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RF-16-2125 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax:(305)756-8972 Inspection Number: INSP-273384 Permit Number: RF-7-16-2125 Scheduled Inspection Date: December 21,2016 Permit Type: Roof Inspector: Naranjo,Ismael Inspection Type: Final Roof Owner: , Work Classification: Tile Job Address.135 NE 98 Street Miami Shores,FL 33138- Phone Number (813)598-6361 Parcel Number 1132060132310 Project <NONE> Contractor: NATECON,CORP Phone:(786)389-4968 Building Department Comments Passed Comments ss REPAIR AND REPLACE ROOFING.TILE ROOF SPANISH INSPECTOR COMMENTS paInfractio Pass TILE.COMPLETE TEAR OFF AND REPLACEMENT. lse Inspector comments Passed CREATED AS REINSPECTION FOR INSP 264323. 12/19/2016 NO LADDER Failed Correction Needed A I p Re-Inspection 0,c® Fee No Additional Inspections an be sdieduled until re-inspection fee is paid. December 20,2016 For Inspections please call:(305)762.4949 Page 31 of 46 v EPI�PEC7ION BERYfOE leAumm I Q 4225 SW 71 Ave Miami. FI 33155 Tel:786-398-9179 x&:78&800-2627 al roofinspection(a)gmail.com LAB CERTIFICATION #14-1215.04 SITE SPECIFIC INFORMATION UPLIFT TEST—TAS#106 Roofing Contractor NATEOON CORP Permit# RF-7-16-2125 Job Address 135 NE 98 ST,MIAMI SHORE FL Owner's Name FLORIDA MINORITY COMMUNITY REINVESTMENT Type of Tile CERAMICA VEREA Date Installed Approximate Roof Height 16' feet Roof Pitch 3/12 Type of Access to Roof LADDER Approximate Square Footage of Roof 35 ftZ Required Testing Force 35 Lbs Date Tested 12/1212016 Number of Tests 51 Testing Equipment F.G.E.100 Contact Name JOSETH Phone# 786-970-2945 LOCATION #OF TEST PASS #OF TEST FAIL Corner 4 Tests 4 Pass Test Fail Perimeter 6 Tests 6 Pass Test Fail Field 35 Tests 35 Pass Test Fail Ridge 6 Tests 6 Pass Test Fail TOTAL 51 Tests 51 Pass Test Fail IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPUFT QUALITY CONTROL TEST.THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTRY,WITH NO DEVIATIONS.THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS.THIS REPORT IT IS NOT VALID FOR INSURANCE CLAIMS. YENAN T.LEYVA P.E.#67416 A-1 Engineering Inspection Services, Inc 4225 SW 71 Ave Miami, FL 33155 Tel: 305-662-3710 Fax: 786-800-2627 alroofins ecp tionngmail.com LAB CERTIFICATION# 16-0510.15 12/09/2016 PERMIT. #RF-7-16-2125 135 NE 98 ST MIAMI SHORE FL T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T d � Miami Shores Village01 �n 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 r , Phone: (305)795-2204 ftM'ri , t t Rte' Expiration: 05/201 j Project Address Parcel Number Applicant 135 NE 98 Street 1132060132310 FLORIDA MINORITY COMMUNIT Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell FLORIDA MINORITY COMMUNITY 7210 N MANHATTAN Avenue (813)598-6361 TAMPA FL 33614- 7210 N MANHATTAN Avenue TAMPA FL 33614- Contractor(s) Phone Cell Phone Valuation: $ 10,000.00 NATECON,CORP (786)389-4968 Total Sq Feet: 2880 Type of Work:Re Roof Available Inspections: Additional Info:REPAIR AND REPLACE ROOFING.TILE RO 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-7-16-60784 CCF $6.00 08/09/2016 Credit Card $784.00 $50.00 DBPR Fee $4.50 DCA Fee $4.50 07/28/2016 Credit Card $50.00 $0.00 Education Surcharge $2.00 Bond#:3187 Permit Fee-New Roof $300.00 Scanning Fee $9.00 Technology Fee $8.00 Total: $834.00 In consideration of the issuance to me of thisrmit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict co formity with the ns,drawl gs,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assum sponsibility for I rk do by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PL ING,MECHA WIND WS,DOORS,ROO ING and SWIMMING POOL work. OWNERS AFFIDAVIT: I arm ti n accur a an that II wor will be done in compliance with all applicable laws regulating construction and zon' u authoriz h ab v d ontract r to the k t ed. 4 C� August 09,2016 Auth 'ze Signat re Owner / icant ontractor / Ruent Date Building Dep ment py August 09,2016 1 Miami Shores Village JU 2 $ 2016 BuI ing Department BY: _J 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 a INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 L q _ BUILDING Master Permit No.-F_)- 2-1 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL F_JPLUMBING []MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP r / CONTRACTOR DRAWINGS JOB ADDRESS: 3S I L I� ,4� City: Miami Shores County: Miami Dade Zia: _53 IV Folio/Parcel#: 1 I_,_ -613-Q131,0 Is the Building Historically Designated:Yes NO � Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ni Phone#:_ 3- A r Address: qty: 7w`J State: `, Zip: Tenant/Lessee Name: Phone#: Email: --7 Lis CONTRACTOR:Company Name:-N�c M 1&,1, Phone#:786- 581 Address: 3 S tj 1E i�4 7E t2- [ / City:��5 C�.M% PA4 State: PL Zip: 3 3 1 �i Qualifier Name: W t L rz e y_-T F, . Ay ev— Phone#: State Certification or Registration#: ,CC ��('0 0n Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: qty: State: Zip: Value of Work for this Permit: to coo*mD Square/Linear Footage of Work ®Z 7� Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: B Spec&color of color thru We: Vnom tm Submittal Fee$ Permit Fee$ CCF$ � > CO/CC$ Scanning Fee$, �C, Radon Fee$ DBPR$ ' �� Notary$ Technology Fee$ y ` Cb Training/Education Fee$ Double Fee$ Structural Reviews$ _ Bond$ 600 ' TOTAL FEE NOW DUE$ _�L9 k4, 1RevMM2/24/2014i Bondinj Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Tip 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$250,the applicant must promise in good faith that a copy of the notice of commencement and construction lien low 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 pasted 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. •s Signature Signature OWNER or AGENT CON71AL11,or The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of .20 k a ,by dew of Gcr/ .20 ( 20 ( .by ,who is personally known to 1who �p"ersonally known to �� me or who has producedw=n4A }tt"�✓l as me or who has produced as identification and who did take an oath. identification and who did take an oath. aaaaaaaaaa�� NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: •• r r' Prin Print• ��•.••�"••,.,, VERUSHKA ORTEAA eu Seal. eN""Rtblie.SIMd F Seal: • Coaimbisi a*FF 187M �� SOF 1`00"' NI►Comm.EWm 9,Z8f0 rri r►►►►► `` APPROVED BY 7k Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) ail by Entity Name Page 1 of 3 A i I Detail by Entity Name Florida Not For Profit Corporation REINVESTMENT COALITION, INC. Filing Information Document Number N04000009651 FEI/EIN Number 20-1324945 Date Filed 10/12/2004 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 03/15/2005 Event Effective Date NONE Principal Address 701 SOUTH HOWARD AVENUE SUITE#106-147 TAMPA, FL 33606 Changed: 02/07/2013 Mailing Address 701 SOUTH HOWARD AVENUE SUITE#106-147 TAMPA, FL 33606 Changed: 02/28/2012 Registered Agent Name &Address PINA, AL 701 SOUTH HOWARD AVENUE SUITE#106-147 TAMPA, FL 33606 Address Changed: 02/28/2012 Officer/Director Detail Name &Address Title CD PINA, AL http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/26/2016 etail by Entity Name Page 2 of 3 8822 Crestview Dr #C TAMPA, FL 33604 Title TD BLACK, ELAINE 6015 N.W. 7TH AVENUE MIAMI, FL 33127 Title ESQ. CLYNE, REGGIE 814 PONCE DE LEON BLVD#210 CORAL GABLES, FL 33134 Title PHD BRUCE, JOY 659 NE 125TH STREET