo tho caine(.-ortrinvintlief etas.' 1 '' ...L. 4.414y.AnowleOgo, deell,breoolod el ISO Ille., *MI pace, end ,..T- (CheCk ONO ''S Els Minor • On Um basis a oxamimaion:Aratar Investiolilon. In oplNon, 01146votaurnod MI lb* t3nm,dote and 1,46O4s.dutici Ibmi• *). ,.....11" I= 31a (SIOn•Am ...'d i -.. 5 * P 0 )115101STYC, C 32 *Or OEATA"(24 lir ) . . . • :1.3-41.5 .- , 5ir)r,r, .,„ : , -e 0,1.,:.‘ 4 '4', - i , ......--, : .........-c. ,,,, st,.....cr 4,r...7- • '1 _JI 34.. LICE ,.. - 4t 10 0 34o. CERTIFIER'S NAME James Edmiston M ,,.D. ., . . 36 NAME Of AtTENOINGFNNSICAAN 1/!,111•4 Om • , . ' • . . •,'' -`:,..14-. . 2 3Ela CERTIFIERS•• STATE 1 2• Florida ••Miami yoo, ciTy OR TOWN 306 STREET ADDRESS " , . , Shores 9536, NE 2nd Avenue— .. . .. . , .,-.. • , . " ' "4:138.,.: ..• .. 37.SUSREGISTRAR .. Sigilituna and Doter n • SION5Aa • • L. „ , •,.. UM. LOCAL' E ' ' iPartSZE • - :pm., Our....w.) ' , • 316T6,2 " State Registrar Date Issued: October.25, 201() REQ: 2011025.628 THE ABOVE SIGNATURE CERTIFIES THAT THIS IS "A; TRUE AND CORRECT COPY OF THE OFFICIAL RECORD ON FILE IN'THIS OFFICE., .THIS DOCUMENT iS PRINTED ON.PN6TOCOPIED ON SECURITY PAPER WITH 0. WATEFOAANKOF 1HE GREAT WARNING: SEAL OF HE StATE OF FLORIDA ON THE FRONT, AND THE BACK CONTAINS SPECIAL: UNES WITH TEAT , AND SEALS IN THERMOCHROVIC INK. • 2 7 0 31 9 6 6 • CERTIFICATION OF VITAL RECORD III I II 1111 11111 II H FORM 1946 (C18-941 •• D fl. * 2 7 0 3 1 9 6 6 * https://www2.miami-dadeclerk.com/officialrecords/PrintDocument.aspx?QS=YaoUfOzxrino2bvusCnVe236Bi3w%2bWd9WWuAXxRq%2C2xvDv0VxJ.:. 2/2 , t 0/30/2017 FLORIDA DEPARTMENT ()F REVENUE State of_ Miami-Dede Official Records - Print Document 0 BK 27487 PG 1198 L. • ST PAGE Affidavit of No Florida Estate Tax Due DR-312 R. 07/07 (rhis space available for case style of estate robate proceedir F1.ORIDA ) BROWARD County of — _ (For official use onl } I, the undersigned, _ Miss—CARROLL THOMAS KESINGER __ _v_ _ , do hereby state: (print name of personal representative) 1. 1 am the personal representative as defined in section 198.01 or section 731.201, Florida Statutesras the case may be, of the estate of Mrs _ CARROLL T. KESINGER a/k/a CARROLL 'THOMAS KESINGER (print name of decedent) 2. The decedent referenced above died on __12 / 06 /2009 and was domiciled (as defined in s. 198.015, F.S.) at (date of death) the time of death in the state of FLOR,IDp On date of death, the decedent was (check one): ® a U.S. citizen U not a U.S. citizen 3. A federal estate tax return (federal Form 706 or 706-NA) is not required to be filed for the estate. 4. The estate does not owe Florida estate tax pursuant to Chapter 198, F.S. 5. I acknowledge personal liability for distribution in whole or in part of any of the estate by having obtained release of such property from the lien of the Florida estate tax. • Under penalties of perjury, I declare that I have read this Affidavit and the facts stated in it are true. This declaration is based on all information of which the personal representative has any knowledge (as. 92.525(1Xb); 213.37; 837.06, F.S.J. Executed this �t:i>... day of _NQYE?JRFIL.._, 20 ��Signature. Print name-CARROLL THOMAS KESINGER Mailing address _185 NW 96th STREET State of _ .ORIDA Sworn to (or affirmed) and subscribed before me by On this 5 t h _ day of NOVEMA Signature of Notary (C one) Personally known LI Or produced identification Type of identification produced ,201 Telephone number (786) 251-0965_V City/State/ZIP MIArMI SHORES_FI, 33150 County of BROWAR) -- ....__ CARROIITIIOMAS KESINGER 8. ALAN 0089111S,111 M1' COMMISSION if OD 7 41'i i EXPIRES: March 21, 2012 Aadsdfla,Noury Pu prtk ew.i, . Print, type. or stamp name of Notary Public File this form with the appropriate clerk of the court. Do not mail to the Florida Department of Revenue. https://www2.miami dadeclerk.corn/officialrecords/I'rintDecurnent.aspx7OS=YaoUfOzxry2%2bvusCnVe231w5flifK61p6nIc4C38wXCyjVIb04iu1R947dAe... 2/2 2026 GRANT STREET * HOLLYWOOD, FLORIDA 33020-3546 TO: Ms. Mary Kesinger 185 NW 96th Street Miami Shores, FL 33150 BROWARD (954) 920-7688 DDE PIONEER ROOFING HI . FAX X (954)5) 923 267 836-5767 pioneer@pioneerroofingcoman).com CC-0058041 JOB NAME: SAME ADDRESS: DATE: 10/23/2018 Page 1 of 4 We are pleased to submit the following estimate on the above captioned job. 1. Remove sections of tile and roofing where leaking as shown by owner and/or as noted by the Inspector and as listed below: [ A. Front East Patio — two (2) areas B. ENTIRE Front Patio -- South Overhang to include the ENTIRE overhang from the west to the east. 2. Remove metal eaves drip. where required. 3. Remove damaged wood in areas where tile and roofing removed, if any. 4. Install rafter helpers, if necessary. SEE NOTES BELOW. 5. Install new wood where damaged removed. SEE NOTES BELOW. 6. Install caulking and a prime coat of paint over new fascia, soffit, and/or wood nailers, where required. SEE NOTES BELOW. 7. Install new roofing over areas where removed. 8. Install new galvanized metal eaves drip, where required. Prime flange. Set same in mastic, Flash same with TWO (2) ply mastic and membrane. 9. Install primer, mastic under the existing metal flashing at the retums, and mastic with membrane flashing over the flange of the existing returns. 10. Install mastic and membrane flashing between new roofing and existing. 11. Install existing tile that was removed or tile from owner's stock, if available. IF NEW TILE IS FURNISHED BY THIS CONTRACTOR, THE COLOR AND SHAPE OF TILE WILL MATCH EXISTING AS CLOSE AS POSSIBLE. 12. Install aluminum coating over all exposed mastic furnished and installed by this contractor. 13. Remove all roofing debris from the roof and premises. SUM OF ENTIRE JOB: Eight Thousand Seven Hundred Forty -Seven Dollars $8,747.00 NOTE: THE ABOVE CONTRACT AMOUNT IS VALID BASED UPON THE SCOPE OF WORK AND CONDITIONS AS LISTED ABOVE AND BELOW: NOTE: PLEASE SEE THE ENCLOSED LETTER AND INCLUDE SAME AS PART OF THE CONTRACT DOCUMENTS. Pioneer Roofing Co., Inc. guarantees the repairs to the owner named above for a period of one (1) year for workmanship and materials only. This guarantee is subject to Article #13 on the reverse side of this Contract and DOES NOT cover leaks caused by acts of man or animal, abuse, lightning, hurricane, tornado, hail storms, vandalism, or other unusual climatic phenomena or acts of God. At the sole discretion of and subject to any terms required by Pioneer Roofing Co., Inc., the owner named above may assign this guarantee to a subsequent owner of the property for the remaining term of the guarantee period. Any request for such assignment must be made in writing. Pioneer Roofing Co., Inc., may charge an assignment fee as part of any such assignment. "YOUR FRIENDS IN HIGH PLACES" PION " n S., INC. Lanny Gelfand CEO When this job is accepted please sign and return one copy which - 11 be our order to proceed with work and constitutes the entire agreement of the parties. No verbal agreement shall be a part of this contract. The undersigned accepts the above job at the price quoted and agrees to pay for said work protnptly as herein specified. If any sums due are collected by suit or demand of an attomcy or collection agency then the undersigned agrees to pay all costs, including reasonable attorney fees, for collection. DATE f)/v /f 2 ACCEPTED BY: lbePe5i `S� 11 \ TITLE: 0014 X-4, 6(06 toit gitr 'f,C01`I1r 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 to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 2. XL Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. 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. I2I�iL 6. in Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded 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 ma be necessary to install overflow scuppers in accordance with the requirements of Sections R440 #03 an4413. 71? Owh(erIA 'ent's Signature 1 Date l$5 N >iu % f ie Property Address Revised on 7/9/2009 LD;07/01/2015; Allti.All/mi Contr.ct, ' gnat;�i Dat gnat, Cep Permit Number ct- RECEIVED. OCT 3112018 Master Permit No. ROOF ASS r . ►�p .`js" •� . 9s � CTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Applic Section A (General Information) Contractor's Name Job Address Roweer /8'5 qL 5-trwcf ❑ Low Slope O Asphaltic Shingles O New roof XRepair ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR-RAS 150 ROOF TYPE 0 Maintenance Process No. • • • • • •• • •••• • • •••- X Mort2t/41P live Set Tilts 0 Wood:Sfli eles/Shaliejs• : 0 Reroofing .. .. • ; ❑ Recovepng ROOF SYSTEM INFORMATION - Low Slope Roof Area (SF) Steep Sloped Roof AREA (SSF) 2ao Total (SF)• • ▪ i-° • • • • • • .. . Section B (Roof Plan) Sketch Roof Plart illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. „° :„tions'of sections and le Is, clearly identify dimensions of elevated pressure zones and location of parapets. w r 0- 3 IJ I i • • 1 1 1 1 1 1 1 •1 t 1 1 r 1 • • 1 i Include dimen- 1 1 1 i 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 INTERNATIONAL CODECOUNCIL FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 Copyright to, orlicenscd by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. as Drawing Report Kesinger - Base Bid WLS �C • 13' 10/29/2018 V� LI•• Section: Entire Job Page: <New page> so ................. wwi•i•ii•'•i . •��•�•!•!•. .�/1• ..'.Y\kid • ••.••.• . .r •.'/V'.'I x'.'.'.'.IAii i.' Page 1 Pioneer Roofing Co., Inc. 2026 Grant Street Hollywood, FL 33020 Phone: 954-920-7688 Fax: 954-927-7851 Drawing Report kesinger - Base, Bid Legend Pitch 0/1.7 Description Tile Field Hips Hip "Hat" / 24 Ga Ridge Ridge "Hats" / 24 Ga •�Q/�7; -Valleys •• •'1av$ • •••••• • G5151e/Rake • • • • • • VOA Wall Flashing •• • • © ' penetration Flash BBC 26 ga SS • • • • •'Cricket Insulation 'tear Off • • •••••• • • •• •• • • • • • • • • • • • • • • • • • • • • • •• SF 1,538.00 0.00 0.00 LF. EA 172.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10/29/2018 Page 2 Pioneer Roofing Co., Inc. 2026 Grant Street Hollywood, FL 33020 Phone: 954-920-7688 Fax: 954-927-7851 Q1 • • • • • •.•• ••• , •• • • • ••• Ot• •.. • • ... • • • • • • • • • • •• • • • • • • • • • • •• •• • • • •• • •`• ••• • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 1/ �.5 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: Notice of Acceptance Number: ai-Pte.. -fie Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: 39 . i P1: CA. P1: Deck Type:' Roof Slope: : 12 Ridge Ventilati n? r } wed desk Type Underlayment: Insulation: Fire Barrier: /00.7 • • •• .. . • .•.. ..•• Ab • . • • • • • . . . . . .• .• Mean Roof Height: ) (9 dkor • .. •. • IP . . . . Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: 1 1 1 1 1 1 1 1 ..L:.. 1 •• . ..r... • • 1 :.L.. 1 'rt) P105 Po ILO 1 1 5) E Ft-d �� 4- co km C-L4-q 3 6- f e Type & Size Drip Edge: 3)(3 9?t4v 1 1 1 1 1 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.39 Copyright to, or licensed by. ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. INTERNATIONAL CODE COUNCIL 1 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. 1 Section E (Tile Calculations) 1 For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mi. If the M, values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. 1 1 Method 1 "Moment Based Tile Calculations Per RAS 127" (P 1:39, I x ro297 /), 6 - Mg: 5-1 = Mn 5.7• Product Approval M, 3 Y. (P4,1, 097= Zo. 7' - Mg: S,9 = Mrz f'{.37- Product Approval M, (P3:loo.7xX • 917 = 29.46) - = Mr324.1.0e Product Approval M, Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mr • • • • ..•• • • •••• M, required Moment Resistance' •••• • • • • • • Mean Roof Height Roof Slope 15' 20' 25' 30' • .a . AO' •• ;. . 2:12 34.4 36.5 38.2 39.7 • • • •_ • i2.2 3:12 32.2 34.4 36.0 37.4 • 39.8 ; . 4:12 30.4 32.2 33.8 35.1 : • .37.3 ' 5:12 28.4 30.1 31.6 32.8 _ • 34.9 • • • 6:12 26.4 28.0 29.4 30.5 32.4 • 7:12 24.4 25.9 27.1 28.2 30.0 •� • • • • • • • • .• • •••• • • • ••• • • • • • • *Must be used in conjunction' with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P1: x L = x w: _ ) - W: x cos 0 = Fr; Product Approval F' (P2:xL_=xw: = )-W:xcos 6=F2 Product Approval F' (P3:_ x L = x w: = ) - W: x cos 8 = Fr3 Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis pre- pared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A. Product Approval Restoring Moment due to Gravity M9 Product Approval Attachment Resistance M, Product Approval Required Moment Resistance M9 Calculated Minimum Attachment Resistance F' 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. • • • •• 15.40 INTERNATIONAL CODE COUNCIL FLORIDA BUILDING CODE - BUILDING, 5th EDITION (2014) Copyright to, or licensed by. ICC (ALL RIGHTS RESERVED); arcrlsed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 8825 NW 95th Street Medley, FL 33178 SCOPE: This NOA is beinq1issued under the applicable rules and regulations governing the use of Qonstiiiction iitateniels. The documentation su1 Flitted has been reviewed and accepted by Miami -Dade County RER - ProdU ContrQL S ction to be used in Miami -Dade County and other areas where allowed by the Authority Having Juriscliotion (Ak.1.).. •• 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/economv • • . This NOA shall not be valid after the expiration date stated below. The Miami -Dade County•linoduct Control.Sectittf • • • (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to teve4liis • product or material tested for quality assurance purposes. If this product or material fails trIrf3rm in J giepted • manner, the manufacturer will incur the expense of such testing and the AHJ may immedi.i'elrrevoke,•modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to ievokethis acceptance, if it is determined by Miami -Dade County Product Control Section that this product or ma el•feils tom meet the requirements of the applicable building code. ".. • •• •. • This product is approved as described herein, and has been designed to comply with the Florida Buildmgeeole including the High Velocity Hurricane Zone.of the Florida Building. Code. ._......w.. —., , • .• • DESCRIPTION: Santafe Spanish `S' Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 15-0915.09 and consists of pages 1 through 5. The submitted documentation was reviewed by Freddy Semino MIAMI•DADE COUNTY APPROVED NOA No.: 18-0604.04 Expiration Date: 02/01/21. Approval Date: 08/02/18 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Clay Deck Type: Wood 1. SCOPE This approves a roofing system using Santa Fe "Santafe `S" Clay Roof Tile, as manufactured by Ladrillera Santafe S.A. in Bogota, Colombia and distributed by Santafe Tile Corporation as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in compliance with RAS :;7•4ng the values listed in section 4 herein. The attachment calculations shall be done as a monient�•a6ed system. •• • •••• • • •••• 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Santafe `S' Clay Roof L = 18" Tile W = 11.1" Thickness = 0.39" Trim Pieces 1= varies w = varies varying thickness 2.1 MANUFACTURING LOCATION 1. , Bogota, Colombia 2.2 b SUBMITTED EVIDENCE Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies MIAMFDADE COUNTY APPROVED Test Specifications TAS 112 Type I Grade 1 TAS 112 - • • • • • • • • • • • • • • • ••• •• Dew:Mipn • One piece high profile cagy ?dof tile equipped with • • two nail holes. For nail•on,•mortar set Ad adhesive • • • • • • set applications. • • • Accessory trim, clay rooi+piec4s for ref hips, • • rakes, ridges and valley terminations. • Manufactured for each tile profile. - - - • Test Identifier 94-156-8 94-156-9 25-7205-1 Project: 07-07-00-91 (307023) 7161-03 Appendix II 7161-03 Appendix III P 0402 P 0647-01 Test Name/Report TAS 101 TAS 102 TAS 101 TAS 100 TAS 108 (Nail -On) Static Uplift Testing TAS 102 & TAS 102(A) Withdrawal Resistance Testing of Screw vs smooth shank nails TAS 108 (Mortar Set) • Date Aug. 1994 March 1995 Sept. 1994 Dec. 1991 Dec. 1991 Sept. 1993 Aug. 1994 NOA No.: 18-0604.04 Expiration Date: 02/01/21 Approval Date: 08/02/18 Page 2 of 5 2.2 SUBMITTED EVIDENCE Test Agency Test Identifier Test Name/Report Date Redland Technologies P 0631-01 PA 108 July. 1994 r (Mortar Set) Celotex Corporation Testing Services 520305-01 thru 05 PA 102 June 1999 IBAConsultants, Inc. 2353-4 Restoring Moment Aug. 1999 PRI Asphalt Technologies, Inc. SFTC-003-02-01 TAS 101 12/06/02 IBA'Consultants, Inc. 2353-70 TAS 101 09/22/03 IBA,Consultants, Inc. 2353-71 TAS 101 09/22/03 IBA Consultants, Inc. 2353-93 ASTM C 1167 07/18/05 American Test Lab of South Florida RT0624.01-15 ASTM C1167-03 07/01/15 PRI Construction Material Technologies COPO-002-02-08 TAS 101 :..I1412/16 . 3. LIMITATIONS . . . ... . . . 3.1 Fire classification is not part of this acceptance. .... • 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be perfonr ed in a000r 1 nce vwitk.. TAS 106. • • 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laborafdly•tb perfoi'in quarterly t2Vt•; • in accordance with TAS 112, appendix 'A'. Such testing shall be submitted 10 tn Miami-11ade County'. Product Control Section for review.• ••• • 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Appllc$tions SWandards lifted • •.• section 4.1 herein. •..•.• 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations MIAMWADE COUNTY APPROVED NOA No.: 18-0604.04 Expiration Date: 02/01/21 Approval Date: 08/02/18 Page 3 of 5 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W'(Ibf) Length -I (ft) Width-w (ft) Santafe `S' 6.7 1.5 0.958 ' Table 2: Aerodynamic Multipliers— X(ft3) ' Tile X (ft3) X (ft3) Profile Batten Application Direct Deck Santafe `S' 0.274 0.297 Table 3: Restoring Moments due to Gravity - Mg (ft.-Ibf) , Tile Profile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" greater :1 atteas • or Direct Df bR' Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens : . Direct • peck Santafe `S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32• '5.29 • •'S03 5.00 • • Table 4: Attachment Resistance Expressed as a Moment - M�(ft.lbf) . , for Nail -On Systems •••• •• •• ••••� Tile Profile Fastener Type Direct Deck•••••• ;• 'Battens .... : Santafe 'S' 2-10d Ring Shank Nails 21.8 . N/A •' One #8 Screw 29.161,2 : • : • .N/A •..•: Two #8 Screws ' 38.281 N/A . One #8 Screww/ Clip 57.311.2 •..• : .. •N/A :•• •' Two #8 Screws w/ Clip 57.601 _ . • •61.771 1.' Approved screws as noted 'Product manufactured by others'. 2. When using one screw it must be installed in the inside hole located nearest to the hump of the tile. , Table 5: Attachment Resistance Expressed as a Moment Mf (ft.-Ibf) for Two Patty Adhesive Set Systems i Tile Profile Tile Application 2 Minimum Attachment Resistance Sahtafe 'S' Tile Bond 38.9 3 Polyfoam Polypro AH 160T"" 33.1 4 2 See manufactures component approval for installation requirements. 3 ' Flexible Product, Inc. Average weight per patty 10.4 grams. 4 i Polyfoam Product, Inc. Average weight per patty 9.4 grams. Table 5A: Attachment Resistance'Expressed as a Moment - Mf (ft.-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application 2 Minimum Attachment Resistance Santafe 'S' _ Polyfoam Polypro AH 160TM 66.5 5 Polyfoam Polypro AH 160T"" 63.8 6 DAP Foam Touch N Seal Storm Bond 2 100 7 5 I Paddy placement of 63 grams of Polypro AH 160Tm. 6 i Paddy placement of 24 grams of Polypro AH 160TM'. 7 Paddy placement of 45 grams DAP Foam Touch N Seal Storm Bond 2 . MIAMI-DADE COUNTY APPROVED NOA No.: 18-0604.04 Expiration Date: 02/01/21 Approval Date: 08/02/18 Page 4 of 5 1 Table 6: Attachment Resistance Expressed as a Moment - Mt (ft-Ibf) for Mortar or Adhesive Set Systems Tile Profile Santafe 'S' Tile Application Mortar Set Attachment Resistance 23.6 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami -Dade County Product Control Approved". SANTA FE TM MADE IN COLOMBIA LABEL FOR SANTA FE SPANISH "S" CLAY ROOF TILE 6. BUILDING PERMIT REQUIREMENTS • • • • •. . ••.• . • 6.1 Application for building permit shall be accompanied by copies of the following:•: • • • • • • 6.1.1 This Notice of Acceptance. • • 6.1.2 Any other documents required by the Building Official or applicable bii.jlclipg code in.or r to properly evaluate the installation of this system. • • • . 18" 11.1" MIAMI-DADE COUNTY APPROVED PROFILE DRAWING • • . • • When using one scrra.% • use this hole. • • • "SANTAFI S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 18-0604.04 Expiration Date: 02/01/21 Approval Date: 08/02/18 Page 5 of 5 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 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.eov/economy This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Centro4 Section (iniMiami-Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve; he.Aght to have this product or material tested for quality assurance purposes: If this product or material fails to pErfo!m in U1re'?ecepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediate revoke, moc!ity, or suspend the use of such product or material within their jurisdiction. RER reserves the right IA revoke this acieptanre. • • if it is determined by Miami -Dade County Product Control Section that this product or mafeii.Q ils to4aet.tbe requirements of the applicable building code. • • This product is approved as described herein, and has been designed to comply with the Florio Building Code including the High Velocity Hurricane Zone of the Florida Building Code. • • DESCRIPTION: Polyglass Polystick Uriderlayments • • • •. • •. • • . .• . •. • .•• . • •• • • LABELING: Each unit shall bear a permanent label with the manufacturer's naive 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, add/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.15-0410.04 and consists of pages 1 through 8. The submitted documentation was reviewed by Freddy Semino., MIAMI DADE COUNTY APPROVED NOA No.: 17-0614:22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Sub -Category: Material: Roofing Underlayment 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 MIAMFDADE COUNTY APPROVED Dimensions 65' x 3'3-3/8" Or 65' x 3' 60 mils thick 61' x 3'3-3/8" 60 mils thick 61' x 3'33/8" 60 mils thick 65'8" x 3'3-3/8" 60 mils thick 32'10" x 3'3-3/8" 130 mils thick 65' x 3'3-3/8" 80 mils thick 65'8" x 3'33/8" 60 mils thick 65'8" x 3'33/8" 60 mils thick 32'10" x 3'3-%" Test Specification 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 and ASTM D 1970 TAS 103 TAS 103 TAS 103 and ASTM D 6164 Product Description A fine granular/sand top surface self -adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. A rubberized asphalt self -adhering, glass-fberpolyester reinforced waterproofing me.mbrape. De$i ttl•as a metal roofing and roof tile underlayment.. • • • .' • .•.. •• A rubberized asphalt self-adkop ig. glass-fibgr/polyester reinforced waterproofing menwlarane. Designed as a m$f f1• • ; roofing and roof tile underlaypite t. • • • • A rubberized asphalt self-ad$efipg'polydstent-'inforcgd•.. waterproofing membrane. Desired as a a roof tile •' • underlayment. • • • . A rubberized asphalt waterprroofng membrane, glass-. fiber/polyester reinforced, with a granularrfece 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 polyolefinic 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 polyolefinic 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.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 2 of 8 • • MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL Test Agency Trinity I 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 PUSA-035-02-01 PUSA-055-02-02 PUSA-089-02-01 JX20H7A RX 14E8A DX23D8B DX23D8A Test Name/Report TAS 103 TAS 103/ASTM D4798 & G155 ASTM D1970 TAS 103 ASTM D 1623 TAS 103/ASTM D4798 & G155 TAS 110/ASTM D4798 & D1970 ASTM D 1623 ASTM D6164 TAS 103, TAS 110 & AS' M 01623 ASTM D1623 TAS 103 & TAS ASTM D 1970 & TAS•bb0 TAS 103&TAS 11a••• ASTM D1970 & TAS•I:PU: .. .. TAS 103 . . TAS 103 • • TAS 103/ASTM D4798:& QT1 S5 •. . TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 TAS 103/ASTM D4798 & G155 Date 12/04/08 04/13/09 07/01/10 03/02/11 04/26/11 09/01/11 10/19/11 08/07/12 :..1X1102/13 �•• 05/12/14. •. •.•.1.0,/03/14 • .10/07/14. • 101/7/14 . ••• 04/27/16•:••• :.. (27/1&•••• • 409/29/06 :...1J110/070 07/06/0Q •. . • • •• . •• 04/01/08 11/09/09 02/18/10 02/18/10 • • • LABELING: 1. 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. MIAMIDADE COUNTY APPROVED NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 3 of 8 • INSTALLATION PROCEDURES: Deck Type 1: Deck Description: System Type E(1): Anchor/Base 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: MIAMIDADE COUNTY APPROVED 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) Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS or Polystick MTS Plus, self -adhered. 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'ajpyiitnuin 4 „te44 lap. (14;&.. 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 1518.2 & 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.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 4 of 8 • • INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move 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 maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current lirdduct Control Notice of Acceptance. • •• • •• • • 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. Theflashing taie stall be pressed in place and formed around the protrusion to ensure a tight fit. A second lays; pf 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 MTIS Nils may De • used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, rl,pf ti1Q systerraid 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. I Deck requirements shall be in compliance with applicable building code. 4. 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 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. 3 Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU t 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 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and MIAMIDADE COUNTY APPROVED NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 5 of 8 Rule 61G20-3 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 both adhesive set and mechanically fastened roof tile applications. Polystick Dual Pro is limited to mechanically fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. When loading roof tiles on roof tile underlayment for (direct-tb-deck) tile assemblies, the maximum roof 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 Poly tick • MTS4P•lps : S ste 4 4E3) MTS Plus with•' `UJ•Phis • • Flat Tile Prohibited without battens 4:12 6:12 6:12 5: r2 • • • • ••.. • • 6' 12 •• • • • . . Profiled Tile Prohibited without battens 4:12 6:12 6:12 4: l;, •• • • • • . • • • • •• 6: T2. • • - • •..• • .• • .. ••• • The above slope limitations can be exceeded only by using battens in accordance wittt the l pproved tile System '. Notice of Acceptance and applicable Florida Building Code requirements. When battens Ore regtdfet ithey sh��•••� 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 ropToing 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. POL`tS11CK1U Plus MIAMI•DADE COUNTY APPROVED (6 Max. Per Stack) 12 NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 6 of 8 Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick NITS, Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTIdK•EM MBI ANES ••••• PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SP44nIic APPLICVIONS. • LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMAaEADATIOrS. • • • �. • •• • • Polyglass does accept the direct application of Polystick underlayment membranes toevvoc1 deckse Ind callers are: • •' cautioned to refer to applicable local building codes prior to direct deck installation tb'eitstre this•is acceptable. Please also refer to applicable Product Data Sheets ofthe corresponding products. • • • • • . 2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edgeseam as Pf Pbtyglasg Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum,' 5,4" meth i tlisk as • required in Miami -Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back -nailed. (Please refer to applicable local building codes prior to installation.) • • • � • • 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium ModifiedFlashing 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 tile 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 6 1/4"/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. MANMADE COUNTY APPROVED I NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 7 of 8, • 10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11.. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14.• Polyglass recommends that applicators follow good roofing practices and applicable procedures a%outlined by the National Roofing Contractors Association (NRCA). • • } PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SWIM APPLIC IONS. • LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMAI.E.rATIOIyS. • , • • • • • • END OF THIS ACCEPTANCE • • ••• •• • • • • • •• • • •• • • • • • • • •• • • • • • • •: • • NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 8 of 8 • DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) The Dow Chemical Company 1605 Joseph Drive 200' Larkin Center Midland, MI 48674 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.Pov/economv SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Contrdl.SeQion to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdit ipti `1AHJ).' This NOA shall not be valid after the expiration date stated below. The Miami -Dade County tceciuct Confrol Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the fight to have this prodtwt..• : or material tested for quality assurance purposes. If this product or material fails to performip4ehccepte4I,mmstner, tf e • manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify], or suspend the mg • .•.. • of such product or material within their jurisdiction. RER reserves the right to revoke this aaceplance, "• determined by Miami -Dade County Product Control Section that this product or material f4l's•tp ieet the requirements of the applicable building code. • • • • This product is approved as described herein, and has been designed to comply with the Florida $wilding Code including the High Velocity Hurricane Zone of the Florida Building Code. • • •• • . • .• • • • DESCRIPTION: TILE BONDTM Roof Tile Adhesive • • • 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 ofthis 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.14-0820.08 and consists of pages 1 through 8. The submitted documentation was reviewed by Gaspar J Rodriguez. MIAMI•DADE COUNTY APPROVED 1 NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 1 of 8 • Adhesive ROOFING COMPONENT APPROVAL Category: Sub Category: Material: Roofing Roof Tile Adhesive Polyurethane SCOPE: This approves TILE BONDTM Roof Tile Adhesive as manufactured by The Dow Chemical Company as described in this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable building code, do not exceed the design pressure values; as obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using TILE BONDT"' Roof Tile Adhesive. PRODUCTS MANUFACTURED BY APPLICANT: Product • • . • . . Dimensions Test Product•Deseriptiop• • • • • Specifications . • ... • • • • TILE BONDTM Roof Tile N/A TAS 101 Single component polytaiethane foamy opf tile, adhesive ••••• •• • • •• • PRODUCTS MANUFACTURED BY OTHERS: . • ..• .. . . . • Any' Miami -Dade County Product Control Accepted Roof Tile Assembly having a current *OA which Nst attachment...:• resistance values with the use of TILE BOND roof tile adhesive. • •• ••. •. . MANUFACTURING LOCATION: 1. Wilmington, IL 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 2842 ASTM E 96 ASTM D 2126 Closed Ce11 Content ASTM D 2856 Note: The physical properties listed above are presented by accepted ASTM test methods and are subject to MIAMI•DADE COUNTY APPROVED Results . .• • • • •.• • 1.83 lbs./ft.3 14.31 psi 31.2 lbf @ 180°F, 65% RH for 120 days, concrete to concrete 2.21% absorbed by Volume 3.00 Perm / Inch -0.47% Volume Change @-40°C., 2 weeks -4.05% Volume Change @70°C., 100% Humidity, 2 weeks 86.3% as typical average values as determined normal manufacturing variation NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 2 of 8 I ! • EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date IBA Consultants Inc. 4848-8 TAS 101 05/19/08 4848-7 TAS 101 05/19/08 4848-6 TAS 101 05/19/08 4848-5 TAS 101 05/19/08 4848-4 TAS 101 05/19/08 4848-3 TAS 101 05/19/08 4848-2 TAS 101 05/19/08 f 4848-1 TAS 101 05/19/08 Trinity ERD D9840.09.09 TAS 110 09/17/09 . • . .. . INSTALLATION: . • •... • • . • •. • • • 1. ,TILE BONDT"' Roof Tile Adhesive may be used with any roof tile assembly having aolirr€nt NOA.that lists • attachment resistance values with the use of TILE BOND" Roof Tile Adhesive. • • • ••.. •.. • • 2. TILE BOND'Roof Tile Adhesive shall be applied in compliance with the Componvgt•Applicatioi; &Ration ant• • • • • • the corresponding Placement Details noted herein. The roof tile assembly's adhesiveAttqapent with the use o • •: • 1 TILE BONDT"' Roof Tile Adhesive shall provide sufficient attachment resistance to Medici: exceed the`resistance value determined in compliance with Miami -Dade County Roofing Application Standards.RAS 127.1' 11* . • . . 1 adhesive attachment data is noted in the roof tile assembly NOA. • • • . • . 1 . • . 3. TILE BOND' Roof Tile Adhesive and its components shall be installed in accordance with Roofing Application 1 Standard RAS 120, and The Dow Chemical Company TILE BOND" Roof Tile Adhesive Operating Instruction and Maintenance Booklet. 1 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by The Dow Chemical Company. 5. Pressure treated wood filler block shall be required on all eave course of all tile profiles, except on two piece barrel tile 6. Tiles must be adhered in freshly applied adhesive. Tile must be set within 4 minutes after TILE BOND" Roof Tile Adhesive has been dispensed. 7. TILE BONDT"' Roof Tile Adhesive placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. MIAMI-DADE COUNTY APPROVED NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 3 of 8 • 1 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. TILE BONDTM Roof Tile Adhesive can be used with flat, low, medium and high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. { 4.i Roof Tile manufactures acquiring acceptance for the use of TILE BONDTM Roof Tile Adhesive roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F'— F, 2/ —W MS 51 All products listed herein shall have a quality assurance audit in accordance with the Florida Buildi . Code and Rule 61G20-3 of the Florida Administrative Code. • • •• •••• • • •••. • •••• • • • • • ••• •• • • • • LABELING: •• .• •• . All approved products listed herein shall be labeled and shall bear the imprint or identifiable.uwkipg of the • manufacturer's name or logo and following statement: "Miami -Dade County Product Control A}Spt'Aved".or the Miamj- Dade County Product Control Seal as shown below. • • • • • • • •• • MAAM{OA®E COUNTY .01917YEJ •• • • • • •• • BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. • • • • • • • • TABLE 1 ADHESIVE PLACEMENT FOR EACH GENERIC TILE PROFILE Tile Profile Placement Detail Minimum patty Weight per tile (grams) Contact Area (Square inches) Flat / Low Profile #1 11`.Y 19.5 Medium Profile #2 11.0 19.5 High Profile ( Head) High Profile (Nose) #3 22.0 11.0 39 19.5 Two Piece Barrel #4 11.6 20 NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 4 of 8 ADHESIVE PLACEMNT DETAIL LOW (FLAT) PROFILE DETAIL #1 MIAMI•DADE COUNTY APPROVED Sr' • • .. .. . .... ••• •• .... • • .... I is .. • • .. .. • • • •••• • .... • • •••• el* . • • . .. . • . Litallik .' • • • •••• • • .... • NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 5 of 8 • MEDIUM PROFILE DETAIL #2 MIAMI DADE COUNTY APPROVED NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 6 of 8 HIGH PROFILE DETAIL #3 MIAMI-DADE COUNTY APPROVED NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page7of 8 BARREL PROFILE DETAIL #4 END OF THIS ACCEPTANCE MIAMI•DADE COUNTY APPROVED NOA No.: 16-0222.01 Expiration Date: 08/23/21 Approval Date: 04/14/16 Page 8 of 8 • • . ... •