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Home My WebLink AboutSUBMITTED PAPERSe, IN Date: al %al 1-4 1 Fee Permit # 110-Q .,10 Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 sC NNC�, SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed VDemolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: �j� oC tp 7�p S �� 006 " Township Range Map Page Zoning Land Use Initials Office Use Section . Only 3. 4. Owners Information (- (� p 5. Contractors Information ,p Name: �J 1 `L AM/1 �r7 p �A�� T i r � 4 S lu4 UX-FL Reg/Cert Address: 5 11 U S 411t, ; �l County -Cerro 9 City: -P S L State: . 1' Business Name: G(zpZ [J 994 TAX-t, G �^ 1 Zip: 3 l 5 p. Phone: 31p -&331 Phone: Fax: 6. Value of Construction: $ OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construction and Zoning. 40 4k �L_ _ PRINT OWNER OR CONTRACTOR NAME SIG E OF OWN CONTRACTOR STATE OF FLORIDA, COUNTY OF 4.4.y �+ ACKNOWLEDGED BEFORE ME THIS DAY OF �A.N 120 ) 4 . BY 31 f'w A &'?—C2/} WHO IS PERSONALLY KNOWN TO ME —J'/—OR WHO HAS PRODUCED AS IDENTI✓FIICATION. 1 I 1 1 _ R AFL 1-� 0 HJ BAN L LONG Y (3dIW;OMMISSION # EE 125544 SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY, EXPIRES: August 25, 2015 Bonded Thru Notary Public Underxriters COMMISSION NUMBER �� q A NOTICE TO OWNER: 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. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 ASBESTOS NOTICE Asbestos Notice to Contractor February 10, 2014 GROZA BUILDERS INC GROZA JOHN A 511 SW PORT ST,LUCIE BLVD PORT ST LUCIE, FL 34953 RE: Building Permit Number 1402-0105 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal law. Date 2/10/2014 12:56:29 PM r.lrt�;► n-a=� A,t Asa%�%n , , „-,.., �eAo ces...... . rrlronmentaf Corrsufi�ng AS(feStoS �01rSR1Cln • !C[Ia0/T MeaSNPG17lG�lls LGaN nSSGSSmGflW U/clvvr On .vgm I ...,,� Y ,� a r a t, 1 y' a « F 4l M Yvi Y X` h . T6day's,nat..1/3r/2IF14t.xr�„ Pra3ectNumh�r �2040159 _ �. . Prepared For: Job Site: Groza Builders Commercial Space 511 Port Saint Lucie Boulevard 8517 South U S Highway 1 Port Saint Lucie, Fl 34953 Port Saint Lucie, Fl Asbestos Survey — Project Summary Pursuant to your request; ARS Environmental. Inc., has performed an Asbestos Building Survey on 1/30/201.4 and limited to the above referenced location. The Interior of the above referenced location was visually inspected to identify building materials that may contain asbestos. Suspect materials were collected and samples sent to laboratory for analysis. The Exterior/Roof was not sampled. If the Exterior/Roof system will be disturbed by renovation or demolition samples of the materials that will be affected should be obtained and analyzed to determine asbestos content prior to any disturbance. Laboratory Results Based On The Laboratory Analysis, No Asbestos Was Detected In Amounts Greater Than I % In The Secured Bulk Samples. It has been a pleasure working with you. Please call on us again. Regards, Environmental. Inc. 10097 Cleary Boufeoard • #305 * Plantation, A 33324 • Phone: 954-227-2402 • Fax. 966-916-5110 www.arsenclironmental.com 9 sates @arsen0ironmental.cam Environmental Consulting Services ARS ENVIRONMENTAL, 1NC. Asbestos Business License #ZA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Oualitg Testing • Mold Investigations Today's Date: 1/31/2014 Project Number: 20140159 Page 2 of 11 Prepared For: Groza Builders 511 Port Saint Lucie Boulevard Port Saint Lucie, Fl 34953 Job Site: Commercial Space 8517 South U S Highway 1 Port Saint Lucie, FI ' Asbestos Survey — Certification I, Timothy F. Caughey, hereby certify that this asbestos survey was conducted at the above referenced Job Site on 1/30/20.14, and performed by Jeffrey Montalvan, accredited by the EPA as AHERA Inspector(s), utilizing the code of the Federal Regulation Standards, 40 C.FR, Part 763, Subpart E, Section 763.80-763.99 and the State Asbestos Regulations, Florida Statutes 469.003. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT ARS ENVIRONMENTAL INC" TIMOTHY CAUGHEY,. 10097 aLiAl2Y Bi}i , EVARD ' PLAN iATlON" FL �3324 RICK SCOTT ISSUED: 0a°43a013 SE:Q# L13090300OU24 KEN LAINSON GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY 7,,-� (,r, , Timothy F. Caughey, M.P.H. Florida Licensed Consultant 10097 Cleary Boulevard 0 #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fax: 866-816-5110 www.arsenvironmental.cam • sates @arsenvironmental,cam ARSEVOROINMENTAL INC. tnoironmental Consulting Services � Asbestos Business License #ZA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 1/31/2014 Project Number: 20140159 Page 3 of 11 Prepared For: Groza Builders 511 Port Saint Lucie Boulevard Port Saint Lucie, F134953 M Jeffrey Montalvan Certified Asbestos Surveyor ARS Environmental, Inc. Job Site: Commercial Space 8517 South U S Highway 1 Port Saint Lucie, Fl Asbestos Survey — Technician Certification 3be,vitlrow 1!r5&1� ng " yvt^ r= .rtlz;m.s�lcln;r:ulrt rox�uw. srrl.,,<�x.rm;.,�ava.m. r�o: �m ?rw F1(uu+sla �: �� This is to Certify that m rJ�'PT rl vy 11,11. (r11 fed ]',� 111l Nk 9m il; ,111119��1,Elt.��I>��u� �lll�l�lll�! �t r nGn«21 o- r uo xxx— &V✓J nBf�,Jq 3� l'F10 V1, 17:111,5( N1 bult J31G4V. has successfully completed. iin English 19-Lm-14 To 29-hu,-14 urcy U2ar n1'.Gww+x N f�t1844C1:.�i,i : M• •i °9 Nl V! tt:9 M.1 IVi>lAf: Prnvvlur Y�,.•i, 'fi:nn.Kc,. �t.,d. Knna � = r+./ // Iv.i:,;n,?,&J,-=x ANN'S A1.111, 1-1i.W`,;".,.. +)1, ............. C...�.../- �i�t`Ca&st,B gTJI'a'1 C4n,1,ln1�J�!%n!E.vA m++'tiuO ac.IHCrt: At:R9i,A ul Thii Certificate Expires. cerlfilrnl,! Mimi.,i cow." number SEIM*a 10097 Cleary Boulevard • #305 • Plantation, FL 33326 • Phone: 956-227-2402 • Fax. 866-816-5110 cOwwarsenvironmental.com • sales@arsen(lironmentat.com ARS EmomvM- ENTAL mc. ,Environmental Li ease Consulting L. Asbestos Business License #ZA-0000164 Asbestos Consuhing • Radon Measurements • Lead Assessments • Indoor Air Ouafity Testing • Mold Inoestigations Today's Date: 1/31/2014 Project Number: 20140159 Page 4 of 11 Prepared For: Groza Builders 511 Port Saint Lucie Boulevard Port Saint Lucie, Fl 34953 Job Site: Commercial Space 8517 South U S Highway 1 Port Saint Lucie, Fl Asbestos'Survey — Bulk Sample Itemization Sample Sample Physical Water Material Sample Positive Asbestos Nn-her Mnte.rial ('.lace / Camnle Descriotion / Location Condition Damage Damage Contact Friability Approximate Size Stop Detected S"P►: Miscellaneous Good'' None None Low Friable 950 Sq. Ft. Asbestos Not 1l . Detected Layer 2' X 4' Ceiling Tiles; Wormlike Design Throughout Ceilings Simple Miscellaneous Good Naze None" Low Friable Inclt�i3dd Above F` Asbestos Not 2 x KL_� Detected , Layer TX 4' Ceiling Tiles; Wormlike Design Throughout Ceilings Vs Sample; Miscellaneous Good None None Low Friable Asbestos Not Detected '� ar Layer y � � 2 X 4 Ceiling Tiles; Wormlike Design Throughout Ceilings g g o 4' �� 1 ? "r Y 4.'4 .�" •�i 5ampte Surfacing Material Good None None High Friable 3,040 Sq. Ft. Asbestos Not 4 Detected Layer Wallboard / Joint Compound Throughout Walls Samp[e Surfacing Material Good" ..Noise None High Friable �0166luded Above Asbestos Not 4 c w Detected Layer Wallboard / Joint Compound Throughout Walls 5 y SAP►;; Surfacing Material Good N. ori'e None High FriableIricluded Above' :; Asbestos Not 5. Detected Layer Wallboard / Joint Compound Throughout Walls st The following nun -suspect materials were observed during the survey (no samples were takers): Insulation observed behind the walls. A/C duct fiberglass insulation. Ceramic tiles, wood panels. 10097 Cleary Boulevard • #305 • Plantation, R 33324 • Phone: 956-227.2602 • Fax: 866-916-5110 WWW.4rSen(firOnMent0t.COMes4les@arsentfironment4f.com 1 ARS ExoRomm'-ENTAL, INC. £nviusi nss Li Cnse #inq Services Asbestos Business License #LA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Ouality Testing • Mold Investigations Today's Date: 1/31/2014 Project Number: 20140159 Page 5 of 11 Prepared For: Groza Builders 511 Port Saint Lucie Boulevard Port Saint Lucie, F134953 Job Site: Commercial Space 8517 South U S Highway 1 Port Saint Lucie, Fl Asbestos Survey Bulk Sample Itemization Sample Sample Physical Water Material Sample Positive Asbestos Nnmher Material Ma /Rimnle Descrintion/ i ocation Condition Damage Damage Contact Friability Approximate Size Stop Detected ample: +� Miscellaneous Good . Notte. None High Non -friable 950 Sq. Ft. Asbestos Not Detected Layer Concrete Structure Floors The following non -suspect materials were observed during the survey (no samples were taken): Insulation observed behind the walls. A/C duct fiberglass insulation. Ceramic tiles, wood panels. 10097 Cfearq Boulevard • #305 • Plantation, FL 33324 • Phone: 954.227-2402 9 Fax: 866-516.5110 WWW.arsenvironmentaf.com • sates@arsenvirenmentat.com •I ARSEmmOMMENTAL INC. Environmental Consulting Services Asbestos Business License #ZA-0000164 Asbestos Consufting • Radon Measurements • Lead Assessments • Indoor Air Ouality Testing • Mold Investigations Today's Date: 1/31/2014 Project Number: 20140159 Page 6 of 11 Prepared For: Job Site: Groza Builders Commercial Space 511 Port Saint Lucie Boulevard 8517 South U S Highway I Port Saint Lucie, FI 34953 Port Saint Lucie, Fl Friable Asbestos Containing Material Sample Sample Physical Water Material Sample Asbestos Number Description / Material Class Location Approximate Size Condition Damage Damage Contact Friability Detected NONE DETECTED Friable: any material containing more than one percent asbestos which has been applied on ceilings, walls, structural members, piping, duct work, or any other part of a building, which when dry, may be crumbled, pulverized, or reduced to powder by hand pressure. The following work practice should be followed whenever demolition/renovation activities involving RACM occur: Notify EPA of intention to demolish/renovate, remove all RACM from a.facility being demolished or renovated before any disruptive activity begins or before access to the material is precluded, keep RACM adequately wet before, during, and after removal operations, conduct demolition/renovation activities in a manner which produces no visible emissions to the outside air, and handle and dispose of all RACM in an approved manner. The above building material is considered friable and must be removed by a Florida Licensed Asbestos Abatement Contractor, prior to any disturbance caused by renovation or demolition. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting or discouraging removal. In the event that demolition or renovation is deemed necessary, parties shall comply with all applicable laws, ordinances, rules and regulations of Federal, State and Local Governmental Agencies, including any National Emissions Standard Hazardous Air Pollutants (N.E.S.H.A.P.) Notification requirements 10097 Cleary Souleivard • #305 9 Plantation, FL 33324 • Phone: 956-227-2402 • Fax. 866-816-5110 www.arsendironmental.com *sates @arsenvironmentat.com ARS Emomvm''EXTAL,INC. AsbestEndironmenta! Consulting SerOices os Business License #ZA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Indestigations Today's Date: 1/31/2014 Project Number: 20140159 Page 7 of 11 Prepared For: Job Site: Groza Builders Commercial Space 511 Port Saint Lucie Boulevard 8517 South U S Highway 1 Port Saint Lucie, Fl 34953 Port Saint Lucie, Fl Category I - Non -Friable Asbestos Containing Material Sample Sample Physical Water Material Sample Asbestos Number Description / Material Class Location Approximate Size Condition Damage Damage Contact Friability Detected NONE DETECTED Recommenda. ion.:.. The above referenced Asbestos Contained Building Materials may be left in place if deemed to be in good condition and no repairs or renovations are scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodelling activities which could possibly release fibers into the air. 'fo reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. However, at the minimum, a formal Operations and Maintenance (O&M) Program is recommended to minimize potential fiber releases, monitor any future deterioration, and to ensure proper record keeping. Under the FDEP regulations, Category I non -friable asbestos -containing materials may be left in place during demolition under wet conditions. However, OSHA regulations require that disposal of asbestos -containing materials and debris is disposed of in a leak -tight and labeled container. The container may be plastic bags so long as the holding is leak -tight. All materials must be disposed of in a Class I landfill and manifest as Category I Non -Friable Asbestos containing material. To meet the requirements of a wet demolition, it is the responsibility of the demolition contractor to control any visible emissions by adequately applying water on the structure. Furthermore, the work practices for the demolition of a building containing asbestos must be in regulatory compliance with OSHA 1926.11.01. All materials must be kept thoroughly wet or saturated during the demolition to assist in preventing the release of asbestos fibers. A certified asbestos supervisor must perform or supervise the work. if during the demolition process visible emissions are observed, the asbestos -containing materials must then be abated. The regulations of the Occupational Safety and Health Administration (OSHA) applies to any detectable amount of asbestos in building materials or on facility components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a.commercial setting requires training, specific work practices, and disposal methods for the asbestos and asbestos -containing debris. However, if Category I Materials have become friable or are in poor condition, they must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting or discouraging removal. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fax: 866-816-5110 WWW.arsenvironmentat. cam 0 sales@arsenviranmental.com ARSEnvironmentat Consulting Services E)voN0)V`M'ENTAL, INC. Asbestos Business License #LA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Oualitg Testing • Mold Intlestigations Today's Date: 1/31/2014 Project Number: 20140159 Page 8 of 11 Prepared For: Job Site: Groza Builders Commercial Space 511 Port Saint Lucie Boulevard 8517 South U S Highway 1 Port Saint Lucie, F134953 Port Saint Lucie, FI Category II - Non -Friable Asbestos Containing Material Sample Sample Physical Water Material Sample Asbestos Number Description / Material Class Location Approximate Size Condition Damage Damage Contact Friability Detected NONE DETECTED Recommendations. . The above referenced Asbestos Contained Building Materials may be left. in place if deemed to be in good condition & no repairs or renovations are scheduled which would disturb them. Care should be taken to ensure that the materials not be disturbed during repair, renovation or remodelling activities which could possibly release fibers into the air.To o reduce the intrinsic liability to the owners, the ultimate solution may be to have the material removed. The above building materials are considered Category 11 Non -Friable and are likely to become crushed, crumbled, pulverized or reduced to powder during demolition or renovation therefore must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. To meet the requirements of a. wet demolition, it is the responsibility of the demolition contractor to control any visible emissions by adequately applying water on the structure. Furthermore, the work practices for the demolition of a building containing asbestos must be in regulatory compliance with OSHA 1926.1101, All materials must be kept thoroughly wet or saturated during the demolition to assist in preventing the release of asbestos fibers. A certified asbestos supervisor must perform or supervise the work. If during the demolition process visible emissions are observed, the asbestos -containing materials must then be abated. The regulations of the Occupational Safety and Health Administration (OSHA) applies to any detectable amount of asbestos in building materials or on facility components. This requirement covers worker training, work practices, and disposal methods. In summary, removing asbestos in a commercial setting requires training, specific work practices, and disposal methods for the asbestos and asbestos -containing debris. However, if Category Il Materials have become friable or are in poor condition, they must be removed before demolition or renovation begins by a Florida Licensed Asbestos Abatement Contractor. When implementing the response actions, parties responsible for final selection should remember that actions shall be sufficient to protect human health and the environment, but may also be the least burdensome method. Nothing in these recommendations should be construed as prohibiting or discouraging removal. 