HomeMy WebLinkAboutBLDG PERMIT #17-0129 (Re-roof) \ 0_4
Date:
)] / / Me CITY OF CAPE CANAVERA Tracking#
BUILDING PERMIT APPLICATION Permit# ) — 0 )t9
RECEIVED
NOV O1 201E (321)868-1222
City of Cape Canaveral Building Department - P.O Box 326- 110 Polk Avenue-Cape Canaveral,FL 32920
You may download this application: www.cityofcapecanaveral.org. You may fax to: (321)868-1247. All applications must include the
backside of this form and 2 sets of supporting documents. Important: Please complete the checklist on the back of this form and provide
other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless
complete.
APPLICANT WILL BE CALLED WHEN PERMIT IS READY
(Contractor/Owner-Builder is required to sig for the building permit.unless indicated otherwise by affidavit. I.D.may be required)
Address of Job Site: �5 I C t r '€- r• Zoning classification: Flood Zone:
Legal description of property:TWN: RNG: SEC: SURD: BLK: LOT: PB: PG:
Property Owner Name: C.-ke- t1 I rAcc5oh Phone: --204_. a(-1--A-`3ct57'
Address:
Fee Simple Titleholder's Name(if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address: 4/Id-
Building Type of Permit Brief description of work: �-e��o"� 57..)cc f-E's `C/! '-
Building
Electrical
Plumbing .
Mechanical
Other 1 /� t I ^ -
` lJ� ( (u„ `
I
Type of Square Const. Occu- FPI.lines City Sewer #of #of #of #of #of
currentlyavailable Valuation of work
Building Feet Type pency Concrete/ stories dwel- bed- water (Copy of Contract Required)
P' under (IA, Classifica available to to serve Asphalt ling rooms closets
(please
roof VB, -tion serve this this Parkingunits
indicate as etc) (B,RI.R3 property? property? Spaces
applicable) etc) Yes/No Yes/No
Commercial $ JG, 6c
SFR $
Townhouse E-
-t'1-
Apartment $
Condominium $
Other $
Architect/Engineer Name: Name of Company:
Address:
State License No.: Phone(office): Phone(cell/pager.):_ Fax:
Primary Contractor Name: Name of Company:
Address: _ _ —
State License No.: Phone(office): Phone(cell/pager.): Fax:
Electrical Contractor Name: _ _ _______Name of Company:
Address: --
State License No.: Phone(office): __Phone(celUpager.): Fax:
Plumbing Contractor Name: Name of Company: __
Address:
State License No.: Phone(office): Phone(cell/pager.): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone(office): Phone(cell/pager.): Fax:
Specialty/Other Contractor Name: R fir. Name of Company: C . �A- zo
Address: .-71401 (�ri1(can
QCS�a F .79 c3
State License No.: LCA l Phone office): ,3a1-4,3a— Phone(cell/pager.): 3?I-3t- - Fax:
c_� s a q yC,a3 a-7 ---i
--I
•
Building Permit Application Checklist Notes
Completed Permit Application Current code edition:FL Bldg.Code Fifth Edition(2014)
Current survey showing all proposed construction and landscaping Check with Bldg.Dept.for setbacks
Notarized signature—Owner/Builder Affidavit if owner is acting as contractor
Sewer Impact Fee receipt May be deferred until C.O.Unless job is remodeling
County Impact Fee receipt May be deferred until C.O.
Capital Expansion Impact Fee receipt Maybe deferred until C.O.
Sidewalk Impact Fee receipt If sidewalk exists on lot
Recorded Warranty Deed/Proof of Ownership
Copy of Recorded Notice of Commencement(over$2,500) Over$7,500 for Mechanical change out
Current Cert.Of Liability ins./Worker's Comp.Policy/Exemption Record will be kept on file after initial submittal
Community Appearance Board Approval For all work visible from Public Right-Of-Way
Planning and Zoning Board Site Plan Approval For all new construction of four units or more
Concurrency Forms For all new construction not part of approved site plan
Primary Contractor's State License Record will be kept on file after initial submittal
Subcontractor's Authorizations: Record will be kept on file after initial submittal
State License Notify Building Department of contractor changes
Plumbing Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Mechanical Contractor Mechanical Contractor
V Roofing Contractor Roofing Contractor
Swimming Pool Contractor Swimming Pool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor
Construction Drawings: Per F.B.C.104
Three sets of sealed construction drawings Per F.B.C. 104
Truss layout and reaction summary Cut sheets and shop drawings will be needed at time of inspection
Electrical Load Calculations Plans must indicate person responsible for calculations
Electrical Riser All new service must be located underground
Plumbing Riser Plans must indicate person responsible for design
A/C layout Plans must indicate person responsible for design
Two sets of Energy Calculations Plans must indicate person responsible for calculations
Lot Drainage Survey
Four sets of Fire Suppression/Sprinkler!Alarm specifications Requires Fire Dept.approval prior to issuance of permit
Pool Barrier Requirement Form(signed) Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all
laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida
Building Code 5th Edition. I understand that all permits require inspections as indicated and that it is the responsibility of
the permit holder to notify the building department when ready for inspection(s). This permit application is valid for 180
days from date of submission. By signing, applicant affirms that all above is true and correct and that he/she is an
authorized agent of the Contractor/Owner and has the authority to apply for this permit.
*ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRiOR TO COMMENCEMENT*
Applicant's Name: Jc C- vc-x- `ci`'S Applicant's Signature: �"
Date: I f O(- l(e9 Site Address: D-5 ( Gtr - Dr/v
For Notary use only: State of Florida,County of Brevard '� I� GI�Q-� �t i�
Sworn and subscribed before me this ' day of V'A)Ye - ,--,2014 ,by e
inted name of Applicant
who produced identification:- j)Y 11r-C�,/c l--( (ox✓LLQ
is personally known to me.
Seal: ic`•'''M Yt•, KAREN HUTCHINSON
MY CAMMISSION#FF 951009 Signatu -Notary Public At Large
.'• ;� EXPIRES:January 18,2020
' Bonded Thru Notary P bit nderwrN r duplicated.
t ' -, ,
City of Cape C
1 ___ _ y
___ ......, _ _ . ,,,,.:
u.. ,
CAM 701011‘.1._„....„.,
.___. .. filv
Date:
RE: HURRICANE MATTHEW STORM DAMAGED PROPERTY — Property damaged as a
result of Hurricane Matthew is eligible for free permitting by the City of Cape Canaveral
I hereby certify I am the owner/owners agent of property located at off-5-( 6 c L`e [r i V€
and the work associated with Building Permit# I - 3) )- I is related to damage caused
by Hurricane Matthew.
I understand that by so attesting,there will be no permit fees.
11/ i. %
dirwil. 4061,
yr 4 /,k , rs Agent Signal .e
Stade of Rod*Courtly d b rt..'
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Swam to and ban"" . "1,S
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®POZM - 19'VS alD
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111 Mailing Address: P.O. Box 326 Physical Address: 110 Polk Avenue
Cape Canaveral, FL 32920-0326
Telephone (321) 868-1222—Fax(321) 868-1247
www.cityofcapecanaveral.org e-mail: info@a,citvofcapecanaveral.org
NOV-3-2016 11:14A FROM:BOULAIS ROOFING CO 321-632-9623 TO:8681247 P.1
?S-- ( C rc— k. D r,\J-
�� WAct f F—
MIAMI-DADE COUNTY
M1AM1 PRODUCT CONTROL SECTION
COUNTY 11805 SW 26 Street,Room 208
Miami,Florida 33175-2474 I
DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAI (P o.RA) T(786)315 2590 F(786)315-2599
BOARD AND CODE ADMINISTRATION DIVISION t
�
er+t k ww��'miamidudc uov/ncra
NOTICE OF ACCEPTANCE
OA
. ":' e A- -i' ,rte'"`
CertatnTeed Corporation ,;
1400 Union Meeting Road !
Blue Bell,PA 19422 ,• .
SCOPE: applicable rules and regulations governing the use of construction materials.The
This NOA is being issued under the app � pERA-Product Control Section
the Authority Having Jurisdiction(AHJ).
documentation submitted has been reviewed and accepted by Miami-Dade County
to be used in Miami Dade County and other areas where allowed by
This NOA shall not be valid after the expiration date stated below. The
Dad County) reserve the right to-Dade County Product ol
Q
and/or the AHJ (in areas other in 7'7
Section (In Miami Dade County) assurance purposes.If this product or material fails performto -n
have this product or material tested for quality ur the f immediately �
the accepted manner, the manufacturerwill ' or material withintheir jurisdiction.HPERA reserves the m
•
revoke, modify, or suspend the use of product0
right to revoke this acceptance, if it is determined by Miami-Dade
e County
code.Product Control Section that this Q
g
product or material fails to meet the requirements of the applicable �
This product is approved as described herein,and hal been BuildingesCode.d to ply with the Florida Building Code
including the High Velocity Hurricane Zone of the
DESCRIPTI `. Landmarkjandmark Plus,Landmark Premium,Landmark Special and Landmark
ris
LABELING: Each unit shall bear a permanent label with themufact mise amed e or logo,city,state and following
statement: "Miami-Dade County Product Control Approved",unless
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 iny nthect,
he
materials,use,and/or manufacture of the product automatecallss.ylterminate this NOA.Failure to comply wisuse of this NOA as an endorsement of ath any
for sales,advertising or any other purposes
section of this NOA shall be cause for termination and removal of NOA.
and
he
ADVERTISEMENT: The NOA number preceded by the iorayls Miami-Dade oCe NOA,Florida,is displayed,followed
it by the
expiration date may be displayed in advertising literature. y portion
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 NOA#09-0623.06 and consists of pages 1 through 5.
The submitted documentation was reviewed by Alex Tigera.
fia NOA No.: 12-0201.05
Expiration Date:02/28/17
h11AMFAPPROVED' Approval Date: 03/08/12
APPR
Page I of 5
p6gL 4 Sr(cg (f)b6lAyg 'Jr -49--4-14- 1)84. I'-ebo/ ,fD
NOV-3-2016 11:14A FROM:BOULAIS ROOFING CO 321-632-9623 10:8681247 P.2
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ROOFING ASSEMBLY APPROVAL
gittgaai Roofing
Sub-Cateeorv: Asphalt Shingles
Materials Dimensional
ck e: Wood
1. SCOPEeciai
This renews CertainTeed Landmark, Landmark Plus, Landmark Premium, Landmark Sp
and Landmark Solaris Shingles as manufactured by CertainTeed Corporation described in Section 2
of this Notice of Acceptance.
2. PRODUCT DESCRIPTION product De.cri tion
Product Dimensions est
S eci.�.fc�tuns
Certainteed Landmark 13W x 38'h" TAS 110 A heavy weight, 2471b/sq,dimensional
asphal
Certainteed Landmark Plus 13W x 38'/." TAS 110 A heavy weight,2641b/sq,dimensional
asphalt shingle.
Certainteed Landmark 131/4"x 38'h" TAS 110 A heeaalvyt weight,ei2961b/sq,dimensional
Premium
gle.
Certainteed Landmark Special 13'W x 38'/." TAS 110 Ahhav slweight, 2641b/sq,dimensional
Certainteed Landmark Solaris 131/4'x 38'/," TAS 110 A heav swwhiegght ,2961b/sq,dimensional
asphlvarious proprietary Accessory shingles for hip,ridge and
Accessory Shingles starter strip applications.
3. MANUFACTURING LOCATION(S):
Landmark Plus Landmark Landmark Special Landmark Solaris
Landmark Premium
Peachtree Ci GA Peachtree Ci GA Peachtree Ci ,GA Peachtree Ci GA Peachtree Ci OA
Ennis TX
NOA No.:12-0201.05
MIAMhOADEC�uNTY Expiration Date:02/28/17
APPROVED Approval Date:03/08/12
Page 2 of 5
4 •
NOV-3-2 .16 11: 15A FROM:BOULAIS ROOFING CO 321-632-9623 TO:8681247 P.3
4. EVIDENCE SUBMITTED: Date
Test Identifier Test Name/Re ort
Test A enc UL 790 04/02/01 TAS 100 01/12/01
Underwriters Laboratories,Inc. R684
PRI Asphalt Technologies,Inc. PCTC-01-02-01 11/12/02
CTC-006-02-01 11/ /00
94NK9632 Wind uplift resistance TAS 107 11/30/00
Underwriters Laboratories, Inc 30
02NK42448
08
09CA28873
Letter 07/23/09
5. LIMITATIONS Roofing53 Fire classification is not part of this acceptance; refer to a current Approved
Materials Directory for fire ratings of this product.
