RF-19-2520Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
101 NW 100TH ST, Miami Shores, FL 33150
Contacts
lf'� J� �lUl7L
Issue Date:10/29/2019
Parcel Number
1131010220300
Permit NO.: RF-10-19-2520
Permit Type: Roof
Work Classification: Tile
Permit Status: Approved
Expiration: 04/27/2020
TAMARA MAGALHAES Owner RAY FLORIDA ROOFING Contractor
101 NW 100 ST, MIAMI SHORES, FL 33150 MIRCEA TUDUCE
Mobile: 7862414639 2180 NOVA VILLAGE DL, DAVIE, FL 33317
Business:5612550134 RAYFLORIDAROOFING@YMAIL.COM
Inspection Description: RE- ROOF SLOPE TILE Valuation: $ 12,500.00 Inspectson Requests:
4949
Total Sq Feet: 1,500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$7.80
DBPR Fee
$4.13
DCA Fee
$2.75
Education Surcharge
$2.60
Roofing Fee
$225.00
Scanning Fee
$9.00
Technology Fee
$6.88
Total:
$308.16
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$308.16
Check # 3280
10/28/2019 $258.16
Credit Card
10/23/2019 $50.00
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 wRrk stated.
Authorized Signature: Owner / Applicant / Contractor /
Date
October 28, 2019 Page 2 of 2
Miami Shores Village ENTERED
C,Ca Building Department OCT 282019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 --4EL'
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201 i- LC4-"
BUILDING Master Permit No.F (���q ' a•5��-�
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC (] ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 101 nw 100 st
City: Miami Shores Co ntv Miami Dade Zip:
Folio/Parcel#: 1131010220300 Is the Building Historically Designated: Yes NO
Occupancy Type: sfh Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): TAMARA FRANCO MAGALHAES Phone#: 7862414639
Address: 101 NW 100 ST
City: MIAMI SHORES state: FL 33150
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: RAY FLORIDA ROOFING Phone#: 5612550134
Address: 2180 NOVA VILLAGE DR
City: DAVIE state: FL Zip: 33317
Qualifier Name: MIRCEA TUDUCE Phone#: 5612550134
State Certification or Registration #: RC29027485 Certificate of Competency #: 15BS00224
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: -90 _ pp Square/Linear Footage of Work: s�
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: REROOF SLOPE TILE
Specify color of color th�ru the:�/eRi,- _ n� coco—
Submittal Fee $ �`(Permit Fee $ OL-1 CCF $ • �� CO/CC $
Scanning Fee $ • W Q Radon Fee $ a. DBPR $_ 3 Notary $ 0
Technology Fee $ V Training/Education Fee $ (4p Double Fee $10
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ —1 `./ ' ,
(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
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: 1 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 ins ec ion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will tot fie approved and a reinspection fee will be charged.
Signature7Q)�� �"MOSignature
OWNER or AGE
CONTRACTOR
The foregoing instrument was acknow edged
before me this
The foregoing instrument was acknowledged before me this
day of OC'T —
20 11 by
day of •�- 20 /�' by
who is personally
known to
&i -4 A 7ud cr t2- who is personally known to
me or who has produced d c--
me or who has produced 'd �� as
identification and who did take an oath.
-�
t ; •
identification and who did take an oath. u••,
NOTARY PUBLIC:
� y
NOTARY PUBLIC:
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Sign:
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Sign:
Print: 5W^1/iF-- %14,d4 c.z
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Print: S`/�1/d✓ iS�,�ate-
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Seal:
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SONIA RAMONA TUUUCE
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APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Ron DeSantis, Governor
Halsey Beshears, Secretary
a
bpr
STATE OF FLORIDA
DEPARTMENT OF BUSINESSAN�DPROFESSIONAL REGULATION
CONSTRU
THE ROOFING C
PROVISCO
G BOARD
R
,ED UNDER THE
EXPIRATIONDi4.. _ TE;sAUGUST 31, 2021
Always verify licenses online at MyFloridaLicense.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.
11 ■
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020
I
DBA: RAY FLORIDA ROOFING LLC Receipt #:ROOFi G/SHHET METAL CONTRACTOR
Business Name: Business Type: (ROOFING)
' Owner Name: MIRCEA R. TUDUCE Business Opened':05/16/2012
' Business Location:21.80 NOVA VILLAGE DR State/County/Cert/Reg:12-R-17730-X
DAVIE Exemption Code:
Business Phone: 561-255-0134
Rooms Seats Employees Machines Professionals
2
For Vending Business Only
Number of Machines: Vendina Tvoe: I
Tax Amount
Transfer Fee
NSF Fee
Penalty
Prior Years
Collection Cost
Total Paid
27.00
0.00
0.00
0.00
0.00
0.00
27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature, You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
t Mailing Address:
MIRCEA S. TUDUCE
21.80 NOVA VILLAGE DR
DAVIE, FL 3331.7
2019 - 2020
Receipt #02A-18-00007347
Paid 07/08/2019 27.00
Policv Number:
Date Entered:
CERTIFICATE OF LIABILITY INSURANCE
[ITE (MW DD/YYYY)
/15/2019
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 INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns 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
SALMEN INSURANCE
730 SW 4TH 3T. M3
CAPE CORAL, FL 33991
CONTACT '
NAME:
PHONE , (866) 587-7147 FAX No: (888) 542-3507
EMAIL ALLISON@SALMENINSURE.COM
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Pl2EEFRRIM TRACTORS INS. 00' (i5 )
12497
INSURED RAY FLORIDA ROOFING LLC
INSURER B :
INSURER C
INSURER D:
2180 NOVA VILLAGE DR.
INSURER E:
DAVIE, FL 33317
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. 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.
