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RF-16-3027 / � r. », Permit No. RF-11-16-3027 `SgOREs L,C Miami Shores Village Permit Type: Roof 10050 N.E.2nd Avenue NE Work Classification: Repair Roof Miami Shores, FL 33138-0000 p Permit Status:APPROVED Phone: (305)795-2204 "3 Expiration: 7/16!2017 Issue Date: 1/1712017 p Project Address Parcel Number Applicant 296 NE 99 Street 1132060134300 JEFF KAMP BARBARA KAMP Miami Shores, FL 33138- Block: Lot: Owner Information _ Address Phone Cell JEFF KAMP BARBARA KAMP 296 NE 99 Street MIAMI SHORES FL 33138- 296 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 4,930.00 Valuation: 4 ROOFERS INC (305)636-2952 1 Total Sq Feet: 0 i Type of Work:Repair Available Inspections: Additional Info:SOLAR ATTIC FANS Inspection Type: Classification:Residential Final Scanning:3 Solar Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# RC-11-16-61953 DBPR Fee $0.00 DBPR Fee $2.22 01/17/2017 Check#:448 $ 119.34 $50.00 DCA Fee $0.00 11/04/2016 Check#:299 $50.00 $0.00 DCA Fee $2.22 Education Surcharge $1.00 Permit Fee $147.90 Scanning Fee $9.00 Technology Fee $4.00 Total: $169.34 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 proper 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 certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction onus ermore, I authorize the above-named contractor to do the work stated. < January 17, 2017 Authors caner / Applicant / Contractor--_ / Agent Date Building Department Copy January 17, 2017 1 ® LOA- Miami Shores Village � `i V tI 0 Building Department g DEC 2 7 2016 L° 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 F B^C 20 BUILDING Master Permit No.�t PERMIT APPLICATION Sub Permit No. F-IBUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 296 NE 99 St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-013-4300 Is the Building Historically Designated:Yes NO XX Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Jeff Kamp Phone#:305-389-5194 Address: 296 NE 99 St City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Four Roofers, Inc Phone#: 786-285-4446 Address: 1841 SW 102 Way City: Miramar State: FL Zip: 33025 Qualifier Name: Mario Barnes Phone#: 786-285-4446 State Certification or Registration#: CCC 1327664 Certificate of Competency#: DESIGNER:Architcc;/Engineer Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 4930.00 Square/Linear Footage of Work: Type of Work: ❑ Addition 0011 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: Solar Attic Fan Specify color of,(color thru tile: Q Submittal Fee$—P- 'r) P f�% 1)ermit Fee$ (-� CCF$ J CO/CC$ Scanning Fee$ 421 i Radon Fee$ 2 DBPR$ 2- ' 2 Notary$ Technology Fee$ C-i Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ y (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address _ City State Z Zip Mortgage Lender's Name(if applicable) �T 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. G Signature 4gnature r OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Hday of h�,y c 20 by _day of 20 lLP by Jeff Kamp wh is personally know Mario Barnes o is person known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: n: 'A UeILL Print: Linda Sue Midyette Print: Linda Sue Midyette Seal: oLINDA SUE MIDYETTE Seal: � LINDA SUE MIDYETTE •k MY COMMISSION#FF121822 '_° �. ��`: MY COMMISSION#FF121822 oFnop:o EXPIRES July 8, 2018 EXPIRES July 8, 2018 01)*398 APPROVED BY �� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 BARNES, MARIO ANTWAN 4 ROOFERS INC 1841 SW 102 WAY MIRAMAR FL 33025 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 QF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSI-QBAL REGULATION Every day we work to improve the way we do business in order CCC1327664 I 08/10/2016 to serve you better. For information about our services, please to onto www.myfloridalicense.com. There you can find more CERTIFIED R information about our divisions and the regulations that impact BARNES,MA T you,subscribe to department newsletters and learn more about 4 ROOFERS INC the Department's initiatives. 