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RF-16-490 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)785-2204 Fax:(305)756.8972 Inspection Number: INSP-253424 Permit Number. RF-2-16-490 Scheduled Inspection Date:July 20,2016 Permit Type: Roof Inspector. Mesa,Michel Inspection Type: Final Roof Owner. , Work Classification:TilelFlat Job Address:1226 NE 100 Street Miami Shores,FL 33138-2604 Phone Number Parcel Number 1132050090060 Project: <NONE> Contractor SUPER ROOFING,LLC Phone:(561)727.4757 Building Dslurtment Comments COMPLETE TEAR OFF AND RE-ROOFING.TILE AND 151factio PassedComments FLAT ROOF. INSPECTOR C31MMENTS False Inspector Comments Passed s e. fE— Failed El Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-Inspection fee is paid b;y July 18,2016 For Inspections please call:(305)762-4849 Page 5 of 41 k�(�niG�� CSm ' f�> i ��ell 7�� a zF69 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 acknowledges 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.. Therefore,you may be personally liable for the worker compensation iniuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Contractor Print Name: Print Name: Signature: Signature: State of Florida) State of Florida) County of Miami-Dade) County of Miami-Dade) Sworn to and subscribed before me this Sworn to and subscribed before me this day of ,20 day of ,20 By By (SEAL) (SEAL) Type of Identification produced Type of Identification produced f 14 y Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 a Phone: (305)795-2204 Expiration:08/31/2016 Project Address Parcel Number Applicant 1226 N E 100 Street 1132050090060 Miami Shores, FL 33138-2604 Block: Lot: VALDIVIA HOLDINGS LLC c/o M Owner Information Address Phone Cell VALDIVIA HOLDINGS LLC c%MELLAW 2601 S BAYHORE Drive --- ------ •--- -- - COCONUT GROVE FL 33133- 2601 S BAYHORE Drive COCONUT GROVE FL 33133- Contractor(s) Phone Cell Phone Valuation: $ 18,500.00 SUPER ROOFING,LLC (561)727-4757 Total Sq Feet: 3000 Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification:Residential Up Lift Report Scanning:4 Tin Cap Final Roof Tile In Progress Roof in Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 CCF $11.ao Invoice# RF-2-16-58777 DBPR Fee $4.50 03/04/2016 Credit Card $801.40 $50.00 DCA Fee $4.50 02/23/2016 Credit Card $50.00 $0.00 Education Surcharge $3.80 Bond#:3002 Permit Fee-New Roof $300.00 Scanning Fee $12.00 Technology Fee $15.20 Total: $851.40 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 agoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni h autho the above-named contractor to do the work stated. a March 04,2016 Authorize ig er / Applicant / Contractor / Agent Date `wilding Dep ment Copy irch 04,2016 1 Miami Shores Village �=� � ( g I • ®�i � Building DepartmentFV ? 8 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY' Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 I4 BUILDING Master Permit No-�_Tl�`r v ' PERMIT APPLICATION Sub Permit No. BUILDING ELECTRIC ® ROOFING ❑ REVISION ❑ EXTENSION RENEWAL r-JPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: J ✓�J Folio/Parcel#: ll 3�S -009"006-A0 Is the Building Historically Designated:Yes NO Occupancy Type: load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): v b (/�a �S�6Q., Phone#: -3 Z Z Address: ®` 8,o61x-)ye— r 8S`� City: State: Zip: 3f 3 3 Tenant/Lessee Name: Phone#: Email: ✓ �-/ �7 c! CONTRACTOR:Company Name: 5V-0' f2 Phone#: 5W `a 7—7 7 F 7 Address: ��_ N� ��l/��/ �� .��c5 Dr• 5 �s City:_41 a zi State: 7�L Zip: 32)/ 79 Qualifier Name: /�� elez— Phone#: P/'7��T 7, 7 State Certification or Registration#: C CC / 3 56& 76 Certificate of Competency#: c DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ /9, !s O 0 Square/Linear Foota a of Work: 3, 000 Type of Work: El Addition ❑ Alteration [_1 New Repair/Replace ❑ Demolition Description of Work: "(- T � r 81 - L��GI 0041 )/,/ - r le Q� Specify color of"co or lru-Tl�e. I A Y x GF-AX Submittal Fee$ Permit Fee$ �, '_� CCF$ CO/CC$ Scanning Fee$ (�' Radon Fee$ ` DB/P'R$ �d Notary$ Technology Fee$ ) n2- Training/Education Fee$ �" �U Double Fee$ Structural Reviews$_,X✓ Bond$ d TOTAL FEE NOW DUE$ 31 " (Revised02/24/2014) 1 . L ' 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 !IN"TE 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 su 'ect attac ment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspect ch oc rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b p r wed a d a reinspection fee will be charged. Signature Signature WNER or AGENT /CONTReCTOR The foregoin instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 6'24W4kc2 20 14:, ,by day of Ia 20 by ^�S o is personally known to ' ! �' 2do is sonally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si C Print: �v� Q Pri tip: Ec• t .2 Commission#i FF 137673 Seal: ":"'•••. SYLVETTE M GONZALEZSe ''••,,;�,t,;;•�� Banded Tteougn NalbW Natar)r Asstn. ._ :.. Commission#FF 034504 Expires Jury 8,2017 'I B=Md Ttau Twy Fain w18Y w WDS&M9 ############################################################################################################ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SYMA 14"296- February 1',2016 State of Florida County of Miami Dade Before me this day personally appeared 4 1-fiq Pete who being duly sworn,deposes and says: That he or she will be the only person working on the project located 1235 /UE 100 Miami -5k res Fl, 33/ 8 Sworn to(or affirmed)and subscribed before me this l day of ekn a b' 20 1 ,by Ahbn Jerez Personally known OR Produced Identification ;11888=ARAE COa13M3 of Identification Produced Notaryt l�iM•State a• AAp Cs p,Exj*es Oc '%��, sA• Cai pn tit I FF Gnledllra�iAMtal Print,type or Stamp Name o otary sN Miami Shores Village Eggs 1131111" Building Department 10050 N.E.2nd Avenue lOR1Dp' 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 I. 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 employ es or ubcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only persona awed wo on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensato i c coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING B W O ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: ner State of Florida 4�?7 County of Miami-Dade The for ping was acknowledge before me this��day of ,20 B ��oll�l � � who is ersonall known to me r has produced Y P Y as identification. Notary: SYLYETTE M GONZALEZ Ly SEAL: •: .�a Commission#FF 034504 Expires July S,2047 %r4W Thu Toy Fain ft==80 MPP 's Miami Shores village OR. Building Department 10050 N.E.2nd Avenue - �lpRjp�► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERVS 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: f � 10050 NE 2nd Ave Miami Shores,FI 33r13/8 / ! Re: Owner's Name: Property Address:_ �-2� /h Roofing Permit Number: Dear Building Official: certifythat I am not required qulred to retrofit the roof to wall connections of my building because: o 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) — zo��' � - Sig ature Print Name State of Florida County of Dade The undersigned, being the first duly swom,deposes says that he/she is a r , e1 tame oned. Sworn to and subscribed before me this day of �1 oc � pires Oct 25.2018 f on#FF 137673 Bor"Through t�iorra!WOary Assn. Notary Public, Sate of Florida at Large , • When the just valuation of the structure for purpose of 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 you must provide a building application from a General Contractor for the Roof to Wan connection Hurricane Mitigation. Revised on 5/2112009 'Pro.,e Search Application-Miami-Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:223/2016 Property Information Folio: 11-3205-009-0060 1,�• �fl�iP� f " n Pro Address: 1226 NE 100 ST + �' Miami Shores,FL 33138-2604 VALDIVIA HOLDING LLC Owner C/O MELLAW REGISTERED '3 AGANTS LLC Halling Address 2601 S BAYSHORE DR#850 COCONUT GROVE,FL 33133 USA Primary Zone 1400 SGL FAMILY-3001-3250 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT Beds/Baths f Half 2/2/0 f Floors 1 Living Units 1 " x Actual Area 2,568 Sq.Ft Living Area 2,085 Sq.Ft Taxable Value Information Adjusted Area 2,207 Sq.Ft 2015 2014 2013 Lot Size 8,175 Sq.Ft County Year Built 1953 Exemption Value $0 $0 $0 Taxable Value $405,826 $373,817 $303,648 Assessment Information School Board Year 2015 2014 2013 Exemption Value $0 $0 $0 Land Value $249,652 $220,401 $148,975 Taxable Value $405,826 $373,817 $303,648 Building Value $154,887 $152,129 $153,375 City XF Value $1,287 $1,287 $1,298 Exemption Value $0 $0 $0 Market Value $405,826 $373,817 $303,648 Taxable Value 1 $405,826 $373,817 $303,648 Assessed Value $405,826 1 $373,817 $303,648 Regional Benefits Information Exemption Value $0 $0 $0 Benefit Type 1 2015 2014 2013 Taxable Value 1 $405,826 $373,817 $303,648 Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sales Information School Board,City,Regional). Previous Price OR Book- Qualification Description Short Legal Description Sale Page 03/182014 $500,500 29105- Financial inst or"in Lieu of Forciosure" 55342 2998 stated EARLETON SHORES PB 43-80 06/032013 $472,100 28696- Financial inst or"In Lieu of Forclosure" LOT 6 BLK 1 1914 stated LOT SIZE 75.000 X 109 03/012004 $425,000 22198- Sales which are qualified OR 19821-0337 07 20014 1524 07/012001 $0 19821- Sales which are disqualified as a result 0337 of examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hfp://www.miamidade.gov/infb/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 2/23/2016 Detail by Entity Name Page 1 of 2 Detail by Entity Rama Florida Limited Liabiiity Company. VALDIVIA HOLDING,LLC' Filing Information Document Number L13000131507 FEI/EIN Number N/A Date Filed 09/17/2013 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 01/06/2015 Principal Address GARDSV 12 182 75 STOCKSUND,SWEDEN XX Mailing Address 9200 S.DADELAND BLVD. SUITE 508 MIAMI,FL 33156 Changed:04/1612014 Registered Agent Name&Address KUKER,HOWARD L,ESQ. 9200 S.DADELAND BLVD. SUITE 508 MIAMI,FL 33156 Name Changed:01106/201'5 Address Changed:04/16/2014 Authorized Person(s)Detail Name&Address Title MGR LENNENJENS GARDSV 12 182 75 STOCKSUND SWEDEN XX Annual Reports Report Year Filed Date 2014 01106/2015 2015 01/06/2015 Document Images 01/06/2015—REINSTATEMENT view image in PDF format 04116/2014--LC Amendmen4 Vow imap in PDF format 09/17/2013--Florida Limited Liability Vow kmp in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/25/2015 VALDIVIA HOLDING LLC May 23, 2014 Property: 1226 NF 100 ST,Miami,FL,USA LIMITED POWER OF ATTORNEY FOR SEBASTIAN AC®STA Sebastian Acosta will manage and be the project leader and will be responsible for the day-to-day details necessary to complete the Project.Sebastian Acosta will be responsible for arranging all necessary permissions and permits that are needed for refurbishment and extension of the property.Sebastian Acosta will handle the project and have power of attorney for all decisions related to the work involved,including but not exclusive to, applying for/obtaining any necessary permits needed during the total renovation of the property including: -Renovation,roof repair -Remodeling and expansion of the kitchen -Changes of floor in bedroom on first floor. New bathrooms -Tent termites,pressure cleaning,condensing -Electrical work entire house -Fixing ceilings and interior and exterior painting. -Plumbing - Pool,engines,the cleaning, -New wall for making two bedrooms on second floor -New facade, ladder, lights, -New exterior with landscaping Sincerely Jens Lennen Valdivia Molding (Valdivia)c/o Howard L. Kuker located at 9200 S Dadeland Blvd,,508 Dadeland Towers North,Miami,FL 33156- 2723 USA -46735405757 1.the undersWM.An de®pride,Notafy Public of the City of Stockholm,Sweden,hereby certif y that JENS LENNEN has issued and signed the foregoing document. Fes 200: Stockholm 23 05.2014 Crown./ Ex oa'eio: svemsEL Am w#m r. 4wL3W4U4b dt.VO �- c6 -4.7c) CERTIFICATE OF LIABILITY INSURANCE DATE(M TE(MWDo1DNs THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy pas)must have ADDITIONAL INSURED provisions or be endorsed.H SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER CONTACT NAME: PHONE A/C No Ext): 1.800-277-1620 x4800 FAX A/C,No): 727 797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 Sou)h Missouri Avenue INSURER(S)AFFORDING COVERAGE NAIC9 Clearwater FL 33756 INSURER A. Frank Winston Crum Insurance Co. 11600 INSURED INSURERS: INSURER C: FrankCrum L/C/F Super Roofing,LLC INSURER D: 100 South Missouri Avenue INSURER E: Clearwater FL 33756 INSURER R COVERAGES CERTIFICATE NUMBER: 357340 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITION OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DtSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSRD WVD POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED $ PREMISES Ee occurrence MFD EXP(Any one person) $ PERSONAL&ADV INJURY $ P T AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY E]PROJECT ED— PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMB T SINGLE LIMIT $ cklent ANY AUTO OWNEDAUTOS SCHEDULED BODILY INJURY Per nm $ ONLY AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ONLY AUTOS ONLY (Per accident III UMBRELLA LIB OCCUR EACH OCURRENCE $ EXCESS LUUi H CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND WC201600000 01/01/2016 01/01/2017 PERsrATUTE °TM ER A EMPLOYERS'LIABILITY Y� ANY PROPRIETORIPARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? 0 N/A E.L.EACH ACCIDENT $1.000.= (Marmwory In NH) I yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below DISSASE-POLICY LIMIT $1.0m.000 DESCRIPTION OF OPERATIONS/LOCATION/VEHICLES(ACORD 101,Addidonal Remarks Schedule,may be atbched B more Space Is required) Effective 03/07/2016,coverage is for 100%of the employees of FrankCrum leased to Super Roofing,LLC(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Miami Shores Building Dept. AUTHORIZED REPRPENTATiVE 10050 Northeast 2nd Avenue Miami Shores,FL 33138 ®1988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE DA03/09/201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:B the certificate holler is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE AJC,No,Ext): 1- 277-1820 x4800 FAX AIC,No): 72 797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 South Missouri Avenue INSURER(S)AFFORDING COVERAGE MAIC# Clearwater FL 33756 INSURER A. Frank Winston Crum Insurance Co. 11600 INSURED INSURER B: INSURER C. FrankCrum UC/F Super Roofing,LLC INSURER D: 100 South Missouri Avenue INSURER E: Clearwater FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 367340 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE p UH POLICY NUYBER POLICY EFF POLICY EXP U8� LTR 1MWDD/YY" Diff" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE aOCCUR DAMAGE TO RENTED PREMISES Me occurtendx $ MED ExP(Any one person) $ PERSONAL B ADV INJURY $ P L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY [:]PROJECT OLOC PRODUCTS-COMP/OP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ecdden $ ANY AUTO OWNED AUTOS SCHEDULED BODILY INJURY(Perperson) $ ONLY AUTOS BODILY INJURY(Per ecdderM $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ONLY AUTOS ONLY er $ UMBRELLA LIAR OCCUR EACH OCURRENCE $ EXCESS LIAR CLAIMS•MADE AGGREGATE $ DED I I RETENTION$ $ A MRK sCOM TION AND VX201600000 01/01/2016 01/01/2017 P°:sTATurE ER EMPLOYER&LIABILITY YM ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERMIEMBER EXCLUDED? Q N/A E.L.EACH ACCIDENT $1,0000_00 Plmdatoty N NH) Ityes,describe miler E.L.DISEASE-EA EMPLOYEE $1 000 000 DESCRIPTION OF OPERATIONS below DISEASE-POLICY 1 000 000 DESCRIPTION OF OPERATIONS/LOCATION/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Effective 03/07/2016,coverage is for 100%of the employees of FrankCrum leased to Super Roofing,LLC(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WATH THE POLICY PROVISIONS. City of Miami Shores Building Dept, AUTHORIZED REP29SENTATIVE 10050 Northeast 2nd Avenue '"'� Miami Shores,FL 33138 ®1988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016!03) The ACORD name and logo are registered marks of ACORD ROOF ASSEMBLIES AND ROOFTOP STRUCTURES CEl- D 'Flodda Bulldhig'Code 5th Edition(2014) FEB 2 3 20 1 0 High-Velocity Hurricane Zone Uniform Permit Applicat!*I". •••••' 0 0 0 0•• 0000.. .. • Section A(General Information) 000000 0000.. I 0000.. 1 Master Permit No. 0000Process NP • :'• '. ' . ••• Contractor's Name .S up ek 4e,E l n cl L ••�••� 0000• •• •• •• •• 0.00•• I Job Address`/ !dam �Ai S�?orQs �••�•.'3V J.9 • .. • ROOF CATEGORY 0000 • • ❑ Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tlles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shin les 9 ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 I ROOF TYPE 1 ❑ New roof ❑ Repair ❑ Maintenance Reroofing ❑ Recovering ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF) _ Steep Sloped Roof AREA(SSF):3 O��i otal(SFS 3 1 1 Section B(Roof Pian) Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,dearly identify dimensions of elevated pressure zones and location of parapets. 1 1 , 1 1 1 1 t i 1 > w G 1 vz 0 z >z �� p O 'a m o z 0 1 z m 1 -� 1 = 1 > fa -17 " m 1 > �7 1 M ote G CODE—BUILDING,Sth EDITION(2014) 15.37 r 1 ' I Agrwmwt No fiwdw rep uodom authorized ��);a Palacio on Jun 8,201510-32.12 AM putsnart to Lice t r ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 0000 1 . . 0000 0000.. 1 Section C(Low Slope Application) Top Ply Faste onding Matdrfdl••• ••• ...J�:. 1 Rif in specific roof assembly components and identify _ vhE y 'g•1'�/aA • • i . 1 manufacturer 0000 •0 0 0 0 1 (If a component is not used,Iden Surfacing: �iJ • 0• • :•0 0 0 • 1 • Identify as°NA°) Fastener Spacing for Anchor/Bess Owlet Attaohmer� :::60 . �.• 1 System Manufacturer. F 't� �f{�s 00'00 • 1 �' Field: °oc @ Lap,#Rows ,� Q °�o�•• ••"�'• i '1• 1 Product Approval No.: �3 —l —Z 2 / Perimeter. 6 °oc @ Lap,# J-* . r' '•"h• Rte'—,4-- � 0 0 :004L: 1 Design Wind Pressures,From RAS 128 or Calculations: Corner. y °oc @Lap,#Rows 0W @ •'"ec: ' ' 1 P1: y2 P21 71 7 P3: 0 8 C Number of Fasteners Per Insulation Board: 1 „ 1 1 Field Perimeter� Comer Max.Design Pressure,from the s edfic product 1 1 approval system: r 5 Illustrate Components Noted and Detafis as Applicable: 1 1 peck; Woodblocking,Gutter, Edge Termination,Stripping, Flashing, 1 1 Continuous Cleat,Cant Strip,Base Flashing,Counterfiashing, Type. 9-1y, woo 1 1Coping,Etc. 1 Gauge/Thickness• M idI/ s�R Indicate: Mean Roof Height, Parapet Height, Height of Base 1 Flashing, Component Material, Material Thickness, Fastener 1 1 �`� - Z Type,Fastener Spacing or Submit Manufacturers Details that 1 1 Slope: Comply with RAS 111 and Chapter 16. 1 1 AnchorBase Sheet&No of Ply(s): 75 (�,(A3 �jASP 1 1 1 Anch2-r. ase Sheet Fastener/Bondin Material: 1 1 ' v eiis/rCAn re .5 Yet - 1 Insulation Base Layer. 3 x 3 2 b ga CAI. FT 101 1 Base Insulation Size and Thickn : �d !Z to S top Parapet 1 Ply y Height 1 Base Insulation FastenerBo !ng Material: 2 PIy 11 1 Top insulation Layer. 7 6 .a /AS b-4s a j 2 1 1 1 Top Insulation Sias and Thickness: P l y wo and Mean 1 1 1 Top Insulation Fastener/Bonding Material: Height 1 1 1 1 Base Sheet(s)&No.of Ply(s): 1 1 1 1 Base Sheet Fastener/Bonding Material: 1 i 1 Ply Sheets)&No.of Ply(s): .� �7 1 1 1 Ply Sheet Fastener/Bonding Material: 1 1 VV �/ 44 aAl f � 1 Top Ply i�J A E tet;nQ Aal SyA .n C A p _Syed 1 1 1 15.38 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 1 y 11ffn cwy'�igk tof licesed by,ICC(Ala,RIGHTS RESERVED);=essad by Ebew Palacio=Jun 8,2015 10:n-12 AM pursuant to Lica AVe mean.No fiuth r MmWctions authorized Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form SectionD (StOOR-Sloped Roof System) ,••• 0000 0000 . Roof System Manufacturer.--&9 L E D o e in 0000. •••• •• -:0000 • . . . Notice of Acceptance Number: ��' — 0223 l ••�• •. 0000. • 0000. weess- 0000 0000. Minimum Design Wind Pressures,NApplicable(From RAS lit or paiculatibns); 00 0 000. 1, fl .0000. • 00000 • • • .0 • Maximum Design Pressure 1 V4 From the NOA Specific System), Method of t#9 attachment: ?0 IV F o Iq A"- A- N 0190G , (61 A&VAA Steep Sloped Roof System Description Deck TypeMyc�o � D� un ent: Roof Slope: 0 nsulation: :12 Fire sa er: A/ /v Ridge Ventilation? astener Type&Spacing: ,/ ,I les ce� N111�f C v T4 dhesive Type ype Cap Sheet: F f 0 J- oof Covering: T Mean Roof Type&Size Drip dge: 3 X � �UAiviZe� t ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application form. ••' 0 0000 0000.. ® 00 0 00 Section E(Tile Calculations) 000000 •0 0• • 0000.. For Moment based the systems,choose either Method 1 or 2.Compare the values for M,with the varues from MM,,�I�th® i1Atvteee•: . are greater than or equal to the M,values,for each area of the roof,then the file attachment metlecf ItUcepta0l�. % • ®- 0000 0 00 00.00 1/ r Method 1 "Moment Based Tile Iculations Per RAS 127" �y, 00000 t (P1:�xXs!3 = 22 —Mg: M,,�' Product Approval 00Z 00 00 000000 0' (P2. 68 x� 3l3 = _Mg; _(Vi2 ,i,�3L��9 Product Approval Mi• •. . (P3:�xX 3/3 = 3 st —Mg: =M,� T'y Product Approval Mt 0000.. 0000.. • . . ' • 00 • 0000 00000 Method 2"Simplified Tile Calculations Per Table Below" • • • Required Moment of Resistance(M,)From Table Below'Product Approval Mt 00 I M,required Moment Resistance* 1 Mean Roof Height 1 Roof Slope 15' 20' 25' 30' 40' 1 2:12 34.4 36.5 382 39.7 42.2 1 3:12 34.4 36.0 37.4 39.8 I 4:12 322 33.8 35.1 37.3 1 5:12 28A 30.1 31.6 32,8 34,9 6:12 i26.4 28.0 29.4 30.5 32.4 1 7:12 24.4 25.9 27.128.2 30.0 *Must be used in conjunction with a list of moment based file systems endorsed by the Broward County Board of Rules and Appeals. I For Uplift based file systems use Method 3.Compared ther values for P with the values for Fr.If the P values are greater than or 1 equal to the Fr values,for each area of the roof,then the the attachment method is acceptable. 1 Method 3"Uplift Based Tile Calculations Per RAS 127" 1 (P1: x L = x w:__)—W. x cos 8 =F,� Product Approval F 1 (P2• x L = x w:=_ )—W. x cos 8 =F,2Product Approval F' 1 (133: x L = x w:=_)—W x cos E) =F,3Product Approval F' 1 1 Where to Obtain informatlon 1 Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table i or by an engineering analysis pre- pared by PE based on ASCE 7 1 Mean Roof Height H Job Site 1 Roof Slope 6 Job Site 1 Aerodynamic Multiplier x Product Approval 1 Restoring Moment due to Gravity Mo Product Approval 1 Attachment Resistance Mt Product Approval 1 Required Moment Resistance M. Calculated Minimum Attachment Resistance P Product Approval 1 Required Uplift Resistance Fr 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 RIGMS RESERVED):a by Eliezm Palacio on Jun 8,20151032.12 AM pmsuant to License Agre�ncnL No fln her rep+odacdons authorized. . i y • • •••• •••••• •• • •• • • YL TGFiJXI2 06 • .... . .. ..... Roofing Systems •••••• • • • • GAF MATERIALS CORP •••••• •• R1306 ••••:• 1361 ALPS RD . WAYNE,N3 07470 USA 00' ' •••••• •• • ASPHALT FELT Symms WITH HOT ROOFING ASPHALT Class A 4.Deck:C-15/32 Incline: I Slip Sheet(Optional):--Red rosin paper, nailed to deck. Insulation (optional):---Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System"or any UL Classified insulation adhesive. Base Sheet:—One ply Type 02"GAFGLAS®#75 Base Sheet"or"Tri-Ply®#75 Base Sheet"(may be nailed). Ply Sheet:--One or more plies Type G 1 "GAFGLAS®Ply 4"or"Tri-Ply®Ply 4" or GAFGLAS@ Ply 6". Cap Sheet:---One ply Type 03 "GAFGLAS®Mineral Surfaced Cap Shat"or"Tri- Ply®Mineral Surfaced Cap Sheet"or"GAFGLAS®EnergyCapTm BUR Mineral Surfaced Cap Sheet." Surfacing(optional):--"TOPCOAT®EnergyCoteP4"applied at a rate of 2-gaI/I004F. Copyright 0 2011 Underwriters Laboratories.Inc. The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow-Up Service.Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow-Up Service.Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1.The Guide Information,Designs and/or Listings(tiles)must be presented in their entirety and in a non-misleading manner, without any manipulation of the data(or drawings).2.The statement"Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must appear adjacent to the extracted material. In addition,the reprinted material must include a copyright notice in the following format: "Copyright 0 2011 } z MIAMI-DADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION ' It 805 SW 26 S,tACM00m 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) : ltwni,Flori8fth 75-2474•••:- BOARD AND CODE ADMINISTRATION DIVISION T(7f6J315!2590 t:V J6)•3yt325-99 •• NOTICE OF ACCEPTANCE QA 0'"' amt e. 'v% o om.••••• GAF • 1362 Alps Road .... . .. ..... Wayne,NJ 07470 ..�..� .' .•::.' ... .. .. .. ...... SCOPE: • This NOA is being issued under the applicable rules and regulations governing the uie ofconstruohiea:. ""'• materials.The documentation submitted has been reviewed and accepted by Miami-l5gde C)unty9U& :0060: Product Control Section to be used in Miami Dade County and other areas where allowed by the Wo4ty Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built Up Roof Systems for Wood Decks. T.ABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of-the Building Official. This NOA renews and revises NSA No. 13-0424.09 and consists of pages I through 16. The submitted documentation was reviewed by Jorge L.Acebo. NOA No.: 13-1022.15 MSF NW Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 1 of 16 - ROOFING SYSTEM,APPROVAL Category: 'Roofing 0000 Sub-Category: BUR • •••••• �••��• Material: Fiberglass '..' : .. . •• Deck Tyne: Wood •••••. : '..' 0000:. Maximum Design Pressure: -75 psf. "•'•• • • 0000 . .. 0000. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLi 00:00' TABLE 1 •• •• •"•.' 0000.. • TestY'rodttct •0•0•• 000*0* � Product Dimensions Specification cn 'on ' • 0000 �....: GAFGLAS#75 Base 39.37'(1 meter) ASTM D4601 Type R asphalt impregnated and coated jass mat Sheet Wide base sheet. GAFGLAS` #80 Ultima 39.37"(l meter) ASTM D4601 Type 11 asphalt impregnated and coated,fiberglass Base Sheet Wide base sheet. GAFGLAS"FlexPly"'6 39.37"(1 meter) ASTM D2178 Type VI asphalt impregnated glass felt with asphalt Wide- coating. GAFGLAS®PIy 4 39.37"(i meter) ASTM D2178 Type IV asphalt impregnated glass felt with asphalt Wide coating. GAFGLAS Mineral 39.37"(l meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheet surfaced Surfaced Cap•Sheet Wide with mineral granules. GAFGLASO EnergyCap' 39.37"(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheet surfaced BUR Mineral Surface wide with mineral granules with factory applied Cap Sheet EnergyCote' GAFGLAS®Stratavene 39.37"(1 meter) ASTM D4897 Fiberglass base sheet coated on both sides with Eliminator ra Perforated Wide asphalt. Surfaced on the bottom side with mineral Venting Base Sheet granules embedded in asphaltic coating with factory perforations. GAFGLAS Stratavent* 39.37"(1 meter) ASTM D4897 A nailable,fiberglass base sheet impregnated and Eliminator Nailable Wide coated on both sides with asphalt. Surfaced on the Venting Base Sheet bottom side with mineral granules embedded in asphaltic coating. Ruberoido SBS Heat- 39.3T'(1 meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- Weld"`Smooth Wide . modified asphalt and smooth surfaced. Ruberoid'D SBS Heat- 39.37"(1.meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- Wele 25 Wide modified asphalt and smooth surfaced. Ruberoido'20 39.37"(1 meter) ASTM D6163 SBS modified asphalt base sheet reinforce with a Wade glass fiber mat Ruberoide Mop Smooth 39.37"(1 meter) ASTM D6164 Non-woven polyester mat coated with polymer- wile modified asphalt and smooth surfaced, NOA No.: 13-1022.15 MIAs KZADEC Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 2 of 16 ' I . TRADE NAMES OF PRODUCTS MANUFACTURED OR.LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Snecificatiog Descrinfion FireOut Fire Barrier 5, 55 gallons Proprietary Low VOC,water based fire barrier coating. Coating VersaShield'o Fire 350 sq.ft.roll ASTM D226 Non-Asphaltic Fiberglass-Based Underlayment. Resistant Roof Deck Protection Topcoat®Surface Seal 5 gallons ASTM D6083 Solvent based sprayable thermoplastic rubber SB sealant designed to protect and restore aged roof surfaces and to increase a roofs reflectivity. APPROVED INSULATIONS: TABLE 2• Product Name Product Description Manufacturer (With Current NOM EnergyGuard�'Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarC RA Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuar(r RN Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard""Perlite Roof Insulatioxi Perlite insulation board. GAF EnergyGuard""Perlite Recover Board Perlite recover board GAF EnergyGuartr RA Composite Polyis•) Polyisocyanurate foam insulation with high GAF Insulation density fiberboard or Permalite perlite insulation SecurocO Gypsum-Fiber Roof Board Gypsum roof board United States Gypsum Corp. Structodek®High Density Fiber Board High density fiber board Blue Ridge Fiberboard,Inc. DensDeck®Roof Board Gypsum board Georgia-Pacific Gypsum LLC • . . .... ...... ...... . .. ...... .... . .. ..... ...... . . ..... •• •• •• •• •••••• • • • • •••••• NOA No.: 13-1022.15 %MIAMI-DAIDECOExpiration Date: 11/04/18 Approval Date: 11/06/14 Page 3 of 16 t • y APPROVED FASTENERS: ` TABLE 3 Fastener Product Product Manufacturer Number Name De cri tion Dimensions tWith Current NOA) 1. Drill-Tec '#12 Fastener Insulation fastener for steel, various GAF wood&concrete decks. 2. Drill-Teclu 414 Fastener Insulation fastener for steel, various GAF wood&concrete decks. 3. Drill-Tec' XHD Fastener Carbon steel extra heavy duty Various GAF fastener used in steel decks. TM 4. Drill-Tec' ASAP 3S Drill-Te,M#12 Fastener with Various GAF Drill-Tec.r 3"Standard Steel Plate 5. Drill-Tec 7V 3"Steel Plate Round galvalume stress plate 3"round GAF used with Drill-Tec " fasteners. 6. Drill-Tec""3"Standard Steel Round galvalume plated steel 3"round GAF Plate stress plate with reinforced ribs for use with Dri11-Tec= fasteners. 7. Drill-Tec 1W AccuTrac®Flat AZ-SS aluminized steel plate 3"square GAF PIate for use with Drill-Tec T.#12 Fastener,Drill-TecT"#14 Fastener and Drill-Tec"#15 Fastener. 8. Drill-Tec .'AccuTrac® Galvalume Steel plate for use 3"square GAF Recessed Plate with Drill-TecT"fasteners. 0000 . . 0000 0000.. s000so 000000 . 0 0 0000 .. oos000 0000 . 00 0000. s 00000 .. .. 00000 000000 0000.. o . . . . .Soso. :SS*:S . . 000.0. .. . SSSS . . NOA No.: 13-1022.15 MIAMMADecourExpiration Date: 11/04/18 Approval Date: 11/06/14 Page 4 of 16 EVIDENCE SUBMUTED: M Test.Agencv Test Identifier Description Date Factory Mutual Research Corp. J.I.2B8A4.AM 4470 07/02/97 J.I.3B9QI.AM 4470 01/08/98 J.I.ODOAS AM 4470 07/09/99 J.I.OD I A8.AM 4470 07/29/94 J.I. OY9Q5.AM 4470 04/01/98 3029832 4470 05/11/07 UL LLC R1306 UL 790 07/22/13 PRI Construction Materials GAF-012-02-02 ASTM D4977 11/06/01 Technologies,LLC GAF-020-02-01 ASTM D4977 02/01/02 GAF-082-02-01 ASTM D6083 05/07/06 GAF-084-02-01 ASTM D6083 05/09/06 GAF-270-02-02 ASTM D226 11/15/10 GAF-276-02-01Rev ASTM D6083 12/16/10 - GAF-276-02-02 ASTM D226 11/15/10 GAF-306-02-01 ASTM E96 07/07/11 GAF-314-02-01 ASTM D2178 08/23/11 GAF-315-02-01 ASTM D2178 08/23/11 GAF-369-02-01 ASTM C 1289 10/22/12 GAF-417-02-01 ASTM C1289 05/28/13 GAF-464-02-01 ASTM C1289 10/22/12 GAF-499-02-01 ASTM D6083 03/12/14 GAF-500-02-01 ASTM D6083 03/12/14 IRT of S.Fl. 02-005 TAS 114 01/18/02 02-014 .TAS 114 03/22/02 Trinity ERD G30250.02.10-3-RI ASTM D3909 11/26/12 G31360.03.10 ASTM D6164 03/3I/I0 G33470.01.11 ASTM D6164 11/16/11 G34140.04.11-2 ASTM D61*63 04/25/11 G34140.04.11-4 ASTM D6401 04/25/11 G34140.04.11-5 ASTM D4897 04/25/11 G34140.04.1I-5-R1 ASTM D4897 10/18/13 G40630A1.14-2A-1 ASTM D6164 01/07/14 G43610.01.14 ASTM D3909 60--0,/22/14 G6850.08.07-1 ASTM D39(V .•. •••08/13/07'••;• G30250.02.10-3-RI ASTM D3901' Vo fb/26/12 Oo 690.90 0 66 000000 699999 9 . 9 6666.. 6666 90 0 9000 0 96 6900. 6..00. . 0 00009 .. ... 99 99 00:090 6666. . . . 6666.. 6666.6. . . 096960 99 0 0.90 . . NOA No.: 13-1022.15 14"MnDec®o�u�mr Expiration Date: 11104/18 Approval Date: 11106/14 Page 5 of 16 Membrane Type. BUR Deck Type 1: Wood,Non-insulated Deck Description: 19/32"or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: VireOutT"Fire Barrier Coating,VersaShiele Fire Resistant Roof Deck Protection or (optional) Securock""Gypsum Fiber Roof Board. Base sheet: GAFGLAS*#80 Ultima'Base Sheet,Stratavene Eliminator Nailable Venting Base Sheet,Ruberoie 20,Ruberoie SBS Heat-Weld`Smooth or Ruberoid*SBS Heat Weld"" 21 base sheet mechanically fastened to deck as described below; Fastening Options:_. GAFGLAS Ply 4,GAFGLAS Flexply 6,GAFGLASQb#75 Base Sheet or any of above- base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c.at the lap staggered and in two rows 12"o.c. in the field. (Maximum Design Pressure—45 psf.See General Limitation#7) GAFGLAS"Ply 4,GAFGLAS®F1exPly""6,GAFGLASQ#75 Base Sheet or any of above base sheets attached to deck with Drill-TecTm #12 Fastener or Drill-Tec TM#14 and Drill- Tee'M 3"Steel Plate,Drill-Tec"m AccuTrace Flat Plate or Drill-Tec-t-AccuTrace Recessed Plate 12"o.c. in 3 rows. One row is in the 2"side Iap. The other rows are equally spaced approximately 12"o.c. in the field of the sheet. (Maximum Design Pressure—45 psf.See General Limitation#7) GAFGLAS Flex Pl)"°6,GAFGLAS#75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c., at the 4"lap staggered and in two rows 9"o.c.in the field. (Maximum Design Pressure S2.S psf.See General Limitation#7) GAFGLAS#80 Ultima?"Base Sheet,Ruberoid*20,Ruberoid`aMop Smooth,base sheet attached to deck with approved 1'/4"annular ring shank nails and inverted 3"steel plate at a fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of 9"o.c.in the center of the membrane. (Maximum Design Pressure—60 psf.See General Limitation#7) .... y o4 v 0 grill-Tec' •a`• GAFGLAS#75 Base Sheet or an of above base sheets attaci► to�leck #12 Fastener or Drill-Tec'" #14 Fastener and Drill-Tec"'3"Stool4Plate,Dr:ll-%Qr .e.e;. a AccuTm Flat Plate or Drill-Tec"`AccuTrae Recessed Plate 4Ovtc.in 4 rows. One vow • is in the 2"side lap. The other rows are equally spaced appro4lMftt y 9"cgeyin'rhe fieldof the sheet. 0060 . .. (Maximum Design Pressure—60 psf.See General Limitation 4tr•: .. ;;jnk .. .. ....Any of above Base sheets attached to deck approved annular 09 nails and 3" go inverted Drill-Tec""insulation plates at a fastener spacing of SP o.c.at the$"'0W&taggeCe'd"" in two rows 9"in the field. ' (Maximum Design Pressure—60 psf.See General Limitation#� e • NOA No.: 13-1022.15 MPS DADBCOUNTY Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 14 of 16 r I - Fastening Options: GAFGLAS*#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec"M (Continued) #12 Fasteper or Drill-Tec '`#14 Fastener and Drill-Tec'"3"Steel Plate,Drill-TeCTM AccuTrac`a Flat Plate or Drill-Tec""AccuTrac4o Recessed Plate 8"o.c. in 4 rows.One row is in the 2"side lap. The other rows are equally spaced approximately 9"o,c. in the field of the sheet. (Maximum Design Pressure—7S psf.See Gen eral Limitation#7) Ply Sheet: One or more plies of GAFGLAS"Ply-4 or GAFGLAO#80 Ultima Base Sheet adhered in'a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLAS®Mineral Surfaced Cap Sheet or GA.FGLAS® EnergyCapT'4 BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Surfacing: Optional on granular surfaced membranes;required for smooth membranes.Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or stag applied at 400 lbs./sq.and 300 tbs./sq.respectively in a flood coat of approved asphalt at 60 lbs./sq. 2. Topcoat Surface Seal SB applied at Ito 1.5 gal./sq. Maximum Design Pressure: See Fastening Options • •••• • •• ••••• •• •• •• •• •••••• • • • • •• •• ••••••• •00• • NOA No.: 13-1022.15 MiA1NPDADECOtJNTY Expiration Date. 11/04/18 Approval Date: 11/06/14 Page 15 of 16 Y . ' W90D DECK SYSTEM UmTrATIONS: I A slip sheet is required with GAFGLAS®Ply 4 and GAFGLASa'Flex Ply""6 when used as a mechanically fastened base or anchor sheet. 2. Minimum'/"DensDecki'Roof Board or%z"Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: I. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size shall be 4'x 4'maximum. 4. An overlay and/or recovery board insulation panel-is required on all applications over closed cell foam insulations when the base sheet is fully mopped.If no recovery board is used the base sheet shall be applied using spot mopping with approved'asphalt, 12"diameter circles,24"o.c.;or strip mopped 8"ribbons in three rows,one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable.A 6"break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of-45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F)value-of 275 lbf,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value Iisted within a specific system. Should the fastener resistance be less than that required,as determined by the Building Oficial,a revised fastener spacing, prepared,signed and sealed by a Florida Registered Professional Engineer,Registered Architect,or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117.Calculations prepared,signed and sealed by a Florida registered Professional Engineer, Registered Architect,or Registered Roof Consultant(When this limitation is specifically refined0within this NOA,General Limitation#9 will not be applicable.) ***6 •••••• 8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing terminaVNApjigns$zALjenforg1o.:• Roofing Application Standard RAS 111 and applicable wind load requirements. 000.0. 0 0 0 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.4.fielil :"'•: perimeters,and corners).Neither rational analysis,nor extrapolation shall be permittedfe4enhanc+dfsteningat�•0• enhanced pressure zones(i.e.perimeters,extended corners and corners).(When this•1tQ!'lt'Von i4spgei ieally•••• referred within this NOA,General Limitation#7 will not be applicable.) •• •• •0 •• 660006 10. All products listed herein shall have a quality assurance audit in accordance with theWIW&Buildin4 ode and 000• Rule 61G20.3 of the Florida Administrative Code. .....0 END OF THIS ACCEPTANCE 0.00 0.00 =••••0 00 0 NOA No.:13-1022.15 MRAWDADECOU Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 16 of 16 MIAMI-DADS COUNTY WPRODUCT CONTROL,SECTION MOM .•11805 SW 26-Street,Room 208 DEiP'�ARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175.-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miam1daae.&9vLe,.onomv 3M Company 3M Center Building 0220-05-E-06 St.]Paul,MN. 55144-1000 SCOOPE: 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 tnmufacturer will incur the expense of such testing and the AHJ may immediately revoke;modify, or suspend.the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. .°•, DESCRIPTION:3MTM 2-Component Foam Roof Tile Adhesive AH-160 .....° •°.