RF-04-22-921 UPLIFTFlorida International Engineering, Inc.
RLE, 6175 NW 167 St., G-20, Miami, FL 33015
FLORIDA INTERNATIONAL Telephone: (305) 378-1991-Fax: (305) 378-1997
ENGINEERING, INC
INSIGHT- INNOVATION -INTEGRATION Miami -Dade Lab Certification # 07-0612. 11 -State of Florida cc #27273
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SITE SPECIFIC INFORMATION
Owner's Name: t�-_ � L -?-,&' -C lA! 1 �a Cd�
Job Address: 5 C l� i ..NJt
Roofing Contractor: l� 1 1•�
Permit Number: .e. - D4- -�E-z , 9 -z i Type of Tile:ULIQ V-r� c EyAll k
Approximate Roof Height: feet Slope: ' �2 Approximate Square Footage: Z, I o,C) ft,
Type of Access to Roof: _Ladder Other:
Required Testing Force- 3 Ibs.+ Testing Equipment: F.G.E. 100 Shim o Instrument
Date Installed: Jl, 7-2 Date of Inspection: �� Lt Z-a
TEST RESULTS
P= PASS, F= FAIL
Test
Test
Test
Test
Test
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IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.
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ADDITIONAL TEST INFORMATION Q4L, • ENSF
lY13 1 "
No .
Perimeter Width:.��ft
RESPEC44 S
Area Units or ftZ No. of Tests
Perimeter 2 f 1 � -2-
Field 4=, _641-
Corners r .4 P
Hips & Ridges 8 Q Cl
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VMBVenkat ' 440
Florida Regis tfa o.: M ,
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VMBVenkat ' 440
Florida Regis tfa o.: M ,
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Florida International Engineering, Inc.
Job Address: -_-- G� q -r-1 Nkt Wll
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Sketch of Roof (NTS)