RF-03-20-480 ULTAFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND SECONDARY
WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT
SINGLE FAMILY RESIDENTIAL STRUCTURES
PURSUANT TO SECTION 553.844 F.S.
To: Miami -Dade County Building Official
11805 Coral Way, Suite 111
Miami, FL 33175 [ U0
Re: Owner's Name
1�
Property Address �� U
Roofing Permit Number I i l n 3 J�
Dear Building Official:
I _ certify that the roof decking attachment and fasteners have been
strengthened and corrected and a secondary water barrier has been provided as required by the "Manual
of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Structures" adopted by the
Florida Building Commission by Rule 9B-3.047 F.A.C.
Qualifyin
Signature of Qualifying Agent
/.Cjc fte AC_4_t,6 .
Print Name
STATE OF FLORIDA COUNTY OF NIIANII-DARE
Swom to and subscribed before me this
day of _ j f . 2U2-0 -
JAVIER PUIG
f Personally known
or Produced Identification
NOTARY PUBLIC
a ' STATE OF FLORIDA
a ` o Comm# GG078559
s ME ISI� Expires 4/30/2021
4 "lb
0A. I
I NGINURINO
4225 SW 71 Ave, Miami FI 33155
Tel: 786-398-9179 Fax: 786-800-2627
a 1 roofinspectionigmail.com
LAB CERTIFICATION #16-0510.15
SITE SPECIFIC INFORMATION
UPLIFT TEST - TAS #106
08/04/2020
Roofing Contractor DEL SOL ROOFING ENTERPRISE INC
Job Address 1245 NE 98 ST MIAMI SHORES
Owner's Name CYNTHIA S PALMER
Type of Tile FLAT TILE 13"
Approximate Roof Height 12' feet Roof Pitch 4/12
Approximate Square Footage of Roof 23 W
Date Tested 08/04/2020 Number of Tests 56
Contact Name HEYMI
Permit # RF0320480
Date Installed
Type of Access to Roof LADDER
Required Testing Force 35 Lbs
Testing Equipment F.G.E.100
Phone # 305-228-0218
LOCATION
# OF TEST
PASS
# OF TEST
FAIL
Corner
10 Tests
10 Pass
Test
Fail
Perimeter
10 Tests
10 Pass
Test
Fail
Field
23 Tests
23 Pass
Test
Fail
Ridge
13 Tests
13 Pass
Test
Fail
TOTAL
56 Tests
56 Pass
0 Test
0 Fail
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST, THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE
REQUIREMENTS OF DADE COUNTRY, WITI I NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS. THIS REPORT IT IS NOT VALID FOR INSURANCE CLAIMS.
YENAN T . LEYVA
P E,P67416
Job Address 1245 NE 98 ST MIAMI SHORES
Permit Number RF0320480
Roof Drawing