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Inspection Worksheet
Miami Shores Village V.,
G _��10050 N.E. 2nd Avenue Miami Shores, FIL [�
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-263020 Permit Number: RF-7-16-1929
Scheduled Inspection Date: September 06, 2016 Permit Type: Roof
Inspector: Mesa, Michel
Inspection Type: Final Roof
Owner: MARIANA JULIA LIVORE, FABIANO Work Classification: Tile/Flat
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Job Address:9935 NE 13 Avenue
Miami Shores, FL 33138-2634
Phone Number
Project: <NONE> Parcel Number 1132050090470
Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247-7067
Building Department Comments
RE-ROOF FLAT& TILE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
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September 02,2016 For Inspections please call: (305)762-4949 Page 7 of 29
Florida International Engineering and Testing Lab LLC
F * 1 * E * 6175 NW 20 Street,#620, Miami, FL 33015
FLORIDA INTERNATIONAL ENGINEERING Telephone: (305) 378-1991-Fax: (305)378-1997
&TESTING LAB
INSIGHT-IN NOVATION-INTEGRATION Miami-Dade Lab Certification#07-0612.11-State of Florida ca#27273
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-------------------------------_____________________________________________________________________________________-
,f SITE SPECIFIC INFORMATION
Owner's Name: 1a t t J•
Job Address: 9 01 3 5 13 t
Roofing Contractor:_ o
Permit Number:R} � - 1 �` i 6jZ� Type of Tile: �3 R �-L_k
Approximate Roof Height: feet Slope: lZ Approximate Square Footage: Ij QQ ft2
Type of Access to Roof: Ladder
Other Required Testing For35 lbs. Testing Equipment: F. .E. 1 x Shim o Instrument
Date Installed: 16TI P?(l(o Date of Inspection: :SO it,
--------------------------------------------------------------------------------------------------------------- . ---
TEST RESULTS
P=PASS, F= FAIL
Test Test Test Test Test
Location P°r F Location P°r F Location P°r F Location P or F Location Por F
1 21 41 61 e7 81 /
2 22 42 62 82
3 23 43 63 83
4 24 44 64 84
5 25 45 65 85
6 26 46 66 86
7 27 47 67 87
8 28 48 68 88
9 29 49 69 89
10 30 50 70 90
11 31 51 71 91
12 32 52 72 92
13 33 53 73 93
14 34 54 74 94
15 35 55 75 95
16 36 56 76 96
17 37 57 77 97
18 38 58 78 98
19 39 59 79 99
20 40 60 80 100
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.
ADDITIONAL TEST INFORMATION
Perimeter Width: ft RESPECTFULLY SUBMITTED BY:
Area Units or ft2 No.of Tests
Perimeter A.k QO 10
Field d 6?®
Corners
Hips& Ridges L 3a Vinayagar M.Balakrishnan V sl
State of Fibrida jAc 463107
FLORIDA INTERNATIONAL ENGINEERING WESTING LAB, LLC
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Job Address: _
Contractor:
Sketch of Roof (NTS)
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