RF-06-22-1449Miami Shores Village
ENTERED
BUILDING
PERMIT APPLICATION
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
JUN L 8 �,42
BY:-
F��BC 20
,/
Master Permit No. I -./r() G - 2r-- )1-0
Sub Permit No.
❑BUILDING ❑ ELECTRIC P900FING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
,t CONTRACTOR
JOB ADDRESS: 2 /V
❑ CANCELLATION ❑ SHOP
DRAWINGS
33/ )
Folio/Parcel#: I ( 3 Z.c) L o I J -f 6 Is the Building Historically Designated: Yes NO %-=>
Occupancy Type: Load:
OWNER: Name (Fee Simple
City:
Tenant/Lessee Name:
Construction Type: Flood Zone: BFE: FFE:
Email: o j
CONTRACTOR: Company Name: 1 I � EOeA :(ICj S-Pr S ` �'�G Phone#:
Address: 23�-I R 'W p7,,-h C-T-
city: tip 0 h
Qualifier Name:
State Certification or Registration #: ICCC ) 5 2- Certificate of Competency #: _
DESIGNER: Architect/Engineer: (\suju-4 C,^�0.`�• Wryl' Phone#:
33i-'lam
32�,oi o
Address: City: State: Zip:
Value of Work for this Permit: $ Square/LinearrFF0000tage of Work: ` � �
Type of Work: 1-1Addition❑ Alteration ❑ New IrJ Repair/Replace ElDemolition
Description of Work: f�Rt (% oT/T"l 4-rJ li I.-C
Specify color of color thru tile: 1L7
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF
DBPR $
CO/CC $
Notary!
Double Fee $
Bond $
TOTAL FEE NOW DUE $
wzA
(Revised02/24/2014)
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 ccurs seven (7) days after the building permit is issued. /n the absence of such posted notice, the
inspection will not ba ap�and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Z.3 day ofl� JU/\_Q . 20 2,2 by
rn P I 1 rD 1� who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
The foregoing instrlahent was acknowledged before me this
day of n12— 20 % Z , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
°F'ri?"••,, SILVANA L. AGC,,:.IA �•':Pr,'P,'im,•.,• )) SI=AGOGLIA
Sign: ?` `: ti rr, rtE362 Sign: P` p °; AY GO _
Print: Print:
Print:'ft„o�r �udme.-"I ulidUdelvailers z
Seal: Seal:
rrr##irirrrrrrrrrrr#****r#***#*#*#/###�1*k##*#*iitiiiiifii*iiftiiii***iiifitifiiiiii*r#**###rrirrrrttrr#trrrr
APPROVED BY Le/ �/� Plans Examiner Zoning
Structural Review Clerk
(Revlsed02/24/2034)
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/28/2022
Permit NO.: RF-06-22-1449
Permit Type: Roof
Work Classification: Tile
Permit5tatus: Approved
Expiration: 12/28/2022
Location Address
Parcel Number
253 NE 92ND ST, Miami Shores FL 33138
1132060133560
Contacts
Omer Dror
Owner
PUENTE ROOFING CORP
Applicant
253 NE 92 ST, Miami Shroes, FL 33138
JIMMY CARABLLO
7321 NW 46, MIAMI, 33166
Mobile: 7864889876
rjsword305@gmaii.com
Contractor
I JIMMY LUIS CARABALLO
Description: RE -ROOF TILE ROOF ONLY Valuation: $ 20,000.00 Ins action Requests:
Total SotFeet: 1,451.00 -
�a
Fees
Amount
Application Fee - Other
$50.00
CCF
$12.00
DBPR Fee
$4.13
DCA Fee
$2.75
Education Surcharge
$4.00
Roofing Fee
$225.00
Scanning Fee (Manual)
$9.00
Technology Fee
$6.88
Total:
$313.76
Building Department Copy
Payments
Date Paid
Amt Paid
Total Fees
$313.76
Credit Card
06/28/2022
$263.76
Credit Card
06/08/2022
$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 ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construct! and oning. Fythermorg/Fputhorize the al;6v� named contragtor to do the work stated.
S.4�� ILXGL- ��U"1 Li 2Gi` ZZ
Authorized Signaturewn r / Applicant / L Contractor / f ent Date
June 28, 2022 � Page 2 of 2
Bonding Company's Name (if applicable)
Bonding Company's Address
City »
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
0
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 attachm Iso, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which oc ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approvoovo reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
7 N'/ dayof 20 ZZ by
jo M �)ra✓ who is ersan known to
me or who has produced as
identification and who did take an oath
NOTARY PJJBLIC:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
G140 day of 5bO-e 20 2L by
e'—)iA r,-1 CA&A(L ( , who personal y nown to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
�p
Print: r Print:
Seal: �,rn -Aptt, NOVYpubl,cstate ofFWKS Seal:
Clsus Beenmie GG 91a175
Y Com
44 Expuee 09n 51202s
a
Vb1D
APPROVED BY f j l� Plans Examiner
Nry Public Se FWda
WWof
Been
MY CemuM4 GG 913173
4Erplrn 09/18/2023
##s####ssss
Zoning
Structural Review
(Revised02/24/2014)
Clerk
NE
ROOFING
PROPOSAL
SUBMITTED TO: DATE: March 29, 2022
Omer Dror PHONE: (786) 250-1550
253 NE 92 St
Miami Shores, FL omer.dror@gmail.com
We are pleased to submit a Proposal for the above -captioned property with
spprifiratinnc ag fallows
Re -Roof Tile to Concrete Tile
1) Remove existing roofing material down to a workable surface and remove
debris.
2) Additional cost will apply to multipl fing systems,
at a Rate of .75 cents per sq. ft. r-90 Initials
3) Chan a rotten wood up to 100' Ilnear feet. Additional $9.60 per ft thereafter.
P Initials _1� 4) Install 30# felt to entire roof client area. & Initials
5) Install all new 3" xX drip edge as per Miami Dade -County Code.
6) Install new Boral under-layment as per code.
7) Seal all penetrations, plumbing stacks, a/c curbs & install new Flashing as
needed.
8) Installation of "Standard" Concrete Tile. Initials
9) All Required Engineering, Permits and city regwr ments shall be
processed by Pine and PAID BY OWNER w./initials
GUARANTEE: All work and materials will be guaranteed by Pine for a period of Ten
(10) Years on labor warranty for NEW ROOF ONLY from date of substantial
completion against poor workmanship and/or faulty materials. Pine reserves the right to
discontinue this warranty due to any work performed on the roof by other tradesmen
and/or parties other than those contracted by us during the warranted time/ maintenance
is required after 2 Year. This guarantee is non -transferable. This guarantee does not
cover natural disasters such as but not limited to: hurricanes, tropical storms,
windstorms, tornadoes, tidal waves, hail storms, fire and/or other casualty losses.
R, NE
iFING
**NOTE**
Customer shall be responsible at completion of job to review all work performed by
Pine. Any discrepancies must be reported to the Project Manager at that time. Any
issues that are reported After the warranty period will not be accepted. Initial
NOTICE: Pine will exercise reasonable care when performing the work, but cannot
be held responsible in any manner for damage to sidewalks, driveways, shrubbery,
screening, septic tanks, pipes, gutters, cables, any types of wiring above or below
the ground, nor be responsible for any ceiling damage during the process of the
roofing work. We will not be held responsible for water damage to the exterior
and/or interior of the premises unless such damage is caused by the negligence of
Pine. Pine is not held liable for any damages to the attic, its contents, electrical, air
conditioning, water or gas lines that are below the roof sheeting line.
CUSTOMER SHALL COVER FURNITURE AND OTHERWISE PROTECT THEIR
PROPERTY.
We hereby propose to furnish labor and materials, complete in accordance
with the above specifications, for the sum of:
Scope: I
Sloped: ............................................................................ $20,000.00
Twenty Thousand Dollars .................................... $20,000.00 I ' ials
With payments made as follows: 40% Deposit; 40% Dried In, 10%Tile Delivery
10%Upon Completion.
Price based on cash or check payment. An 18% interest rate or the maximum statutory rate
shall be added to all sums not timely paid. In the event suit is commenced, customer shall be
liable for reasonable attorney's fees, court costs and other costs reasonab necessary to
collect the outstanding debts, including but smite No filing of a nstruction lien.
By:
Ryan Gonzalez — ect Manager
The above pric ecifications and conditions are hereby accepted. You are
auth=odzed
ork as specified. Payments will be made as outlined above.
By. x Acceptance Date
nature
C`4
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES IT Y
I
Florida Building Code7th Edition (2020) 0py��n
High -Velocity Hurricane Zone Uniform Permit Application Fd(O-
Master Permit
Section A (General Information)
Process No.
Contractor's Name V 1 V\-V-- (Z--e-A) `a
ns�)
Job Address N
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles ❑ Metal PaneUShingles ❑ Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF TYPE
❑ New roof ❑ Repair ❑ Maintenance I<Reroofing ❑ Recovering
ROOF SYSTEM INFORMATLON,
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 1874 Total (SF)
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
�EFIE h=15'
ROOFZONE WIDTH= 6'
- rone,7i
—
__ __ _n
' I storE
j 1 , zone 1 - -
tone 1
-- - - el-- 2n - 13r er_-- --- - --fie—+-4- (_ I ----
Miami Shores Village puilding Depa ment
Zoning Dept. Date
BuildingDe t. Date
P
Subject to complia ce with all deral,
State and unty rules and regulations.
474 Permit# kn - alp.. 67
ENTERED
JUN 0 8 2022
BY: _----
FLORIDA BUILDING CODE — BUILDING, 71h EDITION (2020)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: BORAL ROOF TILE U.C.
Notice of Acceptance Number. 22-020t.t0
Minimum Dasipn Wind Prassures, If Applicable (From RAS 127 or Calculations):
Zone 1: �4 Zone 2e: 74 Zone 2n: 108 Zone 2r: 108 Zone 3e: 108 Zone 3r. 128
Deck Type. PLYWOOD5/8"
Type Underlayment_ ASTMD226TYPEult3o
Roof Slope:
4_ 12; Insulation: N/A
Fire Barrier: ! N/A
Ridge Ventilation? Fastener Type& Spacing:�NlcAPsa6• ci�Ptnrsr&iRovnFAsrENED12" i
N/p OC EACH IN FIELD
Adhesive Type: I SELF ADHERED
Type Cap Sheet: Po1vGLAssTu PLUS
Mean Roof Helqht: is, Roof Coveting: RoRAL BARCELONA 900
Type & Size Drip I 3"X3"26GAGALV
Edge: —
ENTERED
JUN 0 6 2022
BY:
476 FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
(Zone 1:-xL-=-xw:=-)-W:-x
cos r-=F„-
(Zone 20:-xL-=-xw:_-)-W:-x
cos r-=F2
-
(Zone 2n:-xL-=-xw:_
-W:-x
cos r-=Fo,,-
(Zone 2r:-xL-_-xw:__)-W:-x
cos r-=F2,-
(Zone 3e:_._
xL__-=_-_xw:=
__)-W:
xcos r
=F,
(Zone 3r:-xL-=-xw:=_)-W:-x
cos r-=F2,-
Florida Building Code 7th Edition (2020) ORAL NOA I
High -Velocity Hurricane Zone Uniform Permit Application FortP ADHESIVES AH160 FOAM
1(ONE) MEDIUM PATTY
PLACEMENT OF 24 GRAMS
Section E (Tile Calculations) PERTILE
are greater than or equal to the systems, Moment based tile values,choose Iforeach area of the oot.r Method 1 or 2. thenare tthe fihe le altalues chmentr M l methods acceptaVal "0"ble. es
Method 1 "Moment Based Tile Calculations Per RAS 127"
(Zone 1: 74 x X .301= 22.2E ) - Mg: 6_90 _ Mn 15_38 Product Approval M, 38.7
(Zone 2e: 74 x X __.301= 22,2s ) - Mg: 6.90 = M2,15.3a_ Product Approval M, 38.7
32
(Zone 2n: 108 x 7 301= .s1) - Mg: 6.90 = M2n25.61 Product Approval M, 3E.7
(Zone 2r: 10B x 2, -401 = 3251) - Mg: 6 90 = Mrz, 25.61 Product Approval M, 387
(Zone 3e, 109 x X .301 = 3251 M : M 2561 Product Approval M 3E.7
-)- 6.90 9 -= 2a-.PP �
(Zone 3r: 12a x X .301 = 3E.53 ) - Mg: 6.90 = M. 31-63. Product Approval M, as,
Method 2 "Simplified Tile Calculations Per Table Below"
Fter„,Irnrt Moment ni Resistance (M.) From Table Below Product Approval M,
Mr required Moment Resistance'
Mean Roof Height Roof Slope
2:12
-
15,
322
20'
3.5
34
43,12
25'
38.2
o
30,
39.7
40'
42.2
37.4
39.8
30.4
32.2
34:12 .8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
30.5
32.4
7:12
25.9
27.1
28.2
J
30.0
*Must be used in conjunction with a list of moment based We systems ei
Appeals.
by the Browerd County Board of Rules and
For Uplift based tile systems use Method 3. Compare the values for P with the values for Fr. If the F' values are greater than or
equal to the F, values, for each area of the roof, then the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
Product Approval F _
Product Approval F'
Product Approval F
Product Approval F' _
Product Approval F
Product Approval F.
Where to Obtain information
Description
Symbol
Where to find
From applicable table in RAS 127 or by an engineering analy-
Design Pressure
Zones t, 2e, 2n, 2r, 3e, 3r
sis prepared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
O
Job Site
Aerodynamic Multiplier
),
Product Approval
Restoring Moment due to Gravity
M
Product Approval
Attachment Resistance
M,
Product Approval
Required Moment Resistance
M
Calculated
Minimum Attachment Resistance
F
Product Approval
Required Uplift Resistance
F,
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
L -length W -width
Product Approv
All calculations must be submitted to the building official at the time of permit appli
JUN 0 8 2022
FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020) 477
BY:
MI®� MICONTRDE COUNTY
� PRODUCT CONTROL SECTION
208
DEPARTMENT OF REGUI.ATORY AND ECONOMIC RESOURCES (PER) 11805 Street, Room 474
BOARD AND CODE ADMINISTRATION DIVISION Mimi, F Florida 33175-2
T (786) 315-2590 F (786) 315-2599599
www.nAamidadg.X_qv/economy
NOTICE OF ACCEPTANCE (NOA)
Boral Roofing, LLC
7575 Irvine Center Drive, Suite 100
Irvine, CA 92619
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 shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official_
This NOA revises NOA# 21-0420.06 and consists of pages 1 through 7.
The submitted documentation was reviewed by Alex Tigera.
AFPROVED
EN-MnED
JUN 0 S 2022
NOA No.: 22-0201.10
Expiration Date: 04/26/27
Approval Date: 04/21/22
Page 1 of 7
BY:
ROOFING ASSEMBLY APPROVAL
Cateeory Roofing
Sub-Cateeory: Roofing Tiles
Material: Concrete
1. SCOPE
This renews a system using Barcelona 900 Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales,
FL and described in Section 2 of 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 PAS
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 Dimensions
Barcelona 900 Length = 17"
Width = 13"
V? thick
Test Product
Specifications Description
TAS 112 High profile, interlocking, one-piece, 'S' shaped,
Type — la high-pressure extruded concrete roof tile
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
Touch `N Seal StormBone 2 Two -
Component Polyurethane Roof Tile
Adhesive
Touch `N Seal StormBoue One
Component Polyurethane Roof Tile
Adhesive
Product Description
Two component polyurethane
foam adhesive.
Single component polyurethane
foam roof rile adhesive.
Two component polyurethane
foam adhesive.
One component polyurethane
foam adhesive.
2.2 MANUFACTURING LOCATION
2.2.1. Lake Wales, FL
MIAMI•DADE COUNTY
Manufacturer
(With Current NOA)
ICP Adhesives and Sealants, Inc.
DuPont de Nemours, Inc.
DAP Foam, Inc.
DAP Foam, Inc.
]ENTERED
JUN 0 8 2022
NOA No.: 22-0201.10
Expiration Date: 04/26/27
Approval Date: 04/21/22
Page 2 of 7
BY:
2.3 SUBMITTED EVIDENCE:
Test Aaencv
Redland Technologies
Professional Service Industries, Inc.
The Center for Applied
Engineering, Inc.
Celotex Corporation
Testing Services
Walker Engineering, Inc.
American Test Lab of South Florida
PRI Construction Materials
Technologies
NEMO ETC, LLC
MIAMI•DADE COUNTY
Test Identifier
7161-03
Appendix III
7161-03
Appendix lI
P0402
Letter Datcd Aug. 1, 1994
P0631-01
IC-1320-94
Test Name/Renort
Static Uplift Testing
TAS 102 & TAS 102(A)
Wind Tunnel Testing
TAS 108(Nail-On)
Withdrawal Resistance
Testing of screw vs. smooth
shank nails
Wind Tunnel Testing
TAS 108 (Nail -On)
Wind Tunnel Testing
TAS 108 (Mortar Set)
Physical Properties
TAS 112
25-7688-3
TAS 101 (Adhesive Set)
25-7688-10
TAS 101 (Mortar Set)
25-7688-5
Static Uplift Testing
TAS 102
(3" Headlap, Nails, Direct
Deck, New Construction)
25-76884
Static Uplift Testing
TAS 102
(41' Headlap, Nails, Clips)
520111-3
520191-2-1
Calculations
Evaluation Calculations
RT0617.03-16
RT0209.05-22
COPO-002-02-10
COPO-002-02-02
COPO-002-02-01
2002T0003.01
4c-DPBS-20-LSOTM-01.C.R1
Static Uplift Testing
TAS 101
Aerodynamic Multiplier
Restoring Moments Due to
Gravity
TAS 112
TAS 112
TAS 101
TAS 101
TAS 101
TAS 101
TAS 101
Date
Dec. 1991
Dec. 1991
Sept. 1993
Aug. 1994
July 1994
Feb. 1995
June 1996
July 1996
June 1996
June 1996
Dec. 1998
March 1999
09/01/16
09/01/16
06/29/16
02/17/22
10/12/2016
10/12/2016
10/12/2016
11/06/20
12/17/20
R N T E n E D NOA Date: -001.10
/26/27
Expiration Date: 04/26/27
��� 202Z Approval Date:04/21/22
Page 3 of 7
]BY:
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 require,
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 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
Profile
Barcelona
Table 1. Average weight (W) and Dimensions (I x W)
Width-w (ft.)
2. Aerodynamic Multipliers - A
Batten Application
A (fN)
Direct Deck Application
Table 3: Restoring Moments due to Gravity - MB (ft.-Ibf)
2":12" 3":12" 4":12" 5":12" 6":12"
7":12" or
greater
rBarcelona
Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct
Deck Deck Deck Deck Deck
N/A 7.07 N/A 7.00 6.19 6.90 6.06 6.76 5.92 6.60
Battens Direct
Deck
5.76 6.42
MIAMMADE COUNTY
ENTERED NOA No.: 22-0201.10
Expiration Date: 04/26/27
J U N 0 8 2022 Approval Date: 04/21/22
Page 4 of 7
BY:
Table 4: Attachment Resistance Expressed as a Moment - Mr MAW)
for Mechanically Attached Systems
Tile
Profile
Fastener Type
Direct Deck
(min 15132" plywood)
Battens
Barcelona 900
2-10d Rin Shank Nails
28.6
TT
19.4
1-10d Smooth or Screw Shank Nail
5.1
2.8
2-10d Smooth or Screw Shank Nails
6.9
7.3
1 #8 Screw
20-7
18.1
2 #8 Screw
43.2
43.2
29.8
1-10d Smooth or Screw Shank Nail
Field Clip)
23.1
23.1
19.0
1-10d Smooth or Screw Shank Nail
Eave Cli
29.3
29.3
24.0
2-10d Smooth or Screw Shank Nails
Field Clip)
27.6
27.6
38.6
2-10d Smooth or Screw Shank Nails
(Eave Clip)
38.1
38.1
41.8
2-10d Ring Shank Nails'
33-1
48.1
45.2
1. Installation with a 4" the headlap and fasteners are located a min. of 21/2' from head of tile.
Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf)
for Two Paddy Adhesivez Set Systems
Tile Profile
Tile Application
Minimum ;Attachment
Resice
Barcelona 900
TILE BONDTM' Roof Tile Adhesive
TILE BONDTTM Roof Tile Adhesive
Adhesives Pol set® AH-160
2.
2ICP
Touch'N Seal StormBond®2
B85
Touch'N Seal StormBond®
487
2
3
4
5
6
7
See foam adhesive manufacturer's component approval for installation requirements.
Medium paddy weight of 8 grams per paddy of TILE BOND'Roof Tile Adhesive
Medium paddy weight of 10.7 grams per paddy of TILE BONDw Roof Tile Adhesive
Medium paddy weight of 8 grams per paddy of Polyset® AH-160
Medium paddy weight of 8 grams per paddy of Touch 'N Seal StormBond ® 2
Medium paddy weightof 8 grams between tile and underlayment, paddy weight of 4 grams on overlap of file of
Touch'N Seal StormBond ® one component)
MIAWDADE COUNTY
,...�
ENTERED
JUN 0 8 ZOZZ
NOA No.: 22-0201.10
Expiration Date: 04/26/27
Approval Date: 04/21/22
Page 5 of 7
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Single Paddy Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Barcelona 900
ICP Adhesives Pol set® AH-160
66.58
ICP Adhesives Pol set®AH-160
38.79
Touch'N Seal StormBond®2
8210
Touch'N Seal StormBond®2
6311
TILE BONDTM Roof Tile Adhesive
5812
a
9
10
11
12
Large paddy weight of 63 grams of Polyset(D AH-160
Medium paddy weight of 24 grams of PolyseM AH-160
Large paddy weight of 60 grams of Touch 'N Seal StormBond 112
Medium paddy weight of 30 grams of Touch 'N Seal StormBond ® 2
Two paddys combined to form one. Place one 10 gram paddy on the center of the underside of the tile, place a
second paddy of 20 grams on the deck. When tile is placed the two paddys combine to create one paddy weight of
30 grams total of TILE BONDTh7 Roof Tile Adhesive.
Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Mortar Set Systems
Tile
Tile
Attachment
Profile
Application
Resistance
Barcelona 900
Mortar SettO
24.5
13 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".
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 building code in order to
properly evaluate the installation of this system.
ENTERED NOA No.: 22-0201.10
MIAMMADE COUNT' Expiration Date: 04/26/27
f �l)N g ?OZZ Approval Date:04/21/22
Page 6 of 7
PROFILE DRAWING
OVERLOCK
3 5/8 "
13"
UNDERLOCK
BARCELONA 900 CONCRETE ROOF TILE
END OF THIS ACCEPTANCE
MIAMI•DADCOUNTY E N T E R E D
E
JUN 0 S 2022
NOA No.: 22-0201.10
Expiration Date: 04/26/27
Approval Date: 04/21/22
Page 7 of 7
BY:
END
MIAMI-DARE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) w .aniamidade.eov/economy
ICP Adhesives and Sealants, Inc.
12505 NW 440 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: Polyset® AR-160
LABELING: Each unit shall bear a permanent label with the manufacturers name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in
the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for
sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall
be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA 20-1124.07 and consists of pages 1 through 11.
The submitted documentation was reviewed by Alex Tigera.
MMM♦DADE COUNTY
...., 1
4��^
off ``VV BN'rBnBD
JUN 0 8 2022
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 1 of 11
1BY:
ROOFING COMPONENT APPROVAL:
Category: Roofmg
Sub Category: Roof file adhesive
Materials: Polyurethane
SCOPE:
This approves Polyset® AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as described in this Notice of
Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, do
not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS
127. For use with approved flat, low, and high profile roof file systems using Polyset® AH-160.
PRODUCTS MANUFACTURED BY APPLICANT:
Product Dimensions Test Product Description
Specifications
PolyseeAH-160 N/A
ICP Adhesives Foam N/A
Dispenser RTF1000
ICP Adhesives ProPacV N/A
30 & 100
TAS 101 Two component polyurethane foam adhesive
Dispensing Equipment
Dispensing Equipment
PRODUCTS MANUFACTURED BY OTHERS:
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment
resistance values with the use of Polyset® AH-160 roof tile adhesive.
MANUFACTURING LOCATION:
1. Tomball, TX.
PHYSICAL PROPERTIES:
Property
Test
Density @ 730F
ASTM D1622
Compressive Strength
ASTM D1621
Tensile Strength
ASTM D 1623
Water Absorption
ASTM D2842
Moisture Vapor Transmission
ASTM E96
Dimensional Stability
ASTM D2126
Closed Cell Content ASTM D6226
Results
2.1 lbs./ft.'
18 PSI Parallel to rise
14 PSI Perpendicular to rise
29 PSI Parallel to rise
0%
2.3 Perms
+0.07% Volume Change @ -40° F., 2 weeks
+6.0% Volume Change @158°F., 100% Humidity, 2
weeks
94%
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufacturing variation.
NOA No.: 22-0411.02
MIAMH=E COUNTY B N r E R E D Expiration Date: 05/10/27
Approval Date: 05/05/22
JUN 0 S ZOZZ Page 2of11
BY:
EVIDENCE SUBMITTED:
Test A¢encv Test Identifier
Test NameJReo
Date
Center for Applied Engineering #94-060
TAS 101
04/08/94
12/16/96
257818-IPA
TAS 101
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 01-6743-01 l
ASTM E 108
11/16/94
01/16/95
01-6739-062b[ll
ASTM E 84
Trinity Engineering 7050.02.96-1
TAS 114
ASTM D 1623
03/14/96
04/18/12
P36700.04.12
P39740.02.12
TAS 101
02/21/12
TAS 123
Celotex Corp. Testing Services 528454-2-1
TAS 101
10/23/98
528454-9-1
528454-10-1
520109-1
TAS 101
12/28/98
520109-2
520109-3
520109-6
520109-7
520191-1
TAS 101
03/02/99
520109-2-1
NEMO ETC, LLC 4p-ICP-20-SSLAP-0l.B
Physical Properties
11/11/20
LIMITATIONS:
1. Fire classification is not part of this acceptance_ Refer to the Prepared Roof Tile Assembly
for fire rating.
2. Polyset® AH-160 shall solely be used with flat, low, & high file profiles.
Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
3.
4. Roof Tile manufactures acquiring acceptance for the use of
Polyset® AH-160 roof file adhesive with their file
assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61G20-3 of the Florida Administrative Code.
mtmN ADECOUNTY
..
EN70RED
JUN 0 8 2022
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 3 of 11
BY:
INSTALLATION:
1.
2.
3.
4.
5.
6.
Polyset® AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance
values with the use of Polyset® AH-160.
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 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.
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.
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.
Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is required before application
of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between
1.0-1.15 (A): 1.0 (B).
Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPacV 30
& 100 dispensing equipment only.
7. Polyset® AH-160 shall not be exposed permanently to sunlight.
9. Tiles must be adhered in freshly applied adhesive. Tile must beset within Ito 2 minutes after Polyset® AH-160
has been dispensed.
9. Polyset® AH-160 placement and minimum path' weight shall be in accordance with the'Placement Details'
herein. Each generic tile profile requires the specific placement noted herein.
MIAMI DADE COUNTY
ri17i R Rn RD
JUN 0 8 2022
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 4 of 11
BY..
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement Detail
Minimum Paddy Contact
Area
Minimum Paddy Gram
Weight
Eave Course - Flat, Low, High
Profiles
All Eave Course
17-23 sq. inches
45-65
Flat, Low, High Profiles
#1
17-23 sq. inches
45-65
Flat Profile
92
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
head of tile 9-11 sq. inches at
overlap
12 grams per paddy
Two -Piece Barrel (Cap Tile)
Two Piece
2 Beads (1 each longitudinal
edge) 20-25 sq. inches each
bead
17 grams per 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.
N WMADECOUNTY
...• i
BUILDING PERMIT REQUHtEMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
APPROVED
ENTE12B1_
JUN 0 8 Z?ZZ
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 5 of 11
BY:
cement
E. Closure
ADHESIVE PLACEMENT DETAIL # 1
(Beneath Tile)
Eave Closure
Fascia
Nail through plastic CO Paddy (Beneath Tile)
(when required)
Underlayment
10In.a
21n.wide
Battens
/optional
IG Eave Course Fascia
Weephole
Eave closure
10in. ,2 in. Drip edge
CMIAM4DADE COUNTY
.e r
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 I i
(109.7 cm) — 23 (148.4 cm) square inch adhesive
contact with the underside of the tile.
Medium Pro51e / 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 file closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm) — 23 (148.4 cm2) 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 (148A cm) square inch adhesive
contact with the underside of the tile.
ENTE]:3�T�>
JUN 0 8 10?Z
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 6 of 11
BY:
ADHESIVE PLACEMENT DETAIL # 2
Under lay e
7 in.
optional
Eave Closure
Nail through plastic cement
(when required)
in.
Battens optional
Eave Closure
Fascia
MIAMI DADE COUNTY
Flat'Low Profile Tile
Starting at the cave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm)
— 23 (148A 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 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the
strengthening rib closest to the overlock of the file
being set.
3. Continue in same manner. Insure approximately 10"
(64.5 cm) - 12 (77A cmZ) square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
1. Starting at the cave 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
file 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 1" (25A 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 IT'
(77.4 cm2) - 14 (90.3 cm) square inch adhesive
contact with the underside of the tile.
(Instructions continued on next page)
BNxERED
JUN 0 8 ZOZZ
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 7 of 11
BY:
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
Nailthmugh plastic ce
paddy(Beneath Tile)
(when required)
IUnderlayment
I
7 in.. '.
2 m.
Battens optional
-
Eave Course
Fascia
Weephole
Eaeedosum
loin. 2 in.
Drip edge
MIAMI DADE COUNTY
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 nun) x 1" (25A 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. Insure approximately 17 (109.7 cm) —
23 (148.4 cm) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the tile closest to the overlock of the file
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.
ENTEaED
JUN 0 8 2922
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 8 of 11
BY:
Battetls
ADHESIVE PLACEMENT DETAIL # 3
in.
�, '
Kat :am..
lOiM1 ``� Ytr
FlatlLow Profile Tile
Nail through plastic Cemert
Single paddy under ale
(when required)
Paddy {between tiled
Barrens
paddy hinder tile;
optional
.' Single
Y
1,
�d-!`4a41n.
Sir�q{epaddyon
undedaymes6/ + '�
// to in�
lin.
-- Ea me Unsure
Earetoune
Fasda
Medium Profile Tile
MIAMFDADECOUNTY
On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 rnm) 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 tnm) up from the eave
edge free of foam to prevent the expanded adhesive
from blocking the weep holes. Insure
approximately 17-23 in2 (109.7-148.4 cm2) of
adhesive contact with the underside of the file
2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (25.4
rum) foam paddy onto the underlayment just below
the second course line positioned foam paddy
under the strengthening rib for flat tile, or under the
pan portion of the tile, closest to the underlock for
the second course tile to be installed. Insure
approximately 8-9 in2 (51.6-58.1 cm2) of adhesive
contact with the underside of the tile.
(Instructions continued on next page)
EN7B ED
JUN 0 9 (-O22
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 9 of 11
BY:
ADHESIVE PLACEMENT DETAIL #,f 3 (CONTINUED)
Nail through plastic
51 paddy wide tae
(when requited)
Paddyibetw ntiksl
Battens
optional I;
Paddy lundertilel
Paddy
.' Gnu nded+rs
✓''
'W
A
Sift4fle 2 i 4 in.
paddyr on
top Dime
Eave Course
� Fascia
Weephok
Eaw down
loin. 21n.
DtiP edge
High ProflWTOe
MIAMIDADE COUNTY
,..s 1
3. Also apply a 2" (50.8 mm) x 4" (101.6 min) x V
(19 min) paddy on top of the eave course tile
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11(71cm2) square inch adhesive
contact with the underside of the tile at the overlap
and 7 (45.2 cm) - 9 (58.1 cm) square inch
adhesive contact with the underside of the file at
the head of the tile. Continue in same manner.
ENTERED
JUN 0 8 2022
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 10 of 11
BY:
t) Place enough adhesive to achieve 65 to 70 sq. i
in contact with the pan tile.
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 (-
Eavedosurd
(motarshown)
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
Steep pitch applications
..Rr..`.` Fascia Baard-�`J
Remove top portion of the eave course cover tile. Abut to second course of
pan tiles.Ensure eave end of pan and cover tiles are flush at eave line.
Two Piece Barrel - High Profile Tile
Two Piece Barrel (Cap and Pan) Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as
shown under two adjacent pan tiles. Support eave
tiles from rocking until adhesive has a chance to
cure.
2. Continue in same manner bringing two pan
courses up toward the ridge. Insure
approximately 65 (419.4 cm) — 70 (451.6 cm
2)
square inch adhesive contact with the underside
of the pan tile.
3. Turn covers upside down exposing the underside
of the tile. Apply a minimum 1" (25.4 mm) x 10"
(254 mm) bead of adhesive directly on the inner
edge of each side of the cover tile. Leave
approximately 3/4" (19 mm) to 1" (25.4 mm)
from the outside edge of the tile, inward, free of
foam to allow for expansion.
4. Turn cover tile over after foam is applied and
place onto pan tile course. Insure a minimum of
20 (129 cln) - 25 (161.3 cm") square inch
contact area on each side of the cover tile to the
pan tile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) milers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
MIAMI-DADE COUNTY E/ 19 TE n"ID
l...t I
JUN 08 2022
NOA No.: 22-0411.02
Expiration Date: 05/10/27
Approval Date: 05/05/22
Page 11 of 11
BY:
MIAMFM MIA H-DADE COUNTY
E ' PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Sheet, Room 208
BOARD AND CODE ADMINISTRATION DMSION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) WVVW.miamidade.eov/eeonomv
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.
TERAIINATION 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.17-0614.22 and consists of pages I through 7.
The submitted documentation was reviewed by Jorge L. Acebo.
EN T EIR E.-.1 NOA No.; 21-0602.14
MIAMI•DADECOUNTY JUN 0 S ?022 Expiration Date.09/13/22
• • • I I Approval Date: 08/26/21
Page 1 of 7
BY:
ROOFING COMPONENT APPROVAL
Cateeorp• Roofing
Sub-Cateeory: Underlayment
Material: SBS, APP
PRODUCTS DESCRIPTION:
Test Product
Product
Dimensions
Specification Description
Polystick IR-Xe
65' x 3' Or 33.4' x
ASTM D 1970 A fine granular/sand top surface self -adhering, APP
3>
polymer modified, fiberglass reinforced, bituminous sheet
Manufacturing
material for use as an underlayment in sloped roof
Location #1 & #2
60 mils thick
assemblies. Designed as an ice & rain shield.
Polystick TU Max
65'8" x 31-3/8"
TAS 103 and A rubberized asphalt self -adhering, polyester reinforced
ASTM D 1970 waterproofing membrane. Designed as a a roof tile
Manufacturing
60 mils thick
underlayment.
Location #1 & #2
Polystick TU P
32'10" 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
Manufacturing
designed for use as a file roof underlayment
Location #2
Polystick TU Plus
65' x 3'3?/s"
TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester
roofing Designed as a metal
(Surface Printing)
80 mils thick
ASTM D 1970 reinforced
roofing and motile undemembrraanne
Manufacturing
Location #1 & #2
Polystick MTS
65'8" x 3'3 '/s"
TAS 103 A homogeneous, rubberized asphalt waterproofing
membrane, glass fiber reinforced with polyolefinic film
Manufacturing
60 mils thick
on the upper surface for use as an underlayment for metal
Location #2
roofing, roof tile, slate tiles and shingle underlayment.
Polystick MTS Plus
65'8" x 3'3 3/s"
TAS 103 A homogeneous, rubberized asphalt waterproofing
membrane, glass fiber reinforced with polyolefinic film
Manufacturing
60 mils thick
on the upper surface for use as an underlayment for metal
Location #2
roofing, roof tile, slate tiles and shingle underlayment.
Elastoflez S6 G
32'10" x 35-A/s
TAS 103 and Polyester SBS
ackkfface and modified granule top surfacmembrane r
ASTM D 6164 with sanded
Manufacturing
use in roof file underlayment systems.
Location #2
MANUFACTURING PLANTS:
1. Hazelton, PA
2. Winter Haven, FL
E N'rE R E D NOA No.: 21-0602.14
MIAMI•DADE COUNTY Expiration Date: 09/13/22
E, , J U N 0 8 `. Approval Date: O8/26/21
Page 2 of 7
BY:
Test Aeencv
Trinity I ERD
EVIDENCE SUBMITTED
Test Identifier Test Name/Reoort
P37300.10.11
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
PLYG-SC10130.09.16
PLYG-SC13035.08.17
TAS 110/ASTM D4798 & D 1970
ASTM D6164
TAS 103, TAS 110 & ASTM D1623
ASTM D1623
TAS 103 & TAS 110
ASTM D 1970 & TAS 110
TAS 103 & TAS 110
ASTM D1970 & TAS 110
ASTM D1623
TAS 103 & ASTM D4798
Date
10/19/11
07/02/13
05/12/14
10/03/14
10/07/14
10/17/14
06/27/16
06/27/16
09/22/16
10/32/17
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.
ML4MFDADECOUNW
BUILDING PERMIT REQUMEMENTS:
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.
MIAMMADE COUNTY
ENTERZ.
JUN 0 8 e 1, /
NOA No.: 21-0602.14
Expiration Date: 09/13/22
Approval Date: 08/26/21
Page 3 of 7
BY:
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 TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS
or Polystick MTS 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 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.
ENTERED
MIAMFnADE COUNTY JUN U 8 C']C%
�110112019�
BY:
NOA No.: 21-0602.14
Expiration Date: 09/13/22
Approval Date: 08/26/21
Page 4 of 7
INSTALLATION REQUUtEMENTS:
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 cave, rolling the membrane to obtain maximum contact.
Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall
be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the
roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code.
4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the
membrane from the center outward in both directions.
5. For ridge applications, center the membrane and roll from the center outward in both directions.
6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to
lap areas.
7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control
Notice of Acceptance.
8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be
pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be
applied over the underlayment.
GENERAL LBUTATIONS:
1. Fire classification is not part of this acceptance.
2. 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 file 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 TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS
Plus shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities.
5. Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS
Plus shall not be adhered directly over a pre-existing roof membrane as a recover system.
6. Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS
Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below
after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the
nreceeding maximum time limitations.
Expo re Limitations s
Polystick
Polystick Elastoflex
Polystick
Polystick
Polystick
Polystick
MTS
IR-Xe S6 G
TU Plus
TU P
TU Max
MTS Plus
Winter Hsveu FI
180
90 180
180
180
N/A
180
180
180
N/A
Hazelton PA
N/A
90 N/A
180
7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61G20-3 of the Florida Administrative Code.
r', PT T E R. E D NOA No.: 21-0602.14
CMIAMI•DADE COUNTY Expiration Date: 09113/22
, J 0 8 NO 2 Approval Date: O8n6/21
Page 5 of 7
BY:
8.
9.
10.
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.
S6 G may be used in both adhesive set and mechanically
Polystick TU Max, Polystick TU Plus or Elastoflex
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 tile applications with the exception of mortar set tile
applications.
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
Profile
Flat Tile
Profiled
Tile
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.
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.
Polystick
MTS
Elastoflex
S6 G
Polystick TU Plus,
Polystick TU P
Polystick
TU Max
Polystick
MTS Plus
System (E3)
MTS Plus with
TU Plus
Prohibited
4:12
6:12
6:12
5:12
6:12
without battens
Prohibited
4:12
6:12
6:12
4:12
6:12
without battens
Roofing Tiles s
(6 Max. Per Stack)
12 i I
N
�i
Roof Deck prepared -th
POLYSnCKTUPlus .'.
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 TU Max, Polystick TU P, Polystick TU Plus,
Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice
of Acceptance listing Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick
MTS, Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance.
If Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS
Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the
Miami -Dade County Product Control Section for approval provided that appropriate documentation is provided
to detail compatibility of the products, wind uplift resistance, and fire testing results.
ENTERED NOA No.: 21-0602.14
CMIAMI.�DADE couNrr Expiration Date: 09/13/22
� J U N 0 8 1 �22 Approval Date: 08/26/21
Page 6 of 7
BY,
1.
2.
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.
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.
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.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact.
All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass
POLYPLUS 50, XtraFlex 50 Premium Modified Wet/Dry Cement or Polyglass PG 500 applied in between the
application of the lap. The use of mastic between the laps does not apply to Polystick MTS.
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.
Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be used on all projects for
pitch/slopes of TV12" or greater. It is suggested that on pitch/slopes in excess of 6'/a"/12", precautions should be
taken, such as the use of battens to prevent file sliding during the loading process.
Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours.
Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed
roof to wall details.
Repair of Polystick membranes is to be accomplished by applying Polyglass POLYPLUS 50, XtraFlex 50
Premium Modified Wet/Dry Cement or Polyglass PG 500 to the area in need of repair, followed by a patch of the
Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching
membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that
water will run parallel to or over the top of all laps of the patch.
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.
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.
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.
Questions in regards to the application of Polyglass products should be directed to our Technical Services
Department at 1 (800) 894-4563.
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
CMIAMI-MDADMECOOUNTY
,...I
EN7ERRD
NOA No.: 21-0602.14
Expiration Date: 09/13/22
Approval Date: 08/26/21
Page 7 of 7
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR
EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION
553.844 F.S.
To: Miami Shores Village Building Department Date:
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: 01 6 (� ")) (1? d-
Property Address: Z 5- N" i 2-5 T
Roofing Permit Number:
Dear Building Official:
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.
❑ The buildim was constructed in compliance with the provisions of the Florida Building Code
(FBC) or w he Jovisions of 1994 edition of the South Florida Building Code (1994 SFBC)
SigWature
State of Florida, Miami Dade County
Print Name
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the
above property mentioned. Sworn to and subscribed before me this ya4_day of
:::)a,* 2077--,
Notary Public, State of Florida at Large
Notary public State of f'WWa
Claus Been
g My Commission GG 913175
;__,�i` Expires09115/2023
• When the just valuation of the structure for purpose of ad valorem taxation is equal to
or more than $300,000.00, and the building was not constructed with FBC nor a 1994
SFBC. Then you must provide a building application from a General Contractor for the
Roof to Wall connection Hurricane Mitigation.
For Forms and Applications click here:
http://bidg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Owner affidavit of exemption Page 1 of 1
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS
NOTIFICATION FOR ROOFING CONSIDERATIONS
R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to
provide the owner with the required roofing permit, and to explain to the owner the content
of the section. The provisions of Section R4402 govern the minimum requirements and
standards of the industry for roofing system installations. Additionally, the following items
should be addressed as part of the agreement between the owner ant the contractor. The
owner's initial in the designated space indicates that the item has been explained.
1. (��� Aesthetics -Workmanship: the workmanship provisions of Section R4402 are
for the purpose of providing that the roof system meets the wind resistance and water
instruction performance standards. Aesthetics (appearance) are not a consideration with
respect to workmanship provisions. Aesthetic issues such as color or architectural
appearance, that are not part of a zoning code, should be addressed as part of the
agreement between the owner and the contractor.
2. () ii Renailing wood decks: When replacing roofing, the existing wood roof deck
may have to be renailed in accordance with the current provisions of Section R4403. (The
roof deck is usually concealed prior to removing the existing roof system).
3. 6 )� Common roofs: Common roofs are those which have no visible delineation
between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with
common roofs, the roofing contractor and/or owner should notify the occupants of
adjacent units of roofing to be performed.
4. 6�I Exposed Ceiling: Exposed, open beam ceilings are where the underside of the
roof decking can be viewed from below. The owner may wish to maintain the architectural
appearance; therefore, roofing nail penetration of the underside of the decking may not be
acceptable. This provides the option of maintaining the appearance.
5. CD Ponding water: The current roof system and/or deck of the building may not
drain well and may cause water to pond (accumulate) in low-lying areas of the roof.
Pounding can be an indication of structural distress and may require the review of a
professional structural engineer. Pounding may shorten the life expectancy and
performance of the new roofing system. Pounding conditions may not be evident until the
original roofing system is removed. Pounding conditions should be corrected.
Rev01142021 Owners roofing consideration Page 1 of 2
;SNORES V'!` Miami10050 NE Ave BUILDING DEPARTMENT
MiamiShoresFLP338
�•• 305-795-2204 www.msvfl.«ov
FNTES IN 9
pt0 RfO
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, R4403 and R4413.
7. Ventilation: Most roof structures should have some ability to vent natural
airflow through the interior of the structure assembly (the building itself). The existing
amount of atti 'ion shall not be reduced. It may be beneficial to consider additional
g
ventin whi h� Csult in extending the service H he roof.
�
Owner ent's Signature Date Con ct Signature Date
For Forms and Applications click here: Ij
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Rev01142021 Owners roofing consideration Page 2 of 2
5/12/22, 7:58 PM
Property Search Application - Miami -Dade County
Year
2021
2020
2019
Land Value
$383,240
$383,240
$357,879
Building Value
$176,228
$178,228
$180,228
Extra Feature Value
$353
$359
$365
Market Value
$559,821
$561,827
$538,472
Assessed Value
$489,468
$482,711
$471,859
Taxable Value hnform-aftorl
2021
2020
2019
COUNTY
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$439,468
$432,711
$421,859
SCHOOLBOARD
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$464,468
$457,711
$446,859
CITY
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$439,468
$432,711
$421,859
REGIONAL
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$439,468
$432,711
$421,859
Benefits infort-nation
Benefit Type
2021
2020
2019
Save Our Homes Cap Assessment Reduction
$70,353
$79,116
$66,613
Homestead Exemption
$25,000
$25,000
$25,000
Second Homestead Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City,
Regional).
https://www.miamidade.gov/Apps/PA/propertysearch/#/ 1 /3
5/12/22, 7:58 PM
Property Search Application - Miami -Dade County
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 11 & W20FT LOT 12 BLK 26
LOT SIZE 93.260 X 128
OR 19131-0478 05 2000 1
COC 26179-2616 12 2006 4
Previous Sale
Price
OR Book -Page
Qualification Description
04/09/2021
$985,000
32455-2906
Qual by exam of deed
01/28/2013
$580,000
28527-0849
Qual by exam of deed
10/14/2011
$100
27918-0891
Corrective, tax or QCD; min consideration
10/14/2011
$85,000
27918-0888
Financial inst or "In Lieu of Forclosure" stated
07/16/2010
$303,100
27368-1471
Financial inst or "In Lieu of Forclosure" stated
11/05/2009
$0
27098-3917
Financial inst or "in Lieu of Forclosure" stated
12/01/2006
$0
26179-2616
Sales which are disqualified as a result of examination of the deed
09/01/2006
$850,000
25017-2383
Sales which are qualified
05/01/2000
$257,500
19131-0478
Sales which are qualified
11/01/1992
$150,000
15708-4142
Sales which are qualified
04/01/1990
$132,000
14532-1333
Sales which are qualified
10/01/1986
$102,500
13074-2093
Sales which are qualified
For more information about the Department of Revenue's Sales Qualification Codes.
2021 2020 2019
Previous Owner 1
DAVID GRIMBERT
PATH INVESTMENTS
U S BANK NATIONAL.
US BANK NATIONAL <
AG LAKE TERRACE
CDR CONSULTING &
Land Use Muni Zone
PA Zone
Unit Type
Units
Calc Value
GENERAL R-20
1100 - SGL FAMILY - 2301-2500 SQ
Front Ft.
93.26
$383,240
Building Number Sub Area
Year Built Actual Sq.Ft.
Living Sq.Ft.
Adj Sq.Ft.
Calc Value
https://www.miamidade.gov/Apps/PA/propertysearch/#/ 2/3
Local Bus"Iness Tax Receipt
ii--Dade County, State of Florida
THIS IS NOT A BILL -DO NOT PAY
M►2M
RUStNESS MEJ OCA-FION RECEIPT NO.EXPIRES
NE ROOFING SERVICES INC NEWSEPTEMBER w
14+''ilt..2 h>", at }3.'<3C;-e of
HIALEAH FL S aid 10--2 26 F'€ rstf:Int ! > tj a,lty Do'd� ;
r �t1t 1% S G. TYPE Of BUSINESS
NNE RO,f31i t Rig C S ( C: 19 SPECIALTY BUILDING CONTRACTOR iltT�tEtlT iEtfd'�> �
11YTAX COLLECTOR
4 1 `£"£t` 1.11 CARABALLO QUALIFER CCC1328152
5.00 11 / 04'12 , 1
r K c' t�: r r(s) INT—= 7-- 779
This Local Business Tax Receipt only confirms payment of the Local Business Tax, `lire Hateipt is not license,
prerill it, Ora oeltilioation of the holder's qualifications, to do business. Holder must norsrply wim any gore mental
crr rrrzrattovr rtrrnerrral regulatory in s and requiremouls which apply to tlra business,
The RECEIPT NO, alcove must be displayed on all commercial velucles- Miami -Dade Code Soc U- 276
For mare information, visit ytydenr nl%rtrtrrclmlcl�, e��t�r ��ll�ar tfr_t
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice tv owner — vvvrKers L.vmpensativn insurance r_xernPLiUn
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. 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 o subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed t irk on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation i��?
overage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BE LO ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of !'Tj4f , 20 27
By O A" b r d tr wh is persori known to me or has produced
as identification.
Notary
SEAL: - Notary Public State of Florida
Glans Been
My Commission GG 913175
Expires o9ii512023
June 22, 2022
State of Florida
County of Dade
Before me this day personally appeared Mr. Jimmy Caraballo, who, being duly sworn, deposes and says:
That he will be the only person working on the project located at:
253 NE 93 ST
Miami Shores, Fl. 33138
qo t actor Signature
Pi r� Roofing Services Inc
CC 1328152
Sworn to and subscribe before me this ZZ day of ��n-e , 2022 by
Personally known
�•`�PV PU SILV AL•AGOGLIA
#EGG
• ;�oF r�4, Bonded Thru Notary Public Unde
7ary Signature and stamp.
pineroofingservices@gmail.com
2348 W 8th Court Hialeah, FI 33010
305-470-9970