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RF-13-349Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 186170 Permit Number: RF -2 -13 -349 Scheduled Inspection Date: March 18, 2013 Inspector: Bruhn, Norman Owner: HALLORAN, THOMAS Job Address: 451 NE 91 Street Miami Shores, FL Project: <NONE> Contractor: QUALITY ROOFING INDUSTRIES LLC Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132060140130 Phone: (305)681 -1421 Building Department Comments RE ROOF FLAT ROOF 3/01/2013 - PAYMENT DELETED AND RETURN TO CONTRACTOR. WRONG VALUATION IN ENERGOV ($92,000) TRUE VALUE IS $9200. SEE PERMIT APPLICATION FOR FOR TRUE VALUE. As Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 15, 2013 For Inspections please call: (305)762 -4949 Page 23 of 54 Miami Shores Village Building Department RE: Permit # W p -243-51/ 9 INSPECTION AFFIDAVIT ielocrf licensed as a (n) FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 0 ° O b -'/3 (Print name and circle License Type) License #: CC. C / 3 2 D , . ngineer / Architect, On or about ® - `3 2`, PM , I did personally inspect th roof deck nailing and) (Date & time) Secondary water barrier work at (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manu Based on 553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this ' ' ' " day of M a �-cI -2 ��eo, 4,,,O ; Vicky Santos x •n S COMMISSION #EE 109689 Notary Public, Sate of Florida at Large s ,ate e` .18, 2015 WWW.AARONNOTARY.com *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 # and address # clearly shown marked on the deck for each inspection Revised on 5/21/2009 State License CCC1328971 Construction Contract Agreement 2013 -0206 Between Thomas Halloran Tel: 352- 262 -3193 And Quality Roofing Industries, LLC 20 Years Experience 430 NW 129th Street North Miami, FL 33168 Tel: 305- 681 -1421 Fax: 305 - 681 -1422 Project Location 451 NE 91 ST Miami Shores FL Bid on February 6- 2013 A. SERVICE TO BE PROVIDED Flat Roofing System B. OUTLINE OF WORK DEFINED PROVIDE ALL LABOR AND MATERIALS FOR THE FOLLOWING: 1. Provide all labor and materials for a complete flat roofing repair. 2. All work to be done an a workman like manner of the highest standard Work Preparation Remove existing roofing materials to a workable surface Remove and replace all rotten wood up to a 100 LF. Re- nail all the sheathing according to code. Scope of work at the Flat Roof Area. Tin cap 75 # base sheet to the wood deck. Install all the necessary flashing and plumbing stacks. Hot mop two layers of fiberglass to the base sheet. Hot mop one layer of mineral cap sheet. 1 Law, Licenses, Permits, Royalties and Fees Contractor will obtain all necessary permits to perform the job Contractor will provide workman compensation and liability insurance. Contractor will clean area around building of all related debris each day WARRANTIES The contractor shall warrant all labor and workmanship for a period of Seven Years from the completion of the job JOB SITE PROTECTION AND SAFETY The contractor shall be fully responsible for all clean up and removal of debris. The contractor agrees to follow and abide by all safety programs set up by the State of Florida Industry Commission. WORKING CONDITIONS SUPERVISION: The Contractor shall at all times have a competent supervisor at the job site. LABOR: Contractor agrees to furnish workmen and supervisors who are skilled in their respective trade. MATERIAL: Material supplied to the job site shall be new and applied to specification. CONSTRUCTION INDUSTRY RECOVERY FUND Construction industry recovery fund payment may be available from the construction industry recovery fund if you loose money on a project performed under contract, where the loss results from specified violations of Florida Law by a State license contractor. For information about the recovery fund and filling claim contract the Florida Construction Industry Licensing Board. Construction Industry Recovery Fund 1490 North Monroe Street Tallahassee, FL 32399 (850) 921-6593 2 C. CONTRACT PRICE ROOF SYSTEM Flat Roofing System Total D. PAYMENT SCHEDULE PRICE $. 9, 200, 00 59,200.00 35% upon signing contract $.3.200.00 paid 35% upon first inspection 30% upon completion and final inspection ACCEPTANCE OF PROPOSAL: The above prices, specification and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be as outline above and all payment shall be made to Quality Roofing Industries LLC. This proposal is subject to revision or cancellation unless accepted within thirty (30) days, and does not become a biding contract until signed by an officer of the Quality Roofing Industries LLC. ►• 0 tor/Contractor Agent O� 2$ /3 Date Accepted Owner /: = - Print N : m i A, Owner /Agent Signature 22 of- /3 Date Accepted 3 B�I IDING 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: Li 5 1 me: q S4- FBC 20 Permit No. KT 0--.° Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: 3 3 / g Folio/Parcel #: //32 0& 0/40 /3 0 Is the Building Historically Designated: Yes Flood Zone: te OWNER: Name (Fee Simple Titleholder): ` 'reko y\GS Pcd tOr v Phone #: ! 35Q2- .2(02 -3 l� Address: 1-45-1 f L c I S't" skrefL1 f City: o f uvin,i S002 S State: FL Zip: 33/?g Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name / ©4 Wt /%% 7J 57 ;15 Ucl'hone #: 305-68/-H Address: .v30 J iii 49..„9 7' City: ,417�� ! `1 %� gm/ State: '[�� Clt 6i Qualifier Name: Z (OS 04104; 01 o f `, �. *At State Certification or Registration #: Contact Phone #: 3o5 a 6 8/ /v a./ Email Address: DESIGNER: Architect/Engineer-. = Phone#: • itt . rtificate of Compet Zip: 33/ 6 e Phone #: y:c C 9397/ Value of Work for this Permit: $ '), 2 ori. 0) Square/Linear Footage of Work: ti 0 3 Type of Work: ❑Addition °Alteration ❑New Peepair ' eplac Demolition Description of Work: Re,— Q l7(DI YI e v V cL. Zoe (1 r erA ®In tl (\ t u o nc9 aUJ� t 1 l V). ctc - Ck vv-k. hee4re n4.e Com,' IVY ) Color thru tile: ******** * * * * * * * * * * * *** * *** * * * * * * * * * * * ** Fees * * * ** * * * ** ** * * * * * * * * * * * * * * *** * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ t2CY/ X#67 TOTAL FEE NOW DUE $ , 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a ' a reinspection fee will be charged. X Signature Owner or Agent The foregoing instrument was acknowledged before me this IC( day of 1 ""9 t , 20 i$ , by ¶)X5 k , hho is personally known to me }or who has produced As identific,NSzRed wltflath. NOT LIC: * `(" * MY COMMISSION # EE 104823 EXPIRES: October 18, 2015 Sign: Print: f 'f4o `'r Bonded 1NuBudpetN NV Slake vi My Commission Expires: APPROVED BY C. ntractor The foregoing instrume i t was acknowledged before me this )9 day of 2013,by Lut S , personally .�r.wn o me or who has produced whoisp as identilkat° ,and AMON. CORM oath. * MY COMMISSION # EE 104823 NOT 4 LIB 1111 1 ! EXPIRES: October 18, 2015 440,09 Boded Nu Budd Nagy Services Structural Review Sign: Print: My Commission Expires: (Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) Zoning Clerk i w i nic yr k:UMMENGEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. i? F -2 -/3 °.34 q TAX FOLIO NO. //32O o/yQ /3 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: STATE OF I HERESY C THE UNDERSIGNED hereby gives notice that improvements will be made to c Qr property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. L= • al descript ®n of property and street/address: 2. Description of improvement: I/791 e, ,i2 j` /91 WITNESS ray HARVEY RU 111111111111111111111111111111111111111111111 CFN 2013Rt o 159299 OR Bk 28508 Fs 4972f (1) RECORDED 02/28/2013 10:55 =23 HARVEY RIJVIN, CLERK OF COURT MIAMI -DADE COMM FLORIDA LAST PAGE O.RI A, COUNTY OF LADE TIFY tot Nlas is a t oopy of the Space above reserved for use of recording office 0 kg 3. Owner(s) name and address Interest in property: Name and address of fee simple titleholder. 4. Contractor's name, address and phone nrben 13? 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner 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 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 I ► I TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTIC'C�kL,,;a ENCEMENT. pc Signature(s) e,� , << �• �rized Officer/Director/Partner/Manager I Prepared By Prepared By Print Name Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The fo oing instru e t as ac $nowiedg By ❑ dmdually, or ❑ as f Personally, known, or ❑ produced the following type of identi Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated are true, to the best of my knowledge and belief. fore me this 11 day of Fe-9/ 2 0 03 or A >� filcatio *:.: R MY EXPIRES: October 18, 2016 mf440,14,! Bondenn Budgelilolalt Owner(s)'s Authorized Officer/Director/Partner /Manager who signed above: By By 123.01 -62 PAGE 3 3110 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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: 'I .c Date: c2 4 -1 Property Address: Li5 i NE-0(i s+ SAY': - r \ t` i $ - c s, 1L 33I 38 Roofing Permit Number: Dear Building Official: y 1 1i'\o( aS ROA Irrkn certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was cons ... - , in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1'94 edition o/ h Sous'da Building Code (1994 SFBC) Y Signat '"C\®tr \ O S 1-4-050, k orex►r1 Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Swom to and subscribed before me this 1.9 day of 20 /,3, F Notary Public, Sate of Florida at Large RiC(,,CJ��i • When the just valuation of the structure for purpose of ad valorem taxation Is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. 01.1. 0k., RAMON F. CASIRO • * � * NY COMMISSION EE 104823 EXPIRES: October 18, 2015 ''font, Boded two Eoggat SenbeI Revised on 5/21/2009 639240-1 BUSINESS NAME / LOCATION RECEIPT NO. 666023 -8 QUALITY ROOFING INDUSTRIES LLC STATE* CCC1328971 430 NW 129 ST 33168 NORTH MIAMI THIS tS NOT A BILL - DO NOT PAY RENEWAL FIRST-CLASS (LS POSTAGE I PAID MINI, FL PERMIT NO, 231 OWNER QUALITY ROOFING INDUSTRIES LLC Seo. VI o� SuSlr►e� WORKER /S 1SPECIALTY `BUILDING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. TT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORy OR ZOIONG LAWS of 7HE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PEANUT OR LICENSE REOUIRED BY LAW. THIS IS NOT A CERTIFICATION OF HOLDER'S THE QUALIFICA PAYMENT RECEIVED MIAMI -DADS COUNTY TAX COLLECTOR: 07/18/2012 09010049001 000045.00 SEE OTHER SIDE QUALITY ROOFING INDUSTRIES LLC JOSE LUIS LOPEZ MGR 430 NW 129 ST N MIAMI FL 33168 '4C�°.R° CERTIFICATE OF LIABILITY INSURANCE 1 /26/2012 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(Tes) 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 certfficate does not confer rights to the certificate holder in Iieu of such endorsement(s). PRODUCER Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 CONTACT Marta Barrionuevo PHM ate, (305) 630 -4777 1 NoL (305) 279 -3022 a ,martab@ggaig.com INSURER(S) COVERAGE NAIC0 e1suRERA;American Safety Indemnity COMMERCIAL GENERAL LIABILITY INSURED Quality Roofing Industries LLC 430 NW 129 St. Miami. FL 33168 INSURER B 156AUZ6185500 INSURER C: 4/20/2013 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F: I CLAIMS -MADE g OCCUR COVERAGES CERTIFICATE NUMBER:CL1262602803 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR LTR TYPE OF INSURANCE ADDL DISR SUER VOID POUCY NUMBER POUCY EFF (MM/DDIYYYY) POLICY EXP (MMIDDIyYYYI LIMITS A GENERALLUtBIUTY X COMMERCIAL GENERAL LIABILITY 156AUZ6185500 4/20/2012 4/20/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PMRDDMI�S (Ea $ 100,000 I CLAIMS -MADE g OCCUR {Arryonepereon} one person) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE UMITAPPUE SPER GEit POLICY n JFS.T j we PRODUCTS $ 2,000,000 $ AUTOMOBILE _ _ LIA8LITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS AUTOS�� _ (COMB SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY er accident) ) $ ((Per PROPERTY DAMAGE accident) $ $ UMBRELLA LIAR EXCESS LUIS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DID 1 1 RETENTION $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y!N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? n (Mandatory In NH) Ifs, describe under DESCRIPTION OF OPERATIONS below N I A I TORY ER O SLI I A E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AtkdISaral Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION (305)756 -8972 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE Frank Gil MKS ACORD 25 (2010/05) INS025 (201005).01 O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS DOCUMENT HAS A COLORED BACKGROUND + MICROPRINTING • LINEMAHK " PATENTED PAPER Bli ['CN NUMBER ,1706 .446 ROOFING CONTRACTOR # e ow CE TIFZ t xr er' the provisions s o Expiration date; AUG OPEZ,X. " 463* r Ux t3AL RO4 FZN'E 430NPt129EST 1r CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 02/19/2013 02,02 PM A DL 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 cerficate holder Is an ADDITIONAL INSURED, the pollcy(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 5501 LBJ Freeway, Suite 1200 Dallas, TX 75240 comarruME Prowcac.cro,ese (800) 728-0623 FAX MC, ■oe(972)4040380 eaucs INSURERS AFFORDING COVERAGE NAM II INSURER k Companion Property and Casualty Insurance Company 12157 INSURED: Aspen Staff Leasing, Inc. 1 /c /f: EMERALD BUILDING SOLUTIONS 1470 NE 123 RD ST MIAMI, FL 33161 Phone: (305) 360 -6216 Fax: () - INSURER B: INSURER C: EACH OCCURRENCE INSURER D: �GEETOORRa ) INSURER E: INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: AC13- 26900158- 1176151 REVISION NUMBER: 1 HIS IS TO CERTIFY [HAr rHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEIVISSUED TO I-OR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A DL SUB POLICY NUMBER POLICY EFF DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ OCCUR ❑ ❑ EACH OCCURRENCE $ �GEETOORRa ) $ 1 CLAIMS MADE MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY f J i' ta 1 LOC I 1 PRODUCTS - COMP /OP AGO $ 1 AUTOMOBILE — — _ LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ❑ COMBINED INtSINGLE LIMB $ twutr INJUMr (i'er person) �y BODILY INURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ — UMBRELLA LIAR EXCESS LAB CLAIMS•MADE OCCUR ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION EMPLOYERS' IJABILITY ANY PROPERIETOR/EXECUTIVE OFFlCER.MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under SPECIAL PROVISION below AND N/A ❑ DPE26272740260 12/27/2012 04/01/2013 x I fyp$( y'g I I ud E.L. EACH ACCIDENT $ 1000000 © E.L. DISEASE• EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 10 0 0 0 0 0 00 DESCRIPTION OF OPERATION /LOCATIONSNEHICLES(Attached ACORD101, Additional Remarks Schedule, R more space Is required SThis Certificate remains in effect, roy'd d the client's account s n ood sta ding with As eo taa4rt Leasin , clngc. CCovees;a e is not pptoylIcied forep y eem lhoyee or whit the clien is no repo t>ng Wleased to E1 RALDtBtILDINCilS LUTIU$, eYgective 1 / ,/01.i e emp oyees o Aspen Sta f Leasing, Inc. CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 10050 NE 21,11D AVE. THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORED REPRESENTATIVE _}- °" —+~ ACORD 25 (2010/05) m 1988-2010 ACORD CORPORATION. All right reserved Feb 1913 04:36p SSI 5017493235 p.1 CERTIFICATE OF LIABILITY INSURANCE DATE(MgdAYMY) .'I: 1Ji Ult ::7 :4u IT.' THIS Cr�TF'ICATE Is ISSUED AS A MATTER ■ F INFORMATIO +NLY 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 DONS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZCD REPRESENTATIVE 0 O CE The CS MCATEHO. t IMPART : If the cerflcnte holder a an ADDITIO AL INSURE©, the pollcydess) must Poondorsed.If SUt ROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. a statement on this certifloate does not confer rights to the certificate holder In Neu of such endorsament(a). MINIM AM. PRODIJOER 114,ghpoint Rick Servianu LLC 5501 LW Franariy, Suite 1200 Dallas, TX 75240 51LJSEp: Appal. StaEP :mining, LM);RALI) Hr,TILIN NG GD7.CT10Na 14:11 N1 1.'3 AD sr N.TAM2, 1'4 :016: rhos*: I :) ww .: 353-62.S COVERAGES LnC. ;/0/ft CERTIFICATE NUMBER: .ter FARM u.nAp,eAk r8014 r, $,25 �MIt/K,4� cum 4040fo musses w1'oRMNa 40Y1: ,w INSURER A: it, ■••, IN1 Until D INSURETI C: IN5IUH I-H n: MNSUn Ck Ft IkWwal.y •M V4.6 L4Y I. UV. I I UH I11: HI1IS#TGCa AC1'i- ?f9rOOlSS••1170159 NOTNATHraANDINOANYH' , �. `i t ` -' ■ s _-,. IkAI , WITH .e PERTAIN, T14R NUMANCC APPENDED OY TAT p* t arNDD OP HEREIN S SURS:C7 t0 AL L: THU egiumms AN MA HAVE SEEN lid Ducen 6Y PAIn tt 4MO. O ` TYPO OF INSURANCE �0 Veal ■R up 0,, r Ir a ENEHAL LIADIJfl- ■ CCaLIr encin DEl c L L nsurY �� CLAIMSVIA38 0 OCCUR CCNI.ALitiHL• ATE LIMITAPPLV?R FE rt• flOLCT Or . 1.00 AL)TOIMO ILE LL4Iml v ANY AUTO ALL C5NCO AUTOS SC. mumps AUTL3 MRCP MI TOR NON•dNNrD AI TOR; UMBRELLA LIAO E5 1*$ LIAR VUCTIOLC RCTCNTION $ MINOR 'LAIMR•MARC OCCUR dtPLOYER$' UAOII ITY ANT PnapeRIPTQrZCcwCurNP MUP 8 rICEHla CX UWP A cWIRdeIC7 inNHI 11 yna, dBasrldeunder SPFCIAL PROVISION Wk.. fFi:26.2727402P,0 12/27/2032 0d /O1 /:'03 $ psSCRWTIGfr- OP ON L.. Ip t4CLL' A:Wu9iACOHU1ol. Wm* Remade h. ,4 mare "Rah IS.hawked 1. pi Card ficat:3.:1, y i r3 ' n aEfl c:}p, Ara c)tK.t •hr clitt•Ath; rx 'nom JrFr�C1. 1tt7,,aal1r t;, F?�eI•{ }�MqAI c.1��,rI��, tlL is I.u. ra artd rti r{�•rit c .+: t e�37ti;iel 4.c F T L131" O :,iliN?i- :�:,UT R' , e Q' iE,r_ vto: /G012�s.yle:n)I 0yeasl ag lopa CERTIFICATE HOLDER fatTA:.,LTY k1C;IPk1 rND:tsTRIY.s, 430 NW 1: 9T'1 NT hX,Y1:1'll H.IAH:, ."L 7.3)58 ACORD 2S (2I In CANCELLATION NUMBER: IH 1 iih POLICY WHICH THIS IIEHTO'ICATFt.1AVHF Iw`'s'iUCDOR D CS7NCITIONROP SUCH r3LJGIE . LIMITS SHOWN MAv .--tea Ldltil51 CACIr D47GJFIRE ci ,4 .T r•MI nstt..wµ N '$ MLU 1-RN IAN nap poison! $ I M5QNAL 1 AbY ow Law f, OPNIMAL Ar3CSHL•QATC 'M $ t= SamPlOP AD L3 * - s CEwaP.r.D sit! LLLINil (LaaciCalt) UOL7LT I■URV On natant) $ Mr MTV Drumm (Pm rrAmq z sACHOCCUI6tLNGG ActorIL4iAf. 4 -_.. •' X magma • „ EL EACHACcID5:yrT 5 1000 00 E.L DISCASL • LA EMP•[IYFI: $ 1200330 r.1 D1sLARC•POLIQYLPA@r s 13DOG00 4. ntArid :lai wtt.1' A5y+ TI - j;ttrl 1 na(: Ittp2Y'.Ljt n �I:,,ir fa:ac.Lng, 1IC. bliOi .D ANY 01- THE AOOVr Df s RISED rOLICIh$ yt CANCCLLFO HFr•+ J1I TJ Ic EXPIRATION DATET4•IEHI- _Op, NOTICE VALI HE DELIVERED INACCCRDANCFWITH THE POLICY PROVISIONS. AUTIGRIED nIPRL•'$ENTATIY$ 2010 D ORPORATICNII. All right nosarved ) 0) CERTIFICATE OF LIABILITY INSURANCE DATE DANSIONTYVI 02 /19/2013 02 =44 PM 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 CERTIRCATE HOLDER. IMPORTANT: If the certtcate holder Is an ADDITIONAL INSURED, the pafcy(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions at the policy, certain policies may require an endorsement. a statement on the certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Iighpoint Risk Services LLC 5501 LBJ Freeway, Suite 1200 Dallas, TX 75240 cam.oYCSIE Romumimeap (800)128.0623 Fmclacask(972)404.038$ aata. INSURERS AFFORDING COMMIE NAIC 8 INSURER A: CCrPaoion Property and Casualty Insurance ccayasY 12157 Aspen Staff Leasing, Inc. 1 /c /f: EMERALD BUILDING SOLUTIONS 1470 NE 123 RD ST MIAMI, FL 33161 Phone: (305) 360 -6216 Fax: () - INSURER B: „ INSURER 0: "' INSURER D: "— INSURER E INSURER F: CERTIFICATE NUMBER: AC13- 26900158- 1176159 REVISION NUMBER: THIS 15 TO CERTII -Y 1 HAI I HE POUCIES OF INSURANCES USEEDBE EMEE BEEN ISSUED TO THE1NSUREDNAME ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OE ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHR:H 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 RFFN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL POLICY NUMBER AMIR DAMISINGY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR GEN L AGGREGATE LIMIT APPLIES PER: nn 0 EACH OCCURRENCE MUMMY° ED nausea (Eaoocceamemel MED EXP (Any one person) PERSONAL. & ADY SIJURY GENERAL AGGREGATE PRODUCTS • COMP/OP AGO AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS 0 COMBINED SINGLE LAST (Ea accident) $ HUUILY INJURY (Par parson) BODILY FAIRY (Per a, dent PROPERTY DAMAGE (Per ambient) $ $ A CESSL EXCESS LIAR OCCUR DEDUCTIBLE RETENTION S EMPLOYERS' LIABILITY ANY PROPERIETORIEXEOUnVE OFFMERMENZIER EXCLUDED? sdpry b NH) yes, +eecrlhe under SPECIAL PROVISION below N 0 NIA EACH OCCURRENCE AGGREGATE 5 0PE26272740260 12127/2012 04/01/2013 X iF?'1+.. El.. EACH ACCIDENT E.L. OISEASE • EA EMPLOYEE E.L. DISEASE • POLICY LIMIT $ 1000000 $ 1000000 $ 1000000 0 DESCRIPTION 08 oPERATIONSA.00NITONS/YENICLEMAnaohed ACORD101, Ad51onal Remans Schedule, II mere space Is resulted — 1 'hi certificate remains in effect, provided the client's acc unt is ood tanding with As start Leas in Inc..„ CC(,e�oavgeraqa Is not rro ded fo any m ,loyee ,.or whsict the clj.entf is gnot repnrtiing leased to ENi�LtBUILDIiVC;1S�LUTlOr)$, effectsve°1927 / ?1 a emp ogees o Aspen to f easing. inc. CERTIFICATE HOLDER CANCELLATION QUALITY ROOFING INDUSTRIES, LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 430 NW 129TH ST THE POLICY PROVISIONS NORTH MIAMI, FL 33168 AUTHORIZED REPRESENTATIVE „ 4. "' "— D 25 (2010/05) ®1988.2010 ACORD CORPORATION. Ali right reserved Master Permit No. ash : M amt Shores Village g�IIGH -VE OCITT UBRIC APPROVED ZONING DEPT BLDG DEPT SUBJECT (® CCMPI.IJ NCE W1 VH ALL FEDERAL Florida Building Code Edit • . " �� , r i�tv r A�_,Ls AresFc,u . r �^ s h V ..• Hurricane Zone Uniform P �• 1.1»: .. E ZONES Section A (General Information) Contractor's Name Job Address 'V'.. / AIE 7> S"" f d � ; ' 772; shores X133 157 ROOF CATEGORY Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile phaltic ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes hingies ❑ New Roof ❑ Prescriptive BUR -RAS 150 ROOF TYPE Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) !®36, �� Jo3( Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 2010 FLORIDA BUILDING CODE — RESIDENTIAL AA "4 HIGH- VELOCITY HURRICANE ZONES 1 Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low s Fill In Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA") System Manufacturer:64F Mare.; ict IS app. NOA No.: 07 -/219. n9 Design Wind Pressures, From RAS 128 or Calculations: P1: -1/96 a P2:4•Z(pP3: -._ Max. Design Pr ssuz. From the Specific NOA System: 52o Deck: Type: f x ( Vi. °/ Gauge, 'ckness: ��7 Slope: '7 ° • 2 Anchor/Base Sheet & No. of Ply(s): / 75 Inccrc� Ba e heel tier/ onding Material: jy tation Base Layer. Base Ins. tion Size and Thickness: Base Insulation tener/Bonding - erial: Top Insulation Layer: Top Insulation Size an • ickness. Top Insulation Fa er/Bonding Materia Base She Bas (s) & No. of Ply(s): heet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s)4w p pi 7 w PIy Sheet Fastener/Bonding Ma te f i f A/pl r/sp%q Top Ply: Top PI Fast ner/ Bonding Mate ' I: Surfacing: PAN . 44.22 lope Application) Fastener Spacing for Anchor/Base Sheet Attachment Field: !� ° oc @ Lap, # Rows ,2_ @ 9 ^ oc tr: , # Rows ,� ‘ ' " oc ComerPerime. e oc " oc @ Lap(@ Lap. # Rows, @ dLi " oc Number of Fasteners Per Insulation Board Field --' Perimeter -&- Comer 43" 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 Manufacturers Details that Comply with RAS 111 and Chapter 16. Parapet Heioht Mean Roof Height 2010 FLORIDA BUILDING CODE — RFCIr1FNne1 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. ✓ 1. Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Ito Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be reri e'ed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. [c ®D Common roofs: Common roofs are those which have no visible delineation between neighboring unm"�'i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing to be performed. 4. 1:)' Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. _Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. a Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. I ;al to consider additional venting wh;a;• n result in extending the service life of the oof. /fit` Own r /Agent's Sig Revised on 7/9/2009 LD Date Contract,.,`r ig ature Date O2 -o& /3 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation. 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 ! MIAMI, FLORIDA 33130 - 1563 _ 1 (305) 375 -2901 FAX (305) 375-2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built-Up Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. 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. 03- 0501.05 and consists of pages 1 throygh 19. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 1 of 19 Deck Type 1: Wood, Non - insulated Deck Description: 19/3 " plywood or greater p ywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: (optional) FireOufTM Fire Barrier Coating, VersaShieldeNon- Asphaltic Fiberglass-Based Underlayment or SecurockTM. Base sheet GAFGLAS® #80 ULTIMAATM Base Sheet, STRATAVENT® EliminatorTM Nailable, RUBEROID® Modified Base Sheet, RUBEROID® 20, RUBEROID® Heat- We1dTM Smooth or RUBEROID® Heat We1dTM 25 base sheet mechanically fastened to deck as described below; Fastening Options :. GAFGLAS® Ply 4, GAFGLAS® Flex P1yTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -45 psf, See General Limitation #Tj GAFGLAS® Ply 4, GAFGLAS®Fiex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill-TecTM AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf, See General Limitation #7M GAFGLAS® Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure 52.5 psf, See General Limitation #7j GAFGLAS® #80ULTIMATM, RUBEROID®20, RUBEROID®Mop Smooth, base sheet attached to deck with approved 11" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure --60 psf, See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill-TecTM #12 standard, #14 or # 15 Screws and 3" Drill-TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See General Limitation #7) Any of above Base 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} NOA No.: 07- 1219.09 Expiration Date: 11104/13 Approval Date: 03/20/08 Page 17 of 19 GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill-TecTM steel plate or Drill -TecTM AccuTrac Plates, 8" 0.0. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psi; See General Limitation #7) Ply Sheet One or more plies of GAFGLAS® PLY 4, #80 ULTIMA, RUBEROID® MOP Smooth or RUBEROID® 20 adhered in a fu11 mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLASe Mineral Surfaced Cap Sheet or GAFGLAS ®EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -401bs sq. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID° 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS° Mineral Surfaced Cap Sheet, GAFGLAS° Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsisq. 3. Leak Busterm Matrixm 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak BusterTM MatrixTM 715 , Leak Buster` m MatrixTM 322, TOPCOAT° MB +, TOPCOAT® Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT° Surface Seal, TOPCOATS' Fireshield® SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 galisq 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 1APPRO'VE° NOA No.: 01- 1219.09 Expiration Date: 11/04113 Approval Date: 03/20/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex P1yTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum %" Dens DeckTM or 'h" 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 lbsisq., 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. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at 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 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE .A€PPROVED NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 038.0108 Page 19 of 19 I. Decto C-15/32 Class A Incline 3 Insadatkm ( — One or more layers Perltte or wood fiber or glass fib or poly/socyanurate or urethane or perlitefeeleisoeYaminte composite or p t/urarhane composite or wood fiber/ rata composite or any thickness. Ply Shoat — Three or mare ply Type Gi or "GAFGLAS Ply 4' or "Trt -Ply Ply 4° or "GAPGLAS Ply 6° hat mopped. Gravel. 2. Credo C -15/32 Thane 2 Insulation (Optional): — One or more layers petite or wood fiber or glass fiber or polyisocyarturain Of urethane or perlite/PolYlsocYarnirate composite or perike/urethane composite or wood fiber /potylsocyanurate composite or phenolic, any thickness. Pfy Sheet — Three or more piles Type GI ar "GAFGIAS Ply 4" or "Tri -Ply Ply 4° or 'GAFGLAS Ply 6". Cap Sheet — One ply Type G3 "GAFGtAS lateral Surfaced Cap Sheet' or "Tri -Ply lateral Surfaced Cep t'. 3. Dodo NC Indiner 2 Insulation (Optional): — One or more layers perdite, wood fiber, glass fiber, polyeacyanurate, urethane, perlitelpciyisocyanurate composite, Per/Me/urethane composite, wood Rber /pdytsocyanurate composite, phenolic, 2-hr- merhsorn. Ply Sheet — Two or more piles Type GI "GAMMAS Ply 4° or "Tr i -Ply Ply 4 °, "GAFGLAS P y 6". Cap — One MY Type G3 °GAFGLAS Mineral Surfaced Cap Sheet" or "Tri-Ply Mineral Surfaced Cap Sheer. 4. Della NC Incfner 1/2 Insulations — One or two layers "Isotherm R°, any thickness, hot mopped. Ply Sheets — My UL Classified gravel surfaced sass A asphalt glass flber mat system. 5. Deda C-15132 Incline: 1 Sips Shunt ( Red rosin paper, naped to deck. Litre Sheet — One ply Type G2 "GAFGLAS 475 Base Sheet" or °'lit -My 475 Base Sheet" (may be naffed). Ply Sheet — One or mare plies Type G1 °GAFGLAS Ply 4" or "Tri -lily Ply 4° or GAFGIAS My 6 °. Cap Sheet — One ply Type G3 °GAFGLAS Mineral Surfaced Cap Sheet" or "frt -Ply Mineral Surfaced Cap Sheet. 6. Dada NC Iodine: 3 Base Sheet — One ply Type 62 "GAPGLAS 475 Base Sheet" or °Trl -Ply 475 Base Sheet". Ply Shy — One or more piles Type G1 "GAFGLAS Ply 4° or 'Trl -Ply Ply 4" or "GAFGLAS Pty 6 ". Cap — One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tut -Ply Mineral Surfaced Cap Sheet". 7. Bede C -15/32 Incline 2 — One or more layers petitte, glass fiber, polyisocyanurate, urethane, perfire(polyisocyanurate composite, perhtelurethane composite, phenolic, 1.0 in. min (offset a minimum of 6-in. from plywood deck Jahrts). Base Sheet — One or more piies Type 61 or Type G2 or Type G3. Membranes — One or more plies "Rubaretd Torch Smooth* or "Ruberold Torch Granule" or "Ruberoid Torch Granule Plus° or "Ruberold Mop Smooth' or "Ruberoid Mop Granule" or "Ruberoid Mop Plus Granule° or "RoofMat=h SBS Modlfled Granular" or "Td -Pty 585 Modifiei Bitumen Membrane" or °RoafMatxh APP Modified Granular' or "Tri -Pty TP-4G" or "Tri -Pty TP-4 °. Cap Sheet — Type G3 "GAFGLAS Mineral Surfaced Cap Sheet° or "Trt -Ply Mineral Surfaced Cap Sheet' hot mopped. 8. Delo C -15/32 2 Insciation ( — One or more layers partite or wood fiber or glass fiber or pciyisocyarurate or urethane or perlitarpolyisocyanurater composite or pedtte/urethane composite or wood fiber /polyisocyanuraie composite or phenolic, any thickness. Base Street — Two or more plies Type G2 or Type G3. Ply Sheet (Optional): -- One or more piles Type G1. Membranes — One or more plies "Ruberold Torch Smooth" or "Ruberold Tardy Grannie" or "lathered Torch Granule Pius° or "Ruberold Mop Smooth" or "Ruberoid Mop Granule" or °Ruberold Mop Plus Granule" or "Roofiatdt SBS Modified Granular" or "Tri -Ply SBS Modified Bitumen Membrane° or "Roof Match APP Modeled Granular" or "1ii -Ply TP-4G° or °Trl -Ply TP-4 °. Cap Sheets — Type G3 "GAFGLAS MUeral Surfaced Cap Sheet or "Tri -Ply Mineral Surfas d Cap Shy hat maples. 9. Dada NC Udine 2 Inadatton ( — Partite or glass fiber or polyisocyanurete or wood fiber or mechanically fastened, any thldaress. Base Sheet — One or more piles Type G2, "GAFGLASS 475 Base Sheet or "TrI -Ply 475 Base Sheet". Ply Sheet — One or mare piles"Type G1 "GAFGIAS Ply 4° or "Tye -Ply Ply 4" or "GAFGLAS Ply 6 °. Cap Sheet — Type G3 "GAFGLAS Mineral Surfaced Cap Sheet° or "Tut -My Mineral Surfaced Cap Sheet' hot mopped. "Fireshield MB" applied at 21/2 to 3.0 -gat. /100 -ft2. 10. Dealer C -15/32 Inclines 1 Insulation (Optional): — One or more layers pefl[te or wood fiber or glass fiber or polyisacyanurate or urethane or periite/polyisocyanurate composite or pertite/urethane arraposite or wood fiber /polyisocyanurate composite or phenolic, any thickness. Piy Sheet -- Three or more piles Type 61 "GAFGLAS Ply 4' or °TM -Ply Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet — "EnergyCap Mineral Surfaced Cep Sheet". 11. Dodo NC Indinee 1 Insulation (Optional): — One or more layers petite or wood fiber or glass fiber or polytsocyanurate or urethane or pe ilte/polylsocyanurate composite or periite/urethane composite or wood fiber /polyisocyanurate composite or phenolic, 2 -in. maximum. Ply Sheet — Two or more piles Type 61 "GAFGLAS Ply 4" or "fri -Ply Ply 4° or "GAFGLAS Ply 6 ". Cap Sheet — °EnergyCap Mineral Surfaced Cap Sheet Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 (5—)3-tc‘ Inspection Number: INSP - 186921 Permit Number: PL- 3- 13-456 Scheduled Inspection Date: March 21, 2013 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: HALLORAN, THOMAS Work Classification: Addition /Alteration Job Address: 451 NE 91 Street Miami Shores, FL Project <NONE> Contractor: ARMANDO PENA Phone Number Parcel Number 1132060140130 Phone: (786)255 -5474 Building Department Comments GAS VENT Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 21, 2013 For Inspections please call: (305)762 -4949 Page 19 of 40 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 B'UIL ING PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: 451 NE ci 1 r,�? 4 7 ? X13 FBC 201/3 Permit No. \\ 3 " Li Master Permit No. e---(""13 — J Li 1 City: Miami Shores County: Miami Dade Zip: 3 3)3K Folio/Parcel #: Is the Building Historically Designated: Yes NO X Flood Zone: OWNER: Name (Fee Simple Titleholder): QrYI Gt5 ' Efl r-\ 1-1-r x1 tor-an Phone #: 3502-a to . -319 3 Address: 145 s4- PJ�Y22`I" City: j\ACoonni Sc or2S State: FL zip: 3313g Tenant/Lessee Name: fJ/A Phone #: Email: CONTRACTOR: Company Name: Ali Q v- Address: /6' 2'/ D / it- i-( 7 flv( c City: /' r q l �; Y J e�+ s state: a Yi el Zip: 3 3 s Qualifier Name: r- y„ 4r ,....,s,) 0 re A_—, Phone#: 5,(•- 2 S 5.5 * V State Certification or Registration #: Cre 6 S ? 3 5 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 300, 0 0 Square/Linear Footage of Work: Type of Work: Address DAlteration pRepa i r/R eplace ODemolition Description of Work: pc fi l' F , 1_7 1c.. % v /...-- / k e w T ``, / q 1 e o ,p,.. // Pe S / _.". * * *** * * ** x****** * *+x **** * *** *** * * * ****** Fees* *+ x*+x+x**** * * *m * * * * * * * *** * * * * * ** x** * ********* Submittal Fee $ Permit Fee $ /06 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ CS. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was aeforre me this 0 day of , 0 acknowledged /( �,T �f� ho is personally known me qtr who has produced 0 4 As ide � ions F�'g4 oath. EXPIRES: October 18 2015 NOT !;� ►UBLIC: ,;; ' ,oe BoatedTtwu N*ySeMces Sign: Print: Q lAZI Asi My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this ®)cam day of frt , 20 _a by Pilu:at11 .efrgis personalty known�t e or who has produced as identification and who did take an oath. NOT BLIC: Sign: Print: My Commi RAMiON . CASTRO '* MY COMMISSION A EE 104823 EXPIRES: October 18, 2015 Boded Thu Budget Notary Senkea ********B +ktlssk *=k**********c::Ns$: k**+RNa***** * * ** *$ s**$ ssp+ k+ k+ k*+ k** *+ k+ k +k+k+b*+k****+k *d=**** * *** k*9sB ***** iN+ H*+k+k+N**** **+h***sk**** APPROVED BY 3 -// -13 Plans Examiner Structural Review (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk 03/06/2013 23:24 3055562959 44Accme----121' CERTIFICATE OF LIAEIILITY INSURANCE _ • OATS MUDOrrnr4 haft...••••-• PER-110TarreSTIITSTECITS-A irakfilli diviniTE c—iffeNriakta HOLDER. tins CERTWICATE Does Nor AFFIRNATWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES 09/24t12 REPRESBVTATTVE OR PRODUCER, *Ni THE CERTIFICATE HOLDER, mow. VMS CER'nrican OF INSURANCE DOES NOT CONSTITUTE A cONTRACT BETWEfEN THE ISSUING INSURE RS% AUTHORIZED iiiPartr7eirr—: -Wii•MR-0-743Whira ifivkida; * ••• • •••••• • LUZ PROENZA PAGE 01 se lame ass aorallnana at Om policy, ponds polhAss Oles Mispits 5NdonN05541. A valliNsat ea thls WNW, doss nak GORTOr Vas tp the eistMakh /11u Suarez & Associates 7400 N.W. South Riker Drive, 11181A fad*, FL 33188 Phone 43SS),881:At34_ Fax 1305)884-6977 via' Win ARMANDO PENA PLuPAINNG SERVICES INC tf1840 NW ate /WE OPA LOCK.% FL 33055 Eaar; CRINF0DO _PCT53_88. 4.111/ML. . COVENAGE__ — ISAAC _ _ MIMPIAS. "64") U8 INS 64C Apnel STATE te.ILTB:IIIAL. INS COMPANY _ Nalimagi ILet ,18ingA_ _ _ „ Regewsi : —NEM _ iijij foliibgfipy"Kiirral*Wefiss—cif raglis-ArTeififigo—rEC5W—w4V1 aTsu—atifi — _REVISION NUMBER: 115 MATED. isolvdtHsTANDIN0 ANY REQUIREMENT, IBM OR CONDITION oF ANY CONTRACT OR OTHER DOCUMENT wrra easPecr TO WHICH* THIS CERTIFICATE WY SE ISSUED OR MAY PERTAIN, THE INSURANcE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS suaeur TO AU. THE TERMS, EXCLUSIONS AND cossmosa OF SUCH POucIES. man SHOWN MAY ItAmE SEEN REDUCE]) SY PAID CL. _ . ea. • 4.110.• • ".■•■ •••■• • .v-el •■■■• ■•■ .......■,•■•••■ • .1.■■ •■•••• algtiklaig"•■ 1.rf--"1.9!!!!!!ANIa. !_cift54.ksgme_ _ soma &Amur, ToTeCiitaM coaeleeme. easseat otea.rry cuutisissos OCCUR A 1.7j ._.• ••• GDR AGGREGATE war p POOCY 011k. Lac AUMNORLs UNPLETT „_, • ANY AuTO AMOS MED AUTOS B scsismiss :7; Maws AUTON UMMAIMI.LA I-1 amuse alca4,1•!ala _ vessasta campearanum z=viremopivoi mow mtwectrriveaselameeear UmaLmr N A grospritiver ANY MamI Shores Village 10050 NE Secconci Ave. Miami Shores,f1 33138 ACON0 25 ROWS) OF HLTEP-G AWL00197/-13 . .1.1900.900_ ATP__ . sisimirek. _!! _100,000.00 0912312012 09123/2013 aigl-D.L)P II-41Y0-^-•Peson)._. sS000.00 * !glom Atiy_s4JURY L000,660:00— • Op__EG___NyttOGRETAATE _ 5 1,0004551O- 19.1-PA-C411#0. .10°06 SOosi NUURY persuni $ BOOILY INJURY (Par weds* S . . $ WarsimiAdr* Talfrtatx. 4. 4. • •■• •■• 09/2312012 09/23/2813 EI. EwAcceT • a 1.000,000.9° _a.L moss -EA smitLoyff.- .0.000,000.00 _ EL. omp-As!... !Duey OAT $ 1,000o00.00 1:—._ ii;; cANCELLATION 41110uLD ANY OF TIE *so DEItcRieets POLocslim cescal.LeD SEFonE ne E X P I R A T I O N nem ThElizoF, NO170EvALL ensi mile IN AccONDANos von THe POLICY Peoalltiosts. _....... rights reeervad. and infla are legIslenel inert. of ACORD