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RF-16-1949 I ill I i d 1 l; f ' 19 I' �' 1 0 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 I Inspection Number: INSP-263159 Permit Number: RF-7-16-1949 Scheduled Inspection Date: September 19,2016 Permit Type: Roof Inspector: Mesa, Michel Inspection Type: Final Roof Owner: , Work Classification: Tile/Flat Job Address:42 NE 96 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132060130640 Project: <NONE> Contractor: FIVE STAR ROOFING CORP Phone: (305)231-7195 Building Department Comments RE-ROOF FLAT&TILE W/TPO SYSTEM " ° Pis-se Comments INSPECTOR COMMENTS False FLAT TILE COLOR STERLING Inspector Comments Passed Failed El Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid � I September 16,2016 For Inspections please call: (305)762-4949 Page 9 of 39 i lliflf illli II11111111 illif IIIII illif NII{lif OR 8K 30130 Ps 3126 QPss) NOTICE OF COMMENCEMENT RECORDED 06/28/2016 10:54:22 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY RUVINr CLERK OF COURT MIAMI-DADS COUNTY, FLORIDA ; PERMIT NO.// �ab ��7/ TAX FOLIO NO. 11-3206-013-0640 STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information Is provided in this Notice of Commencement. Space above resery for use of recording 1.Legal description of property and street/address: 42 NE 96 ST MIAMI SHORES FL 33138 0 o ;f 2.Description of improvement: RE-ROOF 3.Owner(s)name and address: LUNI USA LLC 235 LINCOLN RD#310 MIAMI BEACH FL 33139 Interest in property: OWNER Name and address of fee simple titleholder. r 4.Contractor's name,address and phone number: FIVE STAR ROOFING CORP. p 6 r. P 2200 W 80 ST#8 HIALEAH,FL 33016(305)231-7195cm 5.Surety:(Payment bond required by owner from contractor,if any) LL 1 Q Name,address and phone number Amount of bond$ CJ EO 6.Lender's name and address: F— r_ LU 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by �► Section 713.13(1)(a)7.,Florida Statutes, 0 e Name,address and phone number. in U 8.In addition to himself,Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section ® LU 713.13(1)(b),Florida Statutes. 8 W 11- Name,address and phone number: EU W 0 2F LL 9.Expiration date of this Notice of Commencement: $ LL u' (the expiration dale Is 1 year from the date of recording uNess a dIfff went date is spacined) 0 � � � WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCE ENTARE CONSIDERED W CD IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13.FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FORE— m IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE< z cc FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORKS Q OR RECORDING YOUR NOTIC )POF C7,01VIENCEMENT. — `o Signature(s)of Owner �ny'Authorlzed Officer/Director/Partner/Manager Prepared By Prepared By FIVE STAR ROOFING CORP Print Name tl�C7 idL- Print Name 2200 W 80 ST#8 Title/Office Title/Office__ HIALEAH.FL 33016 STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this 16 day of JUNE 112, 2016 By LIVIO SERAFIN U Individually,or 0 as OWNER for PROPERTY ❑Personally known,or❑produced the following type of identification: / Signature of Notary Public: ZZ Print Name: U (SEAL) �aaYP�. CARLOS A.URBINA VERIFICATION PURSUANT TO SECTION 92525,FLORIDA STATUTES}} r��,n,ul4ict Notary Public-State of Florida Under penalties of perjury,I declare that I have read the foregoing and t « .•= Commission#FF 245242 that the facts stated in It are true,to the best of my knowledge and belief: ;r p My Comm.Expires Jul 31,2019 Signature(s)of Owner(s)or Owner(s)'s Authorized OfficedDirector/Partner ari�g° Nieto Wg"jhSW* conal Not Assn. By By 123.01-52 PAGE 3 3170 ESN ' s Miami horesills9 e move nan Building Department 10050 N.E.2nd Avenue ��kwI 4es 0� Miami Shores, Florida 33138 l0RTel: (305)795.2204 Fax: (305)756.8972 RE: Permit# — � � DATE ( l INSPECTION AFFIDAVIT I G licensed as a (n) Cont"actor/Engineer/Architect, ect, (Print name and circle License Type) FS 468 Building Inspector License t Q!�. 1 � On or about , I did personally inspect the roof deck nailing (Date&time) work at 2- /ri r! �L (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida. County of Dade: The undersigned, being the first duly sworn,deposes and says that he/she is the contract r for the above property mentioned. Swom to and subscribe l(� d before me this y of "'° CARLOS A.URBINA Notary Public, Sate of Florida at Large z� Notary Public-State of Florida Commission#FF 245242 '�0jo11,op My Comm.Expires Jul 31,2019 Bonded through National Notary Assn. `General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspection.Include photgraphs of each f the roof with permit#and address#clearly shown marked on the deck for each inspection ae.ogsA nn t7mnmuignipmo CIVIL Reileh Engineering Corp. (Consulting Engineer) 2370 Southwest 123rd Avenue Miami,Florida 33175-1174 Tel:305-823-8008/305-397-6414 ENGINEER Fax:305-823-3300/305-884-8834 Website:www.reilehengineering.com September 12,2016 Precision Roofing Corporation 2646 West 77 Place Hialeah, Florida 33016 Project: ROOF TILE UPLIFT TEST REPORT Residential Home 42 Northeast 96 Street Miami Shores, Florida Information provided by client: Permit Number: RF-7-16-1949 Date Completion: September 9, 2016 Roofing Contractor: Precision Roofing Corporation Project Number: 16-0917 (Testing Laboratory Certificate# 11-0715.04) Dear Sirs; In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced pro'ect. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached,rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet,and a meanheight of the roof is less than 40 feet above ground surface. The type of tile used for thisroject was reported to be concrete/clay Roof Tile. This tile was reported to have been foamed in pace. At the time of our inspection,the entire area of the roof was examined for loc Ise tiles. Not less than one(1)tile in ten(10)of all components in the field area and one(1)tile in fi a(5)of all tiles in the perimeter and comer areas were physically examined. A minimum of one(1)test per every two(2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. Based on our test results, we concludethat,the installation of the roof tile at the abovereferenced project meets the test requirement outlined in the above-mentioned protocol. Attached please find a copy of our test report for your review. i. Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation M'ohama Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 42 Northeast 96 Street Miami Shores,Florida Submittals: Cover Page Page 2 thru 5 of 5 Drawing 16-0917 Reileh Engineering Corporation—Project Number-16-0917—Page 2 of 5 Report of TILE UPLIFT TEST for Residential Home 42 Northeast 96 Street Miami Shores,Florida Project Number: 16-0917 Test Number Test Load b est.Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 I Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 24 35 Pass Reileh Engineering Corporation--Project Number-16-0917—Page 3 of 5 Test Number Test Load lb Test Status 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass Reileh Engineering Corporation--Project Number-16-0917—Page 4 of 5 4Test Number Test Load b est Status 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass 80 35 Pass Test 1-18 Corner, 19-27 Ridge Caps, 28-40 Perimeter, 41-80 Field Reileh Engineering Corporation--Project Number-16-0917—Page 5 of 5 15 'm 14 II 10 I6 13 IZ � 9 48 O 32 75 49 47 50 70 92 51 74 52 76 35 30 69 T ?3 71 45 53 44 54 78 46 55 60' 67 63 61 79 62 36 29 43 42 6b 56 58 64 80 39 60 57 40 65 59 26 4 5 8 2 3 6 37 7 60' NUMM 0r 1 5f PSP wtp - 1000 5P O lana CAP 95f LOCAAON PELP 40 COPNek - 90 5P COOUP � 16 P�PIWSV 1715fANa,a- 3' L 15 P MNM5 005 'U 16'0911 PII�GI;CAP - 9 COM APIA- 513' APPPOk POOP TF5f LOCATION5,MA5, ANP f71WN51ON5 ermrt NC. RF4- 6-1949 sK t� Miami Shores Villages z 10050 N.E.2nd Avenue NE WOtk 04MOon.`C ieTFled. Miami Shores,FL 33138-0000 hF � Phone: (305)795-2204 Prl I e I PRQVEI3. : I�rExpiration: 01118/2017 ��i3afe:7l22l20 i >? Exp. Project Address Parcel Number Applicant 42 NE 96 Street 1132060130640 Miami Shores, FL 33138- Block: Lot: LUN( USA LLC Owner Information Address Phone Cell LUNI USA LLC 235 LINCOLN Road MIAMI BEACH FL 33139- 235 LINCOLN Road MIAMI BEACH FL 33139- Contractor(s) Phone Cell Phone Valuation: $ 25,000.00 FIVE STAR ROOFING CORP (305)231-7195 .. ..._ _,. , Total Sq Feet: 4000 Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification:Residential Scanning:3 Up Lift Report 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 CCF $15.00 DBPR Fee Invoice# RF-7-16-60578 $4.88 07/22/2016 Check#:123 $333.76 $50.00 DCA Fee $4.88 Education Surcharge $5.00 07/13/2016 Cash $50.00 $0.00 Permit Fee-New Roof $325.00 Scanning Fee $9.00 Technology Fee $20.00 Total: $383.76 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and th t al ork will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n ,cont or to e 'k stated. July 22, 2016 Authorized Signature:Owner / Applicant Contractor Agent Date Building Department Copy July 22, 2016 1 \b Miami Shores Village i in Department JUl Y 281 3*�' Building D p � 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 j / Tel:(305)795-2204 Fax:(305)756-8972 — - - INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. F - 1 - 199 C/ PERMIT APPLICATION Sub Permit No. BUILDING ELECTRIC Q ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 42 N E 96 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-0640 Is the Building Historically Designated:Yes NO X Occupancy Type: R-3 Load: Construction Type: 1113 Flood Zone: X BiE: N/A FFE: OWNER:Name(Fee Simple Titleholder):LUNI USA, LLC Phone#d Address: 235 LINCOLN ROAD #310 City: Miami Beach State: FL zip: 33139 Tenant/Lessee Name: NSA Phone#:' Email: CONTRACTOR:Company Name: FIVESTAR Roofing Corp Phone#: 305-231-7195 Address: 2200 West 80th Street City: Hialeah State: FL Rip: 33016 Qualifier Name: Joanna Tallet Phone#J State Certification or Registration#: CCC 1330582 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Tl tf 000 Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Q P-100 P X't1rXr T I"`7 'L^;/� r/G-C-r5 co4o2 5npg4t� Specify color of color thru tile: 1FI9044 5AXn0V 700 s Submittal Fee$ Permit Fee$ ' oma+ ) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ G- TOTAL FEE NOW DYE$�� • _ (Revised02/24/2014) Bonding Company's Name(if applicable) r 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 NT CTOR Thg foregoing instrument was acknowledged before me this The foregoing ins ent was acknowledged before me this l Cf day of 20 ,by (0 day of 20A �O by s wh ersonally known MDQ 1/ll/1O�Ti L( who i ersonally know o me or who has produced as me or who has produced as identification and who did tak a identification and who did tai CARLOS A.URBINA 11 °°°" "'�. CARLOS A.URBINA ' u'a' NOTARY PUBLIC: °R�P6ai,'•., OTARY PUBLIC a Notary Public State of Florida a2 0. tory Public-State of Florida a Commission#FF 245242 Commission#FF 245242 - ° My Comm.Expires Jul 31,2019 " My Comm.Expires Jul 31,2019 Sign: onded throw h National ssn. ign: Bonded through National Notary Assn. Print: / 3 v ' \� Print: Seal: Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application- Miami-Dade County http://www.miamidade.gov/propertysearch/#/report/summary =2 OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:7/5/2016 Property Information Folio: 11-3206-013-0640 42 NE 96 ST Property Address: Miami Shores,FL 33138-2724 law Owner LUNI USA LLC Mailing Address 235 LINCOLN RD 310 MIAMI BEACH,FL 33139 USA Primary Zone 1100 SGL FAMILY-2301-2500 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE °n FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft QV Mill, Adjusted Area 2,991 Sq.Ft Taxable Value Information Lot Size 10,725 Sq.Ft 2016 2015 2014 Year Built 1948 County Assessment Information Exemption Value $0 $100,000 $100,000 Year 2016 2015 2014 Taxable Value $464,365 $66,523 $65,202 Land Value $267,952 $203,893 $203,893 School Board Building Value $194,047 $194,333 $189,426 Exemption Value $0 $25,000 $25,000 XF Value $2,366 $2,196 $2,223 Taxable Value $464,365 $141,523 $140,202 Market Value $464,365 $400,422 $395,542 City Assessed Value $464,3651 $166,523 $165,202 Exemption Value $0 $50,000 $50,000 Taxable Value $464,365 $116,523 $115,202 Benefits Information Regional Benefit Type 2016 2015 2014 Exemption Value $0 $50,000 $50,000 Save Our Homes Assessment Taxable Value $464,365 $116,523 $115,202 Cap Reduction $233,899 $230,340 Homestead Exemption $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 $25,000 Previous Sale Price OR Book-Page FQualification Description Senior Homestead Exemption 1 $50,000 $50,000 06/09/2015 $550,000 29677-3358 Qual by exam of deed Note:Not all benefits are applicable to all Taxable Values(i.e.County,School 06/01/1973 $80,000 00000-00000 Sales which are qualified Board,City,Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 7&W1/2 LOT 6 BLK 5 LOT SIZE 75.000 X 143 CF 73R126457 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: 1 of 1 7/5/2016 12:18 PM ■EN Miami Shores Village ` �may` Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 ROOF PERMIT REQUIREMENTS 1. PERMIT APPLICATION. (SIGNED AND NOTIREZED BY BOTH OWNER AND CONTRACTOR) 2. OWNERS AFFIDAVIT OF EXEMPTION, F.S. 553.844 .... 3. AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION FOR WURRICAIV'J+'• •••••• MITIGATION. .. ... 4. PRODUCT APPROVAL. (2 SETS) •• o Front page. •••• •••••• o Specific system description. ••••• . ; ..... o Specific system limitation. .. .� •• �� o General system limitations. •••••• • o Fire Directory Listing Page. •' •••••. 5. DESIGN CALCULATIONS PER CHAPTER 16. OR IF APPLICABLE RAS 1!Mbf;RAS •.... • 128. (2 SETS) • 6. ROOF PERMIT PACKAGE(2 SETS) 7. OWNERS ROOFING CONSIDERATION (REROOFING ONLY) 8. $50 SUBMITTAL FEE. 1 i ' y �„� " -CT i 0 CC, !t BICE WM Fl Ad L I AN, UU i1V i f f-J A 'HLa;i REVISED ON 7/9109;07/01!2015; _._ Miami hores iliage @all . DUN" Building Department 10050 N.E.2nd Avenue �IORYDA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: k-tt9—A4&d ..•• Property Address: t 41,0:-41,0:- y� •••• •••••• ' Roofing Permit Number: 0 see :0000:••••• Dear Building Official: .• • .... . ..... I- 4 Plz4-.2 certify that I am not required to retrofit the root td wa11 conrl�to;of mi::::. building because: •••••• • • • • • ❑The just valuation for the structure for purpose of ad valorem taxation is less than$300,04.01;Iease alta;h proof at 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 t e above property mentioned. Sworn to and subscribed before me this lw y of ARLOS A.URBINA Notary Public-State of Florida Notary Public, Sate of Florida at Lae °j: ; commission#FF 245242 '"'� "�-- M Comm.Expires Jul 31,2019 Bonded through National Notary Assn. • When the just valuation of the structure for purpose of ad vabrem taxation Is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane IU14afion. Revised on 5/21/2009 .5s MiamishoresVillage .... n,,.� Building Department • 10050 N.E.2nd Avenue Miami Shores, Florida 33138 IORiDA Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: yA WWI- Roofing Permit Number: •• ... • •• ....% Dear Building Official: •••••• • certify that I have improved the roof to wall Zilections of to reerenQ.•• prope as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built S6gl6V*Aamily Resitlpntial •• Structures as adopted by the Florida Building Commission by Rule 96-3.047 F.A.C. 00 0 ;.•••; / •• Signature��j Print Name State of Florida County of Dade The undersigned, being the first duly sworn, o an s that he/she is the owner fora the above property mentioned. Sworn to and subscribed before me this d y of Notary Public,Sate of Florida at ge (SEAL) FINAL COMPLIANCE Revised on 5127/2009 yn' Miami horesVillage .son "WWI" Building Department �� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 IOR� Tel: (305)795.2204 Fax: (305)756.8972 RE: Permit# DATE: rp/�( INSPECTION AFFIDAVIT I �qhh� licensed as an { ) Contractor!Engineer I Architect, (Print name and drde License Type) FS 468 Building Inspector •••• License#: CC/5 O�SZ ,•• '....• ...... •••••• •• •••••• On or about I did personally inspeq�the hoof deck nai�na :•. �; (Date&time) • • •••••• • • y�- •�� 9 . .... ..... work at .v sT �'L1�,«i��,�� 3�/3.k2.,�":..; �• . : ..:..' (Complete Job$ite Address) •••••• • Based upon that examination I have determined the installation was done according to the:Nurrirane MigatichRetrofif Manual(Based on 553.8444 F.S) •••••• Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of Notary Public, Sate of Florida at Large `General,BulklN,Residential,or RoofGrg Contractors or any individual certified under 4e8 F.S.to make such an inspedon.Include photographs of each plane of the roof with permk#and address#deady shown marked on the deck for each inspection 0-6.1f—f7M(W 1AWF)4rxmo • �OR� 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. �Renaillng wood decks:When replacingroofing,the existing 9 g w ood 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 uroers de,of the lreei:e}ecking •..... can be viewed from below.The owner may wish to maintain the architectural appearance;therefgre; •' roofing nail penetration of the underside of the decking may not be acceptable*ig?i ovides the dMon of•••• • maintaining the appearance. . osoo ...... ...... 6• Overflow scuppers(wall outlets): It is required that rainwater ows oft$o thattbe huff is ""'' not overloaded from a buildup of water. Perimeterledge wall or other roof ext o block this ••o " discharge if overflow scuppers t' 9 ppers(wall outlets}are not provided. I#may necessary to QYe�rrgw •....o scuppers in accordance with the requirements of Sections 2 R4403 and P44J 3. Oe o ...... Owner/Agents Signature Date Contra or Si ature Date Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 1 HIGH-VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION 1 1 Florida Building Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form 1 1 INSTRUCTION PAGE 1 1 COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT 1 APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: 1 Roof System Required Sections of the Attachments Required 1 Permit Application Form See List Below 1 Low Slope Application A,B,C 1,2,3,4,5,6,7 1 Prescriptive BUR-RAS 150 A,B,C 4,5,6,7 1 Asphaltic Shingles A,B,D 1,2,4,5,6,7 1 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 1 Metal Roofs A,B,D 1,2,3,4,5,6,7 1 Wood Shingles and Shakes A,B,D 1,2,4, ,6,7 . • •• ...... 1 Other As Applicable 1,2,3,4,5,6 • •• • •• 1 ATTACHMENTS REQUIRED: •••• ;••••• 1 se. 1 1. Fire Directory Listing Page ea •••�e• e e e e**:so 1 2. From Product Approval: •• •• •• .: e e e a• 1 Front Page ;••;• • • 1 Specific System Description ..... •••e:. Specific System Limitations .•e • e 1 ee . •ecce• General Limitationsa..* see* e e � • e 1 Applicable Detail Drawings •• e 1 3. Design Calculations per Chapter 16,or if applicable,RAS 127 or RAS 128 1 1 4. Other Component of Product Approval 1 5. Municipal Permit Application 1 6. Owners Notification for Roofing Considerations(Reroofing Only) 1 7. 1 Any Required Roof Testing/Calculation Documentation 1 16.36 FLORIDA BUILDING CODE—BUILDING,6th EDITION(2014) 1 t 1 I 1 Copyright to,or liaised by.ICC(ALL RIGHTS RESERVED);accessed by Me=?Rlacio on Jun 8,2415 10:32:12 AM pursuant to License Agreement No f Cher reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 Section A(General Information) 1 1 Master Permit No. Process No. 1 Contractor's Name !/ET4reP J�Oo /.d/ (�2�• 1 G� 1 Job Address 1 ROOF CATEGORY 1 Low Slope ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 ROOF TYPE 1 ❑ New root ❑ Repair ❑ Maintenance 0, Reroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION • 1 Low Slope Roof Area(SF) 45 Steep Sloped Roof ARF�4(SSF) 0 Tatai(SF) Pf e ••• . • Section B(Roof Plan) ••.. . ;••�• Sketch Roof Plan:Illustrate all levels and sections, roof drains,scuppers,overflow scuppers ands O%f1(bw drain;.Include dimort►41• sions of sections and levels,clearly identify dimensions of elevated pressure zones and location tqfVftrapets. 0. - ..;,1,• s 1-00 T. oil � 1 � 1 1 I 1 1 I 1 1 1 N v001, 1 r 1 1 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014)repro15 37 1 I I I I Vwnmt No furt4er Faductions autlto�d.ICC(ALL RIGHTS RESERVED);accessed by Mew Palacio oty Jun 8.20151032:12 AM pursuant to license ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ® Florida Building Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form, 1 D 1 Section C(Low Slope Application) Top Ply Fastener�onding Material- Fill in specific roof assembly components and identify /y, f�Tc�sc 1 manufacturer :Surfacing �p -��, 1 1 (If a component Is not used,identify as"NA") -" ��/G GvMy7e- 1 Fastener Spacing for Anchor/Base Sheet Attachment: 1 System Manufacturer. dr 1 1 Field: "oc @ Lap,#Rows @ •oc 1 1 P � Product Approval No.: rL. l6 7 v eS- Perimeter:— �`oc @ Lap,#Rows/ @ Ll-oc 1 1 -- 1 Design Wind Pressures,From RAS 128 or Calculations: Comer. oc @Lap,#Rows @ "oc bar 1 1 1 P1:—39- / P2:--69-1 P3:— /00'7 Number of Fasteners Per insulation Board: 1 1 Max.Design Pressure,from the specific product Field Perimeter_ Corner 1 1 approval system: — SZ-S Illustrate Components Noted and Details as Applicable: 1 1 Dom: Woodblocking,Gutter, Edge Termination,Stripping, Flashing, 1 1 Continuous Cleat,Cant Strip,Base Flashing,CounterAeshing, 1 1 Type: �J�� d�JaQ Coping, Etc. • �/B�/� �2 P Indicate: Mean Roof Height, Parape�Aeig%t, Heialj4of Qase • 1 Gauge/Thickness: Flashing, Component Material, Mai 64.Tbickness, Fast:ner 1 �• 1 Slope: �y .�2 " Type, Fastener Spacing or Submit turers Det%ils that 164106641 1 - Comply with RAS 111 and Chapter 1&�� .*00: 1 A� A �...•� 1606609 Anchor/Base Sheet&No.of Ply(s):_ 1 Anchor/Base Sheet Fastener/Bonding Material: •' C • •• •. .. 1'0*0:0 1 Insulation Base Layer. AA1 w 1 t••s.: 1 Base Insulation Size and Thickness: ` plarl M't 1 • 1 Base Insulation Fastener/ ding Material: 1 1 A 1 1 / ► 1 1 Top Insulation Layer. AIA FT. Top Insulation Size and Thickness: '�® Mean 1 1 Top Insulation Fastener/Bond' Material: Roof 1 1 x ® Height 1 Base Sheet(s)&No.of Ply(s): NIA W (� 1 vV 1 1 Base Sheet Fastener/Bondin Material: 1 All^ e 1 Ply Sheet(s)&No.of Ply(s): 1 Ply Sheet Fastener/Bo ing Material: P 1 Top Ply:_ 640 6O Ate/t: G[J lne- a1 tx- 1 15.38 � FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 1 ® 1 1 1 , Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed ry We=Palacio oq Jan i,2015 10:32.12 AM pursuant to license Agreement.No firther reproductioffi authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) e High-Velocity Hurricane Zone Uniform Permit Application Form 1 1 Section D(Steep Sloped Roof System) 1 . y 1 Roof System Manufacturer: Notice of Acceptance Number. Minimum Design Wind Pressures,If A piicable(From RAS 127 or Calculations): 1 P1: 3� / P1: --be,/ P1: ^-/00.7 1 1 1 1 Deck Type: G',0 A( G K/OOl� 5 A8 1 Type Underiayment: 3p Q STM 2Z( �£GT T Roof tope: 1 12 1 Insulation: 1 Fre Barrier: A 846694, 1 Ridge Ventila, on? Fastener Type&Spacing: r '•• =W �01 •••• Adhesive T • TypeCap •/ �'•••• P Sheet: (�j 2d L ��'•,�EOG �iVGt&'/U�.l;l�i(J�; aJr -/�,� Mean Roof Height: Roof Covering: .... • • 5. Type&Size Drip Edge: 1 1 1 A FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.38 Copyright to,or licenced by,ICC(ALL RIGHTS RESERVED);accessed by Eliezea Palacio on Jun 8.2015 10.32:12 AM pursuant to License Agreement.No further reproductions authotized. 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) For Moment based the systems,choose either Method 1 or 2.Compare the values for M,with the values from K.If the RA,values 1 are greater than or equal to the M,values,for each area of the roof,then the the attachment method is acceptable. 1 1 _ Method 1 "Moment Based Tile Calculations Per RAS 127" 1 (P1 /x X'490=74 ipZ Product Approval Mf 10- 1 Product Approval MT O- 1 (�3:/�7x�-� =?.O Mg: =M,�/ •r 7 Product Approval fA 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' 4(Y 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 00000 1 5:12 28.4 30.1 31.6 32.8 •349 •'•' ••••�• 1 6:12 26.4 28.0 29.4 30.5 3 .4 ••• . •• 1 7:12 24.4 25.9 27.1 28.2 9.3.0,0 ••• ,••••. *Must be used in conjunction with a list of moment based file systems endorsed by the Broward Coenttg•goard of&46.and 1 Appeals. pp eggs g ..... For Uplift d tile 1 equal to eFr values systems each area o the roof,then the tile attachment methods acceptable.ared the values for F with the values for Fr. If the F'0 0 00 00 greta0 0 t 0 0 or �.•••e g 1 Method 3"Uplift Based Tile Calculations Per RAS 127* ; 0 . •••••• _)–W: x cos @_=F„ Product Approval F — eggs** (P1:_x L xw:_ • . :g g g g (P2: xL = xw:= 2 Product Approval F0T: • • • g e(P3: _xL_= xw:= )–W: xcos @ Fr_ Product Approval F •• • 1 1 Where to Obtain Information 1 Description Symbol Where to find 1 Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis pre- pared by PE based on ASCE 7 1 Mean Roof Height H Job Site 1 Roof Slope @ Job Site 1 Aerodynamic Multiplier 7L Product Approval 1 Restoring Moment due to Gravity M. Product Approval 1 Attachment Resistance Mf Product Approval 1 Required Moment Resistance MB Calculated 1 Minimum Attachment Resistance F 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 15.44 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) + ' j 1 C�eftlicensed by.ICC(ALL RIGHTS RESERVED);accessed by Eliew Palacio on]on B.2015 10:32:12 AM pucsuam to License se No repoducdom ewhorized. CIVIL R�e�e�Engineering Corp. 2370 Southwest 123' Avenue Miami,Florida 33175-1174 Tel:305-823-8008/305-397-6414 ENGINEER Fax:305-823-3300/305-884-8834 Website:www.reilehenginecring.com July 5,2016 Report of Design Wind Loads-ASCE 7 Components and Cladding Roof Membrane Mechanically Attached Project: 110, Existing Building ' 42 Northeast 96 Street M�hamad Sonny Weh,P.E. Miami Shores,Florida Fla.R #_4 4' Project Number: 16-0727 Building Information •••:•• •• •••••• (Provided by Roofer) •••••• .... . ..... Comp.Height ALO feet Kz : a9:- Slope 9;•Slope <10 V(us) : 195 ffiVh ••,•• •••••• ;,• Exposure C Importance Factor : lib ....:. Category II(Reported) •••••• Wind Uplift Evaluation: Velocity Pressure,qa =0.00256 KZ IV(-d)' =42.34 psf Suction Pressure.0. Suction Pressure,p=q((GCd-(Gcpi)) Use GCS;=+0.00 Membrane Not Exposed Reileh Engineering Corpom ion—Project Address:42 Northeast 96 Street,Miami Sb ,Florida—Page 1 of 3 Zones Sudion Pressure n. u n Zone'1 -fieaZone 3 f Zone 4 R. <20 Feet -42.34 -76.20 -118.54 N/A 1. If a parapet wall equal to or higher than 3 feet is provided around the roof perimeter;Zone 3 may be treated as Zone 2. 2. The width of the perimeter, a, is equal to 10% of minimum building(width or 40%of the roof height but not less than 3 feet or 4%of least horizontal dimension. Fastening Pattern Evaluation see* Proposed Roofing System: GAF EverGuard TPO System No. W-35 FL16730-1Z4. •o e e •• • Approved Fastening Pattern: Fastened 6-inch o.c.within 5-inch wide laps spalr*d$64nch,o.c.and :....: sealed with a 1.75-inch heat weld. '`' • . Goose. so Maximum Design Pressure: - 52.5 pounds per square feet �� K/E'so Go• Fastener Value: 120.31 lb-f ;•e e;. ***o •• .. . Gee* o G GG G as—SPa_ Field Areas(42.34 psf) Fastened 6-inch o.c. within 5-inch wide laps spaced 55-inch o.c. and sealed with a 1.75-inch heat weld. 44 Fasteners per Roofing Square(Uplift=-52.50 psf—O.K) Rcileh Engineering Corporation—Project Address:42 Northeast 96 Street,Miami Shores,Florida—Page 2 of 3 Perimeter Areas(-76.20 psf) _(120.31)(144)/(76.20)(25) =9.09 inches Fastened 6-inch o.c. within 5-inch wide laps spaced 25-inch o.c. and sealed with a 1.75-inch heat weld.(half(1/2)Sheet) 96 Fasteners per Roofing Square Wind Uplift Provided=(96 x-120.31)/100 _- 115.50 psf—OX Corner Areas(-118.54 psf) Fastened 6-inch o.c. within 5-inch wide laps spaced 25-inch o.c. and sealed with a 1.75-inch heat weld. (Picture Frame Pattern—25" Square Pattern). Approximately 130 Fasteners per Roofing Square Wind Uplift Provided=(130 x-120.31)/100 � � see 6689:6 =- 156.40 psf—O.K. •68•;6 6666. 6666.. • 6666.. 6666 6 6666.. .-... . 6666. �I ...... 6666. 6666 6666 6666.. 6666.. • 6666.. 6666.. . . 6666.. .. 6666 Reileh Engineering Corporation—Project Address:42 Northeast 96 Street,Miami Shores,Florida—Page 3 of 3 TisLEM WOODSECIM-MEw _- - _ rsTENt+rpeP�.�1r� DGn�C - -. --- hP� Jti' t�ai+hrn. =- pd�� elbd�d; �-�«�3� VMLvt�,�woam«�a sada O °i Rte- a am"AUT -. n sus 5'a em► `Drl�-Tst�C itiO�s�is. 'ed�iiYea a withh Ench wi�fa - - �' �ar6e4�Plaoe-il S91ncAo�andaeaeed,�Wehst.T¢lnilrheaf+�lA: hAp1,1411 -hCh wood'via& . i's0a ig?.a dad j8pt elm lt� &W'r U4 i I I I - ;lydtl��112 wld�laP��V id: + C dw bye eld�lOd th teaDs4`" f+ars ji —G . art Cr&T@cAcmfftar Cbae.aa�a�alsOwMAa1 NeW: 14stH�ees P ehep jgeatROiW X47'3 ' - )a�lleEaOVk'4, M,TfP4 i[A7TACf®lASESFIEET,i�EpRtJDrGi>i/ER vptm oedt CoA tem. - l�aarAneborS�rl. - astaevr Mme, N 19j dtplyrr {aP!o4i �iAFSooter eAne or �-Teeltfif#see Wwith'*& Oak- 1Wnc1 ek tc'4 b - MW4! 4drlat OaE�or.et_ed� Gnei�taa�etsjiet; � taosNsfd 3he�t d ff'OaC.ifep�y , 1(IY ,4 Iad Galrume J sow 194l�l o l.it twd�X49 xfaLlssy�d `#�.t9dndi ( ? aPa�4. rrows - L. QAFiwnrd•GnJ4�etior Drf7eeftlaEastnierwkhONE- 7Fintlsdc.atmtn.#-tetril�►a�,a - wga, 4drinsihaaNcae��ocf�ed�s �r�et;inpr�tsyi.� - and eat ette mtd1aai ems. ' laasa�hld teAau: d, �e M. pine IneU az at eae equaw - ! TPQ�sd)suMved . apaoedr ataa{ered e�nhr roil . .. . . . . ... . .. ... .. . . . .. . ..• . ••. . . EkDfder�� X14 W4/rTi�j►(E110 '.: : . '. laa; f • .. . .. .046 0 • • eiaie s,�. Wti73b . ,It16: ' k Papltaf�3 ... . . . ... . . MIAMEDADE 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) www.miamidade.gov/economy Boral Roofing LLC. 7575 Irvine Center Drive,Suite 100 Irvine,CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County 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 Neemp requirements of the applicable building code. •• •••• This product is approved as described herein,and has been designed to comply with the Fl �itl&Bdilding Lod00 e:• •.. including the High Velocity Hurricane Zone of the Florida Building Code. • DESCRIPTION: BORAL TileSeal •• • .... . ..... ...... . . ..... LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,a*tyf state and�llbWing 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 ihere%as beers gq Fhange:" in the applicable building code negatively affecting the performance of this product. of : 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 revises NOA#12-1219.01 and consists of pages 1 through 4. The submitted documentation was reviewed by Juan E.Collao,R.A. NOA No.: 13-1113.05 MIAh 1 o�►uEO�Du Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 1 of 4 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Category: Underlayment Material: SBS PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description BORAL TileSeal 36"x 36' rolls TAS 103 SBS self-adhering asphalt sheet material with a 36"x 72' rolls ASTM D 1970 white glass re-enforced polyester surfacing fabric; for use as an underlayment in sloped roof assemblies. MANUFACTURING LOCATION: 1. Brentwood,NH EVIDENCE SUBMITTED: 0000 Test Agency Test Identifier Test Name/Report •9 9 9 Bate ...... Underwriters Laboratories,Inc. R14610 Follow up Service •• •0 003/t8/02 •• 099.00 99 0000.. IRT-Arcon,Inc. 02-012 TAS 10342/28/02:,,,.0: PRI Asphalt Technologies,Inc. NEI-006-02-01 TAS 10308::::60 :--401/02 ,0 0000 • PRI Asphalt Technologies,Inc. NEI-008-02-01 TAS 114(H) 0 0 0 0.. • 07/ 0/02:::::o PRI Construction Materials NEI-045-02-01 ASTM D 4798&ASTM O•f55 0 008/ 08 /07 Technologies,LLC. NEI-053-02-01 ASTM D 4798&ASTM ;155 ;0 05101/08 9999:9 NEI-076-02-01 TAS 103/ASTM D47�j bel%T4/110 • 000.. NEI-034-02-02 ASTM D 1970 �.9 ••Ilf;9/13 • 00 0 NOA No.: 13-1113.05 M APPRO« Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 2 of 4 APPROVED ASSEMBLIES: Deck Type 1: Wood,non-insulated Deck Description: 15/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck,membrane adhered. Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4"head lap and a 6"end lap mechanically fastened to deck with approved nails and tin caps 6"o.c.at the laps and two staggered rows 12"o.c.the field of the roll. Membrane: One or more plies of BORAL TileSeal Underlayment with a minimum 3"head lap and minimum 6"end lap.Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with BORAL TileSeal Underlayment is acceptable. All end laps and laps without black selvage area shall be sealed under lap using an SBS modified mastic. Note: When used in Tile roof systems BORAL TileSeal Underlayment shall be back nailed to deck with approved annular ring shank nails and tin caps at a maximum 6"o.c.at the side laps. No nails or tin caps shall be exposed. '•' . . 0000 000000 Surfacing: Approved for Approved Adhesive Set Roof Tile Systems, Mechanica'6141ened Roof.',ile, ...... Metal Roofing, Wood Shake&Shingles,and Asphaltic Shingle assenmu. • 0000.. 0000 0000 . 0000. .. .. .. .. 0000.. 0000.. 0000.. 0000.. • 0000 00 0 0000 0000 NOA No.: 13-1113.05 haE►hu'___out Expiration Date: 07/31/17 PROVEDI Approval Date: 03/13/14 Page 3 of 4 LIMITATIONS: l. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. BORAL TileSeal underlayment shall be installed in strict compliance with applicable Building Code. 3. BORAL TileSeal underlayment shall be applied to a smooth,clean and dry surface with deck free of irregularities. 4. BORAL TileSeal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over a roofing Base/Anchor sheet underlayment. 5. BORAL TileSeal underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 6. The standard maximum roof pitch for BORAL TileSeal underlayment shall be 6:12 when tiles are loaded directly to the BORAL TileSeal underlayment; loading boards or battens are required on roof pitches greater than 6:12". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 8. Tiles shall be stored on battens on roof pitches greater than 6:12". 9. BORAL TileSeal underlayment may be used with any approved roof covering Notice of Acceptance listing BORAL TileSeal underlayment as a component part of an assembly in the Notice of Acceptance. If BORAL TileSeal underlayment is not listed, a request may be made to the Authority Having Jurisdiction•`AIJJ) or the Miami-Dade County Product Control Department for approval provided that appropriate doeijWptation.is...0 provided to detail compatibility of the products,wind uplift resistance,and fire testing regults; .• 10. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any 1 ®sa feeking panels' Swett the deck thoroughly to remove any dust and debris prior to application. 7.00060 :0000: 11. When applying the membrane in the valley, start at the low point and work to the high porn�rolling tt►bWmbran@...• from the center outward in both directions. For ridge applications, center the membrapgAt"roll from the center:•- outward in both directions. .. .0 .. . 0000.. 12. Roll or broom the entire membrane surface so as to have 100%contact with the surface;gt ft special attention to • overlap areas. :00000 •• 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assemb Gont ProdA Contre 0 0 • Notice of Acceptance and applicable Building Code. Goes 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. This target piece shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of BORAL TileSeal underlayment shall be applied over the underlayment,and sealed using an SBS modified mastic. 15. 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. 16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo,city and state of manufacturing facility, and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below MIAMI•DADE COUNTY ...• END OF THIS ACCEPTANCE NOA No.: 13-1113.05 APPROVED Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 4 of 4 NAM 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) www.miamidade.eoy/economy Boral Roofing,LLC 7575 Irvine Center Drive,Suite 100 Irvine,CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County 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 rptafft + . 4444 4444.. requirements of the applicable building code. •• This product is approved as described herein,and has been designed to comply with the Florida Building Md0e0 ••;• 606.4+ including the High Velocity Hurricane Zone of the Florida Building Code. 0 4 0 0 0 0 • 4444.. 4444 0 4444.+ 4444. DESCRIPTION: Saxony 900 Concrete Roof Tile •••• •4•••6 • e 6.664 4A 11 64 44 •46664 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logoCate and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted hereine. •+•••• • :4444: RENEWAL of this NOA shall be considered after a renewal application has been filed an •th8re ft-as bei no dhange 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 No. 12-0222.03 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. NOA No.: 13-0723.05 MIAMFDAD,COUNTYM Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Cateaory Roofing Sub-Catej!ory: Roofing Tiles Material: Concrete Deck Type: Wood 1. SCOPE This NOA approves a system using Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile, as manufactured Boral Roofing LLC in Lake Wales, FL. and described 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 the installation section herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Saxony 900-Slate 1= 17" TAS 112 Flat profile, interlocking,high-pressure w= 13" extruded concrete roof tile eqWpped with thickness= 1-5/32" two nail holes. For direct delkor.battened••••- nail-on,mortar e'er or ailhesivm% ; '• applications. •••••• •• """ Saxony 900-Split 1= 17" TAS 112 Flat profile,interipjW* g,high-pressure a"•': Shake w= 13" extruded concrett.WAnile eq'uipp'e$with••••• thickness= 1-9/32" two nail holes. Fiw direct decle q bpened 0••' nail-on,mortar sctpor a5hesive%tt•' "":' applications. ToDSW;jpe available in 4 • different configufations :••• • 1. Complete file 14ushed.... 2. Right half brushed(sl?%wh M • drawing) 3. Left half brushed 4. No brush Saxony 900-Shake 1= 17" TAS 112 Flat profile, interlocking,high-pressure w= 13" extruded concrete roof tile equipped with thickness= 1-9/32" two nail holes. For direct deck or battened nail-on,mortar set or adhesive set applications. Trim Pieces Length: varies TAS-112 Accessory trim,boosted Barcelona,concrete Width:varies roof pieces for use at hips,rakes,ridges and varying thickness valley terminations manufactured for each tile profile. NOA No.: 13-0723.05 Mu M16DADE COUMW Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 2 of 10 2.1 MANUFACTURING LOCATION 2.1.1 Lake Wales,FL. 2.2 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Renort Date Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102&TAS 102(A) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering,Inc. TAS 101 (Mortar Set) The Center for Applied 94-060A Static Uplift Testing March, 1994 Engineering,Inc. TAS 101 (Adhesive Set) The Center for Applied 25-7183-6 Static Uplift Testing Feb. 1995 Engineering, Inc. TAS 102 (2 Quik-Drive Screws, Direct Deck) The Center for Applied 25-7183-5 Static Uplift Testing Feb. 1995 Engineering,Inc. TAS 102 (2 Quik-Drive Screws, Battens) The Center for Applied 25-7214-1 Static Uplift Testing March, 1995 Engineering,Inc. TAS 102 ••••• (1 Quik-Drive Screw, . . 0000 0000.. Direct Deck) 0000.. The Center for Applied 25-7214-5 Static Uplift Testing •••;••March, 1295.. :*sea: Engineering,Inc. TAS 1020 0 .0000. 000.. (I Quik-Drive Screw, •••• 0• ••e•• Battens) •••••• • • ••••• Redland Technologies 7161-03 Wind Tunnel Testing •••••• Dec.•199'1• •••••• Appendix II TAS 108(Nail-On) :0*:*: ' Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing •• Auj.•10 4• TAS 108(Nail-On) •••• ; s••• ;••••; Redland Technologies P0631-01 Wind Tunnel Testing JuljJA4: TAS 108(Mortar Set) Redland Technologies P0402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails The Center for Applied Project No.307025 Wind Driven Rain Oct. 1994 Engineering,Inc. Test#MDC-77 TAS 100 Atlanta Testing& R1.894 Physical Properties Aug. 1994 Engineering, Inc. R2.894 TAS 112 R3.894 Celotex Corporation 520109-1 Static Uplift Testing Dec. 1998 Testing Service 520111-4 TAS 101 Celotex Corporation 520191-1 Static Uplift Testing March 1999 Testing Service TAS 101 NOA No.: 13-0723.05 MIAMMADE COUNTY Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 3 of 10 Walker Engineering, Inc. Evaluation Calculations 25-7094 February 1996 Walker Engineering, Inc. Evaluation Calculations 25-7496 April 1996 Walker Engineering,Inc. Evaluation Calculations 25-7584 December 1996 25-7804b-8 25-7804-4&5 25-7848-6 Walker Engineering, Inc. Evaluation Calculations 25-7183 March 1995 Walker Engineering, Inc. Evaluation Calculations Aerodynamic Multipliers January 2007 Walker Engineering, Inc. Calculations Two Patty Adhesive Set April 1999 System Walker Engineering, Inc. Evaluation Calculations Restoring Moments Due to February 2007 Gravity Nutting Engineers 130 TAS 112 January 2007 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 shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. sees 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope tm ss stated.... otherwise by the underlayment material manufacturers published literature. •• • *900 • • 3.6 This acceptance is for wood deck applications. Minimum deck requirements s1'U be in compliance wttY a e' .ees. the applicable Building Code. ssees •e...• . sees.. sees . sees. i...... sees. ,,.. .. .. .. sees.. sees.. sees.. .. a 0000 0 e NOA No.: 13-0723.05 M FDAD:COUNTY Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 4 of 10 4. INSTALLATION 4.1 Saxony 900 (Slate, Shake & Split Shake)Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,RAS 119,and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight(W) and Dimensions (1 x w ) Tile Profile Weight W(lbf) Length-I (ft) Width-w(ft) Saxony 900 11.5 1.417 1.08 Slate, Shake& Split Shake Table 2: Aerodynamic Multipliers - (ft) Tile I(ft ) X(ft) Profile Batten Application Direct Deck Application MonierLifetile Saxony 900 0.289 0.313 Slate, Shake &Split Shake Table 3: Restoring Moments due to Gravity-M9 (ft-lbf) Tile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or Profile greater Saxony Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct BMdr% Direct 900 Deck Deck Deck Deck : Heck "" Detit Slate, 7.16 8.12 7.08 8.03 6.97 7.91 6.82 7.74 6.65 I 7•5 .46 7.34• • Shake & .... Split .00 .. L .... :...:. Shake ••• ••• • ...... . . ..... .. .. .. .. ...... . . . . ...... . a 0000 . ...... NOA No.: 13-0723.05 ML4WMAD;COUNTY Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 5 of 10 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 16/32" (min. 19/32" plywood) plywood) Saxony 900 2-10d Ring Shank Nails 30.9 38.1 17.2 Slate, Shake&Split 1-10d Smooth or Screw Shank Nail 7.3 9.8 4.9 Shake 2-10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 48 Screw 30.8 30.8 18.2 248 Screws 51.7 51.7 24.4 1-10d Smooth or Screw Shank Nail(Field 24.3 24.3 24.2 Clip) 1-10d Smooth or Screw Shank Nail(Eave 19.0 19.0 22.1 Clip) 2-10d Smooth or Screw Shank Nails(Field 35.5 35.5 34.8 Clip) 2-10d Smooth or Screw Shank Nails(Eave 31.9 31.9 32.2 Clip) Table 6: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile ResistiA86. . . sees 1900 .• MonierLifetile Saxony 900 Adhesive •• . 313. . Slate, Shake&Split Shake e e e.0 s 0 e. % 1 See manufactures component approval for installation requirements. *sees* • 2 Dow Chemical TileBond Average weight per patty 13.9 grams. •••• ' Pol oam Product, Inc.Average weight r a 8 rams. a sees :""' ... . Table 6: Attachment Resistance Expressed as a Moment- Mf M!Ibf) "' •• for Single Patty Adhesive Set Systems 0 e sees. Tile Tile Application fAir1itqum Attachment:..,.: Profile ResistAl'IM • MonierLifetile Saxony 900 Polyfoam Pol ProTm 118.9 Slate, Shake & Split Shake Polyfoam Pol Pro TM 40.4 3 Large paddy placement of 45 grams of Pol ProTm. 4 Medium paddy placement of 24 grams of Pol ProTm. Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Mortar Set Systems Tile Tile Minimum Attachment Profile Application Resistance MonierLifetile Saxony 900 Mortar Set 43.9 Slate, Shake& Split Shake 5. Tile-Tite Roof Tile Mortar NOA No.: 13-0723.05 Mu►ManawE COUNTY Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 6 of 10 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below,or following statement: "Miami-Dade County Product Control Approved". LABEL FOR SAXONY 900 TILES(LAKE WALES FL PLANT LOCATED UNDERNEATH 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 the Building Official or applicable building code in order to properly evaluate the installation of this system. 9999 969..6 9999.. 9999.. 9999 9999.. 9999 . 9999. .. .. .. .. 9999.. 9999.. 6 9999.. .. 9999 NOA No.: 13-0723.05 MAMMAD,COUNTY Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 7 of 10 PROFILE DRAWINGS NAIL HOLES m 1-5/32"(Slate) 17 " COVERLOCK 1 3 1, 17 *000 • • • ••Y• 00.0.0 �.•••• •• • 0000• 0000• •• • • • UNDERLOCK :0000: 1 .000 • 66.60 6666.. . 6666. SAXONY 900-SLATE • • •. • • •• •• .• •• 0060•• 0006•• • • • • • • • • • •% 6066.. •... • • . • • 0 494:06 • 6066.. •• • NOA No.: 13-0723.05 MIAMFDADE COUNTY ,111 ,,,.• � Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 8 of 10 NAIL HOLES 1-9/32"(Shake) we. A it e A � f �d 1711 13 " Note: Available Top Surface Finishes •••• . 0000 0000.. 5. Complete the brushed . . . 6. Right half brushed (shown in drawing) •��.•� 7. Left half brushed • 8. No brush0000 0000.. • . . .0008 . 0000. ...0.. • • 0000. SAXONY 900-SPLIT SHAKE •• •• •• •• •••••• 00.00. • • • • • • • 0000.. 0000.. • • • 0000.. NOA No.: 13-0723.05 L I F-IL 13nn0,e co: Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 9 of 10 NAIL HOLES �o _ t4` ` 1-9/32"(Shake) 17 " F C 3 1311 Soso • . .... 6690•0 SAXONY 900-SHAKE '..' : ... . .• END OF THIS ACCEPTANCE '• ••°°•• .... . ..... ...... . . ..... .. .. .. .. ...... . . . . ...... 9 •• • 999• • • NOA No.: 13-0723.05 Mu►Man��eourrnr Expiration Date: 04/26/17 Approval Date: 09/26/13 Page 10 of 10 MIAMI-DADE COUNTY MlAlN 'I PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv ICP Adhesives and Sealants,Inc. 12505 NW 44'Street Coral Springs,FL.33065 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. sees . . 9999 sees.. DESCRIPTION: ICP Adhesives Polyset®A11-160 •• •••e •• LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,'c11V, state an$ follow,..; statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.*:ees ••••:. . .00.00 RENEWAL of this NOA shall be considered after a renewal application has been filed apd 1bgfb has b@eri jo charlgq„, in the applicable building code negatively affecting the performance of this product. .•sees 0 0 e 0 0090.0 e se TERMINATION of this NOA will occur after the expiration date or if there has been;h rgvision of chsan..ge in 14L. materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endof?emdnt of afil�tgduct,for • sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with'a$y srection 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 14-0805.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 16-0315.01 Expiration Date: 05/10/17 Approval Date:04/07/16 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset'AH-160 as manufactured by ICP Adhesives and Sealants,Inc.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 Application Standard RAS 127. For use with approved flat,low,and high profile roof tile systems using ICP Adhesives Polyset®AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications ICP Adhesives N/A TAS 101 Two component polyurethane foam adhesive Polyset'AH-160 ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTF1000 ICP Adhesives ProPack' N/A Dispensing Equipment 30& 100 0000 . . 0000 0000.. PRODUCTS MANUFACTURED BY OTHERS: 9.0.0 0 •0.: 0696:6 Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current OXftich list aftachment....: 0 resistance values with the use of ICP Adhesives Polyset®AH-160 roof tile adhesive. 000 ••••.. 0000 . 0000. ,0000.. 0000. MANUFACTURING LOCATION: •• •• •• •• •••... 0000.. . 1. Tomball TX. • 0000.. 0000.. . . .Soso. PHYSICAL PROPERTIES: 0 • .. . Property Test Results Density ASTM D 1622 1.6lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft2 Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-400 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.: 16-0315.01 warn uewe cou�rnr Expiration Date: 05/10/17 JAPPROVED1 _1Approval Date:04/07/16 Page 2 of It EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp.Testing Services 528454-2-1 TAS 101 104XV98 528454-9-1 • • •••• 4006•9 528454-10-1 '• 4 ••• • 520109-1 TAS 101 12/29/98 ••••'• 1444444 . 520109-2 ...... 520109-3 *see •4.44• 520109-6 • ...... . . ..... 520109-7 ' ' ' • .. .. .. .. ...... 520191-1 TAS 101 ••4646 03/02/99 .' 520109-2-1 ••••.. . . 444444 .. . 444 . LIMITATIONS: 4 • 00 0 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire rating. 2. ICP Adhesives Polyset'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 ICP Adhesives Polyset®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 61 G20-3 of the Florida Administrative Code. NOA No.: 16-0315.01 Muunan�Courmr Expiration Date: 05/10/17 Approval Date:04/07/16 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polyset'AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset®AH-160. 2. ICP Adhesives Polyset®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 ICP Adhesives Polyset®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. ICP Adhesives Polyset®AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and ICP Adhesives and Sealants,Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by ICP Adhesives and Sealants,Inc. ICP Adhesives and Sealants,Inc.shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives 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. ICP Adhesives Polyset®AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF 1000 or ICP Adhesives ProPacV 30& 100 dispensing equipment only. 7. ICP Adhesives Polyset®AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 1 to 2 minutes after ICP Adhesives Polyset®AH-160 has been dispensed. •••••• 9. ICP Adhesives Polyset®AH-160 placement and minimum patty weight shall be in acdbrdhnCe with lie•• •••,'• 'Placement Details'herein. Each generic tile profile requires the specific placement nbtedharein. •.; ..••;. .... . ..... . . . . ...... .. . •••• . . NOA No.: 16-0315.01 � Expiration Date: 05/10/17 APPRVEDI Approval Date:04/07/16 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course-Flat,Low,High All Eave Course 17-23 sq.inches 45-65 Profiles Flat,Low,High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat,Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two-Piece Barrel(Cap Tile) Two Piece 2 Beads(1 each longitudinal 17 grams per bead edge)20-25 sq. inches each bead Two Piece Barrel(Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiableinarking of th;•• •• manufacturer's name or logo and following statement: "Miami-Dade County Product ControrA41prSved"orthe Miami- .• Dade County Product Control Seal as shown below. ••••.. ....:. MIAMhaADE COUNTY •••••• •••• • ••••• BUILDING PERMIT REQUIREMENTS: •• .. .. .. ...... As required by the Building Official or applicable building code in order to properly evaluaj the in stallation of this ••• • ....% system. • NOA No.: 16-0315.01 MIAMI-MADE COUNTY ..., EDIExpiration Date: 05/10/17 Approval Date:04/07/16 Page 5 of 11 ADHESIVE PLACEMENT DETAIL# 1 lam vu�h�.,sr�ea aae wadyflUrft6aAr"a Flat/Low Profile Tile Irk e6qu1r684 _ 1. Starting at the eave course,apply a minimum 2 �.. (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown, �•._ _ - _ under the strengthening rib closest to the overlock of the tile being set. 11,tans mpt, 2. Continue in same manner. Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive contact with the underside of the tile. Em Flvnnr•__ :t i.. Nall through ptnUctgnw* Medium Profile/ Double Pan Tile lavhen rer�lirerV'a 6aarly4B•-Mnfh aT1.1 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 ,w under the pan portion of the tile closest to the overlock of the tile being set. ..•. left i" _ ¢�`t `-• n-: • • 6666•• 6666•• s CPOmal ,< 2. Continue in same manner.444 re app"�invately 17Batte .• y ` '•'' _~'`''s :-' r r- •Ri?.=.:.._::_- 1:, - ;�':�z::- CM2) (109.7 23 (148.40Cfit7 square inchedthesiw- contact 6666 with the undersfde'df i'he tile. ,••••: �`"c 9dYir� •_=;;� ]m - 6666•• ••••�• • • 6666 • 9.9.9 _ '•- r �'.r •99.6• • • 69696 • • • • • 6.6.96 • - 6 • • • 6.9.9• High Profile/Single Panile 6 •••. ,10Wm rnituiiedl _Paddy I1eaialknipl • • •9 9 9•• aler�.rlayas•,a''A., _~ 1. Starting at the eave course,apply a mlffimdm 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 overlock of the tile being set. Bane" -_, `;: 2. Continue in same manner. Insure approximately 17 (109.7 cm)—23 (148.4 cm2)square inch adhesive <,C contact with the underside of the file. ic-_. ; *� Faso tlPeep9rale Eace closure NOA No.: 16-0315.01 �D'I Expiration Date: 05/10/17 Approval Date:04/07/16 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 raa alit C•m•aeFlat/Low Profile Tile Cwfbc€�re�uired3, -- u""^�° "°'�' 1. Starting at the eave course,apply a minimum 2"(50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the the being set. Insure approximately 17(109.7 cm2) gygaWbAs ral _ —23 (148.4 cm2)square inch adhesive contact with the cn" ;: underside of the tile. - -_.: AL 2. At the second course,apply a minimum 2"(50.8mm) x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the 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 cm2)- 12(77.4 cm2)square inch adhesive contact with the underside of the tile. Dail tPlrouple pIa941C eepneaa Medium Profile/Double Pan Tile Fathers regairedl •••• paddy joemmdbIU•r 1. Starting at the eave courses a playa minifii1i 12"(5(f8••;• uad•elayrn•ae .-- mm)x 10 (254 mm)x 1 �(�2.4 mm)foam-00 pkdy •••;• onto the underlayment os as show under the =t;. _ pan portion of the the close the overlock of the the being set. Insure appy©'Zrimat�ly 17 it?d9.7•cm2):..•. ;ice. ' 4;- 23148.4 cm2)square inch adhesive contact with the*%.' i " ~. _ F • ' '�'•4 t_ '= j: underside of the tile. .. ` .. frttens optional •• •• •••.•• 2. At the second course app a mithimun:2;49.8mtip••.. ` ""`'4'-"_:lU lrl.'-:``,. n ice.. '�~�.,s•'�� i~ ff • x 7»(177.8 mm)x ] 25.4 mmn •foam add onto tfie..•. '`'•�:.� .-_- .�__- ;, � —�.�..,� underlayment positioned asshown under the pan portion of the tile closest to the overlock of the tile ` being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2)- 14(90.3 cm2)square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 16-0315.01 �� Expiration Date: 05/10/17 JAPPROVEApproval Date:04/07/16 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2 (CONTINUED) Wduoughpf-uCcap-li -.. d . tinU3 High Profile/Single Pan Tile ,:when towlPaddy dr�e e„ ,`'-AV �=•=...•.._�::== j 1. Starting at the save course,apply a minimum 2"(50.8 ti• ?K=-'4-... mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the <2 �• ti =; _• tile being set. Insure approximately 17(109.7 cm )— In -. -�,:,_ ;;%' 23 (148.4 cm2)square inch adhesive contact with the Bafteimopdono , s '-�; underside of the tile. _' -'_ �: - `•--,� rte-- r-:.- = 2. At the second course apply a minimum 2"(50.8mm) E."Count`= a,§;a x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan ,a ";;-,_y a�, ri 'f `} ' . E portion of the tile closest to the overlock of the tile ' °roRedge being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm2)- 19(122.6 cm2)square inch adhesive contact with the underside of the tile. sees • oto lose•** s• •se••s • ••sees • • • sees•• • • •♦sees sees • •••♦• • • •• •f ss •• Osseo* s •sees* • • NOA No.: 16-0315.01 Expiration Date: 05/10/17 1APPROVED1-,j Approval Date:04/07/16 Page 8 of 11 ADHESIVE PLACEMENT DETAIL#3 Uthmughr��c cement Paddy(betwem tiles) 1. On the eave course only,apply a minimum 2" (50.8 smenvptianal 11 mm)x 10" (254 mm)x 1" (25.4 mm)foam paddy I Par(wide tile) onto the underlayment positioned as shown,under ®"P the strengthening rib for flat tile or under the pan �� portion of the tile for low or high profile tile closest to the Overlock of the tile being set.Leave approximately 4"(10 1.6 mm)up from the eave singlepad* edge free of foam to prevent the expanded adhesive anaalayment °f 2s4bL from blocking the weep holes. Insure approximately 17-23 int(109.7-148.4 cmZ)of adhesive contact with the underside of the tile asda 2. Apply a 4" (101.6 mm)x 4" (101.6 mm)x 1" (25.4 mm)foam paddy onto the underlayment just below Flatt6awPrafileTile the second course line positioned foam paddy under the strengthening rib for flat tile,or under the fbild"OUPPUMticamma Singiepaddyundertile pan portion of the tile,closest to the underlock for (1rheA required) Paddyam"Mentugs) the second course tile to be installed. Insure approximately 8-9 int(51.6-58.1 cmZ)of adhesive Baumcoal - P" '(undwtoe) contact with the underside of the tile. ` ease (Instructions continued on neva+page) see. .' • •••:•• as .sees• 2a4in:`_ sees•• • • • - sees • • • • - • • ••see• ` �' •e•• • sees• 106 ��`�.�� 26U cess• e • seise• so EM"Game Fawecomss % Fasda • s ie•si• •s•ei• MecUmn ProfUeTQe •• • •••• • • NOA No.: 16-0315.01 r love!!tie CorJnlTr Expiration Date: 05/10/17 JAPPROVEDI Approval Date:04/07/16 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) W through Plastic RR a Paddy undertoe (whenMqu6etf7 3. Also apply a 2"(50.8 mm)x 4" (101.6 mm)x 3/a" PaddyihetwemOni (19 mm)paddy on top of the eave course tile �ddyitm�ermei 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. " ano __'' Install second course of tile. Insure approximately �a=ain. 9(58.1 cm2)- 11 (71cm2)square inch adhesive a:ain. `•jy'`�, contact with the underside of the tile at the overlap mon a and 7(45.2 cm2)-9(58.1 cm2)square inch tW of We— ��'' _ adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. �'�oo�— -�� Fasda Wewhde 10 in. 2 in ge ostue ed Hlgh ProflleTffe • • •• a ••e• • • • • s e• • NOA No.: 16-0315.01 M ;c�nrrY Expiration Date: 05/10/17 JAPPRApproval Date:04/07/16 Page 10 of 11 i ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Two Piece Barrel(Cap and Pan)Tile 1. Starting at the eave course,apply a minimum 2" In clace ontactwith enough ae hedve pan tfleoad�iewe 65 to 70 sq in steep pitchapplications 50.8 mm x 10" 254 mm x 1" 25.4 mm foam In contact whfi the pan tile. why required) ( ) ( ) ( ) 2)Tum covers upside down.Piece adhesive in paddy onto the underlayment positioned as tet In fromoatsideefteofcovertile. shown under two adjacent pan tiles. Support eave Than Ins- U the tile.Ensure 20 to 25syan.=ctarea tiles from rocking until adhesive has a chance to Uederlayment cure. 2. Continue in same manner bringing two pan 0000 ' = courses up toward the ridge.Insure approximately 65(419.4 cm2)—70(451.6 cm2) square inch adhesive contact with the underside of the pan tile. Eave closure sheathing (nwtarshmn) 3. Turn covers upside down exposing the underside W-Phola Fascia Board of the tile.Apply a minimum 1"(25.4 mm)x 10" (254 mm)bead of adhesive directly on the inner Re omt,opportionoftheea ecoursecover tile.Abut toseaandcourseof edge of each side of the cover tile.Leave pantBes.Ensure eave and ofpan arAcovwtiles are flush ateave One. approximately 3/4"(19 mm)to 1"(25e4 mm) Two Piece Barrel-High Proflle Tile from the outside edge of the tile,iiiwasd,*free of....• foam to allow for exp6sion: • 000.00 00 900000 4. Turn cover tile over after f8din is applred and :....: place onto pan tile coiitW insure a.mini'vum of • 20(129 cm2)-25 (1� I.T Vim')square inch 06:666 cntact area on each sera Rohe co,%r tiJeto the••... pan tile.Continue in sVpleeprVnner.Trim away any cured exposed foam adhesive.Pointing of 0000:. longitudinal edges of the cover tiles are . 0000.. considered optional. •• •••• • .9 9 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.: 16-0315.01 MInMf�E COufdTY Expiration Date: 05/10/17 JAPPROVEr Approval Date:04/07/16 Page 11 of 11 Florida Building Code Online https://www.floridabuilding.oiWpr/pr__app__4tl.aspx?paratn=wGEVX... Florida Departmentg1 BC>.s Home Log In User RegBtratbn Hot Topics Submit Surcharge Stats&Facts Pub&atbl)ns FBC Staff BCLS Site Map links Search Busines O) @USER: product Approval Professi al Public User Regulation Product Approval Menu>Product or Aooflcatbn Search>Appkjtbn List>Aoolkatbn History>Appkation DeteO ' FL# FL16730-R8 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer GAF Address/Phone/Email 1 Campus Drive Parisppany,NJ 07054 (973)872-4421 lindarelth@trinityerd.com Authorized Signature Beth McSorley lindarelth@trinityerd.com Technical Representative Beth McSorle •••• y(current) • • • •••• •••••• Address/Phone/Email 1 Campus Drive • • • • • Parsippany,NJ 07054 •• • •••• •• • (973)872-4421 •••:•• •• •••••• bmcsorley@gaf.com 000000 • • • •••• • • • • Quality Assurance Representative •••• • ••••• Address/Phone/Emali •i••i •• • i •••• •• •• •• •• •••••• • CategoryRoofing •••• • • • • • • 0 0 Subcategory Single Ply Roof Systems 00000* Compliance Method Evaluation Report from a Florida Regi tered Architect or @licensed Florida Professional Engineer Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/17/2017 Validated By John W.Knezevich,PE Validation Checklist-Hardcopy Received Certificate of Independence FL16730 R8 COI 2015 01 COI Nieminen.odf Referenced Standard and Year(of Standard) Standard Year TAS 110 2000 TAS 114 2011 TAS 131 1995 Equivalence of Product Standards Certified By 1 of 2 7/6/2016 4:25 PM Florida Building Code Online https://www.floridabuilding.org/pr/pr app_dtl.aspx?pardm=wGEVX... Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/16/2015 Date Validated 12/16/2015 Date Pending FBC Approval 12/18/2015 Date Approved 02/10/2016 Date Revised 04/13/2016 Summary of Products FL# Model,Number or Name Description 16730.1 EverGuard TPO Single Ply Roof Thermoplastic polyolefiin single ply roof systems Systems Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL16730 R8 II 2015 12 FINAL Al ER GAF EG Approved for use outside HVHZ: No TPO HVHZ FL16730-R8.pd Impact Resistant: N/A Verified By: Robert Niemin6n PE-59166 Design Pressure: +N/A/-502.5 Created by Independent Third Party:Yes Other: 1.)The design pressure herein pertains to one Evaluation Reports system.Refer to ER Appendix for all systems and maximum FL16730 R8 AE 2015 12 FINAL ER GAF EG design pressures.2.)Refer to ER Section 5 for Umits of Use. TPO HVHZ FL16730-R8.Ddf Created by Independent Third Party:Yes 0000 Bads Next • • • • 0000 0000•• • Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone,_@SD-487-11t�g•••• • • • 0000•• The State of Florida is an AA/EEO employer.Cepyd2ht 2007-2013 State of Florida,::Privacy Statement::A essfbil�% n • • rrT� a�:: 0000 a *ease Under Florida law,email addresses are public records.If you do not want your e-mall address rebased in response to a pubic-records request,do not send electronic • • mail to this entity.Instead,contact the office by phone or by traditional mail.9 you have any questbns,please cont$Q QSEbfi♦•♦1395.*Pyl.rs�antto n 0 0 0 0 0 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the D@Iartrr�e� lh an ema�7jl�tresf they have a a•a s one.The emails provided may be used for official communication with the licensee.However email addresses are pub k record.If you do not wish to supply a • personal address,please provide the Department with an email address which can be made available to the public.To detlr}h"fl"u are a Ikenseetinder Chapter • 455,F.S.,please click here.... • • • 0 Product Approval Accepts: •••••• ® � • • • • • •• a a 0060 •see • • •• e Credit Card Safe 2 of 2 7/6/2016 4:25 PM EXTERIOR RESEARCH&DESIGN,LLC. Certificate of Authorization!19503 TRINITY ERD 353 Christian Street,Unit 13 Oxford,CT 06478 PHONE:(203)262-9245 FAX:(203)262-9243 EVALUATION REPORT GAF Evaluation Report 01506.12.13-1-R6 1 Campus Drive FL16730-R5 Parsippany,NJ 07054 Date of Issuance:12/17/2013 Revision 6:04/15/2015 SCOPE: This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida.The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code. The product described herein has been evaluated for compliance with the 5t' Edition (2014) Florida Building Code, High Velocity Hurricane Zone (HVHZ) sections noted herein. DESCRIPTION: EverGuard®TPO Single-Ply Roof Membrane Systems LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s)changes,the referenced Quality Assurance documentation changes,or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. itIMA*product . . 04k00 0000.. changes or the referenced Quality Assurance documentation changes. Trinity s ERD requir a complete re view of this •• Evaluation Report relative to updated Code requirements with each Code Cycle. • • • 000000 00 .000.0 ADVERTISEMENT: The Evaluation Report number preceded by the words "Engineer Evaluated NBC (HVHZ): TRINITY ERD ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub-Category: Single Ply Roof Systems Compliance Statement: EverGuard® TPO Single-Ply Roof Membrane Systems, as produced by GAF, have demonstrated compliance with the following sections of the Florida Building Code, HVHZ through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations/Conditions of Use set forth herein. 2. STANDARDS: Section Prove rtv Standard Year 1523.6.2 Testing Requirements TAS 110 2000 TAS 110 System Performance TAS 114 2011 TAS 110 Physical Properties TAS 131 1995 3. REFERENCES: Entity Exam Reference Date Entity Exam Reference Date ACRC(TST4671) TAS 114 06035 10/18/2006 FM App(TST1867) FM 4470 797-07041-267 02/27/2012 ACRC(TST4671) TAS 114 07-005 01/17/2007 FM App(TST1867) FM 4470 797-07183-267 03/01/2012 ACRC(TST4671) TAS 114 07-024 03/01/2007 FM App(TST1867) FM 4470 3044506 03/28/2012 ACRC(TST4671) TAS 114 07-016 04/19/2007 FM App(TST1867) FM 4470 797-07331-267 04/13/2012 ACRC(TST4671) TAS 114 07-017 04/19/2007 FM App(TST1867) FM 4470 3044862 05/11/2012 ACRC(TST4671) TAS 114 07-025 05/02/2007 FM App(TST1867) FM 4470 797-07455.267 05/31/2012 ACRC(TST4671) TAS 114 07-026 05/03/2007 FM App(7571867) FM 4470 797-07474-267 06/11/2012 ACRC(TST4671) TAS 114 07-027 05/04/2007 FM App(TST1867) FM 4470 797-07476-267 06/21/2012 ACRO(TST4671) TAS 114 07-042 08/31/2007 FM App(TST1867) FM 4470 3045789 07/12/2012 ACRC(TST4671) TAS 114 07-043 09/05/2007 FM App(TST1867) FM 4470 3045863 08/16/2012 ACRC(TST4671) TAS 114 07-045 09/06/2007 FM App(7571867) FM 4470 3041749 08/23/2012 ACRC(TST4671) TAS 114 07-046 09/06/2007 FM App(TST1867) FM 4470 3046328 09/13/2012 ACRC(7574671) TAS 114 07-048 09/07/2007 FM App(TST1867) FM 4470 3041769 09/27/2012 ACRC(TST4671) TAS 114 07-049 09/10/2007 FM App(7571867) FM 4470 797-07744267 10/17/2012 ACRC(TST4671) TAS 114 07-080 01/03/2008 FM App(TST1867) FM 4470 797-07885-267 OXISJV2012 ACRO(TST4671) TAS 114 08-022 04/17/2008 FM App(TST1867) FM 4470 3046054 • 12/21��12 ACRC(TST4671) TAS 114 08-030 04/05/2008 FM App(TST1867) FM 4470 :97-J1%67 •01/1 2013 •••• • ACRO(TST4671) TA5114 08-023 04/17/2008 FM App(TST1867) FM 4470 30"22 • ••01/29/2013 • ACRC(TST4671) TAS 114 08-033 04/19/2008 FM App(TST1867) FM 4470 797-08217-267 05//112013 • ACRC(TST4671) TAS 114 08-032 04/19/2008 FM App(7571867) FM 4470 %?-N 61-167 05/2372113 •••••• ACRC(TST4671) TAS 114 11-004 03/21/2011 FM App(TST1867) FM 4470 J%7 •• 07/65/2013 • • ACRC(7574671) TAS 114 I1-011 03/24/2011 FM App(TST1867) FM 4470 3047636 08/08/2013 •••••• ACRC(TST4671) TAS 114 11-012 04/06/2011 FM App(TST1867) FM 4474 79P-433 -67 0�/11Q14 • • ACRO(TST4671) TAS 114 11-013 04/06/2011 FM App(TST1867) FM 4474 '9i-49 -67 ••0/3872-014 ••••• ACRC(7574671) TAS 114 11-019 04/08/2011 FM App(TST1867) FM 4474 797-09493-267 05/27/2014 • • ACRC(7574671) TAS 114 11-020 04/08/2011 FM App(TST1867) FM 4474 "4"9941157 157 005/17/2 14 ••••• ACRC(TST4671) TAS 114 I1-021 04/11/2011 FM App(TST1867) FM 4474 j90wa 167 •GV13JV4 •••••• ACRC(TST4671) TAS 114 11-040 08/05/2011 FM App(TST1867) FM 4474 797-09497-267 06/23/2014 • ACRC(TST4671) TAS 114 11-041 08/05/2011 FM App(TST1867) FM 4474 119"9344157 06/14/2014 • ACRC(TST4671) TAS 114 11-056 09/30/2011 FM App(TST1867) FM 4474 1<J7-091115-:67 • 07/164?014 • ACRC(7574671) TAS 114 12-008 04/10/2012 FM App(TST1867) FM 4474 797-09892-267 •a/6WP14 ACRC(7574671) TAS 114 12-012 04/23/2012 FM App(TST1867) FM 4474 W17-101291283 • 12/17/2014 • • ACRC(7574671) TAS 114 12-013 04/23/2012 FM App(TST1867) FM 4474 A7•-1!0 53- 44/WF014 •••• ACRC(7574671) TAS 114 12-014 04/23/2012 FM App(TST1867) FM 4474 79/-10210.67 • 02/W 2WS ACRC(7574671) TA5114 12-016 04/24/2012 FM App(TST1867) FM 4474 797-10211.267 ODS/05/2515 ACRC(TST4671) TAS 114 12-019 04/25/2012 FM App(TST1867) FM 4474 797-10212-267 02/05/2015 ACRC(TST4671) TAS 114 12-024 05/09/2012 FM App(TST1867) FM 4474 797-RR20018 02/23/2015 ACRC(TST4671) TAS 114 12-025 05/09/2012 IRT(TST7408) TAS 114 024)06 01/18/2002 ACRC(TST4671) TAS 114 12-029 05/23/2012 IRT(TST7408) TAS 114 03-0728 02/17/2004 ACRC(TST4671) TAS 114 12-030 05/23/2012 IRT(TST7408) TAS 114 04-012 02/18/2004 ACRC(7574671) TAS 114 11-042-R1 01/27/2012 IRT(TST7408) TAS 114 04-019 04/26/2004 ACRC(7574671) TAS 114 12-033 08/10/2012 PRI(TST5878) Physicals GAF-28902-01 09/07/2011 ACRC(TST4671) TAS 114 12-036 08/13/2012 PRI(TST5878) Physicals GAF-290-02.01 09/21/2011 ACRC(TST4671) TAS 114 12-018-Rl 01/30/2013 PRI(TST5878) Physicals GAF-373-02-01 10/15/2012 ACRC(TST4671) TAS 114 08-022-R1 01/15/2015 PRI(TST5878) FM 4474 GAF-043-02-03 09/16/2013 ACRC(TST4671) TAS 114 11-056-R2 01/23/2015 PRI(TSTS878) FM 4474 GAF-043-02-04 09/16/2013 ERD(7576049) Physicals 01513.12.07 12/18/2007 PRI(7575878) Physicals GAF-421-02-01 10/22/2013 ERD(TST6049) TAS 114 GAF-SC8580.14 03/26/2015 PRI(TST5878) Physicals GAF-022-02-01 10/29/2013 F-TEC(7577393) TAS 114 08-050183 06/26/2008 PRI(TST5878) Physicals GAF-424-02-01 11/11/2013 F-TEC(TST7393) TAS 114 08-050184 06/26/2008 PRI(7575878) Physicals GAF-425-02-01 11/11/2013 F-TEC(TST7393) TAS 114 08-070133 08/04/2008 PRI(TST5878) Physicals GAF-462-02-02 11/18/2013 F-TEC(TST7393) TAS 114 08-050185 10/14/2008 PRI(TST5878) FM 4474 GAF-457-02-02 01/20/2014 F-TEC(7517393) TAS 114 08-072805 02/16/2009 PRI(TST5878) FM 4474 GAF457-02-04 01/24/2014 FM App(TST1867) FM 4470 3003617 12/20/1999 PRI(TST5878) FM 4474 GAF-057-02-06 01/24/2014 FM App(TST1867) FM 4470 3009026 06/18/2002 PRI(TST5878) FM 4474 GAF-457-02-07 01/24/2014 FM App(TST1867) FM 4470 3013861 03/28/2003 PRI(TST5878) FM 4474 GAF-457-02-08 01/24/2014 FM App(TST1867) FM 4470 3014692 08/05/2003 PRI(TST5878) Physicals GAF-423-02-01 01/27/2014 FM App(TST1867) FM 4470 30149SS 01/22/2004 PRI(TST5878) Physicals GAF-426-02-01 01/27/2014 FM App(TST1867) FM 4470 3012721 02/11/2004 PRI(TST5878) Rupture GAF-435-02-01 01/29/2014 FM App(TST1867) FM 4470 3015029 02/19/2004 PRI(TST5878) FM 4474 GAF-435-02-07 01/29/2014 FM App(TST1867) FM 4470 3020588 03/24/2004 PRI(TST5878) FM 4474 GAF-435-02-08 01/29/2014 FM App(TST1867) FM 4470 3019881 03/20/2004 PRI(TST5878) FM 4474 GAF-435-02-09 01/29/2014 Exterior Research and Design,U.C. Evaluation Report O1S06.12.13-1-R6 Gerd lcate of Authorization#9503 FL16730-RS Revision 6:04/iS/2015 Page 2 of 4 TRINITY ERD Entity Exam Reference Date Entity Exam Reference Date FM App(TST1867) FM 4470 3016068 04/02/2004 PRI(TST5878) FM 4474 GAF-435-02-10 01/29/2014 FM App(TST1867) FM 4470 3013861 05/21/2004 PRI(TST5878) FM 4474 GAF-035-02-11 01/29/2014 FM App(TST1867) FM 4470 3105578 05/12/2004 PRI(TSTS878) FM 4474 GAF-506-02-08 03/06/2014 FM App(TST1867) FM 4470 3014955 01/28/2005 PRI(TST5878) FM 4474 GAF-506-02-10 03/06/2014 FM App(TST1867) FM 4470 3022136 03/17/2005 PRI(TST5878) FM 4474 GAF-510-02-02 04/08/2014 FM App(TST1867) FM 4470 3020681 09/01/2005 PRI(TST5878) FM 4474 GAF-510-02-04 04/08/2014 FM App(TST1867) FM 4470 3024051 03/28/2006 PRI(TST5878) FM 4474 GAF-510-02.05 04/08/2014 FM App(TST1867) FM 4470 797-02093.267 04/26/2006 PRI(TST5878) FM 4474 GAF-511-02-02 04/08/2014 FM App(TST1867) FM 4470 3023458 07/18/2006 PRI(TST5878) FM 4474 GAF-506-02-12 04/14/2014 FM App(TST1867) FM 4470 3028039 09/11/2006 PRI(TST5878) FM 4474 GAF-506-02-13 04/14/2014 FM App(TST1867) FM 4470 3027159 10/03/2006 PRI(TST5878) FM 4474 GAF-506-02.14 04/14/2014 FM App(TST1867) FM 4470 3026149 02/05/2007 PRI(TST5878) FM 4474 GAF-506-02-01 04/23/2014 FM App(7571867) FM 4470 3026964 07/25/2007 PRI(TST5878) FM 4474 GAF-514-02-01 05/12/2014 FM App(TST1867) FM 4470 3028857 11/02/2007 PRI(TST5878) FM 4474 GAF-514-02-03 05/12/2014 FM App(TST1867) FM 4470 3030199 11/05/2007 PRI(TST5878) FM 4474 GAF-514-02-04 05/12/2014 FM App(TST1867) FM 4470 3030813 11/05/2007 PRI(TST5878) FM 4474 GAF-514-02-05 05/12/2014 FM App(TST1867) FM 4470 3031262 11/30/2007 PRI(TST5878) FM 4474 GAF-514-02-07 05/12/2014 FM App(TST1867) FM 4470 3030292 02/25/2008 PRI(TST5878) FM 4474 GAF-514-02-08 05/12/2014 FM App(TST1867) FM 4470 797-03825-267 07/21/2008 PRI(TST5878) FM 4474 GAF-516-02-01 05/13/2014 FM App(7571867) FM 4470 3033314 08/26/2008 PRI(TST5878) FM 4474 GAF-516-02-03 05/13/2014 FM App(TST1867) FM 4470 3034749 10/16/2008 PRI(TST5878) FM 4474 GAF-516-02-02 06/06/2014 FM App(TST1867) FM 4470 3032856 11/24/2008 PRI(TST5878) FM 4474 GAF-525-02-02 06/23/2014 FM App(TST1867) FM 4470 3033135 11/24/2008 PRI(TST5878) FM 4474 GAF-525-02-03 06/23/2014 FM App(TST1867) FM 4470 3033862 12/24/2008 PRI(TST5878) FM 4474 GAF-462-02-09 07/01/2014 FM App(TST1867) FM 4470 3034394 02/27/2009 PRI(TST5878) FM 4474 GAF-462-02-10 07/01/2014 FM App(TST1867) FM 4470 3033121 04/13/2009 PRI(TST5878) FM 4474 GAF-462-02-11 07/01/2014 FM App(TST1867) FM 4470 3035300 05/06/2009 PRI(TST5878) FM 4474 GAF-524-02-02 07/01/2014 FM App(TST1867) FM 4470 3036614 06/09/2009 PRI(TST5878) FM 4474 GAF-524-02-03 07/01/2014 FM App(TST1867) FM 4470 3034310 06/15/2009 PRI(TST5878) FM 4474 GAF-524-02-0S 07/01/2014 FM App(TST1867) FM 4470 3036141 08/10/2009 PRI(TST5878) FM 4474 GAF-540-02-02 08/06/2014 FM App(TST1867) FM 4470 3037820 04/30/2010 PRI(TST5878) FM 4474 GAF-540-02-03 08/06/2014 FM App(TST1867) FM 4470 797.059797.267 08/18/2010 PRI(TST5878) FM 4474 GAF-540-02-04 08/06/2014 FM App(TST1867) FM 4470 3038215 09/02/2010 PRI(TST5878) FM 4474 GAF-538-02-02 08/13/2014 FM App(TST1867) FM 4470 797-06003-267 11/11/2010 PRI(TST5878) FM 4474 GAF-538-02-03 08/13/2014 FM App(TST1867) FM 4470 3038318 12/10/2010 PRI(TST5878) FM 4474 GAF-532-02-01 08/22/2014 FM App(TST1867) FM 4470 797-06178-267 02/07/2011 PRI(TST5878) FM 4474 GAF-524-02-05 08/27/2014 FM App(TST1867) FM 4470 3040234 02/23/2011 PRI(TST5878) FM 4474 GAF-549-02-01 •d§jW?2014 FM App(TST1867) FM 4470 3040377 03/08/2011 PRI(TST5878) FM 4474 AF-559-J2-11 ••gyp/JF4A14 •••••• FM App(TST1867) FM 4470 3041685 03/24/2011 PRI(TST5878) FM 4474 AF-5:x-02.12 10/16/2014 • FM App(TST1867) FM 4470 797-06254-267 03/24/2011 PRI(TST5878) FM 4474 GAF-459-02.13 ••10/16/2014 • FM App(TST1867) FM 4470 3041535 06/08/2011 PRI(TST5878) FM 4474 GqqF-5 214 10/ 6414 •••• • FM App(TST1867) FM 4470 797-06537-267 06/13/2011 PRI(TST5878) FM 4474 �AF 2-15 10/16/2014 FM App(TST1867) FM 4470 797-06538-267 06/13/2011 PRI(TST5878) FM 4474 GAi 656.2M A 10/46/2014 • • FM App(TST1867) FM 4470 797-06894-267 11/02/2011 PRI(TST5878) FM 4474 GAF-559-02-18 10/16 2014 •••••• FM App(TST1867) FM 4470 3038278 11/18/2011 U4LLC(Q.UA9625) QA 104710 t,RIV6 'W&E"15 • • •••• • ••••• 4. PRODUCT DESCRIPTION: • • •••••• • • ••••• This Evaluation Report covers EverGuard®TPO Single-Ply Roof Membrane Systems installed in ar6ordW ce witf%Ar pwblisheci••.•• installation instructions and the Limitations/Conditions of Use herein. ....•• •• ➢ EverGuard TPO membranes are nominal 45-mil (1.1 mm),60-mil (1.52-mm)or 80-mil (2.0 rmn)thick, inter? ljlV.Tforced••••• thermoplastic polyolefin roof covers supplied. Side and end laps are sealed using hot The roof cover i!?,.... mechanically attached or fully-adhered to Approved substrates. •• • •••• • • ➢ EverGuard Extreme TPO membranes are nominal 50-mil(1.27-mm),60-mil(1.52-mm),70-mil(1.8)or 80-mil(2.t mm)thick, internally reinforced thermoplastic polyolefin roof covers supplied. Side and end laps are sealed using hot air welding. The roof cover is mechanically attached or fully-adhered to Approved substrates. ➢ EverGuard TPO FB Ultra membranes are nominal 45-mil (1.1 mm), 60-mil (1.52-mm) or 80-mil (2.0 mm) thick, internally reinforced thermoplastic(TPO)roof covers with a polyester fleece backing. Side and end laps are sealed using hot air welding. The roof cover is mechanically attached or fully-adhered to Approved substrates. ➢ EverGuard Extreme TPO FB Ultra membranes are nominal 50-mil (1.27-mm), 60-mil (1.52-mm),70-mil (1.8)or 80-mil (2.0 mm)thick,internally reinforced thermoplastic(TPO)roof covers with a polyester fleece backing. Side and end laps are sealed using hot air welding. The roof cover is mechanically attached or fully-adhered to Approved substrates. ➢ EverGuard Freedom—TPO HW and EverGuard®Freedom—TPO with RapidSeamm Technology membranes are nominal 45- mil (1.1 mm) or 60-mil (1.52-mm)thick, internally reinforced thermoplastic (TPC) roof covers with a self-adhering backing. EverGuard® FreedomTM TPO HW laps are sealed using hot air welding. EverGuard® FreedomTM TPO with RapidSeamTM Technology laps are self-adhering. The roof cover is self-adhered to Approved substrates. ➢ EverGuard Extreme Freedom' TPO HW membranes are nominal 50-mil (1.27-mm) or 60-mil (1.52-mm) thick, internally reinforced thermoplastic(TPO)roof covers with a self-adhering backing. Laps are sealed using hot air welding. The roof cover is self-adhered to Approved substrates. Exterior Research and Design,LLC. Evaluation Report 01506.12.13-1-116 Certiflcate of Authorh:allon!19503 FL16730-RS Revision 6:04/15/2015 Page 3 of 4 TRINITY ERD S. LIMITATIONS: 5.1 This is a building code evaluation. Neither Trinity I ERD nor Robert Nieminen,P.E.are,in anyway,the Designer of Record for any project on which this Evaluation Report,or previous versions thereof,is/was used for permitting or design guidance unless retained specifically for that purpose. 5.2 Fire classification is not part of this Evaluation Report; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 5.3 For steel deck installations, foam plastic insulation shall be separated from the building interior in accordance with FBC 2603.4 unless the exceptions stated in FBC 2603.4.1 and 2603.6 apply. 5.4 The evaluation herein pertains to above-deck roof components;deck-attachment details pertain to'as-tested' conditions under TAS 114,Appendix J. Roof decks shall be in accordance with FBC(HVHZ)requirements to the satisfaction of the AHJ. 5.5 Fastener spacing for mechanical attachment of insulation,anchor/base sheet or membrane is based on a minimum fastener resistance value in conjunction with the maximum design pressure(MDP)listed for a specific system. Should the fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing—prepared,signed and sealed by a qualified design professional—may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standard TAS 105 and calculations in compliance with Roofing Application Standard RAS 117 or RAS 137. 5.5.1 If mechanical attachment to the structural deck through lightweight insulating concrete is proposed, field withdrawal resistance testing shall be performed to confirm equivalent or determine enhanced fastening patterns and density. All testing and fastening design shall be in compliance with Testing Application Standard TAS 105 and Roofing Application Standard RAS 117 and/or RAS 137. Calculations shall be prepared,signed and sealed by a qualified design professional. 5.6 For systems where specific lightweight insulating concrete is referenced, consult the current HVHZ product approval documentation for specific deck construction and limitations. For systems where specific lightweight insulating concrete is not referenced,the minimum design mix shall be for minimum 300 psi cellular material. 6006 5.7 For recover installations,the existing roof shall be examined in accordance with FBC 1521. • • ••••.• •••••• 5.8 Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of tiers areas. Fas; er densities •• shall be increased,as calculated in compliance with Roofing Application Standard RAS 117aadAwAAS 137 by a W* alifie&•••�• g p P P f systems sk' •i•• • • • desi n professional. This extrapolation isnot ermined or ems marked with an asters 5.9 All attachment and sizing of perimeter nailers,metal profile and/or flashing termination deji)giliSStall conTgrr tD ftooflnIf Application Standard RAS 111 and applicable wind load requirements. 0000 . ••:••• 5.10 For assemblies marked with an asterisk*,the maximum design pressure (MDP) limitation)li IV snail be a{oplisabte to air.••• roof pressure zones (i.e., field, perimeters and corners). Neither rational analysis, nor�gxlra�glation is permi£Ρted for•••:- enhanced attachment at enhanced pressure zones(i.e.,perimeters,corners and extended c grref01.•; • •. 5.11 For bonded insulation or membrane over existing substrates in a recover installation, the exist�g roof*Mm shall be. ••••• capable of resisting project design pressures on its own merit to the satisfaction of the AHJ?a sdommente�tpj Hugh field•••• uplift testing in accordance with TAS 124. • • • 5.12 All products listed herein shall have quality assurance audit in accordance with the Florida Building Code and Florida Administrative Code Rule 61G20-3. 6. INSTALLATION: 6.1 EverGuard® TPO Single-Ply Roof Membrane Systems shall be installed in accordance with GAF published installation instructions,subject to the Limitations/Conditions of Use noted herein. 6.2 System attachment requirements for wind load resistance are set forth in Appendix 1. "MDP"=Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads,and reflects the ultimate passing pressure divided by 2 (the 2 to 1 margin of safety per TAS 114 has already been applied). Refer to FBC 1620 and RAS 128 for determination of design wind loads. 6.3 For mechanically fastened membrane systems (Type D) over profiled steel deck, membrane shall be installed running perpendicular to steel deck flutes. 7. QUALITY ASSURANCE ENTITY: UL,LLC—QUA9625;(847)6643281;k.chancellor@ul.com -THE 73-PAGES THAT FOLLOW FORM PART OF THIS EVALUATION REPORT- Exterior Research and Design,I.I.C. Evaluation Report 01506.12.13-1-R6 C"iwte ojAuthorizoBon 119503 FL16730-RS Revision 6:04/15/2015 Page 4 of 4 TRINITY ERD APPENDIX 1:ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE Table Deck Application Type Description Page 1A-1 Wood New or Reroof(Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 4-6 1A-2 Wood New,Reroof(Tear-Off)or Recover A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 7-8 113 Wood New,Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Tap Insulation,Bonded Roof Cover 9 1C Wood New,Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 9 11) Wood New,Reroof(Tear-Off)or Recover C-2 Plate-Bonded Roof Cover 10 1E Wood New,Reroof(Tear-Off)or Recover D-1 Insulated,Mechanically Attached Roof Cover 11 1F Wood New,Reroof(Tear-Off)or Recover D-2 Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 11 1G Wood New,Reroof(Tear-Off)or Recover E-2 Non-Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 12-14 2A-1 Steel or Conc. New,Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 15-20 2A-2 Steel or Conc. New,Reroof(Tear-Off)or Recover B-2 Mech.Attached Thermal Barrier,Bonded Temp Roof,Bonded Insulation,Bonded Roof Cover 21-22 2B-1A Steel or Conc. New,Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 23-30 2B-113 Steel or Conc. New,Reroof(Tear-Off)or Recover C-1A Thermal Barrier with Vapor Barrier,Mechanically Attached Insulation,Bonded Roof Cover 31-35 28-2 Steel or Conc. New,Reroof(Tear-Off)or Recover C-2 Mechanically Attached Insulation,Plate-Bonded Roof Cover 36-37 2C Steel or Conc. New,Reroof(Tear-Off)or Recover D-1 Insulated,Mechanically Attached Roof Cover 38-39 2D Steel or Conc. New,Reroof(Tear-Off)or Recover D-2 Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 39 3A Concrete New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 40-50 3B Concrete New,Reroof(Tear-Off)or Recover F Non-Insulated,Bonded Roof Cover 50 4A LWIC New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 51-52 4B LWIC New or Reroof(Tear-Off) A-2 Mechanically Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 53 4C LWIC New,Reroof(Tear-Off)or Recover D-1 Insulated,Mechanically Attached Roof Cover 54 4D LWIC New or Reroof(Tear Off) E Non-Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 55 4D LWIC New or Reroof(Tear Off) F Non-Insulated,Bonded Roof Cover 56 5A CWF New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 57 5B CWF New,Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 57 6A Gypsum Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 58-59 6B Gypsum Reroof(Tear-Off) A-2 Mechanically Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 60 6C Gypsum Reroof(Tear-Off) B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 60-62 6D Gypsum Reroof(Tear-Off) C-1 Mechanically Attached Insulation,Bonded Roof Cover 63 6E Gypsum Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 63 7A Various Recover •• A- Bonded jnsul&rt,Banded Roof Cover 64-71 7B Wood or Steel Recover C-2• ••0 P=at�BdrdCd Roof Cover 72 7C Steel Recover • D-1 0 hVuI:1% ,McRc4anically Attached Roof Cover 73 7D Various Recover ••• I*•• •• 'Non 4nsdlatM,Bonded Roof Cover 73 • ••• • ••• • • •• • • • • • • • • •• • ••• • ••• • Exterior Research and Design,I.I.C.d/b/a Trinity j ERD Evaluation Report 01506.12.13-1-R6 for FL16730-R5 Certificate of Authorization#9503 ••• • • • • ••• • • Revision 6:04/15/2015 Prepared by: Robert Nieminen,PE-59166 i i 000 i i i Appendix 1,Page 1 of 73 • • • • • • • • • • • •• •• • • • •• •• 000 0 0 0 ••• • 0 TRINITY ERD The following notes apply to the systems outlined herein: 1. The evaluation herein pertains to above-deck roof components;deck-attachment details pertain to'as-tested'conditions under TAS 114,Appendix J. Roof decks shall be in accordance with FBC(HVHZ)requirements to the satisfaction of the AHL 2. Unless otherwise noted,fasteners and stress plates for insulation or base sheet attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: ➢ Wood Deck: Drill-Tec#12 Fastener or Drill-Tec#14 Fastener with Drill-Tec 3"Standard Steel Plate,Drill-Tec 3"Steel Plate,Drill-Tec 3 in.Ribbed Galvalume Plate(Flat)or Drill-Tec AccuTrac Flat Bottom Plate or Drill-Tec AccuTrac Recessed Plate (insulation only), Drill-Tec ASAP 35 or Drill-Tec Heavy Duty ASAP 3S. Min. 0.75-inch plywood penetration or minimum 1-inch wood plank embedment. ➢ Steel Deck: Drill-Tec#12 Fastener,Drill-Tec#14 Fastener or Drill-Tec XHD Fastener with Drill-Tec 3"Standard Steel Plate,Drill-Tec 3"Steel Plate,Drill-Tec 3 in.Ribbed Galvalume Plate(Flat)or Drill-Tec AccuTrac Flat Bottom Plate or Drill-Tec AccuTrac Recessed Plate(insulation only). Minimum 0.75-inch steel penetration,engage the top flute of the steel deck. ➢ Concrete Deck: Drill-Tec#14 Fastener or Drill-Tec CD-30 with Drill-Tec 3"Standard Steel Plate,Drill-Tec 3"Steel Plate,Drill-Tec 3 in.Ribbed Galvalume Plate(Flat)or Drill-Tec AccuTrac Flat Bottom Plate or Drill-Tec AccuTrac Recessed Plate(insulation only)or Drill-Tec Heavy Duty ASAP 3S.Minimum 1.25-inch embedment. Fasteners installed with a pilot hole in accordance with the fastener manufacturer's published installation instructions. 3. Unless otherwise noted, insulation may be any one layer or combination of polyisocyanurate, polystyrene,wood fiberboard, perlite,gypsum-based roof board or mineral wool roof board that meets the QA requirements of F.A.C.Rule 61G20-3 and is documented as meeting FBC(HVHZ)1516 and,for foam plastic,FBC Chapter 26,when installed with the roof cover. TOPCOAT®FireOut-Fire Barrier Coating,VersaShield® Fire-Resistant Roof Deck Protection or VersaShield®Solo'"Fire-Resistant Slip Sheet,installed in accordance with GAF published installation Instructions and fire resistance certification listings,may be used as a non- load-bearing,fire-barrier/slip-sheet component within any system outlined herein. 4. If mechanical attachment to the structural deck through lightweight insulating concrete is proposed,field withdrawal resistance testing shall be performed to confirm equivalent or determine enhanced fastening patterns and density. All testing and fastening design shall be in compliance with Testing Application Standard TAS 105 and Roofing Application Standard RAS 117 and/or RAS 137. Calculations shall be prepared, signed and sealed by a qualified design professional. S. Preliminary insulation attachment for System Type C-2 and D=Minimum four fasteners per 4 x 8 ft board or minimum two fasteners per 4 x 4 ft board. 6. Unless otherwise noted,insulation adhesive application rates are as follows. Ribbon or bead width is at the time of application;the ribbons/beads shall expand as noted in the manufacturer's published instructions. ➢ Hot Asphalt(HA): Full mopping,25-30 lbs/square. ➢ LRF Adhesive M(LRF-M): Continuous 0.75 to 1-inch wide ribbons,12-inch o.c. ➢ OlyBond Adhesive Fastener(Classic): Full coverage,1 gal/square. ➢ OlyBond 500(OB500): Continuous 0.75 to 1-inch wide ribbons,12-inch o.c.using PaceCart or SpotShot. Note:OlyBond Classic or OlyBond 500 Green may be used where OlyBond 500 is referenced. ➢ GAF 2-Part Roofing Adhesive(GAF 2-Part): Continuous 2.5 to 3.5-inch ribbons,12-inch o.c. ➢ 3M CR-20: Continuous 2.5 to 3.5-inch ribbons,12-inch o.c. ➢ Note: When multiple layers(s)of insulation and/or coverboard are installed in ribbon-applied adhesive,adhesive ribbons shall be staggered from layer-to-layer a distance of one-half the ribbon spacing. ➢ Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing. 7. Unless otherwise noted,all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations may be substituted with the following Maximum Design Pressure(MDP)limitations. In no case shall these values be used to'Increase'the MDP listings in the tables;rather if MDP listing below meets or exceeds that listed for a particular system in the tables,then the thinner board listed below may be used as a drop-in for the equivalent thicker material listed in the table. ➢ Hot Asphalt(HA): MDP= -240.0 psf (Min.0.5-inch thick) ➢ LRF Adhesive M(LRF-M): MDP= -W.5pif• (44i%0.Sijnch)<hicJF EngfpkyGuard Polyiso Insulation,EnergyGuard Ultra) ➢ OlyBond 500(OB500): MDP= :315.0 psf.- (%%10.;-irEth 1114 E4ergyGuard RH or RN) ➢ OlyBond 500(OB500): MDP= 467.5 pefe (40ir:0.6-irith#k*En&VGuard RA) ➢ OlyBond 500(08500): MDP= •2.91.54*4 (Alii►0194ch Lict E•exgyGuard Polyiso Insulation,EnergyGuard Ultra) GAF 2-Part Roofing Adhesive(GAF 2-Part): MDP -117.5 psf (Min.1.0-inch thick) ➢ 3M CR-20: MDP -117.5 psf (Min.1.0-inch thick) 8. Bonded polyisocyanurate insulation boards shall be maximum 4 x 4 • ••• • ••• • • P Y ft• • • • • • • • • 9. Perimeter and corner areas shall comply with the enhanced uplift presawe Auireonents of th:e aseas..Fastane:densities shall be increased,as calculated in compliance with Roofing Application Standard RAS 117 and/or RAS 137 by a qualified design professional. *This extrapoicrdoy js•not pmittel fpj sys&'tns maDWd wh8n asterisk*. Exterior Research and Design,U.C.d/b/a Trinity[ERD Evaluation Report 01506.12.13-1-R6 for FL16730-R5 Certificate of Authorization#9503 ••• • • • • ••• • • Revision 6:04/15/2015 Prepared by: Robert Nieminen,PE-59166 • • • ••• • • • Appendix 1,Page 2 of 73 TRINITY ERD 10. For assemblies marked with an asterisk',the maximum design pressure(MDP) limitation listed shall be applicable to all roof pressure zones (i.e.,field, perimeters and corners). Neither rational analysis, nor extrapolation is permitted for enhanced attachment at enhanced pressure zones(i.e.,perimeters,corners and extended corners). 11. Fastener spacing for mechanical attachment is based on a minimum fastener resistance value in conjunction with the maximum design pressure(MDP)listed for a specific system. Should the fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing-prepared,signed and sealed by a qualified design professional-may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standard TAS 105 and calculations in compliance with Roofing Application Standard RAS 117 or RAS 137. 12. For bonded insulation or membrane over existing substrates in a recover installation,the existing roof system shall be capable of resisting project design pressures on its own merit to the satisfaction of the AHJ,as documented through field uplift testing in accordance with TAS 124. 13. For System Type D,steel deck applications,the roof membrane shall be run with its length perpendicular to the steel deck flutes. 14. For recover installations,the existing roof shall be examined in accordance with FBC 1521. For Recover Applications using System Type C-2 or or any System Type D,the insulation is optional. Alternatively,a separator board may be installed prior to roof cover installation when using System Type C-2 or any System Type D or a separator sheet may be installed prior to roof cover installation when using any System Type D. The separator component shall be documented as meeting FBC(HVHZ)1516 and,for foam plastic,FBC Chapter 26,when installed with the roof cover in Recover applications. ➢ Separator Board Options for Recover System Type C-2 or System Type D: Min.0.5-inch EnergyGuard Min.0.5-inch EnergyGuard Polyiso Insulation,EnergyGuard RA,EnergyGuard RN,EnergyGuard Ultra, Structodeck High Density Fiberboard Roof Insulation,EnergyGuard RH HD Polyiso Insulation,EnergyGuard HD Polyiso Insulation or EnergyGuard HD Plus Polyiso Insulation,or min.0.25-inch Dens Deck,Dens Deck Prime,SECUROCK Gypsum-Fiber Roof Board or SECUROCK Glass-Mat Roof Board. Separator Sheet Options for Recover System Type D: EverGuard Polymat Separation Layer(3 oz/yd2)or EverGuard Polymat Cushioning Layer(6 oz/yd2). 15. Side laps for EverGuard Freedom TPO with RapidSeam Technology are self-adhering. Side laps for EverGuard Freedom TPO HW are heat welded. Unless otherwise noted,reference to EverGuard Freedom TPO in this Appendix relates to either method. 16. For adhesive-applied membrane systems,side laps shall be minimum 3-inch wide sealed with min.1.5-inch heat weld. Unless otherwise noted,membrane adhesive application rates are as follows: Membrane Adhesive Method Rate EverGuard TPO EverGuard TPO#1121 Bonding Adhesive(#1121) Contact(both sides) 0.8 to 1.0 gal/square/surface. For use over SECUROCK Gypsum-Fiber Roof Board,the application rate changes to 1.2 to 1.67 gal/sq/surface To polyisocyanurate or Structodek High Density Fiberboard Roof Insulation,Fiber Base HD1 or Fiber Base HD6 at 0.63 EverGuard TPO EverGuard WB181 Bonding Adhesive(WB181) Contact(both sides) gal/square and roof cover underside at 0.21 gal/square. To Dens Deck Prime or SECUROCK Gypsum-Fiber Roof Board at 0.63 to 0.75 gal/square and roof cover underside at 0.21 to 0.25 gal/square EverGuard TPO EverGuard Low VOC TPO Bonding Adhesive(L-VOC) Contact(both sides) 0.46 gal/square/surface EverGuard TPO FB Ultra Hot asphalt Wet lay(substrate) 25 lbs/square EverGuard TPO FB Ultra EverGuard WB181 Bonding Adhesive(WB181) Wet lay(substrate) 0.83 to 1.0 gal/square EverGuard TPO FB Ultra GAF LRF Adhesive M(LRF-M) or LRF Adhesive O Wet lay(substrate) 1-inch wide ribbons spaced as noted in tables herein. Note:The adhesive ribbons are located directly over the (LRF-0) adhesive ribbons used to secure the insulation when the cover is bonded to insulation less than 1.5-inch thick. EverGuard TPO FB Ultra GAF 2-Part Roofing Adhesive(GAF 2-Part) I Wet lay(substrate) I "Spatter pattern"at 3.75 lbs/sq. 17. The'Triposite Roofing System"noted herein consists of loose-laid GAFGLAS Stratavent Perforated Venting Base Sheet,followed by asphalt-applied two(2)plies of Ruberoid 20 Smooth or three(3)plies of GAFGLAS FlexPly 6,followed by asphalt-applied 80-mil EverGuard TPO FB Ultra with 1-5/8"heat welded side las 18. Unless otherwise noted,the"Hybrid Roofing System"noted herein cor;Ists of asDh&;4pl;dr.JerJd:0 Smooth,Ruberoid Mop Smooth,Ruberoid Mop Smooth 1.5,GAFGLAS#75 Base Sheet,Tri-Ply#75 Base Sheet or GAFGLAS#80 Ultima Base Sheet followed by asphalt-applied Ever6uard W RB Llltral • ••• • 19. EverGuard Extreme TPO may be used as an alternate to EverGuard TPO.EferG&P&ExtrR,Ae TPU FBZJItP.414 be used as an alternate to EverGuard TPO FB Ultra. EverGuard Extreme Freedom TPO may be used as an alternate to EverGuard Freedom TPO. 20. "MDP"=Maximum Design Pressure is the result of testing for wind load resiitirlce base on QgVable wieloal.Refer to FBC(HVHZ)1620 and RAS 128 for determination of design wind loads. •• • • • • • • • • •• • ••• • ••• • Exterior Research and Design,U.C.d/b/a Trinity[ERD Evaluation Report 01506.12.13-1-R6 for FL16730-RS Certificate of Authorization#9503 0:0 • • • • 0:0 •• • • Revision 6:04/15/2015 Prepared by: Robert Nieminen,PE-59166 • • • 000 • • • Appendix 1,Page 3 of 73 • • • • • • • • • • • •• •• • • • •• •• 666 • • 0 000 0 0 TRINITY ER® TABLE IE:WOOD DECKS-NEW CONSTRUCTION,REROOF(Tragi-Off)OR RECOVER SYSTEM TYPE D-1:MECHANICALLY ATTACHED ROOF COVER system Deck Insulation Roof Cover No. (See Note 1) Type Attach Membrane Fasteners Attachment MDP(Psf) Min. plywood or wood lank;24' (Optional)One or Drip-Tec#14 Fastener Fastened 6-Imh o.c.within 5.5-hrch wide laps W_ P Yw P ins% more layers,any Prelim. EverGuard with Drill-Tec 2 in.Double spaced 1145-inch a.c.and sealed with a 1.754nch -45.0 common nails 6'o c. attached TPO W-35, Min.19/324rrch plywood or wow plank 2,r sports;8 (Optional)one or 8d (Optional) Drill-Tec#14 Fastener m. EverGuard Fastened 6-Inch o.c.within 5-inch wide laps spaced common nails 6"o c. more layers,any attached TPO with Or2 in.Double 55-Inch o.c.and sealed with a L754nch heat weld. 52.5 XHD combination Barbed X1f0 Plates Fastened 6-Inch o.c.within 12-Inch wide laps spaced Min.19/32•inch plywood;24'spans;blocked 48"o.c.;Ed (Optional)One or Perim. EverGuard Drill-Tec#14 Fasteners 48-inch o.c.and sealed with a 1.5-inch heat weld. W-36. ring shank nails 6"c.c.In the field;10d ring shank nails 4" more layers,any with Drip-Tec A attached TPO uuTrac fasteners penetrate through the plywood to engage 975 o.c.at the perimeters. combination Flat Plates the cross-blocking of the deck TABLE 1F:WOOD DECD—NEW CONSTRUCTION,REROOF(TanR-0FF)on RECOVER SYSTEM TYPE D-2:INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deet insulation Layar(s) Base or Anchor Sheet No. (See Note 11 Type Attach Base Fasteners Attach Roof cover MOP(psi) Min.19/32-bhch plywood;24'spans, One or more layers, GAF StomnSafe Anchor Drip-Tec#14 Fastener with Drill- 18-Inch o.c.at min.4-inch lap EverGuard Freedom W-37. Bd ring shank nails,6'o.c.at edges anycombinatlon Loose-laid Sheet(Max.48-inch Tec 3'Steel Plate or Drill-Tec 3 and 18-inch o.c.at two,equally TPO/self adhered -45.0' and 6"o.c.at Intermediate supportswide) In.Ribbed Galvalume Plate(Fiat) spaced,staggered center rows Min.19/32-Inch plywood;24"spans; GAF Stwv&fe Anchor Drill-Tec#14 Fastener with Drill- &Inch o.c.at min.4-inch lap and W- Ild ring shank nails,6"o.c.at edges One or more layers, Loose-laid Sheet(Max 48-Inch Tec 31n.Ribbed Galvalume Plate &inch o.c.at two,equally EverGuard Freedom 60A* and 6'o.c.at intermediate supportsany combination TPO/self adhered wide) (Flat) spaced,staggered center rows • •• • • • • ••• • •• ••• •• • • • •• • ••• • ••• • • •• • • • • • • • • Exterior Research and Design,I.I.C.d/b/a Trinity ERD Evaluation Report 01506.12.13-1-116 for FL26730-RS Certificate of Authorization 99503 Prepared by: Robert Nieminen,PE-59166 Revision 6:04/1 ••• • s • • ••• • • Appendix 1,Page 111 of of 73 73 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • AC� CERTIFICATE OF LIABILITY INSURA E DATE(MM/DDfW1'Y) `p 4/29/2016 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(les)must be endorsed. IfUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this lertificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Sandra LaRue Frank H. Furman, Inc. PHONEE (954)943-5050 (FAX, /C No):(954)942-6310 1314 East Atlantic Blvd. MAIL ADDRESS:sandra@furmaninsurance.com P. O. BOX 1927 INSURER(S) AFFORDIN9 COVERAGE NAIC# Pompano Beach FL 33061 INSURERAGemini Insurance Pompany 10833 INSURED INSURERBOhio Security Insurance Co 24082 Five Star Roofing Corp INSURER CBrid efield Employers Ins Co 10701 2200 West 80th St, #8 INSURER D: INSURER E: Hialeah FL 33016 INSURERF: COVERAGES CERTIFICATE NUMBER:2016 GL 2015 WC/auto REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DO UMENT 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. 1�TR TYPE OF INSURANCE A R POLICY NUMBER MPO POLICY EFF MM/DDY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 50,000 VNGPOO1243 5/1/2016 5/1/2017 MED EXP(Any one person) $ excluded PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ]JECT [:]LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITYN SINGLE LIMIT Ea a.d.nt $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BASS7008359 11/16/2015 11/16/2016 BODLYINJURY(Peraccident) $ AUTOS AUTOS PRO ERTY DAMAGE X HIRED AUTOS X NON-OWNED $ AUTOS Per 'dent UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LtAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER DTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? LNJ C (Mandatory In NH) 83054056 11/1/2015 11/1/2016 E.L. ISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Five Star Roofing Corp. 2200 W 80 St#8 Hialeah, FL 33016 License No. CCC 1330582 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE NTH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATNE Dirk DeJong/SL "" W ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025owam .a►`oRv® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYY17 4/29/2016 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sandra LaRue Frank H. Furman, Inc. PHONE Eld), (954)943-5050 FAX AIC No (954)942-6310 1314 Bast Atlantic Blvd. ADDRESS F-MIL .sandra.@furmaninaurance.com P. O. BOX 1927 INSURER(S) AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURERA Gemini Insurance Company 10833 INSURED INSURERB:Ohio Security Insurance Co 24082 Five Star Roofing Corp INSURER CBrid afield Employers Ins Co 10701 2200 West 80th St, #8 INSURER D: INSURER E: Hialeah FL 33016 INSURER F: COVERAGES CERTIFICATE NUMBER:2016 GL 2015 WC/Auto 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 ADDL SUBR POLICY EFF POLICY EXP OMITS L TYPE OF INSURANCE POLICY NUMBER M D D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DA AGE TO RENTED A CLAIMS-MADE OCCUR PRE MISES(Ea occurrence) $ 50,000 VNGP001243 5/1/2016 5/1/2017 MED EXP(Any one person) $ excluded PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY�PECOT- F-1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY EaMeccid D SINGLE LIMIT $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BAS57008359 11/16/2015 11/16/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOSX AUTOS Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION X I STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN a NIA E.L.EACH ACCIDENT $ 500,000 C (Mandatory InNH)ERIMBER 83054056 63054056 11/1/2015 11/1/2016 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ��7 Dirk DeJong/SL �'"" �~ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r9numi 40 STATE OF FLORID DEPARTMENT OF BUSINESS AND PROFESSIONAL RtGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 TALLET,JOANNA FIVE STAR ROOFING CORP. 2648 W 77 PLACE HIALEAH FL 33016 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 range3 � STATE'OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, i DEPAF�TMENT 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 CCC1330582 ISSUED: 12/18/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED ROOFING CONTRACTOR about our divisions and the regulations that Impact you,subscribe TALLET,JOANNAI to department newsletters and loam more about the Department's FIVE STAR ROOFING CORP. Initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. lank you for doing business in Florida, IS CERTIFIED under the provisions of Ch 1218 05 and congratulations on your new license! a�10" AUG 31 ems t�a,2+�o00527 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC1330582 Y The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 a a TALLET,JOANNA FIVE STAR ROOFING CORP. 2648 W 77 PLACE HIALEAH FL 33016 ■ ISSUED: 12/1812014 DISPLAY AS REQUIRED BY LAW S7# L141218OWN27 003760 Local Business Tax Receipt Miami-Dade County, State of Florida —THIS IS NOTA BILL — DO NOT PAY LBT 7179992 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES FIVE STAR ROOFING CORP RENEWAL SEPTEMBER 30, 2016 2648 W 77 PL 7460314 Must be displayed at place of business HIALEAH FL 33016 Pursuant to County Code Chapter 8A—Art. 9& 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED FIVE STAR ROOFING CORP 196 SPECIALTY BUILDING CONTRACTOR By TAX COLLECTOR Worker(s) 1 CCC1330582 $45.00 08/06/2015 FPPU06-15-015563 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit,or a certification of the holders qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 88-276. For more information,visit Www.miaMidadu.gav axcoliector