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SUBMITTED PAPERS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: III•�� BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Roof PROPOSED INPROVEMENT LOCATION: III Address: 113 QUEEN ANN COURT, FORT PIERCE Legal Description: QUEENS COVE UNIT 2 BLK 24 LOT D Property Tax ID #: Site Plan Name: _ Project Name: WEIGL- RESIDENTIAL REROOF Setbacks Front Back: 1414-702-0030-000-8 Right Side: Left Side: Lot No. D Block No. 24 DETAILED DESCRIPTION OF WORK: TEAR -OFF TILE. RE -NAIL DECK. INSTALL NEW TILE ROOF SYSTEM OVER #30 FELT & #90 HOT MOP UNDERLAYMENTS. (5600 sq.it. / 5:12 pitch) CONSTRUCTION INFORMATION: OHVAC UGas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: 5600 Cost of Construction: $ 26,600.00 Piping nklers UShutters ❑Windows/Doors Generator Roof S Ft. of First Floor: _ Utilities: Sewer 11 Septic Building Height: OWNERAESSEE -, CONTRACTOR: Names-WEIGLHOLDINGS,USA+INC. _j Name: KYLE WHITE Address:113 PROSPERITY FARMS ROAD 10-yto Company: J. A. TAYLOR ROOFING, INC. City: PALM BEACH GARDENS State: FIL Zip Code: 34949 Fax: Phone No. 954-549-6064 Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: karenfortaylor@aol.com State or County License: CCC1325895 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEIVIENTALCONSTRUCTION;rLIENLAW INFORMATION: _ ._ DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: TCBE,INC. / HARVEYKOEHNEN Name: Address: 7205 ELYSE CIRCLE Address: City: PORT ST.LUCIE State: FL City: State: Zip: 34952 Phone: 772-46G55os Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application 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. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use 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 jobsite before the first inspection. If you intend to obtain financing, consult with len er or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ 4 e lessee Signature of Contractr/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SAINTLUCIE COUNTY OF SAIWLUCIE The forgoing instrument was acknowled ed efore me The forgoing instrument was acknowledged before me this 18 day of NOVEMBER 204 by this 18 day of NOVEMBER 20by TT/ KYLE WHITE KYLEWHITE (Name of person acknowled ing) (Name of person ackno le Bing ) I (Signature of Notary Public- State of Florida) (Signature of Notary Pu lic- State of Florida ) Personally Known x OR Produced Irlpritifiratinn Personally Known x OR Produced Identification Type of Identification Prod a>s,�,,, I(. nEN a NIICI SEN a of Identification Produced "' Commission # FF 11563 Commission NO. FF715637 '_ •- - (iBb%dommisSion Expire '2,?0..< ' C mission NO. FF715637 ""' June 12, 2018 c AREN S. NIELSEN Commission _ �_ # FF 1 =,'moo off,° Y ommission Ex fires Revised07/15/2014 ^' June iz, 2ote REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 2014-11-25 13:20 j.a.tay' roofing 772 468 8397 P 7/13 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 I - � 14 Permit Number: I �• ! 1 J Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462.1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Roof III n.�w-v.err;�rv�.,nvr;�r,v,r.uyvf{�:vy.4C�YA'!r:i+'•;4aF,Nv"rT�!'.d.:/.:.k'+i,Y,:;•.!r.:. T::. ;::i;:-�:'.�i:'::: i'1•:. '•r . Address: 118 QUEEN ANN COURT, FORT PIERCE Legal Description: QUEENS COVE UNIT 2 BLK 24 LOT D Property Tax ID #: 1414,702,0030.000.8 Lot No. D Site Plan Name: Block No. 24 Project Name: WEIGL - RESIDENTIAL REROOF Setbacks Front Back: Right Side: Left Side: TEAR -OFF TILE. RE -NAIL DECK. INSTALL NEW TILE ROOF SYSTEM OVER #30 FELT & #90 HOT MOP UNDERLAYMENTS. (5600sq.fL/5;12pitch) LJHVAC L,,)GasTank L)Ga; ❑Electric 0Plumbing []Sp, Total Sq. Ft of Construction: 6600 Cost of Construction: $ 26,600.00 Piping ❑_Shutters ❑Windows/Doors nklers ❑ Generator ✓❑ Roof S : Ft. of First Floor: _ Utilities:nSewer ❑Septic Building Height: OWNER/LESSEE � �I.r�� "" "n">ra ��k , "`• ti� s'CON; RA`CT'OR: '��-�'� ,... ,;�," .. Name WEIGL HOLDINGS USA, INC. Name: KYLE WHITE Address:113 PROSPERITY FARMS ROAD I 0 Zito Company: J. A. TAYLOR ROOFING, INC. City: PALM BEACH GARDENS State; FL Address: $02 MELTON DRIVE Zip Code: 34949 Fax: City: FORT PIERCE State; FL Phone No. 954-549-6064 Zip Code: $4982 Fax: 772-468-8397 E-Mail: Phone No. 772.466.4040 Fill in fee simple Title Holder on next page (if different E-Mall: karenforlaylor®aol.com from the Owner listed above) State or County License: OCC1326895 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. 2014-11-25 13:20 j.a.taya roofing 772 468 8397 S P 8/13 DESIGNER/ENGINEER: L_ Not Applicable Name; TC6&INC. / HARVEY KOEHNEN Address: 7205 ELYSE CIRCLE City: PORTST.LUCIE State: FL Zip:34952 Phone: Tm-ma•ssaa FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY; X Not Applicable Name: Address: City: State; Zip; Phone: BONDING COMPANY: NotApplicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application 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, St, Lucie County makes no representation that Is granting a permit will authorize the permlt holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply, Inconsideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before STATE OF FLORIDA STATE OF FLORIDA COUNTY OF smw4y ii COUNTY OF araN we The forgoing instrument was acknowled ed efore me this 1s day of NovEMow 204 by KYLE WHITE (Name of person Notary Personally Known x Type of Identification Commission No. PF115637 Revised 07/15/2014 Commission a FF 11 E (UpQommisaion Exp June 12, 2016 The forgoing instrument was acknowledged,before me this 1e day of Nov Ien 201 Fby KYLE WHITE Name of person Notary Known x OR Produced Identification ntiflcauon Produced IM ..-nuns 10n Expirus June 12. 2016 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Property Appraiser - St.LucieCounty,FL — Page 1 of 1 wviy.l Iiohtiags Recnni: 1 of 1 Feilperly 1krilifiration Site Address 113 QUEEN ANN CT Secrl'oxvn/Range: 14 :34S :40E Map ID. 14/14S Zoning. RSA Oolltitihip and Mailing PROPERTY RECORD CARD - <<I'rev Next' Spec'Assmai Taxes ParceIID: 1414-702-0030-000-8 Account #: 7641 Use Type: SF Res City/Cnty: Saint Lucie County Owner: Weigl Holdings Address: c/oD A Thiemann, CPA, P A 11380 Prosperity Fars Rd Palm Beach Gardens FL 33410-3465 216 Exemptions Perxrits Home Prim Ltpad Description QUEENS COVE -UNIT 2- BLK 24 LOT D(OR 594-1913: 1118-313) .4alcs Information A.xsessmc 112014 filial Land and Building Date Price Code Deed Book/Page 2014 TRIM: 458800 Laud Value: 282800 Acres: 0.37 12/30/1997 216000 01 QC 1118/0313 Assessed: 453420 Building Value: 176000 5/1/1988 0 01 CV 0594 / 1913 Ag.Cmdie 0 Finished Area: 2150 SgFt 10/1/1985 756000 02 CV 0479 / 0873 Exempt: 8/1/1979 1095000 02 CV 0315 / 2559 Taxable: Taxes: 8348.01 Exttrior ITfltn [ti View: Exfl'ypc: HB- -HB- Grade: B- -B- StoryFtght: 0010 - I Story hiterior Features BedRomns: 3 FullBath: 3 1/26ath: 2 %.4./C: 100 Special Fvautmr and Yard Items Type SWAV - RES POOL AVG PA01 - POOL DK-AVG ENC2 - POOL ENC-AVG DWBP - Drive-BrkPav PHTR - POOL HEATER DOK2 - WOOD DOCK SWOD - SEAWALL WOOD BOILDINC INFORMATION RoolCover. CT - Cone Tile RoolStruct GA - Gable YetaBlu 1988 Fnune: - EIIYrBIe 1988 PrimeW all: BS - CB Stucco No.Units: 1 Secwall: - Electric. MX-MAXIMUM HeatType: FHA - FrcdHotAir Her Fuel: ELEC-Electric %Ileated: 100 Lead Information Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Y 1 450 AV AV 1988 1 0100SF Res Y 1 1149 AV AV 1988 Y 1 1599 AV AV 1988 Y 1 720 AV AV 1988 Y 1 1 AV AV 1988 Y 1 60 AV AV 1999 Y 1 200 AV AV 1988 Prlinwall: DW -Drywall AvgHt/Fl: Pr.Flors: CU - Carpet °' prinkled: 0 Type Measure Dcpdr CIUA-Front Ft 135.19 118 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/pasictprc.asp?prclid=141470200300008 November 18, 2014 DATE: RECEIPT: PERMIT NUMBER: S= lfjr?PLANNING & DEVELOPMENT SERVICES DEPARTMENT o BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue Fort Pierce, FL 34982 (772)462-1553 APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS, SWING DOORS, SLIDING GLASS DOORS & OVERHEAD GARAGE OORS 1. LOCATION/SITF. ADDRESS: / (9//jMP��I % A11 NJr-� 2. PARCEL ID NUMBER: I � I q •''102.• �x �/ 30• COO -9 3. DESCRIP-1ION QF PROJECT ORW RKACI'IVII'Y: I a. TYPE OF STRUCTURE: SFR MOBILE HOME OTHER 5. OWNERS INFORNIATJOij 6. CONTRACTOR'S INFORMATION Name: wei I {1.1.igY"In FI. Reg/CertH: lit L( Address: .T .Z16 County Cent N: Inz 0 Cily: 33 Business Name:0. 'Lip: Phone: Phone Number: Uwt2. q0 Email: _ Email: A4 COMPONENT ID. PRODUCT DESIGN PRESSURE PRODUCT APPROVAL N WINDOWS SKYLIGHTS b OA Z SLIDING GLASS DOOR SWING DOOR MULLIONS OVERHEAD GARAGE DOOR M, Attach 2 copies of the Product Approval With details to the product being used. VALUE OF CONSTRUCTION: S S%(OC FEES DUE: OM-NER'S AFFIDAVIT: I certify that all of the information contained in this application's cor ect and that all work will be done in compliance with all applicable laws regulating construction an z 1 g. V!J, e lk PRI; Ol NER OR CONTRACTOR/QU LIFIER NAME. SIGNATURE OF � NE R CONTRAC'I'ORfQUALI F'IER STATE OF FLORIDA, COUNTY Of jjtt ' 1 ACKNOWLEDGED EFORE AE THIS�U_ DAY OF 00A1. 20 ICI ,BY wnolsP s ALLYK, ONVNOnIEORWHOHASPRODUCED A. REN S. NIELSEN p b„ 1.�— \e 3•°/�/�+1In•��0�' Commission 8 FF 11563! SICNATUREO'N TARP TYPE OR PRINT NAME OF NOTARY t', W AV s.t�-AIMy Commission Expiry, TITLE: NOTARY PUBLIC COMMSSI ION NUMBER '•%:nnn\o•° June 12, 201 E NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MRY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 2014-11-25 13:20 j.a.tayi roofing 772 468 8397 P 9/13 i DATE; I RECEIPT: I PERMITNUMBER: PLANNING & DEVELOPMENT SERVICES DEPARTMENT ® BUILDING & CODE REGULATIONS DIVISION_ 2300 Virginia Avenue Fort Pierce, FL 34982 (772) 462-1563 APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS, SWING DOORS, SLIDING GLASS DOORS 81 O ERHEAD GARAGE OORS 1. LOCATION/SlITADDRE.4S; ��(p11-I' 2. PARCELIDNUMBER: /0©© -0 / r I 3. DB.SCRIP'11ONOFPROJE(:rORWORK ACTIV1,11% , .(iC� ICPO�Yiop. I %a YvIQi'itnC J. TYPE OF STRUCTURE: SFR ✓ MOBU.E IIOME OTHER 5. OWNERS INFORMAT O 6. CONTR,%CI'OR'S INFORMATION p/± Nume: IP.i �hle l� FLReWC.tr1#i ,1JJress: .�Z�(p Caanty (krt E: 0 Chy: 33NI� Busineli Name: ' Zip: Phone: Iimaiil• Phone Numhcr; I;mnil; -ul , COMPONENT ID. PRODUCT DESIGN PRESSURE PRODUCT APPROVAL B WINDOWS SKYLIGHTS SLIDING GLASS DOOR SWING DOOR MULLIONS OVERHEAD GARAGE DOOR Iy Attach 2 copies o£ the Product Approval with details to the product being used. VALUE OF CONSTRUCTION; S -07'slac'- FEES DUE: OWNFRN AFFIDAVIT: I certify that all orthe information contained in this application is co 'ct and that all work will be dune in compliance with all applicable laws regulating COnStnletiOn an T n & �IWA 1'N \I\I F01 ER OR WhTRM. R/QtI LIFIERNAME SIGNATURE O"'NERORCONTRACTOR/VUALIFIFH Y STATE OF FLORIDA. COUN71'OF .1('KNOwLED<GFIDEFORI:p :'111ISDA1'OF ,IO11110 is I'. ti.1'A,'O1 'TO ME ORWHORAS PRODOCF.D A, REN 5. NIELSEN Commission a FF 1156; ! SIGNATNREU't1 rA Y TYPEOR PRINTNAMEOFNOTARY g 011Y Commission Expire: '1'rt'I,$; R01'AR1'PUNIJP t•�Y.'4..n June 12. 