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DEMO-18-289Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Isstt+a D; Pe nit NO: DEMO-2-18-289 Permit Type: Demolition Work Classification: Plumbing Pennit Status: APPROVED 22/2018 Expiration: 08/21/2018 Parcel Number Applicant 1420 NE 101 Street Miami Shores, FL 1132050230050 Block: Lot: MATTHEW ALLEN Owner Information Address Phone Cell MATTHEW ALLEN 1420 NE 101 Street MIAMI SHORES FL 33138- (305)673-2847 Contractor(s) KINGS PLUMBING SERVICE INC Phone Cell Phone (305)625-5450 (786)251-9810 Valuation: Total Sq Feet: $ 750.00 0 Type of Demo: Plumbing Additional Info: SEPTIC TANK ABANDONMENT CUT AND CUP Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Invoice # 02/22/2018 02/05/2018 Pay Type Amt Paid Amt Due DEMO-2-18-66346 Check #: 10871 $ 58.60 $ 50.00 Check #: 10873 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final 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 anrmore I authorize the above -named contractor to do the work stated. utter ignature: Owner / Applicant / Contractor / Agent February 22, 2018 Date Building Department Copy February 22, 2018 1 ACOREP CERTIFICATE OF LIABILITY INSURANCE ‘....---' DATE IMM/DD/YYYY) 02/21 /2018 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 have ADDITIONAL INSURED provisions or 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). PRODUCER Temax Insurance Inc 9370 SW 72 Street A214 Miami FL 33173 CONTACT NAME: Xamet Barreras (A/C No. Exn: (786) 539-5989 FAX No): (305) 356-1235 ADDRESS: xamet@temaxinsurance.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A : NAUTILUS INSURANCE COMPANY 17370 INSURED Kings Plumbing Services,'IflC 14050 NW 6TH CT MIAMI FL 33168 INSURER B : INSURER C : INSURER D: INSURER E : INSURER F : BER: REVISION NUMBER: 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 I LTR TYPE OF INSURANCE NSD W SVD POLICY NUMBER EFF (MMIDDUBR Y/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY NN908315 02/13/2018 02/13/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTE PREMISESO(Ea occurrence) $ 100,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE ._ $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Licence No. CFC1428219 CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 N.E. 2nd Avenue 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC L'LUMBING ❑ MECHANICAL JOB ADDRESS: KM) > U City: Miami Shores Folio/Parcel#: ) 1- 32 0 5- 0 2 Occupancy Type: Load: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ ROOFING ❑ REVISION Master Permit No. 1)er Q 12H-4-- Sub Permit No. De 1 1° i -z ❑ EXTENSION RENEWAL PUBLIC WORKS ❑ CHANGE OF CONTRACTOR l O (s* Sect ❑ CANCELLATION ❑ SHOP DRAWINGS County: Miami Dade Zip: 00 SO Is the Building Historically Designated: Yes Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): fl1a}+\1QLJ ,A 1 1 e /) Phone#: Address: NZ() () ,N E 10-A St J51" j2 e t City: VI' A /Yi i 5140 ri o State: � - zip: 33 13 `6 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: kSia 3os" 294 -5 6 incs lumloi13 SCrii ces, Address: I L/06 0 Nw (o 1- (OV r• 1- City: A)orG-M I State: Qualifier Name: tev,,,t,44, gtrvc Phone#: 30 . Cp$5 gq- �3 Phone#: Zip: 33/(o `6 State Certification or Registration #: C r L ) Li ? cdZ) a( Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ '1 5V. 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Zip: Demolition Description of Work: 52ol-I AlotAnc .er v`,t + c'^ V° Wyk -Lk! �i,- r . Mo\, Von Specify color of color thru tile: Submittal Fee $ Permit Fee $ /Od CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ `SF• c,O (Revised02/24/2014) 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 approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this ZS w day of 1c.1LA. c- ,20 I'l ,by YVI a+4-6 W Allen , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ,,e9'r/%,s Crista Stefanick �1 •__ Commission # GG167243 • - Expires: February , 2022 % ;th Bonded null Aaron 3Notary Signature CONTRACTOR The foregoing instrument was acknowledged before me this ZO day of `janu0r4 , 20 its , by ¢n,n e_ V\ 01 e,,n e, ( me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: who is personally known to nsta Stefanick u"Onhn>,Siun # GG167243 Expires: February 13, 2022 Bonded thru Aaron Notary ************************************************************************************************************ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: Mathew Allen PERMIT # :13-SM-1818858 APPLICATION #:AP1325840 DATE PAID: FEE PAID: RECEIPT #• DOCUMENT #: PR1091272 PROPERTY ADDRESS: 1420 NE 101 St Miami, FL 33136 LOT: 4 BLOCK: 1 SUBDIVISION: PROPERTY ID #: 11-3205-023-0050 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D R A I N F I E L D 0 T H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: [ ] SQUARE FEET [ ] SQUARE FEET SYSTEM SYSTEM TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND ( ] CONFIGURATION: [ ] TRENCH [ ] BED [ ] LOCATION OF BENCHMARK: ELEVATION OF PROPOSED SYSTEM SITE BOTTOM OF DRAINFIELD TO BE FILL REQUIRED: [ OM] INCHES / ] [ ABOVE / BELOW ]BENCHMARK/REFERENCE POINT / ][ABOVE/ BELOW ]BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: ( ] INCHES Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. Astr :'V Edwards strid V Edwards 01/30/2018 TITLE: Engineer Supervisor III TITLE: Engineer Supervisor III Dade CHD EXPIRATION DATE: 04/30/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1325540 SE-1 Page 1 of 3 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the .appropriate District Court. The notice must be filed within 30 days of rendition of the final order. AMISCAPL 01/30/2018 07:43:37 APPLICATION DATE 01/30/2018 OTHER DEPT. APPLICATION # OR CONTACT NAME KINGS PLUMB ADDRESS 1420 NE 101 ST. CITY MIAMI SALES FEE TYPE CODE DOH H007 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES ADD MISCELLANEOUS APPLICATION UNIT UNITS DESC 1 EACH ABANDONMENT BNZM1142 PAGE 1 MARGALV PROCESS NO. X2018066697 BLDG DEPT. PERMIT #/ADDRESS: AP1325840 SUB TOTAL STATE FL ZIP FEE DESCRIPTION $80.00 PHONE 7862519810 COUNTY AGENCY USER PAID ID FEE IND MARGALV 80.00 PF1 = UPDATE NEXT SCREEN NEXT KEY MISC APPLICATION ACCEPTED...ENTER NEXT KEY TO CONTINUE PF9 = MOD MISC APL i K0�8YNl����7)���M�l�JT� ,. �w/����m/ �/r^*/^~ COUNTY ` ^ ^, MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES 1180.5 SW 26 STREET MIAMI, FL 33175-2474 (786) 315 200W ' ROCESS NO. X2018066697 ��GS PLUMP. 