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DEMO-18-1014aFC., Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Parcel Number Permit No. DtMO-448-1014 Permit Type: Demolition Worts Classification. Building Penn# Status: APPROVED Issue Date: 911012018 1 Expiration: 03/09/2019 Applicant 10500 BISCAYNE Boulevard 1122300010500 ICUC HOLDINGS INC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ICUC HOLDINGS INC 10500 BISCAYNE Boulevard MIAMI SHORES FL 33138- 3009 N MAIN Street SANTA ANA CA 92705- Contractor(s) Phone Cell Phone THUNDER DEMOLITION INC (305)757-9444 of Demo: Building onal Info: TOTAL DEMOLITION ification: Commercial Scanning: 3 Fees Due Amount CCF 37.80 DBPR Fee 25.87 DCA Fee 17.25 Education Surcharge 12.60 Miscellaneous Fee 50.00 Permit Fee 1,724.80 Plan Review Fee (Engineer) 45.00 Scanning Fee 9.00 Technology Fee 50.40 Total: 1,972.72 Valuation: $ 62,300.00 Total Sq Feet: 15248 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -4-18-67197 04/17/2018 Check #: 6026 $ 50.00 $ 1,922.72 09/10/2018 Check#: 6121 $ 1,922.72 $ 0.00 avaname Inspection Type: Final Review Electrical Review Electrical Review Mechanical Review Planning Review Plumbing Review Structural In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructom and zpning. Futheahiore, I authorize the above-named contractor to do the work stated. September 10, 2018 Auth'orir& Sigolture: Owner / Applicant / Contractor / Agent Building Department Copy September 10, 2018 CE4VED Miami Shores Village MAR 22 19 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (3051795-2204 Fax: 1305) 756.8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. DEMO -4-18-1014 PERMIT APPLICATION Sub Permit No. PLC -4-18-1015 3BUILDING ELECTRIC ROOFING C:] REVISION ® EXTENSION RENEWAL E) PLUMBING MECHANICAL [3 PUBLIC WORKS [] CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS- 10500 BISCAYNE BLVD City: Miami Shores CounlX• Milmi Dade Zip: Folio/Parcel#: 11-2230-001-0500 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BfE: FFE: OWNER: Name (Fee Simple Titleholder): ICUC HOLDINGS INC Phone#: Address: 10500 BISCAYNE BLVD City, MIAMI State: FL Zip. 33138 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: THUNDER DEMOLITION INC Phone#; 305-757-9444 Address: 7373 NE 3 CT City: MIAMI State: FLzip: 33138 Qualifier Name: RONNY HERRERA Phone#: 305-757-9444 State Certification or Registration 4: Certificate of Competency #: 05BS00348 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 82,300 Square/Linear footage of Work: 15,248 Type of Work: Addition tOO40ARia .' }TITCH tUhtrii t0 t:&tt - :gin u k:; . ola Alteration New DEMOLITION tile: Repair/Replace ® Demolition Submittal Fee $ Permit Fee $ CCF $ CO/cc $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology fee $ Training/Education Fee $ Structural Reviews $ IReAsed02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City PIT T1 - Mortgage Lender's Name (if applicable( Mortgage tender's Address city State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this Jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done In compllance with all appl)cable 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 low 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 ske for the flrst inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 44 Signature Signature OWNER or AGENT The foregoing instrument was saacknowledged beforemethis l day of ' " tw[ 4l & CAL 20 J by who is personally known to me or who has produced Identification and who did take an oath. NOTARY PUBLIC: Res1sedG2/24/2D14) as CONTRACTOR The foregoing Instrume'nntwas acknowledged before me this r, day of 1' / 014 20 by who is personally known to me or who his produced as identification and who did take an oath. NOTARY PUBLIC: Print: Nowill Pdit ftft o.j00ift Warren Elbridge Boston Seal: a°0" fF M2 R3 r` .•' My Co". EXOM Jan, 9, 2020 Notary Public Bonded thr011a1 Nl1011I Nlltary Assn. Quee stand, Australia srssrrrrssrrr rsrrrr sr rssssrrrrssrrwsrrarsssrsssr+ssrsssrssssrrarrssrrsrrrrsrrarsssrrra f/ Ptans Examiner Zoning Structural Review Clerk March 8, 2019 THUNDER DEMOLITION, INC. Miami Shores Village Building Department - 10050 NE 2nd AVE. Miami Shores, Florida 33138 7373 ME 3rd COURT MIAMI FL 33138 TEL: 305.757.9444 FAX: 305.757.9441 www.thunderdemolition.com Re: 10500 Biscayne Blvd. Demolition This letter is to inform you that the demolition permit 4-18-1014 and the plumbing permit 4-18-1015 will expire on 03/11/2019, the work has not been finished, therefore we respectfully request an extension of both permits. Should you need any additional information please contact me at 305-757-9444 Sincerely, s, Ronny Herrera, President Thunder Demolition Inc. STATE OF FL DA COUNTY OF 1)44— This foregoing statement was sworn to and subscribed before me this 0 day of , 2019 by Ronny Herrera who is personally known to me or has produced his/her Driver's Lidense as identification and who did/did not take an oath. Notary Kb-lic, State of I My commission expires Miami Shores Village U Building Department ot • 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 D Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 U R0V FBC 201-7 6A-i, 1BUILDING Master Permit No. -- t 14 PERMIT APPLICATION Sub Permit No. j BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS OB ADDRESS: 10500 BISCAYNE BLVD City: Miami Shores County Miami [lade z,o Folio/Parce 11 2230 001 0500l#: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ICUC HOLDINGS INC Address: 10500 BISCAYNE BLVD Phone* City: MIAMI FLState: 33138 Tenant/Lessee Name: Email: Phone#: CONTRACTOR: Company Name: THUNDER DEMOLITION INC 305-757-9444 Address:_ 7373 NE 3 CT Phone#: City: MIAMI FL 33138State: i, Qualifier Name: RONNY HERRERA Phone#: 305-757-9444 State Certification or Registration #: Certificate of competency #: 05BS00348 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 62,300 Square/Linear Footage of Work: 15,248 Type of Work: Addition Alteration New Repair/Replace Q DemolitionDescriptionofWork: TOTAL DEMOLITION Specify color of color thru tile: Submittal Fee $ GO 1-n a Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR Notary $ Technology Fee $ Training/Education Fee $ Double fee $ Structural Reviews $ Bond $ - TOTAL NOW DUE $ FEE Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature, Signature____ V` OWNER or AGENT The fore&oiing instrument was acknowledged before me this 16 day of -111A_ C-4*_ 20 t e by CONTRACTOR The foregoing instrument was acknowledged before me this 13 day of 1 20 , by who rs personal)who is personally known to or who has proiiuced % E r me Co j as me or who has produced as identification: and whadid.take.an oath. identification and who did take an oath. r'1NOTARY PUBLIC: , ` 1.`.x 1J ,T 1 NOTARY PUBLIC: S EDITH I. GRANADOSeSign:Sign: Florida a Phn I- i '._ , qgt€1brid@ 96+„r Print: * Notary commission # FF 947425 al' } 1 f ', My comm. Expires Jan 3, 2020NotaryPublicSeal: ax /j r— Bonded through National Notary Assn. Queensland, Australia tt'i•SAt,t/rlt W;>t WiFt Mtf i k+1tM••iRttkiMrtrfiMWtai+Rit rtaiiMUit/tai+Y krr titiWw •iFi MMtitM ttw••t i tiMMOi0tM+Yti APPROVED BY li Plans Examiner Zoning Structural Review Clerk Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 RAISEROFFICEOFTHEPROPERrYAPP Summary Report Property Information Folio: 11-2230-001-0500 Property Address: 10500 BISCAYNE BLVD Miami Shores, FL 33138-2245 Owner ICUC HOLDINGS INC Mailing Address 10500 BISCAYNE BLVD MIAMI, FL 33138 USA PA Primary Zone 5000 HOTELS & MOTELS - GENERAL Primary Land Use 3922 HOTEL OR MOTEL: MOTEL Beds / Baths / Half 58/58/0 Floors 1 Living Units 58 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 15,248 Sq. Ft Lot Size 47,254 Sq.Ft Year Built 1950 Assessment Information Year 2017 2016 2015 Land Value 1,181,350 1,181,350 1,181,350 Building Value 918,650 918,650 918,650 XF Value 0 0 0 Market Value 2,100,000 2,100,000 2,100,000 Assessed Value 2,100,000, 2,100,000 1,952,419 Benefits Information Benefit Type 1 2017 2016 2015 Non -Homestead Cap lAssessment Reduction Taxable Value 2,100,000 $2,100,000 147,581 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description JULIA D TUTTLE PB B-4 N335FT OF S1/2 OF SE1/4 OF SW1/4 LYG W OF FEDL HWY LESS S37.5FT FOR CANAL R/W & LESS NE 105 ST LOT SIZE IRREGULAR Generated On : 4/17/2018 Taxable Value Information 2017 2016 2015 County Exemption Value 0 $0 0 Taxable Value 2,100,000 $2,100,000 1,952,419 School Board Exemption Value $0 0 $0 Taxable Value $2,100,000 2,100,000 $2,100,000 City Exemption Value 0 0 0 Taxable Value 2,100,000 2,100,000 1,952,419 Regional Exemption Value $0 $0 Taxable Value $2 100,000 $2,100,0001 0 1,952,419 Sales Information Previous Sale Price OR Book -Page Qualification Description 05/03/2011 1,900,000 27685-2985 Qual by exam of deed 08/01/2005 2,760,000 23700-1359 Sales which are qualified 01/01/2000 1,186,000 18992-0301 Sales which are qualified 08/01/1988 890,000 13788-3176 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version https://www.miamidade.gov/propertysearch/ 4/17/2018 2018 FOREIGN PROFIT CORPORATION ANNUAL REPORT DOCUMENT# F11000001980 Entity Name: ICUC HOLDINGS, INC. Current Principal Place of Business: 10500 BISCAYNE BLVD. MIAMI SHORES, . FL 33138 Current Mailing Address: 10500 BISCAYNE BLVD MIAMI SHORES, FL 33138 US FEI Number: 27-4849632 Name and Address of Current Registered Agent: TRAN, HAI 10500 BISCAYNE BLVD MIAMI SHORE, FL 33138 US FILED Apr 03, 2018 Secretary of State CC5800899652 Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: HAI TRAN 04/03/2018 Electronic Signature of Registered Agent Date Officer/Director Detail Title PD Name TRAN, HAI Address 10500 BISCAYNE BLVD. City -State -Zip: MIAMI SHORES FL 33138 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: HAI TRAN PRESIDENT 04/03/2018 Electronic Signature of Signing Officer/Director Detail Date Onpoint termite &est contrp or performed an inspection on April 16, atrp operty address 10500 BISCAYNE BLVD, MIAMI, FI 33138 .Thisroe • p p rt`y s clear of all rodents. Office: (786)975-6461 Onpointexterminator@gm,ail.com RE , EL MAY 0 3X018 Iis March 19, 2018 Gabriela Bussola 7373 NE 3RD CT. MIAMI, FL 33138 Telephone: 305-757-9444 Re: 10500 BISCAYNE BLVD Effective 03/19/2018, FPL has removed the meter and disconnected the FPL service wire to theabovereferencedaddress. However, before demolishing the structure, you should havethePremisescheckedbyaqualifiedindividualtoassurethatelectricityisnotbeingsuppliedtothestructurefromanypossiblesource. If there are any questions, or if I may be of further assistanceinthismatter, please contact me at the telephone number below. Sincerely, Fernando Sarria Associate Technical Specialist 305-770-7909 An FPL Group Company MAY 0 3 7048 I .VV If VV 1 A.WW t ,PEOPLES GAS AN EMERA COMPANY Thunder Demolition, Inc. Attn: Gabriela Bussola. April 4, 20187373NE3'd Ct. Miami, Fl. 33138 Proposed Demo: 10500 Biscayne Blvd, Miami, FI. After a review of our facilities within the above referenced area, we would like to informyouthatTECOPeoplesGasdoesnothaveapresent, natural gas service line at saidproperty. Cut & cap 65' west off the main and 13' east of the sidewalk However, you must contact the Sunshine State One Call of Florida at 1-600.432-4770or811atleast48hoursinadvance, as there might be other underground utilities. BycontactingSSOCOF, the risk of personal injury and property damage can be reduced. You can get the latest information on SSOCOF by visiting their web site atwww.callsunshine.com Should you have any additional questions concerning the above, please contact me at1 -877 -TECO PGS, extension 77238. Sincerely, Gloria Garard done for Mr. Jesus Vega Local Dade & Broward Division Manager N Miami Division JV/grg repared by; Gloria Garard 4 MAY 0 3 2018 Q Aa- PEOPLES GAS 15779 W 0L*9 Hwy. 305.957-3857 NORTH MIAMI BEACH, FL 33162 FAX 305.9674804 AN EQUAL OPPORTUNnY COMPANY HTTP:/NV -TECO NERGY C March 14, 2018 Miami Shores Village BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 Dear Building Official: Please be advised that I, 1 fA TkA,V , owner of above-mentioned property, authorize Thunder Demolition Inc to demolish the property. Should you require any further assistance, please do not hesitate to contact me at Sincerel4er0 Agent STATE OF FXAMMAS Sdi T'I TTl1 M .... This foregoing statement was sworn to and subscribed before me this 16 day of. (' (W4 2017 by • • • • • • • ; • Ronny Herrera who is personally known to me or has produced his/her Driver's License • • • • • • • • EEIS6--' / as identification and who did/did-oet take an oath. • lL O5'? 6 aS • rTNotaryPublic, State vfpbl'i'daC'L N t e,nr % S .. • • My commission expires r4f4 • • • • • • • • • • 0 'OFFICE 0 THE PROPERTYIPPRAI'SE Summary Report Property Information Folio: Property Address: Owner Mailing Address PA Primary Zone Primary Land Use 11-2230-001-0500 10500 BISCAYNE BLVD Miami Shores, FL 33138-2245 ICUC HOLDINGS INC 10500 BISCAYNE BLVD MIAMI, FL 33138 USA 5000 HOTELS & MOTELS - GENERAL 3922 HOTEL OR MOTEL: MOTEL Beds / Baths / Half 58/58/0 Floors 1 Living Units 58 Actual Area Sq. Ft Living Area Sq. Ft 15,248 Sq. Ft 47,254 Sq. Ft 1950 Adjusted Area Lot Size Year Built Assessment Information Year 2017 2016 2015 Land Value 1,181,350 1,181,350 1,181,350 Building Value 918,650 918,650 918,650 XF Value 0 $0 2,100,000 $2,100,000 2,100,000 $2,100,000 0 Market Value Assessed Value 2,100,000 1,952,419 iBenefits Information Benefit I Type 2017 20161 2015 Non -Homestead Cap Assessment Reduction $147,581 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description JULIA D TUTTLE PB B-4 N335FT OF S1/2 OF SE1/4 OF SW1/4 LYG W OF FEDL HWY LESS S37.5FT FOR CANAL R/W & LESS NE 105 ST LOT SIZE IRREGULAR Generated On : 4/12/2018 Taxable Value Information Previous Sale Price 2017 2016 2015 County 27681-2981 QuQllit pJtajnofd( d • 08/01/2005 Exemption Value 23700-1359 0 01/01/2000 0 0 Taxable Value 08/01/1988 2,100,000 13788-3176 2,100,000 1,952,419 School Board Exemption Value 0 0 0 Taxable Value 2,100,000 2,100,000 2,100,000 City Exemption Value O 5 so Taxable Taxable Value 2,10Q,QQQ.. 2,1.W2VO t95 Z1.9 Regional Exemption Value t-. _.. 0 • E 0 Taxable Value 2,10%9 .. 2,1OG1000 1!95 419 Sales Information Previous Sale Price OR Bpok-Page 01111' .'t1on Description. 05/03/2011 1,900,000 27681-2981 QuQllit pJtajnofd( d • 08/01/2005 2,760,000 23700-1359 Sales which are qualified 01/01/2000 1,186,000 18992-0301 Sales which are qualified 08/01/1988 890,000, 13788-3176 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer. asp Version: Florida_L)epartment of State Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Foreign Profit Corporation ICUC HOLDINGS, INC. Filing Information Document Number F11000001980 FEI/EIN Number 27-4849632 Date Filed 05/09/2011 State NV Status ACTIVE Principal Address 10500 BISCAYNE BLVD. MIAMI SHORES, FL 33138 Changed: 01/03/2014 Mailing Address 10500 BISCAYNE BLVD MIAMI SHORES, FL 33138 Changed: 04/03/2018 Registered Agent Name & Address TRAN, HAI 10500 BISCAYNE BLVD MIAMI SHORE, FL 33138 Name Changed: 04/03/2018 Address Changed: 03/01/2013 Officer/Director Detail Name & Address Title PD TRAN, HAI 10500 BISCAYNE BLVD. MIAMI SHORES, FL 33138 Annual Reports Report Year Filed Date 2016 04/28/2016 DivisioN OF CORPORAT ONS 9 4 - STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (ICUC HOLDINGS INC) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PERMIT #: 13 -SM -1838972 APPLICATION #: AP 1339040 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1102631 PROPERTY ID #: 11-2230-001-0500 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THEPERMITAPPLICATION. SUCH TO MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ A N [ K J GALLONS / GPD I GALLONS / GPD GALLONS GREASE INTERCEPTOR CAPACITY GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 0.001 INCHES O T H E R J FILLED I BED [ I — 0000 0000•• 0000 • ABOVE /BELOW J BENCHMARK/R•• • EFERENC4g POINT • 0.0000 • •• 0000•• I [ ABOVE / BELOW ]BENCF"4VFERENCE •POINT • • 0000•• 0000 • • • • EXCAVATION REQUIRED: • • 0000•• Q [ I INCHES 0000 • 0000• CAPACITY CAPACITY MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] GALLONS @[ ]DOSES PER 24 HRS #Pumps [ SYSTEM SYSTEM MOUND [ I Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tanv-Jgwmxi. tank shall be filled with clean sand or other suitable material, and completely covered wr itgAp*, HAJbythehealthdepartmentafterithasbeenpumped, ruptured and filled with san&9R C6veoweSEVt+ _ SPECIFICATIONS BY: APPROVED BY: TITLE: Tpn 1 TITLE: ENGINEERING SPECIALIST I vane DATE ISSUED: 04/16/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC EXPIRATION DATE: v 1 1 4 .. Se -1 N 0010 p, S•p`,jE •••. SA • pFrIED fk R ...:. PND .•••: Dade CHD 07/15/2018 Page 1 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (ICUC HOLDINGS INC.) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: 7, PERMIT #: 13 -SM -1838976 APPLICATION tl:AP1339042 DATE PAID: FEE PAID: RECEIPT #: DocumNT #: PR1102630 PROPERTY ID #: 11-2230-001-0500 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL STANDARDS OF SECTION OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, RE ANY CHANGE IN MATERIAL FACTS, PERMIT APPLICATION. SUCH THMODIFICATIONSMAYRESULTINTHISPERMIT H BEINGPLICAMADE ODIFY NULL MAND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANTSTATE, OR LOCAL FROM COMPLIANCE WITH OTHER FEDERAL, PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ I GALLONS / GPD A [ CAPACITY1GALLONS / GPD CAPACITYN [ 1 GALLONS GREASE INTERCEPTOR CAPACITY K [ [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS) 1 GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS $Pumps [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ J I CONFIGURATION: [ ] N F LOCATION OF BENCHMARK: SYSTEM SYSTEM STANDARD [ J FILLED [ ] MOUND TRENCH I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REOUrRP.n • r n nn BED 6666 666 6066•0 0000 ABOVE BELOW J BENCHW"M/AEFEREtgnp VOINT 000000 ABOVE / BELOW ] BENCiTt SR[0/FERENCE I-OINT 6666 • • EXCAVATION RE UIRED 6666 • 000• I INCHESHavethetankabandonedinaccordancewiththefollowingprocedures:(a) The tank shall be pumped out.(q) lV tlbttom of •. . • • • • 6thetankshallbeopenedorruptured, or the entire tank collapsed so as to prevent the tank from retainingt r d c The • • T tank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the sVterft ( ) ei 6 0 6 H by the health department after it has been pumped, ruptured and filled with sand and covered. 0 A .i 64 6S rA 00: . E pER ugt g.i?:N toR Ngo R SEPj%C TAD 9 C 1A CM Of tr 3 .0 REQS'- pPLIJ f F D "11ACO C SPK p SPECIFICATIONS BY404116/2018 TITLE. RVP S]{iAaLY. T10 O O'1N CQMP E11r, iNSpEG1AtT 1Gµbdh APPROVED BY: TITLE: ENGINEERING SPECIALIST ` s ppt OOU Dadet CHD DATE rSSUED: EXPIRATION DATE: 07/15/2018DH4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v I 1 Q AP1339042 t 4 - STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCT IOW PERMIT FOR: OSTDS Abandonment APPLICAYT: (ICUC HOLDINGS) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PERMIT #: 13 -SM -1838982 APPLICATION #: AP 1339047 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1102632 PROPERTY ID #; 11_2330-001_0500 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. ANYWHICHSERVEDASABASISFORISSUANCEOFTHISPERMIT, REQUIRE THE App ICANT E INMTOERIAL MODIFYACTSTHEPERMITAPPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD A [ ] GALLONS / GPD CAPACITY N [ I GALLONS GREASE INTERCEPTOR CAPACITYCAPACITY K MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] I GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ ] SQUARE FEET R [ I SQUARE FEET A TYPE SYSTEM: [ j STANDARD [ j FILLED I CONFIGURATION: [ ] TRENCH [ J BED N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD To BE L D FILL REQUIRED. [ 0.00 J INCHES SYSTEM SYSTEM MOUND l 0000 0000 0000•• 0000 • ABOVE / BELOW ] BENCHiII RRFEREIf 40 • • • • • INT ABOVE/ BELOW ]BENCH ' MFERENCE POINT 0000 • • 0000•• EXCAVATION REQUIRED; •' INCHES o Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out." 'M8 bottom of • • t T he tank shall be opened or ruptured, or the entire tank collapsed so as to prevent thetankshallbefilledwithdeansandorothersuitablematerial, and completely i e ' isM? The ' H by the health department after it has been pumped, ruptured and filled with gL49P $`.)1eW t (. T NK S60N' 1-N!-, OR OR E s$I111 @ttet TI! TANK :0 )rrr+ 9 TOR t!R STATE LICENSED PLUMBER: 607ONba GF T&NK OPE&WDeOR R RUPTURED, AND TANK F U.t.ED 4Vi''H CLEAN't 1DOR OTHER SUITABLE MATERIAL. CONTRACTOR MUST CERTIFY COMPLETION OF ABOVE WORK AND SCHEDULE INSPECTION VMH THE SPECIFICATIONS BY: „ 13Ai}T11CUT TITLE: APPROVED BY: TLE: ENGINEERING SPECIALIST IAz'r DATE ISSUED: 04/16/2018 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated; 64E-6.003, FAC v 1 1.4 AP1339047 SE -1 Dade_ CHD 07/15/2018 Page 1 of 3 0000• 0000• 0000•• 0000•• 0000• STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (ICUC HOLDINGS INC.) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PROPERTY ID ti: 11.2230-001.0500 PERMIT (t:13 -SM -1838987 APPLICATION #:AP1339050 DATE PAID: FEE PAID: RECEIPT Y: DOCUMENT r: PR1102643 SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THEPERMITAPPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N [ K [ I GALLONS / GPD I GALLONS / GPD I GALLONS GREASE INTERCEPTOR CAPACITY l GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R I I SQUARE FEET A TYPE SYSTEM: [ J STANDARD I CONFIGURATION: [ J TRENCH N F LOCATION OF BENCHMARK: FILLED BED CAPACITY CAPACITY MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] GALLONS @[ ]DOSES PER 24 HRS #Pumps SYSTEM SYSTEM MOUND [ I I ELEVATION OF PROPOSED SYSTEM SITE ( I[ E BOTTOM OF DRAINFIELD TO BE ( I[ L D FILL REOUiRFn. r n nn ABOVE/ BELOW] BENCHMARK/REFERENCE POINT It ABOVE/ BELOW] BENCHMARK/REFERENCE POINT Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.t4D) Tba bottom oft the tank shall be opened, ruptured, or the entire tank collapsed so as to prevent the tank from retaining water! and(c) The • • • • • Ttank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the system inspected • • • • • H by the health department after it has been pumped and ruptured but before it is filled with sand and covered • • • • • 000: R • • SPECIFICATIONS BY: TITLE. •••••• • • APPROVED BY: K TITLE: Engineering Specialist II • •• • • Fran zaa • • • Dade CHD• • • • • • DATE ISSUED: 04/16/2 • • • • • EXPIRATION DATE: 077f5/2018 DH 4016, 08/09 (Obsolete* all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1 1.4 AP1339050 SE -1 0 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (ICUC HOLDINGS INC.) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PERMIT #: 13 -SM -1838989 APPLICATION #: AP 1339052 DATE PAID: ` FEE PAID: RECEIPT #: DOCUMENT #: PR1102580 PROPERTY ID #: 11-2230-001-0050 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THEPERMITAPPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ I GALLONS J GPD A [ CAPACITY 7 GALLONS / GPD CAPACITYN [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ I GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ DOSES PER 24 HRS #Pampa [ ] D [ ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ j FILLED [ j MOUNL I CONFIGURATION: [ ] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ][ E BOTTOM OF DRAINFIELD TO BE [ ][ L D FILL RE UI IM ABOVE/ BELOW] BENCHMARK/REFERENCE POINT ABOVE/ BELOW] BENCHMARK/REFERENCE POINT Q RED [ O.00 ] INCHE3 0000 EXCAVATION REQUIRED: [ ] INCHES • • o Have the tank abandoned in accordance with the following Procedures: (a) The tank shall be pumped ou.b The bottom of • • T the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retainines and( cg Th g • • • • tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have thes •t •+ins e) ed • H YigT p q ... by the health department after it has been pumped and ruptured but before it is filled with sand and covet q.g g • ; • • • • • • g • E R • g • • SPECIFICATIONS BY: TITLE: • • • • • APPROVED BY: ` v1t . t • • • TITLE : .^\ j, Dade CHD DATE ISSUED: 04/16/2018 EXPIRATION DATE: 07/15/2018DH4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1339052 SE -1 Page 1 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (ICUC HOLDINGS INC) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 11-2230-001-0500 N PERMIT #: 13 -SM -1 838992 APPLICATION # : AP 1339053 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1102644 SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THEPERMITAPPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T I ] GALLONS / GPD CAPACITY A ( 1 GALLONS / GPD CAPACITY N [ 1 GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K ( 1 GALLONS DOSING TANK CAPACITY ( ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ ] SQUARE FEET SYSTEM R I ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [ j BED [ j N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ j[ / ABOVE / BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ][ / ABOVE / BELOW] BENCHMARK/REFERENCE POINTL D FILL REQUIRED: ( 0.00] INCHES EXCAVATION RE UIRED: ( ] INCHES 0000 bandoned in accordance with the following procedures:(a) The tank shall be pumped out.(G) T11,ftttom of"" O e opened, ruptured, or the entire tank collapsed so as to prevent the tank from retaining wateh'and c) The ;"' 7healthT ed with clean sand or other suitable material, and completely covered with soil.Have the syl fe"Agpecte(f H partment after it has been pumped and ruptured but before it is filled with sand and covere8.""' 00• . • E • • 000000 0000 • 0000• R 0000•• ••• • 00 66 00 0000• SPECIFICATIONS BY: 000000 • TITLE: • • • APPROVED BY: TITLE: Engineering Specialist II •'0 ' 0000.0Dads. ani cHn. DATE ISSUED: :::041 • • • EXPIRATION DATE: () r'/ 1 j/201$ DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 V 1 1 4 AP1339053 SE -1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (ICUC HOLDINGS INC) PROPERTY ADDRESS: 10500 BISCAYNE Blvd Miami, FL 33138 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 11-2230-001-0500 9 PERMIT #: 13 -SM -1838994 APPLICATION #: AP1339054 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1102579 SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEESATISFACTORYPERFORMANCEFORANYSPECIFICPERIODOFTIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THEPERMITAPPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD A[ CAPACITY GALLONS / GPD CAPACITYN[ l GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ DOSES PER 24 HRS #Pumps [ ] D [ l SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED I CONFIGURATION: I ] MOUND [ ] TRENCH [ ] HED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ][ ABOVE/ BELOW ]BENCHMARK/REFERENCE POINTEBOTTOMOFDRAINFIELDTOBE [ ][ L ][ ABOVE/ BELOW ]BENCHMARK/REFERENCE POINT D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ] INCHES •••• 0 Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(%f The bottom Of • • • T the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The • • • • tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the sys em inspectgd • • • H .... by the health department after it has been pumped and ruptured but before it is filled with sand and coveted• • • • • • • • • • • • E R • • • • PECIFICATIONS BY: TITLE: • • • • • TT'' \ APPROVED BY: f• v-.. o TITLE: . )ilk `' ` •• •••• Dade CHD DATE ISSUED: 04/16/2018 EXPIRATION DATE: 07/15/2018DH4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1 1.4 AP1339054 SE -1 Page 1 of 3 i MI®OWOE dN r a Florida Department of Department of Regulatory and Economic Resources FLOR A T Environmental Protection Environmental Resources Management 701 NW 1st Court, 2nd FloorDivisionofAirResourceManagement "la I Fio iid G 6-3912 NOTICE OF DEMOLITION OR ASBESTOS RENOVATION r' 3"' I; u' i3 : 5 pTYPEOFNOTICE (CHECKONEONLY) : O ORIGINAL REVISED CANCELLATION TYPEOFPROJECT (CHECKONEONLY) ; ' DEMOLITION El RENOVATION RENOVATION ROOFING CO 0Y U IF DEMOLITION, IS IT AN ORDERED DEMOLITION? YES © NO APR u 8 IF RENOV ATION: iSITANEMERGENCY RENO VATIONOPERATiON? YES m NO File q Air Quality IS ITA PLANNED RENO VATIONOPERAnON? YES © NO Processy arFa ement L)iyision1. Facility Name BISCAYNE HOTEL Address 105001 City MIAMI SHc Site HOTEL Building Size 15,248 (Square Feet) Prior Use: School/College/University Present Use: School/College/University If. Facility Owner ICUC HOLDINGS INC. Address 10200 BISCAYNE BLVD, State FL Zip 33138 County DADE Consultant Inspecting Site q of Floors 1 Building Age in Years 68 Residence CJ Small Business Other HOTEL Residence El Small Business Other HOTEL City MiAMI State FL Zip 33138 III. Contractor's Name THUNDER DEMOLITION INC Phorle 305-757-9444Address7373NE3CT City MIAMI State FL Zip 33138 Is the contractor exempt from licensure under section 469.002(4), F .S.? YES NO IV. Scheduled Dates: (Notice must be postmarked 10 working da ys before the project start date) Asbestos Removal (mm/dd/yy) Start: Finish: Demo/Renovation (mm/dd/yy) Start`y/—Z# v,,t1.n Finish: 23 IS V. Description of planned demolition or reno vation work to be performed and methods to be employed, including demolition ch re tecltnlques to be used and description of affected facility components, TOTAL DEMOLITION, Procedures to be Used (Check All That Apply): LJ I 1 Strip and Removal Wet Method I LJ IDry Glove Bag Method I LJ I Bulldozer I Explode Wrecking Ball Burn Down OTHER: VI. Procedures for Unexpected RACM: STOP AND NOTIFY D.E.R.M VII. Asbestos W asteTransporter: Name FLORIDA WOOD RECYCLING/ MANUEL CORDERO VIII, IX. 305.219-1540 OR 305-219-9441 Address 9651 NW 89TH. AVE / 10655 NW 122 ST. -- City MEDLEY State FL Zip 33178 Waste Disposal Site: Name WASTE CORP OF SOUTH FLORIDA/ LAKE ENVIRONMENTAL RESOURCE Address 3400 US HIGHWAY 17/ B80 N BAY ROAD City FT. MEADE I MOUNT DORA State FL Zip 33841/32757 AIR QUALITY MANAGEMENT DIVISIONRACMorACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category nd II n friabl A-ygyISIslaCerlirttat Amount of RACM or ACM" NotttCOt '• beePl • • • : • square feet surfacing materialsubmilt e -*n C•)r^p;iunce-*tf! square feet cementitious material • • • linear feet pipe square feet resilient flooring ir. al:l• •gulaticoi066669! • cubic feet of RACM off facility components square feet asphalt roofi ` ne • • • ' r i • • ..• Identify and describe surfacing material and other materials as applicable: - •e .•.._..__. DatEL ,_, `p • I certify that the above information Is correct and that an individual trained In the provisions of this regulation (40 CFR Part 61, SubparNW will be on- 0.: site during the demolition or renovation and evidence that the required training has been accomplished by this person will be aY 1)404- % inspection • during normal busines,sjlours. I have read and understood the additional Informati 1 pr ided on the back of this form. • • • R0 W4 Y Li .W71rMV—a ...... Prl OmeofOwner/Operator) • • • JAA 000 Sigriatu ofOwner/Operator) • • • Oate) (Contact phone q) HER USE ONLY Postmark/Date Received ID q 161 01-158 tato DISTRIBUTION: White-RER Yellow -Applicant Pink -Reserve Gald-Reserve ENGINEEkiNG, INC. ENGINEERING AND ENVIRONMENTAL SERVICES April 2, 2018 Mr. An Long ICUC Holdings, Inc. 10500 Biscayne Boulevard I Miami Shores, Florida 33138 1 Subject: Report of Pre -Demolition Survey, Invasive Sampling and Analysis for Asbestos -Containing Materials Motel Buildings 10500 Biscayne Boulevard Miami Shores, Florida 33138 EBS Engineering Project Number 820-1801647.01 Dear Mr. Long: EBS Engineering, Inc. (EBS) has completed the pre -demolition survey, invasive sampling I and analysis of suspect asbestos -containing materials (ACMs) in the motel buildings j located at 10500 Biscayne Boulevard in Miami Shores, Florida. The field sampling was performed on March 29, 2018 by Mr. Ronquavis Fulton of EBS. Authorization for our i services was provided by you on March 22, 2018. This report presents the project information, bulk sampling procedures, the analytical results with recommendations for the removal of any ACMs identified, if any. EBS appreciates the opportunity to be of service to you and looks forward to our continued association. If you should have any questions concerning this report, please contact us at your convenience. Sincerely, EBS ENGINEERING, INC. Business License # ZA -0000069 .... n Francisco Gomez BegaA s1b",•P.E. •'•'• Senior Environmental Scient' FISst gpnsultat;0Licb-SA00000' EBS\820-1801647.01 REPORTS • • • • • ; • EBS ENGINEERING, INC. 4715 NW 157 ST. STE. 202 MIAMI, FLORIDA 33014 Tel. 305-625-5252 • Fax. 305-625-7110 k Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida April 2, 2018 TABLE OF CONTENTS EBS ENGINEERINQ, INC. I. BACKGROUND INFORMATION 1 II. FACILITY DESCRIPTION 1 III. SURVEY PROCEDURES 1 IV. RESULTS OF LABORATORY ANALYSIS 2 V. FINDINGS AND RECOMMENDATIONS..............................................................4 VI. QUALIFICATIONS................................................................................................4 APPENDIX A: LABORATORY ANALYTICAL RESULTS EBS Engineering Project No. 820-1801647.01 Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida EBS ENGWEER/NG, INC. April 2, 2018 I. BACKGROUND INFORMATION EBS Engineering, Inc. was contacted by Mr. An Long, concerning the pre -demolition survey, invasive sampling and analysis of suspect asbestos -containing materials in the motel buildings located at 10500 Biscayne Boulevard in Miami Shores, Florida. It is our understanding that this sampling is necessary prior to the planned demolition of the buildings and for permitting purposes. The purpose of the invasive sampling was to locate and identify asbestos -containing building materials within the motel buildings prior to any renovation or demolition activities which may disturb them. The sampling of the roof and exterior areas of the buildings was included in the scope of this survey. II. FACILITY DESCRIPTION The subject facility is the motel buildings located at 10500 Biscayne Boulevard in Miami Shores, Florida encompassing approximately 15,250 square feet. The interior finishes in the buildings include; plaster on the interior walls and ceilings, ceramic tile on the floor. The roof was membrane/mastic with pitch pan mastic. The exterior walls were finished with stucco. III. SURVEY PROCEDURES General The invasive survey was performed by observing accessible building materials in the motel buildings. The primary purpose of the survey was to locate, identify and assess building materials which were suspected to contain asbestiform minerals. Friable and non -friable asbestos -containing materials (ACMs) encountered during the survey are addressed in this report. Friable materials, when dry, will crumble and release fibers under normal hand pressure, whereas non -friable materials will not. The sampling protocol used in this asbestos survey is in general accordance with Title 40, Code of Federal Regulations (CFR), Part 763.86 and State of Florida Statutes. 00.9 Bulk Sampling Procedures 0000 0000 0000.. 0000 000.00 The bulk sampling procedures used for the collection of suspect mateCisis-fjrst roq"CQd the establishment of homogenous sampling areas, which are definLd: e. as areas of materials of the same type and applied during the same general tiWp4ieriod. T.Ite homogenous sampling areas were then examined and representative s. 11%6 of suspect materials were obtained from these areas. The U.S. Environmental Ptotection A,gmGy EPA) has published guidelines and recommendations for obtaining sarrklps pf as6wgtps- containing materials. These guidelines were followed during our survey, 'VA@r*e appropriate. Additionally, samples of these materials were obtained at the discretion of our personnel based on past experience. EBS Engineering Project No. 820-1801647.01 Page 1 0000.. 0000.. 0000.. 0000. 0000. 000000 0. 0000. 0000. 7i Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida EBS ENGINEERING, INC. April 2, 2018 Bulk samples collected during the site survey were analyzed by Polarized Light Microscopy (PLM) coupled with dispersion staining. PLM is an analytical method for asbestos identification which depends on the unique optical properties of mineral forms in the samples and specifically identifies the various asbestos types. The optical properties are a result of the mineral's chemical composition, physical atomic structure, j and visual morphology. This is the recommended method of analysis by EPA for asbestos identification in bulk samples. EMSL Analytical, Inc. the laboratory that analyzed the samples, has attained National Institute of Standards and Technology (NIST) accreditation through participation in the National Voluntary Laboratory AccreditationI Program NVLAP . Percentages of the identified9 ( ) 9 types of asbestos are determined by visual estimation. Any material containing more than one percent (1%) of asbestos is considered by EPA and Occupational Safety and Health Administration (OSHA) to be ACM. The following suspect materials were sampled in the motel buildings during our survey: 1. Black Roof Membrane/Mastic 2. Black Pitch Pan Mastic 3. Gray Exterior Stucco 4. White Interior Wall Plaster 5. White Ceiling Plaster IV. RESULTS OF LABORATORY ANALYSIS Laboratory results of the invasive sampling revealed that no asbestos was detected in the 36 material samples obtained from the motel buildings during our survey. Asbestos concentrations expressed within the laboratory results are based on visual estimation. The point counting method of quantification is recommended for asbestos concentration below ten percent. The results of the 36 samples are summarized in Table 1. The PLM results of each sample obtained during the survey is included in Appendix A. EBS Engineering Project No. 820-1801647.01 Page 2 0000 0000 0000.. 0000 0000.. 0000 0000.. 0000.. 0000.. 0000 0000.. 0000 0000. 00 00 00 0000.0 00:0: 0 00 0 0000.. 0000.. 000000 00 0 0 0 00 EBS Engineering Project No. 820-1801647.01 Page 2 Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida April 2, 2018 EBSENGINEERING, INC. EBS Engineering PCojVct /W- 00821-1 EV 10¢,t7. 01 Page 3 TABLE 1 - SUMMARY OF ANALYTICAL RESULTS Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida 33138 SEQUENTIAL NUMBER SAMPLE NUMBER HOMOGENOUS AREA SAMPLE DESCRIPTION SAMPLE LOCATION RESULTS OF PLM ANALYSIS 01 01 HA -1 Black Roof Membrane/Mastic Roof, East No Asbestos Detected 02 02 HA -1 Black Roof Membrane/Mastic Roof, East No Asbestos Detected 03 03 HA -1 Black Roof Membrane/Mastic Roof, East No Asbestos Detected 04 04 HA -2 Black Pitch Pan Mastic Roof, West No Asbestos Detected 0505 HA -2 Black Pitch Pan Mastic Roof, West No Asbestos Detected 06 06 HA -2 Black Pitch Pan Mastic Roof, West No Asbestos Detected 0707 HA -3 Gray Exterior Stucco Near Room 13 No Asbestos Detected 0808 HA -3 Gray Exterior Stucco Near Laundry No Asbestos Detected 0909 HA -3 Gray Exterior Stucco Near Room 5 No Asbestos Detected 10 10 HA -3 Gray Exterior Stucco Near Room 24 No Asbestos Detected 11 11 HA -3 Gray Exterior Stucco Near Room 36 No Asbestos Detected 12 12 HA -3 Gray Exterior Stucco Near Room 50 No Asbestos Detected 13 13 HA -4 White Interior Plaster Room 8 No Asbestos Detected 14 14 HA -4 White Interior Plaster Room 15 No Asbestos Detected 15 15 HA -4 White Interior Plaster Laundry No Asbestos Detected 16 16 HA -4 White Interior Plaster Room 28 No Asbestos Detected 17 17 HA -4 White Interior Plaster Room 35 No Asbestos Detected 18 18 HA -4 White Interior Plaster Room 42 No Asbestos Detected 19" "::: 26 • 19.:. HA -5 HA -6 Black Roof Membrane Black Roof Mastic Near Room 29 Near Room 29 No Asbestos Detected No Asbestos Detected 21• "' 20 HA -5 Black Roof Membrane Near Room 40 No Asbestos Detected 22 20 HA -6 Black Roof Mastic Near Room 40 No Asbestos Detected 23 4 • 22 2 VA -5 t ]A-6 Black Roof Membrane Black Roof Mastic Near Room 60 Near Room 60 No Asbestos Detected No Asbestos Detected 25 22 HA -7 White Ceiling Plaster Room 7 No Asbestos Detected EBS Engineering PCojVct /W- 00821-1 EV 10¢,t7. 01 Page 3 Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida April 2, 2018 EB S ENGINEERING, INC. EBS Engineering P4)1ecCAr. $2Q 18p1647.01 Page 4 TABLE 1 - SUMMARY OF ANALYTICAL RESULTS Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida 33138 SEQUENTIAL NUMBER SAMPLE NUMBER HOMOGENOUS AREA SAMPLE DESCRIPTION SAMPLE LOCATION RESULTS OF PLM ANALYSIS 2622 HA -8 Gray Ceiling Concrete Room 7 No Asbestos Detected 27 23 HA -7 White Ceiling Plaster Room 12 No Asbestos Detected 2823 HA -8 Gray Ceiling Concrete Room 12 No Asbestos Detected 29 24 HA -7 White Ceiling Plaster Room 33 No Asbestos Detected 30 24 HA -8 Gray Ceiling Concrete Room 33 No Asbestos Detected 3125 HA -7 White Ceiling Plaster Room 40 No Asbestos Detected 32 25 HA -8 Gray Ceiling Concrete Room 40 No Asbestos Detected 33 26 HA -7 White Ceiling Plaster Room 42 No Asbestos Detected 3426 HA -8 Gray Ceiling Concrete Room 42 No Asbestos Detected 35 27 HA -7 White Ceiling Plaster Room 56 No Asbestos Detected 36 27 HA -8 Gray Ceiling Concrete Room 56 No Asbestos Detected EBS Engineering P4)1ecCAr. $2Q 18p1647.01 Page 4 Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida E B S ENGINEERING, INC. April 2, 2018 V. FINDINGS AND RECOMMENDATIONS 9 Laboratory results of the invasive sampling revealed that no asbestos was detected in the 36 materials samples obtained from the motel buildings during our survey. The PLM results of each sample obtained during the survey is included in Appendix A. 3 VI. QUALIFICATIONS EBS observed the existing conditions in the motel buildings located at 10500 Biscayne Boulevard in Miami Shores, Florida using generally accepted procedures. However, there is always the possibility that some areas containing asbestos were not observed, inaccessible, or different from those at specific sample locations. Therefore, conditions at every location may not be as anticipated and as summarized in this report. In addition, renovation or demolition may uncover altered or differing conditions. We recommend that you notify EBS if any changed conditions are encountered so that we can assess the situation and its impact on this report. JEBS Engineering Project No. 820-1801647.01 Page 5 I 00.00. 00.•. 00•• 0000• 0 0 00.0• 3 a JEBS Engineering Project No. 820-1801647.01 Page 5 Motel Buildings 10500 Biscayne Boulevard, Miami Shores, Florida April 2, 2018 EBS ENGINEERING, INC. APPENDIX A LABORATORY ANALYTICAL RESULTS EBS Engineering Project No. 820-1801647.01 J EMSL Analytical, Inc. 19501 NE 10th Ave. Bay A N. Miami Beach, FL 33179 Tel/Fax: (305) 650-0577 / (305) 650-0578 http:/&vww.EMSL.com / miamilab@emsl.com Attention: Francisco Gomez EBS Engineering, Inc. 4715 NW 157th St. Ste 202 Miami, FL 33014 Project: Miami Shores Motel - 820-1801647.01 EMSL Order: 171801794 Customer ID: EBSE50 Customer PO: Project ID: Phone: (305) 625-5252 Fax: (305) 625-7110 Received Date: 03/29/2018 12:09 PM Analysis Date: 03/29/2018 Collected Date: 03/29/2018 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos AsbestosSampleDescriptionAppearanceFibrousNon -Fibrous Type 01 Roof Membrane & Black/Blue 10% Cellulose 80% Non-fibrous (Other) None DetectedMasticFibrous10% Synthetic 171801794 -Mi Heterogeneous 02 Roof Membrane & White/Black 10% Cellulose 80% Non-fibrous (Other) None DetectedMasticFibrous10% Synthetic 171801794.0002 Heterogeneous x 03 Roof Membrane & White/Black 10% Cellulose 80% Non-fibrous (Other) None DetectedMasticFibrous10% Glass 171801794-000 Heterogeneous 04 Pitch Pan Mastic Black 20% Cellulose 80% Non-fibrous (Other) None Detected Non -Fibrous 171801794-0004 Homogeneous 05 Pitch Pan Mastic White/Black 20% Cellulose 80% Non-fibrous (Other) None Detected Non -Fibrous 1718017940005 Heterogeneous 06 Pitch Pan Mastic White/Black 10% Cellulose 90% Non-fibrous (Other) None Detected Non -Fibrous 1718017940008 Heterogeneous 07 Exterior Stucco Gray 100% Non-fibrous (Other) None Detected Non -Fibrous p 171801794-0007 7 Homogeneous 08 Exterior Stucco Gray 100% Non-fibrous (Other) None Detected Non -Fibrous 1718017940008 Homogeneous 09 Exterior Stucco Gray 100% Non-fibrous (Other) None Detected Non -Fibrous 1718017940008 Homogeneous 10 Exterior Stucco Gray 100% Non-fibrous (Other) None Detected Non -Fibrous 171801784.0010 Homogeneous 11 Exterior Stucco Gray 100% Non-fibrous (Other) done Detected Non -Fibrous 0000 e • • • • • n7 n94 oon Homogeneous i 12 Exterior Stucco Gray 100% Non-fibrous (Oth%M • • •' Detected Non -Fibrous 171801794-0012 Homogeneous 13 PltInteriorWallaser White 100% Non-fibrous (Other • • • yJone Detected • • • • • Non -Fibrous 1718017940013 OsseoHomogeneous iso 14 Interior Wall Plaster White 100% Non-fibrous (Othsr# w • • • None#Detected • • Non -Fibrous r` 1718017940014 Homogeneous 040000 15 Interior Wall Plaster White 100% Non-fibrous (Oth1er, •' ; N•pae Qetected • • • • • 1718017915400 Non-Fibrous Homogeneous O • s 16 Interior Wall Plaster White 100% Non-fibrous (Other) None Detected Non -Fibrous 1 7180 7 794 0018 Homogeneous k Initial report from: 04/02/2018 11:42:40 ASB_PLM 0008_0001 - 1.78 Printed: 4/2/2018 11:42 AM Page 1 of 3 EMSL Analytical, Inc. EhnSL Order: 171801794 19601 NE 10th Ave. Bay A N. Miami Beach, FL 33179 Customer ID: EBSE50 Tel/Fax: (305) 650-0577 / (305) 650-0576 Customer PO: hftp://www.EMSL.com / miamilab(8emsi.00m Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy 25 -Concrete Ceiling Plaster Gray...100% Non-fibrous (Othe Non -Asbestos Asbestos Non -Fibrous j Sample Description Appearance Fibrous Non -Fibrous Type 60000* fj 17 Interior Wall Plaster Gray/White 100% Non-fibrous (Ot4ri 0 • • • 100% Non-fibrous (Other) None Detected Non -Fibrous 0 • 0 Non -Fibrous 171801794-0028 Homogeneous 171801794-0017 Heterogeneous Gray Non -Fibrous 100% Non-fibrous (Ot4M • • Nbflg DQtected • • j 18 Interior Wall Plaster Gray/White 100% Non-fibrous (Other) None Detected White JJ None Detected Non -Fibrous Non -Fibrous 171801794-0018 1 71801 794-002 7 Heterogeneous 19 -Roof Membrane Roof Membrane & White/Black 20% Synthetic 75% Non-fibrous (Other) None Detected Mastic Non -Fibrous 5% Glass J 171801794-0019 Heterogeneous Page 2 of 3 19 -Mastic Roof Membrane & Black 100% Non-fibrous (Other) None Detected Mastic Non -Fibrous 171801794-0019A Homogeneous 20 -Roof Membrane Roof Membrane & White/Black 20% Synthetic 75% Non-fibrous (Other) None Detected Mastic Non -Fibrous 5% Glass 171801784-0020 Heterogeneous 20 -Mastic Roof Membrane & Black 100% Non-fibrous (Other) None Detected Mastic Non -Fibrous 171801794-0020A Homogeneous 21 -Roof Membrane Roof Membrane & White/Black 20% Synthetic 75% Non-fibrous (Other) None Detected Mastic Non -Fibrous 5% Glass 1718017940021 Homogeneous 21 -Mastic Roof Membrane & Black 100% Non-fibrous (Other) None Detected Mastic Non -Fibrous 171801794-0021A Homogeneous 22 -Plaster Ceiling Plaster White 100% Non-fibrous (Other) None Detected Non -Fibrous 171801794-0022 Homogeneous 22 -Concrete Ceiling Plaster Gray 100% Non-fibrous (Other) None Detected Non -Fibrous 171801794-0022A Homogeneous 23 -Plaster Ceiling Plaster White 100% Non-fibrous (Other) None Detected Non -Fibrous 171801794-0°29 Homogeneous Jt 23 -Concrete Ceiling Plaster Gray 100% Non-fibrous (Other) None Detected Non -Fibrous 171801794-0023A Homogeneous 24 -Plaster Ceiling Plaster White 100% Non-fibrous (Other) None Detected Non -Fibrous 171801794-0024 Homogeneous 24 -Concrete Ceiling Plaster Gray 100% Non-fibrousOt rhtz) • NpBib Detected tlp Non -Fibrous e-- J 171801794-0024A Homogeneous 25 -Plaster Ceiling Plaster White 100% Non-fibrous (Otte • Non%Detected Non -Fibrous 171801794-0025 Homogeneous fee: 25 -Concrete Ceiling Plaster Gray...100% Non-fibrous (Othe None Detected • • Non -Fibrous 00000 a 171 so17940025A Homogeneous 60000* 26 -Plaster Ceiling Plaster White 100% Non-fibrous (Ot4ri 0 • • • 0 one Non -Fibrous 0 • 0 elected 0 0 0000 171801794-0028 Homogeneous is 26-Concrete Ceiling Plaster Gray Non -Fibrous 100% Non-fibrous (Ot4M • • Nbflg DQtected • • 171801794-00264 Homogeneous 27 -Plaster Ceiling Plaster White 100% Non-fibrous (Other) None Detected Non -Fibrous 1 71801 794-002 7 Homogeneous Initial report from: 04/02/2018 11:42:40 g ASB_PLM 0008_0001 - 1.78 Printed: 4/2/2018 11:42 AM J Page 2 of 3 r EInSL Order: 171801794EMSLAnalytical, Inc. 19601 NE 10th Ave. Bay A N. Miami Beach, FL 33179 Customer ID: EBSE50 Tel/Fax: (305) 650-0577 / (305) 650-0578 Customer PO: http://www.EMSL.com / miamilab@emsi.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % 7ype 27 -Concrete Ceiling Plaster Gray 100% Non-fibrous (Other) None Detected Non -Fibrous 171901794-0027A Homogeneous f a 1• 0000 0000 0000•• •••• 0000•• • w•• t 3[ e_ 0000 • • 00000 w••• • 0000•• w 0000•• 0000• 0000• 0000•• • 0000•• 0000•• m..) 0000•• a_ 0000•• Analyst(s) Kim Wallace (9) Ronald Alvarez (27) 6) a %uak Kimberly Wallace, Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis . This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. N. Miami Beach, FL NVLAP Lab Code 200204-0 Initial report from: 04/02/2018 11:42:40 ASB—PLM-0008-0001 - 1.78 Printed: 4/2/2018 11:42 AM Page 3 of 3 March 19, 2018 Gabriela Bussola 7373 NE 3RD CT. MIAMI, FL 33138 Telephone: 305-757-9444 Re: 10500 BISCAYNE BLVD Effective 03/19/2018, FPL has removed the meter and disconnected the FPL service wire to the above referenced address. However, before demolishing the structure, you should have the premises checked by a qualified individual to assure that electricity is not being supplied to the structure from any possible source. If there are any questions, or if I may be of further assistance in this matter, please contact me at the telephone number below. Sincerely, Fernando Sarria Associate Technical Specialist 305-770-7909 An FPL Group Company 6666 6666 6666.. 