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CC-11-2367Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I N S P- 168548 Permit Number: CC -12 -11 -2367 Inspection Date: July 30, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Benincasa Hall 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 -34 Phone: (954)275 -1977 Building Department Comments REMOVE WET DRYWALL AND REPLACE WITH NEW DRYWALL Passe. A, 7 73,1=--_ Inspector Comments CREATED AS REINSPECTION FOR INSP- 168438. Not Ready. NB ec- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until July 30, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 MANUEL SYNALOVSKI ASSOCIATES, LLC 1800 Eller Drive, Suite 500 • Fort Lauderdale, FL 33316 • Telephone 954.961.6806 • Facsimile 954.961.6807 January 3, 2012 Norman Bruhn Building Official/Director Miami Shores Village 10050 NE Second Avenue Miami Shores, FL 33138 -2382 RE: Barry University Benicasa Hall Remediation Wall Repairs Dear Mr. Bruhn: cc, - 1Z -1 l -Z3(0% We offer the following as record of the Framing, Insulation and Screw Inspection we performed at Benicasa Hall on Friday evening, December 30, 2011 and Saturday morning, December 31, 2011. The attached list identifies the Framing, Insulation and Screw Inspections we performed by room number and that our office found to be in compliance in Benicasa Hall. Please feel free to contact us should you have any questions or concerns with the above. Respectfully, M) 1erynalovski, AIA, LEED AP M. aging Partner FL Lic. #11,628 MANUEL SYNALOVSKI ASSOCIATES, LLC architecture • interior design • planning Benicasa Hall Framing, Insulation and Screw Inspections Room # Framing Insulation Screw 103 X X X 105 X X . X 111 X X X 113 X X X 115 X X X -121 X X X 123 X X X 125 X X X 127 X X X 131 X X X 203 X X X 205 X X X 211 X X X 213 X X X 221 X X X 223 X X X 225 X X X 227 X X X 229 X X X 231 X 202 X 204 X 208 X 218 X 220 X 222 X X X 224 X 226 X 228 X 200 X X X 301 X 303 X X X 305 X X X 307 X X X 309 X X X 311 X X X 313 X X X 315 X X X 319 X X X 321 X X X 323 X X X 327 X X X Benicasa Hall Framing, Insulation and Screw Inspections Room # Framing Insulation Screw 300 X X X 304 X 306 X 308 X 310 X 314 X 322 X 326 X 332 X X X 334 X 402 X 406 X 414 X 418 X 420 X 422 X 424 X Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168208 Permit Number: ELC -12 -11 -2368 Inspection Date: January 05, 2012 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Benincasa Hall Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: ELECTROCOM INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -34 Phone: (954)632 -1091 Building Department Comments ENSURE OUTLETS ARE SECURED PROPERLY AFTER DRYWALL REPLACEMENT AT EXTERIOR WALL Passed Inspector Comments if C1 \--a--,u, 1/ "7-' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until January 05, 2012 For Inspections please call: (305)762 -4949 Page 1 of 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 No. Master Permit No. Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) 1S. frie_421 ( ,,, t Phone # Owner's Address ti 3 0 ® t\ E., Z_i 4, e- City W116,o,., 1:-Lore} State Pt— B Y: 11-23(o$ Zip °'v 3 l 3 e, Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone 6Ect90 -# k 6I-LL ° P 2 ow► e�zSz°t-�f Contractor's Company Name,c1‘e V,Ze9 e Contractor's Address 263/ ,4/4j City Cfi �s✓, I 1 j /C State /---7e Zip Qualifier Name a¢g r� / Phone #f3 ' '09/ State Certificate or Registration No. / e" /9/3.57 Phone # 96 Z / // Certificate of Competency No. //Z--el--021-3— Contact Phone 95'5 —711('-2799° E -mail .7 ,•>20t UC C4 /17... ®L Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: G.ts...3-re...� Phone # EAlteration Square / Linear Footage Of Work: /,I11 EINew Repair/Replace 4v2 ' ' j rz-c) v i L (ern-- -`- ® H©, e 9C7 sF El Demolition * ** ** *, * * * * * *, * *, * * *, * * * **** *, ** * * * * *, Fees, * *, * * * *, **** * * * * ***** * ** ** * * * * * * ** * * * * * ** ** Submittal Fee $ Permit Fee $ 3 ®' / /Gs CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ log(oo See Reverse side -* A 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 Al FIDAVIT: 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 construct-ion 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 re- inspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of 20 I l ' by MN (Q dairo Signature 26"). Contractor The foregoing instrument was acknowledged before me this. Go , day of ce/1413,E11,20 I (, by who aipersonally known to me or who has produced whoersonally known a 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: NOTARY PUBLIC: €416.-� %.,A __ P My Commission S < Joseph V Miller Jr 0,,,p' ExpCommission r /015071486 * * * * * * * * * * * * * * * * * * * * * ** **,r * * * * *,t** *** * *** *** *,r *,t* sir * *girt**** * ****+Y*** * * *** *sir** * * **** *fir * * *** ** * ** ***** APPROVED BY 2 Z P Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) MANUEL SYNALOVSKI ASSOCIATES, LLC 1800 Eller Drive, Suite 500 • Fort Lauderdale, FL 33316 • Telephone 954.961.6806 • Facsimile 954.961.6807 January 3, 2012 Norman Bruhn Building Official /Director Miami Shores Village ZIOZ 0 0 Ndr 10050 NE Second Avenue Miami Shores, FL 33138 -2382 Q .A.12 cat RE: Barry University Benicasa Hall Remediation Wall Repairs Dear Mr. Bruhn: We offer the following as record of the Framing, Insulation and Screw Inspection we performed at Benicasa Hall on Friday evening, December 30, 2011 and Saturday morning, December 31, 2011. The attached list identifies the Framing, Insulation and Screw Inspections we performed by room number and that our office found to be in compliance in Benicasa Hall. Please feel free to contact us should you have any questions or concerns with the above. Respectful ly, Synalovski, AIA, LEED AP Managing Partner FL Lic. #11,628 MANUEL SYNALOVSKI ASSOCIATES, LLC architecture • interior design • planning Benicasa Hall Framing, Insulation and Screw Inspections Room # Framing Insulation Screw 103 X X X 105 X X X 111 X X X 113 X X X 115 X X X 121 X X X 123 X X X 125 X X X 127 X X X 131 X X X 203 X X X 205 X X X 211 X X X 213 X X X 221 X X X 223 X X X 225 X X X 227 X X X 229 X X X 231 X 202 X 204 X 208 X 218 X 220 X 222 X X X 224 X 226 X 228 X 200 X X X 301 X 303 X X X 305 X X X 307 X X X 309 X X X 311 X X X 313 X X X 315 X X X 319 X X X 321 X X X 323 X X X 327 X X X Benicasa Hall Framing, Insulation and Screw Inspections Room # Framing Insulation Screw 300 X X X 304 X 306 X 308 X 310 X 314 X 322 X 326 X 332 X X X 334 X 402 X 406 X 414 X 418 X 420 X 422 X 424 X Room # Textile Packout Remediation Completed r/J 234 • 200 f✓ 301 303 .305 309 311. Scrubbed Tested Eng. Review Build Back HC Textile Packback Packback 315 319 321 323 325 327 331 v. 300 i% ✓�. 302 V/ 304 306 •308 $1 VA 310 312 314 318 322 326 328 013 332 ✓✓ 334 {�✓ 402 1/ 404 406 408 ✓+� 410 412 .' 414 416 418 420 '422 424 426 428 430 A 432 nirtcasa Room #' Textile Packout Remediation Completed w 101 v 103 • 105 tor T09v `st;.`+' -, 111 113 Scrubbed Tested Eng. Review Build Back HC Textile Packback Packback 115 121 123 125 127 129 ✓ Igvi; 131 ,f02 if 10106th 8 V% % 112 114 ;V 116 120, 122 V 126 130 201.V 203 • 205 209 �% 211 • 213 217 V 221 223 .225 227 229 231 at 202 - 204 .. 06 (� 208. 'V 212 ✓/� 214 t/ 216 J% 218 220 �V. 226 '228 J1% 230.1 0/A/ , i w i 1 a ) f-424AiNb MisuLATIDNI - NeeD �Cl • Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Li A 11] EC 7 BYe Permit No� Jam- )1-.9°b(0-1 Master Permit No. Permit Type: BUILDING Owner's Name (Fee Simple Titleholder) _Barry University Phone # Owner's Address 11300 NE 2nd Ave City Miami Shores State FL Tenant/Lessee Name Email Zip 33138 Phone # Job Address (where the work is being done) S exit N c_ pr K L , Q1 City Miami Shores Villa e FOLIO / PARCEL # 11- 2136- 000 -0050 County Miami -Dade Zip 33x3$ Is Building Historically Designated YES NO Contractor's Company Name * Flood Zone Phone # 43194 €c G\ Contractor's Address V72-0 a,,, `,,•••3,� ILO PrVI �d — �} City �, 0.-0,-c_ ,-k State Zip 3 3 44.2 Qualifier Name 'S el Q ces Phone # q S9 ^ 5-21 G 8,3 8 State Certificate or Registration No. Certificate of Competency No. Contact Phone °) S'"L -( ^ Co 01 cf E -mail -SQ In 0 m D ra l s: $ e le S o e-1 4 r Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 9 oZ`i � op° Type of Work: ❑Addition Describe Work: e_. b Square / Linear Footage Of Work: `i 0I pp© ['Alteration ['New (A) FIT a—� C P ri- i-- 12_so Repair/Replace ❑ Demolition tAi /1/41 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * ** * ** * ** * * ** * * * * * ** ** * * *** Submittal Fee $ Permit Fee $ CCF $ Notary $ Training/Education Fee $ Scanning $ Radon $ Double Fee $ DPBR $ Violation date: CO /CC $ Technology Fee $ Bond $ Structural Review. $ Total Fee Now Due $ '� n 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 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 V Owner or Agent The foregoing instrument was acknowledged before me this „i ai 4.11 '1401, day of 20 by M01,61 £ T° is exs��aallv known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: ****************************** APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this Z- , day of 1'7 , 20 / I , by who • personally known t me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Prm mil✓ My Commissi r►u Notary Public ,tote o -a e`S: Joseph V Miller Jr My Commission EE0714ee or no• Expires 04/1W2015 ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 442/2- «Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) NOTICE OF COMMENCEMENT A REM= COPY MUST BE POS1B) ON TIE JOB SITE AT TIME OF FOST WESTON PEF.T.occ, 1--z3("7„. FOLIO NO. 111111111111111111111111111111111111111111111 CFN 2011R1086759 DR Bk 27942 P9 0712; Ups) RECORDED 12/27/2011 145617 HARVEY RUVINr CLERK OF COURT MIAMI—DADE COUNTY? FLORIDA LAST PAGE STATEOFFLORIDA,COMMTY0FDADE STATE OF FLORIDA: 1 HEREBY CERTIFY that this lit2t4copy cite COUNTY OF MIAMI-DAD E: A 0 29 1/ THE UNDERSIGNED hereby gives notice that improvements will be made to5TNIR4 '' ' "6 MIBI Smt. Courtly Courts property, and in aczordarce with Chapter 713, Florida Statutes the following infomation CLERK, of Is provided in this Notice of Commencement. By wit.- #70 r0.C. 1. Legal description of property and Street/address: PI1AY (4/ (.0 (PEN! N C4.S4 1 11(X) NG 4'.A3 1 1 >,10(14-,,c, 2. Description of iMprovernent Js, PMD1LfNJ 3. owners 1 name ap,d address: %RR)/ LAMAIkkitliacY t ( 00 Mo 7,4, ikt,C M.1 6fv1 spows r,L ,---1(.0 / •, 1 Interest iriproberty: Name and address of fee simple titleholder: 4. Contractor's name andaddress: 1 C/ 3 5. surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ L is-zo PO ixie-611\f-v (9Jrt.)06- 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 following .person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a differ sPeciWP () w Signature Print Owner's Name O'YW1-1/ Sworn to and subscribed before me this day of vA 0 Notary Public Print Notary's Name My commission expires: 23.01,52 'AGE 4 8/02 , 20_. efna 13, a0 12, Prepared by Address: Dec. 27. 2011 1:45PM Fax • re, From No. 1649 P. 1 BELFOR tE4 PROPERTYR $TOtA '1O I Fam 305— Phones Peggss Liman. t For Review 0 Pease Comment 0 Please reply t1 Mace Recycle 1520 S. Fowling, Road Su1te A Deerfield Beach, FL 83442 Phone: (950596.8989, (BOO 421 ,1110 Fax( 5055155 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 Bette For information about our services, please log onto www.myf!oridalicense.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! (850) 487 -1395- Dec. 27. 2011 2:06PM Pax: 305 -- S(o -- Moro: No. 1651 P. 1 BELFOR (111) PROPERTY RESTORATION Prom Pages) Re: Urgent (n 4 kicl1` M e: For Review Ca Please Cora:went Q Please Reply D Please Recyd® 1520 S. PawerlGne Road Sufke A, Deeded Beach, FL 33442 Phone: (954)5364989, (800) 421.4110 Fax (954) 5965155 Dec. 27. 2011.:= 2:06PM O. 1651= = =P. 2= • CERTIFICATE OF LIABILITY INS>URANCE DATE(MWOCIA, YY) 0EIaEGOtt THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC - TE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER lig COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT DE EN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. MPORTANT: I t a cornea a holder Is an ADDIT ' AL INSURED, the poecy(ies):must be endorse . SUBROGATI N 13 WAIVED, cubist! to tha terms and condlflons of the pollcy, certain policies may require an endorsemeri A statement on this certificate does not confer rights to the certificate holder In Ilea of each andorsement(s). 1` PRODUCER Aon Risk Services Central, Inc. Southfield 141 office 3000 Town center Suite 3Q00 Southfield MI 48075 USA ONTACT y�I It, ExO (850) 283 -7322 ADDAE99: Nok (847) 959 -5390 INEUN 11(S) AFFORDING COVERAGE INSURED Belfor USA Group, property 152 a 0S. Poworline Road, SuiteoA Deerfield Eeach FL 33442 USA COVERAGES IAELEER A: Insurance Company of the State of PA NAICA 19429 INSURERS, National union Fire Ins Co of Pittsburgh INSURERc1 diartfs specialty Insurance company SIMMER. IX INSURERS: INSURER F. 19445 26863 CERTIFICATE NUM13E • THIS IS TO CERTIFY THAT THE POLICIES OP 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 11418 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AF'F'ORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TEIgMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y PAID CLAIMS. Limits shown are es requested SHOULD ANY OF THE PEOVE MORINO FOIJCIE5 6E DANon ED °WWORH Ttle o INaURANCL PIM WM - - p W^reGtdG 7' V i .i,?0' LIMITS e GENERAL e GL487IFIi7ib0UCYNUMBER SIR applies per policy terns I.at., 4701/20 % 8, condi 04/01720a :ions SAW OCCURRENCE $1,000,000 X eoMlnanuutiLeeNrRALLrABnm cLalma•MAos ao0oUR mime&ltirtgel PREMISES fEe oceuvenset $1,000,000 MEDEXP (Any one person) $100,000 PEIRXW I. S AIR INJURY 51, 000, 000 OIRFRALAGOREGATE $2,000,000 GENLAGGREGATE LIMIT APPLIED PER —I pow Pi/j nom PRODUCTS. COMPIOF AGO 52, 000, 000 A AUTOMOBILELIA8E.ITY cASG '8 -38 25 04/01,/201104701 /2012 COMBINED SINGLE OMIT (Es addend 51„000,000 X X X X ANYAUTO v BODILY INJURY( Par paw) AL SAO A HIREDAUMOS Come oedemas _ X BCHH SCHEDULED AUTOS NOBOWNED AUTOS cabin D.dCow BODILYBUURY(Peredaq PROPERtlNDAMA.GE (Form 13 X VMBRELLALIAB ,EXares LIPB X OCCUR -MADE 9788925 04 0 0 2012 EACH OCCURRENCE 55,000,0.0 AOSRSOATE 55,000,000 0801 (RETENTION B B WORKERS COMPENSATION AND arm-01 ERW UAEILITY YIN of CER/MEMBERE C NIA WCO20635377 AOS WCO20535379 FL 04/01/2011 04/01/2011 04/01/2012 04/01 /2012 tNI I IDrH- X I TORY L s ER EL'EACHACCIDENT SI.000 :000 (Mandatory In N(5 D�eyeaka,ktIPTION der oEaCRIP110N0 OAEFATION61LPloW EL DISEASE-EA EMPLOYEE 51, 000, 000 ELDISEASE.PCUCYLUWT $1,000,000 _ i PEBOR0'T10NOFOPERATIONS! LOCATIONS I YEHIcLas Weak ACORD10t,AddlEeeelRemarksSco dula,6InorsspaesIsragnlrad) S Evidence of Insurance. y g . re N V. GELLAT10 ACORD 28 (2010/08) 01688-2010 ACORD CORPORATION. All rights reserved. The ACCR11 name and logo ars registered marina of ACORD • Holder Identifier 1 g m tl SHOULD ANY OF THE PEOVE MORINO FOIJCIE5 6E DANon ED °WWORH Ttle Ifelfor USA Group, Inc, dba Balfor Property Restoration 1520 s. PoWerli08 Road EUite A Deerfield FL 33442 USA eXPIRAT1oN Oa'rE TIISREOR, NotICL WILL. se NELWE_RSO IN ACCORDANCE WITH THE POLICY PROVISIONS. AUWHORMenREPREE0NTATIVB n i]j 7,3�'�y{ - - p W^reGtdG 7' ._ seri ACORD 28 (2010/08) 01688-2010 ACORD CORPORATION. All rights reserved. The ACCR11 name and logo ars registered marina of ACORD • Holder Identifier 1 g m tl Dec. 27. 2011 2: 31 PM Fax To Frown No, 1652 P. 1 BELFOR (�) PROPEaTiYi ESTOMMMiIGP1 non 305— Phone: Pages: DON Re: 14c k vo YJL 1-" Alum _ Urgent For Review EJ Neese Comment L] Please Reply El Please Recycle 16206,1;1=021a Road Sae A DeerSeld Beach, FL 33442 PPS: (954)5,93-8989, (800)421.4110 Fax (954) b98 5155 Dec. 27. 2011 2:32PM Fax • To ram 305-- - 0 v cl i -9t--z, Phone: No. 1653 P. 1 BELFOR t0) PRPPERTYRESTO Ti ION From: • Pages: Date: Re: (rt o vat— Atten: Urgent For Review n !Neese Comment 0 Please Reply 0 Please Recycle 16208. Pvwerllne Road Sulfa A, Desileici Beach, FL 33442 Phone (054)598.8989, (800)4214110 Fax(954) 695 5155 • • Dec. 27. 2011 2:32PM ' 1 ,•,i '`i I l:l f'1'• '= l 1:111',1, 1-+ `:(•) No. 1653. P. 2 14 2(,, •n i.'.. • ‘x• gyp :f= R�r.�.'1 �+ '.J.Ifi; . L i . I: =iI :1!irtil,i17.1 1.0: I t;fAir,,' ylo : �, :711k1-F t I�I'1 I+� ri1i'r. , i�I11ti, 1.1 :1 4I`f.-l- :•'i.0' l,.l el i' -( - (_il',17,111114F E= ' .j•IJI;.41a�';i�`i, 11) f.(;1 +1; I i',(..-1'11,1 . =1:(.1 �IFI;.( /.., f•.1.'i. 1: e... Ir• :;'•ix'°,4: in ■++ 1 r: c lull BUSI ES MLA G% YIOp *tl' ,r,r: Pa ,gRRtr 1. t�G ; d, T Aq P AEEIF>'j .. yet;, ,,_; �'�' +''•.#.' $TATE;i•.000046�+ 3- • FJHST'CLASS • US, eOSTAG • PAI MIAMI; PL. PERMI Nos alt DO NOT FORWARD 1'.". 41. MTN r?Ay + • era X54 xxx. tyttJr� d' t�:` •cr �;t: ?f SEE OTHER SIDE BELPOR USA GROUP.IN4'... SHELDON YmLLEN PRE $':. • 185 OAKLAND AVD *150 BIRMINGHAM Mt. 48009 I,1 „i l„h I I„, 11, n 1, h,, , Il r.1„ I „f l • l i..,,,J J,111„4d! ••.' - -.w re m {+•*•4t' (tr.s .';°.trft/•4sc sgqit4e �-f? W.s}V• ••s. 12/27/2011 14:39 FAX 3052454203 HEIGHTS ROOFING INC X001 /001 y°:R1) CERTIFICATE OF LIABILITY INSURANCE °;�7/z�'"° 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RMATi N ONLY At4D CONFERS NO RIGHTS UPON THE CERi1FLCATE 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. NNPORTANT: If the certificate folder Is an ADDMONAL INSURED, the pollcy(Ns) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and moons 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 endomement(s). PRODUCER Marls van Wert do W of Florkla, Inc. 3000 Bayport Drive; Suite 300 . Tampa, FL 33607 cONTACT Name NE ad): (�) 2933800 Ext. 623 NM rNC.Not (888 225 -4049 INSURERLIS AFFORDING COVERAGE NAIC • MIMED Workforce Business Services, Inc. Alt. Emp: Heights Rooting Inc 1401 Manatee Ave. West Ste 600 Bradenton, FL 342055708 COVERAGES INSUMA: American Zurich Insurance Company INSURERS: 40142 INSURER C: INSURER O: MARE: INSURER F THIS INDICATED. • CERTIFICATE EXCLUSIONS ,tea. Vwwrm nvmvn. IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wmi RESPECT TO WHICH THIS MAY BE ISSUED' OR MAY PERTAIN; THE INSURANCE AFFORDED' BY THE POLICIES DESCRIBED' HEREIN IS SUBJECT TO All THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "" TYPE OF INSURANCE a MID POUCY NUMBER tAr�t+MxY1ntY1 NIZC YY1 ��rffi GENERAL MINIM COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE 3 DAMAGE TO RENTED $ 1 CLAMS-MADE ❑ OCCUR PREMISES (Ea occurrence) MED EXP (Any one Peru) $ PERSONAL & AIV INJURY $ GENERAL AGGREGATE 3 GENY. AGGREGATE URRMrT APPLIES PER: —I POLICY n jECI' F-7 LOC PRODUCTS - COMPIOPAGG 3 $ AUTOMOBILE — — LIABILITY C_OMBINEC SINGLE LUMrT $ ANYAUTO. ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS Amos s BODILY N$URY (Per paraon)- S. BODILY IMIURY (Per accident) $ (PaO DAMAGE $ $ — UMBRELLA UAB EXCESS UAD _OCCUR (x.NMS -MADE EACH OCCURRENCE $ AGGREGATE . $ DID I 1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS* UABMY ANY Fl PROFRIETOR/PARTNERIEXECUTIVE RIEXECED I describe under DESCRIPTION OF OPERATIONS below N1A WC 90-00 -818-01 12/31/2011 12/31/2012 WCSTATU I IOTH• X TORY 11MTTB PER EL ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1,000,000 EL. DISEASE -POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/31/2011 12/31/2012 Client,' 001596 DESCRIPTION OF OPERATIONS( LOCATIONS( VEHICLES (Midi ACORD 101, Addntend Remote schedule, N more space le required) le 4Heights R� Inc leased to but trot Homestead, FL 33030 . Hof: ceertelrwrr unr ems 1 Miami Shores Village Iglu" —FShoi it,'KL 33138 v W1•∎•• ..... 1 norm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ens =VDlD* r nu nATv TUM2=fle 1111"111rel wu I VW /WI 11U---n w AUTIIORQED AWE %� VC/LA iU ' •_ ACORD 26 (2010M5) ®11 10 ACORD CORPORATION. All rights reserved. The ACORD name and logo am registered marks of ACORD Dec. 27. 2011 2:37PM Fax To From No. 1652 P. 1/2 BELFOR PIMPERTYRESTONATi ION Phone:fe: Urgent For Review ❑ Please Comment G] Please Reply El Please Recycle 1820 S. Powsrllne Road SuIC A, Deerfield Beads, FL 3334442 Phone: (954) 596 -s9B9, (800) 421 -4110 Fax 954 603 8165 • • • Dec, 27. 2011 2:37PM • ' • • No, 1652. P. 2/2.. .f °- dlla':�'Ifail; 1 i i(i�lle'i ti ��.ai19 (- r. gill e4 :Pais .,..v ;E }j °, •, :B0441NE o itft�,wNlE t,4 11ti}1 •sr t ; �ri % :' • < r4'BEIL.F1.l : l Aki GRQUPs I � :x`14 ',¢' ' ,[ , ,,• %o..;.• •11rt i; :•%' ;•.T�1lr,1 ;/.;¢ 1 r i•.. 4. A Iti l \e i.lei v 94 ikl . r,- - {r;�•.t,.. !� -: r Pig -4I !fifL''. it • ..T;:.,a?: >.,. , <I r .:ii,.t 1. og 1 �' E '' t [`r 0 Gi fll , ��1:5' #:�Y,3'' ±�� ate._. t;�'? ((, �x ((c+1�_',:Ns4'..,,:•.1; •••,.: :;t "•t`zr.sg4 ��,147:•01:tsaji•,�'; 1'r �'�''1`. 4. 5:3It,•d %'i.•�.y,''sj� �. DO NOT FORWARb.7:•:.• • FIRSTPCLASS U.s ..BOSTA.Gg • •.. •. pal . ; . y. MIAMI FI,.1' p�EnM'T fjg ;?13Y: Al �a J 3s =r7e °P r 12 °k��4 I�'a "F�f�tj` fiffe'S;`•NO� P�i`ra;''wR!'•�` • '" + , �:`: �., • t: ;`:'t^ � ��;tip�;/�Y.:1 ,'a RryrtNEIiAU.11.. STATES.CGCr4`fi4i,3 > • '' • E� PAY • ' •1, eon Daoaosgi. 'T � 0 •3750 Qa� 91,, SEE OTHER SIDE p�p�. =�'•v - p•► . -_r .....- ...... • • 1•• • - . •. ,. a ••` . -,r.. w :XOwgn *,•?f•} Cfa.,!C1.�:A ,R ' +r' •1" 7''' i$tli iB 'o" ". , .•\ •w ..y, • ,.. BELFQR USA GROUP., SHELDON YELLEN FRES: :: BIRMINGHAM MIV48009Q I► I►► IIiIIt��► nII► I► I► IuIiII [►It►It►�f►Il►v►►►I►I►I►In�pl '1• 1: 12/27/2011 2:18:03 PM Faxserver 847- 953 -5390 Page 1 • Aon Risk Services Aon Client Services 1000 Milwaukee Avenue Glenview, IL 60025 Phone: 866 - 283 -7122 Fax: 847 - 953 -5390 Fax Date: 12/27/2011 2:17:14 PM Pgs: 4 To: 'To Whom It May Concern - Belfor USA Group, Inc.' Fax: 3057568972 Comments: Belfor USA Group, Inc. - Miami Shores Village [CHI1 2271 1 1 24386] NOTICE: The information contained in this message is proprietary information belonging to Aon Risk Services and is Intended for the personal and confidential use of the addressee. If you are not the addressee or an agent of the addressee, you are hereby notified that you have received this message in error and that any review, dissemination, distribution or copying of this message is strictly prohibited. If you have received this message in error, please notify Aon Risk Services immediately by telephone and return the original by mail. 12/27/2011 2:18:05 PM Faxserver 847 -953 -5390 Page 2 Page 1 of 1 Attached, please find the Certificate(s) of Insurance that you have requested. Should you have any questions, please call 866-283-7122. (See attached file: Belfor - COI for MI Shores Village.pdf) Aon Client Services Aon Risk Services Central, Inc. dba Aon Risk Insurance Services Central, Inc. CA License OD04043 1000 Milwaukee Ave. 1 Glenview, I L I 60025 t: 866.283. 7122 If: 847.953.5390 w: aon.com file : /Muschdcls006s \omdata\ Messages\ 0237\ 5c7e96d2- ec5c- 4b3b- b328- 7cf6cdf04fa2- in -... 12/27/2011 12/27/2011 2:18:07 PM Faxserver 847 -953 -5390 Page 3 —`° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/27/2011 THIS CERTIFICATE 1S 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 Aon Risk Services Central, Inc. Southfield MI office 3000 Town Center suite 3000 Southfield MI 48075 USA CONTACT NAME: PHONE (866) 283 -7122 FAX (847) 953 -5390 (A/C. No. Ent): I UuC. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Belfor USA Group, Inc. dba Belfor Property Restoration 1520 S. Powerline Road, Suite A Deerfield Beach FL 33442 USA INSURER A: National Union Fire Ins Co of Pittsburgh 19445 INSURER B: Chartis Specialty Insurance Company 26883 INSURER C: EACH OCCURRENCE INSURER D: X INSURER E: DAMAGE TO HENI ED PREMISES (Ea occurrence) INSURER F: MED EXP (Anyone person) • • 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 INSR TYPEOF INSURANCE AD .L INSR SUBR MD POLICY NUMBER POLICY EFF �IIWDDJI�YJ� POUCYEXP f��II1�AlgqD{{�� LIMITS GENERAL LIABILnY GL4870886 SIR applies per policy terns U4/0I/2011 & condi 04/"DM2 -ions EACH OCCURRENCE $1, 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR DAMAGE TO HENI ED PREMISES (Ea occurrence) $1,000,000 MED EXP (Anyone person) $100,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GENII AGGREGATE LIMIT APPLES PER: 7 POLICY n ECI. n LOC PRODUCTS - COMP /OP AGG $2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) _ — _ — ANY AUTO — BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Peraoddent) UMBRELLALIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I RETENTION A A WORKERS COMPENSATION AND EMPLOYERS'LIA8ILITY YIN NIA WCO20635377 AOS WCO20635379 FL 04/01/2011 04/01/201104/01 04/01 /2012 /2012 I WC STATU- I IOTH- X TORY LIMITS ER OFFICERJMEMBEREXCCLLUUDED? N E• L• EACH ACCIDENT $1,000,000 (Mandatory in NH) K s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -EA E EMPLOYEE $1, 000 000 s E.L. DISEASE - POLICY LIMIT $1,000,000 - l e DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) a C C E e CANCELLATION Miami Shores Village 10050 NE 2nd Ave. Miami FL 33138 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 3v EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Holder Identifier : F qa POLICY PROVISIONS AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD MiamiShores Viivage Building Department RECEIPT PERMIT MCC /1 2LX'o7 DATE: y y4b o Contractor o Owner o Architect Picked up 2 sets of Address: Tans and (other) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 From the building department n this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: i PERMIT CLERK INITIAL: Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Pe/ ► NO. CC -12 -11 -2367 P m 11 Permit Type: Commercial Construction Work Classification: Alteration Permit Status: APPROVED Parcel Number Issue Date: 12/27/201 1 Expiration: 06/24/2012 Applicant 11300 NE 2 Avenue Number: Benincasa Hall 1121360010160 -34 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) BELFOR USA GROUP INC Phone Cell Phone (954)275 -1977 Valuation: Total Sq Feet: $ 124,000.00 40000.00 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: DRYWALL REPLACEMENT Stories: Front Setback: Left Setback: Plans Submitted: Yes Certification Date: Bond Retum : Scanninq: 6 Occupancy Load: Exterior: Rear Setback: Right Setback: Certification Status: Additional Info: Classification: Commercial Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $74.40 $55.80 $55.80 $24.80 $3,720.00 $18.00 $99.20 $4,048.00 Pay Date Pay Type Amt Paid Amt Due Invoice # CC -12 -11 -42951 12/27/2011 Credit Card $ 4,048.00 $ 0.00 1 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Tie Beam Slab Termite Letter Framing Store Front Attachment Insulation Drywall Screw Window and Door Buck Ceiling Grid Fill Cells Columns In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: 1 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy December 27, 2011 Date December 27, 2011 1 BARRY UNIVERSITY FACILITIES MANAGEMENT Physical Plant December 23, 2011 Miami Shores Village 10001 NE 2nd Avenue Miami Shores, FL 33138 Attn: Norman Bruhn — Building Official Ref: Barry University 11300 NE 2nd Avenue Miami Shores, FL 33161 Sub: Benincasa & Kolasa — Drywall Remediation Dear Mr. Bruhn, 11300 NE Second Avenue Miami Shores, FL 33161 -6695 phone 305 -899 -3785 fax 305 -899 -3058 www.barry.edu Please be advised, Barry University, has acknowledged and authorizes Belfor Restoration, to complete any and all drywall remediation work in the above referenced project. Due to our findings from our IAQ inspections and the short time frame we have to get the students back in, we appeal to you with any help possible in expediting this permit. Should you have any questions, please feel free to contact us. Very truly yours Jeffr -' J. ao Construction Manager cc: Monica Soto — Associate VP File MANUEL SYNALOVSKI ASSOCIATES, LLC 1800 Eller Drive, Suite 500 • Fort Lauderdale, FL 33316 • Telephone 954.961.6806 • Facsimile 954.961.6807 December 23, 2011 Norman Bruhn Building Official /Director Miami Shores Village 10050 NE Second Avenue Miami Shores, FL 33138 -2382 RE: Barry University Benicasa Hall Remediation Wall Repairs Dear Mr. Bruhn: We offer the following as definition of the scope of the unforeseen repair work required at the interior and exterior walls due to IAQ remediation work at Benicasa Hall. Work is required to be accomplished during Winter Break 2011 -2012 as the students retum on January 9, 2012. Benicasa Hall was constructed as per the code requirements Florida Building Code, 2001. The attached spreadsheet identifies each room in the left most column that requires repair work to the interior and exterior walls as a result of the remediation work. The following wall types are to be utilized for the repair work. Non -rated Interior Wall 5/8" Type `X' GWB both sides (with batt insulation, if in existing wall) on 3 5/8" 25 gauge metal studs at 24" o.c. from slab to structure above. 1 -hour rated Interior Wall (Corridor) 5/8" Type `X' GWB one side and gypsum plaster on corridor side (match existing texture) with 2" sound attenuation on 3 5/8" or 6" 25 gauge metal studs at 24" o.c. UL Design No. U465. Exterior Wall 5/8" Type `X' GWB interior side with rigid insulation on 1 x 2 wood furring strips at 16" o.c. on 8" CMU walls. Please feel free to contact us should you have any questions or concems with the above. Respec ly, Manue alovski, AIA, LEED AP Managing Partner FL Lic. #11,628 MANUEL SYNALOVSKI ASSOCIATES, LLC 1800 Eller Drive, Suite 500 • Fort Lauderdale, FL 33316 • Telephone 954.961.6806 • Facsimile 954.961.6807 December 23, 2011 Norman Bruhn Building Official /Director Miami Shores Village 10050 NE Second Avenue Miami Shores, FL 33138 -2382 RE: Barry University Benicasa Hall Remediation Wall Repairs Existing Fire Sprinkler and Fire Alarm Dear Mr. Bruhn: We offer the following as clarification that the wall repairs required as a result of the IAQ remediation does not impact the existing fire sprinkler and /or fire alarm system at Benicasa Hall in any way. Please feel free to contact us should you have any questions or concems with the above. Respectfully, 14 1,-0- Manuel S . lovski, AIA, LEED AP Managing Partner FL Lic. #11,628 BELFOR PROPERTY RESTORATION 12.22.11 Norm, Belfor would like to proceed with the work @ the Benincasa Hall which would include the following scope of work: • Drywall removal per the protocol • Cleaning of the space • Installing furring strips and rigid insulation to code • Cutting drywall and putting one screw on it to hold it onto the wall • Painting the unaffected walls in the unit Spraying, texturing and painting the ceilings in the units This will bring our work up to the point of first inspection and no further. Is this acceptable to the village ?, Thank you for your willingness to work with us on this emergency situation. Sincerely, ason McGlinchey Belfor 954.275.1977 C iason.mcelinchey @us.belfor.com BET FOR USA 1520 S. Powerline Rd Suite A Deerfield Beach, F133442 • 888.421.4111 • ph: 954.596.8989 • Fx: 954.596.5155 24/7 emergency hotline: 800.856.3333 • www.belforusa.com Benincasa Room # Textile Packout Remediation Completed Scrubbed Tested Eng. Review Build Back HC Packback Textile Packback 101 103 105 109 111 113 115 121 123 125 127 129 131 102 106 108 112 114 116 120 122 126 130 201 203 205 209 211 -- _ .213. 217 221 223 225 227 229 231 202 204 206 208 212 214 216 218 220 222 224 226 228 230 Benincasa Room # Textile Packout Remediation Completed Scrubbed Tested Eng. Review Build Back HC Packback Textile Packback 234 200 301 303 305 309 311 315 319 321 323 325 327 331 300 302 304 306 308 310 312 314 318 322 326 328 332 334 402 404 406 408 410 412 414 416 418 420 422 424 426 428 430 432 1 SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE ANU COUNTY RULES RE'=JILA!1ONS c 8 A accmeDBn mr CON T. MOWED Amman 11-112M422 CP AlkT4 MC Me 162 CP /CA b 6 FROM TOTAL OP I0 ROM PROVICVD ALL EXIOaoRGLASS SMALL EE PPACT SEEESTANT (TEMPLE HAS PARTNERS.NC. 20116161121(11121 SURE 203 COIL 611113112104 33121 Oc9ATV ASR Z (15634) w000 a iiRto MI Mt Aik, MOM aR G, 0144« WNW. 06416. Oda howl.. BARRY UNIVERS1TY RESIDENCE 140N.W.11S/Sre& ARAN! SHORES, FL 6E1E114. UMW* FLOOR FLANS GROUND Sol BOWER COMM ucenimesens Sea D.y% Sot lb, A.300 woo • PLAN k EW FRAL APPROVAL DEPARTMENT' OF ENVIRONMENTAL RESOURCES MANAGEMENT COLE REVIEWER (PRINT): '�' mes 4IGNATURE --211 DATE /% 11 1 11 1 11 1 1 1 1 11 1 1 1 1 1 1 11 1 1 11 Derm Number: 2011 - 1227- 0952 -4234 Contact Name: JEFF YAU Contact Phone: (788) 387 -4487 Folio: 11 -2136- 000 -0050 Project Name: BARRY UNIVERSITY - KOLASA Date Received: 12/27/2011 5 1�1e1e1111DE 1141111113 111111= J 4 3 2 HAMPER KRTNERS,NC 201 MOOR MX 2022112) CCU.9a9Stmmn sum {�wm• tl0p carm•ur�.w o na.mm Im16 ACCESIONSIT WIT CANT 011 rase 0309 r�91r ram /1; IEY'INplieC�ilC•'I r1OIr 2401: 7.101? 74997 W4 17417 u tMilne 10012122111 0 BARRY UNIVERSITY RESIDENCE 140 N.W.11SStreet. DRAM SHORES, FL Moils Ile FLOOR PLANS TRIED FLOOR WSW F.C*111014 LEMBO ~220 Irpr 0.ea La1 K4f 1'b 6'99104191 A301 4 3 2 4[) ID ‘11Fr • T4 yr 4D 4D 4D OFOURTH TH FLOOR PLAN SCALE. U8'.F0• 4E) o Q� IFW um 4 7491/2* 114712• 7.0 Yt vain* 1741/2* 0 01 1.010. .ram' 7.0 oavr 40 11: 134 O O 4D HARPER PAIITNERS,NC Lm mom 0002 gem 400 OWL 001300004 0o0 Nadi • r■ ls0.tw • r�e..n.ms rmme.owo. NOM 17f INT COYD GN PAO 47010 M>n r0,. CRIME REVISE OTAMMI Rea. Ode 0000 0.44 BARRY UNIVERSITY RESIDENCE 2 14ON.W.iuStreet. SHOJI SHORES, IL r A 1 Onviai FLOOR PLANS FOURTH FLOOR mwrmacewa+ 130042. 004040/3 A30IA 4 3 2 Acte5ro, aiRvw We ess Through Science" !itAtItilf fli COVIRONNENT Asbestos Evaluation - Limited Site Evaluation with Limited Sampling Date: 10/24/11 Customer Belfor Property Retorati Project Address: Barry University "Benkasa Hall & Kolasa Hall" 11300 NE 2nd Ave, Miami Shores, FL 33161 On October 20, 2011 AirIVID completed, at your request, a limited evaluation for the presence of asbestos-corttaining building materials in the above referenced tunversity dormitory buildnigs. Samples of visible suspect Asbestos Containing Building Materials (ACBM) were collected for analysis by Polarized Light Microscopy (PL1s4). The purpose of this survey was to identify any asbestos containing materials that will be disturbed during removal of drywall in certain rooms in each building that were water damaged as a result of a water leak. A leak occurred around the windows in the dorm rooms. The reported areas for remediation include the drywall adjacent to the wall mounted PTAC air conditioning units in: Kolasa Halk Units 201; 222; 226; 229; 230; 232 and 329 2) Benincasa Mall 17nits 222; 232; 302; 308; 319 and 324 Each unit is approximately 300 quare feet. The entire property was not inspected. Inspection was limited to areas that will be potentially disturbed during the proposed remediation. 