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RC-12-2195 (2)
It 12- 21cf5 Lab Report No. 124013 FLORIDA'7 \TEC PROVIDING SOLUTIONS TO THE, \ ROOFING INDUSTRY C.A. # 30448 Lab Certificate # 13-0507.02 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO-DADE COUNTY PROTOCOL TAS-106 PROPERTY ADDRESS: 1263 NE 101st St., Miami Shores PER?11rTNo: RF-10-13-2457 OWNER: Claudio Rodriguez ROOFING SQUARES: 40 ROOF PITCH: 4;12 CONTRACTOR: Precision Roofing TILE TYPE: Spanish "S" ATTACHMENT.: Polyfoam ill on DFIS 200 Test Tabulation INSPECTOR INITIALS: AR TEST DATE: 02/19/2015 Required Testing Force: 35 Ibs No. RESULT No. RESULT No. RIS ULT No. RESULT No. RESULT 1-9 Passed 40-49 Passed 10-19 Passed 50-59 Passed 20-29 Passed 60-63 Passed 30-39 Passed THIS ROOF HAS: PASSED ® FAILED THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI-DADE COUNTY TAS 106. 40' Sincerely, DowSlyned by. QUA-6 C tr 1- 194CD29999D6446... 30' 2/24/2015 10735 SW 216th St. Unit 416 Miami FL 33170 42' 54' 53 55 56 ' 47 z 58 57 37 50 38 — 51 ; 43 39 24' 56' The method and software that have been utilized to sign and seal the report, comply with the intent of the Board Rules. Specifically, with reference to Florida Statutes 471 and the Florida Administrative Code Rule 61 G15-23.003 for Engineers. Page 1 of 1 www.FloridaTEC.net Tel: 305-256-4550 Fax: 305-256-6833 Docu. ■sEcuRso Certificate of Completion Envelope Number: 58B00927E5144D72A21634F313F0BE91 Subject: 1263 NE 101st St., Miami Shores ULT DSIGNED Source Envelope: Document Pages: 1 Certificate Pages: 2 AutoNav: Enabled Envelopeld Stamping: Disabled Signatures: 1 Initials: 0 Status: Completed Envelope Originator: Alberto Cardona 10735SW216St Unit #416 Miami, FL 33170 alberto@floridatec.net IP Address: 50.73.7.138 1 Record Tracking Status: Original 2/24/2015 9:58:29 AM PT Holder: Alberto Cardona alberto@floridatec. net Location: DocuSign Signer Events Alberto Cardona alberto@fioridatec.net Engineer Florida TEC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered ID: Signature butt) (,AYkv.A. 494CD28999D8118... Using IP Address: 50.73.7.138 Timestamp Sent: 2/24/2015 9:58:49 AM PT Viewed: 2/24/2015 9:58:54 AM PT Signed: 2/24/2015 9:59:40 AM PT Freeform Signing 1 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Elthon ELTHON@FLORIDATEC.NET Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered ID: Michelle michelle©precision-roofing.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered ID: Status COPIED COPIED Timestamp Sent: 2/24/2015 9:59:41 AM PT Sent: 2/24/2015 9:59:41 AM PT Viewed: 2/24/2015 10:13:07 AM PT Notary Events Timestamp t Envelope Summary Events Status Timestamps J Envelope Summary Events Status Timestamps Envelope Sent Certified Delivered Signing Complete Completed Hashed/Encrypted 2/24/2015 9:59:41 AM PT Security Checked 2/24/2015 9:58:54 AM PT Security Checked 2/24/2015 9:59:41 AM PT Security Checked 2/24/2015 9:59:41 AM PT