RF-19-37ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
High -Velocity Hurricane Zone Uniform Permit Application Form.
1
1
Section A (General Information)
I
1
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Master Permit No. Process No. i'
Contractor's Name -�A 1 o\ f 1 �o4caC�b(•S
ac( }' y� C
Job Address _ J 6-c)x\ j m aucc--e_ 1 "\ Jy �--c
1
ROOF CATEGORY
1
❑ Low Slope ❑ Mechanically Fastened Tile, Mortar/Adhesive Set Tiles
1
❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Sh kktg * *.
.
1
. Goes
❑ Prescriptive BUR-RAS 150 • • •
*GSGGG
.1
ROOF TYPE
G
G
❑ New roof ❑ Repair ❑ Maintenance Reroofing """❑ Recovering
;... F
ROOF SYSTEM INFORMA ON ' • • •
G.G. ...G
Low Slope Roof Area (SFLDL Steep Sloped Roof AREA (SSF) lyoo Total (Sf')• a PZ0 • • G
.Gee.`
G G
GG Ge
•G G
......
GGGGGe
•1
Section B (Roof Plan)
•L
3 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers aad oy2rpow drains. Include dI:WV t
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. G Go
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FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014)
Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palaeio on Jun g, 201 10:32:12
Agreement. No Bather reproductions authorized.
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Florida Building Code Edition 2010
High Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steer) Sloped Roof System)
Roof System Manufacturer: ,0Ftirj-aAkW
Product Approval Number: �J �i%`�' �• !/
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P2: 3
P1 . 5 % /145vt Z� 3/
:
Maximum Design Pressure
Product Approval Specific System: �•
Method of Tile Attachment: •
.
Steep Sloped System Description • • • • • • • • •
Deck Type: ' • • ; . ; •
Roof Slope: TYpe Underlayment: D ..•�+
12
Insulation:
Fire Barrier:
Ridge Ventilation?Fastener Type & Spacing:
LIAzs
Adhesive Type:
L *0v --To,,v ��eo i. 'V
Type Cap Sheet: j�� • f� r—�
ail ass /a 4
Roof Covering:
Mean Roof Height: �l rep �� ILd�lnl/7
Type & Size Drips
Edge:
Florida Building Code Edition 2010
High Velocity Hurricane Zone Uniform Permit Application Form
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compare the values
for Mr with the values from M,. If the Mr values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"`�,tiP
(P, x 1,i2 9=%l }-Mo: 779 Mr X C/ ProductA _!J
pprovalM,_. _
Product Approval M,
(P'' lzr7'Xac.,P14?_,/6-M.: 79=Mej60_'3/ Product Approval M, -IrJ.�
P'o4
Method 2 "Simplified Tile Calculation Per Table Below" • • • •
Required Moment of Resistance (Mr) From Table Below Product Approlal FA • . • • • • • •
M Re ulred Moment Reistance w ••••••
s
Mean Roof Height --I.
Roof Slope, 15' 20' 25' 30' •000
2:12
34.4
36.5
38.2 39.7
42.2
3:12
32.2
34.4
36.0 37.4
• g
4:12
30.4
32.2
33.8 35.1
0 • 0 374;
5:12
1 28.4
30.1
31.6 32.8
i 1141
6:12
26.4
28.0
29.4 30.5
• 3l.4
7:12
24.4
25.9
27.1 28.2
• • 30.0
`Must be used in conjunction with a list of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals.
For Uplift based the systems use Method 3. Compare the values for F' with the values for
F,. 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.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(P,: — x 1: _ ._x w:=, ) - W: _x cos 0: - = Fr, — Product Approval F
(Ps. — x 1: — _x w:= _ ) — W: —x cos 0: — F,2 _ Product Approval F
(Pa: — x 1: _ _x w:= _ j — W: _x cos 0: = F„ _ Product Approval F'
Where to Obtain Information
Description
Symbol
Where to find
De sl n Pressure
Mean Roaf Height
Pt or P2 or P3
H
RAS 127 Table, or by an engineering analysis prepared by PE based on ASCE 7
Job Site
Roo( slope
B
Job Site
Aerodynarr c MUftiplier
Restoring Moment tlue to Gravity
M.
Product Approval
Product Approval
Attachment Resistance
K
ProtluG Approval
Required Moment Resistance
M,
Calculatetl
Minimum Attachment Resistance
P
Product Approval
Required Uplift Resistance
F,
Calculated
Average Tile Weight
W
Product Approval
Tile Dimensions
wth
!widm
Product Approval
sw cacmations must be submitted to the Building Offi,al at the lime of permit application
• •
••••••
•
• ••
0000
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: 0 �7��•'.
10050 NE 2nd Ave • • • •; •
Miami Shores, FI 33138 • • • • • •
Re: Owner's Name:
Property Addres
Roofing Permit Number:
Dear Building Official:
....
....
. .
00:600
......
.. 0
.....
0.
• .
•
. .
. .
• • • • • •
. 00000
certify that I am not required to retrofit the rooftd will condect"-69 of my •
0000
building because:
0?6e--just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 1994 edition of the South Florida Building Code (1994 SFBC)
Signature
State of Florida
County of Dade
Print Name
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 7 day of JaA=q U f
Notary Public, Sate of Florida at Large `uw,—gjOu;,; Jessica Menendez
ission I GG161407
EVires: November 16, M21
• When the just valuation of the structure for purpose of ad valorem taxation is equal to or more thar W,t andlpded *k ed with FBC norp 1994
SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
s VVV
Revised on 5/21/2009
SECTION 1524
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402
govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the
following items should be addressed as part of the agreement between the owner ant the contractor. The owner's
initial in the designated space indicates that the item has been explained.
2. t/" Renailing wood decks: When replacing roofing, the existing wood roof deck mop: Nve to
be renailed in accordance with the current provisions of Section R4403. (The 10pfdeQis usyally • • • • •
•
concealed prior to removing the existing roof system). 4b• • • • • • •
•
4. f�UJExposed Ceiling: Exposed, open beam ceilings are where the undttsitle of the roof decking • • • • •
can be viewed from below. The owner may wish to maintain the architectural fit'*ce; theft% • • • • •
roofing nail penetration of the underside of the decking may not be acceptable" Yh ii provides {h 6ption of*
maintaining the appearance. •
. • ......
