Loading...
RF-16-399 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253713 Permit Number: RF-2-16-399 Scheduled Inspection Date: March 02,2016 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: MONDY, MATILDE&JOSEPH Work Classification: Repair Roof Job Address: 160 NW 95 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010330630 Project: <NONE> Contractor: SAGABAY ENGINEERING CONTRACTING LLC Phone: (786)337-5902 Building Department Comments REPAIR 2 LEAKS AND REPLACEMENT OF DAMAGED Infractio Passed Comments TILES. INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-252762. Need to provide uplift test. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 01,2016 For Inspections please call: (305)762-4949 Page 28 of 40 r - ', il'rB�Pf�t.'ROM sE1�dlCE 'ol A I ENOWEERING 7066 SW 44°1 Street Miami,FL 33155 Tel:786-398-9179 Fax 786-800-2627 21roofinspecYiori clmaii.com LAB CERTIFICATION #10-0512-01 SITE SPECIFIC INFORMATION _ UPLIFT TEST—TAS #106 Roofing Contractor SAGABAY ENGINEERING CONTRACTING. Permit# W216-399 Job Address 160 NW 95 ST MIAMI SHORES,FL.38150, Owner's Name MATILDE y JOSEPH MONDY Type of Tile FLAT 13" Date Installed Approximate Roof Height 12' feet Roof Pitch 3/12 Type of Access to Roof LADDER Approximate Square Footage of Roof 3.0 ft2 Required Testing Force 35 Lbs Date Tested 03/01/16 Number of Tests 22 Testing Equipment F.G.E.100 Contact Name GLORIA Phone# 786-222-2267 LOCATION #OF TEST PASS #OF TEST FAIL Corner 2 Tests 2 Pass Test o Fail Perimeter 9 Tests 9 Pass Test 0 Fail Field 11 Tests 11 Pass Test 0 Fail Ridge 0 Tests 0 Pass Test 0 Fail TOTAL 22 Tests 22 Pass Test 0 Fail IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTRY,WITH NO DEVIATIONS.THIS REPORT 15 NOT GUARANTEED M CASE OF CASE OF NATURAL DISASTERS.THIS REPORT IT IS NOT VAUD FOR INSURANCE CLAIMS. YENAN T LYVA ;P:E A-1 Engineering Inspection Services, Inc 7066 SW 44 Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 aIroofins ecp tion gmail.com LAB CERTIFICATION# 14-1215.04 03/01/16 PERMIT. #FR-216-399 160 NW 95 ST MIAMI SHORES,FL.33150. T T T T T T T T T T-TT T T T T T T 7066 SW 44 thStreet Miami,FL 33155 Tel: 786-398-9I79 Fax:786-800-2627 PB tX IFIF-2-16-399 Miami Shores Village ' ir?tgrpe Rppf.; �r 10050 N.E.2nd Avenue NW �... WorkIasi aff"O'n:RepairR+ t' Miami Shores,FL 33138-0000 Permit Status: Phone: (305)795-2204 APPRd31fEi«3 tORNp' tssu " 11212016 Expiration: 08/10/2016 Project Address Parcel Number Applicant 160 NW 95 Street 1131010330630 MATILDE&JOSEPH MONDY Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell MATILDE&JOSEPH MONDY 160 NW 95 Street MIAMI SHORES FL 33150-1712 Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 SAGABAY ENGINEERING CONTRACT (786)337-5902 Total Sq Feet: 3 Type of Work:Repair Available Inspections: Additional Info:REPAIR 2 LEAKS AND REPLACEMENT OF D Inspection Type: Classification:Residential Roof Repair Scanning:4 Final Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 DBPR Fee Invoice# RF-2-16-58677 $2.00 DCA Fee $2.00 02/11/2016 Cash $50.00 $70.80 Education Surcharge $0.60 02/12/2016 Cash $70.80 $0.00 Permit Fee-Repairs $100.00 Scanning Fee $12.00 Technology Fee $2.40 Total: $120.80 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 AFFID t71T: I certify the.111 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction ning. Futhermdrp I authorize the above-named contractor to do the work stated. '; ?^ February 12, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 12,2016 1 Miami Shores Village ' g p 0\ Building Department 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 20[ BUILDING Master Permit No F PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: S-)-' City: Miami Shores County: Miami Dade Zip- 3-51 SD Folio/Parcel#: 1 1-31011 - 0,33— Q(.o 3(-) Is the Building Historically Designated:Yes NO Occupancy Type: `dPr lLtf Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 7-os-co 4 M o�� Phone#: 3V_3—3 V/9 Si Address: �Q tN�► &S --CC�� Ci S� n City: M� �) Sq Q& State: _T wit.I D14- Zip: 3-9 i SV Tenant/Lessee Name: Phone#: Email: L�� `�'� CONTRACTOR:Company Name: C IDGt�-I lNt �2 lt�t`1 GIMACDN6 phone#: , 0l1' �� 5 902 Address:110S SLO 0-°` 5 woe, 2-og City: M l A it Yl l State: FLG[LiLd&_ Zip: 331 b y Qualifier Name: uom Sam(n bw Phone#: � - 5 q®z State Certification or Registration#: 1'1 X2-9® Z9 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$_obi ®® Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [ Repair/Replace ❑ Demolition Description of Work: P L-rat 2� 1-Z �L S 4 L0.CC► '�1-�- Ti Specify color of color thru tile: WWOT Submittal Fee$ d—'� Permit Fee$ CCF$ CO/CC$ Scanning Fee$ ( Radon Fee$ �� DBPR$ Notary$ Technology Fee$ '+ Training/Education Fee$ �� `fir, Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 or AGENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instru ent was acknowledged before me this day of fALA O)9 / ,20 /.90- , by e day of 7g"VL/� ,20 /40 ,by JQ�--Db9 1107N00 V who is erson�F wrre� LZuflA/ 5tn#441,0!/ ,who is ersonaU own to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �X�,,., .�r Print: .-4 tl®fins Print:I�r3l;n � �E?livi ETn�aMolina ,.