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RF-10-130Inspection Number: INSP- 134303 Permit Number: RF -1 -10 -130 Scheduled Inspection Date: February 24, 2010 Inspector: Bruhn, Norman Owner: OR OCCUPANT, CURRENT OWNER Job Address: 189 NW 100 Street Miami Shores, FL 33150- Project: <NONE> Contractor: ROCHE ROOFING Building Department Comments Passe Failed Correction Needed Re- Inspection Fee February 23, 2010 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments rc 4_ iref For Inspections please call: (305)762 -4949 ct-. Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile /Flat Phone Number Parcel Number 1131010230260 Phone: (305)220 -7663 Page 14 of 34 February 21, 2009 Roche Roofing 7570 Northwest 14 Street Miami, Florida 33126 Project: Dear Sirs; Reileh Engineering Corp. (Consulting Engineer) 2370 S.W. 123 Avenue Miami, Florida 33175 -1174 Tel : 305-823-8008 Fax: 305- 823 -3300 ROOF TILE UPLIFT TEST REPORT Residential Home 189 Northwest 100 Street Miami, Florida Information provided by client: Permit Number: RF -1 -10 -130 Date Completion: February 18, 2010 Roofmg Contractor: Roche Roofmg Project Number: 09 -0169 (Testing Laboratory Certificate #06- 0501.15) In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification ofthe bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface,. The type of tile used for this project was reported to be Vanguard Roll Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. tesfi= regquire r enf outli ned n the above- enti d protomr Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation Mo amad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 189 Northwest 100 Street Miami, Florida Reileh Engineering Corporation — Project Number - 09 -0169 — Page 2 of 5 Report of TILE UPLIFT TEST for Residential Home 189 Northwest 100 Street Miami, Florida Project Number: 09 -0169 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Reileh Engineering Corporation — Project Number - 09 -0169 — Page 3 of 5 25 ' 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Reileh Engineering Corporation — Project Number - 09 -0169 — Page 4 of 5 Reileh Engineering Corporation — Project Number - 09 -0169 — Page 5 of 5 55' 10 59 58 21 58 54 24 59 55 40' 50 52 28 51 49 55 25 4 29 50 95 APP OX, I200F 11;51 ILOCA110N5 ANI9 I2IM N5ION5 48 55' 40 45 55 19 41 41 44 59 46 45 I0 -0169 14 52 15 50' • Signature .E: Permit # Ier-- 11 2- /So 2 AVJI&J ay,7444 -kw za 1 , licensed as a (n Contractor Engineer / Architect, (Print name and circle License Type) FS 468 Building Inspector . icense #: State of Florida 3ounty of Dade: Rc2 9o25i'o )n or about 2/3/..2.0 o (Date & time) secondary water barrier work at NoloPublic, Sate of Florida at Large Naafi s t N4 Vepitrateme 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com INSPECTION AFFIDAVIT 'General, Building, Residential, or Roofing Contractors or any individual ce Include photographs of each plane of the roof with permit # and address # inspection DATE: /3/2Io , I did personally inspect the roof deck nailing and /or l �9 etv lob Sr R/ftrv/ Smog e. ; P1. 33/50 (Complete Job Site Address) 3ased upon that examination I have determined the installation was done according to the Hurricane Jlitigation Retrofit Manual (Based on 553.844 F.S) the undersigned, being the first duly swom, deposes and says that he /she is the contractor for the above 3roperty mentioned. Swom to and subscribed before me this da y of ' " � " "S L ( 0 Lip • • n �; a - �o r • ORLANDO Pi:nu — Notary Public - State of Florida am My Cortunlsslon Expires May 18, 2012 i :3 .. , ,Y r 46` , Reno Mk illOh O B 1 /1911 \e so inspection. c }; o "'each Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Roof in Progress Renailing Affidavit Cap Sheet , Project Address Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $8.40 $2.80 $300.00 $12.00 $11.20 $334.40 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Building Department Copy February 02, 2010 Parcel Number 189 100 Street Miami Shores, FL 33150- 1131010230260 Block: Lot: CURRENT OWNER OR OCCUPA Contractor(s) ROCHE ROOFING Phone Cell Phone (305)220 -7663 Type of Work: Re Roof Additional Info: Classification: Residential Authorized Signature: Owner / Applicant / Contractor / Agent Invoice # RF -1 -10 -36909 Check #: 1068 Total Amt Paid Amt Due $ 334.40 $ 334.40 $ 0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. February 02, 2010 Date Expiration: 07/31/2010 Applicant For Inspections please call: (305)762 -4949 Available Inspections: PROVED 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical Building Department Miami Shores Village �ZO�Bd�D ,VAN G `i satin ..ef2K-4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ' P) " Master Permit No. Plumbing Mechanical Owner's Name (Fee Simple Titleholder) ¶o b('- 0, 7 Z Phone # 'O5 $Z $ = - 2-cFc‹.e. Owner's Address ill? N W 0O c.-r . City M a. Wtit Woes. State F L Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Architect/Engineer's Name (if applicable) Value of Work For this Permit $ /3 ©D. Bond $ Code Enforcement $ Structural Review. $ f t q N W loo 5T County Miami -Dade Is Building Historically Designated YES NOX Type of Work: ['Addition ['Alteration ['New Describe Work: Pe T44 -Lies a...dt . Zip 3 5 (E v Phone # Phone # Roofing Zip 3 3 (S OgiOn - 1 _ Phone # (395 ) 220 —704 Contractor's Company Name R ocilt e 204.1 n - a n C . Contractor's Address II S 5u/ 6 / kW • City I'((‘a.wl-1 State PL- Qualifier Name '�pr.,� : �Ze ....r? Q•-s_ -- (-+&j - A0 Phone # Cos" 2 State Certificate or Registration No. ©, 9 0 ©4 $7 Certificate of Competency No. Zip 33 l L( Square / Linear Footage Of Work: "Repair/Replace jt1�;? 12 s :" 1 P 9tkf��w° •�"�.t; l:3in ee Submittal Fee $ Permit Fee $ 136 o 0 CCF $ 16 •� ® CO /CC Notary $ ^ Training/Education Fee $ g ALSO Scanning $ (i..(0 Radon $ Technology Fee $ L 1 • DPBR $ Zoning Double Fee $ AdD Total Fee Now Due $ 3E .90 P 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 absence of such posted notice, the inspection will not be ap.r: ed and a reinspection fee will be charged ...00•/ . )'-- Signature Owner or Agent The foregoing instrument was acknowl - e : - • before me this 21 day of Itgo.i (L( , 2010 , by 1 ?2ICZ. who is personally known to me or who has produced 'S V. D • L As identification and who did take an oath. NOTARY ' UBLIC: Sign: Print .-.•■1A D ( A trIVIej P dN p4 My Commission E V 'f —� APPLICATION APPROVED BY: (Revised 02/08/06) • t �Jblic .S State`ot Florida 2 Commission # DD 769772 Contractor The foregoing instrument was acknowledged before me this Z.C. day of JGi....a txt , 20 jp, by 1 i o is persona cl own to me or who has produced as identification and who did take an oath. P My Commission Expires: P' %�_.: Pgndcd Thru Notary Put EX'iRCS: Margh t 950 y rs Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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 property and street/address: i g9 N W OR 5.71 1?av» Sisley F(, g 3lSa 2. Description of improvement: Tl 3.Owner(s) name and address: aa tD 0. P Z f " i NIIA) too sr Interest in property: $1C1 fee e Name and address of fee simple titleholder. 4. Contractor's name and address: Ada a 120„/lt.i 2Z1 L . r 5. Surety: (Payment bond required by owner from contractor, if any) Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon • = other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, 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: 9. Expiration date of this Notice of Commencement: (the exp ation date is 1 year from the date of recording unless a t -t( 20 I( different da •'ecified) y.� o • Prepared by 0. Pte+. w ir Sworn to and subscribed bef re me thi 2 '! day of 1 Rtitt! , 20 0. Address: f rtr SGJ- 6 9 0.--e $ -4c,A- Iierf r `f-' er's Name Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 1W04 e.b.7-4 111111111111111111111111111111111111111111111 CFN 201080052664 OR Bk 27160 Ps 31100; tips) RECORDED 01/26/2010 12:23:45 HARVEY RUVINv CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE 1 r.� Sian Lb 1 u1:b;sp Horlda Insurance ACORD7M CERTIFICATE OF LIABILITY INSURANCE PRODUCER INSURED Florida Insurance Agency Of Miami P 0 Box 441340.. Miami 'F1 33144 Roche Roofing Inc 995 SW 69 ave Miami Fl 33144 COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREN.ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 5E ISSUED OR MAY PERTAIN, THE INSURANCE A= FORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOfCNS OF SUCH POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEB+I REDUCED BY PAID CLAIMS. IN SR =•4 LTR INRRO TYPE OF INSURANCE °OUCYNUMBER POLICY EFFECT6'E POUCTECPFWTION GENERAL UAEDL1TY 'DATE i@.MIOQiy DATE IMU11D'Jn'Y1 COMMERCIAL GENERAL EACH OCOURRENCE LIABILITY DAMAGE TO REh :EO CL41b.S MADE PAEM:SES oa rtenesl (Es X a :L/UR .. 3DA6294 OTHER GENL AGGREGATE L'M.TAPPLIE PER: XIPOLICY I JF T I ( LAC AUTOMOEILE L.LABILI'Y ANY AUTO All D'AAED Auras SCHEDULED AUTOS - HIRED AUTOS NON-OWNED AUTOS • H GARAGE LIABILITY ANY AUTO ACORD 25 (2001/08) H ECCE SSIUMBAELLA LIABILITY X OCCUR n CLAIMS MACH — 1 OUCTIBLE xiRE>Wn0N 3 2500 • WORKERS COMPENSATION AND EMPLOYERS' IMO II.rTY ANY PROPR!ETOFJPARTNER/DMCL IVE OFFICERIMENBER EXCLUDED? If yes, describe under S PECIAL. PROVISIONS below C ERTIFICATE HOLDER CA 723101-01 Xova319109 THIS CERTIFICATE IS ISSUED AS A MATTER O I ONLY AND CONFERS 13O RIGHTS UPO THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR • ALTER THE COVERAGE AFFORDED BY TH E POLICIES BELOW. ' INSURERS AFFORDING COVERAGE NAIC # INSURER A INSURER B: INSURER C: INSURER D: INSURER E: Essex Ins Co' National Co Fcgax Jnc rn 11 -2 1- 0911 -21 -1C 12 -4 -09 12 -4 -10 11 -21 -09 DESCRIPT16N OF OPERATIONS 1 LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS • Roofing Contractor. CANCELLATION 11- 21 -10! 3054451335 MED EXP (Ary one Person) j $ PERSON/_ d ADM INJURY GENERAL AGGREGATE PRODUCTS- COMP/OP AGG COMBINED SINGLE UMTT (Es sent) BODILY INJURY (Far Person) BODILY INJURY (Par accident) PROPERTY DAMAGE (Per evident,) OTHER THAN AUTO ONLY: EACH oCURRENCE AGGREGATE WC aT'ATU. T.9R( I oars EL EACHACCIDEN EA ACC AGG EL DISEASE - POLICY UMT UMrrs AUTO ON_Y - EA ACCIDENT J $ S s 7_nn0 nn S S S EL D1SEAs - EA EMPLOYEJ.S s s p.2 DATEJIMVDO/YYYy) $1.0 50.000 1 000 non nrr, 5 2_000.00C $ 2.000.000 $100. 2 City Of Miami Shores 10050 NE 2 ave Miami shores Fl 33138 SHOULD ANY OF THE ASOVE DESCRIBED POLICIES SE CANCELIEO £EFORET - :E DCPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MuJ . DAYS WRrrTEK NOTICE 70 7Y.E CERTIFICATE HOLDER NAMED TO THE LEFT, gLIT FWLUP.E TO 0050 SHALL IMPOSE ND OBLIGATION OR L IAO :I/TT OF ANY KIND UPON THE Ir JSl1FF}T, MS AGENTS OR REPRESENTATIVES. . . AUTHORIZED REPRESENTATIVE Tory Zoghbi ORD •R ORATION 198E 17 ear: ul FAMILY 2008 E .1 1 1 •a� /� Ti.Ti ; i Applied . T'MEM Exemption! _ • _ Taxable Taxable Value: : 025 SQ FT gar $50,000/ i•• MAR PK ADD ARE- ti� : PB 24-71 W75FT $260 541 • LOTS 567 &8131K ^ !• — . p>mn: LOT SIMF 75.000 X 147 OR 18243 -4968 $50,000/ $337 982 1 98 4 OOC 23611 -04M3 $50,000/ 1 .. 20051 ear: 2009 2008 Applied Applied . Exemption/ Exemption! _ • _ Taxable Taxable Value: Value: $50,000/ $50,000/ $260 541 $337,982 2:1.1 $50,000/ 1111 $260 541 $50,000/ $337 982 $50,000/ $50,000/ • $260 541 $337 982 `,F • Board: 'Y 1.11 $285 541 'Y 1'11 $362,982 Miami -Dade My Home Text only My Home Show Me: Property Information Search By: Select Item - I mo+ Property Appraiser Tax Estimator 11 Property Appraiser Tate Comparison Portability S.O.H. Calculator Property Information: Assessment information: ear: __ . !) ;y.' . Value: $310,541 2009 2008 Exemption Information: err: 2009 2008 omestead $25,000 $25,000 C He mss:ea '� YES YES Taxable Vane Information: Sale information: Icserr+e• hanmG 1 A I WE'TOOIL- SELEC Digital OrthophotograPhY-2007 st fitv Horne' Property Information' Property Taxes 1 lily Neighborhood' Property Appraiser Home 1 Using Our Site t About' Phone Directory 1 Privacy 1 Disclaimer 0 111 ft If you experience technical difficulties with the Property Information appltcalion, or wish to send us your continents, questions or suggestions please email us at Webniaster. 10/ ' Web Site ® 2002 M iaml -Dade County. AI rights reserved. Page 1 of 2 Legend Property Boundary Selected Property Street Htgfnray Mond -Dade Curdy Water http://gisims2.miamidade.gov/myhome/propmap.asp 1/21/2010 ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: Roofing Permit Number: Dear Building Official: I Ro'oe(}o O. 'Pe:c e Z State of Florida County of Dade Mimi S a ted `l 1149e evey V efrutKreat 10050 NE 2nd Ave * Miami Shores, FI 33138 Phone 305-795-2204; Fax 305-756-8972 OWNERS'S AFFIDAVIT OF EXEMPTION tio6c(-6 0 . P2 ($�1 N W t ST connections of my 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. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provision of 1994 edition of the South Florida Building Code (1994 SFBC) e p_1,27k 4 Print Name The undersigned, being the first duly sworn, deposes and says property mentioned. Sworn to and subscribed before me this j 5T certify that I am not required to retrofit the roof to wall Date: (I Z I (7.0 (c'� ORLANDO PEREZ Notary Public - 8lale of Florida My commission Wes May 18, 2012 e le a ro0r 'kh day of d.( 2v t i bove Notary Public, Sate of Florida at Large Or Ian £ t re 2_ * 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. 2010 -01 -25 10:32 41f EITIZENS rfmrren iseuaaxcr t�PDeaTN1 ALL OTHER PERILS DEDUCTIBLE *2,5500 CARIDAD JOYERIA 3052267000 » 3055991377 Citizens Property Insurance Corporation Citizens SsrvIce Center 8878 Corporate Canter Parkway Jacksonville, FL 32210.0073 Dwelling Fire DP4 Special Form Policy - New Declarations Policy Number. FRJP4527568- 01-0000 Policy Peru: From 06/29/09 To 06/29/10 12.01 AM. Eastern Urns et the location of the Residence Premises Named Insured and MalOng Address: ROBERTO PEREZ 9351 SW 4091 St Miami, FL 331854159 Location of Residence Promisee: 180 MN100 ST Miami, FL 33150 Agent Phone (305) 8812377 SUNSET INSURANCE CORP AUNA NEGRIN 8219 S0. DIXIE HWY MIAMI. FL 33143 FL Lkensw D010109 Citizens ID: 033994 Coverage Is only provided where a premium and a limit of liability is shown. COVERAGES LIMIT OF LIABILITY A - Dwelling $388,200 B - Other Structures $18,410 C - Personal Property (ACV) $184.100 D - Fair Rental Value* $38.020 E - Additional Living Expense* $38,820 PERSONAL LIABILRY L - Pommel Uabltity 8300,000 M - Medical Payments 52,000 • Coverage "Cr and "E' combined, limited to 10% of Coverage "A" for the same loss (see policy). OPTIONAL COVERAGES MANDATORY ADDRIONAL CElARGE8 2007 Florida Ineurance Guaranty Association Reguler Assessment Emergency Management Preparedness and Assistance Trust Fund 2005 Citizens Market Equalization 8ucharge 2005 Florida Hunioane Catastrophe Fund Emergency Assessment 2005 Citizens Emergency Assessment Tax Exempt Surcharge TOTAL POLICY PREMIUM INCLUDING ASSESSMENTS AND ALL SURCHARGES roscyholaa' Copy t''ags 101 3 Insured Note: The porn of your premium for Hurricane Coverage lc $1,545 MILT: LIMA / MU: Lei1LD / riu: u DP3DEC 0109 HURRICANE DEDUCTIBLE: 97 (2%) r'rooaa.ea uow: uorzurarue ANNUAL PREMIUM $2,378 INCLUDED $1,570 INCLUDED INCLUDED 535 INCLUDED 555 $2 50 540 See $70 *4,204 P 1/5 1® imagt 2010 -01 -25 10:32 CARIDAD JOYERIA DPMEC 0109 ?o11cy Number: FRJP4527568 -01 -0000 Policy Period: From 06129109 To 06/29110 12:01 A.M. Esetam tlma at the location of the Residence Premises PACE Farms and Endorsements appfcabio to this policy: CIT DP -3 07 08• CIT 20 09 95' CIT 25 07 08' CIT DL 24 01 07 04' CIT 04 61 07 09' CIT DL 2411 02 09' DL24180788' 0L25090894' Rating Information: Form TYP• DP3 Year BuIW Verified 1938/Yes County MIAMI -DADE rrotacuvs Device Credits Terrain 1 WBDR C /IN Secondary Wat.r Resistance No Town/Row Houma No Occupancy Tenant I rm Fire Ala Sprinkler j No No Building Type 1-4 Unita Construction Type Masonry /rise Rental No. of Families 1 Protection Class 05 r Prior insurance Surcharge No Roo? Shape Gable BCEGS 99 Roof Cover FBC EquIvalant NO IMO age Surcharge No Opening Pr.teclon Class A Tarrltary 034 Suncharg. N/A Roof Deck C- 8d Or / 8' Wind I Hall Exclusion No FBC Wind Spud WA Mun Code Firs / Pollee 828 1 628 Dist To Hydrant 500 feat Dist Te Fire Mallon 1 miles Age of Hone SurchargelCrsdit Yes - Surcharge Rooff1Na11 Minmotton Toe Nails FBC Wind Design WA A premium adjustment of 41,557 o included to reflect the building's wind loss mitigation features or constructlon techniques that exists. Credits mnpe from 0% to 88% A premium adjustment of $0 is included to reflect the building code grade for your wee. Adjustments range from a 5% surcharge to a 48% credit. Policyholder CopY Page 2 of 3 3052267000 > 3055991377 P 2/5 Authorized By ALINA NEGRIN MID: 28325 1 AID: 28325 1 FID: 0 Processed Date: 08/2012009 Limit Of Insurance: Dwelling Structure Coverage (Place of Residence) $368,200 Low Settlement Basis: Replaosnand Cod (i.e.: Replacement Co d, Actual Cash Vibe, Stated Value, etc.) Limit of insurance: Other Structure Coverage (Detached from Dwelling) 618,410 Lou Settlement Boils: Replacement Cost 0.e.: Reptacemord Cost, Actual Cash Value, Stated Value, dc.) Lima of Inswevice: Personal Property Coverage S184,100 Loss Settlement Basis: Actual Cash Value (Le.: Replacement Coat, Aetuel Cash Value, Stated Value, dc.) Annual Hurricane: $7,384 (e%) Deductibles AP Perlis (Ottw,r Than Hurricane): $2,500 2010 - 01 - 25 10:32 FRJP4527508.01 -0000 11112 -1970 (1 -1-08) CARIDAD JOYERIA 3052267000 >> 3055991377 P 3/5 Checklist of Coverage Polley Type: Dwelling (Indicate: Homeowners, Condominium UM Owners, Tenant% Dwelling, or Mobile Home Dyne's) The following checklist Is for informational purposes only. Florida law prohibits this checklist from changing any of the provisions of the Insurance contract which Is the subject of thls chec kUaL My endorsement reganting changes In types of coverage, exclusions. limitations, reductions, deductibles, coinsurance, renewal provisions, cancellation provisions, surcharges, or credits will be sent separately. Reviewing this chctclist together with your policy can help you gain a better understanding of your pollcys actual coverages and Imitations, and may even generate questions. By addressing any questions now, you will be mom prepared later In the event of a claim. Experlence has shown that many questions tend to arise regarding the coverage of attached or detached screened pool enclosures, screened porches, and other types of enclosures. Ukewlse, if your policy Insures a condominium unit, questions may arise regarding the coverage of certain items, such as Individual heating end air conditioning units; Individual water heaters; floor, wall. and ceiling coveringe; bulit -in cabinets and counter tops; appliances; window treatments and hardware; and electrical fixtures. A clear understanding of your policy's coverages and limitations will reduce confusion that may aria11 during claims settlement Please refer to the policy for details and any exceptions to the coverages listed In this checklist All coverages are subject to the provisions and conditions of the policy and any endorsements. If you have questions regarding your policy, please contact your agent or company. Consumer assistance Is available from the Department of Financial Services, Cavislon of Consumer Sondess' Helpllne at (800) 342-2702 or www.fldfe.com. This form was adopted by the Florida Financial Services Commission. MID! 263261 AID. 283261 FID! 0 Pose 1 of 3 Discounts (Items below marked Y(Yee) Indicate discount 18 applied, those marked N (No) Indicate discount I. NOT applied) Dollar ($) Amount of Discount N Multiple Policy - Additional N Flrs Alarm / Smoke Alarm / Burglar Alamn See Policy N Sprinkler Y Windstorm Loss Reduction $1,557 N Building Code Effectiveness Grading Schedule Y N Other Liability - AddltlonallOther Coverages (items below marked Y (Yea) Indicate coverage 18 included, those marked N (No) Indicate coverage Is NOT included) Limit of Insurance Amount of ineurance le an additional amount of coverage or Is included within the policy Ilmit --�-- Included - Additional Y Claim Expenses See Policy Y Y First Ald Expenses Bee Polley Y Y Damage to Property of Ohara $500 Y N Loss Auos.mant Insurer May Insert Any Other Property Coverage Below (Items below marked Y (Yes) Indicate Coverage IS Included, those marked N (No) Indicate coverage is NOT Included) Limit of Insurance Loss Settlement Basis: (i.e.: Replacement Cost. Actual Cash Value, Stated Value. etc) 2010 -01 -25 10:32 CARIDAD JOYERIA 3052267000 >> 3055991377 P 4/5 Chockliat of Coverage (continued) Limit of Insurance: $300,000 Personal Liability Coverage Limit of Insurance: $2.000 Medical Payments to Others Coverage Insurer May Insert Any Other Liability Coverage Below (Items below marked Y (Yes) Indicate coverage 15 Included, those marked N (No) Indicate coverage is NOT Included) Limit of Insurance Y Mold Section II $50,000 OIR- B1 -1e70 (1 -1.01) MID: 28323 / AID: 28325 / FID: 0 Page 3 of 3 Limit et Insurance: Dwelling Striatum Coverage (Place of Residence) 1388,200 Lore Ssttlement Beale: Replacement Cod (1.e.: Replacement Cost, Actual Cash Value, Stated Venue, etc.) Limit of insurance: Other Structure Coverage (Detached from Dwelling) 818,410 Lees Settlement kola: Replaosmwd Cwt (i.e.: Replacement Cost, Actual Cash Value, Stated Value, ate.) Limit of hnsuranw: Personal Property Coverage 1184,100 Loos Settlement Basle: Actual Cash Value (Le.: Replacemmtt Cost, Actual Cash Value, Stated Value, etc.) Arreal Humane: 17,364 (2%) Deductibles All Palls (Doan Than Hurricane): 12,800 2010 - 01 - 25 10:32 f RJP4627568-01 CARIDAD JOYERIA 3052267000 >> 3055991377 P 5/5 Checklist of Coverage Policy Type: Dwelling (Indicate: Homeowners, Condominium tiros Owners, Tsnant'a, Derailing, or Mobile Home Owner's) The following checldlet Is for informational purposes ordy. Florida law prohibits this checklist from changing any of the provisions of the insurance contract which is the subject of this dtaddiat Any endorsement regarding changes In types of coverage, exclusion, limitations, reductions. deductibles, coinsurance, renewal provisions, cancellation provisions, surcharges, or c edit. will be sent separately. Reviewing this checklist together with your policy can help you gain a better understanding of your policy's actual coverages and limitations, and may even generate questions. By addressing any questions now, you will be more prepared later in the event of a claim. Experience has shown that many questions fend to arise regarding t coverage of attached or detached screened pool enclosures, screened porches. and other types of enclosures. likewise, If your poky insures a condominium unit, questions may arias regarding the coverage of certain Items, such as individual heating and air conditioning units: individual water heaters; floor, wall, and ceiling coverings; bunt In cabinets and counter tops; appliances; window treatments and hardware; and electrical fixtures. A clear understanding of your policy's coverages and limitations will reduce confusion that may arias during claims settlement Please refer to the policy for details and any =captions to the coverages listed in this checklist. AN coverages are subject to the provisions and conditions of the policy and any endorsements. If you have questions regarding your poky, please contact your agent or company. Consumer assistance is available from the Department of Financial Services, Division of Consumer Services' Hotpilne at (800) 342.2762 or www.fldfs.com. Thla form was adopted by the Florida Financial Services Commission. OIR -81 -14370 (1 -1-08) MID; 29325/ AID; 28326 ! FID; 0 Page 1 of 3 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES • • • • • • • • • • • • •• • Florida Building Code 2007 PPR0" D High- Velocity Hurricane Zone Uniform Permit Appti r=F ZONING C EPT Master Permit No. Process Nos • • u r s - •r. FEDERAL Contractor's Name f d'�� ROO «NEj STATE AND C UNITY RU AND REGULATIONS Job Address (89 NW LOO g �'�-a++ -5k s Fr- . ROOF CATER lRY %Low Slope ❑ Mechanlcaily Fastened Tile XMortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal PanevShingles 0 Wood Shingles/Shakes Shingles ROOF TYPE ❑ New Roof XReroofing ❑ Recovering ❑ Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) 7 Steep Sloped Roof Area (SF) 2200 f+ Total (SF) Section B (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. 3 317 dh • • • • • • • 9 • .• • • • •• • ••• , ••• • 1Z • • • • • • • •• • • • • • • • ••• • • • • • • • • • 1 •• • I,•..__Ad • • • • • • • •• •• • • •••" • • • S=i!3l�. _@ _=� 1 !111= �1 0 Prescriptive BUR -RAS 150 •l0 ••• • • • • •. • • • i • •• •• ••• • • • • • • ' 2 ' 20' :LDG DEPT IFVF:CEWMIR Aft JAN 2 V- 3010 g Q--r- C, - Miami Shores Village 2 DATE 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 contracts. // - owner's initial in the designated space indicates that the item has been explained. 1. 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 ag ent between the owner and the contractor. re p 2. Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be g renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to re iovir)g the existing roof system). x 3• 1►- ' 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 ow r sh Id notify the occupants of adjacent units of roofing to be performed. 4. 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. The provides the option of maintaining the appeara °- X 5._ Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the ?ng on system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if Overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accorda95e with the requirements of Sections R4402, R4403 and R4413. 7. • • 3 veritiletlon4 ?i4ost raoLltfuctures should have some ability to vent natural airflow through the �Nc�Y ( 9 itself). existing interior of a (tile buildin itsel . The existin amount of attic ventilation shall not be reduced'.1t maybe Ildnefitial to t:onsider additional venting which can result in extending the service life of the roof. •• • r ' gent's bignatuRe °Date :• •. • Contractor Signature 0. e • • • Revised on 779/2$09 • • .• • .• • •... • ...• • • • Section C (Low Slope Application) Fill in specific roof assembly components and Identify manufacturer (If a component Is not used, identify as "NA ") System Manufacturer: GAF H - rEP..1JrlS , Corp Product Approval No.: 07-1219.09 Design Wind Pressures, From RAS 128 or Calculations: Pmax1: 4 49.2 Pmax2: — 82.6 Pmax3: - 124%3 Max. Design Pressure, from the specific Product Approval system: _ 52. s Deck: ,� r! Type: 4crOov Gauge/Thickness: 5 /5 MiN Slope: Y2 Anchor /Base Sheet & No. of Ply(s): N/A Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: 7 Base Sheet(s) & No. of PIy(s): #7S Base Sheet FFaster3ArtBOAlLnqd raterial, • • • • • • • • • • • • 6. Ply Sheet(s) & No. of Ply(s): • • ' • s 4,211_0 1 Ply Sheet FastepbUBbrtiinglitStetitt: ••• • • •• • • • • •• • • Top Ply: C't.NSIZA L CPip- ‹Skeet (l) • Top Ply Fastener /aridurg •; • • • • • . ..• • • ••• • • • ••• FLORIDA r3U(LDIPIG CODE — BUILDING; BUR N -I Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. X 3* 26 GA. GA./. @ 4... ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Surfacing: Gypw.u...Loed Fastener Spacing for Anchor /Base Sheet Attachment: Field: 9 " oc @ Lap, # Rows 2 9 " oc Perimeter: 6 " oc @ Lap, # Rows g-} @ (o " oc Corner: to " oc @ Lap, # Rows * @ 6 " oc Number of Fasteners Per Insulation Board: Field rl /A Perimeter W* Corner nl /a 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 Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit rii•eraR 'A? S kat (1) void 20 • 1 0175 WOd t7 FT. F 0 Parapet Height Mean Roof Height Roof System Manufacturer: 6�n eft_ L - ce-4; k r LLC Notice of Acceptance Number: 01 1,0S .07 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations 1: —.4s ,1 P2: P3: — ll(0.2 Maximum Design Pressure (From the Product Approval Specific System): 45.5 (Nte.cl Pe, t�y ` • 15.34 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roo Slope: : 12 Ridge Ventilation? N • • • • •• •• . • • • • • • • Steep Sloped Roof System Description Deck Type: Type Underlayment: Insulation: / r► Mean Roof Height: 11.(0 • • Wooi 1 Fire Barrier: •. •. • • • .• • ••. .. •.. .. • • • • • • • • • • •• • • • • • • • • • • • • • • • • • . . • • • • • •• • • • • • • • • • MiN 4-30 16 A- rrt-c 7-22.6 Fastener Type & Spacing: Adhesive Type: Roof Covering: • \ Type & Size Drip Edge: IY ' IRA is �occ 1Z1c, F P o I pr 4 4- ((.o (t -+eD. PAoo Type Cap Sheet: I4 c lb- Mc NO t •iu S 0 mac( Jal,l : % . Gt0 '. • • • •. • • • • • • • • • • •• • • • • • • . . . • • • • •• . •.• • • • •• • • • FLORIDA BUILDING CODE — BUILDING Where to Obtain information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A Product Approval Restoring Moment due to Gravity M 5 Product Approval Attachment Resistance •• ••• M f Product Approval . • Required MdAnent Resis once• • •• . • • • • • • • • •• i•alculated . Minitttsm nl•n At•enl• Resistance . • r ••• t • •_ , • • • • praduct Approval Require! UpI%t*zsistance• • • •ir • • calcu iced ?1v*tage Zile WYeigM • • •• • • • • • • • W • . ••' • Prowctepproval • • Tile Dimensions . • • •• • • L :length W = width • • • Product Approval ••• • • • • •• • All calculations!nust lie subn*t e4to •he btrhuing officiatat the time of permit application. f M required Moment Resistance* Mean Roof Height -> Roof Slope I, 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mr. If the M values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P 2, � 45.1 x _ = 15.03 _ M 5.91= Mr1 7.06 Product Approval Mf 45.5 (P2:72 G , x x = 22.72) " Mg: = M lb.75 Product Approval Mr (P3..414.1 x =3 - M = M VAL Product Approval Mt Required Moment of Resistance (Mr) From Table Below Product Approval M *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P x = xw: =_) -W: xcos9 =Fri (P2: xL = xw:= ) -W: x cos0 = Fr2 (P xL = xw:= ) - W: x cos 0 = F i • •• • • • • • • • •• • • • • • • • • ••• • • Method 2 "Simplified The Calculations Per Table Below" ROOF ASSEMBUES AND ROOFTOP STRUCTURES Product Approval F' Product Approval F' Product Approval F' GA . Fr°P ! �/ FLORIDA BUILDING CODE - BUILDING 15.35 Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mr. If the M values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P 2, � 45.1 x _ = 15.03 _ M 5.91= Mr1 7.06 Product Approval Mf 45.5 (P2:72 G , x x = 22.72) " Mg: = M lb.75 Product Approval Mr (P3..414.1 x =3 - M = M VAL Product Approval Mt Required Moment of Resistance (Mr) From Table Below Product Approval M *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P x = xw: =_) -W: xcos9 =Fri (P2: xL = xw:= ) -W: x cos0 = Fr2 (P xL = xw:= ) - W: x cos 0 = F i • •• • • • • • • • •• • • • • • • • • ••• • • Method 2 "Simplified The Calculations Per Table Below" ROOF ASSEMBUES AND ROOFTOP STRUCTURES Product Approval F' Product Approval F' Product Approval F' GA . Fr°P ! �/ FLORIDA BUILDING CODE - BUILDING 15.35 MIA M MADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed 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 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. 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. 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. INSPECTIQN: ropy of this entireNOA shall be provided to the user by the manufacturer or its distributors and shidl be tvgilgbh pp inspection at the job site at the request of the Building Official. • ••••••• • •• ••• •• • . . .. This NOA renews and revises NOA No. 03- 0501.05 and consists of pages 1 throygh 19. The submitted.4gcumegtatjorq wa .red iewed by Jorge L. Acebo. • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • ••• • • • • • • • • •• •• • • • ••• • • • • • • • • • • • • • • • •• •• MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 1 of 19 Deck Type 1: Wood, Non - insulated Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutTM Fire Barrier Coating, Versa Shield Non-Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base sheet: GAFGLAS #80 ULTIMATM Base Sheet, STRATAVENT® EliminatorTM Nailable, RUBEROID Modified Base Sheet, RUBEROID 20, RUBEROID Heat- We1dTM Smooth or RUBEROID Heat- We1dTM 25 base sheet mechanically fastened to deck as described below; Fastening Options:. GAFGLAS Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS #75 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 #7) GAFGLAS® Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM 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 —45 psf, See General Limitation # 7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 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 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #80ULTIMATM, RUBEROID ® 20, RUBEROID Smooth, base sheet attached to deck with approved 1'A" 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 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM 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 Design Pressure —60 psf, See General Limitation #7) •• ••• . . . • y pf fb n/ $ase sheets attached to deck approved annular ring shank nails • • • • • 1 : 1" Ztidertilj Dr'i11 -TecTM insulation plates at a fastener spacing of 9" o.c. at • n the • 4" Iap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) • • • • •• • • • • • • • • • • • . • • • • • • • • • • • • • ••• • • • • • • • • • • • • • .• • • • • • • • • • • • • •. • •. .•• • • • • ... • • • • • • • •• . • • • • • • • • • • • •• • • . • ••• • • NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 17 of 19 GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill-TecTM 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 —75 psf, See General Limitation #7) Ply Sheet: ,/ One or more plies of GAFGLAS PLY 4, #80 ULTIMA, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Cap Sheet: %/ (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bs. /sq. Surfacing: V (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 Ibsisq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 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 lbs.sq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak BusterTM MatrixTM 715 , Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT FireshieId Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak BusterTM MatrixTM 602 MB Xtra_EIastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SH Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 galJsq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above ••• • ••• •• ••• • •. .• • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • . • •• •• • • • • • •• • • • • • •• • • • •• ••• ••• • • • •• • . ••• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • NOA 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 Ply 4 and Flex PlyTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ''A" Dens DeckTM or '/2" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap 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 12lbs. /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 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment 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 Roofing 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, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at gnkgcgd pressure .one .(i.e. perimeters, extended corners and corners). (When this limitatiod is spe4ifi11 rtfgrpect this NOA, General Limitation #7 will not be applicable.) 10.. All produg s+li�t'e i Serra s:a4l1avd a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of tfie h'lorida Administrative Code. • . • • EN1? OF THIS ACCEPTANCE • • • .. • • • • •• • • • • • • • • • • • • • • • • • •• • • • • •• • • • • • • • • • • • • • • •' • • • • ••• • • i • • • • • • • • • • • •• •• • • • •• •• solo • • • ••• • • NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 19 of 19 -.,. ,..,,., .,.....:.�.......e ...w.... -..an. .w ::.....w rr±reet• r.rwr,.n.,m �!te -tfe. mina_ ..rne�. -. n",,t :7-nd d..� - "w r '. � ". in .. . _...__ ..__ -... . n.c. —.a. u-...- a xi vazar u_v a...._7_ i _uer s .. i el the fele...ing �..r o ._ . :5 'LnergyGUard RA° or 'Tapered EnergyGi ,-d RA" or "FnergyGuarri Composite HA" (nay be °ainstituted for any sitias i oiyisocyanurate insu:at;on in t_,4imirrbt,RfIt4 Trumtaili "Derma Mop" may he utilized with any of the following "Asphalt Felt Systems with Hot Roofina Asphalt °. - GAFGLAS ASO Premium Base Sheet" may be used in any of the following systems. " GAFGLAS Flex Ply 6" and °Tr1 -Ply Uttra- Flexible Pty 6" are suitable alternates to " GAFGLAS Ply 6 ". - GAFTEMP Permaitte Recover hoard" may be used In lieu of any partite Insulation in any of the following NC Clawtifialtions. Unress otherwise indicated, any of the 'Asphalt Felt Systems with Hot Roofing Asphalt° may be surfaced With °FlreShieid MB° at 2 to 3- daU100- i_- _v .Ali. i Vv...n 'Rubetoid Heat Weld" SBS roofing membrane may be used M lieu of "Ruberold Moo" SBS products in any applicable Classification. 1. Deck C-15/32 Inclines 3 2. Deans C -15/32 Indium 2 3. Deck NC 4. Deck NC 5. Deck C -15/32 Incliner 1 Slip Sheet (OpNare1} a Red nsin■paper, eaile4 to deck. Base Sheet:... ply Tipp " 7 Base Sheer or "'rrl -Ply *75 Base Sheet' (may be nailed). P _Omer meant t 7ype� 61. Ply 4° or "Trl -Ply Ply 4° or GAFGLAS Ply 6 ". Uy.TjDe Ei GAFOLA lineal €urfated Cap Sheet° or'Tri -Ply Mineral Surfaced Cap Sheet". 9 6. NC Class A. B and C er ear-.s tat:umen trivribrancs.. insulation (Optional): — One or more layers polite or wood fiber or glass raw or poiyisocyanurate or urethane? rn perlite/polyisocyanurate composite or periite/urethane composite or wood fiber /poiyisocyanurate Cnmprsra tsr fiat nrsiir. aru risirieac ?...- Ply Sheet — Three or more Ales Type 61 or "GAFGLAS Ply 4" or °Trf -Pty Ply 4" or " GAFGLAS Ply 6° hot mopped. Surfacing: -- Gravel. Insolation (Optional): — One or more layers partite or wood fiber or glass fiber or poiyisocyanurate or urethane or perlitehohrisocyanurate composite or perfltelurethane compete or wood fiber /polylsocyanurate composite or phenolic, any thlckness. Phi Sheaf — Three or more plies Type 61 or " GAFGLAS Ply 4" or "Tmi -Ply Ply 4" or ° GAFGLAS illy 6 ". Cap Sheets — One ply Type G3 " GAFGLAS Mineral Surfaced Cap Sheet" or "Trt-Piy Mineral Surfaced Cap Sheet'. Indhres 2 Insulation (Optional): — One or more layers composite, pertI e/urethenp composite, wood fiber/ compo Phenolic, p te maxl urethane, periite/po{ytsacyanurabe Ply Sheets — Two or more piles Type G1 "GAFGLAS PJ l 4" or "TH -Ply Ply 4 ", " GAFGLAS Ply 6°. Cap Sheet: — One ply Type G3 " GAFGLAS Mineral Surfed Cap Sheer or "Tri -Ply Mineral Surfaced Cap Sheet". Iindineu 1/2 Insulations — One or two layers "Isotherm R ", any thickness, hot mopped. Ply Sheet — Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. • ••• •• • • • • Barre sleets:— title Sly T yp4� Ply Sheets —'f Ae or•iliore Cap — One ply Type ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • Incline: 3 ••• ••• • • • • • "I L4S • #75 Sheet" or "TH -Ply #75 Base Sheet". 6 "GA/(!L/ R y 4" or "Trt -Ply Ply 4" or " GAFGLAS Pty 6 ". LAS Wend S irfaeed Cap Sheet° or "Trl-Ply Mineral Surfaced Cap Sheet". hitpJ /database.ul.com/cgi buJXYV/template/LISEXT /1 showpage.hfiml ?name =T... 8/12/2009 MIA M12 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 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 Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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 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. 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 including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Vanguard Roll Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages J t ougb 7. The subn► ittea >{p$n=atiootv&shviewed by Alex Tigera. • • • • • • ••• . • • • • •• • • • • • • ••• • • • • • • • • • • • • • • • •• •• ••• ••• • • • • • • •• • • • • • • • • • • • • • • • • •• • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • •• •• • ••• • • MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifeti le Vanguard Roll Concrete Roof Tile, as manufactured Monier Lifetile LLC in Pompano Beach, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Monier Lifetile LLC 1= 16-1/2" Vanguard Roll Tile w =13" '/2 " thick Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redlana T e cb nB if,s • • • • •• ••• •• • • • • • • • • • • • • • • • •• •• •• ••• ••• • • • •• • • • • • • • • • • • • • • • • • • ••• • • • ••• • • • • • • • • ••• Roofing Low Profile Roofmg Tiles Concrete Test Product Specifications Description TAS 112 Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. 1= varies TAS 112 Accessory trim, concrete roof pieces for use w = varies at hips, rakes, ridges and valley terminations. varying thickness Manufactured for each tile profile. Test Identifier Test Name/Report Date 7161 -03 Static Uplift Testing Appendix III PA 102 & PA 102(A) 7161 -03 Wind Tunnel Testing Appendix II PA 108 (Nail -On) PO402 Withdrawal Resistance Testing of screw vs. smooth shank nails 94 -060B Static Uplift Testing PA 101 (Adhesive Set) 94 -084 Static Uplift Testing • • •• • • • P0631 -01 • • • • • •• • • • • • • • • • •• • • • • • • • • • • • • • PA 101 (Mortar Set) Wind Tunnel Testing PA 108 (Mortar Set) Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 July 1994 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 2 of 7 Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineering •• ••• • • • • • • • •• • • • • • • • • • • • • • • •• ••• •• • 0 • • • • •• • • • • • • • • • • • • • • •• • • • • • • • • :i • • • • • • • • • • • • ••• • • • • • • • • • • • • 00 00 •• :• •: • Test Identifier Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -760 25- 7183 -1 25- 7183 -2 25- 7214 -2 25- 7214 -6 528454 -2 -1 520109 -2 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations TAS -112 Test Name/Renort Wind Tunnel Testing PA 108 (Nail -On) Wind Driven Rain PA 100 Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik Drive Screw, Direct Deck) (1 Quik -Drive Screw, Battens) Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Aerodynamic Multipliers Two Patty Adhesive Set System 13343.1 Date Aug. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1998 Dec. 1998 August 2007 March 1995 February 1996 April 1996 December 1996 October 2007 April 1999 June 2007 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 3 of 7 Tab : Resto ing Moments due to Gravity - M, (ft-Ibf) Tile Profile 2 ":12" 3 ":12" Monier Lifetile Vanguard Roll Tile 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Monier Lifetile Vanguard Roll Tile Battens Direct Deck Battens Direct k. Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 5.30 6.03 5.2 5.97 '15.16 / 5.87 5.05 5.75 4.92 5.60 4.78 5.44 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Vanguard Roll Tile 9.2 1.38 1.08 Table 2: Aerodynamic Multipliers - I ft Tile Profile a, (ft Batten Application 0.266 Dire X. fts eck Appli 0.289 Monier Lifetile Vanguard - Roll Tile 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 33 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Monier Lifetile Vanguard Roll Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations • •• • • • • • • • • •• •• • • • •• • • • .. • • •• • .• ••• • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• 000 • • • 0 • • NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile 2 -10d Ring Shank Nails 27.8 37.4 28.8 Vanguard Roll Tile 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 Table 6: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Application Tile Profile Monier Lifetile Vanguard Roll Tile Adhesive' 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product lnc. Average weight per patty 8 g rams. Minimum Attachment Resistance 26.1` Table 7: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems Tile Application Tile Profile Minimum Attachment Resistance Monier Lifetile Vanguard Roll Tile Polyfoam PolyPro Polyfoam PolyProT"" 3 Large paddy placement of 54grams of PolyPro' '. 4 Medium paddy placement of 24grams of PolyProT. r4& •• ••• • • • • • .• • • • • • • • • • •. •• .•• .• • ..• .• •••. • •• • • - • • • • .. • • • pla_ • • • • • • • .0 • • 11 ( EP o • • • • • • • • • • • • • • • •• • • • • • • • • • • •• • • • • • • • • ••• • • • • • • • • • • • • • • • • NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 5 of 7 Table 8: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Vanguard Roll Tile Mortar Set 20.80 5 See specific mortar manufacturers Notice of Acceptance 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami-Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. ..... • • • • • • • • • • • • • .. • •.• •• • • • •. • • • • • • •.• • •• • VANGUARD ROLL MONIERLIFETILE LLC, VANGUARD ROLL TILE IDENTIFICATION MARK (POMPANO, FL PLANT) LOCATED UNDERNEATH TILE •• ••• • •. • • •. •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • •• • • • •• • NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 6 of 7 ••• •• . • • • • • • •• • • • • • • • • •• •• • • • •• •• ••• ••• • • • . • • • •• • • • • • • • • • • • • • • • • •• • • • • • • • • • • ••• • • • " • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • PROFILE DRAWING MONIER LIFETILE VANGUARD ROLL CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 7 of 7 BUILDING CODE COMPUANCE OFPICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, 11ac. 11715 Boudreaux Road Tomball, TX 77375 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. Thc BCCO (In Miami Dade County) and/or the AIIJ (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. I3CCO reserves the right to revoke this acceptance, if it is determined by BCCO 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 Nigh Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dadc 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 he 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 NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by .1 rge L. Accbo. • . . . • • • • • • • • • • •. • • • • • • • •. .•• • • • �.� • • • •. • • • • • • • • • • • • • • • • .• • • • • • • •.• • • • • ..• • • • • • • • • • .•• • • • • • • • • • • • • •• • • • • • •• • .•. • • • .•• • MIAMI -DADE COUNTY. FLORIDA METRO -DADE FL AGLER BUILDING 140 WEST FLAMER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375.2901 FAX (305) 375 -2908 NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 PAGE 01 ROOFING ASSEMBLY APPROVAL: Category: Roofng Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polyproe A11160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AR 160. Where the attacbrnont calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Polypro® AH160 Foampro® RTF1000 N/A ProPack®30 & 100 N/A PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof The Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Properly Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. •• ••• • • • • • • • • • • • • • •• • • • •• •• ••• ••• •• • • • • •• • • • • • • • • • • • • •• • • • • •• • • • • • • • ••• • • • • • • • ••• • • • • • • • •• • • • • • • • • Dbnensions pee cations NIA TAS 101 • • • • • • • • • • •• • ••• • Test ASTM D 1622 ASTM D 1621 ASTIvl D 1623 ASTMD2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Descrivtion Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.61bs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 P51 Parallel to rise 0.08 Lbs. /Ft • 3.1 Perm / Inch +0.07% Volume Change ct, -40° F., 2 weeks +6.0% Volume Change @158 100% Humidity, 2 weeks 86% NOA No.: 06- 0201.02 Expiration Date: 05 /10 /11 Approval Date: 04/13/06 Page 2 of 7 PAGE 02 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Nante/Revort ste Center for Applied Engineering #94-060 TAS 101 04/08/94 257818 -1PA, TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25 -7438-4 25- 7438 -7 SSTD I1 -93 11/02/95 25 -7492 SSTD 11-93 12/12/95 Miles Laboratories NB-589-631 ASTM D 1623 02/01/94 Polymers Division Ramtcch Laboratories, Inc_ 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10-1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109-6 520109 -7 520191 -1 TAS 101 • 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Rcferto the Prepared RoofTilc Assembly for fire rating. 2. Polypro® AHI 60 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlaymcnt shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polyproe AH160 roof the adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. /± • • • • • • •• •.• • • • • • • • • •.•• •• .. • • • 2 : • •'MS •••• •• ••• ••• • • • • • • •• • • • • • • • • • • • • • •• • • • • • •• • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •• •• • • • • • • • .NOA No.: 06.1201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 PAGE 03 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® A11160. 2. Polypro!® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dadc County Roofing Application. Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foanapro® dispensing equipment is required before application of any adhesive. . The mix ratio between the "A" component and the "13" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense tinier shall be set to deliver 0.0175 to 0.15 pounds per tilt as determined at calibration. No other settings shall be approved. 6. Polyproe AH160 shall be applied with Foampro RTFl 000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AF:i160 shall not be exposed permanently to sunlight. 8. Tiles mast be adhered in freshly applied adhesive. Tile must be sct within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® ARI60 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table' Adhesive Placement For . Tile Profile Plat, Lo w Hi Profiles High Profile (2 Piece Barrel) Plat, Low, High Profiles Flat, Low, High Profiles #3 LABELING: All Polypro AI containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this systcrn. •• ..• • • • •• • • • .• ••• • . • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • .. • • • • • • • .•• • • • • • • • • • • ••• • • • • • ••• • • • • • • • • • • • • • o• •• • • • •• •• • • ••• • • • ••• • Single Paddy Weight Min. (grams 35 17 /side on cap and 34/, an 24 .Placement Detail #1 #1 #2 Two Paddy Weight per paddy Min. (grate N/A NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4 of 7 PAGE 04 ....• • • •• ••• • • • ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY •• 1 • • • • • • • • . • • • • •• ••• ••• • • • • • • •• • • • • • • • • • • • • • • • • • • • •. • • • • • • • ••• • • • • •1. r • • • • • • • • • • • • ••• • • • • • • • •• •• •. ••• • • •• •• NOA No.: 06-0201.02 Expiration Dote: 05/10 /11 Approval .Pate: 04/13/06 Page 5 of 7 PAGE 05 • • •• ••• • • • • • ••• • • • •• • •• • • •- •• ^ ^ ••• ••: •• • • • • • y� 11111 . , • • • • • • • • .Ji'pC" • • • i • i • • •• • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • ADHESIVE., PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date:. 04/13/06 Page 6 of 7 PAGE 06 • ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY • • ••• •• • • • •• •• •.e ••• • •• • • • • • •• • • • • • • • .• • • . • • •• • • • • • • • • • •.. • • • •.' • • • • • • • • • • . •. • • . • • • • • • • • • . .• • • •• •• • • . •• •• • •.• • • • •.• • .** • • • • • • ENU OF THIS ACCEPTANCE • • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 PAGE 07 FEB- 02- 2010(TUE) 10:17 ROCHE ROOFING .,en eu •lu u ;yap monde insurance INSURED Roche aCioarlr Iric • 995 SW 69 ave M4.am. 3`I. 33144 COVERAGES ACORD 25 (2Ddlro8J MILIOMVArthER (FAX )3055991377 3054451335 e A CORJ IM CERTIFICATE OF,LL &BILITy INSURANCE P lorida Inst arks Agancy O. I�..7LP. mi. ONLY CERTIFICATE CONFERS is ts5OLl7 P • QNI.Y AND CON1 RS NCI RIGH=s 0 Box 481340 , . HOLDER- DEAF D Miami 'F1 33144 INSURERS AFFORDING COV GE Da tut E552x x27 ; CO � uurtRm ! . ro waL3MRct 1r5SO ro �IVSt1R!Ir. bl i 1�7lLIpPR Ee P. 003/004 P' DATIMAI rCMr ef) MATTER OF INFORMATION • 'NOT POU E D. CERTIFICATE OR BY 7NE POLICIES BELOW.' NATO AUTO ONLY. !X/..zr_ J ier '1' S 01.1P4►t$►4A= a s new%A#cne".ATA•LILLVA/ riles PkRS Xi Paw? Attt'ou ntL4LtAt ltr. r • ANTALITO MI 1.1 ALL C R'rnttiAtTp,Y 110 goinut.rolurrce I wino ~urns NqN. 44tRI W'OS aRAri bu►It1Ur r AMIALM=C • cldbuMNILO lrefitl1ON s CERTIFICATE HOLDER Lc= ex= 1sxuR ❑ MANS WAX D C COAKINMICtioA113 ANYPROPRISTONINIMAttrlazUrn R►NICFIMILMISN ruga.141CITI It3 •l d dearlbeso* 3L t zL MN:Nttra4uR.1Mle t 3DAS294 C.A. 7 23101 -01 XQVa319109 0 • 130CRIPTIONOPOPNRATIGHI /LACA1rC=fv04131.111Ti t17 .tlb101a IY IINDossgmsterispe , P1470310$13 • Roo LX'g Centracto= City Of Miami Shores 10050 NE 2 ,eve miami Shores F1 33138 11- 2 Q- 11 -21 -1 • 12 -4 -05 1,2 -4 -10 CANCELLATION 11 -21- 0. 11- 21 -10 o COATN OMANCIPACLI CIP AVIDLY OURRY soNtivil lialggentl CAM vino rUtp CNI.Y: IrAA'�• AOO s SnEkOCC11RRGNRII y ■ 54.. IIACNAcpc.en . 3 OIaC0.C=• CI: tI mars* "�Itl MUM. LN.s"T MAC OFTHE4131 1C1 MICH sDECAMILLO1131Pand 110:ri -TION R•rt THEM", ISSIlIIb tN3URpt MI. SWAY= TO ? DAYS vA r771N munt:CYo TMQ tgN7lPlfrlrA 010 1.001 NAM TO Tole Quin Nur'F ILURS TO DD SO PQM- INpg= ND DDLII:ATIRtI OR LIApfLTIY W ANY Ai No UPON ton INI{r11C{t, !Tl ACnM111 OR Rag 222MT:RM22. AUrHDRt so RdtRe tl14'(wT111! - A • To=y Zog�i.bd. 1 Ae. • . CORD THE POLIGESOFINSURANCE LISTEDBELVWHAVlE: BEENIssl lED 115THEINSUREDNAMEDARMFQRTHEPaWC +?ERIODINDICATED,NCNJI. ANY REC UIRElet , TERm GR CONDMON OF Abh• CONTRACT CR OTHER ODCLIIatin• WITH FtESPELT To WHICH nits CERTIFICATE MAY BE ISSUED OR MAY PER. TAIN .7rlt: INSURANCE A FCRCIEOSYTHE POLICIES ceso t w HEREIN IS SULIECT I I„I:N. 't NS j C I'ICN HSTANC S or a UCH POLICIES. ACCFlEC3KTE LIMITS SHOWN mAY HAVE BEEN FIEDUCk*D Err PAID MAIMS. 1. ... . • p RPORA71DN 19t18 FEB- 02- 2010(TUE) 10:17 ROCHE ROOFING (FRX)3055991377 P.001 /004 1.. • • CarnartiCtiettiadnal DuuUfytng Board • BUSINESS CERTIFICATE OF COMPETENCY 03BS00956 RO.CHE,RO.ddIN•G.LIV'C • •O.B A.' ROOFING a° = L4UZAN' • ' 1szettilitt; IndAr the. , rnvkstons. ot. chapter itO.of•Mtarrit:DatleCauR VALID.FO'R'CO . NTRAO: `1 1tt1C!,'IDAITt y0 f1 • SEE O BER SIDE DDHOTFORWARD. - •. -. : ROCHE RODFIHc3 ROCHE FAUSTIIIO PRES 995 SW" 69 AVE - - HIAFlI" FC 33144 THE Pau = Es OF MSURANCE USTED BELOW HAVE DEER ISSUED TO 7 UE DISUHED NAMED ABOVE FOR THR POLICY PERIOD 1NOICAYED. NOYWITHSTANDING ANY REousu EN7'.T ERRI ORCONDIRoNOFANYCORMRACFOFOTHFJtDODU AR INVIIRESPECT7OWHICH7H1SG RSRPICATENAYREISSUEDO1t IaAY PL'RTA1N. THR? RNSURANcEApF0RDED BYTME PMU=RES DESCRIBED H©= RBSUBJEM' TO &LYRE TERMS. E CCW6{GNSANDCON®n7ONS OF SUCH poljorF.S. AganzcATE Lams *mom mAy RAVE BEEN REDUCED aY PAO CLAMS. 3113K AlCit a 11dRALLIAwWy • M 'a'rPC CF tNtitiWWCr COM OatRAAI.0 AL0%33nY IICLAWS am23 ElaccU* POUCYNtIN06R v6QCYEi� lvd' rURdtr4 ATICW I wzu taCNOCCUwmNpa _ IMO =oat 04 wefifil s IRSD EDP VW ens pound/ S tatoe»tu.waCAscAtk S ■ POLICY PpOdlCr ■ 1.00 AuTauatL • AMr/W70 M ■ r a UstmOr O*NtiaAaUTOS OGIICi11a,l1DAd{1D9 piagmultau NowatAT� )4001 -- COfminteo mud IARIT aecidsap COOLY % SW vermin 0505.y muff �" r00 'f oNu Ca s•••taa.Ao • • siumeSimalUty r AUTO AU Ul ttur -a AR:C105p1? _ 3 Masiltw, eA S Auto 043- MS s A =mama Ps T5 ANT pRotisstsuPsimem0320051% alum* SIdS&PRO 1003111 ■ • r1anceto+ - IslittalA tunanzeuAtulanni _ ocat:<oc 00Ae1e Load tosucrm z S - :, . Balms ' LM WV r SIONSWm, Wt207000000 0110112010 • 01/01 121211 i 3.4040CCIAN303 a AooRReame • 5 s s we 613.7,. X 10AYUist5 attsOt s U.1. 1 Aa.GmGitr $ 1,000.000 4LtN0rJSS.110ao401ti1t $. 1.000,000 at. OmeASe.PaJGrutar 3 1 000 000 IRMdlt aeePar1R aro ►sl0ltarwG►tNaitsascassoccu masi mow trif Essonsistamsosisoommalams EFFECTIVE 0110312005. COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO ROCHE ROOFING, INC. (CLIENT) FOR WHOM THE CUENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE 1S NOT EXTENDED TO STATUTORY EMPLOYEES. CITY OF MIAMI SHORES 10050 NE 2ND AVE MIAMI SHORES FL 33138 OSIOUL,13 ANT brrna AB= Motion POUQ 03intCN1ta;U.EDasZrermm taamuunora DmirHtaa6DM.'taaa Mhos Rs RVem. LestDtU ►YDRTOarNLan DAYaWRURENNDRGB ToInc sR1IReAT3assunlx TOWED 50 Tun unit BUT FAV,15011)00 SHAM MIPOee NO OBLICAATIONORLIADU Y00 NWKI MDUPON YIamaximera=e t80R RUpBsse A1TUna. AuT0120 Pft A71v FEB- 02- 2010(TUE) 10:18 FRANKCRUM INSURANCE AGENCY. INC. 100 S. MISSOURI AVE. CLEARWATER FL 33755 FrankCrum 1.800.277 =1620 100 S MISSOURI AVENUE CLEARWATER FL 3375S 1101.0 ROCHE R00FING J Sersa1 # 16465iTHIS CERTIFICATE 15 ISSUED AS A MATI'ER;:OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 'ME CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE APT-CROW 5Y THE POLICIES 58.0W. CERTIFICATE OF LIABILITY INSURERS AFFORDING COYERACR: tNcUteak A FRANK WINSTON CRUM INSURANCE, INC. WStm6R tt INSURER M INSUFI!R CAMl LLAUUON (FAX)3055991377 P. 004 /004 NAILS p.m o+iman*l 01/2712010 0 ru O DATE '' BATC11 ItUP,lBER !X..., t1 i Sa. , i ♦ hwi.sV ,° AIJt _ :mot. �-s A : A .ris;, ,F ` ii: - , L „ � � -' ' ' - s = - .,. ?�J' - ' : 7M ATE OFF "O :� A�TEl P1tFSI t7IiiAL ' • ,. TIIRt1T O FD BUSINESS • -- = : - '.CONSTRIICTION �1I1DUSTRY �LCRNSI O RS# ! ION DATE • - _�. -`. .. - r .;HOARD SE �L RR e ±: . 1 i3E ._ _L . - = - - •- ,, , ` • �,:z.t: - - ?s - __ 7� 09��4%2 BATCH IIWd R N NBR 0805 7 =725 R C - 27I30 . J - - - Tile t 40. Cie gi iik ALTO ""il • .Nauaed- , bt3low'' " : 2011 - ..viide - -.the•--pr=oyza ain L €Chapter 489 FS: - Eftgi�r on dale - AUGK'31-, . : . y t _ _I 4 tit DIVS at UAISD=• 4i1,S : MEET 1iisLr :LOCAL . LICENSINa • : +° =- ' R. REME)jTS:; PKIOR� TOE' CONTRA CTIN(3 .fl -Ay A . RO ##HS-•;;ROUF y©k ;` _ • - .... �MIAI+SIW b•9 -AVE • .. - =t 'FL 33144 • * ; iS is -- ' CHARLIE • ' • - GOVERNOR;:! -t.= R� D � , =. - -:-. .. . -::Yt =" • . HARIiES' T'7 'DItAGO ;:,.=. - 9ECRBTARY - -• • • •: S' •-4 4