RF-06-23-1455Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: RF-06-23-1456
Permit Type: Roof
Work Classification: Tile'
Permit Status: Approved
Issue Date:06/12/2023 Expiration: 12/12/2023
Parcel Number
1245 NE 96TH ST, Miami Shores, FL 33138 1132060143780
Contacts
CURTIS BRODSKY Owner
1245 NE 96 ST, MIAMI SHORES, FL 33138
crbrodsky@aol.com
OBENOUR ROOFING SHEET METAL & Contractor
SUPPLY CO. INC
JAMES OBENOUR
9822 NE 2 AVE SUITE 9, MIAMI SHORES, FL 33138
Business: 3057572612 OBENOURROOFING@AOL.COM
Mobile: 3054696896
Sandy Hart
9822 ne 6avenue 9, Miami shores, FL 33138
Business: 3057572612 harttwohart5@aol.com
Mobile: 9548022965
Home: 3057577861
Other: 3053311200
Description: REROOF 1&2 STORY ROOFS WITH GRANADA 2 Valuation: $ 122,000.00
PIECE HANDMADE CLAY BARREL TILE ADHESIVE SET - COLOR:
CLAY Total Sq Feet: 3,531.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$73.20
DBPR Fee
$10.06
DCA Fee
$6.71
Education Surcharge
$36.60
Permit Fee (Manual)
$620.89
Planning and Zoning Review Fee
$70.00
Scanning Fee (Manual)
$12.00
Technology Fee (Manual)
$67.09
Total:
$946.55
Inspection Requests:
-05-762-4949
11'
Payments
Date Paid
Amt Paid
Total Fees
$946.55
Check # 11873
06/12/2023
$896.55
Check # 11865
06/07/2023
$50.00
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner
tt�N[5 o !/he nex,, ✓ ,
/ Applicant / Contractor / Agent
1a a 3
Date
June 12, 2023
Page 2 of 2
RECE�TV�D
Miami Shores Village JUN 0 7 2023
Building Department BY: !3�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2020 ' -14h
BUILDING Master Permit No. f�>F"a40'23'ly$s"
PERMIT APPLICATION sub Permit No.
BUILDING ❑ ELECTRIC dROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
� CONTRACTOR. DRAWINGS
JOB ADDRESS: � L5 11 'InLO�1t.TO
City: Miami Shores County: Miami Dade Zip: �3138
Folio/Parcel#: Ej"-O(,-0Ir{-3760 Is the Building Historically Designated:Yes NO ✓
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
Tenant/Lessee Name
Email:
CONTF
Acicim
Email:
Qualifi
State Certification or Registration #: 6T-05 -2 4;- Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
5!%S %d l a.G f 1—
Address: / City: State: _Zip:
Value of Work for this Permit: $ /.2 ?� o-b rl Square/Linear Footage of Work: -3'.531
Type of Work: ❑ Addition [1, Alteratpn ❑ New Repair/Replya ee - ❑ Demolition
Description of Work: DO ul — ( t
=11111C.81 ' /..§
Specify color of ccolor thru tile. G (AY
Submittal Fee $ r� • � Permit Fee $ • e� CCF $ 73• w CO/CC $
Scanning Fee $ 12• 1�0 DCA Fee $ (O• Z ( DBPR $ LO. CX0 Notary $
Technology Fee $ &-7. o `1 Training/Education Fee $ .3 to 40 Double Fee $
Structural Reviews $ P&Z Review $ Bond $.
TOTAL FEE NOW DUE $ F%1'h, riS
(RevisedD4/05/2022)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or Installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature " -k &
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20cA 3 . by
i r who is personally known to
me or who has produced r ( as
identification and who did take an oath.
NOTARY PUBLIC:
Signat4�U`�"'c'Q
CONTRACTOR
The foregoing Instrumerlit was acknowledged before me this
O C- day of ^ ( 20 � by
,,r Me5—bt/✓E�61�(1 who is_personallyknownto
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: r
(Revised04/05/2022)
Structural Review
Clerk
S
GEOTECHNICAL I ENVIRONMENTAL I MATERIALS TESTING I ASBESTOS I ROOF TESTING I INSPECMON SERVICES DRn,INGSSRVICES
- 0DEc DYNATECH ENGINEERING CORP.
,/ _ W .DYNATECHENGINEERING.COM
ROOF TILE UPLIFT CAPACITY IN ACCORDANCE WITH
2020 FLORIDA BUILDING CODE, 7TH EDITION, TEST PROTOCOL TAS•106
STANDARD PROCEDURE FOR FIELD VERIFICATION OF THE BONDING OF MORTAR OR ADHESIVE SET TILE SYSTEMS AN
MECHANICALLY ATTACHED, RIGID, DISCONTINUOUS ROOF SYSTEM
DATE: JUNE 28, 2023 1 PERMIT#: RF-06-23-1455
CLIENT: OBENOUR ROOFING: 9822 NE 2nd Avenue, #9, Miami Shores, FL 33138 v
ROOF AT FOR REPAIRED AREA ONLY: 340 NE 94TH STREET MIAMI SHORES, FL 33138
Testing Equipment: Humboldt Scale Model H-4620.
The test results presented here reflect the condition of the roof system at the time of the test. These results are time and sample
dependent since roof condition are continuously changing due to the exposure to the element and rooftop traffic. Client recognizes
that actual conditions in areas not tested by Dynatech Engineering Corp (DEC) may differ from those anticipated in DEC's report.
-Client understands and acceptsthatthis can significantly increase the cost of construction for its future projects. Client agrees that
DEC shall not be responsible or liable for any variations in the actual conditions of areas not tested by DEC.
NUMBER OF TESTS
TEST LOCATIONS:
SEE SKETCH
FIELD UPLIFT
PULL TEST
TEST RESULTS
5
(F) FIELD
> 35 LBS
PASSED
2
(P) PERIMETERS
> 35 LBS
PASSED
TILE TYPE/ATTACHMENT: Flat roof tile polyfoam set. INSPECTED BY: JM
ROOF SKETCH
Sincerely yours,
�� i.!/rssDsvt
Wissam Naamani, P.E.
DYNATECH ENGINEERING CORP
Florida Reg. No. 39584
Special Inspector No. 757
L
it
Page 1 of 1
9SO WEST 84TH STREET. HUaLEAH. FL 33014 PHONE (305)OW-0499 FAx(305)SM-9598E-n1FO0DMAMCHE4GINEERINGEOMAlrF
r
t
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.ciov
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION
HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE
FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: 181 t 2
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: C *1s
Property Address: I ('qs Li L S;t
Roofing Permit Number: kr-vlp- 23- 1 5 6-
Z' Dto-23
Dear Building Official:
I oT C (ff J'P- certify that I have improved the roof to wall
connections of the referenced property as required by the Manual of Hurricane Mitigation
Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida
Building Commission by Rule 9B-3.047 F.A.C.
signature
Print Name
State of Florida Miami Dade County
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the
above property mentioned.
Sworn to and subscribed before me this 11 day of 20 2J�
Notary Public, State of Fll ida at Large
Seal
"��—DUFFIN
CATHERINE A.
'0MMISSI08
�(pIRES:M #14HZ522
p25., _undervmu
For Forms and Applications click here:
http://bidg. mia mishoresvi llage.com/W ebLi n k/Browse.aspx?id=118080&d bid=0&repo=Mia
miShoresVillage
RevO1 142021 Affidavit of Compliance with roof to wall Page 1 of 1
Permit
# W- ur Z3-
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
DATE:
INSPECTION AFFIDAVIT
i
hi
licensed as a(n) Co tror / Engineer / Architect,
(Orint name and circle License Type)
License #: C o, A �40'1
On or a
& time)
work
I did personally inspect the roof deck nailing
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S)
State of Florida, Miami Dade County:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for
the above property mentioned.
Sworn to and subscribed before me this day
Notary Public, State of Florida at Large
CATHERINE A, DUFFIN
MY COMMISSION # HH 089522
EXPIRES: May 14, 2025
bonded TMu Notary Public Underwriters
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLin k/Browse.aspx?id=118080&d bid=0&repo=M is
miShoresVillage
Rev01142021 Inspection Affidavit Page 1 of 1
G£OT£C,,,,, L I£NVIRONM£NTAL I I TERJALS TESTING I ASBESTOS I ROOFTEbTING I INSMCMON SERVICES I DRILLING SERVICES
DYNATECH ENGINEERING CORP.
WW W.DYNATECHENGINEERING.COM
ROOF TILE UPLIFT CAPACITY IN ACCORDANCE WITH
2020 FLORIDA BUILDING CODE, 7TH EDITION, TEST PROTOCOL TAS-106
STANDARD PROCEDURE FOR FIELD VERIFICATION OF THE BONDING OF MORTAR OR ADHESIVE SET TILE SYSTEMS AND
MECHANICALLY ATTACHED, RIGID, DISCONTINUOUS ROOF SYSTEM
DATE: AUGUST 22, 2023 PERMIT#: RF-06-23-1455
CLIENT: OBENOUR ROOFING: 9822 NE 2ND AVENUE MIAMI SHORES, FL 33138
ROOF AT (ONE STORY PORTION ONLY): 1245 NE 96TH STREET MIAMI SHORES, FL 33138
Testing Equipment: Humboldt Scale Model H-4620.
The test results presented here reflect the condition of the roof system at the time of the test. These results are time and sample
dependent since roof condition are continuously changing due to the exposure to the element and rooftop traffic. Client recognizes
that actual conditions in areas not tested by Dynatech Engineering Corp (DEC) may differ from those anticipated in DEC's report.
Client understands and accepts that this can significantly Increase the cost of construction for its future projects. Client agrees that
DEC shall not be responsible or liable for any variations in the actual conditions of areas not tested by DEC.
NUMBER OF TESTS
TEST LOCATIONS:
SEESKETCH
FIELD UPLIFT
PULLTEST
TEST RESULTS
39
(F) FIELD
> 35 LBS
PASSED
40
(P) PERIMETERS
> 35 LEIS
PASSED
39
(F) FIELD
> 35 LBS
PASSED
14
(R) RIDGE AND HIP CAPS
> 35 LBS
PASSED
TILETYPE/ATTACHMENT: Barrelrooftilepolyfoamset._ - - ---INSPECTEDBY:IM
ROOF SKETCH
14'
19,
C
P P
P
P
P
P
P C
I,
7'
8'
P
F
F
F
P
F
F
F 16'
C
P P
P P C
24 P
F
F
P
F
F P
F
F
F
24'
P
P
F
F
F
F
P 12'
P
F
F 19,
P
F
F P P
P
F
F P
P
F
F
F
FT<F
F l<
F
P
C
P P
P
P
P
P
P P P
P
F
F P
14'
12'
18,
P
F
F
P
F 6
8
F
C
4,
8'
Sincerely yours, I
Z3 •Z _ * No. 39584
Wissam Naamani; P. _ 3
DYNATECH ENGINEERING CORP. o ; srArE OF
Florida Reg. No. 39584 -%�r •f,..... •
Special Inspector No. 757 `' S�ONA... V e%"
Page 1 of I
7 OV Tr 84TH 5TREET.HIAI.EAH. M33014 MOM(305) 828-9499 FAX(305) 826-GS9813 A-WFOOEFMAMCHENGINEERING.COM
GEOTECNNICAL I ENVIRONMENTAL I MATERIALS TESTING I ASEESTOS I ROOF TESTING I INSPECTION SERVICES I DRILLING SERVICES
c DYNATECH ENGINEERING CORP.
/ W W W.DYNATECHENGINEERING.COM
ROOF TILE UPLIFT CAPACITY IN ACCORDANCE WITH
2020 FLORIDA BUILDING CODE, 7TH EDITION, TEST PROTOCOL TAS-106
STANDARD PROCEDURE FOR FIELD VERIFICATION OF THE BONDING OF MORTAR OR ADHESIVE SET TILE SYSTEMS AND
MECHANICALLY ATTACHED, RIGID, DISCONTINUOUS ROOF SYSTEM
DATE: OCTOBER 18, 2023 1 PERMIT#: RF-06-23-1455 41
• CLIENT: OBENOUR ROOFING: 9822 NE 2NO AVENUE MIAMI SHORES, FL 33138
ROOF AT: 1245 NE 96TH STREET MIAMI SHORES, FL 33138
Testing Equipment: Humboldt Scale Model H-4620.
The test results presented here reflect the condition of the roof system at the time of the test. These results are time and sample
dependent since roof condition are continuously changing due to the exposure to the element and roof top traffic. Client recognizes
that actual conditions in areas not tested by Dynatech Engineering Corp (DEC) may differfrom those anticipated in DEC's report.
Client understands and accepts that this can significantly increase the cost of construction for its future projects. Client agrees that
DEC shall not be responsible or liable for any variations in the actual conditions of areas not tested by DEC.
NUMBER OF TESTS
TEST LOCATIONS:
SEE SKETCH
FIELD UPLIFT
PULL TEST
TEST RESULTS
10
(C) CORNERS
> 35 LBS
PASSED
49
(P) PERIMETERS
> 35 LBS
PASSED
65
(F) FIELD
> 35 LBS
PASSED
31
(R) RIDGE AND HIP CAPS
> 35 LBS
PASSED
TILE TYPE/ATTACHMENT: Barrel roof tile polyfoam set. INSPECTED BY: JM
ROOF SKETCH
C
g•
10' P
P
F F P F
16,
P
F
F F.'
F
C P
P
P
P P •. F F,••
P F
F
F
F pp F{t F�
l3'
F
F '. F F' F F
P F
F
F F F F
C
F
P
F
P P
F
F
P M,
I8' P
F
F
P
F
F
F
P
3' P
F
F
F
F 25'
P F
F
F
p
F
7. P
P F
F
F
P
3'.
P
P
P
4
P
F
4-
F
P
F
F p 16'
Sincerely yours, ,
; °SAAD yq''-,
S5
,L/�.,,
'C a? .. �\C ENSf'gTq
Wissam Naamani, P.E.
No. 39584 '
DYNATECH ENGINEERING CORP.
qp:. suTE or
Florida Reg. No. 39584
=;o '••�CORtov,
Special Inspector No. 757
°,SS/ONAI-�`
F P
F FF P19,
F
F F F P
Page 1 of 1
750 WEST 847rH STREET, HMLEAH, FL 33014 PHONE (305) e2a-7499 FAx (30s) eas-95sa EMAIL:INFOODYNAMCHENGINEEREJG.COM EC
J?Y�GFav E'�!D
JUN 0 7 2023
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
BY: P11011— SECTION 1525
HIGH -VELOCITY HURRICANE ZONES —UNIFORM PERMIT APPLICATION
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
172,3,4,5,6,7
Prescriptive BUR-RAS 150
A,B,C
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,6,7
Concrete or Clay Tile
A,B,D,E
1,2,3,4,5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and Shakes
A,B,D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,I
ATTACHMENTS REQUIRED:
1.
Fire Directory Listing Page
2,
From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128
4.
Other Component of Product Approval
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
7.
Any Required Roof Testing/Calculation Documentation
CITY
COPY
Miami Shores (01
Vi la uilding Department
Zoning Dept. ( Date 1 3
Building Dept. Date
Subject to compliance l all Fe a al,
State and Qounty rules Z3rSns.
Permit# F-06 -
FLORIDA
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
yJ
JU,N b 7 202J
Florida Building Code7th Edition (2020) BY:
High -Velocity Hurricane Zone Uniform Permit Application Form
Section A (General Information)
Master Permit No.
Contractor's Name
'2D�'o��F/�!'
Process No.
Job Address %,tfr A1,C
9'G
fr.pr/Mro' *64 S
ROOF CATEGORY
/
ar Mortar/Adhesive Set Tiles
❑ Low Slope
❑
Mechanically Fastened Tile
❑ Asphaltic Shingles
❑
Metal Panel/Shingles
❑ Wood Shingles/Shakes
❑
Prescriptive BUR-RAS 150
ROOF TYPE
❑ New roof ❑ Repair
❑ Maintenance 2--"Reroofing
❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) —
Steep Sloped Roof Area (SF) 3S9/
Total (SF) 315-51
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, root crams, scuppers, ovemow suu i1U15 GI U UVtl111UW UIUIIIJ. II IUUVG VII11011-
sions of sections and levels, clearly identify dimensions of elevated pressure zones en location of parapets.
. /Sro2y N
474
5
FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
' Florida Building Code7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Ci.i/o�Y)
Sectlon D (Steep Sloped Roof System)
Roof System Manufacturer:
Notice of Acceptance Numb
Minimum Design Wind Pressures, If Applicable (From R� S 127 or Calc0aWZS)ne 3e: G•%d Zone 3r:
Zone 1:f. f4 Zone 2e: 9_9 Zone 2n &' Zone - -
AWN A 7 2023
BY:
Deck Type: 1 wood
Type underlayment .4fr.N D 3 2 4
Roof Slope:
12 Insulation:
� Fire Barrier:
RidgeVe 'cation.
Fastener Type &Spacing: � e�✓�°c c Oe/aL y/�sH2ia�f (mod"�c
\ Adhesive Type:
\ Type Cap Sheet:
e�
EMeanRoof Roof Covering:
Type & Size Drip
Edge:
3
FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020)
476
ROOF ASSEMBLIES ANP;tPjEQtiC#6J-.RF.S_
.1NN q 7 202?
Florida Building Code7th Edition (2020) 1
High -Velocity Hurricane Zone Uniform Permit Application Form$y:
('/srQ,�y)
Section E (Tile Calculations)
arre greater than or tile systems, to the M values, for eachchoose either area of the roof,pare thentthe fleues for attachmentwith
method is acceptablrom e if the M, values
Method 1 "Moment Based Tile Calculations Per RAS 127"
(Zone 1 %1 x X -Ao = UL U - Mg: qr 'Y = Mn Y� Product Approval M, / 4 7. J�
(Zone 2e-Jo x R, rel ='!1.M - M9:'f`" = M, Y' =! Product Approval M,
(Zone 2n:/o V x 1,. I & - Mg: .Gv = M,Q /7� Product Approval M, / i 7
(Zone 2rr1vY x X 4 d = ?L4- J-M9:�= MaIL-Le Product Approval M, !39• y
(Zone3e-�va x7w:A= lL � �-Mg: N-✓'/=M�G.7� Product Approval M, �37. s�
(Zone 3nL x ?L. 2 o =-�i - Mg: = M�4 Product Approval M, i37• t�
Method 2 "Simplified Tile Calculations Per Table Below"
/AA % C,nm TahIP RPIOW Product Approval M,
HequlreO IVIOmenl-vi He——mo
Old , ,-•••-----
M, required
Moment Resistance'
Mean
15'
20
25'
30'
40'
42.2
34.4
35.5
38.2
39.7
M412
32.2
34.4
36.0
37.4
39.6
30.4
32.2
33.8
35.1
37.3
28.426.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
__
-..aw nc Pn inn
Prl By the Broward
County Boa
rd of Rules and
or muDassa um zy •-•••_ _..____- -.
-Must be used in conjunction with a fistmnm
Appeals.
Ulift basedtile
Po
, the values for P with the values
the the file attachment method isacceptarble.if the F values are greater than or
u arMethod 3. Compare
eFor
esystems
qual the ea of the roof,
Method 3 -Uplift Based Tile Calculations Per RAS 127"
(Zone 1:— x L
— _ — xw:=_�-W:—xoosr—=FI— Product ApprovalF'
cos r F Product Approval F'
(Zone2e:_xL—=—xw:=_a-W�--
x —= �—
Product ApprovalF'
(Zone 2n:_.xL---xw:=-1-W=—xcosr—=F�—
(Zone2r:—xL—=—xw:=-1-W:—xcosr_=F2—
Product ApprovalF'
Product Approval F'
(Zone 3e:—x L—=—
x w: = ) - W:.— x cos r _. = Fa. —
F)-W�—xcosr—= Product Approval F
(Zone 3r:—xL—=—xw:=—
r',—
477
FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES JUN O 7 2023
Florida Building Code7th Edition (2020) �---
High -Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
2 SHAY/
Roof System Manufacturer.
Notice of Acceptance Number:
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
Zone 1:/0./6 Zone 2e: d U Zone 2n:_ Zone 2r:/� Zone 3e:h[ f�Zone 3r:_
Deck Type:
Type Underlayment
Roof Slope:
3 : 12 insulation: I
\ Fire Barrier:
Ridge Ve lation? Fastener Type & Spacing: �o�y�os �<c��s �y� F/
Adhesive Type: s5;t f
\ \ Type Cap Sheet 19/yes Tv .UAy
Roof Covering: �[AN�.4 2�YBCC ffRdD v Fd�
Mean Roof Height:�sYee
Type & Siza Drip SAC Co r
Edge:
.3
FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020)
476
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code7th Edition (2020) JUN 0 7 2023
High -Velocity rAcane Zone Uniform Permit Application Form
�1'p srleY / BY:---�
Section E (Tile Calculations)
he ve
aFor Moment re grater than or eiqual o the le systems,Mr values, for each achoose either rea of the Croof, Phenare t he file uattaches for ment method iwith the ts acceptablfrom e If the M, values
Method 1 "Moment Based Tile Calculations Per RAS 127"
(Zone I -L3 x X ,1c = /+ ) - Mg: ±±f= Mn /0-/0 Product Approval MI
(Zone 2e:" ifV x X lk = z o) - Mg: 4-/`y = M1,1W-14 Product Approval Mr /3x3-
(Zone2n:-xl-= --j-Mg:-=Me"- Product Approval M,
(Zone 2r. `»x 7 .la = - Mg: y = Mrz/-' 4 Product Approval M, '389;
(Zone 3e<� x 7, - A° = -LA - MIT p_y N* N= Mra,� 44 Product Approval M, �33 r
(Zone 3r:- x 1r- = _) - Mg: - = Mrjr - Product Approval M,
Method 2 "Simplified Tile Calculations Per Table Below"
.._�_... -4 o,.cicienre fRA I Prnm Table BeIOW Product Approval M,
Hequueu rv,uu.cnw. „ „�..........
�...,, .._....-._
_.
M, required
Moment Resistance'
Mean Roof Height Roof Slope
15'
20'
��
�
�
2:12
34.4
36.5
38.2
39.7
42.2
3:12
322
34.4
35.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
32.4
6:12
28.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
2-7.1
28.2
30.0
...,...,,...� nnrin.cari
by The Froward
County Boal
rd of Rules and
"Must be used in conjunction with a list
Appeals.
eFor qual to the Fevfile systems use Method 3. alues, or each area of the roof, hen the tile are, the attachm attachment method is ues for F with the acceptables for e.lf the P values are greater than or
Method 3 °Uplift Based Tile Calculations Per RAS 127"
(Zone 1:-xL-=-xw:=-
1-W:-xcosr-=Fn-
Product Approval F'
(Zone 2e:-
x L-
_ - x w: _ _) - W:
x cos r
-= Ff1B
- Product Approval F
Product Approval
-
r-=Fe"-
(Zone 2n:-xL-=-xW:=
-W:-x
cos
x cos r
- = F m-
Product Approval F
(Zone2r:-xL-=-xw:=_�-W:-
(Zone 3e:._.xL-=-xw:=-)-W:--x�r-=Fa,-
ProductApprovalP
(Zone 3r:-xL-=-xw:=-)-W:-x
cos r-=F,s,-
Product Approval P
Where to Obtain Information
Description Symbol Where to find
Zona 1, 2e, 2n, 2r, 3e, 3r From applicable table in RAS 127 or by an engineering analy-
Design Pressure sis prepared by PE based on ASCE 7
Mean Roof Height
H
Job She
Roof Slope
0
21
Job Site
Product Approval
Aerodynamic Multiplier
M
Product Approval
Restoring Moment due to Gravity
M,
Product Approval
Attachment Resistance
M
Calculated
Required Moment Resistance
P
Product Approval
Minimum Attachment Resistance
Fr
Calculated
Required Uplift Resistance
W
Product Approval
Average Tile Weight
Tile DimensionsL
=length W = width
Product Approval
All calculations must be submitted
to the building official at the time
of permit applicatin.
477
FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020)
CREEK Certifko=e of Authorization No. 19824
17520 Edinburgh Dr
Tampa, FL33647
TECHNICAL SERVICES,LLC- - ---= _ _ - (813)480-3421
EVALUATION REPORT FLORIDA BUILDING CODE, 7Te EDITION (2020)
Distributor: GRANADA ROOF TILE INC. Issued August 12, 2020
7275 NW 6151 Street
Miami, FL 33166
(786)641-9154
www.HandMadeRooMie.com
Manufacturing Plants: Guatemala (Granada)
Quality Assurance: Keystone Certifications, Inc. (QUA1824)
SCOPE
Category: Roofing
Subcategory: Roofing Tiles
Code Edition: Florida Building Code, 7v' Edition (2020) including High -Velocity Hurricane Zones (HVHZ)
Code Sections: 1507.3.4, 1507.3.7, 1523.6.5.2, 1523.6.5.2.2
Properties: Physical Properties, Static Uplift Resistance
REFERENCES
Entity Report No. Standard Year
American Test Lab of South Florida Inc (TST3782) RT0727.02-15 TAS 101 1995
American Test Lab of South Florida Inc (TST3782) RT0609.01-15 ASTM C 1167 2011
PRODUCT DESCRIPTION
Granada, Handmade, Clay, Barrel Roof Tile
Profile: ASTM C 1167, TAS 101, high profile, clay roof tile
Description: TAS 101 Type 1, high profile, class III clay tile, handmade
Dimensions: 17.25" x 7.75" x 3.0"; Nominal weight 6.5 lb
GRAN15001.2
FL19320-R2
This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
®CREEK---- ___=
TECHNICAL SERVICES, LLC ---
APPLICATION METH6B_
GRANADA ROOF TILE INC.
Granada, Handmade, Clay, Barrel Roof Tile
Installation for Granada, Handmade, Clay, Barrel Roof Tile
Limited to slopes 3:12 or greater In the HVHZ; Outside the HVHZ, shall be in accordance
Slope:
with the recommendations of the FRSArrRI Florida High Wind Concrete and Clay Roof
rile Installation Manual, Sixth Edition or RAS 120.
Solid or closely fitted min. 15132-inch plywood sheathing for new and existing construction
Roof Deck:
at max 24 in. span; In the HVHZ, new construction shall be min.19132 in. plywood at max.
24 in. span; Designed by others in accordance with FBC requirements.
installed in accordance with FBC requirements. For adhesive set attachment of tile with
Underlayment:
ICP Adhesives Polyset AH-160 or in the HVHZ, the minimum undedayment shall be Hot
Mop 30190 installed as described in RAS 118 Section 3.01.
Installed in accordance with FBC requirements. For adhesive set attachment of file with
ICP Adhesives Polyset AH-160 or in the HVHZ, the pan files shall be set with a 104nch
center -to -center spread in a minimum 11-inch long x 44nch wide x 1.5-inch thick paddy of
Attachment:
ICP Adhesives Polyset AH-160 placed approximately 2.5-inches up from the nose. The
cap tiles shall be adhered by placing one (1) minimum 17.25-inch long x 1-inch wide
paddy of ICP Adhesives Polyset AH-160 along each longitudinal inside edge of the tile
and immediately setting onto the pan tiles.
Data for Attachment Calculations
Nominal Weight (W) and
Aerodynamic
MAbft3) rs
Restoring Moments due to Gravity - Mn (ft Ibf)
Dimensions 0 x w)
Direct Deck
Roof Tile
W (Ibf)
L (ft)
w (ft)
Direct Deck
3":12"
4"A
5':12'
6":12"
>T:12"
—
Application
Granada
6.92
1A6
0.65
0.20
4.84
4.74
4.61
1 4.48
1 4.33
Attachment Resistance Expressed as a Moment
Pan Tiles
Cap Tiles
Mr(ft-lbf)
Roof Tile
Pad d
Paddy
Adhesive
Size
Weights
Adhesive
Paddy Size'
We ghts
ICP
ICP
Granada
Adhesives
Polyset AH-
11'x4"A.5"
1
41.9g
1
Adhesives
Polyset AH-
17.25"x1"x1"
18.5g
137.5
160
160
Notes: 1) Minimum dimensions and weight tor aonesive app icauon
7;Z_f�4CE;i v ED
1-W
JUIN 0 7 2021
GRAN15001.2 FL19320-R2 Page 2 of 3
This evaluation report is provided for State of Florida product approval under Rule 61020-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, Installation, recommended use, or other product attributes that are not
specifically addressed herein.
ACREEKGRANADA ROOF TILE INC.
-Granada, Handmade, Clay, Barrel Roof Tile
TECHNICAL SERVICES, LLC
LIMITATIONS -- "-- - -
1) Fire Classification is not within the scope of this evaluation.
2) Installation of the evaluated products shall comply with FBC Section 1507.3, FRSA/TRI Florida High Wind
Concrete and Clay Roof Tile Installation Manual, Sixth Edition and the manufacturer's published application
instructions. Installations in the HVHZ shall comply with RAS 120. Where discrepancies exist between
these sources, the more restrictive detail shall prevail.
3) Design wind load requirements shall be conducted in accordance with FBC Section 1609.5.3 in the non-
HVHZ and RAS 127 in the HVHZ, using a moment based system.
4) All tiles shall bear the imprint or indelible label "Granada, Made in Guatemala".
5) In the HVHZ, a static field uplift test shall be conducted in accordance with TAS 106.
6) All products listed in this report shall be manufactured under a quality assurance program in compliance with
Rule 61G20-3.
COMPLIANCE STATEMENT
The products evaluated herein by Zachary R Priest P.E. have demonstrated compliance with the Florida Building
Code, 7`" Edition (2020) including High -Velocity Hurricane Zones (HVHZ) as evidenced in the referenced documents
submitted by the named manufacturer.
%�1PG?P�O E N
No 74021
5 ; ¢=
'9 STATE OF .'44/Z
'O.• c �:
O R t�p'�j���,
10 N A'
CERTIFICATION OF INDEPENDENCE
2020.08.12
17:28:05
M Wnx w,.n
-041001
Zachary R. Priest, P.E.
Florida Registration No. 74021
Organization No. ANE9641
CREEK Technical Services, LLC does not have, nor will It acquire, a financial interest in any company manufacturing or distributing
products under this evaluation.
CREEK Technical Services, LLC is not owned, operated, or controlled by any company manufacturing or distributing products under
this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any company manufacturing or distributing products
under this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the
product.
END OF REPORT
GRAN15001.2 FL19320-R2 Page 3 of 3
This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
MIMI®M MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy
Polyglass USA Inc.
I I11 W. Newport Center Drive
Deerfield Beach, FL 33442
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be
used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product
or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Polyglass Polystick Underlayments
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for
sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it
shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA# 21-1217.02 and consists of pages 1 through 12.
The submitted documentation was reviewed by Alex Tigera. jU N 0 7 Z023
NSA No.: 22-1221.01
MIAM4DADE COUNTY Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 1 of 12
ROOFING COMPONENT APPROVAL
Category Roofing
Sub -Category: Underlayment
Material: SBS, APP
PRODUCTS DESCRIPTION:
Y CEX Y ED
[J
JUN 0 7 2023
B3V -- -1
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' 10" x 3'33/8" TAS 103 A rubberized asphalt waterproofing membrane, glass -
Manufacturing 130 mils thick fiber/polyester reinforced, with a granular surface
Location #1, #2, & #3 designed for use as a tile 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 We underlayment.
Location #1, #2, #3, &
#5
HydraGuard Tile Pro 65' x 3'33/8" TAS 103 A rubberized asphalt self -adhering, glass-fiber/polyester
Manufacturing 80 mils thick reinforced waterproofing membrane. Designed as a metal
Location #1, #2, #3, & roofing and roof tile underlayment.
#5
Polystick MTS 65'8" x 3'33/8" TAS 103 A homogeneous, rubberized asphalt waterproofing
Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film
on the upper surface for use as an underlayment for metal
Location #1, #2, #3, and #4 roofing, roof tile, slate tiles and shingle underlayment.
NOA No.: 22-1221.01
Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 2 of 11
FZEC.F�V�I�
PRODUCTS DESCRIPTION:
Product Dimensions
Polystick MTS 65'8" x 3'33/8"
Manufacturing 60 mils thick
Location #5
JUN 0 7 2023
Test Product RV•
Specification Description '
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 3'33/8"
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
#4
roofing, roof tile, slate tiles and shingle underlayment.
Polystick MTS Plus
65'8" x 3'33/g"
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.
Elastoflex S6 G 32' 10" x 3'3 3/e" 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 file underlayment systems.
Polytlex SA P 32' 10" x 3' 33/8" 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' 33/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
MIAMI•DADE COUNTY Expiration Date: 09/13/27
E3
Approval Date: 04/06/23
Page 3 of 12
JUN 0 7 2023
EVIDENCE SUBMITTED
Test Aeencv
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
P43290.10.14-111
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-SC 13 320.10.17-R 1
4-PLYG-18-004.03.18
4j-PLYG- 19-S SUDL-OO.A
4S-PLYG-18-004.10.19-G
4S-PLYG-18-004.10.19-I
4S-PLYG-18-004.10-19-L
4S-PLYG-18-004.12.19-F
4j-PLYG-l9-SSUDL-02.A
4S-PLYG-18-004.01.20-H
4S-PLYG-18-004.01.20.K
4S-PLYG-18-004.01.20.A
4S-PLYG-18-004.01.203
4p-DOW-I9-SSLAP-OI.A.R2
PLYG-SC 15855.05.20-A
4S-PLYG-18-004.12.19.D
4j-PLYG-I9-SSUDL-0l .A
4j-PLYG-20-SSUDL-05.0
4j-PLYG-20-SSUDL -05.A
4p-ICP-20-SSLAP-03.A-Rl
PLYG-SC 15855.06.20-B
4j-PLYG-2I-SSUDL-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-2l-SSUDL-04.A.R1
4j-PLYG-22-SSUDL-01.A
4j-PLYG-22-SSUDL-02.A
4j-PLYG-22-SSUDL-03.A
4j-PLYG-2l-SSUDL-02.A
BY:
Test Name/Report
ASTM D1623
ASTM D 1970
ASTM D6164
TAS 103, TAS 110 & ASTM D1623
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 D1970
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
Date
03/08/18
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
01/14/20
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
ML4MMADE COUNTY Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 4 of 12
LABELING:
1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city
and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved"
or the Miami -Dade County Product Control Seal as shown below.
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 NITS, Polystick NITS
Plus, Polyflex SA P or ELASTOFLEX SA V, self -adhered.
Surfacing: See General Limitations Below.
Deck Type 1:
Deck Description:
System Type E(2):
Anchor/Base Sheet:
Fastening:
Membrane:
Surfacing:
APPROVED
Wood, non -insulated
Min. 19/32" plywood or wood plank
Anchor sheet mechanically fastened to deck, membrane adhered
One or more plies of ASTM D 226 Type II or ASTM D 2626.
Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Elastoflex S6 G, hot asphalt applied.
See General Limitations Below.
RF, C F,-;t v
JUN 0 7 ZOZ3
BY:
NOA No.: 22-1221.01
Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 5 of 12
�E CEx VET
Deck Type 1: Wood, non -insulated JUN 0 7 2023
Deck Description: Min. 19/32" plywood or wood plank BY: ----
System Type E(3): Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered.
Anchor/Base Sheet: One or more plies of ASTM D 226 Type H or ASTM D 2626.
Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for
base sheet only)
Ply Sheet: Polystick MTS 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.
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 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(S): 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", self -adhered.
*This 2-Ply System will only use the Waco, TXplant.
Surfacing: See General Limitations Below.
NOA No.: 22-1221.01
MMLAMMADECOUNTYM Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 6 of 12
CF'1VEtiD
Deck Type 1:
Deck Description:
System Type E(6):
Anchor/Base Sheet:
Fastening:
Ply Sheet:
Membrane:
Surfacing:
Wood, non -insulated
JUN 0 7 2023
Min. 19/32" plywood or wood plank BY:
Base sheet mechanically fastened to deck, subsequent cap membrane self- ad
One or more plies of ASTM D 226 Type II or ASTM D 2626.
Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for
base sheet only)
Polystick NITS or Polystick NITS Plus, self -adhered with minimum 3" horizontal laps and
minimum 6" vertical laps.
Polystick MTS or Polystick NITS Plus, self-adbered.
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 fast 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 right fit. A second layer of Polystick shall be
applied over the underlayment.
NOA No.: 22-1221.01
MIAMMADE COUNTY Expiration Date: 09/13/27
FM Approval Date: 04/06/23
Page 7 of 12
RF,CEs v £iD
GENERAL LIMITATIONS: JUN 0 7 202 )
1. Fire classification is not part of this acceptance. By
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 file systems and quarry slate roof assemblies.
Polystick Ht-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 file 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
BOND m 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 Ht-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
6. Polystick IR-Xe, Polystick MU-X, Polystick TU Max, Polystick TU P, Polystick TU Plus, HydraGuard
Dual Pro, HydraGuard Tfle Pro, Polystick NITS, Polystick NITS Plus, Elastoflex 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 NITS
180
180
180
180
n/a
Polystick Ht-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 NITS 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 Tfle 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 �61 G20-3 of the Florida Administrative Code.
RECF«�iT�p
JUN U 7 2023
BY:
NOA No.: 22-1221.01
Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 9 of 12
8. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope
shall be as follows: (See Table Below)
Tile 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-tile 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, NITS 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 NITS 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 NITS 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 NITS 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 file stack parallel to the slope, for a total of 6 tiles.
&&IS
%of Deck prepared W th
POLMCKTU Plea
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 MTS, Polystick MTS Plus,
Elastoflex S6 G, Polyflex 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.
tTz1Cnj(V)MO
JUN 0 7 2023
BY:.
NOA No.: 22-1221.01
Expiration Date: 09/13/27
Approval Date: 04/06/23
Page 11 of 12
POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LEMTATIONS 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 mint 1 %of 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 file 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 file manufacturers NOA, must be used on all projects for
pitch/slopes of 7"/12" or greater. It is suggested that on pitch/slopes in excess of 6 VV/12", precautions should be
taken, such as the use of battens to prevent tile sliding during the loading process.
7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours.
S. 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 351bs 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 LINIITATIONS 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
MIMI M
JUN U 7 2023 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.eov/economy
ICP Construction Inc.
150 Dascomb Road
Andover, MA 01810
BY:
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In
Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or
material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of
such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by
Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable
building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code including
the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Polyset® AR-160
LABELING: Each unit shall bear a permanent label with the 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
1YC14% V r D
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE:
BY:
JUN 0 7 2023
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 Polyset® 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.'
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 @1580F., 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
EVIDENCE SUBMITTED:
JUN 0 7 2023
Test Aeencv
Test Identifier
Test Name/Report
BY: Date
Center for Applied Engineering
#94-060
TAS 101
04/08/94
257818-IPA
TAS 101
12/16/96
25-7438-3
SSTD 11-93
10/25/95
25-7438-4
25-7438-7
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[1]
ASTM E 84
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. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating.
2. Polyset® AH-160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for the use of Polyset® AH-160 roof the adhesive with their the
assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61G20-3 of the Florida Administrative Code.
NOA No.: 22-0614.10
MLOMFDADECOUNTY Expiration Date: 05/10/27
Approval Date: 10/13/22
Page 3 of 11
RECnI ED
JUN 0 7 2R'i
INSTALLATION:
l��
1. Polyset® AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance
values with the use of Polyset® AH-160.
2. Polyset® AH-160 shall be applied in compliance with the Component Application section and the corresponding
Placement Details noted herein. The roof file assembly's adhesive attachment with the use of Polyset® AH-160
shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance
with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the
roof file assembly NOA.
3. Polyset® AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS
120, and ICP 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
1.0-1.15 (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 Polyset® AH-160
has been dispensed.
9. Polyset® AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details'
herein. Each generic tile profile requires the specific placement noted herein.
NOA No.: 22-0614.10
Expiration Date: 05/10/27
Approval Date: 10/13/22
Page 4 of 11
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement Detail
Minimum Paddy Contact
Minimum Paddy Gram
Area
Weight
Eave Course - Flat, Low, High
All Eave Course
17-23 sq. inches
45-65
Profiles
Flat, Low, High Profiles
#1
17-23 sq. inches
45-65
Flat Profile
#2
10-12 sq. inches
30
Low Profile
#2
12-14 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.
MIAMIQWE COUNTY
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
RECE %, EjD
Juju 0 7'-,' i
NOA No.: 22-0614.10
Expiration Date: 05/10/27
Approval Date: 10/13/22
Page 5 of 11
ADHESIVE PLACEMENT DETAIL ## 1
Nail through plastic cement Paddy(Baneathrile)
(when required)
Underlayment
1 °
R\\ 10 In.. .
Battens optional °
Eave Castes*
° °10 itt. Fascia
Eave Closun
Eave Ciosun
Fascia
Nail through plastic c
(whenrequired) Paddy (Beneath Tile)
Undetiayment
1 101n.:
21n.whio
Battens
optional
ll Ewa Course Fascia
Waephole
101n. 21n. Eave closure
Dripedge
Flat/Low Profile Tile
I. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown,
under the strengthening rib closest to the overlock
of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm) — 23 (148.4 cm2) square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the file closest to the
overlock of the 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.
High Profile / Single Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as shown
under the pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm) — 23 (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
I CE;i w il�iD
ADHESIVE PLACEMENT DETAIL ## 2
Nall through plastic cement Paddy (Beneath Tile)
(when retiuired)
UI nderla) ent
io
1t 7in.
21n.
Battens optional
°
Eave Course
a
z yx
Win. _"�O�v Fascia
210
Eave Closure
plasticcement
IBen earl, Tilel
Battens
Eave Closure
Fascia
---TA—PPROVEDII
Flat/Low Profile Tile
BY:
JUN 0 i zoz3
1. Starting at the eave course, apply a minimum 2" (50.8
torn) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm2)
— 23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (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 cm) - 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
tile being set. Insure approximately 17 (109.7 cm2) —
23 (148.4 cm2) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 torn) 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 cm2) square inch adhesive
contact with the underside of the tile.
(Instructions continued on nextpage)
NOA No.: 22-0614.10
Expiration Date: 05/10/27
Approval Date: 10/13/22
Page 7 of 11
V i.
ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED)
Nail through plastic ce
Iwhen required)
Daddy (Beneath Tile)
Undedayment
r
7 in.. '.
2 m.
Battens optional ,
Eave Course
Fascia
Weephole
10 in. 2 in.
Eaveclosure
Drip edge
BY:
High Profile / Single Pan Tile
JUN 0 7 2023
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 cm) square inch adhesive contact with the
underside of the tile.
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
portion of the tile closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 17"
(109.7 cm) - 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
ADHESIVE PLACEMENT DETAIL ## 3
Nail throughplasticcement Paddy 6aneen din)
(when required; /\ I
Bmens optional�'i
Paddy(under tile)
Sin t le
of=
pa
t an top dtde r ,
again. I V, _
5ugle paddy /••`•'• _..
under ti
smglepaddy /
oo underlayment e 2a a in.
t0
Fascia
Bsetlmue
Flat/Low Profile Tile
Hail through plastic cement
Single paddy under tile
(when requ(red)
Paddy(betrreen tiles)
Battens /
Paddy(under tilel
optional
� of��
.
'F
/ twain.
1VU
g4in.1' '*
San
I
101n.
21n
— Fare Ckanre
Eve Crone
Fascia
Maillum ProllkTOe
APPROVED
1. On the eave course only, 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 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 in2 (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 V (25.4
mm) foam paddy onto the underlayment just below
the second course line positioned foam paddy
under the strengthening rib for flat tile, or under the
pan portion of the tile, closest to the underlock for
the second course tile to be installed. Insure
approximately 8-9 in2 (51.6-58.1 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
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
tile)
C,=— 3
High ProttleTile
JUN 0 7 2023
BY.
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4"
(19 mm) paddy on top of the eave course file
surface as shown, on top of the strengthening rib
for flat tile or on top of the pan portion of the tile,
closest to the underlock of the first course of tile.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11 (71cm2) square inch adhesive
contact with the underside of the rile at the overlap
and 7 (45.2 cm2) - 9 (58.1 cm2) square inch
adhesive contact with the underside of the tile at
the head of the tile. Continue in same manner.
NOA No.: 22-0614.10
MIAMFD/1DECOUNTY Expiration Date: 05/10/27
6 t Approval Date: 10/13/22
Page 10 of 11
Fc1ECF�i V F: !D
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
1) Place enough adhesive to achieve 65 to 70 sq.in. Steep pitch applications
in contact with the pan tile. (when required)
2) Tom covers upside down. Place adhesive in
to 1 in. from outside edge of cover tile.
Then install the tile. Ensure 20 to
25 sq. in. contact area.
IUnderlayment
Sheathing
Eave closure
(motarshown)
Weephole
Fascia Board
pemove top portion of the eave course cover tile. Abut to second course of
pan tiles. Ensure eave end of pan and cover tiles are flush at eave line.
Two Piece Barrel -High Profile Tile
Julu 0 7 M
EEM
Two Piece Barrel (Cap and Pan) Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam
paddy onto the underlayment positioned as
shown under two adjacent pan tiles. Support eave
riles from rocking until adhesive has a chance to
cure.
2. Continue in same manner bringing two pan
courses up toward the ridge. Insure
approximately 65 (419.4 cm2) — 70 (451.6 cm)
square inch adhesive contact with the underside
of the pan tile.
3. Turn covers upside down exposing the underside
of the rile. Apply a minimum 1" (25.4 mm) x 10"
(254 mm) bead of adhesive directly on the inner
edge of each side of the cover tile. Leave
approximately 3/4" (19 mm) to 1" (25.4 mm)
from the outside edge of the tile, inward, free of
foam to allow for expansion.
4. Turn cover file over after foam is applied and
place onto pan file course. Insure a minimum of
20 (129 cm) - 25 (161.3 cm') square inch
contact area on each side of the cover file to the
pan rile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
NOA No.: 22-0614.10
Expiration Date: 05/10/27
Approval Date: 10/13/22
Page 11 of 11
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: RC-06-23-1456
Permit Type: Building (Residential)
Work Classification: Alteration
Permit Status: Approved
Issue Date:06/22/2023 I Expiration: 12/22/2023
Parcel Number
1245 NE 96TH ST, Miami Shores, FL 33138 1132060143780
Contacts
CURTIS BRODSKY Owner
1245 NE 96 ST, MIAMI SHORES, FL 33138
crbrodsky@aol.com
LESTER JENSEN
1665 NE 137 TER, MIAMI, FL 33181
Business: 3058926507
Other: 3058926507
arcoconstruction@aol.com
Description: INSTALLATION OF RIGHT ANGLE ROOF GUSSETS
Fees
Amount
Application Fee - Other
$50.00
CCF
$7.20
DBPR Fee
$5.40
DCA Fee
$3.60
Education Surcharge
$3.60
Permit Fee
$310.00
Scanning Fee
$9.00
Structural Review ($60)
$60.00
Technology Fee
$36.00
Total:
$484.80
.com
Sandy Hart
9822 ne 6avenue 9, Miami shores, FL 33138
Business: 3057572612 harttwohart5@aol.com
Mobile: 9548022965
Home: 3057577861
Other: 3053311200
Valuation: $ 12,000.00
Total Sq Feet: 350.00
Inspecrion Requests: _
305-762-4949
Payments Date Paid Amt Paid
Total Fees $484.80
Check# 11884 06/22/2023 $484.80
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 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. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner I Applicant / Contractor / Agent
Date
June 22, 2023 Page 2 of 2
G�IVEit�
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
BUILDING
PERMIT APPLICATION
dBUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: / ��� / %G S
JUN U 7 2023
FBC 2020 -
Master Permit No. �F- O( z3 L(&S
Sub Permit No. ko - 0L -2,' " ILI SZv
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City Miami Shores County: Miami Dade Zip: 33 / 3 it
Folio/Parcel#: // 6/4 - 37 74 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlehholder): (_yyT/S-&-ew-vey Phone#: 50S60Y-7y��
Address: I p qf- lur z 6 j) _
City: 142'r / Sh0 ✓f -3 State: FL Zip: 3 3/ 3
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: 2f� ��NGi �)�,r (1 /x9G'�C� Phone#:
Address: i)4�7�%
Email: aVCQ(,, V1-?±Ir ( z'15 C CC
Qualifier Name:
State Certification or Registration #:
Certificate of Competency #:
2x� 5 sE ( 2 i`
DESIGNER: Architect/Engineer: J " bol- Phone#:
Address: City: State: Zip:
i
Value of Work for this Permit: $ /�/ 6 0 o Square/Linear Footage of Work: 3S�
Type of Work: ❑ Addition ❑ Alteration ❑ New
® Repair/Replace ❑ Demolition
Specify color of color thru tile: "V i /'4-
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ DCA Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ P&Z Review $ Bond $
TOTAL FEE NOW DUE $ —
(Revised04/05/2022)
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 $1500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged beforemethis
_ day of u46a,`E e 20 G7 by
CUi s 31 �Ls l<.I who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
Print:
'z�'•`6i'• ATHERINE A•D IN
Seal: _ MY COMMISSION p HH 089
EXPIRES: May 14, 2025
M``E•`,... 6ondad Thm Notary Pub!., r.
•asssssssssssssssstasssssasasssa
APPROVED BY
9
day of /( (/L( 20 Z S by
Lp s, (_z �� �sy who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY
as
Sign: r`` 'u ( "
old TlN Notary pubic
ai tti tatatassasatata iatgatsassia 4MNR'a iss Hsaa
_ Plans Examiner ' ( � is �°�) Zoning
OG(l(r��3
1&i& Structural Review
Print:
Seal: CATHERINE A.
_ My�� UFFIN
• MMISSION A HH 089522
EXPIRES: May f4, 2025
q?
Clerk
(Revised04/05/2022)
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-0143780
Property Address:
1245 NE 96 ST
Miami Shores, FL 33138-2553
Owner
CURTIS R BRODSKY
BARBARA WEINER
Melling Address
1245 NE 96 ST
MIAMI, FL 33138 USA
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths / Half
5 / 4 / 0
Floors
2
Living Units
1
Actual Area
4,803 Sq.Ft
Living Area
3,662 Sq.Ft
Adjusted Area
3,884 Sq.Ft
Lot Size
20,250 Sq.Ft
Year Built
1925
Assessment Information
Year
2022
2021
2020
Land Value
$1 2215,324
$765,716
$765,716
Building Value
$393,838
$270,326
$272,679
XF Value
$33,867
$34,259
$34,650
Market Value
$1,643,029
$1,070,301
$1,072,945
Assessed Value
$1,643,029
$362,009
$357,011
Benefits Information
Benefit
Type
2022
2021
2020
Save Our Homes
Cap
Assessment
Reduction
$708,292
$715,934
Homestead
Exemption
$25.000
$25.000
Second Homestead
Exemption
$25,000
1$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 3 PB 10-37
LOTS 5 TO 7 INC BLK 83
LOT SIZE IRREGULAR
OR 17922-2889 1297 4
Generated On : 5/11/2023
Taxable Value information
2022
2021
2020
County
Exemption Value 1
$0
$50,0001
$50,000
Taxable Value 1
$1,643,0291
$312,0091
$307,011
School Board
Exemption Value
$0
$25,000
$25,000
Taxable Value
$1,643,0291
$337,0091
$332.011
City
Exemption Value
$0
T
$50,000
$50,000
Taxable Value
1 $1,643,0291
$312,0091
$307,011
Regional
Exemption Value
$0
$50,000
$60,000
Taxable Value
1 $1,643,0291
$312,0091
$307,011
Sales Information
Previous
OR Book-
Pdca
qualification Description
Sale
Page
34584 2685-
08/09/2021
$2,000,000
Ouai by exam of deed
17922-
Sales which are disqualified as a result
12101/1997
$0
2889
of examination of the deed
00000-
11/01/1974
$130.000
Sales which are qualified
00000
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disdaimerasp
Version:
eCIS Home I Log In I User Regls don
db a
®Product Approval CITYUSER: PUEIic Use.
PmauR Aooroval Menu > PraauR ar AgRlication Search > Asullcatlon List > Application Debil
FL #
Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Evaluation Entity
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
FLvision R6 PY
Revision
2020 CO
Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by
the POC and/or the Commission if necessary.
Miami gSgho Shores �Wlqe B ilding Dep tm nt
Zonin De t. Date ISimpson Strong-Tle Co. Buildin DB tDat
2151 S. Airport Drive Subject to compli ith all ed ral,
McKinney, TX 75069 State and county rules and regulations.
(800) 999-5099 Ext 3027 Rn K D 6 _ Z3 _
kcullum@strongtie.com Permit#
Admin IAPMO UES
barry.johnson@uniform-es.org
U i /A
Keith Cullum (New) lii'�L RE
2151 S. Airport.Dr: l n— —
Shelby Short
S956 W. Las Positas Boulevard
Pleasanton, CA 94588
(800) 999-5099
sshort@strongtie.mm
Structural Components
Wood Connectors
Evaluation Report from a Product Evaluation Entity
IAPMO Uniform Evaluation Services LLC.
IAPMO UES
12/31/2023
IAPMO Uniform ES
6 COI JAPMOE rtif- of Independence.P13F
Standard
AISI S100
ANSI/AWC NDS
ASTM D7147
/"'A16 4+-5
V
2016
2018
2011
RECl�wItEH
JUN 0 7 2023
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summery of Products
Go to Page 0
Method 1 Option C
11/16/2020
11/20/2020
11/28/2020
00 Page 1/200
FL #
Model, Number or Name
Description
10446.1
A21, A23, A33, A34, A35, A44
Angles
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL10446 R6 II er 0112.12df
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If used to resist wind uplift in HVHZ, provide
FL10446 R6 AE er 0112.odf
supplemental connectors to achieve minimum 700 lbs.
10446.2
APA21, APA4, APA6, APVA21,
Outdoor Accents Angles
APVA4, APVA6
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
FL10446 R6 II er 0280.odf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services I.I.C.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If APA21 or APVA21 are used to resist wind uplift in
FL10446 R6 AE er 0280.pdf
HVHZ, provide supplemental connectors to achieve minimum
700 Its.
10446.3
APB44, APB44R, APVB66, APB66R,
Outdoor Accents Post Bases
APB88, APB88R, APB1010,
APB1010R, APVB44, APVB44R,
APVB66, APVB66R, APV888,
APVB88R,APVB1010,APVB1010R
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL10446 R6 II er 0280.ggf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other:
FL10446 R6 AE er 0280.pdf
10446.4
APDJT2-4, APDJT2R-4, APD3T2-6,
Outdoor Accents Deck Joist Ties
APD3T2R-6, APVDJT2-4, APVD3T2R-
4, APVDM-6, APVD3T2R-6
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL10446 R6 II er 0280.odf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services I.I.C.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: Products have not been evaluated for uplift
FL10446 R6 AE er 0280.p ff
resistance.
10446.5
APHH46, APHH46R, APHH610,
Outdoor Accents Heavy Hanger
APHH61OR
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL10446 R6 II er 0280.odf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other:
FL10446 R6 AE er 0280.p-df
10446.6
APL4, APL6, APT4, APT6, APVL4,
Outdoor Accents L and T Beam -to -Column Ties
APVL6, APVT4, APVT6
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
FL10446 R6 11 er 0280 odf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Design Pressure: N/A
Other:
10446.7 APLH24, APLH24R, APLH26,
APLH26R,APLH210,APLH210R
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: If APLH24 or APLH24R are used to resist wind uplift in
HVHZ, provide supplemental connectors to achieve minimum
700 lbs.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280.odf
Outdoor Accents Light Hangers
Installation Instructions
FL10446 R6 II er 0280.1?df
Verified By: IAPMO Uniform Evaluation Services U.C.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280 pdf
110446.8 1 BVLZ I Brick Veneer Ledger Connector
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: Product has not been evaluated for uplift resistance.
10446.9 CBT2Z, CBT4Z
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10446 R6 tI er 0280.odf
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280.pdf
Concealed Beam Ties
Installation Instructions
FL10446 R6 II er 0280.12df
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280.pdf
110446.10 1 CJT3Z, CJT4Z, CITSZ, CIT6Z I Concealed Joist Ties
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
10446.11 DJT14
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: Product has not been evaluated for uplift resistance.
10446.12 1 DS
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: Product has not been evaluated for uplift resistance.
10446.13 R , FC6
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10446 R6 II er 0280.odf
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280.12df
Deck Joist Tie
Installation Instructions
FL10446 R6 II er 0280.pdf
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280.p�f
Dry Wall Stop
Installation Instructions
FL10446 R6 II er 0280.pdf
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0280.odf
Framing Clips
Installation Instructions
FL10446 R6 II er 0112.odf
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0112.pdf
110446.14 1 FWANZ I Foundation Wall Angles
Limps of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
10446.15 1 GAI, GA2
Limits of Use
Approved for use in HVHZ: Yes
Installation Instructions
FL10446 R6 II er 0112 odf
Verified By: IAPMO Uniform Evaluation Services LLC.
Created by Independent Third Party:
Evaluation Reports
FL10446 R6 AE er 0112.odf
Gusset Angles
Installation Instructions
FL10446 R6 II er 0112.pdf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If used to resist wind uplift in HVHZ, provide
FL10446 R6 AE er 0112.p,Qf
supplemental connectors to achieve minimum 700 lbs.
10446.16
H2A, H2.5T, H8, H10A-2, H10S,
Hurricane Ties
H14, HGA30
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
FL10446 R6 II er 0112.odf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If H2A, H2.5T, or HGA10 are used to resist wind uplift
FL10446 R6 AE er 0112.pdf
In HVHZ, provide supplemental Connectors to achieve
minimum 700 lbs.
10446.17
HCJTZ
Heavy Concealed Joist Tie
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
FL10446 R6 II er 0280.pdf
Approved for use outside HVHZ Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other:
FL10446 R6 AE er 0280.pdf
10446.18
HH4, HH6
Header Hangers
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL10446 R6 It er 0112.pdf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If HH4 Is installed on a single 2x post and used to
FL10446 R6 AE er 0112.pdf
resist wind uplift In HVHZ, provide supplemental connectors to
achieve minimum 700 Its.
10446.19
KBS1Z
Knee -Brace Stabilizer
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
FL10446 R6 II er 0280.Ddf
Approved for use outside HVHZ: Yes
Verifed By: IAPMO Uniform Evaluation Services LLC.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If used to resist wind uplift in HVHZ, provide
FL10446 R6 AE er 0280.pdf
supplemental connectors to achieve minimum 700 lbs.
10446.20
L30, 1-50, L70, L90
Angles
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
FL10446 R6 II er 0112.udf
Approved for use outside HVHZ: Yes
Verified By: IAPMO Uniform Evaluation Services I.I.C.
Impact Resistant: N/A
Created by Independent Third Party:
Design Pressure: N/A
Evaluation Reports
Other: If L30 or L50 are used to resist wind uplift In HVHZ,
FL10446 R6 AE er 0112.pdf
provide supplemental connectors to achieve minimum 700 Its.
Go to Page 0
Back M FMA
00 Pagel/200
Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida Is an ANEW employer. Copyright 2007-2013 State of Florida.:: Privacy statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your ¢-mall address released in response to a public -records request, do not send electronic
mall to this entity. instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. "Pursuant M section
455.275(1), Florida statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide Me Department with an email address if they have
one. The malls provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a
personal address, please provide the Department with an email address which an be made available to the public. To determine If you are a licensee under Chapter
455, F.S., please dick bi
Product Approval Accepts:
Credit Card
Safe
Nome Connectors Wood Construction Connectors Masonry Connectors Truss Tiedowns for Masonry Ilurricane Ties for Masonry
HGAM Hurricane Gusset Angle for Masonry
N
X
3 �®
Wood Construction Connectors 2021-2023
A catalog including new product information as well as any applicable
specification and installation instructions for wood -to -wood and wood -to -
concrete stmeturel connectors.
Product Details
The HGAM is designed to secure the bottom chord of a gable end truss or other
framing member to masonry. The engineered gusset In the angle increases
strength for lateral and uplift loads. This hurricane gusset angle Installs easily with 1
1 /2' Strong -Drive® SDS Heavy -Duty Connector screws and Titen Turbo" masonry
screws to concrete or masonry.
Key Features
• Engineered for increased loads in high -wind or seismic events
• Also available in kits with Strong -Drive SDS and Titen Turbo screws
• Strong -Drive SDS screws are high -strength structural screws that Install
with no predrilling because of their patented, easy driving Type-17 point
Material
• 14 ga.
Finish
• Galvanized
Installation
• Use all specified fasteners; see General Notes
• Connectors attached using hex -head Titen Turbo screws
• Products shall be installed such that the Titen Turbo screws are not
exposed to the exterior environment
• Attach to grout -filled CMU with a minimum one ri5 rebar horizontal in the
course
• Hurricane ties do not replace solid blocking
Related Links
Wood Construction Connectors Technical and installation Notes
General Corrosion Information
Catalog Pages
• ® C-C-2021 (Wood Construction Connectors)pages 252-253
Conectores para la construcci6n con madera 2021-2023
El cat3logo incluye informati6n sobre nuevos productos, asi como
especificaciones a instmcciones de instalaci6n aplicables pare conectores
estructurales de madem a madera y de madera a concreto.
vaPsory
High Wind Guide
A comprehensive guide to help Designers select the most appropriate
connections for challenging, high -wind regions.
IGF Larnecrors
iI� y
ICF Connectors
I-( ICPVL19—Flo,
A flier featuring installation instructions for the ICFVL ledger connector
system and provides information on the various products we have to serve
the ICF market.
Load Tables
High -Wind Retrofit Solutions for Homeowners
.nJk irr,: _ _.
A flier providing recommendations on reducing the risk of hurricane- and
other wind -Induced damage to existing homes.
Connectors for Florida Hurricane Mitigation Retrofit When Re -
Roofing
A technical bulletin explaining how to achieve sufficient uplift capacity for
roof -to -wall connections, with references to the 7th edition (2020) of the
Florida Building Code.
Fasteners (in.)
OF/SP
SPF/HF
Allowable Loads
Allowable Loads
Model No.
Ga.
Uplift
Lateral
Lateral
Uplift
To Rafter/Truss
To GFCMU
TO Concrete
(160)
I (160)
(1so1
Fr
Fz
(160)
Fr
Fz
HGAM10KIA
14 (4)1/4x112SDS
(4)1/4x23/4Titen Turbo
(4) 114 x 1314 Tden Turbo
810
875
1,tO5a
585
630
795
1. Loads have been Increased for wind or earthquake loading, with no further increase allowed. Reduce where other loads govern.
2. HGAMI OKTA allowable loads are for one anchor. A minimum rafter thickness of 21/2" must be used when framing anchors are installed on each side of the
rafter or truss.
3. Concrete shall have a minimum compressive strength of f � = 2,500 psi.
4. Grout -filled CMU (GFCMU) shall have a minimum compressive strength of f', = 1,500 psi.
5. The HGAMI OKTA is a kit with (10) HGAM10 connectors packaged with Stang -Drive SDS Heaw-Duty Connector screws and 2 3/4' Titen Turbo screws. (1
3/4' Titen Turbo screws for concrete installations sold separately.)
6. HGAM10 F. loads are for forces into the connector. Fz loads away from the connector are 640 lb. (DF/SP) and 460 lb. (SPF/HF).
Moisture barrier not shown (typ.)
away from
connector)
nin.
HGAM10 Installed into Masonry
Code Reports & Compliance
Product Series
HGAM
Compliance/Certification
Florida Building Code
Footnotes
1. Please review compliance documents for information about specific product models. In some cases, Compliance documents cover most but not all models associated with a product series.
2. For additional Information regarding Florida's Statewide Product Approval System and Miami -Dade County Notice of Acceptance (NOA), 2U& hitma
Related Products
Strong -Drive® SDS HGA
HEAVY-DUTY Hurricane Gusset Angle
CONNECTOR Screw
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msyfl.9ov
14 11 toyd Tel ►III: U-1Io1iAk1
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. G� 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. C iZ,,�5 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. Lz)77 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. l2P% 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.
S. 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.
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfi.sjov
6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that
the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof
extension may block this discharge if overflow scuppers (wall outlets) are not provided. It
may be necessary to install overflow scuppers in accordance with the requirements of
Sections R4402, R4403 and R4413.
7. CiZF7 Ventilation: Most roof structures should have some ability to vent natural
airflow through the interior of the structure assembly (the building itself). The existing
amount of attic ventilation shall not be reduced. It may be beneficial to consider additional
venting which can result in extending the service life of the roof.
Owner/Agent's Signature Date ntractor Signature Date
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Ron DeSantis, Governor
STATE OF FLORIDA
Melanie S. Griffin, Secretary
dbp
hr
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489, FLORIDA STATUTES
JENSEN, LESTER
ARCO CONSTRUCTION CORPORATION
1299 NE 104 STREET
MIAMI SHORES FL 33138
LICENSE NUMBER: CGC1505163
EXPIRATION DATE: AUGUST 31, 2024
Always verify licenses online at MyFloridaLicense.com
Do not alter this document in any form.
This is your license. It is unlawful for anyone other than the licensee to use this document.
Local Business Tax Receipt
Miami —Dade County, State of Florida
THIS IS NOT A BILL— DO NOT PAY
275WS
BUSINESS NAMS&OCATION
ARCO CONSTRUCTION CORP
1299 NE 104TH ST
MIAMI SHORES. FL 33136-2659
OWNER
ARCO CONSTRUCTION CORP
CIO LESTER JENSEN QUALIFIER
vvoeiter(s)
RECEIPT NO.
RENEWAL
2889732
L 11 mT
EXPIRES
SEPTEMBER 30, 2023
Must be displayed at place of business
R Pursuant to County Coat
M*.
Chapter SA — Art. 9 & 10
SEC. TYPE OF BUSINESS
196 GENERAL BUILDING
CONTRACTOR
CGC1505163
PAYMENT RECEIVED
BY TAX COLLECTOR
45.00 091=022
0210-22-003520
This Local Suuacw Tax ftceipt a my con&= payment of *a Local eu:dnm Tax. The Receipt is n t a race mcs
permit or a codfic tioo of the holder's qualibudom to do budne m Nolder must cexuply with any 9aa►crrumeatel
eu eaapoyer reralatory lam mad n*incaec m which apply to the buthom
The RECEEPT NQ ebe emtst be d oo aD commuchd altitles — Wami.Ebde Codo See: Sa M
r aornoac� for MGM iafettasstioa. visit
ACORN® CERTIFICATE OF LIABILITY INSURANCE
`.�
DATE(18/DDIYYYY)
o7i/2o2z
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsements .
PRODUCER
°O TAcr Stacy Parks
Insurance Industries
PHONE 305 891-2808 305 891-6367
SL . stacy@insuranceindushiesine.com
953 NE 125th St.
INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A: PENN AMERICAN INSURANCE COMPANY
North Miami FL 33161
INSURED
INSURER B :
INSURER c :
ARCO CONSTRUCTION CORP
INSURER D :
1665 NE 137 TERR
INSURER E :
INSURER F :
North Miami FL 33181
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.
[NSR
TYPE OF INSURANCE
DL
BR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
CLAIMS -MADE a OCCUR
DAMAGE TO RENTED ISES (Ea occurrengJa
$ 100000
MED EXP (Any oneperson)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
A
Y
Y
PAV0266190
7/12/2022
7/12/2023
GEML AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2000000
POLICY PRO-- D LOC
PRODUCTS - COMP/OP AGG
S 2000OW
$
OTHER:
AUTOMOBILE LIABILITY
COMBI aED SINGLE LIMIT
(Ea accent
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per acddertQ
$
PROPERTY DAMAGE
a
$
HIRED NON•OVVNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAS
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
QED RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY PROPRIETOR/PARTNER/EXECUTIVE
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED? ❑
N !A
(Mandatary In NH)
E.L. DISEASE - EA EMPLOY
$
If yes. describe under
DESCRIPTION OF OPERATIONS below
EL DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
RESIDENTIAL REMODELING, CARPENTRY
CGC#1505163
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
MlAMI SHORES VILLAGE BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2 AVE AUTHORIZED REPRESENTATIVE
MIAMI SHORES FL 33138
O 1988 2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are reglstered marks of ACORD
JIMMY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 4/1/2023
PERSON: LESTER JENSEN
FEIN: 650353747
BUSINESS NAME AND ADDRESS:
ARCO CONSTRUCTION CORPORATION
1665 NE 137 TERRACE
MIAMI, FL 33181
EXPIRATION DATE: 3/31/2025
EMAIL: PSINCO@AOL.COM
This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional
Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the
license of the certificate holder, go to www.myfloridalicense.com.
IMPORTANT: Pursuant to subsection 440.05(13), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(11), F.S., certificates of election to be exempt Issued
under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), F.S., notices of
election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall
revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT E01695185 QUESTIONS? (850) 413-1609
RULE 69L-6.012, F.A.C. REVISED 012023
��EiVEI-
JUN 0 7 2023
BY: C411t_
Notice to Owner — Workers' Com
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Insurance Exem
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: A7,&
O)vaer
State of Florida
Coumy of Miami -Dade f1, ^
The foregoing was acknowledge before me this day of �JNV 20_Zo3
By CL h- t - S (f ro eSt �i who is personally known to me or has produced
�n tip`
? '> IDOR E. KIDD BARALT
Notary: !`:"`: Notary Public • State of Florida
y� Commission N HH 344658
SEAL:Pr2027
MY Comm. Expires Mar t5, Assn.
"Bonded through National Notary
Arco Construction Corporation RECEIVED
JUN 00�7 Z023
BY: "
May 25, 2023
State of Florida
County of Miami Dade
Before me this day personally appeared Lester Jensen who, being duly sworn deposes and says:
That he will be the only person working on the project located at:
1287 NE 96 Street, Miami Shores, FL 33138
Sworn to (or affirmed) and subscribed before me this 25 day of May. 2023 ,by
Personally know
Or Produced Identification
Type of Identification
r µ• --�
CATHERINEA DUFFIN
P int,//T/y/pe or Stamp N e of Notary MY COMMISSION#HH08A622
�a `aa; q P? EXPIRES; May 14, 2018
Bonded T6N Noum
General Contractors/CGC1505163/1665 N.E. 1371h Terrace/N. Miami, Fl, 33181
305.892-6507
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
PT0T�TJ
JUL 06 M3 UI
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC WZ
BUILDING Master Permit No.;; kr-1 jZ —)3
PERMIT APPLICATION Sub Permit No.1C*a/ ��-1�1
❑BUILDING ❑ ELECTRIC ROOFING dREVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
Folio/Parcel#: A 3 2 d G U / y3 2�e- Is the Building Historically Designated: Yes V/ NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ( 1�I,
Address: 7�
City: l<i%'y�r Ski[%✓phi State:
Tenant/Lessee Name: �—
Email:
CONTRACTOR: Company Name: (- /j/ UVt1(jVT%
Address: '� l� �•
Email: T TV,,\ o v re) 4,0
Qualifier Name n (' 7 ' 0�)'
State Certification or Registration #:
DESIGNER: Architect/Engineer: J 14f k d C/ r\A V 1
Value of Work for this Permit:
Type of Work: ❑ Addition
Description of Work:
❑ Alteration
Specify color or color tnru ti►e:
r
P:3�13 �
4
of Competency #:
Ik Phone#:S
_City: State: Zip:
Square/Linear
Footage of Work: q� ' 0L'
�� IJ El Deco ition U
Submittal Fee $ Permit Fee $ • �g
Scanning Fee $ ' co DCA Fee $
Technology Fee $ Training/Education Fee $
CCF $ CO/CC $
DBPR S Notary $
Structural Reviews $ P&Z Review $
Double Fee $
Bond $ 7
TOTAL FEE NOW DUE $ `L
(Rev1sed04/05/2022)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 jab site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a relnspection fee will be charged.
Signature C
OWNER or AGENT
The foregoing instrumel was acknowledged before me this
�dof 20�3 by
SKLY0. who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ¢rf
CATHERINE A. DUFFIN
MY COMMISSION # HH 089522
EXPIRES: May 14, 2025
APPROVED BY
CONTRACTOR
The foregoing instrume was acknowledged before me this
54day of 20 a 3 . by
—7/om C s > 6 who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Plans Examiner
CATNER04EA.O�— p J'
MVCOMMISSION# HH 089522
EXPIRES: May..,
as
Zoning
(Revised04/05/2022)
Structural Review
Clerk
OBENOUR ROOFING, SHEET METAL & SUPPLY CO.
9822 NE 2nd Ave. No 9
Miami Shores, FL 33138
(305)757-2612
JUL 18 2023
BY:— LX_
REV-07-23-1691
1245 NE 96 St.
Answer to review comments: Our original permit submission
showed this area in question as a "awning". When roofing
inspector came on site, he requested that a revision be made to
reflect this area as a "metal roof" I have complied with the
inspectors request with this revision.
This area in question in not part of the scope of our work nor is
it part of our contract with the owner. No work to this area.
(the area appears to be a TPO with a aluminum paint)
Thank you.
Jim Obenour, Jr
ROOF ASSEMBkIES AND ROOFTOP STRUCTURES MSV PLANNING DEPARTMENT
DATE: D� 2{er�zLJULOBY: �.?�?�� Florida Building Code7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section A (General Information) CITY
Master Permit No. F— 01,-Z3'-1 fs r Process No.
Contractor's Name Z96E'AlOC/A 4v G�; no Py
Job Address la 1(r '" � / l f f i rr� / f %f°Q es
ROOF CATEGORY /
❑ Low Slope ❑ Mechanically Fastened Tile In Mortar/Adhesive Set Tiles
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF TYPE /
❑ New roof ❑ Repair ❑ Maintenance 9 Reroofing ❑ Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) —� Steep Sloped Roof Area (SF) /'LL Total (SF) Ada
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen-
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
M
Miami Shores V'Ila a Building DVFeder
Zoning Dept. Date
Building Dept.
Subject to comp nce with all
State and ,C.,, oyy.nty rules and regul tions.
mitff t�- PerfV—iTI—?J�.1uR1
FLORIDA BUILDING CODE — BUILDING, 7th EDI
474
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: G2i1 N
Product Control Number: A/ T 93.1 u fZ 2-
Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations:
Zone1:1. '71- Zone 2e: �- S L Zone2n: 13.71 Zone 2r: 13- 72- Zone 3e: /3.7J- Zone 3r: a2f. ra
Slope Range: Q>_ 2:12 to <_ 4:12
Roof Shape: QAII Hip Roof
Deck Type:
Roof Slope:
G : 12
Ridge Ventilati n?
A -
Mean Roof Height: I B
PQP�
C9S4:12to56:12 0>6:12to512:12
( 'able Roof or Partial Gable/Hip Roof
b'.)V'Yd P14 Ok
Underlayment Type: I 4,rfw A ZZ L yJ_3p
Insulation:
Fire Barrier: I 11,A
Fastener Type & Spacing: 711;14 lcus/e o e
Pack- ,GAGTfiG
Cap Sheet Type: ,4-SfA b.2.yf --t� !ru
Of , a f
%//E �i%Ai�ffGO
Cap Sheet Attachment:
Roof Covering: 42A,
Drip Edge Type & Size: /GOZ Coln�ev 3 � 3
G jl-�L I� oXy
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compare the values for M, with the values from M,. If the M, values
are greater than or equal to the M, values, for each area of the roof, then the the attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127'
(Zone 1:• -C? x R -ke = / - Mg: Ltk M Iy Product Approval M, /37 •.r
(Zone 2e: s7 x + _ (�`� - Mg: t1 Ya= M28 9y Product Approval M r 37 f
(Zone 2n: L l' fx x +?a = Mg: q-qr-- M, 13.7 2-- Product Approval M, 137• f
(Zone 2r. 4/ x 2L ,;L9 = EY•L- - Mg: Y. yY= m. / 3. 75-Product Approval M,
(Zone3e''I/ x2.-26 = 1- Mg, _tip Mr„!�•7Z Product Approval M, 137•J'
(Zone 3r.-!2-0'x X +2s = "- Mg: y `rp= M � jU),- Product Approval M,
V1` v1
Method 2 "Simplified Tile Calculations Per Table Below"
Required Moment of Resistance (M,) From Table Below
Product Approval M,
M, required Moment Resistance
Mean Roof Height Roof Slope
15'
20'
25'
30'
2:12
34.4
36.5
38.2
39.7
; ' 42.2
3:12
32.2
34.4
36.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
'Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and
Appeals.
For Uplift based file systems use Method 3. Compare the values for P with the values for F,. If the P values are greater than or
equal to the F, values, for each area of the roof, then the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(Zone 1,
xL_=_xw:=
)-W:_xcosr_=F
_
Product ApprovalF'_
(Zone 2e:_xL_=_xw:=_
I-W:_xcosr_=F._
Product Approval P
(Zone 2n:_
x L
= _ x w: = _ I - W:
_ x cos r
_ = F. _
Product Approval P
(Zone 2r:_xL_=_xw:=--j-W.-xoosr_=FYI,_
Product ApprovalF'.
(Zone 3e:_xL_=_xw:=_)-W:_xoosr_=Fq
- Product Approval P
(Zone 3r:_xL_=_xw:=--j-W:_x
cos r_=
Fa, _
Product Approval P.
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
Zones 1, 2e, 2n, 2r, 3e, Sr
Fro applicable table In RAS 127 or by an engineering analy-
m
sis prepared by PE based on ASCE 7
Mean Roof Height
H
Job Site
Roof Slope
A
Job Site
Aerodynamic Multiplier
Product Approval
Restoring Moment due to Gravity
M
Product Approval
Attachment Resistance
M,
Product Approval
Required Moment Resistance
M
Calculated
Minimum Attachment Resistance
P
Product Approval
Required Uplift Resistance
Fr
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
L = length W = width
Product Approval
All calculatlons must be submitted to the building official at the time of permit application.
FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020)
477 .
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
E1
151&8A.1 Roof rile systems, combining mechanically
fastened file and mortar and/or adhesive, shall be
acceptable.
151&8A.2 In an air permeable tile roofing system: (1)
the length of each tile shall be not less than 12 inches
(305 mm) and not greater than 21 inches (533 mm) and
the exposed width of the tile shall be between 8.5
inches and 15 inches (216 min and 381 mm); (2) the
maximum thickness of the nose (leading edge) of the
tile shall not exceed 1.3 inches (33 min); and (3) mortar
or adhesive set system shall have at least two-thirds of
the tile free of mortar and/or adhesive contact.
1518.8.5 The proposed method of attachment for tile sys-
tems which are considered to be air permeable, shall pro-
vide sufficient attachment resistance (M.) (listed in tile
product approval) to meet or exceed the moment of resis-
tQfe (M,) as determined by following the procedures out-
linfil in RAS 127. The aerodynamic multiplier (k) needed
in PZAS 127 shall be part of the tile product approval and
shiffi be derived from the following formulas
fl direct deck application k = (0.156) x (b) x (1)2
f r batten application k= (0.144) x (b) x (1)2
b (in feet) = exposed width of the tiles
1(in feet) = length of tiles
1518.8.6 The proposed method of attachment for tile sys-
tems which are not considered air permeable shall provide
It minimum characteristic force (F) (listed in tile product
ontrol approval) to meet or exceed the required uplift
[resistance (F,) as determined by following the procedures
outlined in RAS 127.
1518.8.7 Tile systems shall extend beyond the drip edge
(not including the rake) not less than 3/, inch (19 min) but
not more than 2 inches (51 mm).
1518.8.8 Reserved.
1518.8.9 Reserved.
1518.8.10 Mortar or adhesive set tiles applied at an incline
from 6:12 up to and including 7:12 shall have the first
course of tile (this applies to pan only on two-piece barrel
tile) mechanically fastened with not less than one fastener
per tie. As an alternate, the first course of file shall be
applied in mortar over a single layer of minimum 20 gage
galvanized wire mesh with openings of not less than '/_
inch (12.7 mm) or greater than l'/, inches (38 mm) with
minimum exposure of 12 inches (305 mm) which is
mechanically attached to the deck through the underlay-
ment with approved fasteners and tin -cap when back -nail-
ing the cap sheet. Additionally, for roof inclines of 6:12 up
to and including 7:12, every third the of every fifth course,
shall be mechanically fastened with not less than one fas-
tener per tile. For roof inclines above 7:12, in addition to
the mortar or adhesive, all tiles shall be mechanically fas-
tened with not less than one fastener per tile. Apply
approved flashing cement to seal all tile fastener penetra-
tions, for all roof inclines.
1518.8.11 All tile systems shall be shingle lapped inter-
locking and installed with the headlap as specified in the
tile system product approval. In no case shall the mini-
mum headlap be less than 2 inches (51 mm) for mortar or
adhesive set tile, or less than 3 inches (76 mm) for
mechanically set tile, unless restricted by product design.
1518.8.12 Where tiles are to be installed over an insulated
roof deck, a suitable nailable substrate, in accordance with
Sections 1520.5.6 and 1520.5.7 must be installed over the
insulation prior to the installation of approved underlay-
ment and tiles.
1518.8.13 For mortar or adhesive set tile, no more than
two tiles shall be loose per roofing square [100 square feet
(9.3 m')]. No loose file shall be adjacent to each other.
1518.9 Metal panels/ahmgles. Steel panels/shingles shall be
a minimum of G-90 corrosion resistant, and shall be not less
than 26 gage in thickness. Aluminum panels/shingles shall
not be less than 0.025 inch (0.685 mm) thick. All other metal
panel/shingle products shall be an equivalent weight All
metal panel/shingle assemblies shall be capable of withstand-
ing foot traffic without damage to the metal panels/shingles.
Metal panels/sbingles shall have product approval for a com-
plete metal system, which shall include the panel/shingle,
underlayment and all related accessories to provide a com-
plete waterproof system.
1518.9.1 All metal panels/shingles assemblies shall be
tested in accordance with Section 1523 and TAS 125.
1518.9.2 The entire application method of all metal panel/
shingle systems shall be detailed in the product approval
and RAS 133, as applicable.
1518.93 Metal shingles may be applied as a recover over
a single layer of asphaltic shingles or smooth surface roof-
ing, providing the deck is solid sheathed and in compli-
ance with the provisions of this code, the existing prepared
roof covering is in compliance with provisions of this code
and the entire metal shingle system is applied as set forth
in the product approval.
15189.4 Metal panel/shingle systems shall not extend
more than 1 inch (25 mm) beyond the roof eave.
1518.95 All intersections shall be flashed in metal as pro-
vided in Section 1517.6, RAS 111 and the roof assembly
product approval.
1518.10 Wood shingles and shakes. All wood shingles and
shakes shall be installed in accordance with RAS 130. Instal-
lation of all wood shingles and shakes shall be limited to a
roof mean height of 33 feet (10 m), unless otherwise specifi-
cally noted in the product approval.
1518.10.1 All wood shingle/shake systems shall be tested
in accordance with Section 1523.
1518.11 Building integrated photovoltaic roofing mod-
ules/shingles. The installation of building integrated photo-
voltaic roofing modules/shingles shall comply with the
provisions of this section.
FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020)
463
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
SECTION 1525
HIGH -VELOCITY HURRICANE ZONES —UNIFORM PERMIT APPLICATION
Florida Building Code 7th Edition (2020)
High -Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT
Baal IrATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7
Prescriptive BUR-RAS 150
A,B,C
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,6,7
Concrete or Clay Tile
A,B,D,E
1,2,3,4,5,6,7
Metal Roofs
A,B,D
1,2, 6,7
Wood Shingles and Shakes
A,B,D
1,2,45,, 6,7
Other
As Applicable
ATTACHMENTS REQUIRED:
1.
Fire Directory Listing Page
2.
From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or if applicable. RAS 127 or RAS 128
4,
Other Component of Product Approval
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
7.
Any Required Roof Testing/Calculation Documentation
FLORIDA BUILDING CODE - BUILDING, 7th EDITION (2020) 473.
Section A (General Inrorman0ft)
Mastet Pelmil
ContcactoPSName
Act Address /;' q r A)E 9'11 S r- Hr p'hr / Syr✓
ROOF CATEGORY /
❑ how Slope ❑ Mechanically Fastened Tile f3 Mortar/Adhesive Set Tiles
Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
❑ Prescriptive BUR-RAS 150
ROOF TYPE
root ❑ Repair ❑ Maintenance ®' Reroofing ElRecovering
ROOF SYSTEM INFORMATION
Roof Area (SF)=_ Steep Sloped Roof Area (SF) Total (SF) -�_5/
n
Section B (Roof Plan)
Illustrate all levels and sectlone roof drains, scuppers, Overflow scuppers and overflow drains. Include dimes -
and levels. Beady identify dims ions of elevated pressure zones and location of parapets.
Y
3
f—