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RF-14-2316
BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Miami Shores VillageA Building Department OCT � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 m® Master Permit No.V-,,f4 `23 Sub Permit No. �OOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple Type: Flood Zone: BFE: FFE: City: wj�u scj� State: 8 Zip: Tenant/Lessee Name: Email: CONTRACTOR: Company Address: `Into � City: _ Qualifier Name: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address. City: State: Zip; Value of Work for this Permit: $ Z -S rF !�3 0 ® Square/Unear Footage of Work: 3 Type of Work: ❑ Addition ❑ Alteration ❑ New � Repair/Replace ❑ Demolition Description of Work: a Specify color of color thru tile: w %IT& Submittal Fee $ SO Qj�� Permit Fee $ aG� S o CD CCF $ ' . �`'� C) CO/CC $ m _ Scanning Fee $ ( - 0(D Radon Fee $ -Go DBPR $ q • B �3 Notary $ Technology Fee $ - / Training/Education Fee $ l •)b Double Fee $ 0 �T Structural Reviews $ Bond $ ®' TOTAL FEE NOW DUE (Revised02/24/2014) _ Bonding Company's Name (if applicable) =Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature -- OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Ai e� day of � w 20� by da1y ofd� eeee 20 by ,�'�� `w who is personallyown to who is persona I known to ®r who has produ a � who has produced as •`1PK�B'•., JOANNE KNESKI identification and o ` tqn"#V Public - State of Florida identification and whokd,• oath. JOANNE KNESKI ' ; 'ec" Iwy Comm. Expires Oct 9, 2018 NOTARY PUBLIC• a �' Notary Public - State of Florida NOTARY PUBLIC: Commission # FF 131532 's F �o�. ar; My Comm. Expires Oct 9, 2018 "'::�' Commission #f FF 131532 Sign: Sign: Print: Print Seal: Seal: sssssssssssssssssssssssssssssss sass ss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss APPROVED BY Plans Examiner Zoning 'Structural Review Clerk (Revised02/24/2014) 04 STATE OF FLORIDA a DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD VWAE 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 PALMER, ANDREW N ANDREW PALMER ROOFING INC 3612 BAYVIEW ROAD COCONUT GROVE FL 33133 (850) 487-1395 Congratulationsf-wft this (cense you ecome one o e neary -"'-- " - MIAMI°FL 3157 one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers, from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CCC1326750 'r zfSSUD, 05/26/2014 serve you better. For information about our services, please log onto x :k www.myfloridalicense.com. There you can find more information CERTIFIED ROCyill� °°C3�fi=RRCTt��t about our divisions and the regulations that impact you, subscribe to department newsletters and learn the Departments PALMER,AN more about initiatives. = 9 ANDREW PALMEROF1?aIG Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489-FS. and congratulations on your new license! Expiration date : AUG 31, 2016 L1405260000967 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC1326750 Fhe ROOFING CONTRACTOR Ivamea Delow IS utKI Irltu Under the provisions of Chapter 489 FS. Expiration date: AUG 31; 2016 PALMER, ANDREW N ANDREW PALMER ROOFING INC ,,>. ,;, 9700 -SW 168_STREETY MIAMI°FL 3157 bw �' N ANDRE -3 OP ID: AN CERTIFICATE OF. LIABILITY INSURANCE DATE (M 1011512014 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 MDW Insurance Group Inc 382 Minorca Ave Coral Gables, FL 3 Donald W McCartneyey rygME CT Annmarle McCartney PHONE ac No :305-444 2324 c No): 305-444-4980 ADDRE SS: amccartney@mdwinsurance.com INSURERS AFFORDING COVERAGE NAIC # A INSURERA:Admiral Insurance Co 24856 INSURED Andrew Palmer Roofing Inc 9700 SW 168 St. INSURER s INSURER C: Miami, FL 33157 INSURER 0: PREMISES Ea occurrence $ 50,00 INSURER E; INSURER F: GVVEKAUE5 CERTIFICATE NUMRFR• oMnerrW M11R.80=0 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. LTR TYPE OF INSURANCE KO -Or 10050 NE 2nd Ave POLICY NUMBER MMIDD E� MMIDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR CA00001991001 08/15/2014 08/16/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 50,00 MED EXP (Anyone person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: RPOLICY ❑ JET LOC GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OPAGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL AUTOS OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ ED HIRED AUTOS AUTOS AUT03 PROPERTY DAMAGE Per accident $ $ UMBRELLALU18 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION 1 $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA OTH- STATUTE ER E.L.EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E L DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS.balew DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Roofing Contractor License # CCC1326750 CERTIFICATE HOI_DFR PAMro r AT]nM ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kms . Via'? "it . Issue Date: 11/19/2013 FLOMDA I IV0FR4V. SI IEL-I METAL & AIM CCANDMICNINC CONITR6'1V l VPIS ASSOCIATION, INC - 1 -800-767-3772 a FAX (407) 671-2520 CERTIFICATE OF INSURANCE ISSUED TO: COPY PROVIDED TO: Village Of Miami Shores 10050 Ne 2Nd Ave. Miami Shores, FL 33138-2304 Attention: To Whom It May Concern Andrew Palmer Roofing, Inc. & Palmer & Faria 9700 Sw 168Th Street Miami, FL 33157 Andrew Palmer Roofing, Inc. & Palmer & Faria Painting Corp. This Is to Certify that: 9700 Sw 168Th Street Miami, FL 33157 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND, P.O. Box 4907, Winter Park, FL 32793. COVERAGE NUMBER: 870-033261 EFFECTIVE DATE: 1/1/2014 EXPIRATION DATE: 1/1/2015 LIMITS Workers' Compensation: Statutory - State of Florida Employers' Liability: $100,000.00 Each Accident $100,000.00 Disease, Each Employee $500,000.00 Disease, Policy Limit REMARKS: Non -cancelable, without 30 days prior written notice, except for non-payment of premium which will be a 10 day written notice. Andrew N Palmer as Qualifier, License #RC0067299 This certificate is issued as a matter of information only, is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be constructed as extending coverage not afforded by the policy(ies) shown above .or as affording insurance to any insured not named above. This -provides coverage for Florida policyholders and Florida domiciled employees only. c By: By. Brett Stiegei, Administrator Debra Guidry, CPCU, Un erwriting Manager FRSA-SIF FRSA-SIF 4-1 CMU TIJIK840*W,, M. UPLIFT TEST EXPERTS ." S 7_1V 1-211,014.1 A-1 CONSULTING ENGINEERS, INC ROOF STRUCTURES CONSULTING ON SITE CONCENTRATED UPLIFT LOAD TESTING ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE TAS No. 106 E SPECIFIC INFORMATION Owner's Name: Permit #: Job Address: -� — /�O ���""�/ iZG� Roofing Contractor: �•(� Type of Tile: /�D� ,67 Date installed: _ Approximate Roof Height: /Z feet Roof Pitch: -3 Type of Access to Roof: ✓ Scaffolds Ladder Approximate Square Footage of Roof: L�V -P ft 2 Required Testing Force: 35 lbs. Testing Equipment: F.G.E. 100 Date Tested: Other IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CON- TROL TEST. THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. THIS REPORT SUBMITT Y: Jose A. Martinez P.E. # 031509 A-1 CONSULTI NGINEE INC. Lab. Certification # 07-0306.03 Renews: 01-1224.05 4383 S.W. 70th Ct, Miami, Florida 33155 - Telephone (305)740-9550 - Fax (305) 740-9550 ENGLISH: Cell (305) 609-6388 - SPANISH: Cell (305) 498-9804 � � � ,�i _ , � ___- Owner's Notification Form HVHZ 2010 ( F� MIAMMQADE �r "Delivering Excellence Every Day" SECTION 1524"'. HIGH VELOCITY HURRICANE ZONES-- REQUIRED OWNERS NOTIFICATION FO OFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing con actor 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 item has been explained. 1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the 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 units (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. 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 maintaining this appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may ause 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 roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of. Chapter 15 and .16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida -licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. Owner's/Agent's Signa Contractor's Signature: Property Address: Date: Permit Number: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'$ 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, FI 33138 04 a Re: Owner's Name: Property Roofing Permit Number: Dear Building Official: _(—'\4 \IS L Okla NQ certify that I am not required to retrofit the roof to wall connections of my 7?because: 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 Sou 6 -da Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says thhpt he is the owner for the above property mentioned. Sworn to and subscribed before me this 05 day of zo �4 Notary Public, Sate of Florida at Large ,.o� Y��''�`;�s JOANNE ' ° �s .Notary Pub11C - State .ad s My Comm. EXOM o�616 • When the just valuation of the structure for purpo' of ad val rem taxation is equal to or more than $300,000.0 g waStdof MWk% t�fth FBC nb?a 1 Bunn SFBC. Then you must provide a building application neral Contractor for the Roof to Wag connecti Revised on 5/2112009 9729/2014 Property Search Application - Miami -Dade County OFFICE Summary Report Property Information Folio: 11-3206-035-0060 Property Address: 977 NE 93 ST Owner CHARLES L OSSMAN Mailing Address 977 NE 93 ST MIAMI SHORES, FL 33138-2912 Primary Zone 1100 SGL FAMILY- 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds I Baths I Half 37310 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,115 Sq. Ft Lot Size 13,101 Sq.Ft Year Built- 1951 Assessment Information 2014 Benefit Type 2014 2013 2012 Year 2014 2013 2012 Land Value $24B,919 $165,728 $156,819 Building Value $143,397 $143,397 $160,211 XF Value Exemption Value $5,794 $7,140 Market Value $398,022 $314,9191$$324,170 $264,919 Assessed Value 1 $319,642 $314,919 $324,170 Benefits Information 2014 Benefit Type 2014 2013 2012 Save Our Homes Cap Assessment Reduction $78,380 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MAGEE & HAWKINS SUB PB 51-5 LOT 6 LESS E12FT LOT SIZE 13101 SQUARE FEET OR 17458-2006 17508-2297 1196 4 COC 22418-475106 2004 1 Generated On : 9/2972014 Taxable Value Information 2014 2013 2012 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $269,642 $264,919 $274,170 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $294,6421 $289,9191 $299,170 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $269,642 $264,919 $274,170 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $269,6421 $264,919 $274,170 Sales Information Previous OR Book- Price Qualification Description Sale Page 06/0112004 $388,000 22418-4751 2008 and prior year sales; Qua/ by exam of deed 00000- 11101/1996 $01 00000 Qual by exam of deed I The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http.-1 www. miamidade.govrnfo/disclaimer.asp Version: CFN: 20140680705 BOOK 29330 PAGE 4122 DATE:10/01/2014 08:36:27 AM NOTICE OF COMMENCEMENT HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY A RECORDED COPY MUST Be POSTED ON THE JOB SITE AT TiME OF FiRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA COUNTY OF MiAMI-DADE THE UNDERSIGNED hereby gives notice that improvement 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. �y I . Legal description of property and street address: 2. General description of improvement 3.Owner(s) name and address: off, Lalu -1 Interest in property Name and address of fee simple titleholder d other t an owner): 4. Contractor's name address, and phone number. j tg i 5544 y S. Surety: (Payment bond required by awner from eontractor, any) Name and address: Amount of bond: $ 6. Lender's name, address, and phone number. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7! 3.13(I)(a)7., Florida Statutes: Name, address, and phone number; 8. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Uenor's Notice -as provided In Section 713.13(1)(6), Florida Statutes: Name, address, and phone number: 9. Expiration date of the Notice of Commencement (the expiration date is I year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF -COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENIV MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP ON. IF YOU IN N TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BE/ O CQMMENCING O OR RECORDING YOUR NOTICE OF COMMENCEMENT. 669 attWe ofOwIier or Ow Authorized Officer/Director/Partner/Manager Signatory's Titie/Offlce Print Name WC The foregoing instrumentwasa o ledged before me this day of ` 2OJ4 by g _ aS (type of au tority, eg officer, trustee, attorney in fact) for (name of party on behalf of whom Instrument was executed). Personally Known OR Produced Identification Type of Identification Produced JOANNE KNQFlorIft Print, Type, or ' 4 �I c Notary Pubk - StaSfgnatu e o Notary Public — State of Florida Commissioned 'of Notary Publ Ry Comm• Expires NC21=111114100 40 FF 113522 D tf I N, ` N 92,525, FLO IDA STATUTES. U er nal of p ry I cia a that I have read the foregoing and that the facts stated In It are true to the best of my knowledge and belief. atural Person Signing Above k t qA t:0 6 u n Over for Instructions 0 Florida Building Code 2010 Edition High Velocity Hurricane Zone Uniform Permit Application Form Section A (Gen®ral Inf-b[M tion) Master Permit No. F'7 1119FA NMI ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Process No. ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles J��T .mfr,. OCTA 0 20A 0 Mortar/Adheshre Set Tile ❑ Wood ShinglesiShakes ❑ Prescriptive BUR -RAS 15o AM there Gas Vent Stac Yes❑ NoSff ROOF TYPE Type: Natural❑ LPQXQ ff Re-Rooflng ❑ Recovering ❑ Repair 13Maintenance ROOF SYSTEM INFORMATION Low Slone Roof Area (SF) Steep -Sloped Roof Area (SF) Total (SF) ; • • •" S®atlon B (Roof -Man,) ;•••• • Sketch Roof Plan: • Illustrate all Weis and sections, roof drains, scu�•p -M, ove�gyr scuppers and overflow drains. Include, dimensions of sections and �;s rials, d"9W Identify dimensions of elevated pressure zones and location of pampg�ig.* . . ...r.. N O LU ® Uj t� a:CL ...r.. Florida Building Code 2010 Edition High Velocity Hurricane Zone Uniform Permit Application Form Sectlon D (tee,_Q Slowed Roof vstem) Roof -System Manufacturer: L' Notice of Acceptance Number: �IZOD � Minimum Design Wind Pressures, If Applicable (From RAS 927 or Calculations): PI: �O°9 Maximum Design Pressure Method of the attachment: iAd�XvIA . SteeD Sloped Roof SYjtem Descrip� : - 0000•• 0000•• Deck Type: 00090 • Roof Slope: :U2 Ridge Ventilation? �L) 01 r: N Istener-Type S Spacing: Mean Roof Height:_ dh98, Type pe Capheel ...... ...... 0000 000000 • 0000•• • • • • . • 0000 Vk" e z &ALS (a" & Size Drip 3)'Y,3 Florida Building Code 2010 Edition High Velocity Hurricane Zone Uniform Permit Application Form S® on E (Til® Calculations) For Moment based tle a ystems, choose either Method 1 or 2. Compared the values for M,with the valnes Brom Mt• Uthe Mt values are greater than or equal to the Mr values, for each area of the roof, then the tilt attachment method is acceptable. Method 1 "Moment Based The Calculations Per RAS 127" (p1• 0 z% s 1 =' m NOA (pa;. .z 7L .2g, UO—*Mg: -s q t N d NOA 1% � (ps: lIki .2 x I _. �i3 =A6 • 4Q 1— Mg: �]. q 9 . m hij,%flaq NOA list � Method 2 "SimpMed Tile Calcubdon Per Table Below" R"alred Moment of Resistance (K) From Table Below NOA Mt M,, Requked Moment Resistance *Must be need in conjunction with a list of moment based the systems endorsqbjtlhe • Broward County Board of Rales and Appeals. . • • • For Uplift based the systems use Method 3. Compared the values for F' "tom the • values for F,. If the F' values are greater than or equal to the F,, vab" f%r,.D*b , • am -of the roof, then the tilt attachment method h acceptable. • Method 3 "Uplift Based Tile Calculations Per RAS 1271.. • .... (P1: z 1: z w: m _ — W: :cos B: = Fr,: NOA F'_,._,... (Pz: :1: z w: _,— J — W: z cos 8: a Fra: NOA F' (P3 : z 1: z w: _ ) — W: zeas 8: Fra: NOA F' Where as to 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 F13uilding.Cade • • including the High Velocity Hurricane Zone of the Florida Building Code. "00000 000000 DESCRIPTION: Saxony 900 Concrete Roof Tile • ...... • ....... .• • • • .... • • . LABELING: Each unit shall bear a permanent label with the manufacturer's name or logq,.(%X%tate following • • • ; • statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.... • 0' . RENEWAL of this NOA shall be considered after a renewal application has been filed ant therahas begj1p chant'"": in the applicable building code negatively affecting the performance of this product. • • 09:0 TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall .automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 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 MIAMI -DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DMSION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) yaniamidade.aov/ecamomy 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 F13uilding.Cade • • including the High Velocity Hurricane Zone of the Florida Building Code. "00000 000000 DESCRIPTION: Saxony 900 Concrete Roof Tile • ...... • ....... .• • • • .... • • . LABELING: Each unit shall bear a permanent label with the manufacturer's name or logq,.(%X%tate following • • • ; • statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.... • 0' . RENEWAL of this NOA shall be considered after a renewal application has been filed ant therahas begj1p chant'"": in the applicable building code negatively affecting the performance of this product. • • 09:0 TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall .automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 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 Ca e o : Roofing Sub -Category: Roofing Tiles Material: Concrete Deck Type: 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 4ggl6Or battened nail -on, mortat se�%adhelive set • applications. • .... ...... Saxony 900 -Split 1= 17" TAS 112 Flat profile, intwJahing, high-pressure:.*..: Shake w = 13" extruded concrete ra9f tile ttlyiAwd with thickness = 1-9/32" two nail holes. Fbtdirect deck or battegeA • nail -on, morta?eei o'rZadhesiv.e.i�r ...... applications. "f0.p• jWace available in 4 • different confiVmtiops: • • • •. • • 1. Complete the brushed • ;....: 2. Right half tAlied (shpWii in drawing) 0060 3. Left half brushed 4. No brush Saxony 900 -Shake 1= 17" TAS 1.12 Flat profile, interlocking, high-pressure 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. 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 file profile. NOA No.: 13-0723.05 Maht wywe COUNTY NOA 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 SUBMITTED: 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 MIAMI-DADE COUNTY ® ,...• 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 H 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 10'2 (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 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Dec. 1998 March 1999 NOA No.: 134723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 3 of 10 Masc*Ji,•1.195 • ...... .... •••••. March, 195 • • 00000 0009 ...... • July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Dec. 1998 March 1999 NOA No.: 134723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 3 of 10 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. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file 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 ApplicationsSM;&rds luted... section 4.1 herein. : . 0 • . 3.5 30/90 hot mopped underlayment applications may be installed perpendicular tV jjV wof slapa w4ess stated' •. otherwise by the underlayment material manufacturers published literature. ...%. 3.6 This acceptance is for wood deck applications. Minimum deck requirements.9hidt be in jdm&nce the applicable Building Code. • • •' • • .... NOA No.: 13-0723.05 MIAM�•�A�eCOUN7Y 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 -,% (ftp) Tile X (ft) (ft') Profile Batten Application Direct Deck Application Monierl-ifetile 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":1211 . 7::12" or Profile :000 •• greater••• Saxony Battens Direct Battens Direct Battens Direct Battens Direct Battens' Dfect Q •eps DirX4. 900 Deck Deck Deck Deck •' :b5ck Deck Slate, 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65' 5 •0.46 7. Shake & • • �. • ' •••• Split ..... sseo ... Shake go. of 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 - Mr (ft-lbf) for Nail -®n Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19/32" plywood) Battens Saxony 900 2-10d Ring Shank Nails 30.9 38.1 17.2 Slate, Shake & Split Shake 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 .#8 Screw 30.8 30.8 18.2 2 .#8 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 (Save 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 Table 5: Attachment Resistance Expressed as a Moment M, (ft-lbf) Attachment Resistance Expressed as a Moment - for Single Patty Adhesive Set Systems for Two Patty Adhesive Set Systems Tile Profile Tile Tile Application Minimum iAihment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Tile Tile Application . Minlinum•Attachmenf • Profile 40.4 • • • • • e ResialfiN • Medium paddy placement of 24 grams of Pol ProTm. see* sees MonierLifetile Saxony 900 Adhesive 31.3. ; Slate, Shake & Split Shake e. • • • see* .. s 1 See manufactures component approval for installation requirements. e. e s • • • 2 Dow Chemical TileBond Average weight per patty 13.9 grams. 999600 • • • • ease Pol oam Product Inc. Average weight per a 8 rams, • ' *00000 sees • 0000 000.0. Table 6: Attachment Resistance Expressed as a Moment - for Single Patty Adhesive Set Systems (ft-Ibf) :... :. as .'. 0 sees :00 Tile Profile Tile Tile Application Minimum iAihment Resistance MonierLifetile Saxony 900 Slate, Shake & Split Shake Resistance Polyfoam Pol ProTm 118.9 Polyfoarn Pol Pro rm 40.4 3 Large p ddy placement of 45 grams of Pol ProTm. Medium paddy placement of 24 grams of Pol ProTm. Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-lbf) 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 e ! APPROVED 1 J 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 ..sees sees.. • sees • sees sees.. sees.. sees.. sees.. sees • e..' sees. sees sees.. sees sees. • e sees sees.. sees.. • e sees.. sees.. • e sees.. • sees NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 7 of 10 NAIL HOLES rs PROFILE DRAWINGS UNDERLOCK see* 00.00. SAXONY 900 - SLATE : • • 0000 • • .0 • 5/32 " (Slate) COVERLOCK 0000.. .• P.. 0000.. 0 . . 0000.. 0 . ' 0000. 0000 0000. • 0000 0000.. • . 00.9.. 0000.. � . • ...9.0 0090 . . NOA No.: 13-0723.05 Muvhi�Aoe Cod w rtr Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 8 of 10 NAIL HOLES 1-9/32 " (Shako NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 9 of 10 0000.. 0000.. Note: Available Top Surface Finishes' •• 5. Complete tile brushed 000••�0.. 0000 .•"'. 0000.. 6. Right half brushed (shown In drawing) 9 0000.. 0000.. • 7. Left half brushed *see „ . ' ' • • • • • 0000 .. 8. No brush •••• ••••' 00.090 • • • 000 .000. 00 0000 , 0000.. .• 0 • • • • 0 SAXONY 900 - SPLIT SHAD •0000.. :00006 • • • .s • 0000 goes NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 9 of 10 NAIL HOLES 1i SAXONY 900- SHAKE END OF THIS ACCEPTANCE 1-9/32 " (Shak, 9 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 10 of 10 Y00..• sees.• • • • •• . sees • • • • 0000.. • • . ..•..e •0000• 0000 .. • • • • : *see 0..s.• 0000 0000.. sees 0000. • • •000 0000.. . 0000. . ; 0000.. • 0000.. • ..s.•. ••0• ; 0000 NOA No.: 13-0723.05 Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 10 of 10 IND MIAMI -DADS MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) Mvw,mlayddadk.gov/econom, 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 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:VV=ing Code ••• including the High Velocity Hurricane Zone of the Florida Building Code. . • •••• ; 0000 0 0 so: 00 sees • • sees** s DESCRIPTION: 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 9 00:99 0;sees: sees 9e • • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or log(, •d'ify, state jili jollowiWe e 9 e statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein! •: e • � • e • • • • • • • • • • 00 RENEWAL of this NOA shall be considered after a renewal application has been filed ani th!!r�has been no change • • • e in the applicable building code negatively affecting the performance of this product. e e *0000 0 • e • e: • 00 • • 0009 . • TERMINATION of this NOA will occur after the expiration date or if there has been a revision or ;4&ge in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 12-0228.18 and consists of pages 1 through 11. The submitted documentation was reviewed by Juan E. Collao, R.A. NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 1 of 11 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: • 0000.. Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current X(5%which jisj inoment �. • resistance values with the use of 2 -Component Foam Roof Tile Adhesive AH -160 roof ti"ad1wive. ' 0 0 0 0' 0000:9 MANUFACTURING LOCATION: 000000 0000.. • • • • ; • ' • 1. Tomball, TX. 0 0 • 0 . .0 0000. 0000 .00 • • 0000.. 0000. 0 0 0 0 0 00 00 0000 0000.. PHYSICAL PROPERTIES: :":': ' •. Prove Test . . . 0 0000.. 0 e000..s • Density ASTM D 1622 0000.. 1.6 lbs./ft.3 • • Goo* 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./Fe 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% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 13-0502.02 CMM •DADE Co WT1f Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 01-6739-062b[1] 257818-lPA TAS 101 12/16/96 Trinity Engineering 7050.02.96-1 25-7438-3 SSTD 11-93 10/25/95 P36700.04.12 25-7438-4 04/18/12 P39740.02.12 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 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 • J;JJ8/98 520109-2 •••••• 520109-3 520109-6 ••'••• •"• """ 520109-7 •••••• 520191-1 TAS 101 •.... • 0302/99 • .. • • • 520109-2-1 ...... ..... ..... ' .... .... ...... LIMITATIONS: :":': •. 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Ash enVj for fire raking. 