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849 NE 92 St (11)Date -6-C fa-- Job Address Legal Descriptionl'# Owner / Lessee / Owner's Address Contracting Qualifier ■ State # PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Co. Tenant L7 Address SS# Phone Competency # �, e t k Municipal # WORK DESCRIPTION Signature of owner and /or Condo President Date: ** * * * * * * * 6 / Architect /Engineer Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGI 446(74,41 K e 7i i " 601 Square Ft. C ' _ Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU/ NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wor wil . be done in compliance with all applicable laws regulating construction zoning. Further +'•re, authorize the above -named contractor to do the work stated. / Notary as to Owner and /or Condo President P rt r i '33 Aff Gq My Commission Expires: P•• ;t'My:•C01 1$B'l:oncrBX '1 ■^ , .nd n.i .:L r el I D. produ: l: * ❑ i.* .' _ : .a' or *«� Ill NOi ; � as oath. FEES: PERMIT "6 RADON C.C.F. NOTARY APPROVED: Fire r147 q Zoning Building Mechanical Plumbing Tax Folio // fc if G.✓ l A Master Permit #st✓W Phone ns .Co. Address S nature of Contractor or Owner-Bu der Dat - EI f or or Owner- Builder pi es ' tfotary Fu!Iic St to. F:'a;id� fly Commission LEn9ir.3 9/It /e2 - MOO 6 Other Electrical TOTAL DUE Engineering \� APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications ,‘ b rewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Sh res Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. i Date 19 c c Registered Architect and /or Engineer ________ -' Owner's Name and Address Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. j ss. peared (Signed) Chairman Member Building Inspector MIAMI SHORES VILLAGE • BUILDING INSPECTION DEPARTMENT New Building Remodeling i No`,r Location and legal description of lot to be built on: Lot Block__ ,Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors)_ >� 1 Addition Amount of Permit $ _ _Plan Cubage _Size of Building Lot 1/ PLANNING7SARD I � DATE S'N ___ Street � i \L and for no other purpose. Repairs No. of Stories Roof Covering To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ____ - ______ — - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks __ (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, and who, being by m first duly sworn, upon oath deposes and says that he is the of the above "described construction, that he bas carefully read' the foregoing application, and that he did sign the same, and that all facts therein by him stated ate true. Permit No.___.__________.___ __ Date__.! , ` Read, Sworn to and Subscribed before me. Disapproved , Date Notary Public, State of Florida My Commission Expires Member Member - Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • • ROOFING ' Ceti - Sheet Metal Spec. Go. fiR rmit No. Date Fee ".(J2E5 11 -17 -59 $2 JOB LOCATION (ST. OR AVE.) OWNER'S NAME 84914. E. 92n street Uvm.er- Builder GENERAL CONTRACTOR E - UILDING PERMIT NO 10004 ZONE PEOUIREMENTS DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: x NEW CONSTRUCTION ALTERATION ADDITION Gar. SUBMITTED TO PLANNING BOARD RESUBMITTED TO PLANNING BOARD JRMITTED TO VILLAGE COUNCIL 16,500 DATE TYPE STORIES I ROOF CONSTRUCTION C131 1 CU. FT. APPROVED 9/ REPAIRS Llv 2m - Din Arca ° Ja1. Porch ° k(t - 2 Sad Rms - 1 Bath © 1 car .',;t. REJECTED 9 --1 /� i (� . % ISSUED / 4P�i" '°v BY , - TO K Gs / 7 /� , CERTIFICATE OCCUPANCY NO, � � . /- � �=:` ��� / � BUILDING PERMIT AND I(VSPECTION RCORD -MIAMI SHORES VILLAGE 18 N. '.,'. L7tb Terrace LOT 6 5 PLAN CUBE PRESENT ADDRESS Tile ADDRESS BLOCK 1 818 N. W. 47th Terrace PERMIT FEE $ 13000 DESCR IPTION DESCRi PTION REFERRED TO COUNCIL SUBDIVISION GolCtuu Data ark ..$drl. REMARKS LICENSE NO. NO. PI-IONE NO. BUILDER'S BOND PHONE NO. LICENSE NO. 5902 0 -? 