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RF-14-558' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 211147 Permit Number: RF -3 -14 -558 Scheduled Inspection Date: April 22, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: DEBRA A DZIENA & JESSICA N Work Classification: Repair Roof er► M W nC00A A n71CUA 4_ Job Address: 54 NW 107 Street Miami Shores, FL 33168 -4307 Phone Number Parcel Number 1121360070050 Project: <NONE> Contractor: J&K ROOFING INC Phone: 954- 961 -7663 tsui comments REPAIR APPROX 10' WALL FLASHING. REINSTALL TILE . -. INSPECTOR COMMENTS False -- ............ WE REMOVE ONLY WITH TILE TITE ROOF CEMENT. April 21, 2014 For Inspections please call: (305)762 -4949 Page 31 of 33 Inspector Comments Passed 0-71 CREATED AS REINSPECTION FOR INSP- 209463. Failed Correction Needed ❑ Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 21, 2014 For Inspections please call: (305)762 -4949 Page 31 of 33 Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation vy 1-?Yed7'-x gohamad Sonny Salleh, P.E.49014 Project Manager 'Mr. Reileh Engieting Corporation — Project Number - 14-0338 — Page 2 of 3 Report of TILE UPLIFT TEST % for Residential Home 54 Northwest 107 Street Miami Shores, Florida Project Number. 14-0338 µ k All �, At 1 l� M , $ {` ,u ^ }Iµ ` III .r i 4 3 I I V��"A Y. .. il'i ,. '� 1 l IppIy�iIIll('b`I 1�� II ,1��1' . �,';vJ � . l 1 f dtii� Y' :1 A YF•�'a x ` , : -S+ T f� . kIl i a 9 { J 1b y1;",'" P ` ��.M, , , � NY . k.i A{ ; � "Y: }'=h ' 4 t P k Y &1u 1 +, .J� I,, ',yi,lS �gy l � d I }`.�� . { A1k . FS i,,`l,M YA ' A X 10 � P �'., .A 1 '} � j 1 4 I ldl y f % { aY L . . MM14 IAI r i L � �F a 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass Test 1 Ridge Caps, 2 -6 Perimeter Reileh PP ing C=POmUOn — Project Nwnber - 14-0338 — Page 3 of 3 M<r �J2 6 10'0" � s WAR AAA 116f lu PMAM - 40 5F 0 ME CW' 1�5t LOCATION FEW - 0 COW - O 5� MINIM - 5 NO. fe5f LOCATION 0 MN0IE5 WOKEN W QQ COM - 0 PMAM 115f*a, a - V L MNOT 5 LO0% W t�171 CAp - I COW AIWA - V X 5' MPROX. ROOF if 5f L0CMON5 AV MOM .i 4 per., BUILDING Miami Shores village `wilding Department 4050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION Permit Type: BUILDING VR�� I +E;5\z Permit No. r-"J Master Permit No. ROOFING JOB ADDRESS: SY N�J /D? St City: Miami Shores County: Miami Dade Zip: 33f/f� Folio/Parcel# 1--21k - 00-2-0010 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Jeisj Cc. ,S fe /Cl Phone#: SAD ?S-g ay3 Address: Ste% N W / 0 7 S-)" City: Mr am i S 9"_5 State: ir/ Zip: 33/ pe Tenant/Lessee Name: Phone#: CONTRACTOR: Company Name: / �0�,. -�, Phone#: Address: a ®l o SrL {rM o�, City: z&Zd State: A/ Zip: 330 .1 0 Qualifier N a m e • oo ntk 14 e r oA) Phone#: ?5'Y 90 State Certification or Registration #: C Certificate of Competency #: eL ° L 05TOV/ Contact Phone# 9F/k/471 Email Address:I //LZOP,'• 5 _70L 4P G C. A o o • Co wi DESIGNER: Architect/Engineer: Phone#. Value of Work for this Permit: $ 02 1YO• ®® SquarenAnear Footage of Work: �D SCj / } _ Type of Work: OAddition OAlteration ONewn ' /Replace 1 ODemolition Description of Work: � r / /'o D l plc, � Ae. k; T i" 5 k 71, / I' e � aye Or/t%vi Lvl 44 )-i% Color thru tile: Submittal Fee $ Permit Fee $ CCF Scanning Fee $ MCC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $67:!�< z " Bonding Company's Name (if applicable) Bonding Company's Address C4 State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 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 approved and a reinspection fee will be charged V Signature Signature or Agent Contractor The foregoing instrument /was acknowledged before me this L The foregoing instrument ways llacknowledged before me this day of a—I-V, 20/7 , by,-TM; Ca, .Sc.`i e-elt/ day of / � 20 !7 , by QCmvi,'e who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: M Commission p'., FRED J. HERRON y *� Notary Public - State of Florida • •- My Comm. Expires Mar 21, 2016 Commission # %;FOCet4� _ EE 165061 APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 0611=009)(Revised 3/15/09) as identification and who did take an oath. NOTARY PUBLIC: Sign: FRED J. HERRON Public - State of Florida My Comm. Expires Mar 21, 2016 Commission # EE 165061 Zoning Clerk ACORD. CERTIFICATE OF LIABILITY INSURANCE 7 DATE(MMMD/YYM 11/11/2013 PRODUCER FTS Insurance 7735 NN 146 Street C -100 Miami Lakes, Fl 33016 305-818 -9544 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED J 6 R Roofing Inc 2010 Sherman Street Hollywood, FL 33020 9549619879 INSURERA: Canal Indemnity Company A INSURER B: GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCUR g $2500 DED BI /PD INSURER C: 11/15/13 INSURER D: EACH OCCURRENCE INSURER E: PREMISES Ee occurence CAVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR LTR OWL NsRD- TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTNE DATE POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCUR g $2500 DED BI /PD GL103859R 11/15/13 11/15/14 EACH OCCURRENCE $ 1,000,000 PREMISES Ee occurence $ 50,000 MED EXP (Arty one person) $ 51000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: x POLICY JET LOC PRODUCTS - COMP /OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNEDAUTOS COMBINED SINGLE LIMIT (EeeccIdent) $ BODILY INJURY (Per pew) $ BODILY INJURY (Peraccident) $ PROPERTY DAMAGE (Pereorddent) $ GARAGE LIABILITY ANYAUTO AUTO ONLY- EAACCIDENT $ OTHERTHAN EAACC AUTOONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ S WORKERS COMPENSATIONAND EMPLOYER& LIABILITY ANY PROPRIETORtPAA',TNERIEXECUTIVE OFFICERNEMBER EXCLUDED? Ifpyeass, descibeunder 3PECf U PROVISIONS below WCTATU- T RYSLI ITS R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Roofing Operation c_cmor_Aw Idnl DER CANCELLATION Miami Shores 10050 NE 2nd Ave Miami Shores, Fl 33138 305-795-2204 305-756-8972(F) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPRESENTA ACOR026(2001108) V ACORD CORPORATION 1983 du= k . PHIS Q4UMENT FfAS A C' QL4AED "�iACf:GROUtIp'IVIIRf�PRINTiNG L`.INEMARf<?"sf?�1TENTEQFPAPER i-, 3 c Nc a ,t "n . a 6197036 STATE OF s- D. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12071101301 • - LICENSE NBR 07/11/20121120023386 CCC058051 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 HERRON, DONNIE S J & K ROOFING INC 2010 SHERMAN STREET HOLLYWOOD FL 33020 RICK SCOTT KEN LAWSON r GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW BROWARD COUNTY LOCAL L ` ' BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 4, 2013 THROUGH SEPTEMBER 30, 2014 DBA: Receipt #:ROOFING /SHEET METAL fj Business Name: J & K ROOFING INC Business Type: (SPEC BLDR ROOFING) Owner Name: DONNIE S HERRON Business Opened:01 /25/2000 Business Location: 2010 SHERMAN ST State /County /Cert/Reg :CCCO58051 _{ HOLLYWOOD Exemption Code: ii Business Phone: 954 - 961 -7663 Rooms Seats Employees Machines Professionals k -A 5 3 For Vending Business Only iVmhnr of Maehinac• Vandina Tvne: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost I Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: DONNIE S HERRON Receipt #03A -12- 00010885 2010 SHERMAN ST Paid 08/02/2013 27.00 HOLLYWOOD, FL 33020 CERTIFICATE OF LIABILITY INSURANCE Data 3/7/2014 producdr. Lion Insurance Company 2739 U.S. Highway 19 N. This Certificate is Ism as a nufter of IMomration only and confers no rights upon the Cersficaba Hadar• This certlflcam does not amemy extend Holiday, FL 34691 or alter the coirerase afforded by the policies below. Insurers Affording Coverage NAIC # (727) 93 8-5562 Insured. South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 insurer A: Lion Insurance Company Insurers: 11075 Insurer C: Insurer D: Insurer E: Coverages The Policies of Insunmce listed flaw have been Issued to the Insured named above fw the policy period Indicated. NoWthstandIM any requirement, term or condition 11any comtract or cum with respect to which ilia certificate may be Issued or may pertain, the Ineusanc a afforded by the policies described herein Is pled to all the tern m. exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Data Policy Explreton� Data (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence y Commercial General Liability Claims Made 1:1 Occur to rented premises (EA oaaurenere Mel EV Personal Acv Injury neral aggregate limit applies per. Pdicy ❑ Project ❑ LOC General Aggregate Products - Comp/Op A99 UTOMOBILE LIABILITY Combined Single Limit Auto — AM Ali Owned Autos Scheduled Autos (EAAxidel) 9 Injury (Per Person) Body Injury Hired Autos Non-Owned Autos (Par Accidert) Property Damns (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Aggregate Oxus 13 Gurima Made Deductible A Workers Compensation and Employers' Liability WC 71949 01/01/2014 01/01/2015 x we State- to Limas OTH- ER E.L. Each Accident $1.0W.000 Any Proprietor /partnedexecutive officer /member E.L. Disease - Ea Employee $1,000.000 excluded? NO If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1.000.000 Other Lion Insurance company Is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of OpomdonsfLocatlonsiVehiclsslExcluslons added by Endorsement/Special Provisions: Client ID: 92- 68.239 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company': 7 & K Roofing, In Coverage only applies to injuries incurred by South East Personnel Leasing, Inc & Subsidiaries active employee(s), while worldrng in: FL Coverage does not apply to statutory employee(s) or Independent contrector(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: ISSUE 3 -07 -14 (MT) Berdn Date jL22L2L1.4 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES Should any of the above described policies be cancelled before the expiration data ti>ereof, tie issuing Inmm will endeavor to mail 30 days written notice to ire cenitcate holder narned to the left, but fallure to do so shell InWae no obligation or lt&My of any Idnd upon the tierces`, is agents or representatives. 10050 NE 2ND AVE MAIMI SHORES, FL 33138 LICENSED AND INSURED 2010 Sherman Street Hollywood, Florida 33020 1--� 4K ROOFING UCENSE a CC- C058051 954981 -7663 954-9614879 Fax 954. 925-8015 awmmed To J 6 Uce-1er J b Name MAD - s�` �,w 1 t�-7 31- .fi q s An a, - ay3 Oh, sc & zip • C+ilr. m. & zip 2 l�aal td aft sub ,later ALL ROOFS TO BE DONE AS FOLLOWS tj 0,I00i r I&A .rJ s 6 cod -,1111--C off' 9"9p— W: II Ramo►,e a x: s* - ;,a5 +i k W -. II iema/c VAgey Mekfl1 A,)A A I I r6 4A-1 �e S 4o e°'xPd.s e +1 c W D4 c eek, Will re4-Mce c6c.k;.4G A,5 rJePd W-A AAC-�a r 0)-CW 3D Ve14 f� t�ec15•W;II (�c°(aAi ep�Att? MeW A rJ . W:II FNIIy A3l ere- C1,ae P(Y 04r r�d ;�'� f3; �ur►e.J 6 sAi1 36* Re (+ u s i rJ e W;11 Per i r'j,, eAer �)ns4t;,�Ig a rep'4 r I� � Ce -me,JV A,4 FhPr9IAS5 me4rve Gj; II reW.-S 1 1 ejeiA ;rJ.5 +1e, by se� i';,� 9 i,� A -• bed o Ce,.l{ Alen;1- Arep, W,II be, j,) 46 S.F. W&Y AJARC4vfJ over 64rAeL -, �rJt✓ ( ,! �Rfr�9J 01,A LJltr �e h►!rS O', We hereby TwaT� e s A►�d j��G I't kl f d �r comps in accordau[nce with the above speciflcetions, r the sum of 1% dollars (a I i d ° ' i with payment to be made as follow s: FIAJI H Cam 'dam No carpentry work, wofidwork or painting unless specificalty stated in this cbntracL In the event payment ie not make as stated In Pa ent schedule, All fees Incurred in collections, such as, but not limited to, attorney fees, court costs and collection agencies, are to be peld by signer or owner. COVERAGE r 1161FERAME off me to-9811111 papoft z EXCLUSIONS This guerantes does not cover. 1. I as or other damage caused by: a. Nehimi dlaasters, hrcudbcg but not limited to floods, lightning, hurdcanea, hag, windstorms- aw"Wrakes, tomadw, dry rot eta• b. Structural failures such as cracks In decks, walls, partitions, foumlatlons, windows, stoppage of root dralw or gutters, etc. c. Changes in fie original principal wage to which of the bulkang, unless approved by the contractor in advance In writing. d. Emotion or construction of any additional histallagon on or through the rooting tea Miller the dais of cpnpletion. e. Roof or flashing repairs by others, Painting or coadeS without approval. f Rlots or vandalism. �± a. YanaBes or other Insects. Lj,4 h. penetration of the roofing from beneath by rising cells. felt Is applied. 2 Damage to the building or its contents, roof insulation, roof deck or other base over which roofing ACTION In the merit leaks from roofing should occur, owner shalt nay contractor promptly contractor no co the roof, and a cmkse of wisr d tie contractor wDi enangs for repairs bs be cede at Iro cast to the . H esuse of leek Is trot aovarad, within the ¢overage as stated above. aosctractor will not be resporeibie for cost of any repairs. o�rge n the went ll leaks mn not covered der the t rms ofm#ede guarantee- days as bggea tike owner. The guarardee will beuronke seruu WE MAKE NO GUARANTEES OF ANY KIND, EXPRESSED OR IM ED PT AS STAT (N. ACCEPTANCE OF PROPOSAL The above prices, apea(flaations and conditions are satisfactory and are hereby accepted. YOU are authorized to do the work as apacifled Payment will he rrmde as l , outlir% +► Autfrodmd k1W"Noluae DATE - -- - __-- - -. --- -..., r.zn tin r .IPmeesal pairs A -11111 Property Search I Miami-Dade County Page I of 7 Address Owner Name Folio SEARCH: 54 nw 107 st Suite . . ........... . ....... . . .................. .... . ......... ............... ..................... . .. ............................ ......... ... . ........... . . ................. . . PROPERTY INFORMATION Folio: 11-2136-007-0050 Sub-Divislon: DUNNINGS MIAMI SHORES EXT NO 3 Properly Address 54 NW 107 ST Miami Shores, FL 33168-4307 Owner DEBRA A DZIENA JTRS JESSICA N SCHEELER JTRS Mailing Address 54 NW 107 ST MIAMI, FL33168 Primary Zone 0800 SGL FAMILY -1701 -1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: I UNIT Beds I Bathe I Half 3/1/0 Floors I Living Units I Actual Area 1,402 Sq.Ft Living Area 1,054 Sq.Ft http://www.miamidade.gov/propertysearch/ 3/19/2014 Property Search I Miami -Dade County Page 3 of 7 Environmental Considerations (httpJ /gisweb.miamidade. gov/ environmentalconsidemUonsfdefauliaspx? searchtype=addmss&paramvalue=54 NW 107 ST) fib Property Record Cards (http:/Aww.ffdamidade.gov/PaPortaYPRCICmatePRCmain.aspx) ASSESSMENT INFORMATION Year 2013 2012 2011 Land Value $45,979 $45,979 $45,979 Building Value $90,824 $104,640 $105,289 Extra Feature Value $0 $0 $0 Market Value $136,803 $150,619 $151,268 Assessed Value $136,803 $150,619 $151,268 TAXABLE VALUE INFORMATION BENEFITS INFORMATION Benue Type 2013 2012 2011 Homestead (http:iiwww.miamidade .gov /pa/exemptions_homeawd.asp) Exemption $25,000 $25,000 $25,000 Second Homestead (httpJ/www.mlamidade gov /patexemptions homestead addidonal.asp) Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values 0.e. County, School Board, City, Regional). http: / /www.miamidade.gov /propertysearch / 3/19/2014 2013 2012 20111 couNTY Exemption Value $50,000 $501000 $50,000 Taxable Value $86,803 $100,619 $101,268 S SCHOOL BOARD Exemption Value $25,000 $25,000 $25,000 _.... _ ..... ...... ................. _._................... ....... ..............._ .. _ ...._ _ __- _._.._ . _ _._._. _....._. Taxable Value $111,803 $125,619 $126,268 CITY Exemption Value $50,000 $50,000 $50,000 Taxable Value $86,803 $100,619 $101,288 REGIONAL Exemption Value $50,000 $50,000 $501000 F ......... __._, ...... :._ . -- ... ............ -__.._ _ Taxable Value $86,803 $100,619 $101,268 a 4 BENEFITS INFORMATION Benue Type 2013 2012 2011 Homestead (http:iiwww.miamidade .gov /pa/exemptions_homeawd.asp) Exemption $25,000 $25,000 $25,000 Second Homestead (httpJ/www.mlamidade gov /patexemptions homestead addidonal.asp) Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values 0.e. County, School Board, City, Regional). http: / /www.miamidade.gov /propertysearch / 3/19/2014 Property Search I Miami -Dade County FULL LEGAL DESCRIPTION DUNNING$ MIAMI SHORES EXT NO 3 PB 42 -33 LOT 5 BLK 206 LOT SIZE 75.000 X 123 OR 192294642 08 20001 COC 22461 -0266 06 20041 SALES INFORMATION Page 4 of 7 Previous Sale Price OR Book -Page 05/0312013 $313,000 28618-0585 ( httpJ/ www2.miami- dadedork.comIPublio- Records /Search.aspx?search =3&Rec Book =28618 06101/2004 $280,000 22461 -0266 ( httpJ /www2.miami- dadederk.com/PubHo- Records /Search.aspx?iearch =3&Rec Book=2246l 06101/2003 $232,500 21488 -0808 ( httpJ/ wmw2.mlami- dadeclerk.com/Public- Records /Search.aspx?seard=3&Rec Book=21488 08/01/2000 $117,500 19229- 3692 ( httpJ /www2.miami- dadedork.com/PubHo• Records /Search.espx?search =3&Rec Book =19229 01101/2000 $61,000 18971- 2416 ( httpJ/ www2. miami- dadederk. com/ Pubfc-RecordsISearch .aspx?search=3&Req.- Book=i8971 0710111987 $72,000 13345 -3277 ( http: /Avww2.miami- dadederk.com/PubDc Records /Search.aspx?search =3&Rec Book =13345 09101/1980 $71,000 10994 -1167 ( httpJ /www2.miami- dadederk.com/Public Records/Search.aspx?search =3&Rec Book=l0994 11/01/1979 $55,000 10576 -1502 ( httpJ /www2.miami- dadecierk.com/Pubffo- Records /Search.aspx?search =3&Rec Book =l057C 12101/1977 $43,900 09897-0970 o tt : //www2.miami- dadederk.com/Pubec Records /Search.aspx?search=3&Rec Book=09897 For more information about the Department of Revenue's Sales Qualification Codes (httpJ /dor.myforida.com/dor /property /rpfdatafbrmatafpd ...........................__,� 2013 2012 2011 LAND INFORMATION Land Use Muni Zone PA Zone Unit Type Units COW Value GENERAL R- 14.25, R -15 0800 Front Ft 75.00 $45,979 BUILDING INFORMATION Building Number Sub Area Year Built Actual Sq.FL Living Sq.Ft. Adj Sq.Ft. Cale Value 1 1 1947 1,402 1,054 1,286 $90,824 Building Sketches Availablel (/PAPortal/PropertySearc h/Sketc h.aspx7Folio =1121360070050 &year=2013) EXTRA FEATURES Description Year Bulk Units Cale Value h4: / /www.miamidade.gov /propertysearch / 3/19/2014 t Florida Building Code E High Velocity Hurricane Zone Uniform Master Permit No. 4 76S*9 Village F-o BV ®ATE ZONING DEPT BLDG DEPT Contractor's Name COMPLIANCE WITH ALL FEDERAL Job Address STATE AND COUNTY RU ONS ROOF CATEGORY • Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile • Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE • New Roof ❑ Reroofing ❑ Recovering � Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) x y� fob N0 .. is SECTION B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of Parapets. I're� MIAMID BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Clay Forever, LLC 6801 NW 77* Avenue Miami, FL 33166 MIAMI DARE COUNTY, FLORIDA METRO -DADS FLAGM BUILDING 140 WEST FLAGLER STREET, SUITE 1683 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 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 proposes. N 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: Altus "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", 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. TERIVIINATION 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 renews NOA *06 -0706.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 07- 019.05 EBphu&n Date: 1W6/12 CP Approval Date: 12/? M %7 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub- Category: Roofing Tiles Material: Clay I. SCOPE This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Alfareria Del Turbio, S.A. (ALTUSA) in Venezuela and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein The attachment calculations shall be done as a moment based system 2. PRODUCT DESCRIPTION Manufactured by Auulic-aut Altusa One Piece `S' Tile Trim Pieces Clip Clip Test Dimensions aniffications L =18 i/a" W =10.5" W thick nominal 3.25" high Length: varies Width: varies varying thickness L =6„ D = 0.125" L&h =2" W =W' 0.05" thick 2.1 SUBMITTED EVIDENCE: Test A&LnM IBA Consultants, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing s Product Description TAS 112 ffigh profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications with minimal headlap of 2-W' TAS 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each file profile. TAS 114 Tile clip TAS 114 L Shaped tile clip Test Identi6ier Teat Nei melRenort Date 2397 -116 ASTM C 1167 06/28/07 94-083 Static Uplift Testing April 1994 TAS 101 (Adhesive Set) 94-084 Static Uplift Testing May 1994 TAS 101 (Mortar Set) 25- 7200 -1 Static Uplift Testing Feb. 1995 TAS 102 (Quick -Drive Screws, Battens) .Project No. 307025 Wind Driven Rain ' Oct. 1994 Test #MDC -78 TAS 100 MTS 520649 TAS 102(A) May 2000 NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 120W Pogo 2 of 7 Test Ane n PRI Asphalt Technology, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 3. LUMHATIONS Lest Ide, nt3fier Q F- 003-02 -01 7161 -03; Appendix 111 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 Test Na- euort TAS 102 TAS 102 Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Nail -On) P0631 -01 Wind Tunnel Testing TAS 108 (Mortar Set) P0402 Withdrawal Resistance Testing of screw vs. smooth shank nails Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Aerodynamic Multiplier 25 -7183 25-7094 25-7496 25 -7584 25-7804b-8 25-7804-4 & 5 25- 7848 -6 Date October 2001 Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 'Altusa One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 07. 0919.05 { ExphuWn Date: IM6112 Approval Date: 12JM 7 Page 3 of 7 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight- W'(Ibf) Length -1(it) 1 Wldth -w (ft) 1 Altusa `S' Tile 6.9 1.52 0.875 Table 2: Herod amic Multipliers -;L (fr) nie, Profile I (ft) Batten Apkilcation I Direct Deck Application Ahusa `S' Tile 0.253 0.274 Table 3: Restoring Moments due to Gra - M ft Ibf Tile Profile 3 °:12" or less 4 ":12° 50: 120 6 °:12" 7°:120 or grader Altusa `S' Tile Battens Direct Deck 1 Battens Direct I Deck Battens Qirect Deck Battens Direct Deck Batters I Direct Deck 4.47 5.36 1 4.40 1 527 1 4.31 6.16 420 1 5.03 4.08 1 4.88 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft ibl) for Nall -0n Systems MIS Fastener Type Direct Deck Direct Deck Battens Profile (Min 15132" (Min. 19/32" plywood) plywood) Altusa `S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw 5.1 6.8 2.8 Shank Nail 2 -10d Smooth or Screw 6.9 92 7.3 Shank Nails 148 Screw 28.7 28.7 WA 2 18 Screws 58.2 582 26.8 1 -10d Smooth or Screw 23.1 23.1 19.0 Shank Nall Field CG 1 -10d Smooth or Screw 29:3 29.3 24.0 Shank Nail Eave Clip) 2 -1 Od Smooth or Screw 27.6 27.6 38.6 Shank Nails Field CI 2 -10d Smooth or Screw 38.1 38.1 41.8 Shank Nails Eave Clip) 1 Screw with Altusa U See c detalls Altusa "S" 1 Screw with clip (at the 187.1 187.1 N/A Tile' head of the Altusa °S" 1 Screw with clip (at the 35.2 352 N/A Tile' water course of file 1. Screw must be installed In the Inside nail hole located nearest to the hump of the-file. NOA No.: 07-0919.05 a Y Expiration Date: IV16112 Approval Date:12flW rags 4 47 Table 6: Attachment Resistance Expressed as a Moment Alf (ft lbf) for Two Ratty Adhesive Set Systems We Profile Tile Application I Minimum Attachment Resistance Altusa 'S' Til Adhesive 29. 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Pol am Product Inc. Average wM. per patty 8 grarns. Table 7: Attachment Resistance Expressed as a Moment - Mt (ft -lbi) for Single Flatty Adhesive Set Systems Tile Profile Tile Application Tile Minimum Attachment Resistance Altusa'S' Tile Polyfoarn PobfroTm Resistance 66. Polyfoarn Po ro"A 24.50 S 4 Larne Paddv olacernent of 63 grarns of PolyProTu. 5 Medium Paddy placement of 24 grams of Po roTm. Table 8: Attachment Resistance Expressed as a Moment - Nh (ft4b f) for Mortar Set Systems Tile Tile Attachment Profile Application I Resistance Altusa'S' Tile Mortar Set 24.50 S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's nay or logo. or following statement: "Miami Dade County Product Control Approved ". * * * ainUsa MADE IN via * * * IDENTIFICATION MARK FOR ALTOSA'S' CLAY ROOF TILE LOCATED UNDERNEATH TILE 6. BUILDING PERNIIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 61.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system NOA No.: 07-0919.05 a j fthutbn Date: 1W6/12 Approval Debe:12/20/07 Page 5 of 7 PROFILE DRAWINGS ALTUSA `S' CLAY ROOF TII.E 48PAMSH S° TILE BY ALTOS (TYP.) CUP WITH ONE (1) SCREW ATTACHED TO DECK r �Ilr!c CLIP I)WAR S 21/2' OVERLAP (COVERS PIN HOLE) CUP PIACEU M' DEVIL SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE NOA No.: 07-0919.05 Expiration Dab: 1W6/12 Approval Date. - IWA/07 Page 6 oil SCREW JHOLDS SCREW (HOLDS CLIP ONTO DECIQ CLIP DETAILS (CONM 'SPANISH S' TILE BY ALUISSA ( P.) \J CLIP PLACEMENT oETALL 211!' OVERLAP (COVERS PIN SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HtIMP OF THE TILE END OF THIS ACCEPTANCE DECK : i /4' 134" 3W GALVANIZED I I METAL CUP ,/2' SCREW NOA No.: 07- 0919.05 Rgdratlon Date: 12/16/12 Approval Date: 12=07 Pap 7 of 7 1i41AAMII= MIAMI DADE COUNTY .. i• - : PRODUCT CONTROL SF•CTIoN DEPARTMNT OF PIMMITTING, ENVIRONMNT, AND REGUI ATORI AiiiIRS (PERA) 11805 S W 26 8004 Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175 -2474 T (786) 315.2590 F (786) 315-U99 NOTICE OF ACCEPTANCE (N� �_ rai�oiado.eov /ne�a Bermuda Roof Co,, Inc. :. 10709 SF Flotilla Court Hobe Bound, FL. 33455 tl� SCOPE: - 1�Ei:.3 r 1. 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 Miaml-Dade County PBRA • 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. PERA reserves the right to revoke this aoceptarice, if it is determined by Miami Dade County Product Conftol 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 ofthe Florida Buillrie. DESCRIPTION: Lightweight Roof Tile Mortar LABELING: Each unit shall bear a permanent label with the n anufacturees name or logo, city, state.and following statement: "Miami -Dade County Product Control Approved ", uT&; otherwise noted herein I�EIVEWAiu of this NOA shall be considered after a renewal i'l�ii liasibeen filed and there has been no change in the applicable building code negatively affewrig•thep ` ce 3f this product. Wrl TERMINATION of this NOA will occur after the expiration datte or if there•bas 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 ofNOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, 'Florida, and followed by the expiration date may be displayed in advertising literature. N any portion of the NOA is displayed, then It shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. ,':.. This revises NOA# 11- 0816.05 and consists of pages 1 through r The submitted documentation was reviewed by Alex TlgerL APPIZor.: 1 I . .+y l�ti�>t i. .t•. NOA No.: 11- 0908.09 Expiration Date: ®9/20/16 Approval Date: 1?dx9l11 Page I of 8 a f • . SECTION 4402 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOF114G CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 44 of the Florida Building Code, Building govern the minimurn;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 and the contractor. The owner's Initial in the adjacent box indicates that the itepalhas been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 44, Section 4,402 (Higti Velocity Hurricane Zone) are for the purpose of providing•that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues 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. 4s2. Renalling Wood Decks: When replacing rooflng, the existing wood roof deck may have to be ran glad In accordance with the current provisions of Section R4403 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing. roof system.) 4�q� 3. Common Roofs: Common roofs are those which have no visible delineation between net hboring units (i.e. townhouses, gortdominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify & occupants of adjacent units of roofing work to be performed. .J s- Exposed Callings: Exposed, open beam callings are where the undersidQ of the roof clacking c 2 be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. 5. Ponding Water. The current roof system and/or deck of the building may not drain weli and m y cause water to pond (accumulate) in low - lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the 4wiginal roofing system is removed. Ponding conditions should be corrected. S. Overflow scuppers (wall outlets): It is required that rainwatdr flow off so that the roof is not o rloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Sections 4402, 4403 and 4413. 7. 'Ventilation: Most roof structures should have sortie ability to vent natural airflow through the In rior of the structural 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 f _ • - the i oo . C inmer's/A nt's Signature Date Contractor's Signature a a ' :i r C