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DEMO-08-22-2047 Full House DemoMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 10/04/2022 Location Address Parcel Number 125 NE 104TH ST, Miami Shores, FL 33138 1121360130720 Contacts The Jazlaz Adventure Group LLC Owner CL CONTRACTORS CORP Contractor 125 NE 104 ST, Miami Shores, FL 33138 CARLOS LANZA Mobile: 3052814554 SDTRADECC@AOL.COM 8531 SW 167 TER SW, Miami, FL 33157 Mobile: 7862365419 CLCONTRACTORS@COMCAST.NET Permit NO.: DEMO-08-22-2047 Permit Type: Demolition Work Classification: Residential Permit Status: Approved Expiration: 04/04/2023 Description: DEMOLITION OF EXISTING SINGLE FAMILY Valuation: $ 15,000.00 Inge Requests: jw RESIDENCE Total Sq Feet: 1,796.00 Fees Amount Application Fee - Other $200.00 Building Demoloition Fee $200.00 CCF $9.00 DBPR Fee $6.00 DCA Fee $4.00 Education Surcharge $4.50 Scanning Fee $15.00 Technology Fee $40.00 Total: $478.50 Building Department Copy Payments Date Paid Amt Paid Total Fees $479.50 Credit Card 08/12/2022 $200.00 Credit Card 10/04/2022 $278.50 Amount Due: $0.00 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. 1 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 cpffivruction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent October 04, Page 2 of 2 Miami Shores Village RECEIVED Building Department AUG 122022 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: 1305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762.4949 FBC``A2Qp�iU ltn BUILDING Master Permit NoDEM Zo9'1 PERMIT APPLICATION Sub Permit No. QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 125 NE 104 St City: Miami Shores County: Miami Dade zip: Folio/Parcel#:11-2136-013-0720 Is the Building Historically Designated: Yes NO X Occupancy Type: R-3 Load: Construction Type: V Flood Zone: X BFE: FFE: OWNER: Name (Fee Simple Titleholder): The Jazlaz Adventure Group, LLC Phone#:305.281.4554 Address:7333 Mimai Lakes Dr City: Miami Lakes State: FL Zip: 33014 Tenant/Lessee Name: Phone#: Email: sdtradecc@aol.com CONTRACTOR: Company Name: CL Contractors Corp Phone#: 786.236.5419 Address: 8531 SW 167 Terr City: Miami State: FL Zip: 33157 Qualifier Name: Carlos Lanza Phone#: 786.236.5419 State Certification or Registration #: CGCO55070 Certificate of Competency #: DESIGNER: Architect/Engineer: Burgos Lanza & Assoc Phone#: 786.236.5419 Address:1248 S Alhambra Cir city. Coral Gables State: FL Zip: 33134 Value of Work for this Permit: $15,000 Square/Linear Footage of Work: 1,796 sf Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑■ Demolition Description of Work: DEMOLITION OF EXISTING SINGLE FAMILY RESIDENCE Specify color of color thru tile: Submittal Fee $171U •V I/ Permit Fee $ S/V . w CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 4 DBPR $ Notary $ lCk Technology Fee $ Training/Education Fee $. —t • SJ Double Fee $ Structural Reviews $ T� Bond $ �C►� TOTAL FEE NOW DUE $ 2!07 a . 5*c3 (Rev1sed02/24/2014) Bonding Company's Name Bonding Company's Address City 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 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 low brochure will be delivered to the person whose property is subject to a hment. Also a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection Bch occ sev () days a r the building permit is issued. /n the absence of such posted notice, the inspection will not approved a a r nsp ct�on fe w be charged. AGENT instrument was acknowledged before me this A6 day of A 6" ,20af7 .by j�wh�o is oersonal/� own to me or who has produced identification and who did take an oath. Seal: APPROVED BY (Revlsed02/24/2014) as Signature CONTRA OR The foregoing instrument was acknowledged before me this (G dayof 11"46tj 20 by who is personally�owd to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: sCOMMIGG95200 �0n 3 C Feb. ie 2024 Sign: a &am;KOM Print:Tu°rMumeV, Seal: Examiner Zoning Structural Review Clerk DYNATECH ENGINEERING CORP. 750 WWr 84TH StREEr.vrw,cnu FL 33014 PHONE (305)828-7499 FAX r305)828-9598 E4A1UNFO0DV1A=iENG)NEQaNG.COM E� LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 03-15-2021 Sampled By: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104th Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 70-72 73-75 Blank Blank Blank Gross Sample Appearance Roof Tiles/Mineral Sheeting/Black Mastic/Metal Drip Edge Black Mastic At Deck Penetration Sample color N/A Black Material Homogenous No I Yes Sample Layered Yes No Sample Friable No No Sample Fibrous Yes No ASBESTOS CONTENT: Asbestos Present N.D. N.D. Chrysotile % Present No No Amosite % Present No No Crocidolite % Present No No Other (Specify) % No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % 4% N/A Cellulose % 9% 5% Other Fibers N/A N/A Non Fibrous & Minerals 87% 95% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D.- None Detected N/A — Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, [ Microscopical Identification of Asbestos. No.09132004 Ron Desantis, Governor Halsey Beshears, Secretary FI rida dlMV& W m- "S �. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT THE ASBESTOS CONSULTANT ENGINEER HEREIN IS LICENSED UNDER THE PROVISIQMS QE-CHART4FR 469, FLORIDA STATUTES Always verify licenses online at My Florida License.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Ron DeSantis, Governor STATE OF FLORIDA BOARD OF PROFESSIONAL ENGINEERS THE PROFESSIONAL ENGINEER HEREIN IS LICENSED UNDER THE PROVISIONS OF CHAPTER 471, FLORIDA STATUTES SPECIAL INSPECTOR NUMBER: 0757 NAAMANI, WISSAM SAAD 750 WEST 84 STREET HIALEAH FL 33014 LICENSE NUMBER: PE39584 EXPIRATION DATE: FEBRUARY 28, 2023 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. FBPE FLORIDA BOARD OF PROFESSIONAL ENGINEERS verve Roberts etA Vr rowKAtVLtRL TraiWw%wg, 1". 23j g,7j-4th AVevu to N Sem'W oLe, FL 33770 727-23J-1.445 Asbestos sityveU § Meohoa uiwl, ('wspector) Refresher Tra,ming This Ls to CevtC f,� that SL,kholeo Paul, ghagra� I-tas eompleteol the requ�sCte traiwi' o for asbestos accrOitatiovi, t.t l erTSCATITLE If Date of EKnvu.i.watiow7/18/2020 Date of Course:?/18/2020 EXpibratiov�, Date j AO/202: Cert%ftcate # 07182002AM Course # F( .49-0006322 provider # �L49-0003810 ( vlstrf.CCtor 0 FPL August 5. 2022 LAZARO ACOSTA Re: 125 NE 104111 ST, MIAMI SHORES, FL 33138 Effective 07/05/2022, 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, Amhed Guerrero Associate Engineer 305-626-3081 A NEXTera ENERGY Company GEOTECHNICAL I ENVIRONMENTAL I MATERIALS TESTING I ASBESTOS I ROOF TESTING I INSPECTION SERVICES I DRILLING SERVICES C DYNATECH ENGINEERING CORP. Miami, September 6, 2022 Lazaro Acosta CL CONTRACTORS 8531 SW 167d' Terrace Miami, FL 33157 Re: Residential House @ 125 NE 104a' Street Miami Shores, FL 33138 W W W.DYNATECHENGINEERING.COM SEP 13 2022 Pursuant to your request, DYNATECH ENGINEERING CORPORATION (DEC) conducted an asbestos building survey on August 29, 2022 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: Residential house was tested at the above referenced project (see attached plan). Based on our laboratory analysis, it was evident that no asbestos fibers were found in the secured bulk samples. This inspection report is the result of a customary search of the facility for ACBM. This is not an AHERA survey. It has been a pleasure serving you at this phase of your project and look forward to doing so in the near future. Sincerely yours, Digitally signed by Sam Naamani DN: m=Sam Naamani, o=Dynatech Englneering Corp, ou, email=Info@dynatechengineedng.com, r--115 Date: 2022.09.06 15:01:59-04'011' Wissam Naamani, P.E. DYNATECH ENGINEERING CORP. Engineer Florida Reg. No. 39584 Asbestos Consultant Number EA 0000045 Asbestos Business No. ZA 0000045 WNrnB. 750 WESF 84TH STREET, HIALEAH. FL 33014 PHONE (305) 828-2499 FAX (305) 828-9598 EMAILINFOODYNATECHENGINEERING.COM DYNATECH ENGINEERING CORP. ASBESTOS SAMPLING REPORT 750 W. 84th Street, Hialeah, FL 33014 Date: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104th Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1-TSL Condition Analysis No. Amount 2-SM, Potential 3-MISC for Dama e 1 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 2 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 3 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 4 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 5 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 6 Interior Ceramic Wall Tile With Grout 400 SF X 3 G/L NAD Wall 7 Interior Ceramic Wall Tile With Grout Included X 3 G/L NAD Wall Above 8 Interior Ceramic Wall Tile With Grout Included X 3 G/L NAD Wall Above 9 Interior Plaster Over Concrete Block Wall With 350 SF X 3 G/L NAD Wall Mortar 10 Interior Plaster Over Concrete Block Wall With Included X 3 G/L NAD Wall Mortar Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1041hStreet, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1-TSI, Condition Analysis No. Amount 2-SK Potential 3-MISC for Damage 11 Interior Plaster Over Concrete Block Wall With Included X 3 G/L NAD Wall Mortar Above 12 Interior Windows & Doors Caulking 1 SF X 3 GIL NAD Wall 13 Interior Windows & Doors Caulking Included X 3 G/L NAD Wall Above 14 Interior Windows & Doors Caulking Included X 3 G/L NAD Wall Above 15 Interior Brown Mastic Behind Wall Mirror 5 SF X 3 G/L NAD Wall 16 Interior Brown Mastic Behind Wall Mirror Included X 3 G/L NAD Wall Above 17 Interior Brown Mastic Behind Wall Mirror Included X 3 G/L NAD Wall Above 18 Interior Beige 2'x 2' Ceiling Tiles 400 SF X 3 G/L NAD Ceiling 19 Interior Beige 2'x 2' Ceiling Tiles Included X 3 G/L NAD Ceiling Above 20 Interior Beige 2'x 2' Ceiling Tiles Included X 3 G/L NAD Ceiling Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104d' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1-TSI, Condition Analysis No. Amount 2-SM, Potential 3-MISC for Dam e 21 Interior Plaster Over Drywall Ceiling 1,350 SF X 2 G/L NAD Ceiling 22 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 23 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 24 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 25 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 26 Interior White Textured Ceiling Material Over 25 SF X 3 G/L NAD Floor Plaster 27 Interior White Textured Ceiling Material Over Included X 3 G/L NAD Floor Plaster Above 28 Interior White Textured Ceiling Material Over Included X 3 G/L NAD Floor Plaster Above 29 Interior Yellow Fiberglass Ceiling Insulation 400 SF X 3 G/L NAD Floor 30 Interior Yellow Fiberglass Ceiling Insulation Included X 3 G/L NAD Floor I i Above F = Friable Condition Potential For Damage, NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1046' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1=TSL Condition Analysis No. Amount 2-SK Potential 3-MISC for Dama e 31 Interior Yellow Fiberglass Ceiling insulation Included X 3 G/L NAD Ceiling Above 32 Interior White Insulation Inside Attic 1,350 SF X 3 G/L NAD Ceiling 33 Interior White Insulation Inside Attic Included X 3 G/L NAD Ceiling Above 34 Interior White Insulation Inside Attic Included X 3 G/L NAD Ceiling Above 35 Interior White Mastic On Silver A/C Duct 25 SF X 3 G/L NAD Ceiling 36 Interior White Mastic On Silver A/C Duct Included X 3 G/L NAD Ceiling Above 37 Interior White Mastic On Silver A/C Duct Included X 3 G/L NAD Ceiling Above 38 Interior Ceramic Floor Tiles With Grout Over 600 SF X 3 G/L NAD Floor Concrete Floor 39 Interior Ceramic Floor Tiles With Grout Over Included X 3 G/L NAD Floor Concrete Floor Above 40 Interior Ceramic Floor Tiles With Grout Over Included X 3 G/L NAD Floor Concrete Floor Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1041' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF I-TSI, Condition Analysis No. Amount 2-SM, Potential 3-MISC for Dama e 41 Interior Wood Floors 725 SF X 3 G/L NAD Floor 42 Interior Wood Floors Included X 3 G/L NAD Floor Above 43 Interior Wood Floors Included X 3 G/L NAD Floor Above 44 Interior Ceramic Tiles & Grout Over Fiberboard 350 SF X 3 G/L NAD Floor Over Wood Floor 45 Interior Ceramic Tiles & Grout Over Fiberboard Included X 3 G/L NAD Floor Over Wood Floor Above 46 Interior Ceramic Tiles & Grout Over Fiberboard Included X 3 G/L NAD Floor Over Wood Floor Above 47 Interior Beige 12'x 12' Vinyl Floor Tiles Over Glue 75 SF X 3 G/L NAD Floor Over Wood Floor 48 Interior Beige 12'x 12' Vinyl Floor Tiles Over Glue Included X 3 G/L NAD Floor Over Wood Floor Above 49 Interior Beige 12'x 12' Vinyl Floor Tiles Over Glue Included X 3 G/L NAD Floor Over Wood Floor Above 50 Exterior Plaster Over Concrete Block Wall With Throughout X 2 G/L NAD Wall Mortar F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material Analyzed by: Nickah 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1040' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1-TSL Condition Analysis No. Amount 2-SM, Potential 3-MISC for Dam e 51 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 52 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 53 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 54 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 55 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 56 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 57 Exterior Window & Door Caulking 1 SF X 3 G/L NAD Windows/Door 58 Exterior Window & Door Caulking Included X 3 G/L NAD Windows/Door Above 59 Exterior Window & Door Caulking Included X 3 G/L NAD Windows/Door Above 60 Exterior Window & Door Caulking Included X 3 G/L NAD Windows/Door Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104th Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1-TSI, Condition Analysis No. Amount 2-SM, Potential 3-MISC for Damage 61 Exterior Mineral Sheeting Over Black Paper Over 400 SF X 3 G/L NAD Roof wood 62 Exterior Mineral Sheeting Over Black Paper Over Included X 3 G/L NAD Roof Wood Above 63 Exterior Mineral Sheeting Over Black Paper Over Included X 3 G/L NAD Roof Wood Above 64 Exterior Mineral Sheeting Over Black Mastic Over 75 SF X 3 G/L NAD Roof metal Drip edge 65 Exterior Mineral Sheeting Over Black Mastic Over Included X 3 G/L NAD Roof metal Drip edge Above 66 Exterior Mineral Sheeting Over Black Mastic Over Included X 3 G/L NAD Roof metal Drip edge Above 67 Exterior Roof Tiles Over Mineral Sheeting Over 1,600 SF X 3 G/L NAD Roof Black paper Over wood 68 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black paper Over wood Above 69 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black paper Over wood Above 70 Exterior Roof Tiles Over Mineral Sheeting Over 200 SF X 3 G/L NAD Roof Black Mastic over Metal Drip Edge F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 08-29-2022 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1-TSI, Condition Analysis No. Amount 2-SM, Potential 3-MISC for Dama e 71 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black Mastic over Metal Drip Edge Above 72 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black Mastic over Metal Drip Edge Above 73 Exterior Black Mastic @ Deck Penetration 2 SF X 3 G/L NAD Roof 74 Exterior Black Mastic @ Deck Penetration Included X 3 G/L NAD Roof Above 75 Exterior Black Mastic @ Deck Penetration Included X 3 G/L NAD Roof Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 30 11 18 39 37 )7 35 36 46 26 27 23 2S 43 03 S7 SO Interior & Exterior O1 21 34 41 0 DYNATECH ENGINEERING CORP. CUErrr: CL CONTRACTORS CORP. SCALE NTS: X PROJECT: Residential Home @ 125 NE 104th Street Miami Shores, FL DATE: 08-29-2022 By. pg Asbestos Chain -of -Custody DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Client: CL CONTRACTORS CORP. Date Samples Collected: 08- agory Project Name/Address:,�/.4eAt7,4/, y��r n//4.W �. FG 33/jj+ Sampler Name: ✓dam-,�,Q�f -I If For Lab Use Only Asbestos Chain -of -Custody DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Client: CL CONTRACTORS CORP. Date Samples Collected: o,? ,- 29 Projcct Namc/Address:��'/,D�.J Sampler N:une: ��-�d� U •— Turn Around Times: If no TAT is specified, samples will be processed and charged as 3-day TAT. O 1 - Da ❑ 2 -Day ❑ 3 - Da ❑ Same Da (Must Call Ahead) Weekend (Must Call Ahead) tiarnple No. homogeneous For Lab Use Only yvYY j .33/3of Positive Stop wfll be used unless marked. ❑ Do Not Positive Stop Area Number Locutions Material Description (HAP) COm1tDeQts 1,7 / Y 0/C ✓ p � � /it/dOs.ij� .�d�i�.S� i3 i /q Rrlc.�scJ by r/ �E79 y +�,,-JgC.?.� signs, c . Rccri.al by S!V. Dn&Tmc °d SOW Page Y of r Chelit: CL CONTRACTORS, CORP 1'r��ject Nante/Address:,�f,� „j. Sampler Name: �h:iQc a y Asbestos Chain -of -Custody DYNATECH ENGWEERINO CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Date Samples Collected:OI -'f= Turn Around Timpc- ri.... rer s.. For Lab Use Only � ---�---.---.-_...r.�.........� fr.�crssesa Qnfa caargea os 3-aoy TA T. 1 - Da ❑ 2 - Da ❑ 3 - Da ❑ Same Da (Must Call Ahead) Weekend (Mutt Call Ahead) Sample No. 110mogeneous Arc(Number Locations Material Description 7 F �✓ - Positive Stop wig be used unkss marked. ❑ Do Not Positive Stop COaitnent8 /3.t'17 F ,s vS� Y Y64&cJi ,v �, iacl Ste° 30 J/ k�i�� bY• y�DE� 9B�Wt�.[Ad sly oe�a OP• � �o 3 Page of _r Racivod by SI Dao�itae Client: CL CONTRACTORS, CORP 1'ruject Name/Address: , Sampler Name: �h.✓d�.� Asbestos Chain -of -Custody DYNATECH ENGU4EERINO CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Date Samples Collected: or- Turn Around Times: If no TAT is specified TAT. , samples wiU be processed and charged as 3-day 1- Da ❑ 2 -Day ❑ 3 - Da Same Da( Must call Ahead sum to No. 1 ❑ Weekend (Must call Ahead) N Homogeneous Area Number Locations (HAN) Materiel Description .3 i .tl 3-V v 3; 3 3G F 1, w 3 `3 8 Positive Stop will be used mains marked, ❑ Do Not Positive Stop Comments Rdc 4sod by Jy B RKnva! by �Fa r slipuft,c Sf DatdrfIDt v. Dawl mm. Page �c Of Received by . *c�- Asbestos Chain -of -Custody DYNATECH ENGRMERWG CORP. 750 WEST MM STREET H1ALEAH, FL 33014 Client: CL CONTRACTORS CORP. Project Name/Address: Date Samples Collected: od Sampler Name: V d� ? �4A_� Turn Around Times: If no TAT is specified, samples will be processed and charged as 3-day TAT. EQ 1 -Day ❑ Z - Da 03-Day [] Same pay (Must Gil Ahead) Weekend (Must Call Ahead) Sample No. Homogeneous Area Number Locations Material Description tip/ / 3 .�/ E O •� �r0 d �GO�O � 3 -- For Lab Use Only Positive Stop will be used cues marked, ❑ Do Not Positive Stop Comments >` 8 9 G fro r Released by s,*,,;,zqV 'A449-00A0q;;Z— Page � of 8 R=ctved by _ sl Data/l'fine; Client: CL CONTRACTORS, CORP Project Name/Address: Sampler Name: %J'-'A.vdr &,I; Asbestos Chain -of -Custody DYNATECH ENGIIdEE MG CORP. 7S0 WEST &4TH STREET HIALEAH, FL 33014 /Date Samples Collected:pf _ d , yvyY Turn Around Times: !f no TAT is specified, samples Will be TAT. processed and charged as 3-de 9 1 - Da [] z - Da ❑ 3 - Da same D Must Call Ahead) Weekend (Must Call Ahead) Sample No. Homogeneous Area Number (HA#) Locations Material Deseript 16 S3 r� s6 Sp la 4 For Lab Use Only Y Positive Stop will be used anlew mm, ❑ Do Not Positive Stop ,on I Comments Rdcascd y.4.l��E�! y�q�fj'�,G¢ stpatum Rcccovcd by: gi � �` • Qscdlta� Page -J� of -L Client: CL CONTRACTORS CORP. Project Name/Address:I-r,-r,�; /q L Sampler Name: Asbestos Chain-of-Custody DYNATECH ENGINEERINQ CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Date Samples Collected: of, 3r Turn Around Times: If no TAT is specified, samples will be processed and charged as 3-do TAT. Y Positive Stop will be used unless mn*ed. 1- Day Da [] 3 - Dal F 0 Same Da (Must Call Ahead) Weekend Must call Ahead) ❑ Do Not Positive Stop Sample No. Homogeneous - Area Number (HA#) Locations G//� 63 6y 6t� G6 G7 ya 6 d' G 70 Released by-4*jf';!Fp Vf) #?A&'r' Rocenod by ,. St y Sismatcxc Material Description Wcdri�r� DauoT�mc Comments Page 7— of ff— Asbestos Chain -of -Custody DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HLMXAK FL 33014 Client: CL CONTRACTORS CORP. Project Name/Address:,Date Samples Collected: Y ��,�� ,� A/If� Sampler Name: ° 3 DYNATECH ENGINEERING CORP. 750WEV84TH STREET. Hrnrser FL33014 PHONE (305)828-7499FA%(305)828-9598EMAILINFOODYNATECNENGINEERING.COM LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 08-29-2022 Sampled by: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104d' Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 01-05 06-08 09-11 12-14 15-17 Gross Sample Appearance Plaster/Drywall Walls Ceramic Wall Tile/Grout Plaster/Concrete Block/Mortar Caulking At Windows & Doors Mirror Mastic Sample color N/A N/A N/A White Brown Material Homogenous No No No Yes Yes Sample Layered Yes Yes Yes No No Sample Friable No No No No No Sample Fibrous No No No No No ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A N/A N/A N/A Cellulose % N/A 1% 1% 2% N/A Other Fibers 2% N/A N/A N/A 1% Non Fibrous & Minerals 98% 99% 99% 98% 99% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D.- None Detected N/A -Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago,11, Microscopical Identification of Asbestos. No. 09132004 DYNATECH ENGINEERING CORP. 750 WEST 84M STREET. MnEAH, FL 33014 PHONE (305) 828-7499 FAX (305) 828-9598 EMAILINFOODYNATECHENGINEERING.COM EC O r/ LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 08-29-2022 Sampled by: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104d' Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 18-20 21-25 26-28 29-31 32-34 Gross Sample Appearance 2' X 2'Ceiling Tile Plaster/Drywall Ceiling Textured Ceiling Material/plaster Yellow Fiberglass Ceiling Insulation White insulation Inside attic Sample color Beige N/A White Yellow White Material Homogenous Yes No No No No Sample Layered No Yes Yes Yes Yes Sample Friable No No No No No Sample Fibrous Yes No No Yes Yes ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A N/A 95% 95% Cellulose % 25% 2% 1% N/A N/A Other Fibers 10% N/A N/A N/A N/A Non Fibrous & Minerals 65% 98% 98% 5% 5% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D. - None Detected N/A —Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, IL Microscopical Identification of Asbestos. No. 09132004 DYNATECH ENGINEERING CORP. 750 WEST S4TH STREET. HIALEAH, FL 33014 PHONE (305) 828-7499 FAX (305) 828-9598 EMAIL.INFOODYNATECHENGINEERING.COM LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 08-29-2022 Sampled by: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104th Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 35-37 38-40 41-43 44-46 47-49 Gross Sample Appearance A/C Mastic Ceramic Floor Tile/Grout Wood Floor Ceramic Tiles& Grout/Fiberboard/ Wood Floor 12'x12' VFT/Glue/Wood Floor Sample-: ` White N/A N/A N/A Beige Materir,. Yes No Yes No No Sample Layered No Yes No Yes Yes Sample Friable No No No No No Sample Fibrous No No No No No ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A N/A N/A N/A Cellulose % N/A N/A 90% 50% 2% Other Fibers 2% N/A N/A N/A 3% Non Fibrous & Minerals 98% 100% 10% 50% 5% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D.- None Detected N/A - Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, IL Microscopical Identification of Asbestos. No. 09132004 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET. HLMYAH, FL 33014 PHONE (305) 828-7499 FAX (305) 828-9598 EMAILINFOODYNATECHENGINEERING.COM \ � LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 08-29-2022 Sampled by: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 1041 Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 50—S6 57-60 61-63 64-66 67-69 Gross Sample Appearance EX- Plaster/Concrete Block/Mortar EX -Caulking At Windows& Doors Mineral Sheeting/Black paper/Wood Mineral Sheeting/Black mastic/Metal Drip Edge Roof Tiles/Mineral Sheeting/Black Paper/Wood Sample color N/A White N/A N/A N/A Material Homogenous No Yes No No No Sample Layered Yes No Yes Yes Yes Sample Friable No No No No No Sample Fibrous No No Yes Yes Yes ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) °% No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A 10% 10% 10% Cellulose % N/A N/A 15% 15% 15% Other Fibers N/A N/A N/A N/A 10% Non Fibrous & Minerals 100% 100% 75% 75% 65% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D. - None Detected N/A -Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, IL Microscopical Identification of Asbestos. No. 09132004 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET, HIALEAH. FL 330M PHONE (305)BaB-7499 FAX (305)828-9598 EMAILANFOODY ATECHENGINEERING.COM `EC r/ LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 08-29-2022 Sampled by: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104th Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 70-72 73-75 Blank Blank Blank Gross Sample Appearance RoofTiles/Mineral Sheeting/Black Mastic/Metal Drip Edge Black Mastic At Deck Penetration Sample color N/A Black Material Homogenous No Yes Sample Layered Yes No Sample Friable No No Sample Fibrous Yes No ASBESTOS CONTENT: Asbestos Present N.D. N.D. Chrysotile % Present No No Amosite % Present No No Crocidolite % Present No No Other (Specify) % No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % 4% N/A Cellulose % 9% 5% Other Fibers N/A N/A Non Fibrous & Minerals 87% 95% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D.- None Detected N/A - Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, R, Microscopical Identification of Asbestos. No.09132004 1t1� bT, Ron DeSantis, Governor Halsey Beshears, Secretary dkna pr STATE OF FLORIDA vDEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT THE ASBESTOS CONSULTANT -ENGINEER HEREIN IS LICENSED UNDER THE PROVISIONS OF CHAPTER 469, FLORIDA STATUTES NAAMANI, WISSAM S 750 WEST 84TH STREET HIALEAH FL 33014 LICENSE NUMBER: EA0000045 EXPIRATION DATE: NOVEMBER 30, 2022 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Ron De5antis. Governor STATE OF FLORIDA BOARD OF PROFESSIONAL ENGINEERS THE PROFESSIONAL ENGINEER HEREIN IS LICENSED UNDER THE PROVISIONS OF CHAPTER 471, FLORIDA STATUTES SPECIAL INSPECTOR NUMBER: 0757 NAAMANI, WISSAM SAAD 750 WEST 84 STREET HIALEAH FL 33014 LICENSE NUMBER: PE39584 EXPIRATION DATE: FEBRUARY 28, 2023 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. FBPF itI LORIDA WARD Of 1'Itntl\SM AII`.JWRS This is your license. It is unlawful for anyone other than the licensee to use this document. Vern Roberts Environmental Training, Inc. 13987 941 Avenue N Seminole, FL 33776 727-239-1445 Certifies that SUKHDE® PAUL OHAGRAJ Has satisfactorily completed the requisite training for asbestos accreditation under TSCA TITLE II, EPA Model Accreditation Plan (40CFR763 E) for the 4-hour Inspector (Survey & Mechanical) Refresher Course on 8/2/2022, and in testimony whereof, we do confer this certificate at Seminole, Florida on 8/2/2022. Date of Course: 8/2/2022 Expiration Date 8/2/2023 Certificate # 08022208AM Course # FL49-0006322 Provvid�er/#FL49-0003810 yIZET Vern Roberts Environmental Training, Inc. 13987 941 Avenue N Seminole, FL 33776 727-239-1445 Certifies that AMOS SOOKHOO Has satisfactorily completed the requisite training for asbestos accreditation under TSCA TITLE E, EPA Model Accreditation Plan (40CFR763 E) for the 24-hour Inspector (Survey & Mechanical) Initial Course on 12/9/2021, and in testimony whereof; we do confer this certificate at Seminole, Florida on 12/92021. Dates of Training: 12/72021.12/92021 This Certificate Expires on: 12/92022 Certificate N 12092102 Course # FL49-0006318 Provider FL49-0003810 Vern Roberts Environmental Training, Inc. 13987 941 Avenue N Seminole, FL 33776 727-239-1445 Certifies that FRMES RIA TA NCHICO Has satisfactorily completed the requisite training for asbestos accreditation under TSCA TITLE H, EPA Model Accreditation Plan (40CFR763 E) for the 4-hour Inspector (Survey & Mechanical) Refresher Course on 8/2/2022, and in testimony whereof, we do confer this certificate at Seminole, Florida on 8/2/2022. Date of Course: 8/2/2022 Expiration Date 8/2/2023 Certificate # 08022209AM Course # FL49-0006322 Provider # FL49-0003810 �s /NF7.FlIC7DR Vern Roberts Environmental Training, Inc. 13987 941 Avenue N Seminole, FL 33776 727-239-1445 Certifies that PREMNATH BOODOOSINEW Has satisfactorily completed the requisite training for asbestos accreditation under TSCA TITLE 11, EPA Model Accreditation Plan (40CFR763 E) for the 4-hour Inspector (Survey & Mechanical) Refresher Course on 8/2/2022, and in testimony whereof, we do confer this certificate at Seminole, Florida on 8/2/2022. Date of Course: 8/2/2022 Expiration Date 8/2/2023 Certificate # 08022207AM Course # FL49-0006322 Provider # FL49-0003810 McCRONE RESEARCH INSTITUTE certifies that Premnath Boodoosingh has successfully completed an intensive course of instruction in Microsco,mcalldentification0 ofAs6estos given by the McCrone Research Institute Presented this lath day of August 2004 Course Date. August 9 - 13, 2004 3.5 C<EZJ s �,'� 7 FND. PIPEZn�U-An (NOT IDS N SHED TO BE REMOVED ALLEY 8.6' ASPHALT PAVEMENT H=40.0' METAL ., - _ _ - _ _ C=30.0' SHED = °.ems xr �o so ! x of PIPE',' GRAPHIC SCALE 0 7.50 25 50 ( IN FEET ) 1 inch = 25 ft. NOTE: °°xJ EXISTING SERVICES; FPL & WATER TO BE DISCONNECTED PRIOR TO DEMOLITION %°D 31.25 _ 11.65" °O O Y G Y Q m Z X J m Q a o W TILE 5.51_ w o z TILE la a- N a10 TWO STORY CBSbAcX EXISTING x RES. # 125 RESIDENCE TO LOWEST OBTAINABLE FLOOR ELEV=10.00' BE DEMOLISHED NEXT HIGHER FLOOR ELEV. =13.00' W d N 3os5' a o TIL EXISTING 11 0 JPLANT SEPTIC SYSTEM �O soli TO BE ABANDON Z DRILLHOLE o o (9. DRILLHOLE - --- 130.21' - -- - x PROPERTY LINE 75.00' 5' SIDEWALK�o DRIVEWAY 22' PARKWAY o N.E. 104th STREET 75.09 TOTAL RIGHT OF WAY 20.0' ASPHALT PAVEMENT BOUNDARY SURVEY NOTE: THIS SURVEY HAS BEEN PREPARED FOR EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. FLOOD ELEVATION COMMUNITY NUMBER j 120652 PANEL NUMBER 0302 SUFFIX L DATE OF FIRM INDEX 09-11-2009 FIRM ZONE ---------- X BASE FLOOD ELEV. NONE ION MAP SCALE: N.T.S. SURVEYOR N0C0 �Z,M� O � 1) EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE REORQEp aTfZtIM(NTS, IF ANY;- ---- AFFECTING THIS PROPERTY. 2) LOCATION AND IDENTIFICATION OF UTILITIES IF ANY ARE SHOWN IN ACCORDANCI WITH REC{ORDEffLATI z C:I 4f !7I L 3) OWNERSHIP IS SUJECT TO OPINION OF TITLE. L! i is i (t I� Iy Pt� l"i 8 C' I' 4) TYPE OF SURVEY. "BOUNDARY SURVEY" 5) THIS SURVEY IS NOT VALID UNLESS SIGNED AND SEALED BY THE SURVEYOR OF CORD, 6) ALL RIGHT OF WAYS SHOWN ARE PUBLIC UNLESS OTHERWAISE NOTED. }AP? R 0 V E D BY 7) LANDS SURVEYED AS DESCRIBED. 8) NO UNDERGROUND INSTALLATIONS ON IMPROVEMENTS HAVE BEEN LOCATED, Ey CEPT AS NOTED. 9) SOURCE ELEVATION PROVIDED BY MIAMI -DADE COUNTY SURVEY ZONING DEPARTMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DAT M•aW1929 -- SURVEYOR' CERTIFICATE: I HEREBY CERTIFY; THAT THE ATTACHED "SKETCH OF SURVEY' OF THE ABO EDESCRIBEOPRO ER 1 0 TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNbER-J Y DIRECTIO , AND THAT THERE ARE NO ENCROACHMENTS OTHER THAN THOSE SHOWN, AND MEETS THE INTENT OF THE A LI av OF THE STANDARDS OF PRACTICE FOR LAND SURVEYING SET FORTH BY THt FL'601DAb6ARO F LAND Nlr- '�22 SURVEYORS IN CHAPTER 5J-17, OF FLORIDA ADMINISTRATIVE CODE, PURSUANT -TO SEGTION4 2427-FL0RIOA­_-_.___. STATUTES.] C Ij I L D!:i!G LEGAL DESCRIPTION: Vu`O i .L C`' LOT 18 AND EAST 2 OF LOT 17, BLOCK 121, OF AN AMENDED PLAT OF SECTION N . 5' OF MIAMI SHORES, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 47, OF THE PUBLIC RECORDS MIAMI DADE COUNTY, FLORIDA, ROBERTO R O'9ltallyslgned by FOLIO: 11- 2136 - 013 - 0720 ROBERTO R BRIZUELA BRIZUELA 14:52:46-0400'7 Roberto Brizuela Professional Surveyor and Mapper # 3064 State of Florida. U� W J � a � O U W � a QUA Z O U Z W Ln.6O�¢ W W 0 J m x Q Z w Z H a LL wwwQQ d moaozozzMw F Oww W u-OLLI� 7 20 U U 00 to wLL '— ZZMZ J 7��a'vi iiU W U 0 Z W W i D Z w 2p W z J wLL a Oz zJ ¢ HO �� �w w'_ a LLZWNO ww wOn.�xw J Hr za. ' xO wo ZLU o w2xZZ_ ZZ0 _,0 jo w2�LL O m2Z�ZOF-OWx F 7F-Z 0ww It a w 0 w w w O z IDUw0LL in axx Uuiui D:U •-00�wliu. an. 'tAiiw0w_jLL n00 � M U 1 � c ­4 SHEET TITLE: u VEY REVISIONS: -Na: I ` •DA I DESCRIPTION 05-03-20211 DDALYS HECK AY ��CAiE. R•B• INDICATE J06Nn. 21_0 / _50 - L... Kr� ' PERMIT #;13-SC-2483367 APPROVE❑ AP1814588 STATE OF FLORIDA �^'-'��'�'�"'o�.os nn: APPLICATION #: DEPARTMENT OF HEALTH DATE PAID: ONSISEWAGE TREATMENTjj" A�0 � r-�FEE PnID; SYSTEMEM L( RECEIPT #: SEP 1 3 2022 DOCUMENT #:PR1746671 CONSTRUCTION PERMIT FOR: OSTDS APPLICANT: (The Jaziaz Advenure Group LLC) PROPERTY ADDRESS: 125 NE 104 St Miami, FL 33138 LOT: 18 BLOCK: 121 SUBDIVISION: PROPERTY ID #: 11-2136-013-0720 (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 [ A [ N [ K [ GALLONS / GPD ] GALLONS / GPD j GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO'BE L D O T H E R CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ SYSTEM SYSTEM [ ] FILLED [ ] MOUND [ ] [ ] BED [ ) lI / ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT ] [ / ] [ ABOVE / B4011 ] BENCHMARK/REFERENCE POINT FILL REQUIRED: [ u.uu] INCHES .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 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, ruptured, and filled with send and covered. SPECIFICATIONS BY: TITLE: n- APPROVED BY: TITLE: OPS Environmn nine Specialist xI Dade CHD Jose a 6aeaoe[a DATE ISSUED: 03131/2022 EXPIRATION DATE: 06/29/2022 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 1 of 3 . ..:_4 APL81E556 SE-1 w ,rk NOTICE OF RIGHTS K A party who substantial interest is affected by this order may petition for an _ administrative h. `n ursuant to sections 120.56R,and 12Q.57 . Florida Statutes.: Such are oveMod b Rule 28-106, Florida Administrative Code. A petition for proceedings ...._ ........r a; .�..T Y administrative `headr_ must be in writing and must be received b the Agency Clerk for the ' ..:. 9 ..... 9 Y 9 Y - Deparfrriar Within*enty=one (21) days from the receipt of this order. The address of the Agency Clerk is 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399- 3000. The Agency Clerk's email is agency Slerk@FloddaDEP.gov.. Mediation is not available as an alternative remedy. ..: ys from receipt of this order will, Your waiver ` our nt hfitotan administrative hearing ' as { constitute "a'w " y g g, and this order shall become a 'final order'. Should this order become a;.final o dor, a party who is adversely affected by it is entitled to judicial review pursuant to es#ion 120,68;: Florida Statutes. Review proceed rigs:are: `. overned by the Florida Rules of Appellate Procedure. Such proceedin s may be commenced by filing one ^popy Hof a 111ot!ce of Appeal with he Agency Clerk of the Department of Environmental Protectlon and: a second copy; accompanied by the filing fees required by law, with.the�!Cdurt of Apobdt,in the appropriete,District Court: The, notice must be`filed within 30 daysbf rendition -of:the final order' 0 FPL August 5. 2022 LAZARO ACOSTA Re: 125 NE 104T" ST, MIAMI SHORES, FL 33138 Effective 07/05/2022. 