RF-17-2764 (3) i
t
R
{ Florida inte7national Engineering and Testing Lab LLC
F -O' I * Eo 6175 NW 167 Street, Miami, FL 33015
i,Jcphone: (305)378-1991-Fax: (305)378-1997
i FLORIDA INTERNATIONAL ENGINEERING&
TESTING LAB,LLC Miami-Dade Lab Certification#07-0612.11-State of Florida ca#27273
---------------------------------------------------------------------------------------------------------------------
SITE SPECIFIC INFORMATION
Owner's Name: a ®��
Job Address: AO)p A=_: to1 .� 1till'-fit s
tx-
Roofing Contractor:
D
Permit Number: Type of Tile: t� � �3'� •T— t � ��T
Approximate Roof Height: Zfeet Slope: S -12— Approximate Square Footage: ft2
Type of Access to Roof: madder
Other Required Testing Forc 35 lbs. Testing Equipment: F. .E. 100x Shim o Instrument
Date Installed: I Date of Inspection: ti 1 t 1 18
i
TEST RESULTS
P=PASS, F=FAIL
r
Test Test Test Test Test
PorF PorF PorF 1?orF PorF
Location Location Location Location Location
1 21 41 61 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
r 14 34' S4 74 94
15. 35 55 75 95
16 36 56 76 96
17 37 57 77 97
18 38 58 78 98
19 39 1 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 ftZ No.of Tests
Perimeter C3 @-v
Field Z,QE7 J t /
Corners C'�, #Z `'°.} 11`3 V 2-,u
I Hips& Ridges -� j Vinayagar M.Balakrishnan V
State of Florida Lic#63107
i
I
FLORIDA INTERNATIONAL ENGINEERING&TESTING LAB, LLC
Job Address: - /0 t '�'► i��-1 i � —
Contractor: =� �
Sketch of Roof(NTS)
r
er
44
T_ low
i'
1
e
Notes a VE. ?, 17. �L-zk e—z- Z a
SSG,E'5 L