RF-04-22-931Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 05/03/2022
Location Address Parcel Number
65 NE 105TH ST, Miami Shores, FL 33138 1121360060140
Contacts
Permit NO.: RF-04-22-931
Permit Type: Roof
Work Classification: Tile
Permit Status; Approved
Expiration: 11/03/2022
Jefferson W Geimer Owner ISAACS ROOFING & INSULATION Contractor
65 NE 105 ST, Miami Shores, FL 33138 CORPORATION
ISAIAS DEL SOL
Mobile: 3052345234 abigail@isaacsroofing.com
Description: RE-ROOFTO CONCRETE S TILE Valuation: $ 20,800.00 Ins ection Requests:
305-762-4949
Total Sq Feet: 1,600.00
Fees
Amount
Application Fee - Other
$50.o0
CCF
$12.60
DBPR Fee
$4.13
DCA Fee
$2.75
Education Surcharge
$4.20
Roofing Fee
$225.00
Technology Fee
$6.88
Total:
$305.56
Building Department Copy
Payments Date Paid Amt Paid
Total Fees $305.56
Credit Card 05/03/2022 $255.56
Check N 16091 04/13/2022 $50.00
Amount Due: $0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT, Ice i that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regula'hg cons io a o ng. Futhermore, I authorize the above named contractor to do the work stated. �g
1& al?! a `J d
oriz Signature: wner I Applicant / Contractor / Agent Date
May 05, 2022 Page 2 of 2
RECEIVED
Miami Shores Village
Building Department BY:_
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 No. PH-()H- 2-2-q.34i
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC Q ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [-]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 65 NE 105 Street
City: Miami Shores County Miami Dade Zip: -T7/JP
Folio/Parcel#: 11-2136-006-0140 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BIT: FFE: _
OWNER: Name (Fee Simple Titleholder): Jefferson Geimer Phone#: 786-999-3320
Address: 65 NE 105 Street
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Same Phone#:
Email: 1W9eimer@yahoo.com
CONTRACTOR: Company Name: 1 5GIOLC•S f-o0 ('1 nq Phone#:30r-2.3Q-S2-3 cf
Address: 17 22- S S D f X2 FitAl & -e- 2-
City: RCA I yv- Pcly E" 1961 State: FItr Zip: 33 1 ,5 �4-
Qualifier Name: SSA t ct S rt> G ( Col Phone#:317 S- '11?8- 8803
State Certification or Registration #: GCL, 13 Z-7g"O I Certificate of Competency #:
DESIGNER: Architect/Engineer:
State: Zip:
Value of Work for this Permit: $ 20 1�0 V ' n o Square/Linear Footage of Work: i (�OC'-7
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of Work: R e.- aoQ r- -19 Coy.( r1ff'4-e' S T t D
Specify color of color thru tile: 11 Ov n q ,, v\V/ kj e. q
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ - _ CO/CC $
DBPR $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing Information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise In good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which 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. I ,
Signat / 1-
OWNER or AGENT
The foregoing instrument was acknowledged before me this
17 111� day of ikP 2l (_ , 20 .7)Z by
J�C/`FEFU'OA) 6—Ei n.l E/L , who is personally known to
me or who has produced
identification and who did take an oath,
The foregoing instrumeyt was acknowledged before me this
13 IL- day of iq P2( L 20 ZZ by
n A I A R D EC S' UL who is personally known to
as me or who has produced
identification and who did take an oath.
as
NOTARY PUBLIC: NOTARY PUBLIC:
�,,\
Sign: 1L` Sign:
Print: MARIH ELENA CRISTOBAL Print: MARIH ELENA CRISTOBAL
Seal: Seal:
" MARIAELENACRISTOBAL MARIHELENACRISTOBAL
`- ,: MYCOMMISSION#GG 987418
MY COMMISSION 987418 imi : ,
ro; EXPIRES: May 12, 2024 ''' EXPIRES: May 12, 2024
++«+«+«« %
APPROVED BY S ( Plans Examiner Zoning
Structural Review _ Clerk
(Revised02/24/2014)
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.4ov
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
f 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
a reement between the owner and the contractor.
Renailing wood decks: When replacing roofing, the existing wood roof deck
ay 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. Common roofs: Common roofs are those which have no visible delineation
ke!y4en neighboring units (i.e., townhouses, condominiums, etc.) In buildings with
common roofs, the roofing contractor and/or owner should notify the occupants of
ad' ent units of roofing to be performed.
4. _ Exposed Ceiling: Exposed, open beam ceilings are where the underside of the
o 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
ac table. This provides the option of maintaining the appearance.
S. Ponding water: The current roof system and/or deck of the building may not
krAi:p/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
Lit Miami Shores Village - BUILDING DEPARTMENT
t� 10050 NE 2 Ave Miami Shores, FL 33138
i� «< 305-795-2204 www.msvfl.aov
all
ES IN
6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that
trtheo f is not overloaded from a buildup of water. Perimeter/edge wall or other roof
sion 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
Se ions R4402, R4403 and R4413.
7. Ventilation: Most roof structures should have some ability to vent natural
:�tt
through the interior of the structure assembly (the building itself). The existing of attic ventilation shall not be reduced. It may be beneficial to consider additional
venting which can result in extending the service life of the roof.
_-� Z o 2Z — - ---- Z
Ow r/Age 's Signature Date Co tract r igna re Date
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
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.gov
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR
EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION
553.844 F.S.
To: Miami Shores Village Building Department Date:
10050 NE 2"d Ave
Miami Shores, FI 33138
Re: Owner's Name: SeWerSon lmcr
Property Address: (OS- N G— f DSO si-
Roofing Permit Number:
Dear Building Official:
I JTEFnJ ErCM s,2 certify that I am not required to retrofit the roof
cThall connections of my building because:
e 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)
�Signai►� e -
State of Florida, Miami Dade County
Print Name
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the
above property mentioned. Sworn to and subscribed before me this I' i day of
Notary Public, State of Florida at Large
MARIA ELENA CRISTOBAL
MY COMMISSION R GG 987418
FYPIRFR-li 1 2024
M,ARIA ELENA CRISTOBA%-,44-g, V Bonded 7Tm Notary Public UndelwAlen
• When the just valuation of the structure for purpose of ad valorem taxation is equal to
or more than $300,000.00, and the building was not constructed with FBC nor a 1994
SFBC. Then you must provide a building application from a General Contractor for the
Roof to Wall connection Hurricane Mitigation.
For Forms and Applications click here:
http://bldg.miamishoresvillage-com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Pev01 1 4 V)) I Owner affidovit of exemption P�xae 1 0l
Address Owner Name Folio
SEARCH:
65 ne 105th st
Back to Search Results
PROPERTY INFORMATION
Folio: 11-2136-006.0140
Su6•Divlslon:
DUNNING$ MIAMI SHORES EXT NO 2
Property Address
65 NE 105 ST
Owner
JEFFERSON W GEIMER &W JENNIFER R
Mailing Address
65 NE 105 ST
MIAMI SHORES, FL 33136-2030
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE FAMILY 1 UNIT
Beds I Balhs / Halt
2 / 1 / 0
Floors
1
Living Units
I
Actual Area
2.344 Sq. Ft
Suite
I
Tax Estimator
Value Adjustment Board
ASSESSMENT INFORMATION
TRIM Notice
Year
2021
2020
2019
Land Value
$265,122
$230,638
$230.638
Building Value
$133.772
$133,772
$133,772
Extra Feature Value
$1,478
$1,484
$1,490
Market Value
$400.372
$365.894
$365.900
Assessed Value
$142.705
$140,735
$137.571
TAXABLE VALUE INFORMATION
2021
2020
2019
COUNTY
Exemption Value
$50.000
$50,000
$50,000
Taxable Value
$92.705
$90,735
$87,571
SCHOOL BOARD
Exemption Value
$25.000
$25.000
$25,000
Taxable Value
Sl17,705
$115.735
$112.571
CITY
Exemption Value
$50.000
$50,000
S50,000
Taxable Value
$92.705
$90.735
$87.571
REGIONAL
Exemption Value
$50,000
$50.000
$50.000
Taxable Value
$92,705
$90.735
$87,571
BENEFITS INFORMATION
Benefit Type
2021
2020
2019
Save Our Homes Cap Assessment Reduction
$257.667
$225.159
$228.329
Homestead Exemption
$25.000
$25.000
525,000
Second Homestead Exemption
$25,000
$25.000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i a County, School Board. City, Regional).
a
R�ECF,IVED
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
by;
Florida Building Code 7th0)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section A (General Information)
Master Permit No. Process No.
Contractors Name/ /�S,C441 - Sly^ {1 hUt I)yJ, QI __
Job Address 65 /V E /OS 6 / I � //rr+L(/�'I A oQ"
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF TYPE /'
❑ New roof ❑ Repair ❑ Maintenance b Reroofing ❑ RecoverlDi"•,
ROOF SYSTEM INFORMA ION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF)� .....7otal ($F_40
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. IRclude-dimen ..
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of padped. '..*.: ......
: . .. . ......
CITY
"'COPY
Miami Shores Village Bu ding Departme
Zoning Dept. Date
Building Dept. Date
Subject to compliance It
all Feder I State
and County rules and regulatiRE&RIDA BUILDIN
Permit#
G
CODE — BUILDING, 7th EDITION (2020)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
Roof System Manufacturer: t, )row b D(A lILC111��
Notice of Acceptance Number: d I 04an.
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
Zone 1:4 Zone 2e: %4 Zone 2n:109 Zone 2r: j0F Zone 3e:L� Zone 3r jJ a
Deck Type: PlywoocQ 15161t
Roof Slope:Type Underlayment: STM 'Na 6 T r I
3 12 ••••
Insulation: /^//iL ......
Fire Barrier:
Ridge Ventilation? Fastener Type&Spacing: 14 6k I— i/yl�•�fl`OUC+��S .'
1J i — 5
Adhesive T R•n�s Fos}ntd fl,I•'t7G tAfh ��" �rpfL(•,:•
..
Type: sQIF adhPAe • •' : ..0. ....:.
Type Cap Sheet: I'6Iy�jlas;•• I l/� ��•;1;r ;••••�
Mean Roof Height: Roof Covering: G re \ 1 (Afyff� PHZR(e
T pe &Sizes Drip �x3t 6A /AtlV' j1
F n. I, (�%
476
FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020)
A
ENTERED
APR 2 5 2022
ROOF ASSEMBLIES AND ROOF -TOP STRUCTURES BY:
r
Florida Building Code 71h Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
1
Roof System Manufacturer. —G1 r0w 1'1 R1,0t y) J
Notice of Acceplance Number .d (— OL-�aL). 1�
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations)
( Zone 1 74 Zone 2e 74 Zone 2n ICV Zone 2, ]OF Zone 3e. ICS Zone 3r Vkk
Roof Slope
3 12
Deck Type: P i�A:tJpp a 5/6 ( t
Type Underlayment S
Insulation:
Fire Barrier:
rl TM
Ridge Ventilation? Fastener Type & Spacing: t 604" )- 1/411 kPf'nvlc(RS
no � i-5/g 'Tin cep: F'i Oc
R�Ni �'r`Stnfd ICI' OL tP(h .I^ eft
Adhesive Type: Sp/F ad ltr!f�
Type Cap Sheet: I uive IGS
Mean Roof Height: ' Roof Covering: / rod V\ %N lb, C�/�.f(�
Typem Drip C3 ��1 d` 67ACnfiIV
Edge:: Si
"�3`A L6 Got (�alv
V,AI►cd eVlrY
I Y� aPp,foved 2S IVa, l�
�sTm M 70 Po Iva lcr-S rU Pam s
spacTkS aFbacKna;1 : (t
476 FLORIDA BUILDING CODE — BUILDING, 7lh EDRION (2020)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compare the values for M, with the values from M,. If the M, 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"
(Zone 1:� x ), 054s = 2$- 16) - Mg: 2S= M„ 1q - I Product Approval M, 3e� 7
(Zone 2e:] x x OM3 =',1. i1) - Mg: &_%= M2a(!� Product Approval M, 1R. 7
(Zone 2nt& x x - Mgq" = Ml ,.e) . 4 Product Approval M, 'TAT, i
(Zone 2r: a x xp 'Ai = 35.9 ) - Mg:" = M2r2_444 Product Approval M, q8. 7
(Zone 3e:� x x ¢ 3= 33 8 1- Mg:$ - = M .6 -L4 Product Approval M, '-W. -7
(Zone 3rYM x x per= W0.) - Mg: &--NR= M r!IA to Product Approval M, 'Sn - 7
Method 2 "Simplified Tile Calculations Per Table Below"
Required Moment of Resistance (M,) From Table Below Product Approval M,
M, required Moment Resistance'
Mean Roof Height Roof Slope
15'
20'
25'
30'
• 40'
2:12
34.4
36.5
38.2
39.7
2.2 ••
3:12
32.2
34A
36.0
37.4 ••
••• 39.8
4:12
30.4
32.2
33.8
35.1
.37.3 ..
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
•32.4
7:12 24.4 25.9 27.1 28.2 • • • • •30.0 •
'Must be used in conjunction with a list of moment based the systems endorsed by the BroZard C lIunty Beard.Of Rules aW:.
Appeals.
For Uplift based tile systems use Method 3. Compare the values for P with the values for F,. If the F'walues�ary greater then or
equal to the F, values, for each area of the roof, then the tile attachment method is acceptable. ..
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(Zone 1:_
x L _ =
_ x w: = _) - W: _
x cos r _
= F„ _
Product Approval F _
(Zone 2e:_
x L _
= _ x w: = - W:
_ x cos r
_ = F,
_ Product Approval F'
(Zone 2n:_
x L _
= _ x w: = _) - W:
_ x cos r
_ = FQ"
_ Product Approval F'
(Zone 2r:xL_=_xw:=_)-W:_x
cos r_=Frr_
Product Approval F'.
(Zone 3e:_
x L _
_ _ x w: _ _) - W:
_ x cos r
_ = FA•
_ Product Approval F
(Zone3r:_xL_=_xw:=
)-W:_xcosr_=F,_
Product ApprovalP.
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
Zones 1, 2e, 2n, 2r, 3e, 3r
From applicable table in RAS 127 or by an engineering analy-
sis prepared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
9
Job Site
Aerodynamic Multiplier
x
Product Approval
Restoring Moment due to Gravity
M
Product Approval
Attachment Resistance
M,
Product Approval
Required Moment Resistance
M
Calculated
Minimum Attachment Resistance
F
Product Approval
Required Uplift Resistance
F,
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
L = length W = width
Product Approval
All calculations must be submitted to the building official at the time of permit application.
FLORIDA BUILDING CODE - BUILDING, 7lh EDITION (2020)
477
4 �
f
I
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
SECTION 1626
HIGH -VELOCITY HURRICANE ZONES --UNIFORM PERMIT APPLICATION
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System
Required Sections of the
Attachments Required
Permit Application Form
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7
Prescriptive 13UR-RAS 150
A,B,C
4.5.6.7
Asphaltic Shingles
A,B4O
1,2,4,5,6,7
Concrete or Clay Tile
A,B.D,E
1,2,3,4,5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and Shakes
A,B,D
1.2.4.5.6.7
Other
As Applicable
1.2,3,4.5,6,7
ATTACHMENTS REQUIRED:
1. Fire Directory Listing Page
2. From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3. Design Calculations per Chapter 16. or if applicable, RAS 127 or RAS 128
4. Other Component of Product Approval
5 Municipal Permit Application
6 Owners Notification for Roofing Considerations (Reroofing Only)
7. Any Required Roof Testing/Calculation Documentation
FLORIDA BUILDING CODE — BUILDING. 7th EDITION (2020)
473
r 4
MIAMME
M
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
Crown Building Products of Florida, LLC.
6018 HWY. 72
Arcadia, FL. 34266
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. m is m id ade.eov/econom v
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 accgptednpanner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revokb, rgddify, or SDgpend the em:
of such product or material within their jurisdiction. RER reserves the right to revoke As accellOtte, if it it.
..... .. ......
determined by Miami -Dade County Product Control Section that this product or material �� �: Tio meet the fequirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with'dV Florid2 Building Fblle••
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Sanibel Concrete Roof Tile '
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, stite aad 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# 20-1105.09 and consists of pages 1 through 7.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 1 of 7
� t t
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Roofing Tiles
Material: Concrete
Deck Type: Wood
1. SCOPE
This approves a system using Sanibel Concrete Roof Tile, as manufactured by Crown Building Products of
Florida, LLC., and 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 Test
Applicant Dimensions Specifications
Sanibel Concrete Roof L = 17" TAS 112
Tile W = 13.25"
H=3.1"
Thickness: 0.56"
Trim Pieces L = varies TAS 112
W = varies
varying thickness
2.1 PRODUCTS MANUFACTURED BY OTHERS
Product Name
ICP Adhesives Polyset® AH-160
TILE BOND TM Roof Tile Adhesive
Product Description
Product e 0000O
to
♦ 04006 000000
wipgon Dee
eoeo e
e High profile, interlock4dg7,0di1e-pieLV,'J3' shaped e e 0:
e e
concrete roof tile (Typeol`a Cass III), d'quipped.%4b. o
two nail holes. For diPect cfmk or battened nail -on
®0O0 0 oao�o
(4/12 min slope), mort� jj� pr adhe§ive %et e , e e O O
applications. 000000 0O000a OOOOpQ
Accessory trim, concret-eanaaf pieces for use at hips9
rakes, ridges and valley te*rm'natior.e 6 e 0 0 0 0 O
Manufactured for each tile. profile. e e e o o e e e o
00 0 00 0 0 0
e o 0
0 00
Two component polyurethane
foam adhesive.
Single component polyurethane
foam roof the adhesive.
Touch `N Seal StormBonde One One component polyurethane
Component Polyurethane Roof Tile foam adhesive.
Adhesive
2.2 MANUFACTURING LOCATION
2.2.1 Arcadia, FL
Manufacturer
(With Current NOA)
ICP Adhesives and Sealants, Inc.
DuPont de Nemours, Inc.
DAP Foam, Inc.
NOA No.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 2 of 7
2.� EVIDENCE SUBMITTED
Test Agency Test Identifier
PRI Construction Materials ACTI-002-02-01
ACTI-002-02-04
7161-03
Appendix III
7161-03
Appendix II
P0402
Letter Dated Aug. 1, 1994
P0631-01
Redland Technologies
Nutting Engineering
The Center for Applied
Engineering, Inc.
Celotex Corporation
Testing Services
Trinity/ERD
American Test Lab of South
Florida
NEMO ETC, LLC
PRI Construction Materials
Technologies
13343.1
25-7688-3
25-7688-10
25-7688-5
25-7688-4
520111-3
520191-2-1
Calculations
RT1028.01-13
RT1206.01-13
RT1203.01-18
4c-DPB S-20-L SOTM-O 1. A-
Rl
2002T0003.08
Test Name/Report
Date
TAS-112
Sept. 2006
TAS-100
Sept. 2006
Static Uplift Testing
Dec. 1991
TAS 102 & TAS 102(A)
Wind Tunnel Testing
Dec. 1991
TAS 108(Nail-On)
Withdrawal Resistance Testing of
Sept. 1993
screw vs. smooth shank nails
Wind Tunnel Testing
Aug. 1994
TAS 108 (Nail -On)
Wind Tunnel Testing
July 1994
TAS 108 (Mortar Set)
Physical PropertieC .. °
° :June 2006° ° ° ; °
0
TAS 112 00
000000
0090°
0 0
0000 060000
0
Static Uplift Testing::: ° °
° 11ne 19990 O 0 0 0
TAS 101 (Adhesive Set) ° ° °
o ° ° I&Y 1996,, 0,
TAS 101 (Mortar Se4°0°°
° 00o609
Static Uplift Testing° a ° °
°
ne 19960 0 0 0 0
°1�o
TAS 102 ®°°o°o
�°
(3"Headlap, Nails, Direct Deck, New
°, 000000
O O
Construction) O o a
® 00 0 O
000000
90 O
Static Uplift Testing
00 O 0
o °14me 199;
TAS 102
(4"Headlap, Nails, Clips)
Static Uplift Testing
Dec. 1998
TAS 101
March 1999
Aerodynamic Multiplier & Restoring
Sept. 2006
Moment Due to Gravity
TAS 112 11/13/13
Aerodynamic Multiplier & Restoring 02/05/14
Moment Due to Gravity
TAS 112 12/11/18
TAS 101 12/17/20
TAS 101 10/06/20
NOA No.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 3of7
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 shall be performed in accordance 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 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated
otherwise by the underlayment material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable building code.
3.7 Mechanically attached tile minimum slope 4/12.
3.8 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.
4. INSTALLATION • • %•
4.1 Crown Building Products of Florida, LLC.'s Sanibel Concrete Roof Tile anA jts•components
installed in strict compliance with Roofing Application Standard RAS 118, RAS114,'and 1 AS420
4.2 Data For Attachment Calculations • • •...
shalC be..
Table 1: Average Weight (W) and Dimensions (I x w) : •';
Tile Profile
Weight-W (Ibf)
Length -I (ft.)
"dth-vr (ft.)
Sanibel Concrete Roof Tile
1 11.33
1.417 01•
• .104
Table 2: Aerodynamic Multipliers - 2 ft'
Tile
Profile
2, (ft3)
Batten Application
2. (ft3)
Direct Deck Application
Sanibel Concrete Roof Tile
0.289
0.313
Table 3: Restoring Moments due to Gravity - M9 (ft: Ibf)
Tile
2":12
3":12"
4":12"
VAT'
6":12"
7":12" or
Profile
greater
Sanibel
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Concrete Roof
Deck
Deck
Deck
Deck
Deck
Deck
1
Tile
N/A
9.05
N/A
8.96
8.79
8.81
8.60
8.62
8.38
8.40
8.13
8.16
NOA No.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 4 of 7
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft.-Ibf)
for Nail -On Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(min 15132"
(min. 19132"
plywood)
plywood)
Sanibel Concrete
2-10d Ring Shank Nails
28.6
41.2
19.4
Roof Tile
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 Screws
43.2
43.2
29.8
1-10d Smooth or Screw Shank Nail (Field
23.1
23.1
19.0
Clip)
1-10d Smooth or Screw Shank Nail (Save
29.3
29.3
24.0
Clip)
2-10d Smooth or Screw Shank Nails (Field
27.6
27.6
38.6
Clip)
2-10d Smooth or Screw Shank Nails (Save
38.1
38.1 , •
• •, 41.8
Clip)••••
Table 5: Attachment Resistance Expressed as a Moment Mr•(ftsl(�f)
for Two Patty Adhesive[ Set Systems •... ••..
Tile Tile Application KlAinum k eabhment..
Profile ••;Resi ce ..:.
Sanibel Concrete Roof Tile
TILE BONDTM Roof Tile Adhesive
19a •• ••••
TILE BONDT Roof Tile Adhesive
583'
ICP Adhesives Pol set9)AH-160
.34'. ••••
Touch'N Seal StormBond® one component)
95 :....
1 See manufacturer component approval for installation requirements. ; •„•
2 Medium paddy weight of 8 grams between tile and underlayment, paddy weight of 8 grams on overlap of tile of TILE
BONDTM Roof Tile Adhesive
3 Medium paddy weight of 10 grams installed on the center of the back of the tile, second paddy weight of 20 grams on
the underlayment. Place tile so that both paddys combine.
4 Medium paddy weight of 8 grams per paddy of Polyset® AH-160
5 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)
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
for Single Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Sanibel Concrete Roof Tile
ICP Adhesives Pol set® AH-160
66.57
ICP Adhesives Polyset® AH-160
38.76
6 See manufactures component approval for installation requirements
7 Lar a add weight of 63 rams of Pol set® AH-160.
8 Medium add weight of 24 rams of Pol set®AH-160.
NOA No.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 5 of 7
Table 7: Attachment Resistance Expressed as a Moment - Mf t.-lbf)
' for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Sanibel Concrete Roof Tile
Mortar Set9
24.5
9 Tile-Tite Roof Tile Mortar.
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or
following statement: "Miami -Dade County Product Control Approved".
a °°..
°
. °.... 000000
.
° ° °
000000 °
°°.... °
.°
....° ..°...
LABEL FOR SANIBEL CONCRETE ROOF TILE ...... o 0000
° ° ` ° ° .
...°.
(LOCATED UNDERNEATH OF TILE ° ° ° ° ° ° . ° ...°.. °
. . .
.. O
....... . .. . .
000000
.
6. BUILDING PERMIT REQUIREMENTS: a o 00 ° ° ° ° ° o °
6.1 Application for building permit shall be accompanied by copies of the follbwi;&- ° ° ° ° ° ° .
000000
6.1.1 This Notice of Acceptance. ° ° o ° ° ° ° °
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.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 6 of 7
PROFILE DRAWING
13 VV
SANIBEL CONCRETE ROOF TILE
END OF THIS ACCEPTANCE
o e 0 0
0 0
0 0 0 0
e e o e 0 0
eeee
o
e
°
eeee
°
0000we
°
0 0
ee0000
e°
000eoo
° o
°
e 0 e 0
0
° e
e o
000ee
e e
o
00 00
o o o e o o
o
°
0
eo °
°
000000
0 0 e
° 00
0 0
000eoo
ee 0 °
° °
o 0
° 00
NOA No.: 21-0420.12
Expiration Date: 02/13/24
Approval Date: 09/02/21
Page 7 of 7
MIAMFD MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) w cn.miamidadawic/cconomV
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 ibis product
or material tested for quality assurance purposes. If this product or material fails to perform7n tbtaccepteehmanner, the....
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, mMify' or suspplldthe use
of such product or material within their jurisdiction. RER reserves the right to revoke this aFggptance, if t iS ....
determined by Miami -Dade County Product Control Section that this product or material fails,tp meet the requireme$te...:
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Fltmda 8uilding.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,ocity,•state ;rid fSkowing�
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 I through 7.
The submitted documentation was reviewed by Jorge L. Acebo.
MIAMMADE COUNTY
,... 1
NOA No.: 21-0602.14
Expiration Date: 09/13/22
Approval Date: 08/26/21
Page 1 of 7
ROOFING COMPONENT APPROVAL
Cateizory: Roofing
Sub -Category: Underlayment
Material: SBS, APP
PRODUCTS DESCRIPTION:
Product
Polystick IR-Xe
Manufacturing
Location # 1 & #2
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
Dimensions Specification 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 3'3-3/8" TAS 103 and
60 mils thick ASTM D 1970
32' 10" x 3'3-3/8" TAS 103 and
130 mils thick ASTM D 1970
65' x 3'3-3/s" TAS 103 and
80 mils thick ASTM D 1970
A rubberized asphalt self -adhering, polyester reinforced
waterproofing membrane. Designed as a air®®f tile
° °
° °
underlayment. ° ° ° °
° °°°°°°
00 r 0000 °
°
A rubberized asphalt waterprbe f memb , glass-....:.
fiber/polyester reinforced, willl Ygi'anular surface
designed for use as a the roof unaeslaym "Go
A rubberized asphalt self-adtRedflg.oglass-ftbe°r/polyestsre ° ° °
reinforced waterproofing meMb?'a°ne. Desig4d as a me4a►1° ° °
roofing and roof tile underlaymen°t.9 ° °
° °° ° °
° ° ° ° 00 ° °
60060
00
65'8" x 3'33/8" TAS 103 A homogeneous, rubberized asphalt watgprggf ng °
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
Expiration Date: 09/13/22
Approval Date: 08/26/21
Page 2 of 7
EVIDENCE SUBMITTED
Test Agency Test Identifier Test Name/Report
Date
Trinity ERD 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-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:
00 o
1. All membranes or packaging shall bear the imprint or identifiable marking of the manutactuter's name BP logo, eitp ° O °
and state of manufacturing facility and the following statement: "Miami -Dade County. Co Aopproved" o
Aoduct
O
or the Miami -Dade County Product Control Seal as shown below.
nt°rbt °
0 0 ° ° ° °
OOOOOp
O `
°
ooy0
MMO IAMADE COUNTY ° O
•poo
:0boo°
6666o o °
V
,...� `
00000
0 0 6 0 0 0
O O
° O
° O 0.000
O O O
00 go
Go O° 060000
0 0 0 0 6 0
O o p
O o °
° O
BUILDING PERMIT REQUIREMENTS: o ° O
°O O a 0 a 0 : 0
° Go
°
00 0
o000wp
0o
Application for building permit shall be accompanied by copies of the following:
O
° ° ° °
° 06
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
,COUNTY 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 II or ASTM D 2626.
Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Membrane: Polystick IR-Xe, Polystick 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
0000
Deck Description:
Min. 19/32" plywood or wood plank ° °
°A
0000
000000
"
®
*owo
°
•
System Type E(2).
Anchor sheet mechanical) fastened to deck membrane adhered*-*-*" * w * *
y
0 0 w 0
°
Anchor/Base Sheet:
000000
One or more plies of ASTM D 226 Type II or ASTM D 2626.
0
0 0
0 °woe 0
° °
°
$t2imuFastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a"m
4" Read lap.
406 °w
owwsw*
base sheet only) � °
° °
* o u
° o
° w w ° °
Membrane:
ew *°
Elastoflex S6 G, hot asphalt applied w w w w w w
ow wo
°
000000
w
Surfacing:
See General Limitations Below. o
*° 0
*
0 0 w o
° °
* ° °
w 0
° ° °
00 0
° 00
00 0
° ° °
0 00
O 0
000000
o °
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
Expiration Date: 09/13/22
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 flasting tape,';jjajlobe
pressed in place and formed around the protrusion to ensure a tight fit. A second layer.QfPdlystick "Lbe
applied over the underlayment. 000000 ° °: ° ° ° ° ° : °
°
° ° ° ° ° ° ° ° °
°°°°°°
GENERAL LIMITATIONS: ° 0000 ° : ° ° ° : ° °
°°°° ° °°°°°
1. Fire classification is not part of this acceptance. ° ° ° ° ° ° ° ° ° 0000
°
° ° ° ° °
2. Polystick TU Plus, Polystick MTS and Polystick MTS Plus may be used in asphaltic. sbywles, woo¢ s�iakes ° ° ° o
and shingles, non-structural metal roofing, roof tile systems and quarry slate roof asseanbltes. 00 ° ° ° ° °: °
Polystick TU P maybe used in all the previous assemblies listed except metal roofing. .0. : ° 000
°° ° °
Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing andaroof tie °systems.
Polystick TU Max may be used in non-structural metal roofing and roof tile systems. ° 00
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.
Exposure Limitations (Days)
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
NIA
180
NIA
180
N/A::�j
7. 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.: 21-0602.14
Expiration Date: 09/13/22
Approval Date: 08/26/21
Page 5 of 7
8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile
manufacturer's Notice of Acceptance.
Polystick 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) 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
.k.12
Tile
without battens
• •
'.... '
10.
The above slope limitations can be exceeded only by using battens in accordance with.the..Approved 2,jle SystM.:: •
Notice of Acceptance and applicable Florida Building Code requirements. When battens elra required,.they shall ,
be utilized during loading and installation of tiles. � • • •
.....
Care should be taken during the loading procedure to keep foot traffic to a minimum aqd lQ avoid dti;'a dropping of •
directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading4r"Mure ' ",%Oles lajd„• •
perpendicular to slope followed by a maximum four tile stack parallel to the slope, foise•tolal of 6 tiles— for all .'
underlayments except Polystick MTS which shall be loaded onto battens. • • .... %
a
a
N
N
b
Roof Deck prepared vi0h
POLYSTICK TU Rua
Roofing Tiles
(6 Max. Per Sack)
12
6
I/
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
rawrt►laaoecoutan 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 NITS. 00000
.e.
0
5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Ii*r to the Po1ji f ass Tile ° ° o o °
Loading Guidelines. See General Limitations #9 and # 10. oe0000 6600 eoo 000006
e
6. Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be u°sea on°all projects for o ° °.. o
pitch/slopes of 7"/12" or greater. It is suggested that on pitch/slopes in excess of 6 'WYJY o,aprecautienr.Uould be °
taken, such as the use of battens to prevent the sliding during the loading process. ° ° e ° e o ° ° o ° ° e
0 0 oeeoo
7. Minimum cure time after membrane installation & before loading of roofing tiles is Wiy= Eight (4)°H®tirs.
000000 °
8. Polystick membranes may not be used in any exposed application such as crickets, e4os�d dal ley�e or &xposec , . o 0 0
roof to wall details. ° o e ° , ° ° ° e
e o o .00...
9. Repair of Polystick membranes is to be accomplished by applying Polyglass POLYPUS 50, XtraTlcx°SO °
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 fumished 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 33138
305-795-2204 www.msvfl.ctov
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 cif S(Gtion R4402 are*--:-
f Nie purpose of providing that the roof system meets the wind resLZ apse ant4 ,outer ...,
instruction performance standards. Aesthetics (appearance) are not a consideration with....:
respect to workmanship provisions. Aesthetic issues such as color or a citectt 'r"al"
appearance, that are not part of a zoning code, should be addressed of the,:
a reement between the owner and the contractor.
: . .. . ......
Renailing wood decks: When replacing roofing, the existing-wood-roofdecZ'
ay 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. 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
ad' ent units of roofing to be performed.
4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the
o 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
ac table. This provides the option of maintaining the appearance.
5. Ponding water: The current roof system and/or deck of the building may not
rai 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.
RevOI 142021 Owners roofing consideration Page 1 of 2
,Es1� Miami Shores Village - BUILDING DEPARTMENT
19]1 V�
10050 NE 2 Ave Miami Shores, FL 33138
ii •, i8:69e*
305-795-2204 www.msvfl.ctov
6. overflow scuppers (wall outlets): It is required that rainwater flows off so that
the ro f is not overloaded from a buildup of water. Perimeter/edge wall or other roof
tfision 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
Se ions R4402, R4403 and R4413.
7. Ventilation: Most roof structures should have some ability to vent natural
airfl through the interior of the structure assembly (the building itself). The existing
ount of attic ventilation shall not be reduced. It may be beneficial to considef.additional
venting which can result in extending the service life of the roof. ^••^
.....^
022 • 3 � �
Ow r/Age 'ssignature Date Co tract r igna re••••• "'Date,,,,,•
For Forms and Applications click here:
http://bidg.m iamishoresvi llage.com/WebLink/Browse.aspx?id=118080&clBid=a&repo=Mia.:.
mi5horesVillage •• ;
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.gov
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR
EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION
553.844 F.S.
To: Miami Shores Village Building Department Date: `f /131a- O_2-"Z
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: Seizerson Es1f',imev
Property Address: (0S N G— IOS 's-F
Roofing Permit Number: ......
... ......
Dear Building Official:
6-[-', M s-.2 certify that I am not required,to-retrofit.the rope ;
tro all connections of my building because: °•..:.
The just valuation for the structure for purpose of ad valorem taxationis, less than ,,,,,•
$300,000.00. Please attach proof of ad valorem taxation. ""•'
❑ The building was constructed in compliance with the provisions of the rlorida BLrilding Code.:%
(FBC) or with the provisions of 1994 edition of the South Florida Building Codr. (1994 5FBC) .....;
e
State of Florida, Miami Dade County
TEF (::j A,) [ram /M jae__
Print Name
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the
above property mentioned. Sworn to and subscribed before me this I Z)t- day of
I9 P tz I 1 20 77
Notary Public, State of Florida at Large
MARIA ELENACRISTOBAL
MY COMMISSION # GG 987418
FXPIRrS- Mav 1212 2024
e
•'••;;o'sv;9: Bonded Thru Notary Public Underwriters
MARIH ELENIa C{.IOTCbr��
• 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
Property Search Application - Miami -Dade County Page 1 of 1
• •w OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-2136-006-0140
Property Address:
65 NE 105 ST
Miami Shores, FL 33138-2030
Owner
JEFFERSON W GEIMER 8W
JENNIFER R
Mailing Address
65 NE 105 ST
MIAMI SHORES, FL 33138-2030
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths I Half
2/ 1 I 0
Floors
1
Living Units
1
Actual Area
2,344 Sq.Ft
Living Area
1,837 Sq.Ft
Adjusted Area
1,922 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year 2021
Land Value $265,122
2020q$3605,"'�900
$230,638
Building Value
$133,772
$133,772
XF Value
$1,478
$1,484
Market Value
$400,372
$365,894
Assessed Value
$142,705
$140,735
$137,571
Benefits Information
Benefit
Type
2021
2020
2019
Save Our Homes
Assessment
$257,667
$225,159
$228,329
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
I Short Legal Description
MIAMI SHORES EXT NO 2
41-78
r 14 BLK 202
r SIZE 75.000 X 123
16933-3748 0995 1
Generated On: 4/13/2022
Taxable Value Information • :...:. '
•20�� 2020.
..201
County " •••••
Exemption Value
$a1,Odb
; $$59,00Q
%0,•00
Taxable Value
1 $$2,7
• $90,786
: 871574
..
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
1 $117,705
$115.735
$112,571
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$92,705
$90,7351
$87,571
Regional
Exemption Value
0.0001
$50.0001
$50,000
Taxable Value
1 $92.705
$90,735
$87,571
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
09/01/1995
$106,900
16933-3748
Sales which are qualified
05101/1990
$90.000
14539-3597
Sales which are qualified
06/01/1974
$58.000
00000-00000
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/Aw .miamidade.gov/info/disclaimer.asp
https://www.miamidade.gov/Apps/PA/propertysearch/
4/13/2022
r
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
TAX FOLIO NO. 11 eIM ao„)140
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street / address:
65 NE 105 Strael .
OUNNI NGS MWAI SHORES EXT NO 2 P8 41.78 LOT 14 6LX 202 LOT SIZE 75 000 X 123 OR IN33.314tt 0995 1
2. Description of improvement:
gcca f Tr lt_ -*1!2 co M VV i-_G_ S 'Ti I -t -
Owner(s) name and address
Jelrerson Go mot 6 Jannder G- mar
b r IV_F.r Q S •�n ?"t ,L� -� • tuI ► m S ho re s .f-
Interest in property* gWj- y
Name and address of fee simple titleholder:
NIA
tl Contractor's Warne and address - --- -- - - �----- ------ - - ----� �- - -� --- ---�--
1S eLot-C- s I n 5y 1 0L4-1 w f► LP r p
�72zs S .� � ��_� ±�Iw_ _ � - S+G •z.00 . ��lrn�c+�-o. F,� y , a �. �� i s �-_ _
5 Surety: (Payment bond required by owner from contractor, if any)
Name and Address.
Amount of bond $ - - - - - — - - -- - -- - - - - -- - - --___ -- - - - - -
6. Lender's name and address
WA
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes.
Name and Address:
lerreraon Gerner
65 NE tOS S1r0e1 61lanu Snores. FL 33136
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Owner
Print Owner's Name_ ���0iCS i / Prepared by fto(Ad PS I J 0 j, 041LC loWift
Sworn to and subscribed before me this it day off r', _I L , 20 ?
Notary Public
Print Notary's Name:
My commission expires:
c; MY COMMISSION 9 GG 98y418
A EXPIRES: May 12, 2024
�: Banded T ivu Notary Public UedesMtiters
Address.
dress. 17 Z7-C S b lhl C tt.A) L.
s PCAJJ�Bi PL
.'.-ItiHW�:;' Fl.tl!W'Ob � .- - ctYtt;PYCP4 i � ,.. : •.��,;, .;:�(j C;O?4 �.
+,TRACTOR&, AND t'AA I f t�U,` SUPPLIERS W ct PROPER
MADE PAYN-NT 1=. GI!i
UNDER FLORIDA I-AW, YOUR FAILURE TO MAKE SURE TFIAT WE ARE PAID MAY RESULT IN A I;EN AGAiWl
T..uf rc.TO AVOID A LIEN AND PAYING TWICE. YOU MUST (MTAFN r, WIPMT--t
ISAACS ROOFING AND, at PHONE 305-234-5234
TO: CERT# 7101 0412 3440 2928 4125
JEFFERSON W 8 JENNIFER R
GEIMER
65 NE 105TH ST
MIAMI FL 33138-2030
WOI 2548567 DATE: 4/19/2022
BATCH: 49154 ID: ISA41
FILE COPY BY: JM T:JM R:PD S:PD
The undersigned hereby informs you that he or She has furnished or is furnishing services or materials as
follows: REROOF TILE TO CONCRETE S TILE 8 RELATED SERVICES
For im rovement Of the real property described as: JEFF GEIMER
65 NE 105 ST, MIAMI SHORES
LOT 14 BLK 202 WINNINGS MIAMI SHORES EXT NO 2 PB 41178 MIAMI DADE COUNTY FLORIDA (TR)
WD 16933/3748 9/1/95 FOLIO 1121360060140
(long legal available 800432-1959)
Under an Order given by: JEFF GEIMER ADS22033116T
Fl),Ahv la+ (re.,i.nt•?c the serving ,.I ilI, III n_a 8 t r,sl,;, I yp.n it ,i .I t . - ;•:,yn: tl=. iu';,7r y nir ..nb.Ta it , Ns� vi nin
713.06 Florida Statutes. Pursuant to Flondi Statute 713 16, 1) please bunt. I, a -oh.y of you; du ect Conk act will) the conrtdcDJi He, i-, !it
t _,i c,:{y, l-ilt, i5 Request. lo, Sworn ?Iaellient Of ApCOW il must be iddreiSed to
ISAACS ROOFING AND, INSULATION CORPORATION. 17225 S DIXIE HWY STE 200. PALMETTO BAY FL 331574345
IMPORTANT INFORMATION FOR YOUR PROTECTION
Indai Flondas law. Ihn who work en yoiit properly ui pmvtl m3lerinl- and ale not I airl have 0 nght el bne Iheirdanit )i payment
ejaoSt your properly This claim Is known as i-onytu.Chon lien II p-w cunhacloi MIN to pay subrjnlw-A-.r y materiyl vt,pha,, .).
neglects to make other legally tequ;red payments the people who ate owed money may look to your p,gpgrly for payment. EVEN IF VIA-)
HAVE PAID YOUR CON FRACTOR IN FULL
PROTECTYOURSELF
-REi:oG,NIZE Ihat Ih)� Nobs II) Owner may re5vll in a lied :gams! yo;u pioperlt unle'>E all thnce supplying a to Uv.tier have npgn
Paid
--LEARN moi, about the Conslru•tion Lien Low.::h,tplai ,13 FEW L Flnela Statute;. and the nreaning Ih 01 n noure hp ror*ft'bn) an
at wricy or the Florida Del,arbnent of 8lsmeS ar.-I Piotess Jnal Raqulatwn
It a payment bond 8'n'Li(g LSi Ilbi project, this notice shall 30ive ae Ike- pre.hmmaiy ❑Ohre It intention to n,a lv,,. lain) ayaui;l aay 'Ah
honrJl>) Regilesl tot it eopy of Die bond(s) is hereby elude. wal: ac Wnoivledgrnent of nsl "isiLJdy for ropy ,_r= rallute to hnniah the
rsquemed ropy may ;on.Segnence; as described in Fh;IdJ Slatufes
FIRM: INSULA TON
SY: OWNER
W NIFER
CING ORPOAND
RATION
JEFFERSON 8 J N12 R125
17225 S DIXIE H W V STE 200
GEIMER
PALMETTO BAY FL 33157.4345
65 NE 105TH ST
�•
MUUJI FL 33138-2030
Regina Durand, Agent ST COST OWNERI
OF
GEIMER
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 CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) w .miamidade.eov/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 I through 11.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 20-1124.07
Expiration Date: 05/10/22
Approval Date: 01/28/21
Page 1 of 11
Page 13 of 30 OF THIS PACKET
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof the 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 Polysce 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 ProPack® 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:
Property
Test
Results
Density @ 73°F
ASTM D 1622
2.1 lbs./fi.3
Compressive Strength
ASTM D 1621
18 PSI Parallel to rise
14 PSI Perpendicular to rise
Tensile Strength
ASTM D 1623
29 PSI Parallel to rise
Water Absorption
ASTM D2842
7%
Moisture Vapor Transmission
ASTM E96
2.3 Perms
Dimensional Stability
ASTM D2126
+0.03% Volume Change @ -40° F., 2 weeks
-1.1% Volume Change @158°F., 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.: 20-1124.07
Expiration Date: 05/10/22
Approval Date: 01/28/21
Page 2 of 11
Page 14 of 30 OF THIS PACKET
1EVIDENCE SUBMI'I'7'ED:
Test Agency
Test Identifier
Test Name/Report
Date
Center for Applied Engineering
#94-060
TAS 101
04/08/94
257818-1 PA
TAS 101
12/ 16/96
25-7438-3
SSTD 11-93
10/25/95
25-7438-4
25-7438-7
SSTD 11-93
11/02/95
25-7492
SSTD 11-93
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
Cclotcx 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-0 I. B-
Physical Properties
12/4/20
Rl
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 the 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.
S. 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
Expiration Date: 05/10/22
Approval Date: 01/28/21
Page 3 or 11
Page 15 of 30 OF THIS PACKET
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 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 RTF 1000 dispensing equipment is required before application
of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between
1.0-1.15 (A): 1.0 (B).
6. Polyset AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF 1000 or ICP Adhesives ProPack" 30
& 100 dispensing equipment only.
7. Polysetg AH-160 shall not be exposed permanently to sunlight.
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within I to 2 minutes after Polysctr` A14-160
has been dispensed.
9. Polyset AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details'
herein. Each generic the profile requires the specific placement noted herein.
NOA No.: 20-1124.07
Expiration Date: 05/10/22
Approval Date: 01/28/21
Page 4of11
Page 16 of 30 OF THIS PACKET
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
12-14 sq. inches
30
IIigh Profile
#2
17-19 sq. inches
30
Flat, Low, High Profiles
#3
Two Paddys: 8-9 sq. inches at
12 grams per paddy
head of tile 9-11 sq. inches at
overlap
Two -Piece Barrel (Cap Tile)
Two Piece
2 Beads (1 each longitudinal
17 grams per bead
edge) 20-25 sq. inches each
bead
Two Piece Barrel (Pan Tile)
Two Piece
65-70 sq. inches
34 grams under pan
LABELING:
All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the
manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami -
Dade County Product Control Seal as shown below.
HUV0��
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
MIAMMaADE COUPIT1f
NOA No.: 20-1124.07
Expiration Date: 05/10/22
Approval Date: 01/28/21
Page 5 of 11
Page 17 of 30 OF THIS PACKET
ADHESIVE PLACEMENT DETAIL # 1
Nall through plastic cement Paddy ghmeath Tile)
(when required)
f
IOIn.
s�\\ \ gym.
Betc.nsoptional
E.ve[oun. -%
10In. _s _ascia
Feve <losun ��
Nall through plastic cement
(when required)
fascia
Closure
Nall through plastic
Iwhen requlradl _ - - Paddy (Beneath Tile)
Underlayment x\ \
.-�
I0In. \\. •\-�
2 In. wide
Battens �. • \
optional j •`` \••:
Eave Course -_
Fes C1.
Weephole
,21n.� Ea.edosure
IOIn.
!/ Drip edge
Flat/Low Profile Tile
I . Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown,
under the 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 em2) square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
I. Starting at the cave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x I" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the the being set.
2. Continue in same manner. Insure approximately 17
(109.7 em2) — 23 (148.4 em2) square inch adhesive
contact with the underside of the tile.
High Profile / Single Pan Tile
I. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm2) 23 (148.4 cm2) square inch adhesive
contact with the underside of the tile.
NOA No.: 20-1124.07
Expiration Date: 05/10/22
Approval Date: 01/29/21
Page 6 of 11
Page 18 of 30 OF THIS PACKET
ADHESIVE PLACEMENT DETAIL # 2
Nall through plastic cement paddy l8 cneath U.)
twhen required)
inddaayment
°
It 7ln.ti.
21n.
caneonnsoptlonal
-
Eaw Courw
10In. '• _ Fascia
'kiln
Eaveelosure
cement
required)
Battens
Fascia
Flat/Low Profile Tile
Starting at the cave course, apply a minimum 2" (50.8
Trim) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm 2)
- 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
strengthening rib closest to the overlock of the the
being set.
3. Continue in same manner. Insure approximately 10"
(64.5 cm2) - 12(77.4 cm2) square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
Starting at the cave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x I" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
pan portion of the tile closest to the overlock of the
tile being set. Insure approximately 17 (109.7 cm2) -
23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the the 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
Page 19 of 30 OF THIS PACKET
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
Nall through plastic ce
(when required)
Paddy (Beneath Tile)
IUnderlayment
7in.
_ •'.
`��♦
BattensoptlonOf a\\�
Eava Course
Fascia
Weephole
IBIn. 7 in.
Eave closure
Drip edge
High Profile / Single Pan Tile
Starting at the eave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
pan portion of the tile closest to the Overlock of the
the 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 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 the
being set.
3. Continue in same manner. Insure approximately 17"
(109.7 cmZ) - 19 (122.6 cmZ) 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 l I
Page 20 of 30 OF THIS PACKET
AD[ ESI VE PLACEMENT DETAIL # 3
Kul avough platccement Paddy becreemtBefl
halter reeuhedl
linens opterul. k
• Paddy under the
iStage
f a or, op fi ,
attain.
.�- Lnykpad
toln
In
L;
0
1 } raffia
f�.r--- FaRCbene
Flavl-ow Profile Tile
Kati through plastl<cmrcnt
Shale paddy under the
(Whm reeuhedl
Paddirlael>reen tlnl
Battens '
�� Paddy larder Mel
optlenal
]■ab.w.��"•
ingtepaddy on
` -
10
Fare Course
Earl clown
`
Focht
Medium Profile Tile
I. On the cave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x I" (25.4 mm) foam paddy
onto the underlaymcnt positioned as shown, under
the strengthening rib for flat the or under the pan
portion of the tile for low or high profile tile closest
to the overlock of the tile being set. Leave
approximately 4" (101.6 mm) up from the cave
edge free of foam to prevent the expanded adhesive
from blocking the weep holes. Insure
approximately 17-23 in' (109.7-148.4 em2) of
adhesive contact with the underside of the the
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 in (51.6-58.1 cm) 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
Page 21 of 30 OF THIS PACKET
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
Man through plastic
Single paddy wWtr die
1when requIredl
\
Paddy ltetween ties)
BattensGPtWW
paddy loader tikl
an
'
4x4ln.
t� �•.
2xaIn.
-•� •
t"op of tie —
Em Course —
`•i
Fasda
Weephole
101n. 2In.
Eavve dosure
Orlpedge
High ProfileYlle
APPROVED J
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3j4"
(19 mm) paddy on top of the cave course tile
surface as shown, on top of the strengthening rib
for flat the 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 cm2) 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: OS/10/22
Approval Date: 01 /28/21
Page 10 of 11
Page 22 of 30 OF THIS PACKET
ADHESIVE PLACEMENT DETAIL
Two PIECE BARREL
1) Place enough adhesive to achieve 65 to 70 sq.ln. 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 tEh. Ensure 20 to
2S sq.In. contact area. --. °
tlnderlayment - --�•
Sheathing
Eave closure
(motor shown)
Weephole Fascia Board
Remove top portion of the cave course cover tile. Abut to second coarse of
pan tiles. Ensure cave end of pan and cover tiles are Rush at cave tine.
Two Piece Barrel - High Profile Tile
Two Piece Barrel (Cap and Pan) Tile
1. Starting at the cave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as
shown under 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 tic 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: OS/10/22
Approval Date: 01/28/21
Page 11 of i 1
Page 23 of 30 OF THIS PACKET