PLUMBINGPermit No ` ��
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer_- ___ __ ___ —
Employing Plumber's Name O'Neal Septic Tank Co.
Location and Legal Description Lot_ ______ — .__
Street and Number where work is to be performed —No 930 N . :
State work to be performed and purpose of building (By Floors)
New Building X C Remodeling __ -- Addition_
Amount of Permit
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed )
(Signed )-
Date -- - -----'L
._...._ -___ Street 99th__a Greet
P.O. BOX 440629 Tamiami Station
No..__-------- _ - ___ -- Street. - ___
Miami, Florida 33144
Subdivision- .--------- •--- •- __ - - --
Block
Street 99th_ _3tre_et
Repairs No. of Stories. ..... ......
Size Septic Tank_ concrete Type of Tank_ ___ septic
Feet of Drain Tile___ q' _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City - Well.______— _— ____Size of Soakage Pit
Capacity Gals.__
c xe,a,e)
My Commission Expires Notary Public, State of Florida
900 _gal.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his . .ligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pe manent Supplement, and has coin -
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp. on, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
W
SHOWERS
LAVA-
TORIES
INK
SS
SLOP
SINKS
LAUNDRY
TUB6
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NB
TOTAL
FIXTURES
CONTR.
LIST
CHUCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
UST
CHECK
-
- --
Permit No ` ��
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer_- ___ __ ___ —
Employing Plumber's Name O'Neal Septic Tank Co.
Location and Legal Description Lot_ ______ — .__
Street and Number where work is to be performed —No 930 N . :
State work to be performed and purpose of building (By Floors)
New Building X C Remodeling __ -- Addition_
Amount of Permit
STATE OF FLORIDA, }
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed )
(Signed )-
Date -- - -----'L
._...._ -___ Street 99th__a Greet
P.O. BOX 440629 Tamiami Station
No..__-------- _ - ___ -- Street. - ___
Miami, Florida 33144
Subdivision- .--------- •--- •- __ - - --
Block
Street 99th_ _3tre_et
Repairs No. of Stories. ..... ......
Size Septic Tank_ concrete Type of Tank_ ___ septic
Feet of Drain Tile___ q' _Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City - Well.______— _— ____Size of Soakage Pit
Capacity Gals.__
c xe,a,e)
My Commission Expires Notary Public, State of Florida
900 _gal.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his . .ligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pe manent Supplement, and has coin -
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp. on, or faulty
materials and/or workmanship.
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
tg7(r r,... 10 -7 -77
Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other,
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Dean C la u s s e n
Registered Architect and /or Engineer
Employing Plumber's Name Brooks - American Sprinkler Cc , 2N.t,8,
Blo'4
930 N.E.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) New Building- __._ -___ _ _ . Remodeling____-- ..-_..___ Addition -___.—
Size Septic Tank__ -
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $ 1 0.00)
Type of Tank--_
Dist. Feet of Tank or Drain Field from Well
2" We 11 Size of Soakage Pit..
(Signed)_
(Signed)
No 930 N.E. street.- 99th Street
S,_,th Street
99th Street
Street.. _..._..._._
Repairs. No. of Stories
-Capacity Cals._- _-.__--__
P1 • ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi. •bligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act.. The undersigned agrees to employ only such sub - contractors„ on wor to be perf , • nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, l µ
COUNTY OF DADE. 1 o
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly swam, upon oath deposes and says that be is the of the above described construction, that be has carefully read the )Foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $LAO will be snada whet mob rw seireodan le made•seomery by improper nodes for Inspection, or faulty
materials and /or worl®ansbip.
CLOUTS
BATH
Tuns
SHOWERS
LAVA.
Toms
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINAL.
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'Na
TOTAL
FIATURaa
Corm.
LIST
CHECK
•
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
S
SYSTEM
SWIM'G
POOL
CONTR.
LIST
X
r-
CHICK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
tg7(r r,... 10 -7 -77
Application is Hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other,
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Dean C la u s s e n
Registered Architect and /or Engineer
Employing Plumber's Name Brooks - American Sprinkler Cc , 2N.t,8,
Blo'4
930 N.E.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) New Building- __._ -___ _ _ . Remodeling____-- ..-_..___ Addition -___.—
Size Septic Tank__ -
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $ 1 0.00)
Type of Tank--_
Dist. Feet of Tank or Drain Field from Well
2" We 11 Size of Soakage Pit..
(Signed)_
(Signed)
No 930 N.E. street.- 99th Street
S,_,th Street
99th Street
Street.. _..._..._._
Repairs. No. of Stories
-Capacity Cals._- _-.__--__
P1 • ing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts hi. •bligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act.. The undersigned agrees to employ only such sub - contractors„ on wor to be perf , • nder this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, l µ
COUNTY OF DADE. 1 o
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared
to me well known, and who, being by me first duly swam, upon oath deposes and says that be is the of the above described construction, that be has carefully read the )Foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $LAO will be snada whet mob rw seireodan le made•seomery by improper nodes for Inspection, or faulty
materials and /or worl®ansbip.