MIAMI, FL 33161 Title Board member Gonzalez, Jolie 701 South Howard Ave 106-147 Tampa, FL 33606 Title Director 633 SW 2nd St hallendale beach, FL 33009 Annual Reports Report Year Filed Date 2014 03/25/2014 2015 02/23/2015 2016 01/26/2016 Document Images 01/26/2016--ANNUAL REPORT F View image in PDF format 02/23/2015--ANNUAL REPORT F View image in PDF format 03/25/2014--ANNUAL REPORT F View image in PDF format 02/07/2013--ANNUAL REPORT F View image in PDF format 02/28/2012 --ANNUAL REPORT F View image in PDF for 02/14/2011 --ANNUAL REPORT F View image in PDF for 04/19/2010--ANNUAL REPORT F View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/26/2016 etail by Entity Name Page 3 of 3 04123/2009 --ANNUAL REPORT F View image in PDF format 06/3012008--ANNUAL REPORT F View image in PDF format 07/02/2007 --ANNUAL REPORT F View image in PDF for 05/04/2006 --ANNUAL REPORT F View image in PDF format 08/30/2005 --ANNUAL REPORT View image in PDF format 03/15/2005--Amendment View image in PDF for 10/12/2004-- Domestic Non-Profit View image in PDF format Cotsvrjght rJ and Privacy Poi€cies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/26/2016 CORPORATE RESOLUTION THE UNDERSIGNED OFFICER OF FLORIDA MINORITY COMMUNITY REINVESTMENT COALTION,INC., a Florida non-profit corporation,(the"CORPORATION"), does hereby certify that the following is a true and correct copy of a Resolution duly and unanimously adopted by the Board of Directors of the CORPORATION at a duly called mating of the Board, at which a quorum of the Board was present and voting throughout: BE IT RESOLVED that the CORPORATION is hereby authorized to enter into transactions whereby it is selling or acquiring FMCRC property,vehicles and or assets. BE IT FURTHER RESOLVED that AL PINA,the Director of this CORPORATION,be and is hereby authorized and directed to negotiate the specific terms and conditions of the said sales transaction and to execute and deliver on behalf of this CORPORATION such sale,and such other instruments and documents as may be necessary or required in order to consummate the transaction all of which shall contain such terms and conditions as said officer of this CORPORATION,shall determine to be in the best interests of this CORPORATION,with the signature of said Director,AL PIMA,to be conclusive evidence of such determination and of the authority of said Director,AL PINA,to execute and deliver the same. THE UNDERSIGNED PRESIDENT FURTHER CERTIFIES that the foregoing Resolution was duly and regularly enacted at a phone meeting of the Board of Directors on: 3/21/15 called for that purpose that authorizes FMCRC Chair full authority to sell FMCRC assets and held in accordance with the By-Laws of the CORPORATION and the laws of the State of Florida, that Al Pira,the Director of the CORPORATION, has full power and authority to bind the CORPORATION pursuant hereto, and that the Resolution is in full force and effect as of the slate of this Certificate and has not been altered, modified or rescinded THE FOLLOWING BOARD VOTE FURTHER CERTIFIES that the following is the duly elected and acting Officer of the CORPORATION,and that the name of certain of the Officer and Director below,who has executed and/or will be executing documents in connection with the transactions authorized by the foregoing resolution are the genuine signature of such Officer or Director. Chair and Director: AL PIN Director Joy Bruce IN WITNESS WHEREOF,I have affixed my name in my capacity as the Secretary of the CORPORATION set forth below my signature VOG� eo"C\� Secretary and Director Victor Padilla Sg�OR+�E,s D Miami shores Village Building Department � .� 10050 N.E.2nd Avenue RIDp► 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: 074-11.,6 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: If C Property Address: IVB Roofing Permit Number: Dear Building Official: I A) �� certify that I am not required to retrofit the roof to wall connections of my building because: ,<The just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code(FBC)or with the provisions of 1994 edit a South Florida Building Code(1994 SFBC) ignature Print Name State of Florida County of Dade The undersigned, being the first duly swom,deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this Vlk day of V \ -al".H". VERUSHKA ORTE" ��~t� 4B G .44 `�: Notary Public-State of Florida 3• Commission 0 FF 197898 Notary Public,Sate of Florida at Large _.� , „�•,'• My Comm.Expires Feb 9.2019 ttaauptt Nail Notary AwL • When the just valuation of the structure for pure of ad vain taxation is equal to or more than$300.000.00,and the bunting was not constwed with FBC nor a 1994 SFBC.Then you must provide a bundhcg application from a General Contractor for the Roof to wan conrteclim Hurricane maigadon. Revised on 5121/2009 Property Search Application-Miami-Dade County http://www.miamidade.gDv/propertysearch/#/report/details THE PROPERTY OFFICE OF APPRAISER Detailed Report Generated On:7/26/2016 Property Information r. Folio: 11-3206-0132310 Property Address: 135 NE 98 ST Miami Shores,FL 33138-2336 '$$ Owner FLORIDA MINORITY COMMUNITY do REINVESTMENT COALITION INC Mailing Address 7210 N MANHATTAN AVE 1314 TAMPA, FL 33614 USA Prkrwy Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 312/0 Floors 1 '. Living Units 1 Actual Area 2,220 Sq.Ft — Living Area 1,794 Sq.Ft - -- Adjusted Area 1,995 Sq.Ft Taxable Value Information 2016 2015 2014 Lot Size 5,750 Sq.Ft -- County Year Bulk 1958 _ Exemption Value $0 $0 $0 Assessment Information Taxable Value 1 $283,310 $248,768 $231,850 Year 2016 2015 2014 School Board Land Value $143,808 $109,388 $109,388 Exemption Value $0 $0 $0 Building Value $138,852 $138,852 $135,261 Taxable Vakie 1 $283,310 $248,768 $245,185 XF Value $650 $528 $536 City Market Value $283,310 $248,768 $245,185 EwToon Value $0 $0 $0 Assessed Value 1 $283,310 $248,768 $231,850 Taxable Value 1 $283,310 $248,768 $231,850 Regional Benefits Information Exemption Value $0 $0 $0 Benefit Type 2016 2015 2014 Taxable Value 1 $283,310 $248,768 $231,850 ---- Non-Homestead Cap Assessment Reduction $13,335 Note: Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City, Regionaq. The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Wami-Dade County assumes no liability,see full disclaimer and User Agreement at http:l/www.miamidade.gov/infoldisclaimer.asp Version: I of 5 7/26/2016 8:36 AM Property Search Application-Miami-Dade County http://www.mianiidade.gov/properrysearcht`#/report/details OFFICE OF THE PROPERTY APPRAISER Generated On:7/28/2018 Property Information Foto:11-3208-013-2310 Property Address: 135 NE 98 ST Roll Year 2016 Land, Building and Extra-Feature Details Land Information Land Use K"Zone PA Zone I lkdt Type I Unftsl Calc Value GENER& R-17.5,R18.5 1000 1 Front Ft 1 50.001 $143,808 Building Information Building Number Sub Area Year Built AcWal Sq.Ft Living Sq.Ft I Adj Sq.Ft Cad Value 1 1 1958 1 _2,2201 1,7941 1,995 $138,852 Extra Features Description Year Buie Uftj Cad Value Chain-6nk Fence 4-5 ft high 11978 1100 $850 The Office of the Property Appraiser is continually ediing and updating th tan roU.This webste may not rafted ti*most current information on record.The Property Appraizer and M1ami Dade County assumes no tiahfllty,see fu®disclatrner and User Agreement at htpJAvww.miambade.gov/trdddfsckdmerasp Version: 2 of 5 7/26/2016 8:36 AM Property Search Application-Miami-Dade County http://www.miaraidade.gov/propertysearcht`#/report/details =Y OFFICE OF THE PROPERTY APPRAISER Generated On:7/2612016 Property Information Folb:11-32 013-2310 Properly Address: 135 NE 98 ST Roll Year 2015 Land, Building and Extra-Feature Details Land Information land Use N11"Zone PA Zone Unit Type I Unbj Calc Value GENERAL R-17.5,R 18.5 1l� Front Ft 50.00 $109,388 Building Information Building Number Sub Area Year Buik Adual Sq.Ft Ugng Sq.Ft Adj Sq.Ft Calc Value 1 1 1 1958 I 2,2MI 1,794 1,995 $138,852 Extra Features Description I Year BUR Urdfs Calc Value Chain-Unk Fergie 45 ft high 11978 1100 $528 The Office of the Property Appraiser Is cordinually editing and updift the tax roll.This website may nat reflect the most ourrent h ft.,refion on record.The Property App and Miami-Daft County assumes w Uebilty,see rub disclaimer and User Agreement at http:/Awm mien .g*WhftdWdahe asp M nlon: 3 of 5 7/26/2016 8:36 AM Property Search Application-Miami-Dade County http://www.miamidade.gov/propertysearcht`#/report/details OFFICE OF THE PROPERTY APPRAISER Generated Cn:7/26/2016 Property Information FORD*11-3206-013-2310 Property Address: 136 W 98 ST fAmi Shores,FL 33138-MM Roll Year 2014 Land, Building and Extra-Feature Details Land Information Land flee ML"Zone PA Zane Unit Type Units Cak vale GEI-RAL R-17.5,R 18.5 1000 Front Ft. 50.00 $109,388 Building Information Building Number .Ft Livi Sub Area Year BUR Actual Sqng Sq.Ft Adj Sq.Ft. Calc vakw 1 1 1 1958 1 2,2201 1,7941 1,995 $135,261 Extra Features Description Year EUR I Uftj Cak:value Chin-Unk Fence 45 it high 1 1978 1 100 $536 The Office of Me Property Appralea is corrtkruaily elft end upda"the tax roll.This websffe may W reflect ft most current int nmWn an re=d.The Property Appraiser and Erni-Dade county assumes no bbOW,see U declaimer and User Apreenent at hf :thvww.miwnklad govfirhWdtsclaimerasp Muslon: 4 of 5 7/26/2016 8:36 AM Property Search Application-Miami-Dade County http://www,miamidade.gDv/properVsearch/#/report/details = � OFFICE OF THE PROPERTY APPRAISER GeneraW On:7/26/2016 Property Information Fofio:11-3206-013-2310 Property Address: 1351E 98 ST Full Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 19 BLK 17 LOT SIZE 50.000 X 115 OR 17279-3639 0796 4 COC 25928-0716 09 2007 6 Sales Information Previous Sate Price OR Book-Page Quallficallon Description 11/25/2015 $230,000 30094-4635 Finarriat last or"in Lieu of Forclosure"stated 09/17/2015 $345,200 29785-1954 Financial hist or"In Ueu of Forclostue"slated 09/01/2007 $680,000 25928-0716 Other disquaNed 08101/2005 $417,000 23748-1374 Sales which are qualified 07/01/1996 $0 17279-3639 Sales winch are disqualified as a resu t of examination of the deed 09/01/1991 $0 15193-2831 Sales which are disgwmw as a result of wmmination of the deed 06/01/1989 $75,000 14152-31955 Sales which are qualified 05!01/1989 $0 14116-2087 Sales which are disqualified as a result of awriination of the deed 07/01/1985 $76,000 12613-0177 Sales which are qualified 07/01/1979 $75,000 10477-1307 Sales which are qualified 09/01/1978 1 $62,500110172-0916 1 Sales wMch are qualified The Office of the Property Appraiser is continually editing and updating the tax roll.This websits may not reflect the most current information on re=d.The Property Appraiser and Miami-Dade county assumes no liability,see fuA disclaimer and User Agreement at htp:lAx"mbamidale govWddfsclaimer:asp Version: 5 of 5 7/26/2016 8:36 AM mains Miami shores Village Building Department 0050 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. v COPY OF QUALIFIER'S STATE LICENCES B.�—` PY OF LOCAL BUSINESS TAX RECEIPT C. !% C COI OF LIABILITY INSURANCE* D. D' COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HASH►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. ■■nor■■ass��■■��e��s��s��o■s��es��s�a�� BUSINESS NAME: N&TE� (-Z t � BUSINESSADDRES 5� IAE-; 6'nIE:l� CITY)V. H. 13, STATE 'C. ZIP 53/6Z. BUSINESS PHONE: FAX NUMBER(W� 6 :0 Y 4 CELL PHONE(_ QUALIFIER'S NAME: O U3 iEyz-r C. QUALIFIER'S LIC NUMBER:_ C C-G 13Z-9000 r�wr%vvvI I, vvvL1%I`IvI% �_.._.. .... vale / STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 4", CGC1517242 �e The GENERAL CONTRACTOR Named below IS CERTIFIED ' Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 0�•� M FADER, WILBERT EDWARD NATECON, CORP • 435 NE 164 TERRACE - .. MIAMI FL 33162 ISSUED: 12/14/2015 DISPLAY AS REQUIRED BY LAW SEQ# L1512140000856 RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD d j ma CCC1329000 ., The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 0 0 FADER, WILBERT EDWARD NATECON, CORP 435 NE 164 TERRACE MIAMI FL 33162 ■ ISSUED: 12/14/2015 DISPLAY AS REQUIRED BY LAW SEQ# L1512140000655 1 t , Local Business Tax Receipt Miami—Dade County,State of FloridaLB THIS IS NOT A BILL-DO NOT PAY 8802800 Busgll11199 NAMBILOCATION 1"MmPT NO. EXPIRES NATECON CORP RENEWAL SEPTEMBER 30, 2016 435 NE 184 TERR 8718514 Nsust be displayed at place of business MIAMI.FL 33162 Pursuant to County Code Chapter SA-Art.9&10 _GIR Sw_TYPE OR suente S PAVNIMT RHC8 ED NATECON CORP 198 GENERAL BUILDING BY TAX COt.t.BCTOR CONTRACTOR 75.00 0912812015 vV011 eras) 1 cgC1517242 CR®ITCARD-154)50346 TtdslaeaiBmiaessTM o*.. 1- IddatonalBs�aTss.ThsBesePbGdeIOM, poul,Me ofthe bows mdoHoweraendcaaphwt&aaT iGamw of 18"toffiedmda, TM TAO.dwnamtmsdspls"daeaHoomsmrddrdtetes-L/bmWm eCedeSBC&"M M t'armwem obit Local Business Tax Receipt Miami—Dade County,State of Florida THIS IS NOTA BILL-DO NOT PAY 6802828 LBT-, Busneas"I"O%C CATUM Recw"Nm EXPIRES NATECON CORP RENEWAL SEPTEMBER 30, 2016 435 NE 164 TERR 8882059 MIAMI,FL 33162 Must displays!at place of business _ Pursuant to County Code Chapter 8A-Art.B&10 OWNBN Sec.TYPs OF Busmas PAYM11INT NATECON CORP 196 SPECIALTY BUILDING BY TAX CO L IGTOR t»ONTPACTOR 82.50 126/25 Workers) 2 CCC1329OW 0222.18.00.1738 WeLocal B Tax Rstelpcall ddwLocal Bwb=Tax.TW&owIs"Giberoe, peasb,oraoard8oadoadt6e64idw's ado .Hs�tasstaxa�srhpaargeserame�i or rwapareramssnt rs�etsry Isws asd regdrameats wNcd�M th 6os�ss. The BKPT IYO.ekors axat M displaped at aB wdds�s-Awad-Dade Code Bee� Femme t� �-� QUAL14 OP ID:LWA 'A4CVRfX DATE(MMIDD1YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 02/1212016 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. H the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the term and conditions of the policy,certain policies may require an endorsome t. A statement on this certificate does not confer rights to the certificate holder In Hou of such endorseme s. PRODUCERNT ACT NAME: Premier Protection Insurance PHONE 954-467-8738 No: -x-1881 409 SE 7th St Fort Lauderdale,FL 33301 E-MAIL : Gerald Katz INSURERS)AFFORDING COVERAGE MAIC$ INSURER A:Endurance American Specialty INSURED NATECON Corp INSURER B: 8r Roofing,Inc. 435 NE 164th Ter INsuRER c' North Miami Beach,FL 33162 INSURER D: INSURER E: INSI ER 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. L R TYPE OF INSURANCE POLICY NUMBER ADM SUMPOU EXP LIMITS A X COMMERCIAL GENERA-uAsam EACH OCCURRENCE $ 1,000,0001 DAMAGE TO RENTED CLAIMS-MADE a OCCUR CBC20000296001 02H31M6 0211312017 PREMISES Me o rreruum $ 100,00 MED EXP(Any are