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REV-19-2934Miami shores Village Building Department 10050 N.E.2rid•Avenue Miami Shores, Florida.33138 Tel: (305) 795.2204 Fax: '(305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF.TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's-NameG — (o Property.Address:"_�) W E., Too S T Roofing Permit Number: _�(p '"ICI )2_q f4 Dear Building Official: 1. LoL) I S -0 I-ed certify that I. have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits:for Existing. Site -Built Single Family Residential Structures asj�dopted by the. Florida Building.Commissidn by Rule 9B73.047 F.A.C. i"_wlS Toledo Print -Name State of Florida County,of Dade The. undersigned, being the first duly swom; d/e�oses and says that Wshe:is the owner for the above property mentioned. Sworn to and subscribed before me this ( day of N P� 20 Notary Public, Sate of Florida at Large �----- ►RY'' , DANIELLE DEMIGUEL Commission # GG 264205 y Expires October 22, 2022 '�orr�dA smwenrududsMna+rrs.rvka Revised on 5121%2009 FINAL. COMPLIANCE 1�1202� rAa�\J2 BUILDING PERMIT APPLICATION Miami Shores Village Fz-�F-c Building Department AN $ 2V° 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 Jj20 Master Permit No 4— Ob-11— 11ZI f Sub Permit ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP cC� CONTRACTOR DRAWINGS JOB ADDRESS: Is lJ 1) City: Miami Shores J� Z County: Miami Dade Zip: Folio/Parcel#: 1T�� (��� V ti)J S sc) Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):— Mlpf � R � 2 \ Phone#: Address: I� )dQ e J� City: 1 �\Lq1 Tenant/Lessee Name: Email: CONTRACTOR:_ Company Name: Address: State: a Phone#: ne#: City: I State: Zip: Qualifier Name: W1 S Phone#: State Certification or Registration #: G Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: _ Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition \"'I ► Alteration( �n❑ New ❑ Repair/Replace Descriation of Work: CURT �T -L v \ 01+��Y-\� + a m Specify color of color thru tile:, Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ Zip: ❑ Demolition I oyl'i�IvAq CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 49• 00 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature • OWNER o GENT CONTRACTOR The foregoing instrumei t wasacknowledged before me this The foregoi ' stru ent wasacknowledged before me this day of v \ 20�J by day of `t \ 20� by who is personally known to �� who is personally known to me or who has pro uced as me or who has pr duced as identification and who did t ke an oath. identification and who did take an oath. NOTARY P LIC: NOTARY PUBLIC - \ Sign: Sign: Print::�6 Print: Seal: :�'e' DANK -APE EZ `r. 1• NotaryPub-StzlecfFlorida Seal: DAN" LPEA o!aryFur'c-Sate Fio daCommission : GG 447'-3 Comm ,coon - GC 4769 Ln My Comm. Exp-es Nov 3 2020 y Comm. Exp res No 3, 2020 APPROVED BY `s Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Section AB T M IAM I•DiADE "Delivering Excellence Every Day" Miami -Dade County HVHZ Electronic Roof Permit Form Section A (General Information) Master Permit No: Process No: Contractor's Name: t and s roofing Job Address: 358 ne 100 st Roof Category ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Sprayed Polyurethane Foam ❑ Other: Roof Type ❑ New Roof ID Re -Roofing ❑ Recovering ❑✓ Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes ❑✓ No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area ft') 850 Steep Sloped area (ft.z) 70 Total (ft.2) 920 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): Corner Size (a' x a'): RECEIVED C 13 2019 PLF-7 v-(2--IG--2C�?Q Miarni Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT AA ..11 ;11. i; r-,T Tn CnMPI IANCE WITH All FEDERAL. ' r ^"r) nr r11I AT1t)NS �Fvc� r / 3'-Scb �J E �-� " .... ...... Emw Miami -Dade County HVHZ Electronic Roof Permit Form Section D Tile Roof System "Delivering Excellence Every Day" Roof System Manufacturer: CERAMICA VEREA S.A • Notice of Acceptance Number (NOA): 17-0727.07 • • • • • • Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): • • • • • • • 39.1 P9: P2: 68.1 - P3: 100.7 777 ' •••• • Maximum Design Wind Pressures, (From the NOA Specific system): 59.21 _-.., psf •' • Fill in the specific roof assembly components. /f a component is not required, insert not applicable /nlir i*n the t Y* ir*x. Deck Type: _5/8" Plyw�uu=- — : s : • • i Roof Slope: "/12" Roof Mean Height: 15_ _I ft. Method of Tile Attachment: —Adhesive, Large Paddy Polyfoam Polypro— Alternate Method of Tile Attachment per NOA: Drip Edge Size & Gauge: 3" face 26 ga.— Drip Edge Material Type:--Galvinized Metal -- Optional Insulation: z 4 ------------- Optional Nailable Substrate: Optional Nailable Substrate Attachment Basesheet Type: 0 ASTM TYPE II Fastener Type for Basesheet Attachment: RS NAILS 6" OC AND 12" FIELD Tile Underlayment (Cap Sheet) Type: BORAL TILE SEAL Tile Underlayment Attachment Method: SELF ADHERED Drip Edge Fastener Type: 1 1/4 RS NAILS Tile Profile: CARIBBEAN " S" Hook Strip/Cleat gauge or weight: — Select Hook Strip -- AIAMI-DADS Miami -Dade County HVHZ Electronic Roof Permit Form "DeHvering- Excellence Every flay" Section E (Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 127": .•. ••••:' ...... . .. For Moment based tile systems, use Method 1. Compare the values for Mr with the values from Mf•It4.11 f values are, ...... greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is awepWble. • : • • • • : P1: 39.1 J xx i.300_=11.73 - Mg: tj=Mr1:j< 59_21 NOA•h1f �••••� •••••• -- ...... P 2: 68.1 x I _300 _ '20.43 . - Mg: (6 = Mr2: < 59.21 hIOA MA • • • • : • P3: 100.7 ; xX .300 = 30.21 i -Mg: =Mr3::_1 �5 59.21 ...... NOAMf :• •• :••••0 Method 3 "Uplift Based Tile Calculations Per RAS 127" For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F values are greater _han or equaldc `h3 Fr valuc,s: for each area of the roof, then the file attachment method is acceptable. ( ( (( , ( C C C C C c ( , P1:=-1: xw: = -W: = xCos 0:7_71 ivOA�=Fr1: -.c- F C111crc . W'---.----- cos A' Fr2: P2:�xl:©=xw:�=- �_� x ©_ E(JN AF O c <(( P3:=x1:®= xw_ - - - -I -W:= xCos A:�=Fr3:�5 NOAF' Where to Obtain Information to complete the calculations Description Symbol Where to Find Design Pressure P1 or P2 or P3 Table 1 RAS 127, or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7. Mean Roof Height H Job Site Roof Slope 8 Job Site Aerodynamic Multiplier I Product Approval (NOA) Restoring Moment due to Gravity Mg Product Approval (NOA) Attachment Resistance Mf Product Approval (NOA) Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval (NOA) Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval (NOA) Tile Dimensions 1=length yr =width Product Approval (NOA) M I= MUMI DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,:op 4C,43175-2474 S (78y1415-2596 F (786) 315-21 NOTICE OF ACCEPTANCE (NOA) 'Aww`miamiriade boy/economy ' • •••••• • •• •••••• • Ceramica Verea, S.A. • • • • • • • ]Lanza SIN, •••• • ••••• 15685 Mesia (A Coruna) -Spain • ...... . . ..... SCOPE: • This NOA is being issued under the applicable rules and regulations governing the use of cdnstruction mdteria*U. 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 Coatrol`Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve tbe;i_ight to have this product or material tested for quality assurance purposes. If this product or material fails to pe-ferm in the. accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately �zcvoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the righc''u'i `'rbyoke tbi8 %Pc ;eptancz; " if it is determined by Miami -Dade County Product Control Section that this product or material' fails to me6t the requirements of the applicable building code. ` This product is approved as described herein, and has been designed to comply with the Florida Building :, GGe including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Caribbean "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 5. The submitted documentation was reviewed by Freddy Semino., IN �ML"AM1&;QA.DEC0=)UfNMWNOA No.: 17-0727.07 Expiration Date:07/05123Approval Date: 07/05/18 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Clay .. .' ...... . .. ...... 