CC-12-43 (2)F
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 176532
Permit Number: CC -1 -12-43
Inspection Date: July 30, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Browne Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: BELFOR USA GROUP INC
Permit Type: Commercial Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360010160 -14
Phone: (954)275 -1977
Building Department Comments
REMOVAL AND REPLACE DRYWEALL FRAMING
INSULATION
Passe
7
Inspector Comments
See special inspector report NB
(I...--
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)76249
a;
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 16, 2012
Norman Bruhn
Building Official /Director
Miami Shores Village
10050 NE Second Avenue
Miami Shores, FL 33138 -2382
RE: Barry University
Browne Hall Remediation Wall Repairs in Rooms #9 and #10
rb Iz -S`3
Dear Mr. Bruhn:
We offer the following as record of the Framing, Insulation and Screw Inspection we performed at
Browne Hall in Rooms #9 and #10 on Saturday morning, January 14, 2012 and Sunday moming and
afternoon, January 15, 2012.
Framing, Insulation and Screw Inspections in these rooms were found to be in compliance.
Please feel free to contact us should you have any questions or concems with the above.
Respectfully,
Manue Synalovski, AIA, LEED AP
Managing Partner->-
FL Lic. #11,628
MANUEL SYNALOVSKI ASSOCIATES, LLC
architecture • interior design • planning
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.
k2ECEIVED
JAN 1 Q 012
BY. .
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
Tenant/Lessee Name
Email
2. --4,3
Zip 33138
Phone #
Job Address (where the work is being done) ®/ `/l Nf \ta.IFY ib W J `V E
City Miami Shores Villa a County Miami -Dade
FOLIO / PARCEL # 11- 2136- 000 -0050
Is Building Historically Designated YES
Zip
Contractor's Company Name 13-aft)
NO
Flood Zone
Phone # 9311 - ,.i9 G - Kr? el
Contractor's Address / 57.-c, S • 1?o a•-•044.-/../6 tD .
City Dcer- 0c..(J 6egtcn... State re- Zip ; 3 qyt
Qualifier Name 5 i , .a yK.,r Phone # 'ts y • J-94 • 'Y9
State Certificate or Registration No. C-6 G /$ / 79'!$ Certificate of Competency No.
Contact Phone
cisef • Ill. • F-I FT
E -mail 54.14 • .v, o ri. 4S e . ,6`/.'- . CO -
Architect/Engineer's Name (if applicable) 14ev-o., e4- e...a ,q,v 11c Phone # 9 S'Y - s/. 9 Loa
Value of Work For this Permit $ di( 2 DO Square / Linear Footage Of Work: 3 Co O
Type of Work: ['Addition ['Alteration DNew [21.. Repair/Replace ❑ Demolition
Describe Work: bee G�'T'4�s chef sc.., e- Y
itwaU�� Atli b / %' �i /PO I ,','1v!v' . �i-sl� o;6-
Submittal Fee
es **
Permit Fee $
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ CO /CC $
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Technology Fee $
Bond $
Structural Review. $ Total Fee Now Due $
See Reverse side -)
Bdnding ompany'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 appr; 'd and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 0
Contractor
The foregoin instrument was acknowledged before me this
day of3 is , 20 12,, by 9RAgE a (idioms day o
who is personally known to me or who has produced wh pers
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expire
APPROVED BY
2 , 20 /, e ,i
na y own to • s or who has produced
as i. entification and who did take an oath.
NOTARY PUBLIC:
Sign:
Plans Examiner
Engineer
`Revised 07 /10 /07XRevised 06/10/2009)
My Commis
Nam
s:Joseph V Miller Jr
My Comnlfiei0n EE071466
0 1,p Expires 04004015
Zoning
Clerk checked
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON TIM JOB SIIE AT TIME OF FIST INSPECTION
PERMIT NO. i 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 Notts of Commencement.
111111111111111111111111111111111111111111111
CFN 2012800234 -63
OR Bit 2745E Ps 4578; (1ps)
RECORDED 01/11/2012 15 :47:334
HARVEY RUVIN, CLERK OF COURT
MIAMI —DARE •COUNTY'. FLORIDA
LAST PAGE
1. Legal description of property and street/address: gy'Czy LA, N tU S'(� j
11300 4.k zwyyt Av z i IAM t Kla ;k-is
2. Description of improvement: l3P R (Lk( u N I u f t t P\✓ -- %VS' -- WAIL WI A r t. ON
3.Owner(s) name and address: RA(?J J` UN i j f t 1(300 )4E t A vG
MiAMA S:Norti• r L -3.31
•
interest ih;property:
Name and address of fee simple titleholder:
4. Contractor's name and'.addres,
/5P40 51'c;7W
ate-434/-1. E �'� 4 ej t4 G 3 .3 Vq..2
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 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 otice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is ,ie✓
Signature of 0
ner
Print Owner's Name W 6 010‘034/05
JAN Prepared by Jets*
Q b
Sworn to and subscribed before me this .day of 3ZIN U�Y , 2017'.
v 1
Notary Public tai,d g a laai-
, 0
rA
Print Notary's Name ,1.. r
My commission ex, r!° ��I'rs )r( !I
129.61 -52 PAGE4 8/02 - MY CO ,i . TON.#
j EXPIRES: Ncvcmba' 12,2014
Y PLN t yDLoogMo °
Address:
FLORIDA, COUNTY OF DAM
tai lion rc� aR low copy of tin
origin ' 1 in W Z day of
WITN -. hand and 8 , *:. See NARY % f 4 /o [nit and County Courts
44/17,. .f/ row- .._D.C.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 168623 Permit Number: ELC -1 -12-44
Scheduled Inspection Date: January 24, 2012
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Browne Hall
Miami Shores, FL 33138 -0000
Project BARRY UNIVERSITY
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -14
Contractor: ELECTROCOM INC Phone: (954)632 -1091
Building Department Comments
RE- ATTACH OUTLETS IN DRYWALL REMOVAL AREA
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
January 23, 2012
For Inspections please call: (305)762 -4949
Page 16 of 26
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
RECEIVED
JAN 1 I ZO1
BY:
Permit No.
ELJ2 —till
Master Permit No. l_. _1 12 -- 45
Permit Type: ELECTRICAL
Owner's Address Name (Fee Sr im,ple T: itleh (oi 111 d e,x r )
f f iZA
(I .
art/ W ' Q Phone #
11300 i i
CityAl kA
State i4rL Zip 33I
Tenant/Lessee Name
Email
Phone #
Job Address (where the work is being done) igArticy V4, / ,'.i 1144" r*.+,./e
City Miami Shores Village
FOLIO / PARCEL #
County Miami -Dade Zip
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City iellifp State �- L
Qualifier Name _ it ' e-` Phone # 5 ? 2_ )e, 5 /
State Certificate or Registration No , ' ,6/ Certificate of Competency No. 1,,, 4,
Contact Phone 7 6 /'5,/ E -mail � �.. -
NO
Phone #
/ ,19 M./ CI r
Flood Zone
9_57(
Zip )
Architect/Engineer's Name (if applicable) Mere l/ //4 #rain.,,; %� Phone # 91V — #fr / . 9 Ex, p
Value of Work For this Permit $ 5f ,7J Square / Linear Footage Of Work: $ a 0
Type of Work: ['Addition ['Alteration ❑New k Repair/Replace
❑Demolition
Describe Work: -- at ck a d lie 7 eir7 .v.r /l e"t "a o ✓w f re..R
* * *, * * * * *, * *,r *, , * * * *, * * * *, * ** * * *, ,r *** Fees * * * *,r * * * * * * * * * * * * * * * *, *** * * * * * * * *** * * * ****,r*
Submittal Fee $ 4 vWs° Permit Fee $ / 6 °
CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $
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 re- inspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
1(4`
day of Ju4M,y , 20 17, , by(iNIGA 7-®TO
Contractor
The foregoing instrument was acknowledged before me this / G)
day o 2O/ by i .2 •,
who is personall y known to me or who has produced w i . is perso I .11 y .
As identification and who did take an oath. as identification and who did take an oath.
to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
NOTARY PUBLIC:
My Commission E
* * * * * * * * * * * * * * * * * * * **
APPROVED BY
Print:
My Commissio
Joseph V Miller Jr
,11 My Commiscon 68071488
'10,p,ov Expires 0004015
******************************************************* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
// r'61" "Pl s 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 •
January 9, 2012
Norman Bruhn
Building Official /Director
Miami Shores Village
10050 NE Second Avenue
Miami Shores, FL 33138 -2382
RE: Barry University
Browne Hall Remediation Wall Repairs in Rooms #9 and #10
54.961.6806 • Facsimile 954.961.6807
JE2MiT #:
Miarni Shores Village
SUBJECT i 0 CC:P,I°I IA ^ICE Vvl r;-I d L 'L
STATE AND C LIN f L! q ^;�)
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 Browne Hall. Work is required to be
accomplished as quickly as possible.
The following wall types are to be utilized for the repair work.
Non -rated Interior Wall
5/8" GWB both sides (with batt insulation, if in existing wall) on 3 5/8" 25 gauge metal studs at 16"
o.c. from slab to structure above.
1 -hour rated Interior Wall (Tenant Separation Wall)
5/8" Type 'X' GWB both sides (with batt insulation, if in existing wall) on 3 5/8" 25 gauge metal studs
at 16" o.c. from slab to structure above.
Exterior Wall
5/8" Type `X' GWB interior side with rigid insulation on 1 x 3 wood furring strips at 16" o.c. on 8"
CMU walls.
Please feel free to contact us should you have any questions or concerns with the above.
Respectfully,
Manuel Synalovski, AIA, LEAD AP
Managing Partner
FL Lic. #11,628
MANUEL SYNALOVSKI ASSOCIATES, LLC
architecture • interior design. planning
0LOCA1ON PLAN
r►iiI I6i:!a_TAi!ifl
()UNIT "A" FLOOR PLAN(
oo• -vctJJ
{aROUNO FLOOR PEAK S 2ND FLOOR PLAN Q.,�4 .rr r -�QN
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MinffieuaL
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era Warn DS 44014sK.mc.a1:17.4ra. 100141aam2lm
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Browne Hall 9 &10 Scope
Removal instructions from Hygienist:
Room 10:
(1) Remove the drywall from the south and east walls. The area of removal of the south wall is
approximately nine linear feet and extends up from the floor approximately eight feet. The area of
removal of the east wall is approximately thirteen linear feet and extends up from the floor
approximately four feet. Additionally, remove the vinyl baseboards from all of the walls. Visually assess
the drywall behind the baseboards for mold growth. In the event that visible mold growth is observed,
remove the drywall extending one foot in all directions beyond the edge of the mold growth.
Room 9:
(1) Remove the drywall from the north and east walls. The area of removal of the north wall is
approximately nine linear feet and extends up from the floor approximately eight feet. The area of
removal of the east wall is approximately eight linear feet and extends up from the floor approximately
four feet. Additionally, remove the vinyl baseboards from all of the walls. Visually assess the drywall
behind the baseboards for mold growth. In the event that visible mold growth is observed, remove the
drywall extending one foot In all directions beyond the edge of the mold growth.
"Wellness Through Science"
�
.
•
.
Date: 1/5/12
t aert T3 r Property .Restoration
.i t 11 dress. ,Barry University, Mouxam Doss Hall
11300 NE 2' Avenue,:lvfami Shores; PL 331661
ot} A NI*LHIY MOP
Evaluation - Limited Site Evaluation with
Limited ted Sampling
On January 4", 2012 AirMD completed, at your request, a;iirY ited evaltialim >fort ;
ence of asbestos-containing building materials is in the above referenced
Samples of vis&le suspect Asbestos Containing Building Materials (AC:MP-were
to for analysis .by Polarized Light :Microscopy(PLM ). The purpose ofttis
survey was to identify any asbestos-containing mil-dais that will be disturbed.
a proposed reinediation in certain areas of Units 8 & 12. The reported areas :for
remediation include 600 total sq ft of drywall, linoleum flooring and popcorn ..ceiling
texture. The entire property was not inspected. Inspection was limited to area that
will be potentially disturbed during the proposed renovation.
SECT N i - SAMPLING STRATEGY:
material sampling was conducted-according to the following samp • plan:.
Surfacing Materials: Friable spacing materials, where encounutted, are
ed basil: on the recommendations found in the EPA "Pink Book
"Asbestos in Builds s Simplified Scheme for Friable Stuftcing Materials" (EPA
SO/S-85-0304 The nuixtbet of samples collected is 'based on total
square . footage of the homogenous area of the rnaterial and the material a es.
Thermal S y s t e m . I n s u l a t i o n (SI): If p r e s e n t , s a m p l e s are collected i n a rand,
r
mad manner from each homogeneous area of TSI not asstuned to be:.ACI
Samples collected from each homogeneous area of patched TSI. WWIier e cement
ciii.;1304f9r.pic,p(To Restoration Comet Nanmeqxscn
Pmiect Scter Bury U, cm ersity,11300 NE Znd Avenue, Maori Shores, FL 33161 Date: 1/5/12
?700 Co Avenue, Suite 1119, Boca Raton. FL 33487 (561)`245450 2454500 www.airmdeorn
Page 2.of5
Tt4TAR co
RAiTRY ER>t1R9
NT
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 A
Miscellaneous Materials: This includes materials such as acoustical ° ceiling tiles, .
or tiles and linoleum, wallboard, wire insulation, caulking. sealants, draperies; etc.
( si materials that do not fall into the first two categories). Suspect
miscellaneous materials will be sampled in such a manner as to deteitnine whether or
not they contain asbestos. The number of samples collected of a given miscellaneous
>alatecial will be left to the discretion of the inspector. Bulk samples were to
Dove . Environmental, Corp., in Ivfira hair, Florida. The Milk sample specimens
subjected to Polarized Light Microscopy analysis in conjunction with clispemion
staining as outlined in 40 CFR, Part 763, Subpart F of January 1387. 'Dove
tavinincitl,. Corp. is accredited for asbestos fiber analysis ; through susses
partte laation in die NIST National Voluntary Laboratory Accreditation Program
1'} meeting the requirements of 40 CFR, Part 763.87, Volume 5Z and
Nimtber 210.
ECTION ii - PROJECT SCOPE:
The above- referenced property is a multi story :multi unit dormitory 6
at 11300 NE 2' Avenue, ..Mimi Shores, FL 33161. The survey was limited to Unit s8
& 12 and no other areas were evaluated for suspect asbestos,containing mateial.
The.scope of this project was to sample and identify potential suspect materials.
Only visible and accessible areas of the facility were inspected. During tbedemolifton
process, materials hidden behind wall cavities or other enclosures may be =Covered
which may require fu her testing not included in this report.
Bulk ; specimens of suspect materials were collected and submitted for
is u g N
Polarized Light Microscopy in conjunction with dispersion sta ni as
outli i ixa 40 :CFR, Part 63, Subpart .F fated January 1987.. Analysis was conducted
by Dove E:iarontnental, Corp., in Miramar, .Florida, who is °accredited for asbestos
fiber analysis through successful participation in the National Voluntary I aborato y
Accreditation Progran (NVLAP) and meets the requirements of sedan. 2C6() of
'nit 11 _r of the !JSC Chapter IS, TSCA as stated in 40 CFR 763 dated, April 30,
T - suspect materials that were present are listed :below:
1) Conte
2) Glass
Client Bel fmr Property Restoration ContactNane; jaaon ltilcG ° e
Project Sisk By Utuvecsity, 11300 i 1E 2rd Avenue, Miami Shores, FL 33161 Danz 1/5/i2
7700 Congress Avenue, Suite 1119, Roca Raton, FL 33487 (561) 245 -4500 www.ainndconi
Page 3 ofS
Those suspect asbestos-containing materials that were present are listed below:
Wall Matetialg Interior wall materials consisted of a drywall and joint compound
system. Four samples of the drywall system were collected, no asbestos was detected
in the materals.
2 Matorialf: Interior ceiling materials consisted of a popcorn. texture Throe
samples of the popcorn texture were collected and no asbestos was detectedsin die
nuterials.
3 Itilmiletaoks Maretiak lvliscellaneous materials consisted of linoleum t1oongaid
mastic. Four samples of the linoleum flooring and mastic were collected and no
asbestos was detected in 'the rnauxials.
integdty of the dam was supported by die quality control duplicate sample
SECTION III - ASSESSMENTS OF ACM:
The above sampled materials, are defined by the EPA-NESHAF regulatioa as non .
asbesms containing materials, therefore no assessment of the material is required.
• secnoN IY - CLOSING REMARKS
FederalLsw Section 61.145(c) of the Asbestos NESRAP requires thatthe local:EPA
representatives office be notified in writing at least 10 working days prior to the
onset of the project The State Asbestos Cooirlinatoes Office also *Titres a copy Of
the notification (address to State Asbestos Coordinator, State of Florida
° Enrorintal Regulation, 2600 Blair Stone Road, Tallahassee, Fonda,
Limitations: AirMD was retained to perform a limited assessment in the b for
Asbestos contami% materials related to the proposed tel1Gratittrt attitS Othy. Limited
destructive testing is performed during a survey and the search is hased on the
•banked arm 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
ilastrutrientation limitations, The purpose of this inspection was to identify asbestos-
containing matedals that may requite special treatment prior to proceeding widi the
planned operation only. Because this inspection was conducted pdor to*
planned renovation operatkm„ only those suspect asbestos-containintmatedals
expected to be disturbed as a resuk of the renovation Adis/kits were sampled and
• mat Bator Property Restoration Contact Naracisson wortrichey
Proiest Sim Barry University, 11300 NE 20d Avenue, Miami Shores, F1. 33161 Deng 1/5/12
7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 2454500 vovvw.airaul.tom
Page 4of
laboratory ffrr asbestos content. This inspectit :t not
1 r}f the ashestos-containing materials pxcent :' ".'
S as noted to the report are r =A, -:c a on die •
tcc with no warranty or guarantee iniphcd .441r
mtcrprcwtions or actions based on this report by others.
condusiorts as part of our assessment are ouly:...
of the Air hip visit and do not represent conditiOns
report is rnu ndcd for your toe and your assigned rep
t shall not be used or relied upon by other parties without prior wrfttean:
rition of AirAfD.
Pe
bar 150569
Pep S of .5
14,1t:t) Old/ ifisi tAr 40440,44,t
con
11112. 114..4
y 4061
Project Flame uMber: .M 0 Hall
v„„It, tilta 1,104%," I
Structure Ave: 5ve,(1. be:it Xvii, 4
PYoject Address: ti ivt 1,14 A"- 41°4; if
Assessment areas: s
up I le U.
Potential ACM: of ea- ea •
Potential ACM: p y
Potential ACM: tIL toof
Potential ACM: hut,. A tal gutm Pio
Potential ACM: Oil L'"4 I (
Potential ACM: 9 111441 I
Potential ACM: '1 0 f "
Potential ACM: e ,(I(
fofeht.
Location: 1-1. 1-1 ail.%
Location: i pool 14,4*
cee3e4-
Location: L9 g
fkr‘l 6
I.. m
gm k
Location:
Location:
Lolation:
Location:
Location: it" E
Date ‚
Inspector Name: 3
Priable:4/Area:14oCnditipn:fPotential disturbance: #
Friable/lArea:C°401 mdition: Potential disturbance: )--*/
FriableiV Area: .3'7C).:ndition: ".; • tential disturbance: /1
Friable: AlArea:gandition:ePotentlal disturbance: 4i
FriabArea:ndttlon:t5 Potential disturbance: j/
RiableXArea: 7 Condition:6 Potential diftturbance: 7/
Friable: Area. Condition:6 Potential disturbance: tl
Friable: Area nditkur6 Potential distuitance:n
Legend: Y: Yes G: Good H: HIgb
14 No F: Fair M: Moderate
B: Bad L: Low
Bata ItatoN ft 13487 (5610
DOVE ENVMONMENTAL
IRAMAR PARKWAY, sum 200 :MIA .- AR
Tel. ( ) 37 274 Fax (954) 9-7
ASBESTOS TEST • REPORT
CLIENT : AIR lei
ADDRESS: 7700 CON ESS AVE 1119
TON FL 3 348
PROJECT: M.D. R
HAALL BARRY UNIVERSITY
11300 NE 2ND AVE MIAMI FL
CONSULT: CAIG;LUBE
PAGE
DATE
SAMPLE ID
NVLAP Lab Cam: I
:1
FRIII
DESCRIPTION :
ASBESTOS TYPE:
OTHER FIBERS :
NON FIBERS
01
NO /NO LAYERS.: 02
LINOLEUM FLOOR WITH MASTIC
NONE- DETECTED
2% CELLULOSE
53Z MINERALS
I RESINS
: 02
YES /'J LAYERS: 03
ON DRYWALL WITH TAPE
NONE-DETECTED
OTHER FIBERS -:2€% CELLULOSE
NON FIBERS ::° 0Z MINERALS
SAMPLE O!
DATE OF ANALYSIS: 01 051
35t POLYMERS
SAWLE N1.: 002
DATE OF ANALYSIS: 01 /05/
1'0% PAINT
1-A8 NO. : 03 S IPLE NO.; 003_
FRI /H04 : YES /NO , LAYERS: 03 DATE OF ANALYSIS- 01/05/ 2
PTI . DRYWALL WITH TAPE
NONE- DETECTED
20Z CELLULOSE
: 70% MINERALS 10% PAINT
4�C� smaass .maz.msassssssmmassmsosaia ma= a+ �sasanasa� .sassmmasasasanansss►s'
Dove Eoxiroaneatal Corporation is solely resgonaible for analysis perforated on sea Ie content
cheat . and method 40 CFR Part 763 Subpart f App 171/600 /R- 93/116. Measurement Uncertainty
available by .contacting the Laboratory. Laboratory !sports will be
kept for a period of .three .{l)
electronically. Percentages are visually estimated. Point count performed at clients request only;Resilte
relates only to it analyzed. This report should not be reproduced by client or aupone mithout aritten
perei ®ion from Dove Environnsntal Corporation. hil samples till be stored for a period of 1 south. .Oar
laboratory uses various microscopes and is NSW accreditedjloor =Tile is non-ha
reflect lamp!e content. ogeaaona d
and resifts
sisaasssasssas saamssssaaasaaassassssa its aaa :s munesssaantowssaa sssarsaama
w 4T�..w•wv.:�.r_•.'.'wVyr.wrts.w it �wwM. �'Yi��.s.ww�
Raendranatil
Y
DOVE ENVIRONMENTAL CORP.
!WIRAMAR PARKWAY, SUITE 200 PURAMAR FL 33025
Tel, (954) 3/4-9274 Pax: (954) 539-7425
ASBESTOS TEST REPORT
CLIENT : AIR MO '
ADDRESS: 7700. CONGRESS,AVE 1119
BOCA RATON FL 33487
PROJECT: M.D. HALL BARRY UNIVERSITY
11300 NE 2ND AVE MIAMI FL
CONSULT: CRAIG L E
LAB. NO.
FRIIHOM
DESCRIPTION
ASBESTOS TYPE:
OTHER FIBERS
NON FIBERS :
•
....
- LAS NO,
FRI/HC/4
cecRIPTION :
ASBESTOS TYPE:
OTHER FIBERS
NON FIBERS
.... .... .
LAB NO.
FR I /MOM :
DESCRIPTION :
ASBESTOS TYPE:
OTHER FIBERS
NON FIBERS
YES/YES LAYERS: 01
POPCORN - WHITE
NONE-DETECTED
5% CELLULOSE
65% MINERALS
20% POLYSTYRENE-FOAM
PAGE
DATE :
SAMPLE ID :
NVLAP Lab Code: 132053-0
DATE OF ANALYSIg..: 0
10% PAINT
. • . .., .... .........._ ........ .......... ............. _____.....,-....._..7.... ,...,..............
05 SAMPLE NO.:
YEUYES LAYERS: 01 DATE OF ANAL.
POPCORN - KM
NONE.-DETECTED.
5Z CELLULOSE
65%.- MINERALS 10% PAINT
20%• POLYSTYRENE-FON4
...... .......... ....
06
YES/YES LAYERS: 01
POPCORN - WHITE
NONE-DETECTED
5% CELLULOSE
55% MINERALS
20% POLYSTYRENE-FOAM
.............
S4MPLE NO. : 006
DATE OF ANALYSIS: 01/05/12
10% PAINT
.p.over,
Dttre twitaampte, •Corporation is spiel.), responsible for auslysit performed Oa loge mutt: totted by
clieurod Method 40 CYR Part 763 Subpart F kw. RA/600/1-93/111. Neasurfvelit Uncertainty info:LOU is
available by contsteting. the Laboratory. Labarstary Reports vill be kept tor a period of three 111 part
eieetionically. Percentages are visually estimated. Point count performed at clients request. salyIesuits
.relates only to item analyzed. This report should not be reproduced by elicit or moue without 'vritten .
penis* from Dave Saviraruseutel Corporation. All samples vill be stored for.a period 0 1 Loth, Og
laboratory uses various: microscopes and is PUP accredited.FleovTile is noa-boetoguou aud molts only
reflect tae cOetent.
amitilisisMasursmaresits ea taw accstst a or spa gasser vats azzsa asses sanstar riassist 34-$4 itaximnasulaWrzzalnigtX1M51141:0"*Vtinrit
Analyst
RaiendPanatti .Ramtiath
LABORATORY MANAGER
CLIENT
ADDRESS:
PROJECT:
CONSULT:
DOVE ENVMONMENTAL C
io MIRAMAR PlaRRWAY, SUITE 200 MIRAMAR
(954) 374-9274 fax: (904) 600-7426
ASBESTOS TEST REPORT
AIR MD
7700 CONGRESS AVE 1119
BOCA RATON FL 33487
M.D. HALL BARRY UNIVERSITY
11300 NE 2ND AVE MIAMI FL
CRAIG LOBE
LAB ND.
FRIIHOg
DESCRIPTION :
ASBESTOS TYPE:
OTHER FIBERS :
WIN FIBERS :
07
NO/NO
LINOLEUM FLOOR
NONE-DETECTED
2 CELLULOSE
58% MINERALS
10% RESINS
Y : 02
PAGE : 3
DATE : 01/05/12
SAMPLE ID : 0201
NVLAP Led Code: 102053-0
',*
DATE S; 01/05/12
30% POLYMERS
: 08
: NO/NO LAYERS: 02
P ON : EUM FLOOR
TYPE: NONE-DETECTED
: 2% CELLULOSE
: 58% MINERALS
10% RESINS
DATE OF ANAL IS: 05112
38* POLYMERS
---- ----------------------- _ ........... -
LAB A. : 09 SAMPLE NO.: 009'
FRI/HOM NO/NO LAYERS: 02 DATE OP ANALYSIS: 01/05/12
DESCRIPTION : LINOLEUM FLOOR
ASBESTOS TYPE: NONE-DETECTED
MIER FIBERS : 2* CELLULOSE
NON FIBERS : 58% MINERALS
let, RES INS
Dove aivironzazital Corporation is solely responsible for analysis perforeed on sauple outset li
client-and BOW 44 CPR Part 763-Stbpart ipp. EPA/608/2-93/116. leasuremaut docertaisty •
available by =acting, the Laboratory. liberator/ Reports will be kept to a ?aid of 'three (} yeas
electroelcally. Percentages are visually eatinated. Point count performed at cheats request ollylmulre
relates only to tun! analyzed. Tao report should not be reproduced by client or anyone without nit*
misiet tom Dm Wm:total Corporation. Ill samplee mill be stored tore period of 1 sot.
