Loading...
CC-10-1948Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Not Transferable POST IN A CONSPICUOUS PLACE Permit Number: CC -11 -10 -1948 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 157405 Inspection Date: March 18, 2011 Inspector: Bruhn, Norman Owner: Job Address: 9537 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: SEACOAST CONSTRUCTION INC Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060133910 Phone: (786)888 -8400 Building Department, Comments SELECTIVE BUILT OUT FOR NEW PRIVATE FITNESS STUDIO Passed ziek-'—/j Inspector Comments CREATED AS REINSPECTION FOR INSP- 157035. Pending water fountain Hi -Lo FAC Compliant. NB Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 March 18, 2011 Page 1 of 1 seacoast I E CONSTRUCTION Municipality: Village of Miami Shores Permit Number: 10 -1948 Project: Insulation Certificate Primal Fit Miami 9537 NE 2nd Avenue Miami Shores, Florida 33138 Description of Installation: Ceiling - Manufacturer is Knauf fiberglass batt with an R -Value of R -19. Walls — (Rear Wall only) Manufacturer is Fi -Foil AA2 vapor shield with an R -Value of R 4.1 Declaration: I do hereby certify that the above insulation was installed in the building at the above project location in ante h the curie Florida Model Energy Efficiency Code. Cc4. qkrqs2 e¢ Signa ;ure of Qu . = r License # Print Name of Qualifier / Owner 2103 CORAL WAY 1 surrE 405 1 MIAMI, FL 33145 TEL 1 786 888 8400 1 FAX 1 305 675 6326 WEB I SEACOAST CONSTRUCTION.NET 3 0111 Date B ack f l Ow Prevention Special Tel: 786.314.3103 e vice lam. Tested 9/ Apr ay Feb �,5r Aep Oct �` Jul Jl Aug Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 156689 Permit Number: MC -1 -11-46 Scheduled Inspection Date: March 07, 2011 Inspector: Perez, JanPierre Owner: Job Address: 9537 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: AIRTROL AIR COND CO INC Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060133910 Phone: (305)226 -7542 Building Department Comments NO CHANGE OUT USE EXISTING UNITS. INSTALL NEW DUCTWORK C\//\ '3 -71 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 154763. not ready jpp March 04, 2011 For Inspections please call: (305)762 -4949 Page 22 of 30 4 Miami Shores Village Building Department 2U10 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. U\ c I --Lk �o PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder):_ Phone #: ) 2 b •Ar's y/79 Address: / P1-07 ,i8:".,c eda i City: "astph./ 5,4* ® State: 19' Zip: 53 1.0 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 07,7 ®, i/e- City: Miami Shores County: Miami Dade Zip: 7.1,1' Fo1io/Parcel #: // . ete ' /C 'l9'' Is the Building Historically Designated: Yes NO ../ Flood Zone: AP CONTRACTOR: Company Name: IL -ra c- Ala CA A A', 0t,, ; 0,(1 CL, 1 v,„.' • Phone #: (330226' (;fit Address: 3 43,L0 15 4, "°' , City: m 1A:Al State: F'1,- Zip: 1 F4-1,1 Qualifier Name: L. 0 "� � +� " °�°� Phone# :( )176 -1 `,� /r te State Certification or Registration #: C Lc, c - � -ico 1 Certificate of Competency #: Contact Phone #: ('°- "£ ) L.-2 1.., ° x94' Email Address: DESIGNER: Architect/Engineer: - Lb tjAe -X " r-- ' t' Phone #: (`-)1,1- 4),(C" I G Value of Work for this Permit: $ 0'- ° ' ° Square/Linear Footage of Work:= Type of Work: OAddress Description of Work: iV adheration ail' mot,v� (� ONew ORepair/Replace ODemolition ****** * ** * ***** **** **************** ** ****************** ****** * * * * ****+x********** Submittal Fee $.. Permit Fee $ Qr v CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address I/A City State Zip Mortgage Lender's Name (if applicable) F1.J1✓sY .�7S/.� )&A, ' Mortgage Lender's Address /DA, 7 �4 04/t City /j0 - 11/47f' State At Zip JJ/JJ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Ownero A_e t The foregoing instrument was acknowledged befgre me this day of N® %% , 20 L, by \ 1 —Oh r\ ' \ -� > who i personally known o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Michelle Nesselt Comm #DD0733337 Expires 12/1/2011 Notary Public ' My Commission EE001893 * *** **********,s****** *********sets `plu a��,�x *** m**** ****** ,tdep ,4* t oitoglernsm***�x *nos*** *,x,x,�+sa�a�,x.x APPROVED BY ' Plans Examiner Zoning Signature Con' actor The foregoing instrument was acknowledged bore me this 30 day of V' , 20L , byENtctin T -SAM who is personally known to me or who has produced as identification and who did take an oath. Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): 9J-37,1 ,70I/-e City: Miami Shores Village County: Miami Dade Zip Code: 1 /3 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 °CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: ,74 14746/ % 46/ L ,X: 02 A, Phone: 3O5 - S 42. State Certificate or Re ''station N. CAC a O - 7 6 ( Certificate of Competency N. Signature (Qualifier's s Date: AJovs l Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL (I\ (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 154756 Permit Number: PLC -1 -11-45 Scheduled Inspection Date: March 02, 2011 Inspector: Hernandez, Rafael Owner: Job Address: 9537 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: LONCUS PLUMBING CONTRACTORS INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060133910 Phone: 305 - 383 -9259 Building Department Comments MAP SINK, HANDICAP BATHROOM WATER FOUNTAIN Passed e Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 01, 2011 For Inspections please call: (305)762 -4949 Page 20 of 44 Miami Shores Village Building Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No.171--C-- Lj 5 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder)7541,4/e97-1 /• 0_,› b Phone #: ,7i:4s 'Z'TY 797I) Address: APApf /!/, "oat/ City: T/ ;40,1 e41aGe%i State: � zip��/JD Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: "5-57 ,1/ 4vL City: Miami Shores County: Miami Dade Zip: .351,C1 i Folio/Parcel #: 4'/ 2•04 • .D/3 • 3tits Is the Building Historically Designated: Yes NO ✓ Flood Zone: CONTRACTOR: Company Name: l -Ps- -L L., 'Ca %` �� _� =" +� �r Phone #: Address: - ( ',_ _) 7 C.> ,, „_ e� • -r Zip: 2-3).:4-4-- City: i a i ! State: Qualifier Name: Y- �'° � r � � �•- � , dL Phone #: L �� � � a/. -2 �-, ' re. State Certification or Registration #: �' i �2 0 ° { (7' Certificate of Competency #: Contact Phone #: 3 ,d ✓ 'y / e. Email Address: ry DESIGNER: Architect/Engineer: J °t'k/ ° 1 -diALI 1.14 ,0 i.,I L — 91, A. Phone#: (t; kA s ``fi4,', Value of Work for this Permit: $ r6, 0 " o O'Cb Square/Linear Footage of Work: t 4,7-43 sr Type of Work: ❑Address Iteration ❑New ❑Repair/Replace ❑Demolition Description of Work: M ‘z,e 1;.o lc Vw►o1. ,.P •NArer.vi-.. 1 -r.-1-e, - Ra. ,efieN., **+ x+ xm ****+ x**** **** ***a:******+x****** *** *Fees* * ******* ****** ************* ** *** **** ** ** Submittal Fee $15- .CO Permit Fee $ �CCF $ CO /CC $ Scanning Fee $P Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) /l/AA Bonding Company's Address ,20:4 City State Zip Mortgage Lender's Name (if applicable) ,ei�✓4✓�/ li A• Mortgage Lender's Address A.7 0E/, ��j City �•��A J9/�ae 1* State ' Zip Y3-,3I 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A}'r'II)AVIT: 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 , einspection fee will be charged. O •/ Agent Con ctor The foregoing instrument was acknowledged before me this �'� The foregoing instrument was ac wledged before me this 30 day of �w • , 20 /O, by i\�. \ (9 (l5 (, s , day of MILeiyik, 2010, by 0 who 's personally know to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission • APPROVED BY pires: Comm #DD0733337 Expires 12/1/2011 Notary Public e of Florida NOTARY PUBLIC: Sign: Print: cil C q-cgt,s/- My Commission Expires: ° " "' %, Deborah E. Felicie r -COMMISSION #D0774550 s EXPIRES: APR. 20, 2012 WWW.AARONNOTARY..com 1424/ Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 153336 Scheduled Inspection Date: March 01, 2011 Inspector: Devaney, Michael Owner: Job Address: 9537 NE 2 Avenue Miami Shores, FL 33138- Permit Number: ELC -11 -10 -2039 Project: <NONE> Contractor: R & A ELECTRIC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060133910 Phone: (305)331 -3710 Building Department Comments INSTALLATION OF NEW PIPE OUTLETS LIGHTS Passed 7 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments e -7z /4 5.69 /4-Z1k7z1K o/� February 28, 2011 For Inspections please call: (305)762 -4949 Page 2 of 12 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ac t 23' Permit No. ac I6~ F BUILDING PERMIT APPLICATION FBC 20 Master Permit No. - /7 cle Permit Type: Electrical l OWNER: Name (Fee Simple Titleholder): J�f/d/� �i�.�i!/ 4' �O Phone#: 7,I p 1 ' ..2JY 7 9J Address: ge3®®7 4't 4v g City: nl*J•r I State: 4/1 Zip: 33/Y2 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 9JJ7 e City: Miami Shores County: Miami Dade Zip: 'WA Folio/Parcel #:/S- 339.1% Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Cytmpany Name: /" � Phone #: ` — ¶1-11 S5 Address: City: Qualifier Name: State: r Zip: 3? / 6 e- • Phone #: .3a5) 3 3 / - 9 / cJ State Certification or Registration #: E= /( Oa04' .3/ Certificate of Competency #: 7-60000416 Contact Phone#( ?O5i'( -3 '70 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ®0 0 Square/Linear Footage of Work: l �O d" Type of Work: ❑Address / Iterati "on/ New OR�epair/Replace ODemolition Description of Work: //?5 7" /i-e -. �� /v'7 P, 1 J /9il% g i ejt i�GG 1 6,176, Submittal Fee $ Permit Fee $ 22.57 r,G> CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) £ /fin s v �� Mortgage Lender's Address /31)7 /1/r ,/ 4//� ? city % Aa Dom/ State %�/ zip 7,1j 1 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 O Owne Agent Signature ® r Contractor The foregoing instrument was acknowledged before me this /J The foregoing instrument was acknowledged before me this tSh" day of/1/271/' , 20ID, by a fl 9 ' llf, , day of N%1JN1b-ef , 201, by (Dar ATV iCAC\ , who • personal o to me or who has produced who is personally known to me or who has produced r-t As identification and who did take an oath. \NI Ntli `S Li etaSe.as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: *** * * * * * * * * * * ** *** * ** APPROVED BY Michelle Nesseit Cornrn #DD0733337 ExplreS 12/1/2011 Notary Public My Commission Exp. a: ******** ******x: **** *********** *** *** * *** **** *.* ***** ' - ®4 .77�,"" Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) 1* Inspection Worksheet n(-1-Y Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 155250 Permit Number: ELC -1 -11 -127 Scheduled Inspection Date: March 01, 2011 Inspector: Devaney, Michael Owner: Job Address: 9537 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: R & A ELECTRIC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060133910 Phone: (305)331 -3710 Building Department Comments INSTALLATION OF SPEAKERS, WIRES, PHONE WIRE ,TV WIRE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 70,1_ /(7 February 28, 2011 For Inspections please call: (305)762 -4949 Page 7 of 12 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING' PERMIT APPLICATION FBC20 Permit Type: ELECTRIC 1 �JOwner's Name (Fee SimAle Titleholder) I 5 . Phone # Owner's Address . LI LA.CC) RE. C) lid Roe City V6 (a t a S C'_s State 1 Zip 3 1 Tenant/Lessee Name ! 4 101..- -R-1- Email 1AN252011 J Permit No. dC 11 1 Z1 Master Permit No. ( g /0 - /7P 1t0° 2» Job Address (where the work is being done) Phone # 9 ' . 3 " 3 7 A/ E c 4 6- City Miami Shores Village County Miami -Dade FOLIO / PARCEL # /1" '/'- -37 a - Is Building Historically Designated YES NO Zip Flood Zone Contractor's Company Name /e 'V 4 C Gre.%2 /G Phone # •5) 33/ 3 9/C Contractor's Address / 0 .1674:2-V // e3_6- City /t'7 / / State r J-! / Zip 33 / Qualifier Name O�� 4- 2 /, Phone # toS) 3 3 7- / State Certificate or Registration No. Certificate of Competency No. E -mail Architect/Engineer's .1s ame (if applicable) Phone # Contact Phone ® 33/r 3F/0 Value of Work For this Permit $ 00 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑ Repair/Replace ❑ Demolition Describe Work: /� S 7/� -7'ie" u/ i - 3 ` a,/ a.//' , 1- t/ yl/ /.. • ******** * * * * * * * **** * * * * * * * * * * * * * * * * * * ** Fees * *** * * ** :**** * * * * * *** * *** * * *** * * * * *** * * * * *** Submittal Fee $ Permit Fee $ /e, AO i.a) CCF $ CO /CC $ Notary $ Training/Education Fe's $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ I MJ ,OZ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 t. Also, a certified copy of the recorded notice of commencement must be posted at the job site days after the building permit is issued. In the absence of such posted notice, the fee will be charged. whose property is subject for the first i -s•u ton w' -. inspecti' l l not ' ' <•Tprov occurs seven d nd a re- inspect Sign-.e ° - Signature Owner or g� Contractor The foregoing instrument was acknowledged before me this 2.01;1‘ The foregoing instrument was acknowledged before me thiso ( day of ...0.4.4A , 20 11 , by ‘1444xes A- , day of L , 20 , byt &,,(C AelatA- is personally known to or who has produced who is personally known to me or who has produced -' D As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Slip , Print: co �. Sign: I � cI Print: My Commission Expires: NOTARY PUBLIC-STATE V Of& m My Commission Expires: N� :C�mfiissi life :` g ti -A ECommission EDD795680 • . ` Expires: AUG. 22, 2012 � ®F FLO�\oP���\\ Sign: APPROVED BY 9, Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) J. W. HUGENTUGLER ARCHITECT 3809 NW 7 Place Deerfield Beach, FL 33442 954.695.5826 January 28, 2011 City of Miami Shores Building Department 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Attn: Norman Bruhn Re: Primal Fit Miami — Interior Alteration 9537 N.E. 2nd Avenue Permit # 10 -1948 Dear Sir, 2011 ?��. FEB 0 3 The Approved permit plans call out for a two (2) hour separation from our proposed use of (A -3) fitness center to the adjacent uses of (M) mercantile. The existing South wall already has an existing (1) one -hour rated separation wall and the existing north wall's fire rating cannot be confirmed. The contractor has placed a 3 -5/8" metal 25ga. Stud wall in front of each of these existing walls and we propose the addition of four (4) layers of 5/8" type "X" drywall to the interior side of the stud wall to be in compliance with the Gypsum association GA File No. WP 7125 (see attached). This will provide the 2 -hour separation required. If you have any questions, please call our office. Sincere' gentugler, RA rchitect AR0010097 r GA -600 -2006 FIRE RESISTANCE DESIGN MANUAL 85 • SHAFT WALLS GA FILE NO. WP 7099 PROPRIETARY* GYPSUM WALLBOARD STEEL C -T OR SLOTTED 1 STUDS One layer 1" x 24" proprietary type X gypsum panels inserted between 21/2" floor and ceiling runners with tab -flange section of 29/2" steel C -T or slotted I studs between panels. One layer 1/2" proprietary type X gypsum wallboard or gypsum veneer base applied parallel to each side with 1" Type S drywall screws 12" o.c. Sound tested with 1" glass fiber friction fit in stud space. (NLB) PROPRIETARY GYPSUM BOARD BPB America Inc. - 1/2" ProRoc® Type C Gypsum Panels 1" ProRoc® Shaftliner GA FILE NO. WP 7117 1 2 HOUR FIRE 45 to 49 STC SOUND Thickness: 39/2" Approx. Weight: 9 psf Fire Test: WHI 495 -0569, 11 -4-83; WHI 495 -0570, 11 -7 -83; WHI 495 -1225, 2 -8 -93; WHI 495 -1245, 7 -1 -93 Sound Test: WEAL 84 -108, 3 -16-84 PROPRIETARY* GYPSUM WALLBOARD, STEEL C -H STUDS One layer 1" x 24" proprietary type X gypsum panels inserted between 21/2" floor and ceiling J runners with H section of 21/2" proprietary vented C -H steel studs between panels. One layer 1/2" proprietary type X gypsum wallboard or gypsum veneer base applied parallel to each side with 1" Type S drywall screws 12" o.c. Joints staggered 24" on opposite sides. (NLB) PROPRIETARY GYPSUM BOARD American Gypsum Company 1/2" FireBIoc® Type C Lafarge North America Inc. 1/2" Firecheck® Type C Temple- Inland Forest Products Coprporation - 1/2" TG -C United States Gypsum Company - 1/2" SHEETROCK® Brand FIRECODE® C Core Gypsum Panels 1" SHEETROCK® Brand Gypsum Liner Panels — AFItENO— WP7125 2 HOUR FIRE 35 to 39 STC SOUND Thickness: Approx. Weight: Fire Test: Sound Test: 31/2" 9 psf UL R1319; R11633, 87NK21464, 9- 14-87, UL Design U467 Estimated GENERIC GYPSUM WALLBOARD, STEEL STUDS Base layer 5/8" type X gypsum wallboard or gypsum veneer base applied at right angles to ONE SIDE ONLY of 15/8" steel studs 24" o.c. with 1" Type S drywall screws 12" o.c. Second layer 5 /a" type X gypsum wallboard or gypsum veneer base applied at right angles with two 1518" Type S drywall screws per board. Third layer 5/8" type X gypsum wallboard or gypsum veneer base applied at right angles with two 25/8" Type S drywall screws per board and one 25/a" Type S drywall screws placed midway between studs at floor and ceiling runners. Steel strips 0.020" x 11/2" wide vertically applied over third layer at vertical joints and intermediate studs with 25/a" Type S drywall screws 12" o.c. Fourth layer 5/8" type X gypsum wallboard or gypsum veneer base applied at right angles to steel strips with 1" Type