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RF-12-20-2933, 94 NW 95th StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 01/22/2021 Parcel Number 94 NW 95TH ST, Miami Shores, FL 33150 1131010340090 Contacts Permit No.: RF-12-20-2933 Permit Type: Roof Work Classification: Tile Permit Status: Approved Expiration: 06/21/2021 Description: RE -ROOF TILE TO REPLACE PERMIT# rf 02-19-270 1 Valuation. $ 13,000.00 Inspection Requests: Total Sq Feet: 1,800.00 1305-762-4949 Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $275.00 Total Fees $275.00 Credit Card 01/21/2021 $275.00 Total: $275.00 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 ail work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above namje5[contra for to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent. Date L January 22, 2021 Page 2 of 2 Miami Shores Village R1FCP,1VZj:3 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY - Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No ( 3� PERMIT APPLICATION Sub Permit No. []BUILDING ❑ ELECTRIC Q ROOFING ❑PLUMBING ❑ MECHANICAL EJPUBLICWORKS JOB ADDRESS: 94 NW 95TH ST ❑ REVISION ❑ EXTENSION QRENEWAL ❑■ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3101-034-0090 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): NICK GARCIA - IMMOBILIEN LLC Phone#:720-297-5338 Address.7602 NW 2ND COURT City: MIAMI State: FLORIDA Zip: 33150 Tenant/Lessee Name: Email: gnd2@msn.com CONTRACTOR: Company Name: ✓11T Z RL/ iq Phone#: 1?X 6 % (0s 7 3 9-0 Address: , I City: M IState: Zip: p Qualifier Name: t/4P hf eA a', j 7 / 6—,AArD `71C b Phone#: 6 7 C P �3o State Certification or Registration #: CG / 3 Z-7 % � o Certificate of Competency #: DESIGNER: Architect/Engineer: Address Value of Work for this Permit: S 13,000.00 Type of Work: ❑ Addition ❑ Alteration Description of Work: RE -ROOF TILE Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ Radon Fee $ City: one#: State: Zip: Square/Linear Footage of Work: I] New 0 Repair/Replace Training/Education Fee $ CCF.$ DBPR $ ❑ Demolition CO/Cc $ . Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) we Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien 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 pproved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 7 day of 4xy."rrIe 20 9 by `7 day of -) n P 20 2-/ by NICK GARCIA who is personally known to V-91JOA A14 2 C 6ersonally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: r Sign: Sign: Print: _/n'2 c/ S maw Print: aie of Florida Seal: : Seal:.Jorge Rousseau �c Notary Public Stale of Florida 3 my Commission GG 193011 z Jorge Rousseau � Fd. Expires 05104/2022 My Commission GG 193011 Expires 05/04/2022 ************************************************************************************************************ APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk NSA � lZ V2- (. � Z° z� Miami Shores Village 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 RIE C F,IV E' II) BY FBC 20 BUILDING Master Permit No. - - PERMIT APPLICATION Sub Permit No.� ❑BUILDING ❑ ELECTRIC XROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 4 A ' CONTRACTOR DRAWINGS JOB ADDRESS: - q I � � 1iV -(�l C J� �� City: Miami Shores County: Miami Dade Zip: 3-7�1 Follo/ParceW. I 3 \ 01 034 ' ^- 001VIs the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: i � ii LLL OWNER: Name (Fee Simple Titleholder): �. 3 r r t� n�«•s� 1 �' Phone#: 2 - a 7 Address: . 760 1 ) W 1 " City: Nk : e� >v\ Tenant/Lessee Name: Email: rAf1(y'-ka W`r' CONTRACTOR: Company Name: Z Z Address: C City: Qualifier Name: State Certification or Registration #: State: t- 1 of--, of Competency #: '�31547 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �� l y 0 J Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑/1New /� Repair/Replace ❑ Demolition Description of Work: , \ — R Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ o;Z �K - CT) (Revised02/24/2014) LET Bonding Company's`Name (if applicable) Bonding. Company's Address City State Zip. Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit:to do the work and installations as indicated. I certify that no work or installation has commenced ,prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating_ construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC,. PLUMBING, SIGNS,_ POOLS, , FURNACES, BOILERS; HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGr YOUR NOTICE OF COMMENCEMENT. Notice to Applicant: As a condition to the issuance of a building permit with on estimated value exceeding $25001the applicant must .promise in good faith that'a copy of the notice of commencement and. construction lien low brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs.seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not beapproved and a reinspection fee will be charged. Signature Signature ` OWNER or AGENT CONTRACTOR The foregoig instrum nt was acknowledged before me this 0 . day of e C- Q. 0-6ec; 20 2 0 . by i C K r a, r L IV-, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: v Print: The fore ping instrument was acknowledged before me this day of 02ePg*20 2 0 by lye -a— who is personally known to me or who has.produced as identification and who did take an oath. NOTARY PUBLIC: Sign:—� Print: o.POQ� Seal; _ o NATHALIE RUIZ Seal: v au Q�,c NATHALIE RUIZ Commission # GG 335575 Ex ii ,S ��-� August 18, 2023 =o,�;„ Commission # GG 335575 . N� Q Expires August 18, 2023 FOF FLOP Bonded Thru Budget Notary Semites y o tFOF FLOQ Bonded Thru Budget Notary Services OibbbbbOb@i@bbb®Obbb@Ob@ObbOb@bbbi@b@ibbib@bbbbbi@bbbb@qb@b@tb@i@bb@M@b0@ii@iib0b00bbbib09@@4.@O®ii@biq@b4+Ob0 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 02/13/2019 Parcel Number 94 NW 95TH ST, Miami Shores, FL 33150 1131010340090 Contacts Permit NO.: RF-02-19-270 Permit Type: Roof Work Classification: Tile Permit Status: Approved Expiration: 08/12/2019 IMMOBILIEN LLC WWW6YTOwner LZ ROOFING & CONSTRUCTION CORP� Contractor 94 NW 95 ST, MIAMI SHORES, 33150 LUIS A ZAVALA Home: 9544106364 1968 NW 24 AVE, MIAMI, FL 33125 Business: 7867187992 �a E Ins ection Requests: Description: RE -ROOF TILE Valuation: $ 13,000.00 305-762-4949 Total Sq Feet: 1,800.00 Fees Amount Application Fee - Other $50.00 CCF $7.80 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $2.60 Roofing Fee $225.00 Scanning Fee $9.00 Technology Fee $6.88 Total: $308.16 Building Department Copy Payments Date Paid Amt Paid Total Fees $308.16 Credit Card 02/13/2019 $308.16 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons�ruction.and zoning. Futhermore, I authorize the above named contractor to do the work stated. r Authorized.Signature: Owner / Applicant / Contractor / Agent Date February 13, 2019 Page 2 of 2 Miami Shores Village 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 &ROOFING gZ]� c ITT E: �FEB07 FBC' 20 (( Master Permit No. �T 1111 i 9 --Z7 V Sub Permit No. REVISION Ej EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP y CONTRACTOR DRAWINGS JOB ADDRESS: / N� -1 S ,f� City: Al f g i Miami Shores County: Miami Dade Zip: Folio/Parcel#: // =31DI 03 y DO `J p Is the Building Historically Designated: Yes NO Occupancy Type:.S� Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name c(Fee Simple /Titleholder):_ �% �� 4 Phone#: Address: 1 7 yW 9 S City: A -I-' % � State: �-- Tenant/Lessee Name: Email: Phone#: Zip: CONTRACTOR: Company Name: L 'A/a2 Phone#: Z�7C�'����%e Address: J411D City: T !/c.41Y611t A State: � Zip:3.3 / 6-0 Qualifier Name: ,CL�j%% 2�4V/9f� Phone#: �c)'�fQ State Certification or Registration #: ��� �T Certificate of Competency #: 4,tO 17 c%'7-2- DESIGNER: Architect/Engineer: Phone#: PI C- Usk Address: City: State: Zip: Value of Work for this Permit: $_Z 31 V ., Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑New [ 4 Repair/Replace ❑ Demolition Description of Work: l'zS Q '-d - ,'vr Specify color of color thru tile:IA ,4 A Submittal Fee $' Permit Fee $ CCF $ Scanning Fee Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $. Double Fee $ Bond (� TOTAL FEE NOW DUE $ 3CN6?. I (0 (Revised02/24/2014) {J Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 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." --A Notice to Applicant: As a condition to fb�, 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 pproved and a reinspection fee -will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this Oco day of-L—_— 20 by N(oN0 IA.S L P14AI CL- who is personally known to me or who has produced "5P-A-TXJ --Q• L • as identification and who did take an oath. The foregoing instrument was acknowledged before me this -S day of �t 1� 20 by rs -Z 44,n who is personally known to me or who has produced identification and who did take an oath. NOTARY PUB NOTARY PUBLIC: Sign: Sign /. Print: <(Nbl (� Print: Seal: tie, SINDIA ALVAREZ Seal: „ MY COMMISSION # GG 238273 �'" PiATHALIE RU1 :p" o: EXPIRES: Septe ber3+2022 MY COMMISSION a F�g>py5g Bonded Thru N Pu is UndenNrite `* ss&o+ss-- r ;a3nwaryServwaa'cam t APPROVED BY Plans Examiner Structural Review as Zoning Clerk Ci a�! (Revised02/24/2014) Address Owner Name Folio SEARCH: 94 nw 95 st LVI PROPERTY INFORMATION f � Y� W � �� F 4�� � k , �a, a n ,.{r ��6 Folio: 11-3101-034-0090 Sub -Division: MIAMI SHORES SEC 6A Property Address \ 94NW95ST Miami Shores, FL 33150-1710 Owner __ IMMOBILIEN LLC Mailing Address 2416 W ORANGEWOOD AVE # 2 PHOENIX, AZ 85021 PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL- SINGLE FAMILY : 1 UNIT Detail by Entity Name Foreign Limited Liability Company IMMOBILIEN ACQUISITIONS LLC Cross Reference Name IMMOBILIEN LLC Filing Information Document Number M18000009464 FEI/EIN Number 37-1738698 Date Filed 10/05/2018 State CO status ACTIVE Principal Address 2612 S LINCOLIN ST DENVER, CA 80204 I1 aiiiag Address 9480 NORTH EAST 2ND AVE STE 99 MIAMI SHORES, FL 33138 Registered ent Name & Address GARCIA, NICK 7602 NW 2ND CT MIAMI, FL 33150 Authorized Persons) Detail SANCHEZ, RUTH P 2612 S LINCOLN DENVER, CO 80210 a,,v[ •ice No Annual Reports Filed Document Imaals_ 10/05/2018 — Foreign Limited View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchR...ilien%2011c&IistNameOrder=IMMOSILIEN%20FO30000014830 2/4/19, 2:53 PM Page 2 of 3 LZ ROOFING CONSTRUCTION CORP LIC:CCC 1329407 18060 BISCAYNE BLV APT 302 AVF.NTURA FL 33160 Date: 2/5/2019 State of Florida County of Miami Dade Before me this day personally appeared LEVI ZAVALA who being duly swom, deposed and says RE ROOF TILE That he or she be the only person working on the project located at 94 NW 95 ST MIAMI SHORES FL 33150 o or affirme d subscribed before me this 5 day feb 2019 f? Personally know_--3__---- OR Produced Identification ---------------- Type of identification produced---- - Av--d Print, type or stam ame of notary NATHALIE R' IZ n: MY COMMISSION 9 Fr'Q108�',I %?�M * EXPIRES Adyust 16; 20. _:ar7139$,0153 F7orkf9Nfia"S 'ice's Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 IVouce to owner — worKers" %,ompensatlon insurance t%emption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. 5 440.05 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. l . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances; Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this _7 day of A—Z , 20_1 By /tl G k 6 !, �_ I / who is personally known to me or has produced as identification. Notary: . _, ...� -.— SEAL: MY COMMISSION # FF9':M5'3 , EXPIRES August tii, 20t9 ,tC71M-0153 Fbrid.NotarySe:vice.ewn Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax: (305)756-8972 11 /07/2019 To: Current Owner 94 NW 95TH ST Miami Shores, FL 33150 Permit: RF-02-19-270 Address: 94 NW 95TH ST Miami Shores, FL 33150 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits, refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, 0�'/,/y Ismael Naranjo (CBO) Building Director FEB ROOF ASSEMBLIES AND ROOFTOP STRUCTURES F217uJIrldfng Code 5th Edition (2014) I ` High -Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) 1 Master Permit No. 1 Process No. 1 Contractor's Job ❑ Low Slope ❑ Asphaltic Shingles ❑ New roof i • 1 �GY � S � .••• 1 • ROOF CATEGORY • • • : • • 0 • . • • ..� . ❑ Mechanically Fastened Tile • . • • • • • L�/Mortar/Q4I�e„sive Set Tjlg% • • • •r 0 : • ❑ Metal Panel/Shingles E3 Wood S"rVes/Shakes • • • o • . • .p ❑ Prescriptive BUR-RAS 150 • • • • •' ROOF TYPE : : : : 0 0 ey ❑ Repair ❑ Maintenance D/' * o 000 Reroofing 0 � Re R% . • •.Q. ROOF SYSTEM INFORMATION : .0. :0 61 • Low Slope Roof Area (SF) Steep Sloped Roof AREA (SSF)_��jTOtal (SF) • • - 1 �--� -t .... 1 1 Section B (Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- 1 sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 War, ON ON No M kg No MEN No A 0 Nov�M�0�ME��0���� - WE M1_ 0 0-y�M ME���� FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 Copyright to, or licensed by, [CC (ALL RIGHTS ME1tV ED); aomssed by Furst Palacio on Jun 8, 2015 1032:12 AM pursuant to License Agtxmrnt. No fiutber reproductions authorized I 1 1 1 1 1 1 1 1 1 1 1 1 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 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. Add-Ri* • *I* the following items should be addressed as part of the agreement between the owner ant Me c6nt:actor.;Iiieowners • • • initial in the designated space indicates that the item has been explained. • ...... . .. ...... .... ...... 2• Renailing wood decks: When replacing roofing, the existing woddtbbf deck m'aq"ve to • • • • • be renailed in accordance with the current provisions of Section R4403. (The r'ooi Mk is usLally : • • • • concealed prior to removing the existing roof system). ' • • • • • ...... 4. Exposed Ceiling: Exposed, open beam ceilings are where the u;deitidb of the roofdeckin can be viewed from below. The owner may wish to maintain the architectural appearance; ttiarQfard, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402 nd R4413. %-whertAgent` a.S frees 'DatContractor bignatifre pate r(I Z/w ;2�E-o/ Property Address Revised on 7/9/2009 LD;07/01/2015; Permit Number Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES • • • .... • ...... PERSUANT TO SECTION 553.844 F.S. • To: Miami Shores Village Building Department .... ,"" i'0 :0060: • 10050 NE 2nd Ave Da#a:• • � • • i ..... Miami Shores, FI 33138 • •' • .' ! • ; • Re: Owner's Name:/� <' I� /�� C� >�9 • • • • . • • ' ...... _ Property Address: L2 fy IV `��- S7L • 0 ...... ..000000 . 0 . .. Roofing Permit Number: 0000 Dear Build' Official: 1 l< �- A' Z r- ;'-A certif y that I am not required to retrofit the roof to wall connections of my building because: 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. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 199�elditio i f�he South-Flohda Building Code (1994 SFBC) Print Name State of Florida County of Dade 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 day of Z •�. � - �Fc��°t3`�i Notary P Sate of Florida at Large A,*'r,t • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and ie 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 Wail connection Hurricane Mitigation. Revised on 50 009 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 HIGH -VELOCITY HURRICANE ZONES - UNIFORM PERMIT APPLICATION Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT • APPLICATION FORM AND ATTACH THE ' • • REQUIRED DOCUMENTS AS NOTED BELOW::::*::: Roof System Required Sections of the Permit Application Form Attachments Regiilrlbd See List B51Co�nt • • Low Slope Application A,B,C 1,2,3,4,5,6,7: • • • • • Prescriptive BUR-RAS 150 A,B,C 4,5,6,7 • • Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concr Clay Tile A,B,D,E 1,2,3,4,5,6,7 M o A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING 6.31 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) Roof System Manufacturer: CERAMICA VERSA Notice of Acceptance Number: • • • ° ". 18-0119.02 •.. Minimum Design Wind Pressures, If Applicable (From RAS 127 qt.:.. ,� Calculations): 1: 38.7 P2: 68.1 P3: 100.7 ..., . • °•••• Steep Sloped Roof System Description Deck Type: 5/8 PLYWOOD Type Underlayment: # 30 ASTM D226 TYPE 2 i Roof Slope: Insulation: NIA Fire Barrier: N/A Ridge Ventilation? Fastener Type & Spacing: 1 1/4 R/S NAIL 6 & 12 O.0 N/A Adhesive Type: ICP AH160 Type Cap Sheet: POLYGLASS TU PLUS Mean Roof Height: 14 Roof Covering: VERSA SPANISH S i Type & Size Drip 3 x 3 DRIP EDGE Edge: •••.•• A • 16.34 FLORIDA BUILDING CODE 6th Edition (201T) — BUILDING 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) Roof System Manufacturer: CERAMICA VEREA Notice of Acceptance Number: 18-0119.02 ... Minimum Design Wind Pressures, If Applicable (From RAS 127 of • • • Calculations): • • • • 1: 38.7 P2: 68.1 P3: 100.7 • .... .. . . • Steep Sloped Roof System Description Deck Type: 518 PLYWOOD Type Underlayment: # 30 ASTM D226 TYPE 2 Roof Slope: 3 : 12 Insulation: NIA Fire Barrier: I NIA Ridge Ventilation? Fastener Type & Spacing: 1 114 R/S NAIL 6 & 12 O.0 N/A Adhesive Type: ICP AH160 Type Cap Sheet: BORAL TILE SEAL Mean Roof Height: 14 Roof Covering: VEREA SPANISH S Type & Size Drip 3 x 3 DRIP EDGE Edge: t_ 16.34 FLORIDA BUILDING CODE 6th 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 tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the file attachment method is acceptable. Method 1 'Moment Based Tile Calculations Per RAS 127" (Pt: 39.1 x x 0.31 = 12.121 ) _ Mg: 6.21 = Mrl 5.911 Product Approval Mf 58.6 (P2: 68.1 x x _0.31 = 21.111 ) - Mg: 6.21 = Mr2 14.901 Product Approval Mf 58.6 (P3: 100.7 x x 0.31 = 31.21 ) - Mg: _6.21 = M, 25.007 Product Approval Mf 58.6 Method 2 "Simplified Tile Calculations Per Table Below" " •• • •••• Required Moment of Resistance (Mr) From Table Below Product ADmoval M, • • • • • • • _ _ • 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 37.3i • • • ; 5:12 28.4 30.1 31.6 32.8 ' .. • • 34. 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 file 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' (Pt: x L = x w: = ) - W: x cos 0 = Frt Product Approval F (P2: x L = x w: = - W: x cos 0 = Fr2 Product Approval F (Pz: x L = x w: = ) - W: x cos 0 =17- Product ADoroval 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 l Product Approval Restoring Moment due to Gravity Mg product Approval Attachment Resistance Mf Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F Product Approval 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 16.36 p MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv Ceramica Verea Lanza S/N 15685 Mesia (Coruna) Spain 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„4c.4ion 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 CountyPrgdact C4trolSection. •; (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve thVilglit to have this product or material tested for quality assurance purposes. If this product or material fails to pe:Porm in the' ategpted manner, the manufacturer will incur the expense of such testing and the AHJ may immediatcjx re yoke, modify, or ' •; • • • suspend the use of such product or material within their jurisdiction. RER reserves the ri e p p J ght�b.r�Voke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or materiabZils to meet the • requirements of the applicable building code. • ; This product is approved as described herein, and has been designed to comply with the Fldrida %uildinfg Code ...... including the High Velocity Hurricane Zone of the Florida Building Code. • 0 • 0000 DESCRIPTION: Verea "Spanish S" Grade 1 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# 16-1012.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 18-0119.02 Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Clay 1. SCOPE This approves a roofing system using Verea "Spanish S" Grade 1 manufactured by Ceramica Verea, S.A. in La Coruna, Spain and is distributed by Ceramica Verea, USA Corp., 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 Applicant Verea "Spanish S" Grade 1 Trim Pieces Verea Hurricane Clip Dimensions L = 19.5" W = 10.85" H = 2.8" Length: varies Width: varies varying thickness 2.95" x 0.47" x 0.09" diam. 2.1 MANUFACTURING LOCATION 2.1.1. Mesia (La Coruna) Espana Test • •..]Product • Specifications • • 4mription . • ASTM C 1167 High profile pjV roof 4t�. efer direct • Type I ..... deck, adh"yQ set appU 4tloQs. . % Grade • 9 4 •• •. .. ...... ASTM C 1167 Accessor}L trim, clay roof pieces for • , use at hips, rakes, ridges iand valley terminatiort-,�*manufactaired .for each • • • • the profile. '.:..' (Optional) stainless steel clip. NOA No.: 1011. MuutiHDAoe COUNTY Expiration Date:: 03/13/233/23 Approval Date: 03/22/18 Page 2 of 7 2.2 EVIDENCE SUBMITTED Test A2encv Test Identifier Test Name/Reyort Date American Test Lab of South Florida RT0202.02-18 ASTM C 1 167 02/10/18 RT0621.01-16 ASTM C 67 09/09/16 RT0311.01-14 TAS 101 03/18/14 IBA Consultants, Inc. 4709-3 TAS 101 12/21/07 PRI Construction Materials CVER-013-02-01 TAS 101 12/30/13 Technologies CVER-014-02-01 TAS 102 03/11/14 CVER-015-02-01 TAS 100 04/07/14 Goes Redland Technologies 7161-03 Appendix III PA 102 & PA 102(A; . Go DW •1991 sets:* P0402 Withdrawal Resistance Te�411& of Opp *1A93 09 screw vs. smooth shank la;gS • • G • .... .... . . The Center for Applied 25-7094-(3, 6 & 9) PA 102 G • • • • G �Oot*.i�)94 ***so Engineering, Inc. 25-7120-(1 & 2) PA 102 • •; • • ;. t994 • • • • 25-7183-(3 & 4) PA 102 GO, Go Feb. •1995 Goes:* 25-7214-(3, 4, &7) PA 102 G G G Marceh, 1995 G • 25-7804-4 PA 102 G ;��r.•1�96 . .. . o see G eGOGoe •0G0 NOA No.: 18-0119.02 Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 3 of 7 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Regulatory and Economic Development Department — Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. • • •. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shah be. ht, compl?at w mtith • • • • • • applicable building code. • • ; •. •. • ...... • 4. INSTALLATION • • • • ; • • • • • 4.1 4.2 . . • Verea "Spanish "S" Grade 1 and its components shall be installed in strict comp]iwp with l�ggtin� Application Standard RAS 118, RAS 119, and RAS 120. 00000 • •.; Data For Attachment Calculations. • • • • • • Table 1: Average Weight (W) and Dimensions (I x w • • • • • • Tile Profile Weight-W (lbf) 1 Length -I (ft) 1 Wit ;yv (ft) Verea "Spanish S" Grade 1 8.0 1.625 0.904 Table 2: Aerodynamic Multipliers - A (ft3) Tile Profile It (ft3) Batten Application A (ft3) Direct Deck Application Verea "Spanish S" Grade 1 N/A 0.31 Table 3: Restoring Moments due to Gravity - M9 (ft-lbf) Tile Profile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or Greater Verea Direct Deck Direct Deck Direct Deck Direct Deck Direct Deck Direct Deck "Spanish S" Grade 1 6.46 6.36 6.21 6.01 5.74 5.40 NOA No.: 18-0119.02 Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mechanically Attached Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" (min. 19/32" plywood) plywood) Verea "Spanish S" 2-10d Ring Shank Nails 28.6 41.2 n/a Grade 1 1-10d Smooth or Screw Shank 5.1 6.8 n/a Nail 2-10d Smooth or Screw Shank 6.9 9.2 n/a Nails .••. 1 #8 Screw 20.7 20.T. • • • • n/a • • • 2 #8 Screw 43.2 41.2 ' :'. *P/a 1-10d Smooth or Screw Shank 23.1 .F,.;1. S n/a Nail Field Clip) .... • • • • • • 1-10d Smooth or Screw Shank Nail Eave Clip)•••••• 29.3 29.3 0 '.... h/a ... ••• ..: 2-10d Smooth or Screw Shank 27.6 027.16 • Sn/a • • • Nails Field Clip) :":': ' 2-10d Smooth or Screw Shank 38.1 .38.1 • • • • -n/a Nails Eave Clip)'..' • • • • Table 5: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mechanically Attached Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" (min. 19/32" plywood) plywood) Verea "Spanish S" 2-10d Ring Shank Nails' 33.1 48.1 n/a Grade 1 1 Installation with a 4" the headlap and fasteners are located a min. of 2%" from head of tile. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Verea ICP Adhesives Polyset AH-160 63.212' "Spanish S" ICP. Adhesives Polyset AH-160 58.62 Grade 1 1 Large paddy placement weight 34.6 grams of ICP Adhesives and Sealants, Inc.'s ICP Adhesives Polyset AH-160. 2 Medium paddy placement weight 24.5 grams of ICP Adhesives and Sealants, Inc.'s ICP Adhesives Polyset AH- 160 NOA No.: 18-0119.02 Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 5 of 7 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved". VEREA SPAIN CE LABEL FOR VEREA "SPANISH S" GRADE 1 (LOCATED ON THE SIDE OF TILE 6. BUILDING PERMIT REQUIREMENTS: • • • • ***see 6.1 Application for building permit shall be accompanied by copies of the follo+wi0p. • ; 6.1.1 This Notice of Acceptance. • • • • • • 6.1.2 Any other documents required by Building Official or ApplicableiMipg code fit adder to: ..... properly evaluate the installation of this system. • ...... ... . ..... .. .. .. ...... NOA No.: 18-0119.02 Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 6 of 7 PROFILE DRAWING VEREA "SPANISH S" GRADE I VEREA HURRICANE CLIP NOTE: USE OF CLIPIS OPTIONAL. REFER TO MANUFACTURERS PUBLISIIED INSTRUCTIONS FOR INSTALLATION DETAIL END OF THIS ACCEPTANCE NOA No.: 18-0119.02 MuuMHoaoe courm Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 7 of 7 GREEN SUSTAINABLE ATTRIBUTES SCOPE: This document is solely for the purpose of verification of Sustainable Attributes of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Section. G.1- SOLAR REFLECTANCE AND THERMAL EMMITANCE Component Name Initial Aged Initial Aged Solar Reflectance Reflectance Reflectance Emmitance Emmitance Index (SRI) 1. Verea "Spanish S" 0.39 Pending 0.83 Pending 41 Grade 1 • • • • • • • • • • • • • •• • • •• • • • • NOA No.: 18-0119.02 Expiration Date: 03/13/23 Approval Date: 03/22/18 Page 8 of 7 Y MFIAMFDIADE Sul MIANII-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy 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 cpphTition &e'als. The • documentation submitted has been reviewed and accepted by Miami -Dade County RER - WWAi t Control Section tp De used in Miami -Dade County and other areas where allowed by the Authority Having Juris4 etiex (AHJ)..... ; • • •'; .... .... ..... This NOA shall not be valid after the expiration date stated below. The Miami -Dade Countyrto Juct Control.Sectiwa %. • (in Miami -Dade County) and/or the AEU (in areas other than Miami -Dade County) reserve'eldght to have th4is • • • • • • product or material tested for quality assurance purposes. If this product or material fails t(; * *W( rm in the accepted •. manner, the manufacturer will incur the expense of such testing and the AHJ may immedi4ely tevoke,,nediefy, or • ""' suspend the use of such product or material within their jurisdiction. RER reserves the right td rgvoke Jhis acceptapee! - if it is determined by Miami -Dade County Product Control Section that this product or material fails to waet 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 1 through 8. The submitted documentation was reviewed by Freddy Semino. NOA No.: 17-0614.22 MwMFD�►nE coortnr Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 1 of 8 ROOFING COMPONENT APPROVAL CategorX:, Roofing Sub -Category: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Saecification Description 0000 Polystiek IR-Xe 65' x 3'33/8" ASTM D 1970 A fine granular/sand top surface pelf-adhd?%A,* APP....; • Manufacturing Or 65' x 3' polymer modified, fiberglass reu orced:-A"inous• • • 000 Location # 1 & #2 60 mils thick sheet material for use as an updhipyment iq sloped roof assemblies. Designed as an ice.& rain shiold. ' • • "' Polystick Dual Pro 61' x 3'33/s" .... ..... .... TAS 103 and A rubberized asphalt self-ad1L�jgg, glass-AbeVpolye,�Xr . • Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a...... Location #2 metal roofing and roof tile $yment. • ; Polystiek Tile Pro 61' x 313 3/8" . . . . ...... TAS 103 and A rubberized asphalt self -adhering, glass �fi)ier/polyester . Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing mehibrahe. D($igOCa as a metal Location #2 roofing and roof file underla ent. 0000 g � Polystiek 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. Polystiek TU P 32'10" x 3'33/8" 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 file roof underlayment. Polystiek TU Plus 65' x 3'33/8" 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 file underlayment. Location # 1 & #2 Polystiek 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. Polystiek MTS Plus 65'8" x 3'33/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefmic 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 Test Agencv Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. LABELING: EVIDENCE SUBMITTED Test Identifier Test Name/Report P10870.09.08-RI P 10870.04.09 P33360.06.10 P33370.03.11 P33370.04.11 P36900.09.11 P37300.10.11 P40390.08.12-2 P37590.07.13-1 P45270.05.14 P46520.10.14 P44360.10.14 P43290.10.14 PLYG-SC 10130.06.16-3 PLYG-10130.06.16-1 PUSA-035-02-01 PUSA-055-02-02 PUSA-089-02-01 TAS 103 TAS 103/ASTM D4798 & G155 ASTM D1970 TAS 103 ASTM D 1623 ...... TAS 103/ASTM D4798&Uti5 TAS 110/ASTM D4798 "19.70 ASTM D 1623 ASTMD6164 ••��•� TAS 103, TAS 110 & ASIM D1623 ASTM D1623 : 0 : TAS 103 & TAS IV 0 . - ASTM D 1970 & TAS' f 10' TAS 103 & TAS 110 ASTM D1970 & TAS 110 TAS 103 TAS 103 TAS 103/ASTM D4798 & G155 JX20117A TAS 103/ASTM D4798 & G155 RX14E8A TAS 103/ASTM D4798 & G155 DX23D8B TAS 103/ASTM D4798 & G 15 5 DX23D8A TAS 103/ASTM D4798 & G155 Date 12/04/08 04/13/09 . "'AZ/01110 ..•�a3/02/l�••��� •.Q4/26/ll...:. •09/01/14 •...}Q/19/li • • "e8/07/12%• •. ��••01/02/1�0•:� .. ..... . •05/12/14 • 10/0311 ...:. :'••16/07/1: • .' TO/17/14 • • ' a6/27/16 06/27/16 09/29/06 12/10/07 07/06/09 04/01 /08 11/09/09 02/18/10 02/18/10 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 ...• yjvj BUILDING PERIVIIT 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 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: Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU *x,* Melystick * • • TU P, Polystick TU Plus, Polystick MTS or Polystick MTS Plug,* s4if-ad1wed. • • Surfacing: ...... . .. ...... See General Limitations Below. � � � � • .... .... . . Deck Type 1: .... .... ..... Wood, non -insulated . . ...... ... 00000 Deck Description: Mn. 19/32" plywood or wood plank ....:. System Type E(2): Anchor sheet mechanically fastened to deck, membrane adhered :0 0 ....:. 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 41'-he4d lap. (for base sheet only) Membrane: Elastoflex S6 G, hot asphalt applied Surfacing: See General Limitations Below. Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(3): Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. Anchor/Base Sheet: One or more plies of ASTM D 226 Type H or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, self -adhered. Surfacing: See General Limitations Below. NOA No.: 17-0614.22 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 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, roIJ* the . .. . ...... membrane from the center outward in both directions. • 5. For ridge applications, center the membrane and roll from the center outward in bo*dtcetions% • • • • • • • • :. 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 Assernbty efrrent 4h d4t ContrA . .. .. Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The fla$hing tape.. ...... shall be • pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick's%all be. . . ...... applied over the underlayment. • • • • 0000 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 Pius, 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 (Days) 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 NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 5 of 8 Rule 61G20-3 of the Florida Administrative Code. 8. 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. Polystick Dual Pro is limited to mechanically fastened roof tile applications. Polystick NITS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. • 9. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblic; theixaximu* roof slo...... .. .. . shall be as follows: (See Table Below) ...... . .. ...... Tile Polystick Elastoflex Polystick TU Plus, Polystick Pol_ysIic • • Sx ste m (E3): • • Profile MTS S6 G TU P, Tile Pro, TU Max MTS•Pdvs • 1V Tj *.1Us with • Dual Pro ...... . ZU Plus ... . • Flat Tile Prohibited 4:12 6:12 6:12 5:1.". 6: r2 ... without battens • : . • Profiled Prohibited 4:12 6:12 6:12 4:4 • : • • V f2 "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. Pl71YSMCKTU Rus 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 l R-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 as a component part of an assembly in the Notice of Acceptance. If 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 are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for appreda?provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resigtaahbe, andWe testing results. . POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTIC"XWMBdAWS 96 . . PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPFk,WC APPLICX*ONS...... LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOr4fftDATION9 • . . . . ..... . 1. Polyglass does accept the direct application of Polystick underlayment membranes toworid decks. Installers are ..: cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is #Veptable. 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 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 WMIAMI-DADE COUNTY 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 401bs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. 