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, Amhed Guerrero Associate Engineer 305-626-3081 A NEXTera ENERGY Company SEP 113'ZOZ'Z TECO, PEOPLES GR.S --� AN EMERA COMPANY To: Lazaro Acosta August 25, 2022 Address: 125 NE 104th Street Miami Shores Florida After a review of our facilities within the above referenced area, we are informing you; TECO Peoples Gas does not have any natural gas service line at the property mentioned above. In addition, please contact 811 - Sunshine State One Call of Florida at 1- 800-432-477o at least 48 hours in advance, as there might be other underground utilities. By contacting SSOCOF, the risk of personal injury and property damage can be reduced. You can obtain the latest information on SSOCOF by visiting their website at www.callsunshinexom Should you have any additional questions concerning the above, please contact me at my email address: igonzalezPtecoenergy.com Sincerely, Prepared by Ily Gonzalez for: David Diaz Supervisor N Miami Division DDHIG Administrative Specialist // Dade — Broward Counties 15779 IN Dixie Hwy, North Miami Beach, FL 33162 igonzalez@tecoenergy.com Cell: 239-292-6485 From: I a>aro Acosta To: Carlos Lanza Subject: Fwd: STOP SERVICE REQUEST Date: Friday, September 2, 2022 3:07:38 PM We now have the water also! Sent from my iPhone Begin forwarded message: SEP 13 2022 !I i By From: "Bryson, Pablo (WASD)" <Pablo.Bryson@miamidade.gov> Date: September 2, 2022 at 10:44:52 AM EDT To: SDTRADECC@aol.com Subject: STOP SERVICE REQUEST QUALITY. VALUE. ECONOMIC GROWTH 09/02/2022 Lazaro Acosta 125 NE 104TM Street Your request for disconnection of service was received on 09/01/2022. Your water and sewer services were terminated on 02/04/2021, between the hours of 8 AM —5 PM. As requested, your contact information has been updated. Note: This Mailbox does not accept incoming mail messages. Please contact Customer Service at 305-665-7477 for inquiries related to your bill. Our priority is to keep your personal information safe and secure. To learn more about how we keep your information secure, read our privacy and security notice. Please DO NOT reply to this email with sensitive information such as social security number or date of birth. Your account must be updated through the secured link. As a valued customer of Miami -Dade Water and Sewer, you have received this email to provide you with information that may interest you. Please add WASDCustomerService(dmiamidade.aov to your address book. Miami -Dade Water and Sewer Department 3071 SW 38th Avenue Miami, Florida 33146, USA Connect With Us: Facebook I Twitter I YouTube I Instagram I MATERIALS TESTING I ASBESTOS I ROOF TESTING DRILLING SERVICES DYNATECH ENGINEERING CORP. Mr. Lazaro Acosta CL CONTRACTORS 8531 SW 1671 Terrace Miami, FL 33157 Re: Residential House @ 125 NE 104'b Street Miami Shores, FL 33138 Dear Mr. Acosta: W W W.DYNATECHENGINEERING.COM Miami, March 15, 2021 CITY COPY RECEIVED AUG 12 2022 BY:_ Pursuant to your request, DYNATECH ENGINEERING CORPORATION (DEC) conducted an asbestos building survey on March 11, 2021 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: Residential house was tested at the above referenced project (see attached plan). Based on our laboratory analysis, it was evident that no asbestos fibers were found in the secured bulk samples. 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. Please note access was limited to the sampled areas only. Therefore; if, in the course of a renovation or demolition activity, suspect materials become exposed in concealed spaces (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 amount of areas not tested or excluded by DEC. It has been a pleasure serving you at this phase of your project and look forward to doing so in the near future. Sincerely yours, �\\\S p /1%///Z e; CEN8ic�'1����i ma co , `•$ No. 39584 c _ir Wissam Naamam, P.E. - r q '• STATE OF ;Lt/ DYNATECH ENGINEERING COIZP p ; '(l Engineer Florida Reg. No. 39584 �i OAo '• PLOR\OP' Asbestos Consultant Number EA 000d;iA, - I -- --�?�`�, Asbestos Business No. ZA 0000045. wN1f1( 1S10 - I I 1\\\\ WEST 84TH STREET. HIALEAH. FL 33014 PHONE =S) 828-7499 FAMOS) 828-SS98 EMAILINPOODYNATECHENGINEERING.COM f DYNATECH ENGINEERING CORP. ASBESTOS SAMPLING REPORT 750 W. 84th Street. Hialeah, FL 33014 Date: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104'' Street, Miami Shores, FL Surveyor No.: 09132004 By:.P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1 TSL Condition Analysis No. Amount 2-SK Potential 3-MISC for Dania e 1 interior Plaster over Drywall walls Throughout X 3 G/L NAD Wall 2 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 3 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 4 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 5 Interior Plaster Over Drywall Walls Throughout X 3 G/L NAD Wall 6 Interior Plaster Over Concrete Block Wall With 350 SF X 3 G/L NAD Wall Mortar 7 Interior Plaster Over Concrete Block Wall With Included X 3 G/L NAD Wall Mortar Above 8 Interior Plaster Over Concrete Block Wall With Included X 3 G/L NAD Wall Mortar Above 9 Interior Ceramic Wall Tile With Grout 400 SF X 3 G/L NAD Wall 10 Interior Ceramic Wall Tile With Grout Included X 3 G/L NAD Wall i IAbove F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MSC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104'' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF I TSI, Condition Analysis No. Amount 2-SK Potential 3-MISC for Dama e 11 Interior Ceramic Wall Tile With Grout Included X 3 GAL NAD Wall Above 12 Interior Windows & Doors Caulking 1 SF X 3 GAL NAD Wall 13 Interior Windows & Doors Caulking Included X 3 GAL NAD Wall Above 14 Interior Windows & Doors Caulking Included X 3 GAL NAD Wall Above 15 Interior Brown Mastic Behind Wall Mirror 5 SF X 3 GAL NAD Wall . 16 Interior Brown Mastic Behind Wall Mirror Included X 3 GAL NAD Wall Above 17 Interior Brown Mastic Behind Wall Mirror Included X 3 GAL NAD Wall Above 18 Interior Beige 2'x 2' Ceiling Tiles 400 SF X 3 GAL NAD Ceiling 19 Interior Beige 2'x 2' Ceiling Tiles Included X 3 G/L NAD Ceiling Above 20 Interior Beige 2'x 2' Ceiling Tiles Included X 3 GAL NAD Ceiling Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 10401 Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1 TSL CoEe Analysis No. Amount 2-SK Po 3-MISC Plaster Over Drywall Ceiling 1,350 SF X 2 D 21 Interior G/L NAD Ceiling 22 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 23 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 24 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 25 Interior Plaster Over Drywall Ceiling Included X 2 G/L NAD Ceiling Above 26 Interior White Textured Ceiling Material Over 25 SF X 3 G/L NAD Floor Plaster 27 Interior White Textured Ceiling Material Over Included X 3 G/L NAD Floor Plaster Above 28 Interior White Textured Ceiling Material Over Included X 3 G/L NAD Floor Plaster Above 29 Interior Yellow Fiberglass Ceiling Insulation 400 SF X 3 G/L NAD Floor 30 Interior Yellow Fiberglass Ceiling Insulation Included X 3 G/L NAD Floor Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1040' Street, Miami Shores, FL Surveyor No.: 09132004 By: P.B Sample Type: Bulk Samples Analysis: P.L.M./D.S. Sample Location Description Approximate F NF 1 TSL Condition Analysis No. Amount 2-SK Potential 3-MLSC for Damage 31 Interior Yellow Fiberglass Ceiling Insulation Included X 3 G/L NAD Ceiling Above 32 Interior White Insulation Inside Attic 1,350 SF X 3 G/L NAD Ceiling 33 Interior White Insulation Inside Attic Included X 3 G/L NAD Ceiling Above 34 Interior White Insulation Inside Attic Included X 3 G/L NAD Ceiling Above 35 Interior White Mastic On Silver A/C Duct 25 SF X 3 G/L NAD Ceiling 36 Interior White Mastic On Silver A/C Duct Included X 3 G/L NAD Ceiling Above 37 Interior White Mastic On Silver A/C Duct Included X 3 G/L NAD Ceiling Above 38 Interior Ceramic Floor Tiles With Grout Over 600 SF X 3 G/L NAD Floor Concrete Floor 39 Interior Ceramic Floor Tiles With Grout Over Included X 3 G/L NAD Floor Concrete Floor Above 40 Interior Ceramic Floor Tiles With Grout Over Included X 3 G/L NAD Floor I Concrete Floor Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104'h 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 TSL 2-SK Condition Potential Analysis 3-MISC for 3 Damage G/L NAD 41 Interior Wood Floors 725 SF X Floor 42 Interior Wood Floors Included X 3 G/L NAD Floor Above 43 Interior Wood Floors Included X 3 G/L NAD Floor Above 44 Interior Ceramic Tiles & Grout Over Fiberboard 350 SF X 3 G/L NAD Floor Over Wood Floor 45 Interior Ceramic Tiles & Grout Over Fiberboard Included X 3 G/L NAD Floor Over Wood Floor Above 46 Interior Ceramic Tiles & Grout Over Fiberboard Included X 3 G/L NAD Floor Over Wood Floor Above 47 Interior Beige 12'x 12' Vinyl Floor Tiles Over Glue 75 SF X 3 G/L NAD Floor Over Wood Floor 48 Interior Beige 12'x 12' Vinyl Floor Tiles Over Glue Included X 3 G/L NAD Floor Over Wood Floor Above 49 Interior Beige 12'x 12' Vinyl Floor Tiles Over Glue Included X 3 G/L NAD Floor Over Wood Floor Above 50 Exterior Plaster Over Concrete Block Wall With Throughout X 2 G/L NAD Wall Mortar F F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1041 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 TSL 2-SK Condition Potential Analysis 3-NUSC for Damage 51 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 52 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 53 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 54 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 55 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 56 Exterior Plaster Over Concrete Block Wall With Throughout X 3 G/L NAD Wall Mortar 57 Exterior Window & Door Caulking 1 SF X 3 G/L NAD Windows/Door 58 Exterior Window & Door Caulking Included X 3 G/L NAD Windows/Door Above 59 Exterior Window & Door Caulking Included X 3 G/L NAD Windows/Door Above 60 Exterior Window & Door Caulking Included X 3 G/L NAD Windows/Door i Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-1%GSC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 104' 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, Condition Potential Analysis 3-MlsC for Damage 61 Exterior Mineral Sheeting Over Black Paper Over 400 SF X 3 G/L NAD Roof wood 62 Exterior Mineral Sheeting Over Black Paper Over Included X 3 G/L NAD Roof wood Above 63 Exterior Mineral Sheeting Over Black Paper Over Included X 3 G/L NAD Roof wood Above 64 Exterior Mineral Sheeting Over Black Mastic Over 75 SF X 3 G/L NAD Roof metal Drip edge 65 Exterior Mineral Sheeting Over Black Mastic Over Included X 3 G/L NAD Roof metal Drip edge Above 66 Exterior Mineral Sheeting Over Black Mastic Over Included X 3 G/L NAD Roof metal Drip edge Above 67 Exterior Roof Tiles Over Mineral Sheeting Over 1,600 SF X 3 G/L NAD Roof Black paper Over wood 68 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black paper Over wood Above 69 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black paper Over wood Above 70 Exterior Roof Tiles Over Mineral Sheeting Over 200 SF X 3 G/L NAD Roof I Black Mastic over Metal Drip Edge F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3 1%GSC. Miscellaneous Material 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: 03-15-2021 Client: CL CONTRACTORS CORP. Project: Residential Home @ 125 NE 1040' 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-TSL 2-SK Condition Potential Analysis 3-MISC for Dama e 71 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black Mastic over Metal Drip Edge Above 72 Exterior Roof Tiles Over Mineral Sheeting Over Included X 3 G/L NAD Roof Black Mastic over Metal Drip Edge Above 73 Exterior Black Mastic @ Deck Penetration 2 SF X 3 G/L NAD Roof 74 Exterior Black Mastic @ Deck Penetration Included X 3 G/L NAD Roof Above 75 Exterior Black Mastic @ Deck Penetration Included X 3 G/L NAD Roofl Above F = Friable Condition Potential For Damage NF = Non Friable G = Good L = Low NAD = No Asbestos Detected D = Damaged M = Medium CHRY = Chrysotile S = Significantly DamagedH = High 1-TSI: Thermal System Insulation 2-SM: Surfacing Material DYNATECH ENGINEERING 3-MISC. Miscellaneous Material Analyzed by: Nickali Premnath Boodoosingh McCrone Research Institute Microscopical Identification of Asbestos No. 09132004 4 Roof 14 07 29 38 54 30 20 13 08 19 06 18 39 31 S9 S3 09 24 02 OS 17 45 44 16 15 32 O 22 33 42 O 37 10 35 36 11 46 28 26 27 23 21 O1 25 34 41 43 03 12 57 SO S1 58 Interior & Exterior DYNATECH ENGINEERING CORP. CUENT: CL CONTRACTORS CORP. SCALE N7S: X PRolecr: Residential Home @ 125 NE 104th Street Miami Shores, FL DATE: 03-15-2021 By. PB Client: C L Ci Al Y94 e o , ". Project Name/Address: r,-4 e Sampler Name-,Ak ev At, -eg," Asbestos Chain -of -Custody DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Date Samples Collected: 0.3 - 0f - Z-02-1 For Lab Use Only I ulfn mFuuuu Imes: IF nv 'A 1 0 speOrlea, samples will be processed and charged as 3-day TAT. ®1- Da ❑ 2 - Day 3 - Da ❑ Same Da (Must Call Ahead) ❑Weekend (Must Call Ahead) Positive Stop will be used unless marked. ❑ Do Not Positive Stop Sample No. Homogeneous Area Number (1HA#) Locations Material Description Comments I .� Zl& V94 err to y41 w Y 3 OF ro Mcased by. r/AhebEv V44W ,0 ,r— Signature: NOR DaWrime: 03 .p d° ao s-r Page Rece'Wod by: _ Signature• U Qatelrirae: J of Client: if 4 O Project Name/Address: �maciT Sampler Name • *,.!ie,¢f Asbestos ChainwofmCustody UMATECH ENG94EMUNG CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Date Samples C Jected: Q3 -of rzoe For Lab Use Only Turn Around Tithes: If no TAT is specified, samples will he processed and charged as 3-day TAT. 1- Da ❑ 2 - Da ❑ 3 - Dal F Same Day (Must Call Ahead) ❑Weekend (Must Gall Ahead) positive Stop will be used unless marked. ❑ Do Not Positive Stop Sample No. Homogeneous Area Number (HA#) Locations Material Description Comments -i e- IV 16 17 IV t? . S� 4o fC.a-a feC- ad ae4cs' Y 'ee /G Awe 7,0 LV— J/ Released by. y�c/SL�E�` �fc�'�� Received by: Si�htra Signature: Dateri'isne: Datd1'iine: age Y of g 1 Client' , r-oAX . . Project Name/Address: /ate/ ,.-L Sampler Name- aEo Asbestos Chain -of -Custody DYNATECH ENGIIJEERING CORP. 750 WEST 84TH STREET HIAI.EAH, FI.33014 Date Samples Collected: _0 3 -o p -- 30>-E-- Apr=rhr &Ag�;r d - For Lab Use Only Rcleased by %Jr/fvSQ>E-V 9'OriC4,-7-" Signmuure:_,,,.(� DBienime:� r �� , �� Rcccivod by _ _ Simature: -- -L- -- Dat&Time: Page -3 .Of Asbestos ChainwofmCustody DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Client - Date Samples C llected: 03 - o —,�o Project Name/Address:, rL, L - �v �a-r �/. /o T� f� ,�� �,� �.AL Sampler Name�•f�n6-0 c� ,*�' Turn Around Times: If no TAT is specified, samples will be processed and charged as 3-day TAT. 1 ®- Da El3 — Da ❑ 3 — Da ❑ Same Da (Must Call Ahead) El (Must Call Ahead) Positive Stop will be used unless marked. Do Not Positive Stop Sample No. Homogeneous Area Number (HA#) Locations Material Description Comments AP-0 4-4 ?off IoVX 44;_ 3V0 S 3 3 Ir 36 3 V99LOAL 6L 44 .3 J/ J/ Released b . v�En �t�iCA.7'' Signature: Datemme: pj _ a . �•o}r. Page _ of $ Received by: _ signat . _ DateMmc: Client: !64 60,4,,r'V c -'rokr 600a . Project Name/Address: =r #L 1AUC Q, Sampler Name. ��A6 asbestos ChainwofwCustody UMATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 Date Samples AV Vlr* • O.3 01r >4_7 For Lab Use Only Ilk Project NamelAddress:fi Sampler Name: ,*4/ " Asbestos Chainwof=Custody DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEA►H, FL 33014 Date Samples Collected: 03 - of - For Lab Use Only Tum Around Times: If no TAT is specifeed, samples will be processed and charged as 3-day TAT. 0 1 - Da ❑ 2 — Day ❑ 3 — Da ❑ Same Da (Must Call Ahead) [] Weekend (Must Call Ahead) Positive Stop will be used unless marked. ❑ Do Not Positive Stop Sample No. Homogeneous Area Number (HA#) Locations Material Description Comments .C3 �-r �o Released by. y,E,�,a�3+1�}-�.� Signature: DatdTicne: D3 .. Page 6 8 Received by: signature: — V..of Date/rinw. Client: CL 6 C 2 10.0% C: Project Name/Address:,- I Sampler Name:opyAAh � a Asbestos Chain -of -Custody DYNATECH ENGINEERING CORP. 750 WEST 847'H STREET HIALEAH, Fl, 33014 Date Samples Collgcted: 03 - 08 • For Lab Use Only Turn Around Times: If no TAT is specified, samples will be processed and charged as 3-day TAT. Positive Stop will be used unless marked. ®1- Da ❑ 2 — Da ❑ 3 — Da (] Satre Da (Must Call Ahead) [� Weekend (Must Call Ahead) ❑ Do Not Positive Stop Sample No. Homogeneous Area Number (HA#) Locations Material Description Comments 17 oat... b 6� 6� =1/0 A40r ©vb-?Fl ,ire` n-�v fr- --4-D 6� 6 c � F , �c pvc>< „� � �•� o�� .ram' r �r Released by. Page �7 of _k_ Received by. Signature: � Date/Timc: Client: oCL Co, Project Name/A Sampler Name: Asbestos Chain -of -Custody DYNA'fECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 We. /d Date Samples Cgjlected: o 3 - Of - For Lab Use Only Turn Around Times: If no TAT is specified, samples will be processed and changed as 3-day TAT. ® L - Da ❑ 2 - O []3-Day ❑ Same Da (Must Call Ahead) ❑ Weekend (Must Call Ahead) Positive Stop will be used unless marked. ❑ Do Not Positive Stop Sample No. Homogeneous Area Number (HAN) Locations Material Description Comments 3AD-ri'e- -77 0 A) RdeasW by. r/AACZ>ED 4440"001Wf Signature: DatdTime:a —0go .- Page of P Rmoved by: _ Si�ttafore: - Date/Time: DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET. HIALEA 1. FL W014 PHONE (305) 828-7499 FAX (305) 828-9598 EMA1 INN DYNATECHENGRiEaRING.COM LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 03-15-2021 Sampled By: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104th Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 01-05 06-08 09-11 12-14 15-17 Gross Sample Appearance Plaster/Drywall Walls Plaster/Concrete Block/Mortar Ceramic Wall Tile/Grout Caulking At Windows & Doors Mirror Mastic Sample color N/A N/A N/A White Brown Material Homogenous No No No Yes Yes Sample Layered Yes Yes Yes No No Sample Friable No No No No No Sample Fibrous No No No No No ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A N/A N/A N/A Cellulose % N/A 1% N/A 2% N/A Other Fibers 2% N/A N/A N/A 1% Non Fibrous & Minerals 98% 99% 100% 98% 99% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D. - None Detected N/A -Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, IL Microscopical Identification of Asbestos. No.09132004 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET. H)ALEAK FL 33014 PHONE (305) 828-7499 PAX (305) 828-9598 EMAILINFOODYNATECHENGINEERWO.COM LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 03-15-2021 Sampled By: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104th Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 18-20 21-25 26-28 29-31 32-34 Gross Sample Appearance 2' X 2' Ceiling Tile Plaster/Drywall Ceiling Textured Ceiling Material/plaster Yellow Fiberglass Ceiling Insulation White Insulation Inside attic Sample color Beige N/A White Yellow White Material Homogenous Yes No No No No Sample Layered No Yes Yes Yes Yes Sample Friable No No No No No Sample Fibrous Yes No No Yes Yes ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A N/A 95% 95% Cellulose % 25% 2% 1% N/A N/A Other Fibers 10% N/A N/A N/A N/A Non Fibrous & Minerals 65% 98% 98% 5% 5% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D.- None Detected N/A —Not Applicable r Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, M Microscopical Identification of Asbestos. No.09132004 DYNATECH ENGINEERING CORP. 750WEST 84TH SEREEr. HIALEAH. FL 33014 PHONE (305) B28-7499 PAXt305)828-9598 EMAn.:INFOpD7NATECHENGINEERING.COM ,\ ECq LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 03-15-2021 Sampled By: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104' Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 35-37 38-40 41-43 44-46 47-49 Gross Sample Appearance A/C Mastic Ceramic Floor Tile/Grout Wood Floor Ceramic Tiles& Grout/Fiberboard/ Wood Floor 12'x12' VFT/Glue/Wood Floor Sample color White N/A N/A N/A Beige Material Homogenous Yes No Yes No No Sample Layered No Yes No Yes Yes Sample Friable No No No No No Sample Fibrous No No No No No ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A N/A N/A N/A Cellulose % N/A N/A 90% 50% 2% Other Fibers 2% N/A N/A N/A 3% Non Fibrous & Minerals 98% 100% 10% 50% 5% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D. - None Detected N/A — Not Applicable 1—� Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, IL Microscopical Identification of Asbestos. No.09132004 DYNATECH ENGINEERING CORP. 750 WEST 847H MEET. vrnrnnv M 33014 PHONE (305) 828-7499 FAX (305) 828-9598 EbLU-INFOODMATECHENGINEERWG.COM E� LABORATORY REPORT BULK SAMPLE ANALYSIS FOR ASBESTOS - PLM Date: 03-15-2021 Sampled By: SPB Client: CL CONTRACTORS CORP. Project: 125 NE 104a' Street, Miami Shores, FL SAMPLE IDENTIFICATION: Sample No. 50-56 57-60 61-63 64-66 67-69 Gross Sample Appearance EX- Plaster/Concrete Block/Mortar EX -Caulking At Windows& Doors Mineral Sheeting/Black paper/Wood Mineral Sheeting/Black mastic/Metal Drip Edge Roof Tiles/Mineral Sheeting/Black Paper/wood Sample color N/A White N/A N/A N/A Material Homogenous No Yes No No No Sample Layered Yes No Yes Yes Yes Sample Friable No No No No No Sample Fibrous No No Yes Yes Yes ASBESTOS CONTENT: Asbestos Present N.D. N.D. N.D. N.D. N.D. Chrysotile % Present No No No No No Amosite % Present No No No No No Crocidolite % Present No No No No No Other (Specify) % No No No No No OTHER FIBROUS & NON FIBROUS MATERIALS PRESENT: Fibrous Glass % N/A N/A 10% 10% 10% Cellulose % N/A N/A 15% 15% 15% Other Fibers N/A N/A N/A N/A 10% Non Fibrous & Minerals 100% 100% 75% 75% 65% The sample components are identified by polarized light microscopy (PLM), coupled with dispersion staining methods. Percentages are estimated by visual volumetric means. Analytical procedure used does not include point count analysis. N.D.- None Detected N/A -Not Applicable Analyzed by: Premnath Boodoosingh, Microscopist Certificate: McCrone Research Institute, Chicago, IL Microscopical Identification of Asbestos. No.09132004