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890 NE 92 St,THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep thin' license exhibited at your establishment or r nf4usiness ���pi��� �• .p, :•b ��y��1f. -1b 1 f. ��y Tl.• t y•.if.• 1!• rj ,:tl.•�� y 1!.•_�i -lf.• ��y 1f.• 11 .• ��y Tf.•��y 1!.•�� TJ.•�� TJ• �l.• 1l�r�'"b'�•�1J•�• "p'�•1 icQ3m ? 'c0.� ?ic�T llcbmiic�‹i:il ;: 0,: r'c� ':f Jx 4': icQ3�iiwe4icII7" �`, rcO�4: ',i ii 4�i/Ni�'iicpTVI J VILLAGE LICENSE This License Expires 15 hictha irtn_state n consideration of the sum of TIIl Pill CAT 1 Paid to Miami Shores Village, Dade County, State of Florida, is hereby licensed to engage in or operate the business of subject to the Provisions of all ordinances. Dollars $ e )..Ak; Address O F3 L . %�i:l'. .trc ::nt 44M i. ,s i.t trAl 414 ti ' . Y 1H. . ;, .. � j' For the period beginning ,, '0 .: , .tj�;, and ending .u_�L' iL' _ ' Xi i, . 4.... _ ; s� _ MIAMI SHORES VILLAGE, FLORIDA (SEAL) C --- 1, .'7. I'i ,U By Date Issued - - - - VILLAGE MANAGER No. 1L THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER as: STATE OF FLORIDA) SS COUNTY Or DJD A F F I D A V I T Henry G. and LJati lda N. Hyarr of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, duth depose and say, that under tae provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building; Coda of Miami Shores Village, he desires to build a simple f Ami1v res Bence on Lot 1 & 2 Block 2 of Golden Gate Park Subaiv�sior_ that he is the owner of said property, and will be the owner of said residence , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the cork in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Jociai Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. i of set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect teat he has read this Article and wil1 do the work personally aad observe all of the requirements of the Building, 2lectrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner-builder ,ern:lit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in les; than 2 years, unless the applicant is qualified as a licenseC General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not; OWNER I , SUBSCRIBED AND S4RN TO BEFORE ME this /7 day of ' > A. D., 19 �� �,, . i OTr RY PUBLIC MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 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 the work 7 ^ 1 n ' Date nFe a , 19- - Owner's Name and Address _¢ i ' t / � \\'' ' i', ∎ - // i F ., r L�-� r M „ - t� , « i , -,.- No z � _ Street Vi -- Registered Architect and /or Engineer__,_ � y-, - ' " - -- � 7 �_� Name and address of licensed contractor ' rt t�5 >j ' . ,°k :; Location and legal description of lot to be built on: „ -.' t Lot t,- % „_- Block - _(:`_: Subdivision ` `� i A\ Street and Number where work is to be done 4 State work to be done and purpose of building (by floors)___________ Notary Public, State of Florida Zone cubage required --G' _Plan Cubage = - Distance to next nearest building _ y . Size f Buildig Lot - ` — — and for no other purpose. New Building .P Remodeling Addition_ _ Repairs No. of Stories --- To be constructed of - Kind of foundation � > Q��_, ` � ' % . 6 , � Amount � - �� , - -.r � o f Covering li /' E '_ � Estimated Total cost of improvements $__ - A of Permit $ r Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks____ (Signed) __ __l_r STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ___ 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 facts therein by him stated axe true. Permit No. ://" y %= Date . Read, Sworn to and Subscribed before me. Disapproved \,. Date ( Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.