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RF-17-2688Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE • Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pei mit Permit NO. RF -11-17-2688 Permit Type: Roof Work Classification: Tile Permit Status: APPROVED sue Date: 12/1 /2017 Expiration: 05/30/2018 Parcel Number Applicant 8701-9043 NE 4 Avenue Road Miami Shores, FL 33138- 1132060460660 Block: Lot: SHORES VILLAS CONDOMINIUM Owner Information SHORES VILLAS CONDOMINIUM Address 8901 NE 4 Avenue Road MIAMI SHORES FL 33138- 8901 NE 4 Avenue Road MIAMI SHORES FL 33138- Contractor(s) PAUL BANGE ROOFING, INC. Phone (954)981-7663 CeII Phone Phone (305)785-7760 Cell Valuation: $ 49,500.00 Total Sq Feet: 2400 Type of Work: Re Roof Additional Info: RE -ROOF SHINGLES ROOF FOR 6 UNITS Classification: Commercial Scanning: 6 Fees Due Bond Type - Contractors Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $500.00 $30.00 $4.50 $3.00 $10.00 $300.00 $18.00 $40.00 $905.50 In consideration of the issuan.- to - of this p pertaining thereto and in stric confor ity with the accepting this permit I ass a res..nsibili} for required for E RICAL 'LUMB G, MHA OWNERS AFFI construction and zon Pay Date Pay Type Invoice # RF -11-17-65630 12/01/2017 Check #: 5234 11/13/2017 Check #: 5220 Bond #: 3576 Amt Paid Amt Due $ 705.50 $ 200.00 $ 200.00 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet ree to perform the work covered hereunder in compliance with all ordinances and regulations s, statements or specifications submitted to the proper authorities of Miami Shores Village. In eithe f, my agent, servants, or employes. I understand that separate permits are OFING and SWIMMING POOL work. Authorize cj Signature: Owner / Appl ant Building partment Copy d that all work will be done in compliance with all applicable laws regulating do the work stated. Contractor Agent December 01, 2017 Date December 01, 2017 1 42Ak BUILDING PERMIT APPLICATION Ni,IBUILDING ❑ ELECTRIC Miami Shores Village 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 Master Permit No. 1 reV 13 2017 5 FBC20H 11 — 2_6&Y Sub Permit No. OOFING ❑ REVISION ❑ EXTENSION RENEWAL [PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ti/716CONTRACTOR DRAWINGS JOB ADDRESS: 8?33, 0-74f, 9a>-7, 9443 , 70 5 70.39 A/E `7 A -ye_-, City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1/-3,4040' c3,2D& –04 – Is the Building Historically Designated: Yes . .Construction Type: 4)74 Flood Zone: Occupancy Type: SP Load: NO !/ BFE: FFE: OWNER: Name (Fee Simple Titleholder): �re�j 1/I Il ( 3,140 Phone#: :346— go( Lie 2 90x-7,� PAvies ,,e_ "%s/`City: //a � State: 7 Zip: 3 3 i Address: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: /P t- # 1#1 Phone#: /s4'/ / '%Cagy Address: 7izz V` (-47 g+ -P City: d t . State: Qualifier Name: 'PatAt /B.` State Certification i� 3 3! �'i , cation or Registration #: DESIGNER: Architect/Engineer: Address: Phone#: Zip: 33 3 (-7 Certificate of Competency #: Phone#: State: i City: Value of Work for this Permit: $ Square/Linear Footage of Work: i Type of Work: ❑ Addition ❑ Alteration Description of Work: e/OC14 —_ 4.(A// >637 ,'7.33/ 1a-7 / 9, S 90x2 Zip: `L // Z. Ell ❑ New 3SZ x t ❑ Repair/Replace ❑ Demolition ;Specify color of color thru tile: Submittal Fee $ r/tw�j - Permit Fee $ 3O). 0.,_CCF $ CO/CC $ r Scanning Fee $ 7 (° Radon Fee $ 3 • Q DBPR $ Li • 5) Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ 205 - (Revisedo2/24/2014) 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 $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. X Signature OaCk.1 Pc1t1Q,ka\_- OWNER or AGENT The foregoing instrument was . cknowledged before me this The for goi instrument w,as-ackno/wl dged before me this �yof ,20 /'7 , by a4/1y Ja r/� a , '' ho is personally known to v% of,L ,�� , who is 1Ly1U19se1 0 146 2_ as me or who has produced identification and who did take an oath. NOTARY PUBLIC: me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print Seal: ou Nc?ar., Public tes • vvette BO e lov Commission FF 974520 «off Fxpi•es0312312020 Sign: Print Seal: as ********************************f:*********************************** APPROVED BY (Revised02/24/2014) 02 n, Plans Examiner os;lir Notary public State of F10rida Yvette BNOMe0 MY CommiOssion FF 974520 74520 ot *60400312312020 Zoning Structural Review Clerk Dec. 1. 2017 8:30AM No. 0043 P. 1 SHORES VILLA CONDOMINIUM 8901 NE 4TH AVE RD MIAMI. SHORES, FL 33138 November 14, 2017 To whom it may be concerned: Please be advised that the Shores Villa Condominium Board of Directors has authorized and approved Paul Range's Roofing to utilize and install Desert Tan roofing shingles for installation at the Shores Villa Condominium. Thank you Wade Patterson President Shores Villa Condominium Association / • DAVIE: 954-792-ROOF (7663) Paul 13auge STATE CERT. CC C033691 N. BROW: 954-566-ROOF (7663) LICENSED AND INSURED S. BROW: 954-981-ROOF (7663) 7000 S.W. 21 ST PLACE DADE: 305-981-ROOF (7663) ��n DAVIE, FLORIDA 33317 FAX: 954-964-ROOF (7663) In. Member of 1-877-981-ROOF (7663) Vropogar Better Business Bureau PROPOSAL SUBMITTED TODATE DATAPHONE 211/7 3 8o/—y8zo NAME..—Th BS d A/ .4Am %1apTL JOB NAM �s ie ole vi L-,- 4- O%✓Ad Yc, h/r 1.0 f STRUT_ 4,`12-7N� STREET S, c CITY • el S/Wa STATE .-1.-- ZIP 33/37 CITY S.twie STATE ZIP EMAIL 1) id Mi A 0A I GL c,-..&M t.. L 0%—‘. We hereby submit specification and estimate for PF P. WORK P.WRemove existing roof to a clean workable dispose of debris. ,Cidrieplace rotten sheathing at $ 3"1-44'" surface and er foot. stacks. to all ). SHINGLES LI Install # 30 base sheet. drip metal. resistant shingles. i Color ❑ Install 1qt K in. eave ❑ Install 3 TAGS figerglass fungus (Plywood replaced by square ft.) l Install new lead flashing to all plumbing glnstall new 26 gauge 16" galvanized valleys and tie-ins. vent metal U Mfg.D W B0. S/_lew/in./6- METAL U Install under layment. fire barrier. Jxposed ❑ Not Exposed ,ype of roof to be removed ( 3-,TA-.F3 Li Install # ❑ Install eave drip metal. metal roof. FLAT ROOF / LOW SLOPE ❑ Install # base -et as per figerglass drip cap code. felt. metal. sheet. ❑ Install TILE ❑ Install # base sheet. in. eave drip metal. tile underlayment. in ❑ Install pl . of ply IV ❑ Install in. eave U Install mine • surface ❑ Install Li Install LiInstall . • pered insulation: Yes No *PI- . e initial 1 ii.j c..,..a.e15,- ❑ Inst. tile set ❑ Repairs ' S t , ,I ITS t-•./ --Vt-.s p2,c.s--, * 1.s." All X D fs5w1,.4,--, s.J 4,P- yW„a A u •,-L- i3 ar i �.V4ena *4 .+s r e -ro 3 0 3 -4--i.- E PL,4 45c.I. s*l"-- LIS 9b 04-7.1.t, F-.4s e i `i rw 2cv-rcr3 1 We . 41 P_mLa— o f- Pv7f-t t' vt A-s' s7-vs rr o-z-../e. -/- D1 l 'a-01,}L I2/L: L.. % .F-SLrA”. 4sc..4-ez-A-ti— a)it-64-ir-u- - a., -7 50'7i//47'° ref--wt./I-- We herby propose to famish labor and S-. vt/' f4u,/ir ,aymade materials complete in accordance with the above specifications for the sum ��`.. t rr dollars— ($ payment to b as follows: METHODyOF PAYMENT: 41A/0 0E>7OS i v_ t� top % .7„ , p r, 4 !)A-., O Srvfi2-� oTO-0' 3 o /r 0 E- afZb D...4-2.s A/4-4zcS a" 1-41.4-6A6Or1-41.4-6A6 - a /d 17-11 ,69 PA" WARRENTY TO ORIGINAL OWNER: Paul Range Roofing Inc. warrents CUSTOMER IS URGED TO COVER FURNITURE AND OTHERWISE PROTECT THEIR THIS CONTRACT IS SUBJ T TO OFFICE ROYAL Authorized Signatu f D (0-,c•�r GCY-4 workmanship for a period , ✓d years. / iws ) r9/ A. _. PROPERTY ,I!t,►l4,..-, e. 4/ ,/ A !1tw-el..r�c� 0 r Ism: 4-r.4-410-�2tc�s� Roofing Specialist rib tsfa-rfa &lite- 44.4_4 ACCEPTANCE OF PROPOSAL ACCEPTED Signature 06-' 1 %%len-I-- Print WOAZ War-PaMeL D/ Date —I 17-qi 17 7/25/2017 Detail by Entity Name DIVISION OF CORPORATIONS ? 1, Oig ['rjr).•PD /rr),\[ 0,001 0 iib (JR r?ffi itd JtfJ,y of lorid(f S:' i,_s/fe Department of State / Division of Corporations / Search Records / Petail By Document Number / Detail by Entity Name Florida Not For Profit Corporation SHORES VILLAS CONDOMINIUM ASSOCIATION, INC. Filing Information Document Number 726513 FEI/EIN Number 59-1548009 Date Filed 05/25/1973 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/12/2016 Principal Address 8901 NE 4 AVE. ROAD MIAMI SHORES, FL 33138 Changed: 04/19/2017 Mailing Address FLORIDA ADVANCED PROPERTIES, INC. P.O. BOX 770010 MIAMI, FL 33177 Changed: 04/19/2017 Registered Agent Name & Address FLORIDA ADVANCED PROPERTIES, INC 12895 SW 132 STREET SUITE 103 MIAMI, FL 33186 Name Changed: 09/08/2014 Address Changed: 04/19/2017 Officer/Director Detail Name & Address Title Director ROMAN, GUSTAVO P.O. BOX 770010 n t n n I r i •1,1.4-7-1 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=SHORESVI.. 1/3 7/25/2017 Detail by Entity Name ivnHivn, rt_ ss 1 Title Secretary STOBS, BETH A P.O. BOX 770010 MIAMI, FL 33177 Title VP, Treasurer SELLES, ELISA P.O. BOX 770010 MIAMI, FL 33177 Title Director SERDA, WILLIAM P.O. BOX 770010 MIAMI, FL 33177. Title President PATTERSON, WADE P.O. BOX 770010 MIAMI, FL 33177 Title Director COLON, (VETTE P.O. BOX 770010 MIAMI, FL 33177 Title Director MIGUEL, NORMA P.O. BOX 770010 MIAMI, FL 33177 Annual Reports Report Year Filed Date 2015 09/29/2015 2016 10/12/2016 2017 04/19/2017 Document Images 04/19/2017 — ANNUAL REPORT View Image in PDF format 10/12/2016 — REINSTATEMENT View image in PDF format 09/29/2015 — REINSTATEMENT View image in PDF format 09/08/2014 — AMENDED ANNUAL REPORT View image in PDF format 02/20/2014 — ANNUAL REPORT View image In PDF format 03/29/2013 — ANNUAL REPORT View image in PDF format • http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=SHORESVI.. 2/3 Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form Section Q Mengimi golf I ti_0[0 deli' Para% Mo. Proms Ido. trrctor°o Name ob Address r723 -8'7+1 - el120 , g D 3 gDac - 40AA-Vt ROOF CATEGORY • Low Slope 0 Mechanically Fastened Tile 0 Hoar/Adhesive Set Tile „IXAsphaltic 0 Metal Panel/Shingles 0 Wood Shingles/Shakes Shingles Are there Prescriptive BUR -RAS 959 Gas Vent Stat Yes ❑ N ROOF TYPE Type: Nat ® New Roof )(go -Roofing 0 Recovering 0 Repair 0 Maintenance c (C a - s(1) . ROOF SYSTEM INFORMATION • • • • • •• • Low Slope Roof Area (SF) Steep. Sloped Roof Area (SF) Total (SF) • • •. • • 5-Z • • • • • Section B (Roof Plan)•• • Sketch Roof Plan: • Illustrate a I levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include, dimensions of sections and lelrcls, clgariy. identify dimensions of elevated pressure zones and location of parapets. _ . ' • • • • • •.•. • • • . •• ••• • • • • • ---� • ■ ... * • 1* 1* •1* C 1 111 r 11� * .mid � 1_ � E11 E1S-. E E ,ui H 11 CCC igmu 11 i _1 11....11 EEC him CC 111111 IMME EE E E 11 �■ .� .... �i ■ 1111 EC ��11,E ip EEEi C . 110ECE C `' C 11 GCC.• 111 "phialC`C� !JP--• 6A 1P: 1111 E � In EE hC Ili 9 iE ill _ i' C �J .iri C 11 - ill C , ___ 1111 � _' ' -__--= -_____ _-----_ • • • • • •.•. • • • . •• ••• • • • • • .. . • :• • .. • • .•• ... .• •.• . ••• •• ... Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: 0: u e o' Co n 1 Notice of Acceptance Number: 1-2.. —17_ r-7'=-1 , 0.3 Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): P1: P2: P3: Maximum Design Pressure _From the NOA Specific System): Method of tile attachment: . 1 NN\s\ D EL1C Steep Sloped Roof System Description.... /1-S,c 4-77e,,✓ i I.., `` Aorws o j • . .. • • • Roof Slope: 12 Deck Type: . . . • • • AG yraocid sg ' • • . . ype Underlayment: nsulation: . .• .. • • •• • 1-4 Fire Barrier: Ridge ventilation? astener Type & Spacing: I 1/Rsni) k$ h.a7 dhesive Type: Mean Roof Height: 2 0' ype Cap Sheet: oof Covering: 511/19,4 Le Type & Size Drip Edge: X 3 2 • •. 44-n_ MA-(, a — 1-1-0,2z3 , � 1.J. — or—r— L m-e— insulation from the warm, humid building interior, leading to internal condensation. Vents shall be installed to assist in the expulsion of moisture vapor where such vapor may enter the roofing assembly or moisture, as defined in Section 1521.12. Venting units shall not allow vapor to enter the roofing assem- bly when the high vapor pressure side is above the roofing membrane. 1519.16 Waterproofing. Waterproofing systems may be installed in lieu of an approved roof system over sloped or hoizontal decks specifically designed for pedestrian and/or vehicular traffic, whether the deck is above occupied or unoc- cupied space. In new construction the minimum deck slope shall be 1/4:12. 1519.16.1 The waterproofing system must possess a current and valid product approval. 1519.16.2 If an overburden .or wearing surface is not to be installed, the waterproofing system must be approved by the manufacturer for use in vehicular and/or pedestrian traffic locations. 1519.16.3 The waterproofing assembly must possess a Class A, Class B or Class C fire rating as required herein. 1519.16.4 If any portion of the waterproofing membrane is to remain exposed, the waterproofing system shall be ultra -violet resistant. 1519.16.5 Flashings must be installed in accordance with the waterproofing manufacturer's published specifications and in compliance with the material and attachment stan- dards of RAS 111. 1519.16.6 The waterproofing system shall be flood tested in accordance with ASTM D 5957. 1519.16.6.1 The flood test shall take place after installa- tion of the waterproofing membrane and prior to the installation of any above membrane components, wear- ing surface or overburden. 1519.16.6.2 An approved testing lab shall provide writ- ten verification to the building official confirming that the flood test was performed along with the results, prior to final inspection. SECTION 1520 HIGH -VELOCITY HURRICANE ZONES— ROOF INSULATION 1520.1 General. All roof insulation shall have a product approval as an approved roofing component for use in roofing assemblies. All insulation shall be tested for physical proper- ties in accordance with TAS 110. 1520.2 Foam plastic. Foam plastic roof insulation shall con- form to the material and insulation requirements of Chapter 26. 1520.2.1 Foam insulation panels shall be overlaid with a perlite, fiberglass, wood fiber or mineral wool overlay unless specifically stated to the contrary in the roof assem- bly Product Approval. 2010 FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 1520.3 Cellulose fiberboard. Cellulosic fiberboard roof insu- lation requirements shall conform to the materials and insula- tion requirements of Chapter 23. 1520.4 Insulation fasteners, membrane fasteners and stress plates. All insulation fasteners, membrane fasteners and stress plates shall have a roof component Product Approval, and shall be tested in compliance with RAS 117; Appendices A, B, C, and TAS 110 and TAS 114, Appendix E, Section 3 (DIN 50018), for corrosion resistance. 1520.5 Application. Roof insulation shall be applied in strict compliance with the application methods detailed in the roof assembly Product Approval and with the requirements set forth in RAS 117. 1520.5.1 Roof insulation, either on the ground or on the roof top, shall be kept dry. The building official shall instruct the removal of the insulation from the job when elevated mois- ture levels are found in the insulation or where panels cannot achieve 85 -percent adhesion. 1520.5.2 When applied in hot asphalt or cold adhesive, no insulation panel's dimension shall be greater than 4 feet (1219 mm). • . 1520.5.3 Strip or spot rnoppirrP of mculatiofi panels shallibe• • • • used as an application method" only when4ppitied in the i roof assembly Product Approval: ••••4•• • 1520.5.4 Where more than .cbr. . layer pf irr,sulation• is• t r• • applied, joints between layers.614111%e stadaeM.• • 1520.5.5 Application in appro'vV ld ad1 i/e hall be, a9 •;.' detailed in the Product Appro7altafrd shall befn templiaas•... with the required fire classic cnn •.' 1520.5.6 Nail boards or composite panelr:0\02th•a nailable't' surface may be applied to s1opeatle:ks for j13iapplicatio rrof. prepared roof covering or metal roofing systertwproviciing that the nailing surface is minimum 15/3, -inch (12 mm) exte- rior grade plywood sheathing, and has been attached to the deck with approved fastening assemblies in accordance with the windload requirements of Chapter 16 (High -Veloc- ity Hurricane Zones). Composite panels shall be gapped a minimum of 1/8 inch (3.2 mm) to allow for expansion of the sheathing panel. 1520.5.7 Suitable nailable decks installed over rigid board roof insulation in buildings of mean roof height of 35 feet, (10.7 m) or less, shall be a minimum of 15/32 -inch (12 mm) exterior grade plywood sheathing. These decks shall be fas- tened to every structural roof frame member or to the exist- ing deck under the insulation, at intervals of not more than 24 inches (610 mm) apart, with a minimum #12 approved. insulation fastener spaced at a maximum of 12 inches (305 mm) apart in one direction with a minimum penetration of 11I2 inches (38 mm) into the structural member or deck. In t esi—I e cases the maximum thickness of the rigid insulation board shall not exceed 2 inches (51 mm). An alternate method of attachment may be proposed, provided it is in compliance with Chapter 16 (High -Velocity Hurricane Zones), and it is prepared, signed and sealed by a Florida -registered architect or a Florida professional engi- neer, which architect or engineer shall be proficient in struc- tural design. 15.25 IA.Mi . COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Owens Corning Roofing and Asphalt, LLC 1 Owens CorningParkw'ay Toledo, OH 43659 MIAMI -DADS COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 wwwjnIamidade. orkconmmr SCOPE: This NOA isbeing 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 .(Iii 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 ItttAence, if it is determined by Miami -Dade County Product Control Section that this product otmateriaf fans co meet. the • requirements of the applicable building code. • . • This product is approved as described herein, and has been designed to comply with the FloridMilding Code• including the High Velocity Hurricane Zone of the Florida Building Code. • • •• '•' DESCRIPTION: Supreme AR 3 Tab Shingles . . .. .. • • •• . . ..• •. LABELING: Each unit shall bear a permanent label with the mamifachu'efs.name or logo,. city, stale andfolla3ving. 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. Tf 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 NOA#07-11.16.12 and consists of pages 1 through 4. The subutitted documentation was reviewed by Alex Tigera. • MIAMIFDADE COUNTY APPROVED NOA No.: 1.2-1204.03 Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 1 of 4 • ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Cateaory:. Asphalt Shingles Materials 3 -Tab Deck Tvpe: Wood SCOPE This approves Owens Corning Supreme AR as manufactured by Owens Corking described in Section 2 of this Notice of Acceptance. PRODUCT DESCRIPTION Product. Dimensions. Test Product Description Specifications Supreme AR 12" x 36" TAS 110 • A heavy weight, fiberglass reinforced asphalt shingle. MANUFACTURING LOCATION 1. Atlanta, GA. 2. Jacksonville, FL. 3. Irving, TX. 4. Memphis, TN. 5. Medina, OH. EVIDENCE SUBMITTED Test Agency • Underwriters Laboratories, Inc. Underwriters Laboratories,. Inc.. PRI Asphalt Technologies, Inc. MIAMI•DADE COUNTY APPROVED • . • •. . . .... . • *000 . • • • • • . . . . .• . . .. .. .. .. . . . • • . Test Identifier Test Name/Reyort . i •• .Dbte • . . 02NK45241 ASTM D 3462 • ' ' 12101/97 05CA53426 12/5//05 02NK45241 TAS 107 11/14/02 03NK04954 03/20/03 04CA52475 03/23/05 06CA03524 03/30/06 04NK40618 11/12/04 R2453 Reference 01/09/03 OCF-067-02-01 TAS 100 11/12/02 OCF-076-02-01 02/24/04 OCF-094-02-01 08/29/06 OCF-095-02-01 09/22/06 • • • . . . ..... . • • • • INA No.: 12-1204.03 Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 2 of 4 • LIMITATIONS 1: Fire classification is not pain of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. • 2'. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall have a quality assurance audit in 'accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative•Code. INSTALLATION 1. Shingles shall be instal led. in compliance With Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 4. Exposure and course -layout shall be in compliance with Detail W, attached. 5. Nailing shall be in compliance with Detail 'B',•attached. LABELING 1. Shingles shall be labeled with the Miami -Dade Sear as seen. below, or the wording "Miami -Dade County Product Control Approved": MIAMI•DADE COUNTY. APPROVED BUILDING PERMIT REQUIREMENTS • • • . . •. . • • • • • ••.. • • •••• • • • 1. Application for building permit shall be accompanied by copies of the following: • • 1.1 This Notice of Acceptance. • • • • 1.2 Any other documents required by the Building Official or the applicable oode.m order to *properly evaluate the installation of this system. • • • . . .•• MANMADE COUNTY APPROVED • . ••• • • • • NOA No.: 12-1204.03 Expiration Date: 03/20/1a Approval Date: 03/07/13 Page 3 of 4 DETAIL A 5" DETAIL B 36" • . • • • .• • . ••.. . . •... 000000 . . •. .. • • . • • • . . . • . . . • • .•• .• • . . • •. NAILS EXPOSURE 5" 8 5° f ADHESIVE STRIPE L END OF THIS ACCEPTANCE MIAMI•DADE COUNTY APPROVED 10" 12" 1 •' • . • • • • . • • • • NOA No.: 12-1204.03 Expiration Date: 03/20/18 Approval Date: 03/07/13 Page 4 of 4 • ONIINP CERTIFICATIONS Drnccranv TI WZ.R2453 Prepared Roof -covering Materials UI, Certification PBC Vile No. PT10G74-R5 aaeP—Efottont Prepared Roof -covering Materials See General Information for Prepared Roof-coverina t•laterials OWENS. CORNING 1 OWENS CORNING PRY TOLEDO, OH 43659 USA R2453 Asphalt glass fiber mat sheet rooffiigdeslgnated "Mineral Surfaced Roll Roofing", for Irfstallation as Class C prepared roof -coverings. These rolls may also bear the statement, "Also Classified In accordance withASTN D3909". •Aspiialt glass fiber mat and shingles designated Berkshire, Classic,: Supreme, Supreme (IR), Oakridge (Oakridge Pro 30), Oakridge Pro,40, Oakridgo Pro 50, Woodcrest, Woodmoor, Prominence, WeatherGuard HP, Duration, Duration (IR), Duration Premium, Duration Prernium•(1R), Skyvlew, Starter Strip Plus and Starter Strip,•for• installation as Class A prepared roof coverings._5ultable for Installation on minimum 3/8 In. thick' piysvoal decres wlth undeilayment such as asphalt saturated felt or shingle underliyment classified by UL as a prepared roofing accessoryL. (underlayment not required for hip and ridge shingles) and on minimum 15/32 In. thick plywood decks without underlayment. Asphalt glass fiber'• mat shingles, for.rnstahatlon u Class C prepared roof coverings on minimum 3/O.In. thick plywood decks without underlayment, Asphalt glassiflber . mat and hip and ridge shingles for Installation es wind resistant roof coverings. These shingles may also bear the statement.AIso Classified lit accordance with ASTM D3161, Class r, "Also Classified In accordance with ASTM D3462" and "Also Classified in accordance��itliC A 123.5'. These roofing systems may Incorporate starter shingles designated "Strip Shingle' or "TRI -BUILT Shingle Starter", • • • • Illp and ridge shingles designated "High Ridge',' WeatherGuard HP", "Berkshire", "Hip & Ridge shingles with sealant' forirrsia�atlan as Class A, prepared roof coverings, These shingles may also bear the statements, "Also Classified in accordance with ASTM D3161, ClasyS L Also Classified in accordance with ASTt•f D3462" and the Hip & Ridge with sealant shingle may bear the Statement 'Also Classified in accorsiance CSA1 • 123.5". •••• • Hip and ridgo shingles designated"RizeRidge" Hip & Ridge for Installation as Class A.prepared roof coverings. These shingles laid also besr te •: statements, "Also Ciasslgedln accordance with ASTM D3161, Class F", "Also Classified In accordance with ASTM D3462". • • • • IHp and ridge shingles designated"DecoRldge", for Installation as Class A prepared roof coverings. Suitable for installation an mllilnium VII:. • thick plywood. decks and on minimum 15/32 in, thick plywood decks without underlaynient: Also'Classlfled in accordance lith ASPM D3161 as$ • • AorClass F. •• • ••• • • • •• Last Updated on 2011-04-12 Questions? Print this vane Notice of.Dlsclaimer Pane Top Copvrialit 2011 Underwriters Laboratories Inc.® The appearance of a company's name or product in this. database does not Itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the ULtlark should be considered to be lasted 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 ltie foilowing conditions: 1. The Guide Information, Designs and/or Listings (files) must be presented in their entirety and In anon -misleading manner, without any manipulation of the data (or drawings): 2. The statement'Repilnted from the Online Certifications Directorywith 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 CI - 2011 Underwriters Laboratories Inca` Ao independent othanl1ation working lot p salt( world with !nllprlty. precision and knovicdge. • •• • • • • •• • • • • •••* • • , • ee • • • 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. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to e renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). Exposed Ceiling: Exposed, open beam ceilings are where the uncrersineof the roof decking • • can be viewed from below. The owner may wish to maintain the architectural amerce; thegefore,. • roofing nail penetration of the underside of the decking may not be acceptable. TI1i5•ptevides the option of • • maintaining the appearance. •••• • • • . . .'•. Overflow scuppers (wall outlets): !t is required that rainwater flows otfso that the rpof 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 tp•ipstall oaerfrow . scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. • •••• • atastia7ctenp, „...‘ Owner/Agent's Signature Date X73 3 PE /44-1),J Property Address Revised on 7/9/2009 LD;07/01/2015; Permit Number Florida Department of Environmental Protection Division. ofAirResource Management NOTICE OF DEMOLITION OR ASBESTOS RENOVATION TYPE OF NOTICE (CHECK ONE ONLY) : / ORIGINAL TYPE OF PROJECT (CHECK ONE ONLY) : 0 DEMOLITION IF DEMOLITION, iS (TAN ORDERED DEMOLITION? IF RENOV ATION: IS IT AN EMERGENCY RENO VATION OPERATION? 0 YES IS ITA PLANNED RENO VATiON OPERATIO1[? ❑ YES Facility Name (.3110vF S iia `tUT>+'")ClD �'7‘d M)AMI•W10E COUNTY Department of Regulatory and Economic Resources Environmental Resources Management 701 NW 1st Court, 2nd Floor jw'.' •a.33136-3912 9 • la 05-372-6954 !% iamidade.gov Pen ❑ REVISED0 CANChLLATI3 RTESY o RENOVATION ,ROOFING ��" ❑ YES ❑ NO Air Quality ❑ NO Maniac meet Division ❑ NO Process # Address 1133. Ne t-4 t-" AA e k.r..6 c\ City 1111 -VV,‘ C.1 '''NC) sie-e S. . State Zip �g 13 County ill )Rin 1DA A.. e... Site Consultant Inspecting Site 1 f Building Size Z-}' (Square Feet) # of Floors 2_. BUflding Age in Years "'f Prior Use: ❑School/College/University ' Residence ❑SniallBusiness Other Present Use: aSchooVCollege/UniversIty ,❑Residence ❑SmallBusiness Other R. Fadlity Owner e)C' C� T1-/ . L - L L Phone Address /4 IS" &taw�so i • City i/► III- Itit r' r, State ie) Zip 3`3/, `1 III, Contractor' sName Y c -u 1 11 e t.*.(` Phone Address "'`i Cap co t l 4-1'•G2 C _C- ;J City VQ � \ State '.1 Zip 3 5 3 1 ) Is the contractor exempt from licensure undersection 469.002(4),F .S.? ill YES 0 NO c;� C; .S -I -1 Le • • • • • •• • • • • • IV. Scheduled Dates: .(Notice must be nnstrnarked 10 working da „� r;efore the project start -date) %•• Asbestos Removal (mm/dd/yy) Start. Finish:_ Demo/Renovation (mm/ddtyy) stiw� /3/// Finish: jr X--2> V. Description of planned demolition or reno vation work to Lie performed and methods to be employed, Including demolltlos prnnovatlon jechnig es to • • • • • • • • • •• • be used and description of affected facility components. • •••• • •••••• duces to be Used (Check .AllThatApply): • • •• •• • • • •• ••• • • 00000 ❑ Strip and Removal - III Glove Bag ❑ Bulldozer ❑; •4NjettIng Ball • pr Wet Method 1 Dry Method ❑ Explode Er Burn Down •• • •.••• • OTHER: ••• •• ' • •.. 1. a VI. Procedures for Unexpected RACM: ice'% V De g iv! • Vii. AsbestosWasteTransporter: Name �a(:i 13/A.4 -eft -C. .:€.0 e Phone 1) (/ 7 4 Address 7(CC 3, tx-) .-3 1 -0<4e C % city . )l L' i e _ -� VIII. Waste Disposal Site: Name /.--67/') l.•'-''Cnie— I7"'' ,'rstt - --r 'Ad dres �i f'1s ;tJ • l% City , QJ�si 7kt/ C'. r it s State F I zip • l% State til Zip 317 • • •• 00000� • - DE D.E.k.M, - �NTY MANA EE� Er�.T p�I�/�� IX. RACM or ACM: Procedure, Including�Qaiytfcal methods, employed to detect the presence of R.SM ancACatego, i and71 rion'friable ACTJf ISN r'4- 55f1 m >'"c�>;fl/i/6 s �s o cern ythatthe required Notification 1(a) Regarding asbestos have been submitted i. Compliance with square feet cementlt(o.. %aa� square feet resillen' . • i �. a regu;atlons. ;LK Date 1I -1? -1 Amount of RACM or. ACM' square feetsurfadng material ilnear feet pipe cubic feetof RACM offfaclllty components .squarr(halt 'Identify and describe surfacing material and other materials as applicable: I certify that the above information is correct and that an individual trained In the provisions of this regulation (40 CFR Part61, Subpart M) will be on- site 'ng the demolition or renovation and evidencethat the required training has been accomplished by this person will be available for inspection dur n normal bus)nn'hours. I have read 99nders orf the additional information provided on the back of this form. ...")-02-G�-•� ��` N / tPrint Name of0- wruyl� rat ` 'pat. of •Ovmer/Opera( r7 � (Date) (Contact phone #) RER USE ONLY Postmark/Date Received ID # 161 01-158 10/10 DISTRIBUTION:. white'-RER Yellow -Applicant PInk-Reserve Gold -Reserve • • • . • .' • . . • ...... • • • . • • • • • ••• •• • • • ( RER/DERM ASBESTOS ROOFING APPROVAL .• WIVIEwER: 1 L c'1.- ..$IC'zNATtJRI;. • • • 11-t3-1-) TAN 'APPROVAL IS FOR ASBESTOS ROOFING ONLY •• • .•• • • • • • • MIAMIA3ADE COUNTY Florida Department of Department of Regulatory and Economic Resources Environmental Protection Environmental Resources Management 701 NW lst Court, 2nd Floor Division: of AirResource Management Miami, Florida 33136-3912 NOTICE. OF DEMOLITION OR ASBESTOS RENOVATION T:305-372-6925 Fax: 305-372-6954 mi'amidade.gov 0 COURTESY TYPE OF NOTICE (CHECK ONE. ONLY) : .> ORIGINAL TYPE OF PROJECT (CHECK ONE ONLY) : 0 DEMOLITION IF DEMOLITION; IS RAN ORDERED DEMOLITION? IF RENOV ATION: IS.ITAN EMERGENCY RENO •VATION OPERATION? 0 YES IS ITA PLANNED RENO VATION0 PERATIO ? 0 YES 1. Facility Name Stl o a,- e S l) t 1 + i e3 iP d Address geld=R . • (V e t /.v e i.r.,� c'1 Air Qualiit' city l.\l1%r�-.� Skt>, L3TJ on Consultant Inspecting Site ❑ REVISED 0 RENOVATION 0 YES ❑ CANCELLATION .1tO4�EtN1;� ❑ NO ❑ NO ❑ NO I1. Site Building Size 4 (Square Feet) #'of Floors % Building Age in Prior Use: ❑School/College/Unrversity 't l:iesidence ❑SniallBusiness Present Use: - ❑SchooVC ilege/Universfty ❑Residence ❑SmallBusiness Facility Owner nekti I Cryk, Address '2:2- I M.e r (A L�..t^ Years Other Other Phone City 11\A \ v " -.—. c.�/'► State i --I .zip 3 ).3 ei RI, Contractor' s.Name Peas 11.1 e (�c Phone Address '--1000 S c,:.2 21 P 4 C f..... ._J zip 3 .1.3 I) Is the contractor exempt from iicensureundersection 469:002(4), F .S.? Cal YES . 0 NO City7.1?a-\) \ ` State • • • • • • • . IV. Scheduled Dates: (Notice must be nnstmarked 10workina da' ue hefore the project•start.date) •• • • • • / •. j ••••• Asbestos Removal (mm/dd/yy) Start: _Finish:_ Demo/Renovation (mm/dd/yy) Sta.rt: VAS 17 FRdsh: f/ �3 . V. Description of planned demolition or rend'vatIon work to tie performed and methods to be employed, including demolition or renovatron techrilq es to •••• • be used•and description of affected facility components. • • •• • • rocedures to be Used (Check .AllThatApply): • •. •• • • • •• • • • • Strip and Removal VIII Glove Bag: • Bulldozer ��--• • • Wiic41ng Ball . ►� WetMethod ■. Dry Method 0 Explode L__,' Burnbown . • OTHER: •• • • • . . • • t. -- ...• Procedures for Unexpected RACM: N e ya�� a • • AsbestosW asteTransporter: Name -fart- 8/..4...1-,-1/-e_ rea,74-ePhone q)4 7 7443 •• Address 'JO CO S u- .? 1 -r%/!e e .6 i % .1 City .704L I f .State- i___-2Ip 3 3 I'7 Waste Disposal Site: Name . ''CO _ c% /ce.7 +-1} 'L Addres i rq q 1 A- if MIAMI -DADS D.E.R.ivi, 33A1 17IUALITY MANAGEIMENTgIVISION City. , eni State FI Zip iX. RACM or ACM: Procedure, lnduding alytrcaI� ethods, employed to detec /-f/ 1/-.6 Amount of RACM or ACM* squarerfeetsurfacing material linear feet pipe cublc feetof RACM off facility components Identify and describe -surfacing material and other materials as applicable: t the presence.of RACM d Cat o 1 an' 11non r a e Mils Iseto certify that the required Notrfication(b) Regarding asbestos have been submitted in Compliance withi square feet cementiflou^ lable regulations. square tett reslllentfl• fl� .square feeagiliektfroo •.••• •• . • • •••• • • Date .I l--13--17 I certify that the above information is correct and that an Individual trained In the provisions of this regulation (40 CFR'Part 6l,.Subpart M) will be on- site d ng the demolition or renovation and evldence'that the required tralning has been accomplished by this person will be available for Inspection duyj ormal busines ours. l have read �rtd�inde�rstood the additional information provided on the back of this form. Print Namep • r/0pe /1 re of Owner/Operat (Date) (Sign 4P/ --W7 Contact phone #) RER USE ONLY Postmark/Date Received ID # 161 01-158 10110 DISTRIBUTION:. White-RER . Yellow -Applicant Pink -Reserve Gold -Reserve . • .. • . . . • • • • • .. •• • • • • • ••• • • • • • • •. • •. •••• • • • • • • • • .• RERCDERIVI ASBESTOS ROOFING APPROVAL REVIEWER: SIGNATURE: DATE: THIS APPROVAL IS FOR ASBESTOS ROOFING ONLY Florida. Department of Environmental Protection Division of Air Resource Management MIAMIDADE COUNTY Department of Regulatory and Economic Resources Envlronmentai Resources Management 701 NW 1st Court, 2nd Floor Miami, Florida 33136-3912 NOTICE OF DEMOLITION OR ASBESTOS RENOVATION T: 305-372``-6925 Fax: 305-372-6954 nliamidade.gov TYPE OF NOTICE (CHECK ONE ONLY) : ORIGINAL r E 'HIVE E �, C s URTESY ❑RENOVATION � � �' 0 REVISED 0 TYPE OF PROJECT (CHECK ONE ONLY) :DEMOLITION ❑ YES ❑ 14,E NOV 13 2017 IF DEMOLITION; IS IT AN ORDERED DEMOLITION? IF.RENOV ATION: iS ITAN EMERGENCY RENO VATION OPERATION? IS ITA PLANNED RENO VATION PERATIO ? I. Facility Name (3110 v- I S lit 1 'C.• r-) Address ICI �171 iV C t -i �'' /�v e ❑ YES ❑ NO File # ❑YES ❑ NO' Air Etteafty • g Ma„agement Division r.•a c'1 City j111A�•„�� c 4�re State Zip �g i38' County jll li4mi Da (ie. Site Building Size t"' (Square Feet) '# of Floors % Building Age In Years Prior Use: ❑School/College/University Residence ❑Stria!!Business Other Present Use: ❑School/ColleQe/University ❑Residence ❑SmallBusiness Other 11. Facility Owner n11C.�1(Lt.- 1 r)t..'xS ' 'Phone Address Q00 -7 N e L-1 A9 `C tac c 1. 1 3)4-3 City NO tat-vw1 tkr)v-e 1State \ .zip ?3 1,1S-. 111, Contractor' s. Name •P11 --u1 e ` , i Phone 4 City Ask,\.. State .I Zip 3 5 3 17 Mlle contractor exempt from :u Iicensurender section 469.002(4), F .S2 . . eu YES ElNO • • • •• •• IV. Scheduled Dates: (Notice must be nostmarked 10 workiria da • • v49;efore the projectstartdate) •• Asbestos Removal (mm/dd/yy) Stant.(r FinisbL • r _ Demo/Renovation (mm/dd/yy) Salic: i �n Finish; 1 J - • . V Description of planned demolition or rend vation work to tie performed and methods to be employed, Including demolitiop9 r novation techn'Iq es to• Consultant Inspecting Site Address .T) CCO :• C :% '"L 1 & c .e- ci i •-7 ie L 3 • • • VI. VII. • be used and description of affected facility components. • -••• • • • rocedures to be Used (Check .AIIThatApply): • • •• •. • • • • • • •• • • 00000 • Strip and Removal ■ Glove Bag ❑ Bulldozer D • noting Ball • )$ Wet -Method ■. Dry Method ❑ Explode • [t Burn'Down • • • • • OTHER: • • • • • Procedures for Unexpected RACM: ' F7, e III / AsbestosW asteTransporter:, Name A L- 8G•. -e_ : C'4F Phone iii P'/ 7447 3 • Address 7 CO a Lc) -/ Le C % State / Zip 3 3 1'7 City VIIi. Waste Disposal Site: Name . 14'C.'P? 1-1-.7_61:174- Addres I rq L 5 ift city *vii /1,,„, i .State iX. RACM or ACM: Procedure, inc(udIng galytIcal y ethods; employed to detect 3 (-6 Sit/�� Amount of RACM or ACM' squarefeet surfacing material linear feet pipe cublc feet of RACM off facility components AA MIAMI-DADE D.E.R.M. zip .331�atALiTY the present . ftf?tCMitnc(��1�(tl)iffrf '0 1 lcat:on(s) Regarding asbestos have been suomitted in Compliance with A. -ble regulations. square feetcementitlous' • • er • g square fie tntfloori ./ Date square feet'3sphal • • MANALIbMEN1DIVISION *Identify and describe surfacing material and other materials as applicable: 111- 13-i 7 I certify that the above information is correct andthat an individual trained in the provisions of this regulation (40 CFR'Part 61, Subpart M) will be on- site during the demolition or renovation and evidence/hat the requiredtraining has been accompllshedby this person will be available for inspection du normal b. n s hours. l have re d tinderlatood the additional information provided on the back of this form. Pant Name' • 0 / er/0r • a[or) '(Sig • re of Owner/Ope tor) RER USE ONLY Postmark/Date Received (Date) iD41 69,1-7i-49 (Contact phone#) 161 U1-158. Ill/10 DISTRIBUTION:. Wblte'-PER. Yellow -Applicant Plnk-Reserve Gold -Reserve •• • •••• • •••• • 000000 • •' RER/DERM ASBESTOS • • ROOFING APPROVAL • • • • • •:• •• • • ••• • . •••• • ••• • • •.... ..... •• •• • •• ••• 000000•• • ••• • • • • • 000000 • • • • • • • • REVIEWER: g - SIGNATURE: DATE: THIS APPROVAL IS FOR ASBESTOS ROOFING ONLY • • • • • k.4,,,cts.„,,,.,,,x„it.,µ ._.. • •• Florida Department of Department of Regulatory and Economic Resources Environmental Protection Division of AirResource Management NOTICE. OF DEMOLITION OR ASBESTOS RENOVAT TYPE OF NOTICE (CHECKONE.ON1Y) : A ORIGINAL 0 REVISED TYPE OF PROJECT (CHECK ONE ONLY) : ❑• DEMOLITION .0 RENOVATION IF DEMOLiT.iON; iS ITAN ORDERED DEMOLITION? . . ❑ YES • IF RENOV ATION: !WAN EMERGENCY RENO •VATION OPERATION? 0 YES IS ITA PLANNED RENO VAT1ON PERATiO ? 1 0 YES I. Facility Na e CIA ov-1 S 'J• L>nCI 0 cl — g Address c4 4 NI i . L -I t'" A -v e r e, t'l 0 Environmental Resources Management 701 NW 1st Court, 2nd Floor Miami, Florida 33136-3912 1-; Fax: 305-372-6954 miamidade.gov ►'` ESY ❑ NO r"T:. r. LATION 00Fi{ V 13 2017 ❑ NO AilieQDality 0 Na Managet Division City )111w'Nvv.‘ c `,O'fe S. . State •Zip -).gRS/ County ill 1imh11 DA (ie. Site Consultant Inspecting Slte y Building Size 4 (Square Feet) # of Floors l Building Age in Years Prior Use: ❑SchoolCollege/University •flesidence ❑Small Business Other Present Use: ❑School/College/University ❑Residence . ❑SmallBusiness Other R. Facility Owner 1/..-bC`rG--V\ &.\ ' t Phone Address ).). -5 %.J r: y . ILO t" •To.--i- city t. .. 2c r City r'Y' b! -loll t S Lk,1.nna' C. State 11 Zip S•31.1 g` . III, Contractor' s.Name Pc --.6I 9 tI e ( `-j • Phone c' q .1 _-r le Le 3 Address ' I OC(D S U.2 2.1 '7 .4 C -e....- . ) CIty 3 ) \. State ' ici zip 3 S 3 1 Is the contractor exempt from licensure undersection 469.002(4),F .S:? all YES 0 NO • • • • • • • • IV. Scheduled Dates: (Notice must be nostmarked'10 working de vc before the protect start date) • • • : •.. Asbestos Removal (mm/dd/yy) Start*, Finish:: Deino/Ren'ovatton (mm/dd/yy) SL% ff Finish' 1/ •2•�i$ . U Description of planned demolition or repo ovation work to Lie performed and methods to be employed, including deinolltlop 9tj novationtechn'Iq es to • be used and description of affected facility components. • • • . •' • o be Used (Check.AIIThatApply): • • •• •• • • • .. • •. • • • • ■ Strip and. Removal ■ Glove Bag ❑ Bulldozer. B• 11 • ecking Bali . jWet•Method ■. Dry Method ❑ Explode [�' Bumflown • • OTHER: •• • -- • VI. Procedur.es for Unexpected RACM: Pe f fi e w iy► VII. AsbestosWasteTransporter: Name -PA) l_ RG—Ate.= :e..•.. /.. -et `7(b Address CO ci'ti%, .? 1 %Le C''�' % city ,,D0 -01i; ..,.State i+Gi zip 3 3 !'7 VII.Waste Disposal�ite: Name . /`Ce _ ast - /r"'t'�.-05 c. Ad .dres a ?_LS •�' ..) ,vifMIAMI-DADC D.C.R.M. city �pv�i 1 �/L�. t...,-.:- 1 State FI Zip .33Gp 11ALIN MANAGEMENT DIVISION .iX. RACM or ACM: Procedure, Including alytieal tymetho s, employed to detect the presence.of RACM"a ate ory I an II nonfriable ACM. /tilt -6 lis is•to certi y that the required S 5 f% �' ` "�• �' ✓ Notification() Ruycr clic ry asbestos have been Amount of RACM or ACM" square feet surfacing material linear feet pipe cubic feetof RACM off facility components "Identify and describesurfacing material and other materlals•asappHeable: • • �• • •.•. • •••• • . • Phone q) 4 e-/-- 7 3 • sub square feet cementitlous m square feetresillentfloorin square feet gJj tpofl fitted in Compliance with Sir regulations. Date 1 k13-1 I certify that the above information is correct andthat an individual trained In the provisions of this regulation (40 CFR"Part61, Subpart M) will be on- site d ng the demolition or renovation and evidence'that the requlredtratning has been accompllshed•by thls person will be available for inspection dor • ormal bust hours. I have read and erstood the additional Information provided on the back of this form. Ai 5 ((Signet of Owner/Operator) RER USE ONLY //--7-/? owi-765 (Date) • (Contact phone #) Postmark/Date Received ID# 161 01.15$. 10/10 DISTRIBUTION:. White-RER Yellow -Applicant • Pink -Reserve Gold -Reserve . • • • • • • ` • •.•O•• • •. • •• • 11 • • • • • .••••• • • • • • • • •• • • •OOOOOO • •• •• •• • • • • • • • • • • • • •• • • • • • • • • • ••• • •• Florida. Department of Dopartme Environmental Protection Division. ofAir,Resource Management NOTICE OF DEMOLITION OR ASBESTOS RENOVATIO TYPE OFNOTICE (CHECK ONE. ONLY) : /" ORIGINAL TYPE OF PROJECT (CHECK ONE ONLY) : 0 DEMOLITION IF DEMOLITION; iS IT AN ORDERED DEMOLITION? IF RENOV ATION: IS iTAN EMERGENCY RENO •VATION OPERATION? ❑ REVISED 0 RENOVATION OYES. ❑YES IS ITA PiANNEED RENO VATION OPERATION 0 YES I. Facility Name Silo v• t% t d Address y� : . N e L -I tj" /NA) ..c,o c.1 !IMMO COUNTY t of Re • ul • t • • mlc Resources ' u • s Management t�`+ ourt, 2nd Floor •r'•a 33136-391.2 NOVY3Q5537�25 Fax: 305-372-6954 1 3 ( mi'amidade:gov ❑ CANCELLATION ❑ COURTESY ROOFING .Air Quality 0 NO Management Division 0 N File # 0 NO . Process # City 1\111'Nr- S . State Site Zip 1'3 � County 1.1) )t111) ) Building Size `-f (Square Feet) Prior Use; ❑School/College/University tfResidence Present Use: 0 Schooll lege/University❑ Residence Facility Owner A'/��t th /.e. : lin, �%x is s / _ Address qG.(- /V 5 ei r%L''/Z J -#- /%%SS Consultant Inspecting Site # of Floors 2_ Building Age in Small Business Other ❑SmallBusiness Other 'Phone Years • City -S/, n h' r` 5 .� State -rl Zip -? 1 r11I, Contractor' s.Namecas i `51. P !t�4 Phone Address "1 CSO S L:9 "LA •&i C. -e....- Citya-� \ `fi State IF1 IV. v 1X. Zlp 3 3 1 • ) Is the contractor exempt from Iicensure.un.dersection 469.002(4), F .53 a YES ❑ NO ••, •• • • • • •• Scheduled Dates: (Notice must be postmarked 1O worktrio da uc t;efore the project start date) •• • Asbestos Removai (mmidd/yy) Start.. _Finish:_ Demo/Ren'ovation (inm/dd/yy) Start:: 3 i7 Muir //2-)14" Description of planned demolition or rerio vation work to 6e performed and methods to be employed, including deinollttor; o Erenovation techmgites to • be used and description of affected facility components. • • gr_ • e • • • ••••• • • �• • Procedures to be Used (Check .AilThatApply): • • • • •• •• • • • • •. • • Strip and Removal 1 Glove Bag. ❑ Bulldozer B • • tdfi9cYing Ball • XWet Method NIDry Method ■ Explode • Burn i)own. • • OTHER: • •• • • • • • Procedures for Unexpected RACM: No Fly £ e w111 111 Asbestos WasteTransporter: Name -t_. G- -e_ let %-e' Address 7oOa S t t.% ‘,.-1 1 ee e e.....l. City -70 qt,1 W J -, State 4 ( Zip Waste Disposal bite: Name ._ /C D ivet• !"z.'. /�" i�0j-nc. • • • Phone 7z, .* X3311 Addres,Yl� i 3_1 9 .' l jq..LT MIAMI-DADE D E R illi City t• - State FI Zip 33041tt ITY MANAGEM ftT n� 1/ RACM or ACM: Procedure, indudIn al teal ethods, employed to detect the resence.of RAC C e o and 1f noniitableA�FA!SION g y p '�° % c�errt ty that the required 43tit, 5f fr Nnt cation(3) drag asbestos have been Amount of RACM or ACM' square feet surfacing material linear feet pipe cubic feet of RACM off facility cornponents `Identify and describe. surfacing material and other materials as applicable: . submitted in Compliance with square feet cementltiou square feet resillentfloorit}�rtppirc� le 9ulations. ; •,.,„ square SirSaaltroofiG e 1,4 ,) Date ( I certify that the above information Is correct and that an Individual trained In the provislons of this regulation (40 CFR'Part61, Subpart M) will be on- site during the demolition or renovation and evldence'that the requlred'tratning has been accompllshedby this person will be available for inspection durin < < rmal •usine s hours. I have read and • . erstood the additional Information provided on the back of this form. "") . - /1, ,t. %t -- (Print Name ofOvn1n/0�perat • 4-�.. ,.-. - -� // 1 /7 9 Q r 7 a3 gniure of Owner/Operator) �) ate (Contact phone #) .RER USE ONLY Postmark/Date Received iD # 161_01.158 Ibiro DISTRIBUTION:. White-RER Yellow -Applicant PInk-Reserve Gold -Reserve 1 • • •••• • •••• • - - ROOTING APP1117::7:',.' • • . • G. • 1 DA VE:___ ild.3.2-7---------------------------. 0 • • • TILLS APPROVAL IS FOR. ASBESTOS ROOFING ONLY ...... . . • • • . 4 ' • • • • • • • mob ..... ..... • • OOOOOO OOOOOO • • • • • • • • • 11 •• • • • • OOOOO • • • • OOOOOO • OOOOO 1 • • 0 • • • • • 0 • • • • • • • • • • • • OOOOOO 1 • • ••• • • • • Florida. Department of Environmental Protection Division. ofAir:Resource Management NOTICE OF DEMOLITION OR ASBESTOS RENOVATION MIAMIDADE COUNTY Department of Regulatory and Economic Resources Environmental Resources Management 701 NW 1st Court, 2nd Floor Miami, Florida .33136-3912 T: 305-372-6925 Fax: 305-372-6954 miamidade.gov TYPE OF NOTICE (CHECK ONE.ONLY) : ,A ORIGINAL 0 REVISED TYPE OF PROJECT (CHECK ONE ONLY) : ❑- DEMOLITION .❑ RENOVATION IF DEMOLITION; i5 (TAN ORDERED DEMOLITION? . ❑ YES IF RENOV ATION: i5 RAN EMERGENCY RENO VATION OPERATION? 0 YES 15 ITA PLANNED1RENO. VATION PERATIOIil i r� 0 YES I. FadlltyName Silo t.-- i S. 't i1(1• (--6mc 0' 2 d -g Address q 02 q . N e t -•i' tA' /-v e kr.o ri City 111x21" -A r ker,,r—e S. . State Irl •zip ❑ CANCELLI .R00FING ❑ NO 0 NO F! a li NOV 13 2011 - . ❑ NO'. Process # • . Air ()ugly ManhaC1) V meetDe d( Dtvtsion 13g County 1 )14e Site Consultant Inspecting Site Building Size 4 (Square Feet) y� . if of Floors % Wilding Age In Years Li Prior Use: ❑School/College/University '1f$esldence ❑SniallBusiness Other Present Use: School/College/Ur4verslty ❑Residence ❑SmallBusiness Other II. Facility Owner /` 4//1 % ii 'Phone Onl_a- 47D3 i + - 'e S .� - State i— i Zip ? ,3 / 3 III, Contractor' s.Name Pe...0 i `7fJ. e CCK— Phone Address '7l`CCO S C:7 2.1 11 z I C. -L,� .) City `t - j `t «.. State �I Zip 3 5 3 17 J Is the contractor exeniptfrom ilcensure.undersection 469:002(4),F .S:? fel YES 0 NO IV.Address q / fr' �j`� /l ' (d k City ill / 9- I•+.+_ r �/ e) /2 4)cr-l-1 �Le..3 • • • . • • • • • Scheduted Dates: (Notice must be unsrmarked 10 warktna da t' I efore the project start.date) • • • e / • • Asbestos Removal (mm/dd/yy) Start;. Flnisti:_ Demo/Ren'ovation (m(eR (mm/dd/yy) S• ,Q3 II F4�lish:'11 l3 /� • U Description of planned demolition or reno ovation work to be performed and methods to be employed, Intludtng demqoiitiSAter vatlon techs es to• • . tion of affected''facility onents: facill components: • •••• • •• be used and description • p p •••• •••--- .• • Procedures to be Used (Check .AIITha'tApply): • • • • •• • • • ••••• ■ Strip and Removal 1 Glove [lag ■ Bulldozer E1 • Waking Ball j (Signa u of Owner/Operator " j (Date) * Wet Method ■. Dry Method ■ Explode Q Bdrnpown . • • OTHER: • •. •• ••, - • • VI. Procedures for Unexpected RACM: /�� y 4 e itjy' VII. Asbestos W asteTransporter:_ Name -Pia Address 2g00 3 2.44,. i - /L.e C' - / . 1. City .1)19-0 i er State Zip VIII. Waste Disposal Site: Name . I C( W�"c - Ant. X3317 •• • ••• • • • • • ••••• • • • • Phone 4 r/ 74 4, 3 • • AddresJ� �' �_,_� �cS ,� 1"� MIAMI-DADE D.F R M 'r' /"ri>i'`b/G,�. Yt� 1 .State F z( .33&I,il3°�UALITY MANAGEMENT City . r' p DIVISION iX, RACM or ACM: Procedure, IncludIng alyticai methods; employed to detect the presence of RAGA Shd e01:0Vi) Mrt(*Whd }h-�i- `j f1 h-.. bS,t/ii' Notification(s) Regarrling achestos have been Amount of RACM or- ACM' submitted in Compliance with square'feet surfacing material square feet cementltlo r : }eptibable regulations. linear feet pipe square feet resilient.flo cubic reet'of RACM off facility components .square feetki'fltddi 'Identify and descrlbesurfacing material and other materials as applicable: Date' �—i 3—i 7 I certify that the above Information is correct and -that an Individual trained in the provlslens of this regulation (40 CFR'Part61, Subpart M) will be on- site no the demolition or renovation and evidence'that the requlredtraining has been accomplishedby this person will be available for inspection d n normal bun hours. I have read under tood the additional Information provided on the back of this form. t 14j (Print Na .eoF0 pe ) / / // (I� 7 j (Signa u of Owner/Operator " j (Date) (Contact phone-#) .RER USE ONLY Postmark/Date Received iD # 161 01.158. 10/10 DISTRIBUTION:. White-RER Yellow -Applicant • - Pink -Reserve Gold -Reserve • • • • •• • • • • • • •• • • • • • • •••••• • • • •••• • •••••• • • • •••• • • ..... • 0 • • • • • •• •• •• •• • • •••••• •• • • • • • •••••• • • • • • • • ••••• • • • ••• • •• • • • 490 .,asaaetia%syn sa ASB ESTO ) ROOFING REVIEWER:_ • C,DINI SIGNATTURE: `--' DATE- 1) t THIS APPROVAL IS FOR ASBESTOS ROOFING ONLY �, r