ROOFTest Date
Project Address
Contractor
Permit Number
Roof Pitch
Tile Installation Date November 7, 2000
Adhesive Type
Tile Type
All testing is in strict accordance with The Dade County version of The South Florida
Building Code, Section 3401.10 and PA 106 -95.
Each Test location was pulled -using a Chatillon Force Gauge to a minimum of 35 lbs..
TEST SUMMARY
Roof Area Total --#-of Tests # of Tests Passed %Passed
Field & Ridge 26 26 100%
Corner 1 10 100%
Perimeter 13 13 100%
TEST RESULTS: PASSED
See Attached Sketch for Further Details
ROOF REPORTERS, INC.
X4.41 E
TAS 106 -95
Roof Tile Uplift Test Report
March 23, 2001
1199 NE 99 St. Miami Shores, FL
Pioneer Roofing
48062
3:12
Polyfoam
Flat
i 'Al Maccagli, RRC #116
Dade County Certified Testing Agency #99 -0615.04
(561) 434 -7555
3281 Lake Worth Road 1 Suite EC! Lake Worth 1Florida 33461
Roof Consulting & Testing 0Visual Surveys & Evaluations ORoof System Design 0
Moisture Surveys
3
31.
/00'
"TT
1199, 4e. 7 St
Lrs S FL 1 L
‘0'
Owner's Name and Address
Disapproved Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur me plans and specifications herewith submitted for the build •
ine or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of tlic Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whcther herein specif jd or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Registered Architect and /or Engineer . •• ••612.N.42Ar s �1,•••,,, •,,,,f111,r ».. e•
Name and address of licensed contractor -- = »» 31 7352... rt•
Location and legal description of lot to be built on:
Lot Block Subdivision..
Street and Number where work is to be done _..._._• __... ._...... _._.._.. .... »._ .� /. __ /"
State work to be done and purpose of building (by
Building Inspector
kw .e r »... _
Date..._..._......._..
_ No...._..t/.!
t
/.
_ and for no other purpose.
Ncw Bui!ding Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering ................
Estimated Total cost of improvements $•••• Amount of Permit S.
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to..
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be post ,,.�....•r inspection the site of the work s h ublic notice
or notices as are required by the Act. The undersigned agrees to employ only s .ate bcontract on work to be are _I" n•er this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signe
STATE OF FLORIDA, t
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. .
Permit No.._. 46 Date `` .. -•_._ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
________
PLANNING BOARD DATE
Cimir;nan Member
\Icrr,bcr Membcr
Member .. .. _..._.— ...._....... Member .-
Council Approved Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannir.:4 Board.
A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.