RF-16-218Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
er it
Parcel Number
issue Dates 1/29/2016
Permit No. RF -1-16-218
Permit Type: Roof
Worts Classification: Tile
Permit Status: APPROVED
Expiration: 07/27/2016
Applicant
87 NE 92 Street 1132060130290
Miami Shores, FL 33138- Block: Lot:
PATRICK COWAN
Information
PATRICK COWAN 87 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
FLORIDA E -Z REMODELING INC (305)796-6753
Type of Work: Re Roof
Additional Info: ROOFING FOR ADDITION ONLY CROWN SAN
Classification: Residential
Scanning: 3
Fees Due Amount
CCF 7.20
DBPR Fee 4.13
DCA Fee 4.13
Education Surcharge 2.40
Permit Fee - New Roof 275.00
Scanning Fee 9.00
Technology Fee 9.60
Total: 311.46
Phone
786)547-3255
Cell
Valuation: $ 12,000.00
Total Sq Feet: 1350
Pay Date Pay Type Amt Paid Amt Due
Invoice # RF -1-16-58463
01/29/2016 Credit Card $ 261.46 $ 50.00
01/26/2016 Credit Card $ 50.00 $ 0.00
wvauaoie
Inspection Type:
Tile In Progress
Renailing Affidavit
Review Roof
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is urate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named tractor to do the work stated.
January 29, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
January 29,
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
BUILDING F-1 ELECTRIC F-] ROOFING
FBC 20/S'
Master Permit No. Ize -- z 7_
Sub Permit No. l
REVISION F-] EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS [:] CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: R9- I\I F. q7 Tt ;t -
City: Miami Shores County: Miami Dade Zip: Sj tag
Folio/Parcel#: 1 - 320 - Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):q-k-r-% L` )&. Cptaf- Phone#:
Address: 22t• Nz 9 q
City: 9.Qgm 5 State: Zip: -2313$
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: r700CIS E-2 )eerVO4Wj451 10C Phone#: 30J0 ;'9401017S-3
Address: ) 605 1 0 aJ y 3 -ST
City: 1-'11 A'
1m
I/' State: FL. Zip: ,3.3 J 4 J
Qualifier Name: kg; 1 2r efaf fa -to IQ, / Phone#: (3. Z / 3;/ 4?53
State Certification or Registration #: CCC -/32 5R0 4S Certificate of Competency #:
DESIGNER: Architect/Engineer: e#:
Address: City: State: Zip -
Value of Work for this Permit: $ 12,wo,Square/Linear Footage of Work:
Type of Work:Addition Alteration New Repair/Re Demolition
Description of
Worklace
p: - /'
N Cr g- AQ121 `1l t`"
Specify color of color thru tile: C-k0GJ11)-
Submittal Fee $ Permit Fee $ ' CCF $ CO/CC $
Scanning Fee $ 03 Radon Fee $ 1 D`BPR $ • Notary $
Technology Fee $ 59 • YD 6 Training/Education Fee $ a • [ b Double Feeee$or
Structural Reviews $ 92 Bond $ z('l C -92-0
TOTAL FEE NOW DUE $ 4 0 1 1p
Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
Zi
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.
d - !?
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of _ k wxLi -- 20 ' by
cu,=,o , who is personally known to
me or who has produced _IhL Ok c> Q as
identification and who did take an oath.
Signature —;V&k
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of , h.J 20, by
fjK!T L who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:` Sign:
Print: Print: S r
Seal: seal:
SUM I VasquezRREBECAM.PASTRANA ,''-
MY COMMISSION # EE972624Commission # FF942611
EXPIRES: Febru 07, 2017 ; Expires: December 9, 2019
APPROVED BY
Revised02/24/2014)
13 Plans Examiner
Structural Review
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date:
10050 NE 2nd Ave
Miami Shores, A 33138 _
Re: Owner's Name:
Property Address: KBE 9 2 SAA—eek hkctyy t Steres i FL 33138
Roofing Permit Number:
Dear Building Official:
I certify that I am not required to retrofit the roof to wall connections of my
building because:
The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 199 edition of the Soylth Florida Building Code (1994 SFBC)
Signature Print Name
State of Florida
County of Dade
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this Zi_, day of Jav u4N201 ,:4!.'t%'r:
SuyapaT.
Vasquez
7 Commission # FF942611
Expires: December 9, 2019
Bonded thru Aaron NOW;
Notary Public, Sate of Florida at Large
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
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION
RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: du 6
10050 NE 2nd Ave
Miami Shores, FI 33138
eec6e,jRe: Owner's Name:P9
Property Address: ISE 92 SNgeA. A;,yy , `'ahCrr Sy F>_ 313 g
Roofing Permit Number:
Dear B'Iding Offic' I:
LX>77 certify that I have improved the roof to wall connections of the referenced
property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential
Structures as adopted b the Florida Building Commission by Rule 913-3.047 F.A.C.
Le+ade-Ik.c LAr cz
Signature Print Name
State of Florida
County of Dade
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this 2Co day of Jario4" 2011p_
Notary Public, Sate of Florida at Large
SEAL)jgl U G. y = Suyapa I Vasquez
Commission I FF94261 t
Expires: December 9, 2o19
Revised on 5/21/2009 ''u 1 -` ceded Ihru Aaron Notary
FINAL COMPLIANCE
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
notice to uwner — worKers, compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING ELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTSAofx; Signature:
Own
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this u40 day of JaritAa rSA 120 lip .
