Loading...
RF-18-600Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue Date: 3/16/2018 Permit NO. RF-3-1 8-600 Permit Type: Roof Work Classification: Tile Permit Status: APPROVED Expiration: 09/12/2018 Parcel Number Applicant 553 NW 112 Street Miami Shores, FL 33168- 1121360210920 Block: Lot: MYRTIS SPENCER Owner Information Address 553 NW 112 Street MIAMI SHORES FL 33168- Contractor(s) Phone GEORGE W PEARSON DBA AMERICA (954)646-2283 Cell Phone Phone Cell Valuation: $ 7,000.00 Total Sq Feet: 1826 Type of Work: Re Roof Additional Info: REMOVE & REPLACE > SHINGLE ROOF Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $4.20 $4.13 $2.75 $1.40 $275.00 $9.00 $5.60 $302.08 Pay Date Pay Type Invoice # RF-3-18-66719 03/08/2018 Check #: 5412 03/16/2018 Check #: 5472 Amt Paid Amt Due $ 50.00 $ 252.08 $ 252.08 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Renailing Affidavit Review Roof Cap Sheet 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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons uction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent March 16, 2018 Date Building Department Copy March 16, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33136 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number. INSP-000968-2018 Permit Number: RF-3-18-600 Scheduled Inspection Date: October 24, 2018 Inspector. Naranjo, Ismael Owner. MYRTIS 0 SPENCER Address: 553 NW 112 ST Miami Shores, FL 33168 Project: <NONE> Contractor: GEORGE W PEARSON DBAAMERICAN HOME CARE GEORGE W PEARSON Permit Type:. Roof Inspection Type: Roofing Final Work Classification: Tile Phone Number: Parcel Number 1121360210920 Phone Number. 9546462283 Building Department Comments REMOVE 8 REPLACE> SHINGLE ROOF Checklist Item General Comments Passed False Comments Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October, 23, 2018 For Inspections please call: 305-762-4949 Page 26 of 26 08/13/2018 19:20 FAX 3057587789 myrtis spencer L 002 August 13, 2018 MS. MYRTIS SPENCER 553 NW 112 STREET MIAMI, FL. 33168 PH: 305-758-7789 MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES, FL. 33138 ATTN: BUILDING DEPARTMENT PERMIT CLERK RE: PERMIT NO# RF-3-18-600 - RE -ROOF ATTACHMENT: INSPECTION AFFIDAVIT PERMIT ISSUED ON MARCH 8TH, 2018. JOB BEGAN IN JUNE. AS OF TODAY; AUGUST 13, 2018, ROOF IS INCOMPLETE. NO INSPECTION REPORT INFORMATION RECEIVED FROM CONTRACTOR. COMMUNICATION IS POOR. LAST PROMISED COMPLETION DATE IS AUGUST 17TH, 2018. PLEASE PROVIDE STATUS OF PERMIT. PERMIT EXPIRES SEPTEMBER 12, 2018. RESPECTFULLY; MYRTIS SPENCER. (14 in' , CAA 08/13/2018 19:20 FAX 3057587789 myrtis spencer l 003 M iami hores i(fage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # INSPECTION AFFIDAVIT licensed as a (n) Contractor / Engineer / Architect, (Print name and circle license Type) License #: OE C C ep cc C- On or about work at DATE: FS 468 Building Inspector , I did personally inspect the roof deck nailing �(Date h time) / , S 3 Ai(N j( 2- Lj ' (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on y553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this _ day of Notary Public, Sate of Florida at Large ! v.(.,t,----z� 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. IncfifiN,phe'togtaph$ of each,Rl;rne et tite root with permit # and address # clearly shown marked on the deck for each inspection pmdnnA n.. iwinnn1n�sn+.nnnn 08/13/2018 19:20 FAX 3057587789 myrtis spencer E001 Cover Sheet Date: 3-- ig • Message To: /vb.; Sor E1L,J,g Contact No# 3 05- 795 22014 Message From: M r is it�l�.tr Contact No#: 305. 7:Sg- 7'784 Number Of Pages To Be Sent (Including Cover): 3 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: 553 NW 112 ST City: Miami Shores Folio/Parcel#:11-2136-021-0920 Occupancy Type: 101 Load: 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 ROOFING ❑PUBLIC WORKS County: ❑ REVISION RECEIVED MARS 2018 FBC 200 Master Permit No. ikfi 18 _ boo Sub Permit No. ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS Miami Dade Zip: X Is the Building Historically Designated: Yes NO ROOF Construction Type: Flood Zone: BFE: FFE: MYRTIS 0 SPENCER OWNER: Name (Fee Simple Titleholder): Address: 553 NW 112 ST City: 7000.00 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ® Repair/Replace ❑ Demolition Description of Work: REMOVE AND REPLACE SHINGLE ROOF MIAMI SHORES Tenant/Lessee Name: NA Phone#: NA Email: FL 305-333-4184 Phone#: 33168 State: Zip: CONTRACTOR: Company Name: AMERICAN HOME CARE 954 646 2283 Phone#: Address: 6701 CYPRESS RD 201 PLANTATION FL City: State: GEORGE W PEARSON Qualifier Name: 33317 Zip: 954 646 2283 Phone#: CCC056760 State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: NA Phone#: Address: City: State: Zip: 1826 SF Specify color of color thru tile: Submittal Fee $ wld Permit Fee $ a'v CCF $ CO/CC $ Radon Fee $ ' R DBPR $ —1 . V3 Notary $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE$ a�. 09 Scanning Fee $ Technology Fee $ Structural Reviews $ (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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 5 MACH MYRTISd0 by of SPENCER 20 18 who is personally known to me or who has producedasas identific letrkil i a an oath. NOTA 16�SSIONv if�U . �'% * {f.e�ft%tZr.w u ST►e (GINLu1 #i;" 033}62 � 1�4ik'�x``ti seal: */,,,1"1; /urge����+y���� Signature CONTRACTOR The foregoing instrument was acknowledged before me this MARCH GROGEdW PEARSON 20 18 by who is personally known to me or who has produced as identification and who did take an oath 111111111//p/, NOTARY PUBLIC: �\a\.... �Q STIr "i, ,' Y '�M1SSIUN• .'r %, Sign: � I RY 2l A<V4T( (-c.gµ1C ? if • #v® •-04,10-4 Seal: sy0 •.-,o ��ed ihJ31`3 �„cj o• . f- biirUncie,•• O �.� d��,1`4'¢/// f6111I4111kA� \\Ra Print: *.**************►***************F******* ******************************************************************* 4r APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk Miami Shores ' illa e 9 Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: f0,-t to T-t S b . 5 0,a,4,c Property Address: 55-3 Lt../ f1-2. ST• Date: .1 / it( `7 Roofing Permit Number: Dear Building Official: I 11A1..to rt"s v• VA•..-..c 'i - certify that I am not required to retrofit the roof to wall connections of my building because: tg,Thjust valuation for the structure for purpose of ad valorem taxation is Tess than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) /1-1 Li !iL 7`( S lj' Signature Print Name State of Florida County of Dade NI111I II ttio The undersigned, being the first duly sworn, deposes and says that he/she is the owne. $ Apo. v,91 43,,9erty mentioned. Sworn to and subscribed before me this —7 day of /1•4v4.-c.4 y, �(,,0J�Y23 �o .•) w ��s: = 3} .......... •• � Notary Public, Sate of Florida at Large /��--�� A ...c #,w o33tsz -4 :1-.:- •;.: When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, anF--P pibtic. Un�e'•-• O $ d°j bBil rg wac.rot`cp�4"str;—' with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane o 9i106�A ST�Z r ,ti,\ rFni;I Revised on 5/21/2009 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018 DBA: Business Name: AMERICAN HOME CARE Owner Name: GEOGE ,a PEARSON Business Location: 6701 CYPRESS RD PLANTATION Business Phone: 954-646-2283 Rooms Seats Receipt #:Roo'? NC -/SHEET METAL CONT. Business Type: (ROOFING) Business Opened:o9/15/2011 4201 State/County/CertlReg:ccc056760 Exemption Code: Employees 1 Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.001 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: GEORGE W PEARSON 66701 CYPRESS RD #201 PLANTATION, FL. 33317 RICK SCOTT, GOVERNOR 'LICENSE NUMBER This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2017 - 2018 Receipt #1CP-16-00016485 Paid 07/26/2017 27.00 07/25/2017 Effective Date KEN LAWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The ROOFING CONTRACTOR Named below IS CERTIFIED Under the "provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 • PEARSON;-GEORGE.WARR,Na- ,. AMERICAN HOME CARE :6701 CYPRESS RD ..._... UNIT.201 ` PL-"ANTA:110N " 'FL 3$317 R_ El ISSUED: 06/0212-016 DISPLAY AS REQUIRED BY LAW SEQ # L1606020001165 ACGRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/07/2018 THIS CERTIFICATE IS (ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Heart Of Florida Insurance Group/ Ocala 2801 SW College Road Suite 3 Ocala FL 34474 CONTACT NAME: House Account AX (ac No. Ezt). (352) 237-2700 ( , No): ADORlES% rob@heartflorida.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: ARCH SPECIALTY INS CO INSURED George W. Pearson, Inc dba American Home Care 6701 Cypress Rd, Unit 201 Plantation FL 33317 INSURER B INSURER C: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAfMS ILTR TYPE OF INSURANCE ADDL INSD SWVD POLICY NUMBER 4MUBR M/DD/YYYY) (MM/DD/YYY'YY) LIMITS A X COMMERCIAL GENERAL LIABILITY AGL004346600 12/10/2017 12/10/2018 EACF/ OCCURRENCE $ 1,000,000 CLAIMS -MADE ] OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GE X 'L AGGREGATE LIMIT APPLIES PER: POLICY L I JECT I I LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY SCHEDULED AUTOS NON -OWNED AUTOS COMOINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P ERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIQN$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below Y/ N N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101„Additional Remarks Schedule, may be:attached If more space Is required) General Contractor -remodeling & roofing CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd. Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Robert Sistrunk ACORD 25 (2014/01) ® 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW 05-13-2016 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER 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: PERSON: FEIN: 07/18/2016 PEARSON 651072942 BUSINESS NAME AND ADDRESS: GEORGE W. PEARSON INC DBA AMERICAN HOME CARE 6701 CYPRESS RD APT 201 PLANTATION FL 33317 EXPIRATION DATE: 07/18/2018 GEORGE W SCOPES OF BUSINESS OR TRADE: 1- LICENSED ROOFING CONTRACTOR 2- LICENSED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer 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 election to be exempt shall be subject to revocation if, 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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1 f AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 07/18/2016 EXPIRATION DATE: 07/18/2018 PERSON: GEORGE W PEARSON FEIN: 651072942 BUSINESS NAME AND ADDRESS: GEORGE W. PEARSON INC DBA AMERICAN HOME CARE 6701 CYPRESS RD APT 201 PLANTATION, FL 33317 SCOPE OF BUSINESS OR TRADE: t- LICENSED ROOFING CONTRACTOR 2- LICENSED GENERAL CONTRACTOR H E R E IMPORTANT OPursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D 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 election to be exempt shall be subject to revocation if, 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 meet; the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 INTERNATIONAL CODE COUNCIL' Master Permit No. Contractor's Name Job Address ROOF ASSE Florida Building Code 5th Edition (2014) , High -Velocity Hurricane Zone Uniform Permit Application Fi5nit' V. • !..; Section A (General Information) A*48;i1 • • • • • . Process No. A1. c-•644 sST tu I 000000 • 000000 • • • • • • • • • • • • • • • • . . • • • • • • • • • • • • • 0 Low Slope Sm‘haltic Shingles 0 New roof 0 Repair Low Slope Roof Area (SF) ROOF CATEGORY O Mechanically Fastened Tile O Metal Panel/Shingles O Prescriptive BUR-RAS 150 ROOF TYPE • • . • • • 4.05 • oo oo 0 Mortar/Adhesivi Set Tiles . ...... 0 Wood Stingiet‘Shakes• • • • • • • • . • • is • 1.00fing ROOF SYSTEM INFORMATION Steep Sloped Roof AREA (SSF)( 2-4 Total (SF) 1 000000 • • • • • • 0 Maintenance 0 Recovering •I • Section 13 (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- 1 sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 ma ' AI 1E11501 li 1 ii EN • II Ili Mil i PIPPII ilin ir•OM MI III ELM 1%. Milli MIMI tiLtel gluti:11111 ° Orli 11 .1 _El I Prdl NM II IR= n'il IE—HmEILIE...511 IN MIEI IN al all M um ME mil mil Mil , 1-jr— 1 1 4. 1 1 1 Mill ii ' I t — I Iii II gi •ki. 61 N MININIIIIIMINIIIIIImilmi • I • I 0- _Li 7 H I cl_ (r, C:`, c- .7 a: 0 Lu -J uJ LU 0 0 0 LLI ff• FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement, No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES g 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 15.36 SECTION 1525 HIGH -VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form INSTRUCTION PAGE • • • •• • •••••. • •••. •.•• • . •••. • . • • . .. .. COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING POIUIhh • • • • • APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTEtMOW: • • • • • Roof System Required Sections of the Permit Application Form Attachments Required See List B9fQW• • • Low Slope Application A,B,C 1,2,3,4,5,6,7 • Prescriptive BUR-RAS 150 A,B,C 4,5,6,7* • • Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation INTERNATIONAL CODE COUNCIL •. . • • •.• • • • •.•.•. • .• • • • • •• • ••.••• .• • •••.•. • • •.•.•. • • •..•. •.•.• ••••.• 000000 • • ••••.• • • FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczcr Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: Notice of Acceptance Number: /S- 67a j, i 9 1 1 •••• 1 • • • • • •••• 1 •••••• ••• . 1• • • Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1; P1: A414- P1: Roof S pe: �: 12 INTERNATIONAL CODE COUNCIL=°i Ridge Ventila(ion? Deck Type: y c-1 l,,b o 6 V� Type Underlayment: Mean Roof Height: / 7 Insulation: •••••• • , ••••• 1 •••••. • ••••.•1 • •••• •.•.• OOOO •••.•• • . • •••••• •••••• •. •• ••1 •••••••• 1 • • . • • • 1.••••. • • . •. . .• • • • . •• • Fire Barrier: N Fastener Type & Spacing: Adhesive Type: •••••. 1• • 1 1 1 '1 y r t 6 'rn..e. tp, G,uo(,o s1 Type Cap Sheet: 0,-- /0 Roof Covering: 5/ «�� o s Type & Size Drip Edge: 1 1 1 1 1 1 1 1 1 1 1 1 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.39 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezcr Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. SECTION 1524 HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROQPIi4G• CONSIDERATIONS : .• • • • . . • 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to prow Jhe owner vith7 • the required roofing permit, and to explain to the owner the content of the section. The provisions of Sectigr Vi402 i ....: govern the minimum requirements and standards of the industry for roofing system installations. Additiort,fre following items should be addressed as part of the agreement between the owner ant thetepraotor. Theownt.'_ • initial in the designated space indicates that the item has been explained. • • • • •• ...... • . • • • • •..... 2. ;lnS Renailing wood decks: When replacing roofing, the existing woo; roorcieck mdy have to be renailed in accordance with the current provisions of Section R4403. (The roof cleckis usually •. •. concealed prior to removing the existing roof system). • • • 4• Plc Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 6.Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4400 and R4413. Owner/Agent's Signature 3l?%9 Date 6-5-3 N (.v l l'1. 5 r Property Address Revised on 7/9/2009 LD;07/01/2015; Contractor Signature Date Permit Number ...... • • • • • ...... • • DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade. cov/economy TAMKO Building Products, Inc. • • 220 West 4th Street • Joplin, MO 64801 • .... •• • .••..• SCOPE: • • This NOA is being issued under the applicable rules and regulations governing the use of co nstnration maiei 1rThe ' documentation submitted has been reviewed and accepted by Miami -Dade County RER-ProdferCoptrol Section to be • ••; •..