RF-06-21-1494 UPLIFTOA -.'I %
INMEERIitG
4225 SW 71 Ave, Miami FI 33155
Tel: 786-398-9179 Fax: 786-800-2627
a1 roofinspecbon(Mgmaii.com
LAB CERTIFICATION #16-0510.15
SITE SPECIFIC INFORMATION
UPLIFT TEST - TAS #106
11 /10/2021
Roofing Contractor AMERICAN ONE ROOFING Permit # RF-06-21-1494
Job Address 101 NW 108 ST MIAMI SHORES, FL 33168
Owner's Name JEREMY A DIAZ
Type of Tile HANSON HACIENDA
Approximate Roof Height 12 feet Roof Pitch 4/12
Approximate Square Footage of Roof 21 ftz
Date Tested 11/04/2021 Number of Tests 52
Contact Name
Date Installed
Type of Access to Roof LADDER
Required Testing Force 35 Lbs
Testing Equipment F.G.E.100
Phone # 561-701-5571
LOCATION
# OF TEST
PASS
# OF TEST
FAIL
Corner
8 Tests
8 Pass
Test
Fail
Perimeter
13 Tests
13 Pass
Test
Fail
Field
21 Tests
21 Pass
Test
Fail
Ridge
10 Tests
10 Pass
Test
Fail
TOTAL
52 Tests
52 Pass
0 Test
o 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, WITH NO DEVIATIONS. THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS, THIS REPORT IT IS NOT VALID FOR INSURANCE CLAIMS.
I
f
YENAN T. tEYVA
PE67416
A-1 Engineering Inspection Services, Inc.
4225 SW 71 Ave
Miami, FL 33155
Phone 305-662-3710 Fax 786-800-2627
Emaii: a1roofinspection@gmail.com
Lab Certification: 16-0510.15
TO:
Client Name:
Company Name: AMERICAN ONE ROOFING
Sir eet Address:
City, State Zip:
INVOICE
INVOICE # 101
DATE: 11 /04/2021
Job Address: 101 NW 108 ST MIAMI SHORES, FL 33168
P.O. #
Client Phone: 561-701-5571
Client Email:
Description
Tile Uplift Test
Quantity
Rate
Amount
1
100
$ 100.00
A 1 ENG14EFY INSPECTION
$ 0.00
4228 SW 70 COURT
$ 0.00
MIAMI, FL 33155
305-662-3710
$ 0.00
SALE
REF#: 00000006
Batch #: 322
V-57:09
"10121
APPR CODE: 095712
ENCRYPTED BY ELAVON
Trace: 6
Manual CP
VISA k1*!
2753
AMOUNT $102.00
APPROVED
TOTAL
$ 100.00
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Total due in 15 days. Ove
THANK YOU
CUSTOMER COPY
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business!