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RF-10-281 ,g�xoass �, Miami Shores Village r'z EtX� 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 wR Phone: (305)795 -2204 Expiration: 08/28/2010 ? ) Project Address Parcel Number Applicant 524 113 Street 3021360210860 KERMITH & LOUIS EUGENE Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell KERMITH & LOUIS EUGENE 524 113 Street MIAMI SHORES FL 33168 - Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 ACE C ROOFING INC (786)44 -2780 (561)929 -1466 _..�... Total Sq Feet: 1323 Type of Work: Re Roof For Inspections please call: Additional Info: SHINGLE TO SHINGLE (305)762.4949 Classification: Residential Available inspections: Inspection Type. Roof Repair Final Roof Roof Review Fees Due Amount invoice # Invoice Total Amt Paid Amt Due CCF $1.80 Education Surcharge $0. RF -2 -10 -37109 Permit Fee - New Roof $250.00 $263.80 $263.80 $0.00 Permit Fee - Repairs $0.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $263.80 Building Department Copy March 11, 2010 2 03-03-2010 ALEX SINK STATE OF FLORIDA U CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. I EFFECTIVE DATE: 02/23/2010 EXPIRATION DATE: 02/23/2012 PERSON: CLARKE ANDRE FEIN: 204031199 BUSINESS NAME AND ADDRESS: ACE COMMERCIAL ROOFING INC 21955 CYPRESS DR BOCA RATON FL 33433 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED ROOFING CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 0504), I.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this .section may not recover benefits at compensation under this chaplet. Pursuant to chapter 440.0502), F.S., Certificates of election to be exempt.., apply only within the scope Of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet The requirements of this section. QUESTIONS? (850) 413-1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 4 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES F IMPORTANT DIVISION OF WORKERS' COMPENSATION, Pursuant to Chapter 440.0504), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS' COMPENSATION LAW D chapter. EFFECTIVE: 02/23/2010 EXPIRATION DATE: 02/23/2012 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: ANDRE CLARKE H exempt... apply only within the scope of the business or trade listed an FEIN: 204031199 E the notice of election to be exempt. BUSINESS NAME AND ADDRESS: R , ACE COMMERCIAL ROOFING INC E Pursuant to Chapter 440.05{13}, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation 2M CYPRISS F)F? if, at any time after the filing of the notice or the issuance of the BOCA RAJON, If, 33433 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this I- URTIFIfl) ROOFING CONTRACTOR section. QUESTIONS? (850) 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 Miami Shores Village 1103gV18 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. ..... ...... Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762,4949 BUILDING Permit N o.Jori PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) ��� r4Lff-\. JE' Ge e, Phone # 30-5 Owner's Address _ 0 m 5 j , 3 - 9 13S City + "t G21 j State �� t Y % d C� Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done) 5 a N W I / � Jfi - City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # - �� 3 �Ca " C 2 - 0 8 6 Is Building Historically Designated YES NO Flood Zone Contractor's Company Name f CCU I,� Of I CUP I��i�+ `(� Phone # Contractor's Address c2- l 5 C � S = City 6L7 I1G� fI Y� State c) f cLq Zip Qualifier Name h d ( larCC Phone # 1 [ " 14 6 G State Certificate or Registration No. C C C 1 3,9� g It Certificate of Competency No. Contact Phone E -mail Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ S000 Square / Linear Footage Of Work: / 3 T ype of or k ❑Addition ❑Alteration ❑New El Repair /Replace El Demolition Work: Descriie Wo „ { j r1AN _ 9 � ubmittal F.. $ `S Permit Fee $ _) CCF $ 9 CO /CC $ Notary $ Training /Education Fee $ Technology Fee $ d Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due See Reverse side Bonding Company's Name (if applicable) J` Bonding Company's Address r - City State Zip Mortgage Lender's Name (if applicable) Louwqx4 kaA TH Mortgage -- Address S%2 k City �1 • f-a U der - 6(a k . State l�, Zip S . ! �J 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 aped , and a reinspection fee will be charged. Signature Signature ' Ai 4A Owner or Agent Mbntractor The foregoing instrument was acknowledged before me this The foregoing instrument was Icknowledged before me this day of 0� 20 10, by , day of d Z , 20 l by who is personally known to me or who has produced . L . who is personally known to me or who has produced DF As identification and who did take an oath. 6 (1j��A041I ,Z�a ntification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: .. Print: Lary► PuNic • State of Florida Print: �1► Pudic - State of Barka M Commission E Comm. Expires 81 Commission # DD 615059 My W Commission DD 61SOS9 My Com is fires: APPROVED BY //•�� Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE TATS OF FLORIDA IMPORTANT �EPARTMEN7 OF FINANCIAL SERVICES ,,�+�:si.;> (VISION OF WORKERS' COMPENSATION '3 F Pursuant to Chapter 440.05041, F.S., an officer of a corporation who CONSTRUCTION INDUSTRY :- ., _ 0 elects exemption from this chapter by filing a certificate of election ERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this PORKERS' COMPENSATION LAW; D chapter. F-FECTIVE: 02/20/2008 EXPIRATION DATE: 02/19/2010 Pursuant to Chapter 440.05(12(, F.S., Certificates of election to be ERSON: ANDRE CLARKE H exempt... apply only within the scope of the business or trade listed on EIN: 204031199 E the notice of election to be exempt USINESS NAME AND ADDRESS: uF COMMERCIAL ROOFING INC E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt , and certificates of election to be exempt shall be subject to revocation ' O 60X ssnetil if, at any time after the filing of the notice or the issuance of -the oCONUT cRFek, rF s3osa certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the COPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this �- CERTIFIED ROOFING CONTRACTOR Section. QUESTIONS? (850) 413 -1609 ;# STATE OF FLORIDA I DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L08082901657 ®. JNJJq3M3M= LICENSE NBR 08/29/2008 088049155 CCC1328457 The ROOFING C014TRACTOR Ramed below IS CERTIFIED . Under the provisions of Chapte '89 FS. Expiration date: AUG 31, 2010 4 _ 1 CLARKE, ANDRE DOMSNEQUE ACE COMMERCIAL ROOFING 1NC 21955 CYPRESS DRIVE BOCA RATON FL 33433 CHARLIE GRIST CHARLES W. DRAGO GOVERNOR SECRETARY I D AS REQUIRED BY LAW I UL I AGH AIVU UISI'LA Y revs 1 SUM rvn a iviv, mvvv rii tT" "tm ._rv. rvrti i �vry r via . vv.. i.LVV. 2008 -15047 STATE OF FLORIDA OS -012 PALM BEACH COUNTY CLASSIFICATION LOCAL BUSINESS TAX RECEIPT EXPIRES' SEPTE 30, 2010 ACE COMMERCIAL ROOFING INC `" LOCATED AT CNTY $33.00 ACE COMMERCIAL ROOFING INC PENLTY $3.30 21955 CYPRESS DR APT 48F BOLA RA-TON FL 33433 -3280 TOTAL $36.30 This receipt is hereby valid for the above address for the period beginning on the first day of October and ending on the thirtieth day THIS IS NOT A BILL - ®® NO PAY of September to engage in the business,profession or occupation of: ADMINISTRATIVE OFFICE PAID. PBC TAX COLLECTOR $36.30 BTR 538 00022353 10/07/2009 ANNE M. GANNON THIS DOCUMENT IS VALID ONLY WHEN TAX COLLECTOR, PALM BEACH COUNTY RECEIPTED BY TAX COLLECTOR 02122x'2010 17:49 2395412432 SALMEN INSURANCE PAGE 02,x'02 POIioy Nunitler; Bate Entered; 7°I I AT F LIABILITY INSURANCE OAT@(MWDD"W) THIS CERTIFICATE IS ISSUED AS A ATTER OF INFO ON LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTFR THE COVERAGE AFFOR05D BY THE PO LICIES 15ELOW. THIS CERTIFICATE OF INSURANCE DOES 140T CONSTITUTE A CONTRACT BETWEEN THE ISS UING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cartfflcato holder Is an ADDITIONAL. INSURED. the policythm) must ha anrinniod- If SUBROGATION Is WAIVED, subject to the terms and conditions of the polloyr, certain policies may require an endorsement. A statement on this s®Itificate dues not confer eights to the oartificate holder In lieu of such en dl»sement(s). PRODUCER CONTAW S,T$ZMN xwo .('O E4 930 SW 4TH ST. #2 PH° N p.Par11: d866)5$7 -9799 t ice. Ne> (800) 542 -3987' CAPE CORAL, FL 339$1 11 -MAIL ALL:tsON@ sWMPtM9MM . COX DDRES6: �FrFt, rJL�R INSUPEO RISURERM AFFORDING CDVMAAE NAIL 0 AM C ORC T b. 7 . Rf3gFII4G, IN : 1?4tE � CON TR&C =0 XNS CO. �wvov) - � INSVRM A ... y AMM CJJ" INSURER B - T 21 955 CYPRESS DRIVE RI SURERC., 130uh RATON, rL 33433 Wstat R p INSURER E INSURER P COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THr$ 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCF AFFORDED BY THE POLICIES DESCRIBED HEREIN I.^. GUDJEOT TO ALL THE TLTtM5, EXCLUSION AND CONDRIONSS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR FY ILITY ISURANCE POLICY NUMBER P YEFF P TEXP 41MnS T tiEN�RA6 LIABILITY EACH OCCURRENCE g $4O 4a)0 F ` COMMERCIAL GENERAL LIASILrry VC6922 /11/2009 /11/2010 DAMA TED � $ 5 0,000 _ CLAIMS-MADE I^ OCCUR MED EXP AryLene prnxon} g5, 000 PER$QNAL 8 ADV INJURY $300 QENERALAGGREGATE $300,000 GEN'LAGGREGATE LIMIT APPLIES PER: PR ©DUCTS CDMr'tOr AG8 9"n fl�0 PQLIGY PRO- LOC. $ AWrOMDS" LIAMUtY COMBINED SINGLE LIMN _ ANYAUTU {EA 006dom ALL OWNEDAUTOs3 BO D ILY INJURY (Pa rWWI S SCHEDULED AUTOS BODILY INJURY {Per elc 9 HIRED AUTOS rns}rG M DAMAGr S (Per ea9derR} NQN -OWNED AUTO$ $ UNVREtLA LIAB EXCESS LIAR EACH OCCURRENCE $ µ H 0,LcA':,MuR - .A.E AQGRBGATE $ oeoUGT19LE REMUM $ $ WORKERSCDaaPENSATION Wt; S ATU DTH. AND P- PoIPLO"RS' LYWRM N ANY PROPRIVORIPARTNERIEXECUTIVE Y r R, , EACH ACCIDENT $ OFMCERIMEMBER RXOLUDED? NIA {MaradataryinNW} E,LDISEASE- EA €MPLQYEF S styes, tleaClibe untler `. DESCRIP N9I'mbw ILL bISen*m rYwmrT s wseRIPTICmI UV orenanaNa r cousrwra} 1 VC m4Les (AUach Ar-GRI r It". nemarmal RemarRr Bohodulo, R mme epa* le raq~) CERTIFICATE HOLDER CA kcrWet 8HC TIT V73za= PIQULD ANY OF THE ARKWF- 13F.WR113a2D FOUI I I !V WIMBRE g}ti y=2w(; DIMMTHIMt THE F)MRATION DATE THEREOF IN SUflSO rrr zNIy AV$, ADTHOREDRCPFMU14TAME M1AM , F% 33138 0 19813 CORPORATION. Alf-r reserved. ACORD 25 (2009 T he ACORD name and logo are registered marks of ACORD Pmducad a?irig Forms Boas Plus aaRwme, wuwa.Pw"Somimm; In pMehte FUNIAhtng 800.lwloi r Miami S hores V illage um Building Department - � 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: Nil 6e / Property Address: 5 V—A L � olizicl Roofing Permit Number: Dear Building Official: I certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 editio of e S uth Florida Building Code (1994 SFBC) l `r Signa Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/she is the owner fo the above property mentioned. Swom to and subscribed before me this RZ) day of MBLIC- ST . hr o Hrr ae g� Y. g6�rp6�$i.}1iillo�s $'j R„rrr,� g) SE 23, 2011 Notary Public, Sate of Florida at Large sOND�AT 1itRt1d7'lrAN[iCboNDING00,M • When the just valuation of the structure for purose of ad valorem taxation Is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wan connection Hurricane Mitigation. Revised on 5/21/2009 Property Information Map Page 1 of 1 My Home Miami -Dade County, Florida MIAMIDAIDE IBM Property Information Map S mmary Details: Folio No.: 11 -2136- 021 -0860 Property: 24 NW 113 ST Mailing KERMITH EUGENE Address: LOUIS EUGENE 4W 113TH 24 NW 113 ST MIAMI FL 3168- Pro ert Information: Primary Zone: 700 TWO FAMILY RESIDENCE LUC: 002 MULTIFAMILY - DUPLEX Beds /Baths: /4 Floors: 1 Living Units: dj Sq Footage: 1,159 Lot Size: 8,178 SQ FT Year Built: 1956 EST SHORES PB 42- 18 LOT 8 BLK 5 LOT Legal SIZE 58.000 X 141 OR Description: 17750 -0560 0897 1 COC 124536-1382 05 2006 1 FAU 30- 2136 - 021 -0860 Assessment Information: Year: 2009 Land Value: $45,118 Building Value: $87,013 Market Value: $132,131 Assessed Value: $132,131 Digital Orthophotography - 2007 0 29 ft Past Assessment: 30- 2136- 021 -0860 This map was created on 2/23/2010 3:49:53 PM for reference purposes only. Taxable Value Information: [Recqional: r: 2009 Web Site © 2002 Miami -Dade County. All rights reserved. ing Authority: Applied Exemption/ Taxable Value: $0/$132,131 n : $0/$132,131 : $0/$132,131 chool Board: 1 $0/$132,131 Sale Information: M 2009 /2009 56,000 6875 -4802 Deeds to or from financial institutions w Additional Sales http: / /gisims2 .miamidade.gov /myhome /printmap. asp? mapurl = http: / /gisims2.miamidade.go... 2/23/2010 Z-ip:3 ME ROOF ASSEMBLIES AND ROOFTOP STRUCTURES � FEB 2 3 2010 �J Florida Building Code Edition 2007 High - velocity Hurricane zone Uniform Permit Application Farm. So *on A (General Informatinnl Master Permit No. Process No. Contractor's Name 11A AA A9 Job Address rn J , 33161 ,. ROOF CAMGOPX 2�1 Low Slope ❑ Mechanically Fastened Tile ❑ MortarlAdh 1ve Tile ❑ sphaltic 13 Metal Panel/Shingles E3 Wood Shing he o Shingles a g ❑ Prescriptive BUR -RAS 150 m u. 0 N W ROOF TYPE Cr Z E3 New Roof eroofing ❑ Recovering ❑ Repair ❑ ain N n • w Q vvvVVV � �' ROOF SYSTEM INFORMATION ■ • Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) t d w Section R (Roof Plan) 0 z 0 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers an nsz- ® � LU Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zan o� m L parapets. t r FLORIDA BUILDI ' 1 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 • .—. 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• k —�_____ 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. I E,- -- 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• � _Pondlng 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. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimetededge 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• • • Wentf atien: Most roof structures should have some ability to vent natural airflow through the inteRgr of tb@ 4%tie� (the building itself). The existing amount of attic ventilation shall not be redudd. 44ay A thrfef tieD t4 Onsider additional venting which can result in extending the service life of the roof. J9 f •• 0wn6 ge0ft Sign ute • date • : •: Contractor SignatuA Date Revised o 7/ • 2009 I.D : * : . .. .. . . . • • • • 009 Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section D(Steep Slo_.ped Roof Svstem) Roof System Manufacturer: Notice of Acceptance Number: /�/ J� � /�— Minimum Design Wind Pressures, If Applicable (Fr9m RAS 127 or Calculations): Pmax1: Pmax2: tmaa Maximum Design Pressure (From the NOA Specific System): Method of Tile Attachment: Sloped System Description eck Type: ype Underlayment: nsulation: Roo Slope: 12 Fire Barrier: u Fastener Type & Spacirig: 17 dhesive Type: Ridge Ventilation? 4I Type Cap Sheet: oofing Covering: ,C Type & Size Drip J dge; Mean Roof Height: .. ... . -. • • . . s ee 00 0 0 0:0 woo . • . . • .... ' 1 M I A M I•DADE MIAMI -DADE COUNTY, FLORIDA _ METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) — GAF Materials Corporation 1361 Alps Road. Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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 Division (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. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division 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- ElkTimberline Prestique Lifetime 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 4)A #07?l l22.l; jpc;con of pages 1 through 5. The submttttec 4ocumhtatibn wjs =ftew�l by Alex Tigera. ago .. . • • • . . • • • • : •: . • • • • . NOA No.:08- 1110.11 • • • • : •.' • •. • ' • Expiration Date: 04/22/13 M AMUnADE CO unarir Approval Date: 03/04/09 • Page I of 5 00 . 0 . . 0 : :0 so 0 ROOFING ASSEMBLY APPROVAL Ca o : Roofing Sub-Category: 07310 Asphalt Shingles Materials Dimensional Deck Type: Wood 1. SCOPE This approves GAF -Elk Timberline Prestique Lifetime as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION . Product Description Product Dim_ ensions Ted Specifications GAF -Elk Timberline 13'/4 x 39 TAS 110 Fiberglas reinforced heavy weight asphalt Prestique Lifetime roof shingle, with a laminate profile 3.. EVIDENCE SUBMITTED: Test Aeencv Test Identifier Test Name/Report Date PA ] 00 02/23/94 Center for Applied Engineering ASTM D3462 09/13/06 Underwriters Laboratories, Inc. ASTM D 3462 PRI Asphalt Technologies, Inc. ASTM D 3462 GAF - 102 -02 -02 11 /02/05 difed ASTM D 3161 04/13194 Underwriters Laboratories,.lnc. ,PA 107.. Mo ASTM D3462 03118!97 Center for Applied Engineering GAF - 045 -02 -01 01/13/04 PRI Asphalt Technologies, Inc. TAS 100 PRI Asphalt Technologies, Inc. GAF- 102 -02 -01 11114/05 TAS 107 04NK04273 02/20/04 Underwriters Laboratories, Inc Underwriters Laboratories, Inc Modified ASTM D3161 OSC 11 /I 1105 ELK-083-02-01 .10116102 PRI Asphalt Technologies, Inc. TAS 100 ELK- 084 -02 -01 10115/02 ELK- 085 -02 -01 10/14/02 ELK- 086-02 -01 10/24/02 ELK -087 =02 -01 10/21102 ELK-088-02-01 10/16/02 ELK - 107 -02 -01 10/09/03 ELK- 108 -02 -01 10/09/03 ELK- 109 -02 -01 10/09/03 Underwriters Laboratories, Inc TAS 107 02NK41811 11/11/02 Underwriters Laboratories, Inc ASTM D 3462 02NK41809 08/11/02 Underwriters Laboratories, Inc TAS 107 03CA35209 10/17/03 03NK26444 10/17/03 Underwriters Laboratories, Inc ASTM D 3462 04CA13850 08/30/04 Underwritcrs La�io�atv� 02/07 /05 s,14gr • • TAS 107 ASTM D 3462 05CA04091 Underwritert.Lab. ;!i I&. :. � 06NK17056 ] 0/17106 Underwriter's La'li iatAs, 4nc..... ASTM D 3462 . ; •; • • • .' : : NOA No.:08- 1110.11 '.' ;' • • • • . :: Expiration Date: 04122/13 • ' ' Approval Date: 03/04/09 CL M _ eOUtJTY Page 2 of 5 4. LDETATIONS 4.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory fof fire ratings of this product. 4.2 Shall not be installed on roof mean heights in excess of 33 ft. 4.3 All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 5. INSTALLATION 5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115 5.3 The manufacturer shall provide clearly written application instructions. 5.4 ' Exposure and course layout shall be in compliance with Detail W, attached. 5.5 Nailing shall be in compliance with Detail'B', attached. 6. LABELING 6.1 Shingles shall be labeled with the: Miami -Dade Product Control Approved Seal or the wording "Miami -Dade County Product Control Approved ". MIAMMADE COUNTY 7. BUILDING PERMIT REQUIREMENTS 7.1 Application for building permit shall be accompanied by copies of the following: 7.1.1 This Notice of Acceptance. 7.1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. 8. MANUFACTURING PLANTS ;. 8.1 Tampa, FL 8.2 Michigan City, IN 83 Baltimore, MD 8.4 Ennis, TX 8.5 Mobile, AL 8.6 Myerstown, PA 8.7 Tuscaloosa, AL � t ....... . .. .. i • i i •i• •i• . • • • • i • • • • NOA NO.:0$- 1110.11 • • ii • • i • • i r • • • • , i Expiration Date: 04/22/13 r `; raah�a�aoe Approval Date: 03/04/09 Page 3 of 5 • ii •• : ; • • • • •i. i i i • •• 00 DETAm A COURSE LAYOUT DECK FULL 5th 17" OFF 4th 11" OFF 3rd 6" OFF 2nd- FULL 1st :1 •• ••• • • • • • •• • •• • • • • ••• • • • ' • • • • • • • • NOA No.:08- 111011 • • • • • i • • Expiration Date: 04/22/13 Mtrartanaoe • • Approval Date: 03/04/09 Page 4 of 5 • • i isi � � � DETAIL $ --13 -114" X 39 -3 /8" OVERALL DIMENSIONS AND NAILING PATTERN 39 -3/8" Release -- Tape 6 fasteners 71" 72" 131" 1" 4 T or Front Side (Maximum Slope 12:12) 39 -3/8" - Release Tape. 6 fasteners 72 2 1" 134' 6" 5 -518" Front Side (Maximum Slope 21:12) e . Tab Sealant 1,V 211 l 3/8" L 112" Back Side : 00 00 0 • � FAb OF THIS ACCEPTANCE .. ... .. . .... �sx . ... • • • i.. • • . i i NOA No.:08- 1110.11` • • • •. •.. • . • . Expiration Date: 04/22/13 • Approval Date: 03/04/09 % "A MI Page 5 of 5 • • • • • • • • • • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 136165 Permit Number: RF -2 -10 -281 Scheduled Inspection Date: April 08, 2010 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: EUGENE, KERMITH & LOUIS Work:- Classification: Tile Job Address: 524 NW 113 Street Miami Shores, FL 33168 - Phone Number Parcel Number 3021360210860 Project: <NONE> Contractor: ACE COMMERCIAL ROOFING INC Phone: (786)443 -2780 Building Department Comments RE ROOF SHINGLE TO SHINGLE Inspector Comments Passed Failed Correction Needed Re- Inspection a Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 07, 2010 For Inspections please call: (305)762 -4949 Page 9 of 26 NOTICE OF COMMENCEMENT III �I�I���IIII A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION C1^ N 2 r - 4 10RO 1 57288 OR Bk 27217 Ps 297'i:l t1P9) RECORDED 031OV/2010 PERMIT NO. TAX FOLIO NO. 0 - 08 (00 HARVEY RUVINr CLERK OF MIAMI - DADE COUNTYr FLORIDA STATE OF FLORIDA: LAST PAGE COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Space above reserved for use of recording offi(x 1.,Legal des 'ption of pro rty and street/address: 113 41- 5 1- • eS �► - 0 0 5 2. Description of improvement: O Q.. 3. Owners) name and address: K ew l t fin - AO 9,,2" St Al lami 9. :9.31:39 Interest in property: Ow rte c Name and address of fee simple titleholder: 's n 4. Contractorame, address and phone nu mber aw a(q 55 CuiDy — yjs V aCa r� h F(• 3343 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ � ST � coun� 6. Lender's name and address: w T i 7. Persons within the State of Florida d i nated b Owner upon who 9 Y P robe v by Section 713.13(1)(a)7., Florida Statutes, S-Tx� y pTIF`� th a - C., a Name, address and phone number I HER i ' P.C°° ° "'���`� a �'jG18I • � EC 8. In addition to himself, Owners designates the following person(s)� e "Li o s provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone mber B d� F 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713A3. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDI YOUR NOTICE OF COMMENCEMENT Signatures Owners) or OWner(s)' Authorized Officer/Director/Part; /Manager („ By f t Loa �J Print N 3 Print Name Title/office STATE OF FLORIDA COUNTY OF MIAMI -DADE The for instrument was acknowledged before me this , q day of .2 By. ❑Individually, or ❑ as for ❑ Personally known, or &rproduced the following type of identification: Signature of Notary Public: Print Name: (SEAL) V ERIFICATION PURSUANT TO SECTION 92.525 FLORIDA TATIDT Under penalties of. perjury, I declare that 1 have read the foregoing an that the facts stated in it ar true, to a best of my knowledge and bOli e Signature(s) of Owner(s) r O r(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By