2018 COMMIRSIONNUMBRRiT ., NOTICE TO ORNNA: FAIMAE TO AECORD K NOTICE OF COleMCDENT Rot RESULT IN YOUR PAYING TWICE FOR INPROVEHMS TO YOUR PROPS=- IF YOU INTEN1) TO OBTAIN FIFAWCINC, CONSULT WITH YOM LMIR OR AN ATTORNEY DE70RE RECORDING YOUR NOTICE OF CO)OENNCERM", JOSEPH E. SMITH, CLEBY ^F THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE k 4016685 OR El 3693 PAGE 590, Recorded 11/25/2014 1 ;L0:02 AM L� NOTICE OF COMMENCEMENT TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,SfOpD OR WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,SOOAD PERMIT Y: TAXFOLIO#: 1414-102�Q0 G00-j� Nab W neLaa, CeurdV al S}. LJACj22 , the undersigned herebygives notice that improvement will be node to certain real property, and in GCCOrtlanae with chapter 713, Rwlda statutes. the fOSowing information is provided in Mu notice of CommencerrenL 1. LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS IF AVAILABLE): Queens COVe-Unit a--&k j4 Loll (os 594-IQ(3:I11 K-313) 113 (�ZueesT FI Hn (OkWA 2 GENERAL DESCRIPTION OF IMPROVEMENT: Ea mach INrVISmgnUR of ULESSEE INFORMATION (It Lessee contracted For the Improvement) a. Name: WeigL 8old(n9s (uiq) lac Address: c�a i51iQh10.11h. 1131"v: I�t<:s)T¢li)sI'ktEWK V1c4,tF 21 bf�laln�'bFLTcL(C-ntdFh(,.L 33410- b5 Is. Interest inproperty: ��, Sjrs,Vlk c. Name and address of Tee simple title holder (if other than owner): 4. CONTRACTOR: a. Name: J. A. TAYLOR ROOFING, INC. Address: 302 MELTON DRIVE, FORT PIERCE, FL. 34982 b. Phone number: 772-"6-4040 S. SURETY COMPANY (IF Applicable, a copy of the paymeril bona b attached)-. a. Name & Address: _KN/A b. Phonenumber: Bondamount: 6. LENDER/MORTGAGE COMPANY: U. Name & Address: - N/A b. Phone number. 7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAY BE SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., FLORIDA STATUTES: a. Name & Address:- L N/A b. Phone number, faxnumber: 8. INADDNIONTONIMSELFOR(�ERSELF, a. Cwnerdesignates,7N/A of to receive a copy of t6666e lienor's notice as provided in section 713.13(1)(b), Florida statues. b. Phonenumber. 9. EXPIRATION DATE OF NOTICE OF COMMENCEMENT: (THE EXPIRATION DATE IS ONE (11 YEAR FROM ME DATE OF RECORDING UNLESS A DIFFERENT DAIS IS SPECIRED). UNDERLVE3 OF PSuURY,I ECLA E RIAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN ITARE TRUE TO THE BEST OF MY KNOWv ANZMEF is /93625. FLORIDA STATUTES SIGNATURE OF OWNER or LESSEE )OWNER'S AUTHORDED OFFICER/DIRECTOR/PARTNER/�'GER-SIGNAORrS TITLE/OFFICE I, THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS `�AY OF e — 201,Y . BY: NA F PERSON TYPE OFAUTHORUY NAME OFPARTY ON BEHALFOF WHOM INSTRUMENT WAS EXECUTED ZUY;W OR OPROOUCEDIDEl11FlCANONttPEOFIDEmIFICAiIONPRODUCEpOTARY P� E / NOl HUGENE D. JAEGER �g HYCDAaDSSION OFFerg,, ari0' �UES:1 20.2o13 STATE OF FLORIDA ST.LUCI OUNTY THIS I CERTI TRUE CORRI Date: - — -- CLERK 2014-12-11 13:13 roofing 772 468 8397 » , 7724626443 P 1/1 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # ► L - m3g 6 _ � h j hl7P_ . licensed as ontracto� /Engineer/Architect (Please prl t name & circle license type) ° S 9 rng Inspector 'General, Building, Residential or Rooft Contractor or any individual certifled under 069 F.S. to make such on lnspecdon, On or about / I did personally Inspect the roof deck, nailing {Date) work at: (Job site address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on SS3,844 F.S.) Signat "Me and seal STATE OF FLORI COUNTY OF r License # Sworn t a d subs ib d before me this_ da of ! J!�[!,20W by v Who Is per nally k wn to me or who has produced ._., as Identification, Notary Public, State of FI r Signature of NoTt... ._ Commission Number: _-A Ce /m /sJ?z (seal) En 01/1912011 KAREN S. NIELSEN Commiusion OFF 115637 -,I = My Commieslon Expires Jura 12. 2018 MIAM4DA[3E r DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE 3M Center Building 0220-05-E-06 St. Paul, MN. 55144-1000 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 1""V.miamidade.gov/riera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product 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. PERA 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: 3MT"r 2-Component Foam Roof Tile Adhesive AH-160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA# 11-0124.04 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMI•DADE COUNTY NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves 3MT1*r 2-Component Foam Roof Tile Adhesive AH-160 as manufactured by 3M Company as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using 2-Component Foam Roof Tile Adhesive AH-160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications 3MTM 2-Component Foam N/A TAS 101 Two component polyurethane foam adhesive Roof Tile Adhesive AH- 160 Foam Dispenser RTF1000 N/A Dispensing Equipment ProPack® 30 & 100 N/A Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of 2-Component Foam Roof Tile Adhesive AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Pro a 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.3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Fe 3.1 Perm / Inch +0.07% Volume Change @ -40° F, 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 2 of 7 n Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. EVIDENCE SUBMITTED: Test Agency 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 25-743 8-4 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[I] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 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. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. W F'=12�_ MS NOA No.: 12-0228.18 MAMI•DADE COUNT( Expiration Date: 05/10/17 ...., , Approval Date:05/10/12 Page 3 of 7 INSTALLATION: 1. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 maybe used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160. 2. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and 3M Company's 3MTM 2-Component Foam Roof Tile Adhesive AH- 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained'Qualified Applicator' approved and licensed by 3M Company. 3M Company shall supply a list of approved applicators to the authority having jurisdiction. S. Calibration of the Foam Dispenser RTF 1000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). The dispense timer shall beset to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall be applied with Foam Dispenser RTF 1000 or ProPack® 30 & 100 dispensing equipment only. 7. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after 3MTM 2- Component Foam Roof Tile Adhesive AH-160 has been dispensed. 9. 3MTM 2-Component Foam Roof Tile Adhesive AH-160 placement and minimum patty weight shall be in accordance with the'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles _ #1 35 N/A High Profile (2 Piece Barrel) #1 17/side on cap and 34/ an N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 NOA No.: 12-0228.18 MIAMI•DADE COUNTY Expiration Date: 05/10/17 ..., , Approval Date: 05/10/12 Page 4 of 7 LABELING: All 3MTA4 2-Component Foam Roof Tile Adhesive AH-160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY NA through plastic cement Paddy (Beneath He) Underaymint 101 Em Course Fascia Ban mum oW. EavaCI Keep adhesive app= 4 In. up from mepholes TAD�PPROVE had through plastic cement Paddy (Beneath Tile) Underlayment tin Eve Com, Fade Wasphole EavacoumonV. Eve closure Keep adhesive approL Up edge 41n.upfromwepbles NOA No.: 12-0228.18 Expiration Date: 05/10/17 Approval Date: 05/10/12 Page 5 of 7 Undedayment 1 >mln. Ene ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Undedayment 1 Fascia II Fave Course Nail through Plastic cement Paddy (Beneath Tile) Underlayment Eave Course ����a�� Eave Closure Fascia Paddy )Beneath Tile) edge NOA No.: 12-0228.18 MIAMMADE COUNTY Expiration Date: 05/10/17 ...., r Approval Date:05110/12 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Paddy F gh� a. (between tile) ent Paddy (under tile) 1 40 Sin• Single paddy under the in.x3in. i P x3in. Single paddy on 2 in. 4 in. 4in. Single 21°' under• paddy on under. layment a layment Single Eave course paddy on top of file Single add g paddy medium 2 ep Eaw Course on top of Ole paddy she paddy eave Fascia course only Nail through plastic cement Single paddy under file Single paddy between tile !'elIn.X 31n. 4in. Single paddy onundedayment tin. Single paddy Eave Closure on top of Ole 21n. x 7 in. medium Eave Course size paddy eave course only Fascia END OF THIS ACCEPTANCE Single paddy under Ole Single paddy between tile 21n. x 71n. medium sin paddy eave course only /� Fasda � Weephcle aye closure Ddpedge NOA No.: 12-0228.18 MIAMI-DADE COUNTY Expiration Date: 05/10/17 .., e r Approval Date: 05/10/12 Page 7 of 7 '�A�m1Z� }IJ L ID )i�1ZjS T reasure Harvey E. Koehnen C oast Professional Engineer #32831 B uilding Architect #AR0009471 E ngineers, Certified General Contractor #030024776 Inc. Contractor .J-t�".'C L-0cL, Owner t4Or.Ot N6,S Job Address f /3 (,hl££t3 AIIJ GT• TILE ROOF EN?at RA Pi_&vrhi tot,( r-1AT NEW ROOF_ RE -ROOFS REPAIR_ AREA 56542- TILE ROOF PLAN Elyse CirclePik P S Z I L E Cv L Florida 3495 212 �� PHONE1772146 03509 �/te r^ hir A— FAX(772) 489-3035 ` I/ r � E-MAILhkoehnen@tcbeweb.com / LI ) • Q3 )T Date 1/ Q 4 NOA FL- ?664Z RI F■�C�■■■■■■■■■■■■ i■��������■i�► ■■■■■■■■■■■■� ��■■117��i'li���`ri�ill'�i�3��' . ■■■■Il*0 Qr�7i �■■ "AWN #WWO=rWgM■ SEEN ■■■■■■■■■ice■■■■■■■■■ ��3lQ-=13=11 l■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ASCE 7-10 & FBC 2010 ENCLOSED BLDG A SEMI ENCLOSED BLDG OPEN PART LOW RISE C&C SIMPLIFIED RISK CAT 2 / V = Ito I/ EXPOSURE L / X= 1_ZI/ Kzt=1.0 / ROOF PITCH /12, h= td' ZONE 1 B @ h=30 = x 1L = PSF x 0.6 = —3I:24. ZONE2 B @ h=30 = xX = PSFx6.6= —5k•3' a= ZONE B @ h=30 = xA = PSFx0.6= 3�3Hl a= Mp=(PA)-MP= 7� '0xx U.Zg4-M�;-►-=Mp'Z,2.<Mf= 'ffPi-rl' FOAM X AN- I%D NOAl2.e27 . 18 MORTAR _ NAIL ' PADDY SIZE V" WEIGHT j119AI� NAIL SIZE _ NUMBER PERTILE " RIDGE VENT DCSM FASTENING NAIL TILE FASTENING MORTAR FOAM X L DRIP EDGE SIZE V r $ft 1U9�F_ DRIP MATERIAL 26' A-4• 1 FLASHING MATERIAL 2 to Wr &' 1' DECK TYPE PLYWOOD THICKNESS IQIWAJA OTHER BASE SHEET 301 NO. OF PLIES TYPE OF FASTENERS/1 9N9f IG1 PLY SHEET qO;� NO. OF PLIES l TYPE OF FASTENERS/BONDING ItOr MD t0 FASTENERS/BONDING: NAILS SELF ADHERING ROOFING NAILS & TINS CAPS FASTENER SPACING FOR ANCHOR/BASE SHEET ATTACHMENT: Field _"oc @ Lap, # Rows 2 @ IZ " oc Perimeter:8 "oc @ Lap, # Rows Z. @ A;' oc Corner: A" oc @ Lap, # Rows 2 @ I " oc 3, A. z Floor and Roof Live Loads 4 inh bitable Attics: 20 psf Hf loita,' h, Attics, Bedioom: 30 psf �Ul Qthec:Itooms: 40 psf 'Garage:. 40 psf Roofs: 20 psf 5 6 7 $' 9 Wind Design Data .Ultimate Wind Speed: -Iominal (Basic) Wind Speed: 161. mph 125 mph 13 Itisl -Cate"gory: L irid Exj>osure: Encl'osure Classification: sritemal Pressure Coefficient: II C Enclosed 0.18 +/- 17 21 Components and Cladding: ; ' oofing Zone 1: 19.6 psf max., Roofing Zone 2: 19.6 psf max., ': Roofing Zone 3: 19.6 psf max., Roofing at Zone 2 Overhangs: Roofing at Zone 3 Overhangs: Sfticco, Cladding, Doors and Windows: q ;:: Zone 4: 34.1 psf max., Zone 5: 34.1 psf max., ,_ 9' Wide O/H Dr.: 29.9 psf max, 16' Wide O/H Dr.: 28.7 psf max., 31.2 psi mi -.54.3 psf mi . 54 t3 - -63.6 psf min. 107.0 psf min. -37.0 psf min. -45.6 psf min. 33.9 psf min. -31.9 psf min. 25 29 33 37 _ 41 45 z 'The Nominal Wind Speed was used to determine these 6&ldiug Pressures. Component and 46 All exterior' -lazed openings shall be protected from wind-borne debris as per Section.-1609 1 2 of the 2010 Florida Building Code. 50 51 l Geotechnical Information 52 ,[)esign Soll Load -Bearing Capacity: 53 ;, _ Flood Design Data 54 'Flbod Zone: 55 56 This form was created using the BASIC STRUCTURAL INFORMATION - available at "w. TheFloridaEngineeccom GENERATOR sojhvare 57 0 i Florida Building Code Online r-- Page 1 of 2 FoorOAOII�� OF Honda Departmentai MSHame Wgln UserRegkmllon Hot Topics SubmltSurcharge Scats&Fads Publications FKSlaff BCISSIteMap ❑nics Seach Busines () r Product Approval Professional USER: PublicUser Regulation Product AoarOyal Menu> PrOuctor Aoolirabon Search > Aoolicatinn U > APPIICadan Detall FL # FL7804-R7 Application Type Revision Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Entegra Roof Tile, Inc. Address/Phone/Email 1289 NE 9th Avenue Okeechobee, FL 34972 (863) 467-0042 Ext 1228 gohnson@rooftile.com Authorized Signature Terry Johnson gohnson@roofUle.com Technical Representative Jim Deyarmond Address/Phone/Email 1289 NE 9th Avenue Okeechobee, FL 34972 (863) 467-0042 JDeyarmond@rooftile.com - Quality Assurance Representative Terry Johnson Address/Phone/Email 819 South Fedpral Hwy Suite 300 Stuart, FL34994 - \V • ,,, - (800) 586-7663 tJohnson@rooftile.com .s V Y� Category Roofing Subcategory Roofing Tiles Compliance Method Evaluation Report from a Florida Registered Architect or a IJcensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nleminen the Evaluation Report Florida Ucense PE-59166 Quality Assurance Entity PRI Construction Materials Technologies, LLC Quality Assurance Contract Expiration Date 11/02/2016 r Validated By John W. Knezevich, PE Validation Checklist- Hardcopy Received Certificate of Independence FL7804 R7 COI Trinity ERD CI - Nieminen.odf Referenced Standard and Year (of Standard) Standard Year ASTM C1492 2003 FRSA/TRI 07320 2005 SSTD 11 1997 TAS 100 1995 TAS 101 1995 TAS 102 1995 TAS 102(A) 1995 TAS 112 1995 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquovOj OHI%2b... 11 /20/2014 Florida Building Code Online Page 2 of 2 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Method 1 Option D O6/22/2012 06/22/2012 O6/27/2012 0810712012 FL # Model, Number or Name Description 7804.1 Entegra Concrete Roof Tiles (HVHZ Concrete Roof Tile jurisdictions) Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL7804 R7 II er062212FINAL ENTEGRA FL7804- R7 HVHZ.Ddf Approved for use outside HVHZ: No Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER Section 5 for Limits of Use. Refer to ER Evaluation Reports Section 6 for Installation. FL7804 R7 AE er062212FINAL ENTEGRA F17804- R7 HVHZ.Ddf Created by Independent Third Party: Yes 7804.2 Entegra Concrete Roof Tiles (non- Concrete Roof Tile HVHZ jurisdictions) Limits of Use Installation Instructions Approved for use in HVHZ: No FL7804 R7 II er062212FINAL ENTEGRA FL7804-R7 NON - HVHZ.odf Approved for use outside HVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER Section 5 for Limits of Use. Refer to ER Evaluation Reports Section 6 for Installation. FL7804 R7 AE er062212FINAL ENTEGRA FL7804- R7 NON-HVHZ.odf Created by Independent Third Party: Yes Earl NeM contact :: 190 North m, come street_ Talleba== 32399 Phone: 1150>87-1824 The State of Florida is an AA/EIM employer. Conyr'oht 2007-2013 State of Florida.:: Privacy Statement :: Acassibilitv statement :: Refund statement Under Florida law, .mall addresses are public records. If you do not want your e-mail address released in response to a publicrecords request, do not send electronic mall to this entry. Instead, contact Me office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under chapter 455, F.S. must provide the Department with an email address if May have one. The .mails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public To determine if you are a licensee under chapter 455, F.S., please dick heir . Product Approval Accepts: w ® ro®-- Credi 91 9ArF E http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquovOj 01-H%2b... 11 /20/2014 r, l TRINITY' ERD EVALUATION REPORT EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX:(203) 262-9243 Entegra Roof Tile, Inc. Evaluation Report E39310.11.11-2-R1 1289 NE 91h Avenue FL7804-117 Okeechobee, FL 34972 Date of Issuance: 11/02/2011 Revision 1: 06/22/2012 SCOPE: This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been designed to comply with the 2010 Florida Building Code (non-HVHZ) sections noted herein. DESCRIPTION: Entegra Concrete Roof Tiles non-H. HZ jurisd� s LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report 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 Evaluation Report consists of pages 1 through 4. Prepared by: The Facsimile seal appearing was authod2ed ' by Robert Nieminen, P.E. an 06/22/2012 Robert].M. Nieminen P.E. s0ppyc plJ r This does not serve as an electronically signed '.,F ••.-Cn, document. Signed, sealed hardmples have been Florida Registration No. 59166, Florida DCA ANE1983 S�%7ua� ^ transmitted to the Product Approval Administrator and "y'•••...... to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinitylERD does not have, nor does it Intend to acquire or will it acquire, a financial Interest in any company manufacturing or distributing products it evaluates. 2. TrinitylERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nleminen, P.E. does not have nor will acquire, a financial Interest In any company manufacturing or distributing products for which the evaluation reports are being Issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a Rnancial Interest in any other entity Involved In the approval process of the product. �»I TRINITY ERD ROOFING SYSTEM EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Roofing Tiles Compliance Statement: Entegra Concrete Roof Tiles, as produced by Entegra Roof Tile, Inc., have demonstrated compliance with the following sections of the Florida Building Code through testing In accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Code Section Property Standard Year 2007 & 2010 1507.3.5 Physical Properties ASTM C1492 2003 ' 2007 & 2010 1507.3.7 Attachment Requirements FRSA/TRI 07320/8 2005 2007 1715.2.1 Overturning Moment SSTD 11 1997 2010 1716.2.1 Overturning Moment SSTD 11 1997 3. REFERENCES: Entity Examination Reference Date PRI(TST5878) ASTM C1492 ESI-001-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-002-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-003-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-004-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-OU5-02-01 12/12/2006 ATL(TST3782) ASTM C1492 RT0615.01-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.02-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.03-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.04-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.05-11 06/28/2011 Tile Roof Institute SSTD 11 Membership Confirmation Current PRI (QUA9110) Quality Assurance Service Confirmation 11/02/2011 4. PRODUCT DESCRIPTION: 4.1 BERMUDA FIAT and PLANTATION FLAT are ASTM C1492, Type III (low -profile) concrete roof tiles. L_ ra<• T� io•\ , Y Flat Exterior Research and Design, LLC. Evaluation Report E39310.11.11-2-R1 Certificate of Authorization #9503 FL7804-R7 Revision 1: 06/22/2012 Page 2 of 4 �`J TRINITY ERD 4.2 BELLA HIGH "S" and ESTATE "S" are ASTM D1492, Type II (medium -profile) concrete roof tiles. 161* estate "5 4.3 GALENA SPANISH "S" are ASTM C1492, Type I (high -profile) concrete roof tiles. 17" 10- 5. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ. 5.2 Fire classification is not part of this evaluation; refer to FBC Section 1505 and current Approved Roofing Materials Directory for fire rating of this product. 5.3 Installation shall comply with manufacturer's current published instructions, but not less than the requirements of FBC Section 1507.3 and the FRSA/TRI 07320. 5.4 For mechanically attached tiles, attachment for wind load resistance shall be in accordance with FRSA/TRI 07320/8-05. 5.5 For mortar -set or adhesive -set tiles, attachment for wind load resistance shall be In accordance with FBC Section 1609.5.3 and the mortar or adhesive manufacturer's Product Approval. 5.6 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9N-3. 6. INSTALLATION. 6.1 Entegra Concrete Roof Tiles may be mechanically fastened, mortar -set or adhesive -set. Installation shall comply with manufacturer's current published instructions, but not less than the requirements of FBC Section 1507.3, the FRSA/TRI 07320 and, for mortar -set or adhesive - set applications, the mortar or adhesive manufacturer's Product Approval. Exterior Research and Design, LLC. Evaluation Report E39330.11.11-2-R1 Certificate of Authorization #9503 FL7804-R7 Revision 1: 06/22/2012 Page 3 of 4 �i TRINITY ERD 7. LABELING: 7.1 Each unit shall bear the imprint or identifiable marking of the manufacturer's name or logo. Tile lots shall be labeled in accordance with the requirements of the Accredited Quality Assurance Agency noted herein. B. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction In order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the noted QA agency for information on product locations covered for F.A.C. Rule 9N-3 QA requirements. 10. QUALITY ASSURANCE ENTITY: PRI Construction Materials Technologies, LLC. - QUA9110; (813) 621-5777 - END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report E39310.11.11-2-R3 Certificate of Authorization x9503 FL7804-R7 Revision 1: 06/22/2012 Page 4 of 4 TRINITY' I KININ ERD Table 3A-1: Attachment Resistance Expressed as a Moment- Mf (ft-Ibf) Flat Profile Tiles, Mechanically Attached Systems Tile Fastener Direci�Deck ( n.'15/32" plywood) Direct -Deck (min. 19/32" plywood) Battens Type # Size Shank Clip ail One (1) Od Smooth or Screw N 7.3 9.8 4.9 ail Two (2) SOd Smooth or Screw N/A 14.0 18.8 7.4 ail [Nail One (1) 30d oth or ew Eave 19.0 19.0 22.1 One(1) SOd Sm or Scre Field 24.3 24.3 24.2 Flat ail Two (2) 10d mooth or Screw Eav 31.9 31.9 32.2 Permuda er Plantation ail Two (2) 1 Smooth or Screw Field 35.5 35.5 34.8 Flat Nail Two (2) 30d Ring N/A 30. 38.1 17.2 Nail' T 2)1 30d' Ring' N/A 50.31 65.5' 48.3' Screw One (1) #8 N/A N/A 30.8 30.8 18.2 Screw Two (2) #8 N/A N/A 51.7 51.7 24.4 1 Installation with a 4-inch tile headlap and fasteners located min. 2M-inch from head of tile. Table 3A-2: Attachment Resistance Expressed as a Moment- Mf (ft-Ibf) Flat Profile Tiles,Adhesive-Set Systems Size (inch) Weight(g) To Substrate To Tile TO Substrate To Tile Tile Application Adhesive Mf(ft-Ibf) TILE BOND'" 1x6 1x6 10.4 10.4 40.6 Touch'n Seal"' Storm Bond 1.25 x 10 1.25 x8 8.3 10.2 73.2 Inter- 3M Foam Roof Tile Bermuda Flat or Plantation Dependent Adhesive RTA-1(formerly Polyset• One) 4 x 8 4 x 8 12 12 51.8 3M 2-Component Foam Flat��' Roof Tile Adhesive AH-160 4 x 4 2 x 4 16 8 31.3 (formerly PolyPro• AH360) 3M 2-Component Feam 2 x 7 N/A 24 N/A 40.4 Independent Roof Tile Adhesive AH-160 (formerly PolyPro° AH160) 2O N/A 45 ✓ N/A 118.9 Table 3B-1: Attachment Resistance Expressed as a Moment-Mf (ft-Ibf) Low Profile Tiles, Mechanically Attached Systems The Fastener Direct -Deck (min. 15/ plyyv od) Direct -Deck (min. 19/32" plywood) Battens Type yp # Size Shank Clip p Nail One( ' SOd Smooth or Screw N/A 8.8' 11.8, 4.1' Nail Two (2) 10 Smooth or Screw N/A,,,"16.4 21.9 7.1 Nail One(1)' 10d mooth or Screw ;Eve 19.0' 19.0' 22.1' Nail One(1)2 10d Smo or Scre Field 24.3' 24.3' 24.2' Nail Two (2) 10d Smooth w Eave 31.9 31.9 32.2 "S" Nail Two (2) SOd S oth or Screw Field 35.5 35.5 34.8 Estate Nail Two (2) 30d Ring N 27.8 37.4 28.8 Nail' Two (2) d' Ring' N/A 43.0' 67.51 50.91 Screw On #8 N/A N/A 25. ' 25.8' 22.9' Screw wo (2) #8 N/A N/A 47.1 47.1 49.1 'Installation with a 4-inch tile headlap and fasteners located min. 2X-inch from head of tile. ' For one (1) fastener installations, utilize hole that is approximately 4'/.-inch from the interlocking edge. Exterior Research and Design, LLC. Evaluation Report E39310.11.11-1-Ri Certificate of Authorization #9503 FL7804-R7 Revision 1: 06/22/2012 Page 5 of 7 TRINITY; ERD 5.5 Minimum underlayment shall comply with the RAS 118, RAS 119 or RAS 120, as applicable. Underlayment products shall hold Florida Statewide Product Approval or Local Approval for use in tile roof assemblies in HVHZ jurisdictions. 5.6 Minimum roof deck requirements shall be in accordance with applicable FBC HVHZ requirements. 5.8 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9N-3. 6. INSTALLATION: 6.1 6.2 J Entegra Concrete Roof Tiles may be mechanically fastened, mortar -set or adhesive -set. Installation shall comply with manufacturer's current published instructions, but not less than the requirements of RAS 118, RAS 119 or RAS 120, as applicable. Attachment Calculations: Entegra Concrete Roof Tile shall be evaluated as a Moment -Based System' in accordance with RAS 127-95 (for 2007 Code) or RAS 127-11 (for 2010 Code) using the data outlined herein. Table 1: Aerodynamic Multipliers- 26 (ft') Tile Batten Application Direct -Deck Application Bermuda Flat 0.189 0.205 Plantation Flat 0.267 .289 Bella High "S" 0.349 0378 Estate "S" 0.267 0.289 Galena Spanish "S" N/A 0.235 Tablet: Restoring Moment due to Gravity- ft-lbf) Roof Slope (0) Tile 2:12S0<3:12 3:12<0<4:12 4:12<B<5:12 5:12<0<6:12 6:12<0<7:12 0>7:12 Battens I Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Bermuda Flat 5.22 6A3 5.17 6.37 5.09 6.27 498 6.15 4.86 6.00 4.72 5.83 Plantation Flat 7.22 7.91 6.85 7.79 6.75 7.67 6.61 7.52 6.44 '732i1 6.26 7.04 Bella High "5" 6.19 6.89 6.11 6.80 5.99 6.67 5.85 6.51 5.68 6.33 5.50 6.13 Estate "S" 6.14 6.84 5.91 6.74 5.82 6.64 5.70 6.50 5.56 6.33 5.40 6.14 Galena Spanish "S" N/A 6.20 N/A 6.13 N/A 6.03 N/A 5.89 N/A 5.74 N/A 5.57 Exterior Research and Design,LLC. Evaluation Report E39310.11.11-1-RI Certificate of Authorization #9503 FL7804-1117 Revision 1: 06/22/2012 Page 4 of 7 MI®1Dn3ADE • 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) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economv Maxim Industries, Inc. 1630 Terre Colony Court Dallas, TX 75212 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. DESCRIPTION: Model MAX DGCM 07 Curb Mount Aluminum Skylight APPROVAL DOCUMENT: Drawing No. MAX DGCM 07, titled "Maxim Impact Glass Curb Mount Skylight", prepared by Maxim Industries, Inc, sheets 1 and 2 of 2, dated 12/12/2012, signed and sealed by Richard Boyette, P.E., bearing the Miami -Dade County Product Control renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series 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 # 07-1105.05 and consists of this page I and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 12-1022.02 MAMI•DADECOUNTY Expiration Date: January 10, 2018 �rnawt-1141i #,9111�10100 Approval Date: January 17,2013 Page 1 Maxim Industries. Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. MAX DGCM 07, titled "Maxim Impact Glass Curb Mount Skylight', prepared by Maxim Industries, Inc, sheets 1 and 2 of 2, dated 12/12/2012, signed and sealed by Richard Boyette, P.E. B. TESTS "Submitted underNOA # 07-1105.051, 1. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up drawings and installation of the Maxim Impact Glass Curb Mount Skylight, prepared by Hurricane Test Laboratory LLC, Test Report No. T482- 0604-07, dated 10/09/2007, signed and sealed by Vinu J. Abraham, P.E. C. CALCULATIONS "Submitted under NOA # 07-1105.05" 1. Anchor calculations dated 10/28/2007, prepared, signed and sealed by Richard Boyette, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. Notice of acceptance No. 11-0624.02 issued to E.I. DuPont De Nemours & Co., Inc, for their SentryGlas Interlayer, approved on 05/10/2012 and expiring on 12/11/2016. F. STATEMENTS 1. Statement letter of code conformance to 2010 FBC issued by Richard Boyette, dated 12/23/2012, signed and sealed by Richard Boyette, P.E. 2. No financial interest letter issued by Richard Boyette, dated 09/11/2012, signed and sealed by Richard Boyette, P.E. "Submitted under NOA # 07-1105.05" 3. Code compliance letter dated 10/29/2007, issued, signed and sealed by Richard Boyette, P.E. 0-05/1;o�Av* Carlos M. Utrera, P.E. Product Control Examiner NOA No. 12-1022.02 Expiration Date: January 10, 2018 Approval Date: January 17, 2013 E -1 Detail #1: Frame, Gutter Seat & Glass Section Detail DawfaNng 795 9lkme BuildIn SeahiR Glass bite = L77 Ire• instated Glass: I/8" Tempered -3/8' air space w/ dedam filled stainless steel apaoer-Laminated Glass (I/B' araaaled glass-.090' San" kaamg rntafarer-1/8" annealed glass) Dos Coming 795 61gcere Building se dart curb Budc See" NOW Belau * Mbdmum distance -4'fromaluminum fiarte m roar surface for shingles or BUR Wldlall[ Inslatbn. Fa hmdatlm and roof ereadd hmda6m wrnufereudda to 4 minhmrn height ** Curb buck= Nominal Sachem yellow pine 2 X 6 with slryilghtset on budcwfth muwnan I/8' tag head of Dow Car" 795 sigrona buMM sealant Insmgation festaes are staiNae shed 012 X 1.5' with mink urn 1.25" ernhedmern loafed 3.Sfiom each inner and cpnum madmum 9" on mein Detail #3 Glazing Detail 7/8" L DESIGN PRESSURE _ +6Opsf /-100psf .08V 6063 75 Bmuded aaaninum fame. Mitered and wedded at ran tunas 6063 75 Bdruded aluminum gutter seat. N eted and welded at fan comers Minbrumi #12 X LV stainless shed fastener with minimum 1.25" embedment. 35'fmm each cemer& masdmum 9' oa * Minimum IM nag or 96 X31/4" stainless shed fastener 6' o c wgh miNmum ernbeddmmrt of 2' 5/e' Mywood derk w R0ddedy harnhg by others A11roof demRs shall mmplywRh the Radde Building Code 1/8" Tempered Stainless steel dersiant filled tube with primary & semndaryseal& 3/8" Height 1/2' Depth Laminated Glass: 1/8" annealed glass -.090" DuPont Sentry Glass@ Imerlayer -1/8" annealed glass FL PE # 42485 4031 COCONUTMVD ROYAL PALM BCH FL 3S , c;F1-70-5766 Detail #2 Frame Comer Construction and Weld Detail Fully heliarc welded miter @ four comes Detail #4 Gutter Construction and Weld Detail Fully herarc welded miter @ four comers heliam welded Qa fouraornas TITLE: MAXIM IMPACT GLASS CURB MOUNT SKYLIGHT IWAOCMDRAWING NO.: MAX DGCM 07 DATE: 2012.12.12 f HURRICANE RESISTANT DRAW BY: DJT REVISION: $2 S K Y L 1 G H T S SCALE: NTS 1630 Terre Colony Court Dallas, Texas 75212 P:888MAS98 P:214.9052021 F:214.9052024 SHEET: 1 OF 2 DESIGN PRESSURE = +60psf /-100psf J i Frame Width = 60.625" n j m / lI c C W 0 j DL Opening = 5B.375" Is" Notes: 1. This skylight is designed to comply with all zones, including the HVHZ, of the Florida Building Code. 2. This skylight meets small & large missle Impact resistance (TAS•201/ASTM E1886/ASTM E1996) and no other protection Is required. 3. All framing and roof deck is by others and must comply with the Florida Building Code. 4. All sizes equal to or less than the test size total square footage are to be accepted under this NOA. S. Fasteners used to attach skylight to wood curb are to be minimum #12 X 1.5" stainless steel with minimum embedment of 1.25" Comer Detail see Detail #2 & #4) astallation Fastener Others (see note 5) Frame Detail see Detail #1 & #2) Gutter Seat Detail w Detail #1 & #4) Glass Detail ee Detail #1 & #3) Bill of Materials: 1. 6063-TS Extruded Aluminum Frame mitered and welded at four comers. Manufacturer - Ma) 2. 6063-T5 Extruded Aluminum Gutter mitered and welded at four comers. Manufacturer - Maxim 3. Dow Coming 795 Silicone Building Sealant located between aluminum frame and glass (glass bit -,- and glass and gutter. Manufacturer - Dow Coming 4. 7/8" Insulated glass with Sentry Glass interlayer: 1/8" Tempered - 3/8" stainless steel desicant filled tube (air space) - 2 pcs 1/8" annealed with .090" Sentry Glass Intedayer. Manufacturer - DuPont S. #12 X 1.5" Stainless steel fasteners 3.5" from each Comer, maximum 9" on center with minimum embedment of 1.25". RICHARD BOYETTE FL PE # 42485 °16eF7orttd TITLE: MAXIM IMPACT GLASS CURB MOUNT SKYLIGHT 4031 COCONUT BLVD Aat'�pPwuc W D 02 � DRAWING NO.: MAX DGCM 07 DATE: 2012.12.12 egPerLaop��Q� OYAL PALM BCii FL 33411 Isy POCM 1-790-5766 HURRICANE RESISTANT DRAW BY: DJT REVISION: #2 S K Y L I G H T S SCALE: NTS ��� q 1630 Tene Colony Court Dallas, Texas 75212 APPROVED D C 012 P:888.222A898 P_214.905.2021 F:214.905.2024 SHEET: 2 OF 2