34556Date:
- PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 74' 15 Job Address )I3 Pr: o. 4 Tax Folio 1 2/g4' 0
7
Legal Description 5 .01 01 OA Ng * Le f 7'
T
e l w ngr J) Lessee / Tenant 7Aw$LY Master Permit Q 1-C
Owner's Address ) 1306 - ti ■ iIJD. Phone 5 - 5O '
Contracting Co. GdA5 Bata nxiiaJ /e, Address 5 tom+ -'rt. L 400 ,/ 170.. i#Z4
tAMt , 331 Li
Qualifier St'a,vrs>a SO Phone .3a,".. U4 -00
State # 4C ooY31¢
Municipal # Competency # Ins.Co.
Sara r ,- 33 # zlV
Architect /Engineer AG441 l.35soo -t l U-$ Address ' f. LAamILWD.ALM. / 333oi
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION vtw»J 1: wTie1
Square Ft . • °O
Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO 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).
Application is hereby made to obtain a permit to do work and installation as indidated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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 •ping. Furthermore, I
authorize the above -named contractor to do the work stated. , ,
'o!Z 411r.vt a L.. (all us,
actor or Owner- Builder
Signature of owner and /or Condo President
Notary as to Owner and /or Condo President
My Commission Expires:
Sig ature of Con
Date*
Notary as to
My Commission
** * * * * * * * * *
FEES: PERMIT' L RADON C.C.F.
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing Engineering
NOTARY
imaislOsoitratimihridad
fe SCOTT W DAVIS
* COMMISSION NUMBER
4 C C255237
AT MY COMMISSION EXP.
F JAN 26,1987
**
TOTAL DUE 1
Other
Electrical
rn•
9. ti1140d .'
SAS TARY M, H.
R . EL. I • - - -�� w
I . EL. 3. -•N (6..�.
NV. EL. 3 ..7
INV.EL. 3.
INV. EL.3. • 9�E(8� i
.4 Tif".c': • $:
• ,s
July 1, 1993
Mr. Ed Cannon
Project Engineer
ACAI Associates, Inc.
5310 NW 33rd Avenue
Suite 218
Fort Lauderdale, FL 33309 -6300
SUBJECT: Analytical Report
Barry University
Maintenance /Ground Building
Chase Construction Site
11300 NE 2nd Avenue
Miami Shores, Florida 33161
Atlantic Coast Project No. A -351
Dear Mr. Cannon:
SAMPLE NO. MATERIAL
351 -B -1 Plaster/Wallboard
351 -B -2
351 -6 -3.
Built -Up Roof
Roof Flashing
Atlantic Coast Environmental Services, Inc.
8980 DISCOVERY ROAD
P.O. BOX 1207 • CAPE CANAVERAL, FL 32920 -1207
407 - 624 -3549
P.O. BOX 387 - DELRAY BEACH, FL 33447 -0387
407 - 272 -9042
LOCATION
North End - Closet
South - Central
SE Corner
` u ACA 1
l
On June 29, 1993, I inspected the above referenced facility for the presence of suspect asbestos
containing materials (ACM) due to the building being scheduled for partial demolition. Bulk samples
of suspect ACM were obtained and analyzed for the presence of asbestos using polarized light
microscopy (PLM) in conjunction with dispersion staining. Bulk samples were analyzed by Advanced
Industrial Hygiene Services, Inc. Mr. Bruce Marchette, CIH, performed the analysis. The results are
as follows:
PLM RESULT
No Asbestos Detected
No Asbestos Detected
5% CHRYSOTILE ASBESTOS
RECEIVE.
•��►Ss 1993
R
REGISTERED ARCHITECT: AR0011378 - AR0012144 • CORPORATE LICENSE: AA- 0002138 • ASBESTOS CONSULTANT: AF0000010- AF0000017
Project No. A351
Barry University
No suspect spray - applied materials or thermal system insulation were observed during the inspection.
Atlantic Coast recommends the portion of the facility to be demolished be done utilizing wet demolition
techniques and the waste disposed of as general construction debris. All demolition and disposal
procedures should be in accordance with federal, state and local regulations concerning demolition.
If you have any questions or require further information, please contact us at our Delray Beach office.
Sincerely,
Atlantic Coast Environmental Services, Inc.
Lyhn E. Jay, R.A.
Florida Licensed Asbestos Consultant
AF 0000021
_,.
P eter J. aird
Vice - President
Page 2.
Grounds Building
Advanced Industrial Hygiene Services, Inc.
All Facets of Industrial Hygiene Service
Account # 1309
Project # 157
Atlantic Coast Environmental Services
P.O. Box 387
Delray Beach, Florida 33447 -0387
Attention: Gary Butler
Sample Received: 29/JUN/93
Sample Designation: B ulk s sub mitted for analysis;
Analytical Results: ASBESTOS CONTENT
Date: 30/JUN/93
Page 3
Sample Log #
NVLAP Lab Code 1006
Collected By: Client Rep
Sample Analyzed: 30 /JUN /93
Sample # 1309 - 3505 - 1: Client Sample # 351 -B -1
1. Sample Appearance: W outer with brown
2. Was Asbestos Detected? No
3. Is Sample Homogeneous? no
4. Non - Asbestos Fibers: 20% cellulose fibers
5. Non - Fibrous Material: 70% calcite
ineral granules
5% paint
Cellulose fibers anisotropic, t sign of elongation, R.I. liquid tested: 1.550,
Birefringence: medium, Pleochroic, incomplete extinction
Advanced Industrial Hygiene Services, Inc. is accredited for asbestos fiber analysis through participation
in the NISI National Voluntary Laboratory Accreditation Program (NVLAP) and meets the requirements of 40 CFR
Part 763.87, Vol. 52, No. 210 dated Friday, October 30, 1987. Accreditation renewal date: April 1 1994.
Analytical Method: 40 CFR Ch.1, Pt. 763, Subpt. F, App. A, Pgs. 293 -299, 1 -1 -87 ed.;
(Polarized light microscopy in conjunction with dispersion staining)
Analyzed By: Bruce Marchette
Laboratory: Advanced industrial Hygiene Services, Inc., 2131 S.W.
Telephone: (305) 854 -7554
This analysis report is valid for sample # 1309- 3505 -1 only.
This report may not be used to claim product endorsement by NVLAP
2nd Ave., Miami, Florida 33129
or any agency of the U.S. Government.
Respectfully S
mitted,
Bruce Marc t e, "H
Authorized Signatory
AIHS, Inc.
2131 S.W. 2nd Avenue • Miami, Florida 33129 • Tel (305) 854 - 7554 • Fax (305) 285 -0677
Account # 1309
Project # 157
Atlantic Coast Environmental
P.O. Box 387
Delray Beach, Florida
Attention: Gary Butler
Sample Received: 29/JUN/93
I H
33447 -0387
Services
Date: 30 /JUN /93
Page # 2 of 3 pages
Sample Log # 3505
NVLAP Lab Code 1006
Collected By: Client Rep
Sample Analyzed: 30 /JUN /93
Sample Designation: Bulk sample submitted for analysis;
Project # A -351
Analytical Results: ASBESTOS CONTENT
Sample # 1309 - 3505 -2: Client Sample # 351 -B -2
1. Sample Appearance: Black tarred felts with brown fibrous
insulation
2. Was Asbestos Detected? No
3. Is Sample Homogeneous? no
4. Non - Asbestos Fibers: 65% cellulose fibers
5. Non - Fibrous Material: 30% bituminous resins
5% mineral granules
Cellulose fibers anisotropic, + sign of elongation, R.I. liquid tested: 1.550,
Birefringence: medium, Pleochroic, incomplete extinction
Advanced Industrial Hygiene Services, Inc. is accredited for asbestos fiber analysis through participation
in the NIST National Voluntary Laboratory Accreditation Program (NVLAP) and meets the requirements of 40 CFR
Part 763.87, Vol. 52, No. 210 dated Friday, October 30, 1987. Accreditation renewal date: April 1, 1994.
Analytical Method: 40 CFR Ch.1, Pt. 763, Subpt. F, App. A, Pgs. 293 -299, 1-1-87 ed.;
(Polarized light microscopy in conjunction with dispersion staining)
Note: This sample was ashed at 1000 0 F for two hours. This constitutes a departure from the above method.
Analyzed By: Bruce Marchette
Laboratory: Advanced Industrial Hygiene Services, Inc., 2131 S.W. 2nd Ave., Miami, Florida 33129
Telephone: (305) 854 -7554
This analysis report is valid for sample # 1309- 3505 -2 only.
This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government.
Resfectfully Su mitted,
•
Bru a March te, C
Authorized ignatory
AIRS, Inc.
IH
U
Account # 1309
Project # 157
Atlantic Coast Environmental Services
P.O. Box 387
Delray Beach, Florida 33447 -0387
Attention: Gary Butler
Sample Received: 29/JUN/93
Sample Designation: Bulk sample submitted for analysis;
Project # A -351
Analytical Results: ASBESTOS CONTENT
Date: 30 /JUN /93
Page # 3 of 3 pages
Sample Log # 3505
NVLAP Lab Code 1006
Collected By: Client Rep
Sample Analyzed: 30 /JUN /93
Sample # 1309- 3505 - 3: Client Sample ,41 351 -B -3
1. Sample Appearance: Black resinous tar -like material
2. Was Asbestos Detected? Yes
3. Is Sample Homogeneous? no
4. Sample Contained: 5% CHRYSOTILE Asbestos
5. Non - Asbestos Fibers: 5% cellulose fibers
6. Non - Fibrous Material: 10% mineral o granules
s
Chrysotile fibers anisotropic, + sign of elongation, R.I. 1.556, R.I. 1.542,
Birefringence: tow, Non- pleochroic, parallel extinction
Cellulose fibers anisotropic, + sign of elongation, R.I. liquid tested: 1.550,
Birefringence: medium, Pleochroic, incomplete extinction
Advanced Industrial Hygiene Services, Inc. is accredited for asbestos fiber analysis through participation
in the NISI National Voluntary Laboratory Accreditation Program (NVLAP) and meets the requirements of 40 CFR
Part 763.87, Vol. 52, No. 210 dated Friday, October 30, 1987. Accreditation renewal date: April 1, 1994.
Analytical Method: 40 CFR Ch.1, Pt. 763, Subpt. F, App. A, Pgs. 293 -299, 1 -1 -87 ed.;
(Polarized tight microscopy in conjunction with dispersion staining)
Note: This sample was ashed at 1000 ° F for two hours. This constitutes a departure from the above method.
Analyzed By: Bruce Marchette
Laboratory: Advanced Industrial Hygiene Services, Inc., 2131 S.W. 2nd Ave., Miami, Florida 33129
Telephone: (305) 854 -7554
This analysis report is valid for sample # 1309- 3505 -3 only.
This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government.
Respectfully Su • itted,
Bruce Marche e, CI
Authorized Sgnatory
AIRS, Inc.
Ci L1TY �� RELINQUISHED BY:
ffRS G Cacot i — _S E /! i -
y
r
DATE
TIME
I
I RECEtVE9Y:
SA M PLER(S) DATE TA RELINQUISHED BY:
k20x E
DATE TIME
I
RECEIVED BY:
S t
saATE1� lJ►B
TYPE _ a
T
BATE AMAIYS S ASBESTOS
AApIVE OA T£ Aac1ivER
NUMBER ARCO INT*MS SPECIAL INS iAuCTI NS
ANALYZED ea ru1S . N
A-1
Y ,
i - c-I 3L X43 + all
i .
4-_.3
PIA__.4
-
•
rilli
at Atlantic Coast
Environmental Services
PROJ. M I PR 01 NAME
BULK SAMPLE
CHAIN OF CUSTODY RECORD
RELINQUISHED BY: I DATE TIME
yerA /6;64
RECEIVED BY:
ALL SAMPLES WILL BE
DISPOSED OF
NINETY DAYS AFTER MNALYS /S
UNLESS OTHERWISE REQUESTED