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RF-16-3441Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pe mit Permit NO. RF -12-16-3441 Permit Type: Roof Work Classification: Tile Permit Status: APPROVED Issue Date: 1212212016 Expiration: 06/20/2017 Parcel Number Applicant 11230 NW 5 Avenue Miami Shores, FL 33168- 1121360210880 Block: Lot: LUIS CEDRE Owner Information Address Phone Cell LUIS CEDRE 1754 SW 24 Terrace MIAMI FL 33145-3836 Contractor(s) DCG ROOFING Phone (305)989-9452 CeII Phone Valuation: Total Sq Feet: $ 11,000.00 3181 Type of Work: Re Roof Additional Info: 3 -TAB SHINGLE RE -ROOF Classification: Residential Scanning: 3 Fees Due Bond Type - Contractors Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $500.00 $6.60 $4.88 $4.88 $2.20 $325.00 $9.00 $8.80 $861.36 Pay Date Pay Type Invoice # RF -12-16-62439 12/22/2016 Credit Card Bond #: 3287 Amt Paid Amt Due $ 861.36 $ 0.00 Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Review Roof Renailing Affidavit Cap Sheet In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID T: I ce that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a • r�' F ore orize the above-named contractor to do the work stated. 4% December 22, 2016 uthorized Signa ure: / Applicant / Contractor / Agent ate Building Department Copy December 22, 2016 1 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC 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: (305) 762-4949 J t' FBC 20 iq f '( j Master Permit No. P � (4)- 3L. L( Sub Permit No. ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS JOB ADDRESS: City: Haw No 5-rh Avenue_ ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1/ ~0L! 36' —al 1— ©gKO Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): 2. /' ALG,, Address: -' lrA BFE: NO l/ FFE: Phone#: 305-�J7t�-b�iC7 City: /ir j State: Ft_ Tenant/Lessee Name: /� Phone#: Email: LU, Ste<A,6 &f# �' , Ge y CONTRACTOR: Company Name: b Ci ICS Address:AA,,�� / S (-174I �N1 4✓ 77 c /i4 City: (�Ul{�(5�._S/� State: (— Qualifier Name: Phone#: Zip: 3.3/9,5 3-( `_tic� Phone#: zip: 33Q/6 ;z; ?39-9/S.Z State Certification or Registration #: _133c q 3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ /1,900 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: 3-TatL Sit Specify o'lorof color'thru,tile: roof t.t: Submittal e.$' Permit Fee $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ 3,/t1 ❑ Demolition t:i; 8 ,.1. :ti+ 5 t5:.. •� t^ i., r' x91.'95 CCF $ Cly% 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 the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this day of ter....-eV116e-( ,20 16 , by Lots rP_ } who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: I A „410 tttt• rif1TVAIL4 X1!'4 "'Ant '.Rc!`lM t'!5"• i� "'1115� • Notary Public - State of Florida • My Comm. Expires Jul 8, 2017 tea;•' Commission # FF 034353 �,,,, , Bonded Through National Notary Assn. * APPROVED BY * * * as Signature CONTRACTOR The foreroing instrument was acknowledged before me this 'r)--- day of bPJ .e - r , 20C by g(if"— , who is p me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: tti PRv"""� PI,B/,i MARIA C. MONTENEGRO • Notary Public - State of Florida • My Comm. Expires Jul 8, 2017 Commission # FF 034353 to as (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk GENERAL POWER OF ATTORNEY I, Mercedes Cedre, Authorized Manaaina Member of ZMCC. LLC, a Florida limited liability company , residing at 280 SW 129 Avenue, Miami, FL 33184, hereby appoint Luis Cedre of 1718 SW 24 Terrance, Miami, FL 33145, as my Attorney -in -Fact ("Agent"). My Agent shall have full power and authority to act on my behalf as Authorized Managing Member of ZMCC, LLC, a Florida limited liability company. This power and authority shall authorize my Agent to manage and conduct all of my affairs and to exercise all of my legal rights and powers, including all rights and powers that I may acquire in the future. My Agent's powers shall include, but not be limited to, the power to: 1. Open, maintain or close bank accounts (including, but not limited to, checking accounts, savings accounts, and certificates of deposit), brokerage accounts, and other similar accounts with financial institutions. a. Conduct any business with any banking or financial institution with respect to any of my accounts, including, but not limited to, making deposits and withdrawals, obtaining bank statements, passbooks, drafts, money orders, warrants, and certificates or vouchers payable to me by any person, firm, corporation or political entity. b. Perform any act necessary to deposit, negotiate, sell or transfer any note, security, or draft of the United States of America, including U.S. Treasury Securities. c. Have access to any safe deposit box that I might own, including its contents. 2. Sell, exchange, buy, invest, or reinvest any assets or property owned by me. Such assets or property may include income producing or non -income producing assets and property. 3. Purchase and/or maintain insurance, including life insurance upon my life or the life of any other appropriate person. 4. Take any and all legal steps necessary to collect any amount or debt owed to me, or to settle any claim, whether made against me or asserted on my behalf against any other person or entity. 5. Enter into binding contracts, as well open any permits necessary on my behalf. 6. Exercise all stock rights on my behalf as my proxy, including all rights with respect to stocks, bonds, debentures, or other investments. 7. Maintain and/or operate any business that I may own. 8. Employ professional and business assistance as may be appropriate, including attorneys, accountants, and real estate agents. 9. Sell, convey, lease, mortgage, manage, insure, improve, repair, or perform any other act with respect to any of my property (now owned or later acquired) including, but not limited to, real estate and real estate rights (including the right to remove tenants and to recover possession). This includes the right to sell or encumber any homestead that I now own or may own in the future. This Power of Attorney shall be construed broadly as a General Power of Attorney. The listing of specific powers is not intended to limit or restrict the general powers granted in this Power of Attomey in any manner. Any power or authority granted to my Agent under this document shall be limited to the extent necessary to prevent this Power of Attorney from causing: (i) my income to be taxable to my Agent, (ii) my assets to be subject to a general power of appointment by my Agent, and (iii) my Agent to have any incidents of ownership with respect to any life insurance policies that I may own on the life of my Agent. My Agent shall not be liable for any Toss that results from a judgment error that was made in good faith. However, my Agent shall be liable for willful misconduct or the failure to act in good faith while acting under the authority of this Power of Attorney. I authorize my Agent to indemnify and hold harmless any third party who accepts and acts under this document. My Agent shall be entitled to reasonable compensation for any services provided as my Agent. My Agent shall be entitled to reimbursement of all reasonable expenses incurred in connection with this Power of Attorney. My Agent shall provide an accounting for all funds handled and all acts performed as my Agent, if I so request or if such a request is made by any authorized personal representative or fiduciary acting on my behalf. This Power of Attorney shall become effective immediately, and shall not be affected by my disability or lack of mental competence, except as may be provided otherwise by an applicable state statute. This is a Durable Power of Attorney. This Power of Attorney shall continue effective until my death. This Power of Attorney may be revoked by me at any time by providing written notice to my Agent. Dated-�� ^ \..O ,.2016 WITNESS: l % -/ 14a`."__ WITNESS: WAN": '/ Mercedes Cedre STATE OF Florida COUNTY OF Miami -Dade On this 19th day of December, 2016, before me, a Notary Public in and for the above state and county, personally appeared known to me or proved to be the person named in and who executed the foregoing instrument, and being first duly swom, such person acknowledged that he or she executed said instrument for the purposes therein contained as his or her free and voluntary act and deed. AR4c- NOTARY PUBLIC M Commission Expires: (SEAL) MARLENE C PO&AOA Notary Public - Erste of Florida Commission N FF 198658 My'Comm. Expires Jan 27, 2019 12/19/2016 Detail by Entity Name ) ' $ , Detail by Entity Name Florida Limited Liability Company ZMCC, LLC Filing Information Document Number L16000171094 FEI/EIN Number NONE Date Filed 09/13/2016 Effective Date 09/08/2016 State FL Status ACTIVE Principal Address 280 SW 129 AVENUE MIAMI, FL 33184 Mailing Address 280 SW 129 AVENUE MIAMI, FL 33184 Registered Agent Name & Address MUNOZ, ALBERTO 280 SW 129 AVENUE MIAMI, FL 33184 Authorized Person(sj! Detail Name & Address Title AMBR MUNOZ, ALBERTO 280 SW 129 AVENUE MIAMI, FL 33184 UN Title AMBR CEDRE, MERCEDES 280 SW 129 AVENUE MIAMI, FL 33184 UN Annual Reports No Annual Reports Filed Document Images 09/13/2016 -- Florida Limited Liability View image in PDF format Florida Department of State, Div s,on of Corporations http://search sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=ZMCC%20L 160001710... 2/2 RE: Permit # Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: INSPECTION AFFIDAVIT licensed as a (n) Contractor / Engineer / Architect, (Print name and circle License Type) License #: CC -C- 133 o /3 On or about /02 /� //6 FS 468 Building Inspector , I did personally inspect the roof deck nailing (Date & time) work at //2- 3 /1/1t/ - k Ate._ . AtPm t Sys / FL 33/6e (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dade: • The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this ,)---,g day of ev i,& ( (72O/C �,;,pR,, Pp,4 MARIA C. MONTENEGRO Notary Public, Sate of Florida at Lar i . , ,ice /,: = ir17-4r ._ iP Notary Public - State of Florida '' � " My Comm. Expires Jul 8, ,�,? � � � P 2017 ',./� a°-' Commission # FF 034353 Bonded Through National Notary Assn. 'General, Building, Residential, or Roofing Contractors or any individual certified under468 F.S. to make such an inspection. Include photographs of each plane of the ro permit # and address # dearly shown marked on the deck for each inspection e w Miami Shores Viiiage 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 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: L u LS Ciad d -e Property Address: 1/ i . ? (0 -3,a /.3 �} Roofing Permit Number: Dear Building Official: I c�/S C_A7x,certify that I am not required to retrofit the roof to wall connections of my building because: a—Tlifjilst 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 r Date: Zv►1 C c LLC of 1994 edition of the South Flori •.:k 400001 _.„4001P,00, ilding Code (1994 SFBC) -vim s /er-.//'e ature MARIA C. MONTENEGRO Print Name •�, -Notary Public - State of Florida t My Comm. Expires Jul 8, 2017 'o'�'•• Commission N FF 034353 Bonded Through National Notary Assn. 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 this I day of be, L r 66 Notary Public, Sate of Florida at Lar • 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. 12/16/2016 • Property Search Application - Miami -Dade County MIAM I'DADE'PROPERTV APPRAISER When buying real estate property, you should not assume that property taxes will remain the same. Whenever there is a change in ownership, the assessed value of the property may reset to full IMPORTANT market value, which could result in higher property taxes. Please use our Tax Estimator to approximate your new property taxes. MESSAGE The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collector's website directly for additional information. Address Owner Name Folio SEARCH: 11230 nw 5 ave PROPERTY INFORMATION Folio: 11- 2138-021-0880 Sub -Division: WEST SHORES Property Address 11230 NW5AVE Miami Shores, FL 33188-3310 11232 NW 5 AVE Owner ZMCC LLC Mailing Address 280 SW 129 AVE MIAMI, FL 33184 Primary Zone 5700 DUPLEXES -GENERAL Primary Land Use 0802 MULTIFAMILY 2-9 UNITS : 2 LIVING UNITS Beds / Baths / Half Floors Living Units Actual Area Living Area Adjusted Area Lot Size Year Built 8/4/0 1 2 2,190 Sq.Ft 10,824.57 Sq.Ft 1953 Suite Map View Layers http://www.miamidade.gov/propertysearch/#/ 1/3 12/16/2016 Property Search Application - Miami -Dade County Featured Online Tools Comparable Sales Non -Ad Valorem Assessments Property Record Cards Property Taxes Report Homestead Fraud Tax Estimator Value Adjustment Board ASSESSMENT INFORMATION Year Land Value Building Value Extra Feature Value Market Value Assessed Value TAXABLE VALUE INFORMATION Glossary PA Additional Online Tools Property Search Help Report Discrepancies Tax Comparison TRIM Notice 2016 Aerial Photography soft 2016 2015 2014 $48,572 $48,572 523,888 5131,190 $132,215 $129,396 54,512 53,420 $3,456 5184,274 5184,207 $156,740 $184,274 $172,414 5158,740 2016 2015 2014 COUNTY Exemption Value $0 $0 $0 Taxable Value $184,274 5172,414 $156,740 SCHOOL BOARD Exemption Value 50 $0 $0 Taxable Value $184,274 5184,207 5158,740 CITY Exemption Value $0 $0 $0 Taxable Value $184,274 5172,414 $158,740 REGIONAL Exemption Value 50 $0 $0 http://www.miamidade.gov/propertysearch/#/ 2/3 12/16/2016 Property Search Application - Miami -Dade County 1 Taxable Value 5184,274 5172,414 $158,740 BENEFITS INFORMATION Benefit Type Non -Homestead Cap Assessment Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). FULL LEGAL DESCRIPTION WEST SHORES PB 42-18 LOT 10 BLK 5 LOT SIZE 78.770 X 141 OR 24798-2271 08 2008 1 FAU 30-21360210880 SALES INFORMATION Previous Sale Price OR Book -Page Qualification Description 09/03/2018 $100 30231-4620 Corrective, tax or QCD; min consideration 08/01/2006 5280,000 24796-2271 Sales which are qualified For more information about the Department of Revenue's Sales Qualification Codes. 2016 2015 2014 LAND INFORMATION 2018 2015 2014 $11,793 Previous Owner 1 LUIS CEDRE Land Use Muni Zone PA Zone Unit Type Units Calc Value RU -2 5700 - DUPLEXES - GENERAL Front Ft. 78.77 $48,572 GENERAL BUILDING INFORMATION I Building Number 1 EXTRA FEATURES Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adi Sq.Ft. Calc Value 1 1953 2,190 $131,190 Description Year Built Units Calc Value Wood Fence 2007 300 54,512 ADDITIONAL INFORMATION • The information Hated below is not derived from the Property Appraiser's Office records. It is provided for convenience and is derived from other government agencies. http://www.miamidade.gov/propertysearch/#/ 3/3 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER .CCC1330913 _1 ~ . The ROOFING -CONTRACTOR Named below IS CERTIFIED Under the provisions of -Chapter 489 F.S. Expiration -date: AUG 31, 2018 r BARRERA; RICKOMAR - DCG ROOFING` ' • t N 4 44, -15476'NW,7.7TH_ C 4l'1 k#422____ MIAMI=LAKES ,i""" .F..L 3016 oor.ir ISSUED: 07/20/2016 II - DISPLAY AS REQUIRED BY LAW SEQ # L1607200000903 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 5/25/2016 EXPIRATION DATE: 5/25/2018 PERSON: MONTENEGRO MARIO M FEIN: 812355272 BUSINESS NAME AND ADDRESS: DISTINGUISHED CONTRACTORS GROUP INC DCG ROOFING 15476 NW 77TH COURT #422 MIAMI LAKES FL 33016 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW* * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 5/25/2016 EXPIRATION DATE: 5/25/2018 PERSON: BARRERA RICK 0 FEIN: 812355272 BUSINESS NAME AND ADDRESS: DISTINGUISHED CONTRACTORS GROUP INC DCG ROOFING 15476 NW 77TH COURT #422 MIAMI LAKES FL 33016 SCOPES OF BUSINESS OR TRADE: LICENSED ROOFING CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 000606 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7202599 BUSINESS NAME/LOCATION DCG ROOFING 16325 NW 83 CT MIAMI LAKES FL 33016 OWNER DISTINGUISHED CONTRACTORS GROUP C/0 MARIO MONTENEGRO PRES Worker(s) 1 RECEIPT NO. RENEWAL 7485392 SEC. TYPE OF BUSINESS LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SPECIALTY BUILDING CONTRACTOR CCC1330913 PAYMENT RECEIVED BY TAX COLLECTOR $51.75 11/21/2016 CREDITCARD-17-009103 This Local Business Tax Receipt only confirms 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 must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www.miamidade.gov/taxcollector ACOREY DISTCON-01 CERTIFICATE OF LIABILITY INSURANCE SGARCIA DATE (MM/DD/YYYY) 12/21/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Anderson & Jacoby Insurance Consultants 7855 SW 104th Street Suite 100 Miami, FL 33156 INSURED Distinguished Contractors Group, Inc DBA DCG Roofing Mr. Mario Montenegro 15476 NW 77th Court Suite 422 Miami Lakes, FL 33016 CONTACT Geri Calin NAME: PHONE (A/C, No, Ext): (305) 596-0500 _ AI DRESS: gcalin a©anderson-jacoby.com INSURER(S) AFFORDING COVERAGE INSURER A :ARCH SPECIALTY INS CO INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : Fitt , No):(305) 270-1657 NAIC # 21199 COVERAGES • 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXP IMMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS -MADE LXXJ OCCUR X AGL005616-03 10/22/2016 10/22/2017 FRE„ occu D $ 100'000 SE$ Ea nce) MED EXP (Any one $ $ 10,000 I— person) PERSONAL & ADV INJURY 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ $ 2,000,000 POLICY I PEeT I LOC PRODUCTS - COMP/OP AGG _ $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AEaaccident) $ ANY AUTO BODILY INJURY (Per person) _ _ $ OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -AWNED AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE JPer accident) — $ $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE $ DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I PER OTH- - STATUTE I I ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE -1 QFFICER/MEMg�� EXCLUDED? rNIA _ E.L EACH ACCIDENT $ (Mandatory m NH) If describe E.L. DISEASE - EA EMPLOYEE $ yes, under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Roofing Licence Number: CCC -133-0913 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD fiN %co-3LN I ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) C1.t1 V High -Velocity Hurricane Zone Uniform Permit Application F Section A (General Information) RECEIVED DEC 2 2 2016 rm. BY• 't 1 t urshec-1 Con f( db(C GC Tete,. - 6,,r/v( Process No. Job Address 1/(9-S12-3`11- ru IJ 5J Ave. / Al `o» t 5/ads / FL 3)1c3. ROOF CATEGORY 0/Low Slope 0 Mechanically Fastened Tile � ( Asphaltic Shingles 0 Metal Panel/Shingles O Prescriptive BUR -RAS 150 ROOF TYPE O New roof 0 Repair 0 Maintenance Low Slope Roof Area (SF) __ ❑ Mortar/Adhesive Set Tiles ❑ Wood Shingles/Shakes 0 Reroofing 0 Recovering ROOF SYSTEM INFORMATION Steep Sloped Roof AREA (SSF)3/8I Total (SF) 3/7/ Section 13 (Roof Plan) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- 1 sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 Miami Shores Village In CI UBJECI TO COMPLIANCE WITH ALL FEDERAL l 1. J D W Z Z D czO APPROVED (ZONING DEPT( BLDG DEPT 7:10 G w H 5' 9 • 2 5' • • • •• • • • M • •• •• • • .'l4e • • • • r • • • • • • • •• • •• ••• • • 1 • 1 • • • IV - 1•x'•1• •• •• • ..• •• • ••• • •• • • •• •••• •• •• • • •• • • • 'f 4 2 5 8' 25' 5' 5' FLORIDA BUILDING CODE — BUILDING, 6MrEBITIOfs (2114) • • • • • 15.37 (r>•j��:1lTlrrrli�rt� 1111111S111111 ;IIII III aopr fight to. a lieenied byil(4CI. RICHTS3tESEP 'EI)): accessed by Eliezu Palacio as Jun 8. 2013 I0.32:12 AM v,ui to t ire...,• •••••• • • •• ••• •• • •• ••• • •• 1 1 1 1 1 1 1 1 I 1 I I 1 1 1 1 1 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof �7 �nOSI vae.ySyystem)t� Roof System Manufacturer: I 1-o 1 fil S �1 p lid l Notice of Acceptance Number: 1/ — I bat- • / 6 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: P1: P1: Deck Type: Roof Slope: : 12 Ridge Ventilation? s/8.1/ 1/ Waxy Type Underlayment: Insulation: Fire Barrier: Fastener Type & Spacing: Adhesive Type: Mean Roof Height: /q • • . • • • • • • •• 00• •• • • • •• 14` 4s, A/"4c 147" Type Cap Sheet: A if Skij/es Roof Covering: &p /icy h 37Ab stiN y/ems Type & Size Drip Edge: .0 .•. . . • . . .• • ... .00 .041 0041 4100 • 0 • . • . • • . • . •0 • • 00 • • • • . • . . 00 • • • • • • 410 041 • • • • . 3 x3//Galv, FLORIDA BUILDING CODE — BUILDING, SPEQITIOI'(21)10 •. • . 1 15.39 It�iiida�rtrrr���u��litl itli��l i �� Copyright to, of iiccicdiVy, 11.1$HTS: ESE/ED); accessed by Eliezcr Palacio on Jun 8, 2015 10:32:12 AM pursuant to License ••• •• . . • 41• 4141 .. • • . • . ... . . MIAMI-DADE) Wire DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF 1 Campus Drive Parsippany, NJ 07054 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. MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.mia m idade.aov/economy DESCRIPTION: GAF Royal Sovereign® Shingle LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. •• ... • • • • • •• • ••••..•. This NOA revises NOA 12-1127.03 and const.ts ofipages tflrou •h The submitted documentation was reviewedtty Jwl E.4orlao, k.A.•• MIAMI•DADE COUNTY APPROVED • ... •• . . . • . • . • . •. .•...• .•. ••. •. • . • ••• • .. • • • •••• • • • • • • • • •• • • • ••• •• •• • • • • • • • • • • • •• •• • • • •• •. ••• • • • .•• • • NOA No.: 14-1022.16 Expiration Date: 04/22/18 Approval Date: 02/05/15 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Catesorv: Sub-Cateaorv: Materials Deck Type: Roofing Asphalt Shingles 3 -Tab Wood SCOPE This approves GAF Royal Sovereign® Shingle as manufactured by GAF as described in this Notice of Acceptance, designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications GAF Royal Sovereign® Shingle 12" x 36" TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle, with a 3 -Tab profile MANUFACTURING LOCATIONS 1. Savannah, GA. 2. Tuscaloosa, AL. 3. Tampa, FL. 4. Mt. Vernon, IN. 5. Mobile, AL. 6. Dallas, TX. 7. Myerstown, PA. 8. Fontana, CA. 9. Minneapolis, MN. EVIDENCE SUBMITTED Test Agency Center for Applied Engineering PRI Asphalt Technologies, Inc. PRI Construction Materials Technologies, Inc. Underwriters Laboratories, Inc. MIAMI DADE COUNTY APPROVED •. ... • • • • • •• ▪ • •• ... • • • • • •• ' •• Test Identifier TAS 100 ASTM D3462 TAS 100 TAS 100 TAS 100 TAS 100 TAS 100 •TAS 107 '.:TAS 111T. : : TTf1S 1b7. •. • • • • • TAS 107 TAS 107 • ASTM 31161 /VA' s :ASTMw31,61•/1•'Q,7 ••• • • • . ••• •• . • •• •. • • 1 ••.• • • • • • • • • • ••• .. •• • • • •.• • • . ••• • • • • • .• •• Test Name/Report 257966 GAF -105-02-01 GAF -182-02-01 GAF -332-02-01 GAF -376-02-0 1 GAF -153-02-01 05CA48258 05CA47804 08NK02337 08NK12906 11 CA47919 09CA41642 Date 02/23/94 03/21/97 11/14/05 02/07/08 01/17/12 10/15/12 11/30/06 11/28/05 11/11/05 03/12/08 10/10/08 12/03/11 09/28/10 09CA38549 10/30/09 NOA No.: 14-1022.16 Expiration Date: 04/22/18 Approval Date: 02/05/15 Page 2 of 4 EVIDENCE SUBMITTED (CONTINUED) Test Agency Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. ASTM D 3462 ASTM D3462 09/12/06 ASTM D 3462 08NK02337 03/12/08 ASTM D 3462 09CA21715 05/20/09 ASTM D 3462 08CA61515 07/15/09 ASTM D 3462 11CA47919 12/03/11 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. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61G20-3 of the Florida Administrative Code. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Applications Standard RAS 115. 2. Flashing shall be in accordance with Roofing Applications Standard RAS 115. 3. The manufacturer shall provide clearly written application instruction. 4. Exposure and course layout shall be in compliance with Detail "A", attached. 5. Nailing shall be in compliance with Detail "B", attached. LABELING Shingles shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility, and following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. MIAMI•DADE COUNTY APPROVED • • • • • • • • • • • • • • • • • • •• ••• •• • • • •• • ••• ••• ••• ••• ••• • • • •• • • • • • • • • • •• • • • • • • • • •• • 4 • • • • •• •• • • • a • ••• • • • • ••• • • 0 • • • • • • • •• • ••• • • • • • • • • • •• • • • • • •• •• • • • •• •• ••• • • • ••• 4 • NOA No.: 14-1022.16 Expiration Date: 04/22/18 Approval Date: 02/05/15 Page 3 of 4 lst Course of Shingles 2nd Course of Shingles 3rd Course of Shingles • • DETAIL A COURSE LAYOUT 5" 5" Drip Edge DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN 36" • • • • • MIAMI DADE COUNTY APPROVED END OF THIS ACCEPTANCE ....... . .. .. . . . • .. ... .. . .. •. • •.. ••• ••• ••• ••• •• • • • • • • • • •• •• • • • • • • •• • • •• • • • • •• 0• • 0 • • •. •• • •• • •.. • • • • ••♦ • • • • • •• • • •• • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • NOA No.: 14-1022.16 Expiration Date: 04/22/18 Approval Date: 02/05/15 Page 4 of 4 SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to nailed in accordance with the current provisions of Section R4403. (The roof deck isusually concealed prior to removing the existing roof system). 4. posed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking e viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. verflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is verioaded 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 accorda requirements of Sections R4402, R4403 and R4413. ///.3 0 -30) A/`vS Property Address Revised on 7/9/2009 LD;07/01/2015; ontractor Signature iate// Permit Number