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78 NW 95 ST UPLIFTDocuSign Envelope ID: C9AB3FD0-4544-41 135-8D1 F-491 CB51 FEF17 Lab Report No. 134264 FLORIDA TEC PROVIDING SOLUTIONS To THE )ROOFING INDUSTRY CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH FBC PROTOCOL TAS-106 PROPERTY ADDRESS: 78 Northwest 95"' St, Miami Shores PROPERTY OWNER: CONTRACTOR: Honest Abe Roofing — TILE TYPE. -Flat ATTACHMENT METHOD: Foam Adhesive Testing Equipment: Uplift Gauge FGE-100X Test Tabulation C.A. # 30448 Lab Certificate # 18-1114.01 PERMIT No: RF-02-22-409 ROOFING SQUARES: 20 ROOF PITCH.- 4:12 INSPECTOR INITIALS.• AP TEST DATE: 04/ 12/2022 Required Testinq Force: 35 Ibs THIS ROOF IIAS PASSED THE STATIC UPLIFT IN ACCORDANCE WITH FBC PROTOCOL TAS-106. "ROOF SKETCH" Sincerely, Yan L. Solis, P.E. Lic. No. 75423 OacuSigned by: Yes• " sdL 4 93B297D9802C411... 4/14/2022 10735 SW 21611 St. Unit 404 Miami FL 33170 S 10 l 1 4 2 3 I- — 7 5 — — -- 14 11 15 12 48' 18 !18 21 9 20 22 28 29 25 i 23 27 1 U 24 26 The method and software that have been utilized to sign and seal the report, comply with the intent of the Board Rules. Specifically, with rc f •ranee to Florida Statutes 471 and the Florida Administrative Code Rule 61 G15-23.003 for Engineers. Page 1 of 1 www.FloridaTEC.net %I l i I I I),ti'!/ * • No. 75423 � •, STATE OFPt ORVD Tel: 305-256-4550 Fax: 305-256-6833 r DocuSign Certificate Of Completion Envelope Id: C9AB3FD0454441 B58D1 F491 CB51 FEF17 Subject: Please DocuSign: 78 Northwest 95th St, Miami Shores - ULT DSIGNED.pdf Source Envelope: Document Pages: 1 Signatures: 1 Certificate Pages: 2 Initials: 0 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) Record Tracking Status: Original 4/14/2022 12:03:43 PM Signer Events Yan Luis Solis yan. Solis@ ycmengineering.com Engineer Florida TEC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Elthon eithon@floridatec.net Office Manager Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Holder: Yan Luis Solis yan.solis@ycmengineering.com Signature —pxusp-a by: Signature Adoption: Pre -selected Style Signed by link sent to yan.solis@ycmengineering.com Using IP Address: 75.147.221.46 Signature Status Status Status Status Status COPIED Roberto Alamo COPIED roberto.alamo@ honestaberoofing.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Status: Completed Envelope Originator: Yan Luis Solis 10735 SW 216 St Unit #404 Miami, FL 33170 yan.solis @ ycmengi neering. com IP Address: 75.147.221.46 Location: DocuSign Timestamp Sent: 4/14/2022 12:03:50 PM Viewed: 4/14/2022 12:03:57 PM Signed: 4/1412022 12:04:14 PM Freeform Signing Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Sent: 4/14/2022 12:04:15 PM Sent: 4/14/2022 12:04:15 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Tlmestamps Envelope Sent Hashed/Encrypted 4/14/2022 12:03:50 PM Certified Delivered Security Checked 4/14/2022 12:03:57 PM Signing Complete Security Checked 4/14/2022 12:04:14 PM Completed Security Checked 4/14/2022 12:04:15 PM Payment Events Status Timestamps