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RF-14-2239PERMIT APPLICATION Miami Shores Village wilding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING NoVt"14 FBC 20 (6 Master Permit No. Sub Permit No. % REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: :� City: Miami Shores County: Miami Dade Zip: ;g!zjl�5 Folio/Parcel#: % �� % =I&P Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Construction Type: Flood Zone: BFE: FFE: City: _010e6;�r State: .4� Zip: , Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:Glel�,o 4,0zae4 Phone#:�� Address: City:19/'ew- i 100 Qualifier Name: --ec4-P State Certification or Registration #: DESIGNER: Architect/Engineer: 6?%® Phone#• Certificate of Competency #: Address: 14- City: State: Zip: Value of Work for this Permit: $ f1670 Square/Linear Footage of Work: i2 �/ z Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: QeA1z &1LSA--? ISJa% QL46_7�'! 5 �{r� �1�,9 Specify color of color thru tile: Submittal Fee $ Permit Fee $ SS <:n CCF $ CO/CC $ Scanning Fee $4:�7`1 °m Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ t `rt Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State 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 law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of _ 20 11 . by I ala, ssi�- '+J , who is erson w to me or who has produced CONTRACTOR The foregoing instrument was acknowledged before me this dayof , 20 a Ce . by ITO� mJ , who i ersonally know to as me or who has produced identification and who did take an oath. identification and who did take an oath. as NOTARY PUBLIC: NOTARY PUBLIC: 1 m � Si/�"' Sig. Print: Print: 2 Sea I: rr MY COMMISSION # EE 17998 Seal: ,, I& fill :,::,�a,SASSI EXPIRES: March 13, 2016 r: r_ MY COMtd SSCION # EE 178098 Bonded ThN Notary Pubpc Underwriters EXPIRES: March 13, 2016 e' Ff �, Bonded Thru Notary Public UnderWrbre APPROVED BY t f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Florida Building Code Edition 2010 -- r'y � � jF:� ;° TF 0'. P Y gM Velocityr Hurricane Zona Unfform Permit Ammrm. on FoNov Section Q (Steep Sloped Roof S em)�-apt.' -- Roof System Manufacturer: F � Rw AE[`Ti�� Notice of Acceptance Number: I I -6!A I LI . A Minimum Design Wind Pressures, If Applicable ( From RAS 127 or Calculations P9: a , a P2: g • P3: t(o;2Co IV±rami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT 4L� SUBJFCT TO COMPLIANCE WTH ALL FEDERAL TATE AND COUNTY RULES AND REGULATIONS .. • Dear Type= i . ....0 Type Unieftyment .# • •ilii• 601 IV±rami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT 4L� SUBJFCT TO COMPLIANCE WTH ALL FEDERAL TATE AND COUNTY RULES AND REGULATIONS Page 4 of 5 MWMmm MIAMI-DARE COUNTY This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The 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.miamldade.eo1r&C9110mv Polyglass USA Inc. manner, the manufacturer will incur the expense of such testing and the AHJ may immediately swoke, mode fy, or 150 Lyon Drive suspend the use of such product or material within their jurisdiction. RER reserves the right to res+olce this I.ceWfince, Fernley, NV 89408 if it is determined by Miami -Dade County Product Control Section that this product or mateAdWsto me 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 P%dud Contrdl Section • •.. . (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the 1W4 Jq have thhis.:. • product or material tested for quality assurance purposes. If this product or material fails to pe4iPWp the accepted 0000:0 manner, the manufacturer will incur the expense of such testing and the AHJ may immediately swoke, mode fy, or :...4 suspend the use of such product or material within their jurisdiction. RER reserves the right to res+olce this I.ceWfince, if it is determined by Miami -Dade County Product Control Section that this product or mateAdWsto me • • • • • requirements of the applicable building code. 0000tihe.. ...... This product is approved as described herein, and has been designed to comply with the Florida'MICUing Code- . • including the High Velocity Hurricane Zone of the Florida Building Code. :... % • • • • • • .. . .... DESCRIPTION: Polyglass Polystick Underlayments ...... • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, 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 fled and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This revises NOA #11-1229.01 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. APPROVED NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 1 of 8 ROOFING COMPONENT APPROVAL Category. Roofing Sub-Catesory_: Underlayment Material: SBS, APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass - Manufacturing Location 61' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass - Manufacturing Location 61' x 3'33/$" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 Test Product Product Dimensions Specification Description Polystick MTS Roll: TAS 103 A homogeneous, rubberized asphalt underlayment 6518" x 373-3/8" waterproofing membrane, glass fiber reinforced 60 mils thick with polyolefinic film on the upper surface for Manufacturing Location use as an underlayment for metal roofing, roof #2 tile, slate tiles and shingle underlayment. Polystick IR -Xe Roll: TAS 103 and A fine granular/sand top surface self-aQiMrX underlayment 65' x 3133/8" ASTM D 1970 APP polymer modified, ApIpAis reinforced, •••. . Manufacturing Location Or 65' x 3' bituminous sheet materiaLW lsp as arn..... •� • • #1 & #2 60 mils thick underlayment in sloped rQQf*1vemblies. Designed as an ice & rain shield and a$.a Alt • • • • 6666.: roof tile underlayment. 000090 : ' 0 .0 Polystick TU Roll: TAS 103 and 69.00. 