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RF-09-1921Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 129754 Permit Number: RF -11 -09 -1921 Scheduled Inspection Date: January 05, 2010 Inspector: Bruhn, Norman Owner: ALLEGRA, FRAN Job Address: 1160 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1132050180390 Phone: 305 - 757 -2612 Building Department Comments Install santafe clay spanish color thru tile roof system over new addition roofs. 1 color. Passed Failed Inspector Comments CG Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 04, 2010 For Inspections please call: (305)762 -4949 Page 7 of 26 Job Address: Contractor: Type of Tile: Type of Access: App. Sq.Ft: , . . , , _, FLORIDA IN! RNATIONAL ENGINE ERING & '1STING LAB 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 1531 /, _f' 4t57 Owner's a e : ,441-4R4 0,e .A7eVirii4 Permit #,� " 2/ Install Date• / 23 - y9 -e Approx. Height / 2 Floor: // Scaffolds: Ladder: Slope: 3 ` % Test date- -4P '1,4 3 BO Req. Force: 35 lbs. Testing Equipment: F.G.E. 100X,Sbimpo Instrument TEST RESULTS P= PASS,F =FAIL 1 21 2 22 41 42 61 81 62 82 3 23 43 63 83 4 24 44 64 84 5 25 45 65 85 6 26 46 66 86 27 47 67 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. Respectfully Submitted By: Vi agar 1 Balakrishnan V, /.E. State of Florida Lic # 63107 agnumompammUIMIIIIMIMMINIIIMUla s�� .:irri muniniammau �,r immuniariswitgurivammarewantai alunlinlifflimaatainasmw' mate— m mo I EJ N U1 M 1111UMBIIIIMUIWMII 4 lid. wry. a., ltUr l MIUMMIla atri