RF-06-20-1309 UPLIFTAC132 Engineering Inc.
Testing & Engineering Service
Certificate of Authorization # 8131
Tel: 954.245.8976; Fax: 954.301.7776
5230 NE 18 Avenue, Fort Lauderdale, FI 33334
Attention:
Test Date: 07/9/2020
Property Address:
Roof Pitch:
3in12
Tile Attachment Method:
Roof Tile Uplift Test Report
Miami Shores Village, Building Department
10050 NE 2nd Ave, Miami Shores, FL 33138
Permit # RF-06-20 309
290 NE 91 Street, Miami Shores FI
Type of Tile:
Roof Tile per NOA
Roof Area:
2.00 squares
Two Component Polyurethane Foam Adhesive -Poly Pro AH 160
Field Instrument :
I
IMADA Force Gauge 0-100 Serial number: 243454
Client: Earl W Johnston Roofing
Test Location Total Number of Tests Field Uplift Pull Test
Test results
Perimeter Area: (T1) 1.00 sq
1 As per FBC 2017
Passed
Field Area: (T2) 1.00 sq
1 As per FBC 2017
Passed
No. of Corner (T3-T7) 5
5 As per FBC 2017
Passed
Ridge Areas: (T8) 4 pcs
1 As per FBC 2017
Passed
Important:
These laboratory results can change due to future weather impacts and/or unavoidable roof
traffic. Therefore, this report represents the TAS 106 results at the time of the test.
Please see attached a Roof Sketch for this project.
�Aially,
A�&K Engineering Inc. (NOA 19.0918.01)
Antonio Acevedo, PE
Fla. Reg. No: 36466
O?1'DVMZ'
A►.CB2 Engineering Inc.
Engineering and Laboratory Services
5230 NE 181 Avenue
Fort Lauderdale, Florida 33334
Phone: (954)245-3976 Fax: (954)301-7776
0
J
In
e
RE. Permit
INSPECTION AFFIDAVIT
V
iami �, hores "'L" illage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756,8972
DATE: l � lazo
licensed as a (n) onfracto Engineer / Architect,
(Prirlname and circle License Typo) FS 468 Building Inspector
License #: CCU
On or about ��(l f ZG20 N a W-k I did personally inspect the roof dect; nailing
,Date & time)
work at 2qO NE RS s i , J� kaukk SlnMs
(Complete Job Site Address)
r--L; � 313 8
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
1* ul,_,��
Signal re
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property
mentioned.
Sworn to and,subscribed before me this l l
of
_____day
Notary Public, Sate of Florida at Large
-��1,
f iiRr ° CHERI ?(. 61ARTINEZ
• Nolary Public Slate o} Florida
Conrrt)ission a GG 4h3626
My COmnr. €xpires Apr 27, 2024
Bonded through National Notary Assn.
'General, Building, Residential, or Roofing Contractors or any individual
certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with
permit # anc address 9 clearly shown marked on the deck for each inspection
9? ,!� ,i 1711 N ]M A'd(9410M0