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MC-14-2032Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219899 Permit Number: MC -9-14-2032 Scheduled Inspection Date: September 29, 2014 Inspector: Perez, JanPierre Owner: , Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138 - Project: <NONE> Contractor: MARNO AIR CONDITIONING SERVICE INC comments DISCONNECT EXISTING Refrigeration EQUIPMENT AND INSTALLED ON TOP OF NEW BASE Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number (954)553-0553 Parcel Number 1132060132350 INSPECTOR COMMENTS False Phone: (305)885-2195 September 26, 2014 For Inspections please call: (305)762-4949 Page 14 of 29 Inspector Comments Passed ��' Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 26, 2014 For Inspections please call: (305)762-4949 Page 14 of 29 Miami Shores Village cE1vT- Building Department SEP 18 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 00 BUILDING PERMIT APPLICATION ❑BUILDING F-1 ELECTRIC [-] ROOFING Master Permit No. 1r 1t• � � " I S Sub Permit No. ®4232° REVISION ❑ EXTENSION RENEWAL ❑PLUMBING 5 MECHANICAL ❑PUBLIC WORKS [-]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:(/ Z City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 0 C i phone#: Clbu Ttio — 5S 15 Address: I l 1+ (VE 'ri 01 � +_ City: M_a`rarr► 1 State: Zip: Tenant/Lessee Name: Email: YUY)?m mrxf'7_f0 Wt l C, ,( -hn . r � Addres LAU ,�>1 n I ► I GCi State: 2:.1 7 (� Qualifier Name: /�.� Phone#: S-K� G i. State Certification or Registration #:CA - `1" �)O Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: �l�City: State: Value of Work for this Permit: $ I020 i 0Square/Linear Footage of Work: Type of Work: ❑,Addjtion ❑ Alteration, _ ❑ New❑ Rgpair/Replace / of Work: Zip: ❑ Demo Specify color of color thru tile: Submittal Fee $ Permit Fee $ MOD CCF $ ° CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ - Notary $ Technology Fee $ Training/Education Fee $ ® Double Fee $ 43 Structural Reviews $ Bond $ TOTAL FEE NOW DUE $66, e2- 0 (Revised02/24/2014) i_ Bonding 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 $1500, 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 g Signature OWNER or AGENT CONTRACTOR The foregoing instrume15-1"nt was acknowledged beforeo v,methis The foregoing instru nt w s ackn wledged befor this 11 day of c�rf° 20 l �1 by a aayAf 20 by who is - who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as me or who has produced identification and who did take an oath. NOTARY P Sign: --%<—F-4 [r1(1,, �C-7 Print:" aotioa,� Bio VILMA E. FERNANDEZ 4®r, Seal: * MY COMMISSION9 EE 198114 EXPIRES: June 1B, 2016 �ea�OP Bonded'IhN Budget �Y Serres as APPROVED BY V 1Plbns Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): l [ 1 i °' E 2— n A Ave City: Miami Shores Village County: Miami Dade Zip Code: 2ZI ala ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Re istra i�) No. C� `' u` z 3 g J�5 Certificate of Competency No. Signature Date: ILI u Iffier's signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Re istra i�) No. C� `' u` z 3 g J�5 Certificate of Competency No. Signature Date: ILI u Iffier's signature) (Revised02/24/2014) Policy Number. Date Entered: 5/28/201 CERTIFICATE OF LIABILITY INSURA SCE1/7r DATE YM THIS CERTIFICATE IS ISSUED, AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. n CERTIFICATE DOES NOT'AFFIRMATiVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE. COVERAGE AFFORDED BY THE POLICI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORM REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the ceitificaie holder is an ADDMONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject the terms and conditions of the,policy, certain policies may regMireran endorsement A statement on this certificate does not confer rights to t certificate holder in lieu of such endorsement(s). PRODUCER Westland South Insurance 2608 NW 97TH AVE DORAL,FL,33172 :NSURED MARNO AIR CONDITIONING, INC SERVICE PHONE(305) 593-0600 a„ (305) 593-25; E-MAIL HOMBRO@WESTIA't DSOUTHi`NS . COX �lNSttRER A : STAURR i2mlftl iii & T-===CO2MANY INSURER 5: $ABT w^•T T MaWYERS INS CO _AAAA_ .__.- ........ .........�.._ AAAA.._ 2012 WEST 73RD STREET INSURER 0- HIAL AH, FL 33016 INSURER E: 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 PER INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN- IS SUBJECT TO ALL THE TER EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !L . _ ..— _ TYPE OF INSURANCE (ADt7LWSRY --- - WVD POLICY Ni€irffiER_..- ; E ICY 6 f Pot EXP S LIMITS GENERAL LIABILITY f {� � EACH OCCURRENCE I S1, 000 , 000 - A I COMMERCIAL ! 110000544$7141 ybl/08/201 1/08/2015 P p si c300,OQ0 _ ..�.._ _._ CLAIMS -MADE N OCCUR i S } ' �MF� EXP fA �y_ane per�o ll j $ 5 , 000 ' # _ PERSONAL &ADV INJURY 51,000,000 I000 i GENERALAGGREGATE 1 S1, 000, 000 PKODUCTS-COIvff��OPAGG��2 000 r r GEN'LAGGREGATELIMIT APPLIES PE.R% S t f •' � � I POLICY4....! S AUTOMOBILE LIABILITY j1Z r $so , o00 ZEN 2 AnvALITa ! !BA09000003746 01/07l2014 ?z/07l2015 - I BODILvtnuuRYfl'erpersors i S AALL UTOS NEO SCHEDULED OS NON-OWNED INJ awLY UI4Y {Per accident} $-AUT PRO Ma E g I Per ! HIRED AUTOS 1 ArS� ' ! i L_: f � + iUABR=LLA LIAB OCCUR I EACH OCCURRENCE S 1 EXCESS LIAS _ CLAIMS -MADE ` Y ... '.^.•EDD � - AGGREGATE $ _._.__........_.� I S ' r R : RETENTIONS i WORKERS COMPENSATION _ . $TU -- 'E. _ AND EMPLOYERTLIABILITY YIN; B A.NYPROPRIETOR.PARTNERTEXECUTNEEi •Z2/ 830-29656 �2/01/2014 E.L. EACH ACCIDENT 51,000,000 { (tharsdafay in NH) EA EWLOYEE $1, 000, OQO I'dw.^ibe under' ' DESSCRIPTIONOFOPERATIONS•ca'c.•t 1 I j I E.C. DISEASE -POLICY LUT i $1,000,000 C I PHY•SICA% DAMAGE 13AO9000003746 (o1/07I2014 z/oz/Zoic COLL DEI) 250 i COM DED 250 DESCRIPTION IC INSTA ,OI�ATIOPNFSI LOCCAA7 �� CL (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) AIRS ?006 CHEVROLET EXPRESS VIN#IGCGG25V261245928 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept. 10050 N.E. 2md Avenue Miami Shores, Florida 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORMD REPRESENTATIVE kNERO i AVERNIA I Q 1988-2010 ACORD CORPORATION. All rights reset ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD cau ad :�ssr:c PI -11"s Sass r us soihvsre.:r:rn'. Forr, s3tcs.;Om; !mprecsr:? Puh: shln5 803-206-1977 `1vRF.e!gtF� City of Hia'ear -� Business_ Tex lceipt 2013 14 �. .m. Mayor Carlos Hernandez No: 238220-69 (OLD -1711-2) Amount: $ 150.00 The person, firm or corp. listed here has paid the business tax required to engage in or operate the business specified subject to the regulations and restrictions of the City of Hialeah, Florida Owner: 7ypeofBusiness: Plumbing, Heating, and Air—Conditioning Contractors MARNO AIR COND SERVICE, INC. 2012 W 73 ST Business Location: HIALEAH, E% 33016 2012 W 73 ST Validating No.: 0000 Expires September 30, 2014 THIS IS NOTA BILL F Construction Trdes Qualifying mrd- BUSINESS CERTIFICATE OF COMPETENCY 000013581 k MARNO AIR CONDITIONING SERVICE INC PEREZ J UAN Is certified under the provisions of Chapter 10 of Miami -Dade County Ap OpEWA- Mustbe displayed at place of business Pursuant to Courtly Code - - Chapter SA - Art, 9 & 10 .MAW0 AIR CONDITIONING SVC INC SEC. TYPE OF; BUSINESS Workers 796 SPEC MECHANICAL CO ''MCTDR PAYMEhlf RECEIVED' ' 10 D00013513.1 BY rax 66LLECTO $45.00 .00/12/2074 ThislocaleusinessTaxRecei o CHECK21-14 04$385 Pem or a certificatioq of the holdar so �y1°8"� °f the Local Business Tax The Racaiptls not a lice or aongm+eromea�l regulatory lawsartd requir�em wh ch ato do pply to thelder ���y,� am govar°°t al Tha RECEIPT N0. above must ire displayed on all commercial vehicles -Miami -Dada Code Sac an -66. V Far narabdormation. visitlrww.miemidade oavkau co11 lsr A)U/11 Local Business Tax RE Miami -Dade. County, State of OWNER SEC. TYPE OF BUSINESS MARNO AIR CONDITIONING SVC INC 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVEIS Worker(s) 10 CAC042630 13Y TAX COLLECTOR $45.00 A/12/2014 `- CHECK21w-14-048403 This Locat ar Businessiece Tex Receipt only confirms payment of the Local Business Tax . The Receiptis not a liceuse.__ permit ova: certification of the ov, s ggalificadons, to do busing Holdermost comply with arty governmental or �n9cvemmarrtal, regulatorylaws am requirements which apply to the business The RECEIPT NO. above must be,displeyed on all eommercialvehicles - Ngami=Deas, Cede Sec Be -276. For more iulsrmation, vhdtwww miemldade aoylt�rrr�nnwr:. N RICK SCOTT, GOVERNOR _ICENSE NUMBER 1 1 KEN LAWSON, SECRETARY STATE' OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The CLASS AAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 PEREZ, JUAN MARNO AIR CONDITIONING SERVICE INC 2012 WEST 73RD STREET HAILEAH • FL 33016 ai ISSUED: 06/1212014 DISPLAY AS REQUIRED BY LAW SEQ # L140612000OB30 Detail by Entity Name s Florida Limited Liability Company SHORES LANDING, LLC Filing Information Document Number FEI/EIN Number Date Filed State Status Effective Date Last Event Event Date Filed Event Effective Date Principal Address 714 NE 59TH STREET MIAMI, FL 33137 Mailing Address 714 NE 59TH STREET MIAMI, FL 33137 L04000070308 201672500 09/27/2004 FL ACTIVE 09/27/2004 REINSTATEMENT 10/07/2010 NONE Registered Agent Name & Address MATZ, RUBEN 714 NE 59TH STREET MIAMI, FL 33137 Authorized Person(s) Detail. Name & Address Title MGRM MATZ, RUBEN 714 NE 59TH STREET MIAMI, FL 33137 Title MGRM MATZ, G LADYS 714 NE 59TH STREET MIAMI, FL 33137 http://search. sunbiz.orglInquiry/CorporationSearch/SearchResultDetaillEntityName/flal-10 Page 1 of 2 9/18/2014 Detail by Entity Name Report Year Filed Date 2012 04/26/2012 2013 04122/2013 2014 04/24/2014 Document Images Page 2 of 2 04/24/2014 -- ANNUAL REPORT F—View image in PDF format 04/22/2013 --...ANNUAL REPORT F—View image in PDF form—at 04/26/2012 ANNUAL REPORT F—View image in PDF format 04/28/2011 ANNUAL REPORT F—View image in PDF format 10/0712010 --.REINSTATEMENT [—View image in PDF format 01/15/2009 ANNUAL REPORT F -7 --View image in PDF format 05/15/2008 REINSTATEMENT�View image in PDF format 06/30/2005 ANNUAL REPORT F—View image in PDF format 09/27/2004 Florida Limited Liability I View image in PDF format Copyright @ and Privacy Policies State of Florida, Department of State http://search.sunbiz.orgllnquirylCorporationSearchISearchResultDetaillEntityNarnelflal-10... 9/18/2014 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC M ROOFING RECEIVED JUL 16 2014 Y: FBC 201® Master Permit No.R - Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [—]CANCELLATION ❑SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9710 NE 2 AVE City: Miami Shores County: Miami Dade. Zio: Folio/Parcel#:11-3206-013-2350 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): SHORES LANDING LLC Phone#: Address: 714 NE 59 ST City: MIAMI SHORES State: FL Zip: 33137 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ESTRADA ROOFING Phone#: (786)385-3137 Address: 1738 SW 57 AVE City: MIAMI State: FL Zip. 33155 Qualifier Name: DANIEL GONZALEZ-LAUZAN phone#: 305-668-8800 State Certification or Registration #: CCC1328913 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit: $ 66,700 Square/Linear Footage of Work: ?2 7990 Type of Work: ❑ Addition ❑ Alteration ❑ New © Repair/Replace ❑ Demolition Description of Work: RE -ROOF LOW SLOPE ROOF W/ BUILT-UP ROOF SYSTEM Specify color �o—�ft�color thru tile: Submittal Fee $ �) r Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ L17 61 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 po tice, the inspection will not be approved and a reinspection fee will be charged. r Slgnatu'.\//.�0'4z�' Signature OWPER or AGEIT CONTRACTOR The foregoing instrument"Was ackh6wledged before me this The foregoing instrument was acknowledged before me this A 0 day of 20 Iq by 0 day of LW 20,.. by ��who i Pato — riho i n me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: It • ■' L J Seal: NOTARY PUBLICSTATE OF i • a APPROVED BY UP— (Revised02/24/2014) identification and who did take an oath. NOTARY PUBLIC: Seal: ANAILYN ESTRADA _ NOTARY FSLIC Expires 1/10=18 'f I "'(- Plans Examiner Zoning Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GONZALEZ-LAUZAN, DANIEL N ESTRADA ROOFING 1738 SW 57 AVE MIAMI FL 33155 Congratulationsl With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalloonse.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Effidentiy, 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 4kThe Department of State is leading the commemoration of Florida's 500th anniversary in 2013. For more information, please go to www.VivaFlorida.org. 'I VIVAFt191UiGJ�. DETACH HERE RICK SCOTT, GOVERNOR STATE OF FLORIDA KEN LAWSON, SECRETARY DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD MW CCG1328913 - --------_--- The ROOFING CONTRACTOR' Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 ISSUED, 0311042014 SEO # L1403100000864 DISPLAYAS REQUIRED BY LAW R1dt Ai@ti�lNAM�1WCAlTttiA1' n c arwo.; EXPIRE& E:STMDA ROOFI WNEWAL SEPTEMBER 30 2014 1738 SW 57 331 8826604 Mutt: be dlsphwed et plat a ofbuskr MIAMI, Fl 33165 Pumuanrto County rAda CA ter RA — ArL a & 9D ap ta3<i mic. TYpt3 OF HuslNeds PAYaa0f RBCS D ESTRAI7AROOFING 188 SPECK7YMMINO svTAX WLLEaWR CIO ESTRMA HOME MAMENANCE CON4fpi4 MR 82.0 83{0412014 VVeKWs) 'I CCC1328013 i4003263 71uhi I.mNI Tas tl$n@Ipt mtiq canRm�s payment o9 the lacaF 8md�aTn�. TIN �lpc Cs not a � penmlti yr a a! t6p Fioldors to do butinaee: N9tdee masteampp► � anq l `. a etoagtrtanimeragl t�alltimey l®wa a ta�uk"emerom whto6 fitly m dw ; The f8Er3 ff MD. above ardt iR dbpWp d on all aanttmmld *w=- Ulmd-na kemb Son &*-7111 F��a Idam�8na4risk 'trR� CERTIFICATE OF LIABILITY INSURANCE DA ;; UO 2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (lea) must be endorsed. H 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 COWACT NAM FRANKCRUM INSURANCE AGENCY, INC. wbw— cArc, No, 0* 1-800-277-1820 x4800 (� N� 727-797-0704 AsotaPsa: ADDR 100 S. MISSOURI AVE. CLEARWATER FL 33758 INSURERS AFFORDING COVERAGE NAICO INSURER A: FRANK WINSTON CRUM INSURANCE CO. 11800 INSURED INSURER B: INSURER C: EACH OCCURRENCE $ FrankCrum 1-800.277-1820 INSURER D: 100 S MISSOURI AVENUE INSURER E CLEARWATER FL 33758 INSURER F: THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR M TYPE OF INSURANCE ADDL SUER WVD POLICY NUOOBER POLICY EFF (MMA)DlYYYY) POLICY EXP - (MMi0D1YYYY) Lam AUTHORIZED REPRESENTATIVE 1����5 GENERAL LWBILRY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISk03 ooaurtmlae MED EXP one $ CWMSMADE =OCCUR ( PERSONAL&ADVINJURY GENFRALAOOREOATE $ GEN'LAGGREGATEUMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ - $ POLICY PROMOT Loc AUTOMOBILE LIABILITY COMBINED SINGLE LW me aacMe $ BODILY KUW (Pat peteon) ANY AUTO ALL OWNED SCHEDULED BODILY INJURY For aoddatq $ AUTOS A1R08 NON'S HIRED AUTOS AUTOS PROPERTY DAMAGE $ LOAMIELIALLA13 OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAMOMMDE DED I I RETEN110N $ $ A WORKERS COMPENSATION AND etrPLore� LIABILITY ANY PROPRIETORIPARTNERIFXECUTIVE YIN OFFICEWMEMBER EXCLUDED? El N/A WC201400000 1/1/2014 1/1/2015 WC ST1 OTIH. X TORY uM1T8 ER EJ -EACH ACCIDENT $1 OOD OOD pamlamry in KH) 11Yoo. deeafte w der E.L. DISEASE- EA EMPLOYEE 1000 000 DESCRIPTION OF OPERATIONS below EJ -DISEASE -POLICY UW $1ODODW 1 DESCRDRION OF OPERATIONS / LOCATONS / VEIDCLES (AttedrACORD 101, AdMionat Remarks Schedule, B more apace is required) EFFECTIVE 12102/2013, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO ESTRADA HOME MAINTENANCE, INC. DBA ESTRADA ROOFING (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE 1S NOT EXTENDED TO STATUTORY EMPLOYEES. RE: LICENSE #CCC1328913 NQA l IrIW41 C r1YWQ1( GAMUftLLA I tUM ®1988-2010 ACORD CORPORATION. AR rightsreserved. ACORD 25 (2010/08) The ACORD nems and logo are reglstered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT 10050 NE 2ND AVE. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE 1����5 ®1988-2010 ACORD CORPORATION. AR rightsreserved. ACORD 25 (2010/08) The ACORD nems and logo are reglstered marks of ACORD Florida Insurance 3054451335 p.2 !7 CERTIFICATE OF LIABILITY INSURANCE DATE( D 07/14/2014 PRODUCER Florida Inaumnce Agency of Miami P.O. Box 441340 Miami, FL 33144 P; 305446.8100 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORWAT N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURER AFFORDING COVERAGE NAICS O INSURED Estrada Home maWenanoo Inc DBA Estrada Roofing 658 Sw 71 eve Miaml FI 33188 INSURERA: EndwanceAmerlaen INSURER 8: INSURER C: MURR D: MURER E: INSURER F: Collo THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDIN0 ANY REQUOZEMENT.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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDL INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE (MM2 SWIRATIO14 (MMIDDIYY) LIMITS A GENERAL LIABILITY COMMERCIAL OF -NERAL LIABILITY CLAIMS MADE aUCCUR AG URWATE LIMIT APPLIES PER: t'OL1CY 1:1PROJEJ LOC CBC10001850800 211612014 2M8=15 EACH OCCURRENCE 1.000.000 PREMISES Ea ocrammce 410000 MED EXP (any one Person) $5.000 PERSONAL & ADV INJURY 1.00t L000 - .000GENERALAGGREGiATE GENERAL AGGREGATE1AM000 GEWL PRODUCTS-COMP/OP AGG 1JW0.0W AUTOMOBILE LIA111LITY ANY AUTO ALL OWNED Aures SCHEDULED AUTOS HIRED AUTOS NON43WNEDAUTOS COMBINEDSIRM (E8 aeadent) i Per Poison) 5 (PerAcckt% $ Per Accident ANY AUTO ALL OWNED AUTOS AUTO ONLY AGO ocuRR IAIM$ MADE DEDUCTIBLE RETENSION $ EACH OCCURRENCE $ AGGREGATE S 5 $ EMPLOYERS LIABILITY ANY PRUPIERTORIPARTNERIEXECUTIVE OFFICEWEMBER EXCLuDED a 0 yee deeCribe under SPE = PROVISIONS bNow TORY LIMITS ER r.L 015CAM-ZA BE 01 DESCRIPTION OF OPERATIONS 1 LOCATION&VEHIGLE51EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS: ROD" Owbu tot x JCeRTIFICATE HOLDER I jADD`L INSURED MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVE MIAMI SHORES, FL 33138 A I'.Asti nd` MMwAwAa SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ;R DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BRIT FAILURE TO Do SO SHALL IMPOSE NO 013UGATION OR LIABILITY OF ANY KIND UPON THE INSURED, ITS AGENT OR REPRESENTATIVES. RES N A IVE Tony Zoghbi —" `" I-- 1 j ACORD CORPORATION INS C FITN I ROOF ASSEmsumAND ROoFTop sTRucTURj3 1"I I a I I P master PenmftNo. BY: - �a� I I F Florida Building Code Edition 2010 H%Wefocify Hurricane Torte Uniform Permdt Application Form. Simon A (Geilleral it kmaiionl COP y Process NO. Contractm-s Nam EMADA ROOFING .lead Address 9710 NE 2 AVE p LOW Slope [� Asphaftic Shingles ❑ New Root P-9 Reroofing `ss rs' ❑ Md..kWiy Pwftned The ❑ Medal Panalishingles ❑ PmwdptWo WJR4M 150 ROOFTYPE ❑ Reevvering ❑ Repair ROOF SYSTEM INFORMA7WN ❑ MortadAdfmlve SetTue ❑ woof shingiesmakes Loaf Slope Roof Atm (SF) SieeP Sloped Roof Arm W) Totem M 13,700 0 13,700 Section B (Roof Plan) sketch Roof Plaw Wustrate all levels and suns, rout drains, scuppers, Ovarft a scuppers and overflow drahm., fnctu% dknwmkm of sw tw and teals, clearly Identify dfinettslons of elevaffid pressum zones and location of tmts6 L 0 58 i 60 ;11 t Will • � w boo 0 Soo 0 �qFq • • • 000.•66 60 •0000• fk �„ ••6••• 0000 12 gg Yr • • 000600 0000 006.6 • • • 6 • 00 00 U 2! ••6••• • W Ltu NMCO • •000•• • 0000 CO 58 i 60 16.34 2010 FLORIDA BUILDING CODE -BUILDING .•• • boo 0 Soo 0 • • • 000.•66 60 •0000• ••6••• 0000 • • • •6•• • • 000600 0000 006.6 • • • 6 • 00 00 • ••6••• • W 0 • • • •000•• • 0000 • • • • • • 16.34 2010 FLORIDA BUILDING CODE -BUILDING ROOF ASSEMBLIES AM R00FrDP STRUCTURES Florida Building Code Edition 2010 high-VeAcoity tlunfkmw Zone- Unftm Pan nit Apptfcaian Form. ; Section C (i.aw slope Applic Atka) FM In specific root assembly components and Idenft manufacturer (lf a component Its not used, Identify as "NA") Sym,,, -Manufacturer: GAF Materials Corp. Product Approval No.: 1370409.03 Design Vftd Pressures, From RAS' 128 or Calculations. PI: -42.8 1 M -71.7 m -108 MmL sign Pressure, from the specitfc Product Approval system•_ _ -442.5 Dedc Type Structural Concrete GaugwTltickness. 6" Slopes 1/4' AnchodBase Sheet & No. of Ply(s): N/A AnchorABase Shoot FWMwal onding Material: Insulation Base Layers N/A Base Insulation Size and Thickness: N/A Base insuladion Fe Materlah Top Insulation Layer. N/A Top Insulation Size and Wdme . N/A Top Insulation FastenerJBc ltc)iAng Material: Base sheegss) & No off") 75# BASE Base SheetFastonerif3onding Material- ASTM aterialsACTM Unhalt T-ne I-V My Sheet(s) & No. of;Ply(s): 1 Ply of Ruberoid 20 I" stmt " pgh t�VUe IV Top Ply: Fiberglass Capsheet Top Ply FasteneNBonding Material: ASTM As hbt Twe iV surfacing: N/A ' Fastener Spacing for Anchor/One Sheet Attacterient; Field• - ° oc 0 Lap, # Ramus - 0 - " oc, w Perimeter: ° oc @ Lap, II: Rows, — @ - ° oc Conner, , --8 oc @ Lap,.B mows: - 0 --0 cc Number of Fasteners Per insulation Board: Field , perimeter Corner, Rkn&ate Components NoW and Details as, Applicable. Woodbloddng, Cutter, fte Tenntitation, Stripping, Flashing, Continuous Cleat, Cant Skip, Base Flashing, Courtier Flashing, Coping, i=ts; indk*te. Mean 'Roof Height, Parapet Height, Height of Base Flashing, ComponentMatedal, Material Thkiate s, Fastener -Type, Fastener Spacing or Submit M; rtula�ftlr ers Details that Comply with RAS 111 and Chapter 16 Term. Bar w/ masonry anchors @ 6" oc VV Masonry Anchors @ 6" o.c. Ruberoid Stucco Stop W/ Lip Capsheet ` FT. 18" Ruberoid 20 75# BaseFT Parapet OH r Structural Concreti; • . tq : . *Concrete Deck primed with an . . approved asphalt primer prior too • • . • •.. •.:.,5 base sheet adhesion. • Goo • • • . • ..: • ....j. oeoo:: � M • k r s s : 2010 FLORIDA BUILDING CODE"'-- BUILDING ISM TGFU.R1306 - Roofing Systems Page 2 of 57 Crushed stone or slag are suitable alternates for gravel In any of the Class A, B or C systems listed. 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-15132 or NC. The use of gypsum board under any of the foilowing Class A, B or C systems does not adversely affect the rating. The use of %-In. minimum thick gypsum board is an acceptable altemate for minimum Insulation over C-15132 thick roof decks. The use of polystyrene insulation board between minimum -%-In. thick perlite board and deck with rosin paper (perlitelrosin paperlpolystyrenelperlite) Is a suitable alternate for polylsocyanurate board In the following Class A, B or C systems. EnergyGuardi RA" or 'Tapered EnergyGuard— RA" or EnergyGuard— Composite RA" may be substituted for any Atlas Roofing Corp. polylsocyanurate 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". "GAFGLASO #80 Premium Base Sheet" may be used in any of the following systems. "GAFGLAS@ Flex Ply 6" and "Tr! -PW Ultra -Flexible Ply 6" are suitable alternates to 'GAFGLAS@ Ply 6". "GAFTEMP Perrnallte Recover Board" may be used In lieu of any perlite 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 "Flreshield MB" at 2h to 3-ga11100- ft2. Ruberoid@ Dual Smooth" may be used as an alternate to Ruberold@ Mop Smooth" or Ruberoid@ 20" or Ruberoid@ 20 HT" Ruberold0 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 modlfled bitumen membranes. Ruberold@ Heat Weld" SBS roofing membrane may be used In lieu of Ruberold0 Mop" SOS products In any applicable Classfflcation. Class A 1. Dean C-15132 indine: 3 Tnsuladon (Optional): — One or more layers peritte or wood fiber or glass fiber or polylsocyanurate or urethane or perfitelpolylsocyanurate composite or periltelurethane composite or wood f1berlpolylsocyanurate composite or phenolic, any thickness. Ply Sheet: — 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-15132 indhre:2 Insulatlon (Optional): — One or more layers perllte or wood fiber or glass fiber or polylsocyanurate or urethane or periltelpolylsocyanurate composite or pedite/urethane composite or wood fiberypolylsocyanurate composite or phenolic, any thickness. Pty Sheet: — Three or more plies Type GI or "GAFGLAS@ Ply 4" or "Tri -Ply@ Ply 4" or "GAFGLAS@ Ply 6". • 6.0 Cap Sheet., — One ply Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or "Tri -Ply@ Mineral Surfaced Cap Sheet "or "GAFGLAS® EnergyCap— BUR Mineral Surfaced Cap Sheet" ' ' "" 006::6 0 3.04M*.NC Indine.2 0000•60 •• 0006•• 000.60 • • • •6060• Insulation (Optional): - One or more layers wood fiber, glass fiber, urethaneAPrr4e'l0olylsocjtarW4& • • perilte, poly/socyanurate, composite, perlitelurethane composite, wood fiberypolyisocyanurate composite, phenolic, 2-Irr, maximum; 0 6 • • 6 6 . 6 6 • Ply Sheep— Two or more plies Type G1 "GAFGLAS@ Ply 4", 'Tri -Ply@ Ply 4" or "GAFGLASO Ply 6 ". 0 0 0 0 0 0 0000 •0 0 0 6' Cap Sheet: — One ply Type G3 "GAFGLASO Mineral Surfaced Cap Sheet" or "Trl-PlyO Mineral Surfaced Cap Shee!" or "GAFGL" EnergyCap— BUR Mineral Surfaced Cap Sheet:" • • • • • • • 000009 •66••• 6 • • • •• 4. Deck: C-15132 Indine: 1 • • •.6.6• • 6 0000 • • • • • • • • • • 0000•• Slip Sheet (Optional): — Red rosin paper, nailed to deck. 6 • a 0 0 0 6 Insulation (Optional): — Any thickness perlite or wood fiber or glass fiber or polylsocyanurate mechanically fastened or t"1W with ONG Inc. "OlyBond Fastening System" or any UL Classlfied Insulation adhesive. Base Sheet: — One ply Type G2 GAFGLASO #75 Base Sheet" or "Tri -Ply@ #75 Base Sheet" (may be nailed). Ply Sheet: — One or more piles Type GI GAFGLAS@ Ply 4" or "rd -Ply@ Ply 4" or GAFGLAS@ Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or "Trl-P" Mineral Surfaced Cap Sheet" or "GAFGLASO http://database.ul.com/cgi-bin/X V/template/LISEXr/1FRAME/showpage.httnl?name=T... 11/7/2013 Ownefs Nptificadon Form MIAMI -I E��: "Delivering Exce9ience Every 0-y" SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 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 adjacent box indicates that the item has been explained. 1. Aesthetics -Workmanship: 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) issues 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. Renaffing 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 units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing 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 Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof 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. �d 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the rgof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensionsilpck t3, •discharge if: overflow scuppers (wall outlets) are not provided. It may be necessary to install overAv W -scuppers Waccordance with the Florida. Building Code, Plumbing. F) -7k-17. Ventilation: Most roof structures should have some ability to vent naturaj XWpw &pugh the i jjHer of the structural assembly (the building itself). The existing amount of attic ventilatioe hall not%o auceci R-: • maybe beneficial to consider additional venom which can result in extending the seWce' Fife of th8 roof. ' • . . . . ...... MA" 4',wrier's/Agent's Signature: WON an 1 _— _._.— Contractor's Signature: / Permit Number. Property Address: F9771NE2AVE SIeJ//Cl/Documents'i.2Ond'/.20Settinp/skylDesktap/SECTION 1524[1]$Un9/27/20075:46:06AM MIAMI WE . MIAMI -DADS COUNTY z PRODUCT CONTROL SECTION 11805 SW 26 Street,,koom 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami,; Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525:99 NOTICE OF ACCEPTANCE (NOA) GAF 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed 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:: GAF Ruberoie Modified Bitumen Roof System for Concrete Deeks 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 terminati n and remo • of, • NOA. • ADVERTISEMENT: The NOA number preceded by the words Miami -Dade CoUhtjl,'Florida, and' followed by the expiration date may be displayed in advertising literature. If any porno* 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 manu&eVmt or its. • • ; • • '"•' distributors and shall be available for inspection at the job site at the request of the BuffffiWOfficiaV This NOA renews and revises NOA No. 08-1028.02 and consists of pages 1 through 43. . 068% The submitted documentation was reviewed by Jorge L. Acebo. • . 000 ...... NOA No.: 13.0409.03 Expiration Date: 11/06114 Approval Dates 09/26/13 Page 1 of 43 MembraneType: SBS Deck Type 3 Concrete Decks, Non -insulated a, Deck Description: 2500 psi structural concrete or concrete plank System Type F(3): Base sheet adhered with approved asphalt, Vapor Retarders. (Optional) One or more Vies of GAFGLAe Ply 4, Tri -Pe Ply 4, GAFGLAS® F1exPly 6, GAFGLAS #75 Base Sheet, Tri Ply® #75 Base Sheet, GAFGLAS" Ultima."` #80 Base Sheet or Ruberoie 20 adhered with hot asphalt applied at 20- 25 lbsJsq. to deck primed with ASTM D-41 Asphalt Primer or MaftO 307 Premium Asphalt Primer. All General and System Limitations shall apply. Base Sheet: install one ply of GAFGLA!e #75 Base Sheet, Tri Ply® #75 Base Sheet, GAFGLAe #80 Ultima'" Base Sheet GAFGLAe Ply 4, Tri: Ply* Ply 4, GAFGLAe FlexPly 6 or Ruberoie 20 directly to sleeked primed ASTM.D-41 Asphalt Pruner or Matre 307 Premium. Buse sheet is adhered with any approved mopping asphalt applied within the EVT range and at a rate of 20.40 IbsJsq Ply Sheet: One or more plies of GAFGLAe Ply 4, Tri Ply® Ply 4, GA1• ELAS® F1exPly 6 or (Optional) GAFGLASP #80 Utima7 Base Sheet: Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. Membrane: One or more plies ply of Ruberoidn 2% Ruberoie 30, Ruberoie 34 FR, Ruberoide' Mop Granule, Tri -Pe SBS Modified Bitumen Membrane, Roobutce SBs modified Granular, Intec Flex PRF, Rubeme Mop Smooth, Ruberoie Mop Smooth 1.5, Ruberoiemop Plus Smooth, Ruberoie Mop Plus, Ruberoie Mop FR, RuberoieEnergyCap Mop FR, Ruberote Mop 17017R, Ruberoie Dual Smooth, Ruberoie SBS Dual FR or RuberoieEmocap 3o M SBS Membrane adhere with any approved mopping asphalt applied within the Mrange and at a rate of20-401bsJsq. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. Ali coatings must he listed within a current NMA. 1. Gravel or slag applied at 400 lbsJsq. and 300 ftJsq. respectively in a flood coat of approved asnphait at 60 lbsJsq. 2. GAFGLAS Mineral Surfaced Gap Sheet, Tri -PV Mineral Surfaced Cap Sheet or GAFGLASn EnergyCap BUR Mineral Surfaced Capsheet adhered in a Hill mopping of approved asphalt applied within the EVT range and at a rate of 20401bsJsq. . •.. 3; Topcoe Elastomeric Roofing Membrane, Topcoats' MB Plus (to be used as a$rimer �vitb.. • Topcoats Elastomeric Roofing Membrane) or Topcoae Surface Seal SB 1ppAJ at I to 4+5 gWJsq. ee•ee• .. Maximum Design 000000 0 Pressure: 442.5 .psf. (See General Limitation #9) • e • • • 000••0 j AFPRCti':� � 0.000•so 0 of .... 0 NOA No.:13 Upiraelon Date:- 111Q6/14 Approval Date- M643 Page 38 of 43. .ee.. .0000• e 060000 • e CONCRETE DECD SYSTEM LWTATIONs: 1.. If mechanical attachment to the structural deck through the lightweight insulating concrete is proposed, a field withdrawal resistance testing shall be performed to determine equivalent or enhanced fastener patterns and density. All testing and fastening design shall be in compliance with Testing Application Standard TAS 105 and Roofing Application Standard RAS 1.17; calculations shall be signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant 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 EW range and at a rate of 20-40 lbsJsq., or mechanically attached using the fastening patternofthe 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 S" 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 IT in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbsJsq. Nate: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value; as field- tested, are below 275 1b 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 ficial, 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 and/or RAS 137. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant ( Aws this limitation is specifically referred within this NOA, General Limitation #9 will not beg applica4m) - 8. All attachment and sizing of perimeter hailers, metal profile; and/or flashing term naticlttdeftns sliM. ; conform to Roofing Application Standard RAS 111 and applicable wind load require&tW. • .0 9. The maximum designed pressure limitation listed shall be applicable to all roof pressW�o�n'es Cu field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permindroo aahancgd • • • • fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (�, this li ty ion is specifically referred within this NOA, General Limitation #7 will not be appli 4— 0 0 0 0 10. All products listed herein shall have a quality assurance audit in accordance with the 131tMBuilding Code and We 9N-3 of the Florida Administrative Code. : ...:. .. END OF THIS. ACCEPTANCE 0000: 0000 .000 NOA No.: 13-0409.03 Expiration Date. 11/06/14 Approval Dates W26/13 Page 43 of 43 0000.. . . 000000 . 0000.. . 00.00 00000 ..0.00 0 . . .0000. .0000.