RF-16-415 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-252933 Permit Number: RF-2-16415
Scheduled Inspection Date:April 18,2016 Permit Type: Roof
Inspector. Naranjo,Ismael
Inspection Type: Final Roof
Owner: , Work Classification: Tile
Job Address:1391 NE 102 Street
Miami Shores,FL 33138-2819
Phone Number (305)898-7882
Parcel Number 1132050230180
Project: <NONE>
Contractor: BLUE PANTHER ROOFING&CONSTRUCTION CORP Phone: (305)807-1058
Building Department Comments
CONCRETE TILE RE-ROOF. Infractio Passed Comments
INSPECTOR COMMENTS False
AS PER BLDG OFFICIAL ISMAEL THE RETRO FIT WILL
BE ASSOCIATED WITH THE MASTER PERMIT
RCI 5-1884 2118115
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 15,2016 For Inspections please call: (305)762-4949 Page 12 of 37
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7066 SWM-.Red Merril.FL 33465
Tel:786-398-9179 Fax 788-800-2627
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LAB CERTIFICATION#10-0512-04
SITE SPECIFIC INFORMATION
UPLIFT TEST—TAS#106
Roofing Contractor BLUE PANTHER ROOFING. Permit# RF-2-16415
Job Address 1391 NE 102 ST MIAMI SHORES,FL
Owner's Name OSCAR CONGALVE
Type of Tie FLAT 13" Date instated
Approximate Roof Height 12' feet Roof Pitch 3192 Type of Access to Roof LADOER
Approximate Square Footage of Roof 33.0 ft, Required Testing Force 3S Lbs
Date Tested 0411298 Number of Tests 69 Testing Equipment F.G.E.100
Contact Name CARLOs CANALEs Phone# 786-225-7601
LOCATION #OF TEST PASS #OF TEST FAIT.
Corner 8 Tests 8 Pass Test o Fail
Perimeter 11 Tests 11 Pass Test 0 Fail
Field 33 Tests 33 Pass Test 0 Fail
Ridge 17 Tests 17 Pass Test 0 Fail
TOTAL 69 Tests 69 Pass Test 0 Fail
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A-1 Engineerinj Inspection Services, Inc
7066 SW 44 Street Miami,FL 33155
Tel: 786-398-9179 Fax: 786-800-2627
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LAB CERTIFICATION#14-1215.04
04/13/16
PERMIT. #RF-2-16-415
1391 NE 102 ST
MIAMI SHORES,FL.
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7066 SW 44'Street Miami,FL 33155 Tel:786-398-9179 Fax:786-800-2627
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x' 01 Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
RE: Permit#/R '2 �J DATE:
INSPECTION AFFIDAVIT
C' K c.1 licensed as a(n)Contractor/Engineer/Architect,
(Print name and fto License Type) G FS 468 Building Inspector
License#: c' C C 4` `Ce
On or about I did personally inspect the roof deck nailing
C� (Date a 8me) 1 —
work at _ _l I 12f i /'0)'- s r--
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on3.844 F.S)
c)(I Cc A
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.
Sworn to and subscribed before me this S day of jeri L- a o
Notary Public,Sate of Florida at Large ;¢%/,y,r J�n.� ��8
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permit#and address#dearly shomm madmd on the far each n
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