RF-03-20-524, 1020 NE 92nd StMiami Shores Village
RECEIVED
BUILDING
2� 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
MA 1 ®2020
BY. � 1
f L
FB 20 1 W
Master Permit No.-0 3- 20 -5 ` `/
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l®(Q Nc; 61 o n 8 S1 (N-); Gry-1 I an d1 : C'
City: Miami Shores Countv: Miami Dade Tip: 1 ��
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Cx�. A-O S GizveA Phone#:
Address: I®?� tLiC� °f 2 S-� L_4-d � S Love r f rv4
City: ".IACAk -CLState: Frz- Zip: I
Tenant/Lessee Name: Phone#:
Email: Wo, e-x, �'y C,caVoc� r-rn
CONTRACTOR: Company Name: kn4n� Phone#: -:4gt'o
Address: 3�5fj( n) C;ee-)d �j�
City: _ no j Can i State: n, Zip: �J
Qualifier Name: ' t v, 7) r j Phone
State Certification or Registration #: �,—CC , f AZ*—S(gZG Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Add
State Zip:
Value of Work for this Permit: $ 6-- G' Square/Linear Fo7epair/Replace
e of Work: 7 A-1 S
Type of Work: [3 Addition ❑ Alteration ❑ New LJ�'❑Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ —Sb ' r, o Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $ //--��
Bond $ ��� 1 W
TOTAL FEE NOW DUE $ 2 CI 3 • CO
(Revised02/24/2014) --� G 3
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attach nt Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which cu seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr�J�n a reinspection fee will be charged.
AGENT
The foregoing instrument was acknowledged before me this
_4o. day of ✓y( 74.1 C -1-J . 20 -7- z by
me or who has produced
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
o— day of 6,ol t b , 20 7 h , by
who is personally known to y-k kt-, I . who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as
Seal: ret°�Y P�a�%
NATHALIE RUIZ Seal:►tp;Y
"
NATHALIE RUIZ
,
*0-1,
Commission GG 335575
,t
0
w'IFOFFLOP��`
Commission 1I GG 335576
Expo�
iTlwBres
Expires August 18,2023
Bonded o BudgetSenkfs
OFF
Banded Budge, NoWfy ��geryry
i##i#i//////i#i•##ii////////##
//
APPROVED BY
\I Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
Address Owner Name Folio
SEARCH:
1020 ne 92 st
Suite
4
PROPERTY INF�TION
Folio: 11-3205-013-0020
Sub -Division:
REPPENHAGENS PLAT
Property Address
1020 NE 92 ST
Owner
1760 NE LLC
Mailing Address
1020 NE 92 ST
MIAMI SHORES, FL 33138
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT
Beds I Baths I Half 21210
https://www.miamidade.gov/Apps/PA/propertysearch/#/ 3/5/20, 5:12 PM
Page 1 of 8
Floors
Living Units
Actual Area 2,428 Sq.Ft
Living Area 2,184 Sq.Ft
Adjusted Area 2,157 Sq.Ft
Lot Size 9,200 Sq.Ft
Year Built Multiple (See Building Info.)
Map View
https://www.miamidade.gov/Apps/PA/propertyseareh/#/
3/5/20, 5:14 PM
Page 2 of 8
2019 Aerial Photography 0
soft
Featured Online Tools
Comparable Sales
Glossary
PA Additional Online Tools
Property Record Cards
Property Search Help
Property Taxes
Report Discrepancies
Report Homestead Fraud
Special Taxing Districts and Other Non -Ad valorem
Tax Comparison
Assessments
Tax Estimator
TRIM Notice
Value Adjustment Board
ASSESSS ENT INFORMATION i
Year
Land Value
Building Value
2019
Extra Feature Value
Market Value $511,203
Assessed Value $511,203
TAXABLE VALUE IN"ORATION ---� ----
2018
2017
$331,182
$331,182
$161,775
$150,127
$1,680
$1,710
$494,637
$494,637
$483,019
$483,019
2019 2018 2017
COUNTY
Exemption Value
$0
$0
$0
Taxable Value
$511,203
$494,637
$483,019
SCHOOL BOARD
Exemption Value
$0
$0
$0
Taxable Value
$511,203
$494,637
$483,019
CITY
Exemption Value
$0
$0
$0
Taxable Value
$511,203
$494,637
$483,019
REGIONAL
Exemption Value
$0
$0
$0
Taxable Value
$511,203
$494,637
$483,019
BENEFITS INFORMATION -- ---- ---
-------- - -------------
-----
--- -- - --
https://www.miamidade.gov/Apps/PA/propertysearch/#/
3/5/20, 5:14 PM
Page 3 of 8
Detail by Entity Name
Page 1 of 2
Florida Department of Slate
Department of Stale / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
1760 NE, LLC
Filing Information
Document Number
L18000157405
FEI/EIN Number
82-2590827
Date Filed
06/27/2018
Effective Date
06/21/2018
State
FL
Status
ACTIVE
Last Event
REINSTATEMENT
Event Date Filed
10/17/2019
Principal Address
1760 NE 145 ST
MIAMI, FL 33181
Mailing Address
5881 NW 151 ST
125
MIAMI LAKES, FL 33014
Registered Agent Name & Address
DOMINQUEZ, ROBERT C,
ESQ
5881 NW 151 ST
SUITE 124
MIAMI LAKES, FL 33014
Name Changed: 10117/2019
Address Changed: 07/01/2019
Authorized Person(s) Detail
Name & Address
Title MGR
PEREZ,CARLOS
1760 NE 145ST
MIAMI, FL 33181
Title MGR
DIVISION OF CORPnpp TIONS
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 3/ 10/2020
Detail by Entity Name
Page 2 of 2
PERFZ, CINDY
1760 NE 145 ST
MIAMI, FL 33181
Annual Reports
Report Year Filed Date
2019 10/17/2019
2020 02/17/2020
Document Images
02/17/2020
-- ANNUAL REPORT
View image in
PDF format
10/17/2019
-- REINSTATEMENT
View image in
PDF format
07/01/2019
-- LC Amendment
View image in
PDF format
06/27/2018
— Florida Limited Liability
View image in
PDF format
nnda iJepa, I ent of Sate, U^,i 1-11, c" P—I—s
http://search. sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 3/ 10/2020
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME:
BUSINESS ADDRESS: I �J v�Y�U ��CITYi�1�1 �� STAT� ZIPS
BUSINESS PHONE: �) �`� FAX NUMBER(
CELL PHONE
O QUALIFIER'S NAME:
QUALIFIER'S LIC NUMBER: C—CCi I,�AN�
0
RICK SCOTT, GOVERNOR
JONATHAN ZACHEM, SECRETARY
Florida
1z)-r-1
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489, FLORIDA STATUTES
PAIZ, JACKELI N
PAIZ CONSTRUCTION AND ROOFING SERVICE, CORP.
3528 NW 2ND ST
MIAMI FL 33125
-LICENSE NUMBER: CCC1330865
EXPIRATION DATE: AUGUST 31, 2020
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.
utr�n�
Local Business Tax Receipt
Wami-Dade County, State .of Florida
-THJSWNCTAWILL -00 K01 FAW
71'95701 LiBT
9USlf'ie3SMLAIi 11=112A TOMMAD. E 1RES
PAIZ f ONSTR CrION & RUOF1NG 5 MICE CURi11FWAL SEPTEMBER 30 0
352B IM' NO ST 7477926
b9uot do asF 3'rxd nt ,:dAm ,aq Ti«lr*.v
WN41 FL 33125 PurNl ahl NZi 9(pjnj,,C4d._,
CWpwr 91A — Art. 11 & 10
n7q[A W,-., rr, E I Wr ms
f 2.COY,MCn0NARO.:FAGSRK2 WIRP I Pd'410 mu°
s AIOO 07,$10120a 9
1$Iy WL4 BmIffm Two RBI m{r r'"mm" pu7¢rzrH uI the IaujgI1zv:am Sue na Rmip t1 wo utatm
�Pa�i6 nr � arrliiissll�Nl drr�id® mgmltfiz�ns, b Ao hmlr�. F{�yi giltfl ��k/ aim � pwo®atel
m ®tiara®rtil etg�� lar�� arr��l�iratr�ats��ih�'rapP�j b � iYu�ln:s.
The RESEPr#O. atom rain he dsCapd U uU Code S%da= .
Fir �+o�e �fur®uler, �hlt�rr
CERTIFICATE OF LIABILITY INSURANCE
Date
I/24/2020
Producer: Plymouth Insurance Agency
This Certificate Is Issued as a matter of Information only and confers no
2739 U.S. Highway 19 N.
rights upon the Certificate Holder. This Certificate does not amend, extend
Holiday, FL 34691
or alter the coverage afforded by the policies below.
Insurers Affording Coverage
NAIC #
(727) 938-5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer A: Lion Insurance Company
11075
Insurer B:
InsurerC:
Insurer D:
Insurer E:
Coverages
The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, tens or condition of any contract or other document
with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Aggregate
limits shown may have been reduced by paid claims.
INSR
LTR
ADDL
INSRD
Type of Insurance
yP
Policy Number
Cy
Policy Effective
Date
Policy Expiration
Date
Limits
(MM/DD/YY)
(MM/DD/YY)
GENERAL LIABILITY
Each Occurrence
Commercial General Liability
Claims Made ❑ Occur
Damage to rented premises (EA
occurrence)
Mad Exp
Personal Adv Injury
aggregate limit applies per:General
AggregatePolicy
❑Project ❑LOCProducts
-Comp/Op AggTOMOBILE
pneral
LIABILITY
Combined Single Limit
Any Auto
(EA Accident)
Bodily Injury
All Owned Autos
Scheduled Autos
(Per Person)
Bodily Injury
Hired Autos
Non -Owned Autos
(Per Accident)
Property Damage
(Per Accident)
EXCESS/UMBRELLA LIABILITY
Each Occurrence
Occur ❑ Claims Made
Aggregate
Deductible
A
Workers Compensation and
WC 71949
01/01/2020
01/01/2021
X
WC Statu-
OTH-
Employers' Liability
tory Limits
ER
E.L. Each Accident
$1,000.00o
Any proprietor/partner/executive officer/member
excluded? NO
E.L. Disease - Ea Employee
S1,000.000
If Yes, describe under special provisions below.
E.L. Disease - Policy Limits
$1,0001000
Other ILion
Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616
Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 92-71-917
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company":
Palz Construction And Roofing Services, Corp.
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL.
Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or email certificates@lioninsurancecompany.com
Project Name:
ISSUE 01-24-20 (SS)
Begin Date: 1 3 2018
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to
do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
10050 NE 2ND AVE
_ —
MIAMI SHORES VILLAGE, FL 331386---
_
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 03/24/2020
Location Address Parcel Number
1020 NE 92ND ST, Miami Shores, FL 33138 1132050130020
:ontacts
Permit NO.: RF-03-20-524;
Permit Type: Roof
Work Classification: Tile
Permit Status: Approved
Expiration: 09/21/2020
1760 NE LLC Owner PAIZ CONSTRUCTION AND ROOFING Contractor
1020 NE 92 ST SERVICE, CORP.
Business: 305-878-9326 MANNIX7705@HOTMAIL.COM 1ACKELIN PAIZ
3528 NW 2 ST, MIAMI, FL 33125
Business:7862368574 WALTERFRANCISI2@YAHOO.COM
Description: RE -ROOF FROM TILE TO TILE Valuation: $ 20,000.00 Inspection Requests:
1305762-4949
Total Sq Feet: 2,475.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$12.00
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$4.00
Roofing Fee
$250.00
Scanning Fee
$12.00
Technology Fee
$7.50
Total:
$343.00
Payments
Date Paid Amt Paid
Total Fees
$343.00
Cash
03/10/2020 $50.00
Credit Card
03/24/2020 $293.00
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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
rating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner - //(/,KpAlicant / Contractor / Agent Date
March 24, 2020 Page 2 of 2
INSPECTION RECORD
STRUCTURAL
INSPECTION
DATE
INSP
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
In -Progress
Roof Installation
Roofing Final
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA compliance
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWSDOORS
INSPECTION DATE INSP
Attachment
PUBLIC WORKS
INSPECTION DATE INSP
Excavation
ELECTRICAL
INSPECTION DATE INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
Ceiling Rough
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
ELECTRICAL COMMENTS
INDATE INSP
Final Sprinkler
Final Alarm
PLUMBING
INSPECTION I DATE I INSP
Rough
Water Service
2°d Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook-up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
PLUMBING COMMENTS
INSPECTION DATE INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
1
High -Velocity Hurricane Zone Uniform Permit Application Form. • • • •
1
Section A (General Information) ... G G e '**see
.000:.1
Master Permit No. Process NO.,:
• • • • : 1
. . ......
....
.
Contractor's Name ��
.....
. ;
• • •
.
•
Job Address �
•
. . .. .
Gssse.
ROOF CATEGORY • • •
1
.0.
.
e. G ....
❑ Low Slope ❑ Mechanically Fastened Tile itMortar/Adhesive SU rle ?
.Goes•
. .,
1
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
1
❑ Prescriptive BUR-RAS 150
1
ROOF TYPE
❑ New roof ❑ Repair ❑ Maintenance Reroofing ❑ Recovering
1
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF)�-4 Steep Sloped Roof AREA (SSF) � 7�otal (SF) U
I
I
Section B (Roof Plan)
1
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen-
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
RECEIVED
1
1
1
1
1
1
1
1
i
1
0
i
1
1
1
1
1
FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014)U W, r6w
16.37
1 1 1 1 Copyright to, or licensed by. ICC (ALL RIGHTS RESERVED); accessed by iezer Palacio on Jun 8.2015 10:32:12 AM pursuant to License
Agreement. No further repmductians authorized.
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code Edition 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form.
Section D (Steep Sloped Roof System)
sees
.
Roof System Manufacturer: EAGLE ROOFING PRODUCT • • •; • •
• • •
sees..
sees
sees.
Notice of Acceptance Number:
18-0509.19 sees..
sees
Minimum Desig1n Wind Pressures, If Applicable (From RAS 127 Or• •;
•. •
Calculations :
: '..
: ,39.1 P2: _68.1 P3: 100,7 •.�
sees
Seep Sloped Roof System Description
Deck Type: 5/8 PLYWOOD
Type Underlayment: # 30 ASTM D 226 TYPE 2
Roof Slope:
3 ' 12 Insulation: N/A
Fire Barrier: N/A
Fastener Type & Spacing: LAP AND 12 ox �
Ridge Ventilation? YP p 9 1 1/4 R/S NAIL 6 �
N/A
Adhesive Type: SELF ADHESIVE
Type Cap Sheet: POLYSTICK TU PLUS BACKNA
Mean Roof Height: 14 Roof Covering: MEDIUM PROFILE CONCRETE
Type & Size Drip dge: 3 x 3 GALVANIZED
E
16.34 FLORIDA BUILDING CODE eth Edition (2017) — BUILDING
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form.
Section E (Tile Calculations)
For Moment based the systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mt. If thaMt valees are grea" or
equal to the Mr values, for each area of the roof, then the the attachment method is acceptable. • • • • i • •
Method 1 "Moment Based Tile Calculations Per RAS 127" • • • : • • • • • •
(Pr: 39.1 x), a282 = 11. p2) - M8:� = Mrl s Product Approval Mf]t • •
• • ••••••
(P2: 68.1 x x 0.282 = 19.20 ) - Mg: �_ = Mr2 12.55 Product Approval Mt �,�• •
(PI: 100, 7 x 0 282 = 28.39 ) - Mg: �5 = Mr3 21.74 Product Approval ML Go. / i • ... •
Method 2 "Simplified Tile Calculations Per Table Below" i • i • • •
•
Required Moment of Resistance (Mr) From Table Below Product Approval Mr • • ••• •
Mr required Moment Resistance* •
Mean Roof Height ->
Roof Slope 1
15'
20'
25'
30'
40'
2:12
34.4
36.5
38.2
39.7
42.2
3:12
32.2
34.4
36.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
"Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compared the values for F with the values for Fr. If the Fvalues are greater than or equal to the Fr values,
for each area of the roof, then the tile attachment method is acceptable.
Method 3 "Moment Based Tile Calculations Per RAS 12T'
(Pl; x L = x w: _ - W: x cos 0 = Frt Product Approval F' .
(P2: x L = x w: _ - W: x cos 0 = 17 2 Product Approval F
CN: x i. = x w: = 1- W: x cos 0 = F- Product Avuroval F
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
Pl or P2 or P3
RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
0
Job Site
Aerodynamic Multiplier
A
Product Approval
Restoring Moment due to
Gravity
M8
Product Approval
Attachment Resistance
Mf
Product Approval
Required Moment Resistance
M
Calculated
Minimum Attachment
Resistance
F
Product Approve]
Required Uplift Resistance
Fr
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
L = lengthProduct
W = width
Approval
All calculations must be submitted to the building official at the time of permit application.
FLORIDA BUILDING CODE 6th Edition (2017) - BUILDING 15.36
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shojg§,, Florida 33138
Tel•.(.705) 7.24=4
• •' Fax: (3r05) 756.072
...... et 00 e..eee
.....a
OWNERS'S AFFIDAVIT OF EXEM;;e :... :•
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR JSTINi-%T-E-
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES......
• : .. f
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores, FI 33138
Date:
Re: Owner's Name: C-41" 1 plavllt-p
Property Address: to 2-o 2 S LL-A,DWS
Roofing Permit Number:
Dear Building Official:
)i I C&VC01 s l'.!- V-'-" certify that I am not required to retrofit the roof to wall connections of my
building because:
o, fhe just valuation for the structure for.purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 1994 ed
X-
Signature
State of Florida
County of Dade
South Florida Building Code (1994 SFBC)
Print Name
The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this h day of Ch
4�- r PON NATMIE RUIZ
* * Commission # GG 335575
Notary Public, Sate of Florida at Large ExplresAugust 18, 2023
e0F I'b0Q Bonded 17ou Budget Not�yS.W*
• When the just valuation of the structure for purpose of ad valorem to ion is equal to or more than $300,000,00, and the budding 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.
Revised on 5/21/2009
SECTION 1524
HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to.frovide thMher with'
the required roofing permit, and to explain to the owner the content of the section. Th •pSYipions ofiSAfon R440?.•..
govern the minimum requirements and standards of the industry for roofing system ir6sj4jWigns. Additignally, the •
following items should be addressed as part of the agreement between the owner ant thacontractor. The owner's
initial in the designated space indicates that the item has been explained. ' ' """
.... . .....
000000
2. CP Renailing wood decks: When replacing roofing, the existing root *of de ;k may have tg• •;; •
be renailed in accordance with the current provisions of Section R4403. (The roof deck is psaaU)r •
concealed prior to removing the existing roof system). • .. • : @see ; • • • •
0000
X 4. 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.
Y 6. ,Overflow scuppers wall outlets): It is required
PPe ( ) that rainwater flows off so that the roof is
not overloaded from a buildup of water. Perimetededge wall or other roof extension may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scup r in ccordance with the requirements of Sections R4402, R4403 and R4413.
Owner/Agent i ature D e qCoactor Signature
1020 QG Ci2 5--" r k-a anov'gs l&i
Property Address 9 5( 5g
Revised on 7/9/2009 LD;07/01/2015;
Permit Number
MIAMI•DADE MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy
Eagle Roofing Products LLC • •
1575 East C.R. 470 • . . .... ......
Sumterville, FL 33585 • •
.. .. .... %
SCOPE: ......
....0 a 0 .
This NOA is being issued under the applicable rules and regulations governing the use of coarstrOction tWerials. The....
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Pxx :Pontrol Section to4w:
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdleti8d (AHJ;.... • • • • •
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Conttrol, Section...:.
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve; he right to have -As •
product or material tested for quality assurance purposes. If this product or material fails to A8661m in t i*e*;f ,epted • •
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modfy, 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: Medium Profile Concrete Tile
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA No.17-0822.14 and consists of pages 1 through 7.
The submitted documentation was reviewed by Freddy Semino 11
MIAMI•DADE COUNTY
NOA No. 18-0509.19
Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 1 of 7
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub Category: Roofing Tiles
Material: Concrete
1. SCOPE: • • • •
This approves a system using Eagle Roofing Products Medium Profile Conclre0 721e, as yianufactured •' •
by Eagle Roofing Products LLC in Sumterville, FL and described in Seefiox•2 of ibis I,otice of.. %
Acceptance. For use in locations where the pressure requirements, as determititd•by, applicable Building •
Code, do not exceed the design pressure values obtained by calculations in cbit oUance WL4 RAS 127 •
using the values listed in section 4 herein. The attachment calculations shall be 'done as a moment bas8d:
system.
...... .... .....
.. .. .... ......
••
2. PRODUCT DESCRIPTION: • • • • •...
Manufactured by Test Piedfict • • • • • •
Applicant Dimensions Specifications Description •....'
Medium Profile Concrete Lenght = 17" TAS 112 Low profile, interlocking, high pressure extruded
Tile Width = 12'/2" Type lb concrete roof tile equipped with three nail hole
Thickness= %2" Class III and double roll ribs. For direct deck or battened
nail -on, mortar or adhesive set applications.
Trim Pieces Lenght = varies
Width = varies
varying thickness
2.1 EVIDENCE SUBMITTED:
Test Agency
Test Identifier
PRI Construction
ERPF-00 1 -02-02
Materials Technologies
Redland Technologies
7161-03
Appendix III
Redland Technologies
7161-03
Appendix II
Redland Technologies
P0402
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Redland Technologies
TAS 112 Accessory trim, concrete roof pieces for use at
hips, rakes and ridges. Manufactured for each tile
profile.
Test Name/Report Date
TAS 112 Aug. 2006
Static Uplift Testing
TAS 102 & TAS 102(A)
Wind Tunnel Testing
TAS 108 (Nail -On)
Withdrawal Resistance Testing of
screw vs. smooth shank nails
94-060B Static Uplift Testing
TAS 101 (Adhesive Set)
94-084 Static Uplift Testing
TAS 101 (Mortar Set)
P0631-01 Wind Tunnel Testing
TAS 108 (Mortar Set)
Dec. 1991
Dec. 1991
Sept. 1993
March, 1994
May 1994
July 1994
NOA No. 18-0509.19
Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 2 of 7
Redland Technologies
Professional Service
Industries, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Celotex Corporation
Testing Services
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Letter Dated Aug.
Wind Tunnel Testing
1, 1994
TAS 108 (Nail -On)
224-47099
Physical Properties
TAS 112
25-7094-1
Static Uplift Testing
TAS 102
(4" Headlap, Nails, Direct Deck, New
Construction)
25-7094-7
Static Uplift Testing
TAS 102
(4" Headlap, Nails, Battens)
25-7094-4
Static Uplift Testing
TAS 102
(4" Headlap, Nails, Direct Deck,
Recover/Reroof)
Project No. 307025
Wind Driven Rain
Test #MDC-76
TAS 100
25-7183-1
Static Uplift Testing
TAS 102
(2 Quik-Drive Screws, Direct Deck)
25-7183-2
Static Uplift Testing
TAS 102
(2 Quik-Drive Screws, Battens)
25-7214-2
Static Uplift Testing
25-7214-6
TAS 102
(1 Quik-Drive Screw, Direct Deck)
(1 Quik-Drive Screw, Battens)
528454-2-1
Static Uplift Testing
520109-2
TAS 101
Evaluation
Two Patty Adhesive Set System
Calculations
Evaluation
25-7183
Calculations
Evaluation
25-7094
Calculations
Evaluation
25-7496
Calculations
Evaluation
25-7584
Calculations
25-7804b-8
25-7804-4 & 5
25-7848-6
Calculations
Aerodynamic Multiplier
Calculations
Restoring Moment Due to Gravity
Aug. 1994
Sept. 1994
Oct. 1994
• %Oct. 1 J94e •
. . .
...... .. ..
...... .
•,,,�• Oct.46)4:•
...... ....
• Oct.?* •
.. . ....
Feb. IVW
Feb. 1995
March, 1995
Sep. 1998
Dec. 1998
April 1999
March 1995
February 1996
April 1996
December 1996
Sep. 2006
Sep. 2006
NOA No. 18-0509.19
Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 3 of 7
ATL of South Florida
ATL of South Florida
PRI Construction
materials Technologies
3. LIMITATIONS:
RT1211.03-15
RT0706.02-17
DAPF-001-02-04
DAPF-003-02-01
DAPF-003-02-03
TAS 112
TAS 112
TAS 101 (2 PD )
TAS 101 (LRG)
TAS 101 (MED)
12/17/15
09/25/17
11/30/17
04/06/ 18
04/06/ 18
. . ....
......
...... .. ..
......
3.1 Fire classification is not part of this acceptance. .... ; • • • •;
3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance V*0140rAS I099s'6all'be .fees
required, refer to applicable Building Code. • • • • • • • • • • • • • • •
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory fo'pMform quMMy test iti•• •; •
accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Aam"�ade Coo niy Product •�
Control Section for review. •
3.4 Minimum underlayment shall be in compliance with the applicable Roofing ApplFc.%ibn4 Standar�sflisted ; • • • •;
section 4.1 herein. 000000
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated
otherwise by the underlayment material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable Building Code.
3.7 All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 61 G20-3 of the Florida Administrative Code.
4. INSTALLATION
4.1 Eagle Roofing Products LLC, Medium Profile Concrete Tile and its components shall be installed in strict
compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120.
4.2 Data For Attachment Calculations
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile
Weight-W (lbf)
Length-1 (ft)
Width-w (ft)
Medium Profile Concrete Tile
9.5
1.417
1.04
Table 2: Aerod namic Multipliers - ft3
Tile
Profile
X (ft3)
Batten Application
X (ft3)
Direct Deck Application
Medium Profile Concrete Tile
0.305
0.282
Table 3: Restoring Moments due to Gravi - M (ft-lb
Tile
Profile
3":12"
4":12"
5":12"
6":12"
7":12" or greater
Medium Profile
Concrete Tile
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
6.30
6.65
6.21
6.54
6.08
6.41
5.93
6.25
5.77
6.08
NOA No. 18-0509.19
MIAMI-DADECOUNIY Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 4 of 7
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Nail -On Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(min 15/32" plywood)
(min. 19/32" plywood)
Medium Profile
2-10d Ring Shank Nails
27.8
37.4
28.8
Concrete Tile
1-10d Smooth or Screw
8.8
11.8
4.1
Shank Nail
2-10d Smooth or Screw
16.4
21.9
'...Z'I ..
Shank Nails
• •
.
1 #8 Screw
25.8
25.8 ......
' .. =9 ..
2 #8 Screw
47.1
47.1 • • • • • •
.49.1
1-10d Smooth or Screw
24.3
24.3 • • • •
2,4 2 .'
Shank Nail Field Clip)•
• •
• •
• •
• •
1-10d Smooth or Screw
19.0
19.0 ••;••;
1 ••
Shank Nail Eave Clip)..
..
0••Q2
boo* • •
2-10d Smooth or Screw
35.5
35.5 ;.•;•;
034.8
Shank Nails Field Clip)
. • . • •
2-10d Smooth or Screw
31.9
31.9 .' .
032.2 ; � •
Shank Nails Eave Clip).""
'
•••
2-10d Ring Shank Nails' 43.0 67.5 50.9
1 Installation with a 4" the headlap and fasteners are located a min. of 2'/"from head of tile.
Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf)
for Two Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Medium Profile Concrete Tile
Adhesive
2 See manufactures component approval for installation requirements.
3 The Dow Chemical Company TileBond Average weight per paddy 11.4 grams.
26.1
4 ICP Adhesive Pol set ® AH-160. Average weight per patty 8 grams.
26.1
5 DAP Foam Touch N Seal StormBond 2 Roof Tile Adhesive. Average weight per paddy
8 grams.
101
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Single Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment Resistance
Medium Profile Concrete
Tile
Adhesive
2
See manufactures component approval for installation requirements.
3
Large paddy placement of 54grams of ICP Adhesives Polyset® AH-160.
86.61
4
Medium paddy placement of 24grams of ICP Adhesives Polyset® AH-160.
45.5
5
Medium paddy placement of 26.6 rams of DAP Foam Touch N Seal StormBond 2 Roof Tile Adhesive
54
6
Large paddy placement of 55.5 rams of DAP Foam Touch N Seal StormBond 2 Roof Tile Adhesive
61
APPROVED
NOA No. 18-0509.19
Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 5 of 7
Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-lbf)
for Mortar Set Systems
Tile
Tile
Attachment
Profile
Application
Resistance
Medium Profile Concrete Tile
Mortar Set'
20.60
1 Tile-Tite Roof Tile Mortar.
• • • •
...... .. ..
5. LABELING: • • • • +
All tiles shall bear the imprint or identifiable marking of the manufacture6somame or IQgp 4See
Detail Below), or following statement: "Miami -Dade County Product Contrvl4pproved • • • • •
++++++
+
EAGLE7,�'
FLORIDA
(LOCATED ON UNDERSIDE OF TILE)
1 �_
EAGLE FL
(LOCATED ON FRONTSIDE OF TILE)
MEDIUM PROFILE CONCRETE ROOF TILE LABEL, SUMTERVILLE PLANT
NOA No. 18-0509.19
Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 6 of 7
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 AHJ or applicable Building Code in order to properly evaluate the
installation of this system.
NAIL
HOLE
PROFILE DRAWING
a
MEDIUM PROFILE CONCRETE ROOF TILE
END OF THIS ACCEPTANCE
ff
NOA No. 18-0509.19
Expiration Date: 10/05/21
Approval Date: 06/14/18
Page 7 of 7
MIAMI-DADE COUNTY
MIAMPPAM
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION
T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA)
www.miamidade.gov/economy
ICP Adhesives and Sealants, Inc. see '.... • ......
12505 NW 401 Street • • •
Coral Springs, FL. 33065 •
...... .. .. ......
SCOPE: .... . .....
This NOA is being issued under the applicable rules and regulations governing the use ofoonstruction•materials. The..'
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Iaro t Contrei Section to bee • •
used in Miami Dade County and other areas where allowed by the Authority Having JuriscoetIOMIAHJ). ' •,
This NOA shall not be valid after the expiration date stated below. The Miami -Dade Cobnty Product:Coxtrol Section
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve tfie right to 4mwa,#+is pro;uect
or material tested for quality assurance purposes. If this product or material fails to perform in the accepte&fnanner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: ICP Adhesives Polyset° AH-160
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for
sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA 16-0315.01 and consists of pages 1 through 11.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 1 of 11
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE: ' . . .... ......
This approves ICP Adhesives Polyset' AH-160 as manufactured by ICP Adhesives and Sealants, Ina *as.d®scribed
000*00
in this Notice of Acceptance. For the locations where the design pressure requirements, as fined b a �licable
>�>r>;� i'l Y >.p
building code, do not exceed the design pressure values obtained by calculations in compliagge with Rgofing ; • • • •;
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile'sycteAs usinV" * .....
Adhesives Polyset® AH-160. ...... •... .....
PRODUCTS MANUFACTURED BY APPLICANT:
Product Dimensions Test
Specifications
ICP Adhesives N/A TAS 101
Polyset'AH-160
ICP Adhesives Foam N/A
Dispenser RTF1000
ICP Adhesives ProPack' N/A
30 & 100
PRODUCTS MANUFACTURED BY OTHERS:
.. .. .... ......
. . .. . ......
Product Description • •'
Two component polyurethane foam adhesive
Dispensing Equipment
Dispensing Equipment
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment
resistance values with the use of ICP Adhesives Polyset® AH-160 roof tile adhesive.
MANUFACTURING LOCATION:
Tomball, TX.
PHYSICAL PROPERTIES:
Property Test Results
Density ASTM D 1622 1.6 lbs./ft.3
Compressive Strength ASTM D 1621 18 PSI Parallel to rise
12 PSI Perpendicular to rise
Tensile Strength ASTM D 1623 28 PSI Parallel to rise
Water Absorption ASTM D 2127 0.08 Lbs./Ftz
Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch
Dimensional Stability ASTM D 2126 +0.07% Volume Change @ 40' F., 2 weeks
+6.0% Volume Change @158'F., 100% Humidity, 2
weeks
Closed Cell Content ASTM D 2856 86%
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufacturing variation.
NOA No.: 17-0322.03
QMLAMMIQ�ADE COUNTY Expiration Date: 05/10/22
Eim Approval Date: 04/27/17
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
257818-1PA
TAS 101
12/16/96
25-7438-3
SSTD 11-93
• f VY995
25-7438-4
. .
•.••
......
•
25-7438-7
SSTD I1-93
......
'11/1=95
....;.
25-7492
SSTD 11-93
... : • •
12/.12/95
......
Miles Laboratories
NB-589-631
ASTM D 1623
.0000
••• a
•02/01/94
• •; • •
Polymers Division
......
....
.....
.. ..
....
......
Ramtech Laboratories, Inc.
9637-92
ASTM E 108
; • �;
•94730/93
. .
•
Southwest Research Institute
01-6743-011
ASTM E 108
•
'..'
• ••
414L6/94
:"";
01-6739-062b[ 1 ]
ASTM E 84
0441$/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
LIMITATIONS:
1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating.
2. ICP Adhesives Polyset® AH-160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset® AH-160 roof tile adhesive
with their tile assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61 G20-3 of the Florida Administrative Code.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 3 of 11
INSTALLATION:
1. ICP Adhesives Polyset® AH-160 may be used with any roof tile assembly having a current NOA that lists
attachment resistance values with the use of ICP Adhesives Polyset® AH-160.
2. ICP Adhesives Polyset® AH-160 shall be applied in compliance with the Component Application %gjq+on and the
corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment witPithP. pte of ICX ...
Adhesives Polyset® AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value .'
determined in compliance with Miami -Dade County Roofing Application Standards OA�427. T%e ndiresive • • • • •
attachment data is noted in the roof tile assembly NOA. 686860 •
......
3. ICP Adhesives Polyset® AH-160 and its components shall be installed in accordance Wj"Roofint*ApQticatiop.... •
Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and.IltL iWenanceiBooklet. ..:..'
4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed b�*ICP AdITAT3es and
Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators tv the authority havin&���
jurisdiction. •
5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is Mquited be fc4rt dplication
of any adhesive. The mix ratio between the "A" component and the "B" component shall be maint' iT& between
1.0-1.15 (A): 1.0 (B).
6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP
Adhesives ProPack® 30 & 100 dispensing equipment only.
7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight.
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives
Polyset® AH-160 has been dispensed.
9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the
'Placement Details' herein. Each generic tile profile requires the specific placement noted herein.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 4 of 11
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement Detail
Minimum Paddy Contact
Minimum Paddy Gram
Area
Weight
Eave Course - Flat, Low, High
All Eave Course
17-23 sq. inches
. 4S=dS
Profiles
.... ....
Flat, Low, High Profiles
#1
17-23 sq. inches
' .�5.6S '
Flat Profile
#2
10-12 sq. inches ..
:.. 310 .
Low Profile
#2
12-14 sq. inches
High Profile
#2
17-19 sq. inches • •
.. *36 ..:.
�.
Flat, Low, High Profiles
#3
Two Paddys: 8-9 sq. inches
l 2 grams�per paddy :
head of tile 9-11 sq. inches p
•
•
overlap
Two -Piece Barrel (Cap Tile)
Two Piece
2 Beads (1 each longitudinal
17 gram per bea
Soo
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.
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.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 5 of 11
ADHESIVE PLACEMENT DETAIL # 1
No alfough plastif 6@iiFN2Plt
Padd�ISLIif)tllliiSta
�I���fe�quleratl•, -
=` �
9lrnl daymona ,t+`�, ° rr-^ v
111
�.'
�
ILseterisaptronal ��'�.�
— _
Errs elusurr ___ "` :..- # •.. ,,':
Nall through plaaLc cemerrrt
Iwhenremulredi _
Gaddy 16"UaehUPI
01ardPrlayrrane I �' ''.- � ""••--•
7otn.x`
Rattensep9lomal
• rr:ii'�-a• J
EavoClasuse
— Fascia
U41 sh W!jli p lowlc cP!pPrte -._• Paddp I�Pn■alh4llPl
rwhan regelrraiG
2 In. wide .
:.
daveens
nplitsnal
lei _ Eati�e coufsd-.=.�;;, ::v; -• :�:! ar'1 'Y' _�iSCi�➢
�''` <<�.'~r • Y,�F•Ye closure
Wl(t'4f9C
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 positiop: • a s sho N%n • • -
under the strengthening;il7 cjbsest tq,the gverlock , •
of the tile being set. .....• '„•.; ,...;,
•
2. Continue in same manpep.eltijure a:gro ately:"••:
(109.7 cmZ) — 23 (148.40&Rll) square inch adhesive; • • •
contact with the undergii'% 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 cmZ) — 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 cmZ) — 23 (148.4 cmZ) square inch adhesive
contact with the underside of the tile.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 6 of 11
ADHESIVE PLACEMENT DETAIL # 2
Puff throogh Idastic trmxn1
�ddziy' Ir rnrath?ulrl
1—At,,en reriLdred i,
=f
EaviCaufaw
a''
Fascia
9'
EaroElowre
Nail thratogh plastic eemant
;when retluiredl
f+a@dy 1neatla 711et
Battens apiianal i - . �-,:`• .��,•
Wave Clasum
.� ^. • .-sal ,,.
Ed -ON iFascia
Flat/Low Profile Tile
1. Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm2)
— 23 (148.4 cm') square inch adhesive cojtact with the
underside of the tile. •.. • • • • • •
• • • •
2. At the second course, appfj ft:h?himum'2" M.8m1flJ • • • •
x 7" (177.8 mm) x 1" (25.'TWT foam paddy onto dw...:
underlayment positioned as shown unctor4tk@-
strengthening rib closest tp N oyerloc%qt; 1e tile ..:.. •
being set. •
*Geese .... ......
.....•
3. Continue in same manner;Insure approximately lOz'• •• •
(64.5 cm2) - 12(77.4 cm2ksgti&p inch adhesive
contact with the underside 8f thd'tile. .0000.
•
0000
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 cm2) —
23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the tile closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 12"
(77.4 cm2) - 14 (90.3 cm2) square inch adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 7 of 11
ADHESIVE PLACEMENT DETAIL ## 2 (CONTINUED)
mad dumugh pUsu eepeert---•_
whenrequifedI ;' _ -Paddy 18mrwdhVs.)
a 30,
Baltens optimal
-
• '4.y `. '':^ - �•j' y'6 .tea a - •-'-...
T 6em-eCc rr." -
10 gin``..• 2oi fe `J*' < Lace dsswe
eClia
MIAMI•DADE COUNTY
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. Insure approximately 17 (L"7 cm2) —
23 (148.4 cm2) square inch adhesive coi t" with tko so •.
underside of the tile. • • 0•
...... .. .. •...e•
2. At the second course, applq"IWlnimum 2' (50.8m"...:
x 7" (177.8 mm) x 1" (25.4 M4 foan;padd)i onto the
underlayment positioned as shown under the pan -
...... sees sees.
portion of the tile closest N;i3 everlotio0Me tiles, �.
being set. •
sees..
. . .. . sees:.
3. Continue in same manne>rt Insure approximately 17�' •
(109.7 cm2) - 19 (122.6 ci1� square irlh'dftsive • •
contact with the underside of the tile. so's
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
Hall duough plastic cement Paddy Cbetween tiles)
lwhen requiredl
Battemoptional °
° Paddy hinder tile)
Single paddy
onto oftile
ax4bt
Shegle�padd ` �> C i
Single paddy
on underlag went a x a in,
°
s in. Fascia
' --- Fave Closure
ti
Flatlkow Profile Tile
Nall dmugh plastic cement Single paddy under the
(when required)
Paddy (between tiles)
Battens i /Paddy (under Wei
optional
V Sinoe paddy
on top of tile\ _ _ -
�4x4hu Sgle�padd� n 2:4irs.
dd ty�m
E
- Eave Closure
ave Course
�f Fascia
Medium ProflleTile
1. On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x V (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 exr;; J C1 adhe'n. • •
from blocking the weep.4vlq. Insure • •
approximately 17-23 in2.4LU7-149.4.d1y�. of ....:.
adhesive contact with theunderside of the tile
•••• • •••••
2. Apply a 4" (101.6 mm7? *;l01.611' 1M*Y. I" (234
...
mm) foam paddy onto 1Ae .. U n derlaymen...* . ust below...
• •
the second course line post#Ivned foam paddy ...
•: •
under the strengthening rib for flat Old' gyunderxhe •
pan portion of the tile, %Q?es= to the underlock tzF
the second course tile to be installed.. im9ure
approximately 8-9 in (51.6-58.1 cm2) of adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
Nallthrough piasdc nd Single paddy uer hla
lwhen requGedi
Paddy (betareen tRes)
Battens
Paddy (under tile6
r Side ppaddy
on ondeda)m
4a41n.
Single 2s4 In.
paddy on,,�
top of to
,
Fave Course
`rasa.
Weephale
Eave closure
10 in. 2 in.
Drip edge
mommommoms
High ProflteTile
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4"
(19 mm) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11 (71 cm2) square irWfi*tftsive
contact with the undedide dlethe the at'tlie overlap ': •
and 7 (45.2 cm') - 9 (58: f cm`2) square iril • •
of •• ••••••
adhesive contact with j'•k•;j'g4'••••erside of jhe the at •
the head of the tile. Cor>;jl" in salve manner. ; • •
• • ••••••
.... . .....
•••••• •••• •••••
• • • •
•• •• •••• ••••••
•
•••••• • •
• 0 • •• • ••••••
• • • •• . •
•
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 10 of 11
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
1) Place enough adhesive to achieve 6S to 70 sq. in. Steep pitch applications
in contact with the pan tile. (when required)
2) Turn coven upside down. Place adhesive In
to 1 in. from outside edge of cover tile.
Then install the tile. Ensure 20 to
25 sq. In. contact area.
Underlayment
01
-' Sheathing
Eave closure-'
(motar shown)
Weephole
Fasda Board
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
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as
shown under two adjacent pan tiles. Support eave
tiles from rocking until adhesived%0 ehance•to••••
cure. • • • •
•••••• of as ••••••
2. Continue in same maaalabringing two pan •
courses up toward tharidge. Insurg • •
approximately 65 (419!4tmZ) — 30 (451.6 cm87;•
square inch adhesive' tQMftt witU U101 twdersiN • •'
of the pan tile.
.... .... ......
• •••••••••
3. Turn covers upside down exposi 0 14i• finderside
of the tile. Apply a ril"?hi:n 1" (�.4mm) x W*0:
(254 mm) bead of adhesive direcnymo file inner
edge of each side of the cover tile. Leave
approximately 3/4" (19 mm) to 1" (25.4 mm)
from the outside edge of the tile, inward, free of
foam to allow for expansion.
4. Turn cover tile over after foam is applied and
place onto pan tile course. Insure a minimum of
20 (129 cm') - 25 (161.3 cmZ) square inch
contact area on each side of the cover tile to the
pan tile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
QMLARMI-DMADE COUNTY
NOA No.: 17-0322.03
• • •. t Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
4
COUNTY
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA
Polyglass USA Inc.
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 •F F766) 315-2599
• www.miami&mlejeov/econowrve..
sees.. se ss
sees.0 sees..
sees sees..
e s.eee0
sees a sees
. .
sees.. sees sees.
SCOPE: s 0900 •
This NOA is being issued under the applicable rules and regulations governing the use of gonArection materials. The so
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Conitel Section te'be• • •
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisaictem(AHJJ. e'
as s .ess
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Cohlto9 Section
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Polyglass Polystick Underlayments
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been 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.15-0410.04 and consists of pages I through 8.
The submitted documentation was reviewed by Freddy Semino., a
NOA No.: 17-0614.22
MIAMI•—TZ. COUNTY Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 1 of 8
ROOFING COMPONENT APPROVAL
Category:
Roofing
Sub -Category:
Underlayment
Material:
SBS , APP Self -Adhering Modified Bitumen •
. . .... ......
PRODUCTS DESCRIPTION:
""" • • • • • • • • • •
Test Prodaet•
Product
Dimensions
Specification Descril on • • • • •
Polystick IR-Xe
Y
65' x 3'3-3/8"
.
• • OAPP • • •.
ASTM D 1970 A fine granular/sand to sur •C • •elf-adh0000
g P f3 � S rU1€.
Manufacturing
Or 65' x 3'
......
polymer modified, fiberglassrein4wrced, bituminous .•
Location #1 & #2
60 mils thick
sheet material for use as an enderlaymentin sloped roof..:.
assemblies. Designed as anVice j&rain s1;elct.•
•
Polystick Dual Pro
61' x 3'3-3/8"
TAS 103 and A rubberized asphalt self -adhering, glass-fibeo/polyester
Manufacturing
60 mils thick
ASTM D 1970 reinforced waterproofing membrane. Designed as a
Location #2
metal roofing and roof tile underlayment.
Polystick Tile Pro
61' x 3'3 '/s"
TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester
Manufacturing
60 mils thick
ASTM D 1970 reinforced waterproofing membrane. Designed as a metal
Location #2
roofing and roof tile underlayment.
Polystick TU Max
65'8" x 3'3-3/8"
TAS 103 and A rubberized asphalt self -adhering, polyester reinforced
Manufacturing
60 mils thick
ASTM D 1970 waterproofing membrane. Designed as a a roof tile
Location #1 & #2
underlayment.
Polystick TU P
32'l0" x 3'3'/8"
TAS 103 and A rubberized asphalt waterproofing membrane, glass -
Manufacturing
130 mils thick
ASTM D 1970 fiber/polyester reinforced, with a granular surface
Location #2
designed for use as a tile roof underlayment.
Polystick TU Plus
65' x 3'3'/8"
TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester
(Surface Printing)
80 mils thick
ASTM D 1970 reinforced waterproofing membrane. Designed as a metal
Manufacturing
roofing and roof tile underlayment.
Location # 1 & #2
Polystick NITS
658" x 3'3'/8"
TAS 103 A homogeneous, rubberized asphalt waterproofing
Manufacturing
60 mils thick
membrane, glass fiber reinforced with polyolefinic film
Location #2
on the upper surface for use as an underlayment for metal
roofing, roof tile, slate tiles and shingle underlayment.
Polystick MTS Plus
65'8" x 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 #2
use in roof tile underlayment systems.
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 2 of 8
MANUFACTURING PLANTS:
1. Hazelton, PA
2. Winter Haven, FL
EVIDENCE SUBMITTED
• • • • • • • • • • • •
Test Ageney
Test Identifier
Test Name/Report....
-,,-.Date ....;.
Trinity ERD
P10870.09.08-R1
TAS 103 """
'12/04/0$....;
P10870.04.09
TAS 103/ASTM D4798JP(!%5
i..&W13/09' '
P33360.06.10
ASTM D1970.,,,,.
��• 07/01/10r*:**-
P33370.03.11
TAS 103 ..'..'
•...V02111......
P33370.04.11
ASTM D 1623......
.04/26/11 .'
P36900.09.11
TAS 103/ASTM D4798*& 645
;•� 09/0l/11••••:-
P37300.10.11
TAS 110/ASTM D4798 & g1%70
'P6/19/11:....;
P40390.08.12-2
ASTM D 1623 •'
."OCW07/12 '
P37590.07.13-1
ASTM D6164
*67/02/13
P45270.05.14
TAS 103, TAS 110 & ASTM D1623
05/12/14
P46520.10.14
ASTM D1623
10/03/14
P44360.10.14
TAS 103 & TAS 110
10/07/14
P43290.10.14
ASTM D 1970 & TAS 110
10/17/14
PLYG-SC10130.06.16-3
TAS 103 & TAS 110
06/27/16
PLYG-10130.06.16-1
ASTM 131970 & TAS 110
06/27/16
PRI Asphalt Technologies
PUSA-035-02-01
TAS 103
09/29/06
PUSA-055-02-02
TAS 103
12/10/07
PUSA-089-02-01
TAS 103/ASTM D4798 & G155
07/06/09
Momentum Technologies, Inc.
JX20117A
TAS 103/ASTM D4798 & G155
04/01/08
RX14E8A
TAS 103/ASTM D4798 & G155
11/09/09
DX23D8B
TAS 103/ASTM D4798 & G155
02/18/10
DX23138A
TAS 103/ASTM D4798 & G155
02/18/10
LABELING:
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.
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.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 3 of 8
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" ox at%pnK mum 4" head lap. l o.r• .:
base sheet only) "" •
Membrane:
.... . .....
Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Pol�istickj'U Max. rplystic>;.;..•
TU P, Polystick TU Plus, Polystick MTS or Polystick MTS 14 st self-adl►brod o 000000
Surfacing:
See General Limitations Below.
• • o • so:.
• •• . •
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 11 or ASTM D 2626.
Fastening:
Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Membrane:
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.: 17-0614.22
MIAMI•DADE COUNTY Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 4 of 8
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 obtaitl t;aximum contsact. * 0 •
Remove the release film as the membrane is applied. All side laps shall be a minir*v"@f 3" an1"nd iaps shaU e:9
be a minimum of 6". Roll the membrane into place after removing the release strip.- k4rical strapping of they
roof with Polystick is acceptable. Membrane shall be back nailed in accordance witfr•'l?plicabl$""ng cotle. •
4. When applying the membrane in the valley, start at the low point and work to the Wise ojnt, rolllgg She 0000 •
membrane from the center outward in both directions. •
.. .. .... ......
5. For ridge applications, center the membrane and roll from the center outward in bcghtof(pions. • •
. . •o. . .....•
6. Roll or broom the entire membrane surface so as to have full contact with the surf ece, giving spec! al attention
to lap areas. •• .••• :....:
7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Prudact 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 Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and Polystick MTS Plus may be
used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof tile systems and quarry
slate roof assemblies.
Polystick TU P may be used in all the previous assemblies listed except metal roofing.
Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems.
Polystick TU Max may be used in non-structural metal roofing and roof tile systems.
Elastoflex S6 G may be used in roof tile systems only.
3. Deck requirements shall be in compliance with applicable building code.
4. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, 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 Dual Pro, Polystick Tile Pro, 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 Dual Pro, Polystick Tile Pro, 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.
Ex osure Limitations (Davs)
MTS
IR-Xe
Elastoflex
S6 G
TU
Plus
TU P
Tile Pro
Dual Pro
TU Max
MTS Plus
Winter Haven, FL
180
90
180
180
180
180
180
180
180
Hazelton, PA
N/A
90
N/A
180
N/A
N/A
N/A
180
N/A
7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
MIAMbDADE COUNTY
NOA No.: 17-0614.22
• • • l Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 5 of 8
8.
9.
Tile
Polystick
Elastoflex
Polystick TU Plus,
Polystick
Polystick
}-SVjA (E3)e
Profile
MTS
S6 G
TU P, Tile Pro,
TU Max
MTSUILs:
MTSMus with••
Dual Pro
�•"Fueflus
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.
10. 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.
0
a
0
rn
N
POL`rSnCKTU Plus
Rule 61 G20-3 of the Florida Administrative Code.
In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile
manufacturer's Notice of Acceptance.
Polystick Tile Pro, Polystick TU Max, Polystick TU Plus or Elastoflex S6 G may be used in both adhesive
set and mechanically fastened roof tile applications. • • • •.
. . #Do* oboes*
Polystick Dual Pro is limited to mechanically fastened roof tile applications. e e .
Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with�t5g j�npitatior►iooa tned
e
Section 9. e e e e e e e e �
Polystick TU P may be used in mechanically fastened roof tile applications with the cKeeUtion. of mortar set i?e'e:
applications. 00000 boob.. • • • • •
bo. ob bb
When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies thob�tn.aximt"pjbo1Q8f slopeooe .
*. e
shall be as follows: (See Table Below) boob,.
e
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 6 of 8
11. 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 Dual Pro, Polystick Tile Pro, 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 Du6111ro, • • • • • •
Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystiek!N1:17S, Polystick MTS .'
Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptant! • Do.*.: • • •...
If Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Poll S§ Nk TU P, PolysticIC. . . .;
TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, atrec*uest may3W.Mue to the '
Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Sep ipngf•or approval provided:o*•
that appropriate documentation is provided to detail compatibility of the products, wjyd jV1ift reslat.We, and fVp...
testing results.
. . .. . ......
POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTIiX41EMIA.*KES ; • • • •;
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS.
LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS.
1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are
cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable.
Please also refer to applicable Product Data Sheets of the corresponding products.
2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge seam as per Polyglass
Back Nailing Guide. Nails shall be, I 1 gauge ring shank type, applied with a minimum 1 V metal disk as
required in Miami -Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate
of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on
the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being
back -nailed. (Please refer to applicable local building codes prior to installation.)
3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact.
4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass
Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement,
XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement, 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 #9 and #10.
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 '/4"/12", precautions should be
taken, such as the use of battens to prevent tile sliding during the loading process.
7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours.
8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed
roof to wall details.
9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified
Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified
Wet/Dry Cement, Polyglass PG500 MB Flashing Cement 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.
NOA No.: 17-0614.22
QMLAMI
DADeCounmr Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 7 of 8
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 Potatick 0*0000
membranes commences. An approved substrate technical bulletin can be furnished L*oh &quest. It is . so
recommended to refer to applicable building codes prior to installation to verify accepbiple substrates.: ....:.
12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick merg4rkes can be rurnishec;••..�
upon request by our Technical Services Department by calling 1 (800) 894-4563. •....• ;••••• ����,
13. Questions in regards to the application of Polyglass products should be directed to o1A."Uhnicaj.98mges •••••�
Department at 1 (800) 894-4563. •• 0 0: 0 6 0 6 6•
14. Polyglass recommends that applicators follow good roofing practices and applicable proceduresgs. utlined bye..:.
the National Roofing Contractors Association (NRCA). •• • •
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS.
LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS.
END OF THIS ACCEPTANCE
NOA No.: 17-0614.22
MIAMI•DADECOUNTW Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 8 of 8
RE: Permit #
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
INSPECTION AFFIDAVIT
DATE:
licensed as a ( ontractor Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License #: Ccc, �«
On or about , I did personally inspect the roof deck nailing
(Date & time)
work at I t.1je � e3l-P-1
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
04
Sign ure
State of Florida
County of Dade:
The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property
mentioned.
Swom to and subscribed before me this day of
otaR;r,?us�,c NATHALIE RUIZ
Notary Public, Sate of Florida at Large a •' Commission # GG 336576
Expires August 18, 2023
�9rFppro4`� BondwThruBudget No" SMIM
'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with
permit # and address # clearly shown marked on the deck for each inspection
oo i—i,,,,rnr+nrm4air;n4nnno