•- used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdicti5?i •(A�iJ). • • •' This NOA shall not be valid after the expiration date stated below. The Miami -Dade CountProduct Control Section ' • (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve tJit. right 1d Itallt this . product or material tested for quality assurance purposes. If this product or material fails to 112rfcrim in Ilia accepted; .... • manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,•modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. • • • • • • • •• •• DESCRIPTION: TAMKO Roof Shingles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA No.14-0306.02 and consists of pages 1 through 6. The submitted documentation was reviewed by Gaspar J Rodriguez. MANMADE COUNTY APPROVED NOA No.: 15-0709.19 Expiration Date: 12/01/20 Approval Date: 11/12/15 Page 1 of 6 •••••. • • ROOFING ASSEMBLY APPROVAL Category: Roofing ,Sub -Category: Materials: Deck Tyne: SCOPE Asphalt Shingles Laminate Wood •••. • • ••••. • . ...... This approves TAMKO's Heritage, Heritage Woodgate and Heritage Premium asphalt shingTc's:iitanufacturedby •..,. TAMKO Building Products, Inc., as described in this Notice of Acceptance and designed to coml'y'with the Florida Building Code High Velocity Hurricane Zones. ...• • • • ••..•. . " • PRODUCT DESCRIPTION Product Dimensions Heritage Manufacturing Location # 1, 2, 3 Heritage Woodgate Manufacturing Location # 1 Heritage Premium Manufacturing Location # 1, 2 MANUFACTURING LOCATIONS 1. Dallas, TX 2. Tuscaloosa, AL 3. Frederick, MD EVIDENCE SUBMITTED Test Ai encv Underwriters Laboratories, Inc. PRI Asphalt Technologies, Inc. MIAMI•DADE COUNTY APPROVED 131/4"x393/s" 13'/4"x393/g" 13'A"x393/s" Specifications TAS 110 ••.• ...... • . . Dimensional asphalt shingle. • . . • . • • .• . . •• . .• .. • ••• •• • Produt t NesSrintion • • • ...... • TAS 110 Dimensional asphalt shingle. TAS 110 Dimensional asphalt shingle. Test Identifier TAS 107 & UL 790 ASTM D3462 ASTM D 3462 & TAS 107 ASTM D3462 TAS 107 ASTM E 108 ASTM D3161, Class F TAS 100 TAS 100 TAS 100 TAS 100 TAS 100 TAS 100 Test Name/Report 04CA44252 02NK33813 R2919 Letter 4789110543 4787043752 TAP-129-02-01 TAP-130-02-01 TAP-131-02-01 TAP-303-02-01 TAP-307-02-01 TAP-317-02-01 Date 02/25/05 09/23/02 03/10/11 08/26/14 02/19/15 08/26/14 10/20/15 05/26/05 05/26/05 05/26/05 12/12/14 02/10/15 09/02/15 NOA No.: 15-0709.19 Expiration Date: 12/01/20 Approval Date: 11/12/15 Page 2 of' 6 ..... . . ..... ...... � • •••••• • . ...... LIMITATIONS 1. Fire classification is not part of this acceptance; refer to a current Approved Roofmg Materials Directory for fire ratings of this product. 2. Shingles 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 61G20-3 of the Florida Administrative Code. • • • • • .. INSTALLATION • ••.•• ••• • 1. Shingles shall be installed 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 `A', attached. " • • •' • • • • •.••.• 5. Nailing shall be in compliance with Details 'B', attached. • • • • • • • • • • •••••• •••••• LABELING •• • •'• • Shingles shall be permanently labeled with the manufacturer's name and/or logo, city and state of mahffturing facility, and the following statement: "Miami -Dade County Product Control Approved" or with the Miami -Dade County Product Control Seal as seen below: MIAMI•DADE COUNTY APPROVED BUILDING PERMIT REQUIREMENTS As required by the Building Official or the applicable Building Code in order to properly evaluate the installation of this system. This Notice of Acceptance on its own cannot be used to obtain a building permit. MIAMI•DADE COUNTY APPROVED NOA No.: 15-0709.19 Expiration Date: 12/01/20 Approval Date: 11/12/15 Page 3 of 6 • • 6-1 /8" DETAIL A HERITAGE, HERITAGE WOODGATE, AND HERITAGE PREMIUM All dimensions are in inches. • • 5TH COURSE ••.'; •••••. . •••••• 4TH COURSE 23 3RD COURSE 29 Full 2ND COURSE DETAIL B HERITAGE SHINGLE FIG. 1 FASTENING PATTERN All dimensions are in inches 39-3/8" • • • • • • • • • • •.•••. • • •• •• ••••.. • • • • • • • • • • •• . 1ST COURSE 1" 7 /2 " 7 14" 7 3/a" 7 ,1/2" 7 ,1/4" 1" ®< >< >< >�< >< >H • • • • • • 13-1 /4" • ... • . •••. •••••• • • • • • • • •• •• • .•••.• • • • 000000 • • • • • •••. ••... • •"•• • .••••' •• •••.••• • • • • OOOOO• OOOOOO • • • •• • •••••• • • • • • 5-5/8" Exposure MIAMU3ADE COUNTY APPROVED NOA No.: 15-0709.19 Expiration Date: 12/01/20 Approval Date: 11/12/15 Page 4 of 6 DETAIL B (CONTINUED) HERITAGE SHINGLE FIG. 2 ALTERNATE FASTENING PATTERN 1"1l' i 4 12-1 /?." ►; { 2 i tj r� +I • • 12-1/2" w11.41 • i . • • •Q ComraoQBond FASTENERS idoordo n N\\'w•••• ••••s• / \ •• • •• . -z +1%f • '• ••• • Poi • \ r 39-3/8" HERITAGE SHINGLE (TUSCALOOSA, AL) FIG. 3 ALTERNATE FASTENING PATTERN HORIZONTAL NAIL SPACING IN ACCORDANCE WITH FIG. 1 OR FIG. 2. VERTICAL NAIL SPACING ALLOWED ANYWHERE WITHIN NAIL ZONE. PAINT LINE., 7-7/8" *� 6-1/8" ACCEPTABLE / FASTENER LOCATION DO NOT FASTEN ALONG EDGE OF COMMON BOND PREFERRED FASTENER LOCATION MIAMI•DADE COUNTY APPROVED •••• • • • • • •• •• • • • •••••• • •• • • • • .• • ZONE A LEDGE OF COMMON BOND • \\ EXPOSURE 5-5/8" NOA No.: 15-0709.19 Expiration Date: 12/01/20 Approval Date: 11/12/15 Page 5 of 6 • • • • . • • •• ••.••• • •••••. • • . •••.• • • •...• •••••• •• OOOOO• • • •••.•• • • HERITAGE WOODGATE & HERITAGE PREMIUM SHINGLES FIG. 4 FASTENING PATTERN All dimensions are in inches 39-3/8" in 7 %2" 6 'A" 9 3/8" 6 %2" 7 %2" • . • • • . 6" END OF THIS ACCEPTANCE MIAMI.DADE COUNTY APPROVED al .• • • . .• • . • • • • • .•• • 4 3-1 /4" ..• • • ..•. • . • ..• •••. •..... • • • •• • . • • 000000 •• • • • • . •. • .5-5/8" •• • .xposuie oo • ;I. • • •• • •• . • • • .• • NOA No.: 15-0709.19 Expiration Date: 12/01/20 Approval Date: 11/12/15 Page 6 of 6 00000 .••.•. .• ••..:• • • 000000 • • 00000 • • •..•.. TFWZ.R2919 - Prepared Roof -covering Materials Page 1 of 1 $ee General Information for Prepared Roof-coverina Material% TAMKO BUILDING PRODUCTS INC 220 W 4TH ST PO BOX 1404 JOPLIN, MO 64802-1404 USA ONLINE CERTIFICATIONS DIRECTORY TFWZ.R2919 Prepared Roof -covering Materials Prepared Roof -covering Materials • .••••• • • •••. •• • •••••. • • • • ••• •• ••••.. • •• R2t19 •••• •••• • • ••••••• • •• • •• ••••• • • • •••••• •••••• • • • • • • Asphalt glass fiber mat shingles designated Glass -Seal, Elite Glass -Seal, Heritage, Heritage IR, Heritage Woodgate7Heritage Premium, Heritage • Vintage and Shingle Starter for Installation as Class A prepared roof coverings, suitable for Installation on minimum 3/b In. thick plywo tlndks.• •••••• Also Classified In accordance with ASTM D3161, Class F. Also Classified In accordance with ASTM D3462. Also Classlfleein accidence with CSA- • • A123.5. Also Classified In accordance with ICC ES AC438. • • • • • • •••••• • • • • •• • Asphalt glass mat shingles designated Glass -Seal, Elite Glass -Seal, Heritage, Heritage Woodgate, Heritage IR, Heritage Premium, Heritage Vintage and Shingle Starter for Installation as Class A prepared roof covering when used with minimum Type 30 underlayment over existing wood shingle roof. •••••• • • Hip and Ridge Shingles designated "Hip and Ridge IR", "12 x 12 Hip and Ridge" and "12-1/4 x12 Hip and Ridge" for Installation as Class A prepared roof coverings. Also Classified In accordance with ASTM D3161, Class F. Also Classified In accordance with ASTM D3462. Also Classified In accordance with ICC ES AC438. Hip and Ridge Shingles designated "Heritage Vintage 12 x 12 Hip and Ridge" for Installation as Class A prepared roof coverings. Also Classified In accordance with ASTM D3161, Class A. Also Classified In accordance with ASTM D3462. Also Classified In accordance with ICC ES AC438. Last Uadatee on 2014-04-30 Questions? print this aaae Terms of Use Pace Too © 2015 UL LLC 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 Certified 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, Assemblies, Constructions, Designs, Systems, and/or Certifications (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 frorn the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must Include a copyright notice In the following format: "© 2015 UL LLC". • • •••••• • • • • ••••• http://database.ul.com/cgi-bin/XYV/template/LISEXT/1 FRAME/showpage.html?name=T... 10/8/2015