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RF-09-23-2360Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1200 NE 94TH ST, Miami Shores, FL 33138 Contacts Robert Netkin Owner 1200 NE 94 ST, Miami Shores, FL 33138 Issue Date: 09/29/2023 Parcel Number 1132050100230 Permit NO.: RF-09-23-2360 Permit Type: Roof Work Classification: Flat Permit Status: Approved Expiration: 03/29/2024 5115 ROOFING CONTRACTORS CORP Contractor JENNIFER BLANCO 13905 NW 6AVE, NORTH MIAMI, FL 33168 Business: 7866238342 sllsroofingcontractorscorp@gmail.co m Description: WATERPROOFING ON NEW ROOF CONCRET DECK Valuation: $ 13,000.00 Inspection Requests OVERHANGS 305-762-4949 Total Sq Feet: 3,000.00 v Fees Amount Application Fee -Other $50.00 CCF $7.80 DBPR Fee $6.75 DCA Fee $4.50 Education Surcharge $3.90 Notary Fee $5.00 Permit Fee (Manual) $400.00 Scanning Fee (Manual) $12.00 Technology Fee (Manual) $45.00 Total: $534.95 Payments Date Paid Amt Paid Total Fees $534.95 Credit Card 09/26/2023 $S5.00 Credit Card 09/29/2023 $479.95 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the 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 abo)� named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contract r k Agent Date September 29, 2023 Page 2 of 2 Miami Shores Village SEP 2620D Building Department 1L� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax.- (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762.4949 FBC 20ao BUILDING Master Permit No. bc-db -a t PERMIT APPLICATION Sub Permit No. EF - V't - J-3 - 23(Q 0 BUILDING ELECTRIC g�ROOFING REVISION ❑ EXTENSION ORENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Folio/parcel#:_It-f7 p5- d 10 - jc) g Rio is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �Lpl2drl�- J���-�"��„ Phone#: C5-ci6.5' 5110 edd,o«- 141-r_ l06. tw-+u cA- GtY: Q citcLl t 15140tA�1 Tenant/Lessee Name: EmaR:—Q1?PIjC 17L�rf� fSt/!G //�u.rC[t� r(°r�:1-t- '1 CONTRACTOR: Company Name: ,7 ).J V. Q:•tyLG C�/%Wlcc%t'r�/sC,yfl Phone#: �?f3-C>�'�-62LCq Address: r� C7'5 %J o "4 (n. State Certification or Registration #: r/'_C 't7.� �-(. CYJ- Certificate of Competency#: DESIGNER: Architect/Engineer: pf' n Address- City: State•_Zip: Value of Work for this Permit: $ 1's I ooD - Square/Linear Footage of Work: `7i I O0o Type of Work ❑ Addition ❑ Alteration �7 New ❑ Repair/Replace ❑ Demolition Description of Work: ta_1G�.Q/i(%dn?f (- a M� a- . .w _ r - C z a --k Specify color of color thru tile: Submittal Fee $ Permit Fee S //'� CCF $ CO/Cc $ Scanning Fee$ 1208 DCA Fee$ DBPR$ Nota $ ,^t ry Technology Fee $ -lS-00 Trainfng/Educatfon Fee $ `3.cib Double Fee $ Structural Reviews$_ P&Z. Review$ Bond$ TOTALFEENOWDUE$ ���• _/� (Bevlsed04/05/]012I Bonding Company's Name (if applicable) Bonding Company's Address city State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 mustbe posted at the jab site Jar 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. Signatur Signature UfflIff r ENT NTRACTOR The foregoing instrument was acknowledged before me this S day of C 20 iz� by /L %Vc �t who s personally known to me or who has produced Identification and who did take an oath. NOTARY PUBLIC: as The foregoing instrument was aiknloowledged before me this day of irK1 20 2�' ,by e c C �3T1R0 who is personally known to me orwho has produced t'"L. DL-- • as Identification and wfra didAake an�th. NOTARYPUBLIc: I / Y4. Prim: ll-apvnf�(6�QC�v Print: Ud `.otr.... 9� Seal: _:; 5a Comm.:HH246091 Seal: :� ��F= Expires: March 31, 2026 Notary Public •Sta(GO(FlOflda gYJ�bii1•I�M�ryYY��N��hMI�M•♦ M •• •V�rtw�M4��MMY�M APPROVED BY Plans Examiner Structural Review (Rev[sed04/05/2022) ne HEBERT MARTINEZ MY COMMISSION p HH 323276 EXPIRES: October 16, 2026 Zoning OFF Summary Report Folio 11-3205-010-0230 Property 1200 NE 94 ST Address MIAMI SHORES, FL 33138-2947 Owner ROBERT NETKIN , MELISSA NETKIN Mailing 1266 NE 94 ST Address MIAMI SHORES, FL 33138 Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land 0101 RESIDENTIAL -SINGLE Use FAMILY: 1 UNIT Beds / Baths 3 / 2 / 0 /Half Floors 1 Living Units 1 Actual Area 2,906 Sq.Ft Living Area 2,099 Sq.Ft Adjusted Area 2,502 Sq.Ft Lot Size 17,880 Sq.Ft Year Built 1950 i' Year i 2023 2022 2021 Land Value $1,367,494 $881,179 $574,541 Building Value $26,271 $26,271 $18,765 Extra Feature Value $12 818 $12 818 $12 818 Market Value $1,406,683 $920,268 $606,124 Assessed Value $733,409 $666,736 $606,124 Benefit Type 2023 20222021 Non- Assessment Homestead $673,174$253,532 Reduction Cap Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Generated On: 09/26/2023 INFORMATIONTAXABLE VALUE Year 2023 2022 2021 COUNTY Exemption Value $0 $0 $0 Taxable Value $733,409 $666,736 $606,124 SCHOOL BOARD Exemption Value $0 $0 $0 Taxable Value $1,406,583 $920,268 $606,124 CITY Exemption Value $0 $0 $0 Taxable Value $733,409 $666,736 $606,124 REGIONAL Exemption Value $0 $0 $0 Taxable Value $733,409 $666 736 $606124 SHORTO SALES INFORMATION , MIAMI SHORES BAY VIEW PB 40-16 LOT 26 & N30.049FT OF LOT 27 Previous OR Qualification LOT SIZE IRREGULAR Sale Price Book - Page Description COC 22033-2893 012004 1 06/24/2019 $675,000 31511- Qual by exam of 0706 deed 11/26/2014 $640,000 29427- Qua[ by exam of 1921 deed 01/01/2004 $450,000 22033- Sales which are watemroolmg I Liquid Applied Roofs MU MI•DADE Miami -Dade County WE HVHZ Electronic Roof Permit Form Waterproofing or Liquid Applied Roof Systems Delivering Excellence Every Day" *Denotes required user inputs. If an item does not apply enter n/a in that line. *Master Permit Number: FC 41-9 *Job Address: I O *Application Date: *Process Number: CITY *Waterproofing Manufacturer Name: *NOA Product Approval Number: a 0 — ( COPY Does this roof assembly comply with the requirements for a fire rating per section 1519.16.3 HVHZ Florida Building Code? * Q�Yes 0 No Note: Submit current copies of the fire directory listing for the waterproofing assembly, manufacturer's installation details, and the current Miami -Dade County NOA Product Control Approval for review prior to issuing the waterproofing permit. Miami Shores Village Building Department Note: This waterproofing assembly shall comply with all the requirements ongui �n Dt�P�' g located in the HVHZ section of the Florida Building Code. p����#11d fin Subject to compl with eral, State and County rules and regulations. * Plaza Deck *Deck Type: * El Parking Garage *Primer: I(� I� ft2/gal * El Balcony *Insulation/Fire Barrier: * QOther *Number of Fasteners per Insulation Board DL}-r[A,-yy qC I P(1) Field: J� P(2) Perimeter: � P(3) Corner: *Slope: "7112" *Base Coat: r �Ll S I`�Ee L_L'4 J *Coverage: F7U70 ft2/gal *Roof Mean Height: F17 ft. *Membrane: *Roof Length: 6 "f ft. *Intermediate *Roof Width: © ft. Coat: i /JkAt n Coverage: r7077ft2/gal *Maximum Design Pressure: =�psf r*EEstiimaated *Top Coat: Value: $ ('3 *Coverage: F 077 ft2/gal *Surfacing: /a( *Overburden: L Uy�P( Waterproofing / Liquid Applied Roofs MOMM "Delivering Excellence Every Day" Miami -Dade County HVHZ Electronic Roof Permit Form Waterproofing or Liquid Applied Roof Systems Section A (General Information) Master Permit Number: Process Number: Job Address: I 1 .a Cj Contractor Name: 5 5 5 5 n� C f'�vaCi�✓ C g Waterproofing Category ❑ Balcony ❑ Parking Garage ❑ Plaza Deck W Other: �Waterprr000fing System Information Low slope roof area (ft.2)—J Steep Sloped area (ft.2) (� Total (ft.T) �O Section B (Section Plan) fetch Section Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include mensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Drimeter Width (a'): Corner Size (a' x a'): �� ❑ Yes [ See Attached Roof Plan] ❑ No r., 00 a i WATERPROOFING AT ROOF AREAS (NOT INSULATED ABOVE ROOF DFCKL• - - TREMCO VULKEM EWS WATERPROOFING --- SYSTEM NOA #18-0108.01 EXP. 12-29-22 (OR APPROVED EQUAL) OVER } ' ' SLOPED STRUCTURAL CONCRETE DECK. - _ TRENCO VULKEM 35ONF/351 NOA -- #18-0319.02 EXP. 09-19-23 (OR APPROVED EQUAL) OVER SLOPED _— — —_ STRUCTURAL CONCRETE DECK. — .u:cua— _ _ _—_...�_4 2n�•r• �mc. I II Cp, nou,•,��.wimm wu.m+ i i H c B , 3 - TOPCOAT L� SURFFA E SE 58 �I+� UL Product iQ` TGFU.R6935 - Roofing Systems Roofing Systems / l See General Information for Roofing Systems GAF 1 CAMPUS DR PARSIPPANY, NJ 07054 USA "United CoatingsTM Diathon® QS Roof Coating", "United CoatingsTM Roof Mate Top Coat' and "United Coatings- Roof Mate Base Coating" are acceptable alternates to "United Coatings- Diathon® Roof Coating" In all applicable Classifications. "United Coatings^' ChoiceCoat Finish Coat" or "United Coatings"' ChoiceCoat Foundation Coat' are acceptable alternates to "United Coatings"' Roof Mate Top Coat" In all applicable Classifications. "United CoatingsTM Roof Mate HT Coating" is a suitable alternate to "United Coatings"' Diathon® HT Roof Coating". "United Coatings- Diathon(D Base Roof Coating", "United CoatingsTM Diathono DS Roof Coating", "United CoatingsTM ChoiceCoat Finish Coat", "United Coatings"' Roofshieldc Coating' and "United Coatings- Roof Mate Base Coating" are acceptable alternates to "United Coatings- Acron 60 Roof Coating" in all applicable Classifications. "United Coatings- Kyma)P Coating" sealer applied at 1/2-gaVt00-ft2 may be applied over any existing United Coatings- acrylic latex, polyurethane or polyurea roof covering system published below. FLUID APPLIED COATING SYSTEMS Class A 1. Deck: C-15/32 Incline: Unlimited Barrier Board (not required for non-combustible roof deck): — Minimum 1/4-in. thick Georgia-Pacific Gypsum LLC "DensDeck Prime® Roofboard" mechanically fastened with all buttjoints in the barrier board staggered a minimum of 6-in. from plywood roof deck buttjoints. Joint Treatment —AII mechanical fasteners and any seams with a gap in excess of 1/16-in. shall be treated with an acrylic or single package urethane caulk After the caulk has set, a 4 to 12-in. wide, 15 to 20-mil pass of "United CoatingsTM Roof Mate Top Coat' coating shall be applied over the center of caulk bead. A 4 to 12-in. wide application of "United Coatings'"' Roof Mate Mesh" (4-oz/yd2 polyester mat - not UL Classified) is then embedded into the wet coating. Base Coat: — "United CoatingsTM Roof Mate Base Coating" applied at 1-gal./10o-ft2. Reinforcement (Optional— "United CoatingsTM Roof Mate Fabric" (4- oz/ydZ polyester mat - not UL Classified) embedded into wet base coat Surfacing: —Two or three applications of "United Coatings- Roof Mate Top Coat' applied at 1-gal./100-ft2/application. 2. Deck: NC Incline: 1-1/2 Joint Treatment — All mechanical fasteners and any seams with a gap in excess of 1/1 6-in. shall be treated with an acrylic or single package urethane caulk After the caulk has set, a 4 to 12-in. wide, 15 to 20-mil pass of "United CoatingsTM Roof Mate Base Coating" coating shall be applied over the center of each caulk bead. A 4 to 12-in. wide application of "United Coatings"' Roof Mate Fabric" is then embedded into the wet "Roof Mate" coating. Base Coat: —One application "United CoatingsTM Roof Mate Base Coating" applied at 1-gal./100-ft2 applied at 1-1/2 gal/100-fL2/application. Reinforcement (Optional): — "United CoatingsTM Roof Mate Fabric' embedded into wet base coating. Surfacing: — One or two applications "United CoatingsTM Roof Mate Top Coat' applied at 1-gal/10040/application. 3. Deck: NC Incline: 2 Insulation: —Johns Manville "ENRGY H", any thickness. Ply Sheet: — One or more layers polyester ply sheets embedded into primer. Coating: — "United Coatings'"' Unisil Roof Coating" or "United Coatings- Unisil HS Roof Coating" applied at 2 to 3-gal./100-ft2. 4. Deck. C-15/32 Incline: 5 Barrier Board (not required for non-combustible roof deck): — Minimum 1/4-in. thick Georgia-Pacific Gypsum LLC "DensDeck Prime® Roofboard" mechanically fastened with all buttjoints in the barrier board staggered a minimum of 6 in. from plywood roof deck buttjoints. Joint Treatment: —Any seams with a gap in excess of 3/16-in. shall be treated with a single package urethane caulk. Surfacing: —"United CoatingsTM Elastuff 370 Coating" applied at 1-1/4 to 2-gaV100-ft.2. ! _ Sealer (Optional): —"United CoatingsTM KymaxTM Coating" applied at 1/2-gaV100-ft2. 5. Deck: NC Incline: 2 Insulation: —Johns Manville "ENRGY 11", any thickness. Ply Sheet: — One or more plies polyester ply sheets embedded into primer. Coating: — "United CoatingsTM Unisil Roof Coating" or "United Coatings' Unisil HS Roof Coating" applied 2 to 3-gal/100-ft2. 6. Deck: C-15/32 Incline: 4 Insulation: (Optional): — Any UL Classified polyisocyanurate insulation, any thickness, mechanically fastened or adhered with any UL Classified insulation adhesive. Barrier Board:— Minimum 1/4-1n, thick Georgia-Pacific Gypsum LLC "DensDeck: Roofboard", "DensDeck Pdme® Roofboard" or "DensDeck DuraGuardTM Roofboard" mechanically fastened with all buttjoints staggered a minimum of 6-in. from plywood roof deck buttjoints. Base Coat: — "HydroStope PremiumCoats Foundation Coat" applied at rate of 2-gal/100-ft2. Reinforcement: — One ply "HydroStop® PremiumCoat Fabric" (3-oz/yd.2), embedded into wet base coating. Midcoat: — "HydroStope PremiumCoats Foundation Coat" applied at rate of 2-gal/100 W. Top Coat: — "HydroStops PremiumCoats Finish Coat" applied at a rate of 3/4 to 1-1/2 gal./100-ft2. 7. Deck: C-15/32 Incline: 1 Barrier Board:— Minimum 1/4 in. thick Georgia-Pacific Gypsum LLC "DensDeck: Roofboard" or "DensDeck Pdmee Roofboard" or "DensDeck DuraGuardTM Roofboard" mechanically fastened with all buttjoints staggered a minimum of 6-in. from plywood roof deck butt joints. Insulation: (Optional): —Any UL Classified polyisocyanurate insulation, any thickness, mechanically fastened or adhered with any UL Classified insulation adhesive. Base Coat — "HydroStops PremiumCoats Foundation Coat" applied at rate of 3/4 to 1-1/2 gal./100- ft2. Reinforcement: —One ply "HydroStops PremiumCoats Fabric" (3-oz/yd2), embedded into wet base coating. Mldcoat — "HydroStops PremiumCoats Foundation Coat" applied at rate of 2-gal/100-ft2.. Top Coat: — "HydroStops PremiumCoats Finish Coat" applied at a rate of 3/4 to 1-1/2 gal/100-ft2. 8. Deleted. 9. Deck: NC Incline: Unlimited Impact:4 Base Coat: — "HydroStops PremiumCoats Foundation Coat" applied at rate of 1-1/4 to 1-3/4 gal/100-ft2. Reinforcement. — One ply "HydroStope PremiumCoats Fabric" (maximum 3-oz/yd2), embedded into wet base coating. Midcoat: — "HydroStope PremiumCoats Foundation Coat" applied at rate of 1-1/4 gal./100-ft2. Top Coat: — "HydroStope PremiumCoats Finish Coat" applied at a rate of 1-1/2 gal./100-ft2. Surfacing: — "HydroStope BaMerGuard a Waterproofing" applied at rate of 1-1/2 gal./100-ftZ. Surfacing: — "HydroStops TrafficCoat Deck Coating" applied at rate of 1-1/3 to 1-1/2 gal./100-ft2. 10. Deck: C-15/32 Incline: Unlimited Impact 4 Barrier Board: — Minimum 1/4 in. thick Georgia Pacific Gypsum LLC "DensDeck: Roofboard", "DensDeck Primes Roofboard" or "DensDeck DuraGuardTM Roofboard" mechanically fastened with all buttjoints staggered a minimum of 6-in. from plywood roof deck buttjoints. Base Coat: — "HydroStops PremiumCoats Foundation Coat" applied at rate of 1-1/4 to 1-3/4 gal./100-ft2. Reinforcement: — One ply "PremiumCoat Fabric" (maximum 3- oz/yd2), embedded into wet base coating. Midcoat — "HydroStops PremiumCoats Foundation Coat" applied at rate of 1-1/4 gal./100-ft2. Top Coat: — "HydroStops PremiumCoats Finish Coat" applied at a rate of 1-1/2 gal./100-ft2. Surfacing: — "HydroStops BarrierGuards Waterproofing" applied at rate of 1-1/2 gal./100-ft2. Surfacing: — "HydroStope TrafficCoat Deck Coating" applied at rate of 1-1/4 to 1-1/2 gal./100-ft2. 11. Deck. C-15/32 Incline: 1/2 Primer: — GAF "TOPCOAT: FireOutTM Fire Barrier Coating" or GAF "FireOutTM Fire Barrier Coating" applied at a rate of 1-gal./100-ft2. Base Sheet: — One ply GAF "GAFGLASs Stratavents Perforated Venting Base Sheet", mechanically fastened. Base Coat: — "HydroStope PremiumCoatTM Foundation Coat" applied at rate of 2-gal/100-ft 2. Reinforcement: — One ply "PremiumCoat Fabric" (3-oz/yd.2) embedded into wet base coating. Midcoat — "HydroStops PremiumCoat"' Foundation Coat" applied at rate of 2-gal/100-ft 2. Top Coat: — "HydroStope PremiumCoatTM Finish Coat" applied at a rate of 3/4 to 1-1/2 gal/100-ft.2. 12. Deck: C-15/32 Incline. 1 Slip Sheet (Fire Barrier): — One or more layers GAF "VersaShielda Solo- Fire Resistant Slip Sheet' mechanically fastened. Base Sheet-- One ply GAF "GAFGLASO Stratavents Perforated Venting Base Sheet" mechanically fastened. MIMI®DADE MIANIIAMI-D -DARE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE OA) www.miamidade ov/economv GAF 1 Campus Drive Parsippany, NJ 07054l) SCOPE: 7_.. 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: GAF Acrylic Coatings over Concrete Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 18-0119.11 consists of pages 1 through 8. The submitted documentation was reviewed by Jorge L. Acebo. MIAMI•DADE COUNTY NOA No.: 22-1129.03 ' � rFration Date: 02/28/28 Approval Date: 03/16/23 �11 Page I of 8 ROOFING SYSTEM APPROVAL Category: Roofing Sub -Category: Waterproofing Systems Deck Type: Concrete Material: Elastomeric Maximum Design Pressure: -607.5 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description TOPCOAT® Elastomeric 1, 5 or 55ga1. ASTM D6083 An acrylic, water based elastomeric Roofing Membrane membrane system designed to protect various types of roofing surfaces. GAF Surface Seal SB (formerly 5 or 55ga1 ASTM D6083 Solvent based sprayable thermoplastic TOPCOATa Surface Seal SB) rubber sealant designed to protect various types of roofing surfaces. GAF Bleed -Block Acrylic Base 5 or 55gal. Proprietary Water based low VOC primer Coat (Formerly TOPCOAT® MB designed to block asphalt bleed - Plus) through. TOPCOAT® XR-2000 5 or 55 gal. Proprietary Primer for pre -finished metal: (e.g., Kynar'). GAF Spray -Grade Acrylic 1, 5 gal. or TAS-139 Water -based flashing compound. Flashing (Formerly TOPCOAT® lqt tube Flashing Spray Grade) GAF Flexseal Sealant 1, 5 gal. or TAS 139 Solvent based flashing compound for lqt tube gutters and other detailing. GAF FireOut'" Fire Barrier 5 or 55ga1 Proprietary Low VOC, water -based fire barrier Coating coating. TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS TABLE 2 Test Product Product Dimensions Specification Description Manufacturer Ceramic Tiles 12" x 12" x'/2" ASTM C902 Ceramic plaza deck walking Generic riles, 5% water absorption max. Portland Cement 15 lb. Box, ANSI A118.4 A polymer modified Portland Custom Building 25 8a 50 Bags Cement, Products MIAMI DADE COUNTY NOA No.: 22-1129.03 Expiration Date: 02/28/28 Approval Date: 03/16/23 Page 2 of 8 5. ^ L ':.3 EVIDENCE SUBMITTED: Test Amncv Test Identifier Test Name Date Exterior Research & Design, LLC G6040.03.07 TAS 114-D 03/19/07 18026.03.02-2-112 TAS 114-D 12/05/07 PRI Construction Materials GAF-498-02-01 ASTM D 6083 09/16/16 Technologies, LLC GAF-499-02-01 ASTM D 6083 03/12/14 GAF-500-02-01 ASTM D 6083 03/12/14 GAF-658-02-01 Proprietary 06/06/16 GAF-667-02-01 TAS 139 07/01/16 GAF-671-02-01 TAS 139 06/30/16 GAF-676-02-01 Proprietary 05/31/16 376T0038 TAS 114-D 01/09/20 376TO270 Proprietary 01/14/22 FM Approvals 3015619 FM 4470 03/15/05 UL LLC R1306 UL 790 03/05/23 MIAMIDADE COUNTY NOA No.: 22-1129.03 Expiration Date: 02/28/28 Approval Date: 03/16/23 Page 3 or 8 APPROVED APPLICATIONS: Deck Type 3: Concrete Decks, Non -Insulated Deck Description: 2500 psi structural concrete or concrete plank System Type F(1): Fully Adhered liquid applied waterproofing system. All General Limitations apply. All GAF Acrylic Products shall be installed in accordance with manufacturer's specifications. The following are minimum installation guidelines. Consult the GAF Liquid -Applied Roofing Manual or Technical Service for specific/complete installation instructions. Substrate The TOPCOAT' Elastomeric Roofing Membrane system is to be applied over Preparation: structural concrete only with a minimum slope of %4":12". Concrete roof substrate must be completely cured and dry before application of TOPCOAT' products. Substrate should not pond water for a period longer than 48 hours. Base Coat: Apply two or more coats of TOPCOAT' Elastomeric Roofing Membrane at a rate of 1.25 gallons per 100 square feet per coat to a wet mil thickness of 20 mils each coat. Allow 24 hours to dry and inspect base coat for defects. Correct unsatisfactory conditions prior to proceeding. Finish Coat(s): Apply one or more finish coats of TOPCOAT' Elastomeric Roofing Membrane at a rate of 1.75 gallons per 100 square feet per coat to a wet mil thickness of 28 mils each coat. Allow 24 hours drying time prior to allowing foot traffic or inspection of roof surface. Integrity Test: Required, and shall be performed in accordance with ASTM D 5957 by an approved lab. Water may be maintained for a period longer than 24 hours if required. Inspection: Contractor and a representative of the membrane manufacturer shall inspect the waterproofing assembly and notify the contractor of any defects. Inspection must take place prior to installation of any overlay insulation, protection pads, drainage boards and traffic surfacing. All defects observed shall be corrected. Maximum Design Pressure: -487.5 psf. (See General Limitation #9) MIAMI•DADECOUNTY NOA No.: 22-1129.03 Expiration Date: o2/28/28 Approval Date: 03/16/23 Page 4 of 8 Deck Type 3: Concrete Decks, Non -Insulated Deck Description: 2500 psi structural concrete or concrete plank System Type F(2): Tile Finish over fully adhered liquid applied waterproofing system All General Limitations apply. All GAF Acrylic Products shall be installed in accordance with manufacturer's specifications. The following are minimum installation guidelines. Consult the GAF Liquid -Applied Roofing Manual or Technical Service for specific/complete installation instructions. Substrate All surfaces must be dry, smooth, and free of depressions, voids protrusions; Preparation: clean and free of any non -compatible curing compounds, foam release agents and other surface contaminants. Coatings: Apply two or more coats of GAF Surface Seal SB at a rate of 1 gallon per 100 square feet per coat to a wet mil thickness of 16 mils each coat. Allow 24 hours drying time prior to allowing foot traffic or inspection of roof surface. Inspect completed system for defects and correct as required. Integrity Test: Required, and shall be performed in accordance with ASTM D 5957 by an approved lab. Water may be maintained for a period longer than 24 hours if required. Inspection: Contractor and a representative of the manufacturer shall inspect the waterproofing assembly and notify the contractor of any defects. Inspection must take place prior to installation of any overlay insulation, protection pads, drainage boards and traffic surfacing. All defects observed shall be corrected. Surfacing: Exterior grade ceramic plaza deck walking tiles (Minimum size of 12" x 12" /z" thick), tiles shall be embedded into Custom Building Products Polymer modified Portland cement applied with a r/d' square notched trowel. Tiles should then be carefully embedded in the mortar bed and tapped in place to insure full solid bearing. Tile shall be installed in accordance with applicable Building Code. Maximum Design Pressure: —591 psf. (See General Limitation #9) MIAMIDADE COUNTY NOA No.: 22.1129.03 Expiration Date: 02/28/28 Approval Date: 03/16/23 Page 5 of 8 Deck Type 3: Concrete Decks, Non -Insulated Deck Description: 2500 psi structural concrete or concrete plank System Type F(3): Tile Finish over fully adhered liquid applied waterproofing system. All General Limitations apply. All GAF Acrylic Products shall be installed in accordance with manufacturer's specifications. The following are minimum installation guidelines. Consult the GAF Liquid -Applied Roofing Manual or Technical Service for specific/complete installation instructions. Substrate All surfaces must be dry, smooth, and free of depressions, voids protrusions; Preparation: clean and free of any non -compatible curing compounds, foam release agents and other surface contaminants. Coatings: Apply three or more coats of TOPCOAT Elastomeric Roofing Membrane at a rate of 1 gallon per 100 square feet per coat to a wet mil thickness of 16 mils each coat. Allow 24 hours drying time prior to allowing foot traffic or inspection of roof surface. Inspect completed system for defects and correct as required. Integrity Test: Required, and shall be performed in accordance with ASTM D 5957 by an approved lab. Water may be maintained for a period longer than 24 hours if required. Inspection: Contractor and a representative of the manufacturer shall inspect the waterproofing assembly and notify the contractor of any defects. Inspection must take place prior to installation of any overlay insulation, protection pads, drainage boards and traffic surfacing. All defects observed shall be corrected. Surfacing: Exterior grade ceramic plaza deck walking tiles (Minimum size of 12" x 12" %x" thick), tiles shall be embedded into Custom Building Products Polymer modified Portland cement applied with a''/4" square notched trowel. Tiles should then be carefully embedded in the mortar bed and tapped in place to insure full solid bearing. Tile shall be installed in accordance with applicable Building Code. Maximum Design Pressure: -607.5 psf. (See General Limitation #9) MIAMI DAD' COUNTY NOA No.: 22-1129.03 ®� Expiration Date: 02/28/28 Approval Date: 03/16/23 Page 6 of 8 Deck Type 3: Concrete Decks, Non -insulated Deck Description: 2500 psi structural concrete or concrete plank System Type F(4): Fully adhered liquid'applied waterproofing system. All General Limitations apply. All GAF Acrylic Products shall be installed in accordance with manufacturer's specifications. The following are minimum installation guidelines. Consult the GAF Liquid-Apphed Roofing Manual or Technical Service for specific/complete installation instructions. Substrate All surfaces must be dry, smooth, and free of depressions, voids protrusions; Preparation: clean and free of any non -compatible curing compounds, foam release agents and other surface contaminants. Coatings: Apply three coats of GAF Surface Seal SB at a rate of 1 to 1.25 gallon per square per coat. Allow 24 hours drying time prior to allowing foot traffic or inspection of roof surface. Inspect completed system for defects and correct as required. Integrity Test: Required, and shall be performed in accordance with ASTM D 5957 by an approved lab. Water may be maintained for a period longer than 24 hours if required. Inspection: Contractor and a representative of the manufacturer shall inspect the waterproofing assembly and notify the contractor of any defects. Inspection must take place prior to installation of any overlay insulation, protection pads, drainage boards and traffic surfacing. All defects observed shall be corrected. Maximum Design Pressure: —502.5 psf. ( e General Limitation #9) MIWMIDAOE COUNTY NOA No.: 22-1129.03 Expiration Date: 02/29/28 Approval Date: 03/16/23 Page 7 of 8 GENERAL LEMTAT1ONS: I. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Required integrity flood testing report in accordance with ASTM D5957 from an approved lab shall be provided to the Building Official for review at time of final inspection. 3. All work shall be performed by a Contractor licensed to do roofing/waterproofing and be a Manufacturer Trained `Qualified Applicator' approved by GAF. GAF shall supply a list of approved applicators to the authority having jurisdiction. 4. Flashings shall be installed according to the manufacturer's published standard details and shall be submitted to the Building Official for review. 5. Contractor shall submit to the Building Official for review the system specifications and details. Submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 6. Waterproofing Systems shall not be installed over lightweight insulating concrete. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter hailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and the wind load requirements of applicable Building Code. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and comers). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. A non-skid surfacing is required for all pedestrian areas, plaza decks or balconies. 11. 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 MIAMI•DADE COUNTY NOA No.: 22-1129.03 UT ' Expiration Date: 02/28/28 Approval Date: 03/16/23 Page 8 of 8 PLAN VIEW e SECTION VIEW I ANDARD PREMIUM COAT ROOF SYSTEM REINFORCING FABRIC PIPE WRAP 12" (305 mm) X 12" (305 mm) REINFORCING FABRIC OVER PIPE WRAP METAL OR PLASTIC VENT PIPE PENETRATING ROOF MEMBRANE STORM COLLAR, IF REQUIRED FOUNDATION COAT, 12" (305 mm) FABRIC, AND FOUNDATION COAT COMPONENTS PLACE ADDITIONAL LAYERS OF REINFORCING FABRIC AT PENETRATION BASE, AS SHOWN ROOF DECK AND INSULATION SYSTEM FOUNDATION COAT, FABRIC AND FOUNDATION COAT COMPONENTS II NOTE: Gf ldI 1. THIS DETAIL IS A TYPICAL PENETRATION DETAIL APPLICABLE FOR ALL COLD PIPE PENETRATIONS. FOR HOT PIPE PENETRATIONS, CONTACT THE MANUFACTURER FOR REQUIREMENTS. 2. FOR PIPE PENETRATIONS THAT EXCEED 18" 1457 mm) ABOVE THE ROOF SURFACE, A STORM COLLAR SHALL BE USED WITH A DRAW BAND AND CAULKING. THE ROOF COATING SHALL EXTEND W (203 mm) MINIMUM UP THE PENETRATION SURFACE AS INDICATED IN THIS DETAIL. 3. HYDROSTOP_ PREMIUMCOAT' SYSTEM - FOUNDATION COAT, FABRIC, FOUNDATION COAT, AND FINISH COAT COMPONENTS. ALL GUTTER SEAMS ARE TREATED WITH FOUNDATION COAT AND 4" (102 mm) OR 6" (152 mm) FABRIC DEPENDING ON PROFILE OF THE GUTTER (CONTACT TECHNICAL SERVICES). 4. PRIMING - REFER TO HYDROSTOP' SPECIFICATIONS FOR DECK PRIMING REQUIREMENTS. VENT -PIPE FLASHING DETAIL EI REVISION Da"fE SCALE FINISH COAT COMPONENT OVER ENTIRE ROOF. COLOR 2/20/20 N.T.S. AS SPECIFIED CONCRETE ROOF DECK COVER WITH "BARRIERGUARD' SLURRY OVER BARE CONCRETE PREMIUM COAT SYSTEM, FOUNDATION COAT, FABRIC, FOUNDATION COAT, AND FINISH COAT OVER ENTIRE ROOF FIELD LAP PREMIUM COAT SYSTEM COMPONENTS FROM THE ROOF FIELD OVER EDGE DETAIL FOUNDATION COAT, 12" (305 mm) FABRIC, AND FOUNDATION COAT COMPONENTS COVER ENTIRE EXPOSED EDGE WALL q ?S 1. ALL FLASHING SHALL BE DESIGNED FOR THE APPLICABLE CONDITIONS. M THICKNESS, FASTENERS AND LAPPING SHALL BE AS SPECIFIED BY THE ROOF DAESIGNER. 2. REFER TO THE SPECIFICATIONS FOR SPECIFIC EXECUTION REQUIREMENTS. 3. PREMIUM COAT SYSTEM - FOUNDATION COAT, FABRIC, FOUNDATION COAT, AND FINISH COAT COMPONENTS. 4. PRIMING - REFER TO HYDROSTOP® SPECIFICATIONS FOR DECK PRIMING REQUIREMENTS. HYDRO:; CONCRETE ROOF DECK EDGE DETAIL SYSTEM HS DRAWINGN 203 www.ee/.mm 1 Campus Dmm ROOF EDGE SCALE—ffMUR—E7f870­N­DATff Parsippany. NJ SERIES 07054 N.T.S. 6-1-16 E. ELO V- SECTION loll MIN WMM 11 I min Fti-im ELEVATION WALL OF FLUTED CMU TAKE FOUNDATION COAT, 12" (305 mm) WIDE FABRIC, AND FOUNDATION COAT COMPONENTS AND TERMINATE 6" (152 mm) MIN VERTICALLY ON WALL K)UNDATION COAT, FABRIC, FOUNDATION COAT, AND FINISH COAT WALL OF FLUTED CMU TAKE FOUNDATION COAT, 12" / (305 mm) WIDE FABRIC, AND / FOUNDATION COAT COMPONENTS AND TERMINATE 6" (152 mm) MIN VERTICALLY ON WALL SLOPED METAL ROOF 1. ALL FLASHING SHALL BE DESIGNED FOR THE APPLICABLE CONDITIONS. METAL THICKNESS, FASTENERS, AND LAPPING SHALL BE AS SPECIFIED BY THE ROOF DESIGNER. 2. REFER TO THE SPECIFICATIONS FOR SPECIFIC EXECUTION REQUIREMENTS. 3. PREMIUM COAT SYSTEM - FOUNDATION COAT, FABRIC, FOUNDATION COAT, AND FINISH COAT COMPONENTS. 4. PRIMING - REFER TO HYDROSTOP°SPECIFICATIONS FOR DECK PRIMING REQUIREMENTS. ALTERNATE WALL FLASHING DETAIL Dore I WALL&CURB V.NJ SERIES SYSTEM DRAWING# HS 300 N.T.S. 1 6-1-16 OPTIONAL METAL COPING ASSEMBLY TAKE ENTIRE SYSTEM COMPLETELY OVER TOP OF PARAPET FINISH COAT OVER ENTIRE ROOF; FINISHED SPECIFIED COLOR FOUNDATION COAT, FABRIC AND FOUNDATION COMPONENTS TAKE 12" (305 MM) WIDE FOUNDATION COAT, FABRIC AND FOUNDATION COAT COMPONENTS UP CANT AND TERMINATE VERTICALLY ON PARAPET FOUNDATION COAT, FABRIC AND FOUNDATION COAT COMPONENTS EXISTING ROOF DECK AND INSULATION SYSTEM WITH OR WITHOUT CANT STRIP �i ✓ED 1. ALL FLASHING SHALL BE DESIGNED FOR THE APPLICABLE CONDITIONS. METAL THICKNESS, FASTENERS, AND LAPPING SHALL BE AS SPECIFIED BY THE ROOF DESIGNER. 2. REFER TO THE SPECIFICATIONS FOR SPECIFIC EXECUTION REQUIREMENTS. 3. PREMIUM COAT SYSTEM - FOUNDATION COAT, FABRIC, FOUNDATION COAT, AND FINISH COAT COMPONENTS. 4. PRIMING - REFER TO HYDROSTOP® SPECIFICATIONS FOR DECK PRIMING REQUIREMENTS. M HYDRO""' WALL FLASHING DETAIL SYSTEM HS DRAWING# 301 www.pstmm 1 Campus D&o WALL & CURB I.E VI IDN DATE Pauslppany' NJ moss SERIES N.T.S. 6-1-16 1 Campus Delve Parsippany, NJ ROPRIATE SEALANT RETHANE)AND :ILITATE WATER V OF MEMBRANE LL VARY LSCUPPER IELDED;SECURED I DECK OF )OD BLOCKING COAT, FABRIC, COMPONENT OVER 7, FINISH IN XOR COAT, FABRIC, TION COAT i _ fDROST®P SYSTEM DRAWING# SCUPPER DETAIL HS 305 WALL &CURB SCALE —10 U REVISONI SERIES N.T.S. 6-1-16 NOTE: 1. ROOFING MEMBRANE SHALL EXTEND UNDER THE ROOF DRAIN COMPRESSION CLAMP RING. 2. ALL DRAIN COMPONENTS SHALL BE MADE OF CAST IRON UNLESS APPROVED BY THE ROOF MEMBRANE MANUFACTURER TO USE ANOTHER MATERIAL. 3. SLOPE INSULATION TOWARDS DRAIN. 4. PRIMING - REFER TO HYDROSTOP- SPECIFICATIONS FOR DECK PRIMING REQUIREMENTS. STANDARD ROOF DRAIN DETAIL ED iE i REVISION DATE SCN-E FINISH GOAT COMPONENT OVER ENTIRE ROOF, COLOR 2/20/20 N.T.S. AS SPECIFIED SJJS Roofing Contractors Corp is a Premium Coating Systems Roofing Contractor for GAF This contractor has demonstrated a commitment to installation excellence and continuous education. They have pledged to ensure that each customer receives their best choice in roofing, and are authorized to offer the guarantees listed below. GAF ID: 1140606 Valid Through: 02/2024 Member Since: 02/2023 Bobby Fischer VP, Contractor Programs, GAF ASM Consulting Engineers 4836 SW 74" COURT, MIAMI, FL 33155 TEL- 786-325-0938 Project Name: Casa Mango Shore Report No Address: 1200 NE 94" Street Miami Shores FL 33138 Permit Number: Date: 210312023 Time:1:00 pm Weather: Fair: X Cloudy: Rainy: General Contractor: Remarks: Inspection was made as per contractor's request for items as follow below. * Steel columns from ground floor to roof level. * Roof 8 1/2" concrete slab, 8" cantilever concrete slab, Lowe roof 10" concrete slab and for roof concrete beams & up turn beams reinforcing. As per structural drawings. * Checked steel columns missing weld connection to the cast in placed steel base plates. * Checked the number of roof concrete beams & up turn beams reinforcing size, spacing, lap splice, ties spacing, corner bars, coverage. * Checked the number of roof concrete slab & cantilever concrete slab reinforcing top & bottom E.W, size, spacing, lap splice, coverage. * Checked additional reinforcing for cantilever concrete slab. Not approved. A follow up is required for items as follow below. #1) Required weld steel columns to the cast in placed steel base plate prior pouring roof concrete slab. #2) Required correction for 4 feet wide cantilever slab along Lowe roof & up roof top bars W/ hook into adjacent beams reinforcing does not have proper hook length into the beams reinforcing (existing hook is 4"). #3) 7 feet wide cantilever slab at the front entry with additional #5 @ 6" on center 12" hook into the adjacent beam reinforcing along the cantilever concrete slab perimeter (12" hook is it proper hook to support 7 feet wide cantilever concrete slab ?). #4) Required correction for Lower roof 8" concrete slab supported on steel column at the NW, corner with additional #6 @ 6" on center with 12" hook into the adjacent beams reinforcing ( they have cut some the hook see pictures), at lines (A-H & 2-6). #5) Required addition 5#5 EW. over NW corner steel column steel cap plate with welded headed studs .�w>:P Digitally signed by Alisina Malek DN:c=US,o=ASMConsulting -•i x>rmm :'I Engineers, :g.,p i8d dnQualifier=A01410000001851 Inspection by: Mike Shojaie """F®" Malersina — _ _ Date: 2023.02.09 09.48:48 -05'00' Accepted: Re -Inspection Necessary- X (z•F-09-2_3- 23w P ASM Consulting Engineers 4836 SW 74°i COURT, MIAMI, FL 33155 TEL- 786-325-0938 Project Name: Casa Mango Shore Report No: 4 Address: 1200 NE 94' Street Miami Shores FL 33138 Permit Number: Date: 21081202.3 Time:11:00 AM Weather: Fair: X Cloudy: Rainy: General Contractor: Re -inspection was made as per contractor's request for items as follow below. * Steel columns from ground floor to roof level and to the overhead concrete slab. * Overhead 6" concrete slab support on steel columns and concrete columns at each ends top of slab elevation +10'-0". * Roof 8'/2" concrete slab, 8" cantilever concrete slab, Lowe roof 10" concrete slab and for roof concrete beams & up turn beams reinforcing, a follow up from previous inspection report#3. As per structural drawings. * Checked steel columns weld connection to the cast in placed steel base plates and cap plates with welded headed studs. * Checked the number of roof concrete beams & up turn beams reinforcing size, spacing, lap splice, ties spacing, corner bars, coverage. * Checked the number of roof concrete slab & cantilever concrete slab reinforcing top & bottom E.W, size, spacing, lap splice, coverage. * Checked additional reinforcing for cantilever concrete slab. * Correction was made for 4 feet wide cantilever slab along Lowe roof & upper roof top bars W/ proper hook into adjacent beams reinforcing. * Correction was made for missing additional #6 @ 6" on center and W/ proper hook into the adjacent roof beam reinforcing for Lowe roof 8" concrete slab supported on steel column at the NW, corner. * Checked addition reinforcing EW. over NW corner steel column steel cap plate with welded headed studs. " Checked overhead 6" concrete slab reinforcing top & bottom E.W, supported on the steel columns, and checked extended top & bottom reinforcing into the adjacent concrete columns reinforcing at each ends. A M ,, Digitally signed by Alisina Inspection by: Mike Shojaie Accepted: �.....44e1 V�GEN3F •.. Malek W.70601 ':t DN:c=US, o=ASM Q ° Consulting Engineers, STATE OF •��OR�OP'��'� dnQualifier=A01410000000 .$IONALE�G` 185172C676600090F14, CIX61L£IffD 9filE0.,,0 SFAIFD.•M TE •D,xexnunox cape wE1 a vEwxeD ax ♦XYEtFL10.aNL CWIEB. Re -Inspection Necessary — Date: 2023.02.09 09:48:09 -05'00' 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. /* COPY OF QUALIFIER'S STATE LICENCES B. � COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. 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 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: BUSINESS ADDRESS: i395 k)u' (01PI QP� CITY QQ O—ciwc ,1 STATE ZIP 1'.l6 `a BUSINESS PHONE: ( ) IJ /A FAX NUMBER ( ) CELL PHONE (2) bg"�- 33(4 QUALIFIER'S NAME: 5&1.yLW-R 'r- 0 QUALIFIER'S LIC NUMBER: CCC 1'Li`*514 cy' 1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! F nda STATE OF FLORIDA DEPARTMENT dlpr OF BUSINESS AND PROFESSIONAL REGULATION CCC1334029 ISSUED: 09/20/2022 CERTIFIED ROOFING CONTRACTOR BLANCO, JENNIFER CRYSTAL SJJS ROOFING CONTRACTORS, CORP Signature LICENSED UNDER CHAPTER 489, FLORIDA STATUTES EXPIRATION DATE: AUGUST 31, 2024 Ron DeSantis, Governor Melanie S. Griffin, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CCC1334029 EXPIRATION DATE: AUGUST 31, 2024 THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES BLANCO, JENNIFER CRYSTAL SAS ROOFING CONTRACTORS, CORP 13905 NW 6 AVE NORTH MIAMI FL 33168 ISSUED: 09/20/2022 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 Florida -THIS IS NOT A BILL - DO NOT PAY 7348862 RECEIPT NO. RENEWAL BUSINESS NAME&OCATION 7642390 SJJS ROOFING CONTRACTORS CORP 13905 NW 6TH AVE NORTH MIAMI, FL 33168-3927 �• EXPIRES SEPTEMBER 30, 2024 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED SJJS ROOFING CONTRACTORS 196 SPECIALTY BUILDING BY TAX COLLECTOR CORP CONTRACTOR r:/0.IFNNIFFR r`RYRTAI RI ANr:r� 45.00 08/29/2023 Worker(s) 1 CCC1334029 INT-23-435509 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT H0. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 80-276. ®a For more information, visit www.miamidade.govAaxcollector ACORDO CERTIFICATE OF LIABILITY INSURANCE �.� DATE(MM/DDIYYYY) 09/26/2023 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: MARTA ALONSO PHONE Et)w (305) 266-6493 AI No): (305) 262-0679 Florida Bankers Insurance ADDRESS: marts@floridabankersinsurance.com 6874 SW 8 St INSURERS AFFORDING COVERAGE NAIC tI INSURER A: OBSIDIAN SPECIALTY INSURANCE COMPANY Miami FL 33144 INSURED INSURER B : INSURER C : SJJS ROOFING CONTRACTORS CORP INSURER D : 13905 NW 6 AVE INSURER E : 1 INSURER F NORTH MIAMI FL 33168 Pf%V=0An=A r_FRTIFICATF NLIMRFR- 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. IR NT I TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMID POLICY EXP MMIDD LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR N N SCB-GL-000036164 09/16/2023 09/16/2024 EACH OCCURRENCE $ 1,000,000 ri DAMAG O RENTED PREMISES Ea occurrence $ 50+000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY PR LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS -COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DE D RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N I A I STA UTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ 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) LIC # CCC1334029 Roofing Contractor r_FRTII=1 _ATF MnLDFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE BLDG DEPT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES, FL 33138 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/21 /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 (ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE A/C, No. Ext : 800 277-1620 X 4800 FAX A/C. No): 727 797-0704 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Frank Winston Crum Insurance Company 11600 INSURED FrankCrum UC/F SJJS Roofing Contractors, Corp 100 South Missouri Avenue Clearwater FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: f�nVFRAf�FC uLKI IFIl;AII- Nl1MtlCK_ IUI -I U3U KCVIaILN NUMtlCK: 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 ADOL INSIPID SUBR WVD POLICY NUMBER POLICY EFF (MMIDINYYYY) POLICY EXP ('MWDDNYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE aOCCUR MED EXP (Any one Pam) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L PROOUCTS­COMP/OP AGG S POLICY 0 PROJECT ED= $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY Pet S ANY AUTO OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED ONLY AUTOS ONLY S UMBRELLA LtAB HCLAIMS40DE OCCUR EACH OCCRRENCE $ AGGREGATE S EXCESS LIAR DED I I RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE a OFFICER/MEMBER EXCLUDED? NIA WC202300000 01/01/2023 01/01/2024 X PER STATUTE o ERR E.L. EACH ACCIDENT $t tx>o aoo E.L. DISEASE -FA EMPLOYEE $1.000 000 (Mandalay In NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT_$1.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) Effective 07/31/2023, coverage is for 100% of the employees of FrankCrum leased to SJJS Roofing Contractors, Corp (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. f`GVTIGI!_ATP Unl nFR UANUM-L-A I1[JN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP�VE MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE Miami Shores, FL 33138 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD