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CC-11-1824
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 172808 Permit Number: CC -10 -11 -1824 Scheduled Inspection Date: April 30, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Garner Building Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: BELFOR USA GROUP INC Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1121360010160 -22 Phone: (954)275 -1977 Building Department Comments REPLACE EXTERIOR SUSPENDED CEILING 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- 165128. April 27, 2012 For Inspections please call: (305)762 -4949 Page 23 of 38 NOTICE OF COMMENCEMENT A REAMED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION /� PERMIT NO. `--L -1 1 M - KOLA LA TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1111111111111111111111 11111111111111111111111 CFN 2012R0026488 OR ;<,i.: 27960 P3 2092; (1ps) RECORDED i 11'12/2012 14:213:21 HARVEY RIJVIiis CLERK OF COURT MIAMI -DADE t0►JHITYs FLORIDA LAST PAGE 1. Legal .description of property and street/address: 3A01- W" 1VOS 'T 113(Y) Phil/ 21 ( Ave , MIAMI SE- S 1, 310 I 2. Description of improvement: (9A0-/P61, F3i'dJb� Lt i�vA it (k; ( L J/\J 3. Owner(s) name and address: RA&Cy UNbv 1 TLj,j' )) 300 116 ' AU>ro M WiAJU SoitrS cF 3316 1 Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 13.49./r0/1,, P o n O 152/0 stPOu *IVANb 6Ao t O_fie1,✓0 (1 11014 Pt, 33137. 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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 and address: 8. In addition to himself, Owners designates the followingqrfit mad' gor� r( Egita4 in Section 713.13(1)(b), Florida Statutes. Name and address: WITA?E 9. Expiration date of this Notice of Commencement: (the e - °• - ' 1,01,7 . •L Z 41 's Notices A 2 different date is spec ; 101-) n iftwe' BUILDING PERMIT APPLICATION FBC 20o 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 Permit Nor v�- Master Permit No. Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Barry University Phone # Owner's Address 11300 NE 2nd Ave City Miami Shores State FL Zip 33138 Phone # Tenant/Lessee Name Email Job Address (where the work is being done) Gamer Hall / Exterior Breezeway Suspended Ceiling City Miami Shores Vill. e County Miami -Dade Zip FOLIO / PARCEL # 11- 2136- 000 -0050 Is Building Historically Designated YES NO Flood Zone Contractor's Company Name: Belfor USA Group Inc Contractor's Address: 1520 S. Powerline Road City: Deerfield Beach State: Florida Qualifier Name: Sam Morales State Certificate or Registration No. CG 1517948 Contact Phone: (954) 691 -6014 E -mail ,-- Phone # (954) 596 -8989 Zip: 33442 Phone # (954) 691 -6014 Certificate of Competency No. 097057457 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 24,000.00 Square / Linear Footage Of Work: 2,890 Type of Work: OAddition OAlteration ONew XD Repair/Replace Demolition Describe Work: Replace Exterior Suspended Ceiling *, * * ** * *** *, , , , , *, , * *, ** *,.x**** ******Fenes, , , , , ,. * *, , , ,. *, * *, *, * *, ****,�,�,�*** *,�,r,�x, *** Submittal Fee $ Permit Fee $ /,'V CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: P� Total Fee Now Due $ . (.J- See Reverse side -+ Structural Review. $ g e)"`) 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 whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this Icitk day of Seit , 20 11 , by aal/a, ebwA2i0.r Signature , Contractor The foregoing instrument was acknowledged before me this day of f a / , 20// , by c f'F�� ®r�s�« .t , who is personally known to me or who has produced who is ersonally _ kno o 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 Expires: Et NOTARY PUBLIC: Sign: Print: rte, p My Commission E vUvU9rvkii******** a4e4a Jr*** k4aaYakaba6s Fx sbde*do4eie4a9rekdr********s Yu 4edadrzk9ese $e4oie9a9edade9a****:Ya4*s4aY****** APPROVED BY Plans Examiner a�c✓'1�� Engineer (Revised 07 /10 /07)(Revised 06/10/2009) /.r 44C.'444, Notary Public State of Florida Joseph V Miller Jr � , My Commission EE071486 a oft Bxpire$ 04/1012015 x' * ********** ********** Zoning Clerk checked • F 2 -ey 5' 3 ,?c- // 6 eV Af/- - 2'- FC 2 t ? t(A7v %14p-cp 331G, ( Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. tol COPY OF QUALIFIER'S STATE LIC CARD B. V COPY OF LOCAL BUSINESS TAX RECEIPT COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) .BCD COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: S6-6--ofe. a� e_oap Rep feel? @r9 e /I- �r2 �� 1 BUSINESS ADDRESS: /S-2 Q' S R i-Jeawe CITY, STATE N-02/64 ZIP CODE 33-(12- BUSINESS PHONE: (K) Y6 _ 8787 FAX NUMBER ( l) 6% °° SA �� CELL PHONE (/� 'f) I "CO // QUALIFIER'S NAME: .5AP1-( /®% 67-S QUALIFIER'S LIC NUMBER: �j c / Sj 7 ? Yee E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV A�°'�a® CERTIFICATE OF LIABILITY INSURANCE I DATE(M DiW;YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER A on Risk Services Central, Inc. Southfi el d NT Offi ce 3000 Town Center Suite 3000 Southfield NI 48075 USA CONTACT NAME (per ,Ems); (866) 283 -7122 I FAX No.g (847) 953 -5390 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 5 INSUREo Belfor USA Group, Inc. dba Belfor Property Restoration 1520 5. Powerline Road, Suite A Deerfield Beach FL 33442 USA INSURERA: Insurance Company of the State of PA 19429 esuRERe National Union Fire Ins Co of Pittsburgh 19445 INSURERC: Chartis Specialty Insurance Company 26883 INSURER D: x _ INSURER E DAMAGE TORENTED PREMISES (Ea ommenoe) INSURER P LED EXP (Arty one person) COVERAGES CERTIFICATE NUMBER: 570043814268 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested NSA _ TYPE OF INSURANCE INSR SAID POLICY NUMBER 1y(aM�1�e�>maI1CDqIIYm�EYFrYFrYL�_((POLICYEJQP- LIMITS B GENERAL LIABILITY GL4870886 SIR applies per policy terns VY, va/201IZ)4/Ol�/201 & conditions EACH OCCURRENCE $1,000,000 x _ COMVERCULLGENERALUABILRY CLAIMS-MADE X OCCUR DAMAGE TORENTED PREMISES (Ea ommenoe) $1,000,000 LED EXP (Arty one person) $100,000 PERSONAL &ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPUESPEP POLICY Ft JECT 1—X1 LOC PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOa_E LIABILITY CA 826 -38 -25 04/01/ 2011 04/01/2012 COMBINED SINGLE LIM r (Eaaerdet) $1,000,000 X X XAUTOS X ANY AUTO BODILY INJURY (Per penwn) ALL OWNED HIRED AUTOS Comp oed 81,000 —SCHEDULED X AUTOS NON-OWNED AUTOS CeilMen Ded St,aB BODILY INJURY (Per acddent) PROPERTYDAMiAGE (PererID B X LLMBRELLA UAB EXCESS UAB x — OCCUR CLAIMS-MADE 9788925 04/01 /201104 /01/2012 EACH OCCURRENCE 55,000,000 AGGREGATE $5,000,000 DED I (RETENTION _ B B WR>a ONAND NIA wCO20635377 AOS wCO20635379 FL 04/01/2011 04/01/2011 04/01/2012 04/01 /2012 X I c SLIT I I Y/N OFFICER/MEMBER DER OCCLUDED? E N (Manny in NH) If EL EACH ACCIDENT( S1,000,000 EL DISEASE -EA EMPLOYEE $1,000,000 yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores village Building Department 10050 N.E. 2nd Avenue Miami Shores FL 33138 USA ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WEL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOREED REPRESENTATIVE irlZeae 9 Gt 70 vaim ✓9TE6 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 670043814268 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MORALES, SAMUEL JR BELFOR USA GROUP INC 6740 NW 22 STREET MARGATE FL 33063 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395• ri 6 41-44116§44 4043 lea y ti. L p:r ( °nr -74a d ^ a --mo.'s y0E ■ BATCH Nike .BFO .r -at 442 �WG�?`' �r� ,1Vt`_`Wel e MAW °s"rr °rte! i,, ✓pinrlP.: _ day. i, tsMW1 el " P{ ■4~ b7 L9i �l111 {P.41117.4 1•71/ IU \1 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Business Name: BELFOR USA GROUP INC Owner Name: ARTHUR NEWMAN Business Location: 1520 S POWERLINE RD A DEERFIELD BEACH Business Phone: 954-428-7788 Rooms Seats Receipt #:180 -5029 Business Type :GENERAL CONTRACTOR (G CONTRACTOR) Business Opened :08 /29/1994 State/CountylCert/Reg:CG C046432 Exemption Code:NONE%EMPT Employees Machines Professionals 9 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: ARTHUR NEWMAN 185 OAKLAND AVE #150 /LIC DEPT BIRMINGHAM, MI 48009 USINESS This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2010 - 2011 Receipt #14A -09- 00006173 Paid 08/03/2010 27.00 NNE M. G A N 1! O N P.O. Box 3353, West Palm Beach, FL 33402 -3353 CONSTITLITIGNAL TAX COLLECTOR www.taxcollectorpbc.com Tel: (561) 355 -2272 Sere * Perm Brat County **LOCATED AT** 1520 S POWERLINE RD DEERFIELD BEACH, FL 33442 TYPE OF BUSINESS OWNER CERTIFICATION # I RECEIPT 8/DATE 11 I AMT I 23-0051 GENERAL CONTRACTOR I NEWMAN ARTHUR MITCHELL I 09/ /0P 9 50 840037594 This document is valid only when receipted by the Tax Collector's Office. BELFOR USA BELFOR USA 1520 S POWERLINE RD DEERFIELD BEACH, FL 33442 -8100 HIIIIIIInIlIIIIIIInIliilli nIIIIInIIInI STATE OF FLORIDA PALM BEACH COUNTY 2011/2012 LOCAL BUSINESS TAX RECEIPT LBTR Number: 200320821 EXPIRES: SEPTEMBER 30, 2012 This receipt does not constitute a franchise, agreement; permission of authority to perform the services or operate the business described herein when a franchise, agreement or other county commission, state or federal permission of authority is required by county, state of federal law. Dear Business owner: Your new local business tax receipt is on the reverse side. Verify this information and display it conspicuously at your place of business, open to the view of the public. This receipt is in addition to and not in lieu to any license required by law or city ordinance and is subject to regulations of zoning, health and any other lawful authority (County Ordinance Number 72 -7) Receipts may be transferred to a new owner when evidence of a sale is provided, the original receipt is surrendered and a transfer fee is paid. Receipts may be transferred to a new location when proof of zoning approval is provided, the original receipt is surrendered and a transfer fee is paid. Business name change requires a new Local Business Tax Receipt. Therefore a new LOCAL BUSINESS TAX APPLICATION, (PBCTC FORM #65), proof of business name change registration with the state and proper fees would be required. This receipt expires on September 30, 2012. Renewal notices are sent at the end of June. If you do not receive a notice by the end of July, please contact our office. I hope you have a successful year. Constitutional Tax Collector, Serving Palm Beach County ID) - !cT117rTME, L SEP 1 2 2011 v Permit No: 11 -1824 Job Name: October 7, 2011 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Provide approval from Miami Dade County DERM. 2) Provide approval from HRS /DOH/ 3) Provide all permit applications prior to any further reviews(electric and Mechanical) 4) Provide mechanical plans. This ceiling was removed to repair leaking ducts. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Miami Shores Viiiage Building Department RECEIPT PERMIT #:' C �. I DATE: \ Contractor o Owner o Arc P Address: ,� ��Ul From the building department on this date in order to have corrections do e to plans And /or get County stamps. l understand that the plans need to be brought back to Miami Shores Village Building Department to continu- 4 itting process. Acknowledged by: A_ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT CLERK INITIAL: RESUBMITTED. DATE: PERMIT CLERK INITIAL: • DATE: 01.11.12 TRANSMITTAL Barry University Facilities Management 11600 NE 2nd Avenue Suite #15 Miami, Florida 33161 Telephone (305) 899 -3785 Facsimile (305) 899-3794 www.barry.edu TO: Belfor Restoration REF: Gamer - Breezeway Ceiling ATTN: Jason McGlinchey SENT VIA: Pick -up No. DATE No. COPIES DESCRIPTION 1 2 3 4 01.11.12 01.11.12 01.11.12 01.11.12 2 2 1 1 () 1- Signed - MSVBuilding Permit 1- Signed -MSV Electrical Permit 1- Signed - MSV Mechanical Permit 1- Signed - NOC V 1O'Gk._ 7.1/4 k I, A<ECTQA Received by: Print Date COMMENTS: Please submit to MSV right away. cc: SENT BY: Jeff Yao Construction Manager -c bA cC v��K =BA --- -Lrr.r ® 2 -465 24X20 14 /FQ•UYP) 14 X12 URI 4110fj MVO . 24xYL 276XIQ; E I(o4 10X20 UP 12X54UP 5 P:2 AC- I' • 1 22 x12 ED• ER n, EF -2 2- LOIpVEP►o Ico'x1lo I1.14TALLTNE co►MT old A 4" HIGH coM oN SPP,IMG JIPAA pidexim.e, PIPa o,.ETI.eT. aLL AIP, GOMPthe:S`sOP+ E.TM iMEP,TIA. PAO sUI'9O los1 FFSolo1oP,7 114 OTA.L co 4NE3GTIOtJ 0t4 MM. WS r-+ Teo A. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 170716 Permit Number: CC -10 -11 -1824 Scheduled Inspection Date: March 08, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Garner Building Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: BELFOR USA GROUP INC Permit Type: Commercial Construction Inspection Type: Framing Work Classification: Alteration Phone Number Parcel Number 1121360010160 -22 Phone: (954)275 -1977 Building Department Comments REPLACE EXTERIOR SUSPENDED CEILING 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- 165124. Provide MEP first. Seal all penetrations in the exterior walls. Provide engineer detail for ceiling construction at ducts. NB ifee ,09/‘ March 07, 2012 For Inspections please call: (305)762 -4949 Page 19 of 33 • • AirE' ABTECH ENGINEERING INC. March 6, 2012 City Of Miami Shores Building Department 10050 Northeast 2nd Avenue Miami Shores, FL 33138 Consulting Engineers Consulting Engineers Re: Garner Hall — Barry University 11300 NE 2nd Avenue, Miami Shores, FL Dear Building Official: The following structural strengthening is provided at locations where the studs are running parallel and underneath the A/C duct system [On both sides of the elevator core]: PROVIDE A FRAME SPACED AT FOUR FEET ON CENTERS SUPPORTING THE HORIZONTAL STUDS RUNNING PARALLEL AND UNDERNEATH THE A/C DUCTS. SEE ATTACHED SKETCHES SK -1 AND SK -2 FOR DETAILS. Should you require any additional information, do not hesitate to call on us. Sincerely, For ABTECH ENGINEERING INC. babu varghese i°" "' Mar 7 2012 11:33 AM c s9an Babu Varghese, P.E. Florida Reg. No. PE 38860 10396 West State Road 84, Suite 108, Fort Lauderdale, FL 33324 Tel: (954) 472 -6050 . Fax: (954) 475-0007 4", 20 GA METAL STUD SUPPORT ® 4' -0" O.C. (APPLICABLE WHERE THE STUDS RUN PARALLEL AND UNDERNEATH LARGE A/C DUCTS) ++ ++ ++ ++ ++ - ,.-'::t�.L�l•.3�� -tww�. �� ••�44Wf•.�Yf.:9in1PR+iK ✓r1M.y.Y v1.L STUDS RUNNING PARALLEL AND UNDERNEATH LARGE A/C DUCTS STUCCO CEILING REPAIRS FOR: 11 -173 3/6/2012 TO THE EI:ST OF OUR KNOT LED6E THE PLANS AND SPEGIPIGAT1ONS COMPLY WITH THE APPLICABLE MINIMUM BUILDING CODES. babu varghese �--. Mar7201211:35AM BABU VARGFESE, PE. FLORIDA REGISTRATION II98860 FLORIDA GA 16364 MATCH EXIST. ELEVATION SK -1 BARRY UNIVERSITY GARNER BLDG 11300 NE 2ND AVE, MIAMI SHORES, FL ABTECH ENGINEERING INC. Consulting Structural Engineers ELEVATOR WALL 2ND. FLOOR EXISTING CONC. FLOOR TRACK STUCCO CEILING REPAIRS FOR: TO THE BEST OF OUR KNONLED6E THE PLANS AND SPECIFICATIONS COMPLY WITH THE APPLICABLE MINIMUM BUILDING DOPES. babu varghese `--- Mar7201211:36 M m`'`en BABU VAR6HESE, P.E. FLORIDA RESISTRATION *38860 FLORIDA GA $964 WALL STUDS CAD 24" O.C. TYP. MATCH EXIST. ELEVATION STUDS RUNNING PARALLEL AND UNDERNEATH LARGE A/C DUCTS 11 -173 3/6/2012 SK -2 BARRY UNIVERSITY GARNER BLDG ABTECH ENGINEERING INC. 11300 NE 2ND AVE, ML4MI SHORES, FL Consulting Structural Engineers NALDI2ti 1q29 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 Job Address 1 l 00 (i AV i5 CONTRACTOR INFORMATION Contractor No. Last four (4) digits of Qualifier No. Folio Contractor Name Lot Block Qualifier Name Subdivision PBpg Address Metes and bounds City State Zip TYPE OF IMPROVEMENTS [ ] New Construction on Vacant Land [ 1 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 U #NA -Li'Z."1 (A. ti 1v E It .. 1 j Description of Work it E 16 i 15' Sq. Ft. Units Floors Value of Work 10Joo® PERMIT TYPE [ ] MBLD* Category REVIEW STATUS [ ] Chg. Contractor [ ] Re -Issue [ ] Re -Stamp [ ] Revision [ ] Not Applicable for Fire OWNER'S NAME Owner Address [ ] MELE City State Zip [ ] MLPG Phone [ ] MMEC Last four (4) digits of Owner's Social Security No. [ ] FIRE PERSON TO PICK UP PLANS Name %� \ ARCHITECT / ENGINEER Owner A •E 1 A I -SL Address Address City State City State ^ ++ --Zip Phone �� "\ .i ° ( L°'S _Zip _ Phone 115 4 '4 1 1- L b a 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. 1 s' Request: Date: 2nd Request: Date: 3'd Request: Date: DERM OPTIONAL PLAN REVIEW (OPR) 1 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. 