104 NE 100 St (8)_STATE OF FLORIDA) SS
COUNTY OF DADE )
A F F I D A V I T
;,_•� __ of the Village of Miami Shores,
unty of Dade and State of Florida, being duly sworn, doth depose and say,
that under the provisions of Ordinance No. 185, dated June 15, 1948, amend-
ing paragraph (d) of Section B-368 of Ordinance Ito. 97 of the Building Code
of Miami Shores 11age, he drsires to build a 0)44.0 on Lot/241/ Block / _ of i '. i __ _ Subdivision,
that he is the owner of said property, and will be the owner of said
_ _ _._. ___.__._, 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 work 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 Social
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. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that
he has read this Article and will do the work personally and
observe all of the requirements of the Building, Electrical,
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 permit 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 less
than 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said
.Village.
And Further this Deponent says not:
OWNER
SUBSCII.IBED AND SWORN TO BEFORE ME this day of A. D.,
19
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NOTARY PUBLIC �_ .. ._...... ___
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