HomeMy WebLinkAbout22-4191MTMNRIM#�
Name: SIXTH AVENUE LLC
Address: 917 W Washington Ms 316
CHICAGO, IL 60607
Phone:
Permit Type: Building General (Residential)
Class of Work: Demolition
Building Valuation: $5,490.00
Electrical Valuation: $1.00
Mechanical Valuation: $1.00
Plumbing Valuation: $1.00
Total Valuation: $5,493.00
Total Fees: $100.00
Amount Paid: $100.00
Date Paid: 5/31/2022 12:09:15PM
BGR-004191-2022
Issue Date: 05/31/2022
Contractor: JOHNSON'S EXCAVATION I!
SERVICES INC
!I IIIIIIN! KI I I'MICIPAIN I !III I
TT-T-IRM"Mr-MN-TITM-M
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PEfIT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
0
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting ( )
3L3
Owner's Name Sixth Avenue LLC C/o Duff & Phelps, A OIIQ6W4M.%e Number
Owners Address 1917 W Washington MS 316 Chicago IL 6 607OwnerPhone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address I I
JOB ADDRESS 39427 Tabetha Drive Unit 93 LOT#
SUBDIVISION PARCEL ID# 12-26-21-0028-00500-0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM L.� OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK demo and legal disposal of SF mobile home
BUILDING SIZE �T� SQ FOOTAGE HEIGHT
=BUILDING $ 5490.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
=PLUMBING
= MECHANICAL
$ AMP SERVICE PROGRESS ENERGY
$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEYATIOIS I FLOOD ZONE AREA DYES NO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
I I I I I I I
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
® ,r6" ✓"� ,«�� REGISTERED
1706 E. Trash(ell R&OrPlant City, FL 33566
COMPANY
REGISTERED
COMPANY
REGISTERED
s�COMPANY
REGISTERED
COMPANY
REGISTERED
IIIIIII1111111111111111111111
W.R.E.C.
Johnson's Excavation & Services, Inc.
Y / N FEE CURREN Y / N
License # CBC059540 ��
Y / N FEE CURREN Y / N
License #
Y / N J FEE CURREN YIN �I
License #
FEE CURREN I Y / N
License #
Y / N FEE CURREN
License #
IIIIIIIIIIIIIIIIII/11/III/1/
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
,."""PROPERTY SURVEY required for all NEW construction.
................ ................. .. .....
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
— Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowners
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone'V' unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
personally known to me oKhas/hailla, produced Who is/are personally
as identification.
Public
Commission No
MAY RESULT IN YOUR
FINANCING, CONSULT
to me or haWave produced
as identification.
ntedMM1M*"dJ8nUary 10, 2026 Name of Notary ty
Sondod Thru Notwy Public if L:==:====
INSTR#2022118019OR BK10621 PG1 958 Page 1 of 1
05/26/2022 09:27 AM Ropt: 2460871 Rec: 10.00 IDS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Return to,,
-R--d
d7w-t—eg—5—s-6— i. W6i#5fonnAoFA or Lssoo wformaon-66io0nR �Afr
Interest III
Name am
Addross
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Narne.�Ohncoif Ys ExcLantictn ix SeCvj� 813-752-7097
*a. Inc. .__Telephone Number_.2__
15. Surety
Name -
6, Lender
_J010plione Number-- I
7. Persons within tho State of Floirlds deOgnated by Owner upon Whom notfoos or otharfloculnents
be sowed as provided by Florida WaWtos
91
unless a difterent date 1s'vporA'flad)
ojowrw of L-o*6-,Vr-0wner`s or Lmsseeb Authorizod 0ff1Wr/Dlre*dP9rM0r1M4n0005
The foregoing In I It
r m
ant was acknowledged before irethis & tryes �O� for
ire fact rx of
at aturo o No4w flumlo - State
arsonally Known X--;R Produced 10
Type of ID Producej_—�—
OUBM"
M,
by
N
SUSATft. KOWAL
MYCOMMI$SJON#0G9J1l739
EXPIRES; October 12, 2023
Banded Thru Notify Public Underwriters
T
Florida Department of 57.900(1)
Effective .12-08
f
Environmental Protection 2
FLO Division of Air Resource Management
NOTICE OF DEMOLITION OR ASBESTOS RENOVATION
TYPE OF NOTICE (CHECK ONE ONLY): R ORIGINAL [I REVISED ❑ CANCELLATION Mx COURTESY
TYPE OF PROJECT (CHECK ONE ONLY): FxF1 DEMOLITION El RENOVATION
IF DEMOLITION, IS IT AN ORDERED DEMOLITION? MYES [I NO
IF RENOVATION:
