RF-11-1420Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP.-165276 Permit Number: RF -8 -11 -1420
Scheduled Inspection Date: October 13, 2011
Inspector: Bruhn, Norman
Owner: RITTER, STEVEN
Job Address: 29 NW 105 Street
Miami Shores, FL 33150 -1241
Project: <NONE>
Contractor: CODA ROOFING, INC
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Tile
Phone Number
Parcel Number 1121360050300
Phone: 305 -681 -1060
Building Department Comments
RE -ROOF TILE ROOF
Passe
Failed
.(/.9-/q//
Correction
Needed
Re- lnspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 164999. CREATED AS
REINSPECTION FOR INSP- 162892. PROVIDE RENAIL
SEAL CHIMNEY FLASHING.
10/06/2011 - PROVIDE UPLIFT TEST REPORT RENAILING AFFIDAVIT.
JR
CG
October 12, 2011
For Inspections please call: (305)762-4949
Page 23 of 29
Axel MEMPUERTA
z MY COMMISSION @ EE 067881
• ... EXPIRES: Februa0ryry 27, 2015
t;: Bonded Thru Notary Public Underwriters
Siorafillafeet42704estear
10050 NE 2"d Ave* Miami Shores, F133138
Phone 305. 795.2204; Fax 305 - 756 -8972
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
10050 NE 2 "d Ave
Miami Shores, Fl 33138 //
Re: Owner's Name: S e'a,0
Property Address: 2 9 �,,a /05 s
Roofing Permit Number:
Date: «- 9//
Dear Building Officiafl•
I ®r /ct,' /c ��O 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.
Signa
CCc /360 y.5
License Number
State of Florida
County of Dade
4/c7/7,012 „ern 0
Print Name
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 " °i day of 4,618,51-- 20 d
Notary Public, Sate of Florida at Large
(SEAL)
FINAL COMPLIANCE
CIVIL
ENGINEER
Reileh Engineering Corp.
(Consulting Engineer)
2370 S.W. 123 Avenue
Miami, Florida 33175 -1174
Tel : 305-823-8008
Fax: 305-823-3300
September 27, 2011
Coda Roofing, Inc.
4678 East 10 Lane
Hialeah, Florida 33013 -2112
Project:
Dear Sirs;
ROOF TILE UPLIFT TEST REPORT
Residential Home
29 Northwest 105 Street
Miami Shores, Florida
Information provided by client:
Permit Number: RF -8 -11 -1420
Date Completion: September 21, 2011
Roofmg Contractor: Coda Roofing, Inc.
Project Number: 11 -0732
(Testing Laboratory Certificate #11- 0715.04)
In accordance with your request and authorization, a representative of Reileh Engineering
Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was
performed in general accordance with Roofmg Application Standard TAS No.106 -- Standard
procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically
attached, rigid, discontinuous roof systems.
The total of the tested roof surface area was less than 10000 square feet, and the mean height of the
roof is less than 40 feet above ground surface. The type of tile used for this project was reported to
be Monier Saxony Roof Tile. This tile was reported to have been foamed in place.
At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than
one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the
perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2)
squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer
areas were conducted.
ve referenced
eiease find
Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you
have 'any questions or if we may be of further assistance, please do not hesitate to contact the
undersigned.
