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RF-13-0703Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 196754 Permit Number: RF -4 -13 -703 Scheduled Inspection Date: August 07, 2013 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: HOWARD, JANELL Work Classification: Tile /Flat Job Address: 1421 NE 101 Street Miami Shores, FL Phone Number Parcel Number 1132050240290 Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Phone: (305)953 -3333 comments RE -ROOF TO A NEW TILE AND FLAT CAP SHEET ROOF -� -- INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 194975. CREATED AS REINSPECTION FOR INSP- 188940. Provide a gas vent permit. NB REPLACE BROKEN TILES. JR Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 06, 2013 For Inspections please call: (305)762 -4949 Page 35 of 39 O Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 188939 Permit Number: RF -4 -13 -703 Scheduled Inspection Date: July 10, 2013 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Up Lift Report Owner: HOWARD, JANELL Work Classification: Tile /Flat Job Address: 1421 NE 101 Street Miami Shores, FL Phone Number Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Parcel Number 1132050240290 Phone: (305)953 -3333 Building Department Comments RE -ROOF TO A NEW TILE AND FLAT CAP SHEET ROOF Infractio 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. July 10, 2013 For Inspections please call: (305)762 -4949 Page 6 of 23 I' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 188939 Permit Number: RF -4 -13 -703 Scheduled Inspection Date: July 10, 2013 Inspector: Bruhn, Norman Owner: HOWARD, JANELL Job Address: 1421 NE 101 Street Miami Shores, FL Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Building Department Comments Permit Type: Roof Inspection Type: Up Lift Report Work Classification: Tile /Flat Phone Number Parcel Number 1132050240290 Phone: (305)953 -3333 RE -ROOF TO A NEW TILE AND FLAT CAP SHEET ROOF I Infractio Passed Comments INSPECTOR COMMENTS False July 10, 2013 For Inspections please call: (305)762 -4949 Page 6 of 23 Inspector Comments Passed El Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 10, 2013 For Inspections please call: (305)762 -4949 Page 6 of 23 P'.I.E. FLORIDA INTERNATIONAL ENGINEERING &TESTING LAB INSIGHT-INNOVATION-INTEGRATION Owner's Name: Job Address: Roofing Contractor: '%,5), Permit Number: RVA,1.3 P. � Approximate Roof Height: _ C- feet Type of Access to Roof: Ladder Florida International Engineering and Testing Lab LLC 16701 SW 117 Avenue, Miami, FL 33177 Telephone: (305) 378- 1991 -Fax: (305) 378 -1997 Miami -Dade Lab Certification # 07- 0612.11 -State of Florida ca #27273 SITE SPECIFIC INFORMATION Slope: Approximate Square Footage: OtherRequired Testin Forc : 35 lbs. Testing Equipment: J.G.Ej10 0x Shim o Instrument Date Installed: G I r Date of Inspection: TEST RESULTS P= PASS, F= FAIL --------------------- ;11------------------- V--------------------------------------- ---------- ------------ --------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: �ft Area Units or ft2 No. of Tests Perimeter `Z.® ®b Field ®® Corners ic 2.4 Hips & Ridges °L v d RESPECTFULLY SUBMITTED BY: (OR Vinayagar M. Balakrishnan V State of Florida Lie # 63107 9 1 ) y- FLORIDA INTERNATIONAL ENGINEERING &TESTING LAB LLC Job Address l gq z 1 r-1 a to ( S,-L.1 " . dl, r C® ®O V Other: N T-S Sketch of Roof Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 188934 Permit Number: RF -4 -13 -703 Scheduled Inspection Date: May 08, 2013 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Renailing Affidavit Owner: HOWARD, JANELL Work Classification: Tile /Flat Job Address: 1421 NE 101 Street Miami Shores, FL Phone Number Parcel Number 1132050240290 Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Phone: (305)953 -3333 Building Department Comments RE -ROOF TO A NEW TILE AND FLAT CAP SHEET ROOF I Infractio Passed comments INSPECTOR COMMENTS False May 07, 2013 For Inspections please call: (305)762 -4949 Page 12 of 35 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspectidn fee is paid. May 07, 2013 For Inspections please call: (305)762 -4949 Page 12 of 35 f 6 . 14% RE: Permit# RF -4 -13 -703 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION AFFIDAVIT DATE: May 6, 2 013 I Carlos Arocho licensed as a (n) Contractor/ Engineer /Architect, (Print name and cWe License Type) FS 468 Building Inspector License #: 000017889. On or about May 6, 2013 ,1 did personally inspect the roof deck nailing and (Date & time) Secondary water barrierworkat 1421 N.E. 101 Street Miami Shores, Florida 33138 (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 for the above property mentioned. Swom to and subscribed before me this Le day of - NOTARY Pt;BLIC.- STATE OF FLORIDA Notary Public, Sate of Florida at Large Marylou Hernandez Commission #DD930046 Expires: OCT.10, 2013 BONDED THRII ATL6,N -nC BONDING CO., INC. "General, Building, Residential, or Roofing Contractors or any incWdual certified under 488 F.S. to make such inspection. Include photographs of each plane of the roof with porn t # and address # dearly shown marked on the deck for each inspecf= Revised on 5/21/2009 0% Uy �Ip1 BUILDING pERrAIT APPLICATION Fermi$ No. Master Permit No. C 2® Pest Tyre: C� _ ... . owner's Name (Fee Simple Titleholder) James F. Howard Phone # (3 0 5) 479-0175 owner9sAddreas1421 N.E. 101 Street City Miami Shores State Florida Zip 33138 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) 14 21 N . E . 10 1 S t e e t City Miami Shores Village County Miami bade Zip 33138 FOLI® /pAR ,# 11- 3205- 024 -0290 is Building Historically Designated YES N® X Flood Zone Cuntn'actoj,'sCompanyName Quality Roofing Contractor Phone# ( 305) . 953 -3333 Contractor's Address 13800 N. W. I s t• Aven , P City Miami State Florida Zip 33168 QualifierN'ame Carlos Arocho Phone# ( 786) 367 -2029 State Certificate or Registration No. RC 0 0 5 8 6 2 7 Certificate of Competency No. 0 0 0 01 7 8 8 9 Contact Phone (305) 953 -3333 E-mail aualityroofina88 @yahoo,com ArcWtect/Engineer's Name (if applicable) Phone # Value of Work For this permit $ 2 3 , 5 0 0.0 0 Square/ Linear Footage Of Work. 4 0 0 0 s f t . Ti l e Type of Work: []Addition ❑Alteration []New ® Repair/Replace 3 0 0 � Demo�tiont Describe Work: Reroof to: a new H 1 P roof and Plat rap ahcc+- roof c�c1 Submittal Fee S. permit Fee $ ) CCF $ CO/CC $ Nom, $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: ��_ Structural Review. S Total Fee Now Due $_�tL� See Reverse side a Borg Company's Name (if applicable) Bonding Company's Address City state Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit to do the work and installations as indicated, I certif commenced prior to the issuance of a permit and that all work will be .' that no work or installation has construction in this jurisdiction. I understand that a O to meet the standards of all laws regulating seemed WELLS, POOLS, FURNACES, BOILERS, HEATERS,aT separate and AIR CONDITIONERS CAL �70RK, PLUMBING, SIGNS, OW URfS AFFEDAVTT: I certify that all the foregoing information is accurate and that all work will be done in compliance applicable laws regulating construction and zoning. all "WARNING TO OWNER: YOUR FAILURE TO RECORD A CO NCE NT Y RESULT IN YOUR NOTICE ®� ROVE.IENTS TO YOUR PROPERTY. IF YpIT CE FOR FiNAliTCING, CONSiTi�'I' WITH YOUR LENDER OR AN ATTORNEY BEFORE OBTAIN RECORDING YOUR ;NOTICE OF COMNmNCENMNT,, Notice to Applicant.• As a condition to the issuance of a building permit with an estimated value exceeding $2500, the I Promise its` good faith that a copy of the notice of commencement and construction lien law brochure will be delivered the persons whose property it subject to attachment. Also, a certifeed copy of the recorded notice o commencement f he first . pecdon whicoccurs d a re' en (7) ms's after the building permit 1r issued. In m fbuch ost tnotice, the ecdon will not be urspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of 2063 by J rnes who is person known to me or who has produced As identification and who did take an oath. NOTAR.Y P UBLIC: Sign:_' Print: My Commission Expire` aYicaY�koh� &at�kaY�koY�rka�dc�k��&� APPROVED BY Signature , Contractor The foregoing instrument was acknowledged before me this day of 200, , by _ 3ia rL es C g ®L who is person known to me or who has produced as identification and who did take an oath. .NOTARY PUBLIC: sign: i in. n yr rt.vtui�ta Print: NOTARY p Marylou Hernan ez <r, FFI UBLIC -S� ORIDA Commission # DD930046 My Commission ` �y'q 'man ez Expires: OCT. 10, 2013 =Comm; ; ;;0r. n DD930046 BONDED THRC ATLANTIC B0.l'DL�G Co., INC, °' �''� Expire �T.10, 2013 BM EDTHRUATL.i;; �0`Di.NGCO.,INC raYks�k�Yarc�t �icdraF�k &��Y�kak��4a.Y4r�ir fi��YoY�kk�k3c��tr�iCkak�dc��ka49rba��& ��Ya& aY�k�Fs�ardrdcdHc�k��c1Fk�Ya���YdraYs�- kakakaYokakaA��a��aQabdrar� ,Yd Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07XRevised 06/10/2009) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 4/4/13 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: James F. Howard Property Address: 1421 N.E. 101 Street Miami Shores, F1 33138 Roofing Permit Number: Dear Building Official: I James F. Howard certify that I am not required to retrofit the roof to wall connections of my building because: r The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) r gnature Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he /she is the owner for the above property mentioned. Sworn to and subscribed before me this � ,0,ra=:9, 2 d y of dQ13 NOTARY PUBLIC•STATE OF FLORIDA Marylou Hernandez Notary Public, Sate of Florida at Large Commission #DD930046 Expires. OCT.10, 2013 BONDID THRU ATLANTIC BONDDtiG CO., INC. • When the just valuation of the structure for purpose of ad valorem taxation is equal to or m 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 Mt1gation. Revised on 5/21/2009 Property Information Map My Home Miami -Dade County, Florida Property Information Map Aerial Photography - 2012 0 - 29 ft This map was created on 4/4/2013 8:49:05 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 1 MIAMI •DADE Summary Details: Folio No.: 11- 3205- 024 -0290 Property: 1421 NE 101 ST Mailing JAMES F HOWARD &W Address: JANELL Beds/Baths: 1421 NE 101 ST MIAMI Floors: SHORES FL Living Units: 33138 -2612 Pronertv Information: Primary Zone: 1400 SGL FAMILY - 2011 3001 -3250 SQ CLUC: 0001 RESIDENTIAL - Building Value: SINGLE FAMILY Beds/Baths: 3/3 Floors: 1 Living Units: 1 d' Sq Footage: 2,802 Lot Size: 11,792 SQ FT Year Built: 1955 $276,849 MIAMI SHORES BAY PK $50,000/ ESTS AMD PB 56 -86 Legal LOT 12 BLK 3 LOT SIZE Description: IRREGULAR OR 18971- $50,000/ 022 01 2000 1 OR 18971 -4022 0100 00 Assessment Information: Year: 2012 2011 Land Value: $204,814 $170,678 Building Value: $241,071 $242,518 Market Value: $445,885 $413,196 Assessed Value: $336,654 $326,849 Exemntion Information: ear: 2012 2011 Homestead: $25,000 $25,000 nd Homestead: YES YES Taxable Value Information: Year: 2012 2011 $305,000 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,000/ $286,654 $276,849 County: $50,000/ $50,000/ $286,654 $276,849 City: $50,000/ $50,000/ $286,654 $276,849 School Board: $25,000/ $25,000/ $311,654 $301,849 Sale Information: Sale Date: 1/2000 Sale Amount: $305,000 Sale O /R: 18971 -4022 Sales Qualification Description: Sales which are qualified View Additional Sales http: / /gisims2 .miamidade.gov /myhome /printmap. asp? mapurl = http: / /gisims2.miamidade. gov... 4/4/2013 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: '4 10 i,-3-1 Permit No: R f` - (3-703 Building Critique 1. Jorge Rodriguez Plan Reviewer Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. -V SECTIO HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthedes•Workmanship: the workmanship provisions of Section R4402 are for the purpose of viding that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. f°f Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be rehailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. —,�-�— Common roofs: Common roofs are those which have no visible delineation between neighboring u itstf (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. y; Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be4iewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. i L Ponding water: The current roof system and /or deck of the building may not drain well and may cj6se water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not ofterioaded from a buildup of water. Perimetededge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and 84413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the i nor of the structure 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 m0f. i ,/� ner /Agents Signature Date Contractor Signature Date Revised on 7/9/2009 LD Y ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2010 High velocity Hurricane Zone Uniform Pemlt Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name Quality Roofing contractor, Inc. Job Address 1421 N.E. 101 Street M LOW Slope 0 Asphaltic Shingles 0 New Roof XX Reroofing j] Mortar /Adhesive Set Tile 0 Wood Shingles/Shakes 0 Maintenance Low Slope Roof Area (SF) 300sgft. Steep Sloped Roof Area (SF)4000sgft. Total (SF) 4300sgft. 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, dearly identify dimensions of elevated pressure zones and location of parapets. : (-- 2,?'a--f 2010 FLORIDA BUILDING CODE — BUILDING 15.34 a � ��; ,, �� �. •. ;�, � � ,� y. tt? ; j �I' E iii HVi-VeIpck Hwrkaw Zone Design vand pressures, From RAS 128 or Cat pi. –42.8 P2: –71.7 PS-.__=108.0 Approval sysum:- . Design Pressure, 5f °° sspecific – Product A—' cc 0 fps # Raws cc _E__" cc 0 Up, # Rom 4 0 _!L_- cc Number of Fastwors Per Board: Field K/A pwWugw N/A Corner N/A Ulusbvft Components Noted and Detalls as ApplicabW ockkeM Gu ter. Edge Termination'. Stripping, us Cleat, Cant Strip, Base Flashing, Coning, Etc, ..r r IL Mean Roof Height 953: Florida Building Code Edition 2010 ��.. X- I%M�- I - I M Roof System Manufacturer: Boral Roofing LLC. Notice of Acceptance Number." 12-0904.06 Menlrnutn Des6gn Wind Pressures, If Applicable (From RAS '127 or Calculations -39.1 P2: -68.1 : -100.7 .. «. 1 Type Undefta n eca 1 (1) 301b. ASIM D -226 Roof Slope: 12 Onsula4ion: N/A Fire der N/A Fudge Ventilation? t= astenerType & Spacing: 1 1 /4" R/S nails 2 r«as 12" O/C Adhesive _ N/A T�' self adhering ___... �. Type Cap Sheet I Polystick TU Plus May Roof i-leighti 13 Roo ' f Covering: Vanguard Roll Concrete T le Type & Vme 3 X 3 26ga. Drip Edge: galvanized 2®•I® FLORIDA BUILDING CODE - BUILDING 1526 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2010 High-Velocity Hurricane Zone Uniform Permit Application Fbnn. Vanguard Roll Tile Section E (T'ile Calculations) For Moment based tilesystems, choose either Method 1 or2. Compare the values forMr with the valves from Mf. Nthe Mfvalum are greater than or equal to the Mr values, for each area of the roof, then the the attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (PI; 39.1 x;.2$9 = 11.30) -Ms 5.97 =Kt 5.33 Product A M,45.5 rleaiM P33dy (P2: -68.1 .;L.289 =19.6B)-mg: 5.97 = X213.71 Product ApP...I Mf45.5 madim daddy (Pg: 1Q.7x) e2B9 ZQ) -M &5A = Mr323-13- ProductApp- alMf45.5 IId7.ln Method 2- Simplified Tile Calculations Per Table Below" Required Moment of Resistance (M.) From Table Below Product Annraml M, K required Moment Reslstance* Mean Roof Height -3 Roof Stops ,� 15' 20' 25' 30' 40' 2:12 34.4 36.5 382 39.7 422 3:12 322 34.4 36.0 37.4 39.8 4:12 30.4 322 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 2&0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 282 30.0 ;Must be used m conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based file 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 aCachmert method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (p1; x L = x w = _� - W: x cos 8 = Fr1 Product Approval F _ (P2; x L = x w: _ - W. x cos t) = F,2 Product Approval F (P3: x L = x Vr _ ) - W: x cos B = Frg Product Approval r _ Where to Obtain Information Descrl on Symbol Where to find Design pressure, PI or P2 or P3 RAS 127 Table Iorbyancu& eering analysis prepared byPEbasedanASCE7 Mean Roof height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier d Product Approval Restoring Moment due to Gravity M9 Product Approval Aawbruent Resistance Mf Product Approval Required Moment Resistance Mg Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Fr Calculated Average T"te Weight W Product Approval 152e Dimensions L _ length W =width Product Approval All calculations must be subr d to the building official at the time of permit applicator. 2010 FLORIDA BUILDING CODE - BUILDING 15.37 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 RER - 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. RER 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: Vanguard Roll Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERIYIINATION 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 NOA4 12- 0308.06 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. APPROVEDI NOA No.: 12- 0904.06 Expiration Date: 12/16/17 Approval Date: 12/06/12 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a system using Vanguard Roll Concrete Roof Tile, as manufactured Boral Roofing LLC in Pompano Beach, FL., and described this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Vanguard Roll Concrete L = 16 -1 /2" TAS 112 Low profile, interlocking, high pressure extruded Roof Tile W = 13" concrete roof tile equipped with one nail hole and '/2" thick double roll ribs. ' For direct deck or battened nail -on, mortar or adhesive set applications. Trim Pieces 1= varies TAS 112 Accessory trim, concrete roof pieces for use at hips, w = varies rakes, ridges and valley terminations. varying thickness Manufactured for each tile profile. 2. 1 PRODUCT DESCRIPTION 1. Pompano Beach, FL. 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix IN PA 102 & PA 102(A) Redland Technologies 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix II PA 108 (Nail -On) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails The Center for Applied 94 -060B Static Uplift Testing March, 1994 Engineering, Inc. PA 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. PA 101 (Mortar Set) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) I i NOA No.: 12- 0904.06 O �D Expiration Date: 12/16/17 Approval Date: 12/06/12 Page 2 of 6 2.2 SUBMTTED EVIDENCE: Test Agenev Test Identifier Test Name/Report Date The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -76 - PA 100 The Center for Applied 25- 7183 -1 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Direct Deck) The Center for Applied 25- 7183 -2 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 - (2 Quik -Drive Screws, Battens) The Center for Applied . 25- 7214 -2 Static Uplift Testing March, 1995 Engineering, Inc. 25- 7214 -6 PA 102 (1 Quik -Drive Screw, Direct Deck) (1 Quik -Drive Screw, Battens) Celotex Corporation 528454 -2 -1 Static Uplift Testing Sep. 1998 Testing Services 520109 -2 PA 101 Dec. 1998 Walker Engineering, Inc. Calculations Aerodynamic Multiplier August 2007 Walker Engineering, Inc. Evaluation Calculations 25 -7183 March 1995 Walker Engineering, Inc. Evaluation Calculations 25 -7094 February 1996 Walker Engineering, Inc. Evaluation Calculations 25 -7496 April 1996 Walker Engineering, Inc. Evaluation Calculations 25 -7584 December 1996 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Walker Engineering, Inc. Evaluation Calculations Aerodynamic Multipliers October 2007 Walker Engineering, Inc. Evaluation Calculations Two Patty Adhesive Set System April 1999 Nutting Engineering TAS -112 13343.1 June 2007 3. LnmATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 33 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. NOA No.: 12- 0904.06 MIAM�•�DE COUNTY Expiration Date: 12/16/17 Approval Date: 12/06/12 Page 3 of 6 4. INSTALLATION 4.1 Vanguard Roll Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight W (Ibf) Length4 (ft) Width -w (ft) Vanguard Roll Roof Tile 9.2 1.38 1.08 Table 2: Aerodynamic Multipliers -1(fe) Tile Profile x ( ) Batten Application ;L (ft) Direct Deck Application ,Vanguard Roll Roof Tile 0.266 0.289 Table 3: Restoring Moments due to Gravity - Mg (ft -Ibf) Tile Profile 2 "•12" 3 "•12" 4 "•12" 6 ":12" 6 "•12" 7 "•12" or greater Vanguard Roll Roof Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Tile 5.30 6.03 5.24 5.97 5.16 5.87 1 5.05 5.75 4.92 5.60 4.78 5.44 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19132" plywood) Battens Vanguard Roll 2 -10d Ring Shank Nails 27.8 37.4 28.8 Roof Tile 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 48 Screw 25.8 25.8 22.9 2 48 Screws 47.1 47.1 49.1 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 NOA No.: 12- 0904.06 Expiration Date: 12/16/17 Approval Date: 12/06/12 Page 4 of 6 40 Ic Table 6: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Vanguard Roll Roof Tile Adhesive 26.1 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3MTm 2 -Com ponent Foam Roof Tile Adhesive AH -160 Average weight per patty 8 grams. Table 7: Attachment Resistance Expressed as a Moment - Mf (ft -lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Vanguard Roll Roof Tile 3M 2- Component Foam Roof Tile Adhesive AH -160 86.61 3M 2- Component Foam Roof Tile Adhesive AH -160 45.5 3 Large paddy placement of 54 rams of 3M 2-Component Foam Roof Tile Adhesive AH -160. 4 Medium paddy placement of 24 rams of 3M 2-Component Foam Roof Tile Adhesive AH -160. Table 8: Attachment Resistance Expressed as a Moment - Mf(ft -lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Vanguard Roll Roof Tile Mortar Set 20.60 5 Tile -Tite Roof Tile Mortar. 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". VANGUARD ROLL BORAL ROOFING LLC VANGUARD ROLL ROOF TILE (POMPANO BEACH, FL.) (LOCATED ON UNDERSIDE OF TILE) NOA No.: 12- 0904.06 MIAMWMDE Cou ITY Expiration Date: 12/16/17 Approval Date: 12/06/12 Page 5 of 6 a, 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. PROFILE DRAWINGS 19 1n y �� VANGUARD ROLL ROOF TILE (POMPANO BEACH, FL.) END OF THIS ACCEPTANCE I--,- r�►Manm�E counirr NOA No.: 12- 0904.06 APPROVED, Expiration Date: 12/16/17 Approval Date: 12/06/12 Page 6 of 6 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. TERNUNATION 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 Page 1 of 8 MII�MI ® MIAMI -DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA} www.miamidade,aoy/pera Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 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. TERNUNATION 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 Page 1 of 8 ROOFING COMPONENT.' APPROVAL Ca o : Roofing Sub- Cateaorv: Underlayment Material: SBS , APP Self- Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Polystick MTS underlayment Manufacturing Location #2 Test Dim ensions Stieci_ fication Product Description Roll: TAS 103 A homogeneous, rubberized asphalt 65'8" x 3'33/8" waterproofing membrane, glass fiber reinforced 60 mils thick with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Polystick IR -Xe Roll: TAS 103 and A fine granular /sand top surface self- adhering, underlayment 65' x 3'3-3/," ASTM D 1970 APP polymer modified, fiberglass reinforced, Manufacturing Location Or 65' x 3' bituminous sheet material for use as an #1 & #2 60 mils thick underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof the underlayment. Polystick TU -.Roll: TAS 103 and A heavy granuled surface self adhering, APP underlayment 32'10" x 3'3 3/8" ASTM D 1970 polymer modified, fiberglass or polyester Manufacturing Location 100 mils thick reinforced, bituminous sheet material for use as #1 & * #2 an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. Polystick TU Plus underlayment Roll: 65"X 3'33/$" TAS 103 and ASTM A rubberized asphalt self - adhering, glass - (Surface Printing) 80 mils thick D 1970 fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof Manufactwing Location tile underlayment. #2 Polystick TU P underlayment Roll: 32'l 0" x 3'V4" TAS 103 and ASTM D 1970 A rubberized asphalt waterproofing membrane, glass- fiber /polyester reinforced, with a granular Manufacturing Location 130 mils thick surface designed for use as a tile roof #2 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self-adhering, glass - McaeufacturingLocation 61' x 3'33/8" ASTM D 1970 fiber /polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof rile underlayment. Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self - adhering, glass - ManufacturingLocation 61' x 333/8" ASTM D 1970 fiber /polyester reinforced. waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. APPROVED; 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 SIIBMITTED: Test Aaencv Test Identifier Test Name/Renort Date Exterior Research & Design, LLC 11756.04.01 -1 TAS 103 04/27/01 11756.08.01 -1 ASTM D 1970 08/14/01 02202.08.05 TAS 103 08/29/05 Trinity ERD P5110.08.07 TAS 103 08/29/07 P10870.09.08 -R1 TAS 103 12/04/08 P10870.04.09 TAS 103 /ASTM D4798 & G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.11 TAS 103 /ASTM D4798 & G155 09/01/11 P37300.10.11 TAS 110 /ASTM D4798 & D1970 10/19/11 PRI Asphalt Technologies PR101111 ASTM D 4977 04/08/02 PUSA -005 -02 -01 ASTM D 4977 01/31/02 PUSA -018 -02 -01 ASTM D 2523 07/14/03 PUSA -035 -02 -01 TAS 103 09/29/06 PUSA -033 -02 -01 ASTM D 1970 01/12/06 PUSA -055 -02 -02 TAS 103 12/10/07 PUSA -083 -02 -01 TAS 103 06/30/08 PUSA -089 -02 -01 TAS 103 /ASTM D4798 & G155 07/06/09 Momentum Technologies, Inc. JX20H7A TAS 103 /ASTM D4798 & G155 04/01/08 RX14E8A TAS 103 /ASTM D4798 & G155 11/09/09 DX23D8B TAS 103 /ASTM D4798 & G155 02/18/10 DX23138A TAS 103 /ASTM D4798 & G155 02/18/10 NOA No.: 11- 1229.01 Expiration Date: 09/13/16 Nnn°E 'APPROVEDi 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 - %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. & , 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 Page 4 of 8 GENERAL L A Y loll S: 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) Tile Profile MTS IR Xe t 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. & 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) the assemblies shall be as follows: (See Table Below) 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 tunes. NOA No.: 11- 1229.01 Expiration Date: 09/13/16 tuAMFGd►DE CTM Approval Date: 04 /05/12 Page 5 of 8 Tile Profile Polystick MTS Polystick -Xe Polystick TU, TU Plus, TU P, Tale 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 tunes. NOA No.: 11- 1229.01 Expiration Date: 09/13/16 tuAMFGd►DE CTM Approval Date: 04 /05/12 Page 5 of 8 GENERAL ATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of file 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. 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, TIT, 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. �aa�aeaue caunrry !APPROVED: 117—FI-MIO-77. 1, s ,b # V Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 11- 1229.01 entnu r�r 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'/4 "/12 ", precautions should be taken, such as the use of battens to prevent file 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 JAPPROVEM 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 LEWITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 11- 1229.01 {�AM4OAD:9.(.1 lNU7Y Expiration Date: 09/13/16 'APPROVEDI Approval Date: 04/05/12 Page 8 of 8 &S,'. Mrra►M 1 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.mov/oera 3M 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 including the High Velocity Hurricane Zone of the Florida Building Code. 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 COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2- Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2- Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2- Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF 1000 N/A Dispensing Equipment ProPack6 30 & 100 N/A 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: Tomball, TX. PHYSICAL PROPERTIES: Prove Test Results Density ASTM D 1622 1.6 lbs. /ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft' Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks Closed Cell Content ASTM D 2856 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: Tgst Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 01/16/95 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101. 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their file assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F —W 2 F'= MS NOA No.: 12- 0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160. 2. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2- Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser 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 RTF 1000 or ProPack® 30 & 100 dispensing equipment only. 7. 3MTM 2- Component Foam Roof Tile Adhesive AH -160 shall not be exposed permanently to sunlight. & 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 Mn. (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/ an N/A Flat, Low, High Profiles 1 #2 24 N/A Flat, Low, fligh Profiles 1 #3 1 1 g NOA No.: 12- 0228.18 Expiration Date: 05/10/17 ha,41 1 APPRO , r 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 PEI REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. Nall MM* plastic cement Undedaymerd 1 Ltc-,- ADHESIVE PLACEMENT DETAIL I SINGLE PATTY ROOM) Pa* Wrlem TPA) I Fascia WUPWO r�redam D*e* 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 d Z 1F- I Z 1501-101 =Is(* Approval Date: 05/10/12 Page 6 of 7 � - I Nall through plastic cement I Single paddy 31n under tile 1 x31n. Single paddy on 2 In. 4 In. under- a layment . IC7�1 Single paddy on top of tile APPROVEB ADHESIVE PLACEMENT DETAm 3 DOUBLE PATTY Paddy Nall through plastic *Wmn tile) Underfayment Paddy (under tile) -11,11,111 11 �� Nell through plastic cement '4 '1-321, n x 3 In In. x 3 In. 4 In. single Single paddy pawyon ��, under- layment S! dy /,~ on top of tile / Em com. -11,11,111 11 �� Nell through plastic cement In. x 3 In. 4 In. Single paddy ��, r END OF THIS ACCEPTANCE Single paddy under tile Single paddy between tile 2 In. x 7 In. medium Size paddy save purse only < Fascia weeph* Eave closure , Drip edge NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 0 G—A- ..ij }ril ! •`.i.. t.7] Ii) ( �J }iUi 1,.. .), : ii `.1 t H ) - i7".77 .1 'ii) 5 586 Reftod amphak blmded with a numwal "' {: ,, ;•Fa�� l� ►t -it P! ;r �, FT-M-177-747T.: NOA 1C06: 07- 121949 U/ 2 o 15 I I i? .�'-}- . ...: - -J notmor 2. S. 4. �e tti `� i 1 IIMiI Y.` rt assembly- PRI Aspboa TochwICSIM ko. ntTofS.Fl. 36 and ; W W MaftfS WO "70 x7.02.97 �g "70 01.