PL-18-3326Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit No.: PL-16-18-3326
dqPermit Type: Plumbing - Residential
Wank Classification: Addition/Alteration
PerrnitStatus: Approved
issue Date:11/16/2018Expiration:07/22/2019
Location Address Parcel Number
122 NE 105 ST, Miami Shores, FL 33138-2033 1121360130680
Contacts
ROY AND MARGARET MEVERS Owner ROY AND MARGARET MEVERS Applicant
122 NE 105 ST, MIAMI SHORES, FL 331382033 122 NE 105 ST, MIAMI SHORES, FL 331382033
Other:3057560156 Other:3057560156
BANANAS GROUP INC Contractor
RAFAELLEYVA
27501 S DIXIE HIGHWAY 403, NARANIA, FL 33032
Home: 3052571000
Description: PLUMBING FOR NEW MASTER BATHROOM Valuation: $ 7,150.00 Inspection Requests:
ROUGH AND INSTALLATION OF BASINS TOILET SHPWER 1305-762-4940
WATER HEATER AND BATHTUB Total Sq Feet: 1,017.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.80
Change of Contractor
$110.00
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$1.60
Permit Fee
$200.25
Scanning Fee
$3.00
Technology Fee
$6.26
Total:
$382.16
Payments
Date Paid Amt Paid
Total Fees
$382.16
Credit Card
11/16/2018 $222.16
Credit Card
10/31/2018 $50.00
Amount Due:
$110.00
Building Department Copy
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
regulatingeor}s" on and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
March 22, 2019 Page 2 of 2
Miami Shores Village RIE�C_f
Building Department A 22 Z0119
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
NJ)
2/l0 ?
BUILDING Master Permit No. 1" �- 1vs
"[
PERMIT APPLICATION Sub Permit No. )�- 3� 1! 3
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
__�_OLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: lad IJt; /011 S1
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: QFFE:
OWNER: Name (Fee Simple Titleholder : r`�''7��'� Phone#: -30S'V I vS 2z
Address: 1-24— NE r✓05-- $
City: M2i ? State: L'i- Zip:
Tenant/Lessee Name: Phone#:_
Email:
CONTRACTOR: Company Name: / i
Address: r)-EU / S' 1 y-
State:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Phone#:3_�_Q57W
Certificate of Competency #:
ne#:
Address: —7 City: State
Value of Work for this Permit: $ o 1 S� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
r
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
�n
0
Zip:
❑ Demolition
rAn idV)
-1,b .
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(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
WE
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature !�
OWNER or AGENT
The foregoing instrument s acknowledged before me this
.> da of 120 f % by
Y who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
as
Signat
CONTRACTOR
The foregoing instru t as ack wledged before me this
day of by
weo0q
ersonally known o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: VtNL,
try_
Seal: Sea l:
✓' " Notary Public Stet: of Florida
4'"Y"'- WENDY MIR4NDA Elston Allen
My COMMISSION # GG77029 MY Comma"ion GG ��
W-0 �a* 5►29rt022 �
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
i
illage
Miami shores V
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N.
Owner's Name (Fee Simple Title Holder):__b
Owner's //Address: IaV V E I S
City: NI IF . !g&,5
r
ryos Phone#:
State :
Zip Code:
Job Address (Of where work is being done): / P112
City: Miami Shores State: —Florida / Zip Code:
Contractor's CoMpany Name, PWAIE�ftMQ70WPhone #: O 5 1
10
Address: r2- IJ
City: �E1
Qualifier's Name:
Architect/ Engineer of Record Name:
Address:
City:
Describe Work:
State:
Zip
Lic. Number:
Phone #:
Zip Code:
f�
hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. I hold the Building Official and the
Miami Shores harmless of all legal i volvement.
Signature o Signature
tZ Owner or Agent Contractor or Architect
The foregoing instrument was aknowledged before me The fore oing instrument w�aas+ knowletd fore me
thisZ-0�ay of t" ,201�,by U this day of . /C- K , — by V
Who is personally known to me or who has produced who is rsonally kn n me or who has produced
Notary Public:
Sign:
Seal:
'pV ' j6VENDY rvM ANDA
X4Y COMMISSION # WnOn
�n EXPIRES: March 11,2021
as indentification.
Notary
Sign:_
Seal:
Notary Public State of
Elston Allen
Eye'
orw
as indentification.
