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RF-05-21-1338 UPLIFT TESTole"I&* k-1 EbIGIMEERIHG 4225 SW 71 Ave, Miami. FI 33155 Tel: 786-398-9179 Fax: 786-800-2627 a1roofinspecfion@gmail.com LAB CERTIFICATION #16-0510.15 SITE SPECIFIC INFORMATION UPLIFT TEST — TAS #106 09/10/2021 Roofing Contractor RAFLO CONSTRUCTION GROUP Job Address 665 NE 97 ST MIAMI SHORES, FL 33138 Owner's Name RAMIN A VEJDANI BETHANEY R VEJDANI Type of Tile BORAL SAXONY 900 Approximate Roof Height 12 feet Roof Pitch 3/12 Approximate Square Footage of Roof 16 ft z Date Tested 09/10/2021 Number of Tests 58 Contact Name EDWIN # OF TEST PASS Permit # RF05211338 Date Installed Type of Access to Roof LADDER Required Testing Force 35 Lbs Testing Equipment F.G.E.100 Phone # 305-713-0788 # OF TEST I FAIL LOCATION Corner 12 Tests 12 Pass Test Fail Perimeter 16 Tests 16 Pass Test Fail Field 16 Tests 16 Pass Test Fail Ridge 14 Tests 14 Pass Test Fail TOTAL 58 Tests 58 Pass 0 Test 0 Fail INREQUIREMENTSACCRDCE W DADS E CRITERI WFTH NO DEOVIATIONS! THIS REOPORTS ISNOTGUARANTEED IN CASE OF CASE OFONATURAL DISAo ERS. TH SIREPOSRT IT IS NO VALID FORRINSURANCE CLAIMSCCORDANCE TO THE Job Address 665 NE 97 ST MIAMI SHORES, FL 33138 Permit dumber RF05211338 Roof Drawing 3 16 56 17 57 2 58 19 18