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RF-01-22-254Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 9326 NW 2ND CT, Miami Shores, FL 33150 1131010150110 :ontacts CHARLES COLLAZO Owner JM BUILDERS FLA INC Contractor Jeffrey Martin Mobile: 9542977615 CCCOLLAZ012@GMAIL.COM 5652 SW 163 CT, MIAMI, FL 33193 Business: 30576788888 jeffrey@jmbuildersfl.com Inspection Requests: Description: RE -ROOF METAL PANELS Valuation: $ 21,000.00 30S 762494 TotalSq Feet: 1,700.00 ` Fees Amount Application Fee - Other $50.00 CCF $12.60 DBPR Fee $4.13 DCA Fee $2.75 Education Surcharge $4.20 Planning and Zoning Review Fee $35.00 Roofing Fee $225.00 Technology Fee $6.88 Tota I : $340.56 Building Department Copy Payments Date Paid Amt Paid Total Fees $340.56 Credit Card 01/31/2022 $50.00 Check # 405 03/31/2022 $290.56 Amount Due: $0.00 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 certi at-111 all t oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constru a onin ermore, I authorize the above named contractor to do the work stated. A riz ignatur wner / Applicant / Contractor / Agent Date March 31, 2022 Page 2 of 2 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Miami Shores Village�� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 '1 FBC 207AD Master Permit No. ec— Sub Permit No. Fj ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLICWORKS JOB ADDRESS: 9326 NW 2ND CT ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3101-015-0110 Is the Building Historically Designated: Yes NO Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder):CHARLES COLLAZO Address:9326 NW 2ND CT City: MIAMI SHORES State: FL Tenant/Lessee Name: Email: CCOLLAZO129GMAIL.COM CONTRACTOR: Company Name: JM BUILDERS FLA, INC Arlrirate. 5652 SW 163RD CT City: MIAMI State: FL Qualifier Name: Jeffrey Martin State Certification or Registration #: CCC-1333023 DESIGNER: Architect/Engineer: Phone#:954-297-7615 Zip: 33150 Phone#: Phone#: 305-767-8888 Zip: 33193 Phone#: 305-767-8888 rtificate of Competency #: one#: Address: City: State: _ Value of Work for this Permit: $21 ,000 -' Square/Linea7Repa age of Work: 1700 Type of Work: El Addition El Alteration 1-1Newir/Replace Description of Work: REROOF - METAL PANELS Zip: ❑ Demolition Specify color of color thru tile: (',�d,A410At h CLY Submittal Fee $v Permit Fee $ CCF $ CO/CC $ _ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $_ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Z— (V (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 Zi Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 'we .1r Signature OWNER or AGENT The foregoing instrumen was acknowledged before me this day of 20 ?%T, by CGGeLU w is personally known to me or who has produced P as identification and who did take an oath. NOTARY Sign:_ Print: Seal: ?2°SP ­-'O��,",-s"Notary Public -State 'of Florida Q Commission # GG 217798 My Commission Expires May 15, A022 —_ APPROVED BY Signature The foregoing instrument was acknowledged before me this day of JapWA 20 _ by �( 6Wq1%7 , who Cpersonalllyknow% to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: NALa;4 Public -State of Florid Seal: _. *= Commission # GG 217798 � 17,°T My Commission Expires + 177 � May 15, 2022 V Plans Examiner 5 -D-e—Zoning (Revised02/24/2014) Structural Review Clerk Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov 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: 12/12/2021 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: CHARLES COLLAZO Property Address:9326 NW 2 CT Roofing Permit Number: Dear Building Official: I CHARLES COLLAZO to wall connections of my building because: certify that I am not required to retrofit the roof P The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) &" eo& . CHARLES COLLAZO Signature Print Name State of Florida, Miami Dade County The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to anielf"ttii ' day of DECEMBER 20 21 At. MAR E A l "�=^Notary Public State of Florida += Commission # GG 217798 a M Commission Expires i/ylf OF F\fie \ y May 15, 2022 'III I111\ Notary Public, State of Florida at Large 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. Applications'�or Forms and �tp://bidg.miamishoresviIlage.com/WebLink/Browse.aspx?id=l18080&dbid=O&repo=M ShoresVillage Rev01 142021 Owner affidavit of exemption Page 1 of 1 Property Information Folio: 11-3101-015-0110 Property Address: 9326 NW 2 CT Miami Shores, FL 33150-2213 Owner CHARLES COLLAZO Mailing Address 9326 NW 2 CT MIAMI SHORES, FL 33150 USA PA Primary Zone _ 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/1/0 Floors 1 Living Units 1� Actual Area 1,358 Sq.Ft Living Area Adjusted Area 1,222 Sq.Ft 1,204 Sq.Ft Lot Size 7,500 Sq.Ft Year Built 1940 Assessment Information Year Land Value 2021 $217,260 2020 $173,169 2019 $173,169 Building Value $90,300 $90,300 $90,300 XF Value $0 $0 $0 Market Value $307,560 $263,469 $263,469 Assessed Value $109,945 $108,428 $105,991 Benefits Information Benefit Type 2021 2020 2019 Save Our Homes Assessment $197,615 $155,041 $157,478 Cap Reduction ... _ Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description ODELL MANORS PB 41-57 LOT 3 BLK 2 LOT SIZE 75.000 X 100 OR 19086-1718 03 2000 1 Generated On : 1/31/2022 Taxable Value Information 2021 2020 2019 -.............. --..............__............__..__.... County Exemption Value $50,000 $50,000 $50,000 Taxable Value $59,9451 $58,428 $55,991 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $84,945 $83,428 $80,991 ......... -__...._...... _... _......_...1.. City Exemption Value $50,000 $50,000 $50,000 Taxable Value $59,945 $58,428 $55,991 Regional _._._.............. _ .. _ _ -_.. ........ __................ __................................. _................... .............. _...... ...... _-... _.......... __.... _...- ....... Exemption Value $50,000 $50,000 $50,000 Taxable Value $59,945 $581428 $55,991 Sales Information Previous I Price OR Book - Qualification Description Sale I Page 08/14/2020 $100 320742314 Corrective, tax or QCD; min consideration _.... _........ .... _.._............_.........._....__..................................... 03/01/2000 $92,000 .......... -.--........... 19086- _.._...._................ Sales which are qualified 1718 18404- Sales which are disqualified as a result of 12/01/1998 $0 1741 examination of the deed 10/01/1998 1$82,000 18328-166 1 Sales which are qualified 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: https://www.miamidade.gov/Apps/PA/propertysearch/ 1 /31 /2022 Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami-D n y- Section A (General Information) Master Permit Number: Contractor's Name: JM BUILDERS FLA, INC Job Address: 9326 NW 2 CT, Miami Shores FL 33150 ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asp tiAIrsy JZ Metal Panel/ Shingles ROOF TYPE a MPY ❑ New Roof ❑ Repair ❑ Maintenance Low Slope Roof Area (ft2) Process Number: ❑ Mortar / Adhesive Set Tile ❑ Wood Shingles / Shakes PF—Ok — ZZ—Zs�-( Miami Shores Vill B ilding D*Fral, Zoning Dept. DateBuilding Deptto Subject to compliant- with all State and County rules and regulations. Permit# Rprq vering ROOF SYSTEM INFORMATION Steep Sloped Roof Area (ft2) 1700 Total (ft2) 1700 Are there gas vents on the roof? ®Yes @ No If Yes what type? C) Natural 0 LPX Is there an existing roof top Solar System? 0 Yes 0 No If yes will it be reinstalled? 0 Yes 0 No Section B (Roof Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section D (Steep Sloped Roof System) Roof System Manufacturer: Product Control Number: DREXEL METALS, INC. 19-0304.03 Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zone1: -74 Zone 2e: -74 Zone2n: -i08 Zone 2r: -108 Zone 3e: -108 Zone 3r: -128 Slope Range: @>_ 2:12 to <_ 4:12 ®> 4:12 to <_ 6:12 0 > 6:12 to <_ 12:12 Roof Shape: Q All Hip Roof ® Gable Roof or Partial Gable/Hip Roof Deck Type: 1 5/8 PLYWOOD Underlayment Type: #30 ASTM D226 TYPE II (1) Roof Slope: 4 : 12 Insulation: Fire Barrier: VERSASHIELD Ridge Ventilation? Fastener Type & Spacing: 1-1 /4" RS + 1-5/8" TC NO Cap Sheet Type: 24 GA STEEL PANELS Mean Roof Height: 12'6 Cap Sheet Attachment: MECHANICALLY FASTENED CLIPS Roof Covering: 24 GA STEEL PANELS Drip Edge Type & Size: 3" 24 GA GALV Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 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. 1. a Aesthetics -Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. `OLO 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). 3. /= Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 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. 5.&Oj��Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. Rev01 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov rflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. L04100 Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be benefi ' I to con 'der additional venting which can result in extending the service life of the r ('11 1 CV&24- 12112l2021 Owner/Agent's Signature Date ntract-°siustu re 12/12/2021 Date For Forms and Applications click here: http://bidg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage ReV01142021 Owners roofing consideration Page 2 of 2 MIAMI-DADE COUNTY 141AM PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami. Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.sw,/economy GAF 1 Campus Drive Parsippany, NJ 07054 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 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: VersaShield® Fire -Resistant Roof Deck Protection and VersaShield® SoloT" Fire -Resistant Slip Sheet 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 NOA No. 14-1022.26 and consists of pages 1 through 3. The submitted documentation was reviewed by Alex Tigera. NOA No.: 16-1216.02 MIAMIDADECO■UNTY Expiration Date: 02/07/22 Approval Date: 02/02/17 Page 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Underlayment Material: Fiberglass SCOPE: This acceptance is for VersaShield® Fire -Resistant Roof Deck Protection (a.k.a. "VersaShield® Underlayment") and VersaShield° SoIoTM Fire -Resistant Slip Sheet (a.k.a "VersaShield SoIoTM"), as described in this Notice of Acceptance, for use with approved prepared roof assemblies. Designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION: Manufactured b Applicant VersaShield® Fire - Resistant Roof Deck Protection Test Dimensions Specifications Product Description 42" x 100' rolls ASTM D 226 Non -Asphaltic fiberglass -based underlayment Type II and/or fire barrier. VersaShield' SoIoTM 72" x 166.7' rolls UL790 Fire -Resistant Slip Sheet 36, x 166.7' rolls MANUFACTURING LOCATION: 1. Conover, NC EVIDENCE SUBMITTED: Test Agency Test Identifier PRI Construction Materials Technologies Underwriters Laboratories Inc. GAF-270-02-02 GAF-748-02-01 ELK-063-02-01 99NK45831 1 ONK 11990 R 19254 08CA37926 08CA49140 Non -Asphaltic fiberglass -based slip sheet and/or fire barrier. Test Name/Report ASTM D 226 ASTM D 226 TAS 100 UL790 UL790 ASTM D 226 UL790 Date 11/15/10 12/12/16 09/27/01 03 /21 /00 05/18/1 I 09/13/01 09/23/09 INSTALLATION: 1. VersaShield® Fire -Resistant Roof Deck Protection or VersaShield® SoIoTM Fire -Resistant Slip Sheet shall be installed in strict compliance with applicable Building Code. 2. VersaShield® Fire -Resistant Roof Deck Protection or VersaShield® Solo Tm Fire -Resistant Slip Sheet shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. VersaShield® Fire -Resistant Roof Deck Protection shall be mechanically fastened with approved fasteners in compliance with Florida Building Code 1518.2 when used in lieu of a code prescribed ASTM D 226 Type II underlayment. NOA No.: 16-1216.02 MIAMI•DADECOUhr Y Expiration Date: 02/07/22 Wig ' Approval Date: 02/02/17 Page 2 of 3 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. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. VersaShield® Fire -Resistant Roof Deck Protection shall not be left exposed as a temporary roof for longer than 30 days of application. VersaShield® SoIoTM Fire -Resistant Slip Sheet shall not be left exposed to the weather. 4. VersaShield® Fire -Resistant Roof Deck Protection and VersaShield® SoIoTM Fire -Resistant Slip Sheet are a component used in roof assemblies. Roof assemblies are approved under specific assembly Notice of Acceptance. 5. VersaShield® Fire -Resistant Roof Deck Protection or VersaShield® SoIoTM Fire -Resistant Slip Sheet may be used with any approved roof covering Notice of Acceptance listing. VersaShield® Fire -Resistant Roof Deck Protection or VersaShield® SoIoTM Fire -Resistant Slip Sheet may be used as a component part of an assembly in the Notice of Acceptance. If VersaShield® Fire -Resistant Roof Deck Protection or VersaShield SoIoTM Fire -Resistant Slip Sheet is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 6. VersaShield® Fire -Resistant Roof Deck Protection and VersaShield® SoIoTM Fire -Resistant Slip Sheet are a non - asphaltic underlayment that may be used as a fire barrier for prepared roof assemblies. For fire classification of specific roof assemblies using VersaShield® Fire -Resistant Roof Deck Protection or VersaShield® SoIoTM Fire - Resistant Slip Sheet refer to a current Approved Roofing Materials Directory for fire ratings of this product. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. LABELING: All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility, yellow line to identify the ASTM Standard designation or logo, and the 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 order to properly evaluate the installation of this material. END OF THIS ACCEPTANCE NOA No.: 16-1216.02 � MIAMI•DADECOWN Expiration Date: 02/07/22 •� ' Approval Date: 02/02/17 Page 3 of 3 MIAMI•GADE M1A:MI-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.<_ov/econoniv Drexel Metals, Inc. 1234 Gardiner Lane Louisville, KY 40213 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 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. PER 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: DMC 150 SS — 24Ga. Steel Panel over Plywood deck 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—NO. 18-1024.08 and consists of pages 1 through 11. The submitted documentation was reviewed by Freddy Semino - NOA No.: 19-0304.03 ht1AMWADECOLLN'lY Expiration Date: 06/26/2023 " * Approval Date: 10/10/2019 Page 1 of 11 ROOFING SYSTEM APPROVAL: Category: Sub -Category: Material: Deck Type: Maximum Design Pressure Roofing Metal, Panels (Non -Structural) Steel Wood —165.00 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimensions DMC 150 SS — 24Ga. Length: various Steel Panel Height: 1-1/2" Width: 16" Thickness 24 ga Min. Yield Strength: 50ksi. DMC 150SS Butterfly Base: Clip Length: 4.5" Height: 1-1/4" Width: 1" Thickness: 22ga Upper Clip: Length: 5.045" Height: 0.929" Width: 0.40" Thickness: 24ga DMC 150SS Base: Continuous Butterfly Length: 120" Clip Height: 1-1/4" Width: I" Thickness: 22ga Upper Clip: Length: 5.045" Height: 0.929" Width: 0.40" Thickness: 24ga 24 ga. DMC 150SS Length: 2-1/4" Fixed Clip Height: 1-5/8" Base Width: 15/16" Thickness: 24ga 22 ga. DMC 150SS Length: 6-1/4" Fixed Clip Height: 1-5/8" Base Width: 3/4" Thickness: 22ga [� �APPROVEWI Test Product Specifications Description TAS 110 Corrosion resistant, galvanized steel or galvalume standing seam metal panel. Two piece panel clip (base and upper clip) used for the field conditions of DMC 150 SS panel assembly System A. Two piece panel clip (base and upper clip) used for the perimeter and corner conditions of DMC 150 SS panel assembly System A. One piece panel clip used for the field conditions of DMC 150 SS panel assembly System B. One piece panel clip used for the perimeter and corner conditions of DMC 150 SS panel assembly System B. NOA No.: 19-0304.03 Expiration Date: 06/26/2023 Approval Date: 10/10/2019 Page 2 of 11 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimensions Test Product Specifications Description Bostik 70-05A N/A TAS 110 Heavy duty construction adhesive. EVIDENCE SUBMITTED: Test Aaency PRI Asphalt Technologies, Inc PRI Construction Materials Technologies Architectural Testing. Hurricane Test Laboratory, Inc. Test Identifier Test Name/Report Date AKZC-001-02-01 to 05 ASTM B 117 10/08/02 DMC-006-02-01 TAS 125 03/11/13 DMC-009-02-01 TAS 100 03/11/13 VLS-015-02-01 ASTM B 117 05/15/18 VLS-015-02-01 ASTM G 155 05/15/18 56842.02-122-18 TAS 100 06/08/05 0287-0311-07 TAS 125 08/07/07 NOA No.: 19-0304.03 Expiration Date: 06/26/2023 Approval Date: 10/10/2019 Page 3 of 11 APPROVED ASSEMBLIES: System A: DMC 150 SS — 24Ga. Steel Panel 16" wide Panel Deck Type: Wood, Non -insulated Deck Description: New Construction 19/32" or greater plywood or wood plank. Slope Range: 2": 12" or greater Maximum Uplift See Maximum Design Pressures below Pressure: Deck Attachment: In accordance with applicable Building Code, but in no case shall it be less than 8d annular ring shank nails spaced 6" o.c. In reroofing, where the deck is less than 19/32" thick (Minimum 15/32") The above attachment method must be in addition to existing attachment. Underlayment: Minimum underlayment shall be an ASTM D 226 Type 11 installed with a minimum 4" side -lap and 6" end -laps. Underlayment shall be fastened with corrosion resistant tin -caps and 12 gauge 1 '/4" annular ring -shank nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll or any approved underlayment having a current NOA. Fire Barrier Board: Any approved fire barrier having a current NOA. Refer to a current fire directory listing for fire ratings of this roofing system assembly as well as the location of the fire barrier within the assembly. See Limitation # 1. Valleys: Valley construction shall be in compliance with Roofing Application Standard RAS 133 and with the current published installation instructions and details in DMC Association of Regional Manufacturers Installation Manual. Metal Panels and Install the "DMC 150 SS — 24Ga. Steel Panel 16" wide Panel" including flashing Accessories: penetrations, valleys, end laps and accessories in compliance "DMC Association of Regional Manufacturers" current, published installation instructions and in compliance with the minimum requirements detailed in Roofing Application Standard RAS 133. Field Conditions: Panels shall be secured along the male rib with approved clips fastened with two corrosion resistant #10 pancake head fasteners of sufficient length to penetrate through the sheathing a minimum of 3/16". The panel clips shall be located at the maximum spacing listed in Table A below. TABLE A MAXIMUM DESIGN PRESSURES Roof Areas Field Perimeter and Corners Maximum Design Pressures —99.25 psf —114.25 psf Maximum Clip Spacing 16" o.c. 12" o.c. Clip DMC 150SS Butterfly Clip DMC 15OSS Continuous Butterfly Clip Mechanical Seam 1800 1800 1. Extrapolation shall not be allowed NOA No.: 19-0304.03 �e� Expiration Date: 06/26/2023 ®� Approval Date: 10/10/2019 Page 4 of 11 System B: Deck Type: Deck Description: Slope Range: Maximum Uplift Pressure: DMC 150 SS — 24Ga. Steel Panel 16" wide Panel Wood, Non -insulated New Construction19/32" or greater plywood or wood plank. 2" : 12" or greater See Table B below Deck Attachment: In accordance with applicable Building Code, but in no case shall it be less than 8d annular ring shank nails spaced at a maximum distance specified below in Table B. In reroofing, where the deck is less than 19/32" thick (Minimum 15/32") The above attachment method must be in addition to existing attachment. Underlayment: Minimum underlayment shall be an ASTM D 226 Type 11 installed with a minimum 4" side -lap and 6" end -laps. Underlayment shall be fastened with corrosion resistant tin -caps and 12 gauge 1 '/4" annular ring -shank nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll or any approved underlayment having a current NOA. Fire Barrier Board: Any approved fire barrier having a current NOA. Refer to a current fire directory listing for fire ratings of this roofing system assembly as well as the location of the fire barrier within the assembly. See Limitation # 1. Valleys: Valley construction shall be in compliance with Roofing Application Standard RAS 133 and with the current published installation instructions and details in DMC Association of Regional Manufacturers Installation Manual. Metal Panels and Install the "DMC 150 SS — 24Ga. Steel Panel 16" wide Panel" including flashing Accessories: penetrations, valleys, end laps and accessories in compliance "DMC Association of Regional Manufacturers" current, published installation instructions and in compliance with the minimum requirements detailed in Roofing Application Standard RAS 133. Panels shall be secured along the male rib with approved Panel clip listed below in Table B with two corrosion resistant #10 pancake head fasteners of sufficient length to penetrate through the sheathing a minimum of 3/16". The panel clips are to be placed at a spacing listed below in Table B. The female rib of panel is placed over the male/clip assembly and TABLE B MAXIMUM DESIGN PRESSURES Roof Areas Field Perimeter and Corner' Option 1 Perimeter and Corner' Option 2 Maximum Design Pressures —90.00 psf —150.00 psf —165.00 psf Plywood Fastener Spacing _ 6" o.c. 6" o.c. 4" o.c. Clip Type 24 ga. DMC 150SS Fixed Clip 22 ga. DMC 150SS Fixed Clip 22 ga. DMC 150SS Fixed Clip Maximum Clip Spacing 16" o.c. 12" o.c. 8" o.c. Bostik Seam Sealant None 1 1/4" bead None Mechanical Seam 900 900 1800 1. Extrapolation shall not be allowed NOA No.: 19-0304.03 E cotn+t7 Expiration Date: 06/26/2023 Approval Date: 10/10/2019 Page 5 of 11 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. The maximum designed pressure listed herein 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). 3. Panels may be rolls formed in continuous lengths from eave to ridge. Maximum lengths shall be as described in Roofing Application Standard RAS 133 4. All panels shall be permanently labeled with the manufacturer's name and/or logo, city and state, and the following statement: "Miami -Dade County Product Control Approved" or with the Miami -Dade County Product Control Seal as seen below. All clips shall be permanently labeled with the manufacturer's name and/or logo, and/or model. 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. 6. Panels may be jobsite roll formed with machine model # SS01110110 from DMC Association of Regional Manufacturers. NOA No.: 19-0304.03 Expiration Date: 06/26/2023 Approval Date: 10/10/2019 Page 6 of 11 1/2" 3/8" PROFILE DRAWINGS 16" DCM 150 SS - 24GA. STEEL PANEL DMC 15OSS ('BUTTERFLY CLIP NOA No.: 19-0304.03 MIAMMADECOU� Expiration Date: 06/26/2023 ...� e Approval Date: 10/10/2019 Page 7 of 11 1' 1" Y DMC 150SS CONTINUOUS BUTTERFLY CLIP 1g Q " O Q 24 GA, DMC 150SS FIXED CLIP d p �tt �R 2277GA, DMC 15OSS FIXED CLIP MI NOA No.: 19-0304.03 MimtMECOUN-rym Expiration Date: 06/26/2023 e a Approval Date: 10/10/2019 Page 8 of 11 DETAIL A (Field Conditions) (Perimeter and Corner Conditions) APPROVED; NOA No.: 19-0304.03 Expiration Date: 06/26/2023 Approval Date: 10/10/2019 Page 9 of 11 DETAIL A (CONT.) DMG 15UUS PAN DMC 15088 CL (2) #10 - 13 x V PH UNDERLAYMB SUBSTRA (Seam Detail System A - Field, Perimeter and Corner Condition) DETAIL B (2) #10 -13 X 1" PH UNDERLAYME SU13STRA (Field Condition Seam Detail) NOA No.: 19-0304.03 ,I 41Q1DECOW" Expiration Date: 06/26/2023 "'• Approval Date: 10/10/2019 Page 10 of 11 DETAIL B (CONT.) CORNER ZONE SEAM ADHESIVE (114" BEAD 80871K 70-05A) (2)#10-13x 1"PHW UNDERLAYMEI T SUBSTRATE (Perimeter and Corner Condition — Option 1 Seam Detail) UMU I DU%Nb t'AN DMC 15088 CL (2) #10 -13 x 1" PH UNDERtAYME SUBSTRA (Perimeter and Corner Condition — Option 2 Seam Detail) END OF THIS ACCEPTANCE NOA No.: 19-0304.03 Expiration Date: 06/26/2023 Approval Date: 10/10/2019 Page 11 of 11 signed -and sealed by a professional engineer or registered architect based on the criteria set forth in ASCE 7. 3.2 Determine the angle (0) of roof slope, from Tables 1-3, Tables 4-6, Tables 7-9 or Tables 10-12, as applicable. 3.3 Determine the length (1), width (w) and average tile weight (W) of tile, per Product Approval. 3.4 Determine the required uplift resistance (Fr) per following formula: F,_J(P.,x1xw)-W)xcos9 3.5 Compare the values for Fr with the values for F noted in the Product Approval. If the F values are greater than or equal to the Fr values, for each area of roof, then the tile attachment method is acceptable. TABLE 1 — GABLE ROOFS MINIMUM ASD DESIGN WIND UPLIFT PRESSURES IN PSF FOR ROOF SLOPE - } 2:12 toe 4:12 RISK CATEGORY II EXPOSURE CATEGORY "C" Roof Mean Height Roof Pressure Zones 1 and 2e 2n, 2r and 3e 3r .515, -74 -108 -128 > 15' to < 20' -78 -114 -136 > 20' to < 25' -82 -120 -142 > 25' to <_ 30' -85 -125 -148 > 30' to < 35' -88 -129 -153 > 35' to s 40' -91 -132 -157 > 40' to < 45' -93 -136 -162 > 45' to s 50' -95 -139 -165 > 50' to s 55' -97 -142 -169 > 55' to <_ 60' -98 -144 -171 TABLE 2 — GABLE ROOFS MINIMUM ASD DESIGN WIND UPLIFT PRESSURES IN PSF FOR ROOF SLOPE - > 4:12 to s 6:12 RISK CATEGORY II EXPOSURE CATEGORY "C" Roof Mean Height Roof Pressure Zones 1 and 2e 2n, 2r and 3e 3r s 15' -57 -91 -128 > 15' to < 20' -60 -96 -136 > 20' to < 25' -63 -101 -142 > 25' to < 30' -66 -105 -148 > 30' to <_ 35' -68 -109 -153 > 35' to s 40' -70 -111 -157 sentriclad architectural metals ...... .... Regal White" SR: 70 IE: .85 SRI: 85 SR: 27 IE; X SRI: V Stone White' SR. .62 IE: .85 SRI. 73 SR: M 11: <77 SRI* 61 Saerra tan $R: . 46 tE: X SRI; 52 SRI* 32 - — --- - ---------- - - - Bone White" SR: 68 iE; .86 SRI: 82 STANDARD STOCKED ARCHITECTURAL COLOR PALETTE �A Almond' SR: 63 IE: 86 SRI: 75 Sandstone4 SR: .47 IE: 86 SRI, 53 -P- g Surrey Beige, SR: .35 IE: 86 SRk 37 SR, .49 It: .87 SRI: 56 SR: 37 IE: .86 SRI: XA SR: .08 IE: .90 51kl: 4,0 SR:44 IE: .86 SRI: 25 Featuring a peartescent mica finish; subject to 'premium pricink Colors shown areas ctoseto actual colors as allowed by the printio process. Actual metal samples are available. Colors may appear different when viewed At different angles and under different lighting condition$. Due to, product Improvements, changes and other factors, we reserve the right to change or delete information herein without prior notice. ENERGY STARs 1E1D* �almpl i for low slope and steep slope pliant pliant for Steep stope only PVIDF - 70% pokyvinytidene flouride resin paint system Silversmiths 515 Champagne RO Pewter S1 I SR: A IE: .80 SRI: 52 M <37 IE,. .83 SRI: 38 SR: <36 IE: .85 SRI; 38 State Gray Medium Bronz , e SR,. .37 IE: 86 SRI, 39 SR: .31 IEV SRI: 32 IE: .87 SRI: 32 Slate Btue SR- 30 IE. .87 SRI: 31 Initial Emissivity SRI = Solar Reflective - DENOTES EXOTIC COLORS AND ARE SUBJECT TO PREMIUM PIR10M Bright Copper"S25 SR: .41 tE: 85' SRI: 44 Cotonial, Red SR: .31 IE: .87 SRI: 31 Acnytir Coated Gatvalume also available (not pictured) 877-495-7663 www.sentrigard.com ' 1Standard Coil Width is 48.25" t Standard Coil width is 44.175" PROUDLY FINISHED WITH • Standard Color option. .7,f' ERWIN- I✓' LI AMS. is 40.5- Colt Option is Available. Coll CoatingS A Additional Lead Times May Apply, SRI RATINGS ARE FOR GALVALUME ONLY I Standard Colt Width -405' ALUMINUM RATINGS ARE LISTED ON LG Refers to Reflective Ratings WWW.SENTR(GARD.COM n Offered in 2.7-112` soil width Denotes Mica Colors Denotes exotic colors and are w subject to premium pricing NOTES ON AVAILABILITY: t. -249a, .032, .040, .050, .063 are standotd 48.25` in Width, 224 and 1894 are 44;375` in width. '16ga is 40,S- standard width for painted items, 2, .Protective Wlipable film is standard on -fiat Sheets. 3, Mica- yard exotics - are subject to premium pricing. Due to the unique effect of the Mira finishes; appearances may vary from batch to hatrn. 4. Standard inventory is nonoembmsed. Embossedreyumts are to be quoted. 5. Unpainted, acrylic coated, aluminum xinc alloy steel, (A255) is maintained In 268a 20 ;,26ga27.117.', 76ga 24, 24pa Z(r, 24ga, 27-11Z , 24ga 24" All: colts and 76ga 48"xi20', 24ga-4$'k120' flat; sheets (no stripna6te filmti. 6. All colons are supptled in Medium Gloss t20.35 at 60 deg). Lox glossan 110e 26ga available subject to minimum coating run, 7. This color chart is subject to change without notice. Sentriclad° standard architectural colors and finishes feature 70% polyArtylidene fluoride (PYOF) resin paint systems to ensure long term color retention and performance. Custom colors and finishes are also available. Minimum quantities and set up charges may apply, 877-495•7663 wwww.sentrigard.com ard HAND ■ 7020 98-32Sentrf010 THMEfEROMCH01MINGEt86t 3/20 '2 io 03/20 23M Permit # Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov DATE:12/12/2021 INSPECTION AFFIDAVIT JE F F R EY MARTIN licensed as a(n) Contractor / Engineer / Architect, (Print name and circle License Type) License #: v `-" C-1524388 On or about 12/12/2021 , I did personally inspect the roof deck nailing (Date & time) work at 9326 NW 2 CT (Complete Job Site Address) Based upon that exami tion I h determined the installation was done according to the Hurricane Mitigati t nual (Based on 553.844 F.S) Signs, re State of Florida, Miami Dade County: 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 Notary Public, State of Florida at Large DECEMBER 2021 \01111� ALEXA MARCELA URCUYO A SPB =o Notary Public -State of Florida -* _= Commission # GG 217798 -F My Commission Expires May 15, 2022 For Forms and Applications click here: :/bidg.miamishoresvillage.com/Weblink/Browse.aspx?id=118080&dbid=0&repo=Mia htt P/ miShoresVillage RevO i 142021 Inspection Affidavit Page i of 1 ads Miami Shores Village -BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.ciov EOR1D Required for Inspection • Statement from license contractor that he or she personally inspected the existing gas vent system and found the system safely reconnected and attached as required by the Florida Building Code. If the contractor is unable to provide such a statement, a permit by a qualified license contractor will be required prior to final roof inspection. For Forms and Applications click here: 7 ._ --_. i �►.�.��"immmhoresvillaRe.com/ id=118080&dbid=0&repo=Mia mi5horesVillaee Page 1 of Rev01142021 Required for Inspection 1 � \�� � \\� / ❑ � �� �o � ` 13 008278 Local er ne s Tax Receipt Miami -lade County, Mate of Florida THIS IS NOT A BILL - DO NOT PAY 7236247 sum" MUNAMTHM 1M BUILDERS FLA INC 5652 SW 163RD CT MIAMI FL 33193-5644 i i�s'Iil i f i Wotker(s) 2 006738 W*WK. EXPIRES RENEWAL SEPTEMBER 30, 7607450 Must be displayed at place of business Pursuant to County Code Chapter BA »- Art 9 & 10 sEtTVE OF BUSNErs 196 SPECIALTY BUILDING CONTRACTOR PAYMENTRVAKO CCC1333023 BYTAX COULE N $75.00 08/09/2021 INT--21 359552 This LwAl BucinossTax Rmipt only confirms payment of the Local Business TeX. The Receipt is not ai license, pernnik ere ceeii k►a of the h"r`#gqo*lificedons, to do business. Holder must comply with arn, f govemmentel or wMmmum nr latoty I s and requimnents which apply to the business. The RECEIPT NO *bore anaat be displayed on all commercial vehicles - Miami -Dade Code Sec Be-2N. p4tore iafotm*tion, visit is Local Business Tax Recei Miami -Dade County. Mate of Florida THIS IS NOT A BILL - DO NOT PAY 7236247 1M BUILDERS FLA INC 5652 SW 163RD CT MIAMI FL 33193--5644 Wwker{s} 2 at wtttn�rarna� TM RECI fwwrwo. EXPIRES RENEWAL SEPTEMBER 30, 2 7522252 Must be displayed sp yed at plate of business Pursuant to County Code Chapter U Art. 9 & 18 _,. M SECTMOFOUSPIESS 196 GENERAL BUILDING CONTRACTOR 'AxIMEt "E'"E' CGC1524388 B`tTAX CotlEI:TMR $75.00 08/09/2021 INT-21 359552 Tape Rptotillr cormtt peyattest of tlsi local business Tex. fia Flecsipt is not * license. ttlti1 of * bt�tMr'sqaalific�xtiotr, tEt do �€sit�ss. Holdermt�ei comply withany pavemmetttel t�tgitlaAtiry lifts *nd reya�reenes which apply to fire business. till. above moo be di�la��tf on ell cumtn*rcial Yehicl*s - Miemi-bade Cods Sec 6n-27G: 131t`,�ar4 ittbtm**txanrrFnit A� Q® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01/25/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Tadeo Insurance Agency Inc CONTACT NAME: Anaeliz C. Tolibia NX PHONE . (305) 553-1760 Fdc No): (305) 553-1762 EML ADDRESS: tadeoinsurance@live.com 8201 SW 24 st INSURERS AFFORDING COVERAGE NAIC # INSURERA: PENN-AMERICA INSURANCE COMPANY 32859 Miami FL 33155 INSURED INSURERS: INSURERC: JM BUILDERS FLA INC INSURER D : _ 5652 SW 163 Ct, INSURER E : 1 INSURER F : Miami FL 33193 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDPOLICY IYYYY MMIDDIIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR PAV0287190-01 01/09/2022 01/09/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED PREMISES (E. occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I I COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB �/ /� OCCUR CLAIMS -MADE EBU19775678-02 01/09/2022 01/09/2023 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYSTATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A PER OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CGC1524388 CCC1333023 [y=1Cil SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE U 1938-2015 AGURD GURPURA I IUN. An rignts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACOR 10 AC� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 01/26/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: Leyanis Abreu PHONE . (305) 640 4545 FAX Na : (305) 640 1955 Codified Insurance Agency d/b/a Sebanda Insurance -MAILADDRESS: G Y le ani sebandainsurance.com E-MAIL-ADDRESS: 4085 SW 152nd Ave Unit 22 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Insurance Company of the West _ 27847 Miami FL 33185 INSURED _ INSURER B : _ INSURER C : JM Builders Fla, Inc INSURER D : 5652 SW 163 CT INSURER E : INSURER F : Miami FL 33193 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE INSD SUBR POLICY NUMBER EFF MMIDDfYYYY MMPOLICY L ICY EXP DDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE 10 RENTED CLAIMS -MADE OCCUR PREMISESEa occu ante $ MED EXP (Any one person) $ i PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO - POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY MBINED SINGLE LIMIT EaCOaccident) BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ __ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WFL505945600 I 02/11/2021 02/11/2022 ER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1 MM E.L. DISEASE - EA EMPLOYE $ 1 MM E.L. DISEASE - POLICY LIMIT $ 1 MM If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CGC1524388 CCC1333023 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 �" , ©1988-2015 ACORD CORPORATION. Air -rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD