RR-15-95 2� 63I 2�1� IYl ld l l l l JI IU1 CJ V I I IdgC
BuildingDepartment
FEB 10 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 i
INS BER:(305)762-4949lima V IN
R " E M
FBC 20
BUILDING EE 10 W P4 ter Permit No.
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC M ROOFING FEJ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1017 NE 95 STREET
Com: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):EDWARD MILLER Phone#:305-807-4045
Address: 1017 NE 95 STREET
MIAMI SHORES FL
City: State Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: CITY ROOFING Phone#: 305-248-2994
Address:
22700 SW 172 COURT
MIAMI FL 33170
City: State: Zip:
Qualifier Name:
MARIO FAMADA Phone#: 305-248-2994
State Certification or Registration#: CCC1327381 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$12'150 Square/Linear Footage of Work: 2700
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
RE-ROOF OF FLAT ROOF //��
Description of Work: /`2- C77� , L
j�-I
Specify color of color thru tile:
Submittal Fee$ Permit Fee • 00— CCF$ CO/CC$
Scanning Fee$ !R ' w Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUES
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 the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNERorAGENT CONT CTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
9"r" day of I'r"a' 20 1-:;, by ell r" day of ff�& 20 iS by
V-DwA0--C> mN1-A-C-W- who is personally known to t-A4"dAc F 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:
Sign Sign
Print: 1 tS Print:
Seal: .�`°` N. IVIS REY Seal: a�"YA6k
MY COMMISSION#FF147325 IVIS REY
c4 EXPIRES:August 03,2018 Q MY COMMISSION N FF147325
°Ff` OF EXPIRES:August 03,2018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
NliaPni Shorf's Vil?a,e
APPROVED
ROOF ASSEMBLIES ANI RFT ' S10N ] BY DATE
ZONING DEPT
DLDO DEPT
Florida Building Code Edition 20'10 S 1 Z Ij
U[3JECT TO COMPLIANCE WITH ALL FEDERAL
High-Verity Hurricane Zone Uniform PermitAppiicatlon�prm. AND C
Section A(General Information) OI�NTY RULES AND REG11LATIONg
Master Permit No. Process No.
Contractor's Name ��
Job Address--%0 1-1 h-� cis Zx. 3
' Bf4
• •• RO+JF CdTEG�RY
• F F
••• • • ••
Lft Sloo ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tilco
4
•
E3 Ashaltic• ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
• Sh�Q1U*
•••••
*000 •••••• ❑Prescriptive BUR-RAS 150
•
.6666 • 6666
6.099• • • ROOF TYPE —
• • •
6666•
••••• Q•Nei Roof..:. PUReroofing ❑ Recovering ❑ Repair o Maintenance FEB 1 O ��15
• .
• • •• • •• ROOF SYSTEM
1*9004 •••• '•' i INFORMATION
0006 —
Low Slope Roof Area(SF) Steep Sloped Roof Area(SF) Total(SF)
Z-100 $ 104 (Roof Plan)
Sketch Roof Pian: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
Para".
IID
5
20tt,�
15.32 FLORIDA BUILDING CODE—BUILDING
Para~NWIable Deck
Miaml-Dade County Building Department Electronic Application
®AM� vn High Velocity Hurricane Zone Roofing Permit Application Form
Delivering Excellence Every Day"
Ilustrate Components Noted and Details as Applicable:
Voodblocking, Gutter, Edge Terminations/Stripping/Flashing, Continuous Cleat, Cant Strip, Base Flashing,
:ounterflashing, Coping, Etc.
ridicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness,
Iastener Type, Fastener Spacing
)r: Submit Manufacturers Details that Comply with RAS-111 and Chapter 16.
. .. Concrete wall
-
••• . .e: Elastomeric sealant tooled
•••••• _ to facilitate water run-off
• •••• =;m- •••• ••= Outional:comaressibie
• •• •••••• i••i•e
Elastomeric sealant
41 Goss *000
• •-:- Metal counterflashing mach.
�J `- :••••• e attached 8"o/c w!washer Parapet wall height: Q ft.
s°
-` .a �' B • - 0.t—• 000000
!• •The _ Seal top of base flashingw!
Roof Mean Height. 20 ft
-R'��, a ••• 0_®_- "_'comptable material
0000
Base Flashing:
Termination bar mech. GAF RUBEROID
__=attached 6"o/c
- - Surfacing:
Field plies turned up wall GRANUELS
Top Ply:
Base flashing min. 1 PLY GAF 170FR
17'above finished roof Inter Ply Sheet:
1 PLY RUBEROID#20
'� ,y:- Base Sheet:
�� ' 4Top Ply �N>E -pees
1 PLY GAF#75 BASE SHEET
•�, ?°'' 4``°",:; ` -Bt7S@ Sheet
Roof Deck Type:
Roof Deck WOOD
THIS INSTRUMENT PREPARED BY AND RETURN TO:
MARTIN 1.BODZIN,ESQ.
TRANS-STATE TITLE INSURANCE AGENCY,LLC
18205 BISCAYNE BLVD.,SUITE 2201
AVENTURA,FLORIDA 33160
Property Appraisers Parcel Identification(Folio)Number:1 1-3206.014-35M
SPACE:ABOVE THIS LINE FOR RECORDING DATA
WARRANT'DEED
THIS WARRANTY DEED,made the day of December,2014 by PAUL D.SCHMITZ alta PAUL DARYL
SCHMIT,a married man,whose post office address is:
, herein called the Grantor, to
MPS INVESTORS LLC, a Florida Limited Liability company, whose post office address is 9840 NE 2ND
AVENUE,MIAMI SHORES,FL 33138,hereinafter called the Grantee:
(lPherever used herein the terms "Grantor"and"Grantee"include all the parties to this instrument and the heirs, legal
representatives and assigns of individuals,and the successors and assigns of corporations)
W I T N E S S E T H:That the Grantor, for and in consideration of the sum of TEN AND 00/100'S($10.00)
Dollars and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,
aliens, remises, releases, conveys and confirms unto the Grantee all that certain land situate in MIAMI-DADE
County,State of Florida,viz.:
Lot 19, and the East one-half(1/2) of Lot 18, Block 81, of MIAMI SHORES SECTION THREE,
according to the Plat thereof,recorded in Plat Book 10,Page 37,of the Public Records of Miami-Dade
County,Florida.
THE ABOVE-DESCRIBED PROPERTY IS NOT THE HOMESTEAD OF THE GRANTOR OR HIS
SPOUSE,NOR IS THE SAME CONTIGUOUS THERETO.AT ALL TIMES MATERIAL HERETO,
THE GRANTOR HAS RESIDED AT 8105 SW 206714 TERRACE,CUTLER BAY,FLORIDA 33189
Subject to easements, restrictions and reservations of record and taxes for the year 2014 and
thereafter.
TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD,the same in fee simple forever.
AND,the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple;
that the Grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above
written.
Signed, ded and delivered in the presence of:
Wimess,,LSign ure PAUL b.SCHMITZ aka PKUL DARYL SCHMIT
Witn�Printe N e`-
ds
Witness#2 Signature
'VN6t JT'I)I,&tM&
Witness#2 Printed Name
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this day of December, 2014, by PAUL D.
S Z aka PAUL DARYL SCHMIT, who is personally known to me or has produced
I/("--, as identification.
SEAL
Notary Public
Printed Notary Name
My Commission Expires:
P,,.._•,,�,� FAREEZA JUMAN
MY COMMISSION#FF1o017a
File No.:126-298M 'ZaRo�os EXPIRES April 8,2018
(x0/1708-P167 FiortaallolarySmvica.com
4
NON-FOREIGN CERTIFICATION BY TRANSFEROR
I. Section 1445 of the Internal Revenue Code provides that a transferee of a United States real property interest
must withhold tax if the transferor is a foreign person.
2. In order to inform the transferee that withholding of tax is not required, upon the disposition by PAUL D.
SCHMITZ aka PAUL DARYL SCHMIT of the United States real property located in MIAMI-DADE
County,Florida and described as follows:
Lot 19,and the East one-half(1/2) of Lot 18,Block 81,of MIAMI SHORES SECTION THREE,
according to the Plat thereof, recorded in Plat Book 10, Page 37,of the Public Records of Miami-
Dade County,Florida.
The undersigned transferor certifies and declares by means of this certification the following:
a. Transferor is not a non-resident alien for purposes of United States income taxation,and
b. Transferor's United States taxpayer identification number is:
NAME SOCIAL SECURITY NUMBER
PAUL D.SCHMITZ alta PAUL DARYL SCHMIT 3 rS S/
c. Transferor's Home or Office Address is: Sri0s- SW �Li(� Jeff. L✓�I tr��,�L 33
d. There are no other persons who have an ownership interest in the above described property other than
Transferor.
3. The undersigned hereby certifies and declares:
a. Transferor understands that the purchaser of the above described property intends to rely on the
foregoing representations in connection with the United States Foreign Investment in Real Property Tax
Act(94 Statute 2682 as amended).
b. Transferor understands this certification may be disclosed to the Internal Revenue Service by transferee
and that any false statement contained in this certification may be punished by fine,imprisonment or
both.
Under penalties of perjury,the undersigned declares that he/she has examined carefully this certification and it is
true,correct and complete.
Dated this day of December,2014.
PAUJJ D.SCHMITZ aliaffWL DARYL SCHMIT
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
Sworn and subscribed before me this day of December,2014 y AUL D. SCHMITZ aka PAUL
DARYL SCHMIT, who is known to me or who has produced �� _ fist s.'- as
identification.
My Commission Expires: Notary Public
Printed Notary Name
File No.: 126-298M
FAREEZA JUMAN
i Je MY COMMISSION#FF100176
EXPIRES April 8,2018
1407)W84)1E9 MindallotarySorvicr..ta,m
File No.:126-298M
AFFIDAVIT
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
BEFORE ME, the undersigned authority, duly authorized to administer oaths and take
acknowledgments,personally appeared this day,PAUL D.SCHMITZ aka PAUL DARYL SCHMIT,
who,after being duly sworn,deposes and says as follows,with respect to the following property:
Lot 19, and the East one-half(1/2) of Lot 18, Block 81, of MIAMI SHORES SECTION
THREE, according to the Plat thereof, recorded in Plat Book 10, Page 37, of the Public
Records of Miami-Dade County,Florida.
1. That the Affiant has personal knowledge of all matters set forth herein,warranting the accuracy of
same and is(will be)the fee simple title holder of the above described real property.
2. That there are no unresolved contractual disputes,outstanding contracts for the sale of the property,
unrecorded deeds,mortgages,easements,leases,options or other conveyances which could affect title
to the property.
3. That there are no liens,encumbrances,mortgages,claims,demands or security interests in or against
the property or any appliances, fixtures or equipment installed or affixed to the property; and that
there are no unpaid taxes,municipal liens, levies,assessments, special assessments, paving liens or
utility liens against the property(other than real estate taxes for the current year).
4. The there are no improvements and/or repairs or contracts for improvements and/or repairs made
upon the property within the past ninety(90) days for which there remain any outstanding and/or
unpaid bills for labor,materials,supplies,or services for which a lien or liens have or could attach to
the property.
5. There are no matters pending against the Affiant which could give rise to a lien that could attach to
the property during the period of time between the effective date of the title insurance commitment
and the time of recording of the deed of conveyance;and that the Affiant has not and will not execute
any instrument that would adversely affect the title to the property from the effective date of the title
insurance commitment through the date of recording the deed of conveyance.
6. There are no actions, proceedings,judgments, claims, disputes, demands or other matters pending
against Affiant in any State or Federal Court that could attach to the property including but not
limited to tax liens,bankruptcy,receivership or insolvency proceedings.
7. That Affiant is in exclusive,complete and undisputed possession of the property and no other person
or entity has any right to possession of the property,or asserts any claim of title or other interests
which could affect title to the property.
8. That there are no violations of governmental laws,sales tax laws, zoning regulations or ordinances
pertaining to the use of the property, or any violations of any enforceable covenants, restrictions,
declarations, easements or conditions, pertaining to the property, nor do any improvements on the
property violate municipal,subdivision or platted building setback lines.
9. That there are no encroachments of buildings,fences or other improvements onto the property,nor do
any buildings, fences or other improvements located on the property encroach on to any abutting
property,nor are there any disputes concerning the location of the boundary lines of the property.
10. The Affiant knows of no use,past or present,wherein the property has been or is being used for the
handling,storage,transportation,disposal or the production of hazardous and/or toxic materials.
11.That Affiant is under no legal disabilities and is executing this and other closing documents of his or
her own free will,and that the marital status above stated and as shown on the deed of conveyance is
his or her true and correct marital status as of the date of the Affidavit.
12. Affiant understands that the figures set forth on the settlement statement relating to mortgage fees,
payoffs,assumptions,taxes,utilities,rental prorations,maintenance fees,special assessments,and/or
other charges are based on the best information available to TRANS-STATE TITLE INSURANCE
AGENCY, LLC and in the event said figures differ from the actual figures, Affiant agrees to
promptly pay all additional sums rightfully owing by Affiant to said respective parties which are
necessary to fully pay said outstanding balances.
File No.:126.298M
13. Affiant agrees that in consideration of TRANS-STATE TITLE INSURANCE AGENCY, LLC
obtaining and providing the figures,including the tax proration,in the event the actual figures differ
from those used at closing,an adjustment shall be made between the respective parties and in no case
shall TRANS-STATE TITLE INSURANCE AGENCY, LLC be held responsible for any
differences in any amount between those figures used at closing and the actual figures.The Affiant
herein releases, indemnify(ies) and holds harmless TRANS-STATE TITLE INSURANCE
AGENCY, LLC for any such differences, including TRANS-STATE TITLE INSURANCE
AGENCY,LLC's attorneys'fees and court costs,and in no way will hold TRANS-STATE TITLE
INSURANCE AGENCY,LLC liable should Buyer fails and/or refuses to complete any reproration.
14. Affiant consents to, pursuant to Rule 690-186.008(3) of the Florida Administrative Code, and
acknowledges that the funds collected at closing may be placed in an interest bearing account with the
interest accruing to and taxable to TRANS-STATE TITLE INSURANCE AGENCY,LLC.
15. Affiant gives this Affidavit for the express purpose of inducing TRANS-STATE TITLE
INSURANCE AGENCY,LLC to disburse, at the time of closing, the proceeds of sale, mortgage
payoff(s),and/or disbursements made in accordance with any agreements made between the Affiant,
Buyer and/or lender and to cause TRANS-STATE TITLE INSURANCE AGENCY,LLC,agents
for,to insure title to the property and/or mortgage.This Affidavit is made with the full understanding
of the law regarding liability for any misrepresentation herein. As further inducement,the Affiant
agrees to be bound by his or her statements made herein,and should any of these statements be untrue
necessitating any legal action by TRANS-STATE TITLE INSURANCE AGENCY,LLC,Affiant
will indemnify and hold harmless TRANS-STATE TITLE INSURANCE AGENCY,LLC for any
loss and/or damages including attorneys'fees and court costs arising out of said legal action.
Witness Signature PA LD.SCHMITZ 0,kVkCLDARYLSCHMIT
x4a�_
Witness Signature
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was swom to and acknowledged before me this � day of December,2014,by
PAK,N�H ITZ aka PAUL DARYL SCHMIT, who is personally known to me or has produced
as identification,and who did take an oath and
stated that the facts herein are true and correct to the best of affiant's knowlec a and belief.
Printed Name:
Notary Public
My Commission Expires:
t AREEZA JUMAN
g c MY COMMISSION#'FF1ool76
EXPIRES April 8,2018
t<07t X88 o t:ta FlorWallot
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File No.:126.298M
BILL OF SALE,ABSOLUTE
KNOW ALL MEN BY THESE PRESENTS:
Tirat PAUL D.SCHMITZ aka PAUL DARYL SCHMIT,party of the first part,for and in consideration of the
sum of Ten Dollars($10.00),lawful money of the United States,to be paid by MPS INVESTORS LLC,a Florida
Limited Liability company,party of the second part,the receipt whereof is hereby acknowledged, has granted,
bargained,sold,transferred and delivered,and by these presents does grant,bargain,sell,transfer and deliver unto
the parties of the second part,their heirs,successors and assigns,the following good and chattels located at 1017 NE
95TH STREET,MIAMI SHORES,FL 33138:
Ali personal property as described on the contract between the parties hereto
To Have and to Hold the same unto the said parties of the second part,their heirs,successors and assigns forever.
And they do for themselves and their heirs,successors and assigns,covenant to and with the parties of the second
part,their heirs,successors and assigns,that they are the lawful owners of the said goods and chattels;that they are
free from all encumbrances;that they have good right to sell the same aforesaid,and that they will warrant and
defend the sale of the said property,goods and chattels hereby made,unto the said parties of the second part,their
heirs,successors and assigns,against the lawful claims and demands of all persons whomsoever.
f.
In Witness whereof, the parties of the first part have hereunto set their hands and seals this ..7 day of
December,2014.
Signed,sealed and delivered in the presence of us:
Witness#I Signature V PAU�D..SCHMITZ a4RIVAUL DARYL SCHMIT
jqy' -i„I
Witness#1 Print ame
Witness#2 Signatures
)lF—Nt bP?-1
Witness#2 Printed Name
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this J day of December,2014 by PAUL
D. S I ak PAUL DARYL SCHMIT, who [ ] is personally known to me or [/4 produced
Ll )tCLAQ6 —as identification.
SEAL 'L 3.t'
Notary Signature
Printed Notary Signature
My Commission Expires:
0111115
FAREEZAJUMAN
MY COMMISSION SFFfno176�n??fff EXPIRES April 8,2al a
(Ao�}ase•e�sa Ftorynrkterv9mwco.com
File No.:126-298M
This Instrument Prepared By:
MARTIN I. BODZIN, ESQ.
18205 BISCAYNE BOULEVARD #2201
AVENTURA, FLORIDA 33160
305-931-5000
AFFIDAVIT OF NO FLORIDA TAX DUE (DR-312)
STATE OF FLORIDA ]
ss.
COUNTY OF MIAMI-DADE
BEFORE ME, the undersigned, an officer duly authorized to administer oaths,
this date d PAUL D. SCHK.ITZ, who is personally known to me or who has
produced //UA S.— as identification, and who, upon
first being duly sworn by me, deposed upon his oath and stated as follows:
1. That he is the Personal Representative (as defined in section 198.01 or
section 731.201, Florida Statutes, as the case may be), of the Estate of PAUL
L. SCHMITZ.
2. That the Decedent, PAUL L. SCHMITZ, whose social security number ends in
the last four digits , died on April 17, 2014, and was domiciled, as
defined in section 198.015, Florida Statutes, at the time of his death, in the
State of Florida.
3. That on the date of his death, the Decedent was a U.S. citizen.
4. A federal estate tax return (Federal Form 706 or 706-NA) is not required
to be filed for the Estate.
5. The Estate does not owe Florida estate tax pursuant to Chapter 198
Florida Statutes.
6. I acknowledge personal liability for distribution in whole or in part of
any of the Estate by having obtained release of such property from the lien of
the Florida estate tax.
Under penalties of perjury, I declare that I have read this Affidavit and the
fact stated herein are true.
FURTHER AFFIANT SAYETH NOT.
PAUL D. QAPUTZ
Affiant
SWORN T0,P�1D SUBSCRIBED before me
this day of December, 2014.
1-uL Ibme'—
NOTARY PUBLIC, Stote of Florida at Large
My Commission Expires
r?`•'"Y`0�. FAREEZA JUMAN
P MY COMMISSION#FF100176
a' n EXPIRES April 8.2018
(Mfl3MOtM RwUkMplgryllarWae.eom
A F F I D A V I T
STATE OF FLORIDA ]
SS.
COUNTY OF MIAMI-DADE ]
BEFORE ME, the undersigned, an officer duly authorized to administer oaths,
this date appeared PAUL
PAUL DARRYL SCHMITZ, who is personally known to me or who
has produced IdY• )1U-41S,- as identification, and who,
upon first being duly sworn by me, deposed upon his oath and stated as
follows:
1. That he is one and the same person named as Grantor in that certain
Deed recorded in Official Records Book 28718, Page 4831, of the Public
Records of MIAMI-DADE, Florida, which Deed conveyed the following described
premises:
Lot 19, and the East one-half (1/2) of Lot 18, Block 81, of MIAMI SHORES
SECTION THREE, according to the Plat thereof, recorded in Plat Book 10, Page
37, of the Public Records of Miami-Dade County, Florida.
2. That at the time of execution and delivery of the aforementioned
Warranty Deed, the real property described hereinabove and therein was not
the homestead of the said PAUL DARRYL SCHMITZ, nor was the same contiguous
thereto.
3. That at all times material hereto, your Affiant resided at 8105 SW 206th
Terrace, Cutler Bay, Florida 33189.
FURTHER AFFIANTS SAYETH NOT!
AUL DARRYL jPtPftTZ
SWORN TO�ND SUBSCRIBED before me
this //'_J�''�� day of December, 2014.
THIS INSTRUMENT PREPARED BY:
Notary Public, St6le of FLORIDA MARTIN I. BODZIN, ESQ.
18205 BISCAYNE BLVD #2201
My Commission Expires AVENTURA, FLORIDA 33160
(305) 931-5000
N FAREEZA JUMAN
•' 1MY COMMISSION#FF100176
1� f EXPIRES April 8,2018
(AOY)MG 0153 Floriclallolary rAw.com
' SPECIFIC POWER OF ATTORNEY
I, PAUL D. SCHMITZ, being of sound mind and body, hereby appoint and empower
JAMES ]KATZ, as my true and lawful attorney-in-fact, to act for me and in my name
and on my behalf to:
Execute the Settlement Statement and any other documents (other than
the document of conveyance) deemed necessary to effectuate the sale
and purchase of the property commonly described as 1017 NE 95TH
Street, Miami Shores, Florida 33138,
giving and granting unto my said attorney full power and authority to do and
perform all and every act and thing whatsoever requisite and necessary to be done
in and about the premises as fully, to all intents and purposes, as I might or
could do if personally present, hereby ratifying and confirming all that my said
attorney shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have executed this power of attorney on the 31X day
December, 2014.
W't ss PAUL D. SCF�I1Z
Witness
STATE OF FLORIDA ]
ss.
COUNTY OF MIAMI-DADE J
The foregoing instrument was acknowledged before me by PAUL D. SCHMITZ, who is
personally known to me or who has produced F1 -be as
identification and who did/did not take an oath, on this _6A day of December,
2014.
NOTARY PUBLIC, S e of Florida
My Commission Expires:
(Official Seal/Stamp)
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• MY COMMISSION�A./// EXPIRES April 8.2018
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4
Florida Building Coda Edition 2010
High Velocity Hurricane Zone Uniform Permit Application Form
Section C (Low Stoned Roof &p-tem)
Fill In Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet
and ldentq Manufacturer Aftehment
(if a component Is not used,Identify as'NA")
System Manufacturer: Field:—L'oc 0 Lap,#Rows� C� � 'ae
NQA No.: Perimeter:-].IL--ac a lap,#Rows -U— oc
Design Wind Pressures,From RAS 128 or Calculations: Comer:Comer:-IL-oc @ Lap,#Rows t�1�`oc
Prnaxt:'—'_"-Pma :" Pma"S:.�UR � Number of Fasteners Per Immlation
Max.Design Pressure,From the,Speofic Q0. Board /]
System: "' Field: Perimeter CWW A
Deck:
Type. t k) A
illustrate components Noted and
Gauge/Thickness: Details as Applicable:
S": a Woodbiocking. Gutter, Edge Termination,
Stripping, Flashing, Continuous Cleat, Cant
AnchorlBase Sheet&No.of Ply(s):_ Strip, Base Flashing, Counter- Flashing,
Coping,Etc.
Andw/Base Sheet,=-tened8onding Material: Indleate Mean Roof Height, Parapet Height,
F�-+rb Height of Base Flashing, Component Material,
4' n Material Thickness, Fastener Type, Fastener
insulation Base Layer: to Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16.
Base Insulation Size and Thickness: 1 Qi
Base Insulation F r/Bonding Material: t�(# — fob&
IT
a+
V FT
Top Insulation layer: _-- - '
Parapet
Tbp Insulation Size and Thickness: Height
Top Insulation Fnding Material:
[[1111 J
Base Shaet(s)&No.of Ply(s):
Base Shee Ftastener andiMite aI A^� • . Roof . •• ••....
L! $ JJ
• Heigh
0000
Ply Sheet(s)&No.of Ply(s): •
0000••
Ply Sheet Fastener/Sondina Material: •
TOP Y is+� �t� ,� i'7 L 00:00: •• :•0 0000•
To PI : Hop 1 o 7 _ .. .. .. . 000000
•
•00.0• 0
T P Fastener od�in� Material: • • • •
�p iv TYl1fl D • 0000..
0000..
• . •
. . 0000••
Surfacing:
.. .0000
Qwn&s Notification Fonn HVHZ 2010
MIAM4MADEH,,.
a a,,,
• "Delivering Excellence Every Day" SECTION 1524
HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
1524.1 Scope. 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 15 of the Florida Building Code,Building govern the minimum requirements and standards of the
industry for roofmg 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 designated space indicates that the
item has been explained.
1.Aesthetics-workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions.
Aesthetic issues such as color or architectural appearance,that are not part of a zoning code, should be addressed
as part of the agreement between the owner and the contractor.
2.Renalling wood decks: When replacing roofing,the existing wood roof deck may have to be
ren ed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones)of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
3. Common roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs,the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance; therefore,roofing nail
penetrations of the underside of the decking may not be acceptable. The owner provides the option of
maintaining this appearance.
j 5.Ponding water: The current roof system and/or deck of the building may not drain well and may
cause water to pond(accumulate)in low-lying areas of the roof. 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 original
roofing system is removed. Ponding conditions should be corrected.
4l 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter/edge walls or other roof extensions may block dW discharge if
. .. ..
overflow scuppers (wall outlets) are not provided. It may be necessary to install oveJA,scupper§*.... in accor.c�.ance
with the requirements of. Chapter 15 and 16 herein and the Florida Building Code,Pi xrnbing• ••••:•
tom' .� ......
7,Ventilation: Most roof structures should have some ability to vent na ovu• the •
interior of the sh actural assembly (the building itself). The existing amount of attiq vj jglatioi;sW,. not Be 0•
reduced. Exception: Attic spaces, designed by a Florida-licensed engineer or regiOer4d archhad th elirnitlatA
.
the attic venting,venting shall not be required. ...... 0 0
Date: . '� J :....0Owners/Agent's Signature; C /
Contractor's Signature: Permit Number: 0•
Property Address: /b R N6 7 S Stra r
� m8'
.. ... . . . . . .. ;vacs .
MIAMa E= MIAMI-DADS COUNTY
e £ PRODUCT CONTROL SECTION
11805 SW 26 Street,Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474
BOARD AND CODE ADMINISTRATION DMSION T(786)315-2590 F(786)31525-99
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/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: : GAF Ruberoid®Modified Bitumen Roof System for Wood Decks
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and
following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in
the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any
product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA. •4600 9
• . •9.9 .•....
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade Countf,•Flolida, "JiMowed •,
by the expiration date may be displayed in advertising literature. If any portion of th*6 N��is displayed, then
it shall be done in its entirety. V000:
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors":
0!0• !
and shall be available for inspection at the job site at the request of the Building Offic0 • •• !•!
iao0:•0 0••!•: •9•9•.9•
This NOA renews and revises NOA No. 13-0424.14 and consists of pages 1 through 2� •:•: - •0
2:P.
The submitted documentation was reviewed by Jorge L.Acebo. ' :•9•:• 4646"
• 9 •0900!
•• . 0 099 • •
•0 9
NOA No.: 14-0611.01
MIAM4DADE COUNTY Expiration Date: 11/06/15
•• 6 Approval Date: 11/06/14
Page 1 of 29
Membrane Type: SBS/SBS Cold Applied
Deck Type 1: Wood,Non-insulated
Deck Description: 19/32"or greater plywood or wood plank decks
System Type E(1): Base sheet mechanically fastened to roof deck.
All General and System Limitations shall apply.
Fire Barrier: FireOut""Fire Barrier Coating,VersaShielde Fire-Resistant Roof Deck
(optional) Protection or SecurocV Gypsum-Fiber Roof Board.
Base sheet: GAFGLAS®#80 Ultima"Base Sheet,GAFGLAS®Stratavene Eliminator
Nailable Venting Base Sheet,Ruberoid®20,Ruberoid®SBS Heat-Weld"'Smooth
or Ruberoid®SBS Heat-Weld'25 base sheet mechanically fastened to deck as
described below:
Fastening GAFGLAS®Ply 4,GAFGLAS®FlexPly"°6,GAFGLAS®#75 Base Sheet or any
Options: of above base sheets attached to deck with approved annular ring shank nails and
tin caps at a fastener spacing of 9"o.c.at the lap staggered and in two rows 12"
o.c. in the field.
(Maximum Design Pressure—45 psf.See General Limitation#7)
GAFGLAS®Ply 4,GAFGLAS®FlexPly""6,GAFGLAS®#75 Base Sheet or any
of above base sheets attached to deck with Drill-Tec'.#12 Fastener,Drill-Tec"'
#14 Fastener or Drill-Tec"'XHD Fastener and Drill-Tec"m 3"Steel Plate,Drill-
Tec"m AccuTrace Flat Plate or Drill-Tec"m AccuTrac®Recessed Plate installed 12"
o.c. in 3 rows. One row is in the 2"side lap. The other rows are equally spaced
approximately 12"o.c. in the field of the sheet.
0000
(Maximum Design Pressure—45neral Limitation#7).GAFGLAS®FlexPly"'6, FGLe Sh�al
A�and
•dfab;ve bar§h�s .00000
attached to deck with approvei ca at afastener
spacing of 9" o.c.at the 4"lap staggered and in two rows 9" o.c in The field. ' :0099:
0990 . . 9 9
(Maximum Design Pressure—52.5 psf.See General Limitattg4#0 ••••••
9000.
GAFGLAS®#80 Ultima"`Base Sheet,Ruberoid®20,Ruberold:R�Ap Smad ll;0
base sheet attached to deck with approved annular ring shanl�j§jj end tin caps at •
a fastener spacing of 9"o.c.at the 4"lap staggered and in twO roWs:9"o.c„in the •
0000..
.99999
field.
(Maximum Design Pressure—60 psf.See General Limitation#�) • ••9 0• •
GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with
Drill-Tec"'#12 Fastener,Drill-Tec"m#14 Fastener or Drill-Tec"XHD Fastener
and Drill-Tec"m 3"Steel Plate,Drill-Tec"AccuTrace Flat Plate or Drill-Tec"'
AccuTrace Recessed Plate installed 12"o.c. in 4 rows. One row is in the 2"side
lap. The other rows are equally spaced approximately 9"o.c. in the field of the
sheet.
(Maximum Design Pressure—60 psf.See General Limitation#7)
Any of above base sheets attached to deck approved annular ring shank nails and
3"inverted Drill-Tec"'insulation plates at a fastener spacing of 9"o.c.at the 4"
lap staggered in two rows 9" in the field.
(Maximum Design Pressure—60 psf.See General Limitation#7)
NOA No.: 14-0611.01
MAMMADE COUNTY Expiration Date: 11/06/15
• • Approval Date: 11/06/14
Page 25 of 29
Fastening GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with
Options: Drill-Tec'•'#12 Fastener,Drill-Tec'.'#14 Fastener or Drill-Tec'.'XHD Fastener
(Continued) and Drill-TecTm 3"Steel Plate,Drill-Tec"AccuTrace Flat Plate or Drill-Tec'"`
AccuTrace Recessed Plate installed 8"o.c.in 4 rows. One row is in the 2"side
lap. The other rows are equally spaced approximately 9"o.c. in the field of the
sheet.
(Maximum Design Pressure—75psf.See General Limitation#7)
Ply Sheet: (Optional)One or more plies GAFGLAS®Ply 4,GAFGLAS®F1exPlyT.6,
GAFGLAS®#80 Ultima Base Sheet,Ruberoid®Mop Smooth or Ruberoid®20
sheet adhered in a full mopping of approved asphalt applied within the EVT range
and at a rate of 20-40 lbs./sq.
Membrane: One or more plies of Ruberoid®Mop Smooth,Ruberoid® Qn 170 F .Ruberoid®
Mop Granule,RoofMatch""SBS Modified Granular,Ruberoie Mop Plus Granule,
Ruberoid820,Ruberoid630,Ruberoie EnergyCap 30 FR SBS Membrane,
Ruberoid®30 FR or Ruberoid®Mop FR in adhered in a full mopping of approved
asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.
Or
One or more plies of Ruberoid®Mop ® o Granulie
RoofMatch'm SBS Modified Granul Ruberoid op 170 FR, uberod®Mop
Plus Granule,Ruberoie 20,Ruberoid 30 beroi nergyCap'�30 FR SBS
Membrane,Ruberoid®30 FR or Ruber d®Mop FR adhered in MatrixTm 102 SBS
Membrane Adhesive at an application rate of 1-2 gal./sq.
Surfacing: Optional on granular surfaced membranes; required for smooth membranes.
Chosen components must be applied according to manufacturer's application
instructions. All coatings must be listed within a current NOA. *00000
00
.... ......
1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq.respectively in a ffooXc&t of approved .•
asphalt at 601bs./sq. ••• •
...... . ......
2. GAFGLAS®Mineral Surfaced Cap Sheet or GAFGLAS®EnergyCap"m 3U4 Mineral ;••0 0;
Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied` ttliin th$E.V.Z. .
range and at a rate of 20-40 lbs./sq. 0 00000
3. Topcoat®Elastomeric Roofing Membrane;Topcoat®MB Plus(to be uszi a0 0•primer 0 000 0 00
••••
00
Topcoat®Elastomeric Roofing Membrane)or Topcoat®Surface Seal S13.Vplied at 1 to 1.5 '00
gal./sq. . . . . ......
. . :0006:
Maximum Design .. . . ... 0 .
Pressure: See Fastening Options •..•
NOA No.: 14-0611.01
MIAMFDADECOUNTY Expiration Date: 11/06/15
• Approval Date: 11/06/14
Page 26 of 29
WOOD DECK SYSTEM LIMITATIONS:
I A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS® F1exPly' 6 when used as a
mechanically fastened base or anchor sheet.
2. Minimum '/o" DensDeck® Roof Board or %Z" Type X gypsum board is acceptable to be installed
directly over the wood deck.
GENERAL 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. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with
Product Control Approval guidelines. All other layers shall be adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically
attached using the fastening pattern of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved
asphalt,panel size shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped.If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 12" diameter circles,24" o.c.;or strip
mopped 8" ribbons in three rows,one at each side lap and one down the center of the sheet allowing
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6"break shall be
placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall
be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum
design pressure of-45 psf.
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F')value of
2751bf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,
as field-tested,are below 275 lbf. insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment 44fted
on a minimum fastener resistance value in conjunction with the maximum design value listed Within ••••;•
a specific system. Should the fastener resistance be less than that required,as determined by the%
fl•44•
Building Official,a revised fastenerspacing,pre ared,signed and sealed by a F1W34q Registerqd
Engineer,Architect,or Registered Roof Consultant may be submitted. Said reviseilfastener sparring ;••••;
shall utilize the withdrawal resistance value taken from Testing Application Staadaads TAS:fQS and .....
calculations in compliance with Roofing Application Standard RAS 117. •••••• • :9:
•••••
7. Perimeter and corner areas shall comply with the enhanced uplift pressure regMethEnts of tl el;e • sees**
areas. Fastener densities shall be increased for both insulation and base sheet as c fMiated in '.
compliance with Roofing Application Standard RAS 117.Calculations prepared,signed and isealed •
by a Florida registered Professional Engineer,Registered Architect,or Registefed R*f Con$ul ;••••;
(When this limitation is specifically referred within this NOA,General Limitation#9 Wali not
be applicable.)
8. All attachment and sizing of perimeter nailers,metal profile,and/or flashing termination designs
shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements.
9. The maximum designed pressure limitation listed 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).
(When this limitation is specifically referred within this NOA,General Limitation#7 will not
be applicable.)
10. 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.
END OF THIS ACCEPTANCE
NOA No.: 14-0611.01
MIAMMADECOUNW Expiration Date: 11/06/15
Approval Date: 11/06/14
Page 29 of 29
MODIFIED BITUMEN MEAUIRANE ROOFING SYSTEMS
Unless Otherwise indicated phen0lic insulation
y be used in any of the following systems.
Unless otherwise indicated any of the following 5 ingle Ply Membrane Systems may utilize
multiple layers of RuberoidS Membrane.
"GAF Premium Aluminum Roof Coating" may be used on any of the following Classifications
with inclines not exceeding %:-in.
GAF Weather Coat Emulsion"may be used on any of the following noncombustible
Classifications with inclines not exceeding%:-in.
"Ruberoidt Modified Bitumen Adhesive"or Mot sey Corp. "MBA Gold"or Karnak"No.81"
adhesives may be used in any of the following nor combustible deck Classifications.
Tropical Asphalt "No. 711 AF" adhesive may be used in any of the following Classifications.
"GAFGLASOD#$0 UltimaTM Base Sheet"may be in any of the following systems.
(Optional)Noncombustible deck classifications are applicable for use over combustible(1 X32•to.
in.minimum plywood)decks when la-in. (minim )gypsum board or ''V4-in. (&ini&=) •'•• ••••••
Georgia-Pacific Gypsum LLC "DensDeck®Roo nerd"or"DensDeckOD Primp I�� boards tyr•:• 0 0 0 0:.
"DensDeck®DuraGuard Roofboard or United tates Gypsum Co. "SECUjQZ(;j Roof .
Board"(Type FRX-G)or "SECUROCK(O Glass-Mat Roof Board" (Type SGM X).are used :••••:
directly over the deck with all joints staggered 6-in (minimum) from plywood j®ilrlts'/,in.�tbick0 •••••
(minimum)"SECUR.00KOD Roof Board"(Type F -G)and "SECUROCK0,Ql0B�iat Rdo#:•: ••'••
Board"(Type SGMRX)are limited to a maximum 3:12 slope when used over a combustible'
deck in a system with any UL Classified insulation exee t of ���/}ene. •41 9.0• •
P Y-'J' : 0 0000:.
0000..
vapor barrier may be optionally installed under i systems utilizing any "Ene'rs;aardTm.% ••• :••••
insulation. "EnergyGuardTm Perlite" may be used an option over an. Ener Guard 9
P Y gJ' T�" '
insulation. "GAFGLAS®StrataventO Perforated B ase Sheet"may be utilized as an additional
ply in any of the following systems.
The following membranes may be used interchangeably within their own group:
A. "Ruberoid®Torch Granule"or"Ruberoid®Ta h 180"or"ROOFMatchTm APP Modified
Granular"or"Tri-Ply®TP-4G".
B. "Ruberoid®Mop Smooth"or "Ruberoid®Mop mooth 1.5" or"Ruberoid®Mop Smooth
Plus"or"RuberoidOD Dual Smooth".
C. "Ruberoidt Mop Granule" or "Intec Ilex PRF" or"ROOFMatehTm SBS Modified Granular"
or"Tri-Ply®SBS Modified Bitumen Membrane".
D. "RuberoidW Mop 170 FR"or"Ruberoid(V Dual FR"or"Ruberoidt EnergyCap Dual FR".
E. "Rultroidt 30"or"Ruberoid®30 FR"or"R roidqD EnergyCapxU SBS 30 FR"'.
F. "Ruberoid®20"or"Ruberoidt SBS Heat Wed 25".
G. "Rubtroidt SBS Heat Weld 170 FR"or"Rubanift EnergyCapTm SBS Heat Weld Plus FR"
or"Ruberoift SBS Heat Weld Plus FR"or"Rubzoide SBS Heat Weld Granule"or
"Ruberoidt SBS Heat Weld Plus".
H. "Ruberoidt Torch Smooth" or "Tri-PlyQD TP_
I. "Ruberoidt®EnergyCapTm Torch Granule FR"c r"Ruberoid®EnergyCapTM Torch Plus FR".
J. "Ruberoid®Mop FR" or"Ruberoid®EnergyCi pTM Mop Plus FR".
Unless otherwise indicated, the Modified Bitumen(Granule)membrane may be surfaced with
"TOPCOATO Firjeshield MB" at 2Y2-gal.to 3-gal. I00-ft
3.z,and the incline of the resultan
system would be increased to a'/-in. incline. But i the of the Classified system is greater
e i
than a%-in. incline, the incline of the roofing syst m would be maintained when surfaced with
"FireSh eld®MB"at 2Y:-gal. to 3-gal./100-ft.z.
Unless otherwise indicated "Ruberoift Energycal ITm SBS 30 FR" is an acceptable alternate for
"Ruberoid®30 FR" or "Ruberoidt Mop 170 FR" r"Ruberoid4D Dual FR" in any applicable
Classification.
•
Class A-Fully hared ••• •••• ••••�•
..
11. Deck: C-15/32 •••••• ••••••
Incline: 1/2 •
Barrier Board (Optional): —One or more layers Georgia-Pacific Gyps�m*,LC �•••�• �•••••
"DensDeck®Roofboard" or "DensDeck®P 'me Roofboard"or"Densl4a
DumGuardTm Roofboard",minimum Y.-in. C iick,or United States Gypsuf Go•. '..'•: ......
"SECUROCK®Roof Board"(Type FRX-G or"SECUROCK®Glass-�e�Rpof Board+' •;
(Type SGMRX), minimum Y.-in. thick. ,.....
Insulation (Optional): —Perlite or fiber gh ss or POlyisocyanurate or tk t•haue• or '••••• • •
perlite/pnlyisocyanurate composite, butt join offset a minimum of 6-in.from I ••••••
deck joints. P Yt'�'4
Base Sheet: —One or more plies Type 02 " AFGLASID#75 Base Shot" or"Tri-Ply®
#75 Base Sheet" or "GAFGLAS®#80 Ultim T�4$ase$h ��or "G AS(?
StrataventOD EliminatorTM Venting Base Sheet(Perforated or Nailable)"or Type G3
"GAFGLASO Mineral Surfaced Cap Sheet"(rTri-Ply(g)Mineral Surfaced Cap Sheet",
mechanically fastened or fully adhered with Eot roofing asphalt.
Ply Sheet(Optional): One or more plies ype GI "GAFGLASOD Ply 4" or"Tri-PIyQD
Ply 4"or"GAFGLASO1 Flex Ply 6"or"Tri-P
A Ultra-Flexible Ply 6", fully adhered
with hot roofing asphalt.
Membrane: —One ply "RuberoidO Torch Smooth"or"Tri-Ply®TP-4",torch applied
or"Ruberoid®Mop Smooth" or"RuberoidID 4op Smooth 1.5" or"Ruberoid4D Mop
Smooth Plus" or "RuberoidO Dual Smooth", lUfly adhered with hot roofing asphalt.
Membrane:— "Ruberoidg
E Y adhep Dual FR"or Mo 170 FR"or"R mid
FR"or"Ruf�oidgD
red with hot roofing asPhwt alp FR"or"Ruberaidt EnergyCap m M "
QP FR ,
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�oRFs
Miami shores Village
logo p... Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-
BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: i15
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: d(k ul
Property Address:
Roofing Permit Number:
Dear Building Official: I
I e i i � �t ��.� certify that I am not required to retrofit the roof to wall connections of my
building because:
C)The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad
valorem taxation.
o The building was constructed in compliance with the provisions of the Florida Building Code(FBC) or with the provisions
of 1994 edition of the South Florida Building Code(1994 SFBC)
7
��-Iod d� ,fiLl \�
o
ignature Print Name
State of Florida
County of Dade
The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this f� day of Ja n Q CPO rJ
g ,,�-,Ja nosa
PN, cquekeEspi
Notary Public, Sate of Florida at Large `CMM1W=#FF070372
.zNW-113,2017 WWWJCLONNOTay....
• When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994
SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
Revised on 5/21/2009
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
A
CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1396
1940 NORTH MONROE STREET
TALLAHASSEE EL 32399-0783
'r�.y I«F�pT ROOFING INC
22700 Y Y 172 b L/@ �ya�� p�
MIAMI F .�33 70
Congratuistionst With this kanse you become one of the neady
one million Floridians licensed by the Department of Business and �£
Professional regulation, Cour protessionais and businesses range
from architects to ya+cM brokenr,from boxers to bartmque restaurants, �
and they keep Florida's ectorit strong.
Every day we work to i ve the array we do business in oto to
Serve you better. For m about our services, la0gonto
myflor tt om. There you can more information a
about our divisions and the regulations that impact you,subscribe
to depadment newslethn arW learn more about ft Departmeds M
x r
initiatives.
Our mission at the Department is:License Efficiently,Re
guiate Faitiy
We constant�ty sttrive to sews you sothat you can yc�tr
customers Thank you four doing bu in Floridan i ro Y
and on your new acensel
¢i 4¢4y''y'�^�• GOVERNOR
DETACH HERE KEN
c ¢AWSyyN SECRETARY CR ^gyp yyyC
'- µ,n.. "� •- „�� ,�. as w, "
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Vftip
a✓ mow.., �� _ �' ,�" ^�� '�"p _g '� � ,:� .3�' �/ $ �� 8'!� .��\,
iSSUW.. 070=14 DISPLAY AS REQUIRED BYLAW SEO# 1.14070
p$� e
�:- � -+ x � �.^ <'�,� o y,H• •� a.� "i ,sem;.^ a �� t..-�-�=;�.
� ,x' �'�' �,, <s w.3 r ` i=3 :::-� mr-:. �' b esc w u 6s''=- s`� � :%-xh-4 '� t '•�,".°'
r � xi
-n.: sf - ,fix^:,.,�?, '� �• i'.a r•sf ,.•.�;. � -
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CANN
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TAX,,s' x ��� rrsr� � ,*�,�.. � �x rt � ":a � r �- ice,-a- �°,•
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swr
CERTIFICATE OF LIABILITY INSURANCE Date
1/14/2015
Producer: Plymouth Insurance Agency This Certificate Is Rued as a matter of information only and confers no
2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend
Holiday, FL 34691 or alter the coverage afforded by the policies below.
(727) 938-5562 Insurers Affording Coverage NAIC#
Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075
2739 U.S. Highway 19 N. Insurer B:
Holiday, FL 34691 Insurer C:
Insurer D:
Insurer E:
Coverages
The policies of insurance listed below have been issued to the Insured namedabove 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.
INSR ADDL Policy Effective Policy Expiration
LTR INSRD Type of Insurance Policy Number Date Date Limits
GENERAL LIABILITY (MM/DD/YY) (MM/DD/YY)
Commercial General Liability Each Occurrence
Claims MadeOccur Damage to rented premises(EA
occurrence) $
Med Exp
General aggregate limit applies per: Personal Adv Injury
Policy ❑Project 0 LOC General Aggregate
Products-Comp/Op Agg
AUTOMOBILE LIABILITY Combined Single Limit
Any Auto (EA Accident)
All Owned Autos Bodily Injury
Scheduled Autos (Per Person)
Hired Autos
Bodily Injury
Non-Owned Autos (Per Accident)
Property Damage
(Per Accident)
EXCESS/UMBRELLA LIABILITY Each Occurrence
Occur Claims Made Aggregate
Deductible
A Workers Compensation and WC 71949 01/01/2015 01/01/2016 X we statu- OTH-
Employers'Liability to Limits ER
Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000
excluded? NO
If Yes,describe under special provisions below.
E.L.Disease-Ea Employee $1,000,000
E.L.Disease-Policy Limits $1,000,000
Other Lion Insurance Company is A.M.Best Company rated A-(Excellent). AMB#12616
Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions:
Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company":Client ID: 36-65-190
City Roofing and Construction Inc.
Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL.
Coverage does not apply to statutory employee(s)or independent contractor(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:
MARIO FAMADA(LICENSE CGC1509365&CCC1327381)AS QUALIFIER /ISSUE 01-08-15(MT)REISSUE 01-09-15(EP)REISSUE 01-12-15(MT)/REISSUE 01-1415
(TLD)
CERTIFICATE HOLDERIn Date 1/24/2013
CANCELLATION RL�
CITY OF MIAMI SHORES VILLAGE 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
10050 NE 2ND AVE do so shall impose no obligation or liability of any Idnd upon the insurer,its agents or representatives.
MIAMI SHORES, FL 33138 �� '
Detail by Entity Name Page 1 of 2
Detail by Entity Name
Florida Limited Liability Company
MIAMI PROPERTY SOLUTIONS, LLC
Filing Information
Document Number L09000016233
FEI/EIN Number 264298588
Date Filed 02/17/2009
State FL
Status ACTIVE
Principal Address
190 NE 111 STREET
MIAMI SHORES, FL 33161
Changed: 04/20/2011
Mailing Address
190 NE 111 STREET
MIAMI SHORES, FL 33161
Changed: 04/20/2011
Registered Agent Name&Address
SABIDO, ALEKXEY
190 NE 111 STREET
MIAMI SHORES, FL 33161
Name Changed: 04/20/2011
Address Changed: 04/20/2011
Authorized Persons) Detail
Name&Address
Title MGRM
SABIDO, ALEKXEY
190 NE 111 STREET
MIAMI SHORES, FL 33161
Title MGRM
MILLER, EDWARD
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirftype=Entity... 1/15/2015
Detail by Entity Name Page 2 of 2
190 NE 111 STREET
MIAMI SHORES, FL 33161
Annual Reports
Report Year Filed Date
2012 02/07/2012
2013 04/25/2013
2014 05/01/2014
Document Images
05/01/2014 ANNUAL REPORT View image in PDF format
04/25/2013 ANNUAL REPORT View image in PDF format
02/07/2012 ANNUAL REPORT View image in PDF format
04/20/2011 ANNUAL REPORT view image in PDF format
04/21/2010 ANNUAL REPORT View image in PDF format
02/17/2009 Florida Limited Liability view image in PDF format
Copyright Cc's and Privacy Policies
State of Florida,Department of State
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 1/15/2015
CM.20140860195 BOOK 2943I PAGE 2493
DATE-.12116M14 04:34:36 PM
DEED DOC 2,430,00
HARVEY RLMN,CLERK OF COURT,ML44MM CTY
THIS INSTRUMENT PREPARED BY AND RETURN TO.
MARTIN 1.HODZIN.ESQ,
TIRAN"TATC TITLE INSURANCE AGENCY,LLC
18203 DISCAYNC BLVD.SVITF 7201
AW,MVRA,nDRMA 33140
Property Appraisers Parcel Identification(Folio)Number,it.32asm-3SAo
'PACC ABOVE THIS LINE,1`04 PMCMING DATA.,__
WARRANTYDEED
TittswAnAnv ow),made the day of December,2014 by PAUL D.SCHMITZ aka PAUL DARYL
S-CHMIT�nrZil%?,wh office address il;:. 3
frf —S 1A F herein called the Grantor, u)
!a LaddressM
MPS INVESTORS LLC,a Florida Limited Liability company,whose post offlce address is 9840 NE 210
AVENUE,MIAMI SHORES,FL 33138,hereinafter called the Grantee:
(w&rewvr xied harm av ienw vraaor"and 6miltee,w4de all the varve 10 11114 iW&UWW row Ae hem,lege!
and assigns ArftWtvidwls, aadassWm of ewponalons)
W t T N E 9 S E T H:That the Grauer,for and in consideration of the sum of TEN AND 00/1003($10,00)
Dollars and other valuable considerations,receipt whereof is hereby acknowledged,hereby gnmM bargain sells,
aliens,remises,releases.conveys and confirms unto the Grantee all that certain land situate in MIAMI-DADE
County,Stow of Florida,viz.:
Lot 19,and the Fan one-half(I12)of Lot M Stock$1, of MIAMI SHORES SECTION THREE,
according to the Plot thereof,recorded in Plot Book 10,Page 37,of the Public Records of Miami-Dade
County,Florida.
THE ABOVE-DESCRIBED PROPERTY IS NOT THE HOMESTEAD OF THE GRANTOR OR HIS
SPOUSE,NOR IS THE SAME CONTIGUOUS THERETO.AT ALL TIMES MATERIAL HERETO,
THE GRANTOR HAS RESIDED AT$105$W 20dt"TERRACE,CUTLER BAY,FLORIDA 33199
Subject to easements, restrictions and reservations of record and taxes for the year 2014 and
thereafter.
TOGETHER, with ail the tenements, hereditaments and appurtenances, thereto bek-mSing, or in anywise
appertaining
TO HAVE AND TO HOLD,the same in fee simple forever.
AND,the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in foe simple.
that the Grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF,the said Grantor has signed and staled these presents the day and year first above
written.
Signed,*led and delivered in the pteso=of,
wi;kgsigaure PAUL 6.SCHMITZ akaftIlL DARYL SCHNUT
Virirles 01 Prate N
Witness#2 Printed Name
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this day of December,2014,by PAUL D.
S7_1"Ug' Oka PAUL DARYL SCHMIT, who is personally known to, me or has produced
46"rk4- as idemification,
SEAL
Noruy Public
Printed Notary Name
My Commission Expires:
FARE JUMM
MYC0k4MtSS40N#FFJWI76
tit'Na.:12&2M4 EXPIRES Apra!$,2D i a
8