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PRR 18-2633
TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered in person and via e-mail March 6, 2018 Martin E. O’Boyle [mail to: meo@commerce-group.com] Re: GS #2633 (1320 and 1330 N. Ocean Blvd.) I would like to review plans for Mr. Elmore's house and the one immediately west. I want to see appropriate permits and applications. Dear Martin E. O’Boyle [mail to: meo@commerce-group.com]: The Town of Gulf Stream has received your public records request dated March 6, 2018. These were provided for your review while you waited, to your satisfaction, and are also attached for your convenience. We consider this request closed. Sincerely, Reneé Rowan Basel As requested by Rita Taylor Town Clerk, Custodian of the Records 0 Z U UPS El U E 4. i i+' U:1 J L1 J u u Q 3 s° r. too C1 � Qi O GA d L^ PC l� 0 Z U UPS El U E 4. i i+' U:1 CITY OF [IELHAS' IIEACN :NED ® MECHANICAL _,,�PERRM_ IITr7A-P_P_LIaC�ApTIIrON 18 2017 (HVAC,REFRIGCRA7�tYN04�Ja�PFfE35TON) 100 NN 1'r Avenue Delray Beach FL 33444 Apt7f0f p(rt'�'tlt Sub I (561) 243-7200 Fax: (561)243-722" ;., -�, of GulfstreamFL IIli:ials ate Website: mvdelraybeaclr.com , �-r j'1 _ I ((;, 0 (`� � /�/V� /` 070 FOR OFFICE USE ONLY: PROPERTY CONTROL #: "j �(( I ��IJUFJ IJIJ I v BLDG PERMTM PLEASE PRINT: JOBS TEA DRESS © tJ U C,e,Gn (� v d PROPERTY OWNER NAME Fi 'E.'ihahf) HOME PHONE C5(QJ_) CELL PROPERTY OWNER ADDRESS ECHANICAL CONT'R (COMPANY) NAME_FS_ coYJ CONT'R ��y BUS. PHONE ST MECH PEI(Ml7'$: PEIUNIT PEE: PLAN CHECK FEE: MCR N: hhhhhkkthkkkkhhhhhhhkkhkhhhhhkkk APPROVALS: MECH: DATE: PLAN: DATE: FIRE-: DATE: INDICATE IF 1S REQUIRED ES FOR MUST BEON THE SITE FOR AES IF IIS NOT STARTED WITHIN 180 -DAYS OR IF ACTIVITY LL INSPECTIONS. FINAL INSPECTION ISR REQUIRED ON ALL PERMITS. DAYS. PLANS TWICOF INSTALLATION - CHUCK ALL THAT APPLY: A);SCRIPTION OF WORK: RESIDENTIAL COMMERCIAL NEW REPLACEMENT HVAC: **ANYTHING OVER(5 TONS MAY RE( CIU MODEL NO. & CIB SIZE uA,r A.M.U. MODEL NO. &GBS E \ BTUH CAPACITY3 S.E.L•.R RATING DUCTWORK: (Y) N) PROJBCT. COST (I;ABOR ANA MATERIAL): ❑ rrrnr�TION Equipment Type: _ C.U. Model No.: _ H.P. or BTU/1-IR: _ EN.A.P. Model M _ Effc'y Rating: PROJ1rCI'_COST (LABOR AND MATERIAL): ,TATE Or ' COUNTY OFS d1iY�—; The{f�or�eg,oi�ng instrw', was ackr of 1 20 by C' FIRCDEPT. REVIC149APPROVAL** (a7-(A�:�w V(-1 V\,Q PACKAGE UNIT: r"41 0 HOOD );YHAUST BOOTH — DL014'GR 13 SETS on PLANS REQo) Spray Booth: Hoods: SUPPRIOSION SYSTEMS (3 SB'rS OR PLANS RKQD) Halon: 1-120 Dry Chem: Wet Chem: PRO.IBCI' COSr(LABOR AND MKPBRIAI,): N WORK—RS COMPN Notary Public - State of Florida ly Comm. Expires Jan 13. 2018 Commission # FF 082541 OR LXFmrT (riD it N) I Personally Kttowo OR Produced Identification Typo of Identification Produced (SEAL) Rvsd 9/10 PROPOSAL WWWhoneROA38.0077 Fax: 561.736-6144 FL State License #CMC051444 V04202012 FL State License #CAC039716 Customer System Investment Additional Improvements Total of FPL Rebates Instant Rebate DISCOUNT Total Due at Install Manufacturer's Mail -in Rebate Total Investment Addressl X Rebuild Stand BEATRICE WERHAHN 1330 N. OCEAN DRIVE Subdivision Filter Drier Cityl GULFSTREAM State FL Zipcode 33436 Home Phone 561-901-1725 Alternate Phone Refrigerant Recovery Option 1 Option 2 41 z Tonnage: 3 Manufacturer: 0 CARRIER Z g: W Heater (KWs) 10 Condenser: 0 24AC6736 aCrane Service Air Handler: 0 FV4CNF002 High Lift Needed SEER ISPEEDS 0 1 16 2 W Hydraulic Lift BTL/s: 0 3600CY0 Extension Ladder Refrigerant: 0 R41 OA N Astro Guarantee Compressor: COMP WARR 10 YEARS COMP WARR W ~ Limited Cond. Coil: C.COIL WARR 10 YEARS C.COIL WARR z 18 Year Amara Warr Evap. Cal: E.COIL WARR 10 YEARS E.COIL WARR a it 10 Year Ext Warr Other Parts: PARTS WARR 10 YEARS PARTS WARR Q Trane Sea Coast Warr Labor: LABOR WARR 1 YEAR LABOR WARR 3 Maintenance COMFORT PERFORMANCE INFINITY J Honeywell Will T -stat F Germicidal UV Light X Meet State 8 Local Codes O X Programmable ThermostatQ 1" Media H X Meet Factory Specifications rz Standard Digital Thermostat =3REME Guardian Air Cleaner LL X Meet FPL Requirements zz Communicating I Thermidstat CY 5" Media Air Cleaner y X Installers Check List U Edge H Control Thermostat Q Trane Clean Effects X Permit Fee Included U X New Disconnect of X New Duct Plenums Z Vertical Secondary Drain Pan X New Electrical Whip O Damper Collars J Condensate Pump U Surge Protector Coil Access Door z New Drain Line J Storm Kit j New Return Grill K Drain Pan Overflow Switch W X New Breaker ❑ Duct Leakage Test O Drain Line Cut-off Switch JX Q System Investment Additional Improvements Total of FPL Rebates Instant Rebate DISCOUNT Total Due at Install Manufacturer's Mail -in Rebate Total Investment Horizontal Application X Rebuild Stand X Hurricane Strapping Filter Drier z O #NIA Vert Air Handler Stand Concrete Slab Refrigerant Recovery X PERMIT F New Roof Stand New Copper Lines $ 6,408 Smoke Detector X RGF Anti -Corr Device ❑ Design Q Improvements F CSI COATING AND COPPER FILTER z Lu$ U) W z System Investment Additional Improvements Total of FPL Rebates Instant Rebate DISCOUNT Total Due at Install Manufacturer's Mail -in Rebate Total Investment #NIA #NIA $ #NIA #NIA Payment Upon Installation: ®cash J It is agreed and understood by the parties that all equipment which is sold pursuant hereto shall not become fixtures or part of the real estate where they am placed. Said parts and equipment O shall at all times remain personal pmper y and the title thereto shall remain in the seller until payment in full is recieved. Buyer hereby agrees that all equipment may be reposessed in the n- event of non-payment. IL a I have the authority to order the work as desired in this proposal. I agree to pay all costs and reasonable attorney's fees if this proposal is placed in the hands of an attorney for collection $ 6,408 $ 6,408 $ 6,408 $ 6,408 ®Credit card Opt Selected #N/A #N/A #N/A JIM DAVIS 05/16/17 (Astro Air) Date dote Valid for 30 Days FAmMI 1 ficate of Product Ratings AHRI Certified Reference Number: 9177135 Date: 5/17/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB736A`031' Indoor Unit Model Number: FV4CNF002L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: PERFORMANCE 17 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 36000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): ' Ratings followed by an asterisk rl indicate a voluntary reate of previously published data, unless accompanied with a WAS. which indicates an involuntary remie. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrldltectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and Pin confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered Into o computer database; orotherivise utilized, in anyform or manner or by any means, except for the users Individual, personal and confidential reference. AIR ONDRIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridhectory.org, click on 'Verify Certificate- link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 231395098517246060 at y r O m^ ,o cm = 010 (gyp ry� N N � S G N= J o — N w o_ t w = 1 y 1 0 � fAv; w � �a N •e °, � � W y C7 a = m in w r cc m lz n 2 9 � 1. y -n w a tJ ► = o L a J�El at y r LIM OF OaRi BBitH ROOF / RE -ROOF PERMIT APPLICATION �EIVEIDi TOWNOP'isLfiPsTREAM 100 NW I" Avenue Delray Beach FL 33444 Appro r omit Sub al (561) 243-7200 Fax: (561) 243-7221 NOV 0 6 2017 Ini _alsPdt LZ NL Website: mvde/ravbeach.com Town of Gulfstream, FL FOR OFFICE USE PROPERTY CONTROL #: 20 _ 43 _ 46 _ 09 _ 03 _ 000-0070 PLEASE PRINT JOB SITE ADDRESS 1330 N Ocean blvd. PROPERTY OWNER NAME BW North Ocean Inc. HOME PHONE (—� PROPERTY OWNER ADDRESS CELL 114 NE 1st Ave. Delray Beach, FL 33444 ROOF CONT'R (COMPANY) NAME Campany Roof Maint. Roofing Division LLC ROOF CONT'R ADDRESS 917 28th St. CITY West Palm Beach FL ZIP 33407 BUS. PHONE( 561 ) 932-8019 CELL N/A FAX (561) 863-1722 E-MAIL Kaylee.brodock@crmrd.com BLDG PERMIT#: g ROOF PERMIT hl! - PERMIT FEE: PLAN CHECK FEE: MCR #: ssssassssssssssassssasssss**srs APPROVALS: PLAI�KK6— DATE:/ -I--7--/ P & Z: DATE: NOTE: PERMIT EXPIRES /F WORK /S NOT STARTED WITHIN 180 -DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL/NSPCTION IS REQUIRED ON ALL PERMITS. PROJECT COST (Labor and Material) $ 119,338.00 1/ Check one: _NEW CONSTRUCTION _RECOVER OVER EXISTING ✓REMOVE EXISTING & REPLACE _R/R A/C UNITS (Engineer's Letter Required) (Mech. Permit Required) Check one: V SINGLE-FAMILY* MULTI -FAMILY *MITIGATION REQUIREMENTS IF SINGLE FAMILY: 1. YEAR BUILT (check one): V BEFORE MARCH 2002 (Go To #2) _COMMERCIAL _ AFTER MARCH 2002 2. HOUSE VALUE: $ 1,479,717.00 MUST PROVIDE: HOME INSURANCE SUMMARY SHEET OR (IF $300,000, OR MORE, NOT INCLUDING LAND VALUE, COPY OF MOST RECENT TAX BILL OR GO TO #3) PROPERTY APPRAISER OFFICE WEBPAGE 3. SUBMIT RE -ROOFING MITIGATION DOCUMENT PACKAGE and BUILDING APPLICATION UPLIFT TIES ML E('2 NRED TYPE/COLOR OF ROOF MATERIAL REMOVED Tile/Modified TYPF/COLOR OF ROOF MATERIAL INSTALLED Tile / Modified NOTE: FOLLOW MANUFACTURER'S GUIDELINES AND NOTICE OF ACCEPTANCE FOR SHINGLE INSTALLATION. ROOF TYPE (CIRCLE): FLAT SLOPED 8: 12 SIGNATURE OF QUAIFIE STATE OF Florida COUNTY OF Palm Beach MANUFACTURER: CertainTeed 1111111111111981=!.:.. min CONTIL REGISTRATION # The foregoing instrument was acknowledged before me this 27 day of October 120 17 by Edward Campany Z_dup Signature &PNotary Public PRODUCT APPROVAL NUMBER 14-0529.02 _15-0721 L4 WC 90-00-818-06 OR WORKERS COMP# EXEMPTS (FID /FEIN) # Personally Known V OR Produced Identification _ Type of Identification Produced �:.P •. 14(E BRODOCK ,:°•' Noleruy�uUlic-StateotFlorida Commission #FF204691 �•. "Rvsd.3/10 .. My Commission Expires 'fO(i`•'� March 1, 2019 100 NW 1' Avenue •Delray Beach, FL 33444 DEC 05 2017 (561) 243-7200 - Fax (561) 243-7221 .ppro a ($ Yi21 g�uullff FFLL www.mydeiraybeach.com .itials__ ='�tN LDIN�i�RTNI�P��PLICATION APPL DATE F.B.C. Name�l,[� hzo(LTFi OC�A,J `fir . Address_Sib1_0 Q .0[k & 1Q_4, City ACi1 State El . Zip 33483 Home Phone ( } Cell Phone ( ) Fax No. ( y Email Address Property Control Number Address of Proposed Work �W t3Qx� nO _1�jgb, t>E1 1(L (SawcM Legal Description A;C aoUTl�. Su` S,o. B 3 l.7ZS - -1 : *7 Ste or Apt # / Floor Project Name (d applicable) Fee Simple Title Holder (if other than owner) Address Mortgage Lender Address City State Zip Description of the proposed work ❑ Check if Owner/Builder (See Page 3) Contractor License No.c Workers' Comp No Soil lots oiik0�k � Company Ii�OV� _ Fkkc?_ 62(__ Address %0l,O-CoAjr Lr�$_ -JL. �_L� City. (SLt�S�tate Phone, V64 Fax Cell Email Nya-_Fust.',.) MAJO i roa5 .Cow Architec (neer' ameSC—.I sKn Address ,i71 ti1.CoRt�bS tl �1L. kT� wn PERMIT sipu kms pMl9 am Damm pick-up): Contact Name Phone Ext. Cell Bonding Company Address City IMPROVEMENTS State Zip _ State Zip - Construction, Addition, Interior/Exterior Alteration, WndoWW'Doors, eta.) � - PrT \ rAc \i dAF.7 l 'NsiiZ A t 1 C Is this a City ur Re-hab protect? ❑ Yes E No Is the budding served with an automatic fire sprinkler system? ❑ Yes [a`No Current Use or Occupancy_Wl: Is this a change in the Use or Occupancy? ❑ Yes C3 No For Impact Fee Credit, Existing or Previous Structure Demolished? ❑ Yes [q'No Type of Structure Demolished e•SFR ❑ Commercial ❑ Commercial Accessory Building ( PLEASE CHOOSE ONE OF THE FOLLOWING: NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE t• 1 MISCELLANEOUS PERMITS - FEE SCHEDULE II• TOTAL COST OF CONSTRUCTION TO INCLUDE: STRUCTURAL. ROOFING, ELEC. MECH, PLBG NOTE: OTHER ASSOCIATED TRADES TO BE FEED SEPARATELY UNDER FEE SCHEDULE II OR Ill. OR III. THESE INCLUDE LOW VOLTAGE. HOODISUPPRESSION SYSTEM, FIRE SPRINKLERS. IRRIGATION, LANDSCAPING, PAVING. ETC. .1 ALTERATIONS & GENERAL CONSTRUC N-SCHED. W TOTAL COST OF CONSTRUCTION. S -Q99 COST OF CONSTRUCTION WITHOUT TRIM NOTE: �,� ALL SUB -TRADES TO BE FEED SEPARATELY. THESE INCLUDE ELEC, MECH, PLBG, ROOFING, LOW VOLTAGE, HOODISUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. *SEE BUILDING PERMIT FEE APPLICATION CERTIFICATION AND ACKNOWLEDGEMENT Appliation is hereby made to obtain a permit to do the work and installation 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 th;s junsdctlon A City Building Permit does not assure compliance with Homeowners Association's rules, regulations andfor deed restrictions. Applicant is advised to obtain approval from the Homeowners Association before improving any property. Applican: further acknowledges the following. • Separate permits must be secured for ELECTRICAL, PLUMBING, MECHANICAL, WELLS, POOLS, FIRE SPRINKLER, SIGNS. LANDSCAPE. IRRIGATION, ROOFING, SHUTTERS, ETC. This permit becomes null and void if work or construction authorized is not commenced within six (6) months or if construction or work is suspended or abandoned for a period of six Bj months at any fine after work is commenced. Permit will be considered suspended or abandoned if it does not pass an inspection within 180 days and will be subject to a reactivation fee in the amount In force at the time of reactivation. . Fafure to comply with all applicable construction regulatwns may result in the withholding of future permits. . Submission of any false information or misrepresentation is a violation of law and shall result in revocation of your permit. NOTICE. In addition to the requirements of this permit, there may be additional restrictions applicable to the property that may be found in Lhc public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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. OWNER'S AFFIDAVIT: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other stale or local law regulating construction or the performance of construction. PROPERTY OWNER STATE OF FLORIDA, • TY OF PALM BEACH : sig:ururc of -Pmnlv-J Yaitw .:((hv:uT �err lw ll, //rzcl 1n. STATE OF FLORIDA. COUNTY OF PALM BEACH Tho fore � Ing instrument was acknowledgLd before me This day Q100. _, 20_, By Pi -S r'kN& etm(a, 3k-+ _%CPcrsonatly Known OR Produced Ideutifieation Type of Identification: EP 0 (IJit R. Sig, I w Notary Public St aim • Commission N 60026689 sy My Comm. Expires Sap 11, 2020 ..... • ,eP,Mk•' Bdndedl}tioobll National 1101181Y.40. _ GENERAL CONTRACFOK STATE OF FLORIDA, CO\UNN I*Y OF PALM BEACH t�1 L�1 car �• \ \O�W STATE OF FLORIDA, COUNTY OF PALM BEACH The fureguiug instrument was acknowlodged before me This A4% day 11)60- 120 By A •T•�Ac(ra/Loh - fersonally Known OR Produced Identification Type of Identification. sigmtmo or Ne Col- a GG 026669 d ''� M� • • 1:19 Sep 11, 2020 (SEAL) . "al Natarwaeae CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561) 243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: RE -ROOF PERMIT 8/12 Permit Phone Access#: 2172492 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 12/01/17 Prepared by: THOME Date Issued: 12/07/17 Permit No.: AMT PAID 17-00173032 000 000 RROF 00 City Range Twnsh . Section Subdivision Block Lot AMT PAID Plat/Book/Pacie 20 43 46 .00 09 03 000 0070 Property Address BLDG SURCHARGE -DCA 26.58 .00 Zoning Reviewed B 1330 N OCEAN BLVD 3?.87 .00 UK JRG Subdivision Name 2724.45 .00 Improvements RE -ROOF OF EXISTING STRUCTURE Owner's Name/Address/ rel hone Contractor's Name/Address/License/iele hone BW NORTH OCEAN INC 1330 N OCEAN BLVD DELRAY BEACH FL 33483 CAMPANY ROOF MAINTENANCE ROOFI 917 28TH ST WEST PALM BEACH FL 33407 561-863-6550 Additional Comments Construction EPI/EER FFE FLZ Occupancy . Ft. Valuation .00 .00 R -SF 119338 Schedule of Fees and Additional Information AMT CHRG AMT PAID AMT DUE ACCOUNT PERMIT FEES 2658.00 .00 2658.00 125-0000-329.22-00 OTHER FEES: BLDG SURCHARGE -DCA 26.58 .00 26.58 001-0000-208.05-00 BLDG SURCHARGE-DBPR 3?.87 .00 39.87 001-0000-208.06-00 GRAND TOTAL 2724.45 .00 2724.45 SPECIAL NOTES & RESTRICTIONS: REROOF: SLOPED 8:12 ENTEGRA TILE 15-0721.04 FLAT CERTAINTEED 14-0529.02 $1.00 HOLD UNTIL MITIGATION AFFIDAVIT REC' D THE CITY OF DELRAY BEACH ENCOURAGES THE USE OF ENERGY STAR PRODUCTS. THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY (180) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (1801 DAYS FROM TIME WORK IS COMPLETED_ ny change in building plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit prior to arting. In consideration of the granting of this permit, the owner and builder agree to erect this structure in full compliance with the Code of irdin�nnm [5....-L CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561)243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: BUILDING PERMIT 8/12 Permit Phone Access#: 2172500 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 12/01/17 Prepared by: THOME Date Issued: 12/07/17 Permit No.: Lot 17-00173032 000 000 B3 00 City Range Twnsh . Section Subdivision Bbck Lot Plat/Book/Page 20 43 46 09 03 000 0070 Property Address Zoninc Reviewed B 1330 N OCEAN BLVD UK JRG Subdivision Name Improvements RE -ROOF OF EXISTING STRUCTURE Owner's Name/Addressrrelephone Contractor's NamWAddress/Ucense/Telephone BW NORTH OCEAN INC 1330 N OCEAN BLVD DELRAY BEACH FL 33483 MOUW ASSOCIATES, INC 601 N CONGRESS AVE #109 DELRAY BEACH FL 33445 561-276-9640 Additional Comments Construction EPI/EER FFE FLZ Occupancy So. Ft. Valuation .00 .00 R -SF 119338 Schedule of Fees and Additional Information AMT CHRG AMT PAID AMT DUE ACCOUNT PERMIT FEE - NO CHARGE .00 .00 .00 125-0000-322.10-00 OTHER FEES: BLDG SURCHARGE -DCA 26.58 BLDG SURCHARGE-DBPR 39.87 GRAND TOTAL 66.45 SPECIAL NOTES & RESTRICTIONS: REROOF: SLOPED 8:12 ENTEGRA TILE 15-0721.04 FLAT CERTAINTEED 14-0529.02 $1.00 HOLD UNTIL MITIGATION AFFIDAVIT REC'D THE CITY OF DELRAY BEACH ENCOURAGES THE USE OF ENERGY STAR PRODUCTS. 00—sc:�c— 001-0000-208.05-00 00 001-0000-208.06-00 00 THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY U( DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHT�(180) DAYS FROM TIME WORK IS COMPLETED. In building plans or specifications must be recorded v onsideraban of the granting of this permit, the owner A the City of Delray Beach. a valid permit prior to Ice with the Code of i umi nm iiiii lull um um iii c.r ro�u>. reas,r rvsr� OR. By 24428 FG 0358 h'tCUN'UtU 111/Lb/1gJ3/ 1L:, S:L1 Palm Beach Counter Florida Hharon N. BOrBrgLLKA 8 6'UMtlNULLtN Ps 0358; (las) NOTICE OF COMhIENCEMENT Tlm undasignaf hucby',es.otim shat lmpm.emmt win be madetomrtain rvl PmpatY, and ioacmrdeece with Lleprc713, TOWN �F GULF STREAM Florida Statutes, be fallewio8 blfatmadoa is providal In this Nodco of CommcevL erne 1.01=1Irr1ON'ar rgDrbAiY({<pt deSaapYgl eflhe pmµvfyR mesl WGm,ItavaiGhlel rAK rouu so.: 7a 100 SEA ROAD susnivman MC Louth Sub In atncR 7naL�_t.or etnr._sxrt_ GULF STREAM, FLORIDA 33483 1330 N. Ocean Blvd. - MC LOUTH SUB LTS 7 8 7A acscwrnav ar ratrevveswvr: 7. o5vrmtnveo5uunov aatzsse: tnrownnan luxe t.sssrEt�.murzo roarxewrRavuSen-n �' ' . s.m..m.aa-1330 N. Ocean Blvd Delrav Beach FL 33483 . l� �,� �,(�� �(\C a lam.lmr,apm7: Owner ew..,.mt<ee.,<arne ampa ua:a.m preib fm., F� RECEIVED A. carrRacrow•s11 r%= Camoanv Roof Maintenance Roofing Division LLC cm,aam•. a,lm� 917 28th St. West Palm Beach FL 33407 b. Fe.. m„bo.(5611863-6550 NOV 0 6 2017 i aCRlTY (Ifappliebk.a mpr WOa PT.<ntbm,lewdW4 s. s. acvaexax ta,d<r..ea,mc 7. Perwm within the Rue afflmida dmigutol by Ownc upm wham n.Ek m odic domnmevay be scrod u,,,Add by Smtioa 713. U () (a) 7, Florida St.,- av,o�am.ae,x 8.a. 5a addiionm bimNforhaec([pwaer desiguma of ra reeslve a copy of the Elena's Naas as 1205•idol in S.Cdov 713.13 (1) de). Flaida Sanwa. a rbm.m� erg,. �;n�wt.+brt>.eQ 9. Expindendao efeedee ofconm,mm cemt('he=P6atioo dW wil�T liar fromthedate afreeordia"as a different dere it specified} 2e Town of Gulfstream, FL Gulf Stream File Copy Z�a4 iK f LAv .v KaaMYK1Mr'r CaD *0rm wr's 8Ker7I Aathorlard l sure or Floridan Q 1 1J AAA �(�0.>n 7: y1VX comry of Palm Beach Thr fore8ou8 iaswmenr was aclmawlaf8ed 6efare me this_ ay ar_pC�_, 1D_ '% by Rl(L� e � a I,JC•n.K kLT -1 (Dame ofpenan) (ar � (type o(aumm� -Y h,...�5 of6csr, trtut<s, avam th 5tt) (Hale arplRy en hetlalrarwtlma maQymmt wy CiCGIe1) PamnsllY Known ✓KProducdldm5ilfotim_ Typeofldon,fimtimt Produced .;�: •,, ANTHONY JOSEPH IAOAROLA JR. F n'e Notary Public Stale al Florida e Commlealon/GG 028689 / (518vature of Y�ryPublic) (Prim,Typc, m Sump Com-ildoord Herne ofNaery Pubiic) +12e FF My Carom. Expires Sap 11, 2020 "OST.. Sonded tNdagn National Notary Alin. Rn. 1015 . 03c3 32- STATE OF FLORIDA " PALM BEACH COUNTY -'TfiS 1 thereby certify that the foregoing is a true copy of the record m my office with redactio�r< f s,jee fired If awe, ,. SHARON R. BOCK CLERI 8 -COMPTROLLER By O TY CLERK Uniform Mitigation Verification Inspection Ftifl* LC tiE Maintain a com of this form with the insurance oolicv ncr L' YoRYfeT •7 . sF_! 1.KKy (print name of the individual who actually performed the inspection), Personally conducted the inspection of the residence identified on this form and in my profesatom it opinion, all the data I repotted is true and correct 1. Buildia V What building code was used to design and build the structure:' A. 1994 South Florida Building Code (building permit application date of 9i 1,`1994 or later in Miami -Dade and Broward Counties (also known as the High Velocity Hurricane Zone (HVHZ)). ❑ B. Building code prior to the 1994 South Florida Building Code (building permit application date of 8,'317994 or earlier in Miami -Dade and Broward Counties (HVHZ). C. 2001 Florida Building Code (building permit application date of 111:002 of later outside the HVHZ). X D. Building code prior to the 2001 Florida Building Code (building permit application date of 2P_8r2002 or earlier outside the HVHZ). G E. Unknown or undetermined. u: 2. PnnitApaat Ron ate: a; `ULF STREAM COPY Pertnu Application Doe:or Date of lnstalla.? a 7.303 tt A. At a minimum meets the 2001 Florida Building Code or the 1994 South Florida Building Code and has a Miami -Dade NOA or FBC 2001 Product Approval listing demonstrating compliance with ASTM D 3161 (enhanced for I IOMPH) OR ASTM D 7158 (F. G or H), OR FBC TAS 100-95 and TAS 107-95, OR FMRC 4470 and/or 4471 (for metal roofs). -. B. Does not mea the above minimum requirements. ❑ C. Unknown or undetermined. NOTE: At least one photo documenting the existence of each visible and accessible construction or mitigation attribute marked in Sections 3 through 9 must accompany this form. 3. Roof Deck Aftaehment: What is the weakest form of roof deck attachment,. A. Plywood-Driented strand board (OSB) roof sheathing attached to the roof truss'mfter (spaced a maximum of 24" o.c.) by staples or 6d nails spaced at 6" along the edge and 12" in the field. -OR- Batten decking supporting wDW shakes or wood shingles. -OR- Any system of screws, nails, adhesives, other desk fastening system or tmss:iaRer spac:.lg that hal an equivalent man uplift resistance of 55 psf. B. Plywnod'OSB roof sheathing with a minimum thickness of 7/16" attached to the roof Tuss'rafrer (spaced a riumimum of 24" o c.) by 8d common nails spaced 6" along the edge and 12" in the field. -OR- Any system of screws, nails, adhesives, other deck fastening system or trussrafter spacing that has an equivalent mean uplift resistance of 103 psf- C. Plywood'OSB roof sheathing with a minimum thickness of 7i 16" attached to the roof iruas/raRcr (spaced a maximum of 24" o.c.) by 8d a moron nails spacer! 6" along the edge and 6" in the ficid. -OR- Dimensional lumber?ongue & Groove decking with a minimum of 2 nails per bard. -OR-Any systern of screws, nils, adhesives, other deck fa senting system or tnsshai)er spacing that has an equivalent mean uplift resistance of 182 psf. D. Reinforced Concrete Roof Deck- InspeMors Inlriats Prnperty Address 1r� C�•"�L' �LV� n��A 'J 'This verification form is valid up in fhe ($ Yeats provided so material changes have been made to the stricture. 0IR-B1-1802 (Rev, 02/10) Adopted by Rule 690-170.0155 Page 1 t 4 W C E. Other; Unknown or unidentified. J G. No attic access. 4. Roof to Watl Atuch M: What is thew t roof to Wall Connection'! ❑ A. Tot Nails Rafter;'truss anchored to top plata of wall using nails driven at an angle the raP.er: lets and attached to the top plate of the wall. ❑ B. Clips Aletal attachments on every ratientruss that are tailed to one side (or both sides in the case of a diamond type clip) of the rafter,'t-nus and."ached to the top plate of the wall frame or embedded in the bond beam. .14"C. Single Wraps Metal Straps must be secured to every raRaitruss with a minimum of 3 tails, wrapping over and se -wing to the opposite side of the rafterrtruss with a minimum of I nail. The Strap must be attached to the top plat Of the wall frame or embedded in the bond beam in at least one place. D. Double Wraps and h Metal Straps mast be secure and d to every rafien'ttum with a minimum of 3 rails, wnppirg over securing to tiro opposite side of the raft¢,' cuss with a minimum of 1 nail. Each Shap must be amacitcd to the top plate of the wall frame or embedded in the bond be, n u leas one place. ❑ E, Structural Anbolts structurally connected or reinforced concrete roof. 11 F.Odter. ------------ ❑ G. Unknown or Unidentified ❑ H. No attic access 5. Roof Geometry: What is the roof shapc(s)'1(Porches or carpons that are attached only to the fascia or wall of the hast structure Xand not structurally connected to the main roof are e not considered in the roof geortu ary determination.) A. Hip Roof Hip roof with no other roof shapes greater than 1006 of the total building - roof shape or combination of roof Shapes perimeter. : B. Nen-Hip Roof Any other including hip, gable, gam.Md, Mansard and Other roof shapes not including flat roofs. ❑ C. Flat Roof Fiat roof shape greater than 100 square feet or 10% of the entire roof, whichever is greater. 6. L_RL E j9: For roof structures that contain gables, please check theweakest Iv C) A. Gable End(s) are braced at a minimum in accordance with the 2001 Florida that Building Code. X❑B. Dons not meet the above minimum requirements. C. Not applicable, utknown or unidentified. T. Wall ConstrIt On Tvne: Check all wall construction types for exterior walls of the structure and percentages for each: A. Wood Frame L B. Un-Reinfurctf Masonry % C. Reinforced-fasonn 1 Dl7 4: L D. Poured Concrete ap r E. i)ther: — 7'0 8• Fater Re cCuace ISKRt: (standard underla �, A. SWR yments or hat nnopped Celts are not SWR) d Self adhering polymer modified bitumen resting underlayment applied directly to the sheathing or foam adhesive SWR barrier (not foamed on insulation) applied as a secondary means to Pra from wter ilea dwelling water intrusion. J B. Na SWR ❑ C. Unknown or undetermined. 9. Otxaia� a: What is the weakest fonn of wind borne debris pmtectiOn installed on the swcttee? (E:aericr openings include, but ate not limited to: windows, doors, garagt doors, skylights, etc. Product approval may be requited for opening protection devices without proper rasing identification.) A. All Ecterior Ooenfevs cGlaaect and i' t...tv All c merior openi ip are fully prottcici at a minimum with imp= resistant coverings, impact resistant doors and/or impact resistant window units that are listed as wind borne debris protection devices in the product approval system of the State of Florida or -Miami-Dade County and mat the ttquisenxrta of one of f Inspectors Initials Pmperty AddressJAR,# 'This 1-1802 (Reficsti0ft form is valid up to flue (5� years provided ao material chaa=es have been made to the structure. OIR•B1-1802 (Rev. 02/10) Adopted by Rale 690-17o.olSS Page 2 oj4 the folluwing for' -Cyclic Pressure and Large Missile Impact", For the HViMZ, systems must have either 8 Miami -Dade NOA or FBC Approval marked "For L•se in the HVHZ"• ❑ Miami -Dade County Notice of Acceptance (NOA) 201, 202 W 203. (large Missile - 9 Ib.) ❑ Florida Building Code Testing .•lpplicauon Standard (TAS) 201, 202 °B$ 203. (Large :vlissile — 9 Ib.) ❑ American Society for Testing and -Materials (.ASTM) E 1886 Md ASTM E 1996- (Large Missile — 9 lb.) ❑ Southern Standards Technical Document (SSTD) 12. (Large Missile — 9 Ib.) ❑ For Skylights Only: ASTM E 1886/E 1996. (Large Missile - 4,5 Ib.) ❑ For Garage Doors Only: ANSIIDASMA I I S. (Large Missile— 9lb.) u B- All erteri�1AQ are fully prOwaed az a minimum with impact resistant coverings, impact resistant doors and;br impact resistant window units that are listed are windbome debris protmion devices in the product approval system of the State of Florida or Miami -Dade County and meet the requirements of one of the following for `Cyclic Pressure and Large Missile Impact"; ❑ AST -1 E 1886 and ASTM E 1996. (Large -fissile — 45 Ib.) ❑ SSTD 12• (Largo Missile — 4 lb, to 8 lb.) Ll For Skylights Only: ASTM E 188&'E 1996. (Large Missile - 2 to 4,516.) .7 C. All exterior ooeRlaas are filly protected at a minimum with impact resistant coveritsgs, impact nesiswa doors und/cs impact resistant window units that are listed as windbome debris protection devices in the product approval system of drt State of Florida or Miami -Dade County and meet the requirements of One of the following for "Cyclic Pressure and Small Missile Impact": ❑ Miami -Dade Count' NOA 201, 202 4.811203. (Sma!I Missile ❑ Florida Building Code TAS 201.202 LjA 203. (Small Missile -2 grams) ❑ ASTM E 1886 and ASTM E 1996. (Small Missile —2 grans) SSTD 12. (Small Missile — 2 grams) L D. All exterior ooe oys are ful y protected with windoome debris protection devices that cannot be inderttiSed as %liami- Dade or Florida Building Code (FBG product approved. This does not include pivw•ood'OSB or plywood alteratives (see Answer "ll"). APGlazed Lz enerOMLiAL xE. All &taxed exterior Orenraes are fully protected at a minimum with impact resistant coverings and/or impact resistant window units that mea Lhe requirements of one ofthe standards listed in Answer "A" of this question. (Large Missile -9 lb.) i, F. All vlazed ester or aocninas are frilly protected at a minimum with impact resistant coterings attd,Or impact resistant window traits that mea the requirements of one of the standards listed in Answer "B" of this question. (large Missile 2 Ib. - 8 lbs.) ��� Ll G. s3il.11aidll eatean_r n[eRlnRS p,^„ Iuliy pronged az a minimum with impact resistant cove-^'ngs and/ impar: rai57am window units that meet the requirements. one of the s andards listed in Answer "C" of this question- (Small Missile - 2 Scams) G H. All &lazed eat Nor o ^ i v are covered with phwoodOSB meeting the mquirements of Section 1609 and TeWc 1609.1.4 of the 2004 FBC (with 2006 supplements). ... 1. All &laud exterior ooe&i are filly protected with wind -born[ debris protection devices that txrmot be idratifsed is Answeunj H (e a FBC prod") approved. This does not include plywood'OSB or other plywood alternatives that do r, - rnxt Answer H (see Answer "K"). !gone or Cnme CAMI&d 0peoi es I At least one Skied exterior opening dors not have wind-borne debris protection. K N ) glazed exterior openings have wind-borne debris prmcction- This includes plywooctosB or plywood altertative s stems that do not meet .Answer "if .: L.. Lldurowa or undetermined. Inspectors Initlals Propem Address 'Tbfs veritfcatinn Was is vzlid cep to N -e (5) years provided aro material changes have beta made to the structure. OMR-8I-1802 (Rev. 02/10) Adopted by Rule 690-170.9153 Page 3 qf 4 1111TIGATION LNSPECTIDNS HUSTBECERTIFIEDBf.tQUALIFIEDINSPECTOR. Section 627.711(2), Florida Statutes, provides a listing of Individuals who may sign this form Qualified Irspenur \atrn: a Qualified Inspector — I hold an active license or certificate as a: (check one) 0 Hurricane mitigation inspector certified by the My Safe Florida Home Fro_e,-art. 0 Building code inspector cenifitd under Section 468.607, Florida Sts u zs. 0 General, building or residential contractor licensed under Section 489.111, Florida Statics. 0 professional architect licensed under Section 48I 213, Florida Statutes, professional engineer licensed under Section 471.015, Florida Statutes. Other individual or entity recognized by the inaurer 3s possessing the necessary qualifications to properly complete this form pursuant to Section 62 7.711(2xt), Florida Statutes. Individuals signing this form must have their license or certificate in an "Active" status at time of the ins �r— pectines. I �20/R%� QFl_ir 1CIL� am a qualified inspector and I personally performed the inspection or had (t>riet same) my employee ( — perform the inspection and I agree to be res (print saw) potasible for hislher work. Qualified Inspector Signature: "� Date: An individual or entity who hnon•ingty provii Hres or utters a hie or fraudulent mitigation verification form with the intent to obtain or receive a discount on an insurance premium to which the individual or entity B not entitled commits a misdemeanor of the first degree (Section 627.711(3), Florida Statutes). The Qualified Inspector who certifies this form is strictly liable foray acts, statements, concealment of facts, omissions, and documentation provided by his or her employee who actualiy performed the inspection. Homeowner tg rnmnlete: 1 cerify that the named Qualified Inspector or his or her employee did perform an inspection of the residence identified on this form and that proof of identification was provided to me or my Authorized Representative. Signature:_ I Date: I/1/��)� An Individual or entity bo w ngly provides or utters a false or fraudulent mitigation verification form with the Intent to obtain or receive a d{scount on to insurance premium to which the individual or entity is not entitled commits a mfsdemeaeur of the first degree. (Section 627.711(3), Florida Statatest The n ro ec this Corm are for inspection purposes only and cannot be used to certify, any product or construction feature as offering protection from hurricanes. Inspectors Initials roperty Address_613Q fJ LSAi :P/. {iA 'This verification form is valid up in five (5) years provided no material changes have been nude to the structure. OIR-EI-1802 (Rev, 02110) adopted by Rule 690-170.0155 I'agc 4 oj'd ('V,01',\iNY ]'OOI MAINTENANCE Customer. Mouw Associates, Inc. TOWN OF GULF STREAM ®RECEIVED 100 SEA ROAD GULF STREAM, FLORIDA 33483 NOV 0 6 2017 Town of Gulfstream, FL Gulf Stream PROPOSAL File Copy a3z Date: 10-13-17 l73 Address: 601 N. Congress Ave. Suite 109 Delray Beach, FI. 33445 Contact: Anthony "A1" ladarola Jr. Project: 1330 N. Ocean Blvd. Residence Reroof Location: 1330 N. Ocean Blvd., Gulf Stream, FL Phone: (561) 276-9640 Office Phone: (954) 292-9896 Mobile Fax: (561) 265-3886 Email anthony@mouwassociates.com (AJ (--f-kAt&Aj (,J -0.0L2 Campany Roof Maintenance Roofing Division, LLC is pleased to submit our proposal to provide and pay all for labor, materials, tools, equipment, transportation, and insurances to properly perform the "Scope of Work" below as follows. All materials are guaranteed to be as specified. All work will be directed and Supervised in a Workmanlike manner according to Standard Roofing Practice and using the Contractor's best skill and attention. SCOPE OF WORK: I . Remove existing roof system(s) to sheathing deck and dispose of all the roof related debris to an appropriate facility. 2. Re -nail all existing sheathing as required. 3. Replace deteriorated and/or rotten sheathing, fascia, and/or repair truss member top cord as required by code. Wood replacement is not a part of this Proposal Agreement and is an EXTRA. See the "Terms" section / "Unit Pricing" of this Agreement for wood replacement costs. 4. Demolish the existing stucco, cut up and remove to substrate 10" above roof deck surface, and dispose of the stucco debris to the appropriate facilities. S. CugalA 1203CauAko (�SPGtt cau�Kia�;..o ST6ut- ;`ti��(t . Slope roof areas: 5. Install one (1) layer of 30# ASTM felt to sheathing with tin tags and nails. 6. Install standard (16) ounce copper sheet metal flashings including; 3"x 3" drip edge flashing, 4"x 5" wall flashing, and 16" valley flashing. 7. Install one (1) layer of 904 felt set with hot asphalt. Back nail 12" o.c. with horizontal overlaps and end laps staggered between layers. 8. Replace VTR lead stack Flashings and standard (16) ounce copper sheet metal roof jacks at existing locations. 9. Replace stucco veneer materials and paint to match existing as close as possible. The Owner must provide paint samples and/or codes of existing stucco painted area(s) to be matched. See Schedule B "Inclusions and Exclusions" line 8 (at a Rate of $17.00 Per Lineal Foot), 10. Install standard (26) gauge G90 galvanized preformed metal channel at all hip and ridge transition areas for attachment of roof tile trim. See page (2) Campany Roof Maintenance Roofing Division, LLC # CCC 1330613 917 28" Street West Palm Beach, Fl. 33407 Phone: (561) 863-6550 Fax: (561) 863-1722 www.campanyroofing.com Page (2) 11. Install Entegra Plantation 13" flat white color through "Non Coated" cement tile. F-NTGR-AA-SL. 12. Install Metal Eave Closure at Eave. 13. Tile to be applied with approved foam adhesive to the design pressures and fixed calculations set forth in the local building code and Product Approval for this product. Flat roof areas: 14. Install one (1) layer of fiberglass base sheet to sheathing with tin tags and nails. 15. V4" per ft. Taper Perlite Insulation set in hot asphalts. 16. Install one (1) layer of smooth surfaced modified bitumen membrane set with hot asphalt. 17. Install SBS granular surfaced, modified membrane cap sheet. Note: Install cap sheet with VV asphalt bleed at laps seams, into which loose granules will be cast and imbedded, to provide a clean finish. 18. Replace VTR lead stacks and (16) ounce copper sheet metal roof jacks at existing locations. 19. Install standard (16) ounce copper sheet metal flashings including; 3" x 3" drip edge flashings. 20. Clean up and remove all roof debris DAILY. 21. All work, under this proposal, warranted for Five (5) years. Terms: Invoicing (billing) and Payments will be conducted on a "Job Progressive" basis as follows: • 10% -Deposit • 25%- Demolition slope sections and installation of 30# felt • 20% - Hot mop slope sections complete • 25% -Tile Load • 20% -Tile Install *NO retainage/ retention are to be deducted from any payments. Conditions: • This Proposal maybe withdrawn by Campany Roofing if not accepted within (30) days of proposal date above. • Gutters and down spouts are not included in this contract. • Proposal includes OSHA 1999 Sub Part "M" fall protection compliance. Proposal Amount: $119338.00 P1kA&6 J.jtic4*u V_,k4uo to"/'c Unit Pricing: Replace deteriorated and/or rotten 5/8" cdx sheathing - $2.75 per square foot Replace and/or enhance 2x truss member - $2.75 per linear foot Replace deteriorated and/or rotten 2x8 fascia lumber - $ 6.65 per linear foot If it is determined that the L -flashing cannot be reused there will be a charge of $17.00 per linear ft. to replace L -Flashing, stucco and paint. (Paint supplied by owner) Thank You for considering Campany Roof Maintenance Roofing Division to fulfill your roofing needs. CRM/RD Representative: Ed Campany Acceptance of Proposal: The above Specifications, Pricing, Terms, and Conditions are satisfactory and are hereby approved. Signature: Signature: � Q. Lk. Ukloia-Lj is ba.-, u&4 cowili fray Campany Roof Maintenance Roofing Division, LLC # CCC 1330613 917 28" Street West Palm Beach, F1.33407 Date: (� -�• (^ Date: Phone: (561) 863-6550 Fax: (561) 863-1722 www.campanyroofinu.com 1012;2017 Detail by Entity Name ® RECEIVED CORPORATIONS NOV 0 6 2017 JtvL"!ol r 1)f Town of Gulfstream, FL rgjjyN OF GULF STREAM an u1/, ir,! tote n/Ftorutr, 100 SEA ROAD GULF STREAM, FLORIDA 334833 Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Profit Corporation BW NORTH OCEAN INC. Filing Information Document Number P14000081257 FEI/EIN Number 47-2128847 Date Filed 10/02/2014 Effective Date 10/01/2014 State FL Status ACTIVE Principal Address 114 NE 1ST AVENUE DELRAY BEACH, FL 33444 Changed: 04/17/2017 Mailing Address C/o REDSTEEL PROPERTIES LLC 114 NE 1ST AVENUE DELRAY BEACH, FL 33444 Changed: 04/17/2017 Reoistered Aaent Name & Address Werhahn, Patricia 114 NE 1ST AVENUE DELRAY BEACH, FL 33444 Name Changed: 03/06/2016 Address Changed: 04/17/2017 Officer/Director Detail Name & Address Title Director, President WERHAHN, BEATRICE 114 NE 1ST AVENUE Gulf Stream File Copy 73°3 -,)- Detail by Entity Name DELRAY BEACH, FL 33444 Title Director, CEO WERHAHN, PATRICIA 114 NE 1ST AVENUE DELRAY BEACH, FL 33444 Annual Reports Report Year Filed Date 2015 02/09/2015 2016 03/06/2016 2017 04/17/2017 Document Images 04/17/2017 - ANNUAL REPORT View Image in PDF format 03/06/2016 — ANNUAL REPORT View Image in PDF format 02/09/2015—ANNUAL REPORT View Image in PDF format 10/02/2014 — Domestic Profit View Image in PDF format n0. Id,I Depart Ment of SMI. Drv¢ on nl Corpprazipn. http://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail7inquirytype=EntityName&directionType=Initial&searchNameOrder-B WNORTH... 2/2 Prepared by and return to: Louis J. Carbone, Esq. Attorney at Law Louis J. Carbone P.A. 90 S.E. 4th Avenue Suite I Delray Beacb, FL 33483 561-272-0282 File Number: PARKER FLP 1130 Will Call No.: GULF STREPM COPY Parcel Identification No. 30-4346-09-03.000-0070 ll 7 3�o3,a— !Space Move This Line Far Rxording Datal Warranty Deed (STATUTORY FORM - SEL -1 UN 689 02. FS) This Indenture made this c_' day of 1.1 � V ev^ 2014 between 2004 Parker Family Limited Partnership, a Florida limited partnership, whose post office address is 1330 N. Ocean Blvd Gulf Stream, FL 33483 of the County of Palm Beach, State of Florida grantor*, and BW NORTH OCEAN INC., a Florida corporation, whose post office address is 5099 Highway AIA Suite 300, Vero Beach, FL 32963 of the County of Indian River, State of Florida, grantee*, Witnesseth that said grantor, for and in consideration of the sum of TEN AND N01100 DOLLARS (510.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Palm Beach County, Florida, to -wit: Lots 7 and 7A, of the REPLAT OF THE DONALD B. McLOUTH SUBDIVISION, located in the Town of Gulf Stream, Florida, according to the Plat thereof on file in the office of the Clerk of Circuit Court in and for Palm Beach County, Florida, as recorded in Plat Book 25, Page 67. Subject to taxes for 2015 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record, if any. and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. * "Grantor" and "Grantee" are used for singular or plural, as context requires. DoublaTime^ In Witness Whereof, grantor has hereunto set grantors hand and seal the day and year first above written. Signed, sealed and delivered in our presence: 2004 Parker Family Limited Partnership a Florida limited partnership By: Private Equity Investments, LLC a Florida limited liability company its General Partner Jeffrey PIParker, Mang Witness Name: Lcds S -Gk 94W Witness Name: �4ZWe 1/ �2 Z Witness Name: Witness Name: State of Florida County of Palm Beach The foregoing instrument was acknowledged before me this day of rr147e.IC2014 by Jeffrey P. Parker, Managerof Private Equity Investments, LLC, a Florida limited liability company, General Partner of 2004 Parker Family Limited Partnership, a Florida limited partnership, who U is personally known or ( j has produced a driver's license as identification. [Notary Seal] e MYCCMMMSICNIFr Qf11M E)RRES:Oaaber23,2O17 +"r:,Rw°� emratemewa+rxcyser�s a arrano- Dead (Statutory Fermi . Page 2 Notary Public Printed Name: �ry/e'P. r �-re- . My Commission Expires: 0 d3 J DoubleTime° PREPARED BY AND RETURN TO: James A. Ballerano, Jr., Esquire Dav Pitney/Chapin Ballerano & Cheslack 1201 George Bush Boulevard Delray Beach, FL 33483 (561)272-1225 CFN 20160413234 OR BK 28720 483 > RECEIVED ® RECORDED 1P1/22/2016 12:44:24 NOV 6 ZQj� AMT Beach County, Florida Town of Gulfstream FL Sharon R. Bock CLERK & COMPTROLLER Pgs 0483-0485; (3Pgs) Gulf Stream TAX FOLIO NO: 06-43-47-32-14-000-0186 File Copy TOWN OF GULF STREAM 100 SEA ROAD GULF STREAM, FLORIDA 33483 NIENIORANDUM OF RESIDENTIAL LEASE AGREENIENT THIS IS A MEMORANDUM of that certain unrecorded Lease dated as of December 1, 2014, by and between BW NORTH OCEAN, INC., a Florida corporation, having an address at c/o Redsteel Properties LLC, 114 NE 1st Avenue, Delray Beach, Florida 33444 (hereinafter referred to as "Lessor") and BEATRICE WERHARN, having an address at 1330 North Ocean Boulevard, Gulf Stream, Florida 33483 (hereinafter referred to as "Lessee"); LESSOR leases to LESSEE the following described real property: Lot 7 and 7A, of the REPLAT OF THE DONALD B. McLOUTH SUBDIVISION, located in the Town of Gulf Stream, Florida, according to the Plat thereof on file in the Office of the Clerk of Circuit Court in and for Paha Beach County, Florida, as recorded in Plat Book 25, Page 67. a/k/a 1330 North Ocean Boulevard, Gulf Stream, Florida 33483 1. Term. The Lease became effective as of December 1, 2014, and ends on November 30, 2113, unless sooner terminated as provided in the Lease. This Memorandum ofLease shall be automatically terminated upon termination of the Lease, which termination may be evidenced by recordation in the Public Records ofPalm Beach County, Florida, of an Assignment of Lease or Termination of Lease, executed by Lessor. 2. Extent of Liens. Pursuant to the Lease, the interest of Lessor in the Premises shall not be subject to liens for improvements made by Lessee.. Lessee shall never, under any circumstances, have the right or power to subject the interest of Lessor in the Premises to any lien or encumbrance ofanykind. All persons dealing with Lessee and claiming by,through, under oragainstLeiseeshall look solely and entirely to Lessee for the payment of any and all charges incurred in improving the Premises at anytime. . , Page I of 3 .Ws iLW Mp1MOF LFA5n CFN 20160413234 BOOK 28720 PAGE 484 20F3 TRIS MEMORANDUM is not a complete summary of the Lease and is recorded for the sole purpose of providing record public notice of the leasehold interest created and established by the Lease. Provisions in this Memorandum shall not be used in interpreting the Lease provisions. inthe event of conflict between this Memorandum and the unrecorded Lease, the unrecorded Lease shall control. IN WITNESS WHEREOF, the parties hereto have executed this Memorandum of Lease the day and year first above written. Signed, sealed and delivered "LESSOR" in the presence o f BW NORTH OCEAN, INC., a Florida corporation of Witness#A(Beatrice Werhahn Bianchi, i,x,w /l, /,1>� - _U�.._. as its President PPrMt Name of Witness #1 v> ttifl AYt� 1A t A Sito�re fWitneSs,t#2_ _\) A )ted Print Name of Witnnesjs#22� STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me this .2/ dayof Aye+ 2016, by Beatrice Werbahn, as President ofB W NORTH OCEAN, INC., aFlorida corporation, on behalf of the corpoeration, who is personally known to me or who has produced S.r,: Ir A.u�ave l as identification and who did take an o4. d JAMEB A. SALLERANo. JR. - Nerary Pulak • State of Florida My COmm, E*Igs Sep 28, 2017 Com alulan all W 29512 [Seel] '+mint National Notary Alan. lM.LERANO. JR. MY COMMISSION EXPIRES: s;atss+o s a�wu-admin uesrooa aFasn of Notary —JAM—ES—A. [Seel] lM.LERANO. JR. P, `+ Notary PWlk-Shte of Florida of 3 a ' My Comm. Expires Sep 2B, 2072 ;,` 'FRf �,;,a;••• Commission Y FF 29512 Bonded Through National Notary Assn. S' a e of W' Jess "2 , l` bw�t� Print Name of Witness #2 STATE OF FLORIDA COUNTY OF PALM BEACH CFN 20160413234 BOOK 28720 PAGE 485 3OF3 "LESSEE" v' Beatrice The foregoing instrument was acknowledged before me this 7/ dayof Nov 2016, by Beatrice Werhahn, who is personally known to me or who has produced a I N/` as identification and who did take an ath. N•w,�..y JAMES A. EALLER00, OL Notary public. State of Horida •; My comm. EEpilss Sap 29, 2017 • Cammlation N FF 29512 NOT P LIC "f'f r°w�dre BonOpd Th� Tonal lidaq peso P ' e of Notary Public MY COMMISSION EXPIRES: y [Seal] Page 3 of 3 �alts�a.r:soauaworo MEMO OP LFASE wwwco.ppkn4,)aach.BiityDetaYlPioa 'Delall x -20434609)30000070& .,w* b� Town CEIVED ® Location Address 1330 N OCEAN BLVD ( 0 6 2017 Municipality GULF STREAM Parcel Control Number 20-43-46-09-03-000-0070 Gulfstream, FL Subdivision MC LOUTH SUB IN Offc:al Records Rook 28720 Page 483 Sale Date DEC -2014 Legal Description MC LOUTH SUB LTS 7 & 7A Owners WERHAHN BEATRICE Gulf Stream File Copy /303 TOWN OF GULF STREAM 100 SEA ROAD GULF STREAM, FLORIDA 33483 Mailing address 1330 N OCEAN BLVD DELRAY BEACH FL 33483 7234 Sales Date Price OR Book/Page Sale Type Owner DEC -2014 SO 28720 4� 00483 LEASEACREEMENT WERHAHN BEATRICE NOV-2014 S10,750,000 27188 100783 WARRANTY DEED BW NORTH OCEAN INC NOV-2005 S10 19662 i 00615 WARRANTY DEED 2004 PARKER FAMILY LIMITED PARTNERSHIP NOV-200S SIO 1966200613 WARRANTY DEED PARKER JEFFREY P & NOV-2005 S10 19662i00611 WARRANTY DEED PARKER JEFFREY & j23 Exemption Applicant/Owner Year Detail WERHAHN BEATRICE 2017 Number of Units I 'Total Square Feet 8538 Acres 1.5821 Use Code 0100 - SINCLE RS -0 Zoning - Single Family - Ocean West 120 -GULF FAMILY STREAM) Tax Year 2017 P 2016 2015 improvement Value $1,479,717 51,661,693 52.680,690 Land Value $5,386,800 SS,670,300 55,670,300 Total Market Value S6,866,517 $7,331,993 $8,350,990 P= Preliminary Tax Year Assessed Value Exemption Amount Taxable Value Tax Year Ad Valorem All values are as of January I st each year 1-017 P 56,866,517 S 50,000 $6,816,517 2017 P $122,070 2016 2015 S7,331,993 58,350,990 SO SO S7,331,993 S8,350,990 2016 5135,052 Nun Ad Valorem $174 $170 Total tax 5122,244 S135,222 hbp•JMrww.t o *m be .R.ua/PepalAaisIPmWtYNta+ul mWyostsa.upx7parest=204346090300000706 2015 $163,154 1 S170 5163,324 r: " t < N 1 9 1 4 0 T 7 w w w . c o _ Q a l m _ E a a c h _ B . u s l p a p a l A s p s l P m p & V O e W i ( S W V a d - g i t a i L . s p x - e n t l y X 7 0 8 O w n e r N N w n e = W E R F I A H N + 5 E A T R . . . D O R Q T H Y , i A C X S �%��� T l . a O w n e r N a m e . W E R H A H N B E A T R I C E P a r c e l C o n t r o l N u m h e c 2 0 - 4 3 - 4 6 - 0 9 - 0 3 - 0 0 0 - 0 0 7 0 L o c a t i o n A d d r e s s : 1 3 3 0 N O C E A N B L V D S t r u c t u r a l E l e m e n t f o r B u i l d i n g 1 1 E x t e r i o r C B S T U C C O W a l l 1 2 . Y e a r B u i l t 1 9 6 6 i A i r 3 . C o n d i t i o n H T C & A C �� D e s c . 4 H e a t F O R C E D A I R D U C T T y p e S . H e a t F u e l E L E C T R I C 6 B e d 5 R o o m s 7 . F u l l B a t h s 6 B H a l f 1 B a t h s 9 E x t e r i o r N / A W a l l 2 1 0 . R o o f W O O D T R U S S S t r u c t u r e 1 1 . R o o f C O N C . T I L E C o v e r 1 2 I n t e r i o r D R Y W A L L W a l l 1 1 3 I n t e r i o r N / A W a l l 2 ' 1 4 . F l o o r T y p e t H A R D W D / P A R Q U E T 1 5 . F l o o r C A R P E T I N G T y p e 2 1 6 . S t o n e s 1 S u b a r e a a n d S q . F o o t a g e f o r B u i l d i n g 1 C a d e D e s c r i p t i o n S q . F o o t a g e B A S B A S E A R E A 7 3 1 0 F G R F I N I S H E D 6 5 0 G A R A G E S k e t c h f o r B u i l d i n g 1 t t : ' 1,1'1;;2017 www.=paim-bead+.RuwJ opalAsps/PmperryDeIMVS uchnt.D*W.aspx?enbty_id=2043460903000007080wner Name--WERHAHN+BEATR... FOP FINISHED OPEN 337 PORCH I FOP FINISHED OPEN 241 t PORCH J Total Square Footage 8538 Total Area Under Air 7310 Extra Feature Description Year au':; Units BOAT DOCK 1966 300 POOL -IN -GROUND 1966 108 i BOAT LIFT 2012 1 PATIO 1966 2600 Unit may represent the perimeter, square footage, linear footage, total number or other measurement of the feature depending on the feature described. Land Details Land Line a Description Zoning Front Depth Units Acres P 1 1. INIRACOASTAL RS—O 387.00 105.72 1 0.9392 Land Line 4 Description Zoning Front Depth Units Acres 2. SUBMERGED RS -0 170.00 164.74 1 0.6429 ` MCPVtwww.co.palm-beach.6.us'papalAspNPmpwVDetsiUShucturaa0staiLaspx?entty_id=2Pt34609030000070dOwner Name=WERHAHN«BEATRICE 22 F 1330 N Oaean Blvd, Gut;' Scream, FL ;AA!.NTEIN�,NCE Total Area 11,6 take/Gables O Hip 372 Gutter/—=aves 0 Ridge 195 Pitch F2i Valley 24.2 =1µ ''i0��:�.':<?' 3 Layers Counter flashing Decking type Apron flashing Vent pipes Crick -mss Step flashing Skylights Ley=.^d 2302 sT 7733 s` Gulf Stream File Copy /-)-zo -�D ® DECEIVE® Nov 0 G 2011 Town of Gulfstream, Fl, TOWN OF GULF STREAM 100 SEA ROAD GULF STREAM, FLORIDA 33433 Di- <�� G/15/17 .—gas _-- e_ s ^'? _-`'--- s:!Ocre:�s TOWN OF GULF STREAM 100 SEA ROAD GULF STREAM, FLORIDA 33483 A.C. CONSULTING ENGINEERS CERTIFICATE OF AUTHORIZATION #31780 2500 PARKVIEW DRIVE, APT. 2414 wolf Stream HALLANDALE BEACH, FL 33009 i File COPY b RECEIVED < Fasteners calculations for: CAMPANY ROOF MAINTENANCE, ROOFING DT, SI u Job Address: 1330 N. Ocean Blvd., Delray Beach, FL 33483 6 2017 Owner: BW North Ocean Inc TOM of Gulfstream, R FASTENER DATA EXTRAPOLATION (NAILING ENHANCEMENT) Fastener Value As Per RAS -117 Notice of Acceptance System Type System Design Pressure Square Feet Per Fastener Fastener Value Deck Type 14-0529.01 1 A(1) 51.5 0.44 13.33 Wood, Non - Insulated Net Sheet Width = Z67 Side Lap = 4" Fastener Spacing Calculated In Accordance With RAS -117 ELEVATED PRESSURES FASTENER SPACING FIELD 45.87 8" o.c. @ laps & 3 rows @ 81' o.c. PERIMETER 76.97 6" o.c @ laps & 4 rows @ 6" o.c. CORNER 115.84 5" o.c @ laps & 5 rows @ 5" o.c. Note: If parapet is equal or higher than 3, the corner may be treated as the perimete Elevated Pressures were obtained using MECA Wind v2.1.1.3 with these Parameters: ASCE-10, Category II, Exposure D, Wind Speed 170 MPH, Roof Height 10 feet. ASD Design with load factor 0.6. Wind Pressure Calculation results sheet attached. TOWN OF GULF STRE/fulf Stream. 100 SEA ROAD GULF STREAM, FLORIDA 3,U83 File Copy MecaWind Std v2.2.7.2 per ASCE 7-10 3 3 Developed by MECA Enterprises, Inc. Copyright wwa.mecaenterprises-.zcm Date : 10/27/2017 Project No. : CRMRD31 Company Name A.C. Consulting Engineers to Cardona Designed By Alberto t Address : 2500 Parkview Dr., Apt. 2414 Description : Enhanced Nailing RECEIVED City : Hallandale Beach Customer Name : CRM Roofing Division State : Florida Proj Location : Delray Beach NOVO C *I File Location: C:\Users\Alberto\AppData\Roaming\MecaWind\Default.wnd ''1 r V LO'�i Input Parameters: Directional Procedure All Beights Building (Ch 27 Part 1) Town of Gulfstream, FL Basic Wind Speed(V) - 170.00 mph Structural Category - II Exposure Category - D Natural Frequency - N/A Flexible Structure - No Importance Factor - 1.00 Kd Directional Factor - 0.85 Alpha = 11.50 Zg - 700.00 ft At - 0.09 Bt - 1.07 Am - 0.11 BM - 0.80 Cc = 0.15 1 - 650.00 ft Epsilon - 0.13 Zmin - 7.00 It Pitch of Roof - 0 : 12 Slope of Roof(Theta) - .00 Deg h: Mean Roof Ht - 10.00 ft Type of Roof - FLAT RHt: Ridge Ht - 10.00 ft Eht: Save Height - 10.00 ft ON: Roof Overhang at Save- .00 ft Overhead Type - No Overhang Bldg Length Along Ridge - 40.00 ft Bldg Width Across Ridge- 25.00 ft Gust Factor Calculations Gust Factor Category I Rigid Structures - Simplified Method Gustl: For Rigid Structures (Nat. Freq.>l Hz) use 0.85 - 0.85 Gust Factor Category II Rigid Structures - Complete Analysis Zm: 0.6 -Ht - 7.00 ft lzm: Cc*(33/Zm)^0.167 - 0.19 Lzm: 1*IZm/33)^Epsilon - 535.47 ft 0: (1/1+0.63*((B+Ht)/Lzm)^0.63))^0.5 - 0.95 Gust2: 0.925*I(1+1.7*lzm*3.4*Q)/(1+1.7*3.4*lzm)) - 0.90 Gust Factor Summary Not a Flexible Structure use the Lessor of Gdge (All), h/1- 0.25 Rind Prasau:e on Components and Cladding (Ch 30 Part 1) All pressures shown are based upon ASD Design, with a Lead Factor of .6 Width of Pressure Coefficient Zone "a" - - 3.00 ft Description Width Span Area Zone Max Min Max P Min P ft ft ft^2 GCP GCP Psf Psf FIELD 3.00 3.33 10.0 1 0.30 -1.00 18.66 -45.87 PERIMETER 3.00 3.33 10.0 2 0.30 -1.80 18.66 -76.97 CORNER 3.00 3.33 10.0 3 0.30 -2.80 18.66 -115.84 Khcc:Comp. 6 Clad. Table 6-3 Case 1 - 1.03 Qhcc:.00256*V^2*Khcc*Kht*Kd - 38.87 psf >REGHVEDa TOWN'OF GULF STREAeGulf Stream NOV 0 6 2017 100 SEA ROAD GULF STREAM, FLORIDA 33483 File COPY Mi® Town of Gulfstream, Fl (� 3 � MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA) www.mlamidade.eoy/economy CertainTeed Corporation 18 Moores Road Malvern, PA 19355 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 A14J 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: CertainTeed Modified Bitumen Roofing Systems over Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 414-0224.03 and consists of pages 1 through 42. The submitted documentation was reviewed by Alex Tigers. APPROVED NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 1 of 42 ROOFING SYSTEM APPROVAL Categorv: Roofing Sub -Category: Modified Bitumen Material: APP/SBS Deck Tvtre• Wood Maximum Design Pressure: -127.5 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specitication Description All Weather/Empire Base 391/8" x 65'10"; ASTM D 4601, Type Asphalt coated, fiberglass reinforced Sheet Roll weight: 70 lbs. II base sheet. (2 squares) UL Type G2 Flexiglas Base Sheet 391/8" x 98'9'; Roll ASTM D 4601, Type Modified Bitumen coated fiberglass weight: 90 lbs. II base sheet. (3 squares) UL Type G2 Flintlastic Base 20 39 3/8" x 49'6"; Roll ASTM D 6163, Modified Bitumen coated fiberglass weight: 90 lbs. Grade S, Type I base sheet. (1.5 squares) Flintglas Ply Sheet Type IV 391/8' x 1647"; Roll ASTM D 2178, Type Fiberglass, asphalt impregnated ply sheet. weight: 38 lbs. IV (5 squares) UL Type G 1 Flintglas Premium Ply Sheet 391/8' x 1647"; Roll ASTM D 2178, Type Fiberglass, asphalt impregnated ply Type VI weight: 40 lbs. VI sheet. (5 squares) UL Type Gl Flintlastic STA 39 3/8" x 32' 10'; Roll ASTM D 6222, Smooth surfaced APP Modified weight: 87 lbs. Grade S, Type I Bitumen membrane with non -woven (1 square) polyester mat reinforcement for torch application. Flintlastic GTA 39 3/8" x 32' 10'; Roll ASTM D 6222, Granule surfaced APP Modified weight: 105 lbs. Grade G, Type I Bitumen membrane with non -woven (1 square) polyester mat reinforcement for torch application. Flintlastic GTA -FR 39 3/8" x 32' 10'; Roll ASTM D 6222, Granule surfaced APP Modified weight: 105 lbs. Grade G, Type I Bitumen membrane with non -woven (1 square) polyester mat reinforcement for torch application. Flintlastic GMS 39 3/8" x 32' 10'; Roll ASTM D 6164, Granule surfaced SBS Modified weight: 94 lbs. Grade G, Type I Bitumen membrane with non -woven (I square) polyester mat reinforcement for mop application. NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 2 of 42 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description Flintlastic Premium GMS 39 3/8" x 32' 10'; Roll ASTM D 6164, Granule surfaced SBS Modified weight: 101 lbs. Grade G, Type II Bitumen membrane with non -woven (1 square) polyester mat reinforcement for mop application. Flintlastic FR -P 39 s/s" x 32' 10"; Roll ASTM D 6164, Fire resistant, granule surfaced SBS weight: 101 lbs. Grade G, Type I Modified Bitumen Membrane with (1 square) non -woven polyester mat reinforcement for mop application. Flintlastic Premium FR -P 39 s/s" x 32' 10"; Roll ASTM D 6164, Fire resistant, granule surfaced SBS weight: 101 lbs. Grade G, Type II Modified Bitumen Membrane with (1 square) non -woven polyester mat reinforcement for mop application. Flintlastic FR Dual Cap 39 1/8" x 32'10"; Roll ASTM D 6162, Granule surfaced SBS modified weight: 103 lbs. Grade G, Type I bitumen membrane with a nonwoven (1 square) polyester/fiberglass composite mat reinforcement for use in cold or mop applications. Flintlastic FR Cap 30 39 3/8" x 32' 10'; Roll ASTM D 6163, Fire resistant, granule surfaced SBS weight: 86 lbs. Grade G, Type I Modified Bitumen membrane with (1 square) fiberglass mat reinforcement for mop applications. Flintlastic FR Cap 30 T 39-3/8" x 32' 10'; Roll ASTM D 6163, Granule surfaced SBS Modified weight: 100 lbs. Grade G, Type I Bitumen membrane with fiberglass (1 square) mat reinforcement for torch application. Flintlastic Base 20 T 39-3/8" x 33'; Roll ASTM D 6163, Modified Bitumen, coated fiberglass Weight: 81 lbs. Grade S, Type I base sheet for torch application. (1 square) Flintlastic FR Cap 30 CoolStar 39 1/s" x 32' 10"; Roll ASTM D 6163, Fire resistant, granule surfaced SBS weight: 88 lbs. Grade G, Type I Modified Bitumen membrane with (1 square) fiberglass mat reinforcement for mop applications. Covered with reflective CoolStar Coating. Flintlastic FR Cap 30 T 39 3/s" x 32' 10"; Roll ASTM D 6163, Fire resistant, granule surfaced SBS CoolStar weight: 102 lbs. Grade G, Type I Modified Bitumen membrane with (1 square) fiberglass mat reinforcement for mop applications. Covered with reflective CoolStar Coating. NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 3 of 42 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Flintlastic GTA CoolStar Test Dimensions Specification Product Description 39'/s" x 32' 10"; Roll ASTM D 6222, Granule surfaced APP Modified APPROVED NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 4 of 42 weight: 106 lbs. Grade G, Type I Bitumen membrane with non -woven (I square) polyester mat reinforcement for torch application. Covered with reflective CoolStar Coating. Flintlastic GTA -FR CoolStar 39'/8" x 32' 10"; Roll ASTM D 6222, Granule surfaced APP Modified weight: 106 lbs. Grade G, Type I Bitumen membrane with non -woven (1 square) polyester mat reinforcement for torch application. Covered with reflective CoolStar Coating. Flintlastic GMS CoolStar 39'/s" x 32' 10'; Roll ASTM D 6164, Granule surfaced SBS Modified weight: 97 lbs. Grade G, Type I Bitumen membrane with non -woven (1 square) polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. Flintlastic Premium GMS 39'/8" x 32' 10'; Roll ASTM D 6164, Granule surfaced SBS Modified CoolStar weight: 103 lbs. Grade G, Type II Bitumen membrane with non -woven (1 square) polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. Flintlastic FR -P CoolStar 39'/s" x 32' 10'; Roll ASTM D 6164, Fire resistant, granule surfaced SBS weight: 103 lbs. Grade G, Type I Modified Bitumen Membrane with (1 square) non -woven polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. Flintlastic Premium FR -P 391/8" x 32' 10"; Roll ASTM D 6164, Fire resistant, granule surfaced SBS CoolStar weight: 103 lbs. Grade G, Type II Modified Bitumen Membrane with (1 square) non -woven polyester mat reinforcement for mop application. Covered with reflective CoolStar Coating. Flintlastic Ultra Poly SMS 39'/8" x 32' 10'; Roll ASTM D 6164, Smooth surfaced SBS Modified Base Sheet weight: 90 lbs. (1 Grade S, Type I Bitumen Membrane with non -woven squares) polyester mat reinforcement for mop applications. Glasbase Base Sheet 36" x 98' 9'; Roll ASTM D 4601, Type Asphalt coated, fiberglass base sheet. weight: 75 lbs. H, (3 squares) UL Type G2 APPROVED NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 4 of 42 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLET Product Flintlastic Poly SMS Base Sheet Yosemite Venting Base Sheet Flintlastic APP Base T Flintlastic Ultra Glass SA Black DiamondTM Base Sheet APPROVED INSULATIONS: Product Name F1intBoard ISO F1intBoardH ISO ACFoam -B High Density Wood Fiberboard Perlite Insulation DensDeck, DensDeck Prime H -Shield ENRGY 3 ENRGY 3 25 PSI Dimensions 39 3/8" x 64'3"; Roll weight: 90 lbs. (2 squares) 39 3/s" x 32'10"; Roll weight: 85 lbs. (1 square) 39'/s" x 65' 4"; Roll weight: 100 lbs. (2 squares) 39 3/s" x 33'11"; Roll weight: 73 lbs. (1 square) 36" x 687"; Roll weight: 78 lbs. (2 squares) Multi -Max FA -3 SECUROCK Gypsum -Fiber Roof Board Test Product Specification Description ASTM D 4601, Modified Bitumen coated polyester Grade S, Type II base sheet. UL Type G2 ASTM D 3909 Mineral Surfaced fiberglass reinforced ASTM D 4897, Type buffer sheet. II UL Type G3 ASTM D 6509 Modified Bitumen coated fiberglass base sheet. ASTM D 1970 ASTM D 1970 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation homogenous fiber reinforced Self -adhering, fiberglass reinforced, SBS modified bitumen base/ply sheet. Self -adhering fiberglass reinforced modified bitumen base sheet Manufacturer (With Current NOAI CertainTeed Corporation CertainTeed Corp. Atlas Roofing Corp. Generic Generic Georgia Pacific Gypsum LLC Hunter Panels LLC Johns Manville Corp. Johns Manville Corp. RMax Operating, LLC USG Corp. NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 5 of 42 0 APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 1. Trufast #12 DP Fastener Insulation fastener for wood various Altenloh, Brinch & Co. U.S., and steel decks Inc. 2. Trufast 3" Metal Galvalume steel plate 3" round Altenloh, Brinch & Co. U.S., Insulation Plate Inc. 3. FlintFast #12 Coated, carbon steel screw various CertainTeed Corp. 4. FlintFast 3" Insulation Galvalume AZ50 steel plate 3" round CertainTeed Corp. Plate 5. FlintFast #14 Insulation fastener for woad various CertainTeed Corp. and steel decks 6. Simplex MAXX Cap Polymer fastner I" long Simplex Nails, Inc. 7. OMG #12 Standard Insulation fastener for wood various OMG, Inc. Roofgrip and steel. 8. OMG 3" Galvanized Steel Galvalume stress plate 3" round OMG, Inc. Plates 9. Trufast #14 HD Fastener Insulation fastener for wood various Altenloh, Brinch & Co. U.S., and steel decks Inc. 10. OMG Heavy Duty Insulation and membrane Various OMG, Inc. fastener 11. OMG 3 in. Round Metal Galvalume AZ50 steel plate 3" round OMG, Inc. Plates 12. AccutTrac Hextra Carbon steel fastener Various OMG, Inc. 13. AccuTrac Plates Galvalume stress plate. 3" square OMG, Inc. 14. AccuTrac Flat Bottom A2 -SS aluminized steel plate 3" square OMG, Inc. Plates NOA No.: 14-0529.02 MIAMMApECOUNTY Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 6 of 42 APPROVED SURFACING/COATING OPTIONS: TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Any coating, listed below, used as a surfacing, must be listed within a current NOA. System Number Manufacturer Application 1. Generic Gravel applied at 400 lbs/sq., adhered with flood coat of asphalt at 60 lbs/sq. 2. Generic Slag applied at 300 lbs/sq., adhered with flood coat of asphalt at 60 lbs/sq. 3. Karnak Corp. Karnak (#97 AF) Fibrated Aluminum Roof Coating applied at an application rate of 1.5 gal/sq. 4. CertainTeed Corp. FlintCoat A-150 applied at an application rate of 1.5 gal/sq. 5. Gardner Asphalt Corp. APOC #212 Fibered Aluminum Roof Coating applied at an application rate of 1.5 gal/sq. 6. Gardner Asphalt Corp. APOC #400 Sunbrite applied at an application rate of 3 gal./sq. NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 7 of 42 EVIDENCE SUBMITTED: Test Aaencv/ldentifier Name Report Date Factory Mutual Research Corp. FM 4470 3Y8A1.AM 03/23/96 FM 4470 OD3A3.AM 04/04/97 FM 4470 2DOAO.AM 12/23/98 FM 4470 1D7A4.AM 11/09/98 FM 4470 3039046 06/15/10 FM 4470 3048520 09/19/13 Underwriters Laboratories, Inc. UL 790 R11656 01/11/13 United States Testing Company ASTM D 5147 9745711 06/03/88 ASTM D 5147 97-457-211 12/02/87 Momentum Technologies, Inc. ASTM D 4601 AX31G813 09/05/08 ASTM D6164 AX31G8F 06/05/09 ASTM D6222 AX31GSG 06/05/09 ASTM D 3909/ D 4897 AX31G8C 09/05/08 TrinitylERD TAS 114(J) 3504.06.01-1 06/05/01 TAS 114(J) 3507.08.99-1 04/18/01 TAS 117 (B) 3503.10.06 10/10/06 TAS 117 (B) 06490.04.07 -RI 06/27/07 TAS 114 (H) Letter 04/05/06 TAS 114 3533.01.06 01/06/06 TAS 114 3521.07.04 07/29/04 TAS 117 (B)/ ASTM D 6862 C8500SC.11.07 11/30/07 TAS 114 C8370.08.08 08/19/08 ASTM Physical Properties C10080.09.08 -R4 03/25/10 ASTM 136164/134798 C31410.01.11-2 01/10/11 ASTM D4601 C40050.09.12-1 09/28/12 ASTM D1970 C40050.09.12-2 09/28/12 ASTM D5147/D4798 C31410.10.10 -R1 11/01/12 ASTM D5147/D4798 C31410.01.11 -1-R1 11/01/12 ASTM D1876 C35460.05.11 06/16/11 ASTM D1876, TAS 114 (H), 042110.08.12 08/13/12 TAS 117 (B) FM 4474/TAS 114 C39670.08.12 08/20/12 TAS 117B C35500.02.11 02/09/11 ASTM D4798 C31410.01.11 -2A -R1 02/21/13 ASTM D4798 C31410.12.13 12/05/13 ASTM D6222 C40050.12.13 -RI 12/31/13 TAS 117, TAS 114 C30310.12.09 -R1 03/07/14 ASTM DI876, TAS 114 (H), C45620.03.14 03/27/14 FM 4474 ASTM D1876, TAS 114 (H), C47320.03.14 -RI 04/01/15 FM 4474 PRI Construction Materials ASTM D6163 CTC -032-02-01 01/22/08 Technologies LLC ASTM D6163 CTC -066-02-01 08/09/11 ASTM D6222 CTC -070-02-01 08/09/11 NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 8 of 42 EVIDENCE SUBMITTED: Test Aeencv/Identifier Name Report Date ASTM D6164/D4798 CTC -093-02-01 08/09/11 ASTM D2178 CTC -122-02-01 03/13/12 ASTM D2178 CTC -123-02-01 03/13/12 ASTM D4601 CTC -127-02-01 03/13/12 ASTM D6163 CTC -128-02-01 06/11/12 ASTM D6163 CTC -129-02-01 06/11/12 ASTM D6164 CTC -132-02-01 06/11/12 ASTM D6164 CTC -162-02-01 05/09/13 ASTM D6164 CTC -161-02-01 05/09/13 ASTM D6162 CTC -183-02-01 10/02/13 ASTM D6164 CTC -190-02-01 12/02/13 ASTM D1970 CTC -199-02-01 01/22/14 MIAM OADECOUNTY NOANo.: 14-0529.02 �ffjwuu-yjqmExpiration Date: 06/19/18 Approval Date: 09/24/15 Page 9 of 42 Membrane Type: SBS Modified Deck Type 11: Wood, Insulated Deck Description: 19/3z" or greater plywood or wood plank System Type A(2): Anchor sheet mechanically fastened; all layers of insulation adhered with approved asphalt. All General and System Limitations apply. Anchor Sheet: One ply of All Weather/Empire Base Sheet, Yosemite Venting Base Sheet, Flexiglas Base Sheet, Flintlastic Poly SMS Base Sheet, Flintlastic Ultra Poly SMS Base Sheet, Glasbase Base Sheet or Flintglas Premium Ply Sheet Type VI mechanically attached as detailed below. Fastening: Anchor sheet shall be lapped 4" and fastened with I 1 ga. annular ring shank nails and approved tin caps 8"o.c. in the lap and three rows staggered in the center of the sheet 8"o.c. One or more layers of any of the following insulations. Insulation Laver Insulation Fasteners Fastener Table 3 Densitv/ft= ACFoam-II, ENRGY 3, ENRGY 3 25 PSI, FlintBoard ISO, H -Shield, FlintBoardn ISO Minimum 1.5" thick N/A N/A Approved Perlite Insulation Minimum 3/4" thick N/A N/A Approved High Density Wood Fiberboard Minimum %:" thick N/A N/A DensDeck, DensDeck Prime Minimum 114" thick N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 2040 lbs./100 ft'. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. Base Sheet: One ply of All Weather/Empire Base Sheet, Flintlastic Ultra Poly SMS Base Sheet, Glasbase Base Sheet, Flexiglas Base Sheet, Flintlastic Base 20, Flintlastic Poly SMS Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20140 lbs./sq Ply Sheet: One ply of All Weather/Empire Base Sheet, Glasbase Base Sheet, Flexiglas Base Sheet, (Optional) Flintlastic Base 20, Flintlastic Poly SMS Base Sheet, Flintlastic Ultra Poly SMS Base Sheet or one or more plies of Flintglas Ply Sheet Type IV or Flintglas Premium Ply Sheet Type VI adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20140 lbs./sq. or one ply of Black Diamond Base Sheet or Flintlastic Ultra Glass SA self - adhered or Flintlastic Ultra Poly SMS Base Sheet torch applied. NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 12 of 42 Membrane: One ply of Flintlastic GMS, Flintlastic GMS CoolStar, Flintlastic Premium GMS, Flintlastic Premium GMS CoolStar, Flintlastic FR Dual Cap, Flintlastic FR -P, Flintlastic FR -P CoolStar, Flintlastic Premium FR -P, Flintlastic Premium FR -P CoolStar, Flintlastic FR Cap 30, Flintlastic FR Cap 30 CoolStar adhered to base/ply sheet with approved mopping asphalt applied within the EVT range and at a rate of 20 to 40 lbs./sq. or Flintlastic FR Cap 30 T or Flintlastic FR Cap 30 T CoolStar torch adhered to base/ply sheet. Surfacing: (Optional) Maximum Design Pressure: APPROVED Any of the approved surfacing/coating options listed in Table 4. -52.5 psf (See General Limitation 47) NOA No.: 14-0529.02 Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 13 of 42 WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for Fre ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lb£, as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 1 l 1 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 14-0529.02 MIAWDADE COUNTY � , • • • � � Expiration Date: 06/19/18 Approval Date: 09/24/15 Page 42 of 42 p RECEIVED C TOWN OF GULF STREAM 100 SEA ROAD NOV 0 6 2017 GULF STREAM, FLORIDA 33483 Ml® Gulfstream, FL DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) ICP Adhesives and Sealants, Inc. 12505 NW 44ih Street Coral Springs, FL. 33065 Gulf Stream File Copy J'_ MIAMI-DADE COUNTY 30 RODUCT CONTROL SECTION l 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 315-2599 www.miamldade.eov/economv SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: ICP Adhesives 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 I through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page I of 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves ICP Adhesives Polyset" AH -160 as manufactured by ICP Adhesives and Sealants, Inc. as described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using ICP Adhesives Polyset® AH -160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications ICP Adhesives N/A Polyset°AH-160 ICP Adhesives Foam N/A Dispenser RTF1000 ICP Adhesives ProPacO N/A 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: TAS 101 Two component polyurethane foam adhesive 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 ICP Adhesives Polyset' A14-160 roof tile adhesive. MANUFACTURING LOCATION: Tomball, TX. PHYSICAL PROPERTIES: Property 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 1.6 lbs./ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft' 3.1 Perm / Inch +0.07% Volume Change @110' F., 2 weeks +6.0% Volume Change @1581F., 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 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Aaencv 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 25-743811 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. 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`e AH -160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polyset" AH -160 maybe used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset" AH -160. 2. ICP Adhesives Polyset' AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of ICP Adhesives Polyset' AH -160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. ICP Adhesives Polyset' AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). 6. ICP Adhesives Polyset' AH -160 shall be applied with ICP Adhesives Foam Dispenser RTF 1000 or ICP Adhesives ProPack' 30 & 100 dispensing equipment only. 7. ICP Adhesives Polyset® AH -160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives Polyset' AH -160 has been dispensed. 9. ICP Adhesives Polyset' AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge) 20-25 sq. inches each bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: 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. 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.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 vd.rtrytn.nt l� _..a.... Nall through plastic cemem Iwhen m W IrecO lg miC 21n.wlde optimal ADHESIVE PLACEMENT DETAIL # 1 Fold. NAth.wughplaNle FaJdr lB.n•.eh Till twMn rpuYed! Vndr.ky `a" 1 toM.a 2x..wtea y Rattans //e/puanal f Ea C"m Fasda Weephek If im In, Eatedmeae s Ups Flat/Low Profile Tile I. 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 em) — 23 (148.4 cmZ) 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 cm2) — 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 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 h.Uthnugh pt�cslc umms hddru.n..wrs.] ?rMn regwnd] UrdarlaytwtN I° \�? IN , aattnn optional U1.[mlrfa 0 l0is� y� Fam z s.°.cl s Nail through plastic t em When rewiredl in. Fndo 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 cm'-) — 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 strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm2) - 12 (77.4 cm2) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile 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 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. (Instnictions 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) NA through pul x n (rho. Z.IZl peddY (6.u..rA711N t 1 ff�i apt6" Fm Carse Fawn N..phd. loi.. 2in. \ Earedew Drip edge High Profile / Single Pan Tile 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 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 cm) - 19 (122.6 em') 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 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 Nail through plastic cement Paddy (between ales( (when required)\ Battens on ° Paddy(under tile) �a°'fa 41494 lepad single Paddy � onuMedayn4ent a41n. law • •toh4 2g,, asra Unck,nre FlatAnyyProflteTlle Nag through plastic cement Angle paddy under tde (when required) Paddy (between tiles) Battens Paddy (under Wel optional 7 Single ad on top oftile � BaSi a n. / Singglepaddyan ul ftayment 2in. ...... Fm Closure Ewe Famb Medium ProfileTlte APPROVED 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 in'- (109.7-148.4 cm) 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 in'- (51.6-58.1 em) of 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) Nail through plastic re Angle paddy under dle IMhen requeedl Paddy Ibete died Options Optional Paddy fundertile) singe g o.n un �4x4in. S:,* 2x4 paddy on top Of Ease course da Weephole loin. 2hL Eaw cl wre .�' Dnp edge High Profile Tile APPAOVEO 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 cm''-) - 11 (71cm''-) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm') - 9 (58.1 cmz) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 10 of 11 t) Place enough adhesive to achievedS to70 in cotuactwah the pan tea. 2) Tum covers upside down. Placce adhesive it to 7 In. ftmn eutsk a edgeof cover tae. Than In the ale.Enwn 20 to 255q.ht.mnowaaraa. t underlayment Eave closure (motarshown) ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Steep pitch applications (when required) Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave and of pan and cover tiles are flush at eave line. Two Piece Barrel - High Profile Tile Two Piece Barrel (Cap and Pan) Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm'-) — 70 (451.6 cm'-) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive 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 cm') -25 (161.3 cm'-) 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 RECEIVED�1 Gulf Stream TOWN OF GULF STREAM NOV 0 6 2017 File Copy 100 SEA ROAD GULF STREAM, FLORIDA 33463 Town of Gulfstream FL 1_> A �a' 11-DADE COUNTY MIAMI•I AM 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.miamidodc.em•/economv Entegra Roof Tile, LLC 1289 NE 9'h Ave Okeechobee, FL 34972 �L/Tl, 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: Plantation Roof Tile UPLIFT TEST REQUIRED LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA #14-1120.04 and consists of pages I through 7. The submitted documentation was reviewed by Gaspar J Rodriguez. APPROVED NOA No:: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Concrete 1. PRODUCT DESCRIPTION Manufactured by Dimensions Test Product Applicant Specifications Description Plantation Tile Length: 16'/2" TAS 112 Flat concrete roof tile for direct deck or Width: 13" battened nail -on, mortar or adhesive set applications. Trim Pieces L = varies TAS 112 Accessory trim, concrete roof pieces for W = varies use at hips, rakes, ridges and valley Varying thickness terminations. Manufactured for each tile profile. 2.1. MANUFACTURING LOCATION 1. Okeechobee, FL 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date American Test Lab of South RT0624.05-14 TAS 112 07/03/14 Florida Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III PA 102 & PA 102(A) The Center for Applied 94-060B Static Uplift Testing March, 1994 Engineering, Inc. 94.084 PA 101 (Adhesive Set) May 1994 (Mortar Set) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix li PA 108 (Nail -On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -76 PA 100 Walker Engineering, Inc. Calculations Aerodynamic Multiplier March 1999 April 1999 Walker Engineering, Inc. Calculations 25-7183 March 1995 25.7094 February 1996 25-7496 April 1996 NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 2 of 7 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date Walker Engineering, Inc. Calculations 25-7584 December 1996 25-7804b-8 25-7804-4 & 5 25-7848-6 Walker Engineering, Inc. Calculations Two Patty Adhesive Set System April 1999 Farabaugh Engineering and T295-11 TAS -108 10/05/11 Testing Inc. Farabaugh Engineering and T306-11 TAS -108 10/04/11 Testing Inc. Farabaugh Engineering and T279-11 TAS -108 09/23/11 Testing Inc. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Miami -Dade Product Control office 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 propped 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 All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61020-3 of the Florida Administrative Code. NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 3 of 7 4. INSTALLATION 4.1 Plantation Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight -W (Ibf) Length4 (ft) Width•w (ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multipliers - X (ft3) Tile Profile 2, (ft3) R (ft3) Batten Application Direct Deck Application Plantation Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile Greater than Profile 2":12" 3":12" 4":12" 5":12" 6":12" 711:12" Battens Direct Battens Direct Battens I Direct Battens I Direct Battens Direct Battens Direct Deck Deck I Deck Deck Deck Deck Plantation 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Tile NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) For Nall -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile Plantation Tile (Min 15/32" (Min. 19/32" 2 See manufactures component approval for installation requirements. 3 Flexible Products Company T ileBond Average weights per patty 13.9 grams. 3M'" 2 -Component Foam Roof Tile Adhesive AH -160. Average weight per patty 6 prams. plywood) plywood) Plantation Tile 2-10d Ring Shank 30.9 38.1 17.2 Nails 1-10d Smooth or 7.3 9.8 4.9 Screw Shank Nail 2-10d Smooth or 14.0 18.8 7.4 Screw Shank Nails 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or 24.3 24.3 24.2 Screw Shank Nail Field Clip) 1-10d Smooth or 19.0 19.0 22.1 Screw Shank Nail Eave Clip) 2-10d Smooth or 35.5 35.5 34.8 Screw Shank Nails Field Clip) 2-10d Smooth or 31.9 31.9 32.2 Screw Shank Nails Eave Clip) 2-10d Ring Shank 50.3 65.5 48.3 Nails' I Installation with a 4" tile headlap and fasteners are located a minimum of 2W from the head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) For Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment 3M- 2 -Component Foam Roof Tile Adhesive AH -160 40.45 4 Large paddy placement of 45 grams of 3M' 2 -Component Foam Roof Tile Adhesive AH -160 Resistance Plantation Tile IAdhesive 31.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company T ileBond Average weights per patty 13.9 grams. 3M'" 2 -Component Foam Roof Tile Adhesive AH -160. Average weight per patty 6 prams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) For Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile 3M " 2 -Component Foam Roof Tile Adhesive AH -160 118.94 3M- 2 -Component Foam Roof Tile Adhesive AH -160 40.45 4 Large paddy placement of 45 grams of 3M' 2 -Component Foam Roof Tile Adhesive AH -160 5 Medium paddy placement of 24 grams of 3M' 2 -Component Foam Roof Tile Adhesive AH -160. NOA No.: 15-0721.04 MIAMIDADECOUNTY Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 5 of 7 Table 7: Attachment Resistance Expressed as a Moment - Mr(ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Seespecific mortar manufacturer's Notice of Acceptance. 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami -Dade County Product Control Approved". ENTEGRR Cly PLANTATION ROOF TILE LABEL (LOCATED ON UNDERSIDE 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. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 6 of 7 PROFILE DRAW WG PLANTATION FLAT CONCRETE TILE END OF THIS ACCEPTANCE NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 7 of 7 t - RCL Structural Engineerirg, LLC 1330 N. Ocean Blvd .':�.. "`� 7["I!I C.1J.A No. 27449 M Robert J. Setins4 p . 41&T WVE DelraySearh. Fl Florida F.E. 499.2 601 N. Ccngress Avenue Suite 429-BRJS 11-22-17 Delray 30ach, F;_ 33545 CALCULATEDDATE (5E1) 70e-7541 VALE Suppiemental Truss to Tie Beam Conneciwn � FBC 2014 170 mph ultimate wind (3 sec gust) 132 mph nominal wind (3 sec Mt) Risk Category 1( Exp ='0' PwF 5S 7D) Ei9 -9j4F rRs rw Ta rpass.5l7�ND TSE B� PEk ir,�uFxru�R ,9DD42j HTSM 20 A D� AT Gi�RS. GULFSTREAM Nf�) :::�flx PLY. T lcxNEss MRTcH �1c�STjNG F1>�T�i�iw�/cdiBlv,v�/L � %t,p�Y�vsSFT�i9FA� d 197- ^\\ EX/STItJG C�ZWFc72:i2 Rn MIMAIA) plAN V1251 -j t T 7a REMMAJ �s91 aTAT>< Lj -4 n c 0 M -n rr 5i >� o"VY o� a 174 Attsawy Coeoe:;aa Toe Y8H..; is a sage cie:a• c:.r eldc: c_rre_t : - —_'. !Lr s^G3 sawntruss and enQm?e:ee wood products MATERIAL 10 Qaa9e FINISH Gaharri INSTALLATION' • Use al: spmd;ed listeners. So GAOea Notes. OPTIONS • Seal Can be sxv, ed at as• cn:y The rmwrnur a:'owae.e awn ;ca0 is 349 Its 'rd 15K, los ,pe+tor h tt ::. Fc all M"N r de's a c_ 117 lace !c9ie0 3owooad a 11." 2311 tis p oer A}oi Model _ mmarmm IM set sv.t X4msp.Al Ne.. 4 __w M - '019A n l' f}ey.ati'3:9 tM, 3.e ,. CODES Set page 12 !or M&SA3.t2"12 v Code Re trence Kai Chan . M511Aa567?5?5 w x+r' - �... MSNA'-%'225 14 _ • 9- .56111.68 lis 154: M-14 13; 31i: Will SVS Ik 3Kr 56^Yx 51925 201. r"' Su•125 2% S'i 54'1 of 2t 5' _FT ., � G• � f'i`r + .j.-.. a4wt;m b:Y .• 4 r5 mar nat.o • I MSHA Typ!.al MRRA insta!4ti n FtiYaen' he. .. - Na4r Wit Cmcnd A:Sambla lasts DF.SP — Wooled Cleu--- - e1ltRraMe Loads tF!SP -- Cam Ref. Upttifr' Maarevrt UptNPfane asfm Try Fm Joni f160f 1164 — Lead law LASMA scot Rs_b_AMP 79_100 -_3n�_ _JAS 5330. - C`__ %tw.'r;AHs wMXw 7'A I-ATR1:' 1a•TMN' 18-;od Iwt 1300 ,665 4367 LIE,Fi: 1. ATR is at I 'tadw Nd. 5ytrras AN Ca Vsk w•1 Vw1n, :asaap 1AW= [-SLS). C 4Farruu-, don11+ae >»rc,T- t'; Uwi m _`.JG Dt•. GAJ crap nate o ^.s::ms^+ 5 111161 t apm wm negro or 7,.- rprvx a 3W ranmcan e.-Aeomnem d "4u ton IPtsns wrh N7500; .& n stsndam A"A C90 r baM"M«S r*lA� unap5TEwc, :sit,xa:r..e. Minnie rpe g5e!'.'11itratw, ora054474 beaw :. UtAff 1111011 :fAe ter-, ,mM 1i to wV a tataualt kilo; w+:% 6. Adlateat aMct.-agr r'cz� S %tN otoopm er mxm w furrow w4raw ab&.td rth:x wrer. we' Ions sox.*. 7. Jain late art ft, Sni:.A^. Pim. For Doug Fr use 3515 Us L01011 in bestl ws e6dtiaai vu,4 Swxsor S.cos-Te• Et E:orpie adnasen IL Tide aeagbl scam "It dcturand u601'ta1 FarNt3 c• naltne, ❑:.Akan n4:a 0: neaVrwes enpedmed n;u rtd AI ftw roe to G A:' danver goer S A4LS: I Ge. C tag r^,a z 7 b" A307 a MN! Rater to :^.e S.r; s:n Sermd-i t' Aa^rorty rh1 iCAak Sat paps 22.23 la onrr nil R'1s ab aeorak,on. The Hurricane resents futures varoras comgo:a:. o -s of *.,,a and satsmiC ties far •i•Ya6es and fatfers Tha Mies provides a r, Qn capac:p connecOCn L61L trv:snaf;er to waiJAlso dutabM for wood -!o -wood applipocc= NO page rgB} be HW is Cessprad to'eirofil W. traWattfs 10- Nock -ansductidn Ile HM9 ta:roane tie provbes tslan uplift and Wesal alDaYPj usirq Simowr Suoi*Tee concrete Ms •rers. TOe PrWtoed 5112 seal of One H15 provides for a hQ .1 f.t and reduced eellectia. Tts soap tenTn walrdeS tot +incus liters heroes 5 to a r. aA Murn of 13W hstnrmum tMet hai lot H15 seas is 4 ,he new LTAZ s an emtt•-ddtd tum an; nor tot p:outal CMU and concrete wads that O& Wps r.Qt toads with snaww tmotomerr Oesi;oed br 2eA n4o4nuo- trust Choat Ira LTA2 m.sts uph^ and latestli Wads "uatl an. Derpk,,iccar,o'.he :rat1 tett a m. 's^tie ned t3tiQ•x ep...-.'-tui FEATURES: SmpL':ea oestgn, o' I,e embeccel part an aces 1v easy postliomnQ close v reUr Idea) Iw anti t.ussas runnirricptyta..au3' a panned to ex will • Embe3rarl line SMMDeO on p171 MP11 1 IS'ZW and ",Nps avoid iatt:llaon amts MATERIAL H 7msr- see more LTA? -16 Wuo FINISH GL"VaaG see CGfrouDn Ir,10•^r..01 p3QaS 13-15 INSTALLATION • List a I specr'ad tsterrrs See Ge :dal tlot=t H Tin: • Canomols add red u-'.; nex Mad SmDsin S!ror,-Tea Teem screws. • Attu, 1a;'d ted ctinx-6:3 Glob wC_n a ml-:m'T.O we 115 'eur hOnidflta v the COUse. • Hum -ort T.s do not replace sd+d woclura. LTAt • Whether tr ,rn e0 uh1U of ro.,cres. he LTA2 's! e arrusextut tome cap-` of fee a' acro, art mi 511mpea p^ :112 Carl • A mstim.im of one n .tenial e5 rebar IS TQa 11 t e' I Concrete Or M !fn! top COU M d 910 !a Ci r • For panda' rc wa7 applications. coda:. the LTA2 v h<rjes lacing the carter of the u5 mll=un eo;e d.stm;a efed. Cam, See tav 12 for Ccv'e Relve se Ne; Cnin -_+sem �•�- F'eiapeaai Path it'r s'� 'T� i .svAaur Prcn d311 m 7.7. n atelpdoN T •• �' t r T f tt v�� •,�� ;•;� ,� lk MOAMTO a/� MTOS .� y - c 1 c ••.n. •t i 3. r <'s e,.r yr a .y- NMB LTA2 klouarj La3hfU:9 ?ta S".TSM a-:] hTSM atiE: Fy'� s!rengt'r eress :a-tnasa:ry ccrmect.dns. MATEN& ML£M 6 ga or, h SM -t; gauge FINISH. Ga+va+wsd Set Co• osbn tr'drma::a.T. pages -,3.15 INSTALLATION • Lite Ad ...:r0 :ist nem See Gcrz:a.1,c,: • IrstAL's a h rfx-tad Tctre s: -e i • AOACP. to ether sde el g:C_3d cornett lllf" . a3^. a -tar:r one a5 rctar racrr:a' WOES, See p;,e 41--1,34•_ Refe me .* r,- , Cr : , MCMI Fasterert' ,rcs CMU Concrete _,2 4 Tot A y(�GlR'e RlcY e?A.n aa;:tlue to d'P-ti ekR?:be'- fp!'itfuK'QLR ctoa_F.aLYe .Da:r G:Glr lCaa: p:ae',. Aa;:..• ,: "p. ;:~•-`s is Teen Acwa;,,.. :. Set iWt'1] In 7tV, Krer'raear:.�rwn 4. Tlovsn ifuY ^.idt Wert EeYrrllMe' •est1tiiAcct:rtencteato � ie Aellcoe, 6.P:mKti aRti!tk,xW:F'4en ttYi tae TrYn s;.rewe fte c. ascira ca rt atlt'a ±_ MlnsTO+n !m • 7566 x, an0 ft. ]!�j Pta 5. UUM z et apply ween mr me wal two Tata Iar1MA At oyplad mta is bra laic' ane:..: t! ra ba'e L`. t<re Lre we or. t:t rbt*Do. taf fuel teen wT 13 mar i01 !3119 He Ara' O ery p W memmY rte ,, ran of fatylte .•, s7 0.M n]k 9. NA&['lk. v.: M' EY 13' tcrq, :bsT K . C 143" 94 : ; .� iarq. SN telpe 22.23 lar a1,tr rew s.lte xe 0 - uM'att 4: high bid _axMg The MGT :ups avt: tie 7'<e: i:i.7 is zu ;: ,med cf. ore W -t M vie Uuss The HGT :lreddits:M 11201 And ancho.'c an bath sides of the thus- The HOT is held J ±.Otao! ^a.I"Rg it SUltibh IM trusses wdt t4 cho+d slaves up to V 2 t 1'e HOT is Ava4W .n sim for 2-. 3• and A.* wrdf. MATERIAL MGT -12 gauge. HGT—.' gauge FINISH MGT—G ,ar me hGT—SirV-ir. e=g:ay twr: INSTALLATION. Use 1 spedffel Naarters See G x71 Notes • Wher, the HGT,3 3 is !'sed wth a 2 -ply Cirav c beim, is reG:aied Inc rust pe gsfen6d to an as one 0 ... • 4=1 td 97%' to cannete beck wch A micr-.m OR 95 re6ar harixnn in ere tug bnuel bbck • See me 2.3: Irr woad app iatians CODES! See page'?:;; Cade Reference sey O.C. F"de" 05SP - -7Pf; aF Model W Dim AUOWeek AYtaMle Geat N0. lm P. GonemN/ 6trE.r UPIA1 LONsI UPIitt Lama Ret. _ Meehan CMU {76!) [tigl MG° -e24va 3565 —_-333; F26 HGT.2 `''r. Ll. 2.% 14-15d low 4465 HGT-3 a?' -..IM 2- : 16-',53 t05: 9W5 29F•9 NGT-; 811: 9 ?-Y. t6-'.Dd 5250 9M A=.W r,17,!Am m.St De .*--;Orap w resist a;,:ied !scs Z. lLatnu*: I n • 15DO ib 1-4; c 2570 Mi 3. icer sue C.v +ups r s:e iu ::a MGT rd 46' kr -, a a 5' omm a be -tear Ar (-, a" at ia'Axotu OAU''Dowi tau be w" W^a S,nLSG S!WoT.e'•SET tocirr te•anewe w.r a mrram embedeW, to ,e'2' Ue va .Movable tcbm tall e bmArA, r.cri iueec cbwii,o v rt4+.ns!:rNss nos vmWu lasmen±srIDpwcaYArtleCm 5 7htWT= z;+ EAOtevtstppr.t.�r -. NqT ran De �nstaMi ..:� waa nncar h: Fa Labe km a niece an spectuc 11at iT M slt t m te^t. a W:IA tMEti ar.T.lr.'r.�.1l Cacs+t 214 wee 5 uIisa:nnC+<'eua.rrr.xtn:ir �w v:cv,p kstet t:;wer. c^rata3c ra;urlr U A.1:iYN'u Nair - NAR7. a.O. Sae paw 22.d.'#,neem 182 `i r rI t t �ti a p0 e/ MTBM16 (.gmfln si"W; 1• tv MGT Typical MGT film!aa ice �mti^ L. ^aa •'AAtter. rtxaeta rlFtti w HGT-2 s:'{anM �G F? aad acs T)tlal HGT•21:rAlieS:r. Into Concrale I I 4� I• ilpltAl F�:' .• �•• MTSM20 i AGaN6N L71erM CF;SP (PFMF ...-- Ie U01111 Lola- A{4ra6uU61itt LOW LOWiDFr1lP,PF.41F1 Ve�r. f . 16MYf 160 .UIIA Ft F2 11N 7661) 1 8661 --'. 1166) f168t_ 66- _ 750 yy 4 Oki 7541 -u VA ' y(�GlR'e RlcY e?A.n aa;:tlue to d'P-ti ekR?:be'- fp!'itfuK'QLR ctoa_F.aLYe .Da:r G:Glr lCaa: p:ae',. Aa;:..• ,: "p. ;:~•-`s is Teen Acwa;,,.. :. Set iWt'1] In 7tV, Krer'raear:.�rwn 4. Tlovsn ifuY ^.idt Wert EeYrrllMe' •est1tiiAcct:rtencteato � ie Aellcoe, 6.P:mKti aRti!tk,xW:F'4en ttYi tae TrYn s;.rewe fte c. ascira ca rt atlt'a ±_ MlnsTO+n !m • 7566 x, an0 ft. ]!�j Pta 5. UUM z et apply ween mr me wal two Tata Iar1MA At oyplad mta is bra laic' ane:..: t! ra ba'e L`. t<re Lre we or. t:t rbt*Do. taf fuel teen wT 13 mar i01 !3119 He Ara' O ery p W memmY rte ,, ran of fatylte .•, s7 0.M n]k 9. NA&['lk. v.: M' EY 13' tcrq, :bsT K . C 143" 94 : ; .� iarq. SN telpe 22.23 lar a1,tr rew s.lte xe 0 - uM'att 4: high bid _axMg The MGT :ups avt: tie 7'<e: i:i.7 is zu ;: ,med cf. ore W -t M vie Uuss The HGT :lreddits:M 11201 And ancho.'c an bath sides of the thus- The HOT is held J ±.Otao! ^a.I"Rg it SUltibh IM trusses wdt t4 cho+d slaves up to V 2 t 1'e HOT is Ava4W .n sim for 2-. 3• and A.* wrdf. MATERIAL MGT -12 gauge. HGT—.' gauge FINISH MGT—G ,ar me hGT—SirV-ir. e=g:ay twr: INSTALLATION. Use 1 spedffel Naarters See G x71 Notes • Wher, the HGT,3 3 is !'sed wth a 2 -ply Cirav c beim, is reG:aied Inc rust pe gsfen6d to an as one 0 ... • 4=1 td 97%' to cannete beck wch A micr-.m OR 95 re6ar harixnn in ere tug bnuel bbck • See me 2.3: Irr woad app iatians CODES! See page'?:;; Cade Reference sey O.C. F"de" 05SP - -7Pf; aF Model W Dim AUOWeek AYtaMle Geat N0. lm P. GonemN/ 6trE.r UPIA1 LONsI UPIitt Lama Ret. _ Meehan CMU {76!) [tigl MG° -e24va 3565 —_-333; F26 HGT.2 `''r. Ll. 2.% 14-15d low 4465 HGT-3 a?' -..IM 2- : 16-',53 t05: 9W5 29F•9 NGT-; 811: 9 ?-Y. t6-'.Dd 5250 9M A=.W r,17,!Am m.St De .*--;Orap w resist a;,:ied !scs Z. lLatnu*: I n • 15DO ib 1-4; c 2570 Mi 3. icer sue C.v +ups r s:e iu ::a MGT rd 46' kr -, a a 5' omm a be -tear Ar (-, a" at ia'Axotu OAU''Dowi tau be w" W^a S,nLSG S!WoT.e'•SET tocirr te•anewe w.r a mrram embedeW, to ,e'2' Ue va .Movable tcbm tall e bmArA, r.cri iueec cbwii,o v rt4+.ns!:rNss nos vmWu lasmen±srIDpwcaYArtleCm 5 7htWT= z;+ EAOtevtstppr.t.�r -. NqT ran De �nstaMi ..:� waa nncar h: Fa Labe km a niece an spectuc 11at iT M slt t m te^t. a W:IA tMEti ar.T.lr.'r.�.1l Cacs+t 214 wee 5 uIisa:nnC+<'eua.rrr.xtn:ir �w v:cv,p kstet t:;wer. c^rata3c ra;urlr U A.1:iYN'u Nair - NAR7. a.O. Sae paw 22.d.'#,neem 182 `i r rI t t �ti a p0 e/ MTBM16 (.gmfln si"W; 1• tv MGT Typical MGT film!aa ice �mti^ L. ^aa •'AAtter. rtxaeta rlFtti w HGT-2 s:'{anM �G F? aad acs T)tlal HGT•21:rAlieS:r. Into Concrale I I lCD W LO 00 U I� M N /, U O O d y c c c c U U U FT V /, DIM" 8119100_2�Q� BUILDING RECEIVED 100 NW V Avenue • Delray Beach, FL 33444 DEC 05 2017 (5f8j`kr ) Town of Gulfstream, FL App v m erniitME PERMIT APPLICATI 4a1s Dat APP�TE F.B.C. VERSION AC I PERMIT NO. , _ OWNER INFORMATION CONTRACTOR & DESIGNER INFORMATION _ Noma x IyZOlakk Ot' A*J �V . ❑ Check if Owner/Builder (See Page 3) Contractor License No.03 �t1 61 Comp No. k wLmot _ Address_ bio k.1 •DtCAa $1LA. City ( A t fl State:L Zips _83Workers' Home Phone ( } Company OA03 Call Phone( ) Fax No. ( y Address (mCal V CpI.tG4S_�t, ! City State F�- 4 Email Address I Phone._ (s'Q6" Fax t•af4���kT� Cell PROPERTY INFORMATION Property Control Number. 1 Q�10 f Address of Proposed Work q&' �cti Email L fps_ S►S ,tow Archite in r' am�SQelda& Address �1 [a1r�Ra31 A+Jt • 331 : litlBMR TOIfM1eRgCkYk _ _ _ i Contact Name �e�al Descriptio #:C A&jV#. S" � CS • 1 : I Phone Ext Cep -A Ste or Apt # / Floor Project Name (if applicable) ADDITIONALINFORMATION_ --j Fee Simple Title Holder (f other than owner) _ ` _ 'Address >rity State Zip Mortgage Lender {1 Bonding Company Address I Address City_ state -zip --j City State Zip DESCRIPTION OF PROPOSED IMPROVEMENTS the proposed work (Naar Construeeon, Adtliim, Intarior/Exterior Alteration, WindowLiDoors, air-) _ 1A" l'Ycnst C% - AZ''Twc kkdAbdT ts.1'U% 1 c IPA Is this a City or Rehab project? ❑ Yes is No Is the oudding served with an automatic lire sprinkler system? ❑ Yes Q'No Current Use or Occupancy vilib-AX Is this a change in the Use or occupancy? ❑ Yes [?'NO For Impact Fee Credit Existing or Previous Structure Demolished? ❑ Yes [3 -No i Type of Structure Demolished: [),SFR ❑ Commercial ❑ Commercial Accessary Bui!ding PLEASE C1400SE ONE OF THE FOLLOWING: NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE P TOTAL COST OF CONSTRUCTION TO INCLUDE: STRUCTURAL ROOFING, ELEC, MECH, PLBG NOTE: OTHER ASSOCIATED TRADES TO BE FEED SEPARATELY UNDER )EE SCHEDULE If OR III. THESE INCLUDES LOW VOLTAGE, HOODISUPPRESSION SYSTEM, FIRE SPRINKLERS. IRRIGATION. LANDSCAPING, PAVING, ETC. MISCELLANEOUS PERMITS - FEE SCHEDULE It' ALTERATIONS 6 GENERAL CONSTRUC N -SCHEO. IN' TOTAL COST OF CONSTRUCTION. $ U _ COST OF CONSTRUCTION WITHOUT $ cp�)_ NOTE: ALL SUB -TRADES TO BE FEED SEPARATELY. THESE INCLUDE ELEC, MECH, PLBG, ROOFING, LOW VOLTAGE, HOOD/SUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION. LANDSCAPING, PAVING. ETC. APPLICATION CERTIFICATION AND ACKNOWLEDGEMENT Application s nereby made to obtain a permit to do the work aro nstaQa•:ion as indicated. I certify that no work or Installation has commenced prior to the issuance of a permit and tna! all work will be perionmad to meet the standards of all laws regaieting cnnslro on in this jurisdiction. A City Building Permit does not assure compliance with Homeowners Assocbtion's rules, regulations arMJor deed restrictions. Applicant is advised to obtain approval from the Homeowners Association before improving any property. Applicant further acknowledges the Ulawing. • Separate permits must be secured for ELECTRICAL, PLUMBING, MECHANICAL, WELLS, POOLS, FIRE SPRINKLER, SIGNS. LANDSCAPE, IRRIGATION, ROOFING, SHUTTERS, ETC. This permil becomes null and void if work or construction authorized is not commenced within six (6) months or if construction or work is suspended or abandoned for a period of six (61 months at any time after work is commenced. Permit will be considered suspended or abandoned if it does not pass an inspection within 180 days and will be subiect to a reactivation fee in the amount in force at the time of reactivation. . Fa,.Sue to comply with all applicable conslruc6on regulations may result in the withholding of future permits. • Submission of any false information or misrepresentation is a violation of law and shall result in revocation of your permit. NOTICE. in addition to the requirements of this permit there may be additional restrictions applicable to this property Nat may be found in the public records of this county, and !here may be additional permits required from other governmental enCties such as water management districts, state agencies. or federal agemims. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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. OWNER'S AFFIDAVIT: I hereby Certify that I have read and examined this application and knew the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granling of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. PROPERTY OWNER STATE OF FLORIDA, TY OF PALM BEACH Sigtuttue of Qu'aa� aiC� _ Mawd lite.. of o T •$W �� fes\._ — J nk- STATE OF FLORIDA, COUNTY OF PALM BEACII The fore &lotng ins tIDIDenI was acknowledged before me This By ' ZF]tall_.RD.IA Sit" �Pcrwrially known OR Produced Identification I Type of ldentitica!ion: EP 0 fIJR. S" t ...Iwary Public = I s o_TFbF a iLCommission k GG 029699 My Comm. Expires SIP 11, 2020 Bonded 004 National NOINY Astn. GENERALCONTRACFOR STATE OF FLORIDA, COUNTY OF PALM BEACH 5lgnat uf(j iifia sY-L Ihtnlc,l N.. of Vuahficr STATE OF FLORIDA, COUNTY OF PALM BEACH The foregoing insirurnicra was acknowicdged before nw This a 1 day A300• ,20�. By A .T- iAc{CM3S�ki SR. -o"Pctsonally known OR Produced Identification Ty pe of Icicntibcation. S,�umtc o[riCom ., w GG 029999 t'Nil „" Sep 11, 2020 W (5EAI.) . ,gal Nmary a.a. RCL Structural Eng;r.eerir_, 1330 N. Ocean Blvd �- C.G.A. No. 27445 ° �. Seiinsky P.E. am"ME DeaySeach,FFL ROAQ 12ECEIV�°�°JeCAid-c P.E. 4452 10o Sri+ 601 N. Congress Avenue " CULF STREAM. FLOR12LI DEC 05 2011 suite 429-B LCUATED BY RJS DATE 11-22-17 ..eiroy c,,®each, F:. 33445 (561) 706-7541 v,. Supplementai Truss to Tie Beam Connection 170 mph ultimate wind (3 sec gust) 132 mph nominal wind (3 sec gust) Risk Category 11 Exp = •0• 4 Rmr- !ES z EA -914F FAsfr Tb P v1S /9ND TlE BM )PEA AZ*)IjfA:�7-e1flA9. i9,0e j HTSM 26 AltpL AT Gi - ERS. NES COX PLY, 7HW�Jgss IMTCH EJc�ST/nY• FAS7�x1 c.9��od �BlVN�/L AT If EOE, j!0',pK oAzie94 l t�PLYGUsSETAFAfAQ=- y, w/6.1J6d 45411VA.W4 b AT Y" -lc• ,' EX/STJNG t!.aWrFCTA� Tb RF!»Pi.Q "*'ado ,FXjST/,� 7D PFPAWW A46VA79c7A1 eqj 0` t: A 9's tIK� PIAN V1151J .i • H t] Y a c c 0 U 0 N C !78 The 5!8HA a It si piece, ren-rceftky C2nmectrr a7i for sM satyr. 