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DEMO-19-2817A"g-_ ro L � 7 UF�gO-IFJ�-281� Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:12/12/2019 Location Address Parcel Number 1343 NE 104TH ST, Miami Shores, FL 33138 1122320320010 Contacts Permit NO.: DEMO-11-19-2817 Permit Type: Demolition Work Classification: Residential Permit Status: Approved Expiration: 06/09/2020 AWADH ABDULRAHMAN AWADH Owner HOME OWNER Contractor 1343 NE 104TH ST, Miami Shores, FL 33138 HOME OWNER Home: 3057730012 AW @AWADWATCH ES.COM Description: FLOOR TILE REMOVAL, DRYWALL CEILING AND Valuation: $ 10,0on Requests: 00.00 Inspection titi4949 WALLS REMOVAL, REMOVE CABINETRY, REMOVE BATHROOM CABINETS, REMOVE SHOWER DOORS, REMOVE INTERIOR Total Sq Feet: 2,728.00 DOORS. I --i Fees Amount Application Fee - Other $50.00 Building Demoloition Fee $50.00 CCF $6.00 DBPR Fee $7.50 DCA Fee $5.00 Education Surcharge $2.00 Scanning Fee $9.00 Technology Fee $12.50 Total: $142.00 Payments Date Paid Amt Paid Total Fees $142.00 Credit Card 11/25/2019 $50.00 Credit Card 12/12/2019 $92.00 Amount Due: $0.00 Building Department Copy 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 apcl7that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named c ctor to do the work stated. Authorized Signature: Owner / Applicant / Contractor Agent 2 /2 Date December 12, 2019 Page 2 of 2 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING RECEIVED N V 2 5 2019 BY:IL ^�FBnC� 20 t Master Permit No. -C o — k k J Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING []MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1343 NE 104 ST City: Miami Shores County: Miami Dade ZiD: Folio/Parcel#: 11 -2232-032-0010 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFEFFE: �1 OWNER: Name (Fee Simple Titleholder):Awadh Abdulf ahman Awadh Phonk ✓0S — Address:1343 NE 104 ST city: MIAMI SHORES State: FLORIDA Zip: 33138 Tenant/Lessee Name: Phone#: (305) 773-0012 Email: aw@awadwatches.com CONTRACTOR: Company Name: BY OWNER Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration M Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $10,000 Square/Unear Footage of Work: 2728 SF Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace IN Demolition Description of Work: FLOOR TILE REMOVAL, DRYWALL CEILING AND WALLS REMOVAL, REMO' REMOVE CABINETRY, REMOVE BATHROOM CABINETS, REMOVE SHOWER DOORS, REMOVE INTERIOR DOORS. Specify color of color thru tile: Submittal Fee $W, � Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ -Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State 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 , Signature O NER or GENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this I q— day y�of N Oy . 20 19 by day of . 20 . by Aviab# 1 f3py2Qa1yM A)who is personally known to , who is personally known to me or who has produced rbL �2:ZQ2 -401 ,-*4001-0 as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Sign: PrH: +'.: PETER PAUL FLEITA5 "/ Print: Seal ;+. MY COMMISSION # GG091440 Seal: 1 wr•+�►*r****r*wr**�**war*rrr****« ***r *r********************s*****�************«•s********■*r*�r■r+�w**•** APPROVED BY Li Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT �^ NAME: —A U A AwJ�DATE: ADDRESS: l �L�� AIL— l D4�f� �4t-eA , A cCA,Lo , Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial l 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand tha I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on per+ancontracts. Initi4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuo build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law wi:l presume that I built or substantially improved it for sale or lease which violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor w o is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. 1 understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:/Jwww.mvfloridalicense.com/­dbpr/­pro/cilb/index,html Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores viiiage immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this ,� day of �6kmo—t- 2 20 / By_IN��F� fUC'�iM1� who was personally known to me or who has Produced there License or-T-(— MUE(Z--' Ut) v-" W N R identification. NOTARY SINMA ALVARE :.= ti1Y COMPOISSION # CG 238273 EXPIRES: September 3, 2022 Bonded Thru Notary public Underwriters Page 1 of 2 Rapid Title Serrvim Company 100 Biscayne Blvd., Suite 303 Miami, Florida 33181 Thu Uaersatm ! r o"" By RICHARD A. GOS EU ESQ. iCRi1t�R GtJLD81i i 61K P A. 12000 f3ISCAYIM BLVD., #303 MIAX1 FL 33181 RISC k=La ## 221-19P Pared (D tvaarsw.. 11-2232-032-0010 ''"warranty Deed This Indenture, Made this 4A day of October RAT" DZWOMXMICZ, a single woman I IIIIII III llll� I�III IIIII' INI� IIIII 111111 C N 2019RO69223Z OR U 31676 Psis 538-839 (2fts) RECOROEO 11/041201P 14128100 GEED DOC TAX $49950»00 HARVEY RUVINP CLERK OF C M T MIAMI-OADE COLWTY# FLORIDA , 2019 "_ Between of ft cowdy of Volusia , state of Florida , grantor, secs AMOR ASDULPARION AMWR and SARAH MOBANMD HADRL" W, husband and wito whasc admen is: 1343 tE 104 STRZET, M1AMI-S ORES, FL 33138 of the Caumy of WMAMI-DADS , Slut of FE.ORZDA , grantee3. Witnewth one the GRANTOR. for and iwwwwas6w of the rim of ------------------------2sw DOLL11'ttli ($10)----------------------- f GUARS. and odw vwd and valuO* omsidmtm to GRANMR. d head P*W by GRANT= dte mox vt whcmf a bmby mod, bw bn ra8+od .rd tabs a tAa seed GRANTEES ate GRANTEES bcirs womasivfcv,iariowitdccbnnbnd. s*aW . 1yir4 snd bcb# ie the Ca wty of MIAik(,'I -DADa State of 1WRiDA to wit Lot 1, Block 3, River Hay Park Addition, according to the plat thereof as recorded in Plat Hoak 40, Pago 72, Public Records of Miami -Dude County, Florida. and the pvmw duet bmby ibay warraw die We a said tm4 surd +oil defend the sere naunt bwfW emotes of so Owsom whoweever. Law 6war�ifiyOtK�tb,tewiwatee. (0371�1iSfS PamiPUk1Y1 Book31676/Page538 CFN#20190692235 Page 1 of 2 https:Honlineservices.miami-dadeclerk.com/officialrecords/CFNDetailsHTML5. aspx?QS... 11 /25/2019 Page 2 of 2 Warranty Deed -Pate 2 rsmd w Neew►er. 11-2232-032-0010 OR SK 31676 PG 539 LAST PAGE ID %MtONS Whar 04 dwe armor bamft so by hind mwd Wd dwe dry and ym fiM &OW wriam Shod, sated and dettvered to our reuses: h Printed Name: KXWft DZU004CMICZ Wltn*4 ! P.O.Ads:4MCHARDONNAY LANE,MWO"S"A*FL32129 Non*: Witness STATE OF Florida COUNTY OF miani-Dadwo "ru five$*$ haerUMW wa sdwowledsed bdowt ere wbie 29th +dry or October w 2019 by KATHY DZWONKMICZ, a ainglei woman who is persawrRy Iknowe to meow wbo ba pro&we d bwx Vlorida driver w s lice* saw U idMirkmi". Printed ' : Notary lies bey Com obsmPzpimc 221-19A �+STACY rr • ftyu jm AMreaew IAff*MM wdkr VA0Wtywwt Me. Wit (M)?e -MI rwsfli V4 Book31676/Page539 CFN#20190692235 Page 2 of 2 https:Honlineservices.miami-dadeclerk.com/officialrecords/CFNDetailsHTML5.aspx?QS... 11 /25/2019 Limited Preliminary Asbestos Sampling Report Asbestos Sample Results: Negative: Asbestos Not Detected Property Address: 1343 NE 104th Street, Miami Shores FL 33138 Prepared For: Juan Garcia for Daniel Kassab or Awadh Baswedan Inspection Date: 11/14/19 Report Date: 11/19/19 Inspection By: Barry Dennis Report Produced By: Wylie White, AHERA #51214196 Work Performed Under the Authority of and Peer Review Completed by: Max White (FL Asbestos Consultant License AX88) Inspection Servicing Office Adaptive Environmental Consulting Coral Gables, Florida Office Phone: 305.420.5525 Office Fax: 888.987.4437 Office Email: admin@adaptivefl.com Proprietary Norice This report contains CONFIDENTIAL INFORMATION published for Client's sole use. Report use by any other party is not permitted withoutAEC's written authorization. Any use by other than Client is at user's sole risk and liability regardless of how the party became beneficiary to report, including when report is provided by Client or byAECat Client request. No warranties or representations, either expressed, implied or written, no matter the context, are extended or made to any party other than Client. All rights are reserved, and report is copyrighted. This report cannot be reproduced, duplicated or copied in any form or under any circumstances in part or whole absentAEC written permission. This includes any electronic delivery, transmission or digital copy. Report use or duplication absent full paymentforAEC services per payment terms is a copyright violation and considered intellectual property infringement. Any report usage or reproduction by any party is subject to AEC- Client Engagement agreement, report conditions and limitations, payment terms and additional service fees. 1 I Page Limited Asbestos Sampling Report / Property Address: 1:34:3 NE 104th Street, Miami Shores FL 33138 / Report Date: 1 1 / 19/ 19 AEC provides 30-day payment terms. Billing delays do not alter terms or service fees. Billed amounts and invoices are discounted for cash or check payment. Creditcard payments are at non -discount rate, invoice amountplus 5 percent (+5%). Invoice re -billings occur every 30-days and incur a $25 labor processing fee. Unpaid amounts after 30-days incur 1.75% per month interest (21 % yearly) on all balances. Unpaid amounts after 60- days are subject to lien on service address at Client's expense, minimum $995. Unpaid amounts after 90-days are in default and submitted to third -party collection. Client directed third -party billing to insurance carriers, contractor, and other parties do not alter terms. Client is responsible for all collection and term fees including, though not limited to, any legal, attorney, interest, associated re -billing, lien fees and all re -billing or collection labor fees incurred or billed by AEC or AEC representing parties. Additional AEC fees apply to all Client or Client representative requested labor including, though not limited to, post -remediation verification services ("clearances"), supplemental site visits, documentation and work product requests, report, data or finding reviews, reviews, and any invoice negotiation, discussion or collection action. Insurance carrier is, under Engagement, a Client representative and all carrier requests and communications are additional billable labor regardless of request or communication purpose. Supplemental fees are billed to Client and are Client's responsibility to pay. Client accepts full responsibility for additional service billings if fees are not paid by Client representing party. Payment terms apply to all supplemental billings. All AEC labor related to, in support of or associated with legal services of any kind, including any services which involve any attorney or like - representative are billed at AEC legal service labor rates, including service minimums, regardless if AEC is designated as an expert or not and regardless of initiating party. Service & Report Acceptance Statement Report acceptance or use in any manner by Client or Client representative acknowledges Client's acceptance of AEC services, as well as this report, Engagement considerations, invoicing and payment terms (collectively, Service Items). Client disputes must be submitted to AEC in a verifiable written form, with AEC reply, within 72 hours of sending or completion of Service Items. Service Items not disputed within 72 hours confirms Client's full acceptance of Service Items and affirms Client's responsibility for service payment, supplemental labor billings and service fees. Any report, work product or data distribution, reliance or consideration, either through verbal, written, published or electronic distribution by Client or Client representative or at Client direction to any party, even if performed by AEC, constitutes and acknowledges Client's full acceptance of Service Items including payment terms regardless if 72-hour period has passed, and voids all Client disputes regardless of distribution date or, reliance and/or dispute. The Inspection and this report are designed to aid Client in attempting to locate building materials containing asbestos fibers within the Sampling Area of Permitted Sample Material. Under no circumstances is this report to be utilized as a bidding document or a project specification document since it does not have components required to serve as an asbestos project design or abatement work plan. Adaptive Environmental Consulting Group, Inc. Corporate Offices: Las Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website:adAphymu.com/Emafl:adinia@idqayf&iLysDm Servicing Field offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 2 of 12 limited Asbestos Sampling Report / Property Address: 134:3 NE' 104th Street, Miami Shores F1. 33138 / Report Date: l 1 / 19/ 19 1 1.0 ENGAGEMENT INFORMATION 1 1 Engagement Information & Ins_pection Terms On 11/14/19, Adaptive Environmental Consulting (AEC) representative, Barry Dennis (Consultant), was granted access to 1343 NE 104th Street, Miami Shores FL 33138 (Property), to perform a limited building material sampling to assess if presumed or suspect asbestos containing materials support asbestos fibers and as such require regulatory considerations as directed under varied federal, state and local laws and regulations. AEC was engaged by Juan Garcia for Daniel Kassab or Awadh Baswedan (Client) under AEC's standard service agreement (Engagement) and initiated services pursuant to Client's authorization and agreement to report included payment terms. Consultant performed services per AEC practices and Engagement considering report listed applicable regulatory practices, sample limitations and exclusions (collectively hereinafter, "Report Considerations"). Client, unless noted differently in report, established the defined "Sampling Area" and to -be sampled building materials based on Client need or other party -directives. Consultant attempts to align sampling to US EPA Asbestos Hazard Emergency Response Act (AHERA) [40 CFR 763, Subpart E] and as referenced in OSHA's Asbestos Standard for the Construction Industry [29 CFR 1926.1101] provided "homogeneous" materials as determined by texture, install date and general appearance. Sampling is then performed, per homogeneous material, based on AHERA recommendations based on material type (surfacing material, thermal system insulation or miscellaneous materials) and estimated quantity of material for Client need to determine required per -material type samples (7, 5 or 3). Client and site parties were advised asbestos sample collection damages building material surfaces. Sampling was permitted to -be collected after such communication. AEC is not responsible for sample damage repair to any surface. Surface repairs are Client's responsibility at Client's cost. This report fulfils Engagement and lists laboratory analysis of permitted collected and laboratory submitted building material. Any services including project planning, project design, additional site visits or supplemental sampling or sample analysis will be under secondary agreement and subject to additional fees. Property involved parties may be legally represented. Work is not to occur at Property, to any extent, unless approved and coordinated with legal representatives in writing. ------------------------ 1.2 Sampling Area & Suspect Material Client defined, and service authorized areas creating "Sampling Area" were: • Interior occupiable areas. o Planned material disturbance — per client representative. Client defined, and permitted to -be sampled building materials creating "Permitted Sample Material" within Sampling Area was confined to: • Interior surfaces: o Walls systems o Ceiling systems o Floor covering and adhesives o Wall tile, set product and grout o Fireplace/Hearth Services were limited to Consultant determined accessible, observable and touchable surfaces within Sampling Area and the collection of Permitted Sample Materials only non -listed building materials were not sampled. AEC did not move personal property, building materials, or debris nor did AEC perform intrusive investigation or lift floor coverings. 2.0 SAMPLING AREA CONCLUSIONS 2.1 Initial Conclusion Statements AEC collected 17 construction material samples which were submitted for laboratory analysis under chain -of -custody. Laboratory analysis supports: • Asbestos fibers were not identified within laboratory analyzed samples. These materials are considered "not detect" for asbestos. 2.2 Specific Material Conclusions 2.2.1 Asbestos Containing Materials (ACM) Building materials deemed asbestos containing materials (ACM; greater than 1%) and subject to regulatory handling compliance are: • Asbestos containing materials (ACM) were not identified in sampled materials. --------------------------------------------------------------------------- 2 2 2 Trace asbestos containing materials (TACM) or Asbestos containing construction materials (ACCM) Construction materials deemed "trace" asbestos containing materials or asbestos containing construction materials (TACM or ACCM respectively; less than 1%) and subject to regulatory handling compliance are: Adaptive Environmental Consulting Group, Inc. Corporate Offices:1m Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: adAptyccw=/ Email: admu1@AdApUy=yopm Servicing Field offices: Nevada / California / Arizona / Tesas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 3 of 12 Limited Asbestos Sampling Report I Property Address: 1343 NE 104th Street, Miami Shores FL 33 138 1 Report Date: I I , P, 11 • Trace asbestos containing materials (ACM) or Asbestos containing construction materials (ALCM) were not identified in sampled materials. Building materials which were not sampled and reported by AEC are to be considered asbestos containing materials (Presumed Asbestos Containing Material [PACM] or Suspect Asbestos Containing Material) unless rebuttal sampling is performed. Wall and ceiling cavities, as well as floor systems, can support non -sampled materials which contain asbestos, including at minimum, discarded wall or floor layers, in -cavity insulative materials, wires, plumbing and HVAC, and tile set concretes, applied skims, mortar, grouts and leveling materials. Concrete slabs often support asbestos containing pipes, wires and material layers like vapor or aerocel systems which are considered not accessible to AEC and contain asbestos. Contractor is to verify all material disturbances against report listed Sample Areas and Permitted Sampled Materials. --------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------- 2.3 Additional Conclusion Statements Provided site conditions or supplemental Client request, AEC provides the following additional conclusions: • Additional conclusions are not being provided by AEC at this time. 3.0 — SAMPLE ANALYSIS & DATA 3.1 Laboratory Analysis Chart Asbestos sampling authorized by Client, collected by AEC and laboratory analyzed was: Client: Adaptive Environmental Consulting I11, Inc.: Coral Gables CIO: Wylie White Re: 1343 NE 104th St. Miami Shores FL; ASB ASBESTOS PLM REPORT Date ofSubmittal: l 1-14-2019 Date of Receipt: I 1-15-2019 Date of Report: 1 1-18-2019 Location: A-1: Chimney Right Side Comments (see below) None Lab ID -Version$: 10930075-1 Sample Layers Asbestos Content Cream Brick with Paint ND Gray Mortar ND Sample Composite Homogeneity: Good Comments: Location: A-2: Chimney Left Side Comments (see below) None Lab ID -Version$: 10930076-1 Sample Layers Asbestos Content Cream Brick with Paint ND Gray Mortar ND Sample Composite Homogeneity: Good Comments: Adaptive Environmental Consulting Group, Inc. Corporate Offices: Ias Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: adaotiveenv com /Email: aSLulp@ddappY2eAv.wm Servicing Field offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 4 of 12 Limited Asbestos Sampling Report / Property Address: 1343 NE 104th Street, Miami Shores F1,33138 / Report Date: 11 / 19/ 19 Location: A-3: Chimney Right Side Wall Comments (see below) None Lab ID -Version$: 10930077-1 Sample Layers Asbestos Content Cream Brick with Paint ND Gray Mortar ND Sample Composite Homogeneity: Good Comments: Location: B-1: Gran wall West Comments (see below) None Lab ID -Version$: 10930078-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Texture with Paint ND Composite Non -Asbestos Content: 15% Cellulose Sample Composite Homogeneity: Moderate Comments: Location: C-1: Blue Wall East Left Comments (see below) None Lab ID -Version$: 10930079-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Texture with Paint ND Composite Non -Asbestos Content: 30% Cellulose Sample Composite Homogeneity: I Moderate Comments: Adaptive Environmental Consulting Group, Inc. Corporate Offices: Las Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: gtja ,co / Email: admin@a aphvanv.mm Servicing Field Offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servidng office contact information Page 5 of 12 Limited Asbestos Sampling Report / Property Address: 1343 NE 104th Street, Miami Shores 1, L 33138 / Report Date: 1 I / 19/ 19 Location: C-2: Blue Wall East Right Comments (see below) None Lab ID -Version$: 10930080-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate Comments: Location: D-1: Floor off of Living Room Comments (see below) None Lab ID -Version$: 10930081-1 Sample Layers Asbestos Content Light Gray Ceramic Tile ND Brown Grout ND Gray Thinset ND Sample Composite Homogeneity: I Good Comments: Location: D-2: Floor off of Living Room Comments (see below) None Lab ID -Version$: 10930082-1 Sample Layers Asbestos Content Light Gray Ceramic Tile ND Brown Grout ND Gray Thinset ND Sample Composite Homogeneity: Good Comments: Adaptive Environmental Consulting Group, lnc. Corporate OBiiors: Us Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Wehsite: adAt mm / Email: ad=@&dapgvssnv.cam Servicing Field Offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 6 of 12 limited Asbestos Sampling Report / Property Address: 1343 NE 104th Street, Miami Shores FL 3:3138 / Report Date: 11 / 19/ 19 Location: E-1: Floor near fireplace Comments (see below) None Lab ID -Version$: 10930083-1 Sample Layers Asbestos Content Brown Ceramic Tile ND Brown Grout ND Sample Composite Homogeneity: Good Comments: Location: E-2: Floor near East Wall Comments (see below) None Lab ID -Version$: 10930084-1 Sample Layers Asbestos Content Brown Ceramic Tile ND Brown Grout ND Sample Composite Homogeneity: Good Comments: Location: F-1: Floor near Chimney Right Comments (see below) None Lab ID -Version$: 10930085-1 Sample Layers Asbestos Content Brown Ceramic Tile ND Gray Grout ND Sample Composite Homogeneity: Good Comments: Location: F-2: Floor near Chimney Left Comments (see below) None Lab ID -Version$: 10930086-1 Sample Layers Asbestos Content Brown Ceramic Tile ND Gray Grout ND Sample Composite Homogeneity: Good Comments: Adaptive Environmental Consulting Group, Inc. Corporate Offices: Las Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: ada .co / Email: fldmm@j ot_y=ymm Servicing Field Offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servidng office contact information Page 7 of 12 Limited Asbestos Sampling Report / Property Address: t 343 NE 104th Street, Miami Shores 171-33138 / Report Date: 11 / 19/ 19 Location: G-1: Ceiling Living Room center Comments (see below) None Lab ID -Version$: 10930087-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: I Moderate Comments: Location: G-2: Ceiling Den West Comments (see below) None Lab ID -Version$: 10930088-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate Comments: Location: G-3: Ceiling Den East Comments (see below) None Lab ID -Version$: 10930089-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate Comments: Adaptive Environmental Consulting Group, Inc. Corporate Offices: Ida Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 website: adiptbi=,cp / Email: admin0a xo yeeny.com Servicing Field Offices: Nevada / California / Arizona / Teas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite servicing Offices: Illinois / Massachusetts Refer to cover page for serviang office contact information Page 8 of 12 limited Asbestos Sampling Report / Property Address: 1343 NE 104th Street, Miami Shores FL 33138 / Report Date: 1 1 / 19/ 19 Location: G-4: Ceiling Den North Comments (see below) None Lab ID -Version$: 10930090-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate Comments: Location: G-5: Ceiling off Kitchen Comments (see below) None Lab ID -Version$: 10930091-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate Comments: The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by any agency of the federal government. Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1%unless point counting is performed. I A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x". Refer to attached laboratory sample data sheets for asbestos sample site locations, sampled building materials and building systems and laboratory analysis including asbestos type and content (percentage) when asbestos fibers were identified. ------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------- 4.0 —RELEVANT INSPECTION INFORMATION & AUTHORIZED SERVICES 4.1 Inspection Relevant Information Relevant information considered provided by Client or through involved parties for Inspection and report purposes was: • No additional information was considered by AEC for Inspection purposes or report production at this time. • Property is currently involved in a: Pre -water restoration, construction or other renovation or demolition action evaluation. 4.2 Additional Client Authorized & Engaged Actions Client authorized and engaged AEC to complete these Inspection related services as directed: • Limited intrusive actions were performed at Client authorization. AEC is not liable for repairs. Repairs are at Client's expense. • No additional services outside report indicated services were authorized by Client. Adaptive Environmental Consulting Group, Inc. Corporate Offices: las Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Wehsite: SdIIpd)=w,ou / Email: admin0sjdanfiveenv co Servicing Field Offions: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 9 of 12 Limited Asbestos Sampling Report / Property Address: 1343 NE 104th Street, Miami Shores FL 33138 / Report Date: 11 / 19/19 -------------------------------- 5.0 — ENGAGEMENT CONSIDERATIONS AEC's services were performed in accordance with customary principles and practices as provided by AEC like -qualified Indoor Environmental Professionals (IEPs), or per AEC practices considering Engagement and known property conditions. No other service guarantee or warranty is offered. This statement is in lieu of other statements either expressed or implied. No party other than Client is not to rely on or use this report in any manner absent AEC written authorization. Third -party usage is at Client's and third-party's sole liability. Client is solely responsible for report use and AEC shall not have any liability with respect to any decisions made or any actions taken by Client, their subsidiaries, suppliers, employees, agents, contractors, affiliates or attorneys, based on Inspection findings, report conclusions and report recommendations, or lack thereof. Client constraints limited AEC services and may have impeded AEC's ability to identify presumed or suspect asbestos containing materials or collect samples. Sampling Areas, and Property, support latent or concealed materials which can support unidentified presumed or suspect asbestos containing materials, and asbestos containing materials. Non -observable, inaccessible and impractical to access areas and surfaces are excluded from Inspection, all forms of sampling and report considerations even though such areas may support presumed or suspect asbestos containing materials. Excluded areas, at minimum, are: wall and ceiling cavities; HVAC systems; floor product concealed areas; materials behind wall coverings, cabinets or other obfuscating items; all limited or no access areas; attic, basement or other areas concealed or made inaccessible by insulation, construction, ducting, belongings, or equipment; and areas concealed by appliances, personal property or other like items including stored materials. Evaluation of such areas and the building materials within are contractor's responsibility and if non -sampled areas or buildings materials are identified and to be disturbed. Client asked AEC to render professional opinions and recommendations based on incomplete or potentially invalid information and statistical data, limited Property observations, limited or absence of sampling and various assumptions about Property based on Consultant experience and Property accessibility. Client accepts AEC opinions, recommendations, sample collection and sample analysis carry use and reliance limitations and may, given industry conflicts, technology limitations and Engagement create false or inaccurate Inspection assumptions and reliance. Reporting errors or omissions may be present or have occurred in the publishing of this report. Unless specifically provided for within published Engagement or this report, AEC disclaims all representations and warranties, whether expressed, implied or statutory, related though not limited to, any service, finding, report consideration, Inspection methodology and third -party information. AEC is not liable for special, indirect, incidental, punitive, or consequential damages of any kind regardless of form of action whether in contract, tort (including negligence), product liability or otherwise arising from or related to AEC services or this report. AEC accepts no responsibility or liability to any person or organization for any loss or damage claim, including attorney, legal fees or income loss, caused or believed to be caused, directly or indirectly, by conditions not identified by AEC or their representatives, not revealed by laboratory analysis or were misreported by laboratory or third -party, were detectable under other chemical analysis or alternative sampling methods, were identifiable through additional or alternative sampling points or sample locations, or by failure to recommend additional services above those authorized by Client. Information provided to AEC is considered truthful and accurate. AEC is not responsible for conditions intentionally concealed, withheld or not fully disclosed nor is AEC responsible to verify information accuracy. Information not published in report was not considered. AEC makes no warranty water -based contaminants, mold or other issues or contaminants of any type were identified or reported. It is Client's and work performing party's responsibility to comply with laws and regulations and all parties proceed at Property at their sole liability related to damp space issues and other contaminants. AEC is not required, nor engaged, to make any comments or recommendations even when such damp space issues or other contaminant concerns are readily identifiable or potentially present. Regulations, laws and industry standards and guidelines considered in report are based on Consultant's knowledge and document understanding at time of service. Document interpretation and application vary between IEPs. Interpretations are reliant on professional experience and judgement. AEC cannot anticipate future industry interpretation adjustments or technology, industry or regulatory changes. The completed Inspection is not an all-inclusive asbestos assessment, nor was it technically exhaustive. The fee charged was substantially less than such services. Services are not meant to replace or mimic a comprehensive asbestos survey, indoor air quality investigation or assess the extent asbestos or other contaminants may have on non -inspected areas, Sampling Areas, Property or to adjacent properties. Inspection is not a health assessment or risk analysis. A licensed medical professional should be consulted for medical opinions, occupancy and exposure risks. If any Court of Law, Arbitrator, Mediator, Tribunal, or any other entity capable of enforcing the contents and covenants contained within Engagement or report declares AEC has financial liability of any type, AEC's liability is limited between Client and AEC agreement to the amount of the services in dispute or $1,000.00, whichever is greater. The invalidity or unenforceability, in whole or in part, of any provision, statement, term or condition within report or Engagement shall not invalidate or otherwise affect the enforceability of the remainder of the provisions, statements, terms or conditions. AEC reserves its right to modify any report consideration if supplemental information is discovered or presented, or additional services are engaged, or not. Report is based on findings, data and information as understood by AEC or Consultant which was provided at Inspection. Adaptive Environmental Consulting Group, Inc. Corporate Offices: Las Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: ukphy=.mm / Email: adnim@Adapp=y = Servicing Field Ogees: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 10 of 12 Limited Asbestos Sampling Report / Property Address: 1343 NE 104th Street, Miami Shores FL 33138 / Report Date: 11 / 19/ 19 I hereby certify I am responsible for the services described in this document. Services described in this document have been provided in a manner consistent with current standards of the profession and to the best of my knowledge comply with all applicable federal, state and local statutes, regulations and ordinances. Respectfully submitted, Barry Dennis (AHERA Building Inspector Certificate #: 167932) AEC Field Consultant 504.864.6094 barry d(c� adaptivefl.com ��) , C�F �� Wylie White (AHERA Building Inspector Certificate #: 51214196) AEC Field Consultant Adaptive Environmental Consulting III, Inc. (FL Asbestos License #: ZA487) Cell: 305.775.8196 / Email: Mliew@adgptivefl.com Work Performed Under the Authority of and Peer Review Completed by: Max E. White (FL Asbestos Consultant License AX88) Report Reviewed or Peer Reviewed: Standard In -Office Adaptive Environments] Consulting Group, Inc. Corporate offices: Us Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: ada>Ay=_Izum / Email: admin@adAPdveenv co Servicing Field Offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 11 of 12 Limited Asbestos Sampling Report / Property Address: 1343 NE 1O4th Street, Miami Shores FL 3:3138 / Report Date: 11 / 19/ 19 APPENDIX A: Laboratory Sample Analysis & Data Sheets If laboratory sample analysis and sample data sheets are not attached to this report or included with email or report delivery this was in error. Please contact AEC for laboratory sample analysis and data sheets if not attached or if any questions exist about these items or this report. Adaptive Environmental Consulting Group, Inc. Corporate Offices: Las Vegas, NV Toll Free: 855.266.6689 / Direct: 702.987.3347 / Fax: 888.987.4437 Website: adartYrsnY.raID / Emafl: ad=@HdapUy=yMM Servicing Field offices: Nevada / California / Arizona / Texas / Tennessee / Utah / Florida / New York / Connecticut / Pennsylvania / New Jersey / Delaware / Colorado - Satellite Servicing Offices: Illinois / Massachusetts Refer to cover page for servicing office contact information Page 12 of 12 ti�eurofins EMLab P&K Report for: Wylie White Adaptive Environmental Consulting III, Inc.: Coral Gables 1234 S. Dixie Hwy. Unit 310 Coral Gables, FL 33146 Regarding: Project: 1343 NE 104th St. Miami Shores FL; ASB EML ID: 2298003 Approved by: Dates of Analysis: Asbestos PLM: 11-18-2019 Approved Signatory Balu Krishnan Service SOPs: Asbestos PLM (EPA 40CFR App E to Sub E of Part 763 & EPA METHOD 600/R-93-116, SOP EM-AS-S-1267) All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report. The results relate only to the samples as received. The results include an inherent uncertainty of measurement associated with estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with >1% asbestos concentration can be provided when requested. Eurofins EMLab P&K ("the Company") shall have no liability to the client or the client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law, even if the Company has been advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the Test Results exceed the amount paid to the Company by the client therefor. EMLab P&K, LLC EMLab ID: 2298003, Page 1 of 6 Eurofins EMLab P&K 6301 NW 5th way, Suite#: 1410, Ft. Lauderdale, FL 33309 (866) 871-1984 Fax (954) 776-8485 www.emlab.com Client: Adaptive Environmental Consulting III, Inc.: Date of Submittal: I 1-14-2019 Coral Gables Date of Receipt: I 1-15-2019 C/O: Wylie White Date of Report: 11-18-2019 Re: 1343 NE 104th St. Miami Shores FL; ASB ASBESTOS PLM REPORT Location: A-1, Chimney Right Side Total Samples Submitted: 17 Total Samples Analyzed: 17 Total Samples with Layer Asbestos Content > 1 %: 0 Lab ID -Version$: 10930075-1 Sample Layers Cream Brick with Paint Asbestos Content ND Gray Mortar ND Sample Composite Homogeneity: Good Location: A-2, Chimney Left Side Lab ID -Version$: 10930076-1 Sample Layers Asbestos Content _ Cream Brick with Paint ND Gray Mortar ND Sample Composite Homogeneity: Good Location: A-3, Chimney Right Side Wall Lab ID -Version$: 10930077-1 Sample Layers Asbestos Content Cream Brick with Paint ND Gray Mortar ND Sample Composite Homogeneity: Good Location: B-1, Gran wall West Lab ID -Version$: 10930078-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape White Texture with Paint ND ND Composite Non -Asbestos Content: 15% Cellulose Sample Composite Homogeneity: I Moderate The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by any agency of the federal government. Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1%unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $ A "Version" indicated by -"x" after the Lab ID# with a value greater than I indicates a sample with amended data. The revision number is reflected by the value of "x". EMLab P&K, LLC EMLab ID: 2298003, Page 2 of 6 Eurofins EMLab P&K 6301 NW 5th way, Suite#: 1410, Ft. Lauderdale, FL 33309 (866) 871-1984 Fax (954) 776-8485 www.emiab.com Client: Adaptive Environmental Consulting III, Inc.: Date of Submittal: 11-14-2019 Coral Gables Date of Receipt: l 1-15-2019 C/O: Wylie White Date of Report: 11-18-2019 Re: 1343 NE 104th St. Miami Shores FL; ASB ASBESTOS PLM REPORT Location: C-1, Blue Wall East Left Lab ID -Version;: 10930079-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Texture with Paint ND Composite Non -Asbestos Content: 30% Cellulose Sample Composite Homogeneity: Moderate The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by any agency of the federal government. Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than I % unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $ A "Version" indicated by -"x" after the Lab lD# with a value greater than I indicates a sample with amended data. The revision number is reflected by the value of "x". EMLab P&K, LLC EMLab ID: 2298003, Page 3 of 6 Eurofins EMLab P&K . 6301 NW 5th way, Suite#: 1410, Ft. Lauderdale, FL 33309 (866) 871-1984 Fax (954) 776-8485 www.emlab.com Client: Adaptive Environmental Consulting II1, Inc.: Date of Submittal: 11-14-2019 Coral Gables Date of Receipt: 11-15-2019 C/O: Wylie White Date of Report: 11-18-2019 Re: 1343 NE 104th St. Miami Shores FL; ASB ASBESTOS PLM REPORT Location: C-2, Blue Wall East Right Lab ID -Version$: 10930080-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate Location: D-1, Floor off of Living Room Lab ID -Version$: 10930081-1 Sample Layers Asbestos Content Light Gray Ceramic Tile ND Brown Grout ND Gray Thinset ND Sample Composite Homogeneity: Good Location: D-2, Floor off of Living Room Lab ID -Version$: 10930082-1 Sample Layers Asbestos Content Light Gray Ceramic Tile ND Brown Grout ND Gray Thinset ND Sample Composite Homogeneity:,Good Location: E-1, Floor near fireplace Lab ID -Version$: 10930083-1 Sample Layers Asbestos Content Brown Ceramic Tile Brown Grout ND ND Sample Composite Homogeneity: Good The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by any agency of the federal government. Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1%unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x". EMLab P&K, LLC EMLab ID: 2298003, Page 4 of 6 Eurotins EMLab P&K 6301 NW 5th way, Suite#: 1410, Ft. Lauderdale, FL 33309 (866) 871-1984 Fax (954) 776-8485 www.emlab.com Client: Adaptive Environmental Consulting II1, Inc.: Date of Submittal: 11-14-2019 Coral Gables Date of Receipt: 11-15-2019 C/O: Wylie White Date of Report: 11-18-2019 Re: 1343 NE 104th St. Miami Shores FL; ASB ASBESTOS PLM REPORT Location: E-2, Floor near East Wall Lab ID -Version$: 10930084-1 Sample Layers Asbestos Content ND ND Brown Ceramic Tile Brown Grout Sample Composite Homogeneity: ' Good Location: F-1, Floor near Chimney Right Lab ID -Version$: 10930085-1 Sample Layers Asbestos Content Brown Ceramic Tile ND Gray Grout ND Sample Composite Homogeneity: Good Location: F-2, Floor near Chimney Left Lab ID -Version$: 10930086-1 Sample Layers Brown Ceramic Tile Gray Grout Asbestos Content ND ND Sample Composite Homogeneity: Good Location: C-1, Ceiling Living Room center Lab ID -Version:: 10930087-1 Sample Layers Off -White Drywall with Brown Paper White Joint Compound Asbestos Content ND ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by any agency of the federal government. Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1%unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x". EMLab P&K, LLC EMLab ID: 2298003, Page 5 of 6 Eurofins EMLab P&K . 6301 NW 5th way, Suite#: 1410, Ft. Lauderdale, FL 33309 (866) 871-1984 Fax (954) 776-8485 www.emlab.com Client: Adaptive Environmental Consulting III, Inc.: Date of Submittal: 11-14-2019 Coral Gables Date of Receipt: l 1-15-2019 C/O: Wylie White Date of Report: 11-18-2019 Re: 1343 NE 104th St. Miami Shores FL; ASB ASBESTOS PLM REPORT Location: G-2, Ceiling Den West Lab ID -Version$: 10930088-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homo enei Moderate Location: G-3, Ceiling Den East Lab ID -Version$: 10930089-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homo enei : Moderate Location: G-4, Ceiling Den North Lab ID -Version$: 10930090-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Joint Compound ND Cream Tape ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homo enei Moderate Location: G-5, Ceiling off Kitchen Lab ID -Version$: 10930091-1 Sample Layers Asbestos Content Off -White Drywall with Brown Paper ND White Popcorn Ceiling Texture with Paint ND Composite Non -Asbestos Content: 20% Cellulose Sample Composite Homogeneit Moderate The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by any agency of the federal government. Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1%unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $ A "Version" indicated by -N" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x". EMLab P&K, LLC EMLab ID: 2298003, Page 6 of 6 . , , - , . 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