1076 NE 98 St (10)SUBSCRIBED
19
STATE OF FLORIDA) 9w
COUNTY OF DADS
Irving Herman .of the Village of Miami Shores,
County of Dade and State of Plori *, being duly sworn, loth dEpoae and say,
that under the provisions of Ordininee Nc. 185, dated June 15, 194 amend -
ing paragraph (d) of Section B of Ordinance t o. 97 of the Building Code
of Miami Shores Village, he desires to build a si le fami residence
on Lot I Block 180 of Miami Shares : eet. Subdivision, .
that he is the owner of sdid p r, and mill be the ewer - of srie.
residence _._. that he will the work personally,
and that he trill, at such times as are required 4 the Zoning anti a ilding
Director : -
1. Pil e plane and specifications and obtain approval of the
Planning Beard and the Wilding Impactor.
2. Apply for and wore a wait.
3. Pay the Wired fees.
is accordance with
4. Emma ute the
5. ly for inopmot5uens.
6. Pile with
has bra
Public Li
'7.
Code.
9. Not set himself
ass the rampaasibilitor o
Ligament _ Awe by Wiaa i
portion et this
provisions of this
certificates that provision
seal Workmen's Compensation,
Dams, Insurance.
as the job progresses rerti-
reg tg• the Federal Sopial
Plorii or the United litotes of
oying ether then properly
Ville. foll a pert or
n,
werk to the Yaffe that
Shores
tugs the right of nob
limited to Wit OM
sod Shire an dlisr
oosioeoull so ~ad
t be is less
is , ss d
Ofilassoso of fold
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MIAMI SHORES VILLAGE, FLA.
ADDRESS / 7 frc
N9 6551
INSPECTION
TIME READY G)-0
REMARKS
-
INSPECTOR DATE
I(71 6 �I . C , s r sic
MIAMI SHORES VILLAGE
Florida
In consideration of the issuance by MIAMI SHORES VILLAGE
to the undersigned of a permit to construct improvements upon the
property hereinafter referred to, the undersigned hereby agree that
no part of the premises wi.l.l be used for rental purposes, or for any
purpose which is in violation of any of the ordinances of Miami Shores
Village.
It is further agreed that if the premises are used for a
purpose contrary to the terms of said ordinances that an injunction may
be applied for and granted forthwith and without notice to us, or those
claiming under us.
The said property is described as follows: 4.0T / 7
&ee-a 0,7 ff5 ? � A 7 r-ee
STATE OF FLORIDA )
) SS:
COUNTY OF DADE )
19
WITNESS my hand and seal this .37 day of
, f
Notar
My
Before me, the subscriber, a Notary Public in and for said
State and County personally appeared the persons who signed the above
agreement, who are well known to me and known to me to be the persons
described in said agreement and each of said subscribers acknowledged
to and before me that _'he executed the same freely and voluntarily
for the purposes therein a pressed.
ubli.c, Sta
mission e
/
, • li.a at Large
Notary Public, State of Florida at Largo.
My Commission expires Jan. 17, 1958.
Bonded by American Fire and Casualty Co.