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RF-15-2120 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249332 Permit Number: RF-8-15-2120 Scheduled Inspection Date: December 17, 2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: SAMPSELL, RONALD Work Classification: Tile Job Address:10601 NE 2 Avenue Miami Shores, FL 33138- Phone Number Parcel Number 1122310130710 Project: <NONE> Contractor: PUENTE ROOFING CORP Phone: (305)470-9970 Building Department Comments RE-ROOF TILE. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-241818. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 16,2015 For Inspections please call: (305)762-4949 Page 26 of 39 ,5NoREs ;Gr Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 0 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# DATE: 9/t 9 /cot5 INSPECTION AFFIDAVIT I lluclff �i4c l5 licensed as a (n) Contractor/Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#: Cr G51 41C14 On or about , I did personally inspect the roof deck nailing and (Date$time) Secondary water barrier work at JQ(001 v1e, �,a,�„e. h10avvX e (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) 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 o8 day ofAuq'�"js� AN1ii W RaM Notary Public, Sate of Florida at Large �. # MYC0mmI$$ioN#FF198578 m, EXPIRES:February5,2019 'kZd' sowed nru Built NotarySeMw *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#clearly shown marked on the deck for each inspection Revised on 5121/2009 C I V I L Reileh Engineering Corp. (Consulting Engineer) Rm2370 Southwest 123rd Avenue Miami,Florida 33175-1174 Tel:305-823-8008/305-397-6414 ENGINEER Fax:305-823-3300/305-884-8834 Website:www.reilehengineering.com December 14, 2015 Puente Roofing Services Inc. 11412 Southwest 129 Place Miami,Florida 33186 Project: ROOF TILE UPLIFT TEST REPORT Residential Home 10601 Northeast 2 Avenue Miami Shores,Florida Information provided by client: Permit Number: loot Provided Date Completion: December 11, 2015 Roofing Contractor: Puente Roofing Services Inc. Project Number: 15-1036 (Testing Laboratory Certificate 4 11-0715.04) Dear Sirs; In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be concrete/clay Roof Tile. This the was reported to have been foamed in place. At the time of our inspection, the en:irc -.rca of the roof was examined for loose tiles. Not less than one(1)tile in ten(10)of all,components in the field area and one(1)tile in five(5)of all tiles in the perimeter and comer areas were physically examined. A minimum of one(1)test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. Based on our test results, we conclude t,rat die inst,rllation of the roof file at the above referenced project meets the test requirement outlinc d in the above-mentioned protocol. Attached please find a copy of our test report for yorir Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation Ilk- MA amad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 10601 Northeast 2 Avenue Miami Shores,Florida Reilch Engineering Corporation--Project Number- 15-1036—Page 2 of 6 Report of TILE UPLIFT TEST • Jor Residential home 10601 Northeast 2 Avenue Miami Shores, Florida Project Number: 15-1036 Test Number Test Load (lbl) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 5 Pass 35 Pass 8 3 5 Pass 9 35 Pass 10 5 Pass 11 5 Pass 12 5 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 3 5 Pass 19 >5 Pass 20 35 Pass 21 35 Pass 22 3 5 Pass 23 35 Pass 24 3 5 I Pass RciIvIi Engineering Corporation--Project Number-15-1036—Page 3 of 6 Test Number Test Load Ib Test Status 25 35 Pass 26 35 Pass 27 3 5 Pass 28 5 Pass 29 35 Pass 30 35 Pass 31 5 Pass 32 35 Pass 33 35 Pass 34 3 5 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 3 5 Pass 40 3 5 Pass 41 3 5 Pass 42 3 5 Pass 43 3 5 Pass 44 3 5 Pass 45 35 Pass 46 35 Pass 47 3 5 Pass 48 5 Pass 49 3 5 Pass 50 35 Pass 51 3> Pass 52 35 Pass 53 35 Pass 54 3 5 1 Pass Rcilch Engincering,Corporation--Project Number- 15-1036—Page 4 of 6 Test Number fest Load (Ib Test Status 55 35 Pass 565 Pass 57 5 Pass 58 3 5 Pass 59 Pass 60 3 5 Pass 61 >5 Pass 62 5 Pass 63 35 Pass 64 35 Pass 65 3> Pass 66 3 5 Pass 67 35 Pass 68 3> Pass 69 5 Pass 70 35 Pass 1 35 Pass 72 35 Pass 73 3 5 Pass 74 3 5 Pass 75 35 Pass 76 5 Pass 77 35 Pass 78 3> Pass 79 .)5 Pass 80 35 Pass 81 35 Pass 82 35 Pass 83 35 Pass 84 5 Pass Rcilrh Engineering Corporation—Project Number- 15-1036—Page 5 of 6 SFJ -21 Miami Shores Village T,lrpe' 10050 N.E.2nd Avenue NEC "'• "`"`" Miami Shores,FL 33138-0000 �, ' Pfr��aftrs: PROVED hgga Phone: (305)795-2204F. s. +ARLV�" t ' Expiration: 02/2212016 Project Address Parcel Number Applicant 10601 NE 2 Avenue 1122310130710 RONALD SAMPSELL Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell RONALD SAMPSELL 10601 NE 2 AVE MIAMI SHORES FL 33138-2060 Contractor(s) Phone Cell Phone Valuation: =14,900.00PUENTE ROOFING CORP (305)470 9970Total S Fee q Type of Work:Re Roof Available Inspections: Additional Info:RE-ROOF TILE. Inspection Type: Classification:Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile 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-8-15-56785 CCF $9.00 08/26/2015 Credit Card $766.26 $50.00 DBPR Fee $4.13 DCA Fee $4.13 08/20/2015 Credit Card $50.00 $0.00 Education Surcharge $3.00 Bond#:2821 Permit Fee-New Roof $275.00 Scanning Fee $9.00 Technology Fee $12.00 Total: $816.26 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 ELE TRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AF AVIT: I rti th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d Hing. th o ,I authorize the above-named contractor to do the work stated. August 26, 2015 Authorized Si na ure:Owns / Applicant / Contractor / Agent ate Building De artment Copy August 26,2015 1 t ' C-1, Miami Shores Village �- Building Department AUG 2015 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 LI INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. I�—QL PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ® ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / CONTRACTOR DRAWINGS JOB ADDRESS: /"/ Sn/ae'S City: Miami Shores County: Miami Dade zip: 1-3 Folio/Parcel#: 07112 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Constructions Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): `_1C7���� z "" Phone#: Address: W po( f\P— _? owe City: M®o VV\s SJVW�--), State: 1�1 Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name-(�v_JCWN� Phone#:(Q glo-CR7® Address: TW eLt,, (1w S1ve-A City: Bmni State: Zip: ti3a Qualifier Name: Phone#: State Certification or Registration#: CCLO57`-l%q Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zi Value of Work for this Permit:$ Square/Linear Footage of Work: ILI Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: 9le-V14 -MI-e Specify color of color thru tile: it jn Submittal Fee$ Permit Fee$ 1733 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ SM TOTAL FEE NOW DUE$ 2 (Revised02/24/2014) _�G G , 2� � R I 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. Signature Signature OWNER AGENT CONTRACTOR The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this V-day of 20 Jr-) ,by k9 day of ^ v - 20 \5 by [anO a Sr — ,who is personally known to �--A rck who is personally known to me or who has produced_ L In as me or who has produced T-L&) as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: TSig • Sign- Print Y1 L' Print: Seal: Seal;0".:-04, ANTHONYpUMM * * MY COMMISSION#FF 19%76 * * MY COMMISSION i FF 196676 s,M .oma Ehy Wft XPIRES:F66u y g, 19 " ncx'O! EXPIRES: Y 5,2019 ********** *****V* ***** **a****************************** * r************sa*****s* *w �j APPROVED BY �/' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA • 0�`2 . aw r DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION •,r_ t �."° CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ROJAS, EDWARDANTHONY PUENTE ROOFING CORP, 10260 NW 46 ST MIAMI FL 33178-2258 Congratulations! With this license you become one of the nearly - -^ >.• ", --•' t:i`.;. •:n,:�.x• _";ii_•t-,':%nrsra� :e,Y.-u.,. ''''.>.:a"1ma;. ,::...a•:;es::'a�:x:•;.:,:eiw� .oro:3 a'::''.w.•'«N3i,k_ one million Floridians licensed by the Department of Business and `"�' " "• '• Professional Regulation. Our professionals and businesses range - ' from architects to yacht brokers,from boxers to barbeque restaurants, :;r„ _, -�_STATE;'OF-FLORIDA-"* *- =^•."::,''- : . :. and they keep Florida's economy strong. DEPARTMENT,0F:BUSINESS AND •- :: ':: PROFES81-UNDTftEGULATION'..... Every day we work to improve the way we do business in order to '^"'-" . +':'�' '" .E*E(3h: '• -` " serve better. For information about our services please lafl onto ..: ;CCC057494 Y E :X04/3pi2015-- you _.. www.myfloridalicense.com. There you can find more Information "'_'" about our divisions and the regulations that impact you,subscribe " -CERTIFIED 'GOFt to department newsletters and learn more ' :-ROJAS"ED1NA D' initiatives, about the Departments s , + ON''•, ,,,�1:_ r11»77,OENTE"RC)C P�( 0�' 44 Our mission at the Department is:License Efficient! 0••••' .. ••_- Yt Regulate Fairly. i rye^ "-_ '�w•,-- a,,;r:n ; �, � ,a We constantly strive to serve you better so that you c your -" "� ~"'-' `" a :t3 u ' `"'' 1",3L;•"M' ' " ""' an serve • . a:-i' ..."..: ::4:..• customers. Thank you for doing business in Florida, SFS•CIRTIEIEt7;.und:er_(tie, rdv and congratulations on your new license! r�J:",,,..Ezp¢ationdete•1 AUG 3i„201G";"- _ ,.L150'�30000115 Sed�1Et"'i 1.'$i:.itk�uiui�'ic^t jt�,•KZtRY,.,...C:'.,�:t��rF...�:.-:,�'-v:::...-�.r-• _._...,.,..:,,`:�.. .._..n�.'� iUkY.NFS+. U1,41.Sv4i:,•�':Lii'f:,(r>3'. �:E:!!<3'::viJl'^:iiA:ii::i:.itin:liZG,u..,:31..•- DETACH HERE _RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY • ". n .""" ” ,.. "^Sl'ATE;OF=FL^ORfDA;"" 4.. -_ ^'„ •"' l7EPAR7 ME1VT OF'BUSINES' ` -_._. S^ANb;AR.OFESSIONAL REGUI.:A bN'* CONSTRUCT!QN�iNDU8TRY'LiCENSiNG:B(jARD-,- ..M,ltyt .. ,. ..,,_,•,..,.,�•.,,"._,...,.Y y .. .yam _..\'�:... ''i•' °. "6r'..G00057494 - ..,� „ v. 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' 7465905,: .:,:'SE��EMgEK-3®;::2D •5 •` M1AMI:fT-'33-l3'I'bb' ;.; :..:' Must be displayed at plaoo of business :• r. . : . ••• • .. .. _.:• .• ::.. County Code •'•"Pur suant to ^' Chapter•BA•-Art•9&10 • OWNER SEC.TYPE'OF BUSINESS"'.%.":,.::.:•..:' PUENTE ROOFING CORP .` :196 GENERAL BUILDING CONTRACTOR WorJ<er{s) 4 ,. CGC061059.: PAYMENT RECEIVED BY TAX COLLECTOR $45.00 04/30/2015 :..:'•CREDITCARD-15-029033 :• This it oal Business Tax o f the t only coniums payment of tiialdcal Busirinss lax lira Racgipf is not a lioartse, permit,or q certification of the holder"s qunliffcotions,to do huslnoss.Holder must comply with any govwnmentnf ornenoevarnmantal ragutofory laws and requirements which apply to the businoss. ..;„ ' "Tho RECEIPTNO.above ritust he dli;tI yy d qn al[commercial va1dc1as-Miami-08d0 Code Soc 6a-276 Far more itifoinmtion,visltavty.rtilnmidntlo nov/tnx nit 00 .Mia'mi�D`acle` Cou .. .... : •. :. . rity:::.Stafie° •�r��:frflo'I:IC(a�•::w;,. -TH1S;:15 'NQTA Biil'' TRAY: :0'QNQ 7: BUSINESS-NAM' •. •., . E/L'OCATION"=•'.: ' ;PUENTEr1200FINGCbRP':. . : :•;..:.;.: -:'::: ..:.. . . .: ,:...:. ;•;:: ..:.:E�CE�IRtES.,; NEW'BUSINESS:'SE�y -EMBER 30;-203'5.:*.: :7321.N1N'46.Sf; : 7465903 MIAMI FL•331 bb:. ' ' :''' '' - "'::'' Nlti'st be dispiayod at place of business .:,. =:4•'• •�'Ptirsuantto.County-Code ' ' .:Chapter 'Art.910 OWNER'.'" ` SEC.TYPt=OPBUSINESS..:•' :•'?. PUENTE ROOFING CORP .196 SPECIALTY BUILDING CONTRACTOR.PAYMENT. RECEIVED J <' •' CCC057494= SYTAXCOLLECTOR ' ' :Worker{s} 4 $45.00 04%30/2015 :CREDITCARD-15-029033 Tills Rocnl•Buslnoss Tax Receipt atilq.botilirtns payment of iliii Lncol Buslnoss Tax,The Babb ipt is nat a Iidansc, parintt,or n certification of the holder's qualilications,to da business.Holder mast comply with any govarnmentel' or nongoyoruntantal rooulatory laws and requiromants which apply to ilia husinuss. Thu NECEIVT NO.abova must bo displbyeil on al1•coinmeFcial dahicles-Miami=0bde Coda$oc Ba-276. For more.iniarmation,visit nvvy.minmidadanbv/tnxcbti btu f 08119/2015 03:31 PUENTE INVETMENTS OF SOUTH FLOR (FAX)786 953 7037 CERTIFICATE OF LIABILITY INSURANCE DATE(MWODJYYYY) 08/19x201 S THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RiGHTS UPON YNE CERTiFIGATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE poLlclss: BELOW.THIS CERTIFICATE OF iNSUIannlcrs Dass NOT oorraaTrrarr'cs n vvrwrr%^QT ocTwccty TtiC laSUING IN5URER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and condlt(ons of the policy,Certain policies may require an endorsement.A statement on this certificate does not confer rights to the I certificate holderinlieu ofsuch endorsernent(s). PRODUCER CONTAC Advanced(hsurahce Services P F 12460 Crabapple Road agent@aisagency.com IALC Suit9202-401 INSURERS AFFORDING COVERAGE AI haretta GA 30004 tCu INSURER A.- Preferred Contractors insurance *Compan INSURED INSURER 8: PUENTE ROOFINGCORP tNsuR c: I 7321 NW 46 St INSURER D: Miami FL33166 INSu ER.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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • ILTR TYPEOFINSURANCE ADDLSUBR POLICY EFF POLICY EXP AOLICYNUMBER /0 LIMITS i X COMMERCIAL GENERALLIABILITY _15R 1,000,000 A CLAIMS-MI X I OCCUR DAMAGE t REN D $50,000 PC99366 03/02/2015 03/02/2016 MED F-Xp(Any one on $6,000 PERSONAL&ADV INJURY $1,000,000 i GF1V'LAGO GATELIMITAP LIES PER GENERALAGGREGATE $2,000.000 X POLICY ECT L..1 LOC PRODUCTS-COMPIOPAGG 1,000 000 1 $ j AUTOMOBILE LIABILITY C MEIN 0 SING ELIM $ i ANYAUTO BODILY INJURY(Par person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOSAAUTOSWNEO PROPERTYDAMAGE j UMBRELLALIAB $ -EA0 OCCURRENCE OCCUR EXCESS LIAB E AGGREGATE DED RETENTION$ WORKERSCOMPENSATION $ t� PER OTHAND EMPLOYERS'LIABILITY Y rrP -J FR ANY CEORIERXRDECUTIVE� MandatoryInNH) NIA E. ECHACIDENTOFFIRIMEMBEEC UE - $ fyas,desaibeunder E.LDISEASE-EAEMPLOYEE $ D I OPERATIgNS below E L DISEASE-POLICYLIMIT $ i I DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) ROOFING CONTRACTOR LICENSE NO. CCCO57494 i F I CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4 i Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE' <BH> Phone: (305)796-2204 Representathie of Insured Fax: (305)766-8972 01988-2014ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD LICENSED&INSURED 7321 NW ui 46 Florida 33166 99is 1 11 Date:August 19,2015 State of Florida Miami-Dade County Before me this day personally appeared Anthony J Puente who, being duly sworn deposes and says: That he will be the only person working on the project located at 10601 NE 2 Avenue,Miami Shores,Florida 33138. Sworn to and subscribed before me this 19 day of August.2015, by Anthony J Puente. Personally Known OR Produced Identification Type of Identification Produced El ho ROSA INES ABREU MY COMMISSION III FF 202560 EXPIRES:Febtum 23,2019 'P�AtFIMF FtBOndedThroBugetN*rySoft Public Notary we JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 8/6/2015 EXPIRATION DATE: 8/5/2017 PERSON: PUENTE ANTHONY J FEIN: 650552213 BUSINESS NAME AND ADDRESS: PUENTE ROOFING CORP 7321 NW 46TH ST MIAMI FL 33166 SCOPES OF BUSINESS OR TRADE: ROOFING-ALL KINDS AND DRIVER Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE - - - - IMPORTANT STATE OF FLORIDA I Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation DEPARTMENT OF FINANCIAL SERVICES who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or DIVISION OF WORKERS'COMPENSATION AF compensation under this chapter. CONSTRUCTION INDUSTRY EXEMPTION 10 CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA I L Pursuant to Chapter 440.05(12),F.S.,Certificates of election to WORKERS'COMPENSATION LAW D be exempt...apply only within the scope of the business or trade EFFECTIVE DATE: 816!2015 EXPIRATION DATE: 81&2017 I listed on the notice of election to be exempt. PERSON: PUENTE ANTHONY J H Pursuant to Chapter 440.05(13),F.S.,Notices of election to be FEIN: 650552213 E exempt and certificates of election to be exempt shall be BUSINESS NAME AND ADDRESS: R subject to revocation if,at any time after the filing of the notice PUENTE ROOFING CORP I E or the Issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke 7321 NW 46TH ST a certificate at any time for failure of the person named on the MIAMI FL 33166 certificate to meet the requirements of this section. SCOPES OF BUSINESS OR TRA ROOFING-ALL KINDS XND DRIVER DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 '. LICENSED&INSURED UENT 7321 NW46 Florida 33166 305.470.9970 is37— wwpuenteroo Ingbet 7W, Date:August 19,2015 State of Florida Miami-Dade County Before me this day personally appeared Fernando Arturo Puente who, being duly sworn deposes and says: That he will be the only person working on the project located at 10601 NE 2 Avenue, Miami Shores, Florida 33138. Sworn to and subscribed before me this 19 day of August.2015, by Fernando Arturo Puente. Personally Known OR Produced Identification Type of Identification Produced EJ/IQ t�v Pua ROSA INES ABREU * * MY COMMISSION#FF 202560 F EXPIRES:February 23,2019 ArFOF FL°P�� 8mded Thru0W Et No"Se 0 Public Notary N WE JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 8/6/2015 EXPIRATION DATE: 8/5/2017 PERSON: PUENTE FERNANDO FEIN: 650552213 BUSINESS NAME AND ADDRESS: PUENTE ROOFING CORP 7321 NW 46 STREET MIAMI FL 33166 SCOPES OF BUSINESS OR TRADE: ROOFING-ALL KINDS AND DRIVER Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 qL PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE IMPORTANT STATE OF FLORIDA I Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation DEPARTMENT OF FINANCIAL SERVICES who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or DIVISION OF WORKERS'COMPENSATION 4�� F compensation under this chapter. CONSTRUCTION INDUSTRY EXEMPTION I O CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA I L Pursuant to Chapter 440.05(12),F.S.,Certificates of election to WORKERS'COMPENSATION LAW D be exempt...apply only within the scope of the business or trade EFFECTNE DATE: 8/11/2015 EXPIRATION DATE: 9!10!2017 I listed on the notice of election to be exempt. PERSON: PUENTE FERNANDO A H Pursuant to Chapter 440.05(13),F.S.,Notices of election to be FEIN' 850552213 E exempt and certificates of election to be exempt shall be BUSINESS NAME AND ADDRESS: R subject to revocation if,at any time after the filing of the notice PUENTE ROOFING CORP E or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke 7321 NW 46 STREET a certificate at any time for failure of the person named on the MIAMI FL 33166 certificate to meet the requirements of this section. SCOPES OF BUSINESS OR TRA ROOFING-ALL KINDS I ND DRIVER DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 5�OREs • , ixa 19aa L, Miami,,, ,,,,,ea shores Village J Building Department rL ORN 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade ! day o) The foregoing was acknowledge before me this f 20 BY 9V- SA-M S'e' ! who is personally known to me or has produced Las identification. No SEAL: ,Sons D� Miami Shores Village Building Department 10050 N.E.2nd Avenue ArOR Miami Shores, Florida 33138 oRtDp Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: k�.' lc�, 15 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: aace d �) w o Property Address: 166C)i Roofing Permit Number: Dear Building Official: I certify that I am not required to retrofit the roof to wall connections of my building because: m"T"he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad va/The orem taxation. building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) �`l�r �c71 cey�noS I Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owfor the above property mentioned. Swornto and subscribed before me this X01 day ofI'V'U5� anowpum Notary Public, Sate of Florida at Lar s"21 WCommW I t: WAI 15; ZEXPIRES:February 3,201 el' amwThruBudgetNobrySerrlm • When the just valuation of the structure for purpose of ad valorem taxation is egfrafeo or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. 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E■■■■E■■MEN E■■E■■■■■■■■EE■■■N■NE■■■■■N■■■■■E■■I/NEd■I■R_N!� ■■E� EE■E■■■E■E■EE■■E■E■EMOEEE■E■■■E■■■E■E■■ENEE■N■I■EEE■I■��■�NN�` ■E■O■■E■NEE N■■■■■■■MMM■■ENE■■ONN■ENN■■EE■■N■E■IN■1♦EEl!�EW(G x UW . >T . Ftarida.Buifdi�g-Ga�de2f�710�Ed�ion High Velocity:Hurricane-Zone IJWorm PerinlEAppiication Form ;r SeotionLStoaa SIORed Roof ysteffi uIrar a, �Le° Roofs -Nafiufact NoUcoof fromum slgtr.