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25581Employing Electrician's Name Breig, Inc. Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling STATE OF FLORIDA, COUNTY OF DADE. I °° Before me, appeared the a.-;41,14 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT � �j ( APPLICATION FOR ELECTRICAL PERMIT fr" Permit No 3 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, Fio :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 University No..J 1 .0.0 Street.N..E......2nd...Av-efLle.- Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision se _"_ Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 17 (Signed). :& ' • • -• p ..... Electrical 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 has complied 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- contr ors, on work to be performed under this permit, as are licensed by Miami Shores Village. undersigned authority, notara, public, duly authorized to administer oaths and takd acknowledgments, personally 11300 N.E. Street N.B....... 2nd ...AV.e Floors) Add CRT outlets ...-for.... NO. 71.61 Street .N...W.......7.4.th... Addition Repairs XXX No. of Stories D ata October 29, 19.84 Notary Public, State of Florida to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the v It.a."0. 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 .a to a true. Notary ub lic, State of Florida at Largo My Commission Expires March 21, 19117 Bonded Thri G nexatJns..Underwriters My Commission Expires 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 RECE'P'T'S FIXTURES NO LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST 20 20 CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Employing Electrician's Name Breig, Inc. Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building Remodeling STATE OF FLORIDA, COUNTY OF DADE. I °° Before me, appeared the a.-;41,14 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT � �j ( APPLICATION FOR ELECTRICAL PERMIT fr" Permit No 3 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, Fio :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 University No..J 1 .0.0 Street.N..E......2nd...Av-efLle.- Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision se _"_ Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 17 (Signed). :& ' • • -• p ..... Electrical 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 has complied 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- contr ors, on work to be performed under this permit, as are licensed by Miami Shores Village. undersigned authority, notara, public, duly authorized to administer oaths and takd acknowledgments, personally 11300 N.E. Street N.B....... 2nd ...AV.e Floors) Add CRT outlets ...-for.... NO. 71.61 Street .N...W.......7.4.th... Addition Repairs XXX No. of Stories D ata October 29, 19.84 Notary Public, State of Florida to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the v It.a."0. 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 .a to a true. Notary ub lic, State of Florida at Largo My Commission Expires March 21, 19117 Bonded Thri G nexatJns..Underwriters My Commission Expires 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.