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RF-19-2948Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 lo Q�'n f�Jl Issue Date: 01/22/2020 Location Address Parcel Number 368 NW 111TH TER, Miami Shores, FL 33168 1121360010540 Contacts Permit NO.: RF-12-19-2948 Permit Type: Roof Work Classification: Tile Permit Status: Approved Expiration: 06/10/2020 Emmanuel Petion Owner BENSIDE CONTRACTORS GROUP LLC Contractor 368 NW 111 TERR, MIAMI SHORES, FL 33168-3340 NOEL BENDANA 10261 SW 20 ST, miami, FL 33165 Mobile: 3059106272 bensidecontractors@hotmail.com Inspection Description: RE -ROOF TO NEW ROOF TILE Valuation: $ 24,000.00 Inspection Requests: 4949 (BORAL SAXONY 900-FLAT SLATE LIKE TILE) DARK CHARCOAL COLOR Total 5q Feet: 2,400.00 Fees Amount Application Fee - Other $50.00 CCF $14.40 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $4.80 Roofing Fee $250.00 Scanning Fee $9.00 Technology Fee $7.50 Total: $343.20 Payments Date Paid Amt Paid Total Fees $343.20 Check # 436 12/13/2019 $50.00 Check # 153 01/22/2020 $293.20 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and tha =woOfb one incompliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contr toated. / /pa Authorized Signature: Owner / Applicant / Contractor / nt_/ -'— Daty / January22, 2020 Page 2 of 2 Ktkj- jucl I2_IZ'7II9 BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 PERMIT APPLICATION ❑ BUILDING ❑ ELECTRIC ROOFING DEC 13 2019 BY: ]��_ FBc Zak- Master Permit No.P,F— i " 2_941q Sub Permit No. ❑ REVISION ❑ EXTENSION DRENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP 2 1 cC,OONTRACTOR DRAWINGS JOB ADDRESS: - /U 1AJ / 1 I fih � GYM. City: Miami Shores County: � Miami Dade Zip: � 1 6-$ Folio/Parcel#: //— a/ •3 `P . d©/ — 2Ego Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):6tvy�t%t°Z X 4"rv��77rc Phone#f �g5 a Address: IV U) r%/ 4,1` T e- City: 916-n" .s State: FL Zip: Tenant/Lessee Name: ~ Email: /;rr-1 off - ne#: CONTRACTOR: Company Name: BPti,3 1-00-Le— Cor.rr-c2.gcrons 44ouP I'-C Phone#: _ 3� 74,-7 g&g� Address: �b��/ %u% �r^J37—. City: . ,�-si r• State: rc— Zip: 3-w6 57 Qualifier Name: /VDLe, L Phone#: State Certification or Registration #: j'LC15'; 91 Ss Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �/ d U Square/Linear Footage of Work: C9'(0 Type of Work: ❑ Addition -❑ Alteration ❑ New 9 Repair/Replace ❑ Demolition Description of Work: /,g /Lour— -v A)eLA) /RDUF f-1 C4_- 7di P1- SAq)cdN" 00 , 'Cl_ a -r ,5 I;- Art u KE r, L,;— 171=1 K.IG �Np ►zc��+c- - Goto� r, L Specify color of color t+,hru tile: Submittal Fee $ 50 ` a Permit Fee $. CCF $ 124- CO/CC $ Scanning Fee $ 1. 00 Radon Fee $ 3.00 DBPR $ T E5U Notary $ Technology Fee $ —4•�V Training/Education Fee $ �• Double Fee $$ Structural Reviews $ Bond $ JUD TOTAL FEE NOW DUE $ 293. 20 (Revised02/24/2014) _'q3. 20 J 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 Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. q� Signature OWNER or AGENT The foregoing instrument was acknowledged before me this Arday of M 1 20 l� by r O/J who is personally /known to me or who has pro uced' =.✓ as identification an11d ho didjta a an oath. NOTARY•PUBLI¢: /r Sign Prin I La SOy offbridn Mpg CaMMWalon 00 267026 EWJMM 010VU2023 Signature CONTRACTOR The foregoing instrument was acknowledged before me this _ day of ('C , 20 1 C( by ` V-Cl , who is personally known to me or who has produced V)6y-ef5 Li ceps identification and who did take an oath. NOTARY PUBLIC: Sea APPROVED BY Plans Examiner �n P"'•••. JAMES ALEXANDER GARCIA Notary Public - State of Florida Commission # GG 926773 Attled ,My Comm. Expires Oct 27, 2023 through National Notary Assn. ****************** Zoning (Revised02/24/2014) Structural Review Clerk Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner -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 BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: State of Florida County of Miami -Dade I,,,, The foregging was acknowledge efore me this day of �CJ�J✓ , 20_(1 B 1A AAA A JA Lt dAl who is personally known to me or has produced I Mow l.af ne Notary: 1 1�w y My comftasim 4 SEAL: gl5NS1DI CDNTRAaTORS GRORP, 1_LC, December 12, 2019 State of Florida County of Miami -Dade 10261 SW 20" ST Miami, FL 33165 Phone: (305)767-8888 Licensed & Insured CCC-1328155 Bensidecontractors@hotmail.co Before me this day personally appeared Noel Bendana who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 368 NW 111TH TERRACE. MIAMI SHORES, FL 33168 Contr ctor Signature Sworn to (or affirmed) and subscribed before me this _V�L day of20 by NOOk C2rcVxx)q_ r JAMES ALEXANDER :GARCIA"k Notary Public - State ida�Commission N GG My Comm. Expires Oc023nded through Natlonat Nssn. Personally know OR Produced Identification a' Uef 5 L_%F 05e Type of Identification Produced Qy (un. (S Print, Type of Stamp Name of Notary JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION • • CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW " CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 6/12/2018 PERSON: NOEL J BENDANA JR FEIN: 824998058 BUSINESS NAME AND ADDRESS: SENSIDE CONTRACTORS GROUP LLC 10261 SW 20 ST MIAMI, FL 33165 SCOPE OF BUSINESS OR TRADE: -wemied Pooling Cormaca EXPIRATION DATE: 6/11/2020 EMAIL: LEEONN997@HOTMAIL COM IMPORTANT PursuaM to Chapter 440 05(14), F S. an officer of a corporation who elects exemption Irom this chapter by filing a certificate of eL-OW under this section may not recover benefits or oompensaaon under this chapter Pursuant to Chapter 440.05(12). F S . Certificates of electron to be exempt apply only within "scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter "0 05(13), F S . Notices of election 10 be exempt and cer licates of election to be exempt shall be subled to revocation it, at any time after the filing of the nonce or the issuance of the certificate, the ce{yon named on the time no faor un! d�d�e�perno longer med meets lots the aCertificatequms meet of this is requirementsctnfoissuance oh sectof a ion The department shall revoke a te at DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413.1609 � f!�C^ :fKit? IXT�'f WYC/R 1 � r• JONATHANlACH(K SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN.IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489,FLORIDA-STATUTES - BENDANA,;NOEL- BENSIDE CONTRACTORS,GROUP LLG, :1 10261 SW-20TH STf- - : -f MIAMI i:•— LICENSE NUMBER-CCC132815S EXPIRATION DATE:_AVGUST 31, 2020 Always verity licenses online at MyFloridaLkense.com 0 Do not alter this document in any form. ar v. �� , This is your license. It js unlawful for anyone other than the licensee to use this document n iiTt '4� tf CERTIFICATE OF LIABILITY INSURANCE DATE ��zD gYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER CONTET NAME,ADELKYS VEGA PItoNE (305 828-5655 FAx 305) 828-9283 West Holiday Insurance E-MAIL Ave. 6905 W. A t! Ave. INSURERS AFFORDING COVERAGE Nu a Hialeah, FL 33014 INSURER A: ROCKINGHAM CASUALTY COMPANY Phone 305 828-5655 Fax 305) 828-9283 INSURED INSURER 8: BENSIDE CONTRACTORS GROUP LLC INSURER D : 102615W 20 ST MIAMI FL 33165 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO1WrTHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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- IN7R TYPE OF INSURANCE ADOL UBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXPO WDDVYYYY A a COLIMERCIALGENERALUABILITY ❑ CLAVASAKDE ❑✓ OCCUR N N RFLG212046 07l1212019 0711212020 EACHOCCURRENCE 1 S 1,000,000 DAMAGE 10 RE PREMIS En N.TED . I S 50.ODO MED EXP (Arty ono Rorson IS 5.OW PERSONAL aAOVINJURY S 1.OW,000 GEMLAGGREGATE LWITAPPLES PER: Q POLICY ❑ PR-J CT ❑LOG OTHER GENERAL AGGREGATE $ S 2,0D0,000 PRODUCTS - CORlPIOP AGO I S 2,ODO,000 Is AUTOMOBILE LIABILITY ❑ ANY AUTO SCHEDULED ❑OWNED AUTOS ONLY ❑AUTOS H:.4E0 NON -OWNED AUTOS ONLY AUTOS ONLY COI.i&NED SINGLE LIMIT 1 S En ED 9 BODILY INJURY (Per person) _. S ^�^ BODILY INJURY (Par accident;S R -ERTY DAMAGE S ^^I S ❑ UMBRELLA LIAO ❑ OCCUR EXCESS LIAB ❑ CLAIMS -MADE EACHOCCURRENCE S AGGREGATE S REIINTIONSS WORKERS COMPENSATION AND EMPLOYERS' LIA131UTY YIN ANY PROPRIETORWARTNEPJFXECUTrVE[:] OFFICEMMEMBER EXCLUDED? u (Mandatory In NH) II yes, descrbe alder DESCRIPTION OF OPERATIONS bGsw NIA - - PER OTH-" ST F _ E �L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE S E.L. DISEASE -POLICY LIMIT S 1 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD let, Additional Ramsrks Schedule, It mom space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BLDG DEPT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I OD50 NE 2NO AVE MIAMI SHORES.FL33138 AUTHORUED REPRESENTATIVE C Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) OF The ACORD name and logo are registered marks of ACORD a3•3z Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7259465 aUSIMSS NA M AOCAnON RECE VT No. BENSIDE CONTRACTORS GROUP LLC RENEWAL 10261 SW 20TH ST 7546103 MIAMI FL 33165 LB T_ SEPTEMBER 30, 2020 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 0 OWNER SEC TYPE OF OUSINESS BENSIOECONTRACTORSCROUP LLC 196 SPECIALTY BUILDING CONTRACTOR PAYMENTRECEIVEO - C/O NOEL J BENDANA CCC1328155. BY TAX COUECTOa S75.00 07/08/2019 - Worker(s) 1 CREDITCARD-19-051859 This Local Business Tea Receipt only confirms payment of the local Business Tax, The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Helder muss coarpty with any governmental or nongovernmental regulet )Awe and requirements which apply to the business. The RECEIPT ND. araoa east 6011 sad on all commercial vehicles - Miami -Dade Code Sec La-276. 'fN aestR*'¢glfrarEpisit ypyv.Er rrl {/mjAjfsf4$gMaxc9lIe EQt e7 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 Micmi Shores, A 33138 / Re: Owner's Name: 0A124'14"4/3w�{�( Property Address: 948— w /// Tee. Roofing Permit Number: Dear Building Official: %% I e✓h/► &nt1 7,e,4 CA,1" certify that I am not required to retrofit the roof to wall connections of my buil ' 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 th South Florida Building Code (1994 SFBC)) � C I'Yl'✓h a ✓iy.2 � /.� � L.�. Signature Print Name State of Florida County of Dade The undersigned, being the first duly s% Sworn to and subscribed before me this Notary Public, Sate of Florida at Large When the just valuation of the structure for pu of ad b SFBC. Then you must provide a building applica n from a Revised on 5/21/2009 that he/she is thheer for the above property mentioned, ay of 4 ')i o n Is , No^ta.ry�, _Public Sim al FW i b to or more than $300,000.00, and dnet ICCtEQi/itl slf�a 1994 Roof to Wall connection Hunk A y Commi"Mn GG 2971M EMrs& 01/01/2023 Property S'-ch Application - Miami -Dade County 12/13/19, 10:24 AM OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-001-0540 368 NW 111 TER Property Address: Miami Shores, FL 33168-3340 EMMANUEL PETION &W Owner ANTOINETTE 368 NW 111 TERR Mailing Address MIAMI SHORES, FL 33168-3340 PA Primary Zone 0700 SGL FAMILY - 1551-1700 SQ 0101 RESIDENTIAL - SINGLE Primary Land Use FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 1,774 Sq.Ft Living Area 1,734 Sq.Ft Adjusted Area 1,645 Sq.Ft Lot Size 7,500 Sq.Ft Year Built 1953 Assessment Information Year 2019 2018 2017 Land Value $169,335 $161,028 $161,028 Building Value $114,492 $122,218 $122,218 XF Value $4,060 $5,502 $5,572 Market Value $287,887 $288,748 $288,818 Assessed Value $98,944 $100,064 $98,006 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Cap Assessment Reduction $188,943 $188,684 $190,812 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead lExemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 NEW MIAMI SHORES ESTS PB 51-80 LOT 6 BLK 3 LOT SIZE 75.000 X 100 https://www8. miamidade.gov/Apps/PA/propertysearch/#/report/summary Generated On : 12/13/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $48,944 $50,064 $48,006 School Board Exemption Value $25,000! $25,000 $25,000 Taxable Value $73,944 $75,064 $73,006 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $48,944 $50,064 $48,006 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $48,944 $50,064 $48,006 Sales Information Previous Sale Price I OR Book -Page Qualification Description Sales which are qualified 10/01/1997 1 $84,500 17829-1588 Page 1 of 2 OR'f.4 VQ ENr�y N so" f�OR10�' PERMIT ADDRESS: 368 NW 111TH TER PARCEL: 1121360010540 Miami Shores, FL 33168 APPLICATION DATE: 12/13/2019 SQUARE FEET: 2,400.00 DESCRIPTION: RE -ROOF TO NEW ROOF TILE EXPIRATION DATE: 06/10/2020 VALUATION: $24,000.00 (BORAL SAXONY 900-FLAT SLATE LIKE TILE) DARK CHARCOAL COLOR CONTACTS NAME COMPANY ADDRESS Contractor NOEL BENDANA BENSIDE CONTRACTORS GROUP LL( 10261 SW 20 ST miami, FL 33165 Owner Emmanuel Petion 368 NW 111 TERR MIAMI SHORES, FL 33168 REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvFl.gov Review item used to allow building to comment during a plan review Comments: Provide product approval for ICP AH-160 December 27, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 OR tietiTFo f�ORID�' PERMIT ADDRESS: 368 NW 111TH TER PARCEL: 1121360010540 Miami Shores, FL 33168 APPLICATION DATE: 12/13/2019 SQUARE FEET: 2,400.00 DESCRIPTION: RE -ROOF TO NEW ROOF TILE EXPIRATION DATE: 06/10/2020 VALUATION: $24,000.00 (BORAL SAXONY 900-FLAT SLATE LIKE TILE) DARK CHARCOAL COLOR CONTACTS NAME COMPANY ADDRESS Contractor NOEL BENDANA BENSIDE CONTRACTORS GROUP LL( 10261 SW 20 ST miami, FL 33165 Owner Emmanuel Petion 368 NW 111 TERR MIAMI SHORES, FL 33168 REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvFl.gov Review item used to allow building to comment during a plan review Comments: Provide product approval for ICP AH-160 December 27, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 MIAMI.DADEt) y::.i, ielil I".inn I-xcel/raf t' Ftcr, /),?,I � Miami -Dade County HVHZ Electronic Roof Permit Form Section A (General Information) ester Permit No: Process No: ►ntractor's Name: BENSIDE CONTRACTOR GROUP LLC b Address: 1 368 NW 111TH TER Roof Category ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Sprayed Polyurethane Foam ❑ Other: Roof Type ❑ New Roof 21 Re -Roofing ❑ Recovering ❑ Repair ...... . .. ...... ❑✓ .Mortar/Adhesive Set TO@' • •••••• .... . ..... ❑• Wood Shingles/8hake*.:..' • • • • • .. .. .. .. ...... . . . . ...... .... % ❑ Maintenance ' % Are there Gas Vent Stacks located on the roof? ❑ Yes R1 No If yes, what type? ❑ Natural ❑ LPGX Roof System Information ow slope roof area (ft.z) 0 Steep Sloped area (ft.2) 2400 Total (ft.2) 2400 Section B (Roof Plan) 'ketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include hmensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 'erimeter Width (a'): Corner Size (a' x a'): ? MIAMMADE Miami -Dade County HVHZ Electronic Roof Permit Form Section D Tile Roof System Delivering Excellence Every Day" toof System Manufacturer: I BORAL ROOFING LLC lotice of Acceptance Number (NOA): 1 18-0509.17 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): • -47.6 -100.6 -100.6 • • .. P 1: P 2: P 3: -31.3 sees " Maximum Design Wind Pressures, (From the NOA Specific system): psf 000000 "ill in the specific roof assembly components. If a component is not required, insert not applicabld *A)b) in the text box. Deck Type: --5/8" Plywa�.. Optional Insulation: • • • • • • . .. . • • 0*00 Roof Slope: "/12" Roof Mean Height: 14 ft. Method of Tile Attachment: -- Select Tile Attachment -- Alternate Method of Tile Attachment per NOA: Drip Edge Size & Gauge: --3" face 24 ga.-- Drip Edge Material Type: --Galvinized Metal-- Optional Nailable Substrate: Optional Nailable Substrate Attachment: Basesheet Type: =TMN FELT D226 30# Fastener Type for Basesheet Attachment: 1-1/4" RS NAILS AND 1-5/8 TIN CAP 6" OC Tile Underlayment (Cap Sheet) Type: POLYSTICK TU PLUS Tile Underlayment Attachment Method: 1-1/4 RS NAILS, PEELAND STICK Drip Edge Fastener Type: I 1.25" RS NAILS Tile Profile: FLAT, SLATE LIKE CONCRETE Hook Strip/Cleat gauge or weight: --n/a- t MIAMFDiADE )elivering Excellence Every Day" Miami -Dade County HVHZ Electronic Roof Permit Form Section E (Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 127" For Moment based tile systems, use Method 1. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. :...: • • .••••• 00 P 1: 47.6 X 315 14.9 Mg: 7.62 = Mrl: 7.28 S 31.3 iViY� P 2: -100. lxki .315 = -31.6- Mg: 7.62 = Mr2: -23.9 S -31.31JAA D�F • • •. •' .••••. • • ••••• P3: -100. x� .315 = -31.6 -Mg: 7.62 =Mr3: -23.9 S -31.3 NdAa •••••� •••••• •.•..• • 00 Method 3 "Uplift Based Tile Calculations Per RAS 127" .0 ... 0 • 0 0 00 9 . • •.•••• •• • • •• • r 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 equalfe the Fr values, for ch area of the roof, then the tile attachment method is acceptable. I:®x1:xw:O=®-W:xCos 9:®=Fr1:�s�NOA F' x1:xw:®= -W: xCos 0:F7=Fr2: s NOAF' 3:®x1: xw:-W: xCos 0:F7=Fr3:�s®NOA F' Where to Obtain Information to complete tile calculations Description Symbol Where to Find )esign Pressure P1 or P2 or P3 Table 1 RAS 127, or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7. lean Roof Height H Job Site ;oof Slope A Job Site ,erodynamic Multiplier k Product Approval (NOA) restoring Moment due to Gravity Mg Product Approval (NOA) Machment Resistance Mf Product Approval (NOA) required Moment Resistance Mr Calculated linimum Attachment Resistance F' Product Approval (NOA) :equired Uplift Resistance Fr Calculated ,verage Tile Weight W Product Approval (NOA) ile Dimensions I =length w = width Product Approval (NOA) (RAS) No. 127 TABLE 1 MINIMUM DESIGN WIND UPLIFT PRESSURES, IN PSF FOR FIELD (P((D), PERIMETER (P(M) AND CORNER (P(M) AREAS OF ROOFS FOR EXPOSURE V BUILDINGS WITH A ROOF MEAN HEIGHT AS SPECIFIEDI. ROOF SLOPE-4 S 2:12 Z 2:12 S 7: 12 > 7: 12 Roof mean ' • • hei htl P4 Pm P® Pm Pm & Pa) P010+ • P® 20 -52 -87.3 -131.4 -47.6 -100.6 + -�2 • • • • t90.9 + • 25 -54.3 -91.1 -137 -49.7 -104.9 -M..3 • • • -63.5 • 30 -56.6 -95 -143 -51.8 -109.4 led00 • 35 -58.4 -98 .147.5 -53.5 -112.9 -59!a 0 • -08.3 40 -59.7 .100.8 -151.2 -54.9 -116A -W.. C • •' 1 -7p'2 ' Calculated in accordance with ASCE 7. TABLE 2 WHERE TO OBTAIN INFORMATION Desedption Symbol When to And Design Pressure PI or P2 or P3 Table 1 or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7-98 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier x PCA Restoring Moment due to Gravity M PCA Attachment Resistance Mf PCA Required Moment Resistance M Calculated Minimum Characteristic Resistance F' PCA Minimum Characteristic Force F Calculated Average Tile Weight W PCA Tile Dimensions 1= length w= width PCA All calculations must be submitted to the building official at the time of permit. (RAS) 127.2 FLORIDA BUILDING CODE — TEST PROTOCOL HVHZ M 1®DiADE � MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 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.Eov/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 coas�tntction materials. The . documentation submitted has been reviewed and accepted by Miami -Dade "County RER - rrodait Control• ction to e • used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdre'trdn (AHJ). .... • ...... . . ..... . . . This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Aroduct CNtroi Section • (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserv4 the right to have. this , • . •: • product or material tested for quality assurance purposes. If this product or material fails to perform inthe accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke:n1odi fy, or - • • • • suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke t'h19' cceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Saxony 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No.16-0711.05 and consists of pages 1 through 8. The submitted documentation was reviewed by Freddy Semino a NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 1 of 9 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Concrete Deck Type: Wood 1. SCOPE This NOA approves a system using Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, FL and described this Notice of Acceptan&,..F.%r locations where the requirements, as determined by applicable Building Code, do nog e xcved the' design Ae:' pressure pre§su values obtained by calculations in compliance with RAS 127 using the values listed(, bq the init"Ala.tion seiliQi, herein. The attachment calculations shall be done as a moment based system. e e e: e e e 0, ...... 2. PRODUCT DESCRIPTION sews • sees. • ..gee. e . ..... Manufactured by Test 1tCt ss t• Dees.. Applicant Dimensions e Specifications Descriaiion '. T� • Saxony 900-Slate Length = 17" • .tests TAS 112 Flat profile, interlocking: hi&lr-pressere extruded• Width = 13" concrete roof tile with twd bai?holes: V8f direct deck, • thickness = 1-5/32" batten, mortar set or adhesive set applications. Saxony 900 Length = 17" TAS 112 Flat profile, interlocking, high-pressure extruded Split Shake Width = 13" concrete roof tile with two nail holes. For direct deck, thickness = 1-9/32" batten, mortar set or adhesive set applications. Top surface produced with 4 different configurations: 1. Complete tile brushed 2. Right half brushed (shown in drawing) 3. Left half brushed 4. No brush Saxony 900-Shake Length = 17" TAS 112 Flat profile, interlocking, high-pressure extruded Width = 13" concrete roof tile with two nail holes. For direct deck, thickness = 1-9/32" batten, mortar set or adhesive set applications. Trim Pieces Length: varies TAS-112 Accessory trim, boosted Barcelona, concrete roof Width: varies pieces for use at hips, ridges and rakes. varying thickness NOA No.: 18-0509.17 MIAMI•DADE COUNTY Expiration Date: 04/26/22 • Approval Date: 08/02/18 Page 2 of 9 2.1 MANUFACTURING LOCATION 2.1.1 Lake Wales, FL 2.2 EVIDENCE SUBMITTED: Test Aizency Test Identifier Test Name/Report Date The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) The Center for Applied 94-060A Static Uplift Testing March, 1994 Engineering, Inc. TAS 101 (Adhesive Set). ; • • • • • • • • • The Center for Applied 25-7183-6 Static Uplift Testing TAS I%Z' ..Feb. 1995 .' Engineering, Inc. (2 Quik-Drive Screws, Direct "4. •.. • .... % The Center for Applied 25-7183-5 Static Uplift Testing TAS 102 • • • Feb. 1995; .... Engineering, Inc. (2 Quik-Drive Screws, Battaris)— :... % 0 ' The Center for Applied 25-7214-1 Static Uplift Testing TAS 1.0*�.„• �Marcb, 199�:::: • Engineering, Inc. (1 Quik-Drive Screw, Direct Deft)' ' .. .. ...... The Center for Applied 25-7214-5 Static Uplift Testing TAS 14& • • • • March, 1995 • Engineering, Inc. (1 Quik-Drive Screw, Battens) • • • •' • The Center for Applied Project No. 307025 Wind Driven Rain .'. Oct. 1994:....: Engineering, Inc. Test #MDC-77 TAS 100 •„ Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II & III TAS 108 (Nail -On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 TAS 108 (Nail -On) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails Atlanta Testing & R1.894/R2.894/R3.894 Physical Properties Aug. 1994 Engineering, Inc. TAS 112 Celotex Corporation 520109-1 Static Uplift Testing Dec. 1998 Testing Service 520111-4 TAS 101 Celotex Corporation 520191-1 Static Uplift Testing March 1999 Testing Service TAS 101 Walker Engineering, Inc. Evaluation Calculations 25-7094 February 1996 Walker Engineering, Inc. Evaluation Calculations 25-7496 April 1996 Walker Engineering, Inc. Evaluation Calculations 25-7584/25-7804b-8/25-7804-4 & 5 December 1996 25-7848-6 Walker Engineering, Inc. Evaluation Calculations 25-7183 March 1995 Walker Engineering, Inc. Evaluation Calculations Aerodynamic Multipliers 09/01/16 Walker Engineering, Inc. Calculations Two Patty Adhesive Set System April 1999 Walker Engineering, Inc. Evaluation Calculations Restoring Moments Due to Gravity 09/01/16 American Test Lab of RT0617.04-16 TAS 112 06/29/16 South Florida NOA No.: 18-0509.17 MIAMI•DADE COU Expiration Date: 04/26/22 ME , Approval Date: 08/02/18 Page 3 of 9 PRI Construction Material COPO-002-02-12 TAS 101 10/12/2016 COPO-002-02-06 TAS 101 10/12/2016 COPO-002-02-05 TAS 101 10/12/2016 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to thl •vujlliing Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applj*ation$�tjjdards li§te • section 4.1 herein.000:00 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to-bh& hoof slope awnless siatecl•: otherwise by the underlayment material manufacturers published literature. • • • • • • • • • 3.6 This acceptance is for wood deck applications. Minimum deck requirements *%Nbe in•coMr!iance with• .. .. .. ...... the applicable Building Code. • • •. • • • • . . . . ...... 4. INSTALLATION ' 4.1 Saxony 900 (Slate, Shake & Split Shake) 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 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W (Ibfl Length -I (ft) Width-w (ft) Saxony 900 Slate, Shake & Split Shake 10.9 1.417 1.08 Table 2: Aerodynamic Multipliers - .% (ft3) Tile % (ft3) 1 (ft3) Profile Batten Application Direct Deck Application Saxony 900 0.291 0.315 Slate, Shake & Split Shake Table 3: Restoring Moments due to Gravity - M9 (ft-Ibfl Tile Profile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or greater Saxony 900 Slate, Shake & Direct Deck Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Split Shake 7.70 7.62 6.61 7.50 6.48 7.34 6.31 7.16 6.13 6.95 NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 4 of 9 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mechanically Fastened Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" (min. 19/32" plywood) plywood) Saxony 900 2-10d Ring Shank Nails 30.9 38.1 17.2 Slate, Shake & Split 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 Shake 1 48 Screw 30.8 30.8 18.2 2 48 Screws 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail (Field 24.3 24.$ 24.2" Cli w. :.• •• •• 1-10d Smooth or Screw Shank Nail (Eave 19.0 a 22. Clip)••••• 2-10d Smooth or Screw Shank Nails (Field 35.5 • ; • • 34. Clip) • •�.5 • • 90 • 2-10d Smooth or Screw Shank Nails (Eave 31.9 •. "�19 '." .; 32.�.... Clip) ...... . Table 5: Attachment Resistance Expressed as a Moment M� (ft4lbf) +' •' •' • • for Two Paddy Adhesive Set Systems • • . • •. • Tile Tile Application Minimum Attachment Profile Resistance Saxony 900 Slate, Shake & Split Shake Adhesive' 31.3 2 a 3 594 1 See foam adhesive manufacturer's component approval for installation requirements. 2 The Dow Chemical Company TileBond' one -component foam minimum weight per paddy 13.9 grams. 3. ICP Adhesives Polyset®,AH-160 two -component foam, minimum weight per paddy 8 grams. 4. DAP Products Touch N' Seal Storm Bond 2 two -component foam minimum weight per paddy 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Paddy Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Saxony 900 Slate, Shake & Split Shake ICP Adhesives PolysetS AH-160 Two -component foam DAP Products Touch N' Seal Storm Bond 2 two -component foam 118.93 40.4 4 935 45 6 3 Large paddy placement of 45 grams of Polyset® AH-160. 4 Medium paddy placement of 24 grams of Polyset& AH-160. 5 Large paddy DAP Products Touch N' Seal Storm Bond 2 two -component foam minimum weight per paddy 45 grams. 6 Medium paddy DAP Products Touch N' Seal Storm Bond 2 two -component foam minimum weight per paddy 24 grams. NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 5 of 9 Table 7: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Mortar Set Systems Tile Tile Minimum Attachment Profile Application Resistance Saxony 900 Slate, Shake & Split Shake Mortar Seth 43.96 7 Tile-Tite Roof Tile Mortar . • ...... . .. ...... 5. LABELING • • • • " ' 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturet's.narhe or logo as detatlyd• • below, or following statement: "Miami -Dade County Product Control Approv®d%.• •; ; 90000 G. Go .. .. Goes.. :so:*: ...... e so. G . :**so: GG.o LABEL FOR BORAL SAXONY 900 TILES (LAKE WALES FL PLANT LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 6 of 9 NAIL HOLES V UNDERLOCK I SAXONY 900 - SLATE COVERI,QC-A • .. 009000 .... NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 7 of 9 HAIL HOLES PROFILE DRAWINGS m Note: Available Top Surface Finishes 5. Complete the brushed 6. Right half brushed (shown in drawing) 7. Left half brushed 8. No brush SAXONY 900 - SPLIT SHAKE NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 8 of 9 NAIL HOLES rs PROFILE DRAWINGS SAXONY 900- SHAKE END OF THIS ACCEPTANCE NOA No.: 18-0509.17 Expiration Date: 04/26/22 Approval Date: 08/02/18 Page 9 of 9 >r' IAM11-i�4blE MIAMI-DADE COUNTY ® PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 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.eov/buildine/ 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 conatructi:m nmJerials. •, The documentation submitted has been reviewed and accepted by Miami -Dade County STQV"Proddct Control Section to be used in Miami Dade County and other areas where allowed by the Authority*AUing Jurisdiction • • • • (AHJ). ...... .... . ..... ...... ..... This NOA shall not be valid after the expiration date stated below. The Miami -Dade CQ4A�yProdu4C%irol ...... Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade Coualo eserve the right •• to have this product or material tested for quality assurance purposes. If this product or material, f445 to • • •• • • perform in the accepted manner, the manufacturer will incur the expense of such testing attd the AHJ may :....: immediately revoke, modify, or suspend the use of such product or material within their jur sdicti;p,- C • 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-Pofystick_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 request of the Building Official. This renews and revises NOA # 09-0806.07 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 1 of 8 ROOFING COMPONENT APPROVAL Cateeory: Roofing Sub-Cateaory: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description 0 Polystick MTS Roll: TAS 103 A homogeneous, rubttrizAasphX • • • •; • underlayment 65'8" x 3'3-'/g" waterproofing membrane, Mass Wr6re'mforced �. Manufacturing Location 60 mils thick .... . .. ...... with polyolefinic film�grj:�% upper surface for. 0 #2 use as an underlayment.fQr metal roofing, roof.****: tile, slate tiles and shingb anderlayinent. • • • • • Polystick IR-Xe Roll: ...... . . ..... TAS 103 and A fine granular/sand tb� ?dHace self-Wilering, underlayment 65' x 3'33/8" ASTM D 1970 APP polymer modifieW, rV glass. einforced, Manufacturing Location Or 65' x 3' bituminous sheet material for use 49 an'. . #1 & #2 80 mils thick underlayment in sloped.xoofasserublies. :6099: Designed as an ice & rain shield and -"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 an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. Polystick TU Plus Roll: TAS 103 and A non -wicking fabric surfaced, self -adhering, underlayment 65' x 3'33/8" ASTM D 1970 APP polymer modified, fiberglass reinforced (Facer of Membrane 80 mils thick with a high strength polyester fabric, bituminous with surface printing) sheet material for use an an underlayment in Manufacturing Location sloped roof assemblies. Designed as a metal #1 & #2 roofing and roof tile underlayment. 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. NOA No.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 2 of 8 PRODUCTS DESCRIPTION: Product Dimensions Polystick Dual Pro Roll: Manufacturing Location 61' x 3'33/g" #2 60 mils thick MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED: Test Ap-ency Exterior Research & Design, LLC Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. Test Product Specification Description ASTM D 1970 A rubberized asphalt self -adhering, glass- fiber/polyester reinforced waterproofing membrane, specific for use as a high temperature underlayment. Designed as a metal roofing. Test Identifier 11756.04.01-1 11756.08.01-1 02202.08.05 P5110.08.07 P10870.09.08-R1 P 10870.04.09 P33360.06.10 P33370.03.11 P36900.09.11 PRI01III PUSA-005-02-01 PUSA-018-02-01 PUSA-035-02-01 PUSA-033-02-01 PUSA-055-02-02 PUSA-083-02-01 PUSA-089-02-01 JX20H7A RX 14E8A DX23 D813 DX23D8A Test Name/Report TAS 103 • ASTM D 1970 TAS 103 • • • TAS 103 TAS 103 TAS 103/ASTM D4798 & G155 ASTM D 1970 TAS 103 TAS 103/ASTM D4798 & G155 ASTM D 4977 ASTM D 4977 ASTM D 2523 TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103/ASTM D4798 & G 15 5 TAS 103/ASTM D4798 & G 15 5 TAS 103/ASTM D4798 & G 155 TAS 103/ASTM D4798 & G 15 5 TAS 103/ASTM D4798 & G 15 5 •••••• Date Q.47Z7/01 ' 08/ 14/01 Oe l 9/05 08/29/07 12/04/08 04/13/09 07/01/10 03/02/11 09/01 / 11 04/08/02 01 /31 /02 07/ 14/03 09/29/06 01/12/06 12/ 10/07 06/30/08 07/06/09 04/01 /08 11 /09/09 02/18/10 02/18/10 NOA No.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non -insulated Base Sheet: One or more plies of ASTM D 226 Type II 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. 00 a' 3. Place the first course of membrane parallel to the eave, rolling the membrane to obW§jvaximum contact. . Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3-V2" and end V 6 0 6 laps shall be a minimum of 6." Roll the membrane into place after removing the ret&& strip.: V*'e*rt*i*cal • •; • •. strapping of the roof with Polystick is acceptable. Membrane shall be back nailed'iMejordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the;igg point, rQlli ng the • • •• • membrane from the center outward in both directions. • 5. For ridge applications, center the membrane and roll from the center outward in both direction;.::*,- 0 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 shal I be applied over the underlayment. NOA No.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, and Tile 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. Dual Pro may be used in all the previous assemblies listed except roof tile systems. 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. 6. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-exi;tixg4of • • • • • • membrane as a recover system. • Polyglass Polystick membranes shall not be left exposed as a temporary roof for lo'hvathan th; arhaunt of...... days listed in the table below after application. Polyglass reserves the right to revisg or . Ater product • • • • exposure times; not to exceed the preceeding maximum time limitations. • • • • • • ...... . . ..... Expos re Limitations (days) MTS IR-Xe TU TU Plus TU P Pro ewe gDalPro Winter Haven, FL. 180 180 180 180 180 ' :80 180 ... Hazelton, PA. N/A 30 30 180 N/A • /A N/A • 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Buil vA Code and Rule 913-72 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 and TU Plus may be used in both adhesive set and mechanically fastened roof the applications. Polystick IR-Xe, and Tile 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) 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.: I1-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 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. 11. Roofing Tiles (6 Max Per Stack) n 12 / o i. _ 6 a5 -- N F - IJ m tbof Deck prepared with / • • POLYMICKTURus • • • �••••• •••••• • • • Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of Mis product ....:. with specific prepared roofing products. Polystick MTS, IR-Xe, TU, TU Plus, TU P,13091 Pro and•Tile Pro.,..*.: may be used with any approved roof covering Notice of Acceptance listing PolystiekyAS, IR-ZLe,Ti1, T" • Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice,R%Ccep4gce. If :":**. Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a requecf may bgatlaie to tlt;,: • Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control te rtment for approval .' provided that appropriate documentation is provided to detail compatibility of the �rodutts, wMA 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. 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.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 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 et4hesivelfrowel ...... Grade mastic, applied in between the application of the lap. The use of mastic betwL?eli Me Iaps:dgeg pot apply •, ...... . .. ..... . to Polystick NITS. 000000 5. A maximum of 6 tiles per stack are allowed when loading tile on the underla en •Ref r to t d lass:"": P g ym tS Il�C �',24 Tile Loading Guidelines. See General Limitations #9 and # 10. "" • • • • • ..... . ..... 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA's, mus;;e:t We on 160sjects for.... pitch/slopes of T712" or greater. It is suggested that on pitch/slopes in excess of Q %4111:", precautions • • should betaken, such as the use of battens to prevent tile sliding during the loadin proc8ss. "'• • • 7. Minimum cure time after membrane installation & before loading of roofing tiles is•Forty-Eight Q& 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 prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. NOA No.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 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.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 8 of 8 eagle,� � QuickSquaresT�' Decemoer 1'. 2('19 REPORT DETAILS �i 1 t1''� Y ,ti✓� Roof A Area. 24 Squares r, Predom;nant Pitch: 3 Epp%o Tn,s '"epoit nck.des U? to tv,,o structures on a 'es.aentiai' p,operty and one truce-ir-, on a mule-`emily p-operty. The p'ch has been factored Please up_rad«, tea Premium Report to receive mr surcrunts for adc:._,cral structu-is and for any love- roof , -eas t'r t r oy b,2 ob _:Jrea fro n v •v in the t-co-ciok.n mare•, as they are rot Satisfaction Guaranteed 11,lucad in the to'n's crl th 5 repro r„vr' c.'y•v-armmlCuara roe Upgrade Your Report! QuickSgGares is a report used to estimate the overall size of the roof; for material -ordering accuracy, contractors should Upgrade to a Premium Report. The price of your Qu;ckSquares report wi-1 be deducted from your upgrade. A Premium Report includes: w : D , JQi D, P;' HC r .i fIT•c ::a [ C:. , J, l (�G ! e lit i %�rE _ cJ(�r.il Zee: t y S.iLOre i xtw Pii:�,, -i-ble nod Corp. ,. s Rase,- d Cr. s[c..'Y o'e a Nt tln. a C? , �5.+q :AS,f.214,1' , 1,= ,9,L"3," ,l, S,SY2, f; 9,2• 4.. , 3,321,741 X, SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with : • • • • • • • • • the required roofing G 0 q g permit, and to explain to the owner the content of the section. The provisions f ct n R440Z • • • • govern the minimum requirements and standards of the industry for roofing system installations. Iitlolly, the • • • following items should be addressed ; as part of the agreement between the owner ant the contractor. the owner's initial in the designated space indicates that the item has been explained. 666949 ' ; •„ • • 2• 8e Renailing wood decks: When replacing roofing, the existing wood roof dook•roe+o loave to • • • • • • • be renailed in accordance with the current provisions of Section R4403. (The roof deck 4,W&WV '. •; • • • • • • �' concealed prior to removing the existing roof system). • • • • • P •••••• •••••• 4. J Exposed Ceiling: Exposed, open beam ceilings are where the underside o=the rpef�ecking' ; • •. •; can be viewed from below. The owner may wish to maintain the architectural appearance;ilverefooe, • • • • • roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of •: • • • maintaining the appearance. 6. NOverflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. it may be necessary to install overflow scuppers in accord ce with the requirements of Sections R4402, R4403 and R4413. ��& s Si at a Date Contra r Signature Date A Property Address Revised on 7/9/2009 LD;07/01/2015; Permit Number M1AM 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.aov/economy ICP Adhesives and Sealants, Inc. 12505 NW 44'h Street Coral Springs, FL. 33065 SCOPE: • • • • This NOA is being issued under the applicable rules and regulations governing the use ol:co4 truction•materials. 44-&- documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product•Contticrrl.SUion to be•. used in Miami Dade Countyand other areas where allowed b the Authority Having Jurisdi .1 0 0CAHJ) Y h' g F� �. This NOA shall not be valid after the expiration date stated below. The Miami -Dade Counu Vroduct.Calio-ol Section • (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve th'e Ti�yht to have this product'. .... .. . .... . or material tested for quality assurance purposes. If this product or material fails to perforal In the accepiNmnner, 00 0 • manufacturer will incur the expense of such testing and the AHJ may immediately revokep modify, or suspend the use.. of such product or material within their jurisdiction. RER reserves the right to revoke *thp*s acceptance , if ito is:. determined by Miami -Dade County Product Control Section that this product or material fails jd jneet the rNuirenTpJ1 • of the applicable building code. " ' . 0000 . • 0000 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 Polysee 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. IF W, �000:1 MI! 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. 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-lOP • 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 ProPacV N/A 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: ...... . ...... ••••*: Produd llescriation 0 ' Two component polyiii'8thane ftihrh adhesiW: • . . .. . ...... 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 @ -40' F., 2 weeks +6.0% Volume Change @158'F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94-060 257818-IPA 25-743 8-3 25-7438-4 25-7438-7 25-7492 NB-589-631 Z*1►6% 01-6743-011 01-6739-062b[ 1 ] 7050.02.96-1 P36700.04.12 P39740.02.12 528454-2-1 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109-6 520109-7 520191-1 520109-2-1 Test Name/Reno Date TAS 101 04/08/94 TAS 101 12/16/96 SSTD 11-93 10/25/95 SSTD I1-93 11/02/95 SSTD 11-93 12/12/95 ASTM D 1623 9:7.4t/94 .... • • ...... . ...... ASTM E 108 • • • • • 04/30/93 • .... .... . . ASTM E 108 •••' 117f4/94 ASTM E 84 ...... .. 01ZIJ/95 ..... •••••• •••�•• TAS 114 W/14/96 ....:. ASTM D 1623 44/t8%12 �••�•� TAS 101 ••• 1)2'/2?412 • TAS 123 "" TAS 101 10/23/98 TAS 101 12/28/98 TAS 101 03/02/99 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. ICP Adhesives Polyset' AH-160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset' AH-160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polyset® AH-160 may be used with any roof tile assembly having a current NOA that 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 with Roofinj Application Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and.-Majntpnance�3em&t. • • • • • • 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed �w.l& Adhesives and • • • , ; • Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicalw aathe authority having • jurisdiction. 000000 00000 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is }-pQ • � d befoj'P• an licatiorr • • • P p g q p 1gQ411x� •i pp ....0 of any adhesive. The mix ratio between the "A" component and the "B" component sliafl.bd mainta"betwggL • • • 1.0-1.15 (A): 1.0 (B). • • • • • . 0 . 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTJ1000 or iCh • • • • " .. Adhesives ProPack® 30 & 100 dispensing equipment only. .... ; 0000 ; • • • • 7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight. 0000 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 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 • • • • • �ci • • • • • Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at. .. a2 grPSpaddy . • head of the 9-11 sq. inches at - : •. overlap . • • • • • • • .. Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal . .. o 17 gram: per bead.:. edge) 20-25 sq. inches each • • • • • • • • • • bead "' • . . • • . .... . Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches .'.34 grims•ttnder p4q • •••• 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. MiAMI E COUNTY W_12i:tl ;, BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 Mali through plastic conwnt Paddy (Soy eathTile) lwMn raquirod)� Underi•ym•nt 101� Settens optional 10 k� :� ,•* Fascia tin . E•v Closure� Nail through plastic cemem lwhen required) f_ PrddylsenerehTihl erfayffsent 10 KX 2 in.wld• flattens optional r �►- gave Closure gaveteurs•� '` �— Fascia ManWhen though plastic c F (when rough plastic Paddy 16rnwthTi191 thsderlrya twr 47' b i 10in.■ 21n. wide .. Battens optional ASP 3' [am coulso - Fasda we")We 10 in. 2 in. law closure �. bripedge APPROVED Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm') — 23 (148.4 cm') square. WIT adhesive contact with the underside otthe till. • • ...... . ...... •••• •••• • • • G • G Goes •••• ••••• so•••• •• • ••Go• Medium Profile / Double*01nlTile • • • • • • • • • G •e • 0900o0 1. Starting at the eave course, apply a:nNuMm 2'; (50.8 mm) x 10" (254 imml x:l" (25.Aomm) foaR a • •: paddy onto the underlayment positiomtl4s 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 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 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 "Ithrough plAstict•mSM Paddy fkn.nthTAP) Sw� r•.qui►•d1 �/ Undatt&Vmonl n 2 Mn. Bacunteptbnal Eay.Course a uA t�In 1� Fascia .12 N Eare Closure Nail through plastic cement (when required) f Paddy {llen.ath III*) Und•rl.ymrot .,. 71n. �' 210. Battens optionol 10 •. lire. �. E.v. [in.ur• Fsv. Coun• /� F•.tiS RPPROVED Flat/Low Profile Tile 1. Starting at the cave 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. _ • • • • _ • • •s.• Soso** • • • . 2. At the second course, apply a minimum4':;5,0.8mm) •. x 7" (177.8 mm) x 1" (25.g ��.foam paddy onto ;lie • • underlayment positioned as Qjwwn under.tbe :**a*: strengthening rib closest to ilia Overlock of We the • . • • o being set. •••••• •• ••••• . 3. Continue in same manner.-TnMlrj approximately 10" '. . . .. •. •SS•a. (64.5 em2) - 12 (77.4 cm2) quale inch�dije� ive • contact with the underside•4tthc:tile. .... ; • • • • •as• 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 em2) — 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 em2) - 14 (90.3 cm') 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) Nan through plastic ct Iwhtn rtqulrtd) Paddy IB•rtath role) Undelye�.at 10, eatttns optlonal,F Fa co 'cassia INM t0in. �21n. P*49* slave $ t)rlp tdy 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 cmz) — 23 (148.4 cmz) square inch adhesive contaralowith the underside of the tile. • • • • **Go:* •• • • • • •...•• • 2. At the second course, appl *ml$imurti 2 (50.8mriij• x 7" (177.8 mm) x l" (25. mm� foam paddy onto i-,& o o underlayment positioned a5 ;bpy?n under Yb� pan • • portion of the tile closest to 4hsl overlock of the the • • • being set. 000000 •• • •••••• • •••..• • . 3. Continue in same manner. Insure apprVimgtely 17"'"" (109.7 cmz) - 19 (122.6 cn ),Squpre inch adhesive 0 • • • • .... contact with the underside of the tile. . . g . •' NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 Mail through plastic cement Paddy (between tiles) When required) Battens optional • Paddy lunder tile) I sinyiewaay r �. an top oftite .- ti ; 4x4in. Single paddy on undedayment 2 x 4 in. • ram' in. Fascia . \ Save [bsure �, Flat/Low Profile Tile Mail through plastic cement single paddy under the (when required) Paddy (between Ines) Battens Pad dy(under tile) optional single on top oftik� 2x4in.��. mql paddy on , undeAilmeM tin. Ea" Closure Eave Course Fasda Medium ProflleTlle MLAMM16DE COUNTY 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•holei. Insurer • 000*00 approximately 17-23 in`4109.7-148E1 cnZ) of .• adhesive contact with tho►amderside WAeotile ....:. •••••• 2. Apply a 4" (101.6 mm) x4" 1101.6 rrimj x 1" (2S.04' • . mm) foam paddy onto .. *rlaym�Itlaustbelp..y..,.•• the second course line positioned foam paddy under the strcngthcningrib foi flat the or undertkao pan portion of the tile, c:osrsot,.to the'und lock fpr • the second course tile to N inkallc(L-IrtsIve • approximately 8-9 in' (51.6-58.1 eml Wadhesive 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) Flail throw plastic Single paddy under file (when required) Paddy lbetween dies) Battens optional Paddy (under tile) "; 1 r ; 44x4in. sirwfie 2 x 4 in. Pa on topofule— Eave Course — Fascia Weephoie loin. tin. Eave closure Drip edge High Profile Tile 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4" (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm2) - 11 (71cm2) square inch adhesive contact with the underside of the tile'at tRQ overlap and 7 (45.2 cm2) - 9 (5 .1 om� squ are iN h 60 410:0 adhesive contact with tUe. rside;OP?Wtile at.**:* the head of the tile. Corail;do in same manner. . .... .... . . .... .... ..... •• •• •• • •••••• • NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 9) Place enough adhesive to achieve 55 to 70 sq.In. Steep pitch applications in contact with the pan t91r A {when required) 2)Tum coven upside down. Place adhesive in to l in.from Outside edge of corer tilt. Then install the tile. Ensure 20 to i2S sti. in. contact area. Undedaymtnt i Sheathing Eave closure (Molar shown) "Meephole Fascia Board !Remove top portion of the eave course corer tile. Abut to second course of pan tiles. Ensure eave end of pan and corer tiles 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 adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to •aaa cure. • a • •aaa afeaaa • a • 2. Continue in same mae6w6-bringinVW an ....;. courses up toward the rig. Insure • a approximately 65 (410.41ftz )-7 C,.6 cn • ) square inch adhesive onl5ct with WtlndersiQl~:00. of the pan tile. a • • •• •• s • •....• aaa.aa • w• 3. Turn covers upside down exposing tha underside.:. of the tile. Apply a 4niM 1";2S.4•mm) x•10" (254 mm) bead of adlIttivedirecorMlhe i"er • edge of each side of the cover tile.WAve 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 emz) - 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