S drywall screws 8" o.c. Joints offset 24" between layers. (NLB) 2 HOUR FIRE 35 to 39 STC SOUND Thickness: Limiting Height: Approx. Weight: Fire Test: Sound Test: 41/a" 12'0" 9.5 psf GET, 4 -13 -70 KG 634, 4 -1 -70 *Contact the manufacturer for more detailed information on proprietary products. J. W. HUGENTUGLER ARCHITECT 3809 NW 7 Place Deerfield Beach, FL 33442 954.695.5826 March 8, 2011 City of Miami Shores Building Department 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Attn: Norman Bruhn Re: Primal Fit Miami — Interior Alteration 9537 N.E. 2nd Avenue Permit # 10 -1948 Dear Sir, The Approved permit plans call out for a two (2) hour separation from our proposed use of (A -3) fitness center to the adjacent uses. The existing east wall is an existing concrete block wall with a door opening from the office to the storage / meter room for this complex. We propose the addition of a metal frame wall with (2) layers of 5/8" type "X" drywall to the interior side of the stud wall and (2) layers on the meter room side of the opening to be in compliance with the Gypsum association GA File No. WP 1522 (see attached). This will provide the 2 -hour separation required. If you have any questions, please call our office. Sincerely MAR 0 8 2011 ugentugler, RA itect AR0010097 Joints staggered 24" each layer and side. (NLB) PROPRIETARY GYPSUM BOARD American Gypsum Company - BPB America Inc. BPB Canada Inc. G -P Gypsum Lafarge North America Inc. National Gypsum Company Temple- Inland Forest Products Corporation United States Gypsum Company 1/2" FireBloc® Type C 1/2" ProRoc® Type C Gypsum Panels 112" ProRoc® Type C Gypsum Panels 1/2" ToughRock® Fireguard® C 1/2" Firecheck® Type C - 1/2" Gold Bond® Brand FIRE- SHIELD CTM' Gypsum Wallboard 1/2" TG -C 1/2" SHEETROCK® Brand FIRECODE® C Core Gypsum Panels vveignt: 9 psf Fire Test: UL R1319 -141 through 145, 2- 11-87, UL Design U453 Sound Test: RAL TL83 -215, 9 -2-83 GA FILE NO. WP 1521 I I GENERIC GYPSUM WALLBOARD, STEEL STUDS Base layer 1/2" type X gypsum wallboard or gypsum veneer base applied parallel to each side of 33/4" steel studs 24" o.c. with 1" Type S drywall screws 24" o.c. Face layer 1/2" type X gypsum wallboard or gypsum veneer base applied parallel to each side with 15/a" Type S drywall screws 12" o.c. Joints staggered 24" each layer and side. Sound tested with 31/2" glass fiber friction fit in stud space. (NLB) 2 HOUR FIRE 55 to 59 STC SOUND Thickness: Approx. Weight: Fire Test: Sound Test: 55 /s" 9 psf See WP 1545 (UC, 9 -7-64; ULC 80T499, 3- 26 -81, ULC Design W414) NRCC 815 -NV, 2 -3-81 GA FILE NO. WP 1522 GENERIC GYPSUM WALLBOARD, STEEL STUDS Base layer 6 /8" type X gypsum wallboard or gypsum veneer base applied parallel or at right angles to each side of 35/4" steel studs 24" o.c. with 1" Type S drywall screws 24" o.c. Face layer 5/8" type X gypsum wallboard or gypsum veneer base applied parallel or at right angles to each side with 1510" Type S drywall screws 12" o.c. Joints staggered 24" each layer and side. Sound tested with 31/2" glass fiber friction fit in stud space. (NLB) 2 HOUR FIRE 55 to 59 STC SOUND Thickness: Approx. Weight: Fire Test: Sound Test: 61/a" 12 psf See WP 1548 (WHI- 495 -0236, 1- 30-80) NRCC 818 -NV, 2 -3 -81 *Contact the manufacturer for more detailed information on proprietary nroductc GA FILE NO. WP 1545 I GYPSUM WALLI Base layer 1/2" type X gypsum wallboard side of 21/2" steel studs 24" o.c. with ' type X gypsum wallboard or gypsum v1 Type S drywall screws 12" o.c. Joints staggered 24" each layer and side friction fit in stud space. (NLB) GA FILE NO. WP 1546 1 GYPSUM WALLE Base layer 1/2" type X gypsum wallboard side of 21/2" steel studs 24" o.c. with 1 type X gypsum wallboard or gypsum ve Type S drywall screws 12" o.c. Joints staggered 24" each layer and side. stud space. (NLB) GA FILE NO. WP 1548 I GYPSUM WALLS Base layer 3/4" type X gypsum wallboard of angles to each side of 21/2" steel studs Face layer 5 /e" type X gypsum wallboar right angles to each side with 15/8" Type Joints staggered 24" each layer and side friction fit in stud space. (NLB) PERMIT # CONTRACTOR: SUBMITTAL DATE: I■\4 j R+l'� ADDRESS: X15_ 2' NAME: RESUBMITAL DATES: PROJECT TV : • ZONING STRUCTURAL // 7///e) /4 l.zave' ELECTRICAL PLUMBIN vo MECHANICAL FIRE IMPACT FEES HRS/DERM NOC BL `'G 051 Aki 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder):. Address: :0'4'4 e- State: Zip://3e7 Phone( 3,..i) c3S 1- (may ES rNagRIZ1OIU 0 4 2010 Permit No. (f ../ 10 -1145 Master Permit No. Phone #: Tenant/Lessee Name: ICI Pa c1L Email: I cl@_et`inn al'e';--Yvv)i ow; . JOB ADDRESS: 9 S3-1 E < 2)\-12 X\e City: Miami Shores County: Folio/Parcel #: i\ °-326(0 -C7l -39l0 Miami Dade zip: 33 31( Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: S6660.1iS+. G‘US-1-11tJ\,011 Address: it 03 CoL L,1 SLAW-, W - City: 1illS. fil State: ' Qualifier Name: E orz.6 Al)hkot Flood Zone: Phone #: R e Zip: 331 45 Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: I D" � , j Email Address: 9eor . a ba,A.; €Se.Co as C,oAst uc -Its. y) , Ia DESIGNER: Architect/Engineer: J. Au, 4 -luG'8 tTU C �! Phone #: qS4 ° (AS ` S 2h ,'.:.� Od O`Nea.. f Value of Work for this Permit: $ -"'"all' Square/Linear Footage of Work: 14O Type of Work: DAddress l Alteration DNew DRepair/Replace ,_ demolition Description of Work: 1 �--,� SuILb - ®•-IT Fla COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: * * * * * * **** * * * * ** **** **** * *** * * * * * * * * ** Fees******:****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /4//7.21 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) N A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip b. 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 • law brochure will be delivered to the person imenc >nt must fisted at the job site e absence of such %.r ted notice, the promise in good faith that a copy of the notice of commencement and constructio whose property is subject to attachment. Also, a certified copy of the recorded for the first inspection which occurs seven (7) days after the building permit -inspection will not be apsroved and a reinspection fee will be charged. Signa Owner or Agent The foregoing instrument was acknowledged before me this i . Signature day the a esselt who s person miens o has pr EXpirek-Magiclation and w Notary Public NOTARY PU1ce:of Florida educed ho did take an oath. Sign: Print: My Commission Expires: The fore day of who is pe APPROVED BY is /' /Z-019/17 Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/1 0/2009)(Revised 3/15/09)(rev6/4/10) tice of c is issued. m ment MI m sonally knexptfor12,042,Whas produc d aiit7t8 ii� `' 110 d who did Contractor • It me this 7'? Sign: Print: • • ke an oath. My Commission Expires: Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 1 111111 1111 I 11 111 11111 11111 11111 11111 1111 111 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, FloricethaleFrgrRBE is provided in this Notice of Commencement. I HEREBY CERTIFY that this Ise true cop of The ongs ed in this office on (Noy of , A D 20 j/) WITNESS my hand and Official Seal. HARV ' t V E' of C,rc and C u L3 1. Legal description of property and street/address: CFN 2010R0828319 OR SI 27517 P9 02761 (1p9) RECORDED 12/10/2010 12:43:13 HARVEY RUVINf CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE use of recording offic 2. Description of improvement: Gt O'1 ei 41.16 In.N ..wrlL 3. Owner(s) namand address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name, address and phone number: G elec'Ln-A fI rycla»c,n► sr.'• 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone) number: Amount of bond $ N/ 6. Lender's name and address: KVA - 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes + Name, address and phone number: Ater:/.✓G �,,�>f!L ?G-` ,..,/,9.4217 ' 8. In addition to himself, Owners designates the following p- •n(s) to receive a copy "• the ienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: pate is 1 year from the date of reconling unless a different date is specified) (the expirati WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TH IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatures) of OOwwne ) or Owner(s)" A►utho ed Officer/Director Prepared By i✓ r ' Print Name 4 4 � f Title/Office STATE OF ' ORIDA COUNTY OF "MIAMI -DADE The By ❑ Indi . or ❑ as 'MT MJCheffe NesseU -Personally known, or ❑ produced the following type of identicatim #DD07333; Signature of Notary Public: Print Name: (SEAL) owledged PIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED ORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR UST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK er/Manager pared By nt Name itle/Office me this / 0 day of Expires 12/1/2011 Notary Public State of Florida VERIFICATI N PURSUANT TO SECTION 92.525. FLORIDA 'STATUTES • Under penalties of pe perjury, I dectare that f have read tfie %regoing -anif" that the facts stated in it are true, to the best of my knowledge and belief. Signatur- :1of Off, - (s) By PAGE 3 3/10 wt er(s)'s Authorized Officer/Director /Partner /Manager who signed above: • By - Fictrida Energy Efficiency Code For Building Construction Florida De artment of Community Affairs P #Y Energy$auge Summit® Fla/Com -2008, Effective: March 1, 2009 - Form 400B-2008 Method B: Prescriptive Compliance for Renovations, Occupancy Change, etc. PROJECT SUMMARY Short Dcsc: IMPAK GYM Description: IMPAK TOTAL FITNESS Owner: Enter Owner's name here • • Addressl: 9537 N.E. 2nd AVE City: j1MI SHORES • Address2: Enter Address here Stag �a fit., .u�t • Zip 1 °' • • � • Type: Gymnasium Class •••• • • Jurisdiction: MIAMI SHORES VILLAGE, MIAMI -DADE COUNTY, FL (2 ^i.�• • • Conditioned Area: 1408 SF Conditioned & UnConditioned A No of Stories: 1 Area entered from P••,' • Permit No: 0 Max Tonn "`S•' • • • • • If different, write in! • •••• • •• • • • • EnergyGauge Summit@ Fla/Com -2008. Effective_ March 1, 2009 1 t nrinl0 palEgW3n IVOV042010 BY: Panr 1 flf ? Compliance Summary Component Design Criteria Result RENOVATED ENVELOPE PRESCRIPTIVE LIGHTING POWER LIGHTING CONTROLS EXTERNAL LIGHTING HVAC SYSTEM PLANT WATER HEATING SYSTEMS PIPING SYSTEMS Met all required compliance from Check List? 1,200.0 PASSES 1,267.2 PASSES PASSES None Entered PASSES None Entered None Entered None Entered elA • • • • • •• • • IMPORTANT MESSAGE Info 5009 — — — An input report of this design building must be submittt4d along with this • • •••• •••• •••• • • • •••• • • •••• • • • •••• •••• •• Compliance Report 1 1 P7; ^(11(1 • • • • • • • • • • •• • EnergyGauge Summit® Fla/Com -2008. Effective: Mach t, 2firl9 • • •••• • •••• • • • • • • • • • • • Psor'7:.f7 • I hereby certify that the plans and spec Florida Energy Code Prepared By: Aniel F CERTIFICATIONS ns covered by this calculation are in compliance with the dez, P13, LEED A Building Official: Date: i///it) certify that this building is in ._ I l /•,:Vi7/�� � L 11 .. R Owner Ag Date: with the FLorida Energy Efficiency Code If Required by Florida law, 1 hereb Energy Efficiency Code Architect. Electrical Design Lighting Designer Mechanical Designer. Dat oLI11t • • • • •• • • • ( *) that the system design is in compliaritvivilti the Florida u&, •••• RegNo:••••• • •••• • • •••• • • •• •• Reg No ..... • • • • • Reg No • •• • •••• • • Reg No: •••• • • • • • • •• •• • • • • Plumbing Designer: Reg No: ( *) Signature is required where Florida Law requires design to be performed by registered design professionals. •••• • •••• • •••• • • •••• • •••• • •••• • EnergyGauge Summit® Fla/Corn-2008. Effective: March 1; 2009 1 a »f'r0i re Paaa Project: IMPAK GYM Title: IMPAK TOTAL, FITNESS REMODELING Type: Gymnasium (WEA File: FL MIAMI OPA LOCKA.tm3) Prescriptive Envelope Compliance Item Zone Description Design Criteria Meet Req. Glass GYM Percent glass Max allowed 29.506 50.000 Yes EWALL GYM Exterior Wall: UValue Max allowed .088 0.089 Yes EWALL GYM Exterior Wall: Absorptance Max allowed .300 0.300 Yes WWALL GYM Exterior Wall: UValue Max allowed .088 0.089 Yes WWALL GYM Exterior Wall: Absorptance Max allowed .300 0.300 Yes WIN1 WWALI., Exterior Window: SHGC Max allowed .245 0.250 Yes WIN1 WWALL Exterior Window: UValue Max allowed .440 0.450 Yes WIN1 GYM Exterior Window: Projection Factor - Minimum • .637 Required Skylights GYM Percent Skylight Max allowed PrOZo I Rfl GYM Exterior Roof UValue Max allowed PrOZoIRfl GYM Exterior Roof: Absorptance Max allowed • • • •• • • •QQQ. ••mss• .A. Yes • •••• • • • • 5.J Yes••••;. 0.027 Yes . • •2� D .2t1 Yes: "'• Meets Shell Envelope Requirements as PASSES • • •••• • • • • • • • • • • • .••• • i• •••• Description Cltn_gory External Lighting t npli nce • • • • •••••• • • • ••.• • Tradable? Allownaee Area or Length EIS .. • - LP (W /Unit) or No. of Units (W) (W) ?Lift or ft) Projeet ; IMPA1 GYM Tide: IMPAK TOTAL "s 1.NESS REMODELING Type: Gymnasinrsn (WEA File: FL MIAMI OPA LOCKA.tm3) Lighti ng Power Compliance Space Ashrae Description Area Height No. of Design Effective Allowance ID (sq.ft) (ft) Spaces (W) (W) (W) GYM 9,003 Exercise Area (Gym) 1,408 11.5 1 1200 1200 1267 Design : 1200 (W) Effective: 1200 (W) Allowance: 1267.2 (W) Passing requires Design to be at most 100% of Criteria PASSES EnffgyGauge Sl it® Fla/Can-2M. . Ewe: hriarct 1, 20t19 1 1 Iii /' fl1 tl <.R4 ;If 7 Project: IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: GymnaSium (WEA File: FL MIAMI OPA LOCKA.1m3) Lighting Controls Compliance Acronym Ashrae Description ID Area (sq.ft) Design Min Compli- CP CP ance GYM 9,003 Exercise Area (Gym) 1,408 6 1 PASSES PASSES PFojeci: 1MPAk: CVM Title: INIPAK TOTAL FITNESS REMODELINC Type: Gyinrmasium (WEA File: FL_M IA M LOPA_LOCKA.tm3) • • • • • System AVIU-1,2 AHU-1 AND AHU-2 TOTAL Report Compliance • • • Constant Volume Por • System-902 • • • • • • • Component Category et.:••" Capacity Design Eff d Eff Criteria • • °U.6: Cooling System Air Handling System -Supply Air Conditioners Air Cooled 65000 to 135000 Btu/ Cooling Capacity Air Handler (Supply) - Constant Volume 13.00 10:30 0.80 0.90 • • • • • • • • • • 1 • • • •rip. of ILliits• • • 1011 ..J• • • • • • • IV • 11 We, • • COW- • • • Criteria Hance ., • •••• 11111111 IA MA. • PASii&S, •••• • • • •••• PASSES PASSES • • • • • • Plant Compliance Description Installed Size Design Min Nn Eff Eff Design Min Category IPLV IPLV None Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss fiance None Piping System Compliance Pipe ilia Is Operating Ins Cond Ins . Ile • :Compliancc . ••• • finches' Runout? Temp ta;;tu —in/hr Thit c�$nt Thic. fin'. • 1F1 •SE lej • •••• • • • • t• •••• •••• . • • • • • • •••• .••• •••• • 1• • • •••• • • • • • •• •• •• •• •••• ;• •• • EnergyC uga Summit' Fla//Com -2008. Effective: March t. 20t.9 • • •• • • •••• • Project: IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: Gymnasium (WEA File: FL_NIIAMI_OPA_LOCKA.tm3) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Report Operations Manual Windows & Doors Joints /Cracks Dropped Ceiling Cavity System Reheat HVAC Efficiency HVAC Controls Ventilation Controls ADS HVAC Ducts Balancing Piping Insulation Water Heaters Swimming Pools Hot Water Pipe Insulation Water Fixtures Motors Lighting Controls 13 -101 13- 102.1, 13- 410,13 -413 13-406.AB. L 1 13- 406.AB.1.2 13- 406.AB.3 13-407 13 -407.B 13- 407,13 -408 13- 407.AB.2 13- 409.AB.3 13410 13- 410.AB 13- 410.AB.4 13- 411.AB 13- 412.AB 13- 412.AB.2.6 13- 411.AB.3 13- 412.AB.2.5 13-414 13- 415.AB Input Report Print -Out from EnergyGauge FlaCom attached Operations manual provided to owner Glazed swinging entrance & revolving doors: max. 1.0 cfm /ft2; all other products: 0.4 cf n/ft2 To be caulked, gasketed, weather- stripped or otherwise sealed Vented: seal & insulated ceiling. Unvented seal & insulate mkt. side walls • • • • • • . HVAC Load sizing has been performed • Electric resistance reheat prohibited • • .. Minimum efficiences: Cooling Tables 13- 40T.410.. .2.1A- 1)�.., • •••• Heating Tables 13-407.AB.3.2.1B, 13- 407.AVI. .1,p, . 13- 408.AB.3.2.1E, 13- 408.AB.3.2F • • • • • •• • •• •. • •• Zone controls prevent reheat (exceptions); sitrieraous heating and cooling in each zone; combined HAC deadband•of at least 58F (exceptions) • • • • • Motorized dampers regd, except gravity damp&! Olt in: 110Si /e st systems and 2) systems with design outside air intake or exh'aits*t• capacity <300 cfm Duct sizing and Design have been performed Air ducts, fittings, mechanical equipment & plenum chambers shall be mechanically attached, sealed, insulated & installed per Sec. 13-410 Air Distribution Systems HVAC distribution system(s) tested & balanced. Report in construction documents In accordance with Table 13- 411.AB.2 Performance requirements in accordance with Table 13- 412.AB.3. Heat trap required Cover on heated swimming pools: Time switch (exceptions); Readily accessible on/ofswitch Table 13- 411.AB.2 for circulating systems, first 8 feet of outlet pipe from storage tank and between inlet pipe and heat trap Shower hot water flow restricted to 2.5 gpm at 80 psi. Public lavatory fixture how water flow 0.5 gpm max; if self - closing valve 0.25 gallon recirculating, 0.5 gallon non recirculating Motor efficiency criteria have been met Automatic control required for interior lighting in buildings >5,000 s.f.; Space control; Exterior photo sensor, Tandom wiring with 1 or 3 linear fluuorescent lamps>30W D sass •••• • ••. • • • ••••• • • • . EnergyGauge Summi Fla/Com-2008. Effective: Mardi 1.2009 Energy Gauge Summit@ v3.22 IN ATA REPO 101, Project Name: Project Title: Address: Project Infor riation IMPAK GYM IMPAK TOTAL FITNESS REMODELING 9537 N.E. 2nd AVE Enter Address here State: FL Zip: 0 Owner: Enter Owner's name here Orientation: NorthWest BulldIn 111,1 e: Gymnasium Wattling Classification: Renovation to existing building No.of Stories: 1 GrossArea: 1408 SF Zones No Acronym Description Type 1 GYM GYM CONDITIONED • • Area Multiplier Total Ar Isil • • * : :a • os:o • • 1 1408.0 No Acronym Description Type Space • S•O • • • • • • • .* * . :' .:e Deptg• • :lifidti• • "night Multi Total Area Total Volume [ft] iftt {ft] plier {al 11/2/2010 • • • • [cfl • • • • • • EnergyGauge Summitt v3Sr :.•.: • • • • 1 (iZone: GYM 1 GYM GYM Exercise Area (Gym) 36.00 39.11 11.50 1 1408.0 16192.0 No Type Category Lighting No. of Watts per Power Control Type Luminaires Luminaire [WJ No.of Ctri pts i LOne: GYM In Space: GYM 1 Compact Fluorescent General Lighting 30 40 1200 ManualOn/Off 6 J Description Type Width H (Effec) Multi Area >M +irectionConducti nce Heat Dens. R -Value [f] [B] per Isf] [Btu/hr. sff. F] Capacity [lb /cfj jil.sf.F /:Btu] [Btu /sf.F] Ili Zone: GYM 1 EAST WALL WEST WALL 8 "CMU /3 /4 "ISO 26.50 11.50 1 BTWN24 "oc /5 /8 Gyp 8 "CMUl3 /4 "ISO 35.50 11.50 1 BTWN24 "oc /5f8 Gyp 304.8 East 0.0880 9.696 62.72 11.4 408.3 West 0.0880 9.696 62.72 11.4 ❑ Indio No Description Type Shaded U S [Btulhr sf F] In Zone: GYM In Wall: WWALL 1 WIN1 User Defined Yes 0.4400 24.7.5..•J50 1 210.4 1/2/2010 cc .4:1. •ra. • WV • H i(Effee) Multi • • • '•• • i l: • � � Stier •• • . •• • _.•••• • .• ••• •• • • • •• Total Area IB 1 E ergyGauge Sun? • • • • • • • • • • • • • • • • • • • • • •. • • • • • ••• • • • •.• • • • • ••• • • • • • • • • • • • • • ••• • • • itt v.3 G••::: • • • •.. ••. • • • ••• • • • • 2 DokIr s No Description Type Shaded? Width Pri (Wee) Multi Area Cond. Dens. Heat Cap. R-Value Ift] Ift] plier [sf] 'Btu/hr. sf. F] Ilb/cf] [Btu/sf. F] fh.sf.F; itij In Zone: GYM In Wall: MALL 1 SDI In Wall: WINALL 1 ED1 Solid core flush Yes 3.00 8.00 1 24.0 0.3504 0.00 0.00 2.83 (2.25) Solid core flush Yes 6.00 8.00 1 48.0 0.3504 0.00 0.00 (225) 2.85 El R 1[,1 ofs No Description Type In Zone: GYM 1 PrOZolRfl Build top roof Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Yalne Eftl ifti Mier lel [deg] [Btu/hr. Sf. F] IBtu/sf. Fl [lh/cf] [Ii.sf.F/ 39.11 36.00 1 1408,0 0.G0 0.0250 1.34 9.49 40.0 Skylig ts No Description Type U SHGC Vis.Trans W H (Effec) Multiplier Area Total Area [Bitu/hr sf F] [ft] [ft] [Sfi In Zone: In Roof: • • ••• • • Poo • • • • • • 00 • • • • • • • • • No Description Type In Zone: 11/2/2010 Width H (Effec'jithilt. Area. Cond.... Meat Cap. Dens. -Value fft] 1ft] tliet 4sfl [itn/sf. F] [thief] Ih.sf.F/Brii] • • • • • • • • •• • • • • • • • • • • • • • • ••• .• • • ]EnergyGauge SuminitnvIn• • • • • • • • • • •• • • • •• •• ••• • • • ••• • • 3 Sy Stein S A1RT-11 AND AHU-2 TOTAL Component Category 1 Cooling System Air Handling System -Supply Con liant Nra: lime Packaged System- No Of Units 1 -942 Capacity Efficiency 71003,00 2400.00 13.00 0.80 IFLV 8.00 4' Equipment Category 11n No Eff. IPLV ater Heaters •■•■■••■■,.. W-Heater escription CapacitCap.Unit LIP Rt. Efficiency Loss E htd Description Category No. of Witzts per AreafLengio of units Control Type Luminaires Lanais are [sint/No] [-] d' Wattage 11/2f2010 • • ••• • • • • • ••• • • • •• ••• •• • • • •• • ••• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • •• • •• • • • •• •• • ••• • • • ••• • • • • ••• • • • • • • • • • • • • • • • • • • • EnergyGnuge Stromillrfr-3.1i,••• • • : ••••••• ••• • • • ••• • • 4 Pipiing No Type 0 r rating lasulaticn Nomonal pipe Insulation Is Runout? Temperature Coridactivity Diameter Thickness [F] 1 Riu-irilh.si.ir I fin] fin] Fe 0 estrallion Used Name Glass Type No. of Panes Glass Conduct n,:.1 [Btit/hALE1 smcc rut' ASHULSg1C1rAl1 User Defined Frm 1 0.4400 0.245D 0.7600 Mat No Acronym Description Mater hilts lLJsed Only R-Value RValue Thickness Conductivity Used ili,[tuth.ft.F] Density SpecificHeat [thief] I tu/lb.fl LJ rastructs Used No Name 1014 8"CMU/3/4"ISO BTWN24"oc/5/8 Gyp •• G.. • • • • • .. Simple rt,ilassle5s CO: ditailte: 141 }teat Capacity Density RValue Construct COMISITila • [teUt.V.111 • [Ibicf] Yes 0,09 9.70 62.72 11.4 11/2/2010 • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • •• •• • • 'BOO • • • • • —.6 • EnergyGange • : • : • 5 No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct [Btu/h.sf.F] [Btu/sf.F] [Ib /cf] [h.sf.F/Btu] 1056 Build top roof Yes No 0.03 1.34 9.49 40.0 ❑ No Name Simple Massless Conductance Heat Capacity Construct Construct [Btu/h.sf.F] [Btu/sf.F] [lb /cf] [h.sf.F ': tu] Density RValue 1058 Solid core flush (2.25) No Yes 0.35 2.9 ❑ Layer Material Material No. 1 279 Solid core flush (2.25 ") Thickness Framing [ft] Factor 0.000 0 11/2/2010 • • • • • • •• ••• • • • • • •• •• ••• •• • • • •• • ••• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • •• •• • • ••• • • • ••• • • • • ••• • • • • • • • • • • • • • • ••• • • • EnergyGauge Summits v3 • • • • • • • • •• • • • • ••• • • • • • •• •• • • 6 Air System Sizing Summary for TOTAL LOAD Projedt Name: IMPACK TOTAL FITNESS Prepared by: as 10/26/2010 10:36AM Air System Information Air System Name TOTAL LOAD Equipment Class SPLT AHU Air System Type SZCAV Sizing Calculation Information Zone and Space Sizing Method: Zone CFM Sum of space airflow rates Space CFM Individual peak space loads Central Cooling Coil Sizing Data Total coil load 6.0 Tons Total coil Toad 72.1 MBH Sensible coil Toad 50.2 MBH Coil CFM at Aug 1600 2326 CFM Max block CFM 2326 CFM Sum of peak zone CFM 2326 CFM Sensible heat ratio 0.695 ft2/Ton 234.3 BTU /(hr -ft2 51.2 Water flow @ 10.0 °F rise NIA Central Heating Coil Sizing Data Max coil load 23.6 MBH Coil CFM at Dec 0600 2326 CFM Max coil CFM 2326 CFM Water flow @ 20.0 °F drop WA Supply Fan Sizing Data Actual max CFM 2326 CFM Standard CFM 2325 CFM Actual max CFM/ft2 1.65 CFM/ft2 Outdoor Ventilation Air Data Design airflow CFM 380 CFM CFM/ft2 0.27 CFM/112 Number of zones 1 Floor Area 1408.0 ft2 Location Mang IAP, Florida Calculation Months Jan to Dec Sizing Data Calculated Load occurs at Aug 1600 OADB /WB 90.7176.9 °F Entering DB / WB 76.7 / 66.0 °F Leaving DB / WB 56.7 ( 55.8• °F Coil ADP + • 64.5• OF ID Bypass Factor a .....• b.100 • Resulting RH • • • :•06:Y0 ' • Design supply temp. •••••• • 55.0 °F • Zone T-stat Check a.9.10.a.•n 1 ofa OK • • Max zone temperature deviation •.••. •Q40 °F • • • • • • •••• •••• Load oars at BTU /(hr -1t ) Ent. DB / Lvg DB • • •• •• • • • • • •• • • • • • • • �. a De°0600. • •.a i.. 55.5.40#0, °F • ••• Fan motor BHP 0.34 BHP Fan motor kW 0.25 kW Fan static 0.60 in wg • • • • • • . CFM/person 20.00 CFM/person • Hourly Analysis Program v.4.3 Page 1 of 1 Zone Sizing Summary for TOTAL LOAD ProjeLt Name: IMPACK TOTAL FITNESS Prepared by as 10/26/2010 10:36AM Air System Information Air System Name TOTAL LOAD Equipment Class SPLT AHU Air System Type SZCAV Sizing Calculation Information Zone and Space Sizing Method: Zone CFM Sum of space airflow rates Space CFM Individual peak space loads Zone Sizing Data Number of zones 1 Floor Area 1408.0 ft• Location Miami IAP, Florida Calculation Months Jan to Dec Sizing Data Calculated Zone Name Maximum Cooling Sensible (MBH) Design Air Flow (CFM) Minimum Air Flow (CFM) Time of Peak Load Maximum Heating Load (MBH) Zone Floor Area (ftl Zone CFM/ft• Zone 1 40.6 2256 2256 Aug 1600 9.2 1408.0 1.60 Zone Terminal Sizing Data No Zone Terminal Sizing Data required for this system. Space Loads and Airflows • • • • • •• • • • • • •••• • • •••• Zone Name / Space Name Mult. Cooling Sensible (MBH) Time of Load Air Flow (CFM) Heating Load (MBH) • • • *Floor • frea • • • • (ft4) • • • • • d,‘ Space • •Cl'M/ft4 Zone 1 • • • • EXCERCISE FLOOR 1 39.1 Jul 1700 2128 9.0 ' 1f59.0 • • 1.84 OFFICE 1 1.8 JuI 1600 100 0.1 : •'f.10.0 • 0.91 RESTROOMS 1 0.5 Jul 1600 27 0.1 • • 139.0 4..96'9.20 • • • • • • • • • • • • • • Hourly Analysis Program v.4.3 Page 1 of 1 Zone Design Load Summary for TOTAL LOAD "Projebt Name: IMPACK TOTAL FITNESS Prepared by: as 10/26/2010 10:36AM Zone 1 DESIGN COOLING DESIGN HEATING COOLING DATA AT Aug 1600 COOLING OA DB ! WB 90.7 °F / 76.9 °F HEATING DATA AT DES HTG HEATING OA DB / WB 46.0 °F / 38.6 °F OCCUPIED T-STAT 72.0 °F OCCUPIED T-STAT 70.0 °F ZONE LOADS Details Sensible (BTU/hr) Latent (BTU/hr) Details Sensible (BTU/hr) Latent (BTU/hr) Window & Skylight Solar Loads 210 ft2 14033 - 210 ft2 - - Wall Transmission 431 ft2 2052 - 431 ft2 1538 - Roof Transmission 1378 ft2 2472 - 1378 ft2 1309 - Window Transmission 210 ft2 3821 - 210 ft2 5440 - Skylight Transmission 0 ft2 0 - 0 ft2 0 - Door Loads 72 ft2 3763 - 72 ft2 915 - Floor Transmission 1378 ft2 0 - 1378 ft2 0 - Partitions 0 ft2 0 - 0 ft2 0 • • - Ceiling 0 ft2 0 - 0 ft2 • ••• 0 - Overhead Lighting 1697 W 4895 - 0 „� 0 • - Task Lighting 0 W 0 - 0 • 0 - Electric Equipment 1550W 4912 - 0 ,,,, 0 •••• - People 19 4672 10015 0 sees.• 0 °,,,,• 0 Infiltration - 0 0 - 0 • • 0 Miscellaneous - 0 0 - • • • • • • 0 . . . • • • • 0 Safety Factor 0% / 0% 0 0 0% • • 0 • 0 »Total Zone Loads - 40620 10015 - • 9201 • • 0 • • • • • •• • • • •••• • • • • • • • • • • 0000• 0.000 • • • • • • • Hourly Analysis Program v.4.3 Page 1 of 1 NOTE: ALL SHEET MUST BE REVIEWED MIAMI -DADE COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT Herbert S. Saffir Permitting and Inspection Center 11805 SW 26th Street (Coral Way) • Miami, Florida 33175 -2474 • (786) 315 -2100 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE AND /OR DEPARMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT PROVIDE MUNICIPAL PROCESS NUMBER HERE LOCATION OF IMPROVEMENTS -'- ; I ck-sf 4l>zl Job Address 1,C_ =' ; ;, ,c2.41 CONTRACTOR INFORMATION Contractor No. CGC 0 G.R c Last four (4) digits of Qualifier No. 6' Folio 11 m . CL - �) 3 ° j c71 <1 Contractor Name Gem. P... (4L-441 i e., I- ) Lot 1c) • 1 \ Block � c1 . r; i Qualifier Name �t �e @a. Rion el i .�, Subdivision 1.5 S 1105 1 j'' e,� PBpg Address E.1 °�, C -.1 �� .3,, 4C� s; . o ° wig Metes and bounds �a .— .1-, City �. r2,1 G44 iz1 State LZip 331 ti S 1� TYPE OF IMPROVEMENTS [ ]New Construction on Vacant Land [ ] Alteration Interior [ ] Alteration Exterior [ ] Relocation of Structure [ ] Enclosure [ ] Repair [ ] Repair Due to Fire [ ] Demolish [ ] Shell Only [ ] Addition Attached [ ] Addition Detached [ ] Re -Roof [ ] Foundation Only [ ] Tent Current use of property A.-it., A Description of Work Pr. 6-k...04 e.1 . Sq. Ft. 1' a Units Floors t Value of Work , 1 `di PERMIT TYPE [ ] MBLD" Category REVIEW STATUS [ ] Chg. Contractor [ ] Re -Issue [ ] Re -Stamp [ ] Revision [ ] Not Applicable for Fire OWNER'S NAME Owner , 1,1:,41+ l� c.. Address 1 zs `-) N 'Li 4.-6 . City hill . cM, 31,,,-›(-4_1 State (_1 Zip 33 ) 3 Z [ 1 MELE Phone(jaa A I .a -1411Z,', [ 1 MLPG Last four (4) digits of Owner's Social Security No. [ 1 MMEC [ ] FIRE PERSON TO PICK UP PLANS ,,fi�r Name 1.r\A of '�a�� et.: � I. ARCHITECT / ENGINEER Owner Pa, TVA 14 1,4 q 6+-4 ci i -° .. IA , Address 3c i k‘ v) 1 f' l a te, Address 3 "6:-: NE, 1 Lr� 3-i- City Oe 4 Q icy :g Ki,State F 1 Zip 331-14 City 11V1 i c.L+� a sl, : i f s N State RI Zip . I3 b Phon(cr.54) G95 -- -'e,© Phone(3a3) q,S.' ).m U.1=o9t FIRE SPECIAL REQUEST PLAN REVIEW (SRI) I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. 1s' Request: Date: 2nd Request: Date: 3rd Request: Date: I DERM OPTIONAL PLAN REVIEW (OPR) I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional review fees may apply. 1• Request: Date: 2nd Request: Date: 3rd Request: Date: 123_01-192 6/10 BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING - COMMERCIAL MBLD 02 SUB - GENERAL BUILDING - RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING & STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK -IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT /EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS /STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS /PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE Department of Environmental Resources Management Miami -Dade County Plan Review Summary Process Number: M2011001971 FINAL CORE REVIEW DATE: 12/20/2010 OVERALL STATUS: Overall Disapproval PROJECT DETAILS: CONTACT DETAILS: FOLIO: 11- 3206 - 013 -3910 NAME: MATTHEW PACK ADDRESS: 9537 NE 2 AVE, , FL EMAIL: PERMIT TYPE DESC.: REMODEL PHONE #: 3059516648 DISAPPROVAL CODES: Disapproval Code 01: 0294 - Requires Air Section approval for Asbestos. Contact the West Dade office at 11805 Coral Way TASK REVIEWED BY STATUS DATE STATUS Initial Core Review Luis Cediel 12/17/2010 Reviewed Comments: Interior renovation to space# 9537 (1,400 sf) on commercial bldg. for 'Primal Fit Miami' equipment sales & training (gym), water /septic - 4a cov. on file, last use retail 2010 -OL- 06091, therefore no increase in water flow (10/100), sewage loading not required. Work involves demolition /removals. Req. asbestos appr. ASBES Review Agustin Socarras 12/20/2010 Disapproved Comments: The Demo Floor Plan and Notes in drawing D -1 show the work includes the removal of > 160 SQFT of partition walls, floorings, ceilings and ductwork. Pursuant to 40 CFR 61, subpart M, section 145(a) National Emission Standards for Hazardous Air Pollutants (NESHAP), an asbestos survey from a Florida - licensed asbestos consultant is required when the surface area being impacted by the proposed work is equal or greater than 160 square feet / 260 linear feet. An Affidavit for Asbestos Survey form is attached for your convenience. This document is not an asbestos survey but an agreement to perform one prior to the commencement of work, thus allowing your plan approval process to continue while the asbestos survey is being obtained. Notice that the project start date shall be more than 14 days from DERM approval date. For any questions, contact an asbestos reviewer at (786) 315 -2813 or via e-mail at socara @miamidade.gov. Final Core Review Andres Gonzalez 12/20/2010 Overall Disapproval Comments: requires asbestos approval PLAN CONDITIONS: NO CONDITIONS PLAN REVIEW FEES (FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL): FEE CODE DESCRIPTION USER DATE UNIT TOTAL D034 FastTrack Fee ADMIN 12/09/2010 1 $80.00 D034R FastTrack Fee ADMIN 12/09/2010 1 ($80.00) Total $0.00 FOR MORE INFORMATION PLEASE CONTACT: YOUR DERM CORE REVIEWER: gonzaan @miamidade.gov 3 MIAMI•DiADE AFFIDAVIT FOR ASBESTOS SURVEY /NOTICE COUNTY OF DEMOLITION OR ASBESTOS RENOVATION Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 SECTION 1 a. Project Type: ❑ Demolition Renovation ❑ Roofing Process # Folio: b. Project Name 6 id*Ici j cs 4 WI ;01n , Address etS 3`) l'I q't'-/ Ares City WV1,oi., S11% State �1 Zip Code 33)3 County Dock, c. Project Dates (mm/dd/yy): Start °Z)1 13 I l \ Finish d. Contractor I -+k. i \ 'D@�.1 ert.A,,a- /Ne9A.,:atArir L°,i, f i Florida License # c- Gc...c4'4,..R 's e. Contractor Address Cocci I w-0,-1 SV,)e- Li AS Contractor Telephone )S ?S - 2S3 i CSI Caber 33)43' f. Give a brief description of work to be done at the above mentioned address: (include scope of work and the estimated area in square feet that will be impacted by the project) SECTION 11 I, the undersigned, hereby attest that I am aware of the following: 1. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, an asbestos survey at the above referenced property may be required prior to any renovation or demolition activity. 2. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any renovation activity that may impact the RACM at the above referenced property. 3. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any demolition activity that impacts the RACM at the above referenced property. 4. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, a written notification must be submitted to DERM at least 10 working days prior to demolition or asbestos abatement activity at the above referenced property. Additionally, I am aware that the demolition of two or more single family residences, located at the same property, adjacent properties or non - adjacent properties that are being demolished for a common purpose not specifically exempted from the above regulations, is subject to the same regulations (e.g., for commercial or other non - exempt facilities). I am also aware that violations of the above - referenced regulations may result in civil or criminal prosecution or both and penalties and fines of up to $25,000 per day per violation. Name in Print (Owner, Lessee or Authorized Representative)/Title Signature (Owner, Lessee or Authorized Representative with Notarized Authorization Letter) STATE OF FLORIDA ) COUNTY OF DADE ) ss: The foregoing instrument was acknowledged before me this SO 3%3 sue. (�a S }- / vin, >, ri') 33 e Address (Owner, Lessee or Authorized Rep.) Telephone Number day of D Derr to of Florida at Larg Received by Name of DERM PersonneVSection 161.01- 154 4/10 s identification and who di 9er , 2 by ke an oath. Dated Signature THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION See Reverse Side for Additional Information USE OF LICENSED ASBESTOS PROFESSIONALS Effective July 1, 1994, Florida Statutes 469.001 -015, require that no person shall conduct an asbestos survey, develop an operations and maintenance plan, prepare abatement specifications, or monitor and evaluate asbestos abatement, unless licensed as an asbestos consultant of the State of Florida. No person shall conduct asbestos abatement unless licensed as an asbestos contractor by the State of Florida. NOTIFICATIONS Effective April 1, 1999, all NESHAP Notification for projects in Miami -Dade County must be submitted along with the applicable fees to: Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 FOR INFORMATION PERTAINING TO ASBESTOS REGULATIONS, CONTACT DERM'S AIR FACILITIES SECTION 701 N.W. 1st Court, 2nd Floor MIAMI, FL 33136 (305) 372 -6925 WARNING VIOLATIONS OF FEDERAL NESHAP REGULATIONS, 40 CFR 61 SUB PART M, SUCH AS FAILURE TO MAKE PROPER ADVANCE NOTIFICATION OF RENOVATION AND DEMOLITION OPERATIONS INVOLVING ASBESTOS MAY RESULT IN SUBSTANTIAL PENALTIES AND /OR CRIMINAL CHARGES. A CITY /COUNTY DEMOLITION OR RENOVATION PERMIT DOES NOT CONSTITUTE A NESHAP NOTIFICATION. THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION MIAMI•DiAD A OF DEMOLITION OR ASBESTOS RENOVATION FOR ASBESTOS SURVEY /NOTICE COUNTY SECTION I a. Project Type: ❑ Demolition ❑ Renovation b. Project Name City ❑ Roofing Address State Zip Code 33 )3 a County Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 Process # Folio: c. Project Dates (mm /dd /yy): Start 1 3 f ; Finish d. Contractor ' Florida , ,C`J u �:�►►�" Jc °�� -� , " �. - �+'��� lid License # v � e. Contractor Address '2--)1 Cz `- --" 2 S- H.S. Contractor Telephone ,;) 2S - ),S.- 3 .-1 r �!ti - »95 f. Give a brief description of work to be done at the above mentioned address: (include scope of work and the estimated area in square feet that will be impacted by the project) SECTION II I, the undersigned, hereby attest that I am aware of the following: 1. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, an asbestos survey at the above referenced property may be required prior to any renovation or demolition activity. 2. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any renovation activity that may impact the RACM at the above referenced property. 3. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any demolition activity that impacts the RACM at the above referenced property. 4. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, a written notification must be submitted to DERM at least 10 working days prior to demolition or asbestos abatement activity at the above referenced property. Additionally, I am aware that the demolition of two or more single family residences, located at the same property, adjacent properties or non - adjacent properties that are being demolished for a common purpose not specifically exempted from the above regulations, is subject to the same regulations (e.g., for commercial or other non - exempt facilities). I am also aware that violations of the above - referenced regulations may result in civil or criminal prosecution or both and penalties and fines of up to $25,000 per day per violation. • S a •)s "j t", Name in Print (Owner, Lessee or Authorized Representative)/Title Address (Owner, Lessee or Authorized Rep.) v 6 _ ,, t., ye Signature (Owner, Lessee or Authorized Representative Telephone Number with Notarized Authorization Letter) STATE OF FLORIDA ) COUNTY OF DADE ) ss: The foregoing instrument was acknowledged before me this Notary Public, State of Florida at Large day 6Y-De. er-\ - v' , 200' by who has produced, as identification and who did' (did not) take an oath. Received by Name of DERM Personnel /Section Dated Signature 161.01 -154 4/10 THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION See Reverse Side for Additional Information USE OF LICENSED ASBESTOS PROFESSIONALS Effective July 1, 1994, Florida Statutes 469.001 -015, require that no person shall conduct an asbestos survey, develop an operations and maintenance plan, prepare abatement specifications, or monitor and evaluate asbestos abatement, unless licensed as an asbestos consultant of the State of Florida. No person shall conduct asbestos abatement unless licensed as an asbestos contractor by the State of Florida. NOTIFICATIONS Effective April 1, 1999, all NESHAP Notification for projects in Miami -Dade County must be submitted along with the applicable fees to: Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 FOR INFORMATION PERTAINING TO ASBESTOS REGULATIONS, CONTACT DERM'S AIR FACILITIES SECTION 701 N.W. 1st Court, 2nd Floor MIAMI, FL 33136 (305) 372 -6925 WARNING • VIOLATIONS OF FEDERAL NESHAP REGULATIONS, 40 CFR 61 SUB PART M, SUCH AS FAILURE TO MAKE PROPER ADVANCE NOTIFICATION OF RENOVATION AND DEMOLITION OPERATIONS INVOLVING ASBESTOS MAY RESULT IN SUBSTANTIAL PENALTIES AND /OR CRIMINAL CHARGES. • A CITY /COUNTY DEMOLITION OR RENOVATION PERMIT DOES NOT CONSTITUTE A NESHAP NOTIFICATION. THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION MIAMSAFFIDAVIT FOR ASBESTOS SURVEY /NOTICE OF DEMOLITION OR ASBESTOS RENOVATION COUNTY Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 SECTION I a. Project Type: n Demolition ❑ Renovation ❑ Roofing Process # Folio: b. Project Name Address City State Zip Code County c. Project Dates (mm /dd /yy): Start Finish d. Contractor Florida License # e. Contractor Address Contractor Telephone f. Give a brief description of work to be done at the above mentioned address: (include scope of work and the estimated area in square feet that will be impacted by the project) SECTION II I, the undersigned, hereby attest that I am aware of the following: 1. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, an asbestos survey at the above referenced property may be required prior to any renovation or demolition activity. 2. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any renovation activity that may impact the RACM at the above referenced property. 3. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any demolition activity that impacts the RACM at the above referenced property. 4. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, a written notification must be submitted to DERM at least 10 working days prior to demolition or asbestos abatement activity at the above referenced property. Additionally, I am aware that the demolition of two or more single family residences, located at the same property, adjacent properties or non - adjacent properties that are being demolished for a common purpose not specifically exempted from the above regulations, is subject to the same regulations (e.g., for commercial or other non - exempt facilities). I am also aware that violations of the above - referenced regulations may result in civil or criminal prosecution or both and penalties and fines of up to $25,000 per day per violation. Name in Print (Owner, Lessee or Authorized Representative)/Title Address (Owner, Lessee or Authorized Rep.) Signature (Owner, Lessee or Authorized Representative Telephone Number with Notarized Authorization Letter) STATE OF FLORIDA ) COUNTY OF DADE ) ss: The foregoing instrument was acknowledged before me this Notary Public, State of Florida at Large day of , 200 by who has produced, as identification and who did (did not) take an oath. Received by Name of DERM Personnel /Section Dated Signature 161.01 -154 4/10 THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION See Reverse Side for Additional Information USE OF LICENSED ASBESTOS PROFESSIONALS Effective July 1, 1994, Florida Statutes 469.001 -015, require that no person shall conduct an asbestos survey, develop an operations and maintenance plan, prepare abatement specifications, or monitor and evaluate asbestos abatement, unless licensed as an asbestos consultant of the State of Florida. No person shall conduct asbestos abatement unless licensed as an asbestos contractor by the State of Florida. NOTIFICATIONS Effective April 1, 1999, all NESHAP Notification for projects in Miami -Dade County must be submitted along with the applicable fees to: Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 FOR INFORMATION PERTAINING TO ASBESTOS REGULATIONS, CONTACT DERM'S AIR FACILITIES SECTION 701 N.W. 1st Court, 2nd Floor MIAMI, FL 33136 (305) 372 -6925 WARNING • VIOLATIONS OF FEDERAL NESHAP REGULATIONS, 40 CFR 61 SUB PART M, SUCH AS FAILURE TO MAKE PROPER ADVANCE NOTIFICATION OF RENOVATION AND DEMOLITION OPERATIONS INVOLVING ASBESTOS MAY RESULT IN SUBSTANTIAL PENALTIES AND /OR CRIMINAL CHARGES. • A CITY /COUNTY DEMOLITION OR RENOVATION PERMIT DOES NOT CONSTITUTE A NESHAP NOTIFICATION. THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION MIAMI•DIAD AFFIDAVIT DEMOLITION OR ASBESTOS RENOVATION FOR ASBESTOS SURVEY /NOTICE COUNTY Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 SECTION I a. Project Type: E Demolition Li Renovation Roofing Process # Folio: b. Project Name Address City State Zip Code County c. Project Dates (mm /dd /yy): Start Finish d. Contractor Florida License # e. Contractor Address Contractor Telephone f. Give a brief description of work to be done at the above mentioned address: (include scope of work and the estimated area in square feet that will be impacted by the project) SECTION II I, the undersigned, hereby attest that I am aware of the following: 1. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, an asbestos survey at the above referenced property may be required prior to any renovation or demolition activity. 2. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any renovation activity that may impact the RACM at the above referenced property. 3. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any demolition activity that impacts the RACM at the above referenced property. 4. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, a written notification must be submitted to DERM at least 10 working days prior to demolition or asbestos abatement activity at the above referenced property. Additionally, I am aware that the demolition of two or more single family residences, located at the same property, adjacent properties or non - adjacent properties that are being demolished for a common purpose not specifically exempted from the above regulations, is subject to the same regulations (e.g., for commercial or other non - exempt facilities). I am also aware that violations of the above - referenced regulations may result in civil or criminal prosecution or both and penalties and fines of up to $25,000 per day per violation. Name in Print (Owner, Lessee or Authorized Representative)/Title Address (Owner, Lessee or Authorized Rep.) Signature (Owner, Lessee or Authorized Representative Telephone Number with Notarized Authorization Letter) STATE OF FLORIDA ) COUNTY OF DADE ) ss: The foregoing instrument was acknowledged before me this Notary Public, State of Florida at Large day of , 200 by who has produced, as identification and who did (did not) take an oath. Received by Name of DERM Personnel /Section Dated Signature 161.01 -154 4/10 THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION See Reverse Side for Additional Information USE OF LICENSED ASBESTOS PROFESSIONALS Effective July 1, 1994, Florida Statutes 469.001 -015, require that no person shall conduct an asbestos survey, develop an operations and maintenance plan, prepare abatement specifications, or monitor and evaluate asbestos abatement, unless licensed as an asbestos consultant of the State of Florida. No person shall conduct asbestos abatement unless licensed as an asbestos contractor by the State of Florida. NOTIFICATIONS Effective April 1, 1999, all NESHAP Notification for projects in Miami -Dade County must be submitted along with the applicable fees to: Department of Environmental Resources Management Air Quality Management Division Air Facilities Section 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 FOR INFORMATION PERTAINING TO ASBESTOS REGULATIONS, CONTACT DERM'S AIR FACILITIES SECTION 701 N.W. 1st Court, 2nd Floor MIAMI, FL 33136 (305) 372 -6925 WARNING VIOLATIONS OF FEDERAL NESHAP REGULATIONS, 40 CFR 61 SUB PART M, SUCH AS FAILURE TO MAKE PROPER ADVANCE NOTIFICATION OF RENOVATION AND DEMOLITION OPERATIONS INVOLVING ASBESTOS MAY RESULT IN SUBSTANTIAL PENALTIES AND /OR CRIMINAL CHARGES. A CITY /COUNTY DEMOLITION OR RENOVATION PERMIT DOES NOT CONSTITUTE A NESHAP NOTIFICATION. THIS IS NOT A NESHAP NOTIFICATION —A SEPARATE NOTIFICATION MUST BE SUBMITTED FOR RENOVATION OR DEMOLITION Charlie Crist Governor Jack Higgins 383 NE 96 St Miami, FL 33138 RE: Contingency Letter Application Document No: AP981957 Centrax Permit Number: 13- SC- 1283810 OSTDS Number: 9537 NE 2 Ave Miami, FL 33138 Lot: 10 -11 Dear Applicant: This will acknowledge receipt of an application dated 10 /19/2010 fo r a permit to use an existing onsite sewage treatment and disposal system located on the above referenced a review of your completed application, it has been determined erenced property. adequate for the proposed use. your existing system is October 19, 2010 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General Block: 29 Subdivision: Miami Shores Previously the space was approved as a store w/ 3 bathrooms. System was evaluated on 10/24/2008. The applicant is proposing 3 stores each w/ one b ated and 9533 - Miss Janes Music (Store) w/ 1 bathroom 200 GPD athroo►n. 9537 - Primal Fit Miami (Store) w/ 1 bathroom 200 GPD 9541 - Flower Bar These 3 units share one OSTDS that s) 900 Gal arid bathroom 200 GPD additional OSTDS that is used by Ms. Mooies Ice Cream on this d prop field. There is also an required operating permit 13 -Q0- 1008035: ent• This system has the If you have any y questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Since Nic gine.er Supervisor III Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 Fax: (305) 623 -3645 Charlie Crist Governor Jack Higgins 383 NE 96 St Miami, FL. 33138 RE: Contingency Letter Application Document No: AP981957 Centrax Permit Number: OSTDS Number: 9537 NE 2 Ave Miami, FL 33138 Lot: 10 -11 October 19, 2010 M. Viamonte Ros, M.D., M.P.H. State Surgeon General Dear Applicant: This will acknowledge receipt of an application dated 10/19/2010 for a permit t onsite sewage treatment and disposal system located on the above referenced use an existing e From a review of your completed been determined a lication, .it has bee � p �� .: adequate for the proposed use.: your existing system is Previously the space was approved as a store w/ 3 bathrooms, pumped on 10/24/2008. The applicant is proposing 3 stores each w/ on System was evaluated and 9533 Miss Janes Music one bathroom. 9537 - Primal FitMiami (Store) w/ 1 bathroom 200 GPD (Store) w/ 1 bathroom 200 GPD 9541 - Flower Bar . • These 3 units share one OSTDS that s, 900 Gal and 400 bathroom. 200 GPD additional OSTDS that is used by Ms. Mooies Ice Creamonahisdraoinfield: There is also an required operating permit 13- QG- 1008035. p Perty. This system has the If you have any questions on this matter, call our office at (786) 315 -2444, 13-SC- 1283810 Subdivision: Miami Shores Enclosures cc: Since gineer Supervisor III Miami-Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 Fax: (305) 623 -3645 v ARS EIWIIWNMEIVTAL, INC. Asbestos Business License #7A -0000164 Environmental Consulting Services Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations October 12, 2010 ARS- Report- 2010 -0805- Asbestos Client: Jack Higgins Bennett Electric 10007 NE 4 Avenue Miami Shores, FL 33138 Job Site: Commercial Building 9501,9519,9523,9531,9537, 9541 & 9545 N.E. 2nd Ave 209 N.E. 95 Street Miami Shores, Florida ASBESTOS BUILDING SURVEY Pursuant to your request; ARS Environmental, Inc., has performed an Asbestos Building Survey on 10 -07 -2010, and limited to the above referenced location. The interior and exterior of the structure was visually inspected to identify building materials that may contain asbestos. Suspect materials were collected and samples sent to laboratory for analysis. Roofing materials were sampled. If the roof system will be disturbed by renovation or demolition samples of the materials that will be affected should be obtained and analyzed to determine asbestos content prior to any disturbance. Based on the laboratory analysis Asbestos was detected greater than 1% in some of the secured bulk samples. See Appendix B for a list of materials that detected asbestos content. Our recommendations for the materials found to be Asbestos Containing can be found in Appendix C. There is important information in these sections that is not included in this executive summary. This report should be read in its entirety, including detailed information that is contained in other sections and appendices of this report. Appendix A: Appendix B: Appendix C: Appendix D: Appendix E: Appendix F: TABLE OF CONTENTS Bulk Sample Itemization Sheet 3 Asbestos Containing Building Material Damage and Hazard Assessment 9 Recommendations 11 Chain of Custody & Laboratory Analytical Results 15 Inspectors Certificate & Company License 27 General Terms & Conditions 30 Page 1 of 32 Mailing Address: 10097 Cleary Boulevard • #305 • Plantation, Florida 33324 Phone: (954) 227 -2402 • Fax: 866 - 748 -1264 URL: www.arsenvironmental.com • Email: sales @arsenvironmental.com ARSn y _NUT ONMGL N/AL 1 INC` Asbestos Business License #ZA- 0000164 Environmental Consulting Services Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations October 12, 2010 ARS- Report- 2010 - 0805 - Asbestos Client: Jack Higgins Bennett Electric 10007 NE 4 Avenue Miami Shores, FL 33138 Job Site: Commercial Building 9501,9519,9523,9531,9537, 9541 & 9545 N.E. 2nd Ave 209 N.E. 95 Street Miami Shores, Florida I hereby certify that the above referenced asbestos survey was conducted on 10 -07 -2010, and performed by Alex Front an E.P.A. AccreditedA.H.E.R.A. Inspector utilizing the code of the Federal Regulation Standards, 40 C.F.R., Part 763, Subpart E, Section 763. 80- 763.99 and the State Asbestos Regulations, Florida Statutes 469.003. imothy - aughey, .H. Florida Licensed Consultant Cert #IA0000016 Page 2 of 32 Al: 1 r• t, Certified Asbestos Surveyor ARS Environmental, Inc. Certificate #:128740 Mailing Address: 10097 Cleary Boulevard • #305 • Plantation, Florida 33324 Phone: (954) 227 -2402 • Fax: 866 - 748-1264 URL: www.arsenvironmental.com • Email: sales @arsenvironmental.com ARS ENVIRONMENTAL, INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805 - Asbestos Appendix A Bulk Sample Itemization Sheet Page 3 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A Mil ENVIRONMENTAL, INC Asbestos Business License #ZA- 0000164 Project #: October 12, 2010 2010 -0805 BULK SAMPLE ITEMIZATION SHEET (HA) Areas Sample Id Material Class Sample Description Sample Location Estimated Quantity Sample Condition Physical Damage Water Damage Material Contact Sample Friability HA -100 1 S Wall & Ceiling Plaster Composite Sample 9501 -9545 7800 S.F. Good No No High NF HA-100 2 S Wall & Ceiling Plaster Composite Sample 9501 -9545 Included Above Good No No High NF HA -100 3 S Udall & Ceiling Plaster Composite Sample 9501 -9545 Included Above Good No No li'igh NF HA -100 4 S Wall &Ceiling Plaster Composite Sample 9501 -9545 Included Above Good No No High NF HA-100 5 S Wall & Ceiling Plaster Composite Sample 9501 -9545 Included Above Good No No High NF HA-100 6 S Wall & Ceiling Plaster Composite Sample g501 & 9519 Included Above Good No No High NF HA -101 7 M Grey Blow -in Insulation 9501 & 9519 4800 S.F. Good No No Low F . HA -101 8 M Grey Blow -in Insulation 9501 & 9519 I °Above Good No No Low F HA -101 9 M Grey Blow -in Insulation 9501 & 9519 Includ Ve Good No No Low F HA -101 10 M Grey Blow -in Insulation 9501 & 9519 Included Above Good No No Low F Checked Below are Non - Typical Suspect Material that were observed during inspection (No Samples Were Obtained) ❑No Insulation Behind Wallboard ❑Ceramic Tiles ❑Rubber Flooring ❑AIC Wall Units ❑Exterior Wood Soffit ❑Wood Roof Trusses ❑Front Entrance Metal Doors ❑Metal NC Duct ❑Terrazzo Flooring ❑Wood Flooring ❑Carpeting ❑Fiberglass Ins above Ceiling OT-111 Insulation ❑Rubber Pipe Lagging ❑A/C Fiberglass Insulation ❑Foam Glass Pipe Insulation ❑Marble Tile ❑Fiberglass Ceiling Tiles ❑AIC Wall Units ❑PVC Piping Note: All Quantities are approximations and actual square footage should be verified prior to any disturbance. TBD =To Be Determined Homogeneous Area: area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. S= Surfacing Materials T= Thermal System Insulation (TSI) M= Miscellaneous Materials F= Friable: Material that may be crumbled, pulverized, or reduced to powder by hand pressure when dry. NF= Non - Friable that, when dry, may not be crumbled, pulverized, or reduced to powder by hand pressure. Page 4 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS ENVIRONMENTAL, INC Asbestos Business License #ZA- 0000164 Project #: October 12, 2010 2010 -0805 BULK SAMPLE ITEMIZATION SHEET (HA) Areas Sample Id Material Class Sample Description Sample Location Estimated Quantity Sample Condition Physical Damage Water Damage Material Contact Sample Friability HA -102 11 M 12° x 12" glacier design ceiling tiles 9501 5000 S.F. Good No No Low F HA-102 12 M 12° x 12° glacier design ceiling tiles 9501 Good No No Low F HA -102 13 M 12° x 12° glacier design ceiling tiles 9501 Included Above Good No No Low F HA-103 14 M 12° x 12 ° sated hidden spline ceiling tiles 9501 5000 S.F. Good No No Low F I-1 -103 15 M 12° x 12° silted hidden spline ceiling tiles 9501 Included Above Good No No Low F HA -103 16 M 12° x 12" silted hidden spline ceiling tiles 9501 Included Above Good No No Low F HA-104 17 M Black A/C duct seam mastic 9519 600 LF. Good No No High NF HA-104 18 M Black NC duct seam mastic 9519 Included Above Good No No High NF HA-105 19 M Brown Mastic on ceiling 9519 450 LF. Good No No High NF HA -105 20 M Brown Mastic on ceiling 9519 Good No No High NF Checked Below are Non - Typical Suspect Material that were observed during inspection (No Samples Were Obtained) 0No Insulation Behind Wallboard ❑Ceramic Tiles ❑Rubber Flooring OAIC Wall Units ❑Exterior Wood Soffit ❑Wood Roof Trusses ❑Front Entrance Metal Doors ❑Metal AIC Duct ❑Terrazzo Flooring ❑Wood Flooring ❑Carpeting ❑Fiberglass Ins above Ceiling 0T-111 Insulation ❑Rubber Pipe Lagging DA/C Fiberglass Insulation ❑Foam Glass Pipe Insulation ❑Marble Tile ❑Fiberglass Ceiling Tiles OA/C Wall Units PVC Piping Note: All Quantities are approximations and actual square footage should be verified prior to any disturbance. TBD =To Be Determined Homogeneous Area: area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. S= Surfacing Materials T= Thermal System Insulation (TS') M= Miscellaneous Materials F= Friable: Material that may be crumbled, pulverized, or reduced to powder by hand pressure when dry. NF= Non - Friable that, when dry, may not be crumbled, pulverized, or reduced to powder by hand pressure. Page 5 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A RS ENVIRONMENTAL, INC Asbestos Business License #ZA- 0000164 Project #: October 12, 2010 2010 -0805 BULK SAMPLE ITEMIZATION SHEET (HA) Areas Sample Id Material Class Sample Description Sample Location Estimated Quantity Sample Condition Physical Damage Water Damage Material Contact Sample Friability HA -106 21 M 9° x 9" grey floor file & mastic under carpeting & Parkway Flooring 9523 Boar Area 1000 S.F. Good No No High NF HA -106 22 M 9° x 9" grey floor tile & mastic under carpeting 9523 Rear Area Included Above Good No No High NF HA -106 23 M 9° x 9° grey floor tile & mastic under carpeting R23 Area Included Good No No High NF HA -107 24 M Yellow vinyl floor sheeting 9523 Bathroom 30 S.F. Good No No High NF HA -107 25 M Yellow vinyl floor sheeting 9523 Bathroom included Above Good No No High NF HA -108 26 M 2' x 2' wormlike design ceiling tiles 9523 1000 S.F. Good No No Moderate F HA-108 27 M 2' x 2' wormlike design calling tiles 9523 Included Above Good No No Moderate F HA-108 28 M 2' x 2' wormlike design ceiling tiles 9523 Included Above Good No No Moderate F HA -108 29 M 2' x 2' wormlike design ceiling tiles 9531 4000 S.F. Good No No Moderate F HA-108 30 M 2' x 2' wormlike design ceiling tiles 9531 Included Above Good No No Moderate F Checked Below are Non - Typical Suspect Material that were observed during inspection (No Samples Were Obtained) ❑No Insulation Behind Wallboard UCeramic Tiles DRubber Flooring INC Wall Units ❑Exterior Wood Soffit ❑Wood Roof Trusses OFront Entrance Metal Doors ❑Metal A/C Duct ❑Terrazzo Flooring Wood Flooring DCarpeting ❑Fiberglass Ins above Ceiling DT-111 Insulation DRubber Pipe Lagging ONC Fiberglass Insulation ❑Foam Glass Pipe Insulation DMarble Tile ❑Fiberglass Ceiling Tiles INC Wall Units ❑PVC Piping Note: All Quantities are approximations and actual square footage should be verified prior to any disturbance. TBD =To Be Determined Homogeneous Area area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. S= Surfacing Materials T= Thermal System Insulation (TSI) M= Miscellaneous Materials F= Friable: Material that may be crumbled, pulverized, or reduced to powder by hand pressure when dry. NF= Non - Friable that, when dry, may not be crumbled, pulverized, or reduced to powder by hand pressure. Page 6 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations AIDS ENVIRONMENTAL, INC Asbestos Business License #ZA- 0000164 Project #: October 12, 2010 2010 -0805 BULK SAMPLE ITEMIZATION SHEET (HA) Areas Sample Id Material Class Sample Description Sample Location Estimated Quantity Sample Condition Physical Damage Water Damage Material Contact Sample Friability HA -109 31 M 12' x 12° cream with streaks floor tile & mastic 9531 5000 S.F. Good No No High NF HA -109 32 M 12° x 12° cream with streaks floor tile & mastic 9531 Included Above Good No No High NF HA -109 33 M 12° x 12° cream with streaks floor tile & mastic 9531 Included Above Good No No High NF HA -110 34 M Black floor mastic under ceramic tile 9537 900 S.F. Good No No Low NF HA -110 35 M Black floor mastic under ceramic tile 9537 Included Above Good No No Low NF HA -111 36 M 2' x 2' pinhole design tiles H�iW 32 S.F. Good No No High F HA-111 37 M 2' x 2' pinhole design tiles Hallway HaAwey Good No No High F HA 112 38 M Walboard/Joint Compound 9545 1000 S.F. Good No No High NF HA-112 39 M Wallboard/Joint Compound 9545 Included Above Good No No High NF HA-112 40 M Wallboard/Joint Compound 9545 Included Above Good No No High NF Checked Below are Non - Typical Suspect Material that were observed during inspection (No Samples Were Obtained) ❑No Insulation Behind Wallboard ❑Ceramic Tiles ❑Rubber Flooring ❑A/C Wall Units DExterior Wood Soffit ❑Wood Roof Trusses ❑Front Entrance Metal Doors ❑Metal A/C Duct ❑Terrazzo Flooring ❑Wood Flooring ❑Carpeting ❑Fiberglass Ins above Ceiling DT-111 Insulation Rubber ❑ Pipe Lagging ❑A/C Fiberglass Insulation ❑Foam Glass Pipe Insulation ❑Marble Tile ❑Fiberglass Ceiling Tiles ❑A/C Wall Units ❑PVC Piping Note: All Quantities are approximations and actual square footage should be verified prior to any disturbance. TBD =To Be Determined Homogeneous Area: area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. S= Surfacing Materials T= Thermal System Insulation (TSI) M= Miscellaneous Materials F= Friable: Material that may be crumbled, pulverized, or reduced to powder by hand pressure when dry. NF= Non - Friable that, when dry, may not be crumbled, pulverized, or reduced to powder by hand pressure. Page 7of32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ,4R.7 ENVIRONMENTAL, INC Asbestos Business License #ZA- 0000164 Project #: October 12, 2010 2010 -0805 BULK SAMPLE ITEMIZATION SHEET (HA) Areas Sample Id Material Class Sample Description Sample Location Estimated Quantity Sample Condition Physical Damage Water Damage Material Contact Sample Friability HA-112 41 M Wallboard/Joint Compound 209 N.E. 95 Street Units 1-4 5000 S.F. Good No No High NF HA -112 42 M Wallboard/Joint Compound 209 N.E. 95 Street Units 1-4 Included Above Good No No High NF HA-112 43 M Wallboard/Joint Compound 209 N.E. 95 Street Units 1-4 Included Above Good No No High NF HA -113 44 M 2' x 4' pinhole design ceiling tiles 209 N.E. 95 Street Throughout Building 900 S.F. Good No No Moderate F HA-113 45 M 2' x 4' pinhole design ceiling tiles 209 N.E. 95 Street Throughout Building Included Above Good No No Moderate F HA-113 48 M 2' x 4' pinhole design ceiling hies 209 N.E. 95 Street Throughout Building 32 S.F. Good No No Moderate F HA-114 47 M Exterior Brick 209 N.E. 95 Street S.E. Side of Building Included Above Good No No High NF HA -114 48 M Exterior Brick 209 N.E. 95 Street S.E. Side of Building 1000 S.F. Good No No High NF HA -115 49 M Interior/Exterior Concrete 209 N.E. 95 Street Throughout Building Included Above Good No No High NF HA-115 50 M Interior/Exterior Concrete 209 N.E. 95 Street Throughout Building Included Above Good No No High NF Checked Below are Non - Typical Suspect Material that were observed during inspection (No Samples Were Obtained) DNo Insulation Behind Wallboard Ceramic Tiles ❑Rubber Flooring DA/C Wall Units ✓Exterior Wood Soffit ❑Wood Roof Trusses ❑Front Entrance Metal Doors ✓Metal A/C Duct ❑Terrazzo Flooring ✓Wood Flooring ✓Carpeting 'Fiberglass Ins above Ceiling LIT-111 Insulation gRubber Pipe Lagging LAIC Fiberglass Insulation ❑Foam Glass Pipe Insulation ❑Marble Tile ❑Fiberglass Ceiling Tiles DAIC Wall Units ❑PVC Piping Note: All Quantities are approximations and actual square footage should be verified prior to any disturbance. TBD =To Be Determined Homogeneous Area: area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. S= Surfacing Materials T= Thermal System Insulation (TS!) M= Miscellaneous Materials F= Friable: Material that may be crumbled, pulverized, or reduced to powder by hand pressure when dry. NF= Non - Friable that, when dry, may not be crumbled, pulverized, or reduced to powder by hand pressure. Page 8 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS EAWIRONMENTAL, INC October 12, 2010 Asbestos Business License #7A- 0000164 2010- 0805 - Asbestos Appendix B Asbestos Containing Building Material Damage and Hazard Assessment Page 9 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A RS ENVIRONMENTAL INC Asbestos Business License #ZA- 0000164 October 12, 2010 2010- 0805 - Asbestos Asbestos Containing Building Material Damage and Hazard Assessment Homogeneous Areas (HA) Sample Id Material Class Sample Description Sample Location Estimated Quantity Hazard Rank Damage Assessment N.E.S.HAP. Category Physical Assessment Sample Friability HA-104 17 M Black NC duct seam mastic 9519 600 LF. 7 Low CAT I X NF HA-106 21 M 9° x 9° grey floor tile & mastic under carpeting & 9523 Rear Area 1000 S.F. 7 Low CAT I X NF HA -107 24 M Yellow vinyl floor sheeting 9523 Bathroom 30 S.F. 7 Low CAT I X NF HOMOGENEOUS AREA: FRIABILITY An area of surfacing material, thermal system insulation material, F= Friable: Material that may be crumbled, pulverized, or or miscellaneous material that is uniform In color and texture. reduced to powder by hand pressure when dry. MATERIAL QUANTITY NF= Non - Frlable: Material that, when dry, may not be crumbled, pulverized, or reduced to powder by hand TBD=To Be Determined pressure. HAZARD RAN NG MATER AL CLASS 1 The highest ranking is reserved for ACM that is "significantly S= Surfacing Materials damaged." T= Thermal System Insulation 2-4 Hazard ranking 2 - 4 reflect ACM that is "damaged' M= Miscellaneous Material 2 indicating "potential for significant damage," 3 indicating a "potential for moderate damage." N.E.S.H.A.P. CATEGORY 4 indicating a "potential for damage." 5 -7 Hazard ranking of 5 to 7 are reserved for materials currently Cat 1= Category I Non - Friable in good condition, but with a range of moderate to low in the Cat 11= Category II Non - Friable likelihood for future disturbance. Frl= Friable DAMAGE ASSESSMENT PHYSICAL ASSESSMENT CODE High Risk: The material is in need of Immediate removal or 1. Damaged or significantly damaged (TSI) repair and represents both a health hazard and 2. Damaged friable surfacing regulatory non - compliance. 3. Significantly damaged friable surfacing Moderate Risk: The material may be damaged or accessible, 4. Damaged or significantly damaged friable miscellaneous but does not require immediate response due to 5. ACBM with potential for damage access or potential damage. Minor repairs may be 6. ACBM with potential for significant damage necessary. Manage and monitor the material until 7. Friable ACBM or friable suspected ACBM periodic maintenance or renovation/demolition. Low Risk: The material does not represent a health hazard X. Not Applicable (material is non - friable surfadng or miscellaneous) and can be managed in place until demolition/ renovation. Page 10 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A I1S FNUJRONMENTALI INC October 12, 2010 Asbestos Business License #zA- 0000164 2010- 0805 - Asbestos Appendix D Recommendations Page 11 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS ENVIRONMENTAL, !NC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805 - Asbestos RECOMMENDATIONS Recommended response actions have been selected for all Asbestos Containing Material present within the facility. Recommendation for response actions were arrived and are stated as follows: Non - Friable Category I Asbestos Containing Material is any material containing more than one percent asbestos that, when dry, cannot be crumbled, pulverized or reduced to powder by hand pressure. Non - Friable Asbestos Containing Materials were found in the following samples: A) Category I Non - Friable Material Homogeneous Areas (HA) Sample Id Material Class Sample Description Sample Location Estimated Quantity HA -104 17 M Black NC duct seam mastic 9519 600 LF. HA -106 21 M 9° x 9° grey floor the & mastic under carpeting & Parkway Flooring 9523 Rear Area 1000 S.F. The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition & no repairs or renovations are scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodelling activities which could possibly release fibers into the air. To reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. However, at the minimum, a formal Operations and Maintenance (O &M) Program is recommended to minimize potential fiber releases, monitor any future deterioration, and to ensure proper record keeping. Under the FDEP regulations, Category I non - friable asbestos - containing materials may be left in place during demolition underwet conditions. However, OSHAregulations require that disposal of asbestos- containing materials and debris is disposed of in a leak -tight and labeled container. The container may be plastic bags so long as the holding is leak - tight. All materials must be disposed of in a Class I landfill and manifest as Category I Non - Friable Asbestos containing material. To meet the requirements of a wet demolition, it is the responsibility of the demolition contractor to control any visible emissions by adequately applying water on the structure. Furthermore, the work practices for the demolition of a building containing asbestos must be in regulatory compliance with OSHA 1926.1101. All materials must be kept thoroughly wet or saturated during the demolition to assist in preventing the release of asbestos fibers. Page 12 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS ENUIRONMENTALI INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805- Asbestos A certified asbestos supervisor must perform or supervise the work. If during the demolition process visible emissions are observed, the asbestos - containing materials must then be abated. The regulations of the Occupational Safety and Health Administration (OSHA) applies to any detectable amount of asbestos in building materials or on facility components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a commercial setting requires training, specific work practices, and disposal methods for the asbestos and asbestos - containing debris. However, if Category I Materials have become friable or are in poor condition, they must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect HUMAN HEALTH AND THE ENVIRONMENT, but may also be the least burdensome method. Nothing in these recommendations should be construed as PROHIBITING or discouraging removal. This report is based upon conditions and practices observed at the property and information made available to the surveyor. This report does not intend to identify all hazards or unsafe practices, nor to indicate that other hazards or unsafe practices do not exist at the premises. In the event that demolition or renovation is deemed necessary, parties shall comply with all applicable laws, ordinances, rules and regulations of Federal, State and Local Governmental Agencies, including any National Emissions Standard Hazardous Air Pollutants (N.E.S.H.A.P.) Notification requirements. Page 13 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS ENVIRONMENTAL,' INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010 -0805- Asbestos RECOMMENDATIONS Recommended response actions have been selected for all Asbestos Containing Material present within the facility. Recommendation for response actions were arrived and are stated as follows: Non - friable Category I Asbestos Containing Material is any material containing more than one percent asbestos that, when dry, cannot be crumbled, pulverized or reduced to powder by hand pressure, and is likely to become crushed, crumbled, pulverized or reduced to powder during demolition or renovation. Non - Friable Category I Asbestos Containing Material were found in the following samples: A) Category I Non - Friable Material (Floor Sheeting) Homogeneous Areas (HA) Sample Id Material Class Sample Description Sample Location Estimated Quantity HA -107 24 M Yellow vinyl floor sheeting 9523 Bathroom 30 S.F. The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition & no repairs or renovations are scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodelling activities which could possibly release fibers into the air. To reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. However, at the minimum, a formal Operations and Maintenance (O &M) Program is recommended to minimize potential fiber releases, monitor any future deterioration, and to ensure proper record keeping. The above building materials are considered Category I Non - Friable with a high potential for fiber release during demolition and /or renovation therefore must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect HUMAN HEALTH AND THE ENVIRONMENT, but may also be the least burdensome method. Nothing in these recommendations should be construed as PROHIBITING or discouraging removal. This report is based upon conditions and practices observed at the property and information made available to the surveyor. This report does not intend to identify all hazards or unsafe practices, nor to indicate that other hazards or unsafe practices do not exist at the premises. Page 14 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A S ENVIRONMENTAL, INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805- Asbestos Appendix D Chain of Custody Laboratory Analytical Results Page 15 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ETS Evo444m.e44 (,*'4 1233473 Court North West Palm Beach, FL 33412 (954) 238 -0053 Aar $mss Veemoa #ZA0000211 REPORT NUMBER Ft1 O.1187BSA LAB CODE: 961 REPORT OF CLIENT SUBMITTED BULK SAMPLE ANALYSIS CLIENT: ARS Environmental, Inc. #2010- 10097 Cleary Boulevard 8305 Plantation, Florida 33324 SAMPLING DATE: 10/07/10 PROJECT: Commercial Buildings 9501.9517 ,9523,9531,9537,9541 &9545 N.E 2 Ave. 1209 N.E 95 St Miarrd Shores, Florida ANALYSIS DATE: 10111/10 Sample Number Anal. Init. Sample Item Description Asbestos Percentage & Typo !dentltled. Percentage & Type Non- Asbestos Fibers Percentage Non -Fiber Mat . 1 DKE Plaster NAD _ 1-2 Synthetic 98-99 Matrix 2 OKE Plaster NAD 1-2 Synthetic 98-99 Metric . 3 DKE • Plaster . NAD 1-2 Synthetic 98-99 Matrix 4 DKE Plaster NAD 1-2 Synthetic 98-99 Matrix 5 DKE Plaster NAD 1-2 Synthetic 98-99 Matrix 6 DKE Plaster NAD • 1-2 Synthetic 98-99 Matrix 7 DKE . Insulation NAD 90-95 Fibergiaass 5 -10 Matrix 8 DKE Insulation NAD 90-95 Fiberglass 5 -10 Matrix 9 DKE Insulation NAD 90-95 Fiberglass 5-10 Matrix . 10 new In,tlafinn N417) • 13Q1/5 FI6Ilass F.1rl Matrix Dennis Emerson I.H. Microscopist • = In Mastic Portion Only - Page 1 of 5 12334 73 COURT NORTH, ROYAL PRIM BEACH, P1.. 33412 (954)236 -0053 (561)333 -0624 FAX (561)333 -0684 6 in a 0 - v 1 O oO O . co 0 O 01 N D1 N O- - O N O O O —, cn O Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ET� E4w'w4i*e44 G� 12334 73 Court North West Palm Beach, FL 33412 (954)239 -0053 #Zf►0000212 REPORT NUMBER: FL10- 1187BSA LAB CODE: 261 REPORT OF CLIENT SUBMITTED BULK SAMPLE ANALYSIS CLIENT: ARS Environmental, Inc. #2010- 10097 Cleary Boulevard 0305 Plantation, Florida 33324 SAMPLING DATE; 10107110 PROJECT: Commercial Buildings 9501 ,9517,9523,9531.9537,9541&9545 N.E. 2 Ave. ! 209 N.E. 95 St Miami Shores, Florida ANALYSIS DATE: 1 0111 /1 0 Sample Number Anal. Init. Sample Item Description Asbestos Percentage & Type Identifier! Percentage & Type Non- Asbestos Fibers _ Percentage Non -Fiber Mat. 11 Dim Ceiling Tile WAD 10-15 Cellulose 70-75 Fiberglass 10-20 Matrix 12 DICE Ceiling Tice WAD 10-15 Cellulose 70-75 Fiberglass 10-20 Matrix 13 DICE Ceiling Tile WAD 10-15 Cellulose 70 -75 Fiberglass 10-20 Matrix 14 DICE Ceiling Tile WAD 85-90 Cellulose 1015 Matrix 15 DICE Ceiling Tile MAD 85-90 Cellulose 1 10-15 Matrix 18 DICE Ceiling ills NAD 80090 Cellulose 10-15 Matrix 17 DICE Mastic . YES 2-3 Chrysolite 97-98 Matrix 18 DICE Mastic _ YES 2-3 Chrysotile 97-98 Matrix 19 DICE Mastic WAD 100 Matrix an nlcF Mad i, NNAD ___Al UI M#*iw Dennis Emerson I.H. Microscopist c°0 N CO) C Fri N 'c gi A CA Fri o`er 00 N O_ 00 `= In Mastic Portion Only p 0, co O' D�' N 12334 73 COURT CORMR, ROYAL 5AUd B5ACB, FL. 33412.0154)236-0053 (561)333-0624 sax (561) 333 -0504 Page 2of5 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ET� E%vc4%n%e44, �. 1233473 Court North West Palm Beach, Fl. 33412 (954) 236-0053 A+ 1444.04. Geafto #Z11000o21 REPORT NUMBER: FL10- 1187BSA LAB CODE: 981 REPORT OF CLIENT SUBMITTED BULK SAMPLE ANALYSIS CUENT: ARS Environmental, Inc. #2010- 19097 Cleary Boulevard #305 Plantation, Florida 33324 SAMPLING DATE 10107110 PROJECT: Commercial Buildings 9501 ,9517,9623,9531,9537,9541&9545 N.E. 2 Ave. 1209 N.E. 95 St. Miami Shores, Florida ANALYSIS DATE: 10111//0 Sample I Number AnaL l init. Sample Item Description Asbestos Percentage & Type identified Percentage & Type Non- Asbestos Fibers Percentage i Nan-Fiber Mat. 21 DICE Floor Tile wlMastic YES 3-5 Chrysotiie 95-97 Matrix . .22 DICE Floor Tile wlMastic YES 35 Chrysolite 95-97 Matrix 23 DKE Floor Tile wlMastic YES 3-5 Chrysotlle 95-97 Matrix 24 DKE Linoleum YES 10 -15 Chrysolite 15-20 Cellulose 66-75 Matrix 25 DKE Linoleum YES 10-15 Chrysolite 15-20 Cellulose 85-75 Matrix 26 DKE Ceiling Tile NAD 30-35 Fiberglass 35-40 Cellulose 26-35 Matrix 27 WE Ceiling Tile NAD 30 -35 Fiberglass 35-40 Cellulose 25-35 Matrix • 28 DKE Ceiling Tile NAD 39.35 Fiberglass 35.40 Cellulose 25-35 Matrix . 29 DKE Ceiling Tile NAD _ 30-35 Fiberglass 35-40 Cellulose . 25-35 Matrix 30 DKE Ceiling Tile NAD 30-35 Fiberglass ns-40_Cenubse 25-35 Matrix Dennis Emerson I.H. Microscopist •= In Mastic Portion. Only Page 3 of 5 12334 73 COURT NORTH, ROYAL PALM BEACH, FL. 33412 (934)236 -0053 (5613333 -0624 WAX (561)333 -0684 a Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations 675 E444,1Z4o444e44, ('. • 1233473 Court North West Palm Beach, FL 33412 (964) 238-0063 Me #2,1100017219 REPORT NUMBER: FL10- 1187BSA LAB CODE: 981 REPORT OF CLIENT SUBMITTED BULK SAMPLE ANALYSIS CLIENT: ARS Environmental, Inc. 92010- 10097 Cleary Boulevard 0305 Plantation, Florida 33324 SAMPLING DATE: 10/07/10 PROJECT: Commercial Buildings 9501 ,9517,9523.9531,9537,954139545 N.E 2 Ave. 1209 N.E 95 St Miami Shores, Florida ANALYSIS DATE: 10/11/10 Sample Number Anal. init. Sample Item Description Asbestos Percentage & Type Identified Percentage & Type Non - Asbestos Fibers Percentage Non-Fiber Mat. 31 DKE Floor Tile Wit/lassie NAD 100 Matrix 32 DKE Floor Tile w/Mastic NAD • 100 Matrix 33 DKE Floor Tile wIIMaasile NAD 100 Matrix 34 DKE - Mastic YES _. <1 Chrysctile 100 Matrix 35 DKE Mastic YES <1 Chrysolite 100 Matrix 36 DKE Ceiling Tile NAD 30-35 Fiberglass . 30-35 Cellulose 30-40 Matrix 37 DKE Ceiling Tile NAD 3036 Fiberglass 3035 Cellulose 30-40 Matrix - 38 DKE Drywall w/Compound NAD 3.5 Fiberglass 7 -10 Cellulose 85-90 Matrix 39 DKE Drywall %/Compound NAD 3-5 Fiberglass 7 -10 Cellulose 85-90 Matrix 40 DKE Drywall w/Campound NAD 3-5 Fiberglass 7.11LCelluloce 85-90 Matrix Dennis Emerson I.H. Microscopist .•= In Mastic Portion Only Page 4of5 12334 73 COVET NORTH, MOM Pnt24 MACH, EL. 33412 (954)236 -0053 (561)333 -0624 SEX (561)333 -0684 6 0 0 I- O i 9 O 03 O O CO O co 0 O a- (D N N O O Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations Z£ 10 OZ abed EIS 61A4444m-44444.01, f4"6. 12334 73 Court North West Palm Beach, Fl. 33412 (964) 236 -0053 A $ L ra#2110000218 REPORT NUMBER: FL101187BSA LAB CODE: 961 REPORT OF CLIENT SUBMITTED BULK SAMPLE ANALYSIS CLIENT: ARS Environmental, Inc. #2010- 1'0097 Cleat/ Boulevard #305 Plantation, Florida 33324 SAMPLING DATE - 10/07/10 PROJECT: Commercial Buildings 9501 ,9517,9523,9531,9537,964189545 N.E. 2 Ave. 1209 N.E 95 St Mlaml Shores, Florida ANALYSIS DATE: 10/11/10 Sample Number Anal. Init. Sample Item Description Asbestos Percentage & Type Identified Percentage & Type Non- Asbestos Fibers Percentage Non-Fiber Mat 41 DKE Drywall % Compound HAD 3-6 Fiberglass 7 -10 Cellulose 85-90 Matrix 42 DKE Drywall w/Compcund HAD 3-5 Fibers 7 -10 Cellulose 85-90 Matrix 43 DKr: Drywall w/Compound NAD 3-5 Fiberglass 7 -10 Cellulose 86-90 Matrix 44 DKE Ceiling Tile NAD 30-35 Fiberglass 30-35 Cellulose • 30-40 Matrix 45 DICE Ceiling Tile HAD 30-35 Fiberglass 30-35 Cellulose 30-40 Matrix 48 DKE Ceiling Tile HAD 30-35 Fiberglass 30 -36 Cellulose 3040 Matrix 47 DKE Brick NAD 100 Matrix 48 DKE Brick HAD 100 Matrix 49 DKE Concrete HAD ' 100 Matrbc RI nKF Cnncmtw NAn inc. Matrix Dennis Emerson I.H. "= In Mastic Portion Only Microscopist 12334 73 COURT NORTH, ROYAL MLR PAWs, FL. 33412 (954) 236-0053 (561) 333 -0624 WAX (561) 333-0684 Page 5 of 5 a O O O 00 O 01 m 0 CD cn O co 0 0 a fD 1 N N O O Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations Z£ Jo ZZ abed A tt tnu I ARS Em'IRMIMENTAI, 1NC CHAIN OF CUSTODY Page: y _ of 6..7_ PLM Asbe , Ss Bulk Samples Maim iiuMRklS1HJ &mod. 71 4,11 It l Rata %BIMIHY III r4 uI 1 tt9 1 fl Thz*arn tud nue Roque/ ded Sumo Day t1 Hour 72 Holz smlg Dabs Project LI:melon f12• f e a:r Samples Taken Ow 41 9 _ __- "riot 51/35-1,5 7!;51 153 ,`19/ 1) %11,;, ,-. a P r o j e c t Number: Q 1 J- DA N.C. � � ' V I ' 1 J S J S 1 • Tat litatedid Class Sarnia ___. __ . Called Faubiti r It 1ancA kti T ;L. MAO COW, Y .itov yt q 01 / 3 C uiiiii•m �.,/ L �I _� '' n! �-, ,,, I.A. ■II IIII 111 11111111111111 19. ei 3,V su f1% ,,4Gt Isa f �apTi,: . a� I rela ill lti E' N { N_ ivAs r la u*'4 1 + Itt !hIIhIhI1; El IIIMI i qlkillalladmi , 1` •R cuir,.., ,, t�l/ r t� y�� chit* ; ao ---,- r" - _ 0 -- --- - — , ,.. ,,,, imager/war avm Malt= thye ral .tY1 �eK aN'I+1�tRaefSirN4vlRl eapm lbtannEhD rap bearmbad sissAlmamkaaalb{a eht 4 hark gams a� mat to 1#i ld fs•:'14.1k1 �9 � • - I TG.Wal'B :J i I• r a1 e: Li: ? ?: isles ntrn k'::. -.. ? ?.-:J!;:eE'•.K a33d _:- :klr•by"100h.: :>9 : .be /1.7 :: 441- solsegsy- gog0-o 60Z 010Z `Z I. Jago }op Asbestos Consulting • Lead Assessments, • Radon Gas Measurements • plolj • ,ttllenO jly Joopu ARS EARMONMENTAL, CHAIN OF CUSTODY 4L1,, &UN(' q S9.1; 1 rift9 2, c5Y6taNic .as4114, e 06> aicr .tiattint Sitic , Saar 1 Id lactedat MO SORIVY3 Desuipila an* Lairstba Arzeco. Singe, Piquks1 Myr Wheat Sample] r ti m.)03 p ow mil Nilzi ritrK, . .2.. Cri Pkii . A WEIMIE111111111111111111ffl /09 , , am V min e*, 11 % _ le". Ark a' r 1: ~ N 71A 111111111 1111 fr. yaigiA ve ?tom. Sgleriv (7 84-An4or OP Elm 1111111.1.111.1.1111.11.11 1111119111111 ,i)• ti) 111111111111zli 64 11111111111111CO 111111•11 fiN MI MI Ill 51.) ril a/A ' r ..4/ 0,1N.1 Lc f6N 4 :Mali /ad 91 tr, . 3 ' 3 0 TA 1111111 II1V IIIIIII . P\ M rr IIIIIIIIIIMIIIIM , Tt iaoixilo4 . 0 • , WiLzi IA 19111111.111111111 unmask/1 ft- Mitailatte li■ettfterkgattmll MAI Vid000610:0400111 nsferad uy- NtbinjAtIgre Ora--; 6,--Jew*.1 • • r• ?Wax Ii•oviscylocaugqi nixtideNt witoOvareal hliiitfitAt#10alasylimauld4pilvaliatm ib)itrdenawaV Wad ^ • - bykrif glom! et; :ia .3_24 • Fv-une: t14,:•1. 22: -24.12 • r • li.1:-.=-4i1r4.et.x. 0 0 ri* t.) a 9 a Cii co „L. cr CD U) 0 0 0 0 CD Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations 3 11▪ 1 CO CD 1‘) 4=6 o ' CV co ENUMONMENTAL.0 INC CHAIN OF CUSTODY P t g a e S t u r d R u s m a l i a l & P a u l Count on FriAle MEderials U roam al% ibinground Tim* Rsiquesteck &so Day PLM As Semolina Dote: Samples Taken Sy: Project Numbec o-: 10 Protect Leong cm 067114AFACOL- etjltOAC, Is202L9.5 (7' 9532,9(0,r5pA621 2-0 'fp e: GT' Vr_fi4N13492(4", Ft4 of Bulk Samples 481-6)Ur 72 Jim ligSimpte MIMI tY\ Salida 1IDMIL WHIP itistai Miter BMW Damage DM 131112t.Z CZNIN Va siztraS ru .149. it:R re.fFA) r 50o fliPIEM511, 1) 1 ) : Ne4lialail Illipaalaitil" IIMIIIIPIIIIII 1111111111 ila sq ris Pviz-Ve4z,m, (AY- • uttctufF (el Air 00 if 3a/slim iva fr. arta., ovetey4 u Pa u .i trtitreoTil W7 r. r iv WI 1111111 I NM As01 1111111111MN S tg 0, 10, • 4 `; Utef 39I6 , 'I a) 11 IA 11111R/Malll'r: I' ° latildlialkiil ' 40 S a i . - ..•7 Nastelase 6 deatotsamoto Thinsfered Eir/ irkInifj .1' -1- x.e..-.2,1 • Kt:. • Pr.:4*-v. • futz.s.s. -.1:54122:-.24ix? • Pre 2-104 • rr x-7 7i /if -zip! &dm ito lOUZUikU 66oP7llatokkhk wawa moss nynnetcyffetect rratustattsiA gwresTeemstaisttrdtametamtlgetleroakatthrd ▪ ReDDIV comilneni by Mad 0 a 9 cm op En 31> C. CD Cl) 0 0 0 C. Cis IS"▪ ) Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations Z£ JO 5Z abed Aim ENVIRONMENTAL, INC. CHAIN OF CUSTODY Pottito Stip Remind Oil 14 Ad Ada Unan 'larks <1% Sampling Date: Samples Taken 81t Project Number. Project Location Page 5 of (7 PUN Asbe s Bulk Samples Thre nnu d am Roq et toff Sarre OW as Hour 72 How j:cLimuldiea .35o r19 42 f q5 ,'3 gsil 0q$ Acs a AW g Pd•�'G. q5STACEtrisHiL rig e .a amok tamlam Ant Eta $adapke Cans Eau /NEW name Want uaaage Retwia1 cannot Stage friability DII MIMI MIMI Whit& i0,9 W C eVo fan 11190,X1404 4 WAYS sl 'I .. ' IN .' iv N 1-1 NW . % iuriP rdiair• ,■.r ' b .TA I1IUI1 Ea NM P v., )' `*1 .v ' '1, t .111 BUM MIMI t 91 111. -000Q-___fory_ , Cc;tela .l:47raficil III 111111113 ; 0-1 11111111111 1.wrI 11E11 11111111 la z .r.., Ala.. (rrie6.14 : 1) - 50 P" >a 1'1' t4 Bum mg ..ee41te$i a ear=naUM* 1renstered B _ mews cure agirilt Etd ateinstantsfitttegnmaseemaesm. -, r-ra,rsaratiaeamsrmarrOsstatainm. t a de.erle.a p Date + l Rem) ktri•.'o . y IC a 7 Glow-y So. t4•ani • S?.1?S • Mu tat >rk.4-s 1.324 • mgr.*: jg74t 27.: Pon? • Fax: F153-271 WO • Tea raga NVtniiu . (SFYnce•Z401 19,890£EET9S: ON Xtid WdBb:80 0T5Z TT °300 -n 0 c 0 ev rn k rn to It • o � • rn .A 0 00 033 0 0 CT to t" D D N N a" - CD N 0 Cl, 0 ARS ENVIRONMENTAL, INC. CHAIN OF CUSTODY Page of PLJM As :.. , Bulk Samples Pa3Rnn Slap Re p. ! L Pdrtt Crone sttluartert en Foam kkeeriatn that minas <1% Thrna aund Time Roquett L Sant ccy Sampling Date; SaMillOs TOM ST Project Number. Project Location C___ 7 L. gr a•oq ta• ,943't1":Sr , RA tttatmy I' Mete*/ Me SamNs rfassru5W :Urn- Sip. Sample /*Trat Cendabs Damage Welt/ pom p IOWA Ceded Sample 11 Me*My y stele LOOsnan 7[� � �1�% • �� 4�7 Wax �lL (� j 1 . riiiiimmtighinall - tv-T AVIERNITINIMI 11111 ) 1 1 WA r-11 ‘ !Le Lescaw „ 4, EMI Qv rte. c. PA ►:Notob /O)J PNZ / ,f:toco 1=X W W Doi.) "t+ Fr li Ar t ]S!'t•1 f a 4 J � J iii 1111 MIL LV ,, • NE MUM Ivta9-M _•.::1ix.Vr Moly Brr:rlr crn • =:P9 • Petetion, aftortscato•Cmovilit•StinasstitNamirlthnstaissmoossetwast r ele pilfeniBaearibsamaletrlosaMar lehadt'amekrtruWrurw lettreato Kam mai :?.'m, • tr1f h? (415,3, 2,7 ;'.{o • Cm: h!'.e. `.27 :Aug • Tp8Pee Tdmttt3at: et: /).237-240t 6 WdGt7:ee'NOE it •100 N ARS ENU1RONMENTAL,, INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805 - Asbestos Appendix E Inspectors Certificate & Business License Page 27 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A RS ENVIRONMENTAL, INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805 - Asbestos Asbestos Business License STATE OF FLORIDA ARTMENT OF S RETZON P 00/16!2009 098 43726 ': 1240000164 The ASBESTOS 3US SS OROANIZATiON Natired helms IS LUENsra trader the pros ?3ejoris of Ch text 469 FS: plratf te: NOV 30.'2011 ARS ENVIRONMENTAL, 1NC. TimoTay CAUSSEY 100971wAiY BOULEVARD P AT 0 IPL 2 CHARLIE CRIS T COVERNOR DISPLA V AS REQ1 REa BY LAW Page 28 of 32 CHARLES IW, DRA0 SECRETARY Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations -0 f11 Ca CD N Co 0 --a W N A Matralit C (E a� Averinia, °ri331414. T Pialis133 33311 s 'Certify that I :(0 shy 3I4311:4; met' n. English I2- Feb4:10 TO et401214-42144,3024104003d Out. oitiobtotat1./o04113,1213 kilt T idiffit iblea :" ' ?itAYea riot* a FL- 33114 . ut 00110itn 'on ttxaRti'C aR 0282/34 isP SWm 'Canna: ,Ortiffe4tOlutOb `•.... «+ :11111 !cede Expires: ARS ENVIRONMENTAL, INC October 12, 2010 Asbestos Business License #7A- 0000164 2010- 0805 - Asbestos Appendix F General Terms & Conditions Page 30 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS ENVIRONMENTAL, I NC October 12, 2010 Asbestos Business License #zA- 0000164 2010- 0805- Asbestos GENERAL TERMS AND CONDITIONS Scope Of Work ARS ENVIRONMENTAL, INC., inspection is limited and non - destructive in nature, Any conditions or materials which were not able to be visually observed on the surface, or in easily accessible areas, were not inspected and may differ from those observed. It was not within the scope of this investigation to remove surface materials to investigate portions of the structure or materials which lay beneath the surface. Our selection of sample locations and frequency is based upon our observations and the assumption that like materials in the same area are homogeneous. This inspection report is the result of a diligent search of the facility for Asbestos Containing Building Materials (A.C.B.M.). The purpose of this inspection was to identify those materials which may pose a health hazard to occupants of a building and impart future liability to the Owners and Insurers of the property. However, we do not claim to have identified all of the Asbestos Contained Building Materials present in the facility. Materials such as underground pipes, any material inside walls, ceilings, floors or other enclosed and inaccessible areas were not sampled and are not covered in this report. This report is designed to aid the building Owner, Architect, Construction Manager, General Contractors and potential Asbestos Abatement Contractors in locating ASBESTOS CONTAINING BUILDING MATERIALS. Under no circumstances is this report to be utilized as a proposal or a project specification document. This report is based upon conditions and practices observed at the property and information made available to the surveyor. This report does not intend to identify all hazards or unsafe practices, nor to indicate that other hazards or unsafe practices do not exist at the premises. Right Of Entry The client will provide for right of entry of ARS ENVIRONMENTAL, INC., personnel in order to complete the above referenced work. Invoices ARS ENVIRONMENTAL, INC., will submit invoices to client upon completion of services. Ownership Of Documents All reports, field data, field notes, laboratory test data, calculations, estimates and any other documents prepared by ARS ENVIRONMENTAL, INC., as instruments of service shall remain the property of ARS ENVIRONMENTAL, INC. Page 31 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations ARS ENVIRONMENTAL,, INC October 12, 2010 Asbestos Business License #ZA- 0000164 2010- 0805 - Asbestos Assumptions And Limitations The results, finds, conclusions and recommendations expressed in this report are based only on conditions which were observed during inspections by this report. ARS ENVIRONMENTAL, INC., makes no representation or assumptions as to past conditions or future occurrences. Assigns Neither the client nor ARS ENVIRONMENTAL, INC., may delegate, assign, sublet or transfer his duties or interest in this agreement without the written consent of the other party. Roof Cuts To obtain accurate information in a roof investigation, roof cuts (approximately four inch (4 °) squares), may be deemed necessary. It is the responsibility of our client to make appropriate repairs to these roof cuts, using materials consistent with the roofing system and in accordance with any existing material manufacturer's warranties. A roofing contractor or maintenance personnel selected by our client should be on the roof to make any necessary repairs at the time the samples are being obtained. Although, every attempt will be made to make these repaired areas water tight, ARS ENVIRONMENTAL, INC., will in no way be responsible for any water damage to the roofing system, building, or it's contents resulting from ARS ENVIRONMENTAL, INC temporary repairs. Disclaimer If in the course of a renovation or demolition activity, suspect materials become exposed, ALL FURTHER ACTIVITY SHOULD IMMEDIATELY CEASE AND THE ASBESTOS FORM STATUS OF THE MATERIAL SHOULD BE DETERMINED BEFORE PROCEEDING Page 32 of 32 Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations A.R.T. ENVIRONMENTAL, INC. ♦ ♦ ♦ SERVING SOUTH FLORIDA SINCE 1999 269 NORTHEAST 166TH STREET • NORTH MIAMI BEACH, FLORIDA 33162 PHONE: (305) 949 -5550 • TOLL FREE FAx: (866) 748 -1264 ASBESTOS BUSINESS LICENSE # ZA0000266 • ASBESTOS ABATEMENT CONTRACTOR # CJC056718 FLORIDA LEAD BASED PAINT ABATEMENT CERTIFICATE # FL- 15572 -1 CLIENT: Jack Higgens Bennett Power Group 6900 N.E. 4 Court Miami, FL 33138 INVOICE PROJECT LOCATION Commercial Building 9537 N.E. 2nd Avenue Miami Shores, Florida PROPOSAL NUMBER: ART -BID -2010 -0799 PROJECT NUMBER: ART - 2010 -0799 INVOICE DATE: OCTOBER 04, 2010 INVOICE NUMBER: ART- INvoIcE -2010 -0799 Mobilization SERVICES RENDERED: 2.1 Removal of asbestos containing spray applied insulation above drop ceiling (Approx 1,564 S.F.) AMOUNT INVOICE AMOUNT: MOBILIZATION PAID: PROGRESS PAYMENTS PAID: BALANCE DUE: $8,500.00 $0.00 $0.00 $8,500.00 TERMS: ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION 10/03/2010 21:00 3059495051 ARTENVIRCNMENTALINC PAGE 01 ASBESTOS WASTE SHIPMENT RECORD 1. Protect Number. ART -2010 -0799 GENERATOR INFORMATION 2. We Generator/Owner Name & Address: Bennett Power Group, 6900 N.E. 4 Court, Miami, FL 33138 Waste Cenerator/OwnerTelephone Number. Job Site Name & Physical Address: 9637 N.E. 2nd Avenue, Miami Shores, Florida 3. Abatement Contractor ART Envionmental, inc. 289 N.E, 166 Street Miami, Florida 33162 (305) 949 -5550 ASBESTOS BUSINESS LICENSE d ZA0000266 4. Name of waste disposal site (WDS), mailing address, and WDS Telephone Number. US EPA REGION IV: 345 Courtland Street NE, Atlanta, Georgia 30386 ❑ Central Landfill, 3000 N.W. 48 Street Pompano Beach Florida 33073 (954) 977- 9551 5. Description of Waste Materials: XI Friable (Regulated) ❑ Non - friable (Non - regulated) 6. Bags of Containers: Bags / a Y (20 Yard) 7. Total Quantity: m3 144/ (yd3) 8. Special handling Instructions & additional information: Bulk Load (40 Yard) 9. Generator's/Contractor's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked and labeled. The nts are in all respects in proper condition for transport by highway according to applicaljle international and govern , ulations. !L5 -a( /) -&4) Date: Print Name: TRANSPORTER INFORMATION (Acknowledgment of Receipt of Materials): 10. Transporter 1: Transported to: 11. Transporter 2: ART Envlonmentat, Inc. 268 N.E. 166 Street Miami, Florida 33162 2775 N.W. 183 Street, Miami Florida 331899 /D--`6 !— la • %La Date Print Name Signature CI Public Waste, 2860 State Road iii, F yt Lauderdale Florida 33312 9?' b * SW 790 ! *!/e6r(4_7/!` Pr-. 7 DISPOSAL SITE OPERATOR 12. Problems with Containment or Packaging: 13. Waste Disposal Site Owner or Operator certification of receipt of asbestos materials covered by this manifest except as noted in item 12, Date Print Name Signature 0' A.R.T. ENVIRONMENTAL, INC. ♦ ♦ ♦ SERVING SOUTH FLORIDA SINCE 1999 269 NORTHEAST 166TM STREET • NORTH MIAMI BEACH, FLORIDA 33162 PHONE: (305) 949 -5550 • FAx: (305) 949 -5051 ASBESTOS BUSINESS LICENSE # ZA0000266 • ASBESTOS ABATEMENT CONTRACTOR # CJC056718 FLORIDA LEAD BASED PAINT ABATEMENT CERTIFICATE # FL- 15572 -1 CLIENT: Jack Higgens Bennett Power Group 6900 N.E. 4 Court Miami, FL 33138 POST JOB SUBMITTAL ASBESTOS ABATEMENT PROJECT LOCATION Commercial Building 9537 N.E. 2nd Avenue Miami Shores, Florida We are please to inform you the asbestos abatement at the above referenced site has been completed. It has been a pleasure doing business with you and look forward to working with you in the future. Best Regards, TABLE OF CONTENTS ASBESTOS NOTIFICATION 2 ASBESTOS BUSINESS LICENSE 4 AIR MONITORING RESULTS 8 WASTE MANIFEST 12 Page 1 of 13 ASBESTOS REMOVAL t LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION I m G\ MEN ASBESTOS NOTIFICATION ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION Florida Department of Environmental Protection Division of Air Resource Management MIAMFDD COUNTY Miami -Dade DERM Air Quality Management Division 701 N.W. 1st Court, 8th Floor NOTICE OF DEMOLITION OR ASBESTOS RENOVATION Miami, Florida 33136 TYPE OF NOTICE (CHECK ONE ONLY): • ORIGINAL TYPE OF PROJECT (CHECK ONE ONLY): ❑ DEMOLITION IF DEMOLITION, IS IT AN ORDERED DEMOLITION? IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑ YES IS IT A PLANNED RENOVATION OPERATION? El YES I. Facility Name Commercial Building Address 9537 N.E. 2nd Avenue City Miami Shores state Fl Zip County Miami -Dade Site Consultant Inspecting Site ARS Environmental Building Size2000+ (Square Feet) # of Floors Building Age in Years15+ Prior Use: ❑ School /College/University ❑ Residence ME Small Business Present Use: ❑ School /College/University ❑ Residence N Small Business Facility Owner Bennett Electric Company Address 10007 N.E. 4 Avenue City Miami shores Contractor's NameART Environmental, Inc. Address 269 N.E. 166 Street City Miami ❑ REVISED II RENOVATION 0 YES n. ❑ CANCELLATION ❑ ROOFING II NO • NO NO ❑ COURTESY File # Process # Other Other Phone State Fl Zip Phone ( ) 305 -949 -5550 State Fl zip 33162 ❑ YES Is the contractor exempt from Iicensure under section 469.002(4), F.S.? 8 NO IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date) Asbestos Removal (mm/dd/yy) Start:09 -29 -10 Finish:09 -30-10 Demo/Renovation ( mm/dd/yy) Start Finish: V. Description of planned demolition or renovation work to be performed and methods to be employed, including demolition or renovation techniques to be used and description of affected facility components. Procedures to be Used (Check All That Apply): VI. Procedures for Unexpected RACM: Stop Work & Notl VII. Asbestos Waste Transporter. Name Southern Waste Service Address 790 Hillbrath Drive cityLantana VIII. Waste Disposal Site: Name Central Landfill Address 3000 N.W. 48th Street cityPompano Beach Phone ( State Fl zip33462 State Fl zip 33307 IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM. Asbestos Survey Amount of RACM or ACM* 1564 square feet surfacing material linear feet pipe cubic feet of RACM off facility components *Identify and describe surfacing material and other materials as applicable: spray applied insulation above drop ceiling square feet cementitious material square feet resilient flooring square feet asphalt roofing I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on- site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. Derek Keung Strip and Removal • Glove Bag 0 Bulldozer • Wrecking Ball Wet Method • Dry Method ❑ Explode ❑ Burn Down OTHER: - VI. Procedures for Unexpected RACM: Stop Work & Notl VII. Asbestos Waste Transporter. Name Southern Waste Service Address 790 Hillbrath Drive cityLantana VIII. Waste Disposal Site: Name Central Landfill Address 3000 N.W. 48th Street cityPompano Beach Phone ( State Fl zip33462 State Fl zip 33307 IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM. Asbestos Survey Amount of RACM or ACM* 1564 square feet surfacing material linear feet pipe cubic feet of RACM off facility components *Identify and describe surfacing material and other materials as applicable: spray applied insulation above drop ceiling square feet cementitious material square feet resilient flooring square feet asphalt roofing I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on- site during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. Derek Keung (Print Name of Owner /Op:.tor) lair �► 09 -14 -2010 305 -949 -5550 (Signature of Owner /Operator) (Date) (Contact phone #) DERM USE ONLY Postmark/Date Received ID # 161_01-158 10/08 DISTRIBUTION: White —DERM Yellow — Applicant Pink — Reserve Gold— Reserve ASBESTOS BUSINESS LICENSE ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION October 04, 2010 ART- Bid -2010 -0799 Page 5 of 13 811 STA OF 6 .O tiDA DERARTMENT OF rigign carallaSeilgAL RE ION AT S CONTRACTOR Named below IS LICENSED Under he provisions of Chapter 469 FS. Expirat iOn dat€+. NOV 30, 2010 (INDIVIDUAL NUT ,A- T ALL LOCAL ? CENSI REQUIREMENTS. PRIOR TO CONTRACTING FRONT, ALEXANDER 269 N 166TH STREET NORTH ' MIAMI BRACH CHARLIE CRIST GOVERNOR - 33162 ? DISPLAY AS CEO BY LAW LEA 7. O ILAGO SBCRBTARY STATE OF FLORIDA STS« OF E .SINES PROFESSION ` IO i ASBESTOS LICENSING UNIT . E x,070917024SS ICEKSE NER D266 3SI TES ORGANTZ i.TI( below IS LICENSED Under the praviaiOn. of Chapter 469 FS. Expiration date; NOV 30, 2009 .R..T. ENVIRONMENTAL, INC. ALEXANDER FRONT 16604 NE 3RD AVENUE IOC MIAMI REACH FL 33162 CHARLIE CRTST FOLLY BENSON SECRETARY GOVERNOR DISPLAY AS RE.CiURED EY LAW ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION SBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION 4> orv: 4 t R- 4 till 444 44., 64, t 41V 4 rt to certibi tHat. A R T Environmental. Inc rtdrprio Popreancro fit:: 'torc Sub9;uta-a, f.:ottioa 4,4:(17/410,411iKvikon 4124affili. alut 3tasioa-twial ix-ailic-an,mt to conatto 441d-based aAllti 4ilivelit4gunsmotta444:Calk Pan 7-1S.226. Ft-15572,1 1.1;101w:own Fkgitin Tint ceroftcatiem k9 (r1 IthI e, of as 1nc v anti ostplim .my 13, 2010 JEtanne Eknania, Choi PeGlIddin and Ttaw Suly64.4nam iltancit 7:1 COQ • "IQ31A3a 0101/1 ♦ 1VAO1413d 1NIdd 03Sve 0v31 ♦ IVAOW3a SOIS39S ,4 _ Msr `sa.:'i =•✓ `v..� �`" i',,.� -� bu- =L°j` '�,.,�,.,x 4:v!' _. � `�"s'.^a°'y`�,�vvZ�'"4 ".."� +�.t�•"�'y�.,s -:r. �� fati: v"'T` ,rs :'� INDOOR AIR QUALITY ASSOCIATION � f,t 2004 CORPORATE MEMBERSHIP CERTIFICATE DOCUMENT IS TO CERTIFY THAT A.R.T. Environmental, Inc. biargoorshisp t1$2O7 A MEMBER IN G ..i OD I AN.D NC AND .ENTITLED . FO ALL RICHES a. PRIVILEGES OF ASSOCIATION M MBERSHIP AIR MONITORING RESULTS ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION FROM :ETS ETS FAX NO. :5613330684 Oct. 04 2010 07:38AM P1 Asbestos Easiness License # ZA0000218 Mold 6 Asbestos Surveys & Remova]. • Phase 1 Environmental Assessment • Aix Monitoring 8 Analysis October4, 2010 Mr. Derek Keung ART Environmental, Inc, 269 NE 166 Street North Miami Beach, Florida 33162 RE: Commercial Building 9537 N.E. 2 Avenue Miami Shores, Florida REPORT dr FL10- 11112aFAC Mr. Keung Pursuant to your request ETS ENVIRONMENT, INC., has performed the Final Air Clearance and Analysis at the above referenced project on October 1, 2010. Air samples were taken on 26mm. diameter mbced cellulose ester filter with 0.8 micron diameter pores, using high volume pumps. Pumps were calibrated using primary standards prior to each use. Air samples analysts consisted of phase contrast microscopy (PCM) according to NIOSH 7400 Method. P.C.M. Final Air results were less than 0.010 F/CC therefore this test did meet the requirements set forth In N.I.O.S.H. 40 CFR Part 81 Subpart M, National Emission Standards For Hazardous Air Pollutants. The results included here represent the standard test for air concentrations of fibers only. In no way do these tests represent or construe the quantity of any remaining bulk asbestos and/or the completeness of any operations. It has been a pleasure serving you and look forward to do so in the near future. Please feel free to contact us If we may be of further servMca to you. Respectively submitted, ETS ENVIRONMENT, INC. Dennis Ememon I.H. AHERA Contractor! Supervisor#134674 12234 73 co= NORMS, 204AL 57,X5 HHALB, FL. 33412 (934)236-0089 (881)333 -0624 VAX W1)333-0634 ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION FROM :ETS FAX ND. :5613330684 Oct. 04 2010 07:39RM P2 REPORT ON SAMPLING AND ANALYSIS FOR AIRBORNE FIBERS PROJECT: Commercial Building 9537 N.E. 2 Avenue Miami Shores, Florida SAMPLING DATE: 10.01.10 ANALYSIS DATE: 10.01 -10 On the above sampling date, the following Air Samples were taken In accordance with the current N.I.O.S.H. and EPA Guidelines as they apply to Air Pump Operations and Calibrations. The locations and/or the degree of aggression (Le...amount of air circulation and/or method for use of air blower device) specified by the Client or the removal Contractors Personnel. SAMPLE NUMBER SAMPLE TYPE SAMPLE SIZE SAMPLE LOCATION CONCENTRATION FIBERS/CC 1001100E001 Final Air 1800 L N.E. Area 0.007 Hoc 1001100E002 Final Alr 1800 L N.W. Area 0.008 F /cc 10011010E003 Final Air 1800 L Center 0.007 F/cc 10011010E004 Final Air 1800 L S.W. Area 0.008 Floc 100110DE05 Final Air 1800 L S.E. Area 0.008 F/cc 10011010E008 Final Air N/A Field Blank None Detected 1001100E007 Final Air N/A Lab Blank None Detected The above samples were anayzed for fiber count on the above analysis date. Hoffman Modulation Contrast and NIOSH current procedures for visible light microscopy were used for the analysis. 'NOTE Scope of work consisted of Final Air only as per clients request The results Included here represent the standard test for air concentrations of fibers only. In no way do these tests represent or construe the quantity of any remaining Ina asbestos and/or completeness of any removal operation. Respectfully Submitted, Dennis Emerson NIOSH 5E2 Cert# 081188 ETS Environment Inc. ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION FROM :ErS FAX NO. :5613330654 Oct. 04 2010 07:39RM P2 REPORT ON SAMPLING AND ANALYSIS FOR AIRBORNE FIBERS PROJECT: Commercial Building 8537 N.E. 2 Avenue Miami Shores, Florida SAMPLING DATE: 1041.10 ANALYSIS DATE: 10-01 -10 On the above sampling date, the following Air Samples were taken In accordance with the current N.I.O.S.H. and E.P.A. Guidelines as they apply to Air Pump Operations and Calibrations. The locations and/or the degree of aggression (Le...amount of air circulation end/or method for use of air blower device) specified by the Client or the removal Contractors Personnel. SAMPLE NUMBER SAMPLE TYPE SAMPLE SIZE SAMPLE LOCATION CONCENTRATION FIBERS/CC 100110DE001 Final Air 1800 L N.E. Area 11.007 F/cc 100110DE002 Final Air 1800 L N.W. Area 0.008 Hoc 1001100E003 Final Air 1800 L Center 0.007 F /cc 100110DE004 Final Air 1800 L S.W. Area 0.008 F /cc 1001100E005 Final Air 1800 L S.E. Area 0.008 F/cc 1001100E008 Final Air N/A Field Blank None Detected 100110DE007 Final Air N/A Lab Blank None Detected The above samples were analyzed for fiber count on the above analysis date. Hoffman Modulation Contrast and NIOSH current procedures for visible light microscopy were used for the analysis. *NOTE: Scope of work consisted of Final Air only as per clients request The results included here represent the standard test for air concentrations of fibers only. In no way do these tests represent or construe the quantity of any remaining bulk asbestos and/or completeness of any removal operation. Respectfully Submitted. Dennis Emerson NIOSH 882 Cart.# 081188 ETS Environment Inc. ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION WASTE MANIFEST ASBESTOS REMOVAL ♦ LEAD BASED PAINT REMOVAL ♦ MOLD REMEDIATION PROJECT SUMMARY Short Desc: IMPAK GYM Owner: Enter Owner's name here Addressl: 9537 N.E. 2nd AVE Address2: Enter Address here Description: IMPAK TOTAL FITNESS F City: MIAMI S14ORS State?..1 L: • ra..Q •• • Type: Gymnasium Chess' ..11Fnovation p existing !midi Jurisdiction: MIAMI VILLAGE, MIAMI-DADE COUNTY, FL (232600)' '....' • Conditioned Area: 1408 SF Conditioned & UnConditioned Ared:' ; I4Q8 SF .' . : No of Stories: 1 Area entered from Plans, .14Q8 SF • • .. • • • • Permit No: 0 Max Tonnage 1.9: • If different, write id: . • • • • • EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 1 of 7 Compliance Summary Component Design Criteria Result RENOVATED ENVELOPE PRESCRIPTIVE LIGHTING POWER LIGHTING CONTROLS EXTERNAL LIGHTING HVAC SYSTEM PLANT WATER HEATING SYSTEMS PIPING SYSTEMS Met all required compliance from Check List? IMPORTANT MESSAGE 1,200.0 PASSES 1,267.2 PASSES PASSES None Entered PASSES None Entered None Entered None Entered o/NA • • • • • .. • • • • • .... •••• • • • . . .... .... .... Info 5009 — — — An input report of this design building must be submigte'd alorfa w h this::: Compliance Report • .. • � • • • • .. • • • • • .... • • • EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 2 of 7 CERTIFICATIONS I hereby certify that the plans and specifi44ons covered by this calculation are in compliance with the Florida Energy Code Prepared By Aniel Fernandez, PE, LEED A Building Official: Date: / i : /47 Date: I certify that this building is in comp 'fin e ' the FLorida Energy Efficiency Code Owner Agent: ' ► 60-A-11149141)1. Date: 1 I 1711 0. psir i 44** U If Required by Florida law, I Energy Efficiency Code Architect: • • • • '") that the system design is in compliance witil the M.orida • Electrical Designer: Lighting Designer: Mechanical Designer: • Reg No:' At CO1a9. .... ••.• Reg No:.'..' • • • • .. • • • Reg No! • • • . • • • • Reg No: • ...• • • O 000 Plumbing Designer: Reg No: (f) Signature is required where Florida Law requires design to be performed by registered design professionals. • • EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 3 of 7 Project: IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: Gymnasium (WEA File: FL MIAMI OPA LOCKA.tm3) Prescriptive Envelope Compliance Item Zone Description Design Criteria Meet Req. Glass GYM Percent glass Max allowed 29.506 50.000 Yes EWALL GYM Exterior Wall: UValue Max allowed .088 0.089 Yes EWALL GYM Exterior Wall: Absorptance Max allowed 300 0.300 Yes WWALL GYM Exterior Wall: UValue Max allowed .088 0.089 Yes WWALL GYM Exterior Wall: Absorptance Max allowed .300 0.300 Yes WIN 1 WWALL Exterior Window: SHGC Max allowed .245 0.250 Yes WIN1 WWALL Exterior Window: UValue Max allowed .440 0.450 Yes WIN1 GYM Exterior Window: Projection Factor - Minimum .632 .0.508 Yes Required • .... I II Skylights GYM Percent Skylight Max allowed x!000 • ,11;1Q0•Yes • PrOZo 1Rfl GYM Exterior Roof UValue Max allowed • !Cr2 • '0.027 Yes •' • • ' PrOZo 1Rf1 GYM Exterior Roof Absorptance Max allowed ' WI • 0.220 Yes : • .. • Meets Shell Envelope Requirements — PASSES •••• • • • • ••••, • • • •••• ' ' .. .. .. .: ..... . • . • .. . External Lighting Compliance • • ' • • • Description Category Tradable? Allowance Area or L ength ELPA. • • . • CLP• • (W/Unit) or No. of Units (W) (W) (Sqft or ft) None Project IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: Gymnasium (WEA File: FL MIAMI OPA LOCKA.tm3) Lighting Power Compliance Space Ashrae Description Area Height No. of Design Effective Allowance ID (sq.ft) (ft) Spaces (W) (W) (W) GYM 9,003 Exercise Area (Gym) 1,408 11.5 1 1200 1200 1,267 Design 1200 (W) I PASSES Effective: 1200 (W) Allowance: 1267.2 (W) Passing requires Design to be at most 100% of Criteria EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 4 of 7 Project: IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: Gymnasium (WEA File: FL MIANIIOPA LOCKA.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli ID (sq.ft) CP CP ance GYM 9,003 Exercise Area (Gym) 1,408 6 1 PASSES PASSES Project: IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: Gymnasium • • (WEA File: FL MIANII OPA LOCKA.tm3) System Report Compliance " ' : ' '. AHU -1,2 AHU -1 AND AHU -2 TOTAL Constant Volume Paelrcaged No. of Units System -902 •••••• •••••• • 1 •••• •••• Component Category Capacity Design Eff Destp. • IPi.,X • •: Comp, • • • Eff Criteria IPL'i. • Criteria fiance .' • • • _ • Cooling System Air Conditioners Air Cooled 13.00 10.30 .8.00. • PASSES ■ • • 65000 to 135000 Btu/h • Cooling Capacity • •••• • Air Handling Air Handler (Supply) - 0.80 0.90 PASSES System - Supply Constant Volume I PASSES Plant Compliance r Description Installed She Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10t27/2010 Page5of7 Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Compliance [inches] Runout? Temp [Btu -in/hr Thick [in} .Thick KT •••• [F] .SF.F] • • • • • • • •..• • • •••• AIM al. •••• •••• • • . •..• •••• • • • •••• • • • . . one • • • a • • • •• • .••• • • • EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 6 of 7 Water Heater Compliance Description Type Design Category Eff Mm Eff Design Max Comp Loss Loss fiance None Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Compliance [inches] Runout? Temp [Btu -in/hr Thick [in} .Thick KT •••• [F] .SF.F] • • • • • • • •..• • • •••• AIM al. •••• •••• • • . •..• •••• • • • •••• • • • . . one • • • a • • • •• • .••• • • • EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 6 of 7 Project: IMPAK GYM Title: IMPAK TOTAL FITNESS REMODELING Type: Gymnasium (WEA File: FL MIAMI OPA LOCKA.tm3) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Report Operations Manual Windows & Doors Joints/Cracks Dropped Ceiling Cavity System Reheat HVAC Efficiency HVAC Controls Ventilation Controls ADS HVAC Ducts Balancing Piping Insulation Water Heaters Swimming Pools Hot Water Pipe Insulation Water Fixtures Motors Lighting Controls 13-101 13- 102.1, 13- 410,13 -413 13- 406.AB.1.1 13- 406.AB.1.2 13- 406.AB3 13-407 13 -407.B 13 -407, 13-408 13- 407.AB.2 13- 409.AB.3 13-410 13- 410.AB 13- 410.AB.4 13- 411.AB 13- 412.AB 13- 412.AB2.6 13- 411.AB.3 13- 412.AB.2.5 13-414 13- 415.AB Input Report Print -Out from EnergyGauge FlaCom attached Operations manual provided to owner Glazed swinging entrance & revolving doors: max. 1.0 cfm/ft2; all other products: 0.4 cfm/112 To be caulked, gasketed, weather - stripped or otherwise sealed Vented: seal & insulated ceiling. Unvented seal & insulate rgof &, side walls • • • HVAC Load sizing has been performed '..' • Electric resistance reheat prohibited • Minimum efficiences: Cooling Tables 13-4074R3 .2.1A-D; • • • • Heating Tables 13- 407.AB.3.2.1B, 13- 407.AB3.21D, • 13- 408.AB.3.2F • • • • • • • Zone controls prevent reheat (exceptions); simultaneous heating .. and cooling in each zone; combined HAC deac!band of at least 5°t (exceptions) Motorized dampers reqd, except gravity dampft,OKin: 1) eig4aust systems and 2) systems with design outside air intake or exhlyat..' capacity 5.300 cfm Duct sizing and Design have been performed Air ducts, fittings, mechanical equipment & plenum chambers shall be mechanically attached, sealed, insulated & installed per Sec. 13-410 Air Distribution Systems HVAC distribution system(s) tested & balanced. Report in construction documents In accordance with Table 13- 411.AB2 Performance requirements in accordance with Table 13 -412.AB.3. Heat trap required Cover on heated.swimming pools: Time switch (exceptions); Readily accessible on/off switch Table 13- 411.AB.2 for circulating systems, first 8 feet of outlet pipe from storage tank and between inlet pipe and heat trap Shower hot water flow restricted to 2.5 gpm at 80 psi. Public lavatory fixture how water flow 0.5 gpm max; if self - closing valve 0.25 gallon recirculating, 0.5 gallon non recirculating Motor efficiency criteria have been met Automatic control required for interior lighting in buildings >5,000 s.£; Space control; Exterior photo sensor, Tandom wiring with 1 or 3 linear fluuorescent lamps>30W • • • • •••• EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 10/27/2010 Page 7 of 7 ti Air System Sizing Summary for TOTAL LOAD Project Name: IMPACK TOTAL FITNESS Prepared by: as 10/26/2010 10:36AM Air System Information Air System Name TOTAL LOAD Equipment Class SPLT AHU Air System Type SZCAV Sizing Calculation Information Zone and Space Sizing Method: Zone CFM Sum of space airflow rates Space CFM Individual peak space loads Central Cooling Coil Sizing Data Total cod load 6.0 Tons Total coil load 72.1 MBH Sensible coil load 50.2 MBH Coil CFM at Aug 1600 2326 CFM Max block CFM 2326 CFM Sum of peak zone CFM 2326 CFM Sensible heat ratio 0.695 ft2/Ton 234.3 BTU /(hr -ft2) 81.2 Water flow @ 10.0 °F rise N/A Central Heating Coil Sizing Data Max coil load 23.6 MBH Coil CFM at Dec 0600 2326 CFM Max coil CFM 2326 CFM Water flow @ 20.0 °F drop N!A Supply Fan Sizing Data Actual max CFM 2326 CFM Standard CFM 2325 CFM Actual max CFM/ft2 1.65 CFM1ft2 Outdoor Ventilation Air Data Design airflow CFM 380 CFM CFM/ft2 0.27 CFMfft2 Number of zones 1 Floor Area 1408.0 ft2 Location Miami IAP, Florida Calculation Months Jan to Dec Sizing Data Calculated Load occurs at Aug 1600 OADB /WB 90.7/76.9 °F Entering DB / WB 76.7 / 66.0 °F Leaving DB / WB 56.7 / 55.8 °F Coil ADP ,. 544 °F Bypass Factor • 0 400∎ • • Resulting RH a a.... • 56 % • Design supply temp. • • • :d•IS: F • • Zone T-stat Check •••:•• h of 1 OK Max zone temperature deviation ....a..a*...a 0.0 °F • Load occurs at BTU/(hr ft2) Ent. DB / Lvg DB •••. • • •••• • • •••• •••• • • • • • • • •• •• • •• •• •••••• • ,,...,.... Dec 0660 • • s 16.8 • • 55Ajt l s °F • • • • • • • • • • • •• • •••• • • • • •.• • Fan motor BHP 0.34 BHP Fan motor kW 0.25 kW Fan static 0.50 in wg CFM/person 20.00 CFM/person fi Hourly Analysis Program v.4.3 Page 1 of 1 Zone Sizing Summary for TOTAL LOAD Project Name: IMPACK TOTAL FITNESS Prepared by: as 10/26/2010 10:36AM Air System Information Air System Name TOTAL LOAD Equipment Class SPLT AHU Air System Type SZCAV Sizing Calculation Information Zone and Space Sizing Method: Zone CFM Sum of space airflow rates Space CFM individual peak space loads Zone Sizing Data Number of zones 1 Floor Area 1408.0 ftz Location Miami IAP, Florida Calculation Months Jan to Dec Sizing Data Calculated Zone Name Maximum Cooling Sensible (MBH) Design Air Flow (CFM) Minimum Air Flow (CFM) Time of Peak Load Maximum Heating Load (MBH) Zone Floor Area (ft2) Zone CFM/ft2 Zone 1 40.6 2256 2256 Aug 1600 9.2 1408.0 1.60 Zone Terminal Sizing Data No Zone Terminal Sizing Data required for this system. Space Loads and Airflows • • • • • •• • • • • • • • • Zone Name / Space Name Mult. Cooling Sensible (MBH) Time of Load Air Flow (CFM) Heating Load (MBH) • • • • • Floor • • • • Area • • (ftI •••••• • • *Space • • CFj1IFt' Zonel •• •• •• •• EXCERCISE FLOOR 1 39.1 Jul 1700 2128 9.0 : • •;'1' 59.0 • 1.84 OFFICE 1 1.8 Jul 1600 100 0.1 • 110.0 • • 0.91 RESTROOMS 1 0.5 Jul 1600 27 0.1 • • • 439.0 0.20 • • • .• • • • • • • • • • • • • • Hourly Analysis Program v.4.3 Page 1 of 1 Zone Design Load Summary for TOTAL LOAD .Project Name: IMPACK TOTAL FITNESS Prepared by: as 10/26/2010 10:36AM Zone 1 DESIGN COOLING DESIGN HEATING COOLING DATA AT Aug 1600 COOLING OA DB / WB 90.7 °F /76.9 °F HEATING DATA AT DES HTG HEATING OADB /WB 46.0 °F /38.6 °F OCCUPIED T-STAT 72.0 °F OCCUPIED T-STAT 70.0 °F ZONE LOADS Details Sensible (BTU/hr) Latent (BTU/hr) Details Sensible (BTU/hr) Latent (BTU/hr) Window & Skylight Solar Loads 210 ft2 14033 - 210 ft2 - - Wall Transmission 431 ft2 2052 - 431 ft2 1538 - Roof Transmission 1378 ft2 2472 - 1378 ft2 1309 - Window Transmission 210 ft2 3821 - 210 ft2 5440 - Skylight Transmission 0 ft2 0 - 0 ft2 0 - Door Loads 72 ft2 3763 - 72 ft2 915 - Floor Transmission 1378 ft2 0 - 1378 ft2 0 - Partitions 0 ft2 0 - 0 ft2 0 - Ceiling 0 ft2 0 - 0 ft2 0 • • • - Overhead Lighting 1697 W 4895 - 0 • • • • • • • 0 • • - Task Lighting 0 W 0 - 0 0• - Electric Equipment 1550 W 4912 - 0 • 0 • People 19 4672 10015 0 •••• 0 •••• 0' Infiltration - 0 0 - •••••• 0 •••••• 04 Miscellaneous - 0 0 - • • 0 • • • • • 04 Safety Factor 0% / 0% 0 0 0% • • • • 0 • • • • 0' » Total Zone Loads - 40620 10015 - • • •4l 201 • 0 • • • • • •• • • •••• • • •.•• • • • • • • •.•• • • •••• • • • • • • Hourly Analysis Program v.4.3 Page 1 of 1