RF-16-2582 Miami Shores Village
Building Department
10050 N.E.2nd avenue
mss► Miami Shores, Florida 33138
��pR ► �' Tel: (305) 785.2204
Fax: (305)756.8972
RE:Permit#-R F-9-16-2582 DATE:
INSPECTION AFFIDAVIT
I Alain Gonzalez kensed as a(n)Contractor/Engineer I Architect,
(Oft we and drde umnse Type) FS 488 Building Inspector
License CCC1325556
On or about .I did personally inspect the roof deck nauina and —
(DeIDaeme)
Secondary ureter barrier work at 343 NE 99 Street Miami Shores,FL 33138
(con hie Job Sao Addnw)
Based upon that examination I have determined the installation was dome 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 swom,deposes and says that he/she is the contractor for the above property
mentioned.
Sworn to and subscribed before me this day of
+. HANNA FADUL
Notary Public,Sate of Florida at Large ' ' Nom'PMO-mate of MWWI
+� Canrs►iaaion i FF 888141
.;� MY Comm.MON Apr 30,2020
kimbe"Inw�+N INotaryAM.
*Cww 1,Budding,Reddw&,orRAnp{brrb dots or ani kdvldual carded ureter 468 F.S.>o mob wA an h*edm Rdude 01 ems+plarre�� v Mh
pmd#and addrew f dearly ftw m*ed on ft dw*tor each bqxdo
Raved on 51 IRM
Miami Shores Village
7 �oo►� ::
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 x r
fi Phone: (305)795-2204
'81txt Sfais.
Expiration: 03119/20::j
Project Address Parcel Number Applicant
343 NE 99 Street 1132060135500
PETER ABRAMS
Miami Shores, FL Block: Lot:
Owner information Address Phone Cell
PETER ABRAMS 343 NE 99 ST
MIAMI SHORES FL 33138-2436
Contractor(s) Phone Cell Phone Valuation: $ 5,950.00
ISAACS ROOFING&INSULATION CO] (305)234-5234 (786)277-9756
Total Sq Feet: 700
Type of Work:Re Roof Available Inspections:
Additional Info:RE-ROOF FLAT TO FLAT SELF ADHERE WH Inspection Type:
Classification:Residential Tin Cap
Scanning:3 Final Roof
Roof in Progress
Renailing Affidavit
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60 Invoice# RF-9-16-61392
DBPR Fee $3.75 09/20/2016 Credit Card $276.10 $0.00
DCA Fee $3.75
Education Surcharge $1.20
Permit Fee-New Roof $250.00
Scanning Fee $9.00
Technology Fee $4.80
Total: $276.10
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 ce ' that all the f ing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni g. Futhe ore,I orize the above-named contractor to do the work stated.
September 20,2016
Authorized Signat e:Owner Applicant / Contractor / Agent Date
Building Dep t Copy
September 20,2016 1
Miami Shores Village C
g SSP 2816
Building Department BY.
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No. Vv - kky Z5a Z_
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC MMOOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION El SHOP
CONTRACTOR DRAWINGS
Q
JOB ADDRESS: �� l f
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: ii Flood Zone: BFE: FFE: (;
OWNER:Name(Fee Simple Titleholder): It"�iF� �`14. Phone#: 3OTr
Address: I Lt 3 N A S I s3-
City: /A_6160-21& State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: $ 3k— Phone#: 2-
Address:
City: State: e-"` Zip:
Qualifier Name: AAAA. Circ 41- Phone#: 3yT -2-3 Y "2-
State Certification or Registration#Cc Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: �6 6
Type of Work: ❑ Addition ❑ Alteration ❑ New 51 Repair/Replace ❑ Demolition
Description of Work: dir L** �-c C'n�
Specify color of color thru tile:
Submittal Fee$ 5 °'1 Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no,work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Snaturerqf Signature-
19
OWWR or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
c=)L day of 20 V_g by '2— day of 20 t4 ,by
who is personally known to A4Z--V+ 64np4C,� ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Ir)ril:'01 Ae Print:—` :Nagonal
VIANNAVAULIL
� '4 �%z Notary Public-State of Fl�idaSeal:_:� e`�� Notary PublnNotaryAssn.
Comisslon N FF 888141 �; Commiss"� v; My Comm.Expires Apr 30,2020 �; My Comm.EBonded through Nations Notary Assn• ��,,,,+ Bonded throug
*ssssssfrivi+iW ' * * ** *se* ******** ***s*sss*****i *ssssss sss*****
APPROVED BY `t' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami shores Village
..,. �.� Building Department
10050 N.E.2nd Avenue
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: C�e� - &Ir�J
Property Address: 3
Roofing Permit Number:
Dear Building Official:
I— /)A 4 certify that I am not required to retrofit the roof to wall connections of my
building because:
o The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad
valorem taxation.
❑The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions
of 1994 Will n of the South Florida Building Code(1994 SFBC)
(Sigture) (lint- ame
State of Florida
County of Dade
The undersigned, being the first duly sworn,deTs and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this day of
HANNA FADUL
Ue`•o•; Notary Public-state of FloJ
Commission#FF 98814
.@' My Comm.Expires Apr 30,Notary Public, Sate of Florida at Large �`'' My Co t m.E National Notary
• When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994
SFBC.Then you must provide a building application from a General Contractor for the Roof to Wag connection Hurricane Mitigation.
Revised on 5/21/2009
MIAMEDADE
s
"Delivering Excellence Every Day"
NIIANII-DARE COUNTY
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
It is the responsibility of the roofing contractor to provide the owner with the required roofing permit,and to
explain to the owner the content of this form. The owner's initials in the designated space indicates that the item
has been explained.
1.Aesthetics-workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions.
Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should be addressed
as part of the agreement between the owner and the contractor.
2.Renailing wood decks: When replacing roofing,the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
3.Common roofs: Common roofs are those which have no visible delineation between neighboring
units(i.e.townhouses,condominiums,etc.). In buildings with common roofs,the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4.Exposed ceilings: Exposed,open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance; therefore,roofing nail
penetrations of the underside of the decking may not be acceptable.The owner provides the option of
maintaining this appearance.
5.Ponding water: The current roof system and/or deck of the building may not drain well and may
cause water to pond(accumulate) in low-lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original
roofing system is removed. Ponding conditions should be corrected.
6.Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
with the requirements of: Chapter 15 and 16 herein and the Florida Building Code,Plumbing.
7.Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced.
Owner's/Agent's Signature: Date:
Contractor's Signature: Permit Number.
Property Address: `� ll/�
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Florida Building Code Edition 2010
High Velocity Hurricane Zone Uniform Permit Application Form
Section C (Low Slowed Roof System
Fill In Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet
and identify Manufacturer Attachment
(If a component Is not ,identify as`NAS
System Manufacturer: +cam
Field:J-2 oc @Lap,#Rows� � p "oc
NOA No.;
Perimeter:AL.oc0 Lap,#Rows�Q < "oc
Design Wind Pressures,From RAS 128 or Calculations: /� K
1 OComer: J( "oc@ Lap,#RowsCcs "OC
Pmaxt: Pmax2: T/ Pmax3:/��
Max.Design Pressure,From the Specific NOA Boarrdber of Fastener Per Insulation
System:
Field: per. Comer
Deck:
Type:
Gauge/Thickness: illustrate Components Noted and
Details as Applicable
� 5'> Woodblocking, Gutter, Edge Termination,
S� tripping, Flashing, Continuous Cleat, Cant
Anchorrtsase Sheet. No,of Ply s): a S� trip, Base Flashing, Counter- Flashing,
Coping,Etc.
Am., /BaseS�etgaenyMilo Ing Mae I: Indicate: Mean Roof Height, Parapet Height,
'0v- S / �/ Height of Base Flashing, Component Material,
Material Thickness, Fastener. Type, Fastener
Insulation Base Layer: Spacing or Submit Manufacturers Details that
Base insulation Size Thickness: Comply with RAS 111 and Chapter IS.
Base Insulation F tenedsonfing Material:
Top insulation er: Y EAAS0�1.l tf�4f'�� FT
Top Insulation SI nd Thickness: 1:2 Parapet
�'/��� Height
Top Insulation Fastener/bonding Material:
Base Sheet(s)&No.of Ply(s): /
Base Sheet Fastener/Bondi a rial: ��;,irsr.I Mean
Roof
Height
Ply Sheet(s)&No.of Piy(s) " ,S4,
Ply Sheet Fastener/Bondin4terial: ��rr
�y�.�.2fyErzf
Top Ply: G`.f+.�a1�I�lrP /'�•_ -___�_._J • • • • • ••
Top Ply Fastener/Bonding Mat 'al: i i i i i i i •
Surfacing:
. • • . . • •• . •
• •. • • • • . • • •
• .. •. . • . .• ..
••• • • • ••• • 0
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Stmt,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/economv
PoIyglass USA,Inc. _T _
150 Lyon Drive
Fernley,NV 89408
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The
documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section
(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION:Polyglass Self-Adhered Roof System over Wood Decks
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 NOA revises NOA# 13-0514.10 and consists of�a'� 41hlodYgl:32.
The submitted documentation was reviewed bAlex:Tigea
. ... .. . . . ..
0
' i i ' i• 0 NOA No.: 13-1217.01
MU1Mr• E NTY 0J;6• • • e i i
•• • • • Expiration Date: 10111/17
Approval Date: 11/06/14
Page 1 of 33
ROOFING ASSEMBLY APPROVAL
Catteory: Roofing
Sub-CatVory Modified Bitumen
Materials SBS/APP/TPO
Deck Tempe: Wood
MaMmum Design Pressure -112.5 psf
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE I
Test Product
Product Dimensions specification fig cri tion
Elastobase 65'2"x33-3/8" ASTM D 6163, SBS modified asphalt coated fiberglass reinforced
Type l base sheet.
XtraFlex SBS Glass 65' 8"x 3'3-3/8" ASTM D 6163, SBS modified asphalt coated fiberglass reinforced
Base Type 1 base sheet.
Polyglass 02 Base 108'x 36" ASTM D 4601 Asphalt-coated fiberglass reinforced base sheet
Type II
Polyanchor 250'x48" ASTM D 4601 A polymer woven,high performance,synthetic base
Type II sheet.
Elastobase P 65' 8"x 3'3-3/8" ASTM D 6164, SBS modified asphalt coated polyester reinforced base
Type I sheet.
Elastoflex SA V FR 66' 8"x 3'3-3/8" ASTM D 6163, Self-adhered,fire-rated,fiberglass reinforced SBS
(1.5-mm) Type I modified bitumen membrane with a self-adhering back
face and a smooth top surface.
Elastoflex SA V 66' 8"x 3'3-3/8" ASTM D 6163, Self-adhered,fire-rated,fiberglass reinforced,SBS
PLUS FR Type 1 modified bitumen membrane with a self-adhering back
face and a smooth top surface.
Elastoflex SA V(1.5- 66' 8"x 3' 3-3/8" ASTM D 6163, Self-adhered,fiberglass reinforced,SBS modified
mm) Type I bitumen membrane with a self-adhering back face and
a smooth top surface.
Elastoflex SA V 66' 8"x 3' 3-%" ASTM D 6163, Self-adhered,fiberglass reinforced,SBS modified
PLUS Type I bitumen membrane with a self-adhering back face and
a smooth top surface.
XtraFlex SBS Base 66' 8"x 3' 3 3!$" ASTM D 6163, Self-adhered,fiberglass reinforced,SBS modified
SA Type I bitumen membrane with a self-adhering back face and
a smooth top surface.
£lastoflex SA P FR 32' 10"x3'3-3/8" ASTM D 6164, Self-adhered,fire-rated,polyester reinforced,SBS
Type I modified bitumen membrane with a self-adhering back
.. ... . . . fade jind#Wanule top surface.
XtraFlcx SBS G SA 32' 10"x 3'3-3/8" .
.ASTa I;dj6Q, ;S&-;dllcred,fire-rated,polyester reinforced,SBS
..• J;pe i s '.6m&d:jeA8itumen membrane with a self-adhering back
face and a granule top surface.
. ..• . ... •. .
.•. . - . . .0 . :0. : .
NOA No.: 13-1217.01NII E . .. • . • • • • • .
j U
t:xpiration Date: 10/11/17
Approval Date:11/06/14
•.• • • • • •.• • •
Page 2of 33
• • • •
V: • • • •
• •• •• • • • •• ••
Elastoflex SA P 32' 10"x 3'3-3/8" ASTM D 6164, Self-adhered,fiberglass reinforced,SBS modified
Type I bitumen membrane with a self-adhering back face and
a granule top surface.
Polyflex 32' 10"x 3'3-3/8" ASTM D 6222 Torch applied,polyester reinforced,APP modified
bitumen membrane with a burn off polyethylene back
face and a smooth or sanded top surface.
XtraFlex APP S 32' 10"x 3'3-3/8" ASTM D 6222 Torch applied,polyester reinforced,APP modified
bitumen membrane with a burn off polyethylene back
face and a smooth or sanded top surface.
Polybond 32' 10"x 3'3-3/8" ASTM D 6222 Torch applied,polyester reinforced,AFP modified
bitumen membrane with a burn off polyethylene back
face and a smooth or sanded top surface.
Polyflex G 32' 10"x 3'3-3/8" ASTM D 6222 Torch applied,polyester reinforced,APP modified
bitumen membrane with a burn off polyethylene back
face and a granule top surface.
Polyflex SA P 32' 10"x 3' 3-w%" ASTM D 6222, Self-adhered,polyester reinforced,APP modified
Type I bitumen membrane with a self-adhering back face and
a granule top surface.
Polyflex SA P FR 32' 10"x 3'3'/$" ASTM D 6222, Self-adhered,fire-rated,polyester reinforced,APP
Type I modified bitumen membrane with a self-adhering back
face and a granule top surface.
XtraFlex APP G SA 32' 10"x 3'3 /s" ASTM D 6222, Self-adhered,fire-rated,polyester reinforced,APP
Type I modified bitumen membrane with a self adhering back
face and a granule top surface.
Polyfresko G SBS SA 32' 10"x 3'3.3%" ASTM D 6164, Self-adhered,fiberglass reinforced,SBS modified
Type I bitumen membrane with a self-adhering back face and
a granule top surface.
Polyfresko G SBS SA 32' 10"x 3'3-3/s" ASTM D 6164, Self-adhered,fire-rated,fiberglass reinforced,SBS
FR Type I modified bitumen membrane with a self-adhering back
face and a granule top surface.
Polyfresko G APP SA 32' 10"x 3'33/s" ASTM D 6222, Self-adhered,polyester reinforced,APP modified
Type I bitumen membrane with a self-adhering back face and
a granule top surface.
Polyfresko G APP SA 32' 10"x 3'3-;/s" ASTM D 6222, Self-adhered,fire-rated,polyester reinforced,APP
FR Type I modified bitumen membrane with a self-adhering back
face and a granule top surface
PolyKool 32' 10"x 3'3-'/s" ASTM D6222 Self-adhered,polyester reinforced,APP modified
Type I bitumen membrane with a se?f-adhering back face and
a.white film laminate on the pop surface.
XtraFlex Kool APP S 32' 10"x 3'3-'/s" ASTM D6222 Self-adhered,polyester reinforced,APP modified
SA -Type I bitumen membrane with a self-adhering back face and
' • a wbitg film laminate on the top surface.
Polygtass APP Base 65' 8"x 3' 3-3/87Y -AT fl.j50;•/IPA g1dified asphalt coated fiberglass reinforced
Type I base sheet.
. ... . ... .. .
MrY •: :. ' ;•: :•. : NOANo.: 13-1217.01
+ ► •• ' • • 'aspiration Date: 10/11/17
Approval Date:11/06/14
... . . . • ..• . . Page 3 of 33
. . . . . . .
.:• ;• •• •.• . .. ..
...
I
PG325 Cold Process 1,3,5,50,55 gal.or ASTM D3019 A fibered cold process adhesive for use with roll or
Adhesive tube Type III BUR roofing.
PG 100 Asphalt Primer 1,3,5,50,55 gat, ASTM D41 A penetrating solution of solvent and a blend of
tube or 17 oz.spray selected asphalts used to promote adhesion.
can
XtraFiex 10 Asphalt 1,3,5,50,55 gal, ASTM D41 A penetrating solution of solvent and a blend of
Primer tube or 17 oz spray selected asphalts used to promote adhesion.
can
PG350 Mod Bit 1,3,5,50,55 gal.or ASTM D3019 A fibered rubberized adhesive designed for use with
Adhesive tube Type III modified bitumen membranes.
P0400 Plastic Roof 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement for use in
Cement tube ASTM D3409 dry or damp conditions.
PG425 Wet/Dry Roof 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement for use in
Cement tube ASTM D3409 dry or damp conditions.
PG450 Flashing 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement.
Cement tube
PG500 MB Flashing 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement for use
Cement tube with modified bitumen membranes.
Polyplus 35 Premium 1,3,5,50,55 gal.or ASTM D3019 A fibered rubberized adhesive designed for use with
Mod Bit Adhesive tube Type III modified bitumen membranes.
XtraFlex 35 Premium 1,3,5,50,55 gal.or ASTM D3019 A fibered rubberized adhesive designed for use with
Mod Bit Adhesive tube Type III modified bitumen membranes.
Polyplus 45 Premium 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement.
Flashing Cement tube
Polyplus 50 Premium 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement for use
MB Flashing Cement tube with modified bitumen membranes.
XtraFlex 50 Premium 1,3,5,50,55 gal.or ASTM D4586 A thick,fibered,rubberized flashing cement for use
Modified Wet/Dry tube with modified bitumen membranes.
Cement
Polyplus 55 Premium 1,3,5,50,55 gal.or ASTM D4586 A mastic compound for use as a roof flashing
Modified Flashing tube adhesive.
Cement
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• • • • • •MUMM • ••• • • NQA No.: 13-1217,01
E COLMI7Y •• • • • • • • • •
IMI�� °� 0•• • • • ••• • • ••• Expiration Date: 10/11/17
Approval Date:11/06/14
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Page 4 of 33
•.• • • • ..• . .
I
APPROVED INSULATIONS:
TABLE 2
Product&ne Product Descrlptiou Manufacturer
(With Current NOA)
Polytherm-H Polyisocyanurate foam insulation Polyglass USA,Inc.
Polytherm Polyisocyanurate foam insulation Polyglass USA,Inc.
ACFoam-II Polyisocyanurate foam insulation .Atlas Roofing Corp
ACFoam-III Polyisocyanurate foam insulation Atlas Roofing Corp
High Density Wood Fiberboard Wood fiber insulation board Generic
DensDeck,DensDeck Prime Gypsum insulation board Georgia-Pacific Gypsum LLC
H-Shield Polyisocyanurate foam insulation Hunter Panels,LLC
H-Shield CO Polyisocyanurate/perlite composite insulation Hunter Panels,LLC
ENRGY-3,JM ISO 3 Polyisocyanumte foam insulation Johns Manville Corp.
Fesco Board Expanded mineral fiber Johns Manville Corp.
Multi-Max,FA-3 Polyisocyanurate foam insulation Rmax Operating,LLC,
SECUROCK Gypsum-Fiber Roof Board Fiber reinforced coverboard United States Gypsum
Corporation
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•• ••• •• • • • ••
• ••• • ••• •• •
••i i • i i •• • i•• i i NOA No.: 13-1217,01
MIAM6.�`��dE t117 • •• • • • • • • • • Expiration pate; 10/11/17
Approval Date: 11/06/14 i
Page 5 of 33
APPROVED FASTENERS:
TABLE 3
Fastener Product Product Manufacturer
Number Name Description Dimensions -(With Current NOAI
1. Dekfast Fasteners 12, 14& Insulation fastener for wood, SFS Intec,Inc.
15 HS steel and concrete decks
2. Dekfast Galvalume Steel Galvalume hex stress plate. 2'/g"x SFS Intec,Inc.
Hex Plate 3 y4"
3. #14 Roofgrip Insulation and membrane Various OMG,Inc.
fastener
4. Flat Bottom Metal Plate A2-SS aluminized steel plate 3"square OMG,Inc.
5. Trufast#14 HD Fastener Insulation fastener for steel and Altenloh,Brinck&Co.
wood decks U.S.,Inc.
6. Trufast 3"Metal Insulation Round Galvalume AZ50 steel 3.23 round Altenloh,Brinck&Co.
Plate plate 3"round U.S.,Inc.
7. Polygrip Fasteners#12,#14 Insulation fastener for wood, Various Polyglass USA,Inc
 steel and concrete decks
S. Polygrip Hex Plates Galvalume hex stress plate. 2'/8"x Polyglass USA,Inc
3 %"
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HIAM
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• • • • • • •• • •c OUNTY NOA No.: 13-1217.01
_ •
•i i• i i i • i l i i Expiration Date: 10/11/17
• � •. • . . . • Approval Date:1I/06/14
Page 6 of 33
OV 0
60 60
.• . •
APPROVED SURFACING:
TABLE 4
Product Pro, ApR11cation Mannfactur
Naive Description Rate Specification — er
PG200 Non-Fibered Roof Coating A non fibered asphaltic coating used I Y2-2 gal/sq TAS 140 Polyglass
to add life and rejuvenate existing USA Inc.
BUR roofing substrates.
XtraFlex 20 Bituminous Roof A non fibered asphaltic coating used 1%-2 gal/sq TAS 140 Polyglass
Coating to add life and rejuvenate existing USA Inc.
BUR roofing substrates.
PG300 Fibered Roof Coating An asphalt cutback fibered roof I V2-2 gal/sq ASTM D4479 Polyglass
coating. May be applied by brush or USA,Inc.
spray equipment to rejuvenate aged
BUR
XtraFlex Bituminous Roof An asphalt cutback fibered roof 1 Y6-2 gal/sq ASTM D4479 Polyglass
Coating Fibered coating. May be applied by brush or USA,Inc.
spray equipment to rejuvenate aged
BUR
P0600 Non-Fibered Aluminum Non-fibered aluminum roof coating. Y2-1 gaUsq ASTM D2824 Polyglass
Roof Coating Type I USA,Inc.
PG650 Fibered Aluminum Roof Fibered aluminum roof coating. I Yz-2 gal/sq ASTM D2824 Polyglass
Coating Type III USA,Inc.
PG700 Elastomeric Roof Coating A premium white elastomeric acrylic ]-1'/a gal/sq ASTM D6083 Polyglass
based roof coating(water-based). A USA Inc.
polyester fabric may be used for
reinforcement with this coating.
PG800 Non Fibered Asphalt An asphalt base,un-fibered clay 3 gal/sq in ASTM D1227 Polyglass
Emulsion Roof Coating emulsion two coats USA,Inc.
XtraFlex 80 Emulsion Roof An asphalt base,un-fibered clay 3 gal/sq in ASTM D1227 Polyglass
Coating emulsion two coats USA,Inc.
PG850 Fibered Asphalt Emulsion An asphalt base,fibered clay 3 gal/sq in ASTM D1227 Polyglass
Roof Coating emulsion two coats USA,Inc.
Polyplus 65 Premium Fibered Fibered aluminum roof coating. 1 Ya-2 gal/sq ASTM D2824 Polyglass
Aluminum Roof Coating Type III USA,Inc.
XtraFlex 65 Aluminum Roof Fibered aluminum roof coating. 1 Y2-2 gal/sq ASTM D2824 Polyglass
Coating Fibered Type III USA,Inc.
Polyplus 60 Premium Non- Non-fibered aluminum roof coating. Y2-1 gal/sq ASTM D2824 Polyglass
Fibered Aluminum Roof Coating Type I USA,Inc.
XtraFlex 60 Aluminum Roof Non-fibered aluminum roof coating. Y2-1 gal/sq ASTM D2824 Polyglass
Coating •• see 0 0 0 0 0 0 0 Type I USA,Inc.
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. ••• • ••• •• •
�C i i i i i ••i • i i NOANo.. 13-1217.01
•• • • i i i • 0 a 0 0 Expiration Date: 10/11/17
Approval Date:11/06/14
Page 7 of 33
••• • • • • ••• • •
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• •
i
APPROVED Sumcm:
TABLE 4
Product PrQduct ARID ication Manufactur
Name Description Rate Specification
er
Polybrite 70 Premium Grade A premium white elastomeric acrylic 1-1%gal/sq ASTM D6083 Polyglass
Flastomeric Roof Coating based roof coating(water-based). A USA,Inc.
polyester fabric may be used for
reinforcement with this coating.
XtraFlex 70 Premium Acrylic FR A premium white elastomeric acrylic 1-I%gal/sq ASTM D6083 Polyglass
Roof Coating based roof coating(water-based). A USA,Inc.
polyester fabric may be used for
reinforcement with this coating.
Polybrite 90 High Solids Silicone A premium grade high solids,single 1.25 gal/sq ASTM D6694 Polyglass
Roof Coating component,moisture cure,fluid USA,Inc.
applied silicone coating
XtraFlex SRC 9600 High Solids A premium grade high solids,single 1.25 gal/sq ASTM D6694 Polyglass
Silicone Roof Coating component,moisture cure,fluid USA,Inc.
applied silicone coating
Polybrite 95 Silicone Roof A single component,solvent, 1.25 gal/sq ASTM D6694 Polyglass
Coating moisture cure silicone coating. USA,Inc.
XtraFlex SRC 8000 Silicone Roof A single component,solvent, 1.25 gal/sq ASTM D6694 Polyglass
Coating moisture cure silicone coating. USA,Inc.
Gravel To be installed in a flood coat of 400 lbs/sq N/A Generic
approved asphalt at 60 lbs/sq
Slag To be installed in a flood coat of 300 lbs/sq N/A Generic
approved asphalt at 60 lbs/sq
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•• • • • •E • • NOA No.: 13-1217.01
MltAM4DADq�n. • •• • • • • • • • •
jp; •• Expiration Date: 10/11/17
Approval Date:11/06/14
Page 8 of 33
• .. •• . • • •• ••
EVIDENCE SUBMITTED:
Test A en Test Nameftport Report No. Date
Factory Mutual Research 4470 2W7A7.AM 08.04.94
Corporation 4450 2D5A9.AM 06.22.99
4470 3001334 02.15.00
4470 3000857 01.12.00
4470 3004091 01.12.00
4470 3012321 07.29.07
4450 3014751 08.27.03
4450 3019317 06.30.04
4470 3014692 08.05.03
Trinity ERD TAS 114 11752.09.99-1 02.08.00
TAS 114 02764.09.05 09.09.05
TAS 114 02762.03.05 03.30.05
TAS 117(B)-ASTM D903 020841.06.04 06.02.04
TAS 114 P i 734.07.06-R 1 02.27.07
TAS 114 P1738.02.07 02.05.07
TAS 114 P1739.01.07 01.23.07
TAS 117(B)-ASTM D6862 C8500SC.11.07 11.30.07
ASTM D6164/ASTM D6222 P10490.08.08 08.13.08
ASTM D6164/ASTM D6222 P10490.10.08-111 10.03.08
ASTM D6222 P7400.03.08-R2 10.09.08
TAS 114(D)--ASTM D1876 PI0070.10.08 10.09.08
ASTM D6222 P10490.10.08-2 10.30.08
FM 4470&TAS 114 P33970.03.11 03.15.11
ASTM D6163/ASTM D 4601 P33960.03.11 03.I S.I 1
TAS 114&TAS 117(B) l 1757.12.00-1-R1 04.29.13
TAS 114&TAS 117(B) 11757.04.01-1-R1 04.30.13
ASTM D6164 P37590.07.13-1 07.02.13
ASTM D6164 P37590,03.13-3A 03.06.13
ASTM D6163 P37590.03.13-2-R1 02.05.13
ASTM D6222 P37590.09.13 09.12.13
ASTM D4601 /TAS 117 P45940.09.13 09.04.13
TAS 114&FM 4474 P41630.08.13 08.06.13
TAS 114(H) P13760.09.09 09.10.09
ASTM D4601 /TAS 117 P45970.05.14 05.12.I4
PRI Construction Materials ASTM D6222 PUSA-061-02-02 01.28.Q8
Technologies
ASTM D6222 PUSA-062-02-02 12.04.08
ASTM D6163 PUSA-064-02-02 02.27.08
ASTM D6694 PUSA-134-02-01 05.16.14
ASTM D6694.. •�. .PUSA-135.02-01 05.16.14
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71
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MtAMbDAaB . .. . . . . . . 000 NOA No.: 13-1217.01APPRa
' •' ' Expiration Date: 10/11/I7
Approval Date:I1/06/14
... . ... . Page 9 of 33 f
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r
r'
Membrane Type: SBS/APP
Deck Type 1: Wood,Non-Insulated
Deck Description: 1913,."or greater plywood or wood plank.
System Type E(1): Base sheet is mechanically attached to roof deck.
All General and System Limitations apply. Roof accessories not listed in:Table 1 of this NOA are not approved
and shall not be installed unless said accessories demonstrate compliance with prescriptive Florida Building
Code requirements and are field fabricated utilizing the approved membranes listed in Table 1.
Base Sheet: One ply of Elastobase,XtraFlex SBS Glass Base, Elastobase P or Polyanchor fastened to the
deck as described below:
Fastening#1: Attach base sheet using I 1 ga.annular ring shank nails and 1-5/8"diameter tin caps spaced 8"
o.c. in a 4"lap and 8"o.c. in three equally spaced staggered rows in the center of the sheet.
Fastening#2: Attach base sheet using OMG#14 Roofgrip fasteners and Flat Bottom Metal Plates,Dekfast
#14 with Dekfast Galvalume Steel Hex Plates,Polygrip Fasteners#14 with Polygrip Hex
Plates or Trufast#14 HD Fasteners with Trufast 3"Metal Insulation Plates spaced 12"o.c.in a
4"lap and 12"o.c. in two equally spaced staggered rows in the center of the sheet.
Ply Sheet: One or more plies of Elastoflex SA V(1.5-mm),Elastoflex SA V PLUS,XtraFlex SBS Base
SA,Elastoflex SA V FR(1.5-mm)or Elastoflex SA V PLUS FR,self-adhered.
Membrane: One ply of Polyfresko G SBS SA,Polyfresko G SBS SA FR,Polyfresko G APP SA,
Polyfresko G APP SA FR,Elastoflex SA P,Elastoflex SA P FR,XtraFlex SBS G SA,Polyflex
SA P,PolyKool,XtraFlex Kool AAF S SA,Polyflex SA P FR or XtraFlex APP G SA,self-
adhered.
Or
One ply of Polyflex G,torch-applied.
Surfacing: (Optional)Install one of the approved surfacing products listed in Table 4 to obtain desired
coating or required fire classification.
Maximum Design
Pressure: -52.5 psf,(See General limitation#7.).
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�•: • : : •� :�. : : NOANo.: 13-1217.01
Expiration Date: 10111117
Approval Date:11/06/14
•.. • . • • .•• • •
Page 26 of 33
. •• .• •.. •••• •. .•
••. • . . •
WOOD DECK SYSTEM LIMITATIONS:
1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet.
GENERAL LIMITATIONS:
I. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire
ratings of this product.
2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product
Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied
within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the
top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size
shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam
insulations when the base sheet is fully mopped.If no recovery board is used the base sheet shall be applied using
spot mopping with approved asphalt, 12"diameter circles,24"o.c.;or strip mopped 8"ribbons in three rows,one
at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the
strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt
application of either system shall be at a minimum rate of 121bsJsq.
Note: Spot attached systems shall be limited to a maximum design pressure of-45 psf.
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F)value of 275 lbf.,as
tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below
275 lbf.insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum
fastener resistance value in conjunction with the maximum design value listed within 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 Florida registered Professional Engineer,Registered Architect,or
Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal
resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing
Application Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener
densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing
Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional
Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred
within this NOA,General Limitation#9 will not be applicable.)
8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform to
Roofing Application Standard RAS I I I and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e.field,
perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at
enhanced pressure zones(i.e.perimeters,extended corners and corners).(When this limitation is specifically
referred within this NOA,General Limitation#7 will not be applicable.)
10. All products listed herein shalt have a quality assurance audit in accordance with the Florida Building Code and
Rule 61020-3 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
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•• • • • • • • • • • • NOA No.: 13-1217.01
MD4M4�flA0E uMTT • •• • • • • • • • •
•• • • • • • Expiration Date: 10/11/17
Approval Date:11/06114 j
Page 33 of 33
POLYGLASS USA INC R14571
150 LYON DR
FERNLEY,NV 89408 USA
SINGLE PLY MLMBRANE SXSTF.MS
Class A-Fully Adhered
Deck:GI5/32 Incliner 2
tion(Optional):--Polyisocyanurate,perlite,wood fiber or polyisocyanumtedperlite board,any
thickness.
Barrier 'd:-- in.(min)G-P Gypsum DensDeckV,mechanically fastened with all joints
staggered 6 in.from the p joints.
Base Sheet:--"ELASTOBASE" sand),mechanically fastened or"ELASTOFLEX SA V PLUS
FR"-"ELASTOFLEX SA V FR"or,"£LA EX SA V FR BASE VEArr(self adhered).
Fly Sheet fttionat):---"ELASTOFLEX SA V R" "ELASTOFLEX SA V FR"or
"ELASTOFLEX SA V FRBASE VEA-M-,(self adhered}.
Membrane:--"POLYFLEX$A P FR","POLYFRESK{?APP SA " "ELASTOFI.EX$A P FR
"POLYFRPSKO SBS SA P FR", "ELASTOPLEX SA V FR HT",(self adher "POLYI:LEX G
FRI', POLYFRESKO TORCH PR","DUFLEX G Fit","ELASTOFLEX S6 G FR", RESKO
MOP FR","ELASTOFLEX VG FR"or"ELASTOSALEL.D TS G FR",heat fused
22.Deck:C-15/32Incline1/2-')
Insulation(Optioaal):--Polyisocyanurate 1,5 in.(min.)with all joints staggered 6-in.(min.)from the
plywood joints,
Base Sheet;
Sheet.- aCmhanind followed b " ASOBr"PlySheet(4ptioual) v
: -
"ELASTOFLEX SA V PLUS FR","ELASTOFLEX SA V FR"or
"ELASTOFLEX SA V FR BASE VENT'',(self adhered)
Membrane:—"POLYFLEX SA P FR "POLYFR,ESKO APP SA P FR","ELASTOFLBX SA P FR",
"POLYFRESKO SBS SA P fiR',or"DUPLEX G FR","POLYFLEX G FR","ELASTOFLEX S6 G
FR "POLYFRESKO MOP FR",'7,LASTOFLEX VG FR"or"BLASTOSHIELD TS G FR",heat
fused.
02012ULLLC
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notice in the following format."02012 UL LLC . . .. . . . . .
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