IS IT AN EMERGENCY RENOVATION OPERATION? E]YES F71 NO
IS IT A PLANNED RENOVATION OPERATION? []YES EINO
1. Facility Name Sixth Avenue LLC
Address 39427 Tabetha Dr
City Zephyrhills State FL
Site Unit 93
2�=
—Zip 33542 — County Pasco
Consultant Inspecting Site Greenfield Environmental
1 Building Age in Years 50
Prior Use: El School/College/University 71 Residence El Small Business E] Other
Present Use: El School/College/University E] Residence E] Small Business E] Other
IL Facility Owner Sixth Avenue LLC Phone ((q13)J52-7097
Address 917 W. Wasington MS 316 C/o Duff & Phelps, A Kroll Business
City Chicago State IL Zip 60607
Ill. Contractor's Name JOHNSON'S EXCAVATION & SERVICES, INC. - DONATHAN A JOHNSON Phone ((813) 52-7097
Address 1706 E Trapnell Rd
City Plant City —State FL Zip 335 6
Is the contractor exempt from licensure under section 469.002(4), F.S.? M YES El NO
IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date)
Asbestos Removal (mm/dd/yy) Start: Finish: - . Demo/Renovation (mm/dd/yy) Start: 06/13/2022 Finish: 06/30/2022
V. Description of planned demolition or renovation work to be performed and methods to be employed, including demolition or renovation techniques
to be used and description of affected facility components, demo done by excavator and legal disposal of removed product by roll off
Procedures to be Used (Check All That Apply):
(Square Feet) # of Floor
VI. Procedures for Unexpected RACM: Stop, Contain area, call environmental compliance services
VII. Asbestos Waste Transporter: Name JOHNSON'S EXCAVATION & SERVICES, INC. - DONATHAN A JOHNSON Phone ((813) 52-7097
Address 1706 E Trapnell Rd
City Plant City state FL Zip 33566 4936
Vill. Waste Disposal Site: Name ENTERPRISE LF & RECYC (FKA SID LARKIN & SON, INC.) Class
Address 41111 Enterprise Rd
City Dade City State FL Zip 33525 1589
IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and 11 nonfriable ACM.
physical assessment, sampling and analysis for suspect material
Amount of RACM or ACM* X. Fee Invoice Will Be Sent to Address in Block Below: (Print or Type)
0 square feet surfacing material
0 linear feet pipe
0 cubic feet of RACM off facility components
0 square feet cementitious material
0 square feet resilient flooring
0 square feet asphalt roofing
*Identify and describe surfacing material and other materials as applicable:
0
Other materials or facility components description:. (R)ACM to remain in place during demolition:
I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on -site
during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during
normal business hours.
Donathan Johnson 05/23/2022
(Print Name of Owner/Operator) (Date)
05/23/2022
of
I DIE P,U$E ONLY Postmark/Date Received ID#1 16311
1 1 2 z, /53
| . Green'F'i--ld
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nu
393466 TH AVENUE
UNIT #93
ZEPHYRHILLS, FLORIDA
January 25, 2018
ffl2t¥:*
Equity Lifestyle Properties
Mr. Nicholas Eilerman
Environmental Compliance Manag
5100 West Lemon Street
Tampa, Florida 33609 1
12 =--13%
Greenfield Environmental, Inc.
4323 Id Street North
St. Petersburg, Florida 33701
432 3111 Street North, St. Petersburg, FL 33701 * Phone: 727.896. 1266 - Fax: 727.896.1566
GE Project No. 2821-0129
The survey and laboratory analysis conducted at the mobile home at Unit #93 at the Sixth
the materials sampled were found to contain asbestos in amounts greater than one (1)
percent. These materials are two (2) types of Category I non -friable materials in the form
of roof caulking and flange mastic.
The asbestos containing materials present must be properly removed by a Florida
Licensed Asbestos Abatement Contractor prior to demolition activities that will impact the
materials. Proper notification must be provided to the local regulatory agency prior to
asbestos removal and demolition activities.
MT=
1.0 INTRODUCTION ..... ....... ................. ......... - ... ....... --.- --.1
t'.0 FACILITY DESCRIPTION ............. ........ ..........................................................
5.0 DESCRIPTION OF MATERIALS ......................... ................. ............................ r,
6.0 CONCLUSIONS.................................................................. ............ ............. 7
APPENDIX A- LABORATORY ANALYTICAL RESULT
APPENDIX B- PHOTO LOG
APPENDIX C- SITE MAP
APPENDIX D- CERTIFICATIONS
GE Project No. 2821-0129
ii�i 1, lftionb 91401901
A survey for asbestos -containing materials (AGMs) was conducted by Greenfield
Environmental, Inc. (GE) at the mobile home Unit #93 at the Sixth Avenue MHP located
at 39345 6th Avenue in Zephyrhills, Florida. The survey was performed on January 18,
2018 by Bill Titcomb, an Accredited EPA Inspector for GE. GE is a Florida Licensed
Asbestos Consulting Firm with a corresponding license number of ZA-0000268.
The survey was conducted in order to identify any asbestos -containing materials which
may exist prior to demolition activities in accordance with the National Emissions Standard
for Hazardous Air Pollutants (NESHAP) Regulation.
More specifically, our scope of services for this project consisted of the five following steps:
- Site Walk -Through and Observations,
- Bulk Sampling of Suspect ACMs,
- Polarized Light Microscopy (PLM) Analysis of Bulk Samples,
- Hazard Assessment and Evaluation, and
Final Report Development.
The findings of this report represent Greenfield Environmental, Inc.'s (GE) best
professional judgement and no other warranty is expressed or implied. This report is
intended only for the use of EQUITY LIFESTYLE PROPERTIES and its agents. The
contents should not be relied upon by any other parties without the expressed written
consent of GE.
E
GE Project No. 2821-0129
OFF Flill;
concrete pier foundation. The interior finishes wood paneling, fiberboard ceiling panels,
laminate paneling and vinyl floor sheeting. The doors were observed to be hollow wood or
metal with cardboard insulation, The HVAC system was observed to be a split system with
fiberglass duct -board and flexduct. The exterior consists of aluminum siding, stucco and
textured concrete block. The roof area consists of metal roofing with a coating system and
caulking.
K
GE Project No, 2821-0129
3.0 SURVEY METHODS AND LABORATORY ANALYSIS
The sampling conducted in this asbestos survey was performed in accordance with Title
40, Code of Federal Regulations (CFR), Part 763 for suspect ACMs. The EPA regulations
require that sample locations be randomly selected. All suspect asbestos -containing
materials and PACM (materials presumed to contain asbestos under the OSHA Asbestos
Rule, 29 CFR 1910) were identified and samples of each different material were obtained.
The bulk sampling procedure utilized for collection of suspect samples required the
establishment of homogeneous sampling areas. A homogeneous sampling area is defined
as an area of friable or non -friable material of similar type that appeared to be applied or
installed during the same general period of time. All sample locations were identified with
numbers corresponding to those listed in Section 5.0 "Description of Materials" of this
report.
Samples which were collected from these pre -determined homogeneous sampling areas
were labeled and transported to Air Quality Environmental, Inc. (NVLAP No. 200759-0)
for analysis. All samples were analyzed using EPA approved Polarized Light Microscopy
(PLM) coupled with dispersion staining. Properties such as refractive indices, birefringence,
sign of elongation and extinction angle are unique to crystalline asbestos forms and are
used to identify the type of asbestos mineral as chrysotile, amosite, crocidolite,
anthophyllite, tremolite or actinolite. Percentages of the identified types of asbestos are
determined by visual estimation. Attempts are made to mix the sample thoroughly to
provide a more accurate percentage. Any material containing greater than one percent
(1 %) by weight of any type of asbestos is considered by the EPA to be an ACM and if
disturbed must be handled according to specific regulations.
K
GE Project No, 2821-0129
4.0 SUSPECTED ASBESTOS -CONTAINING MATERIALS
evaluation of the mobile home:
• Fiberboard Ceiling Panels
• Vinyl Floor Sheeting with Mastic
• Laminate Paneling with Mastic
• Insulation with Backer
• Carpet Mastic
• Caulking
• Concrete
• Flange Mastic
• Roof Coating System
0
GE Project No. 2821-0129
Sa
Description/
Asbestos
Nu ber
Location
C ontent
•Condition
I
Fiberboard Paneling Located
No
at the Ceiling Areas
Asbestos
Friable
• • •
Detected
II
White Laminate Paneling
No
with M•
astic Located at the
Asbestos
Kitchen Backsplash
Detected
II
White with Gold Specks
Laminate Paneling with
No
Non -
Mastic Located at the
Detected
Friable
Bathroom Wall Areas
Yellow PebbleICIPatI ttern Vinyl
'Floor Sheeting Located at the
•
Kitchen and Bathroom (Top
Layer) and Livingroorn
Bedroom and Hallway (Under
Carpet) Floor Areas
No
Asbestos
Detected
No
Asbestos
n FNr i ao b �ie
Detected
II
Grey Flange Mastic
Located behind the
9%
Non-
30
1
Is
Pressed in Window and
Chrysotile
Friable
Square
Door Flanges at Exterior
Asbestos
Feet
Areas
L
No
Asbestos
i I Non -
Friable
Detected
0
ELM
Asbestos
I Non -
Friable
.1
Detectei
GE Project No. 2821-0129
Homo. 1
Sa mpI7
Asbestos
Approx.
Area
umbe
4 101
Content
Condition
Quantity
Concrete Located at the
No
11
Block Foundation and the
Asbestos
Non -
Friable
Walkway Areas
Detected
White Caulk Located at the
Covered Porch and the
3%
Chrysotile
Non-
20
Square
Awning Metal Roof Seams
Asbestos
Friable
Feet
and Flashing Areas
No
Black Surface Coating Over
Asbestos
Non -
the Central Metal Roof Areas
i Detected J
Friable
Ill"111PI 1��11�111111li�pp�111 IF11 i U967-TIMMIk no
GE Project No, 2821-0129
thirty-six (36) samples collected, two (2) of the materials sampled were found to contain
Category I non -friable asbestos -containing materials were discovered during our survey
in the form of a roof caulking and flange mastic. Category I non -friable AGMs are materials
which contain 1 % asbestos or greater and cannot be crumbled, pulverized or reduced to
powder by hand pressure. Category I non -friable ACMs are those in which the asbestos
fibers are bound with other materials in such a way that the release of those fibers into the
air from casual contact or normal wear is unlikely.
The asbestos containing materials must be properly removed by a Florida Licensed
Asbestos Abatement Contractor prior to demolition activities that will impact the materials.
Proper notification must be provided to the local regulatory agency prior to asbestos
removal and demolition activities.
7
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Lotbarairmy Services
9325 Seminole Boulevard, Seminole, Florida 33772 (727) 398-0900 17AX (727) 398-0996
Client Name: Greenfield Environmental Project Name: Equity Lifestyles Properties GE# 2321-0129
432 3rd Street North 39345 6th Ave, Zephyrhills, FL
St, Petersburg, Florida 33701 Date Analyzed: January 24, 2018
Asbestos, Bulk Sample Analysis
Test Method: PLIVI / DS - EPA Method - 600/R-93/116 - EPA 600/M4-82-020
Lab #
Client #
Sample Type
Description
% Asbestos
% Other Fibers
% Binders
384599
1
Ceiling Tile
white / tan
NAD
95% Cellulose
5% Binders
384600
2
Ceiling Tile
white / tan
NAD
95% Cellulose
5% Binders
384601
3
Ceiling Tile
white / tan
NAD
95% Cellulose
5% Binders
384602
4
Laminate
brown / tan
NAD
90% Cellulose
10% Binders
384603
5
Laminate
brown / tan
NAD
90% Cellulose
10% Binders
384604
6
Laminate
brown / tan
NAD
90% Cellulose
10% Binders
384605
7
Laminate
brn / wht / tan
NAD
85% Cellulose
15% Binders
384606
8
Laminate
brn / wht / tan
NAD
85% Cellulose
15% Binders
384607
9
Laminate
brn J wht / tan
NAD
85% Cellulose
15% Binders
384608
10
Flooring
yellow vinyl
NAD
20% Cellulose
65% Binders
15% Synth Fibers
wht compound
NAD
100% Gypsum and Binders
384609
11
Flooring
yellow vinyl
NAD
20% Cellulose
65% Binders
15% Synth Fibers
384610
12
Flooring
yellow vinyl
NAD
20% Cellulose
65% Binders
15% Synth Fibers
wht compound
NAD
100% Gypsum and Binders
384611
13
Insulation
felt paper
NAD
60% Cellulose
40% Bitumen and Binders
384612
14
Insulation
felt paper
NAD
60% Cellulose
40% Bitumen and Binders
384613
15
Insulation
felt paper
NAD
60% Cellulose
40% Bitumen and Binders
384614
16
Carpet Mastic
yellow
NAD
100% Binders
384615
17
Carpet Mastic
yellow
NAD
100% Binders
tThese samples were analyzed by layers . Specific layer or component asbestos content Is indicated when relevant. The EPA
considers a material to be asbestos containing only if it contains more than 1 % asbestos by Calibrated Visual Area Estimation
(CVAE), EPA regulations also indicate that Regulated Asbestos Containing Materials which are friable or may become friable,
be further analyzed by point counting when the results indicate less than 10% asbestos by C\/AE. Air Quality Environmental
utilizes CVAE on a routine basis and does not include point counting unless speciftGatly requested. Additionally, these results
may not be reproduced except in full- This report data is to be interpreted only by the person (s) whom have collected the
samples. Furthermore, this report may not be used as a claim to product certification, approval or endorsement by NVLAP,
NtST or any other agency of the Federal Government-
tFloor Tile and other rosinousty bound materials, when analyzed by EPA method, may yield false negative results because of
firnitations in separating closely bound fibers and in detecting fibers of'small length and diameter, When a definitive result is
required, ACE recommends utilizing alternative methods of identification, including Transmission Electron Microscopy.
Analyzed by:
6/Li-a'nne Giles
Microscopist
Lab File Number: 44386 Analysis Pages 1 of 2 NVLAP Lab Code 200759-0
Client Name., Greenfield Environmental Project Name: Equity Lifestyles Properties GE# 2321-0129
432 3rd Street North 39345 Sth Ave, Zephyrhills, FL
St. Petersburg, Florida 33701 Date Analyzed: January 24, 2018
Asbestos, Bulk Sample Analysis Test Method'. PLM / DS - EPA Method - 600/R-93/116 - EPA 600/M4-82-020
Lab #
Client #
Sample Type
Description
% Asbestos
% Other Fibers
% Binders
384616
18
Carpet Mastic
yellow
NAD
100% Binders
384617
19
Flange Mastic
gray
8% Chrysotile
92% Binders
384618
20
Flange Mastic
Not Analyzed, Stop
At First Positive
384619
21
Flange Mastic
Not Analyzed, Stop
At First Positive
384620
22
Caulk
white
NAD
100% Binders
384621
23
Caulk
white
NAD
100% Binders
384622 24
384623 25
384624 26
384625 27
384626 28
384627 29
384628 30
384629 31
384630 32
384631 33
384632 34
384633 35
384634 36
Caulk
�Concrete
Concrete
Concrete
Concrete
Concrete
'Concrete
Caulk
Caulk
Caulk
Surface Coating
Surface Coating
Surface Coating
white
gray
gray
gray
white
NAD
NAD
NAD
NAD
NAD
white
NAD
white
NAD
white
3% Chrysotile
Not Analyzed, Stop At First Positive
I
Not Analyzed, Stop At First Positive
white
white
white
NAD
100% Binders
100% Quartz and Binders
100% Quartz and Binders
100% Quartz and Binders
100% Quartz and Binders
100% Quartz and Binders
100% Quartz and Binders
97% Carbonates and Binders
100% Carbonates and Binders
100% Carbonates and Binders
100% Carbonates and Binders
tThese samples were analyzed by layers. Specific layer orcornponent asbestos content is indicated when relevant. The EPA
considers a material to be asbestos containing only if itcontains more than I% asbestos by Calibrated Visual Area Estimation
(CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials which am friable or may become friable,
be furtberanalyzed by point counting when the results indicate less than 10% asbestos by CVAE. Air Quality Environmental
ulilr7es CVAE on a routine basis and does not include point counting unless specifically requested. Additionally, these results Analyzed by:
may not be reproduced except in full. This report data is to be interpreted only by the person (9) whom have collected the
samples. Furthermore, this report may not be used as a claim to product certification, approval or endorsement by NVLAP,
NIST or any other agency of the Federal Government.
tFloor Tile and other resinously bound materials, when analyzed by EPA method, may yield false negative results because of
limitations in separating closely bound fibers and in detecting fibers of small length and diameter. When a definitive result is Leanne Giles
required, AQE recommends utilizing alternative methods of identification, including Transmission Etec"n Microscopy. Microscopist
Lab File Number: 44386 Analysis Pages 2 of 2 NVLAP Lab Code 200759-0
I_ra jo:-a`hr]F1=3
-14
Upper Photo: Unit #93 Corner View Photograph Date:
1/18/18 Greenfield
Lower Photo: Unit #93 Front View Project # CE Environmenfal
2821-0129
-14
Upper Photo: HA #7 Flange Mastic Photograph Date:
1/18/18 Greenfield
Lower Photo: HA #7 Flange Mastic Close Up Project # Environmental
2821-0129
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