RC-18-686 (2)Florida International Engineering, Inc.
6175 NW 167 St., G-20, Miami, FL 33015
FLORIDA INTERNATIONAL Telephone: (305) 378-1991-Fax: (305) 378-1997
ENGINEERING, INC
INSIGHT -INNOVATION -INTEGRATION Miami -Dade Lab Certification # 07-0612.11-State of Florida ca #27273
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SITE SPECIFIC INFORMATION
Owner's Name: 1V\ I ",J,. L� o�► 1
Job Address: "lam I
Roofing Contract . e
Permit Number - (� • 2�4 L 1 Type of Tile: f- WA -wit: {� Y,-
Approximate R f Height: lZ• f Slope: = l2 Approximate Square Footage: Z'�o ft2
Type of Access to Ro Ladder Other: _
Required Testing lorc : 35 lbs.+ Testing Equipment: F.G.E. 1 0x Shim o Instrument
Date Installed: 11 IAI6, Date of Inspection: 2� i v,
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TEST RESULTS
P= PASS, F= FAIL
•
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IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, TH4S ROOF ASSkMjLLY H PASSED THES STATIC QUALITY CONTROL TEST.
ADDITIONAL TEST INFORMATION
Perimeter Width: ft
Area
Units or ftZ
No. of Tests
Perimeter
jC,0
Field
1 c s o
Z
Corners
Hips & Ridges
4-20100
16
RESPIper BA •.• ,'''' --Y:
G
VIVJB4epka .E.
Flo�l WlirrQF 63;07
,;F,s'•�0RIDP•
l��`'�.