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HomeMy WebLinkAbout09-9319 CITY OF ZEPHYRHILLS 5335....- 8Ti BEET • (813)780 -002. 9319 BUILDING PERMIT n s . ` , : E o. ' t , , , a :7 sF, $: S o3 q .yam Permit Number: 9319 Address: 38135 MARKET SQUARE DR Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0010 - 03900 -0030 Improv. Cost: 369,000.00f_ _; Date Issued: 7/07/2009 Name: FLORIDA MEDICAL CLINIC Total Fees: 1,980.50 Address: 38135 MARKET SQUARE Amount Paid: 1,980.50 ZEPHYRHILLS, FL. 33540 Date Paid: 7/07/2009 Phone: (813)780 -8440 Work Desc: REROOF W /SOPRAFIX MODIFIED BITUMEN SYSTEM W/ TORCH POT MC ENANY ROOFING INC REROOF COMMERCIAL 1,930.50 FIRE PERMIT FEES 50.00 J ,1 4 ..y 3 k ..: , 53 + :[: ,a,.. .. . ww... 7 . $`9�`'1•e DRY IN ROOF INSP TAPE JOINTS OOF INSP FINAL ' _(D , 0 REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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 befo rding your notice of commencement." rir 4 1 CONTRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Jimmy Howard Quality, Control Manager CC C 037013 813 - 988 -16 FAX :9118 =1u L813 267 - 37 Email: mcenanyincC?mcenany.com Website: www.mcenany.com 8803 Industrial Drive • Tampa, Florida 33637 McENANY ROOFING, INC. ., ,..,- . ,..., • ■ • V: 1 1 ■ .' 0 71i''.' ':::‘..'; : 1 i i : .,, ' :.■.,..„ , . ji,i1 1 . % , ' ..4 • , ''' .. If ■ " " " ,.- ,.,..,. . . " ' ' ' - '. . ' ■ , . N,I• .':- ' ' '' .*1:-. --1' r ,- • ' 'Tr\ - ' ' 'i ... j.--!:--....I7`1. ;;Z:.: ,, --: ''': -,,, F., --"` $4 . -;= , ....,, McEP NC , .J i 7 i'e; 14.4 '' 1 1 ' I , 4, I -, -t7' Jun 25 09 09:24a Mark Sloat 813 - 899 -4891 p.2 111 1111 11111 11111 1101 11111 11111 11111 11111 11111 1 1111 11111111 NOTICE OF COMMENCEMENT 2009092403 Rcpt:1251753 Rec: 10.00 DS: 0.00 IT: 0.00 Permit No. 07/06/09 Dpty Clerk Tax Folio No. THE UNDERSIGNED hereby .gives notice that improvements will be made to certain real property, and in accordance with Section 713. [3 of the Florida Statutes, the following inforrnatioc is provided in this NOTICE OF COMMENCEMENT. 1.Descripttion of property (legal description): a) Street (Job) Address: '343 t 3 S rvid -v- t scio rz z-e pyF 1 s t Ft. 3 3 ..- 2.General description of improvements: Iternel i Pi 3.Owner Information / a) Name and address: FUIU t C1ct f&,'-( e_ii ni b) Name and address of fee simple titleholder (if other than owner) 75%135 (Y] r t Si t.'fJ� Zerilyf'hr(l , Fe_ e c) Interest in property ' . Information d a) Name and address: irn Cf E t'1 by Pia : ns 1P3L f 31 =rLtc&.Sfir, i:.l eat let (v_ 3 0 37 b) Telephone No.: 5.13 9 S3 i C,( (o f -_ 30 Fax No. (Opt.) 5' (3 g 9 4 i / 5.Surety Information ��/ a) Name and address: I\I PAULA S 0' NEIL PRSCO CLERK & COMPTROLLER - b) Amount of Bond: 07/06/09 10: 26 1 PG of_ c) Telephone No.: Fax No. (Opt.) _ OR BK 81 6.Lender a) Name and address: Phone No, 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) _ Sin addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: _._ b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): 9. — 1 — i 0 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FORTMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CON ENCEMENT. STATE OF FLORIDA COUNTY CIF PINEL AS lO. - Sigtature of Oantu or Owrxr's Authorized OfficerlDircctrxtParmdlManagcr 6 t' 5 7ylor Print Name: The foregoing instrument was acknowledged before me this _2-5 day of sL , 20 y_, by 3 U,5'77� /L.A BS (type of authority, e.g. officer, trastee, attorney in fact) for (name of party o half of whom lust uttient was executed). / / Personally Known c/ OR Produced Identification Notary Signature / . • ___ ! ) � — Type of Identification Produced R,/�,o nee -/2y Al/2ocull Name (grin . 541 j pe e C ___ __ / AND Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, 1 declare 1 have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. O � PRY .. 6e CARLEEN A. STIPPEh1 ra F°nS`i`°c" : . .. ��C "°Z°°' MY COMMISSION # DD 736760 * * Signature of Natural Person Signing on line I0.77Z6ove EXPIRES: December 5, 2911 sr 47,. 0 , 5 ,,,,' , re O P Beetled Thou Budget Notary Services 813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department 131 Date Received "' Z CICI Phone Contact for Permitting c� -- Owner's Name PO of 4- ►ne.Ctr CUr1< Owner Phone Number ?r?- 7 ov' /374" Owner's Address 38 i 3 5 mark-4- S (J .re z A(1 //1 Owner Phone Number i Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 31'135` th4rkP. . ✓are Ze /lyfA re-._ ?SYG LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR 1 1 COMM NC] OTHER I VCQ. reeff ` TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME 1 1 STEEL 1 I OTHE I DESCRIPTION OF WORK Pe aref - Tea.ra� .e.jc ;Sit-11 bci /i- UP rajah cep(ce tv,`g /L& ..S mon B/t BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ 3 q . aoi , VALUATION OF TOTAL CONSTRUCTION J / I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. n PLUMBING $ Al I- 0 ` ../ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 4) 0 C.' , /6 I I GAS ROOFING 1 1 SPECIALTY n OTHER / 1� � � el FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES []NO 3 . /' Jo BUILDER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N _I FEE CURRENT I Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I Address S License # OTHER ../ ......"---- 1 , � r COMPANY k L vt a cit/ P- WC- SIGNATURE REGISTERED Y Y Address 7g-el 3 .L l t,1 4r 7 1-,- � / f License # C L C d 3 7 0/3 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) -roo - Sewers Service. Upgrades A/C Fences (Plot/Survey /Footage) iveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension . may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. 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. •A JURAT (F.S. 117.03) OWNE' • R AGENT CONTRACTOR bed and sworn to (or affirmed) before me this Su yib d and sworn ; affiied) )forre rrne4s / 1y' II �� by Who is /are • ,ersonally kn 'wn to me or has/have produced Who is /are personally known to me i has /have produced as identi fication. as identification. Notary Public Notary Public ut „ � 1 � � ...- Commission No. Co mi : on No. Name of Notary typed, printed or stamped Name of Notary typed, printed or sfIfffpet1” ***** JULIt';BIRb+"" " "" " "p' Z. .� p aY Ap Comm# 0D0798629 z x pires 12/25/2011 �f`• s-onda No tery Asan., Inc F 1;i \141/11P‘LI CO DPBU11.3) Lw ES ORI °n VAIL �Ip A L ELE� g s0 OCES CIT`I 0� Z ogNa SCOPE. OF WORK (:)g Prk East Building, North Section (North of Expansion Joint) East Building, South Section (South of Expansion Joint) kneiP 11.5) 1. emovepll loose gravel, base flashings, wall flashings, coping caps, pitch pans, vents, drain fleshings, soil stack flashings, eave drip and gutters. 2. Provide pull tests by independent party to determine proper fastener to use and fastening pattern. 3. Install fast layer of Soprema's Soprafix SBS modified bitumen membrane mechanically attached with Trifixx or screws at laps and seal laps by heat weld method. 4. Install new lead soil stack flashings, drain lead, vents, scuppers, eave drip, coping caps with cleat for "high wind" design, pitch pans and skirt metal under rim of HVAC units at top of curbs. 5. Install .032 mils. painted aluminum fleshings with standard colors chosen by owner. 6. Install new expansion joints and metal covers to protect them. 7. Install new spun aluminum breather vents, one per every 1000 sq. ft. of roofing area. 8. Install new aluminum retrofit drains to go over existing "aged" drains and flash into new roof system. Provide new drain strainer basket and "lock" into place. 9. Provide two layers of Soprema membrane at all curbs and wall base flashing areas. 10. Install Soprema's SBS modified bitumen cap sheet "Sopralene Flam Gran 180) FRGR membrane by heat weld torch application. Z 'd 69H ' °N OINI1D 1 VOIN013 11d117 6007 1 •UnP 11. Reinstall gutters after eave drip is installed. Seal all laps in gutters and end caps. 12. Clean up and haul away all debris and finish all punch list items. Provide Soprema's fatal inspection report to owner. 13. Provide Soprema's 20 -year no dollar limit (NDL) warranty for all workmanship, materials and labor at no cost to owner per the Soprema roof warranty document. 14. Install pressure treated wood blocking under all A/C condensation lines and hose water pipe. Wrap blackings with Soprema membrane. 15. Install Soprema membrane with blue granules around roof hatch and all HVAC units and provide 20 -year warranty on them from Soprema. Total for both at same time Sum -= $379,120.00 North Section Sum = $190,507.00 South Section Sum = $188,613.00 '1 68tI ' °N DIN110 1V3103W VaIaO13 Wdlti E 600/ 1 'unf - Mc EN ROOFING, INC. 813 -988 -1669 PAX 813- 988 -1855 STATE CEItr # CCC- 037013 January 20, 2009 To: Florida Medical Clinic, Inc. 38135 Market Square Zephyrhills, FL 33542 Re: Contract Proposal Dated October 23, 2008 Subject: Addendum #1 Project: Florida Medical Clinic, Zephyrhills, FL Addendum #1 • A. Revise price with scope of work to be the same. Includes both North and South sections. Sum = $369,000.00 B. Payment Terms: McEnany Roofing, Inc. will provide owner with interest -free payment terms of eight (8) equal payments of $46,125.00 per month for eight (8) consecutive months beginning at job start -up. Mar Sloat, VP \., I 1 ‘ tea ) • ce Signature Acceptance ate �� N�p^O�FltNVG u�►au DRUG FREE 1 nssoc (SNTR 8803 Industrial Drive C WORKPLACE I r.1TAIT11 11.11TnaIM N(1)11114 WAIVE 600/ .1 'Ufl[' D ' ' : ��_.�. �_ ' : _ E S HEDULE A deposit of 1 contract price will be required upon commencemen I • , 6 "• • - due when 50% completed: 30% when completed e • • - . ' . e final 10% due upon completion o p list and o ' - ipt of warranties. £ y..4t j ertA j (Nymizrs e f •• L i 1 Z•S 6b OVERDUE PAYMENT Any overdue payment shall be subject to a 1 V2 % per month (18% per year) service charge on the unpaid principal amount. LABOR AND MATERIAL WARRANTY The above price includes a.Twenty(20) year. Manufacturer's Warranty from Soprema and a Two (2) year Contractor's Guarantee from McEnany Roofing, Inc. on all work performed by it, commencing upon final approval and payment by owner. CHANGES IN THE WORK Should Owner, at any time during the progress of the Work, request any alterations or deviations in the Scope of the Work in this Agreement, he shall have the right and power to make such requests. The Contractor shall, within a reasonable time thereafter, submit an itemized estimate of any cost changes he foresees to make the alterations or deviations. TERMS OF CONTRACT Each of the parties hereto agrees and represents that this Agreement comprises the full and entire agreement between the parties affecting the work contemplated, and other agreement or understanding of any nature concerning the same .has been entered into or will be recognized, and that all negotiations, acts, work performed, or payments made prior to the execution hereof shall be deemed superseded by this Agreement. The Owner shall not make any alterations, additions to or deletions from, the content of the Agreement before signing and returning it, but if he takes exception to any of the contents of the Agreement, he shall promptly notify Contractor in writing, so that differences can be resolved in legal form by Contractor. ATTORNEYS' FEES In the event the Owner defaults in the performances of any of the terms, covenants, agreement or conditions contained in this Agreement and Contractor places in the hands of attorneys the enforcement of all or any part of the Agreement, the Owner agrees to pay Contractor reasonable attorneys' fees for the services of such attorney, whether such fees are incurred at arbitration, trial 'court or appellate proceedings. VENUE The parties stipulate that venue shall be in Hillsborough County, Florida for any legal action arising out of this Contract. 