RF-18-3566Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:11/30/2018
Parcel Number
77 NE 109TH ST, Miami Shores, FL 33161 1121360040560
_— rwfl
Contacts
Permit NO.. RF-11-18-3566
Permit Type: Roof
Work Classification: Tile/Flat
Permit Status: Approved
Expiration: 05/29/2019
THOMAS MURDOCK Owner
77 NE 109 ST, MIAMI SHORES, FL 331617039
FLORIDA ROOF -TECH CORP ROOFING Contractor
DONE RIGHT GUARANTEED
MARCIAL RODRIGUEZ
5941 NW 173 DR
Business: 3055579685
Description: RE -ROOF TILE 13" COLOR THRU STONLING / FLAT Valuation: $ 29,300.00 3Inspection Requests:
uests:
ToSqFeet: 2,589.00
762-4949
Fees
Amount
Application Fee - Other
$50.00
CCF
$18.00
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$6.00
Roofing Fee
$250.00
Scanning Fee
$9.00
Technology Fee
$7.50
Total:
$348.00
Payments Date Paid
Amt Paid
Total Fees
$348.00
Check # 007016 11/30/2018
$348..00
Amount Due:
$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
n accepting t is ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are require F_CTRICAL, LUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS : I c rfi the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regul ng construs ' a9 zoning. J, her re, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
November 30, 2018 Page 2 of 2
OFFICE
4Y.\ PROPFRTY
Summary Report
Property Information
Folio:
11-2136-004-0560
Property Address:
77 NE 109 ST
Miami Shores, FL 33161-7039
.......... ........ __...
Owner
THOMAS D MURDOCK
Mailing Address
77 NE 109 ST
MIAMI SHORES, FL 33161-7039
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,131 Sq.Ft
Living Area
1,661 Sq.Ft
Adjusted Area
1,895 Sq.Ft
Lot Size
9,150 Sq.Ft
_.._..-.._.._.._.____.................................................._....._.._._
Year Built
...........__....._.._....._..._. _
f 1941
Assessment Information
Year
2018
2017
2016
Land Value
$228,594
$228,594
$196,886
Building Value _
$131,892
$131,892�
$131,892
XF Value
$21,751
$21,751
$21,751
Market Value
$382,237
$382,237
$350,529
Assessed Value
$182,538
$178,784
$175,107
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Assessment
$199,699
$203,453
$175,422
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
COLLEGE HEIGHTS PB 42-8
LOT 26 BLK 2
LOT SIZE 75.000 X 122
OR 19317-4698 08 2000 1
Generated On : 11/13/2018
Taxable Value Information
2018 2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$132,538
$128,784
$125,107
School Board
Exemption Value $25,000
$25,000
$25,000
Taxable Value $157,538
$153,784
$150,107
City
Exemption Value $50,000
$50,000
$50,000
Taxable Value $132,538
$128,784
$125,107
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$132,538
$128,784
$125,107
Sales Information
Previous Sale
Price
OR Book -Page Qualification Description
08/01/2000
$147,000
19317-4698 Sales which are qualified
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:
Miami 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 SIT&
..
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES •••;•• •
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name:
Property Address:-?-) me,Roofing Permit Permit Number:
tk(4 JC,K
Date; •
�•
. .
Dear Building Official: I_Fo l,k Idot certify that I am not required to retrofit the roof to wall connections of my
bull ' g 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.
❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 1994 edition of the South Florida Building Code (1994 SFBC)
I heomlll �4L aoey,�
Signature
State of Florida
County of Dade
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 11�77 day of /. .2
Notary Public, Sate of Florida at Large' J_a',iey7rk_
�r nL Notary Public State of Florida
Paola M Lora
My Commission GG 166781
expires 12/1512021
• When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994
SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
Revised on 5/21/2009
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 CWup. with
the required roofing permit, and to explain to the owner the content of the section. The 4ovisi8gs of Section R4402 "
govern the minimum requirements and standards of the industry for roofing system installations Addition ;,•the ••;;
following items should be addressed as part of the agreement between the owner ant thioprNctor. The Qwner's
initial in the designated space indicates that the item has been explained. • • • • • •
.... .. .. .....
2• Renailing wood decks: When replacing roofing, the existing woc?Croof deck mdYfte to
be nailed in accordance with the current provisions of Section R4403. (The r&T i18Li: is usually' '.
concealed prior to removing the existing roof system). • • • • • •
. . ••••o:
•• • •• • •
. .
4• Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking
ciewed 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.
6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is
no aded from a buildup of water. Perimeter/edge wall or other roof extension may block this
discharge if overflow scuppers (wall outlets) are not providO. a ne es to install overflow
scuppers in accordance with the requirements of Section 40 J and R4 13.
OwnerlAgent's Signature Date iContractor Signature Date
'-?� tie /a� s�
Property Address
Revised on 7/9/2009 LD;07/01/2015;
Permit Number
Florida Building -Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF
THE UNIFORM ROOFING PERMIT .
APPLICATION FORM AND ATTACH *THE ;
REQUIRED DOCUMENTS AS NOTED BELOVyi•
Roof System
Required Sections of the
AttachmSatsRequlh"r .
Permit Application Form
See List Below 0000
Low Slope Application
A,B,C
1,2,3,4,5,8,7 • • • • • •
Prescriptive BUR-RAS 150
A,B,C
4,5,6,7 • • • • •
Asphaltic Shingles
A,B,D
1,2,4,5,6,7 '
Concrete or Clay Tile
A,S,D,E
1.2.3.4.5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and
A,B,D
1,2,4,5,6,7
Shakes
Other
As Applicable
1,24,4 SAT
ATTACHMENTS REQUIRED:
1.
Fire Directory Listing Page
2.
From Notice of Acceptance:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or if Applicable, RAS 127 or
RAS 128
4.
Other Component Notice of Acceptance*
5.
Municipal PermkAppllcatlon
6.
Owners Notification for Roofing Considerations Re-Roofin On
7.1
Any Required Roof Testin /Calculation Documentation
..... .
. I.
......
■
Innis
ns Roa
It i E-DYA Lc1-1 tl:l [-111_Ill•J Y I l t . l! L01 I
0 Pro=. pdvo BUR-RAS 150 C
ROOF TYPE Type
❑ Re-Roo8np 0 Ramming 13 Reps
RAAF SYSTEM INFORMATION
uwppws snu vvwwvuw w
lsnflfv dhnsnalans of sism
Hp
46
tcaon a IKooT r iani
11 lovela and sections, roof drains, scup;
s. Include dlmenslons of sections and 1
a nirommu r mnss and IncaHnn of nsrans+s.
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form
Root System Manufacturer: b o k h.'t '�06yi v 6
L I- C-
Notice of Acceptance Number:1 6 - 06 2i 1 0 Z
Minimum Design Wind Pressures, N Applicable (From
RAS 187 oaCalcjfflb 's).
Maximum Design Pressure
......
..' ..'
....
......
From the NOA Specific system): O .
......
.
p
Method of Vie attachment 10-F
Pa�y��¢�'z"' �
Steep Sloped Roof System Description
o\ u`'y°e: I ( X 6 7 t G
Roof Slope:
4' : 12
Ridge Vents I ?
a �
Mean Roof Height: l 4
Type & Spacing:
Type a Size Drip
doe: j—
13X3 64v 6 E�
G
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
For Moment based t& systems, ehoose either Method 1 or L Compared the values
for M,with the values from Mt. Wthe Mt values are greater than or equal to the Mr
values, for each area of the roof, then the file attachment method Is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127" : • • • •
(Pl; 3 Iq , I OL , 281 ■ l i� — M;: • l 7 - ? 4:11 NOA;*,A it
TV 6 ' x x MI T L s.g 1— Ma; 7 Y 67 — xoA4 ;4 ; .....