By &,(v-Ad-P_Rt
LOi.
Xz who is personally known to me or has produced
ori as identification.
Notary: /
Fbf, Suyapa T. Vasquez
SEAL: - _ Commission I FF942611
Expires: December 9, 2019
Date:
State of
County of
FLORIDA E-ZREMODELIN'C; INC
ROOFING AND GENERAL CONTRACTOR
10051 SW 43th ST MIAMI FL 33165
PHONE (305)796-6753
EMIAL: HECTOR191@YAHOO.COM
Before mi this day personally appeared /A"e—CP94=M4LA- who,
being duly swom, deposes and say: ,
That he will be the only person on the project working at . e q7 <ef—
Swo to(affirmed) and subscribed before me this -Zk day of20(6by
Personally Know
OR Produced Identification—J 14 f)p_e OrI
Type of Identification Produced
Print, tpe or Sfd* e of N
STATE LICENSE CCC -1328085 W SuM T. Vasquez
STATE LICENSE CGC-058612 41114f -v Commission I FF942611
Z Expires: December 9, 2019
Bonded thru Aaron Notarypill
V
s
Florida Building Code Edition 2010
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: Crown Building Products of Florida, LLC
Product Approval Number: 14-0102.04
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1:47.6 P2: 100.6 P3: 100.6
Maximum Design Pressure
Product Approval Specific System. 38.7
Method of Tile Attachment: 3M 2 -COMPONENT FOAM ROOF TILE AS -160 Medium Paddy
Roof Slope:
2 :12
Steep Sloped System Description
Deck Type:
5/8 INCH CDX PLYWOOD
Underlayment:
ASTM D 226 TYPE II #30
on:
N/A
Fire Barrier:
N/A
Fastener Type &Spacing:
Ridge Ventilation? 1 1/4" R.S. CORROSION RESISTANT
CONTINUOUS
Adhesive Type:
3M 2 -COMPONENT FOAM ROOF TILE ADHESIVE AH -160 MediumPaddy
Type Cap Sheet:
I POLYGLASS POLYSTICK (PEEL & STICK)
Roof Covering: •• 00 0 0 • • 0
14' Sanib0concrete Re of ile: (Ooloa Thru)
Mean Roof Height: • - • • = = - •
0 60: 00000Type & Size Drips "' '
Edge: Ejt(;H- 26. GAJJ4 .
Florida Building Code Edition 2010
High Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
For Moment based the systems, choose either Method 1 or 2. Compare the values
for Mr with the values from M,. If the Mr values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
P, 47.6 X .313 = 14.90 ) _Mgr --- - Mrt 5.85 Product Approval Mf 38.7
P2; 100.6 x .313 _ 31.49 _ Mg: 9.05 o Mr2 22.44 Product Approval Mf 38.7
P3 100.6 x .313 0 31.49 ) _ Mg: 9.05 = Mr3 22'44 Product Approval Mf 38.7
Method 2 "Simplified Tile Calculation Per Table Below"
Require ment of Resistance (M,) From Table Below Product Approval Mf
Must bed in conjunction with a list of moment based tile systems endorsed by the
Brow -and County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compare the values for F' with the values for
Fr. If the F' values are greater than or equal to the F, values, for each area of the roof, then
the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
P,: x 1: - x w:= _ ) - W: x cos 0: - = Fr, Produ pproval F'
P2: x 1: = x w:= ) - W: x cos 0: - = Frz Pr uct Approval F'
P3: x 1: = x _ _) - W: x cos 0: - =Fra Product Approval F'
M Re uired Moment Resistance*
Description Symbol
Mean Roof Height
Roof Slope 15 20' 25' 30' 40-
2:12 34.4 6.5 39.7 42.2
3:12 32.2 34. 36.0 37.4 39.8
4:12 30.4 2.23.8 35.1 37.3
5:12 28. 30.1 31.6 32.8 34.9
6:12 26.4 28.0 29.4 5 32.4
7:12 24.4 25.9 27.1 28.2----,-30.0
All cal ations must be submitted to the Building Official at the time of permit application.
Must bed in conjunction with a list of moment based tile systems endorsed by the
Brow -and County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compare the values for F' with the values for
Fr. If the F' values are greater than or equal to the F, values, for each area of the roof, then
the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
P,: x 1: - x w:= _ ) - W: x cos 0: - = Fr, Produ pproval F'
P2: x 1: = x w:= ) - W: x cos 0: - = Frz Pr uct Approval F'
P3: x 1: = x _ _) - W: x cos 0: - =Fra Product Approval F'
e to Obtain Infor ion
Description Symbol Where to find
Design Pressure P1 or P2 or P3 RAS 127 T or by an engineering analysis prepared by PE based on ASCE 7
Mean Roof Height H Job S'
Roof Slope 6 J Site • + • • • • • •
Aerodynamic Multiplier Product Approval • • • • •
Restoring Moment due to Gravity Mq Product Approval • •
Attachment Resistance Product Approval
Required Moment Resistance M, Calculated
Minimum Attachment Resists F' Product Approval
Required Uplift Re . ance F, Calculated • • • •
Avera He Weight W Product Approval • + • • • •
Tile Dimensions 1 = lengthw = width
product Approval • • • •
All cal ations must be submitted to the Building Official at the time of permit application.
