Loading...
RF-04-22-1032Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: RF-04-22-1032 Permit Type: Roof Work Classification: Tile Permit Status: Approved Issue Date: 05/12/2022 1 Expiration:11/14/2022 Location Address Parcel Number 77 NE 106TH ST, Miami Shores, FL 33138 1121360060310 Contacts Tomas Castellanos Owner 50LER & SON ROOFING INC Contractor 77 NE 106 ST IDALMIS FEDRERO jennyg7195@gmail.com 11325 SW 158 CT, MIAMI, FL 33196 Business: 30SS252208 ineido@bellsouth.net Description: REROOF ROLL TILE BORAL Valuation: $ 15,296.00 Inspection Requests: 305-762-4949 Total Sol Feet: 1,912.00 Fees Amount Application Fee - Other $50.00 CCF $9.60 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $3.20 Roofing Fee - $225.00 Technology Fee $6.88 Total: $301.56 Payments Date Paid Amt Paid Total Fees $301.56 Check If 6627 04/25/2022 $50.00 Check# 6648 05/12/2022 $251.56 Amount. Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and 'in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac ' his permit ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are r quir d ft r ELECT , PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS A I AV ce t tall the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con t on and Futhermore, I authorize the above named contractor to do the work stated. 22, Authord4d S g ner Applicant / Contractor / Agent Date May 12, 2Q2/ Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 7S6-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING Master Permit PERMIT APPLICATION BUILDING ❑ ELECTRIC 0 ROOFING Sub Permit ENTERED APR 2 5 2022 BY: FBC 20 Pr- ON - Zz- 103 2- 0 REVISION ❑ EXTENSION ORENEWAL ❑PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -A Folio/Parcel#: 11 - 213 - c110 � 031 D% Is the Building Historically Designated: Yes NO ✓ Occupancy Type-: Load: y�Construction Type: O 110-Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): \ l�� 5 ��1 ` \ t(� n Phone#: -A&- 300- 61 I Address: ---I _-) OE 1 rJ �0 5 City: ry\k V'1 ( hk0y­es State: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: `��� �w City: t1: Qualifier Name: \ V I r v 2 1lKN UV `-V k) _ Phone State Certification or Registration #: CC J 7Z bCtUZ Certificate of Competency M DESIGNER: Architect/Engineer: Value of Work for this Permit: Type of Work: ❑ Addition 0 Alteration ❑ Description of Work: 33(3-7 _City: State: Zip: Square/Linear Footage of Work:1 q 1 'Repair/Replace ❑ Demolition Specify color of color thru tile: 1 garl�na - Fin a�a3laE,le Submittal Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Notary $ _Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE ff 22aiQ :S1,5 0 (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 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or Installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is Issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signatu OWNER or AGENT CONTRACTOR The foregoing instrumen as ack owledged before me this The foregoing instrument s acknowledged before me this rl O day of //d 20by d/ay of ) 26+ 14 T �l who is personally known to �f��/ 0; "5 5��3 o personally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY MY COMMISSION # HH 173MB EXPIRES: November 13,2025 Identification and who did take an oath. NOTARY PUBLIC: Print: Seal: S— L tiL Plans Examiner MY COMMISSION # HH 173588 EXPIRES: November 13, 2025 Bonded Thm Notary PublIC Ur&rmitet Zoning (Revised02/24/2014) Structural Review Clerk OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-006-0310 Property Address: 77 NE 106 ST Miami Shores, FL 33138-2034 Owner TOMAS E CASTELLANOS Mailing Address 640 NE 72 TER MIAMI, FL 33138 USA PA Primary Zone 1000 SGL FAMILY-2101-2300 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths I Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,597 Sq.Ft Living Area 1,567 Sq.Ft Adjusted Area 1,430 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 11939 Assessment Information Year 2021 2020 2019 Land Value $265,122 $230,638 $230,638 Building Value $115,294 $116,188 $99,528 XF Value $2,380 $2,386 $741 Market Value $382,796 $349,212 $330,907 Assessed Value $382,796 $349,212 $330,907 Benefits Information Benefit IType 20211 20201 2019 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description DUNNINGS MIAMI SHORES EXT NO 2 PB 41-78 LOT 15 BLK 207 LOT SIZE 75.000 X 123 OR 20833-2320 112002 4 Generated On: 4/22/2022 Taxable Value