RF-19-593Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
408 GRAND CONC, Miami Shores, FL 33138
Contacts
Issue Date: 04/16/2019
Parcel Number
1132060170090
Permit NO.: RF-03-19-593
Permit Type: Roof
Work Classification: Tile
Permit Status: Approved
Expiration: 10/ 14/2019
ANASTASIA ESPINOSA Owner M3 ROOFING & CONSTRUCTION LLC Contractor
408 GRAND CONCOURSE XAVIER MOLINA
Other:3057762443
Business:3052655000 MICHELLE@M3ROOFMIAMI.COM
Mobile: 3053079667
Description: TILE RE -ROOF Valuation: $ 12,000.00 Ins ection Requests:
305-762-4949
Total Sq Feet: 1,200.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$7.20
DBPR Fee
$4.13
DCA Fee
$2.75
Education Surcharge
$2.40
Roofing Fee
$225.00
Scanning Fee
$9.00
Technology Fee
$6.88
Total:
$307.36
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$307.36
Credit Card
04/16/2019 $307.36
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.
that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
',,Futhermore. I authorize the above named contractor to do the work stated.
Owner ! Applicant / Contractor / Agent
April 16, 2019 Page 2 of 2
4225 SW 71 Ave, Miami. FI 33155
Tel: 786-398-9179 Fax: 786-800-2627
a1 roofinspectionigmail.com
LAB CERTIFICATION #16-0510.15 A)
SITE SPECIFIC INFORMATION)
UPLIFT TEST — TAS #106
08/12/2019
Roofing Contractor M 3 ROOFING AND CONSTRUTION Permit # RF-03-19-593
Job Address 408 GRAND CONCURSE MIAMI SHORES 33138
Owner's Name STANLEY SUMNER
Type of Tile, VEREA
Approximate Roof Height 24 feet Roof Pitch 4/12
Approximate Square Footage of Roof 16 ftz
Date Tested 08/06/2019 Number of Tests 48
Contact Name JAVIER
Date Installed
Type of Access to Roof LADDER
Required Testing Force 35 Lbs
Testing Equipment F.G.E.100
Phone # 305-307-9667
LOCATION
# OF TEST
PASS
# OF TEST
FAIL
Corner
5 Tests
5 Pass
Test
Fail
Perimeter
11 Tests
11 Pass
Test
Fail
Field
16 Tests
16 Pass
Test
Fail
Ridge
16 Tests
16 Pass
Test
Fail
TOTAL
48 Tests
48 Pass
0 Test
0 Fail
IN ACCORDAP! a ,l'I k'di t 'r '1F PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS TA5106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE
REQUIRC'+.'F ���^' GA. c•.u' %%,T�',.`PI NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS. THIS REPORT IT IS NOT VALID FOR INSURANCE CLAIMS.
e%
C— r +w
r �YEIVAI��fe
ti
,L': b T I I F. C'.I F W D
Job Address 408 GRAND CONCURSE MIAMI SHORES 33138
Permit Number RF-03-19-593
Roof Drawing
14
1:
13 34
33 35
16
12
36
11 46
9
44 45 37
25
4 43
47
8
3
41
42
48
9 40
39
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit # Z� -03 - t q _" 3
INSPECTION AFFIDAVIT
DATE: 4j.,% Im
licensed as n
() Contra ctor Engineer / Architect,
(Print name and circle license Type) FS 468 Buil ' or
License #: _ _ CGV t-�yD
On or about 'I 2 ` 0 0 M , I did personally inspect the roof deck nailing
(Date & time)
work at ��� (>,tGh� r 0rV10&i;-e f �(Ctml [LveS. cc— IZI131?,
(Complete Job She Address)
Based uponthat examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
MaratNBased on 553.844 F.S)
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property
mentioned.
Swom to and subscribed before me this day of
Notary Public, Sate of Florida at Large ; ......'......
.•; MICHEUE Motif R
;1Q-14-
Buded.Notary Public —State of Florida
Commission # GG 167269
My Comm. Expires Dec 11, 2021
ltxough National Notary Assn.
`General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with
permit # and address # dearly shown marked on the deck for each inspection
P—ko.l— /7Nf19MA16M4nnno
NOTICE OF COMMENCEMENT
A RECORD D COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION`
PERMIT NO.&-3JI r TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
of property And streetladdress:
lT,ly / 407_/1-&4 P,
2. Description of
I I I III I I I I II I I I I I I I II I I ill i!I I i I I I II III I I II
C: f^8 `7C119R023c3B 17
OR BK '171405 P9 4609 (1F9s —
! 1rtRVE: T' RI_IVIN = C:LERK. OF' COURT
Space above reserved for use of recording office
3. Owner(s) name and address: 52L,4e 4 To i Csri
Interest in property: DZL,ti-1Z f ,!%110W,
Name and address of fee simple titleholder:
4. Contractor's name, address and phone number: Ay/EX a 1.1
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number: ti
9. Expiration date of this Notice of Commencement:
(the expiration date Is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signatures) of Own rs) or wners' Authori3edOfcer/Director/Partner/Manager
Prepared By �f111-y ° �o_ `_ - n�2 _rPrepared By .
Print Name Print Name
Title/Office Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI-DADE //
i
ideuially,
ns37�����for
i� day of
By
or
❑ Personally known, or oduced the following type of Identification:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the fac in it are rue, to the best of my knowledge and belief.
Sign r of Ow (s) or wner(s)'s Authorized Officer/Di
_ fr/o916KfPc950 �g slg
Byof
cI µLt�A ip� �1hatJ a fR+e ed{/y�p�r}_
123_51-52 PAGE odow flied in 1w ` ft
OPR a 7n19 A.0•20
WITNE860V h"d PlIVOW Seel.
qtm
nd Cour" C U1111
D.C.
943
GIGI C. CASTELLON
Notary Public - State of Florida
Con, missimi # FF 241458
14y Comm. Expires Jul 6, 2019
urh !af ional Notary Assn.
Miami Shores Village
RECE-IVED
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
MAR 19 1019
INSPECTION LINE PHONE NUMBER: (305) 762-4949 L-Ilt
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC �OOFING
PLUMBING ❑ MECHANICAL PUBLIC WORKS
FBC 2on Master Permit WEE 0$-iol -5-1a
3
Sub Permit No.
❑ REVISION ❑ EXTENSION [:]RENEWAL
❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: H OS G VatAj On C01A
City: Miami Shores County: Miami Dade Zip: 33 13 0
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name
(,(Fee Simple Titleholder): &+nvJ-(y sU n,*i eY Phone#: 34S �`? (r ' Zcfg3
Address:
` bg GV���-
d' (.dy► 6�
City: 6' aKAI SL,16/,&O State: Ft— Zip: 33
Tenant/Lessee Name: pp Phone#:
Email: S-4� -N sum W @ �i'Y►� d�.x - Lb-y✓)
CONTRACTOR: Company Name: �B b �1 Phone#:
Address: J33S Ind/ C-O°( '123
641
3os • Z(oS . S'000
City: `" W State: F' Zip: 3 3 o
Qualifier Name: \)4a el Phone#: 3 0S 30.]
State Certification or Registration #: U'C' (33 I ffDS Certificate of Competency #:
DESIGNER: Architect/Engineer:
ne#:
Address: City: State: Zip:
Value of Work for this Permit: $ t2, Oa 0 Square/Linear Footage of Work: � —2W
°I4(a-7
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ' Li- Y-C ND6-(-
Specify color of color thru tile: %t'//� - C'O/r� - �t/,Np ~- /lei �%/�—������
Submittal Fee $_4r— Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
m�
Bond $ 77
TOTAL FEE NOW DUE $ J O -7 • 3 6
(Revised02/24/2014)
So% b 3 �,
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
2S
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 a oved and a reinspection fee will be charged.
Signature Signature �6D
-/WNER or AGENT r CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrumenntf,was
,,acknowledged before me this
Z� day of 0 20 by c� day of F 20 ( ! by
who is personally known to X� �� b't �vho is personally known to
me or who hasproduced W hh ` L as me or who has produced • L as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
LP
Print: l �1��1 Print: �61tL-1ot
Seal: Seal MICHELLE MOLINA
•.rya n,„•-.
;,...... ; •. MICHELLE MOLINJ _`= `�1 Notary Public - state of Flcxida
`+ Wary Public - 5lale of F'vas• t�Ell, ; ; My Comm. Esping Dec 11, 2U21
• . 1 Commissiuri N GG 167r + ,'
y �;� r ;:•• Ho,wk�c1 IlKou<)h NaUo,ctl Notary Aswr.
•'Wnlecl Through Naliowl Notar
APPROVED BY t [ • Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
2/27/2019
Property Search Application - Miami -Dade County
OFFICE
OF
THE
PROPERTY
APPRAISER
..
X1,
Summary Report
Property Information
Folio:
11-3206-017-0090
Property Address:
408 GRAND CONC
Miami Shores, FL 33138-2463
Owner
ANASTASIA ESPINOSA &
STANLEY SUMMER
Mailing Address
408 GRAND CONCOURSE
MIAMI SHORES, FL 33138-2463
PA Primary Zone
1300 SGL FAMILY - 2801-3000 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
2
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,587 Sq.Ft
Lot Size
8,757 Sq.Ft
Year Built
1948
Assessment Information
Year
2018
2017
2016
Land Value
62,009
$262,009
$238,190
Building Value
$256,113
$256,113
$256,113
XF Value
$8
$878
$878
Market Value
$519,000
$519,000
$495,181
Assessed Value
$381,939
$374,084
$366,390
Benefits Information
Benefit
Type
2018
2017 2016
Save Our Homes
Cap
Assessment
Reduction
$137,061
$144,916 $128,791
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).
Short Legal Description
6 53 42 PB 15-14
AMD PL OF MIAMI SHORES SEC 4
LOT 15 BLK 86
LOT SIZE 8757 SQ FT
OR 20196-0458 02 2002 1
Generated On : 2/27/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,0001
$50,0001
$50,000
Taxable Value
$331,939
$324,084
$316,390
School Board
Exemption Value
1 $25,000
$25,000
$25,000
Taxable Value
1 $356,9391
$349,084
$341,390
City
Exemption Value
1 $50,000
$50,000
$50,000
Taxable Value
$331,939
$324,084
$316,390
Regional
Exemption Value
1 $50,000
$50,000
$50,000
Taxable Value
1 $331,939
$324,084
$316,390
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
05/01/2006
$700,000
24610-4044
Sales which are qualified
09/01/2004
$575,000
22756-3025
Sales which are qualified
02/01/2002
$375,000
20196-0458
Sales which are qualified
08/01/1999
1 $175,000
18743-1021
1 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
Ron DeSantis, Governor '� ,
v o� Halsey Beshears,Secretary.
a
d,b.pr
W8 '
. V
STATE OF FLORIDA
DEPARTMENT-OF'BUSINESS Antn -P—t OFESSIONAL REGULATION„,
`AA1'►,.
.
CONSTRUCTIO,IVYafS NG BOARD
r THE ROOFIN - IT CTNir
ERECNJS CERT EIE UNDER'THE -
`i`.ERt
PROVISt ,S OF-J]t'CF F 89. EORIDA STT UTES
` -MTR.E CON RU«TfO'
S 33 51 I , 18h71. E 4C.109�1X2,
�R�4t _
... Ft 8 178
rip
v � '
LI'C SENUMSLC5
1 1
EXPIRUGl1S 31, 2020
._Always verify'licenses online at MyFloridal-icense.com r
Q�
Do not alter this.document in: any form:,
Thiseis your license. It is;unlawful'for..anyone other than.the,licensee to use this document.
Local Business Tax Receipt
Miami —Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
7273871
BUSINESS NAME/LOCATION
M3 ROOFING &
CONSTRUCTION LLC
5335 NW 87TH AVE C109-123
DORAL, FL 33178
LBT
RECEIPT NO. EXPIRES
NEW BUSINESS 7561832 SEPTEMBER 30, 2019
Must be displayed at place of business
Pursuant to County Code
Chapter SA - Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS
M3 ROOFING & CONSTRUCTION LLC 196 SPECIALTY BUILDING
C/O XAVIER MOLINA QUALIFIER
Wofker(s) CONTRACTOR
CCC1331805
PAYMENT RECEIVED
BY TAX COLLECTOR
45.00 01/29/2019
This Local BnBi" a Tax Receipt0208-19-003116
MnniL or a cerdficsfion of the holder's s que el scatio�ns, to do busint of So ness. Holder r� okra Receipt is not a license,
or nongovernmemai nagola" laws and requjremeols which ply with any 9�naaeodl
The RECEIPT N0. above swathe dk i apply to the business.
�t� Pared on aR commerojal vehicles -Miami -Dodo toolaX Code Sec For more Informewo, visit i Is-
A� 0 CERTIFICATE OF LIABILITY INSURANCE
DA °s "'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the po Icy es must have ADDITIONAL INSURED provisions or be en orsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER
Lass Links Insurance
5001 SW 74 Ct
Ste 102
Miami FL 33155
GUNTAUT
NAME:
A/C No Et): 305-330-6218 (Atc, No): 305-424-8464
ADDRESS: info@lasalinks.com
INSURER(S) AFFORDING COVERAGE
NAIC <
INSURER A : Kinsale Insurance Co
INSURED
M3 ROOFING & CONSTRUCTION LLC
5335 NW 87th Ave, C109
#123
Dora[ FL 33178
INSURER B
INSURER C
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVI5101N IVUMI3ER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMID
(MMID
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
0100079693-0
1/23/2019
1/23/2020
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurrence)
$ 100,000
MED EXP (Any one person)
$ Excluded
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 1 jE LOC
X OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY UAMAGF
(Per accident)
$
UMBRELLA LIAB
EXCESS LIAR
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y
OFFICERIMEMBER EXCLUDED? El
(Mandatory In NH)
if yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
Roofing Contractor License #CCC1331805
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Miami Shores Village Building Department ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE
Miami Shores FL 33138 �,61p 6 ,A0
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
dF
JIMMY PATRONIS
CHIEF FINANICAL 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: 1/9/2019
PERSON: XAVIER E MOLINA
FEIN: 824794397
BUSINESS NAME AND ADDRESS:
M3 ROOFING & CONSTRUCTION LLC
5335 NW 87 AVENUE, #C109-123
MIAMI, FL 33178
SCOPE OF BUSINESS OR TRADE:
Licensed Roofing Contractor
EXPIRATION DATE: 1/8/2021
EMAIL: XAVIER@M3ROOFMIAMI.COM
IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply
only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate. the
person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a
certificate at any time for failure of the person named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609
5335 N.W 87 Avenue, C109, #123
Doral, FL 33178
February 26, 2019
State of Florida
County of Miami -Dade
Esr ®^60*15200
M_..3 ROOFING
CONSTRUCTION
Before me this day personally appeared Xavier Molina who, duly sworn, deposes and says:
the only person working on the project located at: 408 Grand Concourse, Miami
Swo o (or off' ed� and subscribed before me this day of ff I M , 20 ��
By 00L V
r
Personally know
OR Produced Identification
Type of Identification Produced
-------------
•1,VPnr•.,'MICHELLE MOLINA
Notary Public — State of Florida
3•''
NyrEomm. Expires Dec 11.2021
Print, �
305-265-5000 m3roofmiami.com @m3roofmiami
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner —Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement 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 BELO�} YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. //�1 /
Signature:
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this ?'� day of 20 1 `f
By &(A �1 1-eQ S0 ►ryl Vt *_ who is personally known to me or has produced
P` L' as identification.
Notary:
_Hy1n_LD
SEAL: ; . �;; ';;; MICHELLE MOLINA
�� • , Notary Public — Slate of Florida
. ; {A�,l; •: Commission # GC, 167269
.. IA((. • ne„ rnmm FWireS Dec 11, 2021
Fio ww Ituough
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: 2" 2 F �f
10050 NE 2nd Ave
Miami Shores, Fl 33138
Re: Owner's Name:
Property Address:
Roofing Permit Number:
Dear Building Official:
1 41 S �� certify that I am not required to retrofit the roof to wall connections of my
building because:
he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
n The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 1994 editio the S a Building Code (1994 SFBC)
Signature Print Name
State of Florida
County of Dade
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this
Notary Public, Sate of Florida at
ay of �-b -zo� q
• When the just valuation of the structure for purpose of d valorem taxation is equal to or more
SFBC. Then you must provide a building application from a General Contractor for the Roof to
MAHARAI K. GONZALEZ
Yr.QfldMISSION # GG 044602
EXPIRES: November 2, 2020
led Thru Notary Public Underwriters
connection Hurricane Mitigation.
BC nor a 1994
Revised on 5/21/2009
t
RF0Fi
M4,f.I g CFO
Master
Contractor's
A (General Information) ' " v (-'04 pC�
Process No A
1 - s/'`<FF
Job Address_ 'f0W t!i/ZF-f /!�Ayr1G a.r✓T C!'Q�li �Cf 01 ;17L
v--
ROOF CATEGORY t
❑ Low Slope ❑ Mechanically Fastened Tile drI1
13 Mortar/Adhesive-Set Tiles 1
Asphaltic Shingles 13 Metal Panel/Shingles ❑ Wood ShinglestShakes
(7 Rrescriptive'BUR-RAS 150 1
i
ROOF TYPE • • • •
New roof '
❑ Repair •••• ••••• A
P O: Maintenance Reroofing • � • • • 1
ROOF SYSTEM INFORMATION
..... A Reooye•gg .....�
Low Slope Roof Area (SF) Steep Sloped Roof AREA (SSF) L'Z _ total SF • f I bd e) •
.... . .....
Section 6 (Roof Plan)
Sketch Roof Plan: illustrate -all levels and sections,. roof drains, scuppers, overflow scuppers and pltarilcw drains Nidude dimen� •1
S9ons of sections and levels, dearly identify dimensions ofelevated pressure zones scuppand rs an Qf verapets. • • • • •
1
1
1
} 1
j 1
. 1.
i 1
1
i
1
i
1
FLORIDA BUILDING CODE —BUILDING,_Sth EDITION (2014)
t J I COPYti9k 106 .Or Brace by: tCC'(ALL RIGHTS RESERWD 15.37
Agreement. No iwtha ez 3, by Etiemr Palacio on Jun 8 Za1510 32:12 AM p4rsuancto li
produetim authorized
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2ou)
High -Velocity HUrricane Zone Uniform Permit Application Form 1
Section D (Steep Sloped Roof.,System)
System) � !
Roof System Manufacturer f.eyr e., C.v
Notice of Acceptance Number. 12-1 3 3
!
= C> 1
Minimum Design Wind Pressures, If App" ble .(F�om RAS 127 or Calculations): 1
—:z t4
"5--
X%rn �rn,p Sn ��tsfurt✓ 3g, lo�•�,y) Av"f'G� 1
TI
1
Deck Type: �' F 1
1btX9 1
i
TYpe Underiayment Roof Slope:
Insulation: ••�� ••�•��
Fire Barrier, •'F • • •
Ridge Ventlati ? Fastener�` ... • ......
. �...
Type &Spacing' , ` r 12S • •�-
T •
Adhesive Type: S;e jZ 1 •.
Type Cap Sheet �ol�nt! •' f%y ; f...
Mean Roof Height: !
Roof Covering: r 7e,rU 4 4 /.reS i 1
Type & Size Drip 3 3 r Z (g y 1
,Edge:
4ell V. !
1
FLORIDA BUILDING CODE -- BUILDING, 5th EDITION (2614) r
Copyrightto, or licensed ICC (ALL'RlGM RESERVED acoessed b Eliew 15.39
1 ••� ! �`' k y palacio on Jun 8. 2015 10-32.12 AM pususnt to license
Ag�eament. No f�tthev npioduaioos auttiorized.
ROOF ASSEMBLIES AND AOOFrop STRUCTURES
Florida Buildingtode 5th Edition (2014)
1
t
High -Velocity Hurricane Zone Uniform `Permit Application Form.
i
Section E (Tile Calculations)
1 For Moment basedtile'sems, choose either Method... or 2.'Compare the values for M�.with the values'froAAt.
1
are 'greater than or equa to the M. values, for each area of the roof, then the file attachmm If the Mf values
ant method is acceptable.
1 thod 1 "Moment Based Tile Calcaulaitions Per RAS 127-STi Vr
-7e, 1 (P1''fc 7l . =1 3t - Mg:?Mn Product.Approval M, !a
1 (P2•' xJl_ - Mg: I. s 1k
-� rr�� M;� Product Approval Mi 3w—. 7—
1 (P3 x71 _ _ Mg: fp=-.M. �l Product Approval M,
1
Method 2 "Simplified Tile Calculations Per Table Below"
Required Moment of Resistance (M) From Table Below r Product Approval M,
t
1 Mr required Moment Resistance'
1 Mean Roof Height 15' 20'
Roof Slope .25' 30' 40' • •
1 2-1 2 34:4 26.5 38.2 39.7 . 49.2 ... • .... .
1 3:12 32.2 34.4 36.0 37.4 •
30.4 32.2 33.8 35.1 ...8i.3..
t
5:12 28A 30.1 31.6 ......
1 32.8 ...3a.9 ..:.
6:12 26:4 28.0 29.4 30.5 32=4 ' •
1 7:12 24.4 25.9 271 0660
.....
.28.2 .30.0 .. ......
1 'Must be used in conjunction with a list Of moment based the •
1 Appeals. �Ystems: endorsed by the Broward CdJnt$ hoard of .Rules and • .
For Uplift based the • • • • • •
P systems, use Method 3. Compared the values for F with the values for. Fr. If the F+ valtlea are g ,*eatgrJhan or ; • • • •
1 equal to the Fr values, for each area of the roof, then the the attachment method is acceptable. •
1 Method 13 "Uplift Based Tie Calculations Per RAS 127•
i (Pi: x L = x w: ) - W: x cos 0 = Fn Product Approval F'
,(P2: x l- = x w: _ _ j W. x cos 9
(P3: x L = = F2 Product .Approval. P
x w:
_� - W:. x1-(os 8 = Fr3 Product Approval F"
1
1 Where to Obtain Information
1 Description Symbol
1 Where to find
1 Design Pressure P1 or P2'orP3 RAS 127 Table 1, or by an engineering analysis pre-
pared by PE based onASCE.7
1 Mean Roof Height H Job Site
1 Roof Slope EE0
1 Aerodynamic Multiplier Job Site
� Product Approval
1 Restoring Moment due to Gravity Me Product Approval
Attachment Resistance
1 Required Moment Resistance M/ Product Approval
1. MinimumAttachment Resistance F° Calculated
Product Approval
Required Upiift:ReSistance F Calculated
1 Average Tile Weight W Product Approval
1 Tile Dimensions L = length �thet=he
Product Approval
( All calculations must be submitted to the building; offrcial:af permit application.
1
15.40
FLORIDA BUILDING CODE— BUILDING, 5th EDITION (2014)
CVYfi& �4 or licensed W.'CG (ALL RIGHTS REMVW):.aoeessed by EUa= PWado on ]un 8, AVccwmt. No fiatber teprodoMOM Sod70[iZEd 201510 3212 AM puxswnt to License
MIAMw
MIAMI-DADS COUNTY
°� PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/pera
Miami Terracotta, LLC
1985 South Park Road, Bay #3
Pembroke Park FL 33009
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 Rerform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediatd v ke mo�ii� or • • • 0 •
P g Y � YJ� 4 ,.
suspend the use of such product or material within their jurisdiction. RER reserves the right tAxcyoke this,#Cgeptance,• •,; •
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 Floridd SuildineCode • • • • •
including the High Velocity Hurricane Zone of the Florida Building Code. •': •: ""'
.. .. .... ......
DESCRIPTION: Brastile "S" Clay Roof Tile • • ;
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, oily, sate ark 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 new NOA consists of pages 1 through 7.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 16-1213.03
Muu�l•oADecOUNrt► Expiration Date: 03/02/22
K�I s 1 "1 Approval Date: 03/02/17
Page 1 of 7
ROOFING ASSEMBLY APPROVAL
Cateeory: Roofing
Sub Catezorv: Roofing Tiles
Material: Clay
1. SCOPE
This approves a roofing system using Brastile "S" Clay Roof Tile manufactured by Terracotagres Ceramica
LTDA in Sangao SC Brazil and distributed by Miami Terracota LLC., as described in Section 2 of this Notice
of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does
not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values
listed in section 4 herein. The attachment calculations shall be done as a moment based system.
2. PRODUCT DESCRIPTION
Manufactured by Test Product
AllBlicant Dimensions Specifications Description ......
Brastile "S" Clay Roof Tile L = 20.4" TAS 112 High profile clay rooeitUgt'Fvr direst de ck : •
W = 12" Type 1 adhesive set applicatiQ",wjtr the 11QqAU$1 • • , ; •
0.38" thick nominal Grade 3 interlocking headlap....: •-
3.5" high • • • • • 0•
Trim Pieces Length: varies TAS 112 Accessory trim, clay rpUNSCes fob use.at hips,.... •
Width: varies rakes, ridges and vallevylerOnatiolis %.' ......
varying thickness manufactured for eacl ti6 profile.
. 9 . . . ......
2.1 PRODUCTS MANUFACTURED BY OTHERS . • • • • • .
Product Name Product Description ManufactVMO •
(With Current NOAI
ICP Adhesives Polyset AH-160 Two component polyurethane foam ICP Adhesives and Sealants, Inc.
adhesive.
TILE BOND' Roof Tile Adhesive Single component polyurethane foam roof The Dow Chemical Company
tile adhesive.
"Tile Tite" Roof Tile Mortar Premixed, pre -bagged roof tile mortar. Bermuda Roof Co. Inc.
Bonsal Roof Tile Mortar Premixed, pre -bagged roof tile mortar. Bonsal American
"Quikrete" Roof Tile Mortar, FL-15 Premixed, pre -bagged gray roof tile mortar. The Quikrete Companies, Inc.
2.2 MANUFACTURING LOCATION
2.2 Sangao SC Brazil
NOA No.: 16-1213.03
MAMFDAD, CO�rjuuaUNTY Expiration Date: 03/02/22
Approval Date: 03/02/17
Page 2 of 7
2.3 SUBMITTED EVIDENCE:
Test Agency
Test Identifier
Test Name/Report
Date
Redland Technologies
7161-03 Appendix III
PA 102 & PA 102(A)
Dec. 1991
Letter
PA 108 (Nail -On)
Aug. 1994
P09647-01
PA 108 (Mortar Set)
July 1994
P0402
Withdrawal Resistance Testing of screw
Sept. 1993
vs. smooth shank nails
The Center for Applied
94-083
PA 101 (Adhesive Set)
April 1994
Engineering, Inc.
94-084
PA 101 (Mortar Set)
May 1994
25-709443, 6 & 9)
PA 102
Oct. 1994
25-7120-(l & 2)
PA 102
Nov. 1994
25-7183-(3 & 4)
PA 102
Feb. 1995
25-7214-(3, 4, &7)
PA 102
March, 1995
25-7804-4
PA 102
Sep. 1996
Celotex Corporation
520111-3
PA 101
'Dec:1998 ......
Testing Services
520191-2-1
PA 101
• •'
March.1999 .'
......
.... ......
Walker Engineering, Inc.
Calculations
25-7094
"""
Febrdhry 199(l....;
Calculations
25-7496
•.
%pvi:1996
Calculations
25-7584
Djcerp�er 19990: * * •
Calculations
25-7804b-8
..'..'
Der.*vbtr 1995.....
Calculations
25-7804-4 & 5
•••...
December 1996 .'
Calculations
25-7848-6
Djjyp it 1996000:6
Calculations
25-7183
: .'.
March 1995 ;....;
ATL of South Florida
RTI1110.01-16
ASTM C 1167
W112/16
RT1110.02-16 TAS 101 12/06/16
3. LIMITATIONS:
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may
required, refer to applicable building code.
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 Regulatory and Economic
Development Department — Product Control Section for review.
3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed
section 4.1 herein.
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated
otherwise by the underlayment material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with
applicable building code.
3.7 May be installed on sloped 7:12 or greater.
NOA No.: 16-1213.03
Expiration Date! 03/02/22
Approval Date: 03/02/17
Page 3 of 7
4. INSTALLATION
4.1 Brastile "S" Clay 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)
Length -I (ft)
Width-w (ft)
Brastile "S"
9.3
1.70
1
Table 2: Aerodynamic Multipliers - A (ft)
Tile
Profile
A (ft3)
Batten Application
J► (ft3) '....•
Diredt-Welk Apekcation
•
Brastile "S"
N/A
6.35
Table 3: Restoring Moments due to Gravity - M9 (ft-Ibf)'.••.• :""•
Tile
2":12"
3":12"
4":12"
5":12"
S. • •
• ��'; • 4" or
Profile
......
greater
Brastile
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Battens
Direct
Bate
Direct
list)
Deck
Deck
Deck
Deck
:
Deak
De
N/A
7.7
N/A
7.6
N/A
7.45 1
N/A
7.27
N/A
7.07
6.8
Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
for Mechanically Attached Systems
Tile
Profile
Fastener Type
Direct Deck
(min 15/32"
plywood)
Direct Deck
(min. 19132"
plywood)
Battens
Brastile "S"
2-10d Ring Shank Nails
28.6
41.2
N/A
1-10d Smooth or Screw Shank Nail
5.1
6.8
N/A
2-10d Smooth or Screw Shank Nails
6.9
9.2
N/A
1 #8 Screw
20.7
20.7
N/A
2 #8 Screw
43.2
43.2
N/A
1-10d Smooth or Screw Shank Nail
Field Clip)
23.1
23.1
N/A
1-10d Smooth or Screw Shank Nail
Eave Clip)
29.3
29.3
N/A
2-10d Smooth or Screw Shank Nails
Field Clip)
27.6
27.6
N/A
2-10d Smooth or Screw Shank Nails
Eave Clip)
38.1
38.1
N/A
NOA No.: 16-1213.03
Expiration Date: 03/02/22
Approval Date: 03/02/17
Page 4of7
Table 5: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf)
for Mechanically Attached Systems
Tile
Fastener Type
Direct Deck
Direct Deck
Battens
Profile
(min 15132"
(min. 19132"
plywood)
plywood)
Brastile "S"
2-10d Ring Shank Nails'
33.1
48.1
45.2
1 Installation with a 4" the
headlap and fasteners are located a min. of 21W from head of tile.
Table 6: Attachment Resistance Expressed as a Moment Mf (ft-Ibf)
for Two Paddy Adhesive Set Systems
0000
Tile
Tile Application
;Mipttpum
Attachment —
Profile
• • 'Resistancf
...... .. .. .. .
Brastile "S"
Adhesive'
• • •: • •
29.32•
1 See manufactures component approval for installation requirements.
• • • • • •
2 TILE BONDTM Roof Tile Adhesive; Average weight per paddy 10.7 grams
•
or.
......
. .. ...
•
ICP Adhesives and Sealants Inc.'s ICP Adhesives Pol set AH-160; Average weight per • •grams**:
0 0 • •
. . .
Table 7: Attachment Resistance Expressed as a Moment - Mt(ft lv) : • • • • 0
for Single Paddy Adhesive Set Systems • • • • •
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Brastile "S"
ICP Adhesives Pol set AH-160
66.53
ICP Adhesives Pol set AH-160
56.24
ICP Adhesives Polyset AH-160
38.75
3 Large paddy placement
of 63 grams
4 Large paddy placement
of 45 grams
5 Medium paddy
placement of 24 grams
Table 8: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf)
for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Brastile "S"
Mortar Sets
24.5
6 Seespecific mortar manufacturers Notice of Acceptance
NOA No.: 16-1213.03
Expiration Date: 03/02/22
Approval Date: 03/02/17
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".
BMSTI LE
Terra n ao - SC
Co North Sa g
gres Made in Brazil
... . ... . . .... ......
...... .. .. ......
LABEL FOR BRASTILE "S" CLAY ROOF TILE
(LOCATED ON THE SIDE OF TILE) • • • • • • • • •
...... . .. .....
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. : 00.
.. • .:
6.1.2 Any other documents required by Building Official or Applicable Molding codc� ► order to a
properly evaluate the installation of this system.
NOA No.: 16-1213.03
Expiration Date: 03/02/22
Approval Date: 03/02/17
Page 6 of 7
PROFILE DRAWING
TOPTELHA M14 SPANISH `S' CLAY ROOF TILE
END OF THIS ACCEPTANCE
NOA No.: 16-1213.03
Expiration Date: 03/02/22
Approval Date: 03/02/17
Page 7of7
MIAMEDADE MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami Florida 33175-2474
BOARD AND CODE ADMINISTRATION DMSION T (786) 315-2590 F (786) 315-2599
www.rniarnidade.2o-,,/economx
NOTICE OF ACCEPTANCE(NOA)
Owens Corning
One Owens CorningParkway
Toledo, OH 43659
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 • • • • . • •ction 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 Pfodttct Control Section •
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve tfie'rt't to have th'iS """
product or material tested for quality assurance purposes. If this product or material fails to p9;fprm in the ac 0 pted ....
manner, the manufacturer will incur the expense of such testing and the AHJ may immediathy.w lbke, rdCdif�'or .....
suspend the use of such product or material within their jurisdiction. RER reserves the right- to iiovoke this acceptance,:..'
if it is determined by Miami -Dade County Product Control Section that this product or mateltal-fails to meat -the • • • • •
requirements of the applicable building code. •
This product is approved as described herein, and has been designed to comply with the Flog da Building ('•ode "
including the High Velocity Hurricane Zone of the Florida Building Code. ' '0 00 " •' • •
DESCRIPTION: WeatherlocV Specialty Tile & Metal Underlayment
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# 17-0522.01 and consists of pages 1 through 4.
The submitted documentation was reviewed by Alex Tigera.
NOA No.: 18-0523.02
Expiration Date: 07/31/23
Approval Date: 08/02/18
Page 1 of 4
ROOFING COMPONENT APPROVAL
Category: Roofing
Sub -Category: Underlayment
Material: SBS
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Test Product
P oduct Description
Dimensions Specification .—.—.—
Weatherlock® 36" x 66.7' rolls TAS 103 SS ASTM D1970 wh to orf grelen glasssreering hnforceed polyester surfacing
Specialty Tile &
Metal Underlayment fabric; for use as an underlayment in sloped roof
assemblies. 0000
. . .... ......
...... .. .. ......
MANUFACTURING LOCATION:
1. Brentwood, NH.
2. Houston, TX.
EVIDENCE SUBMITTED:
_Test Agency
Test Identifier
Test Name/Report
PRI Construction Materials
OCF-312-02-01
ASTM D1623
Technologies, LLC.
OCF-320-02-01
TAS 103
OCF-426-02-01
ASTM D1970
OCF-426-02-02
TAS 103
OCF-426-02-04
ASTM D 1623
.' eate
07/03/17
06/28/17
07/12/18
07/23/18
07/12/18
NOA No.: 18-0523.02
Expiration Date: 07/31/23
Approval Date: 08/02/18
Page 2 of 4
APPROVED ASSEMBLIES:
Deck Type l: Wood, non -insulated, new construction
Deck Description: 15/32" or greater plywood or wood plank
System E(1): Anchor sheet mechanically fastened deck, membrane adhered.
Base Sheet: One or more plies of ASTM D226 Type H or ASTM D2626 with a minimum 4" side 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 Weatherlock® Specialty Tile & Metal Underlayment with a minimum 3"
side lap and 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 megiprane is
applied •
...... .. .. ......
Note: When used in Tile roof systems Weatherlock® Specialty Tilee&"Ittal Underlayment ;
shall be back nailed to deck with approved annular ring shank nails ahti'tin caps at a r�aximufn '
12" o.c. at the side laps. No nails or tin caps shall be exposed.
.... . .....
...... . .. .....
Surfacing: Approved for Adhered Roof Tile using TILE BOND or AH-160, Meckaskally Fastened Roof
Tile, Metal Roofing, Wood Shake & Shingles, and Asphaltic Shingfe a4sernblie9 • • • •: •
.. . ..
. .
NOA No.: 18-0523.02
Expiration Date: 07/31/23
Approval Date: 08/02/18
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. Weatherlock' Specialty Tile & Metal underlayment shall be installed in strict
compliance with applicable Building Code.
3. Weatherlock' Specialty Tile & Metal underlayment shall be applied to a smooth, clean and dry surface with deck
free of irregularities.
4. Weatherlock' Specialty Tile & Metal underlayment shall not be applied over an existing roof membrane as a
recover, but may be applied over roofing Base/Anchor sheet underlayment.
5. Weatherlock' Specialty Tile & Metal underlayment shall not be left exposed as a temporary roof for longer than
••.•
90 days of application.
. . ••.• •.••.•
6. The standard maximum roof pitch for Weatherlock' Specialty Tile & Metal underlayment shtlll be §!IZYdien tiles -,
are loaded directly to the Weatherlock' Specialty Tile & Metal underlayment; load N411bards de baAens &V *:.
required on roof pitches greater than 6:12".
7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approvar of thWproduct with- • •
specific prepared roofing products. • • • • • • • • • • • • • .... ... .. ..
8. Tiles shall be stored on battens on roof pitches greater than 6:12". .,.,, •, ,.•..
9. Weatherlock' Specialty Tile & Metal underlayment may be used with any approved root cov&kbg Notice of "
Acceptance listing Weatherlock' Specialty Tile & Metal underlayment as a component pert pf an �seplbly in iv- • -
Notice of Acceptance. If Weatherlock' Specialty Tile & Metal underlayment is not listed, a requeAjUy'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. The flashing tape shall be
pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Weatherlock' Specialty
Tile & Metal underlayment shall be applied over the underlayment.
15. 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.
16. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and
the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product
Control Seal as shown below.
C
-DADE COUNTY
....•
END OF THIS ACCEPTANCE
CIMIAMMMEUNTY...•
NOA No.: 18-0523.02
Expiration Date: 07/31/23
Approval Date: 08/02/18
Page 4 of 4
2
MIAMI-DARE COUNTY
MIAM PRODUCT CONTROL SECTION
"` 11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.2ov/economy
ICP Adhesives and Sealants, Inc.
12505 NW 44`h Street
Coral Springs, FL. 33065
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product ControlAAgption 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 CoupV.FT9duct C,gM01 SecVpp•.;.
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve "ght to have this product
or material tested for quality assurance purposes. If this product or material fails to erform isrthe accerted manner, 0Cc •:
q ty PmP P P Yam.....
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, fttdtlify, or Suspend the VV •
of such product or material within their jurisdiction. RER reserves the right to revok�:tt2it acedptahte, if it'N"
. .. .... .....
determined by Miami -Dade County Product Control Section that this product or material f "i �o meet the requiremenfso •
of the applicable building code. • • ' •
. . . . ......
This product is approved as described herein, and has been designed to comply with :the.Florida *Building Cam..;
including the High Velocity Hurricane Zone of the Florida Building Code. 0' 0 : •' 11'
.%
DESCRIPTION: ICP Adhesives Polyset' AH-160
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for
sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the 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 1 of 11
ROOFING COMPONENT APPROVAL:
Category: Roofing
Sub Category: Roof tile adhesive
Materials: Polyurethane
SCOPE:
This approves ICP Adhesives Polyset® AH-160 as manufactured by ICP Adhesives and Sealants, Inc. as described
in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable
building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing
Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using ICP
Adhesives Polyset® AH-160.
PRODUCTS MANUFACTURED BY APPLICANT:
Product Dimensions Test
Specifications
ICP Adhesives N/A TAS 101
Polyset'AH-160
ICP Adhesives Foam N/A
Dispenser RTF1000
ICP Adhesives ProPacV N/A
30 & 100
PRODUCTS MANUFACTURED BY OTHERS:
. . .... ......
Produ;Le9 riptio�••� ••••%•
......
Two component pdL*irAhane.'PltWadhestw..
......
. .. .... ...
.
....
Dispensing Equipm in
.. .. ......
•
. .. .
'm
. .
. . •....•
......
Dispensing EquipmP.tit
.'.
:....:
•• .
. ..
00:000
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment
resistance values with the use of ICP Adhesives Polyset' AH-160 roof tile adhesive.
MANUFACTURING LOCATION:
Tomball, TX.
PHYSICAL PROPERTIES:
Pronerty Test
Density ASTM D 1622
Compressive Strength ASTM D 1621
Tensile Strength ASTM D 1623
Water Absorption ASTM D 2127
Moisture Vapor Transmission ASTM E 96
Dimensional Stability ASTM D 2126
Closed Cell Content ASTM D 2856
Results
1.61bs./ft 3
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%
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•DADE CouNTY Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 2 of 11
EVIDENCE SUBMITTED:
Test Ae-ency Test Identifier Test Name/Report Date
Center for Applied Engineering
#94-060
TAS 101
04/08/94
257818-IPA
TAS 101
12/16/96
25-7438-3
SSTD 11-93
10/25/95
25-7438-4
25-7438-7
SSTD 11-93
11/02/95
25-7492
SSTD 11-93
12/12/95
Miles Laboratories
NB-589-631
ASTM D 1623
02 OI1..94
Polymers Division
. .
.... '
......
Ramtech Laboratories, Inc.
9637-92
ASTM E 108
• • • ; • •
04130M
"""
Southwest Research Institute
01-6743-011
ASTM E 108
• •' • • •
1f I6
•
,
01-6739-062b[l]
ASTM E84
01/105
....
..:..'
••••..
.. ..
....
......
•
Trinity Engineering
7050.02.96-1
TAS 114
• • • • • •
03/14/96
•
P36700.04.12
ASTM D 1623
04/.Wn
""' •
P39740.02.12
TAS 101
.'.
02/21/12
: • • • •
TAS 123
"
• e
•
Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98
528454-9-1
528454-10-1
520109-1 TAS 101 12/28/98
520109-2
520109-3
520109-6
520109-7
520191-1 TAS 101 03/02/99
520109-2-1
LIMITATIONS:
1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating.
2. ICP Adhesives Polyset' AH-160 shall solely be used with flat, low, & high tile profiles.
3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120.
4. Roof Tile manufactures acquiring acceptance for the use of ICP Adhesives Polyset AH-160 roof tile adhesive
with their tile assemblies shall test in accordance with TAS 101.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and
Rule 61G20-3 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 MaintenancclWklet.
. . ......
4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed bVZ.CP Adhesiv...es and • •
Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators -to the aithoriyhaviAge • • •
jurisdiction. •••••• • �••••�
5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is f%W;dd befile Application. • •
of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained �etwecn• • •
1.0-1.15 (A): 1.0 (B). •
.. .. .... ......
6. ICP Adhesives Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispense;R1'FI000 cir ICE ....:.
Adhesives ProPack® 30 & 100 dispensing equipment only. • • • • • •
7. ICP Adhesives Polyset® AH-160 shall not be exposed permanently to sunlight. •
8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives
Polyset® AH-160 has been dispensed.
9. ICP Adhesives Polyset® AH-160 placement and minimum patty weight shall be in accordance with the
'Placement Details' herein. Each generic tile profile requires the specific placement noted herein.
NOA No.: 17-0322.03
MAWDADHCOUNTY 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• •.
. ....
...
..
.
.. ..
... ..
LABELING:
All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the
manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami -
Dade County Product Control Seal as shown below.
MU"OME CCKX Y
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or applicable building code in order to properly evaluate the installation of this
system.
QMLAMMI-DWEC00UNTYNOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 5 of 11
ADHESIVE PLACEMENT DETAIL # 1
ItlaNthre taPd1astkConattt FaddYmanoathTIM)
{rf>� roqulrad►
Uadtdaymard °
1
Ea,rN:ourt. ��
•
a
21n
Emma Clasum
Nall through plastic cement
lwhen requlmo
Wily 404040h Tool
Uti�dMayt�nt
14 h►.x
21rLwtde
,
5�
�.ttens opelonal
141n
2i+.
t aua elas,ra
cam ckmrse
Fascia
MOt toughjFla►tir. -
i�vhtrt roqudrrdl ,.. IMdsy 111160 It TOO
Vod.rtaytrrnne d
t01n.k `�
2In. wida
Battens
optional e
Eseaca,tso Facda
► Weephok
to ha �,2 in. F&mdesum
J► Orlpedge
Flat/Low Profile Tile
1. Starting at the cave course, apply a minimum 2"
(50.8 men) 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 cm2) square jjach adhesive
contact with the underside of the tile*....' . • • • • •
.. •
...... .. .. ......
......
Medium Profile / Double Milk e • : • • • • • • • •
.
...... . •
•
1. Starting at the cave couAe, apply a *juij4vm 2"'
(50.8 mm) x 10" (254 rrtm) e 1" (25.'4 mm) foam • • • •
paddy onto the underlayment positicml g;p 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.
High Profile / Single Pan 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 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
tt.a�monaghpa►tsl�rs+nrt�tf� ;�� eeris[�,«rr,rr.y
1'wlusr� ngi�irsdi�
Nsdia
�acc«s; gpolonal
Eawca�rs.
.iz1,
r�
care clawr.
Nail through pUstic cement
f"en requiredl
Paddy 4senrath?llt!
ua�trfyan.nt $
7 2In.
Battens optional
110
,• F�sv+t�srtu+w
Faw [ours. — Nmda
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 cmz)
— 23 (148.4 cmz) square inch adhesive contact with the
underside of the tile.
2. At the second course, applya minimum 2f".8mmj •
x 7" (177.8 mm) x 1" (25.4 �&&) foam psddy. onto the • , ; •
underlayment positioned as�sp. under the
strengthening rib closest to "" • • tlyGoyerlock.ofthc the •
being set. : 6 0 • •
.... . .....
•a••a• . •• aaa••
3. Continue in same manner. lh§uMapproxifrtal'
ly 10 •
(64.5 cm) - 12 (77.4 cm' ) s�uarie finch adhesiv e ; •
contact with the underside of the file. ; • • • • •
Medium Profile / Double Pan 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
pan portion of the tile closest to the overlock of the
tile being set. Insure approximately 17 (109.7 cmz) —
23 (148.4 cmz) 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 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 cmz) 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 # 2 (CONTINUED)
Nall through PvS& ca
won to wlredj
Paddy tNs•n w1ATi1►)
�e12 in.
9xtansoptionA
t Rvecou
18 in.2In.
` 'N�ahowe
dare tiosurt
Drip efte
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. Insure approximately 17 (109.7 cmZ) —
23 (148.4 cm) square inch adhesive contact with the
underside of the tile. • • • •
. . .... ......
2. At the second course, apply l mlimum 2'1,161.8mgI ... •
x 7" (177.8 mm) x 1" (25.4'm�n� foam paddy onto the
a....a
underlayment positioned as$jVyvn under thg pan •
portion of the tile closest tb &o everloo ;f ;e tile • • • • •
being set. •••••• • .00.
• •••••
•• •• •••• ••aaa•
•
3. Continue in same manner. i$gtire appr(�ximately 17" •
......
(109.7 cmZ) - 19 (122.6 cme-) sgVg re incp adhesive
contact with the underside o she tile. .. •
. .
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 8 of 11
ADHESIVE PLACEMENT DETAIL # 3
Nail ftoaffi plastic cment Paddy tbetween tees)
(whenret uWj
ttattensoptional '
• Padd)r (under tile)
Single pa
an top of ttAe
4 x 411L
underSinglepad
an uglepaddy
ymea x
2x4(n.
10in Fascia
zin
Ease closure
mmmmmmmmi
Flat/Low Profile Tile
Nall thromp plastic cemerK Single paddy under de
(when required)
Paddy (between tiles)
Battens Paddy (under tile)
optionaI
�! �of��
Sf x on 2 x 4 in
�t
toin.�`� tin.
Eare Closure
Lwe Course Fascia
Medium Profile Tile
1. On the eave course only, 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 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: (109.7-14e4 enrj of • • • • ; •
adhesive contact with tha etndorside jclf trenile
...... .. .. ......
2. Apply a4"(101.6mm)x4'.J}01.6iffi);C1"Q2 A...•
mm) foam paddy onto tte rlayxlaent3ust beio**b • •
the second course line poi; • • . • •'
under the strengthening fib fet flat tile, Or under the'.
pan portion of the tile, closest to the LtW&bck for • •
the second course tile tole installed. In§Vre ; :*Go*:
approximately 8-9 in2 (53-58 1 cm3lQf 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 9 of 11
ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED)
wail through plastic Sie paddy under tRe
(when required)
paddy lbetween dies)
opttem Paddy (under tfle)
+ sib
, �an.
*!f'4 x 4 in.
Side 2 x 4 in-,
w on
�P tae
Save coarse *'' _;
da
vkwhole
1011L 2in. Eave desure
Drip edge
High ProflieTRe
3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x V
(19 mm) paddy on top of the eave 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 atthe overlap
and 7 (45.2 cm2) - 9 (58.1 cq) squarer iqclf ......
adhesive contact with thtafftside of the the at • •
•
the head of the tile. Continue in same mamier. • • • • • •
•
•
. . : . ......
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
t) Place enough adhesive to achieve 6S to 70 sq. in. Steep pitch applications
In contact with the pan tile. A (when required)
2) Turn coven upside down. Place adhesive in
to t in. from outside edge of cover tile.
Then install the tile. Ensure 20 to
25 sq. in. contact area. to
IUnderlayment
Eave closure
(motar shown)
Fascia
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
APPROVED
Two Piece Barrel (Cap and Pan) 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 two adjacent pan tiles. Support eave
tiles from rocking until adhesive has a chance to
cure. ....
• •
2. Continue in same matnterebringing rvvQ 1Vn ".
courses up toward the MiV. 'Insure" • • • • • • • •
approximately 65 (410 cm) — 70 (41 .6 cm2j • - • -
square inch adhesive co t with (V tlifderside ....
of the pan tile. •
3. Turn covers upside dol"Cigosing the'underside
of the tile. Apply a mittimum' 1" (2S A An) x 1 V • • •
(254 mm) bead of adhasive'directly on the inner— • •,
edge of each side of the cover tile. Lave"
approximately 3/4" (19 mm) to 1" (25.4 mm)
from the outside edge of the tile, inward, free of
foam to allow for expansion.
4. Turn cover tile over after foam is applied and
place onto pan tile course. Insure a minimum of
20 (129 cm) - 25 (161.3 cm2) square inch
contact area on each side of the cover tile to the
pan tile. Continue in same manner. Trim away
any cured exposed foam adhesive. Pointing of
longitudinal edges of the cover tiles are
considered optional.
5. When additional nailing is required, 2" (50.8
mm) x 4" (101.6 mm) nailers or the tie wire
system using galvanized, stainless steel, or
copper wire and compatible nails may be used.
END OF THIS ACCEPTANCE
NOA No.: 17-0322.03
Expiration Date: 05/10/22
Approval Date: 04/27/17
Page 11 of 11
�Sµoni�Y
'yam+P 00
fiLORIUp
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. Aa iifionally, the• • • • •.
following items should be addressed as part of the agreement between the owner antethe cor tractor;The pwner's •'
initial in the designated space indicates that the item has been explained. • •
...... .... ......
•••••• ••••••
�/ •••• •
fa
2. !� Renailing wood decks: When replacing roofing, the existing wdbrtof dedma�'••have to •••
be renailed in accordance with the current provisions of Section R4403. (TheT84fdeck is L;UeK'
concealed prior to removing the existing roof system). " " •
4.yv Exposed Ceiling: Exposed, open beam ceilings are where the underside of tht rpbf flecking •
can be viewed from below. The owner may wish to maintain the architectural appearance; therefore,
roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of
maintaining the appearance.
6. _Overflow scuppers (wait outlets): It is required that rainwater flows off so that the roof 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 provide It may be necessary to install overflow
/"rs in/�ccordance with the requirements of Section 44 ,R4403 and R4413.
Owner/A,#nt's Signature Date C tr or S' nature Date
fog 6V4'V-'*1 �/ &'vS-r'
Property Addres
VR //�i ) -r1" 1( 7111 �
Revised on 7/9/2009 LD;07/01/2015;
Permit Number