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RF-10-22-2504 & REV-10-22-2598Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 431 NE 100TH ST, Miami Shores, FL 33138 Contacts ERIN HALLORAN Owner 451 NE 91 ST, MIAMI SHORES, FL 33138 Other: 3522623193 HALLORAN.ERIN@GMAIL.COM Issue Date: 10/12/2022 Parcel Number 1132060170500 Permit NO.: RF-10-22-2504 Permit Type: Roof Work Classification: Tile Permit Status: Approved Expiration: 04/12/2023 John Busta Roofing Inc. Applicant John Busta 300 NE 91 Street n/a, Miami Shores, FL 33138-3130 Business: 305-219-9699 jrbusta300@aol.com Mobile: 305219-9699 Home: 305-219-9699 Other: 305-219-9699 Erin Halloran Applicant bruce & bruce, Inc. Applicant 431 NE 100th ST, Miami Shores, FL 33138 victor bruce Mobile: 786-763-2813 hallomn.erin@gmail.com 370 NE 101st Street, Miami Shores, FL 33138 Business: 3053105030 vb@b2-ai.com Other: 3053105030 JOHN ROBERT BUSTA 300 NE 91 ST, MIAMI SHORES, FL 33138 Business: 3052199699 Description: NEW construction pool house installation new concrete color thur Flat roof tile. color of roof tile is stone mountain blend. Fees Amount CCF $5.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $2.70 Permit Fee (Manual) $130.00 Scanning Fee (Manual) $12.00 Technology Fee (Manual) $13.00 Total: $167.10 Valuation: $ 8,900.00 Insection Requests: Total Sq Feet: 412.00 Payments Date Paid Amt Paid Total Fees $167.10 Credit Card 10/12/2022 $167.10 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations Pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermpre, I authyd e the above named contractor to do the work stated. le Authorized Signature: Owner / Applicant / Contractor / Agent Date October 12, 2022 Page 2 of 2 CIVIL j2eileh Engineering Corp. (Consulting I.ngvn e. 2370 Sourh-a�t 123" Avenue Miami, R,,nda33175-1174 ENGINEER 8M t305-3v7,6414 Fax: 305-823 October 26. 2022 Ado) (loofa Ruv. ing 300 \ottheast 91 Street Miami Shores, Florida 331.18-3130 Pmjcct: ROOF TILE UPLIFT TEiT REPORT Residentia) Home 431 NorthmLst 100 Sfrcet Miami Shores. Florida Information provided by client Permit Number RF-10-22-2504 Date Completion: October 21.2022 Roofing Contractor John Basta Roofing Project Number: 22-1851 cresting laboratory Ceruficate d 16-0602.01) Deaf Sits, In accordance with your request and authorization, a representative of fiakh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was pertbrined in general accordance with Roofing Application Standard TAS No.106 — Standard priced= for f ieid verification ofthe bonding ofmortas or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, mid the mean height of the roof is less than 40 Poet above ground surface. The type of file used for this project was reported to be Saxony 900 Slate Roof Tile. This tile was reported to have been foamed in place. At the time of our insjwdon, the entire, area of the roof was examined Ear loose tiles- Not less than tine f I ) the in ten (10) of all components in the field area and one (1) the in five (5) of all tiles in the perimeter and coiner arras were physically examined. A minimum of one (1) test per every two (2) cgnares in the field, not (1) test per vquam.. in the perimeter area, ridge cape and one (1) tea in each comer were conducted Based on out test results, we conclude that the installation of the roof tile at the above referenced project ameea the tat requirement outlined in theabovomentioned protocol. Attached please find a mpy of our test report for your review, Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation Nfohamad Sonny Salleh, P.E.49014 Project Manager 'FILE UPLIFT TEST Residential Home 431 Northeast 100 Street Miami Shores, Florida Submittals: Cover Page Page 2 thru 4 of 4 Drawing 22-1851 Reileh Engineering Corporation — Project Number - 22-1851 — Page 2 of 4 Report of TILE UPLIFT TEST for Residential Home 431 Northeast 100 Street Miami Shores, Florida Project Number: 22-1851 Test Number u Test Load` brr�� i i `� �� , `"s ` �� . 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 24 35 Pass Reileh Engineering Corporation -- Project Number - 22-1851— Page 3 of 4 Test, Te t Load, b yF. �.._ .1., ` ,e °� ,:2r _�� 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass Test 1-8 Corner, 9-12 Ridge Caps, 13-16 Perimeter, 17-32 Field Reileh Engineering Corporation -- Project Number - 22-1851— Page 4 of 4 KIM NUMM OF t5f KPIM�t� - 400 5F O R96E CAP TEST LOCATION COPM - 6 COPNEP - 40' 5F PIf26E CAP - 4 13 MNOTE513POMN Mi MAP MP, - 4 MPIMETEP P15fANCE, a - 3' L MNO 5 L005fl TILE FEU? - 16 CON AffA - 3' X 3' 25' 22-185 APPPDX, WOF t5f OCAVON5, AMA5, AN12 PIM51ON5 Miami Shores Village xECR�IVEE) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC 0 ROOFING ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 431 NE 100 Street OCT © 5 0 BY:. !� FBC 207/194� Master Permit No. RC-06-21-1520 Sub Permit No.12r-10— Z C.-Z51O`i ❑ REVISION ❑ EXTENSION [—]RENEWAL. ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-017-0500 Is the Building Historically Designated: Yes NO X Occupancy Type: Single Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Erin Halloran Phone#:352-262-3193 431 NE 100 Street City: Miami Shores state: Florida ZiP: 33138-3150 Tenant/Lessee Name: N/A Phone#: N/A Email: halloran.erin@gmail.com CONTRACTOR: Company Name: John Busta Roofing Inc. Address: 300 NE 91 Street Miami Shores, Florida 33138-3130 Email: irbusta300@aol.com Qualifier Name: John Robert BUsta Phone State Certification or Registration M CCC-058048 Certificate of Competency #: DESIGNER: Architect/Engineer: N/A _ Phone 305-219-9699 305-219-9699 N/A Address: N/A City: N/A State: N/A Zip: N/A Value of Workforthis Permit: $8,900.00 Square/Linear Footage of Work: 400 Square Feet Type of Work: ❑■ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: New construction pool house installing new concrete color-thru flat roof tile. Color of roof tile is Stone Mountain Blend to match existing roof tile. Specify color of color thru Submittal Fee $ Permit Fee $ -LIZ CCF $ S• 4 V CO/CC $ ��.��++,}� Scanning Fee $ I •� DCA Fee $ 2 • l9� DBPR $ Z- Notary $ c..E..}. Technology Fee $ 13 • c71 Training/Education Fee $ Z . % Double Fee $ Structural Reviews $ P&Z Review $_ Bond $ TOTAL FEE NOW DUE $ I �� (Revised04/05/2022I Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A city N/A state N/A Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A city N/A state N/A Zip N/A zip N/A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ik t.MEW OWNER or AGENT The foregoing instrument was acknowledged before me this 4th. day of October . 20 22 . by Erin Halloran , who is personally known to me or who has produced Florida Driver License as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: •. SORAYDAGUTIERREZ *: *= MY COMMISSION 0 HH 304282 :sue sib.• EXPIRES: Sep caber 5, 2M CO NTRACTO R The foregoing instrument was acknowledged before me this 4th. day of ,October , 20 22 , by Erin Halloran , who is personally known to me or who has produced Florida Driver License as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ********s*f**sssss*********s*s*N*s***s**s**s*s*****s**************s***s*sssss*******s*********************** APPROVED BY 4 1 Z� Plans Examiner Zoning a0fe/114 (Revised04/05/2022) Structural Review Clerk Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami-gade County Section A (General Information) Master Permit Num Contractor's Name: Job Address: ROOF CATEGORY Process Number: ❑ Low Slope ❑ Mechanically Fastened Tile 4111111 Mortar/ Adhes' `�T' ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles El Wood Shingles ROOF TYPE COPY ® New Roof ❑ Repair ❑ Maintenance ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (ftz) Steep Sloped gpof Area (ft2) Total (ft2) � f Q(j �fOIJ Are there gas vents on the roof? ® Yes ® No If Yes what type? ©Natural © LPX Is there an existing roof top Solar System? ® Yes ® No If yes will it be reinstalled? ® Yes ® No Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. AX f$ I )JPoa HL4(SA19 F_Xt ST/hlC- ,4-1 ixls7i/J� rxi Tbvc E �0 r co cl a LL Cn_CD 'mCm �o to 3 m 0] U m O) � sS ro E D (D E m `o sNmU)a NEW Pooz- 1-664-<�E 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: Westlake Royal Roofing LLC 22-0714.13 Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zone1: -74 Zone 2e: -74 Zone2n: -108 Zone 2r: -108 Zone 3e: -108 Zone 3r: .128 Slope Range: (E)>_ 2:12 to 5 4:12 O> 4:12 to 5 6:12 Q > 6:12 to 512:12 Roof Shape: IE) All Hip Roof 0 Gable Roof or Partial Gable/Hip Roof Deck Type: 5/8" Plywood Underlayment Type: #30 ASTWD226-TYPEi1 Roof Slope: 3 . 12 n/a Insulation: Fire Barrier: n/a Ridge Ventilation? Fastener Type & Spacing: sails 6"oc @laps & 2 rows 12' oc w/ 15/8" n/a i ��,��t/Ai�..s- 6 •'oG Q [.A PS 2 ,eDGRS /� oG W / 'j74 eAO!; Cap Sheet Type: Polyglass Polystick TU Plus Mean Roof Height: 15 Cap Sheet Attachment: Self Adhered Roof Covering: iy 900 Slate Concrete Color Thru Ro . 64YONY9POO N�ie�r. coLb�e RGc- /� ,57ON,.=A O&f4!` ;9 art/ Drip Edge Type & Size: E 3"Face 26ga. gals. white 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 Mr. 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. 74&A&_ 4.; Method 1* " Moment Based Tile Calculations per RAS 127" N0' /� Enter positive uplift pressures when using this table SAC - PAAO Y 113 &Pfi r1jS P� VFoAr�j ( Zone 1: 74 x A 0.315 = 23.31 ) _ Mg: 7.63 = Mtj 15.68 Product Approval Mh 60.11 %6d (Zone 2e: 74 x 0.315 _ 23.31 ) _ Mg: 7.63 = Mr2e 15.68 Product Approval Mt. 60.11 ( Zone 2n: 108 x A 0.315 = 34.02 ) _ Mg: 7'6 = Mr2n 26.39 product Approval Mf: 60.11 ( Zone 2r: 108 0.315 x A - 34.02 7.63 )-Mg : 26.39 = Mr2r Product Approval Mf: 60.11 ( Zone 3e: 108 x A 0.315 _ 34.02 ) _ Mg: 7.63 = Mr3e 26.39 product Approval Mf: 60• 11 ( Zone 3r: 128 x A 0.315 = 40.32 ) _ Mg: 7.63 = Mru 32.69 product Approval Mf: 60.11 Tile attachment method. Alternate Tile attachment method: 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 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 ) = Fr2n 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 ) = Fr3r 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 8 .lob Site Aerodynamic Multiplier A Product Approval / Notice of Acceptance Restoring Moment due to Gravity MR 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. AHAMI-DARE COUNTY MIAMFDADE PRODUCT CONTROL SECTION on 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DMSION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w .raiamidadeeov/economy Westlake Royal Roofing LLC 7575 Irvine Center Drive #100 Irvine, California, USA 92816 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: Saxony 900-Slate & Saxony Split Slate, Saxony 900- Shake & Saxony 900-Split Shake - Flat Profile Tile f 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# 21-0420.04 and consists of pages I through 9. The submitted documentation was reviewed by Alex Tigera. NOA No.: 22-0714.13 y�� MIAMI DADE COUNTY Expiration Date: 05/02/24 Approval Date: 08/11/22 Page 1 of 9 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a roofing system using Saxony 900-Slate & Split Slate, Saxony 900- Shake & Saxony 900- Split Shake as manufactured by Westlake Royal Roofing LLC, in Okeechobee, Florida as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does 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 Dimensions Test Product Aaul� icant Specifications Description Saxony 900-Slate & Split L =17" TAS 112 Flat, Type 3a interlocking Class III, concrete tile Slate, Saxony 900- Shake W =13" equipped with two nail holes. For direct deck or & Saxony 900- Split H = 1.19" battened nail -on, mortar or adhesive set Shake Thickness:.70" applications. Trim Pieces L= varies TAS 112 Accessory trim, concrete roof pieces for use at hips, W = varies rakes, ridges and valley terminations. Varying thickness Manufactured for each tile profile. 2.1 PRODUCTS MANUFACTURED BY OTHERS Product Name Product Description Manufacturer (With Current NOA) ICP Adhesives Polyset AH-160 Two component polyurethane ICP Adhesives and Sealants, Inc. foam adhesive. TILE BOND Roof Tile Adhesive Single component polyurethane foam roof tile adhesive. Touch `N Seal StormBond® 2 Two- Two component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive Touch `N Seal StonnBondo One One component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive "Tile Tite" Roof Tile Mortar Bonsal Roof Tile Mortar "Quikrete" Roof Tile Mortar, FL-15 Premixed, pre -bagged roof tile mortar. Premixed, pre bagged roof tile mortar. Premixed, pre -bagged gray roof tile mortar. The Dow Chemical Company DAP Foam, Inc. DAP Foam, Inc. Bermuda Roof Co. Inc. Bonsal American The Quikrete Companies, Inc. NOA No.: 22-0714.13 Expiration Date: 05/02/24 Approval Date: 08/11/22 Page 2 of 9 2.2 MANUFACTURING LOCATION 1. Okeechobee, Florida 2.3 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Revort Date Redland Technologies 7161-03 Appendix III PA 102 & PA 102(A) Dec. 1991 7161-03 Appendix II PA 108 (Nail -On) Dec. 1991 Letter PA 108 (Nail -On) Aug. 1994 P0631-01 PA 108 (Mortar Set) July 1994 P0402 Withdrawal Resistance Testing of screw vs. Sept. 1993 smooth shank nails The Center for Applied 94-060A PA 101 (Mortar Set) March, 1994 Engineering, Inc. 94-084 PA 101 (Adhesive Set) May 1994 25-7094-2 PA 102 Oct. 1994 (4" Headlap, Nails, Direct Deck, New Construction) 25-7094-8 PA 102 (4" Headlap, Nails, Battens) Oct. 1994 25-7094-5 PA 102 (4" Headlap, Nails, Direct Deck, Oct. 1994 Recover/Reroof) 25-7183-6 PA 102 (2 Quik-Drive Screws, Direct Feb. 1995 Deck) 25-7183-5 PA 102 (2 Quik-Drive Screws, Battens) Feb. 1995 25-7214-1 PA 102 (1 Quik-Drive Screw, Direct Deck) March, 1995 25-7214-5 PA 102 (1 Quik-Drive Screw, Battens) March, 1995 Project No. 307025 PA 100 Oct. 1994 Test #MDC-77 Celotex Corporation Testing 520109-1 PA 101 Dec. 1998 Service 520111-4 PA 101 March 1999 520191-1 PA 101 March 1999 Walker Engineering, Inc. Calculations Aerodynamic Multiplier October 2007 Calculations Moment of Gravity August 2007 Calculations 25-7094 February 1996 Calculations 25-7496 April 1996 Calculations 25-7584 December 1996 Calculations 25-7804b-8 December 1996 Calculations 25-7804-4 & 5 December 1996 Calculations 25-7848-6 December 1996 Calculations 25-7183 March 1995 Calculations Aerodynamic Multipliers April 1999 Calculations Two Paddy Adhesive Set System April 1999 American Test Lab of South TAS 112 RT1023.01-18 October 30, 2018 Florida Walker Engineering, Inc. Calculations Restoring Moment March 29, 2018 Aerodynamic Multipliers PRI Construction Material BORR-022-02-01 TAS 101 02/25/2019 NOA No.: 22-0714.13 a�whtmo►o courrrSr Expiration Date: 05/02/24 Approval Date: 08/11/22 Page 3 of 9 Technologies LLC BORR-022-02-02 TAS 101 02/25/2019 BORR-022-02-03 TAS 101 02/25/2019 BORR-022-02-04 TAS 101 02/28/2019 2002T0003.03 TAS 101 11/06/20 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Miami -Dade Product Control office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 Mechanically attached tiles minimum 4/12 slope. 3.6 30/90 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. 3.8 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. 4. INSTALLATION 4.1 Saxony 900-Slate & Split Slate, Saxony 900- Shake & Saxony 900- Split Shake 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 (I x w ) Tile Profile Weight W (Ibf) Length-1 (ft.) Width-w (ft) Saxony 900-Slate & Split Slate, Saxony 900- Shake 10.9 1.42 1.08 & Saxon 900- Split Shake Table 2: Aerodynamic Multipliers - A (ft3) Tile Profile A (ft3) A (ft3) Batten Application Direct Deck Application Saxony 900-Slate & Split Slate, Saxony 900- Shake 0.291 0.315 & Saxon 900- Split Shake NOA No.: 22-0714.13 Expiration Date: 05/02/24 Approval Date: 08/11/22 Page 4 of 9 Table 3: Restoring Moments due to Gravity - Ma (ft: Ibf) Tile 2"A2" W%iF CAT' 5":12" VAT' 7":12" or Profile greater Saxony Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 900-Slate Deck Deck Deck Deck Deck Deck & Split N/A 7.70 N/A 7.63 4.74 7.51 4.65 7.71 4.53 7.17 4.40 6.97 Slate, Saxony 900- Shake & Saxony 900- Split Shake Table 4: Attachment Resistance Expressed as a Moment - Mt (ft.-Ibf) for Mechanically Attached Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19132" plywood) Battens Saxony 900-Slate & Split Slate, Saxony 900- Shake & Saxony 900- Split Shake 2-10d Ring Shank Nails 30.9 38.1 17.2 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail Field Clip) 24.3 24.3 24.2 1-10d Smooth or Screw Shank Nail Eave Clip) 19.0 19.0 22.1 2-10d Smooth or Screw Shank Nails Field Clip) 35.5 35.5 34.8 2-10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2-10d Ring Shank Nails' 1 50.3 1 65.5 48.3 1 Installation with a 4" the headlap and fasteners are located a min. oft%" from head of tile. NOA No.: 22-0714.13 Expiration Date: 05/02/24 Approval Date: O8/11/22 Page 5 of 9 Table 5: Attachment Resistance Expressed as a Moment Mr (ft-lbf) for Two Paddy Adhesivez Set Systems Tile Profile Tile Application Minimum Attachment Resistance Saxony 900 Slate &, Shake & Split TILE BONDTAI Roof Tile Adhesive 633 Shake TILE BONDT Roof Tile Adhesive 654 ICP Adhesives Pol set® AH-160 31.35 Touch 'N Seal StormBond02 596 Touch 'N Seal StormBond®(one component) 1051 2 See foam adhesive manufacturer's component approval for installation requirements. 3 Medium paddy weight of 8 grams per paddy of TILE BONDTm Roof Tile Adhesive 4 Medium paddy weight of 16 grams per paddy of TILE BONDT Roof Tile Adhesive 5 Medium paddy weight of 8 grams per paddy of Polyset® AH-160 6 Medium paddy weight of 8 grams per paddy of Touch 'N Seal StormBond 112 7 Medium paddy weight of 18.7 grams between tile and underlayment, paddy weight of 10.5 grams on overlap of tile of Touch 'N Seal StormBond ® one component) Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) . for Single Pad Tile Tile Application Minimum Attachment Profile Resistance Saxony 900 Slate &, Shake & ICP Adhesives Pol set® AH-160 1198 ICP Adhesives Pol set® AH-160 1159 Split Shake ICP Adhesives Pol set® AH-160 8310 ICP Adhesives Pol set® AH-160 6011 Touch 'N Seal StormBond02 9312 Touch 'N Seal StormBond®2 6213 8 Large paddy weight of 45 grams of Polyset® AH-160 9 Large paddy weight of 34 grams of Polyset® AH-160 10 Medium paddy weight of 24 grams of Polyset® AH-160 11 Medium paddy weight of 18 grams of Polyset® AH-180 12 Large paddy weight of 45 grams of Touch 'N Seal Ston nBond ® 2 13 Medium paddy weight of 24 grams of Touch 'N Seal StormBond ® 2 Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Saxony 900 Slate &, Shake & Split Mortar Set13 43.9 Shake 14 Bermuda Roof Co. Inc. Tile-Tite Roof Tile Mortar. NOA No.: 22-0714.13 MIAMI-DADE COUNTY Expiration Date: 05/02/24 Approval Date•. 08/11/22 Page 6 of 9 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved". BORAL (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 22-0714.13 KUWHH ADE COUNTY Expiration Date: 05/02/24 MO ' Approval Date: 08/11/22 Page 7 of 9 Nall Holes V. PROFILE DRAWINGS Saxony 900 Slate 17" 13" Saxony 900 Split Slate NOA No.: 22-0714.13 Expiration Date: 05/02/24 Approval Date: 08/11/22 Page 8 of 9 END OF THIS ACCEPTANCE ce NOA No.: 22-0714.13 Expiration Date: 05/02/24 Approval Date: 08/11/22 Page 9 of 9 MIAMZDADE MIAMI-DADS COUNTY MM PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) ww� .miamidade.eov/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 AFIJ (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 q 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 21-0602.14 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigem. NOA No.: 21-1217.02 Expiration Date. 09/13/27 Approval Date: 09/08/22 Page 1 of 7 ROOFING COMPONENT APPROVAL Cateaorv: Roofing Sub-Cateeorv: Underlayment Material: SBS, APP PRODUCTS DESCRIPTION: Test Product Product Dimensions Snecification 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. 65' x 3'33/8" F TAS 103 A rubberized asphalt self -adhering, glass-fiber/polvester urfa a Prim 80 mils thick reinforced waterproofing membrane. Designed as a metal Manufacturing roofing and roof file underlayment.,, Location # 1 & #2 Polystick MTS 65'8" x 3'33/8" 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 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. Elastoflex S6 G 32'10" x 3'3 %" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D 6164 with a sanded back face and a granule top surface. For Location 42 use in roof tile underlayment systems. MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL NOA No.: 21-1217.02 MWMMADECOUMTY Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 2 of 7 Test Agency Trinity I ERD NEMO I etc. LLC LABELING: EVIDENCE SUBMITTED Test Identifier Test Name/Revort P40390.10.12 P37590.07.13-1 P45270.05.14 P46520.10.14 P44360.10.14 P43290.10.14-R1 PLYG-SC7550.03.15 PLYG-SC 10130.06.16-3 PLYG-SC 10130.06.16-1 PLYG-SC 10130.09.16 PLYG-SC 13035.08.17 PLYG-SC15855.05.20 A 4j -PLYG-21-S S UDL-03 . A ASTM D 1970 ASTM D6164 TAS 1031 TAS 110 & ASTM D 1623 ASTM D 1623 TAS 103 & TAS 110 ASTM D 1970 & TAS 110 TAS 103 & ASTM D4798 TAS 103 & TAS 110 ASTM D 1970 & 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. MIAMMADE COUNTY ,...� Q BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 21-1217.02 Expiration Date: 09/13/27 Approval Date: 09/0$/22 Page 3 of 7 c 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 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: Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS or Polystick MTS PIus, 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 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) 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 II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, self -adhered. Surfacing: See General Limitations Below. NOA No.: 21-1217.02 MlAMKO DE COUNTY Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 4 of 7 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product 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 file 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 file 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 file systems and quarry slate roof assemblies. Polystick TU P may be used in asphaltic shingles, wood shakes and shingles, mechanically fastened roof tile 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 file systems. Elastoflex S6 G may be used in adhered roof tile 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 Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 5 of 7 7. 8. Ez osure Limitations (Davs) Polystick MTS Polystick IR-Xe Elastoflex S6 G Polystick TU Plus Polystick I TU P Polystick TU Max Polystick MTS Plus Winter Haven, FL 180 90 180 180 180 180 180 Hazelton, 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 61G20-3 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 Elastoflex Polystick TU Plus, Polystick Polystick System (U) 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 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. 9. 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. A&& fbol Deck prepared Wth POLVUMMU Plm 10. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. NOA No.: 21-1217.02 MUIM4DADECOUNTY Expiration Date: 09/13/27 . ,...a , Approval Date: 09/08/22 Page 6 of 7 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOIVIlVIENDATIONS. 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, 11 gauge ring shank type, applied with a minimum I 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 tile 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 tile manufacturers NOA, must be used on all projects for pitch/slopes of T712" or greater. It is suggested that on pitch/slopes in excess of 6 VVY12", 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, XtraFlex 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) 8944563. 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 LINIITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 21-1217.02 Expiration Date: 09/13/27 Approval Date: 09/08/22 Page 7 of 7 MIAMI-DADS COUNTY MIAMbD PRODUCT CONTROL SECTION EM 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (796) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy ICP Adhesives and Sealants, Inc. 12505 NW 44r" 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 AM 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: Polysetn AH-160'r 'I 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 Tigers. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05122 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof file 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 tile systems using Polyset® AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications Polyset®AH-160 N/A TAS 101 Two component polyurethane foam adhesive ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTF1000 ICP Adhesives ProPack® N/A Dispensing Equipment 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values with the use of Polyset® AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Progerty Test Results Density @ 73°F ASTM D 1622 2.1 lbs./ft 3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 14 PSI Perpendicular to rise Tensile Strength ASTM D 1623 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 @ -40' 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 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency 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 NEMO ETC, LLC 4p-ICP-20-SSLAP-01.B Physical Properties 11/11/20 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polyset® AH-160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polyset® AH-160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 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 tile 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 file 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 RAS 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 RTF 1000 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 ProPacV 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 file profile requires the specific placement noted herein. 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 Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of file 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge) 20-25 sq. inches each 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. MIAMtQADE COUNTY ,...O 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 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 Nail through plastic cement Paddy (Beneath Thal (when required) Underlaymant R\\ to in. Battens optional \` 'o Eave Course -' a a101n. _ Fascia Earetlos m, Nail through plastic cement (when required) 21n.wide Fascia Nail through plastic ce (when required) Paddy (Ben eat h Ti le) Underlayment 10In.x 21n.wide Battens /optional Is EavecoOne Fascia Weephole 10 in 2 in Eave closure Drip edge Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 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 overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm') — 23 (148.4 cm') square inch adhesive contact with the underside of the tile. High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm') 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 Nall ilrwgh plestie cement Paddy ocneml, Tile) (when required) Undado ayment ° Batons optional ° Eave Course, ° °101- Fascia 2, In Eave Closure Nail through plastic cement (when required) Paddy (Beneath Tile) Undedayment 7 in. m 2�i . Battens optional �....� loin...v. -2In. Eave Closure Eave Course Fasda 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 tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cmZ) — 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 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 cm) square inch adhesive contact with the underside of the tile. Medium Profile / 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 cm') — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) - 14 (90.3 cm) 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 # 2 (CONTINUED Nail through plastic ce (whenrequired) Paddy (Beneath Tile) Underlays ent 7 2i in. Battens optional o\ Eave Course Fascia Weephole 10in 2 in Eave dosure Drip edge MIAMIDADE COUNTY ...r t High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the file closest to the overlock of the file 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 17" (109.7 cm) - 19 (122.6 cm') 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 Mil through plastic cement Paddy daettwen tuft) 1when requiredl\ � I Battens optiona�fi '� I I Paddy Vunder tile) \Si lepaddy IF 4a4In W Smgk paddy ,�' on undeda `r 2i4ii, tole Z;X. - a Fascia Flat/Low Profile Tile Nail through plank cement Single paddy undo tile iwhen rew.wed) Paddy lbetween tiles) Battens Paddy ludotle) optional an tap adie � y�7ra *x4is. :4 urdWp ant« " 0 1� Faye Oesse Eare Course- F,Ky Medium Profile Tile On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in (109.7-148.4 cm2) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (25.4 nun) 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 in' (51.6-58.1 cmZ) 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) twh� r74 X MIL 2a4 m ae H Ere Co site;,, High ProttleTge 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x V (19 mm) paddy on top of the eave course file surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm) - 11 (71cm2) square inch adhesive contact with the underside of the file 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 1) Place enough adhesive to achieve 65 to 70 in contact with the pan tile. 2) Turn covers upside down. Place adhesive it to t In. from outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq. in. contact area. IUnderlayment (molar shown) Fascia ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Steep pitch applications (when required) Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel -High Profile Tile Two Piece Barrel (Cap and Pan) Tile I. 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 2) 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 file over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm2) - 25 (161.3 cm2) square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required, 2" (50.8 mm) x 4" (101.6 mm) 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 NUUIFDADE COUNTY a r Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 11 of 11 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov 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 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Erin Halloran Property Address:431 NW 100 Street Roofing Permit Number: Dear Building Official: I Erin Halloran Date: 10-04-2022 certify that I am not required to retrofit the roof to wall connections of my building because: A 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 with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) rw Signature State of Florida, Miami Dade County Erin Halloran Print Name The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 4th. day of October 2022SORAYDAGUTIERREZ ^ , MY COMMISSION A HH 304262 Notary Public, State of Florida at Large EXPIRES: SePte^bw5.2026 • 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://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 Owner affidavit of exemption Page 1 of 1 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov Roof Permit Checklist • Permit Application — Signed and Notarized by both property owner and contractor. • Owner Affidavit of Exemption Form, F.S. 553.844 • Owners Roofing Consideration Form (Re -roofing only) • Affidavit of Compliance with roof to wall connection for Hurricane Mitigation Form (if applicable). • 2 copies Uniform Roofing Application package. • 2 copies of Product Approvals a. Front Page b. Specific system description. c. Specific system limitation. d. General system limitations. e. Fire Directory Listing page. • 2 copies Design calculation per chapter 16. Or if applicable RAS 127 or RAS 128. • $50 Submittal Fee For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=O& repo=Mia miShoresVillase RevO 142021 Roof Permit Checklist Page 1 of 1 10/5'22, 8:48 Abt Property Search Application - Miami -Dade County Special Taxing Districts and Other Non -Ad valorem Assessments Tax Comparison Tax Estimator TRIM Notice Value Adjustment Board ASSESSMENT INFORMATION Year 2022 2021 2020 Land Value $540,339 $368,713 $368,713 Building Value $290.441 $220,470 $222,166 Extra Feature Value $6,574 $6,600 $6,625 Market Value $837,354 $595,783 $597,504 Assessed Value $481,564 $467,538 $461,083 TAXABLE VALUE INFORMATION 2022 2021 2020 COUNTY Exemption Value $50,000 $50,000 $50,000 Taxable Value $431,564 $417,538 $411,083 SCHOOLBOARD Exemption Value $25,000 $25,000 $25,000 Taxable Value $456,564 $442,538 $436,083 CITY Exemption Value $50,000 $50,000 $50,000 Taxable Value $431,564 $417,538 $411,083 REGIONAL Exemption Value $50,000 $50,000 $50,000 Taxable Value $431,564 $417,538 $411,083 BENEFITS INFORMATION Benefit Type 2022 2021 2020 Save Our Homes Cap Assessment Reduction $355,790 $128,245 $136,421 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). https:/iw..miamidade.gov/Apps]PA/pmpertysearch/#/ 318 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov 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. Z 9-41 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. _CAL 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. Common 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. _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. 2Ponding 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.gov 6. --ftL—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. l' 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 result in extending the service life of the roof. Owner/Agent's Signature bate Contractor Signature Date For Forms and Applications click here: http://bldg. mia mishoresvi llage.com/WebLi nk/Browse.aspx?id=118080&d bid=0&repo=Mia miShoresVillage ReV01 142021 Owners roofing consideration Page 2 of 2 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 431 NE 100TH ST, Miami Shores, FL 33138 Contacts .. .._. ... ERIN HALLORAN Owner 451 NE 91 ST, MIAMI SHORES, FL 33138 Other: 3522623193 HALLORAN.ERIN@GMAIL.COM Issue Date: 10/18/2022 Parcel Number 1132060170500 ra_ . Permit NO.: REV-10-22-2598 Permit Type: Revision Work Classification: Roofing Permit Status: Approved Expiration: 04/18/2023 John Busta Roofing Inc. Applicant John Busta 300 NE 91 Street n/a, Miami Shores, FL 33138-3130 Business: 305-219-9699 irbusta300@aol.com Mobile: 305219-9699 Home: 305-219-9699 Other: 305-219-9699 Erin Halloran Applicant bruce & bruce, Inc. Applicant 431 NE 100th ST, Miami Shores, FL 33138 victor bruce Mobile: 786-763-2813 halloran.erin@gmail.com 370 NE 101st Street, Miami Shores, FL 33138 Business: 3053105030 vb@b2-ai.com Other: 3053105030 JOHN BUSTA ROOFING INC Contractor JOHN ROBERT BUSTA 300 NE 91 ST, MIAMI SHORES, FL 33138 Business: 3052199699 v Description: ROOF AREA OF THE CRICKET Valuation: $ 2,000.00 Ins ection Re ues[s Total Sq Feet: 120.00 . f Fees Amount Payments Date Paid Amt Paid Revision: Minor Change of Plans $60.00 Total Fees $60.00 Credit Card 10/18/2022 $60.00 Total: $60.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID/j1 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating oc ructi g. Futheyhore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date October 18, 2022 Page 2 of 2 Miami Shores Village ENTERED Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BY: Q FBC 20 BUILDING Master Permit No. P - 10-22---ZSnC( PERMIT APPLICATION Sub Permit No. CPEV-10-ZZ - 2E'g8 ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL F-IPLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP ,// �_c_� CONTRACTOR DRAWINGS JOB ADDRESS: `j'L� / AA A909 O / . City: Miami Shores County: Miami Dade Zi : Folio/Parcel#: Is the Building Historically Designated: Yes NO OccupancyTypeS-�L� Load: Construction Type: Flood Zone: BFE: FFE: City: /SIN l!%/ State: Tenant/Lessee Name: Email: CONTRACTOR: Company Address: �QD /b. City: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: -& 30'�; , ; /9. q� �y of Competency #: hone#: /1/0 Address: City: State: Zip: Value of Work for this Permit: $ ? �1!� Square/Linear Footage of Work: �6'�E: Type of Work: ❑ Addition ❑ Alteration ��r-a NN,ewn/ter- t❑ RReppair/Replace �,r,,❑ Demolition Description of Work: /Y0/i4A0—=A ac7 /G 90 ( . C.�r.r- A%f/9/1�//v/&a r Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary Double Fee $ Structural Reviews $ (Revised02/2412014) Bond $ TOTAL FEE NOW DUE $ (00 —00 Bonding Company's Name (if applicable) Bonding Company's Address City State & Zip Mortgage Lender's Name (if applicable) AIV Mortgage Lender's Address City IJA State d/A Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature &- �V� - Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 1 3 day of 0CAC-0—�er 20 zZ .by �o� n EU—'x-4:10— , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: CONTRACTOR The foregoing instrument was acknowledged before me this �-3 day of C7t�o b-e+ .20 ZZ by Jc) hNn Bus- a who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: lJ 1'—� \- Sign: U t ` � ct-fif / Print: V Ly I' •C-yt rti-e- Print: Seal: �..�aumw"i VivenneYao „emnmr. o� Seal: o xrn �. VivfenneYSo a``.*.. ue y4 Comm.:HH222410 _: ..P Comm.:HH222410 y.�. Expires:Jan.31,2021i �.:�•i' Expires:Jen.31,2026 =i��OiM1 `` Notary Public • State of Florida r� tart 4Public • State of Florida srrrsssssrsssssl(M41�1�rssrssfssrrrssysrsrrssssrrrssssssrssssssrrssrrrr�LMwY�isr�k`its"srrrrssrssssssssrsrssssrrrr APPROVED BY OVyv Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk ENTERED -9 REVI<eloy X ROOF ASSEMBLIES AND ROOFTOP STRUCTURES O C TT 13 2022 Florida Building Code 771h E tlon (2020) High -Velocity Hurricane Zone Uniform Permit Application Form CITY' Section A (General Information) COPY Master Permit No. kC ` c �p' 1�� Process No. Contractor's Name ��A/ 0 %� _ 1�G Job Address 'T 3l /VE /ao 67, ROOF CATEGORY ® Low Slope ❑ Mechanically Fastened Tile ■ Mortar/Adhesive Set Tiles ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR-RAS 150 ROOF TYPE a New roof ❑ Repair ❑ Maintenance ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) L Q Steep Sloped Roof Area (SF)11,90 Total (SF) cZ Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. vtW/t4. /Vg�_^ N(JOL, ! tM SEE eRrc,��A ii%_CX)W,Ot0 &V ORI&A Ae PFR�t�T 474 FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020) Cap�yNO ALL®C)iISAiSF1tVfiO. ArmmtblAaButlxmu(memm,wwalmm)•(ab NN�G�od,leHerA)pnlcNembr��mvpewan D2ayfmooTJ6AMf�]Vm��W xmue Ap®IMW= ICC xafonhv-F�blml�bhtlWN.ad�v8utlmmi6mbed SmdeocmM1.mPY•^8v,tl m„�i^lV�b�bl. Ali1f 11NAVIHOR® w Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Master Permit Number: Section A (General Information) Process Number: County Contractor's Name: K-C _ `C/O I /L/ ` Job Address: �f 3 / /(/7z:- 100 YT ❑ Low Slope ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles THIS MUST BE ON J O�B� SArT TIME O F ROOF TYPE ® New"�Aoof r ECo R pOairN ❑Maintenance 6 Mortar /A��c5'S�� Set Tile ❑ wood Shin ROOF SYSTEM INFORMATION COPY ❑ Reroofing ❑ Recovering Low Slope oof Area (ftZ) Steep Slope�l`of Area (ftZ) Total (ftZ) LL�� ((�% 17ZO(2 Are there gas vents on the roof? © Yes ® No If Yes what type? ®Natural ® LPX Is there an existing roof top Solar System? 0 Yes ® No If yes will it be reinstalled? © Yes © No Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. f$ I -NE Poo //Wshl ( 6 F}Cl ST/NC R 1306TIAIC _ mo a a� o rn m� _gym = o L p 3 m m U m v A i 0 ca 4 E_ W O. U O o mop °O� m V N = D a E E '0 m 1 0 O 7 co a)$N07 (00_.. N AEW POLL 171e964—<7,�— ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) 1 High -Velocity Hurricane Zone Uniform Permit Application Form. 1 1 1 1 Section C (Low Slope Application) To 1 Fastener/ v ding Material: i Fill in specific roof assembly components and identify T_ MEA1 1 1 manufacturer (if a component is not used, identify as ^NA^) Surfacing: NA Fastener 1 1 9 System ManufacturerV4e�4?=��k.- Spacing for Anchor/Base Sheet Attachment: 1 Field: Q " vc La # �. L� @ p, Rows @ ^ oc 1 1 /Q Product Approval No.1 r/ ' ��19 . �,Z Perimeter: ^ oc La # Rows � @ �^ oc @ P. 1 1 1 Design Wind Pressures, From RAS 128 or Calculations: Comer. ^ oc @Lap, #Rows @ �^ oc 1 1 1 1 P1:y A S P2:,�� P3:__- log, Number of Fasteners Per Insulation Board: 1 1 - Max. Design Press , fro the specific product Field Perimeter Comer_ 1 1 1 1 approval system' Illustrate Components Noted and Details as Applicable: 1 1 Deck: „ o Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, 1 1 1 Type: Coping. Etc. 1 r Gauge/Thickness: Indicate: Mean Roof Height, Parapet Height, Height of Base 1 1 Flashing, Component Material, Material Thickness, Fastener 1 Siope:_d.�/�Z Type, Fastener Spacing or Submit Manufacturers Details that 1 1 Comply with RAS 111 and Chapter 16. 1 1 Anchor/Base Sheet & No. of Ply(s,�i) &&r 1 1 An h�yrBase Sheet Fastener/Bo ding Material: %/y RSAIA/4S G� /40'r1w 1 1 eAeg 1 Insulation Base Layer. NA FT. ; 1 1 Base Insulation Size and Thickness: Parapet 1 Height 1 1 1 Base Insulation Fastener/Bonding Material: 1 1 AIA 1 1 Top Insulation Layer. #A r I FT. 1 1 Top Insulation Size and Thickness: 61 1 1 RMean 1 1 Top Insulation Fastener/Bonding Material: Roof Height 1 1 � 1 1 1 Base Sheet(s) & No. of Ply(s): 1 1 1 Base Sheet Fastener/Bonding Material: 1 1 1 Ply Sheet(s) & No. of Ply(s): #09 1 1 1 Ply Sheet Fastener/Bonding Material: 1 1 1 . _ Top Ply:4wF AM49600WIA C5,90 1 IlAn r._ AlR a *4cri2, 1 1 15.38 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) ' Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to license Agmement. No ftutha reproductions authorized. MIAMI-DADE COUNTY PRODUCT CONTROL SECTIONree 11905 SW 26 Stt, Room 208 MI®DAME DEPARTMENT OF REG BOARD AND CODE ADM NOTICE OF ACC GAF 1 Campus Drive Parsippany, NJ 07054 UL 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: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 15-1020.01 and consists of pages 1 through 67. The submitted documentation was reviewed by Jorge L. Acebo. MIAMIDADE COUNTY NOA No., 18-0919.12 Expiration Date: I1/06/23 Approval Date: 11101/18 Pagel of 67 Membrane Type: APPISBS Heat Weld Deck Type 1: Wood, Non -insulated Deck Description: Min. 19/32" or greater plywood or wood plank secured 6 in. o.c. with 8d ring shank nails to supports spaced 24 in. o.c. max. System Type E(2): Anchor sheet is mechanically attached to roof deck. (Non -insulated systems) All General and System Limitations shall apply. Fire Barrier: FireOuf' Fire Barrier Coating, VersaShield® Fire -Resistant Roof Deck (optional) Protection, VersaShield® Solo"' Fire -Resistant Slip Sheet, DensDeck® Roof Board, SECUROCKO Gypsum -Fiber Roof Board or SECUROCK® Glass -Mat Roof Board. Base sheet: GAFGLASO #80 Ultime Base Sheet, GAFGLASQ° StrataventO Nailable Venting Base Sheet, RuberoidO Mop Smooth, Ruberoid° Mop Smooth 1.5, Ruberoido Mop Plus Smooth, Ruberoid® 20 Smooth, Ruberoid® HW Smooth or Ruberoid' HW 25 Smooth mechanically fastened to deck as described below; Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS'* FlexPly 6, Option #1: GAFGLAS' #75 Base Sheet, Tri-PlyO #75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 18" o.c. in the field. Not for use with DensDeck or SECUROCK Fire Barrier (Maximum Design Pressure —45 psf. See General Limitation #9) Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS FlexPly' 6, Option #2: GAFGLAS® #75 Base Sheet, Tri-PlyO #75 Base Sheet or any of above base sheets attached to deck with Drill -Tech' #12 Fastener or Drill -Tee #14 Fastener and Drill -Tee 3" Steel Plate, Drill -Tee AccuTmc® Flat Plate or Drill -Tee AccuTra& Recessed Plate installed IT'o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12.5" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf. See General Limitation #9) Fastening GAFGLAS® F1exPlyT1i16, GAFGLAS' #75 Base Sheet, Tri-PlyO #75 Base Sheet Option #3: or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. Not for use with DensDeck or SECUROCK Fire Barrier (Maximum Design Pressure 52.S psf. See General Limitation #7) Fastening GAFGLAS® 475 Base Sheet, Tri-Ply® 475 Base Sheet or any of above base Option #4: sheets attached to deck with Drill -Tea " #12 Fastener or Drill-Tec71 #14 Fastener and Drill -Tee 3" Steel Plate, Drill-Tec7" AecuTracP Flat Plate or Drill -Tee AccuTrac® Recessed Plate installed i 2" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf. See General Limitation #9) MlAMI-rAADE COON r �MOMIMII NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 53 of 67 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS9 FlexPlyTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum''/a" DensDeck' Roof Board or %i' Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psE 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 IV., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS I I I and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE MiAMnaoacavnn�r NOA No.: 18-0919.12 • • . , Expiration Date: 11/06/23 Approval Date: 11 /01 /18 Page 67 of 67 TGFU.R1306 - Roofing Systems Page 16 of 47 Insulation (Optional): — Any UL Classified, any thickness, mechanically fastened. Barrier Board: — Minimum 1/2-in. thick gypsum board or minimum 1/4-In. thick Georgia-Pacific Gypsum LLC "DensDeckG Roofboard" or "DensDeck® Prime Roofboard" or "DensOeck® DuraGuard'" Roofboard" or minimum 1/4-In. thick United States Gypsum Co.-SECUROCKG Roof Board" (Type FRX-G) or "SECUROCKG Glass -Mat Roof Board" (Type SGMRX), mechanically fastened. Bass Sheeb — One ply "Liberty'" SBS Self -Adhering Base/Ply Sheet" or "RUBEROIDG SA Base/Ply Sheet" or "RuberoldG SA Universal Base Sheet" self -adhered. Membrane: — "RUBEROIDG HW Granule FR- or "RUBEROIDG HW Plus Granule" or "RUBEROID® HW Plus Granule FR- or "RUBEROIDG EnergyCap"' HW Plus Granule FR", torch applied or'RUBEROID® 30 Granule FR- or'RUBEROIDG EnergyCap'" 30 Granule FR", fully adhered with hot roofing asphalt. 52. Deck: NC Incline: 1 Primer: — "TOPCOATG FireOut'" Fire Barrier Coating" or "FireOut'" Fire Barrier Coating% applied at a rate of 1-0./100-ft.2. Base Sheet (Optional): — One ply "Liberty"SBS Mechanically Attached Base Sheet", mechanically fastened. Ply Sheer — One ply "Liberty'" SBS Self -Adhering Base/Ply Sheet" or "RUBEROIDO SA Base/Ply Sheet", self -adhered. Cap Sheet: — "RUBEROIDG SA Cap FR Sheet", self -adhered. 53. Deck: C-15/32 Incline: 1/2 Primer: — "TOPCOAT® FireOutlm Fire Barrier Coating" or "FireOut'" Fire Barrier Coating", applied at a rate of 1-gal./I.00-ft.2 Slip Sheet (Optional): — One ply "StormSafell", mechanically fastened. Base Sheet (Optional): — One ply "Liberty"14SBS Mechanically Attached Base Sheet", mechanically fastened. Ply Sheen — One ply "Liberty'" SBS Self -Adhering Base/Ply Sheet" or "RUBEROIDG SA Base/Ply Sheet", self -adhered. Cap Sheets — "RUBEROIDG SA Cap FR Sheet", self -adhered or "RUSEROIDG HW Granule FR" or "RUSEROID® HW Plus Granule" or "RUBEROIDG HW Plus Granule Fit" or "RUBEROIDG EnergyCap'" HW Pius Granule FR" or "RUSEROIDG Torch Plus Granule FR" or "RUBEROIDG EnergyCap"" Torch Plus Granule FRO or "RUSEROID® EnergyCap"' Torch Granule FR% torch applied. 54. Deck: NC Incline:1 Barrier Board (Optional): — One or more layers minimum 1/4-In. thick Georgia-Pacific Gypsum LLC "DensDeck® Roofboard" or "DensOeckG Prime Roofboard" or "DensDeckG DuraGuard"' Roofboard" or minimum 1/4-1n. thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G) or "SECUROCK® Glass -Mat Roof Board" (Type SGMRX). Insulation (Optional): — Perilte or fiber glass or polylsocyanurate or urethane or perlite/polylsocyanurate composite. Base Sheets — One or more plies Type G2 "GAFGLAS® #75 Base Sheet" or *Trl-Ply® 075 Base Sheet" or "GAFGLAS& #80 Ultima'" Base Sheet" or "GAFGLASG Stratavent@ Naiiabfe Venting Base Sheet" or "GAFGLAS@ Stratavent® Perforated Venting Base Sheet" or Type G3 "GAFGLASG Mineral Surfaced Cap Sheet" or "'frl-Ply® BUR Granule Cap Sheet*, mechanically fastened or fully adhered with hot roofing asphalt. Ply Sheet (Optional): — One or more plies Type G1 "GAFGLASO Ply 4" or 'Tri-Ply® Ply 4" or "GAFGLASQ Flex Ply 6" or "Tri-Ply® Ultra - Flexible Ply 6", fully adhered with hot roofing asphalt. Membrane: — One ply "RUBEROIDG Torch Smooth" or "Tri-Ply® APP Smoothm, torch applied or "RUBEROIDG Mop Smooth" or "RUBEROIDG Mop Smooth 1.5" or "RUBEROIDO Mop Plus Smooth", fully adhered with hot roofing asphalt. Membrane: — "RUBEROID® Mop Plus Granule Fit" or "RUBEROIDG EnergyCap"Mop Plus Granule FW, fully adhered with hot roofing asphalt. 55. Deck: NC Incline: 1 Barrier Board (Optional): — One or more layers minimum 1/4-In. thick Georgia-Pacific Gypsum LLC "DensOeck® Roofboard" or -DensOeckQ Prime Roofboard' or "DensDeckG DuraGuard'" Roofboard- or minimum 1/4-in. thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G) or "SECUROCKG Glass -Mat Roof Board" (Type SGMRX). Insulation (Optional): — Polylsocyanurate or wood fiber or periite or glass fiber, any thickness, mechanically fastened or fully adhered with hot roofing asphalt. Base Sheet: -- One or more plies Type G2 *GAFGLASO #75 Base Sheet" or "Tri-Ply® #75 Base Sheet° or "GAFGLASO #80 Uitima'" Base Sheet" or "GAFGLASO Stratavent® Nallable Venting Base Sheet° or "GAFGLAS® Stratavent® Perforated Venting Base Sheet", mechanically fastened or fully adhered with hot roofing asphalt. Ply Sheet: — One or more plies "RUSEROIDO 20 Smooth" or'RUBEROIDG Mop Smooth" or "RUBEROIDG Mop Smooth 1.5" or "RUBEROIDO Mop Plus Smooth" fully adhered with hot roofing asphalt. Membrane: — "RUBEROIDG HW Plus Granule FR" or "RUBEROID® HW Granule FR" or "RUBEROID® EnergyCap'" HW Plus Granule FR" or "RUBEROID® HW Plus Granule" or-RUBEROID® HW Granule", torch applied. 