RF-17-33 ACB2 Engineering Inc.
Testing & Engineering Services
Certification of Authorization#8131 (� Roof Tile Uplift Test Report
Tel: 954-245.8976; Fax: 954.301.7776 \�
P.O. Box 823612
Pembroke Pines, FL 33082
Attention: Miami Shores Village, Building Division,
10050 NE 2nd Avenue, Miami Shores, FL 33138
Client: Daley Roofing
Test Date:01/21/2017 Permit RF-1-17-33
Property Address: 1075 NE 96th Street,Miami Shores,FL
Roof Pitch: Type of Tile: Roof Area:
3 in 12 Concrete Roof Tile 32.00 squares
Tile Attachment Method: Two Component Polyurethane Foam Adhesive-Poly Pro H 160
Field Instrument : IMADA Force Gauge 0-100 Serial number:243454
Test Location Total Number of Tests Field Uplift Pull Test Test results
Perimeter Area : (T1-T15) 15.00 sq 15 As per FBC 2014 Passed
Field Area: (T16-T32) 17.00 sq 17 As per FBC 2014 Passed
No.of Corner: (T33-T40) 8 8 As per FBC 2014 Passed
Ridge Areas: (T41-T60) 210 pc5 21 As per FBC 2014 Passed
Important:
These laboratory results can change due to future weather impacts and/or unavoidable roof
traffic.Therefore,this report represents the TAS 106 results at the time of the test.
Please see attached a Roof Sketch for this project.
Cordially,
ACB2 E i eering Inc. (NOA 09-1005.01)
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ACB2 Engineering Inc.
Engineering and Laboratory Services
5230 NE I e Avenue
Fort Lauderdale, Florida 33334
Phone: (954) 245-8976 Fax: (954) 301-7776
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ACB2 Engineering Inc.
Testing & Engineering Services
P.O. Boz 823612
Pembroke Pines, Florida 33082
Phone 954-245-8975 Fax: 99554-301-7776
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City of Miami Shores January 26h, 2017
Building Department
Deck Re-nailing After the Fact Slope Roof Inspection
Re: Residence located at
1075 NE 96th Street
Miami Shores FL
Contractor: Daley Roofing/Permit#RF-1-17-33
Dear Building Official:
This letter is to advise the Building Department that we have performed an after the fact
limited exploratory inspection of the deck re-nailing roof work for the above referenced
property.
Specifically, we have performed a limited exploratory inspection of the roof deck re-
nailing installations,at 4"o.c. into the wood planks and into the truss support.
Based on our inspection and review, we can certify that the referenced work has been
performed in substantial conformance with the 2014 Florida Building Code and Permit.
Please note we consider this letter an"in progress inspection"after the fact to cover for
inspections normally performed by the City during roof construction. This inspection
does not cover roof drainage and does not provide a guarantee against roof leaks since
these are still responsibilities of the contractor.
Cordially,
ACB2 Engineering Inc.
riAcevedo, P.E.
466
Permit No. RF-1-17-33
`SNTIES D� Miami Shores Village � Permit Type:Root
£g`* 10050 N.E.2nd Avenue NE work Classification:Tile
Miami Shores,FL 33138-0000 Pen '
Permit Status:APPROVED
Phone: (305)795-2204
FLORIDA
Issue Date: 1/13/2017 F Expiration: 07/12/2017
Project Address Parcel Number Applicant
1075 NE 96 Street 1132060143690
Miami Shores, FL Block: Lot: MARGERY& FRANK LOUGHLIN
Owner Information Address Phone Cell
MARGERY&FRANK LOUGHLIN 1075 NE 96 Street
MIAMI SHORES FL 33138-2551
Contractor(s) Phone Cell Phone
Valuation: $ 24,600.00
DALEY ROOFING INC
(305)754-9892
��-- � Total Sq Feet: 3500
Type of Work:Re Roof Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Up Lift Report
Scanning:4
Tin Cap
Final Roof
Tile In Progress
Renailing Affidavit
Review Roof
Cap Sheet
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $15.00
DBPR Fee InVOICe# RF-1-17-62538
$4.88 01/05/2017 Check#:2752 $50.00 $341.76
DCA Fee $4.88
Education Surcharge $5.00 01/13/2017 Check#:2755 $341.76 $0.00
Notary Fee $5.00
Permit Fee-New Roof $325.00
Scanning Fee $12.00
Technology Fee $20.00
Total: $391.76
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoninFuth m uthorize the above-named contractor to do the work stated.
- 5__��. U 2a January 13, 2017
Authorized Signature:Owner / Ap scant / Contractor / Agent ate
Building Department Copy
January 13, 2017 1
�T'�TI�I]
Miami Shores Village R�G
JAN 0 5 2017
" ���
Building Department BY:
�\`` 10050 N.E.2nd Avenue, Miami Shores,Florida 33138
° Tel:(305)795-2204 Fax: (305)756-8972 }�
INSPECTION LINE PHONE NUMBER:(305)762-4949 1 �.
FBC 2014
BUILDING Master Permit No. R4
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑_CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10 H NC -ut ST-
City: Miami Shores County: Miami Dade Zip: 31
Folio/Parcel#: I/- 3a0A - Is the Building Historically Designated:Yes NO x
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
tisa �1s&HLjA
OWNER: Name(.Fee Simple Titleholder): LhAV eug tq Aj P R FCQ m Phone#: Z. �d • y`l32
Address: 311 2?- C. l I_U7 -ST.
City: f HDEA.)1 V_ State: A ga_, J A Zip: i5 0A
Tenant/Lessee Name: Phone#:
Email: hAnOn3S711 C 4MA1�, C,dr>7
CONTRACTOR:Company Uarxte: 0� /NC Phone##:15a q5
Address:
City: AAlaw �W` State: Zip:Da
Qualifier Name: )ti ((1Y(pp Phone#:
State Certification or Registration#: 1.t%� I Certificate of Competency#:
DESIGNER:Architect/Engineer: ~~, Phone#:
Address: fG City: State: Zip:
Value of Work for this Permit:$ I b Square/Linear Footage of Work: S-500
Type of Work: ❑ Addition ❑ Alteration 1-1 New ❑ Repair/Replace rr� ❑ Demolition
Description of Work: Vel-w0f T1 1,6
Specify color of color thru tile:
Submittal Fee$ 5D PfNd D- Permit Fee$ Q� CCF$ i CO/CC$
Scanning Fee$ 1 2 Radon Fee$ �-�f' - fS DBPR$ Z4 gy Notary$
Technology Fee$ F-0 Training/Education Fee$ 745 Double Fee$.
Structural Reviews$ Bond$ rr__
TOTAL FEE NOW DUE$ �� y
(Revised02/24/2014)
Bohding-Campany'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 perfriit-to'do the work and'installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Lt.v�Z ,y CLS Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_S'day o`f1 L)`r-t` 6`&1,—Q- , 20 1(0 by day of 1�� 20 by
�1��Y� L l,. Gr\ who is personally known o rhe who is person
al
ly known to
me or who has produced as me or who has produced �� y as-
identification and who did take an oath. identification and who didtake-an oath.
NOTARY'PURLIC: NOTARY C.
Sign: �i Si
Print: O.�`C MAHARAI K GONZALEz
Print: GG 044602
Seal: EXPIRES:November 2,2020
Notary Public SFlit
Seal: o �o sanded Thru Notary Publ.Underwriters
Maricopa Cou
Diane Fergus
My Commission E
*********APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)