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RF-10-23-2501Miami 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 Master Permit PERMIT APPLICATION sub Permit t,7 OCT I I 4,L J v livi FBC 2020 � �-10-23 -2501 ❑BUILDING ❑ ELECTRIC ❑■ ROOFING ❑ REVISION ❑ EXTENSION ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Ed Abdella Field House at 9825 NE 7th Ave. —229D Occupancy Type: Load: Construction Type: [—]RENEWAL 33136 the Building Historically Designated: Yes NO Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Miami Shores Village Phone#: e«.10050 NE 2nd Ave. City: Miami Shores Tenant/Lessee Name:_ Email: State: FL 33138 CONTRACTOR: Company Name: Better Built Roofs, LLC Phone#: 305 815 7149 Address: 2000 Salzedo St., #216, Coral Gables FL 33134 Email: info@betterbuiltroofs.com Qualifier Name: Abdias Saenz Phone#: State Certification or Registration #: CCC1330758 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: 305 815 7149 Address: City: State: _Zip: Value of Work for this Permit: $ 78,000.00 Square/Linear Footage of Work: 6200 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: Re -roof with flat cement tiles. Specify color of color thru tile: DARK CNF�2ca 4C. Submittal Fee $ AK Permit Fee $ 00 CCF $ 4 6 ' w �CO/Cc Scanning Fee $ -L QQ • N DCA Fee $ �. • �i DBPR $ '1 • Lf 11 Notar Technology Fee $ Training/Education Fee $ Z 3 '*7 Double Fee', Structural Reviews $ 10 P&Z Review $ Bond ; TOTAL FEE NOW DUE $ (Revised04/05/2022) Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9825 NE 7TH AVE, Miami Shores, FL 33138 Contacts Issue Date: 10/31/2023 Parcel Number 1132060172290 Permit No.: RF-10-23-2501 Permit Type: Roof Work Ciassih"mtion: Tile Permit Status: Approved Expiration: 04/24/2024 MIAMI SHORES Owner BETTER BUILT ROOFS, LLC Contractor FRANK RUIZ ABDIAS SAENZ 9825 NE 7 AVE, Miami Shores, FL 33138 6007 SW 16 ST, Miami, FL 33155 Business: 3053010938 ruizf@msvfl.gov info@betterbuiltroofs.com Description: RE -ROOF WITH FLAT CEMENT TILES Valuation: $ 78,000.00 Total Sq Feet: 6,200.00 Fees Amount CCF $46.80 DBPR Fee $17.67 DCA Fee $11.78 Education Surcharge $23.40 Permit Fee (Manual) $1,178.00 Scanning Fee (Manual) $9.00 Technology Fee (Manual) $117.80 Total: $1,404.45 Payments Date Paid Amt Paid Total Fees $1,404.45 Credit Card 10/31/2023 $1,404.45 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS A'F1 DA IT: I certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const con and zoning Futhermore, I authorize the above named contractor to do the work stated. Pt37n1JgS satAra 10131 (Z3 Authorized Sigfiaturei Owner / Applicant / Contractor / Agent Date October 31, 2023 Page 2 of 2 Bonding Company's Name (if applicable) Bonding City State Mortgage Lenders Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. /n thf—aTise—ffin such posted notice, the inspection will not be approved and a reinspectio will be charged. SigSignature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this _- day of 20 15 • by �O,QMXC who is personally known to me or who has pn identification and NOTARY PUBLIC: Sign:: Print: Seal: ;p +i ############ APPROVED BY (Revised04/05/2022) an oath. HEBERT MARTINEZ MY COMMISSION # HH 323276 EXPIRE$:Oddier 18, 2026 The foregoing instrument was acknowledged before me this 2 day of OC, 4 b e" 2003 by ,jo-bcacts. Sae/iZ .who is ersonallyknow to as ' me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Plans Examiner Zoning Structural Review Clerk a .Al- A PLUS Testing Agency Name: Address: Telephone: Fax: Email: Representative Name: Title: TAS 106 TEST RESULTS REPORT GENERAL INFORMATION A+ Engineering Testing Lab, LLC. 7135 SW 44 St Miami FL 33155 305-668-5792 786-513-3754 aalusetka-yahoo.com Eng. JOSE JULIO ROLDAN P.E # 61627 SITE SPECIFIC. INFORMATION Roofing Contractor: Job Address: Contact. Name: Owner Name: Type of Tile: Roof Height: Job Access: BETTER BUILT ROOFING 9825 NE 7 AVE. MIAMI, FLORIDA MIAMI SHORES VILLAGE SAXONY 900 10 feet Roof Pitch: 3/12 LADDER Gate: E'- /0-93-9Sol Certification No. 23-0303.09 Permit#: REV-11-23-2989 Date Installed: m Approximate Square Footage of Roof: 60 SQ. Date Tested: 12/18/2023 Required Testing Force: 35 LBS Testing Equipment: N12-100, S-3741465 TEST LOCATION PASS FAIL CORNER 04 PERIMETER 22 RIDGE 14 FIELD 20 TOTAL: 60 y�•G�NS@ ��' /��i v 'S No �F=` 6 THIS REPO � AL 3 D � IN ACCORDA% THIS TAS 106 THIS REPORT CbL TAB 106, THIS ROOF ASSEMBLY DOES PASS THE STATIC UPLIFT QUALITY CONTROL TEST. i)LLACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS NATURAL DISASTERS. A+ Engineering Tag Lab ROOF DIAGRAM 9825 NE 7 AVE. MIAMI, FLORIDA (PERMIT # REV-11-23-2989) A T T T T �T T T T T T T T T 11 T T T T T T�,I TT T T T T TT T T T T T T T Ti, T T T T T T T T' T T T T T T T T 7135 SW 44 St Miami FL 33155 PH: 305-668-5792 Fax: 786-513-3754. aglusedgya600.com � 'L MIAMI-DADE COUNTY REQUIRED OWNERS NOTIFICATION FOR OCT 112023 ROOFING CONSIDERATIONS It is the responsibility of the roofing contractor to provide the owner with the required ermi , an o ex- plain to the owner the content of this form. The owner's initials in the designated space indicates that the item has been explained. 1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion perfor- mance 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. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (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 work to be performed. 4. Exposed ceilings: 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 penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause wa- ter to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. Ll6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions 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: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. �j 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the �� structural assembly (the building itseM. The existing amount of attic ventilation shall not be reduced. 8. Existing Solar Systems: The re -installation of an existing roof mounted photovoltaic system requires a separate permit. Permitq�wqbe obtained in order to finalize the roofing permit. /o a 3 a 3 DATE CONTRACrOWS SIGNATURE PERMIT NUMBER 98 25 7✓E 7'�e ]L Li a �n SG�.� s F=C- jG L 33133 PROPERTYADDRESS STATE ZIP MIAMI M_DE_ 123_01-297 4/19 AcoRD� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/18/2023 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 policy ((es) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the torts 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 FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE (AIC, No, Ext : 800 277-1620 X 4800 FAX A/C, No): 27 797.0704 E-MAILADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Frank Winston Crum Insurance Company 11600 INSURED FrankCrum L/C/F Better Built Roofs LLC 100 South Missouri Avenue Clearwater FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: rrnvcRer_Gc r_F.RTIFIr_OTF NI IMRFR- 7[r1;K 1ISJ KI-VISI[7N NUMMI---K_ 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 INSRD SUER WVD POLICY NUMBER POLICY EFF (MMIDDIY m POLICY EXP (MMIDDIYYYY) LIAM COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR LPERSONALS DAMAGE TO REMED PREMISES Ea occurrence S MED EXP (Any one person) $ ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GENL PRODUCTS-COMPIOPAGG $ POLICY [�:) PROJECT ED= $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Par pemon $ ANY AUTO OWNEDAUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Per accdent) $ PROPERTY DAMAGE Per accdent $ HIRED AUTOS NON4NMED ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCRRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N WC202300000 01/01/2023 01/01/2024 X PER STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? NIA (Mandatory in NH) If yes, describe under E.L. DISEASE -EA EMPLOYEE $t 000 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 1o1, Additional Remarks Schedule, may be attached if more space Is required) Effective 11/08/2017, coverage is for 100% of the employees of FrankCrum leased to Better Built Roofs LLC (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. r:FRTIFIr_0TF R"I f7FK UANL:LLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE Miami Shores Village Hall 10050 NE 2nd Avenue Miami Shores, FL 33138 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD ACORN® CERTIFICATE OF LIABILITY INSURANCE OATYYY) 09/12/202/12/2023 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 policy(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(s). PRODUCER Evergreen Insurance 25 Robert Pitt Drive Suite 20OF Monsey NY 10952 NAMES CONTACT Nancy Ponce PHONE : (845) 789-4433 No : (845) 789-4431 AD AIL , nancy@trustevergreen.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Western World Insurance Company 13196 INSURED Better Built Roofs LLC 2000 Salzedo Street, Unit # 216 Coral Gables FL 33134 INSURER B INSURER C : INSURER D : INSURER E : INSURER F : 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 ADD POLICY NUMBER MMIDRIYYW EX MM DCQIYWPY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR 9/10/2023 9/10/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY C LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 DEDUCTIBLE S 1,000 BI/PD AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A OT STATUTE I ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 6007 South West 16th Street, South Miami, FL 33155 CERTIFICATE HOLDER CANCELLATION 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. AUTHORIZED REPRESENTATIVE Village Hall 10050 NE 2nd Avenue , Miami Shores FL 33138 I�'• @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Ron DeSantis, Governor Melanie S. Griffin, Secretary dbpr a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE 21 "16ILVA• • �• .;• •• �� SAENZ, ABDIAS HONORIO BETTER BUILT ROOFS LL, 2000 SALZEDO ST. APT. 216 CORAL GABLES FL 33134 LICENSE NUMBER: CCC133075= EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridaLicense.com A�r Mr 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. �fCOPY OF QUALIFIER'S STATE LICENCES B. r� COPY OF LOCAL BUSINESS TAX RECEIPT C. V COPY OF LIABILITY INSURANCE* D. L� COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER T I B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ........................................................................................... BUSINESS NAME: ADDRESS: ��� tSal°�' `� CITY �ra1 Gaiole STATE Fe-- ZIP _33134 BUSINESS / BUSINESS PHONE:) CELL PHONE ( 30 �) B 15—`714R FAX NUMBER ( r 81 5 —7 / ¢ QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: C� ( 3,30 7-'5e -,q. S:5za n Z-, _ Local Business Tax Receipt Miami —Dade County, State of Florida THIS IS NOT A BILL — DO NOT PAY 7190497 BUSINESS NAMEILOCATION BETTER BUILT ROOFS LLC 2000 SALZEDO ST APT 216 CORAL GABLES, FL 33134-4335 OWNER BETTER BUILT ROOFS LLC CIO NATIVIDAD SALCEDO REYES Mf;R Warker(s) 1 RECEIPT NO. RENEWAL 7472C05 LBT./ EXPIRES SEPTEMBER 30, 2024 Must be displayed at place of business Pursuant to County Code Chapter SA — Art. 9 & 10 SEC. TYPE OF BUSINESS PAYMENT REC&IVED 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 49.50 10/02/2023 CCC1330758 INT 24-001931 This Local Business Tax Receipt only conflnus payment of the Local Business Tax. The Raeelpt Is not a license. pomit, or a carditcetlon of the holders qualilfcations, to do buslaess. Bolder mist empty with any pvern namal or acngover=ectal regulatory laws and requirements which apply to the business. The RECEIPT NO. above mast bo displayad ca all commarcial vablelaa — MiamlZade Cede Sea 8a-M EwaFor more information, vish 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: /aka �2t' e(l Product Control Number: N6-A i _ - e 9 /14 1 ?- Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zonel: C 4 Zone 2e: -'44 Zone2n: Slope Range: (32 2:12 to <_ 4:12 Roof Slope: _ : 12 Roof Shape: (34II Hip Roof 3 Zone 2r. - Y Zone 3e: ZoneX.- - C14 O>4:12to<_6:12 0>6:12to512:12 O Gable Roof or Partial Gable/Hip Roof Deck Type: Underlayment Type: Insulation: Fire Barrier: /J A Ridge Ventilation? —� Fastener Type & Spacing: t d I'.5 „n • r r At y r� • Cap SheetType: '"r ,r, .,. 6, tl� ltl r•,l vP � _ /-f7T/eir,, - Cap Sheet Attachment: _g c' , Cle; Mean Roof Height: !� / /!;: r r c! Roof Covering: Drip Edge Type & Size: 3 "X a `, (-" /" CITYlorida Building Code 7th Edition (2020) High Vel city�urn1111 �e Uniform Roofing Application Form for OCT 11 2023 UU Section D (Steep Sloped Roof System) Roof System Manufacturer: �e5��akE G'cla% ��/•17 Product Control Number: NOA 22 - O � /4-- ( Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculat Zonel: + Zone 2e: 'q, Zone2n: Zone - 863 Slope Range: Q? 2:12 to <_ 4:12 Q> :12 to 6: 2 O> Roof Shape: All Hip Roof Q Gabl Roof or Par Deck Type: F 7r99c7ild vB rlayment Type: to ivi �1 74OB Roof Slope: �. 12 UndeInsulation: I 1 141,4 Fire Barrier: I IJ Ridge Ventilation \FasteperType & SpaQing: Mean Roof Height: /2 Type: K to <_ ;,1w, lfT T/e U,tde,- kLoreN Attachment: Roof Covering. w-ce,"ediEJ7Je Drip Edge Type & Size: Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade Count Section A (General Information) Master Permit Number: Process Number: Contractor's Name: a. -A/'' J%✓, P LL-C Job Address: 9c}25 NC 7fhAze, vets rC. 3-313� ROOF CATEGORY ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof ❑ Mechanically Fastened Tile ❑ Metal Panel/ Shingles ❑ Repair Low Slope Roof Area (ftZ) d Are there gas vents on the roof? ROOF TYPE f� Mortar/Adhesive Set Tile ❑ Wood Shingles / Shakes ❑ Maintenance E Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Steep Sloped Roof Area (ftZ) Total (ftZ) we 2U0 Cr 2el'o O Yes O No If Yes what type? 0 Natural 0 LPX Is there an existing roof top Solar System? 0 Yes O No If yes will it be reinstalled? ® Yes () 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) --_ 06S Z) 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 Mrwith the values from Mr. If the Mf values are greater than or equal to the M, values for each area of the roof, then the tile attachment method is acceptable. Method 1' " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this table ( Zone 1:x 10.315 =2/. 1 a ) — Mg: 7_5D = Me /3. dOS Product Approval Mf: 31, 3 (Zone2e: x = 01_61 )—Mg:7 S'n =Mrz. 22•/1 Product Approval Mf: 31.3 ( Zone 2n: - x A = ) — Mg: = Mrm Product Approval Mf: (Zone2r. —b8 xA031.5 = Z�•i2)—Mg: 7" =Mrn 20•ZZ Product ApprovalMf: 31•3 (Zone3e: xA = )—Mg: (Zone' —94 xA0.3yS=Za.bl)—Mg:. Tile attachment method: = Mrs, Product Approval Mf: 7, 0 = Mrs, ZZ. ll Product Approval Mf: 3 f' 3 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 B ) = Fra. Product Approval F: (Zone 2n: x L = x W = ) — (w) x cos B ) = Fom Product Approval F': (Zone 2r: x L = x W = ) — (w) x cos B ) = Fr2, Product Approval F': (Zone 3e: x L = x W = ) — (w) x cos B ) = Fra. Product Approval F': (Zone 3r: x L = x W = ) —(w) x cos B ) = Fr3, Product Approval F': `Method 2 "Simplified rile Calculations" only applicable in Broward County. where to obtain Information Description Symbol Where to Find Design Pressure Zones 1, 2e, 2n, 2r,3e, 3r From the applicable Table in RAS- 127 or be an engineering analysis prepared by a PE based upon ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier A Product Approval / Notice ofAcceptance Restoring Moment due to Gravity M Product Approval/ Notice of Acceptance Attachment Resistance Mf Product Approval / Notice of Acceptance Required Moment Resistance Mr Calculated Minimum Attachment Resistance F Product Approval / Notice of Acceptance Required Uplift Resistance F, 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 DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.aov 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. l�� 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. / 41Z 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). 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. S. )1��// ' 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. Rev01142021 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 n 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. 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 ma a ne in o consider additional venting which can s)It in extending the service life of a roof. Owner/Agent's Signat r Date Contractor Signature Date For Forms and Applications click here: http://bidg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=M is mi5horesVillage RevOI 142021 Owners roofing consideration Page 2 of 2 Atl MIAMI• MUM-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.mlamidade.eov/economy Westlake Royal Roofing, LLC 7575 Irvine Center Drive, Suite 100 Irvine, CA 92618 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: Saxony 900 Concrete Roof Tile 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", wiless 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# 22-0201.08 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. NOA No.: 22-0714.17 Expiration Date: 04/26/27 Approval Date: 08/11122 Page 1 of 10 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Roofing Tiles Material: Concrete Dec e: Wood 1. SCOPE This NOA approves a system using Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile, as manufactured Westlake Royal Roofing LLC in Lake Wales, FL and described this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code, do not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in the installation section herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Saxony 900-Slate Length = 17" TAS 112 Flat profile, interlocking, high-pressure extruded Width =13" concrete roof tile with two nail holes. For direct deck, thickness=1-5/32" batten, mortar set or adhesive set applications. Saxony 900 - Length = 17" TAS 112 Flat profile, interlocking, high-pressure extruded Split Shake Width = 13" concrete roof the with two nail holes. For direct deck, thickness=1-9/32" batten, mortar set or adhesive set applications. Top surface produced with 4 different configurations: 1. Complete file brushed 2. Right half brushed (shown in drawing) 3. Left half brushed 4. No brush Saxony 900-Shake Length =17" TAS 112 Flat profile, interlocking, high-pressure extruded Width =13" concrete roof tile with two nail holes. For direct deck, thickness=1-9/32" batten, mortar set or adhesive set applications. Trim Pieces Length: varies TAS-112 Accessory trim, boosted Barcelona, concrete roof Width: varies pieces for use at hips, ridges and rakes. varying thickness NOA No.: 22-0714.17 m Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 2 of 10 2.1 PRODUCTS MANUFACTURED BY OTHERS Product Name Product Description ICP Adhesives Polysee AH-160 TILE BONDTM Roof Tile Adhesive "Tile Tite" Roof Tile Mortar Two component polyurethane foam adhesive. Single component polyurethane foam roof tile adhesive. Premixed, pre -bagged roof tle mortar. Touch `N Seal StormBone 2 Two- Two component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive Touch `N Seal StormBone One One component polyurethane Component Polyurethane Roof Tile foam adhesive. Adhesive 2.2 MANUFACTURING LOCATION 2.2.1. Lake Wales, FL 2.3 EVIDENCE SUBMITTED: Test Agency Test Identifier The Center for Applied 94-084 Engineering, Inc. 94-060A Redland Technologies 25-7183-6 25-7183-5 25-7214-1 25-7214-5 Project No. 307025 Test #MDC-77 7161-03 Appendix II & III Letter Dated Aug. 1, 1994 P0631-01 P0402 Manufacturer (With Current NOA) ICP Adhesives and Sealants, Inc. DuPont de Nemours, Inc. Bermuda Roof Co. Inc. DAP Foam, Inc. DAP Foam, Inc. Test Name/Report Date Static Uplift Testing May 1994 TAS 101(Mortar Set) Static Uplift Testing March, 1994 TAS 101 (Adhesive Set) Static Uplift Testing TAS 102 Feb. 1995 (2 Quik-Drive Screws, Direct Deck) Static Uplift Testing TAS 102 Feb. 1995 (2 Quik-Drive Screws, Battens) Static Uplift Testing TAS 102 March, 1995 (1 Quik Drive Screw, Direct Deck) Static Uplift Testing TAS 102 March, 1995 (1 Quik-Drive Screw, Battens) Wind Driven Rain Oct. 1994 TAS 100 Wind Tunnel Testing Dec. 1991 TAS 108 (Nail -On) Wind Tunnel Testing Aug. 1994 TAS 108 (Nail -On) Wind Tunnel Testing July 1994 TAS 108 (Mortar Set) Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails NOA No.: 22-0714.17 MlAt�i'�IDE co Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 3 of 10 Atlanta Testing & R1.894/R2.894/R3.894 Physical Properties Aug. 1994 Engineering, Inc. TAS 112 Celotex Corporation 520109-1 Static Uplift Testing Dec. 1998 Testing Service 520111-4 TAS 101 520191-1 Static Uplift Testing March 1999 TAS 101 Walker Engineering, Evaluation Calculations 25-7094 February 1996 Inc. Evaluation Calculations 25-7496 April 1996 Evaluation Calculations 25-7584/25-7804b-8/25-7804-4 & 5 December 1996 25-7848-6 Evaluation Calculations 25-7183 March 1995 Evaluation Calculations Aerodynamic Multipliers 09/01/16 Calculations Two Patty Adhesive Set System April 1999 Evaluation Calculations Restoring Moments Due to Gravity 09/01/16 American Test Lab of RT0617.04-16 TAS 112 06/29/16 South Florida RT0209.01-22 TAS 112 02/01/22 RT0209.04-22 TAS 112 02/ 17/22 PRI Construction COPO-002-02-12 TAS 101 10/12/2016 Material Technologies COPO-002-02-06 TAS 101 10/12/2016 COPO-002-02-05 TAS 101 10/12/2016 BORR-022-02-01 TAS 101 02/25/2019 BORR-022-02-02 TAS 101 02/25/2019 BORR-022-02-03 TAS 101 02/25/2019 BORR-022-02-04 TAS 101 02/28/2019 2002T0003.03 TAS 101 11/06/20 NEMO ETC, LLC 4c-DPBS 20-LSOTM- TAS 101 12/ 17/20 0l.C.R1 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile 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 Building Code Compliance 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. NOA No.: 22-0714.17 E Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 4 of 10 4. INSTALLATION 4.1 Saxony 900 (Slate, Shake & Split Shake) Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight-W (lbf) Length-1 (ft) Width-w (ft) Saxony 900 Slate Shake & Split Shake 10.9 1.417 1.08 Table 2: Aerodynamic Multipliers -2. (W) Tile Profile 2, 00 X (ft3) Batten Application Direct Deck Application Saxony 900 0.291 0.315 Slate, Shake & Split Shake Table 3: Restoring Moments due to Gravity - Mg (ftdbf) Tile Profile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12" or greater Saxony 900 Slate &, Shake & Direct Deck Direct Deck I Battens I Direct I Deck Battens Direct Deck Battens I Direct I Deck Battens I Direct I Deck Split Shake 7.70 1 7.62 1 6.61 1 7.50 1 6.48 1 7.34 1 6.31 1 7.16 1 6.13 1 6.95 Table 4: Attachment Resistance Expressed as a Moment - M+ (ft-lbf) for Mechanically Fastened Systems Tile Profile Fastener Type Direct Deck Direct Deck Battens (min 15/32" plywood) (min. 19132" plywood) Saxony 900 2-10d Ring Shank Nails 30.9 38.1 17.2 Slate, Shake & 1-1Od Smooth or Screw 7.3 9.8 4.9 Split Shake Shank Nail 2-1 Od Smooth or Screw 14.0 18.8 7.4 Shank Nails 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1-10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Clip) 1-10d Smooth or Screw 19.0 19.0 22.1 Shank Nail Eave Clip) 2-10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Clip) 2-10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Clip) NOA No.: 22-0714.17 Expiration Date: 04/26/27 Approval Date: 08/1122 Page 5 of 10 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Paddy Adhesive' Set Systems Tile Profile Tile Application Minimum Attachment Resistance Saxony 900 Slate &, Shake & Split TILE BONDTM Roof Tile Adhesive 631 Shake TILE BONDTM' Roof Tile Adhesive a ICP Adhesives Pol set® AH-160 31.34 Touch'N Seal StormBond82 Touch'N Seal StormBonde(one component) 105e 1 See foam adhesive manufacturer's component approval for installation requirements. 2 Medium paddy weight of 8 grams per paddy of TILE BONDT Roof Tile Adhesive 3 Medium paddy weight of 16 grams per paddy of TILE BONDTM Roof Tile Adhesive 4 Medium paddy weight of 6 grams per paddy of Polyset® AH-160 5 Medium paddy weight of 8 grams per paddy of Touch 'N Seal StormBond e 2 6 Medium paddy weight of 18.7 grams between tile and underlayment, paddy weight of 10.5 grams on overlap of file of Touch'N Seal StormBond ® one component) Table 6: Attachment Resistance Expressed as a Moment - Mr (ftdbf) for Single Paddy Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Resistance Saxony 900 Slate &, Shake & ICP Adhesives Pol set® AH-160 1197 ICP Adhesives Pol set® AH-160 1151 Split Shake ICP Adhesives Pol set® AH-160 839 ICP Adhesives Pol set® AH-160 6010 Touch'N Seal StormBon&2 9311 Touch'N Seal StormBond®2 6212 7 Large paddy weight of 45 grams of Polyset® AH-160 8 Medium paddy weight of 34 grams of Polyset® AH-160 9 Medium paddy weight of 24 grams of Polyset® AH-160 10 11 Medium paddy weight of 18 grams of Polyset® AH-160 Large paddy weight of 45 grams of Touch 'N Seal StormBond e 2 12 Medium paddy weight of 24 grams of Touch 'N Seal StormBond ® 2 Table 7: Attachment Resistance Expressed as a Moment - Mr(ft-lbf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Saxony 900 Slate &, Shake & Split Mortar Set" 43.9 Shake 13 Bermuda Roof Co. Inc. Tile -rite Roof Tile Mortar. NOA No.. 22-0714.17 MIAMMADECOUNW Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 6 of 10 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved". No LABEL FOR SAXONY 900 TILES (LAKE WALES FL PLANT) LOCATED UNDERNEATH 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 the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 22-0714.17 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 7 of 10 NAIL HOLES PROFILE DRAWINGS UNDERLOCK SAXONY900-SLATE 5/32" (Slate) COVERLOCK NOA No.: 22-0714.17 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 8 of 10 NAIL HOLES Note: 1. 2. 3. 4. PROFILE DRAWINGS Available Top Surface Finishes Complete tile brushed Right half brushed (shown in drawing) Left half brushed No brush SAXONY 900 - SPLIT SHAKE 1-9/32" (Shake) NOA No.: 22-0714.17 MLAMW3ADE COMM Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 9 of 10 NAIL HOLES F, PROFILE DRAWINGS SAXONY 900- SHAKE END OF THIS ACCEPTANCE 1-9/32"(Shake) NOA No.: 22-0714.17 Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 10 of 10 COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE i Gardner Asphalt Corporation 4161 W.7* Avenue Tampa, FL. 33605 XIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 1(786)315-2590 F(786)315.2599 n a�.miamidade.eov/economy 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: Gardner Underlayments 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 # 20-0714.01 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigers. NOA: 22-1221.05 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 1 of 7 ROOFING COMPONENT APPROVAL Cateeorr Roofing Sub-Cateeory: Underlayment Material: Asphalt TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED By APPLICANT: Test Product Product Dimensions Soeciftog n Descri tion APOC Tuff -Felt 26 36" x 72' rolls ASTM D 226 Type II Asphalt Saturated Felt underlayment, 2 Manufacturing square #30. Location #1, 2 United FGUR20 36" x 72' rolls Manufacturing Location #1, 2 No. 30 ASTM 36" x 72' rolls Manufacturing Location #1, 2 TB-9F25UR 36" x 72' rolls Manufacturing Location #1, 2 United FGUR10 36" x 144' rolls Manufacturing Location #1, 2 No. 15 ASTM 36" x 144' rolls Manufacturing Location #1, 2 TB-9F45UR 36" x 144' rolls Manufacturing Location #1, 2 United FGUR70 18" x 72' rolls Manufacturing Location #L 2 GatorSkin 42" x 285.8' rolls Manufacturing Location #3 ASTM D 226 Type Il Asphalt Saturated Felt underlayment, 2 square #30. ASTM D 226 Type Il Asphalt Saturated Felt underlayment, 2 square #30. ASTM D 226 Type IT Asphalt Saturated Felt underlayment, 2 square #30. ASTM D 226 Type I Asphalt Saturated Felt underlayment, 4 square #15. ASTM D 226 Type I Asphalt Saturated Felt underlayment, 4 square #15. ASTM D 226 Type I Asphalt Saturated Felt underlayment, 4 square # I5. ASTM D 226 Type Il Asphalt Saturated Felt underlayment, l square #30. ASTM D 226 Type II Synthetic roof underlayment comprised of layers of polyolefin film. NOA: 22-1221.05 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 2 of 7 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specification Description GatorSkin-10 42" x 285.8' rolls ASTM D 226 Type II Synthetic roof underlayment comprised Manufacturing of layers of polyolefin film. Location #S Weather -Armor CX-L 37.25" x 145' rolls ASTM D 226 Type II High strength hybrid Underlayment Manufacturing comprised of two layers of polyolefin and Location #3 polyester synthetic fabric with a thin layer of modified bitumen between the two plies. Weather -Armor SB-1 36" x 65' 8" rolls ASTM D 1970 Glass fiber reinforced, polymer modified Manufacturing 36" x 50' rolls asphalt, granulated self -adhered Location #4 underlayment. TriBuilt Ice and Water 36" x 65' 8" rolls ASTM D 1970 Glass fiber reinforced, polymer modified Underlayment 36" x 50' rolls asphalt, granulated self -adhered Manufacturing Underlayment. Location #4 Gard -Lock 36" x 65' 8" rolls ASTM D 1970 Glass fiber reinforced, polymer modified Manufacturing 36" x 50' rolls asphalt, granulated self -adhered Location #4 underlayment. Weather -Armor HT3 39" x 65' 8" rolls ASTM D 1970 60-mils thick (nominally), self -adhering Manufacturing membrane composed of elastic polymers, Location #4 bitumen, glass reinforcements and a cross laminated sheet surfacing. Weather -Armor FT3 39" x 65' 8" rolls TAS 103 60-mils thick (nominally), self -adhering Manufacturing membrane composed of elastic polymers, Location #4 bitumen polyester and glass reinforcement. Eagle -Armor by Apoc 39" x 65' 8" rolls TAS 103 60-mils. thick (nominally), self -adhering Manufacturing membrane composed of elastic polymers, Location #4 bitumen polyester and glass reinforcement. TriBuilt High Temp Metal 39" x 65' 8" rolls ASTM D 1970 60-mils thick (nominally), self -adhering Underlayment membrane composed of elastic polymers, Manufactuuring bitumen, glass reinforcements and a cross Location #4 laminated sheet surfacing. NOA: 22-1221.05 I AP R 61 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 3 of 7 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT. - Test Product Product Dimensions Specification Description TriBuilt Fleece Tile 39" x 65' 8" rolls TAS 103 60-mils thick (nominally), self -adhering Underlayment membrane composed of elastic polymers, Manufacturing bitumen polyester and glass Location #4 reinforcement. MANUFACTURING LOCATIONS: 1. Tacoma, WA. 2. Eutaw, AL. 3. Hangzhou, China. 4. Springville, AL. 5. Tampa, FL. EVIDENCE SUBMITTED: Test Aeencv Test Identifier Test Name/Report Date PRI Construction Materials GGI-132-02-01 ASTM D 226 04/28/15 Technologies GGI-176-02-01 ASTM D 226 09/26/16 GGI-178-02-01 ASTM D 1970 10/25/16 GGI-194-02-01 ASTM D 1970 08104/ 17 GGI-196-02-01 TAS 103 08/08/17 GGI-206-02-01 ASTM D 226 03/09/ 18 GGI-207-02-01 ASTM D 226 03/09/ 18 GGI-201-02-01 ASTM D 1623 01/29/18 GGI-178-02-01 ASTM D 1970 01 /29/ 18 GGI-178-02-02 ASTM D 1970 01 /29/ 18 GGI-199-02-02 ASTM D 226 12/12/17 cou 7Y NOA:22-1221.05 ..YN11 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 4 of 7 APPROVED ASSEMBLIES: Deck Type l: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(1): Anchor sheet mechanically fastened to deck. Anchor Sheet: One or more plies of APOC Tuff -Felt 26, United FGUR20, United FGUR70, No. 30 ASTM, TB-9F25UR, GatorSkin, GatorSkin-10 or Weather -Armor CX-L with a minimum 4" headlap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6 inches o.c. minimum at all laps and three staggered rows fastened at 12 inches o.c. minimum in the field of the roll. Nails shall be driven flush and 90 degrees to the roof deck. Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry slate, metal roof applications, and as an anchor sheet in roof file applications. Must Comply with applicable Roofing Application Standards and Building Codes. Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(2): Anchor sheet mechanically fastened to deck. Anchor Sheet: Minimum 2 plies or more of United FGUR10, No. 15 ASTM, TB-9F45UR with a minimum 19" headlap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6 inches o.c. minimum at all laps and three staggered rows fastened at 12 inches o.c. minimum in the field of the roll. Nails shall be driven flush and 90 degrees to the roof deck. Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry slate, metal roof applications, and as an anchor sheet in roof the applications. Must Comply with applicable Roofing Application Standards and Building Codes. Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(3): Anchor sheet mechanically fastened to deck, membrane adhered. Anchor Sheet: One or more plies of ASTM D 226, Type II or ASTM D 2626 with a minimum 4" headlap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll. Membrane: One or more plies of Weather -Armor SB-1, Gard -Lock, TriBuilt Ice and Water or Weather - Armor HT or TriBuilt High Temp and Metal self -adhering membrane adhered to the anchor sheet with a minimum 3" headlap and 6" end lap. Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry slate, and metal roof applications. Must Comply with applicable Roofing Application Standards and Building Codes. NOA: 22-1221.05 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 5 of 7 Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(4): Anchor sheet mechanically fastened to deck, membrane adhered. Anchor Sheet: One or more plies of ASTM D 226, Type 1I or ASTM D 2626 with a minimum 4" headlap and a 6" end lap mechanically, fastened to deck with approved nails and tin caps 6" o.e. at the side lap edge and in a grid pattern spaced 12" o.c. in the field of the roll. Membrane: One or more plies of Weather -Armor FT3 or Eagle -Armor by Apoc or TriBuilt Fleece Tile Underlayment self -adhering membrane adhered to the ply sheet with a minimum 3" headlap and 6" end lap. Surfacing: • Weather -Armor FT and Eagle -Armor by Apoc or TriBuilt Fleece Tile Underlayment Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry slate, metal roof, and mechanically fastened roof file applications. • Weather -Armor FT and Eagle -Armor by Apoc or TriBuilt Fleece Tile Underlayment may be used with any approved adhered roof tile system as specified in their current NOA using the following file adhesives with current NOA: • The Dow Chemical Company's TILE BOND Roof Tile Adhesive ■ ICP Construction, Inc.'s ICP Adhesive Polyset AH-160 • DAP Touch `n Seal Storm Bond Roof Tile Adhesive Must Comply with applicable Roofing Application Standards and Building Codes. LABELING: All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. APPROVED 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 the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA: 22-1221.05 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 6 of 7 LINIITATIONS: 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. Weather -Armor SB-1, and Weather -Armor HT3 shall not be hot mopped; refer to manufacturer's published literature for product compatibility. 4. Gardner Underlayments listed herein are components used in roof assemblies. Roof assemblies are approved under specific assembly Notice of Acceptance. 5. APOC-Tuff Felt 26, United FGUR20, No. 30 ASTM, TB-9F25UR, United FGUR10, No. 15 ASTM, TB- 9F45UR, United FGUR70, GatorSkin, GatorSkin-10 and Weather Armor CX-L listed herein shall not be left exposed as a temporary roof for longer than 30 days of application. 6. Gard -Lock, TriBuilt Ice and Water and Weather Armor SB-1 listed herein shall not be left exposed as a temporary roof for longer than 90 days of application. 7. Weather -Armor HT', Eaglo-Armor by Apoc, TriBuilt High Temp Metal, TriBuilt Fleece and Tile Underlayment and Weather -Armor FT3 listed herein shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Gardner Underlayments listed herein may be used with any approved roof covering Notice of Acceptance listing Gardner Underlayments listed herein as a component part of an assembly in the Notice of Acceptance. If Gardner Underlayments listed herein 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. 9. For fire classification of specific roof assemblies using Gardner Underlayments listed herein refer to a current Approved Roofing Materials Directory for fire ratings of this product. 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA: 22-1221.05 Expiration Date: 03/28/28 Approval Date: 03/09/23 Page 7 of 7 41-, .— _..MIAMI.DADE COUNTY MI® 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) 31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy Corp. 525 Orange Street Coshocton, Ohio 43812 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: Premium HT Tile & Metal Underlayment 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 revises NOA No. 19-0207.04 consists of pages 1 through 4. The submitted documentation was reviewed by Freddy Sentino T NOA No.: 20-0309.03 MIAMPDADECOUNTY Expiration Date: 0627/24 Approval Date: 09/04/20 Page 1 of 4 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Catesorv: Underlayment Materials: SBS SCOPE: This acceptance is for Premium HT Tile and Metal Underlayment as manufactured by MFM Building Products Corp., as described in this Notice of Acceptance, for use with approved prepared roof assemblies as described in this Notice of Acceptance; designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone of the Florida Building Code. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Dimensions Specification Product Description Premium HT Tile & Roll Length: 67' TAS 103 60-mils (nominally), self -adhering laminate Metal' Roll Widths: 36" ASTM D 1970 membrane composed of a high grade reinforced polyester adhered to a fiberglass -mat reinforced with a high -temperature asphalt adhesive system with an adhesive sealing edge on one side, and a removable release liner. NOA No.: 20-0309.03 Expiration Date: 06/27/24 Approval Date: 09/04/20 Page 2 of 4 MANUFACTURING LOCATION: 1. Coshocton, Ohio EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Revort Date PRI Construction Materials Technologies LLC MFM-046-02-01 ASTM D 1970 11/20/2018 MFM-047-02-01 TAS 103 04/26/2019 MFM-048-02-01 ASTM D 1623 04/26/2019 MFM-054-02-01 ASTM D 1623 08/26/2019 APPROVED ASSEMBLIES: Deck Type 1: Wood, Non -insulated Deck Description: 19/32" or greater plywood or wood plank System E(1): Base sheet mechanically fastened, membrane adhered. Base Sheet: One or more plies of ASTM D226 Type II or ASTM D2626 with a minimum 4" side lap and a 6" end lap mechanically fastened to deck with approved nails and tin caps 6" o.c. at the laps and two staggered rows 12" o.c. the field of the roll. Membrane: One or more plies of Premium HT Tile & Metal underlayment self -adhered onto the base sheet with a minimum 3" side lap and 6" end lap. Note: When used in Tile roof systems with slopes 6:12 and greater, Premium HT Tile & Metal Underlayment shall be back nailed to deck with approved annular ring shank nails and tin caps at a maximum 12" o.c. at the side laps. No nails or tin caps shall be exposed. Surfacing: Approved for Adhered Roof Tile using TILE BOND, DAP Storm Bond 1 or DAP Storm Bond 2, Mechanically Fastened Roof Tile, Metal Roofing, Wood Shake and Shingles and Asphaltic Shingle assemblies. NOA No.: 20-0309.03 MIANUME GOUMY Expiration Date: 06127/24 "�MMK` Approval Date: 09/04/20 Page 3 of 4 SYSTEM LIMITATIONS: 1. Fire Classification is not part of this acceptance. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. Premium HT Tile & Metal underlayments shall be installed in strict compliance with applicable Building Code. 3. Premium HT Tile & Metal underlayments may be used in Asphaltic shingles, wood shakes and shingles, quarry slate roof assemblies and mechanically or adhesive set roof file assemblies. 4. Premium HT Tile & Metal underlayments shall be applied to a smooth, clean, and dry surface with deck free of irregularities. 5. Premium HT Tile & Metal underlayments shall not be applied over an existing roof membrane as a recover system. 6. Premium HT Tile & Metal underlayments shall not be left exposed as a temporary roof for longer than 180 days of application. 7. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 8. Premium HT Tile & Metal underlayments may be used with any approved roof covering Notice of Acceptance listing Premium HT Tile & Metal underlayments. If it 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. 9. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. For ridge applications, center the membrane and roll from the center outward in both directions. 10. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to overlap areas. 11. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance and applicable Building Code. 12. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusions to ensure a tight fit. A second layer of underlayments shall be applied over the underlayment. 13. 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. 14. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city, state and the following statement: "Miami -Dade County Product Control Approved" or the Miami - Dade County Product Control Seal as shown below. END OF THIS ACCEPTANCE NOA No.: 20-0309.03 Expiration Date: 06/27/24 Approval Date: 09/04/20 Page 4 of 4 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:12/04/2023 Parcel Number 9825 NE 7TH AVE, Miami Shores, FL 33138 1132060172290 Contacts MIAMI SHORES Owner FRANK RUIZ 9825 NE 7 AVE, Miami Shores, FL 33138 Business: 3053010938 ruizf@msvfl.gov ABDIAS SAENZ 6007 SW 16 ST, Miami, FL 33155 Description: TILE FOAM ADHESIVE SWITCH FROM TWO PADDY Valuation: $ 0.00 SYSTEM TO SINGLE PADDY SYSTEM. Total Sq Feet: 6,600.00 Permit NO.: REV-11-23-2989 Permit Type: Revision Work Classification: Roofing Permit Status: Approved Expiration: 06/04/2024 info@betterbuiltroofs.com Ins ection Requests: 305-7624949 Fees Amount Payments Date Paid Amt Paid Revision: Minor Change of Plans $60.00 Total Fees $66.00 Scanning Fee (Manual) $6.00 Credit Card 12/04/2023 $66.00 Total: $66.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are re r ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS%cooTn I gY at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating an onin Futhermore, I authorize the above named contractor to do the work stated. 6&3 Sct11—tti r � 3 23 Authorized Sign ure: Owner / Applicant I Contractor I Agent Date December 04, 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 8 ELECTRIC E3ROOFING NOV 3 0 2023 BY:__ ty 71—), FBC 20D Master Permit No. !'F _ (0-Z31 —290 1 Sub Permit No. R�'1 iU" ((' O3'o2�lt�� E�REVISION 0 EXTENSION RENEWAL PLUMBING I3 MECHANICAL ❑ CHANGE OF I3 CANCELLATION ® SHOP CONTRACTOR DRAWINGS JOB ADDRESS: %8Z6- lj —yfH�Q City: Miami Shores County: Miami Dade Zip: 33 1,38 Folio/Parcel#: / /-3 7,0 4ro0 / I-ZZ 20 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple M1'aA4 Sd,ores V; qn�f Address: /005V %JE Zhu ,4v4e (2i a S�.ove s City: State: Zip: 33/3 Tenant/Lessee Name: Email: (�'-)✓»5V CONTRACTOR: Company Name: $e/2' s/ Z-4r— PhoneH: .30S 6/y 7)4`1 Address: zdD00 Ga / ye c2a cS7 • Z l �v �rce Ga��et �L 3 3 / 3 Q Email: t' 1"' � _Ae ffeebui #i 14. ro� Qualifier Name: f}Io��S ' reae' b Phone#:G3o5J State Certification or Registration #: CCC 133 6 F -5 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: _Zip: z Value of Work for this Permit: $ Square/Linear Footage of Work: �r 6fJ0 -46 Type of Work: 8 Addition) 0 Ale/ration I3 New y% ® Repair/Replace C3Demolition Description of Work: 7 le �a m 6-2/ h e 5-ye Ss&ol G k .Zj2-pp t dlaaddy 6 ys)e sM P<<e �adi % Specify color of color thru tile: Submittal Fee.$ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ DCA Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ un Structural Reviews (Revised04/05/2022) P&Z Review $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State E. 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. 1 e ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. N Signatusc///.Q�%G�"/ ,�� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 3D day of ND* —( d.,t . 209_, by ry- i}av — }2(,(j 'Z , who is pesonally known- o me or who has produced identification and who did take an oath. NOTARY PUBLIC: as The foregoing instrument was acknowledged before me this .39 day of tDYt bL— , 20 93 , by cQc� S �p e-1,7firho is personally known to me or h s prod ed rL Jh2iVe i,S (_ I ! as identification and who did take an oath. NOTARY PUBLIC: 4/ Sign: Sign: Print: K," A Print: t*rri KRISTINE KEPPLE YAO Seal: $,. Seal: ' Notary Public -State of Florida s � Commission Y HH 452227 My Cmm. Expires Oct 8, 2027 • aoudad through National Notary Assn. ********** ************************ APPROVED BY rim Plans Examiner !=Q,;.......•, KRISTINE KEPPLE YAO r�Fr"� i Notary Public - State of Florida Commis lon My Comm. Expires Oct S. 2027 Bonded throueh National Notary Assn. ******** Zoning Structural Review (Revised04/05/2022) Clerk Boa trif W E 1R 7 NOV 3 0 z , Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Paddy Adhesive' Set Systems Tile Profile TIIeAppllcatlon Minimum Attachment Resistance Saxony 900 Slate &, Shake & Split TILE BONDT Roof Tile Adhesive 632 Shake TILE BOND" Roof Tile Adhesive 3 ICP Adhesives Pol set® AH-160 31 Touch 'N Seal StormBonde2 Touch 'N Seal StormBond' (one component) 1056 1 See foam adhesive manufacturer's component approval for installation requirements. 2 Medium paddy weight of 8 grams per paddy of TILE BONDTM Roof Tile Adhesive 3 Medium paddy weight of 16 grams per paddy of TILE BONDT' Roof Tile Adhesive 4 Medium paddy weight of 8 grams per paddy of Polyset® AH-160 5 Medium paddy weight of 8 grams per paddy of Touch'N Seal StormBond e 2 6 Medium paddy weight of 18.7 grams between file and underlayment, paddy weight of 10.5 grams on overlap of file of Touch 'N Seal StormBond a one component) Tile Profile Saxony 900 Slate &, Shake Split Shake :hmerlt Resistance Expressed as a Mom for Single Paddy Adhesive Set Systems Tile Application r Large paaay welgnt oT 4o grams or volysetw Ati-i ou 8 Medium paddy weight of 34 grams of Polyset® AH-160 9 Medium paddy weight of 24 grams of Polyset® AH-160 10 Medium paddy weight of 18 grams of PolysetO AH-160 11 Large paddy weight of 45 grams of Touch 'N Seal StormBond e' 2 12 Medium oaddv weiaht of 24 arams of Touch 'N Seal StormBond 112 Resistance Table 7: Attachment Resistance Expressed as a Moment - Mf (ft4bf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Saxony 900 Slate &, Shake & Split Mortar Set73 43.9 Shake 13 Bermuda Roof Co. Inc. Tile -rite Roof Tile Mortar. ,iltwopy NOA No.: 22-0714.17 MUMMMDECOUtm Expiration Date: 04/26/27 Approval Date: 08/11/22 Page 6 of 10 k iAa