RF-06-20-1138 INSP AFFIDAVITRE: Permit # RF-06-20-1138
fifliarril
Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756,8972
INSPECTION AFFIDAVIT
DATE:. 7_620 —.. _.
I Faul Banae _____ licensed as a (n) Contractor 1 Engineer! Architect,
(print name and circteLicense Type) FS 468 Building Inspector
License #:.. CCCQa3SR1 —
On or about 7-6-20 ,1 did personally inspect the roof deck nailing and
(Dale & lime)
Secondary water banter work at 9720_Bmscayne_ Blvd.. Mmami_Shores, FL 33.138
(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 helshe is the contractor for the above property
mentioned.
Sworn to and subscribed before me this __ 6th day of Jul 24 _
JILL S. TULLY
MY COMMISSION 8 GG 976438
Notary Public, Sate of Florida at Large EXPIRES: April 6, 2024
t?! .:°�` Bonded Thru Notary Public Underwriters
'General, Building, Residential, or Roaring Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with
permit P and address it clearly shown marked an the deck for each Inspection
Revised on 5121/2009
Engineering & Testing Co.
7450 GrHffn Road, Suite 140, Davie, FL 33314
Phone: (954)581-7115, Fax. (954)581.2415
www.cebb.net
UAWTN iFT RPRI tl.Tq• Paccerl the: nrotnrnl criteria of less than 3% loose. We performed the uD-lift test.
Roof Area: 2.00 squares
Total Number of Tests
Number of tests Passed
% Passed
Field Area (1):
5
5
100%
Perimeter Area (2):
No. of Corner Areas 3 :
Ridge/Hip Areas: 8
TAS 106
TESTS LOCATION SKETCH
Permit # RF-06-20-1138
Manzo Residence
9720 Biscayne Blvd,
Miami Shores, FL.
Engineering & Testing Co.
7450 Griffin Road, Suite 140, Davie, FL 33314
Phone: (954)581-7115, Fax: (954)581-2415
www.cebb.net
CAI..r BRATION CERTIFICATE
I"uc Dut-
Muy 15, 2020
Colih—ficin Date:
May 15, 2020
i'('c rtltiCatcha
-USis2Q-42S458U
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humidity:
40 % Itl1
Description:
Digital Fnrcc Gaup.
Ma cl Number:
DST -I IOA
Serial Number:
425458
Cal,aeily:
110 Ibf
Aecnrney--
f0.2 %F"S.m I LSD
Itcs.Iullon:
0.1 lbf
Yrnecdurc: FXAO 11)
QMF-I i-3-IM
'lhiw document certifies that the above instrument has been calibrated and tested in accordance with Imada
ollbratlon procedures —ducted under the cunditiolvs noled will standards, which-1.1,lish ml uubn,ken link
ireccuble to the ]nlcrnationel Sy -ton of Unite (ST) via the relevant primary national or international standards,
including National Institute of Standards and Teehr[ology (MIST). 17t1s document must not be reproduced
without written authorization from 1MADA INC.
TEST RF_SULTS
TEFf POINT
ACTUAL
ACIVAI,
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-I1110 (Ih()
-110.0 Ibt)
2)
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0.0
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3)
Cwnn. I I O.0
110.0
1 10 (1
Tcchnicul Munuger:
Noboru Umcgaki
Imnda. Inc. 31aa n1mdee R,I., tiu11e 7117 IVurthlnvuh. 1111au1+ 611a67 1we Numecr. lu
h[[I,:l/n�v,r.lmadr.com E-Mall: Imada(dllmud,.Cum 1-aa11-373-99N9 I,. -art $Mlm v
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