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RF-15-1017 (2) Permit Vic. RF-x-154 7 � ,"ME's Miami Shores Village g /�@tPT? sy4 amores a a �, t0al'f"We. Roof 10050 N.E.2nd Avenue NE .'� Miami Shores,FL 33138-0000 . t?8�htit St€ us.-APPRbV1 Q �Ftio Phone: (305)795-2204 ©Rion tssuel .5tf120151,, ; Expiration: 11/15/201 .;. Project Address Parcel Number Applicant 113 NE 105 Street 1121360050100 ANNIKA ASHTON ERIC HERNA� Miami Shores, FL 33138-2032 Block: Lot: Owner Information Address Phone Cell r----, ....... ANNIKA ASHTON ERIC HERNANDEZ 113 NE 105 Street (954)554-0418 MIAMI SHORES FL 33138-2032 Contractor(s) Phone Cell Phone —,"$-12-, Valuation: 000.00 AMERICAN HOME CARE (954)646-2283 Total Sq Feet: 2400 Type of Work:Re Roof Available Inspections: Additional Info:REMOVE AND REPLACE FLAT TILE Inspection Type: Classification:Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile In Progress Roof in Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-4-15-55370 CCF $7.20 DBPR Fee $4.50 05/19/2015 Check#:4414 $787.20 $50.00 DCA Fee $4.50 04/29/2015 Credit Card $50.00 $0.00 Education Surcharge $2.40 Bond#:2719 Permit Fee-New Roof $300.00 Scanning Fee $9.00 Technology Fee $9.60 Total: $837.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above- amed contractor to-.V the work stated. May 19, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 19, 2015 1 �Q a� Miami Shores Village RFCF-,l D Building Department APR 9 20,5 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 $Y: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 i6 BUILDING Master PermitNo� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC Q ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 113 NE 105 ST City: Miami Shores County: Miami Dade Zio• Folio/Parcel#: 1121360050100 Is the Building Historically Designated:Yes NO Occupancy Type: 01 Load: Construction Type: STR Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):ANNIKA ASHTON Phone#:954.646.2283 Address: 113 NE 105TH STREET City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: NA Phone#: Email: ahcbuilder@yahoo.com CONTRACTOR:Company Name: American Home Care Phone#: 954.646.2283 Address: 6701 Cypress RD, apt 201 City: PLANTATION State: FL Zip: 33317 Qualifier Name: GEORGE W. PEARSON Phone#: 954.646.2283 State Certification or Registration#: CCC056760 Certificate of Competency#: DESIGNER:Architect/Engineer: NA Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 12000.00 Square/Linear Footage of Work: 2400 Type of Work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition Description of Work: REMOVE AND REPLACE FLAT TILE Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ Sw . •D TOTAL FEE NOW DUE$ 2P"— 9_0 (Revised02/24/2014) Q6 Bonding Company's Name(if applicable) NA Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) NA Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for 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. i Signature/ �7 �.�, ��t� _ Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 28 day of MARCH 20 15 _____, by 28 day of MARCH 20 2015 by ANNIKA ASHTON who is personally known to GEORGE W. PEARSON who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: &.Si✓'C� Sign: Print: THLEEN JO STRICKLEY Print:, THLEEN JO eRICKLEY Seal- Seal: KATHLEEN JO STRICKLEY KATHLEEN JO STRICKLEY • » Notary Public State of Florida ' Notary Public-State of Florida •� ' r My Comm. Expires Jan 23,2017 Expires Jan 23,2017 Mmls �?My Comm. Ex it ******** ►********** !S #r86►'>D#gs* APPROVED BY ` Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895— 954-831-4000 = VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#-185-243722 :ROOF NG/SHEET METAL Business Name:AMERICAN xo?�E CARE Business Type: (ROOFING) Owner Name:GEORGE W PEARSON Business Opened:09/15/2011 Business Location: 6701 CYPRESS RD #201 State1County/Cert1Reg:cccc56760 PLANTATION Exemption Code: Business Phone: 954-646-2283 _ Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paic 27.00 0.00 0.00 0.00 0.00 0.00 27. THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and non-regulatory in nature. You must meet all County and/or Municipality planni WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred wh the business is sold, business name has changed or you have moved t business location.This receipt does not indicate that the business is legal or tt it is in compliance with State or local laws and regulations. Mailing Address: GEORGE W PEARSON Receipt #108-13-00003120 6701 CYPRESS RD #201 Paid 07/07/2014 27.00 PLANTATION, FL 33317 2014 - 2015 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION s CONSTRUCTION INDUSTRY LICENSING BOARD - CCC058760 The ROOFING CONTRACTOR Named below IS CERTIFIED xeel . Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 PEARSON, GEORGE AMERICAN HOME CARE 6701 CYPRESS RD UNIT 201 PLANTATION FLy 931 _ } i ISSUED: 0512912014 DISPLAY AS REQUIRED BY LAW SEQ# L1405290001671 GEORG-3 OP ID:SMI ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 7120 1 6Y) 04/2712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement..A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: BARTOW Ocala 228001�S F College Rd Suite 3 IC,N, •352-237-2700 ,AVC No):352Oca -237-5884 AIL BARROW 3"74 ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Atlantic Casualty Ins Co INSURED George W.Pearson, Inc INSURER B: DBA American Home Care 6701 Cypress Rd,Unit 201 INSURERC: Plantation,FL 33317 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER M POLICY E MFF Ll Y P LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE a OCCUR L040002195-1 12/10/2014 12110/2015 PREMISES Ea occurrence $ 1_00,0 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000900 X PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY❑ JECT OTHER: $ AUTOMOBILE LIABILITY $ Ea ecGdent SINGLELIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY cERdentDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER]EXECUTIVE ❑N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ K yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,AddMonal Remarks Schedule,may be attached K more space Is required) General Contractor&Roofing Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS, 10050 NE 2nd Ave Miami Shroes Village,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD PLEASE CUT OUT CARD BELOW AND RE TAIN FOR FUTURE REFERENCE ___------•------------------•- � irid€trAhf7 f Fss.-ie s r •^FiL^x u� ?,.f.5..e: --,S s t xapo a^x+ r i STATE OF FLORIDA u x a r ;,xriSOCe I DEPARTMENT OF FINANCIAL SERVICES �"� DIVISION OF WORKERS COIYIPENSATX3N p C'+tp43i2:C.S.,i:e.• ks a eisrr.J I COISTRUCTiONINDUSTRY EXEMPTIO?7 �- Q ue:t �.tax,-ar tea.vs�aae�a xFrss>:ee 1 t ;L x_r zea�rte:m je t:e^xx. �e 4A'McF e-nwm0axavtMUP_OPM ;D xrs rx.�:roo�_+a fs.. sen aseAa �e c�e«mes, i1GM uw esC::�a^.•.�at1s X sou^.z N t:er.;:ttx*bt sYr;ae:r Bv�aca'..x aY e ec'v Lx'E 7-'41C'A E1O911'1IXc`+2 "'bx': y a^+e 3GL':'b of t*u.^"...1a4.w 'YCCn Of ,ecOA:fFr•!'4 bf.�x'1NO Nw Yi41Pt�'G�3 GF u rsx310"mr. ;E s :.ym t .:x ;R axn{eaettagx»brnS xFrs«.yreer,*e I fm W--nS4 ;E r six.=nx nt r.�t t s c.as snag: BUSWEN NAME AND ADDRESS: i GEORGE WPEARSOiv WC I MIw�A.N:�E�_ 4 6n,CYPRESS RD APT 201 PL1:\TAMN PL 33313 ( SCr?ES 0= 5U5KESS 00,MRA j LICENSED GENERAL LICENSED ROOFING !� 'CONTRAGTOR CONTRACTOR •-•••-•._...-•-•••••••---•_••-••-•...__..--•-••••.....-••.............. i oussT 4.,v rs�pts39S39 cA. �w pec-a.Tc Be�F-uP-a.: o�•<z 1 I ' 4 f '1 f �,e haps:,;apps8.fldfs.com'crret)om-fewer.-iei)ortti`1ewei'.3.4nXc)d?tR=�-(itrainr4i')?flIa74FTF12Aa SNORES goesn,,,„ Miami Shores Village ...,,. S-0,, Building Department �ZOR{UA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this :7- 1' day of 44&-L,c �� ,20_4_6-_. Byer r dtSnc >-C,, . who is personally known to me or has produced as identification. Notary: SEAL: yPOe°;% KATHLEEN JO STRICKLEY • :" Notary Public-State of Florida N; :o, My Comm. Expires Jan 23,2017 Report Viewer Page 1 of 1 I JEFFATWATUt nd a• CHIEF FKMCuu.OrRK;F-R STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF V40RKERS'COMPENSATION "CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW• CONSTRUCTION INDUSTRY EXEMPTION This oertifies that the individual Itated below has elecW to be exempt from Florida Workers'Compcnsation law. EFFECTIVE DATE: 7/19/2014 EXPIRATION DATE: 7/18/2016 PERSON: PEARSON GEORGE W FEIN: 661072942 BUSINESS NAME AND ADDRESS: GEORGE W PEARSON INC AMERICAN NOME CARE 6701 CYPRESS RD APT 201 PLANTATION FL 33317 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL LICENSED ROOFING CONTRACTOR CONTRACTOR palsa.re b chaphr?10.04(14),F.6.,M 0!lldJf a/a aai0arelUan veho ekaf aocemDfkn tom tM MaDter W alln6 a aaMEoetf of alfa6oe aMar IhA ffafon Tayn f�wr Qrth&b k*u ar q& and Qn gte car.Purauent to G�tp0er N0.06(121.F.8.Ce adm of akdlon b Ga f4fmpt Ipply nnVj Nnampl•�aoopapuad. oytnyf6y pyp0 eoYeo of flacilan b La wm�.Purought i�C1,f r110.p5(q�77.�.6..Nvtloea o1 ekWlafi b Oe M.pan.n aemW on Uw nWcs or aMMat no bn ar msebe Neb�..saa.nn.pc.or mw bfuanoo or me oeMWoeb, 9 byapam►nb afmb ucaen for bauanae of■oaMaaatf.The d.pfM w*fhfa w1 ke f DPCF2-DWO289 CERTMATE OF MaMoN To BE EXLMPT MvMb 08-ja pUFBTIONST(88tr�t b1E0s t 4__.rr----n nor- -...,_._.._._ ...__• ,.._._. ,s 7 .. � A 7 .. 7 1 • All1/1/�^ T.imrT i ��.�n r..n. r AMERICAN HOME CARE 6701 Cypress Rd APT 201 Plantation, Florida 33317 CGCO55944 CCCO56760 May 13, 2015 STATE OF FLORIDA COUNTY OF BROWARD Before me this day personally appeared George W. Pearson who,being duly sworn, deposes and says: That he will be will be the only person working on the project located at 113 NE 105 STREET, Miami Shores, Florida 33158. Sworn to (or affirmed) and subscribed before me this 13th Day of May, 2015, by George W. Pearson, who is personally known. �f KATHLEEN JO STRICKLEY Notary Public-State of Florida 9JFa� My Comm.Expires Jan 23,2017 %,,off Commission#EE 867932 • • • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■!■■■■■■■■■■■■■■■■■■■EEMEMMEno ■■ �ii� ',■■■li■�■_!_��������������������������������I■■■■■!:�■0■Gini • �.�■■iiia..��.�...............�....�.��...:i■■■■E■■W■■R'7 \■■Ilii■!■■■■■■■!■■■!■■■■■■■■■■■■■■■■■■■!!!!■■■!■!!■!�■:7■\�� Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: �'n Te 9 1,,Q !,4 K a r- Ti c. -e Product Approval Number: .4p -/ Zo z . / Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations): P1: - 7 9- / P2:•-fid'. P3: - Maximum Design Pressure Product Approval Specific System: — . . .... ...... Method of Tile Attachment: G .... . .. ..... ...... . .. ..... Steep Sloped System Description •• •• •••• •••••• . . . . ...... Deck Type: ^ Roof Slope: TYpe Underlayment: �• 12 Insulation: PZ' Fire Barrier: Fastener Type & Spacing: Ridge Ventilation? Adhesive Type: Type Cap Sheet: Roof Covering: -,.F+1z n r3 Mean Roof Height: / Y Roy--r- 7-i, e Type & Size Drips Edge: Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems,choose either Method 1 or 2.Compare the values for Mr with the values from M,. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P,: x A = -Mg: =Mr, Product Approval M, (P2: x�, _ -M9: =Mr2 Product Approval M, (P,: x M9: =Mr, Product Approval Mf Method 2 "Simplified Tile Calculation Per Table Below" •0•• Required Moment of Resistance(Mr) From Table Below-3z> A Product Appy ovaf M,--(h-- * ...... ...... M ...... ... Requi Moment Resistance* • Mean Roof Height--lo •••• Roof Slope 4, 15' 20' 25' 30' '. .o. 40'. *• ••*6 2:12 34.4 36.5 38.2 39.7 ••; 42.2• ••:••• 000 3:12 39—'X-, 34.4 36.0 37.4 •• 39.8 •• •• •••00 4:12 30.4 32.2 33.8 35.1 : 37.3. 0.00:0 5:12 .4 30.1 31.6 32.8 .'. 34.9• 0���•� 6:12 26.4 28.0 29.4 30.5 32.4•* • 7:12 24.4 25.9 1 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: - =Frz Product Approval F (P,: x 1: = x w:=_)-W: x cos 0: - =F,, Product Approval F Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier X Product Approval Restoring Moment due to Gravity M9 Product Approval Attachment Resistance M, Product Approval Required Moment Resistance Mr Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Fr 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 roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of this section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally,the following items should be addressed as part of the agreement between the owner and the contractor.The owner's initial in the adjacent box indicates that the item has been explained. 1.Aesthetics-Workmanship:The workmanship provisions of Section R4402 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 Section R4403. (The roof deck is usually concealed prior to removing the existing roof system.) •••• . . .... ...... _ 3. Common Roofs: Common roofs are those which have no visible dWeation between .' neighboring units (i.e. townhouses, condominiums, etc.) In buildings with commonYQefis, theR49fing ....:. contractor and/or owner should notify the occupants of adjacent units of roofing workorCbe•performed. • 4. Exposed Ceilings: Exposed,open beam ceilings are where the undersidd bt the rooPdeCking ••;••• can be viewed from below.The owner may wish to maintain the architectural appearar;*e;ttidreforE,r obfigg • nail penetrations of the underside of the decking may not be acceptable.This provides the 6Vt0n of maintairnng this appearance. ••• • 5. Ponding Water:The current roof system and/or deck of the building rrft"logdrain%ell bpd ;•••• may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indiCat dn;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. &P- 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. 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,designed by a Florida licensed engineer or registered architect to eliminate the attic venting,venting shall not be required. 44�.- 04 /28 /2015 ,o - Owner's/Agent's Signature Date Contractor's Signature 113 NE 105 ST Property Address Permit Number MIAMI- MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) Entegra Roof Tile,Inc. 1289 NE 9a'Ave Okeechobee,FL.34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County P -•Contrpl..• Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade C60y;reserveAkwright to .' have this product or material tested for quality assurance purposes. If this product or mattrM fails-tq;perform 4x•• • the accepted manner, the manufacturer will incur the expense of such testing and th8'AW may irftmediatcdy...; revoke,modify, or suspend the use of such product or material within their jurisdictionilI AA resenses the right ... . .. ..... to revoke this acceptance,if it is determined by Miami-Dade County Product Control Djy*Ax94 that# is*oduct pn••• material fails to meet the requirements of the applicable building code. .. ••' 000000 00000 • This product is approved as described herein,and has been designed to comply with the'High�elocit�y HAurricane...:. Zone of the Florida Building Code. • 000 0 u 00 0 •00 0 • w ESCRIPTION:Plantation Roof Tile LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA No. 10-0804.15 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 10-1202.01 �� Expiration Date: 12/08/15 1 l�IF coUN1 Y Approval Date: 12/30/10 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE: This renews a roofing system using Entegra "Plantation" concrete roof tile, as manufactured for Entegra Roof Tile, Inc. in Okeechobee, FL as described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION: . . .... ...... Manufactured by Test Product' .... .• An 1 cant Dimensions SiMSlf igns D seri e •• •••• 0009:6 Plantation Tile Length: 16%z" Flat concrete roof tile W aAtct deck dl :0600: Width: 13" TAS 112 batten nail-on. .... . .. ..... Trim Pieces Length:varies Accessory trim,concrelemodf piecgsTos Width:varies TAS 112 use at hips,rakes ridggragd,+alley • Thickness:varies terminations • • • • •••••• • • • 1 • • • • • 3. LIMITATIONS: • 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4.INSTALLATION: 4.1 Entegra Roof Tile,Inc.'s Plantation Flat Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119,& 120 4.2 Data For Attachment Calculations NOA No.: 10-1202.01 Expiration Date: 12/08/15 MtAMtDMj �� Approval Date: 12/30/10 Page 2 of 5 Table 1: Average Weight(W) and Dimensions (I x w ) Tile Profile Weight-W(Ibf) Length-I (ft) Width-w(ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multi liens - .X ft3 Tile 1(ft3) X(ft3) Profile Batten Application Direct Deck Application Plantation Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity- M (ft-lbf) Tile2+ 12" 3": 12" 4": 12" 5": 12" 6": 12" Greater than Profile 7": 12" Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Deck Plantation 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Tile Table 4: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) For Nall-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (Min 15132" (Min. 19132" plywood) plywood) Plantation Tile 2-10d Ring Shank Nails 30.9 38.1 1-4.2. 1-10d Smooth or Screw 7.3 9-8: •• 41• ••••;• Shank Nail •• :000 • 2-10d Smooth or Screw 14.0 18.8 Shank Nails ID •••••• 1 #8 Screw 30.8 30.1r. �1 g 2.' ..... 2#8 Screw 51.7 51.7 ..... 4 . ••... 1-10d Smooth or Screw 24.3 24.3" " 2W.2' Shank Nail Field Clip) ...... 1-10d Smooth or Screw 19.0 19.0. ! 1•• • Shank Nail Eave Clip) . 0 •••••• 2-10d Smooth or Screw 35.5 35.5 73 4. • Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip), 2-10d Ring Shank 50.3 65.5 48.3 Nails' 1 Installation with a 4"file headlap and fasteners are located a minimum of 21W from the head of tile. NOA No.: 10-1202.01 MAMExpiration Date: 12/08/15 Et °. .r Approval Date: 12/30/10 Page 3 of 5 Table 6: Attachment Resistance Expressed as a Moment Mf(ft-lbf) For Two Pa Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile Adhesive 31.3 2 See manufactures oom onent approval for installation requirements. 3 Flexible Products Company TileBond Average weights per patty 13.8 grams. Polyloarn Product Inc.Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment- Mf(ft-lbf) For Sin le Patty Adhesive Set System Tile Profile Tile Application Minimum Attachment Resistance Pol ProTM 118 Plantation Tile Pol ProTM 40.4 4 Large paddy placement of 45 grams of Pol ProTM. 5 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 Profile Tile Application Attachment Resistance Seespecific mortar manufacturer's Notice of Acceptance. 5. LABELING 5.1 All tiles shall bear.the imprint or identifiable marking of the manufacturer's name�gr.logo as seen below or following statement: "Miami-Dade County Product Control App&var ...... 5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following maikings: US&.fW" • USA,"E",Entegra"E",where the E is a stylized logo. •••;•• •••• •••••• . ...... . . . 6. BUILDING PERMIT REQUIREMENTS .... . .. ..... 6.1 Application for building permit shall be accompanied by copies of the fgHolving: ; ••• •• ••• 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 systgm. ;••••• • .. . • 000 7. MANUFACTURING LOCATIONS 7.1 Okeechobee,FL NOA No.: 10-1202.01 Expiration Date: 12/08/15 CM .=DE Approval Date: 12/30/10 Page 4of5 1 I PROFILE DRAWING PLANTATION FLAT CONCRETE TILE I6 II . . . .... ...... ...... .... ...... END OF THIS ACCEPTANCE ... •• • . .... . .. ..... ...... . .. ..... .. .. .... ...... . . . . ...... NOA No:: 10-1202.01 QM_ �NTY Expi�ratlon Date: 12/08lIS Approval Date: 12/30/10 Page 5 of 5 hil�=0E MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) ••%,.,•-.miamidade.s!o/economv 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 Wr`e2ias been ;;.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 revilsldil or chabte ih the ' materials, use,and/or manufacture of the product or process. Misuse of this NOA as an endo*:*meant of any p}�oduct, •••• for sales, advertising or any other purposes shall automatically terminate this NOA. Failurelp't~pltiply wttn441 sectip0.... of this NOA shall be cause for termination and removal of NOA. ...... . .' . . . ...... •••••• ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,.Piprida,•and follov4A..: by the expiration date may be displayed in advertising literature. If any portion of the NOTA is did M'ye d,tl>ien • 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#12-0713.02 and consists of pages 1 through 9. The submitted documentation was reviewed by Alex Tigera. F s NOA No.: 140717.0E MIAMFDlAD;COUNTY Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 1 of 9 ROOFING COMPONENT APPROVAL Category Roofing Sub-Category: Underlayment Material: SBS ,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous,rubberized asphalt waterproofing Manufacturing Location 65'8"x Y3_3/899 membrane,glass fiber reinforced with polyolefinic #2 60 mils thick film on the upper surface for use as an underlayment for metal roofing,roof tile, slate tiles and shingle underlayment. Polystick MTS Plus Roll: TAS 103 A homogeneous,rubberized asphalt waterproofing Manufacturing Location 65'8"x 393_3/89i membrane,glass fiber reinforced with polyolefinic #2 60 mils thick film on the upper surface for use as an underlayment for metal roofing,roof tile, slate tiles and shingle underlayment. Polystick IR-Xe Roll: ASTM D 1970 A fine granular/sand top surface self-adhering, Manufacturing Location 65' x 3'33/8" APP polymer modified, fiberglass reinforced, #1 &#2 Or 65' x 3' bituminous sheet material for use as an 60 mils thick underlayment in sloped roof assemblies. Designed as an ice&rain shield. Polystick TU Plus Roll: TAS 103 and ASTM A rubberized asphalt self-adhering, glass- (Surface Printing) 65' x 3933/8" D 1970 fiber/polyester reinforced waterproofing- Manufacturing Location 80 mils thick membrane.Designed;%jmttal rooh*Yj%nd roof •, • #1 &#2 tile underlayment. ...... ..;. ....;. Polystick TU P Roll: TAS 103 and ASTM A rubberized asphalt wat er600fin rxembrane,'.... • Manufacturing Location 32'10"x 3'3-'/8" D 1970 glass-fiber/polyester rgjaptred,w4h a.granulat.;••• #2 130 mils thick surface designed for ure'aeatile rdaC..• ...... underlayment. •••••• • ...... Polystick Tile Pro Roll: TAS 103 and ASTM A rubberized asphalt srelf-a$hering•glass- :....: 61' x 3'33/8" D 1970 fiber/polyester reinforced waterprorifit00g 9 Manufacturing Location • .. #2 60 mils thick membrane.Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x 3'33/8" D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof the underlayment. NUA No.: 14-0717.08 Muu�FnzaeADE jglj nr Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 2 of 9 PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and ASTM A rubberized asphalt self-adhering, polyester Manufacturing Location 65'8"x 3'3-3/8" D 1970 reinforced waterproofing membrane. Designed as #2 60 mils thick a a roof tile underlayment. Elastoflex S6 G Roll: TAS 103 and ASTM Polyester reinforced, SBS modified bitumen 32' 10"x 3' 3-3/8" D6164 membrane with a burn off polyethylene or sanded back face and a granule top surface. For use in roof tile underlayment systems. MANUFACTURING PLANTS: 1.Hazelton, PA 2.Winter Haven,FL EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Trinity I ERD P10870.09.08-R1 TAS 1.03 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 .0811 V12 P40390.10.12 ASTM D 1970 ••• T6763/12 •• • P37590.07.13-1 ASTM D6164 ,,,•�, •Qj%A2/13 .... P45270.05.14 TAS 103,TAS 110&ASTU%. 05412/14 . D1623 �•�•�� P46520.10.14 ASTM D1623 0000• :1019 /14 ••;•• P44360.10.14 TAS 103 &TAS 1100•:•': :19M14 P43290.10.14 ASTM D 1970&TAS 116 167177/14 . . . . ...... PRI Asphalt Technologies PUSA-035-02-01 TAS 103 . :00,077/06 . PUSA-055-02-02 TAS 103 •• 12*1&07 �•�•• PUSA-089-02-01 TAS 103/ASTM D4798 &G155 •6770409 Momentum Technologies, Inc. JX201-17A TAS 103/ASTM D4798&G 15 5 04/01/08 RX14E8A TAS 103/ASTM D4798&G155 11/09/09 DX2313813 TAS 103/ASTM D4798&G155 02/18/10 DX23D8A TAS 103/ASTM D4798&G155 02/18/10 NOA No.: 14-0717.08 MIAMI•QAD;COUNTY Expiration Date: 09/1.3/16 �I® Approval Date: 01/22/15 Page 3 of 9 INSTALLATION PROCEDURES: Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(1) Anchor sheet mechanically fastened to deck,membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type I1 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: See General Limitations Below. Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(2) Anchor sheet mechanically fastened to deck,membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12" grid,6" o.c. at a minimum 4"head lap. (for base sheet only) Membrane: Elastoflex S6 G,hot asphalt applied. Surfacing: See General Limitations Below. Deck Type 1: Wood,non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(3) Base sheet mechanically fastened deck, subsequent cap membrane self-adhered. Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12" grid,6" o.c. at aminilr►um 4'•;;;!lap. (for.... base sheet only) ' Ply Sheet: Polystick MTS Plus,self-adhered with minimum 3 horizontal lai::x.. minimum 6 verti*a • (Optional) laps. •••••• Membrane: Polystick TU Plus,self-adhered. .•.•• •• ••••• urfacing: See General Limitations Below. .. • .. .... ...... • NOA No.: 14-0717.08 r+ ,APw�CouNrlr Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 4 of 9 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels,and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3-'/z"and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point,rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special attention to lap areas. 7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 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. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, Polystick MTS Plus,Polystick TU Plus,Polystick Tile Pro and Polystick 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 TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tiles ems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. :El astoflex$6 6+nay be.•••�• used in roof tile systems only. •• •••• • 009.09 0000 0000.. 3. Deck requirements shall be in compliance with applicable building code. 000000 0 0000.. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. Tjfed8rk shaZU free of ' irregularities. 0000 ' 00 00:00. .9..9• . 90 99999 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over 0•pre•existing•�0 0 •••••• membrane as a recover system. :00:0: 0 s 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longe thau the artbtfif bf days'•0 . listed in the table below after application. Polyglass reserves the right to revise or altetbrroduct exposvratimeA000% not to exceed the preceeding maximum time limitations. .00 Exposure Limitations(days) MTS IR-Xe Elastoflex TU Plus TU P Tile Pro Dual Pro TU Max MTS Plus S6 G Winter Haven, 180 90 180 180 180 180 180 90 180 FL. Hazelton PA. I N/A 90 N/A 180 N/A N/A I 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. MIAMNDiADE CNOA No.: 14-0717.08 �LgCOUNTY 1 Expiration Date: 09/1.3/16 Approval Date: 01/22/15 Page 5 of 9 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 Plus,Polystick Tile Pro, Polystick TU Max or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof tile applications. Polystick Dual Pro is limited to mechanically fastened roof tile applications.Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9.Polystick TU P may be used in mechanically fastened roof the applications with the exception of mortar set tile applications. 9a. 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 Elastoflex S6 G Polystick TU Plus, Polystick TU Polystick MTS TU P,Tile Pro, Max Plus, Dual Pro Flat Tile Prohibited 4:12 No limitation No limitation 5:12 without battens Profiled Tile Prohibited 4:12 No limitationo limitation :12 without 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. ,The following limitations shall be apply when using Polystick MTS Plus: • Slopes up to those shown in the table above will require stagging of tiles—two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, for a total of 6 tiles. (See Figure 1 below) • Battens shall be used for stagging of lugged tiles above 4:12 • Battens shall be used for stagging of flat tiles above 5:12 J/Slope 6.60 6000•. �.�a.,�.'. 66.66• • • • 66•• • •• •666• •66.6• • •• ••66• ', •• •• •66• •666•• 6••66• • • ...... _:... . • • • • 666••• ••66.6 • • • •6666• Figure 1: Stagging Method 9b. There shall be no roof slope limitation for the Polystick MTS Plus/Polystick TU Plus two-ply underlayment system when a applied using the stagging method outlined above. NOA No.: 14-0717.08 MAMfDADECO uNTY Expiration Date: 09/1.3/16 Approval Date: 01/22/15 Page 6 of 9 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. Roofing Tiles (6 Max Per Stack) a J y/ a 12 0 6 , U) N T Fbof Deck prepared with POLYSTICKTU Plus i 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products.Polystick MTS,Polystick MTS Plus,Polystick IR-Xe,Polystick TU Plus, Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick MTS,Polystick MTS Plus,Polystick IR-Xe, Polystick TU Plus,Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick MTS,Polystick MTS Plus, Polystick IR-Xe,Polystick TU Plus,Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G are 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 manu"f&'s nartr2•&logo, city"" and state of manufacturing facility and the following statement: "Miami-Dade County Pi i3det Control*Approved+'•••: or the Miami-Dade County Product Control Seal as shown below. • .... . .. ..... CMLADADECOUNTY ••..•• • •• •.••• BUILDING PERMIT REQUIREMENTS: • . . . . ...... Application for building permit shall be accompanied by copies of the following: " ' 0 090 0 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.: 14-0717.08 MFAMI•DAD'COUNTY Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 7 of 9 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1"metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12"o.c. Polystick TU Plus should be back nailed in designated area marked"nail area, area para clavar"on the face of membrane,with the above stated nails and/or disks. The head lap membrane is to cover the area being back- nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams(selvage laps)must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6"wide,uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry 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 7712"or greater. It is suggested that on pitch/slopes in excess of 6 '/<"/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.NbW fied Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement,XtraFlex 50prev%im Moaffrd?d 00 66" Wet/Dry Cement,Polyglass PG500 MB Flashing Cement to the area in need of repair,Followed bya0atch of thg•0; Polystick material of like kind should be set and hand rolled in place over the area ne*pg.spch repaid Patching membrane shall be a minimum of 6 inches in either direction. The repair should be instWW 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 substrat. es..�olygk i�l rgquires a„,, •• .. minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rplWa are acceptable for .' rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling.:,,.,,:0 ••••:• 11. All approved substrates should be dry, clean and properly prepared,before any application0of Polys ick, •••• membranes commences. An approved substrate technical bulletin can be furnished upon request. Itj4• 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 can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. NOA No.: 14-0717.08 MIAMI•DiADE COUNTY Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 8 of 9 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800)894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association(NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE 0000 0900.. . . . . .. 0000 0000 ...... 0000.. 0000.. 0000 .. 0000 . .. 0000. 0000.. .. 0000. .. .. .... 0000.. . . . . 0000.. 0.000. . . . .. . . ... 00 NOA No.: 14-0717.08 MIAMbDAD�VUNN,COt1NTY YJVJ Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 9 of 9 MIAM�[iI�DE 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) `,'`"-*ti•.niiamidade.Qoi-/"era 3M Company 3M Center Building 0220-05-E-06 St.Paul,MN.55144-1000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County PERA-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid d after the expiration date stated below. The Miami-Dade County Productuct Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 3M Foam Roof Tile Adhesive RTA-1 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,:tate ard to) wing• • statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.:..* 0 •••, 0000.. 0000 0000.. RENEWAL of this NOA shall be considered after a renewal application has been filed and tharehas been ne changed•0'" in the applicable building code negatively affecting the performance of this product. 000000 •• • 0000 0 00 00000 TERMINATION of this NOA will occur after the expiration date or if there has been a revNI44 bI chankeAllae *0*** • materials,use, and/or manufacture of the product or process. Misuse of this NOA as an endorsemepnt of any oduct, for•00, 000000 sales,advertising or any other purposes shall automatically terminate this NOA. Failure to c(nply with ally seption ot:...;. this NOA shall be cause for termination and removal of NOA. """ . 0000.. 00 . 0 000 0 0 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and fol4wwed 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# 10-1112.05 and consists of pages I through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0529.01 MIAM"DE COUNTY Expiration Date: 01/03/16 Approval Date: 11/21/12 Page 1 of 5 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3M Foam Roof Tile Adhesive RTA-1 as described below in this Notice of Acceptance,designed to comply with the Florida Building Code.For the locations where the pressure requirements,as determined by applicable building code, do not exceed the design pressure values;as obtained by calculations in compliance with RAS 127,using 3M Foam Roof Tile Adhesive RTA-1, and where the attachment calculations shall be done as an moment based system. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Descriution Specifications 3M Foam Roof Tile N/A TAS 101 Single component polyurethane foam roof tile Adhesive RTA-1 adhesive. MANUFACTURING LOCATION: 1. Norton, OH. PHYSICAL PROPERTIES: Propertv Test Results Density ASTM D 1622 1.95 lbs./ft.3 •*fee 060 6666• . . 6666.. Compressive Strength ASTM D 1621 7.8 psi ..0 ' 6666 Tensile Strength ASTM D 1623 15 PSI Parallel to rise 666:06 00:6 6 6 0 0.6 Water Absorption ASTM D 2842 4.6 Lbs./Ft2 •••*•• • • 6 666.. Moisture Vapor Transmission ASTM E 96 1.94 Perm/Inch **sees 0 0 0 Dimensional Stability ASTM D 2126 +0.89%Volume Change @ Irc., 2 WSeks` ": Closed Cell Content ASTM D 2856 54.1% ••;••: : 0 00 0 09:60" 00 06 6666 666966 0 060000 0 0 . . . . 6666. EVIDENCE SUBMITTED: ` . 00060. Test Auencv Test Identifier Test Name/Reyort •Pa9l♦tpe •••• .. . i0 . 0 Southwest Research Institute 01-1208-025 ASTM E 108 06Y4/96 PRI Construction Materials FOP-009-02-10 Physical Properties 12/14/10 Technologies,Inc. FOP-009-02-01 TAS-101 11/8/10 FOP-009-02-02 TAS-101 11/4/10 FOP-009-02-03 TAS-101 11/8/10 FOP-009-02-04 TAS-101 11/8/10 FOP-009-02-05 TAS-101 11/8/10 NOA No.: 12-0529.01 MIAMFDAD;COUNTY Expiration Date:01/03/16 'I®• Approval Date: 11/21/12 Page 2 of 5 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. 3M Foam Roof Tile Adhesive RTA-1 can be used with flat, low,medium and high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3M Foam Roof Tile Adhesive RTA-1 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. r--1 �FI 2/ — W MS INSTALLATION: 1. 3M Foam Roof Tile Adhesive RTA-1 may be used with any roof tile assembly having a current NOA that lists moment resistance values with the use of 3M Foam Roof Tile Adhesive RTA-1. 2. 3M Foam Roof Tile Adhesive RTA-1 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 3M Foam Roof Tile Adhesive RTA-1 shall provide sufficient attachment resistance,expressed as a moment based system,to meet or exceed the moment resistance determined in compliance with Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. 3M Foam Roof Tile Adhesive RTA-1 roof the adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120,and Fomo Products,Inc.3M Foam Roof Tile Adhesive RTA-1 Operating Instruction and Maintenance Booklet 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by Polyf9W Products,Inc. • 0••0 6090:0 5. Pressure treated wood filler block shall be required on all eave course of all tile p'roOegexcept c�r�>;wo • pieces barrel tile. 0 0 0.0. 04.00 0 0 0.0. 6. Tiles must be adhered in freshly applied adhesive. Tile must be set within 4 mimttet aftr 3M FoAm Roof.....: Tile Adhesive RTA-1 has been dispensed. 000000 ' 7. 3M Foam Roof Tile Adhesive RTA-1 placement shall be in accordance with the"Placement NAN' • 000000 0 00 0000. herein. Each generic tile profile requires the specific placement noted herein. • .. .. 0000 0000.6 609040 Table 1: Adhesive Placement For Each Generic Tile Profile - •• 000000 0000. Tile Typical Placement Weight per pad:ly(iftpnis) :6060: Profile Detail 00 • "' 0 t,Low&High Profile # 1 12 wv� ,High Profile 2-Piece Barrel #2 12 LABELING: All 3M Foam Roof Tile Adhesive RTA-1 containers shall comply with the Standard Conditions listed herein. NOA No.: 12-0529.01 CMowe CouNrr Expiration Date: 01/03/16 Approval Date: 11/21/12 Page 3 of 5 BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ADHESIVE PLACEMENT DETAILS v�n� MED ry BEAD IN THE PAN\ CONTINUOUS NTH{_._ .• M ADHESIVE ON DECK • • NICE ••• •••• •••••• • DTIIE CUT AWAY VIEW •••:.• ••�• •.••�• GoVe: See. •• •• •••• •••••• • II►Cs//PROF►LEt/LE • ••• :••.�• ••.•1• PROF,L •EAD IN rxE PAN E TILE CONTINUOUS VM ADHESIVE ON DECK hIC;H PROFILE TILE y�cy AROP��F PLACEMENT DETAIL#1 —_— NOA No.: 12-0529.01 MwMaoaoe couNTv Expiration Date:01/03/16 Approval Date: 11/21/12 Page 4 of 5 ADHESIVE PLACEMENT DETAILS (CONTINUED) PLACEMENT DETAIL#2 0000 . . 0000 0000.. 0000.. 0000 0000.. 0000 .. 0000.. 0000 . .. 0000. .. 0000. 0000.. • • . . . 0000.. 0000.. . .6009. END OF THIS ACCEPTANCE ��� NOA No.:e:-0529.01 01/03/1 Mu►r�For�e couNnr Expiration Date: 01/03/16 Approval Date: 11/21/12 Page 5 of 5 5 OR� Miami shores Village Building Department 10050 N.E.2nd Avenue tr"1004 pMiami Shores, Florida 33138 OR Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 4/28/2015 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: ANNIKA ASHTON Property Address: 113 NE 105 ST. MIAMI SHORES, FL 33138 Roofing Permit Number: Dear Building Official: I ANNIKA ASHTON certify that I am not required to retrofit the roof to wall conne4iowgf my 9990gee ...... building because: ••• e The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.4GAleese attachrproof of�ad ••; •0.96• valorem taxation. ,;41 ❑ The buildingwas constructed in compliance with the provisions of the Florida Building Code 4�B 0 yr with •`Fovision`s` p p 9 th�D •90999 of 1994 edition of the South Florida Building Code(1994 SFBC) ` •9669• • • • 69••96 ANNIKA ASHTON • •9 Signature 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 28 day of MARCH "'PA, P ,P",�� KATHLEEN J0 STRICKLEY :. Notary Public-State of Florida Notary Public, Sate of Florida at LargeMY COMM. '�' ,,,,,••' Commission#sJan 23,EE 88 932 17 ' FOF il� • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more th W BC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5121/2009