Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
11-1243-013
DEC-16-2011 14:06 From: To:3055951055 Pa9e:3'3 ` UTH 1V)(IAMI CITY OF S[ICENSE APPLK'A,TION ,CUPATIONAL LA?,th Miami, Fl. 33143 6130 Sunset Drive, Sn Fax 303 GG3.6346 Phone: (305) 663- 63�d'3'� („ ,M Department %;heck one: NEW BUSINESS 13 EXISTING, BUSINESS Q HOME BUSINESS U CHANGE OF ADDRESS a CHANGE OF NAME Ploase Print CORPORATION NAME - BUSINESS OR APPLICANT NAME: G ;t �� 1� -►�G y�41 4 I TA-`) PHONE; DBA: r��o ./ BUSINESS ADDRESS: t -7,5 /� a �" L.4r'.i_�i �t., j frSr�Lit "l( )l t�!'f_^ji' ' •''� ADDRESS: ;� i k((° F�'� "41j1t :4. r 'if' NAME OF OWNERS (PROPRIETOR, PARTNERS OR CORPORATE OFFICERS) DATE BUSINESS WILL COMMENCE IN THE CITY OF SOUTH MIAMI; 1 ��r ti�l J #: j - Tax ID #; PROPERTY OWNER: ^.ai ^�, (K,—) 64 FOR TRANSFER LIST PREVIOUS VALID LICENSE NO: PRQDUCT,(S) TO BE SOLD: SERVICE (S) TO BE PERFORMED: MAXIMUM NUMBER OF EMPLOYEES INCLUDING OWNERS AND MANAGERS: FZ_1 GROSS FLOOR AREA OF BUSINESS FACILITY: 2: SQUARE FEET NUMBER OF PARKING SPACES EXCLUSIVELY FOR THIS USE: DO YOU CURRENTLY HAVE A COVENANT, EASEMENT, OR LONGTERM LEASE (CONTRACT) FOR OFF -SITE REQUIRED PARKING FOR THIS USE: ❑ YES d NO (IF YES, SUBMIT COPY OF CONTRACT.) WILL THIS BUSINESS: Y JOIN AN EXISTING OFFICE: Name of office: !� i� �(� : �� ; t, .lt (. �� 4' a �„ YES © NO > BE A PROFESSIONAL ASSOCIATION: I1,9t YES 0 NO Y REQUIRE STATE LICENSING: (IF YES, PROVIDE PROOF) ;0 YES 0 NO A BE LICENSING FEE EXEMPT: (IF YES, PROVIDE PROOF) C� YES ❑ NO Note: Restaurants, bars or night clubs attach health certificate and liquor license. All applicants must provide proof of sanitation seNtIces. All Occupational Licenses expire on September 30 "' of each year. All merchants are responsible for renewing Their license each year. -The City Of South Miami is not required to provide renewal notification. SIGNED TITLE DATE Fr:ESM'rn> LICENSE - USE: O ' {-�-1 C.u. -� p .� CLASSIFICATION: 03 C.U. USE APPROVED BY: DATE: 2 -3 a3` TRANSFER LICENSE NO: r °- S:tv`t �• Ii= YEAR: :° c s "` PENALTY ISSUE BATE: i BY: TOTAL (; _