WSR
LTR
TYPE OF INSURANCE2111L
ADDL
SURR
JUL
POLICY NUMB ER
POLICY EFF
MM/ DD/YYYV
POLICY EXP
MW DDMYVY
LIMITS
p
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ®OCCUR
PC306702
4/16/2019
4/16/2020
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 50,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY ❑ jE T LOC
OTHER:
GENERAL AGGREGATE
$ 1,000,000
PRODUCTS -COMP/OP AGG
$ 1,000,000
$
AUTOMO BILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
Per accident
$
UM3 RELLA LIAB
EXCESS LIAR
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
DED I RETENTION $
$
WORKERS COMPENSATION
ANDEMPLOYERS'LUIBILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
V yes desorbe cler
RIPTION OF OPERATIONS below
DESCu
NIA
-
STATUTE I I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - FA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required)
*Subject to all policy terms, exclusions and conditions*
I rK I It -ILA I C nULUCR %oPU-4l/GLLN I IVIN
MIAMI SHORES VILLAGE BLDG DEPT
10050 N.E. 2nd Avenue
Miami Shores, Florida 33138
ACORD 25 (2016/03)
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 REPRESENTATIVE
0)1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
Produced Using Forms Boss Plus software. www.FonnsBoss.00nl; knpressive Publishing, LLC 800-208-1977
CERTIFICATE OF LIABILITY INSURANCE
Date
10/15/2019
Producer: Plymouth Insurance Agency
This Certificate is Issued as a matter of Information only and confers no
2739 U.S. Highway 19 N.
Holiday, FL 34691
rights upon the Certificate Holder. This Certificate does not amend, extend
or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
2739 U.S. Highway 19 N.
Insurer A: Lion Insurance Company
Insurers'
11075
InsurerC:
Holiday, FL 34691
Insurer D:
Insurer E:
Coverages
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. Aggregate
limits shown may have been reduced by paid claims.
INSR
LTR
ADDL
INSRD
Type of Insurance
yP
POIIC Number
Y
Policy Effective
Date
Policy Expiration
Date
Limits
(MM/DD/YY)
(MM/DD/YY)
GENERAL LIABILITY
Each Occurrence
Commercial General Liability
Claims Made11 Occur
Damage to rented premises (EA
occurrence)
Mad Exp
Personal Adv Injury
General aggregate limit applies per:
General Aggregate
Policy ❑Project ❑ LOC
Products - Comp/Op Agg
AUTOMOBILE LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Property Damage
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur 0 claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2019
01/01/2020
X
WC Statu-
I
OTH-
Employers' Liability
tory Limits
ER
E.L. Each Accident
$1,000,000
Any proprietor/partner/executive officer/member
excluded? NO
.L. Disease - Ea Employee
$1,000,000
If Yes, describe under special provisions below.
rE
.L. Disease - Policy Limits
$1,000.000
Other I
Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616
Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 91-68-614
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company':
Ray Florida Roofing LLC
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL.
Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or email certificates@lioninsurancecompany.com
Project Name:
ISSUE 10-15-19 (SS)
Benin Date: 1 4 2 17
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to
do so shall impose no obligation or liability of any Idnd upon the insurer, Its agents or representatives.
10050 NE 2ND AVENUE
MIAMI SHORES, FL 33138�f^�—
CTQB
Construction Trades Qualifying Board
16,.a BUSINESS CERTIFICATE OF COMPETENCY
15BS00224
RAY FLORIDA ROOFING LLC
D.B.A.:
TUDUCE MIRCEA B
Is certified under the provisions of Chapter 10 of Miami -Dade County
~- usn
w�t320 54 ,C
LA
Y"'�Altf. � M � 7 1�flItl1�R
tttLL�f's�",�'-� iLllC:i�10MiE
•3 4
SDO
opr of �amwNt'"" cptll�s
ons«�t to +r�.'ifM'r1�iMx MV..d by W—
QUALIFYING TRADE(S)
0044 ROOFING
Jaime D. Gaseon. P.E. !...��\ .,r
Secretary tithe Board I ..Marridede.90'tKonomY
warrrFDode court Y rdairx al prmperty rights fin.
Miami shores
Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL. CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: 4—,201 q
10050 NE 2nd Ave
Miami Shores, A 33138
Re: Owner's Name:
Property Address: 40/ V � /400s'T
Roofing Permit Number:
Dear Building Official:
I Tif^4o-A- certify that I am not required to retrofit the roof to wall connections of my
building because:
XThe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach roof p of ad
valorem taxation.
o I e b ilding was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 19 4 edition of the South Florida Building Code (1994 SFBC)
V" ......
Signature Print Name
:.►"` •; SONIA RAMONA TUOUCE
State of Florida - . MY COMMISSION # FF954374
County of Dade 'sa�.a EXPIRES Febmary 02. 2020
n(;?Msg5d"53 rwroiimmayServ".core
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 day of nCT A15
Notary Public, Sate of Florida at Large
h, SOMA RAMONA TUD(jCE
-�MY COMMISSION # FF954374
Februa.y 02. 2020
When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was
SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
with FBC nor a 1994
Revised on 5/21/2009
Ray Florida Roofing, LLC
2180 Nova Village Drive, Davie, FL 33317 1
Phone: 754.246.3100 1561.255.01341 rayfloridaroofing@ymail.com
IRC29027485
TAMARA FRANCO MAGALHAES
Ray Florida Roofing Rep:
101 NW 100 ST MIAMI SHORES, FL Mitch 5612550134
SL,O:PE 'PILE ROOF CON'T'1._ACT
1. Ray Florida Roofing to tear off existing slope roof down to clean, workable wood deck and replace
any rotted wood decking at no additional cost according to requirements of Florida Building Code.
Note: Soffit wood, damaged wood from termite not included. See fee schedule for additional charges
2. Ray Florida Roofing to re -nail entire wood slope deck as necessary to meet current Florida Building
Code requirements.
3. Ray Florida Roofing to install one (1) layer of # 30 felt over entire slope roof area, as per Florida
Building Code requirements.
4. Ray Florida Roofing to install 16" valley metal at all areas necessary as per Florida Building Code
requirements.
5. Ray Florida Roofing to install 3x3 26gg galvanized metal drip around complete perimeter of slope
roof area and prime for proper adhesion as per Florida Building Code requirements.
Galvanized Brown White
6. Ray Florida Roofing to install as necessary new lead flashings at plumbing stacks and slope vents.
Note: If wall flashing needs to be removed, may be additional cost for new flashing and stucco work.