person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEMLAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,00 jE ]LOC PRODUCTS $ 2,000,00 POLICY❑ OTHER: $ AUTOMOBILE LIABILITY COMA &1 LE R $ ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS DAMAGE $ HIRED AUTOS AUTOS auxlderrt UMB RELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORimffi COMPENSATION PER OTH- AND EMPLOYERS•LIABILITY YIN STATUTE I ER ANY PROPRIETORIP.ARTNERIEXECUTIVE ❑N/A E.L.EACH ACCIDENT $ OFFICER ER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ It ym dem under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddBiorml Remarks Sdmdule,may be atbialmd B more is required) General Contractor-Home remodeling,additions,and incidental repair and roofing operations and Executive Supervisor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept 10050 NE 2 Ave AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD W17=6 Repat Viewer 4r: tr ,,'fib�l:lA'�• .TEFF 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 jx. This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 2232016 EXPIRATION DATE: 2/21!2018 PERSON: FADET MORIGENE q,f FEIN: 263877003 aw BUSINESS NAME AND ADDRESS: NATECON,CORP m E„ 435 NE 164 TER NORTH MIAMI BEACH FL 33162 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL LICENSED ROOFING sF CONTRACTOR CONTRACTOR PusmttoCtWW4000%14).F.S.aid@oadomrpaetlonwhodeclsmmmp-6an6isdW0aly»nBa dtoheeatkn-•�Mem =meynutrecmata�atilCeNtlmBes sammpereeamuMatNadeptar.Pusue�dLoCfrop03r4dA116(12).F.S.. wflHn1leempedithmMmarUabliskdoneanaac ofdo Cmmbeatompt RrasttoChWm44MOXIM.F.S..Namesddec9mtoba ®cemptaMeardfic sddatimtoboa mptshall buouloatoreAca6mif.ataytlmea'WfttliMditratl oorft mamditcwWlcft Ciap=mnadonttomaceaamufto nclawmedalheremkonenbdthtasec®an6atasuacadecertlHmoa.TnedVabnatatdtroidmo „kAS� 'NSµ: - DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413.1609 r 5 r 7[. S .Lh. yis x a a .n, Miami Shores Village Building Department R10050 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 for any construction pmject prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that 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,parttime employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this�_day of 1 ,20_1�,. By � 'C ��y� who is personally known to me or has produced as identification. .,,, VERUSHKA ORTEGA Notary: ;'� `�.y Notary Public-State of Florida SEAL: �• Commkslon#FF 191898 r My Comm.Expires Feb 9.2019 ''• fill 8oided ttrough NaTixtaI Notary Assn ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application FQrm,•• ••••• •"1':' Section A(General information) • Master Permit No. Process No. •••••• •• • • • Contractor's Name1Y . sole:0 • Job Address ( Q fm •:': ' 1 • ROOF CATEGORY ••• •0000 ••`'•' ❑ Low Slope ❑ Mechanically Fastened Tile mar/Adhesive Set nleS•• ' 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 1 �\� ROOF TYPE 1 6 ew roof ❑ Repair ❑ Maintenance &' Reroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF),� �otal(SF) Z g ® 1 1 1 Section B(Roof Plan) 1 Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains.Include dimen- sions of sections and levels,dearly Identify dimensions of elevated pressure zones and location of parapets. 1 1 17 1 1 1 1 uj v_ 1 J c c cn 1 C� V1 I 1 C',I m f 1 FLORIDA BUILDING CODE—BUILDING,51h EDITION(2014) 18.37 1 11 1 Copya&to or>i by.ICC(ALL RIGHTS RESERVED);=05W by ElieurPW=0 on Jun 8.201510.32:12 ata purmmt to Limn Agreement.No krtbe r vWo&cdons sutbnriw. Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form. '.•••' ••• •• .. 0 000 OS Section D (Steep Sloped Roof S 0 0 00.. . -System) 0 . 0000. 000000 0 00000 0 00: 0 Roof System Mlanufacturer: "e` I •0000 000 0' . . 000 •• Notice of Acceptance Number: `'1 '� I o a �:":': • 000 .0 000000 . . 0000. .. . 0000 0 0 Minimum Design YNind Pressures,N Applicable(From RAS 127 or Calculatiot3sj: P1:"39, I P2� ,� 61 P8: 00., 7 Maximum Design Pressure From the NOA SpqqMc Method of tie attach :3 M 2- &6LM C —It- Steep Sloped Roof SyM_em Descri i n Deck Type: �56 x Cz I I Roof slope: "mUndertaynrenC �a-�- D 22 C, 'r nsulation: 12 Ire Bamer. Ridge ventilation? astener Type&Spacing: i S ,► I Y dheshre Type JPCIO (C ype Cap Street: JPoJ�51q--7'5 p®�y�rt� 14, Mean Roof Hdgm; t C vedngC G` J ra V�' '' �r Type&Size Drip JW I v �. S 0000 0.0009 000. 0 . . . 0 0 0 00000 . .. 0000.. 0 0000.. 0000. .. 0000 0000. 0..0 . 0000 0000. . . 0000.. . .. .. .. 0 0 000000 000006 . 0 0 . 0000.. 0 0 0 0000.. 0:00 0 . •• 0 es • d Florida Building Code Sth Edition(2014) • . . .... ... .. High-Velocity Hurricane Zone Uniform Permit ApplicatiolM1Fdlrrd ... 10 ...... .. .. .. Section E (Tile Calculations) ..• .. :00 ,0:• For Moment based We syr choose either Method 1 or 2.Compared the Mies " ': •. for M,with tbe vstaes 5vm Ni p.V die Mr vehies are greater than or equal t&W Mr '••• • values,liar each area of the rood then the Oe,amt method is�•' •• ••• •• ...... . Meth 1"M Based Tile Calm;Per RAS 121" •• •• NOA r4!RE6 . (P3: �—'�-nU X —Mg:6. I& NOA R* Method 2"Simplifled Tile Cakukdon Per Table Bebw" R"Uhvd Moment of Resistance(1Mlij From Table Below NOA bk Mr Requhvd Moment Reatstanae* NOW RWOF Roof slope 16' M' Bi' 39' 4o' WA 39.7 3:12 3AL4 37A SA2 29A MI 612- 29A 28:5 29A Soj Mast be used in conjunction with a list of moment based the systems endorsed by the Broward County Board of Rales and Appeals. For Uplift based the systems an Method 3.Compared the values for F'with the vahues for F,.If the ID"values are greater than or equal to the F,values,for each area of the rent,then the the attadhment shod is aaeephble. Method 3"Uplift Based Tile Calkulaflons Per RAS 127' (P,:_:r._-._: w:-___J—w:_,zcosB:_= FN:_ NOAF' (Pse_:L•_m___ = w:®_ )—W:r,:cos6:_= Fes:_ NOA F1 _zeosB:_= Fr3:^ NOAF' Where to Obtain Information Desedoon S 1 Where to Bud DWpP=9ww Plor oM RAS 1 T 1 arbysmaishoeftanabdepOwedby PS on 7 bft=Ro&BdW H Job Site Roof swe a lob Site A doe to KNOA ReafiemOoe 14 NOA ROWR Tdi Aa,Oba�otF NOA F, Okmhftd &va=Tft NOA 1= NOA w=wi&h n0 toffia i ate of to . . .... ...... SECTION 1524 • HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATfOrFOR ROOFING CONSIDERATIONS 0::::* :•••• .... : 0..0 ..... 1524.1 Scope.Ask pertains to the section,it is the responsibility of roofing contractor to pw kie the owner wb ••:••• the required roofing permit,and to explain to the owner the content of the section.The pawns A of Sklien 44402 ••••;• govern the minimum requirements and standards of the industry for roofing system instailat ,Additionally,the • following items should be addressed as part of the agreement between the owner ant the contractor.TOB pg*es '•"'• initial in the designated space indicates that the item has been explained. • . . ...... 2. —RV Rensiling wood decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system). 4. Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 6. Overflow scuppers(wall outlets):It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimetededge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to in tall overflow scup in accordance with the requirements of Sections R4402,R4403 and 1 r/Agee' ignature Date ContractorSignatur Date / 1W AIEg.9A Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; a mr�) MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590.10 fM1315-2599 NOTICE OF ACCEPTANCE (NOA) ; .*1vw.mJar11i!l28e.gov/iDe1-fi**:* .. ' ' ...... Ceramica Verea .. ...... Lanza S/N 15685 499606 Mesia(Corni'ia)Spain •••• .... . .. ..... SCOPE: •••••• •• ••••• .. .. .. . ...... This NOA is being issued under the applicable rules and regulations governing the use of cous"stion materials.The • documentation submitted has been reviewed and accepted by Miami-Dade County RER-Pr©duct�e ontroi,Sp j�ipn to be•• • used in Miami Dade County and other areas where allowed by the Authority Having Jurisdi4io%t4HJ). • :...., •• . •••• • This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Contldl 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: Clay Spanish"S"Roof Tile 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# 13-0226.02 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. AQ0K",_ NOA No.: 14-0107.02 �COUN7Y Expiration Date:03/13/18 LXMApproval Date:04/24/14 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category Roofing Sub Category: Roofing Tiles Material: Clay 666686 0000.. 1. SCOPE •• ••• • This approves a roofing system using Clay Spanish "S" Roof Tile manufactured by'CcMalnica Verta, S.A.$n...: La Coruna, Spain and is distributed by Ceramica Verea, USA, as described in SRI"O .2 of Itis %otice of i •• •••• jile.Build�Code dop5:.. •'Acce Acceptance. For locations where the pressure requirements, as determined b aPP•i not exceed the design pressure values obtained by calculations in compliance with RA&127 us'lvgUt values.... listed in section 4 herein. The attachment calculations shall be done as a moment basa Aststsm. 0 •' . . 000.0. 2. PRODUCT DESCRIPTION 0000. 0 0000 .. Manufactured by Test Product•• Applicant Dimensions Specifications Description Clay Spanish"S"Roof Tile L= 19.5" ASTM C 1167 High profile clay roof tile. For direct W= 11.3" deck,adhesive set applications. Thickness: 0.44" Trim Pieces Length:varies ASTM C 1167 Accessory trim,clay roof pieces for Width:varies use at hips,rakes,ridges and valley varying thickness terminations manufactured for each tile profile. Verea Hurricane Clip 2.95"x 0.47"x 0.09"diam. (Optional)stainless steel clip. 2.55"x 0.47"x 0.09"diam. 2.16"x 0.47"x 0.09"diam. 2.1 MANUFACTURING LOCATION 2.1.1. Mesia(La Conuna)Espana 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date American Test Lab of South Florida RT0706.01-11 ASTM C 1167 07/19/11 RT0311.01-14 TAS 101 03/18/14 IBA Consultants,Inc. 4709-3 TAS 101 12/21/07 PRI Construction Materials CVER-013-02-01 TAS 101 12/30/13 Technologies CVER-014-02-01 TAS 102 03/11/14 CVER-015-02-01 TAS 100 04/07/14 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications,a static field uplift test in accordance with TAS 106 may required,refer to applicable building code. NOA No.: 14-0107.02 htIMMADECouNW Expiration Date:03/13/18 Approval Date:04/24/14 Page 2 of 6 3.3 Applicant shall retain the services of a Miami-Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112,appendix`A'. Such testing shall be submitted to the Building and Neighborhood Compliance Department—Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 9000 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof Slope 1"®ss stated•••••• otherwise by the underlayment material manufacturers published literature. •• ••• • 3.6 This acceptance is for wood deck applications. Minimum deck requirements shalt t*.Wcomplianc8 With " applicable building code. 9999 .. 9999 . .. 9999. 4. INSTALLATION 0 • 4.1 Clay Spanish"S"Tile and its components shall be installed in strict compliancew�th�l�pofin9 Application••••0 Standard RAS-120. • ' ' . . : % . 9999.. 4.2 Data For Attachment Calculations. 9 : • 9• 0 9999 Table 1: Average Weight(W)and Dimensions(I x w) .. Tile Profile Weight-W(lbf) Length-I(ft) Width-w(ft) Clay Spanish "S"Tile 8.3 1.625 0.942 Table 2: Aerodynamic Multipliers -A(ft) Tile A(ft) A( ) Profile Batten Application Direc Deck Applitlon Clay Spanish "S" Tile N/A 0.31 Table 3• ;ng Moments due to Gravity-M9 (ft-Ibf) Tile 2":12" 3":1 4":12" 5":12" 6":12" 7":12" Profile - or Greater Clay Direct Deck Tirect Deck , Direct Deck Direct Deck Direct Deck Direct Deck Spanish "S" 6.466.36 6.21 6.01 5.74 5.40 Tile Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Clay Spanish 31VI2-Component Foam Roof Tile Adhesive AH-160 63.21 "S"Tile 31VI2-Component Foam Roof Tile Adhesive AH-160 58.6 1 Large paddy placement weight 34.6 grams of 3M 2-Component Foam Roof Tile Adhesive - . edium paddy placement weight 24.5 grams of 3M 2-Component Foam Roof Tile Adhesive AH-160 NOA No.: 14-0107.02 MIAMM AD,CouNTY Expiration Date:03/13/18 VE- Approval Date:04/24/14 Page 3 of 6 4 4.3 Clay Spanish"S"Tile and its components may also be installed with"Verea System"underlayment system in strict compliance with current NOA. Clay Spanish"S"Tile shall be installed as per applicable sections of Roofing Application Standard RAS-120. 4.4 Data For Attachment Calculations. .... Table 1: Average Weight(W)and Dimensions(I x w) .. ...... . .. ... Tile Profile Weight W(Ibf) Length-I(ft) •••• Width-*(ft) ;. ..: Clay Spanish "S"Tile/Verea 8.3 1.625 0.842' .. ..• System oleo** .. • •• ••• • Table 2: Aerodynamic Multipliers -A(ft ) •••••• ' . . • 004 Tile A(ft ) (ft �► ) 0. .. Profile Batten Application DireClol);c C Appjteatipn • Clay Spanish "S"Tile/Verea N/A 0.33 System Table,3 ri g Moments due to Gravity-M9(ft-lbf) Tile 2":12" 3":12" 4":12" 5":12" 6":12" 7':12" Profile or Greater Clay Direct Deck Di ct eck Direct Deck Direct Deck Direct Deck Direct Deck Spanish "S" 5.63 5.56 5.47 5.35 5.21 5.06 Tile/Verea System Table 6: Attachment Resistance Expressed as a Moment- Mf(ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Clay Spanish 3M 2-Component Foam Roof Tile Adhesive AH-160 48.45 "S"Tile/ Verea System 3 Large paddy placement weight 35 grams of 3M 2-Component Foam Roof Tile Adhesive AH-160. NOA No.: 14-0107.02 Hlu►MMADE Coin Expiration Date:03/13/18 Approval Date:04/24/14 Page 4 of 6 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below,or following statement: "Miami-Dade County Product Control Approved". �••• . .... ...... VEREA SPAIN .: • E-0 :0000: LABEL FOR CLAY SPANISH«S" ROOF TILE '•••.• a ••.• ••�•�• (LOCATED ON THE SIDE OF TILE ••'•" •' • • 6. BUILDING PERMIT REQUIREMENTS: : • : • goes** 6.1 Application for building permit shall be accompanied by copies of the followI.n�• ••••• ;*Doe0 6.1.1 This Notice of Acceptance. •..• 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 14-0107.02 MAMMADE COUNTY Expiration Date:03/13/18 Approval Date:04/24/14 Page 5 of 6 PROFILE DRAWING 19.5" O 11.3" 00 "" . .00 0 .46• 000 00.0 0000 0000. . 9 90906• 0. 000000 096.40 6 . 0 0000.... 0090 0000 0000 0000.. . 0000 0000... 0000 0000.... 0000 . 0000... 0 . 0 . 4 09 06 90 0 906604 CLAY SPANISH S ROOF TILE :09:0: ' . . 00 0 9 0000.... .64.6. . 9.9666 0000 0000.. 96 9 VEREA HURRICANE CLIP NOTE: USE OF CLIP IS OPTIONAL. REFER TO MANUFACTURERS PUBLISHED INSTRUCTIONS FOR INSTALLATIONDETAIL END OF THIS ACCEPTANCE NOA No.: 14-0107.02 MIAM14DADE COUNTY Expiration Date:03/13/18 Approval Date:04/24/14 Page 6 of 6 GREEN SUSTAINABLE ATTRIBUTES (GSA) SCOPE: This document is solely for the purpose of verification of Sustainable Attributes of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Section. G1-SOLAR REFLECTANCE AND THERMAL EMMITANCE Component Name Initial Aged Initial Aged Solar Reflectance Reflectance Reflectance Emmitance Emmitance Index(SRI) 1. Clay Spanish"S" 0.39 Pending 0.83 Pending 41 Tile . . .... ...... ...... .. ...... .... . .. ..... ...... .. . ..... • • • • .. .. .. . ...... NOA No.: 14-0107.02 JAPPRO ADL Expiration Date:03/13/18 Approval Date:04/24/14 Page 7 of 6 MIAMI MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economv Polyglass USA Inc. 150 Lyon Drive Fernley,NV 89408 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments •••••• •••••• LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo E",09tate and fofl'owmg. 000000 0 o•••• statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.•••• •• 000000 RENEWAL of this NOA shall be considered after a renewal application has been filed and Ylawaas beQn no change.:..' in the applicable building code negatively affecting the performance of this product. 060000 •••••• •••••• TERMINATION of this NOA will occur after the expiration date or if there has been a relision br chaligo,il ithe "'•'• materials,use,and/or manufacture of the product or process.Misuse of this NOA as an ender sec;ent of donX product, •••• for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply wttji,2tnx 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 l through 9. The submitted documentation was reviewed by Alex Tigera. i NOA No.: 14-0717.08 MIAMMAD,CO�FjagtUNTY qlj Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 1 of 9 ROOFING COMPONENT APPROVAL Category Roofing Sub-Category: Underlayment Material: SBS,APP Self-Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous,rubberized asphalt waterproofing Manufacturing Location 6598"x 3'33/8" membrane,glass fiber reinforced with polyolefinic #2 60 mils thick film on the upper surface for use as an underlayment for metal roofing,roof tile,slate tiles and shingle underlayment. Polystick MTS Plus Roll: TAS 103 A homogeneous,rubberized asphalt waterproofing Manufacturing Location 6558"x 3133/8" membrane,glass fiber reinforced with polyolefinic #2 60 mils thick film on the upper surface for use as an underlayment for metal roofing,roof tile,slate tiles and shingle underlayment. Polystick IR-Xe Roll: ASTM D 1970 A fine granular/sand top 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 asap. 60 mils thick underlayment in sloped roof assemokias!• ••••;• Designed as an ice&r2tih sMeld. •••• •. Polystick TU Plus Roll: TAS 103 and ASTM A rubberized asphalt 4elfaahering, lass- :009*: (Surface Printing) 65' x 3'33/8" D 1970 fiber/polyester reinforce a 6terproofrr�• ,••••• Manufacturing Location 80 mils thick membrane.Designed"gjVgtal rooWg.and roof,:..• #1 &#2 tile underlayment. ...... Polystick TU P Roll: TAS 103 and ASTM A rubberized asphalt aterproofinimembrane,,•••• Manufacturing Location 32'10"x 3933/8" D 1970 glass-fiber/polyester reWbrQed,witbp,granula4••••: #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 3'33/8" D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and ASTM A rubberized asphalt self-adhering,glass- Manufacturing Location 61' x 3933/8" D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 14-0717.08 MaMWADE COU 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 modified bitumen 32' 10"x 3' 3-3/8" D6164 membrane with a burn off polyethylene or sanded back face and a granule top surface. For use in roof tile underlayment systems. MANUFACTURING PLANTS: 1.Hazelton, PA 2.Winter Haven, FL EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Trinity)ERD P10870.09.08-R1 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798&G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 •0�JQ2/11 P33370.04.11 ASTM D 1623 •DA128/11 ...... P36900.09.11 TAS 103/ASTM D4798&U135: .08/0 4/11 .• P37300.10.11 TAS 110/ASTM D4798&I�4QfQ• 104111 ...... P40390.08.12-1 TAS 103 &TAS 110•00'00 08106/12 ;....; P40390.08.12-2 ASTM D 1623 .••••. :W/67/12 • P40390.10.12 ASTM D 1970 so** 0 10763/12 • •• P37590.07.13-1 ASTM D6164 • /13 • P45270.05.14 TAS 103,TAS 110&ASS.. 0512/14 D1623 ••••�• P46520.10.14 ASTM D 162301•/* • � 1 0/03/14 ••.•.•• P44360.10.14 TAS 103 &TAS 110 •• . .1OVV14 • • P43290.10.14 ASTM D 1970&TAS 110 16/1'1/14 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&G155 07/06/09 Momentum Technologies, Inc. JX201-17A TAS 103/ASTM D4798&G155 04/01/08 RX14E8A TAS 103/ASTM D4798&G155 11/09/09 DX2313813 TAS 103/ASTM D4798&G155 02/18/10 DX23138A TAS 103/ASTM D4798&G155 02/18/10 NOA No.: 14-0717.08 APPROVED MIAMI•DPwe CouNTr Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 3 of 9 6 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 Deck Description: Min. 19/32"plywood or wood plank System Type E(2) 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: 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 mem�iEigi self-adlvq�d. Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. •••:•• 0 ;• �; •••• •• . • Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12" grid,6" o.c.at aUi�jMum 4.w ft lap.(fly... base sheet only) ' ...... .. . ..... Ply Sheet: Polystick MTS Plus,self-adhered with minimum 3 horizontal la�%ald minimum& vertica (Optional) laps. •"� . . . . . . *see:* Membrane: Polystick TU Plus,self-adhered. •.•••. Surfacing: See General Limitations Below. • NOA No.: 14-0717.08 CMnAD C�t� Expiration Date: 09/13/16 7.08 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-%Z"and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley,start at the low point and work to the high point,rolling the membrane from the center outward in both directions. 5. For ridge applications,center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special attention to lap areas. 7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of 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 Polyeick Leal Pro"Ifl be used' in asphaltic shingles,wood shakes and shingles,non-structural metal roofing,roof tile:� t dms an$46�rry slat000000 roof assemblies.Polystick TU P may be used in all the previous assemblies listed ex cepa o a roofing. , , Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing;aiad roof t4e.systems. ;•°'•: Polystick TU Max may be used in non-structural metal roofing and roof tile systems.'.Ul"foflex$60UAay be.-:-°• used in roof tile systems only. 0000.. 44 . 00000 0000 0 0 6 6 0 .. . -.0.�6 3. Deck requirements shall be in compliance with applicable building code. 60466. , 4. Polyglass Polystick membranes shall be applied to a smooth,clean and dry surface. 'the deck shajl te,fWe of•••••• irregularities. 06 0, • 00,00: .. 0460 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existirig0of0 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(davs 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 MIAMI•DAD,CO 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. Polystick 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) Tile Profile Polystick MTS Elastoflex S6 G Polystick TU Plus, Polystick TU Polystick MTS TU P,Tile Pro, Max Plus' Dual Pro Flat Tile Prohibited 4:12 No limitation No limitation 5:12 without battens Profiled Tile Prohibited 4:12 No limitation No limitation 4:12 without battens The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. '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 I below) • Battens shall be used for stagging of lugged tiles above 4:12 0000 • Battens shall be used for stagging of flat tiles above 5:12 0••••• •••••• . . Slope •• 0.0. 