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DEMO-16-2780Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. DEMO -10-16-2780
Permit Type: Demolition
Ir Ie' r Work Classification: Building
Permit Status: APPROVED
Issue Date: 11/16/2016
Expiration: 05/15/2017
Parcel Number
Applicant
10025 BISCAYNE Boulevard
Miami Shores, FL 33138-2645
1132050340040
Block: Lot:
EVIDIO ARTIGAS
Owner Information
EVIDIO ARTIGAS
Address
10025 BISCAYNE Boulevard
MIAMI SHORES FL 33138-2645
10025 BISCAYNE Boulevard
MIAMI SHORES FL 33138-2645
Contractor(s)
ALLIED DEMOLITION INC
Phone Cell Phone
(305)513-4994 (954)868-9990
Phone
Cell
Valuation:
Total Sq Feet:
$ 9,000.00
3000
Type of Demo: Building
Additional Info: TOTAL DEMOLITION
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee -Demo
Scanning Fee
Technology Fee
Total:
Amount
$5.40
$5.25
$5.25
$1.80
$350.00
$9.00
$7.20
$383.90
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO -10-16-61643
11/16/2016 Check #: 366 $ 333.90 $ 50.00
10/14/2016 Check #: 344 $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Planning
Review Mechanical
Review Electrical
Review Building
Review Building
Review Plumbing
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin.. Futhermore, I authorize the above-named contractor to do the work stated.
Authori. Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
November 16, 2016
Date
November 16, 2016
1
tr1'O
�b- ZBo•
/6-.-Pertb d.
Demo 1(o-2180
Dc(`°\
\n\ e
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECT! N LINE PHONE NUMBER: (305) 762-4949
II j IAI i
lio
5 •
FBC 20 14-4
Master Permit No. V o j t'p- ZR• a"C
Sub Permit No.
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
jOO25 CirE $LVD
JOB ADDRESS:
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: / Flood Zone:
OWNER: Name (Fee Simple Titleholder):7 0ACt,.S kien6e ? /7%nkol p ()Lech Phone#:
Address: / I 5 %V t' �
l����III
/00 s
BFE:
NO
FFE:
7e-6- ( 74 -/gam'
ti
City: flt 0:V Y'1l SLO,S• State: Zip: ,3313e
Tenant/Lessee Name: PJ1
one#:
Email:
—
r, x_7573 — 9ft
CONTRACTOR: CompanyName: 4/'' a 0Z?moV -Zig' • Phone#: 30P 573- I ! f 7
Address: 7 95o a/4/ S31. -.D Sr #517
City: Da?,46
Qualifier Name:
State:
Zip: 3)f“
Phone#:
State Certification or Registration #: C.6C /•s0(S t? Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Square/Linear Footage of Work:
Value of Work for thi\Permit: $
9, Iwo
Type of Work: I Addition n Alteration ❑ New I 1 Repair/Replace
Description of Work: % 2 •ir 17dAlo�� o`✓
emolition
Specify color of;color.#7,ru >tile;. QQ
Submittal Fee $ r ` r" Permit Fee. ,5 .." -8,5 0
J4 , .1 IF .•,.raw
4b1lCli ."O 3,•1O09 �1E%
f T{iar u
:4y
CCF $ _ 1{©31 xCO`CC$"
••wr.x�..„ ..,y
Scanning Fee $ L __.%s._.. '.'.`.: a:Radon Fee$°.�"• 5.25 DBPR $ _ 5 • 2 S Notary $ .�—
Technology Fee $
Structural Reviews $
(RPvisPd07/74/711141
Z0
Training/Education Fee $ 1 • Z50 Double Fee $ v
Bond $®�
9�
TOTAL FEE NOW DUE $ 33 3 •
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr,oved-and a reinspection fee will be charged.
•
ature
r
OWNER r AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
rb day of Cc1 , 20 t Co by
s t� P '12-0.Si is.personally known to
me or who has produced cf 1 _ )J 2-O- -L9L4a5C me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
day of 0
Sign:
Print.
Seal:
APPROVED BY
t14c.,icnrl/11/7n hm n\
IRENIA GUTIERREZ
.s Notary Public • State Of Florida
r Commission* FF 960737
My Comm. Expires -Feb 22. 2020
, 20 `, by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
`cwQ
Ina Qorhnv
as
*********************
Plans Examiner
Structural Review
CAROLINA PATINO
MY COMMISSION tl FF230855
p�+**s*iXRlR6&May 4*24 a* ****** * **
4o0390.:: 3%.. e3 'Fox '• ._ a_-ewKe.con.
oning
Clerk
Dennis Custom Pest Control
14221 N Royal Cove Circle
Davie, FL 33325
9-21-16
(954) 673-2362
Rodent Inspection Certificate
To whom it may concern:
a
This letter is to inform you that DENNIS CUSTOM PEST CONTROL inspected property located at
10025 Biscayne Blvd, Miami'Shores,Florida, 33138. No evidence of rodents was found on the property.
This property is rodent free. Also inspected property for vermins and stray animals, no evidence was
found of either.
If you have any questions, please call us at the number above.
Thank you,
Dennis Rodriguez
(CPO)
.. 41.11 • • • • . ..
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ALLIED DEMOLITION, INC.
LICENSED S. INSURED
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CGC: 1506512
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The foregoing was a n wledged before me this / Li da
ri. C-4?‘tr
••• M •J!\(,�1. •. •... I /�
• • • J • \` • Ns. Md �.
tion 0 4 e ° mo o n
ul
By • who is persorlaW44ovr � ,,r MO. h4
s identif'ca
produced
Notary Signature:
•
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i.: OZ p"5 5e
1 • �`r49�irinnm ' o�0.
ARSEnvironmental Consulting Services
E'N(/1RON14ENr,4L, INC. Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 1 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Project Summary
Pursuant to your request; ARS Environmental, Inc., has performed an Asbestos Building Survey on 9/23/2016 and limited to the
above referenced location.
The Interior/Exterior/Roof of the above referenced location was visually inspected to identify building materials that may contain
asbestos. Suspect materials were collected and samples sent to laboratory for analysis.
Laboratory Results
Based on the laboratory analysis, asbestos was detected in amounts
greater than 1% in the secured bulk samples.
• • ••
• • • • . • • 1ZeSards,•
•
It his bden a pleasure working w you. Please call on us again.
• ••• •
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• •
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•• • • • •
• ••
•• • •
••
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• eAllSi nvit�onmental, Inc.
•• •
10097 Cleary Boulevard, #305, Phgrrtationj FL 33324.• Phone 954-227-2402 • Fax 866-816-5110
www.arsenvirorime4htal:cdi1Y • gabsc -senvironmental.com
• •• •• • • • •• ••
••• • • • ••• • •
ARS E'N/!RoNiuEN TL, NEnvironmental Consulting Services
tos
Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 2 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Certification
I hereby certify that this asbestos survey was conducted at the above referenced Job Site on 9/23/2016, and performed by Jeffrey
Montalvan, accredited by the EPA as AHERA Inspector(s), utilizing the code of the Federal Regulation Standards, 40 CFR, Part
763, Subpart E, Section 763.80-763.99 and the State Asbestos Regulations, Florida Statutes 469.003.
LICENSE NUM8eR
ZAOOQO 64
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ASBESTOS LICENSING UNIT
The ASBESTOS BUSINESS ORGANIZATION
' Named below IS LICENSED
Under, the provi&Fons of Chapter 469 FS..
Expirati n date: "NOV 30; 2017
ARS ENVIRONMENTAL INCv; ' �•
"- ,TIMOTHY CAUGHEY ....., 4.------"' •, .
::.. ,,t10097'CLEARY BOULEVARD``" ' -� _ -,. -., � ._
r. ,-,- p1 ANTATION;r 0, ""„EL 33324
/ ,i '''',".:w I'' ,r' ' R '4 q O, s 'NF
",04.
1ssuEO_ %COMMS DISPLAY AS REQUIRED BY LAW
7/fir
Timothy F. Caughey, M.P.H.
Florida Licensed Consultant
•• ••• • •
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SEO I L1510060=054
• ••
•
• • ••
10097 Cleary Boulevard, #305, Flant3tiort, EL;33524 • Phone 954-227-2402 • Fax 866-816-5110
www.arsenvirogmptahcpr>:i • sale@3rsenvironmental.com
••• • • • ••• • •
ARSEnvironmental Consulting Services
E'N/IROItM4ENT,4L, INC Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 3 of 15
Prepared For.
Job Site:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Technician Certification
A b% t 03 Conu:' ` ting r Training jl;A :Lal
'CO4 W.$1` 4 Amur. RK Imu4wlgn. Fk. 33}71
This is to Certify that
1.1tifney Montal.van ` �
.1 To Authenti
I w` ert"t c
UITORTI JUH -� •mwW.�.4A
1W
X X X- x x— 7 3 2 5 ip00-966-9933
12 N.tG.. 179 St.. North Miami Bosch. Pt. 3316:2 a'`
has successfully completed an English
Attyv,eloc Ailain .
22-Jtin-I(i TQ 22 -Jan -!6
NOAAC Provider 1451 TWinerfs}. Mark Kniek
T efoisE iWJrers;. %V NW 5 AV. Ion Lauderdale. FR
Successful corse completion based •n tam score on: airiz
This Certificate Expires:
111 1 I Irl / IIJ.I
01,
mes F. Stump,r;see S�ponsoo
CrrtirirnteYumhrr:'`j''ac o!
Jeffrey Montalvan
Certified Asbestos Surveyor
ARS Environmental, Inc.
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-- a • •• •
10097 Cleary Boulevard, #305, Plantation, FL 3332 • l?hbr a 9:54.227:2402 • Fax 866-816-5110
www.arsenvironmental.com sigsdaFenviror rital.com
••• • • • ••• •
ARS FNUIIZUNM ENTAL, mic.
Environmental Consulting Services
Asbestos Business License #ZA-0000164
Today's Date: 9/29/2016
Project Number. 20162291 Page 4, of 15
Prepared For:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Bulk Sample Itemization
Sample Sample Physical Water Material
Number Material Class / Sample Description / Location Condition Damage Damage Contact
Sample
Friability
Approximate Size
Asbestos
Detected
Sample
1
Surfacing Material
Fair
Yes
Yes
Low
Friable
2,842 sq. ft.
Asbestos Not
Detected
Layer
Spray Applied Ceiling Texture;
Popcorn
Throughout the ceilings
1st and 2nd floor and garage.
Sample
2
Seng Material
Fair
Yes
Yes
Low
Friable
Included Above
Asbestos Not
Detected
Layer
Spray Applied Ceiling Texture;
Popcorn
Throughout the ceilings
1st and 2nd floor and garage.
Sample
3
Surfacing Material
Fair
Yes
Yes
Low
Friable
Included Above
Asbestos Not
Detected
Layer
Spray Applied Ceiling Texture;
Popcom
Throughout the ceilings
1st and 2nd floor and garage.
Sample
Surfacing Material
Good
None
None
High
Non -friable
4,800 sq. ft.
Asbest dNot
L YC1'
Interior Plaster Coat
Throughout the walls
1st and 2nd floor.
sample
5
Surfacing Material
Good
None
Ili
I, Vox.
•
•
• nigh.
•
•• • •
•N2n-ffiple
• • •
Included Above
Asbestos Not
Layer
Interior Plaster Coat
••
•
• •• •
••• •• • • • ••
Throughout the walls
•
• •
• •
••
1st and 2nd floor.
••• • ••• • •••
• • • •
• ••• • • • •
• • • • • • •• • •
••
• •
•
No insulation observed behind the walls. A/C duct fiberglass insulation. The following non suspect materials were observed during this inspection (no samples were
obtained); ceramic, metal, wood.
••• • • • • ••• • •
• • • • • • • •
10097 Cleary Boulevard, #305, Plantation, FL 43324 • hone 914 -Z27 -Z402 • Fax 866-816-5110
www.arsenvironmental.com o s letaa vi�Coonr3leht .tom
••• • • • ••• • •
ARSENUIRONMENTAL,
Environmental Consulting Services
Asbestos Business License #ZA-0000164
Today's Date: 9/29/2016
Project Number: 20162291 Page 5 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Bulk Sample Itemization
Sample Sample Physical Water Material
Number Material Class / Sample Description / Location Condition Damage Damage Contact
Sample
Friability
Approximate Size
Asbestos
Detected
Sample
6
Surfacing Material
Good
None
None
High
Non -friable
Included Above
Asbestos Not
Detected
Layer
Interior Plaster Coat
Throughout the walls 1st and 2nd floor.
Sample
7Layer
Surfacing Material
Fair
Yes
Yes
High
Friable
5,920 sq. ft.
•
AsbebestecsNot
Wallboard/Joint Compound
Throughout the walls and ceilings 1st and 2nd floor.
Sample
8
Surfacing Material
Fair
Yes
Yes
High
Friable
Included Above
Asbestos Not
Detected
Layer
Wallboard/Joint Compound
Throughout the walls and ceilings 1st and 2nd floor.
sample
9
Surfacing Material
Fair
Yes
Yes
High
Friable
Included Above
Asbestos Not
Detected
Layer
Wallboard/Joint Compound
Throughout the walls and ceilings 1st and 2nd floor.
Sample
10
Surfacing Material
Fair
Yes •
•
•
• Yes
•••••••
••
• ,Iligji i • Fr jple
• • • • • •
Included Above
Asbestos Not
Detected
Layer
Wallboard/Joint Compound•
. • . • • • • • •
Throughout the walls and ceilings 1st and 2nd floor.
• ••• • •.• • •••
• • • . • • • .
• • • ••• • • • .
•• • • • • • . • . .
• •.
••
•
•
•
No insulation observed behind the walls. A/C duct fiberglass insulation. The following non suspect materials were observed during this inspection (no samples were
obtained); ceramic, metal, wood.
••• •• • • • •••• •• •
• • • • • • • •
10097 Cleary Boulevard, #305, Plantation, FL:3332¢ it Pjte T54;2P*2402 • Fax 866-816-5110
www.arsenvironmental.com••• .@•rs••• se esaenvirommer al.com
••• • •
ARS _ Ammu mEivrAc, INC.
Environmental Consulting Services
Asbestos Business License #ZA-0000164
Today's Date: 9/29/2016
Project Number: 20162291 Page 6 of 15
Prepared For:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Bulk Sample Itemization
Sample Sample Physical Water Material
Number Material Class / Sample Description / Location Condition Damage Damage Contact
Sample
Friability
Approximate Size
Asbestos
Detected
Sample
11
Surfacing Material
Good
None
None
High
Non -friable
1,320 sq. ft.
Asbestos Not
Detected
Layer
Ceramic Tile Grout
Throughout the 1st floor.
Sample
12
Surfacing Material
Good
None
None
High
Non -friable
Included Above
Asbestos Not
Detected
Layer
Ceramic Tile Grout
Throughout the 1st floor.
Sample
13
Surfacing Material
Good
None
None
High
Non -friable
Included Above
Asbestos Not
Detected
Layer
•
Ceramic Tile Grout
Throughout the 1st floor.
)
�e
Miscellaneous
Good
None
None
High
Non -friable 1
30 sq. ft.
YES
Layer
Mirror Mastic; Black
Inside bathrooms and bar area behind approximately
112 sq. ft. of mirrors.
sample
15
Miscellaneous
Good
None
a••_••••••
None
•• •••
High
•• •• •
Non-friab
•• •• ••
•
6 sq. ft.
YES
Layer
Sink Insulation; Black
•• • • •
Bar and kitchen sin.
• ••• • ••• • •••
• • • • • • • •
• • • ••• • • • •
•• • • • • • • • • •
• ••
••
No insulation observed behind the walls. A/C duct fiberglass insulation. The following non suspect materials were observed during this inspection (no samples were
obtained), ceramic, metal, wood.
••• • • • • ••• • •
10097 Cleary Boulevard, #305,. Plantation, FL 33374 • Mara 954-227-22F02 • Fax 866-816-5110
www.arsenvironmental.com ; silgsaarservirpnnwl+gl.com
••• • • • ••• • •
A RS ENVIRONMENTAL, INC.
Environmental Consulting Services
Asbestos Business License #ZA-0000164
Today's Date: 9/29/2016
Project Number: 20162291 Page 7 of 15
Prepared For:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Bulk Sample Itemization
Sample Sample Physical Water Material
Number Material Class / Sample Description / Location Condition Damage Damage Contact
Sample
Friability
Approximate Size
Asbestos
Detected
S 16ple
Miscellaneous
Good
None
None
High
Non -friable
4,988 sq. ft.
Asbestos Not
tected
' Yer
Concrete Structure
Throughout the floor and exterior walls.
Sample
17
Miscellaneous
Good
None
None
High
Non -friable
Included Above
Asbestos Not
Detected
Layer
Concrete Structure
Throughout the floor and exterior walls.
Sample
18
Miscellaneous
Good
None
None
High
Non -friable
Included Above
Asbestos Not
Detected
Layer
Concrete Structure
Throughout the floor and exterior walls.
Sample
19
Miscellaneous
Good
None
None
Low
Non -friable
1,600 sq. ft.
Asbestos Not
Detected
Layer
Roof Material; Membrane
Over this building.
Sample
20
Miscellaneous
Good
None
•
v
.Nona.
•
••
• Low.
• + • •
•• •• ••
4,.Frile
•• •• ••
• • •
1,200 sq. ft.
Asbestos Not
Detected
Layer
Blown -in Insulation; White•
• •• • • • • ......
• • • , • • • • ••
Throughout attic space.
• ••• • ••• • •s•
• • • • • • • •
• • • ••• • • • •
• • • • • • • • • • •
• •• • •• • • ••
•
•
•
•
No insulation observed behind the walls. A/C duct fiberglass insulation. The following non suspect materials were observed during this inspection (no samples were
obtained); ceramic, metal, wood.
••• • • • • ••• • •
• • • • • • • •
10097 Cleary Boulevard, #305, Plantation, FL 33324.• Jhbfd 9Z4-227-2402 • Fax 866-816-5110
www.arsenvironmental.corm sole a en .i±onwlentel.com
ARSEnvironmental Consulting Services
E'NI/IRONIIAENTAL, INC Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 8 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Friable Asbestos Containing Material
NONE DETECTED
Recommendations
Friable: any material containing more than one percent asbestos which has been applied on ceilings, walls, structural members, piping, duct work,
or any other part of a building, which when dry, may be crumbled, pulverized, or reduced to powder by band pressure.
The following work practice should be followed whenever demolition/renovation activities involving RACM occur: Notify EPA of intention to
demolish/renovate, remove all RACM from a facility being demolished or renovated before any disruptive activity begins or before access to the
material is precluded, keep RACM adequately wet before, during, and after removal operations, conduct demolition/renovation activities in a
manner which produces no visible emissions to the outside air, and hildle••• • and dispose of all RACM in an approved manner.
• • • ••
• • • • • • • • •
The above building material is considered friable and must be i'liriovedfldfidg Iii fnsci Asbestos Abatement Contractor, prior to any
disturbance caused by renovation or demolition. • • • • • • • • •
•• ••• •• • • • ••
When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human
health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting
• • •••
••• •••
or discouraging removal. • • • • • • •„ •
• • • ••• • • • •
In the event that demolition or renovation is deemed necessaryojeties+shafl comply inth�all applici a laws, ordinances, rules and regulations of
Federal, State and Local Governmental Agencies, including any i1ational Rmitsions Standard Hazardous Air Pollutants (N.E.S.HA.P.)
Notification requirements
10097 Cleary Boulevard, #305, Plantation, !r3r?324 •: PitoN! 5.54-227-2402 • Fax 866-816-5110
www.arsenvironmental.ct n sAlpstoprsInvkorjiiiental.com
••• • • • ••• • •
ARSEnvironmental Consulting Services
E'N/IRoNi4EvT,4L, INC. Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 9 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Category I - Non -Friable Asbestos Containing Material
le
Num Description / Material Class
Location
Approximate Sample Physical Water Material Sample Asbestos
Size Condition Damage Damage Contact Friability Detected
Sample
14
Mirror Mastic; Black
30 sq. ft.
Good
None
None
High
Non -friable
YES
Inside bathrooms and bar area behind
approximately 112 sq. ft. of mirrors.
Layer
Miscellaneous
Sample
15
Sink Insulation; Black
6 sq. ft.
Good
None
None
High
Non -friable
YES
Bar and kitchen sink.
Layer
Miscellaneous
Recommendations
The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition and no repairs or renovations are scheduled which
would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodeling activities which could possibly release
fibers into the air. To reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. However, at the mimmum, a formal
Operations and Maintenance (O&M) Program is recommended to minimize potential fiber releases, monitor any future deterioration, and to ensure proper record
keeping.
Under the FDEP regulations, Category I non -friable asbestos -containing materials may be left in place during demolition under wet conditions. However, OSHA
regulations require that disposal of asbestos -containing materials and debris is disposed of in a leak -tight and labeled container. The container may be plastic bags so
long as the holding is leak -tight. All materials must be disposed of in a Class I landfill and manifest as Category I Non -Friable Asbestos containing material.
To meet the requirements of a wet demolition, it is the responsibility of the demolition contractor tpsontrol any visible emissions by adequately applying water on the
structure. Furthermore, the work practices for the demolition of a•lorilding conttth�nmiel 4to4 most -be in regulatory compliance with OSHA 1926.1101. All materials
must be kept thoroughly wet or saturated during the demolition to assist In ¢rdenfing•th• release of asbestos fibers. A certified asbestos supervisor must perform or
supervise the work. If during the demolition process visible emi'1sjons are observcd,theasl�ege-containing materials must then be abated.
• • ••• •• • • ••
The regulations of the Occupational Safety and Health AdmifiStration tOSHA) applies to any detectable amount of asbestos in building materials or on facility
components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a commercial setting requires training,
specific work practices, and disposal methods for the asbestos and asbestos-containinh debris. • • • •
• soil• •• • • •
However, if Category I Materials have become friable or art in,00i conditimr they mustipererrjovedbefore demolition or renovation begins by a Florida Licensed
Asbestos Abatement Contractor. When implementing the response melon', partits tnsrbl• for fmalltelection should remember that actions shall be sufficient to
protect human health and the environment, but may also be 'least••durdensonre. = od. Notsing in these recommendations should be construed as prohibiting or
discouraging removal.
10097 Cleary Boulevard, #305, Plantolipra, FL.333i24rPt1ont; 954-227-2402 • Fax 866-816-5110
www.arsenvironmedtaicon�l Iszile$@arseisvironmental.com
:.•.. • • • •• ••
• • solo •
ARSEnvironmental Consulting Services
E'N(J!gONii4E/tIT,4L, INC. Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements. • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 10 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Category II - Non -Friable Asbestos Containing Material
NONE DETECTED
Recommendations
The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition & no repairs or renovations are
scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodeling
activities which could possibly release fibers into the air. To reduce the intrinsic liability to the owners, the ultimate solution may be to have the
material removed.
The above building materials are considered Category II Non -Friable and are likely to become crushed, crumbled, pulverized or reduced to powder
during demolition or renovation therefore must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement
Contractor.
To meet the requirements of a wet demolition, it is the responsibility of the demolition contractor to control any visible emissions by adequately
applying water on the structure. Furthermore, the work practices for the demolition of a building containing asbestos must be in regulatory
compliance with OSHA 1926.1101. All materials must be kept thoroughly wet or saturated during the demolition to assist in preventing the release
of asbestos fibers. A certified asbestos supervisor must.perfiorm or supgt'vvse.thh %At. If during the demolition process visible emissions are
observed, the asbestos -containing materials must then beabated.: • • . • • • • •
The regulations of the Occupational Safety and Health A nnistretions(OSIPA) dppfie?to any detectable amount of asbestos in building materials or
on facility components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a
commercial setting requires training, specific work practices, and disposal methods for thesliestos and asbestos -containing debris.
•
. •.• • •;• • • •
However, if Category II Materials have become friable ar4in pool condition, they must Zie removed before demolition or renovation begins by a
Florida Licensed Asbestos Abatement Contractor. When.mplemestifg Qie r •se•ac ioi parties responsible for fmal selection should remember
that actions shall be sufficient to protect human heajtji ancCate environment, but flay also be the least burdensome method. Nothing in these
recommendations should be construed as prohibiting or discouraging removal.
10097 Cleary Boulevard, #305, Plani41o0, FI, 33324•• Rhon¢ 954-227-2402 • Fax 866-816-5110
www.arsenvironmetlta2.coril :•tale@arsetivironmental.com
• •
•••• • • • • • • •
•.• •
ARSEnvironmental Consulting Services
E'VVIRONII4ENTI4L, INC. Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
General Terms and Conditions
Scope of Work
ARS Environmental's inspections are limited and non-destructive in nature. Any conditions or materials which were not able to be
visually observed on the surface, or in easily accessible areas, were not inspected and may differ from those observed. It was not
within the scope of this investigation to remove surface materials to investigate portions of the structure or materials which lay
beneath the surface. Our selection of sample locations and frequency is based upon our observations and the assumption that like
materials in the same area are homogeneous. This inspection report is the result of a diligent search of the facility for Asbestos
Containing Building Materials (ACBM). The purpose of this inspection was to identify those materials which may pose a health
hazard to occupants of a building and impart future liability to the owners and insurers of the property. However, we do not claim to
have identified all of the asbestos containing building materials present in the facility. Materials such as underground pipes, any
material inside walls, ceilings, floors, or other enclosed and inaccessible areas were not sampled and are not covered in this report.
This report is designed to aid the building owner, architect, construction manager, general contractor, and potential asbestos
abatement contractor in locating asbestos containing building materials. Under no circumstances is this report to be utilized as a
proposal or a project specification document. This report is based upon conditions and practices observed at the property and
information made available to the surveyor. This report does not intend to identify all hazards or unsafe practices, nor to indicate that
other hazards or unsafe practices do not exist at the premises. In the event that demolition or renovation is deemed necessary, parties
shall comply with all applicable laws, ordinances, rules, and regulations of federal, state, and local governmental agencies, including
any National Emissions Standard Hazardous Air Pollutants (NESHAP) notification requirements.
Right of Entry
The client will provide for right of entry to ARS Environmental's personnel in order to complete the above referenced work.
Invoices
ARS Environmental will submit invoices to client upon completion of services.
Ownership of Documents
All reports, field data, field notes, laboratory tests data, calculations, estimates, and any other documents prepared by ARS
Environmental as instruments of service shall remain the property of ARS Environmental.
Assumptions and Limitations
The results, findings, conclusions, and recommendations expressed in this report are based only on conditions which were observed
during inspections by this report. ARS Environmental makes no representation or assumptions as to past conditions or future
occurrences.
Assigns
Neither the client nor ARS Environmental may delegate, assign, sublet or transfer his duties or interest in this agreement without the
written consent of the other party.
Roof Cuts
To obtain accurate information in a roof investigation, roof cuts approximately four inch 4" squares, may be deemed necessary. It is
the responsibility of our client to make appropriate repairs to these roof cuts, using materials consistent with the roofing system and
in accordance with any existing material manufacturer's warranties. A roofing contractor or maintenance personnel selected by our
client should be on the roof to make any necessary repairs at the time the samples are being obtained. Although, every attempt will be
made to make these repaired areas water tight, ARS Environmental will in no way be responsible for any water damage to the roofing
system, building, or it's contents resulting from ARS Environmental temporary repairs.
Disclaimer• • • • : : • • • : i • • •
If in the course of a renovation or demolition activity, suss rtpttri$ls become exposed, ALL FURTHER ACTIVITY SHOULD
IMMEDIATELY CEASE AND THE STATUS OF rum MKPFAIAj,''SHOUl BE DETERMINED BEFORE PROCEEDING.
• • •••
• .• •• •• • • •
• • •
• ••• • • • • :.
•• • •
•. •
10097 Cleary Boulevard, #305, Plantation= FL•313f44•P1Sone1954-227-2402 • Fax 866-816-5110
www.arsenvironmerkal,cQrri inAlg@greltvironmental.com
• •• ••• ••.• • •.• •
EN(/;RONMEN /�Environmental Consulting Services
T,4Lj INC Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291 Page 12 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Technician Chain of Custody Forms, Field Notes, and Photographs
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10097 Cleary Boulevard, #305, Plantatjen' FL 23324• Plione:954-227-2402 • Fax 866-816-5110
www.arsenvironmerttal:cgrrC•Mile§@amatironmental.com
• •• •• ••.' ••. • •
ARS EJVV,RONA4EN
Environmental Consulting Services
TAL, INC. Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016
Project Number: 20162291
Page 13 of 15
Prepared For.
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Asbestos Survey — Technician Chain of Custody Forms, Field Notes, and Photographs
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10097 Cleary Boulevard, #305, Plantation, FL 33324 • Phone 954-227-2402 • Fax 866-816-5110
www.arsenvironmental.com • sales@arsenvironmental.com
Today's Date: 9/29/2016
Project Number: 20162291
Page 14 of 15
Asbestos Survey — Laboratory Results
ARS EVrOnEtentQ1
Environmental Consulting Services
Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9/29/2016 Project Number. 20162291
Page 1 of 2
Prepared For.
Job Site:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Laboratory Analysis
&le • layer
Yumta • Number Gross Description
• • •••• • ••
•
•
• •
•
•
•
•
•
••
Estimated Asbestos
Percentage
Non -asbestos
% Fibers
Non-fibrous
% Materials
1
•
•
•
•
I:oopcorq
• • •
No asbestos detected
2% cellulose
98%
2.•
•
••••
No asbestos detected
•
2% cellulose
98%
••••
•
.•3••
•
.••
•
0
C9no['r
No asbestos detected
2% cellulose
98%
iInteric� Plaster Coat
• •
• •
No asbestos detected
100%
5
Interior Plaster Coat
No asbestos detected
100%
6
Interior Plaster Coat
No asbestos detected
100%
7
Drywall /Joint Compound
No asbestos detected
30% cellulose
25% glass
45%
8
Drywall / Joint Compound
No asbestos detected
30% cellulose
25% glass
45%
9
Drywall / Joint Compound
No asbestos detected
30% cellulose
25% glass
45%
10
Drywall / Joint Compound
No asbestos detected
30% cellulose
25% glass
45%
Alex Front, Analyst
10097 Cleary Boulevard, #305, Plantation, FL 33324 • Phone 954-227-2402 • Fax 866-816-5110
www.arsenvironmental.com • sales@arsenvironmental.com
Today's Date: 9/29/2016
Project Number: 20162291
Page 15 of 15
Asbestos Survey — Laboratory Results
•
•
•
•
• •
••••
• •
• •
•
•
•
ta
ARS E!von � �. w e
Environmental Consulting Services
Asbestos Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations
Today's Date: 9t29/2016 Project Number. 20162291
Page 2 of 2
Prepared For:
Job Site:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Laboratory Analysis
Sample • Layer
I • • Number• •• •• Gross Description
•
•i% •
•
Gro tt
•
• •
Estimated Asbestos
Percentage
Non -asbestos
% Fibers
Non-fibrous
% Materials
No asbestos detected
100%
1e• ••
Vic GiRta
• •
••••
• W •
•
••••
No asbestos detected
100%
• ••••
•
• r1:040iit
No asbestos detected
100%
•aa..
•
•
• •
•Black c
ji
. •
• •
10% chrysotile
15% cellulose
75%
15
Black Insulation
110% chrysotile
10% cellulose
80%
16
Concrete
No asbestos detected
100%
17
Concrete
No asbestos detected
100%
18
Concrete
No asbestos detected
100%
19
Membrane
No asbestos detected
35% cellulose
20% glass
5% synthetic
40%
20
Insulation
No asbestos detected
65% synthetic
35%
Alex Front, Analyst
10097 Cleary Boulevard, #305, Plantation, FL 33324 • Phone 954-227-2402 • Fax 866-816-5110
www.arsenvironmental.com • sales@larsenvironmental.com
0
FPL
I
1 September 16, 2016
Allied Demolition
7950 NW 53 St #337
Doral, 33166.
Re: 10025 BISCAYNE BLVD. MIAMI SHORES
Effective SEPTEMBER 16, 2016, FPL has removed the meter and disconnected the
FPL service wire to the above referenced address. However, before demolishing the
structure, you should have the premises checked by a qualified individual to assure that
electricity is not being supplied to the structure from any possible source. If there are
any questions, or if I may be of further assistance in this matter, please contact me at
the telephone number below.
Sincerely,
Cam',/..d.a. 9,eze,gleop
Carressa Jackson
Associate Technical Specialist
305.770.7948
....... . .. ..
• • •
• •
.
.. ••• .. • • • ••
• •
.••• • ••• . ..•
.. • • .
•
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• .. • .. .. ..
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•
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•
..
.
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.. •
..
...... •
• • • • •
••• • • •
.. • • • •
.. • ••••
• ••• • •
October 13"' 2016
To whom it may concem:
Thomas Wensjoe and Monica Kuljich have hired Allied Demolition Inc. to demolish our house located
on 10025 Biscayne Blvd Miami Shores Florida 33138.
If you need any further information, please call me at 786-478-1988
Sincerely
S�rJensio
Monica Kuljich
.. 1•• • • • • . .. •
• • • . -. • • •
• • •
• •
.
.. ••• .. • • • ..
• ••• • ••• • •••
• • • •
. • • •
• • • ••• • • . •
.. • • • • • • • • •
• ..• ..• • ..
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• • • • • • • •
•
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• • • • • • • • • •
• .... • • • .. ..
••• • • • ••• • •
16 to
7
THIS INSTRUMENT PREPARED BY AND RETURN TO:
MARTIN L BODZIN, ESQ.
TRANS -STATE TITLE INSURANCE AGENCY, LLC
18205 BISCAYNE BLVD., SUITE 2201
AVENTURA, FLORIDA 33160
Property Appraisers Parcel Identification (Folio) Number: 11-3205-034-0040
3
SPACE ABOVE THIS LINE FOR RECORDING DATA
WARRANTY DEED
THIS WARRANTY DEED, made the day of June, 2016, by DAVID J. BIRMINGHAM, a
single man, and EVIDIO C. ARTIGAS, a single man, whose post office addresses are 280 Gurney
Franklin Road, Linville Falls, North Carolina 28647 and 1130 NE 111t1 Street, Miami Shores, Florida
33161, respectively, herein called the Grantor, to THOMAS R. WENSJOE and MONICA E.
KULJICH, his wife, whose post office address is 10025 Biscayne Boulevard, Miami Shores, Florida
33138, hereinafter called the Grantee:
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and
the heirs, legal representatives and assigns of individuals, and the successors and assigns of
corporations)
W I T N E S S E T H: That the Grantor, for and in consideration of the sum of TEN AND 00/l00'S
($10.00) Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby
grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee all that certain
land situate in MIAMI-DADE County, State of Florida, viz.:
Tract D, WEEKS SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 71, Page
91, of the Public Records of Miami -Dade County, Florida.
Subject to easements, restrictions and reservations of record and taxes for the year 2016 and
thereafter.
TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND, the Grantor hereby covenants with said Grantees that the Grantor is lawfully seized of said land in
fee simple; that the Grantor has good right and lawful authority to sell and convey said land, and hereby
warrants the title to said land and will defend the same against the lawful claims of all persons
whomsoever.
IN WITNESS WHEREOF, the said Qt2tnttxr 1/ale �Srgned ind•sealed these presents the day and year
first •above written. '. • •
•
.. ... .. . . . ..
• ... ... • ...
• . • .. .
• . • ... • • • .
.. . . . • . • • • •
. •
.. • ..• • ..
.. . .•
...
.
•
•
.
...
.. . •
• • .
• ...
• . . .
.....
• . •
• .
• •
• •
• . .
..•
..
ALLIE-2
OP ID: HP
dr -wit_
—"" CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
10/12/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
INNOVATIVE INSURANCE PRODUCER
CONSULTANTS, INC.
5461 UNIVERSITY DRIVE, #103
CORAL SPRINGS, FL 33067
BRIAN J. MAMO
PHON: CONTACT BRIAN J. MAMO
PHONE 954-340-9551
eu.Il�tcAli' ant): FAX
No): 954-340-9456
ADDREss: BRIAN@INNOVATIVE-INSURANCE.COM
INSURER(S) AFFORDING COVERAGE NAIC N
INSURER A : MOUNT HAWLEY INSURANCE CO. 37974
INSURED ALLIED DEMOLITION, INC._
7950 NW 53RD STREET #337
MIAMI, FL 33166
no,vrn. nye, __-_-_ _ __
INSURER e : BUSINESSFIRST INSURANCE CO.
11697
INSURER c:AGCS MARINE INSURANCE CO
INSURER 0 :
EACH OCCURRENCE
INSURER E :
INSURER F :
08/17/2016
•
-- ' - RGY hJIVPa IY utYtDCK:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
—
INSR
LTR
TYPE OF INSURANCE
-Ab'DL(S0aA
INSD I WVD
POLICY NUMBER
POLICY EFF
(MM/DOlYYYY)
POLICY EXP
(MM/DDJYYYY)
LIMITS
A
X
~
X_
^X
COMMERCIAL GENERAL LIABILITY
_j CLAIMS -MADE 1- Xl OCCUR
BLANKET ADDL INSD
EACH OCCURRENCE
S 1,000,000
MGL0182085
08/17/2016
08/17/2017
ZAMAGE TO REIITEIs
PREMISES (Ea occurrence)
$ 50,000
BLANKET PRIMARY
MED EXP (Any one person)
$ EXCL.
BLANKET WAIVER
NON-CONTRIBUTORY
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE
POLICY
I OTHER
LIMIT APPLIES
X 1 dE
PER'
LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
S
AUTOMOBILE
'—_,
_
LIABILITY
ANY AUTO
ALL
ALL OWNED
AUTOS
HIRED AUTOS
_ _ _
_
SCHEDULED
AUTOS
NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
,1Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA UAB_
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
OED 1 RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y/N
_
X STATUTE I I EOR"
B
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
'
N f A
0521-13954
03/12/2016
03/12/2017
E. L. EACH ACCIDENT
$ 1,000,000
(Mandatory in NH)
If yes, describe under
BLANKET WAIVER
.�
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
EQUIPMENT FLOATER
OWNED EQUIPMENT
SML93064119
01/19/2016
01/19/2017
EQUIPMENT 83,698
90% COINS ACV
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may M attached N more space Is required)
LICENSE #CGC1506512
CANCELLATION
MIAMISI
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2014/01)
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
STATE Ur rwt iui
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
CEDENO, JORGE MIGUEL
ALLIED DEMOLITION INC
12040 SW 3RD ST
PLANTATION FL 33325
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridalicense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Departments initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
STATE OF FLORIDA
DEPARTMENTOF BUSINESS AND
PROFESSIONAL REGULATION
CGC1506512 IS5UED; 06/12/2016
CERTIFIED GENERAL CONTRACTOR
CEDENO, JORGEVIGUI L, — " "
ALLIED DEMOLITION INC,_
IS CERTIFIED under the provisions of Ch.489 FS.
Expiration date : AUG 31, 2018 L1606120001341
DETACH HERE
STATE OF FLORIDA
DEPARTMENT REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
KEN LAWSON, SECRETARY
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2018
CEDENO, JORGE MIGUEL ,, ""n
ALLIED DEMOLITION INC..
8195'NW 54TH STREET - •ti �
- MIAMI _.,FL 33166 R
4 T `-
m ....h..., Fes: . .A' ,.—.'
DISPLAY AS REQUIRED BY LAW
ISSUED: 06/12/2016
SEQ # L1606120001341
Local Business Tax Receipt
Miami—Dade County, State of Florida
—THIS IS NOT A BILL — DO NOT PAY
3967370
BUSINESS NAME/LOCATION
ALLIED DEMOLITION INC
7150 NW 77 TERR
MEDLEY, FL 33166
OWNER
ALLIED DEMOLITION INC
Worker(s)
RECEIPT NO.
RENEWAL
4140406
LBT
EXPIRES
SEPTEMBER 30, 2017
Must be displayed at place of business
Pursuant to County Code
Chapter 8A — Art. 9 & 10
SEC. TYPE OF BUSINESS
196 GENERAL BUILDING
CONTRACTOR
3 CGC1506512
PAYMENT RECEIVED
BY TAX COLLECTOR
45.00 09/16/2016
C RE DITCARD-16-054296
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles — Miami—Dade Code Sec 8a-276.
MIAMFDADE For more information, visit www miamidade.gov/taxcollector
JOHN IBARRA & ASSOCIATES, INC.
Professional Land Surveyors & Mappers
W W W.IBARRALANDS URVEYORS.COM
777 N.W. 72nd AVENUE
SUITE 3025
MIAMI, FLORIDA 33126
PH: (305) 262-0400
FAX: (305) 262-0401
2804 DEL PRADO BLVD SOUTH
SUITE NO. 202 UNIT 1
CAPE CORAL, FL 33904
PH: (239) 540-2660
FAX: (239) 540-2664
C .JVED
OCT 14 246
i17�'7•
1
MAP OF BOUNDARY SURVEY
10025 BISCAYNE BLVD, MIAMI SHORES, FL. 33138
GRAPHIC SCALE
-20 0 10 20
(IN FEE7)
1 /NCH = 20 FEET
LEGAL DESCRIPTION:
TRACT D, WEEKS SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT BOOK 71, PAGE 91, OF THE PUBLIC RECORDS OF
MIAMI-DADE COUNTY, FLORIDA.
CERT/F/CATION:
THOMAS WENSJOE
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ABBREVIAT/ONSAND MEANINGS
A - ARC
NC - AIR CONDITIONER PAD.
A.E.- ANCHOR EASEMENT.
AR - ALUMINUM ROOF.
A/5 • ALUMINUM 511ED.
ASPIC.- ASPHALT.
B.C.- BLOCK CORNER
BROWARD COUNTY RECORDS
BLDG.- BUILDING.
B.M.• BENCH MARX
B.O.B.- BASIS OP BEARINGS.
BS.1. - BUILDING 3ETGL1 UNE
C - CALCULATED
C.B - CATCH BASIN.
C.BS - CONCRETE BLOCK STRUCTURE.
CSW - CONCRETE BLOCK WALL.
CHORD BEARING.
C - CLEAR
C.I.F.- CHAIN LINK FENCE.
C.M.E.. CANAL MAINTENANCE EASEMENTS.
CONC.- CONCRETE.
C.P.- CONC. PORCH.
C.5.• CONCRETE 51AB.
L.U.P.- CONC. UTILITY POLE
MIP.- FEDERAL NATIONAL INSURANCE
P.N.- POUND NAIL.
M.. IRGH InaGnT1
I.P.- IRON FENCE
G.W.- CONCRETE WALK 14.4 EG.- 114GR405 AND EGRESS EASEMENT.
D.E.- DRAINAGE EASEMENT . LB. Cerehate d AuthcfmaHon 1.0J7804
DRAINAGE MAINTENANCE EASEMENTS LP.- LIGHT POE.
DRIVE - DRIVEWAY LF.E.- LOWEST FLOOR ELEVATION.
• . DEGREES L.M.E.- UWE MNMENANCE EASEMENT
• MINUTES.
M.. MEASURED DISTANCE.
MB • AWL BOX
M.O.C.R.- MIAMI DADE COUNTY RECORDS
M.E.- MAINTENANCE EASEMENTS
MON. - MONUMENT UNE.
MN . MANHOLE.
AVL - MONUMENT UNE.
N.A.P. - NOTA PART OF.
MGM - NATIONAL GEODETIC VERTICAL DATUM
EB • ELECTRIC BOX
GT. P.- ELECTRIC TRANSFORMER PAD.
ELN.- ELEVATION.
NOR'. ENCROACHMENT
F.H.F. PRE HYDRANT.
F I.P.• POUND IRON PPE.
FJ.R- POUXq IRON ROO.
11.E.- FINISHED FLOOR ELEVATION.
F.N.O.• POUND NAIL N 0154.
FT - FEET.
N.T.S.- NOT TO SCALE.
I -NO. - NUMBER
05 - OFFSET.
• OVERHEAD
0.11.L.• OVERHEAD UDUTYUNI5
0.4.B. - OFFICIAL RECORDS BOOK
OVH - OVERHANG
PAU,. PAVEMENT.
R- PLANTER.
PA - PROPERTY UNE.
P.C.C.- POINT OP COMPOUND CURVE.
P.C.- PORT OP CURVE.
PT.- POINT OF TANGENCY.
POC.- POINT OP COMMENCEMENT.
104.- POINT OF BEGINNING.
P.R.C.• POINT OF REVERSE CURVE
PB.- PAT BOOK
PG.. PAGE.
MY. - PARKWAY.
PRM. • PERMANENT REPEROACE MONUME
P.LS.• PROP651ONAL LAND SURVEYOR
R - RECORDED DISTANCE.
RR. RAIL ROAD.
RL5, RESIDENCE.
PROP. COR.- PROPERTY CORNER
RAY - RIGHTOF-WAY.
RP.- RADIUS PONT.
SEC, SECTION.
5TT.- STORY.
5WK.- NOCRIALK
5.1.1.- SET IRON PIPE LB. 97E0C.
SCREEN® PORCH
5.• 501.1171.
T - TANGENT
TB - TELEPHONE BOOM
T.U.E.- TECHNOLOGY UNUTV EASEMENT
TSB - TROPIC SIGNAL BOX
T.S.P.- TRAFFIC SIGNAL POLL
NT. TRIP • TOWNSHIP.
UNE- UTILITY.
U.P.. UTILITY POLE.
W.M.- WATER METER
W.F.. WOOD PENCE.
W.R. • WOOD ROOF.
' 6?O • �•`
dF
c'
W.M.- WATER METER
W.R.- WOOD ROOF.
W.5.- W000 SHED.
W -WEST.
ry - CENTER UNE.
- CEFTRAL ANGLE.
- OVER AD UTILITY uNE5
- CONCRETE BLOCK WALL
X X
CHAIN UNKPENce
IRON PENCE
N lI WOOD PENCZ
- BUILDING SETBACK UNE
UTILITY EASEMENT
UM= ACCT55 RAV
• NON -VEHICULAR ACCESS RAV
0.00 - EXISTING ELEVATIONS
^�Y
(\QOG
.cNAZ
O�
MI
N: P D•q CI
Nt ?V" S1
NF
LOCATION SKETCH
SCALE =N.T..S.
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY:
• THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS
SURVEY
• THE PURPOSE OF 17115 SURVEY 15 FOR USE IN OBTAINING 1111E INSURANCE AND FINANCING
AND SHOULD NOT BE USED FOR CONSTRUCTION PURPOSES.
• EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE
RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY
• THIS SURVEY IS SUBJECT TO DEDICATIONS, UMITATIONS, RESTRICTIONS, RESERVATIONS OR
EASEMENTS OF RECORD.
• LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
• BOUNDARY SURVEY MEANS A DRAWING AND/ OR A GRAPHIC REPRESENTATION OF THE
SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR
NOT TO SCALE; Ti -,0 WALLS OR FENCES MAY BE EXAGGERATED FOR CLARITY PURPOSES.
• EASEMENTS A5 SHOWN ARE PER PLAT BOOK, UNLESS DEPICTED OTHERWISE.
• THE TERM "ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
• ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS, SETBACKS AND WILL BE
RESPONSIBLE FOR SUBMITTING
• PLOT PLANS WITH CORRECT INFORMATION FOR 'APPROVAL POR AUTHORIZATION' TO THE
PROPER AUTHORITIES IN NEW CONSTRUCTION.
• UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR
FOUNDATIONS.
• FENCE OWNERSHIP NOT DETERMINED.
• 171(5 PIAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES
NAMED HEREON, THE CERTIFICATE
• DOES NOT EXTEND TO ANY UNNAMED PARTY.
FLOOD ZONE INFORMATION:
THENF/P FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE SITUATED /AC
FLOOD ZONE AE'
BASE FLOODELEVA77ON: &OO FEET.
COMMUNITY:: 120652
PANEL 0306
SUFFIX
L
DA7E OF FIRM: 5/11708
THE SUBJECT PROPERTYDOES UE/NA SPECIAL FLOOD HAZARD AREA.
SURVEYOR'S NOTES:
1. IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN
THE DESCRIPTION OF THE PROPERTY, IF NOT, BEARINGS ARE THEN REFERRED TO COUNTY,
TOWNSHIP MAPS.
2. THE CLOSURE IN THE BOUNDARY SURVEY 15 ABOVE I :7500 FT.
3. CERTIFICATE OF AUTHORIZATION Ib # 7506.
SURVEYOR'S CERTIFICATION:
I HEREBY CERTIFY: THIS "BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, HA5
RECENTLY BEEN SURVEYED AND DRAWN UNDER MY SUPERVISION, AND COMPUES WITH THE
STANDARDS OF PRACTICE AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL
LAND SURVEYORS IN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE PURSUANT TO
472.027, FLORIDA STATUTES.
BY"
9/9/2016
JOHN IBARRA (DATE OF FIELD WORK)
PROFESSIONAL LAND SURVEYOR NO.: 5204 STATE OF FLORIDA
(NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OFA FLORIDA
LICENSED SURVEYOR AND MAPPER).
REVISED ON:
REVISED ON:
L.B.# 7806 SEAL
74?nrr - /6- a 78
ARS ENVIRONMENTAL . INC Environmental Consulting Services
1 Asbestos Business License #Z 0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • indoor Air _Quality Testing • Mold Investigations
Today's Date: 10/31/2016 Project Number: 20162522
Page 1 of 1
Prepared For:
In Regards To:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Post Job Submittal
Please find attached the paperwork for the removal and disposal of the asbestos containing material at the above referenced job site.
Thank you for your business.
Respectfully Submitted,
Jeffrey Montalvan,
ARS Environmental
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cust/doc /
proj 20162522
10097 Cleary Boulevard #305, Plantation, FL 33324 •hone 954-227-2402 • Fax 866-816-5110
Wua/.arsenoironmentat.com • saes arsenotronmenta .com
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Oct31 16 08:21a Ghg
NOTICE OF
TYPE OF NOTICE (CHECK ONE ONLY)
Florida Department of
Environmental Protection
Division of Air Resource Management
DEMOLITION OR ASBESTOS RENOVATION
18668165110 p.2
MIAM1OIADE
Department of Regulatory and Economic Resources
Environmental Resources Management
701 NW lst Court, 2nd Floor
Miami, Florida 33136-3912
T: 305-372-6925 Fax: 305-372-6954
miamidade.gov
® COURTESY
❑ ORIGINAL
TYPE OF PROJECT (CHECK ONE ONLY) : 0 DEMOLITION
IF DEMOLITION, IS IT AN ORDERED DEMOLITION?
1FRENOV ATICN:
❑ REVISED
0 RENOVATION
0 YES
❑ CANCELLATION
❑ ROOFING
© NO
IS IT AN EMERGENCY RENO VATION OPERATION? 0 YES O NO Fie it
IS ITA PLANNED RENO VATION OPERATION? 0 YES 0 NO Process fl
L Facility Narre Residential Dwelling
Address 10025 Biscayne Boulevard
City Miami State FL Zip 33138-2645 County Miami Dade
Site Consultant Inspecting Site ARS Environmental, Inc.
Building Size 3,296 (Square Feet) f+ of Floors 2 Building Age in Years 38+
Prior Use: ❑School/College&Universay 0 Residence 2SmaUBusiness Other
Present Use: DSchool/CollegeiUniversity ❑ Residence 2 Small Business Other
U. Facility Owner THOMAS R WENSJOE MONICA E KULJICH Phone
Address 1135 NEE 100 ST
City MIAMI SHORES
State FL Zip 33138
111. Con:tactor s Narne ARS Environmental, lne Phone 1305) 710-0452
Address 10097 °tea y Blvd. State 305
City Plamanon State FL
Is the contractor exempt from licensure under senior 469.032(4), F .S.? 0 YES © NO
N Scheduled Dates: :Nonce must be postmarked 10 working da ys before the project start date)
Asbestos Removal Immiddfyy) Start•10129/2016 Finish: 10130/2016 Demo/Renovation (mmldd/yy) Start: Finish:
V Description of planned demolition cr reno nation work to be performed and methods to be employed, including demolition or renovation techniques to
be used and description of affected facility components. Inside bathrooms and bar area behind approximately 112 sq. ft. of mirrors, and Bar and kitchen sink.
zip 33324
V1.
Procedures to be Used (Check All That Apply):
fri
Strip and Removal
❑ Clove Bag
(] 1 Wet Method
Dry Method
OTHER:
❑ /Eulldozer LD Wrecking Ball
❑ J Explode ❑ Burn Down
Procedur es for Unexpected RACt:
Asbestos WasteTrensoorter: Name
Address 790 HPltrath Dr.
STOP WORK AND NOTIFY MIAMI DADE DERE.
Southern Waste System
Phone 561 502 6698
City Lantana
State FL Zip 33462
Vlli, Waste Disposal Site: Name Monarch Hill
Address 2700 NW 48th St.
city Pompano Beach State FL Zip 33073 ••••••
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IX. RACM or ACM: Procedure. including analytical methods. employed to detect the presence of RACM and Category I and inion ikialle ACM • •
••••••
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Amount of RACM or ACM'
square feet surfacing material square fee: cementitious material
linear feet pipe square feet resilient flooring
cubic feet of RACM off facility components square feet asphalt roofing
'Identify and describe surfacing material and other materials as applicable:
30 sq. ft of Mirror Mastic, and 6 sq ft. of sink insulation
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I certify that the above information is correct arid that an individual trained in the provisions of this regulation (40 CFR Part 6t•, Subpart M) will bh• • •
site during the demolition or renovation and evidence that the required training has been accomplished by this person will b! ay:al./Ott for inspection
during normal business hours. I have read and understood the additional information provided on the back of this form. • • • • • • • • • •
7Er nz ey $�v*1+t • ••
;Print Name of Own e petor,
305 720-0452
REEF USE ONLY PostmarWDate Received ID $
i61_9i-t5a taint
OiSTUIBIJTION: White-RER Title w -Applicant Pink.-Reserie Gold -Reserve
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Oct31 16 08:22a Ghg
18668165110 p.4
2-01b
WASTE SHIPMENT RECORD
t Work Sita Name and Mailing Address (Generator)
.4
tc025 Biufl
_ IAlpr.4 3 33130
2. Remover's Name and Address
ACR Environmental Inc.
128E4 Biscayne Blvd., Suite 30E
North Miami, FL 33181
Owner's Name
TiiV AAr NcW P•"
� L
MtZMic.J G . v ictA
Owner's
Telephone No.
Cl 0
513 -4q9
Remover's
Telephone No.
305-944-3741
3. Waste Disposal Site (WDS) Name, Mailing Address, and Physical Site Location
coiDe
X1350 h11ni 4-1,,
4. Name and Address of EPA Office local, state, of regional
USEPAREGION IV
345 COURTLAND STREET NE
ATLANTA, GEORGIA 30385
(404) 347-2128
5. 14M
Desc. of Materials
Hazard
Class
IQ
Number
Packing
Group #
S. Containers
No. Type
7. 'Total Quantity
m'
(yds
RO
Asbestos
a
NA2212
111
e BA Z
Z
s
8. Special handling Instructions and 24 Hour Emergency Response Telephone Number (provided by Generator)
1-954-546-4544
9. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by
proper shipping name and are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway
according to applicable international and government regulations. Note: Generator must retain a copy of this form.
Prir.tedrrype r‘!2'ne any 1111s
Month Flay 'Yaw
10 2c tip
10. TRANSPORTER 1 (ACKNOWLEDGMENT OF RECEIPT OF MATERIALS) Note: Transporter must retain a copy of this form.
Printed/Typed Name and Title
1412-5 Env; OvrIrn e_r)-)-txt 1 Inc_
Address and Telephone No.
1009"7 Ci.ear‘f eiVOI #305
Piarl+CWOn t F z_1.4
11. TRANSPORTER 2 ACKNOWLEDGMENT OF RECEIPT OF MATERIALS) Note: Transporter must retain riedbpy bf this form• • •
•
PrinteCLTyped Name and Title Signature °°°°° ° Morin 04y Year •••••••
Signature
lionth Day Year
C;• tar 1cc,
•
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12. Problems evith Conteinmeni or Packaging
12. WASTE DISPOSAL SITE OWNER OR OPERATOR:
rtification pi receipt of asbestos material covered by this manlleat except as noted in item 12.
Printed/T}wed Name and Title
Signature
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Month Da;r Year
NOTE The Waste Disposal Site must retain a completed copy of thins norm and send a copy to the Gema ter listed in item 02.
WHITE - GENERATOR CANARY - LANDFILL PINK --TRANSPORTER GOLD - GENERATOR
ARS
Environmental Consulting Services
Asbestos Business License #ZA-000016j
Asbestos Consulting iInvestigations
• Raioo-x Meas�iremsnts •` Lead Asse3sments •Indoor Air Quality Testing •Mold Invee stigations
Today's Date: 10/31/2016
Project Number: 20162522
Page 1 of 2
Prepared For:
Job Site:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Air Sampling NIOSH / EPA
Overview
On 10/29/2016, the following air samples were taken in accordance with the current NIOSH and EPA
guidelines as they apply to air pump operations and calibrations. The locations and/or the degree of
aggressive (i.e. amount of air circulation and/or method for use of air blower device} specified by the client
or the removal contractor's personnel.
Analysis Method
The above samples were analyzed for the fiber count on the above analysis date. Hoffman Modulation
Contrast and NIOSH current procedures for visible light microscopy were used for the analysis.
Laboratory Results
Note: The results included here represent the standard test for air concentrations of fibers only. In no way do
these tests represent or construe the quality of any remaining bulk asbestos and/or completeness of any
removal operations.
Based on visual observations and laboratory analysis, the above referenced jokii, has ......
passed all criteria. Readings of less than 0.01 f/cc indicates that it is sife•t'r reentry.
Therefore, no further recommendations are necessary at this time. 1 • • ••• : •. •. • • • • • . •
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It has been a pleasure working with ypy.Rlease 4160/1 as again." • •
Regards,
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ARS Environmental, Inc.
NIOSH 582 Equivalency #0000017
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10097 Cleary Boulevard, #305, Plantation, FL 33324 • Phone 954-227-2402 • Fax 866-816-5110
WWW.arsenvironmentaf.com • sales@arsenvironmental.com
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RS ENVIRONMENTAL, INC Asbestos Business Li Consulting Services
Business License #ZA-0000164
Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air _Quality Testing • Mold investigations
Today's Date: 10/31/2016 Project Number: 20162522
Page 2 of 2
Prepared For:
George Cedano
Allied Demolition
8195 North West 54th Street
Miami, FL 33166
Job Site:
Residential Dwelling
10025 Biscayne Boulevard
Miami, FL
Air Sampling NIOSH / EPA
Test
Number
Type
Sample Size
Sample
Date Taken
Sample
Analysis Date
Concentration
Fibers/Structures/CC
1
Final Air
1,200 Liters
10/29/2016
10/29/16
0.003
Sample
Location
2nd Floor Bathroom
2
Final Air
1,200 Liters
10/29/2016
10/29/16
0.004
Sample
Location
1st Floor Bathroom
3
Final Air
1,200 Liters
10/29/2016
10/29/16
0.003
Sample
Location
1st Floor Bar Area
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10097 Cleary Boulevard, #305, Plantation FL 33324 • Phone 954-227-2402 • Fax 866-816-5110
WWui.arsenuironmentaLcom • sales@arsenvironmenta(com