CITIZENS PROPERTY INSURANCE CORPORATION FLORIDA BUILDING CODE COMMERCIAL ROOFING MITIGATION VERIFICATION AFFIDAVIT

Transcription

1 FLORIDA BUILDING CODE COMMERCIAL ROOFING MITIGATION VERIFICATION AFFIDAVIT 0 II (4 to 6 stories) D Ill (7 or more stories) Terrain Exposure Category must be provided for each insured location. I hereby certify that the building or unit at the address Indicated above TERRAIN EXPOSURE CATEGORY as defined under the Florida Building Code is (Check One); D Exposure C or II. Exposure B Certification below for purposes of TERRAIN EXPOSURE CATEGORY above does not require personal Inspection of the premises. Certification of Wind Speed is required to estabi:t1 the basic wind speed of the location (Complete for Terrain B only~~-1 Buill On or After Jan.1, 2002). I hereby certify that- the basic WIND SPEED of the building or unit at the address indicated above bas8d upon county wind speed lines defined under the Florida Building Code (FBC) is (Check One): D ~1 00 or 0 ::::110 or D ~120 Certification of Wind Design is required when the buildings Is constructed in a manner to exceed the basic wind speed design established for the structure location (Complete for Terrgin B only if Year Built On or After Jan.1, 2002). I hereby certify that lila building or unit at the address indicated above Is designed and mitigated to the Florida Building Code (FBC)WIND DESIGNof(CheckOne): D ~100or D?.110 or D?.120 Certification for the purpose of establishing the basic WIND SPEED or WIND SPEED DESIGN above does not require personal inspection of the premises. ~ Specify the type of mitigation device(s) installed: IX] Roof Coverings 0 FBC Equivalent- Type I only Asphalt roof coverings installed in accordance with ASTM D 3161 (modified for 11 0 mpll) or Miami Dade County PA lxi Non-FBC Equivalent- Type I only Asphalt roof shingles not meeting requirements listed above for FBC Equivalent and all oiher roof covering types. D D D MIT-6 (12/2006) Reinforced Concrete Roof- Type I, II or l!l A roof structure composed of cast-in-place or pre-cast structural concrete designed to be self-supporting and integrally attached to wall/support system. Level A- TYpe II or Ill All roof cover types and configurations that do not meet Level 8 below. Level B- TYpe II or Ill Roof coverings that satisfy all of the following conditions and are one of the following types: 1. Built-Up 2. Modified Bitumen 3, Sprayed Polyurethane foam 4. Uqu'1d membrane appl'led over concrete 5. Asphalt roll roofing 6. Wood st1akes in good condition, attached with at least two mechanical fasteners 7. Ballasted roof designed to meet the design wind speed requirements 8. Asphalt roof coverings installed in accordance ASTM D 3161 (modwed for 110 mph) or Miarnl Dade County PA All mechanical equipment must be adequately tied to the roof deck to resist overturning and sliding during high winds. Any Flat roof covering with flashing or coping must be mechanically attached to the structure with face fasteners (no cllpfcleat systems}: and roof coverings on flat roofs must be 10 years old or less.

