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RF-13-106Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 184473 Permit Number: RF -1 -13 -106 Scheduled Inspection Date: February 12, 2013 Inspector: Bruhn, Norman Owner: MARTINEZ, MARTA GAMALLO Job Address: 10528 NW 2 Avenue Miami Shores, FL 33150- Project: <NONE> Contractor: AMERICAN STAR CONSTRUCTION INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1121360020030 Phone: (786)390 -2258 Building Department Comments FLAT ROOF - tEPLACEMENT AT DETACHED STRUCTURE IN BACKYARD Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 11, 2013 For Inspections please call: (305)762 -4949 Page 17 of 31 RE: Permit # 13 10 1111 iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: C)1/2f /2-G t3 INSPECTION AFFIDAVIT Jose Cespedes licensed as a (n) Contractor / Engineer / Architect, (Print name and circle License Type) License #: On or about CCC1327378 01/06/2013 (Date & time) Secondary water barrier work at 1528 NW 2nd AVE. Miami Shores, FL (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based o 553.844 F.'.) / _____3 FS 468 Building Inspector , I did personally inspect the roof deck nailing and Igna ure State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this 25 day of Notary Public, Sate of Florida at Large *General Building, Residential, or Roofing Contractors or any individ PI . under 468 F.S. to make such an inspection. Include photographs of g, g y p each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection .61314:: , JORGE ALBA _* ;, * Commission # EE 161118 ,,.. My Commission Expires . a,;;,,, January 18, 2016 Revised on 5/21/2009 1kliAtaic Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 10528 NW 2nd AVE Permit No. Master Permit No. JAN .8 2013 FBC 20 ROOFING City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel #: 11- 2136 -002- 0030 Is the Building Historically Designated: Yes NO X Flood Zone: 4 P. 0 rp. OWNER: Name (Fee Simple Titleholder): MARTA GAMALLO MARTINEZ Address: 10528 NW 2nd AVE Phone #: 7865531584 City: Miami Shores State: FL Zip: 33150 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: American Star Construction Phone #: 7863902258 Address: 409 Phippen RD City: Dania Beach State: FL Zip: 33004 Qualifier Name: Jose Cespedes Phone #: 7863902258 State Certification or Registration #: CCC1327378 Certificate of Competency #: Contact Phone #: 7863902258 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 2,000 Square/Linear Footage of Work: 280 SF Type of Work: Addition ❑Alteration ❑New QRepair/Replace Description of Work: Flat roof replacement at detached structure in backyard ❑Demolition Color thru tile: * * * * *' * ***4e. =kok *.k8e.k.k%F%k:k% * ** *%k*:k****` **%k**F—ees ** *** * * * * ***-x, : k. k ** ** * *** *.c;x *.k**** *** * * *** *** Submittal Fee $�,U' : Permit Fee $ -.eC,� U CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 21(o '10 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject o attac ment. Also, a certified copy of the recorded notice of commencement ust be posted at the job site for the first inspection ich . s °ven (7) days after the building permit is issued. In the absenc of such posed notice, the inspection will no be as nspection fee will be charged. Signature Signature 0 ner • gent Contrac or The foregoing instrument was acknowledged before me this 18 The foregoing instrument was acknow edged before me this 18 day of 44N. , 20 %, by (-e -0 A'fA ✓._ /1/t0a f7 U{?l day of / 20 (3, by who is personally known to me or who has produced 1 —` • who is personally i nown to m who has produced NOTARY PUBLI Sign: Print: My C As idenjficatio an nct W1 dizttake aan oath. APPROVED BY as identification and who did take an oath. NOTAR IC. Sign: PQ My C AI ' JORGE ALBA I���`,, JORGE ALBA Ii�,tj-�,: My Commission Expires ' o ., . s�i . EE 161 1 pmmissionEx_ ;'1 ,0p ,,,. anuary � 6 ,e,,. �. APPROVED BY as identification and who did take an oath. NOTAR IC. Sign: PQ My C AI ' JORGE ALBA ��. a a -i'1 o ., . s�i . EE 161 1 18 )mmissio �kx',;:•,,, January 18, 2016 Plans Examiner Zoning Structural Review (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: MARTA GAMALLO MARTINEZ Date: Property Address: 10528 NW 2nd AVE Roofing Permit Number: Dear Building Official: MARTA GAMALLO MARTINEZ certify that I am not required to retrofit the roof to wall connections of my building because: e The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 editi rida Building Code (1994 SFBC) ZEDAJAI5 ///tIKIA/1 Sig State of Florida County of Dade Print Name The undersigned, being the first duly sworn, deposes and says that he /she is the owner for th above property mentioned. Sworn to and subscribed before me this / day of Zv �3 Notary Public, Sate of Florida at Large • When the just valuation of the structure for purpose of ad valorem xati q to or more than 300,000..00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for ke Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 ar F ,,t� *o p��. *= ‘trtirr: Co My •,. E .t.n i sxo 111 61118 Ex ire / y;•,oa i ∎.s ,i • 6 • When the just valuation of the structure for purpose of ad valorem xati q to or more than 300,000..00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for ke Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 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. % fr1 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). jt 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 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. JAI 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded 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 Florida Building Code, Plumbing. A7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural .assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to sons:. .,itional venting which can result in extending the service life oft e roof. 01 18 2013 I y r� l l /• •e 's Signature Date Con •r's Signature 10528 NW 2nd AVE Property Address Permit Number Rev:1/20 /2005, Computer Services, Building Department As a necessary incident to the fulfillment of conditions contained in a title insurance commitment issued by it. File Number: 120088 Folio Number: 11 21360020030 LIMITED POWER OF ATTORNEY Know All Men By These Presents: That MARTA G. MARTINEZ has made, constituted and appointed, and by these presents do(es) make, constitute and appoint LEONARD MARTINEZ true and lawful attorney for and in name, place and stead, giving and granting unto said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises, including but not limited to the conveyance/encumbrance of said premises, execution of deed/mortgage, settlement statement and any related dosing documents; said premises being limited to the following described real property: Lot 3, Shoreland Heights; according to the map or plat thereof, as recorded in Plat Book 43, Page(s) 85, of the Public Records of Miami-Dade County, Florida. As fully, to all intents and purposes, as might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney or substitute shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF,1/we have hereunto set my /our hand(s) and seal(s) DATE :' ' Sealed ± +elivered in the presence of Witness Name Printed: + 11bR E WitnesSName Printed: MJ vZ.' 'Q/r io141lu eC-e/011/. STATE OF -�` COUNTY OF qt 1 & r I The foregoing instrument was acknowledged before me this personally known to me or who has produced a ; r" as identification. P Y P �= by MARTA G. MARTINEZ who is /are Notary Ptiblic Printed Name My Commission E (Notary Seal) MARC, AL R. PENA otary Public - State of Florida My Comm. Expires May 3, 2016 Commission # EE 195509 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CESPEDES, JOSE V AMERICAN STAR CONSTRUCTION INC • 409 PHIPPEN ROAD DANIA BEACH FL 33004 ' • t;ongratulations! .With become one of thar,slariti:,)r Floriciian-liCensedbY the Depaittneritot,3tisiitesS,and,Prdfail.,,,,` Our pi )T e•rk'r bits 'archit.ed-is boxers to i•*•.09,.;i..io.n.:i-r4aurint3, th.py i:eafi.Flork1;3t$. . . . . Every day we work to impruvd th.!. Vi we do bus:i•iess in orth.t v.Jou better.. . For information about 6.ur services, please log"onto www.myfiorce-i.e.corn. There you can find more. inforrnation about our divisions and the regylations that impact you., subscribe to department newsletters and learn' 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 licensel • (850) 487-1395 • STATE-. OF 1,40RM.A. E? 2 , . i4P, 9 E 14".$ EON. CERTIFX1X1' :q0liT; CESPEDES. ' AY'ERICAN STAR CONS 'ERUCT I ON -.INC • C# 621375 DETACH HERE :7§1*. :taRa0010Y7rTs" STATE OF FLORIDA bEpARTmERT,67-tusINEs AND PkoFiskokAL:ktatTLATIO0; CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12071900960 " o . IS CERTIFIED wiaer the. ,provisions ch. 489 FS at AUG: 31 ‘: 201 o719p0§60 lrAttA44144N-ftWMito 07/1912012 110436712 ..CCC1327373 : - . Tha...RooFT/49 .C2NTRKTOR • ; - - Named belOW 18 CERTIFIED- 'Under tha•ptOvisions f Ciater 489 FS. Expiration date: AUG 31, CESPEDES, JOSE V AMERICAN` STAR HCONSTRUCTIQN INC 409 PHIPPEN ROAD DANIA BEACH FL 33004 RICK SCOTT GOVERNOR • DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 04 -20 -2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * 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: FEIN: 04/20/2012 CESPEDES 201868218 BUSINESS NAME AND ADDRESS: AMERICAN STAR CONSTRUCTION INC DBA ELEPHANT ROOFING 409 PHIPPEN RD DANIA BEACH FL 33004 SCOPES OF BUSINESS OR TRADE: 1— CONSTRUCTION 3— CERTIFIED ROOFING CONTRACTOR EXPIRATION DATE: 04/20/2014 JOSE V 2— ENGINEERING CONTRACTOR 4— CERTIFIED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440. 05(14(, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Purulent to Chapter 440.051121, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(131, 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 the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of ibis 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 the requirements of this section. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413 -1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 04/20/2012 EXPIRATION DATE: 04/20/2014 PERSON: JOSE V CESPEDES FEIN: 201868218 BUSINESS NAME AND ADDRESS: AMERICAN STAR CONSTRUCTION INC DBA ELEPHANT ROOFING 409 PHIPPEN RD DANIA BEACH, FL 33004 SCOPE OF BUSINESS OR TRADE: 1- CONSTRUCTION 2- ENGINEERING CONTRACTOR 3- CERTIFIED ROOFING CONTRACTOR 4- CERTIFIED GENERAL CONTRACTOR IMPORTANT Pursuant to Chapter 440.05(14}, 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 not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), 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. R E Pursuant to Chapter 44105(13), 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 the issuance of the certificate, the 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 the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 i T ® ACORO CERTIFICATE OF LIABILITY INSURANCE kr...,./ DATE (MMIDDIYYYY) 12/10/2012 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 lieu of such endorsement(s). PRODUCER M & E INTERNATIONAL BROKERAGE GROUP INC. 8511 NW SOUTH RIVER DRIVE MEDLEY FL 33166 CONTACT Vernice NAME: PHONE // o Extl: 305 - 887 -0404 (q/c, No): 305- 887 -0401 E -MAIL ADDRESS: meibg@bellsouth.net INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: GM Und / NATIONAL CONTRACTORS INS CO LIABILITY COMMERCIAL GENERAL LIABILITY INSURED AMERICAN STAR CONSTRUCTION 409 PHIPPEN ROAD DANIA FL 33004- INSURER B : ASCENDANT COMM UNDERWRITERS LLC GLF000013856 -01 INSURER C 12/14/2013 INSURER D : $ 1,000,000 INSURER E $ 50 000 INSURER F $ 5,000 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. INSR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF SMM /DDIYYYYLIMM POLICY EXP /DD/YYYYL LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ,LNSR_ GLF000013856 -01 12/14/2012 12/14/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50 000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY LIMIT APPLIES ~ PRO JFCT PER: LOC PRODUCTS COMP /OP AGG $ 1,000,000 $ B AUTOMOBILE e LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS CA 39459 -0 -3 12/12/2012 12/12/2013 COMBINED SINGLE LIMIT (Ea accident) $ 30,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N/A EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? n (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N/A TORY LIMITS I OT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 5 N/A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE 2nd AVE MIAMI SHORES FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. Alt rights reserved. The ACORD name and logo are registered marks of ACORD BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 -831 -4000 VALID OCTOBER 1., 2012 THROUGH SEPTEMBER 30, 2013 D:AMERICAN STAR CONSTRUCTION INC Business Name: Owner Name: JOSE V CESPEDES Business Location: 4 0 9 PHI PPEN RD DANIA BEACH Business Phone: 8 6 6- 5 91- 7 91.0:: Rooms Seats Number of Machines: Receipt #:GE ERAL6CONTRACTOR (GENERA Business Type:CONTRACTOR) Business Opened :10 /06/2010 State /C o u nty(CertiReg : CGC15 0 8 8 88 Exemption Code: For Vending Business Only Vending Type: Professionals Tax Amount Transfer Fee :° .. NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0::O0 0:00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED 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 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 locai laws and regulations. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES J/ N 8 2013 Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Process No. Contractor's Name American Star Construction DBA Elephant Roofing Job Addres ,j�l\JW 2nd AVE. Miami Shores, FL ROOF CATEGORY E/ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesiv ❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles!; Shingles ❑ Prescriptive BUR °RAS 150 ROOF TYPE ❑ New Roof Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) ❑ Repair ❑ Maintenance Steep Sloped Roof Area (SF) Total (SF) Senior R (; -r i2r1) 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. tvta FLORIDA BUILDING CODE — BUILDING 4t.9 kCAL_ S \r 5 , ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Buildina Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Fill in specific roof assembly components and identify manufacturer (If a component is not used, identify as "NA ") System Manufacturer: Product Approval No.: 09- 0224.01 GAF Design Wind Pressures, From RAS 128 or Calculations: Pmaxl : 49.2 Pmax2: 82.6 Pmax3: 124.3 Max. Design Pressure, from the specific Product Approval system: 52.5 Deck:, Plywood Gauge /Thickness: 5/8" slope: 1 /4 :12 Anchor /Base Sheet & No. of Ply(s): N/A Anchor /Base Sheet Fastener /Bonding Material: N/A Insulation Base Layer: N/A N/A Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: N/A Top Insulation Layer: N/A Top Insulation Size and Thickness: N/A Top Insulation Fastener /Bonding Material: N/A Surfacing: N/A Fastener Spacing for Anchor /Base Sheet Attachment: Field: 9 " oc @ Lap, # Rows 2 @ 9 " ac Perimeter: 6 " oc @ Lap, # Rows 4- @ 6 " oc Corner: 6 " oc @ Lap, # Rows 4 @ 6 " oc Number of Fasteners Per Insulation Board: Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, 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 PT Base Sheet(s) & No. of Ply(s): Two plies Fiberglass #75 Base Sheet Fastener /Bonding Material: 1 1/4" RING SHANK NAILS ?1` all Ply Sheet(s) & No. of Ply(s): N/A /� Ply Sheet Fastener /Bonding Material: N/A Tap Ply; Ruberoid SBS Heat weld 170 FR Top Ply Fastener/Bonding Material: Heat weld FLORIDA BUILDING CODE e BUILDING 1--?-t)aa40(.z. 55s. no .PR S,/, P14 WOo . 7S rod rL�"r FT. Parapet Height N/A Mean Roof Height 10' Trisr Incline: 1/2 $ase Sheet: — Two or more fttes Type G2''GAFGLAS41 . #75 Base ".Sheet" or "Tri -Ply® #75 Base Sheet" mechanically fastened. Membrane: —nIik "Ruberoid® SBS Heat Weld Plus FR" or "Ruberoid® SBS Heat 58. Deck: NC place. Incline: 1/2 Base Sheet: — "Ruberoid® Mop Smooth" or "Ruberoid® Mop Smooth 1.5" or "Ruberoid® Mop Smooth Plus" or "Ruberoid® Dual Smooth" hot mopped or "Ruberoid® SBS Heat Weld Smooth" heat welded. Membrane: — "Ruberoid® SBS Heat Weld Plus FR" or "Ruberoid® SBS Heat Weld 170 FR" heat welded. 59. Deck: NC Incline: 1/2 Insulation (optional): — Polyisocyanurate, uniform thickness of tapered minimum 1'14 - in. mechanically fastened or adhered with OMG Inc. "Olybond Fastening System" Barrier Board: — Minimum 1/4-in. thick GP Gypsum Corp. "DensDeck® Roofboard" or "DensDeck Prime® Roofboard" or "DensDeck DuraGuardTM Roofboard" or minimum 1/4-in. thick United States Gypsum Corp. "SECUROCK® Roof Board" (Type FRX -G) or "SECUROCK® Glass -Mat Roof Board" (Type SGMRX) mechanically fastened or adhered with OMG Inc. "Olybond Fastening System" Base Sheet: — 1 ply "Liberty SBS Self - Adhering Base /Ply Sheet" or 'Ruberoid® SA Base /Ply Sheet" self - adhered Ply Sheet: — 1 ply "Rubberoid SBS Heat Weld 25" heat fused Membrane: — 1 ply 'Ruberoid® SBS Heat Weld Plus FR" or "Ruberoid® SBS Heat Weld 170 FR" heat fused 60. Deck: C -15/32 Incline: 1/2 Insulation (optional): — Polyisocyanurate, uniform thickness of tapered minimum 1' /2- in. mechanically fastened or adhered with OMG Inc. "Olybond Fastening System" Barrier Board: — Minimum 1/4-in. thick GP Gypsum Corp. "DensDeck® Roofboard" or "DensDeck Prime® Roofboard" or "DensDeck DuraGuardTM Roofboard" or minimum 1/4-in. thick United States Gypsum Corp. " SECUROCK® Roof Board" (Type FRX -G) or " SECUROCK® Glass -Mat Roof Board" (Type SGMRX) with all butt joints in the barrier board staggered a minimum of 6 -in. from plywood deck butt joints mechanically fastened or adhered with OMG Inc. "Olybond Fastening System" Base Sheet: — 1 ply "Liberty SBS Self - Adhering Base /Ply Sheet" or "Ruberoid® SA Base/Ply Sheet" self - adhered Ply Sheet: — 1 ply "Rubberoid SBS Heat Weld 25" heat fused Membrane: — 1 ply "Ruberoid® SBS Heat Weld Plus FR" or "Ruberoid® SBS Heat Weld 170 FR" heat fused 61. Deck: C -15/32 Incline: '/2 Barrier Board: — Minimum '/4-in. thick GP Gypsum Corp. 'DensDeck® Roofboard" or "DensDeck Prime® Roofboard" or 'DensDeck DuraGuardTM Roofboard" or minimum 1/4-in. thick United States Gypsum Corp. "SECUROCK® Roof Board" (Type FRX -G) or " SECUROCK® Glass -Mat Roof Board" (Type SGMRX) with all butt joints in the barrier board staggered a minimum of 6 -in. from plywood deck butt joints mechanically fastened BUILDING CODE COWL CE OFFICE (13C PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE kNOM GAF Material Corporation 1361. Alps Road Wayne, NJ 07470 MIAMI-DADE COUv MEI RO -DADE FLAGLER 131II .DP' G 140 k "EST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -3901 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 (AFIJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division On Miami Dade County) and/or tfte AH3 (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 Count) Product Control Division that this product or material fails to meet the requirements of the applicable building code. 1 his product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane of the Florida Building Code. DESCRIPTION: GAERLIBIROWNIogifted .. Ltu u.Rn e _ r oad D. ck. 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 he considered after a renewal application has been tiled 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 ntan ber 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 he provided to the user by the manufacturer or distributors and shall be available for inspection at thejob site at the request of the Building Offi This NOA revises NOA Nc. 07- 1203.01 and consists ofpages 1 through 31. The submitted documentation was reviewed by Jorge NOA No., %1224,0: Expiration Date: 11/06/13 Approval Date: 04108/09 Page Membrane Type: APP/SBS Heat Weld Deck Type 1 Wood, Non -insulated Deck Description: 19 /3," or greater plywood or wood plank decks System Type E(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShiele Non-Asphaltic Fiberglass-Based (optional) Underlayment or Securock". Base sheet: GAFGLASa 480 ULTIMA-J." Base Sheet, SIR ATAVENT''' Eliminatorrm Nailable, RUBEROlDl' Modified Base Sheet, RUBEROlDle MOP Smooth, RUBEROID1' 20, RUBEROID''' SBS Heat-Weldr" Smooth or RUBEROID1' SBS Ileat-Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS.4" Ply 4, GAFGLAS' Flex PlyT" 6, GAFGLAS1' #75 Base Sheer or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o,c, in the field, (Maximum Design Pressure —45 psf, See General Limitation #7) GAFOLAS Ply 4, GAFCiLAS Flex PlyT" 6, GAFGLAS/° 475 Base Sheet or any of above Base sheets attached to deck with Drill-Tee'" #12 standard, 414 or # 15 Screws and 3" Drill-Tecrm steel plate or Drill-TecTm AccuTrac Hates, 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) GAFGLASs'' Flex Pl)T" 6, GAFGLASt #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 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLASn' #20 IILTIMA rm. RUBERDIFP'20, RUBEROIDk' Mop Smooth, base sheet 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 —60 psi, See General Limitation #7) GAFGLAS' #75 Base Sheet or any of above Base sheets attached to deck with Drill-Tee" #12 standard. #14 or # 15 Screws and 3" Drill-l'ecr" steel plate or 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 DriVFecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf See General Limitation #7) NOA No.: 09-0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 29 of 31 Ply Sheet: GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill- TecT " 412 standard, #14 or # 15 Screws and 3" Drill-Teem steel plate or Drill -TecTM AccuTrac Plates, g" 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. { Waximum Design Pressure-75 psf See General Limitation #7) (Optional except over RUBEROV Modified Base Sheet, RU.BEROID `MOP Smooth, RUBEROID'x 20, R1JBEROID' SBS Heat- WeldTM Smooth or RUBEROID" SBS Heat - Welds "') One or more plies GAFGLAS }' PLY 4 or GAFGLAS "k Flex Plyrh 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. or RUBEROID"' Torch Smooth torch applied according to manufacturer's application instructions, bra e: One ply of RUBEROIDA`Torch Smooth, RUBEROiD *Torch Granule, Roof MatchT" APP Torch Granule, RLBEROID' EnereyCapT "' Torch Granule FR, RUI3EROID *' Torch Plus Granule. RUBFROIW EnergyCapTM Torch Plus FR, or RUBEROIDT'Torch FR torch applied according to manufacturer's application instructions. Or One or more plies of RUI3EROIDR' SBS I- {eat- We1dT"' PLUS, RLIBEROIDk` SBS Heat- WeldT" PLUS FR, RUBEROID` SBS Heat- WeldrF' 170 FR, RUI3EROID" EnergyCapTM SBS }feat- \4'e1dTM Plus FR, RUBEROID'` SBS Heat-WeIdTM, RUBER011 SBS I1eat- WeIdTM Smooth, RUF3EROID`» ULTRACLAQ' SBS and RUBEROID' SBS Heat- We1dTM 25 applied according to manufacturer's application instructions. (Optional, required if RUBEROID' ; 1OP Smooth or RUBERO1D 20 is top membrane) Install one of the followin 1. Gravel or slag applied at 400 Ibsisq. 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 MatrixTm 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2, GAFGLAS4" Mineral Surfaced Cap Sheet, GAFGLASc 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 BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak Buster.`'' Matrix'''"' 715, Leak BusterTM MatrixTM 322, TOPCOAT MB+, TOPCOAT" eshield Elastomeric Roofing Membrane, applied at 1 tk 1.5 gal. /sq. Leak BusterTM Matrixrm 602 MB Xtra Elastorneric Roofing Membrane, EnergyCote* roof coating applied at '1 to 1.5 gal. /sq. 6. TOPCOAT''P Surface Seal, TOPCOA °I -'` Fireshiele SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 gal./sq 7. Advance Green Technologies Photovoltaic Laminate solar energy auxiliary roof equipment installed in compliance with manufacturer specifications and applicable Building Codes. Maximum Design Pressures,: See Fastening Above ROA No.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 30 of 31 WOOD .DEC s: SYSTEM LI IITATIONS: A slip sheet is required with Ply 4 and Flex Ply :`'' 6 when used as a mechanically fastened base or anchor sheet. 2, Minimum 't<" Dens Deck or V2" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL Li :1 MITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Director) for fire ratings of this product. ". Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers sit be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs./sq., or mechanically attached using the fastening . pattern of the top layer 2. All standard panel sizes are acceptable for mechanical attachrrtent. When applied in approved asphalt., panel size shall be 4' x 4' maximum. 4. An overlay andior recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. lino recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing a continuous area of ;ilation. Encircling of the strips is not acceptable, A 6" break shall be placed every 12' in each ribbon llow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 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- d, are below 275 lbf. insulation attachment shall not be acceptable. Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a mum 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 area Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 1 1 7. Calculations prepared, sighed 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 design conform to 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 comers and corners). (When this limitation . peciftcally 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.: 09- 0224.01 Expiration Date: 11/06/13 Approval Date: 04/08/09 Page 31 of 31