Npj�y l i,.taltl of Florida
Floor a: en
My G .-.,m:won GG 222360.
n512112022
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit No.: PL-10-18-3326
Permit Type: Plumbing - Residential
} work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 11/16/2018 l Expiration: 04/29/2019
Parcel Number
122 NE 105 ST, Miami Shores, FL 33138-2033 1121360130680
Contacts
ROY AND MARGARET MEVERS Owner ROY AND MARGARET MEVERS Applicant
122 NE 105 ST, MIAMI SHORES, FL 331382033 122 NE 105 ST, MIAMI SHORES, FL 331382033
Other:3057560156 Other:3057560156
AYUNIES CONSTRUCTION INC Contractor
RAFAEL ROBERTO LEYVA
27501 S DIXIE HWY 205, NARANJA, 33032
Business:3052541000 NGONZALEZ.BANANASGROUP@GMAIL.
COM
Description: PLUMBING FOR NEW MASTER BATHROOM Valuation: $ 7,150.00 Inspection Requests:
ROUGH AND INSTALLATION OF BASINS TOILET SHPWER 1305-762-4949
WATER HEATER AND BATHTUB Total Sq Feet: 1,017.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.80
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$1.60
Permit Fee
$200.25
Scanning Fee
$3.00
Technology Fee
$6.26
Total:
$272.16
Building Department Copy
Payments Date Paid
Amt Paid
Total Fees
$272.16
Credit Card 11/16/2018
$222.16
Credit Card 10/31/2018
$50.00
Amount Due:
$0.00
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.
AFFiDA IT: I certify that all the pf/regoing information is accurate and that all work will be done in compliance with all applicable laws
x�str lion and zo ' g. uthe e I put a the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent Date
November 16, 2018 Page 2 of 2
00 A�q)
OCT 91 i6ld
QAQ1-4
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te I• (305) 795-22
04 F • (305) 756-8972
W'sj/f
a
. x.
INSPECTION LINE PHONE NUMBER: (305) 762-4949
D
C 20�,�
Master Permit No. Rc, t 1' 0
Sub Permit No.P 18
ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
Q■ PLUMBING ❑ MECHANICAL OPUBLICWORKS
JOB ADDRESS: 122 NE 105TH STREET
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2136-013-0680 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee simple Titleholder): Roy Mevers and Margaret Hood Mevers Phone#:305 812-6522
Address:122 NE 105th Street
City: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: N/A Phone#: N/A
Email: royatsea@gmail.com
CONTRACTOR: Company Name: AyUnies ConstrUCtion, Inc Phone#: 305 254-1000
Address: 27501 S Dixie HWY
City: Naranja State: Florida Zip: 33032
Qualifier Name: Rafael Roberto Leyva Phone#: 305 254-1000
State Certification or Registration #: CFC 1428567 Certificate of Competency #: N/A
DESIGNER: Architect/Engineer: Mark A. Campbell Architect Phone#: 305 754-2318
Address:373 NE 92nd Street City: Miami Shores State: FL Zip: 33138
Value of Work for this Permit: $ 7,150.00 Square/Linear Footage of Work: 1017 and 548 sgft
Type of Work: MEAddition ElAlteration ❑ New ElRepair/Replace ElDemolition
Description of Work: Plumbing for New Master Bathroom: Rough and installation of basins, toilet, shower, water heater and bathtub.
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF S
CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ --
(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
Zip
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The
/foo/regoing instrument was -acknowledged before me h-is The foregoinbefore-merument was acknowledged before -me this.
1 .b day of OC"1-0' e- r 20 I C7 , by 16 day of October .20 18 by
�lilli�J / , who is personally known to Rafael Leyva , who is personally known to
me or who has produced F(--,w as me or who has produced n/a as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
l
Sign: 'I Sign: /�9-/A.,_
Print: Print: Elston Allen
Seal: P11% WENDY N URANDA Seal: Notary PubNc state or Florian
MY COMMISSION # GG77029 O Elston Allen
OF0. EXPIRES: March 11,2021 a my Commission222380.
/2812022
*V* it '* * 04 P411-0100
, - -46111
�e r � * ti�tirti
APPROVED BY - !/ / (/�� Plans Examiner Zoning
i
Structural Review Clerk
(Revised02/24/2014)