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RF-10-22-2649Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1020 NE 107TH ST, Miami Shores, FL 33161 Contacts Marco Zepeda Owner 1020 NE 107 ST Permit NO.: RF-10-22-2649 Permit Type: Roof Work Classification: Tile Permit status; Approved Issue Date: 10/19/20221 Expiration: 04/19/2023 Parcel Number 1122320280720 SUPPLY CO. INC JAMES OBENOUR 9822 NE 2 AVE SUITE 9, MIAMI SHORES, FL 33138 Business: 3057572612 OBENOURROOFING@AOL.COM Description: TEAR OFF A RE ROOF TILE ROOF WITH WESTLAKE I Valuation: $ 34,775.00 BARCELONA C/T ESPRESSO BLEND Total Sq Feet: 2,808.00 Fees Amount Application Fee - Other $50.00 CCF $21.00 DBPR Fee $8.00 DCA Fee $5.33 Education Surcharge $10.50 Permit Fee (Manual) $483.52 Scanning Fee (Manual) $9.00 Technology Fee (Manual) $53.35 Total: $640.70 Building Department Copy Ins ection Requests: 305-762-4949 Payments Date Paid Amt Paid Total Fees $640.70 Check » 11511 10/18/2022 $50.00 Check# 11523 10/19/2022 $590.70 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 1 assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. fp /t—A2 Authorized Signature: Owner Contractor / Agent Date October 19, 2022 Page 2 of 2 Miami Shores Village R-F,�ci,;lvE;jD Building Department Ific— INSPECTION 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 LINE PHONE NUMBER: (305) 762-4949 1M BC 110 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC E2/ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ` 1 v CONTRACTOR DRAWINGS JOB ADDRESS: 1 oao ✓ 10 -1 S� J Occupancy Type: OWNER: Name (Fee Simple �) /_� ( )1,f)' ( ) I /, Lis the Building Historically Designated: Yes NO Load: Construction Type: Flood Zone: BFE: FFE: City:l\1\\1.1 LA\ VMA [_ J State: Tenant/Lessee Name: Email: �— CONTRACTOR: Co ny Name: r 1 Address: ^^^^ Email: N EA I ) r Qualifier Name: J0 1 State Certification or Registration M Certificai DESIGNER: Architect/Engineer: XLL4t Address: // City: _ Value of Work for this Permit: $_ 4J I, 77S Square/Linear Type of Work: ❑ Addition. ❑ Alte/atign 1 ❑ New /, i F I■ = 33/—oo-) � 5- 757 -2-61 Phone#: of Competency #: _Phone#: State: _Zip: of Work: Zeros -'- /Replace ❑ Demolition h Specify color of color thru tile:'w V-P 111bAn cd uc 601 Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ DCA Fee $ DBPR $ Notary'. Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ P&Z Review $ Bond $ - TOTAL FEE NOW DUE $ (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien low 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 fast inspection which occurs seven (7) days after the building permit is Issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this Lq day of 4-C4 .20 , by dA o Za d , who is personally known to eT me or who has produced ti as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 4err v Seal: APPROVED BY (Revised04/05/2022) The foregoing instrument was acknowledged before me this day of 20 2.:Z- , by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: G Sign: Print: en! k.P /'l 04;coo` as Seal: CATHERINE A. DUFFIN MY COMMISSION # HH 00522 Y 90909 A. PUFFIN EXPIRES: Ma 14 2025 *MY 60 �mw e maw ** * *#********k * * *************** mov 14, 2025 Plans Examine N Zoning Structural Review Clerk i OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2232-028-0720 Property Address: 1020 NE 107 ST Miami Shores, FL 33161-7355 Owner MARCO ZEPEDA &W SONIA Mailing Address 1020 NE 107 ST MIAMI SHORES, FL 33161-7355 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths/Half 312/0 Floors 1 Living Units 1 Actual Area 2,266 Sq.Ft Living Area 1,914 Sq.Ft Adjusted Area 2,090 Sq.Ft Lot Size 12,296.7 Sq.Ft Year Built 1949 Assessment Information Year 20201 2019 2018 Land Value $271,381 $271,381 $271,381 Bullding Value $156,750 $122,892 $122,892 XF Value $0 $0 $0 Market Value $428,131 $394,273 $394,273 Assessed Value $235,741 $230,4411 $226,145 Benefits Information Benefit Type 2020 20191 2018 Save Our Homes Cap Assessment Reduction $192,390 $163,832 $168,128 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25200 $25,0001 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 32 52 42 MIAMI SHORES ESTATES PB 47-58 LOT 1 BLK 5 LOT SIZE 94.590 X 130 OR 19887-4460 08 2001 1 Generated On: 3/31/2021 Taxable Value Information 20201 20191 2018 County Exemption Value $50,0001 $50.0001 $50,000 Taxable Value 1 $185,7411 $180,4411 $176,145 School Board Exemption Value $25,0001 $26,000 $25,000 Taxable Value 1 $210.7411 $205.4411 $201.145 city Exemption Value 1 $50,0001 $50,0001 $50,000 Taxable Value 1 $185,7411 $180,4411 $176,145 Regional Exemption Value $50,000 $50.0001 $50,000 Taxable Value 1 $185,7411 $180,441 $176,145 Sales Information Previous OR Price Book- Qualification Description Sale Page 08/01/2001 $186,500 19 7 Sales which are qualified 00000- Sales which are disqualified as a result of 10/01/1999 $0 00000 examination of the deed 10/01/1995 $125,000 17081 Sales which are qualified 1888 10/01/1987 $80,000 13463 Sales which are qualified 1789 The Office of the Property Appraiser is continually editing and updating the tax roll. This Website may not reflect the most current information on record. The Property Appralser and MiamkDade County assumes no liability, see full disclaimer and User Agreement at http:/Av .miamidade.gov/info/disdaimerasp Version: Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.ctov SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES— REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics -Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. 0( Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. WCommon roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. u�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, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. *_Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. RevOI 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov 6. ��Overflow 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. 7. _Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can re xtending the service life of the roof. 7 - Owner/Agent's Signature Date ntractor Signature Date For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 Owners roofing consideration Page 2 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.Aov 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: , 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Addre Roofing Permit Number: Dear Building Off icial:�/ I 1((1(j ,Y' (L G�W:dC' _ certify that I am not required to retrofit the roof to wall connections of my building because: Ni The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or #JtVthe provisions of 1994 edition of the South Florida Building Code (1994 SFBC) of Florida, Miami Dade County 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 20 :2 2 - _ (` F- T-7 — Notary Public, State of Florida at Large CATHERINE A. DUFFIN MY COMMISSION # HH 089522 EXPIRES: May 14, 2025 • 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 not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. For Forms and Applications click here: http://bidg.mia mishoresvillage.com/W ebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 Owner affidavit of exemption Page 1 of 1 Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for MMiia�mi-Daadd�e C INSTRUCTION PAGE BY: COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 CITY ATTACHMENTS REQUIRED: COPY 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 Product Approval 5. Municipal Permit Application 6. Owner's Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing / Calculation Documentation Miami Shores Village Bu'lding Department Zoning Dept. Date 2 Building Dept. Date V Subject to complian e State and County rules and regulations. Permit# W,,1F27-,9V" Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Master Permit Number: Contractor's Job Address: Section A (General Information) Process Number: ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile /mortar / Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ❑ Wood Shingles / Shakes ROOF TYPE ❑ New Roof ❑ Repair ❑ Maintenance Reroofing El Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (ftZ) Are there gas vents on the roof? Steep loped Roof Area (ftZ) 2So Sr 0 Yes N If Yes what type? Total (ftZ) �Ls-& S- 0 Natural 0 LPX Is there an existing roof top Solar System? Yes 0 ptlo If yes will it be reinstalled? D Yes 0 No r__�:_� n MONO 1y111'lls:Jul'-�� ROME �/■■ININ ,. ■■mom e ■■■■■i� �'i�■■■i■�i■�■ ■ ■ ■ M■ Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section D (Steep Sloped Roof System) Roof System Manufacturer: Product Control Number: i/r_)_ Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zone1: I S 17 Zone 2e: /_ 17,Zone2n: )5 5 Zone 2r: L25-3, Zone 3e:.2!�, 5 Zone 3r: L 5'2_ Slope Range: >_ 2:12 to <_ 4:12 Q> ;Gable 2 t <_ 6:12 Q > 6:12 to 512:12 Roof Shape: Q All Hip Roof Roof or Partial Gable/Hip Roof Deck Type: N%0 a e( UnderlaymentType: 1 4w-tic b 22 G ::'�36 Roof Slope: _: 12 a- ��b/iz Ridge Ventilation? 4214 Mean Roof Height: Iz _6 ESPRESSO BLEND 1 HBCS3260 Insulation: Fire Barrier: rt/ fj Fastener Type & Spacing:,, r Cap Sheet Type: %�O/Y9�R�S i vex Cap Sheet Attachment: �jE/ 11d�e! Ec� Roof Covering: fh4d /2'Nb cloldle 7_ffKV0& 1Y Drip Edge Type & Size: Z 6, 2 x 2 P Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section E (Tile Calculations) For Moment based tile systems, choose Method 1. Compare the values for Mrwith the values from Mf. If the Mf values are greater than or equal to the Mr values for each area of the roof, then the tile attachment method is acceptable. E Method 1* " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this table ( Zone 1: � 7# x A # a 1 = ?2, )L7) — Mg: 7, Ma 16,' 2 7 Product Approval Mf: �•� ( Zone 2e: —7-Y x A o Mg: 7. Mr2e • Z 7 Product Approval Mf: 36.7 ( Zone 2n:---/y '5r x A o ?" Mg: % ° G = Mr2ngr Product Approval Mf: 3f"• 7 ( Zone 2r:r/o b x A • 3 / _ • 5_2 )—Mg: 7" � = Mr2r 0SX a Product Approval Mf: 3-tt- 7 ( Zone 3er/O x A • 3p 1 _ '� ) — Mg: 7 Mr3�E• f; Product Approval Mf: 3� 7 ( Zone 3r:— x A • 3 d 1 = $�� ) — Mg: = Mr3r31- S 2 Product Approval Mf: 3 7 The attachment method. Alternate Tile attachment method: For Uplift Based the systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values for each area of the roof, then the tile attachment method is acceptable. Method 3* "Uplift Based Tile Calculations per RAS 127" (Zone 1: x L = x W = ) — (w) x cos 0 ) = Fri Product Approval F: (Zone 2e: x L = x W = ) — (w) x cos 0 ) = Fr2e Product Approval F': (Zone 2n: x L = x W = ) — (w) x cos 0 ) = Fr2„ Product Approval F': (Zone 2r: x L = x W = ) — (w) x cos 0 ) = Fr2r Product Approval F': (Zone 3e: x L = x W = ) — (w) x cos 0 ) = Fr3e Product Approval F': (Zone 3r: x L = x W = ) — (w) x cos 0 ) = For Product Approval F': *Method 2 "Simplified Tile Calculations" only applicable In Broward County. Where to obtain information Description Symbol Where to Find Design Pressure Zones 1, 2e, 2n, 2r,3e, 3r From the applicable Table in RAS-127 or be an engineering analysis prepared by a PE based upon ASCE 7 Mean Roof Height H Job Site Roof Slope A Job Site Aerodynamic Multiplier A Product Approval / Notice of Acceptance Restoring Moment due to Gravity M Product Approval / Notice of Acceptance Attachment Resistance Mf Product Approval / Notice of Acceptance Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval / Notice of Acceptance Required Uplift Resistance Fr Calculated Average Tile Weight w Product Approval / Notice of Acceptance Tile Dimensions L=Length W= Width Product Approval / Notice of Acceptance All calculations must be submitted to the Building Official at the time of permit application. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 7th Edition (2020) High -Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M' with the values from M,. If the M, values are greater than or equal to the Mr values, for each area of the roof, then the file attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (Zone 1:7JI. x X • of Mg: Z-°7 = M, L4Z. Product Approval M, 7 (Zone 2e:7` x k - 301 = 0 - Mg:? 07 = MIAE2,* Product Approval Mf 3k. � (Zone 2n: !yk x X • 30 - Mg:7•c,,7 = Mr 2rj Product Approval M, S�3 7 (Zone 2r: Kok x X. 301 = 32• - Mg:'7• 0g = M0AfLY3 Product Approval Mf 3f - 7 (Zone 3elo� x x 3o I = 3-Mg:7• o r - M 2J � U Product Approval K 3 fr• (Zone 3r12 ±x X']EJ: = A - Mg: M, /• tf5 Product Approval K 3)- - 7 Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (M,) From Table Below Product Approval Mf Mr required Moment Resistance* 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 1 24.4 1 25.9 1 27.1 1 28.2 30.0 *Must be used in conjunction with a list of moment based file systems endorsed by the Broward County Board of Rules and �-- Appeals. For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr If the F' values are greater than or equal to the Fr values, for each area of the roof, then the the attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (Zone 1: x L = x w: = --j - W: x cos r = Fr, Product Approval F' (Zone 2e: x L = x w: = _) - W: x cos r = Fa, Product Approval F (Zone 2n: x L = x w: = ) - W: x cos r = Fa„ Product Approval F (Zone 2r: x L = x w: = - W: x cos r = Fa Product Approval F' (Zone 3e: x L = x w: _ _} - W: x cos r = Fu Product Approval F' (Zone 3r. x L = x w: = -a - W: x cos r = F, Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure Zones 1, 2e, 2n, 2r, 3e, 3r From applicable table in RAS 127 or by an engineering analy- sis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 6 Job Site Aerodynamic Multiplier k Product