2 Page 2 of 3 [Kj Roof Shape ll!j Hip- Type I only Roof having sloping ends and sloping sides down to the eaves l!ne. 0 Gable- Type I only The poriion of the roof above eaves line of a double~sloped roof; the end section appears as an inverted V. 0 Flat- Type I only A horizontal roof with a itch less than io de rees. [ID Roof Deck Attachment Level A- Type I only P!ywood/OSB roof sheathing attached to roof trusses/rafters by 6 penny nails (2" x 0.131" diameter) or greater wl1ic!1 are properly spaced at a maximum of 6" along the edge and 12" in tile field on 24" trus~/rafter spacing. O Baiten decking of Skipped decking (typically used on roof decks supporting wood shakes or wood shingles). Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafler spacing that has an equivalent mean uplift resistance of 55 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood/osb. Level B -Type I only Plywood/OSB roof sheathing with a minimum thickness of~" attached to roof trusses/rafters by 8 penny (2.5" x 0.131" diameter) IVl nails orgreaterwhich are properly spaced at a max'1mum of 6" along the edge and 12" in the field on 24'' truss/rafter spacing. ~'" or Any system of screws, nails, adhesives, ot11er roof deck fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 103 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood!osb. Level c -Type I only Plywood/OSB sheathing with a minimum thickness of W attached to roof trusses/rafters by 8d (2.5" x 0.131" diameter) nails which are properly spaced at a maximum of 6" along the edge and 6" in the field on 24" truss/rafter spacing. D Dimensional Lumber or Tongue & Groove deck roof composed of 3/4" thick boards with nominal wid\!1s of 4" or more. Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivaleni me<3n uplift resistance of 182 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood/osb, 0 Level A- Wood or Other Deck Type II only Roof decl< composed of sheets of structural panels (plywood or OSB). Architectural (non~structural) metal panels that require a solid decking to support weight and loads. Other roof decks that do not meet Levels 8 or C below. O Level B- Metal Deck Type II or Ill Metal roof deck made of structural panels that span from joist to joist. 0 Level C- Reinforced Concrete Roof Deck Type J, I! or Ill A roof structure composed of cast~ln"place or pre-cast structural concrete designed to be self-suppoiting and integrally attached to wall/su ort s stem. --~~- -j r,=~ D Secondary Water Resistance 0 Underlayment A self-adhering polymer modified bitumen roofing underlaymen! (thin rubber sheets with peel and stick underside located beneath the roof covering and normal felt underlayment) with a minimum width of 6" meeting the requirements of ASTM D t 970 installed over all plywood/osb joints to protect from water intrusion. All secondary water resistance products must be installed per the manufacturer's recommendations. Roofing felt or similar paper based products are not acceptable for secondal)l water resistance. O Foamed Adhesive A foamed ol urethane sheathin lied over all 'oints in the roof sheathing to protect interior from wa,ter i;ltrusion_, MIT-6 (12/2006) 2

3 Page 3 of [KJ Roof Wall connection oe-nall Rafter/truss anchored to top plate of wall using nails driven at an angle through the raftel"ltruss and attached to the top plate of the wall, Dc11ps Metal dips Install on each truss/rafter that attach to the side only of the truss/rafter member and to the wall frame, Metal clip should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter omd 3 nails Into the!x]slngle wraps Metal straps Installed on each truss/rafter that wrap over the top of the truss/rafter and attach to the wall frame in one location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails into the wail Ooouble Wraps Metal straps installed on each truss/rafter that wrap over the top of the truss/rafter and attach to the wall irame in two location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter EHtd 3 nails into the wall at each location Certification I certify that I am (CNECK ONE OF THE FOLLOWING): Oa Licensed Roofing Contractor, Oa Licensed Building Inspector, Oa Registered Architect or Oa resident Licensed General, Residential, or Building Contractor, [K]an Engineer in the State of Florida, or Oa Building Code Official (who is duly authorized by the State of Florida or its county's municipalities to verify buhding code compliance). I also certify that I personally