RF-14-2130 (2) i/
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-242624 Permit Number: RF-9-14-2130
Scheduled Inspection Date: September 02, 2015 Permit Type: Roof
Inspector: Rodriguez,Jorge
Inspection Type: Final Roof
Owner: PROPERTIES LLLP, HB GROWTH Work Classification: Tile
Job Address: 278 NE 103 Street
Miami Shores, FL 33138-2431 Phone Number
Parcel Number 1132060134860
Project: <NONE>
Contractor: ADVANCED CONSTRUCTION SERVICE GROUP, INC. Phone: 305/244-7501
Building Department Comments
REMOVE EXISTING ROOF BEING REPLACED WITH Infractio Passed Comments
BARCELONA TILES ( CASA GRANDE BLEND) INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-220594.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 01, 2015 For Inspections please call: (305)762-4949 Page 36 of 47
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32 yi Miami Shores Village
llogo Building Department
10050 N.E.2nd Avenue
�N�0`d Miami Shores, Florida 33138
�IORIpA Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit# F\' F �% 'o� /��(� DATE: _ 9-- /$_
INSPECTION AFFIDAVIT
licensed as a (n) Contractor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License#:
On or about \ t , I did personally inspect the roof deck nailing
(Date&time)
work at 2`7 R" A-2E 10,3,.S4
(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
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above ;property
mentioned.
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Sworn to and subscribed before me this day of
Notary Public, Sate of Florida at Large
'General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspectio�.tncJuc�Rotoyrapis�faCl{�Ia� gfthe rRof with
"permit#and address#clearly shown marked on the deck for each inspection
INSPEC11ON SERVICE
A=1
ENGMEERNG
7066 SW 44" Street Miami, FL 33155
Tel:786-398-9179 Fax: 786-800-2627
all roofinsaectionCEDgmail.com
LAB CERTIFICATION #10-0512-01
SITE SPECIFIC INFORMATION
UPLIFT TEST- TAS #106
Roofing Contractor I UCT)0N SERV.GROUP, INC. Permit# RF9142130
Job Address 278 NE 103 ST MIAMI SkiQRES,FL.
Owner's Name PROPERTY LLLP HB GRO.
Type of Tile SPANISH"CONCRETE" Date Installed
Approximate Roof Height 12' feet Roof Pitch 3/12 Type of Access to Roof LADDER
Approximate Square Footage of Roof 16 ft2 Required Testing Force 35 Lbs
Date Tested 08/28/15 Number of Tests 41 Testing Equipment F.G.E.100
Contact Name CHELE Phone# 7/499-0422
LOCATION #OF TEST PASS #OF TEST FAIL
Corner 7 Tests 7 Pass Test 0 Fail
Perimeter 8 Tests 8 Pass Test 0 Fail
Field 20 Tests 20 Pass Test 0 Fail
Ridge 6 Tests 6 Pass Test 0 Fail
TOTAL 41 Tests 41 Pass Test 0 Fail
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.THIS TAS 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE
REQUIREMENTS OF DADE COUNTRY,WITH NO DEVIATIONS.THIS REPORT IS NOT GUARANTEED IN CASE OF CASE OF NATURAL DISASTERS.THIS REPORT IT IS NOT VALID FOR INSURANCE CLAIMS.
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YENAN T. L.EYVA
A-1 Engineering Inspection Services, Inc
7066 SW 44' Street Miami, FL 33155
Tel: 786-398-9179 Fax: 786-800-2627
al roofinspectionngmail.com
LAB CERTIFICATION# 14-1215.04
08/28/15
PERMIT. # RF9142130
278 NE 103 ST
MIAMI SHORES, FL.
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7066 SW 44`h Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627