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RF-16-1082• Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Issue Date: 7/28/2016 Permit NO. RF -4-16-1©82 Permit Type: Roof Work Classification: Tile Permit Status: APPROVED Expiration: 01/24/2017 Parcel Number Applicant 124 NE 96 Street Miami Shores, FL 33138- 1132060132690 Block: Lot: MICHAEL PUCHADES LOURDES Owner Information Address Phone Cell MICHAEL PUCHADES LOURDES 124 NE 96 Street MIAMI SHORES FL 33138- 124 NE 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone CeII Phone ESMELIN ROOFING CONTRACTOR (786)374-9269 Valuation: Total Sq Feet: $ 5,500.00 312 Type of Work: Re Roof Additional Info: NEW TILE ROOF ADDITION. Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $3.60 $3.75 $3.75 $1.20 $250.00 $9.00 $4.80 $276.10 Pay Date Invoice # 04/21/2016 07/28/2016 Pay Type RF -4-16-59497 Credit Card Credit Card Amt Paid Amt Due $ 50.00 $ 226.10 $ 226.10 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Review Roof Cap Sheet 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 AFF constructs s . • certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating 11- uthe • ore, I authorize the above-named contractor to do the work stated. Authorized Signature: Owner / Applicant Building Department Copy Contractor / Agent July 28, 2016 Date July 28, 2016 1 \\Co -�,\ (53 Miami Shores Village ;v�'zfx\9 Building Department so BUILDING PERMIT APPLICATION 0BUILDING ❑ ELECTRIC El PLUMBING ❑ MECHANICAL 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 OOFING ❑PUBLIC WORKS JOB ADDRESS: j' L 1 6 5} City: Miami Shores Folio/Parcel#: Occupancy Type: Load: CETVE.., PR 21(\201 rA,kik T-14 S FBC201� Master Permit No I (Q - 4-82_ Sub Permit No'9 F1 -1 392 0 EXTENSION 0RENEWAL ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS County: Miami Dade Zip: "3313 g Is the Building Historically Designated: Yes NO OWNER: Name (Fee Simple Titleholder): Address: 'at/ P/t, q6 Construction Type: Flood Zone: &-p i RA( J- /4016 BFE: FFE: Phone#: City: r1^it v f jis( State: FL Zip: 3313e Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: E5r';(1)1 (%foraf10r, ril;$ ri 1 L 3317 Address: ra is 5t/ (g t 5 1 - City: City: State: Qualifier Name: ;'.?5t -4 r'(2 Phone#: '18C- -9'7 -9 q61 tate Certification or Registration #: DESIGNER: Architect/Engineer: Phone#: Phone#: Zip: r 3 08 d), Certificate of Competency #: Address: City: State: Zip: Value of Work for this Permit: $ /i rO`D Square/Linear Footage of Work: 312,a Type of Work: ❑ Addition ❑ Alteration Description of Work: wet, •f ire kov New add 'F; 9n ❑ Repair/Replace n Demolition Specify color of coljo�r�thru tile: /-\ Submittal Fee $ 93 ` GV Permit Fee $ ( SO ' "" CCF $ .) • w_ CO/CC $ Scanning Fee $ `� i Radon Fee $ QBp&$ ' —� Notary $ Technology Fee $ 4 • Traiping/Education Fee $ Gv Double Fee $ P Structural Reviews $ (Revised02/24/2014) Bond$ 6 -' (0 TOTAL FEE NOW DUE $ 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. Signat OWNER or AGENT The foregoing instrument was acknowledged before me this 1 day of -hp/ 4 1 , 20 (o , by iQhC €. el,gwho is personally known to me or who has producedCr" l� � V 0-1 ►C CQ as identification and who did take an oath. NOTARY PUBLIC: Sign. Print: ✓c�'� Cs tietfv�t Seal: c.Lk (IDA The foregoing instrument was acknowledged before me this lib day of (' , 20 1. , by Y1CM`}11�.22_ , who is(ersonally kno_o me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:e...)cudoc,f/Lut as Print: x k ci \as—) Seal: BARBARA PALENZUELA MY COMMISSION #FF053407 EXPIRES September 11, 2017 *******************(04;WW 1***,.F19t!( 9141 4' ',tr",272......� APPROVED BY (Revised02/24/2014) ********** Plans Examiner Zoning Structural Review Clerk Miami Shores Viiiage 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 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: til�1 ZCCt-2 t Pte'--v)cC-J'eS Property Address: 124 N E qCD S-1- NA i Qw-<< gVOf QS Roofing Permit Number: Dear Building Official: Date: 111R11 1 I Qiev2( NQvicictes certify that I am not required to retrofit the roof to wall connections of my building because: k'ehe 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 edi of the South Florida Building Code (1994 SFBC) Signature niak� e/ Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 1 a day of k Notary Public, Sate of Florida at Large 4;;;;;;;;;,,, ..BARBARA PALENZUELA • MY COMMISSION #FF053407 • -op EXPIRES September 11, 2017 (407) 398-0153 FloridallotaryService.com • 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 Wall connection Hurricane Mitigation. Revised on 5/21/2009 Propert 1 Search Application - Miami -Dade County F CE OF THE P OPERTY APPRAISER Page 1 of 5' Detailed Report Property Information Folio: 11-3206-013-2690 Property Address: 124 NE 96 ST Miami Shores, FL 33138-2726 Owner MICHAEL PUCHADES LOURDES STEPHEN I Mailing Address 124NE96ST MIAMI SHORES, FL 33138 USA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/2 / 0 Floors 1 ° Living Units 1 Actual Area 3,920 Sq.Ft Living Area 3,920 Sq.Ft Adjusted Area 3,722 Sq.Ft Lot Size 14,300 Sq.Ft Year Built 1938 Assessment Information Year 2015 2014 2013 Land Value $271,858 $271,858 $185,405 Building Value $259,638 $252,975 $253,027 XF Value $18,719 $18,843 $18,967 Market Value. $550,215 $543,676 $457,399 Assessed Value $467,973 $464,259 $457,399 Benefits Information Benefit Type 2015 2014 2013 Save Our Homes Cap Assessment Reduction $82,242 $79,417 Taxable Value Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). I Generated On : 4/21/2016 Taxable Value Information 2015 2014 2013 County Exemption Value $50,000 I $50,000 $50,000 Taxable Value $417,973 f $414,259 $407,399 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $442,973 1' $439,259 $432,399 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $417,973 $414,259 $407,399 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $417,973 $414,259 $407,399 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www:miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 4/21/2016 PropertSearch Application - Miami -Dade County OFFICE OF THE P OP Property Information Folio: 11-3206-013-2690 Property Address: 124 NE 96 ST Page 2 of 5 QTY APPEUISER Generated On : 4/21/2016 Roll Year 2015 Land, Building and Extra -Feature Details Land Information Land Use Muni Zone PA Zone Unit Type Units Calc Value GENERAL R-20 1100 Front Ft. 100.00 $271,858 Building Information Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adj Sq.Ft. Calc Value 1 1 1938 3,828 3,828 3,630 $252,648 1 2 1975 92 92 92 $6,990 Extra Features Description Year Built Units Calc Value Pool 6' res AVG 3-8' dpth, plain feat 250-649 sf 1978 1 $11,390 Patio - Terrazzo, Pebble 1978 1,198 $5,217 Chain-link Fence 4-5 ft high 1938 210 $924 Wall - CBS unreinforced 1938 540 $1,188 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 4/21/2016 Propert Search Application - Miami -Dade County OFF Property Information Folio: 11-3206-013-2690 