Information 2021 2020 2019 County Exemption Value $0 $0 $0 Taxable Value $382,7961 $349,2121 $330,907 School Board Exemption Value $0 $0 $0 Taxable Value $382,7961 $349,2121 $330,907. City Exemption Value $0 $0 $0 Taxable Value 1 $382,7961 $349,2121 $330,907 Regional Exemption Value $0 $0 $0 Taxable Value $382,796 $349,212 $330,907 Sales Information OR Previous Price Book- Qualification Description Sale Page 06/11/2019 $455.000 31482 Qual by exam of deed 2976 O6/01/2006 $450,000 24713 Sales which are qualified 4372 11/01/2002 $g 20833- Sales which are disqualified as a result of 2320 examination of the deed 03/01/1972 H $31,500 00000- Sales which are qualified 00000 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most wrrent information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:fl w.miamidade.gov(nfo/disclaimer.wp Version: �iwCEIVED Florida Building Code 7th Edition (2020) High Veff'dYi r�i a Uniform Roofing Application Form Section A (General Information) Master Permit Number: Process Number: Contractor's Name: Soler & son Roofing Job Address: 77 NE 1o65t ROOF CATEGORY CITY COPY ❑ Low Slope ❑ Mechanically Fastened Tile r❑ Mortar / Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ❑ Wood Shingles / Shakes ROOF TYPE ❑ New Roof ❑ Repair ❑ Maintenance Z Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (ftZ) 0 Steep Sloped Roof Area (ftZ) 1912 Total (ftZ) 1912 Are there gas vents on the roof? O Yes (F) No If Yes what type? O Natural O LPX Is there an existing roof top Solar System? O Yes O No If yes will it be reinstalled? O Yes O No 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. Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Section D (Steep Sloped Roof System) Roof System Manufacturer: Product Control Number: Boral Roofing 21-0420.06 Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zonel: -74 Zone 2e: -74 Zone2n: -108 Slope Range: Q>_ 2:12 to 5 4:12 Roof Shape: Q All Hip Roof MAY 0 4 nzz Zone 2r: -108 Zone 3e: -108 Zone 3r: -128 Q>4:12to56:12 0>6:12tos12:12 (F) Gable Roof or Partial Gable/Hip Roof Deck Type: 5/8" Plywood Underlayment Type: #30 ASTM D226 Type II Roof Slope: 12 Insulation: Na Fire Barrier: NA Ridge Ventilation? Fastener Type & Spacing: 11/4" Rs & 15/8" TC 6" on laps 12" infield Na Cap Sheet Type: Polystick TU Plus 12 Cap Sheet Attachment: Self Adhered gia. Mean Roof Height: Roof Covering: Roll tile Drip Edge Type & Size: 3"x3" 26ga,galy W 11/a"Rs a" o 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.) Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Section E (rile Calculations) For Moment based tile systems, choose Method 1. Compare the values for Mr 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 the attachment method is acceptable. Method 1* " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this table ( Zone 1: -74 x A .301 _ 22.27 )—mg 7.00 = MR 15.27 Product Approval Mf: 38.7 ( Zone 2e: -74 x A .301 = 22.27 ) _ Mg: 7.00 = Mr2e 15.27 product Approval Mf: 38.7 ( Zone 2n: -108 x X .301 _ 32.51 ) _ Mg: 7.00 = Mr2n 25.51 product Approval Mf: 38.7 ( Zane 2r: -108 x A .301 32.51 ) — Mg: 7.00 = Mrzr 25.51 Product Approval Mf: 38.7 ( Zone 3e: -108 x x .301 = 32.51 ) _ Mg: 7.00 = Mr3e 25.51 product Approval Mf: 38.7 (Zone 3r: -128 x .301 = 38.53 ) _ Mg: 7'� = Mr3r 31.53 product Approval Mf: 38.7 rile attachment method: Ah160 Medium paddy Alternate rile 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 0 ) = Fri Product Approval F': (Zone 2e: x L = x W = ) — (w) x cos 0 ) = Fr2e Product Approval F': (Zone 2n: x L = x W = j — (w) x cos 6 j = Fr2n Product Approval F': (Zone 2r: x L = x W = ) — (w) x cos 0 ) = Fr2r Product Approval F': (Zone 3e: x L = x W = ) — (w) x cos 0 ) = Fr3e Product Approval F': (Zone 3r: x L = x W = ) -- (wj x cos 0 ) = Fr3r Product Approval F': *Method 2 "Simplified Tile Calculations" only applicable in Broward County. Where to obtain Informotion 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 8 Job Site Aerodynamic Multiplier A Product Approval / Notice of Acceptance Restoring Moment due to Gravity Mg Product Approval / Notice of Acceptance Attachment Resistance Mf 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 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. COUNTY MIAMI-DADS 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) www.miamidade.gov/economy ICP Adhesives and Sealants, Inc. 12505 NW 44" Street Coral Springs, FL. 