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RF-15-216
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227441 Scheduled Inspection Date: March 02, 2015 Inspector: Rodriguez, Jorge Owner: INVESTMENTS LLC, MELBORN Job Address: 50 NE 93 Street Miami Shores, FL Project: <NONE> Permit Number: RF -1-15-216 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number (786)247-7067 Parcel Number 1132060130180 Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247-7067 6uuaing uepanment comments TILE RE -ROOF. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 27, 2015 For Inspections please call: (305)762-4949 Page 8 of 27 C R71 PEC aIM E �w oAml4kF ell 7066 SW 44ft Strut Miami, FL 33155 Tel: 786-396-9179 Fax: 7MSOO-2627 alroofiins ion6amail.com LAB CERTIFICATION #10-0512-01 SITE SPECIFIC INFORMATION UPLIFT TEST - TAS #106 Roofing Contractor MG EXCELLENCE SERVICES Job Address 50 NE 93 ST MIAMI SHORES, FL Owriees Name MELBORN INVESTMENT, LLC. Type of Tile BARCELONA 900 Approximate Roof Height 12' feet Roof Pitch 3112 Approximate Square Footage of Roof 25 ftz Date Tested 03102115 Number of Tests Contact Name JOSSIF Permit # FR115216 Date Installed Type of Access to Roof LADDER Required Testing Force 35 Lbs Testing Equipment F.G.E.100 Phone # 71246.8896 LOCATION # OF TEST PASS # OF TEST FAIL Corner 6 Tests 6 Pass Test U Fail Perimeter 8 Tests 8 Pass Test 0 Fail Field 30 Tests 30 Pass Test 0 Fail Ridge 11 Tests 11 Pass Test 0 Fail TOTAL 55 Tests 55 Pass Test 0 Fail IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUAUTY CONTROL TEST, THIS TAS. 1.06 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTRY, WITH NO DEVIATIONS THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS. THIS REPORT IT IS NOT VALID FOR INSURANCE CLAIMS. A P A-1 Engineering Inspection Services, Inc 7066 SW 44 Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 a1 roofinspectionggmail.com LAB CERTIFICATION # 14-1215.04 03/02/15 PERMIT. # FR115216 50 NE 93 ST MIAMI SHORES, FL. 7066 SW 44`x' Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 T T T T T T T T T T T T T T �. ,� T T T T T T T T T T °� T T_ 7066 SW 44`x' Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 RE: Permit # VF 11� 2J p Miami shores Village Building Department INSPECTION AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 0i 7 6�I_S IO. t�i� �AVO licensed as a (n) Contractor I Engineer I Architect, (Print name and cirde License Type) FS 468 Building Inspector License #: UQ On or about OJ7,0 (� `t..� L , I did personally inspect the roof deck nailing and (Date 8 time) -('Secondary water barrier work at V 4113 .S T' 14 (A 14 r ' E3 , (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.84 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this Z® day of�� Notary Public, Sate of Florida at Large . I� I A C U� $0, "1', MARIA CRUZ i, MY COMMISSION #EE215059 ',?F;��o?°°• EXPIRES July 9. 2016 (407) 39: x3153 FloridallotaryService.com *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection Revised on 5/21/2009 BUILDING PERMIT APPLICATION Miami Shores Village Building Department o 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 UBY:. J Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2010 Master Permit NO,-1::�t " Is'�� Sub Permit No. F—] BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL F-] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �� i "� q3 r� ��, City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //I— '�C'1611 _ el -5 _19 p Is the Building Historically Designated: Yes NO Occupancy Type: Load: - Construction Type: Flood Zone: BFE: FFE: nn CLC. OWNER: Name (Fee Simple Titleholder): 'r t� Phone#:���'� Address: (SC 2 C)b City: lf'-eAAState: rL_A Zip: 33 Tenant/Lessee Name: �— Phone#: Email: ►l -Q-i ci4-10A a 0, M a l , co VV-) CONTRACTOR: Company Name: , - 'y J S' hoo' : 7141-,--,Y7-7&7 Address: f0 City: L State: Zip: — Qualifier Name: 7 r I 7/z/_cPhone#:- 7 State Certification or Registration #: �eCertificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address:___ _.City: State: __ Zip: Value of Work for this Permit: $� 0 _ Square/Linear Footage of Work: Type of Work: ❑ Addition F/ Alteration El New Repair/Replace ❑ Demolition Description of Work: _ /-C 'LIQ Specify color of color thru tile: Submittal Fee $_S� -C�_ Permit Fee $ -L�i) CCF $, Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews (Revised02/24; 2014) CO/CC $ _ Notary $ Double Fee $ Bond $ ` 03 TOTAL FEE NOW DUE $ I hJ ��- D 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 r ns ection fee will be charged. Signature OWNER or AGENT The foregoing ir-9trument was acknowledged before me this f day of _ ✓ 20 �� by ',.,1/�� ho is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Thefo s acknowledged before me this r, 201 L by me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seai: MY COMMISSION #EE69892 Seal: ,a..�� EE o MY COMMISSION #EE69892 EXPIRES: MAR 0?., 2015 EXPIRES: MAR 02, 2015 ! Bonded through 1 st State Insurance Q„ � Bonded through 1 st State Insurance APPROVED BY (Revised 02/24/2014) Plans Examiner Structural Review Zoning Clerk GARCIA, MICHEL M,G. EXCELLENT SERVICES CORPORATION 3603 W 64 ST HIALEAH FL 3301 Iretulations! With this license you become one of the nearly, million Floridians licensed by the Department of Business and , Every day we work to improve the way we do business in order to serve you better. For information about our services, please log or WW .mytlofidalicense.com. There you can find more informatiot about our divisions and the raonlatinmit thm Imnnr4 ,rn. x —k a— Our mission at the Department is: License Efficiently, Regulate Fairly. We constantlyy strive to serve you better so that you can serve your customers, Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE ISSUED., 06/1812014 DISPLAY AS REQUIRED BY LAW SEQ # L1406180001044 2015 details -Business Tax Account MG EXCELLENT SERVICES CORPORATION - _ Page 1 of 1 Tax Collector Home Search Reports Shopping Cart Please do not include any special characters in the name, address, and e-mail field such as #, &, hyphens, comma, dashes. We have moved. Our new address is: 200 NW 2nd Ave, Miami, FL 33128 The information contained herein does not constitute a title search or property ownership. 2015 6EXCELLENT Business Tax Account #6665302 Account details Account history 2015 2014 2013 2012 1 2011 2010 Paid Paid Paid Paid Paid Paid Account number: 6665302 Owner(s): MG EXCELLENT SERVICES Business start date: 07/0112010 CORPORATION Business address: MG EXCELLENT SERVICES 180 E 19 ST CORPORATION HIALEAH, FL 33010 360 W 64 ST Mailing address: MG EXCELLENT SERVICES HIALEAH, FL 33012 CORPORATION Physical business location: HIALEAH MICHEL GARCIA PRES 180E19ST HIALEAH, FL 33010 Receipts :. Receipt 4437M Paid 2014-09-19 $45.00 Contracting 10/01/2014 NAICS code: Receipt #0221-14-005045 Print SPECIALTY BUILDING —09/30/2015 238990 this bill CONTRACTOR Units: 1 Additional documentation required: CCC1328452 StatelCounty License or Certificate https://www.miamidade.county-taxes.com/public/business tax/accounts/6665302 1/30/2015 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) _01126/2015 CERTIFICATE_ THIS IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO"RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ..................._ .... IMPORTANT: if the certificate holier is an ADDITIONAL INSURED, the poiicy(€es( must be endorsed. If SUBROGATION 13 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _...... - PRODUCER _........ ... ....I CONTACT.............. NAME: ".. GRICEL Insurance Consultants, inc. 'n"tc°, No,.Ex€} {305)228 8988 i FAx 305)228 8969 9880 S.w.40th Street MAIL _., _t?!D, No} {,..._ ADORES.$: gric0@ ..... @comcast.net Miami, FL 33165 , g(icel5620@comcast.net INSUR£R(S) AFPORDING COVERAGE_ I NAIC 0 Phone (305)228.8988 Fax {305)228-8969 wsuRERA UNITED SPECIALTY INSURANCE COMPANY i ......... . INSURED " MG EXCELLENT SERVICES CORP iNSgRkR.0..:......................._ ....... . .......... 2471 NW 67 St INsuRERD.;... MIAMI FL 33147- INsuR£R E i _.... ............. ......._......._...___...._.....-.-...................--.._............._-.,._.._`....-...... _... ................i_INSURER F: _� _.. ------ COVERAGES CERTIFICATE NUMBER: T REVISION NUMBER: ..THIS IS TO CERTIFY THAT THE POL€C€ES OF INSURANCE LISTED BELOW HAVE BE _..._._.__ EN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POIIGY PERIOD INDICATED, NOTWITHSTANDING ANY REOU€REMENT, 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. LTtt _ .................................. DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ROOFING CONTRACTOR LIC #A CCC1328452 ........... .. ...... .. CERTIFICATE HOLDER..-., CANC......... _._..... ..........._..... CITY OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES FL 33138 ACORD 25 (2014/01) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE �._......._........ ........... ._.._..... _..:k88-20014 _.._..._............, .............. _ ...._........... _......... .. _.. _.... __......_..._.......... i ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ___jrPFINSURANCE 40V�R INSR<.yVyD ... _...... POLICY NUMBER........ .___ i POLICYEFF 1MMIDDIYYYYj..(MMIDI)/YYYY I POLICYEXP j _... LIMITS GENERAL LIABILITY I j F EACH OCCURRENCE. _,1_1,000,000.00 ^ �- C COMMERCIAL GENERAL LIABILITY ! i DAMAGE TO RENTED 000.00 j PREMISES.(Ea ocwrren ) $1,000,000.00 A CLAIMS -MADE (�j OCCUR N CGD000005838-01 01/13/2015 I 101/13/2016: ?MED EXP (Any one person} $ 5,000 00 ..... . ...... .. PERSONAL a ADV INJURY $ 1,000,000.00 ......... C ... .. _.. _..... ....... ;_.GENERAL AGGREGATE__._.;_$..2,000,000.00 GEN L AGGREGATE LIMIT APPLIES PER: Ji PRODUCTS -C AGG I $ 2,000 000 00 I. J POLICY L. I i JECDT :1 Loc $ AUTOMOBILE LIABILITY ! ... COMBINED SINGLE LIMIT i •-- ANY AUTO _ ,(Eaaccldent)... ... $.... ... . ALL OWNED tt SCHEDULED J AUTOS ( BODILY INJURY (Per person) $ ......... ....... ................. BODILY . ._ .I AUTOS NON OWNED I..1 MIRED AUTOS IJ AUTOS INJURY (Per accidenq $ PROPERTY DAMAGE UMBRELLA UAS ]OCCUR EACH OCCURRENCE $ l EXCESS LIAR J ....... ._ I _J CLAIMS -MADE i AGGREGATE' $ 7 I_J DED . I RE- I : WORKERSENTION$ COMPENSATION AND EMPLOYERS' UAB IUTY Y! N — ' r_. - --- PER ....:!.STATUT£.........:,:<,...ER......:.............................................. ANY PROPRIETORIPARTNERlE? XECUTIV OFFICERIMEMBER EXCLUDED N / A I i E.L. EACH ACCIDENT ! $ ...................................._..............L......._._ _.................._._........ (Mandatory In NH) yes, descrlbeunder E.L. DISEASE - EA EMPLOYE $ -... ....... .......... .... .........._._.......-............ iIf ._........ DESCRIPTION OF OPERATIONS below ............. ......_....._ _ ............. .._ _. ...._ �.._._ 7 ......... _..__..... .......... . .. ...L....... .......... �.. ..._.._.. .._,. .... ..... ...... _...... ......... ....... E L DISEASE - POLICY Lit $ .. _� .�.. .................................. DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ROOFING CONTRACTOR LIC #A CCC1328452 ........... .. ...... .. CERTIFICATE HOLDER..-., CANC......... _._..... ..........._..... CITY OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES FL 33138 ACORD 25 (2014/01) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE �._......._........ ........... ._.._..... _..:k88-20014 _.._..._............, .............. _ ...._........... _......... .. _.. _.... __......_..._.......... i ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 'ACC)RVCERTIFICATE OF LIABILITYYY) INSURANCE DATE 1 /22/2015 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(ies) 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 INSURANCE TO GO INC CONTAC7 NAME: ARLENE VALENTI FAX 10651 W OKEECHOBEE RD STE 203 PHONE No. Exit: 305R9Rn99d .. . HIALEAHrnJUKt:K FL 330189999 INSURED 5 AFFORDING COVERAGE NAIC # INSURER A: FWCJUA M.G. EXCELLENT SERVICES CORP INSURER 8: 2471 NW 67 STREET INSURER C: MIAMI FL 33147 INSURER D: FEIN:205418976 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 150122004 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED REVISION NUMBER: 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 EXCLUSIONS INSR AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP POLICY GENERAL LIABILITY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 0OCCUR G O PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENTAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC E PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO Ea accident $ ALL OWNED SCHEDULED BODILY INJURY (Per person) $ AUTOS AUTOS NON -OWNED BODILY INJURY Per accident) $ ( HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident) $ UMBRELLA LIAR OCCUR $ EXCESS LIARCLAIMS-MADE EACH OCCURRENCE $ DED RETENTION $ AGGREGATE $ WO KERS COM ENSATION $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� 2853C92A OFFICE/MEMBER EXCLUDED? N N I % TORY LIMITS ETH - R A (Mandatory in NH) 2/19/2014 2/19/2015 E.L. EACH ACCIDENT $ 1 0. If yes, describe under E.L. DISEASE - EA EMPLOYE $100000.00 E.L. DISEASE -POLICY LIMIT $ 500,000,00 O DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more is space required) CERTIFICATE HOLDER CANCELLATION Miami Shore Viallage 1050 NE 2nd ave 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 Shore FL 33138 PhoneNumber 305-826-8005 AUTHORIZED REPRESENTATIVE('" /' 4, i>,�P ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I Sindia Alvarez From: Arlene <arlene@instogous.corn> Sent: Monday, February 02, 2015 11:11 AM To: Sindia Alvarez Subject: RE: MG EXCELLENT SERVICES CORP Attachments: Arlene Valenti.vcf Hi He is covered for roofing only. Certificate is legit. Thank you, From: Sindia Alvarez [mailto:Alvarers(!'P)miamishoresvillage.com] Sent: Monday, February 02, 2015 10:25 AM To: arlene@instogous.com Subject: MG EXCELLENT SERVICES CORP EM30=# Sindia Alvarez 1 Permit'Clerk Miami Shores Village Building Devart),nent 10050 NE 2 Ave Miami Shores Village FL 33138 Office: 305-795-2204 Ext: 4852 Fax: 305-756-8972 www.miamishoresvillage.com From: Kmbh552(a)miamishoresvillacie.com rmailto:Kmbh552(amiamishoresvillage.com] Sent: Monday, February 02, 2015 6:29 PM- To: Sindia Alvarez Subject: Message from KMBT—0552 FWq,�ILIA FLORIDA WORKERS COMPENSATION R t JOINT UNDERWRIT'NG ASSOCIATION, INC. WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY QUOTE PROFILE POLICY NUMBER: (GFR13UB-2853C92-A-14) INSURER: FLORIDA W.C. JUA INSURED'S NAME: M.G. EXCELLENT SERVICES CORP CLASSIFICATION LOCATION 001 01 FEIN 205418976 ENTITY CD 001 M.G. EXCELLENT SERVICES CORP 2471 NW 67 STREET MI AMI , FL 33147 SIC CODE: 17G1 NAICS : 238390 PLUMBING NOC & DRIVERS /HEATING, VENTILATION, AIR- CONDITIONING AND REFRIGERATION SYSTEMS -INSTALLATION, SERVICE AND REPAIR & DRIVERS /kOOFING-ALL KINDS & DRIVERS PREMIUM BASIS ESTIMATED TOTAL ANNUAL CODE REMUNERATION 5183 5537 5551 "iS l ONLY 04911110Nri IF ANY 41 600 viol; DATE OF ISSUE: 12-24-13 WC ST ASSIGN: FL 013994 RATES ESTIMATED PER $100 OF ANNUAL REMUNERATION PREMIUM 5.59 7.63 18.03 7500 Page i of Detail by Entity Name Florida Limited Liabili!y Company MELBDRNINVESTMENTS LLC Filing Information Document Number L14000194821 PEkE|NNumber NONE Date Filed 12/24/2014 State FL Status ACTIVE 19495B|GCAYNEBLVD 606 AVENTURA.FL3318O MkEBRAAAMM 1O495B|SCAYNEBLVD 606 AVENTURA.FL3318O Registered Agent Name & Address BORNSTE|N.YON| 19485B/SCAYNEBLVD 606 AVENTURA.FL3318O Authorized Person(s) Detail Name &Address Title AMBR 80RNSTE|N.Y0N| 194958|8CAYNEBLVD SUO AVENTURA, FL 33180 Annual Reports NoAnnual Reports Filed Document Images 12124/2014 -- Florida Limited Lia ifity View image in PDF format Page I of 2 :uppers mm U" Y_ Ivry UFMK s. IIAA41W tar of abnmhsd nn,1m1111ra u Ana us 4pw%ml%wm sigu wwY id Lwmfinn elf nanrnwfs_ Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof Systenil••'; 0000.. 0000.. Roof System Manufacturer:Y? Product Approval Number:–/,")- ... °.. 0000 .. .... Minimum Design Wind Pressures, If Applicable (From RAS 127 or CaF*culati+nns):• ' • 0000.. fee . . ��, /� P2 .. 0 _ 000 Maximum Design Pressure Product Approval Specific System: Jj"' % Method of Tile Attachment: U Steep Sipped System Description Deck Type Roof Slope: : 12 Ridge Ven;i tion? .0000. 0000. 0 0000 . . 0000 000.0 . . ..... 00.00 0 : I Sj Barrier: \ Fastener & Spacing:(j hesive Type: Type Cap She6t: ,.- s41� Roof Covering - Mean r Mean Roof Height: > / �� Type & Size Drips Edge: '—' Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form For Moment based tile systems, choose either Method 1 or 2. Compare the %tries • * - for Mr with the values from Mf. If the Mr values are greater than ore ua , j q lt4ohe Mr ::.*o values, for each area of the roof, then the tile attachment method is acce0liable. 0.... ...... . Method 1 "M ment Based Tile Cai lations Per RAS 127" ' '..... xA. r (P, - - Mg: 5 = Mr, Product ApprorlaPM' 37... (P2' x �_ - Mg: Mr2 Product Approval M pp f (Ps: x A ., f _ § - Mg: = Mrs 3> Product Approval Mf 3 + Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below d�,a`- Product Approval Mf J e ry Z M Re uired Moment Resistance* Mean Roof Height --lo. Roof Sloe 15' 20' 25' 30' 40' 2:12 34.4 36.5 Section E 42.2 3:12 ' 34.4 36.0 (Tile Calculations) 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 For Moment based tile systems, choose either Method 1 or 2. Compare the %tries • * - for Mr with the values from Mf. If the Mr values are greater than ore ua , j q lt4ohe Mr ::.*o values, for each area of the roof, then the tile attachment method is acce0liable. 0.... ...... . Method 1 "M ment Based Tile Cai lations Per RAS 127" ' '..... xA. r (P, - - Mg: 5 = Mr, Product ApprorlaPM' 37... (P2' x �_ - Mg: Mr2 Product Approval M pp f (Ps: x A ., f _ § - Mg: = Mrs 3> Product Approval Mf 3 + Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below d�,a`- Product Approval Mf J e ry Z M Re uired Moment Resistance* Mean Roof Height --lo. Roof Sloe 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 2. �' 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compare the values for F with the values for Fr. If the F values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P,: x 1: = x w:= _) - W: x cos 0: - = Fr, Product Approval F' (P2: x 1: = x w:= _� - W: x cos 0: - = Fre Product Approval F (P9: x 1: = x w:= _) _ W: x cos 0: - = Fr, Product Approval F Where to Obtain Information Description Symbol Where to find Design Pressure Mean Roof Height P1 or P2 or P3 H RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Job Site Roof Slope B Job Site Aerodynamic Multiplier A Product Approval Restoring Moment due to Gravity Ma Product Approval Attachment Resistance M, Product Approval Required Moment Resistance Mr Calculated Minimum Attachment Resistance F- Product Approval Required Uplift Resistance F, Calculated Average Tile Weight W Product Approval Tile Dimensions I = length W = width product Approval All calculations must be submitted to the Building Official at the time of permit application. SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to this section, it is the responsibility of the roofir%. r*Mtpctor tP provide the .' owner with the required roofing permit, and to explain to the owner the content of thiSSertjgn. The l3NiNlons ot. •.:. Section R4402 govern the minimum requirements and standards of the industry for r9Q44gsystem installations.* . Additionally, the following items should be addressed as part of the agreement betmaan the owner and the: 0696: contractor. The owner's initial in the adjacent box indicates that the item has been eicplained. • _ • • • • • • • • Aesthetics -Workmanship: The workmanship provisions of Section R4402 are for the pOf�pose of•"';' &6_iL the roofing system meets the wind resistance and water intrusion perforrr]MVndards. Rbsthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues tuGh 1s color' or architectural appearance, that are not part of a zoning code, should be addressed as4n of He agreement:....: between the owner and the contractor. • • • • • • 2. Renafling Wood Decks: When replacing roofing, the existing wood roof deck may have to be enailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system,) Y'd 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. Y/9 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. This provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the buildingmay not drain well an y d 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 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 Sections R4402, R4403 and R4413. J 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. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Exception: Attic spaces, d igned by a Florida licensed engineer or registered architect to eliminate the attic venting, venting OWknot beVequired. 6aq7_,_ is Signature Date Con actor' Signature Property Address Permit Number 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. DESCRIPTIONS P..Qlyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA #11-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. ' APPROVED NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 1 of 8 see* • . . •••• .000.0 MIAM 6 0 ale IAMI COUNTY • PRODYCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 6 * T180l SW 26 Street, Rom 20:.6.6 i BOARD AND CODE ADMINISTRATION DIVISION 6 0 6 0 %iami, Flprida.33:75-2473 ' T (MT315-2590 F'(1861315-2591''' NOTICE OF ACCEPTANCE (NOA) 0i'vti0ripian"d�de.'g°`/�e"°°"'ti "" Polyglass USA Inc. 0000 ..., 0000.0 :06:0:0 150 Lyon Drive 6 9 :...0. 6090•6 Fernley, NV 89408 :99000 ; ;..66; .'6 6 SCOPE: • 6 6 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. DESCRIPTIONS P..Qlyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA #11-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. ' APPROVED NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 1 of 8 Polystick Tile 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. 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. rt,Mi•[�ape courm NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 ROOFING COMPONENT APPROVAL • • • Category: Roofing • • • • • • ...... Sub -Category: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen ."". •• PRODUCTS DESCRIPTION: • Test Produet • Product Dimensions Specification • Descgipti0.p • • • • • • Polystick MTS Roll: TAS 103 A homogeneous, rubberised asphalt • ; • ; underlayment 65'8" x 3'33/8" • waterproofing membrane, glass fiber Mrifotced 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 Rol l: TAS 103 and A fine granular/sand top surface self -adhering, underlayment 65' x 3'33/8" ASTM D 1970 APP polymer modified, fiberglass reinforced, Manufacturing Location Or 65' x 3' bituminous sheet material for use as an #1  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 _332'l 0" 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  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 A rubberized asphalt waterproofing membrane, underlayment 32' 10" x 3'33/8" ASTM D 1970 glass-fiber/polyester reinforced, with a granular Manufacturing Location 130 mils thick surface designed for use as a tile roof #2 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass - 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. 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. rt,Mi•[�ape courm NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 PRODUCTS DESCRIPTION: 090 00 . . 0000 0000.. Test ProdAct • ; 0 0 0 0 0 ' 0 Product Dimensions Specification DesctMt2dd Polystick TU Max Roll: 000000 TAS 103 and A rubberized asphalt sell:dbering, pplyestgr :"", Manufacturing Location 65'8"x3'3-3/8" ASTMD 1970 reinforced waterproofingrnambrane..Designed ..o..0 #2 60 mils thick �t as a a roof tile underlayr*as • 0000 • • • • • 00 00 0000 MANUFACTURING PLANTS: :00:0: 0 . . . . 0000.0 0000.. 1.Hazelton, PA . 0 ... 00. 00. 2.Winter Haven, FL .. '00 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 l IO/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 01/12/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-083-02-01 TAS 103 06/30/08 PUSA-089-02-01 TAS 103/ASTM D4798 & G155 07/06/09 Momentum Technologies, Inc. JX201-17A TAS 103/ASTM D4798 & G155 04/01/08 RX14E8A TAS 103/ASTM D4798 & G155 11/09/09 DX23D813 TAS 103/ASTM D4798 & G155 02/18/10 DX23138A TAS 103/ASTM D4798 & G155 02/18/10 NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 3 of 8 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-'/2" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 12-0713.02 MIAMI•DADE COUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 4 of 8 INSTALLATION PROCEDURES: • Deck Type 1: Wood, non -insulated :000 666 Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. 606000 0 Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minim4i 4" head 4ap.;for *0000 base sheet only) ...... .... ..... .. .. Membrane: Polystick membranes self -adhered. .... ...... • ...... Surfacing: None . . . . ...... •Y•••• 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any fooseecking pa�l�hs, ; • • • •; and sweep the deck thoroughly to remove any dust and debris to application. Y • prior 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-'/2" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 12-0713.02 MIAMI•DADE COUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 4 of 8 0000 GENERAL LIMITATIONS: 0 • • • • • 1. Fire classification is not part of this acceptance. • • 0000000 • 0000.. 2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wpp&lakes and s�ingles, non-structural metal roofing, roof tile systems and quarry slate roof assemblies. Polys rl= JR -Xe, TIJ, and TU P may be used in all the previous assemblies listed except metal roofing. Polystick')'WuiLl may 6ousal in roof tile systems only. 000009 •••• 3. Deck requirements shall be in compliance with applicable building code. .. .. 0000 000000 0 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. the dAk shad be free of 0000.. irregularities. • 000 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existin%rAf; 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. Ex osure Limitations (days) MTS IR -Xe TU TU Plus I TU P I Tile Pro Dual Pro TU Max Winter Haven, FL. 180 180 11801 180 180 180 180 90 Hazelton, PA. N/A 30 1 30 1 180 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 the 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 the applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR -Xe Polystick TU, TU Polystick TU Plus, TU P, Tile Max Pro Flat Tile Prohibited without 5:12 No limitation No limitation battens Profiled Tile Prohibited without Prohibited No limitation No limitation battens The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. 0000.. 0000.. 0000.. 0000. 0000. 0000.. 0000.. 0000.. MIAMI•DADE COU 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 minimumtoavoidelropping of ...... tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for procedure for all :0400: underlayments except Polystick MTS which shall be loaded onto battens. ."• • 0 .' 0 ' 0000 00 •• 0000• 0) CL _® U) s 71 Roofing Tiles (6 Max. Per Stack) 12 6 F_,,o 0000•• 0000 0000• •• •• 0000 0000•• • • • • 0000•• 0000•• • • ••00•• 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 -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 6 of 8 rss• • POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK M14V4 • • •,' • •HRANESi 1. Polyglass does accept the direct application of Polystick underlayment membranes to •VcM*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 correspondingepiNvets. •, • • • • • 2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage e&gJ S&n as p;T'Ptilyglass 00%.0 Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimm l"metal dim as required in Dade County or simplex type nail as otherwise allowable in other regions; at a minimum rate of '. para alnr'•on 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail ar*a, area ar� •' the face of membrane, with the above stated nails and/or disks. The head lap membrajjs tQ cover Viearea ; • • • • ; being back to local building to installation.) 6.6 ' -nailed. (Please refer applicable codes prior 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 tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7/12" or greater. It is suggested that on pitch/slopes in excess of 6 '/4"/12", precautions should be taken, such as the use of battens to prevent the 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 should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 7 of 8 0000 • •.•• 13. Questions in regards to the application of Polyglass products should be directed to odr jec`Vical Servi:es Y••..• .' Department at 1 (800) 894-4563. 000000 :0069' 0000:. 14. Polyglass recommends that applicators follow good roofing practices and applicable�T8;1hres as outlined :00.0: by the National Roofing Contractors Association (NRCA). 0""• 00 0 : **so s• s• ••.o• • PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIOT493 NSPEGIMV• .• .. Goes APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREQN.TS AND . RECOMMENDATIONS. ' ' ;G..:• 00.00• 00 0000" • 0 END OF THIS ACCEPTANCE ' 00 0.•000 NOA No.: 12-0713.02 MiAMI•DADE COUNiY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 la MIAMI-DADE COUNTY PRODUCT CONTROL SECTION mm 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) www.miamiaade.6oy/economy 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 cbnstArition materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Prodct Control %eetion to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdictioon ilru). .0000• This NOA shall not be valid after the expiration date stated below. The Miami -Dade County'I'tbtWct Control *ctiori (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the Pight to have fh� p'roduct00000 • or material tested for quality assurance purposes. If this product or material fails to perform in ?IV alacepted manner, they manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modil_y dor suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, �f it is. 0 .o o determined by Miami -Dade County Product Control Section that this product or material faila to Vet the gdq"Pe'lnents, of the applicable building code. :00 0 0 This product is approved as described herein, and has been designed to comply with the Florida Buitdmg'Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION ,3M'fm 2 -Component Foam Roof Tile Adhesive AH -160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 13-0502.02 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 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 this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, do 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 tile systems using 2tm' pnent • • • • • • Foam Roof Tile Adhesive AH -160. • PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications 3MTM 2 -Component N/A TAS 101 Foam Roof Tile Adhesive AH -160 Foam Dispenser N/A RTF 1000 ProPack® 30 & 100 N/A PRODUCTS MANUFACTURED BY OTHERS: Product description . • • ...... .... ..... Two component poly*weo iAe fbaom esive • • • • ; • . . . . ...... Dispensing Equipment • Dispensing Equipment Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values with the use of 2 -Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: Tomball, TX. PHYSICAL PROPERTIES: Property Test Results Density ASTM D 1622 1.6 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./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 @158T., 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. ►tIAr�E a cou►vn NOA No.: 14-0805.01 � Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 2 of 11 EVIDENCE SUBMITTED: Test Aaeney 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 L� • • • • • • Polymers Division '..' • ...... . ...... Ramtech Laboratories, Inc. 9637-92 ASTM E 108 • • • • • 04/3093 Southwest Research Institute 01-6743-011 ASTM E 108 •""• 11 ":"• 01-6739-062b[1] ASTM E 84 ":": 011ism•00 • Trinity Engineering 7050.02.96-1 TAS 114 :00:0: 0%IA% •• P36700.04.12 ASTM D 1623 04:MR/I2• P39740.02.12 TAS 101 02/21/42. :' • • • TAS 123 ' Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high the profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. MIAM4DADE COUNTY NOA No.: 14-0805.01 � Expiration Date: 05/10/17 Approval Date: 09/04/14 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 attachment 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 to meet or exceed the resistance value determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assenjWV.NOA. 3. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 and its components shall be ins=allVn accordffdde with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2 -Component Foam Voof*File Ac> wiU AH- `. 160 Operating Instruction and Maintenance Booklet. 0000.. . 0000.. 0000.. • :0000: 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed b33W Compny. 3M • Company shall supply a list of approved applicators to the authority having j urisdiction..... • • • • • • • • • 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before applicaMn of a%y adhesive :0.0 • .. .. ... 0000.. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 �A): 1.0 .. 00 . 00. �B). . . 0000.• . . 0 0000.. 6. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Distenspr JUF1000 or ;0000; ProPack® 30 & 100 dispensing equipment only. .. . . 000 0 0 6.6 . 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 and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 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 All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile 42 12-14 sq. inches 3Q+•Y High Profile #2 17-19 sq. inches • • • 30• • • Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at •••" gram1p@PpIddy + head of tile 9-11 sq. inches at ••;Y+ • overlap • •.. + • Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 7 gramspjjpead edge) 20-25 sq. inches each • • • • • *00000 bead •+.++ Y Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 3igrams�t2ttder pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of 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. APPROVE© BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 k plank COWsmwaee p eart�� 3 A N _ M N � h . ° W # M €t 7s ,i 7 2p&w Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 rim) 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 Cm2) square im `1*sive contact with the underside pi4t tile. a **to** 0 • • sees•. • 000060 . ao0a0• sees.. sees.. ease . • • • e a a 0006 00000• sees •saa• Medium Profile / Double PttA We • • • • "";' I Starting the apply a mir=e" a • • • • . at eave coursC, (50.8 mm) x 10" (254 mn:) x J 9`(25.4 mm) foam : a e • •: paddy onto the underlaymen! positioneds�s�►own a 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 cm2) — 23 (148.4 cm2) square inch adhesive contact with the underside of the tile. High Profile / Single Pan Tile i. 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. 2. Continue in same manner. Insure approximately 17 (109.7 cm2) —23(148.4 cm2) square inch adhesive contact with the underside of the tile. NOA No.: 14-0805.01 Expiration Date: 05/1047 Approval Date: 09/04/14 Page 6 of I 1 ADHESIVE PLACEMENT DETAIL # 2 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 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. 0 0 9 9 • • 0900 0000.. 2. At the second course, apply a"iniPnum 2f (05098mm) x 7" (177.8 mm) x 1 " (25.4 Phi,; idam pafldy onto the • 0 0 0 : 0 underlayment positioned as shown under the 00 0000.. strengthening rib closest to the0ov0eflock Otbe tVe • 0000 .. . . 0000. being set. 0 0 0 0 • • • 9999 0000. .. .. ... 0000.. 3. Continue in same manner. IvjjjW.WproximateTy 10 (64.5 cm2) - 12 (77.4 cm) Auafedh jnch adhesive • contact with the underside of theotile. 0000.. 0000.. 9 Medium Profile / 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 cm2) — 23 (148.4 cm2) 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 12" (77.4 cm2) - 14 (90.3 cm) square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 7 of 11 ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) "I dvomph $bare r {rad'i PAdL4 6 '"f*) in, a v` [Woe CWNW- --_ r t. 'w 241. High Profile / Single Pan Tile Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the the closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm2) square inch adhesive contactIvi�h the underside of the tile. • At the second course, apply a mid imum 2: rM.Mm) ; • x 7" (177.8 mm) x 1 " (25.4 dW)*fbttm paddy onto the . underlayment positioned as S1fo A under Vit aat: 6666.. portion of the the closest to thtlo'Jerlock ofteattle • 0 6 6 6 6000•. being set. 000600 • • • • • • • .. ..66666666.. 6666.. Continue in same manner. h=sure approximately 17' • •� (109.7 cm2) - 19 (122.6 cm2�square inch idly®swe contact with the underside oftbf! t1e. NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 ag 2xa kL �W RaMowProfffeTffe Mpffium ProffleTft APPROVED On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1 " (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the the for low or high profile tile closest to the overlock of the tile being set. Leave approximately 4" (10 1.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure .""• approximately 17-23 ins (tQ$-7-1148.4 cni)of "' • • • • adhesive contact with the jtpjgVjde of;fife• 0000.. 0000.. � � • 0000 0000.. Apply a 4" (101.6 mm) x %'{J QT.6 mn?�Y.1 "125.4 ..... mm) foam paddy onto the eaclw4aymeni6j"tbelow 00:00 • • • . . the second course line positioned foam paddy .0.000 under the strengthening rof it eflat tile, or ander the pan portion of the tile, closest td'the utg rLgvC for' 0000.. the second course tile to Ce iw1alled. Ihsure • ;-05 approximately 8-9 in' 0 000. . (51. 6-58.1• CM2),OT a sive 0 • contact with the underside of the tile. " (Instructions continued on next page) NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) Eawcewse AFPROVEd 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4" (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 cm2) - 11 (71 cm2) square inch adhesive contact with the underside of the tile at w- Overlap and 7 (45.2 cmZ) - 9 (58. Ccrr 7%quare incl? • • 0 0 0 0. adhesive contact with the iuridergide ofxb g 11% at . • the head of the tile. Continue000a0n.'same $canner. • • • • •• • 0000.. • 0000 0000.. • 0 0000 .. .. 0000. 00..09 0009. . •0000 99999. • • • 9 .• • •9 0000.. • 0000.. 000 99 . 9 900 00000 999 99 . 9 . 9 NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL 1) Puce enough adhesive to achieve 65 to 70 sq,ln.. in contact with the pantile. 2)Turn covers upside down. Place adhesive to to t in. from autside edge of cover fig Then install the tile. Ensure 20 to 25 rq.in. contact area. baa Underiayment (motor shown) Fascia Remove top portion of the gave course cover tile. Abut to second course of pan tiles. Ensure gave end of pan and cover files are flush at gave line. Two Piece Barrel - High Profile; Tile F741M M1297111111 L APPROVED , J 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. • 4040.. • 4040.. 4040.... 2. Continue in same manrZs-ing tw®.pa+ie '. courses up toward the ri4g4Jgsure ••"' approximately 65 (419.4 c"2o) — 70 (4� 1.6 imp) :***a: square inch adhesive contactidvith thl14V1tlp1side • • • • • of the pan tile. ••�•.� 406.9 4040;..• 4040 40400406#99 ...9 .9.... 3. Turn covers upside do thtMsing the underside 40' of the tile. Apply a mitfimum'1" (25,01Inj l x 10"* 99:6 (254 mm) bead of adhrisivii $irectlybrl the inner • 4040..•. edge of each side of the cover tile. Ig&vg'; 0• approximately 3/4" (19 mm) to 1" (254 min) 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 cm2) -25(161.3 cm2) square inch contact area on each side of the cover the 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" (50.8 mm) x 4" (101.6 mm) nailers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 11 of 11 MIAMI, Ci�4[7E MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.Lov/pera Boral Roofing, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 0000 SCOPE: �•• •0000' 0000.. This NOA is being issued under the applicable rules and regulations governing the use of cglJWJion ma.teriA, The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Vw, 4T4 Control lection 0006.. to be used in Miami Dade County and other areas where allowed by the Authority Having Jyyicdiction (AIJJ). ; • • • • • 0 0 . This NOA shall not be valid after the expiration date stated below. The Miami -Dade CountyPlrodyct Con�QL ySection • •:". 0000. (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve ivAiglit to htw."9' • •, • • product or material tested for quality assurance purposes. If this product or material fails to:30rium in the accepted • • 0000 . manner, the manufacturer will incur the expense of such testing and the AHJ may immediately refoke, modif , or 0 0 00:. suspend the use of such product or material within their jurisdiction. PERA reserves the right Vrevoke this • .00000 acceptance, if it is determined by Miami -Dade County Product Control Section that this product o'r materN f3ls to • • meet the requirements of the applicable building code. 00 0 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: Barcelona 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. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA407-0220.04 and consists of pages I through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0222.02 MIAMI•DADE COUNTY Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Concrete Deck Type: Wood 1. SCOPE This NOA approves a system using Barcelona 900 Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, FL. and described this Notice of Acceptance. Fpr loFations tiXeie• •.•• the pressure requirements, as determined by applicable Building Code does notexteld the &sigV pressure values obtained by calculations in compliance with RAS 127 using the.values listed fi'thL• installation section herein. The attachment calculations shall be done as a momet►t 6ped system. 2. PRODUCT DESCRIPTION„� • Manufactured by Test Identifier Test Product • • • • •. • Applicant Dimensions Specifications DescriptQ►fi'; •; • Barcelona 900 1 = 17” TAS 112 High profile, interlocking, pne-piece, 'S� • • • • Appendix III w= 13" shaped, high-pressure extruded cancrete {oof• • Redland Technologies '/z" thick 6&t; the equipped with three nail holes. For%6&t: Dec. 1991 deck or battened nail -on, mechanically TAS 108(Nail-On) fastened, mortar set or adhesive set P0402 Withdrawal Resistance applications. Trim Pieces Length: varies TAS -112 Accessory trim, boosted Barcelona, concrete Width: varies roof pieces for use at hips, rakes, ridges and shank nails varying thickness valley terminations manufactured for each tile Letter Dated Aug. 1, Wind Tunnel Testing profile. 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales, FL. 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 & TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix I1 TAS 108(Nail-On) Redland Technologies P0402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108 (Nail -On) NOA No.: 12-0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 2 of 7 Redland Technologies P0631-01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Professional Service Industries, IC -1320-94 Physical Properties Feb. 1995 Inc. TAS 112 The Center for Applied 25-7688-3 TAS 101 (Adhesive Set) June 1996 Engineering, Inc. 25-7688-10 TAS 101 (Mortar Set) July 1996 The Center for Applied 25-7688-5 Static Uplift Testing June 1996 Engineering, Inc. TAS 102 (3" Headlap, Nails, Direct Deck, New Construction); 000000 ••• The Center r Applied 25-7688-4 Static Uplift Testing .*96: l ve. • • Engineering, A� .::..dune (4" Headlap, Nails, Clips).**--. • Celotex Corporation 520111-3 Static Uplift Testing *Dec. 190 Testing Services 520191-2-1 TAS 101 00 •:Parch 1999.• Walker Engineering, Inc. Calculations Aerodynamic Multiplier: • • Alarch 1999• Walker Engineering, Inc. Calculations Two Patty Adhesive Set: System0..0' April +19-:- 19•:-System Walker Engineering, Inc. Evaluation 25-7183 0 000 . . March 1995 • Calculations Walker Engineering, Inc. Evaluation 25-7094 February 1996 Calculations Wacker Engineering, Inc. Evaluation 25-7496 April 1996 Calculations Walker Engineering, Inc. Evaluation 25-7584 December 1996 Calculations 25-7804b-8 25-7804-4 & 5 25-7848-6 Walker Engineering, Inc. Evaluation Restoring Moments Due to February 2007 Calculations Gravity Nutting Engineers 122 TAS 112 January 2007 NOA No.: 12-0222.02 MIAM! RADE COUNTY Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 3 of 7 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 33 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum 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 td t$e roof�lopz unless stated otherwise by the underlayment material manufacturers publishedditeratura • • • • • 3.6 This acceptance is for wood deck applications. Minimum deck requirements• shall be in compliance with the applicable Building Code. . • • . • ; ...... .... 4. INSTALLATION • 4.1 4.2 .. .. •••• Barcelona 900 Concrete Roof Tile and its components shall be installed i;• ;;ccomplianee with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 0:...;. Data For Attachment Calculations 960 • .. . ••• Table 1: Average Weight (W) and Dimensions (I x w) 00 Tile Profile Weight -W (lbf) Length -I (ft) =Width -W (ft) Barcelona 900 11.5 1.417 1.08 Table 2: Aerodynamic Multipliers - ?, (ft) Tile Profile X (ft) Batten Application (ft) Direct Deck Application Barcelona 900 0.289 0.313 Table 3: Restoring Moments due to Gravity - M9 (ft-lbf) Tile 2":12" 3":12" 4":12" 6":12" 6":12" 7":12" or Profile greater Barcelona Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct 900 Deck Deck Deck Deck Deck Deck 7.28 8.13 7.21 8.05 7.10 7.93 6.96 7.78 6.79 7.61 6.61 7.40 NOA No.: 12-0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile Resistance (min 15/32" (min. 19/32" 29.3 1 See manufactures component approval for installation requirements. plywood) plywood) Barcelona 900 2-10d Ring Shank Nails 28.6 41.2 19.4 1-10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2-10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 48 Screw 20.7 20.7 1&T 2 .#8 Screws 43.2 43.2• • 29. 1-10d Smooth or Screw Shank Nail 23.1 23.1••••• 19®••• Field Cli • 1-10d Smooth or Screw Shank Nail 29.3 29.3 24.0 Eave Cli • • • • • 2-10d Smooth or Screw Shank Nails 27.6 27,600000 38.6 Field Clip) 0000 • 2-10d Smooth or Screw Shank Nails 38.1 38.1 41.8 (Eave Clip) • • • • • • • • 000000 Table 5: Attachment Resistance Expressed as a Moment Mf (f4.lbl) : 0 0 0 for Two Patty Adhesive Set Systems • • • • Tile Tile Application Minimum Attachment Profile 66.5 Resistance Barcelona 900 Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Dow Chemical TileBond Average weight per patty 10.7 grams. Pol foam Product, Inc. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Barcelona 900 Polyfoam Pol Pro TM 66.5 Polyfoam Pol Pro TM 38.7 3 Large paddy placement of 63 rams of Pol Pro T^^ 4 Medium paddy placement of 24 rams of Pol Pro TM. Table 7: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Barcelona 900 Mortar Set 24.5 5. Tile-Tite Roof Tile Mortar NOA No.: 12-0222.02 MlAMI•DADE COU Expiration Date: 04/26/17 ! Approval Date: 04/19/12 Page 5 of 7 0000.. 0000.. 0000.. 0000. 0000. 0000.. 0000.. 0000.. 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". 0000 0000.. ..*9.090 . *-*..- LABEL FOR BARCELONA 900 TILE (LAKE WALES FL F3a4NT 2) . • LOCATED UNDERNEATH TILE 0000 00 00 ...... .... 6. BUILDING PERMIT REQUIREMENTS 0000.. 6.1 Application for building permit shall be accompanied by copies of the foll;,"X; 0 .a. ;000 6.1.1 This Notice of Acceptance. 6.6 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.: 12-0222.02 Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 6 of 7 0 PROFILE DRAWING BARCELONA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 12-0222.02 MIAMI•DACDE COUNTY Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 7 of 7 1000.• 0000.. 0000.. r •. .. 0000. ••s• 0000• r • 0000 0000.• • • 0000•• • •.• • • 00 0 NOA No.: 12-0222.02 MIAMI•DACDE COUNTY Expiration Date: 04/26/17 Approval Date: 04/19/12 Page 7 of 7 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 0000,• 00,0,0 PERSUANT TO SECTION 553.844 F.S. 0000.. 000000 0000.. 0000.. .00.00 To: Miami Shores Village Building Department '.Date' 9 5 0000. 10050 NE 2nd Ave • Miami Shores, FI 33138 ' 0000 0000 0000.. vz0000.. .• M„ Re: Owner's Name: act,Bow L.��• 0 0.00•. 0000.. Property Address d > •.. :"": Roofing Permit Number: DearB ilding Official: rfi 4t' /'/7 7 certify that I am not required to retrofit the roof to wall connections of my building because: X The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition o e So lorida Building Code (1994 SFBC) Va N1 8d n S 1 fJ Lo - Sig 6u re Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes /and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this _ 7 day of /7. YENISER MONTES OE OCA ` o,Ucv °Le e,• °n MY COMMISSION #Fr Notary Public, Sate of Florida at Large EXPIRES: MAR 02, 2015 Bonded thrc+ugh t st State Insurance • When the just valuation of the structure for p0rpo of ad valorem taxation is equal/orore than $300,000.00, and the building was not constnuxeed with FBC nor a-1994. SFBC. Then you must provide a building a , ' tion from a General Contractor for the Roof to Wall connection Hurricane Mitigation. 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 0.6000 • .... 0000•• PERSUANT TO SECTION 553.844 F.S. • • •.: • ...... . •••••• To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: aG-G BoPi Property Roofing Permit Number: •00••• •.pate; �— • 0000 .. .• •0.0• ...... ... ..... w .. .. •••• w••••• w • • • •00000 f .. . • ••• • Dear B ilding Official 1242i' 90LA4,621"19 — certify that I am not required to retrofit the roof to wall connections of my building because: X The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition o he SoWlorida Building Code (1994 SFBC) �oN� QafnS�tlJ Sigla,ure Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. � Sworn to and subscribed before me this % day of Notary Public, Sate of Florida at Lar When the just valuation of the structure fc SFBC. Then you must provide a building D—A-4 — F19411)nno os , P YENISER MONTES OE OCA r Z, MY COMMISSION #FE69N2 EXPIRES: MAR 02, 2016 �-,MW Bonded thrcugh tst Stat0surance or more than $300,000.00, and the building was not constructed with FBC nor a 1994 Roof to Wall connection Hurricane Mitigation.