Respectfully submitted;
Reileh Engineering Corporation
ay
ohamad Sonny Salleh, P.E.49014
Project Manager
TILE UPLIFT' TEST
Residential Home
29 Northwest 105 Street
Miami Shores, Florida
Reileh Engineering Corporation — Project Number -11 -0732 — Page 2 of 4
Report of
TILE UPLIFT TEST
for
Residential Home
29 Northwest 105 Street
Miami Shores, Florida
Project Number: 11 -0732
1
35
Pass
2
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Pass
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Pass
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5
35
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Pass
7
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Pass
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Pass
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35
Pass
13
35
Pass
14
35
Pass
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35
Pass
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35
Pass
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35
Pass
18
35
Pass
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35
Pass
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35
Pass
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35
Pass
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Pass
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35
Pass
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35
Pass
Reileh Engineering Corporation — Project Number - 11 -0732 — Page 3 of 4
25
35
Pass
26
35
Pass
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Pass
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35
Pass
29
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Pass
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35
Pass
31
35
Pass
32
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Pass
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34
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37
35
Pass
38
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Pass
39
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40
35
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41
35
Pass
42
35
Pass
43
35
Pass
44
35
Pass
Test 1 -13 Comer, 14 -17 Ridge Caps, 18 -33 Perimeter, 34-44 Field
Reileh Engineering Corporation — Project Number - 11 -0732 — Page 4 of 4
6
a
20
1
5
22
41
4
23
40
43
42 44
19
24
43
12
0
0
0
8
9
3
2
23
26
38
39
36
35
34
la
28
29
21
II
30
a
32 33
10
36'
1t5T 11a
FEW m 11
PMMGh m 16
CORM - 13
ova CAP m 4
'E IM i - 1100 5F
CC R d 130 5F
NO. S51" LOCA11ON
ptf;IMG R 1715TANCI, a a 3'
COUR ARA= 3'X3'
0 Me cm 1 ¶51' LOCA110N
131TNOrE5PROM' 11LZ
L 12NOt 5 LOOS se
i
40'
11 -072
APPROX. ROOF 1'F51" LOCATIONS ANn I2IM5ION5
1
1
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
29 NW 105 Street
Miami Shores, FL 33150 -1241
1121360050300
Block: Lot:
STEVEN RITTER
Owner Information
Address
Phone
Cell
STEVEN RITTER
29 NW 105 ST
MIAMI SHORES FL 33150 -1241
Contractor(s)
CODA ROOFING, INC
Phone
305 - 681 -1060
Cell Phone
Valuation:
Total Sq Feet:
$ 8,000.00
1200
1
Type of Work: Re Roof
Additional Info: COLOR THRU TILE
Classification: Residential
Scanning: 4
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - New Roof
Scanning Fee
Technology Fee
Total:
Amount
$4.80
$4.13
$4.13
$1.60
$275.00
$12.00
$6.40
$308.06
Pay Date Pay Type
Invoice # RF -8 -11 -41668
08/31/2011 Check #: 12320 $ 258.06 $ 50.00
08/08/2011 Check #: 12266 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Up Lift Report
Tin Cap
Final Roof
Tile In Progress
Roof Review
Renailing Affidavit
Cap Sheet
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.
August 31, 2011
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
August 31, 2011 1
BUILbZING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING 4V OWNER: Name (Fee Simple Titleholder): . 5 Ave", ? //k Y' Phone#:
Addres s: ®S 57
City: if/ Am f SA O') T(S
State:
Tenan /Lessee
Name: Phone #:
Email:
mCNrgIIwi3j�
AUG 0 2011 LW
Permit No. 12F i ) - 142D
Master Permit No.
/4/
Zip: ,33 /Jt0
JOB ADDRESS: % Al 1,1) 105' 5
City:
Miami Shores County:
Folio/Parcel #: /1,2/3 (ooasc3DO
Miami Dade Zip: _53 150
Is the Building Historically Designated: Yes NO
Flood Zone:
Phone #: ,_5/68/ /060
CONTRACTOR: Company Name: COO/9 -ROOT/e7 Ca
Address: 6 % r 5 /0 /.0
City: //'/e 4
Qualifier Name: OY /Q44.dd JU? ctsv c)
//'e- •
State:
State Certification or Registration #: CC C VS"
Contact Phone #: 376-1(/ A
DESIGNER: Architect/Engineer:
zip: 33 0/3
Phone#: _rear / 6a
Certificate of Competency #:
�® Co p/uy0e7 2(�erab'OGi.. rcG �
f Phone #:
Email Address:
Value of Work for this Permit: $ 7-• aoo Square/Linear Footage of Work: 200
Type of Work: ❑Addition DAlteration
Description of Work: Pc- — �v 7/
❑Newepair/Replace
❑Demolition
* * * * * * * * * * * * * *+x***** * ******** sx********Fees********************************************
Submittal Fee $ Permit Fee $ O.2 7
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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.
Signature Y
Owner or Agent
The foregoing instrument was acknowledged before me this 4,t
day of , 2011 , by aetiteX1, a tx
who is personally known to me or who has produced
• 0 • (._A As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
** * ***** ***** ** * ** * *** ***
APPROVED BY
MERCY PUERTA
:*z MY COMMISSION 6 EE 067861
i . kifros4 EXPIRES• Feb 27, 2015
The foregoing instrument was acknowledged bef�o_re me this
day of _ , 20 1 , by 0 (- AC.IC jki ,LnQ
who i
ersonall known
to meor who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expir
************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
-fen,/
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Miami -Dade My l -tome
My Home
miamida • e,gov
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Summary Details:
Property Information:
Primary Zone:
■
RE
Pro env:
29 t 59
Mailing
STEVEN ixlTTER LIaIIJ�
Address:
TRS
Floors:
29 NW 1 ST PJIAial
Ta,,,,o e
SHORE, 1-L
33150-
Property Information:
Primary Zone:
■
RE
L 1-,,11L ,.Y
I
CLUC:
0001 4;_SILDENTL L-
SIN , i`i4lll'
Beds /Baths:
2/1
Exemption/
Floors:
1
Ta,,,,o e
'Livin Units:
Va9ie:
Ad' S Footage:
Regional:
$50,000/
$83.59
l_ot Size:
9.2;
Year Built:
19 -'
SH ;
. L i
Legal
41
Description:
LO
1 OR
_ ,, 9-17
0'
Assessment Information:
Year:
Land Value:
!Building Vaiue:
Market Value:
Assessed Value:
2010
2009
Exemption Information:
NYear:
2010
2009
H
Taxable Value Information:
550.000/
050.000/
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2010
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Applied
,,,,r;,lad
Taxing Authority:
Exemption/
ExLmp2on/
Ta,,,,o e
Tai:au O
Va9ie:
l�.,..�.
Regional:
$50,000/
$83.59
550000/
036
550.000/
050.000/
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NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO./ 42/3 ao5Q -a00
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
11111111111 111111 1111111111111111111111111111
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.
CFI'N 201 1 80532293
OR Bk 27787 F's 04581 (fps)
RECORDED 08/10/2011 11:31:08
HARVEY MIN, CLERK OF COURT
PIIAPII -DADE COUNTY, FLORIDA
LAST PAGE
Space above reserved for use of recording offici
1. Legal description of property and street/address: 029 .01.46/ /Q5 67
2. Description of improvement: -fc"
3. Owner(s) name and address: ..-5T+� 1 tied", 7"7 e/ ..17 &41 /(S 3/
interest in property: a tee, +f: ,rte /,rs r' �S�jtn'fc3 ft /„�',� /•Sra
Name and address of fee simple titleholder.
4. Contractor's name, address and phone number CfoO, V GRcsOd 4,.9 00 -741C- •
5"15 G'*" /O .1 t/ /1 /49,4Cr4' fit-/ f CP/LS
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number
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., Horida Statutes,
Name, address and phone number.
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, address and phone number.
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a dl ferent date is specified)
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature(s) of Owner(
Prepared By 4'
Print Name X e*
Title/Office 918161W1
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The fo I instrume w _ acknowledged before me this , day of jt j
s�► Authorized Officer/Director/Partner/Manager
Prepared By
Print Name
Title/Office
(/ /elf .
X67 1/0 c") . /
/1im. /sa►le' �y3� �
CI Individually, or ❑ as for
la Personally known, or la roduced the following type of identification:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 82.525. FLORIDA STATUTES
Under penalties of perjury, 1 declare that I have read the foregoing and
that the facts stated in It are true, to the best of my knowledge and belief.
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above:
By By
Book27787 /Page458 CFN #20110532293
Page 1 of 1
08/12/2011 14:16 FAX 1 800 685 7530
Permit No: 11 -1420
Job Name:
August 10, 2011
DATA SCAN FIELD SERVICES Z001/001
Miami Shores Viviage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Section E is completed incorrectly. The P-1 thru P -3 are negative numbers. The change
makes the pressure for zone 3-44.4 which exceeds the NOA resistance for medium
paddy.
Plan review is not complete, when all items above are corrected, we will doa complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
Permit No: 11 -1420
Job Name:
August 10, 2011
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Section E is completed incorrectly. The R1 thru P -3 are negative numbers. The change
makes the pressure for zone 3-44.4 which exceeds the NOA resistance for medium
paddy.
Plan review is not complete, when all items above are corrected, we will doa complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
r."AX:36S-- 90,2
INN
12
*4,000,000
Florida Bel** Code Edition 2007
High Velocity Henbane Zone Ledform Permit Application Fonn
11212i1211Aliktustodidinentbzul
Master Pone No. Process No.
Contractor's Name 602%4 73i%Vier /Avb -2;f1C-
Job Address J Alai /05 /
ROOF CATEGORY
D Low Mope 0 Mechanic* Fastened The ettortmlAdheshnt Sid The
O Asphaltic 0 Medal Panallatingles D Wood Shinides/Shakes
Shingles Ave there
Prescriptive BUR-RAS 150 Gas Vent Saks?
Yes° NoO
ROOF TYPE Type: Natural° LPGXCI
O New Roof eft-Roofing 0 Recovering 0 Repair 0 Maintenance
. ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
cz(
/Z 00 /Za.) •
• Affitiffithalaekid
Sketch Roof Plan Rabat* all levels and sections, roof drains, sower% overflow
Alimallass Ilisednelek 001111■1111Mbillida IMMAG16.~1 MINNA kallallei
ID
APPROVED
ZONING DEPT
DEPT
T TO COMPLIANCE WITH ALL OEFIAL
I Li '0 ES ANC, RE ULATIONS
Fro tv-i-
GAG
1
Florida Bu Nag Code Edition 2007
Nigh Woolly Hurricane Zane uniform PennftApplIcation Fonn
1
Section D (St gg 1. ..d R q1. Svstsml
Roof•System Menufacturer:1 On /¢14'cr7/4‘
Notice of Acceptance Number; 07- d 71/• 03
Minimum Design Wind Pressures. if Applicable (From RAS 127 or Calculations):
P1: P2:. 7 Y 6 P3: 1/6 .
Maximum Damian Pressure l
(From the NOA Specific System):
r
Method of SW attachment
Steep Shand Roof System DescrIDtlon
Deck Type:
Roof Slope:
3 :12
Ridge Ventilation?
9 /a,
astener Type & Spacing:
Mean Roof Height 4,
TYPe
r %0 "dam
$•
Coverinw I
Type & Size Drip
,5 p•.evo 019 (i4
L3Y3
Z gcr4'
C.
✓
y.. d
123_01.48 12/09 PAGE 4
1
1
Florida Building Code Edition 2007
Nigh Velocity Hurricane Zone tin Bonn Pennft Application Form
Section E (Tile Calculations)
For M based die mhos, choose Method 1 or 2. Compared the v '
for Myth the valise from Mi. 8 the Msvahum are greater thanm'equaltstheMr
values, for each area of the rad,thee► the file attaduncut method is
Method 1 "Moment Bead Tile Calculations Per RAS 127"
(Pis VS ■ JO • <y /6 —Mg: •OJ' _MA r NOAmr
(P::JB : z t 6/. .off - • 457 NOA llir
(Pi: //6 • �z). 430 •3� 037) Mg: S 0r3 _ y� J j NOA 11Y� •
. Method 2 "Simplified Tile Calculation Per Table Below"
Requ red Moment of Re a (IQ From Table Below _._ NOA bar —
M,* Required Moment
eeean Rua
*oaf Mops
1,
Ze'
25'
383
352
12
&12
*12
72
32
34A
352
384
332
30.1
»
s4k
352
354
37.1
3e'
34.7
37.4
35.1
323
302
352
4W
422
34.9
wa
342
32.4
30:9
Mart be used in enniunetton with a On of moment based tie system geed by the
Broward County Board of Rules aid Appeals.
For Uplift hoed the systems use Method 3. Compared the values for F with the
value for F. if to F vahg a are greater than or equal to the i vales, for each
arenof the root; then the the shadowed method is acceptable.
Method 3 "Uprlift Based Tile Caleuhstions Per RAS 127"
ty1 _ Fir: NOAF
(Ps: :1: w: W: z cos 0 :.__m Fa: NOAF
MS: zl: _z ws__.) —W z eft 0:__= Frs: NOAF
Where to Obtain Information
Where to find
Ilnlm
.. - 1-- -1 't""..1— .n-,,7-,
1.111.11Lr= ■ ,1- r--"11•11111L1111111 o''.1111.111111111101.11.111.11111.1.1111
123_51-45 12/05 PAGE 5
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION
FOR ROOFING CONSIDERATIONS
R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner
with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section
R4402 govern the minimum requirements and standards of the industry for roofing system installations.
Additionally, the following items should be addressed as part of the agreement between the owner ant the
contractor. The owner's initial in the designated space indicates that the item has been explained.
1. k 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. U 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. __,/ [_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. 6Z, 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. The provides the option of maintaining the appearance.
5. 5j 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.
Overflow scuppers (wall outlets): It is required that rainwater flow off so that
the roo 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. v / 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 ► of.
,
4 er /A .ent s Signature F at-
Contr
•ct/ /'.1!41 . 1 ..
7- 3 —//
Date
MIAM
BUILDING CODE COMPLIANCE OFFICE (BCC())
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
MonierLifetile, LLC
200 Story Road
Lake Wales, FL 33853
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials. The documentation submitted has been reviewed by Miami -Dade County Product Control
Division and accepted by the Board of Rules and Appeals (BORA) 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 Division (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. BORA reserves the right to revoke this acceptance, if it is determined by Miami Dade
County Product Control Division 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 and the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Saxony 900 (Shake, Slate & Split Shake) Concrete Roof Tile
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state
and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted
herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has
been no change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or
change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an
endorsement of any product, for sales, advertising or any other purposes shall automatically terminate
this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of
NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is
displayed, then it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This revises NOA# 07-0228.03 and consists of pages 1 through 7.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 07- 0711.03
Expiration Date: 04/26/12
Approval Date: 09/07/07
Page 1 of 7
ROOFING ASSEMBLY APPROVAL
Category:
Sub - Category:
Material:
Roofing
Flat Profile Roofing Tiles
Concrete
SCOPE:
This new NOA approves a system using MonierLifetile Saxony 900 (Shake, Slate & Split Shake)
Concrete Roof Tile, as manufactured MonierLifetile LLC and described this Notice of
Acceptance. For locations where the pressure requirements, as determined by applicable Building
Code does not exceed the design pressure values obtained by calculations in compliance with RAS
127 using the values listed in the installation section herein. The attachment calculations shall be
done as a moment based system.
PRODUCT DESCRIPTION
Manufactured by,
Applicant
Dimensions
MonierLifeti le LLC 1= 17"
Saxony 900 w =13"
1 -5/32" thick
Slate
1- 9/32" thick
Shake & Split Shake
Trim Pieces 1= varies
w = varies
varying thickness
SUBMITTED EVIDENCE:
Test Agency
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Test
Specifications
TAS 112
TAS 112
Test Identifier
7161 -03
Appendix III
94-084
94-060A
25- 7183 -6
25- 7183 -5
Product
Descri n
Flat profile, interlocking, high-pressure
extruded concrete roof tile equipped with
two nail holes. For direct deck or battened
nail -on, mortar set or adhesive set
applications.
