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RF-13-1213 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-192623 Permit Number: RF-6-13-1213 Scheduled Inspection Date:August 29,2013 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: EVERETT, HENRY AND FRANCES Work Classification: Flat Job Address:9600 NE 2 Avenue Miami Shores, FL 33138- Phone Number (727)461-4370 Parcel Number 1132060132510 Project: <NONE> Contractor: OBENOUR ROOFING SHEET METAL&SUPPLY CO. INC Phone: 305-757-2612 Building Department Comments REROOF REAR WITH LEVAR FLAT ROOF WITH BUILD Infractio Passed Comments UP CAP SHEET INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 29,2013 For Inspections please call: (305)762-4949 Page 3 of 28 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION CFN 2013RO606578 PERMH NO. TAX FOLIO 1\1011-32%- OR Bk 28753 Ps 22931 (fps) RECORDED 08/01/2013 15217:25 HARVEY RUVINP CLERK OF COURT STATE OF FLORIDA: NIAHI—DARE COUNTYP FLORIDA C,OLJNT-Y 017' MIAMI-DADE. 4 LAST PAGE THE ONDERSIGNED hereby g;ve,,;notice that triviovements will be made!o c;pllam rpal property.and it,accol-danc.e.witti Ct,,jpter 713.Florida Statute:;;.the folickwinh information .s orovided in this Not!ce of Commoncernent. pace above reserved for use of recording office I Leg�-!!descriptiol, 01 plopertv and AJ Dosciiption of m1provenlent: ea- /0 tu e- . iz ownens)name'if ld zid(imqS, q(,60 c! e, r1ZA AJ ILA) A,, Interest in property: Name and address of tee simrkio titlehoklc-r 4 Contractor*s nanw,address and pholV Millibero/gemOL-/ A06L_P111 t.Surety: (Payment bond roquired i)y owl'r-r from contra'Jor, it any) Amount of bond t•, Lender's riart)e anti address: 4 by Owner oil whow floti OT )th �r doc"Imerit';fliziv tit se as Persons,,vithh lhe,&ate of I looda Sl,ctinn 713,130,ta!7.. FlOdd;! COUtM OF E ft CO Namt*, idrlreqz nw-nber Cmm a#S Is a hue Of the Mad 1h 0* Of 3 irk d it: 13!-1,h). Honda Stw,Wes, and CC"Owls date,.-ji D.C. WARNINO TO OWNER:-AI YPAYA,11.N:1'"A!Al-;E',S.Ti-It PLR PAYMLKITS UND,-Fi "i*iAPi t7i PAPT SCCTION I f:Ji,1L11F0. ANI)GAN RE'Sutl :N, S C)LJF,. HAENT'S, TO VOUP t 410PERTY A �NOTIGE of- r,,1LjST DE RECORDED ANn PO:�TEFD ON THI. VOC, i" RYA_ Tl;i y Fir F"D AICTNC VVOP!, F C0N,0TWjT1f Y(,)UrI.ENl.)Ci",',)RAt4AT-VjFi!4r RE "'Y'll!"Ji", OF NCM,"E Of C0MrJf_-NCrh,['N1 : VOL11 A er;Mw igr jAn� -er F arti-i (� -e Prepared By 'd Ov C� � <=7� t�'{-`I`'� u� Print Nam Print Na-m: STATE OF FLORIDA COtJNTY OF NiIAMI-DADF J Indivirivaliv.Or j as !or 0o.rsona4v known. o; pioduced the.following type of iden" atif, Signature of NotatA, Print Namw (SEAL.) VERIFICATION PURSUANT.TO SEQTION 9Z.525,FLORIDA.,5TATUT S VERIFICATION- - __ - - - - __ -.I- flow fdb•No d Me* Under Of perjury. I declare that I have read the foregoing and ;hat the;facts stated ill it are true:. to the bes,of my knowledge and belief, ami'm son AV Is. 7ed I Signature( } s) or Civ�i6(sst Authorizer(Officer' artnerf"' a na g &tto ir 1)iro�=Ipw�494;1 1,F' __2,*mw C�_)11�co � By RV i8 Miami Shores Village J UN 0 3 2013 \-� 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 \ FBC 20 BUILDING Permit No. ' Y PERMIT APPLICATION Master Permit No Permit Type: BUILDING ROOFING 0 JOB ADDRESS: 1 y 2 '" au—� City: Miami Shores County: Miami Dade Zip; Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple�tleholder): Phone#: Address: city: �q State: Zip: 3 Tenant/I.essee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: Address: City: MAQAU 19, ,f-I� State: zip: Qualifier Name: Phone#: — 2G 7-2,(— { State Certification or Registration#; Certificate of Com cy#: Contact Phone#: Email Address: l • C' DESIGNER:Architect/Engineer: Phone#f Value of Work for this Permit:$ , Poo SquarelLinear Footage of Work: �S-& 7 Type of Work: OAddition DAltera' n ONew ORepair/Replace ODemolition Description of Work: MID( . Lo L IOLLcd 111(p Color thru tlk: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ I P , 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a� roved and a reinspection fee will be charged. /L Signature —a Signa Owner or Agent Contractor The foregoing instrument was acknowledged before me this ' The goin i strument lwjacknowledged before me this 2 J day #io ,20 AL by �C,�xt'�S �J�(L'Lt day o 2d ,by ��f1i C (�. (�� Z✓iG7�1! who 1 k nown to me or who has produced o is personally gown to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign:04 Print: Notary Public State of Florida Print: Sarrara Dee Hart J'Ory Iluillic state of My Commissio My Commission FF 010644 My Commissi Sandra Dee Hart Florida �A Expires 04!21!2017 My Commission FF 010644 OF{► Expires 04/21/2017 �a�e�c$ar�skskaksk�k+kskskds�Rd�akSa��skd��PSk�k�Is�CakBaffiA'���b�k�IadPd�fia�kakskskdsakak�kskakak�kaknk�kaksksR�k��k#PRaR B��kik�&�ksRsk#�kskaksk�:k�Iaks�ssk�akak6�@PdsBeak+kaksR�k�R�ksR�P k�kPk ekaksAPkak@�$aPk� L_ APPROVED BY � Plans Examiner Zoning Structural Review Clerk (Revised 3/1212012)(Revised 07/10/07)(Revised 06/1012009)(Revised 3/15/09) 9 O ITY U-3 J r � U 0 3 2013 ye-------------------- SECTION R4402.13 JV1 R ANE NES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 84402.13.1 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 govern the-vriinimum 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. I. —3-pa- -'. 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. a7 2. __�_ 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 units(i.e..townhouses,condominiums,etc.) In buildings with common roofs,the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. ,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. fi. _y verflow 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. .&��entllatlon: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 s not be reduced It may be beneficial to consider additional venting which c suit in extending the rvice life of the oof. Owner/Agent's Signature MC ntr or Signature Date 1 Revised on 7/91'2009 LD l 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 HIGH-VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code Edition 2010 High-Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE c REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Attachments Required Permit Application Form See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR-RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page .2. From Product Approval: Front Page Specific System Description Specific System Limitations : General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16,or If Applicable,RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations(Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation 2010 FLORIDA BUILDING CODE—BUILDING 15.33 e ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2010 High-Velocity Hurricane Zone Uniform Permit Application Form. Section A(General Information) Master.Permit No. Process No. Contractor's Name 2 D A/ Job Address 4r a-o 7L f AVE ROOF CATEGORY Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ New Roof Reroofing ❑ Recovering ❑ Repair ❑ M to ce ROOF SYSTEM INFORMATION Low Slope Roof Area(SF) Steep Sloped Roof Area(SF) T I(S 8 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. !.a, 1 f A� IvE Sr 4" Alliarni Shores Village f APPRO D BY DATE ® DC. EpT UW P1 JANi-;I_, 1, / o F m W v 15.34 2010 FL IDA BUILDING CODE—BUILDING ' ROOF ASSEMBLIES AND ROOFTOP STRUCTURES _ Florida Building Code Edition 2010 High-Velocity Hurricane Zone Uniform Permit Application Form. Section C(Low Slope Application) Surfacing: Fill in specific roof assembly components and identify manufacturer Fastener Spacing for Anchor/Base Sheet Attachment: (If a component is not used,identify as"NA") Field: oc CAP Lap,#Rows --I @ `3 "oc System Manufacturer: 6 Perimeter: G "oc @ Lap,#Rows q e "oc Product Approval No.: J? --I 2 I '1 , 01 Corner: "oc @ Lap,#Rows .ir @ "oc Design Wind Pressures,From RAS 128 or Calculations: P1• P2• 7 A 7 P3• Number of Fasteners Per Insulation Board: Max.Design Pressure,from the specific Product Field Perimeter Comer Approval system: .SZ Illustrate Components Noted and Details as Deck: Applicable: Type: mp d Woodblocking,Gutter, Edge Termination,Stripping, Flashing,Continuous Cleat,Cant Strip,Base Flashing, Counter-Flashing,Coping, Etc. Gauge/Thickness: 3 r Indicate: Mean Roof Height, Parapet Height, Height of Slope: Q 1 Base Flashing,Component Material,Material Thickness, Fastener_Type, Fastener Spacing or Submit Manufactur- AnchorBase Sheet&No.of Ply(s): ers Details that Comply with RAS 111 and Chapter 16 Anchor/Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: FT Base Insulation Fastener/Bonding Material: a .� Parapet No Height Top Insulation Layer: oYG.afoe F1BF-,¢ fit Top Insulation Size and Thickness: A�-���„� Top Insulation Fastener/Bonding Material: - ��` Mean Roof Base Sheet(s)&No.of Ply(s):4�liL/a„f Height Base S eet Fa nd nerB g Material: /�� 1 4/ S f p Ply Sheet(s)&No.of Ply(s):? Lx'440 G �. Ply Sheet Fastener o din WM aerial: �T -- Top Ply: 6.P 64;e S ff ter L4 — Top Ply Fastener ndingfflatellgL o 2010 FLORIDA BUILDING CODE—BUILDING 15.35 1 M I•..M I DAD- MIAMI-DADE COUNTY,FLORIDA N METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 •PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE NOA GAF Material Corporation. 