2. All approved products listed herein shall be labeled and shall bear the imprint or idenhfiatle m VVmof the • • • • • manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. 3. 3M"m 2 -Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 4. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 5. Roof Tile manufactures acquiring acceptance for the use of 3M'm 2 -Component Foam Roof Tile Adhesive AH - 160. roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 6. 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. NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 3 of 11 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 RTT1000 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)• 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 1 to 2 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 andminimum patty weight s�ia11�U`e►in accordance with the 'Placement Details' herein. Each generic tile profile requires the."c pla notefdf • jVVpnt herein. • 9999.. 9999 9999.. 9999.. 1.111• . . •f•9 • .. •..9f • 001099 0900 90:99 .0 .• 0000 01.1.09 .99.•. 0 • • • • 90009• • • • 9 • • • • •09.90 90 • 090• • • NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High Profiles All Eave Course 1723 sq. inches 45-65 Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge) 20-25 sq. inches each bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All 3MT' 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. •000.0 NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 5 of 11 ADHE5IVE PLACEMENT DETAIL # 1 Nall through plastic cement Paddy (Beneath Tfle) (when required) Underlayment ° 6' ° t f 10 (n. Battens optional a c `i ' f Eave Course 1�in.- ' �2 In Fascia Eave Closure Nall through plastic cement (when required) (when required) , (Underlayment Paddy (Beneath Tile) Underlayment, 2 in. wide Battens o loln.x 2ln.wida Battens optional .:. ; . a� Fascia Weephole 10 In. 2 (n, Eave closure loin ';, 21n. — Eave Closure Eave Course Fascia Nail through plastic c (when required) Paddy (Beneath tile) , (Underlayment 2 in. wide Battens o optional a Eave Course Fascia Weephole 10 In. 2 (n, Eave closure Drip edge 'AhPROVED Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile 1. Starting at the eave course, apply a minimum 2 (50.8 mm) x 10" (254 mm) x 1" (25.4 nun) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cm) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. •000.0 High Profile / Single Pan:Tile • • • • • • • •• • 0000 • ••••e 0000 0000•• 1. Starting at the eave coluse, apply• a mWmum 2". • (50.8 mm) x 10" (254 mm) x 1" (25.4 min) foarl• • • • paddy onto the underlayment positivnedmas shoveit • • • under the pan portion Otrjle cloaC6't to the • • • • • overlock of the tile beMk 6H. • • • • 6906:6 2. Continue in same manner. Insure aately,17 • (109.7 cm2) --23 (148.4•gj11),square ip" adhes 2• • • contact with the underside of the tile•: • NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 6 of 11 ADHESIVE PLACEMENT DETAIL ## 2 Nall through plastic cement Paddy (Beneath Tile) (when required) Underlayment °(r Paddy (Beneath rile) Underlayment 1� 7 in. Battens optional Eave Course Battens optional 101n. w��1 101n. Fascia Eave Closure Nail through plastic cement (when required) Paddy (Beneath rile) Underlayment " 7 in. 2 In. Battens optional 101n. 2 in. Eave Closure Eave Course Fascia APPROVED Flat/Low Profile Tile Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm) - 12 (77.4 cm) square inch adhesive contact with the underside of the tile. Medium Pro81e / Double Pan Tile Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apgly a minim>�•246(60.8se-6900 x 7" (177.8 mm) x 1" (29.#jhi* foampWy onto the. • underlayment positioned.w."wn and ike pan ....:. portion of the tile closest•to thlooverlock of the til® being set. 096064 • • • • .... . .. ..... 3. Continue in same mann-VI $sUe appAlMately 12�" • .. .. . ...... (77.4 cm2) -14 (90.3 cm s uare inch adhesive contact with the underside of tljt; tile.. • • • (Instructions continued on next page) .... NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 7 of 11 ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) Nail through plastic ce (when required) Paddy (Beneath Tile) IUnderlayment , W 7 in. 2 2 in. Battens optional' F Ea va Course Fascia Weephole 101n. 2 in. Eave closure Drip edge High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm) -19 (122.6 cm) square inch adhesive contact with the underside of the tile. NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 8 of 11 0006660V .. 6 .6666 6 0 6 6666.. 6666 6666.. 666666 6666.. 6666 .. 6 6 6 6666 . .. 66660 6666.. 6666 66660 .. .. 6666 6666.. 6666.. . 6 . . . . 666666 6666.. .00 666666 66 6 6666 NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 8 of 11 ADHESIVE PLACEMENT DETAIL ## 3 tftflrDseg}pi'asticeenerst Paddy tl" iatto d a ft"y4MdffWQ d ttsi�m "tea %6t ate'---Emc> e RatMow PrefileT®e I(when � c � Pafty um the M MadIMPM111071le 1. On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 int (109.7-148.4 cm) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat tile, or under the pan portion of the tile, closest to the underlock for the second course tile to be installed. Insure approximately 8-9 int (51.6-58.1 cm2) of adhesive contact with the underside of the tile. (Instructions continued on next page) 00006. 966009 9999 9 9999 9999.. 0 9 00 99 699006 . 6 9999.. 9999 9999 9999 9990 0 999996 0 9999 9999.. 9999.. 9999.. 69069 9999. 9999.. 9999.. 9999.. NOA No.: 13-0502.02 MU►ffga alnaj COUNTY Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) Hau tim* 0atic a pa ft snider tfte fv&en recurred) �yti>ta MUMS ianar IaddyfvnderdW an xx4In .' COUTM roan2 Ease dere High Wrote irio 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x3/4" (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm) -11 (71cm) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm) - 9 (58.1 cm) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. 0000•• • • • 0000•• •• • 0000 • 0000•• 0000 000080 • 906.0• • • • 0000 6.6.6• •• • • • 0000 • •• 6•69 • • 0000•• 0000 •••9•• • • • • •9 •9 ••9• ••9••• • •••96• • • •000.0 • • • • 0000 NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 1) Place enough adhesive to achieve 65 to 70 sq.ln. Steep pitch applications In contact with the pan tile. A (when required) 2)Turn covers upside down.Place adhesive In to 1 in.from outside edge of covertile. Then install the tile. Ensure 20 to 25 sq. In. contact area. o Underlayment 9 1 1 Sheathing Eave closure (motar shown) Optional point -up Mortar WeepholeFascia Board on longitudinal edges of the Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile Two Piece Barrel (Cap and Pan) Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm) — 70 (451.6 cm2) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive directly on the inner edge of each side of the cover tile. Leave approximately 3/4 (19 mm) to 1" (25.4 mm) from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm) - 25 (161.3 cm) square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required= 2"t{ 0.8 mm) x 4" (101.6 mm) nailgrs Qr the tie wire system ... 9 9 9 using galvanized, stahAess Steel, qrvuMer wire anti compatible nails may'd! filed. ''" 9.9.9 999909 9 END OF THIS ACCEPTANCE NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 11 of 11 999999 9999 9 9 9 **see* 9 9 9 0000 0000. . . 0000.. ..:060 0000. 0000 00000000.. 0000.. . . . . 009000 0000.. 9 .. 0000.. .. . 9999 NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 11 of 11 �s , Mi MIAMI -DARE 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) 'y`� rnian�l ade. °`'/��°n°M 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 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. 0000.. TERMINATION of this NOA will occur after the expiration date or if there has been a rc' jl r;or charAei in the • • • • • materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endwse=nt of*WAyf'oduct....;. for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with•any section :0008: of this NOA shall be cause for termination and removal of NOA. 41 ; •. •. 0000 . 00 0000. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade Cou�ty�l oridayo ldifollo*W by the expiration date may be displayed in advertising literature. If any portion of th XQA is displayed, Merl• • 0 0 0 0 it shall be done in its entirety.0000.. 90866: INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturtf orits distri0fts and* • • shall be available for inspection at the job site at the request of the Building Off cial. 0000 This revises NOA #11-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera, "Ap NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Pagel of 8 ROOFING COMPONENT APPROVAL Cateeory:, Roofing Sub-Cateeory: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous, rubberized asphalt underlayment 6518" x 3'3 3/8" waterproofing membrane, glass fiber reinforced Manufacturing Location 60 mils thick with polyolefinic film on the upper surface for #2 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 3533/8" 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 tile underlayment. Polystick TU Roll: TAS 103 and A heavy granuled surface self adhering, APP underlayment 32'10" x 3'33/8" 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 Roll: TAS 103 and A rubberized asphalt self -adhering, glass- underlayment 65' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing (Surface Printing) 80 mils thick membrane. Designed as a metal roofing and roof Manufacturing Location tile underlayment. #1 & #2 Polystick TU P Roll: TAS 103 and 0000.. 0000.. A rubberized asphalt vwaterproofingjmambrane, .' underlayment 32'10" x 3533/s" ASTM D 1970 glass-fiber/polyester peirifmced, with tigranular• • • • Manufacturing Location 130 mils thick surface designed for Age ft§ t tile roof* • . , •; 0000 #2 .. underlayment. ' 0 ' • 0000 .. 0000. Polystick Tile Pro Roll: TAS 103 and 00.00. 0000 0000. 9 A rubberized asphalt%tlit2dhering6glaMs- • • • •; • Manufacturing Location 61' x 3'33/8" ASTM D 1970 fiber/polyester reinf&Ud Wterproofi'ng • #2 60 mils thick membrane. Designedas a metal reef ug -and roof•' 0 tile underlayment. .. : • • • • • . 0090 9 9 of% Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass - Manufacturing Location 61' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and A rubberized asphalt self -adhering, polyester Manufacturing Location 65'8"x3'3-3/8" ASTM D 1970 reinforced waterproofing membrane. Designed #2 60 mils thick as a a roof tile underlayment. MANUFACTURING PLANTS: 1.Hazelton, PA 2.Winter Haven, FL EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report 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 I 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 P40390.08.12-1 TAS 103 & TAS 110 08/06/12 P40390.08.12-2 ASTM D 1623 08/07/12 P40390.10.12 ASTM D 1970 10/03/12 PRI Asphalt Technologies PRI01111 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 :JW:2/06 PUSA-055-02-02 • • TAS 103• • PUSA-083-02-01 • TAS 103 666006 •;2/10/07 •6Q4(30/08 PUSA-089-02-01 TAS 103/ASTM D4798 & GUS 07✓06/09 Momentum Technologies, Inc. JX20117A TAS 103/ASTM D4798 %0"1 ;X4/01/08 RX 14E8A TAS 103/ASTM D4798 & "?35 • 1 ?/09/09 DX23138B TAS 103/ASTM D4798 & WSS • 602/18/10 DX23D8A TAS 103/ASTM D4798 Bj5 061/18/10 • • s • 6666.. 6666.. 6666.. 6666. •6666 6666.. • • NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non -insulated Base Sheet: One or more plies of ASTM D 226 Type H 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-V2' and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. MIAM1•DADE 0U NOA No.: 12-0713.02 ... Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 4 of 8 • •esee• *00 .• • .... • • sees • •• sees• sees•• sees sees• •• •• •ess sees•• • sees!• • • • • • • !sees• sees•• • • • sees•• •• • sees • • • see• MIAM1•DADE 0U NOA No.: 12-0713.02 ... Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof tile systems and quarry slate roof assemblies. Polystick IR -Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. Polystick TU Max may be used in roof tile systems only. 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) MTS IR -Xe TU TU Plus TU P Tile Pro Dual Pro TU Max Winter Haven,FL. 180 180 180 180 180 180 180 90 Hazelton, PA. N/A 30 30 +__180 N/A N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU, TU Plus, Tile Pro and TU Max may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR -Xe, and Dual Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies stall &-as follows: (See Table Below) • .. 0000 Tile Profile Polystick MTS Polystick IR -Xe Polystick TU,0"� Polystick TU Plus, TU P, T4%.: AVIS E. 0.... 0000 Pro .. Flat Tile Prohibited without 5:12 No limitation No rMation battens Profiled Tile Prohibited without Prohibited No limitaticla NQ limitation battens 1 0 :09000 .... 0000. 0000. 0000.. 0000.. 00 0 66 The above slope limitations can be exceeded only by using battens and counter battens in accordOw with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. 0000 NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus, TU P, TU Max, 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, TU Max, 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, TU Max, 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 -Dae Voynty l roclucl Conlrol • • • Approved" or the Miami -Dade County Product Control Seal as shown below. • • • • • • • . • , 090.96 sees 009060 MIAMI•DADE COUNTY of**** s • • 0099 9e e 9 • 0089 9 9s 00:69 BUILDING PERMIT REQUIREMENTS: 00:06: 009• Goo** 09 99 sees 000909 Application for building permit shall be accompanied by copies of the following: • • • . . :000:0 1. This Notice of Acceptance. • 000009 9 2. Any other documents required by the Building Official or applicable building code in ditler to prope tyWaluatt :0900: • • the installation of this materials. 0900 •e NOA No.: 12-0713.02 CLAMI-UT DAD,COUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: I. 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, 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 file 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'/a"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the Polystick material of like kind s'hc Zbe set and hand rolled in place over the area needing such repair. Patching membrane sha4ltoIA. ninA 9f 6 inches in either direction. The repair should be installed in such a way so that watgr w 4ggrun pity*l to or *..0:0 over the top of all laps of the patch. 0 0 0.0 0 0 0 0 000000 10. All self -adhered membranes must be rolled to ensure full contact with approved subsVatos. Po�+glas9 re uires a minimum of 40 lbs for a weighted roller for the rolling of the field mem ..0. Hand e s are q � g i71�i�. rA�� x 00:00' acceptable for rolling of patches or small areas of the roof. Brooming may be use4 xhAxt slope pxvhibits *Sao:* rolling. 000000 0 .0 11. All approved substrates should be dry, clean and properly prepared, before any apglicalon of 16. y s;ek 0 0 0 0 membranes commences. An approved substrate technical bulletin can be furnished a1pbr:request..03S :9000: '000. recommended to refer to applicable building codes prior to installation to verify acceptable subs WeAes. 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.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 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 (NBCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LE IITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 0000.. .. 0000 0000.. 0000 0000.. 0000.. 0000.. 0000 .• . . . 0000 . .. 0000. . . ,0000. 0000 0000 . . 0000.. 0 . , . .0..0. 0000.. 00 . 0000 . . NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8