465 NE 102 St (10)A-
STATE OF FLORIDA) SS
COUNTY OF DADE )
1.1 e.,.) A 2 i'a rD J L 1 ,J of the Village of Miami Shores, County
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, amending paragraph
(d) of Section 8-368 of Ordinance No. 97 of the Building Code of Miami Shores
Village, he desires to build a S.,a 4c_ e_ T.q -...•1 , c. -- 1 - r- se t7 F �
on Lot zo - z 1 Block 9 "-- of w11,a..,', I .S e % - "N4-Subdivision,
that he is the owner of said property, and will be the owner of said Pe.. oE,a c � � -
4e r A - `.. l. a 2 — , that he will do the work personally, and that he
will, at such times as a re required by the Zoning and Building Director: - -
And Further this Deponent says not:
SUBSCRIBED AND SWORN TO BEFORE ME this day of
195
A F F I D A V I T
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 certificates
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.
NOTARY PUBLIC
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 exercized 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.
A.D.,
THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE
A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS
MSV /1958
In consideration of the sum of
46s
THIS LIGS,�R�Sf" Iiect /N? 3157
Pai t Vivo "xq..1 `a'..► ''i^ fit* *it *It lt , t5t'il9FiPAR.%f 'cl'iki } :i€� fq ollars ($
d to Mi ami Shores i iage, Dade County, State of Flo ri a,
is hereby licensed to engage in or operate the business of
IMI SHORE VILLAGE, FLORIDA
Date Issued By
THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. I
APC 8 V:h.