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28969Permit No. l MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plant and specifications herewith submitted for the building or other structure herein described. This application L 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 mud be kept at building during progress of work. Owner's Name and Address BARRY UNIVERSITY No 11300 Str • N.E. 2 AVE. Registered Architect and /or Engineer VANN TIIOTI' Employln Plumber e BROOKS .SI /, b p d Subdlvidon ' 8-19 Street an al on Lot Bkx� Street and Number where work L to be performed —No 11300 street. N.E. 2 AVE State work to be performed and purpose of building (By Floors)- AUTOMATE PORTIONS OF IRRIGATION SYSTEM. New Building - -- ._ ._---- .._....._.._._ Remodeling _._____ Addition._._- _-- -... Repairs No. of Stories... ............. Size Septic Tank Type of Tanlr Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well»._ _ ..______....__._...._ __M` ________ Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit $ /4 t 06 (Signed) (signed) J t UokAo }� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hag com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort• to be performed under this permit; and will post oc cause to be posted far inspection on the site of the • k such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, on work • be performed under this permit, as are licensed by Miami Shores Village, Muter Plumber. STATE OF FLORIDA, ( se. COUNTY OF DADE. S Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowkdgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the . ..- . _. -_ -- _ _ •. _ -_. _. lly _. of the above described construction, that be has carefully read the foregoing application, and that he dial scorn the same, and that all facts therein by him stated arM at ey Public, State of Florida / �lf� 4/��// - St_' Commission _ Expires � May 13, 199 / Kim"'.' '` My Commission / Notary Pu State of Florida NOTE: A re- inspection fee of $1.00 will be made whin mei retllaspeatlaa Y made•aeowary by improper notice far immection, or fad materials and /oe workmanship. CLOncra BATH Tuns SHOWERS LAVA. TORIES 1111448 1111448 SLOP SINKS LAUNDRY Tun! URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •N, TOTAL •Ixwie CONTK. LIST -- CHECK - SMIM•O P001. SEPTIC TANK BEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP • SOLAR NEATER DEEP WELL SPRKLR. SYSTEM LIST CHECK X Permit No. l MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plant and specifications herewith submitted for the building or other structure herein described. This application L 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 mud be kept at building during progress of work. Owner's Name and Address BARRY UNIVERSITY No 11300 Str • N.E. 2 AVE. Registered Architect and /or Engineer VANN TIIOTI' Employln Plumber e BROOKS .SI /, b p d Subdlvidon ' 8-19 Street an al on Lot Bkx� Street and Number where work L to be performed —No 11300 street. N.E. 2 AVE State work to be performed and purpose of building (By Floors)- AUTOMATE PORTIONS OF IRRIGATION SYSTEM. New Building - -- ._ ._---- .._....._.._._ Remodeling _._____ Addition._._- _-- -... Repairs No. of Stories... ............. Size Septic Tank Type of Tanlr Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well»._ _ ..______....__._...._ __M` ________ Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit $ /4 t 06 (Signed) (signed) J t UokAo }� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hag com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort• to be performed under this permit; and will post oc cause to be posted far inspection on the site of the • k such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, on work • be performed under this permit, as are licensed by Miami Shores Village, Muter Plumber. STATE OF FLORIDA, ( se. COUNTY OF DADE. S Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowkdgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the . ..- . _. -_ -- _ _ •. _ -_. _. lly _. of the above described construction, that be has carefully read the foregoing application, and that he dial scorn the same, and that all facts therein by him stated arM at ey Public, State of Florida / �lf� 4/��// - St_' Commission _ Expires � May 13, 199 / Kim"'.' '` My Commission / Notary Pu State of Florida NOTE: A re- inspection fee of $1.00 will be made whin mei retllaspeatlaa Y made•aeowary by improper notice far immection, or fad materials and /oe workmanship.