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RF-16-1815Reileh Engineering Corp. (Consulting Engineer) 2370 Southwest 123"' Avenue Miami, Florida 33175-1174 Tel : 305-823-8008 / 305-397-6414 Fax: 305-823-3300 / 305-884-8834 Website: www.reilehengineering.com C 15-t624 June 27, 2016 AG Star Construction Inc. 1827 Northwest 1 Street Miami, Florida 33125 Project: Dear Sirs; Visual Roof Inspection Residential Home - 1201 Northeast 94 Street Miami Shores, Florida J' Project Number: 16-0701 (Testing Laboratory Certificate # 11-0715.04) 1-1 In accordance with your request and authorization, on June 24, 2016, a representative of Reileh Engineering Corporation performed a visual roof inspection for the flat roof at the above referenced project. This inspection was performed, by means of visual observations and conducting roof field measurements, to examine the tin capping and hot mopping of the newly installed roof system. At the time of our inspection, the installation of the roofing materials was in progress. The followings wire found: Flat Roof (Photo 1 of 6) 1. The roof system consisted of one layer of base sheet and two layers of fiberglass roof felt. A layer of mineral surfaced cap sheet will be mopped as surfacing material. 2. The base sheet was noted to have been mechanically attached to the underlaying roof wood deck. The nailing pattern for the field area was noted to be between 4 and 6 inches on center at the 4" side laps and three rows between the side laps at a fastener spacing between 5 and 7 inches on center (Photo 2 and 3 of 6). 3. The nailing pattern for the perimeter area was noted to be between 4 and 6 inches on center at the 4" side laps and seven rows between the side laps at a fastener spacing between 5 and 7 inches on center (Photo 2 of 6). 4. The type of fastener used was 1-1/4" ring shank nails thru 1-5/8" tin caps. 5. On top of the base sheet, two layers of fiberglass roofing felt were mopped. The amount of asphalt used was noted to be adequate where the roofing felts were not touching (Photo 4 and 5 of 6). 6. Along the roof perimeter, metal drip edge was noted. This metal flashing was mechanically attached to the roof deck with 1-1/4" ring shank nails at a fastener spacing of approximately 4 inches on center (Photo 6 of 6). Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. Please review the result reported and if you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation M.hamad Sonny Salleh, P.E.49014 Project Manager Visual Roof Inspection Residential Home 1201 Northeast 94 Street Miami Shores, Florida Project Number: 16-0701 (Testing Laboratory Certificate # 11-0715.04) Submittals: Cover Page Signature Page Photo 1 thru 6 of 6 "rrr wr.�r.iss �ireMOM.►r��i!i•� w`: irrr �' OM MM. MUM,,1111.1111111 .10•111.1.•1111.6.4 MO mad NM Min NM AIM : Mat Inn .11.1011. 4•111.1•101 UM M.1110.1.0.1 OM MY AIM ew 451. era 45 ams a0 4Za ,•1111,' • Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Issue Date: 6I30/20f6 permit N©. RF4-16-1`815, ' Peri if Type: Roof.. Work=Classifioairion: Flat; Permit Status:APPROVED Expiration: 12/27/2016 Applicant 1201 NE 94 Street Miami Shores, FL 33138- 1132050100010 Block: Lot: BERNARD LEE Owner Information Address Phone Cell BERNARD LEE 1201 NE 94 Street MIAMI SHORES FL 33138- (954)673-6513 1201 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) LIBERTY ROOFING GROUP INC Phone Cell Phone Valuation: Total Sq Feet: $ 2,000.00 256 Type of Work: Additional Info: Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $1.20 $3.75 $3.75 $0.40 $250.00 $9.00 $1.60 $269.70 Pay Date Pay Type Amt Paid Amt Due Invoice # RF-6-16-60395 06/30/2016 Cash $ 269.70 $ 0.00 Available Inspections: Inspection Type: Tin Cap Final Roof Roof in Progress Renailing Affidavit Review Roof 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 construction ary 1 zoning. Futhermore, I authorize the above -named contractor to do the work stated. Authori� ignatu : Owner / Applicant / Contractor / Agent June 30, 2016 Date Building Department Copy June 30, 2016 1 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: City: 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 FBC20(I-5 Master Permit No. RC - 6 - / J - / D .,2 Sub Permit No.-F" (b - 1 8 15 Ilyr ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS (2 f ,J-E S T iLE Miami Shores County: Folio/Parcel#: it - 32 0,5-- Dir) - 00/ v Miami Dade Zip: 33 ( 3� Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Siixf ple Titleholder): ,t 111" 0 CO(t S i 2 ©I ! nE 4_ T-- ST City: N"1 AM( 5-+1-o ( S Tenant/Lessee Name: /47/1 DTL. 67.1_ . Address: Email: State: �t-- Phone#: -2g 6 - s (2 Zip: 3 (.3 (' Phone#: fJ /A CONTRACTOR: Company Name: k &JQ (4 mt." Phone#: Address: 5 t ( RW G City: IAA(}`State: 'T (r6UQ Zip: -3 I3 v` ' Qualifier Name: / v th vki s AA.Av1. Phone#: State Certification or Registration #: Certificate of Competency #a, CC-(' / '3 Z q 6 F DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ fr 2,O» 7 l'. Square/Linear Footage of Work: Z:Se S' Cr' Type of Work: ❑ Addition ❑ Alteration Description of Work: 'O e c)J l G-+ ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ 2-5o CCF $ 1 - 21) CO/CC $ Scanning Fee $ q. — Radon Fee $ 3 - 7 5 DBPR $ 3 -7 5 Notary $ Technology Fee $ l , bo Training/Education Fee $ v , 46 Double Feed$ Structural Reviews $ Bond $ R� G -'15 -- I b24 TOTAL FEE NOW DUE $ 210 -1 „ -1 b (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 absenc pos •.tice, 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 The foregoing instr ent was acknowledged before me this 2 day of 1-JAB , 20 1-c-- , by 2eccz. day of —TON Q , 20 , by R 7 -4' < l YL O t Yt 5 , who is personally known to A � h o ,cI Y' San , who is personally known to Signature me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Sign: Kr .. t I Seal: XAVIER J. RUEDA MY COMMISSION #FF243950 EXPIRE.' ',rF24 2019 Sign: Print: Seal: (407) Isi Fro::'.". I(407) 398-0I53 **************************** APPROVED BY XAVIER J. RUEDA MY COMMISSION #FF243950 EXPIRES June 24, 2019 Florioa NotarySe rvice. mm ********************************************************************* Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk f ., _ ` , ^ ^ ' ` - � �-` ( / / ` . � ^ ~ ^ ^ ^ ^ ` ' ' ^ ^ , ^ . . 6/27/2016 Property Search Application - Miami -Dade County • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• IMPORTANT MESSAGE • , „.• • • • •. yi •,.- • !"•:- L. • •• s, • _ • ! • E ! ,-•- •� When buying real estate property, you should not assume that property taxes will remain the same. Whenever there is a change in ownership, the assessed value of the property may reset to full market value, which could result in higher property taxes. Please use our Tax Estimator to approximate your new property taxes. The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collector's website directly for additional information. Address Owner Name Folio SEARCH: 11-3205-010-0010 PROPERTY INFORMATION Folio: 11-3205-010-0010 Sub -Division: MIAMI SHORES BAY VIEW Property Address 1201 NE 94 ST Miami Shores, FL 33138-2946 Owner D EE JTRS 10 T LORI JTRS Mailing Address 1201 NE94ST MIAMI SHORES, FL 33138 Primary Zone 1400 SGL FAMILY - 3001-3250 SQ http://www.miamidade.gov/propertysearch/#/ 1/8 6/27/2016 Property Search Application - Miami -Dade County Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half Floors Living Units Actual Area Living Area Adjusted Area Lot Size Year Built 3/2/0 3,250 Sq.Ft 2,720 Sq.Ft 2,897 Sq.Ft 14,295 Sq.Ft 1959 • • • • • • • •• •• • • • • • • • • • • • • ••• • • • • • • • • • • • • •• ••• • • .• • • • • • • •• • • • •• • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • ••• • •• • • • •• ••• •• • • • • •• • • • • • ••• •• http://www.miamidade.goy/propertysearch/lt/ 2/' 6/27/2016 Property Search Application - Miami -Dade County • • ••• • • • • • • •• •• • • • •• •• • • • • • • • • • ••• • • • • • • • • • • • Featured Online Tools Comparable Sales Non -Ad Valorem Assessments Property Record Cards Property Taxes Report Homestead Fraud Tax Estimator Value Adjustment Board ASSESSMENT INFORMATION Glossary PA Additional Online Tools Property Search Help Report Discrepancies Tax Comparison TRIM Notice 2016IMPORTANT NOTICE: The assessment and exemption values currently shown are preliminary and are subject to change until they are certif Year Land Value Building Value Extra Feature Value Market Value Assessed Value 4 2016 $479,168 $244,434 $20,724 $744,326 2015 $435,712 $246,390 $13,715 $695,817 $700,687 TAXABLE VALUE INFORMATION 2016 2015 $695,817 2014 COUNTY Exemption Value Taxable Value $50,000 $650,687 $50,000 $645,817 $50,000 $422,758 SCHOOL BOARD Exemption Value Taxable Value CITY $25,000 $675,687 $25,000 $670,817 $25,000 $447,758 http://www.m i am i dade.gov/propertysearch/#/ 3/8 6/27/2016 Property Search Application - Miami -Dade County • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • Exemption Value Taxable Value 1 REGIONAL Exemption Value Taxable Value $50,000 $650,687 $50,000 $650,687 • •t5d,0a0• • ••• $50,000 • • • • • • • i • • • $422,758 • •. $645,81Z • • •• • • • • • • •• • • • • • • • • • . • • • • • • • . • • • • • . • •.• • 14 $50,000 •• • $645,843• •• •• •• • • . • • • •• • • •, • • • • • • -• • •• • • • • •..a•e & o __.. $50,000 $422,758 BENEFITS INFORMATION Benefit Save Our Homes Cap Homestead Second Homestead Type Assessment Reduction Exemption Exemption 2016 2015 2014 i I $43,639 $135,380 $25,000 $25,000 $25,000I $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). $25,000 1 FULL LEGAL DESCRIPTION 1 MIAMI SHORES BAY VIEW PB 40-16 LOT 1 LOT SIZE IRREGULAR OR 19890-0504 08 2001 1 COC 22016-0443 01 2004 1 SALES INFORMATION Previous Sale Price OR Book -Page Qualification Description Previous Owner 1 07/31/2014 $1,022,500 29260-1300 Qual by exam of deed GLENN S GORDON 101/01/2004 $667,400 22016-0443 Sales which are qualified 08/01/2001 $432,500 19890-0504 Sales which are qualified 12/01/1993 $290,000 16197-1048 Sales which are qualified 06/01/1992 $230,000 15558-2660 Sales which are qualified 06/01/1986 $210,000 12940-3836 Sales which are qualified For more information about the Department of Revenue's Sales Qualification Codes. http://www.miamidade.gov/propertysearch/M 4/8 To: Miami Shores Village APPRO` & O BY DATE ZONING DEPT LDG DEPT ,jd// G WITH ALL FEDERAL RULES AND REGULATIONS • • : ;UE3JECT TO COMPLIANCE STATE AND COUNTY -Ib-1815 iami• • V hores illage allielaiheg• Di rtment • . . . ... . . •• 10050•N.F.2nd Avenue Miami Shores, Florida 33138 • • • • • • • • •del : •(805) 795.2204 •• • •Fax:'(6305) 756.8972 .. . • . • . ... .. OWNERS'S AFFIDAVIT OF EXEMPTION OF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: i'+/(,i��ZA30 (a) I S Property Address: t2-0 i Roofing Permit Number: Dear Building Official: AJC Date: ) z I ikflfjc O 1--0 i ' S certify that I am not required to retrofit the roof to w building because: The just valuation for the structure for purpose of ad valorem taxation is Tess than $300,000.0 valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the .ra •sons of 1994 edition of t e South Florida Building Code (1994 SFBC) Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned, a? day of XAVIER J. RUEDA MY COMMISSION NFF243990 EXPIRES June 24, 2019 8-0153 FioridallotaryService.cOM Sworn to and subscribed before me this Notary Public, Sate of Florida at Large • When the just valuation of the structure for purpose of ad vab%m taxation is equal to or more than $300,000.00, and the building was not constricted with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 . .. . • • • ••• • • • • • ••. • • • ••• • • • •. • • •• • • • • • • • • •. • • •• ••• • • •• • • • ••• •• • •• • •• •• • • ••• ••• •• • •• • • • • • • • • • •• •• •• • • •• •••• • SECTION1524 ••• : : ••••• ••• ••• HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOIFIP�4T�p61 d R RQOFING CONSIDERATIONS • • • : • • • • • • • • • • • 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 2. f1 ` 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). 4. `XZ)Z' Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof deckin can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, g roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 6. ,K (3 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 necessa • '•_ scuppers in a cordance with the requirements of Sections R4402, R4 IZ0 (i p;z Property Address Revised on 7/9/2009 LD;07/01/2015; Permit Number • • ••• • • • ••• • • • • • • • • • • • • • • • •• •• •• • • • • • ROOF'.ASSIMBI)ES Ikhb l 30F tbP 4TRUCTURES Florida Building Code 5th Edition (21114)• • • • . • • • • • • • • •• ••••• •• • High -Velocity Hurricane Zone Uniform Permit Application Form. • • • •• • • • 0* • •• • •• • • ••. • •• • • • •• ••• •• Section A (General Information) f • : : : • ▪ • -C.-(;i�-�6, ••••••. • • Master Permit No. • • • • • • •' PibCes� Ne. • Contractor's Narna k(a. `' Job Address 1, ZQ 9 kt Skd No IL 331 /� ROOF CATEGORY 40' Low Slope 0 Mechanically Fastened Tile, 0 ` Mortar/Adhesive Set Mies 0 Asphaltic Shingles 0 Metal. Panel/Shingles 0 Wood Shingles/Shakes O Prescriptive BUR-RAS 150 ROOF TYPE G New roof 0 Repair 0 Maintenance i, .looting 0 Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF)? Steep Sloped Roof AREA (SSF) P/ M Total (SF) Zj " Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains. scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and Levels, dearly Identify dimensions. of elevated .nramura.:nnpa and Leviathan of nernne+n 111.4 f)cTS 'vrf • •.• • • • • . • • • • • • • • .•• • • • . • • . • • .•. . . • Miami -Dade County HVHZ Electronic Roof Permit Form Section C Page (Low Slope Roof Systems) • • • • • • • • • • • • . .• • . • • • • . • . • . • Fill in the specific roof assembly components. ff a component is not required, insert not app7isable (ri/a) in the textbox. ROOF SYSTEM MANUFACTURER: Product Approval (NOA): !GAF 13-1022.15 System Type: 1 ` 1 Wind Uplift Pressures, From RAS 128 or Seated Calculations: (P1) Field: -42.8 (P2) Perimeters: (P3) Comers: psf -71.1 -108.0 psf psf Maximum Design Pressure From NOA: 1 -52.5 Roof Slope: 0.50 " : 12 Roof Mean Height: psf 16 Parapet Walls: No 0 Yes Parapet wall Height: Deck Type: Support Spacing: 1-5/8" Plywood — NA Altemate Deck Type: Existing Roof: "o/c ft. NA SAME Fire Barrier: NIA Vapor Barrier. N/A Anchor Sheet: N/A Anchor Sheet Fastener / Bonding Material: N/A Insulation Base Layer Size & Thickness: N/A Insulation Base Layer Fastener / Bonding Material: N/A Insulation Top Layer Size & Thickness: N/A Insulation Top Layer Fastener 1 Bonding Material: N/A Base Sheet(s) & No. of Ply(s): 1GAF GLASSBASE 75# (1) PLY Base Sheet Fastener / Bonding Material: 1-1/4" RS NAIL AND TIN CAP 1-5/8" Ply Sheet(s) & No. of Ply(s): GAF PLY IV (2) PLIES Ply Sheet Fastener 1 Bonding Material: HOT MOP ASPHALT Top Ply: ••• • • • • ••• • •• •• • • •• • • • • • • ••• • GAF MINERAL CAP SHEET • • • • • • • • • • • Top Ply Fastening / Bonding t iatriti: • :, • • • • 'HOT MOP ASPHALP • • • • ••• • • • ••• ••• Surfacing: GRANULES SINGLE PLY MEMBRANE: Single Ply Manufacturer / Type: INA Single Ply Sheet Width: FA- " 1/2 Sheet Width: No. of Single Ply 1/2 sheets: NA ft. Single Ply Membrane Fastening / Bonding Material: El FASTENER SPACING FOR BASESHEET ATTACHMENT ❑ SINGLE PLY MEMBRANE ATTACHMENT 1. Field: " o/c @ Laps &3` 1 rows I I "o/c 2. Perimeter I t " olc @ Laps & 1' i rows " oic 3. Comer. ! ' I " olc @ Laps & ri rows [ " o/c NUMBER OF FASTENERS PER INSULATION BOARD: 1. Field: ! I 2. Perimeter. 3. Comer. NA Insulation Fastener Type : NA WOOD NAILER TYPE AND SIZE: 1" X 6" FACIAL BOARD Wood Nailer Fastener Type and Spacing: WOOD NAIL 16D EVERY 16" OC EDGE & COPING METAL SIZES: Edge Metal Material: I —Galvanized Metal — Edge Size: 3" face 26 ga.— Hook Strip Size: —SELECT EDGE METAL HOOK STRIP SIZE- I Edge Metal Attachment: 11-14" RS NAIL 4" OC Coping Material: Coping Size: [—SELECT PARAPET WALL COPING MATERIAL -- -SELECT COPING METAL SIZE OR THICKNESS — Hook Strip Size: Parapet Coping Metal Attachment: —SELECT COPING METAL HOOK STRIP SIZE— INA • • ••• • • • • •• . . .. . • • • .. . • • . . •• •• •• • • • •• • • • •• •••• •• • •• • . • • •• • • .. . • •• •• . •• •• • • • .. Miami -Dade County HVHZ Electronic Roof Pe pit yorjn ; •; • • • ; • • • • • • • • . .. •••• •••• . ..• • • • • .. • • • .. ... .. • • • • • • • . .. • • • • • ... 00 Illustrate Components Noted and Details as Applicable: Top Interpli Ba e Sheet Rd"of Deck Q -5 5, rile Metal Roof Mean Height: Drip Metal: 16 ft. 13"X3" GALV 26G Surfacing: 'GRANULES Top Ply: GAF MINERAL CAP SHEET Interplies: GAF PLY IV Base Sheet: GAF GLASSBASE 75# Deck Type: [PLYWOOD 5/8" DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF 1361 Alps Road Wayne, NJ 07470 • • • ... . . • ... .. .. • • . .. ..• • . . . • . •. • . . • • . •. ... •• . • • . •. •. . • • • • • • .. • • .. • .. • . . .. . Mai DAIS COUNTY, • PROI1UCT tONTI IL SE'CT1ON 11805 SW 26 Street, Room 208 . . . 331J5-2474 • : F(7f 6)} 1 t24907.(780).315a5-99 tiiww.niiaiitrude.ttov/w'conomv SCOPE: • This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County, RER Product Control Section to be used in Miami Dade County andother areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. ' DESCRIPTION: GAF Conventional Built -Up Roof Systems for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. 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 renews and revises NOA No. 13-0424.09 and consists of pages 1 through 16. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 13-1022.15. Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 1 of 16 Membrane Type: BUR Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. • . ... . • ... .. .. • .• • • .. • •• • • • . • . ... . . • . •• •. . •. • • •• ... . •• . ... • .. • • • • . .. •• • • • • . .. • . • • • • .. . • •. •. • .• • .• •. .... .... . • .. • ... • .. . . . .. ... .. .. . . . . . ... .. Fire Barrier: FireOutT" Fire Barrier Coating, VersaShield° Fire Resistant Roof Deck Protection or (optional) SecurockTM Gypsum Fiber Roof Board. Base sheet: Fastening Options: M1AM1•DADE COUNTY GAFGLAS® #80 UltimaTM Base Sheet, Stratavent® Eliminator" Nailable Venting Base Sheet, Ruberoid® 20, Ruberoid® SBS Heat -Weld" Smooth or Ruberoid® SBS Heat -Weld" 25 base sheet mechanically fastened to deck as described below; GAFGLAS® Ply 4, GAFGLAS® FIexP1y" 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf. See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS® FlexPlyT" 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill-Tec*" #12 Fastener or Drill -Tee" #14 and Drill•• Tec" 3" Steel Plate, Drill -Tee"' AccuTrac® FIat Plate or Drill -Tee"' AccuTrac® Recessed Plate 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf. See General Limitation #7) GAFGLAS® Flex Ply" 6, GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf. See General Limitation #7) GAFGLAS® #80 Ultima" Base Sheet, Ruberoid® 20, Ruberoid® Mop Smooth, base sheet attached to deck with approved 1'/" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure —60 psf. See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above base sheets attached to deck with Drill -Tee" #12 Fastener or Drill-Tec" #14 Fastener and Drill-Tec" 3" Steel Plate, Drill -Tee" AccuTrace Flat Plate or Drill -Teen' AccuTrace Recessed Plate 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum .Design Pressure —60 psf. See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tee" insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf. See General Limitation #7) NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 14 of 16 Fastening Options: (Continued) Ply Sheet: Cap Sheet: Surfacing: • • ••• • • • • • • •• •• • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • a • • • • • • • • • • • •• • • • • •• • • • • • • •• • • • •• • • • • • • •• GAFGLAS® #75 Base Sheet or any of above base �eet attaoh� el to deck vith ly-TecT"� #12 Fastener or Drill-Tec #14 Fastener and Drill-Tec 3" Steel Plate, Drill-Tec AccuTrac® Flat Plate or Drill-TecTM AccuTrac® Recessed Plate 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced ap rotciriai�ett 9: o c..ierithe field of • • • • •• • the sheet. • • •• OOOOOO• (Maximum Design Pressure —7S psf. See GeneralTinuiatton V7) • • • • • • • One or more plies of GAFGLAS® Ply 4 or GAFGLAS® #80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Shee or GAFGLAS® EnergyCapTM BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. 2. Topcoat® Surface Seal SB applied at Ito 1.5 gal./sq. Maximum Design Pressure: See Fastening Options MIAMIOADE COUNTY APPROVED NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 15 of 16 • • ••• • • • ••• •• •• • .• • .. .. . •• . • • . . •• . II• • . . •... •. • •. • . • • • . •. • • • . ... . . .. . ... • • • • • • .. • WOOD DECK SYSTEM LIM.... .... ITATIONS: • • •• •• • •• . .. 1 A slip sheet is required with GAFGLAS'a Ply 4 and GAFGLAS® Flex Ply " 6 when used as a mechanically fastened base or anchor sheet. • • • • • 104 ' • • • • • 2.. Minimum 'A" DensDeckm Roof Board or 'A" Type X gypsum board is acceptable id be Insttta1I a feetly'over the wood deck. • • • •• ••... GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2.: Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum.. 4. , An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter` circles, 24" o.c.;'or strip mopped 8" ribbons inthree rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation.. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq.. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 2751bf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 Ibf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Professional Engineer, Registered Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall, utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. . 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and seated by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. END OF TffiS ACCEPTANCE MIAMI•DADE COUNTY APPROVED NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 16 of 16 l ur - i AJL11% as j ou.uao • • ••• • • • ••- •• •. • • • • •• ••• • • • •• •• •• • • • • • • • ••• • • • • •• , • • •• •• • • • • ••- • • • • ••• The use of gypsum board under any of the following Class A, 8 or C systems does not adversely affect the rating. The use of yt-in. minimum thick gypsum board Is an acceptable alternate for minimum insulation over C• 15/32 thick roof decks. • rill • • • • • • • • •, r, • • • •• •`: The use of polystyrene insulation board between minimum A -In. thick perlite board and deck with Cpsi4 ark ($ rIltegps0 ;: • • Ili• • paper/poiystyrene/perl te) Is a suitable alternate for polyisocyanurate board to the following Class Is, B.orE systems • • • • • • • • • • ••• • "EnergyGuard® RA" or "Tapered EnergyGuerd® RA" or "EnergyGuard® Composite RA" may be substituted for any Atlas polyisocyanurate Insulation to any of the following Classifications.. ••. • • • ••. ••• •• • • • • •- • • • • Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Aipitilt4• • • • • • • • • • • • • • • -• •' • •• • • • • • ••• •o "GAFGLAS® *80 Premium Base Sheet" may be used in any of the following systems. •GAFGLAS® Flex Ply 6" and 'Tri-Ply® Ultra -Flexible PIy 6" are Suitable alternates to "GAFGLAS® Pry 6"., "GAFtEMP Permaiite Recover Board` may be used in lieu of any perilte Insulation In any of the following NC Classlllcabons. Unless otherwise Indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshieid MB" at 2% to 3=gai/100- ft2. "Ruberoid® Dual Smooth" may be used as an alternate to "Ruberolde Mop Smooth" or "Ruberoid® 20" or "Ruberoid® 20 HT" "Ruberoid® Mop Smooth 1.5" may be used es an alternate to "Ruberoid® Mop Smooth" Class A, II and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberold® Heat Weld` S8S roofing membrane may be used in lieu of "Ruberoid® Mop" SBS products in any applicable Classification. Class A, 1. Deck: C-15/32 Incline: 3 ' Insulation (Optional): One or more layers penile or wood fiber or glass fiber or polyisocyanurate or urethane or perlite/polyisocyenurate composite or periite/urethnne composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. Ply Sheet — Three or more plies Type GI or "GArGLAS® Ply 4" or "Trl-Ply® Ply 4" or "GAFGLAS® PIy 6" hot mopped. Surfacing: — Gravel. 2. Deck: C-15/32 Incline: 2 insulation (Optional): — One or more Payers partite or wood fiber or glass fiber or polylsocyanurete or urethane or perilte/polyisocyanurete composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. . Ply Sheet: — Three or more plies Type G1 or "GAFGLAS® Ply 4" or "Tri•Piy® Ply 4" or "GAFGLAS® Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or rTri-PIy® Minerel Surfaced Cap Sheet" or "GAFGLAS® EnergyCap" " BUR Mineral Surfaced Cap Sheet." 3. Deck: NC Incline: 2 Insulation (Optional): — One or more layers perltte, wood fiber, glass fiber, polyisocyanurate, urethane, perilte/polyisocyanurate composite, perllte/urethane composite, wood fiber/polyisocyanurate composite, phenolic, 2-in. maximum. PIy Sheets — Two or more plies Type G3 "GAFGLAS® Ply 4", "Tit -Ply® Ply 4" or "GAFGLAS® PIy 6". Cap Street: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "TrI-Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS®, EnergyCap" BUR Mineral Surfaced Cap Sheet." 4. Deck: C-15/32 Incline: 1 Slip Sheet (Optional): — Red rosin paper, nailed to deck. Insulation (optional): — Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" or any UL Classified Insulation adhesive. Base Sheet: - One ply Type G2 "GAFGLAS® *75 Base Sheet" or "TH-Ply® *75 Base Sheet" (may be nailed). Ply Sheet: — One or more plies Type GI "GAFGLAS® Ply 4" or "Tri-Pay® Ply 4" or GAFGLAS® Ply 6". ' Cap Sheet: - One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Trl-Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS® EnergyCap"BUR Mineral Surfaced Cap Sheet." Surfacing (optional): — "TOPCOAT® EnergyCote'"` applied at a rate of 2-ga1/100•ft2. 5. Veda NC Incline: 3 http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAMEIshowpage.html?name=T... 2/23/2012 t7' m —0 a u1 D 0 l7 m 0 r- U.S.,Postal,ServiceTM CERTIFIEDMAIL® Domestic Mail Onl RECEIPT For delivery information,' visit our website at www.usps.com®.11111•1 MIA L Certified Mail Fee $ $0.00 Extra Services & Fees (check box, add fee a tiprpp te) ❑ Retum Receipt (hardcopy) $ 41 1 ❑ Retum Receipt (electronic) $ SO .00 d ❑ Certified Mail Restricted Delivery $ $ 0 _ fJlj k ❑ Adult Signature Required $ $0 . t!) ❑ Adult Signature Restricted Delivery $ Postage $0.94 Total Postage and Fees $4.24 74'oRhRcts rr, s �eSHOR=- i 19729/2016 MN (CHI Sent To 1.1mzi ,/ S �NGEt �2 , c es (, tsik . �, Street n�dlAptt. No., or Pe) Box No. 7k C% 411'5 S_�nJ__' $ (,T City, State„Z{P}4Pc M, ' 3 1 425 $ ,T.TrTiT.rr•1.e� - rtv-_tee Certified Mail service provides the following benefits: • A receipt (this portion of the Certified Mao label). for an electronic retum receipt, see a retail • A unique identifier for your mailpiece. associate for assistance. To receive a duplicate • Electronic verification of delivery or attempted return receipt for no additional fee, present this delivery. 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However, the purchase (not available at retalp. 1_ of Certified Mail service does not change the • To ensure that your Certified Mall receipt is . Insurance coverage automatically included with accepted as legal proof of mailing, it should bear a certain Priority Mall items. LISPS postmark If you would like a postmark on • For an additional fee, and with a proper this Certified Mall receipt, please present your endorsement mite mailpiece, you may request Certified Mail Item at a Post office'" for the following services: postmaddng. If you don't need a poshnark on thiss - Retum receipt service, which provides a record Certified Mall receipt, detach the barcaded portion of delivery (including the recipient's signature). of this label, affix Itto the mallplece, apply You can request a hardcopy retum receipt or an appropriate postage, and deposit the maiipiece.' electronic version. For a hardcopy return receipt, complete PS Form 3811, Domestic Return Receipt, attach PS Form 3811 to your mailpiece; IMPORTANT: Save this receipt for your records. PS Form 3800. April 2015 (Reverse) PSN 7530-02-000.9047 BUILDING PERMIT APPLICATION El BUILDING ❑ ELECTRIC El PLUMBING ❑ MECHANICAL 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 JOB ADDRESS: 2,0 I IV.� to'tkSST City: Miami Shores County: Folio/Parcel#: Occupancy Type: Load: FBC 20r1 Master Permit No.2CAS Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL CHANGE OF ❑ CANCELLATION ❑ SHOP GEM -OR DRAWINGS E t e Miami Dade Zip:. 33(38. Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): KM2—b LE /1) ' 0.Kt 5 Phone#: oi; b ' GC( 3 Address: 101 1�� ge(-5Th 31. City: MI P\Ml State: Tenant/Lessee Name: --- Phone#: Email: Address: be- zll Mom: L cAbIAA, CONTRACTOR: Company Name: (4) on Coios 7 RU'-V Opt! &&IccS Phone#: 102850 w (;2 `3 -20 Zip: `3f;C3- City: P40/ �^ �j' State: - Z� Zip: 3 3.25 Qualifier Name: BC.)04 6 U[c Phone#: 014 i/-2‘6357) State Certification or Registration #: ( 4 C / 5(8 ?-1'� Certificate of Competency #: Phone#:l ! .25/0Yt( Address: /452 tin Sir/ l T114rE?$,Mc City: P6/201290PAVG3State FL Zip: 330.2 Value of Work for this Permit: $ Square/Linear Footage of Work: „s Type of Work: "❑ Addition n New ., ' ., yp ��,��❑cc //,,Alteration tt�� ❑Repair/Replace n Demolition • Description of, Work: (AWAt ( , i A(�tt-tom.'. , DESIGNER:Acthiteet/Engineer: f4-?)10 Pe`C4D0 Specify color of color thru tile: Submittal Fee $ Permit Fee $ ( 5. O CCF $ . CO/CC $ it Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $k' ' CO (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 applicable laws regulating construction and zonin'g.•' accurate and that all work will be done in compliance with all 3 '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." 1 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 an,cLconstructianJienla brocburP wilLbe..deli.vered to-tbe_persaa 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. SignatureApumi CTOR Signature ►b OWNER or AGENT Theforegoing instrument was acknowledged before me this % (( day of er)G% 20 r't'" by , who is per, me or who has produced 0 . as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: *************************** APPROVED BY 0VE11Nllcovo •.•� ' 0 •: •o` • ,tlV� i,,',�f• ••, No•td •• Q.��� * ************************************** The foregoing instrument wacknowledged before me this o 1 I day of. 0 CT , 20 /. c?/--e0((- 2CJ 7, -o i personally known to me or who has produced (.7)61" as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner �r� 1 by �y`'`�1� �•ti• 31d1S �%i���i, 4e,,•••4'0/SSW'NO?• ******************************* Zoning (Revised02/24/2014)• Structural Review Clerk DEMETRIO LORIS / BERNARD LEE 1201 NE 94th Street, Miami Shores, FL. 33138 786-512-9771 dtll62@gmail.com Harry Sanchez, Cesar M Cano Architecture and Planning 4906 Campo Sano Ct. Coral Gables Florida 33146 Letter posted to Harry Sanchez's address: 4175 SW 98 Ct, Miami, Fl 33165 Dear Harry, Subject: Change of Engineer Form for 1201 NE 94th Street, Miami Shores, 33138 Please find attached a Change of Engineer form from Miami Shores which your engineer, Tony Canela, should sign authorizing the transfer of responsibility for the project to our newly appointed structural engineer. Please provide the right information and a notarized signature on the form enclosed and retum immediately. Thank you. Yours sincerely, Demetrio Loris 1 Permit N. Who is iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Mier(.; O 1.r0 Rn S Owner's Name (Fee Simple Title Holder): 13.E(t'J pt i? j> Ce Owner's Address 12 0 t AJ€ q4T f � 1 City: dn , etWti S'- (a3 State : Phone #:.7? 6 — / Z — 9 7 ) Zip Code: Job Address (Of where work is being done): IZ.Q/ Ai E Qt 4 7"44 S'� t'r City: Miami Shores State: Florida Zip Code: 3 3 ( 3 k Contractor's Company Name: OM CO,J Sr11M, CD. 0'J ' JCS Phone #: 176 — 4 Z 6 to 3 SO Address: /2.85 0 UUESi S -7261 ttoii-D 24 3 t , DAVL,E , -L- 3?, �Z9 City: P Pc ,Ii E.State: eL... Zip Code: 3 3 3 2 Qualifier's Name : Lic. Number: C G C i4 t S 1 ei S3--- Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami S j • res harmless of all legal involvement. Signature Signature Agent Contractor or Architect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me this ` day of S i ,20 (Lby'l -"' ') this day of , 20 by who is personally known to me or who has produced as indentification. me or who has Ait8fb1 tapilitiion. Qo ;, �.,� Notary Public: •z N = '' -= Sign: •`, 'Vji Seal: 00 P. Notary Public: Sign: Seal: 10/11/2016 .3) English .. 0 Customer Service p USPS Mobile USPS.com® - USPS Tracking® Register / Sign In A ALERT:, The Postal Service is monitoring the progress of Hurricane Matthew .' Check for updates on which service areas may be affected. Read More aUSPSCOM5 USPS Tracking® Tracking Number: 70161370000085516390 Still Have Questions? our Fi!,Os Get Easy -T c:ic,in 2 Up*stie Sign up for My USPS. >/ fe, Delivered Product & Tracking Information Postal Product: Features: First -Class Mail® Certified Mail" acqrar October 4, 2016 , 12:56 pm !_ _ kr ar =. Sea ' GO." Dei;'- erect. i•;divici;.l I October 3, 2016 , 5:39 am September 29, 2016 , 11:55 pm September 29, 2016 , 6:16 pm September 29, 2016 , 12:22 pm C TO MIAMI, FL 33165 Departed USPS Facility Arrived at USPS Facility Departed Post Office Acceptance Track Another Package icy OPA LOCKA, FL 33054 OPA LOCKA, FL 33054 MIAMI, FL 33153 MIAMI, FL 33153 Available Actions Text Upcates Em I Updat Manage incoming Packages Tracking (or receipt) number Track all your packages from a dashboard. No tracking numbers necessary. aci:.. �I Sign up for My ...tSPS USPSCOM https://tools.usps.com/gdTrackConfirmAction?gtc_tLabels1=70161370000085516390 1/2