00
6. Overflow scuppers (wall outlets): It is required that rainwater flows off so thatia® cao� is
not overloaded from a buildup of water, Perimeter/edge wall or other roof extension may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with the requirements of Sectio 4402, R4403 and R4413.
/oil Ill
Owner/Agent's Signature Date e Contractor Signature Date
Property Address Permit Number
Revised on 7/9/2009 LD;07/01/2015;
i1iIANII-DADS COU`1TY
M�IAM�I0 PRODUCT CONTROL SECTION
�S:�J�3rt1 11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION 1' (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy
Entegra Roof Tile, LLC
1289 NE 91' Ave
Okeechobee, FL 34972
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 Count; ;rod act Con�roi Vection
(in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reser..ttlg. ight taltava this
product or material tested for quality assurance purposes. If this product or material fails tQ pFa1rn in le accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediatpLy. revoke, od'fy, or
suspend the use of such product or material within their jurisdiction. RER reserves the rightIQ rt vdke this• l;Qtttnce,
if it is determined by Miami -Dade County Product Control Section that this product or MWW fails tQrnQet the
requirements of the applicable building code. 609069 •.. •. •
This product is approved as described herein, and has been designed to comply with t:e FZdhjda Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Plantation 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 renews NOA #14-1120.04 and consists of pages 1 through 7.
The submitted documentation was reviewed by Gaspar J Rodriguez.
NOA No:: 15-0721.04
Expiration Date: 12/08/20
Approval Date: 11/05/15
Page 1 of
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub -Category: Roofing Tiles
Material: Concrete
1. PRODUCT DESCRIPTION
Manufactured by Dimensions
Applicant
Plantation Tile Length: 16'/z"
Width: 13"
Trim Pieces L = varies
W = varies
Varying thickness
2.1. MANUFACTURING LOCATION
1. Okeechobee, FL '
2.2 SUBMITTED EVIDENCE:
Test Agency
American Test Lab of South
Florida
Redland Technologies
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Test Identifier
RT0624.05-14
7161-03
Appendix III
94-060B
94-084
Test
Product
Specifications
Description
TAS 112
Flat concrete roof tile for direct deck or
battened nail -on, mortar or adhesive set
applications.
TAS 112
Accessory trim,conctete roof pigjSsfor
use at hips, ra0s,ddas and Valley.
• • • • • •
• •
terminations. Manufactured W&M tile
•
profile. ......
•
.... ....
......
.. .. .. .
......
Test Name/Renort • Da=tre,
:....:
, • •
•
TAS 112 t9ZUf4
7161-03
Appendix II
Letter Dated Aug. 1, 1994
P0631-01
P0402
Project No. 307025
Test 4MDC-76
Calculations
Calculations
Static Uplift Testing
Dec. 1991
PA 102 & PA 102(A)
Static Uplift Testing
March, 1994
PA 101 (Adhesive Set)
May 1994
(Mortar Set)
Wind Tunnel Testing
Dec. 1991
PA 108 (Nail -On)
Wind Tunnel Testing
Aug. 1994
PA 108 (Nail -On)
Wind Tunnel Testing
July 1994
PA 108 (Mortar Set)
Withdrawal Resistance Testing of
Sept. 1993
screw vs. smooth shank nails
Wind Driven Rain
Oct. 1994
PA 100
Aerodynamic Multiplier
March 1999
April 1999
25-7183
March 1995
25-7094
February 1996
25-7496
April 1996
NOA No.: 15-0721.04
Expiration Date: 12/08/20
Approval Date: 11/05/15
Page 2 of 7
2.2 SUBMITTED EVIDENCE:
Test Agency
Walker Engineering, Inc.
Walker Engineering, Inc.
Farabaugh Engineering and
Testing Inc.
Farabaugh Engineering and
Testing Inc.
Farabaugh Engineering and
Testing Inc.
3. LIMITATIONS
Test Identifier
Test Name/Renort
Calculations
25-7584
25-7804b-8
25-7804-4 & 5
25-7848-6
Calculations
Two Patty Adhesive Set System
T295-11
TAS-108
T306-11
T279-11
TAS-108
TAS-108
Date
December 1996
April 1999
10/05/11
10/04/11
09/23/11
• • • •
000 ..
wwwwww
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 perforr3>rdan accord'OQ�q,with
TAS 106. •
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratoryteperfbrm quarberiy test
in accordance with TAS 112, appendix `A'. Such testing shall be submitted to ttte "ami-DAt-16auct
Control office for review. :0*:*:
3.4 Minimum underlayment shall be in compliance with the applicable Roofing Apptications Standards fisted
section 4.1 herein.
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope u;Le;j;tented
otherwise by the underlayment material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable building code.
3.7 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.; 15-0721.04
Expiration Date: 12/08/20
Approval Date: 11/05/15
Page 3 of 7
4. INSTALLATION
4.1 Plantation Roof Tile and its components shall be installed in strict compliance with Roofing Application
Standard RAS 118, RAS 119 and RAS 120.
4.2 Data For Attachment Calculations
Table 1: Average Weight (W) and Dimensions (I x w )
Tile Profile
Weight-W (Ibf)
Length4 (ft)
Width-w (ft)
Plantation Tile
11.6
1.375
1.08
Table 2: Aerodynamic Multipliers - R (ft3)
Tile
/V (ft3)
X (ft3)
Profile
Batten Application
Direct Deck ApplicatPori'.
Plantation Tile
0.267
Table 3: Restoring Moments due to Gravity - M (ft-Ibf) ...... •
Tile
9.0000
Grd%tdYtban
Profile
2":12"
3":12"
4-1:12"
51:12"
6":12"'
71012.,
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens"IM1
Batjet .
Qirect
Deck.
Deck
Deck
Deck
•
Dt;Ck
• •
Deck
Plantation
7.22
17.91
6.85
1 7.79
6.75
7.67
6.6:F
7.52
6.44 ;
r.3%
6.26 •
7.04
Tile
1
1
• •
.. . • . ••
•
MFAMt•DADE
NOA No.: 15-0721.04
COUNTY
► ► W Expiration Date:12/08/20
Approval Date: 11/05/15
Page 4 of 7
r
Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-lbf)
For Nail -On Systems
Tile
Profile
Fastener Type
Direct Deck
(Min 16132"
Direct Deck
(Min. 19/32"
Battens
plywood)
plywood)
Plantation Tile
2-10d Ring Shank
Nails
30.9
38.1
17.2
1-10d Smooth or
Screw Shank Nail
7.3
9.8
4.9
2-10d Smooth or
Screw Shank Nails
14.0
18.8
7.4
1 #8 Screw
30.8
30.8
18.
2 #8 Screw
51.7
51.7
24. -
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
0
.r. 22.1...
•
2-10d Smooth or
Screw Shank Nails
Field Clip)
35.5
35.5
.. 3 . X.
....
2-10d Smooth or
Screw Shank Nails
Eave Clip)
31.9
31.9
�•� 3
, .,
•
2-10d Ring Shank
50.3
65.5 ____[_48.3
Nails'
1 Installation with a 4" file
headlap and fasteners are located a minimum of 2%" from the head of tile.
Table 5: Attachment Resistance Expressed as a Moment Mr (ft-lbf)
For Two Patty Adhesive Set Systems
Tile Profile
Tile Application:
Minimum Attachment
Resistance
Plantation Tile
Adhesive
31.33
2 See manufactures component approval for installation re uirements.
3 Flexible Products Company TileBond Avera;;e weights per patty 13.9 grams.
3M " 2-Component Foam Roof Tile Adhesive AH-160. Average weight per patty 8 orams.
Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-lbf)
For Single Patty Adhesive Set S stems
Tile Profile
Tile Application
Minimum Attachment Resistance
Plantation Tile
3M'° 2-Component Foam Roof Tile Adhesive AH-160
118.94
3M- 2-Component Foam Roof Tile Adhesive AH-160
40.45
4 Large paddy placement of 45 grams of 3W 2-Component Foam Roof Tile Adhesive AH-160
5 Medium eaddy placement of 24 grams of 3M' 2-Component Foam Roof Tile Adhesive AH-180.
MAMI DADE COUNTY
a(I
NOA No.: 15-0721.04
Expiration Date: 12/08/20
Approval Date: 11/05/15
Page 5 of 7
Table 7: Attachment Resistance Expressed as a Moment - Mf(ft-lbf)
for Mortar Set Systems
Tile Profile Tile Application Attachment
Resistance
See specific mortar manufacturer's Notice of Acceptance
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following
statement: "Miami -Dade County Product Control Approved".
e�
OR ....
. . .... ......
E N T E G R R
.... ...• •••.•
0
so:**: 000**o
00000
009
PLANTATION ROOD TILE LABEL (LOCATED ON UNDERSIDE OI TILE • • 00000
6. BUILDING PERMIT REQUIREMENTS: • • • • • •
6.1 Application for building permit shall be accompanied by. copies of the following: • • • • •
6.1.1 This Notice of Acceptance. • •. •
6.1.2 Any other documents required by Building Official or Applicable building code in order to properly
evaluate the installation of this system.
MIAMI•DADE COUNTY
NOA No.: 15-0721.04
Expiration Date: 12/08/20
Approval Date: 11/05/15
Page 6 of 7
1w,
MIAMI•DADE CpUNTY
PROFILE DRAWING
PLANTATION FLAT CONCRETE TILE
END OF THIS ACCEPTANCE
NOA No.: 15-0721.04
Expiration Date: 12/08/20
Approval Date: 11/05/15
Page 7 of 7
, 4
MIAMNDeADE) t
� I � /
MIAMI-DADE COUNTY
L_ /
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.Qov/economy
Polyglass USA Inc.
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
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 xevoke"zi"Eify, or • 0.. •.
suspend the use of such product or material within their jurisdiction. RER reserves the riglu tb st-voke 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 Florida8uildirig Code '
.••• ••.• ..•..
including the High Velocity Hurricane Zone of the Florida Building Code. 000000 • • . . •: • • •
.
•• •• •• • •w••••
DESCRIPTION: Polyglass Polystick Underlayments • • • • • • • •'
. . . . •••...
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo ciN stateand followM&..:
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.15-0410.04 and consists of pages 1 through 8.
i
The submitted documentation was reviewed by Freddy Semino.
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 1 of 8
s
ROOFING COMPONENT APPROVAL
Catesory: Roofing
Sub-Catellory: Underlayment
Material: SBS , APP Self -Adhering Modified Bitumen
PRODUCTS DESCRIPTION:
Test Product
Product
Dimensions
Specification Description
Polystick IR-Xe
65' x 3'33/8"
ASTM D 1970 A fine granular/sand top surface self -adhering, APP
Manufacturing
Or 65' x 3'
polymer modified, fiberglass reinforced, bituminous
Location #1 & #2
60 mils thick
sheet material for use as an underlayment in sloped roof
assemblies. Designed as an ice & rain shield.
Polystick Dual Pro
61' x 3'33/8"
TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester
Manufacturing
60 mils thick
ASTM D 1970 reinforced waterproofing membrane. Designed as a
Location #2
metal roofing and roof tile underlayment.
Polystick Tile Pro
61' x 3'33/s"
•..•
TAS 103 and A rubberized asphalt self-adherini, glasl,fibef/polyeV:-r.•
Manufacturing
60 mils thick
ASTM D 1970 reinforced waterproofing mernb�rane. Dasi ned as a metal
Location #2
:.... � � •
roofing and roof tile underl3f ht.
Polystick TU Max
65'8" x 3'3-3/8"
.....
TAS 103 and A rubberized asphalt self-a4ltMft;, polar-ter;einforceJ
Manufacturing
60 mils thick
ASTM D 1970 waterproofing membrane. D'eSfgned as a•d tdof tile • •: • •.
Location #1 & #2
. ..... .. . .....
•
underlayment. 00
Polystick TU P
32'10" x 3'33/8"
TAS 103 and A rubberized asphalt waterA?(fcV4g membrane, glass- •.
Manufacturing
130 mils thick
ASTM D 1970 fiber/polyester reinforced, with : granuf••el. face �' • •
Location #2
designed for use as a tile ro0 f �cirlayrpenr.. ; • • • •
Polystick TU Plus
65' x 3'33/8"
TAS 103 and A rubberized asphalt self -adhering, glass-titer/polyester
(Surface Printing)
80 mils thick
ASTM D 1970 reinforced waterproofing membrane. Designed as a metal
Manufacturing
roofing and roof tile underlayment.
Location #1 & #2
Polystick NITS
65'8" x 3'33/8"
TAS 103 A homogeneous, rubberized asphalt waterproofing
Manufacturing
60 mils thick
membrane, glass fiber reinforced with polyolefinic film
Location #2
on the upper surface for use as an underlayment for metal
roofing, roof tile, slate tiles and shingle underlayment.
Polystick MTS Plus
65'8" x 3'33/8"
TAS 103 A homogeneous, rubberized asphalt waterproofing
Manufacturing
60 mils thick
membrane, glass fiber reinforced with polyolefinic film
Location #2
on the upper surface for use as an underlayment for metal
roofing, roof tile, slate tiles and shingle underlayment.
Elastoflex S6 G
32'10" x 3'3 %"
TAS 103 and Polyester reinforced, SBS modified bitumen membrane
Manufacturing
O
ASTM D 6164 with a sanded back face and a granule top surface. For
Locatio #2
use in roof tile underlayment systems.
MIAMI•DAOE COUNOA No.: 17-0614.22
NTY
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 2 of 8
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 & G 15 5
04/13/09
P33360.06.10
ASTM D1970
07/01/10
P33370.03.11
TAS 103
03/02/11
P33370.04.11
ASTM D 1623
04/26/11
P36900.09.11
TAS 103/ASTM D4798 & G155
09/01/11
P37300.10.11
TAS 110/ASTM D4798 & D1970
10/19/11
P40390.08.12-2
ASTM D 1623
08/07/12
P37590.07.13-1
ASTM D6164
07/02/13
P45270.05.14
TAS 103, TAS 110 & ASTM D1623
05/12/14
P46520.10.14
ASTM D1623
10/03/14
P44360.10.14
TAS 103 & TAS 110
P43290.10.14
ASTM D 1970 & TA9•10:
."•tQ/07/14
* * * 101171I1r * 6:6
PLYG-SC 10130.06.16-3
TAS 103 & TAS 11A ...
•
; .' •;6/27/ 16
PLYG-10130.06.16-1
ASTM D1970 & TAS•I.lb
•
.06/27/1h •
PRI Asphalt Technologies
PUSA-035-02-01
TAS 103 '....'
'... D9/29/0,6. •
PUSA-055-02-02
TAS 103 • • • • • •
.. 12/10/0.7.:,. 0
PUSA-089-02-01
TAS 103/ASTM D4798•& 6455
• -•' 0' /06/0 6.. •.
......
Momentum Technologies, Inc.
JX20H7A
TAS 103/ASTM D4798 & G1155
:•..D�/O1/(1£�""
RX14E8A
TAS 103/ASTM D4798'&61:55
1/09/A ...
DX23D8B
TAS 103/ASTM D4798 & G155
'.:.112/18/10
DX23D8A
TAS 103/ASTM D4798 & G155
02/18/10
LABELING:
1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city
and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved"
or the Miami -Dade County Product Control Seal as shown below.
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.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 3 of 8
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 IR-Xe, Polystick Dual Pro, Polystick 16le Pro, Polystick TU Max, Polystick
TU P, Polystick TU Plus, Polystick MTS or Polystick MTS Plus, 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 lap. (for.
...... . base sheet only) • ......
Membrane:
Elastoflex S6 G, hit asphalt applied .... .... . .
Surfacing:
•
.... .... .....
See General Limitations Below.
...... .. . ..... •
.. .. .. . ......
Deck Type 1:
Wood, non -insulated • • . . ......
Deck Description:
Min. 1 plywood or wood plank • . • . • . • •
System Type E(3):
Base sheet mechanically fastened to deck, subsequent cap membrane self'• adhered.
Anchor/Base Sheet:
One or more plies of ASTM D 226 Type 11 or ASTM D 2626.
Fastening:
Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for
base sheet only)
Ply Sheet:
Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6"
vertical laps.
Membrane:
Polystick TU Plus, self -adhered.
Surfacing:
See General Limitations Below.
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 4 of 8
INSTALLATION REQUIREMENTS:
1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and
sweep the deck thoroughly to re move 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" 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 Polysjicir•9hall be
. . .... ......
applied over the underlayment. •
......
.... %
GENERAL LIMITATIONS:
.... .... . .
1. Fire classification is not part of this acceptance. •
.... .... .....
2. Polystick Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and F'Mttk MTS'Ptps may, bey • •
used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof file system �dnd quaff}':'
slate roof assemblies. ; • ; •
......
Polystick TU P may a use in a the previous assemblies listed except metal roofing. •. • •
Polystick IR-Xe may be used in all the previous assemblies listed except metal roofing and roof the systems
Polystick TU Max may be used in non-structural metal roofing and roof tile systems. ""
Elastoflex S6 G may be used in roof tile systems only.
3. Deck requirements shall be in compliance with applicable building code.
4. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU
Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck
shall be free of irregularities.
5. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU
Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane
as a recover system.
6. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU
Plus, Polystick MTS and Polystick MTS Plus 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.
Ex osure Limitations (Days)
MTS
IR-Xe
Elastoflex
S6 G
TU
Plus
TU P
Tile Pro
Dual Pro
TU Max
MTS Plus
Winter Haven, FL
180
90
180
180
180
180
180
180
180
Hazelton, PA
N/A
90
N/A
180
N/A
N/A
N/A
180
N/A
7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 5 of 8
Rule 61G20-3 of the Florida Administr,:tive Code.
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 Tile Pro, Polystick TU Max, Polystick TU Plus 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.
9. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope
shall be as follows: (See Table Below)
Tile
Polystick
Elastoflex
Polystick TU Plus,
Polystick
Polystick
System (E3)
Profile
MTS
S6 G
TU P, 'Tile Pro,
TU Max
MTS Plus
MTS Plus with
Dual Pro
TU Plus
Flat Tile
Prohibited
4:12
6:1.2
6:12
5:12
6:12
without battens
Profiled
Prohibited
4:12
_
6:12
6:12
4:12
• • • 6! 12
Tile
without battens
.'.
.... .. .
10.
-- .
The above slope limitations can be exceeded only by using battens in accordance witYd VApprobed Tile Systewr •
Notice of Acceptance and applicable Florida Building Code requirements. When battens are requir�eti� they SIWL.
be utilized during loading and installation of tiles. .... .... •
.....
Care should be taken during the loading procedure to keep foot traffic to a minimum did tQ avoidtiTppping of- : • -
tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for lodi�peril *—o tre%*: •
...ngw
laid perpendicular to slope followed by a maximum four tile stack parallel to the slope, fo ,a total of q tiles — for •
all underlayments except Polystick MTS which shall be loaded onto battens. ; • • • • •
. . ......
CL
0
N
111LI J1 1"
POLYSPCKiU Plus
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 6 of 8
11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with
specific prepared roofing products. Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU
Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be
used with any approved roof covering Notice of Acceptance listing Polystick IR-Xe, Polystick Dual Pro,
Polystick Tile Pro, Polystick TU Max.; Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS
Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance.
If Polystick IR-Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick
TU Plus, Polystick MTS, Polystick MTS Plus 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 Section for approval provided
that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire
testing results.
POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS.
LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS.
1. Polyglass does accept the direct application of Polystick underlayment membranes tq wogd decks: )njtellers are • • •
cautioned to refer to applicable local building codes prior to direct deck installation fo oiisttre this is acceptable. • •
Please also refer to applicable Product Data Sheets of the corresponding products. • • • • • ....:.
2. All rolls, with the exception of Polystick TU Plus should be back -nailed in selvage ed�,Vam as I1er.Colygla�9...
Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimuin J A8" mefW disk as • • • • •
required in Miami -Dade County or simplex type nail as otherwise allowable in otherorgg ers, at a 4minimum rail..'
of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail'lreV, area pats ctavar" on • • •
the face of membrane, with the above stated nails and/or disks. The head lap membrane Ns Io cover the area bring. •
back -nailed. (Please refer to applicable `,ocal building codes prior to installation.) : . ; • • ...
3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full cont9C't. •
4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass
Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement,
XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement, applied in between
the application of the lap. The use of mastic between the laps does not apply to Polystick MTS.
5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile
Loading Guidelines. See General Limitations #9 and #10.
6. Battens and/or Counter -battens, as required by the tile manufacturers N.OA, must be used on all projects for
pitch/slopes of 7/12" or greater. It is suggested that on pitch/slopes idexcess of 6 '/4"/12", precautions should be
taken, such as the use of battens to prevent tile sliding during the loading process.
7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours.
8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed
roof to wall details.
9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified
Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified
Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the
Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching
membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so
that water will run parallel to or over the top of all laps of the patch.
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 7 of 8
10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a
minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for
rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling.
11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick
membranes commences. An approved substrate technical bulletin can be furnished upon request. It is
recommended to refer to applicable building codes prior to installation to verify acceptable substrates.
12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished
upon request by our Technical Services Department by calling 1 (800) 894-4563.
13. Questions in regards to the application of Polyglass products should be directed to our Technical Services
Department at 1 (800) 894-4563.
14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by
the National Roofing Contractors Association (NRCA).
PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS.
LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS.
END OF THIS ACCEPTANCE
. .
....
......
......
.
......
....
....
. .
....
....
.....
......
...
.....
....
...
......
. .
. .
......
..
......
NOA No.: 17-0614.22
Expiration Date: 09/13/21
Approval Date: 07/06/17
Page 8 of 8
MlAMiJE'
�'. ,I k ,.
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER)
BOARD AND CODE ADMINISTRATION DIVISION
NOTICE OF ACCEPTANCE (NOA)
ICP Adhesives and Sealants, Inc.
12505 NW 44" Street
Coral Springs, FL. 33065
SCOPE:
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/economy
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 sus
.pend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acoep*anoe, if it i s•
determined by Miami -Dade County Product Control Section that this product or material tlli to:meet the rgquirementp
of the applicable building code. • • • • • . ...... .... •
This product is approved as described herein and has been designed to comply with • • � 'florida Building Sode.:
p pp g p Y g. ....
including the High Velocity Hurricane Zone of the Florida Building Code. • • •
.. .. .. . ......
DESCRIPTION: ICP Adhesives Polyset' AH-160 ... • •
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,. eity, 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 NOA 16-0315.01 and consists of pages 1 through 11.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page I of 11
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE:
This approves ICP Adhesives Polyset® AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as described
in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable
building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using ICP
Adhesives Polyset® AH-160.
PRODUCTS MANUFACTURED BY APPLICANT:
Product Dimensions Test Product Description
Specifications
ICP Adhesives N/A TAS 101 Two component polyurethane foam adhesive
Polyset®AH-160 • • • •
. .... ......
ICP Adhesives Foam N/A Dispensing Equipmeig •
Dispenser RTF1000 • • • •.. •.
ICP Adhesives ProPack® N/A Dispensing Equipment• ....:
30 & 100 " " •••• •••••
...... .. . .....
.. .. .. . ......
PRODUCTS MANUFACTURED BY OTHERS: •: ' •
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current t40etThich• ist attachment
resistance values with the use of ICP Adhesives Polyset® AH-160 roof tile adhesive. ; • • • • •
....
MANUFACTURING LOCATION:
1. Tomball, TX.
PHYSICAL PROPERTIES:
Property Test Results
Density ASTM D 1622 1.6 lbs./ft.'
Compressive Strength ASTM D 1621 18 PSI Parallel to rise
12 PSI Perpendicular to rise
Tensile Strength ASTM D 1623 28 PSI Parallel to rise
Water Absorption ASTM D 2127 0.08 Lbs./Ft2
Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch
Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40' F., 2 weeks
+6.0% Volume Change @158'F., 100% Humidity, 2
weeks
Closed Cell Content ASTM D 2856 86%
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufacturing variation.
NOA No.: 17-0322.03
MIAMI•DAD; COUNTY Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 2 of 11
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
25-743 8-3
25-7438-4
25-7438-7
25-7492
NB-589-631
9637-92
01-6743-011
01-6739-062b[ 1 ]
7050.02.96-1
P36700.04.12
P39740.02.12
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
ASTM D 1623
•."••;
TAS 101
......
TAS 123
•""�
TAS 101
TAS 101
TAS 101
Date
04/08/94
12/16/96
10/25/95
11 /02/95
12/12/95
02/01/94
04/30/93
11 / 16/94
01/16/95
AYN/96
:02t2Y/12 ....:.
......
01&23/98 •-•••
to *000:0
. 12/28/98 ....:.
•....•
•
......
03/02/99
LIMITATIONS:
1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating.
2. ICP Adhesives Polyset® AH-160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset® AH-160 roof tile adhesive
with their tile assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61 G20-3 of the Florida Administrative Code.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
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 RJ%1000 dt"ILP • • • • •
Adhesives ProPack® 30 & 100 dispensing equipment only. • • •.
7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight. • • • • •
sives
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 min>1�SAfter ICF.404 • •
.....
. .
Polyset AH-160 has been dispensed. ...... .. . • • • •
9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance witli'th>s 0-0-0-
;
'Placement Details' herein. Each generic tile profile requires the specific placement rpted Herein. •
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
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:
•
...... . .....
.
r :.
All approved products listed herein shall be labeled and
shall bear the imprint or identifiable aWing of the • •.:
manufacturer's name or logo and following statement: "Miami
-Dade County Product Contr4Ap*proved';4;Ylke MiWi;.0
Dade County Product Control Seal below.
as shown
......
000000..:..'
.. .. •• • 0000 0
B P RE
UILDING ERMIT QUIREMENTS.
.9*0
As required by the Building Official or applicable building code in order to properly evaluate the installation of thi;
system.
•0000:
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 5 of 11
ADHESIVE PLACEMENT DETAIL # 1
#tatts�etr<:turreti$ - t
Aye r000s*
f
m.M __•i_._ x^ -_ ......... .........
Nml OwDugh nti oK cemarn
[Whir rw,r tired',
!lxctt�elaytr..«n!
_ -Ij ,
q 1 �t to - r. ,. � ..,."_•��
i ire ,
rid''✓`" •.. ♦ rx'�`. ,. i4�ry. <-
R&A CFromys pld» qk rarwrt4- ,
"A%v t� pad &-f18#0 At6:iitvl
Eiasretta
�Eawe<Coutst�
'--•'�"r-. -�`". _ = `'``has
�
�E�ssye rt�su.a
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 closest to the overlock
of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm2) — 23 (148.4 cm') square inch adhesive
contact with the underside of the tile.
Medium Profile / Double Pan Tile
1. Starting at the eave course, apply a minimum 2"
(50.8 mm) x 10" (254 mm) x 1" (2.-mpi) foam
paddy onto the underl$y=% positibillsd as shMh• ; •
under the pan portion ot1he file clegast4o the •.
.••••• • ......
overlock of the tile bejg Mgt, •
•••• •••• • •
2. Continue in same mamierr Insure approoximatel}# 17•
(109.7 cm2) — 23 (148'4 ¢rri j square ige4 adhesrm • •
contact with the undertId(! bf the tilt.' • • • •
•••••• • •
• • • • 000000
• • • • •
00
•• • • •• • •
High Profile / Single Pan 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 pan portion of the tile closest to the
overlock of the tile being set.
2. Continue in same manner. Insure approximately 17
(109.7 cm2) — 23 (148.4 cm2) square inch adhesive
contact with the underside of the tile.
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 6 of 11
ADHESIVE PLACEMENT DETAIL # 2
,%,III '-110111jh rl�r+Nir, s:.nrNnS F�s�daty�8w-�wtih'l+.i
�Y.¢srr'r�7ulrndt "3
Uraclwr��a•Eutar�t ;,�i r � ..
F
i.
is
2 .,
'17619hrorkghPIA5 ir,r,.mnn?
'whrn rn{pnireefl
U�::1•riayrnr�nY� r' � '
R:tttCMp f•�`9i 7n 4� � "4.,� ". _
of ��' �, ; •�'y'.�"`
ra•a*
Flat/Low Profile Tile
1. Starting at the cave course, apply a minimum 2" (50.8
mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy
onto the underlayment positioned as shown under the
strengthening rib of the tile closest to the overlock of
the tile being set. Insure approximately 17 (109.7 cm2)
— 23 (148.4 cm2) 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
strengthening rib closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 10"
(64.5 cm2) - 12(77.4 cm2) square inch adhesive
contact with the underside of the tile.
. . .... ......
Medium Profile / Double Pau •'File • • • • • •
•
1. Starting at the cave course, IaDNy a n0trtitm 2" ('50.8
mm) x 10" (254 mm) x 1.".a.4 mm) foam paddy .
onto the underlayment pq�tipptd as sjI ve jrundcZ 14q •
pan portion of the tile closest to the overlock of the
tile being set. Insure appaoxiinAely 1#7 (109.7 cmi)I,-- .
23 (148.4 cm2) square in;h aogsive contact with; key .;
underside of the tile. " ' •
••••
2. At the second course, apply a minimum 2" (50.8mm)
x 7" (177.8 nun) 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.
3. Continue in same manner. Insure approximately 12"
(77.4 cm2) - 14 (90.3 cm2) square inch adhesive
contact with the underside of the tile.
(Instructions continued on next page)
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 7 of 11
ADHESIVE PLACEMENT DETAIL # Z (CONTINUED)
u�I=�°ir4�1iI:•�:����-
'w°tich,ou•lir-�sil F',d4PRor:rmhTH-)s
-
High Profile / Single Pan Tile
i
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
pan portion of the tile closest to the overlock of the
tile being set. Insure approximately 17 (109.7 cm) —
'
23 (148.4 cmz) square inch adhesive contact with the
I3aacinxFPCIVN7II
;.. ^``�...• �, �.
1
underside of the tile.
%�
`�� • �� �.
2. At the second course, apply a minimum 2" (50.8mm)
x 7» (177.8 mm) x 1ee (25.4 mm) foam paddy onto the
underlayment positioned as shown under the pan
,r,;; •
s ,, :. '' r k r
portion of the tile closest to the overlock of the tile
being set.
3. Continue in same manner. Insure approximately 17"
(109.7 cmz) - 19 (122.6 cm) square inch adhesive
contact with the underside of the tile.."".
. . ....
......
..
......
...... •
..... •
.... ....
. .
.... ....
.....
...... .. .
.....
.. .. •• •
*egov
. . . .
......
NOA No.: 17-0322.03
MIAMI-DAD' COUNTY Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
rtailttrro+ughplasuccement Paddy�betweer�tilesl
(when required- i
.•y
Iattensopsional...
f `* Paddy qundertilci
Single paddy
* # on top of ti le
4x4in.
singlepadd-r•
on underiayment, `t, Jt 2 x 4 i10 in. n, `y
'a
scia
EaaeClosure
flattLow Profile Tile
Mail through plastic cement Single paddy under the
I when required)
Paddy $between tiles)
Batten - Paddy Iunder tile(
optional
r �:,
Single paddy \�
on mp of tile. `a ��, • ��
4xAin, ! 2x4in.`-.
si, gto paddy on
kiweCmurse-'
rnenti'
t
s
Eave Closure
Fascia
a
�.
Medium Profile Tile
1. On the eave course only, apply a minimum 2" (50.8
mm) x 10" (254 mm) x V (25.4 mm) foam paddy
onto the underlayment positioned as shown, under
the strengthening rib for flat tile or under the pan
portion of the tile for low or high profile tile closest
to the Overlock of the tile being set. Leave
approximately 4" (101.6 mm) up from the eave
edge free of foam to prevent the expanded adhesive
from blocking the weep holes. Insure
approximately 17-23 in' (109.7-148.4 cm2) of
adhesive contact with the underside of the tile
2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1 " (25.4
mm) foam paddy onto the underlayment just below
the second course line positioned foam paddy
under the strengthening rib for flat tile, or under the
pan portion of the tile, closest to the underlock for
the second course tile to be installed,im1ure
approximately 8-9 in X51.6 $8.1 crAl *df adheIM0: •
contact with the underside otthe t4Q•.:. '.
••..•• .090000
•r.•••
•
• • • • •.
(Instructions continued on naxtsvage) '.... ' .....
00*000
• •
• . • • •
•
.••.•• • •
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
Nail through plastic cegrem,, Single paddy under the
Iw'hen requiredl
Paddy Ibetween tilesi
Fattens fin, w Paddy tunder tile!
optional
r Single ppaddy �• ��
cn undertayment r: " "Y •"� , !`
ax4in./
single 2 x 4 In s
paddy ontop of fle 'A
ti
\ �'- f•
Eave Course
* "" Weephale
�'`• r r � ,, � �Eave closure
2 rn.J, Drip edge
High Profile Tile
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4"
(19 mm) paddy on top of the cave course tile
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.
Install second course of tile. Insure approximately
9 (58.1 cm2) - 11 (71cm2) square inch adhesive
contact with the underside of the tile at the overlap
and 7 (45.2 cm) - 9 (58.1 cm2) square inch
adhesive contact with the underside of the tile at
the head of the tile. Continue in same manner.
••••••
•
••••••
•
••••
••••
• •
••••••
•••••
**Soo*
•• ••
•• •
••1•••
•
• •
• •
••••••
•• •
• ••
• •
• •
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 10 of 11
ADHESIVE PLACEMENT DETAIL
TWO PIECE BARREL
1) Place enough adhesive to achieve 65 to 70 sq. in. Steep pitch applications
in contact with the pan tile. (when required)
2) Turn covers upside down. Place adhesive in
to 1 in. from outside edge of cover tile.
Then install the tile. Ensure 20 to
25 sq. in. contact area.
Underlayment 4
_ o
"'Sheathing
Eave closure
(motar shown)
Weephole
Fascia Board`
Remove top portion of the eave course cover tile. Abut to second course of
pan tiles. Ensure eave end of pan and cover tiles are flush at eave line.
Two Piece Barrel - High Profile Tile
Two Piece Barrel (Cap and Pan) 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 two adjacent pan tiles. Support eave
tiles from rocking until adhesive has a chance to
cure.
2. Continue in same manner bringing two pan
courses up toward the ridge. Insure
approximately 65 (419.4 cmZ) — 70 (451.6 cmZ)
square inch adhesive contact with the underside
of the pan tile.
3. Turn covers upside down exposing the underside
of the tile.'Apply a minimum 1" (25.4 mm) x 10"
(254 mm) bead of adhesive direct4yc %the inner
edge of each side o1hep%ver tile! I-mve • • • •; •
approximately 3/4" (i9 m?n) to N 425.1 mm)
from the outside edj�*jflAe tile, fn hard, fret of •
foam to allow for expWion. ' • • • • •
.
.... .... .....
4. Turn cover tile overqfterfoam is
epplied and*:•••
place onto pan tile cttarle. Insure 6h•mtinimuni bf•; •
20 (129 cm2) - 25 (1rllcin2) s juart inch •6
contact area on each side of the sever oile to Me • • •
pan tile. Continue i; i4ft e:mara gr. Trim awiy • • •
any cured exposed foam adhesid4:3.0iting of •
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit # 1' 1 v I { DATE: 7Il
INSPECTION AFFIDAVIT
licensed as a C)Contractor / Engineer / Architect,
(Print name and circle License Type) FS 468 Building C or
License #: C(C M201,17ZD1-�
On or about11070 1 did personally inspect the roof deck nailing p Y Pe 4
work at 3�n G rct
(Complete Job Site Address)
Based up that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual Ba ed on 553.844 F.S)
Signature
State of Florida
County of Dade:
The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property
mentioned.
Sworn to and subscribed before me this 7 4� day of Jwfft-7
r�p
Notary Public, Sate of Florida at Large _ ; � �:d!/.,,, Jessica Mene de DU� U
XUF
: Commission # GG161407
Expires: November 16,2021
Bonded thr,i Aaron Notary
'General, Building, Residential, or Roofing Contractors or any individual certif45 lit
ied under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with
permit # and address # clearly shown marked on the deck for each inspection
0e„1-4 — 17NN9M.flcnil'Mno
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
353 GRAND CONC, Miami Shores, FL 33138
Contacts
NAM
Issue Date: 01/08/2019
Parcel Number
1132060136030
Permit NO.. RF-01-19-37
Permit Type: Roof
Work Classification: Tile
Permit Status: Approved
Expiration: 07/08/2019
DRAYTON DOUGLAS JR AND TONI SMITH Owner HIGH & DRY ROOFING Contractor
WADE GUSTAVO LUCERO
353 GRAND CONC, MIAMI SHORES, FL 33138
Business:3055423194 HIGHANDDRYROOFING@COMCAST.NE
Other:3055423194 T
Description: RE -ROOF TILE ROOFS Valuation: $ 19,800.00 Inspection Requests:
305-762-4949
TotalSq Feet: 2,500.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$12.00
DBPR Fee
$4.50
DCA Fee
$3.00
Education Surcharge
$4.00
Roofing Fee
$250.00
Scanning Fee
$12.00
Technology Fee
$7.50
Total:
$343.00
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$343.00
Credit Card
01/08/2019 $343.00
Amount Due:
$0.00
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.
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent
Date
January 08, 2019 Page 2 of 2
Made to order
Always use actual product samPles for color selection.
olors. nstallatlon.
hores Village
blended dunng D
PJ�
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
.vU11Uin5 epar men
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
RECEIVED
JA 0 8 2019
BY:/
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 4p
FBC 20
Master Permit No. ZF`19 -" 3
Sub Permit No.
® ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
S(;71� 6-01y-�
Folio/Parcel#: 1 32�� +� �� ���� Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
Titleholder): —V6� W OAQ- Phone#:
(i�iC�C ��jCj1C
Address: �� J ` 0LY- Ly` COu(---R-
City: i`%1 Cnyy1� SNno
Tenant/Lessee Naine:
Email:
State:
one#:
p:
CONTRACTOR: Company Name: t11 V` C , a 0.A� e#: 3GSS�Zr J` � 7
Addresyss:1 ,l� Zd Sw C+� i
City: Y � t Gyy�'\ _ State: �C� Zip:
Qualifier Name: Ll` kk�'TGyU kkk( -. Q Phone#: wJ " J 1(-- D i / -7
State Certification or Registration #: ►CCC JZ �-�J� Certificate of Competency #:
SIGNER: Architect/Engineer: IV Phone#:
Address: Q c,� City: State: Zip:
Value of Work for this Permit: $ 1 1 l �SV� Square/Linear Footage of Work: 2TU
Type of Work: ❑ Addition ❑ Alteration ❑ New IPJ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:��
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $ S60 - d0
TOTAL FEE NOW DUE $ 3 T 3 • C7
(Revised02/24/2014)
�+r3t6ak
NONE1
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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 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 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. / 1
Signature �l�Q , �t/�X p Signature
OWNER or AGENT
The foregoing 1 trurilent was acknowledged before me this
day of uwa 20. by
iA i 6, In yo . who is ersonally known to
me or who has produced
CONTRACTOR
The foregoing instrume t was acknowledged before me this
—7 1� day of 20 by
61r, Am 1dddwho i ersonally know , to
as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
r31
Sign: /nSign:
I
Print: ki-01 Print:
;�r/b� Jessica Menendez
c y; Seal: Seal: �V;d�/Jessica Menendez
�= Commission # GG161407
=" ,," Expires: November 16, 2021 __- �� �= Commission GG161407
-` Bonded r� Aa _'�° Expires: November 16, 2021
�r C� ( f //I11111N V
APPROVED BY 0 ( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
in
E &% F Tn I E PRO PE0'RTY APFKA
}.
a OFFIC
Summary Report
Property Information
Folio:
11-3206-013-6030
Property Address:
353 GRAND CONC
Miami Shores, FL 33138-2746
Owner
DRAYTON DOUGLAS WADE JR
TONI SMITH WADE
Mailing Address
353 GRAND CONCOURSE
MIAMI SHORES, FL 33138
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/1
Floors
2
Living Units
1
Actual Area
2,853 Sq.Ft
Living Area
2,772 Sq.Ft
Adjusted Area
2,562 Sq.Ft
Lot Size
11,726 Sq.Ft
Year Built
1940
Assessment Information
Year
2018T$412,6]88
2016
Land Value
8
$375,171
Building Value
$166,090
$166,522
XF Value
$282
1-1
$286
Market Value
$579,055
$579,276
$541,979
Assessed Value
$356,450
$349,119
$341,939
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Assessment
$222,605
$230,157
$200,040
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
1 534165342
MIAMI SHORES SECTION I PB 10-70
LOT 14 BLK 44
LOT SIZE 90.200 X 130
COC 25533-1195-04 2007 5
Generated On : 1/8/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $306,450
$299,119
$291,939
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$331,450
$324,119
$316,939
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $306,450
$299,119
$291,939
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $306,450
$299,1191
$291,939
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
27142
12/30/2009
$0
Affiliated parties
0771
25533-
Sales which are disqualified as a result of
04/01/2007
$0
1195
examination of the deed
23025-
Sales which are disqualified as a result of
01/01/2005
$0
3943
examination of the deed
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 hftp:Hwww.miamidade.gov/info/disclaimer.asp
https://www.miamidade.gov/propertysearch/ 1 /8/2019
. I,;
1
j
High & Dry Roofing Contractors Inc.
Licensed & Insured 11720 SW 113th Court
CCC1329237 Miami, FL. 33176
Date: 01 /07/2019
State of Florida
County of Miami -Dade
Before me this day personally appeared"o 6a who, being duly swom, deposes and
says:
That he or she will be the only person working on the project located at:353 Grand Concourse, Miami
Shores, FL. 33138
Sworn to (or affirmed) and subscribed before me this 1 4 1 day of Uu I u .20i, by
(u Wfo La U P-O .
Personally know
OR Produced Identification
Type of Identification Produced
;,���V'�,,, Jessica Menendez
°' �r'= Commission l GG161407
Expires: November 16, 2021 _
,��„�o� pe y, or tamp Name of Not
Notice to Owner — Workers' Corn
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation Insurance Exemation
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 project 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, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature: 1/11-� G1/�
Owner
State of Florida
County of Miami -Dade r
The foregoing was acknowledge before me this 74A� day of J , 20A.
By t� who is sonally know to me or has produced
as identification.
� . \ 1r nI��1L9i
SEAL: 40-I ft, Jessica Menendez
`' = Commission # GG161407
Bonded thrnl N taIy
11c� -