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RF-12-470Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 171259 Permit Number: RF- 3- 12-470 Scheduled Inspection Date: March 28, 2012 Inspector: Rodriguez, Jorge Owner: ILETO, JOEL & LOLITA Job Address: 541 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: M.R. SANCHEZ CARPENTRY, INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1132060170960 Phone: (786)355 -0212 Building Department Comments REPAIR CLAY ROOF Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 27, 2012 For Inspections please call: (305)762 -4949 Page 10 of 21 Miami S hores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # \2 _ 70 DATE: a /2 9/iz I N C.7c , (Print name and circle License Type) INSPECTION AFFIDAVIT License #: GC-C-- 1NZn ro licensed as a (n) Conractor/ Engineer / Architect, FS 468 Building Inspector On or about ? /i--L , I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at d l‘ \o L s :r��z \mot S ee `N3 '�� (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 sworn, deposes and says that he /she is the contractor for the above property mentioned. Swom to and subscribed before me this 2:1--c* day of �t,c-c�, ®�Z. Notary Public, Sate of Florida at Large rd iarmic SANDRA M. GA CR my COMMISSION 4 EE915 FIRES: July 15, 2014 F7.Ne w DimanAceao. Ca *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 f 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 B34'3117,— DING � PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 5lAk \®2... S S Permit No. MAR 1D 2 FBC 20 01 Master Permit No. ROOFING City: Miami Shores County: Miami Dade Folio/Parcel #: NA. ( - O °4 - c 6 Is the Building Historically Designated: Yes Zip: `3 Vs OWNER: Name (Fee Simple Titleholder): c-Dl- Address: City: A \ A)\ Tenant/Lessee Name: (.N• State: Flood Zone: :v c 0 Phone #: _ 7 " 7 l G4 "1e Zip: .33 Phone #: Email: CONTRACTOR: Company Name: VN „Q.,. S Q%-.v c.kve.Z (' INLR �z� o col c. Phone #:6 es NS o Address: \-1&-i. ( N o W , S City: State: `- Qualifier Name: �c �� r R . Sc: ic\4e1 Phone #: State Certification or Registration #: C C, C_ rct_..1(p Ce' Certificate of Competency #: Zip: c- Contact Phone #: C3 cS e51- Email Address: QNS t\c1C-A- . (-45 DESIGNER: Architect/Engineer: ixc Phone #: Value of Work for this *mit: $ \ o • `2,i, Square/Linear Footage of Work: So Type of Work: U ddition ❑Alteration ONew/Replace ODemolition Description of Work: c Submittal Fee $ Permit Fee $ OV oc'.) CCF $ _ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ _ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 110 7 1 Bonding Company's Name (if applicable) �+ �/ P Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) #17/7.6\- 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no, be approved and a reinspection fee will be charged. Signature Signature Owner or, gent Contractor The foregoing instrument was acknowledged before me this 11 The foregoing instrument was acknowledged before m- e this 1� day of Niar 20 a., by �% iC7r$C, Imo- .., of pot ,20IL,by \1C 1 VlQ2 who is personally known to me or wlb6has produced �� who is personally ..� o to me or who has produced i t 3b ° 4! (.4 CR C) As identification and who did take an oath. as identification and who did take an oath. ' v � INOTARY PUBLIC: s,v � A NOTARY PUBLIC: EE9158 My 1my M:sad Amos. Co. Sign: Print: My Commission Expires: APPROVED BY Sign: Print: / rota rc 1c(, My Commission Expires: 0110 2-0 It , SANDRA M, GARS MY CONTI '..'. ; _∎.' ^',10 F ,9lip EXT'1F Z: Jg,;y 19, :1014 NotaYaggelist R. Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09) JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL 0FFrc DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * I ICATE OF SECTWN TO BE EXEMPT FROM FLORIDA WNW CONWIDISATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Ronda Workers' Compensation Iaw. 06 -06 -2011 EFFECTIVE DATE 06/06/2011 EXPIRATION DATE 0610512013 PERSONk SANCHEZ FEIN: 571205691 BUSINESS NAME AND ADDRESS: MR SANCHEZ CARPENTRY INC 13480 M1 5 Ate NORTH MIAMI FL 33188 VICTOR SCOPES OF BUSINESS OR TRADE 1- CERTIFIED ROOFING CONTRACTOR 2- CERTIFIED GENERAL fOiflRACTOR * IMPORTANT: Part to Chaps 440 . 05(141. F.S„ an °Dicer 01 a corporation who elects exempmu from this drawer by fmIrg a csaiiarte of election utter this seciloe may eat recover benefits or uspensation aader this chapter. Puissant to Chapter 440.05(12). F.S., Certificates of 010 lien to be exempt... apply only within the scope of ale bzwisess or node listed on to Lathe al election to be exempL Pormalt t0 Chapter 440.8503). F.S.. Boifces of election to be exempt ea =Melee of election to he exempt sbeII he subject to retecation if. et say thee after the Meg of the ice or the issonace of the fie, We perms aimed on the sauce or ceiOTcaee as toad meets dee regatrestests of this section few issuance of a cerWTtete. The detanlisast alt make a saddhate at say doe far fines a1 are perms named on the eenhteato to meet the tegaireanons of this section. ,QUESTIONS? MO) 413-180 OWC -252 CERTIFICATE OF ELECTION TO BE E eer Ri 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMEIST OF FINANCIAL SERVICES DIVISION OF WORKERS' CONSTRUCTION INDUSTRY CERTIFICATE MECO= TO fib EXEMPi FRCVS FLORA WORKERS' Ted LAM EFFECTIVE 06/06/2011 EXPIRATION DATE: 06/05/2013 PERSON: VICTOR SANCHEZ FEIN% 571205681 BUSINESS NAME AND ADDRESS: MR SANCHEZ CARPENTRY INC 13480 NW 5 AVEMIE NORTH MIAM` FL 33180 SCOPE OF BUSINESS OR TIRADE 1- CERTIFIED ROOFING CONTRACTOR 2- t3 C,iaERA&. CONTRACTOR F IMPORTANT Furst t to Chapter 44105(14), F.S., an officer of a won who O elects exemption from Mb ch iter by filing a certificate of election Dmay not recover bt fits or under this ParOmat to Chapter 440.05(12). F.S., Certificates of election to be exempt. apply only wiUtin the scope of the business or irate listed an the nodal of election to be exempt Pursuant to Chasm. 440.115(13). F.S., Notices of election to be exempt amt certifietes of election to be exempt shall be subject to revoontian at any time after the f0ing of the nodes or the issuance of the certificate, the person Tamed en the 1Nltice or certificate no Ranger meets the requirements of this seethe far issimice of a cerdfiate. The department'stall rev the a tertiflcate at sty thne for failure of the person teamed on the certificate to nit the requhmemods of this section. H E R E QUESTIONS? (850) 413 -1809 CUT HERE Carry bottom portion on the job, keep upper Portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 06-06-2011 JEFF; ATWATEt STATE OF FLORIDA ODIFFINANCOLOFFICER D&ARTMRI4T Cr FINANCIAL SERVICES DIVISION OF W0 COMPENSATION * * =ECM OF ®, ICTOW 111 11E.EXIMPT MA RAMA W0 COMPENSATKIN LAW ** CONSNIJCTION DDIDTRY EXEI 11ON This certifies that the indivithail listed below has elected to he ex from Florida Workws* Compensation law. OFECTIVE DATE 07/10/2011 EXPIRATION DATE 07/0912013 MERXIADES FE B% BUSINESS NAME AND ADORE M R SANG EZ CARPENTRY DC 13460 N MIN A1 NORTH MANI FL 33168 SCOPES OF BUST ESS OR TRADE 1- CERTIFIED RODFINEI CONntsgroil 2- CERTIFIED GENERAL C swoinion mous la arrow 440 - 05114b F.L. as agar of a comonsion eao elects esesptio hew Ids &VW by lithe a certinella e! sly aathr this swine nay not teams 6edts or composition odor 08s asps. Moe is Cigar 440.05146, F.S. Nulificates al dodge to be eae>epL.. Y 08y rri8 the scope al tire '.:i rid ar mate (0*01 on t#e wtiee at electioe no be mop. Past to tlsp1e 440.051031 F.S., ifs af election to be awl d fides of election to be exempt droll be e Mona= A et of arse after the Mon *1 tie aatke ca the imonose a4 cestifirsta, m person arena as the mice or certificate so two= seem rim insparearnos of this section for i--- al a aatWcate. The &Wilma skald revoke a astificaro N oar time for Mtge at the person armee as die coalliate to sass the aquirernents of this sestina. QUESTS'S? OEM 413 - 1001 0Wc -252 C101TIFMA1E OF ELECTION 1O IN EXiMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE oF FLORIDA MIFARTNENT OP FINANCIAL SERVICES MAKIN OF WORKERS' COMPENSATION TESBE E�Pr4i0MFto EFFECTIVE 07/10/2011 EXPIRATION DATE: 07/09/2013 FEIM 571205691 BUSINESS NAME AND Ai Sc M It eM0*IE2 coneennar roc 13460 aW MI AVOW KOA1n IMA19, Fm. 331M SCCrE OF ERISINESS OR TRADE 1- doom ROOFOO2 CaiatACF40 a- CEMMED MEM CONMACTOR IMPORTANT F pt to 448L85(141, F.S., ne officer of a cor@ryatimm who O alerts from this dtl 1 by Sing eertU te of election L and this secdan may trot recover benefits or this Dew oomit to Chapter 44005118, F.S. , Certificates of election to be f1 Ptomain wily within the seeps of tie or trade listed on Nc the notice of election to be exonat. E Pursuant to Chapter o and certificates of eked= zo be subject to if, at airy time after the fMng of the notice or Drs Wont= of the the person named on the notice or certificate no Wooer meets the requirements of this section for imam of a certificate. the of the person me�Da� toed of this section. QIESfr NW 413 -1809 CUT NNERE • Cony bottom portion on the Job, kw upper pardon for your yids` OWC -252 8 RUFI'AWE OF ELECTION 10 Of EXt3NT REVISED 01 -11 JEFF ATWATER cHIEFFnNANCIALOFRCER STATE. OF FLORIDA DEPARTMENT OF FINANCIAL .SERVICES DIVISION OF WORKERS' COMPENSATION- *. * CHITWICATE OF ELECTION TO BE EXORPT RUIN! FLORIDA WOMBS' SATION LAW* CONSTRUCTION INDUSTRY -EXEMPTION This certifies that the individual .listed below has elected to be exempt- from Florida Workers' Compensation law• 02=17 -2012 EFFECTIVE DATE PERSON: 02/1712012 EXPIRATION DATE 02/166/2014 RAMON SANCtIEZ FEIft 571205691 _ .. BUSINESS NAME AND - ADDRESS: MR SASICHE2 : CARPENTRY I NC 13460 NW " 5 AVENUE NORTH MIAMI P1. 33168 SCOPES OF BUSINESS OR. TRACE CERTIFIED MOPING CONTRACTOR 2- CERTIFIED GENERAL C NTRACTOR IMPORTANT: Pursuer to Mater 440 -. 03(14). F.S, a¢ -fitter 01 -a croperatlire who elects esomptioe dram 8is chapter by Wag a cm1Uteate.it e(etiao Bede this- atuslan Ray eat recover treaties or Compeasatlaa. Bala/. Pots chapter. Pasoan to Chapter 440.05(12). F-5.. Certiihces of erection to be ems.- apply oily e03io 'the ...scope of the imsker s or orate Nur Mice- of steaks to be exempt. Pursue* to Chapter 440.03(13 F.S., Oakes of eked* to be eft and certMates *1 'election to .be -saes* sbaii bo subject it revaistlan if, at soy after Os Map m rho alike or to tssaeaee. of - the pars* led o the gatico or certificate ao Wager meets the issulresseuts 01 the section for Issue* of a certificate. The japer/seat shall reetke a cettif11e at any time ter fayfre of the pews Road ea the certptate to our the 'extremes el this sautes. (WESTIONS? (850) 413 -1600 DWC -252 CERTIFICATE OF Er.ECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE . STATE OF FLORIDA DEd'ARTMENT OF RPNIN 0A1. SENtioits DIVISION OP WoRIONts' cowman:el CONSTRUCTION UNDUNTRY CERTIFICATE OF ELECTiON -RI BE EXIMA T FROM FLORIDA WORKERS* COMPENSATION LAW EFFECTIVE 02/17/2012 EXPIRATION- DATE: PERSON RAMOPI SANCHEZ FEU1t 5712058891 BUSINESS NAME AND ADDRESarc net SANCHEZ cARPElTRir 13460 NW S AVENUE NORTH MMMI. FL 33188 02116/2014 SCOPE OF BUSINESS OR TRADE 1- ceiuu -tau ROOFaG CONTRACTOR 2- CERMET.' GENET& Y nieAcroR - - IMPORTANT F Pursuant to 440.05(14). F.S. officer of a t ation who' • a elects exemption from this d by filing a certificate of election L Under MIS Section map not recover benefits or on under this Pursuan to Chapter 440.05(1a Certificates of election to be H exempt- apply only within ties scope of tie business or trade listed on Rthe nice of election to be exempt • E PnrsUant to 'Diaper 440.15413.. F.S, 'Notices of elation to be exempt and certificates of election to be exempt Shari be subject to 'revocation if, at any time after the tam of- the notice or the hnce of the certificate tine person ' on the notice or Certificate no longer meets the requirements of this section for issuance of a certificate. Tire dint shall rye 8 certificate at any time for tenure' of the prson: named on ,the cartifl rate to meat the requirtinients of tins • section. - QUESTIONS? . (850) 413-1609 •4217 HERE the job, keep upper . portion for your records. 7WC -252. CERTIFICATE iF: ELECTION TO B f XEMPT ;BEMs® 41 -11 rat• 03 -02 -2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW.* CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation Iaw. EFFECTIVE DATE: 03/25/2011 EXPIRATION DATE: 03/24/20131 PERSON: VARGAS GABRIEL H FEIN: 550798424 BUSINESS NAME AND ADDRESS: J S SERVICES ENTITY INC 12031 SW 211N0 TERRACE MIAMI FL 33177 SCOPES OF BUSINESS OR TRADE 1- REPAIR SERVICE 3- INSTALLATION SERVICES' 2- HANDYMAN 4- TILE IMPORTANT: Pursuant to Chapter 440. 00114), F.8., an officer of a corporation who elects exemption from this chapter by tiling a certtllene of election under this section may not recover beneltts or compensation coder this chapter. Pursuant to Chapter 440.00{12), F.B., Certificetes 01 elecHae 10 be exempt... apply only edible the scope of tbo business or trade listed on the notice of election to be exempt. Pursues! to Chapter 440.08(13), F.S., Notices of election to be exempt end certificates of election to be eitempt shelf be subject to revocation If, el any time after the filing of the notice or the issuance of the certificate, Me person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certifiene. The departure! shell revoke a certificate el ay time for failure of the person aimed on the certificate to meet the requirements of tits section. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 QUESTIONS? 1880) 413 -1609 ,, ,ALex SINK STATE OF FLORIDA R w : ' CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL. SERVICES -.. DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. 03 -31 -2010 ,~ v Fy,l EFFECTIVE DATE: 03131/2010 PERSON: VARGAS FEIN: 860198424 BUSINES4 NAME AND ADDRESS: J S SERVICES ENTITY INC 19499 SW 59TH STREET MIAMI PL 33193 SCOPES OF BUSINESS OR TRADE: 1- REPAIR SERVICE 3- INSTALLATION SERVICES y' -)I EXPIRATION DATE: 0313012012 MAURICIO aN 2- NANDYNAN 4- TILE 1MP0RTANT1 Poraw,t 10 Chapter 440 .,0N14), F.9,, en officer of a sorponUos who elects exemption from Nib chapter by flUnp a cattilicate of election odder Iola section may not /stem/ benefits or coinpaeution under this chapter. Pursonnt to Chapter 440.03ft2f, f.14.CerUNestea el Shake IQ be exeagtt.., apply only wtthle the seeps of the business or trade haled on the notice of election to be exempt. Pursue to Chapter 440.05113), F.B., Notices of election to be exeut and eertiileates of elution to be exempt shell be aablect to revocation 0, at say time idler the filing al the notice ar 11T trounce of Use certificate, the portion aerated on the notice or certtituts no loupe, motto the requirements of this aestlon for bounce of e certtitwde. Tbs deputed tall revoke a catalogs a any .time for iellure al the person mimed an Os eertiftoae to resat the requirements of Ole settle% t ;., �. 011ES11 ONS7 08601 413 -1808 OWC -262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -08 A p. JEFF ATWATER -STATE OF FLORIDA claw Mean oFFicat DEPARTMENT OF FINANCIAL SERVICES • DIVISION OF WORKERS' COMPENSA ION * * CERTIFICATE OF LEMON TO RE EXEMPT FROM FLORIDA WORIIERS COMP$NSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the Individual listed below has elected to.be exempt from Florida Weans Compensation law. Olt -22 -.2011 INFEC'TIVE DATE 08122/2011 EXPIRATION DATE 0812112013 PERSON FIGUEROA RAFAEL FEIN 272988280 BUSINESS NAME AND ADORES& CTiVTHt CAROM CORP kl MN MB MUM FL 33012 SCOPES OP BUSINESS OR TRADE 1- DEMUR REMOVAL a 6 IMPORTANT* Perim to Casper 440. int swats esemption tram ibis duster by Mg s statilisste of election Wu this lant ellt maw Bosofile or compensation 00401 *01* ihopler. Pernai to Chaps 44185(13) F.S., Ceitillcates of sleuths to be exempt... apply oily Wilda the scope of the' badness or trete limed on the make at demise to be esempl. Paseo to Chapter 440.05114 F.S., bikes 'of Mend= to be exeMpl ad certificate of elective to be exempt stall be =blest to netecella it it any tiler the Ming el lite Mite or die Issue= of the ceitificele, the person named on Ike Win or cenificMs co Miff MSS reithirementa of Ws entice 1. ismatte ole oattilleete. The deportmest bilI inks s ceitlitcate in any tIas Ira faihno of the penes named on the cemillesto to meet Out amdremests of this widths 0111g-252 OBMSCATE OF ELECTION TO BE EXEMPT REINED 01-11 QUESTIONS? MHO 413-180. Miami Shores V,iiage 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 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Date: 3/10°?... Property Address: Sy\ N�c \o2 �es�L `1 -5\38- Roofing Permit Number: Dear Building Official: I ( 0- certify that I am not required to retrofit the roof to wall connections of my building because: 7The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) WFTD Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he /she is the owner for the above property mentioned. Swom to and subscribed before me this 1(1 day of L'br °_h 2612. Notary Public, Sate of Florida at Large IA Gn iCI CU • When the Just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. SANDRA M. GARCIA my COMMISSION # EE9158 EXPIRES: My 15.2014 FL Nolen, Dimwit Aran Co. Revised on 5/21/2009 Miami Shores Villa e 9 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 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: �� Date: 3 // o /�'2— Property Address: S'- \ plc \oz s ��, S eS `�� 3��3�s Roofing Permit Number: Dear Building Official: I a.� L certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he /she is the owner for the above property mentioned. Sworn to and subscribed before me this I L.Q day of �OIC� �I Z. Notary Public, Sate of Florida at Large � tC�e2crcic) When the just valuation of the structure for purpose of ad valorem taxation Is equal to or mo than $300,000.00, and the building was not constructed with FBC nor a 1994 -T SANDRA M. GA�IA ,` MY COMMISSION #EE9158 EXPIRES: July 15.2014 FL �� SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/2112009 ECEraD 19 2C!! Florida Building Code Edition 2010 H' • h Vel .. Hurricane Zone Uniform Permit Ale cation F P ERIVAT APPROVED ZONING DEPT BLDG DEPT SUB„ECT 27 CGNIPLIANLL Section A (General Information) ster Permit No. Process No. ctor's Name c c� \ �P*OL \eL Ica CA dress `-1 S -Kr esz7c . Cc\,∎W‘.cO. ROOF CATEGORY ❑ Mechanically Fastened Tile Pi Mortar /Adhesive Set Tile ❑ Metal PanellShingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof ❑ Reroofing ❑ Recovering a$( Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) ❑ Low Slope ❑ Asphaltic Shingles S o Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. n i ALL FEDERAL AND _Lfl i 2010 FLORIDA BUILDING CODE — RESIDENTIAL 44.21 HIGH- VELOCITY HURRICANE ZONES Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: C_ \...s.,,,�0(-se .e�-1 \_ \.� Product Approval Number: b 4 — eici \ t 4 oS Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: . ®\ P2: (5. P3: 7-co . 4 _. Maximum Design Pressure Product Approval Specific System: .1- Method of tile attachment C®N.- •NcD 9,e\. Roof Slope: 3 : 12 Steep Sloped Roof System Description Deck Type: ype Underiayment: Insulation: Fire Barrier: Ridge Ventilation? Fastener Type & Spacing: dhesive Type: ype Cap Sheet: Mean Roof Height: \' Roof Covering: Type & Size Drip dge: �QS 2010 FLORIDA BUILDING CODE — RESIDENTIAL 44,23 HIGH - VELOCITY HURRICANE ZONES Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for Mrwith the values from Mr. If the Mt values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. �� 0 41 -r''O Method 1 "Moment Based Tile Calculations Per RAS 127" Md r?. n' Product Approval S� x?1, oZ`�`f = 12.1(e)- S -3S =Mrt PProvalMr cd'•'?- (P_: % x '1 = 2 \•S ) - M . 5 -3S = Mrz I (0.11 Product Approval Mr 33-' (P3: I #(P 4- x iL .274 = 3t t -()- Mg S-3S = Mr3 24- qct Product Approval Mr' X•`7- Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval M► Mr Required Moment Resistance* Mean Roof Height -)r Roof Slope ,i, 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based 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 "Uplift Based Tile Calculations Per RAS 127" (Pt: xl:= x w:= )- W:_x cos O :•_= Fri: xI:_ =_x AV: =_)- W:_x COS 8 :•_= Fn: (P3: x I: _ = _ w: = ) - W: _ .x cos 8: = Fri: F Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height 11 Job Site Roof Slope 9 Job Site Aerodynamic Multiplier A • Product Approval Restoring Moment due to Gravity MR Product Approval Attachment Resistanee Mr Product Approval Required Moment Resistance M, Calculated Minimum Attachment Resistance P Product Approval Required Uplift Resistance F, Calculated Average Tile Weight W Product Approval Tile Dimensions I= length v.= width Product Approval All calculations must be submitted to the Building Official at the time of permit application. 44.24 2010 FLORIDA BUILDING CODE - RESIDENTIAL 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. —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. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be re ' d 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 townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or ould notify the occupants of adjacent units of roofing to be performed. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can • from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. onding water: The current roof system and /or deck of the building may not drain well and may e' use ter 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. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not d 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 f the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. NY), 1 igna ure Date Revised on 7/9/2009 LD Contractor Signature 3 Date M I A M I•DAt BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Clay Forever, LLC 6801 NW 77th Avenue Miami, FL 33166 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 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 including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Altusa "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 #06 -0706.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing Roofing Tiles Clay 1. SCOPE This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Alfareria Del Turbio, S.A. (ALTUSA) in Venezuela 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 Applicant Dimensions Altusa One Piece `S' L = 181 /a" Tile W = 10.5" lh" thick nominal 3.25" high Length: varies Width: varies varying thickness L = 6" D= 0.125" L &h = 2" W =%2„ 0.05" thick Trim Pieces Clip Clip 2.1 SUBMITTED EVIDENCE: Test Agency IBA Consultants, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Test Specifications TAS 112 TAS 112 TAS 114 TAS 114 Test Identifier . 2397 -116 94 -083 94-084 25- 7200 -1 Project No. 307025 Test #MDC -78 MTS 520649 Product Description High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications with minimal headlap of 2-1/2" Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. • Tile clip L Shaped tile clip Test Name/Report Date ASTM C 1167 06/28/07 Static Uplift Testing April 1994 TAS 101 (Adhesive Set) Static Uplift Testing May 1994 TAS 101 (Mortar Set) Static Uplift Testing Feb. 1995 TAS 102 (Quick -Drive Screws, Battens) Wind Driven Rain ' Oct. 1994 TAS 100 TAS 102(A) May 2000 NOA No.: 07 -0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 2 of 7 Test Agency PRI Asphalt Technology, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier CLF- iO3 -02 -01 7161 -03; Appendix 111 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 P0402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations 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 RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for 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 'Altusa One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Test Name/Report TAS 102 TAS 102 Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Date October 2001 Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 3 of 7 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight- W'(Ibf) Length -I (ft) Width -w (ft) Altusa 'S' Tile 6.9 1.52 0.875 Table 3: Restoring Moments due to Gravity - Ma (ft-Ibf Tile Profile Table 2: Aerod namic Multi • tiers - X ft3 4 ": 12" Tile 6 ": 12" 1(ft) 1(ft) Battens Profile Battens Batten A. • iication Direct Deck , • ' lication Altusa 'S' Tile Battens Direct Deck 0.253 0.274 Table 3: Restoring Moments due to Gravity - Ma (ft-Ibf Tile Profile 3 ": 12" or ess 4 ": 12" 5 ": 12" 6 ": 12" 7 ": 12" or greater Altusa 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) . for Nail -On Systems Tile Profile Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Battens Altusa 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 .6.8 2.8 2-10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 . #8, Screw • 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Altusa Clip (See c ip details) Altusa "S" Tile' 1 Screw with clip (at the head of tile) 187.1 187.1 N/A Altusa "S" Tile' 1 Screw with clip (at the water course of tile) 35.2 35.2 N/A 1. Screw must be installed in the inside nail hole located nearest to the hump of the tile. NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 4 of 7 Table 6: Attachment Resistance Expressed as a Moment M1 (ft -Ibf) for Two Pa Adhesive Set S stems Tile Profile Tile Application Minimum Attachment Resistance Altusa 'S' Tile Adhesive 29.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 7: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Sin • le Pa Adhesive Set stems Tile Profile Tile Application Minimum Attachment Resistance Altusa `S' Tile Polyfoam PolyProTM 66.54 Polyfoam PolyProT"" 38.7b 4 Large paddy placement of 63 grams of PolyProng. 5 Medium paddy placement of 24 grams of PolyPrem. Table 8: Attachment Resistance Expressed as a Moment - M1(ft-Ibf) for Mortar Set Systems . Tile Profile Tile Application Attachment Resistance Altusa `S' Tile Mortar Set' 24.50 5. 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 ". * * * ALTUSA MADE IN VENEZUELA IDENTIFICATION MARK FOR ALTUSA `S' CLAY ROOF TILE LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 07- 0919.05 Expiration Date: 12 /16/12 Approval Date: 12/20/07 Page 5 of 7 PROFILE DRAWINGS ALTUSA 'S' CLAY ROOF TILE 'SPANISH S" TILE BY ALTUS MIN CLIP DETAILS 2-1i2 OVERLAP (COVERS PIN HOLE) SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE DECK ' CLIP WITH ONE (1) SCREW _ ATTACHED TO DECK CUP PLACEMENT DETAIL CUP NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 6 of 7 SCREW (HOLDS CLIP ONTO DECK) °SPANISH S" TILE BY ALTUSA (TYP.) CLIP DETAILS (CON'T) 21/2° OVERLAP (COVERS PIN HOLE) SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HUMP OF THE TILE CUP PLACEMENT DETAIL DECK 11/4° 13/4° 3/4° / r r END OF THIS ACCEPTANCE NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 7 of 7 MIAMI. COUNTY` 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 /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: 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 Cateeorv: Roofing 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 Dimensions Roll: 65'8" x 3'33/8" 60 mils thick Roll: 65' x 3'3-3/8" Or 65' x 3' 80 mils thick Polystick TU Roll: underlayment 32' 10" x 3'33/8' Manufacturing Location 100 mils thick #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 Roll: 65' x 3'33/8" 80 mils thick Roll: 32' 10" x 3'33/8" 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 polyolefmic 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 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. TAS 103 and A rubberized asphalt waterproofing membrane, ASTM D 1970 glass -fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. TAS 103 and ASTM D 1970 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 IERD PRI Asphalt Technologies Momentum Technologies, Inc. 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/Report TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 TAS 103 /ASTM D4798 ASTM D1970 TAS 103 TAS 103 /ASTM D4798 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 & G155 04/13/09 07/01/10 03/02/11 & G155 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-Y2" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 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 the 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 IR-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. 0 0 t0 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'/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 roofmg 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 orl APPROVED 1 NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 8 of 8