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RF-14-1030' Miami Shores Village (A g p / Building Department i10050QI(� N.E.2nd Avenue, Miami Shores, Florida 33138 D 1 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 CEYVFD MAY 19214 BY: FBC 20 K3 BUILDING Permit No. N "-1 0'�1>'D PERMIT APPLICATION Master Permit No. i°,3 _? Permit Type: BUILDING ROOFING JOB ADDRESS: 215 N& g5d ST City: Miami Shores County: Miami Dade Zip:�� 8 3 Folio/Parcel#: 113,206 b) -3 3q,2o Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): )4kISotJ 1J, 7 -to Ous- Phone#: Address: a q5' Ng L?S- s City: ly t k/✓1 i 5 H -PP,. S State: PC- gip: 183 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 5 t&(dStcL-- (�D.US��r'<orJ � '��' Phone#: -3161-4C-&'2523 Address: ((8/` S-ZJ 8/ 7Z•/LA City: M ! A -AA -1 State: C Zip: .33 / c/3 Qualifier Name: k, e/g-2ao `%86-f �� -,?#A r State Certification oorrpRegistration #: ��t� �-3z Certificate of Competency #: Contact Phone#: —Email Address: 78�- a78- C_IV/ DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 4900, SquarelLinear Footage of Work: vaa Type of Work: ❑Addition OAlteration 9 ew ORepair/Replace ODemolition Description of Work: gill3 �tL>/ �a� Ne_r`J ��� 7-- e - Submittal Fee $ Q, Scanning Fee $ Color thru tile: Wd, 7_6� Permit Fee $ Radon Fee $ Notary $ Training(Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ r -1 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City State Zip Application is hereby made to obtain a pen7iit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. `WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT: ' ]Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, thq 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 suc posted notice, the inspection will not be approved and a reinspect' n fee will be charged / Signature Sign e Owner or g t a A Contractor N� The foregoing instrument was acknow ged bef me s day of - 120 � by who is personally known to me or who has produced /1 As iJentification and who did take an oath. NOTAR IQ Sign: Print: My Commission Expires: APPROVED BY iL_� STATE Of =1 1 e a CnrrmR 1 The foregoing instrument was acknowl � me s day of 6d 20 by ;iW who is o me or who has produced Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) as identificatio and who did take an oath. NOTARY C � STATE of t Sign: Print: My Commission Ex ices: Zoning Clerk 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: 10050 NE 2nd Ave Miami Shores, R 3313 /� . Re: Owner's Name: M�7�i� • AWW�,^� Property Address: PIS NMF '/# ST - Roofing Permit Number Dear B ii ,ng Officiaql:/ -, p 1 �5#7 N l�%%7)W ba certify that I am not required to retrofit the roof to wall connections of my building because: o The just valuation for the structure for purpose of ad valorgm taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature / Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/sheAs the owner for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large • When the just valuadan of the sbucture for purpose SFBC. Then you must provide a building application from a General Revised on 5/21/1009 NO APNe PL equal to or more than $300,000.00, and the burfift was not constructed *0 FBC nor a 1994 the Roof to wall connection Hurricane lVi Ration. Atm �® CERTIFICATE OF LIABILITY INSURANCE 5%2 /20114 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 Eastern Insurance Group, Inc. 9570 SW 107 Avenue Suite 104 Miami FL 33176 NAME CT David M. Lopez PHONE (305) 595-3323 FAX No: (305)595-7135 E-MAIL ADDRESS. csr@easterainsuraace.net INSURERS AFFORDING COVERAGE NAIC 6 INSURERA:United Specialty Insurance CO 12537 INSURED Exclusive Construction & Roofing Group, Inc. Exclusive Roofing & Waterproofing 6811 SW 81 st Terrace Miami FL 33143 INSURER B:COmmerce & Industry Insurance 19410 INSURER C: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:Xaster 14-15 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. INSR LTR TYPE OF INSURANCE ADD SBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR David Lopez/AMANDA 957577/005 /23/2014 512312015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ Exclude PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RO LOC 17 POLICY X PRO- PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY ASO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOSNON-OWNED AUTOS CEa aoOMBINEDdent SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Peracciden B X UMBRELLA LIAB EXCESSLIAB OCCUR CLAIMS -MADE 90804060 /23/2014 /23/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- I 0TH - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Commercial Interior Build -Out & Roofing Contractor CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) INS025 onlnnr l n1 ©1988-2010 ACORD CORPORATION. All rights reserved. Tho A(,npn nama and Innn ara ran)clararl markt of Or nRn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village BLDG DEPT 10050 NE 2 Ave AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 David Lopez/AMANDA ACORD 25 (2010105) INS025 onlnnr l n1 ©1988-2010 ACORD CORPORATION. All rights reserved. Tho A(,npn nama and Innn ara ran)clararl markt of Or nRn Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT 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. V COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) 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: EXCLUSIVE COSNTRUCTION & ROOFING GROUP, INC. BUSINESS ADDRESS: 6811 SW 81 TERRACE CITY STATE FLORIDA ZIP CODE 33143 MIAMI BUSINESS PHONE: ( 305) 668-2533 FAX NUMBER ( 305) 668-2534 CELL PHONE L786) 412-8425 QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: CCC1327918 E-MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV f RV 3126109 MLDV RICARDO AVELLO RAVELLO@EXCLUSIVECG.COM THIS DOCUMENT HAS A DATE BATCH NUMBER INTING LINEMARK- PATENTED PAPER g, 31 S -K NACA ,"ARLY--' CERTIFICATE OF LIABILITY INSURANCE DATE 05/01/2014m 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 pollcy(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 Bouchard Insurance for WBS P.O.Box 6090 Clearwater, FL 33758-6090 CONTACT NAME: PHIAIONENo, Ext), (866) 293-3600 ext. 623 AX C No : E-MAIL ADDRESS: INSU S AFFORDING COVERAGE NAIC # INSURER A: American Zurich Insurance Company 40142 INSURED Workforce Business Services, Inc Alt. Emp: Exclusive Construction & Roofing Group Inc INSURER 8: INSuRER c : 1401 Manatee Ave. West Ste 600 INSURER D: INSURER E : Bradenton, FL 34205-6708 INSURER F: COVERAGES CERTIFICATE NUMBER: 13FLO79807617 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (M[MIDDfYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE • OCCUR DAMAGE(RENTED PREMISESS Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY PRO LOCI $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE GE $ HIREDAUTOS AUTOSWNED $ UMBRELLA UAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? El (Mandatory In NH) NIA WC 90-00-818-03 12/31/2013 12/31/2014 X WC STATU- OTH- LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 Ii yes, describe under DESCRIPTION OF OPERATIONS bal I E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/31/2013 12/31/2014 Client# 050242 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space Is required) Exclusive Construction & Roofing Group Inc Coverage is provided for 6811 SW 81 st Terrace only those employees leased to but not Miami, FL 33143 subcontractors of: CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores Village, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD ACC)Ro® CERTIFICATE OF LIABILITY INSURANCE 5iii2o 4 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Eastern Insurance Group, Inc. 9570 SW 107 Avenue Suite 104 Miami FL 33176 NNANEA David M. Lopez PHONE (305)595-3323 FAXJAIC No Lo* (ALM p. (305)595-7135 E-MADDREESS:asr@easterninsurance.net INSURER(S) AFFORDING COVERAGE NAICO INSURERA:Starr Indemnity & Liability INSURED Exclusive Construction & Roofing Group, Inc. Exclusive Roofing & Waterproofing 6811 SW 81 Terrace Miami FL 33143 INSURER B :Commerce & Industry INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:Xaster 13-14 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMMffDD EFF MM/UDD EXP LIMITS David Lopez/AMANDA GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-1 OCCUR SIPGM0036401 /23/2013 /23/2014 DAMAGE T RENTED— EN ED x 100,000 PREMISES Ea occurrence) $ PREMISES MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JFCT F-1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE peracdderr $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LI1B OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B X EXCESS LIAB CLAIMS MADE DED I I RETENTION $ 015820452 /23/2013 /23/2014 WORKERS COMPENSATION WC STATU- 1 -7 -0TH - AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH OFFICER/MEMBER EXCLUDED? E-1 NIA ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yS describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Commercial interior build -out and roofing contractor CERTIFICATE HOLDER CANCFI_I OTIAN ACORD 25 (2010105) INS025 rgnlnnsi ni ©1988-2010 ACORD CORPORATION. All rights reserved. Tho Arnpn nama anrl Inn^ aro raniatararl marIre of Af npn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village BLDG DEPT' 10050 NE 2 Ave AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 David Lopez/AMANDA ACORD 25 (2010105) INS025 rgnlnnsi ni ©1988-2010 ACORD CORPORATION. All rights reserved. Tho Arnpn nama anrl Inn^ aro raniatararl marIre of Af npn cA RECORDED CONY MUST BE POSTED ON THE DOB SITE AT TIME OF FIRST INSPECTION OR Bk 29166 PNx. 05/27/2014 3121 g (�+). r- q)RECORDED , 55 HARVEY RUVINY CLERK OF COURT' PERMIT NO. TAX FOLIO N0. 11-3206-013-3970 MIAMI-DADE COLlNTYP FLORIDALA; T PAGE 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 / address: 153 416 53 42 MIAMI SHORES SEC 1 AMD PS 10-70 LOT 23 & 24 BLK 29 LOT SIZE 104.450 X 143 OR 20489-170106 2002 1 9 -S 2. Description of improvement: NEW ROOF 3. Owner(s) name and address: -- ALISON N ANTROBUS gys .44�i M to fHaA�S 0 31 Interest In property: -- Name and address of fee Simple titleholder: 4. Contractor's name and address: 51A11: RIDA, COUNTY C EXCLUSIVE CONSTRUCTION a ROOFING GROUP INC. 'HEREBY CERTIFY that this is a true 6811 SW 81ST TERRACE, MIAMI, FL 33143 riginal fired in this ofhee on ° ��day of V 5. Surety: (Payment bond required by owner from- , A o 20 t Name and Address: �iTlvEss my hand and fliciat Seal. Amount of bond $ �IN A� , ofCirc #* coon s , 3, WOW S. Lender's name and address: a M - 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: 3. 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: 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's Sworn to and Notary Public: Print Notary's Name: My commission expy, Ired by 20 ®�' Owner's Notification Form HVHZ 2010 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 roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the it as been explained. g1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane one) 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 of the agreement between the owner and the contractor. M2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring is (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 work to be performed. W— 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of ma ining this appearance. 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 roofipg system is removed. Ponding conditions should be corrected. 6.Ove rIIow 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 wit1k 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 bya lorida-licensed engineer or registered architect to eliminate the attic venting, venting shall not b/required. Z,Q Owner's/Agent's Signature: Contractor's Signature: Property Address: x.295 Date: 'ermit Number: Florida Building Cole Ediflon 2010 High Velocity Hurricane Zone Uniform Permit Application Form S®ctlon E (Tlle Calculatlonsl For Moment based the systems, choose either Meted 1 or 2. Compared the values for MrwO die values from Mr.' Uthe Mr values are greater than or equal to the Mr values, for each area of the roof, then the the attachment method h acceptable. ,J�% Method 1 "Moment Based Tile Calculations Per RAS 127' �/�,�! (pn. 7S1 Z). 0a313 = fy.�z�—Mg: 0o03 -r4l 4.01 NOAH* !k (PZ: 78 6 x.% 6._3 / 3 = .2 V 60 — Mg.. 1. ®3 m hty/ 6, 57 NOA D* tfo, (p3: PI -2- z � a. 313 0 3 rte• � � 1— Mg: S.63 a N 2 3 y NOA A* fib. Method 2 "Simplified Tile CaledWon Per Table Below" RegHMed Moment of Resistance (Ali) From Table Below NOA r4 Root Slope *Mast be used in conjunction Broward County Board of Rule For Uplift basad file k values for Fr If the F< arm -of the roof, then d IV 1 / m' 1 m' 4W a list of moment based file endorsed by the t d Appeals. s use Method 3. Compared a valines for F' with the s are greater than or to the F. values, for each • • • • • achmt method is de. : •' • .... • • • .. . •.• M 3 "Uplift Based Tile C o� Per RAS 12));'0: 0 . ' • . • a Fy: • 4NQA F' • 4,ra:. XQX F' . 0 0.0 0 (P3: Zh z w: -_)—W: z 0: = Fr3: ..MAF_4 r••• 00*90 0000 Where to OAtain Information : • • : • : I uesmPtlo#1 I Symbol I / Where to find !-"' •' L 123 01-48 1/13 PAGES e Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: '6o2'qL AO F'.n/c,,, ,[ Notice.of Acceptance Number: 13 J 0 72.3 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1• *- / P2• 78.4- P3: /1/0.2- Mwdmum Design Pressure ®, From the NOA Specific S stem Method of the attachment: P64IlFaAM ®°c Y PeD tt 60/JAf Steep Sloped Roof System Description Deck Type: Roof Slope: Xnsulatlon: 3 :12 Ridge Ventilation? ,AJ//I Mean Roof Height: 123_01-48 1/13 PAGE4 :30 lSTA-j 622.6 $ Spacing: 4310000 0 OV 0 0• Lw2rCq-'P ...... . ease • . . ...... . .. . .. 860840 'rf Q,S: nrA14S & T ype • Cap Sheet: oaf Covering: Type $ Size Drip dge: 1-3 , ;,�A caJ� . Florida Building Code Xdifion 2010 High Velocity Hurricane Zone Uniforli Permit Application Form For Moment based Me s ystems, choose eitheOsethod 1 or 2. Compared theAdues for M, with the values from Mf.- Uthe Mr valfies are greater than or equal Wthe Mr a attachment mTIke values, for each area of theVFrOM le. Method 1 "Mile Calculation - Re, (PI: : m =r lri IOM, (P3: z _=M,Method 2 K Calculation PeRequired Moment of Resistane Below /roward d In conjunction with a list o moment based Me systems endo by the nty Board of Rules and Apased file systems use od 3. Compared the values f F' with the •••• . ff the F' values are ter than or equal to the F, es, for each oo4 then the tale ent method is acceptable.•••Method 3 "Up Based Tile Calculations Per 127" • 0000. • • • T : z i. z w: � — W: z cos 6: = F NOA F'_ • .. . ... ••••`(rZ: aS = z .=�—W: zcos9: _ ,Z: NOAF' —...: :.. .. (�'3 : �� : }:= Z : _ - W: Z COB e: = Frs: NOA Fl - r3 . ... 000. 0 ..• om • 000000 Where to ObtainI see Inf tion 0:. ReserfP601i Symbol Where to find ..: • •.F1 orPUM RAS 127 Tab l or by anengin a itmabais prepared by l • ..• . .. L— a .. Mean H dmbt H I Job Site 123_01-48 1/13 PAGE 5 IL ,IM, Required Moment Res --' Aarll07, - Re, EWA IOM, /roward d In conjunction with a list o moment based Me systems endo by the nty Board of Rules and Apased file systems use od 3. Compared the values f F' with the •••• . ff the F' values are ter than or equal to the F, es, for each oo4 then the tale ent method is acceptable.•••Method 3 "Up Based Tile Calculations Per 127" • 0000. • • • T : z i. z w: � — W: z cos 6: = F NOA F'_ • .. . ... ••••`(rZ: aS = z .=�—W: zcos9: _ ,Z: NOAF' —...: :.. .. (�'3 : �� : }:= Z : _ - W: Z COB e: = Frs: NOA Fl - r3 . ... 000. 0 ..• om • 000000 Where to ObtainI see Inf tion 0:. ReserfP601i Symbol Where to find ..: • •.F1 orPUM RAS 127 Tab l or by anengin a itmabais prepared by l • ..• . .. L— a .. Mean H dmbt H I Job Site 123_01-48 1/13 PAGE 5 IL E HIAM MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 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.eov/economy Boral Roofing, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 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: Saxony 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. 669066 . . 90060099:9 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has beennoUimge • 9999. . .. in the applicable building code negatively affecting the performance of this product. :9 0 0,; 0 0 09 0 • 0:::: 9999.. .9 0 TERMINATION of this NOA will occur after the expiration date or if there has been a revision yr change ui the • • • • • 0 materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endor&*ftd Cof anj ptdduct, "•' • for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to*c0orl' with any section • 0 • • of this NOA shall be cause for termination and removal of NOA. • •• . 9 . . 699999 9999.. 9 9 ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the ex rimtion . 6 o • • • 0 date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entittt o • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 12-0222.03 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Category Roofing Sub -Category: Roofing Tiles Material: Concrete Deck T"e: Wood 1. SCOPE This NOA approves a system using Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, 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 Saxony 900 -Slate 1= 17" TAS 112 Flat profile, interlocking, high-pressure w= 13" extruded concrete roof tile equipped with thickness = 1-5/32" two nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. Saxony 900 -Split 1= 17" TAS 112 Flat profile, interlocking, high-pressure Shake w= 13" extruded concrete roof tile equipped with thickness = 1-9/32" two nail holes. For direct deck or battened nail -on, mortar set or adhesive set applications. Top surface available•in 4 different configurations • 00000 • • • • • • • . 1. Complete eil bushed• • ; • ; ' 0 2. Right half bt=ed (shown iri 06060: 0 drawing) .00000 . • • • • • • 3. Left half brus%ed • • •' ••...• • ••.• . a .. 0 0 0 0. 4. No brush0000.' ' . Saxony 900 -Shake 1= 17" TAS 112 Flat profile, interlbeihri high-pf89stre "":' w = 13"extruded , concreteibbf tide equipped with 6 o thickness = 1-9/32�� two nail holes. For direct decloorl4 tend nail -on, mortar se;q;ahesive seti . .. ;": applications. s o % Trim Pieces Length: varies TAS -112 Accessory trim, boosted Barcelona, concrete Width: varies roof pieces for use at hips, rakes, ridges and varying thickness valley terminations manufactured for each tile profile. NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 2 of 10 2.1 MANUFACTURING LOCATION 2.1.1 Lake Wales, FL. 2.2 EVIDENCE SUBNIITTED: Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service Test Identifier 7161-03 Appendix III 94-084 94-060A 25-7183-6 25-7183-5 25-7214-1 25-7214-5 7161-03 Appendix II Letter Dated Aug. 1, 1994 P0631-01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 R3.894 520109-1 520111-4 520191-1 Test Name/Report Static Uplift Testing TAS 102 & TAS 102(A) Static Uplift Testing TAS 101 (Mortar Set) Static Uplift Testing TAS 101 (Adhesive Set) Static Uplift Testing TAS 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing TAS 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing TAS 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain TAS 100 Physical Properties TAS 112 Static Uplift Testing TAS 101 Static Uplift Testing TAS 101 Date Dec. 1991 May 1994 March, 1994 Feb. 1995 Feb. 1995 March, 1995 March, 1995 ••pec. 1991" .. **A a . •0e *:* .1994 • eo6oG. . ....ruly IWO" 006000 G e0 ••*•4ept.19930•6 .00606 0 o .*Oct. 1994 00 6 .... 00:0 Aug. 1994 Dec. 1998 March 1999 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 3 of 10 Goose. 0 0 Go o 0.G **see .60060 0000.. 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 25-7183 March 1995 Walker Engineering, Inc. Evaluation Calculations Aerodynamic Multipliers January 2007 Walker Engineering, Inc. Calculations Two Patty Adhesive Set April 1999 System Walker Engineering, Inc. Evaluation Calculations Restoring Moments Due to February 2007 Gravity Nutting Engineers 130 TAS 112 January 2007 3. UmTATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with the applicable Building Code. . . .... ...... •••••• •• • •••••• • • • •••••• ••••• •••••• • •• ••••• • • • • •• ••• •••• •••••• • •••••• • • • • • • •••••• 0000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 4 of 10 4. INSTALLATION 4.1 Saxony 900 (Slate, Shake & Split Shake) 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 (lbf) Length-1(ft) Width -w (ft) Saxony 900 Slate, Shake & Split Shake 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - A, (fe) Tile 2L (ft) (ft ) Profile Batten Application Direct Deck Application MonierLifetile Saxony 900 0.289 0.313 Slate, Shake & Split Shake Table 3: Restoring Moments due to Gravity - Mg (ft-lbf) Tile 2":12" 3":12" 4":12" 5":12" 6":12" 7':12" or Profile greater Saxony Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 900 • • Deck •0000• Deck Deck 00•6• Deck Deck 0000•• Deck Slate, 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65 7.55 6.46 7.34 Shake & • • •000+• •00••0 0 • • 00000+ Split 0000 Shake APPROVED NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 5 of 10 0000 Y + • • 0 • •0000• 00•6• 0000•• • 00 0000• •• •• 0000 ••00•• • •••••0 • • • • • • •000+• •00••0 0 • • 00000+ 0000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 5 of 10 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. 19/32" plywood) Battens Saxony 900 Slate, Shake & Split Shake 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 18 Screws 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 2-1 Od Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2-10d Smooth or Screw Shank Nails (Eave Clio) 31.9 31.9 32.2 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Profile Resistance MonierLifetile Saxony 900 Adhesive 31.3 Slate, Shake & Split Shake Profile 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. • •• Table 6: Attachment Resistance Expressed as a Moment - Mf (4-IW7, fees 0 ..;. for Mortar Set Systems Tile for Single Patty Adhesive Set Systems •• • 0• %e: Minimum Attachment Profile ..sees •• Tile MonierLifetile Saxony 900 Tile Application MWn;am Attachment Profile • •Rtolsta$s@. L . MonierLifetile Saxony 900 Pol oam Pol Pro rm .....918.9. .. Slate, Shake & Split Shake Pol oam Pol ProTm 00080940.4 •••• 3 Large add placement of 45 rams of Pol Pro TM. sees•• • 4 Medium add placement of 24 rams of Pol ProTm. :000:0 000.. 0000. s sees• • .••• • 00.00 0000. • .0000 0060•• Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) ..;. for Mortar Set Systems Tile Tile Minimum Attachment Profile Application Resistance MonierLifetile Saxony 900 Mortar Set 43.9 Slate, Shake & Split Shake 5. Tile-Tite Roof Tile Mortar NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 6 of 10 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved". LABEL FOR SAXONY 900 TILES (LAKE WALES FL PLANT LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or.applicable building code in order to properly evaluate the installation of this system. NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 7 of 10 0000 . . 0000 0000.. . . 0000.. .. . 000.. :*see: .0000. 0000 0000.. 0000 . 0000• 00 0000. 0. 0• 0000 •0000• 000000so . 00 . 000000 0000.. 0 . 000000 .. 0000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 7 of 10 NAIL HOLES G PROFILE DRAWINGS UNDERLOCK SAXONY 900 - SLATE 5/32 " (Slate) 141411M, �OM NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 8 of 10 0000.. • . . •0•• 00.00.. 0000 0000.. • . 0000.... 0000 . 0000.... 006.0. 0000.... 0068 • • . •0600. 0000.. . 0000... 0000.... . 0000 0000... . 6 0000 •• 6. •0.. 0000.... 06•.006• 00 • . . . e •6.•.6 0000.... • • .0000. 0000 0000..0000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 8 of 10 NAIL HOLES Note: Available Top Surface Finishes 6. Complete the brushed 6. Right half brushed (shown in drawing) 7. Left half brushed 8. No brush SAXONY 900 - SPLIT SHAKE 1-9/32 " (Shake) NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 9 of 10 0000 6 . . • 0000 000060 .. • .. 0000 • • . 6 6006.. .• . 6066•. . 606000 . . • 0066.. •006 6 . 6 . 0606•. 66.• . •6606 •6.66. . •. 0066• • . 000. . 00 00 0066 .666.6 .66..6 .. 6666 • . • . . 0066. :0066: • •• • 66.6 •*000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 9 of 10 u NAIL HOLES l r � SAXONY 900- SHAKE END OF THIS ACCEPTANCE 1-9/32 " (Shake) NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 10 of 10 0000 . . 0000 0000.. .. 0000 0000.. 0000.. 0000 0000.. 0000 . 0000. . 9 0000.. . .. 0000. . 0000 0000 0000.6 .9.9999 04, . . 9 0 . 0 0000 ...... 0. . .0900. .. 0000*000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 10 of 10 MIAH MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIItS (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.gov/cera 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: 3MTM 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 thC=e, hal been no Mtge • • • . • • in the applicable building code negatively affecting the performance of this product. 6 6 6 6 6 6 •6 6 0 6.6.0 • 00..66 0 TERMINATION of this NOA will occur after the expiration date or if there has been a revis ion cm hange�p0ft. • materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorseftlii of any'product, for • 0:'* sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comp1pVith any:secf on of 0 *" this NOA shall be cause for termination and removal of NOA. • • • 6 6 0 0 0 • • . • • ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida,1 da, 4nd follo*ttl'y the 0.006. expiration date maybe displayed in advertising literature. If any portion of the NOA is displaypd't*n it shaV0bA done 0 0 0: in its entirety. 00:6 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. CMLAMPMDADEC=0QNTY ,.... 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 ProPack® 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.."". •ws• *see:* MANUFACTURING LOCATION: ' •'• .:*:so as . • 06% 1. Tomball, TX. """ ' ..... • odes PHYSICAL PROPERTIES: :see** •o:..' •...•. • .. Prove Test Resulis' " • .' • .' • •.. ' Density ASTM D 1622 1.6 lbs./ft.' • Compressive Strength ASTM D 1621 18 PSI Parallel to rise 0. ..• e • s ••• od•• 12 PSI Perpendicular to rise sees •sods• • Tensile Strength ASTM D 1623 28 PSI Parallel to rise does Water Absorption ASTM D 2127 0.08 Lbs./Ft2 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 C.MILAAMIM�ADE0Expiration 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 Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-1PA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories 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[l] 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 03/02499 520109-2-1 • • 0 • • • • ` LIMITATIONS: 00':00 efe.fe e 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembl�p l@pfire rates .: 2. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & Dn h the*,profjles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard P#AN.2`0. • • 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2 -Component Foam Roolkli& Adh-esive fAH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 0 0 ; Osseo 5. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof tile adheSNe With their:MtO assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. 0000 F —w 2 F'= MS NOA No.: 12-0228.18 C— Expiration Date: 05/10/17 ot►oe co�1 � Approval Date: 05/10/12 Page 3 of 7 fess.* f e..ee. s of see: e •else• 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. 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???) l herein. 0• • • • • • • 0000 .. • 0 Table 1: Adhesive Placement For Each Generic Tile Profile 0000 • Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two PaddpWeighJ per. padcl'yAiri (grams) Flat, Low, Hi Profiles #1 35 •N • �;.. High Profile (2 Piece Barrel) #1 17/side on cap and 34/ an • NIA • Flat, Low, High Profiles #2 24 1411 • Flat, Low, High Profiles #3 P • 00 • NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 0000.. 0000.. 0000.. 0000. 0000. 0000.. 000000 • 000000 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. Nag through plastic cement Umlerlagmerd o 1 101n i . Eareccurse ADHESIVE PLACEMENT DETAIL Z SINGLE PATTY %� Fascia Eave soaves onry: Kip adhesive appro:r. 4 hr. up from weepholes Neil through plastic cement Paddy (Beneath Tile) Undarlayment = __ loin. 2Im - - - Eave Course EaveCiroure Eave course only: Keep adhesive appro:c 41n. up Fascia from weephcles Nag through plastic cement Underlaymend 101n. 21 EaveCcuree Eon course only: KeaP adhesive approx. 4In. up fromweephohre (Beneath Tile) Fesda We'phde Eave closure Drip edge • • 1) Place enough adhesive to achieve 17 to 23 • Optional 209 to: steep Pitch applications • (a0 through p•191Oc I&I square Inches in contact with the pan tge 2) Tum covers upside down. Place adhesive 112 in. *00:00 • • • 7o 1 in. From outside edge of cover die. *00000 • Then Insall the Me. o •.• • • Underlayment ' • 1.. Rom• • • of the ears L �' ` �// top Poon = - Sheathing course cow 119. Ahuttc stand Course of Optional �Mae. Eman am andcovsrfAasares of Pohd+rp mortar flush at save lIrm on IonglhMhral edgesoffge Eave closure Weephols Fasda (mortar shown) 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 Nall through plastic cement Paddy (Berwath Tfle) Nall through Plastic cement Paddy (Beneath Tile) Underlayment Undedayment 71n. iin. Eave Course Facts Fascla Weephole Eave Course Eave closure Eave Closure UP edge NOA No.: 12-0228.18 4 Ty Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 0000 0000 6900:0 • � 6 :0: 0 a 0 •0 000000 .:00:00• 0 0 0 0 000000 :0999: 0000 :•..0: :0.0.0 0 0000 • • 0 0 000 66:06: • 60:*6• .0000•0 0• • 0 0 000.0. • • 0 a •0000• • 00 •000 0000 NOA No.: 12-0228.18 4 Ty Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement paddy Nall through plastic cement Single paddy under the ° (between tile) Undedayment Single paddy between tile V: Paddy 2 in. x 71n. medium ° (under tile) I size paddy eave --------------j-- 6 -_ =- course only ••9099 Sege • •6••. • Single paddy - -- in.x 3 In. g•.•• • g 31 in, under file -- } 9g•ge• g ` 4 in. 2 In. Singgle __ __ Single paddy on 2 in. 41 . paddy on under• layment • under• ° IaymeM Single •99.99 paddy Fascia •go• ; Eave course on top of the Weephole Single paddy 21n. X 7 In. medium Comatose Eave closure on top of Ole size paddy save Up edge Fascia course only Nail through plastic cement Single paddy under the Single paddy between the ° ,P3 in.x 31n. 41n. Single paddy on underlayment 2 n. Single paddy Eave Closure on top of ties 21n. x 7 in. medium Eave Course �i size paddy save 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 .• • V: • • a 66968• •. • 6 . • 069090 ••9099 Sege • •6••. • • ' 9 • 9••• • g•.•• • g • eg Sege* 9g•ge• g • ' ..•. ••Seg• gg 9g• • • • •99.99 •go• ; 699• • • NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 b , . Section C 'Y.),-Uvvrinq Erccr•llesu a hvury t.)ny" Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Section C page (Low Slope Roof Systems) Fill In the specific roof assembly components. if a component Is not required, Insert not applicable (Ma) in the text box. ROOF SYSTEM MANUFACTURER: I POLYGLASS USA Product Approval (NOA): 13-0514.10 System Type: E3 Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (131) Field: 49.2 psf (P2) Perimeters: -82.6 psf (P3) Comers: -124.3 psf Maximum Design Pressure From NOA: -52.5 psf Roof Slope: •5 MAX ": 12 Roof Mean Height: 12 g• Parapet Walls: 0 No O Yes parapet wail Height: Deck Type: —5/8" Plywood— Support Spacing: NPN/A " o/c Alternate Deck Type Existing Roof: N/A Fire Barrier. N/A Vapor Barrier. NIA Anchor Sheet: N/A Anchor Sheet Fastener / Bonding Material: N/A Insulation Base Layer Size & Thickness: N/A Insulation Base Layer Fastener / Bonding Material: NIA Insulation Top Layer Size & Thickness: N/A Insulation Top Layer Fastener / Bonding Material: N/A Base Sheet(s) & No. of Ply(s). (1) GLASS BASESHEET & (1) ELASTOBASE Base Sheet Fastener / Bonding Material: 1-114 RS NAIL & 1-5/8 TIN CAP Ply Sheet(s) & No. of Ply(s): (1) ELASTOFLEX SA V Ply Sheet Fastener / Bonding Material: SELF ADHERED Top Ply: POLYFLEX SA P FR Top Ply Fastening / Bonding Material: SELF ADHERED Surfacing: I N/A SINGLE PLY MEMBRANE: Single Ply Manufacturer/ Type: N/A Single Ply Sheet Width: N/A " 112 Sheet Width: N/A " No. of Single Ply 1/2 sheets:N/A Single Ply Membrane Fastening / Bonding Materia!: N/A FASTENER SPACING FOR BASESHEET ATTACHMENT ❑ SINGLE PLY MEMBRANE ATTACHMENT 1. Field: r87 " o/c ® Laps & D rows r87 " o/c 2. Perimeter. " o/c @ Laps & r47 rows r67 " o/c 3. Comer: � " o/c @ Laps &F rows " o1c NUMBER OF FASTENERS PER INSULATION BOARD: 1. Fleld: N/A 2. Perimeter N/A 3. Comer. N/A. • • Insulation Fastener Type:EA • •• ...... WOOD NAILER TYPE AND SIZE: • • • • • • • • • N/A •••• ••••• Wood Nailer Fastener Type and Spacing: . • • • ++ • • • N/A •• •• •••• s•••:• • EDGE & COPING METAL SIZES: Edge Metal Material: —Galvanized Metg l— • • • • • • • • Edge Size: --W face 26 ga.— • • • • • • Hook Strip Size: —SELECT EDGE METAL HOOK STRIP SIZE EdgeMetal Attachment: 1-1/4 RS NAIL @ 4" OC STAGGERED Coping Material: I —SELECT PARAPET WALL COPING MATERIAL— Coping Size: —SELECT COPING METAL SIZE OR THICKNESS— Hook Strip Size: —SELECT COPING METAL HOOK STRIP SIZE— Parapet Coping Metal Attachment: NA Low SLQPE SA MEMBRANE THIS ASSEMBLY CAN BE INSTALLED ON A ROOF DECK WITH A MAXIMUM SLOPE OF 4112 OPTIONAL TIE-IN TO SLOPED ROOF 112 SHEET POLYFLEX SA P FR POLYFLEX SA P FR ELASTOFLEX SA V FR PLY SHEET EDGE METAL -0- I WOOD DECK ELASTOBASE SHEET SUVIULTANEOUSLY FASTENED OVER A 6-2 GLASS BASE SHEET THROUGH THE WOOD DECK Roof Mean Height: 112 Feet Roof Slope: •5/12 (Ma)imum) Drip Edge: 3" Face - 26 Gauge Gaivanized.Metal Continuous Cleat: • • 0000 0660.. n/a 000000 • • .0.6 . Surfacing:• 0000.. 0000.. • 0000 • 66 n/a •••• • • • G 0• G.D. Membrane (Top Ply): • 6 .. 66 0... ..GOOD 0. Polygiass Polyflex SA -P FR ; 6 • • • • 4.666. • inter Ply Sheet:• • � 0000 • 0 Do Polyglass Elastoflex SAV FR Base Sheet: Elastobase Sheet Simultaneously Fastened Through a G-2 Glass Base Sheet Deck Tvue: MIhMH79ADE MIAMI-DADE COUNT - DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) PRODUCT CONTROL SECTIO: BOARD AND CODE ADMINISTRATION DIVISION11805 SW 26 Street, Roam 208 Miami, Florida 33175-2474 NOTICE OF ACCEPTANCE A) T (786) 315-2590 F (786) 31525 {NO 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 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: Polyglass Self -Adhered Roof System over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or loo ' **.e ' statement: "Miami -Dade County Product Control Approved", unless otherwise note!lllefel. � stand folt6dl. . .66 • RENEWAL of this NOA shall be considered after a renewal application has been ftlhlt'ai1'd there has been nc cl g; in the applicable building code negatively affecting the performance of this product,." • • • • • • 0 0 0 6. 0000 0000. TERMINATION of this NOA will occur after the expiration date or if there has beeoeo 'ao ievision otth$nge in the 0000. materials, use, and/or manufacture of the product or process. Misuse of this NOA as an vMrsement of any prgOA4 for sales, advertising or any other purposes shall automatically terminate this NOA.1?ailurelo co*y fittii any sectio of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number • • • Preceded by the words Miami -Dam County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA# 12-0818.07 and consists of pages 1 through 26. The submitted documentation was reviewed by Alex Tigers. =YED NOA No.: 13-0514.10 Explratien Date: 10/11/17 Approval Date. 09/26/13 Page 1 of 26 Membrane Type: SBS/APP Deck Type 1: Wood, Non -Insulated Deck Description: 19/32" or greater plywood or wood plank. System Type E(1): Base sheet is mechanically attached to roof deck. All General and System Limitations apply. Base Sheet: One ply of Elastobase or Elastobase P fastened to the deck as described below: Fastening #1: Attach base sheet using I 1 ga. annular ring shank and 1-5/8" diameter tion caps spaced 88" o.c. in a 4" lap and 8" o.c. in three eq-ually spaced stamered rows in the center of the sheet. Fastening #2: Attach base sheet using OMG #14 Roofgrip Fasteners and Flat Bottom Plates, Dekfast #14 with Dekfast Galvalume Steel Hex Plates, Polygrip Fasteners #14 with Polygrip Hex Plates or Trufist #14 HD Fasteners with 3" Metal Insulation Plates spaced 12" o.c. in a 4" lap and 12" o.c. in two equally spaced staggered rows in the center of the sheet. Ply Sheet: One or more plies of Elastoflex SA V, Elastoflex SA V PLUS, Elastoflex SA V FR,-„ or Elastoflex SA V PLUS FR self -adhered. Membrane: One ply of Polyfresko SBS SAP, Polyfresko SBS SAP FR, Polyfresko APP SAP, Polyfresko APP SAP FR, Elastoflex SA P, Elastoflex SA P FR, Polyflex SA P, PolyKool or Lomax SA P FR self adhered. Surfacing: (Optional) Install one of the approved surfacing products listed in Table 4 to obtain desired coating or required fire classification. Maximum Design Pressure: -52.5 psf, (See General limitation #7.). sees • . . seess . sees. G . • .. see 000: 00 Ge . 000000 Goss.. . . e sees.. -Soo e s sees.. sees . sees. ee sees. sees sees sees.. 0.0000 0 0 0 o e • . o. . 00000. sees.. G . ..sees .. sees DODO O NOA No.: 134514.10 Expiration Date: 10/11/17 Approval Date: 09/26/13 Page 20 of 26 WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern ofthe top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 121bs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 lbf insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. • • • • 7. Perimeter and corner areas shall comply with the enhanced uplift pressure ri!�#eaents of N (jV areas • F�tener densities shall be increased for both insulation and base sheet as calcul In cofipMMCe wig. Rdafmg Application Standard RAS 117. Calculations prepared, signed and sealed b?y.$ 11orida registered Ppofessional Engineer, R •••••• tp Registered Architect, or Registered Roof Consults (When this litnitabion Is.W referred within this NOA, General Limitation #9 will not be applicable.) ' • • • • • % • • • 60:609 8. All attachment and sizing of perimeter hailers, metal profile, and/or flashing to ion d*igls'shall c fifoim to Roofing Application Standard RAS 111 and applicable wind load requirement' • • 00:0 '•• " • • : • 9. Themaximum designed pressure limitation listed shall be applicable to all roopre topes (fie. field,..,;. perimeters, and corners). Neither rational analysis, nor extrapolation shall be Remained for M1lftded fasteningat enhanced pressure zones (i.e. perimeters, extended corners and corners). (Whdu ill b lmitatioa % speef caW referred within this NOA, General Limitation #7 will not be applicable.) 00:6 END OF THIS ACCEPTANCE NOA No.: 134514.10 Expiration Date: 10/11/17 Approval Date: 09/26/13 Page 26 of 26 TGFU.R14571 -Roofing Systems � f Y Page Bottom See General Information for Roofing Svstems POLYGLASS USA INC 150 LYON DR FERNLEY, NV 89408 USA TGFU.R14571 Roofing Systems Roofing Systems SINGLE PLY MEMBRANE SYSTEMS R14571 Unless otherwise indicated, the Insulation and base sheet are mechanically fastened In place; the membrane Is heat welded in place. (Optional) Noncombustible deck classifications are applicable for use over combustible (15/32 JM? T yt plywood) decks when 1/2 in. (min) gypsum board or 1/4 In. (min) G -P Gypsum DensDeck® oreowd dirddlt over fma::' deck with all joints staggered 6 in. (min) from plywood joints. 00 • 0 00 000.00 0000.. 00. Unless otherwise indicated, in any noncombustible roof deck Classification any UL Classified inlylAtlqn may00be.. utilized underneath a layer of 1/4 In. (min) G -P Gypsum "DensDeck ® Roofboard",'DensDeck Prime® 00;00, Roofboard","DensDeck DuraGuardTm Roofboard" or 1/4 in. (min) USG Corp SECUROCWCW fLoof goafd Type *G. •• •• •..• 0000.• • .• General statement for use of vapor retarders and/or deck/insulation adhesives (NC dedksonlyl;Vijl,gn such •.� vapor retarders or deck/insulation adhesives are acceptable to POLYGLASS they may be-ytilized. :....: .. 0000 "POLYGLASS BASE" , "MODIBASE", "ELASTOBASE T", "Polyglass G2 Base" may be used in lieu of any Type G2 base sheet in any NC Classification. These products may also be used in any C-15/32 Classification In which a generic Type G2 is referenced (i.e. not brand specific). "POLYGLASS Ply 4", "POLYGLASS Ply 6" (Type G1) and "POLYGLASS VENTED BASE" may be used in any NC Classification. References to polyisocyanurate Insulation may include Polyglass Products "POLYTHERM®" and "POLYTHERM® Tapered". "ELASTOFLEX VG" granule surfaced membrane may be used In place of "ELASTOFLEX V" smooth surfaced membrane for existing systems. Acceptable alternates to the membranes listed are given below: TGFU.R14571 - Roofmg Systems 1 •1 ► Insulation: — Polylsocyanurate or polylsocyanurate composite (2 In. min.), glass fiber (7/16 In. min.), perlite (3/4 in. min.) (mechanically fastened or hot mopped). Ply Sheet: — Type G2, hot mopped. Membrane: — "POLYALL PLUS", "POLYRAM PLUS" or "POLYSTEEL PLUS", heat fused. 30. Deck: NC Incline: No Limitations Insulation: — Polylsocyanurate, polyisocyanurate composite, perlite , any thickness, mechanically fastened or hot mopped. Ply Sheet: — Type G2, mechanically fastened or hot mopped. Membrane: — "POLYALL PLUS", "POLYRAM PLUS" or "POLYSTEEL PLUS", heat fused. 31. Deck: 1-1/2 T&G Incline: No Limitation Base Sheet: — Type G2, one or more layers, hot mopped, loose bind or mechanically fastened. Insulation: — Polylsocyanurate, 1.5 In. min. Insulation: — Perilte, 3/4 In. min. Ply Sheet: — "ELASTOFLEX V", heat fused, hot mopped or mechanically fastened. Membrane: — "POLYALL PLUS". 32. Deck: C-15/32 Incline: 2-1/2 Barrier Board: — 1/4 in. (min) G -P Gypsum DensDeck@ with all joints staggered 6 in. from the plywood joints. Base Sheet: — Type G2, mechanically fastened. Membrane: — "POLYFLEX G FR", heat fused In place. 33. Deck: NC Incline: 1/2 9999 . • 9999 9999.. .. 9999 Insulation (Optional): — Polylsocyanurate, glass fiber, perlite, wood fiberetlytombirl'MoAs, any'** thickness, mechanically fastened. • • • • • • • •.: Base Sheet: — Type G2, mechanically fastened. •••• ' Membrane: — "POLYFLEX", "POLYBOND" or "DUFLEX", heat fused in place.• ' • • • • • • • Surfacing: — "300 AFX" Aluminum Roof Coating at 1-1/2 gal/sq. .. .. 9999 900906 34. Deck: C-15/32 Incline: 2 9999.. Insulation (Optional): — Polylsocyanurate, perlite, wood fiber or polyisocyanurate/peritte board, any thickness. Barrier Board: — 1/4 in. (min) G -P Gypsum DensDeck®, mechanically fastened with all joints staggered 6 in. from the plywood joints. Base Sheet: — "ELASTOBASE" (poly/sand), mechanically fastened or "ELASTOFLEX SA V FR BASE" (self adhered). Ply Sheet (Optional): — "ELASTOFLEX SA V FR BASE" (self adhered). Membrane: — "POLYFLEX SA P FR", "ELASTOFLEX SA P FR", "ELASTOFLEX SA V FR" , "ELASTOFLEX SA V FR HT" , (self adhered) or "POLYFLEX G FR", "DUFLEX G FR", "ELASTOFLEX S6 FR", "ELASTOFLEX VG FR", "ELASTOSHIELD TS 4 FR", heat fused. 35. Deck: C-15/32 Incline: 1/2 TOFU.R14571- Roofing Systems s • � Insulation (Optional): — Polylsocyanurate 1.5 In. (min.) with all joints staggered 6 -in. (min.) from the plywood joints. lase Sheet: — Type G2, mechanically fastened followed by "ELASTOBASE", mechanically fastened. Ply Sheet (Optional): — "ELASTOFLEX SA V FR BASE" (self adhered). eemmbrrane: — "POLYFLEX SA P FR", "ELASTOFLEX SA P FR", "ELASTOFLEX SA VG FR" (self adhered) or DUFLEX G FR", "ELASTOFLEX G S6 FR", "ELASTOFLEX VG FR", "ELASTOSHIELD TS 4 FR", heat fused. 36. Deck: NC Incline: 2 Insulation: — Atlas Roofing "ACFoam III" or "ACFoam II" or Hunter Panels "H -Shield", any thickness. Base Sheet: — "ELASTOBASE" (poly/sand), heat fused or mechanically fastened or "ELASTOFLEX SA V FR BASE" (self adhered). Membrane: — "POLYFLEX SA P FR", "ELASTOFLEX SA P FR", "ELASTOFLEX SA V FR HT" , "ELASTOFLEX SA V FR" (self adhered) or "POLYFLEX G FR", "DUFLEX G FR", "ELASTOFLEX G S6 FR", "ELASTOFLEX VG FR", "ELASTOSHIELD TS 4 FR", heat fused. 37. Deck: C-15/32 Incline: 3 Insulation (Optional): — Polylsocyanurate, perlite, wood fiber or poiylsocyanurate/perlite board, any thickness. Barrier Board: — 1/4 In. (min) G -P Gypsum DensDeck®, mechanically fastened with all joints staggered 6 In. from the plywood joints. Base Sheet: — "ELASTOBASE" (poly/sand), mechanically fastened. Ply Sheet (Optional): — "ELASTOFLEX SA V FR BASE" (self adhered). Membrane: — "ELASTOFLEX G S6 FR", heat fused. 38. Deck: NC Incline: 3 Insulation (Optional) : — Atlas Roofing "ACFoam III" or "ACFoam II" or Hunter Panel;•"JI-Shield", any thickness. • • .••••• ••�••• Base Sheet: — "ELASTOFLEX SA V FR BASE" (self adhered). • • 0 * 0 Membrane: — "POLYFLEX SA P FR", "ELASTOFLEX SA P FR" (self adhered), •• ; 0 '9.' : 99900 990.0. 9 0 39. Deck: NC Incline: 1 9999.. 9999 9 099000 9... . 99900 9 0 999999 . 90 99.99 90 900 9 *:so* 900se9 Insulation (Optional): — Polyisocyanurate, glass fiber, perlite or wood fiberboard, any thickness, anY combination, mechanically fastened or hot mopped In place. 090009 Base Sheet: — Type G2, "ELASTOBASE", "MODIBASE" or "ELASTOFLEX V"rmeahanicaity fastene$,00.; Ply Sheet (Optional): — Type G2, "ELASTOBASE", "MODIBASE", "ELAST(j%A �-, "ELIPTOFLE)e S6",' "POLYFLEX" or "DUFLEX" adhered with "2000 M8 PREMIUM", cold process adhesive at 21tb•1-1/2 gal/sq. Membrane: — "ELASTOFLEX G S6 FR", "ELASTOFLEX VG FR", "ELASTOSHIELD TS4 FR", "POLYFLEX G FR" (sand -backed) or "DUFLEX G FR" (sand -backed), adhered with "2000 MB PREMIUM" cold process adhesive at 1 to 1-1/2 gal/sq. 40. Deck: C15/32 Incline: 1 Insulation (Optional): — Polylsocyanurate (1.3 In. min), glass fiber (7/16 In. min) or perlite (3/4 in. min), mechanically fastened or hot mopped in place. Base Sheet: — Two plies Type G2, first ply mechanically fastened and the second ply fully adhered with "2000 MB PREMIUM", cold process adhesive at 1 to 1-1/2 gal/sq. Membrane: — "ELASTOFLEX G S6 FR", "ELASTOFLEX VG FR", "ELASTOSHIELD TS4 FR" or "POLYFLEX G FR" (sand -backed), adhered with "2000 MB PREMIUM" cold process adhesive at 1 to 1-1/2 gal/sq.