1361 Alps Road Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Raving 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 faits 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 airy 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 I thro gh 19. The submitted documentation was reviewed by Jorge L.Acebo. NOA No.: 07-1219.09 MUW41________N TY Expiration Date: 11/04/13 � Approval Date: 03/20/08 Page 1 of 19 Deck Type 1: Wood,Non-insulated Deck Description: 19/32"or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. pyre Barrier: FireOutTM Fire Barrier Coating,VersaShieie Non-Asphaltic Fiberglass-Based (optional) Underlayment or SecurockTM. Base sheet: GAFGLAS®#80 ULTIMATM Base Sheet,STRATAVENT®EliminatorTM Nailable,RUBEROID®Modified Base Sheet,RUBEROID®20,RUBEROID® Heat-WeldTM Smooth or RUBEROID®Heat-WeldTA3 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS®Ply 4,GAFGLAS"Flex PlyTm 6,GAFGLAS®#75 Base Sheet or any of above Base sheets attached to deck with approved annular ring.shank nails and tin caps at a fastener spacing of 9"o.c.at the lap staggered and in two rows 12"o.c.in the field. (Maximum Design Pressure—45 psf,See General Limitation#7) GAFGLAS®Ply 4,GAFGLAS Flex PIyTM 6,GAFGLAS®#75 Base Sheet or any of above Base sheets attached to deck with Drill-TecTM" #12 standard,#14 or# 15 Screws and 3"Drill-TecTM steel plate or Drill-TecTM AccuTrac Plates, 12"o.c. in 3 rows. One row is in the 2"side lap. The other rows are equally spaced approximately I2"o.c.in the field of the sheet. (Maximum Design Pressure—45 psf,See General Limitation#7) GAFGLAS®Flex Ply7u 6,GAFGLAS®#75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin_caps at a fastener spacing of 9"o.c.at the 4"lap staggered and in two rows 9"o.c.in the field. (Maximum Design Pressure—52.5 psf,See General Limitation#7) GAFGLAS#80ULT1MATM,RUBEROMP20,RUBEROID®Mop Smooth, base sheet attached to deck with approved I'/a"annular ring shank nails and inverted 3"steel plate at a fastener spacing of 9"o.c.at the 4"lap and in two rows staggered with a fastener spacing of 9"o.c. in the center of the membrane. (Maximum Design Pressure—60 psf,See General Limitation#7) GAFGLAS®#75 Base Sheet or any of above Base sheets attached to deck with Drill-TecTM#12 standard,#14 or# 15 Screws and 3"Drill-TecTM steel plate or Drill-TecTM AccuTrac Plates, 12"o.c, in 4 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c.in the field of the sheet. (Maximum Design Pressure—60 psf,See General Limitation#7) Any of above Base sheets attached to deck approved annular ring shank nails andY'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 WMt�4o out�mr Expiration Date: 11/04/13 „ _IAPPROVEDI Approval Date: 03/20/08 Page 17 of 19 GAFGLAS*#75 Base Sheet or any of above Base sheets attached to deck with Drill-TecTM#12 standard,#14 or# 15 Screws and 3"Drill-TecTM steel plate or Drill-TecTM AccuTrac Plates,8"o.c.in 4 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c.in the field of the sheet. {Maximum Design Pressure—75 psf,See General Limitation#7) Ply Sheet: One or more plies of GAFGLAS®PLY 4, #80 ULTIMA,RUBEROID®MOP Smooth or RUBEROID®20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Cap Sheet: (Optional) One ply of GAFGLASO 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 20-401bsJsq. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane)Install one of the following: 1. Gravel or slag applied at 4001bs./sq.and 300 IbsJsq.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 galJsq. 2. GAFGLAS®Mineral Surfaced Cap Sheet,GAFGLASO Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. 3. Leak BusterTM MatrlxTM 303 Premium Fibered Aluminum Roof Coating,.at 1.5 galJsq. 4. Leak Bustef M MatrutTM 715,Leak Bustefrm Matriem 322, TOPCOATa MB+,TOPCOAT®Fireshield Elastomeric Roofing Membrane,applied at 1 to 1.5 galJsq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane,EnergyCoteO roof coating applied at I to 1.5 gal./sq. 6. TOPCOAT*Surface Seal,TOPCOAT*Fireshield"SB Solvent based Elastomeric Roofing Membrane applied at Ito-1.5 gal./sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above NOA No.: 07-1219.09 MueM=OUNTY - Expiration Date: 11104/13 Approval Date: 03/20/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: I A slip sheet is required with Ply 4 and Flex Ply"w 6 when used as a mechanically fastened base or anchor i sheet. 2. Minimum '/a" Dens DeckTM or V2" Type X gypsum board is acceptable to be installed directly over the wood deck. GuNERAL LIMITATIONS: I. Fire classification is not part of this acceptance,refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4'maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be ' applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each 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 NOA No.: 07-1219.09 Mm EcouIVTY Expiration Date: 11/04/13 .. f Approval Date: 03/20108 Page 19 of 19 na+vrreta IWAI CKIALS AND SYSTEMS DIRECTORY 192 ROOF COVERING MATERIALS(TEVT) ROOF COVERING MATERIALS(TEVT) Roofing Systems(TGFU)-Continued Roofing Systems(TGFU)-Continued Base Coat "A-38 oat-Series;Seri s-,0.7. "GAFTEMP Permalite Recover Board,,may be used in lieu of an Second Base Coat "A-38 Series-,0.75 gal/sq. insulation in any of the following.NC Cl4wifications. Y peo Wear Coat "A-38 Series"0.75 gal/sq plus walnut shells at 0.75lbs per Unless otherwise indicated, any of t)i� "Asphalt Felt Systems with F sq. Roofing Asphalt"may be surfaced with"4Fireshield MB"at 2S-3.0 gal/s. Surfacing: °A-38 Series",0.75 gal/sq plus walnut shells at 0.751bs per Class A,B and C 46 Deck NC Hot roofing asphalt,for use with organic and glass felts or modified biturtu Incline:3/4 membranes. `: lE Foam: Spray application of'2-in thick Polyfoam 273"(2.71b1ft 3) Ruberoid Heat Weld" SBS roofing membrane may be used in lieu' Surfacing: Spray application of 28 to 34-mils"U-873(1"(aluminum) "Ruberoid Mop"SBS products in any applicable Classification. 47 Deck:NC Incline:1/2 Insulation: Spray application of 2-in.thick"Polyfoam 273"(2.7 lb/ft; Class A I. Deck:C-15/32 Incline:3 •' Surfacing: Spray application of 28 to 34-mils"U-8782"(ivory) Insulation (Optional): One or more layers perlife, wood fiber,gla I.• fiber, isocyanurate, urethane, perlitd/isocyanurate composite, per6_ a GAF M-A . ,t LS QRP urethane composite,wood fiber/' anurate com p 1361 A�WAYNE NJ 07470 81306 thickness `Y polite, henolic, r' "Ruberoid 20"or"Ruberoid Modified Base Sheet"ma be utilized as an Ply Sheet: Three or more layers Type Gl "CAFGLAS Ply 4"rQ alternate to Type G2 base sheets in any of the following Classifications. "GAFGLAS Ply 6 ,hot mopped. ' 1/2 in. thick (min) gypsum board or 1/4 in. thick (min) G-P G)+psum Surfacing- Gravel. i • DensDeck®may be used in any existing noncombustible deck Classification. 2• Deck C-15/32 Incline-2 When this is done, the resulting roofing system is acceptable for use over Insulation (Optional):'One or more layers perlite, wood fiber, combustible(15/32 in.min)roof decks. The joints in the gypsum board and fiber, isocyanurate, urethane, perlite/isocyanurate composite, perh overlaywent board are offset 6 in.with the joints in the deck.If polystyrene is urethane composite,wood fiber/isocyanurate composite, it part of the roof system,it must be placed below the overlayment board. thickness_ Also,multiple plies of"GAFGLAS Ply 4"or"Ply 6"may be adhered to G-P Ply Sheet:` Three or more layers Type GI "GAFGLAS Ply Gyppsum DensDeck®in hot asphalt. "GAFGLAS Ply 6". 'Ere uard Ultra" is an acceptable alternate to"EnergyGuard"in any applicable Classification. Cap Sheet: One layer Type G3 "CAFGLAS Mineral Surfacedf Y GAF Stratavent Eliminator Venting Base Sheet(Nailable)"may be mechani- // Sheet"or"EnergyCap Mineral Surfaced Cap Sheet". call attached or hot mopped ver noncombustible decks and as a recover over l 8. Deck:NC Incline:2 existin roofs tems. Ply Insulation (Optional): One or more layers perlite, wood g ys Y Pe 6beq•-`V <' GAFGLAS Iserlite Insulation may be utilized as a cover board over"EVER- } fiber, isocyanurate, urethane, perlite/isocyanurate composite,•p GUARD"insulation in any of the following systems. urethane composite,woo(i fiber/isocyanurate composite,phenol Unless otherwise indicated, the roof insulation is mechanically fastened, s max. adhered with hot mopping asphalt or urethane insulation adhesive.Pol ty v Ply Sheet .fiwo or more layers Type G1."GAFGLAS Ply 4" rene reference in any of the following Classficatons include"ENERGuard EI'S ( GLAS Ply 6"." Insulation". Cap Sheet: One layer Type G3 "CAFGLAS Mineral Surfaced— S; References to glass fiber insulation include"EnergyGuard Fiberglass Insu- lation". Sheet"or"EnergyCap Mineral Surfaced Cap Sheet". Deck:NC ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT 4. Incline:1/2 Type GG2Sasphallt lass mat base sheet ("GAFGLAS #75 Base.Sheet" or Insulation: One or two layers"lsoth4rm R",4 in max,hot mop AFG #80 ')is a suitable.alternate for Type Gl asphalt glass Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber ply sheet("GAFGLAS Ply 4"or"GAFGLAS Ply 6")in the Class A,B or mat system. C roof systems indicated below. 5—_Deck:C45/32 ¢ncline:1 The roof deck may first be covered with a Type G2 asphalt glass mat base Slip Sheet(Optional): Red rosin paper,nailed to deck. "*? sheet"GAF Stratavent Eliminator Venting Base Sheet(Perforated)"or"GAF Base Sheet: One layer Type G2"GAFGLAS#75 Base Sheet"(may Stratavenf Eliminator Venting Base Sheet (Mailable)" . Perforated to be nailed). mopped and nailable to be mechanically attached granule side down. Ply Sheet: One or more layers Type GI"GAFGLAS Ply 4"or GAXI A i As an,o tion• G2 as halt glass mat base sheet("GAFGLAS#75 Base Ply V. Sheet","GAFGLAS#80 ULTIMA"or"GAF Stratavent Eliminator Venting Base Ca E Sheet (Mailable) may be substituted for G] asphalt glass fiber ply sheet P Sheet: One layer Type G3 GAFGLAS Mineral Surfaced Cap ("GAFGLAS Ply 4".or "GAFGJ,AS Ply 6" ) as the nailed base ply in the Sheet or"EnergyCap Mineral Surface$Cap Sheet". following systems. 6. Deck:NC )ncline-3 Bottom ply"or base sheet may be solid mopped,spot mopped or mechani- Base Sheet: One layer Type G2"GAFt;LAS#75 Base Sheet". callY fastened• ". Ply Sheet: One or more layers Type GI "GAFGLAS Ply 4"or"GAF,. Unless otherwise indicated,alt insulations may be hot mopped or mechani- GLAS Ply 6". tally fastened. Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap; GAFGLAS Flashing"or"Ruberoid"may be used for flashing in any of the - Sheet"or"EnergyCap Mineral Surfaced Cap Sheet". Class A,B or C systems listed below 7. Deck:C-15/32 I}tcline:2 When"perlite"Cl is referenced,this includes"GAFTEMP PERMALITE©"or Insulation: One or more layers perlit$,glass fiber,'isocyanurate,ure=:l any other UL Classified re suitable insulation.. thane,perlite/isocyanurate composite,perlite/urethane composite, her Gnashed stone or slag are suitable alternates for gravel in any of the Class A, P� p B or C systems listed. nolic,1.0 in.min(offset from plywood I rots 6 in.). Structural cement fiber building units are considered suitable to be included Base Sheet: One or more layers Type ],G2 or G3, as a deck in the following Class ,B or C systems listed over C-15/32 or NC. Membrane: One or more layers"Rube id Torch"(Smooth or Granule);j The use of gypsum board under any of the following Class A,B or C systems "Ruberoid Torch Plus"(granule),"Rube id Mop"(Smooth ocGranule}' does not adversely effect the iating.The use of 1/2 in.min gypsum board is an or"Ruberoid Mop Plus"(granule). acceptable alternate for insulation over C-15/32 decks. Cap Sheet: Type G3 GAFGLAS Mo�eral Surfaced Cap Sheet" or The use,of,polystyrene'insulation board between min 3/4 in.perlite board "EnergyCap Mineral Surfaced Cap Sheetj' hot mopped.- and deck with rosin paper (perlite/rosin paper/polystyrene/perlite) is a 8. Deck:C-15/32 In line.2 suitable alternate for isocyanurate board in the following Class A, B or C systems. Insulation (Optional): One or more layers perlite, wood fiber,glass BMCA En fiber, isocyanurate, urethane, perlite/isoyanurate composite, perlite/R , p gyuar anBMCA EnewGuard A may be substituted for any Atlas polyisocyanurate insula- methane composite,wood fiber/isocyamirate composite,phenolic,any tion in anyy of the following Classifications. thickness. Trumbu6"Perna Mop"may be utilized with any of the following"Asphalt Base Sheet: Two or more layers Type G2 or G3. Felt Systems with Hot Roofing Asphalt". Ply Sheet(Optional): One or more layers Type Cl. GAFGLAS#80 Premium Base Sheet may be used in any of the following Membrane: One or more layers"Ruberoid Torch"(Smooth or Granule), systems. "Ruberoid Torch Plus".(granule),"Ruberoid Mop"(Smooth or Granule) "GAFGLAS Flex Ply 6"is a suitable alternate to"GAFGLAS Ply 6". or"Ruberoid Mop Plus"(granul@). LOOK FOR THE UL MARK ON'RRQDUCT { Florida Department of MI® 0FAD E 0 Environmental-Protection - - - Mlam-Dade DERM Air Quality Management Division Division of Air Resource Management 701 N.W.1st Court 2nd Floor NOTICE OF DEMOLITION OR ASBESTOS RENOVATION Miami,F►onda33136 TYPE OF NOTICE(CHECK ONE ONLY): % ORIGINAL 11 REVISED. ❑�' NCELLATION El COURTESY TYPE OF PROJECT(CHECK ONE ONLY): DEMOLITION ❑ RENOVATION -RROOFING IF DEMOLITION,IS IT AN ORDERED DEMOLITION? 11-YES C NO >* IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑YES lNC ''r File# IS IT A PLANNED EI�OVATION OPERATION? ❑YES U-1(0 Process# 1. Facility Name �a s. Address State unty City - -- t - - -�Consultant Inspecting Building Size v (S uare Fee�_ -of Floors Building g t A e in Years - Prior User ❑School/College/University ❑Residence flSrriall Business Other Present Use: ❑School/Coll gglUniversity ❑Residence Small Business Other 11. Facility Owner j Phone{ 1 Address t City i s. .?r ; t'u:. Y State Zip 111. Contractor's Name y-ti n. �. 1;:'_ Phone( 1 Address City State Is the contractor exempt from Iicensure under section 469.002(4),F.S.? ❑YES ❑ NO IV. Scheduled Dates: (Notice must be postmarked 10 working-days before the.project start date) Asbestos Removal(mm/dd/yy)Sta d 1 r I Finish:. ' Fl,i Demo/Renovation(mm/dd/yy)Start: Finish: V. Description of planned demolition or renovation work to be performed and methods to be employed,including demolition or renovation techniques to be used and description of affected facility components. r' J Procedures to be Used(Check All That Apply): I'Strip and Removal I ❑•. ..Glove,Bag ❑I Bulldozer I ❑ I Wrecking Ball ❑ Wet Method ❑ Dry Method ❑ I Explode I ❑ I Burn Down OTHER: VI. Procedures for Unexpected RACM: VII. Asbestos Waste Trans Phone Address porter:Name � , dz a 4. City State ,_Zip Vlll.Waste Disposal Site: Name e Address Gty i State Zip IX. RACM or ACM:Procedure,including analytical methods,'employed to detect the presence of R,QGM.and g ' ` - 2 "ANV.f M. G ENT rwisio is is to certify that the required Arnoun of RACRI or CM* Ngt'fication(s) Regarding asbestos have been t ua a ateri square feet eOmerititivus materia y 'submitted in Compliance with I r p pe ua eet resilient flooring Applica le ulQiiorls, eu��b'�, fe�tQ off facility com cents -� feet asphalt roofing » *Identify and�esLn Su fad material and other materials as app able: 1 Date I certify that the above'information is correct and that an individual trained in t provisions of this regulation(40 FR Part 61, ubpart M)wi be on- _ site during the demolition or' vation and ev_ence that the required training as been accomplis b this per on will be available for in _ection_ during normal*business hours ha a read and ride tood the additional infor tion provided on a back of this rm. . L, ., A �. (PrintNameof er_ f r) �4,. (Signatur of Owner/Qperatpr) 1 (Date) a (Contact pho a#) DERM U t t a' t Received 1D# 161_01-158 10/10 DISTRIBUTION: White-DERM Yellow Applicant Pink—Reserve Gold—Reserve DISCLAIMER _ a This "NOTICE OF DEMOLITION OR ASBESTOS RENOVATION' is required pursuant to the provisions of 40 CFR 61 Subpart M and Rule 62-257.301, F.A.C.and must be submitted.prior to any demolition or regulated_asbestos abatement activity.This document is an Asbestos Notification only and is not a permit. This NOTICE OF DEMOLITION OR ASBESTOS RENOVATION does not constitute a waiver of or approval for any federal, state, county, or local permits that may be required for this facility. INSTRUCTIONS for COMPLETING NOTICE OF DEMOLITION OR ASBESTOS RENOVATION The state asbestos removal program requirements of s. 376.60, F.S., and the renovation or demolition notice requirements of the National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61, Subpart M, as embodied in Rule 62-257, F.A.C., are included on this form. Check to indicate whether this notice is an original, a revision,a cancellation, or a courtesy notice(i.e., not required WJ.41he notice is a vision,-please irate Which entries hav&been`changed a Check to indicate whether the project is a demolition or a renovation. If you checked demolition, was it ordered by the State or a local government agency? If so, in addition to the information required on the form,the owner/operator must provide the name of the agency ordering the demolition, the title of the person acting on behalf of the agency, the authority for the agency to order the demolition, the date of the order, and the date ordered to begin.A copy of the order must also'be attached to the notification. If you checked renovation, is it an emergency renovation operation? If so, in addition to the information required on the form, the owner/operator must provide the date and hour the emergency occurred, the description of the sudden, unexpected event, and an explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden. If you checked renovation and it is a planned renovation operation, please note that the notice is effectiie for a period not to exceed a calendar ear of anuary 1 through December 31. 1. Complete the facility information. This sec` n es y ciI e the renovation or demolition is scheduled.This address will be used by the ti N o t e project site. Provide the name of the consultant or firm that conducted the asbestos site surve /ins gp�G--E r"prior use"check the appropriate box to indicate whether the:prior use of th t s ollege, or university; residence, as „residential dwelling" is defined in Rule 62-257.2 C small business, as-defined irf"s. 288.703(1), F.S.; or other. If"other" is checked, identify the use. Ple haine instructions for "present use." 11. Complete the facility owner information.111. Complete the contractor information. APrROVA I11 N IV. List separately the scheduled start and asbesto removal portion of the project and the renovation or demolition po ion o t e t. V. Describe and check the meth%%" an e e , 11 r ovation. HE ude �ncor orated�b referen Rule6�22�04� 0 , /IF ( e: SAP be f, dopted and a descry tion 'of the affected f p y .A.C., equires obtaining Department approval prior to using remova ethod i ac ordance with 40 CFR section 61.145(3)(c)(i).) V . D cribe t procedur s to d in the event nexpected RACM is fabnd or pr usly nonfriable asbestos M teri eco s cru bl ; pulve ized, or red ed to powder afte staff, of the o' ct. VII. mplete e wa� r orter ' i n. VIH. om lete th d o al it 'nform O � _P p IX. List the amount of RACM or A f each type of as estos to be remove . ( ote: A v me r ment of RACM off facility components is only permissible if the length or area u r viously.) Identify and-descr'rk�e the listed surfacing material and-other lied mater . s as applicabCe. T5Asbestos Business License # ZA0000218 Mold Assessor Business License # MRSA1850 / Mold Remediator Business License # MRSR1932 4old & Asbestos Surveys & Removal * Phase 1 Environmental Assessment * Air Monitoring & Analysis May 3, 2013 Medl Station 9600 NE 2 Avenue Miami, Florida RE: Medi Station REPORT# FL13-0369RAS Rear Lower Roof Only 9600 NE 2 Avenue Miami , Florida Dear Sir: Pursuant to your request and our agreement, ETS Environment, Inc. has performed an Asbestos Roof Survey on April 30, 2013 at the above referenced facility. SURVEY LIMITATIONS This inspection report is the result of a diligent search of the facility for asbestos containing roofing materials(ACRM). All analyzed samples were readily available to our surveyor. If in the course of a renovation or demolition activity, additional suspect materials become exposed, all activities should immediately cease and the suspect material brought to our attention for evaluation and recommendation(s) if necessary. The scope of this inspection to perform a survey of roof surfacing materials for suspect ACM. Therefore only roofing material was sampled and all other building material is NOT included in this inspection survey report. LABORATORY METHODS Each sample was returned to the laboratory at ETS Environment,Inc., logged,and stored for analysis. All analyses were performed using the Polarized Light Microscope (PLM) Method 40 CFR Ch.1, Pt. 763, Subt. F, App. A Pgs. 293-299, 1-1-87 ed.; (Polarized light microscopy in conjunction with dispersion staining). The scope of our investigation consisted of the following: Six(6)random locations of roof system materials were chosen by our Certified Technician to secure as bulk samples for analysis. Samples for asbestos analysis were taken on any visibly potential Asbestos Containing Materials (ACM). Samples were placed in plastic bags and labeled for further analysis. All secured bulk samples were analyzed by Polarized Light Microscopy to verify asbestos content. Preparation of final report 12334 73 COURT NORTH, ROYAL PALM BEACH, FL. 33412 (954)236-0053 (561)333-0624 FAX (561)333-0684 SITE DESCRIPTION The roof of the building is a built-up bituminous roof with a gravel covered surface. There is a parapet wall and a drip edge along the perimeter of the roof. There is flashing present at the parapet wall. The total roof area surveyed occupies approximately 1,750 S.F.. CONCLUSIONS Based on our survey and bulk sample analysis, it was evident that NO asbestos fibers were found in any of the samples taken. CLOSING REMARKS ETS Environment,Inc.greatly appreciates the opportunity to provide quality environmental services at a reasonable cost. It has been a pleasure working with you and we look forward to doing so in the near future. Should you have any questions or comments, please do not hesitate to call. Respectfully submitted, ETS Environment, I Dennis Emerson T.H. AHERA Inspector'Certiflcate No. 144519 ZA#0000218 I hereby certify that the Roof Asbestos Survey conducted on April 30, 2013, at the Mod!Station,9600 NE 2 Avenue, Miami, Florida,was performed by Dennis Emerson,an E.P.A.Accredited A.H.E.R.A. Inspector utilizing the Code of the Federal Regulation Standards, 40 C.F.R., Part 763, Subpart E, Section 763.80- 763.99 and the State Asbestos Regulations, Florida Statues 469.003. Reviewed by. 3 Bruce Marchette, C.I.H. Date Florida Certfied Licensed Asbestos Consultant No. IA0000041 ice.S � KA," , FL ETS ffJWRONMEN?,INC. 2 TS i , BULK SAMPLE TRANSMITTAL FORM Client Name : Medi Station Project Name : Medi Station 9600 NE 2 Avenue Miami , Florida Report Number: FL13-0369RAS Date Collected: 04/30113 Sample# Location of Sample Description Condition Asbestos 1 Parapet Wall Flashing F.C. NAD 2 Parapet Wall Flashinq F.C. NAD 3 Parapet Wall Flashing F.C. NAD 4 Field Membrane F.C. NAD 5 Field Membrane F.C. NAD 6 Field Membrane F.C. NAD Sampled By:Dennis Emerson NAD-NO ASBESTOS DETECTED SAMPLE CONDITION CODES G.C.Good Condition F.C.Fair Condition P.C.Poor Condition P.D Physical Damage W.D.Water Damage F Friable N.F.Non-Friable H.Con.High Contrast M.Con.Moderate Contrast L.Con.Low Contrast 3 TS 12334 73 Court North W.P.B., Florida 33412 Project: Medi Station (954)236-0053 Lab Code: 0270 REPORT OF BULK SAMPLE ANALYSIS Sample Anal. Sample Item Description Asbestos Percentage Percentage&Type Non- Percentage Number Init. &Type Identified Asbestos Fibers Non-Fiber Mat. 1 DKE Flashing NAD 5-7 Fiberglass 85-90 Matrix 5-8 Cellulose 2 DKE Flashing NAD 5-7 Fiberglass 85-90 Matrix 5-8 Cellulose 3 DKE Flashing NAD 5-7 Fiberglass 85-90 Matrix 5-8 Cellulose 4 DKE Membrane NAD 10-12 Fiberglass 70-75 Matrix 15-18 Cellulose 5 DKE Membrane NAD 10-12 Fiberglass 70-75 Matrix 15-18 Cellulose 6 DKE Membrane NAD 10-12 Fiberglass 70-75 Matrix 15-18 Cellulose N.A.D. = No Asbestos Detected Dennis Emerson l.R-. Microscopist It 07/09/2013 09:10 3057588484 OBENOUR ROOFING PAGE 01 CERTIFICATE OF LIABILITY INSU NCE ��3i��a°is' THIS CERTI `6 ISSUED AS A MATTER OF INFORMATION ONLY D CONFERS NO RIGHTS' PON THE CERTIFICATE HOLDER. THIS CERTIFICA DOE OT AFFMMA71VELY OR NEGATIVELY AMEND, TEND OR ALTER THE RAGE AFFORDED BY THE POUCIES BELOW. CE ICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN E ISSUING INSURER($), AUTHORIZED REPRESEN 14 PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT.11 ft . rtMoate holder Is an ADDITIONAL INSURED,the Po (LOS)must be anon 5f SUBROGATION IS WAIVED,subject to the terms an ccetc no of the policy,Certain policies may require an and memarIL A statement on t*s certiflcate doss not confer rights to the certificate h er i of sudh endarseme a. PROMMOt Laura burnt t Frank H. 14arm� Inc. P E (954)9a3-5050 coSZ0,62.6216 1314 East At.il is Blvd. lauraQturmKnin *ace.COm P. 0. BOX '�SIT .i. !INURE AF COV NAIL M Pompano Chi: FL 33061 1 UIWRA sStarr In itv 6 Liability 8318 INSURED i. IN URNRa JBricigefieJEd Ei to airs Ins Co 0701 Obenour Mof.,4 sheet Metal 6 supply Co IN RC: 159 NE 97 11'i�"t IN RER D s Lrli.ami ShoAftm�i' FL 3313$ COVERAGES 1 . CERTIFICATE NUMBER:2013-14 GL/ 2012-13 WC fDHN ISION NUImBER: THIS IS TO C E T THE POLICIES OP INSURANCE LISTED BELOW HAVE EEN ISSUED TO THE INSU AMED ABOVE FOR THE POLICY PERIOD INDICATED. AIDING ANY REQUIREMENT, TERM OR CONDITION O ANY CONTRACT OR OTHEUMENT WITH RESPECT TO WHICH THIS CERTIFICATE LIED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIB HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS IT1ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE 8 N REDUCED BY PAID CLAI RAKE ERM I UMRN 6U71FRAL 9i EpCfiOCCURRE E S 1,000,000 X COMMIOom ¢lII>l$lmuABILITY t f 100,000 pi f xi OCCUR P094 Al /1/2013 /1/2014 MEDEXP WW osle eswq S 5,000 PERSONALAADYINJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 QUKAG nl. ptAPPLIESPER! PRODUCTS•COMPIOPAGO S 2,000,000 ri POLICY ,1°p k ED Imo 6 AUTOMOMILOPANU ANY 0 �M BODILY INJURY Pff PWM) S BOOB p 5pC�T�GSA Eo BODILY INJURY(PWOOddeM S HIRED AI9rONOSrt�wl�D PROPERTY $ h^ $ U uJ� HICILAINMIMLANDE CCUR E CCU EACH OCCURRENCE $ EXCENN AGGREGATE S DED S $ WORKER! Pala x WC STATU- OTH- AN015M * :JI YIN LIM ANYPR�RI A CUTIVE E.LEAC,HACCIDENT S Z00 000 OONFFY1 Ix NIA 83036966 0/6/2012 0/6/2013 E.L.DISEASE-EA EMPLOYE S 100 000 IDEIFTI r IONS bow EL.DISEASE-POLICY LIMIT S 500 00 DEBORIPTION OF G LOCAYMNB i VEHIOLEB UWMQh ACOIm 101 Adds IMO Ren UM ula,N mom spew Is��qquu{me� Broject;xi 3 Imes Saptiat Churrsh. CI4maziICAx'E HOLD I9 Ali ADDITIONAL $NSDmZD rOR ORAL LMXLITY vaR omoormi O&>I IIOA!Ioma A COMPLISTED OPUATIONS AB RZQ== BY PRIOR WAITM CONTRACT CERT11111CATF.10101 NCELLATION MOULD ANY O!'7 NE ABOVEL�SCRIBED POLICIE8 BE CANCELLED BEFORE E EXPIRATION DATE THEREOF, NgnCE WItJ. BE DlSuYERED IN MIAMI SRC VII'T =ORDANCE WITH THE POL PROVIS►oNS. 10050&M CI I aAVENOE MIAMI, 1111 , FL 33138 A OI�iIP REP1aEaENTATIVH i Dirk DsJona/L8 Ida.-.0e ACORD 25( ,E ®18@8-2010 A RD CORPORATION. All rights reservati. IN$02NPm9nteu i Tina Ad'rlPn name sM Inns►gsnn Imfamw4 marke of Ar.nRFV i 5�►ORFS Miami Shores Village Building Department agog MEN 10050 N.E.2nd Avenue Miami Shores, Florida 33138 LNy� Tel: (305) 795.2204 IORIDA Fax: (305) 756.8972 Permit No: 13-1213 Page 1 of 1 Roofing Critique Sheet 1. Provide a mechanical permit to raise the existing AC equipment. NB 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 Chief Building Official 305.762.4859 O Miami hores Village ♦5 RS t' Building Department KNIN u1111" 10050 N.E.2nd Avenue Miami Shores, Florida 33138 zrh- �� Tel: (305) 795.2204 IORIUA Fax: (305) 756.8972 Permit No: 13-1213 Page 1 of 1 Roofing Critique Sheet 1. Provide a mechanical permit to raise the existing AC equipment. NB 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 Chief Building Official 305.762.4859