16700CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
Amount of Permit $ 3.00
MIAMI SHORES VILLAGE
Permit No. 1
Application is hereby made for the approval of the detailed statement of the plans and specifications
structure herein described. This application is made in compliance and conformity with the Building
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shoes Village and all
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of ap
building during progress of work.
Owners Name and Address Barry College No 1130
Registered Architect and /or Engineer
Employing Electrician's Name Burns Jaeger, Inc
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PER
Date.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition epairs No. of Stories
No 501 - W• Street 37th Avenue
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P•T's
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER W. HEAT.
HEATER CONN.
SPACE
HEATER
STRIP
HEATER
ENT.
Sw.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
The undersigned applicant for this building permit does hereby cer tify that he understands and accepts his o.: gations as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florid ' Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or eub•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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
une 20, 1974
(Signed). A
ith submitted for the building oI other
finance of Miami Shores Village, Fivada,
e and regulations of the Building Division
d plans and specifications must be kept at
Street No E. 2n4 fitreer
ectrical Inspector.
Master Electrician.
TOTAL
TOTAL
STATE OF FLORIDA,
COUNTY OF DADE. I �'
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, and he has carefully read the foregoing application, and that he 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•inepection fee of $1.00 will be made ashen such regnspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.