inspected the premises at the Location Address listed above on the date of this Affidavit. ln my professional opinion, based on my knowledge, information and belief, I certify that the above statements me true and correct. This affidavit and the information set in it are provided solely for the purpose of verifying that certain structural or physical characteristics exist at tl1e Location Address listed above and for the purpose of permitting the Named Insured to receive a property insurance premium discount on insurance provided by Citizens Propeli1' Insurance Corporation and for no other purpose. The undersigned does not make a health or safety ce1iification or warranty, express or implied, of any kind, and nothing in this Affidavit shall be construed to impose on the undersigned or on any entity to which the undersigned is affiliated any liability or obligation of any nature to the named insured or to any other person or entity. Name of Company: Insight Inspections Date: 1/31/08 Signature: Applicant"s Signature: r _ ct1t 7}~-;y;J.,_,.,..,.,_,_.-: '--- License# Phone: ~L224-9o~g ,- --, Date: I /2r / o :;> -,- -- r Citizens reserves the right to confirm all information contained in this form via a survey of the risk. "Any person who knowingly and with intent to injure, defraud, or deceive an insurer, files a statement of claim or an application containing any false, incomplete or misleading information is guilty of a felony of the third degree." MIT-6( I 2/2006) 3

4 FLORIDA BUILDING CODE COMMERCIAL ROOFING MITIGATION VERIFICATION AFFIDAVIT FL BUILDING TYPE: 00 I (3 stories OJ" less) 0 II (4 to 6 stories) D Ill (7 or mora stories) Terrain Exposure Category must be provided for each insured location. --~ ] I hereby certrfy that the buildmg or un1t at the address md1cated above TERRAIN EXPOSURE CATEGORY as def1ned under the Florida Building Code is (Check One): D Exposure C or ~ Exposure B Certification below for purposes of TERRAIN EXPOSURE CATEGORY above does not require personal insp~~~~~~-- Certification of Wind Speed Is required to establish the basic wind speed of the location (Complete for Terrain B only if Year Built On or After Jan.1, 2002). I hereby certify that the basic WIND SPEED of the building or unit at the address indicated above based upon county wind speed lines defined under the Florida Building Code (FBC) Is (Check One): D ~1 00 or 0 ~11 0 or D ;:: 120 Certification of Wind Design is required when the buildings is constructed In a manner to exceed the basic wind speed design established for the structure location (Complete for Terrain B only if Year Built On or After Jan.1, 2002). I hereby certify that the building or unit at the address indicated above is designed and mitigated to the Florida Building Code (FBC)WINDDESIGNof(CheckOne): 0 ~100or 0?.110or 0 ~120 Certification for the purpose of establishing the basic WIND SPEED or WIND SPEED DESIGN above does not require personal inspection of the premises. Specify the tvpe of mitigation device(lllnstaii~q;, I.KJ Roof Coverings 0 FBC Equivalent- Type I only Asphalt roof coverings Installed In accordance with ASTM D 3161 (modified for 110 mph) or Miami Dade County PA Non-FBC Equivalent- Type I only Asphalt roof shingles not meeting requirements listed above for FBC Equivalent and all other t'oof covering types. 0 Reinforced Concrete Roof- Type I, II or Ill A roof structure composed of cast-in-place or pre-c.;3st structural concrete designed to be self-supporling and integrally attached to wall/support system. 0 Level A- Type II or Ill All roof cover types and configurations that do not meet Level B below. 0 Level B -Type II or Ill Roof coverings that satisfy all of the following conditions and are one of the following types: M!T-G (!212006) 1. Built-Up 2. Modified Bitumen 3. Sprayed Polyurethane foam 4. Liquid membrane applied over concrete 5. Asphalt roll roofing 6. Wood shakes in good condition, attached with at least Lwo mechanical fasteners 7, Ballasted roof designed to meet the design wind speed requirements 8. Asphalt roof coverings installed in accordance ASTM D 3161 (modified for 110 mp~1) or Miami Dade County PA All m~>char11c<j.i equipment must be adequately tied to t11e roof deck to resist overturning and sliding during high winds. Any flat roof covering with /lashing or coping must be mechanically attached to the structure with face fasteners (no clip/cleat systems); and roof coverings on flat roofs must be 1 o ears old or less.

5 Page 2 of3 ~ Roof Shape IX] Hip- Type I only Roof having sloping ends and sloping sides down to the eaves l'lne. 0 Gable- Type I only The portion of the roof above eaves line of a double-sloped l'oof; the end section appears as an inverted V. 0 Flat- Type I only A horizontal roof w'1th a Itch less tr1an 10 de rees. ~ Roof Deck Attachment Level A- Type I only Plywood/OSB roof sheathing attached to roof trusses/rafters by 6 penny nails (2" x 0.131" diameter) or greater which are properly spaced at a maximum of 6" along the edge and 12" in the field on 24" tnjss/rafter spacing. D Batten decking of Skipped decking (typically used on roof decks supporting wood shakes or wood shingles). Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 55 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood/osb. Level S- Type I only Plywood/OSB roof sheathing with a minimum thickness of W' attached to roof trusses/mfters by 8 penny (2.5" x 0.131" diameter) ~ nalts or greater which are properly spaced at a maximum of6" along the edge and 12" in the field on 24" truss/rafter spacing. ll>j or Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 103 pounds per square foot or more as evidenced by laboratory uplift tests o11 full size sl1eets of plywood/osb. Level C -Type I only Plywood/OSB sheathing with a minimum thickness of~" attached to roof trusses/rafters by 8d (2.5" x 0.131" diameter) nails whicll are properly spaced at s maximum of G" along the edge and 6" in tile field on 24" truss/rafter spacing. D Dimensional Lumber or Tongue & Groove deck roof composed of 3/4" thick boards with nominal widths of 4" or more. Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivalent mt;jan uplift resistance of 182 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood/osb. D Level A- Wood or Other Deck Type II only Roof deck composed of sheets of structural panels (plywood or OSB). Architectural (non-structural) metal panels that require a solid decking to support weight and loads. Other roof decks that do not meet Levels B or C below. D Level 8- Metal Deck Type II or Ill Metal roof deck made of structural panels that span from joist to joist. D Level C- Reinforced Concrete Roof Decl< Type!, II or l!j A roof structure composed of cast.'1n-p!ace or pre-cast structural concrete designed to be self-supporting and integrally attached to wall/su arts stem. 0 Secondary Water Resistance D Underlayment A self-adhering polymer modified bitumen roofing underlayment (thin rubber sheets with peel and stick underside located beneath the roof covering and normal felt underlayment) with a minimum width of 6" meeting the requirements of ASTM 0 19"10 Installed over all plywood/osb joints to protect from water intrusion. All secondary water resistance products must be installed per the manufacturer's recommendations. Roofing felt or similar paper based products are not acceptable for secondary water resistance. [J Foamed Adhesive A foamed ol urethane sheathin lied over a!l"oints ln the roof sheathing to protect interior from water intrusion. MIT-6 (12/2006) 2

6 Page 3 of 3 OC]Roof-Wall connection oe-nal! Rafter/truss anchored to top plate of wall using nails driven at an angle through the rafter/truss and attached to the top plate of the wall. Ocups Metal clips install on each truss/rafter that attach to the side only of the truss/rafter member and to the wall frame. Metal c!lp should be free of severe corrosion, have a minimum of 3 nails Into the trusslr after and 3 nails into the [Kisingle Wraps Metal straps installed on each truss/rafter that wrap over the top of the truss/rafter and attach to the wall frame in one location. Metal stt ap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails into the wall. D Double wraps Metal straps installed on each t1 uss/rafter U1at wrap over the top of the truss/rafter and attach to the wall frame in two location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the twss/rafter and 3 nails into the wall at each location. Certification I certify that I am (CHECK ONE OF THE FOLLOWING): Da Licensed Roofing Contractor, Da Licensed Building Inspector, Oa Registered Architect or Qa resident Licensed General, Residential, or Building Contractor, (K]an Engineer in the State of Florida, or Oa Building Code Official (who is duly autl1orized by the State of Florida or its county's municipalities to verify building code compliance). I also certify that I personally inspected the premises at the Location Address listed above on the date of this Affidavit. In my professional opinion, based on my knowledge, information and belief, I certify that the above statements are true and correct. This affidavit and the information set in it are provided solely for the purpose of verifying that certain structural or physical characteristics exist at the Location Address listed above and for the purpose of permitting the Named Insured to receive a property insurance premium discount on insurance provided by Citizens Property Insurance Corporation and for no other purpose. The undersigned does not make a health or safety certification or warranty, express or implied, of any kind, and nothing in this Affidavit shall be construed to impose on the undersigned or on any entity to which the undersigned is affiliated any liability or obligation of any nature to the named insured or to any other person or entity. Name of Company: Date: Signature: Insight Inspections 1/31/08 License# Phone: ;.._ I J' /7 I ;,,I e Applicant's Signature: 1:{--cA:?'l '-fd._,yij2=ez~ Date: _L}_J 0 Citizens reserves the right to conli! information contained in this form via a su~ey o; the risk. "Any person who knowingly and with intent to injure, defraud, or deceive an insurer, files a statement of claim or an application containing any false, incomplete or misleading information is guilty of a felony of the third degree." MIT-6(12/2006) 3

7 FLORIDA BUILDING CODE COMMERCIAL ROOFING MITIGATION VERIFICATION AFFIDAVIT BUILDING TYPE: [81 I (3 stories or lass) 0 II (4 to 6 stot ies) 0 Ill {7 or more stories) Terrain Exposure Category must be provided for each insured location. I hereby ceriify that the building or unit at the address indicated above TERRAIN EXPOSURE CATEGORY as defined under the Florida Building Code is (Check One): D Exposure C or [XJ Exposure 8 --~] CerlJflcation below for purposes of TERRAIN EXPOSURE CATEGORY above does not require personal Inspection -~f the prer:~es. Certification of Wind Speed is required to establish the basic wind speed of the location (Complete for Ter-rain B only if Year Built On or After Jan.1, 2002), I hereby certify that the basic WIND SPEED of the building or unit at the address indicated above based upon county wind speed lines defined under the Florida Building Code (FBC) Is (Check One): 0 ~100 or 0 ~11 0 or D ~120 Certification of Wind Design is required when the buildings is constructed in a manner to exceed the basic wind speed design established for the structure location (Complete for Terra'111 B only if Year Built On or After Jan.i, 2002). I hereby certify that the building or unit at the address indicated above is designed and mitigated to the Florida Building Code (FBC) WIND DESIGN of(checkone): D ~100 or D ~110 or D ~120 Certification for the purpose of establishing the basic WIND SPEED or WIND SPEED DESIGN above does not require personal inspection of the premises. ~city tha type of mitigation devi~ Installed; [Kj Roof Coverings 0 FBC Equivalent- Type I only Asphalt roof coverings installed in accordance with ASTM D 3161 (modified for 1 i 0 mph) or Miami Dade County PA Non-FBC Equivalent- Type I only Asphalt roof shingles not meeting requirements listed above for FBC Equivalent and all other roof coveting types. 0 Reinforced Concrete Roof- Type I, H or!h A roof structure composed of cast-ln-pibce or pre-cast structural concrete des'1gned to be self-supporting and integrally attached to wall/support system. 0 Level A- Type II or Ill All roof cover types and conflgurations that do not meet Level B below. 0 Level B- Type II or Ill Roof coverings that satisfy all of the following conditions and are one of the following types: 1. Built-Up 2. Modified Bitumen MIT 6 (12/2006) 3. Sprayed Polyurethane foam 4. Liquid membrane applied over concrete 5. Asphalt roll roofing 6. Wood shakes In good condition, attached with at least tv-10 mechanical fasteners 7. Ballasted roof designed to meet the design wind speed requirements 8. Asphalt roof coverings installed in accordance ASTM (modified for 110 mph) or Miam l Dade County PA All mechanical equipme11t must be adequately tied to the roof deci( to resist overturning and sliding during high wi11us. Any flat roof covering with flashing or coping must be mechanically attached to the structure with face fasteners (no clip/cleat systems); and roof coverirtgs on flat roofs must be 10 years old or less. -~- ~-"'

