RF-11-22-2860 INSPECTION AFFIDAVITMiami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
Permit # kC--1\--Wd v
DATE:
INSPECTION AFFIDAVIT
I too" S licensed as a(n) (ntractor / Engineer / Architect,
(Print name and circle License Type)
License #:
On or about 'i 1 L 11 k }� , I did personally inspect the roof deck nailing
(Date & time)
work at
\)--X N 1
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S)
Signature
State of Florida, Miami Dade County:
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 �,k Vg day of ;
Notary Public, State of Florida at Large
L"7
� pubjjc-StL
f Floridallota{yConission # 40543My rommissixpires DaCet ber .26
For Forms and Applications click here:
http://bldg.miamishoresviIlage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Rev01 142021 Inspection Affidavit Page 1 of 1
Terra TeA Consultants, Inc.
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FIELD DENSITY TEST REPORT
CLIENT: MIAMICRETE, INC.
7910 SW 16 STREET
MIAMI. Ft. 33155
DATE: March 3, 2023
JOB: 23-5076
PROJECT NAME: DRIVEWAY. SIDEWALKS AND APPROACHES
PROJECT LOCATION: 570 NE 103 S1REEf. MIAMI SHORES, FL
PROCTOR DATA
Proctor
No.
SOII, DESCRIPTION
MAX. DRY
DENSITY
OPTIMUM
MOIST.
P-5076
TAN TO BROWN SAND WITH ROCK FRAGMENTS
112.2
8.9
REQUIRED COMPACTION ",
1 95^/•
TEST DEPTH PENETRATION INCHES
12"
FIELD DENSITY TEST RESULTS
Test
No.
Proc.
No.
TEST LOCATION
LIFT
No.
DRY
DENSITY
(%)
MOIST.
(%)
COMP.
RESULTS
1
P-5076
E. END OF DRIVEWAY
FINAL
111.2
7.1
99.1
Pass
2
P-5076
S. CENTER OF DRIVEWAY
FINAL
110.8
7.5
98.8
Pass
3
P-5076
W. END OF DRIVEWAY
FINAL
111.7
7.3
1 99.6
Pass
4
P-5076
WEST SIDEWALK
FINAL
110.6
7.6
98.6
Pass
5
P-5076
EAST SIDEWALK
FINAL
110.8
7.1
98.8
Pass
6
P-5076
WEST APPROACH
FINAL
111.9
7.2
99.7
Pass
7
11-5076
EAST APPROACH
FINAL
111.6
7.7
99.5
Pass
Com m n ets:
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TERRA jl�CH MNSULI'A4TS, INC
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Pror-*. v_aai En oeerNo.WV9
i
12385 SW 129th Ct. Unit # 7, Miami, FL 33186 - (305) 256-2633
Terra TeA Consultants, 1 c.
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SOIL LABORATORY TEST REPORT
CLIENT: MIAMICRETE, INC. DATE: 03/03/23
PROJECT NAME: DRIVEWAY, SIDEWALKS AND APPROACHES JOB: 23-5076
PROJECT LOCATION: 570 NE 103 STREET, MIAMI SHORES, FL LAM: P-6076
TESTED BY: EO
SOIL DESCRIPTION: TAN TO BROWN SAND WITH ROCK FRAGMENTS
SAMPLE LOCATION: ON SITE
DATE TESTED: 3/3/23
MOISTURE DENSITY RELATIONSHIP (PROCTOR) ASTM D-1557
MAXIMUM DRY
TEST SPECIFICATION
OPTIMUM MOISTURE
LBR VALUE
ORGANIC %
DENSITY (pco
ASTM D-] 557
8.9%
112.2
-
-
113.0
112.0
111.0
a 110.0
109.0
108.0
z
G 107.0
�. 106.0
p 105.0
104.0
103.0
MOISTURE/DENSITY CURVE
4.0 6.0 8.0 10.0 12.0
MOISTURE CONTENT %
.Ries' a tolfi 8LIbmittetl
Terra Tech Consultarits,'Inc.
Raiael E:l7raiz-Seda;�.E
Professiorial.En In�r�,nNo.39228
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State ,a Florida
12385 SW 129th Ct, Nami, FL 33186 (305) 256-2633