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RF-15-661 Per*it W, RF-� -'I Miami Shores Village Pt9m*TyP6:Roof 10050 N.E.2nd Avenue NW 'ftrk bass it:aflon.Repalr'R f.:. Miami Shores,FL 33138-0000 Permit Status:APPROVED '. Phone: (305)795-2204 �'CORtD�' Expiration: 11/14/2015 Project Address Parcel Number Applicant 55 NW 94 Street 1131010340120 Miami Shores, FL 33150- Block: Lot: SAGE HOFFMAN Owner Information Address Phone Cell SAGE HOFFMAN 55 NW 94 Street MIAMI SHORES FL 33138- 55 NW 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 3,300.00 GLOBAL ROOFING SPECIALIST INC (954)281-8880 (561)914-6706 Total Sq Feet: 990 Type of Work:Repair Available Inspections: Additional Info:ROOF REPAIR&SILICONE COATING Inspection Type: Classification:Residential Roof Repair Scanning:4 Final Roof Review Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# RF-3-15-54917 DBPR Fee $2.00 05/18/2015 Check#: 165 $72.40 $50.00 DCA Fee $2.00 Education Surcharge $0.80 03/24/2015 Credit Card $50.00 $0.00 Permit Fee-Repairs $100.00 Scanning Fee $12.00 Technology Fee $3.20 Total: $122.40 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I erti tall the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni ut e r I authorize the above-named contractor to do the work stated. May 18, 2015 Authoriz �;pa at re:Owner / Applicant / Contractor / Agent Date Buildin rtment 9 Copy May 18,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-230917 Permit Number: RF-3-15-661 Scheduled Inspection Date: November 10,2015 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Roof Owner: HOFFMAN,SAGE Work Classification: Repair Roof Job Address:55 NW 94 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010340120 Project: <NONE> Contractor: GLOBAL ROOFING SPECIALIST INC Phone: (954)281-8880 Building Department Comments ROOF REPAIR &SILICONE COATING Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed ix Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 09,2015 For Inspections please call: (305)762-4949 Page 1 of 43 11/09/2015 02:33 9543429662 PROGRESSO INSURANCE PAGE 01101 � CERTIFICATE OF LIABILITY INSURANCE =(AwWMDNWYYMY THIS CERTIFICATE I$ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICA'T'E DOES NOT AFFIRMATIVELY Oil NEGATMELY THIS AMEND,EXTEND O12 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I$SUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IAAPORTANT: Ifthe certificate balder Is an ADDITIONAL J11,1111111 polEcypes)must be ondarsed. IfSUBROGAVED the terms and condktons ofthe policy,certain policies may require an endorsement. A statement on this certtOca170N IS WAI ,subjoin to to does not confer rights to the certlMste holder in Ileo of such endorso nt(s). PRODUCER TACT Russell Conde Progresso Insurance And Tag Agency "ON 9041 Pembroke Road )404-7658 Fax 4a): 954 342-9662 E tussel(�PROGRESSOINS,COM Pembroke Pines,FL 33025 Phone (954)4047658INSU S AFFORDING OOVERAGE LAIC o INSUREb FaX {954 342-9662 INSIJRERA: UNITED SPECUALTY INSURANCE COMPANY GLOBAL ROOFING SPECIALIST INC. INSURER e 2462 PINES WAY DRIVE SURER C: 1 URERD: WEST PALM BEACH,FL 33145 (561)914.6705 INSURERS= COVERAGES CERTIFICATE NUMBER: INSURER THIS IS TO CERTIFY THAT THE POLICIES OF MISURANCE LISTED BELOW HAVE BEEN IS: TO SION NUMBER, THE INSURED NAM@p�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 PI 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 Agip Cl AIMS. INSR TYPe OF INSURANCE ADD USR POLICY NUMBER POLICY II POLICY GENERAL LIA81Lrry IDD LIMITS ® COMMERCIAL GENERAL IJABtUTy EACH OCCURRENCE 1 1000,000.00 GETRD EX BE �rrm S 100,000.00 A El 11cLAIM�MADE ❑ OCCUR U87249101 ❑ Y x/2312015 05/23l201fi MED EXP nn one pemOA S 5,000.00 ❑ PERSONAL A AOV INJURY S 1,000,000.00 GEN'LAGOR90AAT�TEUMITAPPU�EISPER: GENERALAQGREGATE $ 2000,000.00 ®POLICY Z U 2O- LOC PRODUCTS-COMPIOPAGO S 1,000,000.00 AUTOMCaU LIABILITY $ ❑ ANYALRO a?BINEOI INGLELuAn* ❑ ALL ❑ SSCCHE LED BODILY INJURY(Par pemon) $ OS ❑ HIREDALITOS ❑ A WNED BODILY INJURY(Per zoddem) $ or PE AMAGQ S ❑ UMBRELLA LIAR ❑01 S ❑ II KESS LLAS ❑CLWMS-MADE EACH OCCURRENCE S DED ETENnom AGGREGATE $ WORKOW COMPENSATION $ AND EMPLOYERS LIABILITYSTATU• OTH• f ANY PROPRIBTORIPARTNERlEXECUTNB YIN W r O rubuny in KH) EXCLUDED? a N/A E,L EACH ACCIDENT Ifrres deaGihe umfor S GE5CRIFTION OF OPERATIONS pglpq E,L DISEASE-EA EMPLOYE $ E,L DISEASE-POLICY LIMIT S 132801 WTION OF OPERAMONS I JOGATWNS f VEHICLES I/I b-h ACORD 10i,p% QMa al Ramar$a Sahadula,ff mom Roofing Contractor space to nnqutry� License*CCC132B476 CERTIFICATE HOLQER CANCELLATION Miam10050 Shores Btalding�parlrnent THE EXPIRATION ATE THEEREOF NOTICE WIILLBEELIVERED ITHE ABOVE L)ESCpIgED POI BE N BEFORE Miurn!1 h 2nd Ave ACCORDANCE Wrm TME POLICY PROVISIONS. Miafrli Shore$,FL 33138 AUTHCRRMRtppga 71yE ANA MARIA ACORD 25(2a10/os)t!F Q 988- 0 CORD CORPORATION. All rights roserved. The CORD me and Togo ane reglslered marks of ACOItD Miami Shores Village Building Department MSR �4 z015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2010 BUILDING Master Permit No��' �' �° �• PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 3"� pp City: Miami Shores County: Miami Dade Zip: 33 l Folio/Parcel#: ® —0 —O Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder)):��:,,nA Phone#: Address:,55� N pp// 0A City: 31 I 'L State: E6 Zip: g --'s J Tenant/Lessee Name: - Phone#: Email: n= L J CONTRACTOR:Company Name: (; o 6fil gw I V 6� s AFS f l�[® Phone#: 9�7'2�/ 8000)p 0 2-74 /Address: - ®e E-IM C106 84P City: I joo to State:rL Zip: 019 Qualifier Name: tl,KC 9FU 1, Phone#: State Certification or Registration#:of C 1�� `l Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: 22 City: State:�/ Zip: Value of Work for this Permit:$ J©Q Square/UnearrFF,,000tage of Work: / Type of Work: El Addition ElE Alteration New 1 Repair/Replace El Demolition Description of Work: 0 Specify color of color thru tile: Submittal Fee$ a� Permit Fee$ D(0®=66 CCF$ 2 .LfQ CO/CC$ Scanning Fee$ Radon Fee$ 2.Cr DBPR$ �-�'1� Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ -� �J n TOTAL FEE NOW DUE$ d • I V (Revised02/24/2014) y Bonding Company's Name(if arrlicable) w` Bonding Company's Address City State // Zip Mortgage Lender's Name(if applicable) L� 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 posted notice, the inspection will not be approve nd a reinspection fee will be charged. ✓ g Si nature 7l Signature ' LA OWNER or AGENT CONTRACTOR The7egoing instrument was acknowledged before r�r ehis Th&egoing instru ent was acknowledged before me this day of ( / Li 20 /S byday of 20 by whoispersonally known to eQwh ' personally known to me or whos pr duced , / ! as me or who has produced as identification an w o did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PU C: "M d--� Sign [ Sign �s Print: Print: ALIDEAJU HFLA r � /WDFAJURCHELA 4c= es+Y v' . Seal: ,. *; MY COMMISSION#FF 011049 a> e I' fa, MY COMMISSION#FF 011049 B .. :¢__ EXPIRES:July 22,2017 =�,. ;s ;•�r: =qi � Bonded Thru Notary Public Underwriters EXPIRES:July 22,2017 Bonded Thn,Notary Public Underwriters APPROVED BY ` - ® Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �SNRFs Miami Shores Village mass Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �l0Rll"& Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Dater 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: E_ kOEFaM Property Address: S 5 Iv W 5t H1RN S AORES F1_ Roofing Permit Number: Dear Building Official: 1 �� �t7�` certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 913-3.047 F.A.C. Hke Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, degoses and says that hel a is the owner for the abs property mentioned. Swom to and subscribed before me this A day of 20� Notary Public, Sate of Florida at Large (SEAL) aa ".°y64,. ALIDEAJURGHELA = r �: MY COMMISSION N FF 011049 EXPIRES:July 22 2017 FINAL COMPLIANCE Bonded Thru Notary Public Unde writers Revised on 5/21/2009 ♦SHORES `I swim Miami Shores Village Building Department 0R1UA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. ........................................................................................... BUSINESS NAME: (-LO Ph L POO F► N G, S PE-C 161 C BUSINESS ADDRESS: 2-71-11 OCeAN C106 010 CITY4I 96ya1V00 STATE FL ZIPS BUSINESS PHONE: FAX NUMBER(I S 2-8l—88 10 CELL PHONE( QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: SCG 17J 2 8776' ' CIO 1 ITY INSURANCE DATE(�"DONYM � CERTIFICATE OF LIAB L 03/20115 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(les)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 COCA Angle Pana Progresso Insurance And Tag Agency PHONE (9554)404-7658 FAx No): (954)342-9M2 9041 Pembroke Road ADDRE-MAILESS6 angle@PROGRESSOINS.COM Pembroke Pines,FL 33025 INSURER(S)AFFORDING COVERAGE NAIC# Picone (954)404-7658 Fax (954)342-9662 INSURER A: UNITED SPECUALTY INSURANCE COMPANY INSURED INSURER 8: GLOBAL ROOFING SPECIALIST INC. INSURER C: 2462 PINES WAY DRIVE INSURER 0: WEST PALM BEACH,FL 33145 (561)914-6706 INSURER 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 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. 1 TRR TYPE OF INSURANCE ADD UBR POLICY NUMBER MMMIIDDOY FBF M LICI EXP UNITS GENERAL LIABILITY EACH OCCURRENCE $ 1,()00,000.00 0 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1 000 PREMISES Ea occurrence $ .00 F-1 ❑ CLAIMS-MADE E] OCCUR US1249101 MED EXP(Any erre persons 5,000.00 A M Y 05/05/2014 05/05/2015 PERSONAL 8 ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 © POLICY O PRO- © LOC $ JFCTAUTOMOBILE LIABILITY EOMBicr den SINGLE LIMIT ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED ❑ SCHEDULED BODILY INJURY(Per acddent) $ AUTOS ❑ HIRED AUTOS ❑ AUTOS D PRar nDAMAGE $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑WC STATU- ❑E AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ It yea descdbeunder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Roofing Contractor License#CCC1328476 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Building Department THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ANA MARIA ©1888-2010 ACORD CORPORATION. All rights reserved ACORD 25(2010105)QF The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA ► STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES y � � ! DEPAPROFESS OVAL REGULATION ENT OF BUSINESS D DIVISION OF WORKERS-COMPENSATION F CONSTRUCTION INDUSTRY EXEMPTION 0 CCC1328476 ISSUED: 08/31/2014 CEWnF ATE OF ELECMON TO RE OMMPT RWIN FLOMA L woR�s'COMM aAUM LAW CERTIFIED R001=iNG.CONTRACTOR - EFFECnVEDATE 215=14 EKPMTM DAM ZSMS D REUT,MIKE PEMM: REUT WE GLOBAL ROOFING SPECIALIST INC H FM: 281332337 E BUSINESS NAIL AND ADDRESS: R - GLOBAL ROOFING SPECIALIST INC E IS CERTIFIED under the provisions of Ch.489 FS. Exphatkm date:AUG 31,2016 L14083 OOW55i P B BOX 221792HOLLYWOOD FL 33922 SCOPES OF BUSINESS OR TRA BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA:GLOBAL ROOFING SPECIALIST INC Receipt#:ROOFING/SHEET METAL CONTRAC Business Name: Business Type: (ROOFING CONTRACTOR) Owner Name:MIKE RELIT Business Opened:02/21/2008 Business Location:2462 PINEWAY DR State/County/Cerf/Reg:CCC1328476 PALM BEACH COLINTY Exemption Code: Business Phone:5 61-914-6 7 0 6 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 1 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: MIKE REUT Receipt #30A-13-00013165 P 0 BOX 222792 Paid 09/24/2014 27.00 HOLLYWOOD, FL 33022 2014 - 2015 loss not" Miami shores Village Building Department ® 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore,you may personally liable for the worker compensation injuries of any person allowed to work under this permit Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Contractor Print Name: Print Name: Li Signature: Signature: 4- State of Florida) State of Florida) County of Miami-Dade) County of Miami-Dade) Sworn t ubsdlbed before 1s Sworn to d su fore 1s day of ,20 day ofh�l ,20� By By *__ MY COMMISSION#FF 011049 At MCA IUp MY COMMISSION#FF 011049 �' EXPIRES:Jul (SE �`= Fx�t�rS JuIY gt317 (SEAL) °F °. Y 22,2017 ° Bonded Thru No4a P Type o dentification rod, is Undenvrters T of Identificati 3;ed ry ublic Underwriters Global Roofing Inc State of Florida County of Broward Before me this day personally appeared, Mike Reut who, being duly sworn, deposes and Says: That he willbre the only person working on the project located at; s 1 Sworn Iq and su cribe before me this day of ,►e .2015, by Personally know Or produced Id "rbx4 ALIDEAJURCHELA ii MY COMMISSION#FF 011049 . o" EXPIRES:July 22,2017 �N;;q.0 Bonded Thru Notary Public Underwriters A(�,'�, CERTIFICATE OF LIABILITY INSURANCE DATE 0NIMIDD5 Y) 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER CONAME:NTACT Russel Conde Progresso Insurance And Tag Agency PHONNo.E , (954)4047658 ac No): (954)342-9662 9041 Pembroke Road ADDRESSO russet@PROGRESSOINS.COM Pembroke Pines,FL 33025 INSURERS AFFORDING COVERAGE NAIC# Phone (954)4047658 Fax (954)342-9662 INSURER A: UNITED SPECUALTY INSURANCE COMPANY INSURED INSURER B: GLOBAL ROOFING SPECIALIST INC. INSURERC: 2462 PINES WAY DRIVE INSURER D: WEST PALM BEACH,FL 33145 (561)9146706 INSURER 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 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. ILTR TYPE OF INSURANCE INS UBDR POLICY NUMBER MAOA/DDY EFF MM/DD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 0 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000.00 A ❑ F] CLAIMS-MADE [:] Y 05/23/2014 05/23/2015 OCCUR US1249101 MED EXP(Any one person $ 5,000.00 ❑ PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE s 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1,000,000.00 © POLICY © PRO- © LOC I L $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ❑ AUTOS ❑ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ F-1 HIRED AUTOS Per accident ❑ ❑ $ ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑WC STATU- ❑ETH - AND EMPLOYERS'LIABIUTY Y I N ANY PROPRIETORIPARTNERIEXECUTIVEN/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) F-1 E.L.DISEASE-EA EMPLOYE $ If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) ROOFING CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 N.E.2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores,fl 33138 ANA MARIA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD 14 d M i c • • ■ ■ - *rYM7rTaTIr,=o - I oil • • • • c• • • •0 • • . • , • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ��_=.w--ae•■s��.,�►err".ar�a�■l��.ria■a■■■■■■■■■■■■■■>.■r��ai■■■■■■■■■ lilt VI■■■■fll■�\�I[l�l�!�I■Nw■■f'\!!f■l:1fi7!��1■■■■■■■■■■1'1■■■■■■1`I■■■■■■ - h:■'\�I■■■'1111■1.lJF1'�[ r■';iLL!■i��:�LZ•Ji,�lf����i■■■■■■■■■■11■■■■■■11■■■■ � Ir\�1■F�rIJ■�alll■Yflr■i■■■■■■■■■■■■■■■■■■■■■■■■■■■■■11■■■■■■11■■■■■■ �■■.='t�l� �■■!•]Itl■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■11■■■■■■1111■■■■■ 141■\�'�IG3■■ralU1■■■■■■■■■■■■■■■■■■■■■■■■■■■■A■uG:�■■►,■■■■■■ll1r:\■■■■ �1 I���I� �����������������Aiiiiiiii 11■■■■■■■■■■■■■111■■■■■■ ` � 111�!IIfi41,1■f�vfl■■■■■■■■■■■■■■■■■I■■■I!>i■�1,fi�IKz�■::L]■C■ISIA■R•1�1�■■ii■■■■■■ �{ -- �3�'�I[i3l■i+'y111■■■■■■■■■■■■■■■■■■■CTL.!L'3L3arH1■lNIf;17F1■110C�i1■■■■■■■■■ r t\�`71�[■■�rl■■■■■■■■■■■■■■■■■■■r':tPuAfJ��.•�►;;,f�ILf���'I��/�il�IFifiw■■■■■■■■■■ ':•■Irt17■i:�ll1■■■■■■■■■■■■■■■■■{■i ifa_a['9�?'ula�.Nac•►:Llir:■ClCrl�■1117■■■■■■■■■ 1►�►!■fa�a■7u1■■■■■■■■■■■■■■■■■�e■■1■■■■■■■■■■��w�wF�laoa■■■■■■■■■■ ■■l�[ ]tEll■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ AMI rel■L■r4�]11■■■■■■■■■■■■■■■■■■■■■■■w�■DI■■!■■■A■■■!■■■■■■■■■■■■ 1O MaiIia■■r■■■■■■■■■■■■■■■■■■■■■■■ni■■a■■�■■o■�■lwnl�w■■■■■■■■ i ,;!� ■111■�,■�a■■■■■■■■■■■■■■■■■■■■■■■w�■■�■■■■■h■i�■vW■■v■■■■■■■■ ` [0111■�]■RI�I■■■■■■■■■■■■■■■■■■■■■■■ri■ii■■■■■■,■■l�tfillN■■■■■■■■ �u�■�■�n�it■■■■■■■■■■■■■■■■■■■■■■■■nom■w■■■■■■■■■■■■■■■■■■■■■■■ Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components Fastener Spacing for Anchor/Base Sheet and Identify Manufacturer Attachment (If a component is not used, identifyas "NAJ System Manufacturer: 1� 1LField: "oc@ s �+ ap,#Rows 0" "oc NOA No.: 2' ®l/�(® r( � Perimeter: "oc Lap,#R S @ "oc Design Wind Pressures, From RAS 128 or Calculations: Corner: "oc @ La ows @ "oc Pmaxi: Pmax2: Pmax3: Number o steners r Insulation Max. Design Pressure, From the Specific NOA Board System: Field: Perimeter Comer Deck: Type: Illustrate Components Noted and Gaugerrhi kness: Details as Applicable: Slope: v 12 Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Anchor/Base Sheet&No.of Ply(s): Strip, Base Flashing, Counter- Flashing, Coping, Etc. Anchor/Base Sheet Fastener/Bonding Material: Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Insulation Base Layer: Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: co O TTI Top Insulation Layer: COOOe— Parapet Top insulation Size and Thickness: ��� Height Top Insulation Fastener/Bonding Material: PeeS!;We C100 4 FT Base Sheet(s)&No.of Ply(s): Base Sheet Fastener/Bonding Material: MeanRoof Height Ply Sheet(s)&No.of Ply(s): Ply Sheet Fastener/Bonding Material: Top Ply: �. •; .•; Top Ply Fastener/Bonding Material: 00 469 0 0 d Surfacing: 1 Y' C►' l� •. f :.. :9: ••• •.0 ... . . • . ••. :•: • • .00 . SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope.As it pertains to this section,it is the responsibility of the roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of this section.The provisions of 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 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 Section R4402 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards.Aesthetics (appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should be addressed as part of the agreement be een the owner and the contractor. .'IS-.k__2.Renailing Wood Decks:When replacing roofing,the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to r moving the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between eighboring units (i.e. townhouses, condominiums, etc.) In buildings with common roofs, the roofing co ctor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 01. 4.Exposed Ceilings:Exposed,open beam ceilings are where the underside of the roof decking c n 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.This provides the option of maintaining this ppearance. 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 unci the original roofing system is removed. Ponding conditions should be corrected. V 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not erloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402,R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the 9terior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Exception:Attic spaces,designed by a Florida licensed engineer or registered architect to eliminate the attic venti enting shall not be required. ownerwtgenfs SignJLKe Date •. see . Qontractors Signature Property Address Permit Number see •• 6:0 060 0 MIAMI. MIAMI-DADE COUNTY " PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY 11805 SW 26 Street,Room 208 AFFAIRS(PERA) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/pera Gaco Western LLC 1245 Chapman drive Waukesha,WI 53186 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 PERA -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. PERA 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: : GACO WESTERN ROOF COATING SYSTEMS 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 pro tided 18 IN tee;by tke manufacturer or its distributors and shall be available for inspection at the jobsjte atiethe regUA if jha puilding Official. This NOA renews and revises NOA No. 09-1109.03 and consists of pages 1 to bo ugh-4. The submitted documentation was reviewed by Jorge L. Acebo. •r• • • • • • :00 0 'a } ••• "' NOA No.: 12-0426.06 e -: Expiration Date: 05/31/17 MIAfM4DAD;COUNTY'r .•�` •;• ..• . Approval Date: 05/24/12 • ••• Page 1 of 4 ROOFING COMPONENT APPROVAL Category Roofing Sub-Category: Cement-Adhesive-Coatings Material: Elastomeric SCOPE: This approves GACO WESTERN ROOF COATING SYSTEMS"as a roof maintenance coatings manufactured by Gaco Western LLC,as described in this Notice of Acceptance. This product has been designed to comply with the Florida Building Code,including the High Velocity Hurricane Zone of the Florida Building Code. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Construction Materials GWI-007-02-01 ASTM D 6083 08/14/09 Technologies Fed Spec TT-C-555B GWI-002-02-201 ASTM D 6083 01/09/07 Fed Spec TT-C-555B GWI-001-02-01 ASTM D 6694 04/10/07 Fed Spec TT-C-555B GWI-004-02-01 ASTM D 6694 05/13/08 Fed Spec TT-C-555B Underwriters Laboratories Project 04NK27341 UL 790 02/01/05 Project 07NK02171 UL 790 03/13/07 Project 08NBO1503 UL 790 02/21/08 Factory Mutual Research Corp. 3023644 4470 02/02/07 MANUFACTURING LOCATION: 1. Waukesha,WI PHYSICAL PROPERTIES OF COMPONENTS Trade names: A310OR Acrylic Top Coat Thickness: For application over spray polyurethane foam system apply a base coat at a minimum rate of 1.13 gal/100 W,an intermediate coat at a minimum rate of 1.13 gal/100 W,and a top coat at a minimum rate of 1.13 gal/100 ft2. For application of a recover coating over an existing acrylic roof apply a base coat at a minimum rate of 1 gal/100 W,and a top coat at a minimum rate of 1 gal/100 W. Specifications: ASTM D 6083 Description: An acrylic white elastomeric quict et:coating membrane applied to;spray polyurethane foam roof systems And a reoco Vie*aflxelisling acrylic roof. Container Size: 5,55 gallons. Note all precautimB ori ck;aiper.• . Systems Approvals: Methods of application and quantities shall comply with specific Roof Assembly,Product Control T tice®f Ac4ptarL e• • •• •• •SOA No.: 12-0426.06 CMLAMI �= Expiration ADECODate: 05/31/17 •Moenlo •• • • . . ... . Approval Date: 05/24/12 Page 2 of 4 ... . . . .:. .. .. Trade names: S 1600 Base Coat/Top Coat Thickness: For application over spray polyurethane foam system apply a base coat at a minimum rate of 1.1 gal/100 ft and a top coat at a minimum rate of 1 gal/100 W. For application of a recover coating over an existing silicone roof apply a base coat at a minimum rate of 1 gal/100 ft2,and a top coat at a minimum rate of 1 gal/100 ft'. Specifications: ASTM D 6694 Description: A single component,moisture cured,silicone-based rubber elastomeric membrane coating that is brush,roller or spray-applied. To be applied to spray polyurethane foam roof systems,galvanized metal,smooth surfaced built-up (BUR)roofing,acrylic coating and any existing silicone roof coating.. Container Size: 1,5 and 55 gallons. Note all precautions on container. Systems Approvals: Methods of application and quantities shall comply with specific Roof Assembly,Product Control Notice of Acceptance. LIMITATIONS: 1. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire rating of this product. 2. GACO WESTERN ROOF COATING SYSTEM shall not be applied in inclement weather conditions. 3. GACO WESTERN ROOF COATING SYSTEM shall not be applied over asphaltic shingles, metal shingles,fiber-cement shingles,quarry slate,cement or clay roofing tile,or wood shingles or shakes. 4. The products listed herein are components of roof assemblies and are approved for use with roof assemblies that list any of the products listed herein as part of their roof assemblies Notice of Acceptance. For applications over existing single ply,smooth or granulated BUR systems. Refer applicable building code for requirements. 5. All products listed herein shall have an unannounced follow-up quality control program from an approved listing agency. Follow up test results shall be made available to Miami-Dade County Product Control upon request. 6. All approved products listed herein shall be labeled in compliance with TAS 121 and shall bear the imprint or identifiable marking of the manufacturer's name or logo and following statement: "Miami-Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. MIAMI-DARE COUNTY • �I 7. Change in materials,use,or manufacture of any of the products listed herein shall be cause for termination of this Notice of Acceptance. 8. GACO WESTERN ROOF COATING SYSTEMsTi1ll•d4ly;bq applied by afactory trained and certified applicators. : • 9. GACO WESTERN ROOF COATING SYSTEvalir bi applie5.in acporJahce with manufacturer's published application instructions. END OF THIS MYE'PrANGY :•. .•. .:: % " : : : • •• NOA No.: 12-0426.06 Expiration Date: 05/31/17 MIAM4DADE COUNTY ••• • .•. . Approval Date: 05/24/12 i : • : 0• • • : Page 4 of 4 Trade names: S 1000 Top Coat Thickness: For application over spray polyurethane foam system apply a base coat at a minimum rate of 1.1 gal/100 ft and a top coat at a minimum rate of 1.1 gal/100 ft2. For application of a recover coating over an existing silicone roof apply a base coat at a minimum rate of 1.1 gal/100 ft2,and a top coat at a minimum rate of 1.1 gal/100 ft2. Specifications: ASTM D 6694 Description: A single component,air dried,silicone-based rubber elastomeric membrane coating that is brush,roller or spray-applied.To be applied to spray polyurethane foam roof systems and as a recover of any existing silicone roof coatings. Container Size: 5 and 55 gallons. Note all precautions on container. Systems Approvals: Methods of application and quantities shall comply with specific Roof Assembly,Product Control Notice of Acceptance. Trade names: S-2000 Solventless Silicone Basecoat/Top Coat Thickness: For all applications apply 2 coats;a base coat at a minimum rate of.75 gal/100 ft and a top coat at a minimum rate of.75 gaV100 ft2. • Spray Polyurethane Foam Roof Systems • Acrylic Coatings • Galvanized Metal Roofs(in conjunction with E5320 2 part Epoxy Primer) • Smooth Built Up Roof Systems(in conjunction with E5320 2 part Epoxy Primer) • EPDM Single Ply Roof Systems(in conjunction with E5320 2 part Epoxy Primer) • PVC Single Ply Roof Systems(in conjunction with E5320 2 part Epoxy Primer) Specifications: ASTM D 6694 Description: A single component,moisture cured,silicone-based rubber elastomeric membrane coating that is brush,roller or spray-applied to the roof covers listed above. Container Size: 5 and 55 gallons. Note all precautions on container. Systems Approvals: Methods of application and quantities shall comply with specific Roof Assembly,Product Control Notice of Acceptance. .. ... . . . .. see so: •: �.. ••• ••• .. . . ••• 490A No.: 12-0426.06 Expiration Date: 05/31/17 MIAM4DADE COUNTY ••• • . . . s•• Approval Date: 05/24/12 • Page 3 of 4