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17234Permit No rrz.,s '1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oi other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flo :Ida, 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 Barry College No 11300 Registered Architect and/or Engineer Employing Electriciafi's Name Burns & Jaeger, ;nt. No 501 S.W, 37th Awaset Miami,..Florida 33135 Location and Legal Description Lot Block Subdivision . Street and Number where work is to be performed—No 11300 St E. 2 nd Ave. State work to be performed and purpose of building (By Floors) Repair wiring for 10 Post Lights New Building Remodeling Addition Repairs No. of Stories Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps S e r vice Underground Type of Installation--Conduit Tubing B.X.L .Metal Moulding El 1 Pt* ricAl Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga e as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws .of Florida P- anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contract re employed by him in thc 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 p led under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } ss. COUNTY OF DADE. therein .hy him stated.are true. NOTARY PUBLIC STATE OF FLORIDA AT LARGE MY COMMISSION EXPIRES JULY 12, 1478 BONDED THRU GENERAL INSURANCE UNDERWRITE*" (Signed) Amount of Permit $ 3.00 (Signed) e4 Date January 21 1975 Street ILE, 2nd Ave, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared William B. jaeg.er to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the President & bloater of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts ler Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG REcrp-rs FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ............... - ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO - TOTAL Cowrn. LIST CHECK Repairs Permit No rrz.,s '1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oi other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flo :Ida, 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 Barry College No 11300 Registered Architect and/or Engineer Employing Electriciafi's Name Burns & Jaeger, ;nt. No 501 S.W, 37th Awaset Miami,..Florida 33135 Location and Legal Description Lot Block Subdivision . Street and Number where work is to be performed—No 11300 St E. 2 nd Ave. State work to be performed and purpose of building (By Floors) Repair wiring for 10 Post Lights New Building Remodeling Addition Repairs No. of Stories Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps S e r vice Underground Type of Installation--Conduit Tubing B.X.L .Metal Moulding El 1 Pt* ricAl Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga e as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws .of Florida P- anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contract re employed by him in thc 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 p led under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } ss. COUNTY OF DADE. therein .hy him stated.are true. NOTARY PUBLIC STATE OF FLORIDA AT LARGE MY COMMISSION EXPIRES JULY 12, 1478 BONDED THRU GENERAL INSURANCE UNDERWRITE*" (Signed) Amount of Permit $ 3.00 (Signed) e4 Date January 21 1975 Street ILE, 2nd Ave, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared William B. jaeg.er to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the President & bloater of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts ler Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship.