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RF-16-2077 �� i �. `� _�• �� •. { ,,, ` �� I � v� i r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-264042 Permit Number: RF-7-16-2077 Scheduled Inspection Date: September 20,2016 Permit Type: Roof Inspector: Mesa, Michel Inspection Type: Final Roof Owner: PASTOR, MIRIAM Work Classification: Tile Job Address: 1228 NE 98 Street Miami Shores, FL 33138- Phone Number (786)457-2383 Parcel Number 1132050090340 Project: <NONE> Contractor: HIGH & DRY ROOFING Phone: (305)542-3194 Building Department Comments Infractio Passed Comments RE-ROOF TILE INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 19, 2016 For Inspections please call: (305)762-4949 Page 10 of 15 TAS 106 �F-3-16 207�1 TEST RESULTS REPORT GENERAL INFORMATION Testing Agency Name: A+ Engineering Testing Lab, LLC. Certification No. 16-0413.03 Address: 7066 SW 44 St Miami Fl 33155 Telephone: 305-668-5792 Fax: 786-513-3754 Email: aplusetl(kOahoo.com Representative Name: Eng. JAIME REYES Title: P.E# 71460 SITE SPECIFIC. INFORMATION Roofing Contractor: HIGH&DRV ROOFING Permit#: RF-7-16-2077 Job Address: 1228 NE 98 ST, MIAMI SHORES, FLORIDA Contact. Name: NELSON PH: 786-325-4211 Owners Name: MIRIAM PASTOR Type of Tile: FLAT 13" Date Installed: Roof Height: 12 feet Roof Pitch: 3/12 Job Access: LADDER Gate: NO Approximate Square Footage of Roof: 30.00 ft 2 Date Tested: 09/15/16 Required Testing Force: 35 LBS Testing Equipment: M2-100,S-3741465 TEST LOCATION PASS FAIL CORNER 8 - PERIMETER 22 - RIDGE 21 - FIELD 30 - TOTAL: 81E RE - `,,�,ydnarrrrreoeBe ems` •�'\G SF••• �"o No 71460 ` M.. �'V Acco"'aWMJTHE dKftETtIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. 1filtS TAS 106 TESTBEEtViSRFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY,WITH NO DEVIATIONS ;°` iI�S REPORT,IS NCOL GUARANTkED IN CASE OF NATURAL DISASTERS. A+ EngineeringTesting Lab ROOF DIAGRAM 1228 NE 98 ST, MIAMI SHORES, FLORIDA 3 14 58 9 13 30 1 3 1 57 1 52 11 12 59 53 29 54 55 56 36 1 81 4 33 67 66 65 60 64 63 62 1 28 80 4543 f41 .-__----- 38 61 68 44 42 75 3 1 27 47 74 73 76 69 72 71 4 19 5 26 48 21 20 6 70 77 22 25 49 78 50/ 79 23 24 7 7066 SW 44 St Miami Fl 33155 PH: 305-668-5792, Fax: 786-513-3754. aplusetl@yahoo.com Permit NO. RF-7-16-2077 Miami Shores Village Permit Type: Roof 10050 N.E.2nd Avenue NE Work Classification:Tile Miami Shores, FL 33138-0000 Per it Permit Status:APPROVED &N moo` Phone: (305)795-2204 FtoriioA Issue Date: 7/28/2016 Expiration: 01/2412 .;1 7 Project Address Parcel Number Applicant 1228 NE 98 Street 1132050090340 _..., MIRIAM PASTOR Miami Shores, FL 33138- Block: Lot: 41 Owner Information Address _ Phone Cell MIRIAM PASTOR 1228 NE 98 ST (786)457-2383 MIAMI SHORES FL 33138-2561 Contractor(s) Phone Cell Phone $ 20,000.00 (305)542-3194 HIGH &DRY ROOFING (305)542-3194 Valuation: Total Sq Feet: 3300 i Type of Work:Re Roof Available Inspections: Additional Info: Inspection Type: Classification: Residential Up Lift Report Scanning:3 Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-7-16-60726 CCF $12.00 07/28/2016 Credit Card $825.76 $ 50.00 DBPR Fee $4.88 DCA Fee $4.88 07/25/2016 Credit Card $ 50.00 $ 0.00 Education Surcharge $4.00 Bond#:3174 Permit Fee-New Roof $325.00 Scanning Fee $9.00 Technology Fee $16.00 Total: $875.76 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,WIND S,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inform tion 's accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-n d contractor to do the work stated. July 28, 2016 Authorized Signature:Owner / Applicant / actor / Agent Date Building Department Copy July 28, 2016 1 Miami Shores Village � � V \�o a= JUL 2016 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 LIE�Y- - ..- Tel: (305)795-2204 Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2018 BUILDING Master Permit No. I b_ 207 I PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1228 NE 98 Street City: Miami Shores County: Miami Dade Zip: J 3) 3 Folio/Parcel#: 11-3205-009-0340 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Miriam Pastor Phone#:305-213-5375 Address: 1228 NE 98 Street City: Miami Shores State: FL. zip: 33138 Tenant/Lessee Name- NSA Phone#: Email: CONTRACTOR:Company Name: High & Dry Roofing Contractors, INC. Phone#: 305-542-3194 Address: 343 Ives Dairy Road City: Miami state: FL. Zip: 33179 Qualifier Name: Gustavo Lucero Phone#: 305-542-3194 State Certification or Registration#: CCC 1329237 Certificate of Competency#: DESIGNER:Architect/Engineer: NSA Phone#: Address: City: State: Zip: Value of Work for this Permit:$20,000 Square/Linear Footage of Work: 3,300 Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of work: Reroof tile to the Specify color of color thru tile: Submittal Fee$ � 0 W Permit Fee$ CCF$ G CO/CC$ 0 Scanning Fee$ /` W Radon Fee$ —! ' DBPR$ ` u Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ 0 Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) &2- Bonding Company's Name(if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) N/A 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. the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. v Signature _ Signature OWNER or AGENT CONTRACTOR The foregoing instrum nt was acknowledged before me this The forejoing instrument was acknowledged before me this I-A dayof_ 20 lb by f! ll-day of 20 by jUlnQm C I�QSfDY who is ersonally know to �/LS/ L' C(f�l�f who" personally know\ to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ^-"' ' ' ^ Sign: `* FEFXOPS B *� , XMV.15,2017 ; M= Print: VPI �l '� Print: f� �2t1Cz � sf?�•At Seal: �;wMia'sb�`' �Tr' Seal: ',state �* FF06"46 t. Ex S•ES • APPROVPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014) `SNoR s`'� Miami shores Village googol" Building Department 10050 N.E.2nd Avenue o 811Dp' 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, FI 33138 Re: Owner's Name: I rk G1(Y1 Property Address: Roofing Permit Number: Dear Building Official: z /�)0 " 7k certify that I am not required to retrofit the roof to wall connections of my building because: M The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the th Florida Building Code (1994 SFBC) X11 Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned, Sworn to and subscribed before me this 1-7Aday o 02 0 �c�..awissio ` •4FF Ey-PIR5 4 Notary Public, Sate of Florida at Large z .ygt 15 20" i./ •4»RY .• C� • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the build,i;y Q�,apnSt�ructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 `SpOR>S L FLOR[Dp` 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 desi ted space indicates that the item has been explained. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to b renailed in accordance with the current provisions of Section R4403. (The roof deck is usually )an ce prior to removing the existing roof system). l 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking be viewed from below. The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of mainta' i the appearance. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is t overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets)are not provide . It ay be necessary to install overflow scuppers in accordance with the requirements of Sections 44 R4403 and R4413. 1 b Owner/Agent's Signature ate Contractor Signature Date Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; Property Search Application- Miami-Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:7/17/ Property Information Folio: 11-3205-009-0340 Property Address: 1228 NE 98 ST Miami Shores, FL 33138-2561 Owner MIRIAM C PASTOR Mailing Address 1228 NE 98 ST MIAMI SHORES,FL 33138-2561 Primary Zone 1400 SGL FAMILY-3001-3250 SQ wr Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/1 Floors 1 x Y; Living Units 1 Actual Area 2,498 Sq.Ft Living Area 1,918 Sq.Ft Adjusted Area 2,208 Sq.Ft Taxable Value Information Lot Size 8,175 Sq.Ft 2016 2015 2 Year Built 1952 County Assessment Information Exemption Value $50,000 $50,000 $50 Year 2016 2015 2014 Taxable Value $281,218 $278,916 $276.. Land Value $274,141 $249,652 $220,401 School Board Building Value $153,677 $154,957 $152,197 Exemption Value $25,000 $25,000 $25.. Taxable Value 1 $306,218 $303,916 $301. XF Value $30,174 $20,106 $20,346 . Market Value $457,992 $424,715 $392,944 city Assessed Value $331,218 $328,916 $326,306 Exemption Value $50,000 $50,000 $50 Taxable Value $281,218 $278,916 $276: Benefits Information Regional Benefit Type 2016 2015 2014 Exemption Value $50,000 $50,000 $50 Save Our Homes Assessment Taxable Value $281,218 $278,916 $276: Cap Reduction $126,774 $95,799 $66,638 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Descriptic Note: Not all benefits are applicable to all Taxable Values(i.e.County, 03/01/2006 $645,000 24420-0473 Sales which are qualified School Board,City, Regional). Short Legal Description EARLETON SHORES PB 43-80 LOT 8 BLK 3 LOT SIZE 75.000 X 109 OR 13562-1963 0188 5 COC 24420-0473 03 2006 1 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 Appra and Miami-Dade County assumes no liability,q4il full disclaimer and User Agreement at hftp://www.miamidade.gov/info/discialmer.asp http://www.miamidade.gov/pro rtysearch/ 7/17/2016 S14C.I NORES G1 .i, logo ono Miami shores Village Building Department oRIDp` 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: lin L BUSINESS ADDRESS: . �V CITY �4iICk"I\t STATE ZIP 71 BUSINESS PHONE: S 12--N 14 FAX NUMBER (3 n) �C-S CELL PHONE ( JU ) ��IZ QUALIFIER'S NAME: lls�nwb �acuo QUALIFIER'S LIC NUMBER:Icc 002384 Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOTA BILL — DO NOT PAY �ILBT 6518394 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES HIGH&DRY ROOFING CONTRACTORS INC RENEWAL SEPTEMBER 30, 2016 343 IVES DAIRY RD 6 6788765 Must be displayed at place of business MIAMI FL 33179 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS .. HIGH&DRY ROOFING CONTRACTORS 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED CCC1329237 BY TAX COLLECTOR Worker(s) 1 $75.00 08/28/2015 CREDITCARD-15--042937 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 holder's qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 8a-276. For more information,visit www.miamidade.gov/taxcollector RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC1329237 o The ROOFING CONTRACTOR " Named below IS CERTIFIED -' vc ,.. Under the provisions of Chapter 489 FS. VX Expiration date: AUG 31, 2016 LUCERO, GUSTAVO HERMAN HIGH & DRY ROOFING CONTRACTORS INC 343 IVES DAIRY ROAD APT 6 MIAMI FL 33179 ❑ ISSUED: 08/24/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408240003104 DATE(MM1DD/YYYY) A�E® CERTIFICATE OF LIABILITY INSURANCE 07/25/2016 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 NAME Gregg Ditzian Get Smart Insurance Inc. A"oN o , (305)653-7977 FW .C No): (305)654-0293 20286 NW 2 Ave ADDRESS: info@insure-smart.com INSURERS AFFORDING COVERAGE NAIC 0 Miami FL 33169 INSURERA: PREFERRED CONTRACTORS INSURANCE COMI INSURED INSURER B: High&Dry Roofing Contractors Inc INSURERC: Gustavo Herman Lucero#CCC1329237 INSURER D: 11720 S W 113 Court INSURER E: Miami FL 33176 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. ILTR TYPE OF INSURANCE POLICY NUMBER MMMfADDLSUBR uDD EFF MM POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0_00 ToRENTEU- CLAIMS-MADE OCCUR PREMI ES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A N N PC87481-04 03/21/2016 03/21/2017 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ PRO- LOC PRODUCTS-COMP/OPAGG $ 1,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED P OPPEERY DAMAGE $ AUTOS UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PE OTH- AND EMPLOYERS LIABILITY Y/N ST TOTE ER ANY PROPRIETOR/PARTNERCUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED_? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If S describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddMonal Remarks Schedule,may be attached H more space Is required) ROOFING CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, I NOTICE WILL BE DELIVERED IN Miami Shores Village Building Department ACCORDANCE WITH THE POLICY PROVISIONS. Village Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2nd Ave _ s Miami Shores FL 33138 Gregg zt ian 069236 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD OV . JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 10/17/2015 EXPIRATION DATE: 10/16/2017 PERSON: LUCERO GUSTAVO H FEIN: 270934750 BUSINESS NAME AND ADDRESS: HIGH&DRY ROOFING CONTRACTORS INC 343 IVES DAIRY ROAD MIAMI FL 33179 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt..apply only within the scope of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 Huh & Dry Roofing Contractors Inc. Licensed&Insured 11720 SW 113th Court CCC1329237 Miami, FL. 33176 Date:07/21/2016 State of Florida County of Miami-Dade Before me this day personally appeared L who,being duly swom,deposes and says: That he or she will be the only person working on the project located at:1228 NE 98 Street,Miami Shores .FL.33138 S om to(or affirmed)and subscribed before me this C day of �. C1 .20 Iyi,by Personally know OR Produced Identification Type of—1 e-MAcation Produced *. F RES 8 t� i\11�� 2' Nov.15.2017 :y¢ ,2 t,Type,or tamp Name of Notary 46j�C Ste�p`� 5gOREs ��3a .... �m,� Miami Shores village Building Department �oR1AA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption ; . Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement fo any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer any Brochure: An employer in the construction industry who employs one or more part-tinge or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida !,Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two }ears or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICCE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade w- ��j�� The foregoing was acknowledge before me this 1 / day of_ f '20/10. By 4/616 Past r who ' ersonaIly kno to me or has produ d quuuq, as identification. II ��. `aMM�sio� •.�,1 Notary:V� "" " * FF059848 EXPIRES •'*= SEAL: is 2otr ROOF ASSEMBLIES AND ROOFTOP STRUCTURES i �: i Lida Building Code 5th Edition(2014) l t't ICE�nrl(1 I ALL FEL ERAL 1 o High-Veli?, ity Hurricane Zone Uniform Permit Application Form. 1 vJ l,(,Ilf�ii f rt- 1 Section A(General Information) 1 Master Permit No. Process No. 1 Contractors Name ( ru IS 1 1 A _tkk CL ddress o ROOF CATEGORY 1 lope ❑ Mechanically Fastened Tile MorNA�ngsive Set*00 tif�s ••••••1 Baltic Shingles ❑ Metal Panel/Shingles pgles/ShakeS•; • �;.1 ' ❑ Prescriptive BUR-RAS 150 �• 0000 .1 c 0000.. ROOF TYPE •I'•••s �•• •0 • • 0000 . .. 0000. 1 Of ❑ Repair ❑ Maintenance 1 K n �° Reroofing 0000❑ Recovering 00:00' ROOF SYSTEM INFORMA •• •• 0000001 • • 0• Low Slope Roof Area(SF j ® Steep Sloped Roof AREA(SSF) Total(SFS 1 0000.•. 0000001 ♦0 . •... Section B(Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 1 v 1 e 1 1 O, 1 t�C�(� o ` 1 1 1 1 1 1 1 1 1 1 RL �n FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 t t I 1 1 1 Copyrigbt to,or licenced by,ICC(ALL RIGHTS RESERVED);accessed by Elie=Palacio on Alun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized, Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steel) Sloped Roof System) Roof System Manufacturer: Product Approval Number: Minimum Design Wind Presse if Applicable(From RAS 127 or Calculations): P1:- �P2: P3: Maximum Design Pressure see* 6669:6 r • • • Product Approval 5peciffc System: •• ••• • • • •6666• mai%'.;� • • • Method of Tile Attachment: 6666 . .. 6666. •• •• Y• • •6666• • •.661• • � Steep Staged System Description - 6666.. 6666.. . . 6666.. Deck Type: S�n,� � � �f • • Roof Slope: Type Underlaymenf: Insulation: Fire Barrier: Fastener Type&Spacing: a „ Ridge Ventilation? Adhesive Type: / l LL=:11K111) Type Cap Sheet: / A Roof Covering: Z Mean Roof Height: ` Type&Size Drips Edge: I . I 4 • Florida Building Code.Edltlon 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based the systems,choose either Method 1 or 2.Compare the values for Mrwith the values from Mf.If the Mrvalues are greater than or equal to the Mr values,for each area of the roof,then the the attachment method is acceptable. Method 1 " oment Based Tile Calollations Per RAS 127" {P,; x A4� 8. -Mg:Z!L=M,1 Product Approval Mf. ` {Pa �'« �'° -Mg:I =Mt2 e .�. Product Approval Mf. . {P3•,�-xA?'V Ms:L=Mr3�Praduct Approval M �....• Method 2"Simplified Tile Calculation Per Table Below" ...... ....;. Required Moment of Resistance{Mr}From Table Below Product Ap rovalhOte__W.._-0000 • ...... M Reaulred Moment Resistance* see* •. ..... Mean Roof Height--► ••••• • ••• ••i••� -Roof Slo 15' 20' 25' 30' ••••40' ••� i •••••• 2:12 34.4 36.5 38.2 39.7 ••:•4.�t 2 • 3.12 • ..•••• 32.2 34.4 38.0 37.4 39.8 0000• 4:12 30.4 32.2 33.8 35.1 . ' ,3 •••� 5:12 28.4 30.1 31.6 32.8 34.9 •• 6.12 26.4 28.0 28.4 30.5 $2.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Ru les and Appeals. For Uplift based the systems use Method 3.Compare the values for F'with the values for F,. It the F'values are greater than or equal to the F,values,for each area of thea roof,then the the attachment method is acceptable. Method 3"Uplift Based Tile Calculations Per RAS 127" {P1:_,___x 1:, ___x w:_^�-W:_x cos 0._=Fr, � Product Approval F (P2: x 1:^=_x w:=, }-W;-x cos Q: - =Fee Product Approval F' {Ps:_ x 1:_- x w:� _}-.W: x cos p: F,s Product Approval F' - Where to Obtain Information Descriptionymbo Where to find Dew Pressure P1 or F2 or P3 RAS 127 Table t or by an engineering analysis prepared by Fr=based on ASCE 7 Mean Roof Hef ht H Job site Roof Slope a Job Site Aerodynamic MWiipher }; Proauct Approval Restoring Moment due to Gravity Ma Product Approval Attachment Resistartee t, Produq toval ReAuired Moment Resistance M, Calculated Ndnimum Attachment Resistance P Protkrrn Ap rovai Required Upiift Resistance F, C210,rlated Average Ttfe We ght 1+V f product Approval Tile Dimensions 1 leNth Product Approval w n wiplh All calmtlefions must be submitted to the BuilJing Official at She time of permit applicavon. , Q I MIAMl•bAM MIAMI-DADE COUNTY � o 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.?ov/economy Eagle Roofing Products LLC 1575 East C.R.470 Sumterville,FL 33585 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of cor}struction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County PER-Product Control Wetrh to be used in Miami-Dade County and other areas where allowed by the Authority Having Jurisdiction(Al IJ). •• ... .. .. .. ...... This NOA shall not be valid after the expiration date stated below.The Miami-Dade County r4.* *ci Control Se ction • (in Miami-Dade County)and/or the AHJ(in areas other than Miami-Dade County)reserve thext to havg lhis, •••• product or material tested for quality assurance purposes. If this product or material fails to p rf9p91n the:ev;pjed ..... manner,the manufacturer will incur the expense of such testing and the AHJ may immediate •rey4e,modify,.g4 •;••• suspend the use of such product or material within their jurisdiction. RER reserves the right rewote this'acc�pdince, •••••• if it is determined by Miami-Dade County Product Control Section that this product or materi }41449-to meet the requirements of the applicable building code. ••.••• This product is approved as described herein,and has been designed to comply with the FloriV1a$chiding Code• including the High Velocity Hurricane Zone of the Florida Building Code. •• ••;•• • DESCRIPTION: Bel Air,Bei Air Double Eagle,Ponderosa,Ponderosa Double Eagle,Gulden Eagle Low Profile Concrete Tiles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displa%red,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 412-0430.04 and consists of pages l through 10. The submitted documentation was reviewed by Gaspar J Rodriguez. AIMENNESEEM 1r.. NOA No.:15-0223.18 MIAMi•DADECOUNTY Expiration Date:10/05116 • , Approval Date: 09/24/15 . ^ 3 Page I of 10 ROOFING ASSEMBLY APPROVAL R Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE: This approves a new roofing system using"Low Profile Concrete Tile" as manufactured by Eagle Roofing Products LLC in Sumterville, PL and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does•not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the'' values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2.PRODUCT DESCRIPTION: •..• ... . Manufactured by Test Pir.0441 • Applicant Dimensions S e ifications De§cr 2t n 00 :9006: Bel Air Concrete Tile L= 17" TAS 112 Flat profile concrete rodmlt equiPlted 4 two ••:••• W= 12 '/4" nail holes. For adhesive:Lt'DirectddclCdC '•"• Thickness=Yz" battened nail-on apple alions. 06 ' 8660:0 I• • • • Bel Air Double Eagle L= 17" TAS 112 Flat profile concrete r$of til;equipga6vm4i two . • Concrete Tile W= 12 1/4" nail holes. For adhe0v%gt,Virect dgcJc gr :•••• Thickness= %2" battened nail-on applications, '••' : Ponderosa Concrete Tile L= 17" TAS 112 Flat profile concrete roof tile with slate finish W= 12 '/4" equipped with two nail holes. For adhesive set, Thickness='/Z" direct deck or battened nail-on applications. Ponderosa Double Eagle L= 17" TAS 112 Flat profile concrete roof tile with shake finish Concrete Tile W= 12 '1/4" equipped with two nail holes. For adhesive set, Thickness='/Z" direct deck or battened nail-on applications. Golden Eagle Concrete L= 17" TAS 112 Flat profile concrete roof tile brushed finish Tile W= 12`'/4" equipped with two nail holes. For adhesive set, Thickness=%" direct deck or battened nail-on applications. Trim Pieces L=varies TAS 112 Accessory trim,clay roof pieces for use at hips, W=varies rakes,ridges and valley terminations. varying thickness Manufactured for each the profile. MIAMI DARE COL!{V7 Y NOA No.:15-0223.18 • Expiration Date:10/05/16 Approval Date: 09/24/15 Page 2 of 10 2.1 EVIDENCE SUBMITTED: ti Test Agency, Test Identifier Test Name/Relport Date PRI Asphalt Technologies ERPF-001-02-01 TAS 112 Aug.2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix It TAS 108(Nail-On) Redland Technologies P0402 Withdrawal Resistance Testing of$crew vs. Sept 1993 smooth shank nails • . . .... ...... Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing ••• Aag*1994 1994 TAS 108(Nail-On) r•• •• •: •••••• Redland Technologies P09647-01 Wind Tunnel Testing Ap&1994 •••• TAS 108(Mortar Set) 0.00•• ; 0.09 0.00• The Center for Applied 94-084 Static Uplift Testing ••;••; Max 1194 •• ••• Engineering,Inc. TAS 101 (Mortar Set) so •••••• pp -( � ) P b Z• pct. x994 ....:. The Center for Applied 25-7094 2 S &8 Static Uplift Testing ...... Engineering,Inc. TAS 102 • • The Center for Applied 25-7183-(5 thru 6) Static Uplift Testing A%1195 • Engineering,Inc. TAS 102 66 0 The Center for Applied 25-7214-(1,5,& 8) Static Uplift Testing March, 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7487-2 Static Uplift Testing Dec. 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7496-(1 &4) Static Uplift Testing Dec. 1995 Engineering,Inc. TAS 102 The Center for Applied 25-7804-6 Static Uplift Testing Sep. 1996 Engineering,Inc. TAS 102 Celotex Corporation Testing 520109-1 Static Uplift Testing Dec. 1998 Service 520111-4 TAS 101 Celotex Corporation Testing 520191-1 Static Uplift Testing March 1999 Service TAS 101 Walker Engineering,Inc. Calculations Aerodynamic Multiplier Sep.2006 Walker Engineering,Inc. Calculations Restoring Moments Due to Grayity Sep.2006 CMW= cNOA No.:15-0233.18 Expiration Date: 10/05/16 Approval Date: 09/24/15 Page 3 of 10 3 LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 shalt be required,refer to applicable Building Code. 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'. Such testing shall be submitted to the Miami-Dade County Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance N%44• applicable Building Code. • . . .... ...... . . .. ... . 4 INSTALLATION: •••••• 00 0.06:6 4.1 Eagle Roofing Products LLC Bel Air, Bel Air Double Eagle,Ponderosa,Golden Eagle,>:ozi►derosa DAuble.Eagle ;••••; Flat Concrete Roof Tiles and its components shall be installed in strict compliance'Iwi*okoofing:A�P1JLation 0060. Standard RAS 118, RAS 119 and RAS 120. 000060 0 000 0000 4.2 Data For Attachment Calculations 00000 0 0 0 0 0.0 0 000000 0 • Table 1: Average Weight(W)and Dimensions (1 x w) 0000 ••••• Tile Profile Weight W(lbf) Length-I (ft) ..0 Width,i 0t) 0.0.0 Bel Air, Bel Air Double Eagle, 11.4 1.42 1.0!T Ponderosa, Golden Eagle, Ponderosa Double Eagle Fiat Tile Table 2: Aerodynamic Multipliers-A(W) Tile Profile A(ft ) A(w) Batten Application Direct Deck Application Bel Air, Bel Air Double Eagle, 0.301 0.278 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile FY NOA No.:tS-0223.18 MIAMI DADE COU Expiration Date:10/05/16 Approval Date: 09/24/15 Page 4of10 Table 3: Restoring Moments due to Gravity-M9 (ft-lbf) Tile 3":12" 4":12" 5":12" 6":12" Greater than Profile 7":12" Bel Air, Bel Air Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Double Eagle, Deck Deck Deck Deck Deck Ponderosa, 7.48 7.71 7.37 7.59 7.22 7.44 7.05 1.27 6.86 7.07 Golden Eagle, Ponderosa Double Eagle Flat Tile Table 4: Attachment Resistance Expressed as a Moment-Mt(ft-ibf) ••••• for Nall-On Systems •••• •••••• Tile Fastener Type Direct Deck Direct Deck.... Battbt* ••„• Profile (min 15/32" plywood) (min. 19/32" plyw .... Bel Air, Bel 2-10d Rin Shank Nails 30,9 38.1 . 'i. 71 • Air Double 1-10d Smooth or Screw 7.3 9.8 .4. "" Eagle, Shank Nail ..... ... .... onderosa, 2-10d Smooth or Screw 14.0 1&11 7.4 •• Golden Shank Nails • Eagle, 1 #8 Screw 30.8 30.8 . 9 W2• Ponderosa 2#8 Screw 51.7 51.7 .. 2A.4 Double 1-10d Smooth or Screw 24.3 24.3 ��t,2• • Eagle Flat Shank Nail Field Clip) Tile 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip) 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) 2-10d Ring Shank Nails' 1 50.3 65.5 48.3 1. Installation with a 4"file headlap and fasteners are located a min. of 2Y2"from head of tile. MOA No.:15-0223.1& MIAM!•[>ADE IU11EIRW expiration Date: 10/05/16 Approval Date: 09/24/15 Page 5 of 10 Table 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf) for Two Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Bel Air, Bei Air Double Eagle, Adhesive' 31.32 Ponderosa, Golden Eagle, Ponderosa Double Eagle Flat Tile 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 13.9 grams. 3MTm 2-Component Foam Roof Tile Adhesive AH-160 Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment-Mr(ft-lbf) .... for Single Patty Adhesive Set Systems •...• Tile Profile Tile Application W n€mum A ahrient Resistancg Bel Air, Bel Air Double Eagle, _3MTm 2-Component Foam Roof Tile Adhesive AH-160 •••• 118. "": Ponderosa, Golden Eagle, 3MTm 2-Component Foam Roof Tile Adhesive AH-160 0000 40.4° •• •••• Ponderosa Double Eagle Flat ••••• • ••• 9:09,0 . Tile one@** ..• ..... 3 Large paddy placement of 45 rams of Pol Pro Ten. •••• �' 4 Medium paddy placement of 24 grams of Poi Pro*lm. ; ••; ••••• Table 7: Attachment Resistance Expressed as a Moment-Mf(ft-Ibf) • for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Bel Air, Bel Air Double Eagle, Ponderosa, Golden Mortar Sets 43.9 Eagle, Ponderosa Double Eagle Flat Tile 5 Tile-Tite Roof Tile Mortar. N11AMi•DADE oUNTY NOA No.:15-0223.18 Expiration Date:10105/16 Approval Date: 09/24115 Page 6 of 10 5. LABELING: r All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below),or following statement: "Miami-Dade County Product Control Approved". EA GL FLORIDA . . . Y • • (LOCATED ON UNDERSIDE OF TILE) •••• •• s • • .. .. .. . ...... • • • • •••••• EAGLE FL. •.... ;...•; (LOCATED ON FRONTSIDE OF TILE) BEL AIR,13EL AIR DOUBLE EAGLE,PONDEROSA,GOLDEN EAGLE,PONDEROSA DOUBLE EAGLE CONCRETE ROOF TILE LABEL,SUATTERVILLE PLANT 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 AHJ or applicable Building Code in order to properly evaluate the installation of this system. MIAMI•DAOE COUNTY NOA No..15-0223.18 No= • ENV Expiration Date:10105/16 Approval Cate: 09/24/15 Page 7 of 10 PROFILE DRAWING ••�..1 ., 91 •••• al;j� • • •••1 • •••• �1.2% • • • see o • • • . •••• •• t :••••• • 9000000000 • •1••r • • •• •• / i• • f••••• BEL AIR ••• • •• •• • s BEI,AIR DOUBLE EAGLE MIAWDADE COUNTY NDA No.-.1 5-0223.18 • Expiration Date: 10/05/14 Approval Date: 09/24/15 Page 8 of 10 �p �`'- �� yam°""�, �'T"+,,,}�''k•o-� •ti,��'"''^� �o,,,e� »'•'^�„ 'b 17 1 ��r � '••••� 0000•• �••••• •• 000000 • ,.��'" ?0000• • • • 0000•• 0000 • •• 00.00 0000• • ••• .0000 PONDEROSA • •• •• • 0000•• • • • ...... 17 PONDEROSA DOUBLE EAGLE IK-KAMWADE COUNTY NOA No.:15-0223.18 = Expiration Date:10/05/16 Approval Date: 09/24/15 Page 9of10 *000 0 *000 00 +5i •I••••• •• 000000 ••• • • 0000••• TnK' •,,, 0.0•0 •• • • • 0000 • •• 0000• 00.00• • ••• 0000• • 0••00• • o • • • • • • • • 0000•• • • • • • • 000 •0000• GOLDEN EAGLE •• • 00.0 • • •• s END OF THIS ACCEPTANCE MIAMI-DADECt7uNTY NOA No.:15-0223.18 • Pxpiration Date: 10105116 ;Approval Date: 09/24/15 Paye 10 of 10 IAMI MIAMI-DADE COUNTY �rkA♦g 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/economy 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 constructiolt.taterials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-FrodWet Corttl;ol,$Ection.o.bq.. . used in Miami Dade County and other areas where allowed by the Authority Having Jurisl"rorL(AH4.. . . 0 4909:6 This NOA shall not be valid after the expiration date stated below. The Miami-Dade Coy .Product Control Section . (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve'"right tohave this prMUt or material tested for quality assurance purposes. If this product or material fails to perfor4kiihe accepted mannerg1v manufacturer will incur the expense of such testing and the AHJ may immediately revoke!;?4fy, or%u$pOnd th2'ds'e of such product or material within their jurisdiction. RER reserves the right to revttcethis acc8ptance, if'llois00 determined by Miami-Dade County Product Control Section that this product or material fa'iNG meet the requirerjgigV.. of the applicable building code. 0 . . • This product is approved as described herein, and has been designed to comply with' thso* Florida'BDiltiing Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: ICP Adhesives Polyset®AH-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufa4ttirer 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. � �n��=tom NOA No.: 16-0315.01 M�,4MNaAnflCoutvnr 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. see. . . goes 0000•0 PRODUCTS MANUFACTURED BY APPLICANT: •"• ... 00 68.606 00 Goose. Product Dimensions Test Prodv�*bmeription• • 8888.. Specifications 00000, G• S. ' Doss • 00 00606 ICP Adhesives N/A TAS 101 Two component pW urethane foam adho4c- Polyset®AH-160 ..'..' *.so •••••• ICP Adhesives Foam N/A Dispensing Equipme�r:•: G •• G. Dispenser RTF1000 ...... 6 . 8888.. ICP Adhesives ProPack® N/A Dispensing Equipment• 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values with the use of ICP Adhesives Polyset® AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball,TX. PHYSICAL PROPERTIES: Prope Test Results Density ASTM D 1622 1.6 lbs./ft 3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft2 Moisture Vapor Transmission ASTM E 96 3.1 Perm/Inch Dimensional Stability ASTM D 2126 +0.07%Volume Change @-40'F.,2 weeks +6.0%Volume Change @158°F., 100%Humidity, 2 weeks Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. �V NOA No.: 16-0315.01 WMIAMMADECOUNTYM Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering 494-060 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 •• •0410/93 ..... Southwest Research Institute 01-6743-011 ASTM E 108 •d 1/16/94 • 01-6739-062b[1] ASTM E 84 ••••� �01f?4/95 .:00: • ••• ..... Trinity Engineering 7050.02.96-1 TAS 114 61/14/96 ••• • P36700.04.12 ASTM D 1623 004%8/12 :. P39740.02.12 TAS 101 :01-2f/12 TAS 123 : ...• :••••% •• • Celotex Corp.Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 LIMITATIONS: 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. MIAWDADE COUNTY NOA No.: 164315.01 Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 3 of, 1 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 Maintenangg,ppoklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensgd IV JCP A7&Wves and Sealants,Inc. ICP Adhesives and Sealants,Inc. shall supply a list of approved applic,atbr sfo the aufhor4*ty havink • jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment isy vegan ed bgbre application of any adhesive. The mix ratio between the A component and the B component j�!11*be maihtai7ied between1.0-1.15 (A): 1.0 (B). :": �•••� 6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispen r•.0 1000 or fcP •• Adhesives ProPack®30 & 100 dispensing equipment only. 7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight. � 000 •.... 0...•0 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP'tWhesives Polyset® AH-160 has been dispensed. 9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details'herein. Each generic tile profile requires the specific placement noted herein. htui oaoe COUNTY Expiration No.: 16-0315.01 II�II�I�M ,...� Expiration Date: 05/10/17 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 41 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile 42 12-14 sq. inches 30 High Profile #2 17-19 sq. inches ..0.0 Flat,Low, High Profiles #3 Two Paddys: 8-9 sq. inches:it •• 12 g;a—Mg�,er pad'd'y head of tile 9-11 sq. inches at' 000. a •• t...9. .. 6609. overlap • 069669 Two-Piece Barrel (Cap Tile) Two Piece 2 Beads(I each longitudin 0000. 17 gsams per be' . .. ... edge)20-25 sq. inches eac • . ... . ... 6666. bead ' . .. .. . 6666. Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches ; :34 grams under paia.6: LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiabl marking of the manufacturer's name or logo and following statement: "Miami-Dade County Product Control Approved" or the Miami- Dade County Product Control Seal as shown below. CMIAMIi�RDADE COUNTY BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 16-0315.01 �MIAM{•DADE COUNTY MI1■ A � � �� Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 5 of 11 ADHESIVE Mid ETAIL# 1 � �� s�T Pa yi ft9nhr Flat/Low Profile Tile ii 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 strengthening rib closest to the overlock 4 �a iii-71 p of the the being set. 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.•••• „`ate 1Claza. '` '� • • •••• •••• .`tip, "-. ��''' � •• • ••• • • EaavwClusur _ ma' ''r •••i•• • i••••s •••• • •• ••••• N•ii through a -tcement Medium Profile/ Double�Fpolile • ••• *11:.06 _...�� ay°t ,.•h4 1 1. Starting at the eave co&sS apply a minimum 2" •• (50.8 mm)x 10" (254 rnm)aj•1" (2j.4hhM)foam •••0 uit�daclaym °re •,,��, ', •••••• paddy onto the underlay ht;positiongdas shown under the pan portion of the tile closasttothe 4 �t overlock of the tile being set. 10 MIX, a ''a 2. Continue in same manner. Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive P � contact with the underside of the tile. Na' �v t ClWmuoP2iacsi0; v~. h, Hi Profile/Single Pan Tile 4%,ban r qa tr Ji �+drEp r •nem�hT�k,i g g 1. Starting at the eave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam "} 4 paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the " • overlock of the tile being set. 2. Continue in same manner.Insure approximately 17 (109.7 cm2)—23 (148.4 cm2)square inch adhesive P. contact with the undersi le of the tile. lei in. `` �Evr sl zsv NOA No.: 16-0315.01 MIAMMAne COUNTY Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 OW 1%rougk prarair tomone g r � �� i Flat/Low Profile Tile 3 UfAvr3aywainr, 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 ro., r►„„MKS the the being set. Insure approximately 17 (109.7 cm') —.23 (148.4 cm2) square inch adhesive contact with the underside of the tile. 2. At the second course, apply aminim� j '(50.8 �•. x 7 (177.8 mm)x 1 (25Atnrp)foa"paddy onto the underlayment positioned.a%cbown under blie 0000:0 N strengthening rib closest4oattetoverlock of the til:•••.: cr€e�crrrsur� ,e” r being set. ••••• .• . •••• • 00 • • • •• ••••• 3. Continue in same manner cure app'rQ fni tely (64.5 cm2)- 12 (77.4 cm�• e inch adhesive .' contact with the underside of&tile.:,,.:,, ••••%• .. •••. Mail+wr•+s;1Fr plsstir eemerr.4 Medium Profile/Double Pan Tile •• • *hem"quireldl ii . 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 `` ` ,: •. � q pan portion of the tile closest to the Overlock of the f 43 nti rr' l` tile being set. Insure approximately 17(109.7 cm2)— z ,. ry �� 23 (148.4 cm2)square inch adhesive contact with the �. underside of the tile. to F� 2. At the second course,apply a minimum 2 (50.8mm) 1 , x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the Xxis craturw underlayment positioned as shown 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 nlext page) - �- NOA No.: 16-0315.01 MIAWDAue CRUNTY Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2 (CONTINUED) Nail d'u'aurpil J"'- Cr!UOM-�, High Profile/Single Pan Tile 1 he rr�q,ir as 6asleG�� • F Tilt$ g g 1. Starting at the eave course,apply a minimum 2"(50.8 �` ww mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy e ;f onto the underlayment positioned as shprq under the pan portion of the tile clo est tp the oV' rJocJ�of the..... tile being set. Insure apprhi�mafely 17&(W9.* cmz)— • 23 (148.4 cmz) square inglR•arlive contaatwrth 1�re•••• underside of the tile. 6600:6 . 8 8 8 • I •-'*� 8 • .. . i,y:•x.V /' •' 888 . • 006*0 Z. At the second course, appyminimuni•2"J, 0.8maj.. V Ewyr Carr -�, • ` eA x 7 (177.8 mm)x 1 (25,,40iiypj foanfpaQd�onto.t�►ee e e V, IV••ah underlayment positioned asshown under the pan .• �u z .# ''� 9 • portion of the tile closest to the everlog�C ofitjie tiles••• • • • • • being set. .•8000. *a 0 966:00 0 3. Continue in same manner. Insure approximately 17" (109.7 em')- 19 (122.6 cmZ) square inch adhesive contact with the underside of the tile. NOA No.: 16-0315.01 CMIAMIMADECORTYMExpiration Date: 05/10/17 �11 Approval Date: 04/07/16 Page 8 of 11 ADHESIVE PLACEMENT DETAIL#3 Nail through piasdccement Paddy(,between tiles) jwhenrequiredt"S 1. On the eave course only, apply a minimum 2" (50.8 Battens optional � �� mm)x 10" (254 mm)x 1" (25.4 mm) foam paddy Paddy lurrderiti onto the underlayment positioned as shown,under ngtepaddy the strengthening rib for flat tile or under the an g P portion of the the for 1pw or high profile the closest .� . . to the Overlock of the the being set.Le.ave S` legaaddr ,k; approximately 4"(101!6.MI up frp4V thg eave �• a edge free of foam to pr"c&U the expanU:adhe.4vi% . n umderiaymemt , from blocking the weep.ho�¢s. Insure • • 0000.. approximately 17-23 it1��1�0�9�.7-14$*I�cm;)of • tom es �`�;a adhesive contact with th'eWdersidd oftlie tile @6:06e `Fascia 00000• 0 ... 00000 '- � � 1)00 00 00 0 •00000 . 2. Apply a4" (101.6 mm x�' �01.6.mm�x l" (25.4.:. mm)foam paddy onto the uiaderla;Vent just betow FlattlawProflleTile the second course line positioned fgmt:%ddy '�*00: under the strengthening rib for flat tits, o?under the Nail through plastic cement Single paddy under We pan portion of the tile, closest to the underlock for iw°tsen reWired) Paddy lbaWaentiles) the second course tile to be installed. Insure approximately 8-9 int(51.6-58.1 cm2)of adhesive Battens pattdyi�nnrtitei contact with the underside of the tile. a �� Instructions continued on next age) s. on tap sidtele �� P g sin�gie paddy on °w m etrtderiat, EaireGosure Ease�+xrrse - Fagg Medium FrotlleTile a, NOA No.: 16-0315.01 MIAMI DARE COUNTY Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3 (CONTINUED) Nam through Plastic S11111 paddy uTWer file 1whenrequiredl pal�al� 3. Also apply a 2" (50.8 mm)x 4" (101.6 mm)x 3/a" between (19 mm)paddy on top of the eave course tile B, ,Batte�¢ dy Lunn tial surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, d t' /� closest to the underlock of the first eaar�of tile.5fttgJa •• Ion Install second course;f ti1tlnsure*a�$foximafe'I�• 4x4in. *`A^� 9 (58.1 cm2)- 11 (71c1n square incgi-e&esive •• '+y contact with the under�sl q p f the the 4 the overlap • 5 e 2 Y i inn pad�on and 7 (45.2 cm2)-9 (5,&j wn2) square inch :.... � top tag" adhesive contact with Tka u�dersi&o-91 tile at-••• TI F the head of the tile. Crtuq in sqrte pt ►ner.••'••• Em CourseFascia Weephok f'N Eave desure T •••••• iii in tin.�s ♦ • • • • �� ' C9ripedge •••• i •••• i••••� High PrmfileTl s •• • Mlar�luN NOA No.: 16-0315.01 Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 10 of 11 ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Two Piece Barrel(Cap and Pan)Tile 1. Starting at the eave course,apply a minimum 2" in Place enough adhesive to achieve BS to TO sq in. Steep pitch applications 254 mm in contact with the pan tile. (when required) (5 0.8 mm)x 10" ( )X 1"(25.4 mm)foam 2)Turn covers upside down.Place adhesive in paddy onto the underlayment posrtlonud as tot in.from outside edge of cover tile. shown under two ac�ant••pan ti�g . S�t}pporteave+ Then install the tile.Ensure 20 to • 25 sq.in.contact area. *' �, tiles from rocking uOla esive haSa3�hancg tp.;. r""r d rel • Underiayment cure. *..... • • • 2. Continue in same mafthLf bringifig tWo pan courses up toward tle>l(fj.Insure . • approximately 65 (4�1 9. cm2)—7b%451.6 cmf) •• - square inch adhesivt coht$ct wit the unders ` of the pan tile. 0 0 :'•`" • ' Sheathing . . . ••.••• Eave closure ' .. .... 70 (motor shown) 3. Turn covers upside down exposiortheunderside Weephole Fascia Board of the tile. Apply a minimum 1"(25.4 mm)x 10" (254 mm)bead of adhesive directly on the inner Remove top portion oftheeavecoursecover tile.Abut tosecond course of edge of each side of the cover tile. Leave pan tiles.Ensure eave end of pan and cover tiles are flush at eave line. approximately 3/4„ (19 mm)to 1„ (25.4 mm) Two Piece Barrel-High Profile Tile from the outside edge of the tile, inward,free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan tile course. Insure a minimum of 20 (129 cm2)-25 (161.3 cm2)square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required,2”(50.8 mm)x 4” (101.6 mm)nailers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 16-0315.01 h IAMI-DADE Coutvn Expiration Date: 05/10/17 Approval Date: 04/07/16 Page 11 of 11 MIAM. . MIAMI-DADE COUNTY `}y 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.eov/economy Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 •'•. • • 0000 •e.... SCOPE: • •00•. 08 0800•• This NOA is being issued under the applicable rules and regulations governing the use of d&TAMction materials. TIC...: documentation submitted has been reviewed and accepted by Miami-Dade County RER-liroctuot Conl!ro4 Section to� .e ..00 . .. 00 .. used in Miami Dade County and other areas where allowed by the Authority Having Jurisalj re p.(AHJ).so... This NOA shall not be valid after the expiration date stated below. The Miami-Dade Counoduct Control Section.' �Prtr (In Miami Dade County) and/or the AHJ(in areas other than Miami Dade County)reservAhe riiht to havethis ••••:• product or material tested for quality assurance purposes. If this product or material fails t j pe;*Wm in the accepted....: manner,the manufacturer will incur the expense of such testing and the AHJ may immediat8N revoke,.AMTf , or ' suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA#12-0713.02 and consists of pages 1 through 9. The submitted documentation was reviewed by Alex Tigera. Ir"k. r�ltuw DADA coutvrY NOA No.: 14-0717.08 Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 1 of 9 ROOFING COMPONENT APPROVAL Catet!ory• Roofing Sub-Catezory: Underlayment Material: SBS ,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product ." Product Dimensions Specification I; sora tion •• ••••• Polystick MTS Roll: TAS 103 A homogeneous,rub erj2ed asphalt*;terprdafiil%' Manufacturing Location 65'8"x 3'33/$" membrane, glass fib2Xf8ih�orced with polyolwafir�ice #2 ... .. 60 mils thick film on the upper su� a� for us�a��• •••0• underlayment for mgt;4199fing, rpof tile, slat-. tiles and shingle un rta,3tnent. ' 0000:0 0000.. • e Polystick MTS Plus Roll: TAS 103 A homogeneous,rule erizdd asp4g4j, 4terprddflAA' Manufacturing Location 65'8"x 3'33/" membranelass fibl: raiUorcecdwith of oW"ie: #2 60 mils thick film on the upper surface for surface an e. y underlayment for metal roofing,roof tile, slate tiles and shingle unde�layment. Polystick IR-Xe Roll: ASTM D 1970 A fine granular/sand trop surface self-adhering, Manufacturing Location 65' x 3'33/8" APP polymer modified, fiberglass reinforced, #1 &#2 Or 65' x 3' bituminous sheet material for use as an 60 mils thick underlayment in sloped roof assemblies. Designed as an ice&rain shield. Polystick TU Plus Roll: TAS 103 and ASTM A rubberized asphalt self-adhering, glass- (Surface Printing) 65' x 3'33/$" D 1970 fiber/polyester reinforced waterproofing Manufacturing Location 80 mils thick membrane. Designed as a metal roofing and roof #1 &#2 tile underlayment. Polystick TU P Roll: TAS 103 and ASTM A rubberized asphalt Waterproofing membrane, Manufacturing Location 32'10"x 3'33/$" D 1970 glass-fiber/polyester rmforced,with a granular #2 130 mils thick surface designed for use as a tile roof underlayment. Polystick Tile Pro Roll: TAS 103 and ASTM A rubberized asphalt self-adhering, glass- Manufacturing Location 61' x 3'33/$" D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane.Designed�s a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and ASTM A rubberized asphalt s If-adhering, glass- Manufacturing Location 61' x 3'33/$" D 1970 fiber/polyester reinfor ed waterproofing #2 60 mils thick membrane. Designed s a metal roofing and roof tile underlayment. NOA No.: 14-0717:08 MIAM MAD,COUNTYM Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 2 of 9 PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,polyester Manufacturing Location 65'8"x 3'3-3/8" D 1970 reinforced waterproofing membrane. Designed as #2 60 mils thick a a roof tile underlayment. Elastoflex S6 G Roll: TAS 103 and ASTM Polyester reinforced SBS modifear4umen 1 •0000 0000•• 32' 10"x 3' 3-3/8" D6164 membrane with a b&i•off:)olyeMlerW or sanded back face and a gran ule top surface.'Aor use."•:• roof tile underlaym ,;stems. • 0000.. MANUFACTURING PLANTS: •. ••••• 1.Hazelton, PA • . .. .. . 0000.. 2.Winter Haven FL F:0:0 0000:. 0000.. • EVIDENCE SUBMITTED: ..0000000 :04666 •• Test Aizency Test Identifier Test Name/Report 1 Date Trinity)ERD P10870.09.08-RI TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798 & G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.11 TAS 103/ASTM D4798 & G 15 5 09/01/11 P37300.10.11 TAS 110/ASTM D4798 &D1970 10/19/11 P40390. 08.12-1 TAS 103 &TAS 110 08/06/12 P40390.08.12-2 ASTM D 1623 08/07/12 P40390.10.12 ASTM D 1970 10/03/12 P37590.07.13-1 ASTM D6164 07/02/13 P45270.05.14 TAS 103, TAS 110 &ASTM 05/12/14 D1623 P46520.10.14 ASTM D1623 10/03/14 P44360.10.14 TAS 103 &TAS 110 10/07/14 P43290.10.14 ASTM D 1970 &TAS 110 10/17/14 PRI Asphalt Technologies PUSA-035-02-01 TAS 103 09/29/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-089-02-01 TAS 103/ASTM D4798 & 155 07/06/09 Momentum Technologies,Inc. JX201-17A TAS 103/ASTM D4798 & 155 04/01/08 RX14E8A TAS 103/ASTM D4798 & 155 11/09/09 DX23D8B TAS 103/ASTM D4798 & 155 02/18/10 DX23D8A TAS 103/ASTM D4798 & 155 02/18/10 MIAMI•DADE UNTY NOA No.: 14-0717:08 CO Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 3 of 9 INSTALLATION PROCEDURES: Deck Type 1: Wood, non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(1) Anchor sheet mechanically fastened to deck, membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Membrane: Polystick membranes self-adhered. Surfacing: See General Limitations Below. ..:.. Deck Type 1: Wood,non-insulated ....* 0000 ..... .. .. ..:00: . ... •...• Deck Description: Min. 19/32"plywood or wood plank • . ...... System Type E(2) Anchor sheet mechanically fastened to deck,membrane adhered"•;•0 • •, Anchor/Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626. . :""' Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at M'inimum 4A ad lap.jfor base sheet only) 9 Membrane: Elastoflex S6 G, hot asphalt applied. Surfacing: See General Limitations Below. Deck Type 1: Wood, non-insulated Deck Description: Min. 19/32"plywood or wood plank System Type E(3) Base sheet mechanically fastened deck, subsequent cap membrane self- adhered. Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus, self-adhered with minimum 3"horizontal laps and minimum 6"vertical (Optional) laps. Membrane: Polystick TU Plus, self-adhered. Surfacing: See General Limitations Below. NOA No.: 14-0717.08 MAMI-DADE COUNTY1111 Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 4 of 9 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3-'/2"and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertiral,strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordan wi6h applicabl!a building••:- code. 0 4. When applying the membrane in the valley, start at the low point and work to the ji *.&nt, rollirtig the membrane from the center outward in both directions. ..� .. ...... 5. For ridge applications, center the membrane and roll from the center outward in bo •di?ectiong. •• •'; 6. Roll or broom the entire membrane surface so as to have full contact with the surf' 0000.0 .j vin s i�al ttentj q A � �.� g Pg4 � Lw�... to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Asseh}bly Curren:Product Coli'V(11*' Notice of Acceptance. :....: 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing'tapt shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS,Polystick MTS Plus,Polystick TU Plus,Polystick Tile Pro and Polystick Dual Pro may be used in asphaltic shingles,wood shakes and shingles, non-structural metal roofing, roof tile systems and quarry slate roof assemblies. Polystick TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. Elastoflex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations(days) MTS IR-Xe Elastoflex TU Plus TU P Tile Pro Dual Pro TU Max MTS Plus S6 G Winter Haven, 180 90 180 180 180 180 180 90 180 FL. Hazelton,PA. N/A 90 N/A 180 N/A N/A N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. NOA No.: 14-0717.08 MuuHi•oaoecouNTr Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 5 of 9 8. In roof tile`application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU Plus, Polystick Tile Pro,Polystick TU Max or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof tile applications. P61ystick Dual Pro is limited to mechanically fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9a. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)tile assemblies shall be as follows: (See Table Below) gasses Tile Profile Polystick MTS Elastoflex S6 G Polystick TU Plus, Polystick•'PU• PAI'NiQk MTS TU P,Tile Pro, Mat":" P1usl GOODS • Dual Pro •�••�• •00,00 .... .. Flat Tile Prohibited 4:12 No limitation No limitatibh• S'1GOODS 2 without battens 00:00: ' "' "'. . Profiled Tile Prohibited 4:12 No limitation No limitiji�• x:12 ' without battens • • 006000 The above slope limitations can be exceeded only by using battens and counter batte%%Gith$ccordapre with thg"": Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements•leadens are required for both loading and installation of tiles at all times. 'The following limitations shall be apply when using Polystick MTS Plus: • Slopes up to those shown in the table above will require stagging of tiles—two tiles laid perpendicular to slope followed by a maximum four tile stack parallel to the slope,for a total of 6 tiles. (See Figure 1 below) • Battens shall be used for stagging of lugged tiles above 4:12 • Battens shall be used for staging of flat tiles above 5:12 J/Slope t 'pWVR o .1 Figure 1: Stagging Method 9b. There shall be no roof slope limitation for the Polystick MTS Plus/Polystick TV Plus two-ply underlayment system when a applied using the stagging method outlined above. DE C MIAMNDAouidTY NOA No.: 14-0717.08 A � � i Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 6 of 9 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. Roofing riles (6 Max Per Stack) 3is • • •••• •••••• 12 • • • • rL Y•• • • o " i �I 6 •• • • • N • •••••• • ••• ••••• t14ofD`eck prepared withPO LWFICK TU Plus • • • • • •••••• • • 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of thts•pfdduct with •• specific prepared roofing products. Polystick MTS, Polystick MTS Plus, Polystick IAXe,aolystiek*'FU Plus; • Polystick TU P, Polystick TU Max,Polystick Dual Pro, Polystick Tile Pro or Elastoflex S6 G maybe used with any approved roof covering Notice of Acceptance listing Polystick MTS,Polystick MTS Plus,Polystick IR-Xe, Polystick TU Plus,Polystick TU P,Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, Polystick MTS Plus, Polystick IR-Xe, Polystick TU Plus,Polystick TU P, Polystick TU Max,Polystick Dual Pro,Polystick Tile Pro or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction(AHJ) or the Miami-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. QMIAMMMIDAMECOUNTY BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1.This Notice of Acceptance. 2.Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 14-0717.08 MM MI•DADE COUNTY Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 7 of 9 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type,applied with a minimum 1"metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12"o.c. Polystick TU Plus should be back nailed in designated area marked"nail area, area para clavar".orf Th face of membrane,with the above stated nails and/or disks. The head lap membrane is to co ve�rst1w areal;*ing�back nailed. (Please refer to applicable local building codes prior to installation.) ` 3. All seal lap seams (selvage laps)must be rolled with a hand roller to ensure full conIAM :••••: 6666 .. 4. All fabric over fabric; and granule over granule end laps, shall have a 6"wide,unifor"4ayer ofMygrass 06:6.0 Polyplus 55 Premium Modified Flashing Cement,Polyglass Polyplus 50 Premium Mf%Ftshing.Ce4i%t, ""' XtraFlex 50 Premium Modified Wet/Dry Cement,Polyglass PG500 MB Flashing CM&I, applieTin between`'V the application of the lap. The use of mastic between the laps does not apply to Poly tick t1TS. ....: 6960.. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments:Refer.to the Polyglass Zile..: Loading Guidelines. See General Limitations#9 and#10. 6. Battens and/or Counter-battens, as required by the tile manufacturers NOA's,must be used on all projects for pitch/slopes of 7/12" or greater. It is suggested that on pitch/slopes in excess of 6 1/4"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation &before loading of roofing tiles is Forty-Eight(48)Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement,XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair,followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self-adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami-Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. NOA No.: 14-0717.08 MIAMI•DADE COUNTY ... , Expiration Date: 09/13!16 EUMMEW Approval Date: 01/22/15 Page 8 of 9 • a 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association(NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS ANk.. RECOMMENDATIONS. e • Goose 0.09•0 .. . *see e 00 00 END OF THIS ACCEPTANCE :::::0 0 :ecce: .sees. sees .. . 0 e .... sees . sees. .. .. se 0 sees.. sees.. e . . . • sees.. . . . . sees..e 694:60 00 0 NOA No.: 14-0717.08 CMAMI-DADE COUNTY Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 9 of 9