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RF-14-3244 . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210784 Permit Number: RF -2 -14 -324 Scheduled Inspection Date: April 15, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Owner: WEINGRAD, ELIZABETH Work Classification: Flat Job Address: 540 NE 96 Street Miami Shores, FL Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Phone Number Parcel Number 1132060140690 Building Department Comments RE ROOF CAR PORT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 210607. CREATED AS NJ— REINSPECTION FOR INSP- 210500. No permit posted/ no ladder No record of inspections. Need complete permit package. Provide photos Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 14, 2014 For Inspections please call: (305)762 -4949 Page 15 of 23 RE: Permit # tuF Miami Shores Village Building Department INSPECTION AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: �3 i L I t �/� licensed as a ( Contractor ngineer / Architect, (Print name and circle License Type) FS 468 Building Inspector License #: ecc o n 3 i On or about �3 AM I did personally inspect the roof deck nailing and (Date & time) Secondary water barrier work N (Complete Job Site Address) 0 Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 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 Notary Public, Sate of Florida at Large ofd E Wommis,,ion # FF 070372 ,kif Expires: Nov. 13, 2017 '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 5121/2009 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: RF -2 -14 -324 Invoice Number: RF -4 -14 -51182 Applicant: ELIZABETH WEINGRAD Company Name: Date Payment Type Check Number Amount Change 04/08/2014 Cash $78.00 $0.00 Total Payment: $78.00 Tuesday, April 8, 2014 Page 1 of 1 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: RF -2 -14 -324 Invoice Number: RF -4 -14 -51182 Applicant: ELIZABETH WEINGRAD Company Name: Date Payment Type Check Number Amount Change 04/08/2014 Cash $78.00 $0.00 Total Payment: $78.00 Tuesday, April 8, 2014 Page 1 of 1 IZF I •. Florida Building Code 201ibif Velocity Hurricane Zone Uniform Permit Application Form Section A [ N �enait No. s Name Slope ),(,Law Asphaltic Shingles ❑ New Roof Process No. ROOF CATEGORY Q Mechanically Fastened Tile ❑ Mortar /Adhsslve Set Tile ❑ Metal Panel/Shingles ❑ Wood Shfngles/Shakes Are there ❑ Prescriptive suR -RAs 15o Gas Vent Stacks? Yes :.l No-1 ROOF TYPE Type: Naturals LPGX=_1 vu Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) W LfvD S®cu m B j to f P lan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly ldentifv dimensions of elevated nressum zones and location of Demote. a too i �Fl� i a 'i QD i�i 'i � ' ��r in >.- �■ ss ,q Pic r c' � e � OR i � � k� �' arc as• � �� r:C ,r►: ,.�. . ■_ a ■.. .. ... . • ■ ■ WON r INN s ••• • • • • • • ••• • • • • • • • • • • • • • • • • • • • •• •• • • • • •• •• ••• • • ••• • • I I () COMPI InN(,F_ WITH ALL FEDERAL f •I Iti.II 1 S ANI) RMIJI ATIQNS Section C2 • s r • Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, 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 15 HVHZ, FBC. � 9" s-,", shy. �- LA,,( .• ••• • . . • . •• . ...•.• ..... . .. ..• . .. . . . . . • . .... ••• ••. ••• • e • • e•• • • • • • • • • • • • • • •• •• • • • • V s• ••• • • ••• • • rem` S�� c� Parapet Wall Height Mean Roof Height 1 7�1 ft. eAA l Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 March 21, 2014 Permit No: RF14 -324 Building Critique Review REVISION DEATIL PROVIDE DOES NOT COMPLY WITH RAS 111. PROVIDE SYSTEM MANUFACTURERS APPROVED DETAIL THAT COMPLIES WITH THE REQUIREMENTS OF RAS 111. SKETCH PROVIDED ON SHOWS THE LOCATION OF THE REQUIRED SCUPPER. SHOW SIZE AND LOCATION OF THE REQUIRED OVERFLOW. Ismael Naranjo Building Official 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. . > a i Shores Village lding Department . .2n d Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 F • (305) 756.8972 INSPECTION'S PHONE ER: (305) 762.4949 P ERMIT APPLICATIO. Permit Type: JOB ADDRESS: BUILDING Lei F BC 20 Permit No. 33q Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: no 10 b Folio/Parcel #: Is the Building Historically Designated: Yes NO X Flood Zone: Tenant/Lessee Name: Phone # - Email: CONTRACTOR: Company Name: Address: aa.) 0 ® I 51 — City: �A I G rO State: EJ Zip: 3 C) o n Qualifier Name: ORCID �� pp Phone #: State Certification or Registration #: y�, I �0 Certificate of Competency #: _ Contact Phone#: �° gCLa Email Address: DESIGNER: Architect/Engineer: s' Phone #: t Value of Work for this Permit: $ F a t -DQ Square/Linear Footage of Work: L400 Type of Work: ❑Addition ❑Alteration ❑New Repair/Replace ❑Demolition Description of Work: f a !a e Color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ CCF CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE - 3oatft Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or A nt The foregoing in trume�as acknowledged before me this 1 day of , 20 by Al-Ad who ' rsonall kn or who has produced Signature The foregoing instrument was acknowledged before me this day of , 20 -L4, by who is rsonally known a or who has produced As identification and who did take an oath. as identification NOTARY PUBLIC: A&' VISIM- queline Espinosa NOTARY PUBLIC: J1 Sign: E::,' Print: lip My Commission Expires: t ° Expires: Nov. 13.2017 WWW.AA OUrAZZM Sign: Print: who did take an oath. t %jaequefte Espinosa Expires: Nov 13,2017 WWW.AAR0NNQM1r = 1 My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /1212012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09) s ` s SN011V1 103(11 i' I 113=1 1M O 3011: t ldl'� J O TTd NJ 3. 30 JNINOZ 1 - t�o�02--51 tiding Code Edition 2010 gh Velodtfr�iu�c ne Zone Uniform Permit APPOWUm Form SeGti0111-A- '(General Information) °. Master Permit No. Process No. _ ■ Ili p Contractor's Name 1 1� l iN C Job Address HIGH- VELOCITY HURRICANE ZONES ROOF CATEGORY ■ ;�1 Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes Shingles ❑ Prescriptive BUR -RAS ISO ROOF TYPE Q New Roof Rerooin ■ fg 13 Recovering E3 Repair ❑ Mainfpnanwe ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total Sketch Roof Plan: Illustrate all levels and section$, f n,s, pp`ers, overflow scuppers and overflow drains. include dimen s' ec ° s an I vpls, clearly iden dimensions of elevated pressure zones a �o .% Pl- .4 iJ T S ,� + .•t �. • ■ Ve Hier FbrMa "NOW Code 2010 EdWon bNty Municane Zone Unftorm PermM Appfcadon Form WAMd am W MMSPwftr4w ftommal Fa'Aaeboe!lleae o�M Arsoowparw�trnerawd, uw/ytas'Ni1� ,� •eootA.anow�.,�� "ao 00@W l W PMWBW Pow %" m or dla*ftm `.+°""r. �-' eeo laps rRow.� o. t�• o0 P 7APO, awl on F l- Top6lfairron�sYr. - To kwj ftftbo d NK N Houbm rMFalftme Per fa=Ukftn �NoMd and oft Rwft. C+o s�cm Fbdft fttl�. � CwAftr a � IRW M Facet mam Tuftmw Farlmr rsoww Pd or ff Mi111� 0� 1wt C�omptfr,rph [� ��i .aa Ch�Mr 1e. SWIM C y j dC ■�'i�'� .i frT. f W /4 Fr. T M1AMa MIAMI DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES R) PRODUCT CONTROL SECTION BOARD AND CODE ADMINISTRATION DpaSION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA) NWW.MjamJdad&g21'/eC 0n0M Tarco Specialty Products, Inc. One Information Way Suite 225 Little Rock, AR 72202 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Tarco Self- Adhering Modified Bitumen Roofing Systems over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA# 12- 0221.02 and consists of pages 1 through 10. The submitted documentation was reviewed by Alex Tigera. NOA No.: 12-1703.06 tM4,DE COlAdilf Expiration Date: 11/08/18 Approval Date: 11/14/13 Page 1 of 10 Membrane Type: SBS Deck Type 1: Wood, Non - Insulated Deck Description: 19/32° or greater plywood or wood plank System Type E(1): Base sheet mechanically fastened. All General and System limitations apply. Base Sheet: One ply of LeakBarn" EasyLayTM fastened to the deck as described below. Fastening #1: Attach base sheet using 12 ga. annular ring shank nails with min. 32 ga., 1 -5/8" diameter tin - caps spaced T' o.c. in the 4" lap and T' o.c. in three, equally spaced, staggered center rows. Fastening #2: Attach base sheet using # 12 Standard Roofgrip or OMG Heavy Duty fasteners with OMG 3" Galvalume Steel Plates or Trufast #12 DP or Trufast #14 HD Fasteners with Trufast 3" Metal Insulation Plates spaced 10" o.c. in the min. 4" lap and 10" o.c. in two, equally spaced, staggered center rows. Ply Sheet: One ply of LeakBarrier%syBaseTm self - adhered. Membrane: One ply of LeakBarriers'EasyStick P1usTm self-adhered. Surfacing: (Optional) Install one of the following to obtain required fire classification. I. Gravel or slag at 400 lbs /sq or 300 lbs /sq, respectively, in a flood coat of approved asphalt at 60 lbs /sq. 2. Karnak 97 Fibrated Aluminum Asphalt Roof Coating or Asbestos Free Aluminum Roof Coating at I% gal/sq. Maximum Design -60 psf (See General Limitation #7.) Pressure: NOA No.: 12- 0703.06 tam►DE Expiration Date: 11/08/18 Approval Date: 11/14/13 Page 8 of 10 WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within. the EVT range and at a rate of 20-40 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 filly mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 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 2751bf. 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 to Roofing Application Standard RAS i 11 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 comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and comers). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N -3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 12- 0703.06 nrtauaoE outvnr Expiration Date: 11/08/18 1APPROVED1 Approval Date: 11/14/13 Page 10 of 10 TGFU.R13228 - Roofing Systems Paae Bottom See General Information for Roofing Systems TARCO INC su"E 225 1 INFORMATION WAY LITII.E ROCK, AR 72202 USA TGFU.R13228 Roofing Systems Roofing Systems ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Asphalt organic felt for use in construction of Class A, B and C roofing systems. Asphalt glass fiber fait for use in construction of Class A, B and C roofing systems. SINGLE PLY MEMBRANE SYSTEMS Class A - Ballasted 1. Deck: C -15/32 Incline: 2 R13226 Pagel of 4 insulation (Optional): — Polyisocyanurate, polyisocyanurate /perlite composite, glass fiber, wood fiber or perlite, any combination, any thickness. Base Sheet (Optional) — One or more plies of any UL Classified Type G1 or G2. Ply Sheet (Optional) — One or more plies of any UL Classified Type G1 or G2. Membrane: — "EasyMop SBS Cap ". Surfacing: — River bottom stone (3/4 to 1 -1/2 in. dlam) at 1000 lb/sq. Class A - Fully Adhered 1. Deck: C -15/32 Incline: 1/2 Base Sheet: — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by, "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier Easyl-ay ", mechanically attached. Ply Sheet: — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane. — "EasyStick Plus FR ", self adhered. 2. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Any UL Classified, any thickness. Barrier Board: — W -in., rlrin. or 5 /8-in. thick G-P "DensDeck Prime® Roofboard ", "DensDeck Prime 2TM Roofboard ", ' DensDeck DuraGuard® Roofboard" orUSG "SECUROCKS Glass -Mat Roof Board" (Type SGMRX), mechanically fastened or fully adhered with all joints staggered a min of 6 in, from the plywood joints. Base Sheet (Optional). — One or more plies of "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarder EasyStidc Plus FR ", self adhered. 3. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Any UL Classified, any thickness. Barrier Board: — W -in., V2-In. or 5 /8-in. thick G-P "DensDeck Prime® Roofboard ", "DensDeck Prime 2— Roofboard ", or "DensDeck DuraGuard® Roofboard ", USG "SECUROCK® Glass -Mat Roof Board" (Type SGMRX), mechanically fastened or fully adhered with all joints staggered a min of 6 in. from the plywood joints. Base Sheet (Optional): — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS Multipurpose Underlayment" or "LeakBarrier EasyLay", mechanically attached. Pty Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. http : / /database.ul.comlegi- biWXYV/ template /LISEXT /1FRAME/showpage.html ?name =•.• 10/25/2011 TGFU.R13228 - Roofing Systems 4. Deck: C -15/32 Incline: 1/2 Page 2 of 4 Insulation (Optional): — Any UL Classified, any thickness. Barrier Board: — 1/4 -In., 1 /rin. or 5 /8 -in. thick G-P "DensDeck ® Roofboard ", USG "SECUROC KO Glass -Mat Roof Board" {Type SGMRX), mechanically fastened or fully adhered with all joints staggered a min of 6 in. from the plywood joints. Base Sheet: — One or more plies of any UL Classified G2 or "LeakBarrier GfassBase ", followed by "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR", self adhered. 5. Deck: C -15/32 Incline: 1/2 Barrier Board: — 1/4, 3/8, 1/2 or 5/8 In. thick "SECUROCK® Gypsum -Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with all barrier board butt joints staggered a minimum of 6 in. from the plywood deck butt joints. Base Sheet (Optional): — One or more plies of "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. Note: All deck joints blocked with 2x4's 6. Deck: C -15/32 Incline: 112 Baffler Board: — 1/4, 3/8, 1/2 or 5/8 in. thick "SECUROCK® Gypsum -Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with all barrier board butt joints staggered a minimum of 6 in, from the plywood deck butt joints. Base Sheet: — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS Multipurpose Underlayment" or "LeakBarrier EasyLay , mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarnW €asyStick Plus FR ", self adhered. Note: All deck joints blocked with 2x4's 7. Deck: C -15/32 Incline: 112 Insulation (Optional): — Any Classified, any thickness. Barrier Board: — 1/2 or 5 /8 -in. thick "SECUROCKO Gypsum -Fiber Roof Board" (Type FRX -G), mechanically fastened or fully adhered with all butt joints staggered a minimum of 6 in, from the plywood deck joint. Base Sheet (Optional): — One or more plies of "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane, — "LeakBarrier EasyStick Plus FR ", self adhered. 8. Deck: C -15/32 Iodine: 1/2 Insulation (Optional): — Any Classified, any thickness. Barrier Board., — 1/2 or 5/8 -In. thick ' SECUROCK0 Gypsum - F?ber Roof Board` (Type FRX -G), mechanically fastened or fully adhered with all butt joints staggered a minimum of 6 in. from the plywood deck joint. Base Sheet — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS Multipurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. 9. Deck: C -15/32 Incline: 1/2 Base Sheet (Optional): — One ply Type G2 mechanically attached Insulation (Optional): — Any UL Classified, any thickness. Barrier Board: — 1/4, 3 /6, 1/2 or 5/8 In. thick "SECUROCKS Gypsum -Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with all barrier board butt joints staggered a minimum of 6 in. from the plywood deck butt joints. Base Sheet: — One or more plies of any UL Classified G2 or "LeakSarrier GlassBase ", followed by "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. 10. Deck: NC incline: 1/2 Base Sheet (Optional): — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier Easylay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. http: // database. ul. com /cgi- binlXYV/ template /LISEXT /1FRAME/showpage.html ?name =•.• 10/25/2011 TGFU.R13228 - Roofing Systems 11. Deck: NC Incline: 1/2 Page 3 of 4 Insulation (Optional): — Any Classified, any thickness. Barrier Board: — 1/4, 3/8, 1/2 or 5 /8 -in. thick "SECUROCKO Gypsum -Flber Roof Board" (Type FRX -G), mechanically fastened or fully adhered. Base Sheet (Optional): — One or more plies of "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR", self adhered, one or more plies. Membrane, — "LeakBarrier EasyStick Plus FR ", self adhered. 12. Deck: NC Indimn. 1/2 Insulation (Optional): — Any Classified, any thickness. Barrier Board: — 1/4, 3/8, 1/2 or 5 /8 -in. thick "SECUROCK® Gypsum-Fiber Roof Board" (Type FRX -G), mechanically fastened or fully adhered. Base Sheet: — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS MultiPurpose Underlayment" or 'LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR", self adhered. 13. Deck: NC Incline: 1/4 Insulation: — Potyisocyanurate, glass fiber, wood fiber or peritte, any thickness, mechanically fastened. Base Sheet: — One or more plies of "LeakBarrier GlassBase" or "LeakBarrier SBS Multipurpose Underlayment", hot mopped. Membrane: — "LeakBarrier EasyStIck Plus FR ", self adhered. Surfacing: — Karnak " #298 ", 1 -1/2 gal sq. 14. Dedu NC Incline: 1/4 Insulation: — Polyisocyanurate, glass fiber, wood fiber or perlite, any thickness, mechanically fastened. Base Sheet: — One or more plies of any UL Classified G1 or G2, hot mapped in place, followed by "LeakBarrier GlassBase" or "LeakBarrier SBS MultiPurpose Underlayment", hot mopped. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. Surfacing: — Karnak '4298 ", 1 -1/2 0 sq. 1. Deck: C -15/32 MAINTENANCE AND REPAIR SYSTEMS Class A, B or C Indine: 1/2 Existing root system: — (To maintain existing Classification) Any Class A, B or C, coated or uncoated, insulated or un- Insulated, smooth surfaced, Type G3 mineral surfaced cap sheet or mineral surfaced modified bitumen membrane BUR system. Barrier Board: — 1/4, 3/8, 1/2 or 5/8 in. thick "SECUROCKO Gypsum -Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with alt barrier board joints staggered a minimum of 6 In. from the plywood deck butt joints. Base Sheet (Optional): — One or more plies of "LeakSarrier SBS NuMPurpose Underlayment" or "LeakBarrier EasyLay*, mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR", self adhered, one or more plies. Membrane. — "LeakBarrier EasyStick Plus FR", self adhered. 2. Deck: C -15/32 Incline: 1/2 Existing roof system: — (To maintain existing Classification) Any Class A, B or C, coated or uncoated, insulated or un- Insulated, smooth surfaced, Type G3 mineral surfaced cap sheet or mineral surfaced modified bitumen membrane BUR system. Barrier Board: — 1/4, 3/8, 1/2 or 5/8 In. thick "SECUROCK® Gypsum -Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with all barrier board joints staggered a minimum of 6 in. from the plywood deck butt joints. Base Sheet: — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarder EasyLar, mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBarrier EasyStick Plus FR ", self adhered. 3. Deck: NC Incline: 1/2 Existing roof system: — (To maintain existing Classification) Any Class A, B or C, gravel covered BUR system. Gravel may be removed. Barrier Board: — 1/4, 3/8, 1/2 or 5/8 in, thick "SECUROCKO Gypsum-Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with all barrier board butt joints staggered a minimum of 6 in. from the plywood deck butt joints. Base Sheet (Optional): — One or more plies of "LeakBarrier SBS MultiPurpose Underlayment" or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR", self adhered, one or more plies. Membrane, — "LeakBarrier EasyStrck Plus FR, self adhered. http: / /database.ul. com /egi- bin/XYV /templatelLISEXT/ 1 FRAME/showpage.html ?name =• .. 10/25/2011 TGFU.R13228 - Roofing Systems 4. Deck: NC Incline: 1/2 Page 4 of 4 Existing roof system: — (To maintain existing Classification) Any Class A, B or C, gravel covered BUR system. Gravel may be removed. Barrier Board: — 1/4, 3/8, 1/2 or 5/8 In. thick "SECUROCK® Gypsum -Fiber Roof Board" (Type FRX -G) mechanically fastened or fully adhered with all barrier board butt joints staggered a minimum of 6 in. from the plywood deck butt joints. Base Sheet: — One or more plies of any UL Classified G2 or "LeakBarrier GlassBase ", followed by "LeakBarrier SBS Multipurpose Underlayment ", or "LeakBarrier EasyLay ", mechanically attached. Ply Sheet (Optional): — "LeakBarrier EasyBase FR ", self adhered, one or more plies. Membrane: — "LeakBanier EasyStick Plus FR", self adhered. Last Updated on 2011 -03-30 Ouestions? Print this Dane Notice of Disclaimer Pane Too _CpnAgiaht ® 2011 Underwriters Laboratories Inc.® The appearance of a company's name or product In this database does not in Itself assure that products so Identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained In the Online Certification Directory subject to the following conditions: 1. The Guide Information, Designs and /or Listings (files) must be presented in their entirety and in a non - misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must appears adjacent to the extracted material. In addition, the reprinted material mast WwJude a copyrIgM notice in the following,format: "Copyright © 2011 Underwriters Laboratories Inc. ®" P•.1 indeF39dent c'gn1173tian ✓corking t c ' a Suter tenr n Y,;11h intFgrlty precislrn inn k9oveI?dgc &. An hq: /fdaMbase.ul. comlcgi- bin/XYV /template/LISEXT /1 FRAME /showpage.html?name =•.. 10/25/2011 Owners Notification Form HVHZ 2010 r MIAMF e "Delivering Excellence Every Day" SECTION 1524 HIGH VELOCITY HLTRRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern 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 and the contractor. The owner's initial in the designated space indicates that the item has been explained. c 1. Aesthetics- worlananship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion 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. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (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 •tits (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 work to be performed. 4. Exposed ceilings: 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 penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. \co 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o erloaded fiom a build up of water. Perimeter /edge walls or other roof extensions 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 Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7, Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, venting shall not be required. (� Owner's/Agent's Signature: —� Date: Contractor's Signature: `" °' Permit Number: Property Address:® �j T To: Miami Shores Village 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. Miami Shores Village Building Department 10050 NE 2"d Ave Miami Shores, I Re: Owner's Name: Property Addre; Date: M 1411 Roofing Permit Number. Dear Building Official: I 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 constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) RA6��-'t w d Signature 0 Print Name State of Florida County of Dade The undersigned, being the first duly swfom, deposes and says that he/she is the owner for the above property mentioned. Swom to and subscribed before me this day of brad gd Iq OZ-"- , JacqueUnne Espinosa Notary Public, Sate of Florida at Large 1C=MWone"0Mn ' $spires: Na 13, 2017 a • When the just valuation of the structure for pin e of arTvalorem taxation is equal to or more than $300.000.00, and the bull ft was not constructed wkh FBC nor a 1994 SFBC. Then you must provide a buDftg applicaft from a General contractor for the Roof to Watt cmnecdon Hurricane MNgation. Revised on 5121009 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT Q: — DATE: (NAME) ,Contractor • Owner • Architect Picked up 2 sets of plans and (other) Address: ,� qQ N a 6- �& From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Buildine artment to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK I RESUBMITTED DATE: PERMIT CLERK INITIAL: � ..'t a�ay��ti Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 3313$.- Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: BUILDING P, Permit No: Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: I t °- jQ6Lq -p 1 u-® (oQ n Is the Building Historically Designated: Yes NO -x Flood Zone: State: El Zip: CONTRACTOR: Company Name: Address: ;9 WI C ) 1�—�W City: " i Qualifier Name: IP—I Zip:�1� Phone#• State Certification or Registration #: 0,''1, Q � � I Certificate of Competency #: i Contact Phone# �q `11� Email Address: (° ( ro a DESIGNER: Architect(Engineer: l'1 a Phone#: Value of Work for this Permit: $ 51 S) 50 • CC Square/Linear Footage of Work: ^ r Type of Work: LIAddition OAlteration w ONew XRepair/Replace ODemolition Description of Work: Color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ COICC $ DBPR $ Bond $ _ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Compan,'s Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 COMINIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MPROVEMENTS 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 roust 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 roust 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 Signature 04er or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was knowl ged before me sA day of 20 J4, by day of , 20 by , who is who has produced who is rsonall to me or who has produced As idenrificatigi vr¢hg dic�;tak{� Moth. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: �t My Commission Expires: APPROVED BY W `1Cammissim #FFOM72 NOTARY PUBLIC: �` ! "4••. Jacqueline Espinosa i► `g Expires: Nom1%2017 = Commisft #FF0703n ■,��a� WWW AARaW0fMT, m � - xExpires: Nov. 13,2017 �- Si gn: WWWAARONNoTASY= Il'1(75� Print h'10 My Commission Expires: Plans Examiner Structural Review (Revised 3 /12/2012)(Revised (Y7 /10/07)(Revised 06110009)(Revised 3/15/09) Zoning Clerk Feb 20 2014 2:40AM HP LRSERJET FAX p.5 C7 Lm CERI"FIC TE OF I..IABiL,.FTY IRS NCE QAMCWAQD VVM 21IM14 TIC CERTIFICATE 0 ISSUED AS A MATTER OF MWOR MTMON ONLY AND f?ON NO T8 UPON THE CWTIftWt HOLDM YNS CERTIFICATE DOW 11r5T AtPPEEI(ATPAtL.Y OR WWAIWELY AMB0. EXTEND OR ALTER E t3iitlERAGE= A FFORWO BY THE POL.10158 BROW, TINS CEK#TtFICATO OF MURANCE DOES NOr 0ONSTt UTE A CONTRACT EN THE ISWING INSUF (ft A� 1104 �EEIiTAT OR PRt7K7kiOM AND THE CO MISi�AT9 ROGER. AV'r.- it-the • iWw- 1st a:n DDl71DNAL W'SU t , the polwyeaq mmst be e fi TIAN M E #i p!0—: stem to the wrist . -of the , 0"In Fallaim �y mqulm an endvi ntE; A oa: ihb 'dam fk t PRODUO" Le _ Presidernft Insurance Se rvic", LLO 305-42 350 2WS South Tay shore Drive #707 zj .__...___ _........_....._...._._. Mama. FL. 33133 um w .E_ FetuIlyB t:ctrt s City Roaring. Mrto_ c• 22M SVV 172M CT. h iaml, FL. 33170 iNt3a ATEp• KMMTHSTAIEDING ANY MOLUR90-- f, tb4i bW 6&6ffE6Et t5F Jf t'rt1NTi>;ACT t;9~I"WCATE MAY BE WSUEtD Oft MAY PURTAiN Thi@ WWnkNC£ AFFOROED BY THE P©LMK m EXCLUSIGNS.AND C0KDr NSt1F SUCH MLICEf��u•- LIWTS IEHOM MAY NAVE MEN REDUCED ELY N� X ti6JR%f}Et;1f fflt OWLA [_� mo.- ,� n Lor, 0mikit Asir B, LVJKW AW AWO o°sea MEW AUM AUTO&' OCCUR Excess tme _ - . E_.AMW4ADe womam AMMKOVAWIJAINUTY ANY trQu P Ek�t'X�C� urwE YIN. �xt PC- 78190-04 1 8/712013 1 &412014 ALWATMlrtVMXNXg (At9@RD lDi. BQ �gg�rl�s�7atreA HEREIN IS MmCT TO \AlHM THESS ,T TO ALL THE THIS; LEM S PODLY INJtAir' Pw ►k~ s BOMY MURY (Per amtaeaq Y Warm Sftares VIIWge Bt r kON Depaytt't ent SIH CVW Aek OF � BE I.LE G 10 NE 2nd Ave. '+ ATrm" ,a: TWR�, E Tae WILL ab_ SEW W 11�iaEnd Shores, FL 33135 �acaa�ai�r�+etinTlt Y ACOM 25 rA0$W4i) TIM AtCOW names awl Wgo We L u w-., ,.-' !,r ar-. .., U pqB z 4,-,- art N. Feb 20 2014 2:361711M HP LRSERJET FRX p,2 CERTIFICATE OF LIABILII`Y.INSURAN Date 2/11/2014 producer: Lion insurance Company Ttklts Certificate Is Ind ma3ter of Information only and oonters no 2739 U.S. Highway 19 N. Holiday, FL 34591 rights upon the Certificate or alter file cove`age afifa tdCr. This Certificate dow not aanend, extend by trine poles below. Irtsiuers � CDVeraga NAIC # (727) 938 -5562 Immix: South East Personnel Leasing, Inc. & Subsidlarles 2739 U.S. Highway 19 N. Holiday, FL 34691 insurer A Lion Insr�dnce insurer e: mpany 11075 Insurer c: Insurer D. Insurer E: coverages Tha (es of nstaartce s below asu to the nerved ore tier q anY WWI respect to which the CBrtiticste may be Issued or mey pertaK the insunsnce afforded by the policies desoibed homin Is subject 10 an Ihrtte shown may have been reduced by paid Claims. remenL or 'on any or r docurnord terms, exduslom and aondt m of such policies. AWrvgete INSR LTR ADDL INSRD Type of Insurance Policy Number Pollcy Effeethm Date Policy E39 Da ton Limits f�l�nlnn Iw1D n GENERAL LIABILrTY Each ooc mvm Commercial General Liability claims Made 0 Occur oocc�renccee) snood premises (EA Mod P�elsortel Adv Injury enteral aggregate limit applies per. Generel Aggregate Poncy ❑ PmJBct 13 LOC Products - Corrtp/OA A99 AUTOMOBILE LIABILITY Combined Shvio Larnit Any Auto (EA Aoddentt) Sodny InMq An Owned Autos Scheduled Autos (Per Perm) S Bodfly WWy tinted Autce Non -Owned Autos (Per Accident) PYOperty Dentage (Per Accident) EXCESSJUMBRELLA LIABILITY Eacho�rmerroa occur ❑ Claims Made Oeduclibl® A%regets A Workers Compensation and Employers' Liability WC 71949 01/0112014 01101120 X we Statu- I co Limns OTH- ER E. L. Each Accident 51,000,900 Any ProPdetor"rtnerfexecullve oRtceHmember excluded? NO If Yes, describe undwspecEal provisions below. E L. Disease - Ea Employee 81,00.909 E.L. Disease - Policy Links 81,00,tto9 • Other Lion Insurance Company Is A.114. ,Best Com any rated A- (Excellent). AMB # 12616 DescriPUcne of Opom lonWLOaai lonefVehlcloWEsclusions added by Endonsement(Special Provl Coverage only applies to active empbyee(s) of South rest Personnel Leasing, Inc. & Subsidiaries that are leased to the no: Ghent ID: 3645 -190 Mowing °Client Company ,,: City Roofing and Construction Inc. Coverage only opplles to Injuries Incurred by South East personnel Leasing, Inc & SubsidWes active empioyee(s), whu Coverage does not apply to slatuboty emplavegs) or Independent contractor(s) of the Client Company or any tither e rking in: FL A list of the actve employea{s) lead to the Client Company can be obtained by faxIng a request tD (727) 937 -2138 or project Namaj v calling (727) 93EI-5562. ISSUE 02 -11 -14 (EP) CER FICATE HOLDER CANCELLATION 3 MIAMI SHORES VILLAGE BUILDING DEPT. 10030 NE 2ND AVE. Ishouldanyofirrearoveds, bed Insurer Will endeavor to sal 130 days do so shall Impose no obligation or deli becanoel thee ararondeta 11he Issuing notice to afe ceadtkata holder named to tie left, bW Mum to of any kind upon the insurer. Its agents or representailves. MIAMI SHORES, FL 33138 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #:Jt— � q �2q DATE: �S I, 12B�I CAP ftt � :3 Contractor A owner /mil ki o Architect Picked up 2 sets of plans and (other) Address: r Lz 0 /LJ C �%y P From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village BuiIdinqPjVOmqt to continue permitting process. Acknowledged PERMIT CLERK INITIAL: RESUBMITTED DATE: 7 PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 FEBUARY 20, 2014 Permit No: RF 14 -324 Building Critigue Review 1. Propose system does not match with UL system provided. 2. Roof should provide positive drainage. Ismael Naranjo Building Official Plan review Is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 FEBUARY 20, 2014 Permit No: RF 14 -324 Building Critique Review 1. Propose system Ceze-cec" / p y does not match with UL system provided. 2. Roof should provide positive drainage. Ismael Naranjo Building Official Plan review Is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page.