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RF-12-1380Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176281 Permit Number: RF -7 -12 -1380 Scheduled Inspection Date: September 12, 2012 Inspector: Bruhn, Norman Owner: PACHECO, MARIO Job Address: 10418 NE 2 Avenue Miami Shores, FL Project: <NONE> Contractor: SK CONSTRUCTION CO Permit Type: Roof Inspection Type: Final Roof Work Classification: T'le Phone Number Parcel Number 1121360130640 Phone: (305)485 -8802 Building Department Comments RE ROOF TILE ROOF Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 11, 2012 For Inspections please call: (305)762 -4949 Page 12 of 31 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 RE: Permit # " / 3 �� DATE: 9 p T L INSPECTION AFFIDAVIT licensed as a (n) Contractor / Engineer / Architect, 64'o/cve S,on o�i�y9 (Print name and circle License Type) License #. �cc 132.940$' On or about j/..57/2 — /& 3o .ror+! (Date & time) Secondary water barrier work at to wg w� FS 468 Building Inspector , I did personally inspect the roof deck nailing and Z_ ,06/e- (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly swum, deposes and says that he /she is the contractor for the above property mentioned. Swom to and subscribed before me this v 7 day of Notary Public, Sate of Florida at Large NATHALJE RUIZ 0• MY COMMISSION # EE070273 EXPIRES March 03, 2015 A ___ .1''I._PI0 for'Y801 plane *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to petit #and address #deadyshown marked of the deck for each inspecfoi Rem on 5/21/2009 the roof with A -1 Engineering Inspection Services, Inc 7066 SW 44th Street Miami, FI 33155 Tel: 786- 326 -9877 Fax: 305 -485 -9011 a1roofinspection@gmail.com LAB CERTIFICATION # 10- 0512 -01 SITE SPECIFIC INFORMATION UPLIFT TEST - TAS #106 Roofing Contractor 5.K CONSTRUCTION Job Address 10418 NE2AVE Owner's Name MARIO PACHECO Type of Tile BARCELONA Permit # RF -7 -12 -1380 Date Installed Approximate Roof Height 12 feet Roof Pitch 3/12 Type of access to Roof OK Approximate Square Footage of Roof 26 ft 2 Required Testing Force 35/bs Date Tested 9/8/2012 Number of Tests 74 Testing Equipment: FaE. 100 Contact Name RONALDO C4LDERON Phone # (786) 344-3666 LOCATION # OF TEST PASS # OF TEST FAIL Corner 12 Tests v Pass 0 Tests L Fail Perimeter 22 Tests v Pass 0 Tests Fail Field Z8 Tests "1 Pass 0 Tests Fail Ridge 12 Tests ' Pass 0 Tests Fail Total 74 i Tests `' Pass 0 Tests Fail IN ACCORDANCE WITH THE CRITERIA OOTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IMULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF NATURA 'IISASTERS. Cordially, REMB '" ' O CONTRERAS P.E P.E # 215 2 A -1 ENGINEERING INSPECTION SERVICES INC CERTIFICATION NO 10- 0512.01 7066 SW 44th Street Miami, FI 33155 ti Telephone (786)326 -9877 N Fax (305)485 -9011 A -1 Engineering Inspection Services, Inc 7066 SW 44th Street Miami, Fl 33155 Tel: 786- 326 -9877 Fax: 305 -485 -9011 a1roofinspection@gmail.com LAB CERTIFICATION # 10- 0512 -01 SITE SPECIFIC INFORMATION UPLIFT TEST - TAS #106 Roofing Contractor 5.K CONSTRUCTION Job Address 10418 NE2AVE Permit # RF -7 -12 -1380 Owner's Name MARIO PACHECO Type of Tile BARCELONA Date Installed Approximate Roof Height 12 feet Roof Pitch 3/12 Type of access to Roof OK Required Testing Force 35/bs Approximate Square Footage of Roof Date Tested 9/8/2012 26 ft 2 Number of Tests 74 Testing Equipment: F.G.E. 100 Contact Name RONALDO CALDERON Phone # (786) 344-3666 SKETCH OF ROOF t t t t t t t t a t t t Revised by 7066 SW 44th Street Miami, Fl 33155 « Telephone (786) 326 -9877 — Fax (305) 485 -9011 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)7624949 7BUILING �� PERMIT APPLICATION C}. ,; (N, 6 •2 J� JUL h/I�� b� �6. b� B Y: ma Y = _moomosoao Permit No. C ) )633 Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 1®(0% tv !/ 1,A-J'L - City: Miami Shores � ._ CoCounty: ` 40 Miami Dade Folio/Parcelt l — 2 � ` R tQ r4l Is the Building Historically Designated: Yes NO OWNER: Name (Fee Simple Titleholder): Ueril V(,sA'lit, Address: C41 794-- City: tek∎ak d es State: Zip: 33l Flood Zone: 140 O.C. a '-Phone#: S- T5 1.' 56 16 3°5- get l- 5SQ. Zip: Tenant/Lessee Name: Phone#:, Pima: vt Phone# 3 €�— ® CONTRACTOR: Company Name: Address: A City: /tit 0 9/"71, Qualifier Name: EP W t t-1 State Certification or Registration #: G-1 f. C©& �ry �l � State: re- Zip: S 3 f S 5A64 4g %A Phone#:FoS 2aY 3VC2 C C- C 1 3 2 %'`O S Certificate of Competency #: Contact Phone#: Retail Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 00 Square/Linear Footage of Work: Type of Work: OAddition OAlteration Description of Work Tv_ TiLyetie 474 it° ONew ORepair/Replace ODemolition Color thru i : .&-.,:a ***************************************Fees******************** * * * *** ** *** * ******* Submittal Fee $ Permit Fee $ ,7 l)e O CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) *Bonier 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 w 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 : 'ject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first • . which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will no. be .,_iproRed and a reinspection fee will be charged. 4 Signature Ls- er . Agent Contractor The foregoing ins • . , , was acknowledged before me this / 9 , The foregoing instrument was acknowledged before me this l day of./4 , 20 cam, by ,a-rybra (12.44, 614. a 0 , day of 4 t!4 .20 1,1_, by c3 way Eck 4basi.45Akoto 2a who is personally known to me or who has produced whosis personally.known 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 My Commission RES dune 18,2016 F1 allov5esstossear► NOTARY PtJBLIC: ************************* s************************************* at******** s*** * *** * * **** ********** ***** ******* APPROVED BY 7301t Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009XRevised 3/15/09) Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 111111111111111111111111111 111111111111111111 CFN 2012R0517707 OR Bk 28199 Ps 3732; tlps ) RECORDED 07/24/2012 1013.16 HARVEY RUV'IHr CLERK OF COURT MIAMI-DADE COUHTYr FLORIDA LAST PAGE STATE OF FL R6DA, COUNTY OF DADE 1 HERFRY CER FY' that titAl ropy of the urigiaai 4.41 !ir ., , a THE UNDERSIGNED hereby gives notice that improvements will be made t property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 2. Description of improvement:7Zr- 3. Owner(s) name and address: (0 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: 4-I.. ft- D.C. Space above reserved for use of recording office Arr 19 vv .s P2 /0 / <hecO. MO ctulc. 3S Zi' NCO 2 G�'�- 14 I 12) i 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: a -c 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is spectfied) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF 1U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y. .' . A;... _• COMMENCEME Signature(s) o Q ' �+ . ' Author! d Offic: r /Director/Partner /Manager d►�,,��1yr04/r �` Prepared By rLs�j� Prepared By 30-t C , "' -- Print Name rt Print Name z Title /Office �n!!!!�'� . Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE . t5, 20t3 The foregoing instrument was ackno this day of By 1 �'f ��— ❑ Individually, or ❑ as 4 / for L Personally known, or 1:1 produc =. he following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director /Partner /Manager who signed above: By By 123.0132 PAGES 3/10 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 14 "I 2'1 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: 00-1■b {- Cc `.e Ateke_Co Property Address: Q `K �t �V4 S�b�s .R.-( �� Roofing Permit Number. Dear Building Official: I certify that 1 am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or With the provisions of 1994 of the South Florida Building Code (1994 SFBC) \ ci'{ b Pu-C\ew Print Name Signature State of Florida County of Dade The undersigned, Ming the first duly swam, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 249 day of ....10 0/ Notary Public, Sate of Florida at Large • When the Just vahmffiion of the Maitre for purpose of ad valorem taxiatlon la equal to or more than $300,000.00, and the bu was not constructed with FBC nor a 1994 SFBC. Then you rust provide a building application from a General Contractor for the Roof to WA comedian Hurricane Mitigation. Revised on 5121/2009 • Miami-Dade My Home My Home lam •a e. Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11-2136-013-0640 Property: 10418 NE 2 AVE Mailing MARIO PACHECO &W Address: CHRISTINE Living Units: 10418 NE 2 AVE MIAMI FL Adj Sq Footage: 33138-2057 Propertv Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/1 Floors: 1 Living Units: 1 Adj Sq Footage: 2,152 Lot Size: 10,140 SQ FT Year Built: 1943 $50,000/ MIAMI SHORES SEC 5 PB 10-47 LOT 3 & N1/2 Legal LOT 4 BLK 121 LOT Description: SIZE 78.000 X 130 OR 19267-1356 08 2000 1 $150,323 OR 19267-1356 0800 00 Assessment Information: Year: 2011 2010 Land Value: $91,566 $91,566 Building Value: $186,723 $187,796 Market Value: $278,289 $279,362 Assessed Value: $203,327 $200,323 Exemption Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,000/ $153,327 $150,323 County: $50,000/ $50,000/ $153,327 $150,323 City: $50,000/ $50,000/ $153,327 $150,323 School Board: $25,000/ $25,000/ $178,327 $175,323 Sale Information: Sale Date: 2000 - - . ACTIVE TOOL- SELECT Page 1 of 2 qtele141Zn Eng Aerial Photography - 2009 0 112 ft My Home I Property Information I Property Taxes My Neighborhood 1 Property Appraiser Home I Using Our Site I Phone Directory I Privacy I 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 0 2002 Miami-Dade County. All rights reserved. http://gisims2.miamidade.gov/myhome/propmap.asp Legend • Property Boundary •ed Selected Property ▪ Street Highway Miami-Dade County Water 7/30/2012 Permit No: /?, / - /lea Job Name: 2010 Miami Shores Viiiage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Jorge Rodriguez 305 - 795 -2204 Actosftr dERTIFICATE OF LIABILITY INSURANCE DATE(NIM/DD/YYYY) 07/13/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CARRERA INSURANCE 13500 SW 88 ST STE 235 MIAMI FL 33186 CONTACT NAME: Franklin Davila PHONE FAX (A/C No Eat)* 305- 385 -2886 (A/C. No): 305 -385 -8275 E-MAIL ADDRESS: fdavila@carrerainsurance cam INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: CASTLEPOINT NATIONAL INSURANCE COMP LABILITY COMMERCIAL GENERAL LABILITY INSURED SK Quality Contractor Inc. dba SK Contruction Comp 15441 SW 49 Street Miami FL 33185- INSURER B: INSURER C : INSURER D : $ INSURER E : $ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER (MMO/DDDY/YYYYY) (MMMIOD LIMITS GENERAL LABILITY COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY LIMIT APPLIES PECOT PER: LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO UTOOSWNED A HIRED AUTOS AUTO ESULED NON -OWNED AUTOS I I r I (COMBINED ennt81NGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LAB EXCESStIAB OCCUR CLAIMS -MADE r- I— EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS hnlow Y / N N N/A WSAUIEC11625401 07/11/2012 07/11/2013 WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100.000.00 E.L. DISEASE - EA EMPLOYEE $ 500,000.00 $ 100,000.00 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) CANCELLATION Miami Shores Beach Building Department 10050 NE 2 ave Miami fl 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Franklin Davila ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 67110 1 OUVIWIA: I S k CNSTR1PCTIQN )*JfA): 1544 SW 4 ST' 33185 UNIN OADE COWTY THIS IS NOT. A CONTRUCTION' fti TY glititO NO 0224, .. 060t1„ set NT RENEWAL STAT CCPTCrt286118 WORK RIS ACTOR 2 ARO K CONMRtieTION COMPANY EDWIN E SANAIRIA PRES. 15441 SW 49 ST MIAMI FL 33185 111 to ti111111 alb III 1 11 A'QRD� CERTIFICATE OF LIABILITY INSURANCE DATE 06/05/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcypes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certMcate does not confer rlgMs to the certificate holder In lieu of such endorsement(s). PRODUCER ALL CITY INSURANCE INC - ACI 7200 CORPORATE CENTER DR SUITE 316 MIAMI FL 33128 CONTACT NAME: JAVIER GUTIERREZ Pli3INE ( F' (305) 483 -9431 No)_(305) 629 -7808 Ate. JGUTIERREZ@4LLCITYINS.COM PPROI1� m r 201467 CUSTOMER INSURED S.K QUALITY CONTRACTOR, INC. DBA SK CONSTRUCTION COMPANY 15441 S.W. 49TH STREET Miami FL 33185- INSURERISI AFFORDING COVERAGE IMURER CASUALTY CO NAIC F 23418 INSURER B .TRAVELERS INDEMNITY COMPA INSURER C : INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:07 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIR TYPE Of INSURANCE , SUER POLICYNu4BER POUCY EFF �noomw} MDI t DM (reMtDOrwm A GENERALLIABILnT J( CO MERCIAL GENE R ABILITY X �CLAIMS-MADE I I OCCUR 04GL838855 12/07/2011 12/07/2012 EACHOCCURRENCE $ 1,000,000 DAMAGE TO RENTED PRFMISFS (Fa nrcurranrn) $ 100,000 MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GLEN'L AGGREGATE UMIT APPLIES PER: ^ I POLICY I '� I To_ 1 LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ B AUTOMOBILEUABIUTY X — ANY AUTO OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAr7417M957- 11 10/032011 10/032012 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 BODILY INJURY (Per person) $ BODILY INJURY {Per accident) $ PROPERTY accident) DAMAGE $ $ $ lAIBRELLA UAB EXCESS UAB OCCUR CLAIMSMADE EACH OCCURRENCE _ $ AGGREGATE — DEDUCTIBLE RETENTION $ _1_ $ WORE COMPENSATION AND EMPLOYERS' LIABILITY vim_ ANY PROPRIETOR/PARTNER/EXECUTIVE OFF10ERIMEMBER EXCLUDED? (Mandatory Intill If yes, describe under DESCRIPTION OF OPERATIONS helow NIA WC STATU 10TH- Cr LIMITS E.L. EACH ACCIDENT $ E.L.DISEASE•EA EMPLOY EE $ E.L. DISEASE- POUCY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Ranaks Schedule, Irmo a pace is requk d) GENERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION AI 000080 MIAMI SHORES VILLAGE BUILDING DEPT. 10050 NE 2ND AVENUE MIAMI SHORES FL 33138- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Willi THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ° ?a j::, { N 1 ' C4 ACORD 25 (2008109) @ 1 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET tub% TALLAHASSEE FL 32399-0783 SANABRIA, EDWIN EDUARDO S K CONSTRUCTION COMPANY 15441 SW 49TH ST MIAMI FL 33185-4435 .3ongratulations! With this license you become one of the nearly one million 7loridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. :Every day we work to improve the way we do business in order to serve you better. or information about our services, please log onto wwwziytioridalicense.coni. There you can find more information about our divisions and the regulations that impact you. subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Effic:iently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida. and congratulations on your new license! AC# DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CCC1328608 08/31/10 108057590 CERTIFIED ROOFING CONTRACTOR SANABRIA, EWEN EDIMUTO K CONSTRUCTION COMPANY IS CERTIFIED tusder the prcratetetts ef CA.489 re Expiration dines AUG 31, 2012 L10083103056 STATEOFFLCOMM DEPARTMENT OF aUSINESS_AND PROFESSIONAL REGULATION CONSTRUCT/ON INDUSTRY LIcKNSING BOARD SEQS L10083103056 LICENSE NBR 108057590 CCC1328608 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 SANABRIA, EDWIN EDUARDO K CONSTRUCTION COMPANY 15441 SW 49TH ST MIAMI FL 33185-4435 CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW CHARLIE LIEN SECRETARY STATe OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SANABRIA EDWIN EDUARDO S K CONSTRUCTION COMPANY 15441 SW 49TH ST MIAMI FL 33185 -4435 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For Information about our services, please log onto www.myflarldaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE STATE OF FLORIDA AC# ;? 9 2... DEPARTNEMIT OF EUSIis888 AND PROFESS/ORAL REGULATION CGC1514702 08/31/10 108057590 CERTIFIED GENERAL CONTRACTOR SANABRIA, EDWIN EDUARDO S 8 CONSTRUCTION COMPANY IS CERTIFIED mdoz tbs provisions oz 01.489 FS essizas.ton dat.. AUG 31. 2012 L10083104061 STATE OF FLORIDA DEPARTMENT TCTIS AND RL ' 1ION NSRUON IDuSTRYIC BOARD. SEi LICENSE NBR CGC1514702 10083104061 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 SANABRIA, EDWIN EDUARDO S K CONSTRUCTION COMPANY 15441 SW 49TH ST MIAMI FL 33185 -4435 CHARLIE CRIST DISPLAY AS REQUIRED BY LAW CHARLIE LIEI►( SECRETARY j4 F4 404626-2 AME L A NSTRUCT ANY 15441 SW 49 ST 3515 UN DI DADE CSUNTY OWNER 5 X. CDNSTRUCTI ON COMPANY 6 at rgiiit.i D01 CNTMCTJ "-:;,211' • DI 1 L $06 12°C WORER'S PUN F ji "MAIM S X CONSTRUCT ION CUM ANY EDWIN E SANABR L541 SW 49 ST MI MI FL 343I.:5 43O ..';:*4702 II Jilt pi 110-talhivri • " 611155-1 U1N k CUIN$ThUCT 15441 SW 49 ST 33185 HI R DADE COIJ THIS lo Pf CONTRWTION TV -01111L TAX .-141%-.. ER SI )4t, ?ANY A ING GN1RACT O NOT PAY STATE RENEWAt 'Z86414 WORK /3 a CONSTRUCTION COW- EDWIN E SANAIRIA PS 141 SW 49 ST MIA NI FL 33185 1 111 ri I LI 1 11 I 1 M 11111§1 Section A ` , JUL 2 BY Master Permk No: 1 FLORIDA BUILDING CODE EDITION 2010 High Velocity Hurricane Zone Roofing Permit Application Form Section A (General Information) Process No: Contractor's Name: J 6 +' Ccr-Z 54-7_5, e((. -,c ��E- O ) Job Address: I l 04 l E. 2 �) ❑ Low Slope ❑ Asphaltic Shingles ❑ Sprayed Polyurethane Foam Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Other: 1 Roof Type Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes ❑ New Roof XRe-Roofing ❑ Recovering ❑ Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes ❑ No If yes, what type? ❑ Natural ❑ LPGX Roof System information Low slope roof area (ft.2) Steep Sloped area (ft.2) aeoo Section B (Roof Plan) Total (ft.2) Sketch Roof PIfIn, II dimensions of Perimeter Width,( and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include arty identify dimensions of elevated pressure zones and location of parapets. orner Size (a' x a'): w Q 0 tz i ZONING DEP BLDG DEP 5 W 0 z w 1— F- v; SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 84402.1311 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics-Workmanship: the workmanship provisions of Section R4402 are for the purpose of pro viding that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. �j j Renailing wood decks: When replacing nesting, the existing wood roof deck may have to be nailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 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 rooting to be performed. 4. _Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. Pouddng wooer. The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low .lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. Overflow scuppers (wail outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeterfedge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior , e structure assembly (the building itself). The existing amount of attic ventilation shall not be rolu «� • y be beneficial to consider additional venting which can result in extending the service life of the roof. Owner /Agen !,''',911, Date Contractor Signature Date Revised on 7/9/2009 LD 1 Tile Roof System Roof System Manufacturer: Florida Building Code 2010 Section D Sloped System Description Tile Roof System 1 Boral Notice of Acceptance Number (NOA): 1 12- 0222.02 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P1: 139.1 1 P 2: 168.1 P 3. 1 100.7 1 Maximum Design Wind Pressures, (From the NOA Specific system):138.7 I psf Fill in the specific roof assembly components. If a component is not required, insert not applicable (n /a) in the text box. Roof Slope: 14 Roof Mean Height: "/12" ft. Method of Tile Attachment: \ 1— Adhesive, Medium Paddy I Altemate Method of Tile Attachment per NOA: 1 N/A Drip Edge Size & Gauge: Drip Edge Material Type: Drip Edge Fastener Type: 1--3" face 26 ga. - 1-- Galvinized Metal— I 111/4RS4 "OC • Hook Strip /Cleat gauge or weight: Deck Type: 1 -5/8" Plywood- Optional Insulation: 1 N/A Optional Nailable Substrate: 1 N/A Optional Nailable Substrate Attachment: 1 N/A Basesheet Type: j#30 ASTM Fastener Type for Basesheet Attachment: 111/4 RS &15/8TC Tile Underlayment (Cap Sheet ) Type: Tile Underlayment Attachment Method: ITS 1.1e- Tile Profile: 'Roll Section E 2 Florida Building Code 2010 High Velocity Hurricane Zone Roofing Permit Application Form Section E (Tile Calculations) Method 1 "Moment Based Tile Calculations Per RAS 127" For Moment based tile systems, use Method 1. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. P 1: P 2: P 3: 139.1 68.1 100.7 x x 0.313 0.313 0.313 12.24 21.32 131.52 - Mg: 7.93 = Mr1: - Mg: 7.93 = Mr2: - Mg: 7.93 = Mr3: 4.31 13.39 23.59 5 38.7 NOA Mf 4787 NOA Mf 38.7 Method 3 "Uplift Based Tile Calculations Per RAS 127" NOA Mf For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. x l: P2: P3: xl: x l: =1 x :n= =1 I xw: =nXW: -W:L1 =11 x cos 0:n =Fr1: 5 -W : = x cos o:n =Fr2:1 l5 -W : = x cos 0: FT = Fr3: 5 Where to Obtain Information to complete tile calculations NOA F' NOA F' NOA F' Description Symbol Where to Find Design Pressure P1 or P2 or P3 Table 1 RAS 127, or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7. Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier Product Approval (NOA) Restoring Moment due to Gravity Mg Product Approval (NOA) Attachment Resistance Mf Product Approval (NOA) Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval (NOA) Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval (NOA) Tile Dimensions I = length w = width Product Approval (NOA) • DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Boral Roofing, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov /sera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Barcelona 900 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 renews and revises NOA #07 -0220.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMNDADE COUNTY i' 6 APPROVED NOA No.: 12- 0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 1 of 7 Redland Technologies P0631 -01 Professional Service Industries, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers MIAMI•DADE COUNTY APPROVED IC- 1320 -94 25- 7688 -3 25- 7688 -10 25- 7688 -5 25- 7688 -4 520111 -3 520191 -2 -1. Calculations Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations 122 Wind Tunnel Testing TAS 108 (Mortar Set) Physical Properties TAS 112 TAS 101 (Adhesive Set) TAS 101 (Mortar Set) Static Uplift Testing TAS 102 (3" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing TAS 102 (4" Headlap, Nails, Clips) Static Uplift Testing TAS 101 Aerodynamic Multiplier Two Patty Adhesive Set System 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Restoring Moments Due to Gravity TAS 112 July 1994 Feb. 1995 June 1996 July 1996 June 1996 June 1996 Dec. 1998 March 1999 March 1999 April 1999 March 1995 February 1996 April 1996 December 1996 February 2007 January 2007 NOA No.: 12- 0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 3 of 7 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with the applicable Building Code. 4. INSTALLATION 4.1 Barcelona 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Barcelona 900 11.5 1.417 1.08 Table 3: Restoring Moments due to Gravity - Mg (ft-Ibf) Tile Profile 2 ":12" Table 2: Aerodynamic Multipliers - X (ft3) 4" :12" Tile 6 ":12" X (ft3) X (ft3) Battens Profile Battens Batten Application Direct Deck Application Barcelona 900 Battens Direct Deck 0.289 0.313 Table 3: Restoring Moments due to Gravity - Mg (ft-Ibf) Tile Profile 2 ":12" 3 ":12" 4" :12" 5 ":12" 6 ":12" 7 ":12" or greater Barcelona 900 Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 7.28 8.13 7.21 8.05 7.10 7.93 6.96 7.78 6.79 7.61 6.61 7.40 MIAMI.DADE COUNTY APPROVED NOA No.: 12- 0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 4 of 7 Table 4: Attachment Resistance. Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Barcelona 900 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 . #8 Screw 20.7 20.7 18.1 2 . #8 Screws 43.2 43.2 29.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Barcelona 900 Adhesive 29.34 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Barcelona 900 Polyfoam PolyProTM 66.54 Polyfoam PolyProTM 38.74 3 Large paddy placement of 63grams of PolyProM . 4 Medium paddy placement of 24grams of PolyProTM'. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Barcelona 900 Mortar Set' 24.5' 5. Tile -Tite Roof Tile Mortar MIAMI•DADE COUNTY APPROVED NOA No.: 12- 0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 5 of 7 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved ". LABEL FOR BARCELONA 900 TILE (LAKE WALES FL PLANT 2) LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MIAMIOADE COUNTY APPROVED NOA No.: 12- 0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 6 of 7 PROFILE DRAWING NAIL HOLES BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE MIAMI -DADE COUNTY APPROVED NOA No.: 12- 0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 7 of 7 MI,MI� COUNTY DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.t=,ov /pere SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA # 11- 0601.10 and consists of pages 1 through 8 The submitted documentation was reviewed by Alex Tigera. MIAMFDADE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Sub - Category: Material: Roofing Underlayment SBS , APP Self- Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Polystick MTS underlayment Manufacturing Location #2 Polystick IR -Xe underlayment Manufacturing Location #1 & #2 Polystick TU underlayment Manufacturing Location #1 & #2 Polystick TU Plus underlayment (Surface Printing) Manufacturing Location #2 Polystick TU P underlayment Manufacturing Location #2 Polystick Tile Pro Manufacturing Location #2 Polystick Dual Pro Manufacturing Location #2 Dimensions Roll: 65'8" x 3'3-3/8" 60 mils thick Roll: 65' x 3'33/8" Or 65'x 3' 60 mils thick Roll: 32' 10" x 3'3 3/8" 100 mils thick Roll: 65' x 3'33/8" 80 mils thick Roll: 32'10" x 3'33/8" 130 mils thick Roll: 61' x 3'33/8" 60 mils thick Roll: 61' x 3'33/8" 60 mils thick Test Product Specification Description TAS 103 A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofmg, roof tile, slate tiles and shingle underlayment. TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt waterproofing membrane, glass -fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt self - adhering, glass- fiber /polyester reinforced waterproofmg membrane. Designed as .a metal roofing and roof tile underlayment. NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 2 of 8 MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED: Test Agency Exterior Research & Design, LLC Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. Test Identifier 11756.04.01 -1 11756.08.01 -1 02202.08.05 P5110.08.07 P10870.09.08 -R1 P10870.04.09 P33360.06.10 P33370.03.11 P33370.04.11 P36900.09.11 P37300.10.11 PRI01111 PUSA -005 -02 -01 PUSA - 018 -02 -01 PUSA -035 -02 -01 PUSA- 033 -02 -01 PUSA -055 -02 -02 PUSA -083 -02 -01 PUSA- 089 -02 -01 JX20H7A RX14E8A DX23D8B DX23D8A Test Name/Report TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 ASTM D1970 TAS 103 ASTM D 1623 TAS103 /ASTM D4798 & G155 TAS 110 /ASTM D4798 & D1970 ASTM D 4977 ASTM D 4977 ASTM D 2523 TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 Date 04/27/01 08/14/01 08/29/05 08/29/07 12/04/08 04/13/09 07/01/10 03/02/11 04/26/11. 09/01/11 10/19/11 04/08/02 01/31/02 07/14/03 09/29/06 01/12/06 12/10/07 06/30/08 07/06/09 04/01/08 11/09/09 02/18/10 02/18/10 NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3 -%a" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. MIAMI•DADE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles, non - structural metal roofing, roof tile systems and quarry slate roof assemblies: IR -Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre- existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. S. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU, TU Plus, and Tile Pro may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR -Xe, and Dual Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Flat Tile Polystick MTS Polystick IR -Xe Polystick TU, TU Plus, TU P, Tile Pro Profiled Tile Prohibited without battens 5:12 Prohibited without battens Prohibited No limitation No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. MIAM .DARE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 5 of 8 r:xposure Limitations (days) MTS IR -Xe TU TU Plus TU P Tile Pro Dual Pro Winter Haven, FL. 180 180 180 180 180 180 180 Hazelton, PA. N/A 30 30 180 N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. S. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU, TU Plus, and Tile Pro may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR -Xe, and Dual Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Flat Tile Polystick MTS Polystick IR -Xe Polystick TU, TU Plus, TU P, Tile Pro Profiled Tile Prohibited without battens 5:12 Prohibited without battens Prohibited No limitation No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. MIAM .DARE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. Roofing Tiles (6 Max Per Stack) 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product. Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back - nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back - nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter - battens, as required by the tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7 "/12" or greater. It is suggested that on pitch/slopes in excess of 6 1/4"/12 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty-Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self - adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894 -4563. MIAMI•DADE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 7 of 8 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894 -4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 8 of 8 MIAM DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 3M Company 3M Center Building 0220- 05 -E-06 St. Paul, MN. 55144 -1000 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.gov /sera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction: PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 3MTM 2- Component Foam Roof Tile Adhesive All -160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA# 11- 0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive Polyurethane SCOPE: This approves 3MTM 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2- Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications 3MTM 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF 1000 N/A ProPack® 30 & 100 N/A Product Description Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.61bs. /ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm/ Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01- 6743 -011 01- 6739- 062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 Test Name/Report TAS 101 TAS 101 SSTD 11 -93 SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/28/98 TAS 101 03/02/99 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F 2 —W F'— MS NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF 1000 or ProPack® 30 & 100 dispensing equipment only. 7. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 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 3MTM 2- Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 MIAMI -DADE COUNTY APPROVED NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05 /10/12 Page 4 of 7 a i I LABELING: All 3MTM 2- Component Foam Roof Tile Adhesive AH -160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1) Place enough adhesive to achieve 17 to 23 Optionai2x4's for square inches in contact with qro pan the P Pitch aRlicaticcs 2) Tom covers upside down. Place adhesive 1B in` Too11 From outside edge of emir the. Install the tile. NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Paddy (between tile) Paddy (under tile) ftl• 4r 3 in. x 3 in. Single paddy on under- layment $111918 paddy under tile Single paddy on top of the Eave 2 In. X 7 in. medium she paddy eave Fascia course only Nail through plastic cement Nail through plasdc cement Single paddy under tile Underlayment <44!siwSingle paddy between tile ... 2 in. x 7 in. medium course only size paddy eave re- 31n.x 3 in. 4 in. ■ Single paddy on under. layment Single paddy on top of tile Eave Course Fascia Weephole Eave closure Drip edge Single paddy between tile eto. te- 3 in.x 3 In. Single paddy on underiayment Single paddy on top of tile Lave Corse Eave Closure 2 in. x 71n. medium size paddy eave course only Fascia END OF THIS ACCEPTANCE MIAMI-DADE COUNTY APPROVED NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 a,, ) P AC n® �.,,� CERTIFICATE OF LIABILITY INSURANCE DA• IMen51T YI 0312312012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS GERTIRCATE OF 119SURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder IS an ADDITIONAL INSURED, the pollap(Iss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and candli%ns of the policy,, certain policies may require an endorsameirt. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemenga). PRODUCER Florida Insurance Group 12535 Orange Drive SiAe807 Davie, Florida 33330 On Tim Roofing 985 SW 150th Terr Sunrise, Florida 333328 rause Jorge L Perez PHONE I,En 9 4- 1 ,N4$.05..044 2036 .ADDRESS: INSURERIEI AFFORDING COVERAGE INSURER A: EnMIBance Amerlcap SOMA INSURER B: INSURER C: INSURER°: YIS URER E : INSURER F: NAIL S 1718 COVERAGES CERTtFLCATE NUMBER: N THIS IS TO CERTIFY THAT THE POUCIES 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 PATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. OCCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE INSB tvvn PCNICY WISER OUNDOPITYY1 r IMEXANYTYYS LNUTB CIENERALUABLITY CXMNOtmv.OEN9At. - ! U BUTY jLAR ' BNI 010753/CBO10000905eo 0310812012 0310812013 EACH OCCURRU . $ 100 0 -DAME 0 tE`�9 J a�dMEB :. , - S Ily MEDEXP(Anraepoison $ 5000 GEM _ PERSONALBADVai0.Illr $ 1000000 GOERALAGGREGATE $ 100000 AGGREGATE UM1T.AFPLESPBx I 2& BLOC UC PROD - CCAIp/DPAGO $ 1000000 $ AUTOMOBILE T _ LIABEITY ANY AUTO HIRED AUTOS T AMOR U fl 1 SINGLE UNIT $ BODILY INJURY (Per person) $ FIDDLY INJURY (Per a9ddlnO $ (per. S S • UI&IHLALIAB EXCESS LIAR I . IT r E IO cuRRENCE S p { AGGREGATE $ 3 AND EMPLOYERS'LIABILTiY YIN ANY PROPRIETOWPARTNEINEXECUOVE OTATREXCLUOED? LJ (Man ator/ in � If DEsenunpf1N OFOPR.RATIONN bePow NIA r 1 _ 1TORYLIMJ1 i ER i -I EIEAMAlA[fr S EL DISEASE- EA BIPWYEE S EL E- POLICY UMR $ 1 D PION OF OPERATIONS ILOCATIONS tVEISCLEs (Attach ACORD BR, Additional Remarks Ste, tam space issew CATE HOLDER CANCELLATION Building & Neighborhood Compliance Dept. 11805 SW 26 Street Room 207 Miatld, Florida 33175 SHOULD ANY OF THE ABOUE DESCRIBED POI-CIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RB+RESENTATPJE JIBAILaggi- ®1 tB-ztY10 AC C0i1PriATIONS Ali lights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD