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RF-19-2573Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:11/13/2019 Location Address Parcel Number 289 NE 104TH ST, Miami Shores, FL 3:3138 1121360130610 Contacts Permit No.: RF-10-19-2573 Permit Type: Roof Work Classification: Tile/Flat Permit Status: Approved Expiration: 05/11/2020 PATRICIA BALOYRA Owner BM GENERAL REPAIRS LLC Contractor 289 NE 104 Street, MIAMI, FL 33138 BORELY MARTINEZ Other: 3058989085 pbaloyra@dvllp.com 7066 SW 44 ST, MIAMI, FL 33155 Business: 7867122874 Description: RE -ROOF TILE AND FLAT ROOF Valuation: $ 20,000.00 Inspection Requests: 305-762-4949 TotalSq Feet: 2,200.00 ..J Fees Amount Application Fee - Other $50.00 CCF $12.00 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $4.00 Roofing Fee $250.00 Scanning Fee $12.00 Technology Fee $7.50 Total: $343.00 Building Department Copy Payments Date Paid Amt Paid Total Fees $343.00 Credit Card 10/29/2019 $50.00 Credit Card 11/13/2019 $293.00 Amount Due: $0.00 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 that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / (Applicant / . CG`dntractor / Agent 11 13) Date Z©101 November 13, 2019 Page 2 of 2 �,�\/50A 5er* EMa'L BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED OCT 2 9 2019 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 0 Master Permit No-6- 10 r kc) - !2�3 Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL []PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP A rg CONTRACTOR DRAWINGS JOB ADDRESS: d-t I�➢li jD�f S-t r-ecF �•� City: Miami tShhorres County: Miami Dade Zip: 331� , Folio/Parcel#: 1 V 1 `, l0 ` L)1J -- 06Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:�! �(C GFFE/:� '? — OWNER: Name ((Fee Simple Titleholder): � Phone#: 1, U L 6 Address: 9 IVE IbLi ;t f City: NwA' SS 16res State: (, Zip: Tenant/Lessee Name: Nl R Phone#: Email: Qh(AIDrC CONTRACTOR: Company Name: hone#: Address: 7 DI 0 (P �� � L4 S Y ' City: M 1 an i State: I_ Zip: Qualifier Name: 'S()Y:i.:i HOW--'1 &0-:�% Phone#: `! (D 17 2QJ�11-% State Certification or Registration M CC C I '�> Z Q 01 b Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 9-Oi L20 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition Description of Work: M-- ►yo f -M-P- Cya 'N a+ Specify color �o/f�color thr�u the:JAI h II +f, Submittal Fee $ �`'' ' Permit Fee $ ^, CCF $ 19.. �00 CO/CC $ Scanning Fee $ ��• W Radon Fee $ �. (�J fJD_BPR $ LT J0 Notary $ Technology Fee $ 't• f0 Training/Education Fee $ I • 00 Double Fee $ Structural Reviews $ Bond $ 1 y� UO / � TOTAL FEE NOW DUE $ R "I(�25. (J (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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencemeice must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs ofsuch posted notice, the inspection will not be approved and a reinspection fee will be charged. A , _ , Signatu e s Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this 1-1dayof CC U'Ci 20 �� by M%((OL Salou-j4 who is personally known to me or who has produce8 j$L[(60 �� G 1 0I as identification and who did take an oath. NOTARY PUBLIC: Sign: 44A409 Print: uu-til ai. Seal YADIRA M. MENDEZ MY COMMISSION # GG209460 EXPIRES: June 14, 2022 The foregoing instrument was acknowledged before me this day of 0 20 Z G by who is personally known to me or who has produced 1 as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: Commission # GG029015 ., Expires: September 12, 2020 Bonded thru Aaron Notary G APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ■■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■ BUSINESS NAME: BM Gery-r ctA I`PxGLi rS BUSINESS ADDRESS: -1 -e (e L w L4 0 'il CITY LID i STATES ZIP ';53 I SS BUSINESS PHONE: ( ) FAX NUMBER () CELL PHONE (18 L) QUALIFIER'S NAME: 'T)Drp),� May-- rpT QUALIFIER'S LIC NUMBER: CCC I S ZG 8 2 0 -�1 OOD WAS RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY STATE OF FLORIDA d1, rblida ozr i s , s DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIKI!S CERTIFIED UNDER THE PROVISIONS OF=CHAPT ER-489, FLORIDA,�TATUTES MART( . Up IBORELYIANIT0NY It ¢M, GENERAL REPAIRS: LLC (} e170 56-S44-$T �i e�_ •-,MfAMh' _`� ; FL 33155 � LICENSE W MBER: CCCi329 EXPIRATION D. AUGUST 31, 2020 Always verify licenses online at MyFloridaUcense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. u a 11 11 ,08919 Local Business Tax Rpceipt Miami -Dade County, State of Florida -THIS IS NOT.A FULL -DO NOT PAY 1. J. 6911128 BUSINESS NAMEAOCATION BM GENERAL REPAIRS LLC 7066 SW 44TH ST MIAMI FL 33155 RECEIPT NO. RENEWAL 7186935 LBO EXPIRES SEPTEMBER 30, 2020 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED BM GENERAL REPAIRS LLC 196 SPECIALTY BUILDING CONTRACTOR BYTA%COLLECTOR C/O BORELY MARTINEZ,'MOlZ.:" _ CCC1329970 --- "_ - $75.00-08/.06/20.L9 Worker(s) 1 CREDITCARD-19-063529 This Local Business Tax 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. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Cade Sec Ba-276. For more information, visit www.miamidada.ggvhaxcollector '4� o'�uCERTIFICATE OF LIABILITY INSURANCE ATE(MM/) ols lonan019® 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 POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER DELTA INSURANCE UNDERWRITERS, INC. CONTACTLUIS DE LA LLERA PHONE, 305-269-1107 F II 305-269-1108 A/C NoExt : A/ Nd 777 N.W. 72nd AVENUE, SUITE 3133 MIAMI, FLORIDA 33126 ADDRESS: DELTAINSUND@AOL.COM INSURERS) AFFORDING COVERAGE NAIC INSURER A: ARCH SPECIALTY INSURANCE COMPANY 21199 INSURED INSURER B: BM GENERAL REPAIRS LLC. INSURER C: INSURER D: 7066 SW 44th STREET INSURERE: MIAMI, FLORIDA33156 INSURER F: cnuooer_cc CFRTIFICeTF NIIMRFR! REVISION NUMBER: I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERIMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE INSRAUL)L WVD POLICY NUMBER P MMIDD LIMITS' rA GENERAL LIABILITY �_ L COMMERCIAL GENERAL LIABILITY CLAIMS -MADE C] OCCUR GEN'LAGGREGATE LIMIT APPLIES PER: POLICY I f ERCTO'- LOC I SGL0000358-00 12/01/2018 12/01/2019 EACH OCCURRENCE 3 1,000,000. N PREMISES EaNTE15 occurrence)$ 100,000. MED EXP (Any one person) 10,000. PERSONAL & ADV INJURY ¢ 1,000,000. GENERAL AGGREGATE $ 2,000,000. PRODUCTS - comp/op AGG S 2,000,000, Deductible per Claimant i 2,500. AUTOMOBILE LIABILITY ANYAUTO _ _J AUTOS OWNED SCHEDULED J HIREDAUTOS NON -OWNED _ AUTOS (Eaaent) I L LIMIT1 BODILY INJURY (Per person)ALL i BODILY INJURY (Per accident) ¢ PROPERTYDAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE _ $ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE I� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I TORY UMITS 1 ER E.L. EACH ACCIDENT a E.L DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT b DESCRIPTION OF OPERATION / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) ROOFING CONTRACTORS LICENSE NUMBER CCC1329870. CFRTIFICOTE 14OLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPT. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE PH 305 795 2204 FAX 305 7568972 LUIS DE LA LLERA I 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD ACCP &. I CERTIFICATE OF LIABILITY INSURANCE FDATE(MMfDD/YYYI� 10/24/2019 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 (lee) 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(s). PRODUCER FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE A/C, No, Ext : 800 277-1620 X 4800 FAX A/C No): 727 797-0704 E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIC# INSURER A. Frank Winston Crum Insurance Company 11600 INSURED FrankCrum UC/F BM General Repairs LLC 100 South Missouri Avenue Clearwater FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 582189 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSRD SUBR WVD POSY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MWDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ee ocwrrenee E MED EXP (Any one Person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F--1 PROJECT OLOC PRODUCTS-COMP/OP AGG E OTHER: $ AUTOMOBILE LIURLITY COMBINED SINGLE LIMIT a accWent $ BODILY INJURY Per $ ANY AUTO OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per dent $ HIRED AUTOS NON -OWNED ONLY AUTOS ONLY $ UMBRELLA LIAS HCLAIMS-MADE OCCUR EACH OCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N WC201900000 01/01/2019 01/01/2020 X PER STATUTE O TH- ERR E.L. EACH ACCIDENT $1,000.000 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMSER EXCLUDED? N/A (Mandatory In NH) If yes, describe under E.L. DISEASE -EA EMPLOYEE $1,0D0,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $i.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) Effective 01 /28/2015, coverage is for 100% of the employees of FrankCrum leased to BM General Repairs LLC (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. CERTIFICATE HOLDER GANL;t:LLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP�TIVE Miami Shores. Building Department. 10050 NE 2 Ave.r Miami Shores, FL 33138 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD f RECEIVED ROOF ASSEMBLIES AND ROOFTOP STRUCTURES O c 2 9 19 Florida Building Code 5th Edition (2014) 1 BY: High -Velocity Hurricane Zone Uniform Permit Application Form. 1 1 Section A (General Information) 1 Master Permit No. 1 Process No. 1 Contractor's Name R M 07e Job Address L4 S MI (►'1 I C. Y10fr—s FL 3 31 �. 1 1 ROOF CATEGORY •' • • XLgw Sloe • • •� • • •r. p ❑ Mechanical) Fastened Tile y Set Tile9 9QMortar&A*d6 easwe ❑ Asphaltic Shingles p 9 ❑ Metal Panel/Shingles ❑ Wood $f1A7fjtv/Shak69. . • • • •� • ❑ Prescriptive BUR-RAS 150 0000 • • 0 •....• . •• •..•Is ROOF TYPE • ' ' 0000 ❑ New roof J�,Repair ❑ Maintenance ❑ Reroofing :": Recovennq ROOF SYSTEM INFORMATION • • • • • • • ....1.. Low Slope Roof Area (SF) —Lk Steep Sloped Roof AREA (SSF)�oTotal (SF)� 0 .. • 1 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 1 1 1 1 1 1 1 1 1 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) ?_�.37y IN It I N Hit ' ' ,,Copyright to, or licensed by, ]CC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8. 1cAgreement. No further tcprtdugions authorized. ■■■■■ski■■■■■■■■■■■■■■■■■ ■■■MI!t___!!M I■■t■■I�i31■■�!!�� ■■■■■■■■■■ MEN ■ ■■■NO ■■■ ■■ ■■�■■11t�l.� ME _■ice■■ ■■1■■11■■�iN■■r ■■■■f■■■111■■ ■■■�I■■CHIM ■■■ �E......a...rlHE�f/��I��� ■ ■■■■IISO c ■■■■i■'••'�■�.a�'■■■■■ter■.. MEMO M�Z�■■■NONE ■9.,rll■! HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Addition ally the following items should be addressed as part of the agreement between the owner ant Nontractor.-he owner's • • • • • • initial in the designated space indicates that the item has been explained. ' ' 'e c .....e eeee seeeee 2.95 Renalling wood decks: When replacing roofing, the existing woode oofdeck mar jive to , • e e e be renailed in accordance with the current provisions of Section R4403. (The r9if cjerjc is usually. e . e; • • concealed prior to removing the existing roof system). .. .. .... ...... 4 Exposed Ceiling: Exposed, open beam ceilings are where the undersjd+, of theroof decking ...... can be viewed from below. The owner may wish to maintain the architectural appearance; thirefdrbp ' roofing nail penetration of the underside of the decking may not be acceptable. This provides tAe option of maintaining the appearance. 0-7 s• Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is no overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not p vided. It may be necessary to install overflow scuppers in accordance with the requirements of Segl)ps R44Q2, R4403 anldly l4! 3. net/Agents Signature Date oiil t' r ignature Date Property Address 33 (3 F Permit Number Revised on 7/9/2009 LD;07/01/2015; 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 Qa.: ...... • 10050 NE 2ndAve •••• 1 -Go- Miami Shores, A 33138 • • • • • •Soo* • • •' • •' .... ..... ...... Owner's Name: TOCtOCA I r ;..;.; .: Re: Property Address: Roofing Permit Number: • • • • Dear Building Official: I W-ic certify that I am not required to retrofit the roof to wall connections of my building because: just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) x -- Signature State of Florida County of Dade Lt—((1 r Print Name The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 1-)+� day of )CII)bEC ) t9 YADIRA M. MENDEZ Notary Public, Sate of Florida at Large MEXpMS Jta a#14,2002220 • When the just valuation of the structure for purpose o�ad valorem taxation is e4al to or more than $300,000,00, and the budding was not constructed with FBC nor a 1994 SFBC. Then you must provide a budding applicatlo rom a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 i 1 1 1 1 1 1 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES F►orfds Building Code OM Edition (2017) High -Velocity Hurricane Zone Uniform Permlt Application Form Section C (Low Slope Application) Fill In specific roof assembly components and idendry manufacturer (If a component is not used, identify as -NW) System Manufacturer: GAF Product Appmvat No.: 1$ oq/ 9. 07 Design Wind Pressures, From RAS 128 or Calculations: Pi: rrfa.g P2•-7/- 7 P3• -/O'g- O Max Design Pressure, from the specific product approval system, beck: Type: NY wa w Gaugellhk:kness: 4-11' Slope: 0.110 Anchor/Base Sheet & No. of Ply(s): A419 AnchodBase Sheet Fastener/Bonding Material: NSF insulation Base Layer. NA Base Insulation Size and Thickness: Al A Base Insulation Fastener/Bonding Material: \ Nr9 Top Insulation Layer. A/ A Top Insulation Size and Thickness: N Top Insulation Fastener/Bonding Material• M A Base Sheet(s) & No. of Ply(s).- GAF 1.,44 eagF .7 (r) Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s): _GAF PLY I V Ply Sheet FastenedBonding Material: Hof N* Z rn,4a,/f Top Ply: rAF 119in.�ia/ iorp fif,.✓� Top Ply Fastener/Bonding Material: Surfacing: NA Fastener Spacing for AnchodBase Sheet Attachment: Field: _I_- oc @ Lap, # Rows c %oc • . • • . Perimeter. L - oc a Lap. # Rows 4l• cc •� • oc • • • • Comer. -4L- oc @ Lap, # Rows I •� • oc • • • Number of Fasteners Per Insulation Bf"46 , • • • Field Ai g Perimeters • • •Gtomer.NAI • • Illustrate Components Noted and Details as Allplicable• . • ; Woodbbdcing, Gutter, Edge Termination,jApping, Flhshing, Continuous Cfeat. Cant S p, Base Flashing, Gountertleshloy, Coping, Eta • • • Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. GA gf th'A69 A FlAIR ,a CAPS ff-- Parapet v I L�>,``�' Height Mean Roof GRfGlAs6/!s� Height "EnergyGuard- NH Barrier Tapered" is an acceptable alternate to 'EnoWGuard"" NH Barrier". MinhMM 1-In. thk*'ldsergyGuard' Barrier' Is an acceptable alternate to "EnergyGuard,", Ultra' in any applicable Classification. Minimum i-In. thick TmergyGuard' NH Barrier" is an acceptable alternate to "EnergyGuard" NH Ultra' In any applicable Classification. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ("GAFGLAS® *75 Base Sheet' or "hf-Ply® A75 Base Sheet' or "GAFGLAS® #80 UIUmal Base Sheet") is a suitable alternate for Type G1 asphalt glass ffer ply sheet (0GAFGLAS6 Ply 4' or "Tri-Ply® Ply 4' or %AFGLAS® Flex Ply 6• or "Tri-Ply® Ultra - Flexible Ply 6") In the Class A, B or C roof systems Indicated below. The roof deck may first be covered with one ply Type G2 asphalt saturated glass mat base sheet 'GAFGLAS® Strataven* Nallable Venting Base Sheet" or "GAFGLAS® Stratavent® Perforated Venting Bose Sheet". Perforated base sheets to be loose laid or fully adhered with hot roofing asphalt and nallable base sheets are to be mechanically fastened granule side down. As an option Type G2 asphalt glass mat base sheet (•GAFGLASO #75 Base Sheet" or'TrMPlye #75 Base Sheet" or •GAFGLASO #80 U ltima*" Base Sheet" or "GAFGtAS® Stratavent® Nailable Venting Base Sheet") may be substituted for Type G1 asphalt glass fiber ply sheet ('GAFGLASO Ply 4" or "Trl-Ply® Ply 4" or "GAFGLASO Rex Ply 6" or "rd-Ply(D Ultra -Flexible Ply 6") as the nailed base ply in the fo0owing systems. Bottom ply or base sheet may be fully adhered with hot roofing asphalt or mechanically fastened. Unless otherwise Indicated, all insulations may be fully adhered with hot roofing asphalt or mechanically fastened. "GAFGLAS® Flashing" or "RUBER0i136" may be used for flashing In any of the Class A, B or C systems listed below. When "perpte" Is referenced, this Includes any UL Classified perilte Insulation. Crushed stones or slag are suitable alternates for gravel in any of the Class A, B or C systems listed. Structural cement fiber building units are considered suitable to be included as a deck In the following Class A, B or C systems Ilste4yar415/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely affect the rating. ThLP&e of 1/2-in.Jninimum thick • • gypsum board Is an acceptable alternate for minimum Insulation over C-15/32 thick roof decks. • • • • • • .... ..... • The use of polystyrene Insulation board between minimum 3/4-In. thick periltle board and deck with rosin paper (peg ltOMIA • • • paper/polystyrene/pedlbe) is a suitable alternate for polyisocyanurate board in the following Class A, B or C systems • • • • • • • : • • Trumbull 'Derma Mop* may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt'. "" ' ' • • • •' • "GAFGLAS® #80 Ultlma'" Base Sheet" may be used in any of the following systems • : • : : • • • • • • • • "GAFTEMP Permallte Recover Board" may be used In lieu of any perilte Insulation In any of the following NC ClassifkNime. • • •' Unless otherwise Indicated, any of the'Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "United! Coatints- Flreb*1 I10 Roof • •' • • • Coating' applied at a rate of 2-1/2 to 3-galfl,W-e. • • • • • Class A,Band C •• • • •• • • Hot roofing asphalt, for use with glass felts or modified bitumen membranes. • • • Torch applied "RUSER0I04D Heat Weld' SBS roofing membranes may be used as alternates to'RUBM0ID® Mop" SBS roofing membranes in any applicable Classification. 'RUSEROID® HW 25 Smooth" may be used as an alternate to "RUB D® MO mooth' or "RUBEROID® Mop Smooth 1.5". 1. Deck: C-15/32 Incline: Bernier Board (Optional): -- One or more layers minimum 1/4-In. thick Georgla-Padfic Gypsum LLC "DensDecke Roofboard" or "DensDeck® Prhne Roofboard" or'DensDeck® DuraGuardr" Roofboard' or minimum 1/4-In. thick United States Gypsum Co. "SECUROCKO Roof Board' (Type FRX-G) or "SECUROCK® Glass -Mat Roof Board' (Type SGMRX). Vapor Barrier (Optional): — One or more piles "GAF® SA Vapor Retarder" self -adhered Insulation: — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or pedUm/polylsocyanurate composite or perlite/urethane composite or wood fiber/polylsocyanurate composts or phenopc, any thickness - Ply Sheet: —Three or more piles Type Gi "GAPGLAS® Ply 4" or "Tri-Piy(p ply 4" or *GAFGLAS@ Flex Ply 6" or "Tri-Ply® Ultra-Fierdble Ply 6", fully adhered with hoot roofing asphalt. Surfacing: — Gravel. 2. Deck: C-15/32 Indine•. 2 Barrier Board (Optional): — One or more layers minimum 1/4-in. thick Georgia-Padfic Gypsum L LC "DensDeck® R�fboard' or Roof Board' Prime ROOfboard• or "UensDeck® DuraGuardi" Roofboard' or minimum I/4-tn. thick United States Gypsum Co. •SECUROCK® Roof Board' (Type FRX-0 or %ECUROC K40 Glass -Mat Roof Board" (Type SGMRX). Insatations — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or pedite/polylsocyanurate composite or Perftte/urethane composite or wood Aber/polyisocyanurate composite or phenolic, any thidmess. Ply Sheets — Three or more piles Type G1 'GAFGLAS@ Ply 4' or "Tri-Ply® Ply 4' or •GAFGLAS® Flex Ply 6" or'rri-Ply® Ultra-Mexlble Ply 60, fully adhered with hot roofing asphalt. Cap Shash — Type G3 %AFGLASQD Mhmal Surfaced Cap Sheet" or "Tri-Ply® BUR Granule Cap Sheet• or'GAFGLASO Energyc p'"" Mineral -Surfaced Cap Sheet', fully adhered with hot roofing asphalt. 3. Deck: NC Indhses 2 Barrier Board (Optional): — One or more layers minimum 1/4-In. thick Georgia-Pacific Gypsum LtC "DensDedk® Roofboard" or 'DensDedk® Prime Roo board' or "DensDeck® DuraGuardt" Roofboard' or minimum 1/4-in. thick Unites States Gypsum Co. 'SECUROCKO Roof Board" (Type FRX-G) or'SECUROCK® Glass -Mat Roof Board" (Type SGMRX). Yas:AatIAM (Optioaalr — One or more layers perlits or wood fiber or glass fiber or poiylsocyanurM or urethane or Wlte/PolYlsocYanurate composite or perilte/urethane composite or wood Aber/polylsocyanurate composite or phenolic, 2-1n. maximum. Ply Sheets — Two or more plies Type G1 ply 40 or "Tri-Ply® Ply 4' or "GAFGLAS® Flex Ply 6" or 'T Plm Ultra-Flexlble ply 61, fully adhered with hot roofing asphalt. Cap Sheath — Type G3'GAFGASS Mineral Surfaced Cap Sheet" or'Tri-P" BUR Granule Cap Sheer or "GAFGLAS® EnergyCap- Mineral -Surfaced Cap Sheet', fully adhered with hot roofing asphalt 4. De+da C-15/32 Inciinet 1 Slip Sheet (Optional): — Red rosin paper, need to deck. Insulation (Optional): — Any thickness perllte or wood fiber or glass fiber or polylsocyanurate mechanically fastened or adhered with OMG Inc 'OlyBond Fastening System" or any UL Classified Insulation adhesive. Base Sheet: — One ply Type G2 'GAFG.AS® #75 Base Sheet" or'Trl-PIM #75 Base Sheet" or "GAFGLAS® #80 Uldma^ Base Sheet" or "GAFGLASS StrateventS Nallable Venting Base Sheer, mechanically fastened. Ply Sheet; — One or more plies Type GI "GAFGLASG Ply 4' or "Trl-Ply@ Ply 4" or GAFGLASG Flex Ply 6' or'Tri-Plye Ultra -Flexible Ply 60, fully adhered with hot roofing asphalt Cap Sheeb — Type G3 'GAFGLASS Mineral Surfaced Cap Sheet• or "rrl-Plye BUR Granule Cap Sheet" or "GAFGLASS EnergyCap"' Mlneral-Surfaced Cap Sheet", fully adhered wits; hot rooting asphalt Coating (Optional): —'United Coatings"" TOPCOAT® EnergyCoteTM Roof Coating' or `TOPCOAT® MB Plus Coating" or "United CoatingsTM Roof Mate MB Plus Coating" applied at a rate of 2-gai./100-ft.2. S. Deck- NC Inallne: 3 Base Sheet: — One ply Type G2'GAFGIASS *75 Base Sheet" or'Tri-Ply® #75 Base Sheer or "GAFGLASG *80 Ultima`" Base Sheer or 'GAFGIASG Strat"rite Nallable Venting Base Sheer or "GAPGLASe StrataventO Perforated Venting Base Sheet" or "GAFGIAS® StratsventG Nailable Venting Base Sheer or "GAFGLASS StrataventO Perforated Venting Base Sheet", mechanically fastened or fully adhered with hot rooting asphaL Ply Sheet: — One or more plies Type G1 "GAFGLASS Ply 4' or "hi -Ply@ Ply 4" or "GAFGLASS Flex Ply 6' or'Tri-Ply® Ultra -Flexible Ply 60, fully adhered with hot roofktg asphalt Cap Sheet: —Type G3 "GAFGLASG Mineral Surfaced Cap Sheet" or "Trt Plye BUR Granule Cap Sheer or "FAFGIASS EnerpiCBp�• Mineral -Surfaced Cap Sheer, fully adhered with hot rooting asphalt • • • • • • • "• • • 6. Deck; C-15/32 Ynclirse: 2 • •••• • • • • • • • • • • • • • • • • • • Barrier Board (Optional): — One or more layers minimum 1/4-In, thick Georgia-Pacific Gypsum "'Oensk R<6 tootboard" of • • • • "DensDecke Prime Roofboard' or "DensDeckG DuraGuard" Roofboard* or minimum 1/4-In. thick United Stotts G"sum Cot •SE Cti ROCKS • • Roof Board' (Type FRX-G) or "SECUROCKS Glass -Mat Roof Board" (Type SGMRX). Insulation: — One or more layers periite or lass fiber or • • • • • • • • • • • • perlite/urethane Composite or phenolic, 1-in. minimum (oftat a m nim m of 6-in. urethane or Plywood composite or • • Base Sheet; — One or more plies Type G1 'GAFGLASS Ply 4" or'Tri-Pl . or " pl�o� deckO Ply Rex x>Sr • • • • • • • • • • • • • 6' or Type 62 "GAFGLASS #7S Base Sheer or "Trl-P" 075 Base Sheer Or "GAFGLAASO 60 UJiMS7" Base Sheeer or Type G3 Ply • • • • • "GAFGLASG Mineral Surfaced Cap Sheer or "Tri-Ply@ BUR Granule Cap Shear, mechanically fastened or �f 3k�ng ged with hot roofi" • asphalt • • • •o• • • • • • Membrane: — One or more plies'RUBEROIDS Torch Smooth" or'TN-Plye APP Smooth* or'RUBEROIDS jorch ('granule" 01 *lAMAOIDe • • Torch 180" or Trl-Plye APP Granule", torch applied or "RUBEROIDS Mop Smooth* or'RUBEROIDS Mop Sraoothl.S' or'RUSEROIDS Mop • • • • • • Plus Smooth' or'RUBEROIDS Mop Granule" or'Intec Flex PRF" or Tri-Plye SBS Granule' fully adhered with%tt ro6ting asoia • • • • Cap Sheet:— Type G3 "GAiaGLASG Mineral Surfaced Cap Sheer or "TA-l" BUR Granule Cap Sheer or "GAFGiASS Energ�apir• Mineral -Surfaced Cap Shear, fully adhered with hot roofing asphalt 7. Deck: C-15/32 Incline. 2 Barrier Board (Optiossaq: — One or more layers mk*num 1/4-in. thick Georgia-Padfic Gypsum LLC "DensDecklD Roofboard" or "DensDeckO Prime Roofboard" or "DensDedke DuraGuardm Roofboard" or minimum 114-in. thldc United States Gypsum Co. "SECUROCKS Roof Board" (Type FRX-G) or'SECUROCKS Glass -Mat Roof Board' (Type SGMRX). insulation (Optional): — One or more layers perilte or wood fiber or glass fiber or polylsocyanurate or urethane or perllbe/polyisocyanurate composite or perlite/urethane composite or wood fiber/polylsocyanurate composite or phenolic, any thickness. Base Sheet: — Two or more plies Type G2 "C,AFGLASS *75 ease Sheer or IN -Ply® #75 ease Sheer or "GAFGLAS(FO #80 Ulnma'" Base Sheer or "GAFGLASS Stratavente Nallable Venting Base Sheet' or'GAFGIASO Stratavente Perforated Venting Base Sheet' "GAFGLASS StrataventO Nallable Venting Base Sheer or "GAFGLASS Stratavente Perforated Venting Base Sheer or Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or 'M-Ply@ BUR Granule Cap Sheer, mechanically fastened or fully adhered with hot roofing asphalt Ply Sheet (Optional): — One or more plies Type GI 'GAFGLASS Ply 4' or'Trl-Plye Ply 4" or %AFGIASG Ply Flex 6" or 'rrl-Plye Ultra - Flexible Ply 6", fully adhered with hot roofing asphalt. Membrane: — One or more plies 'RUBEROIDS Torch Smooth' or "Tri-Plye APP Smooth" or "RUBEROIDS Torch Granule" or "RUBEROIDS Torch 180" or'Tri-Plye APP Granule, torch applied or "RUBEROID® Mop Smooth" or "RUBEROMO Mop Smooth 1.5" or "RUBEROIDS Mop Plus Smooth" or'RUBEROIDS Mop Granule or "Inlet Flex PRF" or Ird-Plye SBS Granule" fully adhered with hot roofing asphalt Cap Sheet: — Type G3 "GAFGLASS Mineral Surfaced Cap Sheer or TA-PlyG BUR Granule Cap Sheer or'GWGLASS EnergyCep " Mineral -Surfaced Cap Sheet", fully adhered with hot roofing asphalt S. Deck: NC Indline: 2 Barrier Board (Optional): — One or more layers minimum 1/4-In. thick Georgia-Padpc Gypsum LLC "DensDedke Roofboard' or 'DensDecke Prime Roofboard' or'DensDedce DuraGuard m Roofboanr or minimum 1/4-in. thick United States Gypsum Co. "SECUROCKS Roof Board" (Type FRX-G) or "SECUROCKS Glass -Mat Roof Board" (type SGMRX). Insulation (Optional): — Perllte or glass fiber or polylsocyanurate or wood fiber or mechanically fastened, any thickness. Base Sheets — One or more plies Type G2'GAFGLASS #75 Base Sheer or Trl-Ply® #75 Base Sheet' or "GAFGLASG #80 Ultima— Base Sheer or'GAFGLASG StrataventG Nallable Venting Base Sheer or "GAFGLASS StrataventO Perforated Venting Base Sheer or 'GAFGLASG StrataventG Nallable Venting Base Sheer or "GAFGLASG StrataventO Perforated Venting Base Sheer, mechanically fastened or fully adhered with hot roofing asphalt Ply Sheet: — One or more plies Type G1 'GAFGLASS Ply 4" or Trl-Ply® Ply 4" or "GAFGIASG Flex Ply 6" or Trl-Ply@ Ultra -Flexible Ply 6", fully adhered with hot roofing asphalt Cap Sheets — Type G3 "GAFGLASG Mlneral Surfaced Cap Sheet' or "'Tri-Ply® BUR Granule Cap Sheer, fully adhered wVth hot roofing asphalt. Coating: — "United CoatingsTM FlreShleld MB Roof Coating" applied at a rate of 2-1/2 to 3-gal./100-ft2. MMADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11905 SW 26 Street, Room 208 Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidadr-aov/economv GAF 1 Campus Drive Parsippany, NJ 07054 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) :0 0 0: 0 reserve the right to have this product or material tested for quality assurance purposes. If this product ors material fails to perform in the accepted mariner, the manufacturer will incur the expen.4s 1;ych telling . - and the AHJ may immediately revoke, modify, or suspend the use of such product or tra cftl.within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by MiamirDade County. Product Control Section that this product or material fails to meet the requirements of $1e•appiicabla • • building code. This product is approved as described herein, and has been designed to comply with th;6FJ9*rada Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof Systems for Wood Decks. '9 : . .. 0.:..* LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No.14-1030.01and consists of pages I through 27. The submitted documentation was reviewed by Jorge L. Acebo. •s a APPROYEC NOA No.: 18-0919.07 Expiration Date: 11/04/23 Approval Date: 11/08/18 Page 1 of 27 see** 000000 •. • 0 0 0 • • .0000 Membrane Type: BUR Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank decks secured 6 in. o.c. at panel end and intermediate supports with 8d ring shank nails to supports spaced 24 in. o.c. at max. System Type E(1): Anchor sheet mechanically attached to roof deck. All General and System Limitations shall apply. Fire Barrier: Topcoat® FireOutD4 Fire Barrier Coating, VersaShield' Fire Resistant Roof Deck (optional) Protection, VersaShield' Solo' Fire -Resistant Slip Sheet installed per manufacturer's installation instructions. Base sheet: GAFGLAS' #80 Ultimi ' Base Sheet, Stratavent® Nailable Venting Base Sheet, Ruberoid® 20 Smooth, Ruberoid® SBS Heat-Wele Smooth or Ruberoid® SBS Heat -Weld' 25 base heet mechanically fastened to deck as described below; Fastening Flex Ply'' 6, GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sleet o; any of Option #1: CGAFGLASO above anchor sheets attached to deck with approved annular ring Thank n4ii3 Add tin s at a fastener spacing of 9" o.c. at the 4" lap staggered and iflhfo i'bws 9" Coe. in the .' ld.''aximum Design Pressure 52.5 psf. See General Linthatiorn#4 • • ...... Fastening GAFGLAS®#80 Ultima Base Sheet, Ruberoid®20 Smooth orij�did'I*p'$gaboth Option #2: attached to deck with approved 1'/4" annular ring shank nails andinvotted 3",steel plate ate:..' fastener spacing of 9" o.c. at the 4" lap and in two rows staggered V*A'Wa fastesenspacing of. ... • o.c. in the center of the membrane. ...... 0. (Maximum Design Pressure —60 psf. See General Limitation #7) ..... • Ply Sheet: One or more plies of GAFGLAS® Ply 4_ Tri-Ply® Ply 4 or GAFGi,X;I #80 Ultiraa Base : Sheet adhered in a full mopping of approved asphalt applied within the EVT ra;gaand at a rate of 20-40 lbsJsq. installed per manufacturer's installation instructions. Cap Sheet: (Optional) One ply of GAFGLA5!MjGeraI Surface p Sheet, Tri-Ply' BUR Granule Cap Sheet or GAFGLA EnergyCar Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. installed per manufacturer's installation instructions. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings mast be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. 2. Topcoat® Membrane or Topcoat® Surface Seal SB applied at 1 to 1.5 gal./sq. OR Topcoat' MB Plus applied at 0.5 to 0.75 gal./sq.(to be used as a primer) followed by Topcoat'* Membrane applied at 0.5 to 0.75 gal./sq. 3. Fiber Aluminum Roof Coating. Maximum Design Pressure: See Fastening Options MIAMNMDE Ca� NOA No.: 18-0919.07 M Expiration Date: 11/04/23 Approval Date: 11/08/18 Page 21 of 27 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLASO Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '/." DensDeck'" Roof Board or %z" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 ibsJsq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied usiRpa:pe mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbgns ijrt; ree rows, one at • • • •; each sidelap and one down the center of the sheet allowing a continuous area of ventilatiflh. Encirclidg 611he • • strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow croMWifilation.' Asphalt application of either system shall be at a minimum rate of 12 lbsJsq. Note: Spot attacALM ;istems shall be • • • • limited to a maximum design pressure of -45 psE . . . .. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force.(F.;J*y...q.lue of.275.V., as , tested in compliance with Testing Application Standard TAS 105. If the fastener value, a? field-testu,'•=%elow...... 275 lbf. insulation attachment shall not be acceptable. 0 6 0 * 6 0 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based qq j jjipimun: • • • • fastener resistance value in conjunction with the maximum design value listed within a$pegiflp system. Should tog... ; fastener resistance be less than that required, as determined by the Building Official, a Wsed'fasterleris king, ' prepared, signed and sealed by a Florida Registered Professional Engineer, Registered Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation ##9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS I I I and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and comers). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE HIMAMW WDE COUNW NOA No.: 18-0919.07 �( Expiration Date: 11/04/23 Approval Date: 11/08/18 Page 27 of 27 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Radd's Srdldiing code am Edition wn High Velocity Hurricane Zone Uniform permit Application Form Section D (Steep Sloped Roof System) Roof w*emMam,fachner -- L�a9�e /Gaotrs Proala.- s LG Naflce ofAa*ptanoe Number. Minimum Design Wind Preeeuuesr IF Applicable (From RAS 127 or Calculations): P1• - ?I. / Pt' -alr- I P1• IAPO. 7 �•�OCstyG r Z Saul/ fwddy �G p f�o%�ssrvas / JYIorltw�,vt Lecr'A Wt�d Prartur65 aZ�o. fi ' 1 Deck IYM: wood 1 • 1 Roof Sbpe: Type tMaiayment: A s TM FcGT' ro* A Za{w .609*69 -.. .. �. . i.•1••rLsulation: N p - • • • • • • � • • •. • Fireganie'r' N7jq ••'••' '•i••' ••'••• • Ridge Ver#Badon? Fastener Type & Spacing: �� .r r�,tc .. !• :. MJ✓i i yyQs K,Ls�l-r/sT�c2,•3 1 • Vlse: Adhesive Type: Se t Rorticreo/ ' • • •' 1 1- Type Cap Sheet: poIY,) tacs Tu plus � 1 Mean Roof Height: N Roof Covering: Epgle Alp ltbu C•ncre*e, 7, le 1 1 Type & Size Drip 3"(ace o2(p 6/1 1 Edge: ROOF ASSEIY UES AND ROOFr'OP SMCi MES Ro►ide Building Code 8th Edition (2017) High -Velocity Hunimm Zone UnNoim Permit Applicadon Form Section E (Ilia Calculations) For Moment based file systems, choose either Method 1 or 2. Compare the values for M, with the values from Mr. if the Mr values ens greater than or equal to the M, valuek for each arse of the roof, then the No attachment method is acceptable Method 1 'Moment Based Tile Calculations Per RAS lzr (P1 ti34. t x t,atvz = 0 e3 3 — M� 6.�iS = Md3S Product Approval Mr J6. t nkt AQ-M= ILZ-O) - Mg 6 s = Me -2--fr Product Approval Mr Ar.. t (P3xoo.7 x#a t4s Qa_ — Mg: = Mq 21.74 Product Approval Mr 2e . l Method 2'SimpGfiedTile Calculations PerTable BebAr Required Moment of Resistence, (M,j From Table Below Product Approval M, M, required Moment Resistance Mean Roof Height Roof Slope 15' 20' 25' 30' 0 4019 • • 2:12 34.4 36.5 36.2 39.7 W2 3:12 322 34.4 36.0 37.4 4:12 30.4 322 33.8 35.1 a3 f 63. 5:12 28A 30.1 31.6 3Z8 •OVA 6:12 26.4 28.0 29.4 30.5 . a3" 0 7:12 24.4 25.9 27.1 252 •41" 'Must be used in conjunction with a list of moment based fife systems endorsed by the Broward County•BoaN of Rgles a4d Appeals. ...... For Uplift based die systems use Method 3. Compared the values fc F with tiro values for Fr. If the F va6 %;qgreatst ihsp pr equal to the Fr values, for each area Of the roof, than the the attachment method Is acceptable. Method 3 'UpNtt Based Tile Calculations Per RAS 127' (Pi: x L = x w: _ � I — W; x ccs A = F,, Product Approval F (P2: x L = x W: = ) - W x oos 6 = Fe Product Approval F (P3: x L x w: = ) — W; x cos 8 = F„ ProductApproval F Where to Obtain ho'b nation Description symbol Whers 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 A Job 3fba Aerodynamic Multiplier A Product Approval Restoring Moment due to Gravity Mo Product Approval Attachment Resistance Mr Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance F, Calculated Average l% Weight W Product Approval Ile Dimensions L = length W =width Product Approval All calculations must be submitted to the building official at the time of permit appikstion. M�IA�MN ADE MIAMI-DARE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOAGC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADM MWRA71ON DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.mEamidadazov/economv Eagle Roofing Products LLC 1575 East C.R. 470 Sumterville, FL 33585 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to havq this : - product or material tested for quality assurance purposes. If this product or material fails to pkh;tR to the aWpled manner, the manufacturer will incur the expense of such testing and the AHJ may immediately le.XWW, modif*.or' suspend the use of such product or material within their jurisdiction. RER reserves the right tvreveke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material-feils to meet -the - requirements of the applicable building code. * .... 0 : 6 .. • This product is approved as described herein, and has been designed to comply with the Florida $tattling Cbde... including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Medium Profile Concrete Tile :... ; . LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and fgl3gvying 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.17-0822.14 and consists of pages 1 through 7. The submitted documentation was reviewed by Freddy Se vino 48 NOA No.18-0509.19 Expiration Date: 10/05/21 Approval Date: 06/14/18 Page 1 of 7 009000 ROOFING ASSEMBLY APPROVAL Category Sub Cateaory: Material: I. SCOPE: Roofing Roofing Tiles Concrete This approves a system using Eagle Roofing Products Medium Profile Concrete Tile, as manufactured by Eagle Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance. For use in locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in compliance with RAS 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 ARIplicant Medium Profile Concrete Tile Trim Pieces Dimensions Lenght =17" Width=12'/2" Thickness-- %" Lenght = varies Width = varies varying thickness 2A EVIDENCE SUBMITTED: Test Agency Test Identifier PRI Construction Materials Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies ERPF-001-02-02 7161-03 Appendix III 7161-03 Appendix 11 P0402 ...... Test Prdduat' . ' "":' SneeiLications D cr't'o • • 0000 • • • .... ...... TAS 112 Low profile, interlockingpluglrpressure extruded : Type l b • • • •: concrete roof file equipped witb three 41 hple . Class III and double roll ribs. For tlh t deck 8r bAdened ":". nail -on, mortar or adhesi've:set applicitions . 0 0* 0 0 .. .. .... ...... TAS 112 Accessory trim, concret�>�pieces for use at • • hips, rakes and ridges. ManueWtured for each tile • • • • • profile. :..... • . ...... ... . Test NanicMeuort TAS 112 Static Uplift Testing TAS 102 & TAS 102(A) Wind Tunnel Testing TAS 108 (Nail -On) Withdrawal Resistance Testing of screw vs. smooth shank nails 94-WB Static Uplift Testing TAS 101 (Adhesive Set) 94-084 Static Uplift Testing TAS 101(Mortar Set) P0631-01 Wind Tunnel Testing TAS 108 (Mortar Set) Date Aug. 2006 Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 July 1994 NOA No.18-0509.19 MIAHMAD-� Expiration Date: 10/05/21 Approval Date: 06/14/18 Page 2 of 7 Redland Technologies Professional Service Industries, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering Inc. Walker Engineering Inc. Walker Engineering, Inc. Walker Engineering Inc. Walker Engineering Inc. Walker Engineering Inc. Walker Engineering, Inc. APPROVED Letter Dated Aug. Wind Tunnel Testing 1, 1994 TAS 108 (Nail -On) 224-47099 Physical Properties TAS 112 25-7094-1 Static Uplift Testing TAS 102 (4" Headlap, Nails, Direct Deck, New Construction) 25-7094-7 Static Uplift Testing TAS 102 (4" Headlap, Nails, Battens) 25-7094-4 Static Uplift Testing TAS 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Project No. 307025 Wind Driven Rain Test #MDC-76 TAS 100 25-7183-1 Static Uplift Testing TAS 102 (2 Quik Drive Screws, Direct Deck) 25-7183-2 Static Uplift Testing TAS 102 (2 Quik Drive Screws, Battens) 25-7214-2 Static Uplift Testing 25-7214-6 TAS 102 (1 Quiil Drive Screw, Direct Deck) (1 Quik Drive Screw, Battens) 528454-2-1 Static Uplift Testing 520109 2 TAS 101 Evaluation Two Patty Adhesive Set System Calculations Evaluation 25-7183 Calculations Evaluation 25-7094 Calculations Evaluation 25-7496 Calculations Evaluation 25-7584 Calculations 25-7804b-8 25-7804-4 & 5 25-7848-6 Calculations Aerodynamic Multiplier Calculations Restoring Moment Due to Gravity Aug. 1994 Sept. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Oct. 1094.:. .••••1"eb.1�95••� •:•::Feb.1Q95.. . . •• •• .... March, 1995 : - Sep. 1998 Dec. 1998 April 1999 March 1995 February 1996 April 1996 December 1996 Sep. 2006 Sep. 2006 NOA No.18-0509.19 Expiration Date: 10/05/21 Approval Date: 06/14/18 Page 3 of 7 ATL of South Florida RT1211.03-15 TAS 112 12/17/15 ATL of South Florida RT0706.02-17 TAS 112 09/25/17 DAPF-001-02-04 TAS 101(2 PD) 11/30/17 PRI Construction DAPF-003-02-01 TAS 101(LRG) 04/06/18 materials Technologies DAPF-003-02-03 TAS 101 (MED) 04/06/18 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file applications, a static field uplift test in accordance with TAS 106 shall be required, refer to applicable Building Code. 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 County Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applicathns.84ndardt listed """ section 4.1 herein. • • 0000 underlayment • • " 3.5 30/90 hot mopped• yment applications may be installed perpendicular to the roo�3s�ope unless "stpted otherwise by the underlayment material manufacturers published literature. • • • • • • 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall beisc • • req Coufplianc� vTri#ii' • ..... applicable Building Code. • ...... . .. 3.7 All products listed herein shall have a quality assurance audit in accordance with the Mori& Building Vode ..... • • • • � • and Rule 61G20-3 of the Florida Administrative Code. :'' :' : . . . . . ...... ...... 4. INSTALLATION • • • • • • 4.1 Eagle Roofing Products LLC, Medium Profile Concrete Tile and its components shall be installet?hfstrict 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 (1 x w ) Tile Profile Weight W (lbf) Length -I (ft) Width-w (ft) Medium Profile Concrete Tile 9.5 1.417 1.04 Table 2: Aerod namic Multi liers - fN rile(f Profile X (ft3) Batten Application �, N} Direct Deck Application Medium Profile Concrete Tile 0.305 0.282 Table 3: Restoring Moments due to Grav - M. ft4b Tile Profile 3":127 4":12" 5":12" 6":1Z" 731:12" or greater Medium Profile Concrete Tile Battens Direct Deck Battens Direct Deck 1 Battens Direct I Deck Battens Direct i Deck Battens Direct Deck 6.30 6.65 6.21 6.54 6.08 1 6.41 1 5.93 1 6.25 1 5.77 6.08 NOA No.18-0509.19 MIAMFDADEcvuNIT Expiration Date: i0/05/21 Approval Date: 06/14/18 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (fE-ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19132" plywood) Battens Medium Profile Concrete Tile 2-10d Rin Shank Nails 1-10d Smooth or Screw Shank Nail 27.8 8.8 37.4 11.8 28.8 4.1 2-10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1-10d Smooth or Screw Shank Nail Field CI' 24.3 24.3 24.2 1-10d Smooth or Screw Shank Nail Eave Clip) 19.0 19.0 22.1 2-10d Smooth or Screw Shank Nails Feld Clip) 35.5 35.5 34.8 2-10d Smooth or Screw Shank Nails Eave Cil 31.9 31.9 • • • • ... ...... .... . 1 Installation with 2-10d Ring Shank Nails' 43.0 67.5 • .... • 60.9 a 4" file headla and fasteners are bcated a min. of 2'Wfrom head of file .... . .. ..... ...... . .. ..... Table 5: Attachment Resistance Expressed as a Moment MrtJbf� for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimujn Attachment • • • kesista c • • . Medium Profile Concrete Tile Adhesive2 • • • • 2 See manufactures com onent approval for installation requirements. 3 The Dow Chemical Company TileBond Average weight per paddy 11.4 grams. 26.1 4 ICP Adhesive Polyset ® AH-160. Average weight per M 8 crams. 26,1 5 DAP Foam Touch N Seal StormBond 2 Roof Tile Adhesive. Avers a weight per p2ddy 8 grams. 1 101 Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Single Patty Adhesive Set S iems Tile Profile Tile Application Minimum Attachment Resistance Medium Profile Concrete Tile Adhesive2 2 See manufactures component approval for installation requirements. 3 Large paddy placement of 54grams of ICP Adhesives Polysete AH-160. 86.61 4 Medium paddy placement of 24grams of ICP Adhesives Polyset® AH-160. 45.5 5 Medium paddy placement of 26.6 rams of DAP Foam Touch N Seal StormBond 2 Roof Tile Adhesive 6 Large paddy placement of 55.50rams of DAP Foam Touch N Seal StormBond 2 Roof Tile Adhesive 54 61 NOA No.18-0509.19 MIAMIOADECourrnr Expiration Date: 10/05/21 Approval Date: 06/14/18 Page 5 of 7 Table 7: Attachment Resistance Expressed as a Moment - Mf (ft lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Medium Profile Concrete Tile Mortar Set' 20.60 1 Tile-Tke Roof Tile Mortar. 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". . . •..... .. .••. s■■a� A0*0 0000 EAGLE :60 :6000: 0 :oo 0 9 00 oo:eoo ::::o 000::. 0 :000. 000 :. FL ORIDA •• :••••: . ...::. ...... 0 (LOCATED ON UNDERSIDE OF TILE) •..• : • •. :....: • •• OR EAGLE FL (LOCATED ON FRONTSIDE OF TILE) MEDIUM PROFILE CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT NOA No. 18-0509.19 Expiration Date: 10/05/21 Approval Date: 06/14/18 Page 6 of 7 6. BumwNG PERMT REQummm TS: 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 AHJ or applicable Building Code in order to properly evaluate the installation of this system. PROFILE DRAWING NAIL MOLE MEDIUM PROFILE CONCRETE ROOF TILE END OF THIS ACCEPTANCE ...... .... .... .. . . . . . 00 ... . . .. .. .... ... 12 3AV NOA No.18-0509.19 Expiration Date: 10/05/2l Approval Date: 06/14/18 Page 7 of 7 MIIAAM1� ADE LZ;WY/ MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES RER PRODUCT CONTROL SECTION (RER) 11805 S W 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach, FL 33442 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify; or suspend the use of such product or material within their jurisdiction. RER reserves the right Jo revoke this ttteptance• • • • • • if it is determined by Miami -Dade County Product Control Section that this product or materi'alAill to meet the • requirements of the applicable building code. •. ...... .... ...... This product is approved as described herein, and has been designed to comply with the Flori "ifillding Code • including the High Velocity Hurricane Zone of the Florida Building Code. • • • • • • .... . .. ..... DESCRIPTION: Polyglass Polystick Underlayments •••••• • ABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, dity,'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 beer?Ad •change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No.15-0410.04 and consists of pages 1 through 8. The submitted documentation was reviewed by Freddy Semino.I CMIAMEADEMCOM NOA No.: 17-0614.22 NI • Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Category: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Dimensions Test Product Specification Description Polystick IR-Xe 65' x 3'33/s" ASTM D 1970 A fine granular/sand top surface self -adhering, APP Manufacturing Or 65' x 3' polymer modified, fiberglass reinforced, bituminous Location 41 & #2 60 mils thick sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. Polystick Dual Pro 61' x 3'3 '/s" TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a Location #2 metal roofing and roof tile underlayment. Polystick Tile Pro 6F x 3'33/8" TAS 103 and A rubberized asphalt self -adhering, glassfib er4polyester Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing meinbrang. Desiglned as a metal•; • Location #2 roofing and roof tile underlayft*nt' 0900 • Polystick TU Max 65'8" x 3'3-3/8" • • TAS 103 and A rubberized asphalt self-adhariwg,•polyesteroreinforc • • • • • • �� Manufacturing 60 mils thick • • • rp g � �� a p � • ASTM D 1970 waterproofing membrane. D S' as a •r o'f ile Location # 1 & #2 underlayment. • • • • • • • • • • • Polystick TU P 32'10" x 3'33/8" TAS 103 and A rubberized asphalt waterpmufn membranre, glass-• • • •; • Manufacturing 130 mils thick ASTM D 1970 fiber/polyester reinforced, w4MCgihnular suf'face '. Location #2 designed for use as a the roof under'laymennt..:. Polystick TU Plus 65' x 3'33/8" 11 TAS 103 and A rubberized asphalt self-adhettng,•glass-f WUlyest2r • • • • (Surface Printing) 80 mils thick ASTM D 1970 reinforced waterproofing membrane. Designe'd'as a metal Manufacturing roofing and roof tile underlayment. Location # 1 & #2 Polystick MTS 65'8" x 3'3 3/s" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #2 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Polystick MTS Plus 65'8" x 3133/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #2 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Elastoflex S6 G 32'10" x 3'3 %" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D 6164 with a sanded back face and a granule top surface. For Location #2 use in roof the underlayment systems. CMIAMM"Mr:couNTY NOA No.: 17-0614.22 "�Fj;iagxalExpiration Date: 09/13/21 Approval Date: 07/06/17 Page 2 of 8 MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Reaort Date Trinity ERD P10870.09.08-RI TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798 & G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.11 TAS 103/ASTM D4798 & G155 09/01/11 P37300.10.11 TAS 110/ASTM D4798 & D1970 10/19/11 P40390.08.12-2 ASTM D 1623 08/07/12 P37590.07.13-1 ASTM D6164 07/02/13 P45270.05.14 TAS 103, TAS 110 & ASTM D1623 05/12/14 P46520.10.14 ASTM D1623 10/03/14 P44360.10.14 TAS 103 & TAS 110 + 10/07/14 P43290.10.14 ASTM D 1970 & TAS t10 :'10/17/14 PLYG-SC10130.06.16-3 �+• TAS 103 & TAS 110 •• .IM/27/16 PLYG-10130.06.16-1 ASTM D1970 & TAS l'1'lf :" W/27/16 PRI Asphalt Technologies PUSA-035-02-01 TAS 103 + • • • • • ; tl9/29/06 PUSA-055-02-02 TAS 103 "" ' 1 f'/10/07 PUSA-089-02-01 TAS 103/ASTM D4798 &*q; .W. 206/09 Momentum Technologies, Inc. JX20H7A TAS 103/ASTM D4798 & � I*;;:. . 04/p l /08 RX14E8A TAS 103/ASTM D4798 &G1 :11W/09 DX23D8B 5S TAS 103/ASTM D4798 & Ot55 •• ; 0;'t$/10 DX23D8A TAS 103/ASTM D4798 & G155 Vfft8/10 LABELING: Vtoo: 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. MIAMMDADE COUNTY BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. MIAMMDADE COUNTY NOA No.: 17-0614.22 no 0 ' Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(1): Anchor sheet mechanically fastened to deck, membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type 1I 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 IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS or Polystick NITS Plus, self -adhered. Surfacing: See General Limitations Below. Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank 0600V System Type E(2): Anchor sheet mechanically fastened to deck, membrane adhered • • •;'' "' ...... Anchor/Base Sheet: One or more ASTM D 226 0 • • plies of Type 11 or ASTM D 2626. .... • • • Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4 * he0d lap. (L::9"' base sheet only) ...... • .. .. .... ...... Membrane: Elastoflex S6 G, hot asphalt applied • • • • • • • • • Surfacing: See General Limitations Below. • • 00 •""' .00 • • • • • • • • Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(3): Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. Anchor/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) Ply Sheet: Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, self -adhered. Surfacing: See General Limitations Below. CMIAMMADECOUNW NOA No.: 17-0614.22 F-12VOY1411 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 4 of 8 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. :...:. ..... 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Contror Notice of Acceptance. 00 S. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The il'aMnog tape shall be . • • • . pressed in place and formed around the protrusion to ensure a tight fit. A second la er 0f 0 91 stickshall•be 0 • Y Q.�4 Y • applied over the underlayment. • GENERAL LIMITATIONS: • • • • • • • • 1. Fire classification is not part of this acceptance. • 2. Polystick Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and Polysti.Lle 4TS Plus may, be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof tile systems arxlgbarry slate roof assemblies. Polystick TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. Elastoflex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Ex sure Limitations Da s MTS IR-Xe Elastoflex TU TU P He Pro Dual Pro TU Max MTS Plus S6 G Plus Winter Haven, FL 180 90 180 180 180 180 180 180 180 Hazelton, PA N/A 90 N/A 180 N/A N/A N/A 180 N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and CMIAMP�DADECO=UNTY NOA No.: 17-0614.22 F-1291SIT1411 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 5 of 8 ...... Rule 61 G20-3 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick Tile Pro, Polystick TU Max, Polystick TU Plus or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof the applications. Polystick Dual Pro is limited to mechanically fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope shall be as follows: (See Table Below) Tile Polystick Elastoflex Polystick TU Plus, Polystick Polystick System (E3) Profile MTS S6 G TU P, Tile Pro, TU Max MTS Plus MTS Pigs with Dual Pro • VU, • • • TU Plus Flat Tile Prohibited 4:12 6:12 6:12 . 5:110 without battens • • • • • • Profiled Prohibited 4:12 6:12 6:12 4:12... ..6 }� • Tile without battens 0 0 .. 0 0 0 0 00 The above slope limitations can be exceeded only by using battens in accordance wit 00. ,1 • A 11.th'e•Approvec}W� SysteM Notice of Acceptance and applicable Florida Building Code requirements. When battens ara required,•they shall be utilized during loading and installation of tiles. ; ' : • 10. Care should be taken during the loading procedure to keep foot traffic to a minimum AO tU $void dropping of tile directly on the underlayment. Refer to Polyglass Tile loading detail below for loading procedure —two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, for a total of 6 tiles — for all underlayments except Polystick MTS which shall be loaded onto battens. 11L, 1�0, Qytl .. POL` nCKTU Rus CMIAMEDADEMCOUNW NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 6 of 8 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES ...... PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPk lelf APPL14;41-IONS.• • • .' • LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOIj" F.V�ATOWS.. • • • • • • ...i.. • :....: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks*, •Ips?Wlers ate cautioned to refer to applicable local building codes prior to direct deck installation tovmrire thisls atteptable *"0 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 ed W aam as per Polyglass Back Nailing Guide. Nails shall be, 1 I gauge ring shank type, applied with a minimu*,n 105/81 metad As)C as """ required in Miami -Dade County or simplex type nail as otherwise allowable in other Ipgi411F, at a Minimum rate•...: of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail ar'b9, area par+a 4114r" 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, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be used on all projects for pitch/slopes of T712" or greater. It is suggested that on pitch/slopes in excess of 6 '/4"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. MIAMI•DADE COUNTY NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 7 of 8 10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 8944563. 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 8944563. 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 SPEdVJC AWPLICATIANS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMWINUTIONS. • • •' • •••••• • END OF THIS ACCEPTANCE •""• • '• .... • .• • • • •• • • •• CMIAMMADECOOMW NOA No.: 17-0614.22 "' • Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 8 of 8 �tlaNil� 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 NOTICE OF ACCEPTANCE(NOA) T (786)315-2590 F (786) 315-2599 ICP Adhesives and Sealants, Inc. www.miamidadc env/ecnnomv 12505 NW 40 Street Coral Springs, FL. 33065 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 PER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County ProduclQe»ttol Sej; pgvs. (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reservd fl aright to his products or material tested for quality assurance purposes. If this product or material fails to perform I e acc� p .. manufacturer will incur the expense of such testing and the AHJ may immediately revoke•.. dlYediflannemthe of such product or material within their jurisdiction. RER reserves the right to revo��sa co suspend if the., Vie..: is •; determined by Miami -Dade County Product Control Section that this product or material f'aiWs0m et he'fequiremthV*. of the applicable building code. ...... . .. ..... This product is approved as described herein, and has been designed to comply with* lh * �Jorida Building Codes including the High Velocity Hurricane Zone of the Florida Building Code. . . . . . . ...... ESCRIPTION: ICP Adhesives Polyset® AH-160 • • • • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA 16-0315.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. MIAMH3 DE COUNTY NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Pagel of11 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 ICP Adhesives Polyset® AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test ICP Adhesives Specifications N/A TAS 1 Ol Polyset®AH-160 ICP Adhesives Foam Dispenser RTF1000 ICP Adhesives ProPack® 30 & 100 N/A Product�mption •..... Two component polydi dthane foam -adhesive • • Dis • - pensmg Equipment... • • .. .. N/A Dispensing Equipment . • . 00 PRODUCTS MANUFACTURED BY OTHERS: •• • . . ... 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: Pro a Test Density Compressive Strength ASTM D 1622 ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.6 lbs./ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -400 F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. r NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2of11 EVIDENCE SUBMITTED: Test A¢encv Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94-060 257818-1 PA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB-589-631 9637-92 01-6743-011 01-6739-062b[ ]] 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/Reoort TAS 101 TAS 101 SSTD 11-93 SSTD 11-93 SSTD 11-93 ASTM D 1623 ASTM E 108 ASTM E 108 • • • ASTM E 84 "' • • • TAS 114 •���' ASTM D 1623 TAS 101 • TAS 123 ..'. � •..... TAS 101 ••• TAS 101 TAS 101 Date 04/08/94 12/ 16/96 10/25/95 11 /02/95 12/12/95 02/01 /94 04/30/93 ••..•• 11 / l6/94 01/l�f/95• 04 4/9% 04218A'2 02y;;I,la 1 12/28/98 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 61 G20-3 of the Florida Administrative Code. MIUM DE COUNTY NOA No.: l 7-0322.03 ' 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 the assembly NOA. 3. ICP Adhesives Polyset® AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators to the authority paving jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is requfred'beforg tkpp4ication . • of any adhesive. The mix ratio between the "A" component and the "B" component shalt6;*nlaintairft-'tl•1letween• • •.:. 1.0-1.15 (A): 1.0 (B). • • • • • . 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTW4800 or:ICP.. • Adhesives ProPack® 30 & 100 dispensing equipment only. • • .... • • • • • 7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight. . • '"• • •.... 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutds afte f ICP A. &rives Polyset® AH-160 has been dispensed. • • • 9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance witlf V, , • • 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. • MIAM4DADECOUNTY NOA No.: 17-0322.03 Fn "' • ' Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 i aulu 1: r uncmve rlacement ror Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High Profiles All Eave Course 17-23 s q. inches 45-65 Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap • • • • •.. ... Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (I each longitudinal. ..... 17 gram P*e c bead , edge) 20-25 sq. inches each...:.. ' • • bead • Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches .. ..34 gra�r►s under paA': •' LABELING: 10 ...... ...... • • :... .. ....:. All approved products listed herein shall be labeled and shall bear the imprint or identifiablemarl;ng of the. . : •...: manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved0448 Miami- • Dade County Product Control Seal as shown below. C IWE COUNTY ¢i �t BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MIAMMADE COUNTY NOA No.: 17-0322.03 "' • Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 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 cm2) square inch adhesive contact with the underside of the tile. ...... Medium Profile / p DoublesP a ile • • • • • • • . .. . • ... .... ...... 1. Starting at the eave coLHe.,•aply a minimum 2". (50.8 mm) x 10" (254 th 1" (25.4 mm) foam .... • • • paddy onto the underlayrpppj positidned.as show";• •. under the pan portion of Mje closest bathe ..... overlock of the tile being,,s'et.' • • • • • • • • • ; • 2. Continue in same manner. Insure a • • • p1Srvasi�ately f � • (109.7 cm') — 23 (148.4 pm2�*$yuare Inch adhesiv;• • • • contact with the undersidd bf the tile: • * • - 0000 High Profle / 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 cm')-23 (148.4 cm') square inch adhesive contact with the underside of the tile. MIAMMADE COUNTY NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 6 of 11 ADHESIVE PLACEMENT DETAIL # 2 Nail throupb plastic cement (when required) 1-Paddy (henemh tiler undarl�ly�rr.nt � +�� Battensopti•nal��wr Eav Coon. � `��j-�r• — MIAMbDADE COUNTY ,...• r Flat/Low Profile Tile Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the the closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm') — 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" 077.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib closest to the overlock of the tile being set. 0 • 3. Continue in same manner. In91:re approxjft>•atdly l0" •. (64.5 cm2) - 12 (77.4 cm2) sgealritich adltesWe • • • • • contact with the underside ofthd tile. • e••e a ee ..0 .... .. Medium Profile / Double Pan ti..... de . • •• •• •eee ••••:• 1. Starting at the eave course, aipl3P alninimum 2" (50.8• • • • mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned a; shown yflder the • • pan portion of the tile closest to the overlocVdf the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" 077.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the Overlock of the tile being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) - 14 (90.3 cm2) square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 7 of 11 a ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) Nall dtrough prmrk ee When required] rr `t; Raddr 19.neA Via) (r�d.rriyt4ehl. ��`� UattensogptlonA In cow" Fascia loin. 21n, Fawcoesure Drip edge MIAMMADE COUNTY 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 cm') — 23 (148.4 cm') 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 overloek of the tile being set. . e e e e . 3. Continue in same manner,, g approximately 174 • • e • (109.7 cm2) - 19 (122.6 crp;j$gwre inch adhesive ; • • • • contact with the underside of the tile. • • • • • ....e e . .. ..... ...... . .. ..... .. .. .... ...... NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8of11 ADHESIVE PLACEMENT DETAIL # 3 YU YN VYcJn P1.HIC(lfilelR teddy i6etween tlles) (when requtredl r�.•,•i eattemopdanal • • Paddylundertile) Single paddy on top ehle .---- wengI t� Smtder glepaddy onw•dertaymen 2xlin, w� • r� 101n 21n --s"eaosure Flat/Low Profile Tile Hall through plastic cement Single paddy under the (when required) Paddy Oetween tiles) Battens paddy (undertile) +optimal She '�. * on ]a fo � 4:I in. Singlepaddyan =xain:•�.�� undedayment Oht.�21n. Eam Oosure EawaCourse Fascia Niedlu,m ProfthrTBee MIAMFflADE COUNTY F.'1W9;ffJ41J 1. On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the Overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in2 (109.7-148.4 Cm2) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x I " (25.4 mm) foam paddy onto the underla;rtwelat just beI91v • • the second course line:positioned foam paddy •• under the strengthenini nb for flat10c.9f under.":. an portion of the the c • • • • to the underlock for P P J91W • it the second course tile t%aeinstalled. Insure • • approximately 8-9 in' iSL608.1 ct;') of adhesiv8; • • . contact with the undersid" the tilg it• " • • • • 0000 • • (Instructions continued on Rext pilge) : ... : . • * • • 0 . • . . .. . . . .. . NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) Nall through plastic Single paddy under the iwhen required) Paddy lbetween tiles) Battem optional Paddy (wider tilei Singlepaddy , Gnu Men $w f 4x 4 in. �1 Single 2 x 4 in paddyon top of We'"'�`� ` Save Course Fascia Weephok loin. 2 in. Ewe dosuro►'' Dripedge High Proflie Tile aMIAMFi COUNTY GM 11 , - 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/," (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 cm) - 11 (71 cm2) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm2) - 9(58.1 cmZ) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. •••••• 000009 • • • •• • •••• • • Y • • •••••• •••• •••••• •••••• • • • • • •••••• • •• ••••• •• •• •••• •••••• • • • • • •••••0000 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 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 cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm2) — 70 (451.6 cmz) square inch adhesive contact with the underside of the pan tile. :...:. 3. Turn covers upside do • • eosin the4s4dersid� • • Y"A g�A g' .... of the tile. Apply a mill"O" 1" (25.4 mm) x I (r, ...: (254 mm) bead of adhesivedirectl)o.eq the inner edge of each side of the cover tile. Leads approximately 3/4" (19, wpy j0 1 " (25.%" mm) • • • • • from the outside edge OPtl**tile, inwaid'free of • foam to allow for expaQSi>Sb'. • J • . . . . ...... 4. Turn cover tile over after fo4r4 Is a • liedand • P1J ...... place onto pan tile course Insure a n9irilmum of 20 (129 cm') - 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 MIAMMMADECOUNTY NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 11 of 11