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RF-11-177Scheduled Inspection Date: February 16, 2011 Inspector: Bruhn, Norman Owner: CALILUNG, FELICITAS Job Address: 173 NE 108 Street Miami Shores, FL Project: <NONE> Contractor: FLORIDA ROOF TECH CORP Building Department Comments February 15, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 155971 Permit Number: RF -2 -11 -177 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1121360090230 Phone: 305 - 557 -9685 RE -ROOF FLAT ROOF ONLY Passed 0 7 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP 155532. Provide renail aff. NB Page 16 of 21 4 � RE: Permit # pr-z-//-/??- DATE: 6 -/ ` a ° / 1 INSPECTION AFFIDAVIT I $(///t(Yt. j ■licensed as a (n) Contractor / Engineer / Architect, License #: ( 4c On or about ca/ /y?/po"/ , I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work at 00.3 Ai f &L ® Att k 'u 4 (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 5 .8 S) (./(j -- ------ ■ Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he /she is the contractor for the above properly mentioned. Swom to and subscribed before me this day of Ve Notary Public, Sate of Florida at Large *General, Building, Residential, or Roofing Contractors or a individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection Revised on 5/21/2009 (Print name and circle License Type) M iami Shores Village Building Department FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 2p �� CARLOS ALBERTO CASAS * MY COMMISSION # DD 907685 EXPIRES: November 15, 2013 d " FL 04") Bonded Thm Budget Notary Swifts 1111 11111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. izfi ° / - /7 TAX FOUO 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: 2. Description of improvement: S 1.62 PAGE 9 9110 Vg IPA � c 3. Owner(s) name and address: i701M11 , W i irA `f = WA Interest in property: Name and address of fee simple titleholder 4. Contractor's name, address and phone nu • =r .a der 41�GA j _�.r --- i f a FI-y < < 5. Surety: (Payment bond required by ownefrom contractor, if any) Name, address and phone number. ` �/ ( , Amount of bond $ 6. Lender's name and address: � ,�- -� 7. Persons within the State of Florida designs y er upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number 9. Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ATTORNEY BEFORE • MENC ' 3 WO OR RECORDING YO ' OWCE OF COMMENC MENT. ih�G�. i/1 ff� . , IOV O„ r • A _ + r/Director/Partner/Manager /JJ 1 y � /Ails Prepared By Print Name Signature(s) Prepared By Print Name Titie/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The for g By CI individually, or ID as for CI Personally known, or l produced the following type of identifl Signature of Notary Public: Print Name: (SEAL) (S-) i - I . - was ac 1 •wled • 40/11"/ _ r • ..int I _ • . . ! S ! __ '1 ._ L1 Under penalties of perjury, I declare that ! have read the foregoing and that the facts ted in it are true, to the best of my knowledge and belief. e a this .31 CFH 201 1 80073653 OR Bk 27574 Ps 0137; (1Rs) RECORDED 02/02/2011 14:10:01 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST F'AGE Space above reserved for use recording office / 1.404444,ee Tltie/Office day of 4 4OFF>•O O * MY COMMISSION # DD 007685 EXPIRES: November 15, 2013 Banded Thm Bid May Smokes Officer/Director/Partner/Manager who signed above: By ATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY N►at this is a true ccAy of the , jogsnaf filed sn this office on sta of FEB 0 2 201 2 ; itTNESS my hand and OVficial Scat. --� 1ARVEY N N, aIGlfaw/artdt nryave r D.C. Address. City: BUILDING PERMIT APPLICATION FBC 20 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 Permit Type: BUILDING 1l OWNER: Name (Fee Simple Ti lehol er): rc ,�/ / Phone#: �Q � �" Address: / s c !® 5 Cit / -i i .941 Tenant/Lessee Name: State: Master Permit No. Email: JOB ADDRESS: ( ,I J (� ffl,:g City: Miami Shores County: Miami Dade Zip: tie / Folio/Parcel #: 1 /, Z /gef " 0 01' 01. 0 Is the Building Historically Designated: Yes NO )C Flood Zone: r C _ __ - /��,0264 /, _ / Phone #: CONTRACTOR: Company Name: e 02 c ?2' i oir'ij� Qualifier Name: '% ce State: f Permit No. Phone #: BY: Zip: 3 ti ff Zip: 3 Phone #: State Certification or Registration #: (C(.1 - - 17/7(1 ° Certificate of Competency #: Contact Phone #: 9 4).gs Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 1-- // 70 ' D uar inear Footage of Work: 2g 0 FEB ? 2011 1 46 5 Type of Work: DAddress ❑Alteration New Repair ' eplace . ODemolition Description of Work: co -62A- 0 .„ COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: *** * **** ****** *****a, *** ** *,t*** *** F * * * * * ** ***** * * * * * ** ***** ****,r****,r,r***** Submittal Fee �— Permit Fee $ CD J 6 e d CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Llye 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 approved and a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this `g— day of . e ,20 if, by f tc / i S Pi t u(e , who is personally known to me or who has produced r0L As identification and who did take an oath. NOT .i' Y P I t LIC: Si Prin My ommission Expires: a o`:a •.1 , CARLOS ALBERTO CASAS • * MY COMMISSION # DD 907685 EXPIRES: November 15, 2013 0, „ Bonded This Budget Notary SeMMS APPROVED BY c>r� — // Plans Examiner _Qefi (Revised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09Xrev6/4/10) Structural Review S NOT - _' PUBLIC: y Commission Expires: Contractor The foregoing instrument was acknowledged before me this 2, day of reb , 20 ) 1 , by ANA +�+ 0 Oli'k who isersonally know o me or who has produced as identification and who did take an oath. + 0 t ;. '° CARLOS ALBERTO CASAS MY COMMISSION II DD 907685 EXPIRES: November 15, 2013 FaF Pr o o Bonded This Budget Notary Services Zoning Clerk Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- Applied SINGLE FAMILY Beds/Baths: 2/2 Floors: 1 Living Units: Taxable Adj Sq Footage: 1,931 Lot Size: 9,300 SC) FT Year Built: 1950 DUNNINGS MIAMI $56,294 SHORES EXT NO 5 PB Legal 48-21 LOT 15 BLK 216 Description: LOT SIZE 75.000 X 124 $56,294 OR 13097-2614 1186 4 $50,000/ OR 11823-3275 0683 00 Year: 2010 2009 173 NE 108 ST Applied Applied Taxing Authority: Exemption/ Exemption/ 173 NE 108 ST MIAMI Taxable Taxable Assessed Value: Value: Value: Regional: $50,000/ $50,000/ $59,163 $56,294 County: $50,000/ $50,000/ $59,163 $56,294 City: $50,000/ $50,000/ $59,163 $56,294 Schoo Board: l $25,000/ $25,000/ $84,163 $81,294 Folio No.: 11-2135-009-0230 Property: 173 NE 108 ST Mailing REYNALDO L CALILUNG Address: &W FELICITAS $164,567 173 NE 108 ST MIAMI $238,164 SHORES FL Assessed Value: 33161-7037 Year: 2010 2009 Land Value: $84,275 $143,194 Building Value: $153,889 $164,567 Market Value: $238,164 $307,761 Assessed Value: $109,163 $106,294 Year: 2010 2009 Homestead: $25,000 $25,000 2nd Homestead: YES YES Miami-Dade My Home My Horne CAThril Show Me: Property Information Search By: Select Item k Text only Property Appraiser Tax Estimator 1 . 1 Property Appraiser fax Comparison Portability S.O.H. Calculator Sumrnary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale nformation: I1 OR", http://gisims2.miamidade.gov/myhome/propmap.asp ACTIVE TOOL" SELECT Itie Aerial Photography - 2009 0 My Home /Property Information] Property Taxes I My Neighborhood 1 Property Appraiser Home [Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer Web Site 2002 rights County. A hts reserved. 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. f 112 ft Page 1 of 2 Legend Property Boundary 40 Selected Property 4t# Street 49"41 Highway Miami-Dade County Water 2/2/2011 f FEB 0 High Velocity Hurricane Zone Uniform Roofing Permit Application For MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION ttl - ---- INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW. fit. Prescriptive BUR RAS 150 Asphaltic Shingles Concrete or Clay Tile Roof System Low Slope Application Metal Roofs Wood Shingles and Sh e s Ocher ATTACHMENTS REQUIRED Fire Directory Listing Page 2. From the Miami -Dade County Notice of Acceptance NOA Cover Sheet NOA Specific System Description NOA Specific System Limitations NOA General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4 . Other Component Notice of Acceptances 5 . Municipal Permit Application 6. Owners Notification for Roofing Considerations (Appendix " F" Form) Re- roofing or Repairs Only 7. Any Re•uire. r.. r E •` Calculation Documentation ably required by the Building Official oofing system. M ami Shores Village er additi deter(fne the nal ca.teaso APPROVED ZONING DEPT BLDG DEPT C IV /PPM _Alit.' SUBJECT TO COMPLIANCE WITH A L [[DI nAl STATE AND COUNTY RUL.FS AND HI GI II Al IONS Required Sections of.the Permit Application Form A, B, C , B,C A, B, D As Applicable Page 1 Attachments Required See List Below 1 ,2,3,4,5,6,7 4,5,6,7 1,2,4,5,6,7 123467 1 ,2,3,+,5,6,7 1 2 , ' G 1,23,4,567 L OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: � e - / f '27 Property Address: /7 A id (0g 1 ( . ; ! Roofing Permit Number: Dear Building Official: 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 provisions of 1994 edition of the South Florida Building Code (1994 SFBC) State of Florida County of Dade The undersigned, being the first duly swam, deposes and says that he/she is the owner for the above property mentioned. � ' / 60 CARLOS ALBERTO CASAS c MY COMMISSION 9 DD 907685 * 3` . .PIKES: November 15, 2013 s' f oF „ Bonded Thm Budget Notary Services of ad valo m taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 m a General Contractor for the Roof to Wall connection Hurricane Mitigation. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large • When the just valuation of the structure for pu SFBC. Then you must provide a building appricatio Revised on 5/21 /2009 certify that I am not required to retrofit the roof to wall connections of my Print Name M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: ©z1 Z 40 I/ 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. he 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 • 1' 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. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be led in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 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 s, ould notify the occupants of adjacent units of roofing to be performed. 4. lA' Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be dewed 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. Ponding water The current roof system and /or deck of the building may not drain well and may ca se ater 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. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not ove .. ed 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 accordance with the requirements of Sections R4402, R4403 and R4413. Ili Ventilation: Most roof structures should have some ability to vent natural airflow through the inte H 1 of the structure assembly (the building itself). The existing a , nt of a is ventilation shall not be reduced. It may be beneficial to consider additional venting which ∎ -n - extending the se life of the Agent's Signature Revised on 7/9/2009 LD / � -I Date Contractor Signa reu Date V .261( ( RCCF ASSEMBLIES AND ROOFTOP STRUCTURES Master Permit No. Contractor's Name Job Address �_ L� ,.,.. ❑ New Roof Low Slope ❑ Asphaltic Shingles Low Slope Roof Area.(SF) 1_504 Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE `'Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) Q-- Section B (Roof Plan) Process No. ❑ Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes ❑ Repair ❑ Maintenance Total (SF) rage Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly idenfify dimensions of elevated pressure zones and location of parapets. 1• l •1l i, !l I II II rimy I -EN g i:! - NE opmeidiVall I mem NI Ao A 1 111111111ELI Section C (Low Slope Application) Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA ") G caogolim System Manufacturer: Product Approval No.: ( 0 Design Wind Pressures, From RAS 128 or Calculations: Pmax1: ' Z Pmax2: 2Z- . Pmax3: 2 � ' Max. Design Pressure, from the sn iific Product Approval system: Deck: Type: WOOD" Gauge/Thickness: n kl8 tN 12" Slope: Anchor/Base Sheet & No. of Ply(s): 6n kruk5 #15 Anchor/Base Sheet F stenerBonding Material: \11.* i N /_ 1 }A NICY1 . • Insulation Base Layer: 1 rt ( I'"'�U ° C" Base Insulation Size and Thickness: ) •5 'I him Base insulation Fastener/Bonding Material: t.\o-r Aspr►acr • 4-y if Awits Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding MQ *error PIy Sheet(s) & No. of Ply(s): (Ay Coi4* Ply Sheet Fastener/Bonding Material: A'SPi1dX Top PIy: CAINsli k Top Ply Fastener/Bonding Material: /4 .01. p tSQ . FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment: Field: - 1 " oc @ Lap, # Rows Q @ ` oc Perimeter: 6 " oc @ Lap, # Rows @ (" " oc Corner: " oc @ Lap, # Rows 4 " oc Number of Fasteners Per Insulation Board: 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 Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit g ath , it,_ - ft 1 -. 2 ' - . •PC—A- 1 G • 3 woo l> If a Wulff- 2A, esaot o FT. I " 6 pR@SSUt ` 4AUw FA61 r!o w o0o p4atkO. t't Parapet ; Height__ eae7t IAP- (PA 1_12/ Mean Roof Height 15.33 FRO! 1 ,11" . L) .1%. ,AJv - r,,00 ling systems ONLINE CERTIFICATIONS DIRECTORY e Bottom S.eeSGeneralinformation for Roofing $vstems. GAR MATERIAL$ CORD 1361 ALPS RD WAYNE, NJ 07470 USA TGFU.R1306 Roofing Systems Roofing Systems 31 2011 12 :3 .a_ '?- /No. 6802286522 P 9 Page 1 of 60 R1306 "Ruberoid® 20" or "Ruberoid® 20 HT° or "Ruberoid® Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. thick (minimum) gypsum board or 1/4-in. thick (min) G -P Gypsum Corp. " DensDedc ® Roofboard," " DensDeck Prime@ Roofboard" or'Dens/eck DuraGuard'" Roofboard° may be used in any existing noncombustible deck Classification. When this Is done, the resulting roofing system is acceptable for use over combustible (15/32 -in. thick minimum) roof decks. However, the butt joints In the gypsum board and G -P Gypsum Corp. " DensDeck ® Roofboard," ° DensDedc Prime® Roofboard" or " DensDeck buraGuard"" Roofboard" are to offset a minimum of 6-in. with the butt joints in the roof deck. If polystyrene is part of the root system, It must be placed below the overiayment board. Multiple piles of 'GAFGLAS® PIy 4" or "Tri -PIy® Ply 4" or "Tri -Ply® Ply 6° may be adhered to G-P Gypsum Corp. "DensDeck ® Roofboard," " DensDeck Prime® Roofboard" or " DensDeck DuraGuard `" Roofboard' in hot roofing asphalt. "EnergyGuard Ultra" is an acceptable alternate to " EnergyGuard° in any applicable Classification. "GAF Stratavent® Eliminator'" Venting Base Sheet (Mailable)" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. "GAFGLAS® Perilte Insulation" may be utilized as a cover board over "EverGuard" Insulation in any of the following systems. Unless otherwise Indicated, the roof insulation Is mechanically fastened, adhered with hot mopping asphalt or urethane Insulation adhesive. Polystyrene referenced In any of the following Classfications Include " EnergyGuard EPS Insulation ". References to glass fiber Insulation include " EnergyGuard Fiberglass Insulation ". ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS® #75 Base Sheet" or "Tri -PIy@ #75 Base Sheet ", or " GAFGLAS® #80 uLTIMA ") Is a suitable alternate for Type GL asphalt glass fiber ply sheet ( "GAFGLAS@ Ply 4" or °Tri -PIy® PIy 4 ", or " GAFGLAS® Ply 6 ") in the Gass A, 13 or C roof systems Indicated below. The roof deck may first be covered with one ply Type G2 asphalt saturated glass mat base sheet "GAF Stratavent® Eliminator'" Venting Base Sheet (Perforated)" or °OAF Stratavent® Eliminator'" Venting Base Sheet (Mailable)." Perforated to be loose laid or mopped and nailabie to be mechanically attached granule side down_ As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS® #75 Base Sheet" or "Tri -PIy@ #75 Base Sheet" or "GAFGLAS® #80 ULTIMA° or "GAF Stratavent® EliminatorTM Venting Base Sheet (Nailable)" may be substituted for Type GI. asphalt glass fiber ply sheet ( "GAFGLAS® Ply 4" or "TM -Ply® Ply 4" or " GAFGLAS® PIy 6 ") as the nailed base ply in the following systems. 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. 100 imp: // database. ul .com /cgi- bin /XYV/ template/LISEXT /1FRtAME/shawpa e.html ?name =T... 1/31/2011 FROM 31 2011 12:39/ST. 12:37/N0.6802286522 P 10 flit u.x1iUb - Rooting Systems Page 2 of 60 - GAFGLAS® Flashing" or " Ruberoid®" may be used for flashing in any of the Class A, B or C systems listed below. When " perlite" is referenced, this Includes " GAFTEMP PERMAtrrEO" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in a( - of the Class A, B or C systems listed. 4- Structural cement fiber building units are considered Suitable to be included as a deck in the following Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 1/24n. minimum thick gypsum board Is an acceptable alternate for minimum Insulation over C -15/32 thick roof decks. The use of polystyrene insulation board between minimum 34 -in. thick perlite board and deck with rosin paper (perilte/rosin paper /polystyrene/perllte) Is a suitable altemate for polyisocyanurate board In the following Class A, B or C systems, "EnergyGuard RA" or "Tapered EnergyGuard RA" or "EnergyGuard Composite RA" may be substituted for any Atlas polylsocyanurate Insulation in any of the followIng Classifications. Trumbull "Parma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt ". "GAFGLAS® #80 Premium Base Sheet" may be used in any of the following systems. "GAFGLAS® Flex Ply 6" and "Tri -PIy® Ultra - Flexible Ply 6° are suitable alternates to "GAFGLAS® PIy 6 ". "GAFTEMP Permallte Recover Board" may be used In lieu of any perilte Insulation In any of the following NC Classifications. Unless Otherwise indicated, any of the " AsDhalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Flreshleld MB" at 26 to 3-gaI /100 -ft ° Ruberoid® Dual Smooth" may be used as an alternate to "RuberOid® Mop Smooth" or "Ruberoid® 20" or ° Ruberoid® 20 HT' "RUberold® MOO Smooth 1.5" may be used as an alternate to " Ruberoid® Mop Smooth" Class A, I3 and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. " Ruberold® Heat Weld" SBS roofing membrane may be used in lieu of " Ruberoid® Mop" 585 prOduets In any applicable Classification. 1. Cede C -15/32 incline: 3 Insulation (Optional): — One or more layers perilte or wood fiber or glass fiber or polylsocyanurate or urethane or perlite/polylsocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite or phenolic, any thickness. Ply Sheet: — Three or more plies Type Gi or "GAFGLAS® Ply 4° or "Tri Ply® Ply 4" or "GAFGLAS® PIy 6" hot mopped, Surfadng: — Gravel. 2. Deck: C -15/32 Incline; 2 3. Deck: NC Incline: 2 Class A Insulation (Optional): -- One or more layers perilte or wood fiber or glass fiber or polyisocyanurate or urethane or perlite /polylsocyanurate composite or perlite /urethane composite or wood fiber /polyisocyanurate composite or phenolic, any thickness. PIy Sheet; — Three or more plies Type GI or "GAFGLAS® Ply 4" or "Trl- Plye Ply 4" or "GAFGLA$t PIy 6 ". Cap Sheet — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet " or "GAFGLAS® EnergyCap'" "( BUR Mineral Surfaced Cap Sheet.° http : / /database.ul. cam /cgi- bin /XYV/ template /L1SLXT'1 FRAME /showpagc.html ?name =T... 1/31/2011 FROM 1'UFU.K13Ub - Rooting Systems 4. Deck: C -15/32 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perlite/polyisocyanurate composite, perlite /urethane composite, wood fiber/polylsocyanurate composite, phenolic, 2 -In. maximum. Ply Sheet: — Two or more plies Type G1 "GAFGLAS® Ply 4 ", "Tri -Pty@ Ply 4" or "GAFGLAS® Ply 6 ". Cap Sheet: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS® EnergyCap "' BUR Mineral Surfaced Cap Sheet." Incline: 1 SIIp Sheet (Optional): Red rosin paper, nailed to deck. Insulation (optional): — Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" Or any UL Classified Insulation adhesive. Base Sheet — One ply Type 02 "GAFGLAS® #75 Base Sheet" or "Tri -Ply® #75 Base Sheet" (may be nailed). Ply Sheet: — One or more plies Type G1 "GAFGLAS® Ply 4" or "Tri -Piy® Ply 4' or GAFGLAS@ Ply 6". Cap Sheet: — One ply Type G3 "GAFGLASi Mineral Surfaced Cap Sheet' or "Tri -Ply@ Mineral Surfaced Cap Sheet° or "GAFGLAS® EnergyCapTM' BUR Mineral Surfaced Cap Sheet." Surfadng (optional): — "TOPCOAT® EnergyCotee" applied at a rate of 2- gaI/100 -ft 5. Deck: NC Incline: 3 Base Sheets — One ply Type G2 "GAFGLAS® #75 Base Sheet" or "Tri - Pty® *75 Base Sheet ". Ply Sheets — One or more plies Type G1 "GAFGLAS® Ply 4" or "Tri -Ply® Ply 4" or "GAFGLAS® Ply 6 ". Cap Sheet — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet" or "GAFGLAS "O EnergyCapT" BUR Mineral Surfaced Cap Sheet." 6. Deck: C -15/32 Incline: 2 7. Deeks C -15/32 Incline: 2 8. Deck: NC Incline: 2 9_ Deck: C -15/32 Incline: 1 31 2011 12:39/ST. 12:37/No.6802285522 P 11 Page 3 of 60 Insulation: — One or more layers perlite, glass fiber, polyisocyanurate, urethane, perlite/polyisocyanurate composite, perfte/urethane composite, phenolic, 1 In. minimum (offset a minimum of 6 -in. from plywood deck joints). Base Sheet — One or more plies Type G1 or Type G2 or Type G3. Membrane: — One or more plies "Ruberoid® Torch Smooth" or "Ruberold® Torch Granule" or "Ruberold® Torch Granule PIuS" or "Ruberoid® Mop Smooth° or "RUberold(1i, Moo Smooth 1.5" or "Ruberoide Mop Smooth Plus" or •Ruberold® Mop Granule" or "Ruberold® MOO Plus Granule" or "ROOFMatch'" SBS Modified Granular" or "Tri -Piy@ SBS Modified Bitumen Membrane or "ROOFMatchm APP Modified Granular" or "Tri- PIyCg1 TP-4G" or "Tri -Ply@ TP-4" or "Ruberoid® Dual Smooth ". Cap Sheet -- Type G3 "GAFGLASI Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet"or "GAFGLAS® EnergyCap'" BUR Mineral Surfaced Cap Sheet" fully adhered with hot roofing asphalt, Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polylsocyanurate or urethane or perllte/polylsOtyanurate Composite or perlite /urethane composite or wood fiber/polyisocyanurate Composite or phenolic, any thlekneSS. Base Sheet: — Two or more plies Type 02 or Type G3. PIY Sheet (Optional): — One or more plies Type G1. Membrane: — One or more piles "Ruberold® Torch Smooth" or "Ruberoid® Torch Granule" or "Ruberold® Torch Granule Plus' or "Ruberold® Mop Smooth" or "Ruberoid® Mop Smooth 1.5" or "Ruberold® Mop Smooth Plus' or "Ruberold® Mop Granule" Or "Ruberoid® Mop Pius Granule" or "ROOFMatch". 555 Modified Granular" or "Tri -Ply@ 5B5 Modified Bitumen Membrane" or "ROOFMatch'" APP Modified Granular" or "Tri -Piy® TP-4G" or "Tri -Ply® TP-4" or °Ruberold® Dual Smooth ". Cap Sheet: — Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "TrI- Ply® Mineral Surfaced Cap Sheet° or "GAFG1AS® EnergyCap" BUR Mineral Surfaced Cap Sheet fully adhered with hot roofing asphalt. Insulation (Optional): — Perllte or glass fiber or polyisocyanurate or wood fiber or mechanically fastened, any thickness. Base Sheet: — One or more plies Type G2, "GAFGLAS® #7$ Base Sheet" or "Tri -Ply® #75 Base Sheet ". Ply Sheet: — One of more plies Type G1 "GAFGLAS® Ply 4" or "Tri -Ply® Ply 4" or "GAFGLAS® Ply 6 ". Cap Sheet — Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet° or "Tri - Ply® Mineral Surfaced Cap Sheet" or GAFGIAS EnergyCapT" BUR Mineral Surfaced Cap Sheet" fully adhered with hot roofing asphalt. Surfacing: — "Fireshleld MB" applied at 2'Y2 to 3.0 -gal. /100 -ft � 0P3 Insulation (Optional): — One er more layers perlite or wood fiber or glass fiber or polylsocyanurate or ure perlite /polyisocyanurate composite or perllte /urethane composite or wood fiber /polylsocyanurete composite or phenolic, any httpi/ database. ul. com/ cgi- bin/XYV /template!I.ISF.XT!t FRAME/showpage.html ?name =T... 1/3112011 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE ACCEPTANCE (NOA) • GAF.Material Coi porafion 1361 Alps Road Wayne, NJ 07470 0 SCOPE: ThisNOA is being issued under the applicable.rules and regulations.governing the use. of constriction. 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 RUBEROID Modified Bitumen 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. - 6 INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 07- 1203.01 and consists of pages 1 through 31. The submitted documentation was reviewed 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.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 1 of 31 ROOFING SYSTEM APPROVAL Category: Sub - Category: Material: Deck Type: Maximum Desi r+ Pressure TRADE NAMES PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Leak BusterTM MatrixTM 307 Premium Asphalt Primer GAF Mineral Shield Granules Leak Buster"' Matrix"' 305 Fibered Asphalt Emulsion Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating LeakBusterTM MatrixTM 322 Elastomeric Roof Coating LeakBusterTM MatrixTM 306 LeakBusterTM MatrixTM 204 Wet/Dry Roof Cement GAFGLAS #75 Base Sheet GAFGLAS #80 ULTIMATM Base Sheet GAFGLAS Flex P1yT' 6 GAFGLAS Ply 4 GAFGLAS Mineral Surfaced Cap Sheet Roofing Modified Bitumen SBS /APP Wood psf • Test • Dimensions Specification 5, 55 gallons ASTM D41 60 Ib. Bags ASTM D1863 100 Ib. bags 5 gallons 1, 5 gallons 55 gallons 55 gallons 1, 5 gallons 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39,37' (I meter) Wide ASTM D1227 ASTM D3019 ASTM D3409 ASTM D4586 ASTM D3409 ASTM D4601 ASTM D4601 ASTM D2178 ASTM D2178 ASTM D3909 h Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. Elastomeric roof coating. Asphalt emulsion fibered. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Type II Asphalt impregnated and coated glass mat base sheet. Type II Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating,-n Type N asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 2 of 31 Product GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet AF.GL7A S ®. EnergyCapTM BUR Mineral Surface Cap Sheet GAFGLAS STRATAV <ENT • EliminatorTM Perforated GAFGLAS Flashing GAFGLAS STRATAVENT EliminatorTM Perforated Nailable RUBEROID SBS Heat- We1dTM Smooth RUBEROID SBS Heat- We1dTM Granule Roof MatchTM SBS Mop Granule RUBEROID SBS Heat- We1dTM 170 FR RUBEROID SBS Heat- We1dTM PLUS RUBEROID SBS Heat- We1dTM PLUS FR RUBEROID EnergyCap SBS Heat- WeIdTM PLUS FR RUBEROID Modified Base Sheet RUBEROID SBS Heat- WeIdTM 25 MIAMI•DADE COUNTY APPROVED Dimensions 39.37" (1 meter) Wide 3937" (I inter) wide 39.37" (1 meter) • Wide various 39.37" (1 meter) Wide 1 meter (3937") wide 1 meter (39.37 ") wide 107 sq. ft. (9.9 m2) 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 39.37" (1 meter) Wide 1 meter (39.37 ") wide Test Specification ASTM D3909 ASTM D3909 Energy, starTM Title 24 Compliant ASTM D3672 ASTM D4897 ASTM D3672 ASTM D4897 ASTM D6164 ASTM D6164 ASTM D6222 ASTM D5147 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D6164 Product Description Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied layer of TOPCOAT ® EnergyCoteTM. * •Asphalt Boated, glass• fiber mat.cap sheet with mineral granules with factory applied EnergyCoteTM Fiberglass base sheet coated on both sides with asphalt: Surfaced on•the.bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer modified asphalt and surfaced with colored mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. A fiberglass mat reinforced, SBS modified bitumen cap membrane. Premium glass fiber reinforced SBS - modified base sheet Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 3 of 31 Product RUBEROID' Mop Granule RUBEROID"' MOP Smooth RUBEROID MOP PLUS RUBEROID MOP 170FR RUBEROID MOP FR RUBEROID TORCH Smooth RUBEROID TORCH Granule RUBEROID EnergyCap Torch Granule FR Roof MatchTM APP Torch Granule RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 170FR TORCH RUBEROID EnergyCap SBS Heat Weld Plus FR RUBEROID 20 RUBEROID 30 MIAMI4DADE COUNTY APPROVED Dimensions 39.37" (I meter) Wide 1 sq. roll 87 lbs. 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 1 meter (3937 ") wide 107 sq. ft. (9.9 m2) 39.37" (I meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 1 meter (39.37") wide 39.37" (I meter) Wide 39.37" (1 meter) Wide Test Specification ASTM D6222 ASTM D5147 ASTM D6298 ASTM D5147 ASTM D6164 ASTM D51 ASTM D6164 ASTM D5147 ASTM D6164 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6222 ASTM D5147 ASTM D6163 ASTM D5147 ASTM D6163 ASTM D5147 ASTM D6163 ASTM D5147 Product Description Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. n Non -woven polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, smooth surface. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface. A fiberglass mat reinforced, SBS modified bitumen cap membrane. Non -woven polyester mat coated with polymer modified asphalt and surfaced with colored mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. A fiberglass mat reinforced, SBS modified bitumen cap membrane. SBS modified asphalt base sheet reinforce with a glass fiber mat. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 4 of 31 l'roduct RUBEROIW'30 FR RUBEROID EnergyCap • SBS 30 FR RUBEROID ULTRACLAD SBS RUBEROID Dual FR Vent Stacks (metal and plastic) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt Asphalt L & Asphalt P TOPCOAT Surface Seal SB LEAK BUSTER"' MatrixTM 715 MB Elastomeric Roofing Membrane EnergyCoteTM Coating VersaShield TOPCOAT FireShield MB Leak BusterTM Matrix"' 531 WeatherCoterM Elastomeric Flashing Grade LeakBusterTM MatrixTM 201 Premium SBS Flashing Leak BusterTM MatrixTM 102 SBS Adhesive Label MIAMI.DADE COUNTY APPROVED Dimensions 39.37 "(1 meter) Wide 1 meter (39.37 ") wide 39.37" (I meter) Wide 39.37" (1 meter) Wide 100 Ib. cartons, bulk 60 Ib. kegs 5 gallons 5 gallons 2, 5 gallons 350 sq. ftroll 5, 55 gallons 5 gallons 5 gallons 5 gallons Test Specification ASTM D6298 ASTM D5147 ASTM D6163 ASTM D6163 ASTM D5147 ASTM D6 64 ASTM D5147 TAS I00(A) ASTM D1929 ASTM D635 ASTM D312, Types I, II, III and 1V ASTM D3412 ASTM D21 ASTM D1475 ASTM E1644 ASTM D6083 ASTM -D226 4869 Type I, II ASTM D412 ASTM D21 ASTM 1475 ASTM E1644 ASTM D3019 ASTM D3019 Product Description Non woven fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineralagranules. A fiberglass mat reinforced, SBS modified bitumen cap membrane. Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. One -way valve vent used to relieve built - up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Interply mopping and surfacing asphalt SEBS modified asphalt Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Highly reflective elastomeric coating Non - Asphaltic Fiberglass -Based Underlayment Elastomeric roofing membrane Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 5 of 31 Product Leak BusterTM MatrixTM 202 SBS Flashing Cement Label Leak BusterTM MatrixTM 203 Plastic Roof Cement Label Leak BusterTM MatrixTM 103 Cold Process Adhesive Label LeakBusterTM MatrixTM 304 Non - Fibered Aluminum Roof Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane TOPCOAT MB Plus MIAMIDADE COUNTY APPROVED Dimensions 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5, 55 gallons Test Specification ASTM D4586 ASTM D4586 Product Description Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement ASTM D3019 Cold Applied Asphalt Adhesive. ASTM D2824, Type I ASTM D412 ASTM B117 ASTM C794 ASTM G21 FTMS 141.6271 ASTM D2196 ASTM D1475 ASTM E1644 ASTM D412, ASTM D21, ASTM D1475 ASTM E1644 Non - fibered. Aluminum pigmented, asphalt roof coating. Surface coating for smooth surfaced and mineral surfaced roofs. Water - based, low VOC, sprayable polymeric liquid, which cures to form a seamless rubber membrane. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 6 of 31 APPROVED INSULATIONS: Product Name EnergyGuardTM Fiberboard EnergyGuardTM Permalite EnergyGuardTM Strip EnergyGuardT"' Recover Board EnergyGuardTM Tapered Edge Strip EnergyGuardTM Polylso EnergyGuardTM RA, RN EnergyGuardTM Composite, RA DensDeck DensDeck Prime DensDeck DuraGuardTM Structodek Structodek TD SecurockTM APPROVED FASTENERS: Fastener Product Number Name 1. Drill-Teen #12 Standard, #14 and #15 extra Heavy Duty Fastener, Heavy Duty Roofing Fastener 2. Drill -TecTM ASAP 3. Drill -TecTM CR Base Sheet Fastener and Plate 4. Drill -TecTM Galvalume Plates 5. Drill -TecTM Polypropylene Plates 6. Drill -TecTM AccuTrac Plate MIAMI-DADE COUNTY APPROVED Table 2 Product Description Fiberboard insulation Perlite insulation board Cut perlite board Perlite recover board Tapered perlite board Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /wood fiberboard or perlite composite Water resistant gypsum board Water resistant gypsum board Water resistant gypsum board Wood fiber insulation board Flame Resistant High Density Wood Fiber board. Fiber reinforced roof board TABLE 3 Product Description Insulation fastener and Base Play fastener for steel, wood & concrete decks. Pre- assembled Drill-TecTM Various Fasteners and metal and plastic plates. Base sheet fastening Various assembly. Round Galvalume stress plates. Round polypropylene stress plates. Square Galvalume coated 3" Square steel plate. Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. G -P Gypsum Corp. G -P Gypsum Corp. G -P Gypsum Corp Knight Celotex Knight - Celotex USG Corporation Manufacturer Dimensions (With Current NOA) Various GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3 'h" GAF Materials Corp. 3" and 3 /" GAF Materials Corp. OMG NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page7of 31 EVIDENCE SUBMITTED: Test Agencv Factory Mutual Research Corp. Underwriters Laboratories Trinity Engineering PRI Asphalt Technologies, Inc. GAF - 020 -02 -01 ASTM D 249 02/01/02 ASTMD4977 IRT -ARCON Inc. 02 -005 TAS 114 03/01/02 02 -014 TAS 114 04/08/02 01 -039 TAS 114 03/01/02 Trinity I ERD G6850.08.08 ASTM D6164 08/29/08 G6850.08.08 ASTM D6163 08/01/08 G6850.10.08 ASTM D6222 10/06/08 G6850.11.08 ASTM D6222 11/05/08 MIAMI -DADE COUNTY APPROVED Test Identifier Description Date k 3029832 4470 -TAS 114 05/11/07 3010215 4470 - TAS 114 03/01/01 3001276 4470 - TAS 114 01/28/99 1B9A8.AM 4470 - TAS 114 _ 09/04/97 3D4Q2.AM 4470 - TAS 114 04/30/97 ODIA8.AM 4470 -TAS 114 04/01/98 TGFU.R19254 UL 790 10/27/06 4483.04 97 -1 TAS 114 06/06/97 NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 8 of 31 APPROVED ASSEMBLIES Membrane Type: SBS Deck Type II: Wood, Insulated a- Deck Description: 1 9 3 or greater plywood or wood plank System Type A(1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener EnergyGuardTM Polylso, RA, RN, EnergyGuardTM Composite RA,�able 3) Density /ft Minimum 1 "thick N/A N/A Wood Fiber, Structodek Structodek TD, EnergyGuardTM Recover Board Minimum %2" thick N/A N/A EnergyGuardTM Perlite Minimum 3 /4" thick NIA N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20-40 lbs/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT EliminatorTM Perforated laid dry or a layer of EnergyGuardTM, Perlite or wood fiber overlay board on all polyisocyanurate applications. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield Non-Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Anchor sheet: GAFGLAS #80 ULTIMATM Base Sheet, STRATAVENT EliminatorTM Nailable Base Sheet, RUBEROID Modified Base Sheet, RUBEROID 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat- WeIdTM 25 base sheet mechanically fastened to deck as described below; Fastening GAFGLAS Ply 4, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any Options: of above Anchor 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 Sheet or any of above Anchor sheets attached to deck with Dri 11 -TecTM #12 standard, # 14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, I2" 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 #7) MIAMI•DADE COUNTY APPROVED NOA No.: 09 -0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 9 of 31 Base Sheet: Ply Sheet: Membrane: MIAMI•DADE COUNTY APPROVED GAFGLAS Flex P1yTM 6, GAFGLAS ® #75 Base Sheet or any of above Anchor 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 it,) GAFGLAS #80 ULTIMATM, RUBEROID RUBEROID Smooth, base sheet 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 —60 psi General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor 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) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill-TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor 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 ofthe sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) (Optional) Install one ply of GAFGLAS #75, GAFGLAS #80 ULTIMATM Base Sheet, GAFGLAS PLY 4, GAFGLAS Flex P1yTM 6, GAFGLAS STRATAVENT EliminatorTM Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID 20, RUBEROID SBS Heat - WeIdTM Smooth or RUBEROID SBS Heat- We1dTM 25 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbsJsq (see General Limitation #4). (Optional) One or more plies GAFGLAS PLY 4, GAFGLAS Flex PIyTM 6 sheet, GAFGLAS #80, RUBEROID MOP Smooth, RUBEROID® 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbs.sq. One or more plies of RUBEROID 20, RUBEROID 30, RUBEROID EnergyCap SBS 30 FR, RUBEROID 30 FR RUBEROID MOP Smooth, RUBEROID Mop 170 FR, RUBEROID Mop Granule, Roof MatchTM SBS Mop Granule, RUBEROID MOP PLUS, RUBEROID MOP FR, RUBEROID ULTRACLAD SBS, or RUBEROID Dual FR fully adhered man approved asphalt at an application rate of 25 lb./sq. ± 15 %. NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 10 of 31 Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 Ibs. /sq. and 300 Ibs. /sq. respectively in a flood coat of approved asphalt at 60 Ibs. /sq. or applied in a flood cot 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 Ibs. /sq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak BusterTM Matrix"' 715, Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofmg 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 galisq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at lto 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. Maximum Design Pressure: See Fastening Above NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 11 of 31 1 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply ` 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '/" Dens Deck or ' /z" 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 20-40 lbs.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 side lap 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 121bs. /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 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 Roofmg 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 milers, metal profile, and/or flashing termination designs shall conform to 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 enhanced pressure zones (i.e. perimeters, extended corners and corners).4When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 31 of 31 ^C CERTIFICATE OF LIABILITY INSURANCE • THIS CERTIFICATE•I$ SSUED {tS A MATTER OF INFORMATION ONLY AND C NO RIGHTS UPQN THE CERTIFICATE HOLDER,' THIS,CrERT1FICATE NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SCLOW. THIS CERTIFICATE. INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, DATC tUv.U:uvv`Wt 1221/2010 DOES OF AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the policy (e!) must bo endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Iteu Of such endorsementist. •ROQUt. - FRc • • ' V • •7• :.; . • .a:. ■ i• . `! • FRANKCRUM INSURANCE AGENCY, INC. • E. MI SOLIIRI AVE.. A V E. . . . . . . . . . . .. • • .. . . CLEARWATER FL 33756 aornnaT • - • . - An• , • • T • •, . . , INC Nn Fate . • , (AM. N..iT • /mum ' ' rNSL!RER a INSURER 0: gISURER 9 AFFOROING.COV[RAGE. • • • FRANI( WINSTON CRUM INS(J$ANCE, INC. NAVY 11r00 INSURED FrankCrum 1- 800 - 277.1526 . • 1000 S MISSOURI AVENUE CLEARWATER FL 3375$ 'COVERAGES ' r • ' ' r.'• .o a .., •.. • .p ............. .......« .1 is • wm♦ -n.• •••••- r- CtERTIFfGATE•NUMBER: THi$ is TO CERTIFY THAT THE POLIC1ti5 OF INSURANCE LISSTEO BELOW HAVE BEEN NOTeninILATANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT MAY HAVE SEEN REDUCED BY PAOO CLAIMS. INSURER C: INSURER D: INSURER E: NSURER F! ISSUED T1 OR OTHER TO A 1.•a. J..... .. • : 83540... • :.1.14,.:1..s10 IIRVISON MR .) THE IN$UR8D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. • OCUMENT WITH RE: PELT TO WHICH THIS CERTIFICATE MAY BE ISSUED L THE TERME, EXCLUSIONS AND CONDITIONS OP SUCH POLICIES, • OR MAY UNITS SHOWN van LTA TYPE OF INSURANCE l' rin!MAL LIABILITY PO49cY MINIMA YFFMO EXP MM1DQ A INN WYD 5ACH OCCURRENCE _ S COMMERCIAL GENERAL!JAMLITY OAMAOE TO RENrr VAMOOSES IEn oac n) 5 I ciAaneeenea f1ocxUR LeEA EXP (AM' one ". S PERSONAL 3 ADV PN.IURY S Oel ACeREOATE S MIL ACCd1P,QATE MIT APPLIES PER: PRODUCTS - C UP/OPAOC S PODGY - PROmaT _ LOe AV10MOSILS flft.RY `S _ _ C0+ NOLEU 1 • S nwYAUSO sOBit.Y INJURY (Perlman) S ALLOW AUTOS — .WHEW= _ AUTOS AUTO. ^. NON -OWNED soeareuuxrtPwA�enri $ HIRED PROPERTY WAAL% tRmneeNen!3 $ 5 UMBRELLA LIAR OCCUR td.NMB•MADE EACH OCCUARsece E %CEes IJAO AC CATS $ RED RETENTION $ + A WORKERS COMPENSATION AND EmpLoreP URNA }Y ANrPROrflIETomPARnvtiifiDICU!wE o�DOXIDF_D7 u t+ !ay In NR) OM, Q4.mid+.a.d'w DESCRIPTION co OPertato?'LS tntnw N/A wC201100000 1/1/2011 1/1/2012 X T D R Y �� �- el... EACH ACCIDENT $'I,QQQ.0 0 �n� E.LDMEAN 0A0MPL0YEe 01000 EL, Oprcnag• POLICY LMf 01,000.000 'CE cair ou or OPEMTIONS+LOCAT!ONB 1 VEHICLES Math ACOAD 401. THIS CERTIFICATE REMAINS IN EFFECT PROVIDED FrankCium COVERAGE IS NOT PROVIDED FORANY TO FrankCrum EFFECTIVE 05 /13/2003, APPLIES LEASED TO FLORIDA ROOF TECH CORP. anKM01Ild RoRnhw Bahedo!e If men Pryer I• wgd,vtlt THE CLIENTS ACCOUNT IS IN GOOD STANDING WITH EMPLOYEE FOR WHICH THE CLIENT 15 NOT REPORTING HOURS TO 100% OF THE EMPLOYEES O= Franke= 305 - 558.4883 V • CERTIFICATE HOLDER CANOELLA1 ION • CITY OF MIAMI SHORES 10050 NE 2 AVE MIAMI FL 33130 SHOULD ANY OF THE ABOVE DESORIBE D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 131E DELNEREO IN ACCO ROAN 7E WITH THE POLICY PROVISIONS. _. AUTHORIM remesivaw lvE .---",„-_,__ ACORD 23 (2010/05) The ACORD name end logo aro resisters narks et ACORD 4h 1923 -2010 ACORD CORPORATION. All rights reserved NM '' LTR A 'V , INSRD GENERAL TYPE OF INSURANCE LIABILITY I COMMERCIAL GENERAL UA$ILTY POLICY NUMBER GL10 04 9 6 .. • I DATE (t.IMIDDIYYI 09/16/10 _ .. ., 1 BATE (MMIDDIYY 0 9 / 16 / 11 : UMI1 _ -- I EACH OCCURRENCE '61000000 X '*AMAcie. iv KIN 1 d PREMISES (E•! eewre_neel S 5 0 0 0 CLAIMS MADE OCCUR I MEO D(P (Any one person) S 5000 1 PERSONAL & ADV INJURY s 1000000 1 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEM_ AGGREGATE LIMIT APPLES PER PRODUCTS • COMP/OP AGO 52000000 X i POLICY ERC E y ! LOC B MOBILE LIABILITY I ANY AUTO I ALL OWNED AUTOS I SCHEDULED AUTOS HIRED AUTOS I NON -OWNED ALTOS I SA6211R170 08/26/10 08/26/3.3. COMBINED SINGLE LIMIT (E14eal0ent) 5 3 0 0, 0 00 X BODILY INJURY (Pat Pawn) MUMMY (Per BadOnnt) (Per ace GARAGE LM M TY ANY AUTO AUTO ONLY EA ACCIDENT $ OpTTI� FA ACC 5 AUTOONNLYY AGO S IOCCESSQIMSRELLA LIARIUTY EACH OCCURRENCE 5 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION 5 5 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIASIUIY ANY PROPRIETOR/PARTNERiCXECUTNE OFFICER/MEMBER EXCLUDED? K Ite9Crlbe Unaef SPECIAL PROVISIONS bNl w WCSIA IT$L ■ER LT- V+H• IVORY LIM EL. EACH ACCIDENT $ E.L. DISEASE • EA EMPLOYEE 5 E.L• DISEASE • POLICY LIMIT S - DESCRIPTION TNF.R OF OPERATIONS I LOCATIONS I VEHICLES i err_LU:;laNA AnnPn Pm FUnnceruFwrr . etber±tel bent.ternite ACO CERTIFICATE OF LIABILITY INSURANCE oo4 I e9 =0 .RoDUCeR J.W. Ede>a: & Company Commercial Ins of Erevard, Inc 325 Fifth Avenue, Suite 108 3ndialautic FL 32903 Phone:323.- 725 -'7000 Fax :321- 725 -7856 rNSUR5D COVERAGES CERTIFICATE HOLDER ACORD 25 (2001108) Florida Roof -Tech Corp. ATTN: Bob Acosta et Acosta 2730 7 ea.hFL 33016 VLllage of Miami Shores 10060 N. E. 2nd Avenue Miami Shores FL 33138 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 INSURER A: INSURER B: INSURER 0; INSURER D: INSURER E: Canal Indemnity Compazzy Phoenix: Insurance Company 25623 THE POLICIES OF INSURANCE LISTED SELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIDNS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CANCELLATION Philli • Lame. AUTHORIZED REPRESENTATIVE r � �?C Yn•••■ 1•••.4•10, 1 1 r i, • NAIC !I' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO o0 50 SHAT IMPOSE NO OBLIGATION OR LIABILITY OF ANY 1 UPONNSURER, ITS AGENTS OR REPRESENTATIVES... �' C7 ACORD CORPORATION 1I