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DEMO-15-1762 Miami Shores Village „ Pt�lt T � 0 10050 N.E.2nd Avenue NE Wdrk C/gssrficai i .Sidi Miami Shores, FL 33138-0000 Peir ?rt Vim , a Phone: (305)795-2204ek ` Expiration: 03101/2016 Project Address Parcel NumberApplicant 1420 NE 103 Street 1132050310030 __. �.r�.._�... ..... ._..._ ..,_.�._.__ .. Miami Shores, FL Block: Lot: MARC AND ANNE LITZENBERG Owner Information Address Phone Cell MARC AND ANNE LITZENBERG 1420 NE 103 Street MIAMI SHORES FL 33138- 1420 NE 103 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 12,000.00 ZAHLENE ENTERPRISES, INC (305)805-6858 (305)772-5739 Total Sq Feet: 2419 Type of Demo:Building Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Review Electrical Review Mechanical Review Building Review Building Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $7.20 Invoice# DEMO-7-15-56338 DBPR Fee $5.40 07/14/2015 Credit Card $50.00 $349.00 DCA Fee $5.40 Education Surcharge $2.40 09/03/2015 Credit Card $349.00 $0.00 Permit Fee $360.00 Scanning Fee $9.00 Technology Fee $9.60 Total: $399.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is a a I work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-nam o do the work stated. September 03, 2015 Authorized Signature:Owner / Ap scant / do / Agent Date Building Department Copy September 03,2015 1 DIVISION OF • Environmental Health Florida Health 0 Miami-Dade County OSTDS/Well D ' ' ' Q Division 0 t]A0 5 SW 26 h Street Miami,FL 33175 Inspector �t Date �S Address `'r p� n �03 OSTDS# H t ' 'Iq Comments: V IL Sijg_,naturejg�::::::: DIVISION OF �•� Environmental Health Florida Health A Miami-Dade County ry�i0 eIlk OSTDS/Well Division �Ov [' 11805 SW�- i3175 InspectorDate Address_ � o1D 1'l jD3 �' OSTDS# Af" 11g8s2� Comments: OIfL_.. Signature ,,—`7 7 — 573q Miami Shores Village f Building Department JUL 14 2D15 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 (� BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. DF ry)o 5-1--1(o2- BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP I qq�� *� G T CONTRACTOR .,G DRAWINGS JOB ADDRESS: /�zo \`LL I � ST •- !G . 1L. 33130 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: A-3206—0030 Is the Building Historically Designated:Yes NO �. Occupancy Type: Load: Construction !Type: / Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): \\�1 L 1,�Zlr�i�r/4 Phone#: Address: 42P �•tc ra / City: State:State: GZip: Tenant/Lessee Name: Phone#: Email: t CONTRACTOR:Company Name: P.�6 bn*go�,S-e. Phone#: G Address: U716" ���(y. 7 7 *A Ateft City: Rtj ky State: Zip: 1317 F Qualifier Name: - Phone#: ezg s Fvf State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: �?z f(!� Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work: 'e, 1(�j;V�15 Zdv, Ane Specify color of color thru tile: P Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 34 1 9' , GD— (Revised02/24/2014) I -BLDG: Zg g . OD cbG . CO �AE3t u (**e SNS . U tT9 WT 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 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$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 OWNER or ENT NTRACTOR The foregoing instrument was acknowledged before come this The foregoing instrument was acknowledged before me this Z'_day day of 20 J by 0 nd day of �.l44 20 1! by t4of k L 4zenbe!rQ who is personally known to Tonalnn r/.Zuh fen who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: "Cha wZ Print: 4 Ak Seal: Seal: ^ Mich l Ruiz of Florida Notary Public Slate of Florida Michael Ruiz Michael Rulz My Commission FF 076690 My Commission FF 076690 OF n Expires 12/15/2017 of Expires 1211512017, ********** ** ********************************************* ***************** L APPROVED BY Plans Examiner ! Zoning ED Structural Review Clerk (Revised02/24/2014) t , STATE OF FLORIDA DEPARTMENT OF BUSINESS AND ' PROFESSIrNAt,REGULATION CUC1225056 SU �;Ax08/27/2014 a . CERT UND ,ERJ3 TR ZAHLENE,Jx ZAHLENE EN ,i AS CERTIFIED under the }5rovisions of Ch.489 FS.. Explration.date`. AUG 31,2016 L1408270001552 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND ' PROFESI, LtGULATION CBC1257155 f ;' x,08/06/2014 ..� o CERTIFIED B t ZAHLENE,J ., ZAHLENE ENS IS CERTIFIED undertheprovisions of Ch. 489 FS. Expiation date :AUG 31,2016 L1408060001239 i y: w y Era��cal business Tax Receipt Miami-Ead6Cqunty State of Florida , -THIS IS NOTA BILL-DO NOT PAY l 7174363 siui*100'iIAME%L,OCATIOpi RECEIPT NO. "'1EX , ZAHLEN�E EN'T'ERPRISES INC RENAL ,.' SEPTN�BE�" X2015 01 00 N11V 9Th4(E 7453634 , ' , MEDLEY,FL 33178., Must be dlsplayetXa place of auslness; Pursuant to,Gounty Code 4hPter 8A=Art.9&10 OWNER SEC.TYPE OF BUSINESS 'PAYMENT RECEIVED ZAHLENE ENTERPRISES INC 196 SPECIALTY BY TAX COLLECTOR C/O ZAHLENE JORDAN M ENGINEERING 45.00 08/21/2014 Mrker(s) 1 CUC1225 NTRACT 0226-14-006598 This Local Business Tax Race"only confirms payment of the Local Business Tax.The Receipt is nota license, permit ora certification of the bolder s qualification;_to do business.Holder must comply with any governmental ' or nongoventmeml regulIdeglaws and requirements which apply to the business. The RECEIPT N0.above most be displayed on all commercial vehicles-MiamFbade Code Sec M476. 11 MIAM For more information,visit$m w.miamidadg;aov/mzS oI Igas ecmr to Business Tax Receipt Miami-Nde Coflnty,State of Florida =THIS IS NOT ABILL'-RONOT PAl ' 7174362 " BUl31Nt%S8 NAItAE/LQC,ATION, RECEIPT NO. � ,' ZAHLENE ENTERPRISES INC,, " EMPIRES RErvEwL SPEMBER °2Q 30, 15 : 1300 W'07 AME 7453833 MEDLEI(,FL :33178 Must ba aisplaysd at phos dt business,; Pursuant 20 County Cqde 'Chapter i3At Art.9&10: OWNER SEC.TYPE OF BUSINESS ZAHLENE ENTERPRISES`INC PAYMENT RECEIVED 196 SUB-GENERAL BLDG BY TAX COLLECTOR C/O ZAHLENE JORDAN M CONTRACTOR 45.00 08/21/2014- Worker(s) 1 CBC1257155 0226-14-006598 This Local Business Tax Receipt only confirms payment of the Local Business Tax:The Receipt is not a license, permit or a certification of the holders ualflcations,to do business.Holder must comply with an q PIY Y governmental Or nongovertlmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. MIAM For more information,visit www miami a�de.gov/lazcollector 2015-07-,02 13:23 Zahlene Enterprises 3058056857 >> 1 800 685 7530 P 1/1 A�dRG� CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DDIYYYY) 05/14/2015 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 CERTIFICA'T'E OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN$URER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED,the pollcypos)must Do ontloraed. If SUBROGATION IS WAIVED,subject to the forms and conditions of the policy,cortatn pollclos may require an andoreament. Astatement on this cortificato does not confor rights to the cortificato holder in lieu of such ondorsement(s). PRODUCER Edna Sanchez American Trust Insurance vH E 6)270-2220 270-2496 9360 Sunset Drive Suite 240 ,MAILSg. odnaseomedcantrustina.com Miami,FL 33173 AQQRZ INSURER SI GE NAIL M Phone 30 270.2220 Fax 305 270.2496 INSURER A: Commerce&Industry Insurance Company 19410 INSURED INSURER u: Endurance American SDOClalty Insurance CO 41718 Zahlono Enterprises,Inc, INAMIER . Progressive reel Insurance Co 10193 11300 NW 97th Ave INSURCR D: Miami FL 33178 INSURER E: COVERAGES CERTIFICATE NUMBER: INSURER F: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LR TYPE OF INSURANCE ADD UO ICY E F MP�DpY EXP LIMITS POLICY NUMBER Y G@$RAL LIABILITY EACHOCCURRCNCE E 1000000,00 ✓❑ COMMCRCIAL GENERAL LIABILITY DAMAGE T A Q ❑ CLAIMS-MADE 0 OCCUR PRPMINFS eur s 100000,00 ❑ 215 225 03/26/2015 03/28/2016 MED EXP(Any one pirson S 5,000.00 ❑ PERSONAL BAOVINJURY S 1,000,000.00 GENERAL AGGREGATE S 2,000,000.00 GEN'L AOOREG��A777[LIMIT APPLIES PER: El POLICY CJ p• ❑ LPC PRODUCTS•COMP/OP AGO S 2,0001000.00 AUTOMOBILE LIABILITY S BIN@D 51NGLl ILMI' ❑ ANY AUTOS 1,000,000,00 ALL OWNED SCHEDULED DOOILY INJURY(Por poraon) s C ❑ AUTOS AUTOS 07919802-4© Pl)ODILYNURY(Por accioenl) SMIRCDAUTOS NON-OWNED 8 AUTO AMA L' s ❑ UMORELLALIAO S L�I OCCUR B FXCEgg UAB EACH OCCURRENCE S 51001000.00 CLAIMS.MADF. 215.224 03/25/2015 03/25/2018 AOOREOATC S 5,000.000,00 DF RErr Nn "OOUCts/C" teteO g s 5,000,000.00 WORKERS COMPENSATION YIN FEH QTH- AND EMPLOYERS t IABI�It Y ANY PRQPRIETORlPARTNER/EXEC WMERIMCMDCRCXCLUDatr? NIA C.LEACHACCIDENT $ (Mandatory In NH) E.L.DISEASE.EA EMPLOYE S IT yam,deaalDo under D[SCRIPnpN OF OPERATONS below E.L.DIS .POLICY LIMIT s DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Addltlonnl Remarks Schadws,if mora apiece is rogwrgd) Drfinalge Construction,Sullding Construction&Building MDtcrial Dealers CUC1225056 CBC1257166 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 N.E.2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTNORI=O REPRESENTATIVE ACORD 25(2014101)CIF 01988-2014 ACORD CORPORATION. All rights rosarvod. Tho ACORD namo and logo aro roglstorod marks of ACORD 1 ® DATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 7/02/2015 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 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 SUNZ Insurance Solutions, LLC. ID: (TLR) NAMEAOT Aimee Gra c/o TLR of Bonita, Inc HONE o E 727-520-7676 x 222 ac No: 727-525-3862 700 Central Ave Suite 500 E-MAIL St. Petersburg, �L 33701 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# INSURER A: SUNZ Insurance Company 34762 INSURED INSURER 13: AS en Re-London-Best Rating"A" TLR of Bonita, Inc INSURER C: Catlin Syndicate-Lloyds-Best Rating"A" EnteTriseHR 700 Central Avenue Suite 500 INSURER D: Brit Syndicate-Lloyds-Best Rating"A" St. Petersburg FL 33701 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 25413049 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY LIMITS LICY EXP LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE ToRENTED CLAIMS-MADE FIOCCUR PREMISES E.occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT [7LOC PRODUCTS-COM P/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WCPE0000000111 6/1/2015 6/1/2016 -/ STATUTE EER RH AND EMPLOYERS'LIABILITY Y/N WCPE00000001 10 6/1/2014 6/1/2015 ANY PROPRIETOR/PARTNER/EXECUTIVEElN NIA E.L.EACH ACCIDENT $ 1,000,000 EXCLUDED? OFFICER/MEMBER (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Coverage Provided for all leased employees but not subcontractors of:Zahlene Enterprises,Inc. Client Effective:8/17/2014 CERTIFICATE HOLDER CANCELLATION 7889 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E.2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE Glen J Distefano ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 25413049 1 Master Certificate I Aimee Gray 1 7/1/2015 7:43:08 AM (CDT) I Page 1 of 1 15HOREs �t l.,, ,,,,,� Miami shores Village Building Department OR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT DATE: 7�Z3�IS (Name) Contractor ❑ caner ❑ Architect Picked up 2 sets of plans and (other) Address: IL-e?,0 A�• 10?��� From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to 7mitting process. Signature: I URE) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: .. __ '•f+. �<<L�y a Lir ...._+--•—, � :_.. . i�l� i r _�_ ... _ .._..: { fo '•! j T3,00044 ._ 007i x.14 o A- c�s �.�,.- �L - '00001���e MIAMH ADE iV,� �� ,\Ty. p a 4 a ..'.sem,.,:.� �;:•��,' .�'- C :.�- :, .-, ��fi 3 .�, 1 . ft :�,-t�71'.w. .!—i rel'-=1:•.`=i rJ i"r= �..{"'"l�,'�I h. _,�,3 r ton •RESIDENTIAL•COMMERCIAL•INDUSTRIAL•MARINE •MONTHLY PEST CONTROL SERVICE •TENT FUMIGATION•SUBTERRANEAN TERMITE Pest Control Co. •FHA&VA INSPECTIONS•RODENT CONTROL JUNE 29, 2015 CITY OF MIAMI SHORE VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORES, FL. 33138 ATTN: DEMOLITON DEPARTMENT THE PROPERTY AT 1420 NE 103 STREET,MIANII SHORE, FL. HAS BEEN EXTERMINATED FOR RODENT AND ROACH CONTROL AND IS READY FOR DEMOLITION. 0000 IF YOU HAVE ANY QUESTIONS OR CONCERNS. PLEASE DO NO.T HESITAT.E.O0.00.0 TO CONTACT MY OFFICE. •• ••• • 0000.. .. 00000 . 0000.. .00000 0000 0 00000. 0000 . 0000. 000000 0000 00000 0000 0000 0000.. 0000.. SINCERELY. .0 0 0 0. 0000.. . :0006: 00 . 0 ..0 00 0 LIDIA ALVAREZ L � 2215 WEST 78TH STREET• HIALEAH, FLORIDA 33016• PH: (305) 828-2999 • BROWARD: (954) 779-1535 3 E) NEY June 3,2015 Anne Litzenberg 755 West Se Street Miami Shores, Ft.33140 I, Proposed Demolition: 1420 NE 10310 Street,Miami Sipes.. .utter a review of our facilities within the above referenced areas,we would like to inform you that Teco Peoples Gas has no service lines to the said property. If you are planning to excavate the surrounding area of the work site, please contact Sunshine State One Call of Florida by dia. ling„811 at least 4$ hours in advance, there might be other underground utilities, By contacting SSOCOF, the risk of personal injury and property daMdge. 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 contaGL=at 305-957- 3857, extension 77247. •••••• Sincerely, Yolanda Hong Ting for '••' Jesus Vega Prepared by:Yolande Hong Ting Territory Manager North Miami Division PEOPLES GAS ism W Mde Hwy FAX 7-3804 NORTH MAN,FL 33162- AN 31 AN EQUAL OPPORTUNnY COWAW . .. CCSPROD I R���tR11f.WAI L CSP!if ktad t�itdC tt6/13Sty14Z�NE 303#D ST;' Sr •r 3313B roG MOWASO 1 FM ANDTAXES#•A Ek��y(��7y G�"gr-AWA � NEW Fm VlstT *� '' 077 j�`°�". '�7 A�3Q �p� .,;y,E.� .y�� ,.. wr'7 'w',M .a l l 2M, ;. r 'PPL June 3,2015 To Whom It May Concern Ree: 1420 NE 1W ST Effective 06/02/2015, FPL has removed the meter and disconnected the FPL service wire to the above referenced address. However, before demolishing the structure, you shouid_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. Sincerely, Alejandro RodriguezA-ssoci '••' ... . . ate Engineer •••••• •• •••••• 345-770-7938 •••• • ••••• • • • • • •••••• FPL(rAw Company June 29,2015 To whom it may concern This letter is to confirm that hTarc Litzenberg,Owner of property located at 1420 NE 103rd ST Miami Shores,FL 33138 with Folio Number 11-3205-0030 with warranty deed attached,authorize Zahlene Enterprises,Inc.to Complete Demolish the existing single family residence currently on site.If you have any question please feel free to contact r meat 305-753-6511 or 305-205-5672. Regards, Marc Litzenrg •••• . . .... ...... . • ...... .. ...... .••:•• • C aAT 0+ l�iAt�i tai vc ...... .... . ..... Sworn to and subscribed before me this `day of k ij(\e of • .... ..... Mj Notary public: ' LAlti SMA"UCX MWy PWft-We of Fiorids My Cow.120M Jni 29,2015 ' r Comirdniom f FF 114226 LA RECORD &RE,TURN TO JOHN H. ADAIR, III, P.A. 1177 SOUTHEAST 3RD AVE. FT. LAUDERDALE, FL 33316 WARRANTY DEED Folio No. 11-3205-031-0030 THIS WARRANTY DEED,made the i S4'- of November, 2013, by MICHAEL A. THOMPSON and MARGARET E. THOMPSON, his wife,hereinafter called the Grantors, to MARC W.LITZENBERG and ANNE F.LITZENBERG,Husband and wife, whose post office address is hereinafter called the Grantees; . . .... ...... WITNESSETH : •••• ••• .' ...... .. ...... That the Grantors, for and in consideration of the sunt of $10.00 ap**ether yal ruble ;•••• consideration, receipt whereof is hereby acknowledged, hereby grants, bargaia 'sells;•aWz3s, remises,releases, conveys, and confirms unto the Grantees, all that certain reatprepprty,sitgat�in •• ••• .. .. .... ...... Miami-Dade County, Florida, to-wit: • . . . . ...... Lot 12, in Block 5, of REPLAT OF TRACT "C" MIAMI SHOSE,9.13A);PARK ••• ESTATES, according to the map or plat thereof, as recorded in Plat B601k A, at Page?7, • of the Public Records of Miami-Dade County,Florida. SUBJECT TO: Conditions,restrictions, Limitations of Record, easements, zoning regulations, taxes for the year 2013 and subsequent years. TOGETHER with all the tenements, hereditainents and appurtenances thereto belonging or in any wise pertaining. TO HAVE AND TO HOLD the same in fee simple forever. AND the Grantors hereby covenant with said Grantees that the Grantors are lawfully seized of said land in fee simple;that the Grantors have good right and lawful authority to sell and convey said land; that the Grantors hereby fully warrant the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances, except taxes accruing Subsequent to December 31, 2012. IN WITNESS WHEREOF,the said Grantors have hereunto set their hands and seals the day and year first above written. Signed, sealed and delivered in our presence: L.S. Sig ature of Wit ess MICHAEL A. PSON S� 517 Olympic Circle Print Nance of Witneo St. Augustine,FL 32092-2791 0000 nature of idles 1 •••• •••••• J • • �Y 19 2T"�r MG ET E. THOMPS N 0000.. 0000:. Print Name of Witness 517 Ol ipic Circle ... 0000.. St. Augustine,FL 32092-2791 ."". :000:0 ' 0000 . 0000. 0000.. 0000 00:00' STATE OF FLORIDA ) • .. .s 0000 0000.. ss 0000.. COUNTY OF MIAMI-DADE) ..0 •••••• 0000 .. 0000 The foregoing Warranty Deed was acknowledged before me this 0 g f Sl. day of Novehlbef, 2013, by MICHAEL A. THOMPSON and MARGARET E. THOMPSON, his wife, who is personally known to me or has produced their drivers license as identification and who did take an oath. Notary Public, State of Florida '_=O,�pfYP4Yni GRI— S N HENRY ' My COMMISSION t9�Y 3.;rO�j ?'o'F'n?"`` EXPIRES July 15.2017 Prepared by: (407)390.0153 FloddallolaryServlce.com ANDRE' R. FOURNIER, ESQ. P.O. Box 610277 North Miami, FL 33261 11300 NW 97TH AVE Medley,FL 33178 305 805 6858 FAX 305 805 6857 ZAHLENE ENTERPRISES, INC July 2,2015 To whom it may concern: This letter is to inform that Zahlene Enterprises is scheduling to perform the demolition of the single family home locatd at 1420 NE 103`d ST, Miami Shores, FL on July 13 2015. If you have any question please feel free to contact us. Sincerely, Jordan Zahlene Vice President . . .... ...... ...... .. ...... T U f kA A\NAT-- DADS .... ..... ...... 7 �,. . ..... Sworn to and subscribed before me this V day of G - ..'..'of ?,.�.�rj ...... Notary public: EDP =ExPifss of FlonOl 07669(' ARS,, #1� � � ��� INC. Environmental Consulting Services Asbestos Business License#ZA-0000164 Ash stas,Consuftinq+ itadon hlea�#rernents ieadAssessments.!indoor Ater OuafitTesting r of Investigations .. .� 4 �. .,. A Tadayttlatc 15 _ ,jecNum6er�2dI51459 " . ..x.�� Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Project Summary Pursuant to your request;ARS Environmental,Inc.,has performed an Asbestos Building Survey on 6/2.5/2015 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. •••• • • . • •••• .•.... ..•.•. •. •..••. •.•• • •..•. • •.•••. .•.. ..•.. •• .• ••.. •••.•. • • • . ••.... •••.% •. r • ••• • Laboratory Results •..• Based on the laboratory analysis, asbestos was detected in amounts greater than 1% in the secured bulk samples. , It has been a pleasure working w' h you.Please call on us again. Regards, Fr t, ARS Environmental,Inc. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fair: 866-816-5110 WWW.arsenvironmentat.com 9 sales@arsentlironmentat.com A*RS Environmental Consulrinq Services E)vomommENTAL, 1NC. Asbestos Business License#ZA-0000164 Asbestos Consulting •Radon Measurements •Lead Assessments •Indoor Air Quality Testing •Mold Investigations Today's Date: 6!26/2015Project Number:20151459 Page 2 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Certification I hereby certify that this asbestos survey was conducted at the above referenced Job Site on 6/25/2015,and performed by Jeffrey Montalvan,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. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT ZAD000164 •��• ••••�• The ASBESTOS BUSINESS ORGANIZATION .:�..; Named below IS LICENSED �!t •••••• Under the provisions of Chapter 469 FS. • •.•• ••••• ••••• Expiration date: NOV 30,2015 . . •..••• 966• .•9.• .. .. 0069 0000•. ARS ENVIRONMENTAL;INC, ' • • • • TIMOTHY AUG7HEY •... ••••.• 10097 cLEM�YSOULE WARD 6 6 ♦ • • 9•.69. PLANTATION FC 33324 a VIVA fift, ; • RICK SCOTT ISSUED: 08103/2013 SEQ# L130N30002224 KENLAWSON GOVERNOR DISPLAY AS REQUIRED BY LAVH SECRETARY 7.�')F 4 � Timothy F.Caughey,M.P.H. Florida Licensed Consultant 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fair. $66-516-5110 wwwarsenvironmentat.com •sates@arsenvironmental.com A*RSEmommmEN//`I L INC. Enoiroumental Consulting Seroices IP Asbestos Business License#ZA-0000164 Asbestos Consulting •Radon Measurements •Lead Assessments •Indoor Air_Ouality Testing •Mold Investigations Today's Date: 6/26/2015 Project Number:20151459 Page 3 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Technician Certification j11sbOte1AD:; Camu'ii lldt .`ar 'f' tGllalJl �Y l to UOM 47rT RUM 9WN-A iWA- '954¢4:,?-,4* This is to Certify that Pntcessed • • •••• •••••• 1�`���:C�f 1�°l.�lJ:C1'� M.�"/fall �� �,,��"' , �� ; i �.f` •• •••• � •• ( �� � k�1' Ta ztChRa3C .artdrtaf �_ wMW S=guN T9 3 ••• • • • X X X^*X x"" � S 7 8D0.966.9933 •••••• HtiiS 37,nh tit..N.Mt .B,r h.f I,:S3ttt9 "*-t}•,.. a ••• •••••• • • has successfully completed an Englis = '�" •• ••••• �z;;�.r.��. �' IJ�.1ltlg,.�ti�J .'�!•,.���5' "}1 •• •r•• •••••• 19-Jan-15 R) 19-Jan-15 rr �•• • .• tl�i�6. BVI A;r, • Nq{;q.Kiit}yy�ry/an;p q�lil3-=Y}]IIIjiL;i4'#YY}4:t3�•N3.t 9&.�s�i'm}. g'EI "k' • • •••••• NDAAC PtauSer#451 Trni f-) `a9.k K6ck Tram&rzg,A"Vr .900 NW AN"K�,ut,&ntak.i7..S;1)Ea • ••• • • smce"kd co se eomoEet—bVA M exam sWe Om 011 i ties F.Slump,Course spauser • • • This Certificate Expires: ('ereircaa Nitmrier: 19-,fan-ib O t r t (nurse(NumNrr.SF.iSill Jeffrey Montalvan Certified Asbestos Surveyor ARS Environmental,Inc. 10097 Cleary Boulevard • #305 • Plantation, A 33324 • phone: 954-227-2402 • Fax. 866-516-5110 WtOW.arsenvironmental.com 0 sales@arsenOironmental.com y� / n'�r n/A/ Environmental Consulting Services I -ARS ,�IV��I�D/ mE ►NC. Asbestos Business License#ZA-0000164 Asbestos Consulting •Radon Measurements•Lead Assessments•Indoor Air Quality Testing •Mold Investigations Today's Date: 6/26/2015 Project Number: 20151459 Page-4 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Bulk Sample Itemization Sample Sample Physical Water Material Sample Positive Asbestos Number Material Class/Sample Description/Location Condition Damage Damage Contact Friability Approximate Size Stop Detected Sample Surfacing Material Good None I None I High Non-friable 7,650 sq.ft. Asbestos Not 1 Detected Layer Interior Plaster Coat Throughout the walls and ceilings Sample Surfacing Material Good None None High Non-friable "''"' d ► Asbestos Not 2 Detected Layer y Interior Plaster Coat Throughout the walls and ceilings , t d - *sdF 00..00 000.0• Sample Surfacing Material Good None None High Non-friable;, In dude V8 '` AsUtf't8tNot 3 •••�� �N •Viteird Layer Interior Plaster Coat Throughout the walls and ceilings m l •••••' '��� s'�� • 0000" *fee .•••• silr` ri y." •••• ...••• Sample Surfacing Material Good None None High �Non-friable�'V e!I A to Asbe•to•Not 4 '41 ...... a . Detected 116 R 0.000" Layer 0111 Interior Plaster Coat Throughout the walls and ceilings '91 � + • •• ;"; " • iINNIp'' �u affil}k Sample Surfacing Material Good None None High Friable 7,650 sq.ft. Asbestos Not 5 Detected Layer Wallboard/Joint Compound Throughout walls and ceilings behind the plaster Sample Surfacing Material Good None None High Friable 0ibcrk e Asbestos Not Detected Layer Wallboard/Joint Compound Throughout walls and ceilings behind the plaster , ria u til i� l The following non-suspect materials were observed during the survey(no samples were taken):No insulation observed behind the walls. duct fiberglass insulation,flex tube. ceramic tiles,wood,metal. 10097 Cleary Boulevard • #305 • Plantation, A 33324 • Phone: 954-227-2402 • Fax: 866-816-5110 www.arsenvironmentatcom • sates@arsenctironmental.com RS i ' '1 A _ te t cense# 164 Asbeslt�s Business Lteenst3#�A OtlDt1164 Asbratas Comm dnj+9n6a Mmsa mwats+Lead Anseammts+ladw AirVtmt4 Testing +Maki laftst1#wWvm Today's Date: 6/26/2015 Project Number: 20151459 Page 5 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Bulk Sample Itemization Sample Sample Physical Water Material Sample Positive Asbestos Number Material Class/Sample Description/Location Condition Damage Damage Contact Friability Approximate Size Stop Detected Sample Surfacing Material Good None None High Friable 'c>X Above- A bestos of Layer Wallboard/Joint Compound Throughout walls and ceilings behind the plaster ' Sample Surfacing Material Good None None High Friable 0t �de'c' lou : ', Asbestos Not Detected 4:j7- Wallboard/Joint Compound Throughout walls and ceilings behind the plasterage 6? • Sample Miscellaneous Good None None High Non-friable 6 s j.*11*" i•f••i Layer Black Mirror Mastic Behind mirror inside the bathrooms +•00o••••• +0+0+ + • ,rill• 000000 0000 o i Sample Miscellaneous Good" None None High Friable 78 9q.ft. • • • A9be_w Not 10 . • :````` 0Detecjpd Layer Linoleum sheeting;beige Inside laundry room,bathroom,and garage •' ' •' • • • Sample Miscellaneous Good None None High Non-friable 3,870 sq.ft. Asbestos Not 11 Detected Layer Concrete Structure Throughout garage floor and exterior walls of dwelling Sample Miscellaneous Good None None Low Non-friable 2,600 sq.ft. Asbestos Not 12 Detected Layer Roof Material;membrane Over main dwelling and garage The following non-suspect materials were observed during the survey(no samples were taken):No insulation observed behind the walls.A/C duct fiberglass insulation,flex tube. ceramic tiles.wood.metal. 10ff7 Ckwy lvrdeftard• #SIRS • Pfantadon, A 33326 9 Mwe: 956-227-240 • : 866-816-5110 a par ea�+ina�r e�rtal. v0 saies@arsenwmnmentat.com EvvwALv�►�,nten�l co,lrrrrtr}arq� Asbestos Business Lit9anse;#2A401700184 .ird►mw Cmistdng•Itedm Mmsmw ants a Land Aummmar+)ndarr.tirr PmtkV leWnrg*Mold Jrmu d#wtivnr Today's Date: 6/26/2015 Project Number: 20151459 Page 6 of l4 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Bulk Sample Itemization Sample Sample Physical Water Material Sample Positive Asbestos Number Material Class/Sample Description/Location Condition Damage Damage Contact Friability Approximate Size Stop Detected Sample Miscellaneous Good None None Low Non-friable 360 sq.ft. Asbestos Not 13 Detected Layer Roof Material;membrane Over Florida room . . .... ...... :*Goo: .... . ..... ...... . 0 . . . . ...... The following non-suspect materials were observed during the survey(no samples were taken):No insulation observed behind the walls. duct fiberglass insulation,flex tube. ceramic tiles,wood,metal. 10097 Clemy Bvdetfand + #305 9 Remotion, FL 33324 • Phone: 954-227-2402 + Fair: 966-816-5110 &MfflMcHf&1 Coors 0 sfilesaam"WivnMental.com ARSEmommm&VTI`1 L INC. Environmental Consulting Services t Asbestos Business License#ZA-0000164 Asbestos Consulting *Radon Measurements •Lead Assessments •Indoor Air Quality Testing •Mold Investigations Today's Date:6/26/2015 Project Number: 20151459 Page 7 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Friable Asbestos Containing Material Sample Sample Physical Water Material Sample Asbestos Number Description/Material Class Location Approximate Size Condition Damage Damage Contact Friability Detected NONE DETECTED 0000 . . 0000 0000.. 0000.. 0000.. 0000 0000 . 0000. 0000.. 0000 0000. 0000 0000 0000.. 0000.. . . % 0000.. . . . 0660. .. . 0 0% 000 .. . .. . 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 demolition/renovation activities involving RACM occur:Notify EPA ole 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: 866-516-5110 www.arsenvirenmental.com *sates @arsenvironmental.cum 'ARS Environmental Consulting Services EmommENTAL, INC. Asbestos Business License#ZA-0000164 Asbestos Consulting •Radon Measurements •Lead Assessments •Indoor Air quality Testing •Mold Investigations Today's Date: 6/26/2015 Project Number: 20151459 Page 8 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Category I - lion-Friable Asbestos Containing Material Sample Sample Physical Water Material Sample Asbestos Number Description/Material Class Location Approximate Size Condition Damage Damage Contact Friability Detected Sample Black Mirror Mastic Behind mirror inside the 6 sq.ft. 9 bathrooms Good None None High Non-friable Layer Miscellaneous • • 0000 0000•• 0000•• •• 0000•• • • • 0000•• 0000 • 0000• 0000•• 0000 00.00 •• •• ••0• 900000 Recommendations :00:*: •• The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good conditio4 and igo repairs Ot•••• ~ 0 renovations are scheduled which would disturb them.Care should be taken to ensure that the materials not be distutbed during repair. ::0090: renovation or remodelling activities which could possibly release fibers into the air.To reduce the intrinsic liability to ale owners, tie ; ultimate solution may be to have the material removed.However,at the minimum,a formal Operations and Maintenance(O&M)nbgran? 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. 100917 Cleary Boulevard • #305 • plantation, FL 33324 • phone: 954-227-2402 • Fax: 866-816-5110 www.arsenvironmentat.cam •sales @arsenvironmental.cam ARSEnvironmental Consulting Services EmommENTALF INC. Asbestos Business License#ZA-0000164 Asbestos Consulting •Radon Measurements •Lead Assessments •Indoor Air quality Testing •Mold Investigations Today's Date: 6/26/2015 Project Number: 20151459 Page 9 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Category II - Non-Friable Asbestos Containing Material Sample Sample Physical Water Material Sample Asbestos Number Description/Material Class Location Approximate Size Condition Damage Damage Contact Friability Detected NONE DETECTED . . .... ...... ...... .. ...... .... . ..... . . . ...... ..:... ...... .:: Recommendations • The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition Bemstepairs • .• or renovations are scheduled which would disturb them.Care should be taken to ensure that the materials not be dis:urbed during . .•••;• repair,renovation or remodelling activities which could possibly release fibers into the air.To reduce the intrinsic 1{ability to the ••••• • owners,the ultimate solution may be to have the material removed. • • • ..••.• The above building materials are considered Category It 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. i 10097 Cleary Boulevard • #305 • plantation, FL 33324 • phone: 954-227-2402 * Fair: 866-816-5110 www arsenvironmentat.eom •sales@arsenvironmentaLcom ARS vrl slv EmoRommENTAL, INC. AsbestosEnBusinessionmentaLicenseConu#ZA-0000164tingSerices Asbestos Consulting •Radon Measurements •Lead Assessments •Indoor Air Quality Testing •Mold Investigations Today's Date: 6/26/2015 Project Number:20151459 Page 10 of 14 General Terms and Conditions 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 prep;ied by AO9 Hnvironm ental as instruments of service shall remain the property of ARS Environmental. •••••• :*00 •• ••• .. .. Assumptions and Limitations .... ...... •••••• •• The results,findings,conclusions,and recommendations expressed in this report are based only on condZtiom Which Vere gbserved duriv g inspections by this report.ARS Environmental makes no representation or assumptions as to past conditions or f iture J ttiiiMces. • 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 PROCEEDING. 10097 Cleary Boulevard • #305 • Plantation, A 33324 0 Phone: 954-227-2402 • Fax. 866-816-5110 www.arsenvironmental.eom • sales@arsenvironmental.com ' ARS Environmental Consulting Services EIVORONMENTALS 1NC. Asbestos Business License#ZA-0000164 Asbestos Consulting •Radon Measurements •Lead Assessments •Indoor Air Ouality Testing •Mold Investigations Today's Date:6/26/2015 Project Number: 20151459 Page 11 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey — Technician Chain of Custody Forms and Field Notes 1:644 IM', papCl! M3 C" of CL ow Cto�mf on F**Maw*,nut"W*Leser Twn% TtB�Y P •?A 1$m4r - A9 How •YA Now 01ft 447T115 Pent L006*0 it ntrtati D� ��, 8,,P%e TdW 97: M ?t�wMl _ t�12D N 103 S"tR -1 • Prolpeat MIAMN 5NoM5� (� • . .... ...... AW wane • c� V� LA ✓\ V\ • � R pUCYytOc J1--rtt-_- Wpd 4S • • • • tau rao.rz� tar r C ,i,uts qtr.m 7t' ` ••• • V\ ...... s �P S K r s n r u M 13tAGk- M AiLS7t L tsars . f l'� 13EtnaE �.#KGX.tuM Slrtc-�'fi 4-V #A)pq lW is C&a owl MON M YsY req M•Mruda�eaM4Mslds b7/7 WM4►�ft Ike Asl�edlp4llri•YMl r r ld ty Yea YPHONE. 2272499 -FAX:96641"110 PMS• 100017 CtEaav utuaFL Rt � N c 10097 Cleary Boulevard • #305 • Plantation, A 33324 • Phone: 954-227-2402 • Fax: 866-516-5110 www.arsenvironmental.com • sales@arsenvironmentat.com 'ARS EivoROMMUTAL, mc. Asbestos Business Lente#AZA 164 Ashen=Caasuldaw a Rain Ahwimments a Lmd Anesswents a Imbor AirVmt4 rest* •MoU 1mqnWqadvws Today's Date:6/26/2015 Project Number: 20151459 Page 12 of 14 Prepared For: Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Asbestos Survey - Technician Chain of Custody Forms and Field Notes r of � �ypap ����wWplkdk .,..�..�..._�.-^ CL 24 Hkxv MW 72 Now Gawp w111-I {i.iPmdm,* I'..� lN `LM 11M1� • ■ I'N��M1Mfl'Iw7"�'•-^ (tet 1 PNp�ea9l�aotiats � 1'S?�il5dt--9t�t�C�.'•1�.J� . sa""pnn°tla ac_ ( ILA-2-0 W La 3 tTrz�-. MW ...... Vma . CO 00 "i pct avi, Gz�rvc,€ �t �'t• V m per lV'+.1j A-0 j b` . ' C=- • ..... `V�� l.J,ltt3�`nto�r�-at� 2 -�'vt3© � ' .. ..• ....•:•• .sa�A • r 41 N 1" in JOW(XEARV t3ouc Rv IUS 1►�aJiA11�i,Ft 3 4• Pc 22729112 •Fac:86�Sie-511® C ` N I C YOff 7 Ckwyl Bodeilmd a #305 *Phwadon, R 33324 Phone: 954-227--2402 a fir: 966-91,6-5110 a &MfflVi WMCjrtd1 cO= 0 sates Vrafvnt etftC e#W Today.s Date:6/26/2015 Project Number: 20151459 Page 13 of 14 Asbestos Survey — Laboratory Results ARS EnOironmenta/Cansut'dng Sewiees EJV Ul1ZON14tENTAL, mc, Asbestos Business License#ZA-0000164 Asbestos Consulting•Radon Aleasmements•Lead Assessments•Indoor Air gualiq Testing•Motd Investigations _...... Today's Date:6/26/2015 Project Number: 20151459 Page 1 of 2 .._-. ..__........ Prepared For Job Site: Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Laboratory Analysis ------- -- --- ----...._............._..-—-- Samle y _................................................, p L.a er Estimated Asbestos Non-asbestos Non-fibrous Number LNMYL Gross Description Percentage %Fibers %Materials ..�, (Plaster ..�. . ..... ........ No asbestos detected......._.. _. ........ ... . 2 1 Plaster No asbestos detected 100% Plaster No asbestos detected 100% ••••• •• • •• • • _. .... ..... L� 1 Plaster No asbestos detected 1••a•• • • • _, _ �_ ._ ••a• • go • • 5 Drywall/Jointasbestos Compound No asbdetected 30%cellulose 4� •— 25%glass ••••• •••• ••i••• 6 Drywall!Joint Compound No asbestos detected 30%cellulose 4SI t�• f • •• -�25%glass � • •� • •••••• _ �+ 7 Drywall/Joint Compound No asbestos detected 30%cellulose J45l6 • • •++ • • 25%glass ••• i Dryw all J Jomt Compound No asbestos detected 30%cellulose 45% 25%glass _ _ . ____ __ 9 Black Mastic 1096 15%cell nlose E ,_ f I( _ 10i Linoleum No asbestos detected 45%synthetic- 20% ynthetic20%cellulose ...... ....... ..._ ........ Alex Front, Analyst 10097 Cleary 8outevard•#305 Plantation,FE 33324 •Phone:954-227-2402 •Fair:866.816-5110 tvwaarsenvironmental.com •sates@arsenvironmentat.com Today's Date:6/26/2015 Project Number: 20151459 Page 14 of 14 Asbestos Survey — Laboratory Results Enti► st " : E imt11VmE AL ,rteaoaoa Asbestos Business License#ZA.�0164 �1,irnsr�tl,M•A'iw/ra Ahsawnnstrtr•tett Aamrw.t.• 1411" amer run rd .tit ldrstldNes Today's Date:6/2.612015 Project Number: 20151459 Page 2 of 2 Prepared For. Job Site: _.. Jordan Zahlene Residential Dwelling Zahlene Enterprises,Inc. 1420 North East 103rd Street 11300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Laboratory Analysis __.. --------.........-....-----.-._..._._................................................................-............................................-------...............-- ....._-......_ - --...................._............................_...... Sample Layer Estimated Asbestos Non-asbestos Non-fibrous Numtxr_ Number Gross Description Percentage %Fibers %Materials _ Cdxtcrete - _ No asbestos detected T . ........T00% 11 ........................ ............. ........... 12 Membrane No asbestos detected 35%cellulose 35% _ 25%glass 5%synthetic 13 �Membrane No asbestos detected 30%cellulose 40% ••••• 25%glass �• • •••• •••••• �- — - —`-- 5%synthetic. ••••• •r..........-..-. •• • •• 0.00•• 0Y 0090•4 • ••900• 0000 • • • • • • ••000• 000• • 00000 9••00• •0•• 00.00 00 9• 0000 000000 • •• 0••090 • • • • •0.00• •0.00• • • • •0009• Alex Front, Analyst ' 10097 Claar>)1&deKv4.0305*ftwe ow R 33324 •lis r. 954-227.2402•Aw.8".816-5110 aho�t�rrurir rtw�.C#W •alles ergo u com SNORES 6 Miami Shores Village ` Building Department some 11111M 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ��''FN,' ES I0 oy� Tel: (305) 795.2204 FLORIDA Fax: (305) 756.8972 JULY 22, 2015 Permit No: DEMO-7-15-1762 Building Critique Review 1. Need to provide-&4estri41, and g applications. 2. Need to provide letter of authorization from WASA. 3. Base on the information provided by ARS Environmental, Inc. laboratory analysis detected asbestos in amounts greater than 1%. Please provide an asbestos abatement plan and complete the special inspector form attached with the name of the firm and the authorize individual that will be monitoring the asbestos abatement. "�4. Health Department approval required for the abatement of the onsite sewage system. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. Field Activity rdg'Z L U1 I Preferences Help You are logged in as Jacqueline Rodriguez CCBPROD Home Menu History Field Activity Save Clear Refresh Main 4ASte,hi=aracteristics/Remafks miscellaneous Log FA Coil: EO=�ro�wsdl RESIDENTIAL WATER ONLY,On-line User, REMOVE METER(FIELD),COmPleted,Scheduled Field Activity Field Activity ID LO rows di�1 07-21-2015 12:OOAM,Completed Favoril RESIDENTIAL WATER ONLY/meter Read Cycle 06/1310/1420 NE 103RD ST,MIAMI 7 'A� Service Point IDAM KANOWO��11111 A SHORES,FL,33138-2626,Residence Control CO* r"I Activity Type PRO wil 7 �_k REMOVE METER(FIELD) In Pe + Created on 07-20-2015 11 13A by user ECKAVEZ. Account+ Schedule Date/Time `77,` F P5 Prem Service Pe M Field Activity Status Completed Field Activity Priority z. vEligible for Dispatch Field Actio~`: Field Work Integration(FWI)via Field Work PIP USPS Dispatch Group Miami KA 1,111 a I mil Daa ck ri Field Order ID No Field Order Information DISTRICT FM7=_ ......... External IDPw 4ow- Intermediate Status - Premise N , se renu3ve meter customer Is doing construction. Instructions Last Coni ' remove smeter eand plug outlets cs. 6 Pr i Comments V �! Additional Info Curren'�`k", FA Actions Field Activity-RESIDENTIAL WATER ONLY,On-line User,REMOVE METER(FIELD),Completed,Scheduled 07-21-2015 12:00AM,Completed NWADE WATER& WOW Wtffi Curren ww BUSMESS SMTQN L To Do, > https://ccbprod.miatnidade.gov/spl/cis-isp 7/29/2015 PERMIT #: 13-SC-1621525 APPLICATION #:AP1198528 STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOCUMENT #: PR982946 AUG 2015 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: Marc Litzenberg PROPERTY ADDRESS: 1420 NE 103 St Miami, FL 33176 LOT: 2 BLOCK: 2 SUBDIVISION: Miami Shores PROPERTY ID #: 11-3205-031-0030 [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 [ ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ j MOUND [ ] I CONFIGURATION: [ ] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ] [ / ] [ ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [ / ] [ ABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out.(b)The bottom 0 of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) T The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system H inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. E R SPECIFICATIONS BY: TITLE: s7 APPROVED BY: TITLE: Engineering Specialist II Dade CHD Betsy Lange-Olmino DATE ISSUED: 07/30/2015 EXPIRATION DATE: 10/28/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1198528 SE-1 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN #A02, Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. w s A RS EiyoRomVmENTAL i . Asbestos Environmental Li Consulting Services 1 Asbestos Business License#ZA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air quality Testing •Mold Infiestigations Today's Date: 8/4/2015 Project Number: 20151459 Prepared For: In Regards To: Jordan Zahlene Residential Dwelling Zahlene Enterprises, Inc. 1420 North East 103rd Street 11.300 North West 97th Avenue Miami Shores,FL Medley,FL 33178 Addendum Letter The asbestos is under the threshold of 160 sq.ft. Removal should be done using the wet method. AIJG 2 015 Respectfully Submitted �i Jeff Montalvan, ARS Environmental,Inc. cust/doc/ proj 20151459 10097 Cleary Boulevard,W arsenv ronmentdl.cam 9 saes a�arsentf onmentalCozin• Fax 866-516-5110 a , MA NMI Q Xw R a mm-"' 01, rl xl s. rI s� 2T co � < 510, tai) E OD wk E C7 ♦E r rn n N �I y .�C NUC I N �I O U N I