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RF-13-2189Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 208831 Permit Number: RF -9 -13 -2189 Scheduled Inspection Date: May 28, 2014 Inspector: Rodriguez, Jorge Owner: SHEPHERD, SARAH Job Address: 1276 NE 93 Street Miami Shores, FL 33138- Project <NONE> Contractor: MANUEL JOYA ROOFING Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132050270230 Phone: 305/661 -5454 Building Department Comments RE -ROOF FLAT ROOF NW CORNER Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 199969. BY MELISSA May 28, 2014 For Inspections please call: (305)762 -4949 Page 3 of 16 Miami Shores Village •4 1Building Department yviS\S5, A% 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 \0\0\ j?1)' 9 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILD PERMIT APPLICATION FBC20LO Permit No. Master Permit No. % 3 al s-ci Permit Type: BUILDING ROOFING JOB ADDRESS: 1 ra. % lv = E . 93 S City: Miami Shores County: Miami Dade Zip: 1-3 k Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 41 L ) 5 � � Phone #: !SY / 's �� r a h -- • Address: (2-? 4.).-C- 3 � e City: S State: Zip: 2 ? ( ? Tenant/Lessee Name:- Phone #: Email: S r 6-011A:.(._ 0..a (n4 CONTRACTOR: Company Name: h Ps ‘Q '�,S °S..` i�e '� n` Phone #:IV S ") -(.1) Address:)-4 ` `� - 4 9- S City: IA (A 1M State: `_ ` kr Zip: 33 (T r Qualifier Name: t \ (? 1/41 .. Phone #: State Certification or Registration #: e, C L 4 .516 5 (( Certificate of Competency #: Contact Phone #:3®5 -,?..,(;) -5 C. Email Address: k N w' I 1%.1S e M N l .0 IAN.. . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ L0 k3 SSD Square/Line gr Footage of Work: 1 3 Type of Work: DAdditi n OAlteration Description of Work: h - ONew epair/Replace ODemolition r'''‘ lit )(� Color thru tile: ******** ** *u * * * * * * * *** * * * * * * * * * * * * * * * ** Fees************* ** * * * * * * * * * * * * * * * * *** * * * * * ** * ** 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 $,22 ,j '0 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip VIP e 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 buildin: permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature`�� Owner or Agent The foregoing instrument was acknowledged before me this ZK day of 'j fan , 20 P , by‘50141U 9-{'4 H (ira? who is personally known to me or who has produced 1CI...W-2 As identification and who did take an oath. NOTARY PUBLIC: ��•�" era 4i, • Sign: Print: My Commission Expires: * * * * * ** *** * * * * * * * * * * * * * * * * ** APPROVED BY Con The foregoing : strument was ackno�:. ged before me thin ' day of � , 20 LS by M G1. .A SO44, who is personally known to me or who has producedD as identification and who did take an oath. My Comnmssioh 3 Plans Examiner a co Structural Review (Revised 5/2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) �i�rtrr►o nu ► ►'4° Zoning Clerk r Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: e Property Address: /2 7 6 6E 9 34 ( S Roofing Permit Number. Dear Building Official: certify that I am not required to retrofit the roof to wall connections of my building because: he just valuation for the structure for purpose of ad valorem taxation is less than $30000.00. 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) sL £ Signaure Print Name State of Florida County of Dade The undersigned, being the first duly sworn, d e oseess and says that hels(p,js the owner for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large \`'elSr-A • When the just valuation of the structure for purpose of ad valorem taxation Is equip or : if Q rc� and the building was not constructer with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the i4iettifaauMallut tiecton Hurricane Mitigation. Revised on 5/21/2009 a r CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: c PERMIT # ADDRESS: rTh C' kft— 9 3 FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): CD COST OF PROPOSED IMPROVEMENTS: cc, CCK C (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): l� li cm , 0C q t� J VALUE OF PRINCIPAL STRUCTURE (attach appraisal)' !1 11 L ):) r l OWNERS SIGNATURE: PLANREVIEWER: PLAN SIGNATURE: DATE: REVIEWER SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum. System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and. Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool 9/26/13 Property Search - Report Property Information: Folio 11- 3205 -027 -0230 Property Address 1276 NE93 ST Owner Name(s) JOHN M SHEPHERD Exemption/ Taxable Exemption/ Taxable HERD JR Mailing Address 160 W CAMNO REAL #141 BOCA RATON FL 33432 Primary Zone 1300 SGL FAMILY - 2801 -3000 SQ Use Code 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Adj. Sq. Footage 2,215 Lot Size 9,375 SQ FT Year Built 1951 Full Legal Description BAY LURE PB 44-63 LOT 11 BLK 2 LOT SIZE 75.000 X 125 OR 13698 -3182 0588 6 Assessment Information: Current Previous Previous 2 Year 2013 2012 2011 Land Value $171,000 $162,000 $135,000 Building Value $97,927 $108,754 $108,766 Market Value $268,927 $270,754 $243,766 Assessed Value $268,927 $267,746 $243,406 Benefits Information: Current Previous Previous 2 Benefit Type 2013 2012 2011 Non - Homestead Caps Assessment Reduction $0 $3,008 $360 Note: not all benefits are applicable to all Taxable Values (le County, School Board, City, Regional). Disclaimer MIAMI-DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopes- Cantera Properly Appraiser Aerial Photography 2012 Taxable Value Information: Current Previous Previous 2 Year 2013 2012 2011 Exemption/ Taxable Exemption/ Taxable Exemption/ Taxable County $04268,927 $0/$267,746 $0/$243,406 School Board $0/$268,927 $0/$270,754 $0/$243,768 City $0/$268,927 $0/$267,746 $04243,408 Regional $0/$268,927 $0/$267,746 $0/$243,406 Sale Information: Date Amount OR Book -Page Qualification Code 5/2012 $100 28567 -4484 Corrective deed, quit claim deed, or tax deed; Deed bearing Florida Documentary Stamp at the minimum rate prescribed under Chapter 201, F.S.; Transfer of ow nership w here no doc stamps w ere paid; or, Transfer of ow nership by other than a deed such as a final Judgement or court order. 4/1997 $100 17602 -4843 Sales w hich are disqualified as a result of examination of the deed 5/1988 $89,000 13698 -3182 Other disqualified 7/1984 $105,000 12212 -2072 Sales w hich are qualified 9/1980 $105,000 10935 -1422 Sales w hich are qualified 4/1979 $75,000 10365 -0738 Sales w hich are qualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and CGIS data to reflect the latest property information and QS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser g isweb.rrreanddade.go dPropertySearch/printMap.htrn 1/2 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. X COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Manuel Joya Roofing, Inc. BUSINESS ADDRESS: 7241 SW 42nd ST CITY Miami STATE FL ZIP CODE 33155 BUSINESS PHONE: ( 305 ) 267 -3626 FAX NUMBER ( 305 ) 266 -2147 CELL PHONE (305 ) 216 -0700 QUALIFIER'S NAME: Manuel Joya QUALIFIER'S LIC NUMBER: CCC057559 E -MAIL ADDRESS (IF APPLICABLE): mannymjroofing @gmail.com Created on 3119109 BY NOV / RV 3I26109 M.DV 02 -20 -2012 JEFF ATWATER STATE OF FLORIDA CHEW irt1+tANCIALOFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION e e CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEINh 0212012012 EXPIRATION DATE: 02/1912014 JOYA . MANUEL JR 201990210 BUSINESS NAME AND ADORES& MANUEL JDYA ROOFIND INC 7241 SOUTH VEST 42ND STREET MIAMI FL 2311113 SCOPES OF BUSINESS OR TRADE: 1- ROOFING IMPORTANT: Pursuant to Chapter 440 . alHtet F.S., on officer of a corporation who elects exemption- Irma tine chapter by IlRag a certificate of election under this sorties map ant recover benefits or compensation ender thin chapter. Pursuant to Chaster 440.05(12). F.S., Certificates of election to be exempt... apply only within the scope of the buaitten or trade listed en the nudes of eleedue to be exempt Pursuant to Chapter 44e.ertiINt F.3., Notices of election to be exempt end certificates of election to be exempt shelf be subject to revocation 0. at any time after the filing of the outca Of the issuance of the cotillions the person named en the satire or certificate no longer meets the requirements of this section fur issuance of it certificate. The deportment shall revoke a certttketa at any time for failure -cat' the person named as the tern! kale to meet the requirements of this section. OWC -262 CERTIFICATE OF ELECTION TO RE EXEMPT REVISE( 01 -11 QUESTIONS? (ISM 413 -1809 PLEASE CUT OUT THE 'CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF Fes. SERVICES DIVISION OP WORKERS' COMPENSATION COiSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO INS EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 02/20/2012 EXPIRATION DATE: 02/15/2014 PERSON MANUEL JOYA JR i=Efi i ' 201900210 BUSINESS NAME AND ADDRESS: NANOEL £OYA ROOM INC 7241 soon WEST 4250, STREET MIAMI, PL 32105 SCOPE OF BUSIPESS OR TRADE 1- ROOFING F Pursuant to Chapter 440.05114). F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may net recover benefits or compensation under this D c1 apter. Pursuant to Chapter 440.051121, F.S., Certificates of election to be H exempt— apply only within the scope of the business or trade listed on E the notice of election to be exempt E Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or She issuance of the certificate, tie person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet die requirements of this section. QUESTIONS? 1850) 413 -1809 IMPORTANT CUT MERE * Carry bottom portion on the job, keep upper portion for your records. MC -25? CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 J STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 JOYA, MANUEL MANUEL JOYA ROOFING INC 7241 SOUTH WEST 42ND STREET MIAMI FL 33155 -4609 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you bette For information about our services, please log onto www.myfloridallicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's Initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! (850) 487 -1395 STATE Of FLORIDA AG �t 8 DEPARTMENT OP BUSINESS AND PROFESSIONAL REGULATION CCC057559 08/-15112 128038225 CERTIFIED ROOFING CONTRACTOR JOYA, MANUEL MANUEL JOYA' .ROOFING . INC, IS CERTIFIED under the provisions of (Ei.489 Fs Expiration date. AVG 31. 2014 L12 0 811 0 1121 DETACH HERE THIS DOCUMENT OAS A COLORED BACKGROUND a MTCROPRIN SING 1 INEMARKTA PATENTED PAPER STATE OF FLORIDA DEPARTMENT OF' BUSINESS AND PROFESSIONAL REGIIi.ATION CONSTRUCTION INDUSTRY LICENSING HOARD SEtL12081301121 DATE 13 ; 01.2. BATCH NUMBER LICENSE NBR . 128038225 ' 'CGC.057559; The ROOFING ' CONTRACTOR Name$ below IS CERTIFIED Under the provisions of °'Chapter 489 FS. Expiration date: AUG 31, 2014. JOYA° MANUEL MANUEL; _ JOYAa ROOFING INC 7241 SOUTH WEST 42ND. STREET MpOre. ::.. FL 121 `'RICK'SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 655113-0 BUSINESS NAME! LOCATION JOYA MANUEL ROOFING INC 7241 SW 42 ST 33155 UNIN DADE COUNTY THIS IS NOT A BILL — DO NOT PAY OWNER JOYA ROOFING INC smIVIRMItTY BUILDING CONTRACTOR THE PS ONLY A LOCAL MIMS TAX RECEIPT. IT DOES NOT PERMIT TIC HOLDER TO 7XJLATE ANY mum REGULATORY OR ZOWSO LAWS OF TIM COUNTY OR CRIES. NOR DOES IT MEM THE HOLDER FROS1 ANY cam PEWIT OR LICENSE REQUIRED BY LAW. THE LS NOT HOLDER'S VOHS. PAYISENT maven WAW-DADE COUNT... TAX 08/21/2012 09010147001 000075.00 SEE OTHER SIDE RENEWAL RECEIPT STATE# 0057559 392252-4 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 WORKER /S 1 DO NOT FORWARD JOYA MANUEL ROOFING INC MANUEL JOYA JR PRES 7241 SW 42 ST MIAMI FL 33155 1.... 11...... 11.. E.. 1Il1l.. 1E.. 1Ei11 h111I11Ei11E1 ..i1111111111El..h1I172 ••� 4 Accore CERTIFICATE OF LIABILITY INSURANCE DATE (M _ _ 11/09/12 �TIiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS —I CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Accurate 8300 West Flagler Suite 114 Miami, FL 33144 Phone (305)226-8727 ri URED Manuel Jaya Roofing Inc 7241 SW 42nd Street Miami, FL 33155- reEEACT Lucia Estrella No. E,ar: (305)226 -8727 Iuciaestrella@beIlsouth.net INSURER(S) AFFORDING COVERAGE (Ng:, No): (305)226 -8767 NAIL Fax (305)226 -8767 INSURER A : Accident insurance Company INSURER S : INSURER C INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 305- 216 -0700 A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSR i POLICY NUMBER (SAMIDDNYYY) (I GENERAL LIABILM COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE I OCCUR ❑ OEN'L AGGREGATE LIMIT APPLIES FER ❑ POLICY J jFgT C LOC AUTOMOBILE UABILITY ❑ ANY AUTO C AZT. D ❑ SCHEDULED NON -OWNED ❑ HIRED AUTOS C AUTOS ri r • UMBRELLA LIAR OCCUR ❑ EXCESS IJAB ❑ CLAIMS -MADE DED Lt RETENTIONS CPP0006299 LIMITS _ EACH OCCURRENCE $ 300,000.00 aPR DAMAGE RENTED 100,000.00 10/08/2012 10/08/2013 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY I $ 300,000.00 GENERAL AGGREGATE 1 $ 600,000.00 1_ PRODUCTS - COMP/OP AGG $ 800,000.00 s C aSINGLE LIMIT BODILY INJURY (Per Person)] $ BODILY INJURY (Per accident) $ L tP ,LGE EACH OCCURRENCE AGGREGATE I$ $ J$ s 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY EMBER EXCLUDED? O ICERIM N / A (Emulator), H under DESCRIPTION OF OPERATIONS bele C ORY LI s L. ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ EL DISEASE - POLICY LIMB $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addldonal Remarks Schedule, If more space is required) Certificate holder is listed as additional name insured. CERTIFICATE HOLDER CANCELLATION Village of Miami Shores Building Department 10050 North East 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Lucia Estrella ACORD 26 (2010105) QF @ 19 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD American Preferred Roofers 20917 S.W. 92"d CT. Miami, FL 33189 Phone: (305) 345 -4247 Fax: (305) 513 -5880 CCC #1328987 Date: Thursday, October 17, 2013 To: Village of Miami Shores 10050 North East 2nd Avenue Miami Shores, Florida 33138 Re: 1276 NE 93rd ST Miami, FL 33138 -2941 To whom it may concern: NOV 0 6 2013 Americas Preferred Roofers will be working on the property address referenced above for Manuel Joya Roofing, Inc. Below is a list of the workers that will be at the job site: • Alex Sanchez • Denis Ulloa • Mario Zuniga • Antonio Vazquez • Jessie Miranda Also attached is a copy of the worker's comp insurance certificate. Sincerely, Anna R. Vazquez STATE OF FLORIDA COUNTY OF MIAMI-DADE trit Sworn to and subscribed before me this day of Or l-Ea h .ep 2013, (SEAL) Nr, MELISSA MORALES 1' a MY COMMISSION 0 EE163210 EXPIRES January 24, 2016 N XXX Personally known Or Produced Identification Issue Date: 10/18/2013 FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION, INC. ISSUED TO: 1- 800 - 767 -3772 • FAX (407) 671 -2520 CERTIFICATE OF INSURANCE Manuel Joys Roofing Inc. 7241 SW 42nd Street Miami, FL 33155 Attention: Americas Preferred Roofers, Inc. This is to Certify that 20917 S.W. 92 Court Miami, FL 33189 COPY PROVIDED TO: Americas Preferred Roofers, Inc. 20917 S.W. 92 Court Miami, FL 33189 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND, P.O. Box 4907, Winter Park, FL 32793. COVERAGE NUMBER: 870- 033627 EFFECTIVE DATE: 1/1/2013 EXPIRATION DATE: 1/1/2014 iTS Workers' Compensation: Statutory - State of Florida Employers' Liability: $100,000.00 Each Accident $100,000.00 Disease, Each Employee $500,000.00 Disease, Policy Limit REMARKS: Non - cancelable, without 30 days prior written notice, except for non - payment of premium which will be a 10 day written notice. This certificate is issued as a matter of information only, is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be constructed as extending coverage not afforded by the policy(ies) shown above or as affording insurance to any insured not named above. This provides coverage for Florida policyholders and Florida domiciled employees only. Brett Stiegel, Administrator FRSA -SIF Debra Guidry, CPCU, Un ' erwriting Manager FRSA SIF ilOOF ASSEMBLIES AND ROOFTOP STRUCTURES - Florida Building Code Ed >` High - Velocity Hurricane Zone Uniform Penn Section A (General Infni Miami Shores Vi age APPROVED BY DATE ?ONING DEPT bon I1 itlaatusT SUBJECT TO COMPLIANCE WITH ALL FEDERAL mation� `,TATS AI` D CCI I TY RULES AND REGULATIONS Master Permit No. Process No. Contractor's Name Manuel Joya Roofing, Inc. Job Address 1276 North East 93rd Street * Miami, Florida 331 -2 Low Slope ❑ Asphaltic Shingles ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof )4 Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total COO l (S Section R (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. )%0 FLORIDA BUILDING CODE — BUILDING I r arna Sfpore BY s -'lia ge DATE '� ►�lii;iiW�I�I'I� HL G LF • r ligalr/Y 9 f SUBJECT TO COMPLIANCE WITH ALL FEDERAL \TL AND COUNTY RULES AND REGULATIONS ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2010 High - Velocity Hurricane Zone Uniform Permit Application Form. Surfacing: Section C (Low Slope Application) Fill in specific roof assembly components and identify manufacturer (if a component is not used, identify as "NA") AF Lia41-6 System Manufacturer: G L6rCflS Product Approval No.: 01 Design Wind Pressures, From RAS 128 or Calculations: P1: 49..A P2: 1 k ‘.-1 P3: li za 0 Max. Design Pressure, from the s yet• pos Approval system: p� i Deck: 3 to Gauge/Thickness: Vitto,1 Slope: �-- © ® ?a AnchorlBase Sheet & No. of Ply(s): Anchor/Base Sheet Fastener/Bondin <,' Material: Insulation Base Layer: Base Insulation Size and, Iclones: Base insulation 'er/Bonding Material: Fastener Spacing for AnchorlBase Sheet Attachment CI Field: l " oc 4 Lap, # Rows © 1 " oc Perimeter: C " oc @ Lap, # Rows 'E@ C " oc Corner: " oc @ Lap, # Rows'4 @ S__" oc Number of Fasteners Per insulation Board: Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodbloddng, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener_Type, Fastener Spacing or Submit Manufactur- ers Details that Comply with RAS 111 and Chapter 16 Parapet Height Top Insulatio yer Top haul - on Size and Thickness: Top In , ation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s): f? J 112 a se Shpt F, stoner n erlal: A‘Ittis, p► `g> �� / t Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener/Bonding Material: Vs...v.8. (Kt:, te, Top Ply: Fk ( V-il S'511c-octt (- Top Ply Fastener/Bonding Material: Iw 2010 FLORIDA BUILDING CODE — BUILDING 15.35 ion BUILDING CODE COMPLIANCE OFFICE (BCCO) • PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation. 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE I603 MIAMI, FLORIDA 331304563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built-Up Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 03- 0501.05 and consists of pages 1 throygh 19. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 1 of 19 ROOFING SYSTEM APPROVAL Cateeorv: Roofing Sub- Catesory: BUR Deck Type : Wood Maximum Design Pressure -75 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: ' TABLE 1 Product Leak BusterTM Matrix TM 307 Premium Asphalt Primer GAF Mineral ShieldTM Granules Leak BusterTM Matrix 305 Fibered Asphalt Emulsion Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating LeakBusterTM Matrix"' 322 Elastomeric Roof Coating LeakBusterTM MatrixTM Select Asphalt Emulsion Fibered 306 Leak BusterTM Matrix"' 204 Wet/Dry Roof Cement RUBEROID® Modified Bitumen Flashing Cement LeakBusterTM MatrixTM 201 Premium SBS Flashing Cement GAFGLAS® #75 Test pinen_Aim Specification 3, 5, 55 gallons ASTM D 41 60 & 100 lb. bags ASTM D 1863 5 gallons ASTM 1227 1, 5 gallons ASTM D 2824 55 gallons 55 gallons 1, 5 gallons Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral ShieldTM Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Elastomeric roof coating. Asphalt emulsion fibered. ASTM D -4586 Refined asphalt blended with a mineral AST' D-3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement 5 gallons AST' D 4586 Asphalt flashing Cement 39.37" (1 meter) ASTM D 4601 Asphalt impregnated and coated glass mat wide base sheet. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03;20/08 Page 2 of 19 Product GAFGLAS® #80 ULTIMATm Base Sheet GAFGLAS® Flex PiyTM 6 GAFGLAS® Ply 4 GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® EnergyCaph Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminatorml Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT® Eliminatorh Nailable RUBEROID® SBS Heat Weldh Smooth RUBEROID ® SBS Heat- We1dTM Granule RUBEROID® SBS Heat- WeldTh 170 FR RUBEROID® SBS Heat- WeldTM PLUS RUBEROID® SBS Heat- Weldni PLUS FR RUBEROID® SBS Heat -Weldh 25 RUBEROID® Modified Base Sheet Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 3937" (1 meter) wide 39:37" (1 meter) wide 39.37" (1 meter) wide Various 39.37" (1 meter) vEide 1 meter (39.37") wide 1 meter (3937") wide 1 meter (39.37") wide 1 meter (3937") wide 1 meter (3937") wide 1 meter (39.37") wide 39.37" (1 meter) wide Test Specification ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 ASTM D 3909 ASTM D 4897 D 3672 ASTM D 4897 D 3672 ASTM D-6164 ASTM D -6164 ASTM D -6164 ASTM D-6164 ASTM D -6164 ASTM D -6164 ASTM D4601, Type II, UL Type 02 BUR Product Description Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied layer of TOPCOAT®EnergyCoteTM. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with . polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Premium glass fiber reinforced SBS modified base sheet NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 3 of 19 Product RUBEROID® 20 RUBEROID® Mop Granule RUBEROID® Mop Plus (Granule) RUBEROID® MOP Smooth RUBEROID® MOP 170FR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID® I70FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID® ULTRACLAD® RUBEROID® Dual FR Vent Stacks (metal and plastic) Dimensions 3937" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 3937" (1 meter) wide 39.37" (1 meter) wide 39.37' (l meter) wide 3937" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 3937" (1 meter) Wide 39.37" (I meter) wide 39.37' (1 meter) wide 3937" (1 meter) wide 3937" (1 meter) Wide Test $pceification ASTM D 6163 ASTM D 5147 ASTM D 6222 ASTM D5147 ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D5147 ASTM D 6164 ASTM D 5147 ASTM D 5147 ASTM D 5147 .ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 TAS 100(A) ASTM D 1929 ASTM D 635 Product Description SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granule's. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, smooth surface. Asphalt impregnated, coated felt surfaced with mineral granule. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non -woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer modified asphalt and surfaced with mineral granules. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 4 of 19 Product Leak Buster"' Matrix"' 302 Non Fibered Aluminum Roof Coating GAF Built Up Roofmg Asphalt RUBERO1D® MOD Asphalt, Asphalt L & Asphalt P Leak Buster"' Matrix"' 602 • Leak Buster"' MatrIxTM 715 LeakBusterT' Matrix"' 531 WeatherCoteT' SeamCotee' FireOutT' VersaShield® VersaShield® FB-1S VersaShield® FB -2S TOPCOAT® FireShield® MB Leak Buster"' Matrix"' 201 SBS Flashing Cement Leak Buster"' Matrix"' 102 SBS Adhesive Leak Buster"' Matrix"' 202 SBS Flashing Cement Leak Buster"' ftfrTM 203 Plastic Roof Cement Leak Buster"' Matrix"' 103 Cold Process Adhesive Dimensions 5 gallons 100 lb. cartons, bulk 60 lb. kegs 5 gallons 5 gallons 2 gallons 2, 5 gallons 5, 55 gallons 350 sq ft. roll 350 sq ft. roll 350 sq ft. roll 5, 55 gallons 5 gallons 5 gallons 5 gallons gallons 5 gallons Test Specification ASTM D2824, TYpe1 ASTM D312, Types l, II, III and W proprietary ASTM D-412 ASTM D -21 -96 ASTM D1475 ASTM E -1644 ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D3019 Product Description Non -f bared aluminum pigmented, asphalt roof coating. Interply mopping and surfacing asphalt. SEBS modified asphalt. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Elastomeric roofing membrane. Low VOC, fire barrier coating. Non - Asphaltic Fiberglass Based Underlayment. Non - Asphaltic Fiberglass -Based Underlaymeni. Non - Asphaltic Fiberglass -Based Underlayment. Elastomeric roofing membrane Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Cold Applied Asphalt Adhesive. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page5of 19 Product Leak BusterTM Matrix 303 Fibered Aluminum Roof Coating Leak BusterTM MatrixTM 304 Non Fibered Aluminum Roof Coating Dimensions, 5 gallons 5 gallons APPROVED INSULATIONS: Product Name EnergyGuardTM RA, RN Composite A & N RnergyGuardTM Fiberboard EnergyGuardTM Permalite EnergyGuardrm GAFCANTTM EnergyGuardTM Permalite Recover Board EnergyGuardTM Tapered Edge Strip EnergyGuardTM Perlite EnergyGuardTM High Density Fiberboard EnergyGuardTM Composite EnergyGuardTM Composite RA Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck ®, Dens Deck® Prime, Dens Deck ®Dura GuardTM Structodek SecurockTM Test Specification ASTM D 2824 Product Description Fibered aluminum coating. ASTM D2824, Non - fibered aluminum pigmented, asphalt Type I roof. coating. Table 2 Product Description. Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board Perlite insulation board High density wood fiberboard insulation. Polyisocyanurate/wood fiberboard composite Polyisocyanurate/wood fiberboard composite Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Wood fiber insulation board Fiber reinforced roof board Manufacturer (With Current NOA) BMCA GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA generic generic generic G -P Gypsum Corp Knight Celotex USG Corporation NOA No.: 07- 1219.09 Expiration Date: 11104113 Approval Date: 03!20108 Page 6 of 19 APPROVED FASTENERS: Fastener Number Product Name 1. Drift -TecTm #12 Standard, #14 and #15 extra Heavy Duty Fastener , Heavy Duty Roofing Fastener 2. Drill -TecTh ASAP 3. Drill -TecTm #12 or #14 Standard screws with AccuTrac Plate 4. Drill -TecTu Galvalume Plates • 5. Drill-Tcc Polypropylene Plates 6. Drill -TecTM AccuTrac Plate EVIDENCE SIIBMITTED: Tett Agency Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. IkT of S. Fl. I APPROVED I TABLE 3 Product Description Insulation fastener and Base Play fastener for steel, wood & concrete decks. Pre - assembled Drill- TecT'' Fasteners and metal and plastic plates. Base sheet fastening assembly. Round Galvalume stress plates. Round polypropylene stress plates. Square Galvalume® coated steel plate. Test Identifier J.I.2B8A4.AM 3B9Q1.AM J.I. OD0A8.AM J.I.ODIA8.AM 0Y9Q5.AM 3029832 GAF- 012 -02 -02 GAF-020 -02 -01 02 -005 02-014 Manufacturer Dimensions (With Current NOA) Various GAF Materials Corp. Various GAF Materials Corp. Various GAF Materials Corp. 3" and 3'h" GAF Materials Corp. 3" and 3 %z" GAF Materials Corp. 3" Square GAF Materials Corp. Description 4470 4470 4470 4470 -TAS 114 4470 - TAS 114 4470- TAS •114 Physical Properties ASTM D 4977 TAS 114 TAS 114 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 05.11.07 11.06.01 02.01.02 01.18.02 03.22.02 NOA No.: 07-1219.09 Expiration Date: 11!04113 Approval Date: 03/20/08 Page7of 19 APPROVED ASSEMBLIES Deck Type 1I: Wood, Insulated • Deck Description: 19 /" or greater plywood or wood plank System Type A: Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. AU General and System Limitations shall apply. One or more layers of any of the following insulations. . Insulation Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =5, plastic plate only (Table 3) Density /fly °P). EnergyGaardvM, EnergyGuardTM Composite, EverGuard® ISO, EnergyGuardTM RA, EnergyGuardTM RA Composite • Minimum ,1" thick N /A' N/A EnergyGuardm High Density Wood Fiber, EnergyGuardTM Recover Board, Wood Fiber, Minimum 'A" thick N/A N/A EnergyGuardTM Perlite Minimum %" thick N/A N/A Fiberglas (Min. 15/16" thick) N/A • N/A Note: MI insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20-40 lbs/100 ft2. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS® STRATAVENT® EliminatorTM Perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on all isocyanurate applications. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield ®Non - Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. • Anchor sheet: GAFGLAS® #80 ULTIMATM Base Sheet, STRATAVENT® EliminatorTM • Nailable, RUBEROID® Modified Base Sheet, RUBEROID® 20, RUBEROID Heat WeldTM Smooth or RUBEROID® Heat WeldTM 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS® Ply 4, GAFGLAS® Flex Ply1M 6, GAFGLAS® #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04(13 Approval Data 03/20/08 Page 8 of 19 Fastening Options: GAFGLAS® Ply 4, GAFGLAS® FIex PlyTm 6, GAFGLAS® #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Teem #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -Teem AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf, See General Limitation #7) .GAFGLAS® Flex PlyTM 6, GAFGLAS® #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the . field. (Maximum Design Pressure -52.5 psf, See General Limitation #7) GAFGLAS® #80ULTIMATM, RUBEROID® 20, RUBEROID® Mop Smooth, base sheet attached to deck with approved PA" 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 Bay Sheet or any of above Anchor sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -Te:TM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" 0.0. in the field of the sheet. (Maximum Design Pressure -60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Teem insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure -60 psf, See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tee #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill-Teem 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 #7J Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS® #80 ULTIMATM Base Sheet, GAFGLAS® STRATAVENT° EliminatorTM Perforated, RUBEROID® Modified Base Sheet, RUBEROID® Mop Smooth, RUBEROID® 20 RUBEROID® Heat We1dTM Smooth or RUBEROID® Heat WeldTM directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbsfsq; (see General Limitation #4). Ply Sheet: One or more plies GAFGLAS® PLY 4, GAFGLAS® Flex PlyTM 6 sheet, #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 lbssq. NOA No.: 07-1219.09 Expiration Date: 11/04/13 , Approval Date: 03/20/08 Page 9 of 19 Cap Sheet: (Optional) One ply of GAFGLAS® 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- 40lbs./sq. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 Ibs.sq. and 300 lbs.sq. respectively in a flood coat of approved asphalt at 60 lbssq. or applied in a flood coat of Leak BusterTM Matrix"' 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the BVT range and at a rate of 20-40 lbs.sq. 3. Leak BusterTM Matrix" 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq.. 4. Leak Buster"' Matrix" 715 , Leak Buster" MatrixTM 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak Buster" Matrix" 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal./sq. 6. TOPCOAT° Surface Seal, TOPCOAT® Fireshield® SH Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 galfsq 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 Expiration Date. 11/04/13 Approval Date: 03/20/08 Page 10 of 19 Deck Type 1I: Wood, Insulated Deck Description: 19/32" or greater plywood or wood plank System Type B: Optional base sheet laid dry; base layer of insulation mechanically fastened, optional top layer adhered with approved asphalt. MI General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation for Base Layer (Table 2) Insulation Fasteners Fastener When applicable: Steel plate only =S, plastic plate only =P (Table 3) Density/ft2 EnergyGuardTM, EnergyGuardTM RA Minimum 13" thick 1, 2, or 3 1:3 ft2 EnergyGuardTM RN Minimum 1.4" thick 1, 2, or 3 1:3 ft2 EnergyGuardTM Composite, EnergyGuardTM RA Composite Minimum 1.5 thick 3 1 :3 ft2 EnergyGuardTM Perlite Minimum 9" thick 18(3.5 "), or 3 1:2 ft2 EnergyGuardTM Fiberboard, EnergyGuardTM High Density Fiberboard Minimum 1" thick 1, 2, or 3 1 :4 ft2 Note: Base layer shall be mechanically attached with fasteners and density described. Insulation panels listed are minimum sizes and dimensions; if larger panels are used the number of fasteners per board shall be increased maintaining the same fastener density (See Roofing A plication S® Standard RAS 117 for fastening details). GAF requires either a ply of GAFGLAS® STRATAVENT® g�mjngorTM perforated laid dry or a layer of EnergyGuardTM or wood fiber overlay board on all isocyanurate applications. Insulation for Top Layer (Table 2) Insulation Fasteners Fastener When applicable: Steel plate only =S, plastic plate only =P (Table 3) Density /ft1 Any of the insulations listed for Base Layer, above. N/A N/A EnergyGuardTM High Density Wood Fiber, EnergyGuardPM High Density Wood Fiberboard, EnergyGuardl`M Recover Board Minimum Ys" thick ' N/A N/A Note: Optional top layer of insulation shall be adhered with approved asphalt within the EVT range and at a rate of 20-40 lbs/100 ft2. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Composite insulation boards used as a top layer shall be installed with the polyisocyanurate face down. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield® Non - Asphaltic Fiberglass -Based (optional) Underlayment or Securock"M. NOA No.: 07- 1219.09 Expiration Date: 11104/13 Approval Date: 03/20/08 Page 11 of 19 Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS® #80 ULTIMAT° Base ' Sheet, GAFGLAS® PLY 4, GAFGLAS® Flex Pen 6, GAFGLAS® STRATAVENT® Eliminator Perforated(laid dry), RUBEROID® Modified Base Sheet, RUBEROID® Mop Smooth or RUBEROID® 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20- 401bsfsq; (see General Limitation #4). Ply Sheet Two or more plies of GAFGLAS® PLY 4, GAFGLAS® FIexPly' 6 ply sheet, #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. (See specification number for appropriate number of plies). Cap Sheet: (Optional) One ply of GAFGLAS `' Mineral Surfaced Cap Sheet or (3AFGLAS®EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. (See GAF application instructions for approved method of installation). Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400lbs./sq. and 300 lbsJsq. respectively in a flood coat of approved asphalt at 60 lbsJsq. or applied in a flood coat of Leak Buster"' MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. 3. Leak Buster"' Matrix"' 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak Buster"' Matrix"' 715 , Leak • Buster"' MatrixTM 322, TOPCOAT® MB +, TOPCOAT° Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak Buster"' Matrix"' 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal./sq. 6. TOPCOAT® Surface Seal, TOPCOAT® Fireshield ® SB Solvent based Elastomeric Roofmg Membrane applied at lto 1.5 galfsq 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: -45 psf; (See General Limitation #7) l;j n u .'.5,1 x'•511:11 APPROVED NOA No,: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 12 of 19 Deck Type U: Wood, Insulated Deck Description: 19/2" or greater plywood or wood plank System Type C: One or more layers of insulation simultaneously attached; Base layer optional. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation for Base Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, platic plate only =P) (Table 3) Density/ft2 EnergyGuardm RN, EnergyGuardTM, EnergyGuardTM RA Minimum 1.3" thick N/A WA EnergyGuardTM Min. 1.4" thick N/A N/A EnergyGuarrlTM Composite, EnergyGuarddM RA Composite Minimum 1.5" thick N/A N/A EnergyGnardTM Perlite Minimum 3/" thick N/A N/A Wood Fiber, EnergyGuardm Fiberboard, EnergyGuardTM High Density Fiberboard Minimum 1" thick N/A N/A Note: MI layers shall be simultaneously fastened; see top layer below for fasteners and density. Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 ' for insulation attachment. GAF requires either a ply of GAFGLAS® STRATAVENT® EliminatorTM perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on an Isocyanurate applications. Insulation for Top Layer (Table 2) Insulation Fasteners Fastener When applicable: Steel plate only =S, plastic plate only =P (Table 3) Density /fly EnergyGuard, EnergyGuard RA Minimum 1.3" thick 1, 2, or 3 1:3 ft2 EnergyGuarddM RN 1, 2, or 3 EnergyGuaardTM Composite, EnergyGnardTM RA Composite 3 Minimum 1.4" thick Minimum 1.5 thick EnergyGnardTM Perlite Minimum 3/4" thick Fiberglas Minimum 13/16" thick 1S(3.5"), or 3 1, 2, or 3 Wood Fiber, EnergyGuardTM Fiberboard, EnergyGuardT High Density Fiberboard Minimum 1" thick 1, 2, or 3 1:3 ft2 1:3 ft2 1:2 ftz 1:2.67 ft2 1:4 ft2 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 13 of 19 Note: Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 for insulation attachment GAF requires either a ply of GAFGLAS® STRATAVENT® Eliminator' Perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on all isocyanurate applications. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShiek !Non- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS® #80 ULTlMA'Ti° Base Sheet, GAFGLAS® PLY 4, GAFGLAS FlexPly' 6, GAFGLAS® STRATAVENT® Eliminators'' Perforated (laid dry), RUBEROID® Modified Base Sheet, RUBEROID® Mop Smooth or RUBEROIDD 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.. If base sheet is applied- directly to polyisocyanuraie insulation only a spot or strip mopped application as detailed in this approval the use of an overlay board is approved; see General Limitation #4. Ply Sheet: Two or more plies of GAFGLAS® PLY 4, GAFGLAS® FIexP1y' 6 ply sheet, #80 ULTIMATM, , RUBERO1D® 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 GAFGLAS® 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 20-40 lbs./sq. Surfacing: (Optional, required if RUBEROID® MOP Smooth. or RUBEROID® 20 is top membrane) Install one of following: 1. Gravel or slag applied at 400 lbs./sq. and 300 lbsisq. respectively in a flood coat of approved asphalt at 60 lbs./sq. or applied in a flood coat of Leak Buster"' Matrix"' 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. 3. Leak Buster"' Matrix"' 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak Buster"' MatrixTM 715 , Leak BusterTM Matrix"' • 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofimg Membrane, applied at 1 to 1.5 gal./sq. 5. Leak Buster "' Matrix"' 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal./sq. 6. TOPCOAT® Surface Seal, TOPCOAT® Fireshield® SB Solvent based Elastomeric Roofing Membrane applied at lto 1.5 gal./sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 14 of 19 Deck Type 1I: Deck Description: Wood, Insulated 19 /32' or greater plywood or wood plank System Type D: Insulation and Base sheet simultaneously All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer loosely laid with firmly butted joints. EnergyGuardrm, EnergyGuardTM RA, Minimum 1.3" thick Insulation Fasteners (Table 3) N/A EnergyGuard= High Density Fiberboard, EnergyGuard= Fiberboard Minimum 1" thick N/A Fire Barrier: (optional) Base Sheet: Fastener Density/ft2 N/A N/A FireOutTM Fire Barrier Coating, VersaShield®Non- Asphaltic Fiberglass -Based Underlayment or SecumckTM. Install one ply of GAFGLAS® #75, GAFGLAS® #80 UItima ULTIMAT' Base Sheet, GAFGLAS® STRATAVENT® Eliminator= Nailable or RUBEROID® 20 base sheet applied over the loose laid insulation with 2" side laps mechanically fastened as described below; . Fastening Options: Drill-Teem #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -Ted= AccuTrac Plates are installed through the base sheet and insulation in 3 rows 12" o.c. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psi, See General Limitation #7) Drill-Teem #12 standard, #14 or # 15 Screws and 3" Drill-Teem steel plate or Drill -TecTM AccuTrac Plates are installed through the base sheet and insulation in 4 rows 8" o.c. One row is in the 2" side lap. The other 3 rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7} GAFGLAS® #80ULT1MATM, RUBEROID®20, RUBEROIDe Mop Smooth, Ease . sheet attached to deck with approved annular ring shank nails with a minimum embedment of 1" into the wood substrate and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" Iap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure —60 psi, See General Limitation #7) Drill-Teem #12 standard, #14 or # 15 Screws and 3" Drill-TecTM steel plate or Drill -TecTM AccuTrac Plates in 4 rows 12" o.c. 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} Ply Sheet: One or more plies GAFGLAS® PLY 4, GAFGLAS®, GAFGLAS® FlexPlyTM 6 sheet, #80 Ultima or RUBEROID® 20adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibs sq. 41L!1) d ,111:h.ii APPROVED, NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page IS of 19 Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet or GAFGLAS® EnergyCapTh Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-44 lbs./sq. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbsfsq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs./sq. or applied in a flood coat of Leak BusterTM Matrixm 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. 3. Leak'Buster"' Matrix"' 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak Buster"' MatrixTM 715 , Leak BusterTM Matrix"1 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofmg Membrane, applied at 1 to 1.5 gal./sq. 5. Leak BusterTM Matrix"! 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 galfsq. 6. TOPCOAT' Surface Seal, TOPCOAT® Fireshield® SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 galfsq 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 Expiration Date: 1113 Approval Date: 03/20/08 Page 16 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. Fire Barrier: (optional) FireOutTM Fire Barrier Coating, VersaShield ®Non- Asphaltic Fiberglass -Based Underlayment or SecurockTM. Base sheet GAFGLAS® #80 ULTIMATM Base Sheet, STRATAVENT EliminatorTM Nailable, RUBEROID® Modified Base Sheet, RUBEROID® 20, RUBEROID® Heat- We1dTM Smooth or RUBEROIDD Heat We1dTM 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4, GAFGLAS® Flex P1yTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring. shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (M'arximumDesign Pressure —45 psf, See General Limitation #7) GAFGLASO Ply 4, GAFGLAS® -Flex P1yTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, See General Limitation #7J GAFGLAS® Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure 52.5 psf, See General Limitation #7J GAFGLAS® #80ULTTMATM, RUBEROID®20, RUBEROID®Mop Smooth, base sheet attached to deck with approved 1A" 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 #7J GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and:3" inverted Drill -Teem 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 Limitailon #7J P,PPROVPfi I NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 17 of 19 GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -Teem #12 standard, #14 or # 15 Screws and 3" Drill-Teem steel plate or Drill -Teem 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 —7S 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 GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS®EnergyCaprM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. Surfacing: (Optional, required if RUBEROID® MOP Smooth or RUBEROID® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbsfsq. or applied in a flood coat of Leak Buster"' MatrixTM 103 Cold Process Adhesive applied at a rate of 3 galisq. 2. GAFGLAS® Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. 3. Leak Busier"' Matrix"' 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. 4. Leak Buster"' MatrixT' 715 , Leak BusterTM MatrixTM 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal./sq. 5. Leak Buster"' MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal./sq. 6. TOPCOAT° Surface Seal, TOPCOAT® Fireshield® SB Solvent based Elastomeric Roofmg Membrane applied at Ito 1.5 galisq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above NOA No.: 01- 1219.09 Expiration Date: 1113 Approval Date: 03/20/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex PlyTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '4" Dens Deck' ' or '/s" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq., 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 lbssq. 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 Ibf., 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 Expiration Date: 11/04/13 Approval Date: 03/0/08 Page 19 of 19 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. �.► Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the u of p Ft* that the roof system meets the wind resistance and water instruction performance standards. (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. 3. %►" Common roofs: Common roofs are those which have no visible delineation between neighboring (Le., 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. Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can wed 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 ice. it 0•+�: Ponding water The current roof system and/or deck of the building may not drain cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication ofestruc uraly 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 origin -roofing system is removed. Pounding conditions should be corrected. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not 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. Ventilation: Most roof structures should have some ability to vent natural airflow through the or of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional enting which can result k extending the service life of the roof. 25/ tfirkgent's Signature D Contractor. ignature ( Date Revised on 7/9/2009 LD 3 TGFU.R1306 - Roofing Systems Page 2 of 53 r Structural cement fiber building units are considered suitable to be included as a deck in the following Class A, B or C systems listed over C-15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of +h-in. minimum thick gypsum board is an acceptable alternate for minimum insulation over C -15/32 thick roof decks. The use of polystyrene insulation board between minimum 3/4-In. thick perilte board and deck with rosin paper (perlite/rosin paper /polystnene/perlte) is a suitable alternate for polyisocyanurate board In the following Class A, B or C systems. "EnergyGuard RA" or "Tapered EnergyGuard RA" or " EnergyGuard Composite RA° may be substituted for any Atlas polyisocyanurate Insulation In any of the following Classifications. Trumbull "Perma Mop° may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". "GAFGLAS® #80 Premium Base Sheet" may be used In any of the following systems. "GAFGLAS® Flex Ply 6" and "Tri -Ply® Ultra-Flexible Ply 6" are suitable alternates to "GAFGLAS® Ply 6 ". "GAFTEMP Permalite Recover Board° may be used In lieu of any perllte Insulation In any of the following NC Classifications. Unless otherwise indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshleld MB" at 211a to 3- ga1/100- ft2. "Ruberold® Dual Smooth" may be used as an alternate to °Ruberoid® Mop Smooth" or °Ruberoid® 20° or "Ruberold® 20 HT° "Ruberolde Mop Smooth 1.5° may be used as an alternate to "Ruberold® Mop Smooth" Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberold® Heat Weld" SBS roofing membrane may be used In lieu of "Rudd® Mop" SBS products In any applicable Classification. Class A 1. Decks C -15/32 Incliner 3 Insulin (Optional): — One or more layers perilte or wood fiber or glass fiber or polylsocyanurate or urethane or perlite/polylsocyanurate composite or perlite/urethane composite or wood fiber /polyisocyanurate composite or phenolic any thickness. Ply Shy — Three or more plies Type G1 or "GAFGLAS® Ply 4" or °Tri -Ply® Ply 4" or "GAFGLAS® Ply 6° hot mopped. Surfacing: — Gravel. 2. Deck: C -15!32 Incliner 2 Insulation (Optional): — One or more layers perilte or wood fiber or glass fiber or polyisocyanurate or urethane or perlltee/polyisoyanurate composite or pertite/urethane composite or wood fiber /polyisocyanurate composite or phenolic, any thickness. Ply Sheet — Three or more plies Type G1 or "GAFGLAS® Ply 4" or "rii-Ply® Ply 4" or "GAFGLAS® Ply 6 ". Cap Sheets — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri -Ply® Mineral Surfaced Cap Sheet ° or "GAFGLAS® EnergyCap"" TM BUR Mineral Surfaced Cap Sheet." 3. Deck NC Incliner 2 Insulation (Optional): — One or more layers perilte, wood fiber, glass fiber, polyisocyanurate, urethane, Perlite/poiylsocyanurate composite, peiite/urethane composite, wood fiber /polyisocyanurate composite, phenolic, 2 -In. maximum. Ply Sheet — Two or more plies Type GI "GAFGLAS® Ply 4', °Tub -coy® Ply 4° or "GAFGLAS® Ply 6 ". Cap Sheet — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or °Trf -Ply® Mineral Surfaced Cap Sheet" or "GAFGIASS EnergyCap'"" BUR Mineral Surfaced Cap Sheet.° 4. Decir C -15/32 Incline: 1 Slip Sheet (Optional): — Red rosin paper, nailed to deck. Insulation (optional): — Any thickness perilte or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System° or any UL Classified insulation adhesive. Base Sheets — One ply Type G2 "GAFGLAS® #75 Base Sheet" or "Tri -Ply® #75 Base Sheet" (may be nailed). Ply Sheets — One or more plies Type GI "GAFGLAS® Ply 4° or " iri -Py® Ply 4° or GAFGLAS® Ply 6 ". OP Sheet: — One ply Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet' or "Tri- Ply® Mineral Surfaced Ca Sheet" or ° EneigyCap"' BUR Mineral Surfaced Cap Sheet" P ® httpJ /database.ul.com/cgi- bin /XYV/ template/ LISEXT /1FR;AME /showpage.html ?name—T... 3/14/2011 ROOF iSSEMBLIES AND ROOFTOP STRUCTURES 4 Florida Building Code Edition 2010 High Velocity Hurricane Zona Uniform Permit Application Form. Section /_(General information,) Master Permit No. Process No. Contractor's Name MANUEL JOYA ROOFING Job Address 1276 NE 93 St MIAMI SHORES Low Slope Cl Asphaltic Shingles i] New Roof X1 Reroofing • , ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal PanellShingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Recovering ROOF SYSTEM INFORMATION 0 Mortar/Adhesive Set Tile ❑ Wood Shingles/Shakes NO GAS VENT ❑ Repair ❑ Maintenance Low Slope Roof Area (SF) Steep Sloped Root Area (SF) Total (SF) 0 600 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. 15.34 ��l�1lS7R 2010 FLORIDA BUILDING CODE — BUILDING Miami Shores Village Building Department RECEIPT PERMIT#: F( I3- DATE: Ue.r(s 2 eaA'1',rYI�I, )ontractor o Owner o Archite Picke Address: (NAME) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 l3 flWLUL (Sdy— plans and (other) Idq(p q Sr— 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 Building D - - rtm - t to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: S -13 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SEPTEMBER 27, 2013 Permit No: RF13 -2189 Building Critique Review 1. FBC. 2010, SECTION 105.3.5,...EVERY EMPLOYER AS CONDITION TO RECEIVING A BUILDING PERMIT, SHOW PROOF THAT IT HAS SECURED COMPENSATION FOR ITS EMPLOYEES AS PROVIDED IN SEC440.10 AND 440.38. FLORIDA STATUTE 2. BASE ON AIR PHOTO THE LOW SLOPE ROOF IS CONNECTED TO THE EXISTING RESIDENCE; PROVIDE DETAIL OF THE CONNECTION WITH OTHER ROOFS AND WALLS. 3. ON SECTION C, SPECIFIES THE PROPOUSE FINISH SLOPE OF THE ROOF SYSTEM, ACCORDING TO CHAPTER 15 OF FBC 2010, ROOFS SHOULD BE DESIGNED TO PROVIDE POSITIVE DRAINAGE. 4. PROVIDE 2 LAYERS OF STRIPPING OVER THE DRIP EDGE OR A SINGLE LAYER OF MODIFIED. 5. PROVIDE CLASS A FIRE RATING SYSTEM. 6. MISSING SECTION 1524. OWNERS NOTIFICATION 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. 10/01/2013 16:30 FAX 1 800 885 7530 DATA SCAN FIELD SERVICES IA001 TRANSMISSION OK TX /RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** 4016 93052862147 10/01 16:28 00'46 1 OK Miami Shores Village Building Department 10050 N.E.2nc1 Avenue Kivu Shores. Florida 33138 c,11: (305) 796.2204 Fax: (305) i'56.8972 SEPTEMBER 27, 2013 Permit No: RF13.2183 Building Critique Review 1. FBC. 2010. SECTION 105.3.5,...EVERY EMPLOYER AS CONDITION TO RECEIVING A BUILDING PERMIT. SHOW PROOF THAT IT HAS SECURED COMPENSATION FOR ITS EMPLOYEES AS PROVIDED IN SEC440,10 AND 440.38. FLORIDA STATUTE 2. BASE ON AIR PHOTO THE LOW SLOPE ROOF IS CONNECTED TO THE EXISTING RESIDENCE; PROVIDE DETAIL OF THE CONNECTION WITH OTHER ROOFS AND WALLS. 3. ON SECTION C, SPECIFIES THE PROPOUSE FINISH SLOPE OF THE ROOF SYSTEM, ACCORDING TO CHAPTER 15 OF FBC 2010, ROOFS SHOULD BE DESIGNED TO PROVIDE POSITIVE DRAINAGE, 4, PROVIDE 2 LAYERS OF STRIPPING OVER THE DRIP EDGE OR A SINGLE LAYER OF MODIFIED, 5. PROVIDE CLASS A FIRE RATING SYSTEM. 6. MISSING SECTION 1524. OWNERS NOTIFICATION Ismael Naranjo Building Official 11/13/2013 03:31 TO: +1 (305) 7568972 FROM :3052662197 Page: 2 • A - (YM/DDNYYY� CERTIFICATE OF LIABILITY INSURANCE DATE 10/09/13 THIS CERTIFICATE I8 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE'ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certfcate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions piths policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endoraement(s). PRODUCER SMEr carat Lucia Estrella Accurate PHONE 305 8.8727 timV4Padk . _ (. _ .-. FAX Ito): _. (305)228 -8787 8300 West Flagler Suite 114 Rzt)S: _luciaestrella bellsouth.net Miami, FL 33144 INSURE S) AFFORDING COVERAGE 1 Mac s Phone _005)220-8727 Fax (3051228 -8787 INSURER A : United Specialty Insurance Company INSURE) • INSURER B : • Manuel Joya Roofing Inc INSURER C : 7241 SW 42nd Street . INSURER D.: _ Miami, FL 33155- 305- 218 -0700 asUl{� E' — INSURER F : COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDfITON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. u.a.c ADDLSUBR : POUgy �E_F�F�_ POLICY EXP TYPE OF 4NSURANCE _(IMWDVLI YYYL(MNIGO/YYYy1.. . —._. - - - -.. UNITS _-.- ._._...... JNSg POUCYNUNBER GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY A ; ❑ ❑ CLAIMS -MADE © OCCUR ; CPP0008299 GEN'L AGGREGATE LIMITAPPUES PER POLICY ❑ ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL ❑ AUTOS ❑ HIRED AUTOS ❑ AAUUT SSNED O 0 ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB • ❑ CLAIMS -MADE • 0 DED Q RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ; • ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? r --I I N / A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS belox EAC URRERga $ 300,000.00_ DAMAGE TO RENTED -- t PREMISS (Ea oomgrbpoe) 5 100,000.00 10/08/2013 10/08/2014 M ED EXP (Any one ant : $ 5,000.00 PERSONAL & ADV INJURY I S 300,000.00 GENERAL AGGREGATE $ 800,000.00 PRODUCTS - COMP/OP AGO , $ 600,000.00 IS COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per acaldentt $ TACr) T r /AMAGE —EACH OCCURRENCE $ AGGREGATE $ ❑ WOSTATU- I—I _2�, W C S UMTTS _!—� EL. EACH ACCIDENT $ EL DISEASE • EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CERTIFICATE HOLDER CANCELLATION Village of Miami Shores Building Department 10050 North East 2nd Ave Miami Shores, FL 33138 ACORD 25 (2010/05) OAF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NO E WI = E DEUVERED IN ACCORDANCE WITH THE POLICY AUTHORIZED REPRESENTATIVE Lucia Estrella The ACORD name and logo are registered marks ofr A O D 11/14/2013 13:27 T0: +1 (305) 7690866 FROM:3052662147 Page: 2 11114/13 2014 details - Business Tex Account JOYA MANUEL ROOFING INC - TaxSys - Miami -Dade CountyTexCollecior Tax Collector Home Search Reports Shopping Cart 2014 Details -- Business Tax Account JOYA MANUEL ROOFING INC Bus ness Tax Account #6551130 Account details 0 Account history 2014 I 2013 I 2012 2011 I 2010 Paid Paid Account number: 6551130 Business start date: 05 /01/1997 Business address: JOYA MANUEL ROOFING INC 7241 SW 42 ST MIAMI, FL 33155 Physical business location: UNIN DADE COUNTY Receipts And Occupations Paid Paid Patti Ow ner(s): MANUEL JOYA ROOFING INC 7241 SW 42 ST MW MI, FL 33155 Mailing address: MANUEL JOYA ROOFING INC MANUEL JOYA JR PRES 7241 SW 42 ST MW IA FL 33155 El Print account application (PDF) Receipt3922524 Contracting 10/01/2013- PWICS code: SPECIALTY BULDING 09/30/2014 238990 CONTRACTOR Units: 1 Paid 2013 -09-24 $75.00 Receipt #REDITCARD -13- 010388 Print this bill Additional documentation required: 057559 State /County License or Certificate https://www.miernidadacountytaxes.owilpublictusiness tufa countsB551130 1/1