RF-04-19-844 SITE INFOF.I.E,
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
INSIGiff-MNOVATi01MNTEGRATON Miami -Dade Lab Certification # 07-0612.11-State of Florida ca #27273
-----------------------------------------------------------------------------------------------------------------
SITE SPECIFIC INFORMATION
Owner's Name: C -R6c _
Job Address:
Roofing Contractor: _G
Permit Number: F 55, ,
Approximate Roof Height: feet
Type of Access to Roof: --`-Ladder
Type of Tile: C 0 c-K—,c�
Slope: ' lZ Approximate Square Footage:
Other:
Required Testing Force: 35 Ibs.+ Testing Equipment: F.G.E.100x S im ❑ Instrument
^ate 1rst^11cd: 1�evv FAR Cate of InSpecrlor I
TEST RESULTS
P= PASS, F= FAIL
Test fi or F Por or Test I Test r Test 1 0 c ,r I Test I n r
Pr:
Location f Location Location ; _ ! Location I _,. Location_j or,
I 1 1 1� S ty I 21 I?A: e7 e7 I 41 I �: _' ��i )_ `7 �i' I 81 1
2 i I 22 `
42 1 L
62 1'
82
3
I 23
43 1
I 63 1
83
4
24 1
1 44 1
1 64 1
1 84
5
25
45 I
1 65 1
85
6
Z6
46 1
66 1
1 86
�7
8
27
Z8
�- 47
483 1
67
68
87
tiff
9
29
49 1
b`i 1
89
i0
3u 1
5U
1U
1 90
li
31
51
it
9i
i2
32
j 52
72 92
i3
33
53
73 93
iY
34
54
i 5
35
-2
16
JU
Su
/ U 96
1/
Ji
5
! I
1U
I JU I
22
rJ/
/u JU
19
39 I
59
79 1)
�0
40
GO I
E0 100
-----------------------------------------------------------------------------------------------------------------
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.
,y� 13ALAKRJs`''
ADDITIONAL TEST INFORMATION {� E L
I Perimeter Width: _ ft I -�� tiGF",i�I�i1; �►' L ;JUTTED ZY•
I Area I Units or W I No. of
Tests
.1anctcr Cc
Fieid a C; P
1 Corners I 10 I I .e' v�Vymip es .E.
I Hips & Ridees I L 'Z �v I i I '': 'J� Ffta eRe��tiorr Il�. c21o7_ i ���i-
FSS I 0 N AL '
Job Address: 1 c - > 1,4 %/A
Contractor
Sketch of Roof (NTS)
Notes
fit!