33065 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyset® AH-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 17-0322.03 and consists of pages 1 through I I. The submitted documentation was reviewed by Alex Tigera. NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page I 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: Prolaerty Test Density @ 730F ASTM D1622 Compressive Strength ASTM D 1621 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.3 18 PSI Parallel to rise 14 PSI Perpendicular to rise 29 PSI Parallel to rise 7% 2.3 Perms +0.03% Volume Change @ -400 F., 2 weeks -1.1 % 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. QMIAN-D�ADECOU= NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 2 of 11 EVIDENCE SUBNHTTED: Test Agency Test Identifier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-743 8-7 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 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/ 18/ 12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 NEMO ETC, LLC 4p-ICP-20-SSLAP-OI.B- Physical Properties 12/4/20 RI LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polysee 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 tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 20-1124.07 MI MPE"E COUNTY Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 3 of 11 INSTALLATION: 1. Polysete 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 tile 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 ProPacko 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. CMIAMPD�ADECOOUN NOA No.: 20-1124.07 • • • • r Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 4 of 11 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 #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 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. CMAKIM�AADECOUNTY UMM BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 20-1124.07 MlAMMADE COUNTY Expiration Date: OS/10/22 ` ' ' ' ` ' Approval Date: 01 /28/21 Page 5 of 11 Underlayment 10 ioc, optional E.. Nail through plastic cement (when required) 2Bin.z\ l m ide Battens optional ADHESIVE PLACEMENT DETAIL # 1 Eav Closure fascia Nail through plastic ce (when required) Paddy (Beneath Tile) Underlayment e tBin.x 2 in.wide Battens /optional Y Eave Course Fascia Weephole to in 2in Eaee danure Drip edge 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 cm2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the the 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. NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 6 of 11 ADHESIVE PLACEMENT DETAIL # 2 Nail through plastic cement Paddy (Beneath Tile) (when required) llnderlayment ° ° 7 in. �►�,� 2 in. Battens optional ° Eave Course ° ° 10 in. Fascia 2 In Eave Closure Nail through plastic cement (when required) Paddy (Beneath Tile) 1lnderlayment Tin. i 2c 2 n. Battens optional 10 in. 2 in. Eave Closure Eave Course Fascia MAMM ADE couNrr n..• i Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" 077.8 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 in same manner. Insure approximately 10" (64.5 cm) - 12(77.4 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 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) -- 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) - 14 (90.3 cm) square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 7 of 11 ADHESIVE PLACEMENT DETAIL ## 2 (CONTINUED) Nail through plastic ce (when required) paddy (Beneath Tile) Underiayment _ o a 7 in�,�► 2 in. Battens optional o r, 0 Eave Course Fascia Weephole 10 in. 2 in. Eave closure Drip edge MIAMMADE COUNTY 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 rum) 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 cm) -- 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm) - 19 (122.6 cm) square inch adhesive contact with the underside of the tile. NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 ydeie mm Ratnow profile Tile NaNthmoghVLvdCoesma==irm9epaddyu"v the (when reepairec!) Pa" (between Iles) Batten+ Paddy tmder hle) 1 y _ oftile� r 4xea,. ! Medium proflleTlte MIAMI•DAD, COUNTY 1. On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the Overlock of the file being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in2 (109.7-148.4 cm2) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x I" (25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat tile, or under the pan portion of the tile, closest to the underlock for the second course 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) NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 9 of 11 Battens 4 in. nn loin. ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED High Pronle Tile wedge 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/41, (19 mm) paddy on top of the cave 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 cmZ) - 11 (71cm2) square inch adhesive contact with the underside of the file at the overlap and 7 (45.2 cm') - 9 (58.1 cmZ) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 1) Place enough adhesive to achieve 6S to 70 sq. in. Steep pitch applications In contact with the pan tile. (when required) 2) Turn covers upside down. Place adhesive in to 1 in. from outside edge of cover tile. Then install the tile. Ensure 20 to 25 sq. in. contact area. tlnderlayment ,tk ° l:171% O Y = •a �. � Sheathing Eave closure (motar shown) Weephole Fascia Board 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 CM1UAkM1-MDADMEC0=UNW ,...� t Two Piece Barrel (Cap and Pan) Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm2) — 70 (451.6 cm2) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive directly on the inner edge of each side of the cover tile. Leave approximately 3/4" (19 mm) to 1" (25.4 mm) from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm2) - 25 (161.3 cm2) square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required, 2" (50.8 mm) x 4" (101.6 mm) nailers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 20-1124.07 Expiration Date: 05/10/22 Approval Date: 01/28/21 Page 11 of 11 MMIIAMMI! ADE MIAMI-DARE COUNTY �� ••�•••• PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy Boral Roofing, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Cade 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# 21-0107.04 and consists of pages I through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 21-0420.06 Expiration Date: 04/26/22 Approval Date: 08/26/21 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category Roofing Sub -Category: 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 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 Test Product Applicant Dimensions Specifications Description Barcelona 900 Length = 17" TAS 112 High profile, interlocking, one-piece, 'S' shaped, Width = 13" Type — la high-pressure extruded concrete roof tile %s" thick equipped with three nail holes. For direct deck or battened nail -on, mechanically fastened, mortar set or adhesive set applications. Trim Pieces Length: varies TAS-112 Accessory trim, boosted Barcelona, concrete Width: varies roof pieces for use at hips, rakes, ridges and varying thickness valley terminations manufactured for each tile profile. 2.1 PRODUCTS MANUFACTURED BY OTHERS Product Name ICP Adhesives Polyset® AH-160 TILE BOND TM Roof Tile Adhesive Product Description Two component polyurethane foam adhesive. Single component polyurethane foam roof file adhesive. Touch `N Seal StormBone 2 Two- Two component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive Touch `N Seal StormBone One One component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive 2.2 MANUFACTURING LOCATION 2.2.1. Lake Wales, FL Manufacturer (With Current NOA) ICP Adhesives and Sealants, Inc. DuPont de Nemours, Inc. DAP Foam, Inc. DAP Foam, Inc. NOA No.: 21-0420.06 M1 MKD==E eExpiration Date: 04/26/22 Approval Date: 08/26/21 Page 2 of 7 2.3 SUBMITTED EVIDENCE: Test Agency 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 Test Identifier 7161-03 Appendix III 7161-03 Appendix H P0402 Letter Dated Aug. 1, 1994 P0631-01 IC-1320-94 25-7688-3 25-7688-10 25-7688-5 25-7688-4 520111-3 520191-2-1 Calculations Evaluation Calculations RT0617.03-16 COPO-002-02-10 COPO-002-02-02 COPO-002-02-01 2002T0003.01 4c-DPB S-20-LSOTM-01. C. R 1 Test Name/Report 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 TAS 101 (Adhesive Set) TAS 101 (Mortar Set) Static Uplift Testing TAS 102 (3" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing TAS 102 (4" Headlap, Nails, Clips) Static Uplift Testing TAS 101 Aerodynamic Multiplier Restoring Moments Due to Gravity TAS 112 TAS 101 TAS 101 TAS 101 TAS 1.01 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 10/12/2016 10/12/2016 10/12/2016 11/06/20 12/17/20 NOA No.: 21-0420.06 MlAMNDADE eouNTY Expiration Date: 04/26/22 ��Tgyzxsyajv Approval Date: 08/26/21 Page 3 of 7 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may 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 Table 1: Average Weight (W) and Dimensions (i x w) Tile Profile Weight-W (lbf) Length-1 (ft.) 1 Width-w (ft.) 1 Barcelona 900 1 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - A (ft3) Tile Profile A (ft3) Batten Application A (ft3) Direct Deck Application Barcelona 900 0.286 0.301 Table 3: Restoring Moments due to Gravity - Mg (ft.-Ibf) Tile Profile 210:12" 3":12" V 12" 5":12" 611:12" 7":12" or greater Barcelona 900 Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.07 N/A 7.00 9 6.90 5.92 6.60 5.76 42 6.NIA NOA No.: 21-0420.06 M'[AMI•DADE couNTY Expiration Date: 04/26/22 ' ' ' ' • ' Approval Date: 08/26/21 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft.-lbf) for Mechanically Attached Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min.1913219 plywood) Battens Barcelona 900 2-10d Ring Shank Nails 28.6 41.2 19.4 1-10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2-10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 #8 Screw 20.7 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 Clip) 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 2Y2" 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 Resistance Barcelona 900 TILE BONDTm Roof Tile Adhesive 193 TILE BONDT" Roof Tile Adhesive 29.34 ICP Adhesives Pol set® AH-160 29.35 Touch `N Seal Storm1Bond02 666 Touch `N Seal StormBond® 487 2 See foam adhesive manufacturer's component approval for installation requirements. 3 Medium paddy weight of 8 grams per paddy of TILE BONDTM Roof Tile Adhesive 4 Medium paddy weight of 10.7 grams per paddy of TILE BONDTM 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 ® 2 7 Medium paddy weight of 8 grams between tile and underlayment, paddy weight of 4 grams on overlap of tile of Touch `N Seal StormBond ® one component) Mi•uAne counrry NOA No.: 21-0420.06 Expiration Date: 04/26/22 Approval Date: 08/26/21 Page 5 of 7 Table 6: Attachment Resistance Expressed as a Moment - Mf (ftdbf) for Single Paddy Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Saxony 900 Slate &, Shake & Split Shake ICP Adhesives Pol set® AH-160 66.58 ICP Adhesives Pol set® AH-160 _ 38.79 Touch'N Seal StormBond02 8210 Touch'N Seal StormBond®2 6311 TILE BONDTM Roof Tile Adhesive 5812 8 Large paddy weight of 63 grams of Polyset® AH-160 9 Large paddy weight of 24 grams of Polyset® AH-160 10 Large paddy weight of 60 grams of Touch 'N Seal StormBond 412 11 Large paddy weight of 30 grams of Touch 'N Seal StormBond ® 2 12 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 BONDTM Roof Tile Adhesive. Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Barcelona 900 Mortar Set10 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". o 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 Pfficial or applicable building code in order to properly evaluate the installation of this system. NOA No.: 21-0420.06 MIAMMADE COMM Expiration Date: 04/26/22 f Approval Date: 08/26/21 Page 6 of 7 PROFILE DRAWING BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE 5/8 " NOA No.: 21-0420.06 Expiration Date: 04/26/22 Approval Date: 08/26/21 Page 7 of 7 MIAMI-DADE COUNTY MIMIAM ADE PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DMSION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w w.mlamidade.cov/economy Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach, FL 33442 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. 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. MIAMMADECOUNTY NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 1 of 7 ROOFING COMPONENT APPROVAL Catep-orv: Roofing Sub -Category: Underlayment Material: SBS, APP PRODUCTS DESCRIPTION: Product Dimensions Polystick IR-Xe 65' x 3' Or 33.4' x Manufacturing 3 Location # l & #2 60 mils thick Polystick TU Max Manufacturing Location # 1 & #2 Polystick TU P Manufacturing Location #2 Polystick TU Plus (Surface Printing) Manufacturing Location # 1 & #2 Polystick MTS Manufacturing Location #2 Polystick MTS Plus Manufacturing Location #2 Test Product Speciffication Description ASTM D 1970 A fine granular/sand top surface self -adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. 6518" x 313-3/8" TAS 103 and A rubberized asphalt self -adhering, polyester reinforced 60 mils thick ASTM D 1970 waterproofing membrane. Designed as a a roof rile underlayment. 32' 10" x 3'33/8" TAS 103 and A rubberized asphalt waterproofing membrane, glass- 130 mils thick ASTM D 1970 fiber/polyester reinforced, with a granular surface designed for use as a tile roof underlayment. 65' x 3'33/8" 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 3'33/8" TAS 103 A homogeneous, rubberized asphalt waterproofing 60 mils thick membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. 6518" x 3133/8" TAS 103 A homogeneous, rubberized asphalt waterproofing 60 mils thick membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Elastoflex S6 G 32' 10" x 3'3 %" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D 6164 with a sanded back face and a granule top surface. For Location #2 use in roof tile underlayment systems. MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL NOA No.: 21-0602.14 MlAMMOADE COUNTY Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 2 of 7 EVIDENCE SUBMITTED Test Agency_ Test Identifier Test Name/Reoort Date Trinity""- � ERD P37300.10.11 TAS 1 l0/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-SC 10130.06.16-3 TAS 103 & TAS 110 06/27/16 PLYG-10130.06.16-1 ASTM D1970 & TAS 110 06/27/16 PLYG-SC10130.09.16 ASTM D1623 09/22/16 PLYG-SC 13035.08.17 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 -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. M AMMADE COUNT�r ,...• 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. MIAMFD - :19E 1mjCOUNTY NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 3 of 7 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 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: 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 II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, self -adhered. Surfacing: See General Limitations Below. NOA No.: 21-0602.14 =MAMMADECOUNTY Expiration Date: 09/13/22 Tiomb Approval Date: 08/26/21 Page 4 of 7 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111 _ 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have 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 tile systems and quarry slate roof assemblies. Polystick TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. Elastoflex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick IR-Xe, Polystick 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 preceeding maximum time limitations. Expo ure Limitations Da Polystick MTS Polystick IR Xe Elastoflex S6 G Polystick TU Plus Polystick TU P Polystick TU Max Polystick MTS Plus Winter Haven, FL 180 90 180 180 180 180 180 Hazelton PA NIA 90 N/A 180 NIA 180 NIA 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 MIAMI-DaDE eouExpiration Date: 09/13/22 Approval Date: 08/26/21 Page 5 of 7 S. In roof the application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU Max, Polystick TU Plus or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. When loading roof tiles on roof tile underlayment for (direct -to -deck) file 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 file stack parallel to the slope, for a total of 6 tiles — for all underlayments except Polystick MTS which shall be loaded onto battens. POLYSTICKIU R. 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. NOA No.: 21-0602.14 Expiration Date: 09/13/22 Approval Date: 08/26/21 Page 6 of 7 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1 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 "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back -nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass POLYPLUS 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 '/4"/ 12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass POLYPLUS 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 furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE 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 3EXTERED 305-795-2204 www.msvfl.gov APR 2 5 2022 SECTION R4402.13 BY: 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. C_ 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. fi'e6 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. -T el C 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. 