0 0006 A heavy granuled surfacd Seffoadheringo "1; 6666. ,,,,,. underlayment 32'10" x 3'33/8" ASTM D 1970 polymer modified, fiber 948Cpolyester• . • Manufacturing Location 100 mils thick reinforced, bituminous s eet material*jj*g as • .0.0:0 an underlayment in slope4 jeof assentblies. #1 & #2 Designed as a a roof tile underlayment. :0' 0 0 0 999. Polystick TU Plus Roll: TAS 103 and A rubberized asphalt self -adhering, glass- underlayment 65' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing (Surface Printing) 80 mils thick membrane. Designed as a metal roofing and roof Manufacturing Location tile underlayment. #1 & #2 Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing membrane, underlayment 32'10" x 3'33/$" ASTM D 1970 glass-fiber/polyester reinforced, with a granular Manufacturing Location 130 mils thick surface designed for use as a tile roof #2 underlayment. Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass - Manufacturing Location 61' x 3'33/8" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. Polystick Dual Pro Roll: TAS 103 and A rubberized asphalt self -adhering, glass - Manufacturing Location 61' x 3'33/$" ASTM D 1970 fiber/polyester reinforced waterproofing #2 60 mils thick membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 2 of 8 PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick TU Max Roll: TAS 103 and A rubberized asphalt self -adhering, polyester Manufacturing Location 65'8" x 3'3-3/8" ASTM D 1970 reinforced waterproofing membrane. Designed #2 60 mils thick as a a roof the underlayment. MANUFACTURING PLANTS: l.Hazelton, PA 2.Winter Haven, FL EVIDENCE SUBMITTED: Test Aaen¢v Test Identifier Test N me/Report Date Exterior Research & Design, LLC 11756.04.01-1 TAS 103 04/2.7/01. 11756.08.01-1 ASTM D 1970 . •. 0810bl- 02202.08.05 TAS 103 08/19/�05� Trinity I ERD P5110.08.07 TAS 103 08/29/07 P 10870.09.08-R 1 TAS 103 *Goo 12/04/08 P10870.04.09 TAS 103/ASTM D4798 & GI35oo6 04AI4096 P33360.06.10 ASTM D1970 •0666. 07%0�1/ra� P33370.03.1I TAS 103 ••.••. 03WtI P33370.04.11 ASTM D 1623 0 • • 0 •; 04/26/41 P36900.09.11 TAS 103/ASTM D4798 & Gr55 09i0I/1d P37300.10.11 TAS 110/ASTM D4798 & DM06'. 109'1W10 P40390. 08.12-1 TAS 103 & TAS 110 0 08/0§t12 P40390.08.12-2 ASTM D 1623 OR 912 P40390.10.12 ASTM D 1970 10/03/12 PRI Asphalt Technologies PRI01111 ASTM D 4977 04/08/02 PUSA-005-02-01 ASTM D 4977 01/31/02 PUSA-018-02-01 ASTM D 2523 07/14/03 PUSA-035-02-01 TAS 103 09/29/06 PUSA-033-02-01 ASTM D 1970 01/12/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-083-02-01 TAS 103 06/30/08 PUSA-089-02-01 TAS 103/ASTM D4798 & G155 07/06/09 Momentum Technologies, Inc. JX20147A TAS 103/ASTM D4798 & G155 04/01/08 RX14E8A TAS 103/ASTM D4798 & G155 11/09/09 DX23D8B TAS 103/ASTM D4798 & G155 02/18/10 DX23D8A TAS 103/ASTM D4798 & G155 02/18/10 0060.. 6 .....6 0000.. 0660. 66666 660000 6 0000.. 666666 NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non -insulated 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) Membrane: Polystick membranes self -adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3-V2" 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 44h.% applicable building code. 6 6 4. When applying the membrane in the valley, start at the low point and work to the highefthi!, rolflig We membrane from the center outward in both directions. 0000.. 6666 5. For ridge applications, center the membrane and roll from the center outward in both di;gjSons. �'.•�. 6. Roll or broom the entire membrane surface so as to have full contact with the surface elio4ag special • • 00 attention to lap areas. 00 • • • mt1 • cUrent Product 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Asse y • • Control Notice of Acceptance. • • • • • • 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. Tgo dasking tape jV1l be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystid:shall be applied over the underlayment. 0000.. 0000.. 0000.. 0000. 0000. 666666 0000.. 060000 0 0 NOA No.: 12-0713.02 tioaoe C unrnr Expiration Date: 09/13/16 ' ' Approval Date: 02/14/13 Page 4 of 8 GENERAL LEWTATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, Tile Pro and Dual Pro may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof the systems and quarry slate roof assemblies. Polystick M -Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. Polystick TU Max may be used in roof the systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof membrane as a recover system, 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Ea osure Limitations da s ; • • MTS IR -Xe TU TU Plus TU PTile Pro 'Dual TroMax Winter Haven, FL. 180 I80 180 180 180 180 0' 2" • 40 Hazelton, PA. N/A 30 30 180 N/A N/A MA 7, All products listed herein shall have a quality assurance audit in accordance with the Fle1qda13uildiag-Gode and Rule 9N-3 of the Florida Administrative Code. ' • • • • • • ... 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set fQdb,la jhe rooltile manufacturer's Notice of Acceptance. Polystick TU, TU Plus, Tile Pro and TU Max 4ay Wised is both adhesive set and mechanically fastened roof tile applications. Polystick IR -Xe, and Djal Pro are li&11518 mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fa teed with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened te4tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR -Xe Polystick TU, TU Polystick TU Plus, TU P, Tile Max Pro Flat Tile Prohibited without 5:12 No limitation No limitation battens Profiled Tile Prohibited without Prohibited No limitation No limitation battens The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 5 of 8 0000•• • • 0000•. 0000.: • 0000•• 0 0 V 11 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. Rauf Deck prepared with 000RCKTU Plw Roofing Thee (e Max Per StacR) • • 0000•• •0eGo •GGGiG 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approveR1af this pro4uct with specific prepared roofing products. Polystick MTS, IR -Xe, TU, TU Plus, TU P, '•I'4 Max, Dual•Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Pdiystick MTA, hige, TU, TU Plus, TU P, TU Max, Dual Pro and Tile Pro as a component part of an assembit'Iti:he Ngtkemofo Acceptance. If Polystick MTS, IR -Xe, TU, TU Plus, TU P, TU Max, Dual Pro and Tile IVo is not ltgted,•a request may be made to the AuthorityHavin Jurisdiction (AHJ) or the Miami -Dade G o•ni Product control Department for approval provided that appropriate documentation is provided to detajl cogtpatibil!"W-4the products, wind uplift resistance, and fire testing results. • LABELING: 0 0" 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. MIAMFDADE COUM'Y 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. HI MMADECOUNTY NOA No.: 12-0713.02 it ' ' . ® Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 6 of 8 0000•• • • 000.00 0000•• 0000• *Goes* 0 • GGG••• I 1 • POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure 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 edge seam as per Polyglass Back Nailing Guide. Nails shall be, i I gauge ring shank type, applied with a minimum 1"metal disk as required in Dade County or simplex type nail as otherwise allowabie in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back -nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 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 C,emer+t, Polyglass P0500 MD Flashing Cement, applied in between the application of the lap. Tl eouse of diude 0 between the laps does not apply to Polystick MTS. S. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments.M04 0 �o the Polyglass •� Tile Loading Guidelines. See General Limitations #9 and # 10. 000 0000 .� :0000: 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA's, must be0ds'bti on allot* * is for 0000. pitch/slopes of 7712" or greater. It is suggested that on pitch/slopes in excess of 6 '!"l 2'; precaptio": 09000 should be taken, such as the use of battens to prevent tile sliding during the loading grocs s s. 0 00 7. Minimum cure time after membrane installation & before loading of roofing tiles is forty -Fight 1� p4 flours. . 0 0 ; 0 8. Polystick membranes may not be used in any exposed application such as crickets a valle s or PS Y :0000: exposed roof to wall details. 0 0 0 0 0 0 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, 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. 10. All self -adhered membranes must be rolled to ensurefull contact with approved substrates. Polygiass 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 and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894-4563. MIAfMF E e COUNTY 0000, , NOA No.: 12-0713.02 Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 7 of 8 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 (NBCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE • 0000.. • . .00 0000.. 0000.. .0004. • 9400.. • 0000.. 0000.• 09 . :0000: 0000 • • • • •• 60000 .6..6. 0000 . 0000. 6 .. .. 00 0000.. 64.66. 0 • 6 • 0. .66009 0000.. Y. • .600 .0000. 600. MAMt�09ADf COUNTY NOA No.: 12-0713.02 �uwwmfrjq Expiration Date: 09/13/16 Approval Date: 02/14/13 Page 8 of 8 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-225429 Permit Number: RF -10-14-2239 Scheduled Inspection Date: December 18, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: CHURCH, MIAMI SHORES BAPTIST Job Address: 370 GRAND Concourse Miami Shores, FL 33138-2747 Project: CHURCH Contractor: ACEBO ROOFING CORP comments Work Classification: Tile Phone Number (305)758-0559 Parcel Number 1132060136040 Phone: 305-685-2534 RE- ROOF MAIN 2 STORY ROOF WITH TILES ( INDIAN ""'p""" I—. RED) INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-221490. Roof missing weep holes Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 17, 2014 For Inspections please call: (305)762-4949 Page 23 of 29 E A Tet: 786-398-9179 Fax 786-800-2827 altsa��res�� "i. LAB CERTIFICATION 010.0012-01 SITE SPECIFIC INFORMATION UPLIFT TEST — TAS #1" Roofing Contractor ACEBO ROOFING Job Address 370 GRAN© CONCOURSE MIAMI SHORES, FL. Owner's Name MIAMI SHORES BAPTIST CHURCH. Type of !he BERMUDA, INDIAN RED 9" Approximate Roof Height 20 feet Roof Pitch 4112 Approximate Square Footage of Roof 100 fe Dat4: Tested 17110/14 Number of Tests 147 C+f►t&dt Nafrte YOU & 60AVIO Permit # RF -10-14-2239 Date installed Type of Access to Roof LADDER Required Testing Force 35 Lbs Testing Equipment F.G.E.100 Phone ## 3U5-2534 & IN02.9762 LOCATION # OF TEST PASS # OF TEST FAIL Comer 10 Tests 10 Pass Test Fail Perimeter 13 Tests 13 Pass Test Fall Field 110 Tests 110 Pass Test Fail Ridge 14 Tests 14 Pass Test Fail TOTAL 147 Tests 147 Pass Test Fail MAECONA-In l8THTHURIT004O?PBQ'1QMP!S THfA SW MWWR-ASPAMT%STAMGUPtlFTMftlYQi�TMLrMT4MTESTBASOMPEREOWEDtNEUU- TOLT99 REQUIREAMM OF DATE COUNTRY. WITH NO DEVIATIONS. THIS REPM B NOTQUAHAN MIN CASE OF CASE OF NATURAL DMASTER& THIS REPORT IT15 NOTVALM FOR INSURANCE CLANS i AN T.I. 'YVA. P.E. # 67416 3 A-1 Engineering Inspection Services, Inc 7066 SW 44 Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 alroofms Mection@wnaii.com LAB CERTIFICATION # 10-0512.01 12/10/14 PERMIT. # RF -10 -14-2239 370 GRAND CONCOURSE MIAMI SHORES, FL. 33138 T T T T T T T T T �T T T T T T T T T T T T T T T T T T T T T T T T FLAT T T T T T T T T T T IAF T T T T T T T T T� T T— T T_ T T T T_ T T T T TT 7066 SW 44th Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 RE: Permit # %V P"*�g PEDRO ACEBO Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION AFFIDAVIT DATE: licensed as a (n) Contractor / Engineer / Architect, (Print name and circle Ucense Type) FS 468 Building Inspector License #:CCC058112 On or about '�l , I did personally inspect the roof deck nailing and (Date ✓£ time) Secondary water barrier work at MIAMI SHORES BAPTIST CHURCH- 370 GRAND CONCOURSE MIAMI SHORES, FL 33135 (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (B on 553.844 _.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 Notary Public, Sate of Florida at Large ®q day of Alnu -w 2o IV EXPIRES: Ik4arch 13, 2016 Ber. -e Thru NoWY public Underwriters "General, Building, Residential, or Roofing Contractors or any individual cerfified 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 Revised on 5/21/2009 �� Miami Shores Village OCT 14 2014 Building Department BY 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 J0 BUILDING Master Permit No. f 0� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC rffi� ROOFING REVISION ❑ EXTENSION E] RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _ IV Cft- AAlb �—Qlvilougo-e Folio/Parcel#:11-3206-013460tto Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): MIA SHORES BAPTIST CH INC Phone#: 30. 7 Address: 370 GRAND CONCOURSE City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Email: pe CONTRACTOR: Company Name: ACEBO ROOFING CORP Phone#. 305-685-2534 Address: 4305 E 10 LANE City. HIALEAH State: FL Zip: 33013 Qualifier Name: PEDRO ACEBO Phone#: State Certification or Registration #: CCC058112 Certificate of Competency #: DESIGNER: Architect/ Engineer: NSA Phone#: Address: City: State Zip: Value of Work for this Permit: $ ®® O Square/Linear Footage of Work: / 0 UCS 0.4Z Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: REROOF MAIN 2 STORY ROOF WITH TILES Specify color of color thru the:/Z moi` Submittal Fee $v ` Permit Fee $ CCF $ ® CO/CC t Scanning Fee $ �'� " Radon Fee $ —:l Q3 DBPR $ Notary $ Technology Fee $ Training/Education Fee $ c� ,00 Double Fee $ Structural Reviews $ Bond $ 5 TOTAL FEE NOW DUE $ ' !J& (Revised02/24/2014) 1/ 3 a 0 6 Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address City State 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 law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. Signature 'fie Signature Z��& OWNER or AGENT The foregoing instrument was a�ck`nowledged before me this � I day of Ay` W a -t- 120 ISI , by l �� <�Nu who is personally known to me or who has produced FL, -OL - as identification and who did take an oath. NOTARY PUBLIC: Sign: Print• Seal: EVELYN ARTCLA Notary Public, State of FbrWa Commissional EE 167446 My comm. expires Feb. 7, 2016 APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this _1 day of 20 Iq by Pm SCO g�E2 . whoei' rsanally known t me or who has produced as Identification and who did take an oath. NOTARY PUBLIC: WE FAULAMMI Seal: *qZ ry MY COMMI2016 SSION # EE 179098 P'r Bonded Th Not y Public EXPIRES: March Underiwriters '.Pf�tg "//t Plans Examiner Structural Review Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. X COPY OF QUALIFIER'S STATE LIC CARD B..X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. X COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: ACEBO ROOFING CORP BUSINESS ADDRESS: 4305 E 10 LANE CITY H IALEAH STATE FL ZIP CODE 33013 BUSINESS PHONE:3( 05 ) 685-2534 FAX NUMBER31 05 l 687-5526 CELL PHONE ( ) QUALIFIER'S NAME: PEDRO ACEBO QUALIFIER'S LIC NUMBER: CCC058112 E-MAIL ADDRESS (IF APPLICABLE): aceboroofingcorp@yahoo.com Created on 3119109 BY MLDV / RV 3126109 MLDV ACEBO-1 OP ID: LILL ,AC -7"J?"' CERTIFICATE OF LIABILITY INSURANCE DA071071201 Y) TYPE OF INSURANCE 07/07/2014 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 policy(les) must be endorsed. 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 Ileu of such endorsement(s). PRODUCER Insurance Marketing Center 2500 N. W. 79th Ave. #208 Miami, FL Maria E Padron dron CONTACT NAME: Insurance Marketing Center A/C"N .305-593-1449 AIC No): 305-592-3128 ADDRESS: lnfo@IMCdoral.com D INSURER(S) AFFORDING COVERAGE NAIC 0 10050 NE 2ND AVENUE INSURERA:Arch Speciality Ins. Co. GL000880-01 INSURED Acebo Roofing Corp 4305 E 10 th Lane INSURER B: INSURER C: Hialeah, FL 33013 INSURER D: PERSONAL &ADV INJURY $ 1,000,000 INSURER E : GENERAL AGGREGATE $ 2,000,000 INSURER F : PRODUCTS - COMP/OP AGG $ 1,000,00 COVERAGES CERTIFICATE NUMBER_ Rr-VI_CIn1d NI IMRPR• 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. TLTR TYPE OF INSURANCE NDDL BR POLICY NUMBER PMMOILIDDI EFF MMM/LIDD EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR 10050 NE 2ND AVENUE MIAMI SHORES, FL 33128 GL000880-01 05/19/2014 05/19/2015 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC 7X POLICY M JET F PRODUCTS - COMP/OP AGG $ 1,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS-0OWNED COMBINED SINGLE LIMIT Ea acddent BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ( ) PROPERTY ER ACCIDENT) $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU-OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFIED ROOF CONTRACTOR SCCCO58112 CERTIFICATE HOLDER CANCELLATION MIASH-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPT. AUTHOKMD REPRESENTATIVE 10050 NE 2ND AVENUE MIAMI SHORES, FL 33128 b,4 " ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCEDATEIMMfDOP/YY11 711/2014 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 policy (les) must be endorsed. 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 endorsemen s . PRODUCER CONTADr NAME FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33756 PHONE (AC,N%Fi* 1-800-277-1620 x4800 N,P 727-797-0704 04W` ADDRESS: INSURER(S) AFFORDING COVERAGE NAICO INSURER A: FRANK WINSTON CRUM INSURANCE CO. 11600 INSURED INSURER B: INSURER C: FrankCrum 1-800-277-1620 INSURER D. 100 S MISSOURI AVENUE INSURER E: CLEARWATER FL 33756 INSURER F: �,VrY IYVWO6R: THIS IS TO CERTIFY THATTHE 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, INSLAR TYPE OF INSURANCE ADDL INSR SUER WVD POUOY NUMBER POUCYEFF (MMIDWYYYY) POLICY EXP (MMIDDIYYYIT LMM AUTHORIZED REPRESENTATIVE GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES oommence $ MED PXP one $ CLADA84AADE =OCCUR PERSONAL & AOV INJURY $ GENERALAGGREGATE $ GEMLAGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ $ POLICY PROJEOT UTC AUTOMOBILE LIABILITYaoddeN ED8INGLE MI $ BODILY INJURY (Par Pinson) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NDN -OWNED HIREDAUTOS AUTO!) F BODILY INJURY (Per acdde* $ PROPMM DAMAGE erecddeA $ 11; LEBRELLA UAB OCCUR EACH OCCURRENCE AGGREGATE $ EXCESS LWB CLAIMS -MADE DED I I RETENTIONS $ A WORXERSCOMPENSATION AM EMPLOYERS' LIABILITY- ANY PROPRIETORIPARTNEWE%ECUAVE YIN OFFICERIMEMSER EXCLUDED? NIA WC201400000 1/1/2014 1/1/2015I STA o7"' X TORY UMIT8 ER E.L. EACH ACCIDENT $1,00(),000 P&MdAtoty In NH) Ifmdesmibetower ILL DISEASE -EAEMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,00010M DESCRIPTION OF OPERATION8I LOCATIONS I VEHICLES Otteoh ACORD 101,AddB(onal Remarim Schedule, If more epeoe M requbeo EFFECTIVE 12/3112003, COVERAGE IS FOR 1000/6 OF THE EMPLOYEES OF FRANKCRUM LEASED TO ACEBO ROOFING CORP. (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. (CLIENT REFERENCE: LICENSE NUMBER: #CCC058112) ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 28 (2010106) The ACORD name and logo are registered marke of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.' MIAMI SHORES VILLAGE BLDG. DEPT. 10050 NE 2 AVE. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 28 (2010106) The ACORD name and logo are registered marke of ACORD RIMMOT OMER ' KEN LAWSOR, SECRETARY II�,` SIF� I��A i CGt ` Au: 4. r 0r ow IOM, 1 x aapgtyeF 9FS E�^,�' °fi .. "� _ ��. �Y#�/� Ie, w.�.�.-. '�/s, ,.r - .,. �."-,n`t'w .'".` ._. ''�. �v: "".. a. Y'+� �'.�, �.:. °'.� �',b�xo�❑97��U� �d PPl F.` ISSUED: 08/19/2014 s DISPLAY AS REQUIRED BY LAW a pp4. SEQ # L1408190002323 d m t Oct. 8. 2014 3:23PM Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOT A BILL - DO NOT PAY 545458 No.3609 P. 1/1 LBT BU61NE68 NAME/LOCATION RECEIPT NO. EXPIRES ACEBO ROOFING CORP RENEWAL SEPTEMBER 30, 2015 4305 E 10 LA 545468 HIAIEAN, �L 33013 Must be displayed at piece of tweineee Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS ACESO ROOFING CORP 196 SPECIALTY BUILDING SY AX COYMENT LLECTOR CONTRACTOR 45.00 01/29/2014 Worker(a) 10 CCC058112 C14ECK21-14-038172 This Local Business Tex Receipt only confirms payment of the local Business Tex. The Receipt Is not a license, permit, or a cenification of the holdeA qualifications, to do business. Holder must comply with any governmental or nongovernmental regidaloo laws and requ&emenis which apply to the business. Tito RECEIPT N0. above must be displayed on all commercial vehicles- Miami -Dada Code See Ba -276. am-"' ..yor inose iofoimslion, visit 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: qJcz L,q 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: MIA SHORES BAPTIST CH INC �� &Va.7� 'MIAMI SHORES FL 33138 Property Address: Ccs Roofing Permit Number. Dear Buildjng 1 A certify that I am not required to retrofit the roof to wall connections of my building because: e The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) s — (–� /�Znl a�j 4jo"n Signature State of Florida County of Dade Print Name The undersigned, being the first duly swom, deposes -and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of C Asan DRAHARRISCN Notary Public, Sate of Florida at Large Notary Public, State of Florida Commission 0 EE 198163 My comm. expires May 14, 2016 • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to wall connection Hurricane Mitigation. Revised on 5/21/2009 RO AS E L $'„ F OP STRUCTURES OCTI.A �j 14 2814 BY; 1 Florida Building Code E I Ion High -Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Process No. Contractor's Name 'Yly'i hoe Job Address RODE CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile [ ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof ®`Reroofing ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) 100-00 `V, U W Lu et qq1 W U n 0 C'3 � p$(1 ng es akZ 0 (D F z Q d �C O��- N m coU) W cc ❑ Maintenance Total (SF) 14060 C Section R (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. . . . . . . . . . FLORIDA BUILDING CODE— BUILDIU.• • • • • • • • • • • U a he iv Lu et qq1 W U n 0 C'3 � p$(1 ng es akZ 0 (D t U W z Q d �C O��- N m coU) ❑ Maintenance Total (SF) 14060 C Section R (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. . . . . . . . . . FLORIDA BUILDING CODE— BUILDIU.• • • • • • • • • • • ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High -Velocity Hurricane zone Uniform Permit Application Form. Roof System Manufacturer: ENTEGRA- 9" BERMUDA FLAT TILES Notice of Acceptance Number: 11-0414.09 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations ))• P1: Z - 7®x P2• F t P3: - Maximum Design Pressure (From the Product Approval Specific System): 1-i - Deck Type: IWOOD Type Underlayment: #30 FELT Rn^f Tope: 12 \Insulation, I N/A Fire Barrier: I N/A Ridge Ventilati n? Fastener Type & Spacing: 1-1/4" RING SHANK NAILS WITH TIN CAPS Adhesive Type: HOT ASPHALT Type Cap Sheet: 1 #90 SLATE 1� Mean Roof Height: Roof Covering: ENTEGRA- 9" BERMUDA TILES • Type & Size Drip ` �^ .. ... Edge: .. ... .. . . . .. . ... . ... . ... ... . ... . . . . . . . . . . . . . . . . .. . •. . . .. FLORIDA BUILDING CODE— BUILDING • • • • : • • •: ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High -Velocity Hurricane Zone Uniform Permit Application Form. Ser -tion E (ile Calculations) For Moment based the systems, choose either Method 1 or 2. Compare the values for Mr with the values from Mt. If the Mr values are greater than or equal to the Mr values, for each arca of the roof, then the the attachment method is acceptable. Method I "Moment Based Tile Calculations Per RAS 127" (Pl: .A r. us 7 =,) _ Mg:� •-1a - = Mr .. . > Product Approval Mf 4I 1 R (N x % �'� � = I "4�) Mg: �1 f - ' =Mr2 b Product Approval Mt A (p,; 2as> x ✓,?-�;�_ ) - Mg: ` � = Mr3 L� � Product Approval Mt—tw..) ~ Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mf - M. re uired Moment Resistance* Mean Roof Height Roof Slope 16' 20' 26' 30' 40' 7:12 24A 26.9 27.1 9211 30.0 *Must be used in conjunction with a list of moment based file systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based the systems use Method 3. Compared the values for Fwith the values for Fr. If the Fvalues are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (PI: x L = x w: = } - W: x cos A —=Fr,— Product Approval F (P�,: x L = x w: = j - W: x cos B = Fri Product Approval F (P,: x L - X w: = ) - W. x — P = F ., P M,,,.t A--] F' Where to Obtain Information Description S mbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean RoofHeipht FI Job Site Roof Sloe B Job Site Aerodynamic Multitier A Product Approval Restoring Moment due to Gravity Mg product Approval Attachment Resistance ME Product Am3roval Reguired Moment Resistant • • • C cula • Minimum Anachme Resists Required Uplift Resistance • • • • • • • • V e i FrCalculated • • • • • • • • uctftoval• • 0 - Averape Tile Weieht. • • • W • dnet A royal • • • 00 • • Tile Dimensi � s • L =length • W = width i • • • • • P uct Appr� al • All calculations must be submitted to the buildinjz official at the time of permit application. ••• • • • • ••• • • • • • • • • • • • • FLORIDA BUILDING CODE— BUI�IVLN(O • • : 0.0 • • : • •: Owner's Notification Form HVHZ 2010 MI®� , "Delivering Excellence Every Days" SECTION 1524 HIGH VELOCITY HURRICANE ZONES- REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content f t s section: the provisions of Chapter 15 of the Florida Building Co e, Bua ang 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 and the contractor. The owner's initial in the designated space indicates that the i__ has been explained. 1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agrecment between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units . townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roo g system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 4or 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the of the structural assembly (Ike brl ld��ing i�lV.:Tha existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed'fy� Fl0bridd4icensed engineer or registered architect to eliminate the attic venting, venting shall not B8 rec�iretp • ' • • Owner's/Agent's Signature: 64,.1, • • • Contractor's Signature: ,;gam • Property Address: n�" �� /�_s p , i . s, � y • • _E"r 1• • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Date: C- / Permit Number: COUNTY MIAMI-DADE COUNTY PRODUCT CONTROL SECTION BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 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) wtvw.miamidade,P-ov/building/ Entegra Roof Tile, Inc. 1289 NE 96 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 BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County.) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Bermuda Concrete Flat 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'iln INHDA sitall be:pw Mded to the user by the manufacturer or its distributors and shall be available for inspee ioni tVe:* 4 s�tjnbth'e- request of the Building Official. .. ... .. . .... This renews NOA # 10-0518.01 and consists of pages 01 through 6. The submitted documentation was reviewed by.Alex Tiger. ... . ... . .. . .. ... . .. . % �.-- NOA No. 11-0414.09 Expiration Date: 06/07/16 • • • • • • Approval Date: 05/26/11 • Page 1 of 6 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . ROOFING ASSEMBLY APPROVAL Category: Roofing Sub Category: Roofing Tiles Material: Concrete 1. SCOPE This revises a roofing system using Entegra Flat Concrete Roof Tile, as manufactured Entegra Roof Tile Corporation in Okeechobee, FL. as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the design pressure values obtain 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 ApRIicant Dimensions Stoecikications Descrintion Entegra Flat Tile 1=16" TAS 112 Flat profile, interlocking, high pressure w =10" extruded concrete roof the equipped with two nail holes. For mechanical, mortar or adhesive set applications. Trim Pieces 1= varies TAS 112 Accessory trim, concrete roof pieces for use w = varies at hips, rakes, ridges and valley varying thickness terminations, Manufactured for each tile profile. 2.1 MANUFACTURING LOCATION 2.1.1. Okeechobee, FL. 2.2 EVIDENCE SUBMITTED Test AQency Test Identifier est Name/Re ort Date Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. APPROVED 7161-03 Appendix III 94-084 94-060A Static Uplift Testing Dec. 1991 PA IO2 & PA 102(A) Static Uplift Testing May 1994 PA 101 (Mortar Set) Static Uplift Testing March, 1994 PA 101 (Adhesive Set) . .. Static Uplift Testing Oct. 1994 • PA 102 • • •(4" Headlap, Nails, Direct Deck, New Construction) .... ....... . . • • • •• •• • • • •• •• ••• • • • ••• • • NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 2 of 6 The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Celotex Corporation Testing Service . Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineers 25-7094-8 25-7094-5 25-7183-6 25-7183-5 25-7214-1 25-7214-5 7161-03 Appendix 11 Letter Dated Aug. 1, 1994 P0631-01 P0402 Project No. 307025 Test #MDC -77 R1.894 R2.894 83.894 395-40011-1 520109-1 520111-4 520191-1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortdr Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 .. •.• • . . • . •• *Rvaluatiori cakilafioai s'. 'Bvak18tiC rr canons-.. Calculations • ••. 13343.19. • .. . . • • .• • . • . . • . .. . .. .. .. • • • . • • . . . . . • • . • . . . .. .. . . . .. .. ... . . . ..• . . Physical Properties PA 112 Static Uplift Testing PA 101 Static Uplift Testing PA 101 Aerodynamic Multiplier 25-7094 25-7496 25-7584 25-7804b-8 25-7804-4 & 5 25-7848-6 25-7183 Restoring Moment, Ma Two Patty Adhesive Set System TAS 112 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Aug. 1994 Feb 2004 Dec. 1998 March 1999 March 2004 Feb 1996 April 1996 December 1996 March 1995 March 2004 April 1999 05/06/08 NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 3 of 6 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 Building and Neighborhood Compliance Department — Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 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. 4. INSTALLATION 4.1 Entegra'Flat' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County 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-1(ft) Width -w (ft) 1 Ente ra Flat Tile 9.7 1.33 .833 Table 2: Aerodynamic Multipliers -1 ft Tile Profile x (ft) Batten Application h (fe) Direct Deck Ap � !kation Ente ra Flat Tile 0.189 .0205 Table 3: Restoring Moments due to Gravi - M ft -Ib Tile Profile 3":12" 4":12" 5":12" 611:12" Greater than 71112" Entegra Flat Tile Battens Direct Deck Battens Direct Deck Battens Direct I Deck Battens Direct I Deck Battens Direct Deck 6.53 6.97 6.43 6.86 6.29 6.71 1 6.14 6.54 1 5.97 6.35 ....... . .. .. .. ... .. . .... . ... . ••• . ••• ... . ... . .. . • . • • . • • . • • • NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 ••• • • ••• • • Page 4of6 • . . . • • • • . . Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Nall -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19132" plywood) Battens Entegra Flat 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 2 #8 Screw 51.7 61.7 24.4 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 22.1 2-10d Smooth or Screw Shank Nails Field Clip) 35.5 35.6 34.8 2-10d Smooth or Screw Shank Nails Eave Clip) 31.9 31.9 32.2 2-10d Ring Shank Nails 50.3 66.5 48.3 1 installation with a 4" ilia headlap and fasteners are located a min. of 2'/" from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mr (ft-lbf) for Two Patty Adhesive Set S stems Tile Profile Tile Application Minimum Attachment Resistance Entegra Flat Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoarn Product Inc. Average weight per patty 8 grams. NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 5 of 6 Table 6: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems The Profile Tile Application Minimum Attachment Resistance Entegra Flat Tile Poi Pro7m 118.9 PolyProTM 40.4 4 Large paddy placement of 45 grams of Pol ProT^". 5 Medium paddy,placement of 24 grams of Pol ProTh'. NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 5 of 6 • • • • • • • • • •• • • • • ••• • • ••• • ••• • ••• ••• • ••• • • • • • • • • • • • • • • • • •• • •• • • •• MUM -MME COUNTY • . • • • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 5 of 6 5. LABELING: All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved". ENTEGRA FLAT TILE LABEL (LOCATED ON UNDERSIDE OF TILE 6. Bui LDING PERMIT REQUIREIVmENTS: 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. CI T -I AFPROVED PROFILE DRAWING ENTEGRA "FLAT" CONCRETE ROOF TILE i" 16' —=i 10° FIELD TILE 16' .. . . . . ...I*I*Bj. ..: '.: kBrrr TILE $9ND IPF TRIS -4L CCgP.TA:NCE .. . ... . .. . :0: . • . • . . . . . . . •. . . . . . . . . . . . .. .. . . . .. 0. NOA No. 11-0414.09 Expiration Date: 06/07/16 Approval Date: 05/26/11 Page 6 of 6 MIAMI-DADE COUNTY f 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.tov/esonomv 3M Company 3M Center Building 0220-05-E-06 St. Paul, MN. 55144-1000 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and 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.9 tjv.requcst of th; $uil&g Official. This NOA revises NOA 13-0502.02 and consists ofpage$1; htoVA 11! The submitted documentation was reviewed 1:y A1V Tig8ra.' ' ' ' • �� APPROVED so 0 .... ....... . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 1 of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 as manufactured by 3M Company 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 2 -Component Foam Roof Tile Adhesive AH -160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2 -Component N/A Foam Roof Tile Adhesive AH -160 Foam Dispenser N/A RTF1000 ProPack@ 30 & 100 N/A TAS 101 Two component polyurethane foam adhesive PRODUCTS MANUFACTURED BY OTHERS: Dispensing Equipment Dispensing Equipment Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values with the use of 2 -Component Foam Roof Tile Adhesive AH -160 roof tile adhesive. MANUFACTURING LOCATION: 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./Ft' Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40° F., 2 weeks �.. �. . J-6.00/o.j(olume Change @158°F., 100% Humidity, 2 • ::V&14 Closed Cell Content A%TINE b 28S6: $bio .. ... .. . . . .. Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are %glWectio norjgal manufacoring variation. . . . . . . . . . . . NOA No.: 14-0805.01 MAMMADE COUNTY : :' : :' see :' Expiration Date: 05!10/17 Approval Date: 09/04/14 ... Page 2 of 11 • •• •• . • • •• •. ... . • . ... . . EVIDENCE SUBMITTED: Test Aeencv Test Identifier Test Name/Renort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 NOA No.: 14-0805.01 257818 -IPA TAS 101 12/16/96 • • • 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 Approval Date: 09/04/14 25-7438-7 SSTD 11-93 11/02/95 ••• 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB -589-631 ASTM D 1623 02/01/94 Polymers Division . .. ... . .. . Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[I] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 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. 3Mm 2 -Component Foam Roof Tile Adhesive AH -160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3M'm 2 -Component Foam Roof Tile Adhesive 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.. . • . .. . . . . ... . .000 00 . . ... . ••• . ••• ... . • • .. .. . . . NOA No.: 14-0805.01 • • • • Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 3of11 ••• ••• • • . . . . . . . . . . . .. ... . .. . . . . . ... .. .. . . INSTALLATION: 1. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 maybe used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160, 2. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2 -Component Foam Roof Tile Adhesive 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. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2 -Component Foam Roof Tile Adhesive AH - 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foam Dispenser 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. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 shall be applied with Foam Dispenser RTF 1000 or ProPack® 30 & 100 dispensing equipment only. 7. 3MTM 2 -Component Foam Roof Tile Adhesive 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 3MTM 2 - Component Foam Roof Tile Adhesive AH -160 has been dispensed. 9. 3MTM 2 -Component Foam Roof Tile Adhesive AH -160 placement and minimum patty weight shall be in accordance with the'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. ....... . .. .. . .. . . . . ... . .. ... .. . . . .. . ... . ••• . ••• • : % • : : • : : : NOA No.: 14-0805.01 . .. • • . • .. . • . .. • Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 4of11 ••• • • • ••• • . ...... . .... ... . . . ... . . 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 Profiles All Eave Course 17-23 sq. inches 45-65 Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead ••• edge) 20-25 sq. inches each • • • bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami - Dade County Product Control Seal as shown below. MAMIMADE COUNTY BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. •• ••• •• • • • •• • ••• • ••• • ••• ••• • ••• • • • • • • • • • • • • • • NOA No.: 14-0805.01 • • • • • • • • •. Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 5of11 ••• • • • • ••• • • • •• •• • • •• •• ••• • • •• ••• • • ADHESIVE PLACEMENT DETAIL # 1 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 cm2) 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" (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 cm) —23(148.4 cm) square inch adhesive contact with the underside of the tile. 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 cm) square inch adhesive �cotOct with the underside of the tile. ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 6 of 11 ADHESIVE PLACEMENT DETAIL # 2 Flat/Low Profile Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of 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 cm) - 12 (77.4 cm2) 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" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the file closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm2) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the 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 cm) square inch adhesive contact with the underside of the tile. • • •..e. . ... . .(Instructions continued on next page) V: V: . ...... . . . %: . . . . MIAMMADE COUNTY ' •' .. ... .. . .... NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 7 of 11 . ... . ... . ... V: V: . . . . . • . . . . . MIAMMADE COUNTY ' •' • • • • • • • ... . . . . ... . . • ••• • • . . . . . . . . . . . .. .. . . . .. .. ... . 0 . 000 0 . NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 7 of 11 ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) 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 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 pan portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 17" (109.7 cm2) - 19 (122.6 cm2) square inch adhesive contact with the underside of the tile. .. .... . . . . .. . ......... . .. ... .. . .... . ... . ... . ... ... . ... . . . . . . . . . . . . . . . . .. . .. . . .. ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 =71 7:MW",hz 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" (10 1.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 int (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. Insure approximately 8-9 int (51.6-58.1 cm2) of adhesive contact with the underside of the tile. (Instructions continued on next page) •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • ••• • ••• • ••• ••• • ••• • • • • • • • • • • • . . • • ...•. • • ••.. •• • . • • .•• . • NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x %" (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 file at the overlap and 7 (45.2 cm2) - 9 (58.1 cm2) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. Boa. MIAMaDADE COUNTY NOA No.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 10 of 11 1 t Pose enough adhesive:o achlave 65 to 70 a hnmraastwi Ma pantile. 2)Tarncowers upsidedown.Piace Whesive In flat h�.fromaatsldeeet�eatcovertNe' hu�taO !ha tom. sure zo to ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Steep pitch Removetop portion of the am course covert hLftuttos•cond course of jpatilmiUmmeava end dean and covarges are fluA ateave One. TW* Piece Barrel - High ProfileT'lle 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 cm2) — 70 (451.6 cm2) square inch adhesive contact with the underside of the pan tile. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive directly on the inner edge of each side of the cover tile. Leave 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 cm2) - 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.: 14-0805.01 Expiration Date: 05/10/17 Approval Date: 09/04/14 Page 11 of 11