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RF-10-1230BUILDING PERMIT APPLICATION FBC 20 Contact Phone� ) 5/, ""el 5' 4 ,(' E -mail Architect/Engineer's Name (if applicable) irie. Value of Work For this Permit $ "6D() ®Q Type of Work: DAddition DAlteration Describe Work: E.Mk- Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Is Building Historically Designated YES NO stici Permit No. ai( K) 1230 3 Master Permit No. Permit Type: BUILDING ROOFING . Owner's Name (Fee Simple Titleholder) a /S' .{ %.449 Phone # Owner's Address 7-- ` City Tenant/Lessee Name Phone # Email Zip 33 1 T Job Address (where the work is being done) .7e �7 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # lr — 32 ® -0 /3 °- f 6, Contractor's Company Name ,4i- /441.441r 1j(4 .If Ave. p # el 3 ,6 � Contractor's Address /.3241/ Ne 3 a. 7 City /./ 19 / t // St ate Zip /6 / / „_) , Qualifier Name 9O /� //�.J /�Q Anti Phone # .3/6 "DSa 6 State Certificate or Registration No. 496 0047/ 50 Certificate of Competency No. re,,BQQpo20,4 Phone # Flood Zone Square / Linear Footage f Wor : 700 ONew air/R lac ❑ Demolition * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * *, F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ -CO Permit Fee $ '? Notary $ Training/Education Fee $ G Technology Fee $ 3 -2(3 Scanning $ t . Radon $ DPBR $ Bond $ Double Fee $ Violation date: n' r� Structural Review. $ Total Fee Now Due $ au CCF $ O -40 CO /CC $ See Reverse side -+ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 absenc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature • r 0 Owner or Agent tee /07 The foregoing instrument was acknowledged day of 17/i Z , 20/0 , by lt.,, � dpi /O "ii who is personally known to me or whc as 1?r a 9 ' 2 ' O, % As iden • : - tick . anel take NOTARY PUBLIC:: o d , ; who # 683799 an ° O � i 9 9 • : d thN :Be oa : w A•• :Cd /ic Under `.: . �� /07c. STAZE ()N •,���� Sign: Print: My Commission Expires: APPROVED BY (Revised 07 /I0 /07XRevised 06/10/2009) 71 %0 Plans Examiner Engineer Signature Contract The foregoing instrument was acknowledged before me this day of !�' , 20/ D , by 0004" who is °p . 1 � personally known to me or w Vitas' l • if P Y h► P ( fir` as identification anti o tl � gfirti Sign: Print: • m • y : # "u 68 379g : A • '1:e /cedthru .�e�. e, NOTARY PUBL My Commission Expires: 2. 9 • Zoning Clerk checked To: Miami Shores Village Building Department Date: 4/22 10050 NE 2nd Ave Miami Shores, Fl 33138 Rp:. Owner's Name: Property Address: / d `9c9 s Roofing Permit Number: Dear Building Official: I QU .. - 404/!fS certify that I am not required to retrofit the roof to wall connection building because: 'The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions 0 , 4 bf 1994 edition of the South Florida Building Code (1994 SFBC) Signature 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. Swom to ar5d O ; crib p tae this D day of � �. A 7 2o/. ,. . : ' ; :COMMIsSI0N #DD888438 . � 9 Q EXPIRES: MAY 11.2013 Notary Public 'SAle c'ir'{ 'e Revised on 5/21/2009 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. M iami Shores Viiiage Building Department fq9aG. Print Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 f�wti • 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. Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 3,131 Lot Size: 15,500 SO FT Year Built: 1920 $50,000/ $130,504 MIAMI SHORES SEC 1 City: AMD PB 10 -70 LOT 20 & Legal 21 BLK 41 LOT SIZE Description: 100.000 X 155 OR 12599 -135 0685 1 OR 12599 -0135 0685 00 Year: 2009 2008 Mailing ddress: Applied Applied Taxing Authority: Taxable Taxable Exemption/ Taxable Market Value: Value: Value: Regional: $50,000/ $130,504 $50,000/ $130,324 County: $50,000/ $130,504 $50,000/ $130,324 City: $50,000/ $130,504 $50,000/ $130,324 School Board: $25,000/ $155,504 $25,000/ $155,324 Folio No: Y--1rt1. t44Et !! 63 NE 98 ST • Mailing ddress: AUL S SIMAS &W TERESA $371,731 63 NE 98 ST MIAMI $250,411 HORES FL Market Value: 3138 -2409 Year: 2009 2008 Land Value: $265,932 $371,731 Building Value: $250,411 $287,227 Market Value: $516,343 $658,958 Assessed Value: $180,504 $180,324 MINIII 2009 2008 =. $25 000 $25,000 ,...GaTI'la MUM MEM , Miami -Dade My Home My Home miamidade.gav Show Me: ........ ____ ........... ............................... Property Information Search By: Select Item ® Text only fg Property Appraiser Tax Estimator Property Appraiser Tax Comoarison Portability S.O.H. Calculator Summary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: nom ACTIVE TOOL_ SELECT Aerial Photography - 2009 Web Site © 2002 Miami -Dade County. All rights reserved. it Q. MEE My Home 1 Property Information I property Taxes 1 My Neighborhood l Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Prlvacv 1 Disclaimer 0 112ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Page 1 of 2 Legend Property Boundary Selected Property Street Highway County de Water http: / /gisims2. miamidade .gov /MyHome /propmap.asp 7/7/2010 : ' a P a J . ' - I '1 1 0 — 1 2 Pv1 ami Shores Village APPROVED BY DATE ZONING DEPT t nE2OOJ PT d 25k 1 Application Form. SUBJECT iO COMPLIANCE WITH ALL FEDERAL LatIOn)ND Cr uN iY dULES AND REGULATIONS • • • • • .' • • • •••• 4 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES • • • • • • •• •• Master Permit No. Process No. / /'i /5r16M• Job Address `L 3 /. L 9' P sa r Contractor's Name ❑ New Roof Florida Building Code Edi High- Velocity Hurricane Zone Uniform Permit Sectinn A (General Info Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes o la Shingles d o� 5' ❑ Prescriptive BUR -RAS 160 0„c- „ 4j d / Ks ROOF TYPE $Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) 70 0 Steep Sloped Roof Area (SF) ❑ Repair ❑ Maintenance Total (SF) � Section R (Roof plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. • • • ••• • • •• ••• ••• • • • • • • • • s • • • • • • ••. •. • • • •• ••• �.- • •• 9 L d 30 r `C CODE IBUILDING Section C (Low Slofle Aoolicationl FUI in specinc roof assembly componen and identify manufacturer kit a component is not used, identify as "NA") System Ntanufacturer4A A ,44 /4'/ /5 Product Approval Na.: ' % /2 /9', 0? Design Wind Pressures, From RAS 128 or Calculations: Pmax1r 0 4 PmaxZ &2• Pmax3:/ .1 7•„� Max. Design Pressure, front ?t spgpific Product Approval system: �.0 • .7 Deck: ,1 ype: Wi�0l/ Gauge/Thickness : 3a , e .2 /t slope: it Anchor /Base Sheet & No. of Ply(s): 1 Anchor /Base Sheet Fas i rBonding Material: insulation Base Byer. A0/4 Sass Insulation Size and Thickness: 4 1/04 Base Insulation Fastener /Bonding leial: Top Insulation Layer: Top insulation Size and Thickness: Top insulation Fastener/Bonding Materiat4 / •••• Base: _ as en fl oeg l le ri k_ 11 J PIy9ttletfs) & No. of•Pty(s): • 1 % ' eqm 4417 /44.5 •••• ..�� Ply i 'S. iZe�Q,t;Faste • dir W itter p Jf• P4.44 44s Sv4,42 ••Cddi -op Ply Fas ewer VeyAaArli Florida Building Code Edition 2004 sigh- Velocity Hurricane Zone Uniform Permit Application Form.. Surfacing: A VA Fastener Spacing for AnchoriBase Sheet Attachment: Field: I Lap, # Rows /. 4 S " oc 4 ° A)) Perimeter: G " oc @ Lap, # Rows @ L" ac¢ ' orner: oc Lap, # Rows 5 Q " oc4 •tAp Number of Fasteners Per insulation Board: WA Field Perimeter Corner illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination. Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. Indicate: Mean Root Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit 'Gafglas Mineral Cap sheet H.M. 2 Plies GafGlas Ply VI N.M. 11 Ply Gafglas #75 . lied 3x3 D/E 26 ge 2 Piles Strips 9"x12" on top on Drip Wood �raaet waa Heigrrc Ft Mean Root Height RootHq Ft /0 I MIAMI�OADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Ally Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee 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 Division (In Miami Dade County) and/or the ART (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. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division 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 and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County, Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA, • • • A4D • • ISE11 El;TP The NOA number preceded by the words Miami -Dade County, Florida, and • folli- 4J' the trtpiraMon date may he displayed in advertising literature. if any portion of NOA is displayed, Then it•sbali be done in its entirety. • • • INSP ECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its • • distributers and .. available tier inspection at the job site at the request of the Building Official. •••• .•.• • This tQt)'4 renews' Sttf revises OA No. 03 0501.05 and consists of pages I thru gh ! 9. • • • 'file su1 initted documentation was reviewed by Jorge L. Accbo. g\ / • .• • • • • • • • APPROVE + _ == MIAMI•DADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (303) 373 -2901 FAX (305) 375 -2908 NOA No.: 07- 1219.09 ENpIration Date: 11104/13 Approval Date: 03/20/08 Page 1 of 19 Deck Tvpe 1: W'Vood, Non- inilnted Deck Deseripdon: 1 'I.," or greater plywood or wood plank decks System Type F: base sheet mechanically fastened. ,til General and System Limitations shall apply. Fire Barrier. FireOutTM Fire Barrier Coating, VcrsaShieleNon- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base sheet: GAFGLAS 1180 ULTL'MIATM Base Sheet, STRATAVENT® EliminatorTM Mailable, RUBI?RO1D Modified Base Sheet, RUBEROID 20, RUBEROID Heat- WeIdTM Smooth or RUDFRO1D IIeat. WeIdTM 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS 1175 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure - 45 psf, See General Limitation 47) GAFGLAS® Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS 1175 Base Sheet or any of above Base sheets attached to deck with Drill -TeeTM 1112 standard, 414 or II 15 Screws and 3" Drill -TeeTM steel plate or Drill-Teem AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure - 4S psf, See General Limitation 117) GAFGLAS Flex PIyTM 6, GAFGLAS t175 Base Sheet or any of above Base sheets attached to deck with proved annu ar rT s Tank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressur - SZ.S psf S General Limitation #7) GAFGLAS` 480ULTIMATM, IDe20, RUBEROID Smooth base sheet attached to deck with approved 1V4" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure - 60 psi; See General Limitation 07) GAFGLAS' 475 Base Sheet or any of above Base sheets attached to deck with • • Drill -TecTM 1112 standard, 414 or # 15 Screws and 3" Drill -TecTM steel plate or • :. "• Drill-Teem AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. • • • The other rows are equally spaced approximately 9" o.c, in the field of the sheet. • • • • (Maximum imum Design Pressure -6O psf, See Gefierul Liatiluliun ;Pi) • • • • • • • • • • • Any of above Base sheets attached to deck approved annular ring shank nails •••• • and 3" inverted Drill-Teem insulation plates at a fastener spacing of 9" u.u. �,t • • • •••• the 4" lap staggered in two rows 9" in the Feld. • • (M (Maximum Design Pressure -60 psf See General Limitation 47) • • • •• • ••• . .• • • .• • • • • • NOA No.: 07- 1219.09 Expiration Date: 11104/13 Approval Date: 03/20/08 Page 17 of 19 Ply Sheet: Cap Sheet: Surfacing: • • . • • • • •. • •• • • • • • • • • • • • Maximum Design Pressure: See Fastening Above • • . • • • • •• • • • • • ••• • • • • • .• .• • • •••• •••• • • • • • • • • • • •••• • • • • • • • • • • • GAFGLAS 1175 Base Sheet or any of above Base sheets attached to deck with Drill - Teel" #12 standard, 1114 or # 15 Screws and 3" Drill -Teel" steel plate or Drill- TecT"" AccuTrac Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —7S psf, See General Limitation #7) or mo r: i . e , GLAS PLY 4, • 80 ULTIMA, •RUBEROID MOP Smooth or'RUBEROID 20 adhe ' in a 11 mopping of approved asphalt a . plied within the EVT range and at a rate of 20-40 lbssq. (1 . ' onal One . 1 of GAFGLA ° ' • Surfaced Cap Sheet or GAFGLAS EnergyCaprm Mineral Surfaced Cap Sit ad1ered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbsJsq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: l.. Gravel or slag applied at 400 lbs.sq. and 300 Ibssq. respectively in a flood coat of approved asphalt at 60 lbsisq. or applied in a flood coat of Leak BusterTM Matrix"' 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS"' Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbsJsq. 3. Leak Buster"' MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 galJsq. 4. Leak Buster"' MatrixTM 715 , Leak Buster"' MatrixTM 322, TOPCOAT M13+, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak Buster"' MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal./sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 gal./sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. iVOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Pty 4 and Flex i'ly "M 6 :j•t:en used as a mechanically fastened base or anchor sheet. 2. 1vlilliiuti111 'A" Dens Dc k''" or , " Ty X gypsum board is acceptable to be. installed directly' ever the tivood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a fill! mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs./sq., or mechanically attached using the fastening pattern of the top Layer 3. Alt standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three revs, one at each sidclap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of - 45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 tbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 !hf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Rooting Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, Oenernl Limitation P9 will not be applicable) 8. Allootachment and sizing of periireter milers, metal profile, and/or Mashing termination designs shall • • conkl with v f ! g Application Standard RAS 1 1 1 and applicable wind load requirements. • 9. T4 imum gesigfted pressure limitation listed shall be applicable to all roof pressure zones (Le. field, • perlmettIrs, ank aornirs). Neither rational analysis, nor extrapolation shall be permitted for enhanced • f a : call:rir : 6�'1 prpa 7nni!•: li a,, p rirn rYtAnd d r.D ners :lttrl r•.orrutr=;), (?x b n thkk •••••• li uit ;i i=►n is suegically referred within this NOA, General Limitation #7 will not be applicable.) • • t ^`,�j quality in !,- ,. thc Florida 13 � <�il• iiil.�,lFi;rfvill shall have /i yUaar�� assurance audit accordance. with �l'ia: 1 1/u Building • Cadem Ruin idi•i2 of the Florida Administrative Code. • END OF THIS ACCEPTANCE • • • • • • • ••• •••• • .- • • • • • r�wrai.0 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20 /08 Pave 14 of 19 ROOF COVERING MATERIALS (TRW) ROOFING SYSTEMS (TGFU)— Continued ttle sum board and overiayment board are offset 6 in. with the joints in the polystyrene is part of the roof system, it must be placed below the • '� o (n hot iesph a 'GAFGIAS Pty 4' or "Ply 6' may be adhered to D GA�US Stratavent onncoomb a dais and may a recover over hot mopped over existi* roof GA F6LAS Ferrite Insulation may be utilized as a cover board over "EVERGUARD' insulation in any of the following systems. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT T G2 asphalt glass mat base sheet (' GAFGLAS 675 Base Sheet' or "GAFGLAS Igo Premimum Base Sheet') is suitable alternate for Type G1 asphalt glass fiber ply ("GAFGLAS Ply 4 or GAFGLAS Ply 6") in the Class A. B or C roof systems indicated below. Ths roof deck may rstfi be covered with a Type G2 asphalt glass mat base sheet ' GAFGLAS Stratavent (Vent -Ply) perforated' or "GAFGLAS Stratavent (yam PI) for Nibble decirs' Perforated to be mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet (' GAFGLAS *75 Base Sheer, " GAFGLAS #80 Premium Base Sheet" or " GAFGLAS Stratavent (Vent-Pty) for rentable decks") may be substituted for G1 asphalt glass fiber ply sheet (' GAFGIAS Ply 4' or " GAFGLAS Ply 6") as the nailed base ply in the following Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened. "GAFGLAS Flashing' beta* When n "perlite' is referenced, id' may be used for flashing in any of the Class A, h C syste ms fi� this includes " GAFTEMP PERMALITEm" or any other UL Classified partite insulation. Crushed stone ` r slag are suitable alternates for gravel in any of the Class A, 8 or C systems Structural cement fiber building units are considered suitable to be included as a deck in the following Class A, 8 or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, 8 or C systems does not adversely effect the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between min 3/4 in. perlite board and deck with rosin paper (perlite /rosin paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the following Class A, N or C systems. " GAFTEMP Isotherm RA ", " GAFTEMP Tapered Isotherm RA' and "GAFTEMP ' Composite A" may be substituted for any isocyanurate insulation in any of the following Classifications. Trumbull "Perma Mop' may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt'. GAFGLAS 680 Premium Base Sheet may be used in any of the following systems. Class A, 8 and C. Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. •••• Class A • 1. Dean C -15732, 8 •' • Incline: 3 • • • •'Qsulation (Optional): Gne•or wore layers perlite, Wood fiber, glass filer, isocyansowi a, urethane, petite / isocyanurate composite, perlite/ • ' urethane composite, wood fiber/isocyanurate composite, phenolic, any • thickness. • • • • •: • • • Pjy SheeDjhree or more 4e:r • ype G1 " GAFGLAS Ply 4' or " GAFGLAS Ply ...„6", hot mopped. • • • • S'urfadnis GrVise 2• •lfdtk: C- 150? • • • • • • Incline: 2 • Insulation. (Aptronal): Ogg. gr. More layers perlite, wood fiber, glass • freer, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, woo'd'ff/fsocyanurate composite, phenolic, any • tticknes j • • • Ply Sheet Threeer more Sayers Jype G1 " GAFGLAS Ply 4" or " GAFGLAS Ply •••••6i'. •••• • • Cap Sheet Ogg. layer Type G3 " G Mineral Surfaced Cap Sheet'. 3. Deck: NC Inclines 2 insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Pty 6 ". Cap Sheet One layer Type G3 " GAFGLAS Mineral Surfaced Cap Sheet ". 4. Oeck: NC Incline: 1/2 Insulation: One or two layers 'Isotherm R", 4 in. max, hot mopped. ROOF COVERING MATERIALS (TEYT) 133 ROOFING SYSTEMS (TGFU) — Continued Ply Sheet: Any UL Classified gravel Didn -15/32 Indina 1 Sap Sheet (Optional): Red rosin paper, nailed to deck. Bus Sheet: One layer of Type G2 " GAFGLAS 675 Base Sheer (may be nailed). Ply Sheet: One or more layers of Type G1 " GAFGLAS Ply 4' or GAFGLAS Pty S One layer of Type G-3 " GAFGLAS Mineral Surfaced Cap Sheet' LOOK FOR MARK ON PRODUCT 1 6. Base Sheet: One layer of Type 62 ' GAFGLAS 675 Base Sheet'. • Pty Sheet: One or more layers of Type G3 " GAFGLAS Ply 4' or GAFGLAS Ply Cap Sheet: One layer of Type G-3 " GAFGLAS Mineral Surfaced Cap Sheet'. 7. Dede C -15/32 Incline 2 Insulations One or more layers perlite. glass fiber, isocyanurate, urethane, perlile/huyanurate composite. perlite /urethane composite. phenolic. 1.0 In min (offset from plywood joints 6 in.) . Bus Sheets One or more layers off` Type 61, G2 or 63. Membrane: One or more layers of "Ruberoid Torch' (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop' (smooth or granule) or "Ruberoid Mop Plus" (granule). hot mopped. Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet', 8. Dada C-15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber. g lass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop' (smooth or granule) or "Ruberoid Mop Plus' (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet', hot mopped. Crass B 1. Della C - 15/32 Iodine: 3 - 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, partite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Pty Sheets Two or mare layers of Type 61 " GAFGLAS Ply 4" or " GAFGLAS Ply 6' Cap Sheet: Type G3 " GAFGLAS Mineral Surfaced Cap Sheer, hot mopped. 2. Dada C -15/32 Inclines 3 -1/2 glass Insulation (Optional): One or more layers perlite, wood fiber, g fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus' (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Class C 1. Decks C -15/32 Inclines 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, woad fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type 61 " GAFGLAS Ply 4' or " GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1. Della C -15/32 Iodine: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Type G1 " GAFGLAS Ply 4' or "GAFGLAS Ply 6 ", hot mopped with coal tar bitumen. Surfacing: Grovel COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck: NC Inclines 2 Insulation (Optional): One or more layers perlite, wood fiber or glass fiber, 2 in. max. Ply Sheet Three or more layers of Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Surfacing: Grundy Industries 'al MB Aluminum Roof Coating" at 1 - 1/2 gal /sq. SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. 0.5 Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. l 2. ' d ) Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). CC 3. Q ) Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing to be performed. 4. O'3 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 underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. 1 s Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. • • V' • V . "Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not .overtoad d rpm a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if •• • overflppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in • accor •• daacswith the requirements of Sections R4402, R4403 and R4413. • '••• •. ,1 •. ventilation: Most roof structures should have some ability to vent natural airflow through the ' interior o IRe structure assembly (the building itself). The existing amount of attic ventilation shall not be •• • reductku ay be beneficial to consider additional venting which can in a ding the service lie of the • • . • •••roof. • •• • • •••• •• • • �• Owner /Agent's Signature Date Contractor nature Revised on 7/9/2009 LD %-19/0 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE ATT ! TIME OF FIRST (INSPECTION �i�/� PERMIT NO. TAX FOLIO NO. / '32'6. )/3 $7V STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of • r• perry and street/address: 2. Description of proveme t: 3. Own s) name a d address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upo ., ° bbl n •S s rafhrrr�do�u d ent : (: y be urs b �• is° provided by Section 713.13(1)(a)7., Florida Statutes, p Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: nAate is specified) Signature of Owner Print Owner's Name Y 4.'s -1 St \A". 9: Exp diffe on date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Sworn to and subscribed before me this / day of O ZT 1 ) Notary Public eA Print Notary's Name R4 C A 4 g s• Q r My commission expires: It ChaVer ri ' � COMM> ON Ot)Qum% 123.01 -52 PAGE 4 8/02 ••E l�F EXPIRES: MAY 11, 2013 ,?pj !`` WWW,AARONNOTARYcoats • 111111111111111111111111111111111111111111111 rry w iiW �. l CFN 2010R0477807 OR Bk 27355 Ps 2284; (1P9) RECORDED 107/16/2010 14:04:59 HARVEY RUVIN, CLERK OF COURT IIIAt9I -DADE COUNTY, FLORIDA LAST PAGE E17 OF FLCR DA. ; ",:lti 'r •l t, riE R ; JF . : ' . F t ' i v ; of the tid Prepared by - e i C ,20 LO Address: A?-�'" / Ak 312 /vidcs/ ALEX SINK 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 ce that the individual listed below has elected to be exempt from Florida Workers' Compensation Iaw. EFFECTIVE DATE: 05/11/2010 EXPIRATION DATE: 05/10/2012 PERSON: MICRON EDDIE FEIN: 650793098 BUSINESS NAME AND ADDRESS: ALL IN ONE PROPERTY SERVICES INC 13241 NE 3RD COURT NIAMI FL 33161 CHIEF RNANCIAL OIL SCOPES OF BUSINESS OR TRADE: 1- CONSTRUCTION IMPORTANT: Pursuant to Chapter 440 . O5(If), F.S. an officer of a corporatiou who elects exemption from this chapter by filing a certificate of election ender this section may oat rocaaer benefits or compensation under this chapter. Pursuant to Chapter 440.051121 F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed an the notice or election to be exempt. Pursuant to Chapter 440.05113}, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation N. at any time after the filing of the entice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements at this section for issuance of a certificate. The department shall revoke a certificate al any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO SE EXEMPT REVISED 09 -05 i DRON EDDIE CTQB - , Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 98B000206 ALL IN ONE PROPERTY SERVICES INC QUALIFYING TRADE(S) ?0003 RESIDENTIAL (COUNTY) 0044 ROOFING 0055 SWIMMING POOL Menrirdo Gonzalez P£ I' a.r _ yt _ _ rte S�efary °far Board jfi Ia"'a', eCoudyretdasasprimlyd tenon. 2- REGISTERED BUILDING CONTRACTOR Is certified under the provisions of Chapter 10 of Miami-f de County 1 weaddamidadosovibuddmoode 1 05 -11 -2010 QUESTIONS? (950) 413 -1609 STATE OF FLORIDA _ ACS DEPART�iT "0P - BUSINESS AND PROFESSIONAL REGULATION RB0067150 09/04/09 090110031 REGISTERED BUILDING CONTRACTOR ISIDRON, EDDIE ALL IN ONE PROPERTY SERVICES INC (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS RRGISTERED under the provisions of ch.489 Stopircation dater AVG 31, 2011 L09090401272 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAML, FL 33130 398139 -7 BUSSS MIME / L t ALL IN-ONE PROPERTY SERVICES INC 9330 < NW 17 AVE 33167 UNIN DADE COUNTY OWNER ALL IN ONE PROPERTY SERVICES INC sec. Type of Buelnese 196 SUB- BUI.DINQ CONTRACTOR rum IS ON*,Y A IOCAI. ;BI18{NEfx TAX SIMI: f TO �i1E!, RESULNIORY OR FZOWNt1 LAWS Otx'°F CO1NfY. = OR 0* . NOR OOES WSW : The Oft AWY Nar A PAYMEN BD AoC opBtq'OAX 0/$0/2009 0222001900 000082.50 _SEE (TRIER SIDE MIAMI -1MDE COU TAX COLLECTOR 140 W. PLAGLER ST lst FLOOR MIAMI, FL 33130 pt holder tttt renter et the pity where work Is to be PAYMENT tI OHlVED 02220019001 000200.00 2009 LOCAL. BUSINESS TAX 1REIr)11PT 2010 MIAMI -DADE COUNTY • STATE OF FLORIDA EXPIRES SEPT. 30, 2010 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 110 - ART. 9 & 10 RENEWAL RECD NO. 415515 -6 CC 0 985000206 DO NOT FORWARD ALL IN ONE PROPERTY SERVICES INC EDDIE ISIDRON PRES 13241 NE 3 CT - MIAMI FL 33161 41111tft11uttlltll1t1 1111. 11111 „1 2009 MUNICIPAL CONTRACTOR'S 2010 TAX RECEIPT MIAMI -DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC -10-24 EXPI - ES S PT. 30 2010 THIS IS NOT A BIL - DO NOT PAY RECEIPT NO 3014155156 CC NO: 985000206 BUSINESS NAME / LQCATION ALL IN ONE PROPERTY SERVICES INC 9330 NW 17 AVE OWNER ;ALL IN ONE PROPERTY SERVICES INC DO NOT FORWARD - ALL IN ONE PROPERTY SERVICES INC EDDIE ISIDRON PRES 13241 NE 3 CT MIAMI FL 33161 i 5 11111111111111111 FIRST - CLASS U.S i POSTAGE PAID MIAMI, FL PERVIIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SEE BACK 0 A LIST OF N MUNICIPALITI SUB - BUILDING CONTRACTOR FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 A CO ' PRODUCER USA General Insurance Corp. 5841 S.W. 137th Ave. Miami, FL 33183 Phone (305) 386 - 3305 Fax (305) 386-6778 INSURED All In One Property Services. Inc. 13241 NW 3rd Court. North Miami, FL 33161 305 - 316-0566 THE POLICIES OF INSURANCE USTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDn1ON 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 POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADD'L T YPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR wERD POLICY N UMBER DATE (MMIDDTY) DATE (MWDD/YY) LIMITS GENERAL LIABILITY A COVERAGES INSURER F: ° CERTIFICATE OF LIABILITY INSURANCE • COMMERCIAL GENERAL LIABILITY — . CLAIMS MADE V. OCCUR GEN'L AGGREGATE UMW APPLIES PER: _ ... POLICY _- PROJECT . LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS _ SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS Delow OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Contractor CERTIFICATE HOLDER ACORD 25 (2001 /08) QF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 CPS1082252 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 11 INSURER A Scottsdale InsuranOe Co. INSURER B: INSURER C: INSURER D: INSURER E: EACH OCCURRENCE 10/19/09 10/19/10 P EMISEs E MED EXP (Any one pennon) PROPERTY DAMAGE (Per acddenU AUTO ONLY - EA ACCIDENT CANCELLATION BODILY INJURY (Per person) BODILY INJURY (Perecddent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAUL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CO SO SHALL IMPOSE NO OBLIGATION OR UABQITY OP ANY KIND UPON - ER, ITS AGENTS OR REPRESENTATIVES. AUTNORIZED REP : ENT / PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE WC STATU- — OTH- TORY LIMITS — ER E.L. EACH ACCIDENT El. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT DATE (MMIDD/YY) 07/16/1 500,000 100,000 5,000 500,000 500,000 500,000 ® ACORD CORPORATION 1988 RE -ROOF GARAGE BUR FLAT TO FLAT Passe cr --..._, Inspector Comments (c_____-- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: August 04, 2010 Inspector. Bruhn, Norman Owner: SIMAS, PAUL Job Address: 363 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALL IN ONE PROPERTY SERVICES INC Building Department Comments August 05, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 147944 Permit Number: RF -7 -10 -1230 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number (786)259 -5258 Parcel Number 1132060135640 Phone: (305)893 -7663 Page 1 of 1 INSPECTION AFFIDAVIT a I NI licensed as a (n) Contractor / Engineer / Architect, FS 468 Building Inspector Signature RE: Permit# -F° 7°10-1230 Revised on 5/21/2009 (Print name and circle License Type) License* , µ C_ r _ On or about , I did personally inspect the roof deck nailing and V / (Date &time) e ( o/ /ye Secondary water barrier w O rk at (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on � .844 F. Notary Public, Sate of Florida at Large 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 � d �yof h" t M iami Shores Village Building Department .1/40ty PUB �p��pppp��ppAA7C� a ••• H.BARBAv�NOAH r• * MY COMMISSION # DD 844054 EXPIRES: February 15, 2013 g?"7 4'or rve Bonded Dry Budget Nit SsrvIces DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 c7 `General, Budding, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # dearly shown marked on the deck for each inspection