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RF-08-23-1946Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1360 NE 103RD ST, Miami Shores, FL 33138 Contacts Permit NO.: RF-08-23-1946 Permit Type: Roof Work Classification: Repair Roof Permit Status: Approved Issue Date:08/21/2023 Expiration:02/21/2024 Parcel Number 1132050300070 Adam Gropper Owner 1360 103 OBENOUR ROOFING SHEET METAL & Contractor SUPPLY CO. INC 1AMES OBENOUR 9822 NE 2 AVE SUITE 9, MIAMI SHORES, FL 33138 Business: 3057572612 OBENOURROOFING@AOL.COM Mobile: 30S4696896 Inspection Requests: Description: Coat rear Flat roof only with primer and 1 Valuation: $ 6,9S0.00 306-762-4949 100%white silicone coating Mule Hide MultiBase Primer, 100% Silicone Total Sq Feet: 1,120.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $2.10 Permit Fee (Manual) $80.00 Scanning Fee (Manual) $9.00 Technology Fee (Manual) $13.00 Total: $162.30 mmma Payments Date Paid Amt Paid Total Fees $162.30 Check # 11946 08/21/2023 $112.30 Credit Card 08/07/2023 $50.00 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 required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Au ed Signature: Owner / Applicant / Contractor / Agent Date August 21, 2023 Page 2 of 2 Mia►ni Shores Village Er ;RED BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Building Department AuI; 07',jz3 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY'. -- — INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 Master Permit No. ff" dc/j-� - ),qq(p �OOFING Sub Permit No ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:]MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I/ W O /V C 102 S Folio/Parcel#: 11 3 2D c;* 1)3 D (!�O1,D Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple Titleh Address: 1 '5 1.0 a 1 i City: tdf Ak,b d 1in Tenant/Lessee Name: Email: CONTRACTOR:: Company b Address: Z L Email: Qualifi Construction Type: Flood Zone: BFE: FFE: State: 5 33fsv� ?+ 0% #: Sri- QCorL �i 32,/3rl State Certification or Registration #: lid 05-2 J16 �— Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ G, d o ev Square/Linear Type of Work: ❑ Addition ❑ Alteration ❑ New I. of Work: 10 State: _Zip: ptage of Work: Repair/Replace ❑ Demolition ir : F 1 Ohf, twot4K bU %o �_) 1,1 C6_V--e_ Specify color of color thru tile: Al1 AA,-`` Submittal Fee $ Permit Fee $ 1 �' L7 • W CCF $ CO/CC $ Scanning Fee $. Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee $ DBPR $ P&Z Review $ Notary Double Fee $ Bond $ VA TOTAL FEE NOW DUE $ 117. 33 (Revised04/05/2022) -- E; � Zaj,7qD Bonding Company's Name (if applicable) AU 7 LtiC3 Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrum Ir t was acknowledged before me this rjo J day of au 20 2 by PAC'R who is pers y known to me or who has produced identification and who did take an oath. NOTARY CATHERINEA.DUFMN MY COMMISSION # HH 089522 EXPIRES: May 14, 2025 APPROVED BY SignaturE� (ei7 CONTRACTOR The foregoing instrument was acknowledged before me this day of V c.Z 6, 20 2 3 by 'b O be,0 J4who is persona known to as me or who has produced identification and who did take an oath. fRTi.R'L.I�IFI�Id U �l Plans Examiner as ## Zoning (Revised04/05/2022) Structural Review Clerk ' P v Summary Report Folio: 11-320S03P0070 Sub -Division: MIAMI SHORES BAY PARK ESTS REPLAT OF TR S Property Address: 1360 NE 103 ST Owner: ADAM S GROPPER, KARI AGROPPER MailingAddress: 1360 NE 103 ST MIAMI SHORES, FL 33138 PrimaryZone: 1300 SGL FAMILY- 2801-3000 SO Primary Land Use: 0101 RESIDENTIAL -SINGLE FAMILY:1 UNIT Beds/Baths/Half 4/4/0 Floors 1 Living Units 1 Actual Area 3,832 Sq.Ft Living Area 3,195 Sq.Ft Adjusted Area 3,513 Sq.Ft Lot Sixe 10,170 Sq.FI Year Built Multiple (See Building Into.) Generated On: 08/07/2023 M0. t,•,.,. is Year 2023 2022 2021 Land Value S1,779,700 $914,987 $813.601 Building Value $923,638. $934,634 $694,871 Year 2023 2022 2021 Extra Feature Value S50,345 $50,935 $51,526 COUNTY __.--- ------- ._____ . Exemption Value $50, 000 $60.000 S50.000 Market Value $2,753.683 $1,900.5% $1,559.998 Taxable Value $1 "3.510 51,400,0:0 $1,357,777 Assessed Value $1,493,510 $1,450,010 $1,407,777 SGHOOLBOARD Exemption Value S25,000 S25.000 S25.000 1I. PIT Benefit Type 2023 2072 2021 Taxable Value S1,468,510 S1,425,010 S1,382,777 Save Our Assessment $1 260,173 $450,546 $152,221 CITY Homes Cap Reduction Exemption Value $50.000 $50.000 $50,000 Homestead Exemption $25,000 $25,000 $25,000 Taxable Value $1,443,510 SlA00,010 $1,357.777 Second Exemption $25.000 $25.000 $25,000 REGIONAL Homestead Note Not all benefits are. applicable 10 all Taxable Values (i.e County, Exemption Value $50,000 S50,000 $50,000 School Boami City. Rag;pnal). Taxable Value.:.. $1,443,510 $1400,010 $1,357,777 REPLAT OF TR B MIAMI SHORE BAY OR Book- Previous Sale Price Oualifcation Description PARKESTSPB63-i7 page LOT 7 LESS E10FT 8 E10FT LOT 6 06101/2015 $1,850.000 29644-2392 Qua] by exam of deed BLK 5 04.'30/2013 $1,300.000 28623-3745 Qua] by exam of deed LOT SIZE 90.000 X 113 05/28/2010 $702,830 27305-3637 Qua] by exam of deed Sales which are disqualified as a result of examination of the 03101/2006 $1,500,000 26274-2636 deed The Once of the Properly Appraiser is continually editing and updating the lax roll. This website may not reflect the most cement information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at Nip llwww.miamidade.govlinfoldisdaimer asp Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. i 1. ( I 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. _4�Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. Ponding water: The current roof system and/or deck of the building may not 4*inwllandmay 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. RevOI 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov 6. _Overflow 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. ilation: Most roof structures should have some ability to vent natural *airflowtough the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of throof. Y�3L�z,n Owner/Agent's Signature Date Contr ctor Signature Date For Forms and Applications click here: http://bidg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia mi5horesVillage Rev01 142021 Owners roofing consideration Page 2 of 2 Florida Building Code 7th Edition (2020) t� High Velocity Hurricane Zone Uniform Roofing Application Form for �nty Ty INSTRUCTION PAGE COPY COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other NJ A e As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4. Other Component Product Approval 5. Municipal Permit Application 6. Owner's Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation vtlaml Shores Village B ding Dep rt ent Zoning Dept. Date Building Dept. Date Subject to complianc with all F d I, State and County rules and regulations. Permit# Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County ;.bu U i LUZ3 Master Permit Number: Contractor's Name: Job Address: M Low Slope Section A (General Information) Y: Process Number: Si ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Mortar / Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ❑ Wood Shingles / Shakes ROOF TYPE ❑ New Roof ❑ Repair Cd" Maintenance ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (ftZ) //.2c, Steep Sloped Roof Area (ftZ) Total (ftZ) �/,20 Are there gas vents on the roof? O Yes (/NO If Yes what type? O Natural O LPX Is there an existing roof top Solar System? O Yes O No If yes will it be reinstalled? O Yes ONo Se 'o B Roof Plan �k+1 Sketch Roof Plan: Illustrate all levels sectio , roof rains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly i . tify dime sions of elevated pressure zones and location of parapets. a�,xY S T/LE�mf= /Vo ai 1'd N 5- 7 3 MIAMI.[ EMP� DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Mule -Hide Products Co., Inc. 1195 Prince Hall Dr. Beloit, WI 53511 MIAMI-DARE COUNTY __PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidadeeov/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: Mule -Hide Coatings, Cements & Adhesives 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 consists of pages 1 through 9 The submitted documentation was reviewed by Freddy Semino NOA No.: 20-0812.08 MIAMI•DADE COUNTY Expiration Date: 10/07/25 , Approval Date:09/24/20 Page 1 of 9 ROOFING COMPONENT APPROVAL Cate eory Roofing ! 'u 0 7 2023 Sub-Cateeorv: Cements - Coatings - Adhesives Materials: Elastomeric SCOPE: This approves "Mule -Hide Coatings, Cements & Adhesives" as roof coatings, cements and adhesives as manufactured by R. M. Lucas Co., as described in this Notice of Acceptance. These products have been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone of the Florida Building Code. MANUFACTURING LOCATION: 1. Chicago, IL 2. Alsip, IL. EVIDENCE SUMITTED: Test Aeencv PRI Construction Materials Technologies MIAMI-DADE COUNTY rluzm Test Identifier Test Name/Report Date RMLC-021-02-01 ASTM D2824 05/09/11 RMI.C-022-02-01 ASTM D41 05/09/11 RMLC-024-02-01 ASTM D3019 05/09/11 RMLC-029-02-01 ASTMD4479 12/01/11 RMLC-030-02-01 ASTM D2824 12/01/11 RMLC-031-02-01 ASTM D1227 12/01/11 RMLC-032-02-01 TAS 140 12/01/11 RMLC-047-02-01 ASTM D4586 03/10/14 RMLC-049-02-01 ASTM D6694 09/21/15 RMLC-076-02-01 ASTM D4586 02/05/19 RMLC-077-02-01 ASTMD-4586 02/05/19 743T0001 ASTM D6694 08/01/19 RMLC-074-02-01 ASTM D6083 12/11/2019 743T0014 ASTM D6083 7/20/2020 743T0018 ASTM D6083 8/26/2020 NOA No.: 20-0812.08 Expiration Date: 10/07/25 Approval Date: 09/24/20 Page 2 of 9 RN11ro nD UUG 0 7 ?uA PHYSICAL PROPERTIES OF COMPONENTS: Trade name: Mule -Hide 100% Silicone Roof Coating, Mule -Hide Silicone LS Roof Coating Thickness: See System Approvals Below Specifications: ASTM D 6694 Description: A silicone coating membrane applied to EPDM, Concrete, TPO, SBS Granule Surface and Spray applied Polyurethane Foam applied membrane applied at an application rate of: • Single Ply EPDM: Apply a Base Coat at a minimum rate of 1 gallon per 100 square feet. Apply a Top Coat at a minimum rate of 1 gallon per 100 square feet. • Concrete: Apply a Base Coat at a minimum rate of 1 gallon per 100 square feet. Apply a Top Coat at a minimum rate of 1 gallon per 100 square feet. • Spray Applied Polyurethane Foam: Apply a Base Coat at a minimum rate of 1 gallon per 100 square feet. Apply a Top Coat at a minimum rate of 1 gallon per 100 square feet. • SBS Mod Bit Granular Surface: o Option 1(with primer): Apply a coat of Mule -Hide 2-Part Epoxy Primer or Mule - Hide Multi Base SB at a rate of " #gallon per 100 square feet. Within five days apply a Top Coat of Mule -Hide 100°/u Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. o Option 2 (direct to surface): Apply a Top Coat of Mule -Hide 100% Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. • APP Mod Bit Granular Surface: o Option 1 (with primer): Apply a coat of Mule -Hide Si 2-Part Epoxy Primer or Mule -Hide Multi Base SB at a rate of " 4gallon per 100 square feet. Within five days apply a Top Coat of Mule -Hide 100% Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. o Option 2 (direct to surface): Apply a Top Coat of Mule -Hide 100% Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. • Single Ply TPO: Apply a coat of Mule -Hide Si TPO Primer at a rate of 4pneigallon per 800-1000 square feet. Allow two -hours before applying a Top Coat of Mule -Hide 100% Silicone Roof coating at a minimum rate of 1 gallon per 100 square feet. • Single Ply PVC (Aged): Mule -Hide 2-Part Epoxy Primer at a rate of - #gallon per 100 square feet. Within five days apply a Top Coat of Mule -Hide 100% Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. • Single Ply PVC: Mule -Hide Multi Base SB at a rate of - 41gallon per 100 square feet. Within five days apply a Top Coat of Mule -Hide 100% Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. • Galvanized Metal (Aged): Apply a coat of Mule -Hide 2-Part Epoxy Primer at a rate of " # gallon per 100 square feet. Within five days apply a Top Coat Mule -Hide 100% Silicone Roof Coating at a minimum rate of 1 gallon per 100 square feet. NOA No.: 20-0812.08 Expiration Date: 10/07/25 nwni-onoeCourrrr Approval Date: 09/24/20 Page 3 of 9 BUR Smooth or BUR Granular: Apply a coat of Mule -Hide 2-Part Epoxy Primer or Mule -Hide Multi -Base at a rate of "#gallon per 100 square feet. Within five days apply a Top Coat of Mule -Hide 100% Silicone Roof Coating at a minimum rate of I gallon per 100 square feet. Container Sizes: 1, 5, 55 gallons. Note all cautions on container label. Systems Approvals: Methods of application and quantities shall comply with the specific Roof Assembly System's Product Control Notice of Acceptance where it exceeds standards of this NOA. Manufacturing Location #2 Trade name: Mule -Hide SEBS Plus, Mule -Hide SEBS Roof Coating, Mule -Hide SEBS Base Coating Substrates: Galvanized Metal Roofs, SBS Granule Surface. Application Rate: Apply a Base Coat at a minimum rate of 1.25 to 1.5 gallons per 100 square feet. Apply a Top Coat at a minimum rate of 1.25 to 1.5 gallons per 100 square feet. Specifications: ASTM D6083 Description: A solvent based elastomeric coating membrane applied to Galvanized Metal Roofs, EPDM, PVC, Concrete, TPO, BUR, APP Granule and SBS Granule Surface. Container Size: 5, 55 gallons. Note all cautions on container label. Systems Approvals: Methods of application and quantities shall comply with the specific Roof Assembly System's Product Control Notice of Acceptance where it exceeds standards of this NOA. Manufacturing Location #2 Trade name: Mule -Hide A-300 Base, Mule -Hide A-300 Finish, Mule -Hide A-300 FR Finish Substrates: Galvanized Metal Roofs, Spray Polyurethane Foam, PVC, Concrete, APP Granule, SBS Granule. Application Rate: Apply a Coat at a minimum rate of 1.25 gallons per 100 square feet. Specineadons: ASTM D6083 Description: An elastomeric top coating membrane applied to Galvanized Metal Roofs, PVC, Concrete. Container Size: 5, 55, 275 gallons. Note all cautions on container label. Systems Approvals: Methods of application and quantities shall comply with the specific Roof Assembly System's Product Control Notice of Acceptance where it exceeds standards of this NOA. Manufacturing Location #2 NOA No.: 20-0812.08 Expiration Date: 10/07/25 MIAMI-DADE COUNTY Approval Date: 09/24/20 Page 4 of 9 AUG 0 7 2023 BUILDING PERMIT REQUIREMENTS: BY. ---.- As required by the Building Official or the applicable Building Code in order to properly evaluate the installation of this system. This Notice of Acceptance on its own cannot be used to obtain a building permit. LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire rating of this product. 2. Mule -Hide Coatings, Cements & Adhesives shall not be applied in inclement weather conditions. 3. The products listed herein are components of roof assemblies and are approved for use with roof assemblies that list the products listed herein as part of their Roof Assembly Notice of Acceptance. See Roof System Notice of Acceptance (NOA) for application rates and uses. 4. All products listed herein shall have an unannounced follow-up quality control program from an approved listing agency. Follow up test results shall be made available to Miami -Dade County Product Control upon request. 5. Change in materials, use, or manufacture of any products listed herein shall be cause for termination of this Notice of Acceptance. 6. Mule -Hide Coatings, Cements & Adhesives shall be applied in accordance with manufacturer's published application instructions unless specified otherwise within the NOA approvals. 7. The roof coatings listed herein shall not be applied over, prepared roofing; i.e., fibercement shingles, quarry slate, cement or clay roof tile, metal shingles, wood shingles or shakes. 8. 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. 9. All approved products listed herein shall be labeled in compliance with TAS 121 and shall bear the imprint or identifiable marking of the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. GMMIAMI-D�ADE COUNTY ��Innwuwvuwu END OF THIS ACCEPTANCE NOA No.: 20-0812.08 Expiration Date: 10/07/25 Approval Date: 09/24/20 Page 9 of 9 Ron Desantis, Governor Melanie S. Griffin. 5ecretary Florida UUPSTATE OF FLORIDA r DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY. LICENSING BOARD THE ROOFING CONTRACTOR HEREIN.IS CERTIFIED UNDER THE PROVISIO.KS Q,E CH 9 : F pA STATUTES I EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridaLicense.com Do not after this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. -1T Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A HILL- 00 NOT PAY RECEIPT NO. 261107 RENEWAL BUSINESS NAMEMOCATION 261107 OBENOUR ROOFING SHEET METAL & SUPPLY CO 12050 NE 14TFI AVE UNIT 3A MIAMI, FL 33161.6585 no OWNER OBENOUR ROOFING SHEET METAL GIO .IAMFS f1 rfRFN(11115PRFF Workers) This Local Business Tas Receipt only confirms payment at the Local Business yes. The Receipt is not a license. Parnell, or a certification of the holders quslificelioes, to do business. Holder must comply With any soverrmamel or non9svemmentol regulatory Iowa and requirements which apply to the business. The RECEIPT N0. abwo must be displayed on all commercial vehicles - Miami -Dade Code Sac ae-216. For more irdormetion, visit ^ 'a 'dad uha c Ilectar EXPIRES SEPTEMBER 30, 2023 Must be displayed at place at business Pursuant to County Code Chapter BA - An. 9 & 10 SEC, TYPE OF BUSINESS 196 SPECIALTY BUILDING CONTRACTOR CCCO52462 PAYMENT RECEIVED BY TAX COLLECTOR 100.00 OW312022 INT-92-395692 ACORE® CERTIFICATE OF LIABILITY INSURANCE DATE 5/30/2023rn 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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 CONTACTMRegina Bunker PHHONN Etct : (954) 943-5050 arc No : FAX (954) 942-6310 ADDRESS: regina(a3furmaninsurance.com INSURER 8 AFFORDING COVERAGE NAIC 0 INSURER A: Ironshore Specialty Ins 25445 INSURED Obenour Roofing Sheet Metal & Supply Co 9822 NE 2nd Ave Suite 9 Miami Shores FL 33138 INSURER B : Bridgefield Employers Ins Co 10701 INSURER C : INSURER D : INSURER E : INSURER F . COVERAGES CERTIFICATE NUMBER: 23-24 GL/WC 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER �MIDCD MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR RCS0046607 06/01/2023 06/01/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO KENTED PREMISES Ea occuffencel $ 100,000 MED EXP (Any one person) $ 5.000 PERSONALSADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: © PRO- ❑ POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2.000,000 $ 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 accident $ $ UMBRELLA LIAR EXCESS LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yea, describe under DESCRIPTION OF OPERATIONS below NIA I 83036966 10/06/2022 10106/2023 PER STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Roofing and Sheet Metal Contractor, Classification 6551 Roofing, Classification 5535 Sheet Metal r►coTrcir%ATc unt nco CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WRH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHOR2ED REPRESENTATIVE Miami Shores FL 33153 -OW4- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD