RF-15-904 (2) Florida International Engineering and Testing Lab LLC
F919E9 7500 NW 25 Street,#241, Miami, FL 33122
FLORIDA INTERNATIONAL ENGINEERING Telephone: (305) 378-1991-Fax: (305) 378-1997
&TESTING LAB
INSIGHT•INNOVATION•INTEGRATION Miami-Dade Lab Certification#07-0612.11-State of Florida ca#27273
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SITE SPECIFIC INFORMATION � _ - /
Owner's Name: J t
Job Address: (6,7- DSI v,/ 1 D (o S-T_ tA LzjAt
Roofing Contractor: K.Q!E1"4
Permit Number: D 4 Type of Tile: 14� �i `ni.{.Fi -�a�.�,C �7
Approximate Roof Height: _feet Slope: l Z Approximate Square Footage: oo ft2
Type of Access to Roof: Ladder
Other Required Te ting Force: 35 lbs. Testing Equipment: F.G.E. 100x Shim o Instrument
Date Installed: Date of Inspection: /.:
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TEST RESULTS
P= PASS, F= FAIL
Test P or F Test P or F Test P or F Test P or F Test Por F
Location Location Location Location Location
1 21 41 61 81
2 22 42 62 82
3 23 43 63 83
4 24 44 1 64 84
5 25 45 65 85
6 26 46 66 86
7 27 47 67 87
8 28 48 68 88
9 29 49 69 89
10 30 50 70 90
11 31 51 1 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 1 58 78 98
19 39 59 79 99
20 40 60 80 100
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IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106,THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST.
ADDITIONAL TEST INFORMATION
Perimeter Width: 3 ft RESPECTFULLY SUBMITTED BY:
Area Units or ft2 No.of Tests
Perimeter o p
Field ¢m
Corners
Hips& Ridges Z-1p3 Vinayagar M.Balakrishnan V �f zqt 5
State of Florida I-ic 4 63107 11
FLORIDA INTERNATIONAL ENGINEERING VESTING LAB, LLC
Job Address: tt/ d t9 G ''�T
Contractor: ®_ D�'t l�lG► _
Sketch of Roof
01
It 12
Vol
t
Notes_