� �?�A, Belinda Molina Seal: ='�°' �j •�=COMMISSION#FF000742 Seal: _ :COMtAISSION S FF000742 � `-EXPIRES:MAR.25,2017 :q' :EXPIRES:MAR.25,2017 "Q OF www.AARoxNoTART.wm 1YWW.AARONNOTARV.com APPROVED BY / Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) OR3 pMiami shores V11age pail" wilding Department 10050 N.E.2nd Avenue �lpRl A Miami Shores, Florida 33138 Tei: (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: 01 dt0 d'Okp 10050 NE 2nd Ave Miami Shores,FI 33138 Re: Owner's Name: 3 OS P h FO anc(y Property Address: J U 0 NW q -S-t- rn a m Gy R-33 i.-6 Roofing Permit Number. Dear Building Official: I @nh (0a)d4 certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. ❑The building was constructed in compliance with the provisions of the Florida Building Code (FBC)or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly swom,deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of7911c'11'1 ell `���`�PSUSAN :�.oQ'**SSroN'':�F'. Notary Public, Sate of Florida at Large s 40 When the just valuation of the Structure for purposeigg10104T is etp r more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application140,0'ft"........ � e Roof to wall connection Hurricane Mitigation. Revised on 5/21/2009 1 Sol Ao 01 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �LORTei: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: �(2 M(,1)d Property Address: l U_0 LCA m, Gres _JSD Roofing Permit Number: Dear Building Official: 1 710W MD_0 certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C. j a. A! � Q Mcnd Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned, Sworn to and subscribed before me this a 1p tlay of �`��`/ 20 /to Notary Public, Sate of Flori � 14�014��,� GIh� (SEAL) o S #FFVjM2 S FINAL COMPLIANCE Revised on 5!21/2009 R Miami shores Village .... p�.� Building Department 10050 E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit# DATE: P INSPECTION AFFIDAVIT I SAgn� 6�14(IXIR7- ,r4 �A4WIX44�- ensed as a (k�ontracto /Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#: On or about , I did personally inspect the roof deck nailing (Date&time) work at I 1p N 0� S 3 (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) Signaiu 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. Sworn to and subscribed before me this day of �la/9 /� a�l� rpG ,, Belinda Molina Z$9 ­_'C%11ACSiuri#FF000742 Notary Public, Sate of Florida at Large �, '.� `�=EXFIRIcs-MAR.25,2017 WNNW.?ARONNOTARY.mm '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 Boom ® o... Irl iami shores Village rest"°2Building Department �IORIDA 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. 1/ 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: 0007L1\6 bLC BUSINESS ADDRESS: 1�I 0�- 3 L0 $ "T 51)IkZ&ITY "l AM o STATE ZIP BUSINESS PHONE: ( � ) 337- 5 90 2 FAX NUMBER�) CELL PHONE 4 W 12Z2-22W-+ QUALIFIER'S NAME: .JUS i QUALIFIER'S LIC NUMBER: O I e) SO 0!5H 2- e- CTQB Construction Trades Qual ,,,Board BUSINESS CERTIFICATE OF COMPETENCY 09BS00542 SAGABAY ENGINEERING CONTRACTING LLC _ - D.B.A.: SAGAR SAY JUAN J Is certified under the provisions of Chapter 1 o of Miami-Dade County ALID FOR CONTRACTING UNTIL 09,34/2016- QUALI'FYIN'G TWEtSI 0044 ROOFING Julla»a H.Setas P.E. wwwml°midade801 °f th a0 �gTds hareh� -ode realm f � STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 � 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SAGARRIBAY,JUAN JOSE SAGABAY EGINEERING CONTRACTING LLC 7105 SW 8TH STREET SUITE 209 MIAMI FL 33144 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and - - Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. '^- .�' PROFESSIONAL REGULATION Every day we work to improve the way we do business In order to RC29027429 ISSUED: 09/22/2015 serve you better: For information about our services,please log onto www.myflorldallcense.com. There you can find more information REGISTERED ROOFING CONTRACTOR about our divisions and the regulations that impact you,subscribe SAGARRIBAY,JUAN JOSE to department newsletters and seam more about the Department's SAGABAY EGINEERING CONTRACTING LLC (INDIVIDUAL MUST MEET ALL LOCAL Our mission at the Department is:License Efficlently, Regulate Fairly. LICENSING REQUIREMENTS PRIOR We constantly strive to serve you better so that you can some your TO CONTRACTING IN ANY AREA) Customers. Thank you for doing business in Florida, HAS REGISTERED under the provisions of Ch.489 FS. and congratulations on your new ticensel ExptreHon ftte:AUG 31,2017 LlSOB 20002107 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL.REGULATION CONSTRUCTIOM INDUSTRY LICENSING BOARD 7RC29027429 The ROOFING CONTRACTOR Named below HAS REGISTEREDa g . Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2017 MUST MEET ALL LOCAL LICENING REQ IIREMENTS PRIOR TO CONTRACTING IN ANY AREA) SAGARRIBAY, JUAN JOSE , NOW SAGABAY EGINEERING CONTRACTING LLC 7105 SW 8TH STREET SUITE 209 M ti MIAMI FL 33.144 ISSUED: 094=015 DISPLAY AS REQUIRED BY LAW SErae L1609220002107 Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOTA BILL—'DO NOT PAY 6506985 ELB BUSINESS NAME/LOCATION RECEIPT NO. SAGABAY ENGINEERGING EXPIRES CONTRACTING LLC 6R,//EIE RENEWAL SEPTEMBER 30, 2016 7105 SW 8 ST 209 Must be displayed at Place of business MIAMI,FL 33144 Pursuant to County Code Chapter SA-Art.9&10 OWNER SEC.TYPE OF BUSINESS SAGABAY ENGINEERGING 196 SPECIALTY BUILDING PAYMENT RECEIVED CONTRACTING CONTRACTOR BY TAX COLLECTOR Worker(s) 4 098500542 56.25 01/07/2016 0223-16-002255 This Local Business Tax Read"only coagrms payment ofthe Lecal Business Tax.The Receipt is am a Rt wit Permit or a carti8eation tithe holder's gaalilleadone,to do business.Holder most comply with any governmental or aoogororameatei regulatory hrwe sad M WIN0111 s which apply to the business. The RECEIPT No.above most be displayed on OU commwctai Vehicles—AAlaml—Bade Code Sec 8a..M For mate hft m don,visit Bede gwRa coliel�or Municipal Contractor's Tax Ibceipt Miami-Dade County, State of Florida THIS IS NOTA BILL-00 NOT PAY CC NO: os8qD0542 m c BUSINESS NAM E/LOCATION RECEIPT NO. EXPIRES SAf3ABAYBdGIPIt�NG CONIVICTMU.0 7478030 SEPTEMBER 30, 2016 7105&V8 S17209 MWIAI,FL 33144 Pursuant to County Code See 10-24 OWNER TYPE OF BUSINESS SAGOMY9VGINE8131NG SMOIALlYKIDDING CON7R CM PAY ENT RECEIVED 00N7R4MG BY TAX COLLECTOR 175.00 01/07/2016 0223-15-002255 ThlsreCeWIsnot valldInthefailowirgMurddpalMemAtisntore,Oqd,"Sleek ft Biscayne, Mied Gadens.Miami takes,Pa4nelto Bay,Plneereat,Sunny Ides Beach,Town of Cutler Bay. Far mae infomatlan,visit - ....•-- ... - . .. ..... .- DATE(=On/YYYYI �1t�L Lm CER U IFOCATE OF L cJ BILITY INU , CE 011131i6 THIS GERYIFlGA i�tS ISSUED AS A MA'iTE�Of ORMA T IOid ONLY AN G0111F��IdA tiiGW3�UPON THE CERTit=1GA T 1?ii®i�i:R.T►� GE EtT1F7CATa DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,O(TEND OR ALTER THE COVERAGE AFFORDED BY�POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOROM REPF2ESIeNTA,nvE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polpypes)must be endorsed. if SUBROGATION IS WANED,subJect to the terms and conditions of the policy,certain policies may require an endorsement A Statement on this certificate does not confer rights to the corUffeataholdorintieuofruchendarawnant(s)- WRWCT JOSE HERRERA PRODUCER PHONE 954 51Q-7321 �' No (954)510-7323 All Florida Insurance E4ML jherreraQmyflins.cam 7750 Wiles Road Coral Springs,FL 33067 INS AFFORDING COVERAGE MAIC# Phone (954)510-7321 Fax (954)510-7323 INSURERA GRANADA INSURANCE INSURED as INSURER B SAGABAY EGINNERING CONTRACTING LLC INSURER C: 7105 SW 8TH STREET SUITE 209 IN 0: INa = MIAMI,FL 33144 (954)646-2359 F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUEO TO THE INSURED NAMED ABOVE FOR THE POLI:TERMS, PERIOD INDICATED. NOTiNITHSTANOINORMY REQUIREMEN .TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TD ALLTHE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I fd 1YFe OF INBURANCB IADD PoueY NUM LIrI�TB I u I EACH RSNc s 1,000,000.00 GENERALunBIutYPRRENIED S 100.000.00 � I S a cw n LV'L COMMERCIAL GEWRAL LPSUTY ° MED EXP(Any one Person $ 5,000.00 C ` CLatr�s rnAD=_ oCCUR i OI SSFL00074018 08/2612018 0812612016 A Id N PERSONAL&ADV INJURY s 1,000,000.00 ENERALAGGRECATE. S 2.000,000.00 anoaucvs-COMPIOP AM S 1.000.000.00 WM AGGREonTE LIMIT APPLIES Pi R: DED I S 500.00 FOUCY ' PR LOG M61 RLE LIMIT S AUTOMOBILE LIABILITY ; �rMt BOOILY INJURY(Per person) S (� ANYAUTO _ BODILY INJURY(Per eceident 5 L1 AOS NEDSCHEDULEDS PR AUTOS =- NON°owl D � S F HIREDAUTOS AUTOS S UMBRELLA LLA$ r EACH OCCURRENCE S U I-OCCUR AGGREGATE S UCESS LIAB -'CLAIMS44ADE 1 S DED - RETEM70 S t uvC srATU- OTH- WORItERS COrdPENSAYION ° i I T � AND EMPLOYERS•LIABILITY Y I N j � E.L EACH ACCIDENT S �FF7PRCEOflIMfird$OER�EXgEXGLA UDW ECU"ME 1 N I A I E.L.DISEASE-EA EMPLOYE S (Mandatory In NH) �: E.L DISEASE-POLICY LIMIT S Ifyes,dssrnite under DESCRIP'r10N OF OPERATIONS t>Blonr ---- — — a sLgemp,nom OF opERA itONB I LOCATIONS I VEHICLES(At40eh ACORD 404,Addirtonal Remarim 8eh2dulB.re IAeIe 9P�113 MWlMdl CAPENTRY/DRYWALL/PAINTING/ROOFING c CEP.TIFICA TE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE THE EXPIRATION DATE TI•IEREOP,NSC OTME WILL BE DELIVERED IN D BEFORE CIN OF MIAW SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS, 90050 NW 2ND AVE MIAMI SHORES FL 33138 AUTHORIZED REPREBONTATNE FAX 305 756 8972 ©19882010 ACORD CORPORATION. All rights re$stlrsrl. The ACORD name and logo are registered marks of ACORD ACORD 26(2010105)QF Report Viewer Page 1 of 1 .71007- 1 _a.tx�ltL �P JEFF ATINATER CMEF FINANCIAL oFRCER 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: 5/9/2014 EXPIRATION DATE: 5lsr2uld PERSON: SAGARRIBAY JUAN J FEIN: 270507595 BUSINESS NAME AND ADDRESS: SAGABAY ENGINEERING CONTRACTING LLC 7105 SW 8TH STREET,STE 209 MIAMI FL 33144 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING ROOFING-ALL KINDS CONTRACTOR AND DRIVER PasuaM to Chop1w 440.5114),F.B..on ofemr of o caparahan who meds ewmPmn from mm ahupw by"a certftwo of efeetmn under floe sectrw maP.not remvar Wtretds a compensation under tms dugRa.Punuent to Ctmptar 440.BStt21.F.B..Certifmates of stadia,m M exempt -PPI,-nly shfhm the amps Orme tiusmeaa d hese aeseo on tlm Folks d election m ee a:ampt Pursuant to Ct.r 440.05(13).F.S.Notiem of owebon to osmnpt and nrtltmatea W olettmn t0 B7temPt slm8 Qe 8u01eQ m favaCatmn d.at any time agar UMNmB o11he aotme or tM iauence or Pxe cersaeate. the pmson rotmad an the Folk,a C,,oco a oo longer meets Me requuenmms o1 tf 9 sedmn fa,nsuance of a amtifkab.r"department shoo—oke a DFS-F2-DNPG2s2 CERTIFICATE OF ELEcT1ON TO BE EXEMPT REVISED 08-13 QUESTIONS?(e50413.16W https://apps8.fldfs.com/crreportviewer/reportViewer.aspx?data=kdvpginc9D7Q3gH6TER6... 1/14/2016 SAGAEAY ENGINEERING CONTRACTING., LLC Construction Management ano c,._ms oan--, �,a au�teG��� C ontractiov 7105 SW P STREET,SUITE#209,MIAMI,FL 33144 Phone 786-350-5276 January 28, 2016 Miami-Dade County, FI. Before of me this day personally appeared JLJ4,415��ho, being duly Sworn, deposes and say. That he or she will be only person working on the project located at NuJ 3�r57— �'i r n�' Z®te l .�°_ .3S.IJV Swor r affirm ) and subscribed before me this day of .T—G044o9l".Y.2016 Personally Kno Or produce Identification Type of Iden � 111111111' tJuced ow, ••0. ,s Wx Arl:QmArm • ASN pQ�e Print,Type'� S `'``\ of Notary s�Ifi; �W%� . . 5HoREs Get Miami shores Village eggs ""'?" BuildingDepartment 1049 050 N.E.2nd Avenue ORIDp' 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 be or she will be the only person allowed to work onyour 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. y Signature: ✓' Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 0 Z day of FC64!fe2??y ,20 ' By i �7 L !A whoppers`onally known to a or has produced `\`��y11N1111 fills �i as identification. Notary: SEAL: tFF 950M �.r �V1';Jeailii ii+������A` ICD- - `� ami ;¢ores Village 'PP o 'r BY TE ROOF ASSEMBLIES AND ROOFTOP STRUCTURES r7,77�, ,,k�sr p� Building Code 5th Edition(2014 � i!'1 1ANCE H WITH ALyypphh /elocity Hur icane Zone Uniform Permit A p c tibn Porm.' 1 L"FEDERAL u< < Irl I Y RUI FS AND RFGl1LATIONS � 1 ction A(General Information) ' 1 Master Permit No. Process No. 1 � CC Contractor's Name rIJ2Q., ' ( Ocnim �L 1 Job Address 1 — ROOF CATEGORY 1 ❑ Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tiles 1 ` ❑ Asphaltic Shingles ❑ Metal Panel/Shin les 1 9 ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 1 ROOF TYPE 1 ❑ New roof Repair ❑ Maintenance ❑ Reroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF) 4-0 Steep Sloped Roof AREA(SSF) V k Total(SF) j a` 1 1 1 Section B(Roof Plan) 1 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. 0 0 9 . 1 *00 0*00 •.....1 FIT .00 •• .1 .00 •• • • ..... 0 so0 0 1 • • . . •.....1 u . ......1 .1 . . •• • 1 �1CIO 1 1 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun S,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. 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 Sys)tem) 1 Roof System Manufacturer: 1 Notice of Acceptance Number. ^112.Q •Q(p 1 Minimum Design Wind Pressures,If Applicable(From RAS a2r;Calculations): 1 P1: . P1: (�7 P1: Ufa•'? 1 1 1 Deck Type: 5ev `I �Lii1 p 1 1 Type Underlayment: A 5 1 Roof Slope: 1 12 i Insulation: 1 Fre Barrier: 0/A- 1 1 Ridge Ventilatio ? Fastener Type&Spacing: ' � �� Yp p g� � 4 t2S I'�Ld,I C.. tZ� 1 Adhesive Type: 3 0 L,L- HAS 77 C . 1 GUM!% Type Cap Sheet: �L.�S •• •X. Mean Roof Height: Roof Covering: I Ce C' &• 1.&-ej'T,7-- .I . ...... . • ..... Type&SiDrip ••'E::m7 •�' r7.. dge: ... �' ••..•. .• . ••.• . FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.39 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliaur Palacio on Jun 8,2015 10:32:12 AM pursuant to License e Agreement No further reproductions anthorized. 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 M,with the values from Mt. If the Mf values are greater than or equal to the M,values,for each area of the roof,then the tile attachment method is acceptable. 1 1 Method 1 "Moment Based Tile Calculptions Per RAS 127" 1 (P1: - ° <x X 0120r= er1,J?- -Mg:ta2=Mn 1'65 Product Approval Mt (r1 1 (P2: xX 6 r k"e= 0=%-Mg: 4^r(?=M (�,:/ Product A �(�' a Approval M 1 (P3:1�`�" x ' _ �-Mg:-LL)-7=M�X67 Product Approval M, I �✓ 1 Method 2"Simplified Tile Calculations Per Table Below" 1 Required Moment of Resistance(M,)From Table Below Product Approval Mt 1 M,required Moment Resistance 1 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 34.9 1 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 i *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. *see 1 For Uplift based file 0 0 0 ate p systems use Method 3. Compared the values for F'with the values for Fr. If the F'valves are greater than or • 1 equal to the Fr values,for each area of the roof,then the the attachment method is acceptable. •• • •• 1 000.00 . 00 0000:0 1 Method 3"Uplift Based Tile Calculations Per RAS 127" **Goes • 0000.. 1 ( 1: x L = x w:=_,-W: x cos 8 =F,, Product Approval F' ."" •;• • (P2: x L = x w:=_}-W: x cos E) =F, Product Approval F' ***0'* ";'•• 1 (P3: x L = x w:__)-W: x cos 8 =Fr3 Product Approval F' •'o••: :000:0 ""' 1 --6-W -WV 0 •0.00•• 1 0.00•• 0 • Where to Obtain Information 0 0 • ••:• 1 Description Symbol Whgre jdUnd • 1 0000. 1 Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineerinj Nillsis pre- • pared by PE based on ASCE 7 i Mean Roof Height H Job Site 1 Roof Slope 0 Job Site 1 Aerodynamic Multiplier 26 Product Approval 1 Restoring Moment due to Gravity Mg Product Approval 1 Attachment Resistance Mf Product Approval 1 Required Moment Resistance M9 Calculated 1 Minimum Attachment Resistance F' Product Approval 1 Required Uplift Resistance F, Calculated 1 Average Tile Weight W Product Approval 1 Tile Dimensions L =length W=width Product Approval 1 All calculations must be submitted to the building official at the time of permit application. 1 15.40 FLORIDA BUILDING CODE-BUILDING,5th EDITION(2014) Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. MiamishoresVillage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel; (305) 795.2204 Fax: (305) 756.8972 WN '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: ()t d(ow, 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: J 0S'e p h Gr7cj�� Property Address: J U 0 NW CJVS-'' i`)1 rYl{ �}} 5 R—331 Roofing Permit Number: Dear Building Official: I � (���C�y certify that I am not required to retrofit the roof to wall connections of my fees building because: • . . .... ...... -0e just valuation for the structure for purpose of ad valorem taxation is less than $300,999-04 Please attach proat'afad valorem taxation. 0000" ' :0000: .0000. . . ..... ❑ e building was constructed in compliance with the provisions of the Florida Building Cgtl.e...{F8C) oc with,the pr©wdloe's of 1994 edition of the South Florida Building Code(1994 SFBC) 000000 00 :09:0: e 00 % b �I ' / (cn% : .•. ;0000.0000 0000: -s 0 . Signature •• • Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of ���`l' / c)/(e, �•�`�o�P n�ssro�j,�90:9, Notary Public, Sate of Florida at Large ?'°9 *• �• _ When the Just valuafion of the structure for purposelj%l Plo owls eqp r more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application O•• e Roof to Wall connection Hurricane Mitigation. Revised on 5/2112008 '*Q"01%%%jf-11 1No %�`,`'0 rroperry bearcn Appncanon-Miami-liacte t;ounty Page 1 of 1 IOF Summary Report Generated On:1/152016 Property Information Folio: 11-3101-033-0630 Property Address: 160 NW ST Miami Shores,FL 33150-1712 dibi Owner JOSEPH MONDY 8W MATILDE LQ Mailing Address 160 NW 95 ST o ' MIAMI,FL 33150-1712 Primary Zone 0800 SGL FAMILY-1701-1900 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT Q Beds/Baths I Half 3/2/0 Floors 1 • . ES Tr Living Units 1 Actual Area 2,765 Sq.Ft Living Area 2,045 Sq.Ft Adjusted Area 2,448 Sq.Ft Taxable Value Information Lot Size 12,500 Sq.Ft Year Built 1947 2015 2014 2013 County Assessment Information Exemption Value $50,500 $50,500 $50,500 Year 2015 2014 2013 Taxable Value $88,9411 $87,8421 $855.798 Land Value $203,000 $169,000 $113,000 School Board "'•• Building Value $175,131 $170,911 $171,219 Exemption Value I $2'X6 ; $$x,50 $25,9b XF Value $2,575 $2,592 $2,fi09 Taxable Value $11394 • $112,847 $11WV' Market Value $380,706 $342,503 $286,828 city ••• • • i•••• Assessed Value $139,448 $138,3421 $136,298 Exemption Value $5a,6so • $ldWd snsoo Taxable Value $8$,"$•: $� • ! Benefits Information Regional •••••• • •• Benefit Type 2015 2014 2013 Exemption Value $59,500 • i • 990!900 Save Our Homes Assessment Taxable Value $8a, '. $97,842 ' Cap Reduction $241,258 $204,161 $150,530 • • • Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Homestead 03/01/1986 $80,000 12843-0100 Sales which are qualified Civilian Disability Exemption $500 $500 $500 04/01/1976 $48,500 000040000 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(I.e.County, School Board,City,Regional). Short Legal Description 0 MIAMI SHORES SEC 6 PB 10-39 LOT 7 8 8 BLK 132 LOT SIZE 100.000 X 125 OR 12843-100 03861 The Office of the Property Appraiser is confinually editing and updating the tax roll.This website may riot reflect the most current information on record.The property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http:/Iwww.mismidede.govrmfb/dWaimer.asp Version: http://www.miamidade.gov/propertysearch/ 1/15/2016 Q 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• J Renalling 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. 6. _Overflow scuppers (wall outlets): It is required that rainwater flows off so=%roof is not overloaded from a buildupof water. Perimeter/ed a wall or other roof eAensiaa may brocMis g discharge if overflow scuppers(wall outlets)are not provided. It may be neces§qry to instpO%glow •• scuppers in accordance with the requirements of Sections R4402,R4403 aQ4 LV4a 3, • • 0000•• � • • 0000•• � �-- • 0000• -•» y • • 0000• Over/Agent Signature a Cord act Signature" Date • • • • 0000•• • • • 0000•• •• • 0000 • • Property Address Permit Number .. Revised on 7/9/2009 LD;07/01/2015; 1 ��1 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) A „.nli.iniidade.+,oi/econoim Entegra Roof Tile,LLC 1289 NE 9`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 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: Bermuda Concrete Flat Roof Tile 0000 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state.wA?'ollowigs... statement: "Miami-Dade County Product Control Approved", unless otherwise noted hereinr•* : •• • •• 000000 0 00 0000.0 RENEWAL of this NOA shall be considered after a renewal application has been filed d'►y4h Te has beep no ch4$%..: in the applicable building code negatively affecting the performance of this product. •����• :•••:• • 0000 . 