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RF-12-342Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 177483 Permit Number: RF -2 -12 -342 Inspection Date: August 17, 2012 Inspector: Rodriguez, Jorge Owner: D PUMA, LAWRENCE Job Address: 10210 N MIAMI Avenue Miami Shores, FL Project <NONE> Contractor: CME CONSTRUCTION MANAGMENT ENTERPRISES INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number (786)251 -9834 Parcel Number 1131010210030 Phone: (786)488 -9876 Building Department Comments RE -ROOF TILE TO TILE ONLY. COLOR THRU Inspector Comments CREATED AS REINSPECTION FOR INSP- 177345. CREATED AS REINSPECTION FOR INSP- 170489. Sidewalk at N Miami Ave broken by tile delivery truck and must be replaced NB NEED REVISION FOR FLAT. POLYSTICK NOT ALLOWED ON OPEN VALLEY PER NOA. As rirPassed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until August 17, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 , A -1 Engineering Inspection Services, Inc 7066 SW 44th Street Miami, Fl 33155 Tel: 786- 326 -9877 Fax: 305 -485 -9011 alroofinspection @gmail.com • LAB CERTIFICATION # 10- 0512 -01 SITE SPECIFIC INFORMATION UPLIFT TEST - TAS #106 Roofing Contractor CME CONSTRUCTION Job Address Owner's Name Type of Tile VANGUARD ROLL Approximate Roof Height 12 feet Roof Pitch 10210 NORTH MIAMI AVE Permit # 3/12 Approximate Square Footage of Roof 27 ft 2 Date Tested 6/14/2012 Contact Name BA, LLARDO LOCATION Corner Perimeter Field Ridge Total Date Installed Type of access to Roof OK Required Testing Force 35/bs Number of Tests 65 Testing Equipment: F.G.E. 100 # OF TEST 5 Tests 18 Tests 38 Tests 4 _ Tests Phone # (786) 752-5099 PASS V Pass Pass VVi Pass 'J Pass 65 Tests 111 Pass # OF TEST O Tests O Tests O Tests 0 Tests O Tests FAIL El Fail ❑ Fail • Fail L-I Fail O Fail IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF NATURAL DISASTERS. Cordially REMBERTO CONTRERAS P.E P.E # 21522 A -1 ENGINEERING INSPECTION SERVICES INC CERTIFICATION NO 10- 0512.01 7066 SW 44th Street Miami, Fl 33155 — Telephone (786)326 -9877 — Fax (305)485 -9011 Roofing Contractor Job Address Owner's Name Type of Tile 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 CME CONSTRUCTION 10210 NORTH MIAMI AVE Permit # VANGUARD ROLL Approximate Roof Height 12 feet Roof Pitch Approximate Square Footage of Roof 27 ft 2 Date Tested 6/14/2012 Contact Name BALLARDO Number of Tests Date Installed 3/12 Type of access to Roof OK Required Testing Force 351bs 65 Testing Equipment: FG,E. 100 Phone #(786) 752-5099 SKETCH OF ROOF Revised by 7066 SW 44th Street Miami, FI 33155 — Telephone (786) 326 -9877 « Fax (305) 485 -9011 Miami Shores Village Building Department cc ` 8 o 9nv 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 f SI1U J'3 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER. (305) 762.4949 BUILDING PERMIT .APPLICATION Permit Type: BUILDING JOB ADDRESS: Q2 \® r City: Miami Shores Foko/Parce1#: Is the Bum Histories palpated: Yes OWNER: Name (Fee Simple Titleholder): 1. Address: b \ Ll City: I a v^-e �—'� i ,rte► �- k FSC 2,0/ Permit No. Master Permit No. 12. —14 Z ROO County: -- Mica; Dade 4 NO. _ . Tenant/Lessee Nance: Email:. CONTRACTOR: Company Name: Address: 13 `14 0_1: City: \ 43'L1,- i� Qualifier Name: State: -E 2 9C r State Certification or Registration #: Cs -41 ? `d Contact Phone#: Z, 5 p 7 y Email Address DESIGNER: Architect/Engineer: Phone#: l $ b� Zip: 3 ©1 Phone: 3 6 -144' ' i g Value of Work for this Permit: $ Type of Work: ()Addition ()Alteration Description of Work: Square/Linear Footage of Work: ONew it:ipOtepair/Replace CS VI wV )a Color thru tile: ODemolition ***************************************p ^ ** ***** ** * ****** * ***** * * * * * * ** **** *fie* * Submittal Fee $ Permit Fee $_ CCF $ Scanning Fee $ CO/CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technol Fee Double Fee $ o� $ Structural Review $ Bonding Company's Name (if applicable) Bonding Company's Address City ° State Zip Mortgage Lender's Name Cif 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 T WICE 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 recorded no ' 'e commencement must be posted at the job site for the first inspection which occurs seven (7) - fter- the building permit is '. d In the absence of such posted notice, the inspection will not be appri . % and a reinspec e will be charged . - • Owner or Agent Contractor The foregoing instrument was acknowledged before me this f)-- The foregoing in i nt was acknowledged before me this day of --- f_,, 20,1L, by (-arr Pu , day of ea 20 fl , by -' `C) ,a who is personally known to me or who has produced who is 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: NOTARY PUBLIC: ��o ;p� ,,r Elise Devi Vera Sign: .rry �- _C9ai�AISSICid s EE188125 • `rte •' �..: Print: �`° ��® \!-Qna .,ice- .���' E,. "ii;. �: APF?. 09, 2016 q 6 ��4 /;;;;-1 wyv My Commission Expires: t® Sign: Print S` RV 1 07F1,2%, Etsa aevl Vera =its.c # EE 188125 °J�' i�. �'"' I E5: A1'�•. 09, 2016 My Commission Expirbig44 c < �G . 3TARY.com * * * * * * * * * * * * * * * * * * * * * * * * * * ***** ** * *** ****** *** *** *R+ *** ** * * * ******** ***** * **** ********* ** ***** **********4*** APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009XRevised 3/15/09) Zoning Clerk C v E AUG 0 8 21E12 Shores Village 701,..P.,,'(3 ; DEr r DEPT BY DATE HIGH - VELOCITY HURRICANE ZONE! EJECT 10 C(,N,IPI.IANCE wl r-I ALL FEDERAL H . h V -,.. Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Pe No. H t L `- Z Process No. Contractor's Name c----t1 v c"\- k `, ry Job Address t 0 1-\ 0 ■a t ,ra • ROOF CATEGORY ❑ Mechanically Fastened Tile 13 Mortar /Adhesive Set Tile ❑ Metal PaneUShingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR -RAS 150 Low Slope ❑ Asphaltic Shingles ROOF TYPE ❑ New Roof ❑ Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 2-4p 1 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. 2010 FLORIDA BUILDING CODE — RESIDENTIAI HIGH- VELOCITY HURRICANE ZONES 4422 Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Fill in Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet and identify Manufacturer Attachment (If a component is not used, identify as 'NA) System Manufacturer. NOA No.: r 9 — 0 L2-1 •-- ® 1 Design Wind Pressures, From RAS 128 or Calculations: P1:-91 Z P2: -S (p P3:- V2-4. 3 Max. Design Pressure, From the Specific NOA System: — Z 3 • P �� Deck: Type: Gauge/Thickness: Sig v Scope: Anchor/Base Sheet & No. of Ply(s):i' S' }� Anchor/Base Sheet Fastener/Bon ing Material: Insulation Base Layer. Base insulation Size and Thickness: Base insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): � 4a Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener/Bonding Material: Field: 9 ° oc @ Lap, # Rows �• @ 32 oc Perimeter.. " oc @ Lap. # Rows L @ro oc Comer 6 " oc @ Lap, # Rows @° oc Number of Fasteners Per Insulation Board Field erimeter Comer 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. • FT. is t� r 1 a..v‘0g '` a�,1 3 ?3" tip \A\ yam. Parapet 1 Height Top Ply: can `z 1. -� �a \03 z t2.01 A em_04, Top Ply Fastener/ Bonding Material: rS 1A i es. Surfacing: G5C -.a \ • Mean Roof Height 01114 A CI newt• no MIA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDINQ 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF RUBEROID® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 07- 1203.01 and consists of pages 1 through 31. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 1 of 31 ROOFING SYSTEM APPROVAL Category: Sub - Category: Material: Deck Type: Maximum Design Pressure Roofing Modified Bitumen SBS /APP Wood -75 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Leak BusterTM MatrixTM 307 Premium Asphalt Primer GAF Mineral Shield® Granules Leak BusterTM MatrixTM 305 Fibered Asphalt Emulsion Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating LeakBusterTM MatrixTM 322 Elastomeric Roof Coating LeakBusterTM MatrixTM 306 LeakBusterTM MatrixTM 204 Wet/Dry Roof Cement GAFGLAS® #75 Base Sheet GAFGLAS® #80 jJJfTTM Base Sheet GAFGLAS® Flex P1yTM 6 GAFGLAS® Ply 4 GAFGLAS® Mineral Surfaced Cap Sheet Dimensions 5, 55 gallons 601b. Bags 1001b. bags 5 gallons 1, 5 gallons 55 gallons 55 gallons 1, 5 gallons 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39,37" (1 meter) Wide Test Specification ASTM D41 ASTM D1863 ASTM D1227 ASTM D 2824 ASTM D3019 ASTM D3409 ASTM D4586 ASTM D3409 ASTM D4601 ASTM D4601 ASTM D2178 ASTM D2178 ASTM D3909 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofmg. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shields' Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Elastomeric roof coating. Asphalt emulsion fibered. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Type 11 Asphalt impregnated and coated glass mat base sheet. Type II Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 2 of 31 Product GAFGLASSEnergyCapTM Mineral Surfaced Cap Sheet GAFGLAS® EnergyCapTM BUR Mineral Surface Cap Sheet GAFGLAS® STRATAVENT® Eliminator", Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT® Eliminator", Perforated Nailable RUBEROID® SBS Heat- We1dTM Smooth RUBEROID® SBS Heat- We1dTM Granule Roof MatchTM SBS Mop Granule RUBEROID® SBS Heat- We1dTM 170 FR RUBEROID® SBS Heat- Weld"M PLUS RUBEROID® SBS Heat - Weld"" PLUS FR RUBEROID ®EnergyCap SBS Heat We1dTM PLUS FR RUBEROID® Modified Base Sheet RUBEROID® SBS Heat- We1dTM 25 Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) wide 39.37" (1 meter) Wide various 39.37" (I meter) Wide 1 meter (39.37") wide 1 meter (39.37 ") wide 107 sq. ft. (9.9 m2) 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 39.37" (1 meter) Wide 1 meter (39.37 ") wide Test Specification ASTM D3909 ASTM D3909 EnergystarTM Title 24 Compliant ASTM D3672 ASTM D4897 ASTM D3672 ASTM D4897 ASTM D6164 ASTM D6164 ASTM D6222 ASTM D5147 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D6164 Product Description Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied layer of TOPCOAT® EnergyCoteTM. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied EnergyCoteTM Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Non-Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer modified asphalt and surfaced with colored mineral granules. Non-Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. A fiberglass mat reinforced, SBS modified bitumen cap membrane. Premium glass fiber reinforced SBS - modified base sheet Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. NOA No.: 09- 0224.01 Expiration Date: 11 /06/13 Approval Date: 04/08/09 Page 3 of 31 Product RUBEROIDD M Granule RUBEROID® MOP Smooth RUBEROID® MOP PLUS RUBEROID® MOP 170FR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® EnergyCap Torch Granule FR Roof MatchTM APP Torch Granule RUBEROID® TORCH PLUS RUBEROID® TORCH FR RUBEROID® 170FR TORCH RUBEROID® EnergyCap SBS Heat Weld Plus FR RUBEROID®20 RUBEROID® 30 Dimensions 39.37" (1 meter) Wide 1 sq. roll 87 lbs. 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 3937" (1 meter) Wide 39.37" (1 meter) Wide 1 meter (39.37") wide 107 sq. ft. (9.9 m2) 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 1 meter (39.37 ") wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide Test Product Specification Description ASTM D6222 Non -woven polyester mat coated with ASTM D5147 polymer modified asphalt and surfaced with mineral granules. ASTM D6298 Non -woven polyester mat coated with ASTM D5147 polymer - modified asphalt and smooth surfaced. ASTM D6164 Non -woven polyester mat coated with ASTM D5147 polymer modified asphalt and surfaced with mineral granules. ASTM D6164 Non -Woven polyester mat coated with fire ASTM D5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D6164 Non -Woven polyester mat coated with fire ASTM D5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D6222 Heavy duty, polyester reinforced, asphalt ASTM D5147 modified bitumen membrane, smooth surface. ASTM D6222 Heavy duty, polyester reinforced, asphalt ASTM D5147 modified bitumen membrane, granule surface. ASTM D6222 A fiberglass mat reinforced, SBS modified ASTM D5147 bitumen cap membrane. ASTM D6222 Non -woven polyester mat coated with ASTM D5147 polymer modified asphalt and surfaced with colored mineral granules. ASTM D6222 Heavy duty, polyester reinforced, asphalt ASTM D5147 modified bitumen membrane, granule surface ASTM D6222 Heavy duty, polyester reinforced, coated ASTM D5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D6222 Heavy duty, polyester reinforced, coated ASTM D5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D6163 A fiberglass mat reinforced, SBS modified ASTM D5147 bitumen cap membrane. ASTM D6163 SBS modified asphalt base sheet reinforce ASTM D5147 with a glass fiber mat. ASTM D6163 Non woven fiberglass mat coated with ASTM D5147 polymer modified asphalt and surfaced with mineral granules. NOA No.: 09-0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 4 of 31 Product RUBEROID®30 FR RUBEROID® EnergyCap SBS 30FR RUBEROID® ULTRACLAD® SBS RUBEROID® Dual FR Vent Stacks (metal and plastic) GAF Built -Up Roofmg Asphalt RUBEROID® MOD Asphalt Asphalt L & Asphalt P TOPCOAT® Surface Seal SB LEAK BUSTERTM MatrixTM 715 MB Elastomeric Roofing Membrane EnergyCoteTM Coating VersaShieId® TOPCOAT FireShield® MB Leak BusterTM MatrixTM 531 WeatherCoteTM Elastomeric Flashing Grade LeakBusterTM MatrixTM 201 Premium SBS Flashing Leak BusterTM MatrixTM 102 SBS Adhesive Label Dimensions 39.37" (1 meter) Wide 1 meter (39.37 ") wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 100 lb. cartons, bulk 60 Ib. kegs 5 gallons 5 gallons 2, 5 gallons 350 sq. ft roll 5, 55 gallons 5 gallons 5 gallons 5 gallons Test Specification ASTM D6298 ASTM D5147 ASTM D6163 ASTM D6163 ASTM D5147 ASTM D6164 ASTM D5147 TAS 100(A) ASTM D1929 ASTM D635 ASTM D312, Types 1, II, III and IV ASTM D3412 ASTM D21 ASTM D1475 ASTM E1644 ASTM D6083 ASTM -D226 4869 Type I, II ASTM D412 ASTM D21 ASTM 1475 ASTM E1644 ASTM D3019 ASTM D3019 Product Description Non woven fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineral granules. A fiberglass mat reinforced, SBS modified bitumen cap membrane. Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. One -way valve vent used to relieve built - up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Interply mopping and surfacing asphalt SEBS modified asphalt Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Highly reflective elastomeric coating Non - Asphaltic Fiberglass -Based Underlayment Elastomeric roofing membrane Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04 /08/09 Page 5 of 31 Product Leak BusterTM Matrix"' 202 SBS Flashing Cement Label Leak BusterTM Matrix"' 203 Plastic Roof Cement Label Leak BusterTM Matrix"' 103 Cold Process Adhesive Label LeakBuster"' Matrix"' 304 Non - Fibered Aluminum Roof Leak Bustefm Matrix"' 602 MB Xtra Elastomeric Roofing Membrane TOPCOAT® MB Plus Dimensions 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5, 55 gallons Test Specification ASTM D4586 ASTM D4586 Product Description Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement ASTM D3019 Cold Applied Asphalt Adhesive. ASTM D2824, Type I ASTM D412 ASTM B117 ASTM C794 ASTM G21 FTMS141.6271 ASTM D2196 ASTM D1475 ASTM E1644 ASTM D412, ASTM D21, ASTM D1475 ASTM E1644 Non - fibered. Aluminum pigmented, asphalt roof coating. Surface coating for smooth surfaced and mineral surfaced roofs. Water - based, low VOC, sprayable polymeric liquid, which cures to form a seamless rubber membrane. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04 /08/09 Page 6 of 31 APPROVED INSULATIONS: Product Name EnergyGuardTM Fiberboard EnergyGuardTM Permalite EnergyGuardTM Strip EnergyGuardTM Recover Board EnergyGuardTM Tapered Edge Strip EnergyGuardTM Polylso EnergyGuardTM RA, RN EnergyGuardTM Composite, RA DensDeck® DensDeck Prime® DensDeck DuraGuardTM Structodek® Structodek® TD SecurockTM APPROVED FASTENERS: Fastener Number 1. Product Name Drill -TecTM #12 Standard, #14 and #15 extra Heavy Duty Fastener, Heavy Duty Roofing Fastener 2. Drill -TecTM ASAP 3. Drill -TecTM CR Base Sheet Fastener and Plate 4. Drill -TeeTM Galvalume 5. Drill -TecTM Polypropylene 6. Drill-TecTM AccuTrac Plates Plates Plate Table 2 Product Description Fiberboard insulation Perlite insulation board Cut perlite board Perlite recover board Tapered perlite board Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /wood fiberboard or perlite composite Water resistant gypsum board Water resistant gypsum board Water resistant gypsum board Wood fiber insulation board Flame Resistant High Density Wood Fiber board. Fiber reinforced roof board TABLE 3 Product Description Insulation fastener and Base Play fastener for steel, wood & concrete decks. Pre - assembled Drill -TecTM Various Fasteners and metal and plastic plates. Base sheet fastening Various assembly. Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. G -P Gypsum Corp. G -P Gypsum Corp. G -P Gypsum Corp Knight Celotex Knight - Celotex USG Corporation Manufacturer Dimensions (With Current NOA) Various GAF Materials Corp. Round Galvalume stress plates. Round polypropylene stress plates. Square Galvalume® coated 3" Square steel plate. GAF Materials Corp. GAF Materials Corp. 3" and 3 ' /z' GAF Materials Corp. 3" and 3 /z" GAF Materials Corp. OMG NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04 /08/09 Page7of 31 EVIDENCE SUBNIITTED: Test Agency Factory Mutual Research Corp. Underwriters Laboratories Trinity Engineering Test Identiffiier Description Date 3029832 4470 -TAS 114 05/11/07 3010215 4470 - TAS 114 03/01/01 3001276 4470 - TAS 114 01/28/99 1 B9A8.AM 4470 - TAS 114 09/04/97 3D4Q2.AM 4470 - TAS 114 04/30/97 OD1A8.AM 4470 - TAS 114 04/01/98 TGFU.R19254 UL 790 10/27/06 4483.04 97 -1 TAS 114 06/06/97 PRI Asphalt Technologies, Inc. GAF - 020-02 -01 ASTM D 249 02/01/02 ASTM D 4977 IRT -ARCON Inc. Trinity I ERD 02 -005 TAS 114 03/01/02 02 -014 TAS 114 04/08/02 01 -039 TAS 114 03/01/02 G6850.08.08 ASTM D6164 08/29/08 G6850.08.08 ASTM D6163 08/01/08 G6850.10.08 ASTM D6222 10/06/08 G6850.11.08 ASTM D6222 11/05/08 NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04 /08/09 Page 8 of 31 Membrane Type: APP /SBS Heat Weld Deck Type 1: Wood, Non - insulated Deck Description: 19/32" or greater plywood or wood plank decks System Type E(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield® Non - Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base sheet: GAFGLAS® #80 ULTIMATM Base Sheet, STRATAVENT® EliminatorTM NaiIable, RUBEROID® Modified Base Sheet, RUBEROID® MOP Smooth, RUBEROID® 20, RUBEROID® SBS Heat- We1dTM Smooth or RUBEROID® SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below;. Fastening Options: GAFGLAS® Ply 4, GAFGLAS® Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -4S psf, See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS Flex P1yTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -4S psf, See General Limitation #7) GAFGLAS® Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure -52.5 psf, See General Limitation #7) GAFGLAS® #80 ULTIMATM, RUBEROID® 20, RUBEROID® Mop Smooth, base sheet attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum .Design Pressure -60 psf, See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or #'15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure -60 psi; See General Limitation #7) NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 29 of 31 GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design .Pressure —75 psf, See General Limitation #7) Ply Sheet: (Optional except over RUBEROID® Modified Base Sheet, RUBEROID® MOP Smooth, RUBEROID® 20, RUBEROID® SBS Heat- We1dTM Smooth or RUBEROID® SBS Heat- WeIdTM) One or more plies GAFGLAS® PLY 4 or GAFGLAS® Flex PIyTM 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate' of 20-40 lbs./sq. or RUBEROID® Torch Smooth torch applied according to manufacturer's application instructions. Membrane: One ply of RUBEROID® Torch Smooth, RUBEROID® Torch Granule, Roof MatchTM APP Torch Granule, RUBEROID® EnergyCapTM Torch Granule FR, RUBEROID® Torch Plus Granule, RUBEROID EnergyCapTM Torch Plus FR, or RUBEROID® Torch FR torch applied according to manufacturer's application instructions. Or One or more plies of RUBEROID® SBS Heat- We1dTM PLUS, RUBEROID® SBS Heat- We1dTM PLUS FR, RUBEROID® SBS Heat- We1dTM 170 FR, RUBEROID® EnergyCapTM SBS Heat- We1dTM Plus FR, RUBEROID® SBS Heat- We1dTM, RUBEROID® SBS Heat- We1dTM Smooth, RUBEROID® ULTRACLAD® SBS and RUBEROID® SBS Heat- We1dTM 25 applied according to manufacturer's application instructions. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbsisq. and 300 lbs. /sq. respectively in a flood coat of approved asphalt at 60lbs./sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 galisq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsisq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak BusterTM MatrixTM 715, Leak BusterTM MatrixTM 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 galisq. 6. TOPCOAT® Surface Seal, TOPCOAT® Fireshield® SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 galisq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 30 of 31 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ''A" Dens Deck or 'h" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product • Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbs.sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform to Roofmg Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 31 of 31 TGFU.R1306, - Roofing Systems Page 9 of 49 Base Sheet (Optional): — One or more plies Type G1 or Type G2 or Type G3. Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberold® Torch Granule Plus." Surfacing (Optional): — Kamak "No. 97" or "169" applied at 1 to 3 gal /100 -ft2 or Grundy Ind. "20 F Emulsion" applied at 3 -gal /100 -ft2. 6. Deck: C -15/32 Incline: 1/2 Insulation: — One or more layers perlite, glass fiber, 3A -in. minimum, polyisocyanurate, urethane, perfte /polyisocyanurate composite, perlite /urethane composite, 11h -in. minimum. Base Sheet (Optional): — One or more plies Type Gi or Type G2 or Type G3. Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoid® Torch Granule Plus" or "Ruberoid® Mop" (Smooth or Granule) or "Ruberoid® Mop Plus Granule." Surfacing: — Gravel. 7. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perlite /polyisocyanurate composite, perlite /urethane composite, wood fiber /polyisocyanurate composite. Base Sheet: — Two or more plies Type G2 or Type G3. Piy Sheet (Optional): — One or more plies Type G1. Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoid® Torch Granule Plus" or "Ruberoid® Mop" (Smooth'or Granule) or "Ruberoid® Mop Pius Granule." Surfacing: — "Karnak No. 97" applied at 11/2 to 3- gal/100 -ft2 or gravel. 8. Deck: NC Incline: 1/2 Insulation: — One or more layers perlite, glass fiber, 3A -in. minimum polyisocyanurate, urethane, perlite /polyisocyanurate composite, perlite /urethane composite, 11/2 In. minimum. Base Sheet (Optional): — One or more plies Type G1 or Type G2 or Type G3. Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoid® Torch Granule Plus" or "Ruberoid® Mop" (Smooth or Granule) or "Ruberoid® Mop Plus Granule." Surfacing: — Grundy "AL MB Aluminum Roof Coating" applied at 1 to 2- ga1/100 -ft2. 9. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — One or more layers perlite, glass fiber, 3A -in. minimum, polyisocyanurate, urethane, perlite /polyisocyanurate composite, perlite /urethane composite, phenolic, 11/21n. minimum. Base Sheet: — One or more plies Type G2 " GAFGLAS #75 Base Sheet ", or'Tri -Ply #75 Base Sheet ", hot mopped or mechanically fastened in place. PIy Sheet: — One or more plies Type G1 "GAFGLAS Ply 4 ", "Tri -Ply Ply 4 ", or "GAFGLAS Ply 6 ", hot mopped in place. Membrane: — "Ruberoid® Mop 170 FR" or "Ruberoid® SBS Dual FR" or "Ruberoid® Mop FR" or "Ruberoid® EnergyCap11" Mop Plus FR. ". Surfacing — (Optional): "GAF Fibered Aluminum Coating" applied at 11/z -ga1/100 -ft2 or "GAF Weather Coat Emulsion" applied at 3- ga1/100 -ft2. 10. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Perlite, flber glass, polyisocyanurate, urethane or perlite /polyisocyanurate composite. Base Sheet: — One or more layers Type G2 " GAFGLAS #75 Base Sheet" or "Tri -PIy #75 Base Sheet " or Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or'Tri -PIy Mineral Surfaced Cap Sheet" hot mopped or mechanically fastened. Ply Sheet (Optional): — One or more plies Type Gl, hot mopped in place. Membrane: — "Ruberoid® Mop 170 FR" or "Ruberoid® SBS Dual FR" or "Ruberoid® Mop FR" or "Ruberoid® EnergyCap11" Mop Plus FR." 11. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Perlite, fiber glass, polyisocyanurate, urethane or perlite /polyisocyanurate composite, butt offset a minimum of 6 -in. from plywood deck joints. Base Sheet: — One or more plies Type G2 "GAFGLAS #75 Base Sheet" or'Tri -PIy #75 Base Sheet" or Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or'Tri -PIy Mineral Surfaced Cap Sheet ", hot mopped or mechanically fastened. Ply Sheet (Optional): — One or more plies Type Gi, hot mopped in place. Membrane: — One ply "Ruberoid® Torch Smooth" or "Ruberoid® Mop Smooth" or "Ruberoid Mop Smooth 1.5" or "Ruberoid® Dual Smooth." Membrane: — One ply "Ruberoid® Mop 170 FR" or "Ruberoid® SBS Dual FR" or "Ruberoid® Mop FR" or "Ruberoid® EnergyCapn" Mop Plus FR." 12. Deck: NC Incline: 1 Insulation (Optional): — Perlite, fiber glass, wood fiber, polyisocyanurate, urethane or perlite /polyisocyanurate composite. Base Sheet: — One or more layers Type G2 "GAFGLAS #75 Base Sheet" or "Tri -PIy #75 Base Sheet" or Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or'Tri -PIy Mineral Surfaced Cap Sheet ", hot mopped or mechanically fastened. Ply Sheet (Optional): — One or more plies Type G1 hot mopped in place. Membrane: — One ply "Ruberoid® Mop 170 FR" or "Ruberoid® SBS Dual FR" or "Ruberoid® Mop FR" or "Ruberoid® EnergyCap'"' Mop B Y ING PERMIT APPLICATION FBC 20 Miami Shores Village age 1uirding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PRONE NUMBER: (305) 762.4949 Permit Type: BUILDING // ROOFING ,< OWNER: Name (Fee Simple Titleholder): M, / / c//-14 Address: 1 02-1 0 13 ®(4- City: KO+rO S1AOrQ t-A 0. rn i er .) State: Permit N0. Master Permit No. Phones ) 3/%- 78:5L Zip: d Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: ®L City: ' Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO t Flood Zone: CONTRACTOR: Company Name: C._.° -'1 Phone#: -7$ p / 8 B 9- o . r+ Address: —1 z "1. C• ° City: \-,N Qualifier Name: State: ? �— State Certification or Registration #: �..�..°��f c\ 1 Contact Phone#: 7� 6 °�i %'3 eta �l (� Email Address: Zip: Phone#: S7o / / 1c9 Certificate of Competency #: ""1- 1 c DESIGNER: Architect/Engineer: Phone#: V3 °3 ®kl Value of Work for this Permit $ Type of Work: ❑Addition ❑Alteration Description of Work: c t. Z Square/Linear Footage of Work: *Repair/Replace ❑New f ❑Demolition `X b‘. s � � '00 C_ * * * * * * * * * * * * * * * * * *** * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ ** Fees****** * * * * *** *** *axe.a**x:****** * ** *,********** 0 a o) CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ °`� 1 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) '44 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 FTFCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AWWAVIT: 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 noti of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is is 'd. In the absence of such posted notice, the inspection will not be approved and a reinspec • fee will be charged. Signature /�i • for Agent The foregoing instrument was acknowledged before me this day of = nn , 20 12 , by L ft1, c.-_ who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 1 � z - APPROVED BY .?,72 -41 Signature Contractor The foregoing -' 1 is ent was acknowledged before me this 2 } day of-t po , 20 12, by E 0,t-ct , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) My Commission Expires: Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO'. TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain ree property, and in accordance with Chapter 713, Florida Statutes, the following informatior is provided in this Notice of Commencement. 1. Legal description of property and street/address: \ 'Z..1 t-4 2. Description of improvement:.. `2 CZ, 111111111111111111111111111111111111111111111 CFN 2'i t 12Ro 1. •4'_'7 13 OR Bk 23013 f's 0249; (1Ps ) RECORDED 02/29/20112 09:19 e 49 HARVEY RUVIH, CLERK OF COURT MIAl1I -DADE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office ,J-.) Z. 3. Owner(s) name and address: L •"'c -�1 ?.s ue Interest in property: Os %a%) %s z, 5 • . S. Name and address of fee simple titleholder: 4 Contractor's name, add d phone nu ber: (! M. - CO r>1c_'%i �(� -r� e;rr r 1-'f�p t 1 ..S O5 GT, „ 't, c�ectl, , \-1 3� 01 L\ X4/6 �� �t�°i 8 ` - 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. + - 1 •n Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Own r upon whom Section 713.13(1)(a)7., Florida Statutes, g HEREBY Name, address and phone number 8. In addition to himself, Owners designates the following person(s) to re�lp 713.13(1)(b), Florida Statutes. ( 11~1liii7'di Name, address and phone number �3 9. Expiration date of this Notice of Commencement the expiration date is 1 year fro the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCE ,ENT. Signature(s) of Owner(s) o Prepared By ....../Adf Print Name Trtle/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE er(s)' •Trized Officer/Director/Partner/Manager -,.......1., Prepared By 14.-iLji9 Print Name Title/Office The foregoing instrument was acknowledged before me this Z le day of BY U Individually, or U as for Personally known, or U produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to th of my knowledge and belief, Y'Co / 3 G c / A' ) V /.S s-7" /1-1/ .007 Os+-r FL Signature(s) of By irtxmmrmrr 74. ✓ !.I- �..::�, �i � ..ter. � .l'•; OK J'r�., (407) 98 -0153 F o /Z er(s) or Owne uthorized Officer/Director /Partner/Manager who signed above: 123.01 -62 PAGE 3 310 BY Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. . COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY.INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: CM £ C s c c stne_ry'+°e'' sa BUSINESS ADDRESS: 14OSU) 14 Cr- CITY -a-k S lc STATE ZIP CODE 3 ®1 I BUSINESS PHONE: 19'8C ) t-4 X't 4g. 9- C FAX NUMBER ( ) CELL PHONE ( N) '349 Sq. S+- QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: CCC. 0 5-9' 4 E -MAIL ADDRESS (IF APPLICABLE): ° Cr ir'^ ` '\ ` ° coirn ��S Created on 3119109 BY MLDV 1 RV 3128109 MLDV : PEAMRIADECO ' -s TAX COLLE►, �j1q ••140W.PLAQ t 1st FLOORI'' :'.NUAMII FJ. 666869 -4 BUSINESS NAME 1 LOCATION CME CONSTRUCTION MANAGEMENT ENTERPRISES INC 7405 W 14 CT 33014 HIALEAH • OWNER CME CONSTRUCTION MANAGEMENT Sec. Type of Business A CO CIALTY BUILDING NTRACTOR 'THIS IS NOT A BILL — DO NOT PAY RENEWAL:.. `RECETTN0; - .'694078 -8. • STATE*•CCC057494 • D 507 TAX RECEIPT. R DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR =MG LAWS OF THE COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OMEI MEW PERM ED SY LAW IS NOT A CERTIFICATION OF THE R'S OUAUFICA• PAYMENT RECEIVED MIALD.ADE COUNTY TAX COLLECTOR: 09/21/2011 09010118001 000045.00 SEE OTHER SIDE U GE PAID MIAMI, FL PERMIT 140. O. 23 WORKER /S• .. -1. DO NOT FORWARD CME CONSTRUCTION MANAGEMENT ENTERPRISES INC INGRID BALZA PRES 7405 W 14 CT HIALEAH FL 33014 lllll► IIiiIIIIIIUIiilillJillhamihlllllilli ,il16 d 666869 -4 • THIS IB NOTABILL— DO NOT PAY • RECEIPTN BUSINESS NAME /LOCATION - . O�ww :': ". ' CME CONSTRUCTION MANAGEMENT STATE*- CGCO6],Q5 ENTERPRISES INC 7405 W 14 CT 33014 HIALEAH' OWNER CME CONSTRUCTION MANAGEMENT See. type of Business WORKER /S 196 GENERAL BUILDING• CONTRACTOR 1 THIS IS ONLY A LOCAL - RUSINESS 0 NOT PERAUT5 THE HOLDER TO VIOLATE ANY ZONIN00 LAWS 005 114E COUNTY OR CITIES, NOR DOES rt EXEMPT THE HOLDER FROM ANY OTHER REQUIRED DY LAW. THIS NOT A CERTIFICATION OF THE HHOLDERS OUAUFICA• TIO PAYMENT RECEIVED ILIAILSOADE COUNTY TAX 09010118002 000045.00 SEE OTHER SIDE CME CONSTRUCTION MANAGEMENT ENTERPRISES INC INGRID BALZA PRES 