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DEMO-14-1367Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-217688 Permit Number: DEMO -6-14-1367 Scheduled Inspection Date: August 14, 2014 Inspector: Rodriguez, Jorge Owner: , Job Address: 9723 NE 2 Avenue Miami Shores, FL 33138 - Project: <NONE> Contractor: GATOR DEVELOPMENT CORP auming Department comments DEMO INTERIOR PARTITIONS ONLY 07-02-14 I. Naranjo Started work prior to obtaining approval from the Miami Shores Building Department. Stop work order issued. Double fee+ $100.00 Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number (305)949-9049 Parcel Number 1132060134210 INSPECTOR COMMENTS False Phone: (305)949-9049 August 13, 2014 For Inspections please call: (305)762-4949 Page 10 of 17 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-214854. Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 13, 2014 For Inspections please call: (305)762-4949 Page 10 of 17 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ILDING ❑ ELECTRIC ❑ ROOFING f JUN 2 A 2014 FBC 2Q ) _ Master Permit No.°�)fuyl01 L"� -� 13 6 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL r-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: a City: Miami Shores County: Miami Dade Zip: 331-3e Folio/Parcelt &-3 ao(e - 613 16 Is the Buli Ing Historically Designated: Yes NO Occupancy Type: Load: Construction Type: A Flood Zone: /� BFE: FFE: OWNER: Name (Fee Simple Titleholder): 6 L ��Z�L� Phone#: City: PI Tenant/Lessee Email: CONTRACTOR: Company Address: 01 City: / pf)c Qualifier Name: State Certification or Registration #: State: Pl ( Zip: �L of Competency M 3 C.5- fY9 - F0 V, - DESIGNER: Architect/Engineer: qeehL46�I i Phone#: A Address: l rvec� 6Ldqr . c,. � 14g �- 1doCity: bid State: F(- Zip: / Value of Work for this Permit: $ Square/Unear Footage of Work: 7 - Type of Work: ❑ Addition ❑ Alteration ❑ New J ElRepair/Replace - emolition Description of Work: AAM6iy2:a"Vj(- �4 � , i" � C—) A'e t s Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 $250, 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'oo"'KLI—z OWNER or AGENT The for going instrument was acknowledged before me this �3 day of TZC�Q 20 l 4___, by izai whoersonallyno 0 me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: `� ti� W COMMUION X100. EXPIRES: OCT 26,20`17 IWo Bonded thMugi It 50 11smaia CONTRACTOR The foregoing instrument was acknowledged before m this 3 day of 20 by ,IZcti who is p rsonally kno to as me or who has produced as Identification and who did take an oath. NOTARY PUBLIC: t� cian• . Print: C— M _ Seal: `Lo MYCOMM00. DO'IRES: OCT 20, M17 ' Bonded #MghldStteMMM �rr���ee��x*+eaeesrs+e�se®*�+se*u Q-711-ply APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ACORb® CERTIFICATE OF LIABILITY INSURANCEDAM(MM001"M ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 06/24/2014 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Franklin Street Insurance Services 515 East Las Olas Blvd ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 1040 Fort Lauderdale, FL 33301 INSURERS AFFORDING COVERAGE NAIL # INSURED INSURERk Amtrust Intemational Underwriters, Ltd Gator Development Corp 1595 NE 163rd Street North Miami Bch FL 33162 INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRD TYPE OF INSURANCE POLICY NUMBER IR I LIMBS A GENERAL LIABILITY PAL104230000 09/28/2013 09/28/2014 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY FICLAIMS MADE n OCCUR DAMAGE PREMISES a�ocrence $ 100,000 MED EXP (Any one person) $ PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. PRODUCTS -COMP/OPAGG $ 2,000,000 POLICY n PROJECT LOC Hired and Non Owned 1,000,000 AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNEDAUTOS BODILY (P rracciden)INJURY $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EAACC $ ANYAUTO AUTO ONLY. AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ OCCUR F] CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORIOcR3COMPENSATION AND EMPLOYERS' LIABILITY OTH TORY LA& ER EL. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER General Contractor License #: CGC057933 Miami Shores Village Bldg. Dept. 10050 NE 2 Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY (OND UPON THE INSURER ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) © ACORD CORPORATION 1988 SO14383 AICOR�® v CERTIFICATE OF LIABILITY INSURANCE DATE /YYY1) 6{24/2024/20 14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Commercial Lines Wells Fargo Insurance Services USA, Inc. 6100 Fairview Road Charlotte, NC 28210 CONTACT NAME: AICN o 888-572-2412 ac No : ext 67618 E-MAIL ADDRESS; Certs@trinet.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford, Fire Insurance Company 19682 INSURED Strategic Outsourcing, Inc. F/W/L Gator Development Corp PO Box 241448 Charlotte, NC 28224 INSURER B: INSURER C : INSURER D. INSURER E INSURERF: COVERAGES CERTIFICATE NUMRFR- 7880595 R"-QlnN hit IMRFR• CZAA FWnw THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP YyJ UMRS COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTEDPREMISES Ea occurrence) $ MED EXP (Arty one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JjECT D LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE PeraoddaM $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? �N N / A 22WNEG30001 03/01/2014 03/01/2015 X I sr Turf ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space is required) Workers' Compensation coverage is limited to employees leased to Gator Development Corp by Strategic Outsourcing, Inc. General Contractor License # CGC057933 CERTIFICATE HOLDER CANCELLATION Miami Shore Village Department 10050 NE 2 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. AUTHORMED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 001443 Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOTA BILL— DO NOT PAY 4083507 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES GATOR DEVELOPMENT CORP RENEWAL SEPTEMBER 30, 2014 1595 NE 163 ST 4263126 Must be displayed at place of business NORTH MIAMI BEACH FL 33162 Pursuant to County -Code Chapter BA —Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED. GATOR DEVELOPMENT CORP 218 FINANCEANVESTMENWHOLDING CO BY TAX COLLECTOR $270.00 08/14/2013 FVHS1-13-001172 This Local Business Tax Receipt only confirms pa ymeat of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements -which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami—Dade Code Sec Ila -276. For more information, visit www.miamidade.gov/iaxcollector STATE OF FLORIDA DRPARTItENT OF BUSINESS An PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD t:89Oj 487-1395 1940 NORTH MONROE SUET TALLAHASSEE FL 32399-0783 STELLING MUTIN O GAT6QO�I�WDRIVE coRp DPA VXXT 215 HALLA>~iDALB PL 33009 Congratulations? With this license you become one of the needy one million Floridians licensed by the Department of Business and Professional Regulation. Out professionals and businesses range from architects to yacht brokers, horn boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better: For Ifformatlon shout our services, please log onto www,myfloridalloonse.com, There you can W more Information about our divisions and the regulations that Impact you, subsoribe to department newsletters and loam 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# STATE OF FLORIDA AC #& 2 20 S S 9 DISPARTNMT Or kUSINESS mm Pi§0PS88IONAL..R.BGIn ATION COCOS792 :.' ;fir/a i -12 120035947 CERT1 PX=::0*MUU...C6VftACT0R ' >3TH'LTr�:NYCa r. �::1�dAliTI�1' " 0.;.: • . �.:' GATOR DEVEDO►.:' #:4RP 18 tri5RTZIPTED uafler the provisioas lit ch. 489 Fs motz:cics d.,em. ARCS 31, 2014 L7207200M9 �'ihhfK� i. F 6220559 Of , Y %iblART INERLINGLREGULATION - �. •rr�vw M1MM� . o'r 2ta 2012 1.20035947 P(;CO57933 . The QMRAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter Expiration dear: AUG 31. 2014 STELLIX0, DIiARTIN O GATOR NDEVXL PX9NT CORP N TH X AXI "A PL 3316 RICK SCOTT CEN LAWSON GOVERNOR SECRETARY n1c01 AV hB ne'�`rl tirt-'n n.r ,, t nin, t _ 6 &&,"ndnentat +Consul f g Swims AK*5 ExVIROMMENTAL, mc. Asbestos Business License # -0000164 Asbestos Cansuldag • Radon Measurements - Lead Assessments • Indoor Air gwray %sdnq • Atatd lavesdiga*ns Today's Date;- 7/8/2014 Project Number: 20142081 [Page 1 of 14 ` Prepared For: Job Site: Sammy Salem Vacant Commercial Space Gator Investments 9717 North East 2nd Avenue 1595 Ne 163 Street Miami Shores, H Nd North Miami Beach F133162 Asbestos Survey — Project Summary Pursuant to your request; ARS Environmental, Inc., has performed an Asbestos Building Survey on 7/7/2014 and limited to t e above referenced location. The Interior/Exterior 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. The Roof was not sampled If the Roof system will be disturbed by renovation or demolition samples of the materials that will be affected should be obtained and analyzed to determine asbestos content prior to any disturbance. Results Based On The Laboratory Analysis, No Asbestos Was Detected ,Amounts Greater Than I % In The Secured Bulk Samples. It has been a pleasure working ' h you. Please call on again. Regards, ISI A Fr t, ARS Environmental, Inc. i 10097 Cleary Sontevard • #305 • Plantation, FL 33324 • phone: 954-227-2402 • For: 966•816*5110 Lvtrrwarsenviren ental com • sates@arsenvironmentat com Evoimnmewaj Consul' ` g Serokes ING Asbestos Business Ucense #7- -0000164 Asbestos ConsdOng * Radon Measurements ® Lead Assessments a Indoor A?r ft Tesduf • Mold Today's Date: 7/8/2014 Project Number. 20142051 G'!Page 2 of 14 Prepared For. Job Site: Sammy Salem Vacant Commercial Space Gator Investments 9717 North Fast 2nd Avenue 1595 Ne 163 Street Miami Shores, Fl North Miami Beach Fl 33162 Asbestos Survey — Certification I hereby certify that this asbestos survey was conducted at the above referenced Job Site on 7/702014, and performed by Al�x Front, accredited by the EPA as AHERA Inspector(s), utilming the code of the Federal Regulation Standards, 40 CFR, Part 763, Subpart F. Section 763.80-763.99 and the State Asbestos Regulations, Florida Statutes 469.003. STATE OF FLORIDA DEPARTMENT of BUSINESS ,AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNTO I ZA=164 I The ASBESTOS BUSINESS ORGANO Named below IS LICENSED Under the provisions of Chapter 469 FS. Expiration date: NOV 30, 2016 ARS ENVIRONMENTAL. INC. TIMOTHY CAUG14EY 10097 CLEARY BOULEVARD PLANTATION FL 33324 RICK SCOTT 18SVWE n,01,2093 `u -EQ # 1-7=03=224 KEN LAWSON GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY 7 -4 Aodl)f, opr -je- Timothy F. Caughey, M.P.H. Florida Licensed Consultant 10097 Cleary Boutevard 0 #305 • Plawation, FC 33324 A Phone: 954-227-2402 • Fax: 866-816-5110 www arsenrlironmente eem a salesCQaarsenvirenmental.eom rvirmr i Const AV 9111h. vo EmnROMMENTAL.j ,w stos Business license Asbestos Consulting • Radon Measurements a Lead Assessments • Indoor Air Quality Testing 0 Mold lnvesti® Today's Date: 7/$/2014 Project Number: 20142081 t, Page 3 of 14 Prepared For. Sammy Salem Gator Investments 1595 Ne 163 Street North Miami Beach F133162 Jeffrey Montalvan Certified Asbestos Surveyor ARS Environmental, Inc. Job Site: Vacant Commercial Space 9717 North East 2nd Avenue Miami Shores, Fl Asbestos Survey — Technician Certification k 1 .AW wa Coln .' 1vvilla Iq" Tralflingl alz a4*'a rP„a �wt,a�t a W.w,w P-1 csZ This is to Certify that a w�a t 19911 Hn AIR rr3v ne t%wn �a.nru+,w. 3nica y� ���r� has successkily completed an English 29 -Jan -14 TO "_'9 -Ian -tai I. w _ r�cc,+�ehD eaea.:»attsPec�alts��ta,tn rt_wo on: u+��vrtn This CerWicate Expires: 19 <Mr.wK t4W 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fax. 866-514-5110 tvcvcrLarsenvironmentaLeom ® sales@arsenvironmentat com - �< F 41!I ,� i �i� s C W ti, h Asbestos Consulting a Radon Measurements • Lead Assessments m indoor Air -Oeraftty Testing a Mold Today's Date: 7/8/2014 Project Number. 20142081 Sammy Salem Gator Investments 1595 No 163 Street North Miami Beach Fl 33162 Vacant Commercial Space 9717 North East 2nd Avenue Miami Shores, Fl Asbestos Survey — Bulk Sample Itemization Sample Number Material Class / Sample Description / Location Sample Physical Water Condition Damage Damage Material Contact Sample Friability Approximate Size Sample 1 2,400 Sq. Ft F- f' Detected Wallboard /Joint Compound Layer Miscellaneous Good None None High Sample 3 Layer Sample 4 Layer Sample 5 Layer Sample 6 Layer Page 4 of 14 Asbestos Detected Miscellaneous Sample Good None None High Friable 2,400 Sq. Ft Asbestos Not f' Detected Wallboard /Joint Compound Throughout Unit Miscellaneous Good None None High Friable Included Above 1 Asbestos Not I I Detected Wallboard / Joint Compound Throughout Unit Miscellaneous Good None NoneJ High Friable Included Above F' Asbestos Not I I f Detected Wallboard / Joint Compound Throughout Unit Miscellaneous Good None None High Friable 2,400 Sq. Ft. Asbestos Not I I 5 Detected Wallboard / Joint Compound Throughout Unit Miscellaneous Good None None Included Above', Asbestos Not [-7ffiih-TFriab1e Detected Wallboard / Joint Compound Throughout Unit Miscellaneous Good None None High Friable Included Above Asbestos Not I I Detected Wallboard / Joint Compound Throughout Unit' The following non -suspect materials were observed during the survey (no samples were take drywall/plaster. Ceramic tiles, vinyl baseboard, carpeting, A/C fiberglass dust work. Rubber s insnlatiol insulation. 10497 Clearq Boulevard v #345 ® Plantation, FL 33324 ® Phone: 954-227-2462 a fair: 966-816.511 a emarsenviron e t co 0sales@,arsenvlronmutat eom ARS swiRONMENTAL, viroaaaaBe se wc. Asbestos Business License Asbestos Consulting @ Radon Measurements a Lead Assessments ® Indoor Air quality Testing • Atoll Investig Services Today's Date: 7/8/2014 Project Number. 20142081 Page 5 of 14 Prepared For: Job Site: Sammy Salem Vacant Commercial Space Gator Investments 9717 North Fast 2nd Avenue 1595 Ne 163 Street Miami Shores, Fl North. Miami Beach Fl 33162 Asbestos Survey — Bulk San Sample Sample Physical Water Material Number Material Class / Sample Description / Location Condition Damage Damage Contact Sample 7 Layer Sample 8 Layer Sample 9 Layer Sample 10 Layer Sample 12 Layer D Itemization Sample Poli ' Asbestos Friabilitv Anoroximate Size Stool' Detected Miscellaneous Good None None High Friable 2,200 Sq. Ft. Asbestos Not Detected 2'X 4' Ceiling Tiles; Wormlike Design Throughout Unit Miscellaneous Good None None High Friable Included Above j Asbestos Not Detected 2'X 4' Ceiling Tiles; Wormlike Design Throughout Unit Miscellaneous Good I None I None High Friable In c uded 1 Above Asbestos Not Detected 2'X 4' Ceiling Tiles, Wormlike Design Throughout Unit Miscellaneous Good None None High Friable 200 Sq. Ft. j Asbestos Not Detected T X 4' Ceiling Tiles; Pinhole Design Replacement Tiles Various Areas Miscellaneous Fair Yes None High Non -friable 2,000 Sq. Ft. Asbestos Not Detected Carpet Floor Glue Throughout Main Area Of Unit Surfacing Material Gooti None None High Non -friable 50 Ln. Ft Asbestos Not Detected White A/c Duct Seam Mastic Around Ale Ductwork 10097 Cleary Boulevard ® #305 a Plantation, R 33324 ® Phone: 954-227-2402 a fax. 866-816-51 10 tvcvsvarsenvironnrentalcon� a sades(�►arsenvironlnentalco�n Ism luu Sammy Salem Gator Investments 1595 Ne 163 Street North Miami Beach F133162 Vacant Commercial Space 9717 North East 2nd Avenue Miami Shores, F1 .Asbestos Survey Sulk Sample Itemization Saznpie Sample Physical Water Material Sample Low Number Material Class /Sample Description / Location Condition Damage Damage Contact Friability Approximate Size Sample I, 13 Detected 12" X 12" Ceiling Tiles Front Area Of Unit Mastic Above T XV Ceiling Tiles Layer Surfacing Material Good None None Sample 14 Layer Sample 15 Layer Sample 16 Layerample 17 Layer Sample 18 Uy - Sereiees )000164 Page 6 of 14 Detected Miscellaneous Good None None Low Friable 150 Sq. Ft Asbestos Not I, Detected 12" X 12" Ceiling Tiles Front Area Of Unit Mastic Above T XV Ceiling Tiles Surfacing Material Good None None Low Non -friable 100 Ln. Ft. Asbestos Not I I Detected Black Mirror Mastic Around Unit Miscellaneous Good None None17!gh]Non-friable 400 Sq. Ft. Asbestos Not I VIII h` Detected Ceramic Tile Grout Front And Rear Of Unit Miscellaneous Fair Yes Yes Low Friable 2,000 Sq. Ft. Asbestos Not I �I Detected Ceiling Plaster Throughout Unit Miscellaneous Fair Yes Yes Low Friable Included Above Asbestos Not f Detected Ceiling Plaster Throughout Unit Miscellaneous Good None None High Non -friable 2,400 Sq. Ft. Asbestos Not Detected Interior Concrete Structure Throughout Unit The following non -suspect materials were observed during the survey (no samples were taken): Fiberglass insulation above ceiling tiles. No insulation obser drywall/plaster. Ceramic tiles, vinyl baseboard, carpeting, A/C fiberglass duct work. Rubber pipe lagging insulation. 10097 Clem t videvad a #305 a Plantation, A 33324 a Phone: 954-227.2402 a Fax: 866.816-511 Wme.arsenvironmental.em a salesOmenvironmena l.com A Y 1 ITAL.�II I�ar� II �_: e AsbestosBuslinvess^I ee Asbestos Consulting ® Xadon Measurements a Lead Assessments • Indoer Air Qualltq Testing a Alotd Today's Date: 7/8/2014 Project Number, 20142081 j Page 7 of 14 Prepared For. Job Site: Sammy Salem Vacant Commercial Space Gator Investments 9717 North Fast 2nd Avenue 1595 No 163 Street Miami Shores, Ff North Miami Beach F133162 Friable Asbestos Containing Material Sample Sample F7tysicat Water Material Number Description/ Material Class Location Approromate Size Condition Ramage Damage Contact NONE DETECTED Recommendations 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 demolitionlrenovation activities involving RACM occur: Notify EPA of 4, intention to demolish/reaovate, 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 f 10097CIemViSenteivarda, ##305 o Rantation, FL 33324 a Phone: 954-227-2402 ®Far.- 866-81 -S 110 war.arsenvdronntentat°eoon a sates@arsenvlronmentaL com Asbestos Detected 1 ®r®nmerltaP CornsirBtip� %rvioes ARS E)vm -RoNmEN _ , 1i41� Asbestos Business License #7A-0000164 Asbestos Consuttinq •Radon Memarements ® Lead AssmWents • indoor Air gaalitry T • Mold Today's bate: 7/8/2014 Project Number, 20142001 Page 8 of 14 I Prepared For. Sammy Salem Gator Investments 1595 Ne 163 Street North Miami Beach F133162 Sample Nnmber Description /Material Class Job Site. Vacant Commercial Space 9717 North East 2nd Avenue Miami Shores, Fi I - Non -Friable Asbestos C Location Approximate Size Material Sample Pt ysical Water Material temple Asbestos Condition Damage Damage Contact F :111; Detected Recommendations 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 remodeIIing 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) Progran 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 anc 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, removii 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 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 Soalevard • #305 ® Piantaden, FL 33324 • Phone: 9554-227-2402 9 Fax 866-81$-5114 avwarsenvironmental com • sates@arsenciironmeiftat.com i f ARS Emmommumgndironmentat Consra'lti,fr-%naees s J/VCQ Asbestos Business License #M-0000164 Asbestos Consulting a Radon Measarements a Cead Assessments a Indoor Air finality Testing e Mold Investigations Today's Date: 7/8/2014 Project Number: 20142081 .Page 9 of 14 Prepared For. Sammy Salem Gator Investments 1595 Ne 163 Street North Miami Beach F133162 Sample Number Description /Material Class Job Site: Vacant Commercial Space 9717 North East 2nd Avenue Miami Shores, FI F H - Non -Friable Asbestos Containing Material Sample ishysical water Material Sample Asbestos Location Approximate Size Condition Damage Damage Contact Fiiabili; Detected NONE DETECTED Recommendations 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 11 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 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 Boalevard • #305 * Plantation, FL 33324 •'hone: 954-227-2402 a Far: 566-816-5110 a vWarsenviranmental' corn 0 sales@arsenvironmentaLcom rwironinentat Cortsid- ng sewiess A'RS EmaRIJVC. AsbesWs Business License # -0000164 Asbestos Consaltrng • &don Measarements ® Lead Assessments • Indoor Air Oadhy %sting Mold InOest rdens Today's Date: 7/$/2014 Project Number: 20142081 Page .10 of 14 General Terms and Conditions I Scope of ®Noah ARS Environmental's inspections are limited and non-destructive in nature. Any conditions or materials which were not abl a to be visually observed on the surface, or in easily accessible areas, were not inspected and may differ from those observed. It was not with'n 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 I omogeneous. This inspection report is the result of a diligent search of the facility for Asbestos Containing Building Materials (ACBM). a 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 pn sent 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 observedat 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 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 1 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 ','bserved during inspections by this report. ARS Environmental makes no representation or assumptions as to past conditions or future occurs rices. y- Assigns Neither the client nor ARS Environmental may delegate, assign, sublet or transfer his duties or interest in this agreement w�lthout 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 n 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 ACTTt1ITY S ULD IMMEDIATELY CEASE AND THE STATUS OF THE MATERIAL SHOULD BE DETERMINED BEFORE PROCEEl7; G. 10097 Cleary Beatevard a #305 ® Atantation, FL 33321 • Phone: 954-227-2402 ® Fan 866-8 -511® www arsenviroamentat com a satesftysenifiranweatat.com F. Wrwarentat 6nsn1ti ices AKZP EmoROMMENTAL. mc. Asbestos Business License # -0000164 Asbestes Consaaldug o Radom Measurewouft a Lead Asmsswents o Indoor Air Qualm Destine 6 Adelsf Inoestigati 7 Today's Date: 7/8/2014 Project Number: 20142081 rage 11 of 14 Prepared For. Job Site: Sammy Salem Vacant Commercial Space Gator Investments 9717 North Fast 2nd Avenue 1595 Ne 163 Street Miami Shores, Fl North Miami Beach Fl 33162 Asbestos Survey — Technician Chain of Custody Fortes and Field Notes'[. Of CHAIN OF CUSTODY r nv PLW lltmtysls: Asbestos Bulk I n Pa t rnutf RRA ta r -That Res t Less Than tkTurnaround Time Requested: me 24 Hour - 48 Hour - Sampling Date: Protect Location: N rill r01 � P iiSamples Taker► By: �. Protect Number: O�>- ROOF ; G`k11 + l r I' a sanw.L. sic w a aAl b ..� zA 1 r^• 5�ti 1 l' d t 11A 0 �" I XL( 19i f X 1 w y; a r yT t4 .S yT .w. w samuuwp,eaee:enamq�memw trel �� av�m.iF�rnarte ' �rrmpaaderAyd�a TmnsfenW By f ,. _— Date: 17 1 Remimed Sw Date: ?` 10097 CLEm Bow"Am • r305 • PLAwwi lv, 24 • ToLL FREE: 870-227-2 • Prate: t -227-2442 • FAM: 8888 010 10097 CteaV 8oukvar X305 a tantatian, a33326 o Phone: 954-227-2402 • Fair. m-gj 5110 crted'e. arsenrrironmentat eow a sates@arsenivirenmental.com Nsfffi !0-0000164 serwees, ^AO ENVIRONMENTAL imc. A sbest:=!�c:sse 110000 164 Asbestos Consulting ® Radon Measurements ® Lead Assessments a Indoor Air guality Testing a Mold Investiva4m Today's Date: 7/8/2014 Project Number. 20142081 1 Page 12 of 14 Prepared For. Job Site: Sammy Salem Vacant Commercial Space Gator Investments 9717 North East 2nd Avenue 1595 Ne 163 Street Miami Shores, Fl North Miami Beach F1 33162 I Asbestos Survey — Technician Chain of Custody Forms and Field Notes�� I CHAIN 0F!;UffQDY page— RLMMalyMs: estosBulk –Sat` -v!es POSOVe Sto • 24 Hour - 48 Hbtw - 72 ftv nF1 Turnaround Time Requested; S"Dj) PaInt Own ReWleated On nen LM Thin M Z_-- SaMP111:9 Zatw: A 'I Projed Location- r -ii, w. grv4PAL, (a I SaMPISS Taken By: Projea Number: 84wft" Maw M=fWs �ftii—W&Lli.fFW Mwbe �A to pwdw by IM Transferee Daps: 17 Received 18y. - Date: 10007 CLEARY BOULEVARD -AN - PLAWATK*4 F13�M - ToLL Fm: 877-227-2 -P =;W4-227-24= • FAx.- e6e 10097 Clearg Boderiard a #305 9 Plantation, FL 33324 a Phone. -!954-227-2402 e Fax: 866-9 11- -110 www.arsenflironmental.cow a sates@armngfironmental.com so" uswffpft sample Lftaft A= L J .J% U -1 ri L A 17R!P*rni k-o� vul Tj �Amjw�,, 1-J6 4W X VM -1 )%�M � V Ncf TY J� 11 91.a "n 2, J �UJM A �v 0y, 4 t, L% _LT1 I 84wft" Maw M=fWs �ftii—W&Lli.fFW Mwbe �A to pwdw by IM Transferee Daps: 17 Received 18y. - Date: 10007 CLEARY BOULEVARD -AN - PLAWATK*4 F13�M - ToLL Fm: 877-227-2 -P =;W4-227-24= • FAx.- e6e 10097 Clearg Boderiard a #305 9 Plantation, FL 33324 a Phone. -!954-227-2402 e Fax: 866-9 11- -110 www.arsenflironmental.cow a sates@armngfironmental.com Today's Date: 7/8/2014 Project Number: 20142081 Wage 13 of 14 Asbestos Survey — Laboratory Results, a wkwMerrtal Cansaw" SeWIM A10 xiROJVmExTAL, we - _ -- —Asbestos Business umme #ZA-0000164 Asbeatos Cvnaaldag • ttadw MeaawwwoM • Ixod Assaments • Indoor Air gnaffty Tadao •,Nand lnve dowlens Today's Date: 7/8/2014 Project Number: 20142081 Page 1 of 2 Prepared For. Job Site: Sammy Salem vacant Commercial Space Gator Investments 9717 North East 2nd Avenue 1595 Ne 163 Street Miami Shores, Fl North Miami Beach F133162 _ Number GDesglPCmn G. Lsmum-�� Pemes'tage 5o Fiber lei McDedalS _ —1 ="OCOMPOU ----------- No AsbestosDetected 1C.11uulose 2D% Glass -------- S0% _ _ 2 Drywall / Joint Compound No Asbestos Detected o 509b 20% GIM g IDMM111,10twCOMPOWId No Asbestos Detected30 Cellulose .50% 20%% Glass _— No Asbestos Detected 130% Cellulose 20% Glass — SU% i a Drywall ! Joint Compound 5 Drywall / Joint Compound i No Asbestos Detected i 30% Cellulose 50% 120% Glass (- 6 Dtywell / Joint Compound -�`—s6 No Asbestos Lletccted -'20% 30ose 50% Glass Glass i 7 - (-Ceiling Tile - - - No Asbestos Detecteiv�35% Glass 8 Ceiling Tile No Asbestos Detected j 35% Cellulose 45% 20% Glass 9 Ceiling Tiles I No Asbestos Detected { 35% Cellulose - -45% -- —� lass 10 1 Cedutg Tile No Asbestos Detected 135% Cellulose 145% 1 ZO% Glass --- -- — - -i- Alex Fromm, `Z� Analyst 10097 Cleary Boulevard 0 #305 • Pfatrtatietr, FL 33324 @ Fkone: 954-227-2402 • Fax: 866.816-5110 wwW.arsenvirattmerJtaf com 0 salesaarsenvdronmentaal.mm Today's Date: 7/8/2014 Project Number: 20142081 age 14 of 14 Asbestos Survey — Laboratory Results AnS Ea rn. wc. Asbestawmwawrt os Busin U#Z wnw rA J�aJV�If.� 0000184 Asbestos Consalthrg • Radon Nwammatrts • Lead Assessments 9 Indoor Air 9aatftg Tadag * Mdd lamstlgat/ons Today's Date: 7/8/2014 Project Nwtbt : 20142081 Page 2 of 2 Prepared For. Job Site: Sammy Salem vacant Commerciat Space Gator Investments 9717 North East 2nd Avenue 1595 Ne 163 Street Miami Shores, Fl North Miami Beach 8133162 Number Grow 11 Mash i -12 Must 13 M= 14 Mast %Materials_ _ 10% Cellulose 10% Synthetic i No Asbestos Detected 45% Glass 45% 10% Synthetic Coacrete No Asbestos Detected 100% i No Asbestos Detested 75% Cellulose j25% i - -- -- �o - I <1% file i 10% symbdic :W% 10% Cellule L 1$ Coacrete No Asbestos Detected 100% i L! Plaster --- No Asbestos Detected — 100% Plaster 17_'No Asbestos Detected 1 ted ,l00% 18 COMM 'No Asbestos Detected 100% 1 Alex Front. Analyst 10097 Cleary Boulevard + #305 t Plantation FL 33324 • Phone: 954-227-2402 • Far: 8"-516-5110 www.arsenvfroamental cum a sates@arsenciirommental.com