1st Request: Date: 2nd Request: Date: 3'd 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 HEALTHY ABA FOR A HEALTHY ENVIRONMENT "Wellness Through Science" HEALTHY NIA Fe R A HEALTHY ETiVIRONMEKT Asbestos Evaluation - Limited Site Evaluation with Limited Sampling Date: 11/7/11 Customer. Belfor Restoration Project Address: 11300 NE 2nd Avenue, Garner Hall, Miami Shores, FL 33161 On October 286, 2011 AirMD completed, at your request, a limited evaluation for the presence of asbestos - containing building materials in the above referenced two story classroom building. Samples of visible suspect Asbestos Containing Building Materials (ACBM) were collected for analysis by Polarized Light Microscopy (PLM). The purpose of this survey was to identify any asbestos - containing materials that will be disturbed during a proposed renovation on the exterior of the building in the breezeway. The reported areas for renovation include the exterior stucco in the breezeway which is approximately three thousand six hundred seventy square feet. The entire property was not inspected. Inspection was limited to areas that will be potentially disturbed during the proposed renovation. SECTION I - SAMPLING STRATEGY: Bulk material sampling was conducted according to the following sampling plan: Friable Surfacing Materials: Friable surfacing materials, where encountered, are sampled based on the recommendations found in the EPA "Pink Book" entitled "Asbestos in Buildings: Simplified Scheme for Friable Surfacing Materials" (EPA document 560/5- 85- 030a). The number of samples collected is based on the total square footage of the homogenous area of the material and the material types. Thermal System Insulation (TSI): If present, samples are collected in a randomly distributed manner from each homogeneous area of TSI not assumed to be ACM. Samples are collected from each homogeneous area of patched TSI. Where cement Client Belfor Restoration Date: 11/7/11 Project Site: 11300 NE 2nd Ave, Garner Hall, Miami Shores, FL 33161 Contact Name: Jason McGlinchey 7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 245 -4500 www.airmd.com Page 2 of 5 HEALTHY ANR FOR A HEALTHY CHIN O11 ENT or plaster is used on fittings such as tees, elbows, or valves, samples will be collected in such a manner sufficient to determine whether the material is ACM or not ACM. Miscellaneous Materials: This includes materials such as acoustical ceiling tiles, floor tiles and linoleum, wallboard, wire insulation, caulking sealants, draperies, etc. (basically, materials that do not fall into the first two categories). Suspect miscellaneous materials will be sampled in such a manner as to determine whether or not they contain asbestos. The number of samples collected of a given miscellaneous material will be left to the discretion of the inspector. Bulk samples were delivered to Dove Environmental, Corp., in Miramar, Florida. The bulk sample specimens were subjected to Polarized Light Microscopy analysis in conjunction with dispersion staining as outlined in 40 CFR, Part 763, Subpart F of January 1987. Dove Environmental, Corp. is accredited for asbestos fiber analysis through successful participation in the NIST National Voluntary Laboratory Accreditation Program (NVLAP) meeting the requirements of 40 CFR, Part 763.87, Volume 52, and Number 210. SECTION II — PROJECT SCOPE: The above - referenced property is two story classroom building located at 11300 NE Zid Avenue, Miami Shores, FL 33161. The survey was limited to the exterior of the breezeway and no other areas were evaluated for suspect asbestos - containing material. The scope of this project was to sample and identify potential suspect materials. Only visible and accessible areas of the facility were inspected. During the demolition process, materials hidden behind wall cavities or other enclosures may be uncovered which may require further testing not included in this report. Bulk sample specimens of suspect materials were collected and submitted for analysis using Polarized Tight Microscopy in conjunction with dispersion staining as outlined in 40 CFR, Part 63, Subpart F dated January 1987. Analysis was conducted by Dove Environmental, Corp., in Miramar, Florida, who is accredited for asbestos fiber analysis through successful participation in the National Voluntary Laboratory Accreditation Program ( NVLAP) and meets the requirements of section 206(d) of Title II of the USC Chapter 15, TSCA as stated in 40 CFR 763 dated April 30, 1987. The non - suspect materials that were present are listed below: 1) Concrete 2) Metal Client Belfor Restoration Date: 11 /7/11 Project Site: 11300 NE 2nd Ave, Garner Hall, Miami Shores, FL 33161 Contact Name: Jason McGlinchey 7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 245 -4500 www.airmd.com Page 3 of 5 HEALTHY AIR FOR A HEAL Y EfVUROMMEMT Those suspect asbestos - containing materials that were present are listed below: 1 Wall Materials. Exterior wall materials consisted of a painted stucco finish on concrete block walls. Seven samples of the stucco finish were collected, no asbestos was detected in the materials. SECTION III - ASSESSMENTS OF ACM: The above sampled materials, are defined by the EPA - NESHAP regulation as non- asbestos containing materials, therefore no assessment of the material is required. SECTION IV - CLOSING REMARKS Federal Law Section 61.145(c) of the Asbestos NESHAP requires that the local EPA representative's office be notified in writing at least 10 working days prior to the onset of the project. The State Asbestos Coordinator's Office also requires a copy of the notification (address to State Asbestos Coordinator, State of Florida Environmental Regulation, 2600 Blair Stone Road, Tallahassee, Florida 32399 - 2400). Limitations: AirMD was retained to perform a limited assessment in the building for asbestos containing materials related to the proposed renovation areas only. T invited destructive testing is performed during a survey and the search is based on the limited areas accessible at the time of our visit and do not include materials that cannot be accessed. Our selection of sample locations and frequency is based upon our observations and the assumption that like materials in the same area are homogeneous. AirMD's interpretations are limited to accessibility and instrumentation limitations The purpose of this inspection was to identify asbestos - containing materials that may require special treatment prior to proceeding with the planned renovation operation only. Because this inspection was conducted prior to a planned renovation operation, only those suspect asbestos - containing materials expected to be disturbed as a result of the renovation activities were sampled and submitted to the laboratory for asbestos content. This inspection does not intend to have identified all of the asbestos - containing materials present in the facility. Client Belfor Restoration Date: 11/7/11 Project Site: 11300 NE 2nd Ave, Gamer Hall, Miami Shores, FL 33161 Contact Name: Jason McGlinchey 7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 245 -4500 www.airmd.com Page 4 of 5 irhiD's opinions as noted in the report are based on the findings and upon out professional experience with no warranty or guarantee implied. Air VID accepts no responsibt`!t'ty for interpreratinns or actions based on this report by others. The findings, results and conclusions as pan of our assessment are only representative of conditions at the time of the AirMMD visit and do not represent conditions at other times. 'This report is intended for your use and your assigned representatives. Its data and content shall not be used or relied upon by other parties without prior written authorization of AirNIfit. Sincerely. Jason Shearon /Certified Asbestos Inspector Seagull Training Certificate Number 150180 Expiration date 8/9/12 AirNID, Inc. Florida Licensed Asbestos Consulting Finn Z,A429 awe Mellor Resonation t% 11/7/11 Project Sue 113110 NE 2' Ave. Gamer Nall. "1liatni Shores. FL 5310 t Cnatatct Nam Jason MaGftlisv 7700 Congress Avenue. Suite 1119. Boca Raton. FL 33487 (561) 2454500 www:ainnd.coin Page 5of5 OR A HEALTHY ERVtRONEi erg Physical assessment of suspect containing building materials Project Name /Number: 13, r1 - 6a'":1 frit4 4/ Structure Type: 61 Project Address: i )oo Ah a 4 », P1; QU9 ;, i' 33/t / Assessment areas: s f,, �� tJ�•ll� •mo d °a e2 Potential ACM: j f ,s, c, Potential ACM: s c ` c 3 Potential ACM: f c c u 1 Potential ACM: c-' �. J uc Co Potential ACM: 6 Potential ACM: 5 /44. c c, Potential ACM: S e c o Potential ACM: Location: Location: 4 t4,74- Location: � 714 ti/'.1/ (ESiI(. Location: Location: W _ 11 b)! 13-:113i c4. / S Location: ilk , ktf,,1% CIEaa -tee f 1. Loca/t`ion* Locatibirir Friable: Area: Condition: 1V to Friable: rea: Condition: A) ( "co 6 Friable: Area: Condition: /V,0 o Friable: Area: Condition: /1/ '100 Friable: Area: Condition: ill 775,7 C:3 Friable: Area: Condition: 4/ 5 too Friable: Area: Condition: )t') 3,00 6 Friable: Area: Condition Legend: Date: ),0 /.c Inspector Name: 3 - Potential 1' disturbance: Potential disturbance: J� Potential disturbance: Potential disturbance: Potential disturbance: Potential disturbance: r Potential disturbance: Potential disturbance: Y: Yes G: Good H High N: No F: Fair M: Moderate B: Bad L Low 7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 2454500 www.airmd.com Page 1 of 1 DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Fl 33025 Tel(954- 374 -9274) Fax(954 -639 -7429) E -mail: DovelabsOdove.comcastbiz.ne Web Address: dovelabs.ora CHHAIIN OF CUSTODY - BULK ASBESTOS Dove Client Name: 4,Kb Date . Address • Lab ID: Total Samples Collected: Tel. # /Fax # Proj Sample # Description Location Results 0o _S-la cc Sowth 11/,11/ of, easy 'de Z. 5e,,./L, :, cb 1 /. 011 It e.S ■ ■ ■- V 3 Si Le cC o „, 10.1% 1I - E a de OD t- 5-/G= CC 04 ' ca l/ ©� �,r?e s I/ 127 oaf Ca y, $ t?C� 6 S1 v"ati �// et/4/0( 77 iGe FFJ (4...g ' / // li/®=1h 6Ye of - Project Location: Sampler's Name: Sampler's Signature: Received at Lab by: Condition of sample(s) received: Comment: Sample login by: Sample login date: Date Collected: Jo/2 eh/ xcop Turn Around (hrs): 8 _ 24 _ 48 _ other Date Received: kM.4 'fit DOVE ENVIRONMENTAL CORP. IIMMIIII 8910 MIRAMAR PARKWAY, SUITE 200 MIRAMAR FL 33025 Tel. (954) 374 -9274 Fax: (954) 639 -7426 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: BELFOR- BARRY UNIVERSITY PROJECT NUMBER: 11 -13061 CONSULT: STEPHEN HAHESSY LAB NO. FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 01 NO /YES LAYERS: 01 STUCCO - GREY NONE- DETECTED 100 % MINERALS PAGE : 1 DATE : 10/28/11 SAMPLE ID : D110528 NVLAP Lab Code: 102053 -0 SAMPLE NO.: 01 DATE OF ANALYSIS: 10/28/11 LAB NO. FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 02 NO /YES LAYERS: 01 DATE OF ANALYSIS: 10/28/11 STUCCO - GREY NONE- DETECTED SAMPLE NO.: 02 100 % MINERALS LAB NO. FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 03 NO /NO LAYERS: 02 DATE OF ANALYSIS: 10/28/11 STUCCO - TAN NONE- DETECTED 2% CELLULOSE 70% MINERALS 28% PAINT SAMPLE NO.: 03 Dove Environmental Corporation is solely responsible for analysis performed on sample content supplied by client and method 40 CFR Part 763 Subpart F App. EPA /600 /R- 93/116. Measurement Uncertainty information is available by contacting the Laboratory. Laboratory Reports will be kept for a period of three (3) years electronically. Percentages are visually estimated. Point count performed at clients request only.Results relates only to item analyzed. This report should not be reproduced by client or anyone without written permision from Dove Environmental Corporation. All samples will be stored for a period of 1 month. Our laboratory uses various microscopes and is NVLAP accredited.Floor -Tile is non- homogeneous and results only reflect sample content. ===== e¢ n2=== ====== =_=== ==== == =..e_eas_∎=∎∎ ∎=ae_aoaeas_ana___a =me_aeae_a Analyst 1 ____________ Rajendranath Ramnath LABORATORY MANAGER `"0',1 DOVE ENVIRONMENTAL CORP. Nimmi 8910 MIRAMAR PARKWAY, SUITE 200 MIRAMAR FL 33025 MEMOMS. Tel. (954) 374-9274 Fax: (954) 639 -7426 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: BELFOR- BARRY UNIVERSITY PROJECT NUMBER: 11 -13061 CONSULT: STEPHEN HAHESSY PAGE : 2 DATE : 10/28/11 SAMPLE ID : D110528 NVLAP Lab Code: 102053 -0 LAB NO. FRI /HOM . DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 04 NO /NO LAYERS: 02 STUCCO - TAN NONE - DETECTED 2% CELLULOSE 70% MINERALS SAMPLE NO.: 04 DATE OF ANALYSIS: 10/28/11 28% PAINT LAB NO. FRI /HOM . DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 05 NO /NO LAYERS: 02 STUCCO - TAN NONE - DETECTED 2% CELLULOSE 70% MINERALS SAMPLE NO.: 05 DATE OF ANALYSIS: 10/28/11 28% PAINT LAB NO. FRI /HOM . DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 06 NO /NO LAYERS: 02 DATE OF ANALYSIS: 10/28/11 SAMPLE NO.: 06 STUCCO - TAN NONE- DETECTED 2% CELLULOSE 70% MINERALS 28% PAINT a= s - - -= =aaa= = ==CV. a5== ========== =_.-.= a...... aaa Dove Environmental Corporation is solely responsible for analysis performed on sample content supplied by client and method 40 CFR Part 763 Subpart F App. BPA /600 /R- 93/116. Measurement Uncertainty information is available by contacting the Laboratory. Laboratory Reports will be kept for a period of three (3) years electronically. Percentages are visually estimated. Point count performed at clients request only.Results relates only to item analyzed. This report should not be reproduced by client or anyone without written permision from Dove Environmental Corporation. All samples will be stored for a period of 1 month. Our laboratory uses various microscopes and is NVLAP accredited.Floor -Tile is non - homogeneous and results only reflect sample content. -- aa=accccc=xa =a =cc - a =a caa =c ccccasa_ ccaacccacx= cac= acat aca== mcacacacaaaaaccaaccaaascaa= aacaac e 1\. d &.fir Analyst 1 Rajendranath Ramnath LABORATORY MANAGER Mv*"41, DOVE ENVIRONMENTAL CORP. 8910 MIRAMAR PARKWAY, SUITE 200 MIRAMAR FL 33025 EMS saisam, :r Tel. (954) 374 -9274 Fax: (954) 639 -7426 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: BELFOR- BARRY UNIVERSITY PROJECT NUMBER: 11 -13061 CONSULT: STEPHEN HAHESSY PAGE : 3 DATE : 10/28/11 SAMPLE ID : D110528 NVLAP Lab Code: 102053 -0 LAB NO. : 07 FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS NO /NO LAYERS: 02 STUCCO - TAN NONE - DETECTED 2% CELLULOSE 70% MINERALS SAMPLE NO.: 07 DATE OF ANALYSIS: 10/28/11 28% PAINT aaa aaraaaaaaaaaaaaaaaaa_ :aasaaaasa:: Dove Environmental Corporation is solely responsible for analysis performed on sample content supplied by client and method 40 CFR Part 763 Subpart F App. EPA /600 /R- 93/116. Measurement Uncertainty information is available by contacting the Laboratory. Laboratory Reports will be kept for a period of three (3) years electronically. Percentages are visually estimated. Point count performed at clients request only.Results relates only to item analyzed. This report should not be reproduced by client or anyone without written permision from Dove Environmental Corporation. All samples will be stored for a period of 1 month. Our laboratory uses various microscopes and is NVLAP accredited.Floor -Tile is non - homogeneous and results only reflect sample content. L4) Analyst 1 sacs,:�aasaz:gArs= aca a -- -- Rajendranath Ramnath LABORATORY MANAGER LAnzA,J.41C:J7J. J 114NR a" a V;Y:A. 900 N.W. 5TH Avenue, Fort Lauderdale, Florida 33311 This is to Certify that 4411411 Slawrotti 1111111111111111111111111 11111 xxx-": — 6 0 9 3 2436 24th Way, West Palm Beach.FL To Authenticate Certificate www.seagulftralrdng.com 1-800-966-9933 has successfully completed an English 8-Aug-11 TO 10-Aug-11 Individual above has completed the requslte trebling for accreditation under =A Tide 11 NDAAC Provider 0451 Trained* James F. Sump Training Address: 900 Northwest Fifth Ave., Fort Lauderdale, Fl, 33311 Successful course completion based on exam score on: 10-Aug-11 C.vaarvp Mtelehlve.,..0,5 w4.GAWSLOdUnitqw.(1,W..WO.QUA,AWVW.ME.AVIOW.Inunt,m,wW,V4 , M.WUMbea,“1.7, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 AIRED SCOTT A RUSSELL 7700 CONGRESS AVE STE 1119 BOCA RATON FL 33487 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridallcense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 STATEc DLO A A 574 1454 nspARTNENT ` 'SIISL SS . - PROPESSIO REGULATION ZA429 05/12/11 110093875 OS IRRSS; OR�3A' Xr - SCOTT A RT?S rIL XS LI SA VMUmtbosopidAtiorms sxplaeassolt .stun DEPARTMENT 0 STATE OF FLORIDA ASBEESTOS L CENSizisSUNI GULATION 1,1109120 DATE BATCH NUMBER 09/12/2011 110093875 ZA429 The .ASBESTOS EUS/NESS,OROANIZATI ON ", Named below IS LICENSED Under the provisions of Chapter 469 FS, piration gate,: NOV , 30, 2013 AIRED SCOTT A RUSSELL 7700 CONGRESS AVE , 5TE 1119 BOCA. RATON FL 33487 r=SCOTT f `ERN° t. DISPLAY AS REQUIRED BY W KEN L,AW o: SECRETARY