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
R4402.13.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the
owner with the required roofing permit, and to explain to the owner the content of this 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 and the
contractor. The owner's initial in the adjacent box indicates that the item has been explained.
C 1. Aesthetics -Workmanship: The workmanship provisions of Section R4402 are for the purpose of
pro ;ding that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics
appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color
or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement
between the owner and the contractor.
0_ 2. 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.)
t! 3. Common Roofs: Common roofs are those which have no visible delineation between
neig boring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: 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 penetrations of the underside of the decking may not be acceptable. This provides the option of maintaining
this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication ofstructuraldistressandmayrequirethereviewofaprofessionalstructuralengineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge
if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the requirements of Sections R4402, R4403 and R4413.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
int rior of the structural assembly (the building itself), The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of
the roof.
Exception: Attic spaces, designed by a Florida licensed engineer or registered architect to eliminate the attic
venting, venting shall not be required.
t&
Own is/Agent's Signature
q:,r Nt-, 92Sk- ia:o n,
Property Address T- L, 33138
Date
Permit Number
C tractor's Signature
A7IAMI•DADE COUNTY
MIAMhD ADE PRODUCT CONTROL SECTIONsang11805SW26Street, Room 208
DEPARTMENT OFREGULATORY 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) %vww.miamidaae.aov/economy
Crown Building Products of Florida, LLC.
601.8 HWY.72
Arcadia, FL 34266
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be
used in Miami Dade Countv and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revolve, modifv, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revolve 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.' Sanibel Concrete Roof Tile
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official. .110 • •; ; ; • • • ; ; .00
This NOA consists of pages 1 through 6. •
The submitted documentation was reviewed by Juan E. Collao, R.A.
V NEVI rW 14-015101 •'
Expiration Date: 02/13/19
Q PPrQvjt 1, atfi.02i(13/1i
l agll of f
0 ... 0 0
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Roofing Tiles
Material: Concrete
Deck Type: Wood
1. SCOPE
This approves a system using Sanibel Concrete Roof Tile, as,manufactured by Crown Building Products of
Florida, LLC., and described in Section 2 of this Notice of Acceptance. For locations where the pressure
requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by
calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations
shall be done as a moment based system.
2. PRODUCT DESCRIPTION
Manufactured by
Applicant Dimensions
Sanibel Concrete Roof L = 17"
Tile W = 13.25"
H = 3.1"
Thickness: 0.56"
Trim Pieces L = varies
W = varies
varying thickness
2.1. MANUFACTURING LOCATION
2.1.1. Arcadia, FL
2.2. EVIDENCE SUBMITTED
Test Agency
PRI Construction Materials
PRI Construction Materials
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Nutting Engineering
APPROVED
Test Product
Snecifications Description
TAS 1.12 High profile, interlocking, one-piece. 'S' shaped
concrete roof tile equipped with two nail holes. For
direct deck or battened nail -on, mortar set or
adhesive set applications.
TAS 11.2 Accessory trim, concrete roof pieces for use at hips,
rakes, ridges and valley terminations.
Manufactured for each tile profile.
Test Identifier Test Name/Report
ACTI-002-02-01 TAS -I 12
ACTI-002-02-04 TAS -100
7161-03 Static Uplift Testing
Appendix III TAS 102 & TAS 102(A)
7161-03 Wind Tunnel Testing
Appendix. Ii TAS 108(Nail-On)
P0402 Withdrawal Resistance Testing of
screw vs. smooth shank nails
Letter Dated Aug. 1, 1994 .. ... . Wind Tunnel Tosting
TpiS 1 04.ail-On)
P0631.-01 ..; 99iitdTu3nn$1.'At1ng
TAS 108 (Mortar Set)
13343.1 .Phyjg cal PFQpertles
TAS 1:2 ;
0:
NOA No.: 14-0102.04
Expiration Date: 02/13/19
Approval Date: 02/13/14
Page 2 of 6
Date
Sept. 2006
Sept. 2006
Dec. 1991
Dec. 1991
Sept. 1993
Aug. 1994
July 1994
June 2006
I
Test Awnu Test _Identifier Test Name/Renort Date
The Center for Applied 25-7688-3 Static Uplift Testing June 1996
Engineering, Inc. 25-7688-10 TAS 101 (Adhesive Set) July- 1996
TAS 101 (Mortar Set)
The Center for Applied 25-7688-5 Static Uplift Testing June 1996
Engineering, Inc. TAS 102
3" Headlap, Nails, Direct Deck, New
Construction)
The Center for Applied 25-7688-4 Static Uplift Testing June 1996
Engineering, Inc. TAS 102
4" Headlap, Nails, Clips)
Celotex Corporation 520111-3 Static Uplift Testing Dec. 1998
Testing Services 520191-2-1 TAS 101 March 1999
Trynity/ERD Calculations Aerodynamic Multiplier & Restoring Sept. 2006
Moment Due to Gravity
American Test Lab of South RT1028.01-13 TAS 112 1.1/13/13
Florida
American Test Lab of South RT1206.01-13 Aerodynamic Multiplier & Restoring 02/05/14
Florida Moment Due to Gravity
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with
TAS 1.06.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test
in accordance with TAS 112, appendix W. Such testing shall be submitted to the Miami -Dade Product
Control office for review.
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 Builduig
Code and Rule 61 G20-3 of the Florida Administrative Code.
4. INSTALLATION
4.1 Crown Building Products of Florida, LLC.'s Sanibel Concrete Roof Tile 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 .. ... ..
QL. :TriI iit
AFPROVEp
NOA No.: 14-0102.04
Expiration Date: 02/13/19
Approval Date: 02/13/14
Page 3 of 6
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft)
Sanibel Concrete Roof Tile 11.33 1.417 1.104
Table 2: Aerod namic Multipliers - ft
to Gravity - M
Tile
Profile
X (ft)
Batten Application
X (ft"i
Direct Deck Application
Sanibel Concrete Roof Tile 0.289 0.313
Table 3: Restoring Moments due to Gravity - M ft-lbf
Tile
Profile
2":12 3":12" 4":12" 5":12" 6":12" 7`.:12" or
g reater
Sanibel
Concrete Roof
Battens Direct
Deck
Battens Direct
Deck
Battens Direct
Deck
Battens Direct
Deck
Battens Direct
Deck
Battens Direct
Deck
Tile 1 9.05 9.05 8.95 1 8.96 8.79 8.81 1 8.60 8.62 8.38 8.40 813 8.16
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-ibf)
for Nail -0n S tems
Tile
Profile
Fastener Type Direct Deck
min 15132"
plywood)
Direct Deck
min. 19/32"
plywood)
Battens
Sanibel Concrete
Roof Tile
2-10d Ring Shank Nails 28.6 41.2 19.4
1-10d Smooth or Screw Shank Nail 5.1 6.8 2.8
2-10d Smooth or Screw Shank Nails 6.9 9.2 7.3
1 48 Screw 20.7 20.7 18.1
2 .#8 Screws 43.2 43.2 29.8
1-10d Smooth or Screw Shank Nail
Field Clip)
23.1 23.1 19.0
1-10d Smooth or Screw Shank Nail
Eave Clip)
29.3 29.3 24.0
2-10d Smooth or Screw Shank Nails
Field Clip)
27.6 27.6 38.6
2-10d Smooth or Screw Shank Nails
Eave Clip)
38.1 38.1 41.8
Table 5: Attachment Resistance Expressed as a Moment Mf (ft4bf)
for Two Patty Adhesive Set Systems
Tile Tile Application Minimum Attachment
Profile Resistance
Sanibel Concrete Roof Tile Rdhesi '.::: 29.3
1 See manufacturer component approval for installation requirements.
2 The Dow Chemical Company TileBond Roof Tile Adhesive, average weight per patty 10.7 grams.
3MTM 2 FoamComponent Roof Tile Adhesive AH -160, ave e * ht a ra •
APPROYEO
NOA No.: 14-0102.04
Expiration Date: 02/13/19
Approval Date: 02/13/14
Page 4of6
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Single Patty Adhesive Set Systems
Tile
Profile
Tile Application Minimum Attachment
Resistance
Sanibel Concrete Roof Tile 3M 2 -Component Foam Roof Tile Adhesive AH -160 66.5
3M 2 -Component Foam Roof Tile Adhesive AH -160 38.7T
3 Large paddy placement of 63 grams of 3MTm 2 -Component Foam Roof Tile Adhesive AH -160
4 Medium paddy placement of 24 grams of 3MTm 2 -Component Foam Roof Tile Adhesive AH -160
Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-lbf)
for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Sanibel Concrete Roof Tile Mortar Set 24,6
5 Tile-Tite Roof Tile Mortar.
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or
following statement: "Miami -Dade County Product Control Approved".
T
LABEL FOR SANIBEL CONCRETE ROOF TILE
LOCATED UNDERNEATH 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.
00 •.
000
0 0 ... . .
NOA No.: 14-0102.04
Expiration Date. 02/13/19
Approval Date: 02/13/14
Page 5of6
11
PROFILE DRAWING
131/4"
SANIBEL CONCRETE ROOF TILE
END OF THIS ACCEPTANCE
NOA No.: 14-0102.04
Expiration Date: 02/13/19
Approval Date: 02/13/14
Page 6of6
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
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.gov/economy
3M Company
3M Center Building 0220-05-E-06
St. Paul, MN. 55144-1000
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product
or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this 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: 3MTm 2 -Component Foam Roof Tile Adhesive 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 pf tbg Bijilding Off cjal...
This NOA revises NOA 13-0502.02 and consists of pages 1 throdgh 11: ; •; • •
The submitted documentation was reviewed by Alex Tigera.' "
APPROVED
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 1 of 11
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE:
This approves 3MTm 2 -Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as
described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by
applicable building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using 2 -Component
Foam Roof Tile Adhesive AH -160.
PRODUCTS MANUFACTURED BY APPLICANT:
Product Dimensions Test Product Description
Specifications
3MTM 2 -Component N/A
Foam Roof Tile Adhesive
AH -160
Foam Dispenser N/A
RTF1000
ProPack® 30 & 100 N/A
TAS 101 Two component polyurethane foam adhesive
PRODUCTS MANUFACTURED BY OTHERS:
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 2 -Component Foam Roof Tile Adhesive AH -160 roof tile adhesive.