1. SCOPE •••••• • This system using Caribbean "S" Clay Roof Tile One Piece Tile, as manufactured by40-eamica S.A.,• *:a a and described in Section 2 of this Notice of Acceptance. For locations where th8 *1tMire regtiTer:ents, M' determined by applicable Building Code does not exceed the design pressure values obtained by ca%u�ations ins compliance with RAS 127 using the values listed in section 4 herein. The attachment caicnlationj shaD be doQg .„. as a moment based system. "' 2. PRODUCT DESCRIPTION Manufactured by Test Pi-c,etict Applicant Dimensions Specifications 1169e!� otion Caribbean "S" Clay Roof Length: 18.75" ASTM C1167 High profile clay rooftile for direct,,deck Tile, One Piece width: 10.75" Type I applications. . Thickness: VS." Grade 2 Head -lap min. 3" Exposure max. 15.75" E C C C Trim Pieces Length: varies ASTM C1167 Accessory trim, clay roof pieces for use at hips, Width: varies rakes, ridges and valley terminations. 2.1 MANUFACTURING LOCATION 2.1.1. Mesia (A Coruna) Spain 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date American Test Lab of South RT0309.01-18 ASTM C 1167 04/29/18 Florida American Test Lab of South RT0309.02-18 Static Uplift Resistance Testing TAS 04/26/18 Florida 101 Adhesive set tile system. r�uronDe coutzn NOA No.: 17-0727.07 . _ , , e . Expiration Date: 07/05/23 Approval Date: 07/05/18 Page 2 of 6 3. IL mITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications St.adards listed • • • . • section 4.1 herein. .. • 3.5 30190 hot mopped underlayment applications may be installed perpendicular to thV rvbf slope unless stated* • • • • otherwise by the underlayment material manufacturers published literature. • • • 0. :.... : 3.6 This acceptance is for wood deck applications. Minimum deck requirements slh4) Win complfance wi; ... applicable building code. ..... • i.• • • • • 3.7 All products listed herein shall have a quality assurance audit accordance with;-Tfie "orida ;33M. �g Code• and Rule 61 G20-3 of the Florida Administrative Code. �: • 4. INSTALLATION • 4.1 Caribbean "S" Clay Roof Tile, One Piece Roofing Tile and its components sh4- U be installodc in strict compliance with Roofing Application Standard RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W (lbf.) Length -I (ft) Width'-w ''ift) Caribbean "S" Clay Roof Tile 6.589 1.56 0.896 Table 2: Aerodynamic Multipliers - 1 (ft3) Tile 1 (ft3) Profile Direct Deck Application Caribbean "S" Clay Roof Tile 0.30 Table 3: Restoring Moments due to Gravity - M9 (ft.-Ibf.) Tile 3":12" 4":12" 5":12" 6":12" 7 :12" or Profile greater Caribbean "S" Direct Deck Direct Deck Direct Deck Direct Deck Direct Deck Clay Roof Tile 5.58 5.47 5.34 5.19 5.03 1 Data noted in Table 3 is for installation with a 3" the headlap. COUNiY NOA No.: 17-0727.07 MIgM1 DARE U Expiration Date: 07/05/23 Approval Date: 07/05/18 Page 3 of 6 5 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft.-lbf.) for Single Patty Adhesive Set Systems Adhesive Set Systems Tile Tile Attachment • Profile Application Resastanae • • Caribbean "S" Clay Roof Tile ICP Adhesives Polyset AR-160 �$.z1� • • • • Adhesive Set' ...:.. 1 Large paddy placement weight 22.2 grams of ICP Adhesives and Sealants, Inc.'s ICP Adhasiwas Pol set Ay-160 ; • •0: .... . ..... ...... . . ..... S. LABELING � � • 5.1 All tiles shall bear the imprint or identifiable marldng of the manufacturer'.Q*Pair.e'or logo ems: detailetlG, o • • • below, or following statement: "Miami Dade County Product Control Approved d. ; ....: CARIBBEAN MADE IN SPAIN VERSA (LOCATED ON THE BOTTOM SIDE OF TILE) 6. BUILDING PERmT REQumEMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 17-0727.07 MIAMFDADE COUNTY Expiration Date: 07/05/23 Approval Date: 07/05/18 Page 4 of 6 iA 3/i PRoFmE DRAWING 10.3.4' • . •• .. • • .... •••• • • • •••••• U G zig .. . ••••� �'= •i , •, •. L13 4CA o < a r I ¢ �4.4 ppb� } � } iFl � p N z? - U] ¢ 3 aN to �tu G C U ,q • e a it 2 } :O }4 ? to �' a u 00 3 Ceramica Verea S.A. Caribbean "S" Clay Roof Tile END OF THIS ACCEPTANCE NOA No.: 17-0727.07 M1ANIMADE COUN7Y . Expiration Date: 07/05/23 Approval Date: 07/05/18 Page 5 of 6 a MIAMI-DADS COUNTY MAMA , PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES TER) Miami, Florida 33175-2474 BOARD AND CODE ADNIINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) Ni,ivw.mianiidade.¢ov/econoniv ICP Adhesives and Sealants, Inc. 12505 NW 44t' Street Coral Springs, FL. 33065 SCOPE: ...... .. ...... This NOA is being issued under the applicable rules and regulations governing the use of CbMatction materials. The •••••• documentation submitted has been reviewed and accepted by Miami -Dade County RER Pr011ibf Contrc:4e4jpn to be - used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction;AHJ). ' • • • • • •••• .0 0 • ..... This NOA shall not be valid after the expiration date stated below. The Miami -Dade Coin Plbduct Gontrnl• Sectiea • • • • (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve tLe 1W to ha=,eeth s`produ;+; or material tested for quality assurance purposes. If this product or material fails to perform �,1e acceplol-r O er, t128"•' manufacturer will incur the expense of such testing and the AHJ may immediately revoke,%1�pi4, or s� Sp&ud the ilia..: of such product or material within their jurisdiction. RER reserves the right to revoke `ttus accepiUpe if it,is determined by Miami -Dade County Product Control Section that this product or material fails Ito meet the'requremerits of the applicable building code. < < ` e ` ` ` This product is approved as described herein, and has been designed to comply with "[lie 'Florida Belding Code including the High Velocity Hurricane Zone of the Florida Building Code. E DESCRIPTION: ICP Adhesives Polyset' AH-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the. words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA 16-0315.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY �EI,... TA NOA No.: 17-0322.03 .Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset® AR-160 as manufactured by ICP Adhesives and Sealants, Inc. is described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by Ipphzable 000000 building code, do not exceed the design pressure values obtained by calculations in compliarioewit% Rooms. • Application Standard RAS 127. For use with approved flat, low, and high profile roof tile syAep4using • ... • :. Adhesives Polyset® AH-160. ' • • • • • • *00094, . ..... PRODUCTS MANUFACTURED BY APPLICANT: • . . Product Dimensions Test Product'D&tription_ • • • • • • • • • Specifications • • •,: . ,. ICP Adhesives N/A TAS 101 Two component potn-.y-4bane foam. AthesiW. ; Polyset®AH-160 • = 0 •0000 • • • •' ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTF1000 ICP Adhesives ProPacka N/A Dispensing Equipmen� 30 & 100 s 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 file adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.6 lbs./f1.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./F9 3.1 Perm / Inch +0.07% Volume Change @ -40' F., 2 weeks +6.0% Volume Change @1580F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 17-0322.03 MIAMI•DADE COUNTY Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 ]EviDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier 494-060 257818-IPA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB-589-631 9637-92 01-6743-011 01-6739-062b[l] 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/Report 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 �!!•!y' 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 :('( 04/30/53 • i . (.: ..:... os/r�9s A 03%?.a 4145 .. 04/18/12 021,12 2, .. .. C 1 prz��a 12/28/98 03/02/99 LEmTATIONS: 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 file assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 17-0322.03 MIAMI•DADE COUNTY 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 file 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. r 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 applicator,,to the authority having jurisdiction. • 5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is xc ¢ e befo e .ap �icaiion<�' • �' p p gauiqp 91 Sl �. � of any adhesive. The mix ratio between the "A" component and the "B" component sh,4l.l� ,,ri,aint�uad; etweell.. • 1.0-1.15 (A): 1.0 (B). • 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser ATMOO 0r**JL :: • 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 freshlyapplied adhesive. Tile must be set within 1 to 2 minutes after ICP 0e ,,e's 0 • PP � Sc � � � ...... Polyset® AH-160 has been dispensed. ; • • • • • . 9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accor'danc8 with the • 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. " •' NOA No.: 17-0322.03 MIAMI•DADE COUNTY Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, Nigh All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 ; Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 42 grams' per paddy � ` ` head of tile 9-11 sq. inches at < ' overlap ' ' '. Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal', .7 grargkdQbead 71. edge) 20-25 sq. inches each • •'=•" • ' °• "'` bead •.., Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches " 54 grams under pan • • • .0 0:0040r C LABELING: - All approved products listed herein shall be labeled and shall bear the imprint or identifiable LarOng of the :0 0 0 0: manufacturer's name or logo and following statement: "Miami -Dade County Product Control Aproved" or tte Miami Dade County Product Control Seal as shown below. BuriLDING PERMIT REQummENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 17-0322.03 MIAMI-DADE COUNTY Expiration Date: 05/10/22 UQUIM Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 Yi�'et,ro�glcpY�stfct�,-�cii ,Fa�j}+f��eZhfuu:�i Ffc�ler�a��ridrie ,.•`� e:"- .� ' � • 'stiff.. 1 ���- `hF? lob N, •�\tea, `�_ =�Y.=��{� l� .. CEmPTi� mquh , Rif mpgl6nal MIAMI•DADE COUNTY Eat Flat/Low Profile Tile 1. Starting at the cave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock of the file being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cmz) square inch adhesive contact with the underside of the tile,- • . ��•.••.s • _•• ••.0% Medium Profile / Double Gv.%ti a •: • 1. Starting at the cave courss.app-y a mm,m: )m 2" • • • (50.8 mm) x 10" (254 �jx`•1�' (25. ,m-am)` oam •`• �`• • • paddy onto the underlayh!er1t0:9sitiond3 as Shown•:•!•;'. under the pan portion ofWe"I'closes" te'ihe •. overlock of the file beM000000 & set. • • • • • • - 000009 .. . • •• • • 2. Continue in same manner. Insure appiq4"ately 17 (109.7 cm2) — 23 (148.4 cmz) square inch adhesive contact with the underside of the tile. High Profile / Single Pan Tile 1. Starting at the cave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 6 of 11 ADHEsivE PLACEMENT DETA m # 2 ]Flat/Low Profile Tile 1. Starting at the cave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive cwtactwith the underside of the tile. ...... ...... 2. At the second course, apply311fh±numY" (!C 8mm) • • • •' • x 7" (177.8 mm) x 1" (25.4, IMJ n-, am paddy onto the; ..... underlayment positioned as�VowrauudeiN. "ce • - strengthening rib closest to,Ih ))lock o jthe plc • being set. • 3. Continue in same manner. Is;u �E proxiha+kiv 10" `•`• •.:. (64.5 cm2) -12 (77.4 cm2) srsaViuch adh esive contact with the underside ofltfl 'tile. .". • Medium Profile / Double Pan Tile 1. Starting at the cave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 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 the 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 nextpage) NOA No.: 17-0322.03 MIAMI-DADE COUNTY ... � , Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 7 of 11 AmEsiw PLACEMENT DETAm # 2 (CONTiNum) High Profile / Single Pan 'File 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 the being set. Insure approximately 17 (j 09.7. cm2) — 23 (148.4 cm) square inchadhecive coMc* ith the...... underside of the tile. *.so • • e....e . .e e....e 2. At the second course, appl3fAWliimum Z": (S'0,8mm;.... : x 7" (177.8 mm) x 1" (25.4i.0" oam padily6to th�`e`��`e underlayment positioned as.IIAP N unde the pin • portion of the tile closest Wet• t4jitrlocleq£11jgtile •,, • being set. ..«... .: . e & . ".: is �.;._.,.;.. tees.. 3. Continue in same manner. 4�c%pproxlm; tcly 17" ; , , , (109.7 cm2) - 19 (122.6 cm'=)%Tjdafe incl>,`iiWNve contact with the underside b k`h Tile. • MIAMI•DADE COUNTY NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8 of 11 AD1E1EsivE PLACEMENT DETAIL # 3 ' latiLowl'rsifileTi'le 1. On the cave 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 cave edge free of foam to preyent the expapded:dhesi . ; • • • • from blocking the weep %ples. ;Insure. • • • • approximately 17-23 in2409.7,1484ciz) of ....:. adhesive contact with the c deeside (f the tile 2. Apply a 4" (101.6 mm) x W101.6 mm) Y 1: (25:4' •' • mm) foam paddy onto th :'y Merlayment lu� st Belo-. • the second course line pqs t mied foam p-I, VY • • • ; • under the strengthening:rl? fcr flat til(''3i" hider tiv. pan portion of the tile, cics'ss, to the i�lock for. the second course tile td.. lie `,--!., talled. U864t approximately 8-9 in' (61.6-58.1 cm=);of �'.dhesivt contact with the underside cf-the tile.` (Instructions continued on nextpage) NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 9 of 11 ADHEsiv E PLACEMENT DETAM # 3 (CONTINUED) 3l�Ir Profile 711e 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x W (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat file 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 appro m mately 9 (58.1 cmZ) - 11 (71e ) square inchedWcsive 660090 contact with the undersidCptf tte tile.�J,the, overlap . • and 7 (45.2 cm?) - 9 (58.L craz) squart,Art* ....:6 adhesive contact with tbo>w;4xside of the tile at the head of the tile. Conjmati; sam jV,�4 r. • 4 . .. •s M0 ... Mee 0 ,. 4 ..:.. i.l. '. C. 'We 1 C. NOA No.: 17-0322.03 M1AM!•DADE COUNTY ... , Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 10 of 11 ADHESm PLACEMENT DETAIL Two PIECE BARREL Two Piece Barrel - high Profile Tile Two ]Piece Darrel (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, Supl2ort eave tiles from rocking un0.adhe,sive ha '2A1b tce to •;, •_• •-• cure. • 2. Continue in same maitging o`pan • courses up toward thejdg2:�sure,;,; �• approximately 65 (419.4 6Vi — 70 ( 51 6 cm2) `• • • •.. square inch adhesive Srside of the pan tile. ....... .' 3. Turn covers upside dovm exposing ,'Mcfersidc. of the tile. Apply a min ,m (25.•4 �� x 10'; `• • (254 mm) bead of adhesive directly 6vthe inner edge of each side of the cover tile. Leave approximately 3/4" (19 mm) to 1" (25.4 mm) from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan file course. Insure a minimum of 20 (129 cm2) - 25 (161.3 cm) square inch contact area on each side of the cover file 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) milers or the tie wire System using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF TINS ACCEPTANCE NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 11 of 11 0 QU Ekl� MIT WYMM DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE ]Boral Roofing LLC. 7575 Irvine Center Drive, Suite 100 Irvine, CA 92615 MIAMI-DADS COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Floiida 33175-2474 T (786) 315-2590 F (786) 315-2599 wwm%miamidade.aovleconomy SCOPE:so 10 This NOA is being issued under the applicable rules and regulations governing the use of co 6�4;si`' jon materiAls. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - ProctiiCt fiontroI�e, t n to be 00 used in Miami Dade County and other areas where allowed by the Authority Having Jurisdictl6fl'(i� . . . 40000 • This NOA shall not be valid after the expiration date stated below. The Miami -Dade County'f' o`ddct Con66r Stuion `- `:. E (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve &1*no '�o have this product or material tested for quality assurance oses. If this product or material fails to . ;rfo : Om the�i,*e ted • • +� • P q t3' PmP P Fir , P $ manner, the manufacturer will incur the expense of such testing and the AHJ may immediate lS; b6 e, mgdif �r :' • i': suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this >�S;�apiance, if it is determined by Miami Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: BORAL TileSeal 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 new NOA consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. v MIAM(•DADE COUNTY NOA No.: 18-0502.03 Expiration Date: 08/02/23 Approval Date: 08/02/18 Page 1 of 4 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Category: Underlayment Material: SBS -PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Descr r�i �tion • • • • • • BORAL TileSeal 36" x 36' rolls TAS 103 SBS self -adhering asptiu'rt sheet macijal►gvith a •, 36" x 72' rolls ASTM D1970 white glass re-enforcet[W�8ster sthfading fabrfd', for use as an underlayirienl M sloped roof "Of**: •••• 04, assemblies. + • • • • • Boral Citadel Plus 36 x 72 rolls ASTM D1970 SBS self -adhering pas Malt•, eet mate 'al • th a • • • • � .. .rl .� ..,... poly film -facer; for use ps.9eipid ply un�erlayment in sloped roof assemblies. .:. �..._. MANUFACTURIGN LOCATION: • • `• 1. Brentwood, NH. 2. Houston, Tx. EVIDENCE SUBAUTTED: Test Agency Test Identifier Test Name/Report Date PRI Construction Materials OCF-356-02-04 ASTM D1623 07/25/18 Technologies, LLC. OCF-356-02-02 TAS 103 07/24/18 OCF-356-02-01 ASTM D1970 07/26/18 OCF-424-02-04 ASTM D 1623 07/25/18 OCF-424-02-01 ASTM D1970 07/25/18 OCF-424-02-03 TAS 103 07/25/18 Trinity ERD BRLRF-SC16810.11.17 ASTM D 1876 11/28/17 MIAMI•DADE COUNTY NOA No.: 18-0502.03 FA Expiration Date: 08/02/23 Approval Date: 08/02/18 Page 2 of 4 APPROVED ASSEMBLIES Deck Type 1: Wood, non -insulated. Deck Description: 15/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck, membrane adhered. Base Sheet: One or more plies of ASTM D226 Type H or ASTM D2626 with a minimum 4" head lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the laps and two staggered rows 12" o.c. the field of the roll. �• • • • r • % 0 Ply Sheet ... . Apply one layer of Boral Citddel Plus over Base sheet as per currensa,�rl,"al. `: =�... • :....:. (Optional): • • • • Membrane: One or more plies of BORAL TileSeal Underlayment with a mininiii-A .'•head lap and • minimum 6" end lap. Place the first course of membrane parallel to e, rolli �• • • • • membrane to obtain maximum contact. Remove the release membr,W.-4%fhe membrane is • • applied. Vertical strapping of the roof with BORAL TileSeal Unde-laylAt is aaceptable. Ak...:. end laps and laps without black selvage area shall be sealed under lup usj_e$ an 49 mMdified- •. • mastic. .• • • .• c. ... I'llNote: When used in Tile roof systems BORAL TileSeal Underlayment shall be back nailed to deck with approved annular ring shank nails and tin caps at a maximum 12" o.c. at the side laps. No nails or tin caps shall be exposed. Surfacing: Approved for Adhered Roof Tile using TILE BOND or AH-160, Mechanically Fastened Roof Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingle assemblies. MIAMI•DADE COUNTY NOA No.: 18-0502.03 ..., , Expiration Date: 08/02/23 Approval Date: 08/02/18 Page 3 of 4 LDuTATIONS 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. BORAL TileSeal underlayment shall be installed in strict compliance with applicable Building Code. 3. BORAL TileSeal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. 4. BORAL TileSeal underlayment shall not be applied over an existing roof membrane as a recover, bgipm K, be ,.:.... applied over a roofing Base/Anchor sheet underlayment. 5. BORAL TileSeal underlayment shall not be left exposed as a temporary roof for longer,jIlti,180 day;V application. ,. . ; .. ...... see 6. The standard maximum roof pitch for BORAL TileSeal underlayment shall be 6:12 whPir iii4 are lo,i�lod directly;' •' •; to the BORAL TileSeal underlayment; loading boards or battens are required on roof pit -iE�eater:nau't*12". `.:.:.• 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed appr r- ,%this pi44 y:i with specific prepared roofing products. .. .. .. .. ....:. 8. Tiles shall be stored on battens on roof pitches greater than 6:12". k. 9. BORAL TileSeal underlayment may be used with any approved roof covering Notice o A cj; ,itance ?istj g BORAL TileSeal underlayment as a component part of an assembly in the Notice of Acceptance. If`A;(W AL ' •.•• TileSeal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 11. 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. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. This target piece shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of BORAL TileSeal underlayment shall be applied over the underlayment, and sealed using an SBS modified mastic. 15. 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. 16. 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 END OF THIS ACCEPTANCE MAMI•DADE COUNTY NOA No.: 18-0502.03 . , Expiration Date: 08/02/23 Approval Date: 08/02/18 Page 4 of 4