7. Ray Florida Roofing to install approved tile underlayment with a uniform mopping of type IV hot
asphalt over entire slope roof area.
8. Ray Florida Roofing to back nail tile underlayment to resist slippage, as per Florida Building Code
requirements.
Page 1 of 3
Ray Florida Roofing, LLC
2180 Nova Village Drive, Davie, FL 333171
Phone: 754.246.3100 1561.255.01341 rayfloridaroofing@ymail.com
BC29027485
9. Ray Florida Roofing to install hip and ridge metal for tile installation attachment, as per Florida
Building Code requirements.
10. Ray Florida Roofing to install standard flat or roll tile. Standard colors and local deliveries
included. Premium colors and shipping extra, if required owner to be notified in writing before.
Manufacture Profile roll tile Color
11. Ray Florida Roofing to install tile in medium patty of approved polyfoam adhesive. No nail on
application.
12. Ray Florida Roofing to remove all job -related roofing debris from premises.
*Note Wood Fee Schedule: (Linear Foot: LF)
Two 13v Lumber $5.50/I,F
Furrin Strip SLOO/LF
One By Decking $5.50/ LF
Wood Fascia S6.50/I.,F
5/8" Plvwood Decking $55 per sheet
Cedar Fascia S Market Price
Special Orders S Market Price
*Note: wood charges if any are due upon installation
10 YEAR WORKMANSHIP WARRANTY WITH REQUIRED MAINTENANCE
COST: $
Y.2,��.�,
PAYMENT TERMS:
1,0% upon signing
40% upon start
40% upon tile load
10% upon completion
(Note: credit card payments are accepted and will be assessed a 3.9% fee for each transaction)
Page 2 of 3
Ray Florida Roofing, LLC
2180 Nova Village Drive, Davie, FL 333171
Phone: 754.246.3100 1561.255.01341 rayfloridaroofing@ymail.com
BC29027485
*Administration and permit running fees are included.
*Owner pays for permit cost.
Note: Any requirements imposed by building department over and above contract will be additional
charge.
Gutters, screens, solar heating, air conditioning units, gas vents, etc. must be removed and/or installed
by others at owner's expense.
Ray Florida Roofing shall not be liable for, without limitation, damage to driveways, sidewalks, lawns,
sprinkler systems, gardens, septic systems and drain fields or any other structures as a result of rooftop
or on the job deliveries.
Ray Florida Roofing assumes no responsibility for damage caused by an act of God or and, act beyond
our control. We are fully li sed and insured. This contract is not valid or binding until approved and
accepted by an officer of t e c� rporation.
Approved By:
Print Name:
rCIIJYn�-Vc
Owner/Agent
Accepted By: /1--11 Date: Ap if
RV Florida Roofing Representative
Page 3 of 3
Property Search Application - Miami -Dade County
10/15/19, 10 46 AM
Address Owner Name Subdivision Name Folio
SEARCH: 101 nw too st
PROPERTY INFORMATION 8
Folio: 11-3101-022-0300
Sub -Division:
GOLD CREST SUB
Property Address
101 NW 100 ST
Owner
ALEJANDRO MARTIN CRESPO
TAMARA FRANCO MAGALHAES
Mailing Address
101 NW 100 ST
MIAMI SHORES, FL 33150
PA Primary Zone
i 0800 SGL FAMILY-1701-1900 SO
Primary Land Use
0802 MULTIFAMILY2-9 UNITS: 2 LIVING UNITS
Beds / Baths / Half 41210
Floors 1
Living Units 2
Actual Area 2,316 Sq.Ft
Living Area 1,894 Sq.Ft
Adjusted Area 2,158 Sq.Ft
i Lot Size 9,219.98 Sq.Ft
Year Built 1941
Suite µ
4..
00
Featured Online Tools
..... ,........
..
Comparable Sales Glossary PA Additional Online Tools Property Record Cards Property Search Help Property Taxes
Report Discrepancies Report Homestead Fraud Special Taxing Districts and Other Tax Comparison Tax Estimator TRIM Notice
Non -Ad valorem Assessments
Value Adjustment Board
ASSESSMENT INFORMATION 8
Year
2019
2018
2017
Land Value
$213,064
$203.054
$203,064
Building Value
$255.617
$158.071
$150,057
Extra Feature Value
$648
.................................... __..._.......
$859
_..................................................._..........
$870
Market Value
$469,329
$361,794
$353,791
Assessed Value
$469,329
$361,794
$353,791
BENEFITS INFORMATION 8
Benefit Type 2019 2018
Homestead Exemption $25,ODO
Second Homestead Exemption $25,000
t Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional).
https://www.miamidade.gov/Apps/PA/propertysearch/#/ Page 1 of 3
Property Search Application - Miami -Dade County
10/15/19, 10:46 AM
TAXABLE VALUE INFORMATION 8
2019
FULL LEGAL DESCRIPTION 9
GOLD CREST PB 21-56
2018 2017 LOT 7
COUNTY
E1/2 OF LOT 8 BLK 4
Exemption Value $50,000 $0 $0
LOT SIZE 86.370 X 108
Taxable Value $419,329 $361.794 $353,791
OR 145 02-383 0390 1
r
SCHOOL BOARD
COC 22858-2862 10 2004 4
Exemption Value $25,000 $0 S0
Taxable Value $444.329 $381,794 $353,791
CITY
Exemption Value $50,000 $0 $0
Taxable Value $419,329 $381.794 $353,791�
REGIONAL
Exemption Value $50.000 $0 $0
Taxable Value $419,329 $361.794 $353,791
SALES INFORMATION 8
Previous Sale Price OR Book -Page Qualification Description
Previous Owner 1
Previous Owner 2
0711MO18 $575,000 31075-2259 Qua[ by exam of deed
NOMADE REALTY LLC
11/11/2016 $287,700 30320-0286 Financial inst or "In Lieu of Forclosure" stated
U S BANK NATIONAL ASSOCIATION TRS
C/O OCWEN LOAN
SERVICING LLC
06/05/2014 $200,300 29209-4824 Financial inst or "In Lieu of Forclosure" stated
EVELYN WRIGHT
10/01/2004 $0 22856-2862 Sales which are disqualified as a result of examination of the dead
03/01/1990 $90,000 14502-0383 Sales which are qualified
For more Information about the Department of Revenue's Sales Qualification Codes.
2019 2018 2017
LAND INFORMATION 8
Land Use Muni Zone PA Zone
Unit Type
Units
Calc Valu
GENERAL R-14.25, R-15 0800 - SGL FAMILY - 1701-1900 SQ Front Ft.
85.37
$213,06
BUILDING INFORMATION 8
Building Number Sub Area Year Built
Actual Sq.Ft. Living Sq.Ft.
Adj Sq.Ft.
Calc Valu
' 1 1 1941
1,644 1,222
1,484
$190,91
2 1 1941
872 672
672
$64,70
Cy Current Building Sketches Availablel
EXTRA FEATURES 9
t Description
Year Built
Units
Calc Valu
Chain -link Fence 4-5 fi high
1976
60
$36
Wall -CBS urveinforced F m
1978
120
$28
ADDITIONAL INFORMATION
The information listed below is not derived from the Property Appra[sefs Office records. It is provided for convenience and is derived from other government agencies.
LAND USE AND RESTRICTIONS
.............. .
Community Development District: NONE
Community Redevelopment Area: NONE
iI Empowerment Zone: NONE
Enterprise Zone: NONE
Urban Development: INSIDE URBAN DEVELOPMENT BOUNDARY
Zoning Code: R15 -
Existing Land Use: 20 - TWO-FAMILY (DUPLEXES).
Government Agencies and Community Services
OTHER GOVERNMENTAL JURISDICTIONS
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r Tax Collector
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City of Miami Shores Environmental Considerations
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Assessment
South Florida Water Mgmt District
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and User Agreement at http://www.miamidade.govfinfoldisclaimer.asp
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https://www.miamidade.gov/Apps/PA/propertysearch/#/ Page 3 of 3
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 6th Edition (2017) ,
High -Velocity Hurricane Zone Uniform Permit Application Form
I
Section A (General Information) I
Master Permit No. Process No.
Contractor's Name �Q✓/� %.— ��o h,i L,
Job Address
ROOF CATEGORY •
❑ Low Slope ❑ Mechanically Fastened Tile X Mor?&?A ttesive Set files :....;
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wo4 Sbkrfgles/SbaRas' .9.600
❑ Prescriptive BUR-RAS 150 • •; • •; • • • : • • • • •
ROOF TYPE �• •� •• 0• *000•.
❑ New roof ❑ Repair ❑ Maintenance ❑ Reroofing ❑ ft;Q fering • • • • • •
ROOF SYSTEM INFORMATION • • • • • • 0:
Low Slope Roof Area (SF) Steep Sloped Roof AREA (SSF) ��� • Tb" 7SF) (5A:1 1
1
Section B (Roof Plan) 1
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
i
I_
T
.....__........
1
D 7
Z
M a -
�' o; .
O T I n
V
-- — -
0 T
--- — —_ ---
I
lJ
i
i
_= -n
d!J_
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form 1
I
Section D (Steep Sloped Roof System)
Roof System Manufacturer:
Notice of Acceptance Number: /I _ D L 1
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): 11 :. �.; •
...... .... ......
• I
\Deck Type:X
• I
......_.....
Type Underlayment: i 90 •
Roo slope: -
Insulation: ti,¢ '..' .. ;•••L; 1
Fire Barrier: I
Ridge Ventilation? �, Fastener Type & Spacing: ! ow
Adhesive Type: I 1
/a7'
\ Type Cap Sheet: go C�
Mean Roof Height:
i
Roof Covering:
Type & Size Drip SxS A�
Edge:
1
1
1
� 1
I
I
I
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
1 Florida Building Code 6th Edition (2017)
1 High -Velocity Hurricane Zone Uniform Permit Application Form
1
1 Section E (Tile Calculations)
1 For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from M,. If the M, values
1 are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable.
1 Method 1 "Moment Based Tile Calculations Per RAS 127"
1 (P1: x
1 = _� - Mg: = Mr, Product Approval M, •
(P2: xX Mg: = M2 Product Approval M, : ... 0 • •
1 (P3: xk _ - Mg: = Mr3 Product Approval M, ....
1 Method 2 "Simplified Tile Calculations Per Table Below" • • • • • • • 1 Required Moment of Resistance (Mr) From Table Below 3a • 17 Product Approval M, a_3 0000 • ; • • • •• •
1
1
1
1
1
1
1
..•...
1 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and
1 Appeals.
For Uplift based tile systems use Method 3. Compared the values for Fwith the values for Fr. If the F values are greater than or
1 equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable.
1
1 Method 3 "Uplift Based Tile Calculations Per RAS 127"
1 (P1: x L = x w: = _) - W: x cos A = Fr, Product Approval F'
(P2: x L = x w: = _) - W: x cos 0 = F2 Product Approval F
1 (P3: x L = x w: = _) - W: x cos 0 = Fri Product Approval F
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Mr required Moment Resistance" 000000 •
Mean Roof Height
Roof Slope
15'
20'
25'
30' • •
• •
• • 40' • •
• • •
2:12
34.4
36.5
38.2
39.7
• 42.2 ; • •
3:12
32.2
34.4
36.0
37.4
• 39.8
4:12
30.4
32.2
33.8
35.1
37.3'.;
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
P1 or P2 or P3
RAS 127 Table 1 or by an engineering analysis pre-
pared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
0
Job Site
Aerodynamic Multiplier
Product Approval
Restoring Moment due to Gravity
Ma
Product Approval '
Attachment Resistance
M,
Product Approval
Required Moment Resistance
M9
Calculated
Minimum Attachment Resistance
F
Product Approval
Required Uplift Resistance
Fr
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
L = length W = width .
Product Approval
All calculations must be submitted to the building official at the time of permit application.
SECTION
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR
R ROOFING
1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contrcictor tp provic�'�� owner wilh • • •
the required roofing permit, and to explain to the owner the content of the section. T�e'prbvisior s cif• Iwne w*, p.
govern the minimum requirements and standards of the industry for roofing systerr►ir2elal#etions. Adei?io tionally, 44 ••'
following item should be addressed as part of the agreement between the owner 8nrtt 'contractor' The owrvs• •:
initial in the ignated space indicates that the item has been explained.
2. Renailing wood decks: When replacing roofing, the existin�oc�d►roof deck •nay have to'.•
be renailed in accordance with the current provisions of Section R4403. ( e roof deck
1S.uStL�{ly •.••.•
cor�aled prior to removing the existing roof system).
• . ••••••
sees
4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance; therefore,
roofin nail penetration of the underside of the decking may not be acceptable. This provides the option of
mai a ning the appearance.
6 verflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is
not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
/ scuppers in accordance with the requirements of Sections R4402, R4403 and R4413.
"Owner/AgentV'sSignatureDate Co a ctor Signature Date
AP/ Aso " p-
Property Address Permit Number
Revised on 7/9/2009 LD;07/01/2015;
MIAMI-UADE
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy
Boral Roofing, LLC :...:.
7575 Irvine Center Drive, Suite 100 •
Irvine, CA 92618 •••••• ••.• ......
COPE: • • •. ..
......
This NOA is being issued under the applicable rules and regulations governing the use of cortsMuction materials. Tie:
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Px.Qd..u..pt. • • 00900
Contt9L Spgtion tp.l q
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdirtiola4AHJ). . •
.:
This NOA shall not be valid after the expiration date stated below. The Miami -Dade Count� Product Con�iol'Section
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to baye ibis •
product or material tested for quality assurance purposes. If this product or material fails to perform in tale Alcepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Barcelona 900 Concrete Roof Tile
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA No.18-0509.15 and consists of pages 1 through 7
The submitted documentation was reviewed by Freddy Semino 0
NOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 1 of 7
ROOFING ASSEMBLY APPROVAL
Category:
Roofing
Sub -Category:
Roofing Tiles
Material:
Concrete
1. SCOPE
This approves a roofing system using Barcelona 900 Concrete Roof Tile, as manufactured Bor�IR66fing "..
in Lake Wales, FL and described this Notice of Acceptance. For locations where Na prossurer eqv r�ements, as
determined by applicable Building Code, do not exceed the design pressure values gained byoealtulationg In • •
compliance with RAS 127 using the values listed in the installation section herein. 'T1ti IAtachmed calcula£aoas.:
shall be done as a moment based system. ."". •.
.... . .. .....
2. PRODUCT DESCRIPTION
Manufactured by
Applicant Dimensions
Barcelona 900 Length = 17"
Width = 13"
'h" thick
...... . . .....
.. .. .. .. ......
Test : Ptrocduct . . ......
Specifications Description:*"" 0 • • • •
•
TAS 112 High profile, interlocking, ones;j*g;'S' shaped,
Type — la high-pressure extruded concrete roof tile
equipped with three nail holes. For direct deck
or battened nail -on, mechanically fastened,
mortar set or adhesive set applications.
Trim Pieces Length: varies TAS-112 Accessory trim, boosted Barcelona, concrete
Width: varies roof pieces for use at hips, rakes, ridges and
varying thickness valley terminations manufactured for each tile
profile.
2.1 PRODUCTS MANUFACTURED BY OTHERS
Product Name
ICP Adhesives Polyset® AH-160
TILE BONDTM Roof Tile Adhesive
DAP Foam Touch N Seal
StormBond® 2 Roof Tile Adhesive
Product Description
Two component polyurethane
foam adhesive.
Single component polyurethane
foam roof tile adhesive.
Two component polyurethane
foam adhesive.
2.2 MANUFACTURING LOCATION
2.2.1. Lake Wales, FL
Manufacturer
(With Current NOA)
ICP Adhesives and Sealants, Inc.
The Dow Chemical Company
Dap Foam Inc.
NOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 2 of 7
2.3 SUBMITTED EVIDENCE:
Test Agency
Test Identifier
Test Name/Report
Date
Redland Technologies
7161-03
Static Uplift Testing
Qec. 1991
Appendix III
TAS 102 & TAS 102(A)
;••••• ,.,,,,
Redland Technologies
7161-03
Wind Tunnel Testing
."*sec. 1991 'o
Appendix II
TAS 108(NjC-***)
Redland Technologies
P0402
Withdrawal M ce
R St'ali
• • ""'
$e�pt. 1993
Testing of screw W 9mooth`
,
of•': • •.
.goof.
shank ngils,�•
. . f....
•��•��
Redland Technologies
Letter Dated Aug. 1,
Wind TunnetTt:?i¢g
������
*Aug. 1994 •,
1994
TAS 108 (N'ai 1-Oit)
:... % ......
Redland Technologies
P0631-01
Wind Tunne;Testixg
19446"s
TAS 108 (Mortar Set)
..July
• • • •
Professional Service Industries, Inc.
IC-1320-94
Physical Properties
Feb. 1995
TAS 112
The Center for Applied Engineering, Inc.
25-7688-3
TAS 101 (Adhesive Set)
June 1996
25-7688-10
TAS 101 (Mortar Set)
July 1996
The Center for Applied Engineering, Inc.
25-7688-5
Static Uplift Testing
June 1996
TAS 102
(3" Headlap, Nails, Direct
Deck, New Construction)
The Center for Applied Engineering, Inc.
25-7688-4
Static Uplift Testing
June 1996
TAS 102
(4" Headlap, Nails, Clips)
Celotex Corporation
520111-3
Static Uplift Testing
Dec. 1998
Testing Services
520191-2-1
TAS 101
March 1999
Walker Engineering, Inc.
Calculations
Aerodynamic Multiplier
09/01/16
Walker Engineering, Inc.
Evaluation
Restoring Moments Due to
09/01/16
Calculations
Gravity
American Test Lab of South Florida
RT0617.03-16
TAS 112
06/29/16
PRI Construction Materials Technologies
COPO-002-02-10
Static Uplift Testing
10/12/2016
TAS 101 (Adhesive Set)
PRI Construction Materials Technologies
COPO-002-02-02
Static Uplift Testing
10/12/2016
TAS 101 (Adhesive Set)
PRI Construction Materials Technologies
COPO-002-02-01
Static Uplift Testing
10/12/2016
TAS 101 (Adhesive Set)
C•DADEOU CNOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 3 of 7
3. LIMITATIONS:
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may
require, 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 Department of Regulatory
and Economic Development — Product Control Section for review.
3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed
section 4.1 herein.
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slopiUnligs stated....
otherwise by the underlayment material manufacturers published literature. • • • • • • .'
3.6 This acceptance is for wood deck applications. Minimum deck requirements sh'A17IV?h cor 1plt tf a witlr ...
•
applicable building code. 000000 •
.... .. .
.... . .. .....
.. .. .. .. ......
4. INSTALLATION •
4.1 Barcelona 900 Concrete Roof Tile and its components shall be installed in strict g%ripliance with Roofing.:
.. . . .. :
Application Standard RAS 118, RAS 119, and RAS 120. :..•
4.2 Data For Attachment Calculations
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile
Weight-W (lbf)
Length -I (ft.)
1
Width-w (ft.)
Barcelona 900
• 11.5
1.417
1.08
Table 2: Aerodynamic Multipliers - A (ft3)
Tile Profile
A (ft3)
Batten Application
A (ft3)
Direct Deck Application
Barcelona 900
0.286
0.301
Table 3: Restoring Moments due to Gravity - M9 (ft.-lbf)
Tile
Profile
2":12"
3":12"
4":12"
5":12"
6":12"
7":12" or
greater
Barcelona
900
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
I Deck
Battens
Direct
Deck
Battens
Direct
Deck
6.19
7.07
6.19
7.00
6.19
6.90
1 6.06 1
6.76
5.92
6.60
5.76
6.42
NOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 4 of 7
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Mechanically Attached Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(min 15/32"
(min. 19/32"
plywood)
plywood)
Barcelona 900
2-10d Ring Shank Nails
28.6
41.2
19.4
1-10d Smooth or Screw Shank
5.1
6.8
2.8
Nail
2-10d Smooth or Screw Shank
6.9
: 9.2'.
7.3 ....
Nails
••••
1 #8 Screw
20.7
.20:7.
18.1
2 #8 Screw
43.2
4&2
. 29.8 : *'0
1-10d Smooth or Screw Shank
23.1
25:1 1
• • 19.0 • • • •
Nail Field Clip)....
......
.
1-10d Smooth or Screw Shank
29.3
�Q
024.0 • • • •
Nail Eave Clip)
•04
2-10d Smooth or Screw Shank
27.6
: 27.6
""*38.6. ,
Nails Field Clip)•
•
.. • • • • •
• ,
2-10d Smooth or Screw Shank
38.1
38.1
•' • • 41.8
Nails Eave Clip)
Table 5: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Mechanically Attached Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(min 15/32"
(min. 19/32"
plywood)
plywood)
Barcelona 900
2-10d Ring Shank Nails'
33.1
48.1
45.2
1 Installation with a 4" the
headlap and fasteners are located a min. of 2'/2" from head
of tile.
Table 6: Attachment Resistance Expressed as a Moment Mf (ft-lbf)
for Two Paddy Adhesive' Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Barcelona 900
Tile BondTA°One Component Roof Tile Adhesive
29.32
ICP Adhesives Polyset® AH-160 two -component foam
29.33
DAP Foam Touch N Seal StormBond® 2 Roof Tile Adhesive
664
1 See manufactures component approval for installation requirements.
2 TILE BONDW Roof Tile Adhesive; Average weight per paddy 10.7 grams.
3 ICP Adhesives and Sealants, Inc.'s ICP Adhesives Polyset AH-160; Average weight per paddy 8 grams.
4 DAP Foam Touch N Seal StormBond® Roof Tile Adhesive Two -Component; Avera a weight per paddy 8 grams.
APPROVED
NOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 5 of 7
Table 7: Attachment Resistance Expressed as a Moment - Mr (ft-lbf)
for Single Paddy Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Barcelona 900
ICP Adhesives Polyset® AH-160 two -component foam
66.55
ICP Adhesives Polyset® AH-160 two -component foam
38.7 6
DAP Foam Touch N Seal Storml3ond® 2
63 7
DAP Foam Touch N Seal Storml3ond®2
; �•• $7°" ..,,,
5 Large paddy placement
of 63 grams
.' • • •, •
6 Medium paddy
placement of 24 grams
• • • • •
7 Medium paddy
placement of 30 grams
.....'
8 Large paddy placement
of 60 grams
•
Table 8: Attachment Resistance Expressed as a Moment - M?(ftmbf) • • • • • •...
�....� �•
for Mortar Set Systems . .
Tile
Tile
,•, Attac ment
Profile
Application
RegisMce •
Barcelona 900
Mortar Set9
24.5
9 Seespecific mortar manufacturers Notice of Acce tance
5. LABELING
5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed
below, or following statement: "Miami -Dade County Product Control Approved".
W
LABEL FOR BARCELONA 900 TILE (LAKE WALES FL PLANT 2)
LOCATED UNDERNEATH TILE
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable building code in order to
properly evaluate the installation of this system.
NOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 6 of 7
NAIL HOLES
r
17"
NZ
PROFILE DRAWING
OVERLOCK
13"
UNDERLOCK
BARCELONA 900 CONCRETE ROOF TILE
END OF THIS ACCEPTANCE
••••••
•
••••••
•k„t •
.•••••
•
•.0••••
0009
•
Y
69
00006
•• ••
••••••
••
......
......
••••
NOA No.: 19-0408.02
Expiration Date: 04/26/22
Approval Date: 05/16/19
Page 7 of 7
MIAMI-DADE COUNTY
MIAMI PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy
ICP Adhesives and Sealants, Inc.
12505 NW 44" Street
Coral Springs, FL. 33065 • • •
...... .... ......
SCOPE: •••:•• :....:
This NOA is being issued under the applicable rules and regulations governing the use of t6fittructioc materials. The, •
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to.&.'
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdi..c.ji.v.nCAHJ).. .' .: • • • • • •
This NOA shall not be valid after the expiration date stated below. The Miami -Dade CoAV Vroduct .Control Sectic, i :.
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to h:t48'thts prod ct0
00
or material tested for quality assurance purposes. If this product or material fails to performe4uthaaccepted"inner,•the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: ICP Adhesives Polysete' 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.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 1 of 11
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE:
This approves ICP Adhesives Polyset® AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as cl'escribed• • ; •
in this Notice of Acceptance. For the locations where the design pressure requirements, as leierniined IV lLpplicable '.
building code, do not exceed the design pressure values obtained by calculations in compliancq with RoCI MA • • • •
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile 9�§Mlfs usingIq�P ; • • • •;
Adhesives Polyset® AH-160. • • • •
...... . . .....
PRODUCTS MANUFACTURED BY APPLICANT: • • • • • • • • • • • "":'
Product Dimensions Test Product Ws
Tription • • • • •
Specifications •
ICP Adhesives N/A TAS 101 Two component polyurefhane t9;6*ndhesive •
PolyseeAH-160
ICP Adhesives Foam N/A Dispensing Equipment
Dispenser RTF1000
ICP Adhesives ProPack® N/A Dispensing Equipment
30 & 100
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:
Property Test
Density ASTM D 1622
Compressive Strength ASTM D 1621
Tensile Strength ASTM D 1623
Water Absorption ASTM D 2127
Moisture Vapor Transmission ASTM E 96
Dimensional Stability ASTM D 2126
Closed Cell Content ASTM D 2856
Results
1.6 lbs./ft.'
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs./Ft'
3.1 Perm / Inch
+0.07% Volume Change @ -40' F., 2 weeks
+6.0% Volume Change @158°F., 100% Humidity, 2
weeks
86%
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufacturing variation.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 2 of 11
EVIDENCE SUBMITTED:
Test Agency
Test Identifier
Center for Applied Engineering
#94-060
257818-IPA
25-743 8-3
25-7438-4
25-7438-7
25-7492
Miles Laboratories
Polymers Division
Ramtech Laboratories, Inc.
Southwest Research Institute
Trinity Engineering
Celotex Corp. Testing Services
NB-589-631
9637-92
01-6743-011
01-6739-062b[ 1 ]
7050.02.96-1
P36700.04.12
P39740.02.12
528454-2-1
528454-9-1
528454-10-1
520109-1
520109-2
520109-3
520109-6
520109-7
520191-1
520109-2-1
Test Name/Renort
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
•....•
�I1/0;/95
•1,?/j 95
U2/04/94
trrrs�94
01 /1095
•..•
03/14/96
04/ 18/ 12
02/21/12
10/23/98
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.
MIAMI•DADE CNOA No.: 17-0322.03
OUNTY
... I 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 "seance value
determined in compliance with Miami -Dade County Roofing Application Standards "127. The ad esive 0*00 ••
.. . •11• attachment data is noted in the roof tile assembly NOA.
...... ....• .....•
.
3. ICP Adhesives Polyset® AH-160 and its components shall be installed in accordance "ithRoofing Application....:
Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and WAtenance Vooklet. •
4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed k�4I+GP Adhesive; and • • • • • •
Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicateorseto the auftrhy havifit
jurisdiction. • • • • • • •
5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is required bef3re applicatiQ�••�;
of any adhesive. The mix ratio between the "A" component and the "B" component sflaU bc•maintiged &tween •
1.0-1.15 (A): 1.0 (B). of**
6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 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 minutes after ICP Adhesives
Polyset® AH-160 has been dispensed.
9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the
'Placement Details' herein. Each generic tile profile requires the specific placement noted herein.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 4 of 11
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement Detail
Minimum Paddy Contact
Minimum Paddy Gram
Area
Weight
Eave Course - Flat, Low, High
Profiles
All Eave Course
17-23 sq. 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 (1 each longitudinal
..
";17 grams, p ea ..
edge) 20-25 sq. inches each
0•0"
bead
'• •
....
Two Piece Barrel (Pan Tile)
Two Piece
65-70 sq. inches
ge ...
•,� grarrbs und$r
pan,,*-:
LABELING:
All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of tho%. 0
manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami -
Dade County Product Control Seal as shown below.
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
MIAMI•DADE CONOA No.: 17-0322.03
"' • UNTY Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 5 of 11
ADHESIVE PLACEMENT DETAIL # 1
tttOUgtthRlarticcuft t r+adklyf2tanQathTiia}
lwlsm fftdradl
ton.
Eays cwnaasdo
�a
ti
Nail throuighplas* rtmern
(when required)
Paddy iltrm.ath Ti1sl
urtdlayntaxrt
/4in.x
2 in wtdis +
ltattemolNiorwall
1 AV °
«««.IawCla�sura
Cave count �— iasNa
Nailihr+n��pl.►Hcc a"„
C"on roquite+dt
PA ddy IBonwalkTilol
,v
i
2 in, wide
���
hatta�as
Er ira tours*
�na3
lYberyhole
loin, in. -
Esre-clasur
m
Ulitte
MIAMI•DADE COUNTY
,...� t .
Flat/Low Profile Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown,
under the strengthening rib closest to the overlock
of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm2) — 23 (148.4 cm2) square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pap tije •
• .
1. Starting at the eave courses apply a mt>limum•• 2 ......
(50.8 mm) x 10" (254 mtil�j x• � 13 (25.4 xrltt>�l foam * : •' •
paddy onto the underlaytht?4 tpsitioned as shown • � - •
under the pan portion of the tO closCitlQl he ....%
overlock of the tile being S>rt • •
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.
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm') — 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 DETAIL # 2
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 of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm2)
— 23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2.
At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as$ho-vyn under tko:.
strengthening rib closest to Tko overlock gt& tile ..•
being set. •••••. •
�7j
PP kiT Y 4.....
Continue in same manner. >;nsur>s.a ro i atel 10.
(64.5 cm2) - 12(77.4 cm2) $Zj;r inch AdhVive • •...
contact with the underside; fiL;'tile. • :. : • • • • •
.. .. ......
..... ......
Medium Profile / Double Pad TM • .