1100 DATE 9/ 16,536 CU. FT. EST. COST S 89 _50(.00 DATE INTERIOR CONSTRUCTION REASONS 9/ Terrazzo Floors - I) laster ia .1S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 9/22/ 0 PG TEMPORARY SERVICE 9/27/50 $ 1.00 H. W. HEATER CONN. BEAMS & LINTELS 10/27 /50 JDH y 1 $ 1.00 SEWER $ FRAMING /!/27 - . $ $ GAS $ �r $ $ INSPECTIONS FINAL i2 "!•F S^ EE BY RE- INSPECT BY ROUGHING CLEAN -UP j rt+ -t . 19 PG ROUGHING GAS CONTRACTOR McCann Plumbing Co. PHONE PERMIT NO. 1004 8 I DATE 9!26/50 / �+ 6 FEE $ • ®0 NEW BLDG. X I ALTERATION 1 11 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 9/27/50 $ 1.00 H. W. HEATER CONN. SEPTIC TANK ]3rovmincq q 1 0 0 28 ^r�® r] 9/22/50 y 1 $ 1.00 SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY EE BY RE- INSPECT BY ROUGHING Q l 8 ss-{ / j rt+ -t . 19 PG ROUGHING GAS O H. W. HEATER CONN SEWER .2 RANGE CONN. SEPTIC TANK 01-ii 9 ■41-' - -• �•� r ' SOLAR HEATER /-a.— '� ^�3'c�V FIXTURES - 5r Q c - CONTRACTOR R Oaik Elec. ao. PHONE PERMIT NO. 1O32 I DATE 2150 FEE $ 11•20 REPAIRS NEW BLDG. 1 ALTERATION 1 ADDITION SPECIAL. PERMITS PERMIT NO. DATE FEE TEMPORARY SER 10052 9/27/50 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 9/27/50 31)11 ROUGHING ..'_. O H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL y, ' ' i;' .;', - P BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS J APPROVAL TO POWER CO. FdR SERVICE sr DATE 0 No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 41-45 71 -75 91 -95 6 -10 Passed 26-30 Passed 46 -55 76 -80 96 -100 11 -15 Passed 31 -35 56-60 81 -85 101 -110 16 -20 Passed 36-40 65 -70 86 -90 111 -200 `ling gineering nsulting, Enc. PROPERTY ADDRESS.: 849 NE 92 ST. OWNER: TINE VASQUEZ PCA No: CONTRACTOR: Porto & Garcia ROOFING SQUARES: 19 CONTACT PERSON.: Gustavo Cubias Testing Equipment: Digital Chatillon DFIS 200 THIS ROOF HAS PASSED: 3 6 TILE TYPE: VANGUARD Ra'• eda, P.E. o. 39228 @ 843 Voice: 305.256.4550 Lab Report No. 04- 06001 Building Solutions For The Construction Industry 13605 S.W. 149 Avenue Unit 1 Miami, FL 33196 Certificate No.02- 0501.06 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH MIAMI - DADE COUNTY PROTOCOL TAS - 106 Test Tabulation FAILED 1 1 THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS106. "ROOF SKETCH" 29 27 28 25 floridatec.net 12 10 13 Front 11 26 PERMJTNo: BP2004 -579 ROOF PITCH: 3:12 INSPECTION DATE: TEST DATE: 06/02/04 JOB NUMBER: Required Testing Force: 35 Ibs 24 22 21 20 19 14 1 23 18 Fax: 305- 256 -1995 1 North MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date OS ii n � Type Insp'n Ir'ci \ !ln - Permit No. BP 2, / 2004--s-7q Name c / ,� ( qu ,Q ` Address ai-V i M qa Company+ ? ciCY-0101 Phone # (4 Inspection Date Approved Con Re -Ins Typ Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE 1 BUILDING DEPARTMENT 305- 795 -2204 Building Inspecti UOsC c10— PC140 Inspection Date 5 I/ .1V�iami Shores Village • Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 C;(1 Tel: (305) 795.2204 Fax: (305) 756.8972 `1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 2. y ;s VA s tp.f Phone # Owner's Address / o ° 4 mot/_ £ ' _ e- City / 7 /4 51/4mRf State c— Zip 1 3 r 3 Tenant/Lessee Name Phone # Job Address (where the work is being cone) 3 9 4/ 4 .' 7 I— S f " City Miami Shores Village County Miami - Dade Zip 3 3 0 3 Fl Is Building Historically Designated YES NO 1/ Contractor's Company Name / To ix. 6 /tu:d Contractor's Address g 3 t 5 N. �,✓. / t '7 T.e.,» City 1 4 /`r : L,e. 14. State FL Qualifier J o e 1_ /'o h { S Value of Work For this Permit Notary $ S. 0 C Training/Education Fee $ Scanning $ f . -" Radon $ Zoning Permit No. Master Permit No. • * * * ** ** * * * ***** * * * * * * *** F ees * * * * ** *, * * * * * *** ******* ** * * *** Submittal Fee ��� ----�' Permit Fee $ ✓' Cl Phone # 7 7 G z-O V— Zip S7o Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: 2c 99 Type of Work: ❑Addition ['Alteration ❑New ["Repair/Replace ❑ Demolition Describe Work: - /2o 0 F F1.4 r 13 f 4L T, Le J2o o /-s CCF $ /C(4) CO /CC Technology Fee $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ { S r,1' (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address • City State Zip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. iignature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of Ail .H , 20 r », by ,4 i • 5 t , who is personally d NOTARY PUBT Sign: Prin My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 ct "icy` . °' ' Lk.) `, rt • . .. %entiMikaSaitaliiiNhird , MY COMM!SSI DO 11096£3 * tor 65 (EXPIRES: A it 22 2006 Nt Inc. e an oath. **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competen The fo day of who is personally known to me or who has iroduced e '`` - as identification and who did take an oath. NOTARY PUBLIC Prince o:ri7i r' m My Commission Expires: 7 "98 IraMt •,t * * * * * ** ***************************************************************:*)/ t * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** M AY "" 4 2004 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/4/2004 Applicant: TINA VASQUEZ Owner: VASQUEZ TINA JOB ADDRESS: 849 NE 92 ST Contractor PORTO & GARCIA ROOFING Local Phone: 305 - 820 -7009 Parcel # 1132060050050 Building Permit Permit Number: BP2004 -579 Contractor's Address: 3550 N. W. 52 St. Permit Status: APPROVED Permit Expiration: 10/27/2004 Construction Value: $9,500.00 Work: RE -ROOF FLAT AND TILE ROOF Page 1 of 1 '4 Alf 0 Legal Description: GOLDEN GATE PARK ADD PB 6 -130 LOT 6 & W1/2 LOT 5 BLK 1 LOT SIZE Fees: Description Amount FEE2004 -4556 Building Fee $300.00 FEE2004 -4557 CCF $6.00 FEE2004 -4558 Notary Fee $5.00 FEE2004 -4559 Training and Education Fee $2.00 FEE2004 -4560 Technology Fee $7.50 FEE2004 -4561 Scanning Fee $12.00 Total Fees: $332.50 Total Fees: $332.50 Total Receipts: $0.00 Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dated l Z Type Insp'n i Permit No. � s� ' ` d r[ Name � . Address `i 'u ` Iti Company Phone # Inspection Date f > Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil. ng Inspection Request Name 1f tJc.3 9w2R- Address 6L i" / - ! F 2 Compan POP/0 o tlf( c ?a/Jroo Phone # Inspection Date S r 2- Approved Correction Re -Insp' n Fee NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. � f TAX FOLIO NO. 11- 1 L o (• oo f oo (o STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: - P''�q A///P " , � t,,, tN(q.ft / •rs�. 015 S Ids^ 2. Description of improvement: /2E - /C eF 3. Owner(s) name and address: Iv s )/,Or it? 4. Contractor's name and address: 1 HERt 9. Expiration date of this Notice of Commencement: (the exik differepa is spe • ied) Signature of Owner Print Owner's Name Notary Public Print Notary's me My commissi•n expires: 123.01 -52 PAGE 4 8/02 tT,VESS my ) -AWN By 6 7 4 . I J4 4. 1 y STATE OF FLORIDA COUNrt OF DADE Sworn to and subscribed before me thir7dday of , 20 00 ��or no A t MV COMMISSION RIGHT EXPIRES: April 00 11098 1 3 NorA/ar R Natal sernCO $ P . Inc. R71Hv that this is o tru opy or Ina Qr� fro e dat tf, -cor AO 20 County Courts D.6. ► I�II IiGViI�IlEililVlll�l�l ►�lal�(i►YVI� ►IVII CFN 200480320856 OR Bk 22266 Ps 1056; (1ps) RECORDED 05/05/2004 10:49 :24 HARVEY RUVIN, CLERK OF COURT MIAt1I - DADE COUNTY, FLORIDA LAST PAGE /0 y C, 3 ,..e /c-1 -i4",• i Interest in property: Name and address of fee simple titleholder: ,�,,R,,y £ .&i 4 /vs a' QJ « w/. )5 Taw, /t! /,ac L,(E Z A. 2.7 a / G 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: UVI ,►', C' FsR11, cou ). cc Prepared by Jose 4 Address: $LS A/. 1,2. /{ 7 , AZ ,sf-.... /4 /4w f'— J7,' 4 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building 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 and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. " 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). Ai l 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 work to be performed. `4'11/ 4. Exposed Ceilings: 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 penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. a t v 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural 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. /30/ Owner's /Agent's Signature Date CADoeameoI. mod SettlogskbamnAlaal Settings \Temp\Tempornry Internet Fl.. \ConteotIES OKLBAF FSECTION 152411).dot Pt p. 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TM? ¢7 c.s�c 4�y sY c'T Y 2 �A - aY aA$ R5I c7 °u 'lla 211 p c1- MIAMk0AKIB BuIL D2NG CCDi COmpa,TANczt O ECE (BCC®) PRODUCT CONTROL DEVEHEZN NOTI CI OL' ACC IANCI (MA) GAS' IY,ITaaSilaf Co Tote 1351l AL s 11 a1 Wayme NO 07470 l IZIAMl -fi AIIDE COUNTY, FLORIDA METRO -DADS PLAOLER BUILDING fl4O F.SIT11 Sit, SUITS 1693 M➢AKI, ULORIEDA 331334563 3a -1563 (305) 375 -2931 FAX (305) 375 -2908 SCOPE: This NOA is being issan d mar the applicable rubs srr4 regulations governing the use of construction materials. The documentation submitted has been reviewed by the f:iCCO and accepted by the Building Code tlatd Product ReviGty Ca lunittee to be d in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (A%3LJ). This NOA shrill not be valid after the expiration date stated below. The Mimi-Dade County Product Control Divi.sion (In Ib.1 mi Dade County) mid/or the A1itT (in areas other that Miami Dede County) reserve the right to have this product or ovegiuII tested for quality aSa.7222Ca ptmgosea. If this pica a7 matexial fails to perform in the accepted manner, the niararf etuaer will incur the eitpense of such testing and the AIWA may himindintely revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revorse this acceptance, if it is determined by Miami-Dale County Product Control Division that this product or material fails to meet the requimeents of the epp]icahle building code. This product is approved ass desmihed hstin, and ka's been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. IDIsQ:I°3IlIF'U N: GAF,+ Cemv2i Lit zaaB 1 n6II$ -Urp ate SSysQert ?GP Wand 11 iIIi. ILAIIDIEA.IIIl6: Eech unit shall bear a permanent label with the manufacturer 's name or logo, city, state end following statement: "Miami-Dade County I nsduct Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a ewal application has been '�l edl and there has been no change in the applicable building code negatively affecting the pfafOrinERICe of this product. II'iEamE IATII®N of this NOA will occur after the enpiration data or if There has been a revision or change in the tmateaiaals, use, andloz manufacture cf the product or presQsa;. Misuse of this NOA, as tun endorsement of any product, for sales, advertising ex any alter purposes shall auternatically teriagENIZ thiS NOA. Failure to comply with any section of this INCA shall Ise CII1113 t for to thnt'or and removal of NOA. AIlDVIEIRTIISIEPJA:1`�IT: The NOA number ptv.,ceded 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. ANSI ?IECTiIi ®N: 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 gob site at the request of the uilding Offficial. This NOA renews NOA 02-0498.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Z u1oaga, RRC NOA Rio: 03- 0501.0S noplretion Thate: a1I I Approval DcaQ:0/2s /03 I 1 mfg'21 IfCs Tye 1: (11): AJii w3�Tnl n��l Sea IBJac l t F lc r g Woud, Non - insulated t9 / 32 " or greater plywoad or woad pla®k decks Base she<:t mchaanically faster dL IL¢n © Ihll a lye GAIFLILAS ,8O Ultin& Base Sla 3, STA TAVEN1'Q BJimimatar Perforated Nttikable, RUBIERG!iu• Madams Base Sheet, J)3IIIROlD 20, RUBISROITD SI3S meat -Weld Swath or UBE@ ®I® SBS If�eat -Weld 25 base sheet machaanically fcas4enzal to Hack as descr1 below; GAPGILAS® Pily 4I�, GAPQLAS IFIea Piy 6, GAPGLAS 1375 Base Shat or aaby of above l3 aae she css at c k d to dk with appa oved aaanular ring shank nails as h caps e1 a fastener ep cing of 9" o.c. at the lap staggered and in two rows 12" o.c. in tha field. (ITcs r a Des -5p Sc G¢c e ll 07) GAIFGILAS® Ply 4, GAIF3LAS Ifri 1y 6, GA OLAS 075 Base Sloe( or any of ahave Base €bas aatrihel to deck with l rill -Tec (GAFII1TE) #12 or #14 Screws an3l 3" Phi s, 12" o.c. in 3 rows. ce rovv is in the 2" side lap. The otiz rows are equally spaced appro tely 12" o.c. in the leld of the sheet. (P✓d�usdpazgc� Ds 'assa ° S pJ Sac bra ¢ 11 i 1k 07) GAPGLAS Plex P1y 6, GAPOLAS #75 Bra Shee or any of above I3asm sheets sttachnd to desk wi ;... approved anaanlar ring shalt nails and tan caps at a ffasteaea spaying of 9" o.. at the 4" lap s aggred and in Iwo rows 9" o.. in the field_ ( I Y e a s r r r r a r a D s gca l }raacr 52,S puff, dad G c ncl iII ? ca 07) GAIFGLAS t 75 Bar Shea or aany o% above ase stets attached to deck v leh Drill -Tec (GAPTTB) 012 or 014 Sc ewa and 3" Places, 12" o.c. in 4 rows. One row is in the 2" side lap. The o; �.er rows are equally s;u Ced approximately 9" o.c. in the faetd of the shit. (f ✓ ^ r Dae 3C c -641 , Sc ' f La � DJ 07) Any of above Base shits att€chod Bo deck approved annular ring shrink nails and 3" Lnverted IDaill -Tec (GAIFJITI'E) inaalation places at a fastener spacing of 9" o.c. al ; ' e 4" lap staggered in two rows 9" in tihe field. (P✓I r�rar Daa z ra -t So Gaan L'aitraaaiOaa 7) GAPGLAS 075 Brae Sheat er any of above Bare ski is attached to deck with Drill -Tec (GAPTJITh) 012 or 014 Screws and 3" Flakes, !" o.c. nn 4 rows. Ore row is in the 2" side lap. he other rows are egardly spaced appmo;Li�ately 9" o.c. in the fieldi of thz sheet. (LYl r )l'raasrxu --.75 p�j, Sce Qi asaa Il i&ioca 0) Gae er more piles of GAP3LAS® PLY 4 ©, GAFGLAS® PLY 6� ply sheet, OS0 Ult na, RUBBR®D v OP Smooth ar RUB! =t' G'cr 2SD adhered Inc full awppang of approved asphalt applied within the EVT'range and at a rate of 20 40 lbcfsq. (Gptioral) One ply of GAFGLAS® Mineral Siarfsced Cap Sheet adheaied in a fart] mnepping off approved asphalt applied within the EDIT range and at a rc a of 20-40 lbsisq. 1 t®A No: - ©1l,O 1�CJ11tteD [Dth : IlIlIT:4fa Apprcvnl /23hID3� PIl�eff21 Surfacing: Mi a nom M tl axiom DRS : (Requiired if no cap sheot is uml) Install one of the following: 1. OAF Special Rooms Eamon with an application rate of 20 lbs. /sq with an application xt a of 13 gal. /sq.; 07 GAF Wl3ATD -IER COAT@ Emulsion (Ma&l 305 Fib r nnvsion) with applics2ion rate of 3 gal./sq.; or GAF Plrelnium.Fibered Aluminum Roof Coning (M ix System Fro Aluminum Roof Coating nbered 301) wi application rate of 1.5 gal./sq. 2.. Asphalt lle=11 coat at an application aato of 60 Ibs./sq. 20%; plis gravel or slag with an x plicattion ante of 400 lbs.sq. & 3C) Ibsfsq., izespectively. 3. Top Coat Steam &al SB (Matrix 602 S Coating), Top Coat MB Plus (Matriu 715 MJ Coating), GAF Went:he Cote 07 Wenther e LOW -VCC pp1les1 at ante of Il - 1.5 ge/g. See Fawning Above KOA N©: 03- 05011.65 Ezuc gon >0nao: 11/6 003 0 Appnvnfl 1Dete:Il0/7.3. l3 linage 19 off 71 WOOD DIECl;>; SY IPaIM 11.4111 1TA'l'lWk s: 1 A slip sheet is requires) with Ply 4 and Flee Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1 4" Dens Deck or 1 Type X gypsum board is accepts bte to be instilled directly over the woad deck. Gi i i awarrA1C11®Ns 1. Fare classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The Bast layer shall be attached in compliance with Product Control Approval guidelines. All clear layers shall adhered in a full mopping of approved asphalt appli within tine l .VT range and as a rate of 20-40 lam. /sq., or mechanically attached using the fastening pattern of to top layer 3, All standard panel sizes are acceptable for mechanical ataacJ1iment. When applied in approved asphalt, panel size slrall be 4° x 4' Isamu 4. An overlay and/or recovery baud insulation panel as required on all applications over closed cell foam insulations when rite base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spat. alarming with approves). asphalt, 12" diameter circles, 24" o.c.; or strip mapped g" ribbons in thre.e roves, one at each sidelep and ornn down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed) every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall beat a minimum rate of 11211a./sq. Note: SErct cat2malned syuacamo nnED k 11ie 1103dl to a MalltMtlin denagro pressure 00 psffa 5. Fastener spacing for insulation =Omit is based on a Minimum Chsareeteristic Force (F) value of 275 lbf., as tested] in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lbf. insulation a znchxrrs ?nt shall ant be acceptable. 6. Fasteata., spacing for m h:micaI attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the rasainum design value listed within a spy systems. &maid the ffagtenae ar sistansfa be less than thaii llWaumred, as determined by the Building Official, a revised fn. ssener spacing, prepared., sign' and sealed by a ]Merida Registered Engineer, Architect, or Regist d Roof Consultant may be tuba fitted. Said revised fastener spacing shall utilize the withdrawal a sistrainse value taken from Testing Aplscatiion Standards TAS 105 and calcrtltaRions in compliance with Roofing App1zcation Stand card RAS 117. 7. Perimeter and and corner areas shall core sly with the enhanced uplift pressure requirements of these areas. Fastener densities shall be rased for both insulation and base sheet as calculated in compliance with Roofing Application Stea l I AS 1117. (Wham QIIannttartio n ns speciG1cnllly aegeoireE Tasty dais I A, GezenslliYmiltntilan wan =1 olpgrilenbte.) 8. )all attachment and siring of perinteter nailers, metal profile, atatd/ar flashing termination designs shall conform with Roofing Application Standard LAS 111 a and applicable wind load requirements. 9. The mum deetigned pressure limitation listed ill be applicable to all goof pressure zones (i.e. field, perimeters, and corners). Neither national analysis, nor eat rapolation shall be permitted for enhanced fastening at e2haattd pressure zones (Le. perimeters, extended comma and corners). (7.71zn ale >lnnaltat u f speniacolly aref?eruesl wi m thin NOA, Cremezall Lizzahlotion 67 will not t appli shale.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and !"de 913-72 of the Florida Administrative Celle. ]AND O 1 TIES ACCILFII'ANCIE MCA No: 03 )I.05 7..rzplLratlon IIDatea 111f1 M Approval HDal¢;110123J 3 IPaase III e4 21 O Sat . ( dI=Gal?O C6.7u — I LS Q a'scu t uL� G�ia�s0 ,,ricrit ®g AO 3 • OA U Sr31 ^' y MIOGI . 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Q rc z:1=t any vMOrMOEI LSIT TBIZr Vflfl.R,LE CC ©M:E1 1 - a D°3aD7 VDR 6 WO d�ocvocm.o OtZ3 D40II 9 a3L 01/3,D [2a G c3F WO> W7210 ACC4g0Gtg� Man, C@-IlK, Say 112EC.07 CzIe:12 GIISD2 3 3 9 oP9 M I A M MADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring ,TX 77383 -1132 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION . (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethene Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05 /10/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW CONIlVHTTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 06/14/2001 Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office 1\s045000I \pc2000 \ \templates\notice acceptance cover page.dot Internet mail address: postmaster@buildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roof Tile Adhesive Materials: Polyurethane 1. SCOPE This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does 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 tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Foamproo RTF1000 Manufactured by Applicant Polypro® AH160 ProPack® 30 & 100 Dimensions N/A N/A N/A 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of Polypro AH160 roof tile adhesive. 2.2 Typical Physical Properties: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 2 Test Specifications PA101 Approval Date: June 14, 2001 Expiration Date: May 10, 2006 Results 1.6 lbs./ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch Product Description Two component polyurethane Dispensing Equipment Dispensing Equipment +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Chan e • : o a 1 Humidity, 2 weeks �� A Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02 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. 3. MUTATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. -w F' - 2 MS 4. INSTALLATION 4.1 Polypro'I AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® 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). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH160 shall not be exposed permanently to su 3 Frank Zuloaga, RRC Product Control Examiner Table 1: Adhesive Placement For Each Generic Tile Profile TileProfile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 Polyfoam Products, Inc. 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 4.9 Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 ACCEPTANCE No.: 01- 0521.02 Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. eve course only: Keep adhesive approx. 41n. up from nephrites ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 5 ACCEPTANCE No. : 01-0521.02 Underlayment 1 Nall through plastic cement 10 In. 2 In Erne Course Eave course only: Keep adhesive approx. 4 In. up from wormholes Paddy (Beneath Tile) Fascia VINO* Eave closure Drip edge 's 1) Place enough adhesive to achieve 17 to 23 Optional 2x4 fur ap square inches In contact with the pan the steep pitch plications 2) Tum covers upside down. Place adhesive 112 in. To 10. From outside edge of cover We. Then Install the ble. Underlayment top portion of the claw) course cover Ole Abut to second course of pan tiles. Ensure aave end of pan and cover tiles are flush at save line. Eave closure (mortar shown) Weephole Fascia Bo Frank Zuloaga, RRC Product Control Examiner Nail through plastic cement Optional Pohlinp Mortar on longitudinal edges of We Sheathing Polvfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 ACCEPTANCE No.: 01- 0521.02 Underlayment 71n. �e' 2 fn. Nail through plastic cement Eave Course Paddy (Beneath Tile) Fascia Weephole Eave closure Drip edge Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement 3m. t x3in. Single paddy on under. layment Paddy (between tile) Paddy (under tile) Single paddy on top of tile Single paddy under tile I Eava course in. X7 in. medium size paddy eave Fascia course only Single paddy on top of tile Eave Course Single paddy under tile Nall through plastic cement t r 3 in.x 3 In. Single paddy on underiayment Single paddy on top of tile Eave Course 7 ACCEPTANCE No. : 01-0521.02 Single paddy between the Eave Closure 2 In. x 7 in. medium size paddy eave course only Fascia Single paddy under tile Single paddy between tile 2 in. x 7 in. medium she paddy save course only Frank Zuloaga, RRC Product Control Examiner Fascla Weephole Eave closure Drip edge Polvfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any • other purposes. 6. The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8. END OF THIS ACCEPTANCE 8 Frank Zuloaga, RRC Product Control Examiner Polvfoam Products Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.) A. DRAWINGS: NONE B. TESTS: Test Agency Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Celotex Corp. Testing Services CeIotex Corp. Testing Services Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01- 6743 -011 01- 6739- 062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 E -1 ACCEPTANCE No.: 01- 0521.02 Test Name/Report Miami Dade Protocol PA 101 Miami Dade Protocol PA 101 SSTD 11 -93 SSTD 11 -93 11/02/95 SSTD 11 -93 12/12/95 ASTM D 1623 02/01/94 ASTM E 108 04/30/93 ASTM E 108 11/16/94 ASTM E 84 01/16/95 PA 114 03/14/96 Miami Dade Protocol PA 101 10/23/98 Miami Dade Protocol PA 101 12/28/98 Miami Dade Protocol Date 04/08/94 12/16/96 10/25/95 Frank Zuloaga, RRC Product Control Examiner Polyfoam Products Inc. ACCEPTANCE No. : 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) C. CALCULATIONS: Walker Engineering, Inc., Evaluation of Tests. Dated 04/07/99 D. MATERIAL CERTIFICATIONS: NONE E. STATEMENTS: NONE E -2 Frank Zuloaga, RRC Product Control Examiner