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RF-12-5Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168382 Permit Number: RF- 1 -12 -5 Scheduled Inspection Date: March 16, 2012 Inspector: Bruhn, Norman Owner: BORUCHOW, IRWIN Job Address: 960 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: DALEY ROOFING INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile /Flat Phone Number Parcel Number 1132050070130 Phone: (305)754 -9892 Building Department Comments RE -ROOF TILE ROOF WITH FLAT WHITE COLOR THRU AND FLAT ROOF Passec2k7L1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 15, 2012 For Inspections please call: (305)762 -4949 Page 2 of 4 Lab Report No. 120240 FLORIDA E Providing Solutions to the Roofing Industry C.A. #: 26095 Lab Certificate: 09- 0715.02 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO -DADE COUNTY PROTOCOL TAS -106 PROPERTY ADDRESS: 960 NE 95 Street Miami Shores PERMIT No: OWNER: CONTRACTOR: Daley Roofing TILE TYPE: Flat ATTACHMENT: PolyfoamTM Screws Testing Equipment: Digital Chatillon DFIS 200 Test Tabulation ROOFING SQUARES: 16 ROOF PITCH: 7:12 INSPECTOR INITIALS:: AA TEST DATE: March 14, 2012 Required Testing Force: 35 Ibs No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -9 Passed 10-19 Passed 20 -25 Passed 26-32 Passed THIS ROOF HAS: PASSED FAILED QTHE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS 106. "ROOF SKETCH" viewed by: Alberto C na P.E. -Lic #17138 10735 SW 216 Street 416 Miami, F133170 5 10 11 26 12 j' 13 14 /24 23 2 2\ 25 1 9 18 i 21 16 17 www.floridatec.net Tel: (305) 256 -4550 Fax (305)256 -6833 RE: Permit # ,i ®j - / P- -� Name SdeftetiVeteette 614Vefriatageat 10050 NE tad Ave Miami Shores, Fl 33138 Phone 305495.2204; Fax 305 -756 -8972 www.mlamishoresvillage.com 1 Dfilo Vixey (Print name and circle License Type) License #: 69- co57J'1'a DATE: 3/d-h-9.-- INSPECTION AFFIDAVIT , licensed as a (n FS 468 Building Inspector On or about /// (Date & time) secondary water barrier work at 9/e i ALF,- €95- z ngineer / Architect, , I did personally inspect the roof deck nailing and /or (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) 5)oi e. OctQ,, 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 )roperty mentioned. ;worn to and subscribed before me this 0 .lotary Public, Sate of Florida at Large day of Jj 4,k 2O19'' ,,,,1 CLAUDIA V. CUBILLOS S�'�Ba i I '. #24,1, l `�. Notary Public - State of Florida liiiiiiji� ©�'! « •• e My Comm. Expires Sep 23. 2015 >�ds .o:? Commission # EE 128810 '0,,,,n1.0' Bonded Through National Notary Assn. 3eneral. Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. lclude nhnfnnranhs of Penh nlana of the rnnf with Hermit $i onri od,1r c •c. if nlnnrl... I ...n v.. rr... J . , ab r__1. e__ _ - ... Miami Shores Village &vi,s /I. 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING Permit No. Master Permit No. OWNER: Name (Fee Simple Titleholder): ILI 1e- V-- Phone #: Address: j(iJ ® City: M 11%iVl L .4C,ES State: Zip: ' 13 a Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1620 " City: Miami Shores County: Miami Dade Zip: 35 f Folio/Parcel #: Is the Building Historically Designated: Yes NO ✓ Flood Zone: CONTRACTOR: Company Name: ;A4 t L 2,'16t /o /"' Phone #: Address: , 4,6/0/a 55" City: d fa'� �_ - State: P '7 Qualifier Name: � " ' I e l & - Phone #: State Certification or Registration atioon #: et---e,0 ---e,0 S-7/ tQ � Certificate of Competency #: Contact Phone #: 70 5 Z' Email Address: DESIGNER: Architect/Engineer: Phone #: Sod- 75 ' 9&z Zip: 3-3/35 Value of Work for this Permit: $ Type of Work: ❑Addition Description of Work: / / Gr/2 Square/Linear Footage of Work: ❑Alteration ❑New ❑Repair/Replace Tie ffG ��•-. S700 P_ ❑Demolition Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ 3ra CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was ackn�' edged be day of , 20 _, by , day of /�q tz& , 20 Q, by I i who is personally known to me or who has produced who is personally known to mew who has produced As identification and who did take an oath. P• DO Q-11A" Contractor as identification and who did take an oath. NOTARY PUBLIC: NOTA ' = P LIC: Sign: Sign: Print: Print: My Commission Expires: My Commissio ******* six*************+ x**: ***** *************** **** ********* ********m ************* ********* ******ms=****** **** APPROVED BY �� 4- Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09) IOOF AsSE ISUEG AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High-Velocity Hurricane Zone Uniform Penult Application Form Section D.(Steep Sloped Roof System) Roof System Manufacturer: ,cArreti r • Notice of Acceptance Number: 1 I _ ok/ y, U' Minimum Design Wind Pressures, If Applicable (From RA aIculations�i• tC, i P2' 1 �'` //° P3. 1I VI T #: Z f Miami Shore: APFKUV D BY Maximum Design Pressure (From the Product Appro ific System): ZONING DEFT 10,1 TV,. nreyr Village DATE SUBJECT (0 CCMPUA NCE WITH ALL FEDERAL STATE AND CC►JN'i f R1LES AND REGULATIONS Deck 7jrpe: ype Underlayment: insulation: Fire Barrier: RooMlope: :12 frr Fastener Type & Spacing: Adhesive Type: 1% (S. rvo f r A J bnC ,S lb�4r u, o`Yj r7 L� , �a ��°S, 1c+ ufre. 1��2Ly'f�,��`x�/ 3 fir([. ,� y��••. —/ Type Cap Sheet: Po Lysrlc _ Tv PL-US I Roof Covering: — q A."1/- Mean Roof Height: i q ► b,` ad.. • [ 1s EType & Size Drip 3x 3, 210 I C ' .34 FLORIDA BUILDING CODE -- BUILDING 7/0„, ROOF ASSEMBLIES ASSEMELIES AND ROOFTOP Mumma Florida Buf ding Code Edition 2004 Zane thEor i Porn* Application Pone. FarMamambdt a choose Methed}ar Mayers the Wasdfrld,whhthenine 41)104 Vibe Medea am es�ftodiehi r velum far ash areof the mo&mmdmtile method bsocepttbb. "ester dm at (Pi: jam- ix 3. 4 "ea Tile Pm RAS W „4a S zr • 2s Pagan Annul hil / Dd4' —m ,all Padua Apimovdl► Weed 2 "Simplified UM Cektiktione Pallet&Beble Li, R° 0d *M (Mr) num'thble Mow M 4 Mr itenl)♦nt Raslitence . w Wed be need be aednncdta with a lttofinens= based tiie systems =domed by the I Canny BeandetRWo and Aware. PerUpattbstedessystemsusetddhad3.ComprzedttminthiesterPsieshavaluenterFattbelevehmseatiyarterdumaremedtotheitedums forest am of the axe Sin the Me 'Sediment method br iooeledde. Method Woman Rued 7fteQdcoluteas Per RAS 127" (P1 . . x L +r._._,..x w:.`...J -W: x cos ...p, l Approve! F' _,,,,, ( xL__ ...1*— ^xwr.____) • fi x ooi0 •Fd— ..._.. Padua APA+tvN P' (P3: xL. x__ _,xme- _)- WI„r_x me .Pa Roden Award Ir Wh ew to Obtain information FLORIDA EMDEN OOOE — BUILDERS 1OOF LIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High Velocity Hurricane Zane Uniform Permit Application Form: Section .t Stogy Roof System) Roof System Manufacturer 6_ai Notice of Acceptance Number: /i,04,/ v, 0 et ei nimum Design Wind Pressures, If Applicable (From RAS 127 or lc ul®tllorls)1:. tic; P2: 7t, to P3: M r Maximum Design Pressure (From the Product Appro System): Roof lope: : 12 Steep _Sioped ,Roof System Description Deck YL/4 " Type Underlayment Insulation: Are Barrier: 43P Oo 7 777 ' Rage Vel;tllA ? A/r Fastenerlype & Spacing: Adhesive Tjype: is rooi #ia. /6k712 J PoLyPio Type Cap Sheet Mean Roof Height: /4( r Po SVCie °niP Roof Covering: a9 I 1 pe & Size Drip f34 FLORIDA BUILDING CODE — BUILDING s 11 ROOF A98EDHLl6EAND smitananse Florida Bubb Code Edon 2004 HIghlfelodly Niobium Zone UnDonn Pam* AppEcallon Form. FreMacoeut based tile +ri mt.lboote dtherldethod I on.exepere the whirs radar whit the values tom tithe opal to the Mr values. farm area ofthe toot tea the We method la eatxp hue. �r 3 toot Method 1 *Moment Based Ne Odealadoos Per RAS 127” Pt: y° "•x71 5-.9 - SIX litals44) ° ' pa APProvandt apyak x 240-5:1101149 ). katil a 4' Pada* %g*t x71 Fitt - �• 771. �Z fir' Approval mr �is� -L.�/ PadactAppmovsltrlp Method 2 WhopliOedlflep� tier � Required M of Re dlumee010 Rom 'Adds Beiowlet ! Paxton WtatottR.. Wan Root ltegt -+ R+a_ 4 1111101111MMI 11111r _illl Ir Olu r 11.1111r11111111111.M.11111r1111 Zot 1111r1111 11111M11 I: I 7s12 24.4 ZQA 27.1 A *Moat 20 used to axtbilttron with a Cad monad based rite am= oedowed by the Browaad Quay Band of ld>1es end Ate, Per based /Snapshot aeeMethod9.Qamaptmdlhe estarrwLbthevtl feritN' prel+' vataaemgaxterunearapWtetbeFtvaimt. for each area of the root dim the tile Mtn= method htaoeepodda Method Baud 31ieOdeaLdoes Per RAS127' xwse-- -3 -ty: xan •Fit Patio Approval r, x ooe9 xL . @Fd�� AoductApp�p ._. ,_- _xw;�, 1- Bkx sore .Fil— product Approval L FLORA 6UJLDING CODE — RUILDJNG 4i OS MUhMl�ADE 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, Florida33175 -2474 T (786) 315 -2590 F (786) 315 -2599 mougliigithAsigagegg 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 fads 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 1l4arni 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. /eVie-ttle- ;APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 1 of 7 3 it6 t;.: • • ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Maters: Polyurethane SCOPE: This approves Polypro® A1160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patsy systems PRODUCTS MANUFACTURED BY APPLICANT: Polypro® AH160 Dimenalons, Tes grEcLos N/A TAS 101 Foampro® RTF1000 N/A ProPack® 30 & 100 N/A Product Description, Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypm AH160 roof tile adhesive. PHYSICAL PROPERTIES: Prow ,rive 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 Rolla 1.6 Ibs. /ft.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 (41-40° 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 variadbn. APPROVED1 NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 2 of 7 21 • :* • • • ii•;;$ ,C.); iris')W.:;■31is' ".. ,tft; ,,r01: ,tkr.r:1 e z/eig ,g , • . ' • 343j. EVIDENCE SUBMITTED: Irgj Agrast Center for Applied Engineering Miles Laboratories Polymers Division Ramte ch Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services LIMITATIONS: Test Identifier #94-060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB- 589 -631 9637 -92 01- 6743 -011 01- 6739-0621411 7050.02.96 -1 528454 -2 -1 528454-9 -1 528454-10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109-2-1 Test Name/Renort Data TAS 101 04/08/94 TAS 101 12/16/96 SSTD 11 -93 10/25/95 SSTD 11 -93 11/02/95 SSTD 1193 12/12/95 ASTM D 1623 02/01/94 ASTM E 108 04/30/93 ASTM E.108 11/16/94 ASTM E 84 01/16/95 TAS 114 03/14/96 TAS 101 10/23/98 • TAS 101 12/28/98 TAS 101 03/02/99 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® A11160 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® A11160 roof the adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified heroin. MS NOA No.: 114124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 3of7 , 4 e' ; • ' ",• , INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof 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. & Tiles must be adhered in freshly applied adhesive. Tile must be sot 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. (mss) Two Paddy Weight per paddy Min. (lams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17/side on cap and 34/pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. i!P RAYEDI NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 4 of 7 •,' .,ti '" 6,7*•;;•:•..,"'„„-'I • • ' ••■•;":., i ..„.••••'‘ «44' `TI: :4 ( • • '4, 0."; "i :"/• ••• .,•!, •:t : ;••■ •••11, ••;.;•■•• j;,•-••• ":',;••• :r 1-1.= • • . ' , i■:".*, • ‘, • ; :* .2 .4 • , .p,f,4111( 1!. • 4 . •(. s' JO 4.! 1 , •••• r ,r; t • • ‘ ' • •!" •'•• :77 • : — 1-4-' ; :', `.07 • .47 ' qE,044., '1 ■ - 7- - .• " t 4=1 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 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 A'PROYs_D NOA No.: 114124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY END OF THIS ACCEPTANCE NOA No.: 11-0124.04 Expiration Data: 05/10/12 Approval Date: 04/14/11 Page 7 of 7 ,.. 4' • • • I • • r. • 1.• I • r Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BY JAN 0 S 'Lola BUILDING Permit No. ' I Z —5 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING rOFIJi OWNER: Name (Fee Simple Tit' leholder): 7MIJ k, CJ Phone #: Address: c Lo W V\ E- Ti City: 119 v 11 State: Zip: 33 /3 eb Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Miami Shores County: Miami Dade Folio/Parcel #: Zip:) �( Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 1 64 lf\J C'1 1 )JC Phone #: ---/W 1 ell 2- Address: 1K L )Q City: N tP WI l s c, S State: Zip: 33131 Qualifier Name: ., 4 sf ✓a L/244 Phone #: State Certification or Registration #: € 7110 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permits $ t1 1 2 .. S� Square/Linear Footage of Work: �� 7 �� Type of Work: Addition Alteration New ❑Rep . eplac ❑Demolition Description of Work: - `1"1 l.c QGO 1^11 — Fls'Pt- TE: C.®U _d 1)44.0) + `1-) - P- T—R-of ******** *** * ** ** ***** ** **** * ** ** * * * ** ** Fees* ************ *** ********m*********** ******** Submittal Fee $ Permit Fee $ J / 3 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOIT.RRS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature • Signature .D Owner or Agent i � Contractor The foregoing instrument was acknowledged before me this (o The foregoing instrument was acknowledged before me this p day of (. 20 a , b/ , day of -5An>v 4t'. \1 , 20 la, by `�4,ad ti Ci (e ¶) A `°e who is personally known to e or who has produced who i - • . y 4-` • - t: me or who has produced As i entification and who did take an oath. as identification anct, l \o1ira I fit IV oath. e6 NOTARY PU Sign: Print,% 7 My Commis es' KIR Q_CL&6, w-t NLA," es: EKATERINA CASANOVA '•'c MY COMMISSION # EE137200 EXPIRES October 11, 2015 per & * * ** 4-.-- * *> K**** ***************** * * * * * *** ** * ************** * * ** x**m**+x*** NOTARY PUBLIC: Sign: Print: s/ ),3% My Commission Expires: '�o,�a �� \\\``\\\ 1Ih:01 li1N111�� APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk r Miami Shores Viiiage 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, Fl 33138 Re: Owner's Name: ritik4k— /tea -/ Date: ! 4 I )11 Property Address: ' /UE q 9 Roofing Permit Number: Dear Building Official: I IL 1-t6N P1 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 $ays that he /she is the owner for the above property mentioned. Swom to and subscribed before me this - day ofb� ate' /iliViSs EKATERINA CASANOVA Notary Public, Sate of Florida at Large (�h '. i''t " : MY COMMISSION # EE137290 EXPIRES October 11, 2015 (401)398-0153 FloddalloterySeM .com • When the just valuation of thestruct ue for purpos of ad valorem taxation Is equal to or more tnan $300,00;05, mid U�tl bully wca owl structed 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. Revised on 5/21/2009 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self-performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: hC -frivk ttelv % PERMIT # ADDRESS: q&0 go- FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS:4I1 g12 • (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): 1-781-2..5D 2q7 , zig . 00 OWNERS SIGNATURE: DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Miami -Dade My Home 1 of 2 My Home Show Me: Search Seledlem J J J Summary Details: No.: 1400 SINGLE MAX RESIDENCE ,�"'w �t:� ::1 NE 95 ST ;, e Floors: % H HENRY &W WRY a.I NE95STMt SFL Living thtfts: 1 44138-2583 Property information: PrhfialY Zane' 1400 SINGLE MAX RESIDENCE CUM: 0001 RESIDENTIAL - SINGLE FAMILY 11edsf8aIts: 413 Floors: 2 Living thtfts: 1 Ad) Sq Footage: 3,205 Lot Size: 19,800 SO FT Year Built 1932 5.85342.454 AC PL OF GOVT LOT 4 PB 5-90 E120FT OF N220FT LESS Legal Deso t: E3OFT LOT F LYG S LOT S & LOT S LESS E30FT LOT Si2E MEG /1AR OR 20231 - 229702 20021 Assessment Information: Year. 2011 2010 Land Value: $288,322 $238,961 Bulldbug 1A3Iue: $292,218 $293,669 Market Value: $578,540 $532,630 Assessed Wue: $540,619 $532,630 Exemption Information: Year 2011 2010 $25,000 $25,000 YES YES Taxable Value Information: Year: 2011 2010 Teary APPS Exemption/ Taxable Value: MPS Exemption/ Taxable Value: Regional: ,0004490,61 County ,000/$490,81 9$50,000/$482,630 9$50,0004482,630 City: School Board: $50,000l$490,61 9$50,000!$482,830 $ 25,000/$515,619125,000 /$507,630 Sale Information: http:// gisims2 .miamidade.gov /myhome/propmaP.asp [ MIAMIDADE mg „ ' y 1' •„.4.34,0. � .ds t •a I tgi.iF w �.�y ` . s' , .fit` 'ti/ il^fa 4 ! � Z. '�gy�y � �� r 1 t�l i ,N c �s .'.. 3 Z •. °. 'L° _ 1 : 1 tom. °� ,.-... Doff � o C 1 d v. r.. 1 • ro ,r Ia • p ' 1 ,,rte' Aerial Photography - 2009 1 .•,fig 5� a"-- Iv.. a�'o% tear ;11 ii.AWA, alt L. 0 123ft If you experience technical difficulties with the Property information application, or wish to send us your comments, questions or suggestions please email us at . Web Site © 2002 Miami-Dade County. All rights reserved. Legend w Property Boundary Selected Property Street Highway !Aland -Dade County Mdter N E S 1/3/2012 9:55 AM 1 Florida Building Code Edition 2002 HIGH VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATI Section A (General Information) Master Permit No. Process No. Contractor's Name c' T Jig • g6vhn/67 /NC_ Job Address 961 A q Roof Category Mechanically Low slope ._. P Ily Fastened Tile Asphaltic Shingles Metal Panel/Shingles Prescriptive BUR•RAS 150 Roof .Type New Roof Low Slope Roof Area (SF) �sv &1 Re- roofing _ Recovering Roof System Information Steep Sloped Roof Area (SF) Total (SF) i 7 '1 /�� Tile 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. .. __;.4.. -; —" ' , _ J ri .:� _ i ; . ' A.. ° 1 ..._. i f I i . • _ :4:1+4'111 ! i s _ 1i.41 - .....' ' �.. f ii, , i rT ,.�"•I !'S± —�.j .�.i�1..�.A.. _r.i_ .. .» �I ..'.••�T`� . "jjj.�� -i _}_x _»r.� t_ ..�_ !1 i !� i r 1-, `rr' .rE... _ __i i._f ._1 1.: ..-47.1 i �± r,.:j�1"...•~ 's t r ' f i i _ -- "._..- {...y, -. .. •`,,.. ilR/ •, i f.. t- L I tl •f4 '1 ...•• -i[ S. _I.' T--d --- ..}}}.. Ire 4._Cr -7-q. ?-a, - . ; 1..0 1., d ...�.' i... L-1-- • ;y- t 1_ m. 1, F . 1:14-1' • • � # . tils>I 1 }_ _ :. f .. _r4..� t ` ►� e _`�[, rtlftiast = .., -r t ;-1 — —1 ,., �-- ' ■ `t 4 ``. I tot " -;- i .-r-, .. .1 r-- ._;_ _,_ .... fr INAIIItiliMill i �- �- w 2%411 r., �.I I ■ IAtit - t. -i 1 1 i T t 1 1 t t t;' , i i i BLDG DEPT . M/4- 11L SUEJECT 10 CCAIFI IANCE WI fN Al_L FEDERAL c - n -,L_ AND CCUN.Y TI_I_ES AND REGULATIONS ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 Hip Velocity Hurricane Zone Uniform Permit Application Form: Section D. (Steep Slope Roof System) Roof System Manufacturer: eV g. . Notice of Acceptance Number: // e 0 1iii, 6 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations )1: Lk & 1 P2: Hr Lo P3: 1-P • Z- Maximum Design Pressure :.- . (From the Product Approval Specific System): 1o,g 3. Roof Slope: '7 : 12 SI0141,5100_13001ftstanallvicripkon. Deck Type: 3,4411- 1 s Type Underlayment Ridge Ventilation? Insulation: tdbot Fire Barrier: Mean Roof Height: I Fastener Type & Spacing: Adhesive Type: Type Cap Sheet (4' Y'S- mat- vita), cj't7h 17 I rea biGk, > / er Roof Covering: Pao -ySf L- eLAIS Type & Size Drip Edge: 15.34 FLORIDA BUILDING CODE -- BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form. $adlon C (L-ow Slope Application) F111 in specific roof assembly components • • and Identify manufacturer Of a component Is not used, identify as "NA ") System Manufacturer. Product Approval No.: Design Wind Pressures, From RAS 120 or Calculations: Pmax7: Pmax2: Pmax3: Max. Design Pressure, from the specific Product Approval system. Deck: TYPe: Gauge/Thickness: Slope: Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base insulation Fastener/Bonding Material: Top Insulation Layer. Top insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener/Bonding Material: Top Ply: Top Ply Fastener/Bonding Material: Surfacing: Fastener Spacing for Anchor/Rase Sheet Attachment: Reid: " oc 0 Lap, # Rows 0 " oc Perimeter. " oc 0 Lap, # Rows _ 0 " oc Comer. " oc 0 Lap, # Rows " oc Number of Fasteners Per Insulation Board: Field Perimeter Comer illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, gipping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - ilashira, Coping; Etc: Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacng or Submit Parapet Height Mean Roof Height FLORIDA BUILDING CODE — BUILDING 15.33 Florida Suldina Code Edition X04 High-Votodly Ifurrkano Zane OnWe=Pam* A Form. affdataillhireelsideliante For Moment Nadasystems. choose s I a:tempera SA aloes ior wltbthevabteafrees [(the *salmi eto tC> Ni edam. for acharea admeloof them the Me ` Mr tlemar Matiod 1 "Moment Eased 7Sb Cdcolstioas Per RAS t27" L 6 f -md W- RadocAppo+adhll3° i (P= y s xL 146 iJ'JI )- mw r6a.3 . ___7 Psalm 3J g (P3:J /(h''& .2319,4 -blip ,� a �t 2© Mme) 3 proda,ecAppepvanfi '0 Method 2`slmgflfirel Cakulattoas Ptr'!} &Belo w" Replied Montag teRetistem) ( Roans a Below QS, 9 >tiodoct,fppeoaaMt . Ur Moment Resheenar Iima Root Height -+ Roof Mops 1s 3312 4312 1812 344 MLR 23.4 34.4 30.1 3uo am 37.4 311.s .. • 1 32.11 ROA *3 MS ZI.7 . 3U 3M *Mum be toed ht 000tatalm with a MI of moment based the systems eadotssd by the Boma Camay Braid et Rules sad Appeals. Pletipliftbssed Mesysteass meMdhod3.0 thevalues/Orr with tbevalttesforPlaWthoP values we wastaluaorequelto thaFrvelm. tor each aeaof the soot dim the tile attodamat method Is aoeepetble, Method Rased The Cdaladons Pet &18127" (P2 (P3 sr.. —�..1- 7W. x cos 0 . Fk pmdud Appel p+ xw:• j_w: x wee .Pa Rods* AppswajP' xW:.- ._.J -W „x OM .pa Ptodita Appoant P LORMDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 H gh- VOIQcIIy Hurrloane Zone Uniform Permit Application Form. Surfacing: A)/ A' Fastener t: q for Anchor/Base Sheet Attachment Field: -/ " oc o Lap, 5 Rows 9- @ 1' -cc Perimeter. " 00 Lap, 6 Rows • " 00 Corner. " 0c @ Lap, S Rows ct. @ to " 00 Number of Fasteners Per insulation Board: Field Perimeter Comer ion C Low Slope All alicatlonl Fill in specific roof assembly components • and identify manufacturer (U a component is not used, identity as "NA ") System Manufacturer Product Approval No.: pq,o�a -L °0 Design Wind Pressures, From RAS 128 or Calculations: Pmaxl: 2" Pmax2: r7' 3 Pmax3 :) -5 /, 9 Max. Design Pressure, from the spec o Product Approval system: s Deck: 3/H 1-1—C1 Gauge/Thickness: UD C Slope: `i Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener/Bonding Mate insulation Base Layer: Base Insulation Size and ess: Base insulation Fast e /Bonding Material: illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - f ing, CePitig, Etc: Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Sung or Submit Top insulatlo Top Ins n Size and Thickness: lation Fastener/Bonding Material: yer: Base Sheet(s) & No. of Ply(s): 1 PLY' 14-1 5. TA Tr rk ng M Tincttps Ply Sheet(s) & No. of Ply(s): //C4- Ply Sheet Fastener/Bonding Materlah Jj R Top Ply: V-10156&"7-0./ 0 70 Top Ply Fastener/Bondin Material: FLORIDA BUILDING CODE— BUILDING 15.33 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Penult Application Form: Section D. (Steep Sloped Roof System) Roof System Manufacturer: Notice of Acceptance Number: cMinimum Design Wind Pressures, if Applicable (From RAS 127 or alculations): P1: P2: P3: Maximum Design Pressure (From the Product Approval Specific System): Roof Slope: : 12 p Sloped Roof System Descri on Deck Type: Type Underlayment Insulation: Ridge Ventilation? Fire Barrier: Fastener Type & Spacing: Adhesive Type: Mean Roof Height Type Cap Sheet Roof Covering: Type & Size Drip Edge: 15.34 FLORIDA BUILDING CODE -- BUILDING (7) 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. 2. Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visibledelineation 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. 4., Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. e Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original rooting system is removed. Pounding conditions should be corrected. 6. ° Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof Is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. 2/5//7. J V9:11`11 /I Owner /A 9 9 nature Date Contractor Signature nature Date 9 Revised on 7/9/2009 LD BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile, Inc. 1289 NE 9th Ave. Okeechobee, FL. 34972 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 1180S SW 26 Stmt, Room 208 Miami, Florida 33195 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamida4e o,Jbnildiee/ 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: Bermuda Concrete Flat 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 daze 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 # 10-0518.01 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigers. APPROVED NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Pagel of 6 • ,ttt tt-0 Ittr:1!, ."t • . ;■• ,••,0 'titsrl.,!er" 1 • VC1'. ..tt t••■,..; >t- ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This revises a roofing system using Entegra Flat Concrete Roof Tile, as manufactured Entegra Roof Tile Corporation in Okeechobee, FL. as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the design pressure values obtain 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 2. PRODUCT DESCRIPTION Manufactured by Apnlfcant Ijkaggghgg Entegra Flat Tile I =16" w= 10" Trim Pieces 1= varies w = varies varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. Okeechobee, FL. Test Product Spy, cations Description TAS 112 Flat profile, interlocking, high pressure exhvded concrete roof tile equipped with two nail holes. For mechanical, mortar or adhesive set applications. TAS 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 1APPROVEU{ 7161 -03 Appendix 111 94-084 94 -060A 25-7094-2 Test Name/Revert Static Uplift Testing PA 102 A PA 102(A) . Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) ftt Dec. 1991 May 1994 March, 1994 Oct. 1994 NOA No 11- 0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 2 of 6 The Center for Applied Engineering, 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. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Red land Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Wacker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers 1 APPROVE D 25- 7094 -8 25 -70945 25- 7183 -6 25- 7183 -5 25 -7214-1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 R3.894 39540011 -1 520109 -1 520111 -4 520191 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations 13343.1 Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Static Uplift Testing PA 102 (2 Quik-Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik-Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik-Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik-Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of strew vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Physical Properties PA 112 Static Uplift Testing PA 101 Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Restoring Moment, Mg Two Patty Adhesive Set System TAS 112 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Feb 2004 Dec. 1998 March 1999 March 2004 Feb 1996 April 1996 December 1996 March 1995 March 2004 April 1999 05/06/08 NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 3 of 6 { 1;. r `3. 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 in accordance with TAS 106 may required, refer to applicable building code. 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 and Neighborhood Compliance Department — Product Control Section 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. 4. INSTALLATION 4.1 Entegra `Flat' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations. Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight W (Ibf) Length -1 (ft) Wldth -w (ft) Entegra Flat Tile 9.7 1.33 .833 Table 3: Restoring Moments due to Gravity - Ma (ft -lbf) Table 2: Aerodynamic Multipliers - I. (ft3) 3 ":12" Tile 5 ":12" X (fls) Greater than 7":12" 1. (fta) Profile _ Direct Deck Batten Application Direct Deck Application Entegra Flat Tile Direct Deck 0.189 Direct Deck .0.205 Table 3: Restoring Moments due to Gravity - Ma (ft -lbf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" Greater than 7":12" Entegra Flat Tile Battens _ Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 6.53 8.97 6.43 6.86 6.29 6.71 8.14 6.54 5.97 6.35 j APP ROW D NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -Ibt) . for Nail -On Systems The Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19132" plywood) Battens Entegra Flat 'fie • 2 -10d Ring Shank Nails 30.9 38.1 . 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4• 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 61.7 24.4 1 -10d Smooth or Screw Shank Nail (Reid Clip) 24.3 24.3 24.2 1 -10d Smooth or Stew Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.6 34.8 2 -10d Smooth or Screw Shank Naile (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 1 86.6 48.3 1 Installation wi0r a 4" tie hulk p and fastemers are located a min. of 2Y" from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mr (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Flat Tile Adhesive 31.34 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Entegra Flat Tile polyprow 118.94 PolyProw . 40.4D 4 Large paddy placement of 45 grams of PolyProlm. 5 Medium paddy placement of 24 grams of PolyPro's'. NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05(26/11 Page 5 of 6 7� Fey tit'; 01 Q> ;. 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami Dade County Product Control Approved ". ENTEGRA FLAT TILE LABEL (LOCATED ON UNDERSIDE OF 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 Building Official or Applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING I NTEGRA "FLAT" CONCRETE ROOF TILE 16' d r 10' 16' FIELD TILE 1 END OF THIS ACCEPTANCE NOA No. 11-0414.09 Expiration Date: 06107/16 Approval Date: 05/26/11 Page 6 of 6- MIAMIt DE BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 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 (AM). 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: Roofing Subs- 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 3'3-3/8" 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 Roll: 65' x 3'33/8" 80 mils thick Roll: 32'10" x 3'3-3/8" 130 mils thick Roll: 61' x 3'3-3/8" 60 mils thick Test Specification TAS 103 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 Product Description 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. 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 3'3-34" 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. 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 PR101111 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 Descrindon A rubberized asphalt self- adhering, glass - fiber /polyester reinforced waterproofing membrane, specific for use as a high temperature underlaymeni. Designed as a metal roofing. Test Name/Revert 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 a 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 -1/2" 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. 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 shad 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 the applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof file 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 aU times. NOA No.: 11-0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 5 of 8 i 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. w 0. 0 a N 40 Roof Deck prepared %lei POLYSIICK1U Rua 61 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. APPROVED 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 'h "112 ", 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 f 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 NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 8 of 8 MIAMID io BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 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 the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF RIJBEROID® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 07- 1203.01 and consists of pages 1 through 31. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 1 of 31 J''' art 4, i Membrane Type: APP /SBS Heat Weld Deck Type 1: Wood, Non- insulated Deck Description: 19/32" or greater plywood or wood plank decks System Type E(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield®Non- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base sheet GAFGLAS® #80 ULTIMAT"' Base Sheet, STRATAVENT® Eliminator"' Nailable, RUBEROID® Modified Base Sheet, RUBEROID® MOP Smooth, RUBEROID® 20, RUBEROID® SBS Heat- We1dTM Smooth or RUBEROID® SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4, GAFGLAS® Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maxiunum Data Pressure -45 phi, See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill-Tee"' AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure — 45psf, See General Lbnitaiion #7) GAFGLAS® Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure 52.5 psf, See General Limitation #, GAFGLAS® #80 ULTIMATM, RUBEROID®20, RUBEROID® Mop Smooth, base sheet attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maxbnum Design Pressure —60 psf, See General Limitation #71 GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (MaximarnDesign Pressure — 60psf, See General Limitation #7 Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure --60 psf, See General Limitation #7) NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08109 Page 29 of 31 s , s s. L GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecT' #12 standard, #14 or # 15 Screws and 3" Drill -TecT' steel plate or Drill -Tece' AccuTrac Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Markman Design Pressure -7S psf, See General Limitation #7J Ply Sheet: (Optional except over RUBEROID® Modified Base Sheet, RUBEROID® MOP Smooth, RUBEROID® 20, RUBEROID® SBS Heat-Weld"" Smooth or RUBEROID® SBS Heat-Weld"") One or more plies GAFGLAS® PLY 4 or • GAFGLAS® Flex PIyTM 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsisq: or RUBEROID® Torch Smooth torch applied according to manufacturer's application instructions. Membrane: One ply of RUBEROID® Torch Smooth, RUBEROID® Torch Granule, Roof Match"' APP Torch Granule, RUBEROID® EnergyCapTM Torch Granule FR, RUBEROID®Torch Plus Granule, RUBEROID® EnergyCapTM Torch Plus FR, or RUBEROID® Torch FR torch applied according to manufacturer's application instructions. Or One or more plies of RUBEROID® SBS Heat We1dT' PLUS, RUBEROID® SBS Heat We1dTM PLUS FR, RUBEROID® SBS Heat Weld' 170 FR, RUBEROID® EnergyCapTM SBS Heat WeIdTM Plus FR, RUBEROID® SBS Heat- Weldr', RUBEROID® SBS Heat Welcil'M Smooth, RUBEROID® ULTRACLAD® SBS and RUBEROID® SBS Heat- We1dTM 25 applied according to manufacturer's application instructions. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following. 1. Gravel or slag applied at 400 lbsJsq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbsJsq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal /sq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbssq. 3. Leak Buster"' Matrix"' 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal /sq. 4. Leak BUStCrTM MatrixTM 715, Leak BusterTM Matrix"' 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote ®roof coating applied at 1 to 1.5 gal /sq. 6. TOPCOAT® Surface Seal, TOPCOAT® Fireshield® SB Solvent based Elastomeric Roofmg Membrane applied at Ito 1.5 galisq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above NOA No.: 09. 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 30 of 31 , J; • • • • ; ; -"I . ° • • • I. • • • WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 'A' 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 'Aa" Dens Deck or ' /2" Type X gypsum board is acceptable to be installed directly over the wood deck. GENF,RAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psL 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for loth insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter Hailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. 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. END OF THIS ACCEPTANCE NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 31 of 31 ¢.y NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 111111111111111111111111111111111111111111111 TAX FOLIO NO. 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. CFN 2011R0846480 OR Ei: 27931 F's 4474; Ups;) RECORDED 12/166/2011 14:53235 HARVEY R:UVINp CLERK OF COURT MIAMI -DADE COJJHTYp FLORIDA LAST PAGE Space above reserved for use of recording oft 1. Legal description of property and street/address: 9,627 &cgs ET lee- 33)3 2. Description of improvement: %tE— /L6nr '77 LF 3. Owner(s) name and address: �� g am- 4 S r N I j f S140463/53n Interest in property: Name and address of fee simple titleholder: N' 11 4. Contractor's name, address and phone number: 1 1 1 NJ6) h e 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: f Amount of bond $ ' v 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a 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 I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director /Partner/Manager Prepared By t :4 ;fir°;,'' Prepared By L 4474--6-111 _ Print Name d tY47 P Print Name t ESL r Title/Office ® 40/1",c/.9.-- Title/Office OW 67 — STATE OF FLORIDA COUNTY OF MIAMI -DADS The foregoing instrument was acknowledged before me this day of rT 2011 By Ci Individually, or ❑ as for l�i�r'11 ;Personally known, or ❑ produced the following type of identification: i _ I Signature of Notary Public: o+ p' Print Name: C %(a l (SEAL) VERIFICATION PURSUANT TO SECTION 92.525 IDA STATUTES 4'' EKATERINA CASANOVA Under penalties of perjury, I declare that I have read the foregoing and el or: MY COMMISSION # EE137290 that the facts stated in it are true, to the best of my knowledge and belief. ;qf,,, •�' EXPIRES October 11, 2015 (407) 398 -0153 FloddallotaryService.com Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By Mu►M MIAMI -DADE COUNTY COUNTY CONSTRUCTION LIEN LAW FOR OWNERS NOTE: IF YOU SIGNED AS THE OWNER'S AGENT YOU ARE RESPONSIBLE FOR DELIVERING THIS INFORMATION SHEET TO THE OWNER OF THE PROPERTY. WARNING TO OWNER Florida's Construction Lien Law (Chapter 713, Part One, Florida Statutes) requires the recording with the Clerk of the Courts a Notice of Commencement for real property improvements greater than $2,500.00. However, it does not apply to the repair or replacement of an existing heating or air conditioning system less than $5000.00 in value. This notice must be signed by you, the property owner. Under Florida law, those who work on your property or provide materials and are not paid, have a right to enforce their claim for payment against your property. This claim is known as a construction lien. YOU MUST FILE A NOTICE OF COMMENCEMENT For your protection under the Construction Lien Law and to avoid the possibility of paying twice for improvements to real property, you must record a Notice of Commencement in the Clerk of the Court's Office. You also must provide a certified copy of the recorded document at the construction site. The Notice of Commencement must be signed by you, the owner contracting the improvements, and not by your agent. The Notice of Commencement form, provided with this information packet, must be completed and recorded within 90 days before starting the work. A copy of the payment bond, if any is required by you and purchased by the contractor, must be attached as part of the Notice of Commencement when recorded. If improvements described in the Notice of Commencement are not actually started within 90 days after the recording of the Notice, a new Notice of Commencement must be recorded. You lose your protection under the Construction Lien law if the payments are made to the contractor after the expiration of the Notice of Commencement. The Notice is good for one year after the recording date or up to the date specified under item nine of the form. Florida law requires the Building and Neighborhood Compliance Department to be a second source of information concerning the improvements made on red properly. The Building Permit Application (included with this packet) has been expanded to include information on the construction lender and the contractor's surely, if any. The new application requires your signature or your agent's, to inform you of the Construction Lien Law. YOU MUST POST THE NOTICE OF COMMENCEMENT. AT THE JOB SITE By law, the Building and Neighborhood Compliance Department is required to verify at the first inspection, after the building permit is issued, that a certified copy of the recorded Notice of Commencement, with attached bonds if any, is posted at the construction site. Failure to show the inspector a certified copy of the recorded Notice will result in a disapproved inspection, (Florida Statute 713.135(1)(d)). NOTICE TO OWNER FROM SUBCONTRACTORS AND SUPPLIERS You may receive a Notice to Owner from subcontractors and material suppliers. This notice advises you that the sender is providing services or materials. Subcontractors and suppliers must serve a Notice to Owner within 45 days of commencing work to preserve their ability to lien your property. If your address changes from that given in the Notice of Commencement, you should record a corrected Notice reflecting your current address. This is done to help ensure you will receive all notices. RELEASE FROM LIEN FROM CONTRACTOR Prior to paying the contractor, you need to receive a Release of Lien and Affidavit to the extent of payment from the general contractor. The Release of Lien and Affidavit shall state either that all the subcontractors and suppliers have been paid or list those unpaid and the amount owed. The contractor is required to list on the Release of Lien and Affidavit any subcontractor or supplier that has not been paid. That amount may be withheld from the contractor's pay and paid directly to the subcontractor or suppliers after 10 days written notice to the contractor. If the balance due to the contractor is not sufficient to pay in full all subcontractors and suppliers listed on the contractor's affidavit, you may wish to consult an attorney. The general contractor shall furnish a final Release of Lien and Affidavit to the owner indicating all subcontractors and suppliers have been paid at the time he requests final payment. You can rely on the affidavit in making final payment to the general contractor. If you make final payment to the general contractor without obtaining the affidavit, your property can be liened for non - payment if the general contractor fails to pay the subcontractors or suppliers. You should always obtain a Release of Lien and Affidavit from the contractor to the extent of any payments being made. RELY ON YOUR LENDER FOR COMPLIANCE WITH CONSTRUCTION LIEN LAW If you have a lender, you may rely on the lender to handle the recording of the Notice of Commencement. Learn more about the Construction Lien Law by contacting an attorney, your lender, or the Florida Department of Agricultural and Consumer Services, Division of Consumer Services. Documents are recorded at the Clerk of the Courts, MIAMI -DADE COUNTY RECORDER, COURTHOUSE EAST, 22 N.W. First Street, 1st Floor, Miami, FL 33128. You can record the Notice of Commencement by mail. The original Notice should be sent to the County Recorder, P.O. Box 011711, Flagler Station, Miami, Florida 33101. Please make sure the original Notice is signed and notarized. Also, remember to enclose the recording fee (for a single copy) and written instructions for recording and returning a certified copy of the recorded documents. For additional information on fees and recording documents call (305) 275 -1155.