4 Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch-489 FS, and congratulations on your new license! Exp.ation date AUG 31,2018 u608100001364 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CCC1327664 s The ROOFING CONTRACTOR Named below IS CERTIFIED " Under the provisions of Chapter 489 FS. �. Expiration date: AUG 31, 2018 BARNES, MARIO ANTWAN 4 ROOFERS INC 1841 SW 102 WAY MIRAMAR Mr ISSUED: 08!10/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1608100001384 Local Business Tax Iecei pt Miami-Dade County, State of Florida -THIS IS NOT A BILL DO NOT PAY LBT 5906962 BUSIN ESS NA M E/LOCA TION RECEIPT NO. EXPIRES 4 ROOFERS INC RENEWAL SEPTEMBER 30, 2017 1710 NW 51 ST 6161665 MIAMI, FL 33142 Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9 b 10 OWNER SEC TYPE OF BUSINESS PAYMENT RECEI 4 ROOFERS INC 196 SPECIALTY BUILDING BY TAX COLLECToa CONTRACTOR 45.00 09/30/2016 Worker(s) 2 CCC1327664 0224-16-006196 This Local Business Tax Receipt only con"ore peymmt d the Local Busiross Tax.The Rbcapt is rota license, permit,or a cerli"cation of the holders quail"cations,to do business.Holder must corrpy with any governmental or nongorarnmontal regal story laws and requirements which appy to the bxai ness. The FSH Pi NQ above mat be displayed an all cmrrrerciel vehicles-Miam-Dade Code Sec 8a-27E M For more i nformetion,vim t Q':ID do JEFF ATWATER M CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION '•CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW' CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 12/5/2016 EXPIRATION DATE: 12/5/2018 PERSON: BARNES MARIO A FEIN: 201872947 BUSINESS NAME AND ADDRESS: 4 ROOFERS INC 1841 SW 102 WAY MIRAMAR FL 33025 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an office[of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440 05(12),F.S.,Certificates of election to be exempt_.apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of efection to be exempt shall be subject to revocation d,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 OR 2i Y �o frac•1132i inn rangy iami Kze bores Village -..d�... Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 _Notice to Omer_- Workers' Compensation Insurance Exertion_ Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership. 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State.Division of Corporations,and 3 The corporation is registered and listed as active with the Florida Department of State;Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor;pan-time employees or subcontractors for your project.The contractor has provided an affidavit stating that Ire or she will he.the only person allowed to work on your project.In these circumstances.Miami Shores Village does not require verification of workers'contpensalion insurance coverage from the contractor's company for day labor.part-time employees or subcontractors. 13Y SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND FFS CONTLNTS. j Signatur / I State of Florida County of kliami-Dade The foregoing was acknowledge before me this �Wo day of � 20 l By � \`►�—`^fes(� -who is perally kno me or has produced 1 - - as identification Not ^ (j, LINDA SUE MIDYETTE \ l 4PP.....,.� • MY COMMISSION#FF121822 SEAL: TU EXPIRES July 8, 2018 (407)_398-0153 Florkk Notaryservice.com 4 Roofers Inc. 1710 NW 51 St Miami, FL 33142 786-285-4446 December 20, 2016 State of Florida County of Broward Before me this day personally appeared 11 �i � �^� who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: L L- Sworn to (of affirmed) and subscribed before me this day of �Q (� 2016, by Personally known OR Produced Identification Type of Identification Produced •''"v°`"�"•-:_LINDA SUE MIDYETTE ----'"� �. MY COMMISSION#FF121822 •,,?aA"oQ;. EXPIRES July 8, 2018 cll' nA (407)398-0153 FloridahlotaryService.com Print,Type, or Stamp Name of Notary yt� r a An cz i � '4 n s. atr t 1 3 0 M Cp � U a0 2 C' Cu hh� cu Iff C'7 a r, U O vi LM c O N n +� cn ani lJ J N z Ark ; iti e � r- s � 10. r 10.5" 6.25" �. SIZES 10, 20, 30 or 50 watt © solar panels available NOTE:Exploded view of Solar Attic Fan is for © 4" illustrative purposes only.Unit comes fully assembled. 1. Custom Solar Panel(10,20, 30 or 50 watt available)* 23° 2. (2) Adjustable Solar Panel Bracket 3. (2) #8 x .75"Self-Tapping Screws - 4. 18 Gauge Tinned Copper Wire Lead 5. 1100 Series,Commercial Pure Grade Aluminum Shroud 6. Custom DC Motor 7. Motor Bracket Assembly �o © 8. Air Driven Precision Pitch 5 Blade Fan - --�--' 9. 3.25"x 48"Stainless Steel Wire Mesh 0 10. (4) Rugged 14 Gauge Shroud Support Bracket 11. 1100 Series,Commercial Pure Grade Aluminum Flashing 12. (6) #6 x 1.5"Stainless Steel Phillips Head Screws *solar panel dimensions may vary slightly OPTIONAL ACCESSORY:Thermal Snap Switch available ;F-13.375" to automatically turnoff unit during colder months. 5.75" 27.25" SOLAR VENTING CAPACITY GABLE FAM 13.5" 0 21.625" 10 watt - up to 1,200 sq. ft. (up to 850 cfms) 20 watt - up to 2,000 sq. ft. (up to 1,275 cfms) 30 watt - up to 2,500 sq. ft. (up to 1,550 cfms) 50 watt - up to 3,100 sq. ft. (up to 1,�50.1f4ns) •• • .. 21.625"_._------,.! ---- - . . . . . . . . . . cp•• ••• •• • • • •• C .. . . ... ... M1delh USA• • • • • • • • • ••• • • • • •• • • • • • • • • • • •• • • • •• •• f NATURAL LIGHT SO LAR ATTIC FAN The Environmentally Sensible Solution that can SAVE you Money! Natural U Solar-Attr ri A k SOLAR GABLE FAN 10, 20,30 or 50 watt units available Q G�q�tE S�ti�4� Attic venting is an important aspect in maintaining a healthy energy efficient home. Proper venting cools your roof extending the material life and reduces the load on your air conditioning system.Attic venting also increases fresh air circulation.powered completely by free solar energy,this sleek and efficient vent is both, compact and quiet.Fully operational right from the box,it installs easily,with no electrical wiring.And let's not forget a, powerful!A 7o watt unit can fully vent up to f,2oo sq,ft.{up to 850(fms},ca 20 watt unit up to 2,000 sq.ft. (up to 7,275 cfms)and a o watt unit up t0 2,5oo sq.ft.(up to 7,550 cfms). Our newest fan,with a 5o watt remote solar panel,has an unmatched venting capacity of tips " to 3,7oo sq.ft.(up to 1,900 cfms)l Oud"Iffies fo CI SO AR TAX , T' INDUSTRY WARRANTY: ARS ON THE HOUSING, R PANEL AND MOTOR Natural E;u�IER � Y SYSTE 'AS, ww.solaratticfanxom NL-�Adalffftft Mail on swoons iF7 1b p • i 1 i v a 4: f SPECIFICATIONS II1 CELL Multicrystailine silicon solar cell 156mmx26mm No.of cells and connections 36(2x18) Dimension of module 550x3S0x25(mm) 21.7x13.80.98(in) m.Weight._____..._.__� 2.8kg� 6.171b Characteristics Model SPM018P SPM020P SPM022P Back of the module Power at STC(Pm) 18W 20W 22W Maximum power voltage(Vpm) 16.5V 17.2V 18.1V Maximum power current(ipm) 110A 1.17A 1.24A t Open circuit voltage(Voc) 21.OV 21.7V 22.1V Short circuit current(Isc) 1,1A 1.25A 1.32A f i Tolerance ±S% +5% ±5% Module efficiency 8.9% 10.0% 10.9% r STC:Temperature 25C,Irradiance 1000W/M',AM=1.5 Limits Operating temperature -40 to+85'C IV CURVES Maximum system voltage 600V DC Series fuse rating 10A -- ----------•—_.., � . Components & Mechanical Data L � k Front Glass 3.2mm tempered Junction Box IP-65 rated Frame Anodized aluminum alloy type 6063-T5 Vol tage(E') Encapsulation Material EVA(0.5±0.05mm thickness) " Back Foil White PET(0.2±0.03mm thickness) Temperature Range -40*C to+90`C v Max Load 540OPa Temperature coefficient Nominal Operation Cell Temperature 48'C±2 C • • • . . . •• ••• •c .. • • • •• Current temperature coefficient 0.06±0.01 %/I{ Voltage temperature coefficient (78±10) my/k ••• ... ..• . • • • . ... . . . . Power temperature coefficient (0.5±0.05) %/k •• • • • • • • • • • • •• • • _• .. • :d; a RN) Modula Pe.,m;e,ratitr..(t:) • • • • • • • • • • ••• • • • IEC:Cl-ASN07001 TUU:0000022551 UI.:E330673 ... .' ' • • K-E • . ;,r T �� tiv , • PRGY2.E202145 -Motors - Component Page 1 of 1 _ 5 PRGY2.E202145 Motors - Component Pane Bottom Motors - Component See General Information for Motors-Component E202145 ALCATEL-LUCENT DEUTSCHLAND AG COMPONENTS DIY ALLMENDSTRASSE11 79848 BONNDORF-SCHWARZWALD,GERMANY DC Motors,Cat.Nos.GR42x25,GR42x40,GR42x60,GR53x30,GR53x58,GR63x25,GR63x55,GR80x40,GR80x80,Class F Insulated. Cat.Nos.GR51x30,GR51x58,Class E insulated. Cat.No.BG63x55,Class F insulated. Cat.No.BG65 followed by 25,50 or 75,may be followed by CI,KI,SI,PI or MI,may be followed by any digits or letters. Servo-Motor,Cat.No.BG75x,followed by 25,50 or 75,may be followed by SI,MI,CI or PI. Marking:Company name or trademark .unke otor n ,UL Recognized Component Mark,type and motor model,or model designation. Last Updated on 2007-11-27 questions? Notice of D15clalmer Pane Top Copyrinht Q 2D08 Underwriters Laboratories Inc The appearance of a company's name or product in this database does not In itself assure that products so identified have been manufactured under UL's Follow-Up Service.Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow-Up Service.Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1.The Guide Information,Designs and/or Listings(files)must be presented.in.their entirety and in a non-misleading manner,without any manipulation of the data(or drawings).2.The statement"Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc."must appear adjacent to the extracted material.In addition,the reprinted material must include a copyright notice in the following format:'"Copyright 2008 Underwriters Laboratories Inc.®" An in,n6penda1i1,0rga,n.i�,atia0, W0rk;in,d for a. satar world wit,, in.teg{(ly, precision and ,knowltldge. 0.0 • •• • • • • ••• • so 0 • • • • • • • • http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/showpage.ttml3name=PR... 1/5/2008 Florida Building Code Online Page 1 of 1 Registration Hot TODD ! Submit Surcharge Stats&Facts ! Publications'! FBC Staff BCIS Site ��aaW� BCISHome i l.og In i User r9Map I Links rSearch j F I IUG r ly 5 Product Approval USER:Public User 1-ai src t�".+r•ow wazn Product Approval Menu>Product or Application Search>Applicauam LI•t PIT Search Criteria Refine Search Code Version 2014 FL# Application Type ALL Product Manufa re A LIGHT ENERGY SYSTEMS Category ALL Subcategory " LL ° Application Status Approved Compliance Meth ALL Quality Assurance Entity ALL Quality Assurance Entity conra�ct red A Product Model,Number or Name ALL Product Description ALL Approved for use In HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure ALL Other ALL Search Results-Applications Tvoe Manufacturer Validated By Status FL11743- Editorial NATURAL LIGHT ENERGY SYSTEMS National Accreditation& Approved 96 Change Category:Sky Lights Management Institute Is Subcategory:Skylight (804)684-5124 FL13509- Revision NATURAL LIGHT ENERGY SYSTEMS James Tippens,PE Approved R4 Category:Roofing (727)736-3546 History Subcategory:Roofing Accessories that are an Integral Part of the Roofing System * by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Contact Lis::2fi01 Blair Stone Road.Tallahassee FL 32399 phone:850-487-1824 The State of Florida is an AA/EEO employer.Qmtdaht 2007-2013 State of FlorrA ::&limcy statement::Accessibility Statement::Refund Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a pubih:-records request do not send electronic mail to this entity.Instead,contact the 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 they have One.The emalls 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 yoyare a IiWnsee under Chapter 455,F.S.,please click h.,. 000000 Product Approval Accepts: • • • • •••• in in • • \\1 • 0000•• • ••-A 0000• Credit Card •••••• Safe 0.00 • 0000 • •• 0000• • - •••••0) ••• • 0000• � • • •• 0000•• • • • • • 0000•• 0000•• ••• • 0000 ••• • • • • • 0090• • i DEC 2 i a 4,,16LBY ------ a ri https://www.floridabuilding.org/pr/pr app_lst.aspx 11/30/2016 Florida Building Code Online Page 1 of 3 I% DCIS Home Log In ( User Registration Hot Topic Submit Surcharge Stats&Facts i Publications FBC Stall BaS Site Map Unks Search i F 'da '. Product Approval USER:Public User Product Approval Menu>Product or Aoolication Search>Aoolication Ust>Application Detail FL ® >•9®. s # FL13509-R4 Application Type Revision Code Version 2014 Application Status Approved Comments Archived ❑ Product Manufacturer NATURAL LIGHT ENERGY SYSTEMS Address/Phone/Email 10821 N.23rd Ave. PHOENIX,AZ 85029 (602)485-5984 kelly@nitubular.com Authorized Signature Kelly Joya kelly@nitubular.com Technical Representative Gregg Vincent Address/Phone/Email 10821 N.23rd Ave. Phoenix,AZ 85029 (602)485-5984 gvincent@nitubular.com Quality Assurance Representative Mark Orszulak Address/Phone/Email 10821 N.23rd.Ave. Phoenix,AZ 85029 (602)485-5984 Mark@nitubular.com Category Roofing Subcategory Roofing Accessories that are an Integral Part of the Rooty-SycOem Compliance Method Evaluation Report from a Florida RegisterV ArAtect ora1.4ccensed •• Florida Professional Engineer *Goes* • •• •••••• o I J Evaluation Report-Hardcopy Recelve@l•••• • • • •••••• Florida Engineer or Architect Name who developed Allen Douglas Gezelman •*see •••• • •••• ••••• the Evaluation Report • • •••••• ••• • ••••• Florida License PE-59180 • • • • Quality Assurance Entity National Accreditation and Management j%V&4% • - Quality Assurance Contract Expiration Date 12/31/2018 • • • • Validated By James Tippens,PE • • •••••• •••••• W Validation Checklist-Hardco ReceT • • :so**: PY v*9 • •••• • • Certificate of Independence FL13509 R4 COI NLT PV ATTIC FAN PCA FL 13509 COI(3)odf Referenced Standard and Year(of Standard) Standard Year ASTM E330 2002 TAS 100A 1995 TAS 202 1994 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL13509 R4 Eauiv PCA FL13509 STANDARD OUIVALENCY 2014 FBC DS.odf https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquynOPErOHe... 11/30/2016 Florida Building Code Online Page 2 of 3 Sections from the Code Product Approval Method Method 1 Option D Date Submitted 09/28/2015 Date Validated 11/12/2015 Date Pending FBC Approval 11/13/2015 Date Approved 12/15/2015 Surnmary of Products FL# Model,Number or Name Description 13509.1 NATURAL LIGHT ENERGY SYSTEMS NATURAL LIGHT ENERGY SYSTEMS SOLAR ATTIC FANS GABLE MOUNTED SOLAR ATTIC POWERED BY PV PANELS FAN Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL13509 R4 II aabie attic fan inst II odf Approved for use outside HVHZ:Yes Verifled By: LICENSED PE PE59180 Impact Resistant:Yes Created by Independent Third Party:No Design Pressure:+86.5/-175 Evaluation Reports Other: FL13509 R4 AE SLDR-PVAF-VENTI(009)(2)odf FL13509 R4 AE NLT PV ATTIC FAN PCA FL 13509 ENGR EVAL.REPORT(9).[)df Created by Independent Third Party: No 13509.2 NATURAL LIGHT ENERGY SYSTEMS NATURAL LIGHT ENERGY SYSTEMS SOLAR ATTIC FANS ROOF MOUNTED SOLAR ATTIC POWERED BY PHOTO VOLTAIC PANELS FANS Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL13509 R4 II SAF install Florida odf Approved for use outside HVHZ:Yes Verified By: PROFESSIONAL ENGINEER FL 59180 Impact Resistant:Yes Created by Independent Third Party:No Design Pressure:+86.5/-175 Evaluation Reports Other:LIMITED TO WOOD ROOF DECKS FL13509 R4 AE SLDR-PVAF-VENTI(009) (2)odf FL13509 R4 AE NLT PV ATTIC FAN PCA FL 13509 ENGR EVAL.REPORT(9)odf FL13509 R4 AE SAF E330-A8071 01-301-44-RO odf FL13509 R4 AE TAS202-A8071 02-301-18-RO(2)odf Created by Independent Third Party: No 13509.3 NATURAL LIGHT ENERGY SYSTEMS NATURAL LIGHT ENERGY SYSTEMS SOLAR ATTIC FANS ROOF MOUNTED SOLAR ATTIC POWERED BY PHOTO VOLTAIC PANELS • • FANS 4040•••• • • • 4040••• Limits of Use Installation Instructions •••• •• • •• Approved for use in HVHZ:Yes FL13509 R4 II SAF install I r a df 41 • • • Approved for use outside HVHZ:Yes Verified By:Allen Gezelman 9d • •• ••••• Impact Resistant:Yes Created by Independent Thirg PSI".4No 0 • Design Pressure:+86.5/-175 ••410: g Evaluation Reports 0000 •• • • Other: FL13509 R4 AE iLDR-PVAFOVEN I 09 2 . r* • •••410 FL13509 R4 AE NLT PV ATTI PCA FL 1 509 E�NGR • • EVAL.REPORT(9).Ddf 000000 see 0 0.000 Created by Independent Third JI$rSW%o 0.: 0041041 0 • •041040• • • Back Next • • • • •••••• 4040•••• • • • 4040•••• •• • 640410 • 0 Contact Us::2601 Blair Stone Road Tallahassee FL 32399 Phone:850-487-1824 *..e • The State of Florida is an AAIEEO employer.copyright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Staternem Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.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 they have one.The emalls 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 tilde hem-. Product Approval Accepts: Cl https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXOwtDciuvnOPErOHe... 11/30/2016 ALLEN GEZELMAN,PE 59180 16502 HANNA RD LUTZ, FL 33549 PHONE 813 909 1956 allen@gezelmanpe.com SUBJECT: CERTIFICATE OF INDEPENDENCE PCA(PRODUCT CONTROL APPROVAL)FL 13509 FLORIDA RULES CHAPTER 61G20-3.009 PRODUCT: SOLAR POWERED ATTIC FAN MANUFACTURED BY: NATURAL LIGHT ENERGY SYSTEMS 10821 NORTH 23RD AVENUE PHOENIX,AZ 85029 , PRODUCT CATEGORY: ROOFING PRODUCT SUB-CATEGORY: ROOFING ACCESSORIES THAT ARE AN INTEGRAL PART OF ROOFING SYSTEM COMPLIANCE METHOD: ° EVALUATION REPORT BY FLORIDA PROFESSIONAL ENGINEER FLORIDA RULES CHAPTER 61G20-3005(d) CERTIFICATE OF INDEPENDENCE STATEMENT: 2015 APRIL 30 1 CERTIFY THAT 1 DO NOT HAVE, NOR WILL I ACQUIRE FINANCIAL INTEREST IN NATURAL LIGHT ENERGY SYSTEMS OR ANY AFFILIATE. .006.6 I CERTIFY THAT I DO NOT HAVE, NOR WILL I ACQUIRE FINANCIAL INTEREST IN ANY 01HERUTITY' 9000:' INVOLVED IN THE APPROVAL PROCESS OF THIS PRODUCT. 0 ' :'6 9 6 '0 ..60.. 0 0. 600666 .6666. 0 0 6 CERTIFIED •••••• 0 0 6 6 6..6 6. 60066 , d 6 . ® —a ���6�®i 666• : 66666 `® 00 E 'ew9�6�6;.11 66 666666 ® • • s • of Rfca. .5::<1 Z� = . 0000.. 0000.. 6 n 666666 ! 66 �' 0000 6 6 STATE cp `�` '..' ALLEN GEZELMAN,PE 59180 16502 HANNA RD LUTZ,FL 33549 813 9091956 EMAIL ALLEN@GEZELMANPE.COM SUBJECT:EQUIVALENCY OF STANDARDS PCA FL#13509 FLORIDA RULES CHAPTER 61G20-3.009 PRODUCT: PHOTO-VOLTAIC POWERED ATTIC FAN MANUFACTURED BY: NATURAL LIGHT ENERGY SYSTEMS 10821 NORTH 23D AVENUE PHOENIX,AZ 85029 PRODUCT CATEGORY: ROOFING PRODUCT SUB-CATEGORY: ROOFING ACCESSORIES WHICH ARE AN INTEGRAL PART OF ROOFING SYSTEM COMPLIANCE METHOD: FLORIDA RULES CHAPTER 61G20-3.005(d) EVALUATION REPORT BY FLORIDA PROFESSIONAL ENGINEER EQUIVALENCY OF STANDARDS: 2015 SEPTEMBER 28 PRODUCT WAS TESTED UNDER AND IS CERTIFIED IN ACCORDANCE WITH TAS 100A-1995&TASK- • 1994.THESE STANDARDS CONTINUE IN 2014 FBC(5T"EDITION FLORIDA BUILDING CODfj.. "•';• CERTIFIED, •���•• Digitally signed by Allen GQMn llen DN:cn=Allen Gezelman, ...... ... ..:..' o=Gezelman PE,ou=Professiarral •••••• Engineer, •. . . . ...... man email=bolson 1 @tampabay.rr.cQ.m, G eze •••••• .. . .... . Date:2015.09.2816:05:54-04'00' 00• EVALUATION REPORT BY FLORIDA PROFESSIONAL ENGINEER: FLORIDA PRODUCT CONTROL APPROVAL(PCA)FL 13509 PAGE 1 OF 2 PAGES FLORIDA RULES CHAPTER 61G20-3.005(d) EVALUATOR: ALLEN GEZELMAN,PE 59180 16502 HANNA RD. LUTZ,FL 33549 PHONE 813 9091956 EMAIL APR allenCa sezelmanpe com �•, ,. `�`��', �B'8� '• ®ems PRODUCT CATEGORY: ROOFING PRODUCT SUB-CATEGORY: ROOFING ACCESSORIES THAT ARE AN INTEGRAL PART OF THE ROOFING SYSTEM 'moo� a�,;;li'�-•,`�'�`e COMPLIANCE METHOD: FLORIDA RULES CHAPTER 61G20-3.005(d) EVALUATION REPORT BY FLORIDA PROFESSIONAL ENGINEER MANUFACTURED BY: NATURAL LIGHT ENERGY SYSTEMS 10821 NORTH 23RD AVENUE PHOENIX,ARIZONA 85029 PRODUCT DESCRIPTION: THIS SOLAR POWERED ATTIC FAN HAS 0.80-INCH THICK, 1100 SERIES ALUMINUM,EXTERNAL COMPONENTS(SELF-FLASHING MOUNTING BASE AND HOOD)TO WHICH ARE MOUNTED BRACKETS SUPPORTING A UL-LISTED PHOTO-VOLTAIC(PV)MODULE AND A DC FAN MOTOR.A STAINLESS STEEL SCREEN PREVENTS ENTRY OF PESTS.SEE DRAWINGS CONTAINED WITHIN THIRD PARTY TESTING BELOW. THIRD PARTY TESTING: PRI(TAS 100(A)-95) REPORT NO:NLES-001-02-02,DATED 12/21/09 • • 0000•• ARCHITECTURAL TESTING(ASTM E 330-02)TEST REPORT NO:A8071.01-301-44,DATEEC03/•ZI411 • ••••i• ARCHITECTURAL TESTING(TAS 202-94)TEST REPORT A8071.02-301-18,DATED 08/24/1f� • :•. •. •• .00.•00 0 .• 0000•• EVALUATION: 0000•• • • • 0000•• USING A 200%SAFETY FACTOR,ABOVE REFERENCED THIRD PARTY TESTING ESTABLISHizQ,QF,SIGN 00 ., •,••,� . • • PRESSURE RATINGS OF PRODUCT AS+86.5—PSF(DOWNWARD)AND-175_PSF(UPLIFT),6F.k&WNCEDs00 , 00;00• THIRD PARTY TESTING PROVED THE RESISTANCE OF FAN SELF-FLASHING WATER-PROOFAA•AND 0.: 0000•. HOOD TO WIND—DRIVEN RAIN ENTRY. • • • s • 0000•• INSTALLATION: •• ••• • • • • • THIS PRODUCT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER'S INSTALLl� ON' 0000 •0000• . • INSYRUCTIONS WHICH SHALL BE SUPPLEMENTED BY USE OF CURRENT FLORIDA BUILDING CODE AND••• • NATIONAL ROOFING CONTRACTORS ASSOCIATION ROOFING&WATER-PROOFING MANUAL FOR DETAILS NOT SPECIFICALLY DESCRIBED IN MANUFACTURERS'S INSTALLATION INSTRUCTIONS. EVALUATION REPORT BY FLORIDA PROFESSIONAL ENGINEER: 9, PAGE 2 OF 2 PAGES LIMITATIONS: THIS PRODUCT APPROVAL SHALL BE LIMITED TO WOOD ROOFS. THIS PRODUCT SHALL NOT BE INSTALLED IN ROOF PRESSURE ZONE 3 AS DESIGNATED BY ASCE 7 (AMERICAN SOCIETY OF CIVIL ENGINEERS—MINIMUM DESIGN LOADS FOR BUILDINGS). Allen Gezelman 16502 Hanna Rd APR 3 0 2015 813 909 1956 bolsonl@tampabay.n•.com ♦®®� V; St �'•• ®®® Asa• 5���0 s= y� :w_ t SIX le e • • • 0000•• 0000•• • •• 0000•• • 0000•• • • • 0000•• 0000 •• • s • 0000 • •• 0000• 0000•• •9• • 9•••• •• •• •• 0000•• • •e••0• • • • • 0 • 0890•• ••999• • • • • • 0 0 0 000000 e � I Miami Shores Village NCV �l �a16 BY: Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 \\\ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20M6UILDING Master Permit No. �1� � l�"`JIJZ� PERMIT APPLICATION Sub Permit No. IR(BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 296 NE 99 St City: Miami Shores County Miami Dade Zip: Folio/Parcel#:11-3206-013-4300 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Jeff Kamp Phone#:786-536-2004 Address: 296 NE 99 St Al City. Miami Shores State: Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Living Earth Re de *_ Phone#: 954-925-5003 Address: 2208 N 20 Ave City: Hollywood State: FL Zip: 33020 Qualifier Name: Yvan Gosselin hone#: 954-925-5003 State Certification or Registration#: CGC044266 Ce " ate of Competen DESIGNER:Architect/Engineer: one#: Address: City: State: Zip: Value of Work for this Permit:$4930.00 Square/Linear Footage of Work: Type of Work: ❑ Addition Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Solar Attic Fans Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CQ/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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$7500, 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. x Signature / Signature , OWNER or NT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of "in\L 20 by day of ��� 20�,by Jeff Kamp who is sonally k n to Yvan Gosselin who i personally k n to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: S�n: Print: Linda Mid ette Print: Linda .r �p4•. Seal: }° ` % LINDA SUE MIDYETTE UE MIDYETTE Seal: MY COMMISSION#FF121822 �: Q MY COMMISSION#FF121822 9 '0 ,4.W oKv EXPIRES July 8, 2018 EXPIRES July 8, 2018 1(407)39B�o153 Flori 4«444444 40 398-0153 FloridallotaryServit:e.com �NotarYService.com 444444444444444►444+Y44►4444444444444444444444444444444 44444 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) o4�oiyYwood�ro City of DIOND _- lig LL WOOD AM GOLD CO F L. O R I D A h CO'RPORA'IC9 2016/2017 LOCAL BUSINESS TAX RECEIPT Business Name:LIVING EARTH REMODELERS,INC Account Registration#:B90SS919-2017 DBA: Expiration Date:9/30/2017 Business Location:2208 N 20 AVE Tax Paid:$251.00 Business Category:SERVICE/LICENSED BUSINESS Classification:Contractor/General Tax Basis:2-4 WORKERS STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 GOSSELIN,YVAN P LIVING EARTH REMODELERS INC 105 OWL POINTE CIRCLE JUPITER FL 33458 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 DEPART& N! t USWESS AND restaurants,and they keep Florida's economy strong. PROFS -OULATION Every day we work to improve the way we do business in order CGCU4266 - si . 08/04/2016 to serve you better. For information about our services,please 'i = , r to onto www.myfloridalicense.com. There you can find more CERTIFIED Gp �olE}jVAQR information about our divisions and the regulations that impact GOSSELIN, you, subscribe to department newsletters and learn more about LIVING EARTT'. the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTWIED under the provisions of Ch.489 FS. and congratulations on your new license! ExpinMon 0*e AUG 31,2018 L160B040001326 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD , CGCO44266 The GENERAL CONTRACTOR p Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 GOSSELIN,YVAN P '1 LIVING EARTH REMODEL-1-i4i INC 105 OWL POINTE CIRCLE . JUPITER FL 38 K, ISSUED: 08/04/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1608040001326 o4�otit�rw00 City of - V DIAMOND LLI. '- ,vVOOD H �L COAs F L. O R I D A 0BA'CQ9 2016/2017 LOCAL BUSINESS TAX RECEIPT Business Name:LIVING EARTH REMODELERS,INC Account Registration#:B9055919-2017 DBA: Expiration Date:9/30/2017 Business Location:2208 N 20 AVE Tax Paid:$251.00 Business Category:SERVICE/LICENSED BUSINESS Classification:Contractor/General Tax Basis:2-4 WORKERS 42601 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 �.� BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 GOSSELIN,YVAN P LIVING EARTH REMODELERS INC 105 OWL POINTE CIRCLE JUPITER FL 33458 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 Y STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPART f W'( BUSINESS AND restaurants,and they keep Florida's economy strong. PROFES XNEULATION Every day we work to improve the way we do business in order CGCO44266 ;� r SUM71" .08/04/2016 to serve you better. For information about our services,please ' log onto www.myfloridalicense.com. There you can find more CERTIFIED G ��4Z information about our divisions and the regulations that impact GOSSELIN, you, subscribe to department newsletters and learn more about LIVING EARTFI the Department's initiatives. M +° rr Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date: AUG 31,2018 L1608040001326 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGCO44266 The GENERAL CONTRACTOR 4 Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2018 - GOSSELIN, YVAN P �■ LIVING EARTH REMODEtrm- S INC q 105 OWL POINTE CIRCLPE JUPITER FL 388 ISSUED: 08/04/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1608040001326