Loading...
RF-10-23-2579Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date: 12/01/2023 Location Address Parcel Number 113 NE 101ST ST, Miami Shores, FL 33138 1132060131910 Contacts Permit No.: RF-10-23-2579 Permit Type: Roof Work Classification: Tile Permit Status: Approved Expiration: 06/03/2024 Joseph J Gonazalez TRS Owner OCEAN CONTRACTOR GROUP Contractor 113 NE 101 ST, Miami Shores, FL 33138 EMILY NOGUES joey@barrys.com 19910 CORAL SEA RD, MIAMI, FL 33157 Business:7863268859 OCEANCONTRACTOR@YAHOO.COM Description: CODE-10-23-355 REMOVE AND REPLACE DAMAGE Valuation: $ 2,352.00 ROOF TILES ABOVE FRONT ENTRANCE OVERHANG Total Sq Feet: 80.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.90 Permit Fee (Manual) $80.00 Scanning Fee (Manual) $9.00 Work without Permit Fee $130.00 Work Without Permit Fee- Plus $100 $100.00 Total: $375.70 Building Department Copy Payments Date Paid Amt Paid Total Fees $375.70 Credit Card 12/01/2023 $325.70 Check # 5074 10/20/2023 $50.00 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 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. Futhermore, I authorize the above named contractor to do the work stated. vWc Owner / Applicant / Contractor / Agent Date December 01, 2023 Page 2 of 2 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 BUILDING PERMIT APPLICATION ®BUILDING I3 ELECTRIC ® ROOFING PLUMBING ® MECHANICAL CHANGE OF CONTRACTOR F) II I I Liu OCT t U 2023 Ld� By— {{M FB'-C 20Z —" Q��2b Master Permit No.L'- to — `"= r Sub Permit No ® REVISION II3 EXTENSION ®RENEWAL ® CANCELLATION 13 SHOP DRAWINGS JOB ADDRESS: (II ME I0I'5f S.l- City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: II - 3206- 013 - I510 is the Building Historically Designated: Yes n NO ,r „ Occupancy Type: Load: Construction Type: Flood Zone: )( BFE: FFE: OWNER: Name (Fee Simple Titleholder): Jb*p=Qh j (--LwG7IE5 TRS Phone#: 313 3�'• 3:-G4 Address: 5CO "iCAM VIPttJ \A1Q1/ City: Lbr�h V4 Villo e State: lorldq Zip: 33141 Tenant/Lessee Name: Phone#: Email: _ -j--P.ND• Q- /� t�l(k C.•Co�`-1 c CONTRACTOR: Company Name: _Ocew C©cAraclors Gr 1 97 LV— Phopnen#: -7RC. 3W PRS9 Address: Co[Ql <,rQ Qt5aC,1 lr r k Email: Qualifier Name: State Certificath DESIGNER: Architect/Engineer: _ lob -6Z.66Bg- State: _Zip: Value of Work for this Permit: $ 29 ?.S`2 .'= Square/Linear Footage of Work: Bb sF Type of Work: I] Addition Alteration ® New 13 Repair/Replace ® Demolition Specify color ofcolorthru tile: �% Submittal Fee $ 5) � Permit Fee $ Scanning Fee $. Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee $ rqtm CCF $ CO/CC $ DBPR $ Notary I Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE$ (Rev1sed04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address city State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Ar 0 Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 $1500, the applicant must promise in good foith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 0):�; OWNER or AGENT The foregoing instrument was acknowledged before me this ZO day of OCkOlOer 20 23 ,by 50who is personally known to �1 me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: I'MCIA_ ©11,C)G 0 Seal: Notary Public Stele of Florida 1 German 011veros Itll My Commission HH 41e273 Exnlres 71612027 as Signature WWWWWW CONTRACTOR The foregoing Instrument was acknowledged before me this _ day of ��. 20 20P . by kAOGU" who ersonallykn to me or who has produced _ as identification and who did take an oath. NOTARY PUBLIC: Print: f)(iihl �If V AIAl1ER Notantany Publk Seal: Swe of Florida y = Comm8HM198957 �4c t4t Expires 11/15t2025 APPROVED BY Plans Examiner Zy Zoning Structural Review Clerk (Revised04/05/2022) NC` B 0 2023 BY: MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS chase type or print denriv NAME OF PROPERTY (Vappiicable): ADDRESS OF PROPERTY: 113 k 161 sT SA hoA% �hareA . FI 333138 NAME(S) OF APPLICANT(S): 793 (NOTE: IF THE APPLICANT IS A PERSON OTHER THAN THE OWNER(S), EVIDENCE OF THAT PERSON'S AUTHORITY AS AGENT MUST BE ATTACHED TO THE APPLICATION.) TELEPHONE OF APPLICANT(S): (305) ,30 ( qUe 4 ; (305) ADDRESS OFAPPLICANT(S): 113 1,1e 161 SZ 51 '53►3$ (if different than ad&m of property) /J PRESENT USE OF PROPERTY: 1(,GSi pEi�l� CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate dmificatjon) f�. MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing form, integrity and material of a building or structure and die e;lsting form or vegetativo cover of a site. It may include initial stabilization work where necessary, m wall ns on -going maintenance and repnir. Somples of materini must be submitted with the Application. B. RESTORATION: The process of accurately recovering the fomh and details of a property and its setting wit appeared at a particular period of time by means of Lie removal of later work or by the replacement of missing earlier work. All applications for restoration shall include site plans (if required by Iha Building PermiO, a statement with bibliography Idstoricaliyjust(fying the work and any additional photos or information to support the proposed work. L. REHABILITATION: The process of retuming a property to a state of utility through repair or alteration which makes possible an efficient contemporary, use while preserving Nose portions or features of the property which are significant to its historical, architecture] and cultured values. All applications for rehabilitation shag include: site plans (if required by Building Permit), and any other supplementary Infomauion, such as drawings. that will support the proposed project. D. DEMOLITION: The process of destroying or tearing down a building m swctum or a part NereoC or the process of removing or destroying an archeological site or a part NercoL The applicant shall include a report explaining why the proposed action should occur. If this action is to near far reasons of financial hardship, all pertinent financial data should be included pertaining to the cost of preservation, demoluion and new construction. Any other material pertinent to No application is also encouraged as supplementary information E. NEW CONSTRUCTION: The process of constructing a buildtng or s cture that has never existed nf that location Applications shall include: asite plan, elevations. Floor plan andlor landscape plan FORM : MSHPB.COA (adopted 4195) PAGE OF zl* DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and how they will be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): (ZemOi3 E GI(\6 R epla C'e &,Lm q�c rw©-%7 jx\es , 000004 Frail ecAranee car hang CERTIFICATION I (WE) CERTIFY TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN THIS APPLICATION AND ITS ATTACIBE14 PS IS TRUIRMyD COMCT: SIGNATURE OF APPLICANT�;S): SIGNATURE OF OWNER(S): FOR BUARD USE ONLY APPLICATION DATE (date application received by Secretary of the Board): DATE. it s z3 DATE: DATE: i0h, DECISION OF TBE BOARD (circle the appropriate number): - 01.APPROVED 2. APPROVED WITH CONDITIONS (set forth conditions below): M003 SIGNATURE OF CH . FORM: MSHPB.COA (adopted 4195) PAGE Z OF 3 DATE: I �� )ao� NOTICE TO APPLICANT(S) HEAR94G: The Board will act upon the Application within ten (10) working days after receipt of the Application by the Secretary of the Board. You will be notified by the Chairman of the date of the hearing. An Application will not be considered until the required supplementary material has been provided and the Applicant and the owner sign the Application attesting to the truthfulness of the information provided. APPEALS: Any person desiring to appeal a decision of the Board shall within fourteen (14) days from the date of such decision, file a written notice of appeal with the Village Clerk. HELPFUL TIP: Historic photographs. photographs showing existing conditions. proposed plans and drawings. and samples of proposed materials are all very important in assisting the Board in making an informed decision. FORM :.NssHPs.COA (adopted 4195) PAGE 3 OF 3 I f _ A •y r TIT T j—i "{7 _ '_} 1 5- we•�G Lam, YLf"r �� ' � .'M. � 4: 1 x�. r �a • r Tr y r t 3 3a'f OWNER'S AFFIDAVIT OF CONSENT AND DESIGNATION OF AGENCY IMe F�10f? S 6d<12t0<tE2. .,5 as Owners) of Lots) 15, l(a and t2• , Block 1 Sections Plat Book and Page Located at desire to file an application for a public hearing before the Planning and Zoning Board and UWE understand and agree with the following: 1) That the Planning and Zoning Board may table or may deny the application if the property owner or agent is not present at the hearing. 2) That it is the responsibility of the property owner to submit a complete true and correct application before a hearing will be scheduled before the Planning and Zoning Board. 3) That the submittal of inaccurate or false information will result in an incomplete application, tabling or denial of the application or revocation of any Board Epprovals. 4) That the requirements of the Village Code, Miami -Dade County, the Florida Building Code, and other government agencies may affect the scheduling of a hearing and the ability to obtain/issue a permit for the proposal. 5) That the proposal and plans submitted must be compliant with the Village Code and that any plan that fails to comply with code requirements and for which no exception exists, must be corrected to comply with the Village Code prior to the public hearing. 6) That property owner is responsible for zomplying with all the conditions and/or restrictions imposed by the Planning and Zoning Board in connection with the request and will comply with those conditions and/or restrictions and that failure to do so will void and approvals delay issuance of permits to proceed with the request. 7) The undersigned owner(s) and agent(s) certifies under penalties of perjury that all the statements contained in this application, including any statement attF-ched to the application or any papers or plans submitted herewith are true and correct. I/We as the owners of the subject property: (Please check one) ❑ Will on my/our own make application in connection with this request for a public hearing and present before the Planning and Zoninc Board. (R Do hereby authorize QYr.,1 5MQId D0e, to act on my/our behalf, in connection with this request for a public hearing, Ly submitting the required application and materials and presenting the application and materials before the Planning and Zoning Board. I/We understand that if my/our request is denied, UWe have ten (10) days from the date of hearing to appeal the decision of the Planning and Zoning Board to the Village Council. OATH OR AFFIRMATION STATE OF FLORIDA, COUNTY OF MIAMI-DADE: Sworn to (or affirmed) and subscribed before me this f y1w , 201.1- by. SS ure o er{s) "CZS Yoln� Print Name Signatu of Public -State of Florida Sworn to (or affirmed) and subscribed before me this q day of , 20_Z3 _by. Signature of &_QA .SCK101 aone Print ame Signature of Notary Public -State of Florida Name of otaryTyrmwft :My ary �u is State of Florid me of Notary Typed, printed or stamped NOTARY SEAL:German Oliveros N TARY SEAL: Notary Public State of FloridaCommission HH 418273 German OliverosExpires 7/6/2027 (Please check oneease check one) t1 My Commission HH ate273Personally knoProduced ,� Personally known to e; or rodeS 7/6/2027 identification. identification. Type of Identification Produced: Type of Identification Produced: Page 7 of I I P&Z Board App[ication_August_2023 �i Florida Building Code 7th Edition J2020) OCT 2 0 2023 High V 1 *t ur cane one Uniform Roofing Application Form for Mia i-Dade County ` By Section A (General Information) Master P mit er: Process Number: Contractor's -Name: LA.FaV I I A014 IU-LA W 'V11 W kA.,L, Job Address: 113 Ne 10-Styeeil' 1Alkyy\> ,SH-vq,A�s1l ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile Mortar / Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ❑ Wood Shingles / Shakes l/ ROOF TYPE ❑ New Roof )(Repair ❑ Maintenance ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (ftz) Steep Sloped Roof Area (ft2) Total (ftz) �3 Z) Are there gas vents on the roof? O Yes �(No kfYfs what type? ONatural ® LPX Is there an existing roof top Solar System? O Yes o If yes will it be reinstalled? ® Yes ® No SectionB(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. 1T'1 -\- - 14, - o O n y O > o v p o — 0 0 S V O c�du - q'c-nvE o b D c ` iNL(A0W r Florida Building Code 7th Edition (2020) High. Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Sect.lon C (Low Sloped R of Systems) Fill in Specific Roof Assembly Compo ents and Identify Top Ply Fastener/ Bonding Material: manufa44e:r (if Aa"Wnponent is not used, Identify a "NA") Surfacing: SyAerri Manufacturer: Product Approval # Fast er S ac g for Anchor/Base Sheet Attachmerit: Design Wind Pressures; from RA51Z8 or Iculations: Zone 1.': Zone 1: Zone 2: Zon IV " oc laps, # Rows @ " oc Zone 3: Zon 1 " oc laps, # Rows @ .. " oc Max. Design Pressure; from the specific prod t Approval system: Zon 2 " oc @ L ps # Rows @ " oc DaCk Type Zone 3 " oc @ La , # Rows @ " oc Gauge / Thick \et: Number Fasten r Insu)atlon: Board Anchor/ Base Sheet N of Ply(s): Anchor/ Base Sheet step r/ Bondin Material: Insulation Base Layer: Rase Insulation Size an Thickne Base Insulation Fastener Bonding ater Top Insulation Layer: Top Insulation Size and Thi kness: Top Insulation Fastener/Bo ding MaterlaIJ Base Sheet(s) & No. of Ply (s): Base Sheet Fastener/ Bonding Material: Ply Sheet(s) and No. of Ply(s): Ply:Sheet Fastener/ Bonding Mat rial: Top Ply: Zone 1': _4_ Zones: kone 2: Zone 3: Illustrated mponents Not�d and Details as AppllcableR Woodblockin Gutter, Edge Tet ination, Stripping, Flashing, Continuous Cl at, Cant Strip, Base Flashing, Counterflashing, Coping, Etc. 'Indicate: Mean oof Height, Parapet Height, Height Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing .or Submit Manufactures Details that Comply with PAS 111 and Chapter 16. 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; Z 10 04 itIE �q —toy1 . 33 Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zonel:�`� Zone 2e:r014 Zone2n:�(3_7 Zone2r: 37 Zone 3e:-43-7 Zone3r: —013 Slope Range: *2:12to5 4:12 O> 4:12 to 5 6:12 0>6:12to:512:12 Roof Shape: O All Hip Roof jp Gable Roof or Partial Gable/Hip Roof Deck Type: t t 1­4i woo-6 Underlayment Type: AS'hyl F.5;vr S1� IJ(Z Roof lope: .12 Insulation: Fire Barrier: A- RidgeVenti_latipn? Fastener Type &Spacing: i Ilk Cap Sheet Type: Voe, 1J P:AAfi r�i�llf , Mean Roof Height: ' i Cap Sheet Attachment; %if, Roof Covering: �>i Drip Edge Type & Size: �j ' Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section E (Tile Calculations) For Moment based tile systems, choose Method 1. Compare the values for M,with the values from Mi. If the Mr values are greater than or equal to the M, values for each area of the roof, then the tife.attachment method is acceptable. Method 1* " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this -table ( Zone 1: q 4 x A •9JZS = ��. �- Mg: f r {o = Mn 2k• Oil Product Approval Mf: II O.� ( Zone 2e: I x A • ?J� = �' �3j - Mg: 4 Mr2. � • d� Product Approval Mf: ( Zone 2n:'(31 L. x)-'J�=�y4�T•93)—Mg:��=Mr2elrt�v. r Product Approval Mf: IIO•� ( Zone 2r: �( 31 x h • 3�.Zf = 'N_ q3) — Mg: -1L = Mr2r (��� Product Approval Mf: O � ( Zone Be: �I 51 x r •3 r'T7 = -i3) — Mg: 'l '1 ,7(V,r,' = Mrs. L - Product Approval Mf: .110 • q (Zone 3r:�i �� i x Jt •3J = y3• T• — Mg: t�. 7,�1 p = Mrar 'C V •i 7Product Approval Mf: III' I Tile attachment method. Alternate Tile attachment method: For Uplift Based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values for each area of the roof, then the tile attachment method is acceptable. Method 3* "Uplift Based Tile Calculations per RAS 127" (Zone 1: x L = x W = ) — (w) x cos B ) = Frt Product Approval F': (Zone 2e: x L = x W = ) — (w) x cos f) ) = Fr2. Product Approval F': (Zone 2n: x L = x W = ) — (w) x cos B ) = Fr2 Product Approval F': (Zone 2r: x L = x W = ) — (w) x cos B ) = Fr2. Product Approval F': (Zone Be: x L = x W = ) — (w) x cos B J = Fr3. Product Approval F': (Zone 3r: x L = _ x W = ) —(w) x cos B _) = Fr3, Product Approval F':. *Method 2 "Simplified Tile Calculations" only applicable In Broward County Where to obtain Information Description here to Find Design Pressure m the applicable Table in RAS- 127 or be an engineering alysis prepared by a PE based upon ASCE 7 Mean Roof Height pa b Site Roof Slope b Site Aerodynamic Multiplier Product proval/Notice of AcceptanceRestoring Moment due to Gravity duct Ap rovai/NoticeofAccelAttachment Resistance Required Moment Resistance Mr duct Approval/ Notice of Acceptance Calculated Minimum Attachment Resistance Required Uplift Resistance F' F, Product Approval / Notice of Acceptance Calculated Average Tile Weight w Product Approval / Notice of Acceptance Tile Dimensions L=Length W=Width Product Approval / Notice of Acceptance All calculations must be submitted to the Building official at the time of permit application. Miami Shores Village - BUILDING DEPA 10050 NE 2 Ave Miami Shores, FL 3 0 @� 305-795-2204 www.msvfl.aov OCT 2 0 2023 D SECTION R4402.13 By --- 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. Aesthetics -Workmanship: the workmanship provisions of Section R4402 are for he 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. Ren11ling wood decks: When replacing roofing, the existing wood roof deck have to be renailed in accordance with the current provisions of Section R4403. (The iof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation be een neighboring units (i.e., townhouses, condominiums, etc.) In buildings with c mmon 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 r f 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. S. Ponding water: The current roof system and/or deck of the building may not d ain well and may cause water to pond (accumulate) in low-lying areas of the roof. ounding 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 Paqe 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.ciov 6. ZZt Overflow scuppers (wall outlets): It is required that rainwater flows off so that th oof is not overloaded from a buildup of water. Perimeter/edge wall or other roof e ension 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. Ventilation: Most roof structures should have some ability to vent natural a' low through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting w ' ca result in extending the service life of th roof. /e �2 Owner/Agqs Signature Date C n r Signature ate For Forms and Applications click here: http://bidg.miamishoresvillage.com/W ebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage ReV01 142021 Owners roofing consideration Paqe 2 of 2 Permit Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 305-795-2204 www.msvfl. o � @ � 0 T N D OCT 20 2023 R v R.M\ DATE: INSPECTION AFFIDAVIT licensed as a(n) Contractor / Engineer/ Architect, (Print name and circle L License #: On or a work Based upon tF Hurricane Mit Signature & time) (Compiet Job Site A n I have deter fined the t Manual (Bas on 553 State of Florida, iami d County: 1 The undersigned, eing th fi st duly sworn, de the above propert mention . Sworn to and subscr ed before me this Notary Public, State of Florida at Large onaA inspect the roof deck nailing s) I Ilation was done according to the .S) and says that he/she is the contractor for of For Forms and Applications click here: http://bidg. miam ish oresvillage-com/W ebLin k/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage RevOI142021 Inspection Affidavit Paqe 1 of 1 11 Miami Shores Village - BUILDING DEPART 10050 NE 2 Ave Miami Shores, FL 331 1��; 2 0 2023 D 305-795-2204 www.msvfl.aov �� - By - AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2"d Ave Miami Shores, FI 33138 Re: Owner's Name: Side Property Address: It Roofing Permit Number: Dear Building Official: I connections the reference Retrofits for E ' ing Site -Bull Building Comml sl n by Rule 9 Signature property as r Single Family .-3.047 F.A.C. State of Florida Mia i Dade ount The undersigned, bei the firs ul sworn, above property mentio ed. Sworn to and subscribe before me this Notary Public, State of Florida at Large Seal: certify that I hz luired by the M esidential Struc Print Name Date: pro the roof to wall H rricane Mitigation as ad pted by the Florida and says that he/she is the owner for the day of For Forms and Applications click here: http://bidg. m iam ishoresvil lage. com/W ebLink/Browse.aspx?id=118080&dbid=0&repo=Mia mi5horesVillage RevO1 142021 Affidavit of Compliance with roof to wall Pape 1 of 1 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 10050 NE 2"8 Ave 1 Miami Shores, FI 33138 \ Re: Owner's Name: Property Address: Roofing Permit Nu ei Dear Building Official: I to wall connections of my bu o The just valuation for the st $300,000.0 ease attach pr ❑ The build n 's construct( (FBC) or wit 'i t provisions o Signature State of Flori The undersigns � being the above property entioned. 1 20 Date: certify that I am not ding because: ucture for pure ( f of ad valorem d 'n compliance wi 1 94 edition of th Cou of ad valorem retrofit the roof n is less than ation. the provisions of the Florida Building Code louth Florida Building Code (1994 SFBC) Print Name duly tworn, deposes arfd says that he/she is the owner for the rn to and subscribed before me this day of Notary Public, Statkof Florida at Large • When the just Jaluation 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. For Forms and Applications click here: http://bidg.miamishoresvillage.com/WebLi nk/Browse.aspx?id=118080&dbid=0&repo=Mla miShoresVillage Rev01 142021 Owner offidavit of exemption Poqe 1 of 1 ILi OUT z U �J23 MIAMM [By a DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CO E ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI-DADE COUNTY DUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 315-2599 www.miamidade.eov/economy Zion Tile Corporation — 13971 SW 140 St. -`�" "-"-• Miami, FL 33186 / SCo _ ..- -- N 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. SCRIPTION: Alhambra Handmade Barrel Clay Roof Tile LABELING: Each unit shall bear a permanent label with the acturer's name or logo, city, state and following sla ement: "Miami -Dade County Produ proved", 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. TERNI]NATION 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 19-0213.08 and consists of pages 1 through 5. The submitted documentation was reviewed by Freddy Semino In APPAOVEDI NO 0.19-1021.33 Expire on Date: 05/01/24 App val Date: t 1/14/19 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Clay 1. SCOPE This approves a roofing system using Alhambra Handmade Barrel Clay Roof Tile manufactured by IMEXINSA in La Paz Centro, Nicaragua and is distributed by Zion Tile Corporation, as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Dimensions Test Product Anulicant specifications Description Alhambra Handmade L =18" ASTM C1167 High profile two-piece clay roof tile. For Barrel Clay Roof Tile W = 6 '/4" (Head End) direct deck adhesive set applications W = 8 '/4" (Butt End) only. H = 2 '/4" (Head End) H = 3" (Butt End) 0.75" thick Trim Pieces L = varies ASTM C 1167 Accessory trim, clay roof pieces for use W = varies at hips, rakes, ridges and valley varying thickness terminations manufactured for each tile profile. 2.1. MANUFACTURING LOCATION 2.1.1. La Paz Centro, Nicaragua 2.2. EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report D ate Florida TEC 121643A ASTM C 1167 11/12/13 121643R American Test Labs of South RT0109.02-19 TAS 101 04/24/14 ASTM C 1167 01/17/19 Florida t�teuKt.naa�ccxpvrY NOA No.: 19-1021.33 Expiration Date: 05/01/24 Approval Date: 11/14/19 Page 2 of 5 3. LIAmATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file applications, a static field uplift test shall be performed in accordance with TAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Miami -Dade Product Control office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 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. 4. INSTALLATION 4.1 Alhambra Handmade Barrel Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Wei ht and Dimensions 1 x w Tile Profile Wei ht-W Ib Length -1 feet Width-w feet Alhambra Handmade Barrel ClayRoof Tile 6.75 1.5 _ 0.6875 Table 2: AerodynwWic Multipliers -1 ft3 Tile X (ft3) Profile Direct Deck A plication Alhambra Handmade Barrel Clay Roof Tile ,fig Table 3: Restoring Mome is ue to gravity - M (ft.-Ibf) Tile 2:12 3:12 4:12 5:12 Profile Direct Deck I Direct Deck 11 Direct Alhambra Handmade 4.94 Barrel Clav Roof Tile '% (ft3) Batten Application 0.303 6:12 1 7:12 or Direct Deck ( Direct Deck I Direct Deck 4.86 1 1 4.76/ 1 4.63 1 4.49 1 4.34 WHUgH Immco NOA No.: 19-1021.33 j Expiration Date: 05/01/24 Approval Date: 11/14/19 Page 3 of 5 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft.-lbf) For Single Patty Adhesive Set Systems Tile Profile Tile Application MlnlmuqiA#achme t esistance Alhambra Handmade Barrel 3MT' 2-Component Foam Roof Tile Adhesive AH-160 110.91' Clav Roof Tile 1 Pan tiles attached with one (1) paddy, 2" x 10" (35 grams), of 3M' 2-Component Foam Roof Tile Adhesive AH-160 per pan tile. Cap tiles attached with two (2) paddies, 1"x 10" (17 grams) per paddy, of Wm 2-Component Foam Roof Tile Adhesive AH-160 per cap tile. 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as seen below or following statement: "Miami -Dade County Product Control Approved". ZION TILE CORP. MADE IN 1vICARAGUA A.LEmBRA HANDMADE BARREL CLAY ROOF TILE LABEL (LOCATED ON THE TOPSIDE NOSE END OF THE TILE) 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. CM � NOA No.: 19-1021.33 ` ' • ' Expiration Date: 05/01/24 Approval Date: 11/14/19 Page 4 of 5 4ff�23 .....� ................ HEAD END 1= ............... 8X4411 U '�..........v����I BUTT END PROFILE DRAWING m ALHAMBRA HANDMADE BARREL CLAY ROOF TILE OF THIS ACCEPTANCE NOA No.: 19-1021.33 Expiration Date: 05/01/24 Approval Date: 11/14/19 Page 5 of 5 NOV 0 6 2023 MIAMI.QADE BY: DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE(NOA) c ` ICP Construction Inc. 150 Dascomb Road - r Andover, MA 01810 SCOPE: %uo 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.goy/econom v 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: Polyset® AH-160 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 # 22-041 1.02 and consists of pages I through 11. The submitted documentation was reviewed by Alex Tigera. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 1 or 11 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: NOV 0 B 2023 This approves Polyset® AH-160 as manufactured by ICP Construction, Inc. as described in this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, do not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. For use with approved flat, low, and high profile roof tile systems using Polyset® AH-160. PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Product Description Specifications Polyset®AH-160 N/A TAS 101 Two component polyurethane foam adhesive ICP Adhesives Foam N/A Dispensing Equipment Dispenser RTF1000 ICP Adhesives ProPack® NIA Dispensing Equipment 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list attachment resistance values with the use of Polyset® AH-160 roof tile adhesive. MANUFACTURING LOCATION: 1. Tomball, TX. PHYSICAL PROPERTIES: Property Test Density @ 73°F ASTM D1622 Compressive Strength ASTM D1621 Tensile Strength ASTM D1623 Water Absorption ASTM D2842 Moisture Vapor Transmission ASTM E96 Dimensional Stability ASTM D2126 Closed Cell Content ASTM D6226 Results 2.1 lbs./ft? 18 PSI Parallel to rise 14 PSI Perpendicular to rise 29 PSI Parallel to rise 0% 2.3 Perms +0.07% Volume Change @ -40' F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 94% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. MIAMIDADE COUNTY NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 2 of 11 NOV 0 6 2023 EVIDENCE SUBMITTED: BY: ----- Test Agency Test Identifier Test Name/Reaort Date Center for Applied Engineering #94-060 TAS 101 04/08/94 257818-IPA TAS 101 12/16/96 25-7438-3 SSTD 11-93 10/25/95 25-7438-4 25-7438-7 SSTD 11-93 11/02/95 25-7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637-92 ASTM E 108 04/30/93 Southwest Research Institute 01-6743-011 ASTM E 108 11/16/94 01-6739-062b[l] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96-1 TAS 114 03/14/96 P36700.04.12 ASTM D 1623 04/18/12 P39740.02.12 TAS 101 02/21/12 TAS 123 Celotex Corp. Testing Services 528454-2-1 TAS 101 10/23/98 528454-9-1 528454-10-1 520109-1 TAS 101 12/28/98 520109-2 520109-3 520109-6 520109-7 520191-1 TAS 101 03/02/99 520109-2-1 NEMO ETC, LLC 4p-ICP-20-SSLAP-01.B Physical Properties 11/11/20 LINIITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polyset® AH-160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polyset® AH-160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. 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. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 3 of 11 E77V T F. P.7 �?J INSTALLATION: Nov 0 6 Z023 1. Polyset® AH-160 maybe used with any roof tile assembly having a current NOA tFis`i'lists.attachment resistance values with the use of Polyset® AH-160. 2. Polyset® AH-160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polyset® AH-160 shall provide sufficient attachment resistance to meet or exceed the resistance value determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA. 3. Polyset® AH-160 and its components shall be installed in accordance with Roofing Application Standard RAS 120, and ICP Construction, Inc.'s Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by ICP Construction, Inc. ICP Construction, Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the ICP Adhesives Foam Dispenser RTFI000 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0-1.15 (A): 1.0 (B). 6. Polyset® AH-160 shall be applied with ICP Adhesives Foam Dispenser RTF1000 or ICP Adhesives ProPacko 30 & 100 dispensing equipment only. 7. Polyset® AH-160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 1 to 2 minutes after Polyset® AH-160 has been dispensed. 9. Polyset AH-160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. No NOA No.: 22-0614.10 MIAMIDADE UNTY CO Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 4 of 11 NOV 0 6 Z023 Table 1: Adhesive Placement For Each Generic Tile Pros ----- Tile Profile Placement Detail Minimum Paddy Contact Minimum Paddy Gram Area Weight Eave Course - Flat, Low, High All Eave Course 17-23 sq. inches 45-65 Profiles Flat, Low, High Profiles #1 17-23 sq. inches 45-65 Flat Profile #2 10-12 sq. inches 30 Low Profile #2 12-14 sq. inches 30 High Profile #2 17-19 sq. inches 30 Flat, Low, High Profiles #3 Two Paddys: 8-9 sq. inches at 12 gams per paddy head of tile 9-11 sq. inches at overlap Two -Piece Barrel (Cap Tile) Two Piece 2 Beads (1 each longitudinal 17 grams per bead edge)20-25 sq. inches each bead Two Piece Barrel (Pan Tile) Two Piece 65-70 sq. inches 34 grams under pan LABELING: All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami -Dade County Product Control Approved" or the Miami - Dade County Product Control Seal as shown below. JLIF�APPROVED BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 5 of I cement 10 Nail through plastic cement (when required) .\ 2in. wide Battens optional ADHESIVE PLACEMENT DETAIL ## 1 Five Closure Nailthmugh plastic (when required) paddY(Oeneath Tile) underlaymem 101mic 21n.wide Batten optional Eave Course Fascia weephole 111 in. 2a Drip edge c e NOV 0 6 2023 Flat/Low Profile Tile BY: 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. High Profile / Single Pan Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 2. Continue in same manner. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 6 of 11 ADHESIVE PLACEMENT DETAIL # 2 (Beneath Tile) 7 hL aloe,. \ 14 Nail through plastic cement (when required) IBeneath MIAMI DADE COUNTY r r Nov 0 6 2023 Flat/Low Profile Tile By:__ 1. Starting at the cave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x l" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cm 2) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the strengthening rib closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 10" (64.5 cm') - 12 (77.4 cm 2) square inch adhesive contact with the underside of the tile. Medium Profile / Double Pan Tile Starting at the cave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the Overlock of the tile being set. Insure approximately 17 (109.7 cmZ) — 23 (148.4 cm) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. 3. Continue in same manner. Insure approximately 12" (77.4 cm2) - 14 (90.3 cmZ) square inch adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 7 of 11 Nail through plastic (when required) Inderlayment Eave Couno, ADHESIVE PLACEMENT DETAIL # 2 (CONTINUED) NOV 0 6 2023 High Profile / Single Pan Tire Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Insure approximately 17 (109.7 cm 2) — 23 (148.4 cmZ) square inch adhesive contact with the underside of the tile. 2. At the second course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x I" (25.4 mm) foam paddy onto the underlayment positioned as shown under the pan portion of the tile closest to the overlock of the tile being set. Continue in same manner. Insure approximately 17" (109.7 cmZ) - 19 (122.6 cmZ) square inch adhesive contact with the underside of the tile. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 8 of 11 7-1 ADHESIVE PLACEMENT DETAIL # 3 Nail through plan ceneti radd�Pomeaereet :wh aattz rtlon.aegwte a /\ I Battens op i Paddy sunder rde) . \\a\\onSinglop deil � t S saam. �4 +tern singlepaddy ' onownded 2:40rL e loin. � 2 a in. RaULawProfBeTee Medium Pronte Tile tie Ibetweett tiles) paddy tender ael Far ck e Fascia NOV 0 6 Z023 BY! On the eave course only, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown, under the strengthening rib for flat tile or under the pan portion of the tile for low or high profile tile closest to the overlock of the tile being set. Leave approximately 4" (101.6 mm) up from the eave edge free of foam to prevent the expanded adhesive from blocking the weep holes. Insure approximately 17-23 in (109.7-148.4 cm) of adhesive contact with the underside of the tile 2. Apply a 4" (101.6 mm) x 4" (101.6 mm) x 1" (25.4 mm) foam paddy onto the underlayment just below the second course line positioned foam paddy under the strengthening rib for flat tile, or under the pan portion of the tile, closest to the underlock for the second course tile to be installed. Insure approximately 8-9 in (51.6-58.1 cm2) of adhesive contact with the underside of the tile. (Instructions continued on next page) NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 9 of 1 I iwhe Saums optaaal *TRRnn ADHESIVE PLACEMENT DETAIL # 3 (CONTINUED) NOV 0 6 2023 High Profile Tile Paddy lhety Was) Weephole are do re edge 3. Also apply a 2" (50.8 mm) xH4�(i0i`Mii mj-x-'/4 — (19 mm) paddy on top of the eave course tile surface as shown, on top of the strengthening rib for flat tile or on top of the pan portion of the tile, closest to the underlock of the first course of tile. Install second course of tile. Insure approximately 9 (58.1 cm2) - 11 (71cm2) square inch adhesive contact with the underside of the tile at the overlap and 7 (45.2 cm2) - 9 (58.1 cm2) square inch adhesive contact with the underside of the tile at the head of the tile. Continue in same manner. NOA No.: 22-0614.10 Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 10 of 11 1) Place enough adhesive to achieve 65 to 70 in contact with the pan tile. 2) To. covers upside down. Place adhesive It to 1 in. from outside edge of covertile� Then install the tile. Ensure 20 to Eave closure (motarshown) ADHESIVE PLACEMENT DETAIL TWO PIECE BARREL steep pitch Remove top portion of the save course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave line. Two Piece Barrel - High ProfileTile NOV 0 6 2023 B3Cz Two Piece Barrel (Cap and Pan) Tile 1. Starting at the eave course, apply a minimum 2" (50.8 mm) x 10" (254 mm) x 1" (25.4 mm) foam paddy onto the underlayment positioned as shown under two adjacent pan tiles. Support eave tiles from rocking until adhesive has a chance to cure. 2. Continue in same manner bringing two pan courses up toward the ridge. Insure approximately 65 (419.4 cm 2) — 70 (451.6 cm') square inch adhesive contact with the underside of the pan tile. 3. Turn covers upside down exposing the underside of the file. Apply a minimum 1" (25.4 mm) x 10" (254 mm) bead of adhesive directly on the inner edge of each side of the cover tile. Leave approximately 3/4" (19 mm) to 1" (25.4 mm) from the outside edge of the tile, inward, free of foam to allow for expansion. 4. Turn cover tile over after foam is applied and place onto pan the course. Insure a minimum of 20 (129 cmZ) - 25 (161.3 cmZ) square inch contact area on each side of the cover tile to the pan tile. Continue in same manner. Trim away any cured exposed foam adhesive. Pointing of longitudinal edges of the cover tiles are considered optional. 5. When additional nailing is required, 2" (50.8 mm) x 4" (101.6 mm) nailers or the tie wire system using galvanized, stainless steel, or copper wire and compatible nails may be used. END OF THIS ACCEPTANCE NOA No.: 22-0614.10 MIAMFDADE COUNTY Expiration Date: 05/10/27 Approval Date: 10/13/22 Page 11 of 11 Ron DeSantis, Governor STATE OF FLORIDA Melanie S. Griffin, Secretary d bpra DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES NOGUES - OCEAN CONTRACTORS GROUP, LLC:' 19910 CORAL SEA RD +" CUTLER BAY FL 33157 �f lie -- i'°' I LICENSE NUM IBM: CC°C1313586 EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Local Business Tax Receipt Miami —Dade County, State of Florfda -THIS IS NOT A BILL -DO NOT PAY 7202867 LBT BUSINESS NAMEAOCSDON RECEIPT NO. EXPIRES OCEAN CONTRACTORS GROUP LLC RENEWAL SEPTEMBER 30, 2024 19910 CORAL SEA RD 7485676 Must be displayed at place of business CUTLER BAY FL 33157-8646 Pursuant to County Code Chapter SA - Art 9 & 10 OWNER OCEAN CONTRACfORSWATERPR00RNGGROUP LL SMTYPE OF BUSINESS 196 SPECIALTY BUILDING CONTRACTOR PAYNENTRECENEO 168500277 BYTAXCOLLECT08 C/O PAUL IANER MGR $45.00 08/22/2023 Worker(s) 5 INT-23-432157 This Local Business Tax Receipt only confirms payment of the Local Business Tax. Tito Hecaipi is not a license, permit or a corOFicaOan of the holder, i queliRca6om m do business. Holder mum comply with any govemmamal or nongovernmental regubbrylows and requirements which apply b the business. The RECEIPT NO. above must be displayed on all commercial vehicles- Miami -Dade Code Sao Ra-275. For are information, visit www miamidadenovAoxcolleme 006M Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 7202867 mSINESSNAMEAOC DON OCEAN CONTRACTORS GROUP LLC 19910 CORAL SEA RE) CUTLER BAY FL 33157-8646 LBT RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2024 7628006 Must be displayed at place of business Pursuant to County Code Chapter SA- Art. 9 & 10 SEC. "PE OF BUSINESS p0.YMENI RECEIYEB OCEAN CONTRACTORSWATERPROORNG GROUP U. 196 SPECIALTY BUILDING CONTRACTOR 6YTAugt MB `O C CCC1333586 $45.00 06/22/2023 C/0 PAULIANER MGR INT-23-432157 Worker(s) 1 This Local Business Tax Rom pt only eonhrms paymem of Ore Local Business Tax. m The Reeelpt is note licence. permit or a codification of the holder's quali6utions, m must do business. Holdercomply with any 90vsmereel or mngove rnmmdsl regulatory laws and regurements which apply m the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ra-276. For mom infmmadon,visit D 'dad Ass boor CERTIFICATE OF LIABILITY INSURANCE 110/19/2023 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 pollcy(les) 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(&). CONCT PRODUCER NAME CARLOS SEGREDO ANDYS ASSURANCE AGENCIES PHONE t. (305) 642-8407 FAX A/CNa;(305)643-5969 1500 NW 8 9 th C t Suite 10 9 ADDRESS: CARLOS @and s as surance . com Doral, FL 33172 INSURER(S) AFFORDING COVERAGE NAiClI A.2 2 3 8 9 0 INSURER A: ATLANTIC CASUALTY INSURED OCEAN CONTRACTORS WATERPROOFING GROUP INSURER B : PROGRESSIVE LLC DBA OCEAN CONTRACTORS GROUP, INSURER C : LLC INSURER D : 19910 CORAL SEA ROAD INSURER E : CUTLER BAY , FL . 33157 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE INSD VIVO POLICY NUMBER MM/DDT EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE l x I OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 A L040003053-3 01/04/2023 01/04/2024 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY Ea accident $ 10,000 B ANYAUTO OWNED SCHEDULED AUTOS ONLY x AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 01385161 11/12/2022 11/12/2023 BODILY INJURY (Per person) $ 20,000 BODILY INJURY (Per accident) $ 1 Q 000 PROPERTY UAMAGE Per accident $ PIP $ 10,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO I I RETENTION $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑ NIA PERAND STATUTE ER EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below 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) project: JOSEPH GONZALEZ TRS 113 NE 101 ST. MIAMI SHORES,FL. 33138 UtK 111-IUA l t HULUtK UANUtL I_AI IUN Village of Miami Shores Building Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9825 NE 7th Avenue ACCORDANCE WITH THE POLICY PROVISION Miami Shores, Fl 33138 AUTHORIZED 0 1988-2U15 ACORD CORPORATION_ All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE Date 10/19/2023 Producer: Plymouth Insurance Agency 2739 U.S. Highway 19 N. Holiday, FL 34691 This Certificate Is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 Insurer B: 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been Issued to the Insured named above for the policy period Indicated. Notwithstanding any requirement, tern 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. Aggregate limits shown may have been reduced by paid claims. ILTR DL INSR INRD Type of Insurance Policy Number Policy Effective Date (MWDD/YY) Policy Expiration Date(MWDD/YY) Limits ENERAL LIABILITY Each Occurrence Commercial General Liability Claims Made11 Occur Damage to rented premises (EA occurrence) Mad Exp Personal Adv Injury eneral aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate Products - Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Bodily Injury Hired Autos Non -Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Aggregate Occur ❑ Claims Made Deductible A Workers Compensation and Employers' Liability WC 71949 01/01/2023 01/01/2024 X WC; Statu- 1 tory Limits OTH- ER Any proprietor/partner/executive officer/member E.L. Each Accident $1,0m.000 E.L. Disease - Ea Employee $1.000,000 excluded? NO If Yes, describe under special provisions below. E.L. Disease -Policy Limits $1.000.000 Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 81-65-878 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the fnilowing "Client Company": Ocean Contractors Waterproofing Group LLC dba Ocean Contractors Group Coverage only applies to Injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working In: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entry. A list of the active employee(s) leased to the Client Company can be obtained by emalling a request to certificates@lioninsurancecompany.com Project Name: JOSEPH GONZALES TRS 113 NE 101 ST MIAMI SHORES, FL. 33138 ISSUE 10-19-23 (KLT) Be In Date: i 15 2023 CERTIFICATE BOLDER CANCELLATION VILLAGE OF MIAMI SHORES Should any of the above described policies be cancelled before the expiration date thereof, the issuing Insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to BUILDING DEPARTMENT do so shall Impose no obligation or liability of any kind upon the Insurer, Its agents or representatives. -----'--"� 9825 NE 7TH AVENUE MIAMI SHORES, FL 33138