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RF-12-1056t Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 174629 Permit Number: RF -6 -12 -1056 Scheduled Inspection Date: August 03, 2012 Inspector: Bruhn, Norman Owner: Job Address: 10650 NE 10 Court Miami Shores, FL 33138- Project: <NONE> Contractor: VISTA ROOF CORP Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1122320280930 Phone: (954)261 -4844 Building Department Comments RE ROOF FLAT ROOF (HOUSE HAS NOT SLOPE ROOFS) Passed j‘ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 02, 2012 For Inspections please call: (305)762 -4949 Page 9 of 18 RE: Permit # /Cc /2 — / CSC Miami Shores Viiiage Building Department INSPECTION AFFIDAVIT aq_/‘ rfEe.„ licensed as a Print name and circle License Type) FS 468 Building Inspector License #: Ceco S SS 7 5 On or about '7 /Z5 /a > -� (Date & tine) Secondary water barrier work at .1 n 6,o C 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 67/3/ / Engineer / Architect, ,1 did personally inspect the roof deck nailing and (Complete Job Site Address) Based upon that examination,khave determined the installation was done according to the Hurricane Mitigation Retrofit Manual •sed on 553.84 F.S) gnatu 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 property mentioned. Swom to and subscribed before me this `' day „gf Notary Public, Sate of Florida at Large CLAUDIA V. CUBILLOS • Notary Public - State of Florida • My Comm. Expires Sep 23, 2015 4.4 Commission # EE 128810 '4,8 ; ; ;` :os Bonded Through National Notary Assn. 4w 41w 111 `General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit it and address # dearly shown matted on the deck for each Inspection Revised on 5/21/2009 t'4 2012 — BUIL ING PERMIT APPLICATION 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 JOB ADDRESS: /0(5o ifU 10 0 Ecc.--,ar,771.- JUN 0 „. I2 1 BY: ppeme___________9 FBC 20 Permit No. I1 I0(..{7 Master Permit No. ROOFING City: Miami Shores County: Miami Dade Folio/Parcel #: /I ®c:(c�3� ° 6 Z,' p4 0 9.3 O Is the Building Historically Designated: Yes NO Flood Zone: Zip: 3-3 %c PT-- OWNER: Name (Fee Simple Titleholder): ills 41/4e Phone #: Address: /Q / a it 2 P n,, a S 4 City: .S aA l Cr,S C'-c) State: CN. Zip: -! ! ti Tenant/Lessee Name: Phone #: 4(4S - 6 t 7• Z800 Email: CONTRACTOR: Company Name: V d g- QLJ ea? Address: "4/0 s &AY' Phone #: 9sy e eq7 City: e Qualifier Name: r� State: P4)r vc ,� pp State Certification or Registration #: C''Ct o ASS 1 9 Certificate of Competency #: Contact Phone #:9 / '2 l tiryti Email Address: sitto►- an; Phone #: Zip: 3332 Phone #:95Y ea— O DESIGNER: Architect/Engineer: .c Value of Work for this Permit: $ o� a 00 0 Square/Linear Footage of Work: 3 2, LI) 0 Type of Work: ❑Additi i Description of Work: l7� lter�tion ^ /� New i c epair/Replace UDemolition Color thru tile: ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fees ** ********** ****** ** ** ** **** *** * ** **** ** * ** Submittal Fee $ Permit Fee $ yl �J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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, BOIT FRS, 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. the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Contractor ,, LL The foregoing instrument was acknowledged before me this 6 The fore oing instrument was acknowledged before me this l0"'-- day of �,� 20 LL, by day of , 20 io1,.by to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY ' ,dl IC: who is NOTARY PUBLIC: APPROVED BY ef"FV.L. Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07110 /07)(Revised 06 /10 /2009)(Revised 3/15/09) rw . bk c1 ►stjs Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO 6 - / 2- /DS4AX FOLIO NO/ `2 Z32- 0.28"-Q93 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. 111111111111111111111111111111111111111111111 CFht 21C) :a' .t350750di- OR Ek 28193 Ps 2225; (fps) RECORDED 177/19/2012 11:25031 HARVEY RUVINv CLERK. OF COURT MIAMI -DADE COUNTY y FLORIDA LAST F'AGE Space above reserved for use of recording office 1. Legal descri tion of prope and street/address: /O6 SO A E /0 or. 67140rn .r S , F!m, •., 33 i3IP rca,�..� �§° ' r ea 017 - 6 2. Description of irrrovement: 3. Owner(s) name and address: - - 1.-- `'r AA. Interest in property: nut ws LA A 1- /v/ T4 Name and address of fee simple titleholder: 4. Contractor's name, address and phone number. VA L Rowe s 6, .oz, �°etm `� A.rr� F 4„-• cL 5. Surety: (Payment bond required by owner from contractor, if any)S' TE OF FLORI R. C Name, address and phone number: 1 HEREBY CERTIFY that this is a true copy o, the Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon wTBatt►MAt Section 713.13(1)(a)7., Florida Statutes, HARVEY Name, address and phone number: original feted in this office on aay of AO 20 i.sAI 8. In addition to himself, Owners designates the following person(s) to reo he tenors otice 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.vear from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION QF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU OTCE OF O - N MENT. Signature(s) of ,Y gr(s) Prepared By of h� Print Name Title /Office a,� STATE OF FLORIDA 7 COUNTY OF MIAMI -DADE ed Officer /Director/Partner /Manager e. r. • Prepared By Print Name Title /Office Be foregoing instrument was acknowledged before me this / day of Li Individually, or LJ asp for Personally known, or U produced the following type of identific ati Signature of Notary Public: Print Name: Ail EA (SEAL) VERIFICATION PURSUANT TO SECTION 82.525, FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of 0 ner(s or Ow; n r(s)'s. utho 'zed Officer /Director/Partner /Mans r By f...± . 1.. 123.01 -52 PAQE 3 3/10 By ice.. _t Parcel Owner Report Parcel Number: 1122320280930 10650 NE 10 Court Miami Shores FL 33138- Tax ID: 1122320280930 Owner Information Phone: Current Owner: Yes Company: DUETSCHE BANK NATL TRUST Related Permits Fence/Wall Imported Permit Imported Permit Imported Permit Imported Permit Imported Permit Re- Occupancy Residential Construction Residential Construction Roof Permit Number FW -11 -06 -2724 BP2003 -11 BP2004 -225 EL2002 -218 BP2002 -533 BP2004 -461 REOC -3- 10-444 RC -11 -06 -2725 RC -10 -06 -2589 RF -6 -12 -1056 Application Date 11/03/2006 01/06/2003 02/18/2004 07/10/2002 03/13/2002 04/06/2004 03/18/2010 11/03/2006 10/17/2006 06/08/2012 Expiration Date 01/01/2999 01/01/2999 01/01/2999 01/01 /2999 01/01/2999 01/01/2999 01/01/2999 01/01/2999 01/01/2999 01/01/2999 Status CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED Related Code Cases IMPORT IMPORT Lot Clearing Lot Clearing Lot Clearing Lot Clearing Lot Clearing Lot Clearing Lot Clearing Lot Clearing Lot Clearing Ordinance Violation Ordinance Violation Case Number Case CASE- 12- 11- 9301Case CASE- 12- 11- 9300Case CASE -8 -08 -4671 Case CASE -3 -08 -3792 Case CASE -4 -10 -7069 Case CASE- 12- 07- 3326Case Status Closed - Lien Filed Closed - Lien Filed Case Date 01/13/2006 10/11/2005 Closed - Completed By Village(PV\ 08/20/2008 Closed - Completed By Village(PV\ 03 /03/2008 Closed 04/29/2009 Closed 12/14/2007 CASE- 11- 10- 7979Notice of Violation - Lot Clearing 11/18/2010 CASE- 10- 07- 2846Case Closed - Completed By Village(PV110 /04/2007 CASE -6 -08 -4324 Case Closed - Completed By Village(PV\ 06 /09/2008 CASE- 10- 08- 5017Case Closed - Completed By Village(PV110 /21/2008 CASE -7 -07 -2432 Case Closed - Completed By Village(PV\ 07/13/2007 CASE -1 -07 -1504 Case Closed - Lien Filed 01/10/2007 CASE -1 -07 -1503 Case Closed 01/10/2007 Compliance Date 2/13/2007 2/8/2007 9/2/2008 4/2/2008 3/7/2012 12/26/2007 Not Compliant 10/24/2007 6/27/2008 11/5/2008 8/24/2007 8/3/2012 1/22/2007 Wednesday, August 8, 2012 Page 1 of 1 6Ic4 Perms No: 12 -1056 Job Name: June 12, 2012 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Provide a completed high velocity hurricane zone uniform permit application form. 2) RAS 150 has not been adopted by Miami Dade. Provide a completed section C with product approvals for all components. STOPPED REVIEW Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTORS TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Rot5 e BUSINESS ADDRESS: Lt_ /■ CITY Ac r STATE F L ZIP CODE 3 3 3 Z g BUSINESS PHONE: (IS 4 ) 241- 4-1 FAX NUMBER ( ) CELL PHONE (51 ) Z6 - 2'-oi QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: C—C Q S S S `Z E -MAIL ADDRESS (IF APPLICABLE): w� � Ri0.4) eargik Q Created on 3119109 BY MLDV 1 RV 3126109 MLDV ,...,_:.._.,.:. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YrrY) 06/06/2012 10:06 AM IN R TYPE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certicate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. a statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Highpoint Risk Services LLC 5510 LBJ Freeway, Suite 1200 Dallas, TX 75240 CONTACTMWE FHONF (Ac,NO.E9: (800) 728 -0623 IFAXIAV N°I° (872) 404 -0380 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICS INSURER A: Companion Property and casualty Insurance Company 12157 INSURED: Aspen Staff Leasing, Inc. 1 /c /f: VISTA ROOF CORP 4061 S.W. 82ND TER. DAVIE, FL 33328 Phone: (954) 261 -4844 Fax: () - INSURER B: INSURER C: INSURER D: $ INSURER E: $ INSURER F: CLAIMS MADE COVERAGES CERTIFICATE NUMBER: AC12- 7900146- 1117668 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF NOTWITHSTANDING ANY REQUIREMENT, TERM PERTAIN, THE INSURANCE AFFORDED BY THE MAY}IAVE BEEN REDUCFD BY PAID CLAIMS, INSURANCE OR POLICIES AOD LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN IN R TYPE OF INSURANCE SU UR POLICY NUMBER POLICY EFF DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ OCCUR ❑ ❑ EACH OCCURRENCE $ DAMAGE PREMISES occurrence) $ CLAIMS MADE MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I-1 PRO ( T I I LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE — — — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAB I 'I (CLAIMS -MADE OCCUR ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ — DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPERIETOR/EXECUTIVE OFFICER.MEMBEREXCLUDED? (Mandatory In NH) It yes, describe under SPECIAL PROVISION below AND N/A DPE26272740260 04/01/2012 04/01/2013 X I TORY LIMIUTS I I CR E.L. EACH ACCIDENT $ 1000000 © E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attached ACORD101, Additional Remarks Schedule, it more space Is required 1. This certificate remains in effect, roy'd d the client's acc unt $ in good standing with Aspen wStgaff Leasin�gg, Inc.. t�yy LGovera e is not ppApprpov4.'deesdtfor any emAll1o8yee orz wnnnicc� tree client is not reporting leased to As gUOFfCORP, e festive 047u1�LU12o 14. Insurredd ispafforded WoersSCoompensatn' &Inc. Employers liability as a co-employer under the policy for employees leased from Aspeh Staff Leasing, CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 N.E. 2nd AVE. MIAMI SHORES , FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE ,{,- -- "'—° ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All right reserved CERTIFICATE OF LIABILITY INSURANCE EMPLOYEE ROSTER Certificate Number: AC12- 7900146- 1117668 Attached roster includes employees paid through 05/27/2012. To verify employee's who may have been added since 05/27/2012, please call 1- 800 -728 -0623. * Please note employee roster for this client is updated on a WEEKLY basis. Employee List: HENRIQUEZ, ODIR C. NEWBERG, CHARLENE NEWBERG, CRAIG R, NEWBERG, DANIEL 6/6/2012 Page 1 of 1 Policy Number: Date Entered: AC•Rt® CERTIFICATE OF LIABILITY INSURANCE `►---- DATE(MM/DD/YYYY) 6/6/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SALMEN INSURANCE 730 SW 4TH ST. #3 CAPE CORAL, FL 33991 CONTACT CT ALLISON (A/CC No Ext): (866) 587 -7147 FAX No): (888) 542 -3507 E-MAIL ALLISON@ RAT MG'•TTTNSURE . COM ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : PREFERRED CONTRACTORS INS . CO. (RRG) INSURED VISTA ROOF CORP. 4061 SW 82ND TERR. DAVIE, FL 33328 INSURERB: 9/17/2012 INSURER C : $ 1, 000, 000 INSURER D : BIL COMMERCIAL GENERAL LIABILITY INSURERE: $50,000 $ 5 , 000 INSURER F : CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE �gR s POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMfDD/) LIMITS A GENERAL LIABILITY PC76693 -02 9/17/2011 9/17/2012 EACH OCCURRENCE $ 1, 000, 000 X_ BIL COMMERCIAL GENERAL LIABILITY SO RENTED PREMISES (Ea occurrence) $50,000 $ 5 , 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) PERSONAL &ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $ 2000 ,000 $ 1, OOOJ 000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER ¥ / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) N / A E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Producedusing Forms Boss Pius software. www. FormsBoss .com(mpressivePublishing 800-208-1977 Policy Number: Date Entered: AW R®® CERTIFICATE OF LIABILITY INSURANCE ka..../- DATE(MM/DD/YYYY) 6/6/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SALMEN INSURANCE 730 SW 4TH ST. #3 CAPE CORAL, FL 33991 CONTACT NAME: ALLISON (ac ONE (866) 587 -7147 FAX ,No); (888) 542 -3507 E -MAIL ALLISON@SALMIENINSURE.COM ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: PREFERRED CONTRACTORS INS. CO. (RRG) INSURED VISTA ROOF CORP. 4061 SW 82ND TERR. DAVIE, FL 33328 INSURERB: 9/17/2011 INSURER C: EACH OCCURRENCE INSURER D: -- INSURER E: DAMAGE TO RENTED PREMISES LEaoccurrencel INSURER F : $ 5,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POUCY EFF (MM/DDIYYYY) POUCY EXP (MM/DDIYYYY) LIMITS A GENERAL LIABILITY PC76693 -02 9/17/2011 9/17/2012 EACH OCCURRENCE $ 1,000,000 $5Ol000 -- COMMERCIAL GENERAL LIABILITY - -- CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES LEaoccurrencel MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2,000,000 $ 11000,000 $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG X POLICY I PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ - ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 RETENT1ON $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y IN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POUCY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 Northeast 2nd Avenue Miami Shores , Florida 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Producedusing Forms Boss Plus software. wwa. FormsBoss .comImpressivePublishing 800-208-1977 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.-Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: VISTA ROOF CORP Owner Name: CRAIG R NEWBERG Business Location: 4061 SW 82 TERRACE DAVIE Business Phone: 954-261-4844 Rooms Seats Employees 4 Receipt #:185-236740 Business Type :ROOFING /SHEET METAL Business Opened:10 /19/2010 State /County /Cert/Reg: cc c o 5 5 5 7 9 Exemption Cod @:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vending Type: CONT • •r'' TOR Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00 0.00 29.70 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: VISTA ROOF CORP 4061 SW 82 TERRACE DAVIE, FL 33328 7n1 1 _ 7n1 "1 Receipt #04A -11- 00000768 Paid 10/27/2011 29.70 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 NEWBERG CRAIG ROBERT VISTA ROOF CORP 4061 S W 82 TER DAVIE FL 33328 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 BATCH NUMBER ROOF ASSEM3ES AND ROOF—OVASLFED JUN 1 Z01Z Boo F3LDG DEPT Florida Building Code Editi 200.7. _ High - Velocity Hurricane Zone Uniform Permit ° p�pIicatlon Form LSTATE ANJD St ctinn /i, (Gpnpral Information Master Permit No. Process No. Contractor's Name \) t 5 0. p CO r Job Address t 0 SQ N V.6".".1 SGTl�-QJ' •Low Slope ❑ Mechanically Fastened Tile ■ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles s pp c Shakes Shingles ' rescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof 'ReroofIng ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF)3 ZOO Steep Sloped Roof Area (SF) enance Total (SF) , 2o J SeCt n R (Rppf PI n) 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. 1 A I FLORIDA BUILDING CODE -- BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Surfacing: q, .,w 1 e Fill in specific roof assembly components �1 and identify manufacturer Fastener Spacing for Anchor/Base Sheet Attachment: (If a component is not used, identify as "NA ") Field: q " oc a@D Lap, # Rows z @ ( " oc System Manufacturer jacrt C Perimeter: 1> " oc @ Lap, # Rows y@ 6 "oc Product Approval No.: 1 Z-- Oa 2 7 Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Y9 Z, Pmax2: d Z• g Pmax3: 4/ 3 Max. Design Pressure, from the sp cific Product Approval system: se .) Deck: Type: ,/)65-) 7.. (' 4 Comer: l " oc @ Lap, # Rows @ "oc Number of Fasteners Per Insulation Board: Field 4a Perimeter Comer'UM Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. Gauge/Thickness: Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Slope: Type, Fastener Spacing or Submit Anchor/Base Sheet & No. of Ply(s): aL.S3 AnchorBa a Sheet Fastener/Bonding Material: / 4 -- c' . insulation Base Layer: AJ /4 Base Insulation Size and Thickness: /I/ A 4" cQ `. Base Insulation Fas nerBonding Material: N /i Top insulation Layer: AJ fi"' Top Insulation Size and Thickness: r-'/A Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding Material: Pty Sheet(s) & No. of Ply(s): C ?) /u r. %� /7 e/ "7,0e, PIy Sheet Fas ener /B � d)ng� erial: Top Ply: Ewa �� l� zJ U Top PIy Faer /Bonding Mriai: FLORIDA BUILDING CODE — BUILDING / FT, Parapet Height__ Mean Roof Height Ne, 91 6,4 114 44/ 4-6 P aerie /sti Lf"'"". Ice.tiktm j8= — C6" 7 57X eVf' Z., ....--z---_- - --• .2C id-- 7 ,_..S ,f 3 TAMKO GLASS-BASE® Fiberglass Base Sheet PRODUCT DATA DESCRIPTION TAMKO GLASS -BASE° is a fiberglass base sheet constructed with a heavyweight TAMKO® fiberglass mat coated with weathering -grade asphalt. USES Base sheet in select TAMKO SBS modified asphalt and fiberglass built -up roofing systems, installed with mechanical fasteners or applied by mopping in hot asphalt. ADVANTAGES • Manufactured with ply lines for easy installation • Minimizes aphait migration • Good interply adhesion between base ply and the membrane • Inorganic glass fiber resists rotting • Excellent strength for nail- holding ability • 5 year limited material warranty* * See complete limited warranty at tamko.com for details CERTIFICATIONS U.L. Classified Type G/2 Coated Cap or Base / Ply Sheet for Roofing Systems FM Approved ** ASTM D 4601, Type 11 Miami Dade County Approved "Refer to FMRC Approval Guide. TYPICAL PHYSICAL PROPERTIES Tensile Strength MD = 61 LBF /IN (@77 deg F & 2 in /min) CD = 55 LBF /IN Pliability (1/2 in. radius) Pass PRODUCT DATA' Reinforcement 1.73 Ibs /100 sq if - Fiberglass Roll Weight 70 lbs. (31.8kg) Roll Size 97'6" x 39 -3/8 "" (29.7m x 1 rn) Coverage 3 squares) 'All values stated as nominal CAUTION: This product contains crystalline silica and formaldehyde.. Crystalline silica and formaldehyde have been classified as 'known' human carcinogens by the International Agency for Research on Cancer (IARC) and the National Toxicology Program. This product also contains oxidized asphalt. Occupational exposures to oxidized asphalt and its emissions during roofing have been classified by IARC as a 'probable human carcinogen ". Oxidized asphalt also contains Polycyclic Aromatic Hydrocarbons some of which have been classified by IARC as known or probable human carcinogens. The physical nature of this product may help limit any inhalation or dermal hazard during application and /or removal. However, physical forces such as sawing, grinding or drilling during demolition work and heating or burning may increase the inhalation or dermal exposure hazard of this product. Take precautions to prevent breathing and contact with skin. Use of this product in tot mopped° applications may expose workers and others in the work area to oxidized asphalt and its emissions. The International Agency for Research on Cancer has classified occupational exposures to oxidized asphalt and its emissions during roofing as a °probable human carcinogen.° During installation and removal of this product, including "hot mopped" application, workers must take precautions to assure adequate ventilation and use effective personal protective equipment to prevent exposures to dusts, fumes, vapors and mists. It is the responsibility of the contractor and workers to pro- tect themselves and others in the work area from exposure to oxidized asphalt and its emissions when applying this product tamko.com TAMKO`' and TAMKO Glass -Base are registered trademarks of TAMKO Budding Products, Inc. BUILDING PRODUCTS JP25491 01/03/12 DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Tamko Building Products, Inc. P.O. Box 1404 Joplin, MO 64802 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.gov /pera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami —Dade County PERA — Product Control Section to be used in Miami —Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami —Dade County Product Control Section (In Miami —Dade County) and/or the AHJ (in areas other than Miami —Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami—Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: TAMKO Modified Bitumen Roof System Over 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. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 09- 0820.11 and consists of pages 1 through 15. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 12- 0227.18 Expiration Date: 05/23/13 Approval Date: 05/10/12 Page 1 of 15 ROOFING SYSTEM APPROVAL Category: Sub - Category: Material: Deck Type: Roofing Modified Bitumen SBS Wood Maximum Design Pressure -60 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Awaplan 170 FR Dimensions Roll weight: 98 lbs 33'11 "x393/8" Awaplan 170TM Roll weight: 98 lbs 33' 11 "x393/8" Awaplan Premium Roll weight: 101 lbs FRTM 33' 11 "x393/8" Awaplan PremiumTM Roll weight: 101 lbs 33' 11 "x393/8" Awaplan Versa - Smooth Roll weight: 100 lbs 33' 11" x 393/8" Awaplan Versa -Flex Roll weight: 76 lbs 33' 11" x 39 -3/8" Test Specification ASTM D 5147 ASTM D 6164 Type I, Grade G ASTM D 5147 ASTM D 6164 Type I Grade G ASTM D 5147 ASTM D 6164 Type II Grade G ASTM D 5147 ASTM D 6164 Type II Grade G ASTM D 5147 ASTM D 6164 Type I Grade S ASTM D 5147 ASTM D 6164 Type I Grade S Product Description A 180 g/m2 polyester reinforced SBS modified bitumen membrane surfaced with granules and treated for additional fire resistance. Applied in hot asphalt or cold adhesive. A 180 g /m2 polyester reinforced SBS modified bitumen membrane surfaced with granules. Applied in hot asphalt or cold adhesive. A 250 g /m2 polyester reinforced modified bitumen membrane surfaced with granules. Applied by hot asphalt and also used as a walkway material. A 250 g /m2 polyester reinforced SBS modified bitumen membrane surfaced with granules. Applied in hot asphalt or cold adhesive, and also used as a walkway material. A 180 g /m2 polyester reinforced SBS modified bitumen membrane. Applied in hot asphalt, by torch, or mechanically fastened, as a base ply in 2 ply modified systems. A 170 g/m2 nonwoven polyester reinforced SBS modified bitumen membrane. Applied in hot asphalt, as a base ply in 2 ply modified systems. NOA No.: 12- 0227.18 Expiration Date: 05/23/13 Approval Date: 05/10/12 Page 2 of 15 Product Dimensions Base -N -Ply® Roll weight: 72 lbs 97' -6" x 393/8" Glass- BaseTM Tam -CapTM Tam -Glass Premium TM Roll weight: 72 lbs 97' 6" x 393/8" Roll weight: 83 lbs 32' 11" x 393/8" Roll weight: 53 lbs 161' 9" x 393/8" Tam -Ply IVTM Roll weight: 44 lbs 161' 9" x 393/8" Type 43 Base Sheet Roll weight: 85 lbs 72'x36" Vapor - ChanTM Roll weight: 86 lbs 32' 11" x 393/8" Versa- BaseTM Tam -Pro Fibered Emulsion Coating Tam -Pro Quick -Dry Primer Tam -Pro FR Fibered Aluminum Roof Coating Roll weight: 94 lbs 48' 2" x 393/8" 5 gallon 5 gallon 5 gallons Test Specification ASTM D 4601 Type II ASTM D 4601 Type II ASTM D 3909 ASTM D 2178 Type VI ASTM D 2178 Type IV ASTM D 2626 ASTM D 4897 ASTM D 5147 ASTM D 6163 Type I, Grade G ASTM D 1227, type II ASTM D 41 ASTM D2824, type III Product Description Asphalt impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built -up roofing. Asphalt impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built -up roofmg. Asphalt impregnated and coated felt surfaced with mineral granules used as the top ply in conventional built - up roof membranes. Asphalt impregnated glass felt for use in conventional and modified bitumen built -up roofing. Asphalt impregnated glass felt for use in conventional and modified bitumen built -up roofmg. An organic felt reinforced asphalt base sheet. Applied in hot asphalt or mechanically fastened. Heavy duty fiber glass base sheet impregnated and coated on both sides with asphalt with or without a fine mineral stabilizer. Surfaced on the bottom side with coarse mineral granules embedded in hot asphaltic coating. Asphalt impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built -up roofmg. Protective coating. Asphalt based primer Flame retardant protective coating NOA No.: 12 Expiration Date: Approval Date: Pag 0227.18 5/23/13 5/10/12 3 of 15 APPROVED INSULATIONS: Product Name ACFoam Composite ACFoam II EnergyGuard Perlite EnergyGuard Fiberboard High Density Wood Fiberboard ENERGY 3, PSI -25 Retro -Fit Board Fesco Board Structodeck H- Shield H- Shield WF APPROVED FASTENERS: Fastener Product Number Name 1. Dekfast Fasteners #12, #14 & #15 2. Dekfast Hex Plate 3. #12 Roofgrip Fasteners 4. Metal Plate 5. Olympic Fastener #12 & #14 6. Olympic G -2 7. Olympic Standard 8. lnsul -Fixx Fastener 9. Insul -Fixx S Plate 10. Tru -Fast 11. Tru -Fast Plates TABLE 2 Product Description Isocyanurate Insulation with perlite facer. Isocyanurate Insulation. Expanded mineral fiber Insulation. Wood fiber board Insulation. High Density Wood Fiber insulation board. Isocyanurate Insulation. A high - density perlite roof insulation. Rigid perlite roof insulation board. High Density Wood Fiber insulation board. Isocyanurate Insulation. Wood fiber/ Isocyanurate Composite Insulation. TABLE 3 Product Description Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Insulation fastener for wood and steel. Galvalume stress plate. Insulation fastener Galvalume AZ55 steel plate Galvalume AZ50 steel plate Insulation fastener for steel and wood decks Galvalume AZ50 steel plate Insulation fastener for steel and wood decks Galvalume AZ55 steel plate Manufacturer (With Current NOA) Atlas Roofing Corp. Atlas Roofing Corp. GAF Materials Corp. GAF Materials Corp. Generic Johns Manville Johns Manville Johns Manville Blue Ridge Fiberboard Hunter Panels, LLC Hunter Panels, LLC Manufacturer Dimensions (With Current NOA) SFS Intec, Inc. 27/8 "x 3 1/4" 3" round 3" square 3.5" round 3" round SFS Intec, Inc. ITW Buildex Corp. ITW Buildex Corp. OMG, Inc. OMG, Inc. OMG, Inc. SFS Intec, Inc. 3" round SFS Intec, Inc. The Tru -Fast Corp. 3" round The Tru -Fast Corp. NOA No.: 12- 0227.18 Expiration Date: 05/23/13 Approval Date: 05 /10/12 Page 4 of 15 EVIDENCE SUBMITTED: Test Agencv/Identifier Underwriters Laboratories, Inc. Factory Mutual Research Corp. Exterior Research & Design, LLC Trinty I ERD MIAMI•DADE COUNTY APPROVED Name UL 790 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 TAS 114 TAS 114 Report Date R3225 Published Annually J.I.4D0A7.AM 10/21/98 J.I.0Z4A3.AM 08/27/97 J.I. 1D4A7.AM 10/20/97 J.1.3B5A9.AM 08/27/98 3027787 08/14/06 3027789 08/14/06 3027790 08/14/06 3010612 04/16/01 3027791 08/14/06 4444.06.98 -1 06/15/98 4449.08.99 -1 08/03/99 TAS 117(B)/ ASTM D6862 C8500SC.11.07 11/30/07 TAS 117 & TAS 114 C12410.08.09 08/14/09 NOA No.: 12- 0227.18 Expiration Date: 05/23/13 Approval Date: 05/10/12 Page 5 of 15 Deck Type 1: Wood, Non - insulated Deck Description: Minimum IS/32" or greater plywood or wood plank. Plywood shall be attached to 2" x 4" wood supports spaced 24" o.c. using wood screws spaced 6" o.c. at perimeters and intermediate supports. System Type E(1): Base sheet mechanically fastened. All General and System Limitations apply. Anchor Sheet: One ply of Tamko Glass -Base, Vapor -Chan, Versa -Flex, Versa -Base, Versa - Smooth or Base -N -Ply fastened to the deck as described below: Fastening: (Option #1) Attach anchor sheet using 11 ga. annular ring shank nails and 1 -5/8" diameter tin caps spaced 9" o.c. in a 4" lap and 9" o.c. in two staggered rows in the center of the sheet. Maximum Design Pressure: —52.5 psf, (See General Limitation #7) Ply Sheet: Membrane: Surfacing: (Option #2) Attach anchor sheet using #12 or #14 Dekfast Fasteners with Hex Plates, SFS #12 or HD Insulfixx S, or Buildex Accutrac Fasteners and 3" Square Plates spaced 12" o.c. in a 4" lap and 12" o.c. in two staggered rows in the center of the sheet. Maximum Design Pressure: —60 psf, (See General Limitation #7) (Optional) One or more plies of Tam -Glass Premium, Tam -Ply IV, Glass Base, Base -N -Ply, Awaplan Versa - Smooth, Awaplan VersaFlex, or Versa -Base adhered with a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bs. /sq. Awaplan Premium, Awaplan Premium FR, Awaplan 170, Awaplan 170 FR, Awaplan Versa - Smooth or Awaplan VersaFlex adhered with a full mopping of approved asphalt applied at 400° F at the point of contact and at a rate of 20-40 lbs. /sq.; Versa- Smooth adhered by torch. Optional for mineral surfaced Membranes. Required for smooth surfaced membranes. Any coating, listed below, used as a surfacing, must be listed within a current NOA. 1. 400lb. /sq. gravel or 300 lb./sq. slag in a flood coat of approved mopping asphalt at an application rate of 60 lb. /sq.. 2. Tam -Pro FR Fibered Aluminum Coating, Henry 520, or Karnak 97AF applied at 1' /2 gal. /sq., or Grundy Fibered Asphalt Emulsion, or Tam -Pro Fibered Emulsion at 3 gal. /sq. Maximum Design Pressure: See Anchor Sheet Fastening Options above NOA No.: 12- 0227.18 Expiration Date: 05/23/13 Approval Date: 05/10/12 Page 13 of 15 WOOD DECK SYSTEM LIMITATIONS: 1. A slip -sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. 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- 401bs. /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 12 lbs. /sq: Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 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. (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 enhanced pressure zones (i.e. perimeters, extended corners and corners). (When 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 9N -3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 12- 0227.18 Expiration Date: 05/23/13 Approval Date: 05/10/12 Page 15 of 15 TGFU.R3225 - Roofmg Systems ONLINE CERTIFICATIONS DIRECTORY TGFU.R3225 Roofing Systems Page Bottom Page 1 of 15 Roofing Systems See General Information for Roofing Systems TAMKO BUILDING PRODUCTS INC 601 N HIGH ST JOPLIN, MO 64801 USA R3225 For Uplift Resistance Classifications, See T6IK Found in this Directory. Pittsburg- Coming foam glass insulation is a suitable alternative for use in any of the following roofing systems. "Awapian 170 1s a suitable alternate for "Awaplan Premium" in any of the following roofing systems using "Awapian Premium ". 1 in. min tongue and groove board is a suitable alternate for 1/2 in. plywood decks with all joints blocked. "Versa -Base" or "Versa -Base FR" are suitable alternates for the first base sheet in any of the following roofing systems. "Awaplan Premium "is a suitable alternate for "Awapian Versa- Smooth" in any of the "Awapian" systems listed below. Awaflex FR is a suitable alternate for Awapian 170 in any of the following roofing systems. Polyisocyanurate and Polystyrene insulation can be used in any of the following insulated noncombustible systems when covered with a min thickness of 1/2 in. perlite or wood fiber board. " AwaFex" is a suitable alternate for "Awapian 170" in any of the following systems. "Awapian Heat Weld is a suitable alternate for "Awapian Premium' and "Awapian Versa Flex" is a suitable alternate to "Awapian Versa Smooth ". "Awaflex FR" is a suitable alternate to "Awapian 170 FR" in any applicable noncombustible Classification. "Tam Pro Fibered Emulsion" is acceptable for use In any of the following systems which utilize an emulsion roof coating. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT "Tam -Ply IV "ply sheet can replace "Tam -Glass Premium" in the following Class A, B or C roofing systems. "Vapor Chan "venting base sheet can replace "Glass -Base" base sheet in the following Class A, B or C roofing systems when limited to noncombustible decks. "Base -N- Ply "is a suitable alternate to "Glass -Base" in any of the following systems. "MasterSmooth "is a suitable alternate to "43 #Base Sheet" in any of the following systems. The following noncombustible systems may be installed over a min 1/2 Type X gypsum board mechanically fastened to a combustible deck for the rating to be maintained. Unless otherwise indicated, these constructions may utilize any thickness of periite, glass fiber, polyurethane, isocyanurate, combination isocyanurate /perlite or polyurethane /periite insulation hot mopped or nailed. Wood fiber insulation is a suitable substitute on noncombustible decks only. "TAM -PRO M3 Adhesive" may be utilized in any of the following noncombustible roof deck systems at a rate of 1 -1/2 to 2 -1/2 gal /sq. Class A http: // database. ul. com /cgi- bin /XYV/ template /LISEXT /1 FRAME /showpage.html ?name =T... 6/15/2012 TGFU.R3225 - Roofing Systems Page 9 of 15 1. Deck: NC Incline: 1/2 Insulation (Optional): — Polyisocyanurate, urethane, glass fiber, perlite or wood fiber, any thickness, hot mopped or mechanically fastened. Base Sheet: — "AWABASE SA ", self adhered. Membrane: — "AWAPLAN SA FR ", self adher 1. Deck: NC Class A - Fully Adhered Base Sheet: — One or more layers of the following Ty. - . "Tam -Ply IV"; Type G2 "Glass- Base ", "Vent -Ply" or Type Gi 'Tam -Glass Premium ", hot mopped, or Type G2 "Vapor -Chan" venting base sheet, spot attached. Base Sheet (Optional): — Type 15 asphalt organic felt or "43# Base Sheet ", hot mopped. Membrane: — "Awaplan Premium" (modified bitumen), hot mopped or "Awaplan Heat Weld ", heat welded (modified bitumen). Surfacing: — Monsey "Asbestos Fibered Asphalt Emulsion" at 3 gal /sq. Optionally, No. 11 roofing granules at 25 Ib /sq may be embedded in wet coating, "Tamko Fibered Aluminum Roof Coating" at 1 -1/2 gal /sq, Karnak Chemical "No. 97AF" at 1 -1/2 gal /sq, "Tam-Pro FR Aluminum Roof Coating- Asbestos Free ", 1 -2 gal /sq or gravel. 2. Deck: C -15/32 (with joints blocked) Incline: 1/4 Base Sheet: — Type 15 asphalt organic felt "43# Base Sheet ", nailed. Insulation: — 1 -1/2 to 2 -1/2 in. perlite, wood fiber, fiberglass or Apache /Celotex Isocyanurate. Base Sheet: — Type G2 "Glass- Base ", "Vent -Ply" or "Vapor- Chan" venting base sheet, spot attached. Membrane: — "Awaplan Premium ", "Awaplan 170 ", "Awaplan Versa - Smooth ", hot mopped or "Awaplan Heat Weld ". Surfacing: — Type G3 cap sheet "Tam-Cap", hot mopped or Grundy's "Fibered Asphalt Emulsion" at 3 gal /sq or Karnak Chemical Corp. "No. 97AF" at 1 -1/2 gal /sq. 3. Deck: NC Incline: 3/4 Insulation (Optional): — Perlite, glass fiber, wood fiber, phenolic, isocyanurate, urethane, polystyrene, any combination, any thickness mopped in place. Base Sheet: — One or more layers of the following base sheets: 'Tam -Glass Premium ", "Tam -Ply IV ", "Vapor - Chan ", "Glass- Base ", "43# Base Sheet ", "Vent -Ply ", "Awaplan Premium Smooth FR" or "Versa Base" mechanically fastened or hot mopped in place. Membrane: — "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR" or "Versa -Cap FR ", hot mopped in place. 4. Deck: NC Incline: 1 Insulation (Optional): — Perlite, glass fiber, wood fiber, isocyanurate, urethane, polystyrene, any combination, any thickness, mopped in place. Base Sheet: — Two or more layers of the following base sheets: "Vent -Ply ", "Tam -Glass Premium ", "Tam -ply IV ", "Vapor- Chan ", "Glass - Base", "43# Base Sheet ", "Versa - Base ", hot mopped in place. Cap Sheet: — "Versa -Cap FR ", hot mopped in place. 5. Deck: NC Incline: 2 Insulation (Optional): — Perlite, glass fiber, wood fiber, phenolic, isocyanurate, urethane, polystyrene, any combination, any thickness, mopped in place. Base Sheet: — One or more layers "Versa- Base ", hot mopped in place. Cap Sheet: — "Versa -Cap FR ", hot mopped In place. 6. Deck: NC Incline: 1 Insulation: — Perlite, glass fiber, wood fiber, phenolic, isocyanurate, urethane, polystyrene, any combination, any thickness, mopped in place. Base Sheet: — One or more layers "Versa -Base" or "Versa - Flex ", hot mopped In place. Ply Sheet (Optional): — One or more layers "Tam-Glass Premium" or "Tam-Ply IV ", hot mopped in place. Membrane: — "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR" . "Versa -Cap FR ", hot mopped in place. 7. Deck: NC Incline: 1/4 Insulation: — Perlite, wood fiber, glass fiber, polyurethane, isocyanurate combination isocyanurate /perlite or polyurethane/ perlite any thickness, hot mopped in place. Base Sheet: — One or more of the following: 'Tam -Glass Premium" or "Tam -Ply IV ", hot mopped in place. Membrane: — "Awaplan Premium ", "Awaplan 170 ", "Awaflex" or "Versa-Flex ", hot mopped in place or "Awaplan -Heat Welding" heat fused or "Awaplan Versa - Smooth ", hot mopped or heat fused. Surfacing: — Grundy "Fibered Aluminum Roof Coating" applied at 1 -1/2 gal /sq, Pure Asphalt " Fibered Asphalt Emulsion Roof Coating" applied at 3 gal /sq, "Tam-Pro FR Aluminum Roof Coating - Asbestos Free ", 1 -2 gal /sq or Karnak Chemical "No. 97AF" at 1 -1/2 gal /sq. http: // database. ul. com /cgi- bin /XYV /templateI LISEXT /1 FRAME /showpage.html ?name =T... 6/15/2012• TGFU.R3225 - Roofmg Systems Page 10 of 15 8. Deck: C -15/32 Incline: 1/4 Insulation: — Perlite, wood fiber, glass fiber min. 1 in. thick, hot mopped in place. Base Sheet (Optional): — One or more layers "Glass- Base ", hot mopped in place. Base Sheet: — One or more layers "Versa Base FR ", hot mopped in place. Membrane: — "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR" or "Versa Cap FR ", hot mopped in place. 9. Deck: 15/32 Incline: 1/4 Insulation (Optional): — Fiber glass, foam glass, any thickness. Base Sheet: — "Versa -Base FR ", hot mopped in place. Base Sheet: — "Tam-Glass Premium ", hot mopped in place. Membrane: — "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR" or "Versa -Cap FR ", hot mopped In place. 10. Deck: 15/32 Incline: 1/4 Insulation: — Perlite, wood fiber, min 1 In. thick, hot mopped in place. Base Sheet: — "Versa -Base FR ", hot mopped in place. Base Sheet: — 'Tam -Glass Premium ", hot mopped in place. Membrane: — "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR" or "Versa -Cap FR ", hot mopped In place. 11. Deck: 15/32 Incline: 1/4 Insulation (Optional): — Perlite, fiber glass, foam glass, any thickness. Base Sheet: — "Versa -Base FR ", hot mopped in place. Base Sheet: — 'Tam -Glass Premium ", hot mopped In place. Membrane: — "Versa -Cap FR ", hot mopped in place. 12. Deck: 15/32 Incline: 1/4 Insulation: — Perlite, wood fiber min 1 in. thick, hot mopped in place. Base Sheet: — "Versa -Base FR ", hot mopped in place. Base Sheet: —'Tam -Glass Premium ", hot mopped in place. Membrane: — "Versa -Cap FR ", hot mopped in place. 13. Deck: 15/32 Incline: 1/4 Insulation (Optional): — Perlite, glass fiber, wood fiber, hot mopped in place. Base Sheet: — Two or more layers of the following base sheets: "Tam-Glass", "Tam-Ply IV ", "Vapor- Chan ", "Versa -Base FR ", hot mopped or mechanic.. :.ce. Membrane: — "Awaplan Premium F•" .r "Awaplan 170 FR ", ' •waflex FR ", "Versa -Cap FR ", hot mopped in place. 14. Deck: NC Incline: 1 -1/2 ersa -Base" or Insulation: — Polyisocyanurate, glass fiber, perlite wood fiber, hot mopped or mechanically fastened, any thickness. Base Sheet: — Type G2, mechanically fastened, hot mopped or adhered with Henry "No. 200" or GEO Industries "No. 902 ", at 1 -1/2 gal /sq. Membrane: — "Awaplan Premium ", "Awaplan 170 ", "Awaflex" or "Awaplan -Heat Weld ", heat fused in place or adhered with Henry "No. 200" or GEO Industries "No. 902 ", at 1 -1/2 gal /sq. Surfacing: — Henry "Henry 520 Aluminum ", at 1 -1/2 gal /sq. 15. Deck: NC Incline: 1 -1/2 Insulation: — Perlite, wood fiber, glass fiber, any thickness, hot mopped in place. Base Sheet: — One or more layers "Glass-Base", "Tam-Glass Premium" or 'Tam -Ply IV ", hot mopped in place. Base Sheet (Optional): — One or more layers "Versa- Base ", hot mopped in place. Membrane: — "Versa -Cap FR ", hot mopped in place or adhered with Henry "No. 200" or GEO Industries "No. 902 ", at 1 -1/2 gal /sq. 16. Deck: C -15/32 Incline: 1/2 Base Sheet: — One or more plies Type -G2 "Glass- Base" or "Vapor- Chan ", mechanically fastened In place. Ply Sheet: — One or more plies "Versa- Base" or "Versa -Base FR ", adhered with the Henry "No. 200 Adhesive" at 1 -1/2 gal /sq or Geo Industries No. 902 at 1 -1/2 gal /sq. Cap Sheet: — "Versa -Cap FR ", adhered with the Henry "No. 200 Adhesive" at 1 -1/2 gal /sq or GEO Industries No. 902 at 1 -1/2 gal /sq. 17. Deck: NC Incline: 1/2 Insulation: — Perlite, woodfiber, cellular glass, fiberglass, ISO, EPS any combination, any thickness, hot mopped, mechanically fastened http: // database. ul. com /cgi- bin/XYV /template/LISEXT /1 FRAME /showpage.html ?name =T... 6/15/2012 L SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The o er'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 as r ent between the owner and the contractor. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring u (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner sho 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 e viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearanc 5. . Ponding water: The current roof system and /or deck of the building may not drain well and may c use water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofli,s system is removed. Pounding conditions should be corrected. 6. , Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not erloaded 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 accordancwith the requirements of Sections R4402, R4403 and R4413. Ventilation: Most roof structures should have some ability to vent natural airflow through the erior of the structure assembly (the building itself). The existing am f attic ventilation shall not be reduced. It may be beneficial to consider additional venting whic an res t in extending the service life of the roof. Owner /Agent's Signa rue D -e Contra Revised on 7/9/2009 LD