11dfor Properly Resitoration Date: 10/20/11 Projcct tint:: 11300 NE 2 Ave, Miami Shore PI, 33161 Contact Name: Jason Mc( linch 7700 Congress Av nue, Suite 1119, lioeaRtonFL 33487(561)24 Page 2 of 6 RAALANV Aip rep A REA.::141' AAVARAAIMENA 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 560/5-85-0304 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 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 twe categories). Suspect miscellaneous materials will be sainpled 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 cFrt, 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 (NVIAP) meeting the requirements of 40 CFR, Part 763.87, Volume 52, and Number 210. Client 13dto r Property Retitoranon Date: 10/20/11 Proiect Site 11300 NE 2n,' Ave, Ntiarni Sbn 1. 33161 Contact Name: ja5on McGlinchey 7700 Congress Avenue, Suite 1119, Boca Raton. F 87 (561)245-4500 www.airnid..vom Page 3 of 6 Met0.111 MO FOP. MUM' 1101YIMMENI SECTION II — PROJECT SCOPE: The above-referenced property is a multi story multi unit university dormitory building located at 11300 NE 2nd Ave, Miami Shores, FL 33161. The survey was limited to the interior of each mentioned unit around the air conditioning units and no other areas were evaluated for suspect asbestos-containnig material. The scope of this project was to sample and identify potential suspect materials that may be present in building materials that will be removed during remediation. 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 fot analysis using Polarized Light Microscopy in conjunction with dispersion staining as outlined in 40 CFR, Part 63, Subpartf 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-suspeet materials that were present are listed below: 1) Concrete 2) Glass 3) Metal Those suspect asbestos-containing materials that were present Kolasfa Building I IVO Materials: Interior wall materials consisted of a drywall and joint compound system with vinyl baseboard. Seventeen samples of the drywall wall system and vinyl baseboard mastic were collected; no asbestos was detected in the materials. 2 Ceiling Marnials: Interior ceiling materials consisted of popcorn textured finish to the ceilings. Only a selected few units had the ceiling materials affected. Two samples of the ceiling popcorn texture were collected and no asbestos was detected in the materials. 3 Miscellaneous illaten'als: The miscellaneous materials consisted of the air conditioning sealant compound in unit 222 of the Wawa' building. One sample of the compound was collected and no asbestos was detected in the materials. Client Belfor Poverty Kortoration Pnnect Site: 11300 NE 2,0 .Ave, Mann Shores 4. 33161 Daw: 1,0/a1/1 Ce#ntket Name: linchi 7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 2454500 www.airmd.com Page 4 of 6 Alit FoR ffIllni! INVIRlInnU Bethasa Bu 1'd/ Adak& Interior wall triatetials consisted of a drywall and joint cotnpound system with vinyl baseboard. Eighteen samples of the drywall wall system and vinyl baseboard mastic were collected; no asbestos was detected in the materials. Note: The wall samples were procured from an exterior wall, no thermal insulation was present. 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 NESIIAP requires that the local EPA representatives 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 Honda Environmental Regulation, 2600 131air Stone Road, Tallahassee, Florida 32399-2400). Lard/aims: AirMD was retained to perform a limited assessment in the building for asbestos containing materials related to the proposed renovation areas only. Limited 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. AirMD's opinions as noted in the report are based on the findings and upon our professional experience with no warranty or guarantee implied. AirMD accepts no responsibility for interpretations or actions based on this report by others. The findings, results and conclusions as part of our assessment are only representative of Chem; Iklio Property ittrstora6on Project Sire: 11300 NE 2"ki Ave, Miami Shores 11 33161 Dare- 10/20/11 Contact Name: Jason 4 cGiinehv 7700 Conress Avenue. Suite fl 19. Boca Raton, FL 33487 (561) 245-4500 wwwainnd . c Page 5 of 6 conditions ot th nme f the rats visit and do not tepresent exinditIons at other times. This report 6 intended fOr your use and yittir **led mirescatatives, Its data atid content Anal W:4 rutted upon by Wier parties without prior watten noilioriinuion Aii.MD. Siticetchs, Simon Bah estis tined Asbestos Impactor Seagall Traininy CertiCwote Numbe 14b429 Consultant AX66 Espirotion date: 04/26/12 Inc. Florida Licensed Asbestos Consulting Firm ZA429 fkAK Ve4sfiKn'z' Reviewed by, ',Nuns Russell Elotido Licensed Asbestos I :14 Stati.! Ana 1 I 5.4 Ai uvialmTnitcom NT : AIR MO ESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 334€8 PROJECT: 11300 N.E. 2N0 AVE.. M PROJECT #:12996 CONSULT STEPHEN HAHESSY DOVE o AL n. r ,. , k im CORP. SUITE 2 MIRAMAR EL 33025 m 9274 FMV> ! 939-7426 6 ASBESTOS TEST REPORT LAD NO. FRI /H 9 . DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB NO. FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS . LAB NO. FRIIHOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS :. NON FIBERS 01 YES /NO WHITE DRYWALL NONE - DETECTED 30% CELLULOSE 50% MINERALS S RES K SA Y €: 02 02 YES /NO LAYERS: 02 WHITE DRYWALL NONE- DETECTED 30% CELLULOSE 50% MINERALS 03 YES/YES WHITE POPC NONE - DETECTE 1% CELLULOSE 49% MINERALS 10% PAINT CEILING PAGE : 1 DATE : 10/21/11 LE ID : 0110499 lab Code: 102053 -0 SAMPLE NO.. KO -001. DATE OF ANALYSIS: 10/21/11 10 FIBER -GLASS 10% PAINT SAMPLE NO.: «) -002 DATE OF ANALYSIS: 10 /21 /11 10% FIBER-GLASS 10% PAINT SAMPLE NO.': KO-003 DATE. OF ANALYSIS: 10121/11 40% MINE LS zutttrzzzszczczaszavt===tmwrtztz=====tats statvatttttzttzttttetttOttlttttt t o ntal arporatios is solely responsible for analysis performed on sample c CPR Part 70 Subpart F App. 111/6000-93/11i. Measurement Uncertainty loforaatio ag the laboratory, Laboratory Reports will be kept for a period of three (31 year g €s are visually estimated. Point count performed at clients r est only.Eesults sly to item aaalyaed. This report should not be reproduced by client or anyone without written Dove Environmental Corporation. All samples will be stored for a period of l month. Our ous micros c «n and is o?LAP accredited, itor -file is non- bomogeneeua and results only VT ' RON E TA CO MAAR PARKWAY, .sum, 74. 3744274 fax,t ASBESTOS TEST RE CLIENT : AI'R MD ADDRESS: 7700 CONGRESS AVE 1119 BOGA RATO N FL 33487 PROJECT: 11300 N,E. 2ND AVE., M PROJECT #:12996 CONSULT; STEPHEN HAHESSY A 439-7426 PAGE : 2 DATE 10/21/11 I RES KOLASSA BLDG,SAMPLE ID : D110499 NVLAP Lab Code: 102053-0 LAB NO. FRI /HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. FRI/HOM DESCRIPTION' ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS 04 YES /ND LAYERS: 02 WHITE DRYWA'L. TAPE NONE-DETECTED 50% CELLULOSE 20% POLYSTYRENE-FOAM 05 YES /NO LAYERS: 03 WHITE DRYWALL NONE-DETECTED 30% CELLULOSE B0% MINERALS 06 YES /NO LAVER WHITE VINYL BASEBOARD NONE-DETECTED 60% CELLULOSE 10% MINERALS Dove gnviranoental Torpor client and aethod 40 CPR kart , available by contacting the Labors'-o. eectFeaically. Percentages ai relates only to ices analyzed, permisi.on from Dove govir laboratory uses various micron es reflect saople SAMPLE NO.: KO -004 DATE OF ANALYSIS: 10/21/11. 0Z MIN S SAMPLE NO.: KO-005 DATE OF ANALYSIS: 10/21/11 10% FIBER -GLASS 10I PAINT SAMPLE NO,: KO -006 : 02 DATE OF ANALYSIS: 10/21/11 aiysis 11 30% PAINT on sample content su t 6nettalety inlor year loor -Tile or a ed for a . on- botsgenei and results only e r path Ramlatb A * RY MANAGER DOVE ENVIRON:.-' NTAL CORP P4XW*M1J1 PARKWAY, SUITE 200 MIRAMAR a 3302$ T. (954) 374-9274 Fax: (954) 639-7428 ASBESTOS TEST R CLIENT : AIR MO ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 NE. 2NO AVE„ MI PROJECT #:12996 CONSULT: STEPHEN HAHESSY LAB NO. rumom DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. FRI/HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB NO. FRI/hOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS NON FIBERS PAGE :3 DATE : 10/21/11 SHORES KOLASSA BLDG:SAMPLE ID : 0110499 NVLAP Lab Code: 102053-0 07 YES/NO WHITE DRYWALL NONE - DETECTED LAYERS: 02 SAMPLE NO.: KO-007 DATE OF ANALYSIS: 10/21/11 45% CELLULOSE 5% FIBER-GLASS 40% MINERALS 10% PAINT 08 YES/NO LAYERS: 02 WHITE DRYWALL TAPE NONE-DETECTED 10% CELLULOSE 80% MINERALS 09 NO/NO LAYERS: 02 VINYL BASEBOARD MASTIC NONE -DETECTED 10% CELLULOSE 90% MINERALS SAMPLE NO.: KO-008 DATE OF ANALYSIS: 10/21/11 10% PAINT SAMPLE NO.: KO-009 DATE OF ANALYSIS: 10/21/11 ...7:Ca7X.ISXV=.417.27.3W:ZZCZIT=ZZC=Z:Z=ZrAMWSq=498WrxqX4CS4,43:ZL.Zir,Z=g..7,74Z.W.1=3,==X;ZMISMOMMIMaZ=X:ZZ==.7.3gZ42.74CS Dove Environmental Corporation is solely responsible for analysis performed sample content supplied by client afid method 40 CFI Part 163 Subpart F App. EPA/6OIR-931116. Ream 44. t Vficertainty information is 4 available by contacting the Laboratory. Laboratory Reports will be kept for a period of three (3) years eiettronically. Percentages are visually estimated. Point count performed at clients repeot onlY,Rmia reign only :o item analysed. This report should not be reproduced by client or anyone withott written ,lemizioa from Dove Environmental Corporation_ All a les will be stored for a period of 1 month, Our laboratory uses various microscopes and is NVLAP accredited:Floor-Tile is non-A 4,, and results only reflect s le contea, ,z...t.Ig&r.,.'''4.7.1..7.1,,,a-,;=;:zzz:zmr.zzism.7=nsymramzzarsamzcmsesszts===szsmrtma7lezvazzazzszsillaw!maszzcz;:nztm e/.2,4.14(4-d' -74„4.26 * ndranath Ramnath ABORATORY MANAGER DOVE ENVIRONMENTAL CO P. PURA An PARK211 SUM 200 M 33020 Q. (954) 3744274 Fax, (96 1 634 7 2 ASBESTOS TEST REPORT CLIENT AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N.F. . 2NO AVE., MIAMI SHORES KO SA BLDG.SAMPLE ID : DI 0499 PROJECT #:12996 CONSULT: STEPHEN HAHESSY PAGE DATE :4 : 10021/11 NVLAP Lab Code: 102053,0 LAB NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB NO. DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : LAB NO, FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : NO /YES t AVERS: 01 WHITE A/C CEMENT NONE - DETECTED 2% CELLULOSE 10% PAINT 11 YES /YES LAYERS: WHITE CEILING POPCORN NONE DETECTED 5% CELLULOSE 75% POLYSTYRENE-FOAM 10% PAINT 12 YES /YES WHITE DRYWALL NONE-DETECTED 30% CELLULOSE 50% MINERALS 1 e Sovironmutaai Corporation Z9 &Bile» :legit and method 49 CFR Part 763 Subpa able by o/ant* the 1abaratoory, Pere taps are visually l;y to item analyzed. Ibis report sh Dove Ravin: mental Corpora open aid is NT S PLE N.: KQ -010 DATE OF POLYMERS YSIS: 10/21/11 SAMPLE NO.: KO-011 01 DATE OF ANALYSIS: 10/21/11 YERS: 01 10 S SAMPLE NO K0 -012 DATE OF ANALYSIS: 10021/11 10% FIBER -GLASS 10% PAINT yst 1 a nd anath Ramnath ORATORY MANAGER DOVE EN . MENTAL CORP. tn. . . MAR PARKWAY, iW WE . 2 AWRAMAR . ) 37442:74 > (934) 939-7426 AS BESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOLA RATON FL 33487 PROJECT: 11300 N. E, 2N€3 AVE, R MI I SHCRFS KO PROJECT #:12996 CONSULT: STEPHEN HAHESSY LAB NO. : 13 FR.1 /HGM : YES /NO LAYERS: 02 DESCRIPTION : WHITE DRYWALL TAPE ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS : 70% CELLULOSE NON FIBERS : 20% MINERALS LAB NO. : 14 FRI /HON : NO /NO LAYERS: 02 DESCRIPTION : GREEN VINYL BASEBOARD MASTIC ASBESTOS TYPE: NONE - DETECTED OTHER FIBERS : 2 CELLULOSE NON FIBERS : 98X RESINS LAS NO. 15�______.,_�.m_.____,. FRI1HOM : YES/NO LAYERS DESCRIPTION : WHITE DRYWALL ASBESTOS TYPE: NONE - DETECTED OTHER FIBERS : 25% CELLULOSE NON FIBERS : 65% MINERALS 10 PAGE : 5 DATE : 10/21/11 SSA BLDG, SAMPLE 10 : D110499 NVLAP Lab Code: 102053 -0 SAMPLE NO.: KO -013 DATE OF ANALYSIS: 10/21/11 10% PAINT DATE OF S ,LE ..: KO -014 VS'S: 10/21/11 E NO.: K0-015 02 DATE OF ANALYSIS: 10/21/11 ms,=ZIT2=s.es==CAg.sMOCZZaZ ::27=2 'XEMICs 2,,Z Sg .4Mr.ssZ- ZZZZ,.2._.zZtVr=t57= PAIl sv Dove Snviroiuntal Corporation is solely responsible for analysis performed on sample client and method Se CPR Part 7i3 Subpart F App. 10A /62012- 33/1i6. Measurement hncernai by contacting ebe Laboratory. Laboratory Reports will be kept fora period Percentages are visually estitcd, Point count :performed at clients roe 1yred, This report should not be reproduced by client or anyone without Sri it n entai Corporation, All s ales will be stored for a period of nt', ges and is MAP accredited.Pboor -Tale is uo bomogenenus and r Ra jendrsnath Rarnnath TORY M DOVE ENV MIRA AR t AY, sum 200 N MAR Ft 33021 VA : ( 63 426 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON EL 33487 PROJECT; 11300 N.E. 2N0 AVE,, MIAMI SHORES PROJECT # :12996 CONSULT: STEPHEN HAHESSY LAB NO, FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : LAB NO, FR1/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB NO FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS , 15 NO /NO LAYERS: 02 WHITE DRYWALL TAPE NONE - DETECTED 1% CELLULOSE 50% MINERALS 17 NO /YES LAYERS: GREEN VINYL BASEBOARD MASTIC NONE - DETECTED 2% CELLULOSE 18% MINERALS PAGE 6 DATE : 10/21/11 A BLDG.SAMPLE ID : 0110499 NVLAP Lab Code: 102053 -0 49% PAINT SAMPLE NO.: K0 -017 DATE OF ANALYSIS: 10/21/11 80% RESINS 1,8 SAMPLE NO,: K0-01 NO /YES LAYERS: 01 DATE OF Kg p, YSIS: 10/2 SITE DRYWALL NONE - DETECTED 2% CELLULOSE 98% MINERALS __474ecgmaamccasaar z.7 .7; ; =; %7=4:4 aasiaa¢ozszmAm : rams =asgaaorw - =s =ass = = = = = =alas Dove Enviro a:atal Corporation is solely responsible for analysis performed on sample ca nt ri ppl ed by client sod method 40 CFR Part 163 Subpart ? App. BPA /600/R- 93fU6, Neanures:at Vacertaig available by contacting the Laboratory. Laboratory ports sill be kept for a period of three tai years electronically, Percentages are visually estimated, Point count performed at clients request ociy >S s it relates only to item analysed. This report should not be reproduced by client or moue without wri permision from Dove invite atul f urati u, All samples sill be stored for a period of t mouth. laboratory asses various .icrosc s din L&9 ac creditedJloor- 'Pile is non - homogeneous sad res reflect sample cont=ra. tl tan.• :y2,Z2.2' Our Iyst 1 jendranath Ramnath TORY MANAGER . . AR P RIM" SUM M.T TeL 954) 3M-9274 ( -. ASBESTOS TEST REPORT CLIENT : AIR MO ADDRESS: 7700 CONGRESS AVE 1119 :A RATON FL 33487 PROJECT: 11300 N,E. 2ND AVE., MIAl SSE ES KOLASSA PROJECT # :1299$ CONSULT: STEPHEN HAHESSY LAB NO., FRI /HOM DESCRIPTION : ASBESTOS TYPE: OCHER FIBERS NON FIBERS LAB No. FRI: /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS Dove iviraa client and :method 40'C avai? able by contacting tb electronically. Percentages elates only to item aaalya per? ision from Dve $nvi laboratory ages various reflect NO /YES LAYERS: 01 WHITE DRYWALL TAPE CIi! NONE - DETECTED 5% CELLULOSE 95% MINERALS 20 NO /YES LAYERS: 01 GREEN VINYL BASE ;'40 MASTIC NONE-DETECTED 2% CELLULOSE 8 MINERALS olely responsible for analysis per Subpart F App. EPA /605/1- 91/116. Measaremeet tort. Laboratory Reports will be kept for a are visually estimated. ?oiat count performed at clients r eport should not be re ced by clieat or anyone orporation. All samples %ill be stored for a period of ad is NVLAP accre ited.Ploor -Tice is nor -h enhona and r CORP . 33025 PAGE : 7 DATE : 10/21/11 DG,SAMPL€ ID : 0110499 NVLAP Lab Code: 102E+53. -0 SAMPLE NO, : KDQ 019 DATE OF ANALYSTS: 11/21/1.1 SAMPLE NO.; K m020 DATE OF ANALYSIS: 10/21/11 endranath Ramnath ti T ER DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Pi 33025 Tel(954-374-9274) Fax(954-639-7429) PrmletstMaimiraina8f11910c-it Web Address': ezatjabs„m , Dove Client Name: Address TeL it/Fax * Date Lab ID: Total Samples Coflected Sam .* ....wat,:: 'an - n 7 : ttai ZOICP" .4k, u , ,. L4iil Zeik 1 0,4.-- 44'40 t'Kt) --4,:0 1 01 , , . CaiW,1: 2:24 k: is:z04- 4 i<,,, _. 2. 4,. .0-40, , trq 4,,0,(„4 , 4 q 644 1 t7 "0/4' ' CA'. t: Z.:=,; •;--4A. 11.''Pe Li.4,..,., 7,71 ..- .;,,,.;.:,. :.,,,y, ., .#1,,, Ac„,,,,,,e4 0,. r ,44.vi4 ,-; 1144.416."‘- t'' "Yl:' -ZiZ - - <7..; ',' ,2 ,,,- 0 i„... ''' iti,"ave . , , fr4 .„„:!0.,,Z t:11140A to- 7 2 ,-4-1 l'''' '-'111",k4 A1' i4-44 2 . ,,,,.., w '',.- , ti4-1,-1 4,,, , ,m,„ wIt.. .iviiit -' ( Sampler's Name: Sampler's Signature: Received at Lab by Condition of sample(s) receiv Sample login by: Sample login date: Project*: Date Collected: 4 Di 4?P', Turn Around (hrs): Date Received: Comment: other. Dove Client Name: Address Tel. # /Fax # DOVE ENV!RONM ENTA LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Fi 33025 Mt(954 -374 -9274) Fax(954- 639.7429) Web Address: :adi gas OE CUSTODY � SULK AS OS Date Lab ID: Total Sampl Colla Sampler's Name; Sampler's Signature: Received at Lab by Condition of sample(s) receiv Sample login by Sample login (late: Date Collected: Turn Around (hrs) Date Received: Comment: other ,�. DOVE V T CO MIRAMAR AKA ZOO Ye!, 378$1276 4:.954) 3 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON Fi. 33487 PROJECT: 11300'N.E. 2ND AVE., MIAMI SHORES. BED C.h BLDG. (PROJECT #12996) CONSULT: STEPHEN HAHESSY LAB NO. FR!JHOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . LAD NO. FRI 1HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON IIBERS LAB NO. FRI /NOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS NON FIBERS 33025 PAGE : 1. : 1/21/11 0500 DATE N SAMPLE ID NVLAP Lab Coe: 102053 -0 01 YES /NO LAYERS: 02 WHITE DRYWALL. NONE- DETECTED 20% CELLULOSE 65% MINERALS 02 YES/NO LAVERS: 02 WHITE DRYWALL TAPE NONE-DETECTED 70% CELLULOSE. POLYSTYRENE- -FOAM 03 NO/YES LAVE' MITE VINYL MASTIC NONE- DETECTED 2% CELLULOSE 8% PAINT . ,.. mma ..;.w..anZ.2csoaas amaliMe. Cove Snviroamental Corporation is solely responsible for analysis perfo d method 40 CFA Part 763 Subpart F App. 1411/60 0/R-91/116. Meeam available by contacting the Laboratory. Laboratory Reports will be ke elect:mica11y. Percentages are visually estimated. Point count periort relates only to item analysed. This report should rot be reproduced by c permision from Dove Invironmental Corporation. All samples mill be .stored laboratory uses various microscopes and is NPLA¢ a ccreditad.Floor -Tile is non- reflect sample content. S �PLE NO..: 8 -001 DATE OF ANALYSIS: 10/21/11 5% FIBER -GLASS 10% PAINT S LE NO,: B -002 DATE OF ANALYSIS: 101.21/11 E 'S ALE NO.: 8-003 DATE OF ANALYSIS: 10/21/11 90% PO L ERS on sample content supplied by Uncertainty information is period of three 4`3) years ants request oniy,Uesutts anyone without written iod of 1 month., Our and results only :1",:sae_ =t2= X=MT,= = Ra jendranat;h R LA$T Y DOVE ENS 910 MR AR PARKWAY, :P;_ 33025 Tel (9 34) 374-9274 F ( 539-7429 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N,E. 2P40 AVE. MIAMI S ES, B CABA BLDG. (PROJECT #12996) CONSULT: STEPHEN HAHESSY PAGE DATE SAMPLE :2 : 10/21/11 0110500 NVLAP Lab Code: 102053-0 LAB t , FRI /HOM : DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. SRI /H€I DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . LAB NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE; OTHER FIBERS ; NON FIBERS Cove Invironmen client and meth available by coota electronically. Peree relates only to item permisioo fry :Uove laboratory uses various mic reflect sample c€sntett. 04 YES /NO LAYERS: 02 WHITE DRYWALL NONE DETECTED 40% CELLULOSE 40 MINERAALS 05 YES /NO LAYERS: 02 WHITE DRYWALL TAPE NONE-DETECTED BO% CELLULOSE 20% MINERALS 06 NO /NO LAYERS: 02 CRAY VINYL MASTIC NONE -D TECYED 1% CELLULOSE 19% RESINS SAMPLE NO,: 8004 DATE OF ANALYSIS: 10/21/11 10% FIBER - GLASS 10% PAINT SAMPLE NO.: B -005 DATE OF ANALYSIS; 10 /21/11 DATE OF 80 POLYMERS B- 06 5: 10/21/11 m.o.w.w+.-w. .ASVV>R$ *.'F.°2M&°8e .$a;&'wrob%21.4 .^tzz=$C.°5 =g ZAm °+'°:VV V=a WW.44444C 7.=w sgZ4M-a&4.7.AS lely responsible for analysis performed OA sample content supplied by t F App. EPA /69O/Rw91/116. Measurement Uncertainty information is Laboratory Reports will be kept for a period of three 13) year ily estimated. Point count performed at clients request only.%esults report should not be reproduced by client or anyone without rite orporation, All samples will be stored tor a period of 1 montbe Our open and is NVLAP accredited.Floor -Tile is non- bonageneoas and results oozy a. r< a R rnnath T Y ER CORP. MIRAMAR PARKWAY, SIME 2 MIRAMAR 3302 as ) s Tara ( 4 ) 939-7426 ASBESTOS TEST REPOT CLIENT : AIR MD g DRESS: 7700 CONGRESS AVE 1119 BOLA RATON FL 33487 PROJECT: 11300 N.E. 2ND AVE,, MIAMI S E'. C; BLDG. (PROJECT #12995) CONSULT: STEPHEN HAHESSY LAB NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS . LAB NO. FRI /HUM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS . LAB NO, FRI /HOM DESCRIPTION ASBESTOS TYPE: 1HEat FIBERS NON FIBERS . 07 YES /NO WHITE DRYWALL. NONE- DETECTED 25% CELLULOSE 75? MINERALS YERS: 02 08 YES /NO LAYERS: 02 WHITE DRYWALL TAPE NONE-DETECTED 50% CELLULOSE CA MINERALS 09 NO /YES TAN VINYL MAS NONE - DETECTED 5% CELLULOSE 95% RESINS Cw*".rGor�C�St Ci%S4e3X1S�3o�'.w ma e- wG -^.�B aZ...::�4�w.� Dove Rsssironaental Corporation is solely d method 46 CFR Part 163 Subpar by contacting the Laboratory. icaly. Percentages are visually only to it analyzed. Tbis report perrisioe from Dove Enwironmestal Corpora laboratory uses various microscopes and is reflect as ;ple content. LAYERS: 01 IC ible EPA/6R0 Reports will be kept d, Fount rout performed et el sboald not be reproduced by cliere or amplee will be stored for a FLAP accredited.Floor -Tile is mon —hce es PAGE :3 DATE : 10/21/11 BENNIN SAMPLE ID : 0110500 NVLAP Lab Cede: 102053 -0 SAMPLE NO.: B -007 DATE OF ANALYSIS: 10/21/11 E NO.: B-008 DATE OF ALYSIS: 10/21/11 'AI NT PLE NO,: B -009. DATE Of ANALYSIS: 10/21/11 pplied by stiou is 3{ years ,Results itten Our only 8m2=C. 77,ZT2ZSCv "s -4;s zatee ssmz aa eB CBSS.xxaazaxaos=gramT.ZCZ=ZZZ *2 474C:24.3=0ammmam.C=MAZZCZO mamee .Z*ZG*Mr a Bran ll+ RCaf'Lh TORY MANAGER XWE RON, ENTRE CORP;. 200 - MA ; ',4„ 74-9274 639-742e ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 C F *ESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N.E. 2ND AVE., M AMI CABA BLDG. (PROJECT #12996 CONSULT: STEPHEN HAHESSY LAB NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . LA8 NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB NO, FRI/HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS PAGE : 4 DATE : 10/21/11 SHORES, BE INN SAMPLE I : 0110500 10 YES /NO LAYERS.: 02 WHITE DRYWALL NONE-DETECTED 25% CELLULOSE 65% MINERALS 11 YES /NO LAYERS: 02 WHITE DRYWALL TAPE NONE-DETECTED 5% CELLULOSE 95% MINERALS 12 NO /YES LAYS' TAN VINYL MASTIC NONE - DETECTED 5% CELLULOSE 95% RESINS NVLAP Lab Code: 102053-0 SAMPLE NO.: DATE OF ANALYSIS: 1,}2 10% FIBER -GLASS SAMPLE NO.: B011 DATE OF ANALYSIS: 10/21/11 SAMPLE .: B-012 01 DATE OF ANALYSIS: 10/21/11 Dove 3nvire este' Corporation is solely respoasiblo for analysis performed on s client and method 40 CFp Part 763 Subpart p App. Bp / b J ° l /116, Measure ent Vace to available by coutactiug the Laboratory. Laboratory Reports mill be kept for a period electronically, Pre4centaaes are visually est./rated, Point count perfo: t clients re relates only to it analyzed. This report should not be reproduced by pernisios from Dove 3nvircumental Corporation. All sP; a1 Its will be laboratory use various microscopes and is NVLAP aceredited.Floor -Tile reflect sample content. neat onl about of 1 years :®::aZZZIZa p ; peers ^.som a V.I=UX.,,..»,.1=rtsVSZam2 = === =t=4 MVZCOs SVZIM, 3t .t2r.t, W tr., =gym =tot IMO n th Raman T i MANAGER DO E ENVIRONMENTAL COR 12) MTRAMA0 *MKW V, surry 300 MIRAMAR FL 33020 Ted. (934) 314,42140290 (954) 6304420 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT; 11300 N.E. 2ND AVE.. MIAMI SHORES, 3ENN1N CABA BLDG. (PROJECT #12996) CONSULT: STEPHEN HAHESSY ' ........ LAB NO, : 13 FRI/HOM : YES/NO LAYERS: 02 DESCRIPTION : WHITE DRYWALL ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS : 30 CELLULOSE NON FIBERS : 60 MINERALS LAB NO. : 14 FRI/HOM : YES/NO LAYERS: 02 DESCRIPTION : WHITE DRYWALL TAPE ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS : 10% CELLULOSE NON FIBERS : 90 MINERALS LAB NO, : 15 FR1/HOM : NO/YES LAYERS: 01 DESCRIPTION : TAN VINYL MASTIC ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS : 5% CELLULOSE NON FIBERS : 15% MINERALS PAGE DATE SAMPLE ID :5 : 10/21/11 D110500 NVLAP Lab Code: 102053-U SAMPLE NO..: B-013 DATE OF YSIS: 10/21/13 10% PAINT SAMPLE NO.'. 8-014 DATE OF YSIS: 10/21/11 LE NO: 8-015 DATE OF ANALYSIS: 10/21/11 BO% RESINS ,,,,,4"........,:::::g%.7-ZZ.1:==a-X=4,==;ZaZZCZZZ;;ZZ3Z,747SCX:=EZVZ.Waa4CV41=aZ:47.14-44:ZCZ=.1===0=MMItZgOgt.14Itt:=VZ.T.TC4=.10= DOTE Boviropmental Csrporation is solely responsible for analysis perforsed au sample conten pplied by client and settled 40 C.t: Part 743 t,,art F App., SPA/ 6004.91/116„ Muscrement Uncertainty information is available by contacting tte Laboratory, Laboratory Aeneas will be kept for a period of three f3) Years icily. Percentages are visually estimated. Point count performed at clients request onlyiesults relates only to itts analyze& This report sbuid not be reproducl4 by client or anyone withon written pernition frft Dove Sovircumental Corporation. All samples will to stored for a period of I moth, Our laboratory uses various microscopes and is NVLAP accredited.Floar-Tile is non-hr,l, segue end results only reflect ea le aonteat_ zzr.m;;;;;;fax."