Accessory trim, concrete roof pieces for
use at hips, rakes, ridges and valley
terminations. Manufactured for each tile
profile.
Test Name/Renort
Static Uplift Testing
PA 102 & PA 102(A)
Static Uplift Testing
PA 101 (Mortar Set)
Static Uplift Testing
PA 101 (Adhesive Set)
Static Uplift Testing
PA 102
(2 Quik -Drive Screws, Direct
Deck)
Static Uplift Testing
PA 102
(2 Quik -Drive Screws, Battens)
Date
Dec. 1991
May 1994
March, 1994
Feb. 1995
Feb. 1995
NOA No.: 074711.03
)ration Date: 04/26/12
Approval Date: 09/07/07
Page 2 of 7
Test AMencv
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
Atlanta Testing &
Engineering, Inc.
Celotex Corporation Testing
Service
Celotex Corporation Testing
Service
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Nutting Engineers
Test Identifier
25- 7214 -1
25- 7214 -5
7161 -03
Appendix II
Letter Dated Aug. 1, 1994
P0631 -01
P0402
Project No. 307025
Test #MDC-77
R1.894
R2.894
R3.894
520109 -1
520111 -4
520191 -1
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Calculations
Evaluation Calculations
130
Test Name/Report
Static Uplift Testing
PA 102
(1 Quik-Drive Screw, Direct
Deck)
Static Uplift Testing
PA 102
(1 Quik -Drive Screw, Battens)
Wind Tunnel Testing
PA 108 (Nail -On)
Wind Tunnel Testing
PA 108 (Nail -On)
Wind Tunnel Testing
PA 108 (Mortar Set)
Withdrawal Resistance Testing
of screw vs. smooth shank nails
Wind Driven Rain
PA 100
Physical Properties
PA 112
Static Uplift Testing
PA 101
Static Uplift Testing
PA 101
25 -7094
25 -7496
25 -7584
25- 7804b -8
25- 7804 -4 & 5
25- 7848 -6
25 -7183
Aerodynamic Multipliers
Two Patty Adhesive Set System
Restoring Moments Due to
Gravity
TAS 112
Daft
March, 1995
March, 1995
Dec. 1991
Aug. 1994
July 1994
Sept. 1993
Oct. 1994
Aug. 1994
Dec. 1998
March 1999
February 1996
April 1996
December
1996
March 1995
January 2007
April 1999
February 2007
January 2007
NOA No.: 07- 0711.03
Expiation Date: 04/26/12
Approval Data 09/07/07
Page 3 of 7
LIMITATIONS:
1. Fire classification is not part of this acceptance.
2. For mortar or adhesive set tile applications, a static field uplift test shall be performed in
accordance with RAS 106.
3. Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform
quarterly test in accordance with TAS 112, appendix 'A' . Such testing shall be submitted to the
Building Code Compliance Office for review.
4. Minimum underlayment shall be in compliance with the applicable Roofing Applications
Standards listed section 4.1 herein.
5. 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope
unless stated otherwise by the underlaymnt material manufacturers published literature.
6. This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicable building code.
INSTALLATION:
1. MonierLifetile Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components
shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119,
and RAS 120.
