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RF-15-2657 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-250007 PermitNumber: RF-10-15-2657 Scheduled Inspection Date: December 28,2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: CHARLES,ANTONI&RHONDA Work Classification: Tile Job Address:265 NW 92 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010331160 Project: <NONE> Contractor: LZ ROOFING$CONSTRUCTION CORP Phone: (786)718-7992 Building Department Comments RE ROOF COLOR THRU TILE RED ESTATE W Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-246036. Missing counterFlashing sealant Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 28,2015 For Inspections please call: (305)762-4949 Page 16 of 17 Florida International Engineering and Testing Lab LLC FolsEe 7500 NW 25 Street;#241, Miami, FL 33122 Telephone: 305 378-1991-Fax: 305 378-1997 FLORIDA INTERNATIONAL ENGINEERING p &TESTING LAB INSIGHT-INNOVATION-INTEGRATION Miami-Dade Lab Certification#07-0612.11-State of Florida ca#27273 --------------------------------------------------------------------------------------------------------------------- _SITE SPECIFIC INFORMATION Owner's Name: k" C4 . a� Job Address: _ 5 ,`I'L Roofing Contractor: Ci`1'Wsu4 Permit Number. Type of Tile: —Nva -57— v A" Approximate Roof Height: feet Slope: 1 Approximate Square Footage: BIZ®o ftz Type of Access to Roof: Ladder Other Required Tes in&Force: 35 lbs. Testing Equipment: F.G.E.1 Ox Shim o Instrument Date Installed: I71Is a �g Date of Inspection: / 'L � � =� --- ------------------------ TEST RESULTS P=PASS, F=FAIL Test Test Test Test Test PorF PorF PorF PorF PorF Location Location Location Location Location 1 171 21 41 61 81 2 22 42 62 82 3 23 43 63 83 4 24 44 64 84 5 25 45 65 85 6 26 46 66 86 7 27 47 67 87 8 28 48 68 88 9 29 49 69 . 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 93 14 34 54 74 94 15 35 55 75 95 16 36 56 76 96 17 37 57 77 97 18 38 58 78 98 19 39 59 79 99 20 40 60 80 1 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. ADDITIONAL TEST INFORMATION Perimeter Width: ft RESPECTFULLY SUBMITTED BY: Area Units or ftZ No.of Tests Perimeter 10V Field 10 O P Corners Hips&Ridges I D Vinayagar M.Balalcrishnan V 1��.� 1 State of Florida Lie#63107 FLORIDA INTERNATIONAL ENGINEERING WESTING LAB,LLC Job Address: Contractor: Sketch of Roof NTS All en 0 Al INA 1 Notes '7 ° C4k',&Aolmy f� � a SEs° Mia ' 4 mi Shores Village KENN n" Building Department 10050 N.E.2nd Avenue a�,Ne Miami Shores, Florida 33138 OR1DA Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# DATE: 9® INSPECTION AFFIDAVIT licensed as a (n) Contractor/Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector Y License#:—C-CC/ 3"0 On or about , I did personally inspect the roof deck nailing (Date&time) work at 'L r,S Al L"j 6I I $-I- (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 FS) Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property .. ... . . . . . .. mentioned. • - . .. . . . . ... . 000 ... .. . . . .. Swom to and subscribed before me this day of . ... • ••• • ••• Notary Public, SM of fbridaatL �'"' '" ;•NATHAUE RUIZ ••: sere ss •i• i i i i �b3� flmtd•N S•nd¢a.con+ *General,Building,Residentiaior R; f%jonjacibrs ojany tgtliol certifted under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with permit#and address#dea4%11owH marked on the dect tr each inspection ,�3 M. �M�` 1 u 3i Miami Shores Village 10050 N.E.2nd Avenue NW '3 Miami Shores,FL 33138-0000 .... � Phone: (305)79-5-2204 , F l, * � °O40RI4A' T t '� x�t ig �1{t�12EI15 Expiration: 04117/2016 w Project Address Parcel Number Applicant 265 NW 92 Street 1131010331160 Miami Shores, FL 33150- Block: Lot: ANTONI&RHONDA CHARLES Owner Information Address Phone Cell ANTONI&RHONDA CHARLES 265 NW 92 Street (786)426-2745 MIAMI SHORES FL 33150-2230 Contractor(s) Phone Cell Phone LZ ROOFING&CONSTRUCTION COR (786)718-7992 Valuation: $ 14,500.00 _. _ Total Sq Feet: 2170 Type of Work:Re Roof Available Inspections: Additional Info:RE ROOF COLOR THRU TILE RED ESTATE Inspection Type: Classification:Residential Scanning:4 Up Lift Report 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 CCF $s.00 Invoice# RF-10-15-57475 DBPR Fee $4.50 10/20/2015 Check#:332 $845.00 $0.00 DCA Fee $4.50 Bond*2885 Education Surcharge $3.00 Permit Fee-New Roof $300.00 Scanning Fee $12.00 Technology Fee $12.00 Total: $845.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na d con ractor to do the work stated. October 20, 2015 Authorized Signature:Owner / Applicant / Co Tactor / Agent Date Building Department Copy October 20,2015 1 Miami Shores Village FBY:. 1 VED Building Department OCT0 2015 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20li/ BUILDING Master Permit No.jtzz�-- z6, PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (�G7�CONTRACTOR DRAWINGS JOB ADDRESS: l0 e� Y✓ ° 7 )1--) c� 6( 6 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: / Flood Zone: BFE: FFE: j OWNER:Name(Fee Simple Titleholder): �11®n a F l-� a j4 e S Phone#: Address: P_& 5 —.)-J ° w 9 a)h,:: -s G City:A,L I !d 4L1.L State: ` Zip: 3 3 IS Tenant/Lessee Name: Phone#: % Email: �l11d)-yL U-)aj-1 3 e'"A� C �it�� C'61vt--1 CONTRACTOR:Company Name: J r � �7i�S A ,i� � Phone#: Address: �,��6� � � f° / xyd- />'�t�°!� .lZ/�i-P l�G'��%�C,ow City: �,� State: Zip:: --� � �� i, , Qualifier Name:�(�� Phon State Certification or Registration#: G6C Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#:` Address: City: State: Zip: Value of Work for this Permit:$ C/ S a D Square/Linear Footage of Work: A / -D .� Type of Work: ❑ Addition ❑ Alteration ❑ New [ Repair/Replace ❑ Demolition Description of Work: A .6 Specify color of color-thru tilers Submittal Fee$ Permit Fee$ 54 M 00 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ ural Reviews$ Bond$ LI�;0z), TOTAL FEE NOW DUE$ q5 " 92/24/2014) "'l Bonding Company's Name(if applicable) C ,` 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 it VV 4��4 — —V -_ OWNE or AGENT CONTRACTOR The fore iR (4 #J,umer*XgMLV%ftLp b ore me this The foregoing instrument was acknowledged before me this IiAY COAMNISSION FF9108 / by day of ( � 20 1 by 18,2 %1Gr gofLs�fr0153 Ily known ✓+ R N r 1�+, o is personally know o me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: / Sign: Print: ��, �-Ul ti �r ,� v Print: �"UfZ Seal: Seal: EXP tt $iMuez48,2019 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) It � 0 y •�• U111M Miami shores Village Lnrim Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: �=-- �/ '!�'9 �iy—S %ctiC', �s� C ,:�),Oe'e BUSINESS ADDRESS: l io 11� �`' 1/b CITY / Al` STATE ZIP � BUSINESS PHONE: ' �� FAX NUMBER( CELL PHONE ( } QUALIFIER'S NAME:.C� � Z!' 2 QUALIFIER'S LIC NUMBER: STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850} 487-1395 IM NORTH M ONROE STREET TALLAHASSEE FL 32399-0783 ZAVALA, LUIS A L Z ROOFING&CONSTRUCTION CORP 1968 NW 24TH AVE MIAMI FL 33125 i Con retutsdtonsl With this license you become one of the nearly one million Florkbm licensed by the Department of Business and Professional Ramon. Our professionals and busktesses range STATE OF FLORIDA from ard*ects to yacM brokers,f m boxers to bwbet#o restaurants, DEPAIZMEW-OF BUSINESS AND and they keep Fiorlda's economy strong. PROFESSO*t 1twULATiON Every day we work to improve the way we do business In order to CCC1328407 .;' 06122/2014 serve you better. For fnformatlon about our services,please lag onto www.n>yBoHdattc® can. There you cm find more information CERnFIED ftopp about our divisions and the that Impact you,subscribe ZAVAtA,LUlSat1 to do ent n rs learm more about the Department's L Z ROOFING CORP r , GIr mission at the Depaftat is,License Efliclently,Regi7late Fairly. d We constaift strive to stere better so#W you can serve your customers. Thank you for dol business kr Florida, IS CERTIFIED under the provisions of Ch.489 F8. and congratulations on your new kensel EjVmWPdWe:AUG31.1at6 L14062MMM4 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CON3TRUCTiC1P,!!DUSTFtY LICENSING BOARD CLC 32ORVl The ROOFING CONTRACTOR ' Neam�.d bWM 18 CER'11FIEi UfsWf ►I S t 40 FS. Explrvitiorl dale. AUG 31,2016 ZAMALA.LUIS.A � r L Z ROOFING& �r �CC►R P �: 1958Ntf 24` �1 FL�� ,�n. r, �, _ �• .v: 9y ISMIF11• rIFmM98 rVAPI®V AR RFni uPj: 1 RV i Aw cr-nA I aena'JIMMO A Local,Business Tax Recelpt iiam -Dar#s County.State of Florida -THI81S NOT A,OI L-00 MOT DAY 1 �LBTI 1 +11�1Y16eLCM 4T# N "BCBIPTNo. EXPIRES - L RUING I � SEPTEMBER 30 204 00 " "fll tit'4 QRp Svf cm Must be d1"WVW acp aae of b"We" I 1 4. pumumt to commy C64e MIA W.FL 33125 q►epthr 8A-AxL s&tti OWMER SEC.TYPE OP BUSINESS PAYt1AENY'RECEIVED L Z ROOFING 6 CONSTRUCTION 198 SPECIALTY BUILDING BY TAX COLLECTOR COMP CONTRACTOR 48.00 W131201 ifl(s t( ) l CCO1329407 0229-15-007718 8-15-007718 Ibis Lad IfusbM Tax Rapt 0*couft to pa=4190 Local89duMTMTire Receipt B rMa Boom, Ott ora �tlte tiffs tot�beate�.Raldaraeaatca�pty ruiRt saq . or=Dwxwwmw mod"-um mw to Ste bttt The WCOPT N0.ab"s oast be apbWAM sill vetriolet- Cob Sae Ba m �abtrei�atoe.r�c Oct 161508:58a Delta Insurance Und. Inc. 3052691108 P.1 A�RVQ DATE(MWDMYYYY) CERTIFICATE 4F LIABILITY INSURANCE r— 10116!2015 THIS CERTIFICATE 13 ISSUED ASA MATTER OF INFORMATION ONLYAND 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 certiflcate holder is an ADDITIONAL INSURED,the pollcy{les)must be endorsed.If SUBROGATION IS WANED,subject to the temis and conditions of the pollcy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER LUIS DE LALLERA DELTA INSURANCE UNDERWRITERS,INC. NAM No.Ext: 305-264-1107 a :305-269-1108 MIAMI,FLORIDARI 33126 R 777 N.W. AVENUE,SUE 3133 A p6s: DELTAINSUND(MAOL.COM INSURER(S)AFFORDING COVERAGE NAIC# INURED INSURER A: ARCH SPECIALTY INSURANCE COMPANY 21199 L 2 ROOFING&CONSTRUCTION,CORP. INSURERS. INSURER C: 1958 NW 24th AVENUE INSURER D. MIAMI,FL 33125 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER REViSFON NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE iNSURANCEAFFORDED BY THE POLICIES DESCR93ED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE IN.SR W1 POLICY NUMBERpw I41IdVD M DDIYYYY L111ST5 GENERAL LIABHSrY f,XIliMQRCiAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. 16 ocramerroa S 100,000. cuvtNs-enaCE ®OCCUR MED EXP(Any ane person) S 10,000. A AGLOO17316-01 0912612015 09/26/2016 PERSONAL BADVINJURY S 11000,000. GENERAL AGGREGATE $ 2,000,000. NLAGGREGATE LagrAPPLIES PER: POLICY F1 ECT LOC PRODUCTS-COMPJOPAGG S 1,000,000. AUTOMOBILE LlMurY Deductible par Claimant $ 2,500. CLIMIT A.YAN.O (Ea aaldeA $ AUTOS WNED �ODULW BODILY INJURY(Pra orpaon) $ HIREDAUTOS NDN-OWNED BODILY INJURYperacdtlenl) $ AUTOS ParaCdde OAMAGE $ ulrlsl�w►LIABH0CLcA clmACH OCCURRBVCEI7(CESSLIAR 1MS-MADE AGGREGATE $ DED RETENTION 3 WORKERS CO NAND $ EMPLOYERS'cr�r+Ll7Y Y I N ANY P40PRIETORIPARTNERJEXECUTJYE T IRYLiMI FJz OFFICERMN13EREXCLUDED? � NAA EJ_EAMiACCIDENT $ (mandatory In NN) EL f113EASE•EAI9aPLOY� $ 9MF'dPTION MOF O'PERPWIONS td. EL LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLESAttach ACORD 1 1 ( d,Additional Remarks Schedule,N nmre spec®is requlredj ROOFING CONTRACTOR LICENSE NUMBER:CCC1329407. CERTIFICATE HOLDER CANCELLATION 'SHOULD ANY OF VILLAGE OF MIAMI SHORES 1 BUILDING DEPT. THE EXPIRATION DA�EERREVE DOF,ROn@ WILLBE�DEELIBE CVEERRED INFO BEFORE I OD50 NE 2nd AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 PH 306 795 2204 FAX 305 7568972 AUTHORED REPREWNTATrjE LUIS DE LA LLERA ACORD 26(201OMS) Tho ACORD name and 1 m i 886-2010 ACORD CORPORATION.An rights reserved. ogo are registered marks of ACORD irr ATmT" STATE OF FLORIDA DEPAwrow OF FINANCIAL CES DIVISION OF WORICERV COMpEl ATION •CERTIFICATE OF TO 8E FROM TION LAW•• CTWH CW WDU�}�1{eg_!{ ded Lry P'P-__p. `q��Lip mmpt,'�. ,`{�Fry_�}�,,�ay-�. /��J{��{{�� ION( This M_W t N wm.RN// ual I belo Mihas deded�■Wy[{/be DATE:' T lorkis/ Wk" _ ION EFF RITE! 312014 EX IRATH DATE:' 311`112D18 PERSON: ZAVALA LUIS A "fi 2VOW321 SUSORM NAME A1__ SS! LZ ROOFING&CONSTRUCTION CORP IM NVV 24 AVE MIAMI FL 33125 SCOPES`dpi BUSINESS OR TRADE- ROOFING ROO I G-ALL•Mi DS AND DRIVER PUswd b t 440 14}.M.an~of 8 GNP WW E a=a"o by aE of a order tide s Way SMS notreoernxbaaa or a lbb< TlYN.��I�.�1 aea Qty , only VOM Me COV64d"a' of She bis Or bmode�d a►60 ROM Of "be PUMOMto SIS),F.L. atm to be aub e lobe eaav�a�be to rava +A M QJW*"SOW ON Of the orft ►of ,ft paamn mfori ani�tMkoe or ba aa�e qse dus s for are .The d � a at any a of Na pom d an bre owmeft to mod the requbmmft of#ft*ggftL OF$pj-iIVy, CERTIFICATE OF RECTION TQ F3E EmWT REVISED 0712 t W -i i Ap 4 D,& Az y �s z7AVAIA 71 y b E - a� �vC4Gal— ,,�'_ r ATHALIE RUR t WC ISSION 9 FF91am , EXPIRES August 18.?a18 3o+S3 ~~' ♦ ham_ nn ua.M Miami s `=rM PP Building Department R10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305) 756.8972 Notice to Owner- workers' • s Com ensat�on Insurance Exemption ZW �. 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 A4 State of Florida County of Miami-Dade The foregoing was acknowledge before me this—14,_day o f ± 20 )$ who' personally kno to me or has produced as identificatio '""'"""_• NATHALIE RUIZ Notary: ig�uipN i�FF91 SEAL: .,.* 1 19 (467i 39811,13 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) D 0401015 ?i� h- Vel it Hurricane Zone Uniform Permit ApplicatioC U 1 Section A(General Information) 1 Master Permit No. 1 Process No. 1 Contractor's Name_,,,,,!!! 1 Job Address_ 4�1 �� 1 ROOF CATEGORY 1 ❑ Low Slope ❑ Mechanically Fastened Tile1 Mortar/Adhesive Set Tiles ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 1 1 ROOF TYPE 1 ❑ New roof ❑ Repair ❑ Maintenance Reroofing1 ❑ Recovering ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF)g jjV Total(SF) jr 1 1 Section B(Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. . i n i1 W 1 1 i � 1 i . • 1 1 1 . 1 1 • 1 ' i ' 1 i 1 FLVRIDA BUI=Nd COW—BUIL131NG,5th EDITION(2014) Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED),accessed b E"-I 15.37 Y P A alacio on Jun 8 2015 10: greemerti.No further reproductions authorized. 32.12 AM pursuant to Incense ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) � High-Velocity Hurricane Zone Uniform Permit Application Form 1 1 Section D(Steep Sloped Roof System) 1 � 1 Roof System Manufacturer: t47n Y � 1 Notice of Acceptance Number. / t I a C? Z 1 Minimum Design Wind Pressures, If Applicable(From RAS 127 or Calculations): 1 P1: 4 P1: P1: - 1 1 1 Deck Type: '51S �a\ 1 1 Type Underlayment: 3� Af-fiM 1 Roof Slope: 1 12 Insulation: /✓��+ 1 i Fre Barrier: 7vJ� 1 1 Ridge Ventilation? Fastener Type&Spacing: + , 1 N I I 1�lS *,% .6 ti o 1 1 Adhesive Type: ,4,4 1 Type Cap Sheet: �'o� S��C �< 1 1 1 Mean Roof Height: I�_ Roof Covering: a "s!) rl f1f 1 1 Type &Size Drip Edge: 1 i ( . .. . . . . ... . 09 0:0 . . .. . . . . . . . . . . . •• . . . • . . .. ... . . . . ... . . . . . . V: . . . . . .. .. . . . .. .. FLORIDA BUILDIIOG C 9112=BUILDING,5th EDITION(2014) 15.39 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Elie=Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) 1 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 1 1 Section E (Tile Calculations) 1 For Moment based tile 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 Mr values,for each area of the roof,then the tile attachment method is acceptable. 1 1 Method 1 "Moment Based Tile Calculations Per RAS 127" 1 (P1:�1�) x X0.299 M 1 - 9 �=M„ L•�`� Product Approval Mt ( < . 1 (P2:2L.6xX '°_ )-Mg: "=Mr2 p s,�I Product Approval Mt s' 1 (P3:fL/xA 331 s�_M9: "=Mrs ifs 1 Product Approval 1 1 Method 2"Simplified Tile Calculations Per Table Below" Required Moment of Resistance(Mr)From Table Below Product Approval M, 1 1 Mr required Moment Resistance* Mean Roof Height 1 Roof Slope 15' 20' 25' 30' 40' 1 2:12 34.4 36.5 38.2 39.7 42.2 1 3:12 32.2 34.4 36.0 37.4 39.8 1 4:12 30.4 32.2 33.8 35.1 37.3 1 5:12 28.4 30.1 31.6 32.8 1 34.9 6:12 26.4 28.0 29.4 30.5 32.4 1 7:12 24.4 25.9 27.1 28.2 30.0 1 'Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and 1 Appeals. 