-°=szr.44;s1suazma.gz==tlattowatottn4z.zsatta..mccvngstImuals#xamzvmmossucvavt4z:osamazzzactmsazra-anzgsz ArWyst 1 jendranath Raninath LABORATORY DOVE IRONMENTAL M& PARKWAY, SULTE 200 T (9 ) 3544274 Fay: (954) 654 7 ASBESTOS TEST REPORT CLIENT ; AIR M ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT; 11300 N.E. 2ND AVE .. , MIAMI SHORES, BENNIN CABA BLDG. (PROJECT #12996) CONSULT: STEPHEN HAHESSY LAB NO. FRI/HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS NON FIBERS . LAS NO. FRI/HOM DESCRIPTION ; ASBESTOS TYPE: OTHER FIBERS ; NON FIBERS B NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS R vi en 16 YES /NO LAYERS; 03 WHITE DRYWALL BONE - OETECTED 25% CELLULOSE 65% MINERALS 17 YES/NO LAYERS: 02 WHITE DRYWALL TAPE NONE DETECTED 10% CELLULOSE 90% MINERALS 18 NO /YES LAYERS: 01 WHITE VINYL MASTIC NONE-DETECTED 5% CELLULOSE 15% MINERALS 33025 PAGE :6 DATE 10 /21 /11 SAMPLE ID 0110500 NVLAP Lab Code: 10205360 SAMPLE NO, B -016 DATE OF ANALYSIS: 10 /21/11 1.0% PAINT E NO.; B -01,7 DATE ()E T:, .YSIS; 10/21/11 SAMPLE NO. B -018 DATE OF ANALYSIS: 10/21/11 RESINS performed by client or a y ae stored for a I,erted o -Tile ie non-b eeeo¢e and re Ra jendran th Rnnath LA TORY MANAGER DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Fl 33025 Te1(954- 374 -9274) Fax(954 -639 -7429) Webs Add.+ssa gov Tel. ##/Fax # Date Lab ID; Tel Sampl Sampler's Name: Sampler's Signature: Received at Lab by: Condition of sample(s) received: Sample login by: Sample login date: Date Collected: Turn Around (hrs): Date Received: Comment: other Dove Cllent Name: Address Telo # /Fax DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Fl 33025 T°el(954- 374 -9274) F(954 -639 -7429) E- ¢nail: °you Web Address: uLL Date : Lab ID; Total Samp Col Project Project Pr Sampler's Name: Date Collected: Sampler's Signature. Turn Around (tars): 8 Received at Lab by ' . Date Received: Condition of samples) r eivecl: Comment: Sample login by Sample login date: other pie * Description r� Resin... yR „fir•.¢ S'.q'�>'F .f;;. a°.«... Kd "" s / F ..� ..�.x..>....... 8 � s o...... ..... .......... � s m1� , is � n Project Project Pr Sampler's Name: Date Collected: Sampler's Signature. Turn Around (tars): 8 Received at Lab by ' . Date Received: Condition of samples) r eivecl: Comment: Sample login by Sample login date: other NtAMI•Y 4.81Aufiv• Project Narrie/Nurriber: Structure type: Ph,ysical asKR; , 4.,••••„ :,••• 0- 4, f $uspect contan Project Address: (if:4ft, Assessment areas: IA:A(4-. (Ai (°21 (2' 44:4;'A. inspector Name: Potential ACM: Potential ACM: Potential ACM: 14„0.44t, „... 4.4. ifr Potential ACikli: 04.4. JT Pi ntial ACM: 13.i;K' et-W Potential ACM: 6-Jte Potential ACM: Potential ACM: 7 Location: '0,40 10 Location: ?E. Lotationz Location:. k00,614 Lootion: i r24 Location: Location:. tolii(e Location: 04;1 2.2:Z Avenue. 0 F Friable: 4 kaoi, CO Potential disturbante: Friable; lArea :r; condition: (( Potential disturbance:1'i Friable: Are:i Condition:r Potential disturbance: Friable: 'kf Area: Condition; t",, Potential disturbanter. Friable: Area: 46 Condition: 6Potential disturbance: Friable:A Area: 4:6:inditIon,,---Potential disturbance: Friable: Area: Condition: :7 Potential disturbance: t, Friable: 'id Area: '-Condition: PotentiaI disturbance: Legend: Y: Yes G: Good H: High N: No F: Fair M: Moderate Et: Bad L: Low 56 124 alfroutcorn • ItAtj:1 iftkiihktOn-4$ Project r: 7-1 Structirra Type: t');:,•- nna , Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: 7 s „al I 411t-i 11„. P r o j e c t Address: L A‘, 00V ';',4'1,.k,<; Date: Asessment areas: 1,41, » Inspector Name: LocatIon: 0441 Zn, fixation: Friable: Area: = °.;-Condition: 4 Potential disturbance: Friable: ,k Area .Conditkin: (Jkaeritial disturbance: Location: 444f Friable: ,,\Area:1,%Corldition4::: Potential disturbance: /,',1 Location: 1 2:2k Location: 2:2t Loction: 941,4,1 Location: k-ow Location: ewe, Raton, ease 1 of Friable: Area: Condition: Potential disturbance: Friable: Area: Condition: Potential disturbance: Friable:1. Area: .„,Condition: , potential dishrbance: Friable: ,1 Area: Condition Potential disturbance; Friable: Area: Condition: 4,Potential disturbance: Legend: Y: Yes G; Good It High N: No F; fair M: Moderat 8: Bad L: Low emeNt,.. AttOW Qfi OtItritV 'tiV.4164. tfe Project Name/Number Project Address: 14 lec 4:044 044 Structure l'Ype. Pc:14ti - otik 1,4 :1 Assessment area: Lgts Potential ACM: , Potential ACM: ;',"6-1.,/,/,14,, Potential ACM; Potential ACM: Potential ACM: Potential ACM: MLA ;4M- Potential ACFA: Potential ACM; -7 -44 Location. Location: Lcation: Date: inspector Name: Friable: a: 1.-t Condition: :--Potential disturbance:, „, Friable: Area:; Conditiom/ Potential disturbance: Friable:1, Area: Condition:y, Potential disturbance: Location: =',4A,:,;, f. 1;3 Z Friable: Area:" iCondition: 'Potential disturbance: Location Friable Area : ial disturbance: Location: Friable::: Area. ntlition: „, Pot urbance;', Location: Location: s Avenue, Sue UM Friable: Area: .-Coredition: 'Potential disturbance: Friable; Area: Condition: Potential disturbance,. Y: Yes G: Good ft: Nigh N; No F; Fair K. .-t L. Low te ntAl..11P)1 54R A ROMMI tIMP:C,k4f,Nf Project Name/Nurnbar: Structure Type: `,;,)?• j» Project AddreSs: Assessment areas: „t fit Potential ACM: Potential ACM: Potential ACM: Potential ACM: py,„ Potential ACM: LIA(4, ‘ILK Potential ACM: Potential ACM: Potential ACM: I *.. Location. ht. Location: Location: i1 3 Friable: Area: Condition:K.- Potential disturbance: t Location: (,kis Friable:0 Area:,'; Condltion:(-,- Potential disturbance: Location: *A..,iti‘„1 7 34' e;--. w able: Area lt Condition: 4'Potential disturbance: L.., Location: Frlable;i Area: Condltionxi:- Potential distLwbance: Location: L FriableV Area:4Coridition: Potential disturbance: L. Nate: Inspector Name: Friable:; Area:,,,,Conditionzr Potential disturbance: Friable: Area:i Condition; r- Potential disturbance: Area:' Cond ition: Potential disturbance: Avenue, Ste „ FL a Legend; V: Yes 6: H: HO PI: No P. Fair M: Moderate 8: Bad L; Low 61 tifMsrins tOP ;.'1141 Project Name/Number: Structure Type: ci Potential ACM: is,s A Potential ACM: cqs Potential ACK Potential ACM: Project ess: Assessment areas: .14t t 14 wiQ'ADate: iiispector Namm Location: oti. Friable:A Area. Coriditiorti," Potential disturbance: L„,, Location: ",'''kssl L Friables1 Area: Condition::'Poteritial disturbance; Location: .osit w Friable:A Are Cwdition Ptenta distarbance:L Location; s-c.l." FciableA Area.:17.Conditiom ...sPotential disturbance: 7 Potential ACM: location: Potential ACM: Loction: Friable:A Area;.? Condition Potential disturbance: Friabie Area: f>, Condition: • '...-Poteritial disturbance: c, Potential ACM: y )4.4 location: Friable:0 Area:&; Condition: '0-Potential disturbance: Potential ACM: P vi4k, location: Friable, Area Caridition: Potential disturbance: • I: ess Avenue Su ° L Pageldi Legend: Y: Yes G: Good H; High N: No F: Fair M: Moderate 6: Bad L; Low ) 241 Proiect Marne Number re T Potential Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Address: Assessment areas: location: Location: Location: Location; Location: Location: Location: Laotian: F : _' Area, Friable:0 Area: e. >pectQr Name: otentiai disturbanc disturbance: Friable: Area: Condition: Potentiat disturbance: Friable: Area: Condition: Potential disturbance: Friable: Area: Condition: Potential disturbance: Friable: Area: Condition: k dal disturbance: Friable: Area: Condition: Po al disturbance: Friable: Area: Condition: Potential disturbance: Legend: Y: Yes 6: N: No F: Fair } 2 ate N W T ! Avenue. « t M:121e, Florida i3111 This Certify that R. FL ully comcplet`ed. an Engle 25-Apr-1 1 abtsva hag fag t �t reqtarementa of 326 1AC #!C ) . " no-o041020C14-90041272. 1� xantes F Stump r tt Amass= 900 Northwest FIt h Ave.„ Fort Lauderdale, 33. 04127/11 Expire STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROF SI t1AL E TION ASBESTOS LICENSING UNIT 1940 NORTH MONR E STREET TALLAHASSEE FL 3239, SCOTT A RUSSELL 7700 CONGRESS AVE S' E 111! BGCA RATON FL 334 87 48$ 0295681 ZATION rk € RE &02 /9,w 2€ 11 , 2 55 1, 42��,,� The ASBESTOS Sl SS ORGANIZAT. Named below IS LI SEA Under the provisions of Chapter .. FE. Expiration date: NOV 3O 2011 IRMO SCOTT A RUSSELL 7700 0 CONGR SS AVE S CA RATON SCOTT, R rAs AYASi :W IRED`EYLAW CHABLI ER_ AR