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RF-11-2254lt Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168674 Permit Number: RF -12 -11 -2254 Scheduled Inspection Date: January 20, 2012 Inspector: Bruhn, Norman Owner: CARR, HEIDI Job Address: 150 NE 111 Street Miami Shores, FL Project: <NONE> Contractor: IBS CONSTRUCTION GROUP LLC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1121360040120 Phone: (305)527 -8303 Building Department Comments RE -ROOF TILE TO TILE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 168506. CREATED AS REINSPECTION FOR INSP - 168468. CREATED AS REINSPECTION FOR INSP- 167380. NO LADDER/PERMIT ON SITE. JR Clean up site and remove debris. complete job NB Same comments. NB 6c- January 19, 2012 For Inspections please call: (305)762 -4949 Page 8 of 10 Property Information Report For: ROOF TILE PULL TEST REPORT Heidi, M Carr Residence Home 12112254 150 NE 111 Street, Miami Shores, FL 33161 -7048 COLLEGE HEIGHTS PB 42 -8 LOT 13 BLK 1 LOT SIZE 75.000 X 124 OR 17694 -1278 0697 1 OR 17694 -1278 0697 00 ROOF TILE UPLIFT TEST REPORT To whom it may concern: In accordance with your request and authorization, a representative of AFB Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing 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 surface area was less that 10.000 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 Spanish S Clay Roof Tile (Santafe Tile). This tile was reported to have been foamed in place. At the time of the inspection, the entire area of the roof was examined for loose tiles. No less than one (1) tile in ten (10) of all components in the field area and 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 corner areas were conducted. Based on our test results, we concluded that the installation of the roof tile at the above referenced project meets the test required outlined in the above- mentioned protocol. Attached please find a copy of test report for your review. If you have any question of the test, please don't hesitate to call this office. Respectfully Submitted; Report of Tile Uplift Test For Residence at: 150 NE 111 StreetPlantation, Fl 33312 Project Number: No. 07282011 -781 TEST REPORT Test Number Test Load (MO Mark Test Status Comments 1 35 x Pass 2 35 x Pass 3 35 x Pass 4 35 x Pass 5 35 x Pass 6 35 x Pass 7 35 x Pass 8 35 x Pass 9 35 x Pass 10 35 x Pass 11 35 x Pass 12 42 x Pass 13 35 z Pass 14 35 x Pass 15 35 1 Pass 16 35 x Pass 17 35 x Pass 18 35 x Pass 19 35 x Pass 20 35 x Pass 21 35 x Pass 22 35 x Pass Aniel Fernandez, P.E., LEED AP, 'cense No. 66841 AFB Engineering Corp. 3384 SW 16TH Street, Fort Lauderdale, Fl 33312 (954) 604 -7423 Copyright ® 2011 by the AFB En ring Corporation. iT fo 1 RE: Permit # Miami Shores Village Building Department INSPECTION AFFIDAVIT l (Print name and circle License Type) License #: C CC ( 3 2 758 On or about 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: I licensed as a (n) Contractor / Engineer / Architect, FS 468 Building Inspector , I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at / /)E- 11 I' '- (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) Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Swom to and subscribed before me this Notary Public, Sate of Florida at Large \\{ \IIIII MELIZA ALVAREZ Notary Public - State of Florida My Comm. Expires Mar 16, 2012 Commission # DD 768987 • *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection Revised on 5/21/2009 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 rbi r2 (I- h Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: amn (Fee Simple Titleholder): Address: City: Tenant/Lessee Name: Email: DEC 052U Permit No. r4 1) Master Permit No. Phone #: JOB ADDRESS: ____1612) 11-F n 1 st- City: Miami Shores County: Miami Dade Is the Building Historically Designated: Yes NO Flood Zone: Folio/Parcel #: Zip: Rol 1 CONT ' CT 1 ' : Company. Name: Address: City Qualifier Name: State Certification or Registration #: cc Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: V T ) Phone#: Ia'✓r± Certificate of Competency #: Value of Work for this Permit: $ ✓ Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New Repair/Replace ®- t —; Ve, Description of Work: ❑Demolition INIMITATMENIMIIE 1 * * * * * * * * * * * * * * * * *xx * *x *x Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 3 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 o be approve #j nd a reinspection fee will be charged. Owner or Agent Signature Contractor The fore oing instrument was acktiow "le ed bef me this The fore oing instrument was ac •' - ed ed before me day of , 20 , by , a it 1._ , day of _C—__ , 20 fi, by 1101.11r.- who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ( MrellirE My Commission E **************** APPROVED BY MELIZA ALVAREZ Notary Public - State of Florida 5 My Comm. Expires Mar 16, 2012 ** *anW `iM tell * lfrAPAMPAr who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission ( `r ' ` "Am Cxpires Mar 16 2012 %Ur. Zoning Clerk %a% MELIZA ALVAREZ Notary Public - State of Florida $>$1$Ik ***gz*\F*i�i. akyslk*:R*skik. a:a3.c** . Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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 ofproperty and /SD treet/ djiress: �'r f / T 2. Description of improvement: 3. Owner(s) name and address: Interest in property: 1111111111111111111111111111111111111 11111111 c:FN 2011R0796689 DR Pk 27907 Ps 2667; (1Ps.' RECORDED 11/23/2011 16 :03:16 HARVEY RUVIhf r CLERK OF COURT MIAMI —LADE COUNTY, FLORIDA LAST PAGE rve • for use of recording office Name and address of fee simple titleholder: 5. urety: (Payment bond required by owner from contractor, i any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by 044-1 r 64Wrff d S bredtf4b� otaritt ®nts m� Section 713.13(1)(a)7., Florida Statutes, original filed in this 2r(iC� p ;`e of Name, address and phone number: goy I•`:'i MESS S +'y hand and Qf s isI S :^ 8. In addition to himself, Owners designates the followiNr 713.13(1)(b), Florida Statutes. B 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 different 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 1, 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 ATTORkIEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner /Manager Prepared By Print Name Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE drljne rs no ackno di i.ually, or as Personally known, or Prepared By Print Name Title /Office etitertr,a me this day of for ❑ produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525 FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the f is stated in it are true, to the best of my knowledge and belief. er(s)'s rized Officer/Director/Partner /M By MELIZA ALVAREZ Notary Public - State of Florida v. My Comm. Expires Mar 16. 2012 Commission # 00 768987 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: /Y7 o (2eU'IL Property Address: / C f /77 (5't Roofing Permit Number: Dear Buil irja 0 ial: 4/1 I uilding because: The just valuation for the structure for purpose of ad valorem taxation is Tess than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 19"4 edition of t South Iorida Building Code (1994 SFBC) certify that I am not required to retrofit the roof to wall connections of my Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/ Sworn to and subscribed before me this da f Notary Public, Sate of Florida at Large e is t • wner for the above property mentioned. n: MELIZA ALVAREZ _• ;A4 Notary Public - State of Florida 30 c My Comm. Expires Ma 44, ,•` Commission # 00 76898712 • When the just valuation of the structure for purpose of ad valorem taxation is equal to or than $300,000.00, and the building was not constructed with FB nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 Property Information Report ida � My Home Page 1 of 1 Property Information Report Summary Details: 11- 2136 -004 -0120 150 NE 111 ST Folio No.: Property: Mailing Address: HEIDI M CARR 150 NE 111 ST MIAMI SHORES FL 33161 -7048 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,723 Lot Size: 9,300 SQ FT Year Built: 1949 Legal Description: COLLEGE HEIGHTS PB 42 -8 LOT 13 BLK 1 LOT SIZE 75.000 X 124 OR 17694 -1278 0697 1 OR 17694 -1278 0697 00 Assessment Information: Year: 2011 2010 Land Value: $84,275 $84,275 Building Value: $131,269 $131,269 Market Value: $215,544 $215,544 Assessed Value: $113,937 $112,254 Exemption Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 2011 2010 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/$63,937 $50,000/$62,254 County: $50,000/$63,937 $50,000/$62,254 City: $50,000/$63,937 $50,000/$62,254 School Board: $25,000/$88,937 $25,000/$87,254 Sale Information: Sale Date: 6/1997 Sale Amount: $124,000 Sale O /R: 17694 -1278 Sales Qualification Description: Sales which are qualified View Additional Sales [Close window' [Click here to Print' This report was created on 11/23/2011 1:43:51 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /proptextjrint .asp ?folio= 1121360040120 &cmd = 11/23/2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION i BUSINESS NAME: _ ° may., AJE O� igect-cL BUSINESS ADDRESS: /0 ✓� (8 "��� �v °-" v�. STATE ZIP CODE 3 3/ BUSINESS PHONE: (5 - 3 FAX NU CELL PHONE ( ) QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: 1 3C"—±5 1 E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV 2010 11/04 11:50 FAX STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGDLATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 BRINSON, PATRICK L IBS CONSTRUCTION GROUP LT,C A 3370 URA UNIT 35 FL 33180 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.nryflorldallcense com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives_ Our mission at the Department is: License Efficiently, Regulate Fairly. We eonstanfiy strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license) DETACH HERE II001/002 (850) 487 -1395 m \v k 7_ta , ^fie %• ,� ��F� •'� i�1 B,]•�"�di .7m \-* �� E � �t��lY. ifs f a r , a aV 11; �;;,p t';i tk�° 1.��1� 1p I �AFj �W{:�',11�i 3 \�i ;ewe• t�?i" , N.P',)'4J �i tJ C uA ICHN BE R ra.gargiatar„C") t it) c 47 .4. kOt.. c s n n , r 4k r (:k },•a;kl, � •, -.e_( ?iF,•., i44 a. °L. lam•. t s�;Yi oat .tip ' t �N , a fi7!q , ort 4� 0 :�PlyA � . . aSC?ag at)Ja;,_�.r�• .� 1210112011 09:51 9549623396 PEMBROKEPARKCOC A.-+i • ^b ( �,nr fY1n d aa . THIS 15f A.SILL DC fil.07 ...RE: WA R 3 „4k .:A., • 6FSINESS MtBELLOCA� .: . i G tJti:. ,' :5941 51-1 • 33162 NORTH' MI At t 5EACH ' 4Tvi cC1327$1 . . . IBS ,.CONSTF C1.I014 •oi 1110 Lt C, 20. 16375 NE .10 AVE ..,..: . j;'F:Oka�,SS tl:S. POSTAGE NAM, PL 1P'i6iD.:. • No: '31 • :p ( . SIT• . oWt R up 0 1.LG tos CON§Tglict oN i Tow,. ONt,V A. LOCAL DOE� austral TAX me ItgbEfi 1' v1Ot TE AWf =ATM FtECULATDAy.DR ZONtNC LAws of THE cOUNTV QFt =Et NOR HNTh OR HT PICC 1O uPAN NY HR cRDr +ie Loam OMCb C tmMfAtt 13)05.12011 02230021001. 000051:75 SEE OTHER SIDE DO NOT FORWARD IBS CONSTRUCTION GROUP LLC PATRICK BRINSON 16375 NE 18 AVE 201 NORTH MIAMI BEACH FL 33162 4l1�i1 31„ tt YE tii t f „1,1.14„ F.1t1 „ t�i�111 }�1lP��t�111 t1�i11751 PAGE 61101 CERTIFICATE OF LIABILITY INSURANCE PRODUCER FAX (352)376 -8393 Scarborough Company Insurance, Inc. 2811 NW 41st Street P. 0. Box 147050 Gainesville, FL 32614 -7050 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED IBS Construction Group, LLC 16375 NE 18th Avenue Suite 201 N. Miami Beach, FL 33162 INSURER A ADMIRAL INSURER B: PROGRESSIVE INSURANCE INSURER C: AIG INSURANCE COMPANY INSURER 0: INSURER E 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE . , ..:.au POLICY EXPIRATION . , 1 .� :1...,161 LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL maim CA542871 08/01/2011 08/01/2012 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED (FA o $ CLAIMS MADE OCCUR one person) MED EXP (Any one ) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 2,080,000 GERM —1 AGGREGATE LIMIT APPLIES PER POLICY N-11.171: n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 065589337 -0 08/01/2011 08/01/2012 COMBS SINGLE LIMIT (Ea ) $ 1,000,000 X BODILY INJURY (Per person) $ - X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per aid) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY —1 EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABWTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, descrbe under SPECIAL PROVISIONS below WC6983646 08/01!2011 08/01/2012 maysmi ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS STATE GENERAL CONTRACTOR/BUILDING STATE ROOFING CONTRACTOR CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept 10050 NE 2nd Avenue Miami Shores, Florida 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jean Munford /]HM ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Master Permit No Contractor's Name Job Address Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section A (General information) Proce - No Ili DEC 0 5 1011 Low Slope Roof Area (SF) ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 160 ROOF TYPE Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) To (S ) r4,0 0 Section R (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. FLORIDA BUILDING CODE — BUILDING Miami Shores Vi age ar /Adh A PROortVED >•= Ive Set T BY ile DATE ❑ Wood Shin ZONING DEPT -s/S akes BLDG DEPT MY ,° 'c-- /( SUBJECT 10 CCCNIPII..IANICE W111-1 ALL FEDERAL 'STATE AND J IIJJ "�l rr!UL & APID PEGULATIONS Steep Sloped Roof Area (SF) To (S ) r4,0 0 Section R (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High-Velocity Hurricane Zone Uniform Permit Application Form. Sectinn D (Stomp Slopeld Roof System) Roof System Manufacturer: TIL Notice of Acceptance Number: p ttn5 15 Minimum Design Wind Pressures, If Applicabcfrom RAS:1127 or .....‘ Calculations: ■7 t .„ ... P2: Th• 47 P3: Maximum Design Pressure (From the Product Approval Specific System): (73 S Res t rale6C- " .4 101 - - 1 11 - 1 1• Deck Type: Type Underlayment: ITS-6r - 11 D - _ • • • 1 ec8 Insulation: fl Fire Barrier: [Ridge Ventilation?, Fastener Type & Spacing Adhesive Type: Type Cap Sheet: Mean Roof Height: \ Roof Covering: Type & Size Drip LI Edge: 1 ss *-5 FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Sac:tion F (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mf. if the Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. ethadment Based Tile Cal ons RAS 127" L Mg: Mrl• ct Approval Mf (P2:.. R. y Product Approval Mf j i+r z (P �l • ' AI - _ !- Me _ Mr F, Product Approval Mf . V Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Mean Roof Height -DP Roof Slope 2:12 3:12 4:12 15' Product Approval Mf Mr required Moment Resistance* 20' 25' 30' 40' 6:12 6:12 34.4 32.2 7:12 36.5 38.2 39.7 42.2 30A 28.4 26.4 34.4 32.2 36.0 37.4 39.8 33.8 35.1 37.3 30.1 31.6 32.8 34.9 28.0 29.4 30.5 32.4 24.4 26.9 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 tile systems use Method 3. Compared the values for F with the values for Fr. If the F'values are greater than or equal to the Fr values. for each area of the roof. then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P1: (P2: xL = xw• = -W: x L = xw:. =_) -W: xL = s=, =� -W: x cos 8 = Fri Product Approval F' x cos B = Fi2 Product Approval F' x cos 8 = F_, Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P t or P2 or P3 RAS 127 Tabled or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier d Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance Mg Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Fr Calculated Average The Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE - BUILDING 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 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. s Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to\ removing the existing roof system). 3. �G'�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 to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can _e 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 a pearance. 5. Pondingwater. 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. 6. Overflow scuppers (wail 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. 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 duced. It may be beneficial to consider additional venting which can result in extending the service life of the Revised on 7/912009 LD Contractor Signature Date MIAMI•DADE COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 8825 NW 95th Street Medley, FL 33178 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 w.m lamidade.eovibuildina/ 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 Section 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 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. BORA 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: Santafe Spanish `S' Clay 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 renews NOA# 07- 0626.03 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 10-1005.15 Expiration Date: 02/01/16 Approval Date: 01/06/11 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Deck Type: Roofing Roofing Tiles Clay Wood 1. SCOPE This approves a roofing system using Santa Fe " Santafe `S" Clay Roof Tile, as manufactured by Santafe Tile Corporation in Bogota, Colombia and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Santafe `S' Clay L = 18" Roof Tile W =11.1" Trim Pieces 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE Test Agency, The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies lair, ai » . :'.)x'i.aP►i� APPROVED TAS 112 TAS 112 Product pescription One piece high profile clay roof tile equipped with two nail holes. For nail -on, mortar set and adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Identifier Test Name/Report Date 94 -156 -8 TAS 101 Aug. 1994 94 -156 -9 TAS 102 25- 7205 -1 TAS 101 March 1995 Project 07- 07 -00 -91 TAS 100 (307023) 7I61 -03 Appendix II 7161 -03 Appendix III TAS 108 (Nail -On) Static Uplift Testing TAS 102 & TAS 102(A) Sept. 1994 Dec. 1991 Dec. 1991 NOA No.: 10- 1005.15 Expiration Date: 02/01/16 Approval Date: 01/06/11 Page 2 of 5 Test Agency Redland Technologies Redland Technologies Redland Technologies Celotex Corporation Testing Services IBA Consultants, Inc. PRI Asphalt Technologies, Inc. IBA Consultants, Inc. IBA Consultants, Inc. IBA Consultants, Inc. Test Identifier P 0402 P 0647 -01 P 0631 -01 520305 -01 thru 05 Test Name/Report Date Withdrawal Resistance Testing of Screw vs smooth shank nails TAS 108 (Mortar Set) PA 108 (Mortar Set) PA 102 Sept. 1993 Aug. 1994 July. 1994 June 1999 2353 -4 Restoring Moment Aug. 1999 SFTC - 003 -02-01 2353 -70 2353 -71 2353 -93 TAS 101 TAS 101 TAS 101 ASTM C 1167 12/06/02 09/22/03 09/22/03 07/18/05 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 33 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 Officefor review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight W (Ibf) Length -I (ft) Width -w (ft) Santafe 'S 6.7 1.5 0.958 NOA No.: 10-1005.15 Expiration Date: 02/01/16 Approval Date: 01/06/11 Page 3 of 5 Table 3: Restoring Moments due to Gravity - Mn (ft-Ibf) Tile Profile Table 2: Aerodynamic Multiplyers- X ft3) 5 ":12" Tile r :12" greater Battens X (ft3) X (ft3) Direct Deck Profile Direct Deck Batten Application Direct Deck Santafe 'S' Direct Deck Battens 0.274 0.297 Table 3: Restoring Moments due to Gravity - Mn (ft-Ibf) Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" r :12" greater Battens or Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 529 5.03 5.00 Table 4: Attachment Resistance Expressed as a Moment - MI' (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck Battens Santafe 'S' 2 -10d Ring Shank Nails 21.8 N/A One #8 Screw 29.16'` N/A Two #8 Screws 38.28' N/A One #8 Screw w/ Clip 57.31v N/A Two #8 Screws w/ Clip 57.60' 61.77' 1. Approved screws as noted 'Product manufactured by others'. 2. When using one screw it must be installed in the inside hole located nearest to the. hump of the tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Tile Bond 38.93 Polyfoam Polypro AH 16OTM 28.54 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc. Average weight per patty 10.4 grams. 4 Polyfoam Product, Inc. Average weight per patty 9.4 grams. Table 5A: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Polyfoam Polypro AH 1607"" 63.8' Polyfoam Polypro AH 1607", 61.9° 5 Paddy placement of 63 grams of Polypro AH I6OTM. 6 Paddy placement of 24 grams of Polypro AH 169m. NOA No.: 10-1005.15 Expiration Date: 02/01/16 Approval Date: 01/06/11 Page 4 of 5 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Santafe 'S' Mortar Set 23.6 NOA No.: 10-1005.15 Expiration Date: 02/01/16 Approval Date: 01/06/11 Page 4 of 5 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami -Dade County Product Control Approved ". SANTA FE TM MADE IN COLOMBIA LABEL FOR SANTA FE SPANISH "S" CLAY ROOF TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. 18" PROFILE DRAWING When using one screw use this hole. 11.1" "SANTAFt S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 10-1005.15 Expiration Date: 02/01/16 Approval Date: 01/06/11 Page 5 of 5 BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov/bnildine/ 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: 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 renews and revises NOA # 09- 0806.07 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Roofmg Sub - Category: Underlayment Material: SBS , APP Self- Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Polystick MTS underlayment Manufacturing Location #2 Polystick IR -Xe underlayment Manufacturing Location #1 & #2 Polystick TU underlayment Manufacturing Location #1 & #2 Polystick TU Plus underlayment (Facer of Membrane with surface printing) Manufacturing Location #1 & #2 Polystick TU P underlayment Manufacturing Location #2 Polystick Tile Pro Manufacturing Location #2 Dimensions Roll: 65'8" x 3'33/8" 60 mils thick Roll: 65' x 3'33/8" Or 65' x 3' 80 mils thick Roll: 32'10" x 3'33/8" 100 mils thick MIAMI•DADE COUNTY APPROVED Roll: 65' x 3'33/8" 80 mils thick Roll: 32'10" x 3'3-3/8" 130 mils thick Roll: 61' x 3'33/8" 60 mils thick Test Product Specification Description TAS 103 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. TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced with a high strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt waterproofing membrane, glass -fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 2 of 8 PRODUCTS DESCRIPTION: Product Polystick Dual Pro Manufacturing Location #2 Dimensions Roll: 61' x 3'3-3/8" 60 mils thick MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED: Test Agency Exterior Research & Design, LLC Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. MIAMI•DADE COUNTY APPROVED Test Specification ASTM D 1970 Test Identifier 11756.04.01 -1 11756.08.01 -1 02202.08.05 P5110.08.07 P10870.09.08 -R1 P10870.04.09 P33360.06.10 P33370.03.11 P36900.09.11 PRI01111 PUSA- 005 -02 -01 PUSA- 018 -02 -01 PUSA- 035 -02 -01 PUSA- 033 -02 -01 PUSA- 055 -02 -02 PUSA- 083 -02 -01 PUSA- 089 -02 -01 JX20H7A RX14E8A DX23D8B DX23D8A Product Description A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane, specific for use as a high temperature underlayment. Designed as a metal roofing. Test Name/Renort TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 ASTM D1970 TAS 103 TAS 103 /ASTM D4798 & G155 ASTM D 4977 ASTM D 4977 ASTM D 2523 TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 Date 04/27/01 08/14/01 08/29/05 08/29/07 12/04/08 04/13/09 07/01/10 03/02/11 09/01/11 04/08/02 01/31/02 07/14/03 09/29/06 01/12/06 12/10/07 06/30/08 07/06/09 04/01/08 11/09/09 02/18/10 02/18/10 NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated 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 membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3 -%2" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. MANMADE COUNTY APPROVED NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, and Tile Pro may be used in asphaltic shingles, wood shakes and shingles, non- structural metal roofing, roof tile systems and quarry slate roof assemblies. IR -Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. Dual Pro may be used in all the previous assemblies listed except roof tile systems. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre - existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations (days) Polystick MTS MTS IR Xe TU TU Plus TU P Tile Pro Dual Pro Winter Haven, FL. 180 180 180 180 180 180 180 Hazelton, PA. N/A 30 30 180 N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU and TU Plus may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR -Xe, and Tile Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick m -Xe Polystick TU, TU Plus, TU P, Tile Pro Flat Tile Prohibited without battens 5:12 No limitation Profiled Tile Prohibited without battens Prohibited No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. 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 for all underlayments except Polystick MTS which shall be loaded onto battens. 6 Roofing Tiles (6 Max Per Stack) 12 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 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. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back - nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back - nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter- battens, as required by the tile manufacturers NOA's, 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 1/4"/12 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty-Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self - adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be 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 and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894 -4563. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 7 of 8 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894 -4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE MIAMI•DADE COUNTY APPROVED NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 8 of 8 MIAMI COUNTY 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, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miani dade.gov /building! 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® AH160 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. MIAMIOADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: 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® All 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 Dimensions Test Product Description Specifications Polypro® AH160 N/A TAS 101 Two component polyurethane foam adhesive Foampro® RTF1000 N/A Dispensing Equipment ProPackc? 30 & 100 N/A 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: Pronertv Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbsift.3 18 PS1 Parallel to rise 12 PS1 Perpendicular to rise 28 PS1 Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158 °F., 100% Humidity, 2 weeks 86% 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. MIAMFDADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 2 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. PolyproN 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 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. (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 LABELING: All Polyproi.D 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. MIAMI•DADE COUNTY APPROVED 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 Nall through plastic cement Paddy (Beneath Tile) Undedaymenl 1 10 in`. EavaWas Ems Come Focht Eave course only; Keep adhesive appmx, 4ln.up from weepholes Nall through plastic cement Undetlaymant Paddy (Beneath TIN) Nall through plastic cement Undedaymant 1 Paddy (Beneath Tile) 10 ht. Ewa Coutao Eave course only: Keep adhesive approx. 4in. up from weepholes Faacls Woephoie Eave closure Drip edge 1) Place enough adhesive to achieve 17 to 23 OpUona 214'afor square inches in contact with the pan Ole clasp Pitch applications T1 �Foo�le�Groover U21no drmdedge . Then [Wall the tge, 10 In. FavaCouroe Underiayment 1 Nail through plaeVc cement Eava costars only: Keepadhealvva approx. 41n. up tromweepholos MIAMI•DADE COUNTY APPROVED Fascia Eno Closure R toppodlon otiheeavo course covert le. Abut to second course of pantiles, Ensure eave end of pan and ewer Wes me flush at save line Eave closure Weephote Fascia (mortar shown) Sheathing OptIonal Pelatup Mortar on gah��l edges NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall through plastic cement Underlsyment Nall through plastic cement Nall through plastic cement Faddy (Beneath Tile) Underlayment 71n' 1n. Eave Course Fascia Weephole Este ciosure Drip edge Paddy (Beneath Tile} Eava Closure Eave Course MIAMI•DADE COUNTY APPROVED Fascia NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 6 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB -589 -631 ASTM D I623 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® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANI3I -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. (—F -2) -W F'— MIAMI•DADE COUNTY APPROVED MS NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 3 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy (between tile) Paddy (under Ole) (3,1n. 3 in. Single paddy on under - layment Single paddy under tile Single paddy on top of tile e course In, X 7 In, medium size paddy gave Fascia course only Nall through plastic cement Nall through plastic cement Single paddy under tile Underlayment Single paddy between tile 2 In. x 71n. medlum co paddy save course only ter In.x 3 in. 4In. Single paddy on under• layment Single paddy on top of tile Course Fascla Weephole Eave closure Drip edge Single paddy between tile Pel'iln.x 3 In. Single paddy on underlayment Single paddy on top of tile Elva Course Eave Closure 21n. x 7 In, medium FasciIse paddy save course only a END OF THIS ACCEPTANCE MANMADE COUNTY APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 7 of 7