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RF-18-3278Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 u G'�U�n"nJl� Issue Date: Location Address Parcel Number 9015 NE 4TH AVENUE RD 9015, Miami Shores, FL 33138 1132060460080 Contacts Permit No.: RF-10-18-3278 Permit Type: Roof Work Classification. Asphalt Shingle Permit Status: Approved Expiration: 08/26/2019 AMY CRANE Owner 9015 NE 4 AVE, MIAMI SHORES, FL 33138 Mobile: 7862229265 SUN LIFE ROOFING CORP Contractor DAVID PEREZ 11455 SW 40 ST 333, MIAMI, 33165 Mobile: 7868739183 david@mysunliferoofing.com Description: SHINGLE RE -ROOF Valuation: $ 6,295.00 Inspection Requests: Total Sq Feet: 396.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.75 DCA Fee $2.50 Education Surcharge $1.40 Roofing Fee $200.00 Scanning Fee $9.00 Technology Fee $6.25 Total: $277.10 Payments Date Paid Amt Paid Total Fees $277.10 Check # 1982 02/26/2019 $227.10 Check # 1909 10/25/2018 $50.00 Amount Due: $0.00 Building Department Copy 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 fo�exing\infgjrmVtion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. FuthermoreJJ I a thor��Ohe bove named contractor to do the work stated. Authorized Signature: Owner / / Agent Date February 26, 2019 Page 2 of 2 Miami Shores Village CT 5 2018 Building Department BY. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ZROOFING FBC 20 Master Permit No.P-X (8 -�Z7 Sub Permit No. ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: CK) IS N F 4 PVC nuto (Zoc-A u r, ut- CIO ( S City: Miami Shores County: Miami Dade Zip: 33 3 $ Folio/Parcel#: LI-3;L06- c>Lt 6 - OU-eO Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE:: % FFE: OWNER: Name (Fee Simple Titleholder): AWW C--G.YIP Phone#: Address:910t5 NJE 4 Pye-ye ericLd ur,;,f: 01Oi5 City: VAA 1 Li44*1 I SLA-OXP S State: FL Zip: 33138 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: SIJrI L-; -PP. VZC)o lr�A CxjTP Phone#:or'> --7 Address: I1455 5w 4D ST STE 333 City: IM.( GA/K:i State: FL Zips 3 (b 5 Qualifier Name: T>A.v' j 8, PexeZ Phone#: (7 0 9 -13 -9 ($ 3 State Certification or Registration #: CC 1 33(a l y Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: r� �y City: State: Zip: Value of Work for this Permit: $ 6:2a5• Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: �!5 g2 - �2oof Specify color of color thru tile: Submittal Fee $ 1 Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ O (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 c encem ust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is iss d.i In e a enc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. I Signatur Signature _ N1 A OWNER or AGENT CONT A TOR The foregoing instrument �,w�aass acknowledged before me this day of 4 (LFA tJ( fc 20 by .J` who is personally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: *************** APPROVED BY (Revised02/24/2014) The foregoing instrument was acknowledged before me this 1 day of SPpiryK be { 20 1 '3 by T)ON-iA 8. PeceZ who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: X �/ n `Sign: /a Print: �,#V hy, Notary Public State of Florida Seal Felix Giralt +� My Commission GG 221650 +1jaF Expires 05/23r2022 r• Plans Examiner Structural Review YANAY PEREZ MY COMMISSION # FF926538 EXPIRES October 12, 2019 as **************** Zoning Clerk 10/11/2018 Property Search Application - Miami -Dade County OFFICE O� nr. rnOPERTay" ARPAr"RA01"'R Summary Report Property Information Folio: 11-3206-046-0080 Property Address: 9015 NE 4 AVENUE RD UNIT: 9015 Miami Shores, FL 33138-3135 Owner AMY CRANE Mailing Address 9015 NE 4 AVE MIAMI SHORES, FL 33138 USA PA Primary Zone 3000 MULTI -FAMILY - GENERAL Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 3/3/0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 