Property Address: 124 NE 96 ST E�F PE AP Page 3 of 5 SE Generated On : 4/21/2016 Roll Year 2014 Land, Building and Extra -Feature Details Land Information Land Use Muni Zone PA Zone Unit Type Units Calc Value GENERAL R-20 1100 Front Ft. 100.00 $271,858 Building Information Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adj Sq.Ft. Calc Value 1 1 1938 3,828 3,828 3,630 $246,114 1 2 1975 92 92 92 $6,861 Extra Features Description Year Built Units Calc Value Patio -Terrazzo, Pebble 1978 1,198 $5,256 Pool 6' res AVG 3-8' dpth, plain feat 250-649 sf 1978 1 $11,475 Wall - CBS unreinforced 1938 540 $1,188 Chain-link Fence 4-5 ft high 1938 210 $924 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 4/21/2016 Prope Search Application - Miami -Dade County FFIIC Property Information Folio: 11-3206-013-2690 �FTKEPP Property Address: 124 NE 96 ST Miami Shores, FL 33138-2726 E T PPRA Page 4 of 5 SEP& Generated On : 4/21/2016 Roll Year 2013 Land, Building and Extra -Feature Details Land Information Land Use Muni Zone PA Zone Unit Type Units Calc Value GENERAL R-20 1100 Front Ft. 100.00 $185,405 Building Information Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adj Sq.Ft. Calc Value 1 1 1938 3,828 3,828 3,630 $246,114 1 2 1975 92 92 92 $6,913 Extra Features Description Year Built Units Calc Value Patio -Terrazzo, Pebble 1978 1,198 $5,295 Pool 6' res AVG 3-8' dpth, plain feat 250-649 sf 1978 1 $11,560 Chain-link Fence 4-5 ft high 1938 210 $924 Wall - CBS unreinforced 1938 540 $1,188 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 4/21/2016 Propert Search Application - Miami -Dade County Fr Property Information Folio: 11-3206-013-2690 Property Address: 124 NE 96 ST E OF HEA sE Page 5 of 5 Generated On : 4/21/2016 Full Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT12&13BLK20 LOT SIZE 100.000 X 143 OR 21131-3611 03 2003 1 COC 22869-1258 08 2004 4 Sales Information Previous Sale Price OR Book -Page Qualification Description 11/15/2011 $632,000 27906-3494 Qual by exam of deed 06/06/2011 $100 27833-0312 Corrective, tax or QCD; min consideration 08/01/2004 $0 22553-0436 Sales which are disqualified as a result of examination of the deed 08/01/2004 $0 22869-1258 Sales which are disqualified as a result of examination of the deed 03/01/2003 $455,000 21131-3611 Sales which are qualified 11/01/1999 $235,000 18885-2161 Sales which are qualified 01/01/1996 $0 17084-1034 Sales which are disqualified as a result of examination of the deed 06/01/1995 $174,000 16838-1029 Sales which are qualified 03/01/1987 $143,000 13228-2466 Sales which are qualified 11/01/1983 $160,000 11981-2303 Sales which are qualified 06/01/1978 $115,000 10067-0841 Sales which are qualified 03/01/1975 $58,000 00000-00000 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 4/21/2016 Miami Shores Viiiage Building Department CONTRACTORS' REGISTRATION 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. V COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. V COPY OF LIABILITY INSURANCE* D. ` COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: E fr of;n (Orpofa t» BUSINESS ADDRESS: 0,115 51v- 18 CITY mrdSTATE F` ZIP 33 i 77 BUSINESS PHONE: (7II6 ) ‘97(1-9 ?661 FAX NUMBER ( ) CELL PHONE ( ) QUALIFIER'S NAME: it Oji r f i' e 2 QUALIFIER'S LIC NUMBER: (C C (3 3O0'l ,VE LICENSE CLASS r'; 425-73-013 M. 12115 SW 188 ST MIAMI, FL 33177-3242 008.01-13.1973 SEX. M,,;,. ISSUED: 02-03-201f EXPIRES- 07-05-7 - o REST EN0(15 _ SAFE DRIVER Operation of a motor Muck tonSlitartes consent to any sobriety test .epuosa by y- c$MPORARY yw STATE OF FLORIDA DEPARTMENT OF BUSINESS AND - PROFESSIONAL REGULATION CCC 1330842 ISSUED: 10/28/2015 CERTIFIED ROOFING CONTRACTOR MARTINEZ, JOSE ESMELIN SR ESMELIN ROOFING CONTRACTOR IS CERTIFIED under the provisions of Ch.489 FS. Expiration date AUG 31 2016 L1510280000751 LocaI Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOTA BILL — DO NOT PAY 6747761 BUSINESS NAME/LOCATION -ESMELIN CORPORATION 12115SW1885T MIAMI FL 33177 OWNER , ?: ESMELIN CORPORATION WorkeT(s) -1 ' RECEIPT NO. RENEWAL 7021207 EXPIRES SEPTEMBER 30, 201.6 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 SEC. TYPE OF BUSINESS 4 ,196 SPECIALTY BUILDING CONTRACTOR BYPATAX COLLECTOR, r`�CCC1327243 3+ , .._. $75.00 09/29/201'5"~ s, < - .CREDITCARD-15-052132', i y This LocalsBusmessTax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, Omit, or a certificationpof the holdersnnalifications, to do'business. Holder must comply.with any governmental i aws andre requirements which apply �to the business.'„ - r t c or nongovernmental regulatory I q pP y r 1 The RECEIPT N0. above must be displayed on all corimmercial'vehicles — Miami=Dade CA) Sec '8a-276. ; For more information, visit www,miamidade jjov/taxcollector • ACORU" CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYY10 4/21/2016 PRODUCER PTL INSURANCE ASSOC. , INC. 7201 CORAL WAY MIAMI, FL. 33155 305-262-7094 THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE POLICIES INFORMATION CERTIFICATE EXTEND OR BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED ESMELIN CORPORATION D/B/A ESMELIN ROOFING CONTRACTOR 12115 SW 188 ST. MIAMI, FL 33177 1786 374-9269 INSURER A: PREFERRED CONTRACTORS INSURANC INSURER B: 362052 . INSURER C: 3/28/2017 INSURER D: $ 1,000,000 INSURER E: COMMERCIAL GENERAL LIABILITY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR ADD% INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YYYY) POLICY EXPIRATION DATE(MM/DD/YYYY) LIMITS A GENERAL LIABILITY 362052 . 3/28/2016 3/28/2017 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY UAMAUt IO H0,11 LI) PREMISES (Ea occurence) $ 50 , 000 CLAIMS MADE TO OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL a ADV INJURY $ 1,000,000 $2 , 000,000 $ 1 , 000 , 000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER POLICY n igi n LOC PRODUCTS - COMP/OP AGG —1 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY (Perperson) person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ nOCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ — $ WORKERS AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory If yes, describe SPECIAL PROVISIONS COMPENSATION' LIABILITYY/N WC STATU- OTH- TORY LIMITS ER. EXCLUDED? E.L. EACH ACCIDENT $ in NH) under below E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ROOFING CONTRACTOR CERTIFICATE HOLDER CANCELLATION City of Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FL 33138 ACORD 25 (2009101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REP SENTA VES AUTHO'IZEr' .a1 '�;TATIVE © CO 1988-2009 ARD C The ACORD name and logo are registered arks of ACORD PORATION. All rights reserved. 100% JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW* " CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 8/12/2015 EXPIRATION DATE: 8/11/2017 PERSON: MARTINEZ JOSE E FEIN: 208080656 BUSINESS NAME AND ADDRESS: ESMELIN CORPORATION ESMELIN ROOFING CONTRACTOR 12115 SW 188TH ST MIAMI FL 33177 SCOPES OF BUSINESS OR TRADE: ROOFING - ALL KINDS AND DRIVER Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from tlis chapter by filing a certificate of elation under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the eW ress or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13), FS., Notices of elation to be exempt and certificates of election to be exempt shall be s t oot to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate ro longer meets the repirements of this section for Issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 -F(- 1c82 ESMELIN CORPORATION CERTIFIED ROOFING CONTRACTOR NEW ROOF -RE -ROOF& REPAIRS LICENSED & INSURED • CCC1330842 12115`SW 188 ST MIAMI FL 33177 PHONE: • CELL: (786) 374-9269 CONTRACT SUBMITTED TO: NAME: BLUE PANTHER ROOFING AND CONSTRUCTION CORP JOB ADDRESS: 124 NE 96 ST MIAMI SHORES, FL 33138 REQ" "_ °�7 J L 1 3 2016 BY. ncUoL DATE: 07/12/16 SUBCONTRACTOR AGREEMENT This agreement, as negotiated herein, is entered into by and between Esmelin Corporation and Blue Panther Roofing. APPLICATION OF TILE: 170sq.ft. of vanguard roll concrete roof tiles. One layer of #30 Lb. Felt paper tin capped as per F.B.C. Install 3"x 3" galvanized eaves drips around the perimeter. Install self adhesive Boral felt paper. Install vanguard -roll concrete roof tile with medium paddy poly foam. APPLICATION OF FLAT ROOF: 140 sq.ft. of flat roof hot mop Install one ply of #75 g.a.f base sheet underlayment Install 2 ply fiberglass Install 1 ply hot mopped g.a.f capsheet Inusrance and workers comp wil be provided by Blue Panther Roofing. We hereby propose to furnish labor, materials & equipment in accordance with the above description, for the sum of: One Thousand Eight Hundred Dollars ($1,800) with payments to be made as agreed per both parties. This agreement is governed by the laws of the state of florida. Any amendments must be given in writing. Acceptance of contract by sub -contractor; shall be acceptance of all Terms and Conditions recited herein upon acceptance, this contract shall become a binding contract between Contractor, subcontractor,and Owner. This contract and the plan, expecifications, and other document, if any reference in this proposal, shall constitute the entire agreement between all the parties. We recommend t ;� t you consult with your legal council and agent regaFding your individual circumstances. Afi-Sid-arfrke—• 0>e, ewe -44 - Signature: �� Signature: Esmelin Corporation % w,��, j3//640 Sub Contractor 641 F: V 5Guiel. vi (e P)-114 SMELIN CORPORATION -0-3/1 CERTIFIED ROOFING CONTRACTOR Florida Building Code 5th Edition (2014) • • • • •• • • •••• gh-Velocity Hurricane Zone Uniform Permit Application Form. • •... • Section A (General Information) ermit No. Process No. Contractor's Name J D 5"e 1 1 1 r f h Z • • •• •• Job Address • • • • • •• • iati nve .96/ •. • • • • • •.•• ••• • • • •• •• • •• • • • •••• • • •••• • • • • • • • • • • • • • • •••• • • • •• • ROOF CATEGORY Q' Low Slope Mechanically Fastened Tile 0 Mortar/Adhesive Set Tiles O Asphaltic Shingles 0 Metal Panel/Shingles 0 Wood Shingles/Shakes O Prescriptive BUR -RAS 150 ROOF TYPE 111 New roof 0 Repair 0 Maintenance ❑ Reroofing 0 Recovering ROOF SYSTEM INFORMATION'n Low Slope Roof Area (SF) 13� Steep Sloped Roof AREA (SSF) 18 0 O(otal (SF) 3 )2 Section B (Roof Plan) 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. • •' • • • • ..•. • .•.• • ••.• • •••• •• ••.• • ••• • • • • •• • • • •• • it ,' ,• h••""' • •• ' • _ • • • • • • • •••• Florida Building Code 5T" Edition (2014) • 'High Velocity Hurricane Zone Uniform Permit Application Form •••• •••'•• INSTRUCTION PAGE ' •• •:• : QQMPLETE THE NECESSARY SECTIONS OF •.•••. ''THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles .. A,B,D 1,2,4,5,6,7 Concrete or Clay Tile • A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances — -----5.- Municipal Permit -Application 6. Owners Notification for Roofing Considerations (Re -Roofing Only) 7. Any Required Roof Testing/Calculation Documentation Section C Miami -Dade County HVHZ Electronic Roof Permit Form Section C Page (Low Slope Roof Systems) • • • • • •• • • "Delivering Excellence Every Day" ••••• • Fill In the specific roof assembly components. If a component is not required, insert not applicable (n/a) in the text box. ROOF SYSTEM MANUFACTURER:- GAF Top Ply: • • [GAF MINERAL CAP SHEET Product Approval (NOA): 113-1022.15 System Type: fE Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Fieid: -`f2.8 psf (P2) Perimeters: (P3) Corners: -71.7 -108.0 psf psf Maximum Design Pressure From NOA: Cal Roof Slope: 0.50 " : 12 Roof Mean Height: psf I14 P: -::-:p_'. Vial's. 17]No ❑ Yes Parapet wall Height: Deck Type: 17/71:1y—w--Z------"- Support Spacing: Alternate Deck Type: Existing Roof: " o/c ft. INA !SAME Fire Barrier. NA Vapor Barrier: NA Anchor Sheet: NA Anchor Sheet Fastener / Bonding Material: NA Insulation Base Layer Size & Thickness: NA Insulation Base Layer Fastener / Bonding Material: NA Insulation Top Layer Size & Thickness: NA Insulation Top Layer Fastener! Bonding Material: INA Base Sheet(s) & No. of Ply(s): [GAF GLASS BASE 75# (1) PLY / Base Sheet Fastener / Bonding Material: 1-114" RS NAIL AND TIN CAP 1-5/8" Ply Sheet(s) & No. of Ply(s): [GAF PLY IV (2) PLIES Ply Sheet Fastener / Bonding Material: HOT MOP ASPHALT �� ft. ••• • • • •••• ••• • • • •• • •• • • •• • • • • • •• •••• • • •_• • • • Top Ply Fastening / Bonding Material: I HOT MOP ASPHALT • • • • 1 • • • • Surfacing: GRANULES ' • SINGLE PLY MEMBRANE: Single Ply Manufacturer/ Type: NA •• • • Single Ply Sheet Width: 17 -1" 1/2 Sheet Width: NA " No. of Single Ply 1/2 sheets: Single Ply Membrane Fastening / Bonding Material: NA EJ FASTENER SPACING FOR BASESHEET ATTACHMENT 0 SINGLE PLY MEMBRANE ATTACHMENT 1. Field: r1 " o/c Q Laps & ri rows ......."o/c 2. Perimeter. rfi 1 " o/c © Laps & IT rows 17-1 " o/c 3. Comer. 171" o/c © Laps & FT rows F-11" " o/c NUMBER OF FASTENERS PER INSULATION BOARD: -i 1. Field: El 2. PerimeterNA . 3. Comer: NA Insulation Fastener Type : NA WOOD NAILER TYPE AND SIZE: 1"X 8" FASCIAL Wood Nailer Fastener Type and Spacing: #12 WOOD SCREW EDGE & COPING METAL SIZES: Edge Metal Material: Edge Size: --3" face 26 ga — Hook Strip Size:1—SELECT EDGE METAL HOOK STRIP SIZE— Edge Metal Attachment: • • • • • •. • • • 1-1/4" RS NAIL 4" OC Coping Material: Coping Size: f --SELECT PARAPET WALL COPING MATERIAL- -SELECT COPING METAL SIZE OR THICKNESS -- Hook Strip Size: --SELECT COPING METAL HOOK STRIP SIZE— Parapet Coping Metal Attachment: NA Insulated Nailable Deck With Edge Nailer MIAMI•D�ADE COUNTY "Delivering Excellence Every Day" .