10097 Cleary Boulevard • #305 • Plantation, FL 33324 e Phone: 954-227-2402 • Fax: 866-816-5110 tvtvtv.arsenviranmental.cam • sales@arseneironmentat com ARS Environmental Consulting Services EwROX'MENTAL, mc. Asbestos Business License #ZA-00001 64 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 1/31/2014 Project Number: 20140159 Page 9 of 11 General Terms .and Conditions Scope of. Work ARS Environmental's inspections are limited and non-destructive in nature. Any conditions or materials which were not able to be visually observed on the surface, or in easily accessible areas, were not inspected and may differ from those observed. It was not within the scope of this investigation to remove surface materials to investigate portions of the structure or materials which lay beneath the surface. Our selection of sample locations and frequency is based upon our observations and the assumption that like materials in the same area are homogeneous. This inspection report is the result of a diligent search of the facility for Asbestos Containing Building Materials (ACBM). The purpose of this inspection was to identify those materials which may pose a health hazard to occupants of a building and impart future liability to the owners and insurers of the property. However, we do not claim to have identified all of the asbestos containing building materials present in the facility. Materials such as underground pipes, any material inside walls, ceilings, floors, or other enclosed and inaccessible areas were not sampled and are not covered in this report. This report is designed to aid the building owner, architect, construction manager, general contractor, and potential asbestos abatement contractor in locating asbestos containing building materials. Under no circumstances is this report to be utilized as a proposal or a project specification document. 'Phis report is based upon conditions and practices observed at the property and information made available to the surveyor. 'Phis report does not intend to identify all hazards or unsafe practices, nor to indicate that other hazards or unsafe practices do not exist at the premises. In the event that demolition or renovation is deemed necessary, parties shall comply with all applicable laws, ordinances, rules, and regulations of federal, state, and local governmental agencies, including any National Emissions Standard Hazardous Air Pollutants (NESHAP) notification requirements. Right of Entry The client will provide for right of entry to ARS Environmental's personnel in order to complete the above referenced work. Invoices ARS Environmental will submit invoices to client upon completion of services. Ownership of Documents All reports, field data, field notes, laboratory tests data, calculations, estimates, and any other documents prepared by ARS Environmental as instruments of service shall remain the property of ARS Environmental. Assumptions and Limitations The results, findings, conclusions, and recommendations expressed in this report are based only on conditions which were observed during inspections by this report. ARS Environmental makes no representation or assumptions as to past conditions or future occurrences. Assigns Neither the client nor ARS Environmental may delegate, assign, sublet or transfer his duties or interest in this agreement without the written consent of the other party. Roof Cuts To obtain accurate information in a roof investigation, roof cuts approximately four inch 4" squares, may be deemed necessary. It is the responsibility of our client to make appropriate repairs to these roof cuts, using materials consistent with the roofing system and in accordance with any existing material manufacturer's warranties. A roofing contractor or maintenance personnel selected by our client should be on the roof to make any necessary repairs at the time the samples are being obtained. Although, every attempt will be made to make these repaired areas water tight, ARS Environmental will in no way be