RF-17-330 (2) Permit NO. RF-2-17-330
�suO1S L,� Miami Shores Village Permit Type:Roof
10050 N.E.2nd Avenue NE
Work Classification:Fiat
Per it
Miami Shores,FL 33138-0000 Permit Status:APPROVED
yo` Phone: (305)795-2204
F10RlOp'
Issue Date: 2/9/2017 Expiration: 08/08/2017
Project Address Parcel Number plicant
1249 NE 97 Street 1132050090410
Miami Shores, FL 33138- Block: Lot: ALEX OCHOA
Owner Information Address Phone Cell
ALEX OCHOA 1249 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 18,000.00
MG EXCELLENCE SERVICE CORPOR (786)247-7067 Total S Feet: 4500
��__ _......_..WW_. .._.. _ .. q
Type of Work:Re Roof Available Inspections:
Additional Info:RE-ROOF FLAT
Inspection Type:
Tin
Classification:Residential n Cap
Scanning:3 Final Roof
Roof in Progress
Renailing Affidavit
Review Roof
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00
Invoice# RF-2-17-62883
CCF $10.80
DBPR Fee $5.25 02/09/2017 Cash $848.30 $50.00
DCA Fee $5.25 02/09/2017 Cash $50.00 $0.00
Education Surcharge $3.60 Bond#:3310
Permit Fee-New Roof $350.00
Scanning Fee $9.00
Technology Fee $14.40
Total: $898.30
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the prover authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction anti zoning. Futhermore,I authorize the above-named contractor to do the work stated.
A; February 09, 2017
Aut or' ed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 09, 2017 1
Miami Shores Village
FFEB
\f0%�-e'Y`D'' -t Building Department 2017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 '
INSPECTION LINE PHONE NUMBER:(305)762-4949 -
ppFB_C -0 14 Dt``
BUILDING Master Permit No. 1"�� 1 —3W
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC 2fROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ICI Ng S�yp-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: � S OS 001-to Is the Building Historically Designated:Yes NO �
Occupancy Type: Load: Construction Type: Flood Zone: K) BFE: FFE:
OWNER:Name(Fee Simple Titleholder):h<<-)' Ockat Phone#:
Address:y-� /VW 8.3 �irS.Su &e,
City: /�(�''"? ZL*� State: W/'1 Zip:
Tenant/Lessee Name: 0°'/L Phone#:
Email:
CONTRACTOR:Company Name: �U.J j Phone#:
Address:
City: State: �./ Zip:
X0'1 Z,
a •c
Qualifier Name: Phone#:
State Certification or Registration#: ���� LTJ �'1 � Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: //04 City: State: Zip:
`j
Value of Work for this Permit:$ '/4"y'ye Square/Linea�r.,F.00totage of Work: �15Oa
Type of Work:
El El Alteration ElU New Repair/Replace ❑ Demolition
Description of Work: Icy
Specify color of color thru tile:'
,._
Submittal Fee$ �1 Permit Fee$ 35 0 CCF$ 10 -- $0 CO/CC$
Scanning Fee$ Radon Fee$ 6 . 2-5 DB/PR$ 7--S Notary$
Technology Fee$ 14 ,TO Training/Education Fee$ Double Fee$
Structural Reviews$ C Bond$ c �x�
t TOTAL FEE NOW DUE$ 4CJ 3 I-
(Revised02/24/2014) 8+8
+8 , 30
1
Bonding Company's Name(if applicable)
Bonding Company's Address '
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
-OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.' IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTCT
The foregoing instrumen was acknowledged before me this The foregoing i triAm@nt was!nofiedged before me this
'1
_1 day of 101e, 20 1- ' ,byday, of 20 by
tux, ho is personally known to I �` who is personally known to
me orwho has produced as me or who as produce as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: 4 Sign:
Print: v� Print:
Seal: MARIA CRUZ Seal: MARIA CRUZ
MY COMMISSION#FF997102 �: MY COMMISSION#FF997102
y ?;, EXPIRES July 09,2020 '?ai EXPIRES July 09,2020
7 •••15 loridaN4; erwce.com (407)398-0153 FlondafttaryService.com
#######
APPROVED BY i Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
* STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
�. CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
111 2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
GARCIA, MICHEL
M.G. EXCELLENT SERVICES CORPORATION
360 W 64 ST
HIALEAH FL 33012
Congratulations! With this license you become one of the nearly _
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque DEPARTMENT-OF BUSINESS AND
restaurants,and they keep Florida's economy strong. PROFESSIONAL-REGULATION `
Every day we work to improve the way we do business in order CCC1328452, `.` ` ISSUOr1 08/23/2016 gg�
to serve you better. For information about our services,please ± `: '; �► i
to onto www.myfloridalicense.com. There you can find more CERTIFIED ROOFING CON TRA&OR l
information about our divisions and the regulations that impact GARCIA,MICHEL. a-
you,subscribe to department newsletters and learn more about M.G. EXCELLENT SERVICES�GORP RATIO
the Department's initiatives.
Our mission at the Department is:License Efficiently, Regulate
Fairly.We constantly strive to serve you better so that you canrel/.
serve your customers. Thank you for doing business in Florida,
S•CERTIF'IED under the provisions of Ch.489 FS "
and congratulations on your new license! rc�u«,aane nJcai�so1e- 0e0e230002702 1
DETACH HERE
RICK SCOTT, GOVERNOR ___ KE13lAVUON;SE RETARI'
STATE OF FLORIDA -
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CCC 1328452 ,
The ROOFING CONTRACTOR -
Named below IS CERTIFIED �• �t+
Underbe provisions of Chapter 489 FS. - '�` • ~ h�.+: 'I
Expiration date: AUG 31, 2018
.
GARCIA-MICHEL GSCOO--RAT
--T/,.MG.`EXCELLENTSEVI , AION,
,360"W 64 ST-
_ HIALEAH
T�FD-BY'rAW
ISSUED. 08/23/2016 DI&C AS REQSEQ# L1668230002702
Local Busi n%s Tax Recei pt
Miami-Dade County, State of Florida
-THIS IS NOTA BILL-DO NOT PAY
6665302
BUSINESS NAM E/LOCATION RECEIPT NO.
MG EXCELLENT SERVICES RENEWAL EXPIRE S
CORPORATION 6937269 SEPTEMBER 30, 2017
360 W 64 ST Must be displayed at place of business
HIALEAH, FL 33012 Pursuant to County Code
Chapter 8A-Art.9 6 10
OWNER SEC TYPE OF BUSINESS
MG EXCELLENT SERVICES 196 SPECIALTY BUILDING PAY M ENT RECEIVED
CORPORATION CONTRACTOR BY TAX COLLECTOR
Worker(s) 1 CCC1328452 45.00 09/21/2016
0229-16-008997
This Local Business Tax RBW Pt arl y con"me payment of the local Business Tax.The Rxu ipt is nota license,
permt,or a mb"caticn or the holders qual i^cations,to do buss ness,Holder mrst COVy with"gorerrst MW
or nonpovwr—g regulatory 1-9 and requirements which apply to the busi rteas.
The PBSPr NO above must be displayed on ail cwnwmiai vehides-Miami-Oslo Code Sec ae-270.
MIAM
�,T� FCr mOrelMOrnitton,visit
r ..001ar DA-12 NMYOOIYYYY)
I�E9 CERTIFICATE OF LIABILITY INSURANCE 02/0012D17
THIS CERTIFICATE IR ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING MSINtER(S),AUTHOR=
REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER
IMPORTANT: N tin oertlicab hoklK is an ADDITIONAL=UP=,the polkypls)must be endorsed. N SUSROQATION M WAIVED,w od to
the IN and ooRdlB— ofthe polky,- I I Pilch may nqulm an endorsenlaM. A abbnwd on this catlflub does not corlhr rights to the
oaNOW holder In lieu of such wdarsarwlgs).
PROpU0011 MLACT LISSET BETANOOURT
Flakier►Cholm Itlsumm Group II Fim maC mmr� I rm.mk (305)857-OM
11401 SW 40 A sb 307 SAM
Mlsmi,FL 33185 s A"OROM COVERAGE MAIC S
Phone 8574M Fa rJW 8674WO WMIRElA: UNITED SPECIALTY INSURANCE
NMRN ED lNstwjm 0:
MG EXCELLENT SERVICE CORP INSUIRER C
2471 nw 67 st nreIIREII D
alsulme e
NQAM FL 33147 IratlREtt F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS 18 TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOIARIAENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND OONDITIONS OF SUCH POLICES.LMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM.
TYNE Ota NNIURAI E FOU=NUMM La�NTa
® COMMERCIAL GENERAL LMBLI Y EACH OCO RR N 1 000 00.00
❑ cLAw1S.MADE ® occuR
oAMAc;<E RENTED $ 1,000,000.00
M®EIS oro s 5.000.00
A N N SI11004A206g38 701/13V=N�17 701/1302DIO PERSONAL a ADV INJURY i 1,000,000.00
GErL AGGREGATE LWr APPLES PER: GENERAL AGGREGATE s 2,000 000.00
❑ PoucY ❑ M ❑ Loc PRODUCTS-CoMaroP AGG s 2,000,000.00
❑ OTHER s
uMrr
AUTOMOBKi UAMJTY
❑ ANY AUTO BODILY INJURY(PK pwoon) i
❑ OWNED ❑ SCHEDULED BODILY INJURY(Pv i
A
E
s
❑ HIRED AUTOS ❑ AUTOS s
❑ L LMIU A LIAS ❑OCCUR EACH OCCURRENCE c
fDICEfa LIAB C LAWS40= AGGREGATEDED 11 REISMON
s
i
lLnE
MrOItl0:r1i COIarBIMTiON PER ER
a
AND EMR.OYM,LIASLRY Y I N
ANY�l OFFICERNAEMBER E.L.EACET i NIA E.L.DISEASE-EA EMPLOYE i
==Iti=
E.L.DISEASE-POLICY LIMB i
DESCRIPTION OF OPERATIONS bNow
DESa1pr10N OP opma 0 a I LOCATIONS I VBeCLEa(Mroh AOORD 101,AddkWW Remarks eolmdui%a mm epeoe Is requlroM
ROOFER CONTRACTOR CCC132MM
CER111FICATE HOLDER CANCELLATION
SHOULD ANY OF THE AW#l!DESCItlB® BE CANCELLED B@Olt!
MIAMI SHORES VILLAGE HALL THE EtPRATION DATE oeuv�
10060 NE 2 AVE AOCOWWAN WITH THE
MIAMI SHORES FL 33138 AUTICRIM MIPRE1811MA
OACORO TION. AN rghb mwvad.
ACORD 26 POST S9)AF Thor;=logo are rplstend marks of ACORD
•ACS® DaTE tM�DDmyY)
. CERTIFICATE OF LIABILITY INSURANCE 2IMMIDD7
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME LISSETTE PERFZ
LP INSURANCE ASSOC INC PN0
7 (305)888 5747 FAAICXNo:
801 W 48TH STREET SUITE B ADDRESS: LISSETTE@LPINSURE.COM
INSURERS AFFORDING COVERAGE NAIC#
HIALEAH FL 33012 INSURER A: FWCJUA
INSURED INSURER B:
MG EXCELLENT SERVICES CORP
INSURER C:
2471 NW 67 STREET
INSURER D:
MIAMI FL 33147 INSURER E:
FEIN:205418976 INSURER F:
COVERAGES CERTIFICATE NUMBER: 1702090011 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP
LTR POLICY NUMBER MM1DDNYYY) IMWDDNYYYI LINKS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE F1 OCCUR DAMA s ccu
PREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL 8 ADV INJURY $
GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY JEGTT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) S
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE S
EXCESS IIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION IN X STATUTE OER
AND EMPLOYERS'LIABILITY
A TH
�ICEPJMEMBEBER�EX�aUDR�CUTNE Y❑N NIA 7/3775472 2/19/2016 2/19/2017 E.L.EACH ACCIDENT $ 1�. -00
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $. 100,000.00
I yes,describe under 500,000.00
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required)
CERTIFICATE HOLDER CANCELLATION
Miami Shores Village Building Department
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
10050 NE 2nd Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE
Phone Number. (305)795-2204
®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
1-1- 330
7 P,IV"EU
Florida Building Code 5th Edition (2014) FEkO 9 2017
' High-Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
O LETE THE NECESSARY SECTIONS OF
HE UNIFORM ROOFING PERM IT
: APPLICATION FORM AND ATTACH T E Uj
REQUIRED DOCUMENTS AS NOTED BELOW >
Roof System Required Sections of the Attachmen R 1
Permit 6~on Form See List Bel -iE •
Low Slope Application A,B,C 1,2,3,4,5,6,7
Prescriptive BUR-RAS 150 A,B,C 4,5,6,7I l I w a
is z
o
Asphaltic Shingles A,13,131,2,4,5,6,7 f a�.l 9
Qm U)
Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7RE-LI
Metal Roofs A,B,D 1,2,3,4,5,6,7
Wood Shingles and A,B,D 1,2,4,5,6,7
Shakes
Other As Applicable 1,2,3,4,5,6,7
ATTACHMENTS REQUIRED:
1. Fire Directory Listing Page •••••
. . .... .... .
2. From Notice of Acceptance: •
...... . .. .... .
Front Page •
Specific System Description .... :000
Specific System Limitations •••• •••• ••:0
General Limitations . . .
Applicable Detail Drawings ••'• •
3. Design Calculations per Chapter 16,or If Applicable, RAS 127.or •
......
RAS 128
4. Other Component Notice of Acceptances
5. Municipal Permit Application
6. Owners Notification for Roofing Considerations Re-Roofirt On
7. Anv Required Roof Testing/Calculation Documentation
Florida Building Code 5th Edition (2014)
High-Velocity Hurricane Zone Uniform Permit Application Form
Section A (General information)
Master Penrdt No. Process No.
Contrac:Ws Name Ce llee,? f Se/-,i cea Ccre
Job Address.�aV f 1G 33/313
/ ROOF CATEGORY
M i.ow Slope ❑ Mechanically Fastened nle ❑ Mortar/Adhesws Sst TBe
❑ Asphaltic ❑ Metai Panel/Shingies ❑ Wood Shingieal3hakes
Shingles Are there
❑ Prescriptive SURRAS 150 Gas Vent Stacks?
YesU NoU----
ROOF TYPE Type: Natural U LPGXU
(3 New Roof OrR'eaoofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area(SF) Steep Sloped Roof Area(SF) Total(SF)
Section B (Roof Plan)
Sketch Roof Plan: illustrate all levels and sections, roof drains, scuppers, overflow
scuppers and overflow drains. Include dimensions of swoons and levels, clearly
Identity dimensions of elevated pressure zones and location of parapets.
_ 0000
• . 0000 0000..
f0000 0000 . .
�pL )r
f
lu 0000 0000 0000.
0000..f{ .. .
0000 0000 0000..
000000..
0000..
. .
000000
.. ...
section C
MIAMF Miami-Dade County HVHZ Electronic Roof Permit Form
0-11 MIS Section C Page(Low Slope Roof Systems)
"Delivering Excellence Every Day"
Fill In the spech7c roof assembly components.If a component Is not required,Insert not applicable(n/a)In the text box.