MANUFACTURING LOCATION:
Tomball, TX.
PHYSICAL PROPERTIES:
Proper 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.'
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs./Ft2
3.1 Perm / Inch
0.07% Volume Change @ -40° F., 2 weeks
t6.Q°/gVojur1p !V,ha,pge @158°F., 100% Humidity, 2
weeks• • • • • •
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufWuring wriation.
NOA No.: 14-0805.01
MIAMI-DADE COUNTY " ' " • ' ' Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 2of11
EVIDENCE SUBMITTED:
Test Agency
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 11/02/95
25-7492 SSTD 11-93 12/12/95
NB -589-631 ASTM D 1623 02/01/94
9637-92 ASTM E 108 04/30/93
01-6743-011 ASTM E 108 11/16/94
01-6739-062b[l] ASTM E 84 01/16/95
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 ofthis acceptance. Refer to the Prepared Roof Tile Assembly for fire rating.
2.
3MTm
2 -Component Foam Roof Tile Adhesive 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
3MTm
2 -Component Foam Roof Tile Adhesive AH -
160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61G20-3 of the Florida Administrative Code? • • • • • •
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page of 11
INSTALLATION:
1. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 maybe used with any roof tile assembly having a current
NOA that lists attachment resistance values with the use of 3MTM 2 -Component Foam Roof Tile Adhesive AH -
160.
2. 3MTM 2 -Component Foam Roof Tile Adhesive 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 3MTM 2 -Component Foam Roof Tile Adhesive 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. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with
Roofing Application Standard RAS 120, and 3M Company's 3MTM 2 -Component Foam Roof Tile Adhesive AH -
160 Operating Instruction and Maintenance Booklet.
4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M
Company shall supply a list of approved applicators to the authority having jurisdiction.
5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive.
The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0
B).
6. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF 1000 or
ProPack® 30 & 100 dispensing equipment only.
7. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall not be exposed permanently to sunlight.
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after 3MTM 2 -
Component Foam Roof Tile Adhesive AH -160 has been dispensed.
9. 3MTM 2 -Component Foam Roof Tile Adhesive 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.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 4 of 11
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram
Area Weight
Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 45-65
Profiles
Flat, Low, High Profiles 1 17-23 sq. inches 45-65
Flat Profile 2 10-12 sq. inches 30
Low Profile 2 12-14 sq. inches 30
High Profile 2 17-19 sq. inches 30
Flat, Low, High Profiles 3 Two Paddys: 8-9 sq. inches at 12 grams per paddy
head of tile 9-11 sq. inches at
overlap
Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead
edge) 20-25 sq. inches each
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.
111 ,a WillAPPROVED
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 5 of 11
ADHESIVE PLACEMENT DETAIL # 1
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Flat/Low Profile Tile
1. Starting at the eave course, apply a minimum 2”
50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown,
under the strengthening rib closest to the overlock
of the tile being set.
2. Continue in same manner. Insure approximately 17
109.7 cm2) — 23 (148.4 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.
2. Continue in same manner. Insure approximately 17
109.7 cm) —23(148.4 cm2) square inch adhesive
contact with the underside of the tile.
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2"
50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
109.7 cm2) —23(148.4 cm) square inch adhesive
contact xvith the underside of the tile.
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 6 of 11
ADHESIVE PLACEMENT DETAIL # 2
Flat/Low Profile Tile
Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm2)
23(148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the
strengthening rib closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 10"
64.5 cm2) - 12(77.4 cm2) square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
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.
7njtrj&4iohs:mj tfnued on next page)
IAMI•DADECOUNTY
NOA No.: 14-0805.01
M • Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 7 of 11
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
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tw6aft P*Jdy11Brtw hTits)
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orip.
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
pan portion of the tile closest to the overlock of the
tile being set. Insure 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 17"
109.7 cm2) - 19 (122.6 cm2) square inch adhesive
contact with the underside of the tile.
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
mail deaegh plan is cement ftd
twimnrequkedl
Mmoptional
PasidY (under tile)
Shtgle paditljr
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FlaKow Pftflle Tile
Medium ProflleTlle
APPROVED
1. On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown, under
the strengthening rib for flat tile or under the pan
portion of the tile for low or high profile tile closest
to the Overlock of the tile being set. Leave
approximately 4" (101.6 mm) up from the eave
edge free of foam to prevent the expanded adhesive
from blocking the weep holes. Insure
approximately 17-23 int (109.7-148.4 cm2) of
adhesive contact with the underside of the tile
2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1 " (25.4
mm) foam paddy onto the underlayment just below
the second course line positioned foam paddy
under the strengthening rib for flat tile, or under the
pan portion of the tile, closest to the underlock for
the second course tile to be installed. Insure
approximately 8-9 int (51.6-58.1 cm2) of adhesive
contact with the underside of the tile.
Instructions continued on next page)
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
NaAdrouyh do 51n epaddyunderdle
when requkedD
Paddy dbbetween dhsj
Batton Paddytunder dMl
orrm y
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e
Farre course dik
Weephuie
tote. .tin.
Ewe dasure
Drip edge
High ProfileTile
APPROYED
3. Also apply a 2" (50.8 mm) x 4" (101.6 nun) x'/4"
19 mm) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11 (71cm2) square inch adhesive
contact with the underside of the tile at the overlap
and 7 (45.2 cm2) -9(58.1 cm2) square inch
adhesive contact with the underside of the tile at
the head of the tile. Continue in same manner.
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 10 of 11
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
t) Place enough adhesive to achieve SS to 70 sq. In. Steep pitch applications
in contact with the pantile. (when required)
2) To covers upside down. Place adhesive in
to l In. from outside edgeof cover tile.
Then Install the tile. Ensure 20 to
25sq. )n.contactarea.
Q
motar shown)
Fascia
Remove top portion of the eave course cover tile. Abut to second course of
pan tiles. Ensure *eve end of pan and cover tilesareflush ateave line.
Two Piece Barrel - Nigh 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 adjacent pan tiles. Support eave
tiles from rocking until adhesive has a chance to
cure.
2. Continue in same manner bringing two pan
courses up toward the ridge. Insure
approximately 65 (419.4 cm) — 70 (451.6 cm2)
square inch adhesive contact with the underside
of the pan tile.
3. Turn covers upside down exposing the underside
of the tile. Apply a minimum 1" (25.4 mm) x 10"
254 mm) bead of adhesive directly on the inner
edge of each side of the cover tile. Leave
approximately 3/4" (19 mm) to 1" (25.4 mm)
from the outside edge of the tile, inward, free of
foam to allow for expansion.
4. Turn cover tile over after foam is applied and
place onto pan tile course. Insure a minimum of
20 (129 cm) -25(161.3 cm) square inch
contact area on each side of the cover tile to the
pan tile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
CMIPAMWE kADE COUNTY • • • • • • • •
a • .. . . . .. ..
NOA No.: 14-0805.01
Expiration Date: 05/10/17
Approval Date: 09/04/14
Page 11 of 11
MIAMI-
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/pera
Polyglass USA Inc.
150 Lyon Drive
Fernley, NV 89408
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section
to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA 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: Polyglass Polystick Underlayments
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 regqug5t of the Bpil4ing Oficial.
This revises NOA # 11-0601.10 and consists of pages•1 thfdugh $ ; •.
The submitted documentation was reviewed by Alex tigera • * • • •
NOA No.: 11-1229.01
Expiration Date: 09/13/16
MIAMNDADE COUNTY i i i i• i i i Approval Date: 04/05/12
Page 1 of 8
ROOFING COMPONENT APPROVAL
Category: Roofing
Sub -Category: Underlayment
Material: SBS , APP Self -Adhering Modified Bitumen
PRODUCTS DESCRIPTION:
Polystick TU Plus Roll: TAS 103 and A rubberized asphalt self -adhering, glass-
underlayment 65' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing
Surface Printing) 80 mils thick membrane. Designed as a metal roofing and roof
Manufacturing Location tile underlayment.
2
Polystick TU P Roll:
Test Product
Product Dimensions Specification Description
Polystick MTS Roll: TAS 103 A homogeneous, rubberized asphalt
underlayment 6518" x 3'33/8" waterproofing membrane, glass fiber reinforced
Manufacturing Location 60 mils thick
TAS 103 and
with polyolefinic film on the upper surface for
2
61' x 3'33/8 ASTM D 1970
use as an underlayment for metal roofing, roof
2 60 mils thick
tile, slate tiles and shingle underlayment.
Polystick IR -Xe Roll: TAS 103 and A fine granular/sand top surface self -adhering,
underlayment 65' x 3'33/8" ASTM D 1970 APP polymer modified, fiberglass reinforced,
Manufacturing Location Or 65' x 3'
AS-? b D't970••
bituminous sheet material for use as an
1 & #2 60 mils thick underlayment in sloped roof assemblies.
Designed as an ice & rain shield and as a flat
roof tile underlayment.
Polystick TU Roll: TAS 103 and A heavy granuled surface self adhering, APP
underlayment 32'10" x 3'33/8" ASTM D 1970 polymer modified, fiberglass or polyester
Manufacturing Location 100 mils thick reinforced, bituminous sheet material for use as
1 & #2
Approval Date: 04/05/12
an underlayment in sloped roof assemblies.
Page 2 of 8
Designed as a a roof tile underlayment.
Polystick TU Plus Roll: TAS 103 and A rubberized asphalt self -adhering, glass-
underlayment 65' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing
Surface Printing) 80 mils thick membrane. Designed as a metal roofing and roof
Manufacturing Location tile underlayment.
2
Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing membrane,
underlayment 32'10" x 3'33/8" ASTM D 1970 glass-fiber/polyester reinforced, with a granular
Manufacturing Location 130 mils thick surface designed for use as a tile roof
2 underlayment.
Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass -
Manufacturing Location 61' x 3'33/8 ASTM D 1970 fiber/polyester reinforced waterproofing
2 60 mils thick membrane. Designed as a metal roofing and roof
tile underlayment.
Polystick Dual Pro Roll: TAS 103 4& •: A, ;u1P*4rizad asphalt self -adhering, glass -
Manufacturing Location 61' x 3'33/8" AS-? b D't970•• fibert Ayester reinforced waterproofing
2 60 mils thick membrane. Designed as a metal roofing and
fogf tile ptidpLayment.