952 Sq.Ft Adjusted Area 952 Sq.Ft Lot Size 0 Sq.Ft Year Built 1974 Assessment Information Year 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $148,812 $125,052 $104,210 Assessed Value 1 $126,094 $114,631 $104,210 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction 1 $22,718 $10,421 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES VILLAS CONDO BLDG A UNIT 9015 UNDIV 1/88% INT IN COMMON ELEMENTS CLERKS FILES 74R-185949 & Generated On : 10/11/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $0 $0 Taxable Value $126,094 $114,631 $104,210 School Board Exemption Value $0 $0 $0 Taxable Value $148,812 $125,052 $104,210 City Exemption Value $0 $0 $0 Taxable Value 1 $126,094 $114,631 $104,210 Regional Exemption Value $0 $0 $0 Taxable Value $126,094 $114,631 $104,210 Sales Information Previous OR Price Book- Qualification Description Sale Page 03/24/2014 $127,000 29114- Qual by exam of deed 2285 04/14/2010 $100 273472793 Corrective, tax or QCD; min consideration 07/01/2006 $0 24747- Sales which are disqualified as a result of 4763 examination of the deed 01/01/2005 $152,000 23053- Sales which are qualified 3857 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version MIAMFOADE�:-:. Florida Department of Department of Regulatory and Economic Resources Environmental Protection Environmental Resources Management 701 NW 1st Court, 2nd Floor Division of Air Resource Management Miami, Florida 33136-3912 2-6954 NOTICE OF DEMOLITION OR ASBESTOS RENOVATION T: 305-372-6925 Fax: iamid de.gov miamidade.gov TYPE OF NOTICE (CHECK ONE ON iT ❑ REVISED ❑ CANCELLATION ❑ COURTER7 CEIVEE TYPE OF PROJECT (CHECK ONE OElRENOVATION 2 ROOFING IF DEMOLITION, IS IT AN ORD DE ITIO I?❑ YES Z NO MC0 4 , 1018 IF RENOV ATION: i� IS IT AN EMERGENCY RENIgATI OP ❑ YES 0 NO File # IS ITA PLANNED REND I ? ❑ YES ❑✓ NO Process # RF18-3278 1 I. Facility Name N/A Address 9015 NE 4 AVE RD City MIAMI SHORES State FL Zip 33138 County MIAMI-DADE Site Consultant Inspecting Site Building Size 396 (Square Feet) # of Floors 2 Building Age in Years 44 Prior Use: ❑ School/College/University ✓❑ Residence ❑ Small Business Other Present Use: ❑ School/College/University ✓❑ Residence ❑ Small Business Other II. Facility Owner AMY CRANE Phone Address 9015 NE 4 AVE RD City MIAMI SHORES State FL Zip 33138 III. Contractor's Name SUN LIFE ROOFING CORP Phone (305) 800-7663 Address 11455 SW 40 ST # 333 City MIAMI State FL Zip 33165 Is the contractor exempt from licensure under section 469.002(4), F .S.? is YES ❑ NO IV. Scheduled Dates: (Notice must be postmarked 10 working da ys before the project start date) Asbestos Removal (mm/dd/yy) Start: 12/03/18 Finish: 03/03/19 Demo/Renovation (mm/dd/yy) Start:-Finish:- V. Description of planned demolition or reno vation work to be performed and methods to be employed, including demolition or renovation techniques to be used and description of affected facility components. HAND TOOLS Procedures to beUsed (Check AIIThatApplv): Q✓ Strip and Removal Glove Bag Bulldozer Wrecking Ball ❑✓ Wet Method 0 1 Dry Method Explode Burn Down OTHER: ASSUMED ASBESTOS VI. Procedures for Unexpected RACM: STOP WORK CALL DERM VII. Asbestos W asteTransporter: Name WASTE MANAGEMENT INC Phone (305) 883, 7670 A ^� Address 9350 NW 89 AVE City MEDLEY State FL Zip 33178 Vlll. Waste Disposal Site: Name WASTE MANAGEMENT INC Address 9350 NW 89 AVE City MEDLEY State FL Zip 33178 IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM. Amount of RACM or ACM* square feet surfacing material square feet cementitious material linear feet pipe square feet resilient flooring cubic feet of RACM off facility components 396 square feet asphalt roofing *Identify and describe surfacing material and other materials as applicable: ASPHALT SHINGLES AND FIBERGLASS FELT I certify that the above information is correct and that 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 that the required training has been accomplished by this person will be available for inspection during normal bus'ne, hours awe read and understood the additional information provided on the back of this form. (Print Na r t v ra r) Cs' (74P3-��92 (Signatur r Op rat r) (Date) (Contact phone #) RER USE ONLY Postmark/Date Received ID # 161 _01-158 10/10 DISTRIBUTION: White-RER Yellow -Applicant Pink -Reserve Gold -Reserve MIAMI•DADE Florida Department of Department of Regulatory and Economic Resources Environmental Protection Environmental Resources Management F A 701 NW 1st Court, 2nd Floor Division of Air Resource Management Miami, Florida 33136-3912 2-6954 NOTICE OF DEMOLITION OR ASBESTOS RENOVATION T: 305-372-6925 Fax: iamicl de.gov miamidade.gov TYPE OF NOTICE (CHECK ONE ONLY) Z ORIGINAL ❑ REVISED ❑ CANCELLATION ❑ COURTESY TYPE OF PROJECT (CHECK ONE ONLY) ❑ DEMOLITION ❑ RENOVATION ED ROOFING IF DEMOLITION, IS ITAN ORDERED DEMOLITION? ❑ YES ❑✓ NO IF RENOV ATION: IS IT AN EMERGENCY RENO VATION OPERATION? ❑ YES ❑✓ NO File # IS IT A PLANNED RENO VATION OPERATION? ❑ YES ❑✓ NO Process # RF18-3278 I. Facility Name N/A Address 9015 NE 4 AVE RD City MIAMI SHORES State FL Zip 33138 County MIAMI-DADE Site Consultant Inspecting Site Building Size 396 (Square Feet) # of Floors 2 Building Age in Years 44 Prior Use: ❑School/College/University Z Residence El Small Business Other Present Use: ❑School/College/University ❑✓ Residence El Small Business Other II. Facility Owner AMY CRANE Phone Address 9015 NE 4 AVE RD City MIAMI SHORES State FL Zip 33138 III. Contractor' s Name SUN LIFE ROOFING CORP Phone (305) 800-7663 Address 11455 SW 40 ST # 333 City MIAMI State FL Zip 33165 Is the contractor exempt from licensure under section 469.002(4), F .S.? is YES ❑ NO IV. Scheduled Dates: (Notice must be postmarked 10 working da ys before the project start date) Asbestos Removal (mm/dd/yy) Start: 12/03/18 Finish: 03/03/19 Demo/Renovation (mm/dd/yy) Start: Finish: V. Description of planned demolition or reno vation work to be performed and methods to be employed, including demolition or renovation techniques to be used and description of affected facility components. HAND TOOLS VI. VII. Procedures to be Used (Check AIIThat Apply): ✓❑ strip and Removal Glove Bag Bulldozer Wrecking Ball ✓❑ Wet Method Dry Method I Explode I ❑ I Burn Down OTHER: ASSUMED ASBESTOS Procedures for Unexpected RACM: STOP WORK CALL DERM Asbestos W asteTransporter: Name WASTE MANAGEMENT INC Phone (305) 883-7670 Address 9350 NW 89 AVE City MEDLEY State FL Zip 33178 Vill. Waste Disposal Site: Name WASTE MANAGEMENT INC Address 9350 NW 89 AVE City MEDLEY State FL Zip 33178 IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM. Amount of RACM or ACM* square feet surfacing material square feet cementitious material linear feet pipe square feet resilient flooring cubic feet of RACM off facility components 396 square feet asphalt roofing *Identify and describe surfacing material and other materials as applicable: ASPHALT SHINGLES AND FIBERGLASS FELT I certify that the above information is correct and that 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 that the required training has been accomplished by this person will be available for inspection during normal bus'ne, hours awe read and understood the additional information provided on the back of this form. (Print Nare ofVnerjrf�r). I I Ar r3 (Signatur erOp'rat r) (Date) (Contact phone #) RER USE ONLY Postmark/Date Received rG��,5 - ID 161 _01-158 10/10 DISTRIBUTION: White-RER Yellow -Applicant Pink -Reserve Gold -Reserve NOTE: ALL SHEETS MUST BE REVIEWED MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S. Saffir Permitting and Inspection Center 11805 SW 26th Street (Coral Way) • Miami, Florida 33175-2474 • (786) 315-2000 —� APPLICATION FOR MUNICIPAL PERMIT APPLICANTS �.6 THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES PROVIDE MUNICIPAL PROCESS NUMBER HERE Job Address QQ 15 N E LI' even 1 Contractor No. C CC 13303144 O z W Folio � 1- 3a06 —046 COP p o 2 Last four (4) digits of Qualifier No. —l0 6 6 z gw � ¢ Contractor Name un Li RwP(e� CAN Q o Lot Block � Qualifier Name DXV id a • o Subdivision PBpg Uz Address 11+55 SIN ua S`r*333 '- Metes and bounds Cit W (GZ'M ! y St/ate �L Zip t'6 [ ] New Construction on [ I Demolish �! U) Vacant Land [ I Shell Only Current use of propertyi!! Og [ ] Alteration Interior Alteration Exterior [ I Addition Attached r PCTQ� W W [ ] [ i Addition Detached Description of Work a HOC [ ] Relocation of Structure [ Re -Roof GG Sq. Ft. 3 16 Units Floors !- g [ ] Enclosure [ ] Foundation Only [ ] Repair ( ] Repair Due to Fire [ ] Tent // Value of Work C� �g �J • G� [ MBLD" q5 'n [ ] Chg. Contractor w Owner cxtlay Address olo N E 4 A-ve Q6 W Category [ ] MELE a [ ] Re -Issue a [ ] Re -Stamp Z Cif}NlltbM1 I �U�GrSState zip 33138 F w[ [ ] MPLU I MLPG fi) ; [ ]Revision z Phone a [ j MMEC [ ] Not Applicable for o Last four (4) digits of [ J FIRE s Fire Owner's Social Security No. N i Named V c(� B , PP�P� Owner z 2 Uw w w Address 11455 SW 40 5T �333 Address City {M / aM7 / State FL Zip 33165' City State _Zip N� w Y =Z o Z av a �055� SPa' 7663 Phone QW Phone Z aJ cc I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible. There is a minimum charge of one -hour. Please contact the Fire Department for current rate. c� a a Iw � 1-L Request: Date: x o ¢ 2nd Request: Date: a: LU310 Request: Date: If the applicant is a known named violator with: unpaid civil penalties; unpaid administrative costs of hearing; unpaid County investigative, enforcement, testing, or monitoring costs; or unpaid liens, any or all of which are owed to Miami -Dade County pursuant to the provisions of the Code of Miami -Dade County, Florida, a hold on the review may be placed on this application. 123 01-192 5117 10/2W2018 or Property Search Application - Miami -Dade County t C r r: 1/11/7"'IFIC /1' 1 F 0/,/////, t,/ P n P A P P / / // / G G i 0 9 111 0 Summary Report Property Information Folio: 11-3206-046-0080 Property Address: 9015 NE 4 AVENUE RD UNIT: 9015 Miami Shores, FL 33138-3135 Owner AMY CRANE Mailing Address 9015 NE 4 AVE MIAMI SHORES, FL 33138 USA PA Primary Zone 3000 MULTI -FAMILY - GENERAL Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 3/3/0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 952 Sq.Ft Adjusted Area 952 Sq.Ft Lot Size 0 Sq.Ft Year Built 1974 Assessment Information Year 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 .......................................................................................................................... $0 $0 Market Value $148,812 $125,052 $104,210 Assessed Value $126,094 $114,631 -104,210 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction 1 $22,7181 $10,421 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES VILLAS CONDO BLDG A UNIT 9015 UNDIV 1/88%INT IN COMMON ELEMENTS CLERKS FILES 74R-185949 & Generated On : 10/2912018 Taxable Value Information - 2018 2017 2016 .... County _............. Exemption Value $0 $0 $0 Taxable Value 1 $126,094 $114,631 $104,210 School Board Exemption Value $0 $0 $0 Taxable Value 1 $148,8121 $125,052 $104,210 City Exemption Value $0 $0 $0 Taxable Value 1 $126,094 $114,631 $104,210 Regional Exemption Value $0 $0 $0 Taxable Value I$126,0941 $114,6311 $104,210 Sales Information Previous OR Price' Book- Qualification