56. Deck: C-1S/32 Incline: 1/? Base Sheet: — Two or more piles Type G2 'GAFGLASG 075 Base Sheet" or "Tri-Ply® r7S Base Sheet" or "GAFGLASt9 1#80 Uldma'" 8ase Sheet" or "GAFGLASO Stratavent® Nallable Venting Base Sheet", mechanically fastened. Membranes — "RUBEROID® HW Plus Granule FR" or "RUBEROID® HW Granule FR" or "RUBEROIDG EnergyCap'" HW Plus Granule FR" or 'RUBEROIDD HW Plus Granule" or "RUBEROIDG HW Granule". torch applied. 57. Deck: NC Incline: 1/2 Base Sheet: — "RUBEROIDG Mop Smooth" or "RUBEROIDG Mop Smooth 1.5" or "RUBEROID® Mop Plus Smooth", fully adhered with hot roofing asphalt or "RUSEROID® HW Smooth", torch applied Membrane: — "RUBEROIDG HW Plus Granule FR" or "RUBEROIDG HW Granule FR" or "RUBEROIDG EnergyCap'" HW Plus Granule FR" or "RUBEROIDG HW Pius Granule", torch applied. 58. Deck: NC Incline: 1/2 Insulation (Optional): -- Polylsocyanurate, uniform thickness of tapered minimum 1-1/2 In., mechanically fastened or adhered with "LRF Adhesive M" or "TPO LRF Adhesive M Low Temp" or OMG Inc. "Olybond Fastening System", applied as a nominal 3/4-In. bead or "GAF 2-Part Roofing Adhesive", applied as a nominal 2-1/2 In. bead with a maximum on -center spacing of 12-In. or any UL Classified insulation adhesive, applied per the manufacturer's installation Instructions. Barrier Boards — Minimum 1/4-in. thick Georgia-Pacific Gypsum LLC "DensDeckG Prime Roofboard" or "DensDeckG DuraGuard"" Roofboard" or minimum 1/4-1n. thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G), mechanically fastened or adhered with OMG Inc. "Oiybond Fastening System". Base Sheet (Optional): — One ply "Liberty`" SBS Self -Adhering Base/Ply Sheet" or *RUSEROIDG SA Base/Ply Sheet" or "Ruberold® SA Universal Base Sheet• self -adhered. httu:l/database.ul.com/cgi-binMWItemnlatelLISEXT/1FRAME/showDage.html?name--T... 11 /7/2018 Nan OeSanNs. Govemar STATE OF FLORIDA Melanie 5. GNNn tn Seoey d�`�r DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES �4. BUSTAr JOHN ROBERT JOHN BUSTA ROOFING INC 300 NE 91ST STREET MIAMI FL333138 j LICENSE NUMBER: CCCO58048 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 NOT A BILL -DO NOT PAY 4378154 RECEIPT NO. RENEWAL BUSINESS NAME/LOCATION 4569308 JOHN BUSTA ROOFING INC 300 NE 91 ST ST MIAMI SHORES, FL 33138-3130 10.22 ;�50q EXPIRES SEPTEMBER 30, 2023 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENTRECENED JOHN BUSTA ROOFING INC 196 SPECIALTY BUILDING BY TAX COLLECTOR JOHN R BUSTA, QUALIFIER CONTRACTOR 45.00 07I27f2022 Worker(s) 3 CCCO58048 INT-22-376509 This Local Bashums Tax Rocco only confirms; payment of the local Bosioss Tic The local is not a ficenve, parmk or a cardficetion of the holder's qualifications, to do Incomes. Holder most comply with any governmental or nongovernmental regulatory faces and requirements which apply to the husfaso. The RECEIPT NB. above mot be dtsplged w sB wmmmcial v*hM=- Minim -Bads Code SocRa-VIL AM For mom information, visit �� Q�../J1.79.7t71iL A� & CERTIFICATE OF LIABILITY INSURANCE T DA aomo2°'Y" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT Marta Diaz NAME: NSI Insurance Group LLC PHONE (305) 55fa1488 FNo (30a) 556-3680 MAX, : 5875 NW 163 Street E-MAIL martad@nsigroup.org ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL# Suite 207 INSURER A: Western World 13196 Miami Lakes FL 33014 INSURED INSURER B: INSURER C: John Busta Roofing INSURER D 300 NE 91 Street INSURER E : Miami Shores FL 33138 INSURER F: COVERAGES CERTIFICATE NUMBER: 22I23GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCERUM S MUM POLICY NUMBER POLICY EFF MMIDO POLICY EXP MMID LIMITS COMMERCMLGENERALLIABIUTY EACH OCCURRENCE S 1,000.000 CLAIMS-MADEF54 OCCUR AG I ... S 1�'�0 MED EXP Any one Person) $ 5,000 PERSONALSADVINJURY $ 1•ODO'OOO A NPP1565056 0212012022 02120/2023 GEN'LAGGREGATELIMITAPPLIES PER: GENERALAGGREGATE S 1'00()'0()0 POLICY D PERO� LOC PRODUCTS-COMP/OPAGO S 1,OD0,000 S OTHER: AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT Ea cal M S SWILYINJURYIPerpsmart) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS EODILYINJURY(Pe,.1dam) $ PROPERTY DAMAGE aada $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(Per S UMBRELLA UAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB ClA1MSMADE DELI I I RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN IPER OH - STATUTE ER ANY PROPRIETOR/PARTNER/FXECUTIVE EL.EACHAOCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ MIA (Mandatory In NH) EL. DISEASE -EA EMPLOYEE S It Yea, descries under DESCRIPTION OF OPERATIONS EeloW E.L. DISEASE -POLICY UNIT $ DESCRIPTION OF OPERATK)NS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he atteche ! N more apace la mAulred) 30 days notice of cancellation except 10 days for nonpayment of premium. State License number is CCC-058048.,' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTNORIffD REPRESENTATIVE 10050 NE 2 Avenue Miami Shores FL 331385-�- ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/18/2021 PERSON: JOHN R BUSTA FEIN: 651013141 BUSINESS NAME AND ADDRESS: JOHN BUSTA ROOFING INC. 300 NE 91 STREET MIAMI, FL 33138 SCOPE OF BUSINESS OR TRADE: Roofing - All Kinds and Drivers EXPIRATION DATE: 11/18/2023 EMAIL: JRBUSTA300@AOL.COM IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by tiling a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If, at anytime after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at anytime for failure of the person named on the Certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01430929 QUESTIONS? (850) 413-1609 R�" Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner —Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: I . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. _ No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. i Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of 0G%O,8,ER , 20 9X. By E-*R V 171AZI—ORAW who is personally known to me or has produced as identific Notary - SEAL:~°:°•' _ ;'' •.''•: SORAYDAGUTIERREZ MY COMMISSION 5 HH 304262 EXPIRES: September 5, 2e26 John Busta Roofing, Inc. 300 NE 91 Street Miami Shores, FL 33138 phone: 305.219.9699 email: jrbusta300@aol.com CCC-058048 Date: October 5,2022 State of Florida County of Miami -Dade Before me this day appeared John R. Busta who,being duly sworn, deposes and says: That he or she will be the only person working on the project Located at: 431 NE 100 Street Miami Shores,Fl.orida 33138 ,�2 lei/0•.�� SD � Contractor Signature Sworn to (or affirmed) and subscribed before me this o day of �JL1l�P�2 , 2022 i Personally know�.,-/ Or Produced Identification Type of Identification Produced yitis "•; SORAYDAOUTIERREZ i• MY COMMISSION R HH 301262 1 /� o i• • •° EXPIRES: September 5, 2026 rint Type or Stamp Name of Notary