Approval Restoring Moment due to Gravity M Product Approval Attachment Resistance Mt Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Ff 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. FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020) 477 MIMI®� MIANII-DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATTON DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w Y.miamidade.eov/economv Westlake Royal Roofing LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right 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# 22-0201.10 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigers. NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 1 of 7 ROOFING ASSEMBLY APPROVAL ate or : Roofing Sub -Category: Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Barcelona 900 Concrete Roof Tile, as manufactured Westlake Royal Roofing LLC in Lake Wales, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Auglicant Dimensions Specifications Description Barcelona 900 Length =17" TAS 112 High profile, interlocking, one-piece, 'S' shaped, Width = 13" Type -- la high-pressure extruded concrete roof tile Y2" thick 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 PolysetP AH-160 'PILE BONDT" Roof Tile Adhesive Product Description Two component polyurethane foam adhesive. Single component polyurethane foam roof the adhesive. Touch `N Seal StormBone 2 Two- Two component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive Touch `N Seal StormBone One One component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive 2.2 MANUFACTURING LOCATION 2.2.1. Lake Wales, FL Manufacturer (With Current NOA) ICP Adhesives and Sealants, Inc. DuPont de Nemours, Inc. DAP Foam, Inc. DAP Foam, Inc. NOA No.: 22-0714.18 Mwrtaoan� couKt�r Expiration Date: 04/26/27 APPRVEDi Approval Date: 08/11/22 Page 2 of 7 2.3 SUBMITTED EVIDENCE: Test Agency Test Identiifer Test Name/Repoa D= Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II TAS 108(Nail-On) P0402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 TAS 108 (Nail -On) P0631-01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Professional Service Industries, Inc. IC-1320-94 Physical Properties Feb. 1995 TAS 112 The Center for Applied 25-7688-3 TAS 101 (Adhesive Set) June 1996 Engineering, Inc. 25-7688-10 TAS 101(Mortar Set) July 1996 25-7688-5 Static Uplift Testing June 1996 TAS 102 (3" Headlap, Nails, Direct Deck, New Construction) 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 Evaluation Calculations Restoring Moments Due to 09/01/16 Gravity American Test Lab of South Florida RT0617.03-16 TAS 112 06/29/16 RT0209.05 22 TAS 112 02/17/22 PRI Construction Materials COPO-002-02-10 TAS 101 10/12/2016 Technologies COPO-002-02-02 TAS 101 10/12/2016 COPO-002-02-01 TAS 101 10/12/2016 2002T0003.01 TAS 101 11/06/20 NEMO ETC, LLC 4c-DPBS-20-LSOTM-01.C.R1 TAS 101 12/17/20 NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 3 of 7 3. LmTATIoxs: 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 Minimum slope 4/12 for mechanically attached tiles. 3.6 30190 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.7 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Barcelona 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w) Tile Profile Weight-W (lbf) Length-i (ft.) Width-w (ft.) Barcelona 900 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - A (fO) Tile Profile A qv) Batten Application A (ft3) Direct Deck Application Barcelona 900 0.286 0.301 Table 3: Restoring Moments due to Gravity - Mg (ft.-lbf) Tile Profile 2":12" 3":12" 4"•12" 5^•12" a":12" 7^:12" or greater Barcelona 900 Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens I Direct Deck WA 7.07 N/A 7.00 6.19 6.90 6.06 6.76 5.92 6.60 5.76 6.42 NOA No.: 22-0714.18 MIAMI•DADE COUNTY Expiration Date: 04/26/27 e m Approval Date: 08/11/22 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft.-lbf) for Mechanically Attached Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min.1913209 plywood) Battens Barcelona 900 2-10d Ring Shank Nails 28.6 41.2 19.4 1-10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2-10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 #8 Screw 20.7 20.7 18.1 2 #8 Screw 43.2 43.2 29.8 1-10d Smooth or Screw Shank Nail Field CUP) 23.1 23.1 19.0 1-10d Smooth or Screw Shank Nail Eave Clip) 29.3 29.3 24.0 2-10d Smooth or Screw Shank Nails Field Clip) 27.6 27.6 38.6 2-10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 2-10d Ring Shank Nails' 33.1 48.1 45.2 1. Installation with a 4" file headlap and fasteners are located a min. of 2% from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mt (ft4bf) for Two Paddy Adhesive; Set Systems Tile Profile Tile Application Minimum Attachment Resistance Barcelona 900 TILE BONDTM Roof Tile Adhesive 193 TILE BONDTm Roof Tile Adhesive 29.34 ICP Adhesives Polyset@ AH-160 29.35 Touch 'N Seal StormBond®2 666 Touch 'N Seal StormBond® 487 2 See foam adhesive manufacturer's component approval for installation requirements. 3 Medium paddy weight of 8 grams per paddy of TILE BONDW Roof Tile Adhesive 4 Medium paddy weight of 10.7 grams per paddy of TILE BOND" Roof Tile Adhesive 5 Medium paddy weight of 8 grams per paddy of Polyse* AH-160 6 Medium paddy weight of 8 grams per paddy of Touch 'N Seal StormBond ® 2 7 Medium paddy weight of 8 grams between tie and undedayment, paddy weight of 4 grams on overlap of file of Touch 'N Seal StormBond ® one component) NOA No.: 22-0714.18 M>Is cauNn Expiration Date: 04/26127 JAPPR` ` Approval Date: 08/11/22 Page 5 of 7 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft4bf) for Single Paddy Adhesive Set Systems Tile Tile Application Minimum Attachment Prof le Resistance Barcelona 900 ICP Adhesives Pol set® AH-160 66.58 ICP Adhesives Pol set® AH-160 38.71 Touch 'N Seal StormBond®2 82t0 Touch'N Seal StormBond12 6317 TILE BONDTM Roof Tile Adhesive 5812 8 Large paddy weight of 63 grams of Polyset® AH-160 9 10 11 12 Medium paddy weight of 24 grams of Polyset® AH-160 Large paddy weight of 60 grams of Touch 'N Seal StonnBond ® 2 Medium paddy weight of 30 grams of Touch 'N Seal StormBond ® 2 Two paddys combined to form one. Place one 10 gram paddy on the center of the underside of the tile, place a second paddy of 20 grams on the deck. When the is placed the two paddys combine to create one paddy weight of 30 orams total of TILE BONDTM Roof Tile Adhesive. Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Barcelona 900 Mortar Set10 24.5 13 Seespecific mortar manufacturers Notice of Acceptance 5. LABELING 5.1 All files 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". LABEL FOR BARCELONA 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE 6. BUILDING PERNIIT 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.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 6 of 7 PROFILE DRAWING NAIL HOLES K BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE 3 5/8 " NOA No.: 22-0714.18 Miwrtiu�►o� cou Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 7 of 7 MIMI®— MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMDVLSTRATTON DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) �.rnlsmidade.2ov/economy Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach, FL 33442 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right 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: Polyglass Polystick Underlayments 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 Sled 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 21-0602.14 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 21-1217.02 MIAMMDADECOUNTY Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 1 of 7 ROOFING COMPONENT APPROVAL Cateeorv: Roofing Sub-Cateeorv: Underlayment Material: SBS, APP PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick IR-Xe 65' x 3' Or 33.4' x ASTM D 1970 A fine granular/sand top surface self -adhering, APP Manufacturing 3, polymer modified, fiberglass reinforced, bituminous sheet Location #1 & #2 60 mils thick material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. Polystick TU Max 65'8" x 3'3-3/8" TAS 103 A rubberized asphalt self -adhering, polyester reinforced Manufacturing 60 mils thick waterproofing membrane. Designed as a a roof tile Location #1 & #2 underlayment. Polystick TU P 32' 10" x 3'33/8" TAS 103 A rubberized asphalt waterproofing membrane, glass - Manufacturing 130 mils thick fiber/polyester reinforced, with a granular surface Location #2 designed for use as a tile roof underlayment. Polystick TU Plus 65' x 3'33/x' TAS 103 A rubberized asphalt self -adhering, glass-fiber/polyester (Surface Printing) 80 mils thick reinforced waterproofing membrane. Designed as a metal Manufacturing roofing and roof tile underlayment. Location #1 & #2 Polystick MTS 65'8" x 3'3 3/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #2 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Polystick MTS Plus 65'8" x 333/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufucturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #2 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Elastoflex S6 G 32'10" x 3'3 3/e" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D 6164 with a sanded back face and a granule top surface. For Location #2 use in roof tile underlayment systems. MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL NOA No.: 21-1217.02 MIAMMADE COUNTY Expiration Date: 09/13/27 , Approval Date: 09/08/22 Page 2 of 7 Test Ayencv Trinity I ERD NEmo I etc. LLC LABELING: EVIDENCE SUBMITTED Test Identifier Test Name/Reaort P40390.10.12 P37590.07.13-1 P45270.05.14 P46520.10.14 P44360.10.14 P43290.10.14-111 PLYG-SC7550.03.15 PLYG-SC 10130.06.16-3 PLYG-SC 10130.06.16-1 PLYG-SC10130.09.16 PLYG SC 13035.08.17 PLYG-SC 15855.05.20-A 4j-PLYG 21-SSUDL-03.A ASTM D 1970 ASTM D6164 TAS 103, TAS 110 & ASTM D1623 ASTM D1623 TAS 103 & TAS 110 ASTM D 1970 & TAS 110 TAS 103 & ASTM D4798 TAS 103 & TAS 110 ASTM D1970 & TAS 110 ASTM D 1623 TAS 103 & ASTM D4798 TAS 103 & TAS 110 ASTM D 1970 Date 10/03/12 07/02/13 05/12/14 10/03/14 10/07/14 10/17/14 03/24/15 06/27/16 06/27/16 09/22/16 10/32/17 05/29/20 10/29/21 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami Dade County Product Control Seal as shown below. M[AMI•QAD� COUNTY ,...• BUILDING PERMIT EQUIREMENTS: R Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 21-1217.02 MAW"Ecourn-Y Expiration Date: 09/13/27 ` Approval Date: 09/08/22 Page 3 of 7 INSTALLATION PROCEDURES: Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(1): Anchor sheet mechanically fastened to deck, membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Polystick IR Xe, Polystick TU Max, Polystick TU P. Polystick TU Plus, Polystick MTS or Polystick MTS Plus, self -adhered. Surfacing: See General Limitations Below. Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(2): Anchor sheet mechanically fastened to deck, membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Elastoflex S6 G, hot asphalt applied Surfacing: See General Limitations Below. Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(3): Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. Anchor/Base Sheet: One or more plies of ASTM D 226 Type H or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, self -adhered. Surfacing: See General Limitations Below. NOA No.: 21-1217.02 Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 4 of 7 INsTALLATioN REQuinmxNTs: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick TU Plus may be used in asphaltic shingles, wood shakes and shingles, non structural metal roofing, adhered roof tile using ICP Adhesive Polyset RTA-1, mechanically fastened roof the systems and quarry slate roof assemblies. Polystick MTS may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, mechanically fastened roof tile systems and quarry slate roof assemblies. Polystick MTS Plus, may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, mechanically fastened roof tile systems and quarry slate roof assemblies. Polystick TU P may be used in asphaltic shingles, wood shakes and shingles, mechanically fastened roof file systems and quarry slate roof assemblies. Polystick IR-Xe may be used in asphaltic shingles, wood shakes and shingles, and quarry slate roof assemblies. Polystick TU Max may be used in non-structural metal roofing, adhered roof file using ICP Adhesive Polyset RTA-1 or ICP Adhesives Polyset AH 160, and mechanically fastened roof tile systems. Elastotlex S6 G may be used in adhered roof the using ICP Adhesive Polyset RTA-1 or ICP Adhesives Polyset AH-160, and mechanically fastened roof file systems. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick IR Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. NOA No.: 21-1217.02 Expiradon Date: 09/13/27 Approval Date: 09/08/22 Page 5 of 7 7. 8. Exposure Limitations s Polystick MTS Polystick IR-Xe Elastoflex S6 G Polystick TU Plus Polystick TU P Polystick TU Max Polystick NITS Plus Winter Have FL 180 90 180 180 180 180 180 Hazelto PA N/A 90 N/A 180 N/A 180 N/A 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. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope shall be as follows: (See Table Below) Tile Polystick Elastoilex Polystick TU Plus, Polystick Polystick System (E3) Profile MTS S6 G Polystick TU P TU Max MTS Plus MTS Plus with TU Plus Flat Tile Prohibited 4:12 6:12 6:12 5:12 6:12 without battens Profiled Prohibited 4:12 6:12 6:12 4:12 6:12 Tile without battens 9. The above slope limitations can be exceeded only by using battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. When battens are required, they shall be utilized during loading and installation of tiles. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure — two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, for a total of 6 tiles — for all underlayments except Polystick MTS which shall be loaded onto battens. V I Fbol Deck pte erred PoLY"CKTU 10. Refer to prepared roofing system Product Conte specific prepared roofing products. Polystick 11 Polystick MTS, Polystick MTS Plus or Elasto of Acceptance listing Polystick IR Xe, Polystic MTS, Polystick MTS Plus or Elastoflex S6 G ; If Polystick 1R-Xe, Polystick TU Max, Polyst] Plus or Elostollex S6 G are not listed, a request Miami -Dade County Product Control Section fo. to detail compatibility of the products, wind upli MIAMIDADE COUNTY Notice of Acceptance for listed approval of this product with -Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, ex S6 G may be used with any approved roof covering Notice TU Max, Polystick TU P, Polystick TU Plus, Polystick > a component part of an assembly in the Notice of Acceptance. :k TU P, Polystick TU Plus, Polystick MTS, Polystick MTS nay be made to the Authority Having Jurisdiction (AHJ) or the approval provided that appropriate documentation is provided t resistance, and fire testing results. NOA No.: 21-1217.02 Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 6 of 7 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES PLEASE CHECK WITS LOCAL BUILDING CODES REGARDING LINIITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, I I gauge ring shank type, applied with a minimum 1 V metal disk as required in Miami -Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back -nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass POLYPLUS 50, XtraFlex 50 Premium Modified Wet/Dry Cement or Polyglass PG 500 applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading file on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #8 and #9. 6. Battens and/or Counter -battens, as required by the file manufacturers NOA, must be used on all projects for pitch/slopes of TY] 2" or greater. it is suggested that on pitch/slopes in excess of 61/4"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass POLYPLUS 50, XtrRlex 50 Premium Modified Wet/Dry Cement or Polyglass PG 500 to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS - END OF THIS ACCEPTANCE NOA No.: 21-1217.02 MAMM7ADE counter Expiradon Date: 09/13/27 Approval Date: 09/08/22 Page 7 of 7 COUNTY MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIMION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy ICP Adhesives and Sealants, Inc. 12505 NW 44's Street Coral Springs, FL 33065 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right 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: PolyseO 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 20-1124.07 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. ' r_T ( 9W NOA No.: 22-0411.02 MIAMI-DADE COUNTY Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 1 of 11 ROOFING COMPONENT APPRovAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polyset® AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat, low, and high profile roof the systems using Polyse& AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Descri utiton Snecifcations Polyset!*AH-160 N/A TAS 101 Two component polyurethane foam adhesive ICP Adhesives Foam N/A Dispensing Equipment Dispenser RT71000 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 Polysee AH-160 roof file adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: PL e-rty Sid Res is Density @ 730F ASTM D1622 2.1 lbs./f1.3 Compressive Strength ASTM. D1621 18 PSI Parallel to rise 14 PSI Perpendicular to rise Tensile Strength ASTM D1623 29 PSI Parallel to rise Water Absorption ASTM D2842 0% Moisture Vapor Transmission ASTM E96 2.3 Perms Dimensional Stability ASTM D2126 +0.07% Volume Change @ 409 F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks Closed Cell Content ASTM D6226 94% 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.: 22-0411.02 MUWI-DADS COUNTY Expiration Date: 05/10/27 �Enalnw Approval Date: 05/05/22 Page 2 of 11 EVIDENCE SUBMITTED: ;hest ALencv Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109 2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 MEMO ETC, LLC 4p-ICP 20-SSLAP-01.B Physical Properties 11/11/20 LrnRTATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polyse& AH-160 shall solely be used with flat, low, & high the 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 Polysee AIH 160 roof file 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 61G20-3 of the Florida Administrative Code. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 3 of 11 INSTALLATION: 1. Polyset® AH-160 may be used with any roof file assembly having a current NOA that lists attachment resistance values with the use of Polyset AH 160. 2. 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 Polyset AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami -Dade County Roofing Application Standards R.A.S 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. Polyset® AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). 6. Polyset AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPacO 30 & 100 dispensing equipment only. 7. 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 Polyset AH-160 has been dispensed. 9. 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. APPROVED! NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Paddy Contact Area Minimum Paddy Gram 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 head of tile 9-11 sq. inches at overlap 12 grams per paddy Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal edge) 20-25 sq. inches each bead 17 grams per bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the 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. M1AM4QADE COUNTY rAPPROVED BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 22-0411.02 Mrara=-- Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 5 of 11 loin. `'-•_�! FA" Battens ADHESIVE PLACEMENT DETAIL # 1 (aeneathTde) Eave C(asuR Fascia Nant rough olasdc (when requiRdI pear l6mNgl Tlel underlayment r 10116 2 in.wlde aattens ' optional Ea"Course '' Fascia � Weephole En. dosure 101n. 2h1. Drip edge APPROVED 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 ci2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. Medium Profile / Double 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 overlook 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. High Profile / Single Pan Tile l . 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.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 6 of 11 ADHESIVE PLACEMENT DETAIL # 2 Nail through p)asticostn"t / Paddy (Beneath Tile) (when required) Untierlayment I r tt 71n.21n. _. Battens optional 6ve Coutu _ •• 10 in. --` 2 Fascia Eaveclosure Nail through plastic cernent (when required) in. Battens optional MIAMFDADE COUNTY Eave Closure Fassia Flat/Low Profile Tile Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the file closest to the ovcrlock of the file being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cr112) 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" (25A mm) foam paddy onto the underlayment positioned as shown under the strengthening rib closest to the Overlock of the tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm) - 12 (77.4 cm2) square inch adhesive contact with the underside of the tile. Medium Proffie / Double 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 tile closest to the Overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the 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.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 7 of 11 ADHESIVE PLACEMENT DETAIL 4 2 (CONTINUED) Nail through plastic as paddy (Beneath Tile) lwhen required) Ulndedayment W 7 in.. 2. 2 in. Battens optional lave Course Fascia Weephole Eave closure 10 in. 2 in. Drip edge APPROVED J 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 nun) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the file closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm2) - 19 (122.6 cm2) square inch adhesive contact with the underside of the tile. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 KM1VW uyh'equkpPW*C MR teec emtlW I eattere oprimali /' I neaynoderwi >Sir4epaft xltn. t ` •. singlepaddy �n lgldeltiy111e111 � 2x d in. �Y J2 7 --6are[t� FtaVlow ProNaTIO .4 EMCMWM M"wn ProittoTNe On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x I" (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 file for low or high profile file closest to the overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in2 (109.7-148.4 cm) of adhesive contact with the underside of the file 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat tile, or under the pan portion of the tile, closest to the underlock for the second course tile to be installed. Insure approximately 8-9 in2 (51.6-58.1 cm) of adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) h thoughplasti wc% Su�ePaddf iederole (when "bred) Vaddylbetweentaesl BMaens Updonal / PAddy(tnder tikl side zYainV/_ / paddddyy en eopottie- FiYE CgYSe— ��`y fascia Weephok Eave domre to 2 in. HNh ProRWTIW MUlMFDADE COUNTY 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 1/I' (19 min) 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 cmZ) - 11 (71cm2) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm') - 9 (58.1 cm) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 10 of 11 ADHESIVE PLACEMENT DETAM Two PIECE BARML 1) Place enough adhesive to achieve 6S to 70 sq. in. Steep pitch applications in contact with the pan tile. (when required) 2) Turn covers upside down. Place adhesive In to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 2S sq. in. contact area. ram,, jyi Underlayment of ,�I '�'�i ��.ti F+�'� �f •` p ��, ^�... �, � • sue" �Ii'13 I I� h Sheathing Eave closure (motarshown) Weephole Fascia Board Remove top portion of the eave course cover tile.Abut to second course of pantiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile APPROVED Two Piece Barrel (Cap and Pan) Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm) — 70 (451.6 cm) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive directly on the inner edge of each side of the cover tile. Leave approximately 3/4" (19 mm) to 1" (25.4 mm) from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan file course. Insure a minimum of 20 (129 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) milers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 11 of 11 MIAMMADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Stree; Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w .ailamidade.¢ov/nonomv CertainTeed LLC 20 Moores Road Malvern, PA 19355 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right 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: CertainTeed Underlayment Systems 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 it 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# 19-0506.02 and consists of pages 1 through 9. The submitted documentation was reviewed by Freddy Semino MIAMI•DADE COUNTY NOA No.: 20-072336 Expiration Date: 11/24/24 Approval Date: 10/15/20 Page I of 9 ROOFING COMPONENT APPROVAL Category: Roofing Sub�-Category: Underlayment Mat. SBS SCOPE: This approves CertainTeed LLC Underlayment Systems, as described in this Notice of Acceptance; designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specification Description WinterGuard HT 36" x 65' ASTM D 1970 Modified fiberglass reinforced, bituminous sheet rolls material for use as an underlayment in sloped roof Manufacturing Location assemblies. Designed as an ice & rain shield. #1 WinterGuard Granular 36" x 65' ASTM D 1970 Granular surfaced modified, fiberglass reinforced, rolls bituminous sheet material for use as an Manufacturing Location underlayment in sloped roof assemblies. #2 Designed as an ice & rain shield. WinterGuard Sand 36" x 32.5' ASTM D 1970 Embedded sand surfaced modified, fiberglass roils reinforced, bituminous sheet material for use as an Manufacturing Location underlayment in sloped roof assemblies. #2 Designed as an ice & rain shield. Diamond Decks" 48" x 250' ASTM D 226 Synthetic, scrim reinforced underlayment for use rolls Type II under shake, shingles, slate or metal roofing. Manufacturing Location #3,4,&6 MetaLayments" 39 3/8" x 61 ASTM D 1970 A film surfaced, self -adhering underlayment for rolls use under metal roofing. Manufacturing Location #1 Black Diamond" 39 3/g" x 68' 7" ASTM D 1970 Granular surfaced modified, fiberglass reinforced, Base Sheet rolls bituminous sheet material for use as an underlayment in sloped roof assemblies. Manufacturing Location Designed as an ice & rain shield. Not for use as #2 an Anchor Sheet. Direct adhesion to wood deck not permitted in the HVHZ. NOA No.: 20-0723.36 Muurt�opoa caurrrr Expiration Date: 11/24/24 "JAPPROVED1 Approval Date: 10/15/20 Page 2 of 9 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimensions Test Product Suecification Descriution Flintlastic GTA 39 3/s" x 32' 10" ASTM D 6222 Granule surfaced APP Modified Bitumen Manufacturing Location rolls Grade G membrane with non -woven polyester mat #1 Type I reinforcement for torch application. All Weather/Empire Base Sheet Manufacturing Location #1 Flintlastic GMS Manufacturing Location #1 Flintlastic SA Cap Manufacturing Location #1 Roofers' Select Manufacturing Location #5 RoofRunner Manufacturing Location #6 39 3/s" x 65' 10" ASTM D 4601 Asphalt coated fiberglass reinforced base sheet. rolls Type H 39218" x 32' 10" ASTM D 6164 Granule surfaced SBS Modified Bitumen roils Grade G membrane with non -woven polyester mat Type I reinforcement for mop application. 39 3/8" x 33' 11" TAS 103 Polyester reinforced, self -adhering SBS modified rolls bitumen cap sheet. 36" x 144' rolls 48" x 250 rolls MANUFACTURING LOCATION: 1. Little Rock, AR 2. Shakopee, MN 3. Hangzhou, China 4. Silvassa, India 5. Shreveport, LA 6. Dadra, India ASTM D226 An asphalt -impregnated, organic felt reinforced Type I with glass fibers, roofing underlayment. ASTM D226 Synthetic, scrim reinforced underlayment for use Type li under asphalt shingles. NOA No.: 20-072336 Expiration Date: 11/24/24 Approval Date: 10/15/20 Page 3 of 9 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Ream D..= TrinitylEltD 3530.12.05-1-R1 ASTM D 1623 10/05/09 C32240.03.10 ASTM D4977 03/04/10 C30890.03.10-1 ASTM D1970 03/17/10 C3500.04.10 TAS 103 04/01/10 C31860.05.10 ASTM D1623 05/18/10 C40050.09.12-2 ASTM D1970 09/28/ 12 C45240.01.14-1 ASTM D1970, TAS 110 01/15/14 C32930.01.11-R2 ASTM D1623 01/20/14 C45240.01.14-2 TAS 103, TAS 110 01/24/14 SC6465.05.14 ASTM D 226 05/29/14 SC7470.10.14 TAS 114 B 10/21/14 CTR-SC11145.09-3A ASTM D4601 09/19/16 CTR SC11415.11.16 TAS 103 11/28/16 CTR-SC 11505.12.16 ASTM D 1623 12/22/16 ACT-SC14110.06.17-1 ASTM D 226 06/29/17 ACT-SC14110.06.17-3 ASTM D 226 06/29/17 PRI Construction Materials CTC-071-02-01 ASTM D6222 08/08/11 Technologies, LLC CTC-093-02-01 ASTM D61649 ASTM D4798 08/09/11 CTC-163-02-01 ASTM D6757, ASTM D226, 05/09/13 ASTM D4869 InterTek Testing Services Ltd. 10103165000Q-002C ASTM D226 08/13/13 101227796COQ-003C ASTM D4798 08/13/13 10103165000Q-005C ASTM D4869 08/13/13 QAl Laboratories RJ3502-1 ASTM E108 09/29/14 Nemo / etc. 4S-CTR 18-003.09.18 ASTM D4798 9/21/18 4S-CTR-18-003.03.09.A ASTM D226/ TAS 110 03/13/19 NOA No.: 20-0723.36 Mtar�rcwoe courrrir Expiration Date: 11/24/24 "1APPROVED1 4 Approval Date: 10/15/20 Page 4 of 9 APPROVED ASSEMBLIES: Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened to deck. Anchor Sheet: (4:12 or Above) One or more plies of Diamond Deck with a minimum 4" headlap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll. (2:12 to < 4:12) One or more plies of Diamond Deck with a minimum 25" head lap and a 12" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll. Vertical joints should be offset 7T, minimum. Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry slate, and metal roof applications. Must Comply with applicable Roofing Application Standards and Building Codes Deck Type 1: Wood, Non -insulated Deck Description: 19132' or greater plywood or wood plank System E(2): Anchor sheet mechanically fastened to deck. Anchor Sheet: (4:12 or Above) A single layer of RoofRunner shall be applied with printed side up, parallel to the eaves, overlapping each course with a minimum 4" head lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 611o.c. at the side lap edge and spaced 15"o.c. vertically and 12"o.c. horizontally in the field of the roll. Surfacing: Shall be acceptable for use in approved asphaltic shingle applications. Must Comply with applicable Roofing Application Standards and Building Codes NOA No.: 20-0723.36 MwMMov�►►Da CouN'nr Expiration Date: 11/24/24 JAPPROVED1 Approval Date: 10/15/20 Page 5 of 9 Deck Type 1: Wood, Non -insulated Deck Description: '9132' or greater plywood or wood plank System E(3): Anchor sheet mechanically fastened to deck. Anchor Sheet: (4:12 or Above) Two plies of Roofers' Select with a minimum 4" headlap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll. (2:12 to < 4:12) Two plies of Roofers' Select with a minimum 19" headlap and a 12" end lap fastened to deck with approved nails and tin caps 6" o.c. at the side lap edge and mechanically in a grid pattern spaced 12" o.c. in the field of the roll. Vertical joints should be offset 72" minimum. Surfacing: Shall be acceptable for use in approved asphaltic shingle applications. Must Comply with applicable Roofing Application Standards and Building Codes Deck Type 1: Wood, Non -insulated Deck Description: 19132' or greater plywood or wood plank System E(4): Anchor sheet mechanically fastened to deck, membrane adhered. Anchor Sheet: One or more plies of ASTM D 226 Type H or ASTM D 2626 with a minimum 4" headlap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll. Membrane: One or more plies of Flintlastic GTA torch applied to anchor sheet or WinterGuard HT, WinterGuard Granular, WinterGuard Sand, MetaLayment or Black Diamond Base Sheet self - adhering membrane adhered to the anchor sheet with a minimum 3" headlap and 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the membrane is acceptable. If membrane is strapped, then anchor sheet must also be strapped. Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry slate, and metal roof applications. Must Comply with applicable Roofing Application Standards and Building Codes APPROVED NOA No.: 20-0723.36 Expiration Date: 11/24/24 Approval Date: 10/15/20 Page 6 of 9 Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(5): Anchor sheet mechanically fastened to deck, membrane adhered. Anchor Sheet: One ply of ASTM D 226 Type H organic felt or All Weather/Empire Base mechanically attached with a minimum 4" side lap and a minimum 6" end lap. Anchor sheet shall be applied at a right angle (900) to the slope of the deck with approved annular ring shank nails and tin caps at a fastener spacing of 6" o.c. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll of the base sheet. Ply Sheet: (Optional) One or more plies of an ASTM D226 ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Membrane: One ply of Flindastic GMS adhered in a full mopping of Type IV asphalt applied within the EVT range and at a rate of 20-401bsJsq. or Flintlastic GTA torch applied to the preceding sheet or Flintlastic SA Cap, self -adhering membranes adhered to the preceding sheet with a minimum 4" side lap and 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the membrane is acceptable. if membrane is strapped, then anchor sheet and ply sheet must also be strapped. When used in Tile roof systems the cap sheet shall be back nailed to deck with approved annular ring shank nails and tin caps at a maximum of 12" o.c. at the side laps and 6" o.c. at the end laps. No nails or tin caps shall be exposed. Surfacing: *Flintlastic SA Cap, Flintlastic GTA and Flintlastic GMS may be used with any approved roof tile system mechanically fastened as specified in their current NOA. •Flintlastic SA Cap, Flintlastic GTA and Flintlastic GMS may be used with any approved roof tile system adhered as specified in their current NOA using any foam adhesive listed and having a current tile adhesive NOA approval. Must comply with appropriate Roofing Application Standard RAS 118, RAS 119, RAS 120 and applicable Building Codes. LABELING: All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAWDADE COUNTY NOA No.: 20-072336 MwnMwoeeoimrY Expiration Date: 11/24/24 Approval Date: 10/15/20 Page 7 of 9 BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. CertainTeed LLC underlayment roofing systems utilizing Flintlastic GTA, WinterGuard HT, WinterGuard Granular, WinterGuard Sand, DiamondDeck, MetaLayment or Black Diamond Base Sheet as a cap membrane shall be acceptable for use in asphaltic shingles, wood shakes, & shingles, quarry slate, and metal roof applications. CertainTeed LLC underlayment roofing systems utilizing RoofRunner or Roofers' Select shall be acceptable for use in asphaltic shingles. 3. CertainTeed LLC underlayment roofing systems utilizing Flintlastic SA Cap, Flintlastic GTA or Flintlastic GMS as a cap membrane shall be acceptable for use in foam adhesive set and mechanically fastened roof tile systems as specified in the surfacing option of the approved assemblies. 4. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. CertainTeed underlayment roofing systems shall be installed in strict compliance with applicable Building Code. 5. CertainTeed LLC underlayment roofing systems membranes shall be applied to a smooth, clean and dry surface with deck free of irregularities. 6. CertainTeed LLC underlayment roofing systems membranes shall not be applied over an existing roof membrane as a recover system but may be applied over an approved roofing Base/Anchor sheet underlayment. 7. WinterGuard HT, WinterGuard Granular, WinterGuard Sand, Black Diamond Base Sheet, Flintlastic SA Cap, MetaLayment, Diamond Deck, Flintlastic GMS, and Flindastic GTA shall not be left exposed as a temporary roof for longer than 180 days of application. RoofRunner and Roofers' Select shall not be left exposed as a temporary roof for longer than 30 days after application. 8. CertainTeed LLC underlayment products may be used with any approved roof covering Notice of Acceptance listing CertainTeed LLC underlayment products as a component part of an assembly in the Notice of Acceptance. If CertainTeed LLC underlayment products are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or Miami -Dade County Product Control for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 9. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 10. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 11. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 12. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. NOA No.: 20-072336 MwMMo"a CoExpiration Date: 11/24/24 ' "' • ' Approval Date: 10/15/20 Page 8 of 9 LIMITATIONS: 13. The maximum roof slope for use as roof file underlayment in direct to -deck the assemblies shall be as follows. Use of loading boards or batten strips is required on roof slopes greater than that reported in the Table below to prevent slippage. TILE SLIPPAGE LIMITATIONS FOR DIRECT -DECK TILE ASSEMBLIES Underlayment Tile Profile Staging Method Maximum Slope Flintlastic GMS Flat / Lugged Max. 10-tile stack 4:12 Flintlastic GTA Flat / Lugged Max. 10-tile stack 6:12 Flintlastic SA Cap Flat Max. 6-tile stack (4 over 2 6:12 Lugged Max. 6-tile stack (4 over 2 5:12 END OF THIS ACCEPTANCE NOA No.: 20-0723.36 MtAMFDME G u Expiration Date: 11/24/24 ��F-,122:19yjqgj Approval Date: 10/15/20 Page 9 of 9 Ron DeSantis, Governor Melanie S. Griffin, Secretary r Fiol-icla dop STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES OBENOUR, JAMES DONALD JR OBENOUR ROOFING SHEET METAL & SUPPLY CO 9822 N.E. 2ND AVE NO.9 MIAMI SHORES FL 33138 LICENSE NUMBER: CCC052462 EXPIRATION DATE: AUGUST 31, 2024 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. Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOTA BILL -DO NOT PAY 261107 all BUSINESS NAMFAOCA110N RECEIPT NO. EXPIRES OBENOUR ROOFING SHEET METAL & SUPPLY RONEWAL SEPTEMBER 30, 2023 12050 NE 14TH AVE UNIT 3A 261107 Must be displayed at place of business MIAMI FL 33161-6585 Pursuant to County Code Chapter BA- Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT AECENEO OBENOUR ROORNG SHEET METAL & 196 SPECIALTY BUILDING CONTRACTOR BYTpxrTUECro9 C/O JAMES D OBENOUR PRES CCCO52462 $100.00 08/23/2022 Worker(s) 15 INT-22-395892 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holdermuat comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles -Miami-Dade Code Sao Sa-276. For more ildormation,visit wwwmiamidade.aov/taxcollecmr ACVRV CERTIFICATE OF LIABILITY INSURANCE DAM=22 TWS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAIWELYAMEND, 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 73390 INSURED, the policy(iss) must have ADDITIONAL MURED provisions or be endorsed. U SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain popcies may require an endorsement. A statement on this certificate doss not conW rights to the cerftzto holder In tlau of such endarsement(s). PRODUResha Bunker Fm Ham. Funnan, Inc. � (854) 943-CM (954) 942-6310 1314 East Adentic Blvd. regina@fwmnkmmnce.com P. O. Box 1927 DESU AIMOR I)RO COVERAQE HMO Pompano Beach FL 33061 MINER A: '=ShM Sped tY 'ra 26445 R=RED DMtRER 0 : Brldgetfield Employers Ins Co 10701 Obenour Rocfing Sheet Metal & SUP* CO 9622 NE 2nd Ave Suite 9 Miami Shoes FL 33138 DM%nQenu nil WtwO. COVERAGES L;eKiiriwaiai��swioc.•. THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIF&WMAI CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. -------- -- - - - LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD T, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PLAID CLAIMS. LTR A TYPE OF WSIIRAt M C0dd1 M=aGENBRAI.UAI3WTY CWIM,.M4,E ©OCCUR 7 Y POLICYNiiE RCS0046606 06/0112022 06101/2023 LLAIITS EACH OCCURRENCE s 1.000.000 sae b 100A00 titED EXP am 06=0 3 5,000 PERSOrt 1LaADV KIURY $ 1.000.000 - GENERALAGGREGATE S 2.000.000 E ULLTI'APPL�S PER: OPRQ- ❑LOC rTC AMMOME LIAGU Y ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDNON-OWNED AUTOS ONLY AUTOS ONLY PRODucrs-csFlopAGo 2,QQQ,000 sTllar s soaa.Y INJURY (P« venal s BODILY tMA RY (Par sec"d) t O S S U&MIRELLA L1A6 M(CES8 6I0 El OCCUR q AIMg4pDE N 1 A =36966 10lQ6120?Z 1010612023 EACH O S AGGWROM_ i pEp I RETENTION S WORKERS COMPURSATION ACID E11MLAYERS' LIJIMU TY Y 1 N Y ExCLI�ED? MN 11 res. dawfbe ardor DESCRIPTION OF OPERATIONS bd w 8 F.L. EACH ACCIDFSIT 1001000 E.L.GISEASE-EA MPLOYEE _ 100.000 F.L. DISEASE - POLICY LWr S s00.QQ0 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES P=RD 101. AddEffmd Rsen5ft sdod de, amy Iw a, Irnmw q=* Is r"aw1 Roofing Condor: CCC0014306 w.�.wn■ � �T�A\� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WrfH UM POLICY PROVWONS. vaage of IbiWW Shares 10050 NE 2 AVENUE AUTHORIZED REPREMffATM MIAMI SHORES FL 33138 410w"'A0- ®198S-?A16 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD