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ELC-13-1575Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL lk Phone: (305)795-2204 Fax: (305)756-897211,400 Inspection Number: INSP-195245 Permit Number: ELC-7-13-1575 Scheduled Inspection Date: September 30, 2013 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Nat & Health Sc Miami Shores, FL 33138-0000 Project: BARRY UNIVERSITY Inspection Type. Final Work Classification: Addition/Alteration Phone Number Parcel Number 1121360010160-08 Contractor: PARAGON ELECTRICAL CONTRACTORS INC Phone: (954)445-2502 tsunamg uepartment comments INTERIOR ALTERATION INSPECTOR COMMENTS False Inspector Comments Passed 21 Failed Correction v Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 27, 20113 For Inspections please call: (305)762-4949 Page 6 of 30 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 Permit Type: Electrical JOB ADDRESS: /(300 N� 2 JUL I un FBC 20 Permit No. Master Permit NoCCA'3 "°' Val4 City: Miami Shores County: Miami Dade Tap: Folio/Parcelk It- 213(g. - boo - 045-u Is the Building Historically Designated: Yes NO 7K- Flood Zone: OWNER: Name (Fee Simple Titleholder): off -4 Y ax, r /i1"Sg -X Phone#- ,100'- Address:f/ City: e - State: =:�L Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: f AjeA66z4 E4tcria, tAC eb coophona- Address: 2 S r: dct f A -S A06 City: 00,0!7- SAi„R Luv 6 State: F"L Tap: 3~% Qualifier Name: ?-4Qo$t-0 W0 f.Ao�'4jy Phone#-. 9SY- yyf' - Z So X State Certification or Registration #: dFG / 3 a® a & 63 Certificate of Competency #: Contact Phone#: Email Address: ?AAA "A) /6 Q C dA+CA W-- cat,. DESIGNER: Architect/Engineer: kR L cAe 4 scat. A rig S" Phone# 9-CY - S2o - S7 yb' Value of Work for this Permit: $ 4 too_ Square/Linear Footage of Work: Type of Work: OAddressAlteration ONew ORepair/Replace ODemolition Description of Work: eAMrA,Q A DC7: Submittal Fee $ ISO° 0�:3 Permit Fee $ .72fJr ffiP' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ -S9' 'Bondinh 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, 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 cerafted copy of the recorded notice of commencement roust 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 hn Signature ' Signature 5� Owner or Agent Contractor The foregoing instrument was acknowledged before me this 12- The foregoing instrument was acknowledged bef/ore me this -1 b day of Q - , 20 /-�, by LIMA EQ -1(0 � day of -TT-U(g, _ . 20 f,�, by'Rg-J /ta49254hN , who is personally known to me or who has produced who is personally known tame or who has produced ":!�— As identification and who did take an oath. as identification and who did take an oath. NOTARY Sign: 4 Print:�� My Commission Expires: - APPROVED MUM Nava nb& 12, 2014 FL NWAY terns At= Co. .7® �3 Plans Examiner Structural Review (Revised 3/1212012)(Revised 07/10/07)(Revised 06/10MW)(RevfiW 3/15/09) NOTARY PUBLIC: Sign. Print: My Commission P.ubtiC —State of Florida . Commissloo * EE 14813 Zoning Clerk .4`0!Ro CERTIFICATE OF LIABILITY INSURANCE 6/27`/20133 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 pollcy(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 COm®gy$ Insurance Corner One Beach Drive S. E. Ste. 230 Saint Petersburg FL 33701 ACT Paul Smet PHONE ('jZ7) SZi-2100 FAX (727)828-0626 Paul.smet@CCmews.COm INSURERS) AFFORDING COVERAGE NAIL 6 INSURERA:Ohio Casualty Insurance Co 24074 INSURED Paragon Electrical Contractors Inc PO BOX 1970 Jensen Beach FL 34958-1970 INSURER B:Florida Citrus Business Indus INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:12/13 GL/NEW WC REVISION NUMBER: 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 LTR TYPE OF INSURANCEADM MJBR POLICY EFF POLICY EXP LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR B2054225287 /7/2012 /7/2013 EACH OCCURRENCE $ 1,000,000 PREMISESooc $ 100,000 MED EXP one ) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGOREGATELIMIT APPLIES PER: X POLICYPRO- LOC PRODUCTS -COMPIOPAGG $ 2,000,000 $ AUTOMOBILE LIAMUTYMBIIlen ANY AUTO ALL OWNED ULED A AUTOS HIRED AUTOS NON -OWNED AUTOS(Paracrid ED SINGLE LIMIT Me BODILY INJURY (Par Person) $ BODILY INJURY (Per accident) $ PROPERTY D $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 0650326 /19/2012 /19/2013 WC STATU O H- ER E.L. EACH ACCIDENT $ 100,000 EL DISEASE - FA EMPLOYE $ 100,000 EL DISEASE - POLICY LIMIT I $ 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddBtonal Remarks Schedule, if more =Is required) (305)756-8972 Miami Shores Village 10050 NE 2nd Avenue Miami Shores Villag, FL 33138 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DE IVPRED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Mercurio/JESSZC 1988-2010 ACORD CORPORATION. All rights reserved. INS025 t2mrmi nt Thn Ar ewn nama and Innn urn ran(clarorl rrmr4e of Armon ti ` STATE OF FLORIDA DEPARTM33NT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 HOFFMAN, RONALD FRANK PARAGON ELECTRICAL CONTRACTORS INC 2755 SE HELMS AVENUE PORT SAINT LUCIE FL 34952 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects yacht brokers, from boxers to barbeque restaurants, and they keep Florida's. economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense,com. There you can find more Informaition about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is. License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE 2012 / 2013 ST. LUCIE COUNTY LOCAL BUSINESS TAX RECEIPT RECEIPT # 1013873 BOB DAVIS, CPA, CGFO, CFC, ST. LUCIE COUNTY TAX COLLECTOR FACILITIES OR EXPIRES SEPTEMBER 30, 2013 MACHINES / ROOMS SEATS EMPLOYEES 2 TYPE OF 1731 ELECTRICAL CONTRACTOR () BUSINESS BUSINESS/ Ronald Hoffman DBA NAME Paragon Electrical Contractors Inc MAILING Ronald Hoffman ADDRESS PO Box 1970 Jensen Beach, FL 34958 BUSINESS 2755 SE Helms Ave LOCATION Port St Lucie, FL 34952 City of Pt St Lucie Paid 09/13/2012 12.35 EC13002663 P98000040900 0217-20120913-001370 RENEWAL ORIGINAL TAX $12.35 PENALTY COLLECTION COST TOTAL $12.35 NONEXEMPT Law requires this Local Business Tax Receipt to be displayed conspicuously at the place of business in such a manner that it can be open to the view of the public and subject to inspection by all duly authorized officers of the county. Upon failure to do so, the Local Business Taxpayer shall be subject to the payment of another Local Business Tax for the same business, profession, or occupation. Pursuant to State Law, all Local Business Tax Receipts shall be sold by the Tax Collector beginning July 1st of each year and shall expire on September 30th of the succeeding year. Those Local Business Tax Receipts renewed beginning October 1st shall be delinquent and subject to a delinquency penalty of 10% for the month of October, plus an additional 5% penalty for each month of delinquency thereafter until paid; provided thatthe total delinquency penalty shall not exceed 25% of the Local Business Tax for the delinquent establishment. In addition to the penalty, the Tax Collector shall be entitled to a collection cost fee of from $1.00 to $5.00, based on the amount of the Local Business Tax, which shall be collected from delinquent taxpayers after September 30th, of the business year. This receipt is a Local Business Tax only. It does not permit the Local Business Taxpayer to violate any existing regulatory or zoning laws of the state, county or cities. It also does not exempt the Local Business Taxpayer from any other taxes, licenses or permits that may be required by law. Local Business Taxes are subject to change according to law. JUN/27/2013/?HU 0313 PM COMEGYS INSURANCE FAX No.727 528 0626 P.001/001 '4CERTIFICATE OF LIABILITY D/27/ INSURANCE 201IDDIY3 6 /27/ 3 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(les) 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 COmeWs Insurance Corner CONTACT Paul Smet NAME: PHONE(727)521-2100 FAC No: (727)523-0626 E-MAIL .Paul-smet@comegys.com GENERAL LIABILITY One Beach Drive S. E. Ste. 230 Saint Petersburg FL 33701 INSURERS AFFORDING COVERAGE NAIC # INSURERA:Ohio Casualty Insurance Co 24074 INSURED INSURERS:Florida Citrus Business Indus Paragon Electrical Contractors Inc PO Box 1970 INSURER C : INSURERD: INSURER E : Jensen Beach FL 34 958-197 0 1 INSURERF: a.L/VCRf %Mr -0 CERTIFICATE NUMBERI2/13 GL/NEW WC I7CVICIr%M AllIMmco- 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. LTR TYPE OF INSURANCEPOLICY POLICY NUMBER EFF MMIDD POLICY EXP MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ExJ OCCUR BHOS4225287 /7/2012 /7/2013 PREMISES a occurrence $ 100,000 MED EXP (Any oneperson) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLETPT— (Ea accident ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIREDAUTOS ,NgIOjT OWNED OS PROPERTY DAMAGE $ Per aoddent UMBRELLA LIAR±C�C�IMS-MADE EXCESS LIAR CUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION WORKERS COMPENSATION AND EMPLOYERS, LIABILITY ANY PROPRIETOR/PARTNER/Da_CUTIVEY/N OFFICER(MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below B N/A 0650326 /19/2012 /19/2013 $ STATU- OTH- O R E.L. EACH ACCIDENT $ ]QO 000 E.L. DISEASE - EA EMPLOYE $ 100 000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCINPT1nN ng nPCOWrInK10 r 1 nnat.n.... ,a..-. ......... .... . __-_ ._. ..... __ ,..�_....__..- .-., .a...........a .-- na ."... -1 n more apuve Ie requlrea) (305)756-8972 Miami Shores Village 10050 NE 2nd Avenue Miami Shores Villag, FL 33138 ACORD 25 (2010/05) Iucn'2n „ - 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 M Mercurio/ITESSIC �+Z O 1988-2010 ACORD CORPORATION. All rights reserved. �__I.- -t A^—nM architecture - interiors - planning JOSEPH B. KALLER + ASSOCIATES PA August 20`", 2013 BUILDING DEPARTMENT Miami -Dade County 11805 S.W. 26 Street Miami, F13161 Re: BARRY UNIVERSITY — Office Interior Renovation 11300 North East 2nd Avenue Miami Shores, F133161 Architect's Project #: 13010 Permit #: M2013011231 FIRE DISAPPROVAL COMMENTS REVIEWER: Rick Gonzalez 1. Indicate on plans the class of rehabilitation as per NFPA 101 Chapter 43. Response: REHABILITATION CLASS HAS BEEN PROVIDED ON REVISED SHEET T-01, UNDER LIFE SAFETY INFORMATION. 2. Indicate on plans the type of occupancy and the occupant load as per table 7.3.1.2. Response: THE OCCUPANCY TYPE AND OCCUPANT LOADS HAS BEEN PROVIDED ON REVISED SHEET T-01, UNDER LIFE SAFETY INFORMATION. 3. Provide minimum required flame spread classification for interior finish —table A.10.2.2. Response: FLAME SPREAD CLASSIFICATION HAS BEEN PROVIDED ON SHEET T-01, UNDER LIFE SAFETY INFORMATION. 4. Storage rooms to be provided with a 1 -hour fire rated enclosure and a 45 minute rated door with closure. Response: STORAGE CLOSETS ARE NOT REQUIRED TO BE SEPARATED WITH FIRE RATED PARTITIONS AS PER THE NFPA 101 SECTION A.39.3.2.1 — "It is not the intent of this provision that rooms inside individual tenant spaces that are used to store routine office supplies for that tenant be required to be separated or sprinklered." 2417 Hollywood Blvd. loseph@kallerarchttects.com Hollywood, Florida 33020-6605 (954) 920-5746 phone (954) 926-2841 fax wrwwAallerarchitects.com 5. Provide door schedule with all required information. Response: THE PROPOSED SCOPE OF WORK FOR THE INTERIOR RENOVATION OF THE OFFICES RE -USES EXISTING 36" WIDE INTERIOR WOOD DOORS. EXISTING DOORS WILL BE RELOCATED, THEREFORE NO NEED FOR A DOOR SCHEDULE. 6. Provide exit signs and emergency lights throughout. Response: EXISTING EXIT SIGNS AND EMERGECNY LIGHTS HAVE BEEN MARKED ON THE REVISED FLOOR PLANS Should you have any questions or comments, please do not hesitate to contact our office. Sincerely, ,Jose Maurim' Erazo Associate Architect Joseph B. Kaller & Associates, P.A. �i HCALTNY, AIA FOR A OTAtTNT fJVtltQ#V1:1$T Asbestos Evaluation - Limited Site Evaluation with Limited Sampling Date: 8/5/13 Customer. Barry University Project Address: 11600 NE 2' Avenue, Miami, FL 33161 On August V, 2013 AirMD completed, at your xequest, a limited evaluation for the presence of asbestos-contai=, g bonding materials in the above referenced ,building. Samples of visible suspect Asbestos Containing: Building Materials (ACBM) were collected for analysis by polarized Light Microscopy (PLAI).. The purpose of this survey was to identify any asbestos -containing tnaterials that will .be 'disturbed during a proposed renovation in certain areas of the building. The renovation activities ate located. inside room 117 -of the office administration budding,. The entire property' was not inspected. Inspection was limited to areas that will lie potentially disturbed, during the proposed renovation. SECTION I - SAMPLING STRATEGY: Bulk material sampling was conducted according to the following sampling plan: Fri able Surfacing Materials: Friable surfacing materials, inhere encountered, are sampled based on the recommendations found in the EPA "Pink Book" entitled "Asbestos in Buildings -Simplified Scheme for Friable Surfacing Materials" (EPA document 560/5-85-030a). The number of samples collected is based on the total square footage of the homogenous area of the material and the material types. Thermal System Insulation (TSI): If present, samples are collected in a randomly distributed manner from each homogeneous area of TSI not assumed to be ACM. Samples are collected from each homogeneous area of patched TSI. Where cement or plaster is used on fittings such as tees, elbows, or valves, samples will be collected in such a manner sufficient to determine whether the material is ACM or not ACM. Client: Barry University Name: Jove+ Shapiro 1�ate: 8/5/13 Proieet Site:11600 NH 2W Avenue, Miami, K. 33161 7700 Congress Avenue, Suite 1 119, Boca Raton, FL 33487 (561) 245-4500 vrw%v.airmd.com Page 2 of 5 REALM AIR FlIk A NIAL'II1i L91194RUtN1 Miscellaneous Materials: This includes materials such as acoustical ceiling tiffs, floor tiles and linoleum, wallboard, mire insulation, caulking sealants, drape, etc. (basically, materials that do not fall into the first two categories). Suspect miscellaneous materials will be sampled in such a manner as to determine whether or -nor they contain asbestos. The number of samples collected of a given miscellaneous material will be left to the discretion of the inspector. Bulk samples were delivered to Dove Environmental, Corp., in Miramar, Florida. The bulk sample specimens were subjected to Polarized Light Microscopy analysis in conjunction with dispersion stag as outlined in 40 CFR, fart 763, Subpart F of January 1987. Dove Environmental, Corp. is accredited for asbestos fiber analysis through successful participation in the NIST National Voluntary Laboratory Accreditation Program (NVLAP) meeting the requirements of 40 CFR, Part 763.87, Volume 52, and Number 210. SEC ON II — PROJECT SCOPE: The above -referenced property is a multi story multi unit office building located on Barry University campus located at 11600 NE 2'' Avenue, Wmr , FL 33161.7he surrey was limited to roam 117 and no other areas vme, evaluated for suspect asbestos -containing material. The scope of this project -vas to sample and ident potential suspect materials. Only visible and accessible areas of the fatality were inspected During the demolition prods, materials hidden behind wall cavities ac other enclosures may be uncovered which may require further testing not included in this report. Rulk sample specimens of suspect materials were collected and submitted for analysis using Polarized Light Microscopy in conjunction with dispersion staining as outlined in 40 CFR, Part 63, Subpart F dated ]angry 1987. Analysis was conducted by Dove Environmental, Corp., in Miramar, Florida, who is accredited for asbestos fiber analysis through successful participation in the National Voluntary Labofttory Accreditation Program (NVLAP) and meets the requirements of section 206(d) of Title Il of the USC Chapter 15, TSCA as stated in 40 CFR 763 dated .April 30,1987. The non -suspect materials that were present are listed below: 1) Concrete 2) Glass 3) Metal Client: Barry Univmiry Name: )rnep Shapira Late: 8!5/13 Pr(yece Sitea 1600 NL" 2,.a Avenuc, Aliami. I L 339 61 7700 Congress Avenue, Suite 1119, Boca Ratan, FL 33487 (561) 245.4500 www.aiimd.com Page 3 of 5 'D _ _ y HEALTHY AIR FOR A REALTRY ERVIRONNINI Those suspect asbestos -containing materials that were present are listed below - 1 U%all Materirals: Interior wall materials consisted of a drywall and joint compound system. Three samples of the drywall system were collected and no asbestos was detected in the materials. 2 Ceiling Materials: Interior ceiling materials consisted of an acoustical ceiling the grid system. Three samples of the tiles were collected and no asbestos was .detected in the materials. 3 FloorMaterrak Interior floor materials consisted of carpet throughout the entire office space. Four samples of the carpet mastic were collected and no asbestos was detected in the -materials. Miseellaneoxs Matn als.• Miscellaneous materials consisted of the blown in insulation along the exterior wall cavities. Three samples of the insulation were collected and no asbestos was detected in the materials. The integrity of the data was supported by the quality control duplicate sample results. SECTION III - ASSESSMENTS OF ACM: The above sampled materials, are defined by the EPA-NESI-IAP regulation as non - asbestos containing materials, therefore no assessment or abatement of -the material is required. SECTION N - CLOSING REMARKS Federal Law Section 61.145(c) of the Asbestos NESHAP requires that the local EPA representative's office be notified in writing at least 10 working days prior to the onset of the project. The State Asbestos Coordinator's Office also requires a copy of the notification (address to State Asbestos Coordinator, State of Florida Environmental Protection, 2600 Blair Stone Road, Tallahassee, Florida 32399-2900). Limitations. • AirMD was retained to perform a limited assessment in the building for asbestos containing materials related to the proposed renovation areas only. Limited destructive testing is performed during a survey and the search is based on the limited areas accessible at the time of our visit. and do not include materials that cannot be accessed. Our selection of sample locations and frequency is based upon our obser-ations and the assumption that like materials in the same area are Client•. Furry University Name: Josep Shapiro Date: $/5/13 Project Site:11600 NE 2nd avenue, Miami, M, 33161 7700 Congress Avenue, Suite 1119, Boca Raton, FL 33487 (561) 2454500 www.airmd.com Page 4 of 5 NfERit T Ail Y$1; R dUORY (WRORMINT homogcacous. AirMD's interpretations are limited to accessibility and instromenttation litniuniotts. lUe Purpose of this inspection was to identify asbestos- - containing xmnterials that maze rewire special treatment prior to preceeding ith du " planned renovation operation only. Because this inspection was conducted; prior to a }Manned renovation operation, only those suspect asbestos-conminitg matetials expected to be disturbed as a result of the renovation activities were sampled and submitted to the laboratory for asbestos coater. This 'inspection does not intend to have identified all of th�`asbestus-contaaiaing materials present in the facility. >W's opinions as noted in the report are based on the findings and upon our professional experience with no warranty or guarantee implied. AirMD accepts no responsibility fat interpretations or actions based on this report by others. The findings, resulrs and conclusions as part of our assessment .are only r epresent:at re of conditions, at tht time of the AirNID visit and do not represent conditiotas at other times. bis report is intended for your use and your assigned representative&. Its data and content shall not br .used or.iclied upon by.trrltcr partiee'a�t�tout prior written authorization of AirINI.D. Iinccrelz , Sit phcn Hahessy Certified Asbestos Inspector ti21~T'r1 Asbs inspector Refresher CXp%ration bate: 511 /14 MWD, Inc. 1: orida Lcensed Asbestos Ct,ttsulting Firm 7A429 t rsc-r gore' , P SUnnTr5m. VAMC: o� S uv3 Pr.oiect Sac-.llesm) N[r '2 .,:lvrnuc. +(�aniL l L a3lb1 * Dam: 8j.h/13 7?t10 C'cxi�recs tla enact, Suite 39. 13,,,, R icstF1.33487 tjtil) 354500 www.airmd.cont Page 5 of 5 'iwlLo DOVIE ENVIRONMENTAL CORP. 8910 MIRAMAR iaARl .►AY, SUrM 200 MIRARM FL 3302S Tel. (9S4) 374-9274 Fa = (9S4) 9.7426 ASBESTOS TEST REPORT CLIENT : AIR MD PAGE CESS: 7700 COMSS AVE 1119- Bim+ RATON FL 33487 DATE - PROJECT: BAYY UNIVERSITY -11600 NE 2ND AVE.. MIAMI. SAMPLE.ID FL 33161 (P€OJ. N0.•13-02269) :1 08102113 Q3t3B176 CONSULT: STEPHEN HAHESSY NVLAP Lab Code: 102053-0 LAB_NO. 01 SAMPLE -NO.-. 1 FRIMOM NC/fel YEftS: (#3 DATE 0 AS 1 YS S: 08102713 DESCRIPTtt� : DRYMLL a C{MU ASBESTOS TY`K. NONE -DETECTED OT ER FIBERS 20% CELLULOSE NON FISEB�S 60% MI NERALS 03 NOINO LAYERS, 03 DRYWALL & COMMPD NONE -DETECTED 20% CELLULOSE 60% MINERALS 10 FIBER -GLASS 10 PAINT -SALE- .: 2 -- DATE OF ANALYS=IS: 08/02/13 1 F•cSs 101t PAINT SAMPLE NO.: 3. DATE OF AN&YS IS : 091bZ 1 10% FIBER -GLASS 1 PAINT aCS.-ymaL�'a��c�S'a star:aa aatrLa�.tzsms�t=.tt'ltasr_=t'aa Saaaa�aaaaas�ahaasaaam�^.¢atiaCY3mmmam:as�m®GammcaamaeRa757x,S�s Dore hviroxiontal Corporation is solely responsible for analysis performed on supple cent sqp1hd by tlielt awl method 40 M Part 761 Su*rt P in. BPA9600 -9 116, Aeasur nt %certainty laforcitiou is available by ccatart ng the Laboratory. Laboratory Reports;vill be kept or a period of three (3I years elebtronitally. percentages are visually estimated. Point oat performed at clients rest os?y.fesslts relates oaly oto item analyzed. This report should not be reproduced by Clint or anne, with vottu p0milift f= Dove hvironmestal Corporation. All s qju vill be stored for a periodof 1 10Uh. Our laboetory uses varlous microscops and lS pap bCCi .t .Floor -Tile is - ,ad resalt# oily reflect ""It cutest. Analyst 1 R. Pepe Rath. PhD LABORATORY MAMGER DOVE ENVIRONMENTAL CORP. 8910 MrRAMARsi diY,� FL33 'S ASBESTOS TEST REPORT CLIENT : AIR MD PAGE : 2 ADDRESS: 7700 CRESS AVE 111:9 BOCA RATON FL 33487 DATE 08/,Q?1I3 P ELT: BAYY UNIVERSITY -1160"0 KE 2ND AVE. , MIAMI,. E ID 65661.7 FL 33161 (PROS. NO.:13-07289) CONSULT: STEPHEN HAHESSY NVLAP Lab Cade: 102053-0 LAB NO. 04 SAMPLE NO.: 4 FRI/dam YES/10 LAYERS. 02 DATE OF ANALYSIS: /0 / 3 DESCRIPTION CEILING TILES ASBESTOS TYPE: NONE -DETECTED OTHER FIBE:R5 40% CELLULOSE 15% FIBER -GLASS 15% MINERAL N NON i' I BERS : 5% POLYSTYRENE -FO 10% PANT 10% GLASS -SHOTS 5% PERL TES ------------ -------------------------- _------------ ._-_ --- ------ LAB _--- LAB NO. : 05 SWU NO. . 5 fR1,1HOM YES NO LAYERS: 02 DATE OF ANALYSIS: 08[02713 DESd iPTION : CEILINGS TILES ASBESTOS TYPE: NE -DETECTED OTHER FIBERS : 4(ft CELLULOSE 15% FI -GLASS 15 MINERAL WOOL NON FIBERS : 52 POLYSTYRENE -F 102 PAINT ift GLASS -SHOTS 51 PERL 1TES LAYERS: 02 DATE OF ANALYSIS: -081,02/13 DESCRIPTION : CEILING TILES ASBESTOS TYPE: NONE -DETECTED OTHER FIBERS : 40% CELLULOSE 15% F BER -GLASS 15% MINERAL WOOL NON FIBERS : 5% POLYSTYRENE -FOAM 10% PAINT 10% GLASS -SNOTS 5% PERLITES measca$•smsasic .s:czzzaa:aztzteaa¢azaazcesa_aaaa. azzt_- Pove Saviroamsatal Corporation is solely responsible for analysis performed on sample content uplied by clieat and ®etbod ao CYR Part 763 Subpart P app. aeacuunt uumaisty infe=am is available by coatattiag the Laboratory. Laboratory Reports will be kept for a period of tb * (3) year; electruically. Pamtnes an vlsaally eutintti. Poag cwt perfamid at elients rest et1y.bidts relates only to iteo analyzed. Tkis report should teem be rgirodaced by client or ante with it -tea perMisi% from Dore hviromental Corporation. &11 sagaes will be stored For a pried of 3 . Qua laboratory uses varion aitroscopLs and is KW accredited.Floor-Tile isawkewpaeovs and radttaly reflect sample content. Zi zs: Lszaa s:sa:za:: aa�z=xS:CL:Z2Lz��*2 t$.23ffi®S§e96GSLEis LSa:SS':z�s$ffiss- SitSO - IDaxIIICzaT 44. " Analyst 1 R.�Pepe �Ramnath. PhD-___ LAWRATORY MANAGER ASBESTOS TEST REPORT CLIENT : AIR MO PAGE 0 ADDRESS: 7700 CESS AVE 1119 SOCA RATON FL 33487 BATE : 08102/13 PROJECT: BAYY UNIVERSITY -11:600 NE 2ND AVE.. MIAMI. SAMPLE Iii UM176 FL 33161 (P'ROJ, NO.:13-022.89) CONSULT: STEPHEN KAHESSY NVLAP Lab Code. 1.02-053-0 LAB W. 07 SMPLE NO:: 7 FRI MOM YES/YES LAYERS: 01 DATE OF ANAYSI5: 08102113 DESCRIPTION : WALL INSULATION ASBESTOS TYPE: NONE-OMCTED OTHER FIBERS 100 % CELLULOSE NON 'FIBERS --------------------._.-_y--------T-------. _--------------- LAB . -------_ LAB iii. : 08 _ - ~ LE NO.: `8 FRIM : YES/YES LAYERS: 01 BATE OF ANALYSIS: M2113 DESCRI TION WALL INSUATION ASI3ESTQ5 TYPE: ' t1T8 E NONE -DETECTED FI:E4t5 : 1.00 X CELLULOSE NON FIBERS FRIMOM ES LAYERS: 01 BATE OFANALYSTS-A. 08/02/13 DESCRIPTION WALL INSULATION ASBE90S TYPE: (ONE -DETECTED OTHER FIBERS 100 % CELLULOSE NN FIBERS ma aek»snsamsaas ata eanna»sx».aaraxa aas»uaamam macx«toots masaaacxams�zsaaaaeaaaaeeataaraaas :amaaaaa ¢tmaxsaszasmsa Dove -Raviromental Corporation is solely responsible for anall-As performed on s ple content s Dims by client 04 1eth0d 40 OR Part M mart f App. sixfbaell-431W . Reasureaeat torero -R4 inf is available 4 contacting the Laboratory. Laboratory Reports gill be kept for a period of 'tb 43j years k electronically. Percentages are visually estiaatec peixt munt - at clients regneet relates Daly to item analyzed. this report should not be reptoi ted by client or asyoae : ritkaut Crit peamision tram Dave Inviromeatal corporation. All samples gill be stork for a period of 1 MhtL ftr laboratory uses various microscopes anti is IYUP accredited Floor -Tile is M-10109MM,no tis oA r reflect sigqle Content— ---------------- ontent. mama asa-Y.::asaaaacaa sSas ..--a.�"Sm�amsa�.scazps»»II?�P�Ctaaazi :t?.aasact�s««taztt -- smart"" anaaLaiC ' ajdmma Analyst 1 R,Pa Ramn,ath, PhD G',LABORATORY DOVE ENVIRONMENTAL a 10 14IRMAlt PAWWAYr, $UrM 2-- SII 6f Ft 33025 TIS#. { ) 374-9274 Fay t9") SW7414 FlR11 1 DESCRIPTION ASBESTOS TYPE: OTHER FIBERS SDA! FIBERS 10 YES/ NO CARPET DTIC NONE -DETECTED 5% CELLULOSE MINERALS 35% RESINS' FRI/HOM YES/NO DESCRIPTION CARPET MASTIC RESTOS TYPE: NONE -DETECTED CNER,FIBERS : CELLULOSE NON FIBERS : 5% MI NERALS 35%. ICES I NS' LAB NO. . ` FRIMM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS NON FIBERS S, 'LE NO.: 10 LAYERS: 02 (TATE OF ANALYSIS: 08/02/13 5% SYNTHETIC 1DT PAINT 40POLY ERS --------------------------------------------------- SA14PLE NO-: 11 LAYERS: 02 DATEOF ANALYSIS.-. 08!02113' 5 :SYNTHETIC 10% PAINT 40% POLYMERS 12 SAMPLE NO.: 1.2 YESIND LAYERS: 02 DATE OF A YSTS: 08/82/13 CARPET HWIC NONE -DETECTED % CELLULOSE 5t SYNTHETIC 5X MIP+ERALS 102 PAINT 35 RESINS 40% POLYfi ERS :>—aas?aaatanaas�ssssaxssaasasssa�saaamaxaaraszoazarmCaaaaaam�smCSOCamaamma:camssaaaatmetmamtxs•am�aa:esazsas�a Dove ,emvirtt ental Corporation is solely responsible :for perfor"d ;04 savle b, client aid athod 40 CH Part m sobpart y App. jmagurmt Imcertainq itfilitio,is available by eoatactimg the Wboratory. Laboratory leports will be kept for a periodof the t3I gears electzcnitally. Percectages are visually estivaied. Point !fit performed at elietts request only kesnits. relates only to item analysed. This report should not be reprodued by client or anyone vitt Written: pereision from Dove aavironmental Corporation. All samples ei11 he stored for a perm of 1 with. our Iabantory nes various microscopes and is MU ateredi ed.pl -Tile is am-Wqmms aid rete only reflect sample content. as "_ XIL Analyst 1__-- a ASBESTOS TEST REPORT CLIENT : AIR MD PAGE : 4 ADDRESS: 7700 CONGRESS AvE 1119 PROJECT: BOCA RATON FL 3348:7 BAYY UNIVERSITY -11600 NE.2ND AVE.. MIAMI, DATE :0+02/13 SAMPLE ID : D3,09176 CONSULT: FL 331:61 (PROD. Nt1.:13-02289) STEPHEN HANESSY NVLAP Lab Com: 102053-0 FlR11 1 DESCRIPTION ASBESTOS TYPE: OTHER FIBERS SDA! FIBERS 10 YES/ NO CARPET DTIC NONE -DETECTED 5% CELLULOSE MINERALS 35% RESINS' FRI/HOM YES/NO DESCRIPTION CARPET MASTIC RESTOS TYPE: NONE -DETECTED CNER,FIBERS : CELLULOSE NON FIBERS : 5% MI NERALS 35%. ICES I NS' LAB NO. . ` FRIMM DESCRIPTION ASBESTOS TYPE: OTHER FIBERS NON FIBERS S, 'LE NO.: 10 LAYERS: 02 (TATE OF ANALYSIS: 08/02/13 5% SYNTHETIC 1DT PAINT 40POLY ERS --------------------------------------------------- SA14PLE NO-: 11 LAYERS: 02 DATEOF ANALYSIS.-. 08!02113' 5 :SYNTHETIC 10% PAINT 40% POLYMERS 12 SAMPLE NO.: 1.2 YESIND LAYERS: 02 DATE OF A YSTS: 08/82/13 CARPET HWIC NONE -DETECTED % CELLULOSE 5t SYNTHETIC 5X MIP+ERALS 102 PAINT 35 RESINS 40% POLYfi ERS :>—aas?aaatanaas�ssssaxssaasasssa�saaamaxaaraszoazarmCaaaaaam�smCSOCamaamma:camssaaaatmetmamtxs•am�aa:esazsas�a Dove ,emvirtt ental Corporation is solely responsible :for perfor"d ;04 savle b, client aid athod 40 CH Part m sobpart y App. jmagurmt Imcertainq itfilitio,is available by eoatactimg the Wboratory. Laboratory leports will be kept for a periodof the t3I gears electzcnitally. Percectages are visually estivaied. Point !fit performed at elietts request only kesnits. relates only to item analysed. This report should not be reprodued by client or anyone vitt Written: pereision from Dove aavironmental Corporation. All samples ei11 he stored for a perm of 1 with. our Iabantory nes various microscopes and is MU ateredi ed.pl -Tile is am-Wqmms aid rete only reflect sample content. as "_ XIL Analyst 1__-- a VE ENVIRONMENTAL CORP. 8+x.10 MUMAK P AY, 5UrrE=0 N ft 3"25 Tai. (9S4) 374-9274 F tai 639-742S ASBESTOS TEST REPORT CLIENT : AIR PSD PAGE ; 5 ADDRESS: 7700 'CONGRESS AVE 1119 PROJECT; BOCA RATON FL 33487 BAYY UNIVERSITY -11600 NE 2ND AVE.,.MIMI, --:13-02289) DATE SAMPLE ID 08102/13 0308176 EL 33.51 IP J. NO CONSULT: STEPHEN HAHESSY NVLAP Lab Cade: 102- O 3.0 NO. FRIIHOM 13 YES/N0 LAYERS: 02 SAMPLE NO.: 13 DATE OF ANALYSIS: MUM DESCRIPTION CARPET MASTIC ASBESTOS TYPE: Nom -DETECTED OTHER FIBERS 5% CELLULOSE 5t SYNTHETIC NON FIBERS 5% MINERALS 10% FAINT - RESINS 40% POLYMERS raga l y,L I RPew' Ramnath, P , ITdU Project Name: V „vProject ; Project Location. I 1 M ► Sampler's Name: Date Collected: '� \ aampier's Slgteature:Turn Around (hr�: 24 _ other _ Recelved at Lab by: Date keaeived; � 4' " Condiluon of 8amplew receiVeG: Comment: Sample login by: - ._� DOVE ENVIRONMENTAL LABORATORIES. 8910 Miramar Parkway, suite 200 Miramar Fl 33025 "i'e.l( 54-374-9274) Ftm(954-639-7429) E-mail:eLJbS.,"�v_.g4mr&i!,net Web Address: dovbtabs.org CHAIN C ^ C1 2Y - AULK A; E E3ove Cllent i9ame: A r lD --- Date Address : 7700 Congress Ave. Suite i19 Lab IQ Boca Raton, FL 33487„" Total Samplesllerfied: Tei. # : 561-245-4SOO Email : la br rits"a rma corn � �� t� Location %m6A Ar �. �. Ct \A Project Name: V „vProject ; Project Location. I 1 M ► Sampler's Name: Date Collected: '� \ aampier's Slgteature:Turn Around (hr�: 24 _ other _ Recelved at Lab by: Date keaeived; � 4' " Condiluon of 8amplew receiVeG: Comment: Sample login by: - ._� AIR, AEALTRY AIR FOR s atALTRY FaY!'R41INENa 0 Project Name%Number: Structure Type: rojectAddr,�ss: i i� (6 Date: - Assessment areas: PMM lO inspector Name. Potential ACM: Location: FriableAsWea: ondition 4 Potential disturbance: Potential ACM: Location: Friable, V Area`•(tndition:OrPotential disturbance: �► Potential ACM: Location: k,,, \N Fdabie:t4AreaYck£ondition:C-Potential disturbance: Potential ACM: ' ` £, Location: J. Friable:tr, Areazc 6andition:4Potential disturbance: Potential ACM: Location: Friable: Area: Condition: Potential disturbance: Potential ACM: Location: Friable: Area: Condition: Potential disturbance: Potential ACM: Location: Friable: Area: Condition: Potential disturbance: Potential ACM: Location: Friable: Area: Condition: Potential disturbance: Legend: Y. 'Yes G: Good H: High N: No F: Fair M: Moderate B: Bad L: Low 7700 Congress Avenue, Suite 1119, BOW Raton, FL 33487;(551) 245-4500 wwrw.airmd.com. gage 1 of 1 ■ � 0 On &V2013 hi Boca Ratorl, FJ, mmpleted Me requk%*onft for asbowot woweam" water sea= 206 of TSCA 1& 11, 18 USC 2646 m ------ mm� FUQ�MDA OF 80813M� MZ WS,r. OM T SfiW32320,0793 (850) 487-13.95 Amo A Ausswit 0'�6 AVR 9" SO= A&'tON • MI -131-9487