13. Questions in regards to the application of Polyglass products should be directed to o%r Tochnicaf S¢�ices • •.... Department at 1 (800) 894-4563. • • • • • • ...... . .. ...... 14. Polyglass recommends that applicators follow good roofing practices and applicable.ures as outlined by the National Roofing Contractors Association (NRCA). •'•"•. .... .... . . .... .... ..... PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMTTATIONS OF SP.Wia APPLICATIONS..... LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECO ?.pATIONS. •, .... % END OF THIS ACCEPTANCE •' .. :' • • •'s NOA No.: 17-0614.22 hnahtEm►nE courmr Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 8 of 8 MIAMI-DADE COUNTY MIr�iDPRODUCT 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) •w.uniamidade.goy/economv ICP Adhesives and Sealants, Inc. 12505 NW 441' Street Coral Springs, FL. 33065 . . .... ...... .. COPE: .o • 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 -Przz Control.S:cation tobe•••: used in Miami Dade County and other areas where allowed by the Authority Having Jurisdi%QQ4AHJ). •...�• ����� This NOA shall not be valid after the expiration date stated below. The Miami -Dade Count,* roduct t_onbro: Sect o'n In Miami Dade County) and/or the AHJ 1n areas other than Miami Dade County) reserve qV r' t to have this product �: � h') �� tY) �.1�13 p or material tested for quality assurance purposes. If this product or material fails to perfornLin ttie:accepted irLanner, manufacturer will incur the expense of such testing and the AHJ may immediately revokermoclify, or:dS' Vhli the yse of such product or material within their jurisdiction. RER reserves the right to revoke•thi; accertar+oe, if it:is"': determined by Miami -Dade County Product Control Section that this product or material fails to meet the;equirements 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. EeEol 01� NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset"' AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as 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 compliarwe with RooAgg..• Application Standard PAS 127. For use with approved flat, low, and high profile roof tile systamsLsing 1(;.P . . 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 0owription: Two component potyurvetbane 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: PropertV Test Density ASTM D 1622 Compressive Strength ASTM D 1621 Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor Transmission ASTM E 96 Dimensional Stability ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.6 lbs./ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ftz 3.1 Perm / Inch +0.07% Volume Change @ -400 F., 2 weeks +6.0% Volume Change @1580F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Reyort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-1 PA 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 l�tl2/9� . . .... ...... Miles Laboratories NB-589-631 ASTM D 1623 0:741/94 Polymers Division • ••• • .... .... . . Ramtech Laboratories, Inc. 9637-92 ASTM E 108 '....' 0%jQ/93 • • • ...... ... ..... Southwest Research Institute 01-6743-011 ASTM E 108 • • • • 11 / 1414 ...... 01-6739-062b[1] ASTM E84 ;••;•; 01/16/95 •� . . . . ...... Trinity Engineering 7050.02.96-1 TAS 114 ��•• (r/14/96 �....� P36700.04.12 ASTM D 1623 (;4/4971.2 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 section and the corresponding Placement Details noted herein. The roof the assembly's adhesive attachment with the use of ICP 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 RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. • • • • 3. ICP Adhesives Polyset® AH-160 and its components shall be installed in accordance �iila14fing •A,pp1!cation •• Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Moix"ance:3(ld"ttt. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by «P Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicator; o the autih;r* 0 -havin • •' jurisdiction. 000000 • 6 • • **:see 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is tttll Tttd before appScation ... • • of any adhesive. The mix ratio between the "A" component and the "B" component shall' Unaintained between •. 1.0-1.15 (A): 1.0 (B). .... % 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam DispenserOTF;000 o+ 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 I to 2 minutes after ICP Adhesives Polyset® AH-160 has been dispensed. 9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High Profiles All Eave Course 17-23 sq. inches 45-65 Flat, Low, High Profiles # I 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 36..' .. Flat, Low, High Profiles 43 Two Paddys: 8-9 sq. inches at 1 grams der paddy :. head oftile 9-11 sq. inches ate •••• •••00•• •• overlap . .... ... . .. Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal • . . • • 17 grams per'bead "' edge) 20-25 sq. inches each bead 0 0 • • • ...... 0 . . ... Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grarn.�ponder 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. ARP10YE� __ 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 Nail through plastk 4se "nt _Paddy lBonoaftTffQ) jwhm �qulradp, s� id.dnr$Y m•n2 a 7QIn \. li8k!eb'15 +1¢T124ri�it a ins, << Nail thrwugh ptast s cement (when rewired) �, � ___� rr.adp �,Bvnaaeh riot V Batternop5lrmal f' tlttsuia Caverourse �C —Fascia NA cfercugh pl•,aic {b.4hart requtrcRlf P•e1rFj �BenaerehTil�l t6 2 In. W +fastens 7 optional f+ � Ea✓cCOu�., s tit pWeepihni► } � 'r in °' Eavr closure < f Flat/Low Profile Tile l . Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock of the tile being set. 2. Continue in same manner. Inge approx"ately laa...a (109.7 cm) — 23 (148.4 cMZ) sgquare t%h adhesive • contact with the undersi$Mlne tile'000000 • • • • • • • • .. • • a • 0.0000 • Medium Profile / Double Pan Tile ....:. I. Starting at the eave course' apply a roir'mLm 2" • • (50.8 mm) x 10" (254 mm) x 1" (25.4!AiM) 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. High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm') — 23 (148.4 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 kA Ihraugh plavlic Pm•nR . P."r 18 nrxth T 6j (whm � r"OroO S ti, � d <r �RrpnCID sut4 r 401 through pUstic omen-1 1when requiredl w C U tad•rlxpmwnR � k '`' "``� in a an. i#atlens oplivnai `* � ` �` `-. `-• � (1 in ti���� of l }i�T F�.�a f,.�`^i YT Eevo Cn rse ` , - � � � F.•craa 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 the closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm 2) — 23 (148.4 cm2) square inch adhesive conlac>;•with the underside of the tile. •�•• •0••0 • • • • • • • • • • • • • • • • • • 2. At the second course, appl}a•liiiaimum 2" t50.8mm� • x 7" (177.8 mm) x 1" (25.4 rntr+q? foam pac"34onto tIV * underlayment positioned as Sheen undert-ht• • •.... strengthening rib closest to'tlV(Ijerlock bf jhj tile • • • • • •• •• •••••• being set. •• • • • • • • • • • 3. Continue in same manner. )nsure approa:in}aaaly 10'' * 00 (64.5 cm2) - 12(77.4 cm2)'squarj inch :dhe�,ive : • • • - contact with the underside of the tile. 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) N2.11 ahxraDugh plastic telisem.-_1 g hcitrequimdj ` P" yTil®# I 6Pc�d•slrymnne •_ ''� �`� t x Eave (OUT" —7: Wipedge =i Fao-cie High Profile / Single 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 the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (169'rla�M2)- 23 (148.4 cm2) square inchadhesive cont'Atf kith the• • • •; • underside of the tile. ...... . .. ...... 2. At the second course, apply i tVinirnum : ''C5.0.8mmj .... x 7" (177.8 im-n) x I" (254wwvl Loam TWL4,fnto thy... • underlayment positioned as shnw+i undor.tY1e pan ..;.. • portion of the tile closest tC the bverlock of tko the *too** •..... • being set. • 3. Continue in same manner. Anp4rcoapproximately 17': • • • • 0 (109.7 cm') - 19 (122.6 cm 2) square inA adhasive • contact with the underside of the tile. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 mails roug�edi plasticcement Paddy (between tilesi aattensoptional ' ° Paddy hinder tile) -` 5inglepaddy on top oll e- k Sx4in. single paddy ; un tit 5 glepaddy - - - � u�rederlayment � Z x a 10 in,j ,, Fascia - -•- Eave tloswe Flat/Lour Profile Tile Nail through plastic cement Single paddy under tile twhen required) r / Paddy{between tiles] Battens f t� f/£Paddy (under tilo optional i y sin a paddy �K on top of tile - /1 �# 4 x Sin. '2 x b jn '-,.' singlepaddyI un ymealt loin. ,_ 2 in. Eave Closure Eave course Fascia Medium Profile Tile l . 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"c.rave edge free of foam to prevent thexpari.&Jedhesiw. •., • from blocking the weep hones. :Insure • • approximately 17-23 in'-'('109'?-148.4 cni) of .... • adhesive contact with the uridetside of tht the • •••• •••• ••••• 2. Apply a 4" (101.6 mm) x.4".Q;1.6 nI -x 1" (25 4� � � • • ...... mm) foam paddy onto tk a &Werlayment just below • • the second course line positioned foam paddy • under the strengthening, ib fo rflat ti , or under the pan portion of the tile, cl6lestto the gn�lerlock for the second course tile to be installed. 1h9dre approximately 8-9 in (51.6-58. I cm') 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) Flail through plastic oe Single paddy under tile {when required '� Paddy ;between tiles) Battens optional Paddy [under tilel _ ` � T �� single paddy on undertaymen ' ^� 4x4in.- 5 2x4in. ' ddy top of trie ti 1 F Eave Course r Fascia `Weephoie loin.- 2in. -� Eave closure drip edge High Profile Tile I Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 1/4" (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm') - 11 (71 cm;) sgtlare inch �¢Dpive • • • • • • contact with the undersihjdTtte tileg the overlap •• and 7 (45.2 cmz) - 9 (58•l. @*i; squa►:e i b* • • • •: • adhesive contact with the•{ 9derside of the tile at , the head of the tile. Conj M eoip same {[tanner. : • • • •: • •••••• ••• • • • 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 I Place enough adhesive to achieve 65 to 70 sq. in. Steep pitch applications in contact with the pan tile. (when required) 2) Turn covers upside down. Place adhesive in to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq. in. contact area.. Underlayment Eave closure (motar shown) Fascia 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 underlay►nent positioned as shown under two adjacent pan tiles. $hyport eave tiles from rocking untif adhesive has•acbgnce to...... cure. • • • • • ' • •••••• • •• •••••• • 2. Continue in same manne'rbTinging twd'pan • • courses up toward theerTNTe..insure•""• ' • approximately 65 (41$ti40r�rYl2) — 70 C4."06 cm2)00:000 square inch adhesive rgitWgrwith the aq(!eersid :••••• of the pan tile. •••••• • . . • •••••• 3. Turn covers upside d�vn pVosingtie underside • of the tile. Apply a mirtitnu►fl 1" (2:5.1"m) x 14"000: (254 mm) bead of adhesive directlye►t the inner edge of each side of the cover tile. Leave approximately 3/4" (19 min) to 1" (25.4 min) 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 cmz) - 25 (1613 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) nailers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 11 of 11