responsible for any water damage to the roofing system, building, or it's contents resulting from ARS Environmental temporary repairs. Disclaimer If in the course of a renovation or demolition activity, suspect materials become exposed, ALL FURTHER ACTIVITY SHOULD IMMF.,DIATF. LY CEASE AND THE STATUS OF THE.. MATERIAL, SHOULD BE DFTF.,RMINED BEFORE.. PR.00F.,F..,DING. 10097 Cleary Boulevard • #305 • Plantation, FL 33326 • Phone: 956-227.2602 • Fax: 866-816.5110 www.arsenvironmental.cam *sates @arseneironmental.com o � ARSEUl1ZUN�l/tE'NlAL INC. tnvironmentat Consulting Services N Asbestos Business License #ZA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Ouatity Testing • Mold Indestigations Today's Date: 1/31/2014 Project Number: 20140159 Page 10 of 11 Prepared For: Groza Builders 511 Port Saint Lucie Boulevard Port Saint Lucie, Fl 34953 Job Site: Commercial Space 8517 South U S Highway 1 Port Saint Lucie, Fl Asbestos Survey — Technician Chain of Custody. Forms :and Field Notes .ARS Mr. Page ._._ of PL AM nalvelr Asbestos Bulk Samples PUNS •tap Requested Turnaround Tlme Requested; Some Day 24 Hoyi - 4e Hour • 79 Hour Polnt Count Requested On Prlabla Maiarlids That Report Lose Than 1% Semplln® Date: 1/3��- .° Project Location; COMMtTU tAi - s`PAUE Sample$ Taken By: 5. l/bYlA AeJ INT 851 S . ✓.S t/a✓y Project Number: 2-0/4- 0/5� HEROOF XT iOizT. 5T 1,cic PiA --- Amp MAIerIA class @Ample cripllon rs ac simple Location ApppPox, , rO tempple oondlllan Phyotoe) Dome a Wetor Damon M811111l Contact simple FIF1111IRY �' u/aTLMI/xE Trzovci{iurlC r7tE cEr�t1 m ZXg 6161UA,& T/C0 trmollf nr.Cr 'ThHs s7kcE. %— h 11f A j ti h h ,L >l S w :D /, 0/.a- e4mAc/� 'i h2eve.No-rl� ; ttC e✓/at�� .3,1E n>'es yRAce , � 30`-l0 �� I� %✓ l� S h , A ILL JJ J 04r 7)nV 'PrIO :S 14 /.lS�'!�'1«i/GIIS�� fJr"kI.-m _ .ti✓cx�c,S A14 1-✓ vE I L T7 tkr &^,D I �UoP P 0,9 rd-W . or aeu116661116 a e eaonr I or Oftionari 11 Non*0419 MalarlalfMall r b a, w h e @ r7 6nh1 1•arum o, pu 1 r, orp u ,uunaompMatodaUr T Thorm iYGer etlonlT9q M■MlaoollencouoMetedab to owdrr handprea-me.)P•tMalertalthatmayteorumb od ed or opowderoynanaprol We erp? roan®for®d Bys Date. Z 3c' / ReD®Iv®d By: Date: 10007 CLLARV 00 LDVAna • #3013 • PLANTATION, L 39 24 • T _ ' PNONe: 064.227�2402 • FAX: 86®-81®•6 10 10097 Cleary Boulevard • #305 • Plantation, FL 33324 • Phone: 954-227-2402 • Fax: 866-816-5110 WWW.arsentfironmentaf.cam -sates @arsenvironmentat.com ARSINC. Environmental Consulting Seroices &OROMMENTALAsbestos Business License #ZA-0000164 Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality Testing • Mold Investigations Today's Date: 1/31/2014 Project Number: 20140159 Page 11 of 11 Prepared For: Groza Builders 511 Port Saint Lucie Boulevard Port Saint Lucie, Fl 34953 Job Site: Commercial Space 8517 South U S Highway 1 Port Saint Lucie, Fl Asbestos Survey — Laboratory Results AI�J EiyoRomm Nm, WC. fn✓usin ssli en Se ZA- 000icn Asbestos Business License IIZA-0000184 Asbesrw Cansalting • Radan,Nearrvenrentr • Lead Aueasmenrr • lnd✓or Air 9uathy t wing • Mold In✓ertigationr '1-n ya Date: 11.1112014 Project Number: 20140159 Page 1 0l 1 Prcpmed Our: Job Site U,'U Builders lAmmercinl Space 511 Pon Stint Lucia Boulevard 8517 Scutt, U S Nigh—y I Pon Saint Lucie, 1134953 Pon Saint Lurie, FI Laboratory Analysis s mM r±xml:r aaaxDrs<drtb�x 1-1i—uAaMxu " rrrr x,•,. S„x.x.nr,lxa r libcn u„�r.lare.,x a nmieri.l, -.1 ttciling Tile No Aslxrinx Decocted a0"v llcllulnaa ;IYrGlass $Yi, "2+"' Ceiling TJlc No Asbestos Detected 30°i�Cellulose 20^e Glass 3. ceeing'I'da NOAaMsmalxnued a(x.'oceumo:c .� Glxis sas .4: Drytvalll lain, C:ompo al No Asbestos lxlctled 2 Glasxlnse 45Pa =npnund No Axbextur lxleeleJ .l0^o (:e1ltAnsc :5'G• C%Ixaa 45°i 6 1 Drywall! Joint C'ompnund ,Ws AxMrlos lxleckJ 31Yi(:cllulosc ]5'.G (ilma ',:.;�;::, Connne No Aabenos Decocted IOOS:, Alex Front, Analyn 70097 Cfearg Boale✓ard • 0305 • Plantation, Ft 33324 • PApne: 954.227-2402 • Fax: 866.516.5170 wwto.arsenoironmental.com • safeAarsen✓ironmentaf.com 10097 Cleary Boulevard • #305 • Plantation, A 33324 • Phone: 954-227-2402 • Fax: 866-916.5110 WWW. arsenvironmenta 1. cam • sates@arsenvirenmental.com