6666 6666.. 6666 6666.. 6666.. 006669 6666 6 6609. 6666 6666. 0*: 6 6• 6 6666 . 96 6666.. 6666.. 9 666.9 66 . 99 . 9 9 00 0410412018 15:30 'FAX) Adftk TECQf PE©PLES GAS AN EMERA COMPANY Thunder Demolition, Inc. Attn: Gabriela Bussola April 4, 2018 7373 NE 3`d Ct. Miami, Fl. 33138 Proposed Demo: 10500 Biscayne Blvd, Miami, FI. P.0011001 After a review of our facilities within the above referenced area, we would like to inform you that TECO Peoples Gas does not have a present, natural gas service line at said property. Cut & cap 65' west off the main and 13' east of the sidewalk 0000 However, you must contact the Sunshine State One Call of Florida of t-,00-43£4*0 or 811 at least 48 hours in advance, as there might be other undergfdunti utilitid§08y contacting SSOCOF, the risk of personal injury and property dame. : 000 W9.on be recryced. You can get the latest information on SSOCOF by visiting their. web .site. at www.calisunshine.com ****0* : 00000 Should you have any additional questions concerning the above, 1 -877 -TECO PGS, extension 77238. Sincerely, Gloria Garard done for Mr. Jesus Vega Local Dade & Broward Division Manager N Miami Division JV/grg 00:00: 000 ple kontact roe at 0 • repared by: Gloria Garard 0000.. PEOPLES GAS 305.957-3857 15779 W DWe Hwy. FAX 305-957-3804 NORTH MIAMI BEACH, FL 33182 HTTP:/MNYW.TECOENERrZY.QOM AN EQUAL OPPORTUNITY COMPANY 0000.. 0000.. 0000.. 0000 0000. 0000.. 0000.. 0000.. April 16, 2018 THUNDER DEMOLITION, INC. Miami Shores Village Building Department - 10050 NE 2nd AVE. Miami Shores, Florida 33138 7373 N.E 3rd COURT MIAMI FL 33138 TEL: 305.757.9444 FAX: 305.757.9441 www.thunderdemolition.com Re: 10500 Biscayne Blvd. Demolition - Mechanical This letter is to inform you that the above -reference property does not have central air conditioning, it only has wall units. Therefore, there is no Freon to be removed0gp0this job 006600site 0000:0 0609 Should need any information 0000 :. you additional please contact me at 305-7At.;5444..:. 0000. 0000 0 0 009090 0000 0000. 0000.. 669 . 69069 69 66 Sincerely, 66 6009:0 000.00 0• 696969 I. . 696966 00 Ronny Herrera, President Thunder Demolition Inc. T. a 0 690 s ee 0 0 0 z 4^ P 1. {• , ?. a *s.. Gi .'M It. ,}.'a" . ,,,; r ••`" c :.},` s4 t +{V} fit" •:.: '. } , 1 L_ - ' c» ^ e! a 'Ml`i w ;:"* `*'+'+:: - f i MIP y ',,}, • - t .y .kr^ ,y X"- `"%, ' i,y r ' > r ?"!p. Y"fyw .!s v r.,,,i4 ,+ .. +G. _ ?' 1f' f'a1'" y1 +' , •. ' ^, - r .„ , ` 1 A.+ T!` `, ." -,, ••' -`, r - r r '"' r a.^ }"moi. }Lr ,,,, `r.,t` ' r.` • - ,+ ; urs ` WIMP A PU Miami Shores Village 10050 NE 2 AVE Miami Shores, FL 33138 DEMO -4-18-1014 ICUC HOLDINGS INC ti US POSTAGE 00.504 First -Class Mailed From 33138 03/06/2019 032A 0061803107 00i43t1 l19 atter ^.cf skycrnc c ` soca w.c+tececcr` 3I Dear Sir or Madam, Our records indicate that the permit referenced on the reversed side will expire soon. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed..." Please be advised that open permits will hinder your ability to refinance or sell this property. Please contact the Building Department to schedule an inspection, call 305-762-4949. April 17, 2018 Onpoint termite & pest control performed an inspection on April 16, at property address 10500 BISCAYNE BLVD, MIAMI, FI 33138 .This property is clear of all rodents. Office: (786)975-6461 Onpointexterminator@gmail.com so 000 April 16, 2018 THUNDER DEMOLITION, INC. Miami Shores Village Building Department - 10050 NE 2nd AVE. Miami Shores, Florida 33138 7373 ME 3rd COURT MIAMI FL 33138 TEL: 305.757.9444 FAX: 305.757.9441 www.thunderdemolition.com Re: 10500 Biscayne Blvd. Demolition This letter is to inform you that the above -reference property is scheduled to be demolished during the month of May 2018. Should information 4'• you need any additional please contact me at 305-757-9444 Sincerely, Ronny Herrera, President 4,• • 0• Thunder Demolition Inc. STATE OF FL RIDA, COUNTY OF This foregoing statement was sworn to and subscribed before me this _jlo day of , 2018 by Ronny Herrera who is personally known to me or has produced his/her Driver's License as i entification and who did/did not take an oath. w 4rk Notary rubllb, State of Florida My commission expires h CFN: 20180186963 BOOK 30917 PAGE 1772 PATE:03/29/2018 03:53:07 PM , NOTICE OF COMMENCEMENT ARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11-2230-001-0500 STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following Information is provided In this Notice of Commencement. Space above reserved for use of recording office 1. Legal description of property and street/address: ,LUip,UJUTTLEpgB-4 N3MEL[)F G OE-%E1ra QF SM 4.LYG W nF FernktYY_t_ES5.. SI_3PT.F.9S.OANA.L RMA -LESS -NE -105 -STS_NE-105.ST LCISI2E tRREGULARJDg00 BISCAYNE-2LV.D..MIAMt. SHORES.. F2. Descrlptlon Of Improvement: _- --. - TOTAL DEMOLITION L 33138 3. Owners) name and address: ICUs HOLDINGS INC. 1050o BISCAYNE BLVD. MIAMI, FL 3313e Interest in property: -- Name and address of fee simple titleholder- 4. Contractor's name, address and phone number: _THUNDER DEMOLITION INC 7373 NE 3RD CT, MIAMI, FL 33138 305-757-9444 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $_ T --- — --"" 6. Lender's name and address: by _ __ Owner upon whom notices or other documents may be served as provided by7. Persons within the State of Florida designated Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following _ - "--_— 9 g persons) to receive a copy of the Llenor's Notice as provided in Section713.13(1)(b), Florida Statutes. 4000 w • Name, address and phone number: _• . 0000 0000 B. Expiration date of this Notice of Commencement: 0000•• 0000 " the expiration date Is 1 year from the date of reoording unless a dINePsl mme Is specinad) • WARNING NER: ANY PA ENTS MADE Y TH OWNER AFTR THE EXPIRATONMPROPERTPA OW UNDER CHAP ER 7113, 8 ARTS SECTION 7113.13. FLORIDA ISTATOUTES. ANDI ICAN RESULIT IN YQtA%Q1 NG 12, @ RIMPROVEMENTSTOYOUR' PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOR THFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFCF1•:11ENClORI, OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatures) of Owners) or Owner(s)' Authorized Officer/Director/Partner/Manager •' • • • • • Prepared By • • • Prepared By .--- Print Name - . _---_.._ _...•.••••.. Tltle/Oftice "- Print Name • Title/Office _,--, - . • s . . • STATE OF FLORIDA -- ._ _. __ _ -_._ _T_ • e • COUNTY OF MIAMI-DADE The Foregoing strurnent"_ackno%led fore me this iia( s ! day of-M/Iti2- (rf - ti— v ayndlvfdually, or for L- T tf ; LA i /G, S 1-v . a Personally known, or © produced the following type of Identificatforiv: Signature of Notary Public: Print Name: SEAL) YRRWarren Elbridge Boston Underen lQepURSUAMuQ Se that I [, 1z• Z FLORIDA TATV.T Notary PublicUnderpenaltiesofporJuty, I declare that I have read the foregoing and that the facts stated In It are true, to the best of my knowledge and belief. Queensland, Australia Signature(s) of 0 er(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above. iz_oist __ 0000___ By ----- - 0000•• 0000.. 0000•• 0000• 0000•. 0000••