(Ps: �—: x ' . 1 / )— M=: 2, C-7 -tea
Method 2 "Shnpli8ed Tile Caledation Per Table BeloM;'...'
Regdred Moment of Redstasim (K) From Table Below NOA-ht • • _ • • • .
•. .• .•..
NINE e
'r
�sus��s>•����
�•il`i�
*Must be used in conjunction with a list of moment based the systems endorsed by the
Broward County Board of Rules and Appeals.
For Uplift based the systems an Method 3. Compared the values for F' with the
values for Fr. u the F' values are greater than or equal to the F, values, for each
am -of the root', then the We attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(Pl:_:1:_—_z w:-_,—W:_=cosB:_= F„: NOAF'
(P=t_:L'_-_z w:-_)—W:—:coati:_= Fr::_ NOAF'
(t3:_:1:_—_: w:-,)—W:_:eds6:_= Frs:_ NOAF'
Where to
or
Where to
•
.....
.....
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section C
Fill In Specillc Root Assembly Componente
-and Identify Manufacturer
(If a component is not used. Ida"* as'NA'
System Manuf x*1rer _ k
`�
NOA No.. I d ` ` (,pP ,
Design Wind pressures, From �R1AS 128 or Calculations:
Mw Design PuS From the Specific NOA
System:
oedc 0CD G D�",
Type: , Y
GaugeJl hidvress: 7IR = 1 � 2
Slope:
Anchor/Sass Sheet & No. of PWy s): N
Anchor/Base FastenedBonding Material:
46
Insulation Base Layer
Base Insulation Size and Thickness: F
Fastener Spacing for AnchodBase Sheet
Attachment
Field: _'J_' oe a Lop. 0 Rows Z
Perimeter. _- oc Q Lop, it Rows 1-- ® -L-* Or.
Comer 6 ' oc o Lap, # Rows -I-- ®-�—' oc
Number of Fasteners Per Insulation
Board •
Field N PerimetsrL4Cbfner. %" ; r..: r
•••••• •
Illusbaia Components NoWd ind •
Details as Applicable: • • r r • r • • •
Woodblocking, Gutter, Edge • •rerminatkxtl • . •
Stripping, Flashing, Continuouer;alest, Caret —
Strip, Base Flashing, Counter+ • Plashing, • • .
Coping, Etc. **sees
•
Imo: Mean Roof Height, OaraW Helgbt, r
Height of Base Flashing, ComponerS Materj*,• • • •
Materiel Thickness, Fastener %)Ob, ;Fastener •
Spacing or Submit Manufacturers Details that • r •
Comply with RAS 111 and Chapter 18.
♦V
Bass Insulation Fasts Ing Material: w
}
Top Insulation Laye=
v
Top Insulation Sloe and Thldrrress:
x
Top Insulation Fssts/ edBonding Material: t1
Base Shset(s) 3 No. of Ply(s) i `476 _Ls 1 E
� T
Base hoot Faste�erng Material:
Ply Shest(s).8 No. of PIAO 2 a .TyAkd5
Ply heft FaateneNBonding Materiel:
�o i
Top PIN: �T 61d4 t L
Top P F 1� londin Materiel:
ca M P'
Surfedng: t s-
MIAMI-DADE COUNTY
MIAMI•DADE PRODUCT CONTROL SECTION
am 11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.2ov/economy
Boral Roofing, LLC
7575 Irvine Center Drive, Suite 100
Irvine, CA 92618 •
SCOPE: • •' •"
This NOA is being issued under the applicable rules and regulations governing the use of em 9traction:r$h e"als. Tpe : %
documentation submitted has been reviewed and accepted by Miami -Dade County RER-Pr(5d0&1Control Section to.be •
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiotion JAHJ)... • : : • • • %
.... .. 00 000*0
This NOA shall not be valid after the expiration date stated below. The Miami -Dade Coun.�:Pfdduct �orool Sectiod..'
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) resgfv" the right*" have this.:.
product or material tested for quality assurance purposes. If this product or material fails:to peiform in the accepted•.
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,?nodifyi o'00*
suspend the use of such product or material within their jurisdiction. RER reserves the righrto revoke this accepta4ee,••�
if it is determined by Miami -Dade County Product Control Section that this product or material fans 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: Plantation 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 #15-0721.04 and consists of pages 1 through 7.
The submitted documentation was reviewed by Freddy Semino a
NOA No.: 18-0829.02
Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 1 of 7
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Roofing Tiles
Material: Concrete
1. SCOPE
This approves a roofing system using Boral Plantation Concrete Roof Tile, as manufactured by BoralRoo�ng, LLC
in Okeechobee, FL as described in Section 2 of this Notice of Acceptance, designed tca cooply Ath"MV Florida....
Building Code for High Velocity Hurricane Zone. For use in locations where the pressure re�gq�rements,;asdpYermined •
by applicable Building Code, do not exceed the design pressure values obtain by calculatiorl%W�Qmpliance with RAS•• •
127 using the values listed in section 4 herein. The attachment calculations shall be prepaad as a ipom rreint baud..:
....
system. • . .. .. ,
2. PRODUCT DESCRIPTION
Manufactured by Dimensions
Applicant
Plantation Tile
Trim Pieces
Length: 16'/z"
Width: 13"
L = varies
W = varies
Varying thickness
2.1. MANUFACTURING LOCATION
1. Okeechobee, FL
.... ......
Test ', 1quduct
Specifications DescriptiAp. • • •
TAS 112 Flat concrete roof tile for direct deck or
battened nail -on, mortar or adhesive set
applications.
2.2 PRODUCTS MANUFACTURED BY OTHERS
Product Name
ICP Adhesives Polyset® AH-160
TILE BONDTM Roof Tile Adhesive
DAP Foam Touch N Seal
StormBondo 2 Roof Tile Adhesive
TAS 112 Accessory trim, concrete roof pieces for
use at hips, rakes, ridges and valley
terminations. Manufactured for each tile
profile.
Product Description
Two component polyurethane
foam adhesive.
Single component polyurethane
foam roof tile adhesive.
Two component polyurethane
foam adhesive.
Manufacturer
(With Current NOA)
ICP Adhesives and Sealants, Inc.
The Dow Chemical Company
Dap Foam, Inc.
NOA No.: 18-0829.02
Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 2 of 7
2.3 SUBMITTED EVIDENCE:
Test Agency
American Test Lab of South
Florida
Redland Technologies
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Farabaugh Engineering and
Testing Inc.
Farabaugh Engineering and
Testing Inc.
Farabaugh Engineering and
Testing Inc.
PRI Construction Material
Technologies
3. LIMITATIONS
Test Identifier
RT0624.05-14
7161-03
Appendix III
94-060B
94-084
7161-03
Appendix II
Letter Dated Aug. 1, 1994
P0631-01
P0402
Project No. 307025
Test #MDC-76
Calculations
Test Name/Report
TAS 112
Static Uplift Testing
PA 102 & PA 102(A)
Static Uplift Testing
PA 101 (Adhesive Set)
(Mortar Set) .
Wind Tunnel Testing• •
PA 108 (Nail -On}. •: • •
Wind Tunnel Testing
PA 108 (Nail -OM. •„•
Wind Tunnel Testk4i...
PA 108 (Mortar Set) • •
Withdrawal Resistance 18St=dg of
screw vs. smooth shark nairs
Wind Driven Ra1y. •
PA 100
Aerodynamic Multiplier
Calculations
25-7183
25-7094
25-7496
Calculations
25-7584
25-7804b-8
25-7804-4 & 5
25-7848-6
Calculations
Two Patty Adhesive Set System
T295-11
TAS-108
IS111rom
T279-11
DAPF-004-02-08
DAPF-004-02-09
DAPF-004-02-10
3.1 Fire classification is not part of this acceptance.
TAS-108
TAS-108
TAS 101
Static Uplift Resistance
Adhesive Set
Date
07/03/14
Dec. 1991
March, 1994
May 1994
......
Dep. 1991•0••:•
•
• A•ug. 1994....
. • • • .
• Jul• 19940:00.
.... ......
Sept. 1993 • •
...... ......
• Oct.1994
000090
• March 1999
April 1999
March 1995
February 1996
April 1996
December 1996
April 1999
10/05/ 11
10/04/11
09/23/ 11
07/26/ 18
07/26/ 18
07/26/ 18
3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with
TAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test
in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Miami -Dade Product
Control office for review.
NOA No.: 18-0829.02
Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 3 of 7
4.
3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed
section 4.1 herein.
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated
otherwise by the underlayment material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable building code.
3.7 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.
• • ......
INSTALLATION " • • • • •
4.1
4.2
Plantation Roof Tile and its components shall be installed in strict compliance.with Roofing Application..:
Standard RAS 118, RAS 119 and RAS 120. • • • • .. .. • . . • •
Data For Attachment Calculations ":' •; . • • • • • ..:..'
.. .. ....
Table 1: Average Weight (W) and Dimensions (I x w ): •• •
Tile Profile
Weight-W (Ibf)
Length-1 (ft)
•'. Width-w (ft) •
Plantation Tile
11.6
1.375
"I.Oa. •
Table 2: Aerodynamic Multipliers - Mft3)
Tile
Profile
[pft3)
Batten Application
[Mft3)
Direct Deck Application
Plantation Tile
0.267
0.289
Table 3: Restoring Moments due to Gravity - M (ft.-Ibf)
Tile
Greater than
Profile
2" : 12"
3": 12"
4": 12"
5": 12"
6": 12"
7": 12"
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Deck
Deck
Deck
Deck
Deck
Deck
Plantation
7.22
7.91
6.85
7.79
6.75
7.67
6.61
7.52
6.44
7.32
6.26
7.04
Tile
NOA No.: 18-0829.02
MIAMF
DADE COUNTY
� Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 4 of 7
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
For Nail -On Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(Min 15/32"
(Min. 19/32"
plywood)
plywood)
Plantation Tile
2-10d Ring Shank
30.9
38.1
17.2
Nails
1-10d Smooth or
7.3
9.8
:.4.$.
Screw Shank Nail
See
2-10d Smooth or
14.0
18.8 ••.
.. ••�� •
•
Screw Shank Nails
•••
•.•
••
1 #8 Screw
30.8
30.8 . "'
•, • 18.2 : •'
2 #8 Screw
51.7
51.7
' 24!4 • • • •
1-10d Smooth or
24.3
24.3 .,',
2 2 ••••
Screw Shank Nail
• • • •
.
Field Clip)
1-10d Smooth or
19.0
19.0
Screw Shank Nail
..
. .. . ....
•
Eave Clip)'
2-10d Smooth or
35.5
35.5
34.8
Screw Shank Nails
Field Clip)
2-10d Smooth or
31.9
31.9
32.2
Screw Shank Nails
Eave Clip)
2-10d Ring Shank
50.3
65.5
48.3
Nails'
1 Installation with a 4" the
headiap and fasteners are located a minimum of 2%"from the head of tile.
Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf)
For Two Patty Adhesive Set Systems
Tile Profile
Tile Application
Minimum Attachment
Resistance
Plantation Tile
Adhesive
2 See manufactures component approval for installation requirements.
3 The Dow Chemical Co. TILE BONDW Roof Tile Adhesive weight per patty 13.9 grams.
31.3
4 ICP Adhesive and Sealants, Inc. ICP Adhesve Pol set® AH-160 Two -Component weight per patty
8 grams. 31.3
5 DAP Foam Touch N Seal Storm Bond® 2 Roof Tile Adhesive weight per paddy 8 grams.
45
NOA No.: 18-0829.02
Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 5 of 7
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
For Single Patty Adhesive Set S stems
Tile Profile
Tile Application
Minimum Attachment Resistance
Plantation Tile
Adhesives
6
See manufactures component approval for installation requirements.
7
ICP Adhesive and Sealants, Inc. ICP Adhesve Pol set® AH-160 Two -Component weight per patty 45 grams.
118.9
8
ICP Adhesive and Sealants, Inc. ICP Adhesve PolysetO AH-160 Two -Component weight per patty 24 grams
40.4
9
DAP Foam Touch N Seal StormBond(D 2 Roof Tile Adhesive weight per paddy 45 grams.
73
10
DAP Foam Touch N Seal StormBondo 2 Roof Tile Adhesive weight per paddy 24 grams .'.
4 ...
Table 7: Attachment Resistance Expressed as a Moment - MfE;Xt) • •
for Mortar Set Systems . • • • • ; • •
•'.....
Tile Profile Tile Application •Attachment•
•••• . •
..• sisteNdd. •••••
See specific mortar manufacturer's Notice of Acceptance.******
.
- . • • .
...... ......
5. LABELING
.. . .. . ......
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen belb.W br•foIlowing
statement: "Miami -Dade County Product Control Approved".
OR
v�7ENTEGRR,7�7
BORAL PLANTATION ROOF TILE LABEL (LOCATED ON UNDERSIDE OF 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 Building Official or Applicable building code in order to properly
evaluate the installation of this system.
NOA No.: 18-0829.02
Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 6 of 7
PROFILE DRAWING
BORAL PLANTATION FLAT CONCRETE TILE
END OF THIS ACCEPTANCE
.wwww
•w•www
w
�•••
•wwsww
•
•wwww•
NOA No.: 18-0829.02
Expiration Date: 12/08/20
Approval Date: 10/11/18
Page 7 of 7
COUNINY
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
ICP Adhesives and Sealants, Inc.
12505 NW 441' Street
Coral Springs, FL. 33065
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.tniamidade.i!ov/economv
SCOPE: "
This NOA is being issued under the applicable rules and regulations governing the use of �onstryction materials. 1:1?e • •;
documentation submitted has been reviewed and accepted by Miami -Dade County RER-Prontitt Control See;on to.bra..
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction ZAHJ).......
• ' • • • • •: • •'
•• ••
This NOA shall not be valid after the expiration date stated below. The Miami -Dade CouAty lltpduct Control Section.'
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the ri�Ht to h:yg&,s prodktot•:.
or material tested for quality assurance purposes. If this product or material fails to perform;Athe:accepted manner,••[jT..:
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or su�spe'xd the use •
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: ICP Adhesives Polyset® AH-160
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has 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.
F0, .0� ��,
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 Sealants, Inc. 6-dl&cribed
in this Notice of Acceptance. For the locations where the design pressure requirements, as de4m-Aired by. pplicable •.
building code, do not exceed the design pressure values obtained by calculations in compliartm%vitii Rood gr • • ; •
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile s}rsteft•using IC13
Adhesives Polyset® AH-160. • •
PRODUCTS MANUFACTURED 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
PRODUCTS MANUFACTURED BY OTHERS:
..
0406:0
Product Deseription ' •
.—�
...... ......
Two component polyurel'ltane foams.adheswe
• • •
Dispensing Equipment
Dispensing Equipment
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 Test
Density ASTM D 1622
Compressive Strength ASTM D 1621
Tensile Strength ASTM D 1623
Water Absorption ASTM D 2127
Moisture Vapor Transmission ASTM E 96
Dimensional Stability ASTM D 2126
Closed Cell 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 @ -400 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
MIAMI•DADECOUNTY Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 2 of 11
EVIDENCE SUBMITTED:
Test Auncy
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
Date
#94-060
TAS 101
04/08/94
257818-IPA
TAS 101
12/16/96
25-7438-3
SSTD 11-93
10/25/95
25-7438-4
25-7438-7
SSTD 11-93
: .'.
1iwit
25-7492
SSTD 11-93
1u12��
• •
NB-589-631
ASTM D 1623
ge
*ego
02f 01 /94o
......
....
9637-92
ASTM E 108
"�" •
44,E §3
01-6743-011
ASTM E 108
01-6739-062b[1]
ASTM E 84
•�I/,16/94
7050.02.96-1
TAS 114
•• .
03/14/96
P36700.04.12
ASTM D 1623
04/18/12
P39740.02.12
TAS 101
02/21/12
TAS 123
528454-2-1 TAS 101 10/23/98
528454-9-1
528454-10-1
520109-1 TAS 101 12/28/98
520109-2
520109-3
520109-6
520109-7
520191-1 TAS 101 03/02/99
520109-2-1
LIMITATIONS:
1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating.
2. ICP Adhesives Polyset' AH-160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset' AH-160 roof tile adhesive
with their tile assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61 G20-3 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 lists
attachment resistance values with the use of ICP Adhesives Polyset' AH-160.
2. ICP Adhesives Polyset' AH-160 shall be applied in compliance with the Component Application section and the
corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of ICP
Adhesives Polyset® AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value
determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive •.....
attachment data is noted in the roof tile assembly NOA. •
3. ICP Adhesives Polyset® AH-160 and its components shall be installed in accordance with42oofing Application. •
Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and 149ihtgnancq Booklet. : •"•,
•..• •• ••
4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed• b1.IC.P Adhe•ygs and
Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators 4te the aulhoi64 havi;g . . . •
jurisdiction. •; •
5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is sequined beire application
of any adhesive. The mix ratio between the "A" component and the "B" component s;aH•ba maintained bettyPtr • -
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.
S. 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
Minimum Paddy Contact
Minimum Paddy Gram
Tile Profile
Placement Detail
Area
Weight
Eave Course - Flat, Low, High
All Eave Course
17-23 sq. inches
45-65
Profiles
Flat, Low, High Profiles
#1
17-23 sq. inches
�b•6S.
Flat Profile
#2
10-12 sq. inches
• 30 .
Low Profile
#2
12-14 sq. inches
�;•, 30 •'••
High Profile
#2
17-19 sq. inches
.03Q • •
Flat, Low, High Profiles
#3
Two Paddys: 8-9 sq. inches at
• • j2 grarr"pgr paddy -
head of tile 9-11 sq. inches ar
•
• • • • • •
overlap •
•
Two -Piece Barrel (Cap Tile)
Two Piece
2 Beads (1 each longitudinal
•
• 17 grams per bead
edge) 20-25 sq. inches each
00000 : 6 • 94
bead
" '
Two Piece Barrel (Pan Tile)
Two Piece
65-70 sq. inches
34 grams under pan
LABELING:
All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the
manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami -
Dade County Product Control Seal as shown below.
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
0
ADHESIVE PLACEMENT DETAIL # 1
t aut>tiM"Spianktit Daddy(B.mMhT Wj
{w bm mqulrad�.
�d
ti to
Fasela
E*vu Closure
throughplasik oerneat
rn rage+irsKA
1® hs.i�
21&wida
�B-R\tftm aPtiGoa i
P*d14 j 1 n4athWW j
im
KsA 4hr000 ptos tic kW- ®wddl ilF9t lit i�i i
�rdhan= k
t0 in. M
eaktans
optional °
w•an+hor
dosure
Flat/Low Profile Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown,
under the strengthening rib closest tothe qverlock
of the t.•••••he being set. • • • • • • • • •
•• ••• ••••••
2. Continue in same manner. liisure approximately 4 W • ••
•
(109.7 cm') — 23 (148.4 ca � quare inch adhesile. • • •
•
contact with the undersi$e,Aftlie 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.
2. Continue in same manner. Insure approximately 17
(109.7 cmz) — 23 (148.4 cmz) square inch adhesive
contact with the underside of the tile.
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cmZ) — 23 (148.4 cmz) square inch adhesive
contact with the underside of the tile.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 6 of 11
ADHESIVE PLACEMENT DETAIL # 2
Flat/Low Profile Tile
1. Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile. los est to th4.q,,jerjock of
the tile being set. Insure apl WSn:ately 17 (109.7 ctAllr •; •
— 23 (148.4 cm2) square ino6 adhesive j"ft4 with the
underside of the tile. • • • • • •
2. At the second course a 1 a Riumum 26'•-%.8nux ...
x 7" (177.8 mm) x 1" (25. m)Zoam 43VI y onto t� • • •
underlayment positioned 4 �yyn under Ifie , • • , • •
strengthening rib closest 4 the overlo4 oPthe tile •.
being set. •
, ......
.00
3. Continue in same manner. Insure approx4mtely 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 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the tile closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 12"
(77.4 cm2) - 14 (90.3 cm2) square inch adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 7 of 11
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
han iPO cr w il�td ►ar h7l�t>
9yttans optimal
Es" Cc'
�+ r-Fascia
10 in" 2 M. " '' Eawe daswe
Drip as
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 s"ig:Tder the
pan portion of the tile c1osC$t to 0he overlock of the• • • •; •
tile being set. Insure appro4uW:ly 1704041; cm2) — %
23 (148.4 cm2) square inclt aoltecive contact with tole ....
•
underside of the tile. • • • • • :Sao*:
.... .. .. •••••
2. At the second course, appy `minimuvf 2v 0.8min}. • •
x 7" (177.8 mm) x 1" (25a4. � foam paddy onto"to:•
underlayment positioned is shorn under the pan • • •0 0 •
portion of the tile closest fo tho overlcW8f the tiles •
being set. • • 00600 • • • • •;
00 •
3. Continue in same manner. Insure approximately 17"
(109.7 cm2) - 19 (122.6 cm2) square inch adhesive
contact with the underside of the tile.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
t Pad*(beWemtnm3
jwtmreWhvd
Pxidyr 4mder tie)
Sin* Paft
antWettkk
3xan.
wdf
2x4�s.
• O�
tom
�` 1n
Eave Cknum
l:latttorP 11eTHe
A%dlum Prol9laTile
1. On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown, under
the strengthening rib for flat tile or under the pan
portion of the tile for low or high profile tile closest
to the Overlock of the tile being set. I+e,3-V.9 •
approximately 4" (101.6"m ,Ap froth the eave • • • •: •
edge free of foam to prey@iat & expaadad adhesive • •
from blocking the weep Olds.. Insure
approximately 17-23 in ,(•100-. 7-148.4.cm21 of ; • • • •
adhesive contact with the•ttciderside o€thelile ... •
2. Apply a 4" (101.6 mm) N 4" ( 01.6 mmj x 1 " (25.4 • �
mm) foam paddy onto the uaderlayotrtlast below
the second course line positioned foam paddy ; • • • •
under the strengthening rib for flat tiles, or under the
pan portion of the tile, closest to the underlock for
the second course tile to be installed. Insure
approximately 8-9 in (51.6-58.1 cm2) of adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
mandwompoma Singiepafrunderdle
(When requireo
Pa ft {between dies.)
Bmmeefts
Pafttuadertiie)
opfionm
shkoe
an
�t 4z4ie,
SkWfie 2x4h1.Fafton
bDp Of die
WeepMle
10 in. 2 in. Eave dosure
Drip edge
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 1/4"
(19 mm) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first cqurse of tile.
Install second course of Ole. Insure appfdximatelX.....
9 (58.1 cmz) - 11 (71 cm2)%t uate inck adhesive • •
contact with the underside Ulfte tile�t the overlap....
and 7 (45.2 cmZ) - 9 (58.10 ipI f square irfch • •
adhesive contact with tht.1merside of the Zile at • •
the head of the tile. Conxiruw iji sameoipinner. .
