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RF-09-2119Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 173076 Permit Number: RF -12 -09 -2119 Scheduled Inspection Date: May 07, 2012 Inspector: Bruhn, Norman Owner: STOSE, MARK Job Address: 295 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: A&J ROOFING CORP Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile /Flat Phone Number Parcel Number 1132060133970 Phone: (305)599 -2782 Building Department Comments RE -ROOF TILE AND FLAT Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 172816. CREATED AS REINSPECTION FOR INSP- 132353. Repair /replace sidewalk. NB 5/3 - MISSING TILE I.P INSPECTION POLYSTICK TU PLUS NOT PERMITTED ON OPEN VALLEYS. JR May 04, 2012 For Inspections please call: (305)762 -4949 Page 41 of 50 AP C A R. L A B T lei C. February 24, 2011 A &JRoofing 7947 NW 64 St Miami, FL 33166 RE: TILE UPLIFT TEST PROJECT INFORMATION PROVIDED BY THE CLIENT: 295 NE 95 St Miami Shores, Florida Folio #: 11- 3206 - 013 -3970 Permit#: RF -12 -09 -2119 Date inspected: February 23, 2011 Date completed by: February 18, 2011 Roofmg Contractor: A & J Roofing Company Carlab, Inc Project # 11 -7036 Testing lab Certificate #: 09- 0127.04 Dear Sirs, In accordance with your request and authorization, a representative of Carlab, Inc completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofmg Application Standard TAS No.106 Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was estimated to be less than 3500 square feet, and the mean height of the roof is estimated to be less than 25 feet above ground surface. The type of tile used for this project was reported to be Monier Saxony Slate Roof Tile. This tile was reported to have been foamed in place. At the time of this testing at least one test for every 100 square feet of roof tile in the perimeter area, one test for every 200 square feet of roof tile in the field area, and one test per comer were performed. Walking on the roof surface or any other type of disturbance may loosen the tiles and alter the results of this test. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the above mentioned protocol. Attached please find a copy of our test report for your review. Should you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectful) 9: ubmitted, rgio abiste, PE 61733 8730 SW 25 STREET • MIAMI • FL • 33165 • PHONE: 305.283.3512 •FAX: 305.226.0438 4 Test Test load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass TILE UPLIFT 'I'EST FOR Residential Home 295 NE 95 St Miami Shores, FL Project#:11 -7036 Test Test load (lbf) Test Status 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass Test Test load (lbf) Test Status 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass 80 35 Pass 81 35 Pass 82 35 Pass 83 35 Pass 84 35 Pass 85 35 Pass 86 35 Pass 87 35 Pass 88 35 Pass 89 35 Pass 90 35 Pass 91 35 Pass 92 35 Pass 93 35 Pass 94 35 Pass 95 35 Pass 96 35 Pass 97 35 Pass 98 35 Pass 99 35 Pass 100 35 Pass 101 35 Pass 102 35 Pass 103 35 Pass 104 35 Pass 105 35 Pass 106 35 Pass 107 35 Pass 108 35 Pass 8730 SW 25 STREET • MIAMI • FL • 33165 • PHONE: 305.283.3512 •FAX: 305.226.0438 4 Test Test load (lbf) Test Status 109 35 Pass 110 35 Pass 111 35 Pass 112 35 Pass 113 35 Pass 114 35 Pass 115 35 Pass 116 35 Pass 117 35 Pass 118 35 Pass 119 35 Pass 120 35 Pass 121 35 Pass 122 35 Pass 123 35 Pass 124 35 Pass 125 35 Pass 126 35 Pass 127 35 Pass 128 35 Pass 129 35 Pass 130 35 Pass 131 35 Pass 132 35 Pass 133 35 Pass 134 35 Pass 135 35 Pass 136 35 Pass 137 35 Pass 138 35 Pass 139 35 Pass 140 35 Pass 141 35 Pass 142 35 Pass 143 35 Pass 144 35 Pass 145 35 Pass 146 35 Pass 147 35 Pass 148 35 Pass 149 35 Pass 150 35 Pass 151 35 Pass 152 35 Pass 153 35 Pass Test Test load (lbf) Test Status 154 35 Pass 155 35 Pass 156 35 Pass 157 35 Pass 158 35 Pass 159 35 Pass 160 35 Pass 161 35 Pass 162 35 Pass 163 35 Pass 164 35 Pass 165 35 Pass 166 35 Pass 167 35 Pass 168 35 Pass 169 35 Pass 170 35 Pass 171 35 Pass 172 35 Pass 173 35 Pass 174 35 Pass 175 35 Pass 176 35 Pass 177 35 Pass 178 35 Pass 179 35 Pass 180 35 Pass 181 35 Pass 182 35 Pass 183 35 Pass 184 35 Pass 185 35 Pass 186 35 Pass 187 35 Pass 188 35 Pass 189 35 Pass 190 35 Pass 191 35 Pass 192 35 Pass 193 35 Pass 194 35 Pass 195 35 Pass 196 35 Pass 197 35 Pass 198 35 Pass Test Test load (lbf) Test Status 199 35 Pass 200 35 Pass 201 35 Pass 202 35 Pass 203 35 Pass 204 35 Pass 205 35 Pass 206 35 Pass 207 35 Pass 208 35 Pass 209 35 Pass 210 35 Pass 211 35 Pass 212 35 Pass 213 35 Pass 214 35 Pass 215 35 Pass 216 35 Pass 217 35 Pass 218 35 Pass 219 35 Pass 220 35 Pass 221 35 Pass 222 35 Pass 223 35 Pass 224 35 Pass 225 35 Pass 226 35 Pass 227 35 Pass 228 35 Pass 229 35 Pass 230 35 Pass 231 35 Pass 232 35 Pass 233 35 Pass 234 35 Pass 235 35 Pass 236 35 Pass 237 35 Pass 238 35 Pass 239 35 Pass 8730 SW 25 STREET • MIAMI • FL • 33165 • PHONE: 305.283.3512 •FAX: 305.226.0438 LEGEND + FIELD TEST - PERIMETER TEST O CORNER TEST 62 A 1 03 N APPR ❑X, ROOF TEST L❑CATI ❑NS AND DIMENSI ❑NS Miami Shores Viiiage Building Department RE: Permit # R f - INSPECTION AFFIDAVIT (Print name and circle License Type) License #: & a! /3 SO 32( On or about (Date & time) Secondary water barrier work at c; 10050 N.E.2nd Avenue Miami Shores, .Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: licensed as a (n) FS 468 Building Inspector / Engineer /Architect, , I did personally inspect the roof deck nailing and (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) State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he /she is the contractor for the above property mentioned. Swom to and subscribed before me this 2 day of '-Oi / Notary Public, Sate of Florida at Large Anitei 14,. ILY364(ERNAN®EZ 01 MV COMMISSION #k DD783056 • � EXPIRES April 27, 2012 (407)38a -ois? Ftaida.No a yService.com *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 ._, 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 BUILDING PERM CATION FBC 2 Permit Type: BUILDING OOFINGT OWNER: Name (Fee Simple Titleholder): I IZIC- �T5( Address: )" /, k / / /�} �$ City: � IIAtY 1 Si-g -, 1, State: FU Tenant/Lessee Name: 136A ( 6&1 p iLi Permit No. Master Permit No. Phone# 19f 5l 7 Zip: l 5 Phone#: Email: JOB ADDRESS: City: Miami Shores County: Folio/Parcel #: // -3 06 - d /3 -3970 Miami Dade Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: 1k f �j tfv'i 0-ZrO Address: 7/e/7 7 ttJe) 57L City: A-1/' Q ` -) Qualifier Name: Nt l G u e ( State Certification or Registration #• State: verrrc Co aTt L 3 ZS2) CY Zip: 3j 3s7 Flood Zone: '10 Phone#: Zip: Phone#: Certificate of Competency #: Contact Phone#:3os.- —c-7'2- Email Address: Scc.rel-a, a and j f2 F.-rj cosw,4 .C,o,,,, DESIGNER: Architect/Engineer: N [ Pr Phone#: Value of Work for this Permit: $ 3C', a Square/Linear Foojage of Work: 3 5 Z Type of Work: ❑Additio�nr ❑Alteration New ,,,�� Repair/Replace ❑Demolition Description of Work: 1�� 4w - (, P-RtutecL APf H 1 i (y tl rO U4 -La *********** * * * * * *** * * **** **** ***s**** ** Fees* **** * ******** *** *c•******** ** * * * * * ******** *e Permit Fee $ ` 2�;25 CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Nooary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Submittal Fee $ Scanning Fee $ 3 TOTAL FEE NOW DUE $ 328' �� Bonding Company's Name (if applicable) Company's Address City State Zip Mortgage Lender's Name (if applicable) Wi,O 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, o curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will zoI h e app . ved ' n reins p Lion fee will be charged. Signature Signature / O wner or Agent Contractor The foregoing i{ trum4e t was acknowledged before me this 6'141 The foregoing instrument was acknowledged before me this Ic day of y , 20 % by 111 ii.% ..1 C, , day of Agri L , 20 1 o,-by k 1 t t '.e.s Cav e yl'C ii') who isrrsonall o' n to me or who has produced who is personally known to me or who has produced Ala — d, As identification and who did take a ; afR l� III' n as identification and who did take an oath. $ j .2. `iS '�1'TARY P ii Sign: $ CO 1....... Sigma / 1 Print: Y4 ' 1 A,[MI�.�ll� �I z_. I T102 My Commission Expires: a `- ®7 ' C)-(.) 1 ., I ,, s ;, NOTARY PUBLIC: • APPROVED BY a EXPIRES ApdN2T,2012 Vp•�, ' f14'1 ri nY ompr R1Mk.�I ‘/19- Ir L Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06 /10!2009)(Revised 3/15/09) alp I( t Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.$972. INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 IVERWM NI FEB 1.Q.2011 BY: Permit No. 12-P % —. 6I Master Permit No. Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) .51Q$ , , ya YR Phone Owner's Address .29'5 N6 95s City �i t & rig% S 40.5 state fir ZIP 33. /38 `l Tenant/Lessee Name Phone # Email Job Address (where the work is being done) e 1995 ) r City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES County Miami- D22ile_,,,..,,.,Zip 48.3438 NO Flood Zone • Contractor's Company Name A IV s .L!vl)fi..) l t 4A Phone # a U -- 27 $'02 Contractor's Address 79 4/7 Nu) 6.14 71 City Alf 6 ») /* State Zip Qualifier Name /C f/ t/42 1 II- ciV -e/ ►'a Phone # State Certificate or Reg,iStintion No. (! !G /3 v Certificate of Competency No. ��8 � Y Contact Phone 30 s-- 6- 99 - . b2 712 E-mail Architect/Engineer's Name (if applicable) Phone # Vaiitt0f Wbt`k Po:a#s P k$ ` 3 / 60 v Square / Linear. Footage Of Work: 35ej SC '"iiiii;ptV0Wp:E)AAciAA4 ';; (]Alteration ONew lace 1:3 Demolition ***************************************Fees***** *** * ********-k**** :t**** **rr*i * ** * **** Submittal Fee $ Permit Fee $- .� +t'} -� Notary $ _ . Training/Education Fee $ Scanning $ Radon $ Double Fee $ Structural Review. $ CCF $ CO /CC $ DPBR $ Violation date: Technology Fee $ Bond $ Total Fee Now Due $ See Reverse side -a 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 Owner or Agent The foregoing instrument was acknowledged before me this /0 day of P ,20% /,by )dyed l' /i ' who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: ' MIGUEL GUERRERO 01. My COMMISSION # D0973716 EXPIRES Match 22, 2014 Signature Contractor The foregoing instrument was acknowledged before me this Of day of j L 4 ,20 L, by IA 1 quid A I()elne(to who is personally known to me or who has produced Print: 41j, My Commission Expires: 1. (e, ZZ, 2 v iy NOTARY PIA Sign: /., ,.r Pri.. - My Commission Expires: P r∎ t 27 , 2-0 1 as ARACELYS M HERNANDEZ MY COMMISSION 4 DD7830M4 EXPIRES April 27, 2012 ********* ******k ****k* *** ** ******k* * ***k ********** k*************************- t***kkk * ****** ******* ******* *** APPROVED BY Plans Examiner Engineer (Revised 07 /10107)(Revised 06/10/2009) Clerk checked J MZE@MWM111 RR FEB 1 0 2 w91 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer. 14(1)Y11. 2r- Life 4, le Notice of Acceptance Number: 07- - 0 V 1 ( • 0 3 Minimum Design Wi Pressures, If Applicable (From RAS 127 or Calculations): Pmaxl: - 5. P Pmax2: • '35• / Pmax3•• in • Z.. Maximum Design Pressure � j �. (From the NOA Specific System): __44-o- ,� _•o - .• Method of Tile Attachment: "po [t Fac - eck Type: Sloped System Description ,T ATF AND COUNTY RULES AND RK' ULATIONS ZONING DEPT ,,lil; 11-CT TO COMPLIANCE WITH ALL :EDERAL PkItt)ood /d Type Underlayment: Insulation: Fire Barrier: Roof Slope: 3 :12 Ridge Ventilation? f113-` Mean Roof Height: l Z 1 # 3D Aso rv, /J 1 Fastener type & Spacing: dhesive Type: 5.IP -dhe Type Cap Sheet: 1 hpo 1gS41 G 4-t) p Los oofing Covering: &tXo»5 5oO 1 Type & Side Drip dge: Ic 3,1 Florida Building Code Edition 2007 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 Mr with the values from Mr If the M, values are greater than or equal to the Mr values for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment -Based Tile Calculations Per RAS 127" (P,:-_.:/5.4 x 1 .313 = 144• t i ) - Mg: 7 9r = M„ • a-3 NOA M, y 0.4 tat( For (P2:7g. x 1 ,31A = otf.(00) -Mg: '1,9% =M2 (0 4q NOA Mr oa.m (P3:d16•..x 1 • 313 = 3b.3'l) -Mg: v. 91 =Mt3 fl.4 St NORM, 0• Tet0\ii 14 P caf lo Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Ms) From Table Below NOA Mr Mr Required Moment Resistance* Mean Roof Height Roof Slope 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 P with the values for Fe If the P values are greater than or equal to the F, values for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift-Based Tile Calculations Per RAS 127" (P,:___ x I: = x w: = !) - W: cos 0: =Fr,: NOA F' (P2:____ xI:_= -__xW: =)- W :_xcos a: =F2: NOA Fl (P3:_,_ xI:T- xw:- ) -W xcos 0: =F13: NOA Fl 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 H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier .l NOA Restoring Moment due to Gravity M9 NOA Attachment Resistance M, NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F Calculated Average Tile Weight W NOA Tile Dimensions I = length w = width NOA All calculations must be submitted to the Building Official at the time of permit application. M IDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE CIF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -29011 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 1-laving 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: Polystick P, Basik, IR/IRX, TV, TU Plus, TU Polyester and MU 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. TEEMINATION 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. 06- 0505.01 and consists of pages 1 throu h 6. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 1 of 6 ROOFING COMPONENT APPROVAL Category: Sub - Category: Materiel: PRODUCTS DESCRIPTION: Roofing Underlayinent SBS , APP Self - Adhering Modified Bitumen Product Dimensions Polystick P underlayment Polystick Basik underlayment Polystick 1R/]RX underlayment Polystick TU underlayment Polystick TU Plus underlayment (Facer of Membrane Labeled in Orange or Black Ink) Polystick TU Polyester Polystick MU underlayment Roll: 75' x 3' 40 mils thick Roll: 65'8" x 3' 3_3/8" 60 mils thick Roll: 65'8" x 3'3-3/8" 80 mils thick Roll: 32' 10" x 3' 3 -' /e" 100 mils thick Roll: 65'8" x 3'33/x" 80 mils thick Roll: 32' 10" x 3'3-3/8" 130 mils thick Roll: 65'8" x 3'3-3/N" 80 mils thick MIAMI DADE COUNTY APPROVED `Pest Specification ASTM 1) 1070 ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 TAS 103 and ASTM D 1970 Product Descrinlion A polyethylene top surface, self - adhering, 5135 polymer modified bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use an underlayment for metal roofing. 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 u high strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal rooting and roof tile underlayment. A rubberized asphalt waterproofing membrane, glass -fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. A non- wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile undcrlayment. NOA No.; 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 2 of 6 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Exterior Research & Design, LLC #11756.04.0 I -1 TAS 103 04/27/01 #11756.08.01 -1 ASTM D 1970 08/14/01 #02202.08.05 TAS 103 08/29/05 Trinity! 8n.D #P5110.08.07 TAS 103 08/29/07 PRI Asphalt Technologies P1UC)1111 ASTM D 4977 04/08/02 PUS A-005 -02-01 ASTM D 4977 01/31/02 PUSA - 018.02 -01 ASTM D 2523 07/14/03 PUS A-035-02-01 TAS 103 09/29/06 PUSA- 033 -02 -01 ASTM D 1970 01/12/06 Momentum Technologies, Inc. JX2O117A ASTM D 4798 04/01/08 ASTM 0 155 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated, new construction Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626 or Polyprotector UDL or Polyprotector UDL AS. Fastening: Nails and tin caps 12" grid, 6" o.c. at laps. (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 cave, 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 m 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 metnbrane 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.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10 /08 Page 3 or 6 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick P, Basik and IRJIRX may be used in asphaltic shingles, wood shakes and shingles, non- structural metal roofing, and quarry slate roof assemblies. Polystick P and Basik shall not be used as roof tile underlayment. 3. Deck requirements shall be in compliance with applicable:building code. 4. Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick membranes shall not be adhered directly over a pre- existing roof membrane as a recover system. 6. Polystick P, Basik, IR/1RX, TU, TU Polyester and MU Untlerlayments shall not be left exposed as a temporary roof for longer than 30 days after application. Polystick TU Plus shall not be left exposed as a temporary roof for longer than 1 SO days after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. 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. 1.n roof tile application, data for the attachment resistance of roof tiles shall he as set forth in the roof tile manufacturer's Notice. Polystick TU, TU Plus and MU may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR /IRX is limited to mechanically fastened roof tile applications. Polystick TU Polyester may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as described below: Tile Profile Polystick IRJ1RX Polystick MU No limitation Polystick TU, TU Plus TU Polyester No limitation Flat Tile 5:12 Profiled Tile Prohibited 5:12 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. 9. 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 for loading procedure. MIAMt.DADE COUNTY APPROVED Roofing Tiles (6 Max. Per Stock) 12 NOA No.: 074025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 4 of 6 GENERAL LIMITATTIONS: (CONTINUED) 10. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick P, Basik, IR/IRX, TU, TU Phis, TU Polyester & MU may be used with any approved roof covering Notice of Acceptance listing Polystick P, Basik, IR/fRX, TU, TU Plus, TU Polyester & MU as a component part of an assembly in the Notice of Acceptance. If Polystick P, Basik, IRJIRX, TU, TU Plus, TU Polyester & MU 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 tame or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMIDADE COUNTY 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. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYST1CK 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 and Polystick MU 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 t2" o.c. Polystick TU Plus and Polystick MU should be back nailed in designated area marked "nail area, area pare 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 Flushing 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 Basik. 5. A maximum of 6 tiles per stack are allowed when loading tile on the undertayments. Refer to the Polyglass Tile Loading Guidelines. NOA No.: 07-1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 5 of 6 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. l.t is suggested that on pitch/slopes in excess of 6 1/4 " /12 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane inslallation belore loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick TU Plus, Polystick MU 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 aecornplishi d by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass P0500 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 pat-allot 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 401bs 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. 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. 13. Polyglass offers a 10 year Limited Material Warranty on all properly installed Polystick self - adhered underlayments. Warranty must be requested and registered by Polyglass to be in force. 14. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894 -4563. 15. Polyglass recommends that applicators follow good rooting 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.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 6 of 6 i Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 295 NE 95 Street Miami Shores, FL 33138- Owner Information Parcel Number Applicant Address 1132060133970 Block: Lot: MARK STOSE Phone Cell MARK STOSE 187 MAGEE Road RINGWOOD NJ 07456- Contractor(s) A&J ROOFING CORP Phone Cell Phone (305)599 -2782 (305)804 -1342 Valuation: Total Sq Feet: $ 30,000.00 3502 1 Type of Work: Re Roof Additional Info: TILE AND FLAT Classification: Residential Scanning: 4 Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $18.00 $6.00 $325.00 $12.00 $24.00 $385.00 Pay Date Pay Type Invoice # RF -12-09 -36723 12/31/2009 Check #: 2785 $ 50.00 $ 335.00 09/17/2010 Check #: 1062 $ 335.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Roof in Progress Renailing Affidavit Cap Sheet In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. September 17, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 17, 2010 1 • NOTARIZED POWER OF ATTORNEY NIECIEEWMF aa FEB 1 2010 jgj BY To whom it may concern, I, Mark J. Stose, as one of the titled owners of 295 NE 95th Street, Miami Shores, FL 33138, hereby grant and authorize Nelson Oliva to execute on our behalf any and all contracts, permits and other legal documents which are or may be necessary to initiate and complete the re- roofing of the above described residence (Folio No.: 11- 3206 -013- 3970). Dated, January 22, 2010, New York, NY. ALL,,,cyj 01=4,,a1. DIANE VOT1NEW Notary Public, State of New York No. 43- 4835790 Qualified in Richmond County 1 Commission Expires April 30, 20-4, I t, Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 (RECENE DEC 1 ,2003 Permit No. l.Y t t9 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical 14cLp-i 3 S /ase t -lQryZ �j.1oF'}�r Owner's Name (Fee Simple Titleholder) /U� 4.50 A/ Of 1 v-a Phone # Owner's Address j 95 ti E 95 3-1 City 14 /am) Shores State FL Zip 3 3/38 Tenant/Lessee Name Phone # Roofing 305 rf7a-TIZz, Job Address (where the work is being done) c2 /V E 95 -Ih 5T City Miami Shores Village County Miami -Dade FOLIO / PARCEL # // -.3 -0(' - 0/3 -39707 Zip 33 J 3 8 Is Building Historically Designated YES NO Contractor's Company Name /- 4"5 /2v0/r?r7 cf e0,74 Phone # 0 o 5^"-5-9 F- a F'&2 Contractor's Address /IV 7 ,A,Ct) ;jh(.!. f City iii an? / State /.7 Zip 53 / 6 b Qualifier Name ,q/ 6 (Az / ,tl 6 c22 / beti Phone # _P J — State Certificate or Registration No. cd.2 /3.270.3g Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit 430 000 Square / Linear Footage Of Work: -3 5 C7 5 F Type of Work: ['Addition ['Alteration QNew Describe Work: IZ ra _ TZ.o of' - VI Le i F (ta -.}. Q Repa ❑ Demolition I ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * ** 523—c Notary $ Training/Education Fee $ ( Q' CO SUbmittal Fee $ -C.. Permit Fee $ Scanning $ ' Of) Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ * * * * * * * * * * * ** CCF $ OL CO /CC Technology Fee $ 04'00 Zoning $ Total Fee Now Due $ 335`00 See Reverse side —� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this g3 The foregoing instrument was acknowledged before me this 20 day of R/OVembef, 20 e5 , by ,&€/ c.)...- ,. /, vet . , day of Cem62/, 200r/', by 1u2/ p3 60e¢!/•,c6 who i nall kno o me or who has produced who, _ rsona1h kn4twn to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print !��"I✓� �(' /r7Gf?daz My Commission Expires: A-f j L 2 (7 20/2 APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY PUBLIC: My Commission Expires: /iL -2 V_ ac) I2 Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOUO NO. //- 0 .106- 0/3 -3970 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice property, and in accordance with Chapter is provided in this Notice of Commencem 1111111111111111111111111111111111111 11111111 CFN 2010R0598065 OR Bk 27408 Ps 37061 Ups) RECORDED 0W02/2010 15:33 :44 HARVEY RUVIHP CLERK OF COURT MIAtII -LADE COUNTY? FLORIDA LAST PAGE STATE OF FLORIDA, COUNT? OF DADS 1 HEREBY CERTIFY that this is a S y of Me that improvements will be ma day of 713, Florida Statutes, the following informati ent. :WITNESS my hand and 0 +IARVEY RUVIN, CLER4 8y. 1. Legal description of property and street/address: /53 W 6,,rj �v° /D� ♦ of _ Z 6�/� 02- iv / �.Ze /0 �Z �lia�/ Scores ��G //I-4P �o �� ` e2 a- s� - 70t of� :20re -2- �df- �7v/a6oa00 29 ",1J 9.5 f- 2. Description of improvement: RO,._ 01-vdX7 /de_ ,A ©20 cia! Seal. ,d,Cam Courts 0.94 fr O.C. ircu 3. Owner(s) name and address: /?'Jar 7 < . e q 02 fs /UE q's"sf' sl,�r /0/ Interest in property: *WA- Name and address of fee simple titleholder: 4. Contractor's name and address : /4 di 3- 120 € 2r7 7 • 71�7yw 0#•/..6--/ Abwivi 733/66_ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: /Wit Amount of bond $ ft%49" 6. Lender's name and address: /(44- 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: UM' 8. In addition to himself, Owners designates the following.person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florid Statutes. Name and address: �/9 9. Expiration date of this Notice of Commencement:. the expirati. n date is 1 year from the date of recording unless a 1 _ t different date is specified) �!4 Pitt Own E Swom to and u n'er Notary Public Print Notary's z - ^ J 5 My commission expires: 7Qprii 0-1 oil Alez.ZScs J • Iniatfetkiitigoinisy MY COMMISSION #t D783056 EXP'RESA027,2012 of podernhe/ , �j Address : /44 VI 446./ 1`4./77 Jam/ 3 aeleCez. 123.01 -52 PAGE 4 5/06 Prepared by . YO, ta;) )./*L." .4,. ACO O® CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305) 551 -0590 FAX: (305) 551 -0857 Casualty Systems 3331 SW 107 Ave Miami INSURED A & J Roofing Corp. 7947 NW 64 St Miami COVERAGES FL 33165 DATE (MMIDD/YYYY) 12/8/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # FL 33166 INSURER A:Burlington Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS. EXCLUSIONS AND CONDITIONS OISUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR LTR ADD L INSRD TYPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM DIYYYYI POLICY EXPIRATION DATE /MA momm� LIMITS A GENERAL UABIL TY X I COMMERCIAL GENERAL UABILnY _I CLAIMS MADE 1 X I OCCUR - -_ - -_. 038012231 -02 5/18/2010 5/18/2011 EACH OCCURRENCE $ 1,000,000 $ 50,000 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 $ 2,000,000 $ 2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE OMIT APPUES PER: X I PoUCY I 11.7118f I LOC PRODUCTS - COMP/OP AGG AUTOMOBILE LIABILITY ANY AUTO 1 ___I I ALL OWNED AUTOS — SCHEDULED AUTOS 1 - -HIRED AUTOS I NON -OWNED AUTOS ■ COMBINED SINGLE LIMB (Ea acddent) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGELIABILITY { ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS / UMBRELLA LIABILITY 1 OCCUR CLAIMS MADE 1 DEDUCTIBLE 1 RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS AND ANY OFFICER/MEMBER (Mandatory If yyes SPECIAL COMPENSATION EMPLOYERS' LIABILITY YI N f WC STATU- OTH- 1 TORY LIMITS ER E.L. EACH ACCIDENT $ PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? E.L DISEASE - EA EMPLOYEE $ In NH) describe under PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER 1 DESCRIPTION OF OPERATIONS ILO CATIONS / VEHICLES IEXCL USIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS (305) 795 -2204 Miami Shores Village 10050 NE 2nd Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED DATE THEREOF, THE ISSUING INSURER NOTICE TO THE CERTIFICATE HOLDER NAMED IMPOSE NO OBLIGATION OR LIABIUTY REPRESENTATIVES. POLICIES BECANCELLEDBEFORETHEEXPIRATION WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TO THE LEFT, BUT FAILURE TO DO SO SHALL OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE Juan Hernandez /JUAN t-�_ n'i -- INS025 (200901) © 1988-2009 ACORD CORPORATION. Allr ights reserved. The ACORD name and logo are registered marks of ACORD ACORL , CERTIFICATE OF LIABILITY INSURANCE 010- 0100343 - .60102 DATE AC10- 9100393 - 860102 03/23/2010 03:02 PRODUCER 1 at 14160 la D Dallas Risk Services T•rr Parkway $500 Dallas, TX 75254 (800) 632 -5096 (972) 715 -0959 AM T AT HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR • : • • - +_ _ , . _ • , INSURERS AFFORDING COVERAGE INSURED: AMS 1 /c /f: A & J ROOFING CORP. 7947 NW 64 STREET MIAMI, FL 33166 (305) 599 -2782 Fax: (305) 599 -2783 nnvcown_cc. INSURER A: Companion Property and Casualty Insurance C INSURER B: INSURER C: INSURER D: INSURER E: THE ANY MAY POLICIES. IiNraR POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POUCY NUMBER POLICY unnryrnVIE POLIO (MMPiInnATION LIMITS EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS MADE OCCUR FIRE DAMAGE (Any One Fire) $ MED EXP (Any one person) $ GENt 7 PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER: POLICY n .PIFCI' n LOC PRODUCTS - COMP/OP AGO $ ^' AUTOMOBILE — LIABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY Per parson) $ BODILYWURY (Per accident) $ PROPERTY DAMAGE (Per accdent) $ GARAGE LIABILITY R ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS — — LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND WC77779991701 04/01/2010 04/01/2011 X 1 WC STATU- Pall �rw E.L. EACH ACCIDENT ACHAC ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER R LIMA $ LIMITS $ DESCRIPTION OF OPERATIONS /LOCATIONS/VEHJCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1. This certificate remains in effect, provided the client's account is in good standing with AMS. Coverage is not provided for any employee for which the client is not reporting wages to AMS. Applies to 100% of the employees of AMS leased to A & J ROOFING CORP., effective 04/01/2010 MIAMI SHORES VILLAGE BLDG. DEPT. 10050 N.E. 2ND AVE. MIAMI SHORES, FL 33138 ACORD 25-S (7/97) ED; INSURER LETTER: CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAII. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE © ACORD CORPORATION 1988 04 -06 -2009 ALEX SINK STATE OF FLORIDA 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. EFFECTIVE DATE: PERSON: 04/06/2009 EXPIRATION DATE: 04/06/2011 GUERRERO FEIN: 205407100 BUSINESS NAME AND ADDRESS: A&d ROOFING CORP 7947 NW 64TH STREET MIAMI FL 33166 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED ROOFING CONTRACTOR MIGUEL A JR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DMSION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 04/06/2009 EXPIRATION DATE: PERSON: MIGUEL A GUERRERO JR FEIN: 205407100 BUSINESS NAME AND ADDRESS: A &J ROOFING CORP 7947 NW 64TH STREET MIAMI, FL 33166 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED ROOFING CONTRACTOR IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who • elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2010 LOCAL BUSINESS TAX RECEIPT 2011 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2011 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 602991 -2 BUSINESS NAME / LOCATION A & J ROOFING CORP 7947 NW 64 ST 33166 UNIN DADE COUNTY FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 629057-1 STATE# CCC1328038 OWNER A & J ROOFING CORP Sec. Type of Business 196 SPECIALTY BUILDING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S OUALIFICA- TIONs. PAYMENT RECEIVED MIAMI-DADE COUNTY TAX COLLECTOR: 08/16/2010 09010147001 000075.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD A & J ROOFING CORP MIGUEL GUERRERO PRES 7947 NW 64 ST MIAMI FL 33166 1111 nil..11111. 111 .hli,►,IIFl1AL(11111AAd Sale Amount: •/2002 • a} :,; • r ales Qualification Descri • 'on: ales which are qualified Miami -Dade My Home My Home l' i®ade. ov Show Me: Property Information Search By: Select Item l I Text only Property Appraiser Tax Estimator ri Property Appraiser Tax Comparison Summary Details: Folio No.: J1-320B-(113-397Q Property: 295 NE 95 ST Mailing MARK J STOSE & MARY L Address: INHOFFER Living Units: 295 NE 95 ST MIAMI Adj Sq Footage: SHORES FL Lot Size: 33138 -2711 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 2 Living Units: 1 Adj Sq Footage: 2,377 Lot Size: 14,936 SQ FT Year Built: 1946 $0/$465,281 1 53 41 6 53 42 MIAMI City: SHORES SEC 1 AMD Legal PB 10 -70 LOT 23 & 24 Description: BLK 29 LOT SIZE 104.450 X 143 OR 20489- 1701 06 2002 1 OR 20489- 1701 0602 00 Assessment Information: Year: 2009 2008 Land Value: $254,581 $428,870 Building Value: $210,700 $178,275 Market Value: $465,281 $607,145 Assessed Value: $465,281 $607,145 Taxable Value Information: Year: 2009 2008 Applied Applied Taxing Authority: ExTaxable emption/ ExemptiTaxable on/ Value: Value: Regional: $0/$465,281 $0/$607,145 County: $0/$465,281 $0/$607,145 City: 0/$465,281 $0/$607,145 School Board: $0/$465,281 $0/$607,145 Sale Information: Additional Information: Click here to see more information for this I Inrnnertv. Page 1 of 2 ',ACTIVE TOOL_ SELECT Digital Orthophotography - 2007 0 114 ft My Home 1 lagfteitigligrtler9RPALTIMS I M Neighborhood I Prooerty Aooralser Home I Uslna Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /propmap.asp Legend Property ee Boundary Selected Property Street Highway Mlaml -Dade County Water WE 1/8/2010 7 t. 54e Skne4Veitclegolf2,044tmeat 100x0 NE 2nd Ave* Miami Shores, FI 33138 l'h ne 305 - 795 -2204; Fax 305 - 756 -8972 OW =RS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT "_E FAMILY RESIDENTIAL STRUCTURES RSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building ",epartment 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Ile./ 6o 9/, 2V-a Property Address: oZ ! 5 Ai G 95---/-h 5 /- Roofing Permit Number: Date: /2 -30 Dear Building Official: DGiviq -- certify that I am not required to retrofit the roof to wall connections of my building becauc �: E he just valuation for the struc}' rr r purpose of ad valorem taxation is Tess than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in o :: pliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of :le South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly worn, deposes and says that he /she is the contractor for the above property mentioned. Swom to and subscribed before m // A/O 1v ern acr Notary Public, Sate of Florida at l_ When the just valuation of the structure for purpc e,; FBC nor a 1994 SFBC. Then you must provide a bui■ . 1r!7,,,, ARACELYS M HERNANDEZ _'=!'+rr,Qcf•r gllRn1089 t'; DD783056 EXPIRES April 27, 2012 - 0;) ",`01, FloridallotaryService� (407► 39R•Ot�.a.. . valorem taxation is equal to or more than $300,000.00, and the building was not constructed with application from a General Contractor for the Roof to WaII connection Hurricane Mitigation. October 2, 2009 To whom it may concern, We, Mark J. Stose and Mary L. Inhoffer, as the titled property owners of 295 NE 95th Street, Miami Shores, FL 33138, hereby grant and authorize Nelson Oliva to execute on our behalf any and all contracts, permits and other legal documents which are or may be necessary to initiate and complete the re- roofing of the above described residence (Folio No.: 11-3206-013-3970). f r14r) .16h Mary L. Ilhoffer 1 19.1 - rrus-7 TDE SECTION 1524 • •• • • • • HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATIONaQJ ROOTIMW ' • CONSIDERATIONS • • • • • • • 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to prpoid the oWne' ith the •. • • • required roofing permit, and to explain to the owner the content of this section.. The piqyj§tprs of Chapter 15 o...• the Florida Building Code, Building govern the minimum requirements and standards pf'tbg'indus¢y'f Tootling • system installations. Additionally, the following items should be addressed as part of tnAgmement between the e • owner and the contractor. The owner's initial in the adjacent box indicates that the item I2as De$n explained. � � •••• 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High•WfocZty Hurricane ZZone)* . are for the purpose of providing that the roofing system meets the wind resistance and wa' .iMtrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed addressed as part of the agreement between the owner and the contractor. ti 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof System). � ________3. _3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. .PD _4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low - lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Pondi 9 rya , shorten the life expectancy and performance of the new roofing system. Ponding condition' alloti �S�dr until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rain t the roof is not is discharge if in accordance overloaded from a build up of water. Perimeter /edge walls or other roof overflow scuppers (wall outlets) are not provided. It may be necessary t with the Florida Building Code, Plumbing. ND 7. Ventilation: Most roof structures should have some ability to �a) i j w thr h the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. !//,23 49 Date 9s�hs� Property Address Permit Number Rev:1/2012005, Computer Services, Building Department Contractor's Signature 9 Pv1 ami Shores Villaie APPROVED BY DATE 7, ,!fl DEPT 01 DG DEPT TTT TO COMPLIANCE WITH ALL FEDERAL PL1! =S AND REGULATIONS • • IS • • • • Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form •• • • • Section A (General Information) Master Permit No. Process No. Contractor's Name A � 1Q-6 ( 0 J Job Address •.•• • • •••• •.•.•• • • 00000 •• •• • • • • •• • •.•.•• • • • •••• • • • • • • • .•••.• • • •••.•• • • • • •.•.• • • • • • • • • •• • • • • • ••• R Low Slope ❑ Asphaltic Shingles ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 150 Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes J ROOF TYPE ❑ New Roof CJ Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) g.90 .5F 3o /zsi 35 0.),5f 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. 4.1 .4 -r �N,il�lfl 1 5 a • • • ..•.•. • • • .•.•.• • • •.•••• • • • • • • •••. • • • • •.•• •• • ss • 000000 • • • Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form .• • ..•... • .. • • • Section C (Low Sloped Roof System) Fill In Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer: 1)bli ed ,IaSS V5Atuc NOA No.: Oho - Of id • L)(o Design Wind Pressures, From RAS 128 or Calculations: Pmax1: -19.2. Pmax2: - 8 a 4, Pmax3:— f _4.3 Max. Design Pressure, From the Specific NOA System: •—' 400 Deck: Type: P(y luDcx S/$ s/B Gauge/Thickness: Slope: �z y if Anchor /Base Sheet & No. of Ply(s): the ply or #175 base Anchor /Base Sheet Fastener /Bonding Material: Si Ku, Pia hrasly w /ttas4-06a&e Insulation Base Layer: N/A Base Insulation Size and Thickness: PM Base Insulation Fastener/Bonding Material: N%A Top Insulation Layer: N/A Top Insulation Size and Thickness: lU %A Top Insulation Fastener /Bonding Material: N/A Base Sheet(s) & No. of Ply(s): btw ply of etcaskol s . Base Sheet Fastener /Bonding Material: IY, Rtnq Sha „k hut ls 4Itn daps Ply Sheet(s) & No. of Ply(s): artPiy 66.4044 0c saki Ply Sheet Fastener /Bonding Material: S2� F aci.herec1 Top Ply: tom..1,I.1 of elosloKicx � FQ Top Ply Fastener /Bonding Material: Set F C'tab.cr,eci Surfacing: >:.10o1-ofI.ek SaP F �. Fastener Spacing for Attachment Field: g ” oc Lap, • • Anchor/E%se:Sheet • • • • •• •• ....•. • # Rows:a* @ ;i3Lt•' • Perimeter: 1" oc @ Lap, # Ro s.L j� _ ".oc • • Corner: `p " oc @ Lap, # Rows g @ " oc Number of Fasteners Per Insulation Board Field N4/°►' Perimeter N /A-Corner AVA Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details °that Comply with RAS 111 and Chapter 16. L FWshi ny k'curvier x 0 r. tna 0 �► F� akt d d of Parapet "t W r Height FT. NfA t000d FT 1 Mean Roof Height •• • • • Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form •• • •.•••• • •...•• • • • Section D (Steep Sloped Roof System) • • •.••• • • •• • • • Roof System Manufacturer: 14 014 i er 11c. 1i(e L Lc •• •• • •• • •• • • • • • • • • • . 1 Notice of Acceptance Number: C�'7- 0'711.0 3 • " • • • • • Minimum Design Wind Pressures, If Ap Iicable (From RAS 127 or Calculations): Pmax1: — 5. 1 Pmax2: — ' 3 1, Pmax3: — 116.4 Maximum Design Pressure / C' (From the NOA Specific System): 'T 0 ' ache siv2 541.4 ti. ed paddy T Method of Tile Attachment: IO i V' Foam Roof Slope: 3 :12 eck Type: Sloped System Description •• • I•1 .•• • • 5/8 P/y w00 d Type Underlayment: Insulation: Fire Barrier: 30 As4m NlA Fastener Type & Spacing: Ridge Ventilation? b/4 ly 1srr,+gg snpk nails IVf.cfd 6' Lap dhesiveType: I Self Qdher d Type Cap Sheet: Mean Roof Height: 1 c2 oofing Covering: (5Qgeon y Rob Type & Size Drip dge: 1 3x3 c&.W �. fat. I Xt Snank oC. • • • • •••••• • • • 000000 • • •••••• ••••• • • 00000 000000 • • • •••••• • • 000000 • • • • • • • • - .. • • Florida Building Code Edition 2007 •••:•' • High Velocity Hurricane Zone Uniform Permit Application Form 1.1:1• • 1 . • •••• Section E (Tile Calculations) •••••' •• • •••••• • • • For Moment -based tile systems, choose either Method 1 or 2. Compared the values J I with • • • • the values from Mr. If the Mf values are greater than or equal to the Mr values for eachanee of • the roof, then the tile attachment method is acceptable. •••11 • •••I • Method 1 "Moment -Based Tile Calculations Per RAS 127" • •• • • • •• • (Pr: -i/s.i x a. • 313 = l •ii ) - Mg: 7. 9/ = Mr, 5 •a✓ 4 NOA Mr '/D . 4/ OW ett' (P2:-7g• (.x Al • 313 ) - Mg: 1 -91 = M,2 /6.69 4 NOA M,. 44. 41 `town" (P3: /14,.,2 x A, ' • 313 = .3 ) - Mg: 9- 9/ = M, c8• S/h < NOA Mr '/ 0 - 14 e y pckdt puccd Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below NOA Mr Mr Required Moment Resistance* Mean Roof Height Roof Slope 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 F1 with the values for Fr If the F1 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" (P,:_ xI: = xw:= _)- W :_xcos 8: =Fr,: NOA Fl (P2:_ xl: _= _xw:= _)- W :xcos 0: =F,: NOA F1 (P3:_ xI: = xw:= _.)- W :_xcos 0: =Ff.: NOA F1 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 H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier d NOA Restoring Moment due to Gravity MA NOA Attachment Resistance M, NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions I= length w = width NOA At calculations must be submitted to the Building Official at the time of permit application. • • •111•• • • • •••.•• • • 1.11•• • • •••1• • • ••••• ••.1•• • •• 1111•• • • •1.111 • • � r M 1 A M IOADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 -2930 SCOPE: • • •••••• • MIAMI- DAD1.GcUA1TY, Fl+•O1 II1, METRO- DADF•Bler jER BU?LDJMJ 140 WEST FLAGLER ISTIft +'1', SUITE 1103 MIAMI, FLORIpA 331311-15163: (305) 375 -2901 • •FAX (305) 375 -290 %. •• •.•• . • .• •• • •••••• • • • • • • • • •• • • • •••• • • •••• • •• • • • •••• 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 (AIIJ). 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: MLT TileSeal 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 consists of pages 1 through 3. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 08- 0107.02 Expiration Date: 07/31/12 Approval Date: 05/15/08 Page 1 of 3 000000 • • • 000000 • • •••••• • • ••••• • • 000000 • •• •••••• • • 000000 • • ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing Underlayment SBS • • • •• • •••••• •••••• •••• • • 1•..•• • •• • • • • • • •• • • • • • • • • •• •• • • •••••• •••••• • • •• •• • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY AV?1:1�ANT: • 0000• • •••• Test Product. • • • Specification Description • •••• • • TAS 103 SBS self - adhering asphalt sheet material with a white glass re- enforced polyester surfacing fabric; for use as an underlayment in sloped roof assemblies. •••• Product MLT TileSeal Dimensions 36" x 33.3' rolls 36" x 66.7' rolls EVIDENCE SUBMITTED: Test Agency Underwriters Laboratories, Inc. IRT- Arcon, Inc. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. PRI Construction Materials Technologies, LLC. Test Identifier R14610 02 -012 NEI- 006 -02 -01 NEI - 008 -02 -01 NEI- 045 -02 -01 NEI- 053 -02 -01 APPROVED ASSEMBLIES: Deck Type 1: Deck Description: System E(1): Base Sheet: Membrane: Surfacing: MIAMI•DADE COUNTY APPROVED Test Name/Report Follow up Service TAS 103 TAS 103 TAS 114 (II) ASTM D 4798 & ASTM G 155 ASTM D 4798 & ASTM G 155 Date 03/28/02 02/28/02 04/01/02 07/30/02 08/08/07 05/01/08 Wood, non - insulated, new construction Is/32" or greater plywood or wood plank Anchor sheet mechanically fastened deck, membrane adhered. One or more plies of ASTM D 266 Type II or ASTM D 2626 with a minimum 4" side lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the laps and two staggered rows 12" o.c. the field of the roll. One or more plies of MLT TileSeal Underlayment with a minimum 4" side lap and 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with MLT TileSeal Underlayment is acceptable. Approved for Approved Adhesive Set Roof Tile Systems, Mechanically Fastened Roof Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingle assemblies. NOA No.: 08- 0107.02 Expiration Date: 07/31/12 Approval Date: 05/15/08 Page 2 of 3 •..••• • • • • 010.0 • • •...•• • • t • • •••••• •••••• • • • • • • LIMITATIONS: •.•... • • • • 1. Fire classification is not part of this acceptance. • • 2. This acceptance is for prepared roofing applications. Minimum deck requirexierlts shall 6+� to •.; • •. compliance with applicable building code. MLT TileSeal underlayment shall be•i1L led ire ®mid• • • ••••• compliance with applicable Building Code. •• • • •• •• 3. MLT TileSeal underlayment shall be applied to a smooth, clean and dry surfacPwith neck frae ef " "•• irregularities. • .... • • 4. MLT TileSeal underlayment shall not be applied over an existing roof membrane • a $ecovei�,•13yi• • • may be applied over a roofing Base /Anchor sheet underlayment. 5. MLT TileSeal underlayment shall not be left exposed as a temporary roof for longer than 90 days of application. 6. The standard maximum roof pitch for MLT TileSeal underlayment shall be 6:12 when tiles are loaded directly to the MLT TileSeal underlayment; loading boards or battens are required on roof pitches greater than 6:12 ". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 8. Tiles shall be stored on battens on roof pitches greater than 6:12 ". 9. MLT TileSeal underlayment may be used with any approved roof covering Notice of Acceptance listing MLT TileSeal underlayment as a component part of an assembly in the Notice of Acceptance. If MLT TileSeal underlayment 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. 10. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 11. 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. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 14. 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 MLT TileSeal underlayment shall be applied over the underlayment. 15. 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. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMI•DADE COUNTY APPROVED END OF THIS ACCEPTANCE NOA No.: 08- 0107.02 Expiration Date: 07/31/12 Approval Date: 05/15/08 Page 3 of 3 BUILDING CODE COMPLIANCE OF1710E (IUC•Cu) PRODt1l CONTROL DIVISION _NOTICE OF ACCEPTANCE NOA) Polytonal Products, Inc. 11715 Boudreaux Road '1'on)ball, TX 77375 SCOPE: This NOA is being issued under the applicable rules : i:d 1L •, Itlatiuu; gc,vcrning the use of construction materials. The documentation submitted has been reviewed by the I tt't'I) anal accepted by the Building Code and product Review Committee to be used in Miami Dade 00111113/ and other areas where allowed by the Authority [laving Jurisdiction (Al1.l). This NOA shall not be valid after the expiration date slated below. The BCCO (In Miami Dade Cottnl ) and/or the AID (in areas other than Mian)i Dade County) reserve the right to have this product or material test dfor quality assurance purposes. If this product or material fails lo perform in the accepted manner, the manufacturer will incur the expense of such testing and the AIIJ may inuucdialcly revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves 1111: right lo revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the.rcquirc'n1cnts of the applicable building code. This product is approved as described herein, and has been designed) to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® A11160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been 110 change in the applicable building code negatively affecting, the performance of this product. • 11;-RIVIINA "1'ION of this NOA will occur afro the expiration date or if [here has been a revision or chan a in the materials, use, and/or manufacture of the product or l 1nu:1:;;s. i:;usc 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 (Willis NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded) by the words IAiami -Dadc County, Florida, and for the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then �itesha I be done in its entirety. by INSPECTION: A copy of this entire NOA shall be provided to tile user by the manufacturer or its distributors and shall be available for inspection at the job site at the reLtllcst of the Building Official. This NOA renews NOA No.01 -0521.02 and consists ofpages 1 through 7 The submitted documentation was reviewed by Jhrgc 1.,. Acclut. r 000000 • MI Alt; kVA. CO .UP IY,14.0RIDA • eee METR ME,PLACPFR1AJILDINV • 140 WEST FL, t I.JKI3TREET, 61.IITE 1603 • mimic �FLORIOA 431111- ISti4...• • (305) 374r2C1011 FAX (58.5)11.1.).5-2904, :• • • • • •••••• •••••• • • • • • • • • • •• • • • • • •••• • • •••• • •• • • • ••• itc NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 1 of 7 • • 000000 • • ROOFING ASSEMBLY APPROVAL: : Category: Sub Category: Materials: SCOPE: Roofing Roof tile adhesive Polyurethane • • • • • •• • • •••• • • •••• • • .. • • • • • • •• • • • • • • ...• • • • • • • • This approves Polypro® A11160 as manufactured by Polyfo; m Products, Inc. as described in St+clion 2 of this Notice of Acceptance. For the locations where: the ile' ign pressure requiremeatisprjletermincel by • . applicable building code, does not exceed the elesit�u pressure values obtained by cal;ulatidhs in ."•.• • compliance with Roofing Application SI;uul;srd RAS 1:).7, for use: with approved flat,rlovi,'and hi * ., profile roof tiles system using Polypro® A l l 160. Where Illy ;ttlaclunenl calculations 48 dole as tt moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APP141CAN'1': Product Dimensions Test Specifications Polypro® AI-1 160 N/A 'I'AS 101 N/A Foarnproe RTF1000 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 Root' file Assembly having a current NOA which list moment resistance values with the use or: Polypro AI.1161) roof Tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed CeII Content 'Pest ASTM l) 1622 ASTM L) 1621 ASTM 1) 1623 ASTM D 212`7 ASTM ASTM 1) 2.122, Results 1 .6 Ihs. /11,' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0,1)8 l..t.)a, /r''t` 1.1 Perin / inch I 0.07% Volume Change ct -400F., 2 weeks t (.O {, Volume Change @158 °F., 100% I htnsidity, 2 weeks ASTM 1) 2.856 8O% Note: The physical properties listed above arc presented as typical average values as determined by accepted ASTM test methods and arc subject to normal manufacturing variation. NOA No.: 06- 0201.02 expiration Date: 05/10/11 Approval Date: 04/13/06 Page 2 of 7 • • • EVIDENCE SUBMITTED: 'rest Agency Center for Applied Engineering Miles Laboratories Polymers Division Ratntech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services LIMITATIONS: 1. Test Identifier //1.1 -060 2578 18 -I I'A 25-7438-3 25- 74131.4 25-7438-7 25 -7492 NB-589.631 9637-92 01-6743-011 01- (1739) -062bl I J 7050.02.')6- I 528454-2-1 528454-9-1 528415.1 -I0•1 520109-1 520109-2 520109-3 520 1 09) -O 520109.7 520191-1 5201(11 -2.1 • • . • • .. • • 'Pest Naine /Report TAS 101 • 04/08/94 TAS 101 ••••• 12/1096 6 s sTD 11 -93 • •••• 10/25'95 • • •••••• • • 000 SSTD 11 -93 •• • • 11/02/95, SSTD 11 -93 12/121A5.. ASTM D 1623 • • 02/01/ • • • • • •1 •• • • • • •..••• • •• • 1 DWte•• ASTIVI E 108 04/30/93 ASTM E 108 ASTM E 84 TAS 114 11/16/94 01/16/95 03/14/96 '1'AS 101 10/23/98 TAS 101 12/28/98 TAS 101 03/02/99 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. I olypro@ AI-1160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with Ilse Rooting Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptau6:e liar the use of Polypro0J AI-1160 roof tile adhesive with (heir tile assemblies shall test in accordanu c with 'I';1S 11)1. 5. Roof Tile manufactures acquiring accept alley lior the use of I IANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance witl►'I'AS 101 with section 10.4 as modified herein. i► IF F'= l2 ' MS w NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3af7 • • 000000 • • •1111• • • •..•• •• • • • • INSTALLATION: • 1. Polypro® AH160 may be used with ;• . • lily roof tilt• assenthly having a current NQA ttat listsegpIN resistance values with the use of Polypn'�;10 ; \.I l 1 hi). •• • 2. Polypro® AI-1160 shall be applied in col lipli :iitri• with the Component APPIi • section tend the ••••• • corresponding Placement Details nntucl hert.•in. 'I hL' root' Ole assenlbly's adhesive etitaehmeItwihlt •••••• the use of Polypro® All 160 shall t,rnvicir su I I i� irnt .,Ilachuwent resistance, ex • based system, to meet or exceed the tipli li n.�sistatici' determined in compliane faMiatrp,Mlhld • • County Roofing Application Standards RAS 1' !. 'Ilk! adhesive attachment ata s oted n rho roof assembly NOA •• 3. Polypro®AH160 roof tile adhesive unit its conrponc�nts shall be installed in accordance With••• Roofing ▪ • b Application Standard R.r1S 120, and l'ol;'lOatti Product's, Inc. PolyproL i.A1 -I ;60 Oljer ttiiig Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified .Applicator' approved and licensed byPolyfoain Products, Inc. Polyfoanr Product:; Inc. slant .uhlilp a list of approved applicators to the-authority having jurisdiction. 5. Calibration of the Foampro® dispensing equil,ntem is requirec before application of any adhesive. The nix ratio between the "A" component and the "13" component shall be maintained between 1.0- 1.15 (A): 1.0 (13). The dispense tinier shall be set lo deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall he approved. 6. Polypro® AI -1160 shall be applied with I'uainpro 10'171000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. 'Tile must be set within 2 to 3 minutes after Polypro® AI -1160 has been dispensed. 9. Polypro a0 A1-1160 placement and n►inintunt patty weight shall be in accordance with the 'Placement Details' herein. Each genetic tile profile rc:cluires, the spec iiic placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Placement Single Paddy Detail Weight Min. Flat, Low, High Profiles - -` _.w_, (grams) High Profile (2 Piece ~ ' II 1 - 35 Barrel) I1I - 17 /side on cap and Flat, Low, High Profiles 1,1/pan tl.? 24 (Flat, Low, High Profiles !!_i LABELING: All Polypro ®AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable handing code in order to properly evaluate the installation of this system. Two Paddy Weight per paddy Min. (grams) N/A N/A N/A 8 NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Data: 04/13/06 Page 4of7 101.A.CEIVIENT DETAIL 1 SINGLE i'Arry • • • • • • • • 11,01 through cumon1 --011• 10•-••• • • TIls) • Unduilayinuid • • • • • • • • • • • • • • • • • • • • • • • • • • • 1 • • • • • • • • Ea Vti course only: Koap adhesive approx. 4 In up Iron wee i halos Nail 1Iuough Orville cement Unitas loped Ns:k Nvse2 Eavo Closure — Paddy (fifteenth Tilu1 Eava Coo Elva mess only: Km Windup approx. 4 up Irron nephrites Fascia In 10 Eavo Como Eavu coma only: Keep adhesive approx. 4 in. up Irani weepholos fascia Woollhol Ewe clam NIP OP oo•••• • • • 0000•• • • • • •o••o • • • • • - 000000 • • • • 1) Place uneugh adhesion Ici achieve 11 In 23 iiIaIi inches in gamut with lIm pan lile 2) Two covets upsitlu down. Place adhesive 112 Ttt 1 in. Flinn uulsido wino al cover TIwo illhlial 1110 the. Undvilaymeni 1 lull portion ol lite env come rum Alm) to second worm: of 111111 liItin. E woe pave and of piill 311(1 cover Wes ate.z," fluh s ai pave Elytt IO.11111 Weephole Fascia Bo Inns tar ltown) Optional 224's for sleep pitch applicaUons Noli &ramp pin* cement SWIM* Opllonal Polikup WNW loopiludinal !slum al Igo NOA No.: 06-0201.02 Expiration Date: 05/11)/11 Approval Date: 04/13106 Page 5 of 7 ADHI:SI I'I.AC1!:MENT DETAIL 2 SINC;I..K PATTY Nall Iluouyli plaslic comet • • ...••• • • • • • • •• • •• • • • • • • •• ....•• • • 000000 •... • • • • • •••• •• •• ...... • . ..•... Undeilaymenl 000000 paddy palm Dm • • •••• • • •••• ••• • • • •.•..• • • •.••• • • •.•.. •I • in. +> >' tin. Eauo Course Paddy 18eneath Tile) in. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 • • • • •••• • AD►lESIVE Pi , ( 1F:111I ?N'l' DETAIL 3 r)ii11It1 is VA. I "I'Y • • • • • .. • .•.•.• • Nag through plastc cement Paddy (between tile) Paddy (under tile) •••• • • • • •.•••. • •• • • • • • • •• • • • • • • • •. •• • .. 000000 • • .••••• Nail through plastic cement piggy Addy under file • • • • • Single paddy bolweon file • • • • •. • 2 jn.x,7�r. medium • • ...,7,,,,..v. . u only .•• • ••••• • • Underlaynuril i 3hr. x3in. Single paddy on under - laymont Single paddy under Ole 3 in.x 3 In Ain. Single paddy on under- laymont Eavu coarse Single paddy an lop of tile Single paddy on top of Me In. X 7 in. medium size paddy Dave Fascia ' course only Eau Course Fascia Weephole Eave closure Drip edge Nail through plastic cement Single paddy �,`irnrler Tile Single paddy between tile 4 in Jt� se4n.x 31 Single paddy on underlayment n. C Single paddy on top of tile Eave Course --- Ease Closure In. x 7 In. medium size paddy Dave course only y'`• Fascia END 01? T 111 S ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Paige 7of7 •..• • • • • • MIAMI•DADE MIAMI- DADE•COU? TY, FLdell5 ,• • METRO -DADE PiEW'[.& BUIUX G• • BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET} SUITE 1605• PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -156 (305) 375 -2901 FAX 4305) 37 53908 • • NOTICE OF ACCEPTANCE (NOA) *•••• • • • • • • • • MonierLifetile, LLC • • • • • • • • •• • •• • 200 Story Road • • Lake Wales, FL 33853 • • • • • • •. • • • • SCOPE: •••• • • •• • • • • This NOA is being issued under the applicable rules and regulations governing the use of construction's' • materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. • • • •.•••• • • • • This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Saxony 900 (Shake, Slate & Split Shake) Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA# 07- 0228.03 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09 /07/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Flat Profile Roofing Tiles • " "• Material: Concrete • • .... • • •• • • • •. • • • • • . • • • • • •. •. •• • • •...•. • SCOPE: •••••• • • • This new NOA approves a system using MonierLifetile Saxony 900 (Shake, Slate & Split Shefce. Concrete Roof Tile, as manufactured MonierLifetile LLC and described: this' Notice• of,. Acceptance. For locations where the pressure requirements, as determined by applicable Buildi . Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations shall be done as a moment based system. PRODUCT DESCRIPTION Manufactured by Applicant MonierLifetile LLC Saxony 900 Trim Pieces Dimensions 1 =17" w = 13" 1 -5/32" thick Slate 1- 9/32" thick Shake & Split Shake 1= varies w = varies varying thickness SUBMITTED EVIDENCE: Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Test Specifications TAS 112 TAS 112 Test Identifier 7161 -03 Appendix III 94 -084 94 -060A 25- 7183 -6 25- 7183 -5 Product Description Flat profile, interlocking, high- pressure extruded concrete roof tile equipped with two nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Date Dec. 1991 May 1994 March, 1994 Feb. 1995 Feb. 1995 NOA No.: 07. 0711.03 Expiration Date: 04/26/12 Approval Date: 09 /07/07 Page 2 of 7 • • • • •••••• • • • • •.•.• • • • • • • • Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers Test Identifier 25- 7214 -1 25- 7214 -5 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 R3.894 520109 -1 520111 -4 520191 -1 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Evaluation Calculations 130 •• 66 • • Test Name/Report • • Da • • • • •• • Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct .. • • Deck) Static Uplift Testing •.•. J 1arch,i M. •• • • • March•199S• • • • •• •• •• PA 102 •••••• (1 Quik -Drive Screw, Battens) • • • • • •. • Wind Tunnel Testing : • • Pec. 1991" PA 108 (Nail -On) • • • :. 1'1 • Wind Tunnel Testing Aug. 194 ,1' . PA 108 (Nail -On) Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Withdrawal Resistance Testing Sept. 1993 of screw vs. smooth shank nails Wind Driven Rain Oct. 1994 PA 100 Physical Properties Aug. 1994 PA 112 • Static Uplift Testing PA 101 Static Uplift Testing PA 101 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25-7848-6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Restoring Moments Due to Gravity TAS 112 Dec. 1998 March 1999 February 1996 April 1996 December 1996 March 1995 January 2007 April 1999 February 2007 January 2007 NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 3 of 7 • • • 1••..1 • • • • 1111• • • 1111.1 • • • • • • • LIMITATIONS: • • • • •• • • • • .• • • . • •• • 1. Fire classification is not part of this acceptance. •••• . • • • 2. For mortar or adhesive set tile applications, a static field uplift test shall Ife Itrformeciln " • • accordance with RAS 106. • • 3. Applicant shall retain the services of a Miami -Dade County Certified Laboiatory to perrorni quarterly test in accordance with TAS 112, appendix `A'. Such testing shall bi.sulstmttted to fie. Building Code Compliance Office for review. • • •••• 4. Minimum underlayment shall be in compliance with the applicable Rooftng'Applicattons" • . Standards listed section 4.1 herein. "" 5. 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 6. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. INSTALLATION: 1. MonierLifetile Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 2. Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) MonierLifetile Saxony 900 Slate, Shake & Split Shake 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - A. ft3) Tile X (ft3) X (ft3) Profile Batten Application Direct Deck Application MonierLifetile Saxony 900 0.289 0.313 Slate, Shake & Split Shake Direct Deck Battens • • • • • Table 3: Restorin ' Moments due to Gravi - M ft -lb Tile Profile 2 ":12" 3 " :12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" greater Battens or Direct Deck Saxony 900 Slate, Shake & Split Shake Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65 7.55 6.46 7.34 NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 4 of 7 • • • • • • • • • • .• • • .. • • Table 4: Attachment Resistance Expressed for Nail -On Systems as a Moment Direct Deck (min 15/32" plywood) - Mf (fhlt I Direct Decke••• (min.19/3�;;.. plywood' .•' .•.,.• 38.1 ; ' • " • Battegg•, • • • : 17.2... 4.g••• Tile Profile Fastener Type Saxony 900 Slate, Shake & Split Shake 2 -10d Ring Shank Nails 30.9 1 -10d Smooth or Screw Shank Nail 7.3 9.8 , , 2 -10d Smooth or Screw Shank Nails 14.0 18.8 '...: 7.4• • 1 . #8 Screw 30.8 30.8 18.1 • ∎ • 2 . #8 Screws 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLitetile Saxony 900 Slate, Shake & Split Shake Adhesive 31.32 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Polyfoam PolyProTM 118.9' Polyfoam PolyProTM 40.4° 3 Large paddy placement of 45 grams of PolyProT"". 4 Medium paddy placement of 24 grams of PolyProT"'. Table 5B: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Mortar Set' 43.95 5. Tile -Tite Roof Tile Mortar NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09/07/07 Page 5 of 7 • • • • • • LABELING: • • • • •• • • •• • • • • • • • • All tiles shall bear the imprint or identifiable marking of the manufacturers Hilt or logo, or • following statement: "Miami -Dade County Product Control Approved ". • • • • • • •••• •• •• • • •• •• • • • • .... • • • • • • •••• • • • •• .. • • • ••. • MONIERLIFETILE LLC, SAXONY 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. • NAIL HOLES PROFILE DRAWING 1 5/32 " (slate) 1 9132 " (shake) 17 " ,.. ` ., . / OVERLAY WATERLOCK 13" MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SLATE MODEL) NOA No.: 07-0711.03 Expiration Date: 04/26/12 Approval Date: 09 /07/07 Page 6 of 7 PROFILE DRAWING • • • • • •• • • •... • • •••• • • •• • • • • • • • • • • • .••• • • • • •..• • • • • • .... • • • •• • • • • • • • • • • • • •• • • • • • MONIERLIFETILE SAXONY 900 CONCRETE ROOF TILE (SPLIT SHAKE MODEL) MONIERLIFETII.E SAXONY 900 CONCRETE ROOF TILE (SHAKE MODEL) END OF THIS ACCEPTANCE NOA No.: 07- 0711.03 Expiration Date: 04/26/12 Approval Date: 09 /07/07 Page7of7 MIA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA, Inc. 150 Lyon Drive Fernley, NV 89408 SCOPE: • MIAMI -DA1 C•OIZNTY, I RIt7E1 METRO- DADg.FJ. LER BUILDING 140 WEST FLAGLER 6W t€ET, SUITE ?603 MIAMI, RI•ORIDA 33130 -1.56 (305) 375 - 2901' • £ (305) 31'/6•2908 • • • • •• •• • • • • • • • •• • • • • •••• • • •• •• • •• • • • •••• 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO 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 Modified Bitumen Roofing Systems Over 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 # 03- 0915.05 and consists of pages 1 through 44. The submitted documentation was reviewed by Jc e L. Acebo. NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 1 of 44 • • • • • • • • • • • • • ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: Roofing SBS /APP Modified Bitumen Wood -82.5 psf See General Limitation #1 • • • • •• • • •••. • • •.•• • . •. •• • • • • • • • •. . • • • • • • • • . • •. •• • • • • .••. • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY A.PLJCANV . . TABLE 1 "" Product Polyflex Polyflex G Polyflex G FR Polybond Polybond G Elastoflex S6 Elastoflex S6 G Elastoflex S6 G FR. Elastoshield TS4 Elastoshield TS4 FR Dimensions Test Specification Product Description 32' 10" x 3' 3 -3/8" ASTM D 6222 Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a smooth or sanded top surface. 32' 10" x 3' 3 -3/8" ASTM D 6222 32' 10" x 3' 3 -3/8" ASTM D 6222 32' 10" x 3' 3 -3/8" 32' 10" x 3' 3 -3/8" 32' 10" x 3' 3 -3/8" 32' 10" x 3' 3 -3/8" 32' 10" x 3' 3 -3/8" 32' 10" x 3' 3 -3/8" 32' 10" x 3' 3 -3/8" ASTM D 6222 ASTM D 6222 ASTM D 6164 ASTM D 6164 ASTM D 6164 ASTM D 6164 ASTM D 6164 Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a granule top surface. Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a granule top surface and fire retardant chemistry. Torch applied, polyester reinforced, APP modified bitumen membrane with a bum off polyethylene back face and a smooth or sanded top surface. Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a granule top surface. Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a burn offpolyethylene or sanded back face and a polyethylene or sanded top surface. Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a bum offpolyethylene or sanded back face and a granule top surface. Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface and fire retardant chemistry. Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface. Torch, hot asphalt or cold adhesive applied, polyester reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface and fire retardant chemistry. NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 2 of 44 • • • • • • • • • • • • • • Product Elastoflex V Elastoflex VG Elastoflex VG FR Xtraflex Xtraflex G Xtraflex G FR Dimensions 32' 10" x 3' 3 -3/8" ASTM D 6163 32' 10" x 3' 3 -3/8" ASTM D 6163 32' 10" x 3' 3 -3/8" ASTM D 6163 Test Specification 32' 10" x 3' 6" 32' 10" x 3' 6" 32' 10 "x3'6" ASTM D 6222 ASTM D 6222 ASTM D 6222 lastoflex SA P FR 32' 6" x 3' 3 -3/8" ASTM D 6164 Elastoflex SA V FR 32' 6" x 3' 3 -3/8" ASTM D 6163 Base Elastoflex SA V FR 32' 6" x 3' 3 -3/8" ASTM D 6163 CElastoflex SA V 32' 6" x 3' 3-3%6 ASTM D 6163 32' 6" x 3' 3 -3/8" ASTM D 6163 32' 6" x 3' 3 -3/8" ASTM D 6163 32' 6" x 3' 3 -3/8" ASTM D 6164 65' 2" x 3' 3 -3/8" ' ASTM D 4601 Elastoflex SA V G Elastoflex SA V G FR Elastoflex SA P Elastobase Polyflex SA P 32' 6" x 3' 33/8' ASTM D 6222 Polyflex SAP G FR 32' 6" x 3' 3-3/8" ASTM D 6222 • • • • Prods ct• • ; • • • Descrip olt • • • ' ' • • • Torch, hot asphalt or cold ac&esive applied, • • fiberglass reinforced, SBS mom �fie�bitum • • membrane with a burn off p 1 Ipttiy1 ne or §anded back face and a sanded top st3tif$cye• • • Torch, hot asphalt or cold adbgsiimpplied, • fiberglass reinforced, SBS modifed:itumen• • • • membrane with a burn off polyethylene or hided' back face and a granule top s fee.; • • • Torch, hot asphalt or cold adhesive applied,' •; •.' fiberglass reinforced, SBS modified bitumen membrane with a burn off polyethylene or sanded back face and a granule top surface and fire retardant chemistry. Torch applied, polyester reinforced, TPO modified bitumen membrane with a burn off polyethylene back face and a smooth top surface. Torch applied, polyester reinforced, TPO modified bitumen- membrane with a burn off polyethylene back face and a granule top surface. Torch applied, polyester reinforced, TPO modified bitumen membrane with a burn off polyethylene back face and a granule top surface and fire retardant chemistry. Self- adhered, polyester reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self- adhering back face and a smooth top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a smooth top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, fiberglass reinforced, SBS modified bitumen membrane with a self - adhering back face and a granule top surface. Self - adhered, fiberglass reinforced, SBS modified bitumen membrane with a self- adhering back face and a granule top surface. SBS modified asphalt coated fiberglass reinforced base sheet. Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. Self- adhered, polyester reinforced, APP modified bitumen membrane with a self - adhering back face and a granule top surface. NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page3of44 • • • • • • • • • • • • • APPROVED INSULATIONS: Product Name Polytherm Al Polytherm Composite PYROX, White Line ACFoam II High Density Wood Fiberboard Perlite/Urethane Composite Perlite Insulation Type X Gypsum Dens Deck ENRGY -2 Fesco Board Multi -Max & FA TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate /perlite composite insulation. Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite / urethane composite board insulation Perlite insulation board Fire resistant rated gypsum. Water resistant gypsum board Polyisocyanurate foam insulation Rigid perlite roof insulation board. Polyisocyanurate roof insulation • • • • • •• • • •• • • • • • •• • •.•• • • • •• • • 11'Inufacturer (itrarrrent NOA1 I:o1XifJls USA, Iryp. • • • ••. PI1yglass USA„•I,' • • • • • •• • Apache Produc'si• Atlas Energy Products Generic Generic Generic Generic G -P Gypsum Corp. Johns Manville Johns Manville RMax, Inc. NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 4 of 44 • • • • • • • • • • • • APPROVED FASTENERS: Fastener Number Product Name 1. • Dekfast Fasteners #12, #14 & #15 2. Dekfast Hex Plate 3. Dekfast Lock Plate 4. #12 & #14 Roofgrip 5. Metal Plate 6. Plastic Plate 7. Insul -Fixx HD Fastener 8. Insul -Fixx S 9. Insul -Fixx P 10. Tru -Fast HD 11. Tru -Fast Plates 12. Tru -Fast Plates EVIDENCE SUBMITTED: Test Agency/Identifier Factory Mutual Research Corp. Exterior Research & Design, LLC Underwriters Laboratories, Inc. TABLE 3 Product Description Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation and membrane fastener Galvalume AZ50 stress plate Polyethylene stress plate Insulation fastener for steel and wood decks Galvalume AZ55 stress plate Polyethylene stress plate Insulation fastener for steel and wood decks Galvalume AZ55 steel plate Polyethylene plastic plate Name J.I. 3001334 J.I. 3000857 J.I. 3004091 #11757.12.00 -1 #11757.04.01 -1 #11751.05.03 #11758.08.03 00NK20869 • • • • • •• • • 0••••0 • ••.••• ••S' ** • •• • • • • • • •• • •••• . • • • • „ ufacIurer• Dimensions (y'1t Current NOA) •.•000 • ( nstivction Fasteitej s • • Inc. •••• 27/8" x 3 ' /o" 3" x 3 %" Various 3 " square 3.2" round Various 3" round 3" round 3" round 3" round • •• •• • • • • Construction Fasteeers Inc. Construction Fasteners Inc. ITW Buildex • •• Report FMRC 4470 ITW Buildex ITW Buildex SFS Stadler, Inc. SFS Stadler, Inc. SFS Stadler, Inc. The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. Date 02.15.00 01.12.00 01.12.00 12.07.00 04.25.01 05.30.03 08.11.03 UL 790 06.08.00 NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 5 of 44 • • • ••0.0• • • •0.000 • • • • •00.00 • .• • • •000•• • • Deck Type 1: Deck Descri tion: System Typ E(6): All General Base Sheet: Fastening: Ply Sheet: Membrane: Surfacing: ood, Non - Insulated 1932° or greater plywood or wood plank, fastened wit Bfse sheet is mechanically attached to roof deck. nd Systenh Limitations apply. Maximum D - sign Pressure: • • • • • •• • •• • • • • • •• 000000 • .•••.. • Conalltalf flgils at 4' o c • .••• •• •• .11.1• • •• •• • • ••••.• • • • • • • •••• • • O e • ply of CertainTeed GlasBase, Polyglass Base, Elastobase, Firestone MB OM, • Perma -Ply #28, Tamko Glass Base or GAFGLAS #75 fastened to the deck a>;'. d scribed below: •••• A tach base sheet using 11 ga. annular ring shank and 1 -5/8" diameter tin caps s . aced 8" o.c. in a 4" lap and 8" o.c. in two equally spaced staggered rows in the nter of the sheet. ( tional) One ply of Elastobase, Modibase, Perma Ply No. 28, Elastoflex S6, E astoflex V, Elastoflex V 2.5 or one or more plies of Type IV or VI ply sheet a ered in full mopping of approved asphalt applied within the EVT range and at a e of 20-40 lbs./sq. or Elastoflex SA V self - adhered. O e ply of Polyflex, Polyflex G, Polyflex G FR, Polybond, Polybond G, Xtraflex, X aflex G or Xtraflex G FR torch applied or one ply of Elastoflex S6, Elastoflex S G, Elastoflex S6 G FR, Elastoshield TS4 or Elastoshield TS4 FR torch or hot a halt applied or one ply of Polyflex SA P FR, Polyflex SA P, Elastoflex SA P, Elastoflex SA -P FR or Elastoflex SA -V FR self - adhered. ( 2. 3. 4. 5. 6. ptional) Install one of the following to obtain required fire classification. Gravel or slag at 400 lbs /sq or 300 lbs /sq, respectively, in a flood coat of approved asphalt at 601bs /sq. Karnak 97 Fibrated Aluminum Asphalt Roof Coating or Asbestos Free Aluminum Roof Coating at 11/2 gal/sq. Kokem Products Sunguard Acrylic Roof Coating at 1 gal/sq. Monsey Endure Aluminum Roof Coating, Weather Check or Pro -Grade Aluminum Roof Coating at 11/2 gal/sq. Grundy al MB Aluminum Roof Coating at 1 -2 gal/sq. Fields F350 Heat Shield Aluminum Coating or F630 Heat Shield Fibered Aluminum Coating at 11/2 gal/sq. 0 psf; (See General limitation #7.) NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 42 of 44 • •• •••••• • • • • 1.11•• • • • • • •••• • • •• • • • • • WOOD D CK SYST M LIMITATIONS: • • • • 1. A slip s eet is requ ed with Ply 4 and Ply 6 when used as a mechanically fastthEdVase or anc1og sheet. • •••• • • • • •••• •• •• GENERAL IMITAT ONS: •••••• •••••• • • • •• • • • • • 1. Fire clay ification i' not part of this acceptance, refer to a current Approveritootmg M=ials Directo for fire ratings of this product. • • •• • • • 2. Insulatio may be ir. stalled in multiple layers. The first layer shall be attached in' flpelance wi t? • • Product ontrol Approval guidelines. All other layers shall be adhered in a full mopping of ANtited asphalt applied within the EVT range and at a rate. of 20-40 lbs. /sq., or mechanically attached using the faste ing patte of the top layer 3. All stani . rd panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, anel size s all be 4' x 4' maximum. 4. An over ay and/or ecovery board insulation panel is required on all applications over closed cell foam in ulations w en the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied us g spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons 'n three rows, one at each side lap and one down the center of the sheet allowing a continuous area f ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed e ery 12' in Lach ribbon to allow cross ventilation. Asphalt application of either system shall be at a nimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design ressure of 5 psf. 5. Fastener spacing fo insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested i compliance with Testing Application Standard TAS 105. If the fastener value, as field- ested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing foil. mechanical attachment of anchor/base sheet or membrane attachment is based on a mi .'mum faste er resistance value in conjunction with the maximum design value listed within a specifi system. hould the fastener resistance be less than that required, as determined by the Buildin: Official, a revised fastener spacing, prepared, signed and sealed by a Florida registered Professi nal Engin r, Registered Architect, or Registered Roof Consultant may be submitted. Said revised astener spa •ing shall utilize the withdrawal resistance value taken from Testing Application Standar' s TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimet r and co r areas shall comply with the enhanced uplift pressure requirements of these areas. astener dlnsities shall be increased for both insulation and base sheet as calculated in complia ce with Rsliofmg Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida regist }red Professional Engineer, Registered Architect, or Registered Roof Consultant (When his limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All atta ent and izing of perimeter nailers, metal profile, and/or flashing termination designs shall confo to Roofm Application Standard RAS 111 and applicable wind load requirements. 9. The ma. imum desi ned pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, pe imeters, d corners). Neither rational analysis, nor extrapolation shall be permitted for enhance fastening, at enhanced pressure zones (i.e. perimeters, extended comers and corners). (When his limitation is specifically referred within this NOA, General Limitation #7 will not be applica le.) 10. All pro cts listed 1j erein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B- 2 of the Florida Administrative Code. END OF THIS ACCEPTANCE • NOA No.: 06- 0410.06 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 44 of 44 • • • •••••• • • •• • ••••• • • •••••• • • • 000000 • • • • Oft 2009 ROOFING MATERIALS AND SYSTEMS DIRECTORY 4 ROOF - COVERING MATERIALS (TEVT) Roofing Systems (TCFU)— Continued Ply Sheet (Optional): One or more layers " DUFLEX" (heat fused), "ELASTOBASE ", " ELASTOFLEX V" (hot mopped or heat fused) or Type G2 base sheet (hot mopped). Membrane: "DUPLEX G FR ", "POLYFRESKO TORCH FR" or "POLY - FLEX G Fit" (modified bitumen), heat fused. 24. Deck: C -15/32 Incline: 1/2 Insulation: Polyisocyanurate (2 in. min), glass fiber (15/16 in. min), perlite/polyisocyanurate composite, perlite /urethane composite (2 in. min). Base Sheet: One or more layers "DUPLEX" (heat fused or mechani- cally fastened), "ELASTOBASE ", " ELASTOFLEX V" or Type G2 base sheet (hot mopped or mechanically fastened). Ply Sheet (Optional): One or more layers "DUPLEX" (heat fused), "ELASTOBASE ", " ELASTOFLEX V" or Type G2 base sheet (hot mopped). Membrane: " ELASTOFLEX S6 G ", "POLYFRESKO MOP" or "ELASTOFLEX VG FR" (modified bitumen), hot mopped. '-i. Deck: C -15/32 Incline: 1/2 Note: Unsupported plywood joints are covered by a min 6 in. wide strip of Celotex GS Roofing, Tamko Asphalt Products or Black Warrior Puuafing Type G2 base sheet nailed in place prior to roofing. Base Sheeh One or More layers 'DUPLEX ", "ELASTOBASE ", "ELASTOFLEX V" (heat fused or mechanically fastened) or Celotex GS Roofing, Tamko Asphalt Products or Black Warrior Roofing Type G2 base street (mechanically fastened). Ply Sheet. One or more layers "DUPLEX ", "ELASTOBASE ", "ELASTOFLEX OFLEX V" (heat fused or mechanically fastened) or Celotex GS Roofing, Tamko Asphalt Products or Black Warrior Rooting Type G2 base sheet (mechanically fastened). Membrane: "DUFLEX G FR", "POLYFLEX G FR" or "POLYFRESKO TORCH FR" (modified bitumen), heat fused. -'u. Deck: C -15/32 Incline: 1 Insulation: 1/4 in. thick G -P Gypsum DensDeckOO, perlite, wood fiber or glass fiber, 1 in., mechanically fastened. Ply Sheet: Type G2, mechanically fastened. Membrane: POLYFLEX ", heat welded. Surfacing: Monsey Products "Endure Aluminum Roof Coating", "Weather Check" or "Pro -Grade Aluminum Roof Coating", gal /sq. E. Deck: NC Incline: 1/2 Barrier Board: 1/2 in. gypsum board. Insulation: Polyisocyanurate, 2 in. max. Base Sheet: One or more plies Type G2. Membrane: "ELASTOFLEX VG FR ", heat fused or hot mopped. S. Deleted �. Deleted V. Deleted 31. Deck: 1 -1/2 T&C Incline: No Limitation Base Sheet: Type C2, one or more layers, hot mopped, loose bind or mechanically fastened. Insulation: Polyisocyanurate, 1.5 in. min. Insulation: Perlite, 3/4 in. min. Ply Sheet: " ELASTOFLEX V ", heat fused, hot mopped or mechani- cally fastened. 3' Deck: C -15/32 Incline: 2 -1/2 Barrier Board: 1/4 in. (min) G -P Gypsum DensDeck© with all joints staggered 6 in. from the plywood joints. Base Sheet: Type G2, mechanically fastened. Membrane: "POLYFLEX G FR" or "POLYFRESKO TORCH FR ", heat fused in place. 33. Deck: NC Incline: 1/2 Insulation (Optional): Polyisocyanurate, glass fiber, perlite, wood fiber any combinations, any thickness, mechanically fastened. Base Sheet: Type C2, mechanically fastened. Membrane: "POLYFLEX ", "POLYBOND" or "DUFLEX ", heat fused in place. Surfacing: "300 AFX" Aluminum Roof Coating at 1 -1/2 gal /sq. 40. 34. Deck: C -15/32 Incline: 2 Insulation (Optional): Polyisocyanurate, perlite, wood fiber or pulyisocyanurate / perlte board, any thickness. Barrier Board: 1/4 in. (min) C -P Gypsum DensDeckQ, mechanically fastened with all joints staggered 6 in. from the plywood joints. Base Sheet: " ELASTOBASE" (poly /sand), mechanically fastened or " ELASTOFLEX SA V FR BASE "or " ELASTOFLEX SA V FR BASE VENT" (self adhered). ROOF - COVERING MATERIALS (TEojl1) • 427 Roofing Systems ('.GFIJ —• ontifrued •• • •• • • Ply Sheet (Optional): ''ELASTOFJ.J . .V FR B;CSE'•it "ELASTPOF- LEX SA V FR BASE VENT", (self a) • • • Membrane: "POLYFLEX SA P FR" • j;'QLYFRESKO AP SSA P PR ", • "ELASTOFLEX SA P FR ", "POLYNRESKI SBS SA i'•A:'A *ELASTIC/P • • • LEX SA V FR HT ", (self adhered) or l'eltYFLEX G Fr, "PQLYFRESKO• • • TORCH FR ", "DUPLEX C FR", 'Et' tt )FLEX 11'•, "POW** • • • FRESKO MOP FR ", "ELASTOFLEIC•VCIPR ", "ELASIXVHIELD TS 4 •- FR", heat fused. - 35. Deck: C -15/32 17icIMhe: 1/2 -•• -• •••• Insulation (Optional): Polyisocy�uratoe1.5 in. (mitt.710th all joint* staggered 6-in. (min.) from the plpt000(-joi§ts. • • • • • • Base Sheeh Type G2, mechanically Tastened fo11o��-by "ELASra BASE ", mechanically fastened. Ply Sheet (Optional): " ELASTOFLEX SA V FR BASE" or ELASTOF- LEX SA V FR BASE VENT", (self adhered). Membrane: "POLYFLEX SA P FR ", 'POLYFRESKO APP SA P FR", " ELASTOFLEX SA P FR ", "POLYFRESKO SITS SA P FR",) or - DUPLEX C AR" "ELASTOFLEX S6 C PR ", "POLYPRP.SKO MOP FR ", "ELAS'TOP- LEX VG FR'; "ELASTOSHIELD TB C PR ", heat fused. 36. Deck: NC Incline: 2 Insulation: Atlas Roofing " ACFoam 111" or " ACFoam II" ur Huntur Panels "H- Shield'; any thickness. Base Sheeh " ELASTOBASE" (poly /sand), heat fused or mechanically fastened or " ELASTOFLEX SA V FR BASE" or " ELASTOFLEX SA V PR BASE VENT', (self adhered). Membrane: "POLYFLEX SA P FR", "POLYFRESKO APP SA P FR ", " ELASTOFLEX SA P FR ", "POLYFRESKO SBS SA P FR ", "ELASTOF- LEX SA V FR HT", " " (self adhered) or "POLYFLEX G FR", "POLY - FRESKO TORCH FR ", " DUFLEX G FR ", " ELASTOFLEX 56 G FR", "POLYFRESKO MOP FR ", "ELASTOFLEX VG FR ", " ELASTOSHIELD TS G FR ", heat fused. 37. Deck: C -15/32 Incline: 3 Insulation (Optional): Polyisocyanurate, perlite, wood fiber or polyisocyanurate/perlite board, any thickness. Barrier Board: 1/4 in. (min) C -P Gypsum DensDeck®, mechanically fastened with all joints staggered 6 in. from the plywood joints. Base Sheet "ELASTOBASE" (poly /sand), mechanically fastened. Ply Sheet (Optional): "ELASTOFLEX SA V FR BASE "or " ELASTOF. LEX SA V PR BASE VENT", (self adhered). Membrane: "ELASTOFLEX S6 G FR" or "POLYFRESKO MOP FR ", heat fused. 38. Deck: NC Incline: 3 Insulation (Optional) : Atlas Roofing "ACFoam III" or "ACFoam 11" or Hunter Panels "H- Shield ", any thickness. Base Sheeh " ELASTOFLEX SA V FR BASE" or "ELASTOFLEX SA V FR BASE VENT" (self adhered). Membrane: "POLYFLEX SA P FR", "POLYFRESKO APP SA P FR ", "ELASTOFLEX SA P FR" or "POLYFRESKO SBS SA P FR" (self adhered). 39. Deck: NC Incline: 1 Insulation (Optional): Polyisocyanurate, glass fiber, perlite or wood fiberboard, any thickness, any combination, mechanically fastened or hot mopped in place. Base Sheet: Type G2, "ELASTOBASE ", "MODIBASE" or "ELASTOF- LEX V ", mechanically fastened. Ply Sheet (Optional): Type G2, "ELASTOBASE ", "MODIBASE ", "ELASTOFLEX V ", " ELASTOFLEX S6 ", "POLYFLEX" or " DUFLEX" adhered with "2000 MB P12EMIUM", cold process adhesive at 1 to 1 -1/2 gal /sq. Membrane: " ELASTOFLEX 56 G FR", "POLYFRESKO MOP FR ", " ELASTOFLEX VG FR ", " ELASTOSHIELD TS G FR ", "POLYFLEX G FR" (sand - backed), 'POLYFRESKO TORCH FR" or "DUPLEX G FR" (sand - backed), adhered with "2000 MB PREMIUM" cold process adhe- sive at 1 to 1 -1/2 gal /sq. Deck: C15/32 Incline: 1 Insulation (Optional): Polyisocyanurate (1.3 in. min), glass fiber (7/16 in. min) or perlite (3/4 in. min), mechanically fastened or hot plopped in place. Base Sheet: Two plies Type G2, first ply mechanically fastened and the second ply fully adhered with "2000 MB PREMIUM ", cold process adhesive at 1 to 1 -1/2 gal /sq. Membrane: "ELASTOFLEX S6 G FR ", "POLYFRESKO MOP FR ", " ELASTOFLEX VG FR ", " ELASTOSHIELD TS G FR ", "POLYFRFSKO • • • • ••• • 1 ^AV