0000. 0000. TERMINATION of this NOA will occur after the expiration date or if there has beeN j*r�yision (rellIt?ge in jbe... materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endamement of any product,• for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply V't.�$qy secamRv+• of this NOA shall be cause for termination and removal of NOA. • • • 000. . 0 . as 0 0000 0 0 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and fo`nowed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA# 1 1-0414.09 and consists of pages I through 6. The submitted documentation was reviewed by Alex Tigera. NOA No. 14-1120.06 M1A I-DADE COUNTY Expiration Date: 06/07/16 Approval Date: 06/18/15 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This revises a roofing system using Entegra Flat Concrete Roof Tile, as manufactured Entegra Roof Tile, LLC 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 Flat Tile I= 16" TAS 112 Flat profile, interlocking, high pressure extruded W= 10" concrete roof tile equipped with two nail holes. For mechanical, 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 Manufactured for each tile profile. 0000 ..99 090000 2.1 MANUFACTURING LOCATION 6.9 • 0000.. . .. 0000 1. Okeechobee, FL. ..•• • 0000 0000.. 2.2 EVIDENCE SUBMITTED •••• ••••• Test Aeency Test Identifiier Test Name/Report•9•• :000—Date.•••• Redland Technologies 7161-03 Static Uplift Testilit';'; 'Dec. 1991 •: Appendix iii PA 102 & PA 102CA) 000.. 080000 0 The Center for Applied 94-084 Static Uplift Testrn4••I ...May 19049..: Engineering, Inc. PA 101 (Mortar Set) • The Center for Applied 94-060A Static Uplift Testing March, 1994 Engineering, Inc. PA 101 (Adhesive Set) The Center for Applied 25-7094-2 Static Uplift Testing Oct. 1994 Engineering, Inc. PA 102 (4" Headlap,Nails, Direct Deck,New Construction) The Center for Applied 25-7094-8 Static Uplift Testing Oct. 1994 Engineering, Inc. PA 102 (4" Headlap,Nails, Battens) NOA No. 141]20.06 QM1 •DAD;COUNTY Expiration Date: 06/07/16 Approval Date:06/18/15 Page 2 of 6 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date The Center for Applied 25-7094-5 Static Uplift Testing Oct. 1994 Engineering,Inc. PA 102 (4" Headlap,Nails,Direct Deck, Recover/Reroof) The Center for Applied 25-7183-6 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik-Drive Screws,Direct Deck) The Center for Applied 25-7183-5 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik-Drive Screws,Battens) The Center for Applied 25-7214-1 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik-Drive Screw, Direct Deck) The Center for Applied 25-7214-5 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik-Drive Screw, Battens) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix II PA 108 (Nail-On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail-On) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 PA 108(Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of screw Sept. 1993 vs. smooth shank nails ••0• The Center for Applied Project No. 307025 Wind Driven Rai6i •.• '...O�t. 19".... Engineering, Inc. Test#MDC-77 PA 100 •• •• .' Atlanta Testing& R1.894 Physical PropertiAS•;•• •Aug. 1994,,9% Engineering, Inc. R2.894 PA 112 Goes R3.894 0 0.0 0. Professional Service 395-40011-1 Physical Propertig$,,,. feb 20V:"*- Industries,Industries, Inc. PA 112 .. .. . ...... Celotex Corporation Testing 520109-1 Static Uplift Testi.otge:e: eDec. 1998 Service 520111-4 PA 101 a a 0 0 ••••:• Celotex Corporation Testing 520191-1 Static Uplift Testd►g March lfi$..; . Service PA 101 ea ease e e Walker Engineering, Inc. Calculations Aerodynamic Multiplier March 2004 Walker Engineering, Inc. Evaluation Calculations 25-7094 Feb 1996 Walker Engineering, Inc. Evaluation Calculations 25-7496 April 1996 Walker Engineering, Inc. Evaluation Calculations 25-7584 December 25-7804b-8 1996 25-7804-4 &5 25-7848-6 Walker Engineering, Inc. Evaluation Calculations 25-7183 March 1995 Walker Engineering, Inc. Evaluation Calculations Restoring Moment,M, March 2004 Walker Engineering, Inc. Calculations Two Patty Adhesive Set System April 1999 Nutting Engineers 13343.1 TAS 112 05/06/08 NOA No. 14-1120.06 MIAMFDAD;COUNTY Expiration Date: 06/07/16 Approval Date: 06/18/15 Page 3 of 6 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 W. 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. 4. INSTALLATION 4.1 Entegra`Flat' 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 Weight-W(lbf) Length-1 (ft) Width-w(ft) Entegra Flat Tile 1 9.7 1.33 .833 Table 2: Aerodynamic Multipliers - X (ft') Tile 2, (ft3) (ft.�. ' ...... Profile Batten Application Dfaidt beck Appication •• Entegra Flat Tile 0.189 0.205fees a "• ....:. ...... Table 3: Restoring Moments due to Gravity - M9 (ft-Ib ... •••••• ..... Tile 3":12" 4":12" 5":12" 6"�'I•�'�• bPelter Who .. .. . ...... Profile •••••• •7":12" •• Entegra Flat Tile Battens Direct Battens Direct Battens Direct Battens• Dirdct E3atjVpp Diract• • Deck Deck Deck Dkk • DdGk. 6.53 6.97 6.43 6.86 6.29 6.71 6.14 ­6.94 6.'35 • NOA No. 14-1120.06 MIAMI•DADE COUNTY Expiration Date: 06/07/16 Approval Date:06/18/15 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment- Mf(ft-lbf) for Nail-On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15132" plywood) (min. 19/32" plywood) Entegra Flat 2-10d Ring Shank Nails 30.9 38.1 17.2 Tile 1-10d Smooth or Screw 7.3 9.8 4.9 Shan: Nail 2-10d Smooth or Screw 14.0 18.8 7.4 Shank Nails 1 #8 Screw 30.8 30.8 18.2 2#8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Clip) 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail 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) 2-10d Ring Shank Nails' 50.3 65.5 48.3 1 Installation with a 4"tile headlap and fasterners are located a min. of 2%"from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems ...6 Tile Tile Application Minimum;kttachmenfR&§istan8&' Profile • Ente ra Flat Tile Adhesive ••••31.33 �; 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. •• • 3M- 2-Component Foam Roof Tile Adhesive AH-160.Average weight per patty 8 gram; •••••• -*6666.. Table 6: Attachment Resistance Expressed as a Moment- 10f(f{-lbf) 6960% 6666.. for Single Patty Adhesive Set Systems • . 6666 . Tile Tile Application Minimum Attachment Profile Resistance Entegra Flat 31VI'M 2-Component Foam Roof Tile Adhesive AH-160 118.94 Tile 3M-2-Component Foam Roof Tile Adhesive AH-160 40.45 4 Large paddy placement of 45 grams of 3M"2-Component Foam Roof Tile Adhesive AH-160 5 Medium paddy placement of 24 grams of 3M- 2-Component Foam Roof Tile Adhesive AH-160 NOA No. 14-1120.06 MIAMI•DADE COUNTY Expiration Date: 06/07/16 Approval Date: 06/18/15 Page 5 of 6 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami-Dade County Product Control Approved". ENTEGRA FLAT TILE LABEL(LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING ENTEGRA "FLAT" CONCRETE ROOF TILE i— 16° —I . . .... Gooses 0 G• . s• e G o 0o00 . •e •sees• see Ge e 10" :900:9 • • •oGe•• • • •Gee• FIELD TILE % G•easa .a•G ••Goo• • • • • e e• a 0000 • a • o • 10" THICK BUTT TILE END OF THIS ACCEPTANCE NOA No. 14-1120.06 MIAMI•DAD6 COIUMY Expiration Date: 06/07/16 Approval Date:06/18/15 Page 6 of 6 MD.lkMv MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) w.miamidade.,ov/economy Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ (in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments ..e. . . 0000 0000.. LABELING: Each unit shall bear a permanent label with the manufacturer's name or Iogo,•vity,;tate mid following statement: "Miami-Dade County Product Control Approved", unless otherwise noted hereift'•;0 0 •• 000000 000000 0 0 0 0000.. RENEWAL of this NOA shall be considered after a renewal application has been filed anJt*rc has r;%chan:06060 in the applicable building code negatively affecting the performance of this product. 0000.. �; • 0 .0000. .. .. . 0000.. TERMINATION of this NOA will occur after the expiration date or if there has been a rovici"or change in the 0 materials, use,and/or manufacture of the product or process. Misuse of this NOA as an en;orsetnent ot4r"product!•••o• for sales, advertising or any other purposes shall automatically terminate this NOA. Failurl tocomply 16ith any secttwl00; of this NOA shall be cause for termination and removal of NOA. 60 0 0000 0 0 • ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA 411-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0713.02 MIAMI•DAD;COUNTY Expiration Date: 09/13/16 Approval Date: 02/14/13 Page I of 8 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 65'8"x 3'3-'/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-'/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'l 0"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 underlay:eet..• . . .... ...... Polystick TU Plus Roll: TAS 103 and A rubberized asphalt self ad'herin?,%1am • underlayment 65' x 3'3'/8" ASTM D 1970 fiber/polyester reinf6?(?&Cftterpr8ofit►g •••••• (Surface Printing) 80 mils thick membrane. Designed as a metal roofing and roof...: the underlayment. • •••••• Manufacturing Location *see ..... #1 &#2 •••••• • • ••••• .. .. . ...... Polystick TU P Roll: TAS 103 and A rubberized asphaltUaterproofing membrane, •. underlayment 32'10"x 3'3'/8" ASTM D 1970 glass-fiber/polyester Leinfgrced,withngranular•���� 130 mils thick surface designed for dze.as a tile ropf.. Manufacturing Location ;••••; #2 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x 3'3'/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass- Manufacturing Location 61x 3'3-'/," ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 12-0713.02 MuA7bDADE Coup Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 PRODUCTS DESCRIPTION: Test Product Product Dimensions Smcification Description Polystick TU Max Roll: TAS 103 and A rubberized asphalt self-adhering, polyester Manufacturing Location 65'8"x3'3-3/8" ASTM D 1970 reinforced waterproofing membrane. Designed #2 60 mils thick as a a roof tile underlayment. MANUFACTURING PLANTS: 1.Hazelton, PA 2.Winter Haven, FL EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Revort Date Exterior Research&Design,LLC 11756.04.01-1 TAS 103 04/27/01 11756.08.01-1 ASTM D 1970 08/14/01 02202.08.05 TAS 103 08/29/05 Trinity I ERD P5110.08.07 TAS 103 08/29/07 P10870.09.08-R1 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798 &G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.1 I TAS 103/ASTM D4798 &G155 09/01/11 P37300.10.11 TAS 110/ASTM D4798 &D1970 10/19/11 P40390. 