RF-06-19-1263 UPLIFTF.I.E.
FLORIDA INTERNATIONAL
ENGINEERING, INC
Florida International Engineering, Inc £;o E aged
6175 NW 167 St., G-20, Miami, FL 33015
Telephone: (305) 378-1991-Fax: (305) 378-1997
INSIGHT -INNOVATION -INTEGRATION Miami -Dade Lab Certification # 07-0612.11-State of Florida ca #27273
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Owner's Name:
Job Address: I fi
SITE SPECIFIC INFORMATION
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IN—k
Roofing Contractor:
Permit Number: pe of Tile:
Approximate Roof Height: 7— feet Slope: -� 1 2 Approximate Square Footage: ftz
Type of Access to Roof: Ladder Other: ` F1 "-- 4—� 2L-! i , o'-L - 1 i=— _
Required Testing Forge: 35 lbs.+ Testing Equipment: F.G.E.100x Shim o Instrument
Date Installed: '< <- y7i Date of Inspection: r - s a
-----------------------------------
TEST RESULTS
P= PASS, F= FAIL
Test
Location
P °r F
Test
Location
P or F
Test
Location
P or F
Test
Location
P or F
Test
Location
P or F
1
21
:����
41
61
81
2
22
i
42
62
82
3
23
43
63
83
4
24
44
64
84
5
25
I
45
65
85
6
26
46
66
86
7
27
47
67
87
8
28
48
68
88
9
29
49
69
89
10
30
50
70
90
it
31
{
I
51
71
91
12
32
52
72
92
13
33
{
53
73
93
14
34
54
74
94
15
35
55
75
95
16
36
56
76
96
17
37
57
77
97
18
{
38
58
78
98
19
I
39
59
79
99
20
I
40
60
80
100
-------------------- Y---------------- /-------------------------------------------------------------------------
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL'I'AS 106, THIS ROOF ASSEM86Y,W PASSED THE STATIC UPUFT QUALITY CONTROLTEST.
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ADDITIONAL TEST INFORMATION ~� - 5E '•. G
Perimeter Width: ft
Area
Units or fe
No. of Tests
Perimeter
Field
Corners
Hips & Ridges
ULkY SIAR&Fn ED a11:
Vs
y .](IIII�V�et'; P.E.
a
Job Address:
Contractor;
Sketch of Roof (NTS)