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DEMO-12-1982Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180385 Permit Number: DEMO -10 -12 -1982 Scheduled Inspection Date: December 10, 2012 Inspector: Bruhn, Norman Owner: SERVICES, AURORA Job Address: 1275 NE 94 Street Miami Shores, FL 33138 -2946 Project: <NONE> Contractor: THUNDER DEMOLITION INC Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number (800)550 -0508 Parcel Number 1132050100090 Phone: (305)757 -9444 Building Department Comments DEMOLITION OF THE ENTIRE HOUSE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments /02' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 07, 2012 For Inspections please call: (305)762 -4949 Page 13 of 41 RESUBMITAL DATES: 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 ID\ 6},-16:--r BUILDING BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: BUILD la 5 a-1'1 St- Permit No. 'BC 20 �2 1 Master Permit No. ROOFING City: Miami Shores County: Folio/Parcel #: S tTh m ®1 D' ®OCI 0 Miami Dade zip: 3313 ' Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): (I AnconST1Q. Phone #: ®3 °-515 - sbZ.i t Address: a5bt S . � 1 "lT. 1-� t imviA9 i 21 City: 1.1tS■9tlA State: T '<P Zip: 1666 7 Tenant/Lessee Name: Phone #: Email: M.i . +laetsES e t041-101S'ITh VVI to l , ('.,p 4 CONTRACTOR: Company Name: \ \ ) V t3 Q 66,-(114k-Vt. 1 \ Phone #: Address: , �� <C C City: State: l'(_ Qualifier Name: e rref 4- AA Zip: 5 V3 Phone #: 30 5 311120 Certificate of Competency, #: ©5 SSQc y 4g Contact Phone#: S c� G`t 4 -` Email Address: t( @_ 4-�acvk [`d-d " 4L6Yi - T' DESIGNER: Architect/Engineer: Phone #: e State Certification or Registration #: Value of Work for this Permit: $ / 5, 06 0 Square/Linear Footage of Work: 2900 Type of Work: °Addition °Alteration °New DRepair/Replace I,)emolition Description of Work: -tcytiost ® t0L11 3 Color thru tile: * * * * * * * * * * * * * * * * ** * * * * * * * ** ************ Fees********** **************** * * **************** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ .W CCF$ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE 81 44(0 14(0 . 50 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, BOIT FRS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur The fo day of Owner or Agent trument was ac owledged b who is personally known to me or who has pr As identification NOT Si Signature Contractor The foregoing instrument was acknow edged before vif this day of ,i , 20 /c, by ,�--rr a / it f7C_. who is personally known to me or who has produced d take an oath. as identification and who did take an oath. NOTAR) PUBLIC: Sign: nt: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20074027804 MY COMMISSION EXP* Plans Examiner y Commission Expire RA 3 : c:,w ;71- ubiic - State of Florida .3 My Comm. Expires u 14, 2014 ' 05,r Commission # 00 973310 Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Prope Folio 11- 3205 - 010 -0090 Property Address 1275 NE 94 ST Owner Name(s) AURORA LOAN SERVICES LLC 327 S IVERNESS DR ENGLEWOOD CO 80112 Primary Zone 1400 SGL FAMILY - 3001 -3250 SQ Use Code 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths /Half 3/2/0 Floors 2 Living Units 1 Adj. Sq. Footage 2,923 Lot Size 9,375 SQ FT Year Built' 1938 Legal Description MIAMI SHORES BAY VIEW PB 40 -16 LOT 10 LOT SIZE 75.000 X 125 OR 18677 -3640 04 1999 1 COC 25086 -3733 10 2006 1 OR 26643 -3509 1008 01 Current Previous Year 2012 2011 Land Value $162,000 $135,000 Building Value $266,898 $268,548 Market Value $428,898 $403,548 Assessed Value $428,898 $403,548 Current Previous Year 2012 2011 Homestead $0 $0 2nd Homestead $0 $0 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 idow(er) $0 $0 MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser Aerial Photography 2012 Tax Current Previous Year 2012 2011 Exemption /Taxable Exemption /Taxable County, $0 / $428,898 $0 / $403,548 School Board $0 / $428,898 $0 / $403,548 City $0 / $428,898 $0 / $403,548 Regional $0 / $428,898 $0 / $403,548 Date Amount Recording Book -Page Qualification Code 10/2008 $100 26643 -3509 Sales which are disqualified as a result of examination of the deed 2/2006 $0 24479 -1969 Sales which are disqualified as a result of examination of the deed 10/2006 $1,225,000 25086 -3733 Sales which are qualified 5/2005 $750,000 23415 -0882 Sales which are qualified 4/1999 $282,000 18677 -3640 Sales which are qualified 2/1999 $0 18498 -2750 Sales which are disqualified as a result of examination of the deed • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. 1 COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. V COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. V COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. v COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: T Holub i .. buM OL i Ti IN C' BUSINESS ADDRESS: '1 315 r 3 `d C* CITY H 14l,t, STATE Pt. ZIP CODE 3 3 I -38 BUSINESS PHONE: (30 ) 951 q44 4 FAX NUMBER Os) 9 511 (11-4 LI t CELL PHONE O) eth22 %6dQUALIFIER'S NAME: 1710rInlii Mae-04 QUALIFIER'S LIC NUMBER: 0573S OO & Yi E -MAIL ADDRESS (IF APPLICABLE): \ c� c) , --Pn ondethemoVii . eJaH Created on 3119109 BY MLDV I RV 3!26109 MLDV rram:Acent America un 12 2012 1545 P001/002 386 423 5521 06/12/24:39 #267 P.001/002 „ CERTIFICATE OF LIABILITY INSURANCE DATE (MNWDDIYYYY) 08/12/2012 02:48 ytl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerfcate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. a statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Highpairot Risk Services 1,14 5510 LBJ Freeway, Suite 1200 Dallas, TX 7524{) odaradTIMin MOM puc.w.ng: (800)72•0523 IFemeo.we Ms72)40:4 -0300 aaaw.A00inne, INSURERS AFFORDING COVERAGE WUC INSURER A: Co eatou Property and casualty Immune Company 12157 INSURED: p,MS 1/c/f: THUNDER DEMOLITION, INC. 7373 N.E. 381) COURT MIAMI, FL 33138 Phone: (305) 757 -9444 Fax: (305) 757 -9441 INSURERS: "C°Pahaa. Property and Canuatty Ineuraaoe Company , 1215? INSURER 0: F165077431 INSURER D: 02/08/2013 INSURER E: $ 1000000 $ 100000 INSURER F: • THIS IS TO CERTIFY THAT THE POLICIES OF NOTWITHSTANDING ANY REQUIREMENT, TERM PERTAIN. THE INSURANCE AFFORDED BY THE MAYJ-IAVF REFN REM MFG BY PAID f:r AIMS INSURANCE OR POLICIES WM LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN L, R TYPE OP INSURANCE S D POLICY NUMBER DAT {gtErr 11} pQ gXP DATE�IYY► LIMITS A GENERAL X LIABILITY COMMERCIAL X OCCUR Dame ❑ ❑ F165077431 02/08/2012 02/08/2013 EACH OCCURRENCE $ 1000000 $ 100000 MAWS EA t ( CLAIMS MADE MED EXP (Any mae peasan) $ 5000 X Brd Fm Prop. PERSONAL &ADVIAUURV $ 1000000 X Contr Liab. & XCU GENERAL AGGREGATE 4 2000000 G GENN.L AGGREGATE LIMIT pAPPUEBPER: 0 nJEOTnLOC PRODUCTS - COMP/OP AGO $ 2000000 AUTOMOBILE — — "- — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ❑ ❑ COMBINED SINGLE L4MIT accident) $ BODILY INJURY (Par Person) 8 BODILY tlNURV (Pat aoUdanl) $ PROPERTY DAMAGE (PeraoOdent) 8 $ _ UMBRELLA L1AB EXCESS LIAR OCCUR ❑ EACH OCCURRENCE $ AGGREGATE $ — DEDUCTIBLE RETENTION $ $ $ • 5 WORKERS dbMPEN$MIONAND EMPLOYERS UABLITY y ANY PROPERIETOR/E(ECUTIVE r ry oFFICERAIEMeEREXCLUDED? Mandatory In NH) if yes, describe Under SPECIAL PROVISION below NW ❑ DPE26272740260 04/01/2012 04/01/2013 gg p x 1 GRYTi�NRS 1 (OET�i- E.L. EACH ACCIDENT $ 1000000 E L. DISEASE -EA EMPLOYEE $ 1000000 EL. DISEASE • POLICY LIMIT $ 1000000 ❑❑ DESCRIPTION OF OPERATION SILOCATWNSIVEHIGLEMAtfached ACORD101, Addltlons) Romarks Sohsdute, 0 more space (a requlred 1. This certificate remains in effectro ided the c ien 's account is in ood standin with AMS. gFiesetos188 p tne mioyeee spagtieasedwa hAtkBEEILIA8Li4I N fle? te? ?ace: 0 %0th b12 MIAMI SHORES VILLAGE BLDG. DSFT. 10050 N.E. 2ND AVE. MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _,„,,zorsjogi"�"„�.•v�- �'� --•� ©1988.2010 ACORD CORPORATION. AO right reserved 554386 -4. BUSINESS NAME / LOCATION THUNDER DEMOLITION INC 7373 NE 3 CT 33138 MIAMI INS 143 TABILL— DONOTPAY RENEWAL RECEIPT NO. 578437 -7 CC 8 058S00348 OWNER THUNDER DEMOLITION INC Sec. Type of Business 196 SPECIALTY THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR cmES. NOR DOES IT EXEMPT THE HOLDER PROM ANY OTHER PERMIT OR UCENSE REQUIRED BY LAW. THIS Is NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/26/2012 60100000105 000045.00 SEE OTHER SIDE FIRST -CLAS: U.S. POSTAG PAID MIAMI, FL PERMIT NO. Z WORKER /S BUILDING CONTRACTOR 1 DO NOT FORWARD THUNDER DEMOLITION INC RONNY F HERRERA PRES 7373 NE 3 CT MIAMI FL 33138 111111111111111h I ihthihhafth i ►t #1#lt its #Ian! DO NOT FORWARD THUNDER DEMOLITION-INC RONNY F HERRERA PRES 7373 NE 3 CT MIAMI FL 33138 Ilvittiill tits '#t ilia ts !lltl111ttilllll!lIIAPin) Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl Asbestos Survey — Project Summa Pursuant to your request; ARS Environmental, Inc., has performed an Asbestos Building Survey on 6/12/2012 and limited to the above referenced location. The Interior/Exterior/Roof of the above referenced location was visually inspected to identify building materials that may contain asbestos. Suspect materials were collected and samples sent to laboratory for analysis. �aboratory Resu Based On The Laboratory Analysis, No Asbestos Was Detected In Amounts Greater Than 1% In The Secured Bulk Samples. It has been a pleasure working with you. Please call on us again. Regards, ex Front, ARS Environmental, Inc. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954 - 227 -2402 • Fax: 866 -816 -5110 u/u/a/ arsenvironmental.com • sales@arsenvironmental com • AIDS EIVC'IIWNMEIVTAL, wc. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 2 of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl be os Survey Certifcati( I, Timothy F. Caughey, hereby certify that this asbestos survey was conducted at the above referenced Job Site on 6/12/2012, and performed by Alex Front, accredited by the EPA as AHERA Inspector(s), utilizing the code of the Federal Regulation Standards, 40 CFR, Part 763, Subpart E, Section 763.80 - 763.99 and the State Asbestos Regulations, Florida Statutes 469.003. THIS D1CUL1EVT 17%8 A CCLOREI BAC(GHHO1f4r x15710 01 >RINTING ,! NEMARKfrrPAiEN hED PAPER te::;... DATE BATCH NUMBER 7#1r Timothy F. Caughey, M.P.H. Florida Licensed Consultant 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954 - 227 -2402 • Fair: 866 -816 -5110 uiNu'.arsenvironmentafcom • sales@arsenvironmental.com ARS EIWIIWIVMEIVTAL, INC. Environmental Consulting Serdices Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Ouatity Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 3 of 15 Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl Ashes ey t11Cian i ertitication I .<t i ;171 01tenr • .D,ityl quts�iil - -,IL Ieh��+L7;eG Alex Front Certified Asbestos Surveyor ARS Environmental, Inc. 10097 Cleary Boulevard • #305 • plantation, FL 33324 • Phone: 954 - 227 -2402 • Fax: 866- 816 -5110 cvcvu' arsenvironmentaL corn • sales@arsenvironmentaLcom AIDS EIVt'IIWNMEIVTAL, ANC. • Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Ouality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 4 of 15 Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Asbestos Survey - Bulk Sample Itemization Sample Number Material Class / Sample Description / Location Sample Physical Water Material Condition Damage Damage Contact Sample Friability Approximate Size Positive Stop Asbestos Detected Layer Surfacing Material Plaster Coat Over Drywall Throughout Dwelling High Friable 6,000 Sq. Ft. Asbestos Not Detected Asbestos Not Detected Plaster Coat Over Drywall Throughout Dwelling Asbestos Not Detected The following non - suspect materials were observed during the survey (no samples were taken): Metal bathroom heater; no insulation. Ceramic tiles. No insulation observed behind walls. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954. 227 -2402 • Far 866- 816.5110 WWul arsenvironmentaLcom • sates@arsenvironmentat eom • ARS EAIC'IlWNMEAlTAL, INC. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 5 of 15 Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Asbestos Survey Bulk Sample Itemization Sample Sample Physical Water Material Number Material Class / Sample Description / Location Condition Damage Damage Contact Sample Friability Approximate Size Positive Stop Asbestos Detected ntp 7 Miscellaneous ' � �� E to High Non - friable 800 Sq. Ft. Asbestos Not Detected Layer 12" X 12" Floor Tile; Peel And Stick; Wood Design Mastic 2nd Floor Bedrooms Miscellaneous ioa No _ ne High Non - friable 100 Sq. Ft. Asbestos Not Detected Layer Cement Board Behind Walls 1st Floor Bathroom Se 9 Miscellaneous ,� Low Non - friable 6,000 Sq. Ft. Asbestos Not Detected Layer Roof Material; Membrane Under Concrete Roof Tile Miscellaneous � �' N� ' Low Non - friable 1n ®+ . e q` r Asbestos Not Detected Layer Roof Material; Membrane Under Concrete Roof Tile i �Q3 � �IiE { iii is A • " "le Miscellaneous t ,y None None High Non - friable 7,000 Sq. Ft. Asbestos Not Detected Layer Interior / Exterior Concrete Structure Throughout Dwelling �lr Miscellaneous Tone None . Low Non - friable 7,000 Sq. Ft. Asbestos Not Detected Layer Exterior Concrete Roof Tile Over Dwelling The following non - suspect materials were observed during the survey (no samples were taken): Metal bathroom heater; no insulation. Ceramic tiles. No insulation observed behind walls. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Far 866 - 816 -5110 WWW.arsenvironmentat com • sales@arsenvironmental com ,ins EIVt'IIWNMEIVTAL, INC. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 6 of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl Asbestos Survey - Bulk Sample Itemization' Sample Sample Physical Water Material Number Material Class / Sample Description / Location Condition Damage Damage Contact Sample Friability Approximate Size Positive Stop Asbestos Detected Miscellaneous Low Non - friable Layer Roof Material; Field Membrane Over West Side Front Canopy Of Dwelling 1,000 Sq. Ft. Asbestos Not Detected Roof Material; Field Membrane Over West Side Front Canopy Of Dwelling Asbestos Not Detected The following non - suspect materials were observed during the survey (no samples were taken): Metal bathroom heater; no insulation. Ceramic tiles. No insulation observed behind walls. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954- 227 -2402 • Fax: 866- 816 -5110 a icvu'arsenvironmentaLcom • sales@arsenvironmentaLcom ARS EIVC/IIWNMEIVTAL, hvc. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page7of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl Friable As stos Containing Material Sample Number Description / Material Class Location Sample Physical Water Material Sample Asbestos Approximate Size Condition Damage Damage Contact Friability Detected ei Friable: any material containing more than one percent asbestos which has been applied on ceilings, walls, structural members, piping, duct work, or any other part of a building, which when dry, may be crumbled, pulverized, or reduced to powder by hand pressure. The following work practice should be followed whenever demolition/renovation activities involving RACM occur: Notify EPA of intention to demolish/renovate, remove all RACM from a facility being demolished or renovated before any disruptive activity begins or before access to the material is precluded, keep RACM adequately wet before, during, and after removal operations, conduct demolition/renovation activities in a manner which produces no visible emissions to the outside air, and handle and dispose of all RACM in an approved manner. The above building material is considered friable and must be removed by a Florida Licensed Asbestos Abatement Contractor, prior to any disturbance caused by renovation or demolition. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting or discouraging removal. In the event that demolition or renovation is deemed necessary, parties shall comply with all applicable laws, ordinances, rules and regulations of Federal, State and Local Governmental Agencies, including any National Emissions Standard Hazardous Air Pollutants (N.E.S.H.A.P.) Notification requirements 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954- 227 -2402 • Fax: 866 - 816 -5110 ulcvu/.arsenvironmentaLcom • sales@arsenvironmentaLcom ARS. ENVIRONMENTAL, ,NC. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor. Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 8 of 15 Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl Category I Non- Friable Asbestos Containing Material Sample Number Description / Material Class Location Sample Physical Water Material Sample Asbestos Approximate Size Condition Damage Damage Contact Friability Detected The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition and no repairs or renovations are scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodelling activities which could possibly release fibers into the air. To reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. However, at the minimum, a formal Operations and Maintenance (O &M) Program is recommended to minimize potential fiber releases, monitor any future deterioration, and to ensure proper record keeping. Under the FDEP regulations, Category I non - friable asbestos- containing materials may be left in place during demolition under wet conditions. However, OSHA regulations require that disposal of asbestos- containing materials and debris is disposed of in a leak -tight and labeled container. The container may be plastic bags so long as the holding is leak- tight. All materials must be disposed of in a Class I landfill and manifest as Category I Non - Friable Asbestos containing material. To meet the requirements of a wet demolition, it is the responsibility of the demolition contractor to control any visible emissions by adequately applying water on the structure. Furthermore, the work practices for the demolition of a building containing asbestos must be in regulatory compliance with OSHA 1926.1101. All materials must be kept thoroughly wet or saturated during the demolition to assist in preventing the release of asbestos fibers. A certified asbestos supervisor must perform or supervise the work. If during the demolition process visible emissions are observed, the asbestos- containing materials must then be abated. The regulations of the Occupational Safety and Health Administration (OSHA) applies to any detectable amount of asbestos in building materials or on facility components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a commercial setting requires training, specific work practices, and disposal methods for the asbestos and asbestos- containing debris. However, if Category I Materials have become friable or are in poor condition, they must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting or discouraging removal. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954- 227 -2402 • Fax: 866- 816 -5110 tvtvw.arsenvironmentaLcom • sates@arsenvironmentafcom 4RS EIW1IWNMEIVTAL, ,nrc. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 9 of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Category II Non- Friable Asbestos Containing Material Sample Number Description / Material Class Location Sample Physical Water Material Sample Asbestos Approximate Size Condition Damage Damage Contact Friability Detected lendattc The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition & no repairs or renovations are scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodelling activities which could possibly release fibers into the air. To reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. The above building materials are considered Category II Non - Friable and are likely to become crushed, crumbled, pulverized or reduced to powder during demolition or renovation therefore must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. To meet the requirements of a wet demolition, it is the responsibility of the demolition contractor to control any visible emissions by adequately applying water on the structure. Furthermore, the work practices for the demolition of a building containing asbestos must be in regulatory compliance with OSHA 1926.1101. All materials must be kept thoroughly wet or saturated during the demolition to assist in preventing the release of asbestos fibers. A certified asbestos supervisor must perform or supervise the work. If during the demolition process visible emissions are observed, the asbestos - containing materials must then be abated. The regulations of the Occupational Safety and Health Administration (OSHA) applies to any detectable amount of asbestos in building materials or on facility components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a commercial setting requires training, specific work practices, and disposal methods for the asbestos and asbestos - containing debris. However, if Category II Materials have become friable or are in poor condition, they must be removed before demolition or renovation begins by a Horida Licensed Asbestos Abatement Contractor. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting or discouraging removal. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954- 227 -2402 • Fax: 866- 816 -5110 a WW arsenvironmental com • sales@arsenvironmental com ARS ENUIf20NMENTAL, INC. 1 Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air _Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 10 of 15 Scope of Work ARS Environmental's inspections are limited and non - destructive in nature. Any conditions or materials which were not able to be visually observed on the surface, or in easily accessible areas, were not inspected and may differ from those observed. It was not within the scope of this investigation to remove surface materials to investigate portions of the structure or materials which lay beneath the surface. Our selection of sample locations and frequency is based upon our observations and the assumption that like materials in the same area are homogeneous. This inspection report is the result of a diligent search of the facility for Asbestos Containing Building Materials (ACBM). The purpose of this inspection was to identify those materials which may pose a health hazard to occupants of a building and impart future liability to the owners and insurers of the property. However, we do not claim to have identified all of the asbestos containing building materials present in the facility. Materials such as underground pipes, any material inside walls, ceilings, floors, or other enclosed and inaccessible areas were not sampled and are not covered in this report. This report is designed to aid the building owner, architect, construction manager, general contractor, and potential asbestos abatement contractor in locating asbestos containing building materials. Under no circumstances is this report to be utilized as a proposal or a project specification document. This report is based upon conditions and practices observed at the property and information made available to the surveyor. This report does not intend to identify all hazards or unsafe practices, nor to indicate that other hazards or unsafe practices do not exist at the premises. In the event that demolition or renovation is deemed necessary, parties shall comply with all applicable laws, ordinances, rules, and regulations of federal, state, and local governmental agencies, including any National Emissions Standard Hazardous Air Pollutants (NESHAP) notification requirements. Right of Entry The client will provide for right of entry to ARS Environmental's personnel in order to complete the above referenced work. Invoices ARS Environmental will submit invoices to client upon completion of services. Ownership of Documents All reports, field data, field notes, laboratory tests data, calculations, estimates, and any other documents prepared by ARS Environmental as instruments of service shall remain the property of ARS Environmental. Assumptions and Limitations The results, findings, conclusions, and recommendations expressed in this report are based only on conditions which were observed during inspections by this report. ARS Environmental makes no representation or assumptions as to past conditions or future occurrences. Assigns Neither the client nor ARS Environmental may delegate, assign, sublet or transfer his duties or interest in this agreement without the written consent of the other party. Roof Cuts To obtain accurate information in a roof investigation, roof cuts approximately four inch 4" squares, may be deemed necessary. It is the responsibility of our client to make appropriate repairs to these roof cuts, using materials consistent with the roofing system and in accordance with any existing material manufacturer's warranties. A roofing contractor or maintenance personnel selected by our client should be on the roof to make any necessary repairs at the time the samples are being obtained. Although, every attempt will be made to make these repaired areas water tight, ARS Environmental will in no way be responsible for any water damage to the roofing system, building, or it's contents resulting from ARS Environmental temporary repairs. Disclaimer If in the course of a renovation or demolition activity, suspect materials become exposed, ALL FURTHER ACTIVITY SHOULD IMMEDIATELY CEASE AND THE STATUS OF THE MATERIAL SHOULD BE DETERMINED BEFORE PROCRF,DING. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954 - 227 -2402 • Fax: 866- 816 -5110 WWuLarsenvironmental com • sales@arsenvironmental com • ARS EIWIIWNMEIVTAL, MC. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 11 of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Asbestos Survey -- Technician Chain of Custody Forms and Field Notes N 4RS ENVIRONMENTAL," kile CHAIN OF CUSTODY Po count Requested on Fri a PLM tt l Die: A toe Bulk Sam erne 1 het Report Less 7Aen:� Turnaround Time Roo Same y • 24 Hour • 48 Hour • 72 Hour Project Location: ca -1o)' g OLocut -�tdCa D.') 5 w. ..gA Is t' Sampling Data: Samptes Taken By: Proleet Num�r: c�.dt 4,— ., II.:. RNq lMer gfm►pNLOOelton .,:' .. war �nbwt �:i „., , „•. ,, _, IIIUIII1ri 1 UIII111II 11111/11 I pill 1" ,—�t"dry all I� — .) E111111111111MI in e, ' •' .14.�. ,i, xP 6 s Y R J) ) '7:(; o' IC1D" 11111111! 11111el �1 11111 1111111111i1 NANO 7 1`0 �.� v.AL. ° rl 914(3 V . 6W2 (a, Eill II ra �'�� ex��.. ,51, ,. R..rn 1Sr'8.`I' NI\ i'{' lam, -J• �. 13 1 � \0 r, e lurfa �n.erulda isi T. �•.i.A_ '" MUM oust Materials b.- .r Ors bybemtprsanure.) 'r-. n rn:� m*r , 7� may Yidmsybe .. "� aredmedbpawdmN Transfared By: � / %AIWA . Date: (2 Recaived By: Date: 10097 CLEARV BOULEVARD • • PLANTATION, FL • TayggignmaNIMISIO1 • PHONE 954.227 -2402 • Fu:: 668419.6110 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fax: 366-816-5110 Wu/u/arsenvironmentalcorn • sales@arsenvironmental com • ARS EIWIIWIVMEIVTAL, INC. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold InOestigations Today's Date: 6/13/2012 Project Number: 20120836 Page 12 of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Asbestos Survey -- Technician Chain of Custody Forms and field Notes ASS Ew nONMEIVIALI ING CHAIN OF CUSTODY PoeUve Squ PolM Oounip nt R�Reueated ated On F Sampling Date: Samples Taken 8y: ProjectNumbsr: Ds.,0 1x: a3., eriele That Report Leee Than 1% Project Looation: . s c o f L r: 3 (U K) Is \ S\ tdt) Fib Page PL Turnaround Time Requested: Of Is: Asbestos Bulk Samples • 24 How • 48 Hour • 72 How e; Bamplet>Werl Loo& o ., 111 i° , (,a‘ e. ''. T lr . G vi P to FA 11 a \; . i ,0.)01 111111 L ISM iii • �■ II 11111111cya*\c, �■ 095, " L. • ►•, „ ,\t,G' • t ;, 5 8, lox MU NI L ix.- imsrmil A mop in 11111111111 moor 111111111111M1 e0 MN ,t,k_No,. S eG 0, 1, m i' l., kl 0 Dirl>ct lj -------- 111111Mbill. III •111111 MEV • NMI r Z1,1\61-0,1. t i`l V6 IR\f '. ) _ IIIIIIIIIIIIIIIIII had l be 61. Received By: ; • / -- 1 i Date: .10007 CtejRY Bota.eVAno • #3O5 • PLANTATION, FL • T O'1 • Plena: 92440-2402 • FA>G 1 0 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954 - 227 -2402 • Fax: 866 -816 -5110 uhou arsenvironmental,com • sales@arsenvironmental com • AIDS EIVC'IRONMEIVTAL, ANC. • Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 13 of 15 Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Asbestos Survey — Laboratory Results ARS FNUIJZONMENTAL, hoc. Enotromnental Cananf ing &Mesa Asbestos Business License SZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Ai godly Testing • Mold laoestigations Today's Date 6/13/2012 PrajeetNumber: 20120836 Page l of 3 Prepared For. Job Site: Ronny Harem Thunder Demolition Inc 7373 No 3rd Coat Miami, 0133138 Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Laboratory Analysis Semple Number Grass ASeriitioa Estimated Asbestos Pememage Nomesbe m %Fibers Nat -fibrous %Materials Drywall / Joint Compound No Asbestos Detected 30°m Ceadese 213% Glass 50% Drywall / Joint Compound No Asbestos Detected 30% Cellulose 20 Glass 50% Drywall /Joint Compound No Asbestos Detected 30% Cellulose 20/6 Glass 50% Plaster No Asbestos Detected 5% Cellulose 95% Plaster No Asbestos Detected 5% Cellulose 95% Piaster No Asbestos Detected 5% Cellulose 95% Alex Frmt, Analyst 10097 Clear, Bouteoard • 6305 • Plantation, FL 33324 • Monet 954 - 227 -2402 • Fax 866-816-5110 ulww.arsem,ironmentaLeom • safos@aarsenoiromnentaLoom 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954 - 227 -2402 • Fax: 866 -816 -5110 ululty arsenvironmentat com • salles@arsenvironmentat com • A„s. KS EIVt'IIWNMEIVTAL, nvc. Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air _Quality Testing • Mold investigations Today's Date: 6/13/2012 Project Number. 20120836 Page 14 of 15 Prepared For: Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, Fl 33138 Job Site: Residential Dwelling 1275 North Fast 94th Street Miami Shores, Fl Asbes :os Survey Laboratory Results email Consulting Services ARS ENUI KONMENTAL INC. Asbestos sus hless use #ZA-00001 64 Asbestos Consulting • Radon Memurements • Lead Aaeesemente • Wow Air Qualttg Testing • Mold 1a8estieations Todays Item: 0J13/2012 Project Number: 24120836 Page 2of3 Pmd For Job Site: Ronny Ih,....a Tlmoder Demolition Inc 7373 Ne 3rd Court Mmnri, F133138 1275NoResidual nb Fsst Street Miami Shores, F1 0-atory Analysis Samrde Number Gross Demri Fisemaad Mbestm F Non-mbcs. 6 Fibers Nomfibrom b Mumble Floor Tik - No Asbestos Detected 100% Mastic No Asbestos Detectul 10 Synthetic 90% Cement Board No Asbestos Detected 10, Synthetic 35sm (ilea, 55% Membrane No Asbestos Detected 20 Glass 35% Cellulose 45% Membrane No Asbestos Detected 20% Glass 35% Cellulose 45% Concrete No Asbestos Detected 100% Concrete No Asbestos Detected 100% Analyst 10097 Clearg Boulevard • 4305 • Plantation FL 33324 • Phone: 954.227.2402 • Fax 846. 816 -5110 wmmarseneironasentateom•sales nvironmentaLcom 10097 Cleary Boulevard • #305 • plantation, FL 33324 • Phone: 954 -227 -2402 • Fax: 866 -816 -5110 cvww.arsenvironmentat nom • sates@arsenvironmentat com • AIDS EIW/IIWNMEIVTAL, sac. • Environmental Consulting Services Asbestos Business License #ZA- 0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air _Oualitg Testing • Mold Investigations Today's Date: 6/13/2012 Project Number: 20120836 Page 15 of 15 Prepared For Ronny Herrera Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 Job Site: Residential Dwelling 1275 North East 94th Street Miami Shores, Fl Asbestos Survey — Laboratory Results ARS ENU1170NMENTAL ,nrG Erokonmeetal Consahing Smokes Asbestos Business IJcense SZA- 0000164 Camaiting-• Radon Measurements • Lead Assessment. • indoor A& $eafh8 Tenting • Mold Ineestiga den. Today's Data 6/13/2012 Project Number: 20120836 Page of 3 Prepared For lob Site: Ronny Acura Thunder Demolition Inc 7373 Ne 3rd Court Miami, F133138 127.5 NosrthnErZ Street Miami Shores, Fl Laboratory Analysis Sample Number Grass Demi Estimated Asbestos Nov -ssb®m 5, Rbera Nov -fibrous %Manials Membrane No Asbestos Detected 35% Cellulose 20% Glass 45'.2 Membrane No Asbestos Detected 35% Cellulose 45% 20 Glass Alex tunt, Analyst 10097 Cleary Boulevard • 9305 • Plantation FL 33324 • Phone: 954-227-2402 • Fax 866. 816.5110 v.. tnr arsenvironmentaLeom • sales@a senelronmentaLeom 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954- 227 -2402 • Fax: 866 -816 -5110 ulului.arsenvironmentalcam • sales@arsenvironmentalcom THUNDER DEMOLITION, INC. 7373 N.E 3rd COURT MIAMI FL 33138 TEL: 305.757.9444 FAX: 305.757.9441 www.thunderdemolition.com October 30, 2012 Miami Shores Village Attn: Mechanical Reviewer 10050 NE 2nd Avenue Miami Shores, Florida 33138 Re: 1275 NE 94 Street — demolition permit This letter is to inform you that the above referred property does not have central air conditioning. This property only has a couple of window a/c units. For this reason we are not filling mechanical permit application due to the fact that there is no Freon to remove. Should you have any questions please do not hesitate to contact me. Thank you, L Ronny Herrera, President Thunder Demolition, Inc STATE OF FLORIDA COUNTY OF MIAMI-DADE )1OIaL4-), This fo going stateme was sworn to and subscribed before me this (J day of C 2012 by IY y ((era who is personally known to me or has produced his/her Driver's License as identification and who did / did not take an oath. ,pPnY 4411' GISSELLE HERRERA No Public State Of Florin , ? 2# ;. = r Notary Public State of Florida My commissi, on expires <7-4: My Comm. Expires Jul 14, 2014 o Commission # DD 973310 THUNDER DEMOLITION, INC. 7373 N.E. 3rd COURT MIAMI FL 33138 TEL: 305.757.9444 FAX: 305.757.9441 www.thunderdemolition.com 05BS00348 October 19, 2012 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, Florida 33138 Re: 1275 NE 94 Street — demolition schedule Dear Sir or Madam: This is to inform you that the demolition of this property will take place within 48 hours after obtaining the demolition permit. This demolition should take about two weeks to complete. If you should need any additional please do not hesitate to contact me at 305- 757 -9444. Sincerely, Ronny Herrera Thunder Demolition, Inc. STATE OF FLORIDA COUNTY OF DADE This foregoing statement was sworn to and subscribed before me this day of 1 ! 2012 by who is personally known to me or has produced his/her Driver's License# as id cation and who did c ' not take an oath. o - Public, Stale Of F orida My .mmission expires • 1 ... IRa — .Rr. A GISSELLE HERRERA „� • s Notary Public - State of Florida • My Comm. Expires Jul 14, 2014 .. Commission # DD 973310 FPL October 18, 2012 THUNDER DEMOLITION 7373 NE 3RD COURT MAIMI, FLORIDA 33138 Re: 1275 NE 94TH ST Effective 10/18/2012, FPL has removed the meter and disconnected the FPL service wire to the 1 above referenced address. However, before demolishing the structure, you should_have the premises checked by a qualified individual to assure that electricity is not being supplied to the structure from any possible source. If there are any questions, or if I may be of further assistance in this matter, please contact me at the telephone number below. ROY TORRES Associate Engineer 305 -770 -7979 An FPL Group Company • PEC IPLE5 C3401.5 June 19, 2012 Thunder Demolition, Inc. 7373 NE 3rd Court Miami, FI. 33138 Proposed Demolition: 1275 NE 94th Street, Miami. After a review of our facilities within the above referenced areas, we would like to inform you that Teco Peoples Gas has no Underground natural gas service at said properties. If you are planning to excavate the surrounding area of the work site, please contact Sunshine State One Call of Florida by dialing 811 at least 48 hours in advance, there might be other underground utilities. By contacting SSOCOF, the risk of personal injury and property damage can be reduced. You can get the latest information on SSOCOF by visiting their web site at www.callsunshine.com. Should you have any additional questions concerning the above, please contact me at 305 -957- 3857, extension 77247. Sincerely, 1/9 Yolande Hong Ting for Jesus Vega Division Manager North Miami Division PEOPLES GAS 15779 W Dixie Hwy NORTH MIAMI, FL 33162 AN EQUAL OPPORTUNITY COMPANY Prepared by : Yolande Hong Ting FAX 305 -957 -3804 HTTP: /NVW W.TECOENERGY.COM Received: 4332 Thunder Demolition 7373 N.E. 3 Ct. Miami, FL 33138 305- 757 -9444 Oct 18 2012 1445 P002/003 Oct 18 2012 02:45pm ACTIVE PEST CONTROL, INC. Customer Notes Thursday, October 18, 2012 Active Pest Control Inc. 645 N.W. 128 St, North Miami, FI. 33168 305 - 681 -8822 Notice I The property located at 1275 N.L. 94 St Miami Shores Fl. Has been inspected and treated for Rodents and Is found to be without any rodent activity at this time and is clear for demolition. It is recomended that if demolition is decayed for an extented period of time further treatment may be required. Inspection and treatment date 10..0812, Any additional information or questions please contact Dan O'Neill 305.681 -8822. nk Vo Dan O'Neill 10 -08 -12 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Aurora Loan Services) PROPERTY ADDRESS: 1275 NE 94 St Miami, FL 33175 LOT: 10 PERMIT #: 13-SC-1437384 APPLICATION #: API 087135 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR888349 BLOCK: na SUBDIVISION: PROPERTY ID #: 11- 3205-010 -0090 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, . F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D R A I N I E L D 0 T H [ ] SQUARE FEET SYSTEM [ ] SQUARE FEET SYSTEM TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] CONFIGURATION: [ ] TRENCH [ ] BED [ ] LOCATION OF BENCHMARK: ELEVATION OF PROPOSED SYSTEM SITE BOTTOM OF DRAINFIELD TO BE FILL REQUIRED: [ 0.00 ] INCHES ][ / ][ABOVE/ BELOW ]BENCHMARK /REFERENCE POINT [ ][ / ][ABOVE/ BELOW3BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soii.Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. SPECIFICATIONS BY: APPROVED BY: Joseph R ive r - er s DATE ISSUED: 0/29/2 EXPIRATION DATE: 01/27/2013 DH 4016, 08/09 (Obs./etes all previous editions which may not be used) Incorporated: 64E- 6.003, FAC v 1.1.4 TITLE: Engineer Specialist II TITLE: Engineer Specialist II Dade CHD AP1087135 SE -1 Page 1 of 3 M STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number PART II = SITE PLAN Site Plan submitted by: Plan Approved By -TP to/zi f(L. Signature Not Approved Title Date County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015,10/96 (Replaces HRS-H Form 4015 which maybe used) (Stock Number: 6744 - 0012. 4015.6) Page 2 of 3 Property Information Map My Home Miami -Dade County, Florida Property Information Map Aerial Photography - 2009 0 This map was created on 6/28/2012 2:57:14 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. 113 ft Page l of l MIAMI -DADE Summary Details: Folio No.: 11- 3205 - 010 -0090 Property: 1275 NE 94 ST Mailing Address: AURORA LOAN SERVICES LLC 327 S IVERNESS DR ENGLEWOOD CO 80112- Property Information: Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 2 Living Units: 1 Adj Sq Footage: 2,923 Lot Size: 9,375 SQ FT Year Built: 1938 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 10 LOT SIZE 75.000 X 125 OR 18677 -3640 04 1999 1 COC 25086 -3733 10 2006 1 OR 26643 -3509 1008 01 Assessment Information: Year: 2011 2010 Land Value: $135,000 $112,500 Building Value: $268,548 $270,158 Market Value: $403,548 $382,658 Assessed Value: $403,548 $382,658 Taxable Value Information: Year: 2011 - 2010 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0/$403,548 $0/$382,658 County: $0/$403,548 $0/$382,658 City: $0/$403,548 $0/$382,658 School Board: $0/$403,548 $0/$382,658 Sale Information: Sale Date: 10/2008 Sale Amount: $100 Sale O /R: 26643 -3509 Sales Qualification Description: Sales which are disqualified as a result of examination of the deed View Additional Sales http: / /gisims2 .miamidade.gov /myhome /printmap. asp? mapurl = http: / /gisims2.miamidade.go... 6/28/2012 Nationstar� MORTGAGE Nationstar Mortgage 1350 Park Meadows Drive Littleton, Colorado 80124 August 1, 2012 Agent Name: Thunder Demolition Agent Address: 7373 #3R Ct. Miami, Florida 33138 Attn: Ronny Herrera RE: Property Address: 1275 NE 94th St. Miami Shores, Florida 33138 To whom it may concern: Please consider this letter as permission for our agent representative of the above mentioned property Thunder Demolition to proceed with demolition services. MCS (Mortgage Contracting Services) are also authorized to perform property preservation duties, and have authorization to access the property. Sincerely, ey Nove P REO Nationstar Mortgage www.NationstarMtg.com o„. A, Goo). ESQ. ME A. GOLD, P.A. ROT PALI141 AT SOLMVOINTE • PINE ISLAND ROAD • 44310 R 33324 LO ft 33398090 QUIT-CLAIM DE INDENTURE made on this a clay of A .7tWeerk AURORA LO SERVICES, ILC, "GRAMM", whose maIng ddress is 10350 Park Meadows Drive. Litti4on, CO 80124, and NATIONSTAR MORTGAGE. LLC, whose =Intl acidess is 350 H • land Drive, Leisville, TX 75067, "GRANTEE". fslo ho re • ITN ESSET H, That said Grantor, for did h consideration of The surn of Ter) and 100 ($10.00) Dollars, ma other good and vducilote consideration to said Grantor in paid by said Grantee, the recettt of which is hereby admowledged, does hereby e, release and quit-ctaht unto the said Grantee forever aI of the riOit title, est, dolm and derrtand which the said Grontrx has in and to the following d told located fn Comfy of MiAml-DADE. State of Florida, to wtt 0 10, MIAMI SHORES BAY vIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED ft P Ka< 40, AT PAGE 16, OF THE PUBLIC RECORDS OF MiAlvtl-DADE COUNTY, FL DA. A 0. A Property Address: 1275 NE94ThSTREEF , SHORES, FL 331 Number: 11-3205-01041190 TO VE AND TO HOLD The SOMe together with all and SinoUku the appurtenances the unto belonging or in anywise appertaIntig, and oil -the estate, right; US% interest .4 equity and whotsoever of the sak:IGrantor, either fr law Or ecilitY, to the only pro •.;,. use, benefit and behoof of thesold Grantee forever. d $ In Witness Where0f, qrcmfor has hereunto set Grontors hand drldseal on this .13 of Arere,,N, AURORA LOAN SERYICES LLC Ai A LIF WA . 4.M.71111rO.A. p led of • ir,:1M111,111)771f1MIrdi ecl STA E OF CO NTY OF b / as . .0.0 0 0 Br As its: jTT 1 k ..„ t was acknowledged before me by of AURORA LOAN SERVICES, LIC, on thiSil day 0'1 who is pe 77-0.— to me or prodijced tification oridwho did todte an OTARY TAT E OF 00 tN THE'CIRCUIT COURT OF THE JC1DIC1AL CIRCUIT IN AND FOR.DADECOUNTY, FLORIDA GENERAAL:IURISTICTION DIVISION CIVIL ACTION NO. 07-3302 . 30 AURORA LOAN SERVICES, LLC, Plaintiff (s) Petbioner(s) LOUISANEALCE AIWA LOU ISIAN # ALC Defendant (s) 1 Usportdont (s) THE UNDERSIGNED CLERK , and fed in this action on October 24, 2 sae have ear not been f l:AV ='+ € i t the tttt. Tleproperty in .Dade County, • 08809 /0059 Ps ctsti) 11/07/ I1:39s48 TAX 11.60 CLEMf COMITY, RAW T CERTIFICATE Of 11T E Chartter :55, that a Certificate of Sale was e described haein and:< dun oh; law fir; iI i & have been LOT 10, MIAMI SHORES BAY VIEW, A CQRDLNG TO T P 40, AT PAGE t6, OF THEPUBLIC REI i,I$,►$'.OP MIAlt I- DDA,D'. Property Addr 127S NE T H ST, MOIL J, FL. 3316 was sold to: AURORA LOAN 327 nth Inverness Drive VIC WITNESS 03.12 Y d AT `I OF, AS. RECORDED ill PLAT I JK ERIKA. 4.2 Boo 3/Page3509 0080910059 Page 1 of 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE= SITE AT TIME OF MST INSPECTION I1t2TAX FOUO No.W 300 010. WC PERMIT NO STATE Of FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements wig be made to certain real property, and In accord/owe with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. 111111111111111111111111111111111111111111111 CFN :2012R0809768 OR Bk 28352 Ps 2907; (1P9) RECORDED 11/09/2012 13:26:42 HARVEY RUVIHr CLERK OF COURT MIAMI-DADE COUNTYr FLORIDA LAST PAGE Specie pbove reserved for use of recording office St(ter 1. Legal description of property and street/address: vtuazinw..7.Ailizr4iiim-011111111raaiM • A N.. 2. Description of Improvement: 3. Owner(s) name and address: Internet in property: Name and address of fee simple titleholder: 4. Contraotor's name address and phone number: 5. Surety: (Payment bond required by owner from contactor, if any) Name, address and phone number: 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(1Xa)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name, address and phone number: Vt-t0IP "NAL.01171 0,91**1 aki "" • /111111aWallMallialleM 9. Expiration date of this Notice of Commencement (theexpiratIondateIelyeartfornthedateotrectardingwissaadiftenantdatelsepeolfied) .33 . . : ' .* ' WARNING TO OWNER; ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRMON OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED g .22 IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TiAlICE FOR r, IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE .16 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINO, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK - OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) Prepared Print Name Title/Office itAAI.e, STATE OF FL-BRIDA e_rist o Thp ictrg/2111011ativriedged before me this DA COU E day of 0C-106er•-- , NTY OF 40116441 -B v'o'"'Iwra c‘wmt"- In r Mdually, or I:4 as for otor/Partner/Manager Prepared By Title/Office Print Name g°148ratinallYlolown, or Ul produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) morfArjoti FORMANT TQ SECTION 92.525. FLORIDA STATUTE Under penalties of perjury, I declare that 1 have read the foregoing and that the faots stated In It are true, to the best of my knowledge and belief. gignature(s) uthorlzed Officer/DIrector/Partner/Manager who signed rhf BY 1164142 PANS WO Heidi Long NOTARY PUBLIC ove: State of Colorado My Commission Expires Dec 15, 2012 t"- Miami Shores Village Building Department n 1 10050 N.E 2nd Avenu Miami Shores, Florida 3313 Tel: (305) 795 220 Fax: (305) 756.897 Permit No. L2- 1 Z92- Job Name PLUMBING CRITIQUE SHEET Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 181080 Permit Number: DEMO -11 -12 -2075 Scheduled Inspection Date: December 05, 2012 Inspector: Devaney, Michael Owner: SERVICES, AURORA Job Address: 1275 NE 94 Street Miami Shores, FL 33138 -2946 Project: <NONE> Contractor: METRO ELECTRIC SERVICE INC Permit Type: Demolition Inspection Type: Final Work Classification: Electric Phone Number (800)550 -0508 Parcel Number 1132050100090 Phone: 305 -945 -1991 Building Department Comments ELECTRICAL DISCONNECTION Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 04, 2012 For Inspections please call: (305)762 -4949 Page 15 of 37 • 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. ITicamawm1 1;;v0i2i2 B Y: la -SOD Master Permit No. Permit Type: Electrical JOB ADDRESS: ('o11 S(4 City: Miami Shores County: Miami Dade Zip: 331.3 g" Folio/Parcel #: / d 3 ' - 0/ 0 00 C7 Is the Building Historically Designated: Yes NO Y Flood Zone: OWNER: Name (Fee Simple Titleholder): i ngina - Phone #: 363 - 5IS • Z1 Address: °'2S0 t S. SliAlre IANIot-6.141 1 Z 1 City: t1LAK t(1, l%E State: Tenant/Lessee Name: ++ Phone #: Email: M t L • w, rvi t1 M-T%DASIRLMAt,. cAti4 CONTRACTOR: . mpany Name: Me lb C €C I' lc a eel/ hone #: Address: Ale— City: : / State: Qualifier Name. 6 S-61 40 (A," Phone #: State Certification or Registration #: C 9.5 Certificate of Competency #: Zip: 150 to Contact Phone#: 3 Os ®4 l /' 1 Email Address: fir / 99J Zip: 33( I DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ (WO Square/Linear Footage of Work: Type of Work: ❑Address DAlteration Demolition DNew DRepair/Replace Description of Work: *********** * * * * * * * * * * * * * * * ********** **+ Fees **** *** **+x***x•*,x***a **** ** * *+x ************* ** Submittal Fee $ Permit Fee $ (' ° rpm® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ �. TOTAL FEE NOW DUE $ }r ' • • 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 ET.FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The for g mg instrument was acknowledged b fore day of , 20 la, by ethis !ij who is personally known to me or who has produced NOTAR Sign Prin UB a Signature The foregoing As identification and w, did take an oath. IC: My Commission Expires: APPROVED BY NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20074027804 MY COMMISSION EXPIRES J. Y Contractor ent was acknowl ed before m thi , 20 /61—,- by a6c`ciN me or who has produced as identification and who did tb o '( z- 1 Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3 /15/09) NOT "PUBLIC: Sign: .Ii14' , Pn r ssion Expires: 2 H cs, acz '• gory e,`,�7,i Clerk METRO ELECTRIC SERVICE INC. 15050 N.E. 20th AVENUE NORTH MIAMI, FL 33181 Phone 305- 945 -1991 Fax 305 - 945 -2522 LIC. # E.C.0000385 If you are not the intended recipient, or the employee agent responsible to the intended recipient, you should return to sender immediately. You are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this telecopied information is strictly prohibited. Attn: Miami Shores Village 10050 NE 2' Avenue Miami Shores, Fl 33138 Re: 1275 NE 94 Street To Whom It May Concern: This letter is to confirm that all electrical is disconnected at the above - referenced address Thank you ow — Qualifier a a- a a a a .a a a s s a JOUBERT PIERRE Notary Public - State of Florida • My Comm. Expires Apr 30, 2016 11,Fo`ppga Commission # EE 194096 ,,,tniti•`' Bonded Through National Notary Assn. • • • A Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182298 Permit Number: DEMO -10 -12 -1983 Scheduled Inspection Date: December 05, 2012 Inspector: Hernandez, Rafael Owner: SERVICES, AURORA Job Address: 1275 NE 94 Street Miami Shores, FL 33138 -2946 Project: <NONE> Contractor: BEAR PLUMBING INC Permit Type: Demolition Inspection Type: Final Work Classification: Plumbing Phone Number (800)550 -0508 Parcel Number 1132050100090 Phone: (305)940 -8180 Building Department Comments CAP OFF PLUMBING AND SEPTIC TANK FOR ENTIRE HOUSE DEMOLITION Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 180386. 12/05/2012 - PLEASE SEE HRS IN FILE FOR SEPTIC TANK ABANDONMENT. December 04, 2012 For Inspections please call: (305)762 -4949 Page 24 of 37 Fax: Dec 4 2012 09:15am P002/005 " " •• -ftteet4 Ro nt2. k1+5- 01.4 STATE 'Q '. 'FLQ XZ A DEPART ENT OF 33EAL', 8 ONB • T 1 • ERWAGE TR> A , T AND CONSTRUCTION INSPECTION AND Fax: DIPOSAY/ Sx'STSDN RI8T j P'Ii APP110'VAL 5CE Dec 4 2012 09:15am P003/005 PERMIT NO. OC l%/f y (^ DATE PAID: J 8'EZ PAID: APPLICANT; . PROPERTY ADDRESS: LOT La BLOCKS 19UBD2VXS ION : L!�+ PROPERTY la #: ,` - .2 Ci 0/0 �oroyo imam 1 ITgdt ARE N I N COMPLIANCR rag STATUTE • OR RDT = T.. B RK CTE . •• 3 3 1 3 THEE [03.] [02] [032 (041 [05] 1063 [07] [OW [09] INSTALLATION T • EIRE •13.] 'WM ItlTERW., OUTLET SCE MOL,TIo..CHAMERIOD I OUTLET FITTER L WATERTIGHT LEVEL DEPTH TO LID DRAiEFIIILD INSTALLATION 110] AREA (3.3,.„_,_, 12 (11] STRlsD xON BOS 1121 EMBER OP DRAM= [2a N ] • [13] MAINLINE SEPARAT ON [14] DEATMEGE SLOPE .• [153 DEPTH ,OF COVER 3. 1163 EtaivATiON. [ABOVE/ = sLOw3 BE a 1173 SYSTEM. LOCATION 3 1183 nosTRG PUM a [191 AQQREQATE :nu 1 [203 AGGREGATE $XCpa i FZS 3 [213 AGGREGATE DEPTH _SOFT MEADER FILL / EXCAVATION [ 3 [22] PILL AMOUNT w ._,._.�... ]...4233-- •- •8'SLL -!4' � .. Y 1 [24] EXCAVATION' DEPTH 1 3 [2E3 AREA EMPLACED 1 3 [2 6I REPLACEMENT 14ATERIEL EXPLANATION OF VIOLATION'S 1' RCS: [ Y 3 -1 '3 1 ] [ 3 1 [ 3 [ 3 1 3' [ '1 t 1 [ '.3 1] '1 ] 1 ..3, SETBACKS. 1273 SURFACE 4PATER 1281 DIT'CSEA4 • 1291 PRIVATE wELLB '130] PVEZTO VIRlasE [313 I12RTGATiON 4QZLLL 1321 POTABLE WATER [33] 'BVILDINO F 134] PROPERTY LINES [35] QTA�R FILLED / MOND SYS 1362 DRaiNvi p 'C [37] SHOULDERS • [38] SLOPES 1393 STABILIZATION ADDITIONAL INALMMA [403 UNONSl'3 saTED 1413 S'T'OnnuiTER RIIN6a^8! 1421 Armors 1433 MAINTENANCE Ate' [ 44] BUILDING AREA 1453 LOCATION VQN ARMS WIT2 [463 kiwi SITS GRQ 1473 CONTRA1CtTOR. [483 many. • BITE •P • (491 TANK ream /1 /22./1', . 1503 max CEU HED & +rflrL ///.21/. QM DATE= / Z tefLoPek. CEP DATE /JJ DE •4016, 08/09 [Obsolatse all previous aditioae which stay not be used] Inco po ated3 645- 6.Q03, PAC Page 2 of 3 • 13TAT33 OF famci i► .,DIftinaRTANST air SAlaLTH C NETTA • $ �n TR ONO AND DISPOSAL SYSTEM oON'STRt MION PERMIT AW Fax: Dec 4 2012 09:16am P004/005 CONB'1'RUCT =wr PERl=T FOR: OSTDS Abandonment APPLICANT: (Aurora Loan Services) mercy • #:18 -SC.1437384 .APPLICATION # : AP 1087135 DATE PAID: PEE PAID: RECEIPT i:, D0C T #: PR888349 PROPmRTY =muss: 1275 NE 24 St Miami, FL 33175 LOT: 10 PROPERTY ID e: 113205- 010.0090 SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] (0R TAX ID •N0MBER] STEM MUST BE CONSTRoDTED sm ACCORDANCE WITS EPECIPICATXOmS AND STANDARDS Or s =CTI0N 381..0065, F.S., AND CRAPTSR 64E -6, S.A.C. DEPARTS APPROVAL Or SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE 702 ANY ' semen= PERIOD 08' TIMM. ANT CHANGE TN MATERIAL PACTS, WHICH SERVED AS A BASIS FOR ISSUE OP THIS PERMIT, • REQUIRE TEE APPLICANT TO MODIFY' THE PERMIT APPT+ICATTO1. SUCH MODIFICATION$ mAT REMIT TN • THIS PERMIT =SG =DE NULL AND VOp. TESUAN= OF THIS PssT b0PS NOT EMIT TOLE APPLICANT SADDE COMPLIANCE TAW OTEME PEDN*AYL, =AYE, OR LOCAL PERMITTING REQUIRED rex DEVELOPMENT OF THIS PROPERTY. sweet 13.1C$ZGIN AND SPECIFICATIONS ] GALLONS / awn - CAPACITY ] =aim / GPD CAPACITY 3 CAL=LS SASE zm=itCSIPTOX CAPACITY t CAPACITY steam TANX:,1250 0, ILOms] • 3 mamas DOSVAG MANX CAPACITY [ ]GALLONS e [ ]DOSES PER 24 ERB 6P¢ ps [ ] ] SQUARE PEET ] SQUARE FEET =STEN SUMS A TYPE SYSTEM: [ ] STAmeb • [ 3 FILLED [ ] MODND [ i CONPSODRATION: [ ] TRENCH F LOCAXTON OF BENCHMARK; I ELEVATION Or PROPOSED SYSTEK SITE ,E EoTTON OP MOM= TO BE L D FILL REQZED: t 0.00 ] =mss 0 T 03 R [ ] umD . [ ] / 3 •[ ABOVE / BELOW ] 3E /REeXAEN0E POINT / ] 1 ABOVE/ BELOW 3BE mHb BR /am ERENce Pox= EXCAVATION REQUIRED: [ 3 XINClieS Have the tank abandoned In accordance with the following procedures.(e) The tank shall be pumped•outi(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall• be filled with clean sand or other suitable material, and completely covered with :soll.Have the system inspected by the health department after It has been pumped and ruptured but before It Is filled with sand and covered. SPECIFICATIONS ET: APPROVED ST: DATE ISSUED: Josooph 0129/2 TITLE: Engine= Specialist 11 TITLE: Engineer Spaaialiet im ' Dade maiRATlwr DATE: _01/27/2013 DE 4016, 00/09 (Oft r % -tee all previous editions which say not ba used) Incorporated: 640 - 6.003, WAC v 3.1•a 7:si067139 6s -1 Page off' 3 Fax; c. 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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 OCT 1 9.2012 FBC2 !°T 3 Permit No. 2._ Master Permit No. fal/ Z j gE 1 I 9 Permit Type: PLUMBING JOB ADDRESS: t 49i5 9,,t-Vnk S City: Miami Shores County: Miami Dade Folio/Parcel #: /1 °3 ' 6/ () 0090 33 tar Is the Building Historically Designated: Yes NO Iice Flood Zone: OWNER: Name (Fee Simple Titleholder): IV kripacitke Phone #: 303- 5t5— c." / Address: (9,5 D I 6e - N t2-1 City: 1� -1,A-S`SUvII‘-- State: TEXPIS zip: 156 6 7 Tenant/Lessee Name: Phone #: Email: dl1W.. - &1V1 e AIMASTOULIAN \. evt4 CONTRACTOR: Company Name: Fa-- 3' (k) V .'e Y\ C4 i 1,14) C- Phone #: .10_,92-1,11.15_0:3, Address: T C) O1-- 6 12- 5 5 City: p J own—) Ni ep,7� 1 State: 1 a' Zip: 3i 32/ 6 ) Qualifier Name: 5 LANJA �--% CH c: Q\--) Phone#: State Certification or Registration #: C r C- 'b77Z 0 Certificate of Competency #: Contact Phone #: 1)5 2- ' 157 / Email Address: bE n epto M bi ` ' ! t ! . rd DESIGNER: Architect/Engineer: P :ne #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Address °Alteration Description of Work: S ez ' New °Repair/Replace ®Demolition ************ * * * * * * * * *** *** * ********* *** Fees* ************ ******+u*******+x*** **** ********* Submittal Fee $ Permit Fee $ /� - CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 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, BOIT.RRS, 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 approved and a reinspection fee will be charged. Signature Signature The fore day o Owner or Agent strument was ackna; edged before me , 20` , by !! ff� % / /��,, 4j who is personally know. to me or who has produced identification and take an oath. NOT Si My Commission Expires: * ** APPROVED BY / A NOTARY PUIBLIO STATE OF COLORADO NOTARY ID 20074027804 MY COMMISSION EXPIRES JULY 19, 2015, -6 Contractor The foregoing instrument was acknowledged before me day of C k, 201 ., by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Prin t ( 1 111 j l amtir. ‘. My Commission Expires ERA Notary Public - State 01 Florida a. My Comm. Expires Jul 14, 2014 ,�,• Commission # DD 973310 **+x****** * * **** *** *+ xs,* *** ***************** **+x **** *****s• *******s=** *** /1/4"r'11--- Plans Examiner Structural Review (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) * ,st * ** Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. 41COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C.T PY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION ITHER CERTIFICATE OR EXCEMPTION) ) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 60972 P 4 J #j a iv BUSINESS ADDRESS: CITY j0e141 S% STATE ec ZIP CODE 3 4 4 BUSINESS PHONE: ( 3e J) 91-in 871r0 FAX NUMBER ( ) CELL PHONE (30 (4 ) f J QUALIFIER'S NAME: /4iO a 004 M O V QUALIFIER'S LIC NUMBER: E RI 01-3-11 -3=0 E-MAIL ADDRESS (IF APPLICABLE): U Cu G l .2j a 4 1 C (tilt Created on 3119109 BY MLDV 1 RV 3126109 MLDV CERTIFICATE OF LIABILITY INSURANCE rare pamitIONYTh 12/02/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A -CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Rthe certificate holder Man ADDITIONAL INSURED, the PAW* meet bewidened, I SUBROGATION MAUI, mated to, the terms and conditions of the polity, certain policies may remare an endorsement A statement cathIstertilicate does not Minter rights to the certificate holderin lieu of such endorse PR0DUR Novas Insurance 809 W. Sample Road Deertield Reach, FL 33064 Phone: (954498.6601 POURED BEAR PLUMBING, INCH) 344171 PO Box 612255 NORTH MIAMI, FL 33261 (305) 940 -8180 Fax (954} -5239 COVERAGES CERTIF.I TE NUMBER: (954) 979- 1110 I (954 582 -5239 NOVUSINSURANCE42011OTNIAILCt =OMNI AFFORDING COVERAGE INSURER A : LAN DMARKA RICAN INSURANCE CO Macs IN$URERR: PROGRESSIVE INSURANCE COMPANY INSURER c INSURER D : INSURER E : IMF: N NUM THi3IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED.BELOW HAVE BEEN ISSUED -TO THE INSURED ABOVE FOR THE POLICY PERIOD INDICATED. NOT MT ISTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMTRONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS, Lin TYPE OF INSURANCE 14 O N PAY NUMBER LAA063281 -0o II 12(03/2011 161 12/03/2012 u rrs EACH ! $ 1,000,000 A GENERA. LIABILITY Ea cot RctAL GENERA. LiABLITY • • CLADtS-MADE "r1 OCCUR ❑ onmAde 100,000 MLOEXP(Any ors person} $ 5,000 PERSONAL aAOVINJURY s $ 1)000,000 20000,000 GENERAL' AGGREGATE GEMLAGGREGATE UNIT APPLIES PER ❑ POLICY ❑ PRrj -, • Roc PROpUMS- COMPi0P AGG $ 2,000,0(K) $ B AUTOMOBILE LIABILITY Q ANY AUTO ❑ ALL OWNED AUTOS ❑ Sci- EoLmED AUTos ❑ HIRED AUTOS II NON-OWNED AUTOS N N 04448118 -2 12/03/2011 12/03/2012 COMBINED SU $1.E LIMIT (Esc de tt) $ 500,01X1 MI- BONLYINJURY (Per terscr? $ BODILVIRIURY (Pe/emit/6N PROPERTY (�' =datt)DtIRffAt'iE $ $ ■ ❑ UMBRELLA LIAR ❑ OCCUR EXCESS LIAB ❑. mAims.mAnE EACB O00URRENCE $ A 3REGATt • DEDUCTIBLE$ n RErernoN a $ WORKERS COMPENSATION, AND EMPLOYERS* Lamm YIN PR E7OR/PA C Ctl iil/E (Mandate y k IAt1 OF OPERATIONSbelg+w N /A n Sn ir- E.L. EACH ACCIDENT E.I.. DISEASE - EA EMPLOYEE $ EL. DISEASE - POUCYLIMIT .$ DESCRIPTION . OF OPERATIONS PLOCATIONS/VEHICLES (Math *CORD WI. Ammon Remarks Schedule, Pnioera space Is 'qutred) PLUMBING SERVICES CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE A1TN:BUIL,DING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES FL 33138 ACORD 26 ( I) QF SHOULDANY OF THE ABOVE D `z. }: ED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE c+ ` • , N s * WILL BE DELIVERED 8 ACCORDANCE WITH THE " • CY P - :o' " ON$t. 1988.2009 ACO 0 . : _a.' a -l. All rights reserved. The ACORD name and logo are registered marks of ACORD this -sittliffes' 1 IVE DATE t 0411512011 FEIN: 651.037271