'T E e- 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. Ti' C- 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. ReV01 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.cfov 6. Y ` 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. -f" e C— 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 attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the ser 'ce life o e roof. 1 Owner/Agent's Signature Date Cont actor Signature Date For Forms and Applications click here: http://bidg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia m!ShoresVillage ReV01 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 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 2"d Ave Miami Shores, FI 33138 Re: Owner's Name: 4o t-c ,\ _%� Property Address: i /Qc t 0 c ST- F 33�38 Roofing Permit Number: Dear Building Off ial:, I % �/sS (-c-, S certify that I am not required to retrofit the roof to wall connections of my building because: XThe 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 (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) o.-r1«s aAc ! r n os. Sig ature Print Name State of Florida, Miami Dade County The undersigned, being the first duly sworn, deposes and says that he/sh is the owner for the above�T ^pp�er/ty mentioned. Sworn to and subscribed before me this d day of CAL 20 RICARDOFARINAS FIT ` MY COMMISSION 8 HH 173M Notary Public, State of Florida at Larg FxwlRes: November t„, 25" • 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://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 Owner affidavit of exemption Page 1 of 1 Ron DeSantis, Governor STATE OF FLORIDA Halsey Beshears, Secretary d b a pr DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY,LICENSING BOARD THE ROOFING CONTRACTOR,H,EREIN JS .CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES PEDRE O, DALMIS SbLEI &.SON ROOFING INC MIAMI;;;` FL33196. LICENSE NUMBER: CCC1328942 ...... �'.. ':'... �. SV.= 1. L...:.i'.J �TY...Y.. • ..�. �.. �...� ....Z �. �:.'.. ....1 EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaUcense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. 004054 Local Business Tax Receipt M!aM!—Dade County, Se Of FloridaFlOrTwsIs NOTA etoo ikoTpAy 6395024 mmak4ummum SOLER & SON ROOFING INC 11325 SW 158TH CT MIAMI FL 33196 SOLER & SON ROOFING INC L136r MMIA RENEWAL EXPIRES 2937 66s $EPTEMBER 30, 20V at Plsce of btminess Must ==C,0Untv0D& ChOPtsrBA— Art 9 & 10 186 SPECIALTY BUILDING CONTRACTOR CCC1328942 eM Mw A Wh*er(s) I $75.00 07/09/2021 7hkLGca1east INT-21 333373 taIMELaracerv�aaofihe otdaf�edoiiitof„ocalgosiaessTt�a or amprermsaw mpftary taws w do � Hotdermtrstcotapty y is aota fiaetrse, The [fE spr 112Q $boas �d wfd a�gtp to the buaittess, %So erKal Pad on au aommewal vatdcios— iatrami-Oada Cow g� krmore ffamjd00, visit ACCORD® CERTIFICATE OF LIABILITY INSURANCE DAT2/16/2021 Y) 12/16/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . ONTAPRODUCER NAME: Lucia Estrella PHONE , (305) 226-8727 A/ No): (305) 226-8767 ACCURATE GROUP, LLC accurate.certificates@gmail.com 8300 West Flagler, Suite 114 INSU S AFFORDING COVERAGE NAIC d INSURER A: WILSHIRE INSURANCE COMPANY 13234 Miami FL 33144 INSURED INSURER B INSURER C : Soler 8 Son Roofing Inc INSURER D : 11325 SW 158 Ct INSURER E INSURER F : Miami FL 33196- r.nVERA(%Es CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDL S B NUMBER POLICY EFF POLICY EXP LIMA A X —IMJMPOLICY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR BND0000587 01 12/27/2021 12/27/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one ) $ 5,000 PERSONAL & ADV INJURY $ 1.000,000 GEN'L XJEr° AGGREGATE LIMIT APPLIES PER: POLICY ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO $ Z,000,OOO $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea acciden $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If es gas Dbe under OF OPERATIONS below NIA S ERER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) Roofing Contractor CCC 1328942 TE Miami Shores Village Bldg Dept 10050 NE 2 Avenue Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR¢HD REPRESENTATIVE dM1411 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD •Maas we� JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/7/2021 PERSON: IDALMIS PEDRERO FEIN: 263829980 BUSINESS NAME AND ADDRESS: SOLER & SON ROOFING INC 11325 SW 158 COURT MIAMI, FL33196 SCOPE OF BUSINESS OR TRADE: Roofing -All Kinds and Drivers EXPIRATION DATE: 11/7/2023 EMAIL: I NEIDO @ BELLSOUTH.NET IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F_S., Certificates of election to be exempt Issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01424716 QUESTIONS? (850) 413-1609