1 For Uplift based tile systems use Method 3. Compared the values for F'with the values for Fr. If the F'values are greater than or 1 equal to the Fr values,for each area of the roof,then the tile attachment method is acceptable. 1 1 Method 3"Uplift Based Tile Calculations Per RAS 127" (P1: x L = x w:__�-W; x cos® =F,, Product Approval F' 1 (P2: x L = x w:_ }-W: x cos® =F2 Product Approval F' 1 (P3: x L = x w:=_)-W: x cos 8 =F Product Approval F' 1 1 Where to Obtain Information 1 Description Symbol Where to find 1 Design Pressure RAS 127 Table 1 orb an engineering analysis re- 1 9 P1 or P2 or P3 pared by PE based on ASCE 7 g y p 1 Mean Roof Height H Job Site 1 Roof Slope 0 Job Site 1 Aerodynamic Multiplier Product Approval 1 Restorin Moment due to Gr%vitY Mg Product Approval 1 AttachMentRefisft:e; ; ; ; ; M, Product Approval 1 Required4ViommntiResistaRce • • .. . . . .. Ma Calculated 1 Minimum Attachment Resistance F' Product Approval 1 Required plift Res�istarjce • • F, Calculated 1 AveZade Tib Weight: .' . . W Product Approval 1 Tile Dimenfens 0 0• ••• • • • L =length W=width Product Approval 1 All calculations must be submitted to the building official at the time of permit application. • • • • • • • • • • • •• •• • • • •• •• 15'40 ••• • • • 000 • • FLORIDA BUILDING CODE-BUILDING,5th EDITION 2014 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezar Palacio on]un 8.2015 1032:12 AM pursuant to License Agreement No farther reproductions authorized. e �ORIDA SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 2. k. , 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). 4. Exposed Ceiling: 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 penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. s• _Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension 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 ofSections R4402, and R4413. 0 er/Agent's Sign ure Date Ji Contractor • nature Date Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; .. ... . . . . . .. . .. . . . . ... . . ... . .. .. . . . .. . ... . ... . ... ... . . . . . . . . . .. see . . . . .. ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . MIAMI ■M11 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT(BNC) 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.gov/building/ 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 BNC-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. BNC reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPEGTIGN:Ai oX of this aWire NOA shall be provided to the user by the manufacturer or its distributors and shaAlbe 9vhilefot ii4jeAjon at the job site at the request of the Building Official. • . • . • • . . This renews and revises NOA# 09-0806.07 and consists of pages I through 8. The submitted documentation was reviewed by Alex Tigera. • •• • • • • • • •• ••• • • ••• NOA No.: 11-0601.10 MOM BC=Mr ; Expiration Date: 09/13/16 ••� ;• •; Approval Date: 09/15/11 Page 1 of 8 i ROOFING COMPONENT APPROVAL Category: Roofing Sub-Catmory: 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 313 3/8" waterproofing membrane,glass fiber reinforced Manufacturing Location 60 mils thick with polyolefinic film on the upper surface for #2 use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Polystick IR-Xe Roll: TAS 103 and A fine granular/sand top surface self-adhering,' underlayment 65' x 3'3 3/$" ASTM D 1970 APP polymer modified,fiberglass reinforced, Manufacturing Location Or 65' x 3' bituminous sheet material for use as an #1 & #2 80 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 3'3-'/8" ASTM D 1970 polymer modified, fiberglass or polyester Manufacturing Location 100 mils thick reinforced, bituminous sheet material for use as #1 & #2 an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. Polystick TU Plus Roll: TAS 103 and A non-wicking fabric surfaced, self-adhering, underlayment 65' x 3'3 3/S" ASTM D 1970 APP polymer modified, fiberglass reinforced (Facer of Membrane 80 mils thick with a high strength polyester fabric,bituminous with surface printing) sheet material for use an an underlayment in Manufacturing Location sloped roof assemblies. Designed as a metal #1 & #2 roofing and roof tile underlayment. Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing membrane, underlayment 32'l 0"x 3'3 31g" ASTM D 1970 . glass-fiber/polyester reinforced,with a granular Manufacturing Location 130 mils thick surface designed for use as a tile roof #2 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self-adhering, glass- ManufactZh'ln odation•• 61� :3:3 3/g" ASTM D 1970 fiber/polyester reinforced waterproofing • •• * ;nnls thick membrane. Designed as a metal roofing and roof •.• .•: •.: •.• . : ..• the underlayment. . ... . ... . ... .. . . . . . .. . . . . . . ... . . . . . . .. ••• • • • *06 . . NOA No.: 11-0601.10 • MMIExpiration Date: 09/13/16 � CdUI' TY i • i • • •; Approval Date: 09/15/11 Page 2 of 8 PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick Dual Pro Roll: ASTM D 1970 A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x 3'3 3/s" fiber/polyester reinforced waterproofing #2 60 mils thick membrane, specific for use as a high temperature underlayment. Designed as a metal roofing. MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED: Test Aaencv Test Identifier Test Name/Report Date Exterior Research& Design, LLC 11756.04.01-1 TAS 103 04/27/01 11756.08.01-1 ASTM D 1970 08/14/01 02202.08.05 TAS 103 08/29/05 Trinity I ERD P5110.08.07 TAS 103 08/29/07 P10870.09.08-111 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798 & G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P36900.09.11 TAS 103/ASTM D4798 &G 155 09/01/11 PRI Asphalt Technologies PRIOI 1 I 1 ASTM D 4977 04/08/02 PUSA-005-02-01 ASTM D 4977 01/31/02 PUSA-018-02-01 ASTM D 2523 07/14/03 PUSA-035-02-01 TAS 103 09/29/06 PUSA-033-02-01 ASTM D 1970 01/12/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-083-02-01 TAS 103 06/30/08 PUSA-089-02-01 TAS 103/ASTM D4798 & G 155 07/06/09 Momentum Technologies, Inc. JX201-17A TAS 103/ASTM D4798 &G155 04/01/08 RX 14E8A TAS 103/ASTM D4798& G 155 11/09/09 DX2313813 TAS 103/ASTM D4798&G155 02/18/10 DX23138A TAS 103/ASTM D4798 &G 15 5 02/18/10 .. ... . . . . • .. . .• .. ..• ..• .. • . . . . . . .. . . ... . . . • .•. . . . ... . ••• . ••• •.. . • • • . . •. •. .. . .• • Goo ego 000 :0 ••• • • • • ••• • • NOA No.: 11-0601.10 M"14M1 UlITY i • i Expiration Date: 09/13/16 • � •; Approval Date: 09/15/11 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non-insulated Base Sheet: One or more plies of ASTM D 226 Type I1 or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6"o.c. at a minimum 4"head lap. (for base sheet only) Membrane: Polystick membranes self-adhered. Surfacing: 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-'/Z"and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with PoIystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special attention to lap areas. 7. Flash vent pipes, stacks,chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. .. ... . . . . . .. •• . .. . . . . ... . ... . . .. .. . . . .. . ... . ... . ... .. . . . . . . . . . . .. 06 . . . . :0 or • •" ' NOA No.: 11-0601.10 MAMi-nAueeouNllr :.'.: Expiration Date: 09/13/16 •••e l . . ... . Approval Date: 09/15/11 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, and Tile Pro may be used in asphaltic shingles,wood shakes and shingles, non- structural metal roofing, roof tile systems and quarry slate roof assemblies. IR-Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. Dual Pro may be used in all the previous assemblies listed except roof tile systems. 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. Expos re Limitations (days) MTS IR-Xe TU TU Plus TU P I Tile Pro T Dual Pro Winter Haven,FL. 180 180 180 180 180 180 180 Hazelton,PA. N/A 30 30 180 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 913-72 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 and TU Plus may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR-Xe,and Tile 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 Plus,TU P,Tile Pro Flat Tile Prohibited without battens 5:12 No limitation Profiled Tile Prohibited without battens Prohibited No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. .. ... . . . . . .. . .. . . . . ... . • ••• • ••• • ••• •• • • • • • • • • • • •• • • • • • • •• •;• ; ; ; ';• ; : NOA No.: 11-0601.10 Expiration Date: 09/13/16 Mu►M4DEwe cauNTY • • • ••• • • • • Approval Date: 09/15/11 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. Roofing Tiles (6 Max Per Stack) Q z akE 12 N P I , Root Deck prepared with POLWICKTU Plus 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, 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, 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, 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: 1.This Notice of Acceptance. 2.Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • ••• • ••• • ••• •• • • • Y • • • • • • •• • • • • • • •• ••• • • • • • ':• • • • • • NOA No.: 11-0601.10 • : :•: : : • : Expiration Date: 09/13/16 MIAMI•DADE COUNTY •• •• • • • •• •• • • • • ••• • • Approval Date: 09/15/11 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, 1 I 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, Mule-Hide 241 Premium Modified Flashing Cement, Mule-Hide 251 Premium Wet/Dry Elastomeric Flashing Cement,or Mule-Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic,applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations#9 and#10. 6. Battens and/or Counter-battens, as required by the tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7712"or greater. It is suggested that on pitch/slopes in excess of 6 '/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. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule-Hide 241 Premium Modified Flashing Cement, Mule-Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule-Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences.An appsovQd gubctrate technical bulletin can be furnished upon request. It is recommended to-*F�fer�aap�):c�•ble bgi�d** codes prior to installation to verify acceptable substrates. 12. The Polyglass Mi�rmi-9de Atidb of AcM tance(NOA)approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. • ••• ••• 000 ••• .. . . ... . . .. . . . . . . . .. . . . . . . .. . ... . . . . ... . 0 NOA No.: 11-0601.10 ' a 0 •:• Expiration Date: 09/13/16 MIArhI•�e cou .. .. .. Approval Date: 09/15/11 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 (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. . ... . ... . ... .. . .. . . . . . . . . . . . see . . .. ••• ; ; ; ; •;• ; NOA No.: 11-0601.10 • MIAMI•DADE CO •.. Expiration Date: 09/13/16 ' ON • • • • • • • ' •• , .' '.' .;. :' ': Approval Date: 09/15/11 Page 8 of 8 MIAMMAM ® I PRODUCT SECTION DEPARTMENT OF PERNIITTING,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.gov/oera 3M Company 3M Center Building 0220-05-E-06 St.Paul,MN.55144-1000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County PERA-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid 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: 3Mrm 2-Component Foam Roof Tile Adhesive AH-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspec4ioYA 14job•pita a;tlW request of the Building Oficial. . .: . . . . ... . This renews and revises WA44-644.10-Taxd6musts of pages I through 7. The submitted documentation was reviewed by Alex Tigera. • ••• • ••• • ••• NOA No.: 12-0228.18 MIAMFDAD;eouNTY :• R : • • Expiration Date:05/10/17 Approval Date: 05/10/12 • Page 1 of 7 . •. .. . . . .. .. ... . . . ... . . ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2-Component Foam Roof Tile Adhesive AH-160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code,does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low,and high profile roof tiles system using 2-Component Foam Roof Tile Adhesive AH-160. Where the attachment calculations are done as a moment based system for single patty placement,and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2-Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF 1000 N/A Dispensing Equipment ProPack®30& 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: 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: Property Test Results Density ASTM D 1622 1.6 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft2 Moisture Vapor TransmissjQn••• .A$TA&E 96 3.1 Perm/Inch Dimensional Stability : ASTN% D 2126 +0.07%Volume Change @-40°F.,2 weeks . .. . . . . ... . • +6.0%Volume Change @158°F., 100% Humidity, 2 .. ... .. . . . .. weeks Closed Cell Content • ••• •••ASTM D;,856 86% .. . . . . . . . . . . .. . . . . . . .. NOA No.: 12-0228.18 QMILAA •DADECOUNTY •.. Expiration Date:05/10/17 Approval Date: 05/10/12 �••�� •••� Page 2of7 ••• 0 0 0 ••• 0 0 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. EVIDENCE SUBMITTED: Test Agencv Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-1 PA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 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 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat, low, &high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their the assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. • ••G • • . ••• • •• 'wee ¢ Ms ••• i i ••• NOA No.: 12-0228.18 CMIAMMADECOUNTY Expiration Date: 05/10/17 . • Approval Date: 05/10/12 . • . • • • • Page 3 of 7 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 (B). The dispense timer shall beset 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-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 2 to 3 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. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Two Paddy Weight per Min.(grams) paddy Min.(grams) Flat, Low, High Profiles #1 35 N/A High Profile(2 Piece Barrel) #1 17/side on cap and 34/ an N/A Flat, Low, High Profiles #2 24 N/A Flat, Low,High Profiles #3 8 •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • ••• • ••• • ••• •• • • • • • • • • • • •• • • • • • • •• NOA No.: 12-0228.18 Mu �•na�e eouNr�r •• Expiration Date: 05/10/17 Approval Date: 05/10/12 o • • • Page 4 of 7 •.• 0 . . ... 0 0 LABELING: All 3MTM 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. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nail through plastic cement Paddy(Beneath Tile) Nail through plastic cement Paddy(Beneath fie) Undarlayment Undarlayment e 1 1 10 In. �n o 10 in. �•2nl o Eare Course Fascia Eave Course Fascia Weephole Eave course only. Eave course only. Eave closure Keep adhesive approx. Keep adhesive approx. Drip edge Eave Closure 4 In.up from weepholes 4 he up from weepholes Nail through plastic cement Paddy(Berodh Tile) 1)Place enough adhesWe to achieve 17 to 23 optional2x4's for Underlaymerd square Inches in contact with the pan file steel)Pbh applications Nail through plastic cement 2)Tum covers upside down.Place adhesive 112 In. To 1 hd From outside edge of cover tile. Then hula the tile. ° Undeftmerd X101n. o 2 in. j ° Earecoures Eave Closure Eave course only. Remov Kcep adhesive apprax.4 in.up Fast top Sheathing Prem weepholes Bourse cover its. Ahuttoseeondcourse of Optional •• ••• • • • • • •• pan tiles.Ensure save end of • • • • • • • • • p and cover tiles are Pohd-up Mortar • • •• • • • • • flush at save Rm on longUudfnai Eave•• •i i e R i•i •• _ edges oftile •• ••• •• • • • •• (=FWshown) Wesphole Fascia Bo • ••• • ••• • ••• •• • • • • • • • • • • •• • • • • • • •• NOA No.: 12-0228.18 MIAMI•DADE COUNTY Expiration Date: 05/10/17 • • • • • . . Approval Date: 05/10/12 • • • • • • • Page 5 of 7 ••• • • • .•• . . ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall through plastic cement paddy(Beneath Tile) Nail through plastic cement Paddy(Beneath Tile) Underlayrtre►d °,� (` UnderlaymeM 1 ° Q 71n.�2 In. ° 7 in. Eave Course ° Fascia Fascia Weephole Eave Course Eave closure EamClosure Drip edge Nall through plastic cement Paddy(Beneath Tile) Underlaymerd 7 inn ° Eave Closure Eave Course Fascia ••• •••S 9.4 ♦'♦ i• i -6 •• •'• ••'i i•% % % �'S ••'• •• r, •• ••••♦ •ii '••i ♦•♦ i�'•♦ ••' •0• •a• ••♦•• •••* •• •• •}• ••• • • 10 • • • • •• y • •`•� • •• • •% •0 • • ♦ • ••• • • i •' i ••i •ii i% i % �••i ••1'0 •ii :• NOA No.: 12-0228.18 MIAMI-DADE COM Expiration Date: 05/10/17 • e 4 ;:; {;• 4C ; Approval Date: 05/10/12 • '' • I `• '%' '' • ti Pa e 6 of 7 • •♦ •♦ ♦ ♦ • •• •? A • • g ••• ••i• i' ♦i ♦••♦ •••• to 0 s ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy Nail through plastic cement Single paddy under file (between tile) Undedaymerd Single paddy between file ° Paddy 2 in.x 7 in.medium (under tile) ° sour paddy save course only 01!4- Single paddy In. under fileIn.x 3 In. n. I< 41n. 21n. Single paddy on 2 In. 41n. Single undrr• paddy on i layment �y under- laymen Single paddy �ve course on top of file Fascia Weephole Single paddy 2 in.X 7 in.medium ` Eave Course Eave closure on top of lite size paddy eave �•/ Drip Fascia course only p edge Nall through plastic cement Single paddy under the Single paddy between the ° OP-1-a-31 in.x 3 in. 4 in. ° Single paddy on underlayment 2 n. ° Single paddy, Eave Closure on top of file Z in.z 7 in.medium Eave Course she paddy save course only Fascia FAD OF•THIS ACCEPTANCE •• i.•♦ .ii ••i ♦•♦ i•� ••• :•: •4• •.♦•� •i* •.♦•• •�• ••• .• • • .: • • ♦ • .0• • • i •� i ••iii •i i�i • 1� • �i •• •.. • • . • • NOA No.: 12-0228.18 CMADE COUNTY Expiration Date: 05/10/17 • • a .. 4 ; 4 .•;.• 4.. 4 . Approval Date:05/10/12 % :•% 0 40 :0 • % a Page 7 of 7 •i• i� •%•♦♦g ♦i is �S.• •i ••• • • • ••• • • t � , MIAM1rDADE MIAMI-DAD$COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT(BNC) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMIMSTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 _NOTICE OF ACCEPTANCE (NOA) v►ww.minmidade.aov/buildin�/ Entegra Roof Tile,Inc. 1289 NE 9f°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 and accepted by Miami-Dade County BNC-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. BNC 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:Estate"S"Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade Courty,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. INSPECTIONS A coy+th``ntire NQ&shall be provided to the user by the manufacturer or its distributors and shall be avalla1JJ;f:r i�sp�c At$q'p�c )site at the request of the Building Official. • • . .•♦ - ♦ ♦ ♦ ..% . This renews NUA#0-@ 8.V-an*a1c♦,ot♦isi6o?pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. ♦♦ • ♦ ♦ ♦ Ne ' ♦ NOA No.11-0510.02 Expiration Date: 08/23/16 WMIAMI' s Approval Date:06/30/11 •� is• Page 1 of 6 . . i ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This approves a roofing system using Entegra Estate"S" Concrete Roof Tile,as manufactured by Entegra Roof Tile,Inc. in Okeechobee,FL.as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the design pressure values obtain 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 Entegra Estate`S' I= 16-1/2" TAS 112 Low profile,interlocking,extruded concrete Roof Tile w= 13" roof tile equipped with two nail hole and 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 w=varies at hips,rakes,ridges and valley varying thickness terminations. Manufactured for each tile profile. 2.1 MANumcTURING LOCATION 2.1.1. Okeechobee,FL. 2.2 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Redland Technologies 7161-03 PA 102 Dec. 1991 7161-03 PA 102(A) Dec. 1991 7161-03 PA 108 Dec. 1991 P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails ••• ••o 0 a • � r0Q 1-01 PA 108 July 1994 % ��1e�tki�tag"l, 1994 PA 108 Aug. 1994 • .. Professional Urvibb% ••• •• '224-4'7099 PA 112 Sept. 1994 Industries,Inc. . ... . ... . ... The Center dr A'�pli�ad': �:� Z)�06W• PA 101 March, 1994 so .IDS: 09 "� '•' ' ' ' Aa " NOA No.11-0510.02 ••• • • • • • APR_OOYVCI�C" Expiration Date: 08!23!16 Mwhn"RADE Cp rtr Approval Date:06!30!11 .• i :� ::' Page 2 of 6 •i• i% N♦♦.- %.-% ii •`0••i Test Agency Test Identifier Test Name/ReDort Date Engineering,Inc. 94-084 PA 101 May 1994 25-7094-1 PA 102 Oct. 1994 25-7094-7 PA 102 Oct. 1994 25-7094-4 PA 102 Oct. 1994 Project No.307025 PA 100 Oct. 1.994 Test#MDC-76 25-7183-1 PA 102 Feb. 1995 25-7183-2 PA 102 Feb. 1995 25-7214-2 PA 102 March, 1995 25-7214-6 PA 102 March, 1995 Celotex Corporation 528454-2-1 PA 101 Sep. 1998 Testing Services 520109-2 Dec. 1998 Walker Engineering,Inc. Calculations Aerodynamic Multiplier March 1999 IBA Consultants,lnc. 2381-264 TAS 112 01/08/08 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'.Such testing shall be submitted to the Building and Neighborhood Compliance Department—Product Control Section 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. ••• 0% Mi •% d i ♦••• as ••• *a S %% • y •• • •• • •i IN N pt • ti •• ••• •�• ••4•• •i 8 ••w•• V ••• • • d • • • • •• z • • d • ••i ii i•ii ••� i i• • NOA No. 11-0510.02 M1AMI•DADE COUNTY Expiration Date: 08!23/16 �Fsvv • • • ••• • • Approval Date:06130tl I % • .• o Page 3 of 6 • • • •• 4. INSTALLATION 4.1 Entegra Estate"S"Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118,RAS 119,and RAS 120. 4.2 Data For Attachment Calculations. Table 1: Average Weight(W)and Dimensions(I x w) Tile Profile Welght-W (Ibf) Length-I (ft) Width-w(ft) Entegra Estate'S' Roof Tile 10.0 1.375 1.08 Table 2: Aerodynamic Multipliers -X(ft3) Tile I (ft3} I(A } Profile Batten Application Direct Deck Application Entegra Estate'S' Roof Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity-M9(ft-lbf) Tile 3":12" 4":12" 6":12" 6":12" Greater than Profile 7":12" Entegra Estate Battens Direct attens Direct Battens Direct Battens Direct Battens Direct 'S'Roof Tile1(Deck Deck Deck Deck Deck 5.91 6.74 5.82 6.64 5.70 6.50 5.56 6.33 5.40 6.14 Table 4: Attachment Resistance Expressed as a Moment-Mt(ft-lbf) for Nail-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15132"plywood) (min.19132"plywood) Entegra 2-10d Ring Shank Nails 27.8 37.4 28.8 Estate's' 1-10d Smooth or Screw 8.8 11.8 4.1 Roof Tile Shank Wail2 2-10d Smooth or Screw 16.4 21.9 7.1 Shank Nails 1 #8 Screve 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 Cli z 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip)2 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) . ••• • • • • • •• • .• - 2- d 43.0 67.5 50.9 1 InstallatieR yAWA�'•�le'hA ismsteners are located a min.of 211e from head of tile. 2 When'using only ane fastener use the hole that is approximately 4-314"away from Interlocking edge. • ••• • ••• • ••• • • ••q, • • • ••• • • ••• • • N • • • • N So • N • •• • • N • • • • N • • • N • �` • • NOA No.11-0510.02 • • • ••• • • Expiration Date: 08/23/16 ..•; r Approval Date:06/30/11 �ta1• % :w ; .N• M• ;Page4of6 • N • • ♦ •M N • ti • • M M �► • N •► A • • ••• M M M AA •• ft• •• ••• • • • ••• • • e . . t Table 6: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Resistance Profile Entegra Estate'S'Roof Tile Adhesive 26.1 3 See manufactures component approval for installation requirements. 4 Flexible Products Company TIIeBond Average welght per patty 11.4 grams. Pol oam Product Inc.Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mr(ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Entegra Estate'S'Roof Tile Polyfoam PolyProT14 86.61 Polyfoam Poi ProTm .45.5 5 Large paddy placement of 54 grams of Pol ProT'". 6 Medium paddy placement of 24 grams of Pol ProTM. Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar or Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Entegra Estate Mortar Set 20.60 'S' Roof Tile 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo(See Detail Below),or following statement: "Miami-Dade County Product Control Approved". OR ENTEURR ESTATE"S"TILE LABEL(LOCATED ON UNDERSIDE OF TILE) 6. BUINE W� •iEMENTS: 6.;;•ApRlicavir� r�a'r�dan�permit shall be accompanied by copies of the following: 6.41.1.07hisAot t:e of Aceeptance. • •61.2 Anyoher documents required by Building Official or Applicable building code in • ••• .+ •• order to oprovi• eMvae•a te the installation of this system.•• •• . • O . . • b • M . M • • • w. • i i~ i i i i i• NOA No.11-0510.02 • • • • Expiration Date: 08/23/16 JAPPROVED MuaM o�noecouhn�r Approval Date:06/30/11 ... : : A: ::: :. . •: • Page 5 of 6 • l• . + • : •• • M • • M MD go A . M •M •N • • 000 •• •M M. •w M w •• . e PROFILE DRAWING Nail Holes • • ENTEGRA ESTATE'IS"CONCRETE RQOF TILE END OF THIS ACCEPTANCE .. ... . . • . . •• • .. . . . . ... . • seso: .. . . . .. . ••• . •.• . •.• see' " • • • • •. NOA No.11-0510.02 Expiration Date: 08/23/16 Maar�t Haas CQunmr Approval Date:06/30/11 ';' Page 6 of 6 . V: ... . . . ... . . E %5�OR nc.SFS G' s� Miami Shores Village owes Building Department 10050 N.E.2nd Avenue �ORiDp' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department IS Date: 10050 NE 2nd Ave a Miami Shores, A 33138 Re: Owner's Name: Property Address: Roofing Permit Number: Dear Building Official: I h`\a 0, / (—""A d t"5 certify that I am not required to retrofit the roof to wall connections of my building because: A The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The 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) CA Signature Print Name State of Florida,-- County lorida ••County of Dade•. .; .•; ; ; ;.; •. .. ... .. . . . .. The undersigned, being the first duly swom, depose - i2/sne is Q;A;F or for the above property mentioned. Swom to and� edef. re- a the y' NAT,�fAL �UtZ 4 A YD L�. ... . . . . . /C 153 FbrksN'" WB.C= Notary Public, Sate of Florida at Large . ... • When the Justalua�6, t.a Jrurure:)r PU%c:ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then yWmdst provTde atulding application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. y � `St�oRFs�� Miami -s hor es Village loss Building Department 10050 N.E.2nd Avenue a Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# DATE: INSPECTION AFFIDAVIT licensed as a (n) Contractor l Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector Y License#: CCC/ XE On or about , I did personally inspect the roof deck nailing (Date&time) work at 'Z('S 14/w -I-L 5—+ (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) J Signature State of Florida County of Dade: The undersig iad,bWnj tNe first�lu� Nom, deposes and says that he/she is the contractor for the above property • .• • • • • mentioned. •. •; ; : ; ; ;•; •• Sworn to a,)i sL&.9cribgd peWp me.#1 s• day of ••• • • • •:i'"~ NATHALIE RUIZ Notary Public, Sate of Florida at La •"' ;: ••• • • • • ••• ESA • • • ••• • 139 , 'General,Building,Raeiden A,o`r II00%ing Co%tFMo*or anjindividual certmed 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