550 NE 102 St (9)Permit No eX O
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 MIi Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatiow 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 Claussen
.:tegistered Architect and/or Engineer
Employing Plumber's Name Brooks
Location and Legal Description Lot_
Street and Number where work is to be performed—No
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Sprinkler
State work to be performed and purpose of building (By Floors)_._
New Building Remodeling— Addition
Amount of Permit $ •°°
Date
2/28/79
No. 550
f4t2.20( 1
Co . „ 2430
BloeIr
• 5.50
Repairs No. of Stories
Size Septic Tank__—____._________.Type of Tank_____.
Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City—We8-__ of Soakage Pit
Capacity Gals
( signed )7
- Street .......... S. tree t
MIAMI " 5 - 514-7
My Commission Expires Notary Public, State of Florida
/ /W-/ 3/5717
,N.W. 7 9 th Street
ILIV [Mr ilnin • sf.1.- • • - • 2.••-••••• • -
SUbdiVhdOn..*•.■-....
•. ..... .
oy
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e-nployer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent rupklement, and has eon-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed ly him in tLe wcrk performed under under this permit; and will post or cause to be posted for inspection on the site of th work such publl notice Is no ,as co
required by the Act. The undersigned agrees to employ only such sub-contractors, on wor o be performed • id this wriaii,
licensed by Miami Shores Village.
(Signed)_.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personaEr i.ppearec;
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 .:acts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is milder mortuary by hnproper notice for inspection, or lock).
materials and/or workmanship.
CLoarra
BATH
Toes
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK I NO
FOUNT• NS
TOTi.L
FIXTURES
CONTR.
LIOT
-
CHECK
_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
N
DEEP
WELL
SPRKLR.
SYSTEM
SW IM •0
POOL
Comm.
LIST
CHECK
....=,-,
Permit No eX O
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 MIi Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatiow 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 Claussen
.:tegistered Architect and/or Engineer
Employing Plumber's Name Brooks
Location and Legal Description Lot_
Street and Number where work is to be performed—No
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Sprinkler
State work to be performed and purpose of building (By Floors)_._
New Building Remodeling— Addition
Amount of Permit $ •°°
Date
2/28/79
No. 550
f4t2.20( 1
Co . „ 2430
BloeIr
• 5.50
Repairs No. of Stories
Size Septic Tank__—____._________.Type of Tank_____.
Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well.
Nature of Water Supply: City—We8-__ of Soakage Pit
Capacity Gals
( signed )7
- Street .......... S. tree t
MIAMI " 5 - 514-7
My Commission Expires Notary Public, State of Florida
/ /W-/ 3/5717
,N.W. 7 9 th Street
ILIV [Mr ilnin • sf.1.- • • - • 2.••-••••• • -
SUbdiVhdOn..*•.■-....
•. ..... .
oy
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e-nployer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent rupklement, and has eon-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed ly him in tLe wcrk performed under under this permit; and will post or cause to be posted for inspection on the site of th work such publl notice Is no ,as co
required by the Act. The undersigned agrees to employ only such sub-contractors, on wor o be performed • id this wriaii,
licensed by Miami Shores Village.
(Signed)_.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personaEr i.ppearec;
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 .:acts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is milder mortuary by hnproper notice for inspection, or lock).
materials and/or workmanship.
Permit No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. as.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT '
APPLICATION FOR PLUMBING PERMIT
(Signed)_
(Silk
Street
� 5 ! 11 � elf lre r c.)
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 regulatiow of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec°lications must be kept at
building during progress of work.
Owner's Name and Address 1).g, Cd f
S Sr0
..tegistered Architect and /or Engineer I �(
3,mploying Plumber's Nami. -3 �1 s'" B _ _� C. N0, °9 g . e,..,....- street. ST. ` ' p ` (
Location and Legal Description Lot_ ° i 1 a 7 Bloch 4
Street and Number where work is to be performed —No S Se i"
State work to be performed and purpose of building (By Floors) _._.____
New Building � Remodeling —__ ___.___ Addition.
No. Street-..__. O Sr;
/OasT'
Repairs No. of Stories
Capacity Gal.
Size Septic of Tank__
Feet of Drain Tile._ -___ ____ __Dist. Feet of Tank or Drain Field from Well ..._.--- •• - - - -. _._
Nature of Water Supply: City — Well.___ __.________ __. _— ._____ _ _._Size of Soakage Pit
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent :upi.lement, and Ilan con -
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed l y him in ■!-e wcrk °o b,
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publi notice or no'iccr ,ss as
required by the Act. The undersigned agrees to employ only such sub - contractors, on work tame , .i form tl i? Irian ku al ■
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:;• cppearec;,
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 (acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
lumber.
NOTE: A re- inspection fee of $1.00 will be made when such rainspectdoo is made by improper notice for inspection, or iauity
materials and /ce workmanship.
CLOSETS
BATH
SHOWERS
LAVA•
TORIES
SINK•
SLOP
BIN,,
LAUNDRY
Tu.B
URINALS
CATCH
BASIN
FLOOR I
DRAIN
DRINKING
FOUNT'N•
( .
1•44.Al
J I
TOTAL
FIItTVRES
1 —_
O
CONTR
3 V
l
Z
1
l
CHECK
mot
/v5oo0
SEPTIC
TANK
SEWER
CONK.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
2 � - _ I
J
—
Cowrie.
LIST
CHICK
y�
,� J
. OD
L" a.-
Permit No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. as.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT '
APPLICATION FOR PLUMBING PERMIT
(Signed)_
(Silk
Street
� 5 ! 11 � elf lre r c.)
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 regulatiow of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec°lications must be kept at
building during progress of work.
Owner's Name and Address 1).g, Cd f
S Sr0
..tegistered Architect and /or Engineer I �(
3,mploying Plumber's Nami. -3 �1 s'" B _ _� C. N0, °9 g . e,..,....- street. ST. ` ' p ` (
Location and Legal Description Lot_ ° i 1 a 7 Bloch 4
Street and Number where work is to be performed —No S Se i"
State work to be performed and purpose of building (By Floors) _._.____
New Building � Remodeling —__ ___.___ Addition.
No. Street-..__. O Sr;
/OasT'
Repairs No. of Stories
Capacity Gal.
Size Septic of Tank__
Feet of Drain Tile._ -___ ____ __Dist. Feet of Tank or Drain Field from Well ..._.--- •• - - - -. _._
Nature of Water Supply: City — Well.___ __.________ __. _— ._____ _ _._Size of Soakage Pit
Plumbing Inspector
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent :upi.lement, and Ilan con -
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed l y him in ■!-e wcrk °o b,
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publi notice or no'iccr ,ss as
required by the Act. The undersigned agrees to employ only such sub - contractors, on work tame , .i form tl i? Irian ku al ■
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:;• cppearec;,
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 (acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
lumber.
NOTE: A re- inspection fee of $1.00 will be made when such rainspectdoo is made by improper notice for inspection, or iauity
materials and /ce workmanship.