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority
to me well known, and who, being by me first duly , upon oath
of the above described construction, that be hat carefully read the
therein by lu i$ot t i u t®ra of Florida at tares
My Cammissioa Expires March 26, liH
awe 110- n11,iSe0listmliMoil Napa.* Ca.
,`�'iC • 7S-0 - � o
MIAMI SHORES VILLAGE ��'
(CsLt7')
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1? � s��. X913/ x/
Permit No Date.- •-- .----- -_ —• -- —
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plant and specifications must be kept at
building during progress of work.
Dean Clausen
Owners Name and Address
Registered Architect and /or Engineer
Employing Plumber's Nano J.J.N. C o . Inc. No, 592 -0664 � . s 8,291 N . W . 6 s t _
Location and Legal Description Lot Block-- SubdivWon._-__- -- - —_
930 N.E.99st. N -1144-
Street and Number where work is to be performed —No 930 N . E s 99t.
State work to be performed and purpose of building (By Floors)____ _ - - Home
Y - -._ -. Remodeling Addition.- •-- - - -_.. Repairs
No. of Stories. ............
New Building -.___ _ ------ -..... g —_ -- - - - - --
Type of Tank — ------------------ - - -• -- Capacity Gals..._..
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well._ - -_. -_ - - -_ -- _ - -_. -- —___ -- --
Nature of Water Supply: Well.
_city Size of Soakage Pit
(Signed)_ --L
Plumb Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o !ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pen ent Supplement, and hey com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Street.
George J. Nash
1
otary State of Florida
,
Muter Plumber.
administer oaths and take acknowledgments, personally appeared
oees and says that be is the .. ..Y
regaling application, and that be did sign the tame, and that all facts
NOTE: A re- inspection fee of 11.00 will be made wises arch rsispeotb It mada•stsossea'y by Improper notice far Isepection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIIS
SINKS
SLOP
SINKS
LAUNORY
TUBS
URINALS
CATCH
SABIN
FLOOR
DRAIN
DRINKING
FOUNT' HS
W.H.
� tgi4-
F TOTAL
3
1
1
2
1
1
i.��$ia
10
CONTII.
LIST
CHICK
SEPTIC
TANK
S[W[R
CONN.
DRAIN
FIELD
SOAKAGI
PIT
GREASE
TRAP
SOLAR
HEATER
DIED
WILL
SPRKLR.
SYSTEM
SW 114'0
POOL
—
CONTR.
LIST
CHECK
Size Septic Tank
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority
to me well known, and who, being by me first duly , upon oath
of the above described construction, that be hat carefully read the
therein by lu i$ot t i u t®ra of Florida at tares
My Cammissioa Expires March 26, liH
awe 110- n11,iSe0listmliMoil Napa.* Ca.
,`�'iC • 7S-0 - � o
MIAMI SHORES VILLAGE ��'
(CsLt7')
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1? � s��. X913/ x/
Permit No Date.- •-- .----- -_ —• -- —
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plant and specifications must be kept at
building during progress of work.
Dean Clausen
Owners Name and Address
Registered Architect and /or Engineer
Employing Plumber's Nano J.J.N. C o . Inc. No, 592 -0664 � . s 8,291 N . W . 6 s t _
Location and Legal Description Lot Block-- SubdivWon._-__- -- - —_
930 N.E.99st. N -1144-
Street and Number where work is to be performed —No 930 N . E s 99t.
State work to be performed and purpose of building (By Floors)____ _ - - Home
Y - -._ -. Remodeling Addition.- •-- - - -_.. Repairs
No. of Stories. ............
New Building -.___ _ ------ -..... g —_ -- - - - - --
Type of Tank — ------------------ - - -• -- Capacity Gals..._..
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well._ - -_. -_ - - -_ -- _ - -_. -- —___ -- --
Nature of Water Supply: Well.
_city Size of Soakage Pit
(Signed)_ --L
Plumb Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o !ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pen ent Supplement, and hey com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Street.
George J. Nash
1
otary State of Florida
,
Muter Plumber.
administer oaths and take acknowledgments, personally appeared
oees and says that be is the .. ..Y
regaling application, and that be did sign the tame, and that all facts
NOTE: A re- inspection fee of 11.00 will be made wises arch rsispeotb It mada•stsossea'y by Improper notice far Isepection, or faulty
materials and /or workmanship.
4�
l
3
ish&'Z'S CittGa
93 Al f. q g s T-