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RF-19-219r r Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 s Issue Date: 92/14/21119 Parcel Number 270 NE 104TH ST, Miami Shores, FL 33138 1121360130320 Contacts Permit NO.: RF -01-19-219 Permit Type: Roof Work classif cation: Repair Roof Permit status: Approved Expiration: 07/30/2019 JOSEPH BASSETT Owner HOME OWNER Contractor 270 NE 104 ST, MIAMI SHORES, FL 33138 HOME OWNER Other: 3054846527 Inspection Requests: Description: PAINT ROOF WHITE Valuation: $ 500.00 r 05 X449 Total Sq Feet::::2,000.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $0.20 Roofing Fee $100.00 Scanning Fee $9.00 Technology Fee $6.88 Total: $173.56 Payments Date Paid Amt Paid Total Fees $173.56 Credit Card 02/14/2019 $173.56 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. 4ERS AF IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws lating cpnhtruction and zoning. Futhermore, I authorize the above named contractor to do the work stated. -1�6r€pl-1, E—tt re: Owner / Applicant / Contractor / Agent -2— 1 -( - l Date February 14, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village BuildingDepartment R��°��® pJAN 3 12019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 n INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201"q Master Permit No. —O—C— A I—z'l f Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL EPUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 2--k-O Nf- 104"0' City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 1 Z ( 3(o0 13n 3 2 O Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ToScQta -Sctaua f Phone#: S05 -\01N • bS2-�'r Address: eJ -L \0 City: w S RQ A' s State: t- L- Zip: 3 3 it Tenant/Lessee Name: N A., • Ph Email CONTRACTOR: Company Name: C3 W V-314 'CL (, S £ A e4,j Address: hone#: 3c�-`(8�l- 65.0 City: State: Zip: Qualifier Name: State Certification or Registration #: Phone#: Certificate of Competency #: DESIGNER: Architect/Engineer: N • P" Phone#: Address: City: State: Zip: Value of Work for this Permit: $ � V Square/Linear Footage of Work: Z000 s4 f-1 Type of Work: ❑ Addition Y Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: TP 1 "-V No ci F W 0, tT� C-* STI kj6- rtoo f = l IN ik Specify color of color thru tile: L j t%, � T er— - s 4 4 Submittal Fee $ Permit Fee $ CCF $ - CO/CC $ ig Scanning Fee $ Radon Fee $ DBPR $ i Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ f��' �6 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 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 wi not be approved and a reinspection fee will be charged. Signature rk—, - Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this U day of AP w 20 1 c:�;) by who is personally known to me or who has produced 1' L -IDP—I \7EQ— U -C &- NS'�is identification and who did take an oath. NOTARY PUBLI : Sign: i Print: Seal: APPROVED BY (Revised02/24/2014) SINDIA ALVAREZ MY COMMISSION $ GG 235273 EXPIRES: September 3, 2022 The foregoing instrument was acknowledged before me this day of me or who has produced 20, by , who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: /1//'t Plans Examiner Structural Review as Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: kA 3?, PIC DATE: l'_�U•\`� ADDRESS: `Z"40 N4 k()`lam SMc4"�_'.0 iM S 'NL 3 ? t3'Z' Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial Z 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial • S 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial --:!C •q;, 4. 1 understand that I may build or improve a one family or two-family residence or a.farm outbuilding. 1 may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial < 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial S•. 6. 1 understa6d that 1 may", not tiire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my reslionsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 75, 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial • , - 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk, Initial —T-111 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. 1 also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.htmi Initial --S' 4''' 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 2�U Nt� �Qy�i ST, r^�h•r- i S'Ne 1LFS� �=L '� � �2 `r Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this :E3 4 day of 3 t�"Q r -2y, 20 t -) By jyosizl-LL ; who was personally known to me or who has uced there License or��y�C-L �� as identification. OWNER NEaEu_ A ALVAREZ SION # GG 438Y73 e temNOTARYD ber3,2022 ary Public Underwdters Henry 4.75 Gal. 887 Tropi-Cool 100% Silicone White Roof Coa... https://www.homedepot.com/p/Henry-4-75-Gal-887-Tropi-Cool... Home / Building Materials / Roofing & Gutters / Roofing / Commercial Roofing / Roof Coati Model # HE887HS018 Internet #205049553 Store SKU #1000043150 f % slue TROPI•COOL WHITE ROOF COATING o.— o. aow sago,. w TKFpS Trpp�CaO�. aascknaoi Share Save to Favorites Print RECEIVED JAI 3 120 BY: Henry 4.75 Gal,_1 100% Silicone White Roof Coating ****Ik (348) Write a Review Questions & Answers (493) • 100% waterproof and rain -safe in 15 -minutes • Permanent ponding water resistant • Saves money on cooling costs by reflecting heat $23900 Buy 8 or more $215.10 Quantity - 1 + ZtL� 2 PAiami Shores Village I .APPROVED BY DATE j ZONINGA DEPT ! G �CEPT ("(�MPI IA F WITH ALL F19_)tRAL 1 of 5 1/31/2019,10:23 AM • . .... ..•... 0000•• • 0000•• • 0000•• • 0000•• • • • 0000•• 0000 • • • • 0000 •• •• 0000• 0000•• • • 0000• • • •0000• •• •• • 0000•• • 0000•• • • . . . . ...... • • • • 0 • • 0 0000 RECEIVED JAI 3 120 BY: Henry 4.75 Gal,_1 100% Silicone White Roof Coating ****Ik (348) Write a Review Questions & Answers (493) • 100% waterproof and rain -safe in 15 -minutes • Permanent ponding water resistant • Saves money on cooling costs by reflecting heat $23900 Buy 8 or more $215.10 Quantity - 1 + ZtL� 2 PAiami Shores Village I .APPROVED BY DATE j ZONINGA DEPT ! G �CEPT ("(�MPI IA F WITH ALL F19_)tRAL 1 of 5 1/31/2019,10:23 AM Henry 4.75 Gal. 887 Tropi-Cool 100% Silicone White Roof Coa.. Pick Up In Store Today Add to Cart 48 in stock at Miami (calle Ocho) Aisle 15, Bay 005 Text to Me Check Nearby Stores https://www.homedepot.com/p/Henry-4-75-Gal-887-Tropi-Cool... We'll Deliver It to You Add to Cart Free Delivery •..• • Expect it February Ilk s 1 dbruaW 1,% Get it today for aslo"A $35.tL..: Delivery Opton 0 • We're unable to ship this item to: Easy returns Sp store and Or buy now • • • • • AK, GU, HI, PR, VI online • with "•' Learn about our return policy Product Overview Henry 887 Tropi-Cool 100% Silicone White Roof Coating is a premium, 100% silicone, moisture -cure coating designed to reflect the sun's heat and UV rays as well as protect many types of roofs. While suitable for use in all climates, the 100% silicone chemistry is especially suited for extreme tropical environments, which are exposed to some of the hottest and wettest weather with intense UV exposure. It is specially designed to maintain maximum reflectivity of heat and UV rays as it ages. Its moisture -cure chemistry creates a very aggressive chemical bond with the roof, which allows for permanent ponding water resistance, extreme durability, and superior capabilities of sealing and protection. • ENERGY STAR certified and CRRC (Cool Roof 2 of 5 1/31/2019,10:23 AM Henry 4.75 Gal. 887 Tropi-Cool 100% Silicone White Roof Coa... Rating Council) rated • Meets the requirements of CEC (California Energy Commission) title 24 • Miami -Dade county approved and Florida approved • Excellent adhesion and flexibility • Superior UV resistance and weathering performance • Mold and mildew resistant • Wide application temperature range from 35°F to 120°F (2°C to 49°C) • Lifetime limited warranty with 1 -coat application Info & Guides • SDS • TDS You will need Adobe® Acrobat® Reader to view PDF documents. Download a free copy from the Adobe Web site. Specifications Dimensions Product Depth (in.) 12 Product Height (in.) 14 Product Size (oz.) 608 Product Width (in.) 12 3 of 5 https://www.homedepot.com/p/Henry4-75-Gal-887-Tropi-Cool... 1/31/2019, 10:23 AM . . .... ...... ...... ...... . ...... .... .. .. ..... ...... . . ..... .. .. . ...... . . . . ...... 1/31/2019, 10:23 AM Henry 4.75 Gal. 887 Tropi-Cool 100% Silicone White Roof Coa... Details Application Method Brush On,Roll On,Spray On Approximate Coverage Per Gallon (sq. ft) 67 Coating Base Silicone Cold Applied Cold Applied Color Family White Container type Pail Dry Time 6h Features Algae Resistant,Cool Roof Certified, Energy Star Rated,Extreme Cold & Ice,Extreme Heat,High Impact/Hail Resistant,High Reflectivity, High Wind Resistant, Impact Resistant, Mildew Resistant,Quick Dry,Waterproof Fire Rating (UL 790) No Rating Available Material Construction Polymeric Returnable 90 -Day 4of5 https://www.homedepot.com/p/Henry-4-75-Gal-887-Tropi-Cool... 1/31/2019,10:23 AM . . .... ...... ...... . ...... .... .... ..... ...... . . ..... .. .. . ...... . . . . ...... 1/31/2019,10:23 AM Henry 4..75' Gal. 887 Tropi-Cool 100% Silicone White Roof Coa... Roofing Product Type Asphalt Roof Coating Surface Recommended Coated Roofs,Concrete Roofs,Concrete/Mason ry, Metal, Metal Roofs,Mobile Home Roof,PVC Membrane, Rubberrized-Asphalt, Rubberrized- Mastic,Rv Roof,TPO Membrane,Trailer Roof Warranty / Certifications Manufacturer Warranty Lifetime limited warranty https://www.homedepot.com/p/Henry-4-75-Gal-887-Tropi-Cool... How can we improve our product information? Provide feedback. 5 of 5 1/31/2019,10:23 AM MIAMI, � MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy Henry Company LLC 999 N. Sepulveda Boulevard, Suite 800 El Segundo, CA 90245 0000 . . . 0000 ...... .. 0000.. SCOPE: .00.00 • •••••• This NOA is being issued under the applicable rules and regulations governing the use of cdrfstflfc'lion mateilals. The,*.... documentation submitted has been reviewed and accepted by Miami -Dade County RER - Psouu sControf Secdon to be • .r.. .. .. 0000. used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdic*�o` �AHJ).. 40:0 . ...... This NOA shall not be valid after the expiration date stated below. The Miami -Dade Count; Product Control Section "' 0 (in Miami -Dade County) and/or the AHJ (in areas other than Miami -Dade County) reserve the rig�it to hgve this produ� or material tested for quality assurance purposes. If this product or material fails to perform.in the accepwitfahner, tre manufacturer will incur the expense of such testing and the AHJ may immediately revoke, A"If}y or sLwpeiad the us$ •' • •; of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it es. 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: Henry Company Silicone Roof Coatings 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 NOA # 16-0224.11 and consists of pages l through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 17-0201.07 Expiration Date: 02/21/23 Approval Date: 02/08/18 Page 1 of 8 Substrate: Existing Concrete Roofing Systems All General Limitations apply. System 1 Preparation: The existing surface should be clean, dry, frost -free and fully prepared prior to the application of the Henry Company coating. All surface preparation shall be according to the coating manufacture's current published application instructions. Primer: Prime surface with Tropi-Cool® Roof Primer or Pro -Grade' 941 Primer at a rate to 600 ofi440 ft'/gal according to the coating manufacturer's current published applicjttipn instmelSens. • • • •; • Allow to thoroughly dry before application of the coating. " ;...% '. Coating: .... ...... Apply Henry' 887 Tropi-Cool® 100% Silicone White Roof Coating,.Nwa) 80G Tropi- Cool' 100% Silicone Gray Roof Coating, Henry' 887T Tropi-Cool'o1,09% Silicone Tan Roof •": Coating, Pro -Grade' 988 Silicone White Roof Coating, Pro -Grade 988 4flicone 4ighb ;Gray** • e • • • Roof Coating, Pro -Grade' 988 Silicone Gray Roof Coating, Pro-Gt•a T*4V8 Sil=ctygTan RddA•• Coating at a rate of 1.5 to 3.5 gal/100 ft' according to the coating tANTActurerl current published application instructions. • • • • • 0: Maximum Design . . . . ...... • ; Pressure: 000 • N/A •' • • '• • • Substrate: Existing Smooth -Surfaced BUR Modified Bitumen Roofing Systems All General Limitations apply. System 1 Preparation: The existing surface should be clean, dry, frost -free and fully prepared prior to the application of the Henry Company coating. All surface preparation shall be according to the coating manufacture's current published application instructions. Coating: Apply Henry' 887 Tropi-Cool® 100% Silicone White Roof Coating; Henry' 887G Tropi-Cool' 100% Silicone Gray Roof Coating, Henry' 887T Tropi-Cool' 100% Silicone Tan Roof Coating, Pro -Grade' 988 Silicone White Roof Coating, Pro -Grade' 988 Silicone Light Gray Roof Coating, Pro -Grade' 988 Silicone Gray Roof Coating, Pro -Grade' 988 Silicone Tan Roof Coating at a rate of 1.5 to 3.5 gal/100 ft' according to the coating manufacturer's current published application instructions. Maximum Design Pressure: N/A NOA No.: 17-0201.07 HMPGOAM Expiration Date: 02/21/23 Approval Date: 02/08/18 Page 6 of 8