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RF-12-23-3059Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 313 NE 92ND ST, Miami Shores, FL 33138 Issue Date:12/22/2023 Parcel Number 1132060136360 Permit No.: RF-12-23-3059 Permit Type: Roof Work ClossiJlcation: Tile Permit Status: Approved Expiration: 06/24/2024 W Contacts STEPHEN N SYMES &W ALEXIS POWELL Owner Pioneerstar Construction services Contractor 313 NE 92 ST, MIAMI SHORES, FL 33138 JOSE RAMON Ortega 575 Tamiami Canal road, Miami, FL 33144 Business: 3057883893 Jo3ortaga@aol.com Mobile: 13057883893 �- Description: CODE-10-23-371 REROOF TILES - BARCELONA 900 Valuation: $ 27,908.00 Inspection Requests: SLATE BLACK ANTIQUE 305-762-4949 HISTORIC PROPERTY Total Sq Feet: 2,259.00 Fees Amount Application Fee - Other $50.00 CCF $16.80 DBPR Fee $6.44 DCA Fee $4.29 Education Surcharge $8.40 Permit Fee (Manual) $379.00 Scanning Fee (Manual) $12.00 Work without Permit Fee $429.21 Work Without Permit Fee - Plus $100 $100.00 Total: $1,006.14 Payments Date Paid Amt Paid Total Fees $1,006.14 Credit Card 12/22/2023 $956.14 Credit Card 12/08/2023 $50.00 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 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 POOLwork. OWNERS I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and zoning. Futhermore, I aut orize the ab a named contractor to do the work stated. ore lz- iZ�zz,�aoa� Owner / Applicant / Contractor / Agent December 22, 2023 Page 2 of 2 Miami Shores Village AEG 08 2023 Building Department 1-ty:-34--- 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 20Zo BUILDING Master Permit No. t0- 11 PERMIT APPLICATION Sub Permit No. BUILDING Ij ELECTRIC Ed ROOFING I3 REVISION ® EXTENSION [3RENEWAL PLUMBING ®MECHANICAL ® CHANGE OF I] CANCELLATION I] SHOP CONTRACTOR DRAWINGS � JOB ADDRESS: `� 13 N G L Z S 1 T City: Miami ShoresCounty: Miami Dade Zip: 3 3v Folio/Parcel#: 11- 3Zo 6 _-0 3 '-(o3ieo Is the Building Historically Designated: Yes NO �• Occupancy Type: Load:-nsCConstruction`Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 5 / & JP%f7/V S Y.J9 e S Phone#: Address: 3 13 Ill/-& 9c.0 .5r City: .7� Ar)')) �fNN70��7ti.) State: �C� Zip: 3 -3i 3 Tenant/Lessee Name: Phone#: Email: "14 / yW &3<Ay G (/; 1f_I7C. GI-S CONTRACTOR: Company Name: t�/N/Ct'iSrl/' GGI�/s J VG S Phone#: 3 (yS ;79 L/ 3 (V 3 Address: 5 -75 %9 /�! / /Y r 1� (n N/� L )0069 :� Email: 030►ZTA E.4 �GA U Lco". G Qualifier Name: -� O Se- (Jtf--:t ,2G Phone#: 30 s- Z�1 Jy 3 State Certification or Registration #: C(:: 1 3 3 0�3: T Certificate of Competency # DESIGNER: Architect/Engineer: Phone#: Address: Is 1 6— p GJ Q City: State: _Zip: Value of Work for this Permit: $ Z �f / Q ,Q Square/Linear Footage of Work: Type of Work: ® Addition M Alteration® New Repair/Replace ® Demolition Description of Work: � R--O in -L7 (- -F S 15-2-3-3-1 Specify color of color thru tile: ( AP -C /e�LCrOA 906 -2AT&� BLACi\' ANZIOLI-E Submittal Fee $ Permit Fee $ 1 L-1G• 1 CCF $ co/cc $ Scanning Fee $ DCA Fee $ • 2 1 DBPR $ 0 / v' t,� 1 Notary $ Technology Fee $$ Training/Education Fee $ Double Fee $ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ (Revised 04/051202 2) 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 forth 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 a reinspection fee will be charged. _ n �///1/ �i xfQ Signature IZZD-JY / Signature�� /OWNER or AGENT' CONTRACTOR The foregoing instrument was acknowledged before me this _1 day of Oe C_ . 20 �, by SAC.= h ✓�S who is personally known to JF me or who has producedDL* 56?0- ?fly`69-01A as identification an ho did take an oath. NOTARY PU IC: Print: � CelesteatE M ria Celeste RE Seal: My Commission HF Expires 0811612024 The foregoing instrument was acknowledged before me this U day of L 20 3 , by L<ho is 'personallyknow to me or who has produced identification and who did take an oath. NOTARY Seal: as Notary Public State of Florida �n, eele9 My Commission 2751 Expires OB116/2024 APPROVED BY Plans Examiner Y ,Zoning 1�7 Structural Review Clerk (Revised04/OS/2022) =- isle, HOME EXEMPTIONS REAL TANGIBLE PUBLIC ONLINE TAX ROLL ABOUT CON' B ESTATE PERSONAL RECORDSTOOLS ADMINISTRATION US US ADDRESS OWNER NAME SUBDIVISION NAME FOLIO SEARCH: 313 Ne 92 st x Suite Folio: 11-3206-013-6360 Sub -Division: MIAMI SHORES SEC 1 AMD Property Address 313NE92ST Owner STEPHEN N SYMES &W ALEXIS POWELL Malling Address 313 NE 92 ST MIAMI SHORES, FL33138-3133 PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths /Half 4/3/0 Floors 2 Living Units 1 Actual Area 4,381 Sq.Ft Living Area 4,381 Sq.Ft Adjusted Area 4,162 Sq.Ft Lot Size 12,700 Sq.Ft Year Built Multiple (See Building Into.) Q` Back to Search Results Featured Online Tools Comparable Sales Property Record Cards Report Discrepancies Tax Comparison Value Adjustment Board Year Land Value Building Value Extra Feature Value Glossary Property Search Help Report Homestead Fraud Tax Estimator Tax Visualizer 2023 $838,003 $364,343 $17,160 PAAdditional Online Tools Property Taxes Special Taxing Districts and Other Non -Ad valorem Assessments TRIM Notice 2022 2021 $596,851 $407,949 $364,565 $278,368 $17,178 $17,195 np,nR �YlYO p,c,O,JW pJ, u,JJ`f p, VJ,J Ic Assessed Value $390,705 $379,326 $368,278 Year 2023 2022 2021 COUNTY Exemption Value $50,000 $50.000 $50,000 Taxable Value $340,705 $329,326 $318,278 SCHOOLBOARD Exemption Value $25,000 $25,000 $25,000 Taxable Value $365,705 $354,326 $343.278 CITY Exemption Value $50,000 $50,000 $50.000 Taxable Value $340,705 $329,326 $318.278 REGIONAL Exemption Value $50,000 $50,000 $50,000 Taxable Value $340,705 $329,326 $318,278 Benefit Type 2023 2022 2021 Save Our Homes Cap Assessment Reduction $828,801 $599,268 $335,234 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $26,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). MIAMI SHORES SEC 1 AMD PB 10-70 LOT 13 & 14 BLK 47 LOT SIZE 100,000 X 127 OR 172834350 07961 Previous Sale Price OR Book -Page Qualification Description 07101/1996 $250,000 17283-4350 Sales which are qualified For more information about the Department of Revenue's Sales Qualification Codes. 2023 2022 2021 Land Use Muni Zone PA Zone Unit Type Units Calc Value GENERAL R-20 1100 - SGL FAMILY - 2301-2500 SO Front Ft. 100.00 $838,003 Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adj Sq.Ft. Calc Value 1 1 1927 3,613 3,613 3,394 $313,606 1 2 1973 288 288 288 $26.833 2 1 1927 430 480 480 $23,904 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 313 NE 92ND ST, Miami Shores, FL 33138 Contacts issue Date:01/18/2024 Parcel Number 1132060136360 PermitNO.: REV-01-24-16 Permit Type: Revision Work Classification: Roofing Permit Status: Approved Expiration: 07/ 18/2024 STEPHEN N SYMES &W ALEXIS POWELL Owner Pioneerstar Construction services Contractor 313 NE 92 ST, MIAMI SHORES, FL 33138 JOSE RAMON Ortega 575 Tamiami Canal road, Miami, FL 33144 Business: 3057883893 Jo3ortaga@aol.com Mobile: 13057883893 Description: REVISION FOR CHANGE MEAN ROOF HEIGHT IN Valuation: $ 0.00 SECTION D AND SECTION E CALCULATIONS Total Sq Feet: 0.00 Fees Amount Payments Date Paid Amt Paid Revision: Minor Change of Plans $60.00 Total Fees $66.00 Scanning Fee (Manual) $6.00 Credit Card 01/18/2024 $66.00 Total: $66.00 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 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 FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul t' ns ction and zoning. Futhermore, I author jze,the ove named contractor to do the work stated. �` / Au gnature: Owner / Applicant! Contractor / Agent Date January 18, 2024 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 —INSPECTION LINE .PHONE ..NUMBER: (305) 762-4949 y pFBC 20 BUILDING RL, '*' a-�4, ib L. _ Master Permit No.RF-iz-;23-3059 PERMIT APPLICATION ub Permit No. Q�1�- 0144-1� ©BUILDING ® ELECTRIC ® ROOFING PLUMBING ® MECHANICAL ® CHANGE OF CONTRACTOR JOB ADDRESS: 3 I E> AJ G E REVISION ® EXTENSION ®RENEWAL ® CANCELLATION ® SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: J' 3 13 U Folio/Parcel#: ) I - '32-06 - OJ 3 ^ 6 3 b Q Is the Building Historically Designated: Yes 0. NO Occupancy Type: Load: Construction Type: Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �� / S Xpl'P S Phone#: 3 a 4-cb (?n 3 6 J 3 City: H/ Oe77 ) 1/7 QqState: r L- Zip: _3 3 13 S Tenant/Lessee Name: Jli Jr%- Phone#: AJ /9- Email: r`) CONTRACTOR: Company Name: P,onee! r 60 V 'b J1 Phone#: 3a S S '38 93 Address: 57'y- ^^ &acil- Litq&7, FL 33 / VV Email: �) 03,QW-Trg A. 4 pJ A O L . Qualifier Name: _ `ose Phone#: State Certification or Registration #: GCC t33 O S 4 -4 Certificate of Competency #: DESIGNER: Architect/Engineer: �u Ia--- Phone#: Address: N pr- City: State: _Zip: Value of Work for this Permit: $ 7i`I �O Square/Linear Footage of Work: ; Z S ^7 Type of Work: I] Addition ® Alteration 13New ® Repair/Replace ®Demolition Specify color of color thru the:64PACiPL ONA. 1 0 D 5&47Z� -9/,9t-/_^ A,,Lq/Q U,1-- Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee S CCF $ DBPR $ P&Z Review $ CO/CC $ Notary $ Double Fee $ Bond S IRevised04/05/2022i TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) _ Bonding Company's Address A//a City State Mortgage Lender's Name (if applicable) IV4 Mortgage Lender's Address /U 10L City /V )q 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 apprWAd and a reinspection fee will be charged. Signature "'V Signature1L: �g� OWNERorAGENT TC-'Of*4�/ rY&*4Al3 CONTRACTOR The foregoing Instrul lent was acknowledged before me this W day of 20 by Z A .� S who is personally known to me or who has produced as identification and who did take an oath. Print: HYrK Notary Public State of Florida Seal: �fs.� ktalia Celeste NtyeO g My Commission HH 032751 Expires 0a11612024 APPROVED BY The foregoing instrum1ent was acknowledged before me this day of d%N�V , 20 VL . by who is personally known to me or who has produc as identification and who nMWY PUblo Stale al Florida ana Celeste Reyes NOTAR P BLIC: �� My Commis on HH 032751 �orn� Expires 08/16/2024 Sign: Print:IN CQ l.�n IE�5 Seal: . �o . Notary ary public State ofFbnda Marla Celeste Reyes y $ My Commission MIA 032751 3jw pds' Expires 08/16/2024 Plans Examiner Structural Review tsxrsa Zoning Clerk (Revised04/05/2022) 0 Jury .1.E. FLORIDA INTERNATIONAL ENGINEERING INC Florida International Engineering Inc 6175 NW 167 Street, Miami, FL 33015 Telephone: (305) 378-1991-Fax: (305) 378-1997 Miami -Dade Lab Certification # 07-0612.11 -------------------------------------------------------------------- ------------------------ - SITE SPECIFIC INFOR TION 4 P Owner's Name• �' kc S� 5 \� Job Address: Roofing Contractor: Permit Number: R J v Type of Tile: Approximate Roof Height: I r feet Slope: 3' l2 Approximate Square Footage: 30A ft2 Type of Access to Roof: madder Other Required Tes ing Foi e: 35 lbs. Testing Equipmen : F.G.E 10Ox Shim o Instrument Date Installed: I 1-4 ZZ Date of Inspection: f � 7G 1 7A ------------------------------------------------------------------- ----- ------------------------------------- TEST RESULTS P= PASS, F= FAIL ©��111111111�111111�111111�111111111�1111•lllli•mli• 11•m� 011111.111111�1111111113lllllli•111111.111111111�11•llllli•111111.0111� III�m� ©��llllllll®1111•lllll�llllllll",'�llll�llllli•0�i>•�� 011111•lllllli•0111111•�111111111�111111.111111.0�m� 0111111• lllllli•0111111•llllli•lllllllll•�llllli•llllll�m�m� ®� �®� �1111111113l111111• llllli•0�m� '0� �1111111113l� �lllllllliil� �m�m� 0111111•lllllli•1111111113lllllli• llllli•llllllllli��m�m� m��m��llllllll®llllli•111111•m�� mllllll• llllli•111111111�� 111111111�111111� 111111�0�0� I0111111•��lli0111111•ll�llllllllt•�1111111•I►�m� � � � ------------------- 4-------------------- i------------------- e4--------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: ft Area Units or W No. of Tests Perimeter 7 '30 Field fj ki" Corners Hips & Ridges 00 State r; No. 6319L,,a� ■■■■�i317ifif�a�ll�le■■eeee■e■■■■■■■■■eeeeeee■ ■■■■■■■■■■■■■■■■■■■■■■■■■e■■e■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■m■■e■■■e!■■■■■■eee■■■■■■■■■ ■■■■■■■■■■■C.-,MMMMeEIeeeeeee■e■■■n■■■e■■■ ■■■■■■■■■■■■[�■e■■■■■■■■■R■■■■■■■1.■■■■■■■ ■■■■■■■■■■■■oineen■ee■■ns�:iie■■■■■■ue■■■■■■ ■■■■■e■■■■■■MINM cW■V MMUEWI■■■■■■KNNM■■■■■ ■■■■■e■■■e■■l:we-.■■pm■r r■■r!i■■■■■■■iie■■■■e■ ■■■■■■■■■■■■M1■e,.e■`�i■ommui■ee■■■■Ige■■■■■■ ■■■■■■■■■■■■l1■mm►e:�:p�A-:r:;e■■e■■■li■■■■■■■ ■■■■■■■■■■■■l1■r■m 'l w i � / ��71�i��ilee■■■■■Y. ■■■■■■e■■■■■ll■r7[ uet�i1IC,.�1i�s■■■■■MRUMM■■■■ ■■■■■■■■■■■■il ueomr2 rlpurn■■■■■■■rn■e■■■■■ ■■■■■■■■■■■■I�w■■e6 idwi i�,l ■ML■M■M■■■el.e■■■■■■ MEN moo moon i■Now Il■VA■WC19, .;.1■ONE mom ■■■e■ ■■■■ ■ale■■eMr■■■�o�eee�� r�e«t��le■■elie■■■■■■ ■■■■.eee■■�i�l'i■r■■■■ �1■■It li!'1/■ie�l■■■ell■■■■■■■ ■■■etiiiiiiiiiiiiill"-�r%r ■ril ii�le■ L�i� lee■■�!!!"■■■■e■ ■■■■■■■■e■■■■■■�1�■e�i?!�',1�1■ir,■!^ale■■■�■■e■■e■ ■■■■■■■■■■■■■■eft■I�r�:%1"w�'y�■■■�teeeell�J■e■■■■ ■■■■■■■■■e■■■■er;gel/�■■.��er�elee■l/1e■■e■e■ ■■■■■■■■■■■■■■�::�� es0-,:!12CWE; 2IM ■■■■■■■■■■■■ JRE�EIVEE Florida Building Code 7th Edition (2020) DEC 0 8 2023 High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County BY:__ Ssq Section A (General Information) Master Permit Number: Process Number: Contractor's Name: Pn^eers-6, ?ruG<hJ� <<'�✓/ S Job Address: -3 115 NO 1A S ?• )'/i077i 5kete5 .IffL 3313 5_ ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile A'fvlortar / Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ❑ Wood Shingles / Shakes , ROOF TYPE �3 ❑ New Roof ❑ Repair ❑ Maintenance 6'Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (ft') Steep Sloped Roof Area (ft') Total ft' Z-ZS9 Z Z 5J Are there gas vents on the roof? OYes ()No If Yes what type? 0 Natural 0 LPX Is there an existing roof top Solar System? 0 Yes 0 No If yes will it be reinstalled? OYes 0 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. CITY I F sfjiE COPY 1A / 1 1 'y X, Ire V Miami Shores illage Building Depattmgnt `V Zoning Dept. Date �� --I��a----l��t IZ t Building Dept. Dates Subject to compliance with all Federal, State and County rules and regulations. Permit# f( r— 12 - 23 - 3o59 Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section D (Steep Sloped Roof System) Roof System Manufacturer: y N e54 (A �e r ottJ goo t I n5 L L Product Control Number: ZZ Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zonel: � Zone 2e: "`_-�'b Zone2n: - J dY Zone 2r: /P Zone 3e:^/V Zone 3r:- /134 Slope Range: ©>_ 2:12 to <_ 4:12 Roof Shape: Q All Hip Roof Deck Type: ®>4:12to<_6:12 0>6:12to!512:12 ® Gable Roof or Partial Gable/Hip Roof UnderlaymentType: 30 LIH ZZIo &Lo Roof Slope: _ LL_.12 Insulation: /va Fire Barrier: I A) (-) Ridge Ventilation? NA Mean Roof Height: too Miami Shores Village Building Department Zoning Dept.- Date Building Dept. ate Subject to compliance with all W State and County rules and regulations. Permit# 11 w Fastener Type & Spacing: f q 1��S 7c Oc 4 r Cap Sheet Type: p I' sr <-nU x--�i}- SC Cap Sheet Attachment: se IfaeK Roof Covering: I &*-t w Q S Drip Edge Type & Size: -X3 CITY COPY Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section E (Tile Calculations) For Moment based tile systems, choose Method 1. Compare the values for Mrwith the values from Mf. If the Mf values are greater than or equal to the Mr values for each area of the roof, then the tile attachment method is acceptable. Method 1* " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this table ( Zone 1:y x AMg: = Mrs 14- product Approval Mf: � ( Zone 2e: x xo-30/ = 3• Sty) — Mg: = Mrze &y21)roduct Approval Mf: ( Zone 2n: I x A0,30/ _) — Mg: D 9 = Mr2n'?tl- Product Approval Mf: b• ( Zone 2r: OY x A Mg: 6 • = Mrw i' • Product Approval Mf: �O • S ( Zone 3e: _ x 4.;JO 1 = -J r` 3D) — Mg: 6p . 9 = Mr3&W VNroduct Approval Mf: �^ ( Zone 3r: x A000•13) — Mg: 6 ' I = Mr3r Y-03(Product Approval Mf: (0 �J Tile attachment method 4101460 I Qqe IQAXAlternote Tile attachment method: For Uplift Based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values for each area of the roof, then the the 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 = ) — (w) x cos 0 ) = 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 = ) —(W) x cos 0 ) = For Product Approval F': *Method 2 "Simplified Tile Calculations" only applicable in Broward County. Where to obtain fnformatlon 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 a Job Site Aerodynamic Multiplier w Product Approval / Notice of Acceptance Restoring Moment due to Gravity MR 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. F.ECEIVELD MI®� _. DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION DEC 0 8 2023 BY: - � - MIAMI-DAUE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eovdeconomv Westlake Royal Roofing LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Barcelona 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it 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 NOA4 22-0201.10 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 1 of 7 i^'�� E✓+ ET_V E3 DEC 0 S 2023 rv• ROOFING ASSEMBLY APPROVAL Cateeorv: Roofing Sub-Cateeorv: Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Barcelona 900 Concrete Roof Tile, as manufactured Westlake Royal 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 the Y? 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 Polysdt 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 StormBond®2 Two- Two component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive Touch 'N Seal StormBond® One One component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive 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.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 2 of 7 P.�ECEIVEID DEC 0 8 2023 BY: 2.3 SUBMITTED EVIDENCE: Test Aeencv Test Identifier Test Name/Reoort Date Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II TAS 108(Nail-On) P0402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 TAS 108 (Nail -On) P0631-01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Professional Service Industries, Inc. IC-1320-94 Physical Properties Feb. 1995 TAS 112 The Center for Applied 25-7688-3 TAS 101 (Adhesive Set) June 1996 Engineering, Inc. 25-7688-10 TAS 101 (Mortar Set) July 1996 25-7688-5 Static Uplift Testing June 1996 TAS 102 (3" Headlap, Nails, Direct Deck, New Construction) 25-7688-4 Static Uplift Testing June 1996 TAS 102 (4" Headlap, Nails, Clips) Celotex Corporation 520111-3 Static Uplift Testing Dec. 1998 Testing Services 520191-2-1 TAS 101 March 1999 Walker Engineering, Inc. Calculations Aerodynamic Multiplier 09/01/16 Evaluation Calculations Restoring Moments Due to 09/01/16 Gravity American Test Lab of South Florida RT0617.03-16 TAS 112 06/29/16 RT0209.05-22 TAS 112 02/17/22 PRI Constriction Materials COPO-002-02-10 TAS 101 10/12/2016 Technologies COPO-002-02-02 TAS 101 10/12/2016 COPO-002-02-01 TAS 101 10/12/2016 2002T0003.01 TAS 101 11/06/20 NEMO ETC, LLC 4c-DPBS-20-LSOTM-01.C.R1 TAS 101 12/17/20 NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 3 of 7 RECEIVEr DEC 0 8 �03 BY 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may require, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Department of Regulatory and Economic Development — Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 Minimum slope 4/12 for mechanically attached tiles. 3.6 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.7 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Barcelona 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight-W (lbf) Length-1 (ft.) Width-w(ft.) Barcelona 900 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 - Mo (ft.4bf) Tile Profile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or greater Barcelona 900 Battens Direct Deck I Battens Direct Deck Battens I Direct Deck Battens Direct Deck I Battens I Direct Deck Battens Direct Deck N/A 7.07 N!A 7.00 6.19 6.90 6.06 1 6.76 5.92 6.60 5.76 6.42 NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 4 of 7 F2ECEIVEE DEC 0 8 2023 LM Table 4: Attachment Resistance Expressed as a Moment - Mf (ft. Ibf) for Mechanically Attached Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min.19132" 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 2'/i' from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft4bf) for Two Paddy AdhesivO Set Systems Tile Profile Tile Application Minimum Attachment Resistance Barcelona 900 TILE BONDT Roof Tile Adhesive 193 TILE BONDTm Roof Tile Adhesive 29.34 ICP Adhesives Pol set® AH-160 29.35 Touch 'N Seal StormBond" 2 66'S Touch 'N Seal StormBonde 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 BONDTA/ Roof Tile Adhesive 5 Medium paddy weight of 8 grams per paddy of PolysetO AH-160 6 Medium paddy weight of 8 grams per paddy of Touch 'N Seal StormBond e 2 7 Medium paddy weight of 8 grams between tile and undedayment, paddy weight of 4 grams on overlap of file of Touch 'N Seal StormBond ® one component) NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 5 of 7 i-3.F�ilCEIVEI _- DEC 0 8 ?.LI?3 t3:9 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Paddy Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Barcelona 900 ICP Adhesives Pol set® AH-160 66.58 ICP Adhesives Pol set®AH-160 38.79 Touch 'N Seal StormBond®2 8210 Touch 'N Seal StormBond®2 6317 TILE BONDTm Roof Tile Adhesive 5812 8 Large paddy weight of 63 grams of Polyset® AH-160 9 Medium paddy weight of 24 grams of Polyset® AH-160 10 Large paddy weight of 60 grams of Touch 'N Seal StormBond ® 2 11 Medium 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 file 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 - Mr(ft4bf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Barcelona 900 Mortar Set10 24.5 13 Seespecific mortar manufacturers Notice ofAcceptance 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved". LABEL FOR BARCELONA 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 22-0714.18 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 6 of 7 F.ECEIVE' PROFILE DRAWING ►]94VIL919 Cl UNDERLOC/K. BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE DEC 0 8 2023 BY: NOA No.: 22-0714.IS Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 7 of 7 I2ECEIVEE.! DEC 0 8 2023 MIMI M DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach, FL 33442 SCOPE: -59 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 209 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade.euv/economy �i10 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 revises NOA# 21-1217.02 and consists of pages 1 through 12. The submitted documentation was reviewed by Alex Tigers. NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page I of 12 gyp, r"CEIVE DEC 0 8 20c3 ROOFING COMPONENT APPROVAL Category: Rooting Sub -Category: Underlayment Material: SBS, APP PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick IR-Xe 65' x 3' Or 33.4' x ASTM D1970 A fine granular/sand top surface self -adhering, APP Manufacturing 3' polymer modified, fiberglass reinforced, bituminous sheet Location #1, #2, & #3 60 mils thick material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. Polystick MU-X 65' x 3' ASTM D1970 A polypropylene film surface self -adhering, SBS polymer Manufacturing 60 mils thick modified, fiberglass reinforced, bituminous sheet Location #1, #2, & #4 material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. Polystick TU Max 65'8" x 3'3-3/8" TAS 103 A rubberized asphalt self -adhering, polyester reinforced Manufacturing 60 mils thick waterproofing membrane. Designed as a a roof tile Location # 1, #2, & #3 underlayment. Polystick TU P 32'l0" x 3'33/8" TAS 103 A rubberized asphalt waterproofing membrane, glass - Manufacturing 130 mils trick fiber/polyester reinforced, with a granular surface Location #1, #2, & #3 designed for use as a file roof underlayment. Polystick TU Plus 65' x 3'33/8" TAS 103 A rubberized asphalt self -adhering, glass-fiber/polyester (Surface Printing) 80 mils thick reinforced waterproofing membrane. Designed as a metal Manufacturing roofing and roof tile underlayment. Location #1, #2, #3, & #5 HydraGuard Dual 65' x 3'33/8" TAS 103 A rubberized asphalt self -adhering, glass-fiber/polyester Pro 80 mils thick reinforced waterproofing membrane. Designed as a metal Manufacturing roofing and roof tile underlayment. Location #1, #2, #3, & #5 HydraGuard Tile Pro 65' x 3'3-'/s" TAS 103 A rubberized asphalt self -adhering, glass-fiber/polyester Manufacturing 80 mils thick reinforced waterproofing membrane. Designed as a metal Location #1, 42, #3, & roofing and roof tile underlayment. #5 Polystick MT 65'8" x 3'33/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #1, #2, #3, on the upper surface for use as an underlayment for metal and #4 roofing, roof tile, slate tiles and shingle underlayment. NOA No.: 22-1221.01 N�AMFp k[M COUN7Y Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 2 of 12 RFICEIVEU�' PRODUCTS DESCRIPTION: Product Dimensions Polystick MTS 65'8" x 3'3-'/R" Manufacturing 60 mils thick Location #5 Test Specification Product Description M DEC 0 8 iJ2.3 ASTM D 1970 A homogeneous, rubberized asphalt waterproofing 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. Polystick MTS Plus 65'8" x 3'33/s" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #1, #2, #3, & on the upper surface for use as an underlayment for metal #4 roofing, roof tile, slate tiles and shingle underlayment. Polystick MTS Plus 65'8" x 3'33/R" ASTM D 1970 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #5 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Elastofiex S6 G 32' 10" x 3'3 '/R" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D6164 with a sanded back face and a granule top surface. For Location: #1 & #2 use in roof tile underlayment systems. Polyflex SA P 32' 10" x 3' 3 3/s" TAS 103 and Self -adhered, polyester reinforced, APP modified Manufacturing ASTM D6222 bitumen membrane with a self -adhering back face and a Location #2 & #3 granule top surface. ELASTOFLEX SA V 65' 8" x 3' 3 3/s" ASTM D1970 Self -adhered, fiberglass reinforced, SBS modified Manufacturing bitumen base or interplay membrane with a self -adhering Location #3 & #4 back face and a smooth top surface. MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL 3. Waco, TX 4. Fernley, NV 5. Ponte di Piave TV, Italy NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 3 of 12 EVIDENCE SUBMITTED Test Aaencv PRI Trinity I ERD NEMO ETC, LLC Test Identifier DAPF-002-02-01 P40390.10.12 P37590.07.13-1 P45270.05.14 P46520.10.14 P44360.10.14-R1 P43290.10.14-R1 PLYG-SC7550.03.15 PLYG-SC 10130.06.16-3 PLYG-SC 10130.06.16-1 PLYG-SC10130.09.16 PLYG-SC13035.08.17 PLYG-SC13320.10.17-R 1 4-PLYG-18-004.03.18 4j -PLYG- 19-S SUDL-00. A 4S-PLYG-18-004.10.19-G 4S-PLYG-18-004.10.19-I 4 S-PLYG-18-004.10-19-L 4S-PLYG- 18-004.12.19-F 4j -PLYG-I9-SSUDL-02.A 4 S-PLY G-18-004.01.20-H 4S-PLYG-18-004.01.20.K 4 S -PLYG- 1 8-004.01.20.A 4S-PLYG-18-004.01.20.B 4p-DOW-19-S SLAP-01.A.R2 PLYG-SC] 5855.05.20-A 4 S-PLYG-18-004.12.19.D 4j -PLYG-I9-SSUDL-O 1.A 4 j -PLYG-20-S SUDL-05. C 4j -PLYG-20-S SUDL-05. A 4p4CP-20-SSLAP-03.A-R 1 PLYG-SC 15855.06.20-B 4j-PLYG-21-S S UDL-03.A 4j -PLYG-20-SSUDL-07.A 4j-PLYG-20-SSUDL -09.A 4j-PLYG-21-S SUDL-04.B 4j -PLYG-2I-SSUDL-09.A 4j-PLYG-2I-SSUDL-04.A.R 1 4j-PLYG-22-S SUDL-01.A 4j-PLYG-22-S SUDL-02.A 4 j -PLYG-22-S SUDL-03. A 4j-PLYG-2I-SSUDL-02.A Test Name/Report ASTM D1623 F.ECEIVEI; DEC 0 8 2023 BY: Date 03/08/18 ASTM D 1970 ASTM D6164 TAS 103, TAS 110 & ASTM D 1623 ASTM D1623 TAS 103 & TAS 110 ASTM D 1970 & TAS 110 TAS 103 & ASTM D4798 TAS 103 & TAS 110 ASTM D1970 & TAS 110 ASTM D1623 TAS 103 & ASTM D4798 TAS 103 ASTM D1970 ASTM D1970 TAS 103 TAS 103 TAS 103 TAS 103 TAS 103 ASTM D1970 ASTM D1970 TAS 103 ASTM D6164 ASTM D1623 TAS 103 & TAS 110 ASTM D 1970 TAS 103 TAS 103 ASTM D1970 ASTM D1623 ASTM D4073 ASTM D1970 ASTM D1623 TAS 103 ASTM D1970 ASTM D1970 TAS 103 ASTM D1970 ASTM D1970 ASTM D1970 ASTM D4073 10/03/12 07/02/13 05/12/14 10/03/14 10/07/14 10/17/14 03/24/15 06/27/16 06/27/16 09/22/16 10/31/17 10/25/17 03/29/18 09/10/19 10/08/19 10/08/19 10/09/19 12/18/19 01/02/20 01/14/20 Ol /14/20 01/16/20 01/16/20 02/10/20 05/29/20 10/27/20 11/18/20 11 /19/20 11/19/20 03/04/21 05/12/21 10/29/21 10/29/21 10/29/21 01 /17/22 02/14/22 07/05/22 09/08/22 09/08/22 09/08/22 10/ 12/22 NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 4 of 12 FLECEIVE' DEC 08 i5i3 LABELING: BY: 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. MU1MI•DADE COUNTY 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. 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 MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro, Polystick MTS, Polystick NITS Plus, Polyflex SA P or ELASTOFLEX SA V, self -adhered. Surfacing: See General Limitations Below. Deck Type l: 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 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: Elastoflex S6 G, hot asphalt applied. Surfacing: See General Limitations Below. NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 5 of 12 CEIVED DEC 0 8 2023 BY: 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 or Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, HydraGuard Tile Pro or HydraGuard Dual Pro, 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(4): Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. AncborBase Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS or Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Max, 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(5): 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 or Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU P*, selt=adhered. *This 2-Ply System will only use the Waco, TX plant. Surfacing: See General Limitations Below. NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 6 of 12 R-F' C EI VELI DEC 0 8 2023 Deck Type 1: Wood, non -insulated BY: Deck Description: Min. 19/32" plywood or wood plank System Type E(6): 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 or Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick MTS or Polystick MTS Plus, self -adhered. Surfacing: See General Limitations Below. 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. NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 7 of 12 P_ECEIVED DEC 0 8 2023 GENERAL LIMITATIONS: Fire classification is not part of this acceptance. 2. Polystick TU Plus, HydraGuard Dual Pro, and HydraGuard Tile Pro may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, adhered roof tile using adhesives listed in the table below, and mechanically fastened roof tile systems and quarry slate roof assemblies. Polystick MTS, and Polystick MTS Plus may be used in asphaltic shingles, wood shakes and shingles, non- structural metal roofing, mechanically fastened roof tile systems and quarry slate roof assemblies. Polystick TU P may be used in asphaltic shingles, wood shakes and shingles, adhered roof tile using adhesives listed in the table below, and mechanically fastened roof tile systems and quarry slate roof assemblies. Polystick IR-Xe may be used in asphaltic shingles, wood shakes and shingles, and quarry slate roof assemblies. Polystick TU Max may be used in non-structural metal roofing, adhered roof tile using adhesives listed in the table below, and mechanically fastened roof tile systems. Elastoflex S6 G, and Polyflex SA P may be used in adhered roof tile using adhesives listed in the table below and mechanically fastened roof tile systems. ELASTOFLEX SA V may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, mechanically fastened roof file systems and quarry slate roof assemblies. Roof Tile Adhesives Approved for Use with Tile Underlayment ICP Adhesive Polyset RTA-1 ICP Adhesive Polyset AH-160 DAP Storm Bond® 2 Roof Tile Adhesive DuPont TILE BONDrsr Roof Tile Adhesive Polystick TU Plus yes yes yes yes HydraGuard Dual Pro yes yes yes yes HydraGuard Tile Pro yes yes yes yes Polystick TU P yes yes yes n/a Polystick TU Max yes yes yes yes Elastoflex S6 G yes yes n/a n/a Polyflex SA P n/a yes n/a n/a 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick IR-Xe, Polystick MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro, Polystick MTS, Polystick MTS Plus, Elastoflex S6 G, Polyflex SA P or ELASTOFLEX SA V shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick IR-Xe, Polystick MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro, Polystick MTS, Polystick MTS Plus, Elastoflex S6 G, Polyflex SA P or ELASTOFLEX SA V shall not be adhered directly over a pre-existing roof membrane as a recover system. NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 8 of 12 g'•ECEIVEL� DEC 0 8 2023 6. Polystick TR-Xe, Polystick MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus,'A ra6uaru - - Dual Pro, HydraGuard Tile Pro, Polystick MTS, Polystick NITS Plus, Elastollex S6 G, Polyflex SA P or ELASTOFLEX SA V 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) Winter Haven, FL Hazelton, PA Waco, TX Fernley, NV Ponte di Piave TV, Italy Polystick MTS 180 180 180 180 n/a Polystick IR-Xe 90 90 90 n/a n/a Elastoflex S6 G 180 180 n/a n/a n/a Polystick TU Plus 180 180 180 n/a 180 Polystick TU P 180 180 180 n/a n/a Polystick TU Max 180 180 180 n/a n/a Polystick MTS Plus 180 180 180 180 n/a Polystick MU-X 180 180 n/a 180 n/a HydraGuard Dual Pro 180 180 180 n/a 180 HydraGuard Tile Pro 180 180 180 n/a 180 Polyflex SA P 180 n/a 180 n/a n/a ELASTOFLEX SA V n/a n/a 30 30 n/a All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and 7. Rule 61G20-3 of the Florida Administrative Code. NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 9 of 12 PEC EI VE'_:. DEC 08:7.:i 8. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the mjBYpm roof slope shall be as follows: (See Table Below) Tile Slippage Limitations for Direct -to -Deck Tile Assemblies Underlayment Tile Profile Staging Method Maximum Slope Elastoflex S6 G Flat / Profiled Max. 6-tile stack (4 over 2) 4:12 Polystick TU P Flat / Profiled Max. 6-tile stack (4 over 2) 6:12 Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro Flat / Profiled Max. 6-file stack (4 over 2) 7:12 Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro Flat / Profiled Max. 10-tile stack 6:12 Polystick TU Max Flat / Profiled Max. 6-tile stack (4 over 2) 6:12 Polystick MTS, MTS Plus Flat Tile Max. 6-tile stack (4 over 2) 5:12 Profiled Tile Max. 6-tile stack (4 over 2) 4:12 Profiled Tile Max. 6-tile stack (4 over 2) 5:12 Polystick Two -Ply Underlayment Systems Polystick MTS Plus with Polystick TU Plus, HydraGuard Dual Pro or HydraGuard Tile Pro Flat Tile Max. 6-tile stack (4 over 2) 7:12 Profiled Tile Max. 6-tile stack (4 over 2) 6:12 Polystick MTS Plus with Polystick TU Max Flat Tile Max. 6-tile stack (4 over 2) 7:12 Profiled Tile Max. 6-tile stack (4 over 2) 6:12 Polystick MTS Plus with Polystick TU P Flat Tile Max. 6-tile stack (4 over 2) 6:12 Profiled Tile Max. 6-tile stack 4 over 2 5:12 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. 9. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure — two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, for a total of 6 tiles. root Ue K prepa,eo m.1 PCMTCKT Pus NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 10 of 12 10. 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 MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro, Polystick NITS, Polystick MTS Plus, Elastoflex S6 G, Polytlex SA P or ELASTOFLEX SA V may be used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe, Polystick MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro, Polystick MTS, Polystick MTS Plus, Elastoflex S6 G, Polyflex SA P or ELASTOFLEX SA V as a component part of an assembly in the Notice of Acceptance. If Polystick IR-Xe, Polystick MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard Dual Pro, HydraGuard Tile Pro, Polystick MTS, Polystick MTS Plus, Elastoflex S6 G, Polyflex SA P or ELASTOFLEX SA V 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. RECEIVE_ DEC 0 8 204'3 IM NOA No.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 11 of 12 RECEIVET'� DEC 0 8 223 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK ME114RIZAN 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, HydraGuard Dual Pro or HydraGuard Tile Pro should be back - nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1 V metal disk as required in Miami -Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus, HydraGuard Dual Pro or HydraGuard Tile Pro 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 #8 and #9. 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be used on all projects for pitcb/slopes of TV12" or greater. It is suggested that on pitch/slopes in excess of 6 Y."/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 35 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.: 22-1221.01 Expiration Date: 09/13/27 Approval Date: 04/06/23 Page 12 of 12 F'k.ECEIVEID DEC 0 8 2023 COUNTY BY: __ 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) www.miamidade.wv/economy ICP Construction Inc. 150 Dascomb Road Andover, MA 01810 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 # 22-0411.02 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 1 of 11 1P.-=Ji,CEIVEID DEC 0 8 20B BY: ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane .SCOPE: This approves Polyset' AH-160 as manufactured by ICP Construction, 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 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 PolysetJO AH-160 roof tile adhesive. MANUFACTURING LOCATION: Tomball, TX. PHYSICAL PROPERTIES: Property Test Density @ 73°F ASTM D1622 Compressive Strength ASTM D1621 Tensile Strength ASTM D1623 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 0% 2.3 Perms +0.07% Volume Change @ 40° F., 2 weeks +6.0% Volume Change @158 F., 100% Humidity, 2 weeks 94% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date.10/13/22 Page 2 of 11 DEC 0 8 1.Q23 BY:. - EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Reno Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-1PA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 NEMO ETC, LLC 4p-ICP-20-SSLAP-01.B Physical Properties 11/11/20 LIMITATIONS: 1. Fie classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polysce AH-160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard PAS 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.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 3 of 11 R._E C EI VED DEC 0 8 2023 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 Polyset19 AH-160. 2. Polyseto 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'H' 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 Construction, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP Construction, Inc. ICP Construction, 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 I.0-1.15 (A): 1.0 (B). 6. Polyset' AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPack' 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 Polysets' AH-160 has been dispensed. 9. Polyseto AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 4 of 11 P, ECEIVED DEC 0 8 2023 10 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Law, Mgh All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge) 20-25 sq. inches each bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami - Dade County Product Control Seal as shown below. MIAM461AIN COUNTY 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.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 5 of 11 IaIFICEIVET�l ADHESIVE PLACEMENT DETAIL # 1 Nail through plastic cement Paddy(Bawthnie( (when required) Underlayment R\\ loin. Rattans optional ° - EawCoune _ ° lgin. ••-'in Fascia Eave Cbwrc plastic cement -\ 2ln.wide Battens optional Ease elom.e Fascia Nall through plastI (when required) Paddy (Beneath Tile) Underlayin loin.a 2 in. wide Battens /optional e I� Eave Course Fascia weephole 10 Inin. Easeclosure Drip edge MWMI•DADE COUNTY ,...a l Flat/Low Profile Tile BY: DEC 0 8 243 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 Turn) 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 Tom) x 10" (254 mm) x 1" (25.4 nun) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. High Pro£de / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 turn) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the file being set. 2. Continue in same manner. insure approximately 17 (109.7 cm') — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 6 of 11 juC. I EE DEC U 8 2023 ADHESIVE PLACEMENT DETAIL # 2 Nail through plastic cement Paddy (Beneath Tile) (when required) Underiayment It 71n dj in. Battens optional ° Eave Course �°10 in. - ` ° Fascia :Atin Em aosus, Nail through plastic cement (Beneath Tile) Battens optional APPROVED Flat/Low Profile 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 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 tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cmZ) - 12 (77.4 cm') square inch adhesive contact with the underside of the tile. Medium Profile / Double 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 cm) — 23 (148.4 cmZ) 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 cmZ) square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 7 of 11 P1F=IVZD DEC 0 8 2023 ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) Nail through piastic.. (when required) Paddy (Beneath Tile) Underlayment 1 Tin.. . z tn. Battens optional Eave Course Fascia Weephole 10 in. tin. Eavedesure 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 tile being set. Insure approximately 17 (109.7 cm') — 23 (148.4 em`) 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 cm) square inch adhesive contact with the underside of the tile. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date:10/13/22 Page 8 of 11 P.ECEIVEE ADHESIVE PLACEMENT DETAIL # 3 Hari through plastic cement Paddy flair is" (when required), I Battens optional. "'i I i " I Paddy sunder tie! Single paddy • ontapaltde s asa n. uncle hie" Single paddy -- - onundedaymen[� '' 2Rain. -• �h _ Fascia Flat/Low Profile Tile Nall through plastic cement Single paddy under the (when required) Paddy )between tiles i Battens % Paddy (under tile) optional i �al tie � -�az gin. Sin glepaddyon undedayment— �- toM. aim Eaee Oosure fa•e Coursed Fascia Medium Pro01e Tile DEC 0 8 2023 BY: On the eave course only, apply a minimum 2" (50.8 nun) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the Overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in' (109.7-148.4 cm'') of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (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.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 9 of 11 P.ECEIVZD ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) Nail through plmticceq"tt Single paddy under the Itrltenmquiredl / Paddy lbetween tlml i Battens optbttal PaddytunderNW t an wain. Single 2a4in. Ere Cause— •'y Fasda Me"Aw" 10i1� _ j3 n. Emclostorit f_ DriPedge High Proffle Tile DEC 0 S 2023 BY: 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x'/4" (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 cm') - 11 (71cm) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm') - 9 (58.1 cm) square inch adhesive contact with the underside of the the at the head of the tile. Continue in same manner. N OA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 10 of 11 RECEIVEL:: 1 f Place enough adhesive to achieve 65 to 70 In contact with the pan tile. 21 Turn covers upside down. Place adhesive In to l in. from outside edge of rover tile. ///,,,]]t Then Install the tile. Ensure 20 to //r[' 25 sq. in. contact a... // lmotarshcwnf ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Steep Pitch Rem" portion of the ""course cover tile. Abut to second course of pan tiles. Ensure cave end of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile DEC A 8 �1r'3 BY: Two Piece Barrel (Cap and Pan) Tile 1. Starting at the cave course, apply a minimum 2" (50.8 nun) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support cave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm') — 70 (451.6 cmZ) square inch adhesive contact with the underside of the pan tile. 3. Torn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 ram) 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 cm') - 25 (161.3 cm') square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required, 2" (50.8 mm) x 4" (101.6 mm) milers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 11 of 11 Miami Shores Village - BUILDING DEPARTMfWCJ_—, 10050 NE 2 Ave Miami Shores, FL 33138 DE! 08 305-795-2204 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. n To: Miami Shores Village Building Department Date: 100SO NE 2"d Ave Miami Shores, FI 33138 Re: Owner's Name: 57;r-_A4,0,'I A/ .S^i s Property Address: 313 A.)e- 12 S T Roofing Permit Number: Dear Building Official: /t/ 5r.A-1--F5 certify that I am not required to retrofit the roof to wall connections of my building because: *'f(ie 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 as constructed in compliance with the provisions of the Florida Building Code (FBC) or witWe provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature/ State of Florida, Miami Dade County A-y tom► S ou 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 sub rib'ed before me this g day of ` 20-P-]?> 4 Notary Public Slate of Flonds Notary Public, State of Florida at Large ;P Maria Celeste Reyes y My Commission HH 032751 �,orge� Expires 08/16/2024 • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. For Forms and Applications click here: http://bIdg.miamishoresviIlage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 Owner affidavit of exemption Page 1 of 1 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov 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. �S 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.�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. S 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. ��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. -5-5 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. RevOI 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUIL ING DEPARTM�CEIVED 10050 NE 2 Ave Miami Shores, FL 3313 305-795-2204 ww .msvfl.aov DEC 08 2023 BY' - Allow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. _:��Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of i ventilation shall not be reduced. It may be beneficial to consider additional venting w can result extending the service life of the r / 1 IF�i� z7 1 4o z Owner/ a t' Sign ure Date Contractor ignature Date For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia mi5horesVillage RevOI 142021 Owners roofing consideration Page 2 of 2 �tirti INVOICE Pioneerstar Construction Services Roofing, Gral Repair & Maintenance PO BOX 441774 Miami. FL 33144 CCC:1330577 C: 305-788-3893; Email Jo3ortagaaaol.com Website: www.pscsroofing.com CEIVED PSc:S /PROPOSAL �- DEC112023 To: IGTW Construction Address: 5931 NW 173rd Or suite # 1 BY.(((�� , � Hialeah, FL. 33015 Date: 1211112023 Phone: 305 725 6229 Workplace: 313 NE 92nd Street, Miami Shores. FL 33138 We hereby submit specifications and estimates subject to all terms and And conditions as set forth as follow: Installation of straps in all trusses in the roof. - Remove all [plywood around perimeter roof. Install in each trusses attached to the concrete beam straps. LSTA 1-1/4 in. x 24 in By Simpson Strong -Tie 1 `i �a I`7 L 20-Gauge Galvanized Strap INVOICE /PROPOSAL — Attached with 2 5/8 in. x 6 in. Kwik Bolt TZ2 Carbon Steel Zinc Plated Hex Nut Concrete Anchor Labor + materials: $ 13,600.00 50 % sign contract. 50 % finish of the job. TERMS AND CONDITIONS OF THE CONTRACT 1. ALL WORKMANSHP AND MATERIALS SHALL BE GUARANTEED AGAINST LEAKS FOR PERIOD TIME SPECIFIED OF FIRSTPAGE FROM COMPLETATION DATE OF WORK. THIS GUARANTEE DOES NOT APPLY IN THE EVENT OF FIRE, TERMITES, WINDSTORM OR DAMAGE CAUSE BY ACTS OF GOD. THIS WARRANTY DOES NOT APPLY TO LEAKAGE CAUSED BY: FOOTWEAR. IMPROPER BUILDING OR ROOF DECK CONSTRUCTION, IMPROPER ROOF OR BUILDING DESIGN: NOR PUNCTURE OR PENETRATION OF THE ROOF'S INTEGRITY FOR THE INSTALLATIONS OF GUTTERS, AIR CONDITIONING UNITS, SATELITES, SOLAR SYSTEMS, FIXTURES, SIGNS, HATCHWAY, PIPES, OR OTHER STRUCTURES, SUPPORTS OR BRACES, UNLESS INSTALL AS PART OF THE CONTRACT BY PIONEERSTAR CONSTRUCTION SERVICES CORP. 2. NO GUARRANTEES SHALL APPLY UNTILTHE CONTRACT IS PAID IN FULL. IN THE EVENTTHERE IS A LAPSE OFTIME BETWEEN COMPLETATION OF THE WORK AND FINAL PAYMENT, THE GUARANTEE WHEN ISSUED SHALL BE DATED AS OF THE DATE OF THE WORK WAS COMPLETED. 3. WHEN UNFORSEEN CONDITIONS IFARISE,THE FIRST OPTION IS AT OUR JUDMENTTO RESOLVE IT BEFORETAKING ANY ACTION. 4. THIS CONTRACT PRICE INCLUDESTEARING OFF 1 ROOF SYSTME ONLY. IFTHERE IS MORE THE 1 ROOF SYSTEM UNDERNEATH AN ADDITIONAL CHARGE WILL BE APPLY. THIS COST WILL BE AT OWNER'S/AGENT AND/OR CONTARCTOR'S EXPENSES AND WILL BE SETTLED WHILE THE ROOFING PROCESS (STAKING PLACE AND MUST BE COMPLETEDAND SIGNED IN WRITING BY BOTH PARTIES. 5. WHEN PHISICAL MEASURES AND BUILDING SHAPES DIFFER IN SIZE FROM THOSETAKEN FROM PLANS ATTIME OF ESTIMATE; PIONEERSTAR CONSTRUCTION SERVICES CORP, SHALL BE RELEASED OF ITS OBLIGATIONSTO FULLFILLTHIS CONTRACT IN THE EVENT THAT BUILDER/GENERAL CONTRACTOR DOES NOT ACCEPTS AND SIGNS NEW WORK ORDER IN ADDITION TO EXISTING CONTRACT PRICE. 6. PIONEERSTAR CONSTRUCTION SERVICES CORP. WILLNOT BE HELD RESPONSIBLE IN ANY WAY FOR ANY ACCIDENTSTO OWNERS, CONTRACTORS, TRADESMAN OR PERSONS NOT EMPLOYED BY US DUE TO FALLING FROM ROOF OR FALLING OBJECTS, OR ANY INJURY OF ANY KIND RELATED TO THE ROOFING WORK BEING DONE AS NO ONE IS ALLOWED UNDER ANY CIRCUMSTANCES ON ROOF TOP, AROUND WORKING PERIMETER OR WITHIN OUR WORKING AREA.IN THE CASE THE OWNER OR ANY OTHER PERSONS WOULD LIKE TO INSPECT OUR WORK IN PROGRESS IT WILL BE ATTHEIR OWN RISK AND RESPONSIBILITY. 7. PIONEERSTAR CONSTRUCTION SERVICES CORP, SHAL BE RELIEVED OF ANY LIABILITY FOR ANY DAMAGE DONE TO ANY PLASTER DUE TO REROOFING OR REMOVING LUMBER OR ANY OTHER DEFECTS IN THE CEILINGS, WALLS. SIDEWALKS, DRIVEWAYS, SEPTICTANKS, SHRUBBERRY, PATIOS, SOLAR HEATERS, FURNITURE, OR OTHER PERSONAL PROPERTY. 8. IF UPON REMOVAL OF EXISTING ROOF, A DEFECT IS FOUND IN THE STRUCTURE OR DECKING BY ANY INSPECTOR OR OTHERS, PIONEERSTAR CONSTRUCTION SERVICES CORP, IS NOT RESPONSIBLE FOR THESE TYPES OF HIDDEN CONDITIONS. THE OWNER WILL INCUR ANY AND ALL COSTS ASSOCIATED WITH ITS REPAIR, OR THE CONTARCTING OF A CONTARCTOR FOR STRUCTURAL REPAIRS. 9. PIONEESRTAR CONTRUCTION SERVICES CORP RESERVES THE RIGHT TO SUB -CONTRACT ANY PART OF LABOR HEREIN PROPOSED IN FRONT PAGE. �t PSCS PSC$ ' INVOICE /PROPOSAL 10. ANY LEGAL EXPENSE INCURRED BY PION EERSTAR CONSTRUCTION SERVICES CORP FOR THE COLLECTION OF THE CONTRACT PRICE OR ANY INSTALLMENTS DUE THEREUNDER SHALL BE PAID NY THE OWNER. 11. CONTRACT CAN BE CANCELLED WITHIN 3 BUSSINES DAY. ANY SPECIAL ORDER OR MATERIALS AND PERMITS DOCUMENTS FEES ARE NON-REFUNDABLE, IF CONTARCT IS CANCELLED AFTER 3 BUSINNES DAYS DEPOSIT IS NON-REFUNDABLE. 12. ALL NOTICES FOR GUARANTEE WORK SHALL BE MADE UPON PIONEERSTAR CONSTRUCTION SERVICES CORP, WRITING BY CERTIFIED MAIL; PIONEERSTAR CONSTRUCTION SERVICES SHALL UNDERTAKE ANY GUARANTEE REPAIRS WITHIN A REASONABLE TIME AFTER WRITTEN NOTICE. ANY WORK DONE OR ATTEMPTED TO BE DONE ON THE ROOF OTHER THAN PIONEERSTAR CONSTRUCTIONS SERVICES CORP SHALL VOID THE GUARANTEE. 13. PIONEERSTAR CONSTRUCTION SERVICES SHALL BE RELIEVED OF ITS OBLIGATIONS TO TIMELY PERFORM THIS CONTRACT IN THE EVENT MATERIAL SHORTAGES, LABORT DISPUTES OR STRIKES BEYOND PIONEERSTAR CONSTRUCTION SERVICES. 14. PIONEERSTAR CONSTRUCTION SERVICES CORP RESERVES THE RIGHT TO CEASE PERFORMANCE UNDER THIS CONTRACT IN THE EVENT THATTHE OWNER FAILS TO MAKE ANY INSTALLMENT PAYMENTS WITHIN 5 DAYS OF ITS DUE DATE. 15. IN THE EVENT OF ASBESTOS TYPE MATERIAL ARE FOUND DURING THE REMOVAL OF THE ROOF, PIONEERSTAR CONSTRUCTION SERVICES CORPIS RELIEVED OF ANY LIABILITY OR EXPENSE AND FEES ASSOCIATED BY THIS CONTRATC A CERTIFIED ASBESTOS ABATEMENT FIRM FOR THE REMOVAL OF ANY ASBESTOS MATERIAL FOUND. 16. GUARANTEE ISTRANSFERABLE; NEW OWNER IS SUBJECT TO TERMS AND CONDITIONS OF YHIS ENTIR INSTRUMENT AND FEE 17. PIONEERSTAR CONSTRUCTION SERVICES CORP, IS NOT RESPONSIBLE FOR GAS VENTS SYSTEMS. THIS IS RESPONSIBILITY OF THE PROPERTY OWNER. 18. ALL PAYMENTS ARE DUE UNDER THIS CONTRACT UNLESS A TIMELY MADE SHALL BEAR INTEREST AT THE MAXIMUM LEGAL RATE. JOB WIL BE PLACED ON HOLD UNTILL PAYMENT IS MADE. 19. EXTRA CHARGE FOR DISHONORED CHECKS WILL BE A $ 35.00 SERVICE CHARGE OR 5 %OF THE CHECCK AMOUNT. (WHICHEVER IS GREATER) WILL BE CHARGE TO OWNER AS PER FLORIDA LAW. 20. THERE IS NO REPRESENTATION EITHER ORAL OR WRITTEN THAN THOSE SET FORTH IN THIS CONTARCT. 21. THIS INFORMATION IS CONFIDENTIAL, PRIVILEGED OR EXEMPT FROM DISCLOSURE UNDER APPLICABLE FEDERAL OR STATE LAW. Note: This contract is valid for thirty (30) days Authorized By: from the date above. J a Make checks payable to: Pioneerstar Const Svcs PO BOX 441774 Miami. FL 33144 "Acceptance": The above price, specifications and conditions are satisfactory and are hereby accepted. "You are authorized to do the work as specifications.^ Sign Owner Print Name: Date: Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7182661 RECEIPT NO. RENEWAL BUSINESS NAN E/LOCATION 7463249 PIONEERSTAR CONSTRUCTION SVCS CORP 344 SW 24TH RD MIAMI, FL 33129-1947 Wall! LBT EXPIRES SEPTEMBER 30, 2024 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED PIONEERSTAR CONSTRUCTION 196 SPECIALTY BUILDING BY TAX COLLECTOR SVCS CORP CONTRACTOR C/O.IOSE ORTEGA. PRESIDENT. 45.00 07I03/2023 Worker(s) 2 CCC1330577 INT-23-381323 This tau] Busioass Tax Receipt only confirms payment of the Local Business Tax. The Receipt is Dots license, pennil, are cerli6cation of the holders qualifications, to do business. Holder must comply with say governmental or nongovernmental regulatory laws and requirements which apply to the hualneBS The RECEIPT N0. above moss be displayed on all commercial vehicles - Miami -Dade Code Sec Ba-276. meFor more iolarmation, visit wwwn am'dede aovMnxcollectoi ® A� v CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/08/2023 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 pollcy(les) 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 endorsement(s). PRODUCER Insure Safe Inc 2300 SW 57th Ave Miami FL 33155 CONTACT NAME: PHONE E 305-303 7080 FAX No : 305-267-4206 IL DE-MR AD SS• insuresafeinc@yahoo.com A INSURER(S) AFFORDING COVERAGE NAIC ;0 INSURER A: Obsidian Specialty Insurance Company 16871 INSURED Pioneerstar Construction Services, Corp 575 Tamiami Canal Rd Miami FL 33144 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES 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 TYPE OF INSURANCE DL p SUBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIASILWY CLAIMS -MADE D OCCUR PC449941 03/25/2023 03/25/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PECT FILOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE APer accident $ S UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPR[ETORIPARTNERIEXECUTIVE " OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA IPER STATUTE ER - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schadulo, may bo attached If more space is roquired) Roofing Contractor License #4 CCC1330577 CERTIFICATE HOLDER CANCELLATION Miami Shores Building Department 10050 Northeast 2nd avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, Florida 33138 AUTHORIZEDREPRESENTATIVE C 1888-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE Data 12/11/2023 Producer: Plymouth Insurance Agency This certificate Is Issued as a matter of Information only and confers no 2739 U.S. Highway 19 N. Holiday, FL 34691 rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # (727) 938-5562 Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Insurer A: Lion Insurance Company Insurer B: 11075 Insurer c: Holiday, FL 34691 Insurer D: Insurer E: Coves es The policies of insurance listed lbelcx have been Issued to the insured named above for the policy period indicated. Notwithstand ng 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 terns, exclusions, and conditions of such policies Aggregate limits shewn may have been reduced by paid Gains. INSR LTR ADDL INSRD I Type of Insurance Policy Number Palley Effective Date (Md/DD/YY) Policy Expiration Date(MMDD/YY) Limits ENERAL LIABILITY Each Occurrence 6 Commercial General Liability Claims Made Occur Damage to rented premises (EA occurrence) Med Exp Personal Adv Injury eneral aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products - Corm/Op Ag9 AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto All Owned Autos Scheduled Autos Bodily Injury (Per Person) ' Roddy Injury Hired Autos Non -Owned Autos (Per Accident) Property Carnage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims Mad, Aggregate Deductible A Workers Compensation and x WC Statu- OTH- Employers' Liability WC 71949 01/01/2023 01/01/2024 to Limits ER E.L. Each Accident $1,000,000 Any proprietor/partner/executNe officer(member E.L. Disease • Ea Employee 11,000,000 excluded? NO If Yes, describe under special provisions below. E.L. Disease - Polity Limits S1,000,000 Other I Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Descriptions of Operations/LocationsIVehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 92-71-344 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Gold Star Miami Corp Coverage only applies to injuries Incurred by South East Personnel Leasing, Inc. & Subsidlaires active employee(s) , while working In: FL. Coverage does not apply m statutory employee(s) or Independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by entailing a requestin, certifl ate olloninsurancecompany.com Project Name: (313 NE 92ND STREET, MIAMI SHORES, FL ISSUE 08-24-22 (I)). REISSUE 12-11-23 (KLT) B in Date: 12 29 2020 CERTIFICATE HOLDER CANCELLATION PIONEERSTAR CONSTRUCTION SERVICES CORP. Should any of Me above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 3D days wiften notice to the certificate holder named to the Is% but failure fo do so shall impose no obligation or liability of any Wind upon the insurer, its agents or representatives, 575 TAMIAMI CANAL ROAD MIAMI, FL 33144 r -- - .i V �lasl— -