NOA No.: 11-1229.01
Expiration Date: 09/13/16
MIAMI•DADE COUNTY Approval Date: 04/05/12
Page 2 of 8
1
MANUFACTURING PLANTS:
1. Hazelton, PA
2. Winter Haven, FL
EVIDENCE SUBMITTED:
Test Agency - Test Identifier Test Name/Report Date
Exterior Research & Design, LLC 11756.04.01-1 TAS 103 04/27/01
11756.08.01-1 ASTM D 1970 08/14/01
02202.08.05 TAS 103 08/29/05
Trinity I ERD P5110.08.07 TAS 103 08/29/07
P10870.09.08 -R1 TAS 103 12/04/08
P10870.04.09 TAS 103/ASTM D4798 & G155 04/13/09
P33360.06.10 ASTM D1970 07/01/10
P33370.03.11 TAS 103 03/02/11
P33370.04.11 ASTM D 1623 04/26/11
P36900.09.11 TAS 103/ASTM D4798 & G155 09/01/11
P37300.10.11 TAS 110/ASTM D4798 & D1970 10/19/11
PRI Asphalt Technologies PRI01111 ASTM D 4977 04/08/02
PUSA-005-02-01 ASTM D 4977 01/31/02
PUSA-018-02-01 ASTM D 2523 07/14/03
PUSA-035-02-01 TAS 103 09/29/06
PUSA-033-02-01 ASTM D 1970 01/12/06
PUSA-055-02-02 TAS 103 12/10/07
PUSA-083-02-01 TAS 103 06/30/08
PUSA-089-02-01 TAS 103/ASTM D4798 & G155 07/06/09
Momentum Technologies, Inc. JX201-17A TAS 103/ASTM D4798 & G155 04/01/08
RX 14E8A TAS 103/ASTM D4798 & G155 11/09/09
DX23D813 TAS 103/ASTM D4798 & G155 02/18/10
DX23D8A TAS 103/ASTM D4798 & G155 02/18/10
NOA No.: 11-1229.01
Expiration Date: 09/13/16
Approval Date: 04/05/12
Page 3 of 8
INSTALLATION PROCEDURES:
Deck Type 1: Wood, non -insulated
Base Sheet: One or more plies of ASTM D 226 Type Il or ASTM D 2626.
Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Membrane: Polystick membranes self -adhered.
Surfacing: None
1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels,
and sweep the deck thoroughly to remove any dust and debris prior to application.
2. Place the underlayment over metal drip edge in accordance with RAS 111.
3. Place the first course of membrane parallel to the 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-'/2" 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 Product
Control Notice of Acceptance.
8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be
pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be
applied over the underlayment.
APPROVED
NOA No.: 11-1229.01
Expiration Date: 09/13/16
Approval Date: 04/05/12
Page 4 of 8
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance.
2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles,
non-structural metal roofing, roof tile systems and quarry slate roof assemblies. IR -Xe, TU, and TU P may be
used in all the previous assemblies listed except metal roofing.
3. Deck requirements shall be in compliance with applicable building code.
4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of
irregularities.
5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof
membrane as a recover system.
6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of
days listed in the table below after application. Polyglass reserves the right to revise or alter product
exposure times; not to exceed the preceeding maximum time limitations.
Expos re Limitations (days)
MTS IR -Xe TU TU Plus TU P Tile Pro I Dual Pro
Winter Haven FL. 180 180 180 180 180 180180
Hazelton, PA. N/A 30 30 180 N/A N/A N/A
5:12 No limitation
7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 9N-3 of the Florida Administrative Code.
8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile
manufacturer's Notice of Acceptance. Polystick TU, TU Plus, and Tile Pro may be used in both adhesive set
and mechanically fastened roof tile applications. Polystick IR -Xe, and Dual Pro are limited to mechanically
fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile
applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile
applications with the exception of mortar set tile applications.
9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as
follows: (See Table Below)
The above slope limitations can be exceeded only by using battens and counter battens in accordance with the
Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens
are required for both loading and installation of tiles at all times.
NOA No.: 11-1229.01
Expiration Date: 09/13/16
Approval Date: 04/05/12
Page 5 of 8
Tile Profile Polystick MTS Polystick IR -Xe Polystick TU, TU
Plus, TU P, Tile Pro
Flat Tile Prohibited without battens 5:12 No limitation
Profiled Tile Prohibited without battens Prohibited No limitation
The above slope limitations can be exceeded only by using battens and counter battens in accordance with the
Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens
are required for both loading and installation of tiles at all times.
NOA No.: 11-1229.01
Expiration Date: 09/13/16
Approval Date: 04/05/12
Page 5 of 8
GENERAL LIMITATIONS: (CONTINUED)
10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of
tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all
underlayments except Polystick MTS which shall be loaded onto battens.
is&
Fbof Ueck prepaMd eyth
POLY"CKTU Rus
11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product
with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro
may be used with any approved roofcovering Notice of Acceptance listing Polystick MTS, IR -Xe, TU, TU
Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If
Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a request may be made to the
Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval
provided that appropriate documentation is provided to detail compatibility of the products, wind uplift
resistance, and fire testing results.
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.
MIAMI•DADE COUNTY
BUILDING PERMIT REQUIREMENTS:
Application for building permit shall be accompanied by copies of the following:
1. This Notice of Acceptance.
2. Any other documents required by the Building Official or applicable building code in order to properly evaluate
the installation of this materials.
NOA No.: 11-1229.01
Expiration Date: 09/13/16
MIAMFDADECOUNTY ; ; : ;.; ; : : Approval Date: 04/05/12
Page 6 of 8
POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES:
1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers
are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is
acceptable. Please also refer to applicable Product Data Sheets of the corresponding products.
2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge seam as per Polyglass
Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as
required in 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 Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement,
Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251
Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel
Grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply
to Polystick MTS.
5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass
Tile Loading Guidelines. See General Limitations #9 and #10.
6. Battens and/or Counter -battens, as required by the tile manufacturers NOA's, must be used on all projects for
pitch/slopes of 7712" or greater. It is suggested that on pitch/slopes in excess of 6 '/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, Polyglass PG500 MB Flashing
Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric
Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic 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.
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 9rprpjnstallatiV tg.verify acceptable substrates.
12. The Polyglass Miami -Dade Notice of Accepta$re (NCZA'pfotal:Or Polystick membranes and
PolyProtector UDL can be furnished upon request byeur-eclinicalservices Department by calling 1 (800)
894-4563.
NOA No.: 11-1229.01
Expiration Date: 09/13/16
MIAMI•DADE COUNTY • • ' ' ' ' ' ' Approval Date: 04/05/12
Page 7 of 8
13. Questions in regards to the application of Polyglass products should be directed to our Technical Services
Department at 1 (800) 894-4563.
14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined
by the National Roofing Contractors Association (NRCA).
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC
APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND
RECOMMENDATIONS.
END OF THIS ACCEPTANCE
NOA No.: 11-1229.01
Expiration Date: 09/13/16
MIAMMADE COUNTY • • • • • • • • Approval Date: 04/05/12
Page 8of 8
FLORIDA TEC
PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY
l 5 -- 9 ". _
Lab Report No. 126262
C.A. # 30448
Lab Certificate # 13-0507.02
CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE
TO COMPLY WITH METRO-DADE COUNTY PROTOCOL TAS-106`
Vc /
PROPERTYADDRESS: 87 NE 92nd St, Miami Shores PERMITNo:^'/, 16 71tr
OWNER: ROOFING SQUARES: 29
CONTRACTOR: Oroni Inc. ROOF PITCH: 3:12
TILE TYPE. --Spanish "S" INSPECTOR INITIALS- RW
ATTA CHMENT.• Polyfoam TEST DATE: 7/22/2016
inq Equipment: Di ital Chatillon DFIS 200 Test Tabulation Required Testing Force: 35
No. RES ULT No. RESULT No. RESULT No. RESULT No. RES ULT
1-9 Passed
10-19 Passed
20-29 Passed
THIS ROOF HAS: PASSED ® FAILED THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI-DADE COUNTY TAS 106.
1— 64'
Sincerely,
C494C
Sipned Oy.
D28999D6446...
PS0c4 7/25/2016
No. 17138
1 STATE OF ¢
NAL
TheThe method and software
sign and seal the report,
comply with the intent of the
Board Rules. Specifically,
with reference to Florida
Statutes 471 and the Florida
Administrative Code Rule
61 GI5-23.003 for Engineers.
7 /
4
10 '
6
12
13 \
1
3
2
16 \15
1
17
29
Not Tested
25
27
23 24
85'
10735 SW 2161h St. Unit 416 page 1 of 1
Tel: 305-256-4550
Miami FL 33170 www.FloridaTEC.net
Fax: 305-256-6833
Certificate Of Completion
Envelope Id: 3670E2F96FBB498897445OFO7lA96493
Subject: Please DocuSign: 87 NE 92nd St, Miami Shores ULT DSIGNED.pdf
Source Envelope:
Document Pages: 1 Signatures: 1
Certificate Pages: 2 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Disabled
Time Zone: (UTC -08:00) Pacific Time (US & Canada)
Record Tracking
Status: Original
7/25/2016 12:59:09 PM
Signer Events
tAlutil W Lai uui is
alberto@floridatec.net
Engineer
Florida TEC
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
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Editor Delivery Events
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Certified Delivery Events
Carbon Copy Events
ELTHON@ FLORIDATEC.N ET
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Oroni
oroni4545@gmaii.com
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Notary Events
Envelope Summary Events
Holder: Alberto Cardona
alberto@floridatec.net
Signature
Et A2WOd *'
494CO2999906446...
Using IP Address: 50.138.99.251
Signature
Status
Status
Status
Status
Status
COPIED
I
Status
Docu
ii stcuRao
Status: Completed
Envelope Originator.
Alberto Cardona
10735 SW 216 St
Unit #416
Miami, FL 33170
alberto@floridatec.net
IP Address: 50.138.99.251
Location: DocuSign
Timestamp
oul ii.. iiL3t Lit iii I/."J. V+ f- i..
Viewed: 7/25/2016 12:59:17 PM
Signed: 7/25/2016 12:59:34 PM
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