Top Pty:
ROOF SYSTEM MANUFACTURER:
GAF MINERAL CAP SHEET
Product Approval (NOA): 13-1022.15 System Type: E Top Ply Fastening I Bonding Material:
Wind Uplift Pressures,From RAS 128 or Seated Calculations: HOT MOP ASPHALP
(P1) Field: -42.8 psf Surfacing:I GRANULES
-71 1 SINGLE PLY MEMBRANE:
(P2) Perimeters: psf
Single Pty Manufacturer/Type:
(P3)Comers: -108.0 psf INA
Maximum Design Pressure From NOA: -52.5 psf
Single Py Sheet Width:�"112 Sheet Width:F "
Roof Slope: 0 ":12 Roof Mean Height: 16 R No.of Single Py 112 sheets:KI
Parapet Walls: 0 No 0 Yes Parapet wall Height: fL Single Ply Membrane Fastening I Bonding Material:
NA
Deck Type: 1-51WPlywood—
❑FASTENER SPACING FOR BASESHEET ATTACHMENT
Support Spacing: NA "o/c ❑SINGLE PLY MEMBRANE ATTACHMENT
Alternate Deck Type: NA 1.Field:F97"o/c @ Laps&F27 rows M"olc
Existing Roof:
SAME 2.Perimeter.F67"o/c @ Laps&F1 rows a"ole
Fire Barrier:
N/A3.Comer.a"old @ Laps&El rows 6 1.(go
Vapor Barrier. NUMBER OF FASTENERS PER INSULATION BOARD:
wA1. Field: NA 2. Perimeter. NA. 3. Comer.
Anchor Sheet: Insulation Fastener Type:
N/A NA
Anchor Sheet Fastener I Bonding Material:
WOOD NAILER TYPE AND SIZE:
NIA
Insulation Base Layer Size&Thickness: 1"X 6"FACIAL BOARD
WA Wood Nailer Fastener Type and Spacing: ••
Insulation Base Layer Fastener/Bonding Material: WOOD NAIL 16D EVERY 16"OC '..' .. •:
N/A EDGE&COPING METAL SIZES: •••••• •• ••••9
Insulation Top Layer Size&Thickness: Edge Metal Material:I—Galvanized Metal• ' :0090:
9
N/A Edge Size: —3"face 26 ga.— ••••' .. ..
Insulation Top Layer Fastener I Bonding Material: Hook Strip Size: —SELECT EDGE M INOOK STiVp SIZE—
N/A Edge Metal Attachment:
Base Sheet(s)&No.of Ply(s): 1-14"RS NAIL 4"OC
GAF GLASSBASE 75#(1)PLY
Base Sheet Fastener I Bonding Material: Coptng Material: --SELECT PARAPET 0A:L COPIN M TER k--
1-1/4"RS NAIL AND TIN CAP 1-5/8" Coping Size: I--SELECT COPING METAL SIZE OR 5iI KNESS—
Ply Sheet(s)&No.of Py(s):
Hook Strip Size: —SELECT COPING METAL HOOK STRIP SIZE—
GAF PLY IV(2)PLIESParapet Coping Metal Attachment;
Ply Sheet Fastener I Bonding Material: NA
HOT MOP ASPHALT
Edge Nailable Deck
MIMIA tom Miami-Dade County HVHZ Electronic Roof Permit Form
03
"Delivering Excellence Every Day"
Illustrate Components Noted and Details as Applicable:
Tol ly
Inter lies
Ba a Sheet , , Roof Mean Height:
S�
Drip Metal:
3"X3"GALV 26G
-- Surfacing:
Drip Metal GRANULES
Top Ply:
GAF MINERAL CAP SHEET
Interplies: �••••.
GAF PLY IV •• •
"s Base Sheet: ••••••
Rauf Deck GAF GLASSBASE'75A' '••••• •
•a
Type:
00:00:
Deck T .....
a yP •• •• ....
PLYWOOD 5/8" :":': •
lur V.riiJVV -I.v.,..,.�aayowu.0 .
The use of gypsum board under any of the following Class A.8 or C systems does not adversely affect the rating.The use of'h-in.minimum thick
gypsum board Is an acceptable alternate for minimum insulation over C-15/32 thick roof decks.
The use of polystyrene Insulation board between minimum 114-in,thick perlite board and deck with rosin paper(perlite/rosin
paper/polystyrene/pedite)is a suitable alternate for polylsocyanurate board in the following Class A,B or C systems.
"EnergyGuard®RA"or"Tapered EnergyGuardO RA"or"EnergyGuard®Composite RA"may be substituted for any Atlas polyisocyanurate
insulation in any of the following Classifications.
Trumbull"Perma Mop"may be utilized with any of the following"Asphalt Felt Systems with Hot Roofing Asphalt".
"GAFGLAS&#BO Premium Base Sheet"may be used in any of the following systems.
"GAFGLASO Flex Ply 6"and"Tri-Ply®Ultra-Flexible Ply 6"are suitable alternates to"GAFGLAS&Ply 6".
"GAFfEMP Permallte Recover Board"may be used In lieu of any perlite Insulation In any of the following NC Classifications.
Unless otherwise Indicated,any of the"Asphalt Felt Systems with Hot Roofing Asphalt"may be surfaced with"Fireshield M8"at 2v:to 3-gal/100-
ft2.
"Ruberold&Dual Smooth"may be used as an alternate to"Ruberoid&Mop Smooth"or"Ruberoid&20"or"Ruberold&20 HT"
"Ruberoid®Mop Smooth 1.5"may be used as an alternate to"Rubemld&Mop Smooth'
Class A.8 and C
Hot roofing asphalt,for use with organic and glass felts or modified bitumen membranes.
"Ruberold&Heat weld"SSS roofing membrane may be used in lieu of"Ruberokt&Mop"SBS products in any applicable Classification.
Class A
1.Deck:C-15/32 Incline:3
Insulation(Optional):"One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or
perlite/polylsocynnurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic,any thickness.
Ply Sheet:—Three or more plies Type GI or"GAFGLAS&Ply 4"or'Td-Ply®Ply 4"or"GAFGLAS&Py 6"hot mopped.
Surfacing:—Gravel.
2.Deck:C-15/32 Incline:2
Insulation(Optional):—One or more layers perilte or wood fiber or glass fiber or polylsocyanurate or urethane or
perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/poiyisocyanurate composite or phenolic,any thickness.
Ply Sheet:—Three or more plies Type GI or"GAFGLAS®Ply 4"or"Tri-Plyl&Ply 4"or"GAFGLAS&Ply 6".
Carp Sheet:—One ply Type G3"GAFGLAS®Mineral Surfaced Cap Sheet"or'Tri-PlyO Mineral Surfaced Cap Sheet"or"GAFGLASS
EnergyCap——BUR Mineral Surfaced Cap Sheet."
sees
• •
• sees••
3.Deck:NC Incline:2 • ••• •••• e
Insulation(Optional):—One or more layers pedite,wood fiber,glass fiber,polyisocyanurate,urethane,periite/polyisocyanprate• ••""
composite,perlite/urethane composite,wood fiber/polylsocyanurate composite,phenolic,2-in.maximum. 000000 ` • •
PI Sheet:—Two or more lies y y y0000
Ply p Type Gl"GAFGLAS®Ply 4,"Tri-PI ®PI 4"or"GAFGLAS&PI 6. �
Cap Sheet:—One ply Type G3"GAFGLAS&Mineral Surfaced Cap Sheet"or"Tri-Ply®Mineral Surfaced Cap Steel-.&"GAFGLASO •
EnergyCap'"BUR Mineral Surfaced Cap Sheet." ` ````•
•• •• sees es•s•s
4.Deck:C-15/32 Intline:1 •
Slip Sheet(Optional):—Red rosin paper,nailed to deck. ` ` ` • ``••••
Insulation(optional):—Any thickness periite or wood fiber or glass fiber or polyisocyanurate mechanicant fastened or adhered with • e
OMG inc."Oly8ond Fastening System"or any UL Classified Insulation adhesive. ` ` •e••••
Base Sheet:—One ply Type G2"GAFGLAS&*75 Base Sheet"or'Tri-PlyK Base Sheet"(may be nailed).• ` •••• ; ` `
Pty Sheet:—One or more plies Type G1"GAFGLAS&Ply 4"or"Tri-Ply&Ply 4"Or GAFGLAS&Ply 6". ••
Cap Sheet:—One ply Type G3"GAFGLAS&Mineral Surfaced Cap Sheet"or"Tri-Ply&Mineral Surfaced Cap Sheet"or`GAFGLAS&
EnergyCap—BUR Mineral Surfaced Cap Sheet."
Surfacing(optional):—"TOPCOAT&EnergKote—*applied at a rate of 2-gal/100-rte.
S.Deck:NC Incline:3
http://database.ul.com/cgi-bin/XYV/template/LISEX`T/IFRAME/showpage.html?name=T... 2/23/2012
MIAMI•DADE MIAMI-DADE COUNTY
•� PRODUCT CONTROL SECTION
11805 SW 26 Street,Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99
NOTICE OF ACCEPTANCE (NOA) www.mlamidade.eoy/economy
GAF
1361 Alps Road
Wayne,NJ 07470
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-
Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority
Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product
Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)
reserve the right to have this product or material tested for quality assurance purposes.If this product or
material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing
and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their
jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade County
Product Control Section that this product or material fails to meet the requirements of the applicable
building code.
This product is approved as described herein,and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: GAF Conventional Built-Up Roof Systems for Wood Decks.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and
following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product. 000000
• 0000 0000..
TERMINATION of this NOA will occur after the expiration date or if there has been a t�ision or d vinge in .•
the materials,use,and/or manufacture of the product or process.Misuse of this NOA as%tt grdorsement of any ••.•:.
product, for sales,advertising or any other purposes shall automatically terminate this NUA?Ffdlure to comply ••
with any section of this NOA shall be cause for termination and removal of NOA. 0 00 0 •••0 •
0000 0000 0000.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Ftgtfdl,and tollavgd ••9.9
by the expiration date may be displayed in advertising literature. If any portion of the NUAM display@d,•ttten •060:0
it shall be done in its entirety. •
. . . 99000.
00
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufa�turef pr its distribu00..tors ;0...
and shall be available for inspection at the job site at the request of the Building Official."0 0 0 0 0 : •
This NOA renews and revises NOA No. 13-0424.09 and consists of pages 1 through 16.
The submitted documentation was reviewed by Jorge L.Acebo.
NOA No.: 13-1022.15
MIAMI-DARE COUNTY Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 1 of 16
Membrane Type: BUR
Deck Type 1: Wood,Non-insulated
Deck Description: 19/32"or greater plywood or wood plank decks
System Type E: Base sheet mechanically fastened.
All General and System Limitations shall apply.
Fire Barrier: FireOut'"Fire Barrier Coating,VersaShiele Fire Resistant Roof Deck Protection or
(optional) Securock'"Gypsum Fiber Roof Board.
Base sheet: GAFGLAe#80 Ultima"''Base Sheet,Stratavene Eliminator"Nailable Venting Base
Sheet,Ruberoid®20,Ruberoid®SBS Heat-Weld's Smooth or Ruberoid®SBS Heat-Weld"`
25 base sheet mechanically fastened to deck as described below;
Fastening Options: GAFGLAS®Ply 4,GAFGLAS®FIexPly 6,GAFGLAS®#75 Base Sheet or any of above
base sheets attached to deck with approved annular ring shank nails and tin caps at a
fastener spacing of 9"o.c.at the lap staggered and in two rows 12"o.c. in the field.
(Maximum:Design Pressure—45 psf.See General Limitation#7)
GAFGLAS"Ply 4,GAFGLAe FlexPly"'6,GAFGLAe#75 Base Sheet or any of above
base sheets attached to deck with Drill-Tec" #12 Fastener or Drill-Tec"#14 and Drill-
Tec'"3"Steel Plate,Drill-Tec" AccuTraco Flat Plate or Drill-Tec"'AccuTra6o Recessed
Plate 12"o.c.in 3 rows. One row is in the 2"side lap. The other rows are equally spaced
approximately 12"o.c. in the field of the sheet.
(Maximum Design Pressure—45 psf.See General Limitation#7)
SGAFGLAS®Flex Ply'"6,GAFGLAS®#75 Base Sheet or any of above base sheets attached
to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9"o.c.
at the 4"lap staggered and in two rows 9"o.c.in the field.
(Maximum Design Pressure—52.5 psf.See General Limitation#7)
GAFGLAS®#80 Ultima"Base Sheet,Ruberoid®20,Ruberoid®Mop Smooth,base sheet
attached to deck with approved 1'/."annular ring shank nails and inverted 3"stgq glate at a
fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fasteh"slaking of ..
9"o.c. in the center of the membrane. •• • •• • •
(Maximum Design Pressure—60 psf.See General Limitation#7j•••• •• ••••••
GAFGLAS®#75 Base Sheet or any of above base sheets attachedto deck with Ari11-Tec"';•`•'
#12 Fastener or Drill-TecT" #14 Fastener and Drill-Tec'"3"Steel Piate;Drill-'Tao.:• .....
AccuTrac®Flat Plate or Drill-Tec'"AecuTra6o Recessed Plate 12'°:?e.;in 4 rgwp One row*%•••
is in the 2"side lap. The other rows are equally spaced approxiihAtetl 9"o.c.10 t field OP••;•
the sheet.
(Maximus:Design:Pressure—60 psf.See General Limitation#1) �•••�• �••��•
Any of above Base sheets attached to deck approved annular ring%hauilt nails'2A .3'; ••••
inverted Drill-Tec`"insulation plates at a fastener spacing of 9"o.c.at the 4"lap st5tgered
in two rows 9" in the field.
(Maximums Design Pressure—60 psf.See General Limitation#7)
NOA No.: 13-1022.15
CMIMAMIMMDA.DECOUNTY Expiration Date: 11/04/18
Approval Date: 11/06/14
Page 14 of 16
Fastening Options: GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec"`
(Continued) #12 Fastener or Drill-Tec"°#14 Fastener and Drill-Tec" 3"Steel Plate,Drill-Tec'm
AccuTrac®Flat Plate or Drill-Tec-AccuTrace Recessed Plate 8"o.c.in 4 rows.One row
is in the 2"side lap. The other rows are equally spaced approximately 9"o.c. in the field of
the sheet.
(Maximum Design:Pressure—7S psf.See General Limitation#7)
Ply Sheet: One or more plies of GAFGLAS®Ply 4 or GAFGLASO#80 Ultima Base Sheet adhered in a
full mopping of approved asphalt app it ed within the EVT range and at a rate of 20-40
lbs./sq.
Cap Sheet: (Optional) One ply of GAFGLAS®Miners!Surfaced Cap Shee or GAFGLAS®
EnergyCapTm BUR Mineral Surfaced Cap Sheet adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 2040 lbs./sq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes.Chosen
components must be applied according to manufacturer's application instructions.
All coatings must be listed within a current NOA.
1. Gravel or slag applied at 400 lbs./sq.and 300 lbs./sq.respectively in a flood
coat of approved asphalt at 60 lbs./sq.
2. Topcoat®Surface Seal SB applied at Ito 1.5 gal./sq.
Maximum Design
Pressure: See Fastening Options
4444
. . 9999 4099.6
•94944 . 99 999449
.9.. 4444
9.....
4
0994 4444 4999r
..9944 . 00 4444.
.. .. 9999 949999
99..9.
. .
:see:*
. 949990
9
NOA No.: 13-1022.15
MUWMADECOUNTYM Expiration Date: 11/04/18
�122;097111Approval Date: 11/06/14
Page 15 of 16
TV V V l/"JP%-X%.L7 A 13 1 GLV&A.1AIVAA A&k A 1 V INO.
I .A slip sheet is required with GAFGLAS"Ply 4 and GAFGLAe Flex Plyt"6 when used as a mechanically fastened
base or anchor sheet.
2. Minimum 1/4"DensDeck'm Roof Board or Y2"Type X gypsum board is acceptable to be installed directly over the
wood deck.
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire
ratings of this product.
2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control
Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the
EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size
shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations
when the base sheet is fully mopped.If no recovery board is used the base sheet shall be applied using spot
mopping with approved asphalt, 12"diameter circles,24"o.c.;or strip mopped 8"ribbons in three rows,one at
each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the
strips is not acceptable.A 6"break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt
application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be
limited to a maximum design pressure of-45 psf.
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F')value of 275 Ibf.,as
tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested,are below
2751bf.insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum
fastener resistance value in conjunction with the maximum design value listed within a specific system Should the
fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing,
prepared,signed and sealed by a Florida Registered Professional Engineer,Registered Architect,or Registered
Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value
taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application
Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener
densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application
Standard RAS 117.Calculations prepared,signed and sealed by a Florida registered Professional Engineer,
Registered Architect,or Registered Roof Consultant(When this limitation is specifically referred within
this NOA,General Limitation#9 will not be applicable.)
8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs shall conform to
Roofing Application Standard RAS 1 I I and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e. field,
perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced festeeing at
enhanced pressure zones(i.e.perimeters,extended corners and corners).(When this lix4itaift is sp"eally ••••:•
referred within this NOA,General Limitation#7 will not be applicable.) ••
10. All products listed herein shall have a quality assurance audit in accordance with the Fl6::::*
'xd�Building Cdde and
Rule 61G20-3 of the Florida Administrative Code. ••••••
0000 000000
. .
END OF THIS ACCEPTANCE •••• •••• ••;•••
.. •••••
00 •• 0000 000000
NOAAo.: 13:%WW ••••:•
MIAMI•DADE COUNTY Exptatipd pate: 11/04/18 ;•••�;
KaM SAW Appll8valtate: 111t/Z4 • •
Page 16 01%
4 , OR�S Lr!
shores Miami V
Building Department
G�FN� E10050 N.E.2nd Avenue
filOR�A Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department
10050 NE 2nd Ave Da#e: - 6 - / �-
Miami Shores, FI 33138
Re: Owner's Name: 14-w pLkoct
Property Address: lot" &v E T4-
Roofing Permit Number:
Dear Building Official:
1 certify that I am not required to retrofit the roof to wall connections of m
building because: y
❑ The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
sees
e 'sees' 00.0.0
o The building was constructed in compliance with the provisions of the Florida Building Co (!:tBe) or 4% the provisions
of 1994 edition he Florida Building Code(1994 SFBC) e e e e e
sees..
sees..
sees sees . .
.�Lcxtom'fl��
sees sees sees.
sees sees..
Signature Print Name •••••• •
. 0 . 0 sees..
sees..
e sees..
State of Florida •' ••• •
County of Dade ee
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned,
Sworn to and subscribed before me this OTday of -��. : 1 11
.
MARIA CRUZ
MY COMMISSION#FF997102
EXPIRES July 09,2020
Notary Public, Sate of Florida at Large
(4 EXPIRES
4153 FlorideNOWYSery".Com
• When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994
SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
Revised on 5/21/2009
xc.I� 2ts Miami shores V
illa e
•. .. ����•� Building Department
10050 N.E.2nd Avenue
LORA Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION
RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: 2_4- f
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: ft�G ,� cZ
Property Address: ,/z - . N3�l3ct—
Roofing Permit Number:
Dear Buildi Ifficial:
LZ. certify that I have improved the roof to wall connections of the referenced
property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Residential
Structures as adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C.
...... . .. ......
Signature Print Name ••• ••
.... .... . .
.... .... .....
State of Florida •••••• •• •••••
.. .. .... ......
County of Dade •••••• •.
. . . . ......
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for Me above •ro ••••••
• p•per mentioned
Sworn to and subscribed before me this 6-4 day of ,t'yf 20 _
Notary Public, Sate of Florida at Large
(SEAL) MARIA., CRUZ
•j MY COMMISSION#FF997102
„ EXPIRES July 09,
(407;1319"",1 53 2020 FINAL COMPLIANCE
Revised on 5/21/2009 Wallotaryservre,o,,,
F<ORNp
ECTION 1524
HIGH VELOCITY HURRICANE ZONES-REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402
govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the
following items should be addressed as part of the agreement between the owner ant the contractor. The owner's
initial in the designated space indicates that the item has been explained.
2. Renailing wood decks: When replacing roofing,the existing wood roof deck may have to
�be-renaifed in accordance with the current provisions of Section R4403. (The roof deck is usually
concealed prior to removing the existing roof system).
4•X Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance;therefore,
roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of
maintaining the appearance.
6. Overflow scuppers(wall outlets): It is required that rainwater flows off so that the roof is
not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this
discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow
scup in a ordance with the requirements of Sections R4402, R4403 and R4413.
Owner/Agent's Si nature Date Contractor Signa a ale
.... .... .....
Property Address
Permit Number .. .. .... ......
. . . . ......
Revised on 7/9/2009 LD;07/01/2015; """
# SHoRs DG Miami Shores Village
eggs "1912+ Building Department
ryo�4r 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: �-
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: 414-5-C, oc_koa
Property Address:_Id--(4q Nom' 1_7 S�
Roofing Permit Number:
Dear Building Official:
I Amoy- a(- certify that I am not required to retrofit the roof to wall connections of my
building because:
❑ The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
❑The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or W th-ft provisions
. . 9000 .Osseo
of 1994 edition he Florida Building Code (1994 SFBC) e 0 •
9.99.9 . .. 0000:0
9999..
r�1LF� a9999..
9999 9999 . .
9999 9999.
Signature i •••••• ••
9 Print Name . .
9999 9999 9999..
9999..
State of Florida
9999..
.
County of Dade ••. ••• :so**:
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this OT day of alt MARIA CRUZ
MY COMMISSION#FF997102
EXPIRES July 09,
2020
Notary Public, Sate of Florida at Large (407)398-0153 Floridallotaryservme com
9 When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994
SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
Revised on 5/21/2009
,SHORES D Miami Shores e
Villa g
Building Department
�,► 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
FLORIDA Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION
RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: 24-
10050
4-10050 NE 2nd Ave
Miami Shores, A 33138
Re: Owner's Name: _121e_,)46 G Glo q_
Property Address: z 2441 Nj5 9;� S�- rho & ?C ,3710q--
Roofing Permit Number:
Dear Buildirm fficiatl-
I u0 kyef4 certify that I have improved the roof tow IIconnections of the referenced
property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Residential
Structures as adopted b :the Florida Building Commission by Rule 9B-3.047 F.A.C.
60U elle.
eelle...
. . •
Signature Print Name • .
•lle •
elle... . .. elle...
elle...
elle...
elle. elle. . .
State of Florida •••• .'Dell .....
County of Dade 60:60: 00• *0000
elle. elle. elle...
elle...
The undersigned, being the first duly swom, deposes and says that he/she is the owner fQr the above preperty meptoned.
Sworn to and subscribed before me this 6 day of Jl � �a �" ••'
Notary Public, Sate of Florida at Large
(SEAL) !- MARIA CRUZ
_.:
MY COMMISSION#rF997102
?�►+ ''• EXPIRES July 09,2020 FINAL COMPLIANCE
(407;39'8-0153 FloridaNda
Revised on 5/21/2009 �Yserwce_`om
Y
�R►DP'
SECTION 1524
HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with
the required roofing permit,and to explain to the owner the content of the section.The provisions of Section R4402
govern the minimum requirements and standards of the industry for roofing system installations.Additionally, the
following items should be addressed as part of the agreement between the owner ant the contractor. The owner's
initial in the designated space indicates that the item has been explained.
2. Renailing wood decks:When replacing roofing,the existing wood roof deck may have to
be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually
concealed prior to removing the existing roof system).
4.X Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance;therefore,
roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of
maintaining the appearance.
6. Overflow scuppers(wall outlets): It is required that rainwater flows off so that the roof is
not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this
discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow
scup in arenordance with the requirements of Sections R4402, R4403 and R4413.
/�-- ,0--i�(-13
OwnerlAgent's Si nature Date Contractor Signake '• ate00*000*0,
,rv� q2�r 0000..
0000 0000 : .
Property Address Permit Number •••• •••• •••••
Revised on 7/9/2009 LD;07/01/2015; '�"" •
0000..
Property Search Application - Miami-Dade County Page 1 of 1
' p4
OFFICE OF THE PROPERTY APPRAISER
: ..
Summary Report
Generated On:2/8/2017
Property Information
o
Folio: 11-3205-009-0410
1249 NE 97 ST r
Property Address:
Miami Shores, FL 33138-2559
ALEX OCHO
Owner A
Mailing Address
14526 NW 83 PASSAGE s
MIAMI LAKES,FL 33016 USA
Primary Zone 1400 SGL FAMILY-3001-3250 SQ y
0101 RESIDENTIAL-SINGLE
;
Primary Land Use FAMILY: 1 UNIT ' ✓
Beds I Baths/Half 4/3/0
Floors
Living Units 1
Actual Area 4,050 Sq.Ft
r
Living Area 2,687 Sq.Ft
Adjusted Area 3,368 Sq.Ft Taxable Value Information
Lot Size 12,262.5 Sq.Ft
2016! 2015 2014
Year Built 1950
County
Assessment Information Exemption Value $0 $50,000 $50,000
Year 2016 20151 2014 Taxable Value $853,564 $450,407 $446,436
Land Value $411,211 $374,4781 $330,601 School Board
Building Value $404,091 $271,955; $265,937 Exemption Value $0 $4$25,000 $25,000
__._.._ ___........-................
..__-
XF Value $38,262 $24,9931 $25,275 Taxable Value $853,564 75,407 $471,436
Market Value $853,564 $671,426 $621,813 City
..._.........I.................. _ _
Exemption Value $0 $50,000 $50,000
Assessed Value $853,564 $500,4071 $496,436
Taxable Value $853,564 $450,407 $446,436
Benefits Information Regional _
Benefit Type 2016 2015 2014 Exemption Value $0 $50,000 $50,000
..-_.._........ ._.._. �_.._....... ......._..e. ........_..._.......................__.............
Save Our Homes Assessment Taxable Value $853,564 $450,407 $446,436
Cap Reduction $171,019 $125,377
Homestead Exemption $25,000 $25,000 Sales Information
Second Homestead Exemption $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 04/30/2015 $1,175,000 29607-4391 Qual by exam of deed
School Board,City, Regional). 03/01/2005 $741,500 23248-0198 Sales which are qualified
Short Legal Description
11/01/2003 $585,000 21869-1510 Sales which are qualified
,
EARLETON SHORES PB 43-80 07/01/2000 j $274,900 19201-2674 1 Sales which are qualified
LOT 15&W1/2LOT 16BLK3
LOT SIZE IRREGULAR
OR 19201-2674 07 2000 1
COC 23248-0198 03 2005 1
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 2/8/2017