•.. • • •••• • • • •. • • •••• • Miami -Dade County HVHZ Electronic Roof Permit F8rnf • • •. • • . . Illustrate Components Noted and Details as Applicable... • ••• • • • •• • •• • • • • • • •• • • •••• • •• • •••• • • • • • • • • • • • • �• • • • • Top Ply ptufrvul Interplies Base Sheef' Anchor Sheet 7 i 04 Roof Deck Base Layer of Insulation Top Layer of Insulation Drip Metal Continuous Cleat Wood Nailer Roof Mean Height: Fl ft. Drip Metal: I3"x3" galv 26g Continuous Cleat: INA Surfacing: GRANULES Top PIy: IGAF MINERAL CAP SHEET Interplies: I GAF PLY IV Base Sheet: GAF GLASSBASE 75 # Top Layer of Insulation: NA Base Layer of Insulation: NA Wood Nailer: 11 X 8 FASCIAL BOARD Wood Nailer Fastening: #12 WOOD SCREW 16"OC Anchor Sheet: NA Deck Type: PLYWOOD 5/8" iurt�uvi,i,%..Py..�,..� •••• •• • • •••• • •• • The use of gypsum board under any of the following Class A, B or C systems does not adversely affect the rating. The use of 1 -in•. mrnimurl;4Fj'rck gypsum board is an acceptable alternate for minimum insulation over C-15/32 thick roof decks. •••: The use of polystyrene Insulation board between minimum 3i4 -in. thick perllte board and deck with rosin paper (perliteiestrr' paper/polystyrene/perlite) is a suitable alternate for polyisocyanurate board in the following Class A, 8 or C systems. • • • • • •• • • • • • • • �• • • • • • • •••• • "EnergyGuard® RA" or "Tapered EnergyGuard® RA" or "EnergyGuard® Composite RA" may be substituted for any AtIos•polytlsocyanurate• • • insulation in any of the following Classifications. • • • • • • • • • Trumbull "Perms Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". • • '• • • • • • ••• • "GAFGLAS® #80 Premium Base Sheer may •be used in any of the following systems. " • •••••:• • "GAFGLAS® Flex Ply 6" and "Tri -Ply® Ultra -Flexible Ply 6" are suitable alternates to "GAFGLAS® Ply 6". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Unless otherwise indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshield MB" at 21/2 to 3-gal/100- ft2. "Ruberoid® Duai Smooth" may be used as an alternate to "Ruberoid® Mop Smooth' or "Ruberoid0 20" or "Ruberoid® 20 HT" "Ruberoid® Mop Smooth 1.5" may be used as un alternate to "Ruberoid® Mop Smooth" Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid® Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid® Mop" SBS products in any applicable Classification. Class A 1. Deck: C-15/32 Incline: 3 Insulatlon (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. Ply Sheet: -- Three or more plies Type GI or "GAFGLAS® Ply 4" or "Tri -Ply® Ply 4" or "GAFGLAS® Ply 6" hot mopped. Surfacing: — Gravel. 2. Deck: C-15/32 Incline: 2 Insulation (Optional): -- One or more layers perllte or wood fiber or glass fiber or polyisocyanurate or urethane or pertite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type G1 or "GAFGLAS® Ply 4" or "Tri -Ply® Ply 4" or "GAFGLAS® Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet " or "GAFGLAS® EnergyCap'" '" BUR Mineral Surfaced Cap Sheet." 3. Deck: NC Incline: 2 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perlite/polyisocyanurate composite, perlite/urethane composite, wood fiber/polyisocyanurate composite, phenolic, 2 -in. maximum. Ply Sheet: — Two or more plies Type G1 "GAFGLAS® Ply 4", 'Tri -Ply® Ply 4" or "GAFGLAS® Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS® EnergyCapm 8UR Mineral Surfaced Cap Sheet." 4. Deck: C-15/32 Incline: 1 Slip Sheet (Optional): — Red rosin paper, nailed to deck. Insulation (optional): -- Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" or any UI. Classified insulation adhesive. Base Sheet: — One ply Type G2 "GAFGLAS® #75 Base Sheet" or "Tri -Ply® #75 Base Sheet" (may be nailed). Ply Sheet: — One or more plies Type G1 "GAFGLAS® Ply 4" or "Tri -Ply® Ply 4" or GAFGLAS® Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Slieet" or "Tri -Ply® Mineral Surfaced Cap Sheet" or "GArGLAS® EnergyCap'" BUR Mineral Surfaced Cap Sheet." Surfacing (optional): — "TOPCOAT® EnergyCote'"" applied at a rate of 2-gal/100-ft2. 5. Deck: NC incline: 3 kU nAot'3h' „I r•r m/c' i_hin/XYV/Iemnlate/LISEXT/1FRAME/shawpage.html?name=T... 2/23/2012 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF 1361 Alps Road Wayne, NJ 07470 • • . . . •. • ••. • • • •••• •.. • • • •. • .... •• • • • 111 -DADS cAtlirY PRODUC 'P CONTROi1$1+C'�1t N 11805 SW 26 Street, Roow 208 tretntegtorida 33175-2474 T (786)325-259tf F (786)3515249 • • wwounuawuynn! • • • •.• • • • • 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) andior the AH3 (in areas other than Miami, Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof Systems for Wood Decks. 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 renews and revises NOA No. 13-0424.09 and consists of pages 1 through 16. The submitted documentation was reviewed by Jorge L. Acebo. MIAMIT ADECOUNTY APPROVED NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 1 of 16 Membrane Type: BUR Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank decks . System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOut"' Fire Barrier Coating, VersaShield'® Fire Resistant Roof Deck Protection or (optional) Securock"" Gypsum Fiber Roof Board. .••. • • • • .••• • • • • • •• • ••• • . . • • •••• • • .••• • • •• •• • • • • • • • • • • .• • • •• • •• • • • •• •••• • • •••• • • • • • • • • .. •••• • • • • • • •. • Base sheet: Fastening Options: MANMADE COUNTY APPROVED GAFGLAS® #80 Ultima"' Base Sheet, Stratavent® Eliminator"' Nailable Venting Base Sheet, Ruberoid® 20, Ruberoid® SBS Heat Weld`" Smooth or Ruberoid® SBS Heat -Weld"' 25 base sheet mechanically fastened to deck as described below; GAFGLAS® Ply 4, GAFGLAS® FlexPly 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf. See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS® FlexPly"" 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill -Teem #12 Fastener or Drill -Tec'' #14 and Drill - TM 3" Steel Plate, Drill -Tec " AccuTrac® Flat Plate or Drill -Tec" AccuTrac® Recessed Plate 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maxinuun Design Pressure —45 psf. See General Limitation #7) GAFGLAS® Flex Ply"" 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" a.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure --52.5 psf. See General Limitation #7) GAFGLAS® #80 Ultima"' Base Sheet, Ruberoid® 20, Ruberoid® Mop Smooth, base sheet attached to deck with approved 11/4" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure —60 psf. See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill -Tec #12 Fastener or Drill -Tec"' #14 Fastener and Drill -Tec" 3" Steel Plate, Drill -Tec" AccuTrac® Flat Plate or Drill -Tec"" AccuTrac® Recessed Plate 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf. See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec" insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf. See General Limitation #7) NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 14 of 16 Fastening Options: (Continued) PIy Sheet: Cap Sheet: Surfacing: GAFGLAS° #75 Base Sheet or any of above base sheets attached to deck with Drill -Tec b #I2 Fastener or Drill-TecTM #14 Fastener and Drill -Tec" 3" Steel Plate, Drill-Tec"m AccuTracQO Flat Plate or Drill-TecT" AccuTrac00 Recessed Plate 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf. See General Limitation #7) One or more plies of GAFGLAS® Ply 4 or GAFGLAS® #80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet or GAFGLAS® EnergyCapTM BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. 2. Topcoat® Surface Seal SB applied at Ito 1.5 gal./sq. Maximum Design Pressure: See Fastening Options MIAMFDADE COUNTY APPROVED ... . . .• .... . . . .. . . . ... . . . .. .... .. • • • • • .. .... . • .. . . .... . . .. .. .... • • . • • • . . .. . . .... •• • NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 15of16 • . • . . WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS® Flex Ply' 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum W' DensDeck' Roof Board or 'A" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. 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 inechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12lbs./sq. Note: Spot attached systems shalt 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, Ahould the fastener resistance be less than that required, as determined by the Building Official, a.revised fasteiiei:s acing, prepared, signed and sealed by a Florida Registered Professional Engineer, Registered•Ave1iitect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the witlxirawei resistance ealuE taken from Testing Application Standards TAS 105 and calculations in compliance witlt Roofing Applieation Standard RAS 117. •••• •. . . . 7. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements'erthese areas. listener . densities shall be increased for both insulation and base sheet as calculated in compliant: with Roon'pplicatiori •' Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Pro f :tonal Engineer, • Registered Architect, or Registered Roof Consultant (When this limitation is spectfiedllt refetrett yvithin • this NOA, General Limitation #9 will not be applicable.) ,. . • 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing terminatioitdesigns sheicr,fonn to • Roofing Application Standard RAS 111 and applicable wind load requirements. • • • 9. The inaximwn 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 comers and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE MIAMI RADE COUNTY APPROVED NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 16of16 RECEIVED A 21 2Q1� BY. •••• ROOF ASSEMB .IES,Np ROOFTOP STRUCTLh %';' • • • Florida Building Code Sth Edition (2014) : • • • • • ••••• •• •• ••••J High -Velocity Hurricane Zone Uniform Permit Application'F,� "• •.j •• •• • ••••ai. Master Permit No. K"T fon A (General Information) •••ej Process N4. ( b- 1 'jv Contractor's Name 3-9 'c r d-1 'L. Job Address I'v�� Are C16 ti} MGM f) )-9) / Ft 338e • .. • • • • ••• • ❑ Low Slope ❑ Asphaltic Shingles New roof 0 Repair Low Slope Roof Area (SF) / ROOF CATEGORY ❑ Mechanically Fastened Tile 0' Mortar/Adhesive Set Tiles O Metal Panel/Shingles Cl Wood Shingles/Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE 0 Maintenance 0 Reroofing 0 Recovering ROOF SYSTEM INFORMATION Steep Sloped Roof AREA (SSF) 7 /' Total (SF) ?la •a Section B (Roof Pian) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. REc OR BY. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. INTERNATIONAL CODE COUNCIL® a I/`) t J `t. Z `A I, J I 3 I m *i2p�6 � ' — t r -- I I !? Ir 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. INTERNATIONAL CODE COUNCIL® a Tile Roof System MIAMFDADE COUNTY "Delivering Excellence Every Day" Roof System Manufacturer: • • •••• • • • • •• • ••••• Miami -Dade County HVHZ ElectrotikRoaof Pertr>Nil Form • Section D Tile Roof System • • • . • ••••• • •• IBORAL ROOFING LLC Notice of Acceptance Number (NOA): 12-0308.20 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P1: -39.1 P 2: -68.1 P 3 1-TOO:71 Maximum Design Wind Pressures, (From the NOA Specific system): I-26.1 psf • • • • • • • • • • • • • • • • • • •• • • • • • • • • •. • ••.• • • • •. • Fill In the specific roof assembly components. If a component is not required, insert not applicable (n/a) in the text box. Roof Slope: 13 Roof Mean Height: "/12" 16 Method of Tile Attachment: ft. —Adhesive, 2 Small Paddy Polyfoam Polypro-- Alternate Method of Tile Attachment per NOA: `NA Drip Edge Size & Gauge: Drip Edge Material Type: Drip Edge Fastener Type: 1--3" face 26 ga.-- 1—Galvinized Metal -- 1-1/4" RS NAIL 4" OC Hook Strip/Cleat gauge or weight: -- Select Hook Strip — Deck Type: --5/8" Plywood -- Optional Insulation: NA Optional Nailable Substrate: NA Optional Nailabie Substrate Attachment: NA Basesheet Type: ASTM FELT 30# D226 Fastener Type for Basesheet Attachment: 1-1/4 RS NAIL & TIN CAP 1-5/8" Tile Underlayment (Cap Sheet) Type: ASTM FELT 90# Tile Underlayment Attachment Method: GOr4 I 4-j te- Jt'a 1 uoickr f yhirr' Tile Profile: VILLA 900 CONCRETE TILE Section E MIAMI: ADE COUNTY "Delivering Excellence Every Day" Miami -Dade County HVHZ Electronic Roof Permit Form • • • • Section E (Tile Calculations) •••• • • • •••- • • • •••• • • a••• •• • • • • • • •••• • •- • • • • •• •• - Method 1 "Moment Based Tile Calculations Per RAS 127" • • • •• • • • For Moment based tile systems, use Method 1. Compare the values for Mr with the values from Mt If Ile Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is ecteptable. • • • • • •• • P 1:17377-1 10.1779-1 0289 = 11.30 . Mg:17.70 = Mr1: 3.60 26.1 NOA Mf P 2: 176771 x A.172-17 = 19.68 _ Mg: 7.70 = Mr2; 11 11.98 s 26.1 NOA Mf P 3: -100.7 x 0.289 = 29.10 _ Mg; 17.7 = Mr3: 21.40 s 26.1 NOA Mf Method 3 "Uplift Based Tile Calculations Per RAS 127" •' • • For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Pi:nxl:j= P2:1-1xI:11.11 = P3: n x l: MN Ell x w:I1 _ x w: 1111111 _J xw:J1=1-1-W. xcos e:Frl:[I<_II NOA F' xcos 8:=Fr2:1-1 NOA F' xcos6:�=Fr3:1I5FI NOA F' Where to Obtain Information to complete tile calculations • Description Symbol Where to Find Design Pressure P1 or P2 or P3 Table 1 RAS 127, or by an engineer analysis prepared, signed and sealed by a professional engineer based on ASCE 7. Mean Roof Height H Job Site Roof Slope 8 Job Site Aerodynamic Multiplier X Product Approval (NOA) Restoring Moment due to Gravity Mg . Product Approval (NOA) Attachment Resistance Mf Product Approval (NOA) Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' Product Approval (NOA) Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval (NOA) Tile Dimensions I = length w = width Product Approval (NOA) MIAMIbCI~4DE : COUNTY DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINIS I RATION DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade.gov/pera Boral Roofing LLC. 7575 Irvine Center Drive, Suite 100 Irvine, CA. 92618 SCOPE: .... This NOA is being issued under the applicable rules and regulations governing the use of coistrwction materMS The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Proouct Control Seddon to be used in Miami Dade County and other areas where allowed by the Authority Having Jurivjigl q4 (AHJI.. • • . This NOA shall not be valid after the expiration date stated below. The Miami -Dade Countyeodtict Conrckl Action • (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve ttglt l to ha;e tht� product or material tested for quality assurance purposes. If this product or material fails to pgff 1?I in the esoepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately.rypke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right td rdvoke tjiis • acceptance, if it is determined by Miami -Dade County Product Control Section that this product ormater/VMS 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 Ceae including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Villa 900 Concrete 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 revises NOA# 11-0713.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete I. SCOPE This renews a system using Villa 900 Concrete Roof Tile, as manufactured Boral Roofing, LLC in Lake Wales, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by ialeeletions in compliance with RAS 127 using the values listed in section 4 herein. The attachmedt caldulations shalt be done•.... • as a moment based system. • • •..• 2. PRODUCT DESCRIPTION . . . .. . • • . .• .• . • Manufactured by Test P1-586ct • • • Applicant Dimensions Specifications D..erinGsoon • • •..• Monier Lifetile LLC Villa 1= 17" TAS 112 Low profile, interlookin$,1 gh pressu=e extruded• 900 w = 13" concrete roof tile egaipped+.vith one nail hole aggl.. •.. '''A" thick double roll ribs. Fo ,dirget deck o+battened nait- • on, mortar or adhesive Set application.. • . Trim Pieces 1= varies TAS 112 Accessory trim, concrete roof pieces for use at w = varies hips, rakes, ridges and valley terminations. varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. Lake Wales, FL. 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date Nutting Engineers 13343.1 TAS 112 Apr. 2006 Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix 111 TAS 102 & TAS 102(A) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix I1 TAS 108 (Nail -On) Redland Technologies P0402 Withdrawal Resistance Testing of screw Sept. 1993 vs. smooth shank nails The Center for Applied 94-060B Static Uplift Testing March, 1994 Engineering, Inc. TAS 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 Engineering, Inc. TAS 101 (Mortar Set) Redland Technologies MIAMI -WIDE COUNTY APPROVED P0631-01 Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 2 of 7 2.2 EVIDENCE SUBMITTED Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. MIAMI :ADE COUNTY APPROVED Test Identifier Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -76 25-7183-I 25-7183-2 25-7214-2 25-7214-6 528454-2-1 520109-2 Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Test Name/Report Wind Tunnel Testing TAS 108 (Nail -On) Wind Driven Rain TAS 100 Static Uplift Testing TAS 102 (2 Quik -Drive Screws, Direct Deck) • . . .. • . Static Uplift Testing • TAS 102 (2 Quik -Drive Screws, Battens' • Static Uplift Testing TAS 102 •••••• (1 Quik -Drive Screw, Direc:! 4 (1 Quik -Drive Screw, Battens) • • • Static Uplift Testing .. • TAS 101 25-7183 25-7094 25-7496 25-7584 25-7804b-8 25-7804-4 & 5 25-7848-6 Aerodynamic Multipliers Two Patty Adhesive Set System Restoring Moment Due to Gravity Date Aug. 1994 Oct. 1994 Feb. 1995 .... • •••. •••. • Eeb. 1995 • .. . •• . . • Marcy, 1995 • • • •.Sen. 1998 • .Qec.; 998 March 1995 February 1996 April 1996 December 1996 May 2006 April 1999 April 2006 NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page3of7 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications $t.aAQ�rls listed •section 4.1 herein. • •• •• • • • • .. • 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to ihe.raof slope bless statg J. • ••. otherwise by the underlayment material manufacturers published literature. • 3.6 This acceptance is for wood deck applications. Minimum deck requirements5%afl•be •in co?i�plrance with • applicable building code. • • • • • . . 4. INSTALLATION 4.1 Villa 900 Concrete Roof Tile and its components shall be installed in strigt compliance aviti.Roofidg • • • • Application Standard RAS 118, RAS 119, and RAS 120. . . •.• .• • • . • • . . • • •.• . •..• • • 4.2 Data For Attachment Calculations • • Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -1 (ft) Width -w (ft) Villa 900 Concrete Tile 10.94 1.425 1.08 Table 2: Aerodynamic Multipliers - X (ft3) Tile A. (ft3) X (ft3) Profile Batten Application Direct Deck Application Villa 900 Concrete Tile 0.289 0.289 Table 3. Restoring Moments due to Gravity - M9 (ft-lbf) Tile Profile 3":12" 4":12" 5":12" 6":12" 7":12" or greater Villa 900 Concrete Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 6.79 7.70 6.73 7.62 6.63 7.51 _ 6.50 7.37 6.36 7.21 MIAMFDADE COUNTY APPROVED NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 4 of 7 • Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Villa 900 Concrete Tile 2-10d Ring Shank Nails 27.8 37.4 28.8 1-10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2-10d Smooth or Screw Shank Nails 16.4 21.9 7.1 ""• 1 #8 Screw 25.8 25.8 '.. • _,1,249 " 2 #8 Screw 47.1 47.1 ..:;19.1 .. 1-10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 •• • • • 24.2 . •• • • •• 1-10d Smooth or Screw Shank Nail (Eave Clip)•...•. 19.0 19.0 •••• : `,37. 1 ., , ••I 2-10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 .1' ••• • • • 34.8 • •• ' 2-10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 •.�• • :...32.2 • • 1 ____ ••., • . . Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) - for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Villa 900 Concrete Tile Adhesive' 26.1 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond 3M' 2 -Component Foam Roof Tile Average weight per patty 11.4 grams. Adhesive AH -160. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Profile Tile Application Minimum Attachment Resistance Villa 900 Concrete Tile 3M'"' 2 -Component Foam Roof Tile Adhesive AH -160 5 See specific mortar manufacturer's Notice of Acceptance 86.61' 3M'M 2 -Component Foam Roof Tile Adhesive AH -160 45.54 3 Large paddy placement of 54grams of PolyProTM. 4 Medium paddy placement of 24grams of PolyProTM. Table 8: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Villa 900 Concrete Tile Mortar Sets 20.60 5 See specific mortar manufacturer's Notice of Acceptance MIAMFDADE COUNTY APPROVED NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 5 of 7 .•. • • . •. ... • .. .•• • •.. 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved". LABEL FOR VILLA 900 CONCRETE TILE (LOCATED ON THE UNDERSIDE OF TILE) • • •• . •••• • •• • •••• • • ••.• • • • .•. •. 6. BUILDING PERMIT REQUIREMENTS: •••• • • • 6.1 Application for building permit shall be accompanied by copies of thafolkavCing: 6.1.1 This Notice of Acceptance. M1AMI.DADE COUNTY APPROVED • • • • 6.1.2 Any other documents required by Building Official or Applicable btldingcode.in order to properly evaluate the installation of this system. •, • •• • • • • • • • • • �• ••.. • • • •• • NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 6 of 7 1" Nail holes PROFILE DRAWING •••• .. • .... ---� •• • •••• •• • ••.• •• Omla . •..• • • •• •• • • • • • • •• • • • • • •• • • • • • • • 17" MIAMI-DADE COUNTY APPROVED • Underlock 1 VILLA 900 CONCRETE ROOF TILE END OF THIS ACCEPTANCE f • NOA No.: 12-0308.20 Expiration Date: 09/21/16 Approval Date: 06/21/12 Page 7 of 7 • • DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) 3M Company 3M Center Building 0220-05-E-06 St. Paul, MN. 55144-1000 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION i 1805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.mia mid ad c. eov/pc ra 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 PERA - 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 Comet• • • • Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) ressrve,the right IV • • have' this product or material tested for quality assurance purposes. If this product or material fain) perform it: • • the accepted manner, the manufacturer will incur the expense of such testing and the AHJ Ina•y �ntmediately • revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right • to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that.titi.product OP • • • 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 Bviidingrode . including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 3M7m 2 -Component Foam Roof Tile Adhesive AH -160 •• • • . • • • • • . . ..• . .... LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and follovai4 ; 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 renews and revises NOMI 11-0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY APPROVED NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Sub Category: Materials: Roofing Roof tile adhesive Polyurethane SCOPE: This approves 3MT"" 2 -Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does 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 tiles system using 2 -Component Foam Roof Tile Adhesive AH -160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160 Foam Dispenser RTF1000 ProPack® 30 & 100 Dimensions N/A N/A N/A Test Specifications TAS 101 PRODUCTS MANUFACTURED BY OTHERS: Product Description '....' . .. . .... . Two component polyuretliatte Foam adhesive Dispensing Equipment Dispensing Equipment .... • • .... . • . . • .. . . .. .. . • . . • • • . . . . . .. • ...• Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moruesil resistance values with the use of 2 -Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball. TX. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content MIAMIOADE COUNTY APPROVED Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs./ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft2 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2of7 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. EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94-060 257818 -IPA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB -589-631 9637-92 01-6743-011 01-6739-062b[1] 7050.02.96-1 528454-2-1 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109-6 520109-7 520191-1 520109-2-1 Test Name/Report TAS 101 TAS 101 SSTD 11-93 SSTD 11-93 SSTD 11-93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 Date 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/0 I /94 04/30/93 • ••• 1.1/16/94 Q1/16/95.;. 03/14/96 ..•• •••• •• • '••••%/23/ 8 • .. .. • • :2/28/98 • • . • . • •• • . • • •• • TAS 101 03/02/99 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HAND? -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F'= MS M1AMI.DADE COUNTY APPROVED NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of3MTM 2 -Component Foam Roof Tile Adhesive AH -160. 2. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of3MTM 2 -Component Foam Roof Tile Adhesive AH -I60 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 and its components shall be installed inaccordancewith Roofing Application Standard RAS 120, and 3M Company's 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160 Operating Instruction and Maintenance Booklet. 4. installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction.• •••• • 5. Calibration of the Foam Dispenser RTFI000 dispensing equipment is required before application of any adhg•l vg. The mix ratio between the "A" component and the "B" component shall be maintained betwg l,pil .15 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at c,,gikation. No• • • . • other settings shall be approved. .... .. . . • 6. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispensef kW 1000 dl. • • • • ProPacke 30 & 100 dispensing equipment only. . . • ..• ..• • 7. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall not be exposed permanently to,w1Ag t.•• • • 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes aft& 3MTM 2- • Component Foam Roof Tile Adhesive AH -160 has been dispensed. • . •• • • • • 9. 3MTM 2 -Component Foam Roof Tile Adhesive 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. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles til 35 N/A High Profile (2 Piece Barrel) til 17/side on cap and 34/pan N/A Flat, Low, High Profiles i12 24 N/A Flat, Low, High Profiles #3 8 MIAMi.DADE COUNTY APPROVED NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 4 of 7 LABELING: • • • ▪ • . • •• • • •••• •• • •••• All 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 containers shall comply with the Staudard Coijijipns listed herein. BUILDING PERMIT REQUIREMENTS: • • • • • • •••• •• • • ▪ • • • • •••. • • •• As required by the Building Official or applicable building code in order to properly evaluate theissialetion orffiS•• system. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY • • • • • • • • • • • ••• • • • • • Nail through plastic cement Paddy )Beneath TBe) 1) Place ono* adhesive to achieve 17 to 23 agtare Indus In contact sith die pan tie 2) Tom covers spshe down Place adhesive 112 In 7o 1 in. From outside edge of cover Se. Then install the tile. Optional lets for steep pitch applications Eave Course Eve Closure Eava course only: Keep adbealve approx. 4 In. up from weepholes MIAMFDADE COUNTY APPROVED NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 •� • • ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic cement Underlayment Fascia MIAMI.DADE COUNTY APPROVED Nall through piasUc cement • • • • • •• • • •••• • • •••. . • •• • • •••• . • •• • •••• • •• • • • • • • •• • • .•.•el• Nall through plastic cement Underlayment 1 • •ParAABenealh Tiler • • •• • • • • • • • • •••• • • lin i2 ln. Eave Count Fascia Weephole Eave closure Drip edge • • • NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy (between tile) Paddy (under tile) in. x3in. Single paddy on under iayment Single paddy under tile Single paddy on top of tile Eave course 2 In. X 7 in. medum sae paddy eave Fascia course only MIAMI.DADtc COUNTY APPROVED • • • • • •• • • •••• • • • •••• •••• •••• • •••• Nail through plastic cement Single paddy un'de'r tile ' Undedayment Sytgl�paddy betweeQCle • • • ••••••2in X7in.medeium jee. course only • • • • • • ••• } in.x 3 in. Single 4 in. paddy on under- layment Single paddy on top of tile Ears Course Fascia Weephde Eave closure Drip edge Nall through plastic cement Single paddy under tile Single paddy between tile It in.x3in. Single /paddy on underiayment Single paddy on top of tile Eave Course Eave Closure 2 in. x 7in. medium sire paddy eave course only Fascia END OF THIS ACCEPTANCE NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 7 of 7 • • • • • • • • �• • • • • DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Boral Roofing LLC. 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The .Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify. or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to 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. • . \iIAnrl - % CO J 4J \'• , I'1weurT con I j j I, SECTIO • ••11,84)5 SW i6teet. Room 208 • Miami. Florida 33175-21,41.e. 'I'178.61 3 1 5-2 59 •' (7;6) 315-2119S6••. ••u e..miamitialtuo /economi•• • • • • • • ••• •• • • •• • • • • • • • • • • •• • • .• • •••• • • • • • DESCRIPTION: BORAL TileSeal LABELING: Each unit shall hear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials. use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales. advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida. and followed by the expiration date may be displayed in advertising literature. if any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA# 12-1219.0I and consists of pages 1 through 4. The submitted documentation was reviewed by Juan E. Collao, R.A. MIAMI•DADE COUNTY APPROVED NOA No.: 13-1113.05 Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 1 of 4 • ROOFING COMPONENT APPROVAL Category: Sub -Category: Ma terial: Rooting Underlayment SBS PRODUCTS DESCRIPTION: Product I3ORAL TileSeal Dimensions 36" x 36' rolls 36" x 72' rolls MANUFACTURING LOCATION: 1. Brentwood. NH EVIDENCE SUBMITTED: Test Agency Underwriters Laboratories, Inc. IRT-Arcon, Inc. PRI Asphalt Technologies. Inc. PRI Asphalt Technologies, Inc. PRI Construction Materials Technologies. LLC. MIAMI-DADE COUNTY APPROVED Test Specification TAS 103 ASTM D 1970 Test Identifier R14610 02-012 NEI -006-02-01 NEI -008-02-01 NEI -045-02-01 NEI -053-02-01 NEI -076-02-01 NEI -034-02-02 Product Description SBS self -adhering asphalt sheet material with a white glass re -enforced polyester surfacing fabric; for use as an underlayment in sloped roof assemblies. Test Name/Report Follow up Service TAS 103 TAS 103 TAS 114 (H) ASTM D 4798 & ASTM G 155 ASTM D 4798 & ASTM G 155 TAS 103 / ASTM D4798 ASTM D1970 • . •. . .. . . .... . . .... . . • • . •. . .. . Date 03/28/02 02/28/02 04/01/02 07/30/02 08/08/07 05/01/08 02/14/11 01/29/13 • ... . . .... .... • .... • • • • . . • • .. • . • . . • • • . . .... •. • • NOA No.: 13-1113.05 Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 2 of 4 APPROVED ASSEMBLIES: Deck Type 1: Wood, non -insulated Deck Description: 15/3?" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened deck, membrane adhered. Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4" head lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the laps and two staggered rows 12" o.c. the field of the roll. Membrane: One or more plies of BORAL TileSeal Underlayment with a minimum 3" head lap and minimum 6" end lap. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release membrane as the membrane is applied. Vertical strapping of the roof with BORAL TileSeal Underlayment is acceptable. All end laps and laps without black selvage area shall be sealed under lap using an SBS modified mastic. Note: When used in Tile roof systems BORAL TileSeal Underlayment shall be back nailed to deck with approved annular ring shank nails and tin caps at a maximum 6" o.c. at the side laps. No nails or tin caps shall be exposed. Surfacing: Approved for Approved Adhesive Set Roof Tile Systems, Mechanically Fastened Roof Tile, Metal Roofing. Wood Shake & Shingles, and Asphaltic Shingle assemblies. MIAMI•DADE COUNTY APPROVED • • .... • • . . .. . .... . .... • .. • . ▪ • • . • . .. • • . • . • • . • • • . . • • . • . . • . • . .. . . .• . • . NOA No.: 13-1113.05 Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 3 of 4 LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. BORAL TileSeal underlayment shall be installed in strict compliance with applicable Building Code. 3. BORAL TileSeal underlayment shall be applied to a smooth, clean and dry surface with deck free of irregularities. 4. BORAL TileSeal underlayment shall not be applied over an existing roof membrane as a recover, but may be applied over a roofing Base/Anchor sheet underlayment. 5. BORAL TileSeal underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 6. The standard maximum roof pitch for BORAL TileSeal underlayment shall be 6:12 when tiles are loaded directly to the BORAL TileSeal underlayment; loading boards or battens are required on roof pitches greater than 6:12". 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared rooting products. 8. Tiles shall be stored on battens on roof pitches greater than 6:12". 9. BORAL TileSeal underlayment may be used with any approved roof covering Notice of Acceptance listing BORAL TileSeal underlayment as a component part of an assembly in the Notice of Acceptance. If BORAL TileSeal underlayment is not listed, a request may be made to the Authority Having Jurisdiction (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. 10. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 11. 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. For ridge applications, center the membrane and roll from the center outward in both directions. 12. Roll or broom the entire membrane surface so as to have 100% contact with the surface. giving special attention to overlap areas. 13. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 14. All protrusions or drains shall be initially taped with a 6" piece of underlayment. This target piece shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of BORAL TileSeal t►nde.layment shall he applied over the underlayment, and sealed using an SBS modified mastic. • .• . •••• • 15. All products listed herein shall have a quality assurance audit in accordance with the.F;lnri Buildl>:i•eode and •• Rule 61G20-3 of the Florida Administrative Code. ••• 16. All membranes or packaging shall bear the imprint or identifiable marking of the manut?Ctt►reer's nalreor•lgo, crty • and state of manufacturing facility, and the following statement: "Miami -Dade County IfliVleict Control•Jtpprovedv:••• • or the Miami -Dade County Product Control Seal as shown below • • • MIAMI•DADE COUNTY APPROVED END OF THIS ACCEPTANCE MiAMI•DADE COUNTY APPROVED • • • • • • • • • • •• • • • • • �• • • •••• • • • •• • NOA No.: 13-1113.05 Expiration Date: 07/31/17 Approval Date: 03/13/14 Page 4 of 4