7405 W 14 CT HIALEAH FL 33014 Inlllulllli uaulllllalInAdlalidiIll BUIllIkal STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL RGULA'" CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399- 0783 ROJAS , EDWA.RD ANTFiOi+Y CHB CONSTRUCTION +IANAGE1� ENT 7405 W 14 CT RIALEA FL 33014 RPRISES, INC'. Congratulationsl 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 For information about our services, please log onto www.myfloridalicense.com There you can find more information about our divisions and the regulations that Impact you, subscribe' to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efiicientiy, 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! (850) 4€37..139:5' DETACH HERE 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 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: °2 Property Address: \ `0 Date: 2 7.71 Roofing Permit Number. Dear Building Official: I �i 0//kr / 14 certify that I am not required to retrofit the roof to wall connections of my building because: V(The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of e South Flo a Building Code (1994 SFBC) Signature Zes Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above property mentioned. Swom to and subscribed before me this 23" day of Zo / 2 Notary Public, Sate of Florida at Large • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Revised on 5/21/2009 Property Information Map My Home Miami -Dade County, Florida Page 1 of 1 Property Information Map Aerial Photography - 2009 0 115 ft This map was created on 2/28/2012 2:37:27 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. se Summary Details: Folio No.: 11- 3101- 021 -0030 Property: 10210 N MIAMI AVE Mailing LAWRENCE D PUMA Address: 1 Living Units: 10210 N MIAMI AVE MIAMI Adj Sq Footage: SHORES FL Lot Size: 33150- Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 3,353 Lot Size: 14,400 SQ FT Year Built: 1938 $50,000/ $269,601 HAMILTON TER A City: SUBDIV PB 15 -75 LOTS Legal 3 & 4 BLK 1 LOT SIZE Description: 100.000 X 144 OR 13311- 1731 -30 -29 0687 1 OR 26840 -0323 0409 30 Assessment Information: Year: 2011 2010 Land Value: $104,273 $104,273 Building Value: $215,328 $215,467 Market Value: $319,601 $319,740 Assessed Value: $319,601 $319,740 Exemption Information: Taxable Value Information: Year: 2011 2010 $100 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable affiliated parties (family, Value: Value: Regional: $50,000/ $269,601 $50,000/ $269,740 County: $50,000/ $269,601 $50,000/ $269,740 City: $50,000/ $269,601 $50,000/ $269,740 School Board: $25,000/ $294,601 $25,000/ $294,740 Sale Information: Sale Date: 4/2009 Sale Amount: $100 Sale O /R: 26840-0323 Sales Transaction involving Qualification affiliated parties (family, Description: corporate, business, landlord - tenant). View Additional Sales http: / /gisims2 .miamidade.gov /myhome /printmap. asp? mapurl = http: / /gisims2.miamidade.go... 2/28/2012 ROOF ASSEMBLES AND ROOFTOP STRUCTURES �'�"� 1 Florida Building Code Edition 2007 High-Velocity Hurricane Zone Uniform Permit Application Form. i I,-a -■ --°--• ---• --• '--• 7,-..7. ' Ir... )_P j � ‘..&' ,2,W e -�" FEB 2 3 2:2 JU Section A (General Information) Master Permit No. /'`Z 12— 4 2.._ Process No. C.., ow'- C V C _ `t w.� Contractor's Name Job Address 07..`t ® N v—k•■ da a1 ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof ❑ Mechanically Fastened Tile ❑ Metal PaneUShingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Mortarldheslve Se ❑ Wood Shingles/She pECReroofing ❑ Recovering ❑ Repair ❑ Mainten ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) a3 ®O f Bpctinn R (Roof Plan) 6 a--51-2 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflo Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and 1 parapets. 1 Go SUBJECT IC CCMPI IANCE w1 I-N ALL FEDERAL STATE AN CC UN f HULFS AND FEGULAr10N T • IIUIIIIIIIIIIMIIIIIPIIIIIIIIIIVAMVIAIIIIIIIIII IIEIIIIPISNIMIIIIIIMIIIEIIIAMIINPI ■ ■■■■iii ■■ ■ ►i1611- i1i!u W` i FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Spctinn D (Steep Sloped Roof System) Roof System Manufacturer: e t_.-4 c2,Q 1va > nc-cJ �ci.-I Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculationsk tv - ° b. P2: i s'. J' 1i P3: 2, • 2 Maximum Design Pressure (From the Product Approval Specific System ): �" f.s. Roof Slope: : 12 ,Stepp SInppd Rnnf Sysefam flescnption \ Deck Type: qt Type Underlayment: Insulation: Fire Barrier: Ridge Ventilation? Mean Roof Height: rA Fastener Type & Spacing: Adhesive Type: NhA Type Cap Sheet: Roof Covering: Type & Size Drip \ Edge: FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Section F (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mr with the valves from Mi. If the Mf values are greater than or equal to the M5 values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (Pt: VGA. O.? V- 1Z il) - Mg: (o. li $= M1 4.0 Co Product Approval Mf /5"S (p238' ' x s 2ZZ =22 $)_Mg:p 6C= Mi2 /5•5 Product Approval Mf'7S.S. (P341 ir+a� x la2i1z=3Z•8q -mg: 47. 4,6= Maz10•Z3 Product Approval Mf S. A- Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mf Mean Roof Height -, Roof Slope ,, Mr required Moment Resistance* 15' 20' 25' 30' 40' 32.2 304 38.5 34A 32.2 38.2 38.0 33.8 39.7 37A 35.1 42.2 39.8 37.3 8 :12 284 30.1 31.8 32.8 34.9 8:12 28A 28.0 7:12 24.4 26.0 284 27.1 30.5 28.2 32.4 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 We systems use Method 3. Compared the values for F with the values for Ft If the F values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P1: x L = x w: = ) - W: )(cos d = Fri Product Approval F' (P2: x = xw: = -W: x cos0 =F52 (Ps: x L x w:= ) W: x cos0 =Fr3 Product Approval F' Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1. or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height 11 Job Site Roof Slime 0 Job Site Aerodynamic Multiplier ., Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance Mg Calculated Minimum Attachment Resistance V Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L — length W = width Product Approval All calculations most be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE — BUILDING SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreem t between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. / 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 sh4uIIotify the occupants of adjacent units of roofing to be performed. 4. ` f/ ° Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearan 5. ` of/ Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original g system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance -yuith the requirements of Sections R4402, R4403 and R4413. 7. 7 / Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The e :-(rig amount of attic ventilation shall not be reduced. It may be benefici ?. consider additional venti • ch can result in extending the service life of the roof. % Owner /Agent's Signature Date Revised on 7/9/2009 LD 'Cs-0\10.06 Contractor ignature 242yOj2. Date Nov. 28. 2011 11:57PM No. 9757 P. 1 BUILDING CODE COMFLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION . TANCE OA p'olyglass USA Inc. 150 Lyon Drive Fernley, NV 89400 MIA MI -DADE COUNTY, FLORIDA METRO DADS FLAGLER BUILDING 140 WEST H AGLER STREET, SUITE 1603 MIAMI. FLORIDA 33130 -I563 (305) 375-2901 FAX (305) 375.2908 Soorr: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date sidled 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 tasting 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 th$ 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 Flo' . : wilding Code. DESCRIPTION: Polystiek P, Bas&,1BJIHn, P . TtT Plus T1T Polyester and MU Underlayuments 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. ADVERTISEIV.IENT; 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, than it shall be done in its entirety. INSPECTION: A copy of this entire NOA shailbe provided to the user by the manufacturer or its distributors and shall be available for inspections at the job site at the request of the Building Official. This NOA revises NOA No. 06-0505.01 and consists of pages 1 throe The submitted documentation was reviewed by Jorge L. Acebo. 1 e Lice: Ete±_Peut APPROVED NOA No.: 07- 1025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 'Nov. 28. 2011 11:58PM No. 9757 P. 2 ROOFING COMPONENT cateaorv: Sub - Category: Material: PRODUCTS DESCRWFION: Roofing tlnderlaynrent SBS , APP Self- Adhering Modified Test Product Dimensions. Suedflcation Polystick P Roil: underlayment 75' x 3' 40 mils thick Polystick Basik Roll: underlayment 65'8 "x 3'3-3/s" 60 mils thick Polystick IFIIRX Ro11: underlayment 65'$" x 3'3 glee) 80 mils thick PoIystick TU underlayment . in Orange Polystick TU Plus undeunderlayment (Facer of Membrane Labeled or Black Ink) Polystick TU Polyester Polystick MU uniderlayment Roll: 32' 10" x 3'324" 100 mils thick Roll: 65'8" x 313-3/B" 80 mils thick Roll: 32'10" x 3'3 -3/8" 130 mils thick Roll: 65'8" x 3,3?/g" 80 mils thick FP Product Descriutioi ASTM D 1970 A polyethylene top surface, self-adhering, SBS polymer modified bituminous sheet material for tnse as an underlayment in sloped roof assemblies. Designed as an ice & rain, shield. ASTM D 1970 A homogeneous, rubberized asphalt waterproofmg membrane, glass fiber reinforced with polyolefunic film on the upper surface for use an underlayment for metal roofing. TAS 103 and A fine granular/sand top surface self - adhering, ASTM D 1970 APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & raini shield and as a flat roof tile underlayment TAS 103 and A heavy granuled surface self adhering, APP ASTM D 1970 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. TAS 103 and A non- wicking fabric surfaced, self - adhering, ASTM I? 1970 APP polymer modified, fiberglass reinforced with a high strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof the underlayment TA,S 103 A rubberized asphalt watsiproofing membrane, glass-fiber/polyester reinforced, with a granular surface designed for use as a the roof underlayment. TAS 103 and A non wicking fabric surfaced, self -adhering, ASTM D 1970 APP polymer modified, fiberglass reinforced, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof file underlayment. NOA No,: 01.1025,10 Expiration Date: 09/13/11. Approval Date: 04/10/08 Page 2 of 6 Nov. 28. 2011 11:58PM No.9757 P. 3 EVIDENCE SUBMITTED: Test Aeencv Test Identifier Test Name/Report DEA Exterior Research & Design, LLC #11756.04.01 -1 TAS 103 04/27/01 #1175608.01 -1 ATM D 1970 08/14/01 #02202.08.05 TAS 103 08/29/05 Trinity I BRD #P5110.08.07 TAS 103 08/29/07 FRI Asphalt Technologies PR101111 ASTM D 4977 04108/02 FUSA 005 -02-01 ASTM D 4977 01/31/02 FUSA - 018 -02 -01 ASTM D 2523 07/14/03 PUSA -035 -02-01 TAS 103 09/29/06 PUSA - 033.02 -01 ASTM D 1970 01/12/06 Momentum Technologies, Inc. JX20117A ASTM D 4798 ASTM G 155 04/01/08 INSTALLATION PRoCi vUREsS: Deck Type 1; Wood, non - insulated, new construction Base Sheet One ar more plies of ASTM 15 226 Type It or .ATM 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 (leek thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge hi 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 -W' 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 hi 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" niece of underlaymentt. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fist. A second layer of Polystick shall be applied over the underlayment. NOA No.: 07. 1025.110 Expiration Date; 09/13/11 Approval !Date: 04 /10/08 Page 3 of 6 N`ov. 28. 2011 11:59PM No. 9757 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick P, B asik and IRIIRX may be used in asphaltic shingles, woad shakes and shingles, non- structural metal roofing, and quarry slate roof assemblies. Polystick P and Basilc shall not be used as roof 'tile uziderlayment. 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/IRX, TO, TV Polyester and MU Underiayments 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 •180 days after application. Polyglass reserves the right to revise or alter product exposure tones; not to exceed the preceeding maximum time limitations. 7. All products listed hereirx shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice. Polystick TU, TU Plus and MU may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IRIIlXX is limited to mechanically fastened roof tile applications. Polystick TU Polyester may be used in both adhesive set and mechanically fastened roof the 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 IRA= 5 :12 Polystick MU No limitation Polystick TX7, TU Plus TU Polyester No limitation Flat Tile 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 the directs on the underlayment. Refer to Polyglass Tile loading detail for loading procedure. 0. 0 MlA1410ADECOUN IT APPROVED 6 Roofing Tilos (6 Max. Per Stook) 12 NOA No.: 074025.10 Expiration Date: 09/13/11 Approval Date: 09/10/08 Page 4 of 6 Nov. 29. 2011 12:00AM No, 9757 P. 5 GENERAL LIMITTATTIUNS: (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, TO, TU Plus, TU Polyester & MU may be used with any approved roof covering Notice of Acceptance listing Polystick P, Basik, IR/]RX, TU, TU Plus, TU Polyester & MVITJ as a component part of an assembly in the Notice of Acceptance. If Polystick P, Basile, IR/IPX, 'TU, TU Plus, TU Polyester & MU is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the MiamiDade 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 and the following statement: "Miami-Dade County Product Control Approved" or the Miami Dade County Product Control Seal as shown below. BUILDWG 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. POL` GLASS GENERAL APPLICATION Gu rJ)ELINES FOR POLYSTIC1t; MEMBRANES: 1. Polyglass does accept the direct application of Polystick underIayment 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 Phis and Polystick MU should be backnailed in salvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 1 I gange 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 Phis and Polystick MU should be back nailed in designated area marked "nail area, area pars clavat" 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 Plashing Cement, Polyglass P0500 MB Plashing Cement, Mule -hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Plashing Cement, or Mule -Ilide 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 underlayments. Refer to the Polyglass Tile Loading Guidelines. NOA No.: 07.1025.10 Expiration Date: 0911,3/11 Approval Date: 04/10/08 Page 5 of 6 Nov. 29. 2011 12:01AM No.9757 P. 6 6. Battens and/or Counter- battens, as required by the tile inanufactatrers NOA's, must be used on all projects for pitch/slopes of 7 "112" or greater. It is suggested that on pitch/slopes in excess of 6 1/4"112 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum care time after membrane installation & before loading of roofing tiles is Forty Eight (48) Flouts. 8. PollystickTU 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 accomplished by applying Polyglass Polyplus 55 Premium Mudified Flashing Cement, Polyglass Polyplus 50 PaennumMB Plashing Cement, Palyglims PG500 MB Flashing Cement, Mule-Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomerlc Plashing Cement, or Mule I- ide 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. PoIyglass 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 finished upon request. -It is .recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The PolygIass Miami-Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtectox 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) 8944563. 15. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the stational 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.: 074025.10 Expiration Date: 09/13/11 Approval Date: 04/10/08 Page 6 of 6 M1AMI.OADE POURY IAJILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) IDARD AND CODE ADMINISTRATION DIVISION TTOTICE OF ACCEPT CE OA Iagle Roofing Products LLC 1575 East C.R. 470 Simterville, FL 33585 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.miainidade.aov/bulldind ta.OPE: Tiffs NOA is being issued under the applicable rules and regulations governing the use of construction materials. Tie documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction Cam). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control S ction (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 inrnediately revoke,'modify, or suspend the use of such product or material within their Jurisdiction. BNC moves 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 a as describe erein, and has been designed to comply with the Florida Building Code u m igh Velocity Hurricane .r: of the Florida Building Code. IDiiSCRIPTION: Malibu Concrete Tile anent Iabel with the manufacturer's name or logo, city, state and fallowing statement; "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been tiled 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 th i piration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA #06- 0526.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigers. NOA No.:11- 0321.01 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 1 of 7 ROOFING ASSEMBLY APP Catewnrv: Sub Category: Material: Roofing Roofing Tiles Concrete 1. SCOPE: This approves a system using Eagle Roofing Products Malibu Concrete Roof Tile, as manufactured by Eagle Roofing Products LLC in Sumterville, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by. applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufac Test Product s Specifications Descrintio4 TAS 112 Low profile, interlocking, high pressure extruded concrete roof tile equipped with three nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. 1= varies TAS 112 Accessory trim, concrete roof pieces for w = varies use at hips, rakes, ridges and valley varying thickness terminations. Manufactured for each tile profile. Trim Pieces �. • F• E COUNTY APPROVED NOA No.:11- 0321.01 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 2 of 7 2.1 EVIDENCE SUBMITTED: Test Aaencv PRI Construction Materials Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Professional Service Industries, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Test Identifier PR106178 Test Name/Renort TAS 112 7161 -03 Static Uplift Testing Appendix III TAS 102 & TAS 102(A) 7161 -03 Wind Tunnel Testing Appendix II TAS 108 (Nail -On) P0402 Withdrawal Resistance Testing of screw vs. smooth shank nails 94 -060B 94-084 P063I -01 Letter Dated Aug. 1, 1994 224 -47099 25- 7094 -1 25- 7094 -7 25- 7094 -4 Project No. 307025 Test #MDC -76 25- 7183 -1 25- 7183 -2 Static Uplift Testing TAS 101 (Adhesive Set) Static Uplift Testing TAS 101 (Mortar Set) Wind Tunnel Testing TAS 108 (Mortar Set) Wind Tunnel Testing TAS 108 (Nail -On) Physical Properties TAS 112 Static Uplift Testing TAS 102 (4" Headlap, Nails, Direct Deck, New Construction)D Static Uplift Testing TAS 102 (4" Headlap, Nails, Battens) Static Uplift Testing TAS 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Wind Driven Rain TAS 100 Static Uplift Testing TAS 102 (2 Quik-Drive Screws, Direct Deck) Static Uplift Testing TAS 102 (2 Quik-Drive Screws, Battens) Dafe 08/23/06 Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 July 1994 Aug. 1994 Sept. 1994 Oct. I994 Oct. 1994 Oct. 1994 Oct. I994 Feb. 1995 Feb. 1995 NOA No.:11- 0321.01 Expiration Date: 10/05/16 . Approval Date: 05/12/11 Page 3 of 7 The Center for Applied 25- 7214 -2 Engineering, Inc. 25- 7214 -6 Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 528454 -2 -1 520109 -2 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Walker Engineering, Inc. Calculations Walker Engineering, Inc. Calculations Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Direct Deck) (1 Quik -Drive Screw, Battens) Static Uplift Testing TAS 101 Two Patty Adhesive Set System 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25-7848-6 Aerodynamic Multiplier Restoring Moment Due to Gravity March, 1995 Sep. 1998 Dec. 1998 April 1999 March 1995 February 1996 April 1996 December 1996 Sep. 2006 Sep. 2006 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112 appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. NOA No. :11- 0321.01 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 4 of 7 4. INSTALLATION 4.1 Eagle Roofing Products LLC Malibu Concrete 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 (lbf) Length -I (ft) Width -w (ft) Malibu Tile 9.5 1.417 1.04 Tile Profile Malibu Tile 3: storing Moments due to Gravity - Mg (ft-lbf) 4":12" 5":12" 611:12" Direct Deck 6.54 Battens Direct Deck. Battens 6.08 6.41 5.93 Direct Deck 6.25 Te :12" or greater Battens Direct Deck 5.77 6.08 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Nail -On Systems Tile Profile Table 2: Aerodynamic Multipliers -1 ft3) ` Direct Deck (min. 19132" plywood) Tile Profile Malibu Tile a, (f3) Batten Application 0.305 1(fts) Direct Deck Application 0.282 Malibu Tile Tile Profile Malibu Tile 3: storing Moments due to Gravity - Mg (ft-lbf) 4":12" 5":12" 611:12" Direct Deck 6.54 Battens Direct Deck. Battens 6.08 6.41 5.93 Direct Deck 6.25 Te :12" or greater Battens Direct Deck 5.77 6.08 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19132" plywood) Battens Malibu Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nall 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nall (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 2 -10d Ring Shank Nails' 43.0 67.5 50.9 1 Installation with a 4" tile headlap and fasterners are located a min. of VA° from head of tile. NOA No.:11- 0321.01 )Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 5 of 7 Table 5: Attachment Resistance Expressed as a Moment Mr (ft -lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Malibu Tile Adhesive` (Minimum Attachment Resistance 28.15 2 See manufactures component approval for installation requirements. 3 Flexible Products Company Tile Bond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - (ft -lbf) for Single Patty Adhesive Set Systems Tile Tile Application inimum Attachment Profile Resistance Malibu Tile 4 4 e • addy placement of 64grams of Poly paddy p ace o grams o olyProT 1 Table 7: Attachment Resistance Expressed as a Moment - Mf(fl: -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Malibu Tile Mortar Set' 20,60 5. LABELING : All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below)s or following statement "Miami -Dade County Product Control Approved ". EAGLE. FLORIDA MALIBU CONCRETE ROOF TILE LABEL, SUNITERVILLE. PLANT (LOCATED ON UNDERSIDE OF TILE) NOA No.:11 -0321.01 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 6 of 7 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 this Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING MALIBU CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.:11- 0321.01 Expiration Date: 10/05/16 Approval Date: 05/12/11 Page 7 of 7 M1AMI•DiAD>E COUNTY MIAMI-DADE COUNTY `R , C 2 —342_, PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (B C) 11805 SW 26 Street, Room 208 BOARD AND COD ._ .G < 'PION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov/buildinut ICE OF ACCEPT Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 CE OA This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is appro ', herein, and has been designed to comply with the Florida Building Code in .: ing -tit •__ `_ Velocity Hurricane Zon z, the Florida Building Code. DESCRIPTION: Polypro® AH160 LABS 1 s a 1 bear a permanent label with the manufacturer's name or logo, city, state and fallowing statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA# 06- 0201.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 1 of 7 ROOFING COMPONE Category: Sub Category: Materials: SCOPE: This approves Polypro® AII160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems APPROVAL: Roofing Roof tile adhesive Polyurethane PRODUCTS MANUFACTURED BY APPLICANT: Produces Dimensions Test Specifications N/A TAS 101 Foampro® RTF1000 ProPacko 30 & 100 N/A N/A Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH 160 roof tile adhesive. 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 1.6 lbsift.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% 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. NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 2 of 7 EVIDENCE SUBMIT "1'1E D: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories N13 -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTME 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® A1-1160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro their tile assemblies shall test in accordance with TAS 101. AH160 roof tile adhesive with 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) –W 2 F' MS MANMADE COUNTY APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 3 of 7 INSTALLATION: 1. Polypro® AH160 may be used with any rooftile assembly having a current NOA that Iists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® 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. Polypro® AH160 rooftile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro t dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polyproo AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table I: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams} Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MIAMI4 ADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Mail through plastic cement Underlaying Paddy (0eneathTile) Errre Cause EavoClosure Fascia Eavecouraeoniy, Keep adhosiveapprox. 4 hr. up from weephotoo 1) Place enough adhesive toachleve ll to 23 steep pitch applications square square Inches Incanted wilhhthe pan tge sleep pitch appyca#ans Tum covers pssid outside down. Place adh a 11n. 2I of soar Co. Then Install the tile. Underlay/non! 1 Moll through plastic cement tt oftheeene tourse cover f lo. Shut tosocond come of pan files Ensure eave end of pan end cover Mesas flush eteave lino. Rave closure (mortar shown) Wealthole Fascia Sheathing Optional Pclnttup Mortar on langttudll sign oftfe NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY MIAMIDADE C APPROVED NTY NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Paddy (between tile) Paddy (under tile) • • x3 in. Single paddy on under- laymont Single paddy under the Single paddy on top of file course in. X7 11 medium size paddy save Fascia course only MANMADE CO 'PPROYED Nall through plastic cement Underlayrnent 1. Single paddy under tile Single paddy between tile 2 in. x 7 In. medium size paddy eave course only /0..41n.x 3 in. ■ Single 4 In. paddy on under- layment Single paddy on top of tile Ease Course Fascia Weephole Eave cloaum Drip edge END OF THIS ACCEPTANCE NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 7 of 7 08•09•2010 ALEX Slwc STATE OP FLORIDA CHOW MAMMAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OP 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 Wolters' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 08/0812010 EXPIRATION DATE: 08/08/2012 ROJAS• EDWARD A 283381870 BUSINESS NAME AND ADDRESS: ME CONSTRUCTION NANAOEMENT ENTERPRISES INC T401 M 14TH COURT NIALEAH FL 33014 SCOPES OF BUSINESS OR TRADE: 1- CONSTRUCTION CONSULTING 3• CERTIFIED GENERAL CONTRACTOR 2- CERTIFIED ROOFING CONTRACTOR IMPOxih$h PtaW u gams 440. auto. 1.8.. so allot a . capu.ta..a /UW smssfa lass was septa by labs 1 sattisw 11 tlsua Wet els tntla fay CO (.tat sodas a sau.uWla can Ms atoms. Halew a latpkr 440.04tiu1. is.. Coltplcu• or *luau a a .bop.• wit ay .lade d. sap11 a to Salsreu a rasa Owe 10 Gs sotto d el.■toi t1 bo u.ap. Hama Is WSW 4t0.0Nq, 1.1.. Nsua/ a •IMW to to amp 411 e.4Uuau •1 .tutor a b. .asap all be abj.a to tnaubs 11. t .pr IIP. dam W teas, a 111 141 144 a W Ituat. a Ii. 440111w.. W ptc.o sane a W sun a su*kw as hops Data I00 144411404414 e1 Oh faun la Mani a 1 440111t0t. Ta 44040•01 sail •••■• • (WOW* a u1 toe. in WWI a /a Fume owes a u. sorttkw Is was ao sMul.osat a ui. aala. MOTIONS? 08501 41I.1E0 OWC•ISI CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -08 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OP Pl0AIDA DEPARTMENT OF F)NANt3AL SERVICES 01VIsioN OP WORlt6RrCOit1PEJKATION CONSTRUCTION INDUSTRY CERTIFICATE OP ELECTION TO BE 6296*PT FROM FL:ORIO* WCRItbTur coMPWNMAT1ON LAW EFFECTIVE: 0S/08/2010 EXPIRATION DATE: 06/02/2012 PERSON EDWARD A ROJAS FEIN 203321670 BUSINESS NAME AND ADDRESS: 04 040a1400* Msxacl 1iNt 1014011411 ems i4S1 W 141)5 MAT waat4A+t 11 22014 SCOPE OF BUSINESS OR TRADE t• CO.itinatio. commis 2. CORTWLO a001u*e COet5A0000 2. ccgwite etsta ►t costoactoa IMPORTANT O P 111040401 a Chapter 440.051141. F.S, se Oliver of o capasttce vets elects exemption irem thls shaper by filing a ceedlI stn of election L Wahl this seetka may not recover benefits a compensation under this D Mama. fbntun! to Chapter 440.05(131. FS. Certifiates of election to be H eaemML., sooty only within the sups el the business a trade listed 411 Rthe notice el election to be *aempt. E Funned le Chapter 440.05(18. F.S.. Notices of election to be seam mil certificates of election to be eaempl shall be salsa to revecitusn it, at any time after the filing of the notice a the Immune of to certilteau. the person named en the notice sr tortilieots no longer moots the requirements of this notion for issuance of a certificate. The deeenment shell revoke e cerditute 4t env time for loilule of the ponce named an the terrific**. to meet the requirements et Ibis section. QUESTIONS? (8501 413 -1109 CUT HERE • Carry bottom portion on the Job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08418 02/27/2012 01,50 70620570GO GALLOWAY INSUIdANcE P' 02 ALC s . CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A RATTER op INFORNATION ONLY AND CONOEilti NO izrdrrl;� cER'1YFIDATE DOES NOT AFFIRMAT /My OR NEC ►MELY META �O F AFFORDED HOPO , THt51 BELOW THIS CERr1FIcATE OP INSURANO NOT Cpt,IST A CON OR ME COVERAGE a MU 4 tNSORD B ;, POLICIES REPRES ITATNE OR PRODUCER, AND THE cER IRCATE HOLDER. A+�T ESETWCr:N The MUM INSIJI@Eltfi(S), AIrTPittRtr:ED IMO 1ANT: ff the atitilatelWar Is anADDITIO IIdS the wane end eondhMnor of the poles. a mein pea dos � an ndor t e o be andesrs on If Sus meste1 does IC-0 WANED, sue to ,..,,, seNificaM hOttler ht lieu of =eh [ ngat, "�Y Beni an eurgoraenratrli a worms on NO a@r8nralp tI not cor�far NAM to the PRODUcerp _ oaUovvay IncurAnre Lg. Jose H Romerea ensed ht-A225Z14 17354 South Dixie Highway 86 ZO^Qfi6 Mlemi, FL 33157 �tntna�ewsr�a�es.a z� _ -- Phone (0S)2864661 Fax (7011)2013-7000 IM MO 011/1S. Construction Menngernent EAterprines, rne, 7405 We 144th Court Hialeah, Florida 33014 C YERAp pSt ,q. 1b riEdtTIFY TFtAi- 314r= POLICIES OFIN3I{1jf� INDICATED. ERTIF RHSTATHE P ANY CI S OLJti4 ;.ow HA REIN IS9iJEDTb THE t RED NAMED Mow bR HE PODGY MOD TND CRIE . oy IT SUED OR MAY PERTAIN, , TERM OR CONDITION OF ANY COMA= OR OtNER OCCENIENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND OONDIVONS OF SUCH Pommel, r ee0T5�NCf: 4 &KY He60 Rt''tr4 MIMICS Y PAID I'tFREd►t I$ SUBJECT TO ALL rHETEt�n,, Mill OP *NUR, mem 8iit) MAY HAY6 MN moue= tai' t'ND Qt.Rf GENERAL, I.IAHILMI ca10IERCIAL CORRAL ILAmILlir ❑ ❑ of acme PD: Dec1 t61,�p_ Per Cl>tairn GEM- A ent:ATE L ARp✓IMn' TE$ PER POLIcT ourroacas,t Lamm o C� ANY AUTO Q ALL ma= AUTOS d Woman Au :chap Aeli NoN4Witto Atrros LI • umenkiAA .C7 r.rAn CJ maw CI cuuyismot ❑ 4INIUOTIBLE INORKERS'COMMSATION AND Moms. !Jimmy ANY rey � ` ■ i DPQRATig g yt EACH " " m 1,000A00 - ,s,:` lecEa oe} $ 100,000 erry me .. .,sou. 1_____.. 5,000 oNAr, amp, KAM a 1,000,000 GENERAL AGOREEME s 2,000 000 PRODucys - COmpfir Agg 000.000 r Rw,1 N FOP ATtoro3 LOCATORS R9 ACc� General COftrtBlor,..Ncoflng m�d9fl... Amu °"'IA°*` B°nw°Is• hroomen Ill fowling* "Rte note that Eny chengro to thle Way mein be submitted to the mote once Company lot CORnFICATE HOLDER aPA al'^. -- Miami Shots Wage 10050 NE 211d Avenue Miami Shares. Flinch 33133 Abel 131.114110 Dept AGORD 25 (20Q8109' QF CANCELLATION Herne, Jane H Ramer* THE MOVE DetigItiNCP PO.ICIES dQ CANCIILLED expoRe C11tE Q. OV PR BE D IN qUIJ \tAle 0 ', 813-2009 ACOHD cosmsto110N. AR lights rived. Tha ACONO eime, one logo are registered n+Orks of ACORD