8 Page 2 of 3 [KJ Roof Shape CllJ Hip- Type I only Roof having sloping ends and sloping sides down to the eaves line. 0 Gable- Type I only The portion of the roof above eaves line of a double~sloped roof; the end section appears as an inverted V. 0 Flat-Typelonly A horizontal roof with a itch less than 10 degrees. [KJ Roof Deck Attachment Level A- Type I only Plywood/OSB roof sheathing attached to roof trusses/rafters by 6 penny nails (2" x 0.131" diameter) or greater which are properly spaced at a maximum of6" along the edge and 12" in the field on 24" truss/rafter spacing.. D Batten decking of Skipped decking (typically used on roof decks supporting wood shakes or wood shingles). Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 55 pounds per square foot or more as evidenced by laboratory uplift tesls on full size sheets of plywood/osb. Level B -Type I only PJywood/OSB roof sheathing wrth a minimum thickness of W' attacl1ed to roof trusses/rafters by 8 penny (2,5" x 0.131" diameter) rill nails or greater which are properly spaced at a maximum of 6" along the edge and 12" in the field on 24" truss/rafter spacing. Lt>J Any system of screws, nails, adhesives, other roof deck fastening systems or truss/raf1er spacing that has an equivalent mean uplift resistance of 103 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood/osb. Level C- Type I only Plywood/OSB sheathing with a minimum thickness of W' attached to roof trusses/rafters by 8d (2.5" x " diameter) nails which are properly spaced at a maximum of 6" along the edge and 6" in the field on 24" truss/rafter spacing. 0 Dimensional Lumber or Tongue & Groove deck roof composed of 3/4" thick boards with nominal widths of 4" or more. Any system of screws, nails. adhesives, other roof dec[( fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 182 pounds per square foot or more as evidenced by laboratory uplift tests on 'full size sheets of plywood/osb. 0 Level A- Wood or Other Deck Type II only Roof deck composed of sheets of structural panels (plywood or OSB). Architectural (non structural) metal panels that require a solid decl\ing to support weight and loads. Other roof decks that do not meet levels B or C below. D Level 8- Metal Deck Type II or Ill Metal roof deck made of structural panels that span from joist to joist. 0 Level C- Reinforced Concrete Roof Deck Type!, I! or Ill A roof structure composed of cast"in~place or pre-cast structural concrete designed to be self-supporting and integrally attached to walllsu ort s stem Secondary Water Resistance D Underlayment A self-adhering polymer modified bitumen roofing underlayment (thin rubber sheets witll peel and stick underside located beneath the roof covering and normal felt underlayment) with a minimum width of 6" meeting the requirements of ASTM D 1970 installed over all plywood/osb joints to protect from water intrusion. All secondary water resistance pt oducls must be insial)(~d per the manufacturer's recommendations. Roofmg felt or similar paper based products are not acceptable for secondary water resistance. O Foamed Adhesive A foamed ol urethane sheath in lied over all joints In the roof sheathing to protect interior from water intrusion. MlT-6 (12/2006) 2

9 I' age 3 of 3 IX] Roof-Wall connection oe-nai! Rafter/truss anchored to top plate of wall using nails driven at an angle through the rafter/truss and attached to tl1e top plate of the wall. De!Ips Metal clips 'install on each truss/ra.fter that attach to the side only of the truss/rafter member and to the wall frame. Metal clip should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails into the [K']slngle Wraps Metal straps installed on each truss/rafter that wrap over the top of the truss/rafter and attach to the wall frame in one location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails Into the wall. Ooouble Wraps Metal straps Installed on each trussfrafler that wrap over the top of the truss/ratter and attach to the wall frame in two location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails into the wall Bt each location. Certification I certify that I am (CHECK ONE OF THE FOLLOWING): Oa licensed Roofing Contractor, Oa resident Licensed General, Residential 1 or Bu!!dtng Contractor, lxjan Engineer in the State of Florida, Oa Licensed Building Inspector, Oa Registered Architect or or Qa Building Code Official (who is duly authorized by the State of Florida or its county's municipalities to verify building code compliance). I also certify that I personally Inspected the premises at the Location Address listed above on the date of this Affidavit. In my professional opinion, based on my knowledge, information and belief, I certify that the above statements are true and correct. This affidavit and the information set in il me provided solely for the purpose of verifying that ce1iain structural or physical characteristics exist at the Location Address listed above and for the purpose of permitting the Named Insured to receive a property insurance premium discount on insurance pmvided by Citizens Property Insurance Corporation and for no other purpose. The undersigned does not make a health or safety certification or warranty, express or Implied, of any kind, and nothing in this Affidavit shall be construed to impose on the undersigned or on any entity to which the undersigned is affiliated any liability or obligation of any nature to the named insured or to any other person or entity. Name of Company: Insight Inspections Date: 1/31/08 Signature: License# Phone: (941) 224- f!."-'03~0 Applicant's Signature:?m -fo~;j--;;? -n-h<-a.. Date: Citizens reserves the right to confirm all information contained in this form via a survey of the risk. "Any person who knowingly and with intent to injure, defraud~ or deceive an insurer, files a statement of cfaim or an application containing any false, incomplete or misleading information is guilty of a felony of the third degree." MIT-6(12/2006)

10 CITIZENS PROPEI'<TY INSUF<ANCE CORPORATION FLORIDA BUILDING CODE COMMERCIAL ROOFING MITIGATION VERIFICATION AFFIDAVIT BUILDING TYPE: Terrain Exposure Category must be prov1ded for each 1nsu1 ed locat1on I 0 Ill (7 or more stories) I hereby cert1fy that the building or unit at the address Indicated above TERRAIN EXPOSURE CATEGORY as defrned under the Florida Building Code IS (Check One) 0 Exposure C or 00, Exposute B Certification below for purposes of TERRAIN EXPOSURE CATEGORY above does not requ1re pe1sonsl 1nspec!Jon ~:~~s ~ Certification of Wind Speed is required to establish the basic wind speed of the location (Complete for TetTain B only if Year Built On or After Jan.1, 2002). I hereby certify that the basic WIND SPEED of the building or unit at the address indicated above based upon county wind speed lines defined under the Florida Building Code (FBC) Is (Checl1 One): 0 ~100 or 0 '2:110 or 0 :=:120 Certification of Wind Design is required when tile buildings Is constructed in a manner to exceed the basic wind speed design established for the structure location (Complete for Terrain 8 only if Year Built On or After Jan.1, 2002). t hereby certify that the building or unit at the address indicated above is designed and mi\igated to the Florida Building Code (FBC)WINDDESIGNof(CheckOne): 0 ~100or 0 ;,110or 0 ;,120 Certification for the purpose of establishing the basic WIND SPEED or WIND SPEED DESIGN above does not reqt.:ire personal inspection of the premises. Specify the type of mitigation device(s) instatleg~ [g) Roof Coverings 0 FBC Equivalent- Type I only Asphalt roof coverings Installed in accordance with ASTM D 3161 (modified for 110 mph) or Miami Dade County PA Non FBC Equivalent- Type I only Asphalt roof shingles not meeting req(jirements listed above for FBC Equivalent and all ou1er roof covering types. 0 Reinfo1 ced Concrete Roof- Type f, II or Ill A roof structure composed of cast-in-place or pre-cast structural concrete designed to be self-supporting and integrally attached to wall/support system. Level A- Type II or Ill D D MIT-6 ( 12/2006) All roof cover types and configurations that do not meet Level B below. Level 8 -Type II or Ill Roof coverings that satisfy all of the following conditions and are one of the following types; 1. Built-Up 2. Modified Bitumen 3. Sprayed Polyurethane foam 4. Liquid membrane applied over concrete 5. Asphalt roll roofing 6. Wood shakes in good condition, attached with at least two mechanical fasteners 7. Ballasted roof designed to meet the design wind speed requirements 8. Asphalt roof coverings installed in accordance ASTM D 3161 (modified for 110 mph) or Miami Dade County PA 107~95. All mechanical equipment must be adequately tied to the roof deck to resist overturning and sliding during high winds. Any flat roof covering with flashing or coping must be mechanically atlached to the structure with face fasteners (no clip/cleat systems); and roof coverings on flat roofs must be 1 D xears old or less

11 CniZENS PROPERTI INSURANCE CORPORATION Page2of3 [KJ Roof Shape [li!] Hip- Type I only Roof having sloping ends and sloping sides down to the eaves line. 0 Gable- Type I only The portion of the roof above eaves line of a double-sloped roof; the end section appears as an inverted V. 0 Flat- Type I only A horizontal roof with a 'itch less than 10 degrees. [KJ Roof Deck Attachment Level A- Type I only Plywood/OSB roof sheathing attached to roof trusses/rafters by 6 penny nails {2" x 0.131" diameter) 01 greater which are properly spaced at a maximum of 6" along the edge and 12" in the field on 24" truss/rafter spacing. O Batten decking of Skipped decking (typically used on roof decks supporting wood shakes or wood shingles). Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 55 pounds per square foot or more as evidenced by laboratory uplift tests on full size sl1eets of plywood/osb. Level B- Type I only PlywoodJOSB roof sheathing with a minimum thickness of W' attached to roof trusses/rafters by 8 penny (2.5" x 0.131" diameter)!x] nails or greater which are properly spaced at a maximum of 6" along the edge and 12" in the field on 24" truss/rafter spacing. Any system of screws, nails, adhesives, other roof deck fastening systems or truss/rafter spacing that has an equivalent mean uplift resistance of 103 pounds per square foot or more as evidenced by laboratory uplift tests on full size sheets of plywood/osb. Level C -Type I only Plywood/OSB sheathing with a minimum thiclmsss of W' attached to roof trusses/rafters by Sd (2.5" x 0.131" diameter) nails which are property spaced at a maximum of 6" along the edge and 6" In the field on 24" truss/rafter spacing. 0 or Dimensional Lumber or Tongue & Groove deck roof composed of 3/4" thick boards with nominal widths of 4" or more. Any system of screws, nails, ad11eslves, other root decl< fastening systems or truss/rafter spacing t11at has an equivalent mean uplift resistance of 182 pounds per square foot or more as evidenced by laboratory uplif-t tests on full size sheets of plywood/osb. 0 Level A- Wood or Other Deck Type II only Roof deck composed ot sheets of structural panels (plywood or OSB). Architectural (non-structural) metal panels that require a solid decking to support weight and loads. Other roof decks that do not meet Levels 8 or C below. 0 Level B- Metal Deck Type II or Ill Metal roof deck made of structural panels that span from joist to joist. 0 Level C- Reinforced Concrete Roof Deck Type!, II or Jl/ A roof structure composed of cast-in-place or p1 e-cast structural concrete designed to be self-supporting and integrally i'lttached to wal!/su arts stern. 0 Secondary Water Resistance 0 Underlayment A self-adhering polymer modified bitumen roofing underlayment (thin rubber sheets with peel and sticl\ underside located beneath the roof covering and normal felt underlayment) with a minimum width of 6" meeting the requirements of ASTM [) 1970 installed over all plywood/osb joints to protect from water intrusion. All secondary water resistance products must be installed per the manufacturer's recommendations. Roofing felt or similar paper based products are not acceptable for secondmy water resistance. O Foamed Adhesive A foamed olyurethane sheath'tn adhesive applied ov~l )oints in the roof sheathing to protect lnter'ror.. from water intrus'ron. 1

12 CITIZENS PROP ERn' INSURANCE CORPORI\TION FLORIDA BUILDING CODE COMMERCIAL MITIGATION VERIFIGArtON AFFIDAVIT Page 3 of 3 [K)Roof-Wall connection oe Nail Rafter/truss anchored to top plate of wall using nails driven at an angle through the rafter/truss and attached to!he top plate of the wall. Oclips Metal clips Install on each truss/rafter that attach to the side only of the truss/rafter member and to the wall fr8me. Metal clip should be free of severe cori"osion, have a minimum of 3 nsils into the truss/rafter and 3 nails into the [X] single Wraps Metal straps Installed on each truss/rafter that wrap over the top of the truss/rafter and attach to the wall frame in one location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails into the wall. D Double Wraps Metal straps installed on each truss/rafter that wrap over the top of the truss/rafter and attach to the wall frame in two location. Metal strap should be free of severe corrosion, have a minimum of 3 nails into the truss/rafter and 3 nails into the wall at each location. Certification I certify that I am (CHECK ONE OF THE FOLLOWING): Oa Licensed Roofing Contractor, Oa resident L.fcensed General, Residential, or Building Contractor, Oa Licensed Building Inspector, Oa Registered Architect or [Klan Engineer in the State of Florida, or Oa Building Code Official (who is duly authorized by tile State of Florida or its county's municipalities to verify building code compliance}. I also certify that I personally inspected the premises at the Location Address listed above on the date of this Affidavit. In my professional opinion, based on my knowledge, Information and belief, I certify that the above statements are true and correct. This affidavit and the Information set in it are provided solely for tt1e purpose of verifying that certain structural or physical characteristics exist at the Location Addmss listed above and for the purpose of permitting U1e Named Insured to receive a property insurance premium discount on insurance provided by Citizens Property Insurance Corporation and for no other purpose. The undersigned does not make a health or safety certification o1 warranty, express or Implied, of any kind, and nothing in this Affidavit shall be construed to impose on the unde1 signed or on any entity to which the undersigned is affiliated any liability or obligation of any nature to the named insured or to any other person or entity. Name of Company: Insight Inspections Date: 1/31/08 License# Phone: 1) "'-0 "Any person who knowingly and with Intent to injure, defraud, or deceive an insurer, files a statement of claim or an application containing any false, Incomplete or misleading information is guilty of a felony of the third degree." MIT-6( )