RF-15-2032 � � a
Rf
11 Vo
61,03
ORE •'. qty �
Miami Shores Village f 8 7"y �trm�f
g3 10050 N.E.2nd Avenue NEM 0 ,
Miami Shores,FL 33138-0000
6 10
"neo Phone: (305)795-2204
Expiration: 0211312016
v
Project Address Parcel Number Applicant
9632 NE 5 Avenue Road 1132060170140
Miami Shores, FL 33138- Block: Lot: MARY ALICE BLAKE
Owner Information Address Phone Cell
MARY ALICE BLAKE 9632 NE 5 AVE RD
MIAMI SHORES FL 33138-2443
Contractor(s) Phone Cell Phone Valuation: $ 26,600.00
EARL W JOHNSTON ROOFING, INC. 954-989-7794 (954)989-5666
_. Total Sq Feet: 3400
Type of Work:RESIDENTIAL RE ROOF TILE AND FLAT Available Inspections:
Additional Info:
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-8-15-56690
CCF $16.20 08/12/2015 Check#: 13081 $50.00 $836.96
DBPR Fee $4.88
DCA Fee $4.88 08/17/2015 Check#: 13083 $836.96 $0.00
Education Surcharge $5.40 Bond#:2809
Permit Fee-New Roof $325.00
Scanning Fee $9.00
Technology Fee $21.60
Total: $886.96
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
const=uthorized
Futhermore, I authorize the above-named contractor to do the work stated.
August 17, 2015
ature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 17,2015 1
Miami Shores Village
Building Department AUG 1 /0,5
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 r
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 501
FBC 201y
BUILDING Master Permit No.-R'F- 8` (fi- 2V3 2v
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
,
CONTRACTOR DRAWINGS
JOB ADDRESS: "nnllI ' NE � 1 ipylDni }P 20ncJ
City: Miami Shores County: Miami Dade Zip: �JI
Folio/Parcel#: I% 32-0tp 011 C l LAQ Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):,{ PUA_1!1 C CA B�U ,I11 6YUV4� Phone#: �` -_7X"�jt
Address: 9&3? N& � V L n A L4 U Q d
City: N j ann l Dnn yt S State: [ Zip: ?.x31 9
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 6a Y t yN • .d Ia� q%-W4--7MYN �WJ I/� Phone#:
Address: C72A Mind V r
City: RokNIVNIOnij State: i- Zip:ip��-yy� //�yy�
Qualifier Name: 66 r I Tcnrks� Phone#: "1W-gry" -73CILI
State Certification or Registration#: CaL 5?077 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
rr����
P
Value of Work for this Permit:$ 2 .W ) Square/Linear Footage of Work:X00
Type of Work: ❑ Addition ❑ Alteration ❑ New19 Repair/Replace ❑ Demolition
Description of Work: C e&( 11 G WOO-P I L d at Z6Ct
Specify c�or`of cotes .•��;; S/.�/� ��A�� �a i�,Z ��v,�
Submittal Fee$ �7l)� Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ �_3 • W `�'
TOTAL FEE NOW DUE$
(Revised02/24/2014) rq
S
AC132 Engineering Inc.
Testing & Engineering Services
Certification of Authorization#8131 Roof Tile Uplift Test Report
Tel: 954-245.8976; Fax: 954.301.7776
5230 NE 18 Avenue
Fort Lauderdale, FL 33334
Attention: Miami Shores Village, Building Division,
10050 NE 2nd Avenue, Miami Shores, FL 33138
Client: Earl W Johnston Roofing
Test Date: 10/12/2015 Permit# RF-8-15-2032
Property Address: t Blake Residence
9632 NE 5 Avenue Road, Miami Shores, FI
Roof Pitch: Type of Tile: Roof Area:
4 in 12 Entegra Roof Tile 27.00 squares
Tile Attachment Method: Two Component Polyurethane Foam Adhesive-Poly Pro H 160
Field Instrument : IMADA Force Gauge 0-100 Serial number:243454
Test Location Total Number of Tests Field Uplift Pull Test Test results
Perimeter Area: 10.00 sq 10 As per FBC 2014 Passed
Field Area: 17.00 sq 17 As per FBC 2014 Passed
No. of Corner: 14 14 As per FBC 2014 Passed
Ridge Areas: 140 pcs. 12 As per FBC 2014 Passed
Important:
These laboratory results can change due to future weather impacts and/or unavoidable roof
traffic.Therefore,this report represents the TAS 106 results at the time of the test.
Please see alta ed a Roof Sketch for this project.
Cordiall ,
A 62 n ' e Jing Inc. (NOA 09-1005.01)
Antoni Acevedo, PE
Fla. Reg. No: 36466
A
t )
ACB2 Engineering Inc.
Engineering and Laboratory Services
5230 NE 18`i' Avenue
Fort Lauderdale, Florida 33334
Phone: (954) 245-8976 Fax: (954) 301-7776
' IT
I
I
I i -
��
/ r
N'
q �
ht-
r
�5e°R3s Miami Shores Village
,,, ,,,,,� Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
ORrIDp' Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit# K-1 Sf 3 DATE: 9— 2"
INSPECTION AFFIDAVIT
I W ' j C)V1 N licensed as a(n)Contractor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License#: C-C
On or about 2'+ I , I did personally inspect the roof deck nailing and
(Date&time)
Secondary water barrier work at I l9 3 2. h()&,,
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
— a�
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 day of S
4 b�
Notary Public, Sate of Florida at Large 0-41-24,lil-&6
,, .;.,..-.rte.-„�`.,-�..a�.f,,,�•
'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
SECTION R4402.13
t ' 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.)
r 3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed,open beam ceilings are where the underside of the roof decking
can be viewed from below.The owner may wish to maintain the architectural appearance,therefore, roofing
nail penetrations of the underside of the decking may not be acceptable.This provides the option of maintaining
this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
ay 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
urifil 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.
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 architectlo e0minate the a$ic
venting,venting shall not be required.
...... .. . ......
Owner's/Ag nt's Sign ture Date Contractorl Sigr+attare •• ..:..'
.. .. . .. ......
gU32 NGA30 12-0 . . .
• •
Property Address Permit Number .'.
. .. . . ... . .
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Rodde Building Code 5th Edition(2014)
AUG 12 015
High-Velocity Hurricane Zone Uniform Permit Application Form. ,
Section A(General Information)
Master Permit No. Process No.
Contractors Name �}
Job Address Pocw y
AVIL
ROOF CATEGORY
Low Slope O Mechanically Fastened Tile jk Mortar/ h
• Asphaltic Shingles 0 Metal Panel/ShinglesO Wood Shtngl hPes
0 Prescriptive SUR-RAS 150
ROOF TYPE
D New roof 0 Repair 0 Maintenance Reroofing 0 Recovering
ROOF SYSTEM INFORMATION
Low Slope Roof Area(SF)–!(—)o Steep Sloped Roof AREA(SS F _tQQ Total(SF)
Section B(Roof Plan)
Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains.Include d men-
slons of sections and Levels,clearly Identify dimensions of elevated pressure zones and lecadon of parapets.
o
Z ................................:..
.................................................................
lilt .
V f ...cx.rr�xr..r.........._"........._.....:................................_...
...
..........................................................................•..1L,.5.-
5... .
....... ... �3 0- is .....!. ........ ._.
..........
AJFF
......
r .. S..e_.v.........._ Iz........................... �..............._.
•'' -
aT.:. .�s.�............ ............... IS..
p, ..................................:.................
Is...... .
.. .N.. ......_
y� .�4_ .....,..._ ......_. h ¢,
►J
• • • •
• • ••••�•
Q_L
r ..........................V.�... ............- ................................._....._.........................
........ ••• •
•
•• • • • •
7'' •
0 0e
FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37
8!7/2015 Property Search Application-Miami-Dade County
1 = . OFFICE OF THE PROPERTY A
Summary Report
Generated On:8/7/2015
Property Information
Folio: 11-3206-017-0140
Property Address: 9632 NE 5 AVENUE RD
Owner MARY ALICE BLAKE
Mailing Address 9632 NE 5 AVE RD
MIAMI SHORES,FL 33138-2443
Primary Zone 1300 SGL FAMILY-2801-3000 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY: 1 UNIT
Beds/Baths/Half 4/4/0
Floors 2
Living Units 1
Actual Area Sq.Ft
Living Area Sq.Ft
Adjusted Area 3,656 Sq.Ft
Lot Size 12,636 Sq.Ft
Year Built 1937 Taxable Value Information
2015 2014 2013
Assessment Information County
Year 2015 2014 2013 Exemption Value $100,000 $100.000 $100,000
Land Value $30 69 $265,589 $235,096 Taxable Value $158,688 $156,635 $152,843
Building Value $254,784 $248,222 $248,248 School Board
XF Value $14,564 $14,564 Exemption Value $25,000 $25,000 $25,000
Market Value $572,317 $528,375 $497,908 Taxable Value 1 $233,6881 $231,635 $227,843
Assessed Value 1 $258,688 $256,6351 $252,843 City
Exemption Value $50,000 $50,000 $50,000
Benefits Information Taxable Value 1 $208,688 $206,635 $202,843
Benefit Type 2015 2014 2013 Regional
Save Our Homes Assessment Exemption Value $50,000 $50,000 $50,000
$313,629 $271,740 $245,065
Cap Reduction Taxable Value $208,688 $206,635 $202,843
Homestead Exemption $25,000 $25,000 $25,000
Second Homestead Exemption $25,000 $25,000 $25,000 Sales Information
Senior Homestead Exemption 1 $50,000 $50,000 $50,000 Previous Sale Price OR Book-P4ge •• Quariii tadrfDescrip#"• •
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School 09/01/1990 $0 00000-00090 Qual b examofdeed
Board,City,Regional). ""• y •
Short Legal Description • . ...:. ••'
AMD PL OF MIAMI SHORES SEC 4 ••••.. .. .•;•••
PB 15-14 •••••� i •••� •...••
LOT 21 BLK86 •••••• . •'
LOT SIZE 97.200 X 130 • • • . ...•;
OR 14724-530 0990 4 •• • •
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record The Property
Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disciaimer.asp
Version:
GOOF ASSEMBLIES AND ROOFTOP STRUCTURES
SECTION 1525
HIGH-VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION
Florida Building Code 5th Edition 2014
High-VelocityHurricane Zone Uniform Permit Application Form
PP
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System Required Sections of the Attachments Required
Permit Application Form See List Below
Low Slope Appitoat A.B,C 1,2,3,4,5,6,7
Prescriptive BUR-RAS 150 A,B,C 4,5,6,7
Asphaltic Shingles A,B,D 1,2,4,5,6,7
Conc or Cl a Tile A,8,D,E 1,2,3,4,5,6,7
Metal Roofs A,B,D 1,2,3,4,5,6,7
Wood Shingles and Shakes A,B,D 1,2,4,5,6,7
Other As Applicable 1,2,3,4,5,6,7
ATTACHMENTS REQUIRED:
1. Fire Directory Listing Page
2. From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3. Design Calculations per Chapter 16,or if applicable,RAS 127 or RAS 128
4. Other Component of Product Approval
S. Municipal Permit Application
6. Owners Notification for Roofing Considerations(Reroofing Only)
7. Any Required Roof TestinglCalculation Documentation ••••
0000 0000..
0000.. •
0000
0000..
0000..
0000 . 0000.
0000..
.. .. . .. 0000..
0000.. •
0000..
.0996.
18.38 FLORIDA BUILDING CODE-BUILDING,5th EDITION(2014)
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
i A
F/or/da Bullding Code 8th Edition(2014)
High-Velocity Hurricane Zone Uniform Permit Application Form.
Section C(Low Slope Application) Top Ply Fastener/Bor�din Material: -
FIN in specific roof assembly components and Identify �I i i���P i � sT
manufacturer Surfacing: Vl (0A
(if a component is not used,Identify as"NA") Fastener Spacing for Anchor/Base Sheet Attachment:
System Manufacturer Field:-L'oc® Lap,p Rows 2-• ®,5"oc
Product Approval No.: (3 Q ,G Perimeter-6—'oc ® Lap,M Rows li 0 G'-oc
Design Wind Pressures,From RAS 128 or Calculations: Comer' oc ! Lap,N Rows oc
Number of Fastenjrs Per Insulation Board:
Fleld"--Pl Perlme er omer
Max.Design Pressure,from its specific product
approval system: Illustrate Components Noted and Details as Applicable:
Woodblocking,(cutter, Edge Termination,Stripping,Flashing,
Dock: Continuous Cleat,Cant Strip,Base Flashing. unterflashing,
Type: Coping,Etc.
5 I Indicate: Mean Roof Height, Parapet Height, Height of Base
Gauge/Thickness:, '� Flashing, Component Material, Material Thickness, Fastener
Type, Fastener Spacing or Submit Manufacturers Details that
Slope: F LA17 Comply with RAS 111 and Chapter 18.
