REV-19-1190BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC
Miami Shores Village RECEIVED
Building Department MAY 23 019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 $Y;
Tel: (305) 795-2204 Fax: (305) 756-8972 �� �i
INSPECTION LINE PHONE NUMBER: (305) 762-4949 �P —t.}
❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
inR nnnRFss b -J �narLoncnw-ze,
FBC 20 I'(
Master Permit No7yF7 a � - I ol - 3�
Sub Permit No. 0--v- 05- II - Lt 1
EV/REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 33I JO
Folio/Parcel#: I I " b2pLn-b13 fob SI Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �brti1 Ct& Phone#:
Address: 'gas hY1 Cw(w-
city: INS I ar►'% Sao G�
State: Zip: 30130
Tenant/Lessee Name: �) 6 & P
Email
CONTRACTOR: Company Name: b4-r A l906/ (11C.• Phone#:
Address: It %20 f3 G
City: KIGSM,\ t, 1,,, State: � Zip:
—333/ &
Qualifier Name: U N��nnJ��^.(� n Phone#: C( _�2'3�y`7
State Certification or Registration #: l l..l.� I S2 237 Certificate of Competency #:
DESIGNER: Architect/Engineer: A ) 1A Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ® Repair/Replace
� ❑ Demolittio� n_
Description of Work: b I T— -TI -`
Specify, color I of'color thru tile: -Ti
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
_ CO/CC $ _
Notary $,
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $ '
(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
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./li\the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. I
Signature / fC'� 5 w Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this p
Z day of t 1u 120 by
-Toni S wade who' ersonally kno nxo
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print: -1 - IVI-,/► I V r I(ALG
Seal: &MON uoled nlyl POPu09414.
I.80Z `9t lagluanoN :sandx3
';
ZOK91.99 # ualSsiwwa0
,a,
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of p 20 by
l�l A� I QV� �CL who is rsonally know to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
�fr's Seal: Commission # GG161407
"= Expires: November 16, 2021
5 Bonded`thr,l Mon Notary
L / Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
,EIVED
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
M Y 2 3 2019
Florida Building Code 5th Edition (2014)
$Y' igh-Velocity Hurricane Zone Uniform Permit Application Form 1
1
Section D (Steep Sloped Roof System) !
Roof System Manufacturer:
Notice of Acceptance Number. > 1
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): 1
P1: C4- Z P1: 3, P1:
1
If L , q 1
! , / • . • • •
Deck Type: J Cvn/ '..' ... t'
.. ...1..
Type Underlayment: 'jC) ; Z� •�yj..I.0
R f Slope: J�" ` t 1
.000 . •• ••.••
12 Insulation: •••••••so 00 ��•�
�:}- . .
00100
1•
Fire Barrier: A ,4 : : —100
Ridge Ventil lion? Fastener Type & Spacing: I ••�/�• 1 � i2S. N I
I
Adhesive Type: !
1
Type Cap Sheet:
1
1
Mean Roof Height: _ Roof Covering:
Type & Size Drip
r1" Edge:
t I.
�-_.119is Village
APPROVED BY DATE
70NING DEPT
F)G. Df PT
1 r c r_ 'I nNCF WITH ALL FEDE AL
It.. f_S AND nFGHLATIONS
FLORIDA BUILDING CODE - BUILDING, 5th EDITION (2014) 15.39
1 1 1 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8.2015 10:32:12 AM pursuant to License
ira Agreement. No further reproductions authorized.
Florida Building Code 6th Edition (2017)
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 M, with the values from M,. If the M, values
are greater than or equal to the M, values, for each area of the roof, then the the attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
(P1: x % , 3I3 = 2 2 - Mg: ( = Mr14, 2 Product Approval M, 0
(P2:� x%,}i3 = 21, 3)� - Mg: T, 04 = M2 $ Product Approval M,
- Mg: Jaq= M„ 23 qI Product Approval M,
Method 2 "Simplified Tile Calculations Per Table Below"
Required Moment of Resistance (M) From Table Below Product Approval M,
M, required Moment Resistance*
Mean Roof Height
Roof Slope
15'
20'
25'
30,
40' •
2:12
34.4
36.5
38.2
39.7
:t2.2
3:12
32.2
34.4
36.0
37.4
•; • 39.8 •
4:12
30.4
32.2
33.8
35.1
7.3
5:12
28.4
30.1
31.6
32.8 '
. , • 34.9
6:12
26.4
28.0
29.4
30.5
• • . •32.4
7:12
24.4
25.9
27.1
28.2
" 30.0 •
..
••
...•.•
..
•
000000
.•.•..
•
• •
• •
.... .
•
•••••
•• •
of *Must be used in conjunction with a list of moment based file systems endorsed by the Broward: CoI54 Board lZules and, •� � •
Appeals. ; • • • • •
For Uplift based file systems use Method 3. Compared the values for F' with the values for Fr. If the Flavalees are9g teeter than of
equal to the Fr values, for each area of the roof, then the file attachment method is acceptable. 00900
•••••
Method 3 "Uplift Based Tile Calculatjons Per RAS 127"
(P1: x L = x w: _ ) - W: x cos A = Fr1 Product Approval F'
(P2: x L = x w: _ ) - W: x cos 6 = F2 Product Approval F'
(P3: x L = x w: _ ) - W: x cos A = Fr3 Product Approval F'
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
P1 or P2 or P3
RAS 127 Table 1 or by an engineering analysis pre-
pared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
6
Job Site
Aerodynamic Multiplier
%
Product Approval
Restoring Moment due to Gravity
Mg
Product Approval
Attachment Resistance
M,
Product Approval
Required Moment Resistance
M9
Calculated
Minimum Attachment Resistance
F'
Product Approval -
Required Uplift Resistance
Fr
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
L = length W = width
Product Approval
All calculations must be submitted to the building official at the time of permit
application.
123_01-48 4/19 PAGE 5
A.
MIAMI-DADE COUNTY
MIAMaD E 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
Crown Building Products of Florida, LLC
6018 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 County and other areas where allowed by the Authority Having Jurisdiction (AHJ). • • e
. . sees sees..
This NOA shall not be valid after the expiration date stated below. The Miami -Dade Count Product Coi teol Section. •
(hi Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) relmn-*1c rigNt•to Itave this.:.
product or material{:tested for quality assurance purposes. If this product or material fail?M Dt?form in the accei:tpo. .;
manner, the manufacturer will incur the expense of such testing and the AHJ may imme¢batay revoke `hiodify' or '
suspend the use of such -product or material within their jurisdiction. RER reserves the rigbt t0 revoke t1 is;aciceptanca,' - •
if it is determined by Miami -Dade County Product Control Section that this product ol<smaterial fAi1s'toemeet.t1T.';.
requirements of the applicable building code. e e . •' •
00
e . . ...
This product is approved as described herein, and has been designed to comply witheth a �'loridar Dtti &ng (!(Me
including the High Velocity Hurricane Zone of the Florida Building Code. • e 0 00 : "
. ee
DESCRIPTION: Windsor Roof Tiles
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of pages 1 through 8.
The submitted documentation was reviewed by Juan E. Collao, R.A.
NOA No.: 14-1006.03
MIAMI-DADE COUNTY Expiration Date: 01/29/20
Q Approval Date: 01/29/15
Page 1 of 8
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Roofing Tiles
Material: Concrete
1. SCOPE
This approves a roofing system using Windsor Roof Tiles, as manufactured by Crown Building Products of Florida,
LLC as 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
Dimensions
Applicant
Windsor Shake
L = 17"
W = 13"
H= 1.2"
Thickness: 0.59"
Windsor Split Shake
Windsor Slate
L = 17"
W = 13"
H= 1.3"
Thickness: 0.59"
L = 17"
W = 13"
H = 1.3"
Thickness: 0.59"
. . .... ......
Produc!
Test
• 0. * .'
Specifications
•
Destttdtibn • • • • • • • •
TAS 112
Flat, interlocking, concrateetile equipped.with tN=e• • •;
holes. For direct deer battened
nail 3ai?-on, .....
mortar or adhesive set 10411C4tions.• • ; • • • • •
•
.. .. •• •• ••••••
TAS 112
Flat, interlocking, concrete tife equ . �dwith two..:.
nail holes. For direct dock otbatterted nail -on, ; • • •
•
mortar or adhesive set applications: : * '
• : .
TAS 112 Flat, interlocking, concrete tile equipped with two
nail holes. For direct deck or battened nail -on,
mortar or adhesive set applications.
Trim Pieces L = varies TAS 112 Accessory trim, concrete roof pieces for use at
W = varies hips, rakes, ridges and valley terminations.
Varying thickness Manufactured for each tile profile.
2.1 PRODUCTS MANUFACTURED BY OTHERS
Product Name Product Description Manufacturer
(With Current NOA)
3M'rm 2- Component Foam Roof Tile Two component polyurethane 3M Company
Adhesive AH-160 foam adhesive.
TILE BOND Roof Tile Adhesive
"Tile Tite" Roof Tile Mortar
Bonsal Roof Tile Mortar
"Quikrete" Roof Tile Mortar, FL-15
Single component polyurethane
foam roof tile adhesive.
Premixed, pre -bagged roof the
mortar.
Premixed, pre -bagged roof tile
mortar.
Premixed, pre -bagged gray roof
tile mortar.
The Dow Chemical Company
Bermuda Roof Co. Inc.
Bonsal American
The Quikrete Companies, Inc.
NOA No.: 14-1006.03
Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 2 of 8
2.2 MANUFACTURING LOCATION
1. Arcadia, FL
2.3 SUBMITTED EVIDENCE:
Test Agency Test Identifier Test Name/Report Date
Redland Technologies
7161-03 Appendix III
PA 102 & PA 102(A)
Dec. 1991
7161-03 Appendix II
PA 108 (Nail -On)
Dec. 1991
Letter
PA 108 (Nail -On)
Aug. 1994
P0631-01
PA 108 (Mortar Set)
July 1994
P0402
Withdrawal Resistance Testing of screw
Sept. 1993
vs. smooth shank nails
The Center for Applied
94-060A
PA 101 (Mortar Set)
March, 1994
Engineering, Inc.
94-084
PA 101 (Adhesive Set)
May 1994
25-7094-2
PA 102
Oct. 1994
(4" Headlap, Nails, Direct Deck, New
. • • • •.
Construction)
000096
*
25-7094-8
PA 102 4" Headlap,Nails
1994 •
25-7094-5
PA 102 (4" Headlap, Nails, DirectD=k,
JOct. 199.4 .
Recover/Reroof)
• 6 • • • :
25-7183-6
PA 102 (2 Quik-Drive Screws,49htct
• Peb. 19950;••.
Deck) ..:...
•• . . •...•
25-7183-5
PA 102 (2 Quik-Drive Screws„IU4#gys)
" feb. 19V*::
25-7214-1
PA 102 (1 Quik-Drive Screw, DirecfMck)
. March, 1iii.%
25-7214-5
PA 102 (1 Quik-Drive Screw, $attmis)
: O M!r*ch 1495 •
Project No. 307025
PA 100 • •
.'Oqt. 1994 •
Test #MDC-77
0000
Celotex Corporation Testing
520109-1
PA 101
Dec. 1998
Service
520111-4
PA 101
March 1999
520191-1
PA 101
March 1999
Walker Engineering, Inc.
Calculations
Aerodynamic Multiplier
October 2007
Calculations
Moment of Gravity
August 2007
Calculations
25-7094
February 1996
Calculations
25-7496
April 1996
Calculations
25-7584
December 1996
Calculations
25-7804b-8
December 1996
Calculations
25-78044 & 5
December 1996
Calculations
25-7848-6
December 1996
Calculations
25-7183
March 1995
Calculations
Aerodynamic Multipliers
April 1999
Calculations
Two Patty Adhesive Set System
April 1999
NOA No.: 14-1006.03
MIAMI•DADE COUNTY= Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 3 of 8
2.3 SUBMITTED EVIDENCE (CONTINUED):
Test Agency Test Identifier Test Name/Report Date
American Test Lab of South RT0908.01-14 TAS 112 09/18/14
Florida RT0923.01-14 TAS 112 09/30/14
RT0923.02-14 TAS 112 09/30/14
RT0912.01-14 Restoring Moment 09/ 18/ 14
Aerodynamic Multiplier
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 the Miami -Dade Product
Control office for review.
3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications SWdards listed
. ........
section 4.1 herein. ... •
• • • . . 00 •
3.5 30/90 hot mopped underlayment applications may be installed perpendicular tq t" joof slWupless q" •
otherwise by the underlayment material manufacturers published literature. ...: •.
3.6 This acceptance is for wood deck applications. Minimum deck requirements ShaM,,be in,cgrnpliance•WO •
applicable building code. • • • • • • • •: • •.
3.7 All products listed herein shall have a quality assurance audit in accordancg:witl� the-Acmri& Building
. .. .. .. ... .
Code and Rule 61G20-3 of the Florida Administrative Code. ...... . •
. . . . ......
4. INSTALLATION •
4.1 Windsor Roof Tiles and its components shall be installed in strict compliance with Roofing•Application
Standard RAS 118, RAS 119, and RAS 120.
4.2 Data For Attachment Calculations
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile
Weight-W (lbf)
Length -I (ft)
Width-w (ft)
Windsor Shake,
Windsor Split Shake,
11.7
1.42
1.08
Windsor Slate
Table 2: Aerodynamic Multipliers - A (ft )
Tile Profile
A (ft)
A (ft )
Batten Application
Direct Deck Application
Windsor Shake,
Windsor Split Shake,
0.289
0.313
Windsor Slate
NOA No.: 14-1006.03
QLAMIMFIIIJMIXJ;111�
•DADECOUNTY Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 4 of 8
Table 3: Restoring Moments due to Gravity - M9 (ft-Ibf)
Tile
7":12" or
Profile
2":12"
3":12"
4":12"
5":12"
6":12"
greater
Windsor
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Shake,
Deck
Deck
Deck
Deck
Deck
Deck
Windsor
Split
Shake,
8.27
8.26
8.19
8.17
8.07
8.04
7.91
7.87
7.72
7.67
7.50
7.46
Windsor
Slate
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
for Mechanically Attached Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(min 15132"
(min. 19/32"
plywood)
plywood)
...
Windsor Shake,
2-10d Ring Shank Nails
30.9
• •8.
• 17.2 •
Windsor Split Shake,
Windsor Slate
1-10d Smooth or Screw Shank
Nail
7.3
..U8•me4.900000
* • • • • •
2-10d Smooth or Screw Shank
14.0
•48.
• • 7.4 • • • • -
Nails
":":
""'
.. .
1 #8 Screw
30.8
• .30.8
18.2 .'
2 #8 Screw
51.7
51,
24.4 •
1-10d Smooth or Screw Shank
24.3
024.3
.••.24.2•
Nail (Field Clip)
000
1-10d Smooth or Screw Shank
19.0
19.0
22.1
Nail (Eave Clip)
2-10d Smooth or Screw Shank
35.5
35.5
34.8
Nails (Field Clip)
2-10d Smooth or Screw Shank
31.9
31.9
32.2
Nails (Eave Clip)
2-10d Ring Shank Nails
50.3
65.5
48.3
1 Installation with a 4" the
headlap and fasteners are located a min. of 2'/2" from head of tile.
NOA No.: 14-1006.03
MIAMFDADE COUNTY Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 5 of 8
Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf)
for Two Patty Adhesive Set Systems
Tile
Tile Application
Minimum Attachment
Profile
Resistance
Windsor Shake,
Windsor Split Shake,
Adhesive 2
31.33
Windsor Slate
2 See manufacturer's component approval for installation requirements.
3 TILE BOND Roof Tile Adhesive; Average weight per patty 13.9 grams.
3MTm 2-Component Foam Roof Tile Adhesive AH-160; Average weight per patty 8 grams.
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
for Single Patty Adhesive Set Systems
Tile
Tile Application
Minimum Attachment
Profile
Resistance
Windsor Shake,
3M 2-Component Foam Roof Tile Adhesive AH-160
j f8.V4.
Windsor Split Shake,
3MT"fi 2-Component Foam Roof Tile Adhesive AH-160
�0.4
Windsor Slate
.
4 Large paddy placement
of 45 grams of 31VI2-Component Foam Roof Tile Adhesive Aj-�J 60.
5 Medium paddy
placement of 24 grams of 31VI2-Component Foam Roof Tile Adhesive AW160.
Table 7: Attachment Resistance Expressed as a Moment - M; M-Ibf) . • . : ' •' • •
..
.. .. .....
for Mortar Set Systems • • • • • ... • •
Tile
Tile
Att8Cbloont • • •• •
Profile
Application
• • Resistance �....
Windsor Shake,
Windsor Split Shake,
Mortar Sets
39.0
Windsor Slate
6 Seespecific mortar manufacturer's Notice of Acceptance
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or
following statement: "Miami -Dade County Product Control Approved".
M�Hloalan
) Q/
Q>
WINDSOR SHAKE, WINDSOR SPLIT SHAKE, AND WINDSOR SLATE ROOF TILES
(LOCATED ON UNDERSIDE OF TILE)
NOA No.: 14-1006.03
Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 6 of 8
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.
4
PROFILE DRAWINGS
FASTENER HOLES
0
13" `
WINDSOR SLATE
NOA No.: 14-1006.03
Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 7 of 8
4
PROFILE DRAWINGS (CONTINUED)
13"
FASTENER HOLES
WINDSOR SHAKE
WINDSOR SPLIT SHAKE
END OF THIS ACCEPTANCE
T
NOA No.: 14-1006.03
Expiration Date: 01/29/20
Approval Date: 01/29/15
Page 8 of 8