®5.90 "/ 0 07.09.99 "70. TAB 114 07.29.94 79 - TAS 114 04.01-99 4470 m TAS'114 05.11.07 11 06. ®1 D 4977 =0102 T� 114 01.1&02 TAS 114 � '� I S pop 7 of 19 1 u; :. Nam Y :to 1� gal i., t ✓ s,eM1 w fm .: SF'.I 915 :.. -'CIS _ _ i wood Y,tilt�llfv.: Duv Fasten=, Scow D- p paMom and I. . 1 :. v / t c]i PRI Aspboa TochwICSIM ko. ntTofS.Fl. 36 and ; W W MaftfS WO "70 x7.02.97 �g "70 01.®5.90 "/ 0 07.09.99 "70. TAB 114 07.29.94 79 - TAS 114 04.01-99 4470 m TAS'114 05.11.07 11 06. ®1 D 4977 =0102 T� 114 01.1&02 TAS 114 � '� I S pop 7 of 19 I S pop 7 of 19 p° \� !: /) � ! \\ \% t2 \\ TOFU.R1306 - Roofing Systems Class A® B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid Mop" SBS products in any applicable Classification. 1. Deck: C -15/32 Incline: 3 Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite /polyisocyanurate composite or perlite /urethane composite or wood fiber/ polyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type G1 or "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6" hot mopped. Surfacing: — Gravel. 2. Deck: C -15/32 Incline. 2 Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite /polyisocyanu rate composite or perlite /urethane composite or wood fiber/ polyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type G1 or "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: — One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tri -Ply Mineral Surfaced Cap Sheet'. 3. Deck: NC Incline: 2 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perlite /polyisocyanurate composite, perlite /urethane composite, wood fiber /polyisocyanu rate composite, phenolic, 2 -in. maximum. Ply Sheet: — Two or more plies Type G1 "GAFGLAS Ply 4" or "Tri -Ply Ply 4 ", "GAFGLAS Ply 6 ". Cap Sheet: — One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tri -Ply Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: — One or two layers "Isotherm R ", any thickness, hot mopped. Ply Sheet: — Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. t .. : _ �.. .3.i •..a:. w .. Slip Sheet ( ®ptional): — Red rosin paper, nailed to deck. One ply Type G2 "GAFGLAS #75 Base Sheet" or "Tri -Ply #75 Base Sheet" (may be .. nailed) uT t ply Svc=��more plie�A°'°Or "Tri -Ply Ply 4" or GAFGLAS Ply 6 ". y T G3 °'GAF Mi ed Cap Sheet" or "Tri -Ply Mineral Surfaced Cap - -� Sheet ". file:///Cl/ Documents %20and " /o2OSetftgs/ sky / Desl dop/ gaf %20ronv%20ROofmg%2,,y,tems.htm (3 of 70)5/2/2008 6:30:01 AM NOTICE OF COMMENCEMENT A RECDRDED CM MW BE PWW ON WE JOB SITE ATTW OF RRST NVEMN PERM1717NO.—TAXFOLION 0- 1 -5-024-0290 1 1131 Z 20 V • NN'S1W, THE UNDERSIGNED hereby gives notoe that improvements win be made to certain real property, and in accordance With Chapter 713, Florida Stahas, the1bilowing Information is provided In this Notice of Commenedment, 1111111111111111111111110 CFN 2013RO286283 OR R 28579 P9 07671 QP9) RECORDED 04/12/2013 11,18:33 HARVEY RUVINP* CLERK OF COURT MIAMI-DADE COUNTYP FLORIDA LAST PAGE 1. Legal description of property and streettaddress. 1421 N. E. 101 Street Miami Shores, Florida 33138 I Description of improvement. Reroof to a, .new Tile and Flat Cap sheet roof 3.Owner(s) name and address: James F. Howard 1421 N.E. 101 Street Miami Shores, Fl 33138 interest in property: owner Name and address of -fee simple titleholder N/A 4. Contractor's name and - . address: Quality Roofing Contractcr , Inc. 13800 N.W. 1st Avenue Miami.. Florida 33168 5. Surety. (Payment bond required by owner from contractor, if any) Name and' address: N/A Amount of bond $ 00 --STATE OF FLORIDA. COUNTY OF DAD2 S. Lender's name and address: N/A. I HO?EBy CERrpythetl this on I Awl IM"A '7: 7. Persons within the state of Florida designated byAffl— W, -or other loco provided by Section 713.130)(W., Florida Statutes-Affil CM01 coift - served as Name and address: N/A BY— D.C. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of this N6tic& di Commencement. (the expiration date Is I year from the date of recording unless a different date is specified) ,,W�Cz53,­ -7 :; "turs of Owner Print Owner's NqrR 140 -jo-c-C& Prepared bym-arylou Hernandez sworn to and'subscribed before me.thi day of l -.20d, Notary Public Print Notary's Name My commission expires: 123.01.52 PAGE 4 10/04 TATE OF Expires: OCT. 10, 2013 THRU ATIANTIC BONDING CO., INC. Quality Roofing Contract Addrew.13800 N. W. 1st Ave Miami, Florida 33168 (3b5) 953-3333