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RF-12-1930Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180013 Permit Number: RF -10 -12 -1930 Scheduled Inspection Date: November 16, 2012 Inspector: Rodriguez, Jorge Owner: LEGO, JAMES REGIS Job Address: 163 NW 100 Street Miami Shores, FL Project: <NONE> Contractor: ROOFER MIKE INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1131010230310 Phone: (305)519 -7879 Building Department Comments TILE ROOF REPAIR Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 16, 2012 For Inspections please call: (305)762 -4949 Page 7 of 17 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 t3:25a��ra. Ki�n- UI DING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: (c.`3 1V 1 l'30 1-4"° City: FBC 20 ,� � L� Permit No. 2-"' 19 3° Master Permit No. ROOFING Miami Shores County: Folio/Parcel #: 1 \ - 31 CI) \ — Z7 Z 3 — 0 31 0 Miami Dade Zip: 33150 Is the Building Historically Designated: Yes _ NO Flood Zone: OWNER: Name (Fee Simple Titleholder): teu Phone#: 7 e c ` 2-13 ° `GfCl i 5 Address: ilkc 3 A\ • e C0 I"- 5i" City: Cn +G- ,• Stricye3 Tenant/Lessee Name: Phone #: Email: State: Pt.— Zip: 33; RO CONTRACTOR: Company Name: 1200 t .. 11e.4-' 0 N (.. Phone #: 306 s3 )9 -n n Address: 916q ALIA PJ ' L= City: 14-1 bf State: pi Zip: 3 301 Z Phone #: 305 51' lrf( Qualifier Name: 1414 1 e4-1A S er" 1 State Certification or Registration #: (J 2.1'( 13 Certificate of Competency #: Contact Phone #:3Q 514 "Ut.79 Email Address: _ftr&gitilik L a �-�►r DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Type of Work: DAddition PI- Description of Work: 4ioo DAlteration -SL) P6 go/ yyV1! R3Y1•10 ids ' • /yep .u' Na piin t is 9WFG ;n '.0 "D°�Siri ir sag 3c; ,CSC BEM tioir _mfr +O! ODemolition Color thru tile: **************************** ** ****+ x**** Fees*** **** ********* *+ s* *+x**** ************* **x *** Submittal Fee $ Permit Fee $ Scanning Fee $ Notary $ Double Fee $ CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ (61 'En Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOIT FRS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature 1" L Owner or Agent Contrac f The foregoing instrument was acknowledged before me this 5 The foregoing instrumeii as acknowledged before me this �A, o day o ,20fl,by r Z. La c• , day of i�C/) ,201/ �,by � l��' 5cA?7`P who is personally known to me r who has produced :`1 1 A who is personally known to me or who has produced 11--I 1 As identification and who did take an oath. as identification and who did take an oath. NOTA ' Y PUBLIC: Sign: Print: My Commission 1 t r il�t , grt '� Notary Public - State of Florida Expires. *. v-10 Commission # 00 859960 nded Through National Notary Assn. NOTARY PUBLIC: otto 1 1 S �' ]t+ttt,, . Sign: — ` C� ��` � Print: _p:o °�S��:= My Commission Expires S. . $��∎ \,3 y * * * * * * * *** * ** ** *** * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** * * * *** * * * **AM1A * * * * * * * * * ** APPROVED BY 7ei_y_ Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Mlami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT 15 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: G o M 4. BUSINESS ADDRESS: 1 ? 5 q (4,.A m Natru e CITY 44 ■ ke a>^ STATE V" I.- ZIP CODE 33011- BUSINESS PHONE: ( 0 S) 5 1 ct —rig?, FAX NUMBER (�) CELL PHONE (3v5) 6 I Q- qtr./ di QUAUFIER'S NAME: Mi E1tiac1 R Sla iitfy QUAUFIER'S LIC NUMBER: CC C t 3 a7413 E -MAIL ADDRESS (IF APPLICABLE): rc• pc-eevri i kc, &C°te p qma■\ • cow\ Created on 3119109 BY MLDV 1 RV 328109 MLDV TAX cOL EOTORNTI 140 W. FLAGLLR ST. 1st FLOOR .. MIAMI, FL 33130 BIJliLdk / LOCATION' ,ROOFER MIKE INC 4759 PALM AVE 33012 HIALEAH OWNER siMePeutiASS INC LOCAL. !NESS TAX IAMI,OADE COUNTY - STATE 0--FLORIDA EXPIRES SEPT. 30, 2012. MUST BE DISPLAYED AT PLACEOFBUSINESS ISIJANT TO COUNTY CODE CHAPTER 8A - AIT. 9 & 1J FIRST - CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL - 00 NOT PAY I3ECEIPEWAL 606662 -5 STATE* CCC1327413 166 WORKER /S HIS IS THE IALTY BUILDING CONTRACTOR 1 DOE9 NOT PERMIT HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. TIES IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED M AID -DADE COUNTY TAX COLLECTOR: 09/26/2012 09010167001 SEE OTHER SIDE DO NOT FORWARD ROOFER MIKE INC MICHAEL R SLATTERY PRES 4759 PALM AVE 166 HIALEAH FL 33012 l dhuillll,n.di,/ ill ,i.11hlIlldllallddflund 203 06 -14 -2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 07/28/2012 EXPIRATION DATE: 07/28/2014 PERSON: SLATTERY MICHAEL FEIN: 204631018 BUSINESS NAME AND ADDRESS: ROOFER MIKE INC 4759 PALM DR #188 HIALEAH FL 33012 . SCOPES OF BUSINESS OR TRADE: 1- ROOFING 2- CERTIFIED ROOFING CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation ender this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate. The department shalt revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -16C OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 24810 THIS DOCUMENT'HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK ' PATENTED PAPER - STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGUTLATION CONSTRUCTION INDUSTRY LICENSING BOARD; SEQ# L120.80500123 DATE BATCH NUMBER LICENSE 08/05/2012 I28029777 < CCC132741 The a >ROOFING CONTRACTOR '44/ Named below .IS CERTIFIED Under the provisiona.of Chapt4 Expiration date: AUG .31, , 2014 .. SLATTERY, MI:CHAE`. ROOFER MIKEINC 4759 PALM AVE 41166 HIALEAH DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY MON/OCT/15/2012 01:50 PM FAX No, P. 001 A LY CERTIFi4ATE OF LIABILITY 1NSU�.ANCE [—DATE (NMIODIYYYY) 10/15/12 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURF.R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(1es) must he endorsed. If SUBROGATION IS WAIVED, subject to A statement on this Certificate does not confer rights to the the terms and conditions of the policy, certain pollcles may require an endorsement certificate holder In lieu of such endorsement(a). PRODUCER Geste Enterprises Db8 All Insurance Service 8180 NW 36 SL Ste 101 Doral, FL 33166 Phone (305) 961 -1623 FeX (305) 436 -8994 CONTACT NAME: PNONE 305 961 -1623 1 Nor (3Q� k -MILS geatoent net INSURERS) AFFORDING COVERAGE NAIL $ INSURER A: Odin Group INSURERS; B: 5 100,000.00 INSURED ROOFER MIKE,INC 4759 PALM AVE #166 HIALEAH, FL 33166 INSURER • • ❑ CLAMS- MADE J OCCUR INSURER D: $ 6,000.00 INSURER E pERSONAL & ADV INJURY INSURER F: • CERTIFICATE NUMB • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. IN SR T- 'TYPE OF INSUAIWGL ADDL nvsa SUBR NOG POLICY NUMBER OLI ( P(gEtpp a 08128/2042 lagy 08/28/2013 UNITS A GENERAL LIABILITY ■ -COMMERCIAL GENERAL LIABILITY 900101639 EACH OCCURRENCE 5 100,000.00 DAMAGE TO RENTED PREMISES Ma commence) $ 160,000.00 • ❑ CLAMS- MADE J OCCUR MED EXP (My one person) $ 6,000.00 • pERSONAL & ADV INJURY $ 100,000.00 • GENERAL AGGREGATE $ 200,000.00 GENT, ADDRESATE UMpII.TAPPLES PER PRODUCTS - COMP/OP AGO $ 100,000,00 • POLICY CI JEG7 ❑ LOO COMB SINGLE LM) Ma ac `f $ s AUTOMOBILE LIABIUIY ❑ ANY AUTO ❑ AUTOS NED ❑ BNON�i tJLE D D • HIRED AUTOS IN AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per a 'cadent) $ gligrEZRAMAS6 $ • ❑ $ UMBRELIALIA6 • OCCUR EACH OCCURRENCE $ �0 ,b.J. EXCESS MB B i l 01AIMS -4ADE AGGREGATE $ DED • RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' EMPLOYERS• LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERfMEMM EXCLUDED? N /A n WC STATU- -row LIMfR mu PR EL EACH ACCIDENT $ {Mandatory in NH) E.L DISEASE -EA EMPLOYE 5 DES ESC 1IOON OF OPERATIONS below EL DISEASE - POLICY LIMIT 5 _ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ram nTlr. n A ■ L'+ ,_,r. .%.-r. (Attach ACORD 101, Addlional Raerarka Schedule, If (Wore space Is required) MIAMI SHORES VILLAGE 10050 NE 2ND AVE Miami Shores, FL 33138 SHO ' D OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH . i TION DATE THEREOF, NOTICE WILL BE DELIVERED IN AC ' 0 I) CE WITH THE ' ApPROVISIONS. a REP A TTVE . Conner � ®1988 -2010 ACOR' ■ - • RATION. All rights reserved. Tha ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05) OF rif-: I OCT 1 5 2012 ‘-• L.J -7-7 J7,- Wy2,--‘41,50 Shores Village APPRON/ED ZONING DEPT BLDG DEPT BY DATE 'S UB, FCT 1.0 C( MPI mr-F, 0F1 Alt FFI)FRAI HIGH-VELOCITY HURRICANE ZONE! _F_15114a„Builcl‘rj craristlitr 2010 06iiio High litttrft: rhatish'Un Section A (General Information) Master Permit No. Process No. Contractors Name aopice-yz rhtic6 Job Address 1(3 MO 1 ap ROOF CATEGORY 0 Low Slope 0 Mechanically Fastened Tile a/Mortar/Adhesive Set Tile 0 Asphaltic 0 Metal Panel/Shingles 0 Wood Shingles/Shakes Shingles 0 Prescriptive BUR-RAS 150 ROOF TYPE IJ NewRoof/ 0 Reroofing 0 Recovering "Repair 0 Maintenance ROOF SYSTEM INFORMATION L� 1P t! Rtyof Area (SF) Steep Sloped Roof Area (SF) Total (SF) '24236 - 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. 20crt. 191 2010 FLORIDA BUILDING CODE — RESIMN-nei I 14 Fire Barrier: Steep Sloped Roof System Description Deck Type: ype Undertayment. •JooO ticc Co 1'1-1 U Insulation: 1 HIGH - VELOCITY HURRICANE ZONE Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: f t'C S Z4- fr1 Product Approval Number: d 1 412W a 0 Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): P1: P2:____1215 P3: £ ?W27 4 771.E Maximum Design Pressure Product Approval Specific System: / Method of tile attachment: IlLig e 42 J l Apjflt4 Roof Slope: 2. 112:12 Ridge Ventita ion? NA NI A- Fastener Type & Spacing: dhesive Type: I -'1'1W 43o140 ype Cap Sheet: Mean Roof Height: 4 0 K de_ Ittuanae- iv /us I la : - ti-6 I Type & Size Drip dge: Roof Covering: 2010 FLORIDA BUILDING CODE — RESIDENTIAL LAP ' 163NW100St Miami Shores, FL Repair Area is shaded 1 / ■ r >---< r ■ r ■ r ■ . ■ ■ SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building 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 and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed i ccordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring u (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner shout notify the occupants of adjacent units of roofing work to be performed. AL 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be vi!'ed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the optio 1 of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roo;� g system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not rloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with ie Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of th ructural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. s /Agent's S ature l63 40o1'' /y l Date Property Address Permit Number Rev:1/20/2005, Computer Services, Building Department • INIAMMdACE ' OJPrr DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.gov /uera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA # 11 -0601.10 and consists of pages 1 through 8 The submitted documentation was reviewed by Alex Tigera. NOA No.: 11- 1229.01 Expiration Date: 09 /13/16 Approval Date: 04/05/12 ' ROOFING COMPONENT APPROVAL Cateeorv: Sub- Catenorv: Mae 'al: Roofing Underlayment SBS , APP Self- Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Polystick MTS underlayment Manufacturing Location #2 Polystick IR Xe underlayment Manufacturing Location #1 & #2 Polystick TU underlayment Manufacturing Location #1 & #2 Polystick TU Plus underlayment (Surface Printing) Manufacturing Location #2 Polystick TU P underlayment Manufacturing Location #2 Polystick Tile Pro Manufacturing Location #2 Polystick Dual Pro Manufacturing Location #2 Dimensions Roll: 65'8" x 3'3-3/8" 60 mils thick Roll: 65' x 3'3-3/8" Or 65'x 3' 60 mils thick Roll: 32'10" x 3'33/8" 100 mils thick Roll: 65' x 3'33/8" 80 mils thick Roll: 32'10" x 3'33/8" 130 mils thick Roll: 61' x 3'33/8" 60 mils thick Roll: 61' x 3'33/8" 60 mils thick Test Specification TAS 103 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 Product Description A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. A fine granular /sand top surface self- adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof the underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a foof tile underlayment. A rubberized asphalt self - adhering, glass - fiber/polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt waterproofing membrane, glass- fiber /polyester reinforced, with a granular surface designed for use as a the roof underlayment. A rubberized asphalt self- adhering, glass - fiber/ polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt self - adhering, glass - fiber/polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 11- 1229.01 Expiration Date: 09 /13/16 Approval Date: 04/05/12 MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED: Test Aeencv Exterior Research & Design, LLC Trinity Elt1 PRI Asphalt Technologies Momentum Technologies, Inc. Test Identifier, 11756.04.01 -1 11756.08.01 -1 02202.08.05 P5110.08.07 P10870.09.08 -R1 P10870.04.09 P33360.06.10 P33370.03.11 P33370.04.11 P36900.09.11 P37300.10.11 PRI01111 PUSA -005 -02 -01 PUSA -018 -02 -01 PUSA -035 -02 -01 PUSA -033 -02 -01 PUSA -055 -02 -02 PUSA -083 -02 -01 PUSA -089 -02 -01 JX20H7A RX 14E8A DX23D8B DX23D8A Test Name/Renort TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 ASTM D1970 TAS 103 ASTM D 1623 TAS 103 /ASTM D4798 & G155 TAS 110 /ASTM D4798 & D1970 ASTM D 4977 ASTM D 4977 ASTM D 2523 TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 Pik 04/27/01 08/14/01 08/29/05 08/29/07 12/04/08 04/13/09 07/01/10 03/02/11 04/26/11 09/01/11 10/19/11 04/08/02 01/31/02 07/14/03 09/29/06 01/12/06 12/10/07 06/30/08 07/06/09 04/01/08 11/09/09 02/18/10 02/18/10 NOA No.: 11- 1229.01 Expiration Date: 09 /13/16 Approval Date: 04 /05/12 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated Base Sheet: One or more plies of ASTM D 226 Type II or. ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Polystick membranes self- adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the cave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3 -%z" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll-or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 11- 1229.01 Expiration Date: 09 /13/16 Approval Date: 04/05/12 GENERAL LIMITATIONS: 1. * Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles, non - structural metal roofing, roof the systems and quarry slate roof assemblies. IR-Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre - existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations (days) Polystick MTS MTS IR-Xe TU TU Plus TU P Tile Pro Dual Pro Winter Haven, FL. 180 180 180 180 180 180 180 Hazelton, PA. N/A 30 30 180 N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set-forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU, TU Plus, and Tile Pro may be used in both adhesive set and mechanically fastened roof file applications. Polystick IR-Xe, and Dual Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof file applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR-Xe Polystick TU, TU Plus, TU P, Tie Pro Flat Tile Prohibited without battens 5 :12 No limitation Profiled Tile Prohibited without battens Prohibited No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. NOA No.: 11- 1229.01 Expiration Date: 09 /13/16 Approval Date: 04 /05/12 • GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. as a a N ImotOeda prepared with PODSTICK1U Plus 6 Roofing Tiles (6 Mex. Per Steck) 12 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. MANMADE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked `hail area, area pars clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7 "/12" or greater. It is suggested that on pitch/slopes in excess of 6 1/4"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty-Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self - adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 Ibs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11 . All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894 -4563. MANMADE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 13. ° Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894 -4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE MADE COUNTY APPROVED NOA No.: 11- 1229.01 Expiration Date: 09 /13/16 Approval Date: 04/05/12