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CC-19-2613r Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 • I i Issue Date:11/12/2019 Location Address Parcel Number 1700 NE 105TH ST 510, Miami Shores, FL 33138 1122300500860 Contacts Permit NO.: CC-10-19-2613 Permit Type: Building (Commercial) Work Classification: Alteration Permit Status: Approved Expiration: 05/11/2020 Mary Johnson Owner MIKE'S TILE & MARBLE SERVICES INC Contractor 1700 NE 105 Street 510, Miami Shores, FL 33138 LUIS YULI Mobile: 3055104688 johnson.mary418@gmail.com 18846 SW 28 CT, HOLLYWOOD, FL 33029 Business: 3055283393 mikestilel@aol:com Description: ADDING TILE ON TOP OF EXISTING FLOOR Valuation: $ 8,000.00 Requests: Inspection 305-4949 (CONCRETE) Total Sq Feet: 1,150.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $3.60 DCA Fee $2.40 Education Surcharge $1.60 Permit Fee $190.00 Scanning Fee $9.00 Technology Fee $6.00 Total: $267.40 Building Department Copy Payments Date Paid Amt Paid Total Fees $267.40 Credit Card 11/12/2019 $217.40 Credit Card 10/31/2019 $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 info tion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I autllopq t above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contra t� or �/ Agent Date November 12, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village t3l Buildin De artment \g p10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 79S-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 220 I2 Master Permit No. C-- l� Zbl3 BUILDING ❑ ELECTRIC ❑ ROOFING Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP l CONTRACTOR DRAWINGS JOB ADDRESS: I Q NC- (®� (S � - 4,51() x Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Type: Zone: BFE: n�Construction r � J i� c /\ ^Flood SFFE: �Q [1 V ' `' Phone#: �a 5 v f OWNER: Name (Fee Simple Titleholder): I 1 St. Address: I1A O(3 N e 165 # s � 0 n City: J ` 1I A 0 " �"1 L 1p ) State: ^� Zip: 3c 3 J� Tenant/Lessee Name: Phone#: 30 5 S j o 14 W& Email: L L ,�/� M Q� 1/ / M (KIE TI_LLE 3��,' rVr��lQ�J Q czr-� �,n� �g Q E 2L-ZV/C"ZJ Phone#:,,055283.3 l3 CONTRACTOR:: Company Naamme: (�� 5 yj Z-P ` 11 0- Address: O ,/ ��In�� City: G "(f+vT��rrl 01 _ State: FL_ Zip: 3WZ-r Qualifier Name: L(�ls M. u t ��-,99 Phone#: 305 J 98-33`7� State Certification or Registration #: Certificate of Competency #: !�13,5 wo (2v DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ " Square/Linear Footage of Work: F Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description of Work:-41.4]_i il�,p,. d/� On in 4 �/ P / '* a - folff (WIRix) Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Q ' 4. 0, Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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: 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 imnartinn will not be aaaroved and a reinspection fee will be charged. 4wiliSignature OWNER or AGENT Thee foregoing instrument was acknowledged before me this d `� hday of ()OVJ "✓ Q'Y 20 l by ph'cis00 who is personal) kno allo me or who has produced as identification and who did take an oath. NOTARY PUBLIC: i.. Sign: Signature CONT OR The foregoing instrumentwasacknowledged before me this 2q +V, day of Q 20 by 117) 1 t �, who is personally know to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: v Print: I- ''"• NAYMARAR MES Seal: Seal: "•%-, •'"••"••,,, MIY COMMISSON f GG 330897 NAYMARAFUeMS �-: P`•,+ EXPIRES: July 10, 210 =.: ;._ MY COMMISSION O GG 33OW s:�d� F ;R`�• gq&d Tlvu Notay Pubic m1a. VQ4 EXPIRES: July 10, 2023 I G/ APPROVED BY Plans Examiner Zoning as Structural Review Clerk (Revised02/24/2014) WORK REQUEST APPLICATION Owner's Name ��n Unit ( b r I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be performed by a licensed contractor. EIectrical work Plumbing work Carpet installation "Windows Tile installation Other workrr,, Description of the work 1Y- A��l�G 'h Q �� �I 0� t)f_ U ayt( kAt 1 _ � Before youdecideto upgrade your apartment (other than paint or, carpet) you must obtain permission from the7Board of Directors and/or Miami Shor'es Village. A copy ,of the plans, specifications and permits, and a description of the licensed work to be performed must be submitted for consideration and approval by the Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. **Window frames must be gray' in color to look like aluminum Windows must be Two (2) panels over Two (2) panels. Glass must be clear color. 1, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores ICondominium Inc. its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damage to the property is reported.) I fully and rstand and agree to the statements made above. ►a Unit ow is signature Date V. Approved by: 10Iq- Return to: Juan C. Valdes, Esq. Quesada Valdes, PLLC 1313 Ponce de Leon Blvd. Suite 200 Coral Gables, Florida 33134 This Instrument Prepared by: Juan C. Valdes, Esq. Quesada Valdes, PLLC 1313 Ponce de Leon Blvd. Suite 200 Coral Gables, Florida 33134 Folio #: 11-2230-050-0860 WARRANTY DEED CFN: 20190681588 BOOK 31670 PAGE 3349 DATE:10/30/2019 01:24:06 PM DEED DOC 1,200.00 HARVEY RUVIN. CLERK OF COURT, MIA-DADE CTY THIS WARRANTY DEED is made and executed the Z'� day of October, 2019 b Todd Johnson, a single man (the "Grantor"), whose mailing address is 1700 NE 105t Street, Unit 210, Miami Shores, FL 33138, to and in favor of Mary Elizabeth Johnson, a single woman, (the "Grantee"), whose mailing address is 1700 NE 105t" Street, Unit 510, Miami Shores, FL 33138. (Whenever used herein the term "Grantor" and "Grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) WITNESSETH: That Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other valuable consideration, the receipt and adequacy of which is hereby acknowledged, by these presents, does grant, bargain, sell, alien, remise, release, convey, and confirm to Grantee, its successors and assigns forever the following described land, situate, lying and being in Miami -Dade County, Florida, to wit: Unit Number 510, THE SHORES CONDOMINIUM, according to the Declaration of Condominium thereof, as recorded in the Official Records Book 4247, Page 707, in the Public Records of Miami -Dade County, Florida. TOGETHER with all the tenements, hereditaments, and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. CFN: 20190681588 BOOK 31670 PAGE 3350 AND Grantor covenants with Grantee that Grantor is lawfully seized of the land in fee simple; that Grantor has good right and lawful authority to sell and convey the land; that Grantor will fully warrant the title to the land and will defend the same against the lawful claims of all persons whomsoever; and that the land is free of all encumbrances, except for the plat referenced in the legal description, zoning and land use regulations, property taxes for 2019 (which are not yet due and payable) and all subsequent years, easements, covenants, conditions, restrictions, reservations, and any other matters of record, none of which are deemed reimposed by this reference. IN WITNESS WHEREOF, Grantor has set its hand and seal the day and year first above written. Signed, sealed, and delivered in the presence of the below witnesses: Witness' Signature Witness' Name Printed { Witness2 Signature Witness2 Name Printed STATE OF FLORIDA COUNTY OF MIAMI-DADE I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared Todd Johnson, well known to me, or who has produced as identification and who did take an oath and acknowledged executing the same in the presence of two subscribing witnesses freely and voluntarily. WITNESS my hand and official seal in the County and State last aforesaid this '2_Lday of October, 2019. xiomara Machado —� 11'vcr �NOTARY PUBLIC N ARY PUBLIC, State of Florida at Large -STATE OF FLORIDA C) nAy'ctiComm# GG092721 �Expires 4/10/2021 (Print Name) 42 Mike's Tile and Marble Services, Inc. Luis M. Yuli 18846 SW 28th Court Miramar, FL 33029 305-528-3393 Date: October 29, 2019 State of Florida County of Miami -Dade Before me this day personally appeared Luis M. Yuli who, living duly sworn, deposes and says: That he or she will be the only person working on the project located at: 1700 NE 105 Street, Apt. 510, Miami Shores, FL, 33138. In±tractorLu Sworn to (or affirmed) and subscribed before me this 1 day of 2 0J_q_. Per��rou�ced own OR identification Type of identification produced Qri4nt, type or s p of notary NAYOMPJWM MY COWL"M # Notice to Owner — Workers' Com Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 on Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade sfi j The foregoing was acknowledge before me thisday of CI- , 20 lq who is personally known to me or has produced fication. \``\\����111111111111/b/ a •off '�c�s�� �oe0. b��� tJnder+�.�O�O; ////�; STATE of F AXO Property Search Application - Miami -Dade County Page 1 of 2 (J OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2230-050-0860 Property Address: 1700 NE 105 ST UNIT: 510 Miami Shores, FL 33138-2145 Owner TODD JOHNSON Mailing Address 1700 NE 105 ST 510 MIAMI SHORES, FL 33138 USA PA Primary Zone Primary Land Use 4900 MULTI -FAMILY - CONDOMINUM ___._._____.._....._._...__._._.. .__....... ....._........... 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 1,154 Sq.Ft Adjusted Area 1,154 Sq.Ft Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2019 2018 2017 ...... ....... .______­_ Land Value ____ -_._.. $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $144,971 $140,749 $180,448 Assessed Value $143,423 $140,749 $123,876 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Assessment $1,548 Cap Reduction Non -Homestead Assessment $56,572 Cap Reduction Homestead Exemption $25,000 $25,000 Second Homestead Exemption 1 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 510 FIFTH FLOOR UNDIV .0117% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On : 10/31/2019 Taxable Value Information 2019 20181 2017 County Exemption Value $50,000 $50,000 $0 Taxable Value $93,4231 $90,7491 $123,876 School Board Exemption Value $25,000 $25,000 $0 Taxable Value 1 $118,423 $115,749 $180,448 City Exemption Value $50,000 $50,000 $0 Taxable Value $93,423 $90,749 $123,876 Regional Exemption Value $50,000 $50,000 $0 Taxable Value $93,423 $90,749 $123,876 Sales Information Previous OR Book - Price Qualification Description Sale Page Corrective, tax or QCD; min 04/30/2015 $100 29701-0387 consideration 02/01l2005 $250,000 23393-3121 Sales which are qualified 12/01/2002 $115,000 20895-0472 Sales which are qualified 06/01/2000 $72,000 19178-1124 Sales which are qualified https://www8.miamidade.gov/Apps/PA/pro.pertysearch/ 10/31 /2019 Property Search Application - Miami -Dade County Page 2 of 2 ana miami-uaae uounty assumes no naomty, see tun aisciaimer ana user Agreement at nttp:iiwww.miamicaae.govnnroiaisciaimer.asp Version: https://www8.miamidade.gov/Apps/PA/property search/ 10/31 /2019 ,"rprAMCL N• „.• ••v .» ..n a.n avena•. 1 � EGRESS EGRESS n Acc vtArcc GR0+l 3 \ r �� �,l �tif Az, MJi ALtA• A L i C7C tNc rt DANCE WITH THE LATEST CODE AND WITH THE )LINTY, STATE & NATIONAL INCIES BETWEEN THE TS MUST BE CALL TO THE PROCEEDING WITH THE WORK ALL DIMENSIONS AND :SPONSIBLE FOR CONSTRUCTION ;QUENCES OR PROCEDURES. LSD PROGRAM IN CONNECTION MA51EK NOT BE RESPONSIBLE FOR THE tY OUT THE WORK IN 6E GROOM OF THE CONTRACT DOCUMENTS ORS AHE TO REMAIN 1 � C-. 1 o - w,l 171 A Ar AV 0C 31 019 t''.r'- L i V I NG (BOOM • o c•• .140�r uq �o ••• • GCM. �� N n 10 r • �r xt •N'G • .0 • •• • YU o. .� 1c. �pG� • a •_ 7 ��•�°i• ,00 ...• • • .. y a�zx amC Cl �°,�jay' Cam4ti? '". 'sx <tt- ti z; o� �t 11 Premium Building Products WHISPER MAT° CS That Protect PRODUCT 1. PRODUCT NAME Whisper Mat CS 2. MANUFACTURER Protecto Wrap Co. 19S5 South Cherokee St. Denver, CO 80223 (800) 759-9727 (303) 777-3001 Fax: (303) 777-9273 E-mail: info@protectowrap.com www. protectow ra p. con-. 3. PRODUCT DESCRIPTION Whisper Mat CS is a peel -and -stick Membrane that reduces impact and airborne Sound transmissions and isolates finished flooring from the transfer of subfloor cracks. Accessory Materials No. 6000 Primer - This high tack water based primer is ideal for use on indoor applications. Available as a concentrate, this primer can be mixed at the jobsite with clean water or used in its full concentrate form, depending on the condition and porosity of the substrate. Packaging Whisper Mat CS is available in 36" x 40' (914 mm x 12.2 m) rolls Coverage Whisper Mat CS Approximate 120 ft2 (13 mz) per roll Shelf Life Whisper Mat CS maintains optimum initial adhesion to substrates when used within one year from the date of manufacture. Uses • For sound control and crack isolation protection on interior applications :...:. under thin set ceramic;Af 0 • • • • • • . dimensional stone tile irlmllmions • Advantages •••• •••• • Reduces impact and airb6crte; ,•••,• Sound transmissions • • • • • • • • Has the flexibility and s;rength to ; • • •; • withstand structural mwerrient ancr •• concrete shrinkage cracks up to 3/8"• •• • without transferring stress load to finished tile. • Can be installed with radiant heat floor systems • Provides a Light Commercial Load Rating • Anti -microbial coating Data Sheets are subject to change without notice. For latest revision, visit www.protectowrap.com Suitable Substrates (Interior Use Only) 4. TECHNICAL DATA • Concrete • Mortar beds • Exterior glue plywood • Cement backer board • Cement terrazzo • Ceramic tile and stone • Oriented strand board (OSB), Limitations • Do not apply over marine -grade plywood, wood plank flooring, particle board, Luan, Masonite, laminate, metal or fiberglass surfaces • Not for use under agglomerate tile, LVT, cement and epoxy floor topping systems • Not for use as a waterproofing membrane • Not for use on concrete floors where hydrostatic pressure exists or where moisture vapor transmission exceeds 4 lb. • Do not use under mortar beds thicker than 3/8", installations requiring more than 3/8" of thin -set mortar need to be raised with a self -leveling compound or a pre -mortar bed and allowed to cure prior to installation • Do not use solvent based sealants or sealers where contact with membrane may occur • Do not install over wet primer • Existing cracks larger than 3/16" should be prepared with proper backing • material prior to installation of membrane • Not for use over expansion or structural movement joints Property Test Result method Color Grey top/black adhesive Thickness 110 mil Application 45°F to 120'F (7°C to Temperature 49°C) Operating -20'F to 1807 (-29'C Temperature to 82°C) Robinson ASTM Floor Test C627 Light Delta Impact sound ASTM Delta IIC 22 transmission E2179 Airborne sound ASTM STC 55 transmission E90 Impact sound ASTM transmission E492 IIC 50 Sound Reduction Ratings: 8" Concrete Floor with a Gypsum Board Ceiling Assembly: IIC 72 STC 72 : • • • : • 6" Concrete Floor: IIC 50 STC 55 ...... Delta Impact sound transmissior1 -Deltp IIC 21• • • • S.INSTALLATION Surface Preparation ...... Subfloor must conform to ANSI A108.0`1 • �; • standards. Assemblies over whici A.1` j Anti. • Fracture Membrane will be installed shall be in: • • • conformance with the International Residential Code (IRC) for residential applications, the International Building Code (IBC) for commercial applications, or applicable building codes. Perimeter and field movement joints are to be installed in accordance with TCNA Method EJ 171. Data Sheets are subject to change without notice. For latest revision, visit www.protectowrap.com Flooring and membrane must acclimate to jobsite conditions before installation. Concrete subfloors must be dry, clean and free of dirt, grease, wax, paint, oil or anything that would adversely affect adhesion of the AFM Anti Fracture Membrane. Check subfloor for excessive moisture using ASTM E1869 Standard Test Method for measuring moisture vapor emission rate of concrete subfloor using Anhydrous Calcium Chloride. Readings must be less than 4 lb. Priming Always apply the Protecto Wrap No. 6000 Primer to the subfloor and allow to dry (approximately 30 minutes) before installing the Whisper Mat -CS to ensure a good bond. Layout Unroll Whisper Mat -CS with the release liner side down. Cut the length approximately 12" longer than the distance to be covered. Trim membrane to fit tightly against walls and cutouts (within %"). Fold back half of the length of the roll back over the other half of the material. Score through the release liner only and take care not to cut completely through membrane. Application Pull release liner away from membrane where scored. As the release liner is pulled away, hand -smooth the membrane to contact the primed subfloor. Keep the release liner material close to the floor while pulling away; this will allow for a more controlled application of the membrane. Align membranes in a butt joint fashion making sure not to overlap seams. Note - There will be an immediate and aggressive bond of the membrane to the primed subfloor. Realignment of the membrane can be difficult once adherence to the subfloor begins. After Whisper Mat CS is installed, is installed, ceramic, porcelain or stone tiles can be installed in a 3/8" or less bed of mortar that meets the ANSI 118.4 standards. Follow the TCNA and ANSI installation requirements through the remainder of the installation. S. AVAILABILITY AND COST Whisper Mat CS is manufactured in Denver, CO; it is competitively priced and available worldwide through a network of Protecto Wrap distributors. For detailed product information or to find a local representative or distributor, Contact Protecto Wrap Company corporate office for information. 7. WARRANTY Whisper Mat -CS is warranted to be free of defects in manufacture for a period of 5 years. Protecto Wrap assumes no warranty as to the installation of its products. Should a Protecto Wrap product prove defective during the term of this guarantee, Protecto Wrap will pay for replacement of the portion of the installatioA • • •: • that involves the defective product. ;;s payment will include finish matenia14,15bor Ad installation; provided the cost per square foot.... to Protecto Wrap does not exceed tn2 originat • • • cost of installation per square fops' • • • • • • S. MAINTENANCE ' None required. If installed in accordance with • • • • • • manufacturer's recommendations, Whisper •.;.. • Mat -CS should last the life of the structure. 9. TECHNICAL SERVICES Complete technical assistance and information are available from Protecto Wrap field representatives and distributors or by contacting the manufacturer. 10. FILING SYSTEM Additional product information is available on our website at protectowrap.com or contacting our corporate office at 1-800-759-9727 Data Sheets are subject to change without notice. For latest revision, visit www.protectowrap.com Ak Architectural Testing D6442.01-113-11-RO ACOUSTICAL PERFORMANCE TEST REPORT ASTM E 90 AND ASTM E 492 Rendered to PROTECTO WRAP COMPANY Series/Model: Whisper Mat® CS Specimen Type: Sound Control & Crack Suppression Membrane Overall Size: 3023 mm by 3632 mm STC 55 IIC 50 Test Sample Identification: Floor Topping: 7.3 mm Porcelain Tile Underlayment: 2.8 mm Protecto Wrap Whisper Mat® CS Floor Slab: 152 mm Concrete Slab ...... . ...... ...... .... .... . . . . .... .... ..... ...... . . ..... . . ...... .. .. . ...... ...... . . . . ...... :*000. .. . • . . 0 0 0000 Reference should be made to Architectural Testing, Inc. Report D6442.01-113-11 for complete test specimen description. 130 Derry Court York, PA 17406 8405 phone: 717-764-7700 fax: 717.764-4129 ACCREDITED www.archtest.com I TL-144 Ak D6442.01-113-11-RO Architectural Testing Page 1 of Acoustical Performance Test Report PROTECTO WRAP COMPANY 1955 South Cherokee Street Denver, Colorado 80223 Report D6442.01-113-11 Test Date 04/03/ 14 Report Date 04/11/14 Record Retention End Date 04/03/18 Project Scope Protecto Wrap Company contracted Architectural Testing to conduct airborne sound transmission loss and impact sound transmission tests. A summary of the results is listed in the Test Results section, and the complete test data is included as attachments to this report. The client provided the test specimen. Test Methods The acoustical tests were conducted in accordance with the following standards. The equipment listed in the attachments meets the requirements of the following standards.: ...... . ••.•.• ASTM E 90-09, Standard Test Method for Laboratory Measurement of• -Airborne Sound Transmission Loss of Building Partitions .... .... ..... ASTM E 413-10, Classification for Rating Sound Insulation . • • . • • ASTM E 492-09, Standard Test Method for Laboratory Measurement• v • Ch,act: WA d • • • • • • Transmission Through Floor -Ceiling Assemblies Using the Tapping Machin":' ' ASTM E 989-06 (2012), Classification for Determination of Impact Insulation CJss (Ili) • •' • • • • • • ASTM E 2235-04 (2012) Standard Test Method for Determination of Decay4abes for Use• in : • e Sound Insulation Test Methods �' • Test Procedure All testing was conducted in the VT test chambers at Architectural Testing, Inc. located in York, Pennsylvania. The microphones were calibrated before conducting the tests. The sound transmission loss test was conducted in accordance with the ASTM E 90 test method using a single direction of measurement. Two background noise sound pressure level and twenty-five sound absorption measurements were conducted at each of five microphone positions. Four sound pressure level measurements were made simultaneously in both rooms, at each of five microphone positions. 130 Derry court York, PA 17406-8405 phone: 717-764-7700 fax: 717-764-4129 ACCREDITED www.archtest.com TL-1" Ak D6442.01-113 -11-RO Architectural Testing Page 2of5 Test Procedure (Continued) The impact sound transmission test was conducted in accordance with the ASTM E 492 test method. Two background noise sound pressure level, two sound pressure level measurements with the tapping machine operating at each position specified by ASTM E 492, and twenty-five sound absorption measurements were conducted at each of five microphone positions. The air temperature and relative humidity conditions were monitored and recorded during all measurements. Test Conditions Source Room Receive Room Maximum Temperature 19.2 °C Maximum Temperature 18.4 'C Minimum Temperature 19.0 °C Minimum Temperature 18.3 °C Average Temperature 19.1 °C Average Temperature 18.3 oC Maximum Relative Humidity 65% Maximum Relative Humidity 65% Minimum Relative Humidity 62% Minimum Relative Humidity 64% Average Relative Humidity 63% Average Relative Humidity 65% Test Calculations The STC (Sound Transmission Class) rating was calculated in accordance with ASTM E 413. The HC (Impact Insulation Class) rating was calculated in accordance with ASTM E 989. • Test Specimen Construction • • • • • • The test specimen was constructed in the 3023 mm long by 3632 mm wide•b; 457 mm high opening. • The porcelain tiles were set with light pressure into the bed of mortar and -separated mm spacers. TEC Fast Setting mortar was mixed as per manufacturer's VV*Itications and troweled on top of the underlayment using a 9.53 mm by 9.53 mm by 9.54 mrq squarj "atek trowel. The mortar was allowed to cure according to the manufacturer's specification. TFC Power Grout was mixed as per manufacturer's specifications and troweled into the 3.18•ttim spaces between the porcelain tiles using a grout float. All excess grout was cleaned using a damp sponge. The grout was allowed to cure according to the manufacturer's specifications before testing. The perimeter of the porcelain tile floor was sealed to the test frame with duct seal. A single layer of 0.05 mm polyethylene sheet was adhered to the Whisper Mat® CS. The polyethylene sheet was adhered to the concrete slab with a fast -drying adhesive. ...00 AL Architectural Testing D6442.01-113-11-RO Page 3 of 5 Test Specimen Construction (Continued) The concrete slab was installed onto a perimeter frame within the steel test frame. The perimeter frame was constructed from 2x6 dimensional lumber. The top side of the perimeter frame was covered with one layer of dense neoprene foam (9.5 mm thick by 76.2 mm wide). The perimeter of the concrete slab was sealed to the steel frame with duct seal. Cure time for the concrete slab was more than 28 days. Tect Cnprimen Materials Material Dimensions Thickness Manufacturer and Series Quantity Average Total �� �� Weight Weight Porcelain Tile 304.8 by 304.8 7.30 N/A 10.98 m2 14.8 kg/mz 162.39 kg Whisper Mat® 914.4 by 3023 2.80 Protecto Wrap 10.98 m2 2.1 kg/m2 23.06 kg CS Concrete Slab 3023 by 3632 152.00 N/A 10.98 m2 366.2 kg/me 4020.7 kg Comments The total weight of the floor/ceiling assembly was 4206.2 kg. Architectural Testing will store samples of the test specimen for four years. Photographs of the test specimen are included in the attachments. A design drawing is included in the attachments. . 0 : • • • : • ...... ...... ...... .. . Ak D6442.01-113-11-RO Architectural Testing Page 4of5 Architectural Testing will service this report for the entire test record retention period. Test records, such as detailed drawings, datasheets, representative samples of test specimens, or other pertinent project documentation, will be retained by Architectural Testing for the entire test record retention period. This report does not constitute certification of this product nor an opinion or endorsement by this laboratory. It is the exclusive property of the client so named herein and relates only to the specimen tested. This report may not be reproduced, except in full, without the written approval of Architectural Testing. For ARCHITECTURAL TESTING, INC: sWM•f'd W o.iwrww Daniel B. Mohler Technician II - Acoustical Testing Attachments (7) * Stated by Client/Manufacturer N/A - Non Applicable 1� �p Bradlay D. Hunt Project Manager - Acoustical Testing ...... . ...... .... .... . . .... .... ..... ...... . . ..... ...... .. .. . ...... . . . . . . ...... • 0 0 0 • . • • • • • • • . . Ak D6442.01-113-11-RO Architectural Testing Page 5 of Revision Log Revision Date Pne(s) Description RO 04/11/14 N/A Original Report Issue This report produced from controlled document template ATI 00629(a), revised 01/29/14. Ak D6442.01-113 -11-RO Architectural Testing Attachments Instrumentation Date of Instrument Manufacturer Model ATI Number Calibration Data Acquisition Unit National Instruments PXI-1033 63763 06/12 Source Room Microphone PCB Piezotronics 3781320 63738 04/13 Source Room Microphone PCB Piezotronics 3781320 63739 04/13 Source Room Microphone PCB Piezotronics 3781320 64912 11/13 Source Room Microphone PCB Piezotronics 378B20 63741 04/13 Source Room Microphone PCB Piezotronics 3781320 63742 04/13 Receive Room Microphone PCB Piezotronics 3781320 63748 ; • .' 94/13 • Receive Room Microphone PCB Piezotronics 3781320 63744 ...:.04/13 Receive Room Microphone PCB Piezotronics 3781320 63745 ..... 04/13 • • • Receive Room Microphone PCB Piezotronics 3781320 63746 • • 4/13 • Receive Room Microphone PCB Piezotronics 3781320 63747 .' 4/13 Receive Room Environmental Comet T7510 63810 • • 09/13 Indicator Receive Room Environmental Comet T7510 63811 09/13 Indicator Source Room Environmental Comet T7510 63812 09/13 Indicator Microphone Calibrator Norsonic 1251 C002919 07/13 Tapping Machine Norsonic N-211 Y003242 03/14 *The calibration frequency for this equipment is every two years per the manufacturer's recommendation. Test Chambers VT Receive Room Volume 158.9 m3 VT Source Room Volume 190 m3 AL Architectural Testing SOUND TRANSMISSION LOSS ASTM E 90 D6442.01-113-11-RO Mph ACCREDITED Test Date 04/03/14 TL-144 Data File No. D6442.0IA Client Protecto Wrap Company Description 7.3 mm Porcelain Tile, 2.8 mm Protecto Wrap Whisper Mat® CS, 152 mm Concrete Slab Specimen Area 10.98 in Technician Daniel B. Mohler Freq (Hz) Background SPL Absorption (dB) (m2) Source SPL (dB) Receive SPL (dB) Specimen TL (dB) 95% Confidence Limit Number of Deficiencies 80 62.9 16.5 100 60 39 7.35 - 100 46.0 11.6 97 58 41 4.61 - 125 38.2 9.0 95 58 38 3.09 1 160 35.3 9.4 95 59 37 3.83 5 200 27.0 11.2 94 57 38 3.23 7 250 28.2 10.6 96 52 45 1.35 • : 3• • : • 315 25.7 9.7 96 50 47 'IX .4 400 23.0 8.0 93 46 49 01431 • • 5• • 500 23.7 7.2 94 43 54 01.16 " 1 ' 630 25.4 6.8 95 42 56 'Q, $ • • 0• • • • 800 26.3 7.1 94 40 57 .1R30.0 00 1000 24.3 7.1 95 39 58 •0.54 • • 0 1250 23.5 7.1 96 37 61 0.91% 0 ' 1600 19.4 7.2 95 36 62 •0.53 :.0..:. 2000 11.3 8.0 95 34 64 •0.65 : . 0.. 2500 7.5 8.8 94 32 64 0.62 4 • • 3150 6.0 9.8 94 29 66 0.94 0 4000 5.8 11.2 95 26 69 0.92 0 5000 5.7 13.5 95 23 72 0.84 - 6300 6.1 17.0 88 11 76 1.09 - 8000 6.5 22.4 88 7 79 1.26 - 10000 6.6 28.4 82 5 74 1.08 - STC Rating 55 (Sound Transmission Class) Deficiencies 26 (Sian of Deficiencies) Notes: 1) Receive Room levels less than 5 dB above the Background levels are highlighted in Yellow. 2) Specimen TL levels listed in red indicate the lower limit of the transmission loss. 3) Specimen TL levels listed in green indicate that there has been a filler wall correction applied ATI00614 Revised 01129114 Page 1 of2 Ak Architectural Testing SOUND TRANSMISSION LOSS ASTM E 90 D6442.01-113 -11-RO ACCREDITED TL-144 Test Date 04/03/ 14 Data File No. D6442.01A Client Protecto Wrap Company Description 7.3 mm Porcelain Tile, 2.8 nim Protecto Wrap Whisper Mat® CS, 152 mm Concrete Slab Specimen Area 10.98 m2 Technician Daniel B. Mohler Sound Transmission Loss 100 90 e ' 80 pq .. . ^moo . • • y ••• 0 70 a • •• •• • • o 'rn • 0 ee• 60 wl 11 • •e• 50 • i' F0 • e .. .�11, • • 40 0 30 20 10 ::Spec imen TL Contour Curve 10 100 1000 10000 Frequency (Hz) sees• • sees* •••••• • sees•• ATI 00614 Revised 01129/14 Page 2 of 2 AL Architectural Testing IMPACT TRANSMISSION ASTM E 492 D6442.01-113 -11-RO ACCREDITED TL-1" Test Date 04/03/14 Data File No. D6442.0IA Client Protecto Wrap Company Description 7.3 min Porcelain Tile, 2.8 min Protecto Wrap Whisper Mat® CS, 152 mm Concrete Slab Specimen Area 10.98 m2 Technician Daniel B. Mohler Freq (Hz) Background SPL (dB) Absorption (m2) Normalized Impact SPL (dB) 95% Confidence Limit Number of Deficiencies 80 63.8 14.5 65 4.2 - 100 45.2 12.0 58 1.7 0 125 37.8 9.3 59 0.6 :Q••:• 160 35.8 9.0 62 :09.00 90 200 28.6 10.9 68 .1.1... ;6••`• 250 28.4 10.6 66 90.4 • • 4 . 315 27.6 9.6 64 .A.6", .2•••, 400 24.1 8.0 64 • 500 23.9 7.3 63 •0.� • .4•..� �'� :S••" 630 24.5 6.9 62 �eg0•� 3 • 800 25.6 7.2 64 �0.3 ;�..;. 1000 24.4 7.1 59 •1 0• ' : 2 • • 1250 22.2 7.1 54 1.0 09.9 1600 18.1 7.2 52 0.6 1 2000 12.1 8.1 48 0.4 0 2500 7.6 8.8 45 0.9 0 3150 5.8 9.8 44 0.5 2 4000 5.5 11.1 40 0.6 - 5000 5.6 13.5 36 0.4 - 6300 6.0 17.0 34 0.7 - 8000 6.5 22.5 32 0.9 - 10000 6.6 28.3 30 1.2 - IIC Rating 50 (Impact Insulation Class) Deficiencies 32 (Sann of Deficiencies) Note. Receive Room levels less than 5 dB above the Background levels are highlighted in yellow. ATIO0615 Revised 01/29114 Page 1 of2 AL D6442.01-113-11-RO Architectural Testing IMPACT TRANSMISSION ASTM E 492 ACCREDITED TL-1" Test Date 04/03/14 Data File No. D6442.01A Client Protecto Wrap Company Description 7.3 mm Porcelain Tile, 2.8 mm Protecto Wrap Whisper Mat® CS, 152 nun Concrete Slab Specimen Area 10.98 m2 Technician Daniel B. Mohler Normalized Impact Sound Pressure Level 70 40 5a•.•:• 60 • 60•e•• 50 •Y 1�1 V� �y • �{ •••V• 70 40 IiO .. •;� . � GO y � 80 30 00 b C C' � � 1r 90 20 100 10 0 110 10 100 1000 10000 Frequency (Hz) • • • • • t Normalized Impact SPL �- Contour Curve ATI00615 Revised 01/29/14 Page 2 oj2 Ak D6442.01-113-11-RO Architectural Testing Drawings yj 2. � R•:�s�.i ,� :t'•.l:.' � r'r .5 '.'• ^•+,' -' '. 'tJ. 1 - Floor Topping 2 - Sound Control & Crack Suppression Membrane 3 - Concrete Slab Cross Section View of Test Specimen Test Specimen E ...... . .. • •••• •••• • • •••• •••• ••••• •••••• • • ••••• •• •• • •••••• • • • • • •••••• Test Specimen Installation 090000 • • . . .. • • D6442.01- t B-11-RO Architectural Testing Photographs Source Room View of Test Specimen Installation • • t • • ... , • • . • . . ...f Receive Room View of Test Specimen Installation