0 a hQtl 'oN 1TN111 1V11(IaW dl1N01- WIVE 6OOZ 1 'unr • OWNER'S WARRANTY Owner warrants that the building is suitable to receive the improvements. Contractor does not inspect or warrant the adequacies of the plans or specs to accomplish any. purpose, and agrees to only install the roofing system as depicted therein. ACTS OF NATURE Contractor shall not be responsible for damage caused, either during or after its scope of work is completed, by unforeseen violent weather, including, but not limited to, hurricanes, tornadoes, floods, hail or sleet. WORKERS COMPENSATION Certificate of Worker's Compensation and Public Liability Insurance will be provided upon request. PERMITS The Contractor shall obtain all permits and pay for all fees which may be required in the performance of his work. SAFETY The Contractor shall comply with fire, safety and security regulations. DISCLAIMER Contractor is a roofing and sheet metal contractor. However, Contractor is not an Engineer, Architect or other design professional, and makes no representations with regard to the condition of the deck system or any other portion of the project not within the Contractor's scope of work. Accordingly, Contractor disclaims any warranties, both express and implied, as to any portion of the project not within the Contractor's scope of work. ASBESTOS The Owner, in consideration of Contractor performing the work described in this contract, hereby agrees to indemnify, defend and hold harmless the Contractor from and against any and all liability damages, losses, claims, demands or lawsuits arising out of or relating to the presence of asbestos or materials) containing asbestos at the work site. PRECAUTIONS Every precaution shall be made to protect the building during the course of work. DAMAGE TO EXISTING ROOF Contractor cannot be responsible for damage to the building or its contents if water is trapped in the existing roofing system, I.E. loading or removing a roofing system which is saturated. CONTRACT AMOUNT In consideration of the faithful performance of the covenants and agreements herein, to the full satisfaction and acceptance of Owner, Owner agrees to pay the Contractor the sum of: e . • 3 tv9 Due to the extreme price 'volatility regarding petroleum products, the price quoted in this proposal is valid only for orders placed and paid within the next 45 days. If there is an increase in the price paid by McEnany Roofing, Inc. for asphalt, polyisocyanurate, steel or other materials including transportation charges, the amount of this proposal/contract shall be similarly increase to reflect the increased costs to obtain the materials. c a 40fi1 . oni 1VDI(I1W dliN01-i Wdit:E 600/ 1 'unf IN WITNESS WHEREOF, the parties have executed this Agreement on the date herein first above written. McENANY ROOFING, INC. Contractor By: Michael T. McEnany President • Attest Date: Submitted By: Mark Bloat Estimator: Attest Date: lP . D lark By it 1+- IOr:ta4 f> aPic.c.vCl�� :'cP.4 Attest Date: +� a Aobl 'ohl 11N111 1V1!Q1W VliNO1A WdWE 6006 1 1U01 EXTERIOR RESEARCH & DESIGN, LLC. ( Certificate of Authorization #9503 TRINITY 1 ERD 353 Christian Street Oxford, C, CT 06478 6478 PHONE: (203) 262 -9245 FAX: (203) 262-9243 EVALUATION REPORT Soprema, Inc. Evaluation Report 2759.01.05 -R4 310 Quadral Drive -•--; FL3915 -R3 Wadsworth, 011 44281 Date of Issuance: 07/20/2005 Revision 4: 05/03/2009 SCOPE: This Evaluation Report is issued under Rule 9B -72 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, A.E. for use of the product under the Florida Building Code. The product described herein has been designed to comply with the 2007 Florida Building Code. DESCRIPTION: Soprafix Modified Bitumen Roof Systems LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity{ERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 4, plus an 8 -page Appendix. Prepared by: 00 9Ur,� i' 6a •' is i* a - i it E The facanille seal appearing was authorized 1 s;ATh ` r ' by Robert Nor +, P.E. on 05/03/2009 This does not serve as an electronically signed � !: : ?»! ?� T_ docomw*. Signed sealed herdcopies have been Robert J.M. Nieminen, P.E. t transmitted to the P a roduct Approval Administrator and Florida Registration No. 59166, Florida DCA ANE1983 "" " " " " to the named client CERTIFICATION OF INDEPENDENCE: 1. Exterior Research & Design, LLC. d /b /a TrinitylERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Exterior Research & Design, LLC. d /b /a TrinitylERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. 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The documentation submitted has been reviewed by the BCCO and accepted by the Building • Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). • This NOA shall not be valid after the expiration date stated below. The BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Soprema Modified Bitumen Roofing Systems Over Recover Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: " Miami -Dade County Product Control Approved", unless otherwise noted herein. • RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its . • distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 04- 0927.07 and consists of pages 1 through 78. The submitted documentation was reviewed by Jorge L. Acebo NOA No.: 07- 1217.07 c : r:, : _� '�: ,; i � Expiration Date: 0.3/@1/11 Approval Date: 0W/08/0S Page 1of 7S Deck Type 71: Recover • Deck Description: wood /steel/ concrete /lightweight concretdcementitious wood fber /gypsum System Type D(2): All layers of insulation and base she simultaneously attached. All General and System Limitations apply. One or more layers of any of the following insulations. Base Insulation Layer Insulation Fasteners Fastener (Table 3) Density/ft AC Foam II, ACFoam 1I1, ENRGY -2, ENRGY -3, Multi -Max FA, Multi -Max FA-3, H- Shield (flat or tapered) Minimum 1.4" thick N/A N/A Toprox Minimum 2" thick N/A N/A (Optional) Top Insulation Layer Insulation Fasteners Fastener (Table 3) Density /fit BP High Strength, FM -90 Traffic Top/High Density, GAFTEMP High Density, Roof Insulation Board, High . Density Fiberboard, Fiber Base HD1, HD6, Structodek Minimum ''A" thick N/A N/A GAFTEMP Permalite, Fesco Board Minimum W' thick N/A N/A DenaDeck, Securock Minimum 'h" thick N/A N/A Sopraboard Minimum 1/8" thick N/A N/A Fireguard, Type X gypsum. Minimum 5/8" thick N/A N/A Note: Top layer shall have preliminary attachment, prior to the installation of the base/anchor sheet, at a minimum application rate of two fasteners per board for insulation boards having no dimension greater than 4 ft., and four fasteners for any insulation board having no dimension greater than 8 ft All layers of laudation and base sheet shall be simultaneously fastened. See base/anchor sheet below for fasteners and density. Base Sheet: One ply of Soprafix, Soprafix [Sr, Soprafix [X] *, Soprafix [H], Sopralene Flam 180 *, Sopralene Flam 250* or Blastophene Flam 180 2.5 mm *, fastened to the deck as described below: "Requires heat welded ply or cap membrane. Fastening #1: (wood, sled, concrete) Attach base sheet using HD Insulfixx or SOPREMA #14 fasteners with Soprafix 2" Round Barbed Plates spaced 18" o.c. in a 4" wide heat welded or bituminous taped seam. (Maximum Design Preserve - 4. 5 peg' Serf Getout Limfratbu #9) Fining #2: (woad, sad, concrete) Attach bese sheet using HD Insulflxx S fasteners spaced 24" o.c. in the center of the sheet. Laps are heat welded. Fastener rows are stripped in with a 7" • wide section of heat welded base sheet membrane. (Madman Design Pressure —45 Alf See General Limitation 09) NOA No.: 07- 1217.97 4111MID Expiration Date: 03101/11 Approval Date: 05/08/08 Page 49 of 78 • Fastening #3: (steel) (Excludes use of Elastophene Flam 180 2.5 nun as base sheet.) Attach base sheet using SFS #15 High Load Fasteners or Soprafix(X) -EL fasteners and 70 mm Round Plates or Sopratix 2" Round Barbed Plates spaced 12" o.c. in a 5" wide heat welded lap. (Maxine m Design Pressure — 75 psf See Geteeal Llmilation #9) Fastening #4: (lightweight concrete, cenaentitious wood fiber, gypsum) Attach base sheet using TPR fasteners with Soprafix 2" Round Barbed Plates spaced 18" o.c. in a 4" wide heat welded or bituminous taped seam. (Mort Design Pressure — /S psf See Getreal Limitation #9) Fastening #5: (lightweight concrete, ccrnentitious wood fiber, gypsum) Attach base sheet using TPR fasteners with Soprafix 2" Round Barbed Plates spaced 24" o.c. in the center of the sheet Laps are heat welded. Fastener rows are stripped in with a 7" wide section of heat welded • base sheet membrane. (Maximum Design Pressure - 9S pap See General Lbriltatlon #9) Fastening #6: (gypsum) (Excludes the use of Elastophene Flam 180 2.5 mm as base sheet) Attach base sheet using ES Twin Loc-Nails spaced 9' o.c. in a 5" lap and 9" o.c. in one row in the center of the sheet. Laps are heat welded Fastener rows are stripped in with a 8" wide section of heat welded base sheet membrane. (Maximum Design Pressare - 60p40 See General Limitation #7) Fastening #7: (atee4 concrete) (Excludes the use of Elastophene Flam 180 2.5 ram as base sheet.) Attach base sheet using #14 Soprafix Fasteners and Soprafix 2" Round Barbed Plates spaced 12" o.c. in a 5" wide heat welded lap. (Maximum Design Pressure — 60 psf — See General Limitation #Z) • Note: Base sheet fasteners shaU be tested for withdrawal resistance in compliance with TAS 105 to confirm compliance with the wind load requirements with applicable Bonding Code. Ply Sheet (Optional) One ply of Elastophene Flam *, Elastophene Flam 2.2 *, Sopralene (180, 250 or 350) Flam *, or Sopralene (180, 250 or 350) SP, heat welded Or One ply of Sopralene Flam Stick* or Sopralene Stick, self adhered. (Note: Prime sanded surfaced Base Sheet.) *Requires heat welded cap membrane. Membrane: Elastophene SP 22mm *, Elastophene SP 3.0mm *, Elastophene Flam Glt, Elastophene Flam FR GR or FR+ GR, Elastophene Flam LS FR GR, Soprastar Flom, Sopralene (180, 250, 350) Flan GR, Sopralene (180, 250, 350) Flare FR OR or FR+ GR, UNILAY or Sopralast, heat welded Or Colphene FR GR, Colphene GR, or Colphene HR FR GR, self adhered. (Note: Prime sanded surfaced Base or Ply Sheet.) or Soprastar Stick, self - adhered to Elastocol 600c primed sand surfaced base or ply membrane *Require approved Surfacing. Surfacing: Surfircing is Optional on granular surfaced field cap membranes. Surfiacing is Required f r smooth or sanded surfaced field cap membranes. Refer to Underwriters Laboratories or intertek Testing Services listings for applicable fire classifications Apply any coating listed in Table 4 above, or any Miami -Dade approved coating system. Maaimum Design See Fastening Requirements above. Pressure: NOA No.: 07- 1217.07 ("IMO • Expiration Date: 03/01/11 Approval Date: 05/08/08 Page 50 of 78 M1AM MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 - 1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) Soprema, Inc. 310 Quadrat Drive Wadsworth, OH 44281 SCOPE: This NOA is being issued under the applicable rules and regulations goveming the use of construction materials. The documentation submitted has been reviewed by The BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Soprema Modified Bitumen Roofing Systems Over Stee. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No. 04 -0927.05 and consists of pages 1 through 55. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1217.06 Expiration Date: 03/01/11 Approval Date: W24/08 Page 1 of 55 Deck Type 21: Steel, Insulated Deck Description: 18-22 ga. steel System Type D(2): All layers of insulation and base sheet simultaneously attached All General and System Limitations apply. One or more layers of any of the following insulations. Base Insulation Layer Insulation Fasteners Fastener (Table 3) Density /ft AC Foam II, ACFoam IIi, ENRGY-2, ENRGY -3, Multi -Max FA, Multi -Mai FA-3, H -Shield (flat or tapered) Minimum 1.4" thick N/A N/A Toprox Minimum 2" thick N/A N/A (Optional) Top Insulation Layer Insulation Fasteners Fastener (Table 3) Density /111 BP High Strength, FM -90 Traffic Top/High Density, GAFTEMP High Density, Roof Insulation Board, High Density Fiberboard, Fiber Base HDI, HD6, Structodek Minimum'' 'h" thick N/A N/A GAFTEMP Permalite, Fesco Board Minimum %" thick N/A NIA DensDeck Minimum '/" thick N/A N/A Fireguard, Type X gypsum Minimum %" thick N/A N/A Note: Top layer shall have preliminary attachment, prior to the installation of the base/anchor sheet, at a minimum application rate of two fasteners per board for insulation boards having no dimension greater than 4 ft., and four fasteners for any insulation board having no dimension greater than 8 IL All layers of insulation and base sheet shall be simultaneously fastened. See baselanchor sheet below for fasteners and density. Base Sheet: One ply of Soprafix, Soprafix [Sr, Soprafix [X] *, Soprafix [H], Sopralene Flam 180* or Elastophene 180 Flam 2.5 mm *, Sopralene Flam 250* fastened to the deck as described below: *Requires heat welded ply or cap membrane. Fastening #I: Attach base sheet using HD Insulfixx or SOPREMA #14 fasteners with Soprafix 2" Round Barbed Plates spaced 18" o.c. in a 4" wide heat welded or bituminous taped seam. (Meets Maximum Design Pressure of —45 psf — See General Limitation #4) Fastening #2: Attach base sheet using HD Insulfixx or SOPREMA #14 fasteners with Soprafix 2" Round Barbed Plates spaced 12" o.c. in a 4" wide heat welded or bituminous taped sears. (Mats Maximum Design Pressure of-77.5 AV—See General Lhnttatlon #7.) - Fastening #3: Attach base sheet using HD Insulfixx S fasteners spaced 24" o.c. in the center of the sheet. Laps are heat welded. Fastener rows are stripped in with a 7" wide section of heat welded base sheet membrane. (Meets Maximums Design Pressure of-45 psf — See General Llmitadlon #9.) !VOA No.: 07- 1217.06 Expiration Date: 03/01/11 I lie Approval Date: 0484/08 Page 43 of 55 Fastening #4: (Excludes use of Elastophene 180 Flam 2.5 mm as base sheet.) Attach base sheet using SFS Extra Load Fasteners HD or Soprafix [X] -EL fasteners and 70 mm Round Plates or Soprafix 2" Round Barbed Plates spaced I2" o.c. in a 5" wide heat welded lap. (Meets Maximum Design Pressure of —75 psf — See General Limitation #7.) Fastening #5: (Limited to use of Soprafix[X] and Sopralene Flam 250 Membranes only.) Attach base sheet using SFS Extra Load Fasteners HD or Soprafix [X] -EL fasteners and 70 nun Round Plates spaced 12" o.c. in a 6" wide heat welded lap. (Meets Maximum. Design Pressure of -97.5 psf— See General Lbni atiom #7.) Fastening #6: (Excludes the use of Elastophene 180 Flam 2.5 mm as base sheet.) Attach base sheet using #14 Soprafix Fasteners and Soprafix 2" Round Barbed Plates spaced 12" o.c. in a 5" wide heat welded lap. (Meets Maximum Design Prsraure of-60 psf — See General Limitation #7.) Ply Sheet: (Optional) One or more plies of Elastophene Flam *, Elastophene Flam 2.2 *, Sopralene (180, 250 or 350) Flam *, or Sopralene (180, 250 or 350) SP, heat welded Or One ply of Sopralene Flam Stick *, Sopralene Stick or EPS Flam Stick*, self adhered. (Note: Prime sanded surfaced Base Sheet, not allowed on film surfaced membranes.) *Requires heat welded cap membrane. Membrane: Elastophene Flam GR, Elastophene Flam FR GR or FR+ GR, Elastophene Flam LS FR GR, Soprastar Flam, Sopralene (180, 250, 350) Flam GR, Sopralene (180, 250, 350) Flam FR GR or FR+ GR or Sopralast, heat welded Or Colphene FR GR, Colphene GR or Colphene HR FR GR self adhered. (Note: Prime sanded surfaced Base or Ply Sheet, not permitted on film surfaced membranes.) Or Soprastar Stick, self- adhered to Elastocol 600c primed sand surfaced base or ply membrane Surfacing: Surfacing is Optional on granular surfaced field cap membranes. Surfacing is Required for smooth or sanded surfaced field cap membrane& Refer to Underwriters Laboratories or Intertek Testing Services listings for applicable fire classifications Apply any coating listed in Table 4 above, or any Miami -Dade approved coating system. Maximum Design Pressure: See Fastening Requirements above. NOA No.: 07- 1217.06 Expiration Date: 03/01 /11 Approval Date: 04124/08 Page 44 of 55 McENA1\Y ROOFING INC. 813- 988 -1669 FAX 813- 988 -1855 STXI'E ('ERT. # ('CC- 037013 June 29, 2009 City of Zephyrhills 5335 8 Street Zephyrhills, FL 33542 To whom it may concern; This letter is to authorize Jimmy Howard to process and purchase permits and/or licenses for McEnany Roofing, Inc. Sincerely, /I 3 � I Michael . McEnany, Pre McEnany Roofing, l • . Y J ie Biro , Notary Date .IULIE BIRD 114 ,, Comm# DD0798629 Expires 12/25/2011 *4 .,,,���,• Florida Notary Asen., Inc ©Q NATIONAL. i ROOFING 8803 Industrial Drit'c DRUG FREE .- - - ---- 11111 �' CONTRACTORS MEMl3E ON Tampa, FL 33637 ` WORKPLACE ■ • A _ 3 920699 , } STAT (/ F r ^ , . t c 5 : j, . ._ "� rt y i bp t Y i r ..f . /, Y (1, -4'-'-?' F `` } � 6 Y l r' r _ y � ,, r Ff t F t ' ' Y x 1 r, , F '. " " DEP RTMEDZTx= p �� . 1 S PROFESSIO REGULATION '1a � , { ,-- r ' - 2- ,�„` rF - rc- u -r - i p x rr Y� + i I j it CANSTit T� e = � RY ` . 5 . ; ' : �7S IN BOAR • f 3 ' tr r r f l ▪ r � r :;* , _ SE- L0 355 FATE 6A �CH P�[7N�EER LI CENS 'NB 1 " .. :: ,_ . 0`15 +1108 : r? + 2 �75 C C 3 '. 41 ra ' ' •Rl " `-' A.1" ax Z a ' • x Jk 4 H xt . fai t v Y t 7 - ' 1, r tit .. V r II . - s The R • CO 'R. TO I - � r _ �' y N ed . ., , .. " I S' ''C ` {� - tlnder thie - p-ro ±.i o `Ch :4 -9- FS . piration date: AUG 31; 2010 ' Ex : Jc i l, t J 54 •II rI y r MC f E MICH T ,4!''. ; _ Mir ENANY— ..R,00F.IkTG INC. N.' i ma • x .' - 8 8 0`3: INDtYS•TRIAL- D +?4 , +J!'' •. TAMPA FL 33637 CHARLIE GRIST { _, .. ' CHARLES W DRAGO GOVERNOR, I' -r = F = SECR ETARY :- `r ,SPI_A RE QUIRED B LAW t lli �f City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Pe. F/'7Q r1 C C y Date Received: /— Site: ,36/L3,5' 41,04✓k r 5pe.t Permit Type: 1 1 Q r / I O fC Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin wit r — P s Examiner Date Contractor and/or Homeowner (Required when comments are present) ACORD T . CERTIFICATE OF LIABILITY INSURANCE ATE(M /0 9 ) PRODUCER 1 -813- 229 -8021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M. E. Wilson Co., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 300 W. Platt St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ste 200 Tampa, FL 33606 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Crum & Forster Specialty Ins Co 44520 McEnany Roofing, Inc. INSURER B: CONTINENTAL CAS CO 20443 8803 Industrial Drive INSURERC:Steadfast Insurance Co Tampa, FL 33637 INSURERD: Bridgefield Employers Insurance Co. INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYl DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY GL0141025 01/01/09 01 /01 /10 EACH OCCURRENCE $1,000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY (Ea RENT $ 50,000 CLAIMS MADE X OCCUR MEDEXP (Any one person) $ Excluded X Per Proj Agg subject PERSONAL&ADVINJURY $ 1,000,000 X to Policy Agg of $5MIL GENERAL AGGREGATE $ 2,000,000 �GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS - COMP/OP AGG $2,000,000 ° POLICY X J LOC B AUTOMOBILELIABIUTY C1078958977 01/01/09 01 /01 /10 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS /UMBRELLA LIABILITY AUC5918026 -03 01/01/09 01 /01 /10 EACH OCCURRENCE $ 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 _ $ DEDUCTIBLE X RETENTION $ 0 $ D WORKERS COMPENSATION AND 0830 - 33182 01/01/09 01 /01 /10 X I TOR V/'/CY STATUL gilt) OTH- EMPLOYERS' LIABILITY ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, scribe under SPECIAL de PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS General Liability and Umbrella Liability policies do not contain Residential Exclusion with respects to roofing operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE USA ACORD 25 (2001/08) JMO o l © ACORD CORPORATION 1988 12436466 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) • • • • • • • • 2008 -2009 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 - - 2009 FOLIO NO. FACILITIES OR MACHINES ROOMS SEATS EMPLOYEES 0 0 0 20 RENEWAL 1868.0000 H. WASTE TAX OCC. CODE BUSINESS TYPE SURCHARGE 090.023 CONTRACTOR ..;ROOFING 40.00 36.00 BUSINESS 8803 INDUSTRIAL DR LOCATION TAMPA 33637 NAME MCENANY MICHAEL T /DBA/MCENANY ROOFING INC MAILING 8803 INDUSTRIAL DR ADDRESS TAMPA FL 33637 -0000 BUSINESS TAX RECEIPT DOUG BELDEN, TAX COLLECTOR PAID - 18872 - 85 HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813- 635 -5200 08/01/2008 * 76.00 IN BUSINESS, PROFESSION, OR OCCUPATION SPECIFIED HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. •