Anchor/Base Sheet&No.of Ply(s):
Anchor/Base Sheet Fastener/Bonding Material: /
nsulatlon Base Layer:
Parapet
ase insulatla an Th Height
ase Insulatlo ne g aterfal: i i +�n ALT
nn 91z
op Insulation Layer. ''
op Insulation Size and Thickness: Mean
Roof
op Insulation Fastener/Bonding Material: Height..
• • ......
Base Sheet(s)&No.of Ply(s): ��# C SfM •
..... .. . ......
Base Sheet Fastener/Son g Material: ••••••
.... . .....
Ply Sheet(s)&No.of Ply(s): y f Z, •• •• ..
.`...io
_ •
• •
Ply Sheet Fastener/Bonding terial: '
Top Piy.
t IL38 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014 _
t ,
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition(2014)
High-Velocity Hurricane tone Uniform Permit Application Form
Section D(Steep Sloped Roof System)
Roof System Manufacturer. E TF_f. _A
Notice of Acceptance Number. 7 . 0 (
Minimum Design Wind Pressures,if Applicable(From RAS 127 or Calculations):
P1 —3-CLI P1: ( P1• 100.7
-r1l L�:t+o th�r�^t h/i F'�l �'n A N
Deck Type:
WOOL
RooZp
e:
Type Undedayment: :3 D-* Is.w
• 12 Insulation:
iJifl
Fire Barrier: N l
Ridge Vntiiation? Fastener Type&Spacing:I I `-!,4 damAJ A{L
EQ 1 1R , 12r-TgtJ CAPS,
r
Adhesive Type:
Type Cap Sheet: U, t4'Yl
c
Mean Roof Height: l Viz. ZU` Roof Covering:
<_wcyiLre. 41
Type&Size Drip
Edge:
. . .... ......
...... .. . ......
...... .. . .....
.. .. . .. ......
FLORIDA BUILDING CODE--BUILDING,sth EDITION(2014) 1539
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition(2014)
High-Velocity Hurricane Zone Uniform Permit Application Form.
Section E (Tile Calculations)
For Moment based the systems,choose either Method 1 or 2.Compare the values for Mr with the values from M. If the M,values
are greater than or equal to the M,values,for each area of the roof,then the tile attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
(P1" 1'( x X• _( -Mg:/:- a M„� Product Approval fA '10l
(P2 �( 0.-'VA_ . •�`�)-Mg:y(y=M'2"A I Product Approval M, f 1 �Y
(P3:-EQ x)L. `f =4.11 I -Mg:111=M,3 :A Product Approval M, 113 1_
Method 2"Simplified Tile Calculations Per Table Belove
Required Moment of Resistance(Mr) From Table Below Oq Product Approval M,
M,required Moment Resistance*
Mean Roof Height 15. 20' 25' 30' 40'
Roof Slope
2:12 34A 36.5 38.2 39.7 42.2
3:12 32.2 64.45 36.0 37.4 39.8
4:12 30.4 1 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 the systems endorsed by the Broward County Board of Rules and
Appeals.
For Uplift based the systems use Method 3. Compared the values for F with the values for Fr.If the F'values are greater than or
equal to the Fr values,for each area of the roof,then the file attachment method is acceptable.
Method 3"Uplift Based Tile Calculations Per RAS 127"
(P1: x L = x w:_ -W: x cos 8 =Fr, Product Approval F
(P2 x L = x w:=_-a-W x cos 9 =F,1 Product Approval F
(P3 x L x w:=_�-W' x cos 9 =F„ Product Approval F
Where to Obtain information
Description Symbol Where to find
Desi n Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis pre-
g pared by PE based on ASCE 7
Mean Roof Height H Job Site
Roof Slope 8 Job Site •••••• 0066•0
Aerodynamic Multiplier Product Approval •. .. 0•
.. 0000:
.000.0
Restoring Moment due to Gravity
Mg Product Approval 0
Attachment Resistance Mt Product Approval 000*
Mo Calculated *ego •••••• .0•••
Required Moment Resistance
Minimum Attachment Resistance F' Product Approval •••••• •• 0000.
Required Uplift Resistance F, Calculated •• •••• •
0.
Average Tile Weight W Product Approval 0 ••0•••
Tile Dimensions L =length W s width Product Approval :"•••
All calculations must be submitted to the building official at the time of permit application. •• • ••0 :0•
6.0 •
1 SAO FLORIDA BUILDING CODE-BUILDING,5th EDITION(2014)
MIAMHM*DE MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street,Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99
NOTICE OF ACCEPTANCE (NOA) www.miam1dadeeov/econotnv
GAF
1361 Alps Road
Wayne,NJ 07470
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: GAF Conventional Built-Up Roof Systems for Wood Decks.
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 displaXed,thea• ".
it shall be done in its entirety. •••• ••••••
. .
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or it's dis'tributor%* ••••••
and shall be available for inspection at the job site at the request of the Building Official. •
.... ......
This NOA renews and revises NOA No. 13-0424.09 and consists of pages 1 through 16.
.... . .....
The submitted documentation was reviewed by Jorge L.Acebo. ••"... .. ..:..'
.. .. . .. ......
NOA No*.:101022.15' ;..�•;
I4AMIWIDECOUNTY Expiration Dale: 1/04/18•' ;'; • •
Approval Date: 11/06/14
Page 1 of 16
r
ROOFING SYSTEM APPROVAL
Cateaory Roofing
Sub-Cateeorv: BUR
Material: Fiberglass
Deck Type: Wood
Maximum DesIen Pressure: -75 psf.
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE 1
Test Product
Product Dimensions Specification Description
GAFGLAS®#75 Base 39.37"(1 meter) ASTM D4601 Type II asphalt impregnated and coated glass mat
Sheet Wide base sheet.
GAFGLASO#80 Ultima 39.37"(1 meter) ASTM D4601 Type II asphalt impregnated and coated,fiberglass
Base Sheet Wide base sheet.
GAFGLAS®F1exPly7"6 39.37"(1 meter) ASTM D2178 Type VI asphalt impregnated glass felt with asphalt
Wide coating.
GAFGLAS®Ply 4 39.37"(1 meter) ASTM D2178 Type IV asphalt impregnated glass felt with asphalt
Wide coating.
GAFGLASn Mineral 39.37'(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheet surfaced
Surfaced Cap Sheet Wide with mineral granules.
GAFGLAS®EnergyCap' 39.37'(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheet surfaced
BUR Mineral Surface wide with mineral granules with factory applied
Cap Sheet EnergyCote
GAFGLAS®Stratavent® 39.37"(1 meter) ASTM D4897 Fiberglass base sheet coated on both sides with
Eliminator Perforated Wide asphalt.Surfaced on the bottom side with mineral
Venting Base Sheet granules embedded in asphaltic coating with factory
perforations.
GAFGLAS®Stratavene 39.37'(1 meter) ASTM D4897 A nailable,fiberglass base sheet impregnated and
Eliminator Nailable Wide coated on both sides with asphalt. Surfaced on the
Venting Base Sheet bottom side with mineral granules embedded in
asphaltic coating.
Ruberoid®SBS Heat- 39.37"(1 meter) ASTM D6164 Non-Woven Polyester mat coated with polymer-
Weld'"Smooth Wide modified asphalt and smooth surfaced. ••
Ruberoid®SBS Heat- 39.37"(1 meter) ASTM D6164 Non-Woven Polyester mat coated ys 1 Imes*o •
Y �Y rs. •
WeIC 25 Wide modified asphalt and smooth surfwed•. 6.•,• •
Ruberoidm 20 39.37"(1 meter) ASTM D6163 SBS modified asphalt base sheet*&—ce witr a :....:
Wide glass fiber mat. •*,0 0• :••• •
Ruberoid®Mop Smooth 39.37"(1 meter) ASTM D6164 Non-woven polyester mat coatedwith'ItolymeV. so***
wide .. ..
modified asphalt and smooth sur�'aced.
...••• .
NOA No:134922.15'
C�Z
ExpirationDate1f/04/18.'' Approval Date: 11/06/14 •' '
Page 2 of 16
r .
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE 1
Test Product
Product Dimensions Specification Description
Fire0e Fire Barrier 5, 55 gallons Proprietary Low VOC,water based fire barrier coating.
Coating
VersaShield®Fire 350 sq.ft.roll ASTM D226 Non-Asphaltic Fiberglass-Based Underlayment.
Resistant Roof Deck
Protection
Topcoat®Surface Seal 5 gallons ASTM D6083 Solvent based sprayable thermoplastic rubber
SB sealant designed to protect and restore aged roof
surfaces and to increase a roofs reflectivity.
APPROVED INSULATIONS:
TABLE 2
Product Name Product Description Manufacturer
(With Current NOA)
EnergyGuard'"Polyiso Insulation Polyisocyanurate foam insulation GAF
EnergyGuarr RA Polyiso Insulation Polyisocyanurate foam insulation GAF
EnergyGuard7 RN Polyiso Insulation Polyisocyanurate foam insulation GAF
EnergyGuard'"Perlite Roof Insulation Perlite insulation board. GAF
EnergyGuard-Perlite Recover Board Perlite recover board GAF
EnergyGuarir RA Composite Polyiso Polyisocyanurate foam insulation with high GAF
Insulation density fiberboard or Permalite perlite
insulation
SecurocO Gypsum-Fiber Roof Board Gypsum roof board United States Gypsum Corp.
Structodee High Density Fiber Board High density fiber board Blue Ridge Fiberboard,Inc.
DensDece Roof Board Gypsum board Georgia-Pacific Gypsum LLC
. . .... ......
...... .. . ......
.060 ••••••
:9:00-
000000
-
.. .. . .. ......
•••••• 0 0
•.
• • . • •
......
NOA Np.:lj-• 122.15• •
Mq pgpE Expiration DAR: 11/04/180• *•9 • •
"• ' Approval Date: 11/06/14 •• •
Page 3 of 16
r ,
APPROVED FASTENERS:
TABLE 3
Fastener Product Product Manufacturer
Number Name Description Dimensions (With Current NOA)
1. Drill-Tec""#12 Fastener Insulation fastener for steel, various GAF
wood&concrete decks.
2. Drill-Tec'"#14 Fastener Insulation fastener for steel, various GAF
wood&concrete decks.
3. Drill-Tec'"XHD Fastener Carbon steel extra heavy duty Various GAF
fastener used in steel decks.
4. Drill-Tec'"ASAP 3S Drill-Tec'"#12 Fastener with Various GAF
Drill-Tec'm 3"Standard Steel
Plate
5. Drill-Tec'"3"Steel Plate Round galvalume stress plate 3"round GAF
used with Drill-Tec"
fasteners.
6. Drill-Tec'"3"Standard Steel Round galvalume plated steel 3"round GAF
Plate stress plate with reinforced
ribs for use with Drill-Tec"
fasteners.
7. Drill-TecAccuTrac®Flat AZ-SS aluminized steel plate 3"square GAF
Plate for use with Drill-Tec"`#12
Fastener,Drill-Tec'"#14
Fastener and Drill-Tec""#15
Fastener.
S. Drill-Tec"AccuTrace Galvalume Steel plate for use 3"square GAF
Recessed Plate with Drill-Tec'"fasteners.
Soso
. . .... ......
• • s •
•000•• •• • 00.0.0
•
•090.9
•000 • • • •
• s •0000•
0000
90.00• 00 • SSSS•
•• •• • •• 9.0000
•
•0000• • •
' • • • •00.0•
NOA No.:13-1022.15•••
o urmr Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 4 of 16
I
EVIDENCE SUBMITTED:
Test Agency Test Identifier Description Date
Factory Mutual Research Corp. J.I.2B8A4.AM 4470 07/02/97
J.1.3B9Q1.AM 4470 01/08/98
J.I. ODOA8.AM 4470 07/09/99
J.I. OD 1 A8.AM 4470 07/29/94
J.I.OY9Q5.AM 4470 04/01/98
3029832 4470 05/11/07
UL LLC R1306 UL 790 07/22/13
PRI Construction Materials GAF-012-02-02 ASTM D4977 11/06/01
Technologies,LLC GAF-020-02-01 ASTM D4977 02/01/02
GAF-082-02-01 ASTM D6083 05/07/06
GAF-084-02-01 ASTM D6083 05/09/06
GAF-270-02-02 ASTM D226 11/15/10
GAF-276-02-OlRev ASTM D6083 12/16/10
GAF-276-02-02 ASTM D226 11/15/10
GAF-306-02-01 ASTM E96 07/07/11
GAF-314-02-01 ASTM D2178 08/23/11
GAF-315-02-01 ASTM D2178 08/23/11
GAF-369-02-01 ASTM C1289 10/22/12
GAF-417-02-01 ASTM C1289 05/28/13
GAF-464-02-01 ASTM C1289 10/22/12
GAF-499-02-01 ASTM D6083 03/12/14
GAF-500-02-01 ASTM D6083 03/12/14
IRT of S.Fl. 02-005 TAS 114 01/18/02
02-014 TAS 114 03/22/02
Trinity ERD G30250.02.10-3-RI ASTM D3909 11/26/12
G31360.03.10 ASTM D6164 03/31/10
G33470.01.11 ASTM D6164 11/16/11
G34140.04.11-2 ASTM D6163 04/25/11
G34140.04.11-4 ASTM D6401 04/25/11
G34140.04.11-5 ASTM D4897 04/25/11
G34140.04.11-5-RI ASTM D4897 10/18/13
G40630.01.14-2A-1 ASTM D6164 01/07/14
G43610.01.14 ASTM D3909 01/22/14
G6850.08.07-1 ASTM D3909 08/13/07
G30250.02.10-3-R1 ASTM D3909 11/26/12
000.
0
. . 0000 0000..
0000..
0000..
0000
0000..
0000 . 0000..
00 00 .
......
. .
0000..
0 0 .0000.
NOA No.: 13-1022.15' :
Morn CouNrr Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 5 of 16
APPROVED ASSEMBLIES
Membrane Type: BUR
Deck Type 1I: Wood,Insulated
Deck Description: 19/32"or greater plywood or wood plank
System Type A: Anchor sheet mechanically fastened,all layers of insulation adhered with approved asphalt.
All General and System Limitations shall apply.
Fire Barrier: FireOutT"Fire Barrier Coating,VersaShielde Fire-Resistant Roof Deck Protection or
(optional) Securock®Gypsum Fiber Roof Board.
Anchor sheet: GAFGLAS®#80 Ultima'"Base Sheet,GAFGLASO Stratavent®Eliminator'"Nai fable
Venting Base Sheet,Ruberoid®20,Ruberoid®SBS Heat-Weld'"Smooth or Ruberoid®Heat-
Weld'"25 base sheet mechanically fastened as described below;
Fastening Options: GAFGLASO Ply 4,GAFGLAS®Flex.Ply'"6,GAFGLAS®#75 Base Sheet or any of above
anchor sheets attached to deck with approved annular ring shank nails and tin caps at a
fastener spacing of 9"o.c. at the lap staggered and in two rows 12"o.c.in the field.
(Maximum Design Pressure—45 psf. See General Limitation#7)
GAFGLAS®Ply 4,GAFGLAS®F1exPlyT"6,GAFGLAS®#75 Base Sheet or any of above
anchor sheets attached to deck with Drill-TecT"#12 Fastener,Drill-Tec'"#14 Fastener and
Drill-TecT"3"Steel Plate,Drill-TecT"AccuTrace Flat Plate or Drill-TecT"AccuTrace
Recessed Plate 12"o.c.in 3 rows. One row is in the 2"side lap. The other rows are equally
spaced approximately 12"o.c. in the field of the sheet.
(Maximum Design Pressure—45 psf.See General Limitation#7)
GAFGLAS®FlexPl T"6 GAFGLAS®#75 Base Sheet or any y of above anchor sheets
attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of
9" ox,at the 4"lap staggered and in two rows 9"o.c.in the field.
(Maximum Design Pressure—52.5 psf.See General Limitation#7)
GAFGLAS®#80 UltimaT"Base Sheet,Ruberoid®20,Ruberoid®Mop Smooth,base sheet
attached to deck with approved 1'/."annular ring shank nails and inverted 3"steel plate at a
fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of
9"o.c.in the center of the membrane.
(Maximum Design Pressure—60 psf.See General Limitation#7)
GAFGLAS®#75 Base Sheet or any of above anchor sheets attached to deck with Drill-TecT"
#12 Fastener,Drill-Tec'"#14 Fastener and Drill-TecT"3"Steel Plate,Drill-Tec"AccuTw!o
Flat Plate or Drill-TecT AccuTrac Recessed Plate 12"o.c.in 4 rows. Orae row is in tf&T;• 0000:9
side lap. The other rows are equally spaced approximately 9"o.c.in the field of4othe sheet- • •,
(Maximum Design Pressure—60 psf.See General Limitation#7) 000:00 •• ••••••
Any of above anchor sheets attached to deck approved annular ring shank nails and 3" . :9069:
inverted Drill-Tect►t insulation plates at a fastener spacing of 9"o.c.at the a:lap staggeWif in• ••0••
two rows 9" in the field. ...... •• • •••••
(Maximum Design Pressure—60 psf.See General Limitation#7)
.. .. . .. ......
. . . . ......
• • • •00 go
•
go
NOA No.:13-1022.15 •• •
MwM�wECO Expiration Date: 11/04/18
®• ' Approval Date: 11/06/14
Page 6 of 16
Fastening Options: GAFGLAS®#75 Base Sheet or any of above anchor sheets attached to deck with Drill-Tec",
(Continued) #12 Fastener or Drill-Tec"#14 Fastener and 3"Drill-Tec""3"Steel Plate,Drill-Tec
AccuTrac®Flat Plate or Drill-Tec"''AccuTrac®Recessed Plate 8"o.c. in 4 rows. One row is
in the 2"side lap.The other rows are equally spaced approximately 9"o.c.in the field of the
sheet.
(Maximum Design Pressure—7Ssj.See General Limitation#7
P )
One or more layers of any of the following insulations.
Insulation Layer Insulation Fasteners Fastener
(Table 3) Density/ft2
EnergyGuarC Polyiso Insulation,EnergyGuarC RA Polyiso Insulation,EnergyGuar(r RA Composite
Polyiso Insulation
Minimum 1"thick N/A N/A
EnergyGuard'"Perlite Recover Board
Minimum%11 thick N/A N/A
EnergyGuard""Perlite Roof Insulation
Minimum'/."thick N/A N/A
Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the
EVT range and at a rate of 20-40 lbs./100 fe. Please refer to Roofing Application Standard RAS 117 for
insulation attachment. Composite insulation panels may be used as a top layer placed with the polyisocyannrate
side facing down. GAF requires either a ply of GAFGLAS®Stratavent®Eliminator Perforated Venting Base
r a layer of
,., g
Sheet laid d o Ener Guard Perlite Roof Insolation or wood fiber overlay Y o ria board on all
17' g.P Y
isocyanurate applications.
Base Sheet: Optional)Install one ply of GAFGLAS®#75 Base Sheet, GAFGLAS®#80 Ultima Base
Sheet,GAFGLAS®Stratavent®Eliminator'"Perforated Venting Base Sheet,Ruberoid®Mop
,�
SmoothRuberoid 20 Ruberoid®SBS eat-W d
B H el Smooth or Ruberoid SBS Heat-Weld
25 directly over the top layer of insulation. Adhere with any approved mopping asphalt
applied within the EVT range and at a rate of 2040 lbsJsq;(see General Limitation#4).
Ply Sheet: One or more plies GAFGLAS®PLY 4,GAFGLAS®Flex P1yTM 6 sheet or GAFGLAS®#80
Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT
range and at a rate of 20-40 lbsJsq.
Cap Sheet: (Optional) One ply of GAFGLASO Mineral Surfaced Cap Sheet or GAFGLAS®
EnergyCap'"BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved
asphalt applied within the EVT range and at a rate of 2040 lbsJsq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes.Chplsiht•.
components must be applied according to manufacturer's applicatiod in4tfpctions.•
coatings must be listed within a current NOA. '
1. Gravel or slag applied at 400 lbs./sq.and 300 lbs./sq.respect Veli l n a floolcoat •
of approved asphalt at 60 lbs./sq. ••••••
2. Topcoat®Surface Seal SB applied at Ito 1.5 gal./sq. •,,,,• ;••••• .•...•
Maximum Design '
...... .. . .....
Pressure: See Fastening Options. '
.. .. . .. ......
. .. . . ... . .
NOA No.:13-1022.15•..
oaDE Expiration Date: 11/04/18
"'• Approval Date: 11/06/14
Page 7 of 16
Membrane Type: BUR
Deck Type 1I: Wood,Insulated
Deck Description: 19/32"or greater plywood or wood plank
System Type B: Optional base sheet laid dry;base layer of insulation mechanically fastened,optional top layer
adhered with approved asphalt.
All General and System Limitations shall apply.
One or more layers of any of the following insulations.
Base Insulation Layer Insulation Fasteners Fastener
(Table 3) Density/ftz
EnergyGuard'"Polyiso Insulation,EnergyGuard'"RA Polylso Insulation
Minimum 1.3"thick 1,2,3 or 4 1:3 ftz
EnergyGuard'm RN Polyiso Insulation
Minimum 1.4"thick 1,2,3 or 4 1:3 fP
EnergyGuard'"RA Composite Polyiso Insulation
Minimum 1.5 thick 3 1:3 ftz
EnergyGuard'"Perlite Roof Insulation
Minimum%"thick 1,2,7 or 8 1:2 ft=
Structodek®High Density Fiberboard
Minimum 1"thick 1,2,7 or 8 1:4 fF
Note: Base layer shall be mechanically attached with fasteners and density described. Insulation panels listed
are minimum sizes and dimensions; if larger panels are used the number of fasteners per board shall be
increased maintaining the same fastener density(See Roofing Application Standard RAS 117 for fastening
details). GAF requires either a ply of GAFGLAS®Stratavene Eliminator'"Perforated Venting Base Sheet laid
dry or a layer of EnergyGuardrm Perlite Roof Insulation or wood fiber overlay board on all isocyanurate
applications.
Top Insulation Layer Insulation Fasteners Fastener
(Table 3) Density/W
Any of the insulations listed for Base Layer,above. N/A N/A
Structodek®High Density Fiberboard,EnergyGuarC Perlite Recover Board
Minimum V2"thick N/A N/A
Note:Optional top layer of insulation shall be adhered with approved asphalt within the EVT range and at a
rate of 20-40 lbs./100 ft2. Please refer to Roofing Application Standard RAS 117 for insulation attachment. ....
Composite insulation boards used as a top layer shall be installed with the polyisocyanurate fare dosvn. ......
• . •
Fire Barrier: FireOe Fire Barrier Coating,VersaShield®Fire Resistant Roof Deck Protection or Secuco� 2;• ,;
(optional) Gypsum Fiber Roof Board.
go
•• •• • •• ••••••
•
• • • • ••••••
• • • • •
NOA No.: 13-1022.15 o••
�CtuNrY� Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 8 of 16
Base Sheet: (Optional)Install one ply of GAFGLAS®#75 Base Sheet,GAFGLAS®#80 Ultima Base
Sheet,GAFGLAS®Ply 4,GAFGLAS®FlexPlyn 6,GAFGLAS Strataventm Eliminator-
Perforated Venting Base Sheet laid dry,Ruberoid®Mop Smooth or Ruberoid®20 directly over
the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT
range and at a rate of 20-40 lbs./sq. (See General Limitation#4).
Ply Sheet: Two or more plies of GAFGLAS®Ply 4,GAFGLAS®FlexPly' 6 or GAFGLAS®#80 Ultima
Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at
a rate of 20-40 lbs./sq.(See specification number for appropriate number of plies).
Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced Cap Sheet or GAFGLAS®EnergyCap'"
BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within
the EVT range and at a rate of 20-40 lbs./sq.(See GAF application instructions for approved
method of installation).
Surfacing: Optional on granular surfaced membranes;required for smooth membranes.Chosen
components must be applied according to manufacturer's application instructions. All
coatings must be listed within a current NOA.
1. Gravel or slag applied at 4001bs./sq.and 300 lbs./sq.respectively in a flood coat of
approved asphalt at 601bs./sq.
2. Topcoat®Surface Seal SB applied at Ito 1.5 gal./sq.
Maximum Design
Pressure: -45 psf.(See General Limitation#7)
. . .... ......
...... .. . ......
.... . .....
...... .. . .....
.. .. . .. ......
. . . . ......
NOA No.: 13-1022.15 .. :
MAMForWECOU1VrY Expiration Date: 11/04/18
• Approval Date: 11/06/14
Page 9 of 16
Membrane Type: BUR
Deck Type 1I: Wood,Insulated
Deck Description: 19/32"or greater plywood or wood plank
System Type C: One or more layers o t
nsulation simultaneously ,
attached• layer P
Y Base la optional.
All General and System Limitations shall apply.
One or more layers of any of the following insulations.
Base Insulation Layer Insulation Fasteners Fastener
(Table 3) Density/ft2
Ener Guard""RN Polyiso Insulation,Ener Guard""Polyiso Insulation Ener n '"
gY ll.Y Yl gyG and RA Polyiso Insulation
Minimum 1.3"thick N/A N/A
EnergyGuaror Polyiso Insulation
Minimum 1.4"thick N/A N/A
EnergyGuard7 RA Composite Polyiso Insulation
Minimum 1.5"thick N/A N/A
EnergyGuard7 Perlite Recover Board
Minimum%"thick NIA N/A
StructodeV High Density Fiber Board
Minimum 1"thick N/A NIA
Note:All layers shall be simultaneously fastened;see top layer below for fasteners and density. Insulation
panels listed are minimum sizes and dimensions;if larger panels are used,the number of fasteners shall be
increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 for
insulation attachment.GAF requires either a ply of GAFGLAe Stratavene Eliminator Perforated Venting
Base Sheet laid dry or a layer of EnergyGuard7 Perlite Roof Insulation or wood fiber overlay board on all
isocyanurate applications.
Top Insulation Layer Insulation Fasteners Fastener
(Table 3) Densitylftz
EnergyGuard7 Polyiso Insulation,EnergyGuard7 RA Polyiso Insulation
Minimum 1.3"thick 1,2,3 or 4 1:3 ft2
EnergyGuard'"RN Polyiso Insulation
Minimum 1.4"thick 1,2 or 3 1.3 ft;2...
EnergyGuard RA Composite Polyiso Insulation ' ' *000 Goo90 *:*
1.5 thick 3 1.3 fIV.•,•
000000
EnergyGuardTw Perlite Roof Insulation •
Minimum%1'thick 1,2,7 or 8 ." 1:21`b1••:•
.... . .....
Structodeka High Density Fiber Board ...•.• •• •• •••
Minimum 1"thick 1,2,7 or 8 .. .. 1.4 h2•" """
. . . . ......
NOA No.: 13-1022.15'..'
MLAH p Expiration Date: 11/04/18
" • ' Approval Date: 11/06/14
Page 10 of 16
Note: Insulation panels listed are minimum sizes and dimensions; if larger panels are used,the number of
fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application
Standard RAS 117 for insulation attachment. GAF requires either a ply of GAFGLAS*Stratavento
Eliminator'"Perforated laid dry or a layer of EnergyGuard"Perlite Roof Insulation or wood fiber overlay
board on all polyisocyanurate applications.
Fire Barrier: FireOut7 Fire Barrier Coating,VersaShield*Fire Resistant Roof Deck Protection or
(optional) Securock7 Gypsum Fiber Roof Board.
Base Sheet: (Optional)Install one ply of GAFGLAS*#75 Base Sheet,GAFGLAS®#80 Ultima'"Base
Sheet,GAFGLAS*Ply 4,GAFGLAS F1exP1yT"6,GAFGLAS®Stratavent®Eliminator
Perforated Venting Base Sheet laid dry,Ruberoid*Mop Smooth or Ruberoid*20 directly over
the top layer of insulation. Adhere with any approved mopping asphalt applied within the
EVT range and at a rate of 20-40 lbs./sq. If base sheet is applied directly to polyisocyanurate
insulation only a spot or strip mopped application as detailed in this approval the use of an
overlay board is approved;see General Limitation#4.
Ply Sheet: Two or more plies of GAFGLAS*Ply 4,GAFGLAS*FlexPly' 6 ply sheet or GAFGLAS*
#80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the
EVT range and at a rate of 20-40 lbsJsq.
Cap Sheet: (Optional) One ply of GAFGLAS*Mineral Surfaced Cap Sheet or GAFGLAS*EnergyCap'"
BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied
within the EVT range and at a rate of 20-40 lbs./sq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes.Chosen
components must be applied according to manufacturer's application instructions. All
coatings must be listed within a current NOA.
1. Gravel or slag applied at 400 lbs./sq.and 3001bs./sq.respectively in a flood coat
of approved asphalt at 60 lbs./sq.
2. Topcoat*Surface Seal SB applied at Ito 1.5 gal./sq.
Maximum Design
Pressure: -45 psf.(See General Limitation#7)
. . .... ......
...... .. . ......
.... . .....
...... .. . .....
•
NOA No.: 13-1022.15 '.•'
Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 11 of 16
Membrane Type: BUR
Deck Type 1I: Wood,Insulated
Deck Description: 19/32"or greater plywood or wood plank
System Type D: Insulation and Base sheet simultaneously
All General and System Limitations shall apply.
One or more layers of any of the following insulations.
Insulation Layer Insulation Fasteners Fastener
EnergyGuard'"Polyiso Insulation,EnergyGuard'"RA Polylso Insulation (Table 3) Density/ftr
Minimum 1.3"thick N/A N/A
StructodeV High Density Fiber Board
Minimum 1"thick N/A N/A
Note: Insulation shall have preliminary attachment,prior to the installation of the base sheet,at a minimum
application rate of two fasteners per board for insulation boards having no dimension greater than 4 ft.,and
four fasteners for any insulation board having no dimension greater than 8 ft. All layers of insulation,optional
thermal barrier(when present)and base sheet shall be simultaneously fastened. See base sheet below for
fasteners and density. Please refer to Roofing Application Standard RAS 117 for insulation attachment.
Fire Barrier: FireOut'"Fire Barrier Coating,VersaShiele Fire Resistant Roof Deck Protection or
(optional) Securock'"Gypsum Fiber Roof Board.
Base Sheet: Install one ply of GAFGLAS®#75 Base Sheet, GAFGLAS®#80 Ultima Base Sheet,
GAFGLAS®Stratavento Eliminator Nailable Venting Base Sheet or Ruberoid®20 base
sheet applied over the loose laid insulation with 2"side laps mechanically fastened as
described below;
Fastening Options: Drill-Tec'm#12 Fastener or Drill-Tec'"#14 Fastener and Drill-Tec'"3"Steel Plate,Drill-
Tec" AccuTrac®Flat Plate or Drill-Tec"`AccuTrac®Recessed Plate is installed through the
base sheet and insulation in 3 rows 12"o.c. One row is in the 2"side lap. The other rows
are equally spaced approximately 12"o.c.in the field of the sheet.
(Maximum Design Pressure—45 psf.See General Limitation#7)
Drill-Tec'"#12 Fastener or Drill-Tec #14 Fastener and Drill-Tec"m 3"Steel Plate,Drill-
Tec'"AccuTrace Flat Plate or Drill-Tec"AccuTrac®Recessed Plate is installed through the
base sheet and insulation in 4 rows 8"o.c.One row is in the 2"side lap. The other 3 rows
are equally spaced approximately 9"o.c. in the field of the sheet.
(Maximum Design Pressure—75 psf.See General Limitation#7)
GAFGLAS #80 Ultima'"Base Sheet,Ruberoid®20,Ruberoid®Mop Smooth,.base sheet.;.. .....*
attached to deck with approved annular ring shank nails with a minimum4�lledtnent of l?' . .•
into the wood substrate and inverted 3"steel plate at a fastener spacing of p:o.o•at the 4s•• •••• •
lap and in two rows staggered with a fastener spacing of 9"o.c.in the center of the
membrane. ....
(Maximum Design Pressure—60 psf.See General Limitation#7) •••• ••;
...... .. . .....
.. .. . .. ......
. . . . ......
NOA No.:13-1011.15'..' ;
MMwMADE Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 12 of 16
Fastening Options: Drill-Tec"`#12 Fastener and Drill-Tec'"#14 Fastener and Drill-Tec"3"Steel Plate Drill-
(Continued) TecT"AccuTraco Flat Plate or Drill-Tec—AccuTrac®Recessed Plate in 4 rows 12"o.c. One
row is in the 2"side lap.The other rows are equally spaced approximately 9"o.c.in the
field of the sheet.
(Maximum Design Pressure—60 psf.See General Limitation#7)
Pty Sheet: One or more plies GAFGLAS®Ply 4,GAFGLAS®FlexPlyT"6 or GAFGLAS®#80 Ultima
Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and
at a rate of 20-40 lbs./sq.
Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced Cap Sheet or GAFGLAS®
EnergyCapT"BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved
asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes.Chosen
components must be applied according to manufacturer's application instructions. All
coatings must be listed within a current NOA.
1. Gravel or slag applied at 400 lbs./sq.and 300 lbs./sq.respectively in a flood coat
of approved asphalt at 60 lbs./sq.
2. Topcoat®Surface Seal SB applied at Ito 1.5 gal./sq.
Maximum Design
Pressure: See Fastening Options
...... .. . ......
...... .. . .....
.. .. . .. ......
. . . . ......
NOA No.: 13-1022.15 '.,• ;
MUAMFM�E t Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 13 of 16
Membrane Type: BUR
Deck Type 1: Wood,Non-insulated
Deck Description: 19/32"or greater plywood or wood plank decks
System Type E: Base sheet mechanically fastened.
i
All General and System Limitations shall apply.
Fire Barrier: FireOut'"Fire Barrier Coating,VersaShield®Fire Resistant Roof Deck Protection or
(optional) Securoclj"Gypsum Fiber Roof Board.
Base sheet: GAFGLASO#80 Ultima'"Base Sheet,Strataventa'Eliminator'"Nailable Venting Base
Sheet,Ruberoid®20,Ruberoid®SBS Heat-Weld'"Smooth or Ruberoid®SBS Heat-Weld'"
25 base sheet mechanically fastened to deck as described below;
Fastening Options: GAFGLAS®Ply 4,GAFGLAS®F1exPly'"6,GAFGLAS®#75 Base Sheet or any of above
base sheets attached to deck with approved annular ring shank nails and tin caps at a
fastener spacing of 9"o.c.at the lap staggered and in two rows 12" o.c. in the field.
(Maximum Design Pressure—45 psf.See General Limitation#7)
i
GAFGLAS®Ply 4,GAFGLAS®F1exPly"`6,GAFGLAS®#75 Base Sheet or any of above
base sheets attached to deck with Drill-Tec'" #12 Fastener or Drill-Tec"#14 and Drill-
Tec"'3"Steel Plate,Drill-Tec"'AccuTrac®Flat Plate or Drill-Tec'"AccuTraco Recessed
Plate 12"o.c.in 3 rows. One row is in the 2"side lap. The other rows are equally spaced
approximately 12"o.c. in the field of the sheet.
(Maximum Design Pressure—45 psf.See General Limitation#7)
GAFGLASm Flex Ply'"6,GAFGLAS®#75 Base Sheet or any of above base sheets attached
to deck with approved annular n nal s antm caps at a fastener spacing of 9"o.c.
at the 4"lap staggered and in two rows 9"o.c.in the field.
(Maximo ee Genera imitation#7J
GAFGLASO#80 Ultimar"Base Sheet,Ruberoid®20,Ruberoid®Mop Smooth,base sheet
attached to deck with approved I W"annular ring shank nails and inverted 3"steel plate at a
fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of
9"o.c.in the center of the membrane.
(Maximum Design Pressure—60 psf.See General Limitation#7)
GAFGLASO#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec"`
#12 Fastener or Drill-Tec" #14 Fastener and Drill-Tec"3"Steel Plate,Drill-Tec""
0000
AccuTrac Flat Plate or Drill-Tec'"AccuTrac®Recessed Plate 12"o.c. ip 4 rows. Ori 6***• ••••,•
is in the 2"side lap. The other rows are equally spaced approximately 9"AC. ip the field of ••
the sheet. • • •
069.00 .. . 0000..
(Maximum Design Pressure—60 psf.See General Limitation#7) ... ..
666666
Any of above Base sheets attached to deck approved annular ring shank nR§gnd 3" ;•••e• , :006•
inverted Drill-Tec "insulation plates at a fastener spacing of 9"o.c.at tlV•4';W staggVed 6 *000*
in two rows 9" in the field. •
.. .. . .. 0000..
(Maximum Design Pressure—60 psf.See General Limitation#7)
• . . 6 0000..
0000..
NOA No.: 13-1022.15 6 0 6•
Expiration Date: 11/04/18
• Approval Date: 11/06/14
Page 14 of 16
Fastening Options: GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec'"
(Continued) #12 Fastener or Drill-Tec'"#14 Fastener and Drill-Tec""3"Steel Plate,Drill-Tec""
AccuTrac®Flat Plate or Drill-Tec'"AccuTraco Recessed Plate 8"o.c.in 4 rows. One row
is in the 2"side lap. The other rows are equally spaced approximately 9"o.c.in the field of
the sheet.
(Maximum Design Pressure—75 psf.See General Limitation#7)
Ply Sheet: One or more plies of GAFGLAS®Ply 4 or GAFGLAS®#80 Ultima Base Sheet adhered in a
full mopping of approved asphalt applied within the EVT range and at a rate of 20-40
lbsJsq.
Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced Cap Sheet or GAFGLAS®
EnergyCapT"BUR Mineral Surfaced Cap Sheet adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen
components must be applied according to manufacturer's application instructions.
All coatings must be listed within a current NOA.
1. Gravel or slag applied at 400 lbs./sq.and 3001bs./sq.respectively in a flood
coat of mroved asphalt at 60 lbs./sq.
2. Topcoat Surface Seal SB applied at Ito 1.5 gal./sq.
Maximum Design
Pressure: See Fastening Options
• • 0000 ••06•'•
• • • •
0000•• •• • 0000••
•
0000•• • • •
0000••
0000 • • • ,•
• • •0000•
0000 • ••••r
66.00• •• • 0•••0
•• •• • •• 0000••
•
•0.00• • • .
• 0 • 0
• • • 0
0000•• 0000•,•
• • • 0 •0000•
NOA No.: 13-1022.15••••
�ogpE Expiration Date: 11/04/18
JAPPROVED[ Id Approval Date: 11/06/14
Page 15 of 16
WOOD DECK SYSTEM LIMTfATIONS:
I A slip sheet is required with GAFGLAS®Ply 4 and GAFGLAS®Flex Ply""6 when used as a mechanically fastened
base or anchor sheet.
