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RF-12-2283Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 186342 Permit Number: RF -12 -12 -2283 Scheduled Inspection Date: March 01, 2013 Inspector: Bruhn, Norman Owner: SWAN, ROBERT Job Address: 770 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: WATERPROOFING & ROOFING DESIGN INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number (305)471 -1734 Parcel Number 1132060142310 Phone: (305)233 -6316 Building Department Comments RE -ROOF TILE Infractio Passed Comments INSPECTOR COMMENTS False Passed", Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 185649. CREATED AS REINSPECTION FOR INSP - 184970. CREATED AS REINSPECTION FOR INSP- 182393. Replace 5 broken flags at drive. NB Met contractor and owner at site to determine flags to be replaced. NB All ok except sidewalk replacement. NB February 28, 2013 For Inspections please call: (305)762 -4949 Page 3 of 4 RE: Permit # I .moo �u� Pi12.e:1 Miami Shores Viiiage Building Department INSPECTION AFFIDAVIT (Print name and cirde License Type) License #: CCC ®S-11R Q On or about I ®L} \ \. (Date & time) Secondary water barrier work at 001 IA- licensed as a ( FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 DATE: 1 / Engineer / Architect, , I did personally inspect the roof deck nailing and (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he /she is the contractor mentioned. Sworn to and subscribed before me this _ �' day of Notary Public, Sate of Florida at Larg the above property .``'aY PV °. CHALICE RODRIGUEZ `P e; Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Project Owner: Phone: <NONE> ROBERT SWAN (305)471 -1734 Job Address: 770 NE 98 Street Miami Shores, FL 33138- Parcel: 1132060142310 Block: Lot: Scheduled Insp # 01/31/2013 INSP- 182394 12/05/2012 INSP- 182395 Inspection Type Up Lift Report Review Building Inspection Status APPROVED APPROVED 01/08/2013 INSP- 182390 Tin Cap DENIED Gutters must be designed to resist the wind loads of chapter 16 RAS 111. How will the valleys be completed. Valleys not ready. NB 01/31/2013 INSP- 182393 Final Roof DENIED Replace 5 broken flags at drive. NB 01/08/2013 INSP- 182391 Cap Sheet DENIED Not ready. NB 01/18/2013 INSP - 182392 Tile In Progress APPROVED 02/25/2013 INSP- 182389 Renailing Affidavit APPROVED 01/11/2013 INSP- 184090 Tin Cap APPROVED Inspector Date Completed Norman Bruhn 1/31/2013 Norman Bruhn 12/4/2012 Norman Bruhn 1/9/2013 Norman Bruhn Norman Bruhn Norman Bruhn Norman Bruhn 1/31/2013 1/8/2013 1/22/2013 2/25/2013 Jorge Rodriguez 1/14/2013 CREATED AS REINSPECTION FOR INSP- 182390. Gutters must be designed to resist the wind loads of chapter 16 RAS 111. How will the valleys be completed. Valleys not ready. NB 01/11/2013 INSP - 184091 Cap Sheet APPROVED Jorge Rodriguez 1/14/2013 CREATED AS REINSPECTION FOR INSP- 182391. Not ready. NB 02/08/2013 INSP- 184970 Final Roof DENIED Norman Bruhn 2/8 /2013 CREATED AS REINSPECTION FOR INSP- 182393. Replace 5 broken flags at drive. NB Met contractor and owner at site to determine flags to be replaced. NB Monday, April 1, 2013 Page 1 of 2 02/25/2013 INSP- 185649 Final Roof DENIED Norman Bruhn 2/25/2013 CREATED AS REINSPECTION FOR INSP- 184970. CREATED AS REINSPECTION FOR INSP- 182393. Replace 5 broken flags at drive. NB Met contractor and owner at site to determine flags to be replaced. NB All ok except sidewalk replacement. NB 03/01/2013 INSP- 186342 Final Roof APPROVED Norman Bruhn 3/2/2013 CREATED AS REINSPECTION FOR INSP- 185649. CREATED AS REINSPECTION FOR INSP- 184970. CREATED AS REINSPECTION FOR INSP- 182393. Replace 5 broken flags at drive. NB Met contractor and owner at site to determine flags to be replaced. NB All ok except sidewalk replacement. NB Monday, April 1, 2013 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 182393 Permit Number: RF -12 -12 -2283 Scheduled Inspection Date: January 31, 2013 Inspector: Bruhn, Norman Owner: SWAN, ROBERT Job Address: 770 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: WATERPROOFING & ROOFING DESIGN INC Permit Type: Roof Inspection Type:AMPlitite3L Work Classification: Tile Phone Number (305)471 -1734 Parcel Number 1132060142310 Phone: (305)233 -6316 Building Department Comments RE -ROOF TILE Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Co ants bfr/r January 30, 2013 For Inspections please call: (305)762 -4949 Page 8 of 31 CaM7 IAMS,, IBC. A -1 CONSULTING ENGINEERS , INC ROOF STRUCTURES CONSULTING ROOF PROBLEMS ? ?? UPLIFT TEST EXPERTS ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE TAS No. 106 SITE SPECIFIC INFORMATION Owner's Name: 2f•�/f, Permit #:/25-- %/2 Z 83 Job Address: 77e_ ,,,./ 9� - '44'1 �' r = s ic"4, Roofing Contractor: I.,o12. t7e7f= /, /7 Type of Tile: � :7-T,9 6 '4',:af/ivvzi �, Date installed: Approximate Roof Height: /2 feet Roof Pitch: y�2-- Type of Access to Roof: V Scaffolds Approximate Square Footage of Roof: 21 PP ft 2 Required Testing Force: 35 lbs. Testing Equipment: Date Tested: t/-2/- 2-�� Ladder F.G.E. 100 Other TEST LOCATION UPLIFT PULL TEST TEST LOCATION UPLIFT PULL TEST TEST LOCATIOF UPLIFT PULL TEST TEST LOCATIOM1 UPLIFT PULL TEST !TEST LOCATIOF UPLIFT PULL TEST - TEST LOCATIOA UPLIFT PULL TEST 1 P 3 s 26 PAS5 51 p,,&,_,. 5- 76 101 126 2 27 52 77 102 127 3 28 53 78 103 128 4 29 54 79 104 129 5 30 55 80 105 • 130 6 31 56 81 106 131 7 32 57 82 107 132 8 33 58 83 108 133 9 34 1 84 109 134 10 35 60 85 110 135 11 36 61 86 111 136 12 87 62 87 112 137 13 38 63 88 113 138 14 39 64 89 114 139 15 40 65 90 115 140 16 41 66 91 I= , '16 `I �j 141 17 42 67 92 L ;117 ice, - 142 18 43 68 93 11 ii' ��.,5 143 19 44 69 94 119 144 20 45 70 95 �° L C ©LI i 11tl bll(0, LzIlJir11Li- 145 21 46 71 96c -n,it JJ , 121 146 22 47 72 97 147 23 48 73 98 J]s m 148 24 49 74 99 124 149 25 pS 50 75 100 125 150 IN ACCORDANCE WITH THE CR TERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CON- TROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT SUBM TTED BY: Jose A. Martinez P.E. # 031509 A -1 CONSU EERS, INC. Lab. Circation # 07- 0306.03 Renews: 01- 1224.05 4383 S.W. 70th Ct, Miami, Florida 33155 • Telephone (305)740 -9550 • Fax (305) 740 -9550 ENGLISH: Cell (305) 609 -6388 • SPANISH: Cell (305) 498 -9804 A-1 CONS a G CER ES CON i 'I2 'o NE T •3R SHORE FL Roo xffi.... conbactor: ROOFING `. AC OR Type o a ENTEG P... TATION Date d: . t- ..: d t _. Appro, m e R l:..: testing or 35 Ibs Date tested: S- 0 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 1 .a TAX FOLIO NO. 11—,?Alp— Raw) CFN: 20120866616 BOOK 28382 PAGE 2646 DATE:12/04/2012 09:39:11 AM HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY STATE OF FLORIDA'. COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street f address: 1 {j -[ 1/4-S L 2. D scription of improvement: 3. Owner(s) name and address: Interest in property: t ° Name and address of fee simple titleholder: 4. C • ntractor's name and address: °.. f.ik ` 5, Surety: (Payment bond required by owner from contractor, if ny) Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and Address: 8. In addition to himself, Owners designates the follovring person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owner's Name — . S _ , Sworn to and subscribed before me this e - Notary Public: Print Notary's Nam My commission expires: Prepared by _ ` ct e- Ct.tuI . tctrkda OT r•: C.Fo 23. 2015 COMMISSWEI # EE 126810 Bonded T.hrrru t! National Notary Assn. bkolo Lima 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 FBC 20 1. BUILDING Permit No. e( 19 PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 0 IN E. ci 8 Si Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: 3313 Folio/Parcel #: 014— A310 Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): Rai:iGe -4" e-stA)c r Phone #: 3055 ` 1 S " 31.5J'- Address:110 A) &' gS) City: ounrai 6hoPc. State: ij • Zip: 3C' Tenant/Lessee Name: Phone #: Email: 1 CONTRACTOR: Company Name: WET . rC� YYn C,1�b Phone #: 3 z " g _ 1 AddressoRPt `O `.: 1 �JJ City: L.) t 't'C) State: Qualifier Name: L)® &� State Certification or Registration #: CCC 051 '• \ Certificate of Competency #: Contact Phone ft6g —1 Email Address: DESIGNER: Architect/Engineer: Phone #: Zip: Phone #S05 -,Q3 ° 1031le Value of Work for this Permit: $ l $tom . ® 0 Square/Linear Footage of Work: XI L Type of Work: ❑Addition DAlteration ❑New epair/Replace ODemolition Description of Work: )AC i. �-�� l - v_ �Srcx 1j to Color thru tile: eJJ,; j-e x:*a:**** *: * ** * ** * * *** * *** ****** **** *** ** Fees***** *** ** * * *** *** * ***** *** ***** *** ** ******* Submittal Fee $ 'V �. _ _ Permit Fee $ O CCF $ CO/CC $ Scanning Fee $ ' Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ �� f TOTAL FEE NOW DUE $ WC 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, BOTE.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(. Owner or Agent The fore; oing instrume • day of who is erso,i all t was ac ,t4 o ledg iy lime or who has produced ��ientification and who did take HAt an oath. NOT Y UBLIC:- Sign: Print: My Commission Exp Signature Contractor The for going instrument was acknow edged �b`ef� ore me this Nky of n , 201., by W who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * * * * ** APPROVED BY Sign. Print: My Commiss r %a011 - Notary Public - S ate of florid I 'i My Comm. Expires May 8, 2015 , - =-,,?;� Commission # EE 90574 '' ": ��' Bonded Through National Notary Assn. *** ***:x **** * * ** :**** ** * **** * ********* * ***** *x:***** * *** * ** *** ** *** xx:****:ate ** * ***4** Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 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: U) fl°CtiA n0� -� Ro4111-�i BUSINESS ADDRESS:aL. O\ t CITY S4 *er- STATE CA ZIP CODE 33.1-\--n BUSINESS PHONE: (a)5* ) -1•231 FAX NUMBER (3b5) 5L -' M B CELL PHONE (3o5 } a QUALIFIER'S NAME: 1)F -My 4400 -- -fits, 'bo QUALIFIER'S LIC NUMBER: Cc c 7 \ .Z.p E -MAIL ADDRESS (IF APPLICABLE): J0� l,.�Co Y° e r �a . Cprre Created on 3/19/09 BY MLDV / RV 3/26109 MLDV • STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 WARD, JOSEPH GARRETT WATERPROOFING & ROOFING DESIGN INC 24 OLD JUPITER BEACH RD JUPITER FL 33477 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridallcense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and loam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! A #6252316 DETACH HERE 'STATE OF FLORIDA • AC# . 6:.2>5 23.16 DEARTMMENT OF BUSINESS AND PROFESSIQ REGULATION • CCC057261- CERTIF3ED.,. WARD; JOS'E, WATERPROf7F'. =2 110409088 RACTOR NG'DESIGN I IS CERTIFI D under the pzovisions.of' Ch.489 Fs Expiration date: AUG 31; 2314 .L3.20$07:020.03 THIS DOCUMENT HAS A COLORED BACKGROUND c MICROPRINTING • LINEMARKT" PATENTED PAPER STATE ° OF FLORIDA DEPAARTM'E TT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12oso7o2o03 DATE BATCH NUMBER LICENSE 08/07/2012 11040908.8. CC057261 ; The ROOFING:' CONTRACTOR; .. Named below IS CERTIFIED Under the provisions of'`'Chapt,' Expiration date: AUG :31,.2014u WARD, JOSEPH GARRETT WATERPROOFING &'ROOFING DESIGN 24 OLD JUPITER BEACH RD JUPITER FL 33477 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY AN GANNOTti _ -- P.O. Box 3353, West Palm Beach, FL 33402-3353 co•isTritalatin. TAX CULLEIZT•9- www.taxcdllectorpbc.com Tel: (561) 355-2272 Serving Paha Beach Camty 'LOCATED AT 24 OLD JUPITER BEACH RD JUPITERUPITER, FL 33458-0000 TYPE OF BUSINESS OWNER CERTIFICATION 4 RECEIPT 4/DATE PAID AMT PAID BILL 4 22-0061 ROOFING CONTRACTOR WARD JOSEPH GARRETT CCC057261 812.412065 - 07/06/12 827.60 840090518 This document Is valid only when receipted by the Tax Collectors Office. WATERPROOFING AND ROOFING DESIGN INC WATERPROOFING AND ROOFING DESIGN INC 24 OLD JUPITER BEACH RD JUPITEAUPITER, FL 33458-0000 811111#11111111aith1 11111m1111 111n11 t1i • STATE OF FLORIDA PALM BEACH COUNTY 2012/2013 LOCAL BUSINESS TAX RECEIPT LBTR Number: 201102933 EXPIRES: SEPTEMBER 30.2013 This receipt does not constitute a franchise, agreement, permission of authority to perform the services or operate the business described herein when a franchise, agreement or other county commission, state or federal permission of authority is required by county, state of federal law. JOEWA -1 OP ID: EN Ax,1°. RL' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDJYYYY) 11/06/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 813 - 963 -1669 MORROW INSURANCE GROUP Fax: 813 - 961 -3743 LENORA C. OLNEY /A196064 18936 NORTH DALE MABRY HIGHWAY TAMPA, FL 33548 DAVID HERNANDEZ CONTACT MORROW INSURANCE GROUP PHONE g13- 963 -1669 FAX INC. No. Ext): (aC, No): 813 - 961 -3743 E-MAIL RSS: EILEEN@MORROWINSURANCE.NET INSURERS) AFFORDING COVERAGE NAIC # INSURER A ; CANAL INDEMNITY COMPANY 27790 INSURED JOE WARD, INC & WATERPROOFING & ROOFING DESIGN SERVICE'S INC DBA WATERPROOFING & ROOFING DESIGN INC 10410 SW 185TH TERRACE MIAMI, FL 33157 INSURER B : AMERICAN STATES INS CO 19704 INSURERC: 09/01/13 INSURER D : $ 1,000,000 INSURER E : $ 50 000 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) UMITS A GENERALUABIUTY X COMMERCIAL GENERAL LIABILITY GL103592 09/01/12 09/01/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 X CONTRACTUAL LIAR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE X POLICY LIMIT APPLIES PRO- PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP FL v X X SCHEDULED AUTOS NON -OWNED AUTOS STATUTORY 01C162679220 10/16/12 10/16/13 COMBINED SINGLE LIMIT (Ea accident) $ 150,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP -BASIC $ 10,000 UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTON$ $ WORKERS COMPENSATION AND EMPLOYERS' LUIBIUTY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY UMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) CERTIFICATE HOLDER CANCELLATION MIAMISH MIAMI MIAMI SHORES VILLAGE DEPT BLDG 10050 NE 2ND AVE MIAMI SHORES, FL 33138 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE nauaar YYY) 11/30/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Iteu of such endorsement(s). PRODUCER FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33766 CONTACT NAME PHONE We, *NAIL ADDIMM: 1- 800 - 277 -1520 X4800 AX 1(A/C, No): 727-797-0704 INSURER(S) AFFORDING COVERAGE INSURER A: INSURED FrankCrUm 1-800- 277 -1620 100 S MISSOURI AVENUE CLEARWATER FL 33758 COVERAGES INSURER & FRANK WINSTON CRUM INSURANCE, INC. NAIC5 11600 INSURER 0: INSURER D INSURER E: INSURER F: MIAMI SHORES VILLAGE ATTN: BUILDING DEPARTMENT 10050 NE 2ND AVE., MIAMI SHORES, FL 33238 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 01088.2010 ACORD CORPORATION. All rights reserved. cis 1.-n %IC IIMIFIGCI[: Z146US REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 'DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED-BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WaR UK TYPE OF INSURANCE ADDL SUER WYO POLICY POLICY POLICY UNIT GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY �CLWMB•MADE EACH COMMENCE $ DAMAGE TO RENTED PREMISES aegar noo) $ OCCUR MED EXP WV ate patso0) PERSONAL &ADYINJURY $ GEN'L AGGREGATE UMITAPPUEB PER: IPOLI:Y fPROJEDT I-1. GENERAL AGGREGATE $ PRODUCTS - OOMP(OPAOG $ AUTOMOBILE UABIUTY ANY AUTO ALL OWED AUTOS HIRED AUTOS SCHEDULED AUTOS YNBD NON -O Uros COMBINED SINGLE LIMIT (Ea 000tdatq $ $ BODILY INJURY (Per moon) $ - BODILY INJURY (Per aeddenO _ PROPERTY DAMAGE (Per'aoddena $ -✓ $ UMEtEUALIAB EXCESS LIAR OCCUR OLAINS.MADE EACH OCCURRENCE $ AGGREGATE -$ 056 1 1 RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' UABILnY ANY PROPRIEfORIPARTNENEXEOUTNE OFFICEWWEMBEREXCLUDED? Mandatory In NH) Of yes, daebdbe Iunlet DESCRIPTION OF OPERATIONS Wow YM N/A W0201200000 F 1/1/2012 111/2013 WO STAR/ G7tt- X TORY LIMITS ER i I E.L. EACH ACCIDENT 51,000,000 31,000,000 EL DISEASE -EA EMPLOYEE E.L. DISEASE POLICY LIMIT - $1,000,000 DESCRIPnON OF OPERATIONS f LDCATIONSI VEHICLES (Attach AWED 151, Additlona1 Roma*. Sahadulo, U mom apace Is requIrod) EFFECTIVE 08/2812002, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO WATER PROOFING AND ROOFING DESIGN, INC, (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDER PAM I 1 wr,..., MIAMI SHORES VILLAGE ATTN: BUILDING DEPARTMENT 10050 NE 2ND AVE., MIAMI SHORES, FL 33238 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 01088.2010 ACORD CORPORATION. All rights reserved. rt Owner iNotification Form HVHZ 2010 • MIAMI -DADE COUNTY "Delivering Excellence Every Day" SECTION 1524 HIGH VELOCITY HURRICANE ZONES- REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. 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 govern the minimum requirements and standards of the industry for roofmg 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 designated space indicates that the item has been explained. 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the renailed in accordance with the current provisions of Chapter 16 Building Code. (The roof deck is usually concealed prior to rem od roof deck may have to be 'cane Zones) of the Florida system). ation between neighboring e roofing contractor and/or ed. 3. Common roofs: Common roofs are those which, units (i.e. townhouses, condominiums, etc.). In buildings wiP owner should notify the occupants of adjacent units of roofing -w0 4. Exposed ceilings: Exposed, open beam ceilings are where the ur 9erside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. roofs. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofmg 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 overloaded 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 the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's /Agent's Signature: Contractor's Signature: Date: Permit Number: Property Address: 1 °"1`1 p S_ST • 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: itS$E =C-- Property Address: —1-1 b N CIS�S —C Roofing Permit Number: Dear Building Official: 1 •Su. certify that I am not required to retrofit the roof to wall connections of my building because: fhe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Date: 1 \ I 65'ao 1 Q AleL, Signature State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he /s e is the �� GI_ • r - • rp &fn entio fir Public - State of Florida Sworn to and subscribed before me this • .y of ���1 11L� 1 23, 2 °t5 My Comm Expires Sep t# Commission EE 128810 %9! o° through National .Notary Assn, * 14 '°;8[,;,,.' Bonded Rnbo --k- V-. SuOGkrN Print Name Notary Public, Sate of Florida at Large ea. • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 1 Property Information Map My Home Miami -Dade County, Florida Page 1 of 1 Property Information Map Aerial Photography - 2012 0 113 ft This map was created on 10/25/2012 1:42:31 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. Summary Details: 'Folio No.: 11 -3206- 014 -2310 Property Information: Primary Zone: ;1010001 SGL FAMILY - -2300 SQ CLUC: 0001 RESIDENTIAL - INGLE FAMILY Beds/Baths: r 2 Floors: 1 Livin• Units: 1 d' S. Foota•e: 1,524 Lot Size: 11,323 SQ FT ear Built: 1954 Legal Description: IAMI SHORES SEC 3 PB 10 -37 LOT 3 BLK 70 LOT SIZE SITE VALUE OR 11472 -582 06821 R 11472 -0582 0682 00 Assessment Information: Year: 2012 2011 Land Value: $103,945 $115,495 Building Value: )S $133,194 $133,365 Market Value: $237,139 $248,86 Assessed Value: $124,007 $120,396 Exemption Information: ME211111 2012 2011 ,., EtTIMMIIII rnd H.m- tea •: $25,000 $25,000 YES YES Taxable Value Information: Year: 2012 2011 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $74,007 $50,000/ $70,396 County: $50,000/ $74,007 $50,000/ $70,396 City: $50,000/ $74,007 $50,000/ $70,396 School Board: $25,000/ $99,007 $25,000/ $95,396 Sale Information: ale Date: ./1982 ale Amount: 4. 76,000 ale O/R: 11472 -0582 ales ualification Descri ption: ales which are qualified http: / /gisims2. miamidade. gov /myhome /printmap.asp ?mapurl =h... 10/25/2012 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES rylarni Shores Village t PROVED 7WNG DEPT r Florida Building Code Editi n qEpT High-Velocity Hurricane Zone Uniform Permit Application Form. it= CT 0 r-c,1\,IPI NCE W111-1 ALL FEDERAL SArtfinn A ((eneral informAtion) ( riLLES AND REGULA Master Permit No. Process No. Contractor's Name 114TTF- as"--PAIDCA -"ar f211-1-s- r,!) Job Address .--TO IV E.-- °IR ,ST. ROOF-CA-TEGORY 0 Low Slope 0 Mechanically Fastened Tile Erortar/Adhesive Set Tile 0 Asphaltic 0 Metal Panel/Shingles 0 Wood Shingles/Shakes Shingles 0 Prescriptive BUR-RAS 150 ROOF TYPE 0 New Roof ii(Reroofing 0 Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 1 nof Plan) 0 Repair g lb? 0 Maintenance Total (SF) A) tp 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. I 1 I 11 mu 1 m • milimmummummumummimm usimmommumms imammom•ummom•umm miummom•u•mg Ilmoulmosommummummuflill mmummilimmmimmilmm sumuniomommumumm. rrnmsammummammomouramummmumum. mmul mmilmimmommaimacramommumm MMMEMEMMMEMMMEMMEMMUMMIMPAMMMMAk■ IOMMEMMEMMMEM MMEEMEMMOMMMEMMEMEMMMI•EM•E•M&MIM WEI MEAN MMOMMOMMMUMMEMMEMMMEMMEMNEEMMEWOM M■EM MIMMOMMIMMOMEMMEM MEMEMEM EWA ME immummummimmummommolummaumem WEIME. ME 1U MIMOMMUMMEMMEMMEMMMOMMM/MOMWZMMEMPEre m ;a m ....v um MixEmmummmmEWENMOrmmMEIMMIMMEIMMEMMEEMMUMMIONMOMME ill IMMEMEEEMIMILMEMIEMMELEIMMIMMESUMMEMMEEMMEAMMEME AMMMNMmMmME IiMMMMiUl lm EmEMIMMOuEWMNIEoMmMMMMMmEeEEEEMMEm EMMmMEmA MMSOuM PiOmMM SOWUm SAMWmPMMou4 CI mmENmOMFEmmEMMo- uIEMM-mI- MMEmEm —MuMmNmsUMmMOA—MEmoEMMmRmEmMmRigtEuOMmWmAmMAiApEMmiM. N r MEw IIEMRIuMmMmmEMisImmNo_WMI_mEoMMIEEmMMMmIMIMMMinMMMOEEMmEMiIEMrMMMMImEEiMoMRuEEmOMFmMMmAMMMEmMEuAEMMMMmMMiEEEuEMMMmEmMMMoE.MMmMEmMEEMMMuMM M M Em MI l mimmunma...... A ME ISMUMMMEMM•OMEtiui MMMIMMMMM CRIMEMAP MMOWV!MtoWMUAMOMMI NEMMEMEMMMNMMFAMMEWMEMMEMMEMM i aaE m my w Mail m......znimmomirAw. _EUMMEMMIMMMEMMEMEMOMMlungir PmIgmEMMEMMo.iMW MIIMMEMAMMMEMMMEMMEMM,6.. IMMEMEMOMMEOMMUMWMMEMMIEM IMMEMEMMEMMEMEMMME ,..,■- minummummum•ummommo tmorammommommium MI um mmummummimummmummgmmkroummilmmumminim MMMEMMEMOMMEMMOMMOMMMUMMEMMIOMWMIMMOMMMEMMEMWE miller , EMMOMEMMEMMEMEMMEMMEEMMCWAMOMMOMEMMERNMEMM v.wmm mamma ...A.,....... 1 .,- FLORIDA BUILDING CODE — BUILDING RO▪ O▪ F ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High-Velocity Hurricane Zone Uniform Permit Application Form. ,.-s so -11 Roof System Manufacturer: TFro.RA Rcc--J-17_1.....iirsc_ • Notice of Acceptance Number: 10- lAog. al Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: — L*6 P2: — ng . ko P3: Maximum Design Pressure (From the Product Approval Specific System): 1 I a (14 Roof Slope: :12 --* se-ii :es Deck Type: -ai B- s so ,51511 ubv_AAA. Type Underlayment: Ridge Ven \ft" tilation? N Insulation: Fire Barrier: 1'0 er Mean Roof Height: Fastener Type & Spacing: \-'/L., 1.1)1 orNuaip Adhesive Type: NSA Type Cap Sheet: Aahelf-S1-t_ \ Roof Covering: eje. P-00P-11. 11—, Type & Size Drip • Edge: GrAv 31)--rett...e_A■05c,. 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 values from Mf. lithe Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method I "Moment Based Tile Calculations Per RAS 127" (P1: 46%1 x a o o 1A045 - Mg l 71q= Mr1 .346 Product Approval Mf f t (P2: .1px O.ri�1t��'� - Mgl �? 1= Mr214. `- Product Approval Mf D (Pg: 116 2 O. 9 . Mg. 7', 119= Mr :=.80 Product Approval Mf A •9 Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mf Mr required Moment Resistance* Mean Roof Height - Roof Slope J, 15' 20' 26' 30' 40' 2:12 34.4 36 5 38.2 39.7 42.2 3:12 32 2 34 4 36.0 37.4 39.8 4.12 30.4 .'t ?..9 338 35.1 37.3 5:12 28.4 30 1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7.12 24.4 25.9 27.1 28 2 30 0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values. for each area of the roof. then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P1: (P2: xL xL xL xw:= ) -.W: x cos 0 =Frt = xw:= ) -W: x cos0 =Fr2 = xw:= ) -W: x cos0 =F,z Product Approval F' Product Approval F' Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier R Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance Mo Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submitted to the building official at the time of permit application. FLORIDA BUILDING CODE — BUILDING MIAMI DUDE COUNTY BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION CEPTANCE OA Entegra Roof Tile, Inc. 1289 NE 9th Ave bee, FL. 34972 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Buildin Code. DESCRIPTION: Plantation Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA No. 10- 0804.15 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. MIAMFDADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 1 of 5 ROOFING ASSEMBLY AE1R L Category: Roofing Sub Category: Material: Roofing Tiles Concrete 1. SCOPE: This renews a roofing system using Entegra "Plantation" concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: Manufactured by AEI' t Plantation Tile Trim Pieces Dimensions Length: 16'12" Width: 13" Length: varies Width: varies Thickness: varies Test Specifications TAS 112 TAS 112 Product Description lat concrete roof ti e or direct deck or batten nail -on. Accessory trim, concrete roof pieces for use at hips, rakes ridges and valley terminations 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. 4. INSTALLATION: 4.1 Entegra Roof Tile, Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119, & 120 4.2 Data For Attachment Calculations MIAMI•DADE COUNTY APPROVED NOA No.: 10-1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 2 of 5 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight W (Ibf) Length-I (ft) Width -w (ft) Plantation Tile 11.6 1.375 1.08 Table Table 2: Aerodynamic Multipliers - X, (ft3 Moments due to Gravity - Mg (ft -Ibf) Tile Profile Tile ,�. 32 A. (ft3) ": 12" 5.12 A. (ft3) Profile 17.2 Batten Application Direct Deck Application Plantation Tile Battens 0.267 B ttens 0.289 Table Tab! . es oorir� Moments due to Gravity - Mg (ft -Ibf) Tile Profile ": �. 2.12 ,�. 32 ": 4.12 ": 12" 5.12 ": ,� 6.12 ' Greater than 7 ": 12" 17.2 1 -10d Smooth or Screw Shank Nail Battens Direct Deck Battens Direct Deck B ttens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Plantation Tile 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Table 4: Attachment Resistance For Nail .Fastener Type Expressed as a Moment -On Systems Direct Deck (Min 15132" plywood) - Mf (ft-Ibf) Direct Deck (Min. 19/32" plywood) Battens Tile Profile Plantation Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 65.5 48.3 1 Installation with a 4" tile headlap and fasteners are located a minimum of 2 /z' from the head of tile. MIAMI DADE COUNTY APPROVED NOA No.: 10- 1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 3 of 5 Table 6: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) For Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.33 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TfleBond Average weights per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) For Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Plantation Tile PolyProTM � 118 .4 PolyProTM 40.46 4 Large paddy placement of 45 grams of PoIyPro TM. 5 Medium paddy placement of 24 grams of PolyProTM. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance See specific mortar manufacturer's Notice of Acceptance. 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami -Dade County Product Control Approved ". 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following markings: USA "E" USA, "E ", Entegra "E ", where the E is a stylized logo. 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 7. MANUFACTURING LOCATIONS 7.1 Okeechobee, FL NOA No.: 10-1202.01 Expiration Date: 12/08/15 Approval Date: 12/30/10 Page 4 of 5 PROFILE DRAWING PLANTATION FLAT CONCRETE TILE END OF THIS ACCEPTANCE MIAMI DADE COUNTY APPROVED NOA No.: 10-1202.01 Expiration Date: 12/08/15 Approval Date: 12 /30/10 Page 5 of 5 M I,ekl�+ll� DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION F PTANCE (NOA) MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.gov/pera Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 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 G: 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. APPROVED; NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 1 of 8 ROOFING COMP Category: Sub - Category: Material: NT APPROVAL Roofing Underlayment SBS , APP Sef- Adhering Modified Bitumen PRODUCTS DESCRIPTI Product Polystick MTS underlayment Manufacturing Location #2 Polystick 1R-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 3'33/$" 60 mils thick Roll: 65' x 3'33/$" Or 65' x 3' 60 mils thick Roll: 32' 10" x 3'33/$" 100 mils thick Roll: 65' x 3'33/$" 80 mils thick Roll: 32'10" x 3'3-3/8" 130 mils thick Roll: 61' x 3'33/$" 60 mils thick Roll: 61' x 3'33/8" 60 mils thick APPROVED Test Product Specification Description TAS 103 A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 A fine granular /sand top surface self- adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield . and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt waterproofing membrane, glass -fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced 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 Page 2 of 8 MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED: Test Agency, Exterior Research & Design, LLC Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. Test Identifier, 11756.04.01 -1 11756.08.01 -1 02202.08.05 P5110.08.07 P10870.09.08 -R1 P10870.04.09 P33360.06.10 P33370.03.11 P33370.04.11 P36900.09.11 P37300.10.11 PRI01111 PUSA- 005 -02 -01 PUSA- 018 -02 -01 PUSA- 035 -02 -01 PUSA- 033 -02 -01 PUSA- 055 -02 -02 PUSA- 083 -02 -01 PUSA - 089 -02 -01 JX20H7A RX14E8A DX23D8B DX23D8A TAS TAS TAS TAS TAS TAS TAS TAS Test Name/Report TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 103 /ASTM D4798 & G155 ASTM D1970 TAS 103 ASTM D 1623 103 /ASTM D4798 & G155 110 /ASTM D4798 & D1970 ASTM D 4977 ASTM D 4977 ASTM D 2523 TAS 103 ASTM D 1970 TAS 103 TAS 103 103 /ASTM D4798 & G155 103 /ASTM D4798 & G155 103 /ASTM D4798 & G155 103 /ASTM D4798 & G155 103 /ASTM D4798 & G155 Date 04/27/01 08/14/01 08/29/05 08/29/07 12/04/08 04/13/09 07/01/10 03/02/11 04/26/11 09/01/11 10/19/11 04/08/02 01/31/02 07/14/03 09/29/06 01/12/06 12/10/07 06/30/08 07/06/09 04/01/08 11/09/09 02/18/10 02/18/10 NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3 -Y2" 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. APPROVED! NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles, non - structural metal roofing, roof tile systems and quarry slate roof assemblies. IR -Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre - existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. 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 tile applications. Polystick IR -Xe, and Dual Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR -Xe Polystick TU, TU Plus, TU P, Tile Pro Flat Tile Prohibited without battens 5:12 No limitation Profiled Tile Prohibited without battens Prohibited No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both Loading and installation of tiles at all times. APPROVE()!i NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. 0 0 0 m 6 Roofing Tiles (6 Max. Per Stack) 12 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. APPROVED BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. APPROVED,' NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should be back - nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back - nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter- battens, as required by the tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7 "/12" or greater. It is suggested that on pitch/slopes in excess of 6 1/4 "/12 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty-Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self - adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894 -4563. NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 7 of 8 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894 -4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE APPROVED; NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Approval Date: 04/05/12 Page 8 of 8 DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION N 0 ' CE OF ACCEP'IE (NOA) , M Company 3M Center Building 0220- 05 -E-06 St. Paul, MN. 55144 -1000 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 inc _ e -i_ ._'daBuildin Code. 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.aov /pera DESCRIPTION: 3Mrm 2- Component Foam Roof Tile Adhesive AH -160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA# 11- 0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONE PROVAL: Category: Roofing- - Sub Category: Roofti le adhesive Materials: Polyurethane SCOPE: This approves 3MT' 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2- Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions L.,_60, 3MTM 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 1 Foam Dispenser RTF1000 N/A ProPack® 30 & 100 N/A Product Description Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2- Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Closed Cell Content ASTM D 2856 Results 1.6 lbs. /ft.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01- 6743 -011 01- 6739- 062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 Test Name/Report TAS 101 TAS 101 SSTD 11 -93 SSTD 11 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/28/98 TAS 101 03/02/99 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3M" 2- Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F'— F 2 —W MS NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05 /10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF1000 or ProPackm 30 & 100 dispensing equipment only. 7. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 LABELING: All 3MTM 2- Component Foam Roof Tile Adhesive AH -160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. Nan through plastic cement ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Paddy (Beneath Tile) 10 in. Eave course only. Keep adhesive approx. 41n. up from weepholes Nall through plastic cement Underlayment Paddy (Beneath Tile) 1) Place enough adhesive to achieve 17 to 23 Optional 2x4's for steep ptiss square inches in contact with the pan tie 2) Tum covers upside down. Mace adhesive 112 ht To 1 hi. From outside edge of cover tile. Then install the We. Undetayment Remo top portion of the eave course cover Abut to second course of pantiles. Enswe save end of pan and cover Wes are flush at ewe One. Eave closure (mortar shown) Weephole Fascla Bo Nan through plastic cement Sheathing Optional Point- up Mortar on longhudlnal edges of Me NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy (between tile) Paddy (under tile) 4n. x 3 in. Single paddy on under- layment Single paddy under tile Single paddy on top of tile Eave course In. X7 in. medium size paddy eave Fascia course only IAMIMADE COUNTY APPROVED Nail through plastic cement Nail through plastic cement Underiayment Single paddy under tile Single paddy between tile 2 hi. x 7 in. medium size paddy save course only 165' rer 3 in. x 3 in. 4 In. Single paddy on under- layment Single paddy on top of tile Eave Course Fascia Weephole Eave closure Drip edge Single paddy between tile ter in.x 3 in. 41n Single paddy on underiayment Single paddy on top of tile Eave Course Eave Closure 2 In. x7 in medium size paddy eave course only Fascia END OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7