1. Starting at the eave course, apply a mint$itIn 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
pan portion of the tile closest to the overlock of the
tile being set. Insure approximately 17 (109.7 cm2) —
23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the tile closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 12"
(77.4 cm2) - 14 (90.3 cm2) square inch adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
IIAMI•D DDE COUNTY
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 7 of 11
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
Mali tluauolh 01ank to
twhenrequired) Pitj&rfs#r vtthTile)
tAn�i+r#»�rrt
Tin*
Uatteas eptioul
ti
E•veCoutrse �.•,
�asria
t` tYwepi�akY
roar. ate. [•�tcieste
.:�" oripedpe
MIAMNDADE COUNTY
...s r.
High Profile / Single Pan Tile
Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
pan portion of the the 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 Vim) foam piddyWto the
underlayment positioned as %ptvrr under th a pan • • • • •
portion of the tile closest to 4k@ ewerlocle9 f 14o tile •
......
being set. ...... •
3. Continue in same manner. Insu'rd approximately 17".
z f • • • . •
(109.7 cm) - 19 (122.6 cm.),xqua!re incll'adh¢ive •••..
contact with the underside of 4bg file. •' • • • • • •
. ...... ......
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
Hall through plastic cement Paddy (between tiles)
(when required)
Battens optional
• Paddy iunder tile)
Single paddy
an top aitile r
r.i
1
►1 X d in. `` �`•� �Y� 4,
up r til
Singlepaddy
all underlaymen Z X s ina y `'
1OinLL�°-,f
4'2 in ut
,. Eave ttosure
Flat/Low Profile Tile
Nail through plastic cement Single paddy under tile
{when m"Ired)
IN ibe2rveen ties)
Battens paddy (under t1e)
opt.w `may
singlepad�
ontopoftile` t .�
Spa X a in. 2 x d in. ' 4�
unotdayment
0 in ` w' 2 In.
Eave Closure
Eave Course Fascia
Medium ProflleTlie
CMIAMI-D�ADE COUNTY
1. On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1 " (25.4 mm) foam paddy
onto the underlayment positioned as shown, under
the strengthening rib for flat tile or under the pan
portion of the tile for low or high profile tile closest
to the Overlock of the tile being set. Leave
approximately 4" (101.6 mm) up from the eave
edge free of foam to prevent the expanded adhesive
from blocking the weep holes. Insure
approximately 17-23 in (109.7-148.4 cm2) of
adhesive contact with the underside of the tile
• •
••...• 000000
2. Apply a 4" (101.6 mm) yJ0 jldl.6 rnrtSJk'1" (25.4 •�
mm) foam paddy onto the�Grlayment lust below • • •
the second course line positioned foaig paddy • •...:
under the strengthening rib*roflat tire, brAder d w
pan portion of the tile, crosk9f to the ptiderlock far•;. • •
the second course tile tootle installed. YAs4e •.....
approximately 8-9 in 6000
(ft1.6l5$.1 cm2) of adhesive •
contact with the underside otthe till ... • • • • •. • •
• • •
• • • •
••••
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
Hail through plastic Sir►gle paddy under the
when requited)
Paddytbetrreen tiles)
Battens
optional Paddy (under Met
em
1%41n.'`�,�
2x4)n.
Paddy on
top of toe--
Eave Course
ascia
Weeghole
10 in.2 in. Eave closure
Drip edge
High ProflleTiie
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 1/4"
(19 mm) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11 (71cm2) square inch adhesive
contact with the underside of the tile at the overlap
and 7 (45.2 cm2) - 9 (58.1 cmZ) square inch
adhesive contact with the underside of the tile at
the head of the tile. Continue in same manner.
•
•••••• ••••••
...... ....•.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 10 of 11
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
t) Place enough adhesive to achieve 65 to 70 sq. in. Steep pitch applications
in contact with the pan tile. when required)
2) Turn covers upside down. Place adhesive in
to t in. from outside edge of cover tile.
Then install the tile. Ensure 20 to
25 sq. in. contact area.
Underlayment
1 ° o
/ �� ' �r'' ice' f;� ♦y °
Sheathing
Eave dosur '
(motar shown)
weephole
Fascia Board
Remove top portion of the eave course cover tile. Abut to second course of
pan tiles. Ensure rave end of pan and cover tiles are flush at eave line.
Two Piece Barrel - High Profile Tile
Two Piece Barrel (Cap and Pan) Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as
shown under two adjacent pan tiles. Support eave
tiles from rocking until adhesive has a chance to
cure.
2. Continue in same manner bringing two pan
courses up toward the ridge. Insure
approximately 65 (41.9.4 c�riZ) — 70(�451•.6 cm. • • • •
square inch adhesive•coAaCt with Ur. underside ••
of the pan tile. ••••.. .... • . • • • .
•
3. Turn covers upside dvWi14posirV l;bC underside •
of the tile. Apply a minimum 1" (25.'� mm) x'ItC * •.
00*00
(254 mm) bead of ad ;sive�directly�uq Jehe inn,j; � • •
edge of each side of Ow wyer tile. Leave • •
approximately 3/4" (:9 ttIA) to 1: (25.4 mm)•...:.
from the outside edgC of�hp tile, mward, free of •
foam to allow for expAdsiod. • • *as•
•e.
4. Turn cover tile over after foam is applied and
place onto pan tile course. Insure a minimum of
20 (129 cmZ) - 25 (161.3 cm') square inch
contact area on each side of the cover tile to the
pan tile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
SECTION 1525
HIGH -VELOCITY HURRICANE ZONES —UNIFORM PERMIT APPLICATION
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,y� •
Prescriptive BUR-RAS 150
A,B,C
4,5 6�3 .'•
Asphaltic Shingles
A,B,D
1,2,4,C46,S--
Concrete or Clay Tile
A,B,D
Metal Roofs
1,2,3,4,CDv&W-
Wood Shingles and Shakes
A,B,D
1,2,4* ,6,Y
Other
As Applicable
1,2,3,4,5,C,7:
-- • • --
ATTACHMENTS REQUIRED: ' •
1.
Fire Directory Listing Page
2.
From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128
4.
Other Component of Product Approval
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
7.
Any Required Roof Testing/Calculation Documentation