taberatory uses miens microscopes and is MAP accredited.Ploorgile je aon-booegene ad reaOts
reflect 'mph content.
"wegovaime wookm.tnuses.....s en a &tea emasermooscrapallm egg Dram saugsmem asg avasszints zees Gamma aki,maszinssalintsu
30% POLYMERS
Rajendranath Rannath
DOVE ENVIRONMENTAL CORP.
)1O MIRAMAR PARKWAY, SUS 200 MIRAMAR FL 33025
Tel. (954) 374 -9214 Fax (954) 639 -7426
ASBESTOS TEST REPORT
CLIENT : AIR MD.
ADDRESS: 7700 CONGRESS AVE. 1119
BOCA RATON FL 33487
PROJECT: M.O. HALL BARRY UNIVERSITY
11300 NE 2N0 AVE MIAMI FL
CONSULT: CRAIG LUBE
IS.:TYPE:
ER FIBERS :
NON FIBERS
10.
YES/NO LAYERS: 03
DRYWALL WITH TAPE
NONE- DETECTED
20% CELLULOSE.
70% MINERALS
LAB i. : 11
FRI /HOM YES /NO LAYERS: 03
DESCRIPTION : DRYWALL WITH TAPE
TYPE NONE - DETECTED
FIBERS .. 20* CELLULOSE
702' MINERALS 10 PAINT
PAGE 4.
DATE
SAMPLE ID
NVLAP Lab
.DATE
10t PAINT
SAMPLE ND:. 011
DATE OF ANALYSIS 01105/
ism accti m;fla't3EiS7k'ffi9WitfR9siaXaRPa scam asRaaccctifLaatat s=caraw'aysscricccurn siamla meicuaz a !Fail___
Dove Bnvzronaental corporation is solely responsible for analysis performed on cuple
client and .atbod 40 CPR Part :763 Subpart P App. BPA /600 2.93 /11b:o Measuresent Uncertainty
available by contacting the Laboratory'. Laboratory Deports sill be kept for a period,of t
electronically, Percentages are visually estisated. Point count perforsed` at clients
relates only to item analyzed. This report should not be reproduced by client or
persision from Dover Bnrironnental Corporation. All sanplee rill be stored for
laboratory uses .a rriout aicroscopes and is PLO accredited.Ploar: -tile is non
reflect aasple nest.
aliACA Cc4C asasazimacgaaamg pa219a211t Fsssa
aaaait.
aaa¢
Rajendrranolh Ramat .
LABORATORY
D
/E ENVIRONMENTAL LABORATORIES.
8%0 Miramar Parkway, suite 200 Miramar M 33025
Tel(954- 374 -9274) Faxt(954- 639 - 7429)
E -mail: pavelabspdove porncestbiz.net
Web Address: '{davelabs.ora
Dove Client
Address
Tel. #I%x.;#
Sampler's Name:
Sampler's Signature:
Received at Lab by:
Condition of sample(s)
Sample login by:
Sample login date:
Date Collected:.
Turn Around (lrs) '
Date Received. +
Commont:
MislAgaSERTIBI
an Engll
Lt
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STE51,11.1487
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