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RF-14-1245 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20 BUILDING Master Permit No.A G — 7'" i3 06' PERMIT APPLICATION Sub Permit No. '¢ ` 6 IV- /Z 4 � F-]BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Z W ye City: Miami Shores County: Miami Dade Zip: 25,3 --3je Folio/Parcel#: 1144? L;!> Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 'e -C'C� 'O� -'�7-_-1'.1,one#: Address: �� City: .�.s�Ii ��Q�'� State: �� Zip: 3 3/340P Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 'QF ��/� ��✓ Phooe#:3 25'3 ' o!'dAtk' Address: /Z v41 /ay.0.3 y® Gro ,O"/'f ?f 20 7 City: O�ir� )''0 h�� State: _4=_ G Zip: 313 /ja ? ;0qualifier Name: State Certification r Registration#: �C �� ? 'S 7✓4Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration EeNew ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ J. (� V CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Feed$ Structural Reviews$ Bond$ -�` �- TOTAL FEE NOW DUE$ (Revised02/24/2014) t j Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City` e 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 ab ence of such posted notice, the inspection will not be approved and reinspection fee will be charged. SignatureJ/,4�/%gnature OWN ER or AGENT C NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this IX day of /d 20 by day of /d 20 Y, by who is personally known to 1 .1 s personally known to ,,. me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: o e e7 Print: a ; .`�V• C- c,..;r, of Florida Notary Public-State of Florida Seal: ° MY Co .Exp: pis Jul 26,2015 Seal: _ � _ �.�, P: l" * My COfm. Expires Jul 26,2015 =; Commission # EE 81546 Commission#EE 81546 p""r!f ouch 'ahn. 'Notary Assn. °;;.rdr „. .. Bonded Through National Notary Assn. *� APPROVED BY t Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850}487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 DIAZ, MARISOL ARE i ROOFING SERVICES, INC. 1414 SAN BENITO AVENUE COR kL GABLES FL 33134 ` i t r f"U�11 t1.7� w 1J�/YY..� 11e-a the nee y�... • §`vQ.AC1.TL A �.5 �!i M f�k.`M�+.Yi�I :H.a b'�i'�+ 'W�:+.e:.�5.'Y`.IrY}.�'`4�a:. ,1. �rt�'4 F". _ ane million Florl ' ns Ucensed byte Department of Business and - 'rofessional R elation. Our professionals and businesses range STATE ffLORIDA: rom architects yacht brokers,from boxers to barb"ue restaurants, bEpq�{� F3lJs1NESS AND ►nd they keep F rida"s economy strong. PROF ULATION OF , =very day we w to improve the way we do business in order toh CG135731# �'� �€�611 Ch►201.4 4 ;erve you better For information about our services,please log onto ,$ n .� vwww.myflorida cense.com. There you can find more information TIFI EI R ►bout our divisl s and the regulations that impact you,subscribe Rlfl �IIA o department sletters and learn more about the Department's JHQf•I. nitiatives. fur mission at t Department is:License Efficiently,Regulate Fairly. Pb; Ne oonsta lie to serve you better so that you can serve your :ustorrers. k you for doing business in Florida, .s is.cnrri i'ep urrd.�P rhe pr5walot�s at Gh,.,aaa,as.: and congr it ibi ns an your new license! , a au .est zoos +0000,'eso s ...�,. WT+. ' I"�CTAf^IJ LILDC OUS3H8 offfecet �FIIu� l$' fitr3l A 1�I1( DO NDT fKY —, ? •''71.531�7 - t' � . �7[iSrtKi�ss 1'vt{nuE;rS,�gw�rcuV �>xC�tii�r MQ � . , rl, ccu01� iTWA2UP '�4 AfiasT b erspCayed Sk(F(�C gtdwsfiTs 5" � -Aarsu9ttf 1�'Ct�t�rt� . . 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R(.'7 °a a r.Seral�{ ti4,tp'a I�{§j.:£!wp r.:{: y .al f�`t�f- !r 7 �+:ifk,'f•� '. s 'a ;�a af,»?f t S.w?ajE : }tt h.rr:a. r' � E 7 x rr'E: F e d ��'.r§"� n.+•d,,Fr��.u:':-h`k1�:;fF�'`�:�w.umF:iuuea .5't�. ..�.._�.',_._........_...,.,....._._. .,._._.E..,...4-aa..,�.,.L.K.:,.r.srara..,....._E..<cr«.y.....-. e...�.�.. �., w.�- i ' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) 1 11/12/14 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 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 CONTACT Lucia Estrella NAME:Accurate Group Lic _ PHONE,Ext/ (305)226-8727 tac,No): (305)226 8767 8300 West Flagler Suite 114 ADDRIESS. Iuciaestrella@bellsouth.net Miami,FL 33144 INSURER(S)AFFORDING COVERAGE NAIC# Phone (305)226-8727 Fax (305)226-8767 INSURER A: United Specialty Insurance Company INSURED INSURER 6: iJireh Roofing Services Inc i INSURER C: 8341 SW 31 St Street INSURER D; Miami,FL 33155- 786-253-0508 — [INSURERE, ! ---- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODL UBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE �j POLICY NUMBER MMIDDrYYYY) (MMIDONYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000.00 _ ❑�/ COMMERCIAL GENERAL LIABILITY i DAMAGE (Ea RENTEoccurr PREMISESS e A D S'nee) 100,000.00 F] f_109/05/2014 09/05/2015 CLAIMS-MADE ❑ OCCUR CGD00005102-01 MED EXP(Any one person)_ S 5,000.00 PERSONAL&ADV INJURY $ 1,000,000.00 j ❑ GENERAL AGGREGATE S 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 1,000,000-00 POLICY ❑ jE ❑ LOC $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT Ea accident S ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AALL UTOS OWNED ❑ SCHEDULED AUTOS I BODILY INJURY(Per accident) S NON-OWNEDI PROPERTY DAMAGE $ ❑ HIRED AUTOS ❑ AUTOS I I Per accident S ❑ UMBRELLA LIAR ❑OCCUR —� EACH OCCURRENCE _ S EXCESS LIAB ❑CLAIMS-MADE I �^ AGGREGATE $ DED ❑ RETENTIONS $ WORKERS COMPENSATIONI ❑WC STATUi ❑0TH•' AND EMPLOYERS'LIABILITY YIN -} FR ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENTi S OFFICERIMEMBER EXCLUDED? NIA -------------------1 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEN$ If yes,describe under DESCRIPTION OF OPERATIONS below i j E.L.DISEASE-POLICY LIMIT; S I _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Roofing Lic#CCC1325736 � I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DAT�TH ,NOTICE WILL BE DELIVERED IN ACCORDANCE WITHROVISIONS. 10050 NE 2nd Ave Miami Shores, FI 33138 AUTHORIZED REPRES I E 305-756-8972 Lucia Estrella © 8- 10 CORD CORPORATION. All rights reserved. ACORD 25(2010/05)CIF The ACORD name and logo are registered marks of ACORD s Bt?g JIsF0 ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LA N..- CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual fisted below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 6/11!2014 EXPIRATION DATE; 611=016 PERSON: DIAZ MARISOL FEIN: 452776762 BUSINESS NAME AND ADDRESS: JIREH ROOFING SERVICES INC 8341 SW 31 STREET MIAIM FL 33155 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR Pursuant to Chapter 440.03(14),F.S.,an officer of a Corporation who elects exemption from this chapter by icing a certificate of election under this secti n may not recover benefits or compensation under the chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only wWldn is scope of Be business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(113),F.S.,Notices of election to be exempt and cerfik les of election to be exempt shall be subject to revocation 1,at any time after the Ming of the notice or etre issuance of the cert ate,the person named on th notice or certificate no finger meets the requirements of this section for Issuance of a certificate.The department shah revoke a cer6fccate at any time for failure i f the person named on the certitkala to meet the requirements of this section, DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEfrWT REVISED 07-12 QUESTIONS?(850)4 -1609 SN0RFs mean googol" Miami shores Village o� Building Department OR 10050 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you may be personally liable for the worker compensation injuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Contractor Print Name: ��0� d D� �G Print Name: Signature: Signature: State of Florida) State of Florida) County of Mia Yug,gr,;s IEAARA County of Mia - — — Sworn to ands s �� or c-r6tire of Florida A cel Yytf gdFp Sworn to and s befgre me this"`' da of O ,re..Jul 26,2015 day of Q+l' _:' `_ �f t f e o lorfda y ��' "ssr ° mission#EE 81546 :N,y _ E' i es Jul 26,2015 ': Commission #EE 81546 FovF�°�' rou h National Notary Assn. 9r By 'pm� ed Th 9 $y (SEAL) (SEAL) Type of Ide ' kation produced Type of I ' ication produced Coca SNoRFs `�t M 1 - 1 iami shores Village loss googol" Building Department ORmp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 f� CHANGE OF CONTRACTOR / ARCHITECT Permit N. �'�+ �' 4P/5112 -51T Owner's Name (Fee Simple Title Holder): A^) ,C>/Uw AS Z= Phone#: Owner's Addres : �J \'1d 'CJ6_J Z .O%/ City: o ? State : l Zip Code: 133/3� Job Address (Of where work is being done): �� d C / Z pY•F City: =/ Miami Shores ✓ State:_Florida' / Zip Code: 03,'3 Contractor's Company Name: G'''/ <�y�4 ��ya,<j-•�� fP9'icl : .�/ 7�1p -oma• ��,_j Address: 8,3 11// '74 tc� 13 / �y T City: 2&4 i State: 7_--e Zip Code: Qualifier's Name : -.T�.SyJ c.-F--rLic. Number:G'�Q 2 JO 3 ykjy Architect/ Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work: hereby certify that the work has been abandoned an r t e contractor/architect is unable or unwilling to complete the contract. I h d the uilding Official and the Mi i S res ess of all lega inv vement. Signature Sign /ent Agent Contr or c Architect The foregoing ins was aknowledged be ore me a foregoing in rument was aknowledged before me this/,r day of /? 20/,6y this/_day of /2 290/y Who is personally known to me or who has roducceTed who is personally known to me or who has produced c-/4 A0,5� c-/ -> /�o indentification. um,,, Notary Pu ic;,,,,,,,, Notary y A PRY , ,.1 .. S IBARR _ Not rric -StateFlorida Sign: . * U Sign: of Floi ro ublic_ A u 26,2015 P: State of Florida Seal: ss on#EE 81546 Seal: .? F�oa �' .,,ocExpires nded through National Notare YAssn. sion#EJul�-6015 rough National Notary Ass, Miami Shores Village - IEBuilding Department JUL 102014 SWECT0 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 BY _ I ION LINE PHONE NUMBER:(305)762-4949 FBC2010 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No.,OF- ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF Ej CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 93 �1� A-; !'e City: Miami Shores County: Miami Dade Zip: C3 8/A? Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): -4 !� -)� Phone#;34 Address: '96 e o City: /�•��! `� �� State: Zip: 3 3 Tenant/Lessee Name: Phone#: Email: /f CONTRACTOR:Company Name: y� ""�'c 7 _Ph one#: Address: �3s�i'r� o- er! r City: ' State: r G Zip: 5L31�� r Qualifier Name: 1/ftS00 Phone#:3 X9(0 'd' �3 3 State Certification or Registration#: d 3?e2":eCertificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: / Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work; Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State 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 sen a of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �' "� 44/ Signature c+-7 OWNER or AGENT CONTR OR The foregoing instrument was acknowledged before me this The for ing instrument was acknowledged before me this Of' day of - 20 iy by 41!F day of G 20 r ''�' , by who is personally known to who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: YUBANIS IBARRA Notary Public-State of Florida].Sign: _ = Sign: ,,, p�:� Commission#EE 81546 ?r, e' a►Y Public-State oNib f Notafy Print: '•Fo .°.��' Bended Through Print: m.Expires Jul 26,2015 Seal: Seal: %;FOF�o;°''- Commission#EE 81546 Bonded Through National Notary Assn APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t� Miami Shcres APPROVED BY ZONING DEPT cm —� BLDGDEPTNAI Ll PE gJ�T 70 CE CMP ;E WITH WRAP UN iA' =s AND REG Apg BULLNOSE i� BULLNOSE - GABLE DETAIL PAC CONTRACTORS cam. A S S OCiATION FO&F,: I I Rev. 05/13 HAMMER DRIVE ANCHOR @ 24 OC MAX (PER PROJECT REQUIREMENTS) STUCCO STOP ENDWALL OR SIDEWALL FLASHING 1 CHANNEL COLOR MATCHED RIVET 3 @ 24 OC MAX w w U Z cr w NAILS PER PROJECT REQUIREMENTS 1 `^ J � w d t ENDWALL WITH STUCCO STOP ESPECC IFY GAUGE` PAC TORS = � IFY MATE . LE 1:1 Rev. 05i 1 RIDGE or HIP CAP BREAD PAN FOLD RIVET@ 24"O.C. J CHANNEL NAILS PER PROJECT REQUIREMENTS BUTYL TAPE SEALANT CONTINUOUS(TYP.) .., /y MATCH ROOF SIOPF j o,N PFryN n3to. MIDGE DETAIL BRAC C T SPECIFY GAUGE, SPECIFY MAATERI&, SCALE 1.1 Rev 05113 1 DBPR- RODRIGUEZ, JESUS ROBERTO; Doing Business As: ALELUYA ROOFING ... Page 1 of 1 10:48:49 AM 1111012014 Licensee Details Licensee Information Name: RODRIGUEZ, JESUS ROBERTO (Primary Name) ALELUYA ROOFING PLUS CONSTRUCTION INC (DBA Name) Main Address: 3815 SW 89TH AVE MIAMI Florida 33165 County: DADE License Mailing: License Location: 7351 N.W. 7TH ST BAY H MIAMI FL 33126 County: DADE License Information License Type: Certified General Contractor Rank: Cert General License Number: CGCO03408 Status: Current Suspended,Active Licensure Date: Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 02/20/2004 View Related License Information View License Complaint 1940 North Monroe Street Tallahassee FL 32399 :: Email: Custorner Contact Center:; Customer Contact Center: 850.487.1.395 The State of Florida is an AA/EEC)employer.Coovriaht 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records. If you do not want your email address released in response to a Public records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail, If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1),Florida Statutes,effective October,1.,201.2,licensees licensed under Chapter 455, F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.hlowever email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an ernail address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=E4296C4362E 1 E5F76F... 11/10/2014 Licensing-Portal : View Public Complaints Page 1 of 2 10:49:08 AM 11/10/2014 Complaint Details Below is a listing of public complaints regarding the person or entity selected. This may not reflect all public complaints filed with the Department; for example, all complaints against Community Association Managers (CAMs) are available to the public, regardless of whether any appear below, and may be requested directly from the Department. The Department is also precluded from disclosing any complaints which are confidential pursuant to Florida Statutes. If you would like a full list of public complaints against an individual or entity or to make a public records request for complaints listed please visit our Public Records page. You can search for public records pertaining to unlicensed activity complaints through an additional database by visiting our Search Unlicensed Activity Complaints page. For more information about CAM complaints, please visit the CAMs page. Name: RODRIGUEZ, JESUS ROBERTO Number Class Incident Status Disposition Disposition Discipline Date Date Date - Description 2011003351 Licensed 09/30/2010 Closed Final 08/02/2012 08/02/2012 - Activity Order Probation 08/02/2012 - Cost 08/02/2012 - Fine 08/02/2012 - Education 2011003354 Licensed 09/15/2010 Closed Final 08/02/2012 08/02/2012 - Activity Order Fine 08/02/2012 - Probation 08/02/2012 - Education 08/02/2012 - Cost 2010063375 Licensed 01/03/2008 Closed Final 08/02/2012 12/10/2013 - Activity Order Suspend License 08/02/2012 - Fine 08/02/2012 - Restitution 08/02/2012 - Education 08/02/2012 - Probation 08/02/2012 - Cost 2012025462 Recovery FHCRF Fund Analyst Review https://www.myfloridalicense.com/viewcomplaint.asp?SID=&Iicid=71845 8 11/10/2014 Licensing.Pprtal -View Public Complaints Page 2 of 2 1940 North Monroe Street,Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.497.1395 The State of Florida is an AA./EEO employer.Copvrioht 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.if you have any questions,please contact 850.437.1395. "Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012, licensees licensed under Chapter 455, F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However,email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/viewcomplaint.asp?SID=&Iicid=718458 11/10/2014 DBPR- MASSANET, MAYKEL; Doing Business As: M P S OF MIAMI INC, Certified ... Page 1 of 1 2:03:01 PM 41912014 Licensee Details 5-� Licensee Information Name: MASSANET, MAYKEL (Primary Name) M P S OF MIAMI INC (DBA Name) Main Address: 7561 WEST 29 WAY HIALEAH Florida 33018 County: DADE License Mailing: LicenseLocation: License Information License Type: Certified Plumbing Contractor Rank: Cert Plumbing License Number: CFC1426700 Status: Current,Active Licensure Date: 05/12/2005 Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 05/12/2005 View Related License Information View License Complaint 1949 North Monroe Street Tallahassee FL 32399 :: Email: Cugtomer Contact Cens er :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer.Covvriaht 2007-2014 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your emad address released in response to a poblit-records request,do not send electronic rnail to this entity.Instead,contact the office by phone or by traditional rn:ad. If you have any quest€ons,please contact 850.487.1395. 'Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012, licensees licensedunder Chapter 455r , F.S.. ust provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee, However email addresses are public record.If you do not wish to supply a personal address, please provide the Department with an email address which can be rnade available to tele public. Please see our Ch_...hal ter 455 page to determine if you are affected by this i.hange. https://www.myfloridalicense.com/LicenseDetail.asp?S ID=&id=9AB 7846B92F96EFB98E... 4/9/2014 Miami Shores Village � �r� , - D Building Department JUN 14 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I Tel:(305)795-2204 Fax:(305)756-8972 _ -J INSPECTION LINE PHONE NUMBER:(305)762-4949 P�'l C) INSPECTION 20 BUILD NG Master Permit No. AC i- 7 -i /3 -1461~� PERMIT APPLICATION Sub Permit No.�lLI f 2 Ll ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-]PLUMBING [—] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: { 3Sa IV E (Z AyG City: Miami Shores County: Miami Dade Zip: 3q4 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: -a✓v 6 OWNER: Name Fee Simple Titleholder): Phone#: 7 Address: t6,S-V &L Q I'VE City: HiAmki State: Zip: 22::?�39 ' Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: •" �G� j� Phone#: Address: 4&13yv/ ' "5- r City: State: da:7e Zip: Qualifier Name: -c72nu a.J, ��a' �s�s/�}*+v42 sem$/ Phone#:. State Certification or Registration#: �� 8 ee tificate of Competency#: DESIGNER:Architect/Engineer: Phone#. Address: City: State: Zip: 2�� Value of Work for this Permit:$ Square/Linear Footage of Work: 'T0100 R Type of Work: ❑ Addition ❑ Alteration /[�]New ❑ Repair/Replace ❑,Demolition Description of Work: �� e!?7 { ��'�cS� ids D�i�' �f3l� i ��J �` !/�'L°�S►/J�'/a/'��/�'' r Specify color of color thru tile: �• �y �, ,F :,. 1� Submittal Fee W Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ ez'5 . 01D TOTAL FEE NOW DUE$ (Revised02/24/2014) �Ci - i Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City ` ' State 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 commence st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature fir✓ Signat OWNER or ALT CONT OR The foregoing instrument acknowledged before me thi T egoing instrument was acknowledged before me this 7Zxi, _day of_� 20 by day of d�'I� 20 yo• by who is rsona yy �'�5v++�,who' ersonally known o me or who has produced as me or who has produced as identification and who did take an oath. identificatign and who did take an oath. NOTARY PUBLI NOTARY PUB RV P'• Y ANIS IBARRA P O;m�� tate of Florida Sign: Sign: '• Expires Jul 26,2015 R A4MEA mmission 546 Print: •'o�'"rp`�°'•, f Florida Print: "`�� Borded Through National Not3r Assn. Seal: My Comm.Expires May 23,2016 Commission#EE 173842 Seal: °F �' Bonded Through National Notary Assn. APPROVED BY tl/ Plans Examiner Zoning I Structural Review Clerk (Revised02/24/2014) Report Viewer Page 1 of 1 r ; F1---1/1 Ei j1o0� PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE --------------------------------------------------------------------------------------IMPORTANT- VO --------------------- STATE OF FLORIDA Pursuant to Chapter 440.05(14),F.S,,an officer of a corporation _ Who e1Ms exemption from this Chapter by filing a certificate of DEPARTMENT OF FINANCIAL SERVICES T eOmpenUnderthin,segisebapiermreeavereenafiKor DIVISION OF WORKERS'COMPENSATION 1,� s„e 'F CONSTRUCTION INDUSTRY EXEMPTION 10 Pursuant to Chapter 440.051121,F.S..certificates of election to be exempt...apply only-thin the scope.1 the butim.11 or trade L listed on me notice of election to be exempt. ' CF0.TIfICATE EIFCTION TO BE FI(FMPT F0.0M fL00.1DA r D Notices UrSuano e 13 F.SNoticess of election to be —IUIU Rs'COMPENSATION UW Pt tChapter 440,0 p 5( 1, exempt and Certificates of.lectern to be exempt ship be EFFECTIVE DATE: 118013 E%PIMTION DATE: 11RDIS subjectto revocation it,,at any lime after the filing of Ne notice 'I'1 ar the issuance of the certificate,the person named on the ' PERSON: RODRIGUEZ JESUS p ;E Set-or certificate no longer meets Ne requirements of this Set— for issuance of a CertlfiCale.The dOpertmeAl Shall revoke FEIN: 2006—fil :R a CMificate at anytime for failure of the person named on the E certificate to meet the requirements of this sac!ion. BUSINESS NAME AND ADDRESS: ALELUYA ROOFING PLUS CONSTRUCTION WC 8341 SW 31 STREET MIAMI FL 33155 SCOPES OF BUSINESS OR TRA ROOFING-ALL KINDS AND DRIVER ------------ ------------------------------------------------------------------------------------------------------------ DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07.12 QUESTIONS?(850)413-1609 file:///C:/Users/RUTHL/AppData/Local/Temp/Low/2T3J85DV.htm 5/29/2014 Report Viewer Page 1 of 1 PLEASE CUTOUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE ------------------------------------------------------------------------------------- --- ---•----- 0, 08 IMPORTANT STATE OF FLORIDA Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by Ning a cenibcate of DEPARTMENT OF FINANCIAL SERVICES election under this section may not recover benef la or DIVISION OF WORKERS'COMPENSATION compensationande(I mcnapter. FPursuant to Chapter 440.05(1]1,F.S.,Cenificates of election to CONSTRUCTION INDUSTRY EXEMPTION .0 be exempt.apply only wnnm the scope ohne easiness of sae L Ilsted on the notice of eladnm to be exempt. ' CERTIFICATE OF ELECTION TO BE EXEMPT FROM FWRIDA Pursuant to Cha 5( ) -ERS'COMPENS J1OH Lnw 'D Chapter 7],F.S.,Notices of election to be x mpt and cemlicalaa of election to be exempt shall be subject to revocation if.at an time after the filing of the notice EFFECTIVE DATE: IOR1R012 EXPIRATION GATE: IG2]ltOtd subject Y 9 ;H notieioauance of cate the longer meets eherseq named cnonf the this ' PERSON: RODRIGUEZ ALBERTO ;E notice of camhcete no tenger meets he departments of l re seNion lot issuance of a Certificate.The department shall revoke i FEIN: ZOaefatEt R a eettifi at any lime for failure of the person named on the E Cacti(ateto to meal the requirements of this section. BUSINESS NAME AND ADDRESS: ALELUYA ROOFING PLUS CONSTRUCTION INC 8341 SW 31 STREET MIAMI FL 33155 SCOPES OF BUSINESS OR TRA LICENSED GENERAL ROOFING-ALL KINDS CONTRACTOR AND DRIVER ----------------------------------------------------------------------------------- ---------------------------------- DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 file:///C:/Users/RUTHL/AppData/Local/Temp/Low/OK5355RA.htm 5/29/2014 E' l.,, ,,,,,� Miami shores Village Building Department OR1Dp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you may be personally liable for the worker compensation injuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS N CE AND ERSTAND ITS CONTENTS. Owner Contr r Print Name: �/��1 Print Signature: 'e� ignatur W � Stateo Stat ofs �a YUBA1uIS IBARRA YUBAPdIS IBARRA PUbhc State of Florida County f ' pade) Cou � f Ask� i of F�bia K ) _ A, Sworn "a18t �IPo4 fiieli�s w Sw t - zi sciYi 8�'bet* oan�'tlis 201 day of °' Y omm2F0�pir„ da f � mrissic qq ' FOFrs,.`� 3154u ii f - xa,•,4:. !o'ry Assn. ` r' d Igh Nation Assn. (SEAL) (SEAL) Type of Identification produced Type of Identification produced Awa CERTIFICATE OF LIABILITY INSURANCE j DATE(MM10D/YYYV) 05/29/14 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. j IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 CONTACT NAME_ Lucia Estrella Accurate PHONE -----------.._....-.___._------- FAX IAIC.No.Ext (305)226-8727- at C,No); (305)226-8767 8300 West Flagler Suite 114 EMAIL Luciaestrella bellsouth.net ADDRESS: Miami,FL 33144 PRODUCER CUSTOMER IDA;____-_____._-__. Phone (305)226-8727 Fax (305)226-8767 f INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:_ UnitedSpecialty Insurance Company Aleluya Roofing Plus Construction Inc INSURER B: ~' 7351 NW 7 Street Unit H INSURERC: Miami,FL 33126- INSURER D: INSURER E: _ I INSURER F: COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'IN RADD SUBIR POLICY EFFI POLICY E7tP LTR TYPE OF INSURANCE INS$�,yyVQ' POLICY NUMBER IMMIDD/YYW MM/DD/YYYY)L_ _LIM__IT_S_ GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 DA 1fv Q COMMERCIAL GENERAL LIABILITY PREIIS9S�0a a occurrence) '. $ 50,000 i❑ ❑ CLAIMS-MADE Q OCCUR I CGD00001520 j MED EXP(Any one person) S 57000 j A _ - Y 08/20/2013 108/20/2014 --- --- ❑ _ PERSONAL&ADV INJURY 1 $ 1,000,000 ❑ _i I I GENERAL AGGREGATE_ s _2,000,0001 i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG I $ 2,0_00,000 j Q POLICY ❑ LOC -�___— --- ! ----- COMBINED SINGLE LIMIT s PRO- ❑ 1 I AUTOMOBILE LIABILITY i I - -- --—� ❑ ANY AUTO 1 (Ea accident) $ BODILY INJURY(Per person) $ i '❑ ALL OWNED AUTOS ! ; 1 ------ i 1 BODILY INJURY(Per accident) 5 I i El SCHEDULED AUTOS i i PROPERTY DAMAGE 1 j ElHIRED AUTOS I i I j (Per accident) $ ❑ NON-OWNED AUTOS ❑ _ I I '. S UMBRELLA LIAR -' - ------ ❑ OCCUR I EACH OCCURRENCE S _ I �--------- EXCESS LIAR CLAIMS-MADE i I ❑ I ( AGGREGATE i $ ❑ DEDUCTIBLE I ❑ RETENTION S 1 ! i $ i -WORKERS COMPENSATIONj I WC STATU- 1-I OTH-1 I AND EMPLOYERS'LIABILITY Y I NI I ❑_10RY_LIMITS-_L..LERANY PROPRIETOR]PARTNERIEXI _1 _ I OFF,ICCERIMEn NH EXCLUDED?ECUTIVE N A I E.L.EACH ACCIDENT $ 1 --------__---- j (Mandatory ) i I E.L.DISEASE-EA EMPLOYEE$ If yes,describe under 1 DESCRIPTION OF OPERATIONS below L_ I j E.L.DISEASE-POLICY LIMIT: $ 1 I 1 1 1 I i ! I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) I Certificate holder islisted as additional name insured Lic#CGCO03408 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Northeast 2nd Ave Miami Shores,FL 33138 AUTHORIZED REPRESENTAWd 305-756-8972 Lucia Estrella ©198ON. All rights reserved. ACORD 25(2009/09)QF The ACORD name and logo are registered marks of ACORD (�#, STATE OF FLORIDA 6407283 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING. BOARD SEQ#L12092602: f LICENSE NBR 09 2:6/,20121127021277 ICGCO03408' The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter ;48.9 :FS. Expiration date: AUG 31, 2014 j RODRIGUEZ, .JESUS ROBERTQ i ALELUYA ROOFING PLUS CONSTRUCTIC#NINC 7351 N.W. 7TH ST BAY H' MIAMI FL 33126 i RICK SCOTT REN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW Local Business Tax Receipt Miami—Dade County, State of FloridaLBT -THIS IS NOT A BILL-DO NOT PAY 6208086 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES ALELUYA ROOFING PLUS RENEWAL SEPTEMBER 30, 2014 CONTRUCTION INC 6472690 Must be displayed at place of business 8341 SW 31 ST Pursuant to County Code M IAM I,FL 33155 Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED ALELUYA ROOFING PLUS 196 GENERAL BUILDING BY TAX COLLECTOR CONTRUCTION INC CONTRACTOR 90.00 04/10/2014 10 AI RFRTo Rnnpim Ir-7 Workers) 4 CGC003408 0223-14-004843 This Local Business Tax Receipt only eon Hums payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Holder most comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 80-276. jlp,rt For more information,visit wwwaiamideftilIgyAmmil i r i ' r (CANE ZONE VA L 7 " • 1 �� P. F Florida Buildin Code Editilon 9 2010 ` ��i h Velo ' Hurricane Zone Uniform Permit A --cation Form. �� Section A General ( Information) Master Permit No. Process No.Pe I H— I �4 S Contractor's Name Job Address_ 9� '�O G ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles Shingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR-RAS iso ROOF TYPE New Roof ❑ Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area(SF) Steep Sloped Roof Area(SF) Total(SF) --------------- Section B (Roof Plan) •••' : . . .... ...... Sketch Roof Plan: Illustrate all levels and sections, roof drains, scupp*0 0 overQtSVI;•. •, scuppers and overflow drains. Include dimensions of sections and•leyels, cleaRV 000000 identi dimensions of elevated pressure zones and location of ars •••• •• •• . .• •• •••••• •••••• • • : J 1 y 7884 NW 8th 5t, MIAMI, FL 33 1 26 / = PH: 305-2G 1 -9290 a) FAX: 305- 2G 1 9299 WWW.METALMA5TER5HOP.COM CUSTOM COPPER & AUJMINUM ROOFING METALS ROOF PLAN I 3D VIEW r - � I :_..._ March 2G, 201 4 CUSTOMER: MATERIAL: ..• •• PROJECT: ...... .. . ... .. TERMS AND CONDITIONS ."". :...:. • ...... . . ... . As a supplier only, Metal Master Shop does not assume responsibility for errors in.c�u�n�ities'or'diEnensi .. Architect and/or contractor shall verify all field measurements before signing off this fort. ;��„• ••• �• Contractor is responsible for verifying this quote • PRICE: $ ACCEPTANCE SIGNATURE DRAW BY PROJECT COORDINATOR CARL05 RAFAEL RODRIGUEZ 12' 4" 16' 6" 29' 0" 9,. 16 1 8, I! 23' 8" - 23' 8" H( 23' 10" z ! 16' 6" H 38' 2" 18' 9" 18 5" 15' 3" 24' 0 - 27' 28' 1" 1' � I 29' 1 -29' 1" 34 4 • • •• 3 •� •• 32 4„ •• rte• 1,•• • • • •• A 6' 9" • • • • • • • • • 1 11 11 24' 3" 18 9" 6p 0" ••• • • • • • • • ' • • • • • • • •• • • c B ' 000 0 Metal Roof System , MIAMI• Miami-Dade County =am HVHZ Electronic Roof Permit Form Excellence E��er�[),ay" Section D Metal Roof System "IJeli�{5rrni; Roof System Manufacturer: METAL MASTER SHOP Notice of Acceptance Number: 14-0123.07 Minimum Design Wind Pressures, (from RAS 127 or Calculations): P 1: 50.3 P 2: 87.7 P 3: 129.6 Maximum Design Wind Pressures, (From the NOA Specific system): 166.75 psf Fill in the specific roof assembly components. !f a component is not required, insert not applicable(n/a) in the text box. left Deck Type: --5/8"Plywood-- Optional Nailable Substrate: N/A Optional Nailable Substrate Attachment Method: N/A Optional Insulation: N/A Optional Insulation Attachment Method: N/A Roof Slope: "/12" Fire Barrier: Roof Mean Height:F307 ft. VERSASHIELD GAF 3.5 SQ FIRE RETARDAND YY64 • • 6666 6666•• Clip or Screw Spacing for Metal Roof Panel Attachment Underlayment Type: • • .. #30 ASTM 226 .•..•• ••' • : •...:. Field: 24 "o/c Perimeters: 12 "o/c Corners: 12 "o/c •••••• • • Underlayment Fastener Type: .••••. 0 4 4 4:4 • • Number of screws required per clip: • 2® 11 1/4 NAIL RING SHANK NAILS •4446• .01 . 4 49:64 •• 00 •• •• 6004•. Perimeter Width:.ft. Optional Peel& Stick Membrane'.*%*: 6 ', •,,,,, N/A 0 4 4. Screw Type, Size, &Gauge for Clip or Metal Panel •••••• :090Attachment: Metal Roof Panel: ,,;• PAC-150 PETERSEN ALUMINUM #10 PANCAKE SREW CARBON STEEL 1" Drip Edge Size&Gauge: --3"face 0.032"-- Drip Edge Material Type: --Aluminum-- Drip Edge Fastener Type: 11 1/4 NAIL RING SHANK NAILS Hook Strip/Cleat gauge or weight: --n/a-- MIAMI-DADE COUNTY MIAMFDADE PRODUCT CONTROL SECTION MM 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.Qov/economy GAF 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 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: VersaShield® Fire-Resistant Roof Deck Protection and VersaShield® SoloT" Fire-Resistant Slip Sheet 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. 696 . . 0900 000000 RENEWAL of this NOA shall be considered after a renewal application has been filed and ftre'has bggh*Jdchange 6, in the applicable building code negatively affecting the performance of this product. 06':06 0000.. 0000.. TERMINATION of this NOA will occur after the expiration date or if there has been a0r'e6.v4Vibn or jhMtgL-in they.... materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endp6w"ent of any product..:..' for sales, advertising or any other purposes shall automatically terminate this NOA. Failure tc c*"o ly wii'1>,anycectioa..... of this NOA shall be cause for termination and removal of NOA. ••••6 69 6 6 0996.. 6.99.9 ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Fl4rid41'and followed by thC....: expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shaTlb'e done in its entirety. 6 INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 11-1110.09 consists of pages 1 through 3. The submitted documentation was reviewed by Juan E.Collao, R.A. NOA No.: 13-1104.06 MIAMI•DADE COUNTY Expiration Date: 02/07/17 Approval Date: 02/20/14 Page 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: Underlayment Material: Fiberglass SCOPE: This acceptance is for VersaShield® Fire-Resistant Roof Deck Protection (a.k.a "VersaShield® Underlayment") and VersaShield'SoloTm Fire-Resistant Slip Sheet(a.k.a"VersaShield SoloT111), as described in this Notice of Acceptance, for use with approved prepared roof assemblies. Designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION: Manufactured by Test Product Applicant Dimensions Specifications Description VersaShield®Fire- 42"x 100' rolls ASTM D 226 Non-Asphaltic fiberglass-based underlayment Resistant Roof Deck Type iI and/or fire barrier. Protection VersaShield®Solo TM 72"x 166.7' rolls UL790 Non-Asphaltic fiberglass-based slip sheet and/or Fire-Resistant Slip Sheet fire barrier. MANUFACTURING LOCATION: 1. Conover,NC EVIDENCE SUBMITTED: .... . . Test Azency Test Identifier Test Name/Report •••*G* •WW'_.ate. . ....•.• PRI Construction Materials GAF-270-02-02 ASTM D 226 •..... 05:10 ....:. ELK-063-02-01 TAS 100 •00:00 09/f 7/01 • Underwriters Laboratories Inc. 99NK45831 UL790 •••••. ;QW (00 • 1ONK11990 UL790 '•.. -05/18/11 ":'•. R19254 ASTM D 226 •69/4 3;01 • 08CA37926 UL790 •• 09/ 3709 •••• • 08CA49140 . ' • ' •' . . . . .. ... PRI Asphalt Technologies, Inc. ELK-069-02-01 TAS 100 0 0 OM/101702 BRY-003-02-01 TAS 117(B) •••• 03/619W02 :••••: BRY-003-02-01 TAS 114 (H) 66% INSTALLATION: 1. VersaShield®Fire-Resistant Roof Deck Protection or VersaShield®SoloTM Fire-Resistant Slip Sheet shall be installed in strict compliance with applicable Building Code. 2. VersaShield®Fire-Resistant Roof Deck Protection or VersaShield® SoloTM Fire-Resistant Slip Sheet shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. VersaShield"Fire-Resistant Roof Deck Protection shall be mechanically fastened with approved fasteners in compliance with Florida Building Code 1518.2 when used in lieu of a code prescribed ASTM D 226 Type II underlayment. NOA No.: 13-1104.06 MIAMI-DARE COUNTY Expiration Date: 02/07/17 Approval Date: 02/20/14 Page 2 of 3 s LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. VersaShield®Fire-Resistant Roof Deck Protection shall not be left exposed as a temporary roof for longer than 30 days of application.VersaShield SoloTm Fire-Resistant Slip Sheet shall not be left exposed to the weather. 4. VersaShield® Fire-Resistant Roof Deck Protection and VersaShield® SoloTm Fire-Resistant Slip Sheet are a component used in roof assemblies. Roof assemblies are approved under specific assembly Notice of Acceptance. 5. VersaShield® Fire-Resistant Roof Deck Protection or VersaShield® SoloTI Fire-Resistant Slip Sheet may be used with any approved roof covering Notice of Acceptance listing. VersaShield® Fire-Resistant Roof Deck Protection or VersaShield' S010TI Fire-Resistant Slip Sheet may be used as a component part of an assembly in the Notice of Acceptance. if VersaShield®Fire-Resistant Roof Deck Protection or VersaShieldo Sol0T`Fire-Resistant Slip Sheet is not listed, a request may be made to the Authority Having Jurisdiction(AHJ)or the Miami-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance,and fire testing results. 6. VersaShield' Fire-Resistant Roof Deck Protection and VersaShield® S010T" Fire-Resistant Slip Sheet are a non- asphaltic underlayment that may be used as a fire barrier for prepared roof assemblies. For fire classification of specific roof assemblies using VersaShield Fire-Resistant Roof Deck Protection or VersaShield® SHIoT"' Fire- Resistant Slip Sheet refer to a current Approved Roofing Materials Directory for fire ratings of this product. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. LABELING: All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility,yellow line to identify the ASTM Standard designation or logo, and the follQyviv statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control gea1.e ..• •• shown below. .. .... ...... .. . ...... IIAMI•DADE COUNTY ••• •• • .... . ..... ...... . . ..... BUILDING PERMIT REQUIREMENTS: •••••• •••••; ••••• Application for building permit shall be accompanied by copies of the following: •••••• •• 1. This Notice of Acceptance. 2. Any other documents required by Building Official or Applicable building code in orc16 top.operly evaluate the-*-* installation of this material. • END OF THIS ACCEPTANCE NONo.: 13-1104.06 htI�I•�e COUNTY Expiration Date: 02/07/177/17 Approval Date: 02/20/14 Page 3 of 3 M IAM I•DADE � MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) wwwaniamidade.eov/economy Metal Master Shop,Inc. 7484 NW 8 ST Miami,FL 33126 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: PAC-150.032"x 12"thru 20"Wide Aluminum Panel over Plywood 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. 9999 RENEWAL of this NOA shall be considered after a renewal application has been filed and Aere-I►as been no change •••• • .. 9999 in the applicable building code negatively affecting the performance of this product. • 9999.. .. . 9999.. 9999.. TERMINATION of this NOA will occur after the expiration date or if there has been a revisipla"change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endor4meatof ani product, for.*... sales,advertising or any other purposes shall automatically terminate this NOA. Failure to coRyp.4Tolith any section of 00:60 • this NOA shall be cause for termination and removal of NOA. •• •• •• •: •••••• 999999 9 0• ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Fldrida, Snd foOvweLt.by the•0,:• expiration date may be displayed in advertising literature. If any portion of the NOA is dispte ie4, then it shall be done....: 0 0 9000 0 0 in its entirety. • 9999 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 5. The submitted documentation was reviewed by Juan E. Collao, R.A. NOA No.: 14-0123.07 MIAMI•DADE COUNTY Expiration Date: 02/20/19 Approval Date: 02/20/14 Page l of 5 ROOFING SYSTEM APPROVAL: Category: Roofing Sub-Category: Metal, Panels(Non-Structural) Material: Aluminum Deck Type: Wood Maximum Design Pressure -166.75 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Product Dimensions Specifications Description PAC-1501*5" Length: various TAS 110 Corrosion resistant, Aluminum,preformed, Aluminum anel Height: 1-1/2" standing seam. Coated, prefinished panels. Width: 12"-20"(coverage) Thickness .032" Min.Yield Strength: 22 ksi. PAC-150 Clip Length: 2" TAS 110 Corrosion resistant,24 gauge steel clip or 24 Height: 1.625" ga. stainless steel clip. Width: 0.875" Thickness 24 ga. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Reyort Date Valspar Lab Form ASTM B 117 Valspar Lab Form ASTM G 23 Fenestration Testing 13-852 TAS 1009 0 •40& 0.00.0 .. . .... 0 00 Architectural Testing C8008.01-450-18 TAS 125.. •• 0''1/23/13 •••••• .... . ..... ...... . . ..... .. .. .. .. ...... . . . . ...... NOA No.: 14-0123.07 MIAMI•DADECOUNTY Expiration Date: 02/20/19 • 1 Approval Date: 02/20/14 Page 2 of 5 APPROVED ASSEMBLIES: System: PAC-150 .032"x 12"thru 20"Wide Aluminum Panels over Plywood Deck Type: Wood,Non-insulated Deck Description: New Construction 19/32"or greater plywood or wood plank, or for re-roofing 15/32"or greater plywood. Slope Range: 2": 12" or greater Maximum Uplift See Table A below Pressure: Deck Attachment: In accordance with applicable Building Code, but in no case shall it be less than 8d annular ring shank nails spaced 6"o.c. In reroofing,where the deck is less than 19/32"thick (Minimum 15/32")The above attachment method must be in addition to existing attachment. Underlayment: Minimum underlayment shall be an ASTM D 226 Type II installed with a minimum 4" side-lap and 6"end-laps. Underlayment shall be fastened with corrosion resistant tin-caps and 12 gauge 1 '/4"annular ring-shank nails, spaced 6"o.c. at all laps and two staggered rows 12"o.c. in the field of the roll or any approved underlayment having a current NOA. Fire Barrier: Any approved fire barrier having a current NOA. Refer to a current fire directory listing for fire ratings of this roofing system assembly as well as the location of the fire barrier within the assembly. See Limitation# 1. Valleys: Valley construction shall be in compliance with Roofing Application Standard RAS 133 and with the current published installation instructions and details in PAC Contractors Association's Installation Manual. Metal Panels and Install the "PAC-150 1.5 Aluminum Panel" including flashing penetrations,valleys, end Accessories: laps and accessories in compliance"PAC Contractors Association's"current,published installation instructions and in compliance with the minimum requirements detailed in 0000 Roofing Application Standard RAS 133. .0;06• •••••• Panels shall be secured along the male rib with approved clips and Mo cOrrosigrt CA$tant •, #10 pancake head fasteners of sufficient length to penetrate throuAR tl3c*SheathirVa • 000600 minimum of 3/16". The panel clips were placed ata spacing listedin•I able A beloO. The :0000: female rib of panel is installed over the male rib of panel. Panels fire seamed as Naiad • 0000 . 0. below in Table A. 0 • • 0000.. . . 000 000. TABLE A 00 000 00 00 0 0000 •0000. MAXIMUM DESIGN PRESSURES • 0000 Roof Areas Field Perimeter and Corner TerjffWter afld Corner' • •••; Maximum Design Pressures -69.25 psf -99.25 psf •• •.166.75 s'f• • Maximum Clip Spacing 24"o.c. 6"o.c. 12"o.c. Panel Scam 90"degrees 900 degrees 180"degrees 1. Extrapolation shall not be allowed NOA No.: 14-0123.07 MIAMMADECOUNTY Expiration Date: 02/20/19 Approval Date: 02/20/14 Page 3 of 5 LIMITATIONS 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. The maximum designed pressure listed herein shall be applicable to all roof pressure zones(i.e. field, perimeters, and corners).Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e. perimeters,extended corners and corners). 3. Panels may be rolls formed in continuous lengths from eave to ridge.Maximum lengths shall be as described in Roofing Application Standard RAS 133. 4. All panels shall be permanently labeled with the manufacturer's name and/or logo, city, state, and the following statement: "Miami-Dade County Product Control Approved" or with the Miami-Dade County Product Control Seal as seen below. All clips shall be permanently labeled with the manufacturer's name and/or logo, and/or model. MIAMI•DADE COUNTY 5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. 6. Panels may be shop or jobsite roll formed with machine model # 100801 or 109212207 from PAC Contractors Association. •• • 0000 • 0000•• •• • 0000•• • •19.9• • • • 0000•• 0000 • • • • • • 0000•• 0000 • 0000• 0000•• • • 0000• •• •• 9. 09 •••9•• • 0000•• • • • • • • 0000•• 0000•• • • • 0000•• 00 • 0900 • • NOA No.: 14-0123.07 MIAMI•DADECOUNTY Expiration Date: 02/20/19 ...O NI Approval Date: 02/20/14 Page 4 of 5 PROFILE DRAWINGS 12" - 20" 1.625" 0 2" 0000 0.875" .... ..•.�. 90DEGREE 180 0000•• •• • 0000•• • SEAM DEGRlE6••s • • • SEAM •6060• 0000 • • • • • • 0000•• 0060 • 0000• 060960 • • 0000• • 6 • • • 60 •• t6 0• 06060• • •66.6• • • CLIP CLIP • • • • -.0: 0000•• PANEL PANEL PANEL • •PANEL ••66•• IL L *7 • 0000 PREPRED PREPRED ROOF ROOF FASTENER FASTENER END OF THIS ACCEPTANCE NOA No.: 14-0123.07 MIAMI•DADE COUNTY Expiration Date: 02/20/19 Approval Date:02/20/14 Page 5 of 5 4/30/2014 TGFU.R14293-Roofing Systems ONLINE CERTIFICATIONS DIRECTORY TGFU.R14293 RoofingSystems Page Bottom Roofing Systems See General Information for Roofina Systems PETERSEN ALUMINUM CORP R14293 1005 TONNE RD ELK GROVE VILLAGE, IL 60007 USA Coated Steel and aluminum panel identified as "Snap-On Standing Seam", "High Snap-On Standing Seam", "Snap-On Batten", "Integral Batten", "Redi-Roof Batten", "Redi-Roof Standing Seam", "Snap-Clad", "Integral Standing Seam", "Tite-Loc" and "Tite- Loc Plus". OTHER SYSTEMS Class A 1. Deck: NC Incline: No Limitations Barrier Board:— 1/4 in. min G-P Gypsum Dens Deck®. Ply Sheet(Optional):—Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15, 20 or 30 felt or UL Classified prepared roofing accessory or WR Grace "Ice and Water Shield" . Surfacing:— Steel or aluminum roofing panels, mechanically fastened. 2. Deck: NC Incline: No Limitations Barrier Board:— 5/8 in. min plywood. Ply Sheet(Optional):— Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15, 20 or 30 felt or UL Classified prepared roofing accessory or WR Grace "Ice and Water Shield" . Surfacing:— Steel roofing panels, mechanically fastened. 3. Deck: NC Incline: No Limitations •••• • • •••• •••••• Barrier Board:— 7/16 OBS or 5/8 in. plywood over polyisocyanurate insulation board or polyisecyacuvate composite board, • any thickness. •• • '9•6:00 •• Ply Sheet(Optional):—Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15, 20 or"f1tft•cfr UL Classified '9'9'9'9•• • prepared roofing accessory or WR Grace "Ice and Water Shield" . '9'9'9'9•• • • • Surfacing:— Steel or aluminum roofing panels, mechanically fastened. '9'9'9'9•• '9'9'9'9 • • • • • • '9'9'9'9•• • '9 4. Deck: NC Incline: No Limitations 000•• • '9'9'9'9•• • • '9'9'9'9• Insulation:— Polyisocyanurate, glass fiber, perlite or wood fiber, any thickness. 00'90•• *0 00 •.•.,. Ply Sheet(Optional):— Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15, 20 or 3.O.fe4or UL Classified •• prepared roofing accessory or WR Grace "Ice and Water Shield" . • • • • Surfacing:— Steel or aluminum roofing panels, mechanically fastened. • ' �•••�• '9'9'9'9•• • • • '9'9'9'9•• 5. Deck: NC Incline: No Limitations •. • 0000 � • • Surfacing:— Steel roofing panels mechanically attached to metal purlins. ••.• 6. Deck: C-15/32 Incline: No Limitations Barrier Board:— 1/4 in. min G-P Gypsum Dens Deck® with all joints staggered a min of 6 in. from the plywood joints. Ply Sheet(Optional):—Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15, 20 or 30 felt or UL Classified prepared roofing accessory or WR Grace "Ice and Water Shield". Surfacing:— Steel or aluminum roofing panels, mechanically fastened. Last Updated on 2001-02-09 Ouestions? Print this page Terms of Use Page Top © 2014 UL LLC When the UL Leaf Mark is on the product, or when the word "Environment" is included in the UL Mark, please search the UL Environment database for additional information regarding this product's certification. http://database.ul.coaVcg i-bi n/XYVtterWefLISEXT/1 F RAM Elshm pag e.html?name=TGF U.R 14293&ccnshorttif e=Roofi ng+Systems&obj id=1074352239&cfg i... 1/2 4/30/2014 TGFU.R14293-Roofing Systems The'appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow-Up Service. Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow-Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (files) must be presented in their entirety and in a non-misleading manner, without any manipulation of the data (or drawings). 2. The statement"Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. in addition, the reprinted material must include a copyright notice in the following format: "© 2014 UL LLC". • • •••• •••••• • •••• • ••••• • •••••• • • ••••• •• •• •• •• •••••• • • • • • 0090 ••••• http://database.ul.comlcg i-bi n/XYV/template/LISEXT/1 FRAM E/showpag e.html?name=TGFU.R 14293&ccnshorttitle=Roofing+Systems&objid=1074352239&cfg i... 212 PANCAKE SCREW PER PROJECT REQUIREMENTS WRAP UNDERLAYMENT OVER EDGE BULLNOSE j a^ z •• ••• • • • • • •• . . ... . ... . . BULLNOSE - GABLE DETAIL ... . . . . SPECIFYt ACJ! : Colyt SPECtFY MATERIALr AT40 Rev. 05/13 . . . . . . . . . . . ... . . . ... . . ENDWALL OR SIDEWALL FLASHING J CHANNEL COLOR MATCHED RIVET @ 24 OC MAX W / cr uj Z / T/ PANCAKE SCREW PER PROJECT N o / REQUIREMENTS @ 3"O.C. MAX. LE •• ••• • • • • • •• 434 • • •• • • • • • •• • • • • ••• • • • • • • • • ��N °ENN ... . ... . . EI DWALL 1 IDEWALL DETAIL . . 0 0 ll�j"m Uwumt#ACo I Lom AooTo4 0 • . • ••• • . • _ x. 05113 000 0 0 0 000 0 0 . . ... . . . ... .. .. . . . .. .. . ... . . ... . . . . ... . . .. . . . . . . . . . . . . . . ... ENGLERT RIDGE .. . . . .. ... .. or HIP CAP 'DRCAP P,;kl FpjID . . . . . . RIVET@ 24"O.C. J CHANNEL PANCAKE SCREW PER PROJECT REQUIREMENTS ENGLERT BUTYL TAPE 3"O.C.MAX. SEALANT CONTINUOUS (TYP. r F�GCE RS \ RT CC/P MATCH ROOF SLOPE MSN O `Miry O EpN ENH 43 4 RIDGE DETAIL .,# PAC TALC A S SOCIATION SCXE 1.1 Rev. OS/13 PANCAKE SCREW PER PROJECT REQUIREMENTS VALLEY CLEAT CONTIN0OUS BUTYL TAPE SEALANT CONTINUOUS l Kira FILL PANEL ENDS TUBE SEALANT VALLEY VALLEY DETAIL •.. . ••. . 0000. . . Ole00 • • A016-so SPECIFY QAC: n AT .. . 0 0 0.0 • • . 05/1.3 BNGLE•L=WEAN 9V D0ISL5k=WFAM 18r aero aaWio J o.�reo _1 ,aero r.�eao srFFENNa nee a srRWOM OFIX) L AlDhwwWWl*mimw**0.03VwWm*31 .. ... . . . . . .. .. . . . . . PAC-150 PANEL PROFILE . .. . . . . ... . .. ... .. . . . .. PAC CONTRACTORS SPECIFY GAUGE: A S S Q 1 ' '. N SPECIFY MATERIAL: ' • 0•• • •• SCALE 1:1 Rev. 05/13 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . 0.4375 �+-2-000 0.313 T --- --- T 1.825 I � � 0.875 �-- I I 0.375 � y 1,000 t 1.000 2.000 ISD VIEW SCALE 1;1 1f4'0 ALL DIMENSIONS ARE DECIMAL.INCHES TOLERANCE:0.0301 .. ... . . . . . .. • . . • . • . • . PAC-150 PANEL CLIP . .. . . . . ... . .. ... .. . . . .. PAC CONTRACTORSSPECIFY GAUGE: A S Sb It I A T• 1 11 #4 SPECIFY MATERIAL: • ' '•• ' on SCALE I., Rev. 05d13 • • • • • • • • • • • •• •• • 0 • •• •• - ... NA � . HIGH VELOCITY HURRICANE ZONES SECTION 0,� REQUIRED OWNERS NOTIFICATION N FOR ROOFING 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 govem 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 between the owner and the contractor. 2. Renaflin wood g decks:When replacing p m roofing,the existing 9 9. ng 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 rem ving 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 owners uld notify the occupants of adjacent units of roofing to be performed. 4. --A-1 Exposed Ceiling: Exposed,open beam ceilings are where the underside of the roofdpcking can be viewed from below. The owner may wish to maintain the architectural appearpnce;therefote,rppting nail..... penetration of the underside of the decking may not be acceptable.This providet.tb2 option of maintaining the •; appearance. . 0, 5. Ponding water:The current roof system and/or deck of the building fN riot dra&"gend m�•.. • cause water to pond (accumulate) in low-lying areas of the roof. Pounding can b " i ication f st cturalI..... distress and may require the review of a professional structural engineer. Poun g.�(l�� 9 N • 9 dlggp,�y short>'atllQtife ...... expectancy and performance of the new roofing system. Pounding conditions may fl®ore evident antil the •, original roofing system is removed. Pounding conditions should be corrected. •••••• ....% . 6• Overflow scuppers(wall outlets): It is required that rainwater flows olf so that t4e�gipfis 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 accord nce with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to ve airflow through the interior of the structure assembly(the building itself). The existing am of attic ve ilation shall not be reduced. It may be beneficial to consider additional venting which n result in a ding the service life of the roof. wv s2� Owner/Agent's Signature D e Cont r Si ure Date Revised on 7/9/2009 LD S�oRiES Miami SVillage Building Department 10050 N.E.2nd Avenue LORIDp' 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: Da— O 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: Roofing Permit Number: Dear Building Official: 1 A?,PWW -'?&— certify that I am not required to retrofit the roof to wall connections of my buil ing because: 0.00 he just valuation for the structure for purpose of ad valorem taxation is less than$300$W;6. Plea- proof Otad .. . ...... valorem taxation. 0 0 0 6 0 000 ...... ❑ The building was constructed in compliance with the provisions of the Florida Building Code( or wl{ BC) h the prtivi3itmS of 1994 edition of the South Florida Building Code (1994 SFBC) 0`6.0• 0 ..... I • • s Q�?ti .��.,�1 �� 0000•• Signature Print Name 0.00 State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me thi 41 Notary Public-state of Florida * * ' s Jul 26,2015 Notary Public, Sate of Florida at Large ion#EE 81546 • When the just valuation of the structure pu 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 build' plication from a General contractor for the Roof to wall connection Hurricane Mitigation.