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DEMO-17-350Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit lsstae D Permit NO. DEMO -2-17-350 Permit Type: Demolition Work Classification: Building Permit Status: APPROVED : 2/14/2017 Expiration: 08/13/2017 Parcel Number Applicant 1460 NE 103 Street Miami Shores, FL 1132050310060 Block: Lot: MONICA SAVITS Owner Information Address Phone CeII MONICA SAVITS 1360 N. E. 103 ST. Contractor(s) SERVPRO OF MIAMI BEACH Phone Cell Phone (305)532-5411 (786)326-7331 Valuation: Total Sq Feet: $ 16,686.34 277 Type of Demo: Building Additional Info: EMERGENCY SERVICE WATER DAMAGE MITI Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Work without Permit Fee Work without Permit Fee Total: Amount $10.20 $2.00 $2.00 $3.40 $100.00 $9.00 $13.60 $100.00 $100.00 $340.20 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -2-17-62903 02/09/2017 Credit Card $ 50.00 $ 290.20 02/14/2017 Credit Card $ 290.20 $ 0.00 Available Inspections: Inspection Type: Final Review Building Review Building 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 t construction and zoning all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ore, I authorize the above-named contractor to do the work stated. Ste- Sm c February 14, 2017 Authorized Signature: Owner / Applicant / ntractor / Agent Building Department Copy Date February 14, 2017 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION •BUILDING ❑ ELECTRIC 0 ROOFING PLUMBING ❑ MECHANICAL 0PUBLIC WORKS JOB ADDRESS: 1460 NE 103rd Street B 9 2017 FBC 26/ce Master Permit No. to t -5C1 Sub Permit No. El REVISION El EXTENSION El CHANGE OF CONTRACTOR El CANCELLATION ❑ RENEWAL ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3205-031-0060 Occupancy Type: SGLFAM Load: Is the Building Historically Designated: Yes Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): MONICA SAVITS & H CHRISTOPHER L Address: 1460 NE 103 ST NO XX BFE: FFE: Phone#: City: MIAMI SHORES State: FL Zip: 33138-2626 Tenant/Lessee Name: Phone#: Email: anchordot@aol.com CONTRACTOR: Company Name: Servpro of Miami Beach Address: 1361 NW 74th Street Phone#: (305) 532-5411 City: Miami state: FLORIDA Qualifier Name: JOEL T HRBEK State Certification or Registration #: M )2 5 a. CO ()2 DESIGNER: Architect/Engineer: Address: City: Zip: 33147 Phone#: (786) 326-7331 Certificate of Conpe ency #:\V `e tv L9n 5101 Phone#: State: n Zip: 27/Siff Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 0 Demolition Description of Work: E 1'n EP -G Ent G/ S'i: 9"v ) C - e W A T ER— 1)4 i 44 6E in IT, C/9' 7' ) 0A) -- DEED i -i ►0 IQ $4-fttR.0ani (dPS' TA)'e') + 0PFScE LDaa(JS79)R) 'De -VA Q c ‘id . Value of Work for this Permit: $ 16,686.34 Square/Linear Footage of Work: Specify color of color thru tile: 100 .03 CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ L 00.03 4'103 Bond $ TOTAL FEE NOW DUE $ Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) 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 ape • ved nd a reinspection fee will be charged. Signatur 411 • NER or AGENT The foregoing instrume�was acknowledged before me this // day of ArdAr 20 i 7 , by �QKU MOM ("0/. (aV' , who is personally known to me or who has produced TO/ 3/321 7/ii77-0as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal:vo �, ox Poe, KENYA * MY COMMISSION S FF 159005 EXPIRES: September 11, 2018 'OF fvo% Bonded Thal Bud9et Notal Seaces APPROVED BY (Revised02/24/2014) Signature CONTRACTOR The foregoing instrument was acknowledged before me this I day/off :Armor ,20 /�/ ,b TS; y / % j!'L!k , who is personally known to me or who has produced fyL„iL as identification and who did take an oath. NOTARY PUBLIC: /(1 Sign: Print: Seal: Plans Examiner KENYA FROST MY COMMISSION JIFF 159005 EXPIRES: September 11, 2018 FOF F0:1*. Bonded Tin Budget Notary Services Zoning Structural Review Clerk INSPECTION RECORD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 POST ON SITE Permit NO. DEMO -2-17-350 Permit Ty ;emolition j l,ork Classification: Building Issue Date: 2/14/2017 Expires: 08/1312017 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.comlcap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Demolition Parcel #:1132050310060 Owner's Name: MONICA SAVITS Job Address: 1460 NE 103 Street Miami Shores. FL Bond Number: Contractor(s) Phone SERVPRO OF MIAMI BEACH (305)532-5411 Owner's Phone: otal Square Feet: 277 otal Job Valuation: $ 16,686.34 O=TC' .'ALLOWED: 4ONDAY THROUGH FRIDAY, 8:00AM - 7:OOPM. 'SATURDAY 8:OOAM - 6:OOPM. 0 WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. ;NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF' COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED' AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STRUCTURAL INSPECTION I DATE INSPECTION RECORD INSP Foundation Stemwa I I Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks 1Nirpirnniclrinnrc Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance FINAL Soil Bearing Cert DOCUMENTS Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS ZONING INSPECTION DATE NSP Zoning Final ZONING` COMMENTS Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With FINAL ELECTRICAL COMMENTS INSPECTION FIRE DATE INSP Final Sprinkler Final Alarm FINAL PLUMBING INSPECTION DATE INSP Rough Water Service 2nd Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas v U, LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final FINAL PLUMBING COMMENTS MECHANICAL INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum FINAL MECHANICAL COMMENTS STATE OF FLORIDA DEPARTMENT OF BUSINESS,^ ND '4,- fir PROFESSIONAL REGUI.. ATION MRSA185 ISSUED: r /10/2016 MOLD ASSESSOR STRUOGANO, JAKOB IS CERT Expiration da FIED under the provisions of Ch.468 FS. m m P1 R E C E I V EINIQUE HOME INSPECTION MAR 01 LUV ENVIRONMENTAL ASSESSMENT Email: Jkobi@msn.cam CBMI C +.+rr.rr<ia, Ruildlne Meld I�tper[cr #79775 CMI 24,1.1.,1 Mrdd t n a, r • cll., #79774 Web: www.gmold.com Y'a INSPECTOR: JAKOB STRUOGANO Phone: 561-305-3008 cgmRAulidin Mold Rrn.rAvc. rr # 79764 CMRC Crndicd Mold Rrnrrdia cion C.•.r • rarro. ENVIRONMENTAL MOLD INSPECTION PREPARED FOR: Savitz 1460 NE 103rd st. Miami shores, FL 33138 PREPARED BY: UNIQUE HOME INSPECTION CO. 20785 CABRILLO WAY BOCA RATON FL 33428 Phone: 561-305-3008 Email: jkobi@msn.com Website: www.Gmold.com/ Jakob Struogano February 21, 2017 #79763 ENVIRONMENTAL ASSESSMENT Email: Ikobi@msn.com Mold Assessor MRSA185 n"s Web: www.gmold.com INSPECTOR: IAKOB STRUOGANO Phone: 561-305-3008 INSPECTOR: DAVIDSTRUOGANO Phone: 561-289-2410 UNIQUE HOME INSPECTION February 21, 2017 Mr. Savitz 1460 NE 103rd st. Miami shores, FL 33138 Re: Post Remediation Evaluation at: 1460 NE 103rd st., Miami shores, FL 33138 Result: PASS The results of the clearance test performed at the above referenced location on February 20, 2017 have been received from the laboratory and the following report is presented for your review. History: Unique home inspection. Was contracted by Mr. Savitz who requested clearance testing of specific area of the house in the above referenced location. Unique home inspection. Performed the initial test Clearance test was scheduled for the date referred above. Removal of Drywall ceiling and walls / lower cabinets / vanity/ Baseboards in the affected areas was noted. Sanitation and air scrubbing was performed prior to our test, the areas sampled were limited to: ➢ Master bathroom ➢ Office ➢ Kitchen Inspection: No visible mold was witnessed at the time of the inspection. Sampling: The scope of work for this survey was for Unique Home Inspection Co. to perform a fungal evaluation utilizing Total Spore sampling techniques. This mold inspection is good for date & time above and this inspection report is for recommendation opinions only. Total Spore Air Sampling: Total Spore Air Samples were collected using micro -5 Analytical Accessories micro -5 Air Sampling Cassettes. The flow rates were calibrated using a Field Rot meter previously calibrated by our Sensidyne Primary Standard. The samples were collected using SKC Quick Take 5 and an elite pomp electric operate Operated pumps ware set at 5 liters per minute for 5 minutes. After sampling the micro -05 -Cell Cassettes and delivered via Chain -of -Custody procedures to unique home inspection Laboratory (AEML Analytical Inc.) For analysis. The samples were individually placed on a clean micro slide and Stained. Spores were counted on a PIM (Polarized light Microscopy) microscope. The counts were made at 100%x 600 magnifications using the protocol published by micro5 Analytical Accessories for Use with micro-05-Ceft Cassettes. This methodology allows for the identification and quantification of Spores by Genera. Alt spores are counted, whether they are cultural (viable). Regulatory or Professional Organizations for Bio aerosol Exposure: Currently, there are no regulatory standards promulgated by any governmental agency with respect To levels of Microbiological Organisms or Bioaerosols in public or private buildings This mold inspection is good for date & time above and this inspection report is for recommendation and opinions for estimate only. ENVIRONMENTAL ASSESSMENT Email:Ikobi@msn.com Web: www.gmold.com INSPECTOR: IAKOB STRUOGANO Phone: 561-305-3008 INSPECTOR: DAVID STRUOGANO Phone: 561-289-2410 UNIQUE HOME INSPECTION Current Standard of Practice for Bio aerosols: In lieu of promulgated regulatory or recommended guidelines, we apply the following generally Accepted approach in assessing Bioaerosols in the indoor environment. To credibly conclude that there is or is not a fungal problem within a building, an investigator must carefully evaluate the fungal content of the outdoor environment surrounding the building. As a rule, indoor fungal problems are usually indicated when a significant difference is Demonstrated between indoor and outdoor airborne Spore Concentrations or types of Spore Genera or Species. Results: Micro -05 CeII Spore Trap Samples detected no target / low volume fungal types in the sampled areas. Please refer to lab report and fungal glossary. In all situations, the underlying cause of water or moisture accumulation should be rectified or fungal growths will recur. Conclusion: Identification of the conditions that contributed to Microbial Proliferation in a building IS the most important step in remediation. No effective control strategy can be implemented without a clear Understanding of the events or building dynamics responsible for microbial growth. The removal and cleaning of contaminated materials must not be undertaken without proper precautions, Because disturbance of contaminated materials can result in Bio aerosol. Disturbance of microbial Growth may lead to the dissemination of Bio aerosols throughout the building. When visible Contamination is extensive, containment procedures similar to those used to handle hazardous Waste (such as asbestos) are required to safely remove contaminated material. In general, the removal and containment procedures required for toxigenic fungi should be used for Remediation any visible fungal contamination because virtually all fungi can cause allergies, (in Sensitized individuals) and many fungi produce toxins. If you have any questions, please give me a call at 561-305-3008 or go to http://www.gmold.com/ Sincerely, Unique Home Inspection Co. www.Gmold.com r a x113.• Attachments: D Lab Report D Invoice ENVIRONMENTAL ASSESSMENT Email: Ikobi@msn.com Web: www.gmold.com INSPECTOR: JAKOB STRUOGANO Phone: 561-305-3008 INSPECTOR: DAVID STRUOGANO Phone: 561-289-2410 Jakob Kobi Unique Home & Mold Inspection 20785 Cabrillo Way Boca Raton, FL 33428 AEML Test: A001 Spore Trap Analysis AEML, Inc. Mrcrdbio:ogy Laboratories AEML, Inc. 1301 E. Atlantic Blvd., Suite 5 Pompano Beach, FL 33060 Phone: (954) 333-8149 Fax: (954) 333-8151 email: customerservice@aemlinc.com Project: Savitz Batch: 106880 Sampled: 12/12/2016 Received: 12/13/2016 Analysis Date: 12/13/2016 Report Date: 12/13/2016 Sample ID: 161213N015 161213N016 161213N017 161213N018 Client Sample ID: 9813 -Master Bath Wall 9789 -Office 9772 -Kitchen Area 9804 -Powder Room Volume Sampled (L): 1.25 25 25 25 Media: Micro -5 Micro -5 Micro -5 Micro -5 Percent of Trace Analyzed: 100% at 600X Magnification 100% at 600X Magnification 100% at 600X Magnification 100% at 600X Magnification Spore Types I Raw Count Count/m3 %I Raw Count I Count/m3 %I Raw Count Count/m3 %I Raw Count Count/m3 I % Alternaria — — — — — — — — — — — — Arthrinium — — — — — — — — — — — — Ascospores — — — — — — 1 40 20 — — — Aspergillus/Penicillium-Like 1 800 50 79 3,160 100 2 80 40 — — — Basidiospores — — — — — — — — — — — — Bipolaris/Dreschlera — — — — — — — — — — — — Botrytis — — — — — — — — — — — — Chaetomium — — — — — — — — — — — — Cladosporium — — — — — — — — — 1 40 100 Curvularia 1 800 50 — — — 2 80 40 — — — Epicoccum — — — — — — — — — — — — Fusarium — — — — — — — — — — — — Ganoderma — — — — — — — — — — — — Memnoniella — — — — — — — — — — — — Nigrospora — — — — — — — — — — — — Oidium/Peronospora — — — — — — — — — — — — Pithomyces — — — — — — — — — — — — Rust — — — — — — — — — — — — Smut/Myxomyces/Periconia — — — — — — — — — — — — Stachybotrys — — — — — — — — — — — — Torula — — — — — — — — — — — — Ulocladium — — — — — — — — — — — — Unidentified Spores — — — — — — — — — — — — Total Spores 2 1,600 79 3,160 5 200 1 40 Hyphal Fragments — — — — 1 40 1 40 Pollen — — — — — — — — Debris Rating 3 3 3 3 Detection Limit 800 40 40 40 Joshua Krinsky Technical Director Results submitted pertain only to the samples as presented on the accompanying Chain of Custody. This report shall not be reproduced, except in its entirety and with the written approval of AEML. T11111910 CZ rr.arltll a T4;)::". a3AI3338 Page 1 of 4 Jakob Kobi Unique Home & Mold Inspection 20785 Cabrillo Way Boca Raton, FL 33428 AEML Test: A001 Spore Trap Analysis AEML, Inc. Microbiology Laboratories Sample ID: 161213N019 Client Sample ID: 9781 -Exterior Volume Sampled (L): 25 Media: Micro -5 Percent of Trace Analyzed: 100% at 600X Magnification Spore Types Raw Count Count/m' % Alternaria — — — Arthrinium — — — Ascospores — — — Aspergillus/Penicillium-Like 1 40 25 Basidiospores 1 40 25 Bipolaris/Dreschlera — — — Botrytis — — — Chaetomium — — — Cladosporium 1 40 25 Curvularia — — — Epicoccum — — — Fusarium — — — Ganoderma 1 40 25 Memnoniella — — — Nigrospora — — — Oidium/Peronospora — — — Pithomyces — — — Rust — — — Smut/Myxomyces/Periconia — — — Stachybotrys — — — Torula — — — Ulocladium — — — Unidentified Spores — — — Total Spores 4 160 Hyphal Fragments — — Pollen — — Debris Rating 3 Detection Limit 40 fig - Joshua Krinsky Technical Director AEML, Inc. 1301 E. Atlantic Blvd., Suite 5 Pompano Beach, FL 33060 Phone: (954) 333-8149 Fax: (954) 333-8151 email: customerservice@aemlinc.com Project: Savitz Batch: 106880 Results submitted pertain only to the samples as presented on the accompanying Chain of Custody. This report shall not be reproduced, except in its entirety and with the written approval of AEML. Sampled: 12/12/2016 Received: 12/13/2016 Analysis Date: 12/13/2016 Report Date: 12/13/2016 ;erne am Page 2 of 4 AEML, Inc. Project: Savitz 3,500 -7 3,000 -V 2,500 -V 2,000 -V E c 1,500 -V 1,000 -" 500 9813 -Master Bath Wall 9789 -Office 9772 -Kitchen Area 9804 -Powder Room 9781 -Exterior Client Sample ID AEML Batch: 106880 • Ascospores • Aspergillius/Penicillium-Like o Basidiospores • Cladosporium D Curvularia o Ganoderma Note: Graph may understate the importance of certain genre of spores. Page 3 of 4 AEML. Inc. +t;�.a..+sp u+�n+w�.+t Standard Spore List Alternaria Common allergen causing hay fever or hypersensitivity reactions that sometimes lead to asthma, serious infections are rare, except in people with compromised immune systems. Normal agents from the decomposition of plants. Arthrinium No reported infections associated with this fungus. Normally not found indoors. Ascospores Very common outdoor spore, associated with rain and mositure. Aspergillus/Penicillium-Like Possible allergen. Common cause of respiratory irritation and infection. Found on water damaged wallpaper, carpet and organic materials. Basidiospores Possible allergen to sensitive individuals, no known serious health effects associated with this fungus. Mushrooms and dry rot are examples of basidiospore producing fungi. Bipolaris/Dreschlera Allergen that can affect nose, skin, eye and upper respiratory track. Found on grasses, grains and decaying food. Botrytis Potential allergen, hay fever and asthma effects. Parasite commonly found growing on indoor plants. Chaetomium Not well studied but possible allergen with hay fever and asthma effects. Rare cases of nail infections. Found on a variety of cellulose, paper and plant compost. Cladosporium Potential allergen, hay fever and asthma effects. Grows well in damp environments, on textiles and window sills. Curvularia Hay fever, asthma and or allergic fungal sinusitis are some of the potential allergens associated with this fungi. Possible human health risk. Has been known to cause onychomycosis, ocular keratitis, sinusitis, mycetoma, pneumonia, endocarditis, cerebral abscess, and disseminated infection. Most cases are from immunocompromised patients. Grows on various indoor building materials. Epicoccum Potential allergen, effects are hay fever, asthma and skin allergies. Found in soil, air and rotting vegetation. Fusarium Potential allergen, hay fever and asthma effects. Commonly found on fruit rot, requires very wet conditions. Ganoderma Commonly found in the atmosphere, grows on wood products. Possible allergen at high concentrations. Memnoniella Mycotoxin producing spore related to and often found in conjunction with Stachybotrys. Nigrospora Potential allergen, hay fever and asthma effects. Usually not found growing indoors. Found on decaying plant material and soil. Oidium/Peronospora Common obligate parasites on leaves, stems, flowers, and fruits of living higher plants. Pithomyces Possible allergen. Grows well on paper indoors given the right conditions. Rust Potential allergen, hay fever and asthma effects. Rarely found growing indoors. Smut/Myxomyces/Periconia Potential allergen, hay fever and asthma effects. Rarely found growing indoors. Stachybotrys Often referred to as "toxic black mold." It has the ability to produce mycotoxins which may cause a burning sensation in the mouth, throat and nasal passages. Chronic exposure has been known to cause headaches, diarrhea, memory loss and brain damage. Found growing on water damaged cellulose, paper and ceiling tiles. Torula Potential allergen, hay fever and asthma effects. Found growing on water damaged cellulose, paper, wicker, straw baskets and ceiling tiles. Often found growing outdoors on leaves, roots, wood, and soil. Ulocladium Grows well on cellulose containing materials like paper, straw, wallboard. Requires very wet conditions. Unidentified Spores N/A Hyphal Fragments Branched structures with cell walls. Hyphae are somewhat analogous to stems or roots in plants whereas the spores would be analogous to the seeds. Pollen Allergen that causes hay fever. Pollen is microscopic round or oval grains produced by plants. AEML, Inc. assumes no liability or warranty on the use of, or interpretation of the data provided within this report. Responsibility lies solely on the client for the use and interpretation of the results provide herein. Results of the analysis cannot be interpreted without physical inspection of the area tested or without consideration for the structure's characteristics. Generally, if indoor readings are greater than 90% of outdoor readings, further investigation or testing may be warranted. More information on Indoor Air Quality and mold can be found on the EPA website "www.epa.gov/iaq/mold/moldresources.html" and the Center for Disease Control website "www.cdc.gov/moldf'. Page 4 of 4 DBPR - HRBEK, JOEL THOMAS, Mold Remediator Page 1 of 1 3:23:43 PM 2/10/2017 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Alternate Names HRBEK, JOEL THOMAS (Primary Name) 2489 SW 64TH AVENUE MIAMI Florida 33155 DADE Mold Remediator Mold Rem MRSR602 Current,Active 02/23/2011 07/31/2018 Qualification Effective View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Coovriaht 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. '"Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=7D8D309D0D4BB8517D... 2/10/2017 Local Busi ness Tax Fcei pt Miami -Dade County, State of Florida -THS iSNOT A BILL - DO NOT PAY 7218137 BUSINESS NAM E/LOCATION SERVPRO OF MIAMI BEACH 1361 NW 74 ST MIAMI, FL 33147 RECEIPT NO. NEW BUSINESS 7502429 EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A -- Art. 9 & 10 OWNER SEC, TYPE OF BUSINESS PROPERTY RECOVERY GROUP INC 213 SERVICE BUSINESS C/O JOEL T HRBEK PRES Employee(s) MIAMIDE PA YM ENT RECEIVED BY TAX COLLECTOR 75.00 02/10/2017 8 0208-17-000659 This Local Business Tax Receipt only con^rns payment of the Local Business Tax. the Receipt is not a license. pent, or a certi 'cation of the holder's qual i' cations, to do business. Hilder must complywith any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECaPTNG above must be displayed on all conrnercial vehicles - Miami -Dade Code Sec Ea -27B. For more information, visit www.miarridade.gov/taxcollector ACORiff CERTIFICATE OF LIABILITY INSURANCE �� DATE(MM/DD/YYYY) 02/10/2017 .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 Marsh USA, Inc. 1000 Ridgeway Loop Rd. Memphis, TN 38120 Attn: Memphis.Certs@marsh.com 342881 -FL -WC -16-17 7383 CONTACT NAME: (A/CC.NNo. Ext): FAX No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Illinois National Insurance Company 23817 INSURED DecisionHR I, Inc. 11101 Roosevelt Blvd N St. Petersburg, FL 33716 INSURER B : INSURER C : INSURER D : $ INSURER E : INSURER F : CERTIFICATE NUMBER: ATL -004147377- • 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 INSURANCE ADDL _NSD SUBR WVD POLICY NUMBERPOLICY EFF (MM/DD/YYYY) POLICY EXP`n (MM/DD/YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTEDPREMISES $ (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO - JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident)$ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENT ON $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 036150553 06/01/2016 06/01/2017 X PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y / N N N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If describe E.L. DISEASE - EA EMPLOYEE $ 1,000,000 yes, under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) Coverage is provided for only those employees leased to but not subcontractors of Property Recovery Group, Inc. dba Servpro of Miami Beach Coverage is provided effective 06/06/2016 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept. 10050 NE 2nd Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Henry L. Whiting ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOROr CERTIFICATE OF LIABILITY INSURANCE �.----- DATE(MM/DD/YYYY) 2/10/2017 ;MIS ,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 have ADDITIONAL INSURED provisions or 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 Affinit Insurance Services, Inc. SERVPRO Franchisee Insurance Center 159 E. County Line Road Hatboro, PA 19040 LIC#: CA 0795465 - PA 14210 CONTACT NAME: SERVPRO Franchisee Insurance Center PHONE O No. Ext):866-231-2006 FAX c, No): 800-567-4028 E-MAIL ADDRESS: RRRGInsurance(O7aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Restoration Risk Retention Group 12209 INSURED Property Recovery Group, Inc. 2489 SW 64th Ave Miami FL 33155 INSURER B : ALLIED P & C Ins Co 42579 INSURER C : Wesco Insurance Company 25011 INSURER D : $ 2,000,000 INSURER E : INSURER F : ,/OCCUR CERTIFICATE 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 INSURANCE ADDL INSD SUBR WVD POLICY NUMBERLIMITS POLICY EFF (MM/DDIYYYY) POLICY EXP (MMIDD/YYYY) A i COMMERCIAL GENERAL LIABILITY ✓ RGL162044 5/16/2016 5/16/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE ,/OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L ✓ AGGREGATE POLICY OTHER: LIMIT APPLIES PECOT- PER: LOCPRODUCTS GENERAL AGGREGATE $ 3,000,000 -COMP/OP AGG $ 3,000,000 $ C AUTOMOBILE ✓ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY WPP1466638 00 6/6/2016 6/6/2017 COMBINED NGLE LIMIT (Ea accident)SI $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A A B CPL Limited Service & Repair Liability Bailees RPU161550 RLS161794 CIMP 3007829331 5/16/2016 5/16/2016 7/14/2016 5/16/2017 5/16/2017 7/14/2017 PER OCC: $2,000,000 AGG: $3,000,000 PER OCC: $250,000 AGG: $250,000 $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) ** Supplemental Name ** Property Recovery Group, Inc. Additional Insured Status Does Not include Completed Operations dba Servpro of Miami Beach MOLD REMEDIATOR JOEL HRBEK LICENSE NO. MRSR602 --See Attached Remarks Schedule -- CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2nd AVE MIAMI SHORES FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Anne Cassidy ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 34181341 1 10552 1 16/17 GL POLL MPL LSRL 1 Lorraine Suessenguth 1 2/10/2017 9:26:10 AM (EDT) 1 Page 1 of 2 AWRD® AGENCY CUSTOMER ID: 10552 LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Affinity Insurance Services, Inc. NAMED INSURED Property Recovery Group, Inc. 2489 SW 64th Ave Miami FL 33155 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) HOLDER: MIAMI SHORES VILLAGE BLDG DEPT ADDRESS: 10050 NE 2nd AVE MIAMI SHORES FL 33138 Additional insured where required by contract including but not limited to entities identified on this certificate of insurance for general liability and pollution liability. This includes ongoing and completed operations and waiver of subrogation. This coverage is primary and non-contributory. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 34181341 1 10552 1 16/17 GL POLL MPL LSRL 1 Lorraine Suessenguth 1 2/10/2017 9:26:10 AM (EDT) 1 Page 2 of 2 ADDENDUM/DOC • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••r • Wall Removed •• • • • •• I 1.0"xii: • • • 4:1: . • • • • it • • IV 2' 131V t.Kitchen 0' 7' 1 1'2 196 1 3' 10" —I SAVITS 1ST FLOOR RECEIVED FEB 0 9 2017 Wall Removed 2 feet from wall adjacent to kitchen, upto the ceiling. 2')(8` Ceiling Removed 1311x111.0" Miami Shores Village APPROVED BY DATE ZONING DEPT RUM DEPT r 1 f) CO" IFI (JICE_ WI -1-1 Al L FFnEF1AL ^'")( ' "fl 1 r A. 1 f,F P ATInNq 1-7 - SS C• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• •• • • • ••••• • • • ••••• •.• • —• • • • • - • • • • • • 18' 2" • • • • • • • • • „, • • • • • • • • • • • • • • • • • • • • • • • 4>master Bedroam SCC PE OF 1,001"-- 14LS 1%rel t) I T1 r\) c - A.0,6 it •i.•:•• e (tin ..61-• 1,3 rywaflremoved behind and to the left of vanity, and in the master bedroom. 7' 5" AVITS 2ND FLOOR tMastergatttran Master Bath Tile to be removed including shower and shower pan. Certified Moldt.;iiw Inspector • Certified #79774 GnAJ(j Comrne ol KV Tij I} neoM Inspector Certified #79775 t . ., Grtfied Moto �/(\ Rcmcdiadon.. ConvaceoY" Certified #79763 INDOORS AIR QUALITY ASSESSMENT, ENVIRONMENTAL SAMPLING REMEDIA TION PROTOCOL PREPARED FOR: Savitz 1460 NE 103rd St. Miami shores, FL 33138 PREPARED BY: UNIQUE HOME INSPECTION CO. 20785 Cabrillo Way Boca Raton, FL 33428 Phone: 561-305-3008 Email: Jkobi@msn.com Website: www.Gmold.com/ Jakob Struogano, President December 14, 2016 BI=. Certified # 79764 • • • .. .. •••• • ... .. • • .. •••• :• • • • •••• • • • •••• • .. • • • . • .. .. • A • ••• • .. • • • • .. • • UNIQUE HOME INSPECTION ENVIRONMENTAL ASSESSMENT INSPECTOR: JAKOB STRUOGANO Email: Jkobi@msn.com December 14, 2016 Mr. Savitz 1460 NE 103rd St. Miami shores, FL 33138 Web: www.gmold.com Phone: 561-305-3008 Subject: INDOOR AIR QUALITY ASSESSMENT - ENVIRONMENTAL SAMPLING - REMEDIATION PROTOCOL Project Location: 1460 NE 103rd St. Miami shores FL 33138 Dear Mr. Savitz: The results of the mold testing performed at the above referenced location on December 12, 2016 have been received from the laboratory and the following report is presented for your review. History: Mr. Savitz who requested mold testing on the above -referred address contracted Unique Home Inspection Co. According to the client, Musty/pungent smell is noticed inside the office and visible mold - water stains were seen in 2nd floor master bathroom and kitchen. Client was concerned and Mold Testing was requested. The areas sampled were limited to: Kitch _ > Master bathroom Office • Powder room •• • • ••••• • • • •• • • •••• • • •••• • • • • • • • • • • • •• • • • • • • •••• • • Inspection: •• •• •••• • • • • The residence is a two story single-family house. At the time of the inspection, the propertMrOccupied.'fhe HVAC •. system was working and the temperature inside the residence was set at 77°F. • A visible mold and water stain was witnessed at the time of the inspection: • • • •• • • ••• • Kitchen: O visible mold or water stains were seen at the time of our inspection ceiling (Sheetrock). • Master bathroom: O visible mold or water stains were seen at the time of our inspection walls (Sheetrock). ••• • • • •• > Office; O visible mold or water stains were seen at the time of our inspection ceiling and walls (Sheetrock). Sampling: The scope of work for this survey was for UNIQUE HOME INSPECTIONS. To perform a fungal evaluation Utilizing Total Spore sampling techniques. Total Spore Air Sampling: Total Spore Air Samples were collected using Analytical Accessories MICRO -05 Air Sampling Cassettes. The flow rates were calibrated using a Field Rota meter previously calibrated by our Sensidyne Primary Standard. The samples were collected using SKC Quick Take 5 and a Zefon Bio -Pump Unit. The AC/DC -operated pumps were set at 5 liters per minute for 5 minutes. After Sampling the micro -05 Cassettes was delivered via Chain -of -Custody procedures to Unique Home Inspection Co. Laboratory (AEML Inc.) for analysis. The samples were individually placed on a clean micro Slide and stained. Spores were counted on a PIM (Polarized light Microscopy) microscope. The counts were made at 600 magnifications using the protocol Published by Analytical Accessories for use with MICRO -05 Cassettes. This methodology Allows for the identification and quantification of spores by Genera. All spores are counted, whether they are culturable (viable). UNIQUE HOME INSPECTION ENVIRONMENTAL ASSESSMENT INSPECTOR: JAKOB STRUOGANO Email:Jkobi@msn.com Web: www.gmold.com Phone: 561-305-3008 Regulatory or Professional Organizations for Bioaerosols Exposure: Currently, there are no regulatory standards promulgated by any governmental agency with respect To levels of Microbiological Organisms or Bioaerosols in public or private buildings. This mold inspection is good for date & time above and this inspection report is for recommendation opinions and estimate only. Current Standard of Practice for Bioaerosols: In lieu of promulgated regulatory or recommended guidelines. We apply the following generally Accepted approach in assessing Bioaerosols in the indoor environment. To credibly conclude that there is or is not a fungal problem within a building, an investigator must carefully evaluate the fungal content of the outdoor environment surrounding the building. As a rule, indoor fungal problems are usually indicated when a significant difference is Demonstrated between indoor and outdoor airborne Spore concentrations or types of Spore Genera or Species. Results: The Total Spore Air Samples dearly indicate a difference between the indoor samples taken and Outdoors sample. Please note that the areas sampled were affected by water intrusion. Please refer to the attached Lab report for the types of mold found and locations. *The spore type and amount of the Mold found in (counts/m3-cubic meter of air) circled on the Attache Indicate these levels are above the outdoor/background levels, or were not Detected in the outdoori aokgroundprnnle. • • • • • • Due to the lab readings, further testing is recommended in the remaining rooms of the resicj�p�,� jn Order to•determirm extent of the contamination. •••• • • • • •••• • Conclusion: Identification of the conditions that contributed to Microbial Proliferation in a building is the molt•Importantstep in remediation No effective control strategy can be implemented without a clear UnderstandirjglItIle eventsgor building •' dynamics responsible for microbial growth. The removal And sanitation of contaminated mAterial% musjrpJID•e undefteice+i without proper precautions, Because disturbance of contaminated materials can result in K+oaefosol Ditturbance of • • • microbial Growth may lead to the dissemination of Bioaerosols throughout the ••' • • Building. When visible Contamination is extensive, containment procedures similar to those used to handle,'• Hazardous Waste (such as asbestos) is required to safely remove contaminated material. In general, the removal and containment precautions required for toxigenic fungi should be used for Remediation any visible fungal contamination because virtually all fungi can cause allergies, (in Sensitized individuals) and many fungi produce toxins. Remediation: Mold problem may simply reappear if the source of the moisture is not addressed. Please verify that the source of the water intrusion or moisture is corrected before any reconstruction takes place. WME must be in the recommended parameters. • The entire HVAC system components should be completely sanitized including pans, coils, fans as well as all supply and return ductwork (vents, grills). All filters in the air -handling units should be changed. Contaminated porous material inside duct MUST be removed down to bare metal Please see the attached remediation protocol for procedures to be followed. Isolate area (sealing of openings), contaminant barriers should be in place. HEPA air filtration should be used. Separate each work area. UNIQUE HOME INSPECTION ENVIRONMENTAL ASSESSMENT INSPECTOR: JAKOB STRUOGANO Emai/:Jkobi@msn.com Web: www.gmold.com Phone: 561-305-3008 Remediation of the areas where visible mold was encountered is needed: Kitchen: T 78°F Remove, discard and replace affected drywall ceiling and wall (top) Back to powder room that showed Water stains and /or hi mold spores in the lab result. Office: T77 F Remove, discard and replace affected drywall that showed Water stains and /or hi mold spores in the lab result. Remove, discard and replace baseboard. Master bathroom: T 78°F Remove, discard and replace affected drywall (Bottom) Back to master bedroom wall that showed Water stains and /or hi mold spores in the lab result. Remove, discard and replace baseboard. Due to lab results, sanitation after remediation is needed: >Concrete/Ceramic: O Wet vacuum - Sanitize O HEPA vacuum after drying >Non -Porous Materials: O Damp Wipe - Sanitize O HEPA vacuum after drying >Porous Materials: O HEPA vacuum O Sanitize O HEPA vacuum O Encapsulate .... . . • • ••.• • • • .• • • • ••.. • • ... • • •. .• ••• • . • • • •• • • .•.• .•.. Due to the presence of Aspergillus / Penicillium, Curvularia that were not found or fogitdin:lower vo4ume in background samples; • • the following area should be 1-IEPA- Vacuumed: > Kitcen: > Office: • Master bathroom:` • Powder room: • • • • . • .•• • • • •• �• • • • • • • • Further investigation (inside wall cavities) should be made where Aspergillus / Penicillium, Curvularia were found. That mold may be found inside of the wall cavities due to these readings. Please note that in this case, all of the rooms should be sanitized and considered part of the work area. Please see attachments for technical information. WME levels must be lowered to recommendable parameters. Set up of Removal Areas: Removing Mobile Objects: All movable objects should be sanitized and removed from the work Area before an end sure is constructed unless moving the objects creates a hazard. Mobile Objects will be assumed to be contaminated and should be sanitized; HEPA vacuumed and then Removed from the area or wrapped and then disposed of as waste. In the larger areas of remediation, the mobile objects can be put to the center of the room and Covered with (two layers of 6 ml) poly. UNIQUE HOME INSPECTION ENVIRONMENTAL ASSESSMENT INSPECTOR: JAKOB STRUOGANO Email: Jkobi@msn.com Web: www.gmold.com Phone: 561-305-3008 Materials and Equipment Necessary for Mold Remediation: Fire retardant plastic sheeting used to protect horizontal surfaces, seal HVAC openings or to seal Vertical openings and ceiling should have a minimum thickness of 6 mils. Tape or other adhesive Used to attach plastic sheeting should be of sufficient adhesive strength to support the weight of the Material and all stresses encountered during the entire duration of the project without becoming detached from the surface. Other equipment and materials, which should be available at the beginning of this project, are: > HEPA Filtered Vacuum is essential for sanitizing the work area after the growth has been Removed, it should have a long hose capable of reaching out-of-the-way places, such as Areas above ceiling tiles, behind pipes, etc. > Portable air ventilation systems installed to provide the negative air pressure and air Removal from the enclosure must be equipped with a HEPA filter. The number of capacity of Units required to ventilate an enclosure depend on the size of the area to be ventilated. The Filters for these systems should be designed in such a manner that they can be replaced when the airflow volume is reduced by the build-up of dust in the filtration material. > Water sprayers should be used to keep the microbial material as saturated as possible- with A biocide, during removal; the sprayers will provide a fine mist that minimizes the impact of the spray on the material. > Backup power supplies are recommended, especially for ventilation systems, if required. Disabling HVAC Systems: The power to the heating, ventilation, and air conditioning systems that Service the restricted area must be deactivated and locked off. All HVAC systems must remain •••• Operational in the unaffected portion of the structure to prevent further damage either fromrigh•• '••.•' Humidity levels or frosts all ducts, grills, access ports, windows and vents must be sealed ofPWith• One layer of plastic to prevent the spread of contaminated air. • ..• • • • • • •• • • • • • • Preparing the Work Area: • Operating HVAC Systems in the Restricted Area: If components of a 1 -HVAC system locatgiLip tre Res4cted area' A:4'. connected to a system that will service another zone during the project, the Portion of the cjiiCcip•the resljitptl area mds't be sealed and pressurized Necessary precautions Include caulking the duct joints, covering alLG‘acks and•openings w fa• two layers of sheeting, and Pressurizing the duct throughout the duration of the project by ZestrcDng thg retyrn airflo The Power to the fan supplying the positive pressure should be locked on to prevent pressure loss. • •• • ••• • • • Cleaning and Sealing Surfaces: After cleaning with an HEPA registered broad-spectrum Antimicrobial and'h$ving HEPA vacuuming all surfaces, stationary objects should be covered with two layers of plastic sheeting. The sheeting should be secured with duct tape or equipment Method to provide a tight seal around the object Installation of critical barrier (for hard floor surfaces): 1. Establish work area so that unauthorized entry is prevented. Eliminate airflow into Containment area by isolation of all supply and return air ducts from mechanical system Lock doors and windows not required for access. 2. HEPA vacuum curtains, furniture, fixtures, and equipment and remove from or protect in Containment area. Ventilation of containment area using HEPA fitters: 1. Install a ventilation system in the containment area that draws the air supply through the Decontamination unit. 2. Operate ventilation system 24 hours a day from start of abatement through final clearance. 3. The ventilation system must create, as a minimum, four air changes per hour. 4. Exhaust filtered air to outside of building. UNIQUE HOME INSPECTION ENVIRONMENTAL ASSESSMENT INSPECTOR: JAKOB STRUOGANO Email:Jkobi@msn.com Web: www.gmold.com Phone: 561-305-3008 Protective Clothing: 1. Disposal or reusable full body suit with elastic around hood and shoe cover openings required or minimal requirement. 2. Hood shall be worn over respirators head and neck. 3. Shoe covers shall be worn over work shoes. Rubber work gloves are recommended to be worn alone or under outer work gloves provided for hand and operation safety. 4. Cuffs shall be taped with duct tape at wrists and ankles m order to prevent infiltration. 5. Cartridge -type air -purifying HEPA filter respirator type shall be selected. 6. If eye protection is not integral with respirator straps, protection goggles are required. Sanitizing the Work Area: Surfaces within the work area should be kept free of visible dust and debris to the extent feasible. Whenever visible dust appears on surfaces wiping with a wet disinfectant must sanitize it Sponge, brush, or cloth and then vacuumed with a HEPA vacuum. All surfaces within the work area should be sanitized twice before the exhaust ventilation system is deactivated. Once the area is sanitized, Unique Home Inspection Co. will inspect it before Air Clearance Testing (Pq$t•••• Sanitation Test) is performed. • •••• AREA PHOTOGRAPHS: •. . • •• . •• . . • • •• If you have any questions, please give me a call at 561-305-3008 Or website http:I/wwwGmold.com/ Sincerely, Unique Home Inspection Co. 1..TN IQUE NV MO NM ENTA T.. ASSESSMENT (q).: www.grnold,com Pima! Type A1ternari8 $p. Basidiospores BipolarisiDreschiera group Botrytis Chaetorniant sp. Cladosporiurn sp. Curvularia sp. Eolcocculn sp. Nigrpspora s. O<iumfip. REill CAI um lAsperg krS., types- Rlit; tt5 StMitS Low 7 '27 7 . 7 27 7 Torula sp. 7 11111„ 84 Medium 373 13 13 427 40 20 17 13 213 40 13 Aiiir13 .; tliab 193 10579 187 293 2.01 7817 034 314 213 158 .1:;675 381 680 400 141 Phonic, .1,161-305-3002 There are no government -issued numerical standards for mold interpretation, However: some environmental companies, industrial hygienists, and other !AO Professionals use the following arbitrary numbem for guidance in interpreting Microbial survey results. The final mold int::rp.8•1146 should based solely on numbers! Information Gathered from the walk-through investioation of the area is very significantincluing soittli,w,forinisture humidity. and signs of visible mold growth. In air samples, it is important to consider the type and concentration 04 tun.' limdoors, as compared to • outdoors or .a non -complaint area. One should consider The indoor; outdoor fungal count ratio, the presenceiabseil'ot 010rtain :fttgi verstit• outdoors, the genus/species of predominant fungi indoors versus Outdoors, and whether the fungi detected indoi•-••.:.••.ergerift artflor tox:•:"..4,0;•••• Bioaerosol Micro 0,5 <250 CFUirru LowiNormai <250-1,000 OFUirrti Moderate/Borderline <1,000 CFU/nm Active Growth/Speculation <5,000 CF1,11m, Very Active Growth/Specul(: Bulk substrate <100 CFUlg No Growth <25,000 CFU/g LowiNormal Growth 25,000-200,000 CH,Jig Moderate Growths 200,1500-1,000,000 CFU/g Active Growth/Speculation >1,000:000 CFUlg Very Active Growth/Speculation • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• ,1i1ll'vtelt•rw17irP• •..' • • • • elich • • , 10,000_1 u.fflo, isood' ;ins 100.000-1,000.000 CH Him, Active 1,)1!`qi,1•' >1.000,1500 CPU/in 'Very Active Gii. • • • Micro -vac Dust <5,000 OFU/fUl...o‘,,,/Normal 5,000-25.000 Moderate:Borderline 25,000-75,000 CFUlft Active Growth/Speculation >75,000 CFU/ft Very Active GrowthiSpeculation Definitions CFU Colony Forming Units Colony .= A group of hyphae with or without spores, generally of one species and Potentially from one spOre: cell, or propagule. Webmail :: Re: SAVITS 1460 NE 103rd Street Miami Shore, FL 33138 Subject From To Date Page 1 of 2 Re: SAVITS 1460 NE 103rd Street Miami Shore, FL 33138 Ismael Naranjo <NaranjoI@msvfl.gov> office@servpromiamibeach.com <office@servpromiamibeach.com>, office@servpro247365.com <office@servpro247365.com> 2017-02-09 12:18 Good afternoon Mrs. Frost. No, items 2,3, and 4 re not required for your project. Thank you. Sent from my iPhone CIM On Feb 9, 2017, at 11:59 AM, Kenya Frost <office@servpromiamibeach.com> wrote: Good afternoon Mr. Naranjo, Allow me the opportunity to thank you for meeting with our franchise on 2/8/2017 regarding the project for the SAVITS residence. However, I would need like to verify if the demolition permit we're applying for requires everything listed for the demolition permit below. REQUIREMENTS: (1) Will we need a notarized letter from the homeowner authorizing our franchise to demolish the portions within the property that has been affected by the Toss. Or will your department accept our Authorization To Perform Service agreement? (2) Is the Asbestos Report required? (3) Are all utilities (gas, water, electric, etc.) required to be disconnected? (4) Is a Pest Control Inspection required? Please understand my goal is to ensure we submit everything that is required for this job specifically to ensure the permit is processed as quickly as possible without any further delay. Thank you, Kenya Frost Office Manager <73dc7df7.png> Servpro of Miami Beach PO BOX 403517 Miami Beach, FL 33140 . .. • 'II 305-532-5411 Normal Business Hours: M -F 8:30-4130 (cr M• • • ▪ • • S 786-292-2641 <a957ce31.png> 305-468-6150 • • • •• • • ..• • • • . • ollice@servpromiamibeach.com • • • • •• • . . .. . . . . . . . . • servpromiamibeach.com • . . . . .. . • • •. •• •. . • . • • ••. •. • . •• . •. • • •. ..• •. • . • . • ... . . • .• .•. • • •• • •• • http://mail.servpromiamibeach.com/?task=mail&_safe=l& uid=2605& mbox=INBOX&... 2/9/2017 Miami -Dade County Bii ding Department 1 of 2 e -Permitting Search: miamidade.gov http://egvsys.coariami-dade.fl.us:1608/ W W WSERV/ggvt/BNZAW922.D... MIAMI-DADE COUNTY DEPARTMENT OF PLANNING AND ZONING PERMANENT CERTIFICATE OF USE CERT NO: 2016041512 SEC: 11 TWP: 53 RNG: 41 PROCESS NO: 02016007564 FOLIO: 3031110320380 ZONE: 1111 FEE $229.79 MAILING ADDRESS/CONTACT PERSON: CORP NAME/D/B/A AND ADDRESS: SERVPRO OF MIAMI BEACH SERVPRO OF MIAMI BEACH 2489 SW 64 AVE SERVPRO OF MIAMI BEACH MIAMI, FL 33155- 1361 NW 74 ST BUSINESS USE: OTHER/INDUSTRIAL USE SPECIFICS: OFFICE & STORAGE OF SERVICE EQUP CONDITIONS: TRANSFER/NO OUTSIDE STORAGE NO RETAIL SALES LEGAL DESCRIPTION: 11-53 41 MICI-NAR PB 17-35 DATE OF CU ISSUANCE: 5/ 912016 THIS CERTIFICATE MUST BE POSTED ON PREMISES. THIS CERTIFICATE OF USE IS VALID FOR AN UN -HATTED TIME OR AS INDICATED BELOW PROVIDED TI -ERE ARE NO CHANGES IN THE USE, BUSINESS NAME OR OWNERSHIP. ALSO, TI -ERE MAY BE NO EX PANSIONS,ALT6FtiT1b OMADb1TI » 1Or THE APPROVED USE. ALL CHANGES LISTED ABOVE WILL j ayi € 1§tUANCEo AA • NEW CERTIFICATE OF USE • •.•. .• . ... • • • • • .• 4:• •• • . • • • • .. . . • . . • THIS CERTIFICATE OF USE DOES NOT RELIEVE THE AF iLICASIT FROM' COPLIANCE• • • WITH ANY FEDERAL, STATE, OR LOCAL REGULATIONS. YOU ARE ALSO REQUIRED TO ••• • • . • ..• • • •• • • • •. • . • •. • • • • • • • • . . • •. • •• • . . . • .. •• • • • •. ..• • .• •• ... .. .. MIAMI•DADE 5/9/2016 12:19 PM Miami -Dade County Bolding Department http://egvsys.co.miami-dade.fl.us:1608/WW WSERV/86vt/BNZAW922.D... 2 of 2 A..LOW ZONING INSPECTIONS AT ANY REASONABLE TIME BY REPRESENTATIVES OF THE DEPARTMENT. FOR MORE INFORMATION, PLEASE CONTACT THE ZONING PERMIT SECTION AT (786) 315-2666. IN ADDITION TO THE ZONING PERMIT SECTION, APPLICANT MUST ALSO CONTACT THE BULDING DEPARTMENT AT (786) 315-2100 FOR OCCUPANCY REOUREMENTS AND LOCAL BUSINESS TAX RECEIPT AT (305) 270-4949. 5/ 9/2016 11:19 BPQWEB1 181605090445 WEBIPAS 229.79 BLDG Home Page 1 BLDG Main Menu 1 BLDG Permit Menu 1 BLDG Plans Processing Menu 1 Inspection Types 1 Address Format Home 1 About 1 Phone Directory 1 Privacy 1 Disclaimer E-mail your comments, questions end suggestions to Webmaster This page was Int edited on: February 23. 2004 Web Site O 2004 Miami -Dade county. / a rights reserved. .. ... . . . . . .. • . . . • . . .• •... .• . . . •• •••• • . . • . . •• .. • . . . . • . . ••• • .. • • .. .• . • • ... . .• . . • • .•.. ...••.. . • . •. •• •. . . •. • • •• •... •• •• •• . • . . . •. • •• • • • . • •..• • • •• •• •• ••• •. ••• • • • ... . • 5/9/2016 12:19 PM. ACORD® CERTIFICATE OF LIABILITY INSURANCE iii....---'--- DATE(MM/DD/YYYY) 8/30/2016 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 have ADDITIONAL INSURED provisions or 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 Affinity Insurance Services, Inc. SERVPRO Franchisee Insurance Center 159 E. County Line Road Hatboro, PA 19040 LIC#: CA 0795465 - PA 14210 CONTACT NAME: SERVPRO Franchisee Insurance Center PHONE FAX lac. No. Est): 866-231-2006 (A/C, No): 800-567-4028 E-MAIL Do ESS: RRRGInsurance@aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Restoration Risk Retention Group 12209 INSURED Property Recovery Group, Inc. 2489 SW 64th Ave Miami FL 33155 INSURER B : ALLIED P & C Ins Co 42579 INSURER C : Wesco Insurance Company 25011 INSURERD: $ 2,000,000 INSURER E : CLAIMS -MADE INSURER F : OCCUR COVERAGES CERTIFICATE NUMBER: 31554692 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 LTRINSR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POUCY EXP (MM/DD/YYYY) LIMITS A / COMMERCIAL GENERAL LIABILITY RGL162044 5/16/2016 5/16/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE ✓ OCCUR DAMAGE TO PREMISES (EaENTED occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L ✓ AGGREGATE POLICY OTHER: LIMIT APPLIES JECOT- PER: LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ C AUTOMOBILE `/ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY WPP1466638 00 6/6/2016 6/6/2017 EMBIANdEentSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ WORKERS COMPENSATION IA AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A A B CPL Limited Service & Repair Liability Bailees RPU161550 RLS161794 CIMP 3007829331 5/16/2016 5/16/2016 7/14/2016 5/16/2017 5/16/2017 7/14/2017 PER OCC: $2,000,000 AGG: $3,000,000 PER OCC: $250,000 AGG: $250,000 $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) ** Supplemental Name ** Property Recovery Group, Inc. Additional Insured Status Does Not include Completed Operations dba Servpro of Miami Beach •• ••• • • • • • •• • • • • CERTIFICATE HOLDER Property Recovery Group, Inc. Servpro of Miami Beach PO BOX 403517 Miami Beach FL 30140 • • •• ••• OANCELI:ATION : : •. • • • •• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •jlhE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN j CORgf%WtE$11H THE I IVP..ROVISIONS. • •• • • • • • • AUMORU:Ed RikATATiv& • • A• • An cie Cassidy • • • • 01986-2045 AdORD CORPORATION. All rights reserved. •ACORD 25 (2016/03) The ACORD name and logo a� re�jstglpd3narksbf ACORD 31554692 1 10552 1 16/17 GL POLL MPL LSRL 1 Linda Conley 18/30/2016 12:26:56 PM •(EDT) 1 Page 1 of 1 • • • • This certificate cancels and supersedes ALL previously issued certificates. A c D® CERTIFICATE OF LIABILITY INSURANCE DAT M2o s 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 Marsh USA, Inc. 1000 Ridgeway Loop Rd. Memphis, TN 38120 Attn: Memphis.Certs@marsh.com 342881 -FL -WC -16-17 7383 CONTACT NAME: PHONE Ext): FAX No): E-MAIL ADDRESS. INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Illinois National Insurance Company 23817 INSURED DecisionHR, Inc. 11101 Roosevelt Blvd N St. Petersburg, FL 33716 INSURER B: INSURER C : INSURER D: $ INSURER E : $ INSURER F : COVERAGES CERTIFICATE NUMBER: ATL -003972632-01 REVISION NUMBER:4 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 INSURANCE ADDL INSD SUBR WVD POUCY NUMBER POUCY EFF (MM/DDIYYYY) POLICY EXP (MM/DD/YYYY) UMITS COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY OTHER: _ LIMIT APPLIES JET PER: LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -O AUTOS NED OW COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A 036150553 06/01/2016 06/01/2017 x PER STATUTE OTH- ER El. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Evidence of Coverage Coverage is provided for only those employees leased to but not subcontractors of Property Recovery Group, Inc. Coverage is provided effective 06/06/2016 •• ••• • • • • • •• • • • • • • _ _ CERTIFICATE HOLDER •eANCeLlAoON,• • : •. Property Recovery Group, Inc. their affiliates and their respective directors, officers, employee an agents clo DecisionHR, Inc. 11101 Roosevelt Blvd N St. Petersburg, FL 33716 5 • • • ••• • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •1HE EXPIRATION DATE. THE/ OF, NOTICE WILL BE DELIVERED IN 4CCORD%1NCE WITH THE POLIOY PROVISIONS. • • • • • • AU?HORREDIEPRESENTATWE • • of Marsh USA Inc. :rya: Barg:r • • • • • • ACORD 25 (2014/01) • ; :: 98$-20j4 ACpRD CORPORATION. All rights reserved. The ACORD name and logo alar elistered .nark. of A�lii?!i Authorization to Perform Services and Direction of Payment Monica Savits 12/06/2016 Customer Name: Date of Loss: Loss Address: 1460 NE 103rd St Miami Shores FL 33138 City: State: Zip: Insurance Company: ASI Assurance Corp Claim Number (if available): 524707 The undersigned Customer, being the building owner, owner's representative, or resident, authorizes the Provider identified below to perform any and all necessary cleaning and/or restoration services on Customer's property located at the property address above, and with respect to items that need to be cleaned at a remote location to remove and clean such items as necessary. Customer authorizes ASI Assurance Corp Insurance Company, herein referred to as "Insurance Company," to pay Provider solely and directly for that portion of the work covered by Customer's insurance policy. If, for any reason, Customer receives a check from Insurance Company made payable to Customer, Customer agrees to pay Provider immediately upon receipt of the check. In order to expedite payment to Provider, Customer hereby appoints Provider as attorney-in-fact, authorizing Provider to endorse Customer's name on Insurance Company checks or drafts, and to deposit Insurance Company checks or drafts for Provider services. Customer agrees to pay Customer's deductible in the amount of $ $0'00 that applies to this claim. If any amounts owing to Provider for Provider services are not covered by insurance, Customer agrees to pay those amounts to Provider within fifteen (15) days of Customer's receipt of invoice. It is fully understood that Customer and its agents, successors, assigns, and heirs are personally responsible for any and all deductibles and any costs not covered by insurance. Interest and finance charges will be charged at the maximum allowable by law, or at 1.5% per month, whichever is Tess, on accounts over thirty (30) days past due. Time is of the essence. Customer agrees that Provider is working for the Customer and not Customer's insurance company or any agent/adjuster. Property Owned By: Monica Savits Remarks: I HAVE READ THIS AUTHORIZATION TO PERFORM SERVICES AND DIRECTION OF PAYMENT, INCLUDING THE TERMS AND CONDITIONS OF SERVICE ON THE NEXT PAGE HEREOF, AND AGREE TO SAME. Customer Reviewed Customer Information Form: 0 Y 0 N Provider's Signature: Customer's Signature: Franchise Legal Name: Printed Name: Monica Savits d/b/a SERVPRO® of: Date: 12/06/2016 • • • •tr Dae ••• • • • • •••• ••• ••• •• • • • •• E-mail Address: Contractor License #: •s ••• • • • • • •• ©SERVPRO® INTELLECTUAL PROPERTY, Inc. •• • ••• • • • • • • • •• • •• • • • • • • •• • • • • • • • • ALL RIGHTeIZESEFZVED PE -051'707 1.0 • • ••• • 3 pfd Property Recovery Group, Inc. Miami Beach 12/06/2016 Each SERVPRO® Franchise is I eperiefently,Owjie ,aniOeered. • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 28000 05/16 Authorization to Perform Services and Direction of Payment Terms and Conditions of Service READ CAREFULLY Note: This Contract includes a limitation of liability and limitation of remedies. 1. SERVPRO® is one of the largest nationwide Cleaning and Restoration Franchise Systems in the United States. The SERVPRO® Franchise owner identified on the front of this Contract (the "Provider") is an independent contractor who agrees to perform the services identified on the front of this Contract (the "Services"). Client agrees to purchase, receive, and pay for the Services pursuant to the terms and conditions of this Contract. Servpro Industries, Inc., the Franchisor, is not a party to any agreement with Client, is not a guarantor of the Provider's Services, and is not subject to liability arising out of such Services. 2. Provider's performance of the Services is limited by, among other things, the pre-existing conditions and characteristics of the premises, material, fabrics, fumiture, and/or other items. PROVIDER EXPRESSLY DISCLAIMS ANY RESPONSIBILITY OR LIABILITY FOR ANY PRE-EXISTING CONDITIONS. Client shall retain responsibility and shall be liable for all effects of and costs necessary to correct such conditions, including, by way of example and not limitation, the conditions identified below: (a) Provider may, in its sole discretion, pre-test materials for removability of spots or stains; dye or color fastness; shrinkage; fading; adhesive breakdown; or other problems. It is not always possible to determine these conditions in advance. PROVIDER DOES NOT GUARANTEE SPOT OR STAIN REMOVAL AND COLOR FASTNESS OR PREVENTION OF SHRINKAGE, FADING, OR ADHESIVE BREAKDOWN. (b) Provider DOES NOT GUARANTEE that wall and ceiling cleaning will restore the original color to painted surfaces. (c) Not all fabrics are conducive to cleaning. Provider shall use reasonable efforts to advise Client of any adverse effects which may be reasonably foreseen due to the nature of the fabric or material involved. PROVIDER DOES NOT GUARANTEE THAT SUCH MATERIALS CAN BE CLEANED OR THAT THERE WILL BE NO ADVERSE EFFECTS FROM ANY ATTEMPT TO CLEAN SUCH FABRICS. (d) A variety of materials are used in the manufacturing, upholstery and/or installation process. These materials include backing, lining, tacks, or other unknown substances that may cause discoloration or other adverse effects to the face material. Client acknowledges that it is impossible to determine when such adverse effects may occur and PROVIDER DOES NOT GUARANTEE AGAINST SUCH ADVERSE EFFECTS. (e) Client acknowledges and agrees that mold is commonly found throughout the environment and that it is impossible to eradicate mold. PROVIDER DOES NOT GUARANTEE THE REMOVAL OR ERADICATION OF MOLD. (f) Client acknowledges and agrees that limited photographs or video of the damage and cause may be made solely for work process and insurance claims purposes. 3. PROVIDER SPECIFICALLY DISCLAIMS ANY AND ALL OTHER WARRANTIES AND ALL IMPLIED WARRANTIES (EITHER IN FACT OR BY OPERATION OF LAW) INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING OUT OF A COURSE OF DEALING, CUSTOM OR USAGE OF TRADE. THIS CONTRACT PROVIDES FOR THE PROVISION OF SERVICES AND DOES NOT PROVIDE FOR A SALE OF GOODS. 4. Limitation of Liability: IN NO EVENT SHALL PROVIDER, ITS OWNERS, ANY OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS, FRANCHISOR, OR AFFILIATES BE RESPONSIBLE FOR INDIRECT, SPECIAL, NOMINAL, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL LOSSES OR DAMAGES, OR FOR ANY PENALTIES, REGARDLESS OF THE LEGAL OR EQUITABLE THEORY ASSERTED, INCLUDING CONTRACT, NEGLIGENCE, WARRANTY, STRICT LIABILITY, STATUTE OR OTHERWISE, EVEN IF IT HAD BEEN AWARE OF THE POSSIBILITY OF SUCH DAMAGES OR THEY ARE FORESEEABLE; OR FOR CLAIMS BY A THIRD PARTY. THE MAXIMUM AGGREGATE LIABILITY SHALL NOT EXCEED THREE TIMES THE AMOUNT PAID BY CUSTOMER FOR THE SERVICES OR ACTUAL PROVEN DAMAGES, WHICHEVER IS LESS. IT IS EXPRESSLY AGREED THAT CUSTOMER'S REMEDY EXPRESSED HEREIN IS CUSTOMER'S EXCLUSIVE REMEDY. THE LIMITATIONS SET FORTH HEREIN SHALL APPLY EVEN IF ANY OTHER REMEDIES FAIL OF THEIR ESSENTIAL PURPOSE. Some states/countries do not allow the exclusion or limitation of incidental or consequential damages, so the above may not apply to you. 5. Should Provider bring legal action to collect monies due under the Contract or should the matter be tumed over for collection, Provider shall be entitled, to the fullest extent permitted under law, to reasonable legal fees and costs of any such collection attempt, in addition to any other amounts owed by Client. This attomey fee provision shall not be effective or enforceable in jurisdictions where attorney fee provisions are made reciprocal or invalid by operation of law. Consent is hereby given for filing of mechanic's liens by Provider for the work described in this contract on the property on which the work is performed if Provider is not paid. 6. Any labor, materials or other work beyond that identified in this Contract shall require a written amendment to this Contract and will result in additional charges. 7. Any claim by Client for faulty performance, for nonperformance or breach under this Contract for damages shall be made in writing to Provider within sixty (60) days after completion of services. Failure to make such a written claim for any matter which could have been corrected by Provider shall be deemed a waiver by Client. NO ACTION, REGARDLESS OF FORM, RELATING TO THE SUBJECT MATTER OF THIS CONTRACT MAY BE BROUGHT MORE THAN ONE (1) YEAR AFTER THE CLAIMING PARTY KNEW OR SHOULD HAVE KNOWN OF THE CAUSE OF ACTION. 8. A failure of either party to exercise any right provided for herein shall not be deemed to be a waiver of any right hereunder. 9. CLIENT AND PROVIDER EACH WAIVE THEIR RESPECTIVE RIGHTS TO A TRIAL BY JURY WITH RESPECT TO ANY AND ALL CLAIMS OR CAUSES OF ACTION (INCLUDING COUNTERCLAIMS) RELATED TO OR ARISING OUT OF OR IN ANY WAY CONNECTED TO THIS CONTRACT AND AGREE THAT ANY CLAIM OR CAUSE OF ACTION WILL BE TRIED BY A COURT TRIAL WITHOUT A JURY. 10. If any provision of this Contract is found to be ineffective, unenforceable ol- for any Aso/ urrlej pitsent or future laws, such provision shall be fully severable, and this Contract shall be construed and enforced d'g,if sucDDro,y151pnretergolipoiseed a part of this Contract. The remaining provisions of this Contract shall remain in full force and effect and shal net be 44• 4444 aifeded bythe ineifective,•unenforceable or illegal provision or by its • 44 severance from this Contract. • • • •• 11. No modification, termination, or attempted waiver of this Contract shall be valid unless in writing and signed by the party against whom the same is sought to be enforced. .• • • • •• • • 44.44 •• • • •• • • •• • • • • SERVPRO® Franchisees are always lOokiAg/oentAlliatel ept logees. SERVPRO's individually owned and operated franchise% offer d varibty of positions including crew chief, production technician, marketing representative, administrative assistant, and many more. ••• • • • • 4400 Y • • • • • • • •• • • 0440 0 • • • • • • 28000 05/16 • •• •• • • •• •• 44.44 • fach SPRV1ift&' Ffanchise is Independently Owned and Operated. Miami -Dade Official Records - Print Document Tax Folio Number 11-3205-031-0060 prepared by: Joseph C. Frechette, Jr., Esq. 10800 Bayne Boulevard, Suite 620 Miami, Florida 33161 Old Florida iThe Company 20801 Biscayne Blvd. Suite 400 Ayentura, FL 33180 o"1 -a u 3 2 Page 1 of 2 11111111111111111111111111111111111111111 CFN 2OO7RO5O4421 OR Bk 25631 P95 2753 - 2754; (: RECORDED 05/18/2007 11:38:31 DEED DOC TAX 10,950.00 HARVEY RUVINr CLERK OF COURT MIAMI-DADE COUNTY► FLORIDA WARRAVTYDEED THIS INDENTURE, made this May 2007 between Robert A. Phripott and Patricia A. Phiipott, husband . and wife whose address is: 3015 Quayside Lane, Muni, FL 33138, Grantor •, and Modea Smits and Christopher L. Savita, wife and husband, whose address is 1460 NE 1034 Street, Miami Shores, FL 33138, Grantee', WITNESSETH: That said Grantor, for and m consideration of the sum of Ten and 00/100 (510.00) Dollars, and other good and valuable consideration to said Grantor, in hand paid by said Grantee the receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remiss, releases, conveys and confirms unto the said Grantees, and Grantee's heirs and assigns fox+ever, all that certain land, situate, lying and being in Miami Dade County, m the State of Florida, to -wit: Lot 15, Black 5, of REPLAT OF TRACT "C"', MIAMI SHORES BAY PARK ESTATES, according to the Plat thereof, as recorded in Plat Book 64, Page 97, of the Public Records of Mis(mi-Dade County, Florida. SUBJECT TO: 1. Taxes for the current and subsequent years. 2. Conditions, r(mtrictiens, reservatims, easements and limitations and zoning ordmanoes, if any, but not to reimpose same. TOGETHER with all the imements, hared sameot and appurtenances thereto belonging or m any wise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple, that the Grantor las good right and lawful authority to sell and convey said land; that the Grantor hereby folly warrants 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. •"Grantor" and "Grantee are used for singular or plural, as contact requires. /i/ pp (initials of sellers) •• .•• • • • • • 99 • • • • • • • • .• ••• •• • • • •• Book25631/Page2753 CF;NM 00Z05Q4428•••••• Page 1 of 2 • • .• • • • • • •• • • s • • • • • • . • ••• • • • • • ••• • • • • ••• • • • 9 • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• •• • • •• • • •• • https://www2.miami-dadeclerk.com/public-records/PrintDocument.aspx?QS=YaoUfOzxry3 ... 2/9/2017 Miami -Dade Official Records - Print Document Page 2 of 2 OR BK 25631 PG 275• LAST PAGE IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed, and delivered in our presence: mows swamp flakyM. btck Primed Name Robert A. Ptilpott State of North ) county of f4c SC7g r I . + A +. that on this day before me, an officer duly qualified to take acknowledgments appeared ROB PATRICIA A. PHILPOTr, who are personally known to me or who has produced Fionevatd i je #i IttLACe as identification and who did take an oath to me known to be the person descrthed in and who executed the foregoing instrument and adnowledged before me that he/she executed the same.' WITNrSS my hand and official seal in the County4d SOW last this Signed 212,4 - r ./1_, Prim z.5042.4 d ©• %f tCttS Notary Public My Commission Expires: • • ... • . . . . .. • • . • • • • . • .. •.• .• • • . .• Book25631 /Page2754 : CFN#.20Q7050442$•. Page 2 of 2 • . •• • • . . • •• • ••. ...• .••. .•• . • • . •... • ..... • . •• •• •• • • •. •• •... •. • . • .. • •. •••...• . • ••• •• . • . ... • . •. • •. • https://www2.miami-dadeclerk.com/public-records/PrintDocument.aspx?QS=YaoUfOzxry3... 2/9/2017 Fire & Water - Cleanup & Restoration'' February 9, 2017 of Miami Beach P.O. Box 403517, Miami Beach, FL 33140 There was a water loss that originated from the bathroom upstairs in the home. The supply line to the toilet broke causing water to flood the bathroom and travel downstairs and affect the ceilings and walls in the kitchen, office, and half bathroom. We began by setting up drying equipment to mitigate the Toss. In doing so, we had to cut some holes in the ceilings in the kitchen and office to inspect for moisture and to allow dehumidified air into these affected cavities. Once some of these cavities were opened, there was a mold -like odor present. A Florida Licensed Mold Assessor was called out to perform a mold assessment of the property. Several air samples were collected and sent to a lab. The results of the testing came back elevated in the upstairs bathroom, kitchen, and office. In the office, the entire ceiling was removed along with the entire south wall and a 2 foot by 8 - foot section of the east wall. In the kitchen, we removed the corner cabinetry located on the north and west wall to inspect for moisture. We found elevated moisture readings in the Northwest corner of the kitchen behind where the cabinetry was installed. In the upstairs bathroom, we removed the vanity and chipped away a section of the tile floor to reveal the plywood subfloor. We found moisture trapped underneath a rubber barrier that was installed as a base layer for the flooring in the bathroom. This trapped water could not be dried with our equipment no matter how long we were to leave it given that the rubber layer acts as a vapor barrier. The rest of the floor in the bathroom needs to be removed down to the sub floor to dry properly. More than half of the flooring in the bathroom has been demo'd up until the stop order was placed on Wednesday 1/25/2017. Charles "Greg" Swenson Production Manager .. ... . . . . . .. . . • . • . . . •• ... .. • . . .. • . . ... . ... II• . .. ... . . • •••• ••• •• • ••• • • ••• .. • • ••• •. •. • • •. • • • • • • • • • Like it never:ev>�rt.%ctppetied.®.: ... . . . ... . . Independently Owned and Operated Business: 305-532-5411 Corner Cabinetry Removed 19' r' Aachen 1 J 6" SAV1TS 1ST FLOOR Wall Removed 11'10"x8' Wall Removed 2 feet from wall adjacent to kitchen, up to the ceiling. 2'x8' . • •• CeiliniRernoved '••••' 13'11"x2210: ••• •• •••i•, 4 •• • • • a • • .. •• •. • •• • • •••• • • • • • • • • • • • •••)•• • • • • • • • •• • ••• • • • • • •3 18' 2" mMaster Bedroom 7' 5" SAVITS 2ND FLOOR ;at 5' 6" •ToIet Room— iv 2 1" 1 4 .... • •. •••• • • . ..• ... • • • • . • Drywall removed behind and to the IM of vanity, and in the, master bedroom. : <Master Bathrom 10' 8" IF . • • .. • . • .. .. • All Master Bath The to be removed including shower and shower pan. • •••• • • •••• • .. • • • •••• •• .•. • • • ••• • • • Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 Client: Property: Monica Savits 1460 NE 103 Street Miami Shores, FL 33138 Operator: OFFICE Estimator: Company: Business: Type of Estimate: Date Entered: Price List: Labor Efficiency: Estimate: Joe Hrbek Servpro of Miami Beach P.O. Box 403517 Miami Beach, FL 30140 <NONE> 12/7/2016 FLMI8X_DEC 16 Restoration/Service/Remodel SAVITS_MITIGATION2 Date Assigned: Home: (305) 710-9485 Business: (305) 532-5411 E-mail: office@servpro247365.com Several factors caused dry times to extend beyond 3 days in certain areas: plaster building materials, machines were not left on at all times (as evidenced by hours on machines), and weekend amidst the job (Dec. 10th & 1 lth were Saturday & Sunday, respectively). .. ... . . . . . .. • • • • • . .. ... .. . . . .. .. . • . . .. . . ... . • • . . . . • . • . . . . • . • ... • • • • ... • • • • • • • • • • • • ... • • • • • • • • • • • • • • •• .. • • • •. .. 0.. • • • 0.. • • Servpro of Miami Beach Cleanup & etian" 19' 8" Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 r-19 2 a � , Kitchen - I S' 8' 1"-1 v1' N./der Missing Wall - Goes to Floor Missing Wall - Goes to Floor DESCRIPTION SAVITS_MITIGATION2 Main Level Kitchen Height: 8' 428.44 SF Walls 696.78 SF Walls & Ceiling 29.81 SY Flooring 66.33 LF Ceil. Perimeter 4'11"X6'8" 10'5"X6'8" 268.33 SF Ceiling 268.33 SF Floor 51.00 LF Floor Perimeter Opens into Exterior Opens into Exterior QTY REMOVE REPLACE TAX TOTAL I. Drill holes for wall cavity drying 3.00 EA 0.00 0.45 0.00 1.35 Cut holes for moisture inspection and cavity drying. 2. Air mover (per 24 hour period) - No 18.00 EA 0.00 25.62 0.00 461.16 monitoring 3 air movers x 6 days = 18 days 3. Ducting - lay -flat 12.00 LF 0.00 0.35 0.29 4.49 Plastic tubing used to carry dehumidified air to ceiling cavity. 4. Dehumidifier (per 24 hour period) - 6.00 EA 0.00 110.00 0.00 660.00 XLarge - No monitoring 1 dehumidifier x 6 days = 6 days 5. Floor protection - corrugated 187.83 SF 0.42 0.00 2.50 81.39 cardboard and tape 6. Refrigerator - Remove & reset 1.00 EA 0.00 30.34 0.00 30.34 7. Remove Cabinetry - full height unit 3.00 LF 10.80 0.00 0.00 32.40 8. Content Manipulation charge - per 4.00 HR 0.00 30.74 0.00 122.96 hour 9. Provide box, packing paper & tape - 12.00 EA 0.00 3.10 0.74 37.94 medium size 10. Bubble Wrap - Add-on cost for 100.00 LF 0.00 0.19 1.33 20.33 fragile items 11. Remove Cabinetry - lower (base) 3.00 LF 7.59 • • • • • • 0'00• • • • • "0.00 22.77 units • • • • • . • 12. Remove Cabinetry - upper (wall) 3.00 LF 7.52 • . • • .. 0•C}(). . . . • .'b.00 22.56 units 13. Remove Marble or Granite tile 6.00 SF 1.61 0.00•• • • • 0.00 9.66 14. General Demolition - per hour 6.00 HR 44.69 • • Oi00 : : . • 0.00 268.14 • . ... • . • . . 1/5/2017 Page: 2 SAVITS_MITIGATION2 . • . • • • • • .. .•. . • • . .. . . • ... . • •. . . • •• • . • • •• .. • • •• ••. • . • • . ... . . SERVPRO'+s^, Fre & Water Cleanup & Restoration' Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 CONTINUED - Kitchen DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 15. Plastic bag - used for disposal of contaminated items 16. Containment Barrier/Airlock/Decon. Chamber 10.00 EA 0.00 3.38 2.37 36.17 1.00 EA 0.00 125.00 0.00 125.00 Totals: Kitchen Missing Wall - Goes to Floor DESCRIPTION 7.23 1,936.66 Powder Room Height: 8' 206.78 SF Walls 245.05 SF Walls & Ceiling 4.25 SY Flooring 28.83 LF Ceil. Perimeter 38.27 SF Ceiling 38.27 SF Floor 25.25 LF Floor Perimeter 3' 7" X 6' 8" Opens into AC_CLOSET QTY REMOVE REPLACE TAX TOTAL 17. Drill holes for wall cavity drying 18. Air mover (per 24 hour period) - No monitoring I air mover x 6 days = 6 days total 19. Dehumidifier (per 24 hour period) - No monitoring 1 dehumidifier x 6 days = 6 days total 1.00 EA 0.00 0.45 0.00 6.00 EA 0.00 25.62 0.00 0.45 153.72 6.00 EA 0.00 56.51 0.00 339.06 Totals: Powder Room 14 5^ DESCRIPTION 0.00 493.23 Office Height: 8' 448.00 SF Walls 619.71 SF Walls & Ceiling 19.08 SY Flooring 56.00 LF Ceil. Perimeter QTY 171.71 SF Ceiling 171.71 SF Floor • • • • • • • • 56.00 LY.Floor Perimeter • • . • • • . • • • • • • • • • • •• •.• •• . • • •• REMOVE REPLACE • ••• •• • ... • TAX TOTAL 20. Tear out wet drywall, cleanup, bag 9.00 SF for disposal SAVITS_MITIGATION2 • • . •• 0.86 • • •0.Qs • • • • •• • • • • ••• • ,• • • • • • Q.1= • . • • • • 1/5/2017 ••• • • • • •.• • • • • . . • • • • • ••• • • • • • • . • • • • • •• •• • . • .• • ••• • . • ••• • 7.86 Page: 3 Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 CONTINUED - Office DESCRIPTION QTY REMOVE REPLACE TAX TOTAL Joe removed section of ceiling in office on 12/6/16 21. Drill holes for wall cavity drying 1.00 EA 0.00 0.45 0.00 0.45 Cut hole where moisture was found on 12/7/16 22. Air mover (per 24 hour period) - 5.00 EA 0.00 25.62 0.00 128.10 No monitoring 1 air mover x 5 days = 5 days total 23. Dehumidifier (per 24 hour period) - 5.00 EA 0.00 78.31 0.00 391.55 Large - No monitoring 1 dehumidifier x 5 days = 5 days total 24. Equipment setup, take down, and 4.50 HR 0.00 49.34 0.00 222.03 monitoring (hourly charge) 25. Tear out wet plaster, cleanup, bag 152.42 SF 1.87 0.00 2.45 287.48 for disposal Ceiling, minus 3x3 drywalled section already removed day 1, minus entry portion (3'2" x 2'3") 26. Remove Blown -in insulation - 6" 152.42 SF 0.59 0.00 0.00 89.93 depth - R13 27. Tear out wet plaster, cleanup, bag 114.13 SF 1.87 0.00 1.84 215.26 for disposal Tear out south wall, floor to ceiling, to inspect for moisture on back of kitchen wall. 15'x8' wall. Tear out east wall, floor to ceiling, 2 feet from south wall to inspect for moisture behind half bathroom. 2'x8' 28. Plastic bag - used for disposal of 37.00 EA 0.00 3.38 8.75 133.81 contaminated items 29. General Laborer - per hour 4.00 HR 0.00 30.74 0.00 122.96 Extra labor to clean up the extremely heavy amount of debris (dust, dirt, concrete pieces, construction materials) that was laying atop the ceiling, averaging 1" in depth above the ceiling boards. 30. Containment 2.00 EA 0.00 55.00 0.01 110.01 Barrier/Airlock/Decon. Chamber Doorway barrier - during demolition to set up for negative air, heavy dust and debris in ceiling cavity coming down. Two of these were set 31. Peel & seal zipper - heavy duty 2.00 EA 0.00 14.36 1.47 30.19 32. Protect - Cover with plastic 84.00 SF 0.00 0.44 0.59 37.55 33. Content Manipulation charge - per 3.00 HR 0.00 30.74 0.00 92.22 hour Totals: Office •. ••. • • • • • •f5.23 • • • • • • • • 1,869.40 Total: Main Level Level 2 SAVITS_MITIGATION2 ••• ••• •• • • • •• 22.46 4,299.29 • ••• •. • ••• • • • • . • • • • • •. • • • . • . • . . • • . • • • . • • ... • • • • • 1/5/2017 Page:4 • • • . • . • 000 • • • • • • • • • • • •• • • . • • • • • • • • • . • • • • . • • • • • • • ••• • • . 000 . • n(SERVPROr r,,e & w... 0somp a e....ioe Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 Missing Wall - Goes to Floor DESCRIPTION Master Bathrom Height: 8' 365.08 SF Walls 475.46 SF Walls & Ceiling 12.26 SY Flooring 47.09 LF Ceil. Perimeter 110.38 SF Ceiling 110.38 SF Floor 45.34 LF Floor Perimeter 1' 9" X 6' 8" Opens into TOILET_ROOM QTY REMOVE REPLACE TAX TOTAL 34. Remove Shower door 1.00 EA 16.37 0.00 0.00 16.37 Remove glass shower door. 35. Remove Jetted tub - Acrylic 1.00 EA 95.64 0.00 0.00 95.64 Remove jetted tub 36. Remove Tile base 14.00 LF 1.88 0.00 0.00 26.32 Tile base in toilet room will be removed 37. Plumbing - Labor Minimum 1.00 EA 0.00 246.26 0.00 246.26 38. Remove Vanity 5.00 LF 7.59 0.00 0.00 37.95 39. Remove Countertop - Granite or 5.00 SF 4.82 0.00 0.00 24.10 Marble 40. Remove Sink - single 2.00 EA 16.76 0.00 0.00 33.52 41. Remove Custom shower door & 70.00 SF 1.68 0.00 0.00 117.60 partition - 1/4" glass w/frame Remove shower partition to access and remove shower pan. 42. General Demolition (Bid Item) 1.00 EA 3,100.00 0.00 0.00 3,100.00 Removal of flooring and subflooring. Flooring consists of marble throughout the bathroom, toilet and closet areas, minus the tub. Subflooring is believed to consist of thin set and two layers of wood - one of which is believed to be plywood and the other 2"x 6" boards underneath. Also reflects shower pan, shower curb and shower floor. 43. Dumpster load - Approx. 12 yards, 1-3 tons of debris 44. General Laborer - per hour 45. Plastic bag - used for disposal of contaminated items 1.00 EA 440.00 0.00 0.00 440.00 8.00 HR 0.00 30.74 0.00 245.92 75.00 EA 0.00 3.38 17.75 271.25 Totals: Master Bathrom .. ••• • • • • • •• •17.75 • • • • • • • • •• ••• •• • • • .• • ••• Of • ••• • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • ••• • • • • • 4,654.93 SAVITS_MITIGATION2 1/5/2017 Page: 5 ••• • • • • ••• • • • • •• • . • • • • • ••. • • • • • • • • • • • • • • •• •• • • • •. •• 000 • • • 000 . • Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 Missing Wall - Goes to Floor DESCRIPTION Toilet Room Height: 8' 121.55 SF Walls 137.17 SF Walls & Ceiling 1.74 SY Flooring 16.65 LF Ceil. Perimeter 15.63 SF Ceiling 15.63 SF Floor 14.90 LF Floor Perimeter 1' 9" X 6' 8" Opens into MASTER BATHR QTY REMOVE REPLACE TAX TOTAL 46. Drill holes for wall cavity drying 10.00 EA 0.00 0.45 0.00 4.50 47. Air mover (per 24 hour period) - 2.00 EA 0.00 25.62 0.00 51.24 No monitoring 1 air mover x 2 days = 2 days total 48. Dehumidifier (per 24 hour period) - 2.00 EA 0.00 , 56.51 0.00 113.02 No monitoring 1 dehumidifier x 2 days = 2 days total 49. Tear out wet drywall, cleanup, bag 29.80 SF 0.87 0.00 0.40 26.33 for disposal Tear out drywall 2 feet up from floor around entire toilet room. 50. Remove Tile base Tile base in toilet room will be removed 51. Remove Marble or Granite floor tile Removal of floor tile to access sub floor 52. Remove Toilet 14.90 LF 15.63 SF 1.88 2.23 0.00 0.00 0.00 0.00 28.01 34.85 1.00 EA 22.32 0.00 0.00 22.32 Totals: Toilet Room DESCRIPTION 0.40 280.27 Bathroom Closet Height: 8' 88.83 SF Walls 6.59 SF Ceiling 95.42 SF Walls & Ceiling 6.59 SF Floor 0.73 SY Flooring • • ... • • • 11.1 f1 it,,F•Floor Perimeter • 11.10 LF Ceil. Perimeter •• • • ' • • • QTY REMOVE •LACY• • ••• T43( TOTAL 53. Content Manipulation charge - per 1.00 HR hour SAVITS_MITIGATION2 0.00 •. • ; 30'. ' ' • DA 30.74 •• • • • • • • • • 1/5/2017 Page: 6 ••• •• • • ••. • • • • • • • • • • • • • ••. • • • • • • • • • • • • • • •• •• • • • •. .• .•• • • • •.• • • Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 CONTINUED - Bathroom Closet DESCRIPTION QTY REMOVE REPLACE TAX TOTAL Removal of contents. 1 hour per tech. 1 hour x 2 techs = 2 hours total 54. Remove Marble or Granite floor tile Removal offloor tile to access sub, floor 55. Remove Tile base Tile base in toilet room will be removed. 6.59 SF 2.23 0.00 0.00 14.70 11.10 LF 1.88 0.00 0.00 20.87 Totals: Bathroom Closet 1 " '- Master Bedroom (V iV 1 - r5' Io"a'61 lli-4,4'-. 7 ofei Woo� 18' 10" �I8'2 0.00 66.31 Master Bedroom Height: 8' 483.15 SF Walls 701.88 SF Walls & Ceiling 24.30 SY Flooring 60.39 LF Ceil. Perimeter 218.73 SF Ceiling 218.73 SF Floor 60.39 LF Floor Perimeter DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 56. Baseboard - Detach 6.00 LF 0.00 0.99 0.00 5.94 57. General Demolition - per hour 1.00 HR 44.69 0.00 0.00 44.69 Exploratory exercise to check for moisture after insured's representative claimed to have photograph of staining from downstairs looking up, reportedly showing stains on bottom of upstairs subfloor Totals: Master Bedroom 0.00 50.63 General Job Items DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 58. Emergency service call - during business hours 59. Water Extraction & Remediation Technician - per hour 1.00 EA 0.00 136.99 0.00 136.99 35.15 HR. 0.00 ." ". X49 4.'. . . .'• 0.00 • • • • 1,734.30 •. ••• •• • • • .. Totals: General Job Items 0.00 1,871.29 Total: Level 2 Line Item Totals: SAVITS_MITIGATION2 SAVITS MITIGATION2 • •.• •• • •.• •t$.15 • • • . . • . •• • - •• . • • . • • • 6,923.43 �•• •i• •�• ••• .•• ••'11.61 11,222.72 1/5/2017 Page: 7 . •• . . . . ... • • • . • • . • • . ... . • • • • • • • . • . . . • .. • • . . . • • • • 0.. . . . 0•• • • as SERVPRO'r:.< fim 8 Wafer . Qmnup b erbmari' Servpro of Miami Beach Property Recovery Group, Inc. DBA Servpro of Miami Beach 333 Arthur Godfrey Road, 6th Floor Miami Beach FL 33140 Tax ID 81-2359759 Grand Total Areas: 2,252.61 SF Walls 847.26 SF Floor 0.00 SF Long Wall 847.26 Floor Area 1,832.26 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length Coverage 847.26 SF Ceiling 94.14 SY Flooring 0.00 SF Short Wall 934.29 Total Area 214.94 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length Item Total 3,099.87 SF Walls and Ceiling 277.24 LF Floor Perimeter 303.24 LF Ceil. Perimeter 2,252.61 Interior Wall Area 0.00 Total Perimeter Length 0/0 ACV Total Dwelling Other Structures Contents • 11,164.45 0.00 58.27 Total SAVITS_MITIGATION2 99.48% 0.00% 0.52% 11,222.72 100.00% 11,164.45 0.00 58.27 99.48% 0.00% 0.52% 11,222.72 100.00% .. ... . . . . . *0 . .. ... .. • • . .. .. • ... . • . . • . . •• . . • . • . . . . • • . . . ... . • • . ... . . • • • • • • • • • • • • • • • • • • • .. .. • • • .. .. 000 • • • 000 • • 1/5/2017 Page: 8 Main Level .. •. • • • ... • • •• • • • • I 34' 1" -1 19' 2" Kitchen • .. •• • • • • • . • • • • •••• • • • • •••• • • • • .... • • • • •••• •••• • • .. • • • • • .. • .. • • • •••• • • • • .... SAVITS_MITIGATION2 19' 6" 9' 7,, 13' 11" Office 5' 8" Pbwder Ro 00 3' 11" il' 9" AC Closet'D zi- 4' 7" ' 9' 1' 3' 311_,.M II ij.► i--3' 10"—i M N 1 tr Main Level 1/5/2017 Page: 9 Level 2 . .. • • • ••• • •• • .• • • • • • • • • • • • • • 18' 10" 18' 2" Master Bedroom 7' 5" •••• •. •• • • • • • E •• • • • _ •••• •••• • • • • •••• •••• • •• • • • • • • • •• • •• • • • • •••• • • • • .• • • SAVITS_MITIGATION2 a 6" Toilet Room Master Bathrom 10' 8" 11' 4" L1�.1 Level 2 1/5/2017 Page: 10 Pans SERVPRO}r Cleanup 8. Motored. Servpro of Miami Beach Servpro of Miami Beach P.O. Box 403517 Miami Beach FL 30140 Tax ID# 81-2359759 Client: Property: Monica Savits 1460 NW 103rd St Miami Shores, FL 33138 Operator: OFFICE Estimator: Company: Business: Type of Estimate: Date Entered: Price List: Labor Efficiency: Estimate: Greg Swenson Servpro of Miami Beach P.O. Box 403517 Miami Beach, FL 30140 <NONE> 12/29/2016 FLMI8X_NOV 16 Restoration/Service/Remodel SAVITS_MOLD2 Date Assigned: Cellular: (305) 710-9485 Business: (305) 532-5411 E-mail: gswen88@gmail.com .. ... . . . . . .. . • . • • • • • • .. ... .. • • • .. • ••• .. • ••• • • • • • • • • • •. .. • • • • • • . • .. • • .. ••• • . • • • • • ... • • • • ... • • • • • • • . • • • • • • • • • • • • • .. .. . • • .. .. ... • • • ... • • Servpro of Miami Beach Servpro of Miami Beach P.O. Box 403517 Miami Beach FL 30140 Tax ID# 81-2359759 SAVITS_MOLD2 General Job Items DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 1. Water Extraction & Remediation 24.00 HR 0.00 49.66 0.00 1,191.84 Technician - per hour 2. Respirator cartridge - HEPA only 3.00 EA 0.00 8.16 1.71 26.19 (per pair) 3. Add for personal protective 10.00 EA 0.00 18.12 12.68 193.88 equipment - Heavy duty Full Tyvek suits to be worn by technicians during remediation activities 4. Personal protective gloves - 15.00 EA 0.00 0.31 0.33 4.98 Disposable (per pair) Totals: General Job Items 1 OA 1 19' 8" „ Kitchen Kitchen 8' l"J 1' Powder Missing Wall - Goes to Floor Missing Wall - Goes to Floor DESCRIPTION Main Level 14.72 1,416.89 Height: 8' 428.44 SF Walls 696.78 SF Walls & Ceiling 29.81 SY Flooring 66.33 LF Ceil. Perimeter 4'11"X6'8" 10'5"X6'8" QTY 268.33 SF Ceiling 268.33 SF Floor 51.00 LF Floor Perimeter Opens into Exterior Opens into Exterior REMOVE REPLACE TAX TOTAL 5. Negative air fan/Air scrubber (24 hr 2.00 DA 0.00 70.00 0.00 140.00 period) - No monit. 6. HEPA Vacuuming - Light - (PER 965.11 SF 0.00 0.38 0.00 366.74 SF) HEPA vacuum of wall adjacent to kitchen and ceiling. 7. Apply anti -microbial agent 965.11 SF 0.00 0.26 2.03 252.96 Totals: Kitchen SAVITS_MOLD2 • • . . . •• • • • • 2.03 759.70 • • • • • •• ••• •• • • • •• • ••• •• •' ••• • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • 000 • • • • • ••• • • • • ••• • • • • • • • • • • • • • 000 • • • • • • • • • • • • • • •• •• • • • •• •• 000 • • • 000 • • 1/5/2017 Page: 2 fin aw,r..t.o.,psc..o.o - 14'5" Servpro of Miami Beach Servpro of Miami Beach P.O. Box 403517 Miami Beach FL 30140 Tax ID# 81-2359759 DESCRIPTION Office Height: 8' 448.00 SF Walls 619.71 SF Walls & Ceiling 19.08 SY Flooring 56.00 LF Ceil. Perimeter QTY 171.71 SF Ceiling 171.71 SF Floor 56.00 LF Floor Perimeter REMOVE REPLACE TAX TOTAL 8. Apply anti -microbial agent 791.42 EA 0.00 0.22 4.99 179.10 Application of EPA -registered anti -microbial agent on ceilings, walls, and floors. 9. HEPA Vacuuming - Detailed - 176.51 SF 0.00 0.76 0.00 134.15 (PER SF) HEPA vacuum of wall adjacent to kitchen and ceiling. 10. HEPA Vacuuming - hourly charge 1.50 HR 0.00 67.09 0.00 100.64 HEPA vacuum of rest of office. 11. Ducting - lay -flat 10.00 LF 0.00 0.35 0.25 3.75 Plastic tubing used to carry clean, exhaust air from negative air machine out of work zone. 12. Add for HEPA filter (for negative 1.00 EA 0.00 187.92 12.25 200.17 air exhaust fan) Heavy debris and dust during demolition -- 1" thick dirt and dust above ceiling cavity that came down 13. Negative air fan/Air scrubber (24 20.00 DA 0.00 70.00 0.00 1,400.00 hr period) - No monit. To build negative air and remove heavy airborne debris during and following demolition. 2nd air scrubber outside containment Totals: Office 17.49 2,017.81 Total: Main Level DESCRIPTION 19.52 2,777.51 Second Floor Bathroom Closet Height: 8' 88.83 SF Walls 95.42 SF Walls & Ceiling• • 0.73 SY Flooring 11.10 LF Ceil. Perimete. . • 6.59 SF Ceiling . 6.5.9. SF Floor • .. . • .:1.10 LF Floor Perimeter • • • ••• •• • • • •• QTY REMOVE . • . • REIAAC•E• • • •. • • • TAX • • •• • • • • • TOTAL 14. Apply anti -microbial agent 102.00 SF SAVITS_MOLD2 0.00•• ••• •••0.2 .• •••• •�• 0.21 •1/5/2017 •.• • • • • ••• • • • • • • • • • • • • • ••• • • • • • . • • • • • • • • •• •• • • • •• •• 000 • • . 000 • • 26.73 Page: 3 urs SERVPRO'h Fn & Vipllf - CMewp & Robro6m- Servpro of Miami Beach Servpro of Miami Beach P.O. Box 403517 Miami Beach FL 30140 Tax ID# 81-2359759 CONTINUED - Bathroom Closet DESCRIPTION QTY REMOVE REPLACE TAX TOTAL Application of EPA -registered anti -microbial agent on ceilings, walls, and floors. 15. HEPA Vacuuming - Detailed - 102.00 SF 0.00 0.76 0.00 77.52 (PER SF) Post -remediation vacuuming of entire work zone. Totals: Bathroom Closet Missing Wall - Goes to Floor DESCRIPTION 0.21 104.25 Toilet Room Height: 8' 121.55 SF Walls 137.17 SF Walls & Ceiling 1.74 SY Flooring 16.65 LF Ceil. Perimeter 15.63 SF Ceiling 15.63 SF Floor 14.90 LF Floor Perimeter 1' 9" X 6' 8" Opens into MASTER_BATHR QTY REMOVE REPLACE TAX TOTAL 16. Apply anti -microbial agent 152.80 SF 0.00 0.26 0.32 40.05 Application of EPA -registered anti -microbial agent on walls, ceilings, and floors. 17. HEPA Vacuuming - Detailed - 152.80 SF 0.00 0.76 0.00 116.13 (PER SF) Post -remediation vacuuming of entire work zone. Totals: Toilet Room Missing Wall - Goes to Floor DESCRIPTION 0.32 156.18 Master Bathrom Height: 8' 365.08 SF Walls 475.46 SF Walls & Ceiling 12.26 SY Flooring 47.09 LF Ceil. Perimeter •• .•• . . • • • •• 110.38 SF Ceiling 110.38 SF Floor 45.34 LF Floor Perimeter • • • • 1' 9" X 6' 8" • • Mans into TOILET_ROOM .. ... .. • • • .. QTY REMOVE REPLACE TAX TOTAL 18. Dehumidifier (per 24 hour period) - 1.00 EA Large - No monitoring SAVITS_MOLD2 : 'QAO .•• ••• 7ii.St •'• • • •• • • • • • • • • •• • • • • • • • . .•• . . . . • ... . . . . ... • • • . . . . • . . ... • • . • • • . • . . . • •• .. . . • •. •• 000 • . . 000 • . 0.00 78.31 1/5/2017 Page:4 Fre 8 Wabr • Cleanup 8 RaMofion' DESCRIPTION Servpro of Miami Beach Servpro of Miami Beach P.O. Box 403517 Miami Beach FL 30140 Tax ID# 81-2359759 CONTINUED - Master Bathrom QTY REMOVE REPLACE TAX TOTAL 19. Negative air fan/Air scrubber (24 hr period) - No monit. 20. Add for HEPA filter (for negative air exhaust fan) 21. Ducting - lay -flat 3.00 DA 1.00 EA 15.00 LF 0.00 0.00 0.00 Plastic tubing used to carry clean, exhaust air from negative air machine out of work zone. 22. Containment 1.00 EA Barrier/Airlock/Decon. Chamber Door barrier to separate work zone (bathroom) from bedroom. 23. Peel & seal zipper - heavy duty 24. HEPA Vacuuming - Detailed - (PER SF) Post -remediation vacuuming of entire work zone. 1.00 EA 585.84 SF 0.00 0.00 0.00 70.00 188.12 0.35 55.00 13.55 0.76 0.00 12.25 0.37 0.00 0.67 0.00 210.00 200.37 5.62 55.00 14.22 445.24 Totals: Master Bathrom 13.29 1,008.76 Total: Second Floor 13.82 1,269.19 Line Item Totals: SAVITS_MOLD2 Grand Total Areas: 2,252.61 SF Walls 847.26 SF Floor 0.00 SF Long Wall 847.26 Floor Area 1,832.26 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length SAVITS_MOLD2 847.26 SF Ceiling 94.14 SY Flooring 0.00 SF Short Wall 934.29 Total Area 214.94 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 48.06 3,099.87 SF Walls and Ceiling 277.24 LF Floor Perimeter 303.24 LF Ceil. Perimeter 2,252.61 Interior Wall Area 0.00 Total Perimeter Length .. ... . . . . . . . . . . . • • .. ... .. . . . .. • ... .. . ... . • • • • • . . . . . • .. . . . . . . . • ... . . ... . . . ... . • . . . . . • • . ... . . • • • .. • • . .. . . ... . . ... • . 1/5/2017 5,463.59 Page: 5 Servpro of Miami Beach Servpro of Miami Beach P.O. Box 403517 Miami Beach FL 30140 Tax ID# 81-2359759 Summary for Dwelling Line Item Total Material Sales Tax Replacement Cost Value Net Claim Greg Swenson SAVITS_MOLD2 •. ..• • • • • • •• • • • • •• • • • ••• • • • • • • •• ..• •• • • • •• • ••• •• • ••• • • • • • • • • • • • •• • • • • • • • • •• • • • • • • • • ••• • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 5,415.53 48.06 $5,463.59 $5,463.59 1/5/2017 Page: 6 Main Level 34' 1" •• •• • • • ••• • •• • • • • • • • • • • • • - - - • • • • • ••• 19' 2" Kitchen •••• • •• • • •• •• • ••• •••• •••• • • • • • • •••• •••• • •• • • • • • • • • •• • •• •• • • • •••• • • • • •••• SAVITS_MOLD2 19' 6" 9' 7,, 13' 11" rice 5' 8" Pbwder Ro 3' 11" 1' 9" AC Closet 4' 7" 1 ' 9" 1' -1-3' 3" M i--3' 10" —1 Main Level 1/5/2017 Page: 7 Second Floor .. • • • • • ••• • •• • • • • • • • • •.•0•• • • • • • • • • • • • • • •••• •• •• • • • • • • •.•• ••.• • • • • . •••• •••• 18' 10" 7' 5" 18' 2" Master Bedroom • • •• P •• • • = • . • • • • •• • •• • • • •••• • • SAVITS_MOLD2 a 5' 6" Toilet Room 1'9' ! 3'9"—a oom--Clo cn 1"-1 Master Bathrom 10' 8" 11' 4" f 4 E1 Second Floor 1/5/2017 Page: 8 MICV SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS • • • 414141 .. • ▪ .. . • • 00. 4141. • • • • .. • • • .. . • . 4141.. 4141.. 4141 • 4 ... • • • • • •• .41. 4141 • 0. 41.41 • •• 41.. • • • • 000 • • • • • • • • • . • 000 • 1 • 0▪ 0 00 • • • .. .. • • • 4100 • • • 0400 Arlenis Silvera From: Arlenis Silvera Sent: Friday, February 10, 2017 4:06 PM To: 'office@servpromiamibeach.com'; 'office@servpro247365.com' Subject: RE: Demo17-350 Kenya, Permit has been approved and is ready for pick up. Amount due is $290.20 Please note we are still missing the copy of Mr. Hrbek state license. We are issuing the permit with the condition that we will have a copy of the state license before final inspection is requested. Our hours to pick up permits are Monday — Friday 8:30am to 4pm. Best Regards, Arlenis Silvera Permit Clerk Supervisor Miami Shores Village 10050 NE 2 AVE Miami Shores, FI 33138 305-795-2204 www.miamishoresvillage.com From: Kenya Frost [mailto:office@servpromiamibeach.com] Sent: Friday, February 10, 2017 3:42 PM To: Arlenis Silvera <SilveraA@msvfl.gov> Subject: Re: Demo17-350 Jakob Struogano M RSA 185 1 Thank you, Kenya Frost Office Manager Piro 8 Water = Gleam °u Ri Servpro of Miami Beach PO BOX 403517 Miami Beach, FL 33140 `2 305-532-5411 Normal Business Flours: M -F 8:30-4:30 (est) 21° 786-292-2641 C9 30.5-468-6150 otlice@servpromiamibeach.com scivpromiamibcach.com servpromiamibeach.com This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. §§ 2510-2521, and contain information intended for the specified individual(s) only. This information is confidential. if you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. On 2017-02-10 12:21, Arlenis Silvera wrote: Kenya, Please see attached the comments for Demo17-350. Best Regards, Arlenis Silvera Permit Clerk Supervisor 2 Miami Shores Village 10050 NE 2 AVE Miami Shores, FI 33138 305-795-2204 www.miamishoresvillage.com From: CannonCityHall@miamishoresvillage.com [mailto:CannonCityHall@miamishoresvillage.comj Sent: Friday, February 10, 2017 1:19 PM To: Arlenis Silvera <SilveraA@msvfl.gov> Subject: Attached Image 3 DBPR - STRUOGANO, JAKOB, Mold Assessor Page 1 of 1 3:44:08 PM 2/10/2017 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Alternate Names STRUOGANO, JAKOB (Primary Name) 20785 CABRILLO WAY BOCA RATON Florida 33428 PALM BEACH Mold Assessor Mold Assr MRSA185 Current,Active 12/08/2010 07/31/2018 Qualification Effective View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida, Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487,1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=OFB71857D90A940C817... 2/10/2017