RF-12-20-2892, 10 NE 103rd StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address. Parcel Number
10 NE 103RD ST, Miami Shores, FL 33138 1132060131620
'ontacts
Michael Willard Owner ROOFS TO GO USA LLC Contractor
10 NE 103 ST, MIAMI SHORES, FL 33138 MICHAEL MCDONALD
5392 SW 33 AVE, FORT LAUDERDALE, FL 33312
Business: 3052162723
Inspection Requests:
Description: RE -ROOF TILE Valuation: $ 22,000.00
"f ,
Total Sq Feet: 2,750.00
IN �/
u
Fees
Amount
Application Fee - Other
$50.00
CCF
$13.20
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$4.40
Roofing Fee
$250.00
Scanning Fee
$12.00
Technology Fee
$7.50
Total:
$344.60
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$344.60
Check # 2528
12/21/2020 $294.60
Check # 2511
12/16/2020 $50.00
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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: dvner--- / Applicant / Contractor / Agent Date
December 21, 2020 Page 2 of 2
RECEIVED
I Z 1 ►P,t-Lo
, t. f ,
BUILDING
Miami Shores Village
qA2� Building department
100S0 N.E.2nd Avenue, Miami Shores, Florida 33338
Tel: (30S) 79S-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
u1't,020
BY:
FBC 20 l --A
Master Permit No. 12 - 7K3 ` *ZE" 2—
PERMIT APPLICATION Sub Permit No.
[]BUILDING ❑ ELECTRIC ® ROOFING REVISION EXTENSIONRENEWAL
[PLUMBING M MECHANICAL ❑PUBLIC WORKS 0 CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
109 ADDRESS: 10 NE 103 ST
Folio/PameNf 1 1-3206-013-1620 is the Building Historically Designated: Yes NO
Occupancy Type: RESLoad: Construction Type: RES Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): IUIICHAEL WILLARD Phone#:
Address: 10 NE 103 ST
may; MIAMI SHORES State: FL Zip; 33138
Tenant/Lessee Name: I I A Phone#:
Email:
CONTRACTOR: Company Name: ROOFS TO GO USA LLC Phone#: 305-216-2723
Address: 5392 SW 33 AVE
Cay: FORT LAUDERDALE state: FL Zip: 33312
Qualifier Name: MICHAEL MCDONALD Phoned: 305-216-2723
State Certification or Registration #: CCC 13_ 658 Certificate of Competency #:
DESIGNER: Architect/Engineer. h A I A Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ $22,000 Square/Unear Footage of Work: 2750
Type of Woft ❑ Addition ❑ Alteration ❑ New I@ Repair/Replace El Demolition
Description of Work:
RE -ROOF TILE
Specify color of coloyr� t�hru tile: PTO N k m OO N -11kI b] h Lt—N e""
Submittal Fee $ b ' `�y Permit Fee $ CCF $ CO/CC S
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Tra ning/Educatkon Fee $ Double Fee $
Structural Reviews $
(RevW42/24/2024)
Bond $
TOTAL FEE NOW DUE $ �� y - 60
Scanned with CamScanner
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage tender's Name (if
Mortgage Lender's Address
City
State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 an laws regulating
construction In this jurisdiction. I understand that a separate permit mint 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 toning.
"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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction dun low brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature,
OWNER or/,GENT
The foregoing instrument was ac nowledged before me this
-�-�.--day offbe G Q. w4kl;b ,,�. 20 Z 0 .. by
B Lra21 w jN% a fC who is personall Aown to
me or who has produced N 5+9_0�tias
Identification and who did take an ok?&
Signature /4
CONTRACTOR
The foregoing instrument was acknowledged before me this
1 0 day of ($:C 20 Z by
t&%Q1_P&l .ffiQbffiD. who is personally known to
me or who has produced -as
as
Identification and who did take an oath.
NOTARY Pusued, /
Print: O Print J !'I
Rao Ekum Dal ROW E Nosary u x e
Seal: My Gt3 t2o4a7 Seal: VrAsna ZUleta
�aw Expir" 081Z MI My Commission GG'2sa784o
------------ - ��� Expims0210312023
I
wo
APPROVED BY Examiner Zoning
Structural Review
(Rev4edOl/224=e1
Clerk
Scanned with CamScanner
Property Search Application - Miami -Dade County Page 1 of 1
,_
OFFICE OF THE PROPERTY APPRAISER
:.;
Summary Report
Property Information
Folio:
11-3206-013-1620
Property Address:
10 NE 103 ST
Miami Shores, FL 33138-2327
Owner
MICHAEL WILLARD
Mailing Address
10 NE 103 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
4/2/0
Floors
1
Living Units
1
Actual Area
1,747 Sq.Ft
Living Area
1,747 Sq.Ft
Adjusted Area
1,655 Sq.Ft
Lot Size
9,757.8 Sq.Ft
Year Built
1950
Assessment Information
Year
2020
2019
2018
Land Value
$292,449
$292,449
$243,834
Building Value
$115,188
$115,188
$115,188
XF Value
$736
$740
$745
Market Value
$408,373
$408,377
$359,767
Assessed Value
$408,373
$395,743
$359,767
Benefits Information
Benefit
Type r 2020
2019
2018
Non -Homestead Cap
Assessment Reduction
$12,634
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
1 534165342
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 10 & N1/2 LOT 11 BLK 12
LOT SIZE 75.060 X 130
OR 18348-2785 1198 1
Generated On : 12/16/2020
Taxable Value Information
2020
2019 2018
.............
County
Exemption Value
$0
$0
$0
Taxable Value
1 $408,373
$395,743
$359,767
School Board
Exemption Value
$0
$0
$0
Taxable Value
$408,373
$408,377
$359,767
City
Exemption Value
$0
$0
$0
Taxable Value
1 $408,373
$395,743
$359,767
Regional
Exemption Value
$0
$0 $0
Taxable Value
$408,373
$395,743i $359,767
Sales Information
Previous
OR Book-
Price
Qualification Description
Sale
Page
30665-
08/14/2017
$421,200
Qual by exam of deed
0498
30395-
Corrective, tax or QCD; min
01/12/2017
$100
0079
consideration
28351
10/04/2012
$272,000
Qual by exam of deed
0308
25823-
Sales which are disqualified as a result
07/01/2007
$0
2262
of examination of the deed
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/hvww.miamidade.gov/info/disclaimer.asp
Version:
https://www.miamidade.gov/Apps/PA/propertysearch/ 12/16/2020
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
PERSUANTTO SECTION 553.844 F.S.
To: Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: MICHAEL WILLARD
Property Address:—,10 NE 103 ST
Roofing Permit Number:
Dear Building Official:
M
I rn�clnoe ( ��llo,r certify 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.
P,The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 1994 edition of the South Florida Building Code (1994 SFBC)
CA
Si ature 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 -I*h day of :Q Zoz o
Notary Public, Sate of Florida at
� v N Notary Pubdc State of Flotlda
+� Rosa Ebna ON Ronal E
i My t,orrlrnissiar QQ 120447
�' Expires 06J2912021 _
• When the fust valuation of Te stru�tu-v for purpose of ad valorem taxation is equal le or mote than $300.300 CO. arw he t; : d ng was not constructed with FBC nor a I9W
SFBG. Theta you rnusl provide a budding sWicoton from a General Gordractorfor the Roof tc Wall owmection HLrritatte M tigation
Revised on WIM9
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. Additionally, the
following items should be addressed as part of the agreement between the owner ant the contractor. The owner's
initial in the designated space indicates that the item has been explained.
2. _ M^%Renailing wood decks: When replacing roofing, the existing wood roof deck may have to
be renailed in accordance with the current provisions of Section R4443. (The roof deck is usually
concealed prior to removing the existing roof system).
4.W Exposed Ceiling; Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance; therefore,
roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of
maintaining the appearance.
6. tV Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is
not overloaded from a buildup of water. Perimeterledge wall or other roof extension may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with the requirements of Sections R4402, R4403 and R4413.
- -
0 n s Signa _ re ___ Date
Property Address
Revised on 7/9/2009 LD;0710112015;
/ -A" rI f (ow-()
Contractor Signature ' Date
Permit Number
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION
RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: O
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: l` (Jkkk-e`
Property Address: 10 K1 �-- 101 S T
Roofing Permit Number:
Dear Buil ing Official:
I — �Q KU kh&Q certify that I have improved the roof to wall connections of the referenced
property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential
Structures as adopted by the Florida Building Commission by Rule 96-3.047 F.A.C.
Signature
State of Florida
County of Dade
K1kQ aclld
Print Name
The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this K)day of 20 Z
Notary Public, Sate of Florida at Large U +}""�"'' ►�ua� S a fa���
f' Com "SM GG 297640
n r%Z 02/03/2023
(SEAL)
FINAL COMPLIANCE
Revised on 5/21/2009
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. / COPY OF LIABILITY INSURANCE*
D. --7— COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
...........................................................................................
BUSINESS NAME: kun `WC) Coo k)s - LLL
BUSINESS ADDRESS: S691 c5 W 33 Av tc CITYRZ- �,.NQMIzQ WSTATE l ZIP-31111
BUSINESS PHONE: (30S) V (z ` 2 Q Z 3 FAX NUMBER L--j
CELL PHONE (9-�fl) -6 -"6 y QUALIFIER'S NAME: K kC-RkL MC_ N& Q
QUALIFIER'S LIC NUMBER: Cam. L Q�b Z6 S B
DATE
ACC>Rbr CERTIFICATE OF LIABILITY INSURANCE 12-1OD�'21 2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns and Conditions of the policy, certain policies may requlre an endorsement. A statement on
this certficate does not confer to t!u comifrcate holder in lieu of such endorsems s .
PRODUCER COalT:CT
INKim Son -Shalom
S_
Marker Insurance, Inc. P" 954p45t; 750s A c w l;_(s►5.t)IIse ss20
1720 Harrison Street 6-A was,. kimmarlcerineurarRt e.eom
Hollywood, FL 33020 IISURERIst AFFORDING COVERAGE . _ NANC p
INSURED
Roofs to Go USA, LLC
5392 SW 33th Ave
Fort Lauderdale, FL 33312
L`AVCDAN:CS CRDTICU_ATC An IYRPD- 0aaeCa69J1 0CVN4IAIJ YIIYRFD. I
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
._.._.__... _A�POl1CY
INSR r_.__._._. ...._...TYPE
LTR OF INSURANCE NUMBER
(INAMDIYYYYI UNITS
A
X + COO ORCAL GENERAL UASLmr 0100129501.0
10112t2020 10112M21 i EACH OCCURRENCE aDAMAGE
1,OOa,000_
CLAIMS -MADE ;_x._ OCCUR
TOREN
. ' S
_
1oo a00
two EXP yy y w win} s_.
EXCLUDED
PERSONAL a ADV INJURY $,
1,000,990
GEN`L AGGREGATE LIMIT APPLIES PER:
', ; GENERAL AGGREGATE $-
2,000,000
X; POLICY - JE LOC
i PRODUCTS -COMPIOPAGG $_
2,0009000--
OTHER; -
S
AUTOMOSLE LIABILITY
CO#Aw*O SINGLE LIMIT $
_iESaam")
ANY AUTO -
---
BODILY INJURY (Per person) ( $
OWNED SCHEDULED
AUTOS ONLY
_. _ AUTOS
INJURY (Par sxdaM); $
HIRED NON -OWNED
�i; PR�+ERTY DAMAGE S
_..: AUTOS ONLY _. AUTOS ONLY
!;s
... UMBRELLA UAS OCCUR
::EACH OCCURRENCE t_S..
... EXCESS LIAR CLA4MS-MADE
DED RETENTION S
AGGREGATE f..
B SL„COMPENSATIONr t WC-90000-2020
OTK
AOilSM020 0110112021 X P� ER
STATUTE FJ1
AM
ANY PROPRIETOR/PARTNERF-XECUTNE Y I—"-
N F k
_ _
E L EacH ACCto£rrtr $
_. ACCIDENT
1,000 wO
OFFICERAER EXCLUDED? £
(MaMatery in NH)
_._
EL DISEASE -EA,EMPLOYEE 3--
..
1,000,000
yea
tXW.SCRt OF PERATKMNS below
` E-L- DISEASE - POLICY LIMB S
1 0a0 aaa
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1e1. AddlSenal RamarYa Schedule, may be attached I mwe ayaee Is re**Wed
ROOFS TO GO USA LLC IS A CONSTRUCTION COMPANY
MICHAEL MCDONALD
CCC1332658
Miami Shores Village Bldg Dept
10050 NE 2nd AVE
Miami Shores, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®1988-2015
Ali riahts reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Prated by KBS on Decernber 01, 2020 at 07:50AM
CITY OF HOLLYWOOD
TREASURY SERVICES DIVISION
LOCAL BUSINESS TAX
ROOFS TO GO USA, LLC
5392 SW 33 AVE
HOLLYWOOD, FL 33312
Please contact us with any changes or corrections to your information.
CUSTOMER SERVICE: Should you have any questions regarding Local Business Tax or need to update / correct any
information related to your Business Tax Account, please contact us by phone at 954-921-3225, by email at
businesstax@hollywoodfl.org or in person at City Hail, Room 103, 2600 Hollywood Blvd. Please send all written
correspondence to: City of Hollywood, Treasury Services Division, Attn: Business Tax, Room 103, PO Box 229045,
Hollywood, FL 33022-9045.
PURSUANT TO
STATE LAW, LOCAL BUSINESS TAX
IS LEVIED FOR THE PRIVILEGE OF DOING BUSINESS WITHIN
A
CITY'S LIMITS,
AND IS NON -REGULATORY IN NATURE.
ISSUANCE OF A LOCAL BUSINESS TAX RECEIPT BY THE CITY
OF
HOLLYWOOD DOES NOT MEAN THAT THE CITY
HAS DETERMINED THAT THE EXISTING OR PROPOSED USE OF
A
LOCATION IS
LAWFUL. ISSUANCE OF A LOCAL
BUSINESS TAX RECEIPT DOES NOT LEGALIZE OR CONDONE
THE
NATURE OF
THE BUSINESS BEING CONDUCTED
IF CONTRARY TO ANY LOCAL, STATE OR FEDERAL LAW
OR
REGULATION.
THIS IS NOT A BILL. DO NOT PAY.
BELOW IS YOUR LOCAL BUSINESS TAX RECEIPT. PLEASE DETACH AND POST THIS LOCAL BUSINESS TAX
,► RECEIPT IN A CONSPICUOUS PLACE AT YOUR PLACE OF BUSINESS.
CITY OF
y�FA
v D(AMON /
LD COAS
ti FFF FLORIDA
8AtE� �qti
2020/2021 LOCAL BUSINESS TAX RECEIPT
Business Name: ROOFS TO GO USA, LLC
DBA:
Business Location: 5392 SW 33 AVE
Business Category: SERVICE/LICENSED BUSINESS
Classification: Contractor/Roofing
Tax Basis: 2 - 4 WORKERS
Account Registration #: B9069430-2021
Expiration Date: 9/30/2021
Tax Rate: $251.00
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.
RECEIVED
Roof System
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7
Prescriptive BUR-RAS 150
A,B,C
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,6,7
A,B,D,E
1,2,3,4,5,6,7
Concrete or Clay Tile
A,B,D
1,2,3,4,5,6,7
Metal Roofs
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 127rar.RAS
128 ••••••
4.
Other Component of Product Approval • •
5.
Municipal Permit Application : • • •
S.
Owners Notification for Roofing Considerations (Reroofing Obly)*
7.
Any Required Roof Testing/Calculation Documentation
FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING 6.31
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 6th Edition (2017)
High -Velocity Hurricane Zone Uniform Permit Application Form.
Section A (General Information)
Master Permit No. Process No.
Contractor's Name ROOFS TO GO USA LLC
Job Address 10 NE 103 ST
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile
❑ Asphaltic Shingles ❑ Metal Panel/Shingles
❑ New Roof ❑ Repair
Low Slope Roof Area (SF) N/A
❑ Prescriptive BUR-RAS 160
ROOF TYPE
X Mortar/Adhesive Set Tile
❑ Wood Shingles/Shakes
No gas vent
❑ Maintenance Reroofing ❑ Recovering
ROOF SYSTEM
INFORMATION
Steep Sloped Roof Area (SF) 2750 Total (SF) 2750
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of
parapets.
poop
poop..
..
poop..
•
e
poop..
poop
poop•
...
poop.
oeeeso
poop..
pose
Dose
16.32 FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING
EL
,.
i
r
�
f
y
i
t4 3 •
•••• • •
• • • ?_
• ••
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:
Boral Roofing LLC
Notice of Acceptance Number:
19-1021.11
Minimum Design Wind Pressures, If Applicable (From RAS 127 or
Calculation11. -39.1 P2: -68.1 P3: -100.7
e
PERIMETER 6
Steep Sloped Roof System Description
Deck Type: 5/8" plywood medium paddy
\Typendeiryment: 30# ASTM
Roof Slope:
4 : 12
n: N/A
Barrier: N/A
Ridge Ventilation?Fastener Type & Spacing: 121 4r10 L La
N/A Rs
4TTY
Mean Roof Height: 15
Type Cap Sheet: Polystick TU PLUS self adtgact,
Roof Covering: F COncrel1 _
Type & Size Drip �Wlgalv. 213 • • • •
Edge: ......
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 tile attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
(P1. 39.1 x, 0.301 11. 76) _ Mg: 6.90 = Mr14.86 Product Approval Mf 38-7
(p2; 68.1 x QJD1 =20.49) - Mg: 6.90 = Mr213-53 Product Approval Mf 38.7
(P3100.7 x a0.301 =30.31) - Mg: 6.90 = M,,23.41 Product Approval Mf 38.7
Method 2 "Simplified Tile Calculations Per Table Below"
Required Moment of Resistance (Mr) From Table Below Product Approval Mf
Mr required Moment Resistance*
Mean Roof Height ->
Roof Slope
15'
20'
25'
30'
40'
2:12
34.4
36.5
38.2
39.7
42.2
3:12
32.2
34.4
36.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
*Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compared the values for Fwith 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 127"
(Pl: x L = x w: = - W: x cos B -=Frl Product Approval F
(P2: x L = x w: = -----) - W: x cos 8 = Fr2 Product Approval F
(Pa: x L = x w: = - W: x cos B _=F, Product Approval F
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
PI 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
J
Product Approval
• •
Restoring Moment due to
Mg
Product Approval
• •
• • •
•
Gravity
Attachment Resistance
M
Product Approval
•
•
Required Moment Resistance
M
Calculated
• • • •
• •
Minimum Attachment
F
Product Approval
• • • • • •
0000
Resistance
• •
• •
Required Uplift Resistance
Fr
Calculated
• • • • • •
•
• •
• •
Average Tile Weight
W
Product Approval
• •
L=length
••••
•••
Tile Dimensions
Product Approval
•
W = width
• • •
All calculations must be submitted to the building official at the time of permit application.
I
FLORIDA BUILDING CODE 6th Edition (2017) - BUILDING 16.36
MIAMK
+ MIAMI-MADE COUNTY
I AMD 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) &. `"•°�movitygnom
Boral Roofing, LLC
7575 Irvine Center Drive, Suite 100
Irvine, CA 92618
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER'- Product Control Section to be
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Barcelona 900 Concrete Roof Tile
LABELING: Each unit shall bear a permanent label with the manufacturer"s name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it:4ijille.4e done
in its entirety. • • • ' •. • • •
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturePois a tlistrilRrtorl and
shall be available for inspection at the job site at the request of the Building Official. •.....
This NOA revises NOA No.19-0408.02 and consists of pages I through 7.
The submitted documentation was reviewed by Freddy Semino a
iAPPRflYED'
......
....
• • • PA No.:19 I021.11:"":
Expiration Dltw.44/26/22
Approval Date: tl/21/19
Page 1 of 7
ROOFING ASSEMBLY APPROVAL
Cateeory: Roofing
Sub-Catesorv: Roofing Tiles
Material: Concrete
I. SCOPE
This approves a roofing system using Barcelona 900 Concrete Roof Tile, as manufactured Boral Roofing LLC
in Lake Wales, FL and described this Notice of Acceptance. For locations where the pressure requirements, as
determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in
compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations
shall be done as a moment based system.
2. PRODUCT DESCRIPTION
Manufactured by
Test
Product
Allplicant
Dimensions
SIR!Mifications
Dglcrjption
Barcelona 900
Length = 17"
TAS 112
Sigh profile, interlocking, one-piece, 'S' shaped,
Width = 13"
Type — la
high-pressure extruded concrete roof the
'12" thick
equipped with three nail holes. For direct deck
or battened nail -on, mechanically fastened,
mortar set or adhesive set applications.
Trim Pieces
Length: varies
TAS-112
Accessory trim, boosted Barcelona, concrete
Width: varies
roof pieces for use at hips, rakes, ridges and
varying thickness
valley terminations manufactured for each tile
profile.
2.1 PRODUCTS MANUFACTURED BY OTHERS
Product Name
ICP Adhesives Polyset* AH-160
TILE BOND" Roof Tile Adhesive
DAP Foam Touch N Seal
StormBond* 2 Roof Tile Adhesive
Product Description
Two component polyurethane
foam adhesive.
Single component polyurethane
foam roof tile adhesive.
Two component polyurethane
foam adhesive.
2.2 MANUFACTURING LOCATION
2.2.1. Lake Wales, FL
Manufacturer
(With Current NOA)
ICP Adhesives and Sealants, Inc.
The Dow Chemical Company
Dap Foam Inc.
•
o . . o
•S . .. . •
•
.... . • o
•SSSS• •••S •woo•
• • • • • •Boss•
•
• • •• o Soso••
'•,• PANo.;JZ021.11:ii•i:-
Expiration D'atuo94/26/22
Approval Date: 11/21/19
Page 2 of 7
2.3 SUBMITTED EVIDENCE:
Test Aeency
Test Identifier
Test Name/Report
Date
Redland Technologies
7161-03
Static Uplift Testing
Dec. 1991
Appendix III
TAS 102 & TAS 102(A)
Redland Technologies
7161-03
Wind Tunnel Testing
Dec. 1991
Appendix I1
TAS 108(Nail-On)
Redland Technologies
P0402-
Withdrawal Resistance
Sept. 1993
Testing of screw vs. smooth
shank nails
Redland Technologies
Letter Dated Aug. 1,
Wind Tunnel Testing
Aug. 1994
1994
TAS 108 (Nail -On)
Redland Technologies
P0631-01
Wind Tunnel Testing
July 1994
TAS 108 (Mortar Set)
Professional Service Industries, Inc.
[C-1320-94
Physical Properties
Feb. 1995
TAS 112
The Center for Applied Engineering, Inc.
25-7688-3
TAS 101 (Adhesive Set)
June 1996
25-7688-10
TAS 101 (Mortar Set)
July 1996
The Center for Applied Engineering, Inc.
25-7688-5
Static Uplift Testing
June 1996
TAS 102
(3" Headlap, Nails, Direct
Deck, New Construction)
The Center for Applied Engineering, Inc.
25-76884
Static Uplift Testing
June 1996
TAS 102
0" Headlap, Nails, Clips)
Celotex Corporation
520111-3
Static Uplift Testing
Dec. 1998
Testing Services
520191-2-1
TAS 101
March 1999
Walker Engineering, Inc.
Calculations
Aerodynamic Multiplier
09/01/16
Walker Engineering, Inc.
Evaluation
Restoring Moments Due to
09/01/16
Calculations
Gravity
American Test Lab of South Florida
RT0617.03-16
TAS 112
06/29/16
PRI Construction Materials Technologies
COPO-002-02-10
Static Uplift Testing
10/12/2016
TAS 101 (Adhesive Set)
PRI Construction Materials Technologies
COPO-002-02-02
Static Uplift Testing
10/12/2016
TAS 101 (Adhesive Set)
PRI Construction Materials Technologies
COPO-002-02-01
Static Uplift Testing
; IOfh/2016......
TAS 101 (AdhestvAScQ
.. • • •
•
060000
Y
• •
••••
•
• Y
•...••
••.•..
•..•
• •
000000••..•
••. • • ••••••
• . •
•
i • %, OA
NooY��•i 1021.1 • • • • •
.Y,
MlAMtQADE CQUNTY
• •
11tion
xpira q;.04/26/22
Approval Date: 11/21/19
Page 3 of 7
3. LIMITATIONS:
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set the applications, a static field uplift test in accordance with TAS 106 may
require, refer to applicable building code.
3.3 Applicant shall retain the services of Miami -Dade County Certified Laboratory to perform quarterly test in
accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Department of Regulatory
and Economic Development -- Product Control Section for review,
3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed
section 4.1 herein.
3.5 Minimum slope 4/12 for mechanically attached tiles.
3.6 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated
otherwise by the underlayment material manufacturers published literature.
3.7 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable building code.
4. INSTALLATION
4.1 Barcelona 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing
Application Standard RAS 118, RAS 119, and RAS 120.
4.2 Data For Attachment Calculations
Table 1: Average Weight (W) and Dimensions (1 x w )
Tile Profile
Weight-W (ibf)
1
Length-1 (ft.)
Width-w (ft.)
Barcelona 900
11.5
1.417
1.08
Table 2: Aerodynamic Multipliers - A (W)
Tile Profile
A (ft3)
Batten Application
A (ft3)
Direct Deck Application
Barcelona 900
0.286
0.301
Table 3: Restoring Moments due to Gravity - Mq (ft.-lbf)
Tile
Profile
2"•12"
3"•12"
4"•12"
5":12"
6"•12"
. • . • .
,Z;;'(�" or
• rgreater
Barcelona
900
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Cliseot
46"
B e
Direct•
Dec
N/A
7.07
1 N/A
7.001
6.19
6.90
6.06
6.76
5.92
460
5•
6.4
.se
...... ....
.%N0A No.• 10 01021.1j••'••
ot�NT1r IN00 ation D%j:• 94/26/22
Approval Date: 11121/19
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 15132"
(min. 19132"
plywood)
plywood)
Barcelona 900
2-10d Ring Shank Nails
28.6
41.2
19.4
1-10d Smooth or Screw Shank
5.1
6.8
2.8
Nail
2-10d Smooth or Screw Shank
6.9
9.2
7.3
Nails
1 #8 Screw
20.7
20.7
18.1
2 #8 Screw
43.2
43.2
29.8
1-10d Smooth or Screw Shank
23.1
23.1
19.0
Nail Field Clip)
1-10d Smooth or Screw Shank
29.3
29.3
24.0
Nail Eave Clip)
2-10d Smooth or Screw Shank
27.6
27.6
38.6
Nails Field Clip)
2-10d Smooth or Screw Shank
38.1
38.1
41.8
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)
Barcelona 900
2-10d Ring Shank Nails'
33.1
48.1
45.2
1 installation with a 4" the
headiap and fasteners are located a min. of 21W from head of tile.
Table 6: Attachment Resistance Expressed as a Moment Mt (ft-lbf)
for Two Paddy Adhesive' Set Systems
Tile
Tile Application
Minimum Attachment
Profile
Resistance
Barcelona 900
Tile Bond""One Component Roof Tile Adhesive
29.32
ICP Adhesives Polyset(g) AH-160 two -component foam
2 t31 • •
see . .
DAP Foam Touch N Seal StormBondl9 2 Roof Tile Adhesive
• • • ; • • 86 • • • • •
1 See manufactures component aroval for installation requirements.
0 • • • • • •
2 TILE BONDTm Roof Tile Adhesive; Average weight per paddy 10.7 grams.
...... 0000 9 •;
3 ICP Adhesives and Sealants, Inc.'s ICP Adhesives Polyset AH-160; Average weight per�Itldy8 graftu6 *sees
4 DAP Foam Touch N Seal StormBonda Roof Tile Adhesive Two-Com Went; Average weW94w
paddy80rams.
. .. . ......
.•. NOA•No*19-102C l..:
Expiration Uate� 04/2�/22
....
Approval Date: 11/21/19
Page 5 of 7
Table 7: Attachment Resistance Expressed as a Moment - Mt (ft-lbf)
for Single Paddy Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Barcelona 900
ICP Adhesives Polyset,& AH-160 two -component foam
66.5
ICP Adhesives Polysett AH-160 two -component foam
38.76
DAP Foam Touch N Seal StormBond2
63'
DAP Foam Touch N Seal StormBond- 2
82 8
5 Lar e paddy placement of 63 grams
6 Medium paddy
Oacement of 24 grams
7 Medium paddy
placement of 30 grams
8 Large paddy placement
of 60 grams
Table 8: Attachment Resistance Expressed as a Moment - Mr(ft-lbf)
for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Barcelona 900
Mortar Set'
24.5
9 Seespecific mortar manufacturers Notice of Acceptance
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".
L�.J"
LABEL FOR BARCELONA 900 TILE (LAKE WALES FL PLANT 2)
LOCATED UNDERNEATH TILE . . :""' ......
.. . ..........
6. BUILDING PERMIT REQUIREMENTS .•
...... .
.
6.1 Application for building permit shall be accompanied by copies of the following' • • • ; • •; •
.... . .....
6.1,1 This Notice of Acceptance. .
.. ... ... .....
6.1.2 Any other documents required by the Building Official or applicable bus ins�•codc �n Nflor to
properly evaluate the installation of this system. , •. •
. .. . ......
: .•. NOA'No!'19-1021:11..:
� � Expiratio►t Date:- 04/2fi/22
....
Approval Date: 11/21/19
Page 6 of 7
PROFILE DRAWING
NAIL HOLES
UNDERLOCK
OVERLOCK
BARCELONA 900 CONCRETE ROOF TILE
END OF THIS ACCEPTANCE
C
�•
...... . .. ......
.... . .....
...... .... .....
.. .. .. . ......
...... 00
. . .. . ..... .
. . .
.'. NOA!No"19-102fL31..:
Expiration i kc, 04/24/22
Approval Date: 11/21/19
Page 7 of 7
MIAMMAM
M
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.eov/economy
Polyglass USA Inc.
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Polyglass Polystick Underlayments
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed
by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then
it shall be done in its entirety.
Y •
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer er its dlstribir''s ant
shall be available for inspection at the job site at the request of the Building Official • • • • •
000090 . .
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.I "" •
CEcy • NOA No.F •17-0614.22 ....:.
� f xplr%lion Date: 69%13/21
*J)preval Datex BZ/06/17 .
0Page for 8
ROOFING COMPONENT APPROVAL
Category: Roofing
Sub -Category: Underlayment
Material: SBS , APP Self -Adhering Modified Bitumen
PRODUCTS DESCRIPTION:
Product
Dimensions
Polystick IR-Xe
65' x 3'33/s"
Manufacturing
Or 65' x 3'
Location # 1 & #2
60 mils thick
Polystick Dual Pro
Manufacturing
Location #2
Polystick Tile Pro
Manufacturing
Location #2
Polystick TU Max
Manufacturing
Location # I & #2
Polystick TU P
Manufacturing
Location #2
Polystick TU Plus
(Surface Printing)
Manufacturing
Location #1 & #2
Polystick MTS
Manufacturing
Location #2
Polystick MTS Plus
Manufacturing
Location #2
Elastoflex S6 G
Manufacturing
Location #2
61' x 3'33/8"
60 mils thick
61' x 33 3/s"
60 mils thick
Test
Product
Specification
Description
ASTM D 1970
A fine granular/sand top surface self -adhering, APP
polymer modified, fiberglass reinforced, bituminous
sheet material for use as an underlayment in sloped roof
assemblies. Designed as an ice & rain shield.
TAS 103 and
A rubberized asphalt self -adhering, glass-fiber/polyester
ASTM D 1970
reinforced waterproofing membrane. Designed as a
metal roofing and roof tile underlayment.
TAS 103 and
A rubberized asphalt self -adhering, glass-fiber/polyester
ASTM D 1970
reinforced waterproofing membrane. Designed as a metal
roofing and roof tile underlayment.
65'8" x 3'3-3/8"
TAS 103 and A rubberized asphalt self -adhering, polyester reinforced
60 mils thick
ASTM D 1970 waterproofing membrane. Designed as a a roof tile
underlayment.
32'l0" x 3'3-'/s"
TAS 103 and A rubberized asphalt waterproofing membrane, glass-
130 mils thick
ASTM D 1970 fiber/polyester reinforced, with a granular surface
designed for use as a tile roof underlayment.
65' x 3'33/a"
TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester
80 mils thick
ASTM D 1970 reinforced waterproofing membrane. Designed as a metal
roofing and roof tile underlayment.
65'8" x 3'33/s"
TAS 103 A homogeneous, rubberized asphalt waterproofing
60 mils thick
membrane, glass fiber reinforced with polyolefinic film
on the upper surface for use as an underlayment for metal
roofing, roof tile, slate tiles and shingle underlayment.
65'8" x 313/s"
TAS 103 A homogeneous, rubberized asphalt waterproofing
60 mils thick
membrane, glass fiber reinforced with polyolefinic film
on the upper surface for use as an underlayment for metal
roofing, roof tile, slate tiles and shingle underlayment.
32' l 0" x 3'3--%s"
• •
TAS 103 and Polyester reinforced, SBS modified bitumen aneftMr'dne Y . • •
• •
ASTM D 6164 with a sanded back face and a graiRuletop surface.• For + •
use in roof tile underlayment sfSMIs.• .. +•..;+
•• •• •• • ••••••
• •:144A No.: 1 T-0614.22 • •
'Expiration D4tb;, 09413/21 • + • • + •
Ap&val DAte: W/06/17 • •
•. •Pagejof 8 ;..++�
MANUFACTURING PLANTS:
1. Hazelton, PA
2. Winter Haven, FL
EVIDENCE SUBMITTED
Test Aaencv
Test Identifier
Test Name/Reaort
Date
Trinity ERD
P10870.09.08-RI
TAS 103
12/04/08
P 10870.04.09
TAS 103/ASTM D4798 & G 155
04/13/09
P33360.06.10
ASTM D1970
07/01/10
P33370.03.11
TAS 103
03/02/11
P33370.04.1 I
ASTM D 1623
04/26/1)
P36900.09.11
TAS 103/ASTM D4798 & G155
09/01/11
P37300.10.11
TAS 110/ASTM D4798 & D1970
10/19/11
P40390.08.12-2
ASTM D 1623
08/07/12
P37590.07.13-1
ASTM D6164
07/02/13
P45270.05.14
TAS 103, TAS 110 & ASTM D1623
05/12/14
P46520.10.14
ASTM D1623
10/03/14
P44360.10.14
TAS 103 & TAS 110
10/07/14
P43290.10.14
ASTM D 1970 & TAS 110
10/17/14
PLYG-SC10130.06.16-3
TAS 103 & TAS 110
06/27/16
PLYG-10130.06.16-1
ASTM D1970 & TAS 110
06/27/16
PRI Asphalt Technologies
PUSA-035-02-01
TAS 103
09/29/06
PUSA-055-02-02
TAS 103
12/I0/07
PUSA-089-02-01
TAS 103/ASTM D4798 & G155
07/06/09
Momentum Technologies, Inc.
JX20H7A
TAS 103/ASTM D4798 & G155
04/01/08
RX14E8A
TAS 103/ASTM D4798 & G155
11/09/09
DX23D8B
TAS 103/ASTM D4798 & G155
02/18/10-
DX23D8A
TAS 103/ASTM D4798 & G155
02/18/10
LABELING:
1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city
and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved"
or the Miami -Dade County Product Control Seal as shown below.
BUILDING PERMIT REQUIREMENTS:
Application for building shall be accompanied by copies of the following:
! • • • •
permit
1. This Notice o Acceptance.
.. . .. .
• •
• • • • •
to the
2. An other documents required b the Building Official or applicable building code in orde • • • • • • erl eval 00
Y �l Y S PP g �W.IA7�p Y �
installation of this materials.
, •
.
.... . . ••...•
. .
•
�••:4A
Noi•17 2614.22
camri'
•�••-•
Expiration Date► 09#13/21
•
• A•ppreval Date: W• 06/17 ......•
• . i'a*e 2 of S 0 0
INSTALLATION PROCEDURES:
Deck Type 1: Wood, non -insulated
Deck Description: Min. 19/32" plywood or wood plank
System Type E(1): Anchor sheet mechanically fastened to deck, membrane adhered
Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626.
Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Membrane: Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick
TU P, Polystick TU Plus, Polystick MTS or Polystick NITS Plus, self -adhered.
Surfacing: See General Limitations Below.
Deck Type 1: Wood, non -insulated
Deck Description: Min. 19/32" plywood or wood plank
System Type E(2): Anchor sheet mechanically fastened to deck, membrane adhered
Anchor/Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626.
Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Membrane: Elastoflex S6 G, hot asphalt applied
Surfacing: See General Limitations Below.
Deck Type 1:
Wood, non -insulated
Deck Description:
Min. 19/32" plywood or wood plank
System Type E(3):
Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered.
Anchor/Base Sheet:
One or more plies of ASTM D 226 Type 11 or ASTM D 2626.
Fastening:
Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for
base sheet only)
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. .000%
...... . ..
......
.... .
.....
...... ....
.....
. . .. .
9660%
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, rolling the
membrane from the center outward in both directions.
5. For ridge applications, center the membrane and roll from the center outward in both directions.
6. Roll or broom the entire membrane surface so as to have frill contact with the surface, giving special attention
to lap areas.
7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control
Notice of Acceptance.
8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be
pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be
applied over the underlayment.
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance.
2. Polystick Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and Polystick MTS Plus may be
used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof tile systems and quarry
slate roof assemblies.
Polystick TU P may be used in all the previous assemblies listed except metal roofing.
Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems.
Polystick TU Max may be used in non-structural metal roofing and roof tile systems.
Elastoflex S6 G may be used in roof tile systems only.
3. Deck requirements shall be in compliance with applicable building code.
4. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU
Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck
shall be free of irregularities.
5. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU
Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-fxistipg roof tretrttfrane
as a recover system. • • so 0
6. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polysti& W P, Pol fsti*deiU
Plus, Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary*r88f f& longer thAn the
amount of days listed in the table below after application. Polyglass reserves the right to Wigs or altdrpr:uct
exposure times; not to exceed the preceeding maximum time limitations.
...... ....
Ex osure Limitations (Davs) 000000 ., .
MTS
I IR-Xe
Elastoflex
S6 G
TU
Plus
TU P
Tile Pro
Dual Pro e
. TAIP Max
0 :
MTS Plus
.. .
Winter Haven, FL
180
90
180
180
180
180
180
WO•
W
Hazelton, PA
N/A
90
N/A
180
N/A
N/A
N/A
• • 1
• •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 61 G20-3 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 MTS 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 the applications with the exception of mortar set tile
applications.
9. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope
shall be as follows: (See Table Below)
Tile
Polystick
Elastoflex
Polystick TU Plus,
Polystick
Polystick
System (0)
Profile
MTS
S6 G
TU P, Tile Pro,
TU Max
MTS Plus
MTS Plus with
Dual Pro
TU Plus
Flat Tile
Prohibited
4:12
6:12
6:12
5:12
6:12
without battens
Profiled
Prohibited
4:12
6:12
6:12
4:12
6:12
Tile
without battens 1
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 the stack parallel to the slope, for a total of 6 tiles — for
all underlayments except Polystick MTS which shall be loaded onto battens.
VIIe1
2
POL` nCKTU Plus
• • • • • • •
•
•••• • •••••
•••••• •••• •••••
•• •• •• • ••••••
•
• • • • • • • • • • •
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 NITS, Polystick NITS Plus or Elastoflex S6 G may be
used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe, Polystick Dual Pro,
Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick NITS
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 approval provided
that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire
testing results.
POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS.
LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS.
1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are
cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable.
Please also refer to applicable Product Data Sheets of the corresponding products.
2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge seam as per Polyglass
Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1 %" 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 clavae, 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 the manufacturers NOA, must be used on all projec6for: •
pitch/slopes ofT'/12" or greater. It is suggested that on pitch/slopes in excess of 61/"/12;'1 pWoitutionj �ho%lld 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-EMght•(48) HourS.
•
•
8. Polystick membranes may not be used in any exposed application such as crickets, expose;*** or••c ib0
roof to wall details.
.... •
•
...... ....
9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 F4editum Modified •
.....
• • • •: •
Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Preiniuin $Aodified •
•.
Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, foilowed by a peal
tekgf the
• • • •
Polystick material of like kind should be set and hand rolled in lace over the area needi ik re air. m
P �S � P PO1ph� g
• • • • • •
membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a%,%Nsd
that water will run parallel to or over the top of all laps of the patch.
EoaoEc NOA No.: 17-0614.22
APPROVED1 Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 7 or 8
10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a
minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for
rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling.
11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick
membranes commences. An approved substrate technical bulletin can be furnished upon request. It is
recommended to refer to applicable building codes prior to installation to verify acceptable substrates.
12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished
upon request by our Technical Services Department by calling 1 (800) 894-4563.
13. Questions in regards to the application of Polyglass products should be directed to our Technical Services
Department at 1 (800) 894-4563.
14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by
the National Roofing Contractors Association (NRCA).
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS.
LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS.
END OF THIS ACCEPTANCE
......
...... . .. .0000
.... . .....
...... .... .....
.. .. •• • ...00
. . .. . ......
.. ......
•000
NOA No.: 17-0614.22
CMM*DA°ECO UFNITWY
Expiration Date: 09/13n1
Approval Date: 07/06/17
Page 8 or 8
7COUNTIY�,.�.�41
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 S W 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.aov/economy
ICP Adhesives and Sealants, Inc.
12505 NW 44" Street
Coral Springs, FL. 33065
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product
or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: 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, a►td followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displax*J, then it sl0l,b; done
in its entirety. •
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufactuiti jol.its distdistt' m and
shall be available for inspection at the job site at the request of the Building Official. 000000
• ...
This NOA renews NOA 16-0315.01 and consists of pages 1 through 11. 000000
• • • • • • •
The submitted documentation was reviewed by Alex Tigera. •
`tYaa�EOAota �� NOA No.: f?-0322.03
,.!P • , Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 1 of 11
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof the 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 compliance with Roofing
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using ICP
Adhesives Polyset® AH-160.
PRODUCTS MANUFACTURED BY APPLICANT:
Product Dimensions Test Product Description
Specifications
ICP Adhesives N/A
PolyseOAH-160
ICP Adhesives Foam N/A
Dispenser RTF1000
ICP Adhesives ProPack® N/A
30 & 100
PRODUCTS MANUFACTURED BY OTHERS:
TAS 101 Two component polyurethane foam adhesive
Dispensing Equipment
Dispensing Equipment
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment
resistance values with the use of ICP Adhesives Polyset® AH-160 roof tile adhesive.
MANUFACTURING LOCATION:
Tomball, TX.
PHYSICAL PROPERTIES:
Pro a
Test
Results
Density
ASTM D 1622
1.6 lbsJft.' : • • • : •
Compressive Strength
ASTM D 1621
18 PSI Parallel to rise • • •; • •' �:'
•
12 PSI Perpendicular to rise •
......
Tensile Strength
ASTM D 1623
. .. ......
28 PSI Parallel to rise ...;.. •
Water Absorption
ASTM D 2127
0.08 LbsJF .... ......
Moisture Vapor Transmission
ASTM E 96
3.1 Perm / Inch 0000 .....
Dimensional Stability
ASTM D 2126
+0.07% Volume Change @-4foFy 2 weelm • •.:..'
•
+6.0% Volume Change @ 158°P.! eni 100% Hedity, 2 • • • • • •
weeks •••••• •
Closed Cell Content
ASTM D 2856
86% • • • • • • • •
Note: The physical properties listed above are presented as
typical average values as de;Wi d. by .... ; • • • •;
accepted ASTM test methods
and are subject to normal manufacturing variation. '....'
NOA No.: 17-0322.03
IT.;7!A-21!Le 7Y
Expiration Date: 05/10/22
PPR• D �
Approval Date: 04/27/17
Page 2 of 1 I
EVIDENCE SUBMITTED:
Test Agency Test Identifier Test Name/Report Date
Center for Applied Engineering
#94-060
TAS 101
04/08/94
257818-1PA
TAS 101
12/16/96
25-7438-3
SSTD 11-93
10/25/95
25-7438-4
25-7438-7
SSTD 11-93
11/02/95
25-7492
SSTD 11-93
12/12/95
Miles Laboratories
NB-589-631
ASTM D 1623
02/01/94
Polymers Division
Ramtech Laboratories, Inc.
9637-92
ASTM E 108
04/30/93
Southwest Research Institute
01=6743-011
ASTM E 108
1 UI6/94
01-6739-062b[l]
ASTM E 84
01/16/95
Trinity Engineering
7050.02.96-1
TAS 114
03/14/96
P36700.04.12
ASTM D 1623
04/18/12
P39740.02.12
TAS 101
02/21/12
TAS 123
Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98
528454-9-1
528454-10-1
520109-1 TAS 101 12/28/98
520109-2
520109-3
520109-6
520109-7
520191-1 TAS 101 03/02/99
520109-2-1
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, tow, & high the profiles. :...:.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RRS.1 k ..
4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polysee AH-1'SiY Wtile a8heslOe
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 Fldfida 0ilding',CtW and
Rule 61 G20-3 of the Florida Administrative Code. ...... ....
NOA No.: 17!OM2.03
Muvh�ecounrr Expiration Dater 05/10/22
Approval Date: 04/27/17
Page 3 of 11
INSTALLATION:
1. ICP Adhesives Polyset® AH-160 maybe used with any roof the 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 tile 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 with Roofing Application
Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Maintenance Booklet.
4. Installation must be by a Factory Trained.'Qualified Applicator' approved and licensed by ICP Adhesives and
Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators to the authority having
jurisdiction.
5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is required before application
of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between
1.0-1.15 (A): 1.0 (B).
6. ICP Adhesives Polyset AH-160 shall be applied with ICP Adhesives Foam DispenserRTF1000 or ICP
Adhesives ProPack® 30 & 100 dispensing equipment only.
7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight.
8.. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives
Polyset AH-160 has been dispensed.
9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the
'Placement Details' herein. Each generic tile profile requires the specific placement noted herein.
sees:.
.. ..
. .
sees.. . .. sees.0
sees..
0. sees
.sees.
e e sees.*
eese a :..see
sees..• sees sees.
. s .
.. .. .esees..
• e . e
. s .. . .sees.
• . e se s
. sees..
e 0 NOA No• -�M-Q322.03
Expiration Date? 18/10/22
Approval Date: 04/27/17
Page 4 of 11
Table 1: Adhesive Placement For Each Generic Tile Profile
Minimum Paddy Contact
Minimum Paddy Gram
Tile Profile
Placement Detail
Area
Weight
Eave Course - Flat, Low, High
All Eave Course
17-23 sq. inches
45-65
Profiles
Flat, Low, High Profiles
#1
17-23 sq. inches
45-65
Flat Profile
#2
10-12 sq. inches
30
Low Profile
#2
12-14 sq. inches
30
High Profile
#2
17-19 sq. inches
30
Flat, Low, High Profiles
#3
Two Paddys: 8-9 sq. inches at
12 grams per paddy
head of tile 9-11 sq. inches at
overlap
Two -Piece Barrel (Cap Tile)
Two Piece
2 Beads (1 each longitudinal
17 grams per bead
edge) 20-25 sq. inches each
bead -
Two Piece Barrel (Pan Tile)
Two Piece
65-70 sq. inches
34 grams under pan
LABELING:
All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the
manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami -
Dade County Product Control Seal as shown below.