08.12-1 TAS 103 &TAS i 10 J(Q6/12 P40390.08.12-2 ASTM D 1623 •.OW/12 ...... P40390.10.12 ASTM D 1970 •••• ••10/93/12 •• PRI Asphalt Technologies PRI01 111 ASTM D 4977 •••;•• • 04/4/02 .... • PUSA-005-02-01 ASTM D 4977 •'•••' 0 1731/02 :....; PUSA-018-02-01 ASTM D 2523 •••••• OW;4/03 • PUSA-035-02-01 TAS 103 ••••,• , 09/;9/06 ,,;, • PUSA-033-02-01 ASTM D 1970 :W/12/06 PUSA-055-02-02 TAS 103 •••••• 12F/10/07 .• PUSA-083-02-01 TAS 103 ;•Q6f;Q/08 •••• • PUSA-089-02-01 TAS 103/ASTM D4798 6: GV • 07/06/09 ;....; Momentum Technologies, Inc. JX201-17A TAS 103/ASTM D4798 &•G155 .•a/N/08 • RX14E8A TAS 103/ASTM D4798 &G155 •11/09/09 DX2313813 TAS 103/ASTM D4798 &G155 02/18/10 DX23D8A TAS 103/ASTM D4798 &G155 02/18/10 NOA No.: 12-0713.02 CMMIMM eExpiration Date: 09/13/16 Approval Date: 02/14/13 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non-insulated Base Sheet: One or more plies of ASTM D 226 Type 11 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. 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 Polystk3k-shall be applied over the underlayment. .•. 0.00 0.00;• ...... . •6 •000.0 .•.... • • 60000• 0000 • 00000 • 0.000• • • 0000• • 6 0000•• •• •• 06600 ••• • ••666• • • • 6 • •6000• •000.0 • • 6 66.666 0 Soso • 6 • NOA No.: 12-0713.02 MIAMI-DAoe COuNTY 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. Ex osure Limitations(days) MTS IR-Xe TU TU Plus TU P 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 fastengedteQftile applications with the exception of mortar set tile applications. .•. •••• ••••;• 9. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)the assemblies FMiLt as ....;. follows: (See Table Below) ••.•.. 0000.. Tile Profile Polystick MTS Polystick IR-Xe Polystick Ttf,.rlU.• POrfdfek TUG. ..• Plus,TU P,oTeRe.• . Max .. ..' 0000.. Pro .. .. . .. 000 Flat Tile Prohibited without 5:12 No limitation • N.o lin-,U*tation battens 9 .0000. Profiled Tile Prohibited without Prohibited No limitati"O" 1 o-kKitation• ��: battens •• • The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. QMLAAJMII-DADE NOA No.: 12-0713.02 COUNTY 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. 'I Roofing Tiles / (6 Max.Per Stack) o 12 / O mEc � .;< 6 N r Roof Deck prepared with POLWnCKlU 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, 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. 0010 LABELING: . 0.10•• 1.00•• 1. All membranes or packaging shall bear the imprint or identifiable marking of the mAi1ufatturer%`t;,an1Q or logo, •• city and state of manufacturing facility and the following statement: "Miami-Dade bounty 11roctuct ConfroP"` .111. 0. Approved" or the Miami-Dade County Product Control Seal as shown below. 1•::• :••..: � 1111.. 1.01 •.... MIAMI•DADE COUNTY � � ,•••� � 0111•• • • 0111. • • 0011.• BUILDING PERMIT REQUIREMENTS: i'•e•a ' '• • 0011.• 1111.. Application for building permit shall be accompanied by copies of the following: .'. :1111; .. 1111 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. ENOA No.: 12-0713.02 Mu►MbDADE COU! y 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 the manufacturers NOA's, must be used on all projects for pitch/slopes of TV 12"or greater. It is suggested that on pitch/slopes in excess of 6 '/a"/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 PolyRlus 5.5 PremK"66J%IOdifie4••••. Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement,Polyglass"P.0540 MB.Blashing .• Cement to the area in need of repair, followed by a patch of the Polystick material"f•Wka kind shoevObe sett...:* and hand rolled in place over the area needing such repair. Patching membrane shBMlck-aminimurn of 6 �•�••� inches in either direction. The repair should be installed in such a way so that watefv%run p*2;WJc:.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 s�sbstrates. Po�yglass ...... requires a minimum of 40 lbs for a weighted roller for the rolling of the field metiftloe:Hand rolters are • acceptable for rolling of patches or small areas of the roof. Brooming may be use&whefe slop;.probibits •••••• rolling. •�••�• 60 see 011. All approved substrates should be dry, clean and properly prepared, before any application of I'mlystiek membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami-Dade Notice of Acceptance(NOA)approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. MIAMI•DADE COUNTY NOA No.: 12-0713.02 ••• , Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 7 of 8 . s 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* .•s• .see.• . . . ...... . .. ...o.. 000000 ease s • • . •0.060 .... . ..... ...... . . •.•.. • • • NOA No.: 12-0713.02 Mini-DARE COONW Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8