1:uss araC erni :eC waw products MATERIAL 10" FINISH GaMni INSTALLATION • Use all soi futeners. See General Wei OPTIONS. • Seal cai N SAe4el1 at e5' dray Tne rmlo ni 110wah:e aa.n cao is 3495 its are 158-5 los ie,:'ttr ne yr! 7.: For ail 01:21 Modeb. 1694 me Mme 14W dawmdad art: Jpar of 2390 'is 0:w Mi far sten "i a'b lf5MAl for Jl.ee 1i COOES: See pagt 12 for Code ReWmu Key Chan. MBNA SIMPSON Su'mg35e A : e5 rtar bct.a WC au se .j F I �t Rom cage A(ddpt Ty'Icsl NEMA Inata114110 I. ATM it if MMOM ma Sr:J •m b Grcrele u0 Mu:' , =w 41" C-Scl. 2 abwnrnl wmrM Mmpth rt anal he 7500 pet. CMu sw hm A lr,etrnuen 3. USHA rimi wet hi 0r 7 : 2;::2 a 3'+ merwnArl a n0edii at ne lite tot? Mut>bwA,rn• a 7500 im wN Sandi ASTM C90 aloe W had N or S inti uamC ET tt0r. •`s i4rMi AS NeaO mm to N 4.' otarnRr. gri AOC7 w tarter I LOW loide ATe bi rtata" 60% W wmd a< gmdum, W -i min 5 A03eMi1 vi m- —1 m M Oe90Ke h muni ro ferpew ronimme ieawe0. mduar .awe OOCr beds a"' 7 Lauf i0 J', tot era For Di Fr use 3515 Its a. IN* are NOW in se:AlaOp1 using S•ttili Sri TMJ•a E:arTn`a0ne+.t S. Tape M:.wu bum nae iii us- ! W uhrci err rastrer zar-ma^. mi 5M.- MrIM emudmne �rdi An ai rM to ll V'tam+nx. gra 9 vdi too. c i4r w a r long AX, 0r,*tux Ri b cam-: sun Sie• A-<.+r-oAV Fats Sr page 2223 for rem w nuns Aid 0.. o- ti The Ii:.::.: -,'d Tie se. its Ie llrts rartdrs Conl.9uraho.3 of wiM and _!a1i `..G :C"'-C'15a: end afters. Tie M'- ,]:C :c! a'.y:.rJa.itny Connetdl0n IMM.. I:JSS.'ratter to 42U. Als7:c*Z-, it Itr .:aa :a -'wood applications /sae pipe t%k T'2 b".•, ' ' ;.-'±; t0 ra:fahl rayl L•uSS,':1Aah_ S.0=< :onurtta,:n ire -Hfi rxrni to prorWes rugn and nasi :.apathy using Sunpson SiroryTeli mncmfe faslerm The praskped 5112 seat of Uli Mt 6 tao,ni br a ligra f.t and reduced celMction The strap leap prmides for rufous truss hetgMs up to a m'ai:'mi. of 13 h' Miriii W Alight let HIS WAS a 4' Tut new LTA2 6 an emttedded no anct,cr for gaited Cli and .-on,tete wa1$ Out Oerelm high IOa05 wile Sfh iicw emotomem. Deli �-: gra mmanum puss darts the LTA2 r1 i uplift and Ia:attil bads ::.:a a'C perperdcuiar to the •.sad wr.T a Ra-ur..um ;tel t,'igTe FEATURES: • S•moo:d desigh of the ar.Oedow pan,otl si fol easy postila O dose to recta • idol for mini trusses rurru . pr-pert.tltar of parallel to tit wan • E.^ped-ettt line stamped 0.1 Part simpfrim nswaeon and helps Avert Inmfinod ARMs MATERML H Tres -sea Oft LTA2-13 gauge FINISH G "iti see Coaod" whimnon pages 13.15 INSTALLATION • Use all spetffii0 tastwrs See Get ni Notm. H rip: • Con„h'tf0:5 m abed ming het naafi Suipson Strang -r!' T4W saews • Ati 1C gra ldi street- W= wr•h a mii one e5 rew forattrul x the WL13e. • Humane ries 00 not Mae" $014 ltlocL:rg. LTAL • Wether In grouted CMU or carcrate, the LTA2 must ere empedded to tra depth of Me emaetmert line Stamped an the part • A murmur a1 one hdrscntaf 06 reaar is regi it top Of Concrete or to Na top COWU of grouted CUU. • For parai;e!-h;-wan Applltattoms. Insfan the LTA2'mth flanges facing the CMdr of the watt. 1411,1 toga 4WIMa Of 1 h• reQYaad. CODES See page 12 for Code Referelete ii Chan. SMY CtOMeY OteutaO CMU Fu:rte& AtNwasle leads Allowable Loi Model _.. _ ! Di OFISP C4111111 _ UpW Kamm up", aaAmm Me. beWf Ad. Ad. Top lite Jest 1150! Lad 37;5 �E_50� 11601 D"j mi 1 AT1t3: I ATPNN 18-M0 3475 51 MBMA R[dIh win H. t4 1•ATRa.' 1-aTRis+ t&100 tees 4350 15d5N 4380 L16. F:i d.F I. ATM it if MMOM ma Sr:J •m b Grcrele u0 Mu:' , =w 41" C-Scl. 2 abwnrnl wmrM Mmpth rt anal he 7500 pet. CMu sw hm A lr,etrnuen 3. USHA rimi wet hi 0r 7 : 2;::2 a 3'+ merwnArl a n0edii at ne lite tot? Mut>bwA,rn• a 7500 im wN Sandi ASTM C90 aloe W had N or S inti uamC ET tt0r. •`s i4rMi AS NeaO mm to N 4.' otarnRr. gri AOC7 w tarter I LOW loide ATe bi rtata" 60% W wmd a< gmdum, W -i min 5 A03eMi1 vi m- —1 m M Oe90Ke h muni ro ferpew ronimme ieawe0. mduar .awe OOCr beds a"' 7 Lauf i0 J', tot era For Di Fr use 3515 Its a. IN* are NOW in se:AlaOp1 using S•ttili Sri TMJ•a E:arTn`a0ne+.t S. Tape M:.wu bum nae iii us- ! W uhrci err rastrer zar-ma^. mi 5M.- MrIM emudmne �rdi An ai rM to ll V'tam+nx. gra 9 vdi too. c i4r w a r long AX, 0r,*tux Ri b cam-: sun Sie• A-<.+r-oAV Fats Sr page 2223 for rem w nuns Aid 0.. o- ti The Ii:.::.: -,'d Tie se. its Ie llrts rartdrs Conl.9uraho.3 of wiM and _!a1i `..G :C"'-C'15a: end afters. Tie M'- ,]:C :c! a'.y:.rJa.itny Connetdl0n IMM.. I:JSS.'ratter to 42U. Als7:c*Z-, it Itr .:aa :a -'wood applications /sae pipe t%k T'2 b".•, ' ' ;.-'±; t0 ra:fahl rayl L•uSS,':1Aah_ S.0=< :onurtta,:n ire -Hfi rxrni to prorWes rugn and nasi :.apathy using Sunpson SiroryTeli mncmfe faslerm The praskped 5112 seat of Uli Mt 6 tao,ni br a ligra f.t and reduced celMction The strap leap prmides for rufous truss hetgMs up to a m'ai:'mi. of 13 h' Miriii W Alight let HIS WAS a 4' Tut new LTA2 6 an emttedded no anct,cr for gaited Cli and .-on,tete wa1$ Out Oerelm high IOa05 wile Sfh iicw emotomem. Deli �-: gra mmanum puss darts the LTA2 r1 i uplift and Ia:attil bads ::.:a a'C perperdcuiar to the •.sad wr.T a Ra-ur..um ;tel t,'igTe FEATURES: • S•moo:d desigh of the ar.Oedow pan,otl si fol easy postila O dose to recta • idol for mini trusses rurru . pr-pert.tltar of parallel to tit wan • E.^ped-ettt line stamped 0.1 Part simpfrim nswaeon and helps Avert Inmfinod ARMs MATERML H Tres -sea Oft LTA2-13 gauge FINISH G "iti see Coaod" whimnon pages 13.15 INSTALLATION • Use all spetffii0 tastwrs See Get ni Notm. H rip: • Con„h'tf0:5 m abed ming het naafi Suipson Strang -r!' T4W saews • Ati 1C gra ldi street- W= wr•h a mii one e5 rew forattrul x the WL13e. • Humane ries 00 not Mae" $014 ltlocL:rg. LTAL • Wether In grouted CMU or carcrate, the LTA2 must ere empedded to tra depth of Me emaetmert line Stamped an the part • A murmur a1 one hdrscntaf 06 reaar is regi it top Of Concrete or to Na top COWU of grouted CUU. • For parai;e!-h;-wan Applltattoms. Insfan the LTA2'mth flanges facing the CMdr of the watt. 1411,1 toga 4WIMa Of 1 h• reQYaad. CODES See page 12 for Code Referelete ii Chan. Frehaped 1: Sr 2. imml is Paul A Y12 to 7.92 a accmi C d HEAMID H15 r- -. tell,• ,- ' • , , 4:, ! ,. I HMS LTA2 6 C �z is L• H1oS Frehaped 1: Sr 2. imml is Paul A Y12 to 7.92 a accmi C d HEAMID H15 r- -. tell,• ,- ' • , , 4:, ! ,. I HMS LTA2 6 C StMPSON H Se15MIL S llOrrl JOC he•s / LPU 1 ofemi Traii Anchor $tt1ngTie 7 LOacf haat a mms l ht w' Ci aUrraan1 tAdrV r. m Armes ftnn a10aa4 +000!6 rrtr! A on porwr. 2 Anon" Rbc em Man aarnor A rs2xy rand tM1fan411 of 24'0%S ae JW rW fwwg lzr: mm 400d m mach as d n oa at1m "a P" cd hN I'm 3 tom M1917 art? W.AWdf': In kgs ae] ;207 rM w 1141 nGAM10 :-machin t✓Lu;oc A S r pw Shov. alrw0-Trt112a 505 Asrn GM Corrc—vo Wars aM 2 A' a 12V Tis+• scex aespwj- e r11a' 30.1 area far: menet a2+aiNwa ad[ 4mpalaa611 s. so Rte /7 b T4d1 lana eftmeW1 s 1 n Rof slIM Tolmi H1U Ill u"MIla QM165 Ietaallsd Into marsoaT :. Taep a sNM b o este Csx Mat .s-... .m ar3 v � n MD- 40M a rUuef D Proaapa W 0 b mWaM4 Sxh toe L•e 'esn 4c:nrs da Tun NO• ialmora N not now w dM raamer 1 M-aAM10 F, i ay M tar pari y ms cv,. See Jadrem 2 p: m3s may tram W COMM i LTA2 aafaeame,VM m SP s 1425 na. br �e:lerCK. p tJ raa a+laaalgn ,uw 1310 nl for Wyy b Val bealaw. 9 MU: -OW 71 .O.I4V CA a 1'A' M1 aael b . C 13;' 01.2"1' MO Sea Pale 22.23 b 41Mr n41 sari a -L C:Z a',,' F2 7u�-' i LTA2 Perper.da44r ID Will Instaltatlln Mcistwe darner rpt stow, !Typ) .. t 680105 ;[F 5361Ds. (SPF) i fir —45 asaa Wn HOAN10 lo"Idd /Rech r r55tGt �,/ My are Setarp .'.! . LTA2 NraOW m Wall Ila:allaffo0 FI HM9 A=aefin0 Tnm to Muaary Pusateri OF/P SPF11F -_— No ASiw kLook" AIOWN*Lnda'a Y0. 6a 'N LA1To To 71 I law l t M' Lateral Code AN. CMU cam } _ Tran FI , Fz ( 1601 h F2 127 __ 6'.: :-Jw . 1: r.' 5 • c : Tfi: .lt? i - us 425 MD 595 425 200 ifiWlOKTA1 14 — — 4 -SDS r.711' 4-Ax2l: T1m 4-%xI%Tdm 1005 1w 610 126 MS' 105 1l IS "4 8.80a1K 2-%a4T' iHO 1,+l 141ou — — 915 — — Ni F25 LIZ plrpena::a:vm 16 — — 15-1061:4 ert>Dea r;mu 1210: 415 815 lots 415 '15 Lyall MaMa'ion f LTA2 —. F26 par"to Mw Is — — lo-todslA Elhoed 1,1ki' 950 220 1016 BOO zzo Iwaftwn M16 is '1i 18); 2.706+;8 6-M24T.tar: 5.X,wiW1 Is?p — — _ 1265 — — MISS 18 '.''i IVIN 2-10C21'4 6.1422:4 Tasn 6'w%TOA 1470 — — 1265 — - WS -2 18 34:. IN 2-106+119 VA4Y. flim 6-4?4t?4Tnrt 7(JO — — --- 1265 — — F25 HIS 2S 18 314 WN t.-1owa i 6• a2'h T4an 6-'21r.rom mm — — 12M — — 7 LOacf haat a mms l ht w' Ci aUrraan1 tAdrV r. m Armes ftnn a10aa4 +000!6 rrtr! A on porwr. 2 Anon" Rbc em Man aarnor A rs2xy rand tM1fan411 of 24'0%S ae JW rW fwwg lzr: mm 400d m mach as d n oa at1m "a P" cd hN I'm 3 tom M1917 art? W.AWdf': In kgs ae] ;207 rM w 1141 nGAM10 :-machin t✓Lu;oc A S r pw Shov. alrw0-Trt112a 505 Asrn GM Corrc—vo Wars aM 2 A' a 12V Tis+• scex aespwj- e r11a' 30.1 area far: menet a2+aiNwa ad[ 4mpalaa611 s. so Rte /7 b T4d1 lana eftmeW1 s 1 n Rof slIM Tolmi H1U Ill u"MIla QM165 Ietaallsd Into marsoaT :. Taep a sNM b o este Csx Mat .s-... .m ar3 v � n MD- 40M a rUuef D Proaapa W 0 b mWaM4 Sxh toe L•e 'esn 4c:nrs da Tun NO• ialmora N not now w dM raamer 1 M-aAM10 F, i ay M tar pari y ms cv,. See Jadrem 2 p: m3s may tram W COMM i LTA2 aafaeame,VM m SP s 1425 na. br �e:lerCK. p tJ raa a+laaalgn ,uw 1310 nl for Wyy b Val bealaw. 9 MU: -OW 71 .O.I4V CA a 1'A' M1 aael b . C 13;' 01.2"1' MO Sea Pale 22.23 b 41Mr n41 sari a -L C:Z a',,' F2 7u�-' i LTA2 Perper.da44r ID Will Instaltatlln Mcistwe darner rpt stow, !Typ) .. t 680105 ;[F 5361Ds. (SPF) i fir —45 asaa Wn HOAN10 lo"Idd /Rech r r55tGt �,/ My are Setarp .'.! . LTA2 NraOW m Wall Ila:allaffo0 FI HM9 A=aefin0 Tnm to Muaary W PATSM and HTSM 0!h1r 114A venni ITM !-Masan, canneular.s. MATERIAL MTSM-16 gwpr HTSU-!4 Lenge fiNISN. Gdlaincea See Corrosion lewrx-,p. paoes 13.15 INSTALLATION: • J3e aF Spectfxd fas.eraers. See Genwi NOtes. • Installs with ilea-!leW T)ur+ suits. • AMO !0 ether s -0e of C:cuad mrcleu olock wrin l Mmmum one 05 ra:ar hOr:z= CODES: See Pape 12 for Cade Reference Kay Gun,, Model L Faataaea'At Trow CMU Concrete TTPkaI MTSM20 Installation F :C. M:1 ANd■elle LaWal Loads' toed(OF15P.5PFMFi 111h F! F2 1601 -- 0601 1160) 10 »— 235' 9L' 2 LOtdi hW tiro derefse0 im YIn+ z .. ^aV r• -1 no number o¢mai slowed. Feat w we oder lovas gm en i' ••• P t: 1Mmeakw'We CX. Mu+. aCp+ ce w rdi, lcrear s t . A. SM OI 73 trw Teem itnw ofom2b 5 T!6'•. axwx&l Item wt dwenvic all w stim"11 of Iutsfit uxjwl n 1.ae 2 S. PrOdu[:S fYa ee ,Mtahk S;:sh Rat Ne flan urM Lf nil tnoud tD Lt walla! 7. M.P.tmm tm .15x0 ow and fe.26M oa e. 1.8111131 1042S MPM wtw, a IN raa see Tip; ¢!Ai M r4UW ,Md vin tole lour baa ;,n, nJtf hla• one tura :re end f. mf p.aa:ryyr caw p+tt erten rm7 r,olu fYr th dertl Wein relfi Ary ddar risrofn reganC tan •A erssefd m Y3 apen hip. 9. HART tot . Guar Ob. a 3' bry, tadatt4.O.:ir d4 t :'R 10•p See pipe 22,231pr pour a0 fires Hol iacrTedo, The LIGT and HGT was are y:mtr la dawns la mootate to nigh bad =14aneris = and W aay nslalled prior to roof stt Ww.g The MGT v wap6 over the heal and is Anchored on one sole of the trues The HOT e 51TiddRIS Ilia heal and an talson bdm siNs of dw tr=, The HG i 4 had 3 acpAubte. mwri; it such* for tnaw With W =rd elopes u7 m &,12, f e HGT is us aol m sm for 2-.3- Ind 4_* widMa. c MATERIAL MG7-12 gauge NGT—? pauge FINISH: MGT—Girvartw. hG' SunpeOn Suano-Tits pray pairl INSTALLATION. • Use IN spectfied Usler its. See General holm • When the HGT-3 is used wm a 2-n girder of team, srir,.m: ; s regsired and rums x Nisbened to act as one unit. • Atlaon to grouted wricrwe o:od win a mirurum one r5 float nod20rita, in me top WrIel Owl • See page 204 V woad:.riations. CODES: See page 12 lot Cole Fetwenca Key Craft, O.C. Fawaut ffW 3PFIW Medd Dim Areeallo Allowable Cede No. w -:,, Cowell! gorw UPRaleWlUpWILoads Ret. _ Alchm Cull _ M 1 (1601 MG- 3% — 21-100 3965 3330 F25 HGT-2 3Y. S% 2-H 16'60 10"1; 6465 HGT-3 4'!4 7% 2.4. 16.704 t05:0 • 9p5 12,. F59 HGT-4 8% 9 2.1: 16 -'ed 9250 923 '. AW:pd members must be designed W ram a"Ind .nes 2 Wwri I'm • 1500 ps a'rd rc • 2500 pw 3 To wwe re leads rand lu Va MGT end Hu' a viaapi :r:0 a r sae gdCnts CKasn w 2wed IV fKnt rt9 cmu 1 Mm w ee mbe,3r.a swp snno-reSET FArYrd aplefhe wrA a nurmum emdromr.: C9 T. of 2' Ve:#al raimmament nal be regwne lo varsler Ce 460 pn Dagner 4. AhdrgHe Oft nanr been cap.m ter wni or es.•t•qu3w wad" w�1 ra nu4ur A ,uw allowed. nd4Ye o," ane Wais totem 5 The MGT tln ee :nSb kd ride We= ,n It, nae Mpa local p Vta aU smaua Wif in NfadM he ed:Ar a seW Memr or mrrm.m got-* be we 6. Tay* eeAwable loads .•re aOtma w using et4Ld W W eClr 40 v ru W:er alcubw tame 7. MAP 1 t9d . 114r W a 3'%n;, See pap 22 23 Icr sfw nan seas ed a,!ynurga. 11*4 MGT 11� _ 4 •yy c a rT F 1 L T Pq • � t 20 MT8916 I'FllaNfe ri SiflnW) m r.+ h lam Typical MGT Inva:;1Il9a •a . s i.•9i w4fr,t . re;'e] n¢.•ea • ` J Y! v 0 T 4 � 7 T, �i Sin f- .mrwrn HGT-2 Typical HGT-2 itSM1136e11 s�s04d ,Y.G f9;,TC Into Concrete sq:eaa > R EC EIVED < ,! uniform Mitigation Verification Inspection pp GULF STRER�s'` Maintain n rnn.; nr +4—r _- _�.� .t_ _ 1,1So fej ,T S•F IA eY J0,C (print name of the individual who actually perforated the inspection), personally conducted the inspection of the residence identified on this form and in my professional opinion, all the data I reported is true and correct. 3483 `l y. 1. Balldine Code: What building code was used to design and build the structure? A. 1994 South Florida Building Code (building permit APPiicuion date of 9/1/1994 or later in l:Bade and Broward Counties (also known as the High Velocity Hurricane Zone (HVHZ)). i.) B. Building code prior to the 1993 South Florida Building Code (buil in ding permit application date of 8!31/1994 or earlier Miami -Dade and Broward Counties (HVHZ). g t o .'- C. 2001 Florida Building Code (building Permit application date of Y1/2002 to later outside the HVHZ). Building h� tD. code prior to the 2001 Florida Building Code (building permit application date of 2^_82002 or earlier otttsidb� E. Lhknoun or undetermined. 2. Pradaainast Rnof Covaria¢: Permit i2l Application Date: or Dau of installation. A. At a mini"tum mccu the 2001 Florida Building Code or the 1993 South Fonda Building Code and has a Miami -Dade NOA or FBC 2001 Product Approval listing demonstrating compliance with ASTM D 3161 (enhanced for I I OMPH) OR ASTM D 7158 (F. G or 11), OR FBC TAS 100.95 and TAS 107-95, OR FMC 4470 andlor 4471 (for antral roofs) I" B. Does not meet the above minimum requirements. J C. Unknown or undetermined. NOTE: At least one photo documeuting the existence of each visible and accessible construction or mitigation attribute marked in Sections 3 through 9 must accompany this form. 3. Roof Deck A hmeat: What is the weakest form ofmof deck aruclhneW A PlyuoadYl eared strand boat (OSB) roof sheathing attached to the roof truss'rafter (spaced a maximum of 24" o.cJ by maples or 6d trails spaced at 6" along the edge and 12" in the fiel& -OR- Batten decking supporting wood shakes or* r wood shingles. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss'rafter spacing due has arr equivalent mean uplift resistance of 55 psf. B. Plyww&'OSB roof sheathing with a minimum thickness of 7116" at2ched to the roof trussiafter (spaced a maximum of 24" Ox.) by 8d common trails spaced 6" along the edge and 12" in the field. -OR- Any system of screws, trails, adhesives, other deck fastening system or M''r1iter spacing that has ann, equivalent mean uplift resistance of 103 psi. C. Plywood/OSB roof sheathing with a minimum thickness of W16" attached to the roof utusraRer 24" o.c.) by 8d common nails spaced 6" along d:e edge and 6" in the fidd. -OR- Dimensional lurrberllona e &maxGro of decking with a minimum of 2 trails per board. -OR- Any system of sue I Sue Cam tnss/ra8a s"t.acing that has an equivalent meant uplift resistance of 182 psi.i mai s adhesives. other deck fastening system or 2 D. RciiLlk �l�rcced Ccncrete Roof Dec la"Mrs lairia* property Addrev `This verification form is valid up to five (5) years provided no material changes have been made to the structure. OM -Bl -1802 (Rev. 02;10) Adopted by Rule 690.170.0155 Page ! of E. Other. ❑ F. Unknown or unidentified. J G. No attic access. a. Roof tow KRAttacbmenr. What is the weakest roof to wall ccnr:ection' Ci A. Toe Nails RR&WITUss anchored to top plate of wall using mails driven at an a:, ED the top plate of the wall. gle through the ra@er%tntss and attached U B. Clips Metal anrctmtents on every rafter/truss that are nailed to one side (or both sides in the case of a diamond type clip) of the nftedrruss and attached to the top pla:e of the wall frame Or embedded in the bond beam. jk"OC. Single Wraps Metal Straps must besecured to every raiter/ttuv with a minimum of 3 rails, %Tapping over and securi.rg to the opposite side of the raftoakrtus with a minimum of 1 nail. The Strap must be attached to the top plate of the wall frame embedded in the bond beam in at least one place ❑ D. Double Wraps Both Metal Straps must be secured to every nifter'truss with a minimum Of nails. wrapping over and securing to the opposite side of the rafteriruss with a minim ant of 1 nail. Each Strap must be anached to the top plate of the will frame or embedded in the bond beam in at least one place. ❑ E, Structural Anchor bolts structurally connected or reinforced concrete roof ❑ F. Other: ❑ G. UnlTtown or Unidentified ❑ H. No attic access 5. Roof Geometn•: What is the roofshape(sr (Porches or carports that are attached only to the fascia or wall of the pact stnretore Xand not strucmurally connected to the main roof system are not considered in the roof geontat y determinituctL) A. MP Roof Hip roof with no other roof shapes greater than 10% of the total building :� B. Non -Hip Roof An gamtyzer• 5 other roof shape in combination of roof shapes including hip, gable, gan:lyei, mansard and Other roof shapes not including Bat roofs, 11 C. Flat Roof Flat roof stupe greater dean 100 square feet or 100/ of the entire roof, whichever is greater. 6. Gable End Braaior, For roof structures that contain gables, please check the nkui that apply: ❑ A. Gable Ends) are braced ata minimum in accordance with the 2001 Florida Building Code. ❑ B. Dow not treat the above minimum requirements. C. Not applicable, unknown or unidentified. Wall Construction Tvne: Check all wall construction types for exterior walls of the structure and percentages for each ❑ A. Wood Frame ,. ❑ B. Un -Reinforced Masonry 40 C. Reinforced Masonry /DD •; U D. Poured Concrete 4e ❑ E. Other: R. SecOadlnv Water Reartance fc'A ' (standard underla)Tnents or hot mare opped felts anot SWR) A. SWRSeifadhcring W'tymer modified bitumen roofing underlaymem applied directly to the sheathing or foam adhesive SWR barrier (not foartted on insulation) applied as a secondary means in pr'altct the dwtiling from water intrusion iJ B. No SWR C C. Unknown or undetermined. 9. Ooenfnr Protec w: What is the form of wind borne debris protection instilled on the structure? (Esegior include, Out are not Limited to: windows, doors, garage door, skylights, etc. Product approval may be openings protection devices without proper rating identification.) PP Y required for opening 'IVA. All £:tenor p• edi Ali emcricr o resuizant covenrgs, tmpa K resistant doors an&t)f int Penutwindow units that are are fully prot;aed at a minimum with impact devices in the product apprun a) system Of the State of flo da oT fiami-Dade Countyand meat � nd bet �s � � tequitements of one of Inspectors Initials Property Address *This verification form is valid up to five (5) years provided no material chanes have been made to the structure. OIR-Bl-1802 (Rev. 02/10) Adopted by Rule 690-170.0155 s- the following for "Cyclic Pressure and Large Missile Intact". For the }i�'HZ, systems ewer have either a \Larrti-Dade NOA or FBC Approval marked "For Use in the HiNZ" ❑ Miami -Dade County Notice of Acceptance (i,IOA) 201, 202 and 203. (Large Missile - 9 lb.) ❑ Florida Building Code Testing Application Standard (TAS) 201, 202 ggd 203. (large Missile - 9 lb.) ❑ American Society for Testing and Materials (ASTM) E 1886 Md ASTM E 1996. (Large Missile - 9 lb.) ❑ Sotthem Standards Technical Document (SSTD) 12. (Large Missile -9lb.) ❑ For Skylights Only: ASTM E I SWE 1996. (Large Missile - 4.5 lb.) ❑ For Garage Doors Only_ ANSUDAShiA 115 (Large Missile -9lb) ❑ B. AY arstsrl�ag axe fully protected at a minimum with impact resistant coverings, impact resistant doors aodibr isgrct resistant window units that are listed as windoome debris protection devices in the product approval system of the State of Florida or Miami -Dade County and meet the requirements of one of the following for "Cyclic Pressure and Large Missile Impact": ❑ ASTM E 1886 and ASTM E 19%. (Large Missile - 4.5 lb.) ❑ SSTD 12. (Large Missile - 4 lb. to 8 lb.) 3 For Skylights Only: ASTIv1 E 18861E 1996- (Lugo Missile - 2 to 4.5 Ib.) C' AB exted_ or o � Am fully Protected at a minimum with impact resistant coverings impact resistant doors and/or pact resistant window units that are lined as t thehome debris protection devices in the product approval system of the Missile ImState of pact" or Miami -Dade County and mat the requirements of one of the following for "Cyclic Pressure and Small Pact": Miami -Dade County NOA 201, 202 lllid 203• (Smal lttissile - 2grams) L"1 Florida Building Code TAS 201.262 and 203. (Smell Missile -2 grans) G ASTM E 1886 and ASTM E 1996. (Small Missile - 2 grams) ❑ SSTD 12. (Small Missile - 2 grams) D. All exterior oneni.e. ----r-�W are f-projected.''y projected with windbcme debris protection devices that cannot be indentifeed as Nliami- Dade or Florida Building Code (FBC) product approved. This does not include plywood'OSB or plywood alternatives (see Answer "H"). laced ExteriorOoealnas E All ¢lazed exterior ninni are fully protected at a mini..ttmt with impact resistant coverings andor impact resistant wlndow units that mat Lae requirements of one of the standards listed in Answer `.A" of this question. (Large Missile - 9 K) ❑ F. all itiapil exterior openings are fully protected at amin m n l with Impact resistant rnvrnngs easd'or tmpax rear arts window units that meet the requirements of one 8 Ib.) of the standards listed in Answer "B" of this question. (Large Mis0e - 2lb, - ❑ O. All slated exterior one"+-"• are filly protect ed at a minimum with int pact window units that meet the requirements of ane of the standards listed in Aasw "�C^t resit this quesitotto(Stttal fissttslteaat 2 grams} ❑ FL All dazed esterlo_ r poeninU are covered with Plywood. OSB mecting the requirements of Section 1609 ted Table 1609.1.4 of the 2004 FBC (with 2006 supplements)_ ❑ 1. All tlased exterior ooeolnes are fW.y protected with wird-borne debris pmteaion devices that cannot be identified as Miami -Lade or FBC product aPprc%ed. This does not include plywood OSB or other plywood alternatives that do not meet Answer H (see Answer"K"). Noee or Some Glazed Oneninas J. At 'cast one glazed exta,or opening does not have wind-borne debris protection. K No glazed exterior openings have wind-borne debris protection. This includes plywoodtOSB or plywood alternative Systems that do not mat Answer "H". L. Unknown or undetermined. Inspectors Initlafig Property Address -- I/Dn y /> A I AL 'This verification form Is valid up to rave (5) years provided as material changes bave been made to the structure. OIR-81-1802 (Rev, 0:f10) Adopted by Rule 690-170.0155 Page 3 of 4 I MITIG4TI04' INSPECTIONS MUST BE CERTIFIED BY QGALIFIED I.YSPECT0R. T. Section 627.711(2), Florida Statutes, provides a listing of individuals who my sip this (oras. Qualified Inspector — I hold an active license or certificate as a: (check one) -' Hurricane mitigation inspector certified by the My Safe Florida Horne p.OSram. t7 Building code inspector certified under Section 468.607, Florida Statute-, C General, building or residential contractor licensed under Section 489.111, Flcrida Statutes. ❑ Professional architect licensed under Section 481213, Florida Statutes. Profession! engineer licensed Under Section 47!,015, Florida Statutes. Other individual er etuiry rxogn rad by the insurer as possessing the necessary yualiftc tions to properly opr l con Ictt this fon pursuant lo Secron 627.71 I (2xt), Florida Statutes, ef Y Individuals signing this form must have their license or certificate in an "Active" status at time of the inspection. I, jZ r� r�am a qualified inspector and I Wiet acme) p personally performed the inspection or had my employee ( ) perform the inspection and I agree to be res uxist t ) ponsible for his,'her work. Qualified Inspector Signature: Date: An individual or entity who knowingly provi es or utters a fat a or fraudulent mitigation verification form with the intent to obtain or receive a discount on an insurance premium to which the Individual or entity is not entitled commih a misdemeanor of the first degree (Section 627.711(3), Florida Ststuta). The Qualified Inspector who certifies this form is strictly liable for all acts, statements, concealment of facts, ovisslons, and documentation provided by his or her employee who actually performed the inspection. Homeowner to complete: I certify that the named Qualified Inspector or his or her employee did perform an inspection of the residence identified on this form and that proof of identification was provided to me or my Authorized Representative. Signature: Date: _ �� / I�//etp l� An Individual or entity ho w ugly provides or utters a false or frsudulemt m ith the intent to obtain or receive a discount on an Insurance premium to which the individual or entitled commits a misdemeanor of the prat degree. (Section 627.711(3). Florida Stat.t..s The definitions on this form are for Inspection purposes only and cannot be used to certify any product or construction feature as offering protection from hurricanes. Inspectors InitiabKfJf Property Address �-�[� Q� da) Qr V� ��►J p�� .1� "This veriticatio■ form is valid up to five (5) years provided no material changes have been made to the structure, OIR-BI-1802 (Rev. 02/10) Adopted by Rule 690.170.0155 Page 4 of G7 li ?" I'C C t. c l V C lJ 'i � v. l_.3 ',/ .,_-,y_l 05 2018 FEB 13 2018 [IT4 OF DE(Rp4 BENT Gulfs�e�� RE-A&PERUM APPLICATION TOWi`i Or Guts STREAN, 100 NW 1 Avenue Delray Beach FL 33444 () 243-7200 Fax: (561) 243-7221 ppr al Website: mvdeltavbeach.com Initials Date 2 O OFFICE USE ONL PROPERTY CONT01"lL111:'7^--moi-�7-nom-OOLr, PLEASE PRINT / JOBSITEADDRESS 15ZO ,4 PROPERTY OWNER NAME C'F'A ' HOME PHONE LS; /) 22 L% — 7 1 ) (_ CELL= PROPERTY OWNER ADDRESS t�p� � _,;ZCFA0 ROOF CONT'R (COMPANY) NAM-7q1,rm t-�AChOUlla rr � ROOF CONT'R ADDRESS/3 I//T✓• �� CITY lA%e_/�O/'74 ST_—ZIP .33tyU _ BUS. PHONE( CELL,2/—%3 &7,5 FAX E-MAIL //..3 OOXco. e&y, BLDG PERMIT #: ROOF PERMIT #: k otic 9 PERMIT FEE: f7.�• Uv PLAN CHECK FEE: MCR #: AI,S�/ PLAN: 415 PLAN: DATE: P & Z: DATE: NOTE: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 -DAYS OR IF ACTIVITY LAPSES FOR 180 DAYS. PLANS MUST BE ON THE JOB SITE FOR ALL INSPECTIONS. FINAL KSPECTION IS REQUIRED ON ALL PERMITS. PROJECT COST (Labor and Material) S 72-0p,9, -- Check one. _NEW CONSTRUCTION —RECOVER OVER EXISTING MOVE EXISTING & REPLACE R/R A/C UNITS (Engineer's Letter Required) (Meeh. Permit Required) Y a Check one: SINGLE-FAMILY• —MULTI -FAMILY _COMMERCIAL "MITIGATION REQUIREMENTS IF SINGLE FAMILY; 1. YEAR BUILT (check one):BEFORE MARCH 2002 (Go To #2) _ AFTER MARCH 2002 V41 2. HOUSE VALUE: S9, 21 MUST PROVIDE: HOME INSURANCE SUMMARY SHEET OR (IF $300,000, OR MORE, NOT INCLUDING LAND VALUE, COPY OF MOST RECENT TAX BILL OR GO TO #3) PROPERTY APPRAISER OFFICE WEEPAGE 3. SUBMIT RE -ROOFING MITIGATION DOCUMENT PACKAGE and BUILDING APPLICATION ,( TYPE/COLOR OF ROOF MATERIAL REMOVED /LA/GLYjC�C/C///S TYP17COLOROF ROOF MATERIAL INSTALLE /1 ,1G/I L'$ NOTE: FOLLOW MANUFACTURER'S 9'OW5 GUIDELINES AND NOTICE OF ACCEPTANCE FOR SHINGLE INSTAL I ROOF TYPE (CIRCLE); MANUFACTURER: PRODUCT APPROVAL NUMBER: It'd FLAT �p �q SLOP h S' 12 6/'H rl TIG Z4C /� —0721 0 � 4!Ze /5 7VfO2 OR SIGNATURE OF QUALIFIER CONTR. REGISTRATION # WORKERS COMP# EXEMPTS (FID /FEIN) # STATE OFIr Personally Known (37e COUNTYOF OJM7&nn�, OR Produced Identification The foregoing instrument was acknowledged before me this jday Tyke of end cati,.n Produced % I- t VtU5 .. . of IV 20� by J�L �„filn,, REB , .i Signature o otary Public ► t•'? Notary Public - atab t Florida Commlaakn i Gt, -oF21a Rvsd. 3/10 d; My Comm. ExPMa J^11 13, 2020 �, aoMad tMouOh Mrbna�. Notary am. TOV Appy ?CPM It Su Ift- niLials T, ate APPL DATE RFI.C_ VERSION Name Address 1320 North Ocean Blvd. City Gulf Stream. FI 4 Home Phone (S-4,1 ) _2 7 Sf - 2 1 f L Cell Phone Fax No. Email Address INFORMATIO t�-REGEIVED-4 FEB 05 2018 1DO NW I" Avenue • Delray Beach, FL 33444 (561) 243-7200 • Fax (561) 243-7221 gown of Gulfstream, FI. www.mydeiraybeach.com PERMIT APPLICATION. 70 Address of Proposed WM0 North Ocean Blvd. 16 -al, Si Legal Description ream, Plorida 33483 Lo -r 4 cGvLo7-N Se ra Ste or Apt # / Floor Project Name (if applicable) 7 Check if Owner/Builder� ;(See Page 3) Contractor License No. CGL (3Z 9c%OZ Workers' Comp T�NNo. Company�/finrXllClr. 'flmwl �h5/KG/2Ch Address /7- /4!u4✓..5. City &t.Ee- A rfti State_E,/_ Zip33�KO Phone W-723 9V75- Fax Cell SII -723&75— // Email ai�466e-a/C.4 /�- GP t(aZ,7D. Coln Architect/Engineer's Name ` Address FOR PERMIT EXPEDITERS ONLY (tor permit pick -UPI: Contact Name Phone Cell Fee Simple Title Holder (if other than owner) / Address City State Zip Mortgage Lender_ Bonding Company Address Address City State Zip City State Zip Description of the proposed work (New Construction, Addition, Is this a City or Re-hab project? ❑ Yes L ,90 Current Use or Occupancy etc.) Is the building served with an automatic fire sprinkler system? ❑ Yes 2r`N0 Is this a change in the Use or Occupancy? ❑ Yes C3'(o For Impact Fee Credit, Existing or Previous Structure Demolished? ❑ Yes �No Type of Structure Demolished: ❑ SFR ❑ Commercial ❑ Commercial Accessory Building PLEASE CHOOSE ONE OF THE FOLLOWING: NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE I" TOTAL COST OF CONSTRUCTION TO INCLUDE: STRUCTURAL, ROOFING, ELEC, MECH, PLBG $ NOTE: OTHER ASSOCIATED TRADES TO BE FEED SEPARATELY UNDER FEE SCHEDULE II OR III. THESE INCLUDE: LOW VOLTAGE, HOOD/SUPPRESSION SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. -1- MISCELLANEOUS PERMITS - FEE SCHEDULE II' ALTERATIONS & GENERAL CONSTRUCTION-SCHED. III• TOTAL COST OF CONSTRUCTION: $ COST OF CONSTRUCTION WITHOUT TRADES: NOTE: ALL SUB -TRADES TO BE FEED SEPARATELY. THESE INCLUDE ELEC, MECH, PLBG, ROOFING, LOW VOLTAGE, HOOD/SUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. CITY OF DELRAY BEACH COMMUNITY IMPROVEMENT DEPT. (561)243-7200 INSPECTIONS - CALL (561) 243-7218 Contractor, Owner, Agent Permit Type: RE -ROOF PERMIT 8/12 Permit Phone Access#: 2190858 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" Date Applied: 2/14/18 Prepared by: YULANP Date Issued: 2/14/18 Permit No.: Plat/Book/Page 18-00174259 000 000 RROF 00 Citv Range Twnsh . Section Subdivision Block Lot Plat/Book/Page 20 43 46 09 03 000 0060 OTHER FEES: Property Address Zoning Reviewed B 1320 N OCEAN BLVD UK PE Subdivision Name Improvements 001-0000-208.05-00 RE -ROOF OF EXISTING STRUCTURE Owner's Name/Address/Telephone Contractor's Name/Address/Llcenserele hone ELMORE GEORGE T & WILMA A 1320 N OCEAN BLVD GULFSTREAM FL 334837234 PALM BEACH BUILDING & CONSTRUC 561-493-9991 113 17TH AVE SOUTH DELRAY BEACH FL 33444 Additional Comments 1642.05 .00 1642.05 Construction EPI/EER FFE FLZ Ocruoancv So. Ft. Valuation .00 .00 R 72000 Schedule of Fees and Additional Information AMT CHRG AMT PAID AMT DUE ACCOUNT PERMIT FEES 1602.00 .00 1602.00 125-0000-329.22-00 OTHER FEES: BLDG SURCHARGE -DCA 16.02 .00 16.02 001-0000-208.05-00 BLDG SURCHARGE-DBPR 24.03 .00 24.03 001-0000-208.06-00 GRAND TOTAL 1642.05 .00 1642.05 SPECIAL NOTES & RESTRICTIONS: REROOF: INSTALL FLAT CONCRETE TILES SIERRA BROWN/BLACK ANTIQUE SLOPED 5:12 ENTEGRA ROOF TILE LLC NOA: 15-0721.04 ;17-0614.22;17-0322.03 THE CITY OF DELRAY BEACH ENCOURAGES THE USE OF ENERGY STAR PRODUCTS. THIS PERMIT SHALL BECOME NULL AND VOID UNLESS THE WORK AUTHORIZED IS COMMENCED WITHIN ONE HUNDRED AND EIGHTY 188) DAYS AFTER ITS ISSUANCE, OR IF THE WORK AUTHORIZED IS NOT INSPECTED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (188) DAYS FROM TIME WORK IS COMPLETED. plans or specifications must be recorded with this office. Any work not covered above, must have a valid permit poor to n of thegranting of this permit, the owner and builder agree to erect this structure in full compliance with the Code of f Delray Beach. Palm Beach Construction Group 2211 2nd Ave N Lake Worth, FL 33461 CC: Subject Property: 1320 N Ocean Ave Gulf Stream, FL Background: FIRST IfTTI,--i N February 9'h 2018 This letter is to report the present condition of the roof framing connection to the wall for the property addressed above. As this home is valued at $1.8M, as per property appraiser, this home is required to have roof to wall connections that are compliant for high wind events. Upon inspection at multiple locations in the attic, it was determined that the connection, a strapping embedded into the bond beam with minimum 4 nails on front side of truss chord and 3 nails on back side of chord, was compliant with AHJ requirements and does not need a retrofit job performed. It is deemed by this engineer that, save for localized builder error, the building is appropriately built in reference to RTW connections. RECEIVED TOWN OF GULF STREAM FEB 1 12018 100 SEA ROAD GULF STREAM, FLORIDA 33483 lown of Gulfstream, FL Sincerely, First Option Engineering, Inspection;:&{onstruction, LLC CertificatQ of Ayfhor6tion 7731724 ,'t Ca to > 1..,•fo 'rF' "I - yam Greg Arias/si'� .•°°,�? Professional E OR * $-J\ Florida License Viftl1sr rooaoeat Gulf Stream File Copy GULF STREAM COPY 9 Palm beach Building & Construction, Inc. 113 17th Ave. S. Lake Worth , 33460 Name /Address Wietsma Lippolis Constr. 3100 N.W.2nd Ave. - Boca Raton FI 33431 Al f Stream ie Copy Estimate Date Estimate # 12/13/2017 1981 ®RECEIVES FEB 05 2016 Town of Gulfstream, R T®WK OF GULF STREAK! 100 SEA ROAD riILF STREAM, FLORIDA 33483 Page 1 Project Description Qty Rate Total Proposal for reroofon 1320 N Ocean Blvd.Gulfstream 1 72.000.00 72.000.00 GENERAL A.Palm Beach Building & Construction Inc. will furnish all materials, labor, equipment, service and supervision necessary for construction. B.Palm Beach Building & Construction Inc. will coordinate all necessary city inspections and factory inspection as required C. Water and electrical power required for construction to be supplied by and coordinated with the General Contractor D.AII work to be done accordance with Florida Building Code and material NOA specifications E.Palm Beach Building & Construction Inc. will remove all trash and debris from job side and clean grounds to customers satisfaction. Debris container to be left on side during roof the construction. WORK SEQUENCE Remove existing roof tiles and roof underlayment Renail all plywood sheathing Replace all damaged lumber (S 2.00 per S.F. sheathing and S 5.00 per L.F. fascia I Supply and install TITANIUM Synthetic roof underlayment UDL - 25 Plus nailed with 1 1/4" ring shank nails and tin caps # NOA 11-0815.05 Supply and install new Copper valleys, flashings and 6x6 dripedge Phone# Fax# E-mail Total 561-722-6426 561-585-1698 Tpalmbeacht 130a yaboo.com Page 1 Palm Beach Building & Construction, Inc. 113 17th Ave. S. Lake Worth . 33460 Name/Address Wiclsma Lippolis Constr. 3100 N. W.2nd Ave. Boca Raton FI 33431 Estimate Date Estimate # 12/13/2017 1981 Page 2 Project Description Qty Rate Total Supply and install rool'tile underlayment TITANIUM PSU 30, NOA N 11-0815.05 Supply and install new Entegra - Plantation colortrue roof tiles accordance to MIAMI- DADE County Approval ( Foam Atachement ) NOTE; price not included new skylights Phone# Fax# E-mail Total 561-722-642611 561-585-169811 palmbcachl l3(✓yahoo.com Page 2 Palm'Beach Building & Construction. Inc. 113 17th Ave. S. Lake Worth, 33460 Name/Address I Wietsma Lippolis Constr. 3100 N.N! 2nd Ave. Boca Raton FI 33431 Estimate Date Estimate # 12/13/2017 1981 � Page L=--? � If Project Description Qty Rate Total . Any alterations or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge over and above this quotation. This equate is 0.00 090 contingent upon strikes, accidents, dangerous weather AR other factors beyond our control. Unless specifically stated above , price does not include the cost of supply and replacement of any rotten structural components or components that would have to be replaced pursuant to building codes ,inclusive of electrical and other components. Engineering/Architectural Fees required by City or County Code Compliance. Also excluded is the cost to remove and reinstall landscaping if applicable. WARRANTY Fite years labor warranty, Palm Beach Building & Construction Inc. will respond and repair within 48 hours upon notification of roof leak. The only exception being the occurrence of major weather disaster Manufacture provides a standard material warranty on their product Phone# Fax# E-mail Total $72,000.00 561-722-6426 561-585-1698 palmbeachl l 3Caayahoo.com � Page L=--? � If TOWN OF GULF STREAM 100 SEA ROAD GULF STREAM, FLORIDA 33483 Gulf Stream File C®py y RECEIVED F FEB 05 2018 Town? of Gulfstream FI MIAMI-DADE COUNTY Mn�IAMI.DAM PRODUCT CONTROL SECTION IS1 M 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.em-/ecooamv Entegra Roof Tile, LLC 1289 NE 9'h Ave Okeechobee, FL 34972 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade 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: Plantation Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA #14-11 01 dF P © ages 1 thro}}}+++ ���h 7. The submitted documentation y\3s icflv���tf✓ Rodrigo L F STREAMCOPY QNo 85 REVIE� NOA No:: 15-0721.04 M1AM1•DADE COUNTY .0 �0 Expiration Date: 12/08/20 MPTP \ate Approval Date- IV05/15 NS' GY A Page 1 of 7 UPL-Iff le5v KeQ19 919,10.56 ROOFING ASSEMBLY APPROVAL Category: Roofmg Sub -Category: Roofing Tiles Material: Concrete 1. PRODUCT DESCRIPTION Manufactured by Dimensions Test Product Applicant Specifications Deserintion Plantation Tile Length: 16%2" TAS 112 Flat concrete roof tile for direct deck or Width: 13" battened nail -on, mortar or adhesive set applications. Trim Pieces L = varies TAS 112 Accessory trim, concrete roof pieces for W = varies use at hips, rakes, ridges and valley Varying thickness terminations. Manufactured for each tile profile. 2.1. MANUFACTURING LOCATION 1. Okeechobee, FL 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date American Test Lab of South RT0624.05-14 TAS 112 07/03/14 Florida Redland Technologies 7161-03 Static Uplift Testing Dec. 1991 Appendix III PA 102 & PA 102(A) The Center for Applied 94-060B Static Uplift Testing March, 1994 Engineering, Inc. 94-084 PA 101 (Adhesive Set) May 1994 (Mortar Set) Redland Technologies 7161-03 Wind Tunnel Testing Dec. 1991 Appendix 11 PA 108 (Nail -On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Redland Technologies P0631-01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Redland Technologies P0402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -76 PA 100 Walker Engineering, Inc. Calculations Aerodynamic Multiplier March 1999 April 1999 Walker Engineering, Inc. Calculations 25-7183 March 1995 25-7094 February 1996 25-7496 April 1996 NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 2 of 7 2.2 SUBMITTED EVIDENCE: Test Agency Test Identifier Test Name/Report Date Walker Engineering, Inc. Calculations 25-7584 December 1996 25-7804b-8 25-7804-4 & 5 25-7848-6 Walker Engineering, Inc. Calculations Two Patty Adhesive Set System April 1999 Farabaugh Engineering and T295 -I1 TAS -108 10/05/11 Testing Inc. Farabaugh Engineering and T306-11 TAS -108 10/04/11 Testing Inc. Farabaugh Engineering and T279 -I1 TAS -108 09/23/11 Testing Inc. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Miami -Dade Product Control office 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 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. MlAML114DE COUNTY NOA No.: 15-0721.04 • • • , � Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 3 of 7 4. INSTALLATION 4.1 Plantation Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight -W (Ibf) Length-1(ft) Width -w (ft) Plantation Tile 11.6 1.375 1.08 Table 2: Aerodynamic Multipliers - R (ft3) Tile Profile 2, (ft3) Batten Application % (ft3) Direct Deck Application Plantation Tile 0.267 0.289 Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile Greater than Profile 2,':12' 3":12" 4":12" 5":12" 6":12 7":12" Battens I Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Deck Plantation 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 7.32 6.26 7.04 Tile 1 NOA No.: 15-0721.04 MIAMI-DADE COUNTY Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) For Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile Plantation Tile (Min 16132" (Min. 19/32" 2 See manufactures component approval for installation requirements. 3 Flexible Products Company UeBond Average weights per patty 13.9 grams. 3M'" 2 -Com onent Foam Roof Tile Adhesive AH -160. Average weight per patty 8 grams. plywood) plywood) Plantation Tile 2-10d Ring Shank 30.9 38.1 17.2 Nails 1-10d Smooth or 7.3 9.8 4.9 Screw Shank Nail 2-10d Smooth or 14.0 18.8 7.4 Screw Shank Nails 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or 24.3 24.3 24.2 Screw Shank Nail Field Clip) 1-10d Smooth or 19.0 19.0 22.1 Screw Shank Nail Eave Clip) 2-10d Smooth or 35.5 35.5 34.8 Screw Shank Nails Field Clip) 2-10d Smooth or 31.9 31.9 32.2 Screw Shank Nails Eave Clip) 2-10d Ring Shank 50.3 65.5 48.3 Nails' 1 Installation with a 4" tile headlap and fasteners are located a minimum of 2'/:° from the head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) For Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment 2 -Component Foam Roof Tile Adhesive AH -160 118.94 Resistance Plantation Tile IAdhesive 31.33 2 See manufactures component approval for installation requirements. 3 Flexible Products Company UeBond Average weights per patty 13.9 grams. 3M'" 2 -Com onent Foam Roof Tile Adhesive AH -160. Average weight per patty 8 grams. Table 6: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) For Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Plantation Tile3M" 2 -Component Foam Roof Tile Adhesive AH -160 118.94 3M'" 2 -Component Foam Roof Tile Adhesive AH -160 40.45 4 La a paddy placement of 45 grams of 3M' 2 -Component Foam Roof Tile Adhesive AH -160 5 Medium paddy placement of 24 grams of 3M' 2 -Component Foam Roof Tile Adhesive AH -160. NOA No.: 15-0721.04 MIAMI DADE COUNTY Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 5 of 7 Table 7: Attachment Resistance Expressed as a Moment - Mr(ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Seespecific mortar manufacturer's Notice of Acceptance. 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami -Dade County Product Control Approved". EM PLANTATION ROOF TILE LABEL (LOCATED ON UNDERSIDE OF TILE) 6. BUILDING PERMIT REQUMEMENTS: 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. NOA No.: 15-0721.04 Expiration Date: 12108120 Approval Date: 11/05/15 Page 6 of 7 C PROFILE DRAWING PLANTATION FLAT CONCRETE TILE END OF THIS ACCEPTANCE NOA No.: 15-0721.04 Expiration Date: 12/08/20 Approval Date: 11/05/15 Page 7 of 7 TOWN OF GULF STREAM 100 SEA ROAD MIAM DADE LF STREAM, FLORIDA 33483 EM Gulf Stream File Copy DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE Polyglass USA Inc. 1111 W. Newport Center Drive Deerfield Beach, FL 33442 RECEIVED FEB 05 2018 Town of Gulfstream, F1 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www. miamidade.aov/economy SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 15-0410.04 and consists of pages 1 through 8. The submitted documentation was reviewed by Freddy Semino., I LF C M COPY NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Categorv: Underlayment Material: SBS , APP Self -Adhering Modified Bitumen PRODUCTS DESCRIPTION: Test Product Product Dimensions Specification Description Polystick IR -Xe 65'x 3'3-1/x" ASTM D 1970 A fine granular/sand top surface self -adhering, APP Manufacturing Or 65'x 3' polymer modified, fiberglass reinforced, bituminous Location #I & #2 60 mils thick sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. Polystick Dual Pro 61' x 3'3-'/a" TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a Location #2 metal roofing and roof tile underlayment. Polystick Tile Pro 6P x 3'3-3/8" TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester Manufacturing 60 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a metal Location #2 roofing and roof tile underlayment. Polystick TU Max 65'8" x 3'3-3/8" TAS 103 and A rubberized asphalt self -adhering, polyester reinforced Manufacturing 60 mils thick ASTM D 1970 waterproofing membrane. Designed as a a roof tile Location #1 & #2 underlayment. Polystick TU P 32'10" x 3'3-3/s" TAS 103 and A rubberized asphalt waterproofing membrane, glass - Manufacturing 130 mils thick ASTM D 1970 fiber/polyester reinforced, with a granular surface Location 92 designed for use as a tile roof underlayment. Polystick TU Plus 65'x 3'3'/8" TAS 103 and A rubberized asphalt self -adhering, glass-fiber/polyester (Surface Printing) 80 mils thick ASTM D 1970 reinforced waterproofing membrane. Designed as a metal Manufacturing roofing and roof tile underlayment. Location # 1 & #2 Polystick MTS 65'8" x 3'3'/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #2 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Polystick MTS Plus 65'8" x 3'3'/8" TAS 103 A homogeneous, rubberized asphalt waterproofing Manufacturing 60 mils thick membrane, glass fiber reinforced with polyolefinic film Location #2 on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. Elastoilex S6 G 32'10" x 3'3-%" TAS 103 and Polyester reinforced, SBS modified bitumen membrane Manufacturing ASTM D 6164 with a sanded back face and a granule top surface. For Location #2 use in roof tile underlayment systems. NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 2 of 8 I MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date Trinity ERD P10870.09.08-111 TAS 103 12/04/08 P10870.04.09 TAS 103/ASTM D4798 & G155 04/13/09 P33360.06.10 ASTM D1970 07/01/10 P33370.03.11 TAS 103 03/02/11 P33370.04.11 ASTM D 1623 04/26/11 P36900.09.11 TAS 103/ASTM D4798 & G155 09/01/11 P37300.10.11 TAS 110/ASTM D4798 & D1970 10/19/11 P40390.08.12-2 ASTM D 1623 08/07/12 P37590.07.13-1 ASTM 136164 07/02/13 P45270.05.14 TAS 103, TAS 110 & ASTM D1623 05/12/14 P46520.10.14 ASTM D1623 10/03/14 P44360.10.14 TAS 103 & TAS 110 10/07/14 P43290.10.14 ASTM D 1970 & TAS 110 10/17/14 PLYG-SC10130.06.16-3 TAS 103 & TAS 110 06/27/16 PLYG-10130.06.16-1 ASTM D1970 & TAS 110 06/27/16 PRI Asphalt Technologies PUSA-035-02-01 TAS 103 09/29/06 PUSA-055-02-02 TAS 103 12/10/07 PUSA-089-02-01 TAS 103/ASTM D4798 & G155 07/06/09 Momentum Technologies, Inc. JX20H7A 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 DX23138A TAS 103/ASTM D4798 & G 155 02/18/10 LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(1): Anchor sheet mechanically fastened to deck, membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type 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 IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS or Polystick MTS Plus, self -adhered. Surfacing: See General Limitations Below. Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(2): Anchor sheet mechanically fastened to deck, membrane adhered Anchor/Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Elastoflex S6 G, hot asphalt applied Surfacing: See General Limitations Below. Deck Type 1: Wood, non -insulated Deck Description: Min. 19/32" plywood or wood plank System Type E(3): Base sheet mechanically fastened to deck, subsequent cap membrane self- adhered. Anchor/Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4"head lap. (for base sheet only) Ply Sheet: Polystick MTS Plus, self -adhered with minimum 3" horizontal laps and minimum 6" vertical laps. Membrane: Polystick TU Plus, self -adhered. Surfacing: See General Limitations Below. NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 4 of 8 INSTALLATION REQUIREMENTS: 1. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose deck panels, and sweep the deck thoroughly to re move any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. All side laps shall be a minimum of 3" and end laps shall be a minimum of 6". Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the mambrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick Dual Pro, Polystick Tile Pro, Polystick TU Plus, Polystick MTS and Polystick MTS Plus may be used in asphaltic shingles, wood shakes and shingles, non-structural metal roofing, roof tile systems and quarry slate roof assemblies. Polystick TU P may be used in all the previous assemblies listed except metal roofing. Polystick IR -Xe may be used in all the previous assemblies listed except metal roofing and roof tile systems. Polystick TU Max may be used in non-structural metal roofing and roof tile systems. Elastoflex S6 G may be used in roof tile systems only. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be adhered directly over a pre-existing roof membrane as a recover system. 6. Polystick IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS and Polystick MTS Plus shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations (Days) MTS IR -Xe Elastoflex 56 GPlus TU TU P Tile Pro Dual Pro TU Max MTS Plus Winter Haven, FL 180 90 180 180 180 180 180 180 180 Hazelton, PA N/A 90 N/A 180 N/A N/A N/A 180 N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 5 of 8 Rule 61020-3 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof the manufacturer's Notice of Acceptance. Polystick Tile Pro, Polystick TU Max, Polystick TU Plus or Elastoflex S6 G may be used in both adhesive set and mechanically fastened roof tile applications. Polystick Dual Pro is limited to mechanically fastened roof tile applications. Polystick MTS and Polystick MTS Plus are limited to mechanically fastened with the limitations outlined in Section 9. Polystick TU P may be used in mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. When loading roof tiles on roof tile underlayment for (direct -to -deck) tile assemblies, the maximum roof slope shall be as follows: (See Table Below) Tile Polystick Elastoflex Polystick TU Plus, Polystick Polystick System (E3) Profile MTS S6 G TU P, Tile Pro, TU Max MTS Plus MTS Plus with Dual Pro TU Plus Flat Tile Prohibited 4:12 6:12 6:12 5:12 6:12 without battens Profiled Prohibited 4:12 6:12 6:12 4:12 6:12 Tile without battens The above slope limitations can be exceeded only by using battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. When battens are required, they shall be utilized during loading and installation of tiles. 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 — two tiles laid perpendicular to slope followed by a maximum four the stack parallel to the slope, for a total of 6 tiles — for all underlayments except Polystick MTS which shall be loaded onto battens. m 0 N N W MIAMI•DADE COUNTY 141 POLY.7CKTU Rus NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 6 of 8 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G may be used with any approved roof covering Notice of Acceptance listing Polystick IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G as a component part of an assembly in the Notice of Acceptance. If Polystick IR -Xe, Polystick Dual Pro, Polystick Tile Pro, Polystick TU Max, Polystick TU P, Polystick TU Plus, Polystick MTS, Polystick MTS Plus or Elastoflex S6 G are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Section for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. 1. Polyglass does accept the direct application of Polystick underlayment membranes 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 V metal disk as required in Miami -Dade County or simplex type nail as otherwise allowable 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 Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter -battens, as required by the tile manufacturers NOA, must be used on all projects for pitch/slopes of 7"/12" or greater. It is suggested that on pitch/slopes in excess of 6 %4"/12", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty -Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, XtraFlex 50 Premium Modified Wet/Dry Cement, Polyglass PG500 MB Flashing Cement to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 7 of 8 10. All self -adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes can be furnished upon request by our Technical Services Department by calling 1 (800) 8944563. 13. Questions in regards to the application of Polyglass products should be directed to our Technical Services Department at 1 (800) 894-4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 17-0614.22 Expiration Date: 09/13/21 Approval Date: 07/06/17 Page 8 of 8 "re)WN OF GULF STREAM rirSEA ROAD GULF STREAM, FLORIDA 33483 MID Gulf -Stream File Copy DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) ICP Adhesives and Sealants, Inc. 12505 NW 44'a Street Coral Springs, FL. 33065 > RECEIVED FEB 05 2018 Town of Gulfstream, FL MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 315-2599 www.mlamidade.2ov/eeonomv SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: ICP Adhesives 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 1. ULF STREAMCOPY The submitted documentation was reviewed by Alex Tigera. NOA No.: 17-0322.03 MLAM100MEcourm 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 Product Description Specifications ICP Adhesives N/A Polyset®AH-160 ICP Adhesives Foam N/A Dispenser RTF1000 ICP Adhesives ProPack® N/A 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: TAS 101 Two component polyurethane foam adhesive 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 ICP Adhesives Polyset® AH -160 roof tile adhesive. MANUFACTURING LOCATION: Tomball, TX. PHYSICAL PROPERTIES: Property 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 1.6 lbs./ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ftz 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 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 2 of 11 EVIDENCE SUBMITTED: Test Aeency 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 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 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 61 G20-3 of the Florida Administrative Code. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 3 of 11 INSTALLATION: 1. ICP Adhesives Polyset' AH -160 maybe used with any roof tile assembly having a current NOA that lists attachment resistance values with the use of ICP Adhesives Polyset® AH -160. 2. ICP Adhesives Polyset® AH -160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of ICP Adhesives Polyset® AH -160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. ICP Adhesives Polyset® AH -160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and ICP Adhesives and Sealants, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP Adhesives and Sealants, Inc. ICP Adhesives and Sealants, Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTF1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). 6. ICP Adhesives Polyset® AH -160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPack® 30 & 100 dispensing equipment only. 7. ICP Adhesives Polyset® AH -160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after ICP Adhesives Polyset® AH -160 has been dispensed. 9. ICP Adhesives Polyset® AH -160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 4 of 11 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 grams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge) 20-25 sq. inches each bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: 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. 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.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 5 of 11 ADHESIVE PLACEMENT DETAIL # 1 P"a tfiough plauk e.nwnt Paddy Baneah Til 10mmt9QYlted) tl..d.daym m - ;0 e^ gattens.pfW" r \\\ y rave GurNto D pr•i. r' E... Nall thwngh pla9.«emem Iwhen reZulred I 1n.sNd, Eaw Ul p. F.sd. Wall O.Ugh pl..li. s.P.W., (.Menre9Wredi �`*,-,.raddf lwM.snnAl i anddaysuwtt ~\ t0in.11 " M \\ 2.rido r� 9attens +J upaen.l .. r•!: 1 00.0—01" .F.sda ld ln`.\,, lM• fr yF i' ` Ee.e rlgsr APPROVED 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 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. 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. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) —23(148.4 cmZ) square inch adhesive contact with the underside of the tile. High Profile / Single Pan Tile I. 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 cmZ)-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 I in. a,ttm *Py al Esm Clmmr N°i I,hmagh plastic m enl ADHESIVE PLACEMENT DETAIL # 2 V.ddr la.ft a kraal F..da Flat/Low Profile Tile 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 cmz) — 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 strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cmz) - 12 (77.4 cm') square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile 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 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. (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) Nad rhraugI pI—p ,wfren rega�lr,e,J) `puddyla. n.afh Til.j loin. 21n. ea�[ansoptlooal ,�Z'i,s. �.f Waaphda I Drip edge High Profile / Single Pan Tile 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 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. Continue in same manner. Insure approximately 17" (109.7 cm2) - 19 (122.6 cmz) 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 8 of 11 ADHESIVE PLACEMENT DETAIL # 3 In. lunderble) lent / +F 2x 4 in. Flat/tow ProflleTlle Nall through plastic cement Single paddy under the Ixhen required) Paddy (between tilesl Battens Paddy funder tilel Optimal .tl v Singlepaddy on top ettie ~`-- - v max 4 in. Singqlepad dyon undedayment r— Eave aosure Eavr Course Fascia Medium Prof leTlle 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 cm'-) of adhesive contact with the underside of the the 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.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 9 of 11 ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) Nail through plasdcce Single paddy under the iwhen regobedl Paddy (between tiles) Battens optional Paddy lundertilel nu L:. �P�o. .f'tx4in. gingie li4in. �,`Padtly itle top oof Fave Cowse _ Fascia Weephole to in. lin. Faye dowre Ddp edge High Pro8laTtle 3. Also apply a 2" (50.8 mm) x 4" (101.6 mm) x 3/4" (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 cml) - 11 (71 cm') square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm') - 9 (58.1 cm') square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. NOA No.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 10 of 11 11 Place enough adhesive to achieve 65 to 70. in contact with the pan tile. 2)Tu rn covers upside down. Place adhalw In to 1 in. from outside edge of cover tie. ///���,,, Then install the tile. Ensure 20 to //,[ 25 to in. contact area. / , IUnderlayment Eave closure Imotar shown) ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL Steep pitch applications (when required) Remove top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel -High Profile Tile Two Piece Barrel (Cap and Pan) Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm2) — 70 (451.6 cm2) square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the tile. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive 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.: 17-0322.03 Expiration Date: 05/10/22 Approval Date: 04/27/17 Page 11 of It