540 NE 96 St (21)Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
r�
26
51
17
76
2
27
r1�L
52
53
54
55
F
V PG
77
78
79
80
3
28
4
29
5
30
6
31
56
81
7
32
57
58
82
R3
8
33
9
34
59
84
10
35
60
85
11
36
61
62
86
87
12
37
13
38
63
88
14
39
64
89
15
40
65
66
67
90
91
92
16
41
17
42
18
43
68
69
70
93
94
95
19
44
20
45
F
21
46
d��
71
96
22
47
?
72
97
23
48
73
98
24
49
74
99
25
50
75
100
SITE SPECIFIC INFORMATION
Owner's Name: D1 ( k -1 0 (' Permit #. Aq ? ®s
Job Address 54D KS 1✓ 6 to • 1 KA 1 Pr ILA l �v r 7 i � c t1'
Roofing Contractor: ik Zt� O -Ft N
Type of Tile:_______ £ FO k0.4 'T Date Installed. /0/10 /D/ 4',"41 e`e=4
Approximate Roof Height L 2ee feet Roof Pitch. ' 12
Type of Access to Roof Scaffolds Ladder Other
Approximate Square Footage of Roof: 25 ft
Required Testing F9rce: 35 lbs. Testing Equipment: Chatillion 100
Date Tested: I° b11 ( I 1
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
THIS REP T SUBMITT ' BY:
/ _.7‘,1A______----------'
P.E. -/o _,..._
Civil Engineer:
Lab Certification # 98- 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH Project
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
TEST RESULTS
P = PASS, F = FAIL
N °_ 1584
KETCH OF ROOF
,
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CHECKED BY
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DATE
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NOTES:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 A
Building Inspection Request
Date Time i/
Type Insp' n / ( 0 l
Permi ► .. r T V
Name
yr
�° Address C d 5 _r1 9
company r ° t '
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t. For Inspector: 0 Name & Date
Approved! , ❑ 6 i4
l
Correction 1 i l (el i;
Re- Insp'n ee ❑
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