2. Data For Attachment Calculations
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile
Weight -W (Ibf)
Length -I (ft)
Width -w (ft)
MonierLifetile Saxony 900
Slate, Shake & Split Shake
11.5
1.417
1.08
Table 3: Restorin Moments due to Gra - M
Table 2: Aerodynamic Multipliers - X (fts)
Tile
Profile
Tile
3":12"
a. (fts)
5 ":12"
X (fits)
Profile
or
Batten Application
Direct Deck Application
MonierLifettle Saxony 900
Battens
0.289
0.313
Slate, Shake & Split Shake
Battens
Direct
Deck
Battens
Direct
Deck
Table 3: Restorin Moments due to Gra - M
ft-I
Tile
Profile
2 ":12"
3":12"
4 ":12"
5 ":12"
6 ":12"
7 ":12"
rear
Battens
or
Saxony
900
Slate,
Shake &
Split
Shake
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Direct
Deck
7.16
8.12
7.08
8.03
6.97
7.91
6.82
7.74
6.65
7.55
6.46
7.34
NOA No.: 07- 0711.03
Expiration Date: 04/2€112
Approval Date: 09/07/07
Page 4 of 7
Table 4: Attachment Resistance Expressed as a Moment - Mt (ft -Ibf)
for Nall-On Systems
Tile
Profile
Fastener Type
Direct Deck
(min 15/32"
PhM►ood)
Direct Deck
(min.19/32"
*wood)
Battens
Saxony 900
Slate, Shake &
Split Shake .
2 -10d Ring Shank Nails
30.9
38.1
17.2
1-10d Smooth or Screw Shank Nail
7.3
9.8
4.9
2 -10d Smooth or Screw Shank Nails
14.0
18.8
7.4
1 .#8 Screw
30.8
30.8
18.2
2 .#8 Screws
51.7
51.7
24.4
1 -10d Smooth or Screw Shank Nail
( Field Clip)
24.3
24.3
24.2
1 -10d Smooth or Screw Shank Nail
(Eave Clip)
19.0
19.0
22.1
2 -10d Smooth or Screw Shank Nails
(Field Clip)
35.5
35.5
34.8
2 -10d Smooth or Screw Shank Nails
(Eave Clip)
31.9
31.9
32.2
Table 5: Attachment Resistance Expressed as a Moment Mt (ft Ibf)
for Two Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
MonierLifetile Saxony 900
Slate, Shake & Split Shake
Adhesive
31.3`
1 See manufactures component approval for installation requirements.
2 Dow Chemical TileBond Average weight per patty 13.9 grams.
Polyfoam Product, Inc. Average weight per patty 8 grams.
Table 5k Attachment Resistance Expressed as a Moment - Mf (ft -Ibf)
for Single Patty Adhesive Set Systems
Tile
Profile
. Tile Application
Minimum Attachment
Resistance
MonierLifetile Saxony 900
Slate, Shake & S • lit Shake
Polyfoam PolyProT"
118.9'®
Po oam Po Prom'
40.44
3 Large paddy placement of 45 grams of PolyProl".
4 Medium paddy placement of 24 grams of PotyProT"".
Table 5B: Attachment Resistance Expressed as a Moment - Mt(ft -Ibf)
for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
MonierLifetile Saxony 900
Slate, Shake & Split Shake
Mortar Set'
43.9°
5. Tile -Tice Roof Tile Mortar
NOA No.: 07- 0711.03
Expiration Date: 04/26/12
Approval Date: 09/07/17
Page 5 af 7
LABELING:
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or
following statement: "Miami -Dade County Product Control Approved ".
MONIERLIFETILE LLC, SAXONY 900 TILE (LAKE WALES FL PLANT 2)
LOCATED UNDERNEATH TILE
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 system.
PROFILE DRAWING
WATERLOCK
MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SLATE MODEL)
NOA No.: 07- 0711.03
Expiration Date: 04/26/12
Approval Date: 09/07/07
Page 6 of 7
PROFILE DRAWING
MONIERLIFETILE SAXONY 9(S) CONCRETE ROOF TILE (SPLIT SHAKE MODEL)
MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SHAKE MODEL)
END OF THIS ACCEPTANCE
NOA No.: 07.071103
Expiration Date: 04/26J12
Approval Date: 09/07/07
Page 7 of 7
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
Polyfoam Products, Inc.
11715 Boudreaux Road
Tomball, TX 77375
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Plorlda 33175 -2474
T (786) 315 -2590 F (786) 315 -2599
www.aria0184 a savfuRdingl
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 BNC - 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. BNC
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: Polypro® AII160
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 renews NOA# 06- 0201.02 and consists of pages 1 through 7.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 11-0124.04
Expiration Date: 05/10/12
Approval Date: 04/14/11
Page 1 of 7
ROOFING COMPONENT APPROVAL:
Category:
Sub Category:
Materials:
Roofing
Roof tile adhesive
Polyurethane
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
PRODUCTS MANUFACTURED BY APPLICANT:
Product
Polypro+I AH160
Dimensions I1
Specifications
N/A TAS 101
Foampro® RTF1000 N/A
ProPack® 30 & 100 N/A
Product Description,
Two component polyurethane foam
adhesive
Dispensing Equipment
Dispensing Equipment
PRODUCTS MANUFACTURED BY OTHERS:
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which
list moment resistance values with the use of Polypro AH160 roof tile adhesive.
PHYSICAL PROPERTIES:
Property
Density
Compressive Strength
Tensile Strength
Water Absorption
Moisture Vapor Transmission
Dimensional Stability
Closed Cell Content
Note:
Test
ASTM D 1622
ASTM D 1621
ASTM D 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
ASTM D 2856
Mat
1.61bs./ft.3
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs./Ft2
3.1 Perm / Inch
+0.07%/o Volume Change ® -40° F., 2 weeks
+6.0% Volume Change ®158°F., 100%
Humidity, 2 weeks
86%
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.: 11- 0124.04
Expiration Date: 05/10/12
Approval Date: 04/14/11
Page 2 of 7
EVIDENCE SUBMITTED:
Teat MEencw Test Identifier Test NamelRenort Da e
Center for Applied Engineering #94 -060 TAS 101 04/08/94
257818 -1 PA TAS 101 12/16/96
25- 7438 -3 SSTD 11 -93 10/25/95
25- 7438 -4
25- 7438 -7 SSTD 11 -93 11/02/95
25 -7492 SSTD 11-93 12/12/95
Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94
Polymers Division
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
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
LIMITATIONS:
1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire
rating.
2. Polypro® AH160 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 Polypro® AH160 roof tile adhesive with
their tile assemblies shall test in accordance with TAS 101.
5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with
their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein.
_W
2
F'=
MS
NOA No.: 11-0124.04
Expiration Dam: 05/10/12
Approval Date: 04/14/11
Page 3 of 7
INSTALLATION:
1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift
resistance values with the use of Polypro® AH160.
2. Polypro® AH160 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 Polypro® AH 160 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 11AS 127. The adhesive attachment data is noted in the roof
tile assembly NOA
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. 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.
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.
6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing
equipment only.
7. Polypro® AH160 shall not be exposed permanently to sunlight.
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after
Polypro® AH160 has been dispensed.
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.
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile Profile
Placement
Detail
Single Paddy
Weight Min.
(grants)
Two Paddy Weight
per paddy Min.
(tiffs)
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
LABELING:
All Polypro® AH160 containers shall comply with the Standard Conditions listed herein.
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the
installation of this system.
r'�F'i:�JrCC
NOA No.: 11- 0124.04
Expiration Date: 05/10/12
Approval Date: 04/14/11
Page 4 of 7
ADHESIVE PLACEMENT DETAIL 1
SINGLE PATTY
NOA No.: 11-0124.04
Expiration Date: 05/10/12
Approval Date: 04114/11
Page 5 of 7
ADHESIVE PLACEMENT DETAIL 3
DOUBLE PATTY
END OF THIS ACCEPTANCE
NOA No.: 11-0124.04
Expiration Dates 05/10/12
Approval Date: 04/14/11
Page 7 of 7
ADHESIVE PLACEMENT DETAIL 2
SINGLE PATTY
NOA No.: 11-0124.04
Expiration Date: 05/10/12
Approval Date: 04/14/11
Page 6 of '7