•• • •• • ••••••
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) Plate enough adhesive to achieve 65 to 70 sq. in. Steep pitch applications
In contact with the pan die. (when required)
2) Turn coves upside down. Place adhesive in
to 1 in.from outside edge of cover tile.
Then Install the tile. Ensure 20 to
25sq.in.contactarea.
IUnderiayment
Eaveclosurd
(motar shown)
Fascia
Remove tap portion of the eave course cover tile. Abut to second course of
pan tiles. Ensure cave end of pan and covertiles are flush at eave line.
Two Piece Barrel - High Profile Tile
Two Piece Barrel (Cap and Pan) Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned.as
shown under two adjactntVV tiles- Vupport eayg• • •
tiles from rocking until adhesive hjs.4&nce to G'
cure. ••••••
•GG•
0 • • GOa..
• g
2. Continue in same manne�hrin ing'Wn re& G 0*090
courses up toward the "4ge..-Insure .... Go:..*
approximately 65 (419.'4 e hz) — A E4f 4 *6 cmz� .... •
square inch adhesive conta'U with the *underside .'
of the pan tile. • • ... • • • • •
.. . .. . ..Goes
3. Turn covers upside down exposin�tll%llnderside
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 cm2) square inch
contact area on each side of the cover tile to the
pan tile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
- -- - ---- A.- -.-
Crushed stone or slap are suitable alternates for gray I In any of the Class A, B or C systems lasted.
Structural cement fiber building units are considered II>♦ultable to be Included as a deck In the following Class A, B or C systems listed ov I
or NC. j
The use of gypsum board under any of the following Cass A, B or C systems does not adversely affect the rating. The use of %-In. min n
gypsum board Is an acceptable alternate for minimum!. Insulation over C-1S/32 thick root docks.
The use l polystyrene insulation is ion board alternate etw n minimum Y1-In. thI& perilte board and deck with rosin paper (Perllte/rosln
paper/polYstyrene/perlite) Is a suitable akemaN for p�Ylpxyanurab board In the following Class A, B or C systems.
"EnergyGuard'" RA" or 'Tapered EnergyGuard- RA" r "EnergyGuard'" Composite RA" may be substltuted for any Atlas Roofing rP•
polyisocyanurate insulation In any of the following Cls�Iflcatlons.
Trumbull "Perna Mop" may be utilized with any of the following 'Asphalt Felt Systems with Hot Roofing Asphalt". • • • . •
"GIIFGLASS •80 Premium ease Sheet" may be used • any of the following systems. • • • • • •
Ultra-Flaxible Y 6" are suitable altemates to "GAFGLAS 0 Ply 6' • • • • '
•GAFGLAS® flex Ply 6" and "Tr-wym � • • • • •
In i lte insulation in any of the followtng NC ClsssMaW -a • e •
"GAFTEMP Pernalite Recover Board" may be used reu of any Parl • • ..
•
t Felt S�stems with Hot Roofing Asphalt" may be surfaced with "Flrashlald N0: at 2Yi tl
Unless otherwise Indicated, any of the 'Asphal • • •
ft7. • . • •
I, •
"Ruberoid® Dual Smooth" may be used as an sham+ to "Ruberoid® Mop Smooth' or'Ruberoldo 20" or "RubOMMA 20 MT"
"Ruberoid® Mop Smooth 1.5" may be used as an site @Isi to 'Ruberoldm Mop Smooth"
Close A, a and C
Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes.
"Ruberoid® Heat Weld" SOS roofing membrane may Oe used In Ileu of 'Ruberoidm Mop- SOS products In any applicable Classification.
Chas A
Indknt 3
Do*, C-1S/32
rya or wood Aber or glass fiber or polylsocyanurate or urethane or
Ineulafdon (Optional): —One Or more IsyalIjjss Pa or wood Aber/polymganurate composite or phenolic, any
perilte/polylsocyanurate Composite or perllta/jrmldlurs composts
ply Sheate — Three or more piles Type Gl "GAFGtAS® NY 4' or "Trl-Ply® Ply 4' or'GAFGIAS® IHY 6" hot moPP�•
gurfaaing, — Gravel.
2. Deck, C-15/32
Iranno 2
Inwla (ppgonal)s —One or more lays psdIta or wood fiber or glass fiber Cr PelYlsocyanurste or urethane or
1 retime composite or wood fiber/polyisorYanurote composite or phenolic, any
perllte/polYisocYanureb composite 4' or'GAFGLASm Ply 6
pN Sliest, — Three or more piles Typo Gi ineral Sul
Ply 4" or Sheet"
INY
Cap Sheatr — One Ph Type G3 "GAFGUu® Ineral Surfioad Cap Sheet' or "Tri-Ply® Mineral Surfaced Cap Sheet " or "GAI
EnergyCap"' OUR Mineral Surfaced Cap ShW*
k• HC
IndUsr 2
DeC
3.
� r11te/polylsoc
rllte, wood fiber, glass fiber, polylsManurate, urethane, De
IrsYlatken (p), — One or more lays Da anurate composite, phenolic, 2-In. maximum.
composite,
ompos te, pe 1te/ fiber/polYlsaY 4"
or GAFGLAS® Ply 6".
I r1 urethane oomposlteGi GLA56 pY 4 , "T„'PIY® Ply " "
ply Shosib — Two or more Plies Type
Cap tHlaeRi _One ply Type G3 'GAFGu►so Mineral Surfaced Cap Sheet' or or Mineral Surfaced Cap Sheet" or I
EnergyCOP'" BUR Mineral Surfaced Cap Sheen•
Indlnel 1
4. peek: C-15/32
C-15/32
thlN
Slip Shoat (opal); — Red rosin paper, aUed to deck.
Insulation (opaenal), — Any thickness Pe its or wood fiber or glass fiber or polytsocyanurate mechanically fastened or adha d with
OMG Inc. "Olydond Fastening System" or are UL Clssslfled Insulation adhesive.
SaM fihaatt —One PIY TYDa G2 'GAFGLAS #75 Base Sheet' or "Tit -ply® 07S Bea Sheet" (may be nalled).
One a more piles Type Gi " FGIAS® Ply 4" or "Tri•PIY® Ply 4" or GAFGIJSO Ply 6".
ply Sheet= — G3 •GAFGl I * Mineral Surfaced Cap Sheaf" or "Trl-Ply® Mineral Surfaced Cap Sheet" or °GAFG i
cap shoed — One ply Type
://database.til.com/cg. bin/XyV/Wmplate/L�ISEXT/1FRAME/Showpage.html?name=... 10,�'27/2013
httP
COUNTY
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA
GAF
1 Campus Drive
Parsippany, NJ 07054
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786)315-2590 F (786) 31525-99
www.miamidade.Qov/economy
. .
SCOPE: • '
This NOA is being issued under the applicable rules and regulations governing the use pJ aonstructron
materials. The documentation submitted has been reviewed and accepted by Miami-Dade.(;punty RER'- •
Product Control Section to be used in Miami Dade County and other areas where allowod by'the Atl!40: F
Having Jurisdiction (AHJ). •
•
900*
This NOA shall not be valid after the expiration date stated below. The Miami -Dade C.d'ttr .Product .
Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Ifade County:,
reserve the right to have this product or material tested for quality assurance purposes%t4is product or
material fails to perform in the accepted manner, the manufacturer will incur the expense of such tA&4
and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their
jurisdiction. PER 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 Conventional Built -Up Roof Systems 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. 14-1030.01 and consists of pages 1 through 27.
The submitted documentation was reviewed by Jorge L. Acebo.
NOA No.: 18-0919.07
Expiration Date: 11/04/23
Approval Date: 11/08/18
Page i of 27
Membrane Type:
BUR
Deck Type 1:
Wood, Non -insulated
Deck Description:
19/32" or greater plywood or wood plank decks secured 6 in. o.c. at panel end and
intermediate supports with 8d ring shank nails to supports spaced 24 in. o.c. at max.
System Type E(1):
Anchor sheet mechanically attached to roof deck.
All General and System Limitations shall apply.
Fire Barrier:
Topcoat' FireOutn' Fire Barrier Coating, VersaShield' Fire Reststattt.Roof;3ecV ......
(optional)
Protection, VersaShield® Solo" Fire -Resistant Slip Sheet install.ed. Qer mai giWer's . •
installation instructions. ...:.. • •""
Base sheet:
GAFGLAS' #80 Ultimate' Base Sheet, Stratavent® Nailable Veritli i$ase Sheet„Rubeioia��:
20 Smooth, Ruberoid" SBS Heat -Weld" Smooth or Ruberoid:,S$$.Heat-We6lr 25 basY•••
sheet mechanically fastened to deck as described below; 000000 0 go
.... ......
Fastening
660066
GAFGLASO Flex ply' 6, GAFGLAS' #75 Base Sheet, Tri-PV #75 Basg Sheet or any of.
Option #1:
the above anchor sheets attached to deck with approved annular ring shank itaits and tivri • •'�
caps at a fastener spacing of 9" o.c. at the 4" lap staggered and-ih tveo row9.4" o.c. in II• • •
field.
(Maximum Design Pressure-62.5 psf. See General Limitation #7)
Fastening
GAFGLAS' #80 Ultima' Base Sheet, Ruberoid® 20 Smooth or Ruberoid`k' Mop Smooth
Option #2:
attached to deck with approved 1'/4" annular ring shank nails and inverted 3" steel plate at a
fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of
9" o.c. in the center of the membrane.
(Maximum Design Pressure-60 psf. See General Limitation #7)
Ply Sheet:
One or more plies of GAFGLAS' Ply 4, Tri-Ply® Ply 4 or GAFGLAS® #80 Ultima Base
Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a
rate of 20-40 lbs./sq. installed per manufacturer's installation instructions.
Cap Sheet:
(Optional) One ply of GAFGLAS' Mineral Surfaced Cap Sheet, Tri-Ply`' BUR Granule
Cap Sheet or GAFGLAS® EnergyCapT" 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.
installed per manufacturer's installation 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. Topcoat' Membrane or Topcoat' Surface Seal SB applied at 1 to 1.5 gal./sq.
OR
Topcoat' MB Plus applied at 0.5 to 0.75 gal./sq.(to be used as a primer) followed by
Topcoat' Membrane applied at 0.5 to 0.75 gal./sq.
3. Fiber Aluminum Roof Coating.
Maximum Design
Pressure: See Fastening Options
NOA No.: 18-0919.07
Expiration Date: 11/04/23
Approval Date: 11/08/18
Page 21 of 27
WOOD DECK SYSTEM LIMITATIONS:
1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLASO Flex Ply'. 6 when used as a mechanically fastened
base or anchor sheet.
2. Minimum'/4" DensDeckT"' Roof Board or''/z" Type X gypsum board is acceptable to be installed directly over the
wood deck.
GENERAL LIMITATIONS:
4
E
Fire classification is not part of this acceptance; refer to a current Approved Roofing I1Qaterials DijeAe;� for fire
ratings of this product. • • • :'
Insulation may be installed in multiple layers. The first layer shall be attached in confolft" witti:Proddct Cow%
Approval guidelines. All other layers shall be adhered in a full mopping of approved'a9thart applied within the
EVT range and at a rate of 2040 lbs./sq., or mechanically attached using the fastening* 9ttarn of 9fe Wlt layer° • • • •
All standard panel sizes are acceptable for mechanical attachment. When applied in a v d as alt,*panel A2J • •.
P P PP Pt� � Plj...
shall be 4' x 4' maximum.
An overlay and/or recovery board insulation panel is required on all applications ovetttJs d cell foam insulations•
when the base sheet is fully mopped. If no recovery board is used the base sheet shalt be allied WM jpot ....:e
mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribt iris in three rows, one :ij,,•
each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Enciocltng of th8 •
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.
Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lb£, 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.
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 Professional Engineer, Registered 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.
Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener
densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application
Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer,
Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within
this NOA, General Limitation #9 will not be applicable.)
All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to
Roofing Application Standard RAS I I I and applicable wind load requirements.
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.)
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.
APPROVED
END OF THIS ACCEPTANCE
NOA No.: 18-0919.07
Expiration Date: 11/04/23
Approval Date: 11/08/18
Page 27 of 27
BUILDING
PERMIT APPLICATION
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
IOV 0 018
FBC20 *tom
Master Permit No. 11,911 �j `� '3s 6b
Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
-7 - `c CONTRACTOR DRAWINGS
JOB ADDRESS: � I t� Cl 1019 S�
City: Miami Shores County: Miami Dade Zip: 33 1 Y f
Folio/Parcel#j/-213(0 --0og IiS�0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: i-Construction Type:
,j Flood Zone: BFE: -7 /(FIFE: '1
OWNER: Name (Fee Simple Titleholder): Thoma-3 Hu r�QC� Phone#:-3 ! ��� 17O /-
Address: %-] /v G r 1� 9 S�
City: NI16(y) ( sho a -5 State: F Zip: 33 I le ,
Tenant/Lessee Name: Phone#:
Email:
/� I
CONTRACTOR: Company Name:-/S� (l W 'DQC Te-(' �o �P Phone#: 4 5-,5 - 51�t 85
G Address: ? 7 3 0 4) —)S S
City: 14 1 J e+QiAh State: T L- Zi : 330 / 4
Qualifier Name: �✓lG-✓ L L �� O (1 � 2 Phone#: 35
State Certification or Registration #: CCCv S L4 (1 0 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ �L%j 3�%� Square/Linear Footage of Work: 'Z5 00
Type of Work: ❑ Addition ❑ Alterations ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: A t jQ ov te 22--k 3! 4104. 7IA4,, �d
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ ( 13 CO/CC $
Scanning Fee $ I Radon Fee $ y . DBBPR $ S O Notary $
Technology Fee $ I S Training/Education Fee $ b Double Fee $
Structural Reviews $ Bond $ Sao
TOTAL FEE NOW DUE $
S my
(Revised02/24/2014) ?j ~
7VS 0
Bunding Co`mpany's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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. 1 f such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ✓'� Signature
OWNER or AGENT
The foregoing instrument was acknowledged before
me this The foregoing instrument was acknowledged beforemethis
P5 day of Div✓I m f 20 14 by % day o l VZ 20 d by
0(T) S ML-(�J+ OtKho is personally known to �� (� I �+ f U (! who is personally known to
(1 LI me or who has produced 1' U �C ( CI 'U1Z as me or who has produced as
identification and who did t
,,Sy otr Notary Public State of Florida
NOTARY PUBLIC: _�� Paola M Lora
� c My Commission GG 166781
'Fur:`°! Expires 12/15/2021
Sign: C ra
Print:
4 1,o,/C-
ntification and who did take
ARY PUBLIC:
Sign: L_J 47 9111-1
Print: ell O 1 G-
Seal: Seal:
0000k, Notary Public State of Florida
Paola M Lora
My Commission GG 166781
;JJ,,di Expires 12/ 15/2021
1
I
APPROVED BY G ` Plans Examiner
Zoning
Structural Review Clerk
( Revised 02/24/2014)
Nov, 30. 2018 11:43AM
No.0911 P, 2
A� H CERTIFICATE OF LIABILITY INSURANCE
FDATE I
9/17/20 s
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 9ETWEEN 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 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 certifleate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CAONT CT MeliQsa V. Cruz
Pan American Insurance Group LLC
PHONE (305) 445-6441 FAX , (305)445-6469
2151 So. LeJeune Road
DAIL
ggS :mcruzOpanaminegroup.com
suite 302
INSURERS APFORDINGCOVERAGE
NAIC0
Coral Gables FL 33134
INSURERA;Xinsale Insurance Co.
INSURED
INSURERS;
Florida Root -Tech Carp Roofing Done Right
INSURER C1
Guaranteed dba Florida Roof -Tech
INSURERD;
2730 94eSt 78 Street
INSURERE;
Hialeah FL 3301E
INSURERF:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR NSR
TYPE OF INSURANCE
ims
uen
POLICY NUMBER
MMRDD EFF
MMIDQ[ EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABIUTY
CLAIMS -MADE ❑X OCCURDAMAGE
EACH OCCURRENCE
$ 1, 000, 000
TO RFNTCT-
P EMI E occ rrenca
$ 100,000
MED EXP (AAy one person
$ S, 000
0100042786-2
9/16/2018
9/16/2019
PERSONAL 8 ADV INJURY
S 1,000,000
GEN'L
S
AGGREGATE LIMIT APPLIES PEP,,GENERAL
POLICY ❑PRO-
JECT LOC
AGGREGATE
S 2,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,ODD
OTHER:
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
S
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS AUT SEED
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
$
PR PERT AMAGE
P, dCCidenl
S
UMBRELLA LIAR
EXCESS LIAR
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
DED I I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY �, NSTATUTE
ANY PROPRIIE70FUPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
if dlory be NH)
I(ye a QeealDe under
DESCRIPTION Of TI
PER
$
NIA
E.L. EACH ACCIDENT
$
E.L DISEASE. EA EMPLOYE
$
E.L, DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlUonal Remarks SChedule, may be attached Irmwe space Is requlrad)
State License No. CCCO52460
Roofing Contractor
Pooritl,+A r� unr non
Miami Shores Village Building Department
10050 NE 2nd Avenue
Miami Shores, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLIC1153 13E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTNOfttMb REPRESENTATIVE
Melieea Cruz/MVC
"" Ivoo-AU.Ii AGVKV cVKNVRATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
IN5025(201401)
Nov, 30. 2018 11:43AM
CERTIFICATE OF LIABILITY INSURANCE
No. 0911 P. 1
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 13Y 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
WANED, 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(a).
FrankCrum Insurance Agency, Inc,
100 South Missouri Avenue
E-MAIL ADD
Clearwater FL 33756
INSURED
INSURE
INSURER 9:
FRANKCRUM UC/F FLORIDA ROOF -TECH COaP ROOFING
INSURER C:
DONE RIGHT GUARANTEED
100 SOUTH MISSOURI AVENUE
INSURER D:
INSURER E:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTfp BELOW HAVE NDI BEEN ISION NUMBER:
SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY KrVIPER OD INDICATED.
PCT OR OTHER DOCUMENT WTH RESPECT To \&"cm T1418 CERTIFI
ER PERTAIN. THE INSURANCE AFFORDEDTANDING ANY Y THE POLIUIREMENT, TERM OR ES DESCRIBED HEREIT]ON OF ANY N IS TO LL THE TERMS. EXCLUSIONS AND CONDITIONS TIONS OF UCH POLICIECATE MAY BE S. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IR
LTTTPEOFINWRANCE ADOL 8UBR
R INSRO WvD POLICYNUMBER (P�IMMIDD�/YYV1� IPxICY07 LIMITS
CO1M KRGIAL GENERAL
uAevx
EACH OCCURRFNCle g
CWM5�AIADE FtxG4/R DAAAAGETO RENTED
PREMST Eaa 00 8
GEN'L AGGREGATE UMITAPPLIEB PER:
POLICY [D PROJECT aLOC
OTHER:
AUTOMOBILE LTAeILI1Y
ANY AUTO
OM EO AUTOS 8CHEOULED
ONLY AVroa
HIRED AUTOS NON.OY1MED
ONLY AUTO$ ONLY
UMBRELLA LIAR OCCUR
E7IGI.SS LIAR CIAIMS.MpOE
DED I RETENTION S
WORKERS COMPENSATION AND
A EMPLovtAzuABIU r Y/N
AW McPRIETOR.PARTNEWMCVnVE
OFFICERIMUSER 8(CLUDED7 [� WA
(Mandataryto NH)
G r.s. daaa ft Indr
DESCRIPTION OF OGKRATIONS bNGW
WC201800000 I 01/01/2018 1 a1/01/2019
MEO EXP Wry GAO
PERSONAL d ADV INJURY
g
GENERA AGGREGATE
g
PRODUCTB.COMPIOPAGG
g
S
IGuMt ldCO VIPOLE LIMIT
S
BODILY INJURY rya W4&nq S
PRO➢ERTY DAMAGE
(Per •mId..d $
PER STATUTE
S
rcvvnir I Ivry UP UMKA I IONS r LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may ba attached Ir more apace is required)
EFFECTIVE 0210312014, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO FLORIDA ROOF -TECH CORP ROOFING DONE
RIGHT GUARANTEED (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY
EMPLOYEES.
) ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE THE
TION DATE THEREOF, NOTICE WILL 8E DELIVERED IN ACCORDANCE WITH THE
PROVISIONS.
VILLAGE OF MIAMI SHORES AUTHORIZED Rt P
RSENTATIVE
10050 NE 2ND
MIAMI
MIAMI SHORES,, FL FL 33133-2382
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD (0 1988-2016 ACORD CORPORATION. All rights reserved.
oosa24
�!'i a:; ':i.,. +, y:� : �;: 7;te •'. ";ei:�F>; ....,a,'ry51:i:•; :}i'?�: Fr�<�«tt:�;:.. '.i.a::'-•f;,:':•J:�:.l::ec sec:
t.k� e °Tg rt;: 4aiirY.':-",y 1 i. (.: L7�,,: e.l, • .o-%.::.
t., ..lid' •5' � '' .Y ,..,r.r '/>`• :d •��>
^,p•�".,``s.Y%:y. :;Y.>�;6. o`.•,1. sl':� SP `,�i•.r...YrY'."C,,v ',�4i i,',•�' (1`:.t� :'r'.i.7.
rfy;r., .s. r:K^ JJ "J'1.;;; .ati�;. „ic ,1%"';� oi:r L:Y'"p •ji,;.{, '
r. ,.f y� (� 17 fy� { - �y j y �J ".iL' i,.�� .:.�b' ..::•:•`•� S. !.`:.
I:1Q1.I,I�'�[�iW G;f.4�-�11•I'�; �i..`'^,W:i`.,'d(:1,'lU�`i:I'(..'�Lt.1 ':.{ ':i:Yl> ..?5.. &.' :'rr.:
'ia's'ru Hl;15+�V.6 Il_i��p. �k: a; '•;:ti.c; �4 •"r''' :;: �:3'i';`i .v, 'n' - •:::'.
.• 1.:- ?'�: ,` `}C.(., ,.. ..1.
.. '4�,•��F,.4�`/,-� tart„� )� 5.4;. K�:.-Y�• f n
;,A PAP. �ry•t`'1•i' :a;:act,.•. •;:�. ..FS�'.
f
S 'F .G
71 2 s.
,..w. i• :;.r.:Si.'' i�'ii..4..,.:d•'JalOir:,�n,. •i�::2 •I4..' a.ti. ,
�BU,$lid$RB�NA1NlG/�•Q'C/�i�t(jt�l�:'�:�'� `�.{�.' °iy��,.tIPT'N�y;:.�e, . .
RIDA 960P?�H%C�ii fltl�RM�fi�JD�MG IF4!` ' "• `',ti.+' �Nt, �{ry(% 1='if: _;''
f;s,;; u� •,•3:; 33. .y: r.. .'yy'h. ;�T2EGl'UllAi(t:t:AE'N/iTiEi:Ft.L:,::l::;�>;. x�; Q�+'�',;ir„..\.r 'eF;,>.%.t,,!i;..;.;;? '.\dS.ti:',.,."�,%..�y:S:x,f'."4r`,ry;.> • 'r`t�.�M'rtfsr:;;a'!::1�:'�::�,yr'�v; :+f a'•: �>w,+.: r:a�' �..�•, ',f
.�:'M�r:1'�•V•IXER•,nasA i as it-P. s6 �of i b,ul
ns oA6;ilw
�uF�At toCuntCT"1�=X701�WSV•do
�rra�7
..
;r; .;,{,,�,..n'+" "i}, "r'3'•:f•'>4 `rChlept9f'BAi:Afi.a`&16:
! .. .'r":.,N+ra.....ry•: :Otis;,:j,'.::',.:C�:�.�5,��..i•S%�"j`}''y,' ,�:�• _ e,. :.r : .!•:;'. ..
i�!r•.'
OWNS :• 6EC, or 9.0 Mess
,FiR60t`tEQiCOR��t00RNG p�RIGHT6bA ,ass SP r. 1TY IS bINGC NlyR t4R PAYMEN7'R6ClIVED;;'
r {•. + BY TAX CZILERCTdiS" :::.
l�)11�b.' ��:y �' �'`C CC0524S0: n"„�h'+v ,pi;ii•_�p.�,craiii,-•N`�:!• :
�� r"r.�t, f �•?'ir� , . -y s4;•_.::.. ....•a.. (� h.•_^d.� �:' ,t)tj�t
. <' r'o,liaoRlcuEt IuaRcrA< ; :• r:�� :....: > ;;,>. • .y:;:: ��:,�>;':.:�:,;::..
;;:: y
sir g•., . a'y;i''ti r:::'
.W6yK'sr(s) ' � � 1 •,ts::s'•* � ,`.3Y�1';t�t` sy�;.hy;. ;�,,: • r :•�f:HECK_f
Ttila� 01 N1 BusJneli�i.�`Ai�Aecelpt �il�l e406firms peyj�ont of 11111us l Bualn9st Tax. The Reoel di is not B li bhsp{:'.
or 6 ptiVetnmelntl;{tillleloe INWh`d'Te lulr�mapistwdo
ch esrRi;tov bs� tl�SsPlr^ any govePtlifllilttdl "
�,t ry .. 9 A �0..YI:. .. .. . .
'1riiftECfIP1� hbove m113`;ba!Iliiplpyed qn ell commIA
ii)dl vehlalRe;?!14� rh��He`cnae s.� tw"
' Fo(InoPif'ilf%fmAllDn,v7YFI:�loeoel.miemldlld�� •YEu1l3LlOr'• ,
z 'd Z160 'ON wde[:z[ 8[0z 'oE 'AON
f
1.4
4-
vo
;A3
Z0,
.... . . . . . . .
"'p-
5?T
C I V I L Reileh Engineering Corp.
(Consulting Engineer)
2370 Southwest 123'd Agenue
Miami, Florida 33175-1174
Tel: 305-823-8008 / 305-397-6414
ENGINEER Fax: 305-823-3300 / 305-884-8834
January 22, 2019
Florida Roof Tech
2730 West 78 Street
Hialeah, Florida 33016
Project. ROOF TILE UPLIFT TEST REPORT
Residential Home
77 Northeast 109 Street
Miami Shores, Florida
Information provided by client:
Permit Number: Not Provided
Date Completion: January 18, 2019
Roofing Contractor: Florida Roof Tech
Project Number: 19-0102
("Testing Laboratory Certificate # 16-0602.01)
Dear Sirs;
�f 11-19 - 35t�
In accordance with your request and authorization, a representative of Reileh Engineering
Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was
perfonned in general accordance with Roofing Application Standard TAS No.106 -- Standard
procedure for field verification of the bonding of mortar or adhesive set tile system and mechanicallyattached, rigid, discontinuous roof systems.
The total ofthe tested roof surface area was less than 10000 square feet, and the mean height of the
roof is less than 40 feet above ground surface. The type of tile used for this project was reported to
be Boral Roof Tile. This tile was reported to have been foamed in place.
At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than
one (1) the in ten (10) of all components in the field area and one (1) the in five (5) of all tiles in the
perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2)
squares in the field, one (1) test per square in the perimeter area, ridge caps and one (1) test in each
corner were conducted.
Based on our test results, we c^nclude that the installation of the roof tile at the above referenced
project rzeets the test requirement outliner] in the above -mentioned protocol. Attached please find
a copy of our test report for your review.
J
Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you
have any questions or if we may be of further assistance, please do not hesitate to contact the
undersigned.
Respectfully submitted;
Reileh Engineering Corporation
I 7'1'WdWe'
,94ohamad Sonny Salleh, P.E.49014
Project Manager
TILE UPLIFT TEST
Residential Home
77 Northeast 109 Street
Miami Shores, Florida
Submittals:
Cover Page
Page 2 thru 5 of 5
Drawing 19-0102
Reileh Engineering Corporation -- Project Number - 19-0102 — Page 2 of 5
Report of
TILE UPLIFT TEST
for
Residential Home
77 Northeast 109 Street
Miami Shores, Florida
Project Number: 19-0102
Test Number
Test Load lb
Test Status
1
35
Pass
2
35
Pass
3
35
Pass
4
35
Pass
5
35
Pass
6
35
Pass
7
35
Pass
8
35
Pass
9
35
Pass
10
35
Pass
11
35
Pass
12
35
Pass
13
35
Pass
14
35
Pass
15
35
Pass
16
35
Pass
17
35
Pass
18
35
Pass
19
35
Pass
20
35
Pass
21
35
Pass
22
35
Pass
23
35
Pass
24
35
Pass
Reileh Engineering Corporation -- Project Number - 19-0102 — Page 3 of 5
Test Number
Test Load lb
Test Status
25
35
Pass
26
35
Pass
27
35
Pass
28
35
Pass
29
35
Pass
30
35
Pass
31
35
Pass
32
35
Pass
33
35
Pass
34
35
Pass
35
35
Pass
36
35
Pass
37
35
Pass
38
35
Pass
39
35
Pass
40
35
Pass
41
35
Pass
42
35
Pass
43
35
Pass
44
35
Pass
45
35
Pass
46
35
Pass
47
35
Pass
48
35
Pass
49
35
Pass
50
35
Pass
51
35
Pass
52
35
Pass
53
35
Pass
54
35
Pass
Reileh Engineering Corporation -- Project Number - 19-0102 — Page 4 of 5
Test Number
Test Load lb
Test Status
55
35
Pass
56
35
Pass
57
35
Pass
58
35
Pass
59
35
Pass
Test 1-12 Corner, 13-17 Ridge Caps, 18-36 Perimeter, 37-59 Field
ROO Engineering Corporation -- rroject numoer - iy-vivo - ragc , v. j
56'
NUM EP, OF T�5T
Pip mmr, - 1400 5F
0 PIP6E CAP S5T LOCATION
FELP -
23
COPINFPI - 110 5F
PEP11METUt? -
19
t3 PFMOT�5 PPIOK N 111.E
COPMP, -
12
MUMP, 25TANC�, a - 3'
L tTNOTT51.005� 11L��
t?It76� CAP -
5
COrW, APFA - 3'X 3'
19-0102
APPpOX. FOOF T�5T LOCA110N5, ATA5, ANP 121WN510N5