879 NE 97 St (11)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 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.
Date May _11,_ 1953. , 19
Owner's Name and Address Mr & Mrs, Robert Burton N 351 Street N.W. 23 Place
Registered Architect and /or Engineer A.__lt.__ laingbei1
Name and address of licensed contractor____1 ..__frey_la__IL.__Tiaher 7,5__ _N.V.__95th___tr_eet
Location and legal description of lot to be built on:
Lot____ 22__&_WM__2.3 Block 73 Subdivision Mia i_.►S�lolBS___3eC�__3.
Street and Number where work is to be done
State work to be done and purpose of building (by floors) Clanstr icy .__nB.K__one__familg._residence
and for no other purpose.
New Building Yes Remodeling Addition Repairs No. of Stories One
To be constructed of CBS Kind of foundation Re concrete Roof Cov rrnng__Tile
Estimated Total cost of improvements $ 15500.0 Amount of Permit $
Zone cubage required 20,000 _Plan Cubage ° .C D O gO
Distance to next nearest building 35._feet Size of Building Lot 731 __X_ I i ?_.5 t
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 Weber Construction Co, 75_N..tW ; ___95 __.S _. ll,ShorES.
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 subc ractor on wpjk to be pgfiformed under this
permit, as are licensed by Miami Shores Village.
Remarks Insurance certificate in file._ (Signed)
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 Mr. __ .1.e__1..__Weber
to me well known,
and who, being by me first duly sworn, upon oath deposes and says at he is the Contractor
of the above described construction, that he has ci)> f ly read tijke regoing application, and that he did sign the same, and that all facts
therein by him std e .
�j
Permit No ...... to
� l
Disapproved
( Signed)
ead, Sworn to and Subscribed before me.
Notary Public, State of Florida
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.