MAMfl11DE=XUAN 'Y
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.: 111-a122.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 5 of I 1
ADHESIVE PLACEMENT DETAIL # 1
Na OArow9hphstkcsom Paddymonoubme)
tlda.ym.�r •; « 1
A`�,
101
frsur
EawClow"�
N•" through ph K cement
hvhennyalted)
1 2ltirlde
sommopd4mal
FtiddylaYYYreh
t
r: Eire cle•aro
Fascia
Nd dw000 plank
t•� requY•d) a`..- ?� t�r•.shTil.l
7
t`.
totr.: • .
E&mCo 1s@ - r R
Fascia
/y / 1!Yeepttole
. domej^�lfYl/�/" i�fip •�•
Flat/Low Profile Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown,
under the strengthening rib closest to the overlock
of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cmz) — 23 (148.4 cm') square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm') — 23 (148.4 cm'-) square inch adhesive
contact with the underside of the tile.
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positione6as shown
••••••
under the pan portion of tIT tilg*qJosest to the
• + • • • •
overlock of the tile being set.* • ; • •
•
Y •
••• • ••
•
2. Continue in same manner.;Yi?•d?e'approxim&ely 17
•
••••••
....:
(109.7 CM2) — 23 (148.4 cnr) sq*u«re inAvadl)esive
•
contact with the underside of tie tile.
• •: • •.
•••••• ••••
•••••
•
NOA No•.:49N13•22.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 6of11
ADHESIVE PLACEMuN"I' DETAIL # 2
,
g
7 k% �j f
EseDOMM
kAdUG"OPUWC=ffl"1
twbep revimd)
m
Fneiw
APPROYEDi
Flat/i.ow Profile Tile
1. Starting at the eave course.. apple a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm�)
— 23 (148.4 cm') square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x T (177.8 mm) x I" (25.4 mm) foam paddy onto the
underlay Went positioned as shown under the
strengthening rib closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 10"
(64.5 cm) - 12 (77.4 cm: square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
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 underla}Trent positioned as shown under the
pan portion of the the closest to the overlock of the
the being set. Insure approximately 17 (109.7 cm) —
23 (148.4 cm) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the the closest to the overlock of the the
being set. �...:.
3. Continue in same manner.. InsgrF,Appioximijel},V
(77.4 cm2) -14 (90.3 cm) sqtXr. bjgb adhesive,
contact with the underside ofthe tilq.
• • Y1••••
••••••
••••
•
• •
(Instructions continued on nest roko
• •
•• •
•
••••
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04127/17
Page 7 of I
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
MaGdroughpttetitte
4wAenrequlrod)
p�dT menrA6Tib)
r
T
._h f
r Eswcooae ��i
auia
Wimphal•
to ia. 2 ie
Ewm dof.R
Gr4p edge
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 the closest to the overlock of the
tile being set. Insure approximately 17 (109.7 cm2) —
23 (148.4 cm') square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the tile closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 17"
(109.7 cm2) _ 19 (122.6 cm') square inch adhesive
contact with the underside of the tile.
......
. ..
......
•
••••••
....
.
.....
•• ••
M• •
••••••
•
••••••
•
•
• •
•• •
••••••
• • •
•
0000
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAII. # 3
�ett+oytptastica®etr t�sedtrthettieetttk:)
B
Paw
es 2:4 tin.
'i
ti
-
.�2
�redosve
Flatti mProtileTile
ties) I
[Mill
in;
EamaeseR
Medium ProfOeTile
I. On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x I" (25.4 mm) foam paddy
onto the underlayment positioned as shown, under
the strengthening rib for flat tile or under the pan
portion of the tile for low or high profile tile closest
to the overlock of the tile being set. Leave
approximately 4" (101.6 mm) up from the eave
edge free of foam to prevent the expanded adhesive
from blocking the weep holes. Insure
approximately 17-23 in'- (109.7-148.4 cm2) of
adhesive contact with the underside of the the
2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x I" (25A
mm) foam paddy onto the underlayment just below
the second course line positioned foam paddy
under the strengthening rib for flat tile, or under the
pan portion of the tile, closest to the underlock for
the second course the to be installed. Insure
approximately 8-9 in- (51.6-58.1 cm'-) of adhesive
contact with the underside of the tile.
(instructions continued on neripage)
NOA No.: 17-0322.03
t1►4Detotxt7�r Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
Katitt eoppW& ShujePaddrmdWdk
twhmn ukera
PaWylbetwemMal
tta�an
e . ' PmWriundwtno
elk
dx4tn.
Sike 2s4
ppoftan
toperde
Fmtowse �` '�
Fascia
Weephok
fain. tin. Eandomm
.�' Ddpedge
High laroflieTlte
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4"
(19 mm) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm') - 11 (71 cm2) square inch adhesive
contact with the underside of the the at the overlap
and 7 (45.2 cm2) - 9 (58.1 cm') square inch
adhesive contact with the underside of the tile at
the head of the tile. Continue in same manner.
• • •
0:*0•
••••••
• •
••••••
••••
•
•••••
••••••
••••
•••••
•• ••
•• •
•A••••
••••••
•
•
•
• •
• ••
• •
• ••
t`narewr►oe eouHrr NOA No.: 17-0322.03
JAPPROVEDi Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 10 of 11
t) Place enough adhesive to schism 65 to 70 sq.
In contan wkh the pan dle.
2)Turn omen upskle down. Plac3adhasi;ve in
tot in.h a outside edge of eweThen InstMU thedle.Ensure20to
2Ssq.ln.aontectaroa.^e
jnder�
(mate►sho rn)
Fas&
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
Steep pkeh applications
(whop required)
Phone- - top portion of the tare course eorer tile.Abut to second course of
pon Am Ensure eareerd of pan and corertAes are flush at eaweGne.
Two Piece Barrel - High Profile Tile
Two Piece Barrel (Cap and Pan) Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as
shown under two adjacent pan tiles. Support eave
tiles from rocking until adhesive has a chance to
cure.
2 Continue in same manner bringing two pan
courses up toward the ridge. Insure
approximately 65 (419.4 cm2) — 70 (451.6 cm2)
square inch adhesive contact with the underside
of the pan tile.
3. Turn covers upside down exposing the underside
of the tile. Apply a minimum 1" (25.4 mm) x 10"
(254 mm) bead of adhesive directly on the inner
edge of each side of the cover tile. Leave
approximately 3/4" (19 mm) to 1" (25.4 mm)
from the outside edge of the tile, inward, free of
foam to allow for expansion.
4. Turn cover tile over after foam is applied and
place onto pan the course. Insure a minimum of
20 (129 cm2) - 25 (161.3 cm2) square inch
contact area on each side of the cover the 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 nailingis required,
mm) x 4" (101.6 mm) na4w; oc the tie&vire
system using galvanizedt swinless steal, or•'
copper wire and compatible his may be esed.
•s••
• • ••e•s•
...• e
END OF THIS ACCEPTANCE
NOA No.: 17-0322.03
h�Ar`hFer►eh:eourrrr Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
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