2. Minimum'/e'DensDeck7 Roof Board or'/"Type X gypsum board is acceptable to be installed directly over the
wood deck.
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire
ratings of this product.
2. Insulation may be installed in multiple layers. The fust layer shall be attached in compliance with Product Control
Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the
EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size
shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations
when the base sheet is fully mopped.If no recovery board is used the base sheet shall be applied using spot
mopping with approved asphalt, 12" diameter circles,24"o.c.;or strip mopped 8"ribbons in three rows,one at
each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the
strips is not acceptable.A 6"break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt
application of either system shall be at a minimum rate of 12 ibsJsq. Note: Spot attached systems shall be
limited to a maximum design pressure of-45 psE
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F)value of 275 lbf.,as
tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below
275 lbf.insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum
fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the
fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing,
prepared,signed and sealed by a Florida Registered Professional Engineer,Registered Architect,or Registered
Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value
taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application
Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener
densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application
Standard RAS 117.Calculations prepared,signed and sealed by a Florida registered Professional Engineer,
Registered Architect,or Registered Roof Consultant(When this limitation is specifically referred within
this NOA,General Limitation#9 will not be applicable.)
8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform to
Roofing Application Standard RAS 111 and applicable wind load requirements. .•
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones f' ••• •
�CSr fid, .• .'
perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhgticpWgstenittg gt'.'
enhanced pressure zones(i.e.perimeters,extended corners and corners).(When this limitation is,1pacifically .
referred within this NOA,General Limitation#7 will not be applicable.)
10. All products listed herein shall have a quality assurance audit in accordance with the Florida BuHding Code encs •••••
Rule 61 G20-3 of the Florida Administrative Code. ...... .. ..:..'
END OF THIS ACCEPTANCE
•
NOA No.:13-1022.15'..' ;
Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 16 of 16
TGFU.R14153 -Roofing Systems Page 1 of 50
uL ONLINE CERTIFICATIONS DIRECTORY
TGFUA14153
Roofing Systems
Paae Bottom
Roofing Systems
See General Information for Roofing Systems
GAF R14153
1361 Alps Rd
Wayne, NJ 07470-3700 USA
"Ruberold®20"or'Ruberold®20 HT"or"Ruberold®Modified Base Sheet"may be utilized as an alternate to Type G2 base sheets in any of the
following Classifications.
1/2-In.thick(minimum)gypsum board or 1/4-in.thick(minimum)Georgia-Pacific Gypsum LLC"DensDeck®Roofboard,"'DensDeck Prime®
Roofboard"or"DensDeck DuraGuard""Roofboard'may be used in any existing noncombustible deck Classification.When this is done,the resulting
roofing system is acceptable for use over combustible(15/32-In.thick minimum)roof decks. However,the butt joints in the gypsum board and
Georgia-Pacific Gypsum LLC"DensDeck®Roofboard,""DensDeck Prime®Roofboard"or"DensDeck DuraGuard'" Roofboard"are to offset a minimum
of 6-1n.with the butt joints in the roof deck.If polystyrene is part of the roof system, it must be placed below the overlayment board.
Multiple plies of'GAFGLAS®Ply 4"or"Tri-P"Ply 4"or"Tri-Plye Ply 6"may be adhered to Georgia-Pacific Gypsum LLC"DensDeck®Roofboard,"
"DensDeck Prime®Roofboard"or"DensDeck DuraGuard— Roofboard'In hot roofing asphalt.
"EnergyGuard'"Ultra"is an acceptable alternate to'EnergyGuard—RF"In any applicable Classification.
"GAF Stratavent®EliminatorTM Venting Base Sheet(Nailable)"may be mechanically attached or hot mopped over noncombustible decks and as a
recover over existing roof systems.
"GAFGLASO Perlite Insulation"may be utilized as a cover board over'EnergyGuardTM RF"insulation In any of the following systems.
Unless otherwise indicated,the roof Insulation is mechanically fastened,adhered with hot mopping asphalt or UL Classified urethane Insulation
adhesive. Polystyrene referenced in any of the following Classifications Include"EnergyGuardTM EPS Insulation".
Unless otherwise Indicated,all insulations may be adhered with any UL Classified Insulation Adhesive per the manufacturer's Installation instructions
(excluding LRF Adhesive O)in any applicable Non-Combustible Roof Deck Classifications.
References to glass fiber Insulation Include"EnergyGuard Fiberglass Insulation".
"EnergyGuard'"Tapered'is an acceptable alternate to"EnergyGuard'"'In any applicable Classification.
ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT
type G2 asphalt glass mat base sheet("GAFGLASO#75 Base Sheet"or"TrI-Ply®#75 Base Sheet",or"GAFGLAS® #80 ULTIMA") Is a suitable
alternate for Type G1 asphalt glass fiber ply sheet("GAFGLAS®Ply 4"or"TN-Ply® Ply 4',or"GAFGLASO Ply 6") in the Class A,8 or C roof systems
Indicated below.
The roof deck may first be covered with one ply Type G2 asphalt saturated glass mat base sheet"GAF Stratavent®EIIminatorTM Venting Base Sheet
;Perforated)"or"GAF Stratavent®EllminatorTM Venting Base Sheet(Naliable)."Perforated base sheets to be loose laid or fully adhered with hot roofing
asphalt and nailable base sheets are to be mechanically attached granule side down.
a.s an option Type G2 asphalt glass mat base sheet("GAFGLASO #75 Base Sheet"or"Tri-Ply®#75 Base Sheet"or"GA LA_j®#80 ULTlMA•or"GAF••••••
5tratavent® EIIminatorTM Venting Base Sheet(Nallable)"may be substituted for Type G1 asphalt glass fiber ply sheet("GAFSEAU Ply 4—ow"tri-Ply® ••
Sly 4"or"GAFGLAS®Ply 60)as the nailed base ply In the following systems. • • • •
3ottom ply or base sheet may be solid mopped,spot mopped or mechanically fastened. •+•!•• • • •
Jnless otherwise Indicated,all Insulations may be hot mopped or mechanically fastened. •see*
•••• :•••:• • •
'GAFGLASO Flashing"or"Ruberold®"may be used for flashing In any of the Class A,B or C systems listed below. •••••• •• • •••••
• • • • •
Nhen'perlite" Is referenced,this includes"GAFTEMP PERMALITE®"or any other UL Classified periite insulation.
69066
• •• • •• ••••:•
:rushed stone or slag are suitable alternates for gravel In any of the Class A, B or C systems listed. : • : • • *see:*
•••••f
structural cement fiber building units are considered suitable to be included as a deck in the following Class A,B or C syste�s llsted over�-1.5JJ2 or ••••
JC. • . •
-he use of gypsum board under any of the following Class A, B or C systems does not adversely affect the rating.The use of 1/2-1n. minimum thick
iypsum board Is an acceptable alternate for minimum insulation over C-15/32 thick roof decks.
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TGFU.R14153 -Roofing Systems Page 2 of 50
Thb use of pblystyrene Insulation board between minimum 314-in.thick perlite board and deck with rosin paper(perlite/rosin paper/polystyrene/perilte)
is a suitable alternate for polylsocyanurate board in the following Class A, B or C systems.
"EnergyGuard' RA'or"Tapered EnergyGuardlm RA".or'EnergyGuardTM Composite RA"may be substituted for any Atlas Roofing Corp. polylsocyanurate
Insulation In any of the following Classifications.
Trumbull"Perms Mop"may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt'.
'GAFGLAS@#80 premium Base Sheet'may be used in any of the following systems.
"GAFGLAS@ Flex Ply 6"and"Tri-Ply®Ultra-Flexible Ply 6"are suitable alternates to"GAFGLAS@ Ply 6".
'GAFTEMP Pemlallte Recover Board'may be used In lieu of any perlite Insulation In any of the following NC Classifications.
Unless otherwise Indicated,any of the'Asphalt Felt Systems with Hot Roofing Asphalt"may be surfaced with'TOPCOAT@ Fireshield MB"at 21/2 to
3-gal/100-R:2.
"Ruberold@ Dual Smooth"may be used as an alternate to"Ruberold@ Mop Smooth"or"Ruberold@ 20"or"Ruberoide 20 HT".
"Ruberold@ Mop Smooth 1.5"may be used as an alternate to'Rubemld@ Mop Smooth".
Class A,a and C
Hot roofing asphalt,for use with organic and glass felts or modified bitumen membranes.
"Ruberoide Heat Weld"SBS roofing membrane may be used in lieu of"Ruberoide Mop"SBS products In any applicable Classification.
Class A
1. Deck:C-15/32 Incline: 3
Insulation(Optional):—One or more layers perlite or wood fiber or glass fiber or polylsocyanurate or urethane or perlite/polylsocyanurate
composite or perlite/urethane composite or wood fiber/polylsocyanurate composite or phenolic,any thickness.
Ply Sheet:—Three or more plies Type G1 or"GAFGLAS@ Ply 4'or"Tri-Ply®Ply 4"or"GAFGLASO Ply 6"hot mopped.
Surfacing:—Gravel.
2. Deck:C-15/32 Incline: 2
Insulation(Optional):—One or more layers perlite or wood fiber or glass fiber or polylsocyanurate or urethane or perilte/polylsocyanurate
composite or perlite/urethane composite or wood fiber/polylsocyanurate composite or phenolic,any thickness.
Ply Sheet:—Three or more piles Type G3 or"GAFGLASe Ply 4"or"Tri-Ply@ Ply 4'or"GAFGLASe Ply 6".
Cap Sheet:—One ply Type G3"GAFGLASO Mineral Surfaced Cap Sheet"or"Tri-Ply@ Mineral Surfaced Cap Sheet"or"GAFGLAS@
EnergyCapm BUR Mineral Surfaced Cap Sheet".
3. Deck: NC Incline: 2
Insulation(Optional):—One or more layers perlite,wood fiber,glass fiber,polylsocyanurate,urethane, perlite/polylsocyanurate composite,
perlite/urethane composite,wood fiber/polylsocyanurate composite,phenolic,2-in. maximum.
Ply Sheet:—Two or more plies Type G3"GAFGLASe Ply 4", "Tri-Ply@ Ply 4"or"GAFGLAS@ Ply 6".
Cap Sheet:—One ply Type G3 "GAFGLASe Mineral Surfaced Cap Sheet"or"Tri-Ply@ Mineral Surfaced Cap Sheet"or"GAFGLAS@
EnergyCap- BUR Mineral Surfaced Cap Sheet.
4. Deck:C-15/32 Incline: 1
Slip Sheet(Optional):—Red rosin paper,nailed to deck.
Insulation(Optional):—Any thickness perlite or wood fiber or glass fiber or polylsocyanurate mechanically fastened or adhered with OMG
Inc."OlyBond Fastening System"or any UL Classified Insulation adhesive.
Base Sheet:—One ply Type G2"GAFGLASe #75 Base Sheet'or"Trl-Ply@#75 Base Sheet" (may be nailed).
Ply Sheet:—jQQg or more Plies a Gl"GAFGLAS@ Ply 4 or"Tri-Ply@ Ply 4"or GAFGLAS@ Ply 6".
Cap Sheet:—One ply Type G3 "_QAEG.LAS"1nera ur`iaced Cap Sheet'or'Tri-Ply@ Mineral Surfaced Cap Sheet"or"GAFGLA91j •
EnergyCapm BUR Mineral Surfaced Cap Sheet". , . •••• ••'•;'
Surfacing(Optional):—"TOPCOAT@ EnergyCote'" Elastomeric Coating"applied at a rate of 2-gal/100-fe. •+� •• • ',
S. Deck: NC Incline: 3 000:00 0
•• • •+••••
Base Sheet: —One ply Type G2"GAFGLASe#75 Base Sheet'or"Tri-Ply@ #75 Base Sheet". "". :.••:•
Ply Sheet:—One or more plies Type G1"GAFGLAS@ Pty 4"or"Tri-Ply@ Ply 4"or"GAFGLAS@ Ply 6". •••• ' : .
Cap Sheet:—One ply Type G3"GAFGLAS@ Mineral Surfaced Cap Sheet"or"Tri-Ply@ Mineral Surfaced Cap Sheet%s:•iGAFGLA�e • ""'
EnergyCapTM BUR Mineral Surfaced Cap Sheet." • • ' ' ..+.•.
5. Deck:C-15/32 Incline: 2 """ •
Insulation:—One or more layers perlite,glass fiber,polylsocyanurate, urethane, perllte/polylsocyanurate composlte,^Ite/urdthane :•...:
composite, phenolic, 1 In. minimum(offset a minimum of 6-In.from plywood deck joints). '+. . • ••• • •
Base Sheet:—One or more plies Type G1 or Type G2 or Type G3. ' �'
Membrane:—One or more plies"Ruberold® Ru
Torch Smooth"or"Ruberold@ Torch Granule"or"Ruberold@ Torch Granule Plus"or" berold@
Mop Smooth"or'Ruberold@ Mop Smooth 1.5"or"Ruberold@ Mop Smooth Plus'or"Ruberold@ Mop Granule"or"Ruberold@ Mop Plus Granule'
or"ROOFMatchl SBS Modified Granular"or"Tri-Ply@ SBS Modified Bitumen Membrane"or"ROOFMatch^ APP Modified Granular'or"Tri-Ply@
TP-4G"or'Trl-Ply®TP-4"or"Ruberold@ Dual Smooth".
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MIAM
in MIAMI-BADE COUNTY,FLORIDA
METRO-DARE 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)
Ent"=Roof Tile,Inc.
1289 NE 90 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 Product Control
Division (In Miami Dade County)and/or the AHJ(in area 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. BORA reserves the right
to revoke this acceptance,If it is determined by Miami-Dade County Product Control Division 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 High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: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 ofthis NOA shall be cause for termination and removal of NOA.
AD : 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 itshalf•
be done in its entirety.
INSPECITON:A copy of this entire NOA shall be provided to the user by the manufacturer or IM disiributar ,•,• ••• ;
and shall be available for inspection at the'ob site at the
pecti � request of the Building Official.
...... ......
This revises NOA No. 10-0804.15 and consists of pages I through 5. ••••••
The submitted documentation was reviewed by Alex Tigera. •••• ••••
...... .. . .....
NOA No.r 16-1102.01•• ;•; •
Expiration Date:12/08nS •• •
Approval Date: 12/30/10
Page 1 of s
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
Applicant Dimensions Speci fl ation$ Description
Plantation Tile Length: 16%" Flat concrete rooftile for direct deck or
Width: 13" TAS 112 batten nail-on.
Trim Pieces Length:varies Accessory trim,concrete roof pieces for
Width:varies TAS 112 use at hips,rakes ridges and valley
Thickness:varies terminations
3. LIMITATIONS:
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set the 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 materia]manufacturers published
literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in 0000
compliance with applicable building code. •••• •
4.INSTALLATION: •
0000.. .. . 0000..
4.1 Entegra Roof Tile,Inc.'s Plantation Flat Tile and its components shall be insUltdd lb ••••
strict compliance with,Roofing Application Standard RAS 118,119,dt 120 ."'•. :... •
4.2 Data For Attachment Calculations "" ••
0000..
0000..
• 0000..
.000.0
NUANojQ+12y2.01 �. ... :����:
Expiration Date: 12108/15 '..'
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 lieft3
Tile ;L(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)
Tile 2": 12" 3": 12" 4": 12" 5": 12" 6": 12" Greater than
Profile 710
: 12"
Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct
Deck Deck Deck I Deck Deck Deck
Plantation 7.22 7.91 6.85 7.79 6.75 7,87 6.61 1 7.52 6.44 7.32 6.26 7.04
Tile
Table 4: Attachment Resistance Expressed as a Moment-Mr(ft-lbf)
For Nail-On Systems
Tile .Fastener Type Direct Deck Direct Deck Battens
Profile (Min 15/32" (Min, 19/32"
plywood) plywood)
Plantation Tile 2-10d Ring Shank Nails 30.9 38.1 17.2
1-10d Smooth or Screw 7.3 9.8 4.9
Shank Nall
2-10d Smooth or Screw 14.0 18.8 7.4
Shank Nails
1 #8 Screw 30.8 30.8 18.2
2#8 Screw 51.7 51.7 24,4
1-10d Smooth or Screw 24.3 24,3 24.2
Shank Nail Field Clip)
1-10d Smooth or Screw 19.0 19.0 22.1
Shank Nail gave Clip)
2-10d Smooth or Screw 35.5 35.5 14.8 ...' .•••••
Shank Nails Field Clip)
2-10d Smooth or Screw 31.9 31.9 ....3a.2
Shank Nails Eave Cli •
2-10d Ring Shank 50.3 65.5 '.• 3 ..... •••••
Nails T_
...... . . .....
1 Instailetion with a 4r file h and fasteners are located a minimum of 2'W from the head of till• •• •"• ����:
•....•
NOA Nv. ;10-1302.01 . ... •
Expiration Date: 12/08/15*.*"
Ed�ec Approval Date; 12/30/10
Page 3 of 5
Table S: Attachment Resistance Expressed as a Moment Mf(ft4bf)
For Two Pa Adheelve Set Systems
Tile Profile Tile Application Minimum Attachment
Resistance
Plantation Tile Adhesive 31.3
2 See manufadures component approval for installation requirements.
3 Flexible Products Company nisBond Average weights per patty 13.9 grams.
PoWbam Product Inc.Average weight per patty 8 Arams.
Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-lbf)
For Sin le Patty Adhesive Set Systems
Tile Profile Tile Application Minimum Attachment
Resistance
Po Prom 118.9
Plantation Tile PolyProTm 40.4
4 Larne peftplacementof0prams of PotyProTO.
5 Medium d acement of 24 grams of P roTm-
Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-Ibf)
for Mortar Set Sy
stems
Tile ProfileI T Tile Application Attachment
Resistance
Seespecific mortar manufacturer's Notice of Acceptance.
tance.
5. LABELING
5.1 All tiles shall bear.the imprint or identifiable marking of the manufacturer's name or logo
as seen below or following statement: "Miami-Dade County Product Control Approved".
5.2 Entegra Roof Tile, Inc.'s Plantation Roof Tile bears the following markings: USA "E"
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 following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable Building
Code in order to properly evaluate the installation of this system.
0000
7. MANUFACTURING LOCATIONS •
• 0000 0000..
7.1 Okeechobee,FL •
.. .. •
0000.. •
0000..
0000
0 . .
.0000
0000 . 0000.
.. .. . .. 0000...
• 0000..
0000..
0000..
NOA No.!J0:;2b2.01 ••• •
Expiration Date: 12/08/15 •••
Approval Date: 12/30/10
Page 4 of 5
PROFILE DRAWING
PLANTATION FLAT CONCRETE TILE
1
END OF THIS ACCEPTANCE
...... .. . ......
...... .. . .....
.. .. . .. ......
NOA Nox 10•1vtol .•Ezpfratfon Date: 12/08/15 •„'
Approval Date: 12/30/10
Page 5 of 5
%MIN MIAMI DARE COUNTY
DEPARTMENT OF PERM1TnNG,ENYM0r4MZNT,AND RgGULATORy AFFAIRS ?ERA) PRODUCT CONTROL SECTION
BOARD AND CODE ADMINISTRATION DIVISION 13805 SW 26 Street Room 208
Miami,Florida 33175-2474
NOTICE OF ACCEPTANCE (NOA) T(786)315-2590 F(786)313-2599
��
,,., Idadetov/eau
3M Company
3M Center Building 0220.05-E-06
St.Paul,NIN.551441000
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 area 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(m areas Other than Miami Dade County)reserve the right to
have this product Or material tested for quality assurance proposes. If ibis 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:3b;1m 2-Component Foam Roof Tile Adhesive AR-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 ofthis NOA will occur after the expiration date or ifthere 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,eig of any other propos 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.
0000
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distriOuto>is and
shall be available for Inspection at the job site at the request of the Building Official. ••
0000.. .. . 0000...
This renews and revises NOA# 11-0124.04 and consists of pages 1 through 7. 6 •
The submitted documentation was reviewed by Alex Tigers. 0000 •
6 0000..
0000 0000.
• •
go
NOA No.:IZ•O,gBld• •�•��•
Expiration Date:01/10/17: •
Approval Date:0$!10/11 6 '
0000..
Page•1.of•7: •• '
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof t116 adhesive
Materials: Polyurethane
SCOPE:
This approves 3Mm 2-Component Foam Roof Tile Adhesive AR-160 as manufactured by 3M Company as
described in Section 2 of this Notice of Acceptance.For the locations where the design pressure requirements,as
determined by applicable building code,does not exceed the design pressure values obtained by calculations in
compliance with Roofing Application Standard RAS 127,for use with approved flat,low,and high profile roof tiles
system using 2-Component Foam Roof Tile Adhesive AH-1 6o.Where the attachment calculations are done as a
moment based system for single patty placement,and as an uplift based system for double patty systems
PRODUCTS MANUFACTURED BY APPLICANT:
Frodu Dimensions Test Product Description
Smacations
Roof
Tile
Adhesive Foam . N/A TAS 101 Two component polyurethane foam adhesive
Roof Tile Adhesive AH
160
Foam Dispenser RTF1000 N/A
ProPack®30 tit 100 Dispensing Equipment
N/A Dispensing Equipment
PRODUCTS MAMMACTUIM By OTHERS:
Any Miami Dada County Product Control Accepted Roof Tile Assembly having a current NOA which list moment
resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160
roof We adhesive.
MANUFACTURING LOCATION:
1. Tomball,TX.
PHYSICAL PROPERTIES:
�onerto
Test &CLUlta
Density ASTM D 1622 1.6 lbs./ft.'
Compressive Strength ASTM D 1621 18 PST Parallel to rise
12 PSI Perpendicular to rise
Tensile Strength ASTM D 1623 28 PSI Parallel to rise
Water Absorption ASTM D 2127 0.08 Lbs./Fe "'•
Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch •••• •
Dimensional Stability ASTM D 2126 +0.0716 Volume Change @-40•F.,2 weeks•• •• •
+6.0%Volume Change @ 158T., 100%I[u�p ity+,2 •• ••••
weeks ......
Closed Cell Content ASTM D 2856 86% •00000 ••:••
...... .. . .....
.. .. . .. ......
NOA No.:12.0?,2jj& ••
Expiration Date:05*0e : . 0600:*
Approval Date:05/j0112. :'•••• •
PageSyf'1 ... �•••••
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.
EviDmat SUBmnmw:
TestAre°c`' Test Identifier
Center for Applied Test Name/Reoort Date
PP �g e�n8 #94-060 TAS 101 04/08/94
257818-IPA TAS 101 12/16/96
25-7438-3 SSTD 11-93 10/25/95
25-7438-4
25-7438-7 SSM 1143 11/02/95
25-7492 SSTD 11-93
Miles Laboratories NB-589-631 ASTM D 2623 12/12!95
Polymers Division 02/01/94
Ramtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93
Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94
01-6739-062b[l] ASTM B 84 01/16/95
Testy En&ewing 7050.02.96-1 TAS 114 03/14/96
Celotex Corp.Testing Services 528454-2-1
TAS 101 10/23/98
528454-9-1
528454-10-1
520109-1 TAS 101 12/2g/98
520109-2
520109-3
520109-6
520109-7
520191-1
520109-2-1 TAS 101 03/02/99
LIMITATIONS:
1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating.
2. 3Mr"r 2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat,low,&high file 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 3MiM 2-Component Foam Roof Tile Adhesive AH-
160 rooftile adhesive with their the assemblies shall test in accordance with TAS 101.
S. Roof Tile manufacfines acquiring acceptance for the use of HANDI-STICK roof the adhesive with their the
assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein.
6666
F •
. 6666 6666..
— W
Z .. .. •
•
FI= .. . 6666..
MS •
6666..
6666..
. 6666 •
6666 6666.
6666.. .. 6666.
NOA No.:12 0228.41•
Expiration Date:OS40/17 ••••••
6666..
Approval Date:05/30/12• 6666..
Page 3 663 ' •
. 6666
INSTALLATION:
1. 3M m 2-Component Foam Roof Tile Adhesive AH-160 may be used with any roof the assembly having a current
NOA that lists uplift resistance values with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160,
2. 3MTx 2-Component Foam Roof Tile Adhesive AH-160 shall be applied in compliance with the Component
Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive
attachment with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient
attachment resistance,expressed as an uplift based system,to meet or exceed the uplift resistance determined in
compliance with Miami Dade County Roofing Application Standards RAS 127. The adhesive attachment data is
noted in the roof the assembly NOA.
3. 3MTm 2-Component Foam Roof Tile Adhesive AH-160 and its components shall be installed in accordance with
Roofing Application Standard RAS 120,and 3M Company's 3MTM 2-Component e AH
Foam Roof Tile Adhesiv -
160 Operating Instruction and Maintenance Booklet.
4. Installation must he by a Factory Trained'QualiSed Applicator'approved and licensed by 3M Company. 3M
Company shall supply a list of approved applicators to the authority having jurisdiction.
5. Calibration ofthe Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive.
The mix ratio between the A component and the"B"component shall be maintained between 1.0-1.15(A):1.0
(B). The dispense timer shall be set to deliver 0,0175 to 0.15 pounds per tile as determined at calibration. No
other settings shall be approved.
6. 3MTM 2-Component Foam Roof Tile Adhesive AH-1 60 shall be applied with Foam Dispenser RTF 1000 or
ProPack®30 dt 100 dispensing equipment only.
7. 3M m 2-Component Foam Roof Tile Adhesive AH-1 60 shall not be exposed permanently to sunlight.
& Tiles must be adhered in JIMshly applied adhesive,Tile must be set within 2 to 3 minutes after 3MrM 2-
Component Foam Roof Tile Adhesive AH-160 has been dispensed.
9. 3MTx 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall be in
accordance with the'Placement Details'herein. Each generic tile profile requires the specific placement noted
herein.
Table 1:Adhesive Placement For Each Generic Tile Profile
Tile Profile Placement Detail Single Paddy Weight Two Paddy Weight per
Fl Low )iia Profiles Mn.(grams) paddy Min.(grams)
#1 35 N/A
fligh Profile C2 Piece Bamrel #1 17/side on cap and 34/ an N/A
FL4 Low High Profiles #2 24 N/A
Inat,Low MA Profiles #3 S
•••••• •• • ••••••
•••••• •• • •••••
NOA No.:12-GUTA8• •
Expiration Date:OVIOA7: • """
Approval Date:OVIW12 :•••••
P2914 07: . ..•
LABELING:
All 3MTm 2-Component Foam Roof Tile Adhesive AH-160 containers shall comply with the Standard Conditions
listed herein.
BUMDING PERMrr REQUIIZEIIzNTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
ADHESIVE PLACEMENT DETAIL 2
SINGLE PATTY
MWW*Pbdg Nd owe
un+.r,i.wt ►+MlOFAMTh)
1 .
it
un.
hfto. .
iddl 6M�anr F"
EM doom
OPPM
aar.�t lw.aoua�a
OP
Eiwdwn 4aN Awe
IhA1M°`�I'°11'r`°'°'"'t �b'0w�h1�} A►�+�M�rMM1lIMw,11011
•w�nnr..N.�ewe�e■�wM a"rM�erpN,� ��a4l�anw4c
0T�1i h«ner6ta� do Wk
1 •
amcNr w .
aMawn �:.
��i�ip MOP
fM� a(�ruw ��, 1hwlNny ••••
Pdd"ft
piledeeNrNpMd � • •
IlwlntawW. ee • • • •
d"we
' FM*D0 •••••• • • •
• i•
•••••• •• • •••••
•
NOA No.: 12-0 • • '•
Expiration Date:0' • • """'
Approval Date:05/10/11t ••••• • '
Pagg6*f7: • ••• •
ADMSM PLACEMENT DETAIL 2
SWGLE PATTY
""fart hddpll�IhTA�) tlWou9hvlatleenMnt
Ondahynant � P�ed/ie�n�tp�Th)
UndMrynNnt
!
7'".�.th
F�CaM�1 •
Fardt ® Fft*
Y-1"
Fmfk�n� bwdmn
EMCN n D*Idv
��DhOtaMkafn�M �_� �)
go
UndagYnMM
7 h® R
E1nGkson ....•. •
tz�tl1 , • • •
Fu�b .•.. • , ,
00
••...• ,
• • • •
. • , .•• . .
•• .
NOA No.: 12-0228.18
u Expiration Date-05/10!17
Approval Date:03/10/12
Page 6 of 7
ADHESIVE PLACEMENT DETAIL 3
DOUBLE PATTY
Nen"k plafk owed y* Nad th"h Pink"mod SN141 paddy undo tnt
Ibshm"tne)
• y�, Paddy beaded lk
(under tne) I : 111M MWO
eountonly
rztnikx3IILa�. r 4inPia 8
zk�
IIYM undw
stn
H ooatt o/tno Fanta
eib Xpm1l�SM n
on top of tM % � Esrt ebnat
Faedt Dame only 00I
Nd Oro*phe0o cm not e p
un the
baMnen�tlit
In X UL 41
311*
2 �� 0000
•
• . •••• 0000:.
..
�. •
AVISrI, 0000..
•• • 0000..
�� EN"Cbvm 0000..on top of • 0000.
kx1 kL medknn •••• ' •
9m Cm u Feeder pmldy table Doone only •ease
• ••••••
•
� • � • , 0000..
END OF THIS ACCEPTANCE ••••••
• .0000.
• 0000
so
NOA No..-12-0229.18
Mow Expiration Dates MOW
Approval Date:05/10/12
Page 7 of 7
MIAMI•QADE MIAMI-DARE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474
T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.mismidede.eoy/economy
Birdview Skylights
d.b.s.Guy E.Bird Enterprises LTD
201 Longhorn Road
Fort Worth,TX 76179
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 High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: Aluminum Framed Polycarbonate Domed Skylight.
APPROVAL DOCUMENT: Drawing No.6DADE14,model"6SF-DADS", sheets 1 &2 of 2,prepared by
Birdview Skylights dated March 19,2015,signed and sealed by Vipin N.Tolat,P.E.,on March 28,2015,bearing
the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and the 0000.
expiration date by the Miami-Dade County Product Control Section. 0000
•
MISSILE IMPACT RATING: Large&Smali Missile Impact Resistant 00 .0••:• •••.:.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,'cl 'nate and thg
following statement: "Miami-Dade County Product Control Approved",unless otherwise note erein an¢the. •
dome shall be properly marked by GE Plastics. :"'•• •••••
RENEWAL of this NOA shall be considered-after a renewal application has been filed and there has beeadno • ••'•••
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 revisio"erchange irf the '•
materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of a4..:.
product,for sales,advertising or any other purposes shall automatically terminate this NOA.FAN 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 MOA 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#13-0311.10 and it consists of this page 1,evidence submitted pages E-1,E-2,&E-3 as
well as approval document mentioned above.
The submitted documentation was reviewed by Helmy A.Makar,P.E. M.S.
f NOA No.15-0413.06
MIAMI-DAMCOU (]' A Expiration Date: 07/02/2018
,...
Approval Date: 07/02/2015
07/0 2�2 0/S Page 1
Birdview Skvliizhts
d.b.a. Guy E.Bird Enterprises LTD
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
1. EVIDENCE SUBMITTED UNDER PREVIOUS APPROVAL#03-0303.11
A. DRAWINGS
1. Drawing No. EB696, sheets I & 1, model "6SFD-DADE",prepared by Birdview
Skylights, dated 07/26100, with no revisions, signed and sealed by V. N. Tolat, P.E.
B. TESTS
1. Test report on Large Missile Impact Test per PA 201, Cyclic Load Test per PA 203
and Uniform Static air Pressure Test per PA 202, on "Series 6SFD-DADE Self
Flashing Aluminum/Polycarbonate Skylight",prepared by Miami Testing Laboratory,
report No. K-49362 issued on 09110/96, signed and sealed by D. G. Ober, P.E.
C. CALCULATIONS
1. Anchor Calculation, sheets 2 through 5, dated 08/21196 and signed by D. A.
Terwilleger, PE
D. MATERIAL CERTIFICATIONS
1. Notice of Acceptance No. 00-0718.02 issued to General Electric Company on
09/08/2000, expiring on 0710212003.
2. Extrusion drawings No. BVS-X10947-A &BVS 8554 by Tel Tower Extrusions,
LTD for Birdview Skylights.
E. STATEMENTS
1. No change letter issued by Birdview Skylights, on 08110/2000 and signed by K Bird.
1. No change letter issued by Birdview Skylights on 02/11103 and signed by G. E. Bird.
• . 0000 0000:.
2. EVIDENCE SUBMITTED UNDER PREVIOUS APPROVAL#08-0"O9. •••'•' .....
A. DRAWINGS
0000.. 0000.
1. Drawing No. DADE,608.1, model "6SF-DADE ", sheets 1 & 2 of.;•pteparedby.:•
• 0000.
Birdview Skylights dated February 05, 2008, signed and sealed by 4ip�n N. To jgt,
P.E., on July 08, 2008. •••,.• : '..' •••••
B. TESTS ••'•'
0000..
1. Test report on Large Missile Impact Test per TAS 201, Cyclic Load Tgat�per ?AS
203 and Uniform Static air Pressure Test per TAS 202, on "Series•6SF DAIJE:'
Self Flashing Ahiminum/Polycarbonate Skylight", prepared by American Test •
Lab of South Florida, report No. 0331.01-08, dated 05/2312008, signed and
sealed by William R. Mehner, P.E. and Henry Hattem, P.E.
ELQhy A.Makar,P.E.,M.S.
Product Control Unit Supervisor
NOA No.15-0413.06
Expiration Date: 07/02/2018
Approval Date: 07/02/2015
E-1
Birdview Skylights
d.b.a.Guy E.Bird Enterprises LTD
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
C. CALCULATIONS
1. Anchor Calculation, sheets I through 3 of 3, dated 06/0912008, signed and sealed
by Vipin N. Tolat, P.E.
D. QUALITY ASSURANCE
1. By Miami-Dade County Building Code Compliance Office.
E. MATERIAL CERTIFICATIONS
1. None.
3. EVIDENCE SUBMITTED UNDER PREVIOUS APPROVAL# I1-0811.08
A. DRAWINGS
1. Drawing No. DADE648.1, model "6SF-DADS ", sheets I & 2 of 2, prepared by
Birdview Skylights dated February OS, 2008, revised on February 22, 2012,
signed and sealed by Vipin N. Tolat, P.E., on February 22, 2012.
B. TESTS
1, None.
C. CALCULATIONS
1. None,
0000
D. QUALITY ASSURANCE •
1. By Miami-Dade County Department of Permitting, Environment cqj jWula16x)& ••••••
Affairs(PERA). '
0000.. 0000..
0000
0000.. 0000.
E. MATERIAL CERTIFICATIONS '
0000..
.. 0000.
1. None. : '..' 0000:0
0000..
• 0000..
4. EVIDENCE SUBMITTED UNDER PREVIOUS APPROVAL#13-0311%10 ���•�• •
0000..
A. DRAWINGS 00.* ' ••• •
1. Drawing No. DADE608.1, model "6SF-DADE", sheets 1 & 2 of 2, prepared by
Birdview Skylights dated February OS,' 2008, revised on February 22, 2012,
signed and sealed by Vipin N. Tolat, P.E., on February 22, 2012.
14 '4e 9. /
HeWjA.Makar,P.E.,M.S.
Product Control Unit Supervisor
NOA No. 15-0413.06
Expiration Date: 07/02/2018
Approval Date: 07/02/2015
E-2
Birdview SkyUp is
d.b.a. Guy E.Bird Enterprises LTD
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
B. TESTS
1. None.
C. CALCULATIONS
1. None.
D. QUALITY ASSURANCE
1. By Miami-Dade County Department of Regulatory and Economic Resources.
E. MATERIAL CERTIFICATIONS
1. None.
5. NEW EVIDENCE SUBMITTED
A. DRAWINGS
1. Drawing No. 6DADE14, model "6SF-DADE ", sheets 1 & 2 of 2, prepared by
Birdview Skylights dated March 19, 2015, signed and sealed by Vipin N. Tolat,
P.E., on March 28, 2015.
B. TESTS
1. None.
C. CALCULATIONS
1. None. '....' ....
D. QUALITY ASSURANCE •• •' ••••
.... ......
1. By Miami-Dade County Department of Regulatory and Economic?resources.
E. MATERIAL CERTIFICATIONS •• ••••'
1. None. •• •• •
• ......
•
••
H A.Makar,P.E.,M.S.
Product Control Unit Supervisor
NOA No.15-0413.06
Expiration Date: 07/02/2015
Approval Date: 07/02/2015
E-3
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#10 X 1"HWHSD WITH NEOPRENE WASHER LOCATED 3 7/8"
1.50" i O FROM EACH CORNER AND 7 I2"ON CENTER THEREAFTER
.125"EXT.ALUMINUM ANGLE(6063-T5)
10%01 SPAN,4-MIN.
G.E.SILICONE ADl1ESIVE SEAL(SCS 1000)
1.50" V CONTINUOUS 10164 SANTOPRENE RUBBER GASKET#1409
CONDENSATE GUTTER WITH 0.25"WEEP HOLE
LOCATED AT EACH CORNER
#10 X 3/8"SS HWHSMS LOCATED 3 7/8"FROM F.ACH CORNER
AND 7 I2"MAX ON CENTER THEREAFTER
NOTE:This design can also be used for other smaller skylights .090"EXT.ALUMINUM CURB FRAMING(6063-T5
as long as the longside does exceed 105 1/4"and the short side
does not exceed 80 1/4"and maximum presures do not exceed ALL ALUMINUM TO BE 6063-T5 ALLOY
7.0" positive 60/negative 80 psf.and total roof opening dimension FULLY MITERED AND WELDED AT CORNE
RS
4"MINUMUM SEE does not exceed 50.875 square foot. ROOF DECK AND SUPPORT(DESIGNED BY OTHERS)
GENERAL NOTES#2 6.0"
SEE GENERAL NOTES#1
#l4 X 1"PAN HEAD LAG SCREW 3 7/8"
FROM TACH CORNER,MAX ON CENTER
7 12".WITH MIN.ROOF DECK
PENETRATION OF 7/8"
3.0" O
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MAXIUM ROOF OPENING DIMENSION 74"X 99"
ALL UNITS EQUAL TO OR LESS THAN 50.875 Sq.Ft.
