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RF-06-20-1307, 9041 NE 4th Avenue RdMiami Shores Village R_FCE;1VE]D Building Department SUN 2 3 2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel, (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER; (305) 762-4949 FBC 20 BUILDING Master Permit No.k E Q U -:20- 13 0-1 PERMIT APPLICATION Sub Permit No. ®BUILDING [:] ELECTRIC an ROOFING ❑ REVISION ❑ EXTENSION RENEWAL []PLUMBING MMECHANICAL []PUBLIC WORKS F__j CHANGE OF [__j CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9041 NE 4 Ave RD 004 Follor/ParcelM 11-3206-046-0210 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: - /-'� I OWNER: Name (Fee Simple Titleholder): 7::)\AOR�S i - M I CQfY�' 0 Phon e#: 305-233-5959 Address: 9941 NE 4 Ave RD city: Miami State: Florida zip: 33183 Tenant/Lessee Name: Phone#: Email: CONTRACTOR- Company Name: Cape Roofing Corp Phone#: 786-326-5004 Address: 1269 NW 51 St Ter City: - Miami state: Florida 33142 Qualifier Name: In -grid Ortiz Phone#: 786-326-5004 State Certification or Registration #; CCC 1326240 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: —City: —State: — Zip: Value of Work for this Permit: $ 6.000 Square/Linear Footage of Work: 4.00 Type of Work: El Addition F-1 Alteration El New ME Repair/Replace ❑Demolition Description of Work: Re -Roof Specify color of color thru tile: Submittal Fee $ Permit Fee CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary S_ Technology Fee TrainingtEducation Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (RevisedO2/24/2014) 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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of 20 *)-(D . by Color" who is personally known to meorwho has produced Jf_fS(yXUJ1J V-rx0W'-"1 a, identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregoing instrument was acknowledged before me this d L go ay of 5 20 0 " (+iL who is personally known to me ter who has produced —a, identification and who did take an oath. NOTARY PPIJBI IC: Sign: GIA Print: Seat: o.c,AtQI AJ Seal: SERGIOD.CALVERA oil_ % V i'.- To. WCOMMSS"goolson .1 ww"SMON#GG1911V UPIRES, MRY4,422 WIRES.- MAY 4,2= Pd*L%dW*&1% Ur4sdnn APPROVED BY W Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) Shores Villas Condominium, Inc. c/o Florida Advanced Properties, Inc. P.U. Box 771566, Miami, FL 33177 Ph: 305-233-5959 Fax: 1-305-517-3417 Jane 4, 2020 To whom it may concern. Miami Shores Village permits Department. Ivette Colon Board president for shores Villas C.A. and the Association Board of Directors voted unanimously to hire Cape Roofing Corp to procure roofing permits for the following condo units #8703-#8919 and #9041 NE 4 AVE RD Miami Shores 33138. Please feel free to contact us if you require any further assistance. Felix Giralt CAM felix@floridaadvanced.com or by phone at (786)222-9265 Si erely, f Ivet olon Board President Shores Villas Condominium, Inc. c/o Florida Advanced Properties, 'Inc. P.O. Box 771566, Miami, FL 33177 Ph: 305-233-5959 Fax: 1-305-517-3417 June 4, 2`020 To Miami Shores Village 10050 NE 2 AVE Miami Shores 33138 Permit Department. Dear Sirs, This is to inform you that the representative from Shores Villas C.A. Board of Directors Ivette Colon, is authorized to apply for/obtain and sign the roofing permits in order to perform the necessary work at the following address ,8703 NE 4th AVE RD Miami Shores 33138 8919 NE 4th AVE RD Miami Shores 33138 9041 NE 4th AVE RD Miami Shores 33138 Thank ou for your attention to this matter, Sinc re vette Colon President of the Association 2020 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# 726513 Entity Name: SHORES VILLAS CONDOMINIUM ASSOCIATION, INC. Current Principal Place of Business: 8901 NE 4 AVE. ROAD MIAMI SHORES, FL 33138 Current Mailing Address: FLORIDA ADVANCED PROPERTIES, INC. P.O. BOX 770010 MIAMI, FL 33177 US FEI Number: 59-1548009 Name and Address of Current Registered Agent: KAYE BENDER REMBAUM, P.L. 1200 PARK CENTRAL BLVD. SOUTH POMPANO BEACH, FL 33064 US FILED Feb 07, 2020 Secretary of State 1463101869CC Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered once or registered agent, or both, in the State of Florida. SIGNATURE: ROBERT KAYE 02/07/2020 Electronic Signature of Registered Agent Date Officer/Director Detail : Title PRESIDENT Name COLON, IVETTE Address P.O. BOX 770010 City -State -Zip: MIAMI FL 33177 Title SECRETARY Name SENATUS,LOUBERT Address P.O. BOX 770010 City -State -Zip: MIAMI FL 33177 Title DIRECTOR Name SAMADA,JUAN Address P.O. BOX 770010 City -State -Zip: MIAMI FL 33177 Title DIRECTOR Name SUSAR, VIKTORYA Address PO BOX 770010 City -State -Zip: MIAMI FL 33177 Title VP Name JOHNSON,VANESSA Address P.O. BOX 770010 City -State -Zip: MIAMI FL 33177 Title TREASURER Name SERDA, WILLIAM Address P.O. BOX 770010 City -State -Zip: MIAMI FL 33177 Title DIRECTOR Name DUMAS,JERROLD Address P.O. BOX 770010 City -State -Zip: MIAMI FL 33177 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: IVETTE COLON PRESIDENT 02/07/2020 Electronic Signature of Signing Officer/Director Detail Date F*LE, August 17, 2020 Village of Miami Shores Building & Zoning Dept. 10050 NE 2" Avenue Miami Shares, FL e�ir .1 FkuWa NatematlorW EfWne,. < 6175 NW 167 SL, Bay 6-20, Miami, FL 33015 Tehe hone: (30) 3711-1991-F= (305 378-1997 M&Vk)Gde 1* Cer*cmidn # 07-0612.1I-Sttttte of FWW ctak #27273 Re: Roof Framing Inspection- Far lrtsulated Asphaltic Shingles to Shingles. Address: 9041 NE 47' Avenue Rd., Miami Shares, FL This Report is based on a visual review and analysis of the structural components, as existing conditions may allow, per MC 2017 (e Edition) Section 1519.7.3.1 and 1520.7. Observations: 1. Existing Asphaltic Shingles 2. Insulated roof w/ 1513r plywood deck is not structurally adequate to support tiles. Conclusion: To the best of my knowledge, belief, and professional judgement the roof structure inspected is not structurally adequate to support tiles. Existing shingles may be replaced w/ asphaltic shingles. ,`111111111H11111/tfftf/4 Respectfully submitted, .•-�Q� �GENSF• y�L,9 " 63107A = S No. VMB Venkatesan, P.� * • P t FL Reg. # 63107 A': STXTE OF `= • ..OF C' � ttf"1111111111" ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. 11 pp Secti;q A (General Information) Master Permit No. d "r b 'I $ 0 Process No. Contractor's Name Cape Roofing Corp. Job Address 9041 NE 4 Ave RD ❑ Low Slope Asphaltic Shingles ❑ New roof ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles; ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ Mortar/Adhesive Set Tiles ❑ Wood Shingles/Shakes © Repair ❑ Maintenance E Reroofing ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) 0 Steep Sloped Roof AREA (SSF) 400 Total (SF) 400 ❑ Recovering Section B (Roof Plan) Sketch Roof Plan`. Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 22� FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 Copyright to, or licensed by, ICC (ALL RIGHT'S RESERVED); accessed by Eliezer Palacio on Jun 8. 2015 10:32 12 AM pursuant to License Agreement. No further reproductions authorized. 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 an't the contractor. The owners 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 bef4inailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. AZI Exposed Ceiling: 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 penetration of the under -side of the docking may not be acceptable. This provides the option of maintaining the appearance. d 6. It'4." Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water, Perimeterledge 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 accordance with the requirements of Sections R4402, R4403 and R4413. Z��AmerlA s Signature Date Contractor Signature Date I % VA.Ke Property Address Revised on 7/9/2009 LD;07/0112015; Permit Number 'uVl\I1Lli I IVIVJ q[ 1\LYIJI VIV I V 1\I —VU—GU— IJ IU PER COMMENTS ;DATED 07/21 /2020 Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof System Manufacturer: GAF MATERIALS CORP Notice of Acceptance Number: 18-0123.06 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): KCERPT FROM FBC 1513.7.3.1 P1: NIA Pi: NIA P1: NIA here asphalbc si:ingles arc to bs installed ever insulates) roof d ., a wltab:5 na:t.lbe substrato, in ar mrdane_ w.dr Sa Ii., t62c 5.7 must by in 11od over tho:nsulznoo prior to mstaliacon o` aopro -d ucdortaymenl and shingles. KCERPT FROM FBC 1520.5.7 ahle rails(dc Ends costa lad evsr rigid board r-, �sula.icn'n be ld'ngs Pf moan prof ha:ghl of 3S fret � 10 x cot cr Iris stall bo s m'� hump 1_M2'nch ,12 con.) ,-no, grade ply ood sheath rig Thou decks seal. b; ras'ened to evs i slrslural me( frame me"ber or 1P t e x rl rig ded mhs Ste ..ulaGpn,at'nte—ItIof n"t ro.e 0tar124-nchcs(610 mm) Von, t: rt:l2 approves'. irsulabon fas'ena'sLnoed at a rtaoo-ro cf.2'nl.es(305 •rim) Ip.:t'. �relio.f'.,htn�rtum pan,aWtof1.[whes(38n.m)rtt.the t,b-Jrsl'remberor deck: 'horn cases trenaxitn.,m r rn a icieness 'If the dgio insulxit.^.n Mtard shall no: exrnstl 2 in has ;51 mml. An <<^.Itamate math 1 .f aYarJnnenl may brt pnspVs^.d, pmv:dsai :i is in rnmp:iar:s w?h CF.aptcr `fi ;High `vale^aly 4urr:nne Znnesj, and :i is preps. M, sign.^.d and v:aled by a =laridn-rng.5tareC a'rnitect nr,a Flordn pr,fasvonal :bineer, rliob an;hiteut or rzngineer shall be prof ent i1, desig,. i20.5.8 mhenieal a'larhmrrH of —la' cn psnals at ur:rvan areas she:l t:e acup'eble�l - 3, .rating or seer rg of t—lriton p 1; r� 1>— +✓etstrshail ltblr— PErtFOC 19 3.1 .62 /916211,1.OVER THE EXSTI\G ORIGINA_STRUCTURAL 1511- PLYWOOD DECK INSTALL 23X4X WAX'HI::<NE5S: Deck Type. �LYISOG ANURATE RATIO INSULAT ION INSTALL PRESSURE TREATED WOOD NAIL2R AROJNC FERINIETER OF ROO P A .E 19133 SHEATHING AND ASTF_N WIT., OL1 V IC -'12 COR205'ON i ESISTANT COATED DECK FASI ENERS NO LESS THM! 3 5' -ENOTH (FOR 1.5 PENETRATION INTO TRUSS ; TRUSSES ARE PACED NC MORE.HAN 11O.C,dFAST:ENF.R SPACINGOF SCREWS ARE 8'O.C. DOWN THE l R,ISS. THE END RESULT IS A SUITABLE NAILABLE SUBSTRATE AS NOTED IN THE EXCERPTS _F.RO.MFEC1514.7.3-1_&_1520.5.Z -._.__-_..... Type Underlayment: ! ASTM D226 TYPE 11 #30 � Roof 3,�Iope 12' ---------------- `., Insulation: ' N/A Fire Barrier: �N/A Approved minimum 12 gage by 1114 in. comosion-resistant annular ring shank roofing ails .� Eathing 5,'E7tt-'dPam8Te7um�Fastener Type Of SpaCmg: Zaps with twodditicnal rows in the field aximum spacing of 12 in o.c. Nails shall be of sufficient length to penetrate throughate-or. Wood.plank a meumum of-311E in- or. penetrate.l..inch .(25atm) or.greate thickness of lumber a mm"um of 1 in., Adhesive T yPe N/A Type Cap Sheet: N/A Mean Roof Height: 13 Roof Covering: ROYAL SOVEREIGN 3 TAB - - SHINGLES— - T e &Size Drip 3X3 26 GA GALV. DRIP yP P NAILED 4" OC W 1-1/4" RS `. Edue: -NO-APPROVED-NAIL Ridge Ventilation? NIA 123 01-48 4/19 PAGE 4 MLAMW MIAMI-DADE COUNTY PRODUCT CONTROL SECTION ism 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 3317S-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidadtgoyloconomy GAF I 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. DESCRIPTION: GAF Royal Sovereigne Shingle **0* • -XABEL-TW:_ Each -unit shall bear a permanent label with the manufacturer's name or logo, city, state and following .5!atemen1%'N4ami-Dade dounty Product Control Approved", unless otherwise noted herein. *:9e*RENF.VV41j. of this*MA*shall be considered after a renewal application has been filed and there has been no change -ki the 44iqatle bul 41 00 Vj% ode negatively affecting the performance of this product. TES OtION b&IaVNOA wi 11 occur after the expiration date or if there has been a revision or change in the materials", use, andAm"amufacture of the product or process. Misuse of this NOA as an endorsement of any product, 0 for saZ*sp advertising at try other purposes shall automatically terminate this NOA. Failure to comply with any section ......of this '14 O'shall Oe glar for termination and removal of NOA. 0 0 0 0 00*0 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 renews and revises NOA 14-1022.16 and consists of pages I through 4. The submitted documentation was reviewed by Freddy Semino 11 NOA No.: 18-0123.06 Expiration Date. 04/22/23 Approval Date., 03101118 Page I of 4 ROOFING AssEmBLY APPROVAL Catezory: Roofing Sub -Category_ Asphalt Shingles Materials 3-Tab Deck Tvm: Wood SCOPE This approves GAF Royal Sovereign" Shingle as manufactured by GAF as described inthisNotice of Acceptance, designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION Product L)imensionj 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. Tampa, FL. 3. Mt. Vernon, fN. 4. Mobile, AL. 5. Daft -IX. 6; M�&Ybwn, PA... - 7: F�:nfaqj CA. •�EVIDVN.Gk.�UBMAMD 000:0* 000 0 0 * TeXAMen cv Test Identifier Test Name/Report Date 92RI Corf*§Otrucotion lvlatsiars Technologies, Inc. TAS 100 GAF-332-02-01 01/17/12 ... TAS 100 GAF-376-02-01 10115/12 Underwe'riters LaboMailes, Inc. TAS 107 08NK02337 03/12108 0..::* TAS 107 08NK12906 10/10/08 TAS 107 11 CA47919 12/03/11 ASTM D 3161 / TAS 107 09CA41642 09/28/10 ASTM D 3161 / TAS 107 09CA38549 10/30/09 ASTM D 3462 08NK02337 03/12/08 ASTM D 3462 09CA21715 05/20/09 ASTM D 3462 08CA61 5 15 07/15/09 ASTM D 3462 11 CA47919 12/03/11 ASTM D 3462 4788199685 12/20/17 ASTM D 3462 4788199685 01/03/18 NOA No.: 18-0123.06 4DECOiiMfY Expiration Date., 04/22/23 M_Ttfnz� Approval Date: 03/01/18 Page 2 of 4 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 11 S. 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. S. 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 Sea] as shown below. �TE �D ... iUHDD* WO-*. �-ERN&- R"lQUIREMENTS 0 - 1. Application kr-bui;ding permit shall be accompanied by copies of the following: lel This NN eel* pf Acceptance. :..*1.2*Any &Wdocuments required by the Building Official or the applicable code in order to properly ... 7valuateet-he installation of this system. • NOA No.: 18-0123-06 M~IAM C. Expiration Date: 04122/23 Approval Date: 03/01/18 Page 3 of 4 DETAIL A COURSE LAYOUT DETAIL $ • • • • OVERALL DIMENSIONS AND NAILING PATTERN Y • • • END OF THIS ACCEPTANCE •. NOA No.: 18-0123A6 0 Mmm Expiration Date: 04/22/23 Approval Date: 03141/18 Page 4 of 4 Asphalt glass mat hip and ridge shingles , "Seal-A-RidgeW for installation as Class A prepared roof coverings. Also been evaluated in accordance with ASTM D3161/D3161M, Class F when Henkel Corp. "Loctite PL S30 Roof & Flashing Sealant" is applied as specified in manufacturer's Installation Instructions. Also Classified in accordance with ASTM D3462/D3462M. Asphalt glass mat hip and ridge shingles , "RidgiassW for Installation as Class A prepared roof coverings. Also been evaluated in accordance with ASTM D3161/D3161M, Class A. Also Classified in accordance with ASTM D3462/D3462M. Asphalt glass mat hip and ridge shingles, "TimberCrest"I Premium SOS-Mod€fled Ridge Cap Shingle" for installation as Class A prepared roof covering. Also been evaluated in accordance with ASTM D3161/D3161M, Class A as specified in manufacturer's installation instructions. Also Classified in accordance with ASTM D3462/D3462M. Asphalt glass mat hip and ridge shingles, "TimberCrest7m Premium SOS -Modified Ridge Cap Shingle" for installation as Class A prepared roof covering. Also been evaluated in accordance with ASTM D3161/D3161M, Class F when ASTM C920 Henkel "Lott€te PL Roofing and Flashing Sealant" is applied as specified in manufacturer's installation instructions. Also Classified in accordance with ASTM D3462/D3462M, Last Updated on 2019-02-14 The appearance of a company's name or product in this database does not In itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (files) must be presented in their entirety and in anon -misleading manner, without any manipulation of the data (or drawings). 2; The statement "Reprinted from the Online Certifications Directory with permission from UV must appear adjacent to the extracted material., in addition, the reprinted material must include a copyright notice In the following format: "C) 2019 UL LLC" • • •••••• • •••• • • •• • • •• • • * • •••••• • • ••• • • • • • • •••••• •••••• • ••• •• •. ••••• •• •••• • •••••• ••••• • •••• • • • •••• 00:0*0 SOS: SOS • • • 000 •••••• •••• • • • • • • ®OProduct PREPARED s ROOF -COVE; ING MATERIALS PreparedRoof-coverin:g Materials See Brat Wformation for Pmpared Roof - riles Maberiab GAF R21 1 CAMPUS D Asphalt mot mv and twat obta p and itifte t r lnstoWan as Class A mWVftd In aCtOMWce v V vW Flashing S4mknr or Sonnebom -Npl ids POtyurothafte Stalaor Is applied as spodftd In nwWfactiffOr's SOP00004 s, AM 0346Zf*3462M. `vast .hip and rialge sWaloo-ftqe for lostalladw as 040 A pnepared milt Np And rkhK ObWal o r hi "* and " �IRO W a "are{{yyyy: mp�a �ryy,,�--o�r9iofd : been o a0316110316104, I I in with. ASrM 03462M,34 2M. Asphalt 9111100 teW UP and Ado* tdr ae , " -A- " for IngaMom as tWss A W"" rw( MVSMO5- Abo tit evalumUd In amwdwce o 1$rl/s u6im, am F when HOOMI Corp, *tQCjft pt S3a Roof a Flashtnq es applied as in ner*s InStWINUM MWUMWIS, Alas 003ad in acoordaho with ASTM 03462/D346M, Matt Mall by a ridge shiner, OffidomV for 6at r as A pmWed roof rW. in actordwo with ASTM 031611i/U316M mass A, Abo Cmdied in acoordan wft ASTM 03461,tOS" M. AaVMlt glass ma# alp mW "rdh_ , *Tkobe - pMnIUM SWW- itk a cAp:SNW tar InOANatkon a$ Class A propared ro0coovkv. Also bow ovoluaWd in aocardor4o vAth ASTM D316 M316w, Cfm A as SWMed In rrsanK0d IfWaftftA CO(M . Ak* CIMSMed In accordmos wah AS'M 034622/11 3Ma hip OW rldga gkkipog, *Tint "° prerraUM odifiad Ridge Cap S+ nW fcr kVftRMW a e Oaft At pcaparad rq+af: p, Atsa bO" OVOWSW In accordance taint ASTM 3161JD3161M, Ckm F Whim ASTH CO20 Henko ' pi. ftmlm wW Fias bft scant" is applied as specMed in ommufooftwees kwtWWWn krstrrtretit w- Also ga"cfled in w" ASM D346VO302M. The appowamm of a compwws oarne or pou*oct in this databast do"natin Ogg aSwrg that ModucIs so OwAMed ttaaat tram UWWred WXW WS foiiawr Up Serve o, only Owe produ Ow iAi Mot should be Owdkttrvd to bt Cortitle+d and cnvered under UL*s Foikrw-lip Wok for am OWk art the pradva UL pernVx the reproducNa of ft matmW cooWned In the Gnkno CertfficaOo Dinectocy Subject to tha (DO card : is ne CiuW# Ness, i ", oftoMSystora, goo/orCwtftgooft (Ales) Nwg bo prgsorad in VWr onOmkty and in a ra fto arwtw, Wkwut any marwpumbon or the data for kW)., 2, Tho suwmwt "Rtpdrftd from the Onlime cortifica"Oft Doectory 'Oth k4t s"M UV must Appear adjacwx to the earbocted rnater4al. in addibon. flea Must IrKWO a fh in'Vw Ih *0 ZD19 UL UV r Q .rt r t # a f # 4' EXPIRES ®E©=2\^a 42 Ufa 2<�\J d�� 4 « PJOC SO,t m a- . . .: SQUAW dbP « « »- �����. STATEOF FLORIDA DEPARTMENT OF BUSINIESSAN07PROFESSIONAL REGULATION ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MMDD/YWl� 05/29/2020 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 Emmanuel Insuran ce&Associates, Inc. 2370 E 8TH AVE HIALEAH FL 33013-4236 CONTACT Sarai Medina NAME: PHONnE E : (305) 693-0003 ac No: (305) 691-4381 E-MAIL ADDRESS: sarai@emmanuelinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Kinsale Insurance Company 12936 INSURED Cape Roofing Corp. Ingrig J. Ortiz 1269 NW 51 Terr Miami A FL 33142 INSURER B : INSURERC: INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL 1N= SUBR POLICY NUMBER POLICY MM DD EFF MM DD POLICY EXP LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 CLAIMS -MADE I —XI OCCUR DAMAGE TO Ea occurrDence $ 100,000.00 _7 —PREMISES MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000.00 A 0100084936-01 05/19/2020 05/19/2021 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 K POLICY ❑ JPRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe 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 Contractor. CERTIFICATE HOLDER CANCELLATION Village of Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores fl 33138 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 16 ACOIRV CERTIFICATE OF LIABILITY INSURANCE DATE (MM!DD1YYYY) 611/2020 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: N the certificate holder is an ADDITIONAL INSURED, the policy(iss) 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 endorsernefft. A statement on this certificate does not confer ri" to the certificate holder in lieu of such endorsement(s). PRODUCER CXEfT SARAI MEDINA EMMANUEL INSURANCE & ASSOCIATES INC (305)093-0003 FAX =L Fak MIC, NQI: 2370 EAST 8TH AVENUE MSS: SARAI@EMMANUELINSURANCE-COM INSURERSI AFFORDING COVERAGE HAIC # HIALEAH FL 33013 INSURER A: FWCJUA INSURED INSURER 8: CAPE ROOFING CORP INSURER.C: 1269 NW 51 TERR INSURER D t MIAMI FL 331420000 INSURER E. FEIN: 901017828 INSURER F: COVERAGES CERTIFICATE NUMBER: 2OW010023 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- Irm LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP (MMIDOMM) LIMITS COMMERCIAL GENERAL LIABILITY CLAM&MADE F-1 OCCUR EACH OCCURRENCE tu PREMISES lEa o—m—w-a-m—) $ WED EXP (Any one Person) $ PERSONAL & ADV 94AM $ GERL AGGREGATE LIMIT APPLIES PER' . POLICY El JPEP& 7 LOC. OTHER GENERAL AGGREGATE $ PRODUCTS - COMROP AGG $ S AUTOMOBILE LIABILITY ANY AUTO 00JED Y AUTOS SCHEDULED AUTOS ONL HIRED ONLY AUTOS ONLNON4DWED AUTOS Y 1 I�INED SINGLE Lffff S BODILY INJURY (Per Person) $ BODILY INJURY Pw -WerAl DAMAGE $ 4 UMBRELLA IUAB EXCESS LIAR OCCUR CLAIMS44ADE EACH OCCURRENCE $ AGGREGATE Dm I I REwmnm $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRETORIPARTNERtEXECUTFVE F7N OFFICER EXCLUDED? 04-dafty in NH) uer OndF OPERATIONS below NIA 70754937 5/2012020 512012024 R OT11- X I PSVATUTE FOR E-L. EACH ACCIDENT $ 1,000,000.00 E-L DISEASE - EA EMPLOYEE $ 1,000,000-00 EL DISEASE - POLICY LIWT S 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddWorml Remarks Schedule, may be adKtwd 4 mare space is re"Ired) Roofing contractor IUTAR-01�1zi Viflage Miami Shores I Budding & Zoning 10050 NE 2nd Ave, Miami Shores Phone Number: (305) 795-2204 R.0, FL 33138 I AUTHORIZED REPRESENTATIVE <;W7- ~ w- (9) 1933-2015 ACORD CORPORATION. All rights reSerVed. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD