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REV-16-2395 Miami Shores Village �, � Building Department 7BY: UG 6 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 -:7: ON :{305)762-4949 ��++ c� REVISI FOL ZOI I S BUILDING0 Master Permit No.7'k-co•I b- 1-133 PERMIT API:! Sub Permit No. �—y0 ❑BUILDING ❑ ELECTRIC ❑ ROOFING 0 REVISION ❑ EXTENSION RENEWAL ❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 ne 105 ST City Miami Shores County: Miami Dade Zip: Folio/Parcel#:1122300500001 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):shores condo Phone#: Address:1700 ne 105 ST City: miami shores State: fl Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: roofing concepts unlimited Phone#: 954-786-9350 Address: 11820 NW 41 St City: Coral Springs, State: FL Zip: 33065 Qualifier Name: michael jacobazzi Phone#: 954-786-9350 State Certification or Registration#: cccO36963 Certlflcate of Competency#: DESIGNER:Architect/Engineer: Phone!#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repaid/Replace ❑ Demolition Description of Work: ue.tgl.4 9.4 C'Lk-•c Q-nC►�vA�� _Specify color of colqpKru tile: Submittal Fee$ Permit Fee$ •®� CCF$ CO/CC$ Scanning Fee$ - Radon Fee$ DBPR$ Notary$�•�� Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 4 •00 (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. s Signature Signature OWNER or AGENT CO CTO The foregoing instrument was acknowledged beforemethis The foregoing instrument was acknowledge before me this _day of 20. by Z-V day of A u v%l 120 V s' ,by 42(-t S ^ ^Zy NS,who is p own to who is perste onally 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: 11;1'INfiim," NOTARY PUBLIC: ' ..•�aairaa Sign: n: Print: � .� Seal: %�V�Ab $eal: 1 c�'"►�� MICHAEL LEVINE p d �o MY COMMISSION#FF007103 ��° EXPIRES:JUL 01, 17 Bandest StatInsurance f/!I!4 tf 6111I�tt� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) •' '• ' •, '. ;' AND ROOFTOP STRUCTURES ;� -- 71ff3 . . -ifoeid;31 dinjCgd; Edition 2004 . . . . . . . . . . 'jMhAf.e6(ty V plo%M Zon;614n;Permit Application Form. $lection C(Low Slops Application) Surfacing: Fill in specific roof assembly components . .. ... .. and identify manufacturer '. :.: : : : : :. '. Fastener Spacing for Anchor/Base Sheet Attachment: (If a component is not used,identija$"§M: •• ' ' ' ' "' " Field: @ La1p, #Ro a @ "oc System Manufacturer: ��. g�®�� Perimeter: ows_@ "oc Product Approval No..—j!9:!9: .®22.°x• Corner: "oc Roars @ "oc Design Wind Pressures,From RAS 128 or Calculations: Number of Fasteners Per Insulation Board: Pmax1• Pmax2: Pmax3: Field Perimeter 041 Corner r' A Max.Design Pressure,from the specific Producct�� Approval system: Illustrate Components Noted and Details as Applicable: Deck: Woodblocking,Gutter,Edge Termination,Stripping,Flashing, Type: c-��c•""a'� a Continuous Cleat,Cant Strip,Base Flashing,Counter- Flashing,Coping,Etc. Gauge/Thickness: Indicate:Mean Roof Height,Parapet Height,Height of Base Flashing,Component Material,Material Thickness,Fastener Slope: ��.'/ Type,Fastener Spacing or Submit Anchor/Base Sheet&No.of Ply(s): Anchor/Base Shut Fastener/Bonding Material: x P'l Insulation Base Layer: ytti Base Insulation Size and Thickness: �' � � Y FT 4 L Base Insulation Fastener/Bonding�aterial: , Parapet Ita� .4.�v Height Top Insulation Layer: 1O' ®t,® Yp o Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: , Mean Roof Base Sheet(a)&No.of Ply(s): F ��L Height Base Sheet Fastener/Bonding Material: Ply Sheet(s)&No.of Ply(s): �P ; Pty Sheet Fastener " Tr /Bonding erlal• : y j ,t P�, -- - Top Ply: Top Ply Fastener/Bonding Mater at: a __ nn�nl_VtNCE WITH ALL FEDERAL I '/RI 1! F-� AND RPrULATInNS FLORIDA BUILDING CODE—BUILDING •• •• • • • •• •• • • • • • • • • • • • • • • •• • •• • • • • • •• • • •• • /•/�+1�$• •\,. • nT•, • • • • V Vrin c9 Eatneorn.vn$Lua qj .,y Semi,.,�'();*xf 6 12. ••' 4 Z& ,Fibrida 33082 Phone: (786)286-7574 Fax: (934)450.3219 CALCULATIONS'WINDLOAD PRESSURE FOR PROPERTY LOCATED.AT 1700 N-E. 105Street Miarni Shores, Florida Presented to City of Miami Shores . 04" {' By RCU Roofing Company °��` ,�' ,� ~�• 08-28-2016 Pn*md �Mo ACOaedo, P.E. P.E.0 884$8 . ... . . ... % .. . . . % .. . . . . . . . . . . . . . ... . . . . ... . .. . •• . . . . . . .. . . . . . . .. . . .. . . . . . . . . . . •ACB2•Eh9Mee'ring Inc. Engineering and Laboratory services •0 0 : : •'•PtOa$ox 423612 Goo : rdMbTb1MAhes,Florida 33082 Phone: 7$6)'28'6 X 914 "Fax: (954)450-3219 RESULTS OF CALCULATIONS(for complete details see attached calculations): Sections of Roof Area of Roof Nesrative Pressure(Dsfl Zone 1 Field Roof Area 10 square feet 59.93 Field Roof Area 20 square feet 58.40 Field Roof Area 50 square feet 56.38 Zone 2 Perimeter Area 10 square feet 100.56 Perimeter Area 20 square feet 89.86 Perimeter Area 50 square feet 75.71 Zone 3 Comer Area 10 square feet 151.36 (Highest Pressure) Comer Area 20 square feet 125.36 Comer Area 50 square feet 91.00 `1,,11114 0-a Cl Co _ * map= i tSL'•,s' a �+J '!�� 11fJ111\1111,\ J f ry3� �� z•d _ . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . . ... . . . . ... . . . . . . . .. . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . Mecaftre l Sla 'v2 . : 7'. 0 per ASCE 7-10 Developed by MECA Enterprises, Inc. Copyright www.mecaenterprisaa.cam Date 8/25120160 0• i i •e• i 0• i e Prcij*ec*t No. JobNo Company Name True 00 i' i i 0 0 i 0 Deait�ed Hy a Engineer Address : Address 0 0 0 0 0 0 0 0 Description Description City City so 0 0 0 0 0 0 0 Suaakemer Name : Customer state State Proj Location Location File Location: C:\User5\acb2424\Docamaeatts\MECA WIND PROJECT FILES\1700 NE 105 STRPET-MIAMI SHORES-RCU ROOFING.wnd Iaput Paraaaat0r8: D*V0*tion4kl Proaaduzu, All Heights Snilding (Ch 27 Hart 1) Basic Wind Speed(V) - 175.00 mph Structural Category - 1I Exposure Category D Natural Frequency - N/8 Flexible Structure No Importance Factor 1.00 Ad Directional Factor - 0.85 Alpba - 11.50 Zg - 700.00 ft At = 0.09 Bt 1.07 Am 0.11 Sm - Oleo Cc 0.15 1 - 650.00 ft Epsilon 0.13 Zmin 7.00 ft Bitch of Roof = 0 • 12 Slope of Roof(Theta) = .00 Deg h: Mean Roof Ht - 50.00 ft Type of Roof - FLAT Rist: Ridge Ht 50.00 ft Skit: save Height - 50.00 ft OR: Roof Overhang at save- .00 ft Overhead Type -No Overhang Bldg Length Along Ridge - 162.00 ft Bldg Width Across Ridge- 72.00 ft Guist Factor calCulatians Gust Factor Category I Rigid Structures - Simplified Method Gvstl: For Rigid Structures (Nat. Freq.>l Hz) use 0.85 0.85 Gust Factor Category I- Rigid Structures - Complete Analysis am: 0.6*Ht v 30.00 ft lzm: Cc*(33/Za)^0.167 0.15 Lzm: 1*(Zm/33)^Epsi1on m 642.30 £t Q: {1/E1+0.63*1(BtRt)jLzm)^0.63))^0.5 = 0.90 Gust2: 0.925*((1+1.7*lzm*3.4*Q)/(L+y.7*3.4*lzan)) 0.88 -Gust Factor Summary Not a Flexible Structure use the Les6oz of Gustl or Gust2 0.85 Table 26.11-1 lateral Pressure Coef Icients for Aaildi.ngs, GCpi GCPi : Internal Pressure Coefficient = +/-0.18 Wind Pressure Main Wind Force Resisting system (ldGam) - Ref Fig=e 27.4-1 i °@717 f NN z y 0 2 e: » a, an .9. Z, A �0r, • __. ��Tlfltll;�1,� E`d . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . . ... . . . . ... . ••. . . . . . ... .•• • • • • 0 • • • 0 • • • Ith: 2.01*(Ht/Zg).(2lAdpha) :•• ••• •i• ••• 1.27 Xht: Topographic Factor (Figure 6-4) 0 Qh: .00256*(v)^2•I*Sh*Hht*Rd a 1.00 50.79 psf Cpww: Windward Wall Cp(Ref 8igi 6-6) s 0.80 Roof Area •• • • •• ••• •• e Reduction Factor Aged is ipf.�a. .• •• ® 110.80 ft^2 • • • • • •• • • 0.80 MM-Wall Pressures #Px• .xo-al:tai 112-ft-•Isll (L.3. to Ridge) All Pressures shown are based upon ,ASO Design, with a Load Factor of .6 wan CP Preeaure Prseau e -moi (APP) Leeward Wall -0.50 --3073--+ --12.44 -- Side Walla -0.70 -39.36 -21.08 Well. Rlev Sa Sat Co IF Ptwss Press Total ------gt------- Par +_ _i -MP +/-�f Windward 50.00 1.27 1.00 0.80 $0.7925_39 43.68- 56.12 Windward 40.00 1.22 1.00 0.80 48.85 24.08 42.36 54.81 Windward 30.00 1.16 1.00 0.80 46.41 22.46 40.74 53.18 Wild 20.00 1.08 1.00 0.80 43.31 20.31 38.59 51.03 Windward 10.00 1.03 1.00 0..80 41.19 18.87 37.15 49.60 Roof - Dist from Windnwd Sdga CIP 9ressu" Pressure --- --- ---------- _ +00pi(pef)-Govi(For) Roof: 0.0 ft to 25.0 ft --__-_--0 95 - -50.34- ---32..06 Roof: 25.0 ft to 50.0 ft -0.82 -44.64 -26.35 Rooms: 50.0 ft to 72.0 ft -0.58 -34.08 -15.80 Notaa - Normal to Ridge Note (1) Per Fig 27.4-1 Note 7, Since Thetas- 10 Deg base calea on Rave Rt Note (2) Nall a Roof Pressures _ Qh*(G*Cp - GCPi) Note (3) +GCpi o Positive Internal Bldg Press, -GCPi - Negative Internal Bldg Press Note (4) Total Pressare - Leeward Press + Windward Press (Por + or - GCPi) Note (5) Ref Sig 27.4-1, NOzma1 to Ridge (Theta<10), Theta- .0 Deg, h/1= 0.69 AGMS-Wall Pr®eanMa for Wind Normal to 72 ft wall (Along Ridge) All presaurea shown are based upon ASO Design, with a Load Factor of .6 wa • CJP pressusis Pressure War) -GeEd__ _(Pat) Leeward Wall -0.29 -21.55 -3_27 - Side Walls -0.70 -39.36 -21.08 Wall Bl.ev Sa Rat CD qu Pxwa Press 'Dotal ---------f t------__ _ Pat 00 -moi +/-WPL Windward $0.00 1.27 1 00 0.80-50 79 25.39 43.68 - 46.95 Windward 40.00 1.22 1.00 0.80 48.85 24.08 42.36 45.63 Windward 30.00 1.16 1.00 0.80 46.47 22.46 40.74 44.01 Windward 20.00 1.08 1.00 0.80 43.31 20.31 38.59 41.86 Windward 10.00 1.03 1.00 0.80 41.19 18.87 37.15 40.42 Roos' - OLgt ffto Windward alga Cp fteannam Preawave \�\J11IIfill/ -------___________ __ +0QP1(Pef)-QCV1 we) �� -ad * ,q/1// Roof: 0.0 ft to 25.0 ft ^_-----_ _0-90- - -47.99 ----29.7i ~� . ........ 41 ROOF: 25.0 ft to S0.0 ft -0.90 -47.99 -29.71 .�~rijy' , % 0 0' Roof: 50.0 ft to 100.0 ft -0.50 -30.73 -12.44 1 -CO � � Roof: 100.0 ft to 162.0 ft -0.30 -22.09 -3.81 R ;� rn,, 0 * 0 0 , .( w Nates - Along Ridge r .3 b rn Z. N Note (1) Ref rig 27.4-1, Parallel to Ridge (All), h/1- 0.31 i��,y 'n Pa="t MUMS Pteeeuee (Ref Vara 27.4.5): o9� Qp: Pressure at Top of Parapet - Ty50.88 pe of Parapet - Solid Top Elev. of Parapet d pOf50 #t .: } ��\��`• Press-Windward Parapet 76.31 psf Preas-Leeward Parapet - --50.88 psf Blind Pressure o% Components and Claddiag (Ch 30 Part 1) �1'`•�3�GS��1 �-d • • ••• • • • ••• • • ••• • • • • ••• • • • • • • • •• • • • • • • •• • • •• • • • • • • • • • • • • • • • • • • • • • • ••• • ••• • •• • • • •• ••• .00aa� �C: • • •• • 1 Roo • • f • • • • • 1 SWM 1 I i 2; 1 1 12 1 1 1 # 1 1 4 ' t I d i t 1 s 1 vT1 'Was 4 $ P All pressures shown are based upon ASD Design. with a Load Facto= of .6 Width of Pressure Coefficient Zone "a' m a 7.20 ft Drsariptioa Bidit Span area Zone u= jUs Nas P Kin P ft -_ft_-ft^2 eckv-_-- --Gqp-pat -----Pof-_- Field Area 10.00 1.00 10.0 1 0.30 -1.00 24.38 -59.93 Field Area 20.00 1.00 20.0 1 0.27 -0.97 22.85 -58.40 Field Area 50.00 1.00 50.0 1 0.23 -0.93 20.83 -56.38 Perimeter Area 10.00 1.00 10.0 2 0.30 -1.80 24.38 -100.56 Perimeter Area 20.00 1.00 20.0 2 0.27 -1.59 22.85 -89.86 Perimeter Area 50.00 1.00 50.0 2 0.23 -1.31 20.83 -75.71 Corner Area 10.00 1.00 10.0 3 0.30 -2.80 24.38 -151.35 Corner Area 20.00 1.00 20.0 3 0.27 -2.29 22.85 -125.36 Corner Area 50.00 1.00 50.0 3 0.23 -1.61 20.83 -91.00 Kbcc:Ccmp. 6 Clad. Table 6-3 Case 1 1.27 Qbcc:.00256*B^2*9aica*xht*Xd - 50.79 paf Parapets Cozoo Gents & Cladding (Ch 30 Part 4, Para 30.7.1.2) Pressures taken from Table 30.7-2 at top of Parapet and multiplied by Expoeure Adjustment Factor (EAF -1.161), Topographic Factor (Rat a 1.00) and Reduction Factor (RF = 1.0). The effective area for the parapet is 10 sq ft [0.929 sq m7 to be conservative, which makes the P.eduction Factor 1. Q-ddI NO p'"�f v� o a 0n, p_ V m: or . " it, b, g•d . . ... . . . ... • . •• . •• • • • • • • • •• • • • • • • • • • • • • • • • • o • • • • ` L • • • • • • • • •wbw '['� Q1. P$ Uttl hp Case A - Apply Positive Wall Pressure to Frost 6 Negative Roof Pressure to Back. p1: Positive Nall Pressure on Ftont of Parapet (Zone 4) m 63.94 psf pl: Positive Wall Pressure on Front of Parapet (Zone 5) - 63.94 pot p2: Negative Roof Pressure on Back of Parapet (Zone 2) - -146.77 pst p2: Negative Roof Pressure on Back of Parapet (tone 3) - -20D.03 pet Case B - Apply Positive Wall Pressure to Bank 6 Negative Wall Pressure to the Front. p3: Positive Nall Pressure on Back of Parapet (Zone 4) m 63.94 pat p3: Positive Wall Pressure on Back of Parapet (Zone 5) = 63.94 ps£ p4: Negative Wall Pressure on Back of Parapet (Zone 4) _ -63.94 psf p4: Negative Wall Presanre on Back of Parapet (Zone 5) - -117.20 prof 0i a ZU 10 n M r4l. , a 9•d • • ••• • • • • ••• • • • • • • • •• • • • • • • •• • • •• • • • • • • • • • • • • • • • • • • • • • • • •• • ••• • Membrane Type: Single Ply,TPO,Reinforced Deck Type 3I: Coxeetg,km4atW. .•. •. Deck Description: 250b�pA c!S�"sdw&al concrete or concrete plank System Type A(19): One or more layers of insulation adhered with approved adhesive;membrane fiilly adhered. All General and Systeaa-Limitations apply.Roof accessories not listed in Table 1 of this NOA are not approved and shall not be installed unless said accessories demonstrate compliance with prescriptive Florida Building Code requirements and are field fabricated utilizing the approved membranes listed In Table 1. Base Insulation Layer Insulation Fasteners Fastener ISO 95+GL (Table 3) Density/f@ Minimum 1.5"thick N/A NIA NOW. Base Insulation shall be adhered to the deck witb I.S.O.Twin Pack Insulation Adhesive applied in%to%in.wide ribbons or with L&O.Stick applied in%to 1 in.wide ribbons,spaced as Usted below:All subsequent layers of insulation shall be adhered to the previous layer of insulation using the same method of adhesion as the base layer.Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulations.listed as the base layer shall only be used as the base layer with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation boards used as a top layer shall be Installed with the po"oeyanorate Am down. Mlembrane: UhraPly TPO membrane fully adhered to the top insulation layer with UhraPly Bonding Adhesive applied to both the substrate and the underside of the roof cover for a combined rate of 170 ft'/gd. The roof cover side and end laps are sealed with a minimum 1.5 in heat weld. Mayans Design -150 psf.wing I.S.O Stich Adhesive with dWmms spate it o.c. Pressure: (See General Limitations#9) -165 psf.using I.S.O.Twin Pack Insulation Adhesive with ribbons spaced 1.2"ox. ,,4— (See General Limitation#9) -240 psL using I.S.O. Twin Pack Insulation Adhesive with ribbons spaced 8"o.c. (See General Limitation#9) -285 ps£uah*XS.O Twin Pam Insulation Adhesive with d 4" o.c. (See General Limitation#9) �-!.x* 7 NOA No.: 15-U?.AAG WMImtian Date: {13!1$!16 Appmval Date: 10/29/15 F*V 25 of 94 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 w� 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 JACOBAZZI, MICHAEL J ROOFING CONCEPTS UNLIMITED/FLORIDA INC 11820 NW 41 ST STREET CORAL SPRINGS FL 33065 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPARTME OF BUSINESS AND restaurants,and they keep Florida's economy strong. PRO ION Every day we work to improve the way we do business in order CGC03.6963 ~' LQ7/2016 to serve you better For information about our services,please - ~ log onto www.myfloridalicense.com. There you can find more Tl>tlEp R information about our divisions and the regulations that impact JA you,subscribe to department newsletters and learn more about yRO �; RIDA' the Department's initiatives. Our mission at the Department is:License Efficiently,Regulate - Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, tans_•o7.4haFir- and congratulations on your new license! DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA. _._.._. —..._....._.... _...._.. . .___. . .... .. .. t DEPARTMENT OF BUSTESS-AND PROFESSIONAL REGULATIQN CONSTRUCTION INDUSTRY LICrENSING•BOARD t 'CCC03�963 "`�'� � • ' The'ROOFING CONTRACTOII j i Naii�e-bebw-•ISfiE•RT1FI.ED�._ �, ♦ ti U rj �r the�r2linei.of-Cts st r 489 5: N- E�cpiratiorf date-AlJ -3201-8 _- .- w `"''" ,. .^ w ♦, A'I ' 416'N" 2 ' "e ,`' COR, `* 4 i*! , � _ _._J:`.•Fes" :�''•..,,'`� y� ��'t`+,. CERTIFICATE OF LIABILITY INSURANCE F 8/16/2016 Te THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TRW 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 certNlcate holder Is an ADDITIONAL INSURED,the Policy(les)must be endorsed. N SUBROGATION IS WAIVED,subject to the ft ne and conditions of the policy,certain policies may require an endoraemer iL A statement on this cert kite does not confer rights to the cedWm to holder In lieu of such endorseme s. PROOIICER CONTACT C111'yl Stipp Frank R. Foramen, Inc. PIS (954)943-5050 j (954)943-5417 LAX,No 1314 East Atlantic Sled. EIMMILcheryllifurmaninsurance.a m P. O. Bos 1927 INSILINEIM AFFORDOIS COVE RAGE NAIc s Pompano Beach rL 33061 INSURER A;Indi,an Rarbor Insurance Cc 36940 DWRED wouRERa-Travelers Casualty Ins Co of 29046 Roofing Concepts IIniimited/FL Inc., mUNERc.American Guarantee & Liability Ins 26247 Roof Doctors South Florida Inc InsumRo-Bri Tell 1 s Ins Co 10701 11820 NW 41 street 6NVURERE:Ohio Security Insurance Co 24082 Coral Springs FL 33065 INSURER Fc COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 0=1 wim LTR TYPE OF 114SURAMM POLICY Nlnmas NMPOLICY Y LOWS X COMMERCIAL GENERAL LIABMIrY EACH OCCURRENCE s 1,000,000 ]► CuurA9 MADE ❑X OCCUR MUMTOMMIr— $ 100,000 X Contractual & XCV E2M 00036602 5/21/2016 5/21/2017 MED EXp(Any Ongpgrsm) $ Excluded PERSONAL&ADV INJURY S 1,000,000 OEM AGGREGATE LINT APPLIES PEFL GENERAL AGGREGATE $ 2,000,000 POLICY EK JJEEC ❑LOG PRODUCTS--COMMPIOP AGO S 2,000,000 OTHER: S � AUTOMOBILE LIABILITY IRWED BW uMIT S 1,000,000 $ Ix ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED HASH042855 3/29/2014 3/29/2017 BODILY INJURY(Per accident) S AUTOS AUTOS 8 MIRSDAUTOS X NAUTOS O BRO1656476940 3/29/2016 3/29/2017FROMRTY S S X UMBITELLA LIAa X OCCUR EACH 00( E S 5 000 000 C EXCESS UAB CLAIMS-MADE AGGREGATE $ 5.000,000 DED I X I ggjpmo"s 0 AD7C017855201 3/21/2016 5/21/2017 $ WoRmotsCOMpomTmn X OTH AND EMPLOYEW LIABILITY Y I M DZUTER ANY PROPRLEfORVARTNEWEXECUTIVE F-.EACH ACCIDENT S 11000,000 OFFICERILGARIER EXCLUDED? a N 1 A D (Y"011my In NH) 83025393 8/24/2016 8/24/2017 E.L.DISEASE-EA EMPLOYE4 S 1,0001000 I Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRJIIOM OF OPERATIONS l LOCATION8/YEMCLES(AN�6Rq 101,addldenol R�Am 8ehedaM.may be deadwd g mmo epuo h requlretl► Roofing Contractor State License Number: CCC036963 CERTIFICATE HOLDER CANCELLATION 9549687142Cefassend.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami. Shores Building Department THE MMATION DATE THEREOF, NOTICE WILL BE DELNERIED W 10050 NE 2nd Ave. ACCORDANCE WRH THE POLICY PROVISIONS. Miami. Shores, FL 33138 AUTHOREIIM REPRESENTATIVE Dirk DeJong/JC � ®ISSB-2014ACORD CORPORATON. AN rights risseR,wd. ACORD 25(20'!4101) The ACORD name and logo are registered marks of ACORD INS825 amumi