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RF-06-22-1421Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 142 NW 99TH ST, Miami Shores, FL 33150 Contacts ZOE CANOBBIO Owner 142 NW 99 ST, miami shores, FL 33150 Description: RE -ROOF- FLAT TILE ROOF Fees Amount Application Fee - Other $50.00 CCF $15.00 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $5.00 Roofing Fee $225.00 Scanning Fee (Manual) $9.00 Scanning Fee (Manual) $9.00 Technology Fee $6.88 Total: $326.76 Building Department Copy Issue Date: 07/14/2022 Parcel Number 1131010240040 HORACIO UNZUETA HORACIO UNZUETA 1422 SW 82 CT, MIAMI, FL 33144 Business: 3052645444 Permit No.: RF-06-22-1421 Permit Type: Roof Work Classification: Tile/Flat Permit Status:: Approved Expiration: 01/16/2023 horaciounzueta@beIlsouth.net ctt Valuation: $ 24,200.00 Ins eon Requests: I 305-762 i�9 I Total Sq Feet: 1,848.00 Payments Date Paid Amt Paid Total Fees $326.76 Check# 1708 07/14/2022 $276.76 Check# 1700 06/06/2022 $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 1 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 anponing. Futhermore, I authorize the above named contractor to do the (work stated. Owner A Applicant I Contractor I Agent Date July 14, 2022 Page 2 of 2 Miami Shores Village �cvEn Building Department JUN 0 22 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972' INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit NJE—VI 14Z I PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ZOOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /V W qq tl� City: Miami Shores County:M l/ Miami Dade Zip: l Folio/Parcel#: ((' �(�� 004'0 Is the Building Historically Designated: Yes NO,� Occu pancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Sim l Address: /4a. / City: ^NISI RM Tenant/Lessee Name: Email: State: i v• r� ;1- j 0 CONTRACTOR: Company Name: {gym RA G1 o A r CJNZU C TA Phone#: Address: 147a, SLJ '9�1, GT. Email: Qualifier Name State Certification or Regist to DESIGNER: XrChitect/Epgineer: �_.. .. Value of Work for this e#: 7 #: C,6? G — 100 &q Xy Certificate of Competency #: e#: City: State: _Zip: Square/Linear rFF000ttage of Work: ( 8 4 $ 5 F Type of Work: `; .❑ .Add1t`tbc5� ❑ Alteration El New IJ' of El Demolition Description of Work: RfS—ROOF TILT;• R(coF m•U Specify color of color thru tile: pmzt C'k/❑'.z C o0AL &-�-JU D Submittal Fee $50. 1 Permit Fee $ C/��.1>c� CCF $ Is-CO/CC $ Scanning Fee $ 61 • DCA Fee $ IJ DBPR $4 f ?2 Notary$ Technology Fee $ L0,400 Training/Education Fee $ Z7.0 Double Fee $ -- ?O 2-3 Structural Reviews $ (Revisedp4/05/2022) P&Z Review $ Bond $ TOTAL FEE NOW DUE $ �I Bonding Company's Name (if applicable) Bonding Company's Address City SI 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 $1500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR - The foregoinnstrum nt was acknowledged before me this The foregoing instrument w s acknowledged before me this Z day of suun2�Jby w day of y� `�sNU nG/p by Z o 6 A.! N '�' own to r/ O r Cl C r OiS�Qt%�Y u y G; � ' me or who has produced i _ �. m kga c as me or who has produced r! c1 n"Mwgore�a�ras May 4, 2026 2145Bg identification and who did taBe an matNH 214566 = identification and who did takCatt oath. NOTARY PUBLIC: ' Ut1LIG �Qe� NOTARY PUBLIC: 1��iF OF FL� `�� irt�F FL tOPsi Sign: Sign: Print: J 'Q— �1 Print: Seal: Seal: #######R######RtRR##iiii#t####i#########_####/##RRRRRRRR##RRRRRRR#RRRRRiRiiiRR##iRRRRiRiRR#RRRRRiRRR#iRRRRRR APPROVED BY hI L'v Plans Examiner Zoning Structural Review Clerk (Revised04/05/2022) Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section A (General Information) Master Permit Number: Process Number: Contractor's Name: 7-c3 C I' x Job Address: ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ROOF TYPE ❑ New Roof ❑ Repair ❑ Maintenance RECEIVED ortar/AdhesiveSetTile JUN 062022 ❑ Wood Shingles /Shakely: _ ROOF SYSTEM INFORMATION Reroofing ❑ Recovering Low Slope Roo rea (ftz) Steep Sloped Roof Area (ft2) Total (ftZ) 184- l 1234'?3 Are there as vents on the roof? O Yes No If Yes hat type? CU Natural © LPX Is there an existing rooftop Solar System? 0 Yes ;No If yes will it be reinstalled? O Yes CN1Vo 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. lox 5 P= 1342 Shi 30 let ana uoumy roves anu voyuinu Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section C (Low Sloped Roof Systems) Fill in Specific Roof Assembly Components and Identify manufacturer (If a component is not used, identify as "NA") System Manufacturer: Product Approval # Design Wind Pressures, from RAS 128 or Calculations: Zone 1': Zone 1: Zone 2: Zone'3: Max. Design Pressure, from the specific product approval system: Deck Type: Gauge / Thickness: Slope: Anchor/ Base Sheet & No. of Ply(s): Anchor/ Base Sheet Fastener/ Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/ Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/ Bonding Material: Ply Sheet(s) and No. of Ply(s): Ply Sheet Fastener/ Bonding Material: y Top Ply: Top Ply Fastener/ Bonding Material: Surfacing: Fastener Spacing for Anchor/Base Sheet Attachment: Zone 1' " oc @ Laps, # Rows @ to oc Zone 1 " oc @ Laps, # Rows @ " oc Zone 2 " oc @ Laps # Rows @ " oc Zone 3 " oc @ Laps, # Rows @ " oc Number of Fasteners Per Insulation Board Zone 1': Zone1: Zone 2: Zone 3: Illustrated Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufactures Details that Comply with RAS 111 and Chapter 16. Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section D (Steep Sloped Roof System) �O �-A JUN a 6 2022 Roof System Manufacturer: Product Control Number: �'-z ) — O 2r 2 D. D Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zone1: 74 Zone 2e: r74 Zone2n: � IV S Zone 2r: —ln8 Zone 3e: " 10 9 Zone 3r: (28 Slope Range: 1S 2:12 to _< 4:12 Roof Shape: Q All Hip Roof Deck Type: Q>4:12to<_6:12 0>6:12to512:12 Q Gable Roof or Partial Gable/Hip Roof Underlayment Type: :j' D Ag 1 " Roof Slope: 3 :12 �I< Insulation: (/-t Fire Barrier: ).i A Ridge V�e tilatioFastener Type &Spacing: Cap Sheet Type: 0 Lst's t 1 G Y� jv) i-j! PL u S I Cap Sheet Attachment: Sal Mean Roof Height: I _1 Roof Covering: '5A-NCO tJ `j g tJO l TI i� Drip Edge Type & Size: I ex-3 '%!o JUN 06 2022 Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County BY. Section E (Tile Calculations) For Moment based tile systems, choose Method 1. Compare the values for M,with the values from Mr. If the Mr values are greater than or equal to the M, values for each area of the roof, then the tile attachment method is acceptable. Method 1* " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this table ( Zone 1: 7k x a-� = —23131) - Mg: _0 5 = Ma . l r"#BProduct Approval Mf: —coo (zone 2e: ' �� x X r 015, = M23.31) - Mg: 7� = Mr2e� t Q Product Approval Mf: ( Zone 2n: Ivy x x "31S- =—.;4.0 •) - Mg: _7' 63 = Mr2n 26.3 I Product Approval Mf: 6 C) (Zone 2r:_Ipg xae (r=.7 J%1_Mg: 7.6�%=Mrz,'2G3 Product Approval ME —�0' (Zone 3e:'LQ x?LA31S = AO7-)-Mg:7r g% =Mr3e-2'3 Product Approval Mf: ( Zone 3r: I'2$ x 11 • I = ^4'0X)-_ Mg: -rr �3 = Mr3-3�•64 Product Approval Mf: '� 6 Tile attachment method., Alternate Tile attachment method: For Uplift Based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values for each area of the roof, then the tile attachment method is acceptable. Method 3* "Uplift Based Tile Calculations per RAS 127" (Zone 1: x L = x W = ) - (w) x cos B ) = Fr2 Product Approval F': (Zone 2e: —x L = x W = ) - (w ) x cos B ) = Fr2e Product Approval F': (Zone 2n: x L = x W = ) - (w) x cos B ) = Fr2n Product Approval F': (Zone 2r: x L = x W = ) - (w) x cos B ) = Fr2, Product Approval F': (Zone 3e: x L = x W = ) - (w) x cos B ) = Fr3e Product Approval F': (Zone 3r: x L = x W = ) -(w) x cos B ) = Fr3r Product Approval F':, *Method 2 "Simplified Tile Calculations" only applicable in Broward County. Where to obtain information Description Symbol Where to Find Design Pressure Zones 1, 2e, 2n, 2r,3e, 3r From the applicable Table in RAS- 127 or be an engineering analysis prepared by a PE based upon ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier A Product Approval / Notice of Acceptance Restoring Moment due to Gravity M Product Approval / Notice of Acceptance Attachment Resistance MI Product Approval/ Notice of Acceptance Required Moment Resistance M, Calculated Minimum Attachment Resistance F' Product Approval / Notice of Acceptance Required Uplift Resistance F, Calculated Average Tile Weight w Product Approval / Notice of Acceptance Tile Dimensions L=Length W= Width Product Approval / Notice of Acceptance All calculations must be submitted to the Building Official at the time of permit application. Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section E (Tile Calculations) For Moment based tile systems, choose Method 1. Compare the values for M,with the values from Mr. If the Mr values are greater than or equal to the Mr values for each area of the roof, then the tile attachment n (9cWPVPD Method 1* "Moment Based Tile Calculations per RAS 127" J U N 0 6 2022 Enter positive uplift pressures when using this table BY:_� -7- (Zone 1: A1_ )_M: 7,03- M.bApprovalMf: CO D (zone 2e:'-74- xaI!✓IS =--23,5j)-Mg: ?•il = Mr2.- L�0 Poduct Approval Mf: `�o0 (Zone 2n:'107 xA,3(S Mg: -T'la3=Mrz-A.3 PoductApprovalMf:—(0C) ( Zone 2r: " 10,8 x A e IS = -3�A7) _ Mg: 7• Op =Mr2r-2431 Product Approval Mf: (Zone3e: t00 xA.42J Mg: 7r 3? =Mr3"`�ia3 Plloduct Approval Mf: ( Zone 3r: x A ♦ Mg: 7i 4y = Mr3732•(v9 Product Approval Mf: 6 Tile attachment method. Alternate Tile attachment method: For Uplift Based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values for each area of the roof, then the tile attachment method is acceptable. (Zone 1: x L = (Zone 2e: x L = (Zone 2n: x L = (Zone 2r: x L = Method 3* "Uplift Based Tile Calculations per RAS 127" x W = ) - (w) x cos 9 ) = Frz Product Approval F': x W = ) — (w ) x COS e ) = FfI2e Product Approval F': x W = ) - (w) x cos B ) = F I2" Product Approval F': x W = ) - (w) x cos B ) = Frz, Product Approval F': (Zone 3e: x L = x W = ) - (w) x cos B ) = F (Zone 3r: x L = x W = ) — (w) x cos B ) = Fr�, *Method 2 "Simplified Tile Calculations" only applicable in Broward County. Product Approval F': Product Approval F': Where to obtain Information Description Symbol Where to Find Design Pressure Zones 1, 2e, 2n, 2r,3e, 3r From the applicable Table in RAS-127 or be an engineering analysis prepared by a PE based upon ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier A Product A roval / Notice of Acceptance Restoring Moment due to Gravity M. Product Approval / Notice of Acceptance Attachment Resistance Mr Product Approval /Notice of Acceptance Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval / Notice of Acceptance Required Uplift Resistance Fr Calculated Average Tile Weight w Product Approval/Notice of Accept nce Tile Dimensions L=Length W=Width Product Approval Notice of Acceptance All calculations must be submitted to the Building Official at the time of permit application. M®� DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Boral Roofing LLC 7575 Irvine Center Drive 9100 Irvine, California, USA 92816 SCOPE: MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 315-2599 BY: JUN 0 6 ZRZ 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 fols 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: Saxony 900-Slate & Saxony Split Slate, Saxony 900- Shake & Saxony 900-Split Shake - Flat Profile 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-D�de 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 y 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# 19-0814.02 and consists of pages I through 9. The submitted documentation was reviewed by Alex Tigera. NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26t21 Page 1 of 9 ROOFING ASSEMBLY APPROVAL RRi CRrVED Category: Roofmg Sub -Category: Roofing Tiles JUN 9 62022 Material: Concrete 1. SCOPE This approves a roofing system using Saxony 900-Slate & Split Slate, Sa ony 900- Shake & Saxony 900- Split Shake as manufactured by Boral Roofing LLC, in Okeechobee, Florida as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Dimensions Test Product Applicant Specifications Description Saxony 900-Slate & Split L =17" TAS 112 Flat, Type 3a interlocking Class III, concrete file Slate, Saxony 900- Shake W =13" equipped with two nail holes. For direct deck or & Saxony 900- Split H = 1.19" battened nail -on, mortar or adhesive set Shake Thickness:.70" applications. Trim Pieces L= varies TAS 112 Accessory trim, concrete roof pieces for use at hips, W = varies rakes, ridges and valley terminations. Varying thickness Manufactured for each tile profile. 2.1 PRODUCTS MANUFACTURED BY OTHERS Product Name Product Description Manufacturer (With Current NOA) ICP Adhesives Polyset AH-160 Two component polyurethane ICP Adhesives and Sealants, Inc. foam adhesive. TILE BOND Roof Tile Adhesive Single component polyurethane foam roof tile adhesive. Touch `N Seal StormBond® 2 Two- Two component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive Touch `N Seal StormBond® One One component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive "Tile Tite" Roof Tile Mortar Bonsal Roof Tile Mortar "Quikrete" Roof Tile Mortar, FL-15 Premixed, pre -bagged roof tile mortar. Premixed, pre -bagged roof tile mortar. Premixed, pre -bagged gray roof tile mortar. The Dow Chemical Company DAP Foam, Inc. DAP Foam, Inc. Bermuda Roof Co. Inc. Bonsal American The Quikrete Companies, Inc. NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 2 of 9 2.2 MANUFACTURING LOCATION 1. Okeechobee, Florida 2.3 SUBMITTED EVIDENCE: Test Aaencv Redland Technologies The Center for Applied Engineering, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. American Test Lab of South Florida Walker Engineering, Inc. PRI Construction Material JUN 0 g it By. Test Identifier Test Name/Report Date 7161-03 Appendix III PA 102 & PA 102(A) Dec. 1991 7161-03 Appendix H PA 108 (Nail -On) Dec. 1991 Letter PA 108 (Nail -On) Aug. 1994 P0631-01 PA 108 (Mortar Set) July 1994 P0402 Withdrawal Resistance Testing of screw vs. Sept. 1993 smooth shank nails 94-060A PA 101 (Mortar Set) March, 1994 94-084 PA 101 (Adhesive Set) May 1994 25-7094-2 PA 102 Oct. 1994 (4" Headlap, Nail , Direct Deck, New Cons coon) 25-7094-8 PA 102 (4" Headlap, Nails, Battens) Oct. 1994 25-7094-5 PA 102 (4" Headlap, Nails, Direct Deck, Oct. 1994 Recover/Reroof) 25-7183-6 PA 102 (2 Quik-Drive Screws, Direct Feb. 1995 Deck) 25-7183-5 PA 102 (2 Quik-Drive Screws, Battens) Feb. 1995 25-7214-1 PA 102 (1 Quik-Drive Screw, Direct Deck) March, 1995 25-7214-5 PA 102 (1 Quik-DIrive Screw, Battens) March, 1995 Project No. 307025 P 100 Oct. 1994 Test #MDC-77 520109-1 PA 101 Dec. 1998 520111-4 PA 101 March 1999 520191-1 PA 101 March 1999 Calculations Aerodynan dc Multiplier October 2007 Calculations Moment of Gravity August 2007 Calculations 25-7094 February 1996 Calculations 25-7496 April 1996 Calculations 25-7584 December 1996 Calculations 25-7804b-8 December 1996 Calculations 25-7804-4 & 5 December 1996 Calculations 25-7848-6 December 1996 Calculations 25 7183 March 1995 Calculations Aerodyn is Multipliers April 1999 Calculations Two Paddy A esive Set System April 1999 TAS 112 RT1023.01-18 October 30, 2018 Calculations BORR-022-02-01 Restoring Moment Aerodyn is Multipliers TA 101 March 29, 2018 02/25/2019 NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 3 of 9 Technologies LLC BORR-022-02-02 TA 101 02/25/2019 BORR-022-02-03 TAJ 101 02/25/2019 B2002TO 03.034 2002T0003.03 TA TA 101 101 RECEIVF41A/20 3. LEVHTATIONS JUN 0 G 2022 3.1 Fire classification is not part of this acceptance. BY. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed m aecorr ce with TAS 106. 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 Miami -Dade Product Control office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 Mechanically attached tiles minimum 4/12 slope. 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. 3.8 All products listed herein shall have a quality assurance audit in a cordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. 4. INSTALLATION 4.1 Saxony 900-Slate & Split Slate, Saxony 900- Shake & Saxony 900- Split Shake and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W (lbf) Length -I (ft.) Width-w (ft) Saxony 900-Slate & Split Slate, Saxony 900- Shake 10.9 1.42 1.08 & Saxon 900- Split Shake Table 2: Aerodynamic Multipliers - A' w) Tile Profile A (ft3) A (ft3) Batten Application Direct Deck Application Saxony 900-Slate & Split 1 Slate, Saxony 900- Shake 0.291 0.315 & Saxon 900- Split Shake NOA Na.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 4 of 9 RECEIVED JUN 0 $1022 Table 3: Restoring Moments due to Gravity - Mo (ft. Ib :--------® Tile 2":12" 3":12" 4":12" 5":12" VAT' 7":12" or Profile greater Saxony Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 900-Slate Deck Deck Deck Deck Deck Deck & Split N/A 7.70 N/A 7.63 4.74 7.51 4.65 7.71 4.53 7.17 4.40 6.97 Slate, Saxony 900- Shake & Saxony 900- Split Shake Table 4: Attachment Resistance Expressed as a Moment - Mf (ft.-lbf) for Mechanically Attached Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19/32" plywood) Battens Saxony 900-Slate & Split Slate, Saxony 900- Shake & Saxony 900- Split Shake 2-10d Ring Shank Nails 30.9 38.1 17.2 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail Field Clip) 24.3 24.3 24.2 1-10d Smooth or Screw Shank Nail Eave Clip) 19.0 19.0 22.1 2-10d Smooth or Screw Shank Nails Field Clip) 35.5 35.5 34.8 2-10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 i 2-10d Ring Shank Nails' 50.3 65.5 48.3 1 Installation with a 4" the headlap and fasteners are located a min. of 2'/2" from head of tile. NOA No.: 21-0420.04 MwywnnEcourm Expiration Date: 05/02/24 Approval Date: 08/2621 Page 5 of 9 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf),. for Two Paddy Adhesive' Set Systems - '- -- -- Tile Profile Tile Application Minimum Attachment Resistance Saxony 900 Slate &, Shake & Split TILE BONDTAI Roof Tile Adhesive 633 Shake TILE BONDT Roof Tile Adhesi, a 654 ICP Adhesives Pol set® AH-160 31.35 Touch'N Seal StormBond®2 595 Touch 'N Seal StormBond®(one component) 1057 2 See foam adhesive manufacturer's component approval for installation requirements. 3 Medium paddy weight of 8 grams per paddy of TILE BOND'"" Roof Tile Adfesive 4 Medium paddy weight of 16 grams per paddy of TILE BONDTm Roof Tile A ihesive 5 Medium paddy weight of 8 grams per paddy of Polyset® AH-160 6 Medium paddy weight of 8 grams per paddy of Touch 'N Seal StormBond 4 2 7 Medium paddy weight of 18.7 grams between tile and underlayment, paddy weight of 10.5 grams on overlap of tile of Touch 'N Seal StormBond ® one component) Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Paddy Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Saxony 900 Slate &, Shake & ICP Adhesives Pol set®AH-160 1198 Split Shake ICP Adhesives Pol set® AH-160 1159 ICP Adhesives Pol set® AH-160 8310 ICP Adhesives Pol set® AH-160 6071 Touch 'N Seal StormBond®2 9312 Touch 'N Seal StormBond®2 6213 8 Large paddy weight of 45 grams of Polyset® AH-160 9 Large paddy weight of 34 grams of Polyset® AH-160 10 Medium paddy weight of 24 grams of Polyset® AH-160 11 Medium paddy weight of 18 grams of PolysetO AH-160 12 Large paddy weight of 45 grams of Touch 'N Seal StormBond e 2 13 Medium paddy weight of 24 grams of Touch 'N Seal StormBond ® 2 Table 7: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Saxony 900 Slate &, Shake & Split Mortar Set13 43.9 Shake 14 Bermuda Roof Co. Inc. Tile-Tite Roof Tile Mortar. NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 6 of 9 I2EC01 VED JUN Q 6 202Z Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ib for Two Paddy Adhesive2 Set Systems Tile Profile Tile Application Minimum Attachment Resistance Saxony 900 Slate &, Shake & Split TILE BONDTM Roof Tile Adhesive 633 Shake TILE BONDTm Roof Tile Adhesive 664 ICP Adhesives Pol set® AH-160 31.35 Touch'N Seal StormBond®2 598 Touch'N Seal StormBond®(one component) 1057 2 See foam adhesive manufacturer's component approval for installation requirements. 3 Medium paddy weight of 8 grams per paddy of TILE BONDT Roof Tile Adhesive 4 Medium paddy weight of 16 grams per paddy of TILE BONDw Roof Tile Adhesive 5 Medium paddy weight of 8 grams per paddy of Polyset® AH-160 6 Medium paddy weight of 8 grams per paddy of Touch'N Seal StormBond a 2 7 Medium paddy weight of 18.7 grams between tile and underlayment, paddy weight of 10.5 grams on overlap of tile of Touch 'N Seal StormBond ® one component) Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Single Paddy Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Saxony 900 Slate &, Shake & ICP Adhesives Pol set® AH-160 1198 Split Shake ICP Adhesives Pol set® AH-160 1159 ICP Adhesives Pol set® AH-160 8 10 ICP A hesives Pol set®AH-160 6017 uc r 3 2 Touch'N Seal StormBond®2 6213 8 Large paddy weight of 45 grams of Polyset® AH-160 9 Large paddy weight of 34 grams of Polyset® AH-160 10 Medium a wei ht of 24 grams of I set® AH-160 1 lum�paddy weight o grams of Polyse AH-1 12 Large pa dy weight or 45 grams of Touc Seal StormBond ® 2 13 Medium paddy weight of 24 grams of Touch 'N Seal StormBond 12 Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Saxony 900 Slate &, Shake & Split Mortar Set73 43.9 Shake 14 Bermuda Roof Co. Inc. Tile-Tite Roof Tile Mortar. NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 6 of 9 RECEIVED JUN 0 By;_ 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved". BORAL (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMTr 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 Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 21-0420.04 MUIMI-DADE COUNTY Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 7 of 9 RECEIVED V SUN 0 0 2022 PROFH,E DRAWINGS BY: Saxony 900 Slate t•9j3r 13" Saxony 900 Split Slate 1 &-� AJ NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 8 of 9 END OF THIS ACCEPTANCE RECu�IVVED BY: JUN 0 00 ZUZZ cn NOA No.: 21-0420.04 Expiration Date: 05/02/24 Approval Date: 08/26/21 Page 9 of 9 MIMI n MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND G.ODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w .miamidade.eov/economy ICP Adhesives and Sealants, Inc. RECEIVED 12505 NW 40 Street Coral Springs, FL. 33065 JUN 0 6 2022 SCOPE: By: 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 -I Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) material tested for quality assurance purposes. If this product or material fails manufacturer will incur the expense of such testing and the AHJ may irnmediat( such product or material within their jurisdiction. RER reserves the right to rev( Miami -Dade County Product Control Section that this product or material fails b building code. This product is approved as described herein, and has been designed to comply t the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyset®AH-160 ade County Product Control Section (In -eserve the right to have this product or o perform in the accepted manner, the y revoke, modify, or suspend the use of :e this acceptance, if it is determined by meet the requirements of the applicable the Florida Building Code including 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 NO. 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 Miarni-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 i nanufacturer 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. "'t I NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile 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 tile systems using Polyset® AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications Polyset®AH-160 N/A TAS 101 Two component polyurethane foam adhesive ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTF1000 ICP Adhesives ProPacV N/A Dispensing Equipment 30 & 100 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: ProveProverty Test Results Density @ 73°F ASTM D 1622 2.1 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 14 PSI Perpendicular to rise Tensile Strength ASTM D1623 29 PSI Parallel to rise Water Absorption ASTM D2842 0% Moisture Vapor Transmission ASTM E96 2.3 Perms Dimensional Stability ASTM D2126 +0.07% Volume Change @ -40' F., 2 weeks +6.0% Volume Change @158T., 100% Humidity, 2 weeks Closed Cell Content ASTM D6226 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 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 2 of 11 EVIDENCE SUBMITTED: Test A2encv Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services NEMO ETC, LLC Test Identifier #94-060 257818-IPA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB-589-631 9637-92 01-6743-011 01-6739-062b[1] 7050.02.96-1 P36700.04.12 P39740.02.12 528454-2-1 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109-6 520109-7 520191-1 520109-2-1 4p-ICP-20-SSLAP-01.13 TAS 101 TAS 101 SSTD I1-93 SSTD 11-93 SST 11-93 ASTM D 1623 ASTIA E 108 ASTM E 108 ASTM E 84 TAS 114 ASTM D 1623 TAS 101 TAS 123 TAS 101 TAS 101 TAS 101 Physical Properties RECEIVED JNN 0 Q 2022 BY; Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01 /94 04/30/93 11/16/94 01/16/95 03/14/96 04/18/12 02/21/12 10/23/98 12/28/98 03/02/99 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 tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polyset® AH-160 roof tile adhesive with their file assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in Rule 61G20-3 of the Florida Administrative Code. with the Florida Building Code and NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 3 of 11 INSTALLATION: 1. 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. 2. 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 file assembly NOA. 3. 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. Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPacO 30 & 100 dispensing equipment only. 7. 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 Polyset® AH-160 has been dispensed. 9. Polyset® AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 22-0411.02 M1AMhDADE COUNTY Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 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 12-14sq. inches 30 High Profile #2 17-19 sq. ' cbes 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 dentifiable marking of the manufacturer's name or logo and following statement: "Miami -Dade County Product Controls ouad Dade County Product Control Seal as shown below. CI..:�r fQkb 14MM4DADE COUNTY JUN Q H 1022 BUILDING PERMIT REQUIREMENTS: BY, --- As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 5 of 11 �CEIVSD P'Y: JUN 0 n 2022 ADHESIVE PLACEMENT DETAIL # 1 Nail through plastic Paddy (Beneath Tile) sv Underlaymen[ a t�\\ loin. _ Battens optional gave Course / �'f2in r Eave Closure cement Battens optional Paddy (Beneath Eave Closure Fascia Nab tenhrough plast iwhic <e paddy (Beneath Tile) required) / Underlayment lo)n.K 2ln.wide Battens (Optional y Eave Course Fascia Weephole E.loin. 2In. edge sure Drill, p eedge M)AMMADECOUMY 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 cm) — 23 (148.4 cm2) 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 nun) x 10" (254 Tom) 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 cm2) — 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 nun) 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. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 6 of 11 REcZIVED ADHESIVE PLACEMENT DETAIL ;'# 2 JUN U 62022 BY: Nail through plastic cement Paddy(Beruath Tile) (whenrequired) Undedayment R 7in 2 Battensoptional Lava Course loin.-, '•- 'in Halo Eave Closure Nail through plastic cement (when required) Paddy (BeneathTilel Underlayment 7 iin. 2 n. Battens optional loin. '•'•.,.' tin. Eeve Clesura Eave Course Fascia Flat/Low Profile He —��— 1. Starting at the leave course, apply a minimum 2" (50.8 mm) x 10" (254 nun) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 c 2) square inch adhesive contact with the underside of tie 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 strengthening rib closest to the overlock of the tile being set. 3. Continue ins a manner. Insure approximately 10" (64.5 cm') - 1 (77.4 cm2) square inch adhesive contact with thr underside of the tile. Medium Profile / Double Pan Tile Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (25 mm) x V (25.4 mm) foam paddy onto the underl�yment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 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 In) x 1" (25.4 mm) foam paddy onto the underlayment�ositioned as shown under the pan portion of the title closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) - 14 (90.3 em2) square inch adhesive contact with the underside of the tile. (Instructions continued on nest page) NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 7 of 11 RECEIVED JUN 0 6 2022 ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) Nail through plasticm (when required) paddy (Beneath Tile) (Undedaymeat W 7 in.. ' i 2 n. Banensoptional Ea ve course Fasda Weti,We Eavedosure loin. 2 in. Dripedge High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set Insure approximately 17 (109.7 cmZ) — 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" (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. 3. Continue in same manner. Insure approximately 17" (109.7 cm) - 19 (122.6 cmZ) square inch adhesive contact with the underside of the tile. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 8 of 11 R-ECM1VE1:) ADHESIVE PLACEMENT DETAIL # 3 Hail through plastic cement Paddy(between tilesi (when required) ea7ensoptlonal ` Paddylundertile) Singlepad _ r mtopdble s S5umggkP� r . mde ti 5inglepaddy ,�" on undedayment •e`1:a11n. fan. y- in as<ia Ea"Closure Flat/Low Profile Tile Nail through plasdccement Single paddy under tie (when "Iced) Paddy (between tiled 6abens Paddy lender tile) optional -0 Singlepaddy on top of tie a �adin. r •- � lirpaddyon un ayment 3a4in�'-. • loin. 21M �-Em Closure Eave Course Fascia Medlum Profl le Tile JUN 0 62022 BY: 1. On the cave course only, apply a minimum 2" (50.8 mm) x 10" (254 nun) 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 rile for low or high profile tile closest to the overlock of the rile being set. Leave approximately 4" (101.6 mm) up from the cave edge free of foam to prevent the expanded adhesive from blockig the weep holes. Insure approximat ly 17-23 in (109.7-148.4 cmZ) of adhesive contact with the underside of the file 2. Apply a 4" mm) foam the second under the sl pan portion the second approximat contact will (Instructions co 1.6 mm) x 4" (101.6 mm) x 1" (25.4 dy onto the underlayment just below rse line positioned foam paddy gthening rib for flat tile, or under the the tile, closest to the underlock for rse tile to be installed. Insure 8-9 in (51.6-58.1 cmz) of adhesive e underside of the tile. on next page) NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 9 of 11 gZI:!,CEIVED )01% AIN 0 6 2022 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) .�11 u plastic Singiepaddy under file Isehenrequbedl Paddy Ibenween tiles] Battens oprional r' Paddy lunderUlel single paddy onunQedayrn asain. Single 2x41n. y* Pr on top of ble- Fire Course'- Fascia Weephole Ea edosure loin.2in. Drip edge High Pro0leTile Also apply a 2" (50.8 mm) x 4" (101.6 mm) x'/T (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm2) - 11 (71cm2) square inch adhesive contact with the underside of the tile 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. NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 10 of 11 1) Place enough adhesive toaehieve eS Wit in contact with the pan tile. 2)Tom covers upside down. Place adhesive it to I in.hoit outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq. In. contact area. Undedayment (motarshown) Fascia ADHESIVE PLACEMENT DETAII RECEIVED TWO PIECE BARREL y JUN 0 6 2022 Two Piece Barrel (Cap and Pan) I t e Steapphch Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Fissure eave and of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile END OF THIS 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy ono 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 p 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 aIr low for expansion. 4. Ti cov tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (l29 cm2) - 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 considere' optional. 5. When ad itional nailing is required, 2" (50.8 m) x 4 m" (101.6 mm) milers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. ACCEPTANCE NOA No.: 22-0411.02 Expiration Date: 05/10/27 Approval Date: 05/05/22 Page 11 of 11 COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade.eov/economy Polyglass USA Inc. RECEIVED 1111 W. Newport Center Drive Deerfield Beach, FL 33442 J U N 0 6 ZOZZ SCOPE: BY: 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 Co ty RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Hai ing 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 Coun) 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 complyith the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No.17-0614.22 and consists of pages 1 through 7. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 1 of 7 ROOFING COMPONENT APPROVAL Category Roofing Sub -Category: Underlayment Material: SBS, APP PRODUCTS DESCRIPTION: Product Polystick IR-Xe Manufacturing Location #1 & #2 Polystick TU Max Manufacturing Location #1 & #2 Test Dimensions Specification RECEIVE JUN 0 6 202Z BY: Product Description 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 material for use as an underlayment in sloped roof 60 mils thick assemblies. Designed as an ice & rain shield. 65'8" x 31-3/8" 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. Polystick TU P 32'10" x 313/e" TAS 103 and A rubberized asphalt waterproofing membrane, glass - Manufacturing 130 mils thick ASTM D 1970 fiber/polyester re nforced, with a granular surface Location #2 designed for use is a file roof underlayment. Polystick TU Plus (Surface Printing) Manufacturing Location #1 & #2 Polystick MTS Manufacturing Location #2 Polystick MTS Plus Manufacturing Location #2 Elastofiex S6 G Manufacturing Location #2 65' x 3'33/e" 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/B" TAS 103 A homogeneous, bberized asphalt waterproofing 60 mils thick membrane, glass ber reinforced with polyolefmic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. 65'8" x 3'33/s" TAS 103 A homogeneous, rubberized asphalt waterproofing 60 mils thick membrane, glass reinforced with polyolefmic film on the upper surf fiber a for use as an underlayment for metal roofing, roof tile, late tiles and shingle underlayment. 32'10" x 3'3-3/s" MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL TAS 103 and Polyester reinforced, SBS modified bitumen membrane ASTM D 6164 with a sanded back face and a granule top surface. For use in roof tile underlayment systems. NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 2 of 7 EVIDENCE SUBMITTED Test Aeencv Test Identifier Test Name/Report Date Trinity I GRD P37300.10.11 TAS 110/ASTM D4798 & D1970 10/19/11 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 D 1970 & TAS 110 06/27/16 PLYG-SC10130.09.16 ASTM D1623 09/22/16 PLYG-SC13035.08.17 TAS 103 & ASTM D4798 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-D de County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMI-DARE COUNTY JUN 0 6 2022 BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 21-0602.14 Eapiradon Date: 09/13/22 Approval Date: 08/26/21 Page 3 of 7 pc-CcmVED INSTALLATION PROCEDURES: Deck Type 1: Deck Description: System Type E(1): Anchor/Base Sheet: Fastening: Membrane: Surfacing: Wood, non -insulated Min. 19/32" plywood or wood plank BY- JUN 0 VON Anchor sheet mechanically fastened to deck, membrane adhered One or more plies of ASTM D 226 Type H or ASTM D 2626. 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) Polystick IR-Xe, Polystick TU Max, Polystick TU IP, Polystick TU Plus, Polystick NITS or Polystick MTS Plus, self -adhered. 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, mei Anchor/Base Sheet: One or more plies of ASTM D 226 Type H or A: Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" base sheet only) Membrane: Elastoflex S6 G, hot asphalt applied Surfacing: See General Limitations Below. Deck Type 1: Deck Description: System Type E(3): Anchor/Base Sheet: Fastening: Ply Sheet: Membrane: Surfacing: Wood, non -insulated ae adhered D 2626. 6" o.c. at a minimum 4" head lap. (for Min. 19/32" plywood or wood plank Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. One or more plies of ASTM D 226 Type H or ASTM D 2626. 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) Polystick NITS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Polystick TU Plus, self -adhered. See General Limitations Below. NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 4 of 7 �DCDIVED JUN 0 6 ZGZ2 INSTALLATION REQUIREMENTS: 7 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any Fo3os ec panels, s, 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 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 LIMITATIONS: 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 file 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 I 'le systems. Elastollex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick ER-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plu , Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck shall b free of irregularities. 5. Polystick IR-Xe, Polystick TU Max, Polystick TU P, Polystick TU Plu , Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane as a ecover 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 preceeding maximum time limitations. i Exposure Limitations (Davs) Polystick MTS Polystick Ht-Xe Elastollex S6 G Polystick TU Plus Polystick TU P Polystick TU Max Polystick MTS Plus Winter Haven, FL 180 90 1 180 180 180 180 180 Hazelton PA N/A 90 1 N/A 180 N/A 180 N/A 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. NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 5 of 7 RRCRIVF, 8. In roof tile application, data for the attachment resistance of roof tiles sha manufacturer's Notice of Acceptance. Polystick TU Max, Polystick TU Plus or Elastoflex S6 G may be used fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fas Section 9. Jii, bd:iv; i/ By, be as set forth in the roo--f� both adhesive set and mechanically with the limitations outlined in Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope shall be as follows: (See Table Below) Tile Polystick Elastoflex Polystick TU Plus, Polystick Polystick System (E3) Profile MTS S6 G Polystick TU P TU Max MTS Plus MTS Plus with 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 The above slope limitations can be exceeded only by using battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. When battens are required, they shall be utilized during loading and installation of tiles. 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure — two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, for a total of 6 tiles — for all underlayments except Polystick MTS which shall be loaded onto battens. 11. a, a 0 A is is N V., U.K P�,eqX POLYnCKTU PI. 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 Iassembly 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 86 G are not listed, a request may be made to the Auth)rity Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for approval provided that a)propriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testiltg results. NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 6 of 7 POLYGLASS GENERAL APPLICATION GUIDELINES FOR OLYSTICK MEMBRANESV 2022 PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFTBl4PPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does accept the direct application of Polystick underlayment mmbranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck ft stallation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding r roducts. 2. All rolls, with the exception of Polystick TU Plus should be back -nailed m selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum I W 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 `hail area, area pars clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back -nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass POLYPLUS 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. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be used on all projects for pitch/slopes of T712" or greater. It is suggested that on pitch/slopes in excess of 6 VV/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass POLYPLUS 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. 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 famished 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 NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 7 of 7 RECEIVED 06/26 2819 09:35PM 12-Jul-ZBZZ 12:33 SpanDBP Fax I38ader � 72?62 p:i coRa�' "IrE(IYifD01YM CERTIFICATE OF LIABILITY INSU NCE I . M THRS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO GHTS UPON THE CER UWATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER • HE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT EEN THE MUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CER I MATE HOLDER. IMPORTANT: U the certUfcate holder is an ADDITIONAL INSURED, the pollcy(Ies) must have DTiIONAL INSURED provtslons a be endorsed N SUBROGATION IS WAIVED, subject to the terms and coetdltions of the policy, caetaln pok may r qute an endomemeltt. A atMeerleelt on this omiEfhxbe does rW confer d hts to the certfEoate holder in lieu of such Beef s . °ROwcm SUNZ Insurance Solutions, LLC. ID: (TLR) work6reca mmnt c/o TLR of Bona'ta, Inc MM:727767f x 3 1KNok 727-626-3862 700 Central Ave Suite 500 me St. Petersburg, k 33701 - encoraitr cam asuA® ereAulERs: TLR of Bonita, Inc dba Er, terpriseHR INsuAeRa: 700 Central Avenue Suite 500 moo: St. Petersburg FL 33701 I1S1,aM,21 E: llNUMM P t�VEAAeGS M11VIIRIN_aTs MIIYRUR• 0004-pnar 1 cmum w NIWRIM. HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO•THE DICATED. NOTW nWANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUC1E8 D [EXCiliSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID INSURED NAMED ABOVE FOR THE POLICY PERIOD OTHER DOCUMENT WITH RESPECT TO WHICH THIS SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CLAIMS. TYpEOF NBfAtANCEAM SUOR PQtJCYNIJ#E3Qi POLMYEFF WTs C0KNEICRLQKN11IALW2tlTY CLAI149.eAADE OCCUR �. EMMOCCURRENCE i PRIaMM(Es owamrm i 1AED EXP VWw an i PERSONAL & ADV K1URY i GBILAGGREWTEUWTAPPLIES PER: POLICY JECT LOC GENERALA GGREWTE i PRODUCrB _ OOtIPYOP At3G i i AUT0NMM1ENA8LiY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS IGRED NON40WO AUTW O(B.Y AUTOS ONLY i BODLYOWRY(Powpwtao i BODILY Raw Mermeddtr 0 i PROPEM DANUMi i t1�1ALIAQ �SSLUB OCCUR CLTIIAAS4AADE EACHOCCURRB CE i AGGREGATE i BED RETOMONS A M0ENMVEwLUwL"Y TIN P��%ppa�D? PAtndttloryInue IMM'DE aW NIA WCO39-COMI-022 WC038-00001.021 &1rt022 GJ1,2021 8N 611 EL EACHACCIDENT i1 Q00 Gil E.LOSFASE.EA i F-L DlS ME • PaucY umrT si, 000. 0 f Oust l of oPEGATI m LoCA710Nsr vBHum 5wow tOt. Addlllosstl litxtstrb Sandule, ensgr bo tcttabta a n�oie ' Coveraw Pwwklea d ball r Wased employees but not subconInwars of. Horatio A Unzum Crlerd EMN%re Y t qua.tq 14MOTHMIT-ATt: HAt RP= f%ALU MI t A"17nM I.- 122 Miami Shares Village Building Department 10050 NE 2nd Ave. Miami Shores FL $3138 SHOULD ANY OF'I'HE 7HE EXPIRATION ACCORDANCE WnH BOVE DAD POUCi6B SE CAN UR LM SE110 M THEREOF,K07M WILL BE DRSVEWD IN E POUCV PROVISIOMB. Y� Rick Leonard Ulm " 75 AUUKU to MrYMAI INIA. PUI manes "M8rV0a. ACORD 25 (MGM) The ACORD name and logo ere registered merits of WORD 68627285 =LIT ot. eoulta Pmo 0S9 msma c= i rt:aaaiae Jackson i 6/6/2022 12:Olt 4G Pit (Z=) i Page 1 of 10 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.Qov 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: 3D 22 10050 NE 2nd Ave Miami Shores, FI 33138 d Re: Owner's Name: 6100k0 ) Property Address: 14 a A) tQ 9 a S Roofing Permit Number: Dear Building Official: I ZEE CA-,u 0,6 a o certify that I am not required to retrofit the roof to wall connections of my building because: m 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 building was constructed in compliance with the provisions of the Florida Building Code (FBf) or with the pygvisj,pns of 1994 edition of the South Florida Building Code (1994 SFBC) X � V ZC,C_C`c,r bhi Si na ure Print Name S e of Florida, Miami Dade County The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above oroperty mentioned. Sworn to and subscribed before�day of _ 20 74- 4 " Notary Public, State of Florida at Large When the just valuation of the structure for purpo44P II axation is equal to ob or more than $300,000.00, and the building was not corfStrwaWd 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://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 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 Roof Permit Checklist • Permit Application — Signed and Notarized by both property owner and contractor. • Owner Affidavit of Exemption Form, F.S. 553.844 • Owners Roofing Consideration Form (Re -roofing only) • Affidavit of Compliance with roof to wall connection for Hurricane Mitigation Form (if applicable). • 2 copies Uniform Roofing Application package. • 2 copies of Product Approvals a. Front Page b. Specific system description. c. Specific system limitation. d. General system limitations. e. Fire Directory Listing page. • 2 copies Design calculation per chapter 16. Or if applicable RAS 127 or RAS 128. • $50Submittal Fee. . For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Revel 142021 Roof Permit Checklist Page 1 of 1 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov 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 he has been explained. 1. Aesthetics -Workmanship: the workmanship provisions of Section R4402 are forte purpose of providing that the roof system meets the wind resistance and water iasiruction:performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provision% 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. Renailing wood decks: When replacing roofing, the existing wood roof deck ma ave 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. Common roofs: Common roofs are those which have no visible delineation bet en neighboring units (i.e., townhouses, condom iniums,_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. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the ro4 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. Ponding water: The 5urrent roof system and/or deck of the building may not drai ell 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. RevOI 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 !rflow iverloaded from extension may block this disch may be necessary to install o Sections R4402, R4403 an 305-795-2204 www.msvfl.aov (wall o ets): It is required that rainwater flows off so that a up of water. Perimeter/edge wall or other roof r e if o low scuppers (wall outlets) are not provided. It flnw scuop s in accordance with the requirements of 13. 7, Ventilation: Most roof structures should have some abiUty to vent natural aii-44 through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional v tin which n r suit in extending the service life of the roof. N 0 r/Agent's Signature Date Contractor Si nature Date For Forms and Applications click here: http://bidg.miamishoresvillage.com/WebL!nk/Browse.aspx?id=118080&dbid=0&repo=M is mi5horesVillage Rev01142021 . Owners roofing consideration Page 2 of 2 X Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov 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: 3C� 22 10050 NE 2"d Ave Miami Shores, FI 33138 d Re: Owner's Name: Z C ' G rl�tol�) Property Address: 14,)- C,tD S' Roofing Permit Number: Dear Building Official: I7DF aua4t 0 certify that I am not required to retrofit the roof to wall connections of my building because: rs�'ihe 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 building was constructed in compliance with the provisions of the Florida Building Code (FBf) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) v of Florida, Miami Dade County :ZCC_ Cor"l ,66l0 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"p`'{'y'""��. Z day of 20 Z''t— 99S61z H" 'oN r = Notary Public, State of Florida at Large„„Zoz'a rew • When the just valuation of the structure for purpos��i�at�axation is equal to or more than $300,000.00, and the building was not corf&t47matul 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://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia mi5horesVillage Rev01142021 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.aov 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 fort e 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. Renailing wood decks: When replacing roofing, the existing wood roof deck ma'y ave 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. Common roofs: Common roofs are those which have no visible delineation bet en 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. - Exposed Ceiling: Exposed, open beam ceilings are where the underside of the ro4 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. Ponding water: The current roof system and/or deck of the building may not drai ell 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. RevOI 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov !rflow scuppers (wall outlets): It is required that rainwater flows off so that verloaded 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. Ventilation: Most roof structures should have some ability to vent natural airfl through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional v ting which cpn r, sult in extending the service life of the roof. Y 0 r/Agent's Signature Date Contractor Si nature Date For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia mishoresVillage RevOI 142021 Owners roofing consideration Page 2 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov • 6 p erryo pars (wall a ets): it is required that rainwater flows off so that th of is not overioade om a i dup of water. Perimeter/edge wall or other roof extension may block this disc a if overflow scuppers (wall outlets) are not provided. it may be necessary to ins overfl R'4o uppers in accordance with the requirements of Sections 402, R and R4413. 7. ventilation: Most roof structures should -have some ability.to vent natural afrfl through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional which n r suit in extending the service life of the roof. 40r/Agent's q74: +r Signature Date Contractor Si nature Date For Forms and Applications click here: http-//bidg.miamishoresvillage.com/WebLink/i miShoresViilage 0 0 RevO}142021 Owners roofing consideration Page 2 of 2