5.2 Shall not be installed on roof mean heights in excess of 33 ft.
6. INSTALLATION
6.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
6.2 Flashing shall be in accordance with Roofing Application Standard RAS 115
6.3 The manufacturer shall provide clearly written application instructions.
6.4 Exposure and course layout shall be in compliance with Detail'A',attached.
6.5 Nailing shall be in compliance with Detail'B',attached.
7. LABELING
7.1 Shingles shall be labeled with the Miami-Dade Product Control approved seal as seen below
or the wording"Miami-Dade County Product Control Approved".
MIAMMADE COUNTY
APPROVED
8. BUILDING PERMIT REQUIREMENTS
8.1 Application for building permit shall be accompanied by copies of the following:
8.1.1 This Notice of Acceptance. code in
8.1.2 Any other documents required by the Building Official or the applicable
order to properly evaluate the installation of this system.
I I(
NOA No.: 12-0201.05
IA
MMFQ,DECOUN Expiration Date: 02/28/17
APPROVED Approval Date: 03/08/12
Page 3 of 5
NOU-3-2116 11:15A FROM:BOULAIS ROOFING CO 321-632-9623 TO:8681247 P.4
DETAIL A
Rake
Edge 5 5/51
Certainteed Landmark,Landmark Plus,
Landmark Premium,Landmark Special and Landmark Solaris
5 5/8-'1
16 1/4-1
5 5/8—
—5518-
—11 1/4 ■
`•k42 • •$6 ; fie 'N i::W :15:7,7402:g
— 27 1/2 - �—
. 11 114 —5 5/8-1
518 33 1/8
sz44:0 gs" , ,,,:ca, Zes`f%A�; Starter
5 5/8 Full
Shingle mow=r
Eaves
1
NOA No.: 12-0201.05
MIAMI•DADECOUN Expiration Date:02/28/17
APPROVED Approval Date:03/08/12
Page 4 of 5
NOV-3-2016 11:15A FROM:BOULAIS ROOFING CO 321-632-9623 TO:8681247 P.5
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DETAIL B
38 314" ----
/////, // Release Tape#
seTape# Ii /
NaN1ngarra
NNbet*eu�uppSra °rnW"as* :t2W2t:12)
12 14 314" - mM12.. —1., y.. - 131/4"
.. t>
WIDE I. 'r.. 7 IYA
NAILING►- ..,,:•:;, :::_ .•..::,: 7112"
AREA a"5 5/8"
Exposure11111
Landmark,landmark Phi,Landmark Premium,landmark Sped and landmark Solaris
(low and Standard Slope)
38 314"
AM �/,:, te 7
Nailing area for'stsap"slopes(greater than 21:12) 13 114•'
NObebetween bottom bottom 2 nen Anes.
14 3/4" 12"
12"• - 11
!gm r t:::::0:::::::::: inno::::5::::::-::!::;1 iii::::::::::;$555:;
I5 5/8"
Exposure1111111 MI 8 1/8"
landmark,Landmark Plus,Landmark Premium,landmark Special and Landmark Solaris
(Steep Slope)
END OF THIS ACCEPTANCE
I
1
s
1
NOA No.:12-0201.05
"Am eD Expiration Date:02/28/17
APPROVED Approval Date:03/08/12
Page 5 of 5
NOV-3-2016 11:11A FROM:BOULAIS ROOFING CO 321-63E-9625 TO:8681247 P.1
E
1 CFN 20ed 11 912,OR S09 3 AM,K 7746 AIICi�s Clerk of6 Courts.
I d Reco
rn NOTICE OF COMMENCEMENT Brevard County f
Fit, #Pgs 1 C)
STATE OF F6,2 S, ,-�•; t( ,..
COUNTY •
OF par��ct1 713,Florida Statutes,
THE UNDERSIGNED Weir/
gives notice that impwilt be made to certain real property,aid n accordance
with Chapter the following in formalize is provided in this Notice of Commencement ,i
I. Daaxiptim of pr'op�Yr street address if available) $ l.- 323 e�`t-
°f property,a.��hdd 1 Q 37'^. ‘LA-C-"
51 Cs�'C C O f`s* _'-� Cq'c- C{r\e3 ve C0. 1
2. General description of improvement /Z.-t
3' Owner
information: C E \ (ACkSor a5 �a nikcv'Q a+ T'" Its, FL
a. Name.r d with= 3 a".770
b. Phone number. 5 al- a43 - 3 �
c, Name and address of fee simple titleholder(if other than owner)
'- Contractor J\tx►S - h Ga 7(L\ ckirr 11oY. -
�`� a. Name and number:
x Cs LCC , F�-- 3' -Q a-?
b. Phone number:bar '394—e,o3 a—9(n •-'4-5
5. Surety:
a. Name and addrrsc bJ,r'T'
b. Amount of bond S c. Phone number
6. Lader `
a. Name and address: /k-V4-•
b. More number
7. Persona with the Stec of Florida deeigoated by Owner upon whom notice or other documents may bo served as provided by Section 713.13(IXa)7,
Florida Statutes: ` /�
a. Name and adcbsst N!
b. Phone crumbs.
8. In addition to himself,Owner designates the following pcnon(a)to receive a copy of the lieoor's Notice es provided in Section 713.13(I Xb),
Florida Statutes:
a Name and address: ,
b. Phone number:
9. Eimattion dee of notice of oanmerwanat(the expiration date is ooc(1)year from the date of recording unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPE . �a+• . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING .6 ' ' RD7R CE OF COMMENCEMENT.
%fes
Signature . Owner or s Authorised O /Di
S • • 'a Title/Office
• admowk iged before me thi as of f gl(17/4- by
UJII ,O � (name of pa,an))- 6 i7 u -eC (t"' of authority,...e.g.
ochPtia
in fact)r ! ,f,, on behalf of whom instrument was executed).
se
MARIE P.STIRLING Signature of tub! -State da
` 1�\ Notary Public,State of Florida Print,hype,ori".•'. • ' none of Notary Public
My comm.expires May 17,2019 O t�,.; .
b�J No.FF 228596 �h'Known �j 5� �^"""
Bonded that Ashton A ncy,Inc.(600}451-4854 Type of identification produced
Verification txanatt to Section 92,525.Florida Shaba
Under peaaltes+of perjury,l declare that 1 have mid the , .:" )„ ' fiats.• J true to the beat of my knowledge and belief.
,l4.-
dirwof natural•- ,,signing above
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OtFFIC COPY
City of Cape Canaveral
BUILDING DEPARTMENT
RE: Permit# '0 1
Date: I l— / — I
Inspection Affidavit
)c>5 h G eW(ci , licensed as a(n) Contractor*/Engineer/Architect,
(please print name and circle Lic.Type)
FS 468 Building Inspector*, License#; CCC Os 7 ) 17 hereby certify that the roof
deck nailing and/or secondary water barrier work) at:
(circle one or both
i rc_(-e J )( , (Job Site Address)
has been properly completed in accordance with the Hurricane Mitigation Retrofit Manual based on 553.844 F.S.
L f ti
:' .ture
STATE OF FLORIDA
COUNTY OF BREVARD - klare.41f �Q
Swom to and subscribed before me this 1day of �( 206
By .F6--1/4--e,----)(1 CoL,C.-1 ;
NI blic, State ofj Florida -
Pu1-- )1‘...s
;;y: = KAREN HItTCIiINSgN
�~ iv: MY COMMISSION I FF 951009
m
(Print,type or Stam na ) a i• EXPIRES:January 18,2020
c5Commission No.: Cl1 l � 1 ? ti, Bonded Thru Notary Pudic Underwriters
Personally known or
Produced Identification •
✓ � � � �� 1 '
Type of identification produced. }-- 1 1.1 CQ
*General,Building,Residential,or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.Include
photographs of each plane of the roof with the permit#or address#clearly shown marked on the deck for each inspection.
This form may be duplicated G:/Bldg Dept forms/Hurricane Mitigation/inspection affidavit(rev 2.29.08)
MIAMN MIAMI-DADE COUNTY
COUNTY PRODUCT CONTROL SECTION
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT(BNC) 11805 SW 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474
T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/buildine/
Polyglass USA Inc.
150 Lyon Drive
Fernley,NV 89408
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed and accepted by Miami-Dade County BNC-Product Control
Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction
(AHJ).
This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control
Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right
to have this product or material tested for quality assurance purposes. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC
reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control
Section that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: 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 renews and revises NOA#09-0806.07 and consists of pages 1 through 8.
The submitted documentation was reviewed by Alex Tigera.
1/114?1
NOA No.: 11-0601.10
Expiration Date: 09/13/16
MIAMFDADE COUNTY Approval Date: 09/15/11
APPROVED Page 1 of 8
` I
ROOFING COMPONENT APPROVAL
Category: Roofing
Sub-Category: Underlayment
Material: SBS,APP Self-Adhering Modified Bitumen
PRODUCTS DESCRIPTION:
Test Product
Product Dimensions Specification Description
Polystick MTS Roll: TAS 103 A homogeneous,rubberized asphalt
underlayment 65'8"x 3'32/8" waterproofing membrane,glass fiber reinforced
Manufacturing Location 60 mils thick with polyolefinic film on the upper surface for
#2 use as an underlayment for metal roofing,roof
tile,slate tiles and shingle underlayment.
Polystick IR-Xe Roll: TAS 103 and A fine granular/sand top surface self-adhering,
underlayment 65' x 3'32/8" ASTM D 1970 APP polymer modified,fiberglass reinforced,
Manufacturing Location Or 65'x 3' bituminous sheet material for use as an
#1  80 mils thick underlayment in sloped roof assemblies.
Designed as an ice&rain shield and as a flat
roof tile underlayment.
Polystick TU Roll: TAS 103 and A heavy granuled surface self adhering,APP
underlayment 32'10"x 3'3-3/8" ASTM D 1970 polymer modified,fiberglass or polyester
Manufacturing Location 100 mils thick reinforced,bituminous sheet material for use as
#1 & #2 an underlayment in sloped roof assemblies.
Designed as a a roof tile underlayment.
Polystick TU Plus Roll: TAS 103 and A non-wicking fabric surfaced,self-adhering,
underlayment 65'x 3'32/8" ASTM D 1970 APP polymer modified,fiberglass reinforced
(Facer of Membrane 80 mils thick with a high strength polyester fabric,bituminous
with surface printing) sheet material for use an an underlayment in
Manufacturing Location sloped roof assemblies. Designed as a metal
#1  roofing and roof tile underlayment.
Polystick TU P Roll: TAS 103 and A rubberized asphalt waterproofing membrane,
underlayment 32'10"x 3'32/8" ASTM D 1970 glass-fiber/polyester reinforced,with a granular
Manufacturing Location 130 mils thick surface designed for use as a tile roof
#2 underlayment.
Polystick Tile Pro Roll: TAS 103 and A rubberized asphalt self-adhering,glass-
Manufacturing Location 61' x 3'3-3/8" ASTM D 1970 fiber/polyester reinforced waterproofing
#2 60 mils thick membrane.Designed as a metal roofing and roof
tile underlayment.
NOA No.: 11-0601.10
Expiration Date: 09/13/16
, MIAMNA ED UNTIE Approval Date: 09/15/11
�
Page 2 of 8
1 PRODUCTS DESCRIPTION:
Test Product
Product Dimensions Specification Description
Polystick Dual Pro Roll: ASTM D 1970 A rubberized asphalt self-adhering,glass-
Manufacturing Location 61' x 3'3-3/8" fiber/polyester reinforced waterproofing
#2 60 mils thick membrane,specific for use as a high
temperature underlayment.Designed as a metal
roofing.
MANUFACTURING PLANTS:
1. Hazelton, PA
2. Winter Haven,FL
EVIDENCE SUBMITTED:
Test At*encv Test Identifier Test Name/Report Date
Exterior Research&Design,LLC 11756.04.01-1 TAS 103 04/27/01
11756.08.01-I ASTM D 1970 08/14/01
02202.08.05 TAS 103 08/29/05
Trinity I ERD P5110.08.07 TAS 103 08/29/07
P10870.09.08-R1 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
P36900.09.11 TAS 103/ASTM D4798&G155 09/01/11
PRI Asphalt Technologies PRI01111 ASTM D 4977 04/08/02
PUSA-005-02-01 ASTM D 4977 01/31/02
PUSA-018-02-01 ASTM D 2523 07/14/03
PUSA-035-02-0I TAS 103 09/29/06
PUSA-033-02-01 ASTM D 1970 01/12/06
PUSA-055-02-02 TAS 103 12/10/07
PUSA-083-02-01 TAS 103 06/30/08
PUSA-089-02-01 TAS 103/ASTM D4798&G155 07/06/09
Momentum Technologies, Inc. JX20H7A TAS 103/ASTM D4798&G155 04/01/08
RXI4E8A TAS 103/ASTM D4798&GI55 11/09/09
DX23D8B TAS I03/ASTM D4798&G155 02/18/10
i DX23D8A TAS 103/ASTM D4798&G155 02/18/10
4
4
NOA No.: 11-0601.10
Expiration Date: 09/13/16
MIAMFDADECOU� Approval Date: 09/15/11
APPROVED Page 3 of 8
INSTALLATION PROCEDURES:
Deck Type 1: Wood,non-insulated
Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626.
Fastening: Per FBC 1518.2& 1518.4 Nails and tin caps 12"grid,6"o.c.at a minimum 4"head lap. (for
base sheet only)
Membrane: Polystick membranes self-adhered.
Surfacing: None
1. All nails in the deck shall be carefully checked for protruding heads. Re-fasten any loose decking panels,
and sweep the deck thoroughly to remove any dust and debris prior to application.
2. Place the underlayment over metal drip edge in accordance with RAS 111.
3. Place the first course of membrane parallel to the eave,rolling the membrane to obtain maximum contact.
Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3-1/2"and end
laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical
strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with
applicable building code.
4. When applying the membrane in the valley,start at the low point and work to the high point,rolling the
membrane from the center outward in both directions.
5. For ridge applications,center the membrane and roll from the center outward in both directions.
6. Roll or broom the entire membrane surface so as to have full contact with the surface,giving special
attention to lap areas.
7. Flash vent pipes,stacks,chimneys and penetrations in compliance with Roof Assembly current Product
Control Notice of Acceptance.
8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be
pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be
applied over the underlayment.
NOA No.: 11-0601.10
Expiration Date: 09/13/16
MANMADE COUNTY Approval Date: 09/15/I I
APPROVED Page 4 of 8
•
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance.
2. Polystick MTS,TU Plus,and Tile Pro may be used in asphaltic shingles,wood shakes and shingles,non-
structural metal roofing,roof tile systems and quarry slate roof assemblies.IR-Xe,TU,and TU P may be used
in all the previous assemblies listed except metal roofing. Dual Pro may be used in all the previous
assemblies listed except roof tile systems.
3. Deck requirements shall he in compliance with applicable building code.
4. Polyglass Polystick membranes shall be applied to a smooth,clean and dry surface. The deck shall be free of
irregularities.
5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre-existing roof
membrane as a recover system.
6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of
days listed in the table below after application. Polyglass reserves the right to revise or alter product
exposure times;not to exceed the preceeding maximum time limitations.
Exposure Limitations(days)
MTS IR-Xe TU TU Plus TU P Tile Pro Dual Pro
Winter Haven,FL. 180 180 180 180 180 180 180
Hazelton,PA. N/A 30 30 180 N/A N/A N/A
7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 9B-72 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 tile
manufacturer's Notice of Acceptance.Polystick TU and TU Plus may be used in both adhesive set and
mechanically fastened roof tile applications.Polystick IR-Xe,and Tile Pro are limited to mechanically
fastened roof tile applications.Polystick MTS is limited to mechanically fastened with battens roof tile
applications.Polystick TU P may be used in both adhesive set and mechanically fastened roof tile
applications with the exception of mortar set tile applications.
9. The maximum roof slope for use as roof tile underlayment for(direct-to-deck)tile assemblies shall be as
follows:(See Table Below)
Tile Profile Polystick MTS Polystick IR-Xe Polystick TU,TU
Plus,TU P,Tile Pro
Flat Tile Prohibited without battens 5:12 No limitation
Profiled Tile Prohibited without battens Prohibited No limitation
The above slope limitations can be exceeded only by using battens and counter battens in accordance with the
Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens
are required for both loading and installation of tiles at all times.
NOA No.: 11-0601.10
Expiration Date: 09/13/16
MIAM6UADE COUNTY Approval Date: 09/15/11
APPROVED Page 5 of 8
GENERAL LIMITATIONS: (CONTINUED)
10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of
tile directly on the underlayment.Refer to Polyglass' Tile loading detail below for loading procedure for all
underlayments except Polystick MTS which shall be loaded onto battens.
Roofing Tiles ,,� /44$
_ _ (6 Max. Per Stack)11
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c> 12 \��
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•
Roof Deck prepared with
POLVSIICK7U Plus
11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product
with specific prepared roofing products.Polystick MTS,IR-Xe,TU,TU Plus,TU P,Dual Pro and Tile Pro
may be used with any approved roof covering Notice of Acceptance listing Polystick MTS,IR-Xe,TU,TU
Plus,TU P,Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If
Polystick MTS,IR-Xe,TU,TU Plus,TU P,Dual Pro and Tile Pro is not listed,a request may be made to the
Authority Having Jurisdiction(AHJ)or the Miami-Dade County Product Control Department for approval
provided that appropriate documentation is provided to detail compatibility of the products,wind uplift
resistance,and fire testing results.
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.
MUAMMFOADE COUNTY
APPROVED
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.: 11-0601.10
Expiration Date: 09/13/16
MIAMI DiADE COUNTY Approval Date: 09/15/11
APPROVED Page 6 of 8
POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES:
1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers
are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is
acceptable. Please also refer to applicable Product Data Sheets of the corresponding products.
2. All rolls,with the exception of Polystick TU Plus should be back-nailed in selvage edge seam as per Polyglass
Back Nailing Guide. Nails shall be, 11 gauge ring shank type,applied with a minimum 1"metal disk as
required in 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,
Polyglass PG500 MB Flashing Cement,Mule-Hide 241 Premium Modified Flashing Cement,Mule-Hide 251
Premium Wet/Dry Elastomeric Flashing Cement,or Mule-Hide 421 Mod Bit Flashing Adhesive Trowel
Grade mastic,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's,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'/,"/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,Polyglass PG500 MB Flashing
Cement,Mule-Hide 241 Premium Modified Flashing Cement,Mule-Hide 251 Premium Wet/Dry Elastomeric
Flashing Cement,or Mule-Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of
repair,followed by a patch of the Polystick material of like kind should be set and hand rolled in place over
the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The
repair should be installed in such a way so that water will run parallel to or over the top of all laps of the
patch.
10. All self-adhered membranes must be rolled to 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 and
PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800)
894-4563.
NOA No.: 11-0601.10
Expiration Date: 09/13/16
MIAMI•DADE COUNTY Approval Date: 09/15/11
APPROVED Page 7 of 8
13. Questions in regards to the application of Polyglass products should be directed to our Technical Services
Department at 1 (800)894-4563.
14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined
by the National Roofing Contractors Association(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.: 11-0601.10
Expiration Date: 09/13/16
MIAMFDADECOUNTY Approval Date: 09/15/11
APPROVED Page 8 of 8