-�[inc Pressures,Ippll bld(Fromm 5.127 or Calculauans): vroe NOS flr:St . . Lol ..i. . .. .. o. so 00 '.. ... .... .. ... 000000 0 . . igGp S16be Roof 9jstem. a x,1124 .. . C 3 S` .19. :6 6 oulation f Flyd:1 ..'MOT,:. Gam$ /7 a nPirY p. .1pp;Wng:MA qsIve Type j A 061/1) L ��4 j`�OIJ Ca�or� e 1 f mearti Fioofi-PclelltW� - Type..&-Slm Drip r r . T � •a,r fiodd-�_Bui6ding f ode 2Q1Q EdIUoen: } 3' High feloc 'Hunicacne-ZoncUniffon .PermApgHcatcan Fonn v�l >�lne �t�i�eny .f��ee ` C4 fps easy d,.thp xg4 Ulm t46 ae aua ja acccps k 'crRAS 127" I M�M6d.:. !-. SInT=cd-Me.c,dcwAuOn Per Table Btbwn •••• . _ • • 0000 0000• Re�y�fr ¢.ofR `3�MTabYcw. AT� e---.�-r • iSi�PP��DR. siesReti4' r••:•• •.r ••••• • 20' " ••••• 46% • • 0000 • w . � ••• •• 0000 �. 3 am •• rr 0000• • • 712WIr" 342 30.1 313: 00 .A• .121A. 0.000 3p"Oil 4 � :, r• • a` • • • *& at.be,used'Ya _. uoc#k+miswiS�t a vat VI'Momeof bawA.tuc--systemen�reea by_4�►e 00 • ]B�rov�caiGmtwnty Hated arfYYa�a aaB:Appea�. { vlr. Tp t.6�sed.Y�Le SyBtc Yana ase ego .� yn ;$�a@ vffiliafe r-VE whh the �x____x�' ��_x ve::= }-YP ^xeoa8:�g bra•...._ rif3A�` Where:te:®bUld Informaden Symbol' - _ DCOISrt;Ixa : :Plas.P2arP3' RAS 127TabklaEcgsua lne gaa•lyals 6p1%bawdceaASCE ;:JdgSbx Ddo®mtAoefoGsa NOA NOA Regaiwd Mmot &k Cal�arld ESninavm v :NOA PWqai-dUpRHtRcdvt— KCetwka . A 11dzW' MA Tile lJlna NOA s�wietfi AllraEcalaNamsmvstlsz �otbe Ol3"xiatat�t�arg _ SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 84402.13.1 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. A—,-, 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.) v 3. Common Roofs: Common roofs are those which have no visible delineatioebMween neighboring units (i.e. townhouses, condominiums, etc.) In buildings with comMon loofs, tf e'roofing contractor and/or owner should notify the occupants of adjacent units of roofing wok to to perforopo i. _4. Exposed Ceilings:Exposed,open beam ceilings are where the undersycje pf the r4pf dscking can be viewed from below.The owner may wish to maintain the architectural appeaftce,therefare'robfing ..:..• nail penetrations of the underside of the decking may not be acceptable.This provides"."1on of maiiroteining ••••• this appearance. .. ••' '....' •..... .....• • • 5. Ponding Water:The current roof system and/or deck of the building flay rfbt drahrAl.and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding aan bean indication of :••••: structural distress and may require the review of a professional structural engineer.Vonding may;rigrten • the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402,R4403 and R4413. 7.Ventilation: Most roof structures should have some ability to vent natural airflow through the inte 7or of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Exception:Attic spaces,designed by a Florida licensed engineer or registered architect to eliminate the attic venting,venting shall not be required. - 'A9 / / S/ /S a 0 Owner's/Ag s Sign t re Date C ntr ctor's Signa re 106 D / /V- 2,qvP Property Address M-611 XOA61Permit Number 3313 Mi M e, MIAMI-DADS 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 PTANCEi (NOA) www.miamidade.gov/economv Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. ` J DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 9906 0 0000 0666.. TERMINATION of this NOA will occur after the expiration date or if there has been a revisitni orchange k1 tyle •0 materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorS@fftt1t of any f rdduct, 0 for sales, advertising or any other purposes shall automatically terminate this NOA.Failure to"omply with any section•••• of this NOA shall be cause for termination and removal of NOA. 6 0600 6 06 06066 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County-o,-XO ida, and.;f9llowed6.66 by the expiration date may be displayed in advertising literature. If any portion of theffd kis displa7ed, then •, it shall be done in its entirety. 000000 9999.. 6 . . . . 9999.. 0 0 INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distribtiW a$d shall be available for inspection at the job site at the request of the Building Oficial. This revises NOA 911-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0713 MIAMI•�A�E COUNTY •02 VjX=Fil'''• e Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 1 of 8 r. 4 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Category: Underlayment Material: SBS,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous,rubberized asphalt underlayment 6518"x 3'3j/8" waterproofing membrane,glass fiber reinforced Manufacturing Location 60 mils thick with polyolefinic film on the upper surface for #2 use as an underlayment for metal roofing,roof tile,slate tiles and shingle underlayment. Polystick IR.-Xe Roll: TAS 103 and A fine granular/sand top surface self-adhering, underlayment 65' x 3'3 3/8" ASTM D 1970 APP polymer modified,fiberglass reinforced, Manufacturing Location Or 65' x 3' bituminous sheet material for use as an #1&#2 60 mils thick underlayment in sloped roof assemblies. Designed as an ice&rain shield and as a flat roof tile underlayment. Polystick TU Roll: TAS 103 and A heavy granuled surface self adhering,APP underlayment 32'10"x 3'33/8" ASTM D 1970 polymer modified,fiberglass or polyester Manufacturing Location 100 mils thick reinforced,bituminous sheet material for use as G�. .. #1 &#2 an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. Polystick TU Plus Roll: TAS 103 and A rubberized asphalt self-adhering,glass- underlayment 65' x 3'3j/," ASTM D 1970 fiber/polyester reinforced waterproofing (Surface Printing) 80 mils thick membrane.Designed as a metal roofing and roof Manufacturing Location tile underlayment. #1 &#2 0000 . . 0000 000000 Polystick TU P �Roll:� 3 )) TAS 103 and A rubberized asphalt walgr�prbofingmel:bran, •• • underlayment 32'10"x 3)3_/8 ASTM D 1970 glass-fiber/polyester re"ir *gd,with a.granular: 130 mils thick surface designed for us .0.00. Manufacturing Location gn e,��the ropf . #2 underlayment. 000000 : 0 0 0 0 0.0 0 0 00000. 000000006 Polystick Tile Pro Roll: TAS 103 and A rubberized asP halt s•• g• rm *see •••- •••s• �f � � g,g� .' Manufacturing Location 61' x 3'3j/," ASTM D 1970 fiber/polyester reinforced*aferproofinj. ....:. #2 60 mils thick membrane. Designed as a meal rooi'4 and roof... tile underlayment. •• • ••• • Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x 3'3 3/s" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. � MIAMI DADE COUNTY.. , NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood,non-insulated Base Sheet: One or more plies of ASTM D 226 Type H or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Membrane: Polystick membranes self-adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3-%2"and end laps shall be a minimum of 6.". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point,rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special attention to lap areas. 7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. S. All protrusions or drains shall be initially taped with a 6"piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. pose 0 . . 0000 09.00• op 0 00 0 9 •99:99 oe o po9p% poop.. ..peep poop .. 0000 0 0. 00.0 poop. 90.00. 0000 es9o• .. .. poop poop.. poop.. 9 9 9 . . . . poop.. .9999. 0 9 900000 00 . 0 909 0 0 �,,. MUN NOA No.: 12-0713.02 MIAMI•DADE C So Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS,TU Plus,Tile Pro and Dual Pro may be used in asphaltic shingles,wood shakes and shingles, non-structural metal roofing,roof tile systems and quarry slate roof assemblies.Polystick IR-Xe,TU, and TU P may be used in all the previous assemblies listed except metal roofing. Polystick TU Max may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polyglass Polystick membranes.shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times;not to exceed the preceeding maximum time limitations. Exposure Limitations(days) MTS IR-XeI TU. ITU Plus TU P I Tile Pro Dual Pro TU Max Winter Haven,FL. 180 180 180 180 180 180 180 90 Hazelton,PA. N/A 30 30 180 N/A N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU,TU Plus,Tile Pro and TU Max may be used in both adhesive set and mechanically fastened roof tile applications.Polystick IR-Xe, and Dual Pro are limited to mechanically fastened roof tile applications.Polystick MTS is limited to mechanically fastened with battens .. . roof tile applications.Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR-Xe Polystick TU,TU Polystick TU Plus,TU P,Tile 11iIs�• Pro .... ..... Flat Tile Prohibited without 5:12 No limitation•.• •• No 11"fatfon ...:. battens 000 00 a Profiled Tile Prohibited without Prohibited No limitation •• • ••.• • • No l�m,�tati�on battens .. .. ...• ...... .... .... The above slope limitations can be exceeded only by using battens and counter battendnrraeccordancewvith thee•••:• Approved Tile System Notice of Acceptance and applicable Florida Building Code rcW:d ents. Battens are required for both loading and installation of tiles at all times. :•••:• '"•"' r+iaMi•oaoe courvrr NOA No.: 12-0713.02 • • Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment.Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. � qg Roofing Tiles (6 Max Per Stack) n a F 12 6 in 4 be ed. th_a 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products.Polystick MTS,IR-Xe,TU,TU Plus,TU P,TU Max,Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS,IR-Xe, TU,TU Plus,TU P, TU Max,Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS,IR-Xe, TU, TU Plus,TU P, TU Max,Dual Pro and Tile Pro is not listed, a request may be made to the Authority Having Jurisdiction(AHJ)or the Miami-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. MIAMI•DADE COUNTY • • •••• •••••• BUILDING PERMIT REQUIREMENTS: •• •• • ...... .. . ...... Application for building permit shall be accompanied by copies of the following: 000000 • 1.This Notice of Acceptance. . . .... . .. ..... 2.Any other documents required by the Building Official or applicable building code in ord@>:t'tf;roperj1t6'aluate ""' the installation of this materials. •• •• •••• •'•••• . . . . ...... . . •••••• *so 0 • s • r NOA No.: 12-0713.02 MIAMI•DADE OTY • Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 6 of 8 (; POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type,applied with a minimum 1"metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12"o.c. Polystick TU Plus should be back nailed in designated area marked"nail area, area para clavar"on the face of membrane,with the above stated nails and/or disks.The head lap membrane is to cover the area being back-nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams(selvage laps)must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6"wide,uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations#9 and#10. 6. Battens and/or Counter-battens, as required by the tile manufacturers NOA's,must be used on all projects for pitch/slopes of 7"/12"or greater. It is suggested that on pitch/slopes in excess of 6 1/4"/12",precautions should be taken,such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation&before loading of roofing tiles is Forty-Eight(48)Hours. S. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys,or exposed roof to wall details. F' 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium MB Flashing Cement,Polyglass PG500 MB Flashing Cement to the area in need of repair,followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair.Patching membrane shall be a minimuM6f 6 inches in either direction. The repair should be installed in such a way so that wate;will%n parahe I to or ••• • over the top of all laps of the patch. 0.0.00 10. All self-adhered membranes must be rolled to ensure full contact with approved sub8ft1W. PolyglaSs ;••••; requires a minimum of 40 lbs for a weighted roller for the rolling of the field membr.".Mand rIller?are acceptable for rolling of patches or small areas of the roof. Brooming may be used wUre slope proluriits ••%••• rolling. 06.60• •6.6 0.00• .. .. 0000 0000.. 11. All approved substrates should be dry,clean and properly prepared,before any appl4tT4J1tof Polystfck membranes commences. An approved substrate technical bulletin can be furnished 1pon request itois:0 •••0 recommended to refer to applicable building codes prior to installation to verify accep0t�bfe substr�tejy 0 ;••••; 12. The Polyglass Miami-Dade Notice of Acceptance(NOA)approval for Polystick membranes and•••• PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. (M)�MPIAMMDADE NOA No.: 12-0713.02 .:.COUNTY ?► ]Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 7 of 8 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association(NBCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE 4444 . . 4444 4444.. 4000.. .0000. 4444 .. • . 4444 . .. 44440 4444.. 4444 4444. •• .• 0040 •0044. ••...• • e • . • • 0000•• 0004.• • . • . • • • 0004.• so 0 � MIAMI ;EI;OUNTY NOA No.: 12-0713.02 7, T% Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 _ v v J, MIAMI >' MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.aWnera Boral Roofing LLC. 7575 Irvine Center Drive,Suite 100 Irvine, CA.92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County PERA-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Villa 900 Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has beenque4aage 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 revise o�or�cha.nge%the *ease•••• materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorseag;t of anyoproduct, goes* for sales, advertising or any other purposes shall automatically terminate this NOA.Failure to Q F?y with Ay-section-•••• of this NOA shall be cause for termination and removal of NOA. • ...... .... ..goes ..... 0000 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, F1oj:dn AZd follow6d by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,•tl"ien it;*0 to done,•••• in its entirety. • • • Gooses INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA# 11-0713.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIaMI DADS C20U NOA No.: 12-0308.20 ° Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 1 of 7 ROOFING ASSEMBLY APPROVAL { y Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Villa 900 Concrete Roof Tile, as manufactured Boral Roofing, LLC in Lake Wales, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Monier Lifetile LLC Villa 1= 17" TAS 112 Low profile,interlocking,high pressure extruded 900 w= 13" concrete roof tile equipped with one nail hole and %a"thick double roll ribs. For direct deck or battened nail- on,mortar or adhesive set applications. Trim Pieces 1=varies TAS 112 Accessory trim, concrete roof pieces for use at w=varies hips,rakes,ridges and valley terminations. varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales,FL. 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date 00";_ Nutting Engineers 13343.1 TAS 112 •Apr. 2006 ••••:• .. .. . Redland Technologies 7161-03 Static Uplift Testing ...... •Dec.•1991 ••••:• Appendix IIT TAS 102 &TAS 102(Aa•• •• • • Redland Technologies 7161-03 Wind Tunnel Testing a::::• :Ile •q 991 • Appendix II F• ••••• PP TAS 108 (Nail-On) •••••• •••• ••;••• Redland TechnologiesP0402 Withdrawal Resistance Testing bf stfew •309 St! 1993 .... • vs. smooth shank nails:••:•: •. . . . . ...... The Center for Applied 94-060B Static Uplift Testing •••••• • Engineering, Inc. TAS 101 (Adhesive Set)••• 0 :h:19940.... 00 The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) CMi[AaMINADER81NTY NOA No.: 12-0308.20 ''''• ' Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 2 of 7 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 TAS 108(Nail-On) The Center for Applied Project No.307025 Wind Driven Rain Oct. 1994 Engineering,Inc. Test#MDC-76 TAS 100 The Center for Applied 25-7183-1 Static Uplift Testing Feb. 1995 Engineering,Inc. TAS 102 (2 Quik-Drive Screws,Direct Deck) The Center for Applied 25-7183-2 Static Uplift Testing Feb. 1995 Engineering,Inc. TAS 102 (2 Quik-Drive Screws,Battens) The Center for Applied 25-7214-2 Static Uplift Testing March, 1995 Engineering,Inc. 25-7214-6 TAS 102 (1 Quik-Drive Screw,Direct Deck) (1 Quik-Drive Screw,Battens) Celotex Corporation 528454-2-1 Static Uplift Testing Sep. 1998 Testing Services 520109-2 TAS 101 Dec. 1998 Walker Engineering,Inc. Evaluation Calculations 25-7183 March 1995 Walker Engineering,Inc. Evaluation Calculations 25-7094 February 1996 Walker Engineering,Inc. Evaluation Calculations 25-7496 April 1996 z Walker Engineering,Inc. Evaluation Calculations 25-7584 December 1996 25-7804b-8 25-7804-4&5 25-7848-6 Walker Engineering,Inc. Evaluation Calculations Aerodynamic Multipliers May 2006 Walker Engineering, Inc. Evaluation Calculations Two Patty Adhesive Set Syjtem. 'Qpril•1999 ...... Walker Engineering, Inc. Evaluation Calculations Restoring Moment Due to G7Vity` .APOo2006 000.0. 00 0 0000.. 0000.. 999999 0000 .. . . 0000 . .. 00006 00000. 0000 00000 0. 0• 0000 000000 0000.. 9 . . . . 0000.. 000000 . 9 .0900. 00 0 0 000 =TY NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 3 of 7 LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Villa 900 Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,RAS 119,and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w) Tile Profile Weight-W (lbf) Length-1 (ft) Width-w (ft) Villa 900 Concrete Tile 10.94 1.425 1.08 Table 2: Aerodynamic Multipliers -X(ft) Tile X (ft3) (fts) Profile Batten Application Direct Deck AppljGjition Villa 900 Concrete Tile 0.289 0 .0.289'.... 0. 000 Table 3: Restoring Moments due to Gravity - Mg (ft-lbf) •"•'• 00 0 •• ••• 0000.. 0 . 0 Tile E6.7 R7.701 5"•12" 6":12"�...• 7":12V orgreater Profile •� Villa 900 ;6.7;357.62 rect Battens Direct Battens DMI BatteAg *.Direc see Concrete Tile eck Deck Deck•• *0 0 Deck• 6.63 7.51 6.50 7.37• 6.3B . 7.21.. .;. 0000.. 0 0 .0000. 00 0 0 000 . . MIAMI•Da�EcoUNTr NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 4 of 7 Table 4: Attachment Resistance Expressed.as a Moment - Mf(ft-Ibf) for Nail-On Systems Tile Fastener Type Direct Deck . Direct Deck Battens Profile (min 16/32" plywood) (min. 19/32" plywood) Villa 900 2-10d Ring Shank Nails 27.8 37.4 28.8 Concrete Tile 1-10d Smooth or Screw 8.8 11.8 4.1 Shank Nail 2-10d Smooth or Screw 16.4 21.9 7.1 Shank Nails 1 #8 Screw 25.8 25.8 22.9 2#8 Screw 47.1 47.1 49.1 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 Eave Clip) 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) Table 6: Attachment Resistance Expressed as a Moment Mf(ft-Ibf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment " Profile Resistance Villa 900 Concrete Tile Adhesive 26.1 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. 3M TM 2-Component Foam Roof Tile Adhesive AH-160.Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-Ibf) for Single Patty Adhesive Set Systems Tile Tile Application Llr>iin3um A1:tecahment �• Profile •••••Resist& S ••+ •• Villa 900 Concrete Tile 3M 2-Component Foam Roof Tile Adhesive AH-160 •••••• 86.613* • 3M 2-Component Foam Roof Tile Adhesive AH-160 . 45;64- 3 Lar a Paddy placemenFof 54 rams of Pol ProTm. •. 4 Medium paddy placement of 24 rams of Pol ProTM • Table 8: Attachment Resistance Expressed as a Moment- MAft- b ) ••• �• for Mortar Set Systems • Tile Tile Attachmewt° • Profile Application Resistance Villa 900 Concrete Tile Mortar Set 20.60 5 Seespecific mortar manufacturer's Notice of Acceptance `yuN NOA No.: 12-0308.20 MIAMhDADE COUNTY Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 5 of 7 PROFILE DRAWING Nail holes 12#t. I lie •• Overlock Ar 1711 Undexlb k t VILLA 900 CONCRETE ROOF TILE •f•• !♦ • • • . • • END OF THIS ACCEPTANCE •••%•• • Y • • i • NOA No.:12-0308.20 �e ' Miarn•�aoe coMTMY Expiration Date: 09/21!16 Approval Date: 06/21/12 Page 7 of 7 Y ` 9 F11AP7(DADE MIAMI-DARE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv 3M Company 3M Center Building 0220-05-E-06 St.Paul,MN. 55144-1000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 3MTM 2-Component Foam Roof Tile Adhesive AH-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 0000 TERMINATION of this NOA will occur after the expiration date or if there has been a ie0000.. ��gio.� or Chang e in the •• materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorsg"j4,pf anyBj;dtLMt,for...,.:. sales, advertising or any other purposes shall automatically terminate this NOA. Failure to co"Aowith any section of. this NOA shall be cause for termination and removal of NOA. 0000 . :0096: . 0000 00 .0... ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Flor#�f :2 d foll; V &by the•0••• expiration date maybe displayed in advertising literature. If any portion of the NOA is displa:jd,,o then it shalf 8e done in its entirety. 0 •:•: .• . . . . 0000.. 0000.. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufactufl. its dis%butpis and: shall be available for inspection at the job site at the request of the Building Official. 9..0 • This NOA revises NOA 12-0228.18 and consists of pages 1 through 11. The submitted documentation was reviewed by Juan E. Collao,R.A. GG�f Ux� NOA No.: 13-0502.02 MIAMI•DADE COUNTY Expiration Date:05/10/17 Approval Date:12/12/13 Page 1 of 11 t ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2-Component Foam Roof Tile Adhesive AH-160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance.For the locations where the design pressure requirements, as determined by applicable building code,does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127,for use with approved flat, low, and high profile roof tiles system using 2-Component Foam Roof Tile Adhesive AH-160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Descrintion Specifications 3MTM 2-Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF 1000 N/A Dispensing Equipment ProPackG 30& 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball,TX. . . .... ...... PHYSICAL PROPERTIES: • Proper •••••• •• •••••• p h' Test Resul s • Density ASTM D 1622 1.6 lbs./ft.3 0000 .. ;'..•, Com ressive Stren • P gth ASTM D 1621 18 PSI Parallel to rise •••• •• ..... 12 PSI Perpendicular to rise ";•'; 000000 ••••0 ••:••• Tensile Strength ASTM D 1623 28 PSI Parallel to rise "'• •••••• Water Absorption •••••• .' rP � ASTM D 2127 0.08 Lbs./Ftz . . . . . 0000.. Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch :-00-0 Dimensional Stability ASTM D 2126 +0.07%Volume Change @-4%.?.,:wee" ... :8000: +6.0%Volume Change @158°F., 100%Huxi$it�,2 weeks Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. R.a UT NOA No.: 13-0502.02 Nam` MIAMbDADE COUNTY "'• Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 2 of 11 f- t EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #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 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories N13-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp.Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 0 so • .. . •• . • .... °..'.' ••••:• 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile AssembVyf*gre:re rating, • • 2. All approved products listed herein shall be labeled and shall bear the imprint or identifigtXe"Vking t?l the• '•••• manufacturer's name or logo and following statement: "Miami-Dade County Product Conft?Approvtd"bf the **:see Miami-Dade County Product Control Seal as shown below. •••'"• 1,0000 ••••• MIAMI•DADE COUNTY. ••••a• s •• 3. 3M""2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat,lows&high tile poodles. • • • •••••• 4. Minimum underlayment shall be in compliance with the Roofing-Application Standard RA9 110. •' � • 5. Roof Tile manufactures acquiring acceptance for the use of 3M"m 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 6. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. MIAMI DADE COU NOA No.: 13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 3 of 11 • f INSTALLATION: 1. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160. 2. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient attachment resistance, expressed as an uplift based system,to meet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and 3M Company's 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by 3M Company.3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the"A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (13)• 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam Dispenser RTF 1000 or ProPack®30 & 100 dispensing equipment only. 7. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH-160 has been dispensed. 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall be in accordance with the'Placement Details'herein. Each generic tile profile requires the specific placement noted herein. 0000 . . 0000 0000.. . 9 000000 .. . 900099 0000.. 0000.. 0000 .. 0000 . 90 99999 09.90. 9009 00000 .. .. 9... 0000.. 0000.. 0000.. . 0000.. 00 9 9 990 MIAMI DADE COUNTY NOA No.:13-0502.02 e ► Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 4 of 11 f - Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course-FIat,Low,High All Eave Course 17-23 sq. inches 45-65 Profiles Flat,Low,High Profiles #1 17-23 sq.inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat,Low,High Profiles #3 Two Paddys: 8-9 sq.inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two-Piece Barrel(Cap Tile) Two Piece 2 Beads.(1 each longitudinal 17 grams per bead edge)20-25 sq. inches each bead Two Piece Barrel(Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All 3M''2-Component Foam Roof Tile Adhesive AH-160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. 9999 . . 9999 9999.. 9.9.90 •0 • 9999•• 9999.. 9999.. 9999 as • 9 ease* . •• ..64• 009000 0000 9.6.6 •• .• •00• 066••4 6 0000•• • • • • • • .4••0• •9009• • • • 0000.• so 0 MIAMI-DAD-E COUNTY NOA No.: 13-0502.02 • Expiration Date: 05/10/17 Approval Date:12/12/13 Page 5 of 11 ADHEswE PLACEMENT)DETAIT,# 1 Nail through plastic cement Paddy(Beneath (when required) FIat/Low Profile Tile Underlayment o 1. Starting at the eave course, apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock 10 i" t« of the tile being set. Battensoptional Eavecourse 2. Continue in same manner.Insure approximately 17 ° � (109.7 cm)—23 (148.4 cm2)square inch adhesive 10i ' , contact with the underside of the tile. 21n Fascia Eave Closure Nail through plastic cement Medium Profile/ Double Pan Tile (when required) Paddy(Beneath Tile) 1. Starting at the eave course, apply a minimum 2" Underlayment ¢ (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 10 in.x 2In.wide Battens optional , 2. Continue in same manner. Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive contact with the underside of the tile. 10 in. 21n. Eave Closure Eave Course Fascia Nail through plastic ce High Profile/Single Pan Tile (when required) Paddy(Beneath Tile) g g 0000 Underlayment o 1. Starting at the eave courseg apply a mirui tln 2" Goes:* (50.8 mm)x 10"(254 mm)V1"f25.41tlMf4am •• 00 000000 ^� paddy onto the underlaymC 1t•Iids�tioned as shown 10 in. under the pan portion of theetoif a losestt o ttg •••• 2 in.wide overlock of the tile being set. 000000 0000 00000 Battens 2. Continue in same manner.i>a ime approx;mately 17 000000 optional • (109.7 cm)—23 (148.4 cm2�4weiere inch adhesive •• PL contact with the underside of the tile. • ***Soo Eave Course 0 0 0 0 0 0 Fascia • • • • • ••• 000000 Weephole •• • • ••• • • 10 in. 2 in. Eave closure •• • Drip edge r , . a11P mi DAIJ courm - NOA No.: 13-0502.02 • ► Expiration Date: 05/10/17 Approval Date:12/12/13 Page 6 of 11 . ADHESIVE PLACEMENT.DETAIL#2 Nail through plastic cement Paddy(Beneath Tile) Flat/Low Profile Tile (when required) Underlayment ° 1. Starting at the eave course, apply a minimum 2"(50.8 I ° mm)x 10"(254 mm)x 1"(25.4 mm) foam paddy onto the underlayment positioned as shown under the in. .,� strengthening rib of the tile closest to the overlock of in. tin• the tile being set.Insure approximately 17(109.7 cm2) Battens optional 23 (148.4 cm2)square inch adhesive contact with the Eave Course underside of the tile. ° k ^t 2. At the second course, apply a minimum 2"(50.8mm) loin �zln Fascia x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the Eave Closure strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner.Insure approximately 10" (64.5 cm2)- 12 (77.4 cm2)square inch adhesive contact with the underside of the tile. Nail through plastic cement Medium Profile/Double Pan Tile (when required) ~� f. Paddy(Beneath Tile) 1. Starting at the eave course, apply a minimum 2"(50.8 Underlayment -, mm)x 10"(254 mm)x 1" (25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the z 7 in. tile being set.Insure approximately 17(109.7 cm2)— in '"^ a 23 (148.4 cm2)square inch adhesive contact with the Battens optional ', underside of the tile. 2. At the second course,apply a minimum 2"(50.8mm) 10 m ` � z In. x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the Eave Closure underlayment positioned as shown under*he pam • • Y • 6666•♦ Eave Course Fascia portion of the tile closest to AS pweglock of the the •• being set. • • ...... .. . ...... 699.60 6 • 3. Continue in same manner. Insi+e•approxi �elq 12" • (77.4 cm2)- 14(90.3 cm2)sq me finch adhesive ••••• contact with the underside of'tho tile. 000900 ••••• .. .. 0 969 •6969• (Instructions continued on npage :000:0 6.6•• • e • -f MIAMI•DADE COUNTY NOA No.: 13-0502.02 rt Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 7 of 11 ,i ADHESIVE PLACEMMNT DETAIL#3 t Cafre�rou p[as�t�ement Padsi Cbetweenta&4 1. On the eave course only,apply a minimum 2" (50.8 satxer<soptaoaai mm)x 10" (254 mm)x 1" (25.4 mm)foam paddy # Ipa�ay�tdta tap onto the underlayment positioned as shown,under the strengthening rib for flat tile or under the pan ca tap portion of the tile for low or high profile tile closest sx�in. 5, to the overlock of the tile being set.Leave approximately 4" (101.6 mm) up from the eave 39re ae7 � edge free of foam to prevent the expanded adhesive n o umkiL ment g alc4im � from blocking the weep holes. Insure ;M ,,-� approximately 17-23 int(109.7-148.4 cm2) of let! MR adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm)x 4" (101.6 mm)x 1" (25.4 mm)foam paddy onto the underlayment just below Flat!LowProf lie Tile the second course line positioned foam paddy Nai thtoa under the strengthening rib for flat tile, or under the " '�" �aledun�ert • pan portion of the the closest to the underlock for lwheu�cacpeir+� t� llset :uTeo the second course tile to be installed. Insure approximately 8-9 int(51.6-58.1 cm2) of adhesive Uttlens , paddy:lfuadud ap¢ianal _ contact with the underside of the tile. �cn�lepa��fip'�" • �`�'' on top ofd w,� (Instructions continued on next page) ss addyr ons x :Y mmdZaBaymesiS �� ,,,��. 7a•(. x VEIL I Ea••Q`osvre Faire 9Caurse ," ,.s�`�y,_Easda Medlum.Prof ItLITIle • • •••• •••••• •••••• •• • •••••• • s • •••••• •••• ••••• •• •• •••• •••••• • • • • • •••••• MIAMI•DADE COUNTY NOA No.:13-0502.02 Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) 3&UftWgh.pla ,Ccs ci.31 .padd crnd•�i>[ Iwhe�u �e�ir�4 3. Also apply a 2" (50.8 mm)x 4" (101.6 mm)x 3/4" dyfls +r t1k4 (19 mm)paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. an tum raay„ Install second course of tile.Insure approximately 9(58.1 cm2)- 11 (71cm2)square inch adhesive contact with the underside of the tile at the overlap and 7(45.2 cm2)-9(58.1 cm2)square inch Top we adhesive contact with the underside of the tile at frf G the head of the tile. Continue in same manner. .E Fave Course 'Fasda. cobra: Zah ,r €saw dasuee ' ] � Ddp x.. 0000 • . ••00 0000•0 0000•• •. . 0000•• • • 0000.. • 0000.• 0000 0 • • • • 0000 • .• 00000 0000•• 0000 0000• • • • • •• •• 0000 0000•• • •••••• • • 0 0 .0000. 0000•• . . 000.0• 00 0 MIAMI•DADE COUNTY NOA No.: 13-0502.02 a Expiration Date: 05/10/17 y Approval Date: 12/12/13 Page 10 of 11 ADHESIVE PLACEMENT DETAIL Two PIECE BARREL 1)Place enough adhesive to achieve 65 to 7D sq.in. Steep pitch applications Two Piece Barrel(Cap and Pan)Tile In contact with the pan tile. (when required) 2)Turn covers upside dace adhesive in to 1 In.from outside edgege of cover tile. 1. Starting at the eave course, apply a minimum 2" ofcover Then Install the tile.Ensure 20 to (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam 25 sq.in.contact area. o paddy onto the underlayment positioned as shown Underlayment '4e' under two adjacent pan tiles.Support eave tiles from rocking until adhesive has a chance to cure. t, Al 2. . Continue in same manner bringing two pan courses t. c up toward the ridge.Insure approximately 65 419.4 cm z ( )—70(451.6 cm )square inch adhesive Eavedosure Sheathing contact with the underside of the pan tile. (motar shown} Optional point-up Mortar 3. Turn covers upside down exposing the underside of Weephole on longitudinal the tile.Apply a minimum 1" 25.4 mm x 10"(254 Fascia Board edges longitudinal tile di PP y ( ) Remove top portion ofthe eave course cover tile.Abutto second course of mm)bead of adhesive directly on the inner edge of pan tiles.Ensure eave end of pan and cover tiles are flush at eave line. each side of the cover rile.Leave approximately 3/4"(19 mm)to 1"(25.4 mm)from the outside Two Piece Barrel-High Profile Tile edge of the tile,inward,free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan file course.Insure a minimum of 20 (129 cm2)-25 (161.3 cm)square inch contact area on each side of the cover tile to the pan tile.•�Qntinue in same manner.Trim away any cured e4D"�d foam adhesive.Pointing o�g iQ.idinal Pdgas of • the cover tiles are considerrdAptjonal. *as*9 •••• • 969.•6• + LOGO: 5. When additional nailing is ragitirid,2"�9Q.8'i�m) ' • x 4"(101.6 mm)nailers or the tit wire system • 99999 using galvanized, stainless V41,odr cop.. 969.per w 9669 ue and,•,.6. compatible nails maybe us88. � •0 9999.6 � • • • 9 6999.9 99 6 99.. -:999G.:. 9 9999.. END OF THIS ACCEPTANCE .. t41AMi•DADE courm NOA No.: 13-0502.02 " t Expiration Date: 05/10/17 Approval Date: 12/12/13 Page 11 of 11