Description Sale Page 03/24/2014 $127,000 29114 Qual by exam of deed 2285 04/14/2010 $100 27347 Corrective, tax or QCD; min consideration 2793 07/01/2006 $0 24747- Sales which are disqualified as a result of 4763 examination of the deed 01/01/2005 $152,000 23053- Sales which are qualified 3857 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://—.miamidade.gov(nfo/disclaimer.asp Version: Section A/B �I® M d o Electronic RooU ri "Delivering Excellence Every Day" gOVF Hera I formatiori �C,✓lA✓G� Master Permit No: 7 Process No: Contractor's Name: [SUN LIFE ROOFING CORP 2_0co^ Job Address: 19015 NE 4 AVE RD MIAMI SHORES, FL 33138 F tip,,, �• �� Roof Category ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive•Set ❑✓ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shi ❑ Sprayed Polyurethane Foam ❑ Other: I N/A Roof Type ❑ New Roof ❑✓ Re -Roofing ❑ Recovering ❑ Repair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes ❑✓ No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area (ft.2) 1 N/A Steep Sloped area (ft.Z) 396 "" " Total (ft.2) 396 Section B (Roof Plan) • • • • Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and*ogverflpw draigs.. Ipclude • dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and Ioc4t gq parapet§. pf • • • •„ N/A N/A "•"' Perimeter Width (a'): Corner Size (a' x a') :.... .... .. .... . .. ..... ...... . ... 00 ..... O • Shingle Roof System HVHZ Electronic Roof Permit Form Section D Shingle Roof System Roof System Manufacturer:-TA-r'I K—O I B U i, I A l �� • • • • • .' • • • ... .. • , Notice of Acceptance Number: '" C90 '7.G�j . •i•••• Fill in the specific roof assembly components. If a component is not required, insert not app(it hble (n/a) in the text bqx.• • •: Deck Type: 1 1 " x 6" T & G • . • ; • •.... i Roof Slope: 3 '712" Roof Mean Height: 20 ft. ( Maximum roof mean height 33 ft.) Optional Ridge Venting: OYes @ No Ridge Vent NOA Number: I N/A Installed Ridge Venting: N/A lineal ft. Installed Ridge Venting: N/A ft.2 Existing Soffit Intake: N/A ft.2 Note: In no case shall the amount of exhaust ventilation at the ridge exceed the amount of soffit ventilation. Optional Insulation: 0 0• • • . • • •; • 1.5 INCH POLYISO 0 00 :00099 Optional Nailable Substrate: 5/8 INCH PLYWOOD AS PER 1520.5.7 Optional Nailable Substrate Attachment 4 INCH #12 DRILL-TEC Underlayment/Base Sheet Type: #30 D 226 ASTM TYPE II BASE SHEET Fastener Type for Basesheet Attachment: 1-1/4" R/S NAILS & 1-5/8" TIN CAPS Optional Peel & Stick Membrane: N/A Shingle Type: 374F,1 L fe Drip Edge Size & Gauge: 4" face 21f ga. Drip Edge Material Type: Galvinized Metal Drip Edge Fastener Type: 1-1/4" R/S @ 4" O.C. Hook Strip/Cleat gauge or weight n/a Shingle Roof System Miami -Dade County HVHZ Electronic Roof Permit Form Section D Shingle Roof System "Delivering Excellence Every Day" Roof System Manufacturer: ItAMKO BUILDING PRODUCTS, INC. Notice of Acceptance Number: 18-0207.04 Fill in the specific roof assembly components. If a component is not required, insert not applicable (n/a) in the text box. Roof Slope: "/12" Roof Mean Height: 20 ft. ( Maximum roof mean height 33 ft.) Optional Ridge Venting: 0 Yes 0 No Ridge Vent NOA Number: I N/A Installed Ridge Venting: N/A lineal ft. Installed Ridge Venting: N/A ft.2 Existing Soffit Intake: N/A ft.2 Note: In no case shall the amount of exhaust ventilation at the ridge exceed the amount of soffit ventilation. Deck Type: 5/8" Plywood Optional Insulation N/A Optional Nailable Substrate: N/A Optional Nailable Substrate Attachment: N/A Underlayment/Base Sheet Type: (1) PLY #30 D226 FELT Fastener Type for Basesheet Attachment: 1-1/4 IN. R/S NAILS & 1-5t8 IN!.TIN CTAPS ••••;• Optional Peel & Stick Membrane: N/A • :....: .... Shingle Type: •••••• . .. ..... ••• ••'••� 3-TAB ELITE GLASS SEAL..... _ .................. .Goo:* . Drip Edge Size & Gauge: . • ...... 3" face 26 ga. • • • Drip Edge Material Type: Galvinized Metal Drip Edge Fastener Type: 1-1/4 IN. R/S NAILS @ 4 IN. O.C. Hook Strip/Cleat gauge or weight: n/a t V i 10/11 /2018 TFWZ.R2919 - Prepared Roof -covering Materials Page Bottom TFWZ.R2919 Prepared Roof -covering Materials Prepared Roof -covering Materials See General Information for Prepared Roof -covering Materials TAMKO BUILDING PRODUCTS INC R2919 220 W 4th St PO Box 1404 Joplin, MO 64802 USA Asphalt glass fiber mat shingles designated Elite Glass -Seal, Heritage, Heritage IR, Heritage Woodgate, Heritage Premium, Heritage Vintage and Shingle Starter for installation as Class A prepared roof coverings, suitable for installation on minimum 3/8 in. thick plywood decks. Also Classified in accordance with ASTM D3161, Class F. Also Classified in accordance with ASTM D3462. Also Classified in accordance with CSA- A123.5. Also Classified in accordance with ICC ES AC438. Asphalt glass mat shingles designated 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 "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 prepart8 rodf coveryf %?Also Classified 0 accordance with ASTM D3161, Class A. Also Classified in accordance with ASTM D3462. Also Classified in accordance Nith ICCECOAC438. • • • • • • • Hip and ridge shingles designated "Heritage Designer Ridge", for installation as Class A prepared roof coverings. Suitable for installation en • • • • minimum 3/8 in. thick plywood decks and on minimum 15/32 in. thick plywood decks without underlayment. Also ltf4sified Ni accordance with • ASTM D3161, Class A or Class F. • • • • • • • • • • • • •••••• • ••• ••••• Last Updated on 2018-09-07 . �' . �' ' ..' ; . . • • Questions? Print this page Terms of Use Laage Tpp • • • • ••: • • • •00000 • • ' •"•'Q 201eUL 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 UUs 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 from 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: "© 2018 UL LLC". https://data base.u1.com/cgi-bin/XYV/template/LISEXT/1 FRAME/showpage.htm I?name=TFWZ.R2919&ccnshorttitle=Prepared+Roof-cove ring+Material... 1/1 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NO Tamko Building Products, Inc. P.O. Box 1404 Joplin, MO 64802 SCOPE: 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.Qov/economv This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: TAMKO Elite Glass -Seal Roof Shingles • • • • • • LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo pity, State anti fokowing • 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.fhere has bcMric7 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 revij4"Qr 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 ny 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 #17-0321.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. NOA No.: 18-0207.04 Expiration Date: 04/11/23 Approval Date: 04/12/18 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Cateeory• Roofing Sub-Catep_ory: Asphalt Shingles Materials: 3-Tab Deck Type: Wood SCOPE This approves a roofing system using Tamko Glass -Seal and Elite Glass -Seal Asphalt Shingles, manufactured by Tamko Building Products, Inc. as described in this Notice of Acceptance. PRODUCT DESCRIPTION Product Elite Glass -Seal Manufacturing Location #1 Elite Glass -Seal Manufacturing Location #1, 2, 3 MANUFACTURING LOCATION 1. Tuscaloosa, AL. 2. Frederick, MD. 3. Joplin, MO. EVIDENCE SUBMITTED Test Agency Underwriters Laboratories, Inc. PRI Construction Materials Technologies Dimensions 12"x36" 12-1/4" x 36" Test Identifier TAS-107 TAS 107 ASTM D 3462 ASTM D 3462 ASTM D 3462 TAS-100 TAS-100 Test Specifications TAS 110 TAS 110 Product Description A heavy weight, 3-Tab asphalt shingle. A heavy weight, 3-Tab asphalt shingle. Test Name/Reports • • • • • 02NK9507 OINK40917 • R2919 / 478787764g R2919/4787920696..' : R2919 / 4787877649 TAP-371-02-01 TAP-372-02-01 . .... • • .... . . . . .. . . • •Late ••••• . . T 99 M06/02 * 0 0 7;/04/01 ..„� :' •03iM8/17. . 069 ..0 V26/18 :" ' •-65123/17 03/07/17 03/07/17 NOA No.: 18-0207.04 MIAMMADECOUNTY Expiration Date: 04/11/23 Approval Date: 04/12/18 Page 2 of 5 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. 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 Detail 'B', attached. LABELING Shingles shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility, and following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: :...:. 1. This Notice of Acceptance. • 2. Any other documents required by Building Official or Applicable building code in o;def�tp.propetL*y.�y,Iluate thq,,,� installation this • of material. .... . .. ..... ...... . ... ..... .. .. .. . ...... . . . . ...... NOA No.: 18-0207.04 Expiration Date: 04/11/23 Approval Date: 04/12/18 Page 3 of 5 DETAIL A COURSE LAYOUT ELITE GLASS -SEAL 9TH COURSE All dimensions are in inches. 8TH COURSE 4- 7TH COURSE 7TH COURSE —a 6TH COURSE 6TH COURSE 12 —s 5TH COURSE 5TH COURSE 1s 11 4THCOURSE 4THCOURSE 20 — 16 3RD COURSE 3RD COURSE 24 21 28 26 32 — 31 2ND COURSE 2ND COURSE 36 36 - 1ST COURSE 1ST COURSE 4" METHOD 5" METHOD • • 6TH COURSE • • • •••••• •••• •••••• • 5TH COURSE •++++• •••• • •• ••••• 4TH COURSE • • 12 • • • • • • • • • • • • • • • •• •• •• • •••••• 3RD COURSE • •••••• • • 18 • • • • • • • • •••••• 2ND COURSE •••••• 24 • • • • • • • • • • • • • • • • • 1ST COURSE • •0 • 30 36 - 6" METHOD NOA No.: 18-0207.04 Expiration Date: 04/11/23 Approval Date: 04/12/18 Page 4 of 5 DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" Nail Zone — 1" 92„ 1� • 1 6-3/4" 5-1/2. 3" Nail Zone 1" f 9Z, — 3" n 6-7/8" 5-5/8" 9„ 3" 92" ELITE GLASS SEAL 36" 9„ —, 3" ELITE GLASS SEAL END OF THIS ACCEPTANCE 11, 12" 5" Exposure —I-- —1 • • •• ♦ •... • • 1 to• �{ 1 " Y .. • f • ... • +•••• • • • 921 • • • • a _ •��. • f• ..a.• •....• • • ••• 12.1l�+•• .. •. --V . •f.•f• • • 5i4%;V),isure ••.•.• • I :0.00: NOA No.: 18-0207.04 Expiration Date: 04/11/23 Approval Date: 04/12/18 Page 5 of 5 Miami shores Village 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 Date: Ci — 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name: r rl Property Address: 'a 01 S N e '-t Aye -pa Roofing Permit Number: Dear Building Official: I �Lvw► Cra one- certify that I am not required to retrofit the roof 49 9itconn4ggoqs of my •• building because: •••••• •••••� ••••�• ...:.• he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.M4Rlease aZ%Wproof of ad • .... . .. ..... valorem taxation. .... . .... • o The building was constructed in compliance with the provisions of the Florida Building Code:(FqG}or with the provisions •; . • . •••.•• of 1994 edition of the South Florida Building Code (1994 SFBC) • • • • •. • /- .. . • • • Signature State of Florida County of Dade Print Name The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned, Sworn to and subscribed before me this day of s�/��e eoe ZF & 40%Z Notary Public State of FloridaJP Felix n Notary Public, Sate of Florida at Large 4 My C mtmission GG 221650 o► xpires • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/2112009 r♦ 9NOR£s ,. S � F a.M p�OR SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 2. - Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. 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 flow* Aso that the -reef is n t overloaded from a buildup of water. Perimeter/edge wall or other roof extension:ray block tM3 • discharge if overflow scuppers (wall outlets) are not provide may b cessary 1ftstall overflow scuppers in accordance with the requirements of Section �40 R �3 a d Pd413'. :'. •. •••• • •• YrOwner gents Signature 0A0ks Ll pkve 9 Property Address Revised on 7/9/2009 LD;07/01/2015; Permit Number 0 • • e •••••• •••• •••••• • ••••• ••• • •••••• •••••• • •• •• •• • •••••• • • • • • • • •• • •• 3 t IR "y Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # _ �Fy I g •_ 3o2r? INSPECTION AFFIDAVIT DATE: _L (. an ict _ licensed as a (n Contractor Engineer / Architect, (Print name and circle License Type) FS 468 Building Inspector License #: cm (33�tq On or about 3' 6 / D-o : Q0 (� �1 (� �!did personally inspect the roof deck nailing lcd-ccr (Date & time) work at qdI N Lq A'VP ant VW6koA4 IS�4xP%, -N- 23 (3 c (Complete Job Site Address) Based hat exami tion I have determined the installation was done according to the Hurricane Mitigation Retrofit n 844 F.S) AMA S2 G'iO-n lam, 0. 6. -7 f=(3C a G t '7 a Ma414Based 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 4o day of WiLanr/ a D l i Notary Public, Sate of Florida at Large — 1. MY COMMISSION # FF926538 V (/ •f�'SfYi • EXPIRES October 12, 2019 1a07);iSVi•0/57 FWktallotaryservlce.com 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F,S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection 0—1-1 — r711A M1A1rMl nnna CFN: 20180627501 BOOK 31180 PAGE 1583 NOTICE FOF;rCOMMENCEMENT DATE:10/15/2018 09-00-28 AM ARECDRDEDtOPYMUST @EpOSTEbON THE .OSWEAtTTIME OFFMTINSpECTION HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY PERMIT NO. TAX FOLIO NOAt"'3206 073$O THE UNDERSIGNED hereby gives notice that improvements wi_B be made to certain real property, and in accordance with Chapter,713, Florlds Statutes, the.following Inforatation is provided in this Notice of Gommenoerndnt. 3: OwnMs) name and mess; Interest in property: 9LAI a.�[ Name and addre5s.of fee simple 4. Oontraotor's narne,`addresa at S. Surtaty. (Payrnsnt,bond-recjuired<by ovate? from contractor, if an)4 Name,,,address and phone number. Amount of bond $ 6. Lender'snI3MG and,address: 7. Persons within the, State of Florida.designated by Ownei upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Flolida.Statutes, Name, address'and'phone, number: .8, In addition to himself, OWn4s; designates'the following persons) to receive a copy of the Usnor's'Notice as provided in Section 71313(1)(b), FloridaStatutes. Namel address and phone number 'S. Expiration date of this Notice of Commencement: (rho evbeWn date is 1 yea► hom"date 6f reeae *a unless a 41tteren4 elate ra cpeoee) WARNING TO OWNER: ANY PAYMENTS MADE IXYTHE OWNER AF OTHEEXPIRAF*NOF:THENOTICEOFCOMMENCEMENTAERE"CONSIDERED IMPROPER PAYMENTS UI+ DER CHAPTER.713,104iT 1,'SECTION-713AS.'FLORIDA. 8TATUTES, AND CAN RE ULT'IN YOUR PAYING TWICE FOR IMPB4&MENTS.T6 YOUR PROPER'iY.`A=NOTiCE'OF GOwa4psMaN1'-MUST BE EiEOt El) Ah'b POMD ON TILE joB srm BEFORE THe FIRST INSPEMN. IF YOU INTM TO;ORTAIN FINANONG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WOES signature(s) of-0 Autlzorizetl Offfaer/Directar/Parttter/Manager Prepared. By. � Prepared, By Print Nat a_ptiF. Print'Name' Tilwofffce Titleloffice STATE OF FLORIDA COUNTY OF MIA omen lE Tlte forgo! In�s,�k�t gl��� was ao wledged,before me this day of rsonally.knowrf. or U produced,the fb#oWing4ype of Idea ntillca Signature of, Notary Public. Print Name: L-f (SEAL} VE1811FIMION PURSUANT -TO SEAM j2pt L FLQRI PA STATUTES " Wary E'ubGc stace or F►oride Under penalties of- pe4ury, l declare that 1,have read the foregoingand Felix Giraft that t ' c' s stated in It are true, to'the best of my lmovuledlle and belief.VTj oMy � 221650 Slgna u of 0wititrrW.*A4 wer(s�'s°AAorized OfficerMirectodPartner/Nlanag By V,: