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RF-18-1810 (3)Miami Shores Viiiage. Building Department 10050 N.E.2nd_<Avenue. Miami Shores, Florida 33.138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2n Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address:;C'I,.5O Ne qc1 Roofing Permit Number: e r- -7 ( - ('10 Dear Building Official: I C.Ou't Toj /° Date: certify that I:have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the. Florida Building. Commission by Rule 9B-3.047 F.A.C. Print Name State of Florida County: of Dade The undersigned, being the first dulyswom, deposes and says that he/she:is the owner for the above property mentioned. Swom to and subscribed before me this % r—i day of LStriibri7 r 20 I x Notary Public, Sate of Florida at Large (SEAL) Revised on 5/21/2009 Y'iv Tania Ambriz COMMISSION # GG227364 ,,, EXPIRES: June 11, 2022 Bonded ihru Aaron Notary FINAL COMPLIANCE ACB2 Engineering Inc. Testing & Engineering Services Certificate of Authorization # 8131 Tel: 954-245-8976 Fax: 954-301-7776 5230 NE 18TH Avenue Fort Lauderdale, FL 33334 Roof Tile Uplift Test Report Attention: Miami Shores Village, Building Division, 10050 NE 2"d Avenue, Miami Shores, FL 33138 Client: T&S Roofing Systems, Inc. Test Date: 06/30/2018 ermit # RF-3-18-8 Property Address: HaRsen Residence 29 NW 100th Terrace, Miami Shores, FL Roof Pitch: Type of Tile: Roof Area: 3 in 12 Boral Roof Tile 25.50 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 Perimeter Area: (T1-T10) Field Area: (T11-T21) No. of Corner (T22-T38) Ridge Areas: (T39-T46) Total Number of Tests 10.00 sq. 15.50 sq. 15 72 pcs. 10 16 15 8 Important: Field Uplift Pull Test Test results As per FBC 2017 As per FBC 2017 As per FBC 2017 As per FBC 2017 Passed Passed Passed Passed 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, AEngineering Inc. (NOA 09-1005.01) io Acevedo, PE Fla. Reg. No: 36466 (3Ei) /ad ACB2 Engineering Inc. Engineering and Laboratory Services 5230 NE 18t Avenue Fort Lauderdale, Florida 33334 Tel: 954-245-8976 Fax: 954-301-7776 t7 Tv T kv �1`t I r T`T- c 31 32 1, ',,,,,,,:_:, 1-z/ 4i 3? 1,1E 10 7 r z7-