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FW-11-1501Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163368 Permit Number: FW -8 -11 -1501 Scheduled Inspection Date: September 13, 2011 Inspector: Bruhn, Norman Owner: ALE CASTRO, MARIA GABRIELA Job Address: 9701 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: AMELIO FENCE CORP Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron/Ornamental Phone Number Parcel Number 1132060143320 Building Department Comments REPLACE EXISTING DOUBLE GATES WITH NEW GATES Inspector Comments Passed41q> Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 12, 2011 For Inspections please call: (305)762 -4949 Page 9 of 14 Miami Shores Village /41 t4 r e MG 1 6 2011 Sl1R1FCT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS Cotvc41.4Te, Col, g 114,4 2,tAkvet 14144. dal • (46002. 1A/V 4JSE A. MA T NEZ, Pr CIVIL AND STRUCTURAL ENGINE LICENSE NO: PE 0031509 24 East 5th Street, Hialeah, Florida 34, 305-887-4417 ALA, M$43161 Nit, inoe,+uii a + �4t� PA+ . ic.tg wMM. dlc e . /N.E. -98TH STREET t RIG1i7-0F"'WAY) lamemov4) 12.428E(C Pr: W4410t 1111F ram trt eon me 0/2 0.21114 4.444) p,--7, ■- •I'L iLv.,. 41 111. 1 ..A T 'IL ra, itz,. r...11.,•,1.,.„..„t; r--!Irkir•ir.4,- zr, 1■1,41mekif. it I: TtIr.k. fik291110Whilikiraisi, RAMS•25.001 Tiosiltrorzelc) AR0.55.91W FOUND WAD. MO P44 of* 0.3.1s) ■•••••■•••••• 111■■■••••■ 18.6* ASPICOLT PAVEMENT N.E. 97TH STREET (75 110.417-4F—*AY) SURVEXADRRESSz I01 BnsdAymBLVD. FLOOD ZONE & ELEVATIONS: FLOODZONB: X BASE FLOOD ELEVATION: 1jIA CONTROL PANEL NO.: 1206524306- . DATE OF FIRM INDIGO 09/11/09 LOWEST FiOORELEVATION: WA GARAGB FLOOR ELEVATION: N/A REFEKENCEBENCH: N/A I(=MY To- • CAS1R0ANDMARrAGABRIBLAALBGAR 0 3 2. REGIONS SAME DEVAR I+(OR 'GAGE, ITS SUCOISson AND/OR ASSIGNS, AS THEIR ERESTMAY.APFEAR 3.OLD F i A R ID A TITLE C. OM PA N Y ( 4.4)LDREPID3IIC NATIONALTffi.BIlNSURANCECOMPANY ENCROAC S: IPOTENIIAL 1. Nom vsn Lg. I L LEGAL DESCRIPTION: LOIS 1, 2, 3 AND4, BIo79OF'MIAMI SHORES SECIIONND.3 °. ACCORDING To IRE PLAT THEIG30P, AS RECORDED IN PLAT BOOK 10, AT PAGE 37, OF THE PUBLIC RECORDS OF MOM -DARE COUNTY. FLORIDA. LEGEND & ABBREVIATIONS: A =ARC A/C CUNDMONER ARIL BASEMENT B.M. =1311NCIIMARK $.C.R =BROWARDCoUN1YRECORDS C.B.S. = commit BMX. STAMMER MATT: = C&ITTAHOOCHEE CONC. s ►C ONca m CZ.1? =CHAINLIN .FEITCE C.L.P. '" � LIGHT POLE (c °CALCULATED CB. = CHORD HEARING CR. =CAI/LERNER (D) =DEED D.B. =DEED BOOK M- D.C_R.= DADS COUNTY RE yB.E. = �IINAGEEAS T g i7t�Wis IRCROACBING ESMT: =EASEMENT ELEV. =ELEVATION B.M. =Buz= MEIER PND =EOM • . . &L. =FLORIDA PO ER it MILT TTLP. = mow PPE LR. BtON ROD LB. =LICENSED BUSINESS L.P. =LIGHT POLE M.E. =MANAOr (M) =MEASURE/ MAINT. =MAINTJENANCE WO. =NUMBER N.G.V.D =NATIONAL GEODETIC VERTICAL DATUM O.H =OVERHANG O.R.B. =OFFICIAL RECORDS BOOK 0/S =OFFSET (P) =PLAT P.B.C.R. =PALM BEACH COU1+t'1YRECORDS P.B. =PLATBOOK P.C. ==POINTOFCURVATURE P.L =P0 roPIl ECTEIN P.Z.C. =EMIT OFREVERSE CURVE P.T. =POINT OFTANG Y 1! O.B. =PODVT OF P.O.C. =POINT OP COAGanzakuNT P.P =POWIRPOLE R '=RADIUS REE. =REHDBNt B/W =RIGHT-OF-WAY T = TANGENT (TY.) =TYPICAL U.E. =17T1LTIYBAS i' W.F. =WOOD FENCE 1 =WATRBM8T R f =DSL�TA(UCBNTBALANGLE! =ELEVATION GENERAL NOTES: 1.TTP$OFfKIRVEY:BOUNDARY 2. TBS PROM= SHOWN MIME WAS NOYABSTRACTED FOR OWNERSHIP, RIONTSVF.WAY,EASSMENTs OR OTHER MATTERS OF RBCORDBYpIN101.1. away, INC. 3. WEEKS aramvitangom, FIELD MEASDREmENTS AR/31N Air wan EEO= MBASCR#SNTS. 4. THIS SURVEY ISNOT VALID WiTHOUTTHE SICBNATUIZEAND TIM ORIGINAL RAISED SEAL OFA FLORIDA LICENSED • SURVEYOItAND MAPPER 5. ELEVATIONS SHOWN N(IF ANY) ABB BASED ON THE NATIONAL C BT1CVBRTICAL DATUM OF 1929. UNLESS OTHERWISE NOTED. 6. UNDERGROUND ThIPROVEMENTS AND UTILITIES ARENOT LOCATED 7.BEARINGSSHOWN MOWN ARE BASBD OMAN ASSOMBD BEARING OF SOUTJ3 mew EMIT ALONG= EAST LINE OF BLOCK 79. PLAT BOOK 10, PAGE 37 M D.C.R. 8. FENCE OIS NOT D ICERTDICATION: T SISTOCHRTIFY'TEATIH THE I PROPHIGY IN TIM 1Tf101601NOTI= CAPTION AND NAVE SET OR FOUND MONUMENTS ASDIDICA BDONT M SKETCH AND IIIAT SAID ABOVE GROUND SURVIIYAIRG SKETCH ARE ACCURATE AND CORRECT TO UM BEST OFMYi4NOWL1IDGB:I AND BELIEF. IFORTABR CERTIFY THATTHISSURVBYMPEETS. MINIMUM TECHNICAL STANDARDSUNDIR RULE 61647-6, FLORIDA ADMINISTRATIVE CODE, ADOPTED 13YTEEFLORiGA STATE BOARD OF PROFESSIONAL SURVEYORS ANDMAtS. A 1 =ON IL PROFISSIDNAL SURVEYOR &MAPPER I LICENSE NO. 5794, STAT$CFFLOBIDA (1 Miami Shores Village v `' Lip Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 RECEIVED AUG 1 2011 Permit No. (, { so Master Permit No. Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): A � A- C; t / , Cs Phone#- S �'" �-� Address: " ®� , 9 . -. City: PON k clitzgrek- State: -Ft— Zip:'-53 1 Tenant/Lessee Name: Phone#: . Email: 12)o 0 va. A JOB ADDRESS: 4.). 1 SC l-( City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: /» 31,A4 —0/9 — 3 3 't-c, Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: A ,itt; ,) F 4,1'67 z- ca. Phone#: 07.' -) r t2 ° ; Address: 2 19 4., 2. °' City: 1 yy- If ii, Jl State: F4- Zip: 3 3 d i Qualifier Name: 17 e"4'c i C� ,�/ ���� Phone#: adi) Ma --0 % E State Certification or Registration #: Certificate of Competency #: `73 AS e k f., 4. Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Cie Value of Work for this Permit: $ �S 7i . � Square/Linear Footage of Work: 4/ °Alteration °Newtepair/Replace Description of Work: ! < ",' v . its' Type of Work: °Addition °Demolition Submittal Fee $______ GZ Permit Fee $ �©©� CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for FT.FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be y proved ' a rei !�ctzon fee will be charged Signature Signature '`z Z Owner or Agent Contractor The foregoing instrument was acknowledged before me this /0 The foregoing instrument was acknowledged before me this (0 day of A eildi 20 (t, by Marta.- rta. A ltd%' 'Ira, day of KAMA , 20 % , by me 6; 9 (Q& 4 c 4'::a''d who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTAR PUBLIC: NOTAR PUBLIC: Sign: Print: My Comm Sign: Print: My Co ` -t 141ec14140 *+x **,x+s+x*** six * *** „ wax*** **+ ,x* ** * * * * * * * ** *sa**** ** **+ x** **,x*** *+s*+xw******* APPROVED BY cyrix Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk 12 -21 -2010 ALEX SINK STATE OF FLORIDA CRISP FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 01/29/2011 EXPIRATION DATE 01/28/2013 PERSON: CONCEPCION AMELIO FEIN: 880088987 BUSINESS NAME AND ADDRESS: AMELIO FENCE CORP 259 WEST 24TH STREET HIALEAH FL 33010 SCOPES OF BUSINESS OR TRADE: 1- FENCE ERECTION IMPORTANT: Pursuant to Chapter 44S . 05(14) F.S., n officer of i corporation who elects exemption from Mb chapter by filing a certificate of election under this section may not recover benefits or compensation ender this chapter. Pursued to Chapter 440.05(12), F.S., Certificstes of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.08(13) F.S., Notices of election to be exempt end cerltficetoa el election to be exempt *bell be subject to revocation ii, at any time ester the filing of the notice or the iosnence of the certificate, Me person mimed on the notice or certificate no longer meets the requirements of this section for bunco of e cettitinte. The department shell revoke a certificate at any time for tetlore of the Person named on the certificate to meet the requirements of tots section. QUESTIONS? (860) 413 -1809 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -08 CTOB Constructon vadat, (Wafting Board BUSINESS CERTIFICATE OF COMPETENCY 93BS00102 AMEL1O FENCE CORP D.B.A.: ANA efrt•som,ee CONCEPCION AMELIO Is certified under the prisons of Chapter 10 of Miami-Dade County THISISNOTABILL-DONOTPAY. 275-1 NAME/ 0MAIM); YIWOMMT: LIO FENCE CORP CC *- 931/$0, :-..259 W 24 ST 410 HIALEAH 110 FENCE CORP. oldness CIA1TY BUILDINS .:-COOTRAgT NIOMPLW AMMMUM Ant ;4.-AMMPT Um VMUMW0IMM Imakaemrs AWCW4MUMMWOOP liCAMOMMutik. gliuMmm 111/1612010 611050000235 000045.00 SEE OWNIR ERIE DO NOT FORWARD ANELIO FENCE CORP ANELIO CONCEPCION 259 W 24 ST HIALEAH FL 33010 25 2 ' 144.6+.4i** POSTAGE 4004Wm, 015941113T :WOO AMELIO FENCE CORP ANELIO CONCEPCION 259 W 24 ST HIALEAH FL 33010 3 hati.aisu....innumaiaamiaashaliamiu rm: rurarn Irrarurdnce 1 v metau roma.= isorlhorkrumun. son, u Jowl-wry ivcua t r w.77►f 1 WOG V riot l 1140M1.1047 r$ U CERTIFICATE OF LIABILITY INSURANCE DATEDIYYYY} 7/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFF MATIVELY OR NEGATIVELY Ate, EXTBID OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AM) THE CERTIFICATE HOLDER IMPORTANT: I the certillcale holder Is WI ADDITIONAL INSURED, the policypes) must be endorsed. U SUBROGATION IS WANED, subject to the terms and condition of Ina policy, certain policies may retie an endorsement A statement on ads certificate does not confer rights to the certificate holder M lieu of such en ). PRODUCER Fortun Insurance, Inc. 365 Palermo Ave. Coral Gables FL 33134 -6607 IE: Mercy Campuzano arna. 1. (305) 445-3535 1 AR. Net t866i41Y5-0025 INSURED AL+ELIO FENCE CORPORATION 19606 NW 62 Ave MIAMI FL 33015 mercy. eampinsanolifortuninsurance. COM custom* ff}000051194 MUM'S) AFFORDING COVERAGE A Granada Insurance Co RAIL inseam e MAPFRE Insurance Co. eLS C: INEUIER O: BCE: COVERAGES Imo: CERTIFICATE N1161703165 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLIES OF INNS USED 6ELON HAVE BEM ISSUED TO THE INSURED NAMED ABOVE FOR nE POLICY PLOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CCNDITlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESMOND HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAD. TV A TYPE OFBNSURANCE GENERAL UABSdrY X COMMERC2AL GiNERAI. LINNlilY I n OCCUR B AGGREGATE LONTAPPUESPElt POLICYf r1 MINIM ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HARED AUTOS NON- OATIEDAUr S PCSICY NUSIBER roucrEFF PACYDIA LAWS 0185EL00010202 6/20/2011 B /20/2012 EACH OCCURRENCE ONAGEfORENIED PRE6OSESMeoe e) PERSONAL 8 A WINJLW s 1,000,000 $ 100,000 s 5,000 $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODICIS CIVAPIOPAGG $ 2,000,000 4150110004485 £/18/2011 6/18/2012 CONMINED SAME USE (Ea acddem) 10/20/10 BODILY INJURY (Papa/son) $ MOLY INJURY (Par sulAve s PROPERTY DAMAGE (Per midst* s PIP -Sastc UMBRELLA LIAO EXCESS UAB DE[XXT tLE REIENna@ 4 OCCUR CLAINISIOADE EACH o s 10,000 s 10/20 $ AMIREGATE $ s W0500S Cott MSATION AND EMPLOYERS' YIN ANY OFRCERAIRABER MUM* mandator/ in 01 �1 OF CPERATEVIS A f Taw > I IER EL EACH ASR $ EL MEASE - EAAEMPLOYEE $ EL DISEASE - POLICY' MST S DESCRIPTION LW OPEtATXXNSI LOCAT I ACORO 141, Addiffond RentiAs Set Moon/ et to r CERTIFICATE HOLDER CANCELLATION City of Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EW RATItNI DATE TIM M% NOTICE WILL ea MBANRED as ACCORDANCE Wf HTHE POLCY ACORO 25 mom AMMO) REPRESENTATIVE Hector Fartan/IZ The ACORD r and logo are marks of ACORD CORPORATION. All rights reserved. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIiST INSPECTION PERMIT NO. TAX FOUO NO. Of- 324e so/ y 3,20 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that hnprovements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Nonce of Commencement 111111111111111111111111111111111111111111111 CFH 2011R0561724 OR Ek 27800 Ps 2762; (tae) RECORDED 08/23/2011 11 =53.42 HARVEY RUVIH, CLERK OF COURT 9IAt1I -DADE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office 1. Legal description of property and street/address: ZPTS /, .11 3,, C (79 pt % 444' R i-fl) 6I,St'Q -11-i . i S ®.a 2. Description of improvement: 2 : a1 Fr fr./ bore Cis 3. Owner(s) name and address: -M 1 " (o - CA .Interest In property: Name and address of fee simple titleholder. 4. tor's name, address and phone. number. 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(47., Florida Statutes. Name, address and phone number: • 8. In addition to himself, Owners designates the following persons) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number 9. Expiration date of this Notice of Commencement (the expiration date is 1 year iron the date of recording takes a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE ,iOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMM «o ENT Signature(s) of Owner(s) or Prepared Ely / a. Prepared By Print Name e � �" '- y@-t.. � -ed.) : Print. Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me BY Individually, or ❑ as for Personally known, or ci produced the following type ofide Signature of Notary Public: Print Name: (SEAL) VERIFICATION URSUANT TO SECTION 92.625. FLORIDA STATUTES Under penalties of perjury, l declare + at 1 have read the foregoing and that the facts stated it are true, to • > best of my knowledge and belief. Signature(s) of • By .123.01.82 PAGES ed Officer/Directar'/Partner/M N to yPub3c State' of Florida Carlos Vaairchao My COntralliStOrt D0881600 Expires 0411912013 By t. L 4nuM, •� Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: J4 /`1l 0 F,. ECG co//. BUSINESS ADDRESS: 2 <5-9 (7 Sr CITY STATE r G ZIP CODE 3 3 ald BUSINESS PHONE: ( 3o5 ) -0 FAX FAX NUMBER ( 3JS ) 2 6 3 0 CELL PHONE ( 3o5 ) 2,l (_ 33 i/ QUALIFIER'S NAME: . lo�e°kv�/ QUALIFIER'S LIC NUMBER: V3 8S 00 /0 2 E -MAIL ADDRESS (IF APPLICABLE): Created an 3119109 BY MLDV 1 RV 3126109 MLDV 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 Folio Number:1132060143320 Owner's Name: MARIA GABRIELA ALE CASTRO Job Address: 9701 BISCAYNE Boulevard Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 24 $ 5,750.00 Contractor(s) Phone AMELIO FENCE CORP Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/16/2011: Yes Comments: