Loading...
CC-11-2365Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168544 Permit Number: CC -12 -11 -2365 Scheduled Inspection Date: October 15, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Kolasa Hall Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: BELFOR USA GROUP INC Permit Type: Commercial Construction Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1121360010160 -33 Phone: (954)275 -1977 Building Department Comments REMOVE AND REPLACE WET DRYWALL AFFECTED Passed 4r-6 /'i �� Y Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 168168. Not Ready. NB October 12, 2012 For Inspections please call: (305)762 -4949 Page 2 of 35 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 No PERMIT APPLICATION FBC 20 Master Permit No. DEC 2e 266 BY: --------- o Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Barry University Phone # Owner's Address 11300 NE 2nd Ave City Miami Shores State FL Zip 33138 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) RatiLy - 4Iv iv'Stt y City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11- 2136 -000 -0050 e6AWACloI4 RiTt4t2( Is Building Historically Designated YES NO X Flood Zone �w �� °14 :1--. 1s iq�ir1 Contractor's Company Name F'e),L r' / Jj 1-1 . Phone # 7 7 .3 01(0o-02 1 0 Contractor's Address 1.5"- 2-o S . 'PO ., e_ _ • City I ce ,- � c.. 1 ct State (-(, Zip 5 3 `f`( Qualifier Name ANA 1/14. 6)-(2_ Phone # State Certificate or Registration No. ( ( ( - I ? G tit Contact Phone $79 (, - �' E -mail 5.,:k <An . .4-70 •�� / 5 @ us . 4e i r , c a 0-it Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 1--14 b'cD6' , Square / Linear Footage Of Work: Type of Work: Describe Work: 000 ['Addition ['Alteration ['New 1'/ Repair/Replace 0 Demolition 12- c rnlo �, ✓e ia c e d - .1 w.� I 1 1 cc Fc PJ( v ******** * * * * * * ** * * * * * * * * * * * * * * *** * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * *r ** Submittal Fee $ Permit Fee $ 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 -+ k 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 MR 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< and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of DEC. , 20 l , by B?AI , whersonally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this oa a ,20 11, by Set", tr) OP I PS me or who has produced as identification and who did take an oath. day of Dew . ho is personally kn� NOTARY PUBLIC: Sign: Print: My Co No�tta�ry rz Publ8iano ic State of Florida ;, �Ma d My Commission DD999370 o,rioe Expires 06/30/2014 ******************************************************** * * * * * ** * * * * * * ** **** * * ** * ** * * * ** APPROVED BY LJ)7r( Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) * *** * * ** ** *** * * * * * ** Zoning Clerk checked STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 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.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RIz.. }fiat' 5 DATE: 12.22.11 TO: Belfor Restoration ATTN: Jason McGlinchey SENT VIA: Pick -up TRANSMITTAL Barry University Facilities Management 11600 NE 2nd Avenue Suite #15 Miami, Florida 33161 Telephone (305) 899 -3785 Facsimile (305) 899 -3794 www.barry.edu REF: Benincasa / Kolasa Remediation No. DATE No. COPIES DESCRIPTION 1 12.22.11 1 1- Signed - MSV - Building Permit Received by: Print Date COMMENTS: Please submit to MSV right away. cc: SENT BY: Jeff Yao Construction Manager Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 iJ2%3 nspection Number: INSP - 168186 Permit Number: ELC -12 -11 -2366 Inspection Date: January 05, 2012 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Kolasa 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 -33 Phone: (954)632 -1091 Building Department Comments ENSURE OUTLETS ARE SECURE PROPERLY AFTER DRYWALL REPLACEMENT AT EXTERIOR WALL Passed Inspector Comments —' J---,_/..„,.. J Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 January 05, 2012 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 Ma()Permit No BUILDING PERMIT APPLICATION FBC 20 3 7,n- 77 7'----777.--- jj.j - Q �dli B Yo e vooe ®ee ®000°oe�� Master Permit N Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) ii (2--f �, ups . r1 Phone # Owner's Address o o City Of\ta, \ 'L01-. State 1=t� Tenant/Lessee Name Email Zip 13E, Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES County Miami -Dade ,v Zip *3t3S Contractor's Company Name /5.-/-6---c 7-go NO Contractor's Address '�v 3 / /r%/ ye-6' c: % City C �/l j 4 / (/ State /- �- Qualifier Name 4,e P (,// � State Certificate or Registration No. �, Contact Phone 9,4-4' 74'6' 7599` Architect/Engineer's Name (if applicable) 7 Flood Zone Phone # 9s-Q- 5??._ /c9) Value of Work For this Permit $ Type of Work: ['Addition Describe Work: e"ks.o , Zip Phone # g<S ( K3-2 Certificate of Competency No. / t- - E-mail jp ,ec� C. , Phone # ` 1 c, ® DAlteration 0%.) at_ t=om °t- Square / Linear Footage Of Work: 901 000 4F ONew ►/ Repair/Replace ❑ Demolition "P P-0 P .t t— ups rn; . * * *, * * * *, ** * * * * ** * * * ** * ** *, * * * * * * * *** Fees, * * * * **** ** *, *** *, * * * * * *** * * * * * **** * * **** ** Submittal Fee $ Permit Fee $ 1®/i , �' 6 N CC F $ CO /CC $ Notary $ Scanning $ Double Fee $ Structural Review. $ Training/Education Fee $ Radon $ DPBR $ Technology Fee $ Bond $ Violation date: ��% Total Fee Now Due $ ' d.JC.3 •f 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 AFJ J1)AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a re- inspection fee will be charged. Signatur Signature Owner or Agent / /'` / Contractor eft- The foregoing instrument was acknowledged before me this The for oing instrument was acknowledged before me this Z(, day of D { V 9 ¢ 2 0 1 1_ , by MANC4, 1 - 0 , day of Dee—r-14 20 / 1 , by /Are who isersonally known me or who has produced who • personally known t e 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 Commissio NOTARY PUBLIC: Si Prin. My Co II ********* 4r***+ Y***** * * *ir** de * * **irsh*** *ire *** ***** * *** * * ***** ** * ** *** * ***** 4 p// fi Plans Examiner APPROVED BY ** ll.otary Public State of Florida Joseph V Miller Jr , t Expires 071486 res 04/1012015 * * * ** * * ** * * * * * * * * * * * * * * * * * * * ** Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Per Permit NO. ELC -12 -11 -2366 Permit Type: Electrical Commercial Work Classification: Addition /Alteration Parcel Number issue Date: 112/27/20111 Permit Status: APPROVED Expiration: 06/24/2012 Applicant 11300 NE 2 Avenue Number: Kolasa Hall Miami Shores, FL 33138 -0000 1121360010160 -33 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 1 Contractor(s) ELECTROCOM INC Phone (954)632 -1091 Cell Phone Type of Work: OUTLETS Additional Info: ELECTRICAL Classification: Commercial Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC -12 -11 -42950 12/27/2011 Credit Card $ 108.60 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. December 27, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 27, 2011 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIST INSPECTION PERMIT NO AX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to property, and in accordance with Chapter 713, Florida Statutes, the following i is provided in this Notice of Commencement. 111111111111111111111111111111111111111111111 CFN 2011R0867599 OR Bk 7942 Ps 0719; ((1Ps)) RECORDED 12/27/2011 14:56:17 HARVEY RUVINF CLERK OF COURT MIr MI -C'ADE COUNTY; FLORIDA LAST PAGE STATE OF F LORIt , COUNTY OF DADE I HEREBY C :RTIPY 014 this Is a hue copy of Ms original fir this et__ A D 2I3 in hew .1 wefe! seet nfcagtir Rt. YIN, CLERK BY 1. Legal description of property and street/address: 13ARDy u N I y& 5ITy Ia LP4 1 Z 3OC) 2.1■,1 A\ u1 , i+nt 1 Stio(6s, Pt-) 331 (61 2. Description of improvement: If VJAU j 2bKOO 1 Arlo >U 3. Owner(s) name and address: 73AitfL'f U Nbv f l,s1 7 i 13d0 At Ze 4 L NM I Mi Ak4kt c c�S7 1v 3e31 (6 Interest in-property: Name and address of fee simple titleholder. 4. Contractor's name and .address: l3-4l "' V 7 S t. Q44n D 52.O PO) EQ L'Nt th.1 V-6 F1GtD kit t-L 334 i2 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: S. 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: - d.e is speated) Signat Pr 4k1 Print Owner's Name Sworn to and subscribed before me this day of , Notary Public Print Notary's Name I,-vi S My commission expires: IACu4. 123.01-52 PAGE 4 W02 Prepared by Address: Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Permit Permit NO. C' C - 12 -11 -23 6 5 Permit Type: Commercial Construction Work Classification: Repair Permit Status: APPROVED Parcel Number Issue Date: 12/2W2011 Expiration: 06/17/2012 Applicant 11300 NE 2 Avenue Number: Kolasa Hall 1121360010160 -33 Miami Shores, FL 33138 -0000 Block: Lot: Owner Information Address Phone BARRY UNIVERSITY INC Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) BELFOR USA GROUP INC Phone (954)275 -1977 Cell Phone Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: WET DRYWALL REPLACEMENT Stories: Front Setback: Left Setback: Plans Submitted: Yes Certification Date: Bond Retum : Scanning: 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 -42947 12/27/2011 Credit Card $ 4,048.00 $ 0.00 Available Inspections: Inspection Type: Final 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. December 27, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 27, 2011 1 Miami Shores Viiiage Building Department RECEIPT PERMIT #.� —�—�' DATE: 1, Sgrr-tcy V46 o Contractor X Owner o Architect Address: From the building department on this date in order to have co ton done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building De.artment to continue rmitting process. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Imo, 1-61 in ocK-td Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: IE 4 r 5z •G-0 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 Dear Mr. Bruhn, Drywall Remediation 11300 NE Second Avenue Miami Shores, FL 33161 -6695 phone 305 -899 -3785 fax 305 -899 -3058 www.barry.edu cc, ii -ate Please be advised, Barry University, has acknowledged and authorizes Bettor 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 Kolasa 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 Kolasa Hall. Work is required to be accomplished during Winter Break 2011 -2012 as the students retum on January 9, 2012. Kolasa 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 repairworkto 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. Respectfully, Manuel - ynalovski, AJA, 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 Kolasa 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 Kolasa Hall in any way. Please feel free to contact us should you have any questions or concems with the above. Respectfully, Manuel ` 1 alovski, AIA, LEED AP Managing Partner FL Lic. #11,628 MANUEL SYNALOVSKI AS ck inieriar Alsip BELFOR t10) PROPERTY RESTORATION 12.22.11 Norm, Belfor would like to proceed with the work @ the Kolasa 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, on McGlinchey elfor 954.275.1977 C iason.mcglinchev @us.belfor.com BET FOR USA 1520 S. Powerline Rd Suite A Deerfield Beach, F133442 0 888.421.4111 • ph: 954.596.8989 • Fx: 954.596.5155 24/7 emergency hotline: 800.856.3333 ® www.beiforasa.com 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 Kolasa 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 Kolasa Hall. Work is required to be accomplished during Winter Break 2011 -2012 as the students retum on January 9, 2012. Kolasa 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 repairworkto 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 35/8" 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' CMU wadi interior side with rigid insulation on 1 x 2 wood furring strips at 16" o.c. on 8" s should you have any questions or concerns with the above. Ma g FL Lic. #11,628 EED AP Kolasa Room # Textile Packout Remediation Completed Scrubbed Tested Eng. Review Build Back HC Packback Textile Packback 101 103 105 109 113 117 119 123 125 127 T 100 102 104 106 108 110 116 118 120 122 124 126 128 130 201 203 205 207 209 211 213 215 217 219 221 223 225 227 229 231 200 '� i � r 202 204 206 208 210 212 3 214 216 218 220 Kolasa Room # Textile Packout Remediation Completed Scrubbed Tested Eng. Review Build Back HC Packback Textile Packback 222 224 226 228 230 232 234 301 303 305 307 309 _ 313 315 317 321 323 325 327 329 331 302 304 306 308 310 314 316 322 324 326 330 332 334 300 402 406 410 420 422 424 426 428 400 l iA `° T:< Btt 2 3 A C.• pp PT Haim mostra.Nc. JIMINtlelit. Set PI CCIIPRE14E4SIVE GRaND FLOOR 19_AN Z.1 =AL& Me • f- Of O SECOND FLOOR PLAN V.../ WALE: loW • f- e 631 COMPREHENSIVE T I-IIRD FLOOR PLAN VI SCALE. 1A6* • 1%. 2 1 A .11 -c CONKNIPO011inft.4 BARRYUNIVERS1TY grow RESIDENCE 11301INESECOWAVEr =1:g4NS461 Cae COMPREHENSIVE to PLANS GROUND -17111ID FLOORS Moo Mei • IMMO tor • f41 n'llges4ate *dm. A 300 OW _A, A I PMT # ftl) MAW SHORES VELLVC4 E. AFTRCVED BY f i )ATE ZONIN , i • ' STRUCTURAL , . aFCTRICAL . i PLUMBING . 1 :1 ..• MECHANICAL BLDG. SUBJECT TO •;TATE AND COUNTY COP,APUANCE RULES ..._ WITF-1 ALL FEE;IrW AND REGULA1Wg' S . _ 2 3 A C.• pp PT Haim mostra.Nc. JIMINtlelit. Set PI CCIIPRE14E4SIVE GRaND FLOOR 19_AN Z.1 =AL& Me • f- Of O SECOND FLOOR PLAN V.../ WALE: loW • f- e 631 COMPREHENSIVE T I-IIRD FLOOR PLAN VI SCALE. 1A6* • 1%. 2 1 A .11 -c CONKNIPO011inft.4 BARRYUNIVERS1TY grow RESIDENCE 11301INESECOWAVEr =1:g4NS461 Cae COMPREHENSIVE to PLANS GROUND -17111ID FLOORS Moo Mei • IMMO tor • f41 n'llges4ate *dm. A 300 PLAN 1:1ViEW FiNfl\L APPROVAL DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT CORE REVIEWER (PRINT). 1441 4IGPIATURE 1 1 11 1 11 111 1 1 1 1 11111 1 1 11 DATE /Z-217. 11111111111111111111 ll Derm Number 2011-1227-0950-4828 Contact Name: JEFF YAU Contact Phone: (786)382-4487 Folio: $1-2136-000-0050 Project Name: BARRY UNIVERSITY-BENINCASA Date Received: 12/27/2011 Reviewer Name: A. El. C• (7\ COMFRERENSIvE FOURTH FLOOR FLAN Vol SCALE, If .5° • f• e 431 O calpFZEgENSIvE ROOF PLAN SCAM er SI PAM attt, SWIM OIKEITIONAXIO "101011.21.0 P09.412••••11..... MAW NOM KaW14254AWN -A -B -c A conese sum al peas %Ws MOON P•I•I BARRYDNIVERSITY STUDENT RESIDENCE Fisposieeemmvs- MIATMIW3,1_,-A tombs COMPREHENSIVE FLOOR PLANS FOURTH - ROOF WWI Mid ft 1105110 9*. Ur • GO 'Una. A 301 3 3 HARPER PAR11474.51,n. ixtr ae.491 f:44. 4.14413 SIRGIVIrle ' Wit5103033114 0•101401,ormortmesl. Wallatl WNW Wars ..61131` [IFEC ROLLED EDGE tertmaseeo * W I C & D U O E r D I NOIR ARE RATED EiCLOSIRE um FRE EXIDOLESNER --0 2 3' 2 2 E: aZi 11 2 2 2 2 2 2 NOTE, ALL GUEST ROOFS THAT OPEN ONTO AN INTERIOR COORDOR WOULD GE EELP CLOSING. KEY PLAN —0 =.1 11111111 -0 *CO MOW. Mao 0.0111. 404 13.4d144. BARRY DNWERSITY STUDENT RESIDENCE 1131114%86130NDAVE. WralASPAZ310 GROUND AND SECOND FLOOR PLAN - NORTH WING WNW A ••C GRAN FLOOR PLAN - NORTH WING V./ gum ler-Fir m SECOND FLOOIR PLAN - NORTH WINS V../ WALE, ti$4.0* 4 A.4 So O C. 2 4 5 THIRD FLOOR PLAN - NORTH WING Jams far.f4f B MOWN. —0 —0 — 0 3' 0 344. 2 2 444 0 111111 musk] 3.44. •01 3 0 11 EV5 b 1 ff3 it- I rer- 111 0 2 = = a a a 1 I■1M1 a 0 2 • a 11 0 b 2 — 0 — 0 —0 11 b - —0 1 -0 In 2 kt, 0 0 ar 344. 3.418 O GURTI4 FLOOR PLAN - NORTH MG SCALE= vavat B HARPER Kgrt,231$.24C. ga Awn MSC Rol Cantitae■ SIM pe3.60•••••.. IA MPS Mi. LEGEND' �EC ovum" EDGE sesalcsem vamcao. coo r ampticuR FIRE RATED acwaws FOE email:see -A -8 NOTE, ALL GUEST ROMS THAT OMEN ONTO AN INTERIOR COORIDOR (MOULD BE SELF' CLOSING. A A COMI•en WAS 1.02 Ve• NORM aefINA $111:1•0 salp Oftlas .04 — smart wavEssrry STUDENT RESIDENCE ItIr*NESECONDAVL. Zis5,5.s.,154}f THIRD AND FOURTH FLOOR PLAN- NORTH WING -C *wad bad ft Mae 8. 'Mama soak A303 4 HAMPER PA076661 vv v vv v 011 ill I MI NOTE.. ALL GUEST ROOMS TWAT OPEN ONTO AN INTERIOR COOPSOOR SACOLO BE EIELP CLOSING. AV PLAN r---- COMM MIR 4 110=111 019110/011111001,1101 sorra 0110■01100>IMEN IMO --0 Ito"), 601.frs IWIRD FLW 1 R LAN - EAST WING . SCALE. Imo. HARM i fs` 1111111161041. MISS auaa+DUmsul MOM /NMI TEC ROLLED EDGE saa•Receseen EERTTGAL DUO S DEEP I WEE REE RATED ETC:LOME EMI NOTE. ALL SST ROOMS TNAT OPEN ONTO AN INTERIOR COORIDOR GAGED DE SELP CLOSING. ft4P0I000I11EIRIY Smw DEM AO PREMIX* 4W YjLL BARRY IIMVERSITY SfUDENTRFSWENCE SQAMI ROM PI.33161 3.1010 asra .Y TAD /ao'N•u/. / /S5t• FLOOR PLANS - EAST WING Pamiklc�esa NU\ ASkstOS su2wy Wellness Through Science" IRTALIIS CR FIR A. xwinwigtflt Asbestos Evaluation - Limited Site Evaluation with Limited Sampling Date: 10/24/11 Customer Belfor Property Restoration Project Address: Barry University "Benicasa [fall & Kolasa Hall" 11300 NE 2nd Ave, Miami Shores, FL 33161 On October 20th, 2011 .AirMD completed, at your request, a limited evaluation for the presence of asbestos-containing building materials in the above referenced university dormitory buildings. Samples of visible suspect Asbestos Containing Building Materials (ACBM) were collected for analysis by Polarized Light Microscopy (ALM). The purpose of this survey was to identify any asbestos- contiming 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 roorns. The reported area for rernediation include the drywall adjacent to the wall mounted PTAC air conditioning units in: 1) Kolasa Halk Una's 201; 222; 226; 229; 230; 232 and 329 2) Benincasa Ha& Units 222; 232; 302; 308; 319 and 324 Each unit is approximately 300 square feet. The entire property was not ins Inspection was limited to areas that will be potentially disturbed during the proposed remediation. Client; Bi4for Property ItestorAtion Project Site: 11300 NE 20 Ave, Miami Shona FL 33161 Contact Num Jason McCilinchey Date 10/20/11 7700 Avenue, Suite 9, Boca Raton, FL 3 487 (561) 245 Page 2 of GTAL714V 4114 V) A iiEUIMT Nviglomr.m.1 SECTION I - SAMPLING STRATEGY: Bulk material sampling was conducted according to the following Friable Surfacing Materials: Friable surfacing materials, where encountered, are sampled based on the recommendations found in the EPA "Pink Book" entitled "Asbestos in Buildings: Simplified Scheme for Friable Surfacing Materials" (EPA document 560/5-85-030a). The number of samples collected is based on the total square footage of the homogenous area of the material and the material types. Thermal System Insulation (TSI): If present, samples are collected in a randomly distributed tnanner from each homogeneous area of TS' 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 two categories). Suspect miscellaneous materials will be sampled in such a manner as to determine whether or not they contain asbestos. The number of samples collected of a gh,en miscellaneous material will be left to the discretion of the inspector. Bulk samples were delivered to Dove Environmental, Corp., in Miramar, Florida. The bulk sample specimens were subjected to Polarized Light Microscopy analysis in conjunction with dispersion staining as outlined in 40 CFR, Part 763, Subpart F of January 1987. Dove Environmental, Corp. is accredited for asbestos fiber analysis through successful participation in the NIST National Voluntary Laboratory Accreditation Program (NVLAP) meeting the requirements of 40 CFR, Part 763.87, Volume 52, and Number 210. tient Bel(o: Property Re:monition Proiect Site 11300 NE 24 Avc, Miami Shores H.33 161 1).ate: 10/20/11 Contaci .Natne. on M linchry 11 ress Avenue, Suite 1119, Boca Raton. FL 33487 (561) 45-4500 www airrnd.corn Page 3 of 6 A..1.341:v AltP: r. A tifAMIV VINORMENT 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 3316L 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-containing 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 rernediation. Only visible and accessible areas of the facility were inspected. During the demolition process, materials hidden behind wall cavities or other enclosures may be uncovered which may require further testing not included in this report. Bulk sample specimens of suspect materials were collected and submitted for analysis using Polarized Light Microscopy in conjunction with, dispersion staining as outlined in 40 CFR, Part 63, Subpart F dated :January 1987, Analysis was conducted by Dove Environmental, Corp., in Miramar, Florida, who is accredited for asbestos. fiber analysis through successful participation in the National Voluntary Laboratory Accreditation Program (NVLAP) and meets the requirements of section 206(d) of 'ride II of the USC Chapter 15, TSCA as stated in 40 CFR 763 dated April 30, 1987. The non-suspect materials that were present are listed below: 1) Concrete 2) Glass 3) Mend Those suspect a Kolassa Building ining were present are listed below: 1 If/a/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 Maieriali: Interior ceiling rnaterias 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 triaterials. 3 Miseelioneorts Materials: The miscellaneous materials consisted of the air conditioning sealant compound in unit 222 of the Wolassa' building. One sample of the compound was collected and no asbestos was detected in the materials. Client Belfor Property Kegroatrion Prole Sim: 11300 NE 2chi ANA:, Miami Shores 11, 33161 Date; 10/20/11 Conhia Name; itson McGlinchey 7700 Congress Avenue, Suite 1119, FL 33487 (5(,1) 2454500 Pattc 4 of 15 Aif4 FOR on41.1my :NET &'tha Buikiing: 1 Val/ Materith: Interior wall materials consisted of a drywall and joint compound 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 thetmal insulation was present. SECTION III - ASSESSMENTS OF ACM: The above sarnpled matetials, are defined by the EPA-NESHAP reguiatian as non asbestos containing materials, therefore no assessment of the material is required. SECTION IV - CLOSING REMARKS Federal Law Section 61.145(c) of the Asbestos NESHAP requires that the local EPA representative's office be notified in writing at least 10 working days prior to the onset, of the project. The State Asbestos Coordinator's Office also requires a copy of the notification (address to State Asbestos Coordinator, State of Florida Environmental Regulation, 2600 Blair Stone Road, -Tallahassee, Florida M399-2400). 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 dots 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 n-o 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 Bellor Property itetorotion Project Site: 11300 NE 2' Ave, Miami Shores F1, 33161 7700 Congress Avenue. Suite 1119. l3aca Raton, FL Page 5 of ft 1>attr, 10/20/11 t 'Ammo Name: Jn McCainehey 5 coriditifins to the tune cif the A irMrt it and co not Tql:rttiVilt curidition,s iitLieT times, This report is (mended for cur me and your assiptal tepresentittives. Its daLi rtilicti pvi Ir.,' t.lact pic witiwut priQz wiitttin avilluriealitni 14' ,ViA111 S.inctiretv, SinVnt Hahessy Certified Ashrwis inTectot Sw411 Training CeT!"(icaw N unibcr 14k!,'.429 ENTiration dam,: 04/26/17 AirkID, Inc Astwt,tc,s Coiiiting Firm /. \32 Revieyieci utT &4 Hondo, Lictimied Astiemoi Cwasulti.ne-AX66 4,1 77f.V.]1 Corkgre..,:zsi ; 1 1 1`t31,..4a ; -Tt ft:713743:7 7www..atnud,coitt DOVE IRONME, CORP. MIRA AR PARKWAY, SUITE 200 MIRAMAR FL 33025 ) 374.$274 Fs.,w :r 954) G39-74 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROECT: 11300 N.E. 2ND AVE, a MI PROJECT # :12996 CONSULT: STEPHEN HAHESSY LAB NO, FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. FRI/ma y .! DESCRIPy '1 ION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. FRI /HON DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 1 S 01 YES /NC LAYERS: 02 WHITE DRYWALL NONE-DETECTED 30% CELLULOSE 50% MINERALS 02 YES/NO LAYERS WHITE DRYWALL NONE :DETECTED 30% C € It,.ULDSE; 50% MINERALS PAGE 1. DATE : 10/21 /11 KOLASSA BL1G.SAMPLE ID 8110499 NVLAP Lab Care 020 0 SAMPLE NO,: KD DATE OF ANALYSIS: 10/ 10% FIBER-GLASS 10% PAINT SAMPLE ND.: KO -002 02 DATE OF ANALYSIS: 10/21/ 03 YES /YES LAYERS: 01 WHITE POPCORN CEILING NONE-DETECTED 1% CELLULOSE 49% MINERALS 10% PAINT 10% FIBER -GLASS 10% PAINT S L .: KO -003 YSIS: 10/21/11 DATE OF 40% MINE. S sozwsm�assncscszmzszs� &csaszsc �szss:asmsscass-oassssm;, sea:- scoassss_cccac�c���sz���sz��sa Dove invireoleatai Corporation ie solely responsible for analysis perforted on sample content sup client and °thud 4u CPR part 763 Subpart P App. RPA /64O /R- 93;'416, geasuraaeat Uncertainty available by contacting the laboratory. Laboratory 9eperts gill be kept fora period of three electronically, Percentages are visually eatiaated. Point count perforaed at clients only to item analyzed. This report should not be reproduced by client or anyone without a from Bove avironmentai Corporation. Al: samples will be stored tor a period of 1 Mcnt eicrascopes and is mks accredited,Ploor -Tile is non - homogeneous and restate only DOVE EN ON MIRAMAR PARK AY, SLI ' Tel. (894) :04-9274 Fax: ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N.E. 2ND AVE., MIAMI S PROJECT # :12996 CONSULT: STEPHEN HAHESSY LAB NO. FRI/HOM OESCRiPTION ASBESTOS TYPE: OTHER FIBERS NON FBERS LAB NO, FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LABS, FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTTER FIBERS NON FIBERS 04 YES /NO LAYERS: WHITE DRYWALL TAPE LONE DETECTED 50% CELLULOSE 20% POLYSTYRENE -FOAM SK TA CORP. • An FL 33025 1 6394426 PAGE : 2 DATE : 10/21/11 $SA BL .SAMPLE ID : D110499 ab Code: 102053 -0 05 YES/NO LAYERS: 03 WHITE DRYWALL NONE - DETECTED 30% CELLULOSE 50% MINERALS 06 YES /NO LAYERS: 02 WHITE VINYL BASEBOARD ° - DETECTED 60% CELLULOSE 10% MINERALS Dove Invironmental Corporation is solely responaibl client and method 40 CFR part 763 Subpart F App. gP avallabia by contacting the Laboratory° laboratory electroaical'y. Percentages are vituaily relates only to item analyzed, This report should no permasz o from Dove tinvirQntestai Corporation. Ail sample ;abarat,.ry aces various microecopae and is MAP accredited,Fioor t sample contest. gym. » »9&:g5 „° + »ST » "!al,=$. 30% MINERALS E DATE OF ANALYS a: KO-004 S: 10/21/11 10% FIBER -GLASS 10% PAINT KO-005 S: 10/21/11 SAMPLE NO.: KO -406 DATE OF ANALYSIS: 10/21/11 30% PAINT nalysis performed on sample conten 3/116, Dame ; set Uncertainty period of t teat OD titb4vt of 1 tooth, d rests only will be kept onot perform ed by cli be stor Tile is non-ho nath h Ramnath RV MANAGER DOVE ENVIRONN leR PARKWAY, SUM T e (954 374-92'74 ax ASBESTOS `1 E` CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RAT0 1 FL 33487 PROJECT: 11300 N.E. 2ND AVE.. MI I S PROJECT #:12996 CONSULT: STEPHEN HAHESSY RE:P0R S T:l. CORP. 11/tlikM R fit, 33025 30-7426 KOLASSA PAGE DATE DG e SAMPLE :3 10/21/11 0110499 NYLAP Lab Code: 102053°0 LAB N8. 07 FRI /H iM : YES /NO LAYERS: 02 DESCRIPTION : WHITE DRYWALL ASBESTOS TYPE: NONE- DETECTED OTHER IBERS : 45% CELLULOSE NON FIBERS : 40% MINERALS LAB NO. : 08 FRI1'FIO YES /NO LAYERS: 02 DESCRIPTION : WHITE DRYWALL TAPE ASBESTOS TYPE: NONE - DETECTED OTHER FIBERS : 10% CELLULOSE NON FIBERS 80% MINERALS LAB NO. : 09 FRI /H NO/NO LAYERS: 02 DESCRIPTION : VINYL BASEBOARD MASTIC ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS 10% CELLULOSE NON FIBERS 90% MINERALS .a._n=..s,...vec: aasx..aemz.c>x4.=c; Z.7%FSCbii.Mf Yg,2LDS3 Dore invironmental Corporation is solely reaponsibl Mena amd method 40 CPI Part 163 Subpart F k by contacting the Laboratory, SAMPLE NO.: KO -007 DATE OF ANALYSIS: 10/21/11 5% FIBER -GLASS 10% PAINT SAMPLE NO.. KO -0 DATE OF ANALYSIS: 10/21/11 10% PAINT SAMPLE NO.: KO -009 DATE OF ANALYSTS: 10/21/11 analysis per €or 1R- 13I116. Reame 11 be kept t count performed at Aced by client e stored for is urn b� relates only to item :erasion from bore n it iahoratory Yuen various microacOpe ref Itct samOt =.4ZC =ZZSM0X21,X X =4Z =42g4 *wwwM =XV =ZZZ zzaztaw .rmty = =ztgortoz ca anath 0th RATORY ER. DOVE ' - RONMENTAL CORP. MIRAMAR PARKWAY, SUITE 200 MUMMA A FL 2302 t (9) 3744274 Fad. S$ V39-7426 ASBEST TEST REP CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33481 PROJECT: 11300 N.E, 2ND AVE., MIAMI PROJECT # :12996 CONSULT: STEPHEN HAHESSY T $ KO L SA PAGE DATE OG.S '''LE ID : 4 : 10/21/11 : 0110499 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 : 10 NO /YES (..,AYF;RS: WHITE A/C CEMENT NONE - DETECTED 2. CELLULOSE 10% PAINT 1 YES /YES LAYERS: 01 WHITE CEILING ' & "Cs NONE-DETECTED 5% CELLULOSE 75Z POLYSTYRENE -FOAM 10% PAINT 12 YES /YES LAYERS: 01 WHITE DRYWALL NONE- DETECTED SAMPLE NO.: K0-010 DATE OF ANALYSIS: 10/21/11 SAMPLE NO.: KO-0 DATE OF ANALYSTS: 10/2 S SAMPLE NO.: K�O DATE OF ANALYSIS: 10/2 35% CELLULOSE 10% FIBER - GLASS 50% MINERALS 10X PAINT 2 s ,. t _e- ed.ss3s:a lt.:r..._17,= ttc x.s4,_.. == =X_axrsa:'..,.m =::e.mC!ttt.m£R. t:St0.7 ..Qa V_...x..=,.:s; ==g ., Dove Environmental Corporation is solely responsible far analysis perfor ed on s 1e content sapplied by lient mad method 40 CFR Part 763 Subpart F App. EPAjfi JE093f 16, Measurement uncertainty information IS available by coatactiag the Laboratory. Laboratory Reports sill be kept far a period of three (3) year eiectr mars ®iy, Percentages are visually estimated, Point c©AIlt performed at clients repeat onlyJesuits re1atee only to item analyzed. This report bud not be reproduced by client or anyone without written from Dove Savirrnmental Corporation. All samples will be stored for a period of 1 month. Our vnrioaa m czoecopee and is MAP accredited,€'loor pile is not - ous and reaulta only An Tys a jendranath Rarnatt LABORATORY ER CLIENT : AIR M ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N.E. 2ND AVE. PROJECT # :12996 CONSULT: STEPHEN HAHESSY DOVE ENVI ON Pt TAL CORP. 0 MIRAMAR PARKWAY, S': TE 200 MI 14 FL 33025 Tel, 49 4) 324,0214 '^ > 11, 4 239 7426 ASBESTOS TEST REPORT LAB NO, FRI /Fib 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 : 6 DATE ; 10/21/11 MI I SES KOLASSA LOG.SAMPLE ID : 0110499 NVLAP Lab Code: 102053 -0 13 YES/NO LAYERS: 02 WHITE DRYWALL TAPE NONE - DETECTED 70% CELLULOSE 20t MINERALS 14 NO /ND LAYERS: 02 GREEN VINYL BASEBOARD MASTIC NONE - DETECTED 2% CELLULOSE 98% RESINS 15 YES /ND LAYERS: 02 WHITE DRYWALL NONE- DETECTED 25% CELLULOSE 65% MINERALS KO -013 DATE OF ANALYSIS: 10/21/11 10% PAINT E NO.: -014 DATE YSIS: 10/21/11 SAMPLE NO.: K8 015 DATE OF ANALYSIS: 10/21/11 10% PAINT axat;4zcss_c��s.a..catsstarttat d.._,,.: Ws- sa- xasca:�z�.� «sxta:.� : -sa.e °s aa. �ssTsacs' �raacr� .`srt�esccsza. °s :ux�s�trcm� Dove environmental Corporatism is solely responsible for analysis performed an sample contest supplied by nt aid sethod 40 UPS Part 763 Subpart F App. gPA /60011- 93/116, Measurement Oacertainty intimation is Bailable by contacting the Latoratorye Laboratory Feparts will be kept nor a period of three (3) year el.ectronacatly. Percentages are visually estimated. Point count performed at clients request oc1y.Reaults relates only to item analysed. This report should not be reproduced by client or anyone without written permisanst from Bove Invironnental Corporation. All samples will be stoned for a period of 1 momtb. Our laboratory uses various microscopes and is PUP accredited,Ploor -Tile is nanebff,¢, eneflns and rasalts only reflect sample content. c e: cec-..�,�;ra,�pm : ^ar,;�sc�t mctttt :ac: c m: ae t 1 :MAR PARKWAY, 33025 . 374 274 ,: (05in 6304426. ASBESTOS EST REPORT CL _ENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N.E. 2ND AVE,, MIAMI SHORES KOL PROJECT #:12996 CONSULT: STEPHEN HAHESSY LAB NO, FRI /HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB N0. FR /HOM DESCRIPTION : ASBESTOS TYPE: OT'-ER FIBERS : NON FIBERS . LAB NO. Fri? /HOM DESCRIPTION ASE;STOS TYPE: OTHER FIBERS : NON FIBERS 16 NO/NO LAYERS: 02 WHITE DRYWALL TAPE NONE-DETECTED 1% CE LLULOSE 50% MINERALS 17 NO/YES LAYERS: 01 GREEN VINYL BASEBOARD MASTIC NONE-DETECTED 2% CELLULOSE 18% MINERALS 18 NO/YES LAYERS: 01 WHITE DRYWALL NONE- DETECTED 2 CELLULOSE 98% MINERALS Dave Eavironaentai Corporation. is solely resp osible nd method 40 CFR part 763 Subpart F App, 115Al60 e by contacting the Laboratory. Laboratory Reports ically. Percentages are visually estimated. point obly to item analysed. This report Wald not be rep Dove lavaronmestal Corporation. Ail saaples y uses various micoscopes and is MAP accredited, et sapie contest. PAGE : 6 : 10/21/11 : 0110499 DATE SA DO 4 SAMPLE ID NVLAP Lob Code: 1 063 SAMPLE NO.: K DATE OF. YSIS: 10/21/11 49% PAINT SAMPLE NO.: DATE OF ANALYSIS: 80% RESINS SALE DATE OF ANAL YS K0-018 10 /21/1.1. be fief performed by cif be stored for a period o r -Tile is son- haaogeeeous and re ath Ramnath A TORY MANAGER DOVE ENVIRONMENTAL CORP. 3910 MIRA • PARRWAv, SWIM 200 .1M/MAR FL 33025 Te, (934) 3744274 F4x: (54) 639-7424 ASBESTOS TEST REPORT ,a4 CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROjECT: 11300 N.E. 2ND AVE.. MIAMI SHORES KOLASSA PROJECT #:12995 CONSULT: STEPHEN HAHESSY LAB O. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : LAB NO. FRI/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : 19 NO/YES LAYERS: 01 WHITE DRYWALL TAPE COMPOUND NONE DETECTED 5% CELLULOSE 95% MINERALS 20 NO/YES LAYERS: 01 GREEN VINYL BASEBOARD MASTIC NONE -DETECTED 2% CELLULOSE B% MINERALS PAGE 7 DATE : 10/21/11 LOG.SAMPLE ID : D110499 NVLAP Lab Code: 102053-0 SAMPLE NO,: KO-019 DATE OF ANALYSIS: 10/21/11 SAIIPLE NO.: KO-020 DATE OF ANALYSIS: 10/21/11 90 RESINS Dove gnvironmestal Corporation is solely responsible for analysis performed on sample ontent supplied by client and mathod 40 CFR Part 763 Subpart f App, Rul601/R-93/114. Neamaremeot ttncertaintY iddrmEtido im available by contacting the Laboratory. Laboratory Reports will be kept for a period of three (.31 years electronically. Percentages are visually estiaated. Point count performed at clients request onlyiesults relates c,I1y to item analyzed. This report ohonld not be reproduced by client or anyone withont written perminon from Dove Environmental Corporation. All samples will be stared for a period of 1 month, Our laboratory uses various microscopes and is FILAR accredited,Ploor-Tile is non-homogeneous and results only reflect sample ctn. 429, -,------ jendranath Ramriath TORY DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar FI 33025 Tel()54-374-9274) Fax(954-639.7429) E-mail: „camavhiz Web Address: qp,yelas,,,gra Dove Client Name: Address TeL #f Fax Date Lab ID: Total Sampl Project Name: Project L. Una: 3 Sampler's Name: Sampler's Signature: Received at lab by: Condition of sample(s) e Sample login by: Sample login date: Project .1 Date Collected: ;i'i)161 Turn Around (his): 8 24 Date Received: Comment: n 0 , ? - Vi tk-44 2,.12a-g e-**IL f / ,..• ...,:k4Afey .,,,.,,f,.4,..m..... ., i, :; .x;.;,,,....7,,,,4,.,.;,, .. 17 ,: , ,: 4 .4: ,; , %4 4, ,A,,. cv4.0 .,.: '&2' '' .'* -- A t P; .., 4A.1,1:4 4-4 • • ',4. ) :,,, ,,,c- ,--, , ,---1:4) .:,::, 1,4, ,,,,, Lkitil 22., ---41:<-:::,i',,t ,,,- f.- '14::,,,,,,,,A,, lye ... ... _..,.: 1. - tH: 4Z,111 :277/1i',,,i :Yr i0.7P1 ' 4,--'-' 1 i•Kv'' 1,0i,til.W. Mx7%.,Ag ,:',",.,1- Ozd:5-ak, i',,,41.1 22:Lt. ti.'..V14:4*1,- ovt z.z.'r) ---V4V44:: kt....444 ,,,.-..m • ZV - ,4,4-, ..:.:4,,,,,-,,i, • i, „ Project Name: Project L. Una: 3 Sampler's Name: Sampler's Signature: Received at lab by: Condition of sample(s) e Sample login by: Sample login date: Project .1 Date Collected: ;i'i)161 Turn Around (his): 8 24 Date Received: Comment: Dove Ctlent rata e: Address Tel, lit/Fax # m DOVE ENV RONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Pi 33025 l( 374 -9274) Fa ( 6 -7429) -mail: o_a gr ...y: m j :. Web Address: dicrisitrArg OF CUSTOpY — BULK ASBESTOS Date Lab ID; Total Sarni; i Coll ed: 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 NVIRONMENT T M NW" sum 200 IR 5AMAR FL 33025 r> < (9S4 374 -92?4 FR,N ° -(954) 639-7426 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 11 BOCA RATON FL 33487 PROJECT: 11300 N.E. 2N0 AVE., CABA BLDG. (PROJECT CONSULT: STEPHEN NAHESSY LAB NO. FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : LAB NO. FRI /HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . 3.AB NO. FR.If OM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS . NON F!BERS 01 YES /NO WHITE DRYWALL NONE - DETECTED 20% CELLULOSE 65% MINERALS 9 MIAMI SHORES. BEf #12996) LAYERS: 02 02 YES /NO LAYERS: 02 WHITE DRYWALL TAPE. NONE. -- DETECTED 70% CELLULOSE. POLYSTYRENE -FOAM 03 NO/YES LAYERS: 01 WHITE VINYL MASTIC NONE - DETECTED 2% CE .LULOSE B% PAINT PAGE DATE 10 /21/11 N SAMPLE I0 : 0110500 NVLAP Lab Code: 10Z053-0 LE NO,: B -001 DATE OF ANALYSIS: 10/21/11 S% FIBER- GLASS 10% PAINT AMPLE NO.: DATE OF ANALYSIS: 1.0/ INERALS SAMPLE NO.: 8 -003 BATE OF ANALYSIS: 10/21/11 90% POLYME cz=aetcazzazm;.s., - -as :ssat: amacm:aa,v4==zz_. yma,...r. gym:.: m..... ».„p: _ :m ssammmae ams.s :smm's::easaammaz =xc Dove Environmental borporatiot is solely responsible for analysis performed on ample contest supplied by add aetbod 40 CFR Pert 763 Subpart F App. EPAf6990- 93/11 &4 Neasursment Gncertainty information is Ie by contacting the laboratory, Laboratory :Reports will be kept for a period of the i3) y eiectronicaliy.. Percentages are vissaliy estiaate't. Point count performed at clients request only,Jes ly to item analyzed. This report should rot be reproduced by client or anyone without written trot Dove Environmental Corporation. all samples will be stored for peri DOVE NVIRO ENTA MIRAMAR PARKWAY, SUM 200 PP Tel, (9M) 7 Fax t , 6 ASBESTOS TEST REPORT CLIENT :AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33467 PRO ECT: 11300 I.E. 2ND AVE.. MIAMI Sf CAM BLDG. (PROJECT #12996 CONSULT: STEPHEN FIA.HESSY BEN CORP MAR FL 33025 1426 PAGE : 2 DATE ; 10/21/11 N SAMPLE ID : 0110500 Lab Code: 102053 -0 SAMPLE NO.: B -004 DATE OF ANALYSIS: 10/21/11 LAB NO. : 04 FRI/HOM YES /NO LAYERS: 02 DESCRIPTION : WHITE DRYWALL ASBES`10S TYPE: NONE - DETECTED OTHER FIBERS 40% CELLULOSE NON FIBERS ; 40% MINERALS LAB NO. : 05 FRI/HOM : YES/NO LAYERS: 02 DESCRIPTION WHITE DRYWALL TAPE ASBESTOS TYPE: NONE - DETECTED OTHER FIBERS : 60% CELLULOSE NON FIBERS 20% MINERALS LAB NO. : 06 FRI/HOM : NO/NO LAYERS: 02 DESCRIPTION GRAY VINYL MASTIC ASBESTOS TYPE: NONE-DHECTED OTHER FIBERS : 1% CELLULOSE NON FIBERS : 19% RESINS Dove Enviro ntal Corporation is solely responsible for analysis pert client and method 40 CFR Part 763 Subpart F App. EPA /600 /R- 93(1:16. Measurement available by contacting the Laboratory. 1absratcry Reports will be kept for a electronically, Percentages are visually esti Cede Point cunt performed at relates only to item analysed. Its report should not be reproduced by client or an pit ision trom Dove Environmental Corporation. All samples will be stored fora pert laboratory uses various microscopes aad is i1VLAP accre ited. ?purr -l'iie is non- hcrogeaeous reflecr sample content, 10% FIBER -GLASS 10% PAINT SAMPLE NO.: DATE OF LYSIS: 10721 S EE NO,: B -006 YSIS: 10/21/11 DATE OF by y infosmatos is three (3H eet ©niy,Ren ithout written month, etr alts only DOVE RONMENTA CORP. 0 KIRA 140 PAR 1 MAY, SUITE 20 e 330 Tel, 95 ) 374-9274 Foxe C, 4) 639-7426 ASBESTOS TEST REPORT CLIENT : AIR MD ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 33487 PROJECT: 11300 N,, 2ND AVE., MIAMMI SH ES, BENNlN C BLDG. (PROJECT #12996) CONSULT: STEPHEN HAHESSY LAB NO, FRIMOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . LAB NO. FRUHOM DESCRIPTION : ASBESTOS TYPE:: OTHER FIBERS : NON FIBERS ° LAB NO. FRI /HON DESCRIPTION : ASBESTOS TYPE: CTHER FIBERS NON FIBERS . 07 YESINO LAYERS: 02 WHITE DRYWALL NONE - DETECTED 25% CELLULOSE 75% MINERALS 08 YES /ND LAYERS: 02 WHITE DRYWALL TAPE NONE - DETECTED 50% CELLULOSE 40% MINERALS 09 NO /YES LAYERS: 01 TAN V I NYI. MASTIC NONE-DETECTED 5% CELLULOSE 95% RESINS PAGE :3 DATE : 10/21/11 SAMPLE ID : D110500 NVLAP Lab Code: 102053-0 SAMPLE NO. B -007 DATE OF ANALYSIS: 10/21/11 E ND.: B -008 DATE DF ALYSIS: 10/21/11 10% PAINT PLE a; B -009 DATE Of ANALYSIS: 10/21/11 tzmtz;z.rn E.7 tffi SSt .43. -m. .w „02.,.-,... ..A - -Sg R»xsr= z3aS3.„er.= SaTs.pr_ SSG.6wx.°..^.:ZC...X6.^.2..°= ZZ:ViZ,442e 6=,':G aC Dove 3tvironiental Corporation is solely responsible for analysis performed on omen le content supplied by client and aethod 40 CPR. Pare 763 Subpart F App. B:A /6QO /R ,.93 /116 , tSeastarement Uncertainty inxor atico is available by contacting the Laboratory.. laboratory Reports will be kept for a pericd of three 13) year electronically, Percentages are r<sually estieated. Point count perfo d at clients request ouly,Results reiaaes only to item analyzed° This report should not be reproduced by client or anyone without eritteu perrision from Dove Environmental Corporation. All sampled will a stored - for a period of 1 'oath. Our laboratory uses various microscopes and is VAP accredited.Floor•Tile is not-b geneous aad results Daly refle.tt sasple content, v..... tzt=3aasss. mo az atm a.sscasssmsmstaffiGaaeZtt<=m=r, etogt 22::as. s s2aaax= ==ssssst:2asa¢saa=Zt4T: Rajendran LA;;* T ER 0 PEE .. .: A SUITE tel. 9S 74 Falb (954) 639.7. ASBESTOS TEST R CLIENT : AIR MD ADDRESS: 7700 CONGR ESS AVE 1119 BOCA RATON FL 33483 PROJECT: 1.1300 N.E. 2ND AVE., MIAMI S ES, BENNIN C: SLOG. (PROJECT #12996) CONSULT: STEPHEN HAHESSY LAB NO. ERI /HOPI DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS : LAB NO. FRI/HOM DESCRIPTION ASBESTOS TV? OTHER FIBERS NON FIBERS 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 : 951 MINERALS LAB NO, "RI /H0M DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON F. IBERS 12 NO /YES LAYERS: 01 TAN VINYL MAST IC NONE - DETECTED 5% CELLULOSE 95% RESINS FL 33025 PAGE : 4 DATE : 10/21/11 SAMPLE ID : 0110500 NVLAP Lab Code: 102053-0 SAMPLE NO.: 8010 DATE OF ANALYSIS: 10/21/11 10% FIBER GLASS NO,: B-0 DATE' A YSIS: 10/ SAMPLE NO.: 8 -012 DATE OF ANALYSIS: 10/2: arssacros.a =a¢rrzctc.74 ca aaaascccc.azz =_dstsass —a.asm .sracacssarsasaszaaztsmaea.an Dove Fsircnmertal Corporation is solely responsible for analysis performed as client and method 40 CFP Part 763 Subpart F App. SPA1600/0•931116. Measurement Duce available by contacting the Laboratory. caboratory Reports v'il1 be kept for a electronically. Percentages are visually estimated. Paint count performed at cl only to item analysed. This report should not be reproduced by client or anyone Dove navirc€anntal Corporation. Al: samples sill be stored for a period of pes and is PUP accredited.Pimnr -'Pile is non-homogeneous content, h Ramnath TAY MANAGER DOVE R a TA 134 MIRAMAR PARKWAY, SUITE 2 0 MISAMAR 33025 Tel. ( F) 374-927454e: (958) 639-7426 ASBESTOS TEST R T CLIENT : AIR MO ADDRESS: 7700 CONGRESS AVE 1119 BOCA RATON FL 3 7 PROJECT: 11300 N.E. 2ND AVE, a MIAMI SHOES. RENNIN C : BLDG. (PROJECT #12996 CONSULT: STEPHEN HAHESSY LAB O. FRT/HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS NON FIBERS LAB NO. FRI/HOM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : 13 YES /NO LAYERS: 0 WHITE DRYWALL NONE- DETECTED 30 CELLULOSE 60% MINERALS 14 YES /NO LAYE WHITE DRYWALL TAPE NONE- DETECTED 10 CELLULOSE 90 MINERALS LAB NO. : 15 FRI/HOM : NO /YES LAVE DESCRIPTION : TAN VINYL MASTXC ASBESTOS TYPE: NONE - DETECTED OTHER FIBERS : 5% CELLULOSE NON FIBERS : 15% MINERALS Dove 8nvironmentai Corporation is solely respoa aeac aad method 40 CPR Part 2k3 Subpart 1' App . by contacting tae Laboratory. Laboratory snicaily. percentages are visually estimated. to it analysed. Ibis report should not Dove ?avircnmsatal Corporation. All sap microscopes and is NYLAP accredit PAGE DATE SAMPLE ID NVLAP L. C : 55 10/2 : 8110500 102053-0 SAMPLE NO.: B -013 DATE OF ANALYSIS: 10/21/11 PAINT E .: B -014 : 02 DATE OF ANALYSIS: 10/21/11 DATE ESINS YSIS: 10/21 anyonetaoar period of 1 oaga aa4 rent ed by ion is years Results ritten Our oly e dranath Ratmath TORY : ER DOVE ENVIRONMENTAL MIRAMAR PARK AY, surre 200 MIRAMAR FL 33025 L (95 ) 374-9274 x (954) 639.7425 ASBESTOS TEST REPORT CLIENT . AIR MD ADDRESS: /700 CONGRESS AVE 1119 BOCA RA FON FL 33487 PROJECT: 11300 N.E. 2ND AVE, MIAMI SHIRES. B CABA BLDG. (PROJECT #12995) CONSULT: STEPHEN HAHESSY .=.,====.44 7 LAB NO. FRI /HOI DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS . LAB NO. FRI/HCM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS : NON FIBERS LAB NO. FRI /HOM DESCRIPTION : ASBESTOS TYPE: OTHER FIBERS : NON FIBERS : e.__3zzzQ7` +zz SSaz= 16 YES /N4 WHITE DRYWALL NONE - DETECTED 25% CELLULOSE 65% MINERALS YERS: 03 17 YES /NO LAYERS: 02 WHITE DRYWALL TAPE NONE - DETECTED 10% CELLULOSE 90% MINERALS 18 NO /`DES LAYE WHITE VINYL MASTIC NONE-DETECTED 5% CE!. LULOSE. 15% MINERALS PAGE :6 DATE : 10/21/11 IIN SAMPLE ID : D11.0500 NVLAP Lab Code: 102053-0 SAMPLE NO,: B -01,6 DATE OF ANALYSIS: 10/21/11 10% PAINT SAMPLE NO.: B -017 DATE OF YSIS: 10121/ SAMPLE I DATE OF ANALYSIS: RESINS zzz'z+_.T3zbz3.2s2.4., 7 =7.z=tatzt.,xtzvtCZetz22z_xz==Z: =s D=:zII.°='z Dove Environmental orcratioa is solely responsible for analysis performed on sample coat d me =tuod 4 Part is3 fiubpart F App. IPA /04 /P- 93 /11Cs. Measure.. at Uncertainty by contacting tbn ab rmtory, Laboratory Reports will be kept fora period of three fly. Percentages are visually estimated, Foist count perfo . to iten analyzed, ?his report should not be reproduced by o Dove Environmental Corporation, All samples will be stored o tory uses various vicroscopes and is MAP accred ted.P1Qor -rile is non- boaogeneon retied sample cot €nt. quest on vi tout of I month. and results only ....... zzzxxe ..ax=7x2,z7r......==am_4.... .z.4 27%. a= s_ zazas= xx= x= t. z. ss a_.:__ eaxsaxzzst zzasz¢asaeaaas�e >sysata.ssx =ar,a Ra :h RS mna4h Y MANAGER Cove Client Name: Address DOS` ENVIRONMENTAL LABORATORIES, 8910 Miramar Parkway, suite 200 Miramar Fi 33 025 Te1(954 -374 -9274) Fax(954 -639 -7429) E-mail: Web Address; cas Date Lab ID: Total Sample Sampler's Name: Sampler's Signature: Received at Lab by: Condition of sample(s) eiv Sample login by: Sample login date: Date Collected: Turn Around (hrs): Date Received: Comment: Dove Client Name: Address Tela # /Fax DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar FI 33025 Te054- 374 -9274) Fax(954 -639 -7429) E¢ma�l: Web Address;�kr; Date Lab .ID: Total Sa p Sampler's Name: Sampler's Signature: Received at lab by Condition of sarnple(s Sample login by; Sample login date; roo Date Collected; Turn Around (11 Hate Received: Comment: o el . a1;ior Results r"� 0. < € Gu/ t F 5°w " A 'b. <r sxq.s.s..:ti <sg' 4: •%,,w io^".C_- tit °'F Yk A. z 4-w_" t�' -�^ .......... _. '..,. q. ____ " z ti ""' •tip Sampler's Name: Sampler's Signature: Received at lab by Condition of sarnple(s Sample login by; Sample login date; roo Date Collected; Turn Around (11 Hate Received: Comment: o el 107:411AV 110 t NESORT Mi0ChMOri Project Name/Number: Structure Type: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: Potential ACM: , AM.QP■fiff>f.ffe* ., .,..,. , • ',,,, C 4 .1.;,....; 4' tiltA4A- Location: 0:0;:4 tci Friable: ''i Area: '''':', Condition: ,i,Potential disturbance: 1144,14.. 4 *44.W A,4.1,4:d,, Location: i-AS-1 7,:',',„14 Friable: h.. Area:4 COndition*-Potential disturbance: 1- ,Location: 4,1sie. 12"1„ Friable:. t: Area: •$Condition:i- Potential clisturbante t, -OW LocatIam 4,4; ", 2,1:2-, Friable: \Area: '-Condition: 'foteritial disturbance: :,,,-- Project Address: ( A,ssessotent areas: CM -%.:t Location: Location: Location: 1_4 Inspector Name: z Friable: t Areai-Condition:!', Potential dist° nee: 4 Friable: Condition: 6 Potential disturbance:1 Friable:1 Area: 1 . Condition:( Potential disturbance: Location: .1 'I:1'ft Friable: ki Area: Condition4, Potertia disturbance: Legend: V: Yes G: Good H:'•High N: No F: Fair WModerat 8: t: .1010 A a, Suite 24 WE At INV CV SAI, X A Al#A. ID, Itt OA 14 P- ject NameiNtaltbec Project Address: i 3g, Structure Type: .1Lta r4k,ve ];,.:&.1„,'.1' Assessment areas: Potential ACM: avr-1:4;4.. Location: Potential ACM: Potential AMC t y Potential .0 Potential ACM: Potential ACM: Potential ACM "' 4, '7, .• cit,444,A, Potential ACM: ‘;:-4,-411A. .;,4,..1 iLeinSE1 A.,,,,rnt, Date: 44_4 inspector Name: 1. Friable: ti Area: '-Condition: 4- Potential disturb nce:. Loction: ,,,n<1,1, Friable: A Area:Z_Conclition: ',-,Poteritiat disturbance:I- Location: an: ,!nk Friable: Condition:r'S Potential disturbarice: 4,1 Location-, -.;j2 Friable: Area:, Condition: Potential disturbance: Location: Friable:f, Area: Condition: <Potential disturbance: '-- Loctiori: Friable: 1 Area: Condition: Potential disturbance: Location: I 2. k Friable: 4 Area:;.:.. Condition: Potential disturbance: Location: Friable: Area: i-, Condition: 4Patential disturbance: Legend: Y: Yes 6: Good H: High ft: NO F: Falr M: 8: Bad L: Law 7700 Congress Avenue, Suite 1119 Raton, FL 33487 (S61) 245-4S00 Page 1 0 of:AtIt- if.0‘11;0 f t Project Name/Number: Structure PIK Project Address: 0. ?' g:44 Assessment areas: Potential ACM: !, Potential ACM: Date: Inspector Name: Location: Friable:, Ar a: Lt Condition;-Potential disturbance: Location: ..„,i;.1 Frialtle Ara: -; Conditiorr,- Potential disturbance: Potential ACM: Location: t Friable: 1j Area: tCondition: - Potential disturbance: Friable: Area: Condition: Potential disturbance: Potential ACM: < Potential ACM: Potential ACM: Potential ACM: Potential ACM: Location: Location: •.:0,a Location: Location: 'Location: Avenue, Suite 1119, Page 1 of 1 Friable Area: ' Condition: IPqtentaI disturbance: Friable: Area Condition: Poteritia turbance: Friable: - Area:— Cortdition: < -Potential disturbance:,, Friable: Area: Condition: Potential disturbance: Legend! 2 Y: Yes G: Good 14: High N: No F: Fair M: Moderate 8: : L: Low WUR,TOR 1: Y ENVMROE:Rf Project Name/Number: Structure Type: , Project Address: Assessment areas: Potential ACM: Potential ACM: Potential ACM: ttlire,,..9 Potential ACM: Potential ACM: k' kfirtc -4 Potential ACM: Potential ACM: ;re) Potential ACK 1 Date: Inspector Name: Location: Friable:,-, Area: -,Condition: Potential disturbance: , Location: Friabe = Area Condition: Potential disturbance: Location: z, " Area: Condition:, k Potential disturbance: Location: -; Area: Condition:, Potential disturbance: Location: , ,,, ? Friable:0 Area:,•, Condition:',- Potential disturbance: Location: 4t1 '1 Friabk:'% Arec„ Condition: Potential disturbance: Location: Area:sCondition-Potentlal disturbance: Location: Z L friabtell Area «CondUon Potential disturbance: Legend; 1/7, Yes 6: Hz High N; No F: Fair M: Moderate 8: Bad L; Low Poo A Page 1 of 1 3 :air :cars) Nlt t 4. f44,1 Ultv Pro*ct rtiameiNumber: Structure Type: 1:6 Potential ACM: f,Itt,t,L C. Potential ACM: Potential ACM: ,f Potential ACM: Potential ACM: - Potential ACM: .; PotentA.0a: 13,Av'3:1' Potential ACM: Ph ,sic SUS Cr Project Address: ; 24. ivto &4: 4 ictz," Assessment areas: inspector Name: Location: Friable: I' Area. 0 Potential disturbance: L. Location: *„.,f.„e„- Friablesi Ares:3'. Condition:': 'Potential disturbance; L. Location: „ t Area:4,Coridition: —Potential disturbance: Lor,ation: t; Friable:,1 Area: Condition: ,fotential disturbance: Location: 4.:,t1, Friable: J. Area: Condition: Potent al disturbance: Location: Friable Area: '4,, Condition:-:, Potential disturbance: 4,4:4 Location Fnable Area Coridit -P ion: 4otential disturbance: Locatkniz 36. L:a Friablc Area: Condition: Potential disturbance: Legend: Y: Yes G: N: No F: Fair F133487 (Stij 2454 Page 1 of 1 9: H: High M: Moderate 1: Low Project Name /Number: Structure Type: Potential ACM: tg Potential ACM: Potential ACM: Potential ACM; Potential ACM: Potential ACM: Potential ACM: Potential ACM: oject Address nt areas: atiorE. a Location: Location; Location: Location: Location :. Location: Location: Inspector Name; Friable: Area: ,)Condition: - Potentialdistu Friable :f> Area Condition:, Potential disturbance: Friable: Area: Condition: Potential disturbance: Friable: Area: Condition: Potential disturbance: Friable: Area: Condition: Potential disturbance: Friable: Area: Condition: Potential disturbance: Friable Area Condition: Potential disturbance: Friable: Area: Condition: Potentia disturbance: Legend: Y: Yes G: Good H: High N: No F: Fair M: Moderate B :Bad L: Low A S 2 uccessfully completed an English 27 -Apr TSCA rats !t F, Stump Ave., Fort Lauderdale, fl, 3 Ceti; 04/27/11 STATE OF FLORIDA DEPARTMENT OF B SINES ASBESTOS LICENSING UNIT 1940 NORTH MONROE STREET TALLAHASSEE FL 32399+ -0743 AID SCOTT A RUSSELL 7700 CONGRESS AVE STE I19 BOCA RATON FL 334 Cenctatittatettst Wit this you become one of ther tetentatts intenow by, the Department 4 i l; he end Prot { ttett OUP Mf 5Si 41.W c and t x:o ,..r''s& are. Now? from mthit Stg, nmom %s ,4.t VmPfnue mstUmMuts, and they keep i resnott'°s economy , shi t ac`s me way do t„< > f C,N.5 , e ttlet s€ v a Via:: <€ : * %}'zap . z 4'.:41ertlt vsiVirwstrtimitiMicetise.cetn. ASBESTOS BO rmaw alm41 S d di4ZiOtT5 and tnx .•r.:.c;,„;13..tmus filr.g AI MID 493ff,:13x tetttut t*,„„.. ° SCOTT A RUSSE .02 A RE TION 487 -1395 ASS AND T1 00295661 ZATI f Zh129 DEPART DETA i HERE STATE OF FLORIDA AS ifiSi€3R I,CEi U G DATE . ATCH KU R 0q2 42, 21! p 2 The ASBESTOS Named below IS I Under the provtcion Expir.arian dates MOV Al SCOTT A RUSSELL 77O0 CONGRESS A 13 CA RATON CK SCOTT GOVERNOR p .er.469 Fr. STE 11 C *' RL IF CFE'T3 :AY A S REDUIRIS LAW.,