420 NE 101 ST. :AMI, FL ?�VIEW FEE MISCELLANEOUS RECEIPT N1/30/2018 'FEE UNIT FEE 00000NN01 80 WN �OH H007 ABANDONMENT ` ^ TOTAL. 80.00 - � � ! TREE TABULATION No. NAME TRUNK CANOPY HEIGHT (Diameter) (Diameter) LOT 6 1 OAK 2.80 30 38 BLOCK 1 ri iiri 24 0 • (Ft all 'A 4,12 A=0033'37" k 11..2045.40' .20.00' 4, WOOD DECK 2.4 9.8 3 t.0217'0 R.02185.40' AER3.3.5' 14.20SHED 4'>'' .,A,1 35.20' (R&M) '.;.- /..o.071:13'17.5. 6 N 0831.11 W 0S OF BEARING •$ R=8413.136' REMAINDER OF NOTE . 'A4•179.87. LOT 4 B W. USED - B-62 ELEVATION o. &67 8.0.0.0. BLOCK 1 ELEVATION SHOWN ARE N ew0449'57. R.648.66' P.R.0 F.I.P. 1/2" POINTS OF INTEREST: ASPHALT DRIVEWAY AND CONC WALKWAY CROSS OVER PROPERTY LINE. MAP OF BOUNDARY SURVEY Property Address: 1420 NE 101 ST MIAMI SHORES, FL 33138 nlineLand SURVEYORS,INC. 15271 NW 60 AVE, Suite 206 Miami Lakes, FL 33014 www.OnlineLandSurveyors.Com \l A .111• • • •••• • • • •• • • • • • • • • • • • • 4'. • • • • 0 3d. GO 11 • [ncti,= 30' rt. • • • • • • • • • • • • • • • • • • • • • • • WEAN HIGH WATER ELEVATICW.1.66 • • • • • • • • • • • • • REC c‘a,„0(,0,0 VED JAN 2 4 7013 MIT #3)7-1-11° • V6— IAMI SHORES VILLAGE sEAVIALL STRUC TRfiL ELECTRiCA!.. SURVEYORS CERTIFICATION: I HEREBY CERTIFY THAT THIS "BOUNDARY SURVEY' IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY D RECTION. THIS COMPLIES WITH THE MINIMUM ,,...:TANDARDS AS SET FORTH BY THE STATE 0 FLORIDA BOARD OF PROESSIONAL SU' .RS AroprIN CHAPTER 5J-I F DA kl ADMINISTRATIVE CO SUANT TO SEC 472'1) ; PL PIDA STATUTES. 41 11;„ Ho. 5101 STATE 0 CHANICAL PORI OF SIGNED MIGUEL ESPINO STATE OF FLORIDA NOT VALID WITHOUT AN AUTHENTIC ELECT ONIC SIGIAPPAND AUTI ENTICATED t ELECTRONIC SEAL AND/OR THIS MAP IS NO VALID WITHOUT THE SIGN/Ill/RE AND ORIGINAL RAISED SEAL OF A LICENSE SURVEYOR AN MAPPER. FOR THE Fl P.S.M. No. 5101 DATE SUBJECT TO COMPLIANCE WITH ALL FEDER/. Survey Date:11/7/2016 Survey Code:O-30022 Page 1 ogAgt 411iNkgietilf360,LES AND REGULATIC E Nti ,,,A, ,.F.�U15�S, Nord100. t.4 T P. VTR. w T.i.:z. _ - ;• �„ • • • • •• .`. .,_., • • • w•••• • 'i• • 1 • • • / • • --.—._ LOCATION MAP N.T.S. PROPERTY FRONT y • • CERTIFIED T0; FLOOD INFORMATION: • • • • • • • •. • MATTHEW J. ALLEN GREENBERG TRAURIG, P.A. CHICAGO TITLE INSURANCE COMPANY ITS'SUCCESSORS AND/OR ASSIGNS AS THEIR INTEREST MAY APPEAR. Community Number: VILLAGE OFMIAhIM9HORES • 120652 • • • • • Panel Number: 12086C03061• • Suffix: L • • • Date of Firm Index: 9/11/2009 • • • • • • • • • Flood Zone: AE • • • Base Flood Elevation: 10.0 Date of Survey: 11/7/2016 LEGAL DESCRIPTION: Please see the last page for long Legal Description. PROPERTY UNE Surveyor's Legend I �I STRUCTURE 0 TREE LILL LAKE or LANDSCAPE WNW. ESMT. ESMT. EASEMENT ® CONC. BLOCK WALL x CHAIN —LINK or MflE FENCE KY P.F. POY,ER POLE R.O.E. ROOF OVERHANG EASEMENT D.E DRAINAGE EASEMENT ®0.8. CATCH POLE P.P. POOL PUMP LB.E LANDSCAPE BUFFER ESN!". WOOD FENCE PL PLANTER OR PROPERTY LINE LAME. UNITED ACCESS EASEMENT C.U.E. COUNTY UTILITY ESMT. I.D. IDENTIFICATION TEL TELEPHONE FACIUTIES IRON FENCE LE/LE INGRESS/ EGRESS ESMT. &C. BLOCK CORNETT U.P. UTILITY POLE — — — EASEMENT U.E. UTILITY EASEMENT B.R. BEARING REFERENCE EU.B. ELECTRIC UTILITY BOX END. OR F FOUND IRON PIPE/ b. CENTRAL ANGLE or DELTA SEP. SEPTIC TANK — — CENTER UNE PIN AS NOTED ON PLAT R RECORD OR RADIUS D.F. DRAIN FlELD IB/ LICENSE / — BUANESS RAD. RADIAL AC AIR CONDITIONER (i J////� lSi LICENSE / — SURVEYOR I/ WOOD DECK CALC CALCULATED PANT N.R. NON RADIAL aWC SIDEWALK Tw. TYPICAL WHY DRIVEWAY SET SET MONUMENT I.R. IRON ROD SCR. SCREEN . .� CONCRETE ♦ CONTROL POINT I.P. IRON PIPE GAR. GARAGE ■ CONCRETE MONUMENT Nag NAIL & DISK ENCL ENCLOSURE ............... .. .. ..., ASPHALT ELEV ELEVATION N.T.S. NOT TO SCALE P.T. POINT OF TANGENCY PK NAIL PARKER—KALON NAIL P.C. PANT OF CURVATURE D.H. DRILL HOLE F.F. TOP O D FLOOR BRICK/TILE P.R.M. PERMANENT REFERENCE MONUMENT ® TDB.. EDP OF BANK FlRE RE HYDRANT EO.W. EDGE OF WATER 10 FIRE P.C.C. PANT OF COMPOUND CURVATURE OM.H. MAN HOLE E/P OR EO.P. EDGE OF PAVEMENT P % ////' /i WATER P.R.C. POINT OF REVERSE CURVATURE 0•N.L OVERHEAD UNES C.V.G.C.V.G.CONCRETE VALLEY GUTTER �/ I P.O.B. POINT OF BEGINNING P.O.C. POINT OF COMMENCEMENT 10 TRANSFORMER B.S.L BUILDING SETBACK LINE CATV CABLE TV. RISER SURVEY DE /� APPROIOMATE EDGE OF WATER P.C.P. PERMANENT CONTROL POINT W M. WATER METER EL CENTER UNEUNE M FIELD MEASURED P PUTTED MEASURMENT P/E POOL EQUIPMENT R/W RIGHT OF WAY R.O.E PUBLIC UTILITY EASEMENT CONC CONCRETE SLAB COVERED AREA D DEED C CALCULATED C.M.E. CANAL MAINTENANCE EASEMENT A.E. ANCHOR EASEMENT GENERAL NOTES: .4, Florida Land �- ' Title Association 2) ELEGAL DESCRIEXAMINATION EABSTRACBOOTHEES. 2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING PROPERTY. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION. PERMITTING DESIGN, OR ANY OTHER PURPOSE WITHOUT THE WRITTEN CONSENT OF ONLINE LAND SURVEYORS INC. 5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 6) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. 7) FENCE OWNERSHIP NOT DETERMINED. 6) WALL TIES ARE TO THE FACE OF THE WALL. 9) BEARINGS ARE BASE ON AN ASSUMED MERIDIAN. 10) BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. 11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED OR ELECTONIC SEAL. 13) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 14) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 15) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 16) THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES. F L'-TA I- Affiliate Printing to Scale: Paw w,a,y cop,. 1 : ,BMN 1. Select 'None" from Page Scaling Page &Ana: atlme .1 2. Deselect'Auto-Rotate and Center' 3. paper source by t "Ch l Seecoose PDF page size" 2DA„mgoMle end Center ; ,r acme FeOe mam br F[>F wee 94. o+stan Pme sat when FIELD WORK: 11/4/2016 n • •-- -:.,. .. ••••- DRAWN BY: C.S. -•'{' aS L F I C , BY: M.E. `, fCHECKED j �� FINAL REVISION: - 12/21/2017 }. No. 5101 COMPLETED: 11/7/2016 STATE 0 4,..; • •" Rom DI. ¢¢ e�>,.L SCALE: 1' = 30' ' s yGLe I, •- SURVEY CODE: 0-30022 904 15271 NW 60 AVE, Suite 206 Miami Lakes, FL 33014 41 n l i n e La n d Phone: (305) 910-0123 SURVEYORS, INC. Fax: (305) 675-0999 www.Onl i n e LandSu rveyors. Com Survey Date:11/7/2016 Survey Code:O-30022 Page 2 of 3 Not valid without all pages. LEGAL DESCRIPTION: LOT 4, LESS THE WEST 10 FEET, BLOCK 1, OF MIAMI SHORES BAY PARK ESTATES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 55, PAGE 83, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA, AND LOT 5, BLOCK 1, REPLAT OF TRACT "A" OF MIAMI SHORES BAY PARK ESTATES, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 56, PAGE 86, OF THE PUBLIC• RECORDS OF. • MIAMI-DADE COUNTY, FLORIDA. • • • "" • • • • • • • • • • • • • • • • • • •• •• • • • • • • • • • • •• • • • • • • • • I • •. • . • I • •••. • • • •• • • • • SURVEYOR'S CERTIFICATION. I HEREBY CERTIFY THAT THIS 'BOUNDARY SURVEY' IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MINIM STANDARDS, AS SET FORTH BY THE STATE OF FLORIDA BOARD OF PR !.,;= = ANAL J ,. ORS AND MAPPER IN CHAPTER 5J-17.051, FLORIDA ADMINISTRATIVE C. 472.027, FLORIDA STATUTES. SIGNED MIGUEL ESPINOS STATE OF FLORIDA NOT VALID WITHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR THIS MAP IS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A LICENSE SURVEYOR AND MAPPER. FOR THE FIRM P.S.M. No. 5101 nlineLand SURVEYORS, INC. 15271 NW 60 AVE, Suite 206 Miami Lakes, FL 33014 Phone: (305) 910-0123 Fax: (305) 675-0999 LB #: 7904 www.OnlineLandSurveyors.Com Survey Date:11/7/2016 Survey Code:O-30022 Accepted By: Page 3 of 3 Not valid without all pages. CFN: 20160722831 BOOK 30348 PAGE 2023 DATE:12115/2016 04:10:16 PM DEED DOC 23,280.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Prepared By: Mark D. Balzli, Esq. Balzli & Associates 1688 Meridian Avenue, Suite 700 Miami Beach, FL33139 Return to: Kimberly S. LeCompte, Esq. Greenberg Traurig, PA 333 SE 2nd Avenue Miami, FL 33131 Order No.: 1663 Property Appraiser's Parcel I.D. (folio) Number: 11-3205-023-0050 WARRANTY DEED THIS WARRANTY DEED dated December 15, 2016, by ROMIP 1420 LLC, a Florida limited liability company, existing under the laws of Florida, and having its principal place of business at 400 Alton Road, #3501, Miami Beach, Florida 33139 (the "Grantor"), to Matthew J. Allen and Elizabeth G. Allen, husband and wife, whose post office address is 1420 NE 101 Street, Miami Shores, Florida, 33138 (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) WITNESSETH: That the grantor, for and in consideration of the sum of Ten And No/100 Dollars ($10.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys, and confirms unto the grantee, all the certain land situated in County of Miami -Dade , State of Florida, viz: Lot 4, less the West 10 feet, Block 1, of MIAMI SHORES BAY PARK ESTATES, according to a Plat thereof, recorded in Plat Book 55, at Page 83, of the Public Records of Miami -Dade County, Florida, and Lot 5, Block 1, REPLAT OF TRACT A OF MIAMI SHORES BAY PARK ESTATES, according to the Plat thereof, recorded in Plat Book 56, at Page 86, of the Public Records of Miami -Dade County, Florida. Subject to easements, restrictions, reservations and limitations of record; if any, but this reference shall not operate to reimpose any of the same. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in any wise appertaining. TO HAVE AND TO HOLD the same in Fee Simple forever. CFN: 20160722831 BOOK 30348 PAGE 2024 AND the grantor hereby covenants with said grantee 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; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to: December 31, 2016. IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first above written. ROMIP 1420 LLC a Florida limited liility company BY: R A BY: c' 4316— 2,Zi`,tt Michele Picard Authorized Member Grantor Address: 400 Alton Road, #3501 Miami Beach, FL 33139 State of Florida County of Miami -Dade Signed, ed and del red in presence of: Witness Si§riature as o b th tt (L.tt ' 64 2 Printed Name of First Witness Witness Signature as to both nivtouvi Dk Printed Name of Second Witness The foregoing instrument was acknowledged before me this /J1 day of D e , 2014,, by Roger Picard and Michele Picard, as authorized members of ROMIP 1420 LLC, a Florida liability co i pany, who are personally known to me or who have produced rt Mt &t identfcat Notary Pub c My Commission Expires: (SEAL) .�:>"" P;B,�� MARK D. BAl2U _� `A Notary Public - State of Florida Commission # FF 219264 = My Comm. Expires May 28, 2019 °;,;; °` Bonded through National Notary Assn. limited C as Elizabeth and Matthew Allen 1290 NE 102nd Street Miami Shores, FL 33138 August 24, 2017 Re:1420 NE 101 sc Street Miami Shore, Florida 33138 Folio# 11-3205-023-0050 To Whom It May Concern: We authorize GarbageMan to demolish the property address: 1420 NE 101 S` Street Miami Shores, Florida 33138 Folio# 11-3205-023-0050 It will be a total demolition of one (1) residential structure, driveway, pool, patio, and boat lift with removal of foundations and pilings. Respectfully, Elizabeth Allen STATE OF OY Ack- COUNTY OF ()LA.( a e*'+;-- . 1Q This document was acknowledged before me this 2_q 20 Eby e t s y\...&0,At .. tL--- TALIA RICKARDS Notary Public - State of Florida Si:Tlatur- of • ry Public •F Commission # FF 189581 s My Comm. Expires Jan 13, 2019r P 'nt .e/Stamp Name of Notary P�``�Sanded through National Notary Assn. Matthew Allen day of OR Produced Identification: Type of Identification Produced: GE9TECHNICAL I ENVIRONMENTAL I MATERIALS TESTING I ASBESTOS I ROOF TESTING I INSPECTION SERVICES I DRILLING SERVICES DEC DYNATECH ENGINEERING CORP, Miami, September 28, 2017 Mrs. Lisa Allen 1290 NE 102nd Street Miami Shore, FL 33138 Re: Residential Property @ 1420 NE 101 st Street Miami Shores, FL Dear Mrs. Allen: WWW.DYNATECHENGINEEi2INCE CVM • ••. • • •••• • • •. • •• • • • • •• •••• •• •• .••• • • • . • • • • • • • • •• • • •• • • • .• . • •• • • • • • • • • • • Pursuant to your request, DYNATECH ENGINEERING CORP. performed Final Air Clearance Sampling and Analysis on September 26, 2017. Pursuant to the removal of 100 SF of wall mirror mastic, 10 SF of exterior window/door caulking, 6 SF of bathroom heater insulation & 1 SF of light fixture insulation from the above reference project. Air samples were taken on 25 mm. diameter mixed cellulose ester filter with 0.8 micron diameter pores, using high volume pumps. Pumps were calibrated using primary standards prior to each - use. Air samples analysis consisted on phase contrast microscopy (PCM) according to NIOSH 7400 Method. P.C.M. Air results were less than 0.01 F/CC and in compliance with NESHAP regulation. It has been a pleasure serving you at this phase of your project and look forward to do so in the near future. Sincerely yours, Wissam Naamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 Asbestos Consultant Number EA 0000045 Asbestos Business No. ZA 0000045 WN/PB rJ&AD .00 3 No. 39584 * cr STATE OF w 4, SiO N Al, 750 WEST 84TH STREET. HIALEAH. FL 33014 PHONE (305) 828-7499 FAX (305) 828-9598 EMAIL:INFOODYNATECHENGINEERING.COM i /41j • DYNATECH ENGINEERING CORP. Date Sampled: Client Project Address .. . 750 W. 84t" Street, Hialeah, FL 33014 Phone (305) 828-7499 . .... AIR MONITORING REPORT PCM •....• September 26, 2017 LISA ALLEN Final Air Clearance @ 1420 NE 101 st Street, Miami Shores, FL . . ..• . • • .. • .. .. . • . •.• • . • • • • • . • : . • . . • .• .. . ... • . . .• .•• • Sample No/Type LOCATION AND DESCRIPTION Date Analyzed Average •' Count : Time (min) Volume (L) F/CC. 01 Inside Center Work Area 09-26-17 2/100 120 1200 0.0008 02 Inside North Work Area 09-26-17 6/100 120 1200 0.0025 03 Outside North Side 09-26-17 3/100 120 1200 0.0012 04 Outside West Side 09-26-17 2/100 120 1200 0.0008 05 Field Blank 09-26-17 0/100 N/A N/A 0.000 06 Field Blank 09-26-17 0/100 N/A N/A 0.000 N/A: Not applicable Field Technician: PB Microscope Date: Phase contract Microscopy PCM Olympus, Phase Contract, Model CH2 2 Analyzed By: SB NIOSH 582E 750 WEST 84TH STREET, HIALEAH, FL 33014 PHONE (305) 828-7499 FAX (305) 828-9598 EMAIL:INFOODYNATECHENGINEERING.COM 900 N.W. 5TH Avenue, Fort Lauderdale, Florida 33311 Se4t41111H11 I IIIII IIIII IIIII IIIII IIIII II�II I1I1II II1II IIIIf IIIII 111 To � uthenfi �� ' ert ficate www.seagulltraining com X X X— X X— 4 5 1 9-800-966-9933 750 West 84th Street , Hialeah , FL 33014 - y .di has successfully completed an English - ,R -- 14-Jul-17 TO 14-Jul-17 Meets state requirements of 326 IAC (IDEM) and FL49-0001020/CN-0006271 and UT (6.0 core). NDAAC Provider #451 Trainer(s): Mark Knick Training Address: 900 NW 5th Ave, Fort Lauderdale, FI. 33311 Successful course completion based on exam score on: 07/14/17 This Certificate Expires: OSHA TRAINING: 14-Ju1-18 IlIIHI III j11111111 IIIIIIIIII0 7/ 1 8 CRIMINAL OF FALSE OR (1e LLs.c. 1 STRAINING OF TITLE At PART 745 OR STATE, OR mes F. Stump, Course Sponso Certificate Number: ii1��•ii�M�ii�iiii Course Number: SE1728 • • •.• • • NOTICE OF DEMOLITION OR ASBESTOS RENOVATION 7YPEOFNOTKE {CHECKONEONLY) : 0 ORIGINAL 0 Rf TYPE OFPRO.JECr (CHECK ONE ONLY) : 0 DEIUIOL TTDN 0 RENOVATION IF DEMOLf11ON, I5 !TAN ORDERED DEMOUT1ON? 1F RENOV MOM IS [FAN EMERGENCY RENO 30`tiiONOPERATION/ IS rTA FUNNED11 _ ! facility Name RO Q 9 0/Yt"�1 MAMMAS Ori Florida Department of DepaTtmett of Regulatory and Economic Resources Environmental Protection Envimnmental R fit, 2nd Fi errt Division of Air Resource Management • •. am orida 3313E-391 • • • • A9Fanrrt,Ftorid� 3393s-39ta • Ti ahn2-692.1PM385-372'M4: • • riiamidad gav • 0 CAJ ATION • • • • EiccouNsy. ❑ ROOFING • • • 'i.e. 0 NO Address I 92D PP, 10l st. cent__jk�Liuw� I s star t ZIp 313 ii !IL Contractor's a ,.ill 11Jf OJLAsr +u. G. Phone Ctrs) 5OO 9- • - / =l) Yd�i ! 1 ,(titA/r J1M City �'' , �c/ti.0,401 o 5tate_71A ,LW- ,/ Ls the contractor exempt fiomlicensureunder section 469002(41,F S.? ❑'YES L -r+ri0 ❑ YES a yes 0 No ❑ n 0 No • • •• •• • • • • • • • • • Procest0 • • • • •• • Address tR 20 P. 0 (st-- • • • • •• • • • • Gty 1. � t �. ♦ �+•. ; � State�..— Zip CourttY - —�• • Site !z ..• !e41 i, r1e !C► " ' rt)WC ConsultanttrtspeoingSite Building Size 3420 (Square Feet) # of Floors 2 Building Age hi Prior Use: ❑School/CoJtege!Unive ity ❑ Residence 0Smatl Business ✓ Present Use: 0 -`-��J_ ❑ ence OSmalt Business `• f>tlrer �S,tM II. P.aciltiyOwnes i (n L r� j�t'i Phone; (764, • • • •• • • • 14, IV. Scheduled Dates (Notice must beriff!10 d ysbetorethepmiectStartdate/ Asbestos Removal (mmfdd/yy) startfinish: f3�)1 Demo/Renovation (mmldri ft) Start frnish V Desafption of planned demoptlonorrenovationsv rkto !llger%mtedandmezhodstobeemplaged, including demolition or renovation techniques to be used and desaiptron of affected fadlltycomponents. Pie/adores to heUsed (Check Millet Apply): 2rStrip R`JWetMethod and Removal 0 Glove Bag ❑ # Bulldozer 0 ( Wrecking Ball 0 Dry Method tt i Explode 0 Bum Dorm OFNER: VL Procedure for Unexpected RAO VIE A,bestpstaaster .:.. c Name_ Address 3D My VAL Waste Disposal Site: Name Addrell ts. 7O 0 .� city T�/�MIi�1/Y1,� ,' State _gyp t %l�i IX. RACM or ACM: irre> Including analytical methods, employed todete oche iaesence ofRACist and Category I and II notifiable ACM. Amount of RACM or ACM' square fleet surfadng mateiaf linear feet pipe rrrbit feetofRACM off faulty components and other squarefeet cemen66aus material squarefeet nasalentflooristg square feet asphalt raofing I certifythat the above information fs mrrectand that an individual site during the denolJYEon or renovation and evidence that the requeed • ) • rtoemal . r, , •.. hours. have read and understood theadditionat :iii. I)1 .0' L. raez-- trained in the provisions of this' regulation (4OCFR Part 61, Subpart M) wilJ be on - wlil be available forbnpeaion tone. tramming has beret eua,c, pAsinii by this person back of this infun •',Alan provided on the :m s Iti r, AA" 4,4 `11. i, I ail 1rr `7 �- 250 -57a o Inaure.il+, •;r#",., r )tiii (Contact piporte3 USE ONLY PostmarWDate Received ID # 161_ 1-153 IO/to DISTRIRU1101t White-RE:ft Yeirow-APOJa t Pink -Reserve Gold -Reserve • GEOTECHNICAL 1 ENVIRONMENTAL 1 MATERIALS i rai 1NG 1 ASBESTOS I ROOF TESTING 1 INSPECTION SERVICES I DRILLING SERVICES DEC C DYNATECH ENGINEERING CORP. •::::• .• r _ / WWW.DYNATECHENGINEERING.CO- • • Miami, August 7, 2017 Ms. Linsie Conn CMA DESIGN STUDIO 232 Andalusia Avenue Coral Gables, FL 33134 Re: Residential Home 1420 NE 10 I st Street Miami Shores, FL Dear Ms. Conn: •••• • • • • • • • •• • • • • • • . • • • • • • • • •• •• • • • • • • • • • • •• • • • • • • •• • •• • • • • ••• • Pursuant to your request, DYNATECH ENGINEERING CORPORATION (.DEC) conducted an asbestos building survey on August 4, 2017 at the above referenced project. The purpose of our inspection was to secure bulk samples for analysis to determine the presence of Asbestos Containing Building Materials (ACBM). The scope of our inspection was limited to the following areas: - Building at the above referenced project (see attached plan) Based on our laboratory analysis, it was evident that asbestos fibers were found in the following secured bulk samples: A- Category I Non -Friable Material: 1- Black A/C mastic behind wall mirrors was found with 5-7% Chrysotile fibers. Approximately 100 SF Sample #'s 12, 13 & 14. 2- Exterior window and doors caulking was found with 3-4% Chrysotile fibers. Approximately 20 Windows and 5 doors/ 10 SF Sample #'s 50, 51 & 52. A/C mastic and exterior windows and doors caulking are considered Category I Non -Friable material. This material is presently in good condition and does not need to be removed; however, in the event of renovation, where the A/C mastic and exterior windows and doors caulking will be disturbed and removed, all work should be conducted by a Florida -licensed Asbestos Abatement Contractor under full supervision of a Florida -licensed Asbestos Consultant and in compliance with Federal, State, and Local regulations. 750 WEST 84TH STREET, HIALEAH. FL 33014 PHONE (305) 82B-7499 PAX (305) 828-9598 EMAILINFOODYNATECHENGINEERING.COM • • • • • • • •• • • • • Page No. 2 1420 NE 101st Street, Miami Shores, FL Friable Asbestos -Containing Materials • • • • •• • • . • •• • • •••• • • •• • • ▪ • • ▪ • • • • • • •• Friable ACBM means any material containing more than one percent asbestos that when... dry can be crumbled, pulverized, or reduced to powder by hand pressure? Friable AC43 was found in the following bulk samples: • • . 1- White insulation from inside bathroom wall heater was found with 20-23%0Chrysatif fibers. Approximately 3 heater panels/6 SF Sample #'s 9, 10 & 11. • • • • •• • 2- White insulation from inside exterior front door light fixture was found with 15-20% Chrysotile fibers. Approximately 1 light fixture/1 SF Sample #'s 56 & 57. The above ACBM is considered friable and must be removed prior to any disturbance caused by renovation or demolition. All work must be conducted by a Florida -certified Asbestos Abatement Contractor under the full supervision of a Florida -licensed Asbestos Consultant. In the event that removal of the ACBM is not scheduled in the near future, an Operations and Maintenance (O&M) plan is recommended to minimize exposure to customers and workers to potential fiber release. This report is designed to aid the Building Owner, Architect, Construction Manager, General Contractors, and Potential Asbestos Abatement Contractors in locating ACBM. Under no circumstances is this report to be utilized as a proposal or a project specification document. This inspection report is the result of a customary search of the facility for ACBM. This survey was non-destructive in order to expose potentially hidden materials. This is not an AHERA SURVEY, We do not claim to have identified all of the ACBM present in the facility. Therefore; if, in the course of a renovation or demolition activity, suspect materials become exposed in concealed space (inside walls, ceilings, pipe chases etc..), all activities should immediately cease and the suspect material brought to our attention for evaluation and recommendation. DEC will not be responsible for these conditions. Client recognizes that actual conditions in areas not tested by DEC may differ from those anticipated in DEC's report. Client understands and accepts that this can significantly increase the cost of construction for its future projects. Client agrees that DEC shall not be responsible or liable for any variations in the actual conditions and amounts of areas not tested or excluded by DEC. 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. 2 750 WEST 84TH STREET, HIALEAH. FL 33014 PHONE (305) 828-7499 FAX (305) 828--9S88 EMAIL:SNFOODYNATECH£NGiNEERING•COM EC • • • • . • • • • • • • Page No. 3 1420 NE 101 st Street, Miami Shores, FL • . • • . ... .... • It has been a pleasure serving you at this phase of your project and look forward to idoing so in tee near future. • • • ▪ .... . .. .... Sincerely yours, " " "" • • . . • . Wissam Naamani, P.E. DYNA I'EECH ENGINEERING CORP. Engineer Florida Reg. No. 39584 Asbestos Consultant Number EA 0000045 Asbestos Business No. ZA 0000045 WNrne 3 • . . .. • 750 WEST 84TH STREET. HIALEAH. FL 33014 PHONE(305) 828-7499 FAX (305) 828-9598 EMAIL-INFO@DYNATECHENGINEERING.COM • .. • • • • ..• . • • . • . • • • • • • • DYNATECH ENGINEERING CORP. ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home @ 1420 NE 101st Street, Miami Shores, FL Surveyor No. : 09132004 Sample Type . Bulk Samples By: P.B Analysis: P.L.M./D.S. • . . .... . . .. .. . . . • . • .. .. . • .... . • .. . • . . . .... . : . • . . . • • • • • Sample No. Location Description Approximate Amount F NF 1-TSI, 2-SM, 3-MISC Conditigp. • Potential for . Analysis D Damage Interior Wall Core Sample Plaster Over Drywall Wall Throughout X 2 GIL NAD 2 Interior Wall Core Sample Plaster Over Drywall Wall Throughout 2 G/L NAD 3 Interior Wall Core Sample Plaster Over Drywall Wall Throughout X 2 G/L NAD 4 Interior Wall Core Sample Plaster Over Drywall Wall Throughout X 2 G/L NAD 5 Interior Wall Core Sample Plaster Over Drywall Wall Throughout 2 G/L NAD 6 Interior Wall Windows & Doors Caulking 5 SF X 3 G/L NAD 7 Interior Wall Windows & Doors Caulking Included Above 3 GIL NAD 8 Interior Wall Windows & Doors Caulking Included Above 3 GAL NAD 9 Interior Wall White Insulation Inside Bathroom Heater 3 Panels 6 SF 3 G/L 20-25% Chry 10 Interior Wall White Insulation Inside Bathroom Heater Included Above 3 G/L 20-25°% Chry F = Friable NF = Non Friable NAD = No Asbestos Detected CHRY = Chrysotile 1-TSI: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G = Good D = Damaged S = Significantly Damaged Potential For Damage L=Low M = Medium 11=High DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 • DYNATECH ENGINEERING CORP. ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home @ 1420 NE 10lst Street, Miami Shores, FL Surveyor No. : 09132004 Sample Type . Bulk Samples By: P.B Analysis: P.L.M./D.S. • • • • • ..• • .... • • .... . • .. .. . • . • • • • . • .. . • .. • • . • • . • . .. • . • • • . • • • • • . • • • • • Sample No. Location Description Approximate Amount F NF l -TSI, 2-SM, 3-MISC CondiEgry Potential for • • Analysis D Damage 11 Interior Wall White Insulation Inside Bathroom Heater Included Above Gil, 20-25% Chry 12 Interior Wall Black Mastic Behind Wall Mirror Mastic 10 SF Mirror 100 SF 3 G/L Mastic Only 5-7% Chry 13 Interior Wall Black Mastic Behind Wall Mirror Included Above Mastic Only 5-7% Chry 14 Interior Wall Black Mastic Behind Wall Mirror Included Above 3 G/L, Mastic Only 5-7% Chry 15 Interior Wall Plaster Over Concrete Block Wall With Mortar Throughout 2 G/L NAD 16 Interior Wall Plaster Over Concrete Block Wall With Mortar Throughout 2 G/L NAD 17 Interior Ceiling Core Sample Plaster Over Drywall Ceiling Throughout 2 G/L NAD 18 Interior Ceiling Core Sample Plaster Over Drywall Ceiling Throughout X 2 G/L NAD 19 Interior Ceiling Core Sample Plaster Over Drywall Ceiling Throughout X 2 G/L NAD 20 Interior Ceiling Core Sample Plaster Over Drywall Ceiling Throughout 2 G/L NAD F = Friable NF = Non Friable NAD = No Asbestos Detected CHRY = Chrysotile 1-TSI: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G=Good D = Damaged S = Significantly Potential For Damage L = Low M = Medium Damaged H = High DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 • DYNATECH ENGINEERING CORP. ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home @ 1420 NE 101st Street, Miami Shores, FL Surveyor No. : 09132004 Sample Type : Bulk Samples By: P.B Analysis: P.L.M./D.S. • . •• . •.• • . . .• .• • .. • . . . • •. .. • . • • ...• . • . • .. • • • . . . • •.•• • • • • • . • • • • • • • • Sample No. Location Description Approximate Amount F NF 1-TSI, 2-SM, 3-MISC Condit in' Potential for Damage • • Analysis 21 Interior Ceiling Core Sample Plaster Over Drywall Ceiling Throughout X 2 G/L NAD 22 Interior Ceiling Silver A/C Duct With Fiberglass Insulation Throughout X I G/L NAD 23 Interior Ceiling Silver A/C Duct With Fiberglass Insulation Throughout X 1 G/L NAD 24 Interior Ceiling Brown A/C Duct With Fiberglass Insulation Throughout X I G/L NAD 25 Interior Ceiling Brown A/C Duct With Fiberglass Insulation Throughout X 1 G/L NAD 26 Interior Ceiling White Fiberglass Insulation From Attic Throughout X 3 G/L NAD 27 Interior Ceiling White Fiberglass Insulation From Attic Throughout X 3 Gil NAD 28 Interior Floor Brown Wood Floor 600 SF X 3 G/L NAD 29 Interior Floor Brown Wood Floor Included Above X 3 G/L NAD 30 Interior Floor Brown Wood Floor Included Above X 3 G/L NAD F = Friable NF = Non Friable NAD = No Asbestos Detected CHRY = Chrysolite I-TS$: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G = Good D = Damaged S = Significantly Damaged Potential For Damage L = Low M = Medium H = High DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingb McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 DYNATECH ENGINEERING CORP. • ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home @u 1420 NE 101st Street, Miami Shores, FL Surveyor No. : 09132004 By: P.B Sample Type : Bulk Samples Analysis: P.L.M./D.S. • • • • • •• • • •••• • • • • • • • • •• •• • • • • • •. • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • Sample No. Location Description Approximate Amount F NF 1•TTSL•�• 2-Aft. 3-MISC Condition ° Poter ill• for •••• Damage Analysip••• • • 31 Interior Floor Ceramic Floor Tiles With Grout Over Concrete Floor 150 SF X 3 G/L NAD 32 lnterior Floor Ceramic Floor Tiles With Grout Over Concrete Floor Included Above X 3 G/L NAD 33 lnterior Floor Ceramic Floor Tiles With Grout Over Concrete Floor included Above X 3 G/L NAD 34 Interior Floor Peach Ceramic Floor Tiles With Grout Over Concrete Floor 1,000 SF X 3 G/L NAD 35 Interior Floor Peach Ceramic Floor Tiles With Grout Over Concrete Floor Included Above X 3 Gil, NAD 36 Interior Floor Peach Ceramic Floor Tiles With Grout Over Concrete Floor Included Above X 3 G/L NAD 37 Interior Floor Brown Laminate Wood Over Green Glue Over Concrete Floor 150 SF X 3 G/L NAD 38 Interior Floor Brown Laminate Wood Over Green Glue Over Concrete Floor Included Above X 3 G/L NAD 39 Interior Floor Brown Carpet Over Glue Over Concrete Floor 175 SF X 3 G/L NAD 40 Interior Floor Brown Carpet Over Glue Over Concrete Floor Included Above X 3 G/L NAD F = Friable NF = Non Friable NAD = No Asbestos Detected CHRY = Chrysotile 1-TSI: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G = Good D = Damaged S = Significantly Damaged Potential For Damage L = Low M = Medium H = High DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical identification of Asbestos No. 09132004 DYNATECH ENGINEERING CORP. • •• • ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home ( 1420 NE 101st Street, Miami Shores, FL Surveyor No. : 09132004 By: P.B Sample Type : Bulk Samples Analysis: P.L.M./D.S. • . •• .... . .. . • . • •• • • .... . . .. .. • .. • . . • . • • •... . . • . • • • . . . . • . • Sample No. Location Description Approximate Amount F NF 1-TSI, 2-SM, 3-MISC Cording,•'.' Potential for Damage Analysis 450 SF X 3 G/L NAD 41 Interior Floor Concrete Floor Slab 42 Interior Floor Concrete Floor Slab Included Above X 3 G/L NAD 43 Interior Floor Green Carpet Over Glue Over Concrete Floor 200 SF X 3 G/L NAD 44 Interior Floor Green Carpet Over Glue Over Concrete Floor Included Above X 3 G/L NAD 45 Exterior Wall Core Sample Plaster Over Concrete Block Wall Throughout X 3 G/L NAD 46 Exterior Wall Core Sample Plaster Over Concrete Block Wall Throughout X 3 G/L NAD 47 Exterior Wall Core Sample Plaster Over Concrete Block Wall Throughout X 3 Gil. NAD 48 Exterior Wall Core Sample Plaster Over Concrete Block Walt Throughout X 3 G/L NAD 49 Exterior Wall Core Sample Plaster Over Concrete Block Wall Throughout X 3 G/L. NAD 50 Exterior Windows/Door Window & Door Caulking 20 Windows 5 Doors/10 SF X 3 GA, Caulking 3-4% Chry F = Friable NF = Non Friable NAD = No Asbestos Detected CHRY = Chrysotile 1-TSI: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G=Good D = Damaged S = Significantly Damaged Potential For Damage L = Low M = Medium H = Iiigh DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 DYNATECH ENGINEERING CORP. . ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home @, 1420 NE 101st Street, Miami Shores, FL Surveyor No. : 09132004 By: P.B Sample Type : Bulk Samples Analysis: P.L.M./D.S. • • • . . .. . .... . . .... . . ..• .. • . . . . . . • ... .... . • .. . • . • • . • .... . .... • . • • . • • • • • • • . Sample No. Location Description Approximate Amount F NF I-TSI, 2-SM, 3-MISC Conditigp.'.•Analysis Potential for Dama&e 51 Exterior Windows/Door Window & Door Caulking Included Above 3 G/L Caulking 3-4% Chry 52 Exterior Windows/Door Window & Door Caulking Included Above 3 G/L Caulking 3-4% Chry 53 Exterior Windows Window Putty Throughout 3 G/L NAD 54 Exterior Windows Window Putty Throughout 3 G/L NAD 55 Exterior Windows Window Putty Throughout 3 G/L NAD 56 Exterior Light Ceiling White Insulation Inside Light Fixture 1 SF 3 G/L 15-20 SF 57 Exterior Light Ceiling White Insulation Inside Light Fixture Included Above 3 G/L. 15-20 SF 58 Roof Field Roof Tile Over Membrane Over Black Paper Over Wood Deck Throughout X 3 G/L NAD 59 Roof Field Roof Tile Over Membrane Over Black Paper Over Wood Deck Throughout 3 G/L NAD 60 Roof Field Roof Tile Over Membrane Over Black Paper Over Wood Deck Throughout 3 G/L NAD F = 'Friable NF = Non .Friable NAD = No Asbestos Detected CHRY = Chrysotile 1-TS1: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G = Good D = Damaged S = Significantly Damaged Potential For Damage L = Low M = Medium N=High DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 • DYNATECH ENGINEERING CORP. ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date : August 7, 2017 Client : CMA DESIGN STUDIO Project : Residential Home @ 1420 NE 101st Street, Miami Shores, FL Surveyor No. : 09132004 By: P.B Sample Type : Bulk Samples Analysis: P.L.M./D.S. • . • . . .. . . .... • • .... .. • . . • .... . .. . •. . • .. .... . .. .. .... . • . . . . • . . . . .. . . .. . . . . ..• • • . . . • . Sample No. Location Description Approximate Amount F NF I-TSI, 2-SM, 3-MISC Condition Potential for Damage Analysis 5 SF X 3 G/L NAD 61 Roof Field Black Bull From Vent Stack 62 Roof Field Black Bull From Vent Stack Included Above X 3 G/L NAD 63 Roof Field Black Bull From Vent Stack Included Above X 3 G/L NAD 64 Roof Field Mineral Surface Field Membrane Over Insulation Over Wood 200 SF X 3 G/L NAD 65 Roof Field Mineral Surface Field Membrane Over Insulation Over Wood Included Above X 3 G/L NAD 66 Roof Perimeter Black Bull From Drip Edge 50 SF X 3 G/L NAD 67 Roof Perimeter Black Bull From Drip Edge Included Above X 3 G/L NAD 68 Roof Perimeter Black Bull From Drip Edge Included Above X 3 G/L NAD F = Friable NF = Non Friable NAD = No Asbestos Detected CHRY = Chrysotile 1-TSI: Thermal System Insulation 2-SM: Surfacing Material 3-MISC. Miscellaneous Material Condition G=Good D = Damaged S = Significantly Damaged Potential For Damage L = Low M = Medium H = .High DYNATECH ENGINEERING Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 • • ••• • • • ••• • •• • • •• • •• •• • • • •• •• •• •• • . • •• • •. •••• •• • •• • •• •• • •. • • • • • 1 • • • • • • • • • • • • •• • • • • • • • • •• • • • ••• •• • • • • • • ••• • • • • • • •• • • Q9! • • • • ••b • �3 • • •• • • • • • • • • •Q1 ••• • 43 • •• ••• •• • • •• • • •• • • • ••• • • 24 42 2nd Lcvd 14 0 Asbestos Containing Building Material was found in sample collected. 0 21 50 49 DYNATECH ENGINEERING CORP. LL15N7, CMA DESIGN STUDIO SCALE: NTS x PROJECT:Residential Home 1420 NB 10lst Street Miami Shotcs, PL DATE.: OS-07-2017 • • ••• • • • ••• •• •• • • • •• Of • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • • • • • • •• • • • •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • ••• ••• • ••• • 0 • •• • • • •• ••• •• • • • • • • • • •• • • • • • ••• •• 66 Roof. DYNATECH ENGINEERING CORP. CLIENT: CMA DESIGN STUDIO SCALE.: NTS: x PKUIE.n., Residential Home @ 1420 NE IOlsi Street Miami Shores, FL DATE: 08-07-2017 t>QF-'its AN EME1 A COMPANY August 23, 2017 Elizabeth Allen 1420 NE 101st ST Miami Shores, FL 33138 •••• • • • • •••• • • • • •• • • • • • •••• • • •••• • • •• •• • • • • • • • • • •• • • • •• • •• • • • • •• •••• •• •••• • • • • •• • • • • Proposed Demolition: 1420 NE 101st ST, Miami Shores, FL 33138 After a review of our facilities within the above referenced areas, we would like to inform you that Teco Peoples Gas has no active service lines to said property. If you- are planning to excavate the surrounding area of the work site, please contact Sunshine State One Call of Florida by dialing 811 at least 48 hours in advance, there might be other underground utilities. By contacting SSOCOF, the risk of personal injury and property damage can be reduced. You can get the latest information on SSOCOF by visiting their web site at www.callsunshine.com. . If you have any additional questions concerning the above, please contact me at 305-957-3857, extension 77247. Sincerely, De'Lesha Mickel' for Jesus Vega Jr. Territory Manager PEOPLES GAS 15779 W Dixie Hwy NORTH MIAMI, FL 33162 AN EQUAL OPPORTUNITY COMPANY Prepared by: L. FAX 305-957-3804 HTTP:NWV W.TECOENERGY.COM • • • • • • •• • • • G7 Holdings, Inc Garbage Roofing Demolition January 19, 2018 Village of Miami Shores Building Department 10050 NE 2 Ave Miami Shores Village FL 3313 RE: 1420 NE 1015t Street — Demolition Permit To Whom it May Concern, • • • •••• • • • ••• • • • • • • •••• •• • • • ••• • • ••••• • • •• • •• • • • • • • • •• •• •y•• • • • • • • • •• • • • • • • • • • •• • •• • • • •• • This will serve as Official Notice that G7 Holdings, Inc. has worked with Miami Dade Water & Sewer Department, Florida Department of Health, and Kings Plumbing Services to prepare the above referenced site for Total Demolition. We have filed a Cut & Cap permit with the Village of Miami Shores to disconnect the water service to the premises, but have left the meter in place to provide access to water during demolition to assist with Dust Control and during construction for everything including watering the plants. We have filed a pump and abandon permit with Florida Department of Health. Please expedite the permit for demolition based on the sub -permits attached. FYI - your requirements state, "Provide copy of notification to utility companies for discontinuance of services such as gas, water, electric, etc..." Based on dust control requirements for demolition, you should not include Water as it is required for demolition & construction on a regular basis. Greg Davis GM • • 8600 NW 36th Avenue www.G7holdings.com Miami, FL 33147 FPL January 23, 2018 To Whom It May Concern Re: 1420 NE 101ST ST •.•• • • •••. • • • •• • • • • • • • • • • • •••• • •• • • • • • •• • • • • • • • •• •••• • • • •• •• •.•• • • • • • • • • • • • • •• • •• • • • • •. • Effective 01/23/18, 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, Jaimmy Cervantes Associate Engineer 305-770-5382 An FPL Group Company • • • • Ship Shape Pest Control 4624 N Powerline Rd Deerfield Beach, Fl 33073 Phone: (954) 429-9906 Toll Free Number: (800) 543-1319 www.pestdepot.com January 23, 2018 To whom this may concern; This letter is regarding the property located: 1420 NE 101 St Street Miami Shores, FL 33138 .... . . •• •••• • •. ..• • • • .... • • •••• • • ...., • •. • • • • • ..• • • • • • .. • • • •. • • .. • • ••• • •••• • • • • • • • • •• • • • • • • .. • This property was inspected for an infestation of rodents and found to be free and clear of any rodent activity. If you have any questions or concerns please feel free to contact us at the numbers above. d Regards, n Kravitsky Ship Shape Pest Control G7 HOLDINGS, INC. Garbage • Recycling ♦ Demolition February 5, 2018 Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FL 33138 Re: 1420 NE 101st Street — Demolition To whom it may concern, CGC1519552 RECEIVED FEB 0 5 7l13 e((c(( Our firm has been contracted to demolish the subject single family house. The scheduled start date for the demolition is February 15, 2018. Thank you for your assistance and please contact me should you have any questions. Sincerely, G7 Holdings, Inc. Greg Davis, GM STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me, this day of f~.irruaer 2018, by Are' Q+v6 otary Public) i et Crista Stefanick Commission i1 GG167243 1'��„• -• Bonded thru Aaron Notary 1602 Alton Road #602 www.Garbageman.com Miami Beach, FL 33139