0 •• p .....6 •• 0000.. • 0000.. 0000 .. 0 •0.00. 0000 0000 00.00 • ' 00.80. 00000 0000. -.a... =. .. .. •• • • �' � 0000.. mom = � i • i . • •.o•i• • 6 • 6 • • . . •6006• 6• • Figure 1: Stagging Method 9b. There shall be no roof slope limitation for the Polystick MTS Plus/Polystick TU Plus two-ply underlayment system when a applied using the stagging method outlined above. NOA No.: 14-0717.08 MIAMW ADE COUNTY 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. i i' 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products.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 may be 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 manofttelVitr's name er logo,guy••; and state of manufacturing facility and the following statement: "Miami-Dade County.Pftfd'lwt Co>?tfpl A,pprov8d" • or the Miami-Dade County Product Control Seal as shown below. ••'• •' ": ...... .. . ..... MIAMI-DADE COUNTY •• •• •• • •••••• • • • • • •••••• 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 MWh1I•DAD,COUNTY Expiration Date: 09/13/16 Approval Date: 01/22/15 Page 7 of 9 MlaOiiMbM�E MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) 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 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: ICP Adhesives Polysee AH-160 0 0 0 0 0000 000000 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logd ocity, state%i tllowing •0 statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein*.**:** so 0600:0 000000 0 0 0 000000 RENEWAL of this NOA shall be considered after a renewal application has been filed ani 40NOM has iev chant e••• in the applicable building code negatively affecting the performance of this product. 000000 00 • 00000• . 0 00 00 00 0 000000 TERMINATION of this NOA will occur after the expiration date or if there has been•a.ravision or change in the .• materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of ItU pggduct,fele•:• sales, advertising or any other purposes shall automatically terminate this NOA. Failure to:co4ipjy with any section:Qt••: this NOA shall be cause for termination and removal of NOA. so 0see* • 0.6 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 14-0805.01 and consists of pages 1 through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 16-0315.01 Mu►7,4De COUNTY Expiration Date: 05/10/17 .• � P Approval Date:04/07/16 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset®AH-160 as manufactured by ICP Adhesives and Sealants,Inc. as described in this Notice of Acceptance. For the locations where the design pressure requirements,as determined by applicable building code,do not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat,low,and high profile roof tile systems using ICP Adhesives Polyset®AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Descrintion Specifications ICP Adhesives N/A TAS 101 Two component polyurethane foam adhesive PolyseeAH-160 ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTF1000 ICP Adhesives ProPack® N/A Dispensing Equipment 30& 100 PRODUCTS MANUFACTURED BY OTHERS: •••••• . . 0000 0000.. Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NeM vJhich 1i "0 ahment •. resistance values with the use of ICP Adhesives Polyset®AH-160 roof tile adhesive. •• •••••• 000000 6 9 9 .9066. MANUFACTURING LOCATION: 0 ..•' ;.. .••. 00000:000.• ••00.••0.• . 1. Tomball,TX. . . .00909 66 06 .. 9 .66666 9 69.96. • 9 PHYSICAL PROPERTIES: 9 6 .966:9 0909.0 Property Test Red is•• • 0 0 9.0 e 9.69 6 0 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 @-400 F.,2 weeks +6.0%Volume Change @158°F., 100%Humidity,2 weeks Closed Cell Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 16-0315.01 MIAMI-DAD,CouNTY Expiration Date: 05/10/17 Approval Date:04/07/16 Page 2 of 11 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories,Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp.Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 •••• 520109-1 TAS 101 �•� 12t2W98 ••••;• 520109-2 000 0a •. 520109-3 0000.. 520109-6 •••••• 0000 .. 520109-7 • • • • •rr• r •• rrrr• 520191-1 TAS 101 00..00 03(02.(99 520109-2-1 0000.' 0000.' 0000.. 0000.. LIMITATIONS: 1. Fire classification is not part of this acceptance.Refer to the Prepared Roof Tile Assembly for fire r at+i% 2. ICP Adhesives Polyset' AH-160 shall solely be used with flat,low,&high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset'AH-160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 16-0315.01 t 14Awe coExpiration Date: 05/10/17 Approval Date:04/07/16 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polyset'AH-160 may be used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset®AH-160. 2. ICP Adhesives Polyset®AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of ICP Adhesives Polyset®AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. ICP Adhesives Polyset®AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120,and ICP Adhesives and Sealants,Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator'approved and licensed by ICP Adhesives and Sealants,Inc. ICP Adhesives and Sealants,Inc.shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the"A"component and the"B" component shall be maintained between 1.0-1.15(A): 1.0(B). 6. ICP Adhesives Polyset®AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF 1000 or ICP Adhesives ProPack®30& 100 dispensing equipment only. 7. ICP Adhesives Polyset®AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive.Tile must be set within 1 to 2 minutes after ICP Adhesives Polyset®AH-160 has been dispensed. 9. ICP Adhesives Polyset®AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details'herein. Each generic tile profile requires the specific placement noted herein. 0000 0000.. 000000 .. 0.00.0 000000 0 0. 0 000.. 0000 .. 0000 0009: .. 0000. 0000.. .. . 0000 . .0 00 00 00 00 0 000000 :00:0: 0 00 . . 0 0 0 00000. 0000 . • . 0000.. 00 0 0000 0 0 . . NOA No.: 16-0315.01 �►oe COUNTY 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 #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat,Low,High Profiles #3 Two Paddys: 8-9 sq, inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two-Piece Barrel(Cap Tile) Two Piece 2 Beads(1 each longitudinal 17 grams per bead edge)20-25 sq. inches each bead Two Piece Barrel(Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable 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. MAMMADE COUNTY BUILDING PERMIT REQUIREMENTS: . . 0000 0000.. As required by the Building Official or applicable building code in order to properly evaluate Win�tallatiran.of this •• system. .00000 9909:. 900090 • • • 0000.. 9999 .. . 0 9 . 0000 60-0: .. 0000. 0000.. .. . 000.0.. 0000004P..0 00 0000.. .999999 00 . . 9 9 0000.. 0.000. . 0 . 9 0000.. .. 9 0000 . . . . MIAM4DADE COUNTY NOA No.: 16-0315.01 � Expiration Date: 05/10/17 Approval Date:04/07/16 Page 5 of 11 ADHESIVE PLACEMENT DETAIL# 1 pamep inna3 Flat/Low Profile Tile x: wnd•ruym•.0 . " _ 1. Starting at the eave course,apply a minimum 2" (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock 10ii - " ';,� _ of the tile being set. R- U 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. Eon Closure Hall ei'nmughwaslkcemeod Medium Profile/ Double Pan Tile WMn required'! `~ _ ___- l�a�.•n,a�.r 1. Starting at the eave course,apply a minimum 2" `1 = (50.8 mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner.Insure approximately 17 Rattern somal i' (109.7 cm2)—23 (148.4 cm2)square inch adhesive � •- - contact with the underside of the tile. Closure Lmcftam ofe •• • ••• • • ea.hnsus,,pl•.elc worimew High Profile/Single Pan We:" '••••• (W%Mn��Grectl �dd�i�°gaehTdl°I •••••• • • • 1. Starting at the eave course,aepply a' nldrn 2" •.•.• (50.8 mm)x 10"(254 mW x,a;(25.4 gni)foam ' ' paddy onto the underlayguftpbsitiolleA As§hown•..... under the pan portion oftha iiia closest to the • overlock of the tile being set •••••• *Osseo 2. Continue in same manner'1'nsufe appidately 17 • .tea► ' '� (109.7 cm2)—23 (148.4 cm2)square inch acesive x 4 _ contact with the underside of the tile. 10 in 7I•. f '��.<>`` l Eavorclrasuve NOA No.: 16-0315.01 MIAMI.DAD,COUNTY Expiration Date: 05/10/17 Approval Date:04/07/16 Page 6 of 11 ADHESIVE PLACEMENT DETAIL#2 �� «•®_ r R.�av la. w r�., Flat/Low Profile Tile 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 I the tile being set. Insure approximately 17(109.7 cm2) eaao•m optional - _ —23 (148.4 cm')square inch adhesive contact with the underside of the tile. 2. At the second course,apply a minimum 2"(50.8mm) x 7"(177.8 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the 40,' - strengthening henin rib closest to the overlock of the the being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm')- 12(77.4 cmZ)square inch adhesive contact with the underside of the tile. NMI b plastivmment Medium Profile/Double Pan Tile a�Tile, 1. Starting at the eave course,apply a minimum 2"(50.8 f I mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the 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'�iyir0jimum 2"t�0.8mml x 7"(177.8 mm)x 1"(25.40 foam paddy onto the • — '�� -�,.• ,�. underlayment positioned as sbawn undethe pan ; 000 ar • . portion of the the closest to t�ll&4erlock ofthe the 09:666 Esus Goune–"- •_�� —F+ncmr `' being set. ••••e• •• • sees* ..0..• .. . sees.. 3. Continue in same manner. 0348 approximately I2" • sees.. (77.4 cm2)- 14(90.3 cmZ) qua re inchC}lrasive contact with the underside of the tle. sees (Instructions continued on next page) NOA No.: 16-0315.01 Mu►M�•n�e CouN7�r Expiration Date: 05/10/17 APPROVED Approval Date:04/07/16 Page 7 of 11 ADHESIVE PLACEMENT DETAIL#2 (CONTINUED) Nagbca '.. �d*i� �� High Profile/Single Pan Tile �%%em 1. Starting at the eave course,apply a minimum 2"(50.8 —•' " -r' ' mm)x 10"(254 mm)x 1"(25.4 mm)foam paddy onto the underla ment positioned as shown under the pan portion of the tile closest to the overlock of the cm2 )tile being set. Insure approximately 17(109.7 — "'' 23 (148.4 cm2)square inch adhesive contact with the Baums•pt►a" -: ;' >" underside of the tile. r`r ; 2. At the second course,apply a minimum 2"(50.8mm) Fe,ca x 7 (177.8 mm)x 1 (25.4 mm)foam paddy onto the w..Pb underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile Drip ed" being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm2)_ 19(122.6 cm)square inch adhesive contact with the underside of the tile. . . .... ...... ...... .. ...... .... . .. ..... ...... .. . ..... .. .. .. . ...... . . . . ...... .. .... 00"0 NOA No.: 16-0315.01 htIAMMADeCout�7Y Expiration Date: 05/10/17 Approval Date:04/07/16 Page 8 of 11 ADHESIVE PLACEMENT DETAIL#3 N•fl tdroe�h p1aslFz cement p 1. On the eave course only,apply a minimum 2" (50.8 • ° �� ! mm)x 10" (254 mm)x V(25.4 mm)foam paddy 1 ' s onto the underlayment positioned as shown,under ~ wr t the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest a.etn ; / to the overlock of the tile being set.Leave approximately 4"(10 1.6 mm)up from the eave moPa" �. - edge free of foam to prevent the expanded adhesive °Q 2z In. L from blocking the weep holes. Insure - approximately 17-23 int(109.7-148.4 cm2)of totR -; adhesive contact with the underside of the tile —Em CIMM 2. Apply a 4" (101.6 mm)x 4" (101.6 mm)x 1" (25.4 EMEMNIMENIA mm)foam paddy onto the underlayment just below FhdnawPMfileTlle the second course line positioned foam paddy under the strengthening rib for flat tile,or under the HAdacu t t+aimy-dartae pan portion of the tile,closest to the underlock for tti+eA ed) ! Padd bet eentowl the second course tile to be installed. Insure approximately 8-9 int(51.6-58.1 cm2)of adhesive t / '� contact with the underside of the tile. r ��tae _''�._ (Instructions continued on next page) :atn. a:atn:� ,. •••• Ewe Ctesue • • • • •• • •••••• • E=eC==--' F� •••• i ••••• 0 •• •••••• •• •••••• • Med inn PraffleTlle 000000 • • • •••• • •• ••••• •••••• •• • ••••• •• •• •• • •••••• • • • • • •••••• • • • • • • NOA No.: 16-0315.01 MADECO" Expiration Date: 05/10/17 Approval Date:04/07/16 Page 9 of 11 ADHESIVE PLACEMENT DETAIL#3(CONTINUED) 1WdUGUghFhMdC epaftmWerft aar 3. Also apply a 2"(50.8 mm)x 4" (101.6 mm)x 3/4" 'I ° ' (19 mm)paddy on top of the eave course tile pamytrmdfftft surface as shown,on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. an Install second course of tile. Insure approximately :41n. ,��_ 9(58.1 cmZ)- 11 (71cm2)square inch adhesive :am. contact with the underside of the tile at the overlap piftm, �,,, and 7(45.2 cm')-9(58.1 cm2)square inch adhesive contact with the underside of the tile at ,r the head of the tile.Continue in same manner. Emma Coarse ash Weephob Coln Ddpedp Klgh PM11119TQe • • • •••••• •• •••••• • •••••• • • • • • • • • • off••• •• • ••••• *a 4 fee 00000 ••••••• • • • • • • • • • •••••• of•f•• • • • •0*00 o •• • Goof • • • f NOA No.: 16-0315.01 MMMI•nADe Coup Expiration Date: 05/10/17 Approval Date:04/07/16 Page 10 of 11 r 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 acMave 6S to 70 sq hu Steep pitch red)applications 50.8 mm x 10" 254 mm x 1" 25.4 mm foam h►contact wRh the pan Nh3. when required) ( ) ( ) ( ) 2)Turn covers upside dawn.Place adhesive in paddy onto the underlayment positioned as to t In.from outside edge of cover tile. shown under two adjacent pan tiles. Support eave Then install the Nle.Ensure 20 to q.hu 25scwt clam& ° tiles from rocking until adhesive has a chance to unaerlayment =;- cure. 2. Continue in same manner bringing two pan courses up toward the ridge.Insure approximately 65(419.4 cm2)—70(451.6 cm2) k `�- , square inch adhesive contact with the underside Sheathing of the pan tile. Eave closure (motarshow^) 3. Turn covers upside down exposing the underside weephole Fasda 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 ofthe ewe course cover tile.Abut toseca,acourse of edge of each side of the cover tile. Leave pen tiles.Ensure aave end of pan and cow 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.eTari%away any cured exposed fogm gd4esive. ?8h ting of`•••;• longitudinal edges of the cover tiltis''he : as considered optional. 0.00" •• •0600• •66••6 0000.. 66.6 6• 6 5. When additional nailinJgjequireors ,K J50.8 000.. mm)x 4"(101.6 mmJVg4 or the�ie wire ..:.6 system using galvanized;e,0mless0siee10-or 6.00•• • copper wire and compatge4nails maytbe used. •• . • :*a*:* 6.6-66 0 . 6 • • 66 6 66.6 • • END OF THIS ACCEPTANCE *000•0• NOA No.: 16-0315.01 MIAMI-DAD,COUNTY Expiration Date: 05/10/17 Approval Date:04/07/16 Page 11 of 11