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