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RF-07-1103 (2)
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd A%enue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: June 11, 2009 Inspector: Rodriguez, Jorge Owner: BALLINGER, HOWARD Job Address: 361 NE 97 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132060135760 Phone: 305- 757 -2612 Building Department Comments For Inspections please call: (305)762 -4949 June 11, 2009 Page 1 of 1 Passed Inspector Comments 0 e P�.e m- r-- a(19.5-2p4 El Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 June 11, 2009 Page 1 of 1 Job Address: Contractor: Type of Tile: Type of Access: App. Sq.Ft: a FLORIDA INTERNATIONAL ENGINEERING &'VESTING 1 HT *€N0OVA'11O .0103GRA s FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 Miami Dade Lab Certification # 07- 0612.11- State of Florida CA # 27273 SITE SPECIFIC INFORMATION N2 1165 3‘i v- or r aki t G5,Owner's Name : 544 I 7-4 P> ,•I ©� a"Z ov Fi n..t e7 R'Permit #R-C-6-177 i 1 ©lnstall Date: b + °9 ft-11164' Approx. Height 7-4 Floor: 2' Scaffolds: Ladder: ..- Slope: 1-(!t2- Test date: 6 ° S'-0 400 Req. Force: 35 lbs. Testing Equipment: F.G.E. 100X,Shimpo Instrument TEST RESULTS P = PASS, F = FAIL 1 2 21 41 61 22 42 62 81 82 3 23 43 63 83 4 24 44 64 84 5 25 45 65 85 6 26 46 66 7 27 47 67 86 87 8 28 48 68 88 9 29 49 69 89 10 30 50 70 90 11 31 51 71 91 12 32 52 72 92 13 33 53 73 93 14 34 54 74 94 15 35 55 75 95 16 36 56 76 96 17 37 57 77 97 18 38 58 78 98 19 39 59 79 99 20 40 60 80 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Rte; y Sub tted By: VILA ? _ /h- Vinayagar M. Balakrishnan V, P .E. State of Florida Lic # 63107 Job Addle= 3 t t4 - 611 5--c, 1v1 to oM o, Such cif Roof ( �� 11s � 1111 11111.1 111 . 1 1 E 1 1 1 1.1 1 1 1 1 1 1i 1 l --t-- N 1 i 1 T 1 1 1.1 1 T f 1 f ti az tom_, 1.1 "111111111.111 11 11011111110111MINIamawn MAME" OMAN 11111111111111111011M 111111111111Eg 31111MORIMILIMIrta n1;:.: k'.�Z` Rini xrip li rrablwr Sr 710-1PRIP91111M1r•-oritturca simmummui wresurim 1111111/MU, Notes