ROOF DECK
13Q 71/2"=97 I2"
3 7/8"(fYPJ (BY OTHERS)
14 SCERWS LS _
3 7/8"(TYP.) TOTAL 50 SCREWS
DESIGN PRFSSURF,RATING AT LOCATIONS VIPIN N.TOLAT
FASTENER LAYOUT 10 7 1/4"=72 l2" A,B&C FOR THIS SKYLIGHT. FL.REG.#12847
POSITIVE+60psf NEGATIVE-80psf 801/4" Q 15123 LANTE N(REEK LANE
•• • • • • •L&: LQMG SIDE I I SCREWS SS FOR OTHER SMALLER SIZES HOUSTON, 77068
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BIRDVIEW SKYLIGHTS GENERAL NOTES
THE CLEAR CHOICE 1. THIS DES[ G CO•M•P�IE� TH PBC X010 ASID 2014
201 LONGHORN RD.NFT.WORTH TX.AX:817-232- 761792. 4-%11,111*UM DISTANCE OM ANVLC L�Tp ROOF SURFACE IS FOR SHINGLETEL:817439-9266
D 8 j S ITt�QU_]11JSUR TIOl1LEC hDI]aI HE TILE HIEGHT AND THE
ATC;3-19-2015 MODEL:6SF-DADE LA THI ESS TO THE 41w11N1MUM HEIGHT.
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• • • • • • • • • •
From: EARL W. JOHNSTON ROOFING 9549895666 08/12/2015 10:29 #367 P.001 /001
�1 EARJ001 OP ID:MC
CERTIFICATE OF LIABILITY INSURANCE DATE(M
06/226/16/1YYY)
5
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(fes)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),
J W Edens&Company 321-725-7000 NAME:
Commercial Ins of Brevard Inc 321-725-7856 PHONE FAX
325 Fifth Avenue,Suite 109 NQA&q.CM: A/c No):
Indialantic,FL 32903 ADDRESS:
Phillip Lane
INSURER(S) AFFORDING COVERAGE NAIL B
INSURER A.Axis Surplus Ins.Co. 26620
INSURED Earl W.Johnston Roofing,LLC INSURER B: -
Earl W.Johnston Roofing,Inc.
5721 Dewey Street INSURER C:
Hollywood, FL 33023-1917
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.
T TYPE OF INSURANCE WOW
POLICY NUMBERPM/p YY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY FLGLN01691AX 07/01/15 07/01/16 PREMISES Me occurrence $ 50,00
CLAIMS-MADE X�OCCUR MED EXP(Any one person) $ 5,00
PERSONAL&ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,00
X POLICY PRO LOC
$
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
E d
ANY AUTO BODILY INJURY(Par person) $
��D SCHEDULED
AUTOS HEULE
BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED
AUTOS PR PERTYDAMAGE
Par accident $
UMBRELLA LIAR H OCCUR $
EXCESS LU1B CLAIMS-MADE EACH OCCURRENCE $
AGGREGATE $
DED RETENTION
WORKERS COMPENSATION $
AND EMPLOYERS,LIABILITY WC STATU- I IOTH-
ANY PROPRIETORIPARTNERIEXECUTIVE Y/N
OFFICERIMEMBEREXCLUDED? N/AE.L.EACH ACCIDENT $
(Mandatory In NH)
If yea,desaDe underT E.L DISEASE-EA EMPLOYE S
DESCRIPTION OF OPERATIONS Helow E.L.DISEASE-POLICY LIMIT $
D SC PT'rpN OF OPERATIONS I LOCATIONS/VEHICLE (Attach ACORD 101,A ditional Remarks Schedule,If more space Is required)
to operations byanapmied insured as requiredby respect
t.
CERTIFICATE HOLDER CANCELLATION
MIAMISH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building&Zoning Department ACCORDANCE WITH THE POLICY PROVISIONS,
Attn:Margarita
10050 N.E.2nd Avenue AUTHORIZED REPRESENTATIVE
Miami Shores, FL 33138
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 2S(2010/05) The ACORD name and logo are registered marks of ACORD
A
Bonding Company's Name(if applicable)
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable)
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
evz��44
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of J,;T 20 1 r-I by -_day of &AA 20 C by
rtl� 1 UA R 1,InY'fi "V is personally known to 13PN- _W,JfT t�=Nrwho is personally known to
me or who has produced 10-b A 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:
V� cyl Y��
Sign: Y Sign:
Print: Print: ���� rc
r1vuLdrY u I State of Florida N1eg A Romeo
Meg A Romeo
Seal 9c. ,¢y* My Comntistion EE 202823 Seal: i �� My COmmigSion EE 202823
`SOF fI Expires 06/2S/20t8 v,�.of f`oa: Expires 05/22/2016
APPROVED BY C,J Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
MARY ALICE BLAKE
DURABLE POWER OF ATTORNEY
I MARY ALICE BLAKE, hereby appoint and empower my daughter, PATRICIA M. BROWER,
and my son,THOMAS E.BLAKE,as my true and lawful attorneys-in-fact,to act for me and in my
name and on my behalf to do the following. The concurrence of both my attorneys-in-fact is not
required.
A. Collect, receive, and receipt for any and all sums of money or payments due or to
become due to me.
B. Sue in my name and behalf for the recovery of any and all sums of money or
payments due or to become due to me and to collect on any judgments recovered by me and execute
satisfactions of the same.
C. Initiate, defend, continue, or settle suits on my behalf or to enforce the exercise of
these powers granted to my attorney-in-fact.
D. Hire or discharge (with or without cause) employees including, but not limited to,
physicians, nurses, attorneys, and domestics.
E. Deposit to or withdraw from, or draw checks or drafts upon, any and all savings or
checking accounts,money market funds,or any other type of account in my name;open,modify,or
close any such accounts in my name in any bank or financial institution or with any insurance or
brokerage firm; and endorse my name to any and all negotiable instruments.
F. Pay any and all bills,accounts,claims,and demands now or hereafter payable by me.
G. Receive and endorse for deposit in any account any payments that I receive from any
branch or department of the United States or other government,including without limitation,Social
Security payments, Department of Veterans Affairs payments or grants, Medicare or Medicaid
payments, and tax refunds.
H. Represent me before any office of the Internal Revenue Service or any state agency;
prepare and sign any tax return on my behalf;receive confidential information regarding tax matters
for all periods,whether before or after the execution of this instrument;and to make any tax elections
on my behalf.
I. Receive and open my mail,change my mailing address,and otherwise represent me
in any matter concerning the U.S. Postal Service.
Initials
Durable Power of Attorney Page 1
J. Borrow money and to otherwise incur or guarantee indebtedness for which I will be
liable,and to secure any such indebtedness by mortgage or other security interests encumbering my
assets.
K. Act for me in any business or enterprise in which I am now or have been engaged or
interested or with respect to any trust in which I have a beneficial interest.
L. Manage all assets and properties belonging to me or in which I have any interest,and
to expend whatever funds my attorney-in-fact deems proper for the preservation, maintenance, or
improvement of those assets or properties.
M. Compromise, arbitrate or otherwise adjust claims in favor f
p � 0 0 or against me or any
assets or entity in which I have an interest, and to agree to any rescission or modification of any
contract or agreement.
N. Participate in any type of liquidation or reorganization of any enterprise.
O. Join with other persons with whom I own property as joint tenants with right of
survivorship or as tenants by the entireties in any transaction regarding that property.
P. Vote and exercise all rights and options, or empower another to vote and exercise
those rights and options,concerning any corporate stock,securities,or other assets; to enter into or
approve agreements for merger, reorganization, or equivalent transactions with respect to any
company or enterprise;to delegate those rights to an agent;and to enter into voting trusts and other
agreements or subscriptions.
Q. Exercise all rights and options, or empower another to exercise those rights and
options, concerning sole proprietorships, general or limited partnerships,joint ventures, business
trusts,land trusts,limited liability companies,and other domestic and foreign forms of organizations.
R. Buy, sell, exchange, lease, convey, and grant options with respect to any real or
personal property, and to negotiate for and to enter into contracts and agreements of every nature,
concerning real or personal property,including homestead or exempt property. Any such contract,
agreement, or lease will be valid and binding for its full term even if it extends beyond my lifetime
or the duration of this power of attorney.
S. Exercise all powers even though my attorney-in-fact may also be acting individually
or on behalf of any other person or entity interested in the same matters.
T. Transact all business, make, execute and acknowledge all contracts, orders, deeds,
bills of sale, assurances, promissory notes, mortgages, and other instruments of any nature which
may be requisite or proper to effectuate any matter or things pertaining to or belonging to me.
q)w—
Initials
Durable Power of Attorney page 2
U. Make gifts for estate planning purposes;change the beneficiaries of any life insurance
policies or other qualified or nonqualified benefit plans;create or fund revocable or irrevocable trusts
for the benefit of myself or of other persons; and consent to the creation or extension of trusts
established by other persons for my benefit.
V. Continue or discontinue my membership in any club or other organization.
W. Accept or resign on my behalf from any offices or positions which I may hold,
including any fiduciary positions.
X. Continue, use, or terminate any charge or credit accounts.
Y. Employ and compensate any investment management service, financial institution,
or similar organization to advise my attorney-in-fact and to handle all investments and to render all
accountings of funds held on my behalf under custodial, agency, or other agreements.
Z. Enter into any safe deposit box for which I am a lessee and add or remove items;and
to enter into or terminate any safe deposit box lease or lease for vault space.
AA. Disclaim any property interest that I would otherwise receive.
BB. Demand, obtain, review, and release to others medical records or other documents
protected by the patient-physician privilege, attorney-client privilege, or any similar privilege,
including all records subject to,and protected by,the Health Insurance Portability and Accountability
Act of 1996, as amended ("HIPAA"). I designate my attorney-in-fact as my "personal
representative"under HIPAA.
CC. File or process claims for any medical bills with all insurance companies through
which I have coverage, including but not limited to Medicare and Medicaid, and to receive from
Blue Cross/Blue Shield or any other insurer information obtained in the adjudication of any claim
in regard to services furnished to me under Title 18 of the Social Security Act.
DD. Invest in assets,securities,or interests in securities of any nature,including(without
limit) commodities, options, futures, precious metals, currencies, and in domestic and foreign
markets or investment funds, including common trust funds; to trade on credit or margin accounts
(whether secured or unsecured); and to pledge assets for that purpose.
I further authorize my attorney-in-fact to take all other actions as may be necessary or appropriate
for my personal well-being and the management of my affairs,as fully and as effectively as if made
or done by me personally.
Initials
Durable Power of Attorney Page 3
Despite the foregoing powers,my attorney-in-fact may not(i)deal with insurance policies I own on
the life of any of my attorney-in-fact, or (ii) except as specifically authorized by this power of
attorney, distribute assets so as to discharge a legal obligation of my attorney-in-fact.
My attorney-in-fact shall keep full and accurate inventories and accounts of all transactions for me
as my agent. Such inventories and accounts will be made available for inspection upon request by
me or by my guardian or personal representative. My attorney-in-fact need not file any inventory
or accounts with any court or clerk.
Any third party to whom this power of attorney is presented may rely upon an affidavit by my
attorney-in-fact stating,to the best of my attorney-in-fact's knowledge and belief,that this power has
not been revoked,that I am then living,and that no proceedings have been initiated to determine my
incapacity. No third party relying on this power and that affidavit will be liable for any losses,
damages, or claims caused by compliance with the action requested by my attorney-in-fact, unless
that third party has actual knowledge of my death or the revocation of this power.
This durable power of attorney will not be affected by my subsequent incapacity except as provided
in Chapter 709 of the Florida Statutes. It is my specific intent that the power conferred on my
attorney-in-fact will be exercisable from the date of this instrument,notwithstanding my subsequent
disability or incapacity, except as otherwise specifically provided by statute.
If any part of this power of attorney is declared invalid or unenforceable,that decision will not affect
the validity of the remaining parts.
My attorney-in-fact do not have an affirmative duty to act under this power of attorney and will not
be liable for any claim or demand arising out of any acts or omissions,except for willful misconduct
or gross negligence.
In witness whereof, I have executed this durable power of attorney on September 23, 2004.
jt��s a&�� '4&1j�
MAa ALICE BLAKE
Signed in the presence of:
�� K /6Oo
Signature Street Address
et a K t"901t-iQr%j_ ��I�1d^t &f""( ff
Prin d name City, State and ZIP
Signature Street Address
Al
Printed name City, State and
Durable Power of Attorney Page 4
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me on September 23,2004,by MARY
ALICE BLAKE.
(Official Notary Signature and Notary Seal) 1
(Print,Type,or Stamp Commiss of
Notary Public) ljr
:k
Personally Known OR Produced Identification ei
Type of Identification Produced ACA tota-1'�)R 1 VQ C4M1qz__. ,
Mdo- 581-a a-(.-)Yj
KA800750I\PMS6329.wpd
Durable Power of Attorney Page 5