• ••••;• 000.00 ° • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or 141W,qty, stet ,aao foilWnng statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein."' '• ••;••• ...... . . ..... of . . RENEWAL of this NOA shall be considered after a renewal application has been fileds't"there has igen no change in the applicable building code negatively affecting the performance of this product. •••0• °.°°;• • TERMINATION of this NOA will occur after the expiration date or if there has beeif h rdVisio%m,range:n tTie• materials, use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of Any product, for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 13-0502.02 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 14-0805.01 Ct4LMCOUNTY Expiration Date: 05/10/17 e0el...� w#1 Approval Date:09/04114 Page I of 11 Ro.,-OFING COMPONENT APPROVAL: Cat&0g0rY: Roofing Sub Category: Roof tile adhesive Maltcrials: Polyurethane SCOPE: This approves 3MrM 2-Component Foam Roof Tile Adhesive AH-160 as manufactured by 3M Company as, described in this Notice of Acceptance. For the locations where the design pressure requirements,as determined by applicable building code,do not exceed the design pressure values obtained by calculations in compliance with Roofing App,lication Standard RAS 127. For use with approved flat,low,and high profile roof tile systems using 2-Component Foam Roof Tile Adhesive AH-160. pRjomcTS MANUFACTURED BY APPLICANT: Product Dimensions. Test Product Description Specifications . 3Mrm 2-Component N/A TAS 101 Two component polyurethane foam adhesive Foam Roof Tile Adhesive AH-160 Foam Dispenser N/A Dispensing Equipment RTF1000 ProPack®30& 100 N/A Dispensing Equipment .... . . .... ...... PRODUCTS MANUFACTURED BY OTHERS: •••;•• ••• ••••:. Any Miami-Dade County Product Control Accepted Roof Tile Assembly�aving a current NQA 4ich,4 �ttach+*-• resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile adhoslive. .• ...... . . ..... MANUFACTURING LOCATION: •• """ 1. Tomball,TX. •••••• PHYSICAL PROPERTIES: '• • Prove 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./Fe Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM 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 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 14-0805.01 MU►MI-pgoEcouP17Y Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 2 of 11 EVODENCE SUBwrTED: Test Agency Test Identifier Test Name/Report Lsftle Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polysmers Division Gtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-01L ASTM E 108 11/16/94 01-6739-062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 0000 Celotex 10 Corp.Testing Services 528454-2-1 TAS 101 • /98 528454-9-1 • ' 0. 0. •• 528454-10-1 •••••• • •• 0000.. 520109-1 TAS 101 "'••• 12t28/98 • 0000 0 0000 .. �....� 520109-2 6 .. - .. . 4 00000 520109-3 0000000• • 0 000004 520109-6 • 00 0000 0000.. 520109-7 :06:6: 520191-1 TAS 101 0 �00.;a2/99 •000:0 520109-2-1 • . . .. 0000 .0640. 0 LEwrATIoNs: • 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3M""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 3W 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. M® NOA No.: 14-0805.01 � � Expiration Date: 05!10/17 Approval Date:09/04/14 Page 3 of 11 )NS;TALLATION: 1. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of 3MTM 2-Comp6nent 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 to meet or exceed the resistance value 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 3Mrm 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)• 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. 6666 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 1 to 2 minute:after 3NI,TM Z• •••••• Component Foam Roof Tile Adhesive AH-160 has been dispensed. •• 6 .. •• . . 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum pa}6y;1v; fight shall be in •••••• accordance with the'Placement Details'herein. Each generic tile profile requires the spegific plajgpingnt noti4••,: F . herein. 0000.0 . • 0000. 0000000 • 0 0000. .0. 00006 000 000004 66666. 0 • • 6 0000.•. 0000.. . . . ..6 . 6666006060 00 0 NOA No.: 14-0805.01 tape�� Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 4 of 11 ADHESIVE PLACEMENT DETAIL# 1 .' gra ... TM Flat/Lew.-Profile Tile 1. Starting at the eave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 nun)foam . �.y paddy onto the underlayment positioned as shown, ' under the strengthening rib closest to the overlook. sa �.• i ``° `` .,� of the tile being set. . par 2. Continue in same manner.Insure approximately 17 (109.7 cm)—23 (148.4 cm)square inch adhesive contact with the underside of the tile. Na�it�nova� Medium Profile/. Double Pan Tile 1v tte* ti - - _r�_ „ 1. Starting at the eave course,apply a minimum 2" '' +� (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam �. . paddy onto the underlayment positioned as shown �. under the pan portion of the tile closest to the { overlook of the tile being set. 0*000* �;� • • •••• 0090•• 2. Continue in same mater.jtlsure 4ppUdmately • (109.7 cm)—23 (14&4cW4 square inch adhesive contact with the undeode of the tf e,, • :0000: -40i`4'-- ' ,1�rt.h 0000 • •• 00090 m p •••0• .•g. • • • " �� f •• •• " 0000.• Faca •Swa • • • • •0.909 0000*0 MA ear pi.ato High Profile/Single Pan File• 000:0,9 • 00 0 dwthesi i i tsth•,00nai(+d �Y ►,~_ t; 'k- 1. Starting at the eave course,apply a minimum 2" { "` ;'' (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam r _ paddy onto the underlayment positioned as shown it91n. °;� under the pan portion of the tile closest to the a 1'"`i& overlook of the tile being set. ea+tt•es ,&.•° 2. Continue in same manner.Insure approximately 17 "� (109.7 cm2)—23 148.4 cm2 square inch adhesive -:�- ( ) .s contact with the underside of the tile. R' t r w Phute• 1O i�' x tn. :..�''� :u�'• Fa•t clasuue Mipr�ie Cour NOA No.: 14-0805.01 ... , Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 ' asri� yhp :oaFlat/Low Profile Tile ixRaa•Pagt ,� wrr.,., . I °- cr ► r�AQ �u x'` l: Starting at the eave course,apply a minimum 2"(50.8 mm).x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlook of gin. 4a.:•'`3''�. s the file being set.Insure approximately 17 (109.7cm) —23 (148.4 cm)square inch adhesive contact with the e�, op�anal X", LM underside of the tile. .... X\� s. •�:yam f•�''�^�p� 2. At the second course apply a minimum 2"(50.8mm) ,, ,� _ ,, �a x 7"(177.8 mm)x 1"(25.4 nun)foam paddy onto the aad' . .. ..._;�•'_• ,r �,�' underlayment positioned as shown under the strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner.Insure approximately 10" (64.5 cm)- 12(77.4 cm)square inch adhesive contact with the underside of the tile. Medium Profile/Double Pan Tile N1aN tl►r.agh�elc � .... __.Paddy18ama hTile), 1. Starting at the eave couA"apply a minir um 2"(50,8 mm)x 10"(254 mm)x Vo$6,4 mmp)foam paddy..% onto the underlayment g6sifibbed as shown undg;14j pan portion of the file close'sf to the SLerlt>�k of the • file beingset.Insure a • •• atel 17 109.7 cmg ". 23(148.4 cm2)square ivrftoAesivoGQnLP wit, e % '�. underside of the tile. •..... • ERsttI,alae! .� . . . • 2. At the second course,app13;d mina lum 2"(50.jVW) 1"�`` •�u '� 3 �� " x 7"(177.8 mm)x 1"(25 4 mm)foaff;lddy onto the ,_�.• t` J .- e , . underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile rNw•tnwrw— - P■#ca. being set. 3. Continue in same manner.Insure approximately 12" (77.4 cm2)- 14(90.3 cm)square inch adhesive contact with the underside of the tile. (Instructions continued on next page) CWMHWE NOA No.:14-0805.01 Expiration Date: 05/10/17 Approval Date:09/04/14 Page 7 of 11 • E ADHESIVE PLACEMENT DETAIL#2 (CONTINUED) atg=+Slbt• addX�e.w.�kTi�•y High Profile/Single Pan Tile 1. Starting at the cave course,apply a minimum 2"(S0.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the file closest to the overlock of the tile being set.Insure approximately 17(109.7 CM2)1* 23(148.4 cm )square inch adhesive contact with the dmil underside of the tile. w 2. At the second course,apply a minimum 2"(50.8mm) 11. gave to"M' � ''Fascia x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the ''`` .��• underlayment positioned as shown under the pan ,gyp ;^•s 21& ..� ' o� Odom portion of the tile closest to the overlock of the file being set. 3. Continue in same manner.Insure approximately 17" (109.7 cm)_ 19(122.6 cm)square inch adhesive contact with the underside of the tile. •• •• •• •• •••••• • • • • • NOA No.: 14-0805.01 M 4=ECO Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 8 of 11 ADHESIVE PLACEMENT DETAIL#3 ' WiftrouOplasiccemea Siy4 tses) _ ► 1. On the eave course only,apply a minimum 2"(50,8 Sattem , ° mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy Pads►{unae►L40 onto the underlayment positioned as shown,under 0 40 the strengthening rib for flat tile or under the pan portion of the tile for low or high profile the closest to the overlock of the tile being set.Leave" 4x4in � approximately 4"(10 1.6 mm)up from the eave ,ale Wder° edge free of foam to prevent the expanded adhesive 2x4hL from blocking the weep holes. Insure • ° approximately 17-23 int(109.7-148.4 cm2)of to adhesive contact with the underside of the tile `121n. fascia rmeck'ee 2. Apply a 4"(101.6 mm)x 4"(101.6 mm) x 1"(25.4 mm)foam paddy onto the underlayment just below FlatUwPmfrleTile the second course line positioned foam paddy under the strengthening rib for flat tile,or under the W t o iintic PWY wwa we pan portion of the tile,closest to the underlock for iwhea xegvke4 Paddytiletweem0st the second course tile to be installed. Insure approximately 8-9 int(51.6-58.1 cm2)of adhesive Bath"" - PaddytanderUhO contact with the underside of the tile. Gump ' . (Instructions continued of Mtge) ; •••• ••.• • •+ *�4x4im 00.600 • • • paddyan x4in. 0000 •• • 0000•• • •• 0000• 0000•• • • � • • e • • • 0.000 2in. •• •• •• •• 0000•• 00•• • • • • ""Eave©�� 00• •• • • • ••••i• 0000•• Ease cows Fascia i ••• • • • 0000 • • Maditan ProflleTile •• • NOA No.: 14-0805.01 C —F=, q lllllllllllrExpiration Date: 05/10/17 Approval Date:09/04/14 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) tA�tbMU +plastic !R a poft carderdW twhmmwirece 3. Also apply a 2"(50.8 mm)x.4"(101.6 n1m)x%,, l�'�ar�f} e"ar (19 mm)paddy on top of the eave course the • surface as shown,on top of the strengthening rib. ` for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile: Install second course of tile.Insure approximately 4X41a 9(5 8.1 cm2)- 11 (71cm)square inch adhesive ` contact with the underside of the tile at the overlap s a i 4�' and 7(45.2 cm2)-9(58.1 cm2)square inch raa adhesive contact with the underside of the the at the head of the tile.Continue in same manner.. mace wed 2 b. Ewe domwe DrIpedge High ProffteWe 0000 • • 0000 0.000• • 0 • 0000•• • •• 0000•• . -_ -. 0000•• � � � - 0000 •• • 0000•• '0000 • •• 0000• " 0000•• • • ••i••• •• •f •• •• 00.0.0 00.00• 0 • • ••000• • • • 0 00 • •0.00• 0000 • • •• • NOA No.: 14-0805.01 C~H=MECOUNW Expiration Date: -0805.01 05/10/17 Approval Date: 09/04/14 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Two Piece Barrel(Cap and Pan)Tile 1. Starting at the eave course,apply a minimum 2" 1)place enough adhesive to achieve BS to 10 sq.an. Steep•pitch applications in conuct with the pan tile. when repaired) (50.8 mm)x 10„(254 mm)x 1„(25.4 n1m)foam 2)Tum covers upside down.Pace adhesive in paddy onto the underlayment positioned`as to 1 in.from outside edge of cover die. shown under two adjacent pan tiles.Support eave Then limbo the tile.Ensure 20 to 25sq.1mcontactarea. ° tiles from rocking_ until adhesive has a chance to Underlaymant cure. 2. Continue in same manner bringing two pan courses up toward the ridge.Insure T� approximately 65 (419.4 cm2)—70(451.6 cm) square inch adhesive contact withthe underside sheathing of the pan tile. Farre dosure i (motar shown) r 3. Turn covers upside down exposing the underside Weeph of the tile.Apply a minimum 1”(25.4 nun)x 10” f85C�Board (254 mm)bead of adhesive dipeAlr8a the inner stemove top portion of the eave course cover Idle.Abut to second course of edge of each side of tho cover til8.'L'eave e e e e:' pan tiles.Ensure eave end of pan and cover tiles are flush atone one. approximately 3/4'?'rO�m)to-*iNCZ5.4 nql a::e Two Piece Barrel-High Profile Tile from the outside edW.QXthe tile,inward:, free of e foam to allow for excision. .. 0000.. 0000 0 00 00.00 4. Turn cover tile ovel %oam 0 applied acid 0 0 0 00 000 . place onto plan tile course00 .Insure a0minimum00o�'e 00 20(129 cm )-25 (0 610S jm2)squarq inch contact area on each side of theme' &Otile t4the e pan tile.Continue 1,960W mannoaeZrim aviay any cured exposed foam adhesive?Mriting of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required,2"(50.8 mm)x 4"(101.6 mm)nailers or the tie wire system using galvanized,stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 14-0805.01 MIAMt•DADE COUNTY Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 11 of 11 ' c ' 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 (N" www.miamidade go l onoml Eagle Roofing Products LLC 1575 East C.R.470 Sumterville,FL 33585 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 AN84cceptance, if it is determined by Miami-Dade County Product Control Section that this product or mallenal fails to VAT the requirements of the applicable building code. • . 0&0.i . Z; This product is approved as described herein,and has been designed to comply with the Fl0os0* uilding Code 00000 . including the High Velocity Hurricane Zone of the Florida Building Code. 000000 •• :69 94 0000 . .. 0000. 0000.. 0000' DESCRIPTION: Bel Air,Bel Air Doable Eagle,Ponderosa,Ponderosa Double Eaglq.6Wden EAggV.: .••�, Low Profile Concrete Tiles 0000.. . . 0 • 0 . 0 0 000000 LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,c 0000... it3+,state'and following...: statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein 0 •0•:0• • 00 0 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#12-0430.04 and consists of pages 1 through 10. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.:15-0223.18 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete. 1. SCOPE: This approves a new roofing system using "Low Profile Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville, FL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2.PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description Bel Air Concrete Tile L= 17" TAS 112 Flat profile concrete roof tile equipped with two W= 12 1/4" nail holes. For adhesive set,direp i eeck or Thickness=%2" battened nail-on applicalons. • • 0000 0000.0 .. . 00 0 0 Bel Air Double Eagle L= IT' TAS 112 Flat profile concreteMftile equipped wither-- Concrete Tile W= 12 '/a" nail holes. For adh8AWs"et,direct tleck or %...; Thickness=%2" _ battened nail-on app=ons. :•• •• • 0000 . .. 00000 000000 0 0 00000 Ponderosa-Cone Tile 'L=-17" TAS 112 Flat profile concretes'oof the w$h.Aafe fmiah.... W 121/4" equipped with two paiHhQles. For adhesive set,•; Thickness=%2" direct deck or battebed ndil-on$ppli4ation0••••• . . 0000.. 000 Ponderosa Double Eagle L= IT' TAS 112 Flat profile concrete rooftle w�n *e finish Concrete Tile W=121/4" equipped with two nail holes. For adhesive set, Thickness=1/a" direct deck or battened nail-on applications. Golden Eagle Concrete L= IT' TAS 112 Flat profile concrete roof file brushed finish Tile W= 121/4" equipped with two nail holes. For adhesive set, Thickness=1/2" direct deck or battened nail-on applications. Trim Pieces L=varies TAS 112 Accessory trim,clay roof pieces for use at hips, W=varies rakes,ridges and valley terminations. varying thickness Manufactured for each tile profile. NOA No.:15-0223.18 Page 2 of 10 2.1 EVIDENCE SUBMTMD: Test Agency Test Identifier Test Name/Report " Date PRI Asphalt Technologies ERPF-001-02-01 TAS 112 Aug.2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix If TAS 108(Nail-On) Redland Technologies P0402 Withdrawal Resistance Testing of screw vs. Sept. 1993 smooth shank nails Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 TAS 108(Nail-On) Redland Technologies P09647-01 Wind Tunnel Testing Aug. 1994 TAS 108(Mortar Set) The Center for Applied 94-084 Static Uplift Testing 0 0•May 1994 Engineering,Inc. TAS 101 (Mortar Set) •••• 0000:0 The Center for Applied 25-7094-(2,5,&8) Static Uplift Testing ••• ;•. Mt. 1994 •0 Engineering,Inc. TAS 102 """ The Center for Applied 25-7183-(5 thru 6) Static Uplift Testing.•••• ;•• Fpb. 19W• � g, En eerie Inc. TAS 102 0000 0 00 00:000 PP25-7214-(1, ) P ••••• • 1Cgarch, 1995.0 0 00000 The Center for Applied 5 &8 Static Uplift Testin ' Engineering,Inc. T,6S 102 •• 0• 60 The Center for Applied 25-7487-2 Static Uplift Testing, 0• ;0••DBc. 148 •, Engineering,Inc. TAS 102 fee 0 0000 0" The Center for Applied 25-7496-(1 &4) Static Uplift Testing 00Dec. 1995 Engineering,Inc. TAS 102 The Center for Applied 25-78046 Static Uplift Testing Sep. 1996 Engineering,Inc. TAS 102 Celotex Corporation Testing 520109-1 Static Uplift Testing Dec. 1998 Service 520111-4 TAS 101 Celotex Corporation Testing 520191-1 Static Uplift Testing March 1999 Service TAS 101 Walker Engineering,Inc. Calculations Aerodynamic Multiplier Sep.2006 Walker Engineering,Inc. Calculations Restoring Moments Due to Gravity Sep.2006 NOA No.:15-0223.18 Page 3 of 10 3 LEMHATIONS: 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 shall be required,refer to applicable Building Code. 33 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 Miami-Dade County 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 BuildingCode. 4 INSTALLATION: 4.1 Eagle Roofing Products LLC Bel-Air,Bel Air Double Eagle,Ponderosa,Golden Eagle,Ponderosa Double Eagle' Flat Concrete Roof Tiles and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,RAS 119 and RAS 120. 4.2 Data For Attachment Calculations 0000 . 0000 0000.9 -0. Table 1: Average Weight(W)and Dimensions(I x w i••;•• • •• ••••• Tile Profile Weight W(lbf) Length-1 (ft) .. . wwttbw(ft): • • • • • Bel Air, Bel Air Double Eagle, 11.4 1.42 ... .. . . � ..;.. Ponderosa, Golden Eagle, • • .. . 0000 .0000 Ponderosa Double Eagle Flat 0 .' Tile 0 0 00000 0 . • ..0000 Table 2: Aerodynamic Multipliers-A(W) •..• ; Tile Profile A(ft') A(ft3) Batten Application Direct Deck Application Bel Air, Bel Air Double Eagle, 0.301 0.278 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile NOA No.:15-0223.18 Page 4 of 10 Table 3: Restoring Moments due to Gravity-M9(ft-lbf) Tile 3":12" 4';12" 5":12" 6":12" Greater than Profile 7":12" Bel Air, Bel Air Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Double Eagle, Deck Deck- Deck Deck Deck Ponderosa, 7.46 7.71 7.37 7.59 7.22 7.44 7.05 7.27 6.86 7.07 Golden Eagle, Ponderosa Double Eagle Flat Tile Table 4: Attachment Resistance Expressed as a Mornent-Mf(!t4bf) for Nail-0n Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" plywood) (min. 19132" plywood) .bel Air, Bel `-2-10d Ring Shank Nails 30.9 38.1 17.2 Air Double 1-10d Smooth or Screw 7.3 9.8 . 4.9 Eagle, Shank Nail Ponderosa, 2-10d Smooth or Screw 14.0 18.8. . 00000•7.4 ..... Golden Shank Nails 0000 •• • • Eagle, 1 #8 Screw 30.8 30.8006:00 • •. 18.2 ••••• Ponderosa 2#8 Screw 51.7 51. 24.4%664: Double 1-10d Smooth or Screw 24.3 24.3'....• ••.24.2 Eagle Flat Shank Nail(Field Clip) ...... . . ..;.. Tile 1-10d Smooth or Screw 19.0 19:0 • •• -• 422.1 •• '•; `Shank Nail Eave Clip) ;••;•; •• •••••*34.8 •' 2-10d Smooth or Screw 35.5 35.T. • Shank Nails Field Clip) •*000 2-10d Smooth or Screw 31.9 31.9 '..' X2.2 Shank Nails Eave Clip) 2-10d Ring Shank Nails' 50.3 65.5 48.3 1. Installation with a 4"tile headlap and fasteners are located a min. of 2'/"from head of tile. NOA No.:15-0223.18 Page 5 of 10 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Bel Air, Bel Air Double Eagle, Adhesive' 31.32 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 13.9 grams. 3MTm 2-Component Foam Roof Tile Adhesive AH-160 Average weight pera 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mt(ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Bel Air, Bel Air Double Eagle, 3MTm 2-Component Foam Roof Tile Adhesive AH-160 118.93 Ponderosa, Golden Eagle, 3MTm 2-Component Foam Roof Tile Adhesive AH-160 0.4 Ponderosa Double Eagle Flat Tile I 3 Large paddy placement of 45 grams of Pol ProTm. • • • • 4 edium paddy placement of 24 graMs of Pol ProT"' ..,... •• • Table 7: Attachment Resistance Expressed as a Moment-MM—f) •• • • for Mortar Set Systems. •••• •• •• Tile .. Tile •: •• Attactriniont 60—:6 Profile Application :":':Resistince '. ..... Bel Air, Bel Air Double Eagle, Ponderosa, Golden Mortar Sets • Eagle, Ponderosa Double Eagle Flat Tile 0•••• • 5 Tile-Tite Roof Tile Mortar. NOA No.:15-0223.18 Page 6 of 10 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". tAGLEO MO FLORIDA . . .. .... ...... (LOCATED ON UNDERSIDE OF TILE) • • • • OR ' .... . .. ..... ...... . . ..... EAGLE FL :::::: •••:�• . . . . . ...... (LABEL WITHIN THE 3-INCH HES LAP SPACE) " ' .•';•. • • BEL AIIt,BEL AIR DOUBLE EAGLE,PONDEROSA,GOLDEN EAGLE,PONDEROSA DOUBLE EAGLE CONCRETE ROOF TILE LABEL,SUMTERVH.LE PLANT 6. Bui[w G PERNIIT 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 AHJ or applicable Building Code in order to properly evaluate the installation of this system. NOA No.:15-0223.18 Page 7 of 10 PROFILE DRAWING 0000 . • 0000 0000.. . . . . . 0000.. . .. 0000.0 000.0. . 0000.. 0000 •9 BEL AIR 0009 • 0• 0000. 60.09. . . 60600 .. •. 00 00 6.0.00 . 0000.. . . . . . . . • .0000. .000.0 9' . • 0 00000. 000000 . . re 170 2 BEL AIR DOUBLE EAGLE NOA No.:15-0223.18 Page 8 of 10 �w ca R 12%n . . .... ...... PONDEROSA •• • •• • .• • ap •.•... IM PONDEROSA DOUBLE EAGLE NOA No.:15-0223.18 Page 9 of 10 e yi 1 �f i GOLDEN EAGLE •.•• • •• ••�.•• END OF THIS ACCEPTANCE .• NOA No.:15-0223.18 Page 10 of 10 . w SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524A ape.As it pertains to the section,4 is the responsbilly of roofing contractor to provide the owner with the requkW roofing permit and to explain to the owner the content of the section.The provisions of Section 84402 govern the minimum requirements and standards of the industry for roofing system installations.Additionally,the follow9rrg item should be addressed as part of the agreement between the owner ant the contractor.The owner's Initial in tLreni space indicates that the.item has been explained. 2: Renafling"docks:When replacing:roofing,the existing bood1wof decrft have td"4:• be i in accordance with the current provisions of Section 84403.(Thg ref jec k ....�. pry to removing the*existing roof system). • 0000 • e• 0000• 4. Exposed Ceiling:Exposed,open beam celfts are where thewa lde of1he pol decking:••' can be viewed from below.The owner may,wish to maintain the architectur WaMarart - , 0604:9 roofing nati penetration of the underside of the decking may not be acceptalIV.I ig provides the option of •. maintaining the appearance. S. Overflow scuppers •• •roof is {watt outlets):It required that rainwater fk)ties off so that the 4oveed from a buildup of water.Perfineterledge wall or other roof extension may block this discharge if overflow scuppers(wall.outfits}are not provided.it troy be necessary to install overflow pars in accordance with the requirements of Sections 84442,R444and R4413. s Signature Date Sign Date. 4